Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Permit
CITY OF TIGARD BUILDING PERMIT 1111 COMMUNITY DEVELOPMENT Permit#: BUP2015-00109 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 05/21/2015 Parcel: 1 S136CB04400 Jurisdiction: TIGARD Site address: 8512 SW SPRUCE ST Project: Japanese International Baptist Church Subdivision: WEST PORTLAND HEIGHTS Lot: M Project Description: Demolition of a 863 sq.ft.residential dwelling and a 969 sq.ft.detached garage. Property is connected to sewer service. UPON FINAL INSPECTION,DEMO CREDITS FOR SDC FEES MAY APPLY. Contractor: BROCKWAY CONSTRUCTION INC Owner: JAPANESE INTERNATIONAL BAPTIST C 10875 SW HERMAN RD 8500 SW SPRUCE ST TUALATIN, OR 97062 PORTLAND, OR 97223 PHONE: 503-968-3118 PHONE: FAX: Specifics: FEES Description Date Amount Type of Use: SF Class of Work: DEM Type of Const: Erosion Control w/Development-Eng 04/14/2015 $80.70 Occupancy Grp: Occupancy Load: Info Process/Archiving-Sm$0.50(up to 04/14/2015 $0.50 11x17) Dwelling Units: 0 Permit Fee-Additions,Alterations, 04/14/2015 $180.17 Stories: 0 Height: 0 ft Demolition Bedrooms: 0 Bathrooms: 0 DC Provision Review,COM TI-Ping 04/14/2015 $75.00 Value: $6,500 DC Provision Review,COM TI-LRP 04/14/2015 $11.00 Floor Areas: Total Area 0 Accessory Struct: 0 Basement: 0 Carport: 0 Covered Porch: 0 Deck: 0 Garage: 0 Mezzanine: 0 Total $347.37 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 ar = •rth 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 50 '2.1987 or 1.800x2.2344. Issued By: 5—Pexuxigte Signature: / Call .34175 by 7:00 a.m.for the next available inspe tion chit/ This permit card shall be kept in a conspicuous place on the job site until comp!: on of the project. Approved plans are required on the job site at the time of each inspection. R!.ildin2 Permit Application Commercial 1(111 (11 I I( I I .I (1\I l Ilq City of Tigard C1 %V E DatReceived eiv : 1 `�� Permit No.: ��0 ...11 , el 13125 SW Hall Blvd.,Tigard,OR 97223 r Plan Review Phone: 503-718-2439 Fax: 503-598-196 Date/By: Related Permit: 0 C /AA� k�or iy )3 Inspection Line: 503-6394175 Date Ready/By: ' I Juris ® See Page 2 for 15 Notified/Method: sn ir �5 , Supplemental Information Internet: www.tigard-or.gov APR 14 2 �� TYPE OF WORD,lTy OF'MAW +UIRED DATA:.1 AND 2-FAMILY DWELLING ❑New construction , i t�y�;DIVISION Permit fees*are based on the value of the work performed. Indicate the value(rounded to the nearest dollar)of all ❑Addition/alteration/replacement ❑ 1)i er: equipment,materials,labor,overhead,and the profit for the CATEGORY OF CONSTRUCTION work indicated on this application. ❑ I-and 2-family dwelling ❑Commercial/industrial Valuation: $ 6 S00 ❑Accessory building ❑Multi-family Number of bedrooms: ❑Master builder ❑Other: Number of bathrooms: Z. g5/ JOB SITE INFORMATION AND LOCATION Total number of floors: ' Job site address: jr 5 CO Sp,(4.C.4— Ciee r New dwelling area: square feet City/State/ZIP: T? "WO, 77 7 Garage/carport area: square feet Suite/bldg./apt.#: I ?Project name: !3 ) Be 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 4: Permit fees*are based on the value of the work performed. Tax map/parcel 4: 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. I 1 Valuation: $ /1'1.0 u� �jCIST/�I y /Fa VS C '� ?/4P c__ Existing building area square feet <Ct)z..;.,(c_CTc't 16 L:=.E,e.- vtftoICSC, FLLA LA ff%r/,5> New building area: square feet ❑ PROPERTY OWNER I U TENANT Number of stories: Name: Top x1 - / ,ui-i .+,_ CIAUN4 Type of construction: Address: e Sot) S L) /9�e� S`4., Occupancy groups: City/State/ZIP: .b Aa �/'© p 7 7ZZ� Existing: 7 r I. Phone:( ) Fax:( ) New: ❑ APPLICANT ❑ CONTACT PERSON p BUILDING PERMIT FEES* Business name: g� Ad x�r SON vi ee( r dee osit):k) I�� Structural plan review fee(or deposit): Contact name: �� A Address: / FLS plan review fee(if applicable): /O 8 s s� P�/Yl�ili "—�/Z Total fees due upon application: City/State/ZIP: -ni fILAT/I�/ D ?7ot� Phone: ) 968.3/m I Fax::(mac 3) 06 8._ a-3 Amount received: E-mail: �L/7� ( PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES* �`SZ —' YV Com - cial and residential prescriptive installation of CONTRACTOR roof-top m•. i ted Photo Voltaic Solar Panel System. Business name: Submit two(2) - of roof plan with connectio • .1 s and fire department a• -ss,along with the : I Oregon Address: f /1k Solar Installation Sr ecia „ ode else st. City/State/ZIP: Permit fee(includes ply $180.00 and adminis . e Phone:( ) l Fax:( ) State surcharge(1 ' ,of permit fee): $21.60 CCB Lie.: 56gQ _it 87 /5-- Iota ee due upon appication: $201.60 / Authorized signature: /INN' This permit application expires if a permit is not o. •'ned within 180 days after it has been accepted as complete. Print name: .r.1 / Date: . _ , — * Fee methodology set by Tri County Building Industry 4. rvice Se Bo 1 r L\Building lPermitslBUP_COM_PermitApp.doc Rev.04/21/2014 440-46131(11/02/COMM/EB) D- (P, 2// S. /5' City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT 1,1 a Accessibility: Barrier Removal Improvement Plan Commercial & Multi-Family - Additions or Alterations T l G A R D 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov 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 percent(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: $ (I) Accessible drinking fountains:and, $ (g) When possible,additional accessible elements such as storage and alarms: $ TOTAL(shall equal line [2] of Valuation Computation): $ I:\Bull ding\Pemats\BUP_COM_PermitApp.doc Rev.12/18/2014 L City of Tigard ~ COMMUNITY DEVELOPMENT DEPARTMENT s T 1 G A R D Building Permit Review — Commercial - With Land Use Building Permit #: & PAC) (S-00 ICS ( Site Address: 892'1,a SW Sru� s-. Suite/Bldg#: Project Name: Japanese Irt cna+ibna\ BoviS k C�ure (Na a of commercial business occupying the space. If vacant,enter Spec Space.) Planning Review Proposal: 1)L rY)O 01. N O UP C.►n 9 of rrA Verify site address/suite# exists and active in permit system. -diver Terrace Plan District: ❑ Yes ❑ No jZi Land Use Case#: CVP ZO\4 -000O3 . Plans Match Approved Land Use: r _ __ gSite Plan 'andscape Plan ❑ Other: J2( Urban Forestry Plan elevation Plan —B—Building Height: M nmum Height Actual Height ❑ Conditions Met: le Prior to Submittal ❑ Prior to Permit Issuance Business Lice e: corypll�}-►orl \ mlA.� 6'Q 'Y"* Exists: Yes ❑ No,applicant notified to obtain business license Pei Public Facilitie mprovement (PFI) Permit: Required: GI2i Yes,applicant was notified ❑ No Applied For: /Yes ❑ No,stop intake Notes: prig( +0 i sska ei mush bmtA- +rte, pr�c,*tan -cenc ln ) repo,�- 1 n clmcli i n the_ plan tnar�r i�inaj \)F plan Approved by Planning: • 14 • - /614 Date: 4�j d .S Revisions (after B jelding Submittal only) ewer D to Revision 1: 110 Approved ❑ Not Approved YO(.1147/7m\_.. Li Jar4i5 Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved Building Permit Submittal Original Submittal Date: '/// I S Site Plans: # Building Plans: # Building Permit#: 11—EYlf building permit#above. [ Workflow Routing: 1'ianning B E gineering L�I'ernut Coordinator ❑ Building Workflow Sign-off: 1-off for Planning(include notes from planning review) Route Application Documents: ❑ Plating:-original permit application, site plans,building plans,engineer and beam calculations and trust details,if applicable,etc. Notes: �y� 0A//7. By Permit Technician: Date: �/V/7/5-- I:\Building\Forms\BldgPermitRvw_COM_W ithLandUse_040115.docx Engineering Review ❑ Slope at building pad: ❑ PFI Permit#: ❑ Conditions"Met"prior to issuance of building permit ❑ Easements (encroachments)per engineering conditions of ap oval and plat(not typical on SDR/CUP) ❑ Water Quality/Quantity Facility: Assess Water Quality Fee in-lieu: ❑ Yes ❑ No AA Assess Water Quantity Fee in-lieu: ❑ Yes ❑ No LIDA Facility on lot: ❑ Yes ❑ No ❑ NOT Approved by Engineering: Date Notes: Approved by Engineering: Date: h/./S". /5- 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 permit Approved,NOT Released: �// 5//� Date: 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: OK to Issue Permit Approved by Permit Coordinator: 4fr-J---L-,------ Date: >C � I:\Building\Forms\BldgPermitRvw_COM_WithLandUse 0401I5.docx Ai MEMO To: Roger Brockway, ESI CONSTRUCTION From: Dave Anderson, Anderson Associates, LA License #232 CC: Date: May 20, 2015 Re: J.I.B.C. TREE PROTECTION FENCING Roger, Per the City of Tigard's Urban Forestry Plan requirements, I have inspected the tree protection fencing for tree #2698 located on sheet L1 for the J.I.B.C. project. The tree fencing as installed satisfies the City's tree protection requirements. Anderson Associates 2767 NW Overlook Dr., #2326 Hillsboro, OR 97124 (503) 318-549, email: dave @andersonassoc-la.net Albert Shields From: Albert Shields Sent: Wednesday, April 15,2015 9:25 AM To: roger @esigc.com Cc: #Building Permit Technicians; #CD PoD Subject: BUP2015-00109, Demo Roger, I'm sure that staff mentioned to you when the application was turned in for BUP2015-00109, the demo for the Japanese International Baptist Church,that before we can issue the permit we must receive: 1. An arborist's report certifying that the required tree protection measures are properly installed, and 2. A revised site plan matching the Urban Forestry plan. Please have these items directed to my attention so that I can release the permit when I receive them. Please let me know if you have any questions. Albert Shields r City of Tigard 11111 Permits/Projects Coordinator >Q Albert bgard - or.gov (503)718.2426.': (503)624-3631. -•. 13125 SW Hail Blvd. Tigard,OR 97223 I 1 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 114 _ , Transmittal Letter i ;AK !) 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov TO: - _-N DAA et V E D DEPT: BUILDING DIVISION,..) V APR 16 2015 CITY OF TIGARD FROM: BUILDING DIVISION COMPANY: C.65o W) 'Ty)G, PHONE: �io3 966 (255 CIL;-. g5-10. RE: SCA srNc-2„ �vt' P)u.PaO/S-oo /O (Sit ddr (Permit Number) ...1 -.Q c. 4'1 5+ chimfi (Prof t name or subdivision name d lot number) ATTACHED ARE THE FOLLOWING ITEMS: Copies: Description: Copies: Description: Additional set(s)of plans. ] Revisions: fokArIN figv1 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): f REMARKS: ` . n '(rkf, 0 ' p. - . 1• • ar. . a -4,. .1 b1 CAkIt FOR OFFICE USE ONLY Routed to Permit Technician: Date: Initials: Fees Due: ❑ Yes ❑ No . Fee Description: Amount Due: $ $ $ $ Special Instructions: Reprint Permit(per PE): ❑ Yes ❑No _ ❑ Done Applicant Notified: Date: Initials: 1:\Building\Forms\TransmittalLetter-Revisions.doc 05/25/2012 I' q. TIGARD City of Tigard May 7, 2015 ESI Construction 10875 SW Herman Rd. Tualatin, OR 97062 Re: Permit No. BUP2015-00109 Dear Applicant: The City of Tigard has processed a refund for overpayment of permit fees on the above referenced permit for the following: Site Address: 8500 SW Spruce St. Project Name: Japanese International Baptist Church Job No.: N/A Refund: ® Check#217295 in the amount of$16.10. ❑ Credit card "return" receipt in the amount of$ ❑ Trust account"deposit" receipt in the amount of$ Notes: Refund overpayment due to reduction in project valuation as follows: $50.00 of refund was transferred to CUP2014-00003 to pay address fee; remainder refunded to applicant. If you have any questions please contact me at 503.718.2430. Sincerely, 40- Dianna Howse Building Division Services Coordinator Enc. L•\Building\Refunds\1i125tSW\Lia u1 1 , y..T gQxc Oregon 97223 • 503.639.4171 TTY Relay: 503.684.2772 • www.tigard-or.gov 17, City of Tigard TIGARD Accela Refund Request This form is used for refund requests of land use, development engineering and building permit application fees. Receipts, documentation and the Request far Permit Action form (if applicable) must be attached to this request form. Refund requests are due to Accela System Administrator by each Wednesday at 5:00 PM. Please allow up to 3 weeks for processing of refunds. Accounts Payable will route refund checks to Accela System Administrator for distribution to applicant. PAYABLE TO: ESI Construction DATE: 4/30/2015 10875 SW Herman Rd Tualatin, OR 97062 REQUESTED BY: Dianna Howse TRANSACTION INFORMATION: Receipt#: 200280 Case #: BUP2015-00109 Date: 4/14/2015 Address/Parcel: 8500 SW Spruce St. Pay Method: CreditCard Project Name: Japanese Int Baptist Church EXPLANATION: Refund overpayment due to reduction in project valuation. Note$50.00 of refund was transferred to CUP201-1-00003 to pay address fee. REFUND INFORMATION: Fee Description From Receipt Revenue Account No. Refund Example: Building Permit Fee Example: 2300000-43104 $Amount Cash Over 100-0000-48001 $16.10 TOTAL REFUND: $16.10 APPROVALS: SIGNATURES/DATE: If under$5,000 Professional Staff If under$12,500 Division Manager If under$25,500 Department Manager If under$50,000 City Manager If over$50,000 Local Contract Review Board FOR TIDEMARK SYSTEM ADMINISTRATION USE ON y Case Refund Processed: Date: By: I:\Building\Refunds\RefundRequest.doc s 09/01/2010 City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT IFAI a Request for Permit Action I,,,„,, l, 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503-718-2439 • www.tigard-or.gov TO: CITY OF TIGARD Building Division 13125 SW Hall Blvd.,Tigard,OR 97223 Phone: 503-718-2439 Fax: 503-598-1960 TigardBuildingPermits @tigard-or.gov FROM: ❑ Owner ❑ Applicant ❑ Contractor K City Staff Check(✓)one REFUND OR Name: INVOICE TO: (Business or Individual) (6/ eD,,,)STiG[ea T O Mailing Address: 0$75 6L.0 H i2Hf i I.D City/State/Zip: ---17.4.R L 6 r,13 02_ 9706)"2, Phone No.: 50-6-19 lab- 3t t$ PLEASE TAKE ACTION FOR THE ITEM(S) CHECKED (1): ❑ .- ' ---'u 0 ID PERMIT APPLICATION. el, REFU III ' RMIT FEES (attach copy of original receipt and provide explanation below). ■ 1 +OICE FOR FEES DUE (attach case fee schedule and provide explanation below). ❑ REMOVE/REPLACE CONTRACTOR ON PERMIT (do not cancel permit). Permit#: it;(_) c O (S—00 109 Site Address or Parcel#: tz500 6w . PQ C€ oL1'" Project Name: ,,•,4)At. es. 114 i tatt3A-no4L IP1i-,,T CNu.i20_if (3i 6e_ Subdivision Name: Lot#: EXPLANATION: T /u )D --r 1J�dFJ2 of *500010 e(.t_Po�bl -dd003 T NO/ Abp kt,.._ ... Fig . E� Rec fl 41Is.10 At_,A>J el.f_. of o J e../L-Pm'n F-hr,\ Signature: ), �-ti�A-l�l Date: y /5 Print Name: .---1 7)e,1_ ,I`c Pci/'►+-A ‘...)k) Refund Policy 1. The city's Community Development Director,Building Official or City Engineer may authorize the refund of: • Any fee which was erroneously paid or collected. • Not more than 80%of the application or plan review fee when an application is withdrawn or canceled before review effort has been expended. • Not more than 80%of the application or permit fee for issued permits prior to any inspection requests. 2. All refunds will be returned to the original payer in the form of a check via US postal service. i 3. Please allow 3-4 weeks for processing refund requests. FOR OFFICE USE ONLY Route to S s Admin: Date 441:!4311E3giffla Route to Records: ��aM B Zia. Refund Processed: Date /j /5 By .>" Invoice Processed: Date By Permit Canceled: Date A/'4— By Parcel Tag Added: Date By I:\Building\Forms\RegPermitAction_092 14.doc Dianna Howse From: Albert Shields Sent: Thursday, April 30, 2015 10:25 AM To: Dianna Howse Cc: 'Tony Weller' Subject: RE: Japanese International Baptist Church, 8512 SW Spruce St, BUP2015-00109 Great, thanks Dianna. The fee is already in CUP2014-00003 and is invoiced. I'll tell Tony not to cut another check. Albert. From: Dianna Howse Sent: Thursday, April 30, 2015 7:41 AM To: Albert Shields Cc: #Building Permit Technicians; Debbie Adamski; 'roger©esigc.com'; 'Tony Weller' Subject: RE: Japanese International Baptist Church, 8512 SW Spruce St, BUP2015-00109 Albert, Yes, I can transfer funds in the amount of$50.00 to pay the address fee. Can you please put the address fee in the land use case and let me know the case number? I will then process a refund for the remainder of$16.10 for Mr. Weller. Thank you. Dianna Howse Building Division Services Supervisor City of Tigard I Community Development 13125 SW Hall Blvd.,Tigard, OR 97223 503-718-2430 From: Tony Weller [mailto:tweller@cesnw.com] Sent: Wednesday, April 29, 2015 5:12 PM To: Albert Shields Cc: #Building Permit Technicians; Debbie Adamski; 'roger©esigc.com' Subject: RE: Japanese International Baptist Church, 8512 SW Spruce St, BUP2015-00109 Thanks Albert—Can they use any of their overpayment on the demo permit? Regards—Tony Tony Weller, P.E., P.L.S. President CESNW, INC. 13190 SW 68th Parkway, Suite 150 Tigard, OR 97223 503.968.6655 p 503.968.2595 f 503.866.6550 c tweller @cesnw.com www.cesnw.com 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 8512 SW SPRUCE ST, TIGARD, OR, 97223 Residential - Building 299 Final inspection PASS - No C of O BUP2015-00109 Chip Barnett Violation Summary: Inspector Contractor