Permit p CITY OF TIGARD BUILDING PERMIT
ill _I . COMMUNITY DEVELOPMENT Permit#: BUP2014-00193
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 08/21/2014
Parcel: 1 S 133AD02200
Jurisdiction: Tigard
Site address: 10730 SW 130TH AVE
Project: Westgate Baptist Subdivision: CHAPARRAL Lot: 1
Project Description: Installation of(4)exterior door canopies.
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: ALT Type of Const: IIB Permit Fee-Additions,Alterations, 08/21/2014 $225.80
Demolition
Occupancy Grp: A-3 Occupancy Load: 12%State Surcharge-Building 08/21/2014 $27.10
Dwelling Units: 0 Plan Review 08/21/2014 $146.77
Stories: 0 Height: 0 ft Info Process/Archiving-Lg$2.00(over 08/21/2014 $8.00
Bedrooms: 0 Bathrooms: 0 11x17)
Value: $10,000
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $407.67
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, 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 throjiah 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 B - ■/ , Permittee Signature:
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.
Builaina,Permit ApplicatiotilSIAIG MNIa'll111
Commercial (11111911,10 A113
I Olt 01II( I 1 'I: ()NI.1
City of Tigard �LOZ ti I 91W Date/By.• / /y PetntitN �62p,y_pp/5;23
• 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Revie ► i
I Phone: 503.718.2439 Fax: 503.598.1960 Date/By: 4" r Other Permit:
T I G A R D Inspection Line: 503.639.4175 03 A I3Dall Date ReadyBy: G/ 7uris. ® See Page 2 for
Internet: www.tigard-or.goV 1! t Notified/Method:Q 2(f r�Cr Supplemental IntormaHoo
Gdl.N
TYPE OF WORK REQUIRED DATA 1-AND 2-FAMILY DWELLING
,Iew 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 CON work indicated on this application.
❑ 1-and 2-family dwelling Commercial/industrial Valuation: $
❑Accessory building ❑Multi-family Number of bedrooms:
El Master builder ❑Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: i 57 3 0 5(„) i"Sort>1 New dwelling area: square feet
City/State/ZIP: "r"t Alt 6 n L Cj 7 az 3 Garage/carport area: square feet
Suite/bldg./apt.no.: Project name: Gz 1 cGAT6- e2A19-ri$ I Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
Other structure area: square feet
REQUIRED DATA COMMERCIAL-USE CHECKLIST:
Subdivision: I Lot no.: Permit fees*are based on the value of the work performed.
Tax map/parcel no.: 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.
Valuation: $ i 0 0 pd Q3
EX Zsr00 iC DOC're„ c—,fin;C P t(.?
Existing building area: square feet a
New building area: square feet
'PROPERTY OWNER ups ❑ TENANT Number of stories:
Name: ijcs 6 Type of construction:
Address: t---z q 6 5 Occupancy groups:
City/State/ZIP: ell Q.A,,Lz 0n 6 Existing:
lb
Phone:( ) Fax:( ) New:
❑ APPLICANT ❑ CONTACT PERSON BUILDING PERMIT FEES* "
(Please refer to fee schedule) ,, °.;,w
Business name: 3 1■u j 1.-bw .,o,�S rn oc.---1c NJ �-ni C Structural plan review fee(or deposit): j g4, , 7 7
Contact name: Q K.t A,,„1 J) r1,.. FLS plan review fee(if applicable):
Address: l 1. }LS Sc,) LYIJr, .s r Total fees due upon application:
City/State/ZIP: -n.6 knob 6 26
Amount received:
Phone:( b3) S7Z 731 z I Fax::( )
PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
E-mail: S D SMOD a yftttoo Co^■
>:74-Xt.,t, ;; t lr 5 $ , Commercial and residential prescriptive installation of
Z. _ � ° ° . .: .. ,' roof-top mounted PhotoVoltaic Solar Panel System.
Business name: �-�-` Submit two(2)sets of roof plan with connection details
6 uTCbN (�orJ rzJGTtoc�l .S.NG and fire department access,along with the 2010 Oregon
Address: 1 `et G.5 5 g., LY t..N 5,r Solar Installation Specialty Code checklist.
City/State/ZIP: --rt G.C't2D �,Q <i 7 zz 3 Permit fee(includes plan review $180.00
and administrative fees):
Phone:(503) S?Z- Fax:( ) State surcharge(12%of permit fee): $21.60
CCB lie.:, 1,9 5(-„g o 41.--- Total fee due upon application: $201.60
Authorized signature: This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: Q it 1/AO 'D U-r-rot, Date: 7 -3(-1 * Fee methodology set by Tri-County Building Industry
Service Board.
1:\Building\Permits\BUP-COM PermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
III City of Tigard
■
COMMUNITY DEVELOPMENT DEPARTMENT
r G ��1, Building Permit Review - Commercial - No Land Use
Building Permit #: au,c:Qert/-Qe/93
Site Address: 0-T 30 SW 130+h Ave. Suite/Bldg#:
Project Name: West , &,,,�.l-is r Cil&rc.h
(Name of mmercial busin ss occupying the space. If vacant,enter Spec Space.)
Planning Review
Proposal: j Ask-ekl l Li e d-er'1 or canoe i es
Existing Business Activity: re1I3 iou,S ins+ u-Ho 1
Pro osed Business Activity: so,me
site address suite # and active in permit system.
Verify P Y
ioning: R-7
Vermitted Use: ❑ Yes ❑ No ❑ Spec Space
U Confirm no land use required.
Notes: rear Canopies +0 e)c}�en4 36 t i n+o 201 5e}-bo.&
Approved by Planning: I Ti m 1-Px,r•g _s Date: g 11 zi I Li
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: ❑ Approved ❑ Not Approved
Revision 3: ❑ Approved ❑ Not Approved
Building Permit Submittal
Original Submittal Date: ,A2Ay
Site Plans: # 3
Building Plans: # 3
Building Permit#: .er Enter building permit#above.
Workflow Routing: J2--Planning hermit Coordinator La'$uilding
Workflow Sign-off: 12'Si -off for Planning(include notes from planning review)
Route Application Documents: 8'Building: original permit application, site plans,building plans,engineer and
beam calculations and trust details,if applicable,etc.
Notes:
By Permit Technician: , Date: OP//y`/,/
I:\Bui I d ing\Form s\B IdgPermitRvw_COM_NoL andUse_071 5 14.docx
Permit Coordinator Review
❑ Conditions Met-Prior to Issuance of Building Permit
Notes:
Revisions (after Building Submittal only)
Revision Notice 1: Date Sent to Applicant:
Revision Notice 2: Date Sent to Applicant:
Revision Notice 3: Date Sent to Applicant:
;EPOK to Issue Permit
Approved by Permit Coordinator: Date:
I:\Building\Forms\Bl dgPenmitRvw_COM_NoLandUse_071514.docx