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Permit U CITY OF TIGARD BUILDING PERMIT COMMUNITY DEVELOPMENT Perrnitft: BUP2014-00005 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 01!2212014 Parcel: 1 S133AD02200 Jurisdiction: Tigard Site address: 10730 SW 130TH AVE Project: Westgate Baptist Church Subdivision: CHAPARRAL Lot: 1 Project Description: Installation of(2)30'flagpoles Located on either side of entrance Contractor: B DUTTON CONSTRUCTION INC Owner: WESTGATE BAPTIST CHURCH 11965 SW LYNN ST 12930 SW SCHOLLS FERRY RD TIGARD, OR 97223 TIGARD, OR 97223 PHONE 503-572-7392 PHONE: FAX: Specifics: FEES Description Date Amount Type of Use: COM Class of Work: OTR Type of Const: Info Process/Archiving-Sm$0.50(up to 01/22/2014 $2.00 11x17) Occupancy Grp: U Occupancy Load: Permit Fee-Additions,Alterations. 01/22/2014 $134 54 Dwelling Units: 0 Demolition Stories: 0 Height: 30 ft Plan Review 01/22/2014 $87.45 Bedrooms: 0 Bathrooms: 0 Value: $3,500 Floor Areas: Total Area: 0 Accessory Struct 0 Basement: 0 Carport: 0 Covered Porch 0 Deck 0 Garage: 0 Mezzanine: 0 Total $223 99 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, Slate 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 through 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 Issued By: Permittee Signature: — at •03.639.4175 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 t Approved plans are required on the job site at the time of each inspection. Rlllilditt} Permit Application Commercial U FOR OFFICE USE ONO' ri +� E Received 1'ermil No.: City of Tigard I / /3 A` , ) f# -elC S 13125 Phone:SW Flan Blvd.,Tigard,OR 97�1Y}1 13 2014 Plan Re /' � � • Phone: 503.718.2439 Fax: 503.598 1060 DaterBv `%'�� Other Permit T I G A R D inspection line: 503.639.4175 One Ready'•. �� Fa. Pale 2 for Internet: www.tigard-or.gov CITY OFTIGARU Notitied/Method: ' S�� Soppkmenlallnformation _ �ul�nfNr r��v���n� a. y. �P., .. • TYPE OF WORK REQUIRED DATA:I-AND 2-FAMILY DWF.I.LING ❑New construction El 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 NICommercial/industrial Valuation: S t ❑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: /0730 S„.J j 3Qth New dwelling area: square feet City/State/ZIP: -1-(&,01...6 L 0a.0 Wm 97 Z23 Garage/carport area: square feet Suitc/bldgJapt.no.: Project name: •� Covered porch area: square feet p, Cross street/directions to job site: Deck area: square feet 1: Other structure area: square feet REQUIRED DATA:COMMERCIAL-USE CHECKLIST Subdivision: Lot no.: Permit fees'are based on the value of the work performed. Indicate the value(rounded to the nearest dollar)of all Tax map/parcel no.: equipment,materials,labor,overhead,and the profit for the DESCRIPTION OF WORK work indicated on this application. f l.N4rPOt-.c�S (;.,. Valuation: $ 35a0.470 Existing building area: square feet New building area: square feet ❑ PROPERTY OWNER ❑ TENANT Number of stories: Name: (N)eSrCsKt %PCP ri r C ttusLGlt Type of construction: Address: Milo Std SG 116{..1.5 Fc.Qy (.b Occupancy groups: City/State/ZIP: q`l Z..Z 3 Existing: Phone:(SOs.) g ZL{ 3...s O'b Fax:(503) S,2y 4,456O New: r ❑ APPLICANT 0 CONTACT PERSON BUILDING PERMIT FEES' Business name: (Please refer to fee schedule) ��'ICON C[�+.35 i QUA-+1c sJ s�C. Structural plan review fee(or deposit): i Contact name: (6 Q I<tN Ds my,/ FLS plan review fee(if applicable): Address: i 1c.S 5 tr 3 tats S T �' Total fees due upon application: City/State/ZIP: T v critio C3CC 5112-23 Phone:(503) S?Z 73SZ Fax::( ) Amount received: � �• E-mail: PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES* i3D2a D © Y$ll�f!.CO M\ Commercial and residential prescriptive installation of' CONTRACTOR rool4 I mounted PhotoVoltaic Solar Panel System. Business name: f'�be rccv) C�0.4c fluor,i. � Submit (2)sets of roof plan with conneeti� s and f i r e dep. .••nt access.alon • 010 Oregon Address: Solar Installation .• • - •e checklist. i L ti LS 51rJ Lywar.� S� - City/State/ZIP: Tic...A% O .E 7713 Perini ncl i �lanreview $180.00 and administra ees): Phone:(S a3 ) ,s7Z -736 Z Fax:( 1 State surcharge(12%of permit fee . $21.60 CCB lic.: (SS 4 g0 Total fee due upon application: - 5201.60 Authorized signature: ' A7 V This permit application expires if a permit is not obtained `'/ within 180 days after it has been accepted as complete. Print name: u t-�aI Date: /.....7._, • Fee methodology set by Tri-County Building Industry I �QI1 Service Board. I;IBuildinglPennitslBllP COM PermitApp.doc 02!24/2011 440 4613T(I1/02/COMIWEB) Building Permit Number: " j u PaO/ DOGOS 111 • Ni Building Permit Review Commercial Project— No Associated Land Use Case FIG,\RI) Site Address: /0730 o� ) l c O 1-1.- /9-0 - -VVerify site address is valid. roject Name : CL)e-a-raAre__ ---6e Po ST Planning Review Proposal: y--up 5 a .na5Po1 es . ,1v,-1 ,,,i -t-.,", ' ,E i s-; .'s Ic, a.rcr,ec. sIc..•d3_ t'J L, loss .c (c--a s cv_p',.-15 . Zoning: R- 1 CP D) Permitted Use It Yes ❑ No ❑ Spec Space 0 Land Use Required ❑ Yes rt No Notes: g„e-hi w\ A-0 17�.l d, ,,e‘ h.e, S 1^� 'I ,1 1 F) . --) a) • u a u • Approved by: 0 a. L.A.Z."� Date: 1 — 13— 1 4 Revisions (after Building Submittal only) Reviewer Date Revision 1 Approved ❑ Not Approved ❑ Revision 2 Approved ❑ Not Approved ❑ Revision 3 Approved ❑ Not Approved ❑ Building Permit Submittal Original Plan Submittal: Date: By: Site Plans: # Building Plans: # Create Case Record#: ❑ Enter case#above for Building Permit Number. Workflow Routing: ❑ Planning ❑ Engineering ❑ Permit Coordinator ❑ Building Workflow Sign-off: ❑ Sign-off for Planning staff,including notes from planning review(page 1) Route Application Documents: ❑ Engineering: (1) copy of permit application, (1) site plan, (1) building plan and original plan review routing form. ❑ Building: original permit application,site plans,building plans,engineer and beam calculations and trust details,if applicable,etc. Reviewed By: Date: Notes: 1:1Building\Forms\BldgPermitRvw COM_NoLandUse_123013.docx 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 10730 SW 130TH AVE, TIGARD, OR, 97223 Commercial - Building 299 Final inspection PASS - No C of O BUP2014-00005 Chip Barnett Violation Summary: Inspector Contractor