Permit n CITY OF TIGARD ! BUILDING PERMIT
ill ° COMMUNITY DEVELOPMENT Permit #: BUP2012 -00157
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 09/06/2012
Parcel: 1S 133AD02200
Jurisdiction: Tigard
Site address: 10730 SW 130TH AVE
Project: Westgate Baptist Church f_ I Subdivision: HAWKS BEARD TOWNHOMES Lot: 62
Project Description: 2nd story TI /Elevator f /i /3 //ia/ aJ141*- - "4 �a f ,:.-. •
Contractor: B DUTTON CONSTRUCTION INC Owner: WESTGATE BAPTIST CHURCH
16775 SW LAKE FOREST BLVD 12930 SW SCHOLLS FERRY RD
LAKE OSWEGO, OR 9703 TIGARD, OR 97223
PHONE: 503 - 572 -7392 PHONE: 503 - 524 -3500
FAX:
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: IIIB Permit Fee - Additions, Alterations, 09/06/2012 $1.619.35
Demolition
Occupancy Grp: E Occupancy Load: 12% State Surcharge - Building 09/06/2012 $194.32
Dwelling Units: 0 Plan Review 08/02/2012 $1,052.58
Stories: 2 Height: 0 ft Plan Review - Fire Life Safety 08/02/2012 $647.74
Bedrooms: 0 Bathrooms: 0 DC Provision Review, COM TI - Ping 09/06/2012 $256.00
Value: $235,000 DC Provision Review, COM TI - LRP 09/06/2012 $38.00
Info Process /Archiving - Lg $2.00 (over 09/06/2012 $6.00
11x17)
Floor Areas: Info Process /Archiving - Sm $0.50 (up to 09/06/2012 $9.50
11x17)
Total Area: 4200 Metro Const. Excise Tax - Commercial 09/06/2012 $222.00
Accessory Struct: 0 Use
Basement: 0 Building Permit - COM 10/31/2012 $302.00
Carport: 0 12% State Surcharge - Building 10/31/2012 $36.24
Covered Porch: 0 Plan Review - Building 10/31/2012 $196.30
Deck: 0 FLS Plan Review 10/31/2012 $120.80
Metro Const Excise Tax - COM Use 10/31/2012 $60.00
Garage: 0
Mezzanine: 0
Total $4,760.83
Required: Required Items and Reports (Conditions)
Fire Sprinkler: Yes Parapet:
Fire Alarm: Yes Protected Corridors: No
Smoke Detectors: Manual Pull Stations:
Accessible Parking: 0
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will
be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180
days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued €1' �- \\\ /A /Q� . _ - _ Q Permittee Signature: � , ` ::; / L ',.....,
________ •w � -1 Call 503.639.4175 by 7:00 a.m. for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
CITY OF TIGARD BUILDING PERMIT
h COMMUNITY DEVELOPMENT Permit #: BUP2012 -00157
T I GARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 09/06/2012
Parcel: 1S 133AD02200
Jurisdiction: Tigard
Site address: 10730 SW 130TH AVE
Project: Westgate Baptist Church Subdivision: HAWK'S BEARD TOWNHOMES Lot: 62
Project Description: 2nd story TI /Elevator
Contractor: B DUTTON CONSTRUCTION INC Owner: WESTGATE BAPTIST CHURCH
16775 SW LAKE FOREST BLVD 12930 SW SCHOLLS FERRY RD
LAKE OSWEGO, OR 9703 TIGARD, OR 97223
•
PHONE: 503 - 572 -7392 PHONE: 503 - 524 -3500
FAX:
Specifics: FEES
Description Date Amount
Type of Use: COM Permit Fee - Additions, Alterations, 09/06/2012 $1,619.35
Class of Work: ALT Type of Const: IIIB Demolition
Occupancy Grp: E Occupancy Load: 12% State Surcharge - Building 09/06/2012 $194.32
Dwelling Units: 0 Plan Review 08/02/2012 $1,052.58
Stories: 2 Height: 0 ft Plan Review - Fire Life Safety 08/02/2012 $647.74
Bedrooms: 0 Bathrooms: 0 DC Provision Review, COM TI - Ping 09/06/2012 $256.00
Value: $185,000 DC Provision Review, COM TI - LRP 09/06/2012 $38.00
Info Process /Archiving - Lg $2.00 (over 09/06/2012 $6.00
11x17)
Floor Areas: Info Process /Archiving - Sm $0.50 (up to 09/06/2012 $9.50
11x17)
Total Area: 4200 Metro Const. Excise Tax - Commercial 09/06/2012 $222.00
Accessory Struct: 0 Use
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $4,045.49
Required: Required Items and Reports (Conditions)
Fire Sprinkler: Yes Parapet:
Fire Alarm: Yes Protected Corridors: No
Smoke Detectors: Manual Pull Station's:
Accessible Parking: 0
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will
be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180
days. A N: Or law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952 -00 010 through OAR 95 00 • r • .. ou may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
lssu d By: Permittee Signature: a
Call 503.639.4175 by 7:00 a.m. for the next available Inspection date.
This permit card shall be kept in a conspicuous place on the Job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
FOR OFFICE USE ONLY – SITE ADDRESS: /t 7 3 0 ary . /.50 , 91)
This form is recognized by most building departments in the Tri -County area for transmitting information.
Please complete this form when submitting information for plan review responses and revisions.
This form and the information it provides helps the review process and response to your project.
City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT
III Transmittal Letter
TI G A R D 5 SW Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard- or.gov
TO: DATE MD
DEPT: - ING DIVISION
2 3 2012
FROM: 0 ' ` CITY OFTIGARD
--�"– BUILDING DIVISION
COMPANY:
PHONE: 5 — 759
[13!:
RE: I D 30 5,,,_) '� ? Jv Ah /� )E A Qooso l..�U /S7
( s ite Adress) (Permit Number)
lJ�
(Project name or sub vision name and lot num er)
ATTACHED ARE THE FOLLOWING ITEMS:
Copies: Description: Copies: Description:
Additional set(s) of plans. Revisions:
Cross section(s) and details. Wall bracing and/or lateral analysis.
Floor /roof framing. Basement and retaining walls.
Beam calculations. Engineer's calculations.
Other (explain):
REMARKS: a6C 0 j7, c k__ o-- L (e, 0 1 e_ t.t-�, 6,-....Q4,10--
Ni
FOR OFFICE USE ONLY
Routed ermi Tec , ician: Date: Initials: _
Fees ue: ( aYes No Fee Description: Amount Due:
$ 45 , 00
' $ /94.
$ 3c,, At/
$/ 2,0 . so
Special oo , oo
Instructions: 7 7I5. 4
Reprint Permit (per PE): XLYes ❑ No ,Done
Applicant Notified: Date: / %„ &- n C .Pjj Initials:
c�e'Pi_ _ IA.,/ 6s-7; o
I:\ Building\ Forms \TransmittalLetter - Revisions.doc 05/25/2012
ir 't,
Building Permit Application
Commercial RECEIVED FOR OFFIC\•: USE ONLY
III City of Tigard ,� , DateBy Received el a- f y Permit N 8111).301 00 / S1
° 13125 SW Hall Blvd., Tigard, OR 97223 AUG 0 2 ? •, 7 Plan Rev
C Phone: 503.718.2439 Fax: 503.598.1960 Date i ew r: i I q 167 (12___ otherPermit:
I' I G n li D Inspection Line: 503.639 CITY O> T1GARD Date Ready :y: toy's ® See Page 2 for
Internet: www.tigard or.gov CITY Notifted/Method: -1 � Supplemental Information
BUILUIU3 DIVISION PP
TYPE OF WORK REQUIRED DATA: 1- AND 2-FAMILY DWELLING
XNew construction ❑ Demolition Permit fees* are based on the value of the work performed.
Indicate the value ( routded to the nearest dollar) of all
❑ Addition/alteration/replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
Valuation: $ - 0��
❑ 1- and 2- family dwelling TRommercial/industrial f
❑ Accessory building ❑ Multi - family Number of bedrooms:
❑ Master builder ❑ Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: i 0130 S t� CA o h New dwelling area: square feet
City /State /ZIP: T LG./KIM) O a e" 7 72,3 Garage /carport area: square feet
Suite/bldg. /apt. no.: Project name: 40 LSTG'ktv KPcirS r Covered porch area: square feet
Cross street/directions to job site: s c ttou_S � , t,y R Deck area: square feet
Other structure area: square feet
REQUIRED DATA: COMMERCIAL -USE CHECKLIST
Subdivision: Lot no.: Permit fees* are based on the value of the work performed.
Tax map /parcel no.: Indicate the value (rounded to the nearest dollar) of all
equipment, materials, labor, overhead, and the profit for the
DESCRIPTION OF WORK work indicated on this application.
7, Carty - r I / l�.,L= V (rCOQ Valuation: S �� 0 , c30
Existing building area 'Z,(, square feet
New building area: (Z V square feet
❑ PROPERTY OWNER ❑ TENANT Number of stories: Z
Name: 0 os G-A rie `I,> AP rl,s c G l'tun.G 1.1 Type of construction:
Address: ( C 1 3 O 5 LJ 6 C l•l'oU..,S F (_StP D Occupancy groups: A /6-
City/State /ZIP: TIGAlt?) tJ _ 97ZZ3 Existing:
Phone: ( 503) 5 ZH - -SS Oo Fax: ( 503) S ? 4 4 5 CO New:
❑ APPLICANT ❑ CONTACT PERSON BUILDING PERMIT FEES*
Business name: t `]� t1 ; 1pN (Please refer to fee schedule)
�An155rZUG1a� Tf.IC. Structural plan review fee (or deposit):
Contact name: ' eltrt,1 '1)vrta,v
FLS plan review fee (if applicable):
Address: 16't 7 5 '5 F-I L et t os PCft.L-' T `Z L v b
City/State/ZIP: Total fees due upon application:
h Len in Amount received:
Phone: (S03) 5 77_ 7 3 S 7 Fax:: ( )
E -mail: i to R 0-M b b �/ t - I .( - . CAS PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
Commercial and residential prescriptive installation of
CONTRACTOR roof -top mounted PhotoVoltaic Solar Panel System.
Business name: 8 Submit two (2) sets of roof plan with connection details
U rd N �rJS Tt2 uGT t6tnl �NL, and fire department access, along with the 2010 Oregon
Address: l GZ 75 5 o L /°tK € .::.4 05 L ,/D Solar Installation Specialty Code checklist.
City /State /ZIP: L rt KL QS�ty O 0 tta Permit fee (includes plan review $180.00
( 5) an d a fees):
one: 5 7 z, r) 3 i Z Fax: ( ) State surcharge (12% of permit fee): $21.60
CB lic.: /c(5bsf 0
/� n Total fee due upon application: $201.60
Authorized signature: �� G�✓1 !'" ( �J Thi p ermit application expires if a permit is not obtained
(, pvl within 180 days after it has been accepted as complete.
Print name: Q R l irm Vrtz") Date: 13 Z - 12._ • Fee methodology set by Tri -County Building Industry
Service Board.
I: \Building\Permits\BUP -COM PermitApp.doc 02/24/2011 440- 4613T(I I /02 /COM/WEB)
tl
Building Division
N..
Accessibility: Barrier Removal Improvement Plan
TIGARD
REQUIREMENT: OREGON REVISED STATUTE (ORS) 447.241.
(1) Every project for renovation, alteration or modification to affected buildings and related
facilities shall be made to insure that the path of travel to the altered area and the restroom,
telephones and drinking fountains are readily accessible to individuals with disabilities unless
such alterations are disproportionate to the overall alterations in terms of cost and scope.
• (2) Alterations made to the path of travel to an altered area may be deemed disproportionate to
the overall alteration when the cost exceeds twenty-five per -cent (25 %).
VALUATION: Total of all renovation, alteration or modification being done,
excluding painting and wallpapering: [1] $
MULTIPLIER (25% barrier removal requirement): x .25
TOTAL BUDGET FOR BARRIER REMOVAL: [2] $
ELEMENTS: In choosing which accessible elements to provide under this section, priority shall be given
to those elements that will provide the greatest access. Elements shall be provided in the
following order:
(a) Parking $
(b) An accessible entrance: $
(c) An accessible route to the altered area: $
(d) At least one accessible restroom for each sex or a single unisex
restroom: $
(e) Accessible telephones: $
(f) Accessible drinking fountains: and, $
(g) When possible, additional accessible elements such as storage and
alarms: $
TOTAL (shall equal line [2] of Valuation Computation): $
I: \Building \Permits \BUP -COM PermitApp.doc 03/03/2011
11111 qv Building Division
Development Code Provision Review
T I G A R D Commercial Projects - No Associated Land Use Case
Building Permit No: 13 U P Q O I a) — 00) S 7 ❑ Expedited Review
Plan Submittal Date: (b - a2 —1 D•
To the Applicant:
If the proposed use is not permitted within the zone, please contact the Building Division to cancel
the permit application. Building Permit Technicians (503) 718 -2439.
If a land use is required and for all other questions, please contact the staff person listed above the
Planning Review section.
Staff: please check items along left only if approved.
Planning Review (contact at 503 - 718 - 2-4JN or ray @tigard-or.gov)
_ Cejfily#4,ILL Zoning g 7 (/'v) Permitted Use Yes 'El, No ❑
rEiland Use Required: Yes ❑ No J (explain below) .
Notes:
- /1477' ext No LvJ(.4 rzarirkJ
a ❑ Not Approved Date: 8" — I 2 _
Permit Coordinator Review (contact Albert Shields at 503 - 718 -2426 or albert @tigard - or.gov)
Notes:
Routed back to Building Division Date:
]: \CURPLN