Permit (13) CITY OF TIGARD
BUILDING PERMIT
COMMUNITY DEVELOPMENT
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Is u'ed: 08/30/2p66 0262
Parcel: 2S114AB00700
Site address: 9450 SW DURHAM RD Jurisdiction: Tigard
Project: Tualatin Congregration of Jehovah's Witnesses
Project Description: Relocate door of electrical room to opposite wall,relocate adivision:llb flush to auditorium wall. None Lot: None
Contractor: STEEL STUD CHOPPERS INC
16752 SW 72ND AVE Owner: TUALATIN, OREGON CONGREGATION
TIGARD, OR 97224 OF JEHOVAH'S WITNESSES INC
15390 SW 82ND PLACE
TIGARD, OR 97224
PHONE: 503-309-2481
FAX: 503-620-9479 PHONE:
Specifics•
Type of Use: COM
Description Date Amount
Class of Work: ALT
Type of Const: VBPermit Fee-Additions,Alterations, 08/30/2016 $60.05
Occupancy Grp: A-3 Occupancy Load: Demolition
Dwelling Units: p
12%State Surcharge-Building
Stories: 1 Plan Review 08/30/2016 $7.21
Height: p ft 08/30/2016
Plan Review-Fire Life Safety $39.03
Value: $700 Info Process/Archiving-Sm$0.50(upto 08/30/2016 $24.02$0
Bedrooms: 0 Bathrooms: 0
11x17) 08/30/2016 $0.50
Floor Areas:
Total Area: 4491
Accessory Struct: 0
Basement: p
Carport: p
Covered Porch: p
Deck: 0
Garage: 0
Mezzanine: p
Required Total $130.81
Required Items and Reports(Conditions)
Fire Sprinkler: Parapet:
Fire Alarm: Protected Corridors:
Smoke Detectors: Manual Pull Stations:
Accessible Parking: p
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR.
Specialty be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended law. All for more the 180
days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Codes and
allother
rules applicablearset forth in OAR work will
952-001-.. . roug s•R 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503 232.1987 or 1.800.332.2344.
Issue, By: / 411111k
�s< Permittee Signat re:
Call 503.639.4175 by 7:00 a.m.for the next available inspec n date.
This permit card shall be kept in a conspicuous place on the job site un' completion of the project.
Approved plans are required on the job site at the time of each inspection.
City of Tigard • BUILDING DIVISION
'� Over-The-Counter eCounter (OTC) Building & Fire Protection System Permit
I, Appointment Checklist
Permit Record#: ---12-) „. 0 AO I._ 00.
_„3,,.
Contact Name: 0e- /02175h4
Business Name: � r Phone #: ,�3..�1���/
/ , AA ' ,., ., i _ ti...-... . A t. Date/Time: gi000A9
Site Address: / t,✓, ' ' "
Project Name: �� �� �`���" � � Bldg/Suite #: `---
��a./a*Iv (0,v$yt 7Scw 0-cavva'S ,: f
Project Description: 4 -Aw9w-
/lavfwy 6,/,4fi
Existing Use: A----- New Use: A
MMD Required: 0 Yes
Related Record#:
GENERAL INFORMATION
Class of Work: I 4t-� � l Occupancy Group: +�
Type of Use: Type of Construction: J6
Occupancy Load:
t�
SPECIFICS 2 C� I Oregon Specialty Code: (.-9.0/ 0
Number of Stories: I 'I Building Height:
Number of Dw Units: I I I Mixed Use: I
Number
of SQ FT-SCHOOL CET Number of Bathrooms: Number of Bedrooms:
OTHER SQUARE FOOTAGES
Story Square Footage: Accessory Structure:
Basement: Covered Porch:
�/ Garage: Deck:
Total Square Footage: �! / Carport:
SETBACKS r Mezzanine:
Sideyard Setback—LeftSideyard Setback—Front
Sideyard Setback—Right I Sideyard Setback—Back
CONSTRUCTION I I
Exterior Walls: Openings Protected:
Firewall Separation:
N: S: N.
S: Occupancy Separation:
E: W: E:
REQUIRED ITEMS W' Access.Parking Spaces:
Fire Sprinklers: 7 Fire Alarms:
Sprinkler Type: Smoke Detectors:
Alarm Type: Protected Corridors:
Standpipe Required: Pull Stations Required: Para et:
Hazard Group: Battery Caks Provided: p
Density: Cut Sheets Provided:
Design Area:
K Factor:
Total Project Valuation: $
11111111111.111111.111111.
$ DC Prov Rvw,COM TI—Ping
DC Provision Review Fee for COM TI(effective 7/1/2016) $ 4�'O PermitoFee—Add,Alt,Demo
Project Valuation 7. it 1 12/o State Surcharge
Upto 4 9lu $ „Attie 2 Plan Review,Structural
$ , $0.00
$5,000-$74 999 $ ?j •0 3 Plan Review,Fire Life Safety
> $90.00
$75,000- $224.00 $ Info Proc/Arch,Lg(over 11x17$2.00)
$150,0007 ,0and$149,999r $357.00 $ '57 Info Proc/Arch,Sm(up to 11x17$0.50)
$ Metro Construction Excise Tax
$ School Construction Excise Tax
$ Hourly Rate Fee
$ Hourly Rate State Surcharge
$ Misc.Admin Fee
Building Staff $ Other:
$ Other:
Date/Time: $ /30 .V TOTAL FEES DUE
I:\Building\Forms\OTCBUP FPS_070116.docx
.1.11.111111111111111111
BtldinPermit Ap lication
ommercialfibc; ,.
:§ [ I OR()I I R I 1 til. OM 1
City of Tigard Recevea �
,IPI 4 13125 SW Hall Blvd.,Tigard,OR 3 Dan R : •• � ,a Permit No.: . ✓a)/(o-ODa/_r
■ Phone: 503.718.2439 Fax: 503.598.196l ® 2 016 Plan Review t(J
T 1 tt Inspection Line: 503.639.417g� Other Permit.
L,r I y l 1 s ii , x, Date Ready/By
Internet: www.tigard-or.gp_ J"rs: fi3 See Page 2 for
6`t' r r r '�r s r4° Notified/Method:
Supplemental information
• ion
TYPE of woRK
REQUIRED DATA: 2-FAMILY DWELLING
❑New construction
❑Demolition Permit fees*are based on the value of the work performed.
i Addition/alteration/replacementIndicate the value(rounded to the nearest dollar)of all
0 Other:
equipment,materials,labor,overhead,and the profit for the
work indicated on this application.
CATEGORY OF CONSTRUCTION
❑ 1-and 2-family dwelling Valuation:
CommerciaUindustrial $
❑Accessory building
0 multi-family Number of bedrooms:
❑Master builder El Other.
Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: 147:36 D lei P�
City/State/ZIP: "�' ► �..�.,�� New dwelling area: square feet
►., A
Suite/bldg./apt.no.: Garage/carportarea: square feet
Project name: I 1,-1,, -y ff,i.e->
Cross street/directions to job site: ` , ' -Te at+1Covered porch area: square feet
tey`J4 �^vss S ,� , it tiA mit ,j Deck area:
..S\):) ` tZ��. ��, square feet
Other structure area: square feet
Subdivision: REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Lot no.: Permit fees*are based-- the value of the work
Tax map/parcel no.: .1s i t 4.A Q�-I C3Indicate the value(rounded to the nearest dollar)o allured.
DESCRIPTION OF WORK equipment,materials,labor,overhead,and the profit for the
work indicated on this:I•lication.
ck..e.,C? _, e- bor. C .z CG. i`ltl,I t„st,040%
it, .,...4 is• e Valuation: $ be>
ln5 " `'`"t\ C ..si -6 ai 1 ecguv+, welt' - Existing building area: 44,C(1 square feet
wee d Ci:t�� Wit' I, c � A
Eif New building area: 44 q 4 square feet
PROPERTY OWNER > 0 TENANT
Name: "T'--elk ),,:\ -C Number of stories: j
Address: q4 SZ� Z�� �a 1 u e5 Type of construction: B
City/State/ZIP:ZIP: � A• a Occupancy groups: .
04,4 �� cnal',
Phone:(&S) qt 0... tki 3s. Fax:( ) Existing:
0 APPLICANT New: ...3
Q CONTACT PERSON BUILDING PE
Business name: RMix FEES*
Please, to eeschedule
Contact name: ," , Structural plan review fee(or deposit):RA
Address: '1 (y LS IA Gil 4 \ l�IIIIIIIIIIIIIMIIIIIIIIIIIIIIIII
FLS plan review fee(if applicable):
Gt:
City/State/ZIP: �c .t, b��,;, b OR 9/035Total fees due upon application:
Phone:(5o3) RtL>
E-mail:
3, Fax:'( ) Amount received:
PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
CO CTOR Commercial and residential prescriptive installation of
Business name: _ A rd i r f Fri I viiis a,filg gi ro
roof--top mounted Photovoltaic Solar Panel System.
AalllSubmit two(2)sets of roof plan with connection details
Address: ` and fire department access,along with the 2010 Oregon
City/State/ZIP:ZIP: - — Solar Installation S cial Code checklist.
Permit fee(includes plan review
Phone:(5-'ib) • 0; �� A Fax:(�jo)) j and administrative fees : $180.00
' State surcharge(12%of permit fee):
CCB 1ic.: J 7 as t 7 $21.60
Authorized signature: ` Total fee due upon application:
'— $201.60
This permit application expires if a permit is not obtained
Print name: • within 180 days after it has been accepted as complete.
Date: i,"0/.6
* Fee methodology set by Tri-County Building Industry
Service Board.
1:1Building\Permits :• -COM PennitApp.doc 02/24/2011
440-4613T(11/02/COM/WEB)
" Division
Accessibility: BarrierBuilding Removal Improvement Plan
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 per-cent(25%).
VALUATION: Total of all renovation,alteration or modification being done,
excluding painting and wallpapering.
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:\Bwlding\Permits\BUP-COM PemutApp.doc 03/03/2011
City of Tigard
IN I " COMMUNITY DEVELOPMENT DEPARTMENT
1 r c A R o Building Permit Review — Commercial - No Land Use
Building Permit #:
Site Address: `S'`) Cl,/ Suite/Bldg#:
Project Name: 71:42,6_,A,/, dry �- � n c i
0ttu�(Name of commercial ess occupyingc If
vacant,enter Spec Space.)
Planning Review
Proposal: 771 exp
Existing Business Activity: //' (? / ,2,Po r-
Proposed Business Activity: 17 1/� Cn �v,''J (
/Verify site address/suite# exists and active inermit s st
liver Terrace Neighborhood: El Yes IV Noy
I1C2oning: )—
IV/Permitted Use: Yes ❑ No
0 Spec Space
Confirm no land use required.
Business License:
Exists: Pr Yes 0 No,applicant notified to obtain business license
Notes:
/7 Aye
Approved by Planning:
Date: E-3/&)�
Revisions (after Building Submittal onl
Revision 1: Y) Reviewer Date
❑ Approved 0 Not Approved
Revision 2: El Approved 0 Not Approved
Revision 3: El Approved 0 Not Approved
Building Permit Submittal
Original Submittal Date: j,p /4'
Site Plans: #
Building Plans: # j
E2'
Building Permit#: building permit#above.
Workflow Routing: 12—Planning ,t C :._ /
Workflow Sign-off: Q LX Building
IYSi -off for Planning(include notes from planning review)
Route Application Documents: p B Wig: original permit application, site plans,building plans, engineer and
beam calculations and trust details,if applicable, etc.
Notes: e_
By Permit Technician: ( c at 1 0
Date: V4//6,
I:kBuilding\Forms\BldgPermitRvw COM_NoLandUse 060116.docx
Permit Coordinator Review
❑ Conditioorons "Met` issuance of building permit
Date:
❑ Approved,NOT ltd ed:
Notes:
Revisions (after Building Submittal only)`
Revision Notice 1: Date Sent to Ap.!tint:
Revision Notice 2: Date Sent to A.slica
Revision Notice 3: Date Sent to 'pplicant '-
❑ SDC Fees Entered: Wash Co ans Dev Tax: ■ es D N/A
Tigard Trans SDC: ❑ Yes ❑ N/A
Parks SDC: ❑ Yes ► N/A
❑ OK to Issue Permit
Date:
Approved by Permit Coordinator:
I:\BuildingForms131dgPermitRvw_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
9450 SW DURHAM RD, TIGARD, OR, 97224
Commercial - Building
299 Final inspection
PASS - No C of O
BUP2016-00262
Chip Barnett
Violation Summary:
Inspector Contractor