Permit CITY OF TIGARD BUILDING PERMIT
COMMUNITY DEVELOPMENT Permit #: BUP2012 -00259
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 04/04/2013
Parcel: 1 S136CC00100
Jurisdiction: TIGARD
Site address: 8200 SW PFAFFLE ST
Project: Westside Christian High School Subdivision: 2006 -016 PARTITION PLAT Lot: 3
Project Description: Foundation only for structural alterations and additions.
Contractor: TODD HESS BUILDING CO Owner: WESTSIDE CHRISTIAN HIGH SCHOOL
9414 SW BARBUR BLVD SUITE 150 4565 CARMEN DRIVE
PORTLAND, OR 97219 LAKE OSWEGO, OR 97035
PHONE: 503 - 220 -5953 PHONE: 503 - 697 -4711
FAX: 503 - 222 -2670
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: ADD Type of Const: Permit Fee - Additions, Alterations, 04 /04/2013 $880.05
Demolition
Occupancy Grp: Occupancy Load: 12% State Surcharge - Building 04 /04/2013 $105.61
Dwelling Units: 0 Plan Review 12/17/2012 $572.03
Stories: 0 Height: 0 ft Plan Review - Fire Life Safety 12/17/2012 $352.02
Bedrooms: 0 Bathrooms: 0
Value: $69,100
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $1,909.71
Required: Required Items and Reports (Conditions)
Fire Sprinkler: Parapet:
Fire Alarm: Protected Corridors:
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 • _ • . • •AR 952- 001 -0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.23 7 or 1.800. . 344.
Cet 0 Issued By Permittee Signature: /- ;:'
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 pr jest.
Approved plans are required on the job site at the time of each inspection.
1
B3uildin Permit A lication
Commercial EIVED l DR Ol ll( I. l tii. 0\I.1
1
City of Tigard 1 2012 Da ed / /7 ;vim 'ermit !/ — 00025
• 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review ►!
_ . Phone: 503.718.2439 Fax: 503.598. l.! l I �G` D Date /B : 0 �ME Other Permi / c a m 2 ", A N
T I G A R D Inspection Line: 503.639.4175 ISION Date Ready /By ® for
Internet: www.tigard - or.gov BUILDING Notified/Method Supplemental information
///1.D Q // a /2
TYPE OF WOR $ REQUIRED DATA I- AND 2- FAMILY DWELLING
® New construction ❑ Demolition Permit fees* are based on the value of the work performed.
Indicate the value (rounded to the nearest dollar) of all
0 Addition/alteration /replacement ® Other: Foundation equipment, materials, labor, overhead, and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
❑ 1- and 2- family dwelling ® Commercial /industrial Valuation: $
ID 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: 8200 SW Pfaffle Street New dwelling area: square feet
City/State/ZIP: Tigard, OR 97223 Garage /carport area: square feet
Suite/bldg. /apt. no.: I Project name: Westside Christian HS Covered porch area: square feet
Cross street/directions to job site: HWY 99 W Deck area: square feet
Other structure area: square feet
REQUIRED DATA: COMMERCIAL -USE CHECKLIST
Subdivision: I Lot no.: Permit fees* are based on the value of the work performed.
Tax map /parcel no.: IS136CC TL #00100 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.
Foundations to prepare for structural alterations and additions Valuation: $69,100.00
Existing buil - tang area: 35965 square feet
New building area: 25052 square feet
® PROPERTY OWNER ❑ TENANT AL, Number of stories: 1
Name: Westside Christian High School ,/2 //7 2 — !,(f EX/A f/ '7"0 Type of construction: II -B
Address: 4565 Carman Drive gtyL/ VEX. c! !! fL Occupancy groups:
City/State /ZIP: Lake Oswego, CA 97035 - Cu a pj /?7i L Existing: E
Phone: ( ) Fax: (- ) �..&.7-y' ,97t1
New: E
® APPLICANT ❑ CONTACT PERSON AIWci- ,,' S*
. >' „ 'elute
Business name: Westside Christian High School
Structural plan review fee (or deposit):
Contact name: Dan Quatier
FLS plan review fee (if applicable):
Address: 4565 Carman Drive
Total fees due upon application:
City/State /ZIP: Lake Oswego, OR 97035
Phone: (503) 781.4718 Fax: : (503) 643.9480 Amount received:
E -mail: dan @quatier.com
PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
Commercial and residential prescriptive installation of
CONTRACTOR roof -top mounted Photo Voltaic Solar Panel System.
Business name: Todd Hess Building Company Submit two (2) sets of roof plan with connection details
and fire department access, along with the 2010 Oregon
Address: 9414 SW Barbur Blvd, Suite 150 Solar Installation Specialty Code checklist.
City/State /ZIP: Portland, Oregon 97219 Permit fee (includes plan review $180.00
and administrative fees):
Phone: (503) 220 -5953 Fax: (503) 222 -2670
State surcharge (12% of permit fee): $21.60
CCB lie.: 66821
Total fee due upon application: $201.60
Authorized signature: / / / / i 41 This permit application expires if a permit is not obtained
I within 180 days after it has been accepted as complete.
Print name: Dan Qautier Date: 12/13/12 * Fee methodology set by Tri-County Building Industry
Service Board.
I: \Building\Permits\BUP -COM PermitApp.doc 02/24/2011 440- 4613T(11/02 /COM/WEB)
• Building Division
Development Code Provision Review
T i n ° Commercial Projects with Approved Land Use
Building Permit No.: r4att :2 -o 2
Land Use Casefile No.: /7/1L Q // - 0e"0/2
Routed Plans:
Submittal Date: /
Submittal Date:
Submittal Date:
To the Applicant:
Each review type must be approved. If the plan is not approved, please revise and resubmit three (3) copies
to the Building Division. Only checked (/) items are approved. Items not approved and those listed in the
notes must be revised prior to re- submittal. For questions please contact the appropriate staff person(s) listed
above each section.
STAFF: please only mark those items on the left side that are approved.
Planning Review (contact /fl• 14- ' L at 503 - 718 - l Y 3( or - <<.4,. '> @tigard - or.gov)
la Land Use Approval
❑ Building Plans Match Approved Plan: Yes zi No ❑
Maximum Building Height
❑ Conditions Met
❑ Street Trees
❑ Protected Trees
i f
Notes: /3 L tt / � K � � t p �v /1 i t, ty ce / Li - e �
Original Plan: Approved,-2r Not Approved ❑ Date: / " /7"/ 2.
Revision 1: Approved ❑ Not Approved ❑ Date:
Revision 2: Approved ❑ Not Approved ❑ Date:
(Review Continues on Page 2)
Page 1 of 2
Engineering Review (contact Mike White at 503 -718 -2464 or MikeW @tigard - or.gov)
❑ Actual Slope:
❑ PFI Permit #
❑ Conditions Met
Notes:
Original Plan: Approved Not Approved ❑ Date: / 2 ( 7/1 2--
Revision 1: Approved ❑ Not Approved ❑ Date: (((
Revision 2: Approved ❑ Not Approved ❑ Date:
Permit Coordinator Review (contact Albert Shields at 503 - 718 -2426 or albert @ tigard - or.gov)
❑ Planning Okay to Issue Permit ❑ Arborist Okay to Issue Permit
❑ Engineering Okay to Issue Permit
Notes:
Original Plan: Date Sent to Applicant:
Revision 1: Date Sent to Applica
Revision 2: Date Sent to App f ant
Okay to Issue Permit: Yes No ❑
Date Routed to Building:
Z �
Page 2 of 2
Location:
Record Type:
Inspection Type:
Comments:
Inspection Date:
Record ID:
Result:
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
8200 SW PFAFFLE ST, TIGARD, OR, 97223
Commercial - Building
299 Final inspection
2013-12-23 00:00:00
BUP2012-00259
PASS - No C of O
Violation Summary:
Inspector Contractor
CITY OF TIGARD
BUILDING DIVISION PERMIT #: aU i7Z O ,Z—
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED:
Phone: (503) 639-4171 :NI dz S-,
Inspection Requests (24 Hrs.): (503) 639-4175 :��
INSPECTION WORKSHEET FOR DATE: TIME: PAGE:
SITE ADDRESS: B2_,Op p j-t�L (-, ST: CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME:
DESCRIPTION:
OWNER: PHONE #:
CONTRACTOR: PHONE #:
Inspection Request Scheduled For: Date: Pour Time:
Code # Inspection Description Confirm # Contact # Message
ZgI r/AI G -- (-T.., u xi t" "� c) p ( i
Corrections/Comments/Instructions:
a2cD V i f7 L 1 - f■/d -C--- s u Wl-/1 ✓—fcY .L 1=
e7 (CL Pr-1( a. ' /' -- z 77 0
cf—a.1 G, I ti c.'L1-- s 1 S v c--z v 21A--L-__ c i Z='PC-
AV I ■ (.7 1 N ;MC....
o-r- P c O l� pp— e/t-1 /
—�. - Pita 1 `Pegit4 ( k „...-0-e__
❑ PASS fl PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
&Sp gi CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
4-7/
Inspector: Date: I!' /c" 1- Phone #: (503) 718-
Location:
Record Type:
Inspection Type:
Comments:
Inspection Date:
Record ID:
Result:
City of Tigard
13125 SW Hal Blvd.
Tigard, OR 97223 Tel: 503.718.2439
8200 SW PFAFFLE ST, TIGARD, OR, 97223
Commercial - Building
265 Masonry
05/17/2013 09:00
BUP2012-00259
PART
CMU Walls first 4' (W2) walls as noted on page S2.10
(W2) 8" wall with (2)#4@48"hor. #6@48vert.
Ok to grout with special inspectors approval
Violation Summary:
Inspector Contractor
Location:
Record Type:
Inspection Type:
Comments:
Inspection Date:
Record ID:
Result:
City of Tigard
13125 SW Hal Blvd.
Tigard, OR 97223 Tel: 503.718.2439
8200 SW PFAFFLE ST, TIGARD, OR, 97223
Commercial - Building
205 Footing
05/10/2013 09:00
BUP2012-00259
PART
See approved plans for highlighted areas inspected page S2.10
Ok to pour with special inspectors approval
Violation Summary:
Inspector Contractor
Location:
Record Type:
Inspection Type:
Comments:
Inspection Date:
Record ID:
Result:
City of Tigard
13125 SW Hal Blvd.
Tigard, OR 97223 Tel: 503.718.2439
8200 SW PFAFFLE ST, TIGARD, OR, 97223
Commercial - Building
205 Footing
05/10/2013 09:00
BUP2012-00259
Scheduled
See approved plans for highlighted areas inspected page S2.10
Ok to pour with special inspectors approval
Violation Summary:
Inspector Contractor
Location:
Record Type:
Inspection Type:
Comments:
Inspection Date:
Record ID:
Result:
City of Tigard
13125 SW Hal Blvd.
Tigard, OR 97223 Tel: 503.718.2439
8200 SW PFAFFLE ST, TIGARD, OR, 97223
Commercial - Building
205 Footing
05/09/2013 14:00
BUP2012-00259
PART
See approved plans for highlighted areas inspected page S2.10
Ok to pour with special inspectors approval
Violation Summary:
Inspector Contractor
Location:
Record Type:
Inspection Type:
Comments:
Inspection Date:
Record ID:
Result:
City of Tigard
13125 SW Hal Blvd.
Tigard, OR 97223 Tel: 503.718.2439
8200 SW PFAFFLE ST, TIGARD, OR, 97223
Commercial - Building
205 Footing
05/20/2013 12:00
BUP2012-00259
PART
See page S2.10 Highlighted & Signed and dated footing inspected
Okay to pour with special inspector approval
Violation Summary:
Inspector Contractor