Permit — n CITY OF TIGARD BUILDING PERMIT
1,
COMMUNITY DEVELOPMENT Permit #: BUP2013 -00158
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 07/16/2013
Parcel: 1 S134AB03300
Jurisdiction: Tigard
Site address: 10330 SW SCHOLLS FERRY RD
Project: Muslim Educational Trust Subdivision: ENGLEWOOD Lot: 88
Project Description: Demolition of existing residential structure and one small outbuilding for site work associated with new 2 -story
building and parking lot. Upon final inspection demo credits may apply for future construction.
Contractor: TS GRAY CONSTRUCTION Owner: MUSLIM EDUCATIONAL TRUST INC
12705 SW HERMAN RD PO BOX 283
TUALATIN, OR 97062 PORTLAND, OR 97223
PHONE: 503 - 692 -4675 PHONE:
FAX: 503 - 692 -9292
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: DEM Type of Const: Erosion Control w /Permit - Ping 07/16/2013 $75.00
Occupancy Grp: Occupancy Load: Permit Fee - Additions, Alterations, 07/16/2013 $423.53
Demolition
Dwelling Units: 0 DC Provision Review, COM TI - Ping 07/16/2013 $67.00
Stories: 0 Height: 0 ft DC Provision Review, COM TI - LRP 07/16/2013 $10.00
Bedrooms: 0 Bathrooms: 0 Info Process /Archiving - Lg $2.00 (over 07/16/2013 $10.00
Value: $22,500 11x17)
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $585.53
Required: Required Items and Reports (Conditions)
Fire Sprinkler: Parapet:
1 Ersn Cntrl 503 - 639 -4175
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 hrou h 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.
Iss ed By: COOL-WAIL°Permittee Signature: ( 4 111
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.
Building Permit Applicatil ; t ,'FINED
Commercial FOR OFFICE USE ONLY
City of Tigard JUN 26 0 ■ Date/By: �6�w/3 . Permit No.461
— oo/.5:
13125 SW Hall Blvd., Tigard, OR,.,92U4 Plan Review
Phone: 503.718.2439 Fax: 5036FTIGARD Date/By: Other Perm i��/A 4000 430
T I G A R D Inspection Line: 503.639.4175 DIVISION Date Ready/By: Juni, H See Page 2 for /I
Internet: www.tigard - or.gov Notified/Method: 776 Supplemental Information
TYPE OF WORK REQUIRED DATA: 1- AND 2- FAMILY DWELLING
Permit fees* are based on the value of the work performed.
❑ New construction demolition
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.
Valuation: $ ZZ L' 9
VW- and 2- family dwelling Commercial /industrial
❑ 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: ( 3 Sc. (*J �GI+iDI(S �' ; v. r y e 7 New dwelling area: square feet
City /State /ZIP: 1'1 CaA IR i> f es tg c J Z Z$ Garage /carport area: square feet
Suite/bldg. /apt. no.: Project name: Mut �"p0G41161 I Covered porch area square feet
T
Cross street/directions to job site: - r G' a a Tex 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 (romded to the nearest dollar) of all
equipment, materials, labor, overhead, and the profit for the
• DESCRIPTION OF WORK work indicated on this application.
1"�C) L$1�Tta -. e_ �+Tr Valuation: $
.¢.9 _ ter ,& _ _ �r • ONE 5frvau.- ouT 1 Existing building area square feet
V %II' 1
L P( Ii- /. . TRIMS, s�0m{ � I . * New building area: square feet
. 1B 1 'ROPERTY " OWNER ❑ TENANT Number of stories:
Name: Mu S L,., I IA ' C,A Type of construction:
Address: w33. p St-tj S P f y Occupancy groups:
City /State /ZIP: 11 ' Grok 2 v d R / er 2z.3 Existing:
Phone: Ko' ) S , — ( 47. I Fax: (S)3) S qv - d? a 7 New:
APPLICANT . ❑ CONTACT PERSON BUILDING PERMIT FEES*
(Please refer to fee schedule)
Business name: -[-'S RA co aSTIJ e•Tio r
( Structural plan review fee (or deposit):
Contact name: -775 w.+ y S Ed& s wiz 12e.
n � FLS plan review fee (if applicable):
Address: 1 Z.-7 C) S Sw — a Ee IIv N J
City /State /ZIP: 77,., 4 L A T f as C a / 6 17 p ( 'L Total fees due upon application:
Amount received:
Phone: ( c„ctz_ Lic-is Fax: : (5 (pct Z,-- 4ZgZ
E -mail: 't 5€4 S I+e r c Q t ScowiS ft ueltoo/'MetR4s • Ce w PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
Commercial and residential prescriptive installation of
• CONTRACTOR roof -top mounted Photo Voltaic Solar Panel System.
Business name: Submit two (2) sets of roof plan with connection details
Address:
�4 , I(' and fire department access, along with the 2010 Oregon
Solar Installation Specialty Code checklist.
City /State /ZIP: I Permit fee (includes plan review $180.00
/" and administrative fees):
Phone: ( ) Fax: ( ) State surcharge (12% of permit fee): $21.60
CCBIic.: 19 f // 7/
Total fee due upon application: $201.60
Authorized signal e : f�� a This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: Ate. 1 4 0 , 0 y _ Sllt•1eTc� Date: ( vs.. 15 * Fee methodology set by Tri -County Building Industry
Service Board.
I: \Building\Perrnits\BUP -COM PermitApp.doc 02/24/2011 440- 4613T(11 /02 /COM/WEB)
Building Division • •
Development Code Provision Review J �� /'G
r i c A R 1 Commercial Projects - With Approved Land Use � o
Building Permit No.: 3 — DO /SP
Land Use Case File No.: /l/` .6 09-0 / ie) /
Project Name: /'IUSL/A/ e TA-(25
Site Address: /0230 S A) Se-110 us e L-� j'" /� , Suite /Bldg #:
Plans Routed:
Original Plan Submittal Date: 472 41/3 Routed By: 4 gr
1St Revision Submittal Date: 7/ 3// 3 Routed By: �J
2nd Revision Submittal Date: Routed By:
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 (1) 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 Pepitriiell. at (503) 718 - Z YW or @tigard-
or.gov)
Land Use Approval
.0" Building Plans Match Approved Plan: Yes ❑ No ❑
❑ Maximum Building Height
❑ Conditions Met
❑ Street Trees
❑ Protected Trees
� n � -
Notes: 7t P/� ?4 /►'la- t o 4 SkrwTs - !'ler t 11','. .
n - ,. i ,A, . -, o W - S17 -
Pwwl / "• '7 - ( — l3 /` wv Q - �rlvz
Original Plan: • pproved ❑ Not Approved'. Date:
Revision 1: Approved ❑ Not Approved ❑ Date: 7 - /6 - /.3_ d6 E y �
Revision 2: Approved ❑ Not Approved ❑ Date:
5't G
, %/ZG daa
(Review Continues on Page 2)
Page 1 of 2
I: \CURPLN\Masters\Development Code Provision RevievADCPR_COM_WithLandUse.doc Rev. 01/16/13
Engineering Review (contact Mike White at (503) 718 -2464 or MikeW @tigard - or.gov)
15( Actual Slope: f Lk-r ivkitigefo
❑ PFI Permit #
❑ Conditions Met
Notes:
Original Plan: Approved Not Approved ❑ Date: 7 / 13
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 Applicant /r10 /3 -f.L! L. L-/A/ 6-
Revision 2: Date Sent to Applicant ,Q -7/ / EJ
Okay to Issue Permit: Yes ❑ No ❑ /6-77/112-Ai /�
re / - /LA/N
Date Routed to Building: ,OE 1 7 TE - ,"
Page 2 of 2
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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
10330 SW SCHOLLS FERRY RD, TIGARD, OR,
97223
Commercial - Building
299 Final inspection
2013-11-06 00:00:00
BUP2013-00158
PASS - No C of O
Violation Summary:
Inspector Contractor