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Permit CITY OF TIGARD SITE WORK PERMIT ` COMMUNITY DEVELOPMENT Permit#: SIT2015-00003 T IGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 09/01/2015 Parcel: 1 S 136CB04400 Jurisdiction: TIGARD Site address: 8500 SW SPRUCE ST Project: Japanese International Baptist Church Subdivision: WEST PORTLAND HEIGHTS Lot: M Project Description: Site work for a new multipurpose building including classrooms and a gym. 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: FEES Description Date Amount Specifics: Permit Fee-Site Work 09/01/2015 $1,204.54 Plan Review 04/15/2015 $782.95 Type of Use: COM 12%State Surcharge-Building 09/01/2015 $144.54 Class of Work: ALT Erosion Control w/Development 09/01/2015 $236.40 Project Valuation: $187,560.00 Site Specifics: Excavation Volume: 1880 cu.yd. Fill Volume: 840 cu.yd. Impervious Surface: 12430 sq.ft. Engineered Fill: No Soil Report Required: Paving: Yes Grading: Yes Landscaping: Yes Site Prep: Yes Storn Drains: Retaining Wall: No Fire Underground: No Accessible Parking: Fence: Total $2,368.43 Required Items and Reports(Conditions) 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 • the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. ' u may o e .in a •spy if the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. Issued By: Permittee Signature: . I 9 Call 503.639.4175 by 7:00 a.m.for the next available inspectio date, ' This permit card shall be kept in a conspicuous place on the job site until comple on of the project. Approved plans are required on the job site at the time of each inspection. . Building Permit Application Site Work likta jv}`'t l'OR()FIR L l NE ON L1 City of Tigard X15 ��M t • 13125 SW Hall Blvd.,Tigard,OR 97223 n 1 Plan Review •- Phone: 503.718.2439 Fax: 503.598.1964\?t' Datd8r ' ' CJ (y� QWcr Permit / , Inspection Line: 503.639.4175 a �� ,Date Ready.By nuns Bl See Page 2 for TIGARD Internet: www.tigard-or.gov V u� 11 et1►NotifiedANet; • 74 ll ""f" ,„4, Supplemental Information i,11 1 ,1v1SIA/ormw pirY . ,fir TYPE OF t- R OARED DATA:1-'AND 2-FAMILY DWELLING ®New 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 CONSTRUCTION work indicated on this application. ❑ I-and 2-family dwelling ®Commercial/industrial Valuation: 5187„560.00 ❑Accessory building El Multi-family Number of bedrooms: o Master builder ❑Other: -�^ Number of bathrooms: JOB SITE INFOR►3ATION AND LOCATION Total number of floors: Job site address:8500 SW Spruce Street City/State/ZiP:Tigard,Oregon 976224 New dwelling area: square feet Garage/carport area: square feet square feet Suite/bldg./apt.no.: Project name:JIBC Covered porch area: Cross street/directions to job site: 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 4 Tax map:parcel no.: _ equipment,materials,labor.overhead,and the profit for the vY DESCRIPTION OF WORK work indicated on this a .lication. tb Site work as shown on Civil Engineering plans-already submitted to the city Valuation: 'S Existing building area: square feet New building area: square feet t ❑ PROPERTY OWNER ❑ TENANT Number of stories: Name:Japanese International Baptist Church Type of constriction:Address:8500 SW Spruce Street Occupancy groups: City/State/ZIP:Tigard,Oregon 97224 Existing: Phone:( ) Fax:( ) New: ❑ APPLICANT ❑ CONTACT PERSON NOTICE Business name:ESI CONSTRUCTION All contractors and subcontractors are required to be Contact name:Roger Brockway licensed with the Oregon Construction Contractors Board under ORS 701 and may be required to be licensed in the Address:10875 SW Herman Road jurisdiction in which work is being performed.If the City/State/ZIP:Tualatin,Oregon 97062 applicant is exempt from licensing,the following reasons apply: Phone:(503)968-3118 Fax::(503)968-6639 E-mail:rogera;eisgc.com CONTRACTOR --- ' Business name:Saute as above BUILDING PERMIT FEES* Address: (Please refer la fee schedal Structural plan review fee(or deposit): City/State/ZIP: Phone:( ) Fax:( ) FLS plan review fee(if applicable): I — CCB tic.: (01F - Total fees due upon application: Amount received: lg 7 SI„7.95 Authorized signature: This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name: Roger Brockway Dat .4.15.15 * Fee methodology set byTri-County Building industry Service Board. 1.`11uildingsPerm its\SIT-Permit.App.doe 10/01/09 440-46131111/02iCOM/WEB) City of Tigard: Site Work Permit Checklist Page 2- Supplemental Information Commercial,Multi-Family and One-and Two-Family Dwellings: No permit is required if fill is less than 50 yards(5 dump truck loads),or less than 3 feet deep and will not be supporting a structure. If a building will be constructed on the fill, it must be engineered fill. If fill is in a flood plain,drainage way,or wetland,the applicant must apply for a sensitive lands review (SLR). Please complete all items below, unless otherwise noted. Excavation Volume: /8E30 cu.yds. Grading Volume: (Soils report required for>5,000 cu.yds.) $70 cu.yds. Fill Volume: (Fill exceeding 12"in depth shall be compacted to 90%of maximum density) g 4-0 cu.yds. Retaining structure? (Check one) ❑ Rock ❑ CMU ❑ Concrete / ® Other: Ye YS.(v N e� *Total new impervious area including all buildings, sidewalks,and paving: /al +30 sq.ft. Site Utilities Plumbing Work: Complete the Plumbing Permit Application for site utilities plumbing work. Plans Required: See"Site Work Permit Application-Plan Submittal Requirements"attached. The following must accompany this application: ® Site Plan with Vicinity Map showing ADA ❑ *Parking(including ADA)and Lighting compliance Plan ® Grading Plan and details ® *Landscaping Plan ® Erosion Control Plan and details ❑ Soils Report(if required) ❑ Retaining Structures ❑ Fire Line *Does not apply to One-and Two-family dwellings. Plan Submittal: Permit Fee: TYPE OF SUBMITTAL #of Plans Valuation:• Permit Fee: (New,Additions or Required at 5.00 to$500.00 $51.09 minimum permit fee _ Alterations) Submittal $500.01 to$2,000.00 $51.09 for the first$500.00 and $2.69 for each additional$100 or fraction Commercial 3 thereof,to and including$2,000.00. $2,000.01 to$25,000.00 S9I.44 for the first$2,000.00 and Multi-Family R-1 Occupancy 3 $10.76 for each additional$1,000 or fraction thereof,to and including $25,000.00. One-&Two-Family Dwelling 2 $25,000.01 to$50,000.00 $338.92 for the first$25,000.00 and $8.06 for each additional$1,000.00 or fraction thereof,to and including $50,000.00. $50,001.00 to$100,000.00 $540.42 for the first$50,000.00 and $5.38 for each additional$1,000.00 or fraction thereof,to and including $100,000.00. $100,000.01 and over $809.42 for the first$100,000.00 and $4.49 for each additional$1,000.00 or fraction thereof. I:\Building\Permits\SIT-PermitApp.doc 05/25/2012 2 City of Tigard 11„„ COMMUNITY DEVELOPMENT DEPARTMENT Building Permit Review — Commercial - With Land Use I k , Building Permit #: 11--G7-0 ( 5 -C7 oco 5 Site Address: MOO SV■1 Sruc e, S"'1'• p Suite/Bldg#: Project Name: Japanese, Ini-er`Xc[l una1 Da "IS� C ur& (Name of commercial business occupying the space. If vacant,enter Spec Space.) Planning Review \ ` (� Proposal: s\-Ve, work re.� 4 consiruC-1'jrsn 0-P flEiv\) 1,OO so c>tvt. -on+' acce4.5a I�.t' 'In Verify site address/suite#exists and active in permit syste . ver Terrace Plan District: CI Yes [No g0 srLand Use Case#: CUP 201 q -00003 Pla Match Approved Land Use: ,,_ Site Plan $-Landscape Plan ❑ Other: qr7 Urban Forestry Plan .- Elevation Plan :uilding Height: M ycimum Height Actual Height ei Conditions Met: IV Prior to Submittal ❑ Prior to Permit Issuance Con I+ on 1„ musk_ r1�}' Business Licen :: /exists: LY Yes ❑ No,applicant notified to obtain business license Public Faciliti Improvement (PFI) Permit: Required: Yes,applicant was notified ❑ No Applied For: Yes ❑ No,stop intake Notes: Approved by Planning: t I - A Date: £ 12.% 15 Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: Cl Approved ❑ Not Approved Building Permit Submittal / Original Submittal Date: y� , 9//S Site Plans: # Building Plans: # (� Building Permit#: enter building permit#above. Workflow Routing: Planning ia-Engineering [3 Permit Coordinator -a-Building Workflow Sign-off: Er Sign-off for Planning(include notes from planning review) Route Application Documents: Er-Building: original permit application, site plans,buildin g plans,engineer and , wbeam/c�alculations and trust details,if applicable,etc. Notes: aC€L ��. s20 4-4.. Y) o- c�c+ � to :-4" By Permit Technician: Date: _ ' 70.9(( I:\Building\Forms\BldgPermitRvw_COM_WithLandUse 040115.docx r Engineering Review Cl Slope at building pad: ❑ PFI Permit#: t ❑ Conditions "Met"prior to issuance of building permit ❑ Easements (encroachments) per engineering conditions of approval and plat (not typical on SDR/CUP) , ❑ Water Quality/Quantity Facility: Assess Water Quality Fee in-lieu: ❑ Yes ❑ No Assess Water Quantity Fee in-lieu: ❑ Yes ❑ No LIDA Facility on lot: ❑ Yes ❑ No AZ NOT Approved by Engineeri �/ Date �`�7 Notes: J�jtif�j, �c�=�x�% `r` s�f Approved by Engineering: �I �4. \ e )1 e: l -/!c 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 ?' pproved, NOT Released: 4 e Q is ,( '' /tI ate: SA 71 5 otes: i Revisions (after Building Submittal only) �� [reiniWilf Revision Notice 1: Date Sent to Applicant: / c Revision Notice 2: Date Sent to Applicant: Revision Notice 3: Date Sent to Applicant: 2 OK to Issue Permit Approved by Permit Coordinator: Date: ?I PP Y / /01ff/(�2 I I:\Building\Forms\BldgPermitRvw_COM_W ithLandUse_0401 15.docx S City of Tigard .114 COMMUNITY DEVELOPMENT DEPARTMENT TICARD Building Permit Review — Commercial - With Land Use Building Permit #: S/7- 9-0 > t900 03 Site Address: 9Q .S 0717 Suite/Bldg#: Project Name: - --1 /2C (Name of commercial business occupying the space. If vacant,enter Spec Space.) Planning Review Proposal: 4 4-0 /-i/°/' m. cV Tv n uL �U r2�� ►3�b.G 0-Verify site address/suite# exists and active in permit system. 4;1-River Terrace Neighborhood: El Yes [s/No O--Land Use Case#: v[�2 DLI — 0006 3 )2-Plans Match Approved Land Use: ❑ Site Plan ❑ Landscape Plan ri Other: A. to SIT p Lttr / ❑ Urban Forestry Plan ❑ Elevation Plan /vim Building Height: Maximum Height Actual Height Ip Conditions Met: ❑ Prior to Submittal Prior to Permit Issuance - Business License: Exists: CI Yes ❑ No,applicant notified to obtain business license Public Facilities Improvement(PFI) Permit: Required: cg1 Yes,applicant was notified ❑ No Applied For: Yes ❑ No,stop intake Notes: Approved by Planning: l Date: 7 26/-/ Revisions (after Building Submittal only) viewer Date Revision 1: '!l Approved Cl Not Approved a Revision 2: ❑ Approved El Not Approved Revision 3: ❑ Approved ❑ Not Approved Building Permit Submittal Original Submittal Date: Site Plans: ## Building Plans: # Building Permit#: El Enter building permit#above. Workflow Routing: ❑ Planning El Engineering ❑ Permit Coordinator ❑ Building Workflow Sign-off: ❑ Sign-off for Planning(include notes from planning review) Route Application Documents: ❑ Building: original permit application, site plans,building plans,engineer and beam calculations and trust details,if applicable, etc. Notes: By Permit Technician: Date: I:\Building\Forms\B1dgPermitRvw COM WithLandUse 070915.docx Engineering Review ❑ Slope at building pad: ❑ PFI Permit#: ❑ Conditions "Met"prior to issuance of building permit ❑ Easements (encroachments)per engineering conditions of approval and plat(not typical on SDR/CUP) ❑ Water Quality/Quantity Facility: Assess Water Quality Fee in-lieu: ❑ Yes ❑ No Assess Water Quantity Fee in-lieu: ❑ Yes ❑ No LIDA Facility on lot: ❑ Yes ❑ No ❑ NOT Approved by Engineering: Date Notes: Approved by Engineering: 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 permit ❑ Approved,NOT Released: 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: ❑ SDC Fees Entered: Wash Co Trans Dev Tax: ❑ Yes ❑ N/A Tigard Trans SDC: ❑ Yes ❑ N/A Parks SDC: ❑ Yes ❑ N/A ❑ OK to Issue Permit Approved by Permit Coordinator: Date: I:\Building\Forms\BldgPermitRvw_COM_W ithLandUse_0'70915.docx • 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. 011 City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT i • Transmittal Letter 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 •www.ti d-or.gov TO: Tam. DATE ° 1 DEPT: BUILDING DIVISION C.60e-1) FROM: ci m4 2c/,t_ /14 4w /y�// ; i p COMPANY: 1 ` " _ E PHONE: 9)2, - 70 5 - S Z( -3 By: RE: 570 SASp Vu('C , lTP-d/ 5 Doa©,3 (Site dress) (Permit Number) v_(.4-1 . ,V1/1/176G�' (I t r i i'( (Project name or ubdivisname and lot n , ber) y3 ATTACHED ARE THE FOLLOWING I Additional set(s)of plans. 7 l7 Revisions: C?VI Cross section(s)and de ils a n Wall bracing and/or lateral analysis. Floor/roof framing. VY Basement and retaining walls. Beam calculations.\ 4.1Engineer's calculations. Other(explai- : `V ` i REMARKS: \ 4c) Routed to Perm' ec►d ician: Date: ® t ( (do Inti.gape Fees Due: E es ❑No Fee Description: , . Han e: ADD z --R v -C'-,VL qv.oma,\ $ Special $ Instructions: Reprint Permit(per PE): ❑ Yes ❑No ❑ Done Applicant Notified: Date: TA a/4 Initials: 4' .}; I:\Building\Forms\TransmittalLetter-Revisions.doc 05/25/2012 City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 8500 SW SPRUCE ST, TIGARD, OR, 97223 Record Type: Record ID: Commercial - Site Work SIT2015-00003 Inspection Type: Inspector: 499 Final inspection Jeff Grove Result: PASS - NoCofO Comments: Violation Summary: Inspector Contractor