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Permit (42) g CITY OF TIGARD BUILDING PERMIT IIN Ise .; COMMUNITY DEVELOPMENT Permit#: BUP2016-00234 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 08/17/2016 Parcel: 1S 134BD07200 Site address: 10900 SW 121ST AVE Jurisdiction: Tigard Project: Trinity Evangelical Church Subdivision: None Project Description: Replacing above ground storage tank. Lot: None Contractor: ENVIRONMENTAL WORKS LLC Owner: TRINITY CHURCH OF THE EVANGELICA 2634 SE STEELE ST CHURCH OF NORTH AMERICA PORTLAND, OR 97202 10900 SW 121ST AVE TIGARD, OR 97223 PHONE: 503-719-6715 PHONE: FAX: 503-972-1866 Specifics: FEES Description Date Amount Type of Use: COM Class of Work: OTR Type of Const: Permit Fee-Additions,Alterations, 08/17/2016 $119.33 Occupancy Grp: U Occupancy Load: Demolition Dwelling Units: 0 12%State Surcharge-Building 08/17/2016 $14.32 Stories: 0 Plan Review 07/19/2016 $77.56 Height: 0 ft Info Process/Archiving-Sm$0.50(up to 08/17/2016 Bedrooms: 0 Bathrooms: 0 11x17) $2.50 Value: $2,800 Floor Areas: Total Area: 0 Accessory Struct: 0 Basement: 0 Carport: 0 Covered Porch: 0 Deck: 0 Garage: 0 Mezzanine: 0 Total $213.71 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..--T 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 503.2321987 or 1.800.332. 44. Issued By: ��s *-- {' 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 completio.n_gtthi project. Approved plans are required on the job site at the time of each inspection. Bujlthng Permit Application Commercial FOR OFFICE USE O\1_l City of Tigard , , ;i„. 7 Received 11 - Date/B Permit No.: _13125 SW Hall Blvd.,Tigard4 f +rPhone: 503-718-2439 Fax: 503-598-1960 PlanReview Rivirm, t` ' g 2Q16 Date/B : i ./i'elli Related Permit: T 1 G A R U Inspection Line: 503-639-4175 1 U Date Ready: , See Page 2 for Internet: www.tigard-or.gov a Notified/Method: q_ SupplementalInformation t;. 1 gyp, t�t: �a c�•A�,tt�- _� . TYPI '� R1 REQUIRED DATA:1-AND 2-FAMILY DWELLING ❑New construction 0 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 0 Other: equipment,materials,labor,overhead,and the profit for the CATEGORY OF CONSTRUCTION work indicated on this application. 0 1-and 2-family dwelling tkommercial/industrial Valuation: $ ❑Accessory building 0 Multi-family Number of bedrooms: ❑Master builder 0 Other: Number of bathrooms: JOB SITE INFORMATION AND LOCATION Total number of floors: Job site address: �� 5-,,, Z S t t�L New dwelling area: square feet City/State/ZIP: 1---i ,rA- /0 k /7,.0 3 Garage/carport area: square feet Suite/bldg./apt.#: Project name: yc. Covered porch area: square feet Cross street/directions to job site: J Sc,� rPrl�h 9 c.,-,,,to dr. Deck area: square feet ✓ Other structure area: square feet REQUIRED DATA:COMMERCIAL-USE CHECKLIST Subdivision: I Lot#: Permit fees*are based on the value of the work performed. Tax map/parcel#: 5 I ({ I� ,7�0 O Indicate the value(rounded to the nearest dollar)of all equipment,materials,labor,overhead,and the profit for the f DESCRIPTION OF WORK work indicated on this application. Zv f (/4'9/bet?,/c'r-nd t7ci,� )Ye.,r.,�Q s 4sn-r q Y 4Valuation: $" - •/ ✓ / Existing building area: square feet New building area: square feet a PROPERTY OWNER 0 TENANT Number of stories: Name: `s„t` I w,a f.i i C ct / C c f� Type of construction: Address: cp 6 , S1�-(S t‘• ?/.%.,..c. Occupancy groups: City/State/ZIP: LI ' ct O/2".4-91,3 Existing: Phone:6 3 ) Cc, 3 36 (/ Fax:( ) New: APPLICANT 0 CONTACT PERSON BUILDING PERMIT FEES* Business name: El4e erfik e3, /f/it�cyh 5 LCC__ (Please refer to fee schedule Contact name: cStructural plan review fee(or deposit): Atli / YYt("hQ - FLS plan review fee(if applicable):: Address: J )___G, S t- 5 !-e J1-• , City/State/ZIP: of p C , C9 J1© — Total fees due upon application"7, --j;,, Phone:(1,0 3) �/g-a �/ S I Fax::( ) Amount received: E-mail: A,'^�cl�J PHOTOVOLTAIC SOLAR PANEL SYSTEM FEE * CONTRACTOR Co .••ercial and residential prescriptive install.i. of roof-top •.punted PhotoVoltaic Solar P. ystem. Business name: -C 0 S j//c Submit two ets of roof plan w' • onnection details Address: �✓ and fire departmen: cess . . g with the 2010 Oregon Solar Installation Spe 'i', Code checklist. City/State/ZIP: Permit fee ''cludes p a -view $180.00 Phone:( ) Fax:( ) .nd administrative fe • - CCB Lic.: E es 0State:.rcharge(12%ofpermit fee): $21.60 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: ,;_ -� .__ Date: 7 (C( r 6 * Fee methodology set by Tri-County Building Industry L/`� �`/`j' I Service Board. I:\Building\Permits\BUP_COM_PemutApp.doc Rev.04/21/2014 440-4613T(11/02/COM/WEB) w City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT " Accessibility: Barrier Removal Improvement Plan i'4 = _ Commercial & Multi Family - Additions or Alterations TIGARD 13125 SW Hall Blid. • Tigard, Oegon 97223 • 503.718.2439 • www.tigard-or.gov REUIREMET: OREGOREVISESTATUTE (ORS) 447.241.(1) Everyrojefox renovationalteration or modificationtoaffected buildingsand relatedfacilitiesshabe 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 axe 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: $ (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 Rev.12/18/2014 1111 City of Tigard " COMMUNITY DEVELOPMENT DEPARTMENT T l c A R D Building Permit Review — Commercial - No Land Use Building Permit #: 13 UP .2o '- Site Address: 10 ci 00 (U I a I s- P-v-k- Suite/Bldg#: Project Name: fir',.-, •Cv ck.~, e.H i r_a.-Ic-'11 u-v-c-'11 (Name of commercial business occupying the space. If vacant,enter Spec Space.) P ) Planning Review Proposal: 1(1J-4-c4 Vret I GCR_— a-b o vc ci vu,, d. 54-Dy--al e c-, tc. . Existing Business Activity: al5 l+t,l l '(v1/4.4.5 u i Proposed Business Activity: N! VVerify site address/suite#exists and active in permit system. I 'River Terrace Neighborhood: ❑ Yes A'No g'Zoning: R- .544 __I-Permitted Use: ❑ Yes ❑ No ❑ Spec Space Confirm no land use required. )213usiness License: Exists: ❑ Yes ❑ No, applicant notified to obtain business license Notes: Approved by Planning: CAQ . CeAzv\p......, Date: 3— I - I co 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: 7//q4 &'%4 Site Plans: # 3 Building Plans: # 3 Building Permit#: a-Enter building permit#above. Workflow Routing: Er Planning Permit Coordinator .2/ Buildin Workflow Sign-off: g Er Sign-off for Planning(include notes from planning review) Route Application Documents: [;}'tsuilding: original permit application, site plans,building plans,engineer and beam calculations and trust/ details,if applicable, etc. l0,s2_,(Notes: ( Lj1 Lu ,i,� T Gc.po) 1--. ._ i' By Permit Technician: (--1- � 6., Date: C/ I:\Building\Forms\BldgPermitRvw COM_NoLandUse 060116.docx 0 • 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: aliD;PDC Fees Entered: Wash Co Trans Dev Tax: ❑ Yes Ce"4/A Tigard Trans SDC: ❑ Yes rii /A Parks SDC: ❑ Yes 01! N/A ?673K to Issue Permit / Approved by Permit Coordinator: 1 Date: i `,6 I:\Building\Forms\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 10900 SW 121ST AVE, TIGARD, OR, 97223 Commercial - Building 299 Final inspection PASS - No C of O BUP2016-00234 Chip Barnett Violation Summary: Inspector Contractor