Permit CITY OF TIGARD BUILDING PERMIT
111 • COMMUNITY DEVELOPMENT Permit #: BUP2013 -00065
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 07/09/2013
Parcel: 2S102BD00100
Jurisdiction: Tigard
Site address: 12520 SW GRANT AVE
Project: St Anthony Subdivision:RTH TIGARDVILLE ADDITION, AMENC Lot: 52
Project Description: New community center assembly building. Connect to existing church.
Contractor: R & H CONSTRUCTION CO Owner: ST ANTHONY CATHOLIC CHURCH TIGAR
1530 SW TAYLOR ST 9905 SW MCKENZIE ST
PORTLAND, OR 97205 -1819 TIGARD, OR 97223
PHONE: 503 - 228 -7177 PHONE:
FAX: 503 - 224 -3638
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: NEW Type of Const: VB Permit Fee - COM - New Construction 07/03/2013 $17,646.92
Occupancy Grp: A -3 Occupancy Load: 1233 12% State Surcharge - Building 07/03/2013 $2,117.63
Dwelling Units: 0 Plan Review 03/25/2013 $11,470.50
Plan Review - Fire Life Safety 03/25/2013 $7,058.77
Stories: 1 Height: 0 ft DC Provision Review, COM New - Bldg 07/03/2013 $139.00
Bedrooms: 0 Bathrooms: 0 DC Provision Review, COM New- Ping 07/03/2013 $139.00
Value: $3,850,000 DC Provision Review, COM New- LRP 07/03/2013 $41.00
Info Process /Archiving - Lg $2.00 (over 07/03/2013 $166.00
11x17)
Floor Areas: Info Process /Archiving - Sm $0.50 (up to 07/03/2013 $235.50
Total Area: 16866 11x17)
Metro Const. Excise Tax - Commercial 07/03/2013 $4,620.00
Accessory Struct: 0 Use
Basement: 0 Tig -Tual School CET - Non Residential 07/03/2013 $9,276.30
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $52,910.62
Required: Required Items and Reports (Conditions)
1 Ersn Cntrl 503 - 639 -4175
Fire Sprinkler: Yes Parapet: Yes
Fire Alarm: Yes Protected Corridors: No
Smoke Detectors: Manual Pull Stations: No
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 -s e s through 0 • . 2- 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.
Issue. By: Permittee Signatu '`
Call 503.639.4175 by 7:00 a.m. for the next available Insp: tlon 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.
Building Permit Application
Commercial RECEIVED FOR OFFICE USE ONLY
City of Tigard MAR 2 5 2013 Received
DateB /
IN .
: 41. PermitNo.: ,()A, / .. oil* _
° 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review
P
MEM
hone: 503.718.2439 Fax: 503.598.19 DateB : Other Permit: Qa . 400fr ,
DE ITY OFTIGARD
T 1 GA R D Inspection Line: 503.639.4175 Date Ready/By: ® See Page 2 for
Internet: www.tigard - or.gov BUILDING DIVISION Notified/Method: 't Supplemental Information
TYPE OF WORK REQUIRED DATA: 1- 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
® 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 dwelling Valuation: $
® C ommercial /industrial
❑ Accessory building I=1 Multi-family Number of bedrooms:
❑ Master builder ❑ Other: Number of bathrooms: 3.
/ p, TAO JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address>1905�" Me4eet i S+ / /S"{p v ('p,,,,,,. 19 I) fi New dwelling area: square feet
City /State /ZIP: 97223 Garage /carport area: square feet Cl
Suite/bldg. /apt. no.: Project name: St. Anthony Community Cen Covered porch area: square feet
Cross street/directions to job site: SW Grant Ave. and SW Johnson St. 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.: T2S 1W 2BD TL 100 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.
New Community Center assembly buidling. Connect to exist. Church. Separate site Valuation: $$3,850,000.00
permit. Existing building area: square feet
New building area: 16886 square feet
® PROPERTY OWNER ❑ TENANT Number of stories: 1
Name: St. Anthony in Tigard Catholic Church & School Type of construction: V -B Sprinkled
Address: 9905 SW McKenzie St. Occupancy groups:
City /State /ZIP: Tigard, OR 97223 Existing:
Phone: (503)639 -4179 Fax: (503)624 -2364 New: A -3, &B,S -1,I -2
® APPLICANT ® CONTACT PERSON BUILDING PERMIT FEES*
(Please refer lo fee schedule)
Business name: Ankrom Moisan Architects
Structural plan review fee (or deposit):
Contact name: Drew Rocker
FLS plan review fee (if applicable):
Address: 6720 SW Macadam Ave., Suite 100
City /State /ZIP: Portland, OR 97219 Total fees due upon application:
Phone: (503) 245 -7100 Fax: : (503) 245 -7710 Amount received: 'l �� 5 c 7
E -mail: drewr @amaa.com PHOTOVOLTAIC SOLAR PANEL SYSTIM FEES*
Commercial and residential prescriptive installation of
CONTRACTOR roof -top mounted PhotoVoltaic Solar Panel System.
Business name: R &H Construction Submit two (2) sets of roof plan with connection details
and fire department access, along with the 2010 Oregon
Address: 1530 SW Taylor St. Solar Installation Specialty Code checklist.
Permit fee (includes plan review
City /State /ZIP: Portland, OR 97219 $180.00
and administrative fees):
Phone: (503) 228 -7177 Fax: (503) 224 -3638 State surcharge (12% of permit fee): $21.60
CCB lie.: 38304
Total fee due upon application: $201.60
Authorized signature: This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: Drew Rocker Date: 3 -21 -13 * Fee methodology set by Tri -County Building Industry
Service Board.
I: \Building \Permits \BUP -CO 1 PermitApp.doc 02 , III 440- 4613T(1I/02/COM/WEB)
p Building Division
Accessibility: Barrier Removal Improvement Plan
TIGARD
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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
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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 %).
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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
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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): $
1:\ Building\ Permits \BUP -COM PcrmitApp.doc 03 /03/2011
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Building Division
Plan Submittal Requirements
T I GARD Commercial & Multi- Family - New, Additions or Alterations
1. SITE PLAN (fully dimensional, drawn to scale) labeled with:
A. ❑ map & tax lot # ® project name ® site address ❑ suite number
Z zoning ® applicant name ® phone number
B. North arrow.
C. Scale (architectural or engineering only).
D. Street names.
E. Setbacks.
F. Parking, including disabled access.
G. Finished floor elevations.
2. EROSION CONTROL PLANS AND DETAILS.
3. BUILDING PLANS: See the "Plan Submittal Requirement Matrix" for the number of
plans required based on submittal type (no redlines or tape -ons accepted).
All details listed below shall be incorporated into the plans:
A. Scale (architectural or engineering only).
B. Foundation plan.
C. Floor plan(s).
D. Cross sections.
E. Reflective ceiling plan.
F. Seismic bracing detail for suspended ceiling.
G. Roof plan.
H. Exterior elevations.
I. Structural calculations, plans, details and specifications.
J. Accessibility barrier removal worksheet.
K. Deposit - based on valuation of project.
4. EXTRA SET OF THE FOLLOWING:
A. Two (2) copies of site plan to include vicinity map.
B. One (1) copy of erosion control plan with details.
C. Fire Department Building Survey, and full set of architecture drawings.
1: \ Building \ Permits \BUP -COM PermitApp.doc 03 /03/2011
lig Building Division
Plan Submittal Requirement Matrix
TIGARD Commercial & Multi- Family - New, Additions or Alterations
Type of Submittal # of Plans
(Includes new, additions and alterations.) Required at
Submittal
Demolition Permit 2
(site plan required showing location and square
footage of all buildings to be demolished)
Site Work 3
(must include location of all accessible parking)
Plumbing (site utilities) 2
Building 3
Fire Protection System 3
Mechanical 2
Plumbing (building fixtures) 2
Electrical 2
Plan review is dependent upon submittal of a completed application and plans.
After plan review approval, the Plans Examiner will contact the applicant to request
additional sets of plans for distribution purposes (for contractor, City of Tigard, Washington
County, and Tualatin Valley Fire & Rescue), if applicable.
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1: \ Building \ Permits \BUP -COM PermitApp.doc 03 /03/2011
t. Z
IN Building Division
Development Code Provision Review
T c n rz Commercial Projects with Approved Land Use
tjEfA) "
Building Permit No.: &JP 02013- pn0(o. � - S i
Land Use Cascfile No.: COP wda- 00000 Cp
„ o
Routed Plans:
Submittal Date: 3 0 // 3
Submittal Date: 7 l: MS
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 i.__ . at 503 -718 - t j or @tigard - or.gov)
..O "'Land Use Approval
.121' Building Plans Match Approved Plan: Yes,O' No ❑
, Maximum Building Height 3S ' 1 7 ,ropo st=t)
-
❑ Conditions Met
❑ Street Trees
❑ Protected Trees
Notes: 5E tva7l3 2013- 0 0 0 0
Original Plan: Approved 0 Not Approved Date: 3 - 1 5 - -(2
Revision 1: Approved . Not Approved ❑ Date: 5 9 ` 1 3 •
Revision 2: Approved Not Approved ❑ Date: 3 - '4 /3
(Review Continues on Page 2)
Page 1 of 2
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Engineering Review (contact Mike White at 503-718-2464 or MikeW@tigard-or.gov)
O Actual Slope:
O PFI Permit #
O Conditions Met
Notes:
- ,-0 . ■ E- 5 i r -7,2,--t s — az-zro 7
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Original Plan: ' Approved 0 Not Approved ,; Date: 4 8 1.., .
.., Revision 1: Approved 0 Not Approved Date:
Revision 2: Approved 4 Not Approved 0 Date: 7 3 13
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. Permit Coordinator Review (contact Albert Shields at 503-718-2426 Ovalbert@tiga'rd-or.gov) • ' ..
:: • 0 Planning Okay to Issue Permit . 0 Arborist Okay to Issue Permit .:
D Engineering Okaylo Issue Permit
, .....:
Notes: Aiii_ •/ Ve i ‘
_YM101 ( 1211 ,1
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Original Plan: Date Sent to Applicant: •-;
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Revision 1: Date Sent to Applicant
Revision 2: Date Sent to Applicant
No _LI
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Okay to Issue Pertnit: Yes . . crchl /3 /)4 . - „ . - , • ....'.. .
Date Routed to Building: ' . 'D .
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Page 2 of 2
CITY OF TIGARD
BUILDING DIVISION PERMIT#: jc>P0013
13125 SW Hall Blvd.,Tigard, OR 97223 DATE ISSUED:
Phone: (503) 639-4171 d0O 6
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: TIME: PAGE:
SITE ADDRESS: IZS"Za c/ AA.f( /we- 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
Corrections/Comments/Instructions:
it
Z O -7_(u / .74-77 c3/0 7: lib
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❑ PASS o •iii '' RTIAL APPROV ❑ CANCEL ❑ NO ACCESS
❑ FAIL LL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: /f— /c'?-1� Phone #: (503) 718- 0 4-11
Location:
Record Type:
Inspection Type:
Result:
Comments:
Inspection Date:
Record ID:
Inspector:
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
12520 SW GRANT AVE, TIGARD, OR, 97223
Commercial - Building
299 Final inspection
PASS - C of O
BUP2013-00065
Chip Barnett
Violation Summary:
Inspector Contractor