Permit CITY OF TIGARD BUILDING PERMIT
a::.',. COMMUNITY DEVELOPMENT Permit#: BUP2013-00152
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 08/27/2013
Parcel: 1S 135DD03301
Jurisdiction: Tigard
Site address: 11945 SW PACIFIC HWY 238
Project: Southside Christian Fellowship Subdivision: METZGER ACRE TRACTS Lot: 9
Project Description: Change of use from retail to religious institution. Interior remodel.
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Contractor: MCINNIS INDUSTRIES LLC Owner: COMMERCIAL ENTERPRISES LLC
PO BOX 920 8320 NW HWY 99
BEAVERTON, OR 97075 VANCOUVER,WA 98665
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PHONE: 503-643-6343 PHONE:
FAX: 503-643-6343
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: Vg Permit Fee-Additions,Alterations, 08/27/2013 $134.54
Demolition
Occupancy Grp: A-3 Occupancy Load: 56 12%State Surcharge-Building 08/27/2013 $16.14
Dwelling Units: 0 Plan Review 08/27/2013 $87.45
Stories: 1 Height: 0 ft Plan Review-Fire Life Safety 08/27/2013 $53.82
Bedrooms: 0 Bathrooms: 0 Info Process/Archiving-Sm$0.50(up to 08/27/2013 $1.50
Value: $3,700 11x17)
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $293.45
Required: Required Items and Reports(Conditions)
Fire Sprinkler: No 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. A - • a egon law requires you to follow the rules adopted by the Oregon Utility Notification Cente Those rules are set forth in OAR
952-00 -1010 through OA' 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232. -87 or 1.800.332.2344.
Iss ed By: ■ 0-e94- 61-4- / Permittee Signature: �'`
l
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.
s, .'uilding Permit Application RECEIVED
4 Commercial l.. 1V FOR OFFICE. USE ONLY
City of Tigard "1 '% 4 2013 RDeacet ed / i'/ / 2 Zgb Permit No.: �L[/�r 3�<
111111
13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review �`r 7
0 Phone: 503-718-2439 Fax: 503-598-19t�ITY OFTIGARD Date/By: Other Permit: HtM�p�0/3- ODO�
TI C.A R D Inspection Line: 503-639-4175 GILDING DIVISION Date Ready/By: tune: ® See Page 2 for
Internet: www.tigard-or.gov Notified/Method: 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(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 dwelling tij Commercial/industrial Valuation: $
❑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: //q 4/5 S,,J /64()i c, N vv y/ 5v).3-c Z,3 g New dwelling area: square feet
City/State/ZIP: -re el;
° 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, 2 r
excluding painting and wallpapering: [1] $ ,7 700
MULTIPLIER(25%barrier removal requirement): x .25
TOTAL BUDGET FOR BARRIER REMOVAL: [2] $ 9 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: /lq
(a) Parking $ N/i )
(b) An accessible entrance: $ /VI*.
(c) An accessible route to the altered area: $ 44-
(d) At least one accessible restroom for each sex or a single unisex p,
restroom: $ / -
(e) Accessible telephones: $ 4//14--
• (f) Accessible drinking fountains:and,
(g) When possible,additional accessible elements such as storage and ///�—
alarms: $ V 'v
TOTAL(shall equal line [2]of Valuation Computation): $
1:\Building\Pcrnits\BUP_COM_PcrmitApp.doc Rev.12/11/2012
" Building Division
o . .
Development Code Provision Review
T i c n ri Commercial Projects - With Approved Land Use
��Building Permit No.: ��� - co /S 9-
Land Use Case File No.: ajOl 3 - ODOI
Project Name: .' 4-TH S/7€ C ffQ.aST re=b6 P
Site Address: fl N c- 4m-4 # , Suite/Bldg #: 3�
Plans Routed:
Original Plan Submittal Date: tot 9-4/ 3 Routed By: 'Cq2_
15t Revision Submittal Date: Routed By:
2°d 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 (✓) 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 A11.4fS VO ■ctCr2- at(503) 718—M2i or S - @tigard-
or.gov) V
and Use Approval -Ul MD2013-OUDI'-,
Building Plans Match Approved Plan: Yes L No ❑
❑ aximum Building Height NI>M
LK Conditions Met
❑ Street Trees
❑ Protected Trees PI/Pr
Notes:
Original Plan: Approved V Not Approved ❑ Date: IP J2.5113
Revision 1: Approved ❑ Not Approved ❑ Date:
Revision 2: Approved ❑ Not Approved ❑ Date:
(Review Continues on Page 2)
Page 1 of 2
1:\CURPLN\Masters\Development Code Provision RevienkDCPR_COM WithLandUse.doc Rev.01/16/13
1 V
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: L 2.5/1 3
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
Revision 2: Date Sent to Applicant
Okay to Issue Permit: Yes ❑ No ❑
Date Routed to Building:
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Page 2 of 2
l:\CURPLN\Masters\Development Code Provision RevieWikDCPR_COM_WithLandUse.doc Rev.01/16/13
C " Building Division
Over-The-Counter (OTC) Building Permit
TIGARD
Check List .
Project Description:
11
APPLICATION SPECIFIC INFORMATION
GENERAL INFORMATION
Class of Work*: T Occupancy Group: 5 Type of Construction: 5
Type of Use**: f'cfjti Occupancy Load: rj Oregon Specialty Code: -26 IC)
SPECIFICS
Number of Stories: C Building Height: Mixed Use:
Number of Dw Units: Number of Bathrooms: Number of Bedrooms:
BUILDING SQ FT-SCHOOL CET OTHER SQUARE FOOTAGES
Story Square Footage: Accessory Structure: Covered Porch:
Basement: Garage: Deck:
Total Square Footage: Carport: Mezzanine:
SETBACKS
Sideyard Setback—Left Sideyard Setback—Front
Sideyard Setback—Right Sideyard Setback—Back
CONSTRUCTION
Exterior Walls: Openings Protected: Firewall Separation: _
N: S: N: S: Occupancy Separation:
E: W: E: W: Access.Parking Spaces:
REQUIRED ITEMS
Fire Sprinklers: NO Fire Alarms: Smoke Detectors:
Sprinkler Type: Alarm Type: Protected Corridors:
Standpipe Required: Pull Stations Required: Parapet:
Hazard Group: Battery Calcs Provided:
Density: Cut Sheets Provided:
Design Area:
K Factor:
Total Project Valuation: $ 7�7� eo FEES DUE
$ DC Prov Rvw,COM TI—Ping
$ DC Prov Rvw,COM TI—LRP
DC Provision Review Fee for COM TI(effective 7/1/2013) $ KRIM Permit Fee—Add,Alt,Demo
Project Valuation Planning LRP $ ..1 ' 12%State Surcharge
Up to$4,999 $0.00 $0.00 $ a Plan Review,Structural
$5,000-$74,999 $70.00 $10.00 $ 5�o Plan Review,Fire Life Safety
$75,000-$149,999 $174.00 $26.00 $ Info Proc/Arch,Lg(over 11x17$2.00)
$150,000 and over $278.00 $41.00 $ 1, � Info Proc/Arch,Sm(up to 11x17$0.50)
$ Metro Construction Excise Tax
$ School Construction Excise Tax
$ Hourly Rate Fee
$ Hourly Rate State Surcharge
$ Misc.Admin Fee
$ Other:
$ Other:
Building Staff: $ Other:
Date/Time: $ -25/3,4ST0TAL FEES DUE
*TYPE OF USE: COM=commercial;CMS=commercial manufactured structure.
**CLASS OF WORK ACS=accessory;ADD=addition;ADU=accessory dwelling unit;ALT=alteration;DEM=demo;NEW=new;
OTR=other(use for fences,decks,retaining walls,signs,awnings or canopies).
I:\Building\forms\OTC-BUP.docx 07/01/2013
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FOR OFFICE USE ONLY—SITE ADDRESS:
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
Transmittal Letter
T G A It 1) 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov
TO: Cf\---Det--.A— DAT I Is f!,, 1.
DEPT: BUILDING DIVISION . --
JUN 27 2013
FROM: C v rr\D ,k/ /l C 1 o U DING DIVISION
COMPANY: SD. 1H S \>7P C�.hC,S -4 .,,n RI\b. .L5ki`P
PHONE: 97 ) - Z2 ) -'22 3 eD
./i CITY OF TIGARD
RE: ite �a�t e� �3�' j7 �-- 6:6)1 -2--.
(Site A dress) (Permit Number)
otia r�a Cbc.4-1 A--& ..Q./&w b- .
1r ject name or subdivision name and lot number)
`ATTACHED ARE THE FOLLOWING ITEMS:
Copies: I Description: Copies: Description:
3 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:
FOR OF ICE VSE ONLY
Routed to Permit Techn�ici,�'• Date: OM-7 (T lnitia : :!'
Fees Due: ❑ Yes L]d'lgo Fee Description: Amoun 4 ue:
$
$
$
$
Special .
Instructions:
Reprint Permit(per PE): ❑ Yes ❑No • ❑ Done
Applicant Notified: Date: Initials: .
1:\Building\Forms\TransmittalLetter-Revisions.doc 05/25/2012