Permit CITY OF TIGARD BUILDING PERMIT
COMMUNITY DEVELOPMENT Permit #: BUP2013 -00087
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 06/13/2013
Parcel: 1 S133AD02200
Jurisdiction: Tigard
Site address: 10820 SW 130TH AVE
Project: Westgate Baptist Subdivision: CHAPARRAL Lot: 1
Project Description: Create additional office spaces from existing classroom space.
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: VB DC Provision Review, COM TI - Ping 06/13/2013 $67.00
Occupancy Grp: Occupancy Load: DC Provision Review, COM TI - LRP 06/13/2013 $10.00
Dwelling Units: 0 Permit Fee - Additions, Alterations, 06/13/2013 $509.05
•
Demolition
Stories: 1 Height: ' 0 ft 12% State Surcharge - Building 06/13/2013 $61.09
Bedrooms: 0 Bathrooms: 0 Plan Review 06/13/2013 $330.88
Value: $30,000 Plan Review - Fire Life Safety 06/13/2013 $203.62
Info Process /Archiving - Lg $2.00 (over 06/13/2013 $6.00
11x17)
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $1,187.64
Required: Required Items and Reports (Conditions)
Fire Sprinkler: Yes 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. ATT - . • egon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952 -001 .110 through OA =52 -0' • • .. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issue* By: , /. Permittee Signature: k
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.
t Buili�in Permit Application - . ,,,,(f) �, S�c}/j3
1
Commercial I RECEIVED FOIL OFFICE USE ONLY
Received
y
IL
City of Tigard : , Permit No.: P10l3_Q 07
° 13125 SW Hall Blvd., Tigard, OR 97223 Plan Revie•
It . Phone: 503- 718 -2439 Fax: 503 -598 -1 3 Date/By: r (l 11 ( Other Permit:
TIGARD Inspection Line: 503 - 639 -4175 .S a0 / 3 `d "'/ Date Ready/By: , kris: ® See Page 2 for
> Internet: www.tigard- or.gov CITY OF TIGARD Notified/Method& /j 0 (er, r Supplemental Information
°t ! �I ,'C DIVISION l) ,
TYPE OF O REQUIRED DATA: 1- AND 2- FAMILY DWELLING
❑ New construction ❑ Demolition Permit fees' are based on the value of the work performed.
Indicate the value (rotnded 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.
❑ 1- and 2- family dwellingomercial/industrial Valuation: $
m
❑ 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: /01 S (, j 13 VI, New dwelling area: square feet
City/State /ZIP: 77,4(J 0 46' S ? Z 2 3 Garage /carport area: square feet
Suite/bldg. /apt. no.: Project name: W Ls , rr Air Covered porch area: �' square feet
Cross street/directions to job site: 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.: Indicate the value (minded to the nearest dollar) of all
equipment, materials, labor, overhead, and the profit for the
DESCRIPTION OF WORK work indicated on this application. s�
Valuation: $ . r�U(,
it D p 1.I4a115 fd G? talc e O Fa. cc,15 1
Existing building area square feet
New building area: square feet
❑ PROPERTY OWNER ❑ TENANT Number of stories:
Name: J V A'En5 T C`tt n Type of construction:
Address: %'Zi 3o so sc tko .LS Flea e Occupancy groups:
City /State/ZIP:( 4 OQ lg g72g3 Existing:
Phone: (So3) 5 Z 3 sera Fax: ( )
New:
❑ APPLICANT [CONTACT PERSON BUILDING PERMIT FEES"
Business name: b v f7aN (ms rai �oJ arn C- review refer (or deposit):
osit): schedule) 4
Structural plan review fee (or deposit):
Contact name: Q R r b„2
FLS plan review fee (if applicable):
Address: /67 s.1 LA05 - ezi sr g 4v
City /State /ZIP: 6n 9 70 3 S— Total fees due upon appli cation:
a c s P� c -- Phone: (SQ3) s 7 Z 73 9 z I Fax :: ( ) Amount received:
v PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES"
E -mail:
�b R E'/KOA ® lam` clM Commercial and residential prescriptive installation of
CONTRACTOR roof -top mounted PhotoVoltaic Solar Panel System.
Business name: Q Submit two (2) sets of roof plan with connection details
.l.! � � N �� 5 13011,0)q �� �' and fire department access, along with the 2010 Oregon
Address: /6 S w LA 6 Fae s r g LyO Solar Installation Specialty Code checklist.
City /State /ZIP: LAKE cssoe oc Ofta 5 ?63N Permit fee (includes plan review $180.00
and administrative fees):
Phone: ( )) 67Z ?3 5' Z I Fax: ( ) State surcharge (12% of permit fee): $21.60
CCB lic.: i Q 5( 5so Total fee due upon application: $201.60
Authorized signature: /1 , �V/ This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: �Q 6 Date: u * Fee methodology set by Tri -County Building Industry
x.7 vfTaN el —gel Service Board.
I:\Building\Permits\BUP _COM_PermitApp.doc Rev. 12/ 11/2012 440- 4613T(1 I /02JCOM/WEB)
.
i l li g o
Building Division
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: $
I
TOTAL (shall equal line [2] of Valuation Computation): $
I:\ Building \Permits \BUP_COM_PermitApp.doc Rev. 12/11/2012
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q Building Division
° Development Code Provision Review
T I G A ii D Commercial Projects - No Associated Land Use Case
Building Permit N.: Pa 1 5 - ocOg7 Expedited Review
Project Name: ' ' ' ai- * ,
Site Address: j02 -o J 1 eY Suite /Bldg #:
Plans Routed: 3
Original Plan Submittal Date: 1 / Routed By.
1St Revision Submittal Date: /9 // 3 Routed By: a�4
2n Revision Submittal Date: Routed By:
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 ap / proved. •
Planning Review (contact d l e Joh., f (503) 718 2 557 or �I kd: @tigard- or.gov)
Proposal: 1 n1 c.r wails. l r G f N. in4 A.tn exirh moor
b.n nor+L SitLt, L in , D4&s - pIitw1le...Z, a#. saw.e prarp.•..4y
ND cAnaAit, u SL . Cu ere 1 O 1 c ( c(au s rce. 1,14; e oe
r be r.bi. tot
Zoning 5e«
Permitted Use Yes ❑ T,01 112' C.
Land Use Required: Yes a No ❑
Notes: ' IV,t,c. 4 clot ri 011(4.4.14. i n 5 a.- v
N,� c d .4 r? •.4 ‘14-, i dQ
e-, s-f� G o..t d , k, ._ (1741 .4.0 4-
1 _ 7-P6-/ols-A.? ____,
Approved *ff -Not Approved ❑ DCPR Not Required — No DCPR Fees Due
Date Routed to Building:
1: \CURPLN\Masters\Development Code Provision RevievADCPR_COM_NoLandUse.doc Rev. 01/16/13