Permit (28) INCITY OF TIGARD BUILDING PERMIT
t11 . COMMUNITY DEVELOPMENT Permit#: BUP2016 00212
TIGA.RD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 07/26/2016
Parcel: 2S110DB01400
Jurisdiction: Tigard
Site address: 11321 SW NAEVE ST
Project: Tigard Covenant Church Subdivision: 2008-057 PARTITION PLAT Lot: 1
Project Description: TI for existing tenant: Creating(1)emergency exit in preschool room.
Contractor: SPUR INVESTMENTS LLC Owner: TIGARD COVENANT CHURCH INC
PO BOX 757 11321 SW NAEVE ST
SANDY, OR 97055 TIGARD, OR 97224
PHONE: 503-781-0754 PHONE:
FAX:
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: VBPermit Fee-Additions,Alterations, 07/26/2016 $119.33
Demolition
Occupancy Grp: 1-4 Occupancy Load: 12%State Surcharge-Building 07/26/2016 $14.32
Dwelling Units: 0 Plan Review 06/28/2016 $77.56
Stories: 0 Height: 0 ft Plan Review-Fire Life Safety 07/26/2016 $47.73
Bedrooms: 0 Bathrooms: 0 Info Process/Archiving-Sm$0.50(up to 07/26/2016 $2.00
Value: $2,500 11x17)
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $260.94
Required: Required Items and Reports(Conditions)
Fire Sprinkler: No 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 through OAR 952-001-0090. You may obtain a cony of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: r2__.g,„7,t„,,d...:----7 'dV) Permittee Signature: 1v�� �,
�/� 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.
A t
Building Permit Application
Commercial ' a' FOR OFFICE t SE ONLY
Received
City of Tigard 4 x * Date/B : ? ice/ Permit No.: _
14 ■ 13125 SW Hall Blvd.,Tigard,0107223 ""��lll�� f �• r
g {���', Plan'evte,.. �. �r
a Phone: 503.718.2439 Fax: 503.598.1960 ;I Date!',: erica �r Other Pennit: ,.? Cd -a,. 'r
TI G A R I3 Inspection Line: 503.639.4175 Date Rea y i y: H See Page 2 for
Internet: www.tigard-or.gov _ ,t Notified/Metl'.d: ,x, Supplemental Information
TYPE OF tiVR - 4�..i• - REQUIRE A:1-AND 2-FAMILY DWELLING
❑New construction ►olition Permit fees*are based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
®Addition/alteration/replacement 0 Other: equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
ID1-and 2-family dwelling PL Commercial/industrial Valuation: $
❑Accessory building ElMulti-familyNumber of bedrooms:
❑Master builder 0 Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address:11321 SW Naeve St New dwelling area: square feet
City/Slate/ZIP:Tigard,OR,97224 Garage/carport area: square feet
Suite/bldg./apt.no.: Project nam 1, ( .1,„y4
," , Covered porch area: square feet
Cross street/directions to job site:Royalty Pkwy/Naeve St t C,�r, "' j Deck area: square feet
Tigard Covenant Church-Located on Naeve Street next to Black Rock Coffee Bar Other structure area: square feet
and Sonic Drive In. REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision: , 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.
Put an emergency exit fire door into the current preschool room in order Valuation: S$2,500.00
to convert the room to an Infant Care room.Also add cement pad at exit door to Existing building area: square feet
be level with ground to exit safely. New building area: square feet
w PROPERTY OWNER 0 TENANT Number of stories:
Name:Tigard Covenant Church-Pastor David Greenidge Type of construction:
Address:11321 SW Naeve St Occupancy groups:
City/State/ZIP:Tigard,OR,97224 Existing:
Phone:(503)639-3084 Fax:(503)639-2224 New:
124. APPLICANT El CONTACT PERSON BUILDING PERMIT FEES*
Business name:Tigard Covenant Preschool and Daycare (Please refer tofee schedule
Structural plan review fee(or deposit):
Contact name:Courtney Temple
FLS plan review fee(if applicable):
Address:11321 SW Naeve St
City/State/ZIP:Tigard,OR,97224 Total fees due upon application:
Phone:(971)770-7660 Fax: :(503)639-2224 Amount received:
E-mail:tigardcovenantpd@gmaiLcom PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
CONTRACTOR Commercial and residential prescriptive installation of
roof-top mounted Photo Voltaic Solar Panel System.
Business name:Spur Investments,LLC Submit two(2)sets of roof plan with connection details
and fire department access.along with the 2010 Oregon
Address:PO Box 757 Solar Installation Specialty Code checklist.
City/State/ZIP:Sandy,OR,97055 Permit fee(includes plan review $180.00
and administrative fees):
Phone:(503)781-0754 Fax:( ) State surcharge(12%of permit fee): $21.60
CCB lic.:130321
Total fee due upon application: $201.60
Authorized signature: ni,,,,,A,,,, This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name:Courtney Temple Date:6/27/16 * Fee methodology set by Tri-County Building industry
Service Board.
I:1Building\Permits\BUP-COM PermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
•r \
City of Tigard
■ COMMUNITY DEVELOPMENT DEPARTMENT
"PI
Building Permit Review — Commercial - No Land Use
TIGARD
Building Permit #: / 'at/ -OC tat
Site Address: //ScQ/ \S ) ti eve. c -' Suite/Bldg#:
Project Name: /1" C vP �►i-- Ci ureh . -,
(14ade of commercial business occupying the space. If vacant,enter Spec Space.)
Planning Review
Proposal: �/7,g, 2J/i 'ey,n 942re ex-AL day
Existing Business Activity:
c -e catkae c-'7
Pro osed Business Activity: //
Verify site address/suite# exists and active in permit sys m.
'ver Terrace Neighborhood: El Yes No
V7oning:
ermitted Use: IV Yes ❑ No ElSpec Space
�onfirm no land use required.
usiness License/
Exists: 0Yes ❑ No,applicant notified to obtain business license
Notes:
Approved by Planning: --�'
(-- .0i,/A Date: 6/Qe/
ce
Revisions (after Building Submittal only)
Reviewer Date
Revision 1: ❑ Approved El Not Approved
Revision 2: ❑ Approved El Not Approved
Revision 3: ❑ Approved ❑ Not Approved
Building Permit Submittal
Original Submittal Date: 6/
4/0116,
Plans: # 4'
Building Plans:
Building Permit#: nter building permit#above.
Workflow Routing: lanning Permit Coordinator uilding
Workflow Sign-off: -o f for Planning(include notes from planning review)
Route Application Documents: uilding: original permit application, site plans,building plans,engineer and
beam calculations and trust details,if applicable,etc.
Notes:
By Permit Technician: Date: 4/ //k
I:\13uildineForms\BldgPermitRvw_COM_NoLandUse_060116.docx
i
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 p N/A
Tigard Trans SDC: ❑ Yes kg' N/A
Parks SDC: ❑ Yes IZr N/A
OK to Issue Permit
Approved by Permit Coordinator: W Date: 1724//0
I:\BuildingWorms\BldgPermitRvw_COM_NoLandUse 070915.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
11321 SW NAEVE ST, TIGARD, OR, 97224
Commercial - Building
299 Final inspection
PASS - No C of O
BUP2016-00212
Jeff Grove
Violation Summary:
Inspector Contractor