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Permit
CITY OF TIGARD BUILDING PERMIT 11111 COMMUNITY DEVELOPMENT Permit#: BUP2014-00101 T 1 G.A R.D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 06/02/2014 Parcel: 1 S133AD02200 Jurisdiction: Tigard Site address: 10730 SW 130TH AVE Project: Westgate Baptist Church Subdivision: CHAPARRAL Lot: 1 Project Description: 2nd story TI to complete classrooms,youth room,science lab,office and(2)restrooms. 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: 503-524-3500 FAX: Specifics: FEES Description Date Amount Type of Use: COM Class of Work: ALT Type of Const: IIIB Permit Fee-Additions,Alterations, 06/02/2014 $2,917.95 Demolition Occupancy Grp: E Occupancy Load: 12%State Surcharge-Building 06/02/2014 $350.15 Dwelling Units: 0 Plan Review 05/12/2014 $1,896.67 Stories: 0 Height: 0 ft Plan Review-Fire Life Safety 05/12/2014 $1,167.18 Bedrooms: 0 Bathrooms: 0 DC Provision Review,COM TI-Ping 06/02/2014 $278.00 Value: $400,000 DC Provision Review,COM TI-LRP 06/02/2014 $41.00 Info Process/Archiving-Lg$2.00(over 06/02/2014 $6.00 11x17) Floor Areas: Info Process/Archiving-Sm$0.50(up to 06/02/2014 $1.00 11x17) Total Area: 0 Metro Const.Excise Tax-Commercial 06/02/2014 $480.00 Accessory Struct: 0 Use Basement: 0 Carport: 0 Covered Porch: 0 Deck: 0 Garage: 0 Mezzanine: 0 Total $7,137.95 Required: Required Items and Reports(Conditions) Fire Sprinkler: Yes Parapet: Fire Alarm: Yes 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 through OAR 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1 800,3322 2344. • Issued By: Permittee Signature: XJ /N-1`, �I Q I/ .400" w Ca 13.639.4175 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. •Buil4ing Permit Application Commercial RECEIVE FOR OFFICE USE ONLY - City of Tigard Received �'_ II • 13125 SW Hall Blvd.,Tigard,OR 97223 Date/By: r Permit No g MAY 12 2014 Plan Revi �Z �y �' ief�oi�/"���0� 8 Phone: 503.718.2439 Fax: 503.598.1960 Other Permit: Inspection Line: 503.639.4175 Date eady y: CS 2 �� Juris: ® See Page 2 for TIGARD Internet: www.tigard-or.gov CITYOFTIGARD Notified/Method: /e//'1 ei Supplemental Information TYPE OF WOR ATA:1-AND 2-FAMILY DWELLING ,8 New construction ❑ I)emolition 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 ommercial/industrial Valuation: $ El 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: New a 0 5 i,5 f,3 tf:,}h New dwelling area: square feet City/State/ZIP: —c•1&AKO f O(�t` q r? 2.2-1 Garage/carport area: square feet Suite/bldg./apt.no.: Project name: .3 e-s-ca-oc-r-6. Covered porch area: square feet Cross street/directions to job site: .Gt.ta�LS E err[ _y g.b 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. 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. 2 F.)IS SO may, TI Valuation: $ 0/6 coo. ov Existing building area: 31OS6 square feet New building area: %'SS.CU square feet /[r PROPERTY OWNER ❑ TENANT Number of stories: L Name: eS'rfr/rre 'Pop i t S i Cifixt c 4 Type of construction: Address: ` z,q 3O 51, ) c�ctio-US PerbC� 004 Occupancy groups: 4/( City/State/ZIP: -r'f t/t7eL 1 Otter 9 722 3 Existing: Phone:(.5 3) 5 2%' 3 !2 Fax:( ) New: APPLICANT CONTACT PERSON BUILDING PERMIT FEES* Business name: 'u�pu CawsncUG11(YAJ .�nla (Please refer rojepsit):schedule) Contact name: Structural plan review lee(or deposit): Ira.) OTY2W FI.S plan review fee(if applicable): Address: //945 5GJ L yN 3-� Total fees due upon application:T._City/State/ZIP: �rG..Atr ( N. 772--3 Phone:(50 3) 5 7 z '73 Z Fax::( ) Amount received: I:-mail: PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES* ,Q b ftcr►1 r7 k7 yd/{L"e, Ce r Commercial and residential prescriptive installation of CONTRACTOR roof-top mounted PhotoVoltaic Solar Panel System. Business name: Submit two(2)sets of roof plan with connection details "burro N �fJS f 2l�GTlbO rnl G, and fire department access,along with the 2010 Oregon Address: 1(c14,S 5 1.. LY.N S 7 Solar Installation Specialty Code checklist. City/State/ZIP: �' Permit fee(includes plan review —1-1 t'rKRD i ©Qf q 7 zt3 and administrative fees): $180.00 Phone:(5p 3) .57 Z 73 q Z Fax:( ) State surcharge(12%of permit fee): $21.60 CCBlie.: ig54 $0 Total fee due upon application: $201.60 Authorized signature: permit application expires if a permit is not obtained �J V within 180 days after it has been accepted as complete. Print name: Date: ,�.�y * Fee methodology set by Tri-County Building Industry r1J�•� r"/ Service Board. l:\Building\Permits\BUP-COM PermitApp.doc 02/24/2011 440-46131(11/02/COM/WEB) b . r 1111 • Building Division I Accessibility: Barrier Removal Improvement Plan TI CARD 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: $ TOTAL(shall equal line [2] of Valuation Computation): $ I:\Building\Permits\BUP-COM PermitApp.doc 03/03/2011 . . Building Permit Number: etf,„.2(51/4/- Oe/0/ PP . " Building Permit Review Commercial Projects with Approved Land Use TIGARD Site Address: t 0 3o S W 1 ip-i-N-1 Avt- ❑Verify site address is valid. Project Name : We -(-c a A P-T-1 s-r CL-f- ua C 44- Planning Review CL Land Use Case Number: C Pip 0∎—aCO D4 Plans Match Approved Land Use: ❑ Site Plan ❑ Landscape Plan ❑ Urban Forestry Plan ❑ Elevation Plan ❑ Building Height: Maximum Height Actual Height Conditions Met: El Prior to Permit Submittal ❑ Prior to Permit Issuance Approved by: � 1 M )6L Date: S/)Z 1 1 Li f Notes: aLl I k! v WOE Revisions (after Building Submittal only) Reviewer Date Revision 1 Approved ❑ Not Approved El Revision 2 Approved El Not Approved ❑ Revision 3 Approved ❑ Not Approved ❑ Building Permit Submittal Original Plan Submittal: Date: ..5/2//y By: Site Plans: # Building Plans: # 3 Create Case Record#: Enter case#above for Building Permiumber. Workflow Routing: Planning Win-Engineering /1//gPermit Coordinator Building Workflow Sign-off: gn-off for Planning staff,including notes from planning review(page 1) Route Application Documents: N/ftEngineering: (1) copy of permit application, (1) site plan, (1) building plan and original plan review routing form. ,Vguilding: original permit application,site plans,building plans,engineer and beam calculations and trust details,if applicable,etc. Reviewed By: Date: %' 9/y Notes: I:\Building\Forms\BldgPermitRvw_COM_W ithLandUse_123013.docx .. Engineering Review— reviewed by: ❑ Actual Slope: ❑ PFI Permit# ❑ Conditions Met Notes: Approved by: Date: Revisions (after Building Submittal only) Reviewer Date Revision 1 Approved ❑ Not Approved ❑ Revision 2 Approved ❑ Not Approved ❑ Revision 3 Approved ❑ Not Approved ❑ Permit Coordinator Review ❑ Conditions Met-Prior to Issuance of Building Pe• 't Notes: Revision Notice 1: Date Sent to Appli..nt: Revision Notice 2: Date Sent to Ap.,cant Revision Notice 3: Date Sent to A-.plicant Okay to Issue Permit- Date: L\Building\Forms\BldgPermitRvw_COM_W ithLandUse_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 - C of O BUP2014-00101 Chip Barnett Violation Summary: Inspector Contractor