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13401 SW BENISH STREET-1 i � 1. Cit., . .�._._. . NQS d 2170 I (ADPI TIa••..nL— 1, c . li y IL �` 3H `01, off s C.cs„eu� FoWi•+'��A� �'` 1 1r L•f [7 `��- ��t I1�� 1Z• //�\,� j1 i 34 D �_. J'' ,y pw �� r-p-- _I If I 201_ -7 °I 1 1 y CL C A(3 �f _ _ •�, .ivy I___._._�-.._.. .`� 002-- t lieCr'�1''L L0Thcn(:Ir.) I 11 �f l U l?T{ C0•JT+l(V- GS TRUSS COMpGNEN� .GUN � S - i OF ORE INC.INC•OREGON 5 SLiC . l 1 C�1 COV,NEL1US, 7 A ✓ I'1'� l I F `�- r t� �d U B.C.STANDAR1) SEC7T25.1738A' )'rE.l� QUALITY AL L ........CITY UF'fIGARD............ Approved •� �N �1 ' Inform��t�o�+ Conditionally Approved.....................................( )• Sys Bracing For only the wo scribed In: PERMIT NO. _ Attach 2 x 4 lateral bracing at 10'-(1" max See Letter to:Follow.......:...............................� i • Use �) Attach........................................ )• tOEXCEPTION TAKEN MI KE CORRECTIONS NOTED across tops of truss bottom chords. Job Address:t-3 544 ��ivNlSrf S%. I point. Lap ��i%,q.�(2.G�-nate: REJECTED REVISE AND RES','.BMIT 16D nails at each connection p SUBMIT SPECIFIED ITEM�— bracing one truss each way at Junction '_...___.____ �nfT'N41•ICE 1'JI'fH THE g y _.�.-.....___._.._ ! CHECKING IS ONLY FOR GENERAL CONFORMANCE M . � �I points. Tie bracing lines securely to end DESIGN CONCEIT OF THE pITOJ[_CT AND GENFRIIL CONE .IANCE �QRhE � �..Uf�-E WITH THE IN(ORUATIC)N GIVEN !N THE CC:NfRALf D(WUNIENTS, walls. DAA ANY ACTION SHOWN IS SUBJECT TO THE REQUIR�JAE TS OF THE _ PLANS AND 1112C11=1CATIONS. CONTRACTOR IS R�Sf'OiJSiBLC [On: Sec individual truss drawings for "we NOT APPROVED_�.__.. DIMENSIONS WI'ICH SHILL BE CONFIRMED AND COPRi:t.AIED AT .� � *�" ir( uirements. APPROVED ASNOTED THE JUST SITE: FARRICf.WN PROCESSES AND TECWIiCUES OF � ` - CONSTEII}CTION: COORGIN^-CION OF NI.� k"JCFTY. WITH 'THAT OF Al.l. "" ��������'•��-�'w��^�•'--. AND THc SA11SFl,CTGF{Y PERFORMANCE Of HIS c ('Of►.!:Uh I:ttErlctled ISI B 91 for Installation OTHER TRADES WORK. instructions. BERRY NORDLING CNGINEERS INCORPORATED ®,FlcE Car Date—'- By V Vi I_I __Ill i _I I__11. II�I III III II I `III IIII III 1I I IIII 1III I I1�EI�T' III`I f l 111 11 I�III I III III IIII III I I I III I I I II7II�III I I I I II I I I 4 81 NOTICE: IF THE PRINT ORTYPE ON ANY 1 1 60 IMAGE IS NOT AS CLEAR AS THIS NOTICE, I I I 4III IIII IIyII I�I l i I III I 111111 01 1�III III I 1 1 1 11 1 111 11 I _II 1.I I I--I 1I I 2f I�I` ��r - OU/, IT IS DUE TO THE QUALITY OF THE No ae �,•�.•.��•� ',�, � r�-� t� �^' �"��'�"� _ - - —- N", ORIGINAL DOCUMENTYz tBI I II�IIII II III III.Iill.11ll I �I �l�lll 11111 rr ll �IIII,,illll�l�lllilllll�llllllill�llllllll�ll i � l 1 I zI� Il�lllllllll�lllllllll�lli I ( Illi 11�11I111i11►II►III►II►II 1111111 ,Illllll �I l II ` � 11► 1111►i►,111111► III 4 IIIIIIII I 11 CD 111z U) m cn m 13401 SW BENISH STREET ` CITY OF T I G A R D CERTIFICATE OF OCCUPANCY DEVELOPMENT SERVICES PERMIT#: BUP2002-00425 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 4/15/2003 PARCEL: 2S104AB-04700 ZONING: R-4 5 JURISDICTION: TIG SITE ADDRESS: 13401 SW BENISH ST SUBDIVISION: BLOCK: LOT: CLA:,S OF WORK: ADD T'PE OF USE: COM TYPE OF CONSTR: 5N OCCUPANCY GRP: B OCCUP/\NCY LOAD: 706 TENANT NAME: OUR REDEEMER LUTHERAN CHURCH REMARKS: 5084 square foot 2-story addition to an existing church. Owner: OUR REDEEMER LUTHERAN CHURCH 13401 SW BENISH ST TIGARD, OR 97223 Phone: 503-524-6646 Contractor: 646-2123 YORKE+ CURTIS 4480 SW 101ST AVE BEAVERTON, OR 97005 Phone: FAX 643-5531 646-2123 Reg #: MINI (►(1(1(1199(► LI(' 55644 This Certificate issued 8/11/2003 grants occupancy of the above referenced building or portion thereof and confirms that the building has been inspected for compliance with the State of Oregon Specialt Codes for the group, occupancy, and use under which the,0eferenced permit hill " sUed. BUILDING INSPECTOR B IL IN FFIC Al. I/ POST IN CONSPICUOUS PLACE Sent By: ; 503 882 2753; Aug-8-03 0:10AM; Page 2/3 _ Northwest Testing,Inc. —/ A Iltvi or,i of N(whwral Guuwrl, lur 91"Cl W Pull lilt r.,11 III ';i itr,N • W'Itonvillu.l)+upwt 9RI70 503/681 111110 FAX'503/082 2/53 August 5, 2003 Project No. 1332.1.1 City of Tigard Building Department FILE COPY 13125 SW Hall Blvd. Tigard, Oregon 97223 Attention: Mr. Gary Lampella Subject: Final Report of Construction Monitoring and Special Inspection r the Our Redeemer Lutheran Church Education and Adrr,aiistration Phase Permit No.: BUP2002-00425 Dear Mr. Lampella: As requested, Northwest Testing, Inc , (NTI) hes provided construction monitoring and special Inspection for the Our Redeemer Lutheran Church Education and Administration Phase. Our sunstruction monitoring services included the following activir'its Concrete • Concrete Placement • Reinforcement Placement • Concrete Testing • Embed and Anchor Bolt Placement Masonry a Reinforcing Placement • Block Layment • Grout Placement 0 Block, Mortar& Grout Testing • Embed and Anchor Bolt Placement Structural Steel • Shop Welding • Field Welding A complete record of our inspection reports has been forwarded to the project team and the City of Tigard Building Department throughout the course of this project. To the best of NTI's knowledge, based on our inspections and laboratory data, the structural aspects of the project have been constructed in substantial conformance with the approved drawings, specifications, applicable provisions of the uniform building code and the inspection methodology and acceptance criteria established by the project designer(s). G Nv bocumeols%DoWl200.1300\1352 1.1 Our Redeemer Fdoal Report doUmkl Sent By: 503 682 2753; Aug-6-03 8:10AM; Page 3/3 This opportunity to be of service is sincerely appreciated. Should you have any questions, please contact the undersigned. Respectfully submitted, NORTHWEST TESTING, INC. XZ4-,A� Thomas S. Ginsbach, P.E. President Copies. (1) Addressee (1) Steve Horton, York--i and Curtis General Contractors (1) Tricia Dickson, Zaik/Miller Associates (1) John E. Nordling, Berry-Nordling Engineers I - 2 - Northwest Testing,Inc. J A Illy%ic:1 n}Nornw ,liWAch iir CITY OF TIGARD 24-Hour BUILDING Inspection Line: (503) 639-4175 INSPECTION DIVISION Business Line: x;503)639-4171 MST BUP -- _ Received Date Requested �'� AM______ PM BLIP - ----- Location -Location —_. �U C Suite MEC _ Contact Person ___ U Ph( ) J 2D " I %v 9 Z. PLM J O739 7 Contractor _ Ph(—) _ _ SWR BUILDING Tenant/Owner - ELC _- Footing Foundation ELC _ Access: Ftg Drain ELR Crawl Drain � Slab Inspection Notes: SIT ' Post& Beam - Shear Anchors -- Ext Sheath/Shear --� Int Sheath/Shear Framing ------ --- — Insulation Drywall Nailing - Firewall Fire Sprinkler - �--- C.) ) - Fire Alarm � C Susp'd Ceiling Root Other: Final �--.--- ----'-'-- P _ OT FA -- UMBING am --_ Under Slab Rough-Ing Water Service - -[— Sanitary Sewer Rain Drains -- Catch Basin/Manhole Storm Drain -� — Shower Pan 1 ""- Other: QPA _")PART FAIL - - - - NICAL Past& Beam --- Rough-In Gas Line _ Smoke Dampers ----- .. -- ------ Final PASS PART FAIL -- ELECTRICAL Service Rough-in UG/Slab - Low Voltage Fire Alarm ---- Final Reinspection fee of$ required before next ins _PASS PART FAIL p q inspection. Pay at City H0, 13125 SW Hell Blvd. $ITE _ n Please call for reinspection RE: - __ Unable to inspect-no access Fire Supply in ADA ., / . � Approach/Sidewalk Date ? Z_/ / /I insprctor_— -. _ _ Ext _ Other:__ _ r v Final DO NOT REMOVE this Inspection record from the job site. PASS PART FAIL CITY OF TIGARD 24-Hour BUILDING Inspection Line: (503)639-4175 INSPECTIO,q DIVISION Business Line: (503)639-4171 _ MST ryu Gq BLIP Received _ / Date Requested 7 t-5 - AM— _--___. PM _'_ `" _-_ BLIP Location — - 3 Lib I _ __- Suite__-_ --- __-___ MEC -_—. Contact Person Ph(—..._ _) �3 ��d _ PLM 02 - 40 Contractor _ . Ph( ) — —__ SWR BUILDING _ Tenant/Owner __.. ELC Footing Foundation ELC Access: Ftg Drain ELF! Crawl Drain - Slab Inspection Notes: SIT -___-- Post&Beam Shear Anchors -- Ext Sheath/Shear _ Int Sheath/Shear Framing -- ---- - --- Insulation Drywall Nailing 1 _ Firewall teaT �., Fire Sprinkler - Fire Alarm Susp'd Ceiling - - - Roof IY Other: _ - ---- Final PASS PART FAIL st&Beam _----- --- --L?mder Slab --_ Rough-In Water Service -- - Sanitary Sewer Rain Drains - - - -- Catch Basin/Manhole Storm Drain - Shower Pa - Other: - - ------ --- -- Final ASS ART FAIL - ---- CAL - Post 8 Beam - -- - ------ - Rough-In ------- _ --------- Gas Line Smoke DamDers Final PASS PART FAIL ------ - - - - ELECTRICAL Service ------ --- Rough-In UG/Slab -`- -- - Low Voltage Fire Alarm ------- --------------- Final Reinspection fee of$ _ required before next Inspection Pay at City Hall, 13125 SW Hall Blvd. P PART FAIL Please call for reinspection RE: __--.._ F ] Unable to inspect--no access Supply Line J A A Ap idewalk Daft - Inspector --- - - --Ext--- Other r DO NOT REMOVE this Inspection record from the job site. S ART FAIL CITY OF TIGARD 24-Hour BUILDING Inspection Line: (503)639-4175 MST _ INSPECTION DIVISION Business Line: (503)639-41zi. y OUP ceived sted. ate Reque BLIP LLocation at on D�cri'-//S/7� AM Suite - PM----- --- MEC — Contact Person _ Ph(_ ) 1 p L� ,' Uo 7 Contractor _ Ph(—) -- _._ SWR UIL—DI N Tenant/Owner ELC o g - Foundation ELC _ Access: Ftg Drain ELR Crawl Drain Slab Inspection Notes: IT` . cy Z- Oyo Z y Post& Beam Shear Anchors Ext Sheath/Shear _ Int Sheath/Shear } (, Framing - — - -- — — Insulation Drywall Nailing -- -- -- ---- -- - _ �._ Fire i'" BOG' rinkle ire Alarm S sp'd Ceiling --- -- ----- -- Ot or: <I U-� ---- ----- --- ------ --- Final PART FAIL --- -- ---- _..----------- —� Pos Beam --- Under Slab Rough-in WateService �J '9 Sanitary Sewer Rain Drains _ Catch Basin/Manhole Storm Drain -- Shower Pan Other Final PASS PART FAIL MECHANICAL _ _ A, _ Post 8 Beam — Rough-In ----- — ----- Gas Line IF Smoke Dampers ------ -- — Final PASS PART FAIL — -- - ELECTRICAL Service — -- -- --! Rough-In — UG/Slab / Low V01age Fire Alarm Final u Reinspection fee of$_____—__.required before next inspection. Pay at City Hall, 13125 SW Hail Blvd. PASS PART FAIL SITE -- Please call for reinspection RE:.— _ Unable to inspect-no access Fire Supply Line ADA ��/�� Approach/Sidewalk Date—- ! / InspectorG)_>� Ext Other: Final J — DO NOT REMOVE this inspection record from the Job site. PASS PART FAIL. CITY OF TIGARD 24-I-IQur BUILDING Inspection Line: (503)639-4175 MST INSPECTION DIVISION Business Line: (503) 639-4171 _ BUP Received _-DateRequested ` f S AMBUP PM' BUP Location `�U I r-� f Suite--___ MEC - Contact Person Ph( 1 - - _ PLM - Contractor Ph( ) SWR -- - -- BUILDING TenanUOwner _— _ - _ ELC - Footing -- ELC Foundation Access: ELR Fig Drain Crawl Drain s Slab Inspection NoteLam' Post&Beam -- --- - Shear Anchors Ext Sheath/Shear -- -- -- Int Sheath/Shear Framing -- --- - - Insulation Drywall Nailing - ---- - --- -- Firewall Fire Sprinkler --- -- --- - Fire Alarm Susp'd Ceiling --`---- - -- Roof - Other -_._- --- Final — PASS PART FAIL — ----- ---- _--- PLUMBING _ --- -------- -- ---- - -- Post& Beam— Under Slab ---- - - Rough-In — Water Service -- --- - - --- --- Sanitary Sewer Rain Drains —"------ Catch Basin/Manhole Storm Drain - - - Shower Pan Other: Final - PASS PART FAIL_ MECHANICAL Post&Beam Rough-In --- -------_- ---- Gas Line Smoke Dampers - - --- Final PASS PART _FAIL — -� --.-_-- --- -- - -- ELECTRICAL _ Service - Rough-In -- - - UG/Slab Low Voltage -- --- Fire Alarm Final Reinspection fee of$-_ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. P S PART FAIL - _- Please caul for reinspection RE:--.-- -- _ Unable to inspect-no access Supply Li—ne ,�' ADA Date // /- Inspector Ext Approach/Sidewalk ------- - Other:_- DO NOT REMOVE this Inspection record from the job site. PART FAIL _- 1 C'TY OF TIGARD 24-Hour BUILDING Insper-don Line: (503)639-4175 INSPECTION DIVISION Business Line: (503)639-4171 MST BLIP _ Received-& Date Requested �y AM PM BLIP Location -^ /-";)Li(� ¢ —Suite— MEC Contact Person _ _ ki __ Ph( ) (O'Z X300 PLM Contractor Ph(—) `— SWR BUILDING Tenant/Owner ELC Footing Foundation Access: , ELC Ftg Drain ,.l ELR Crawl Drain -� Slab Inspection otes: SIT Post&Beam Shear Anchors - Ext Sheath/Shear Int Sheath/Shear Framing Insulation Drywall Nailing -- --- - _— Firewall Fire Sprinkler — ----- --- -- - _— Fire Alarm Susv'd Ceiling - - - — --- Rcof Other: - -_— - - Rnal ---- PASS PART FAIL - -- B Post R Beam era , h jn Rougf Water Service -- - Sanit weer -��rn!D — l:A[Ct1 Basin/Manhole Storm Drain Shower Pan Other: Fina -�-_- AS } PART _FAIL -- H - -" - A_NICAL Post&Beam Rough-In Gas Line Smoke Dampers Final PASS PART FAIL --- --- — ELECTRICAL Service- -------- - -- - ---- - Rough-In UG/Slab Low Voltage Fire Alarm Final Reinspection fee of$ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL SITE Please call tot reinspection RE: Unable to inspect-no access Fire Supply Line / ADA Approach/Sidewalk Datta ` C-�--- Inspector�� _-�— Ext- Other: _ Final D NOT REMOVE this inspection record from the job site. PASS PART FAIL CITY OF TIGARD 24-Hour BUILDING Inspection Line: (503)639-4175 MST INSPECTION DIVISION Business Line: (503)639-4171 BUP Received _. Date Requested _ AM____ PM _. — BUP _— Location Suite / MEC . ' ' Contact Person ---- - --_i Ph( ) 2 6#4r /Z:300 PLM ___-- Contractor - _-- - -- Ph( ) -- _- SWR BUILDING Tenant'Owner __ _ ELC Footing ELC Foundation Access: Ftg Drain ELR Crawl Drain Slab Inspection Notes: SIT Post&Beam —_ Shear Anchors Ext Sheath/Shear Int Sheath/Sheer Framing - Insulation Drywall Nailing - - - - - -- Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Other: - Final PASS PART FAIL ---------- - - -- -- PLUMBING Post&Beam Under Slab - Rough-In Water Service - -- - — --------- _ Sanitary Sewer Rain Drains - - - Catch Basin/Manhole Storm Drain Shower Pan Other: — - Fi --- A PART FAIL CHANICAL Post& Beam Rough-In -- Gas Line Smoke Dampers — --- - - --- Final PASS PART FAIL - ---_ - — ELECTRICAL Service —�--- - — Rough-In _ UG/Slab Low Voltage --- Fire Alarm Final El Reinspection fee of$ _ _- required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PAR_T FAIL SITE _ _ j Please call for reinspection RE- __ Unable to inspect-no access Fire Supply Line ADA �i Approach/Sidewalk Date Inspector - Ext Other: Final DO NOT REMOVE this Inspection record from the job site. PASS PART FA!L CITY OF TIGARD 24-Hour BUILDING Inspection Line: (503)639-4175 INSPECTION DIVISION Business Line: (503)R39-4171 MST — / BUP Received __ Date Requested - - �P - AM___._-_— PM— _- ___ BUP _— I.ocation _ OL ��t� Suite MEC _ 1(ell Contact Person -- _- 4iAPh ........ _) aS 6- O PLM ` Yo Contractor _ Ph ( __ ___-) _—___ _ -__ SWR — B Tenant/Owner _ ELC g ELC Foundation Access: Fta Drain ELR _ Inspection Notes: SIT - Post&Beam Shear Anchors Ext Sheath/Shear Int Sheath/Shaar Framing Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling -- - - - - - -- -— Roof Other: -- - -- ---- - — -- — Final PART FAIL -- ------- - -------- ---- _BING_ Post&Beam Under Slab Water Service - - - Sanitary Sewer Rain Drains --- Catch Basin/Manhole Storm Drain ---------- -----._ - -- — Shower Pan Other: Fi PA _ PART FAIL H_ANICAL _ ' Post&Beam — -- Rough-In — Gas Line Smoke Dampers - --- — -- - - -- -- Final PASS PART FAIL — -- ELECTRICAL - ---------- Service - _ - - --- - - Rough-In --- -------------- UG/Slab Low Voltage _.— Fire Alarm Final Reinspection fee of$ required before next Inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL SITE - ❑ Please call for reinspection RE _ —_ Unable to inspect-no access Fire Supply Line ADA Approach/Sidewalk Date_ A, Inspector __ —. Ext Other: Final �1010 NOT REMOVE this Inspection record from the Job site. PASS PART FAIL CITY OF TICARD 24-Hour BUILDING Inspection Line: (503)639-4175 MST INSPECTION DIVISION Business Line: (503)639-4171 BUP -- --- -- --- Received — —Date Requested_ AM __PM BLIP ___-- Location _—___ - — Suite _ MEC Contact Person �� Ph PLM . ` Vit%' Contractor Ph(____) _-- _------ SWR --- --- BUILDIVG Tenant/Owner - _ __,_ ___ - ELC -- _ Footing - Foundation Acces , ELC -- -----_----- -_ __- Ftg Drain 1 ;,�,. < C F L/(c G w 1 ELF! Crawl Drain Slab Inspection Notes. SIT - Post&Beam Shear Anchors V Ext Sheath/Shear off C_ IC 1/ Int Sheath/Shear Framing ---- Insulation Drywall Nailing - - -- - Firewall Fire Sprinkler --- Fire Alarm Susp'd Ceiling — Roof Other: - Final � --- --..--- PASS PART FAIL — ---^-- PLUMBING Post& Beam ---------_.-- Under Slab ------- -- -- --- .. Rough-In Water Service - ----- - - -- Sanitary Sewer Rain Drains Catch Basin/Manhole Storm Drain - -- ------— - -- Shower Pan QtheL P S PAR T FAIL --- -- - --- —� -- - _-MIWANICAL Post& Beam Rough-In - -- - - — Gas Line Smoke Dampers -- -- - — Final PASS_PART FAIL - -- — --- EL.ECTRICAL Service - - - Rough-In UG/Slab Low Voltage Fire Alarm Final Reinspaction fee of$ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. _PASS PART FAIL SIPlease call for reinspection RE: _ __-___ Unable to Inspect-no access Fire Supply Line ��,, AOA __l_ - Approach/Sidewalk Date l�_1U - Inspector _- ___ _ -____Ext Other Final DO NOT RERIOVE this Inspection record from the job site. PASS PART FAIL I CITY OF TIGARD 24-Hour BUILDING Inspection Line: (503) 639-4175 INSPECTION DIVISION Business Line: (503) 639-4171 -- BLIP jived Date Re uested - _ _ - AM_ ___ PM BLIP/ - ,n --1 �� - -- --Suite------ - - MEG .son - -- Ph(- ) _ -- PLM tractor - - - ---- Ph SWR -- --_ —_ BUILDING - TenanUOwner - ELC Footing ELC Ft Drain Foundation Access: J - g C � �-�'1 ,ELR / Crawl Drain Slab Inspection Notes: SIT Post&Beam Shear Anchors - Ext Sheath/Shear Int Sheath/Shear -- Framing Insulation - Drywall Nailing t - sd I Firewall rc`� Fire Sprinkler - ---- -- ------ Fire Alarm Susp'd Ceiling --------- -- - -- - -- Root Other. -_--------- - - - ------ Final -- ------_ _ _PASS PART FAIL -- - -_- PLUMBING V �' Post& Beam --- Under Slab Rough-In =- Water Service -- ------ __ Sanitary Sewer Rain Drains - -- Catch Basin/Manhole Storm Drain -- - -- -- - Shower Pan Other: — -- - Final -R---- -- PASS PART_FAIL— MECHANICAL � Post& Beam -- Rough-In - -..- ----- -- - Gas Line Smoke Dampers Final PASS PART FAIL - -- - ---- - - --- -- ---- - - ELECTRICAL Service Rough-In G/Slab - ----- L0 o Fre arm rna Reinspection fee of$._ _ _ - required before next inspection. Pay at City Hall, 13125 SW Hall Blvd PART FAIL SITE -- Please call for reinspection RE: - _- Unable to inspect-no accesE Firo Supply Line ADAd Date Approach/Sidewalk � - � --- Inspector. _ _- _Ext -_ Other: Final DO NOT REMOVE this inspection record from the Job site. PASS PAR t FAIL CITYOF TIGARD CERTIFICATE OF OCCUPANCY DEVELOPMENT SERVICES PERMIT#: BUP2002-00425 13125 SW Hall Blvd.,Tigard, OR 97223 (503)639-4171 DATE ISSUED: 4/15/2003 PARCEL: 2S 104AB-04700 ZONING: R-4.5 JURISDICTION: TIG SITE ADDRESS: 13401 SW BENISH ST SUBDIVISION: BLOCK: LOT: y CLASS OF WORK: ADD TYPE OF USE: COM TYPE OF CONSTR: 5N OCCUPANCY GRP: B OCCUPANCY LOAD: 706 TENANT NAME: OUR REDEEMER LUTHERAN CHURCH REMARKS: 5084 square foot 2-story addition to an existing church. Owner: OUR REDEEMER LUTHERAN CHURCH 13401 SW BENISH ST TIGARD,OR 97223 Phone: 503-524-6646 Contractor: 646-2123 YORKE + CURTIS 4480 SW 101ST AVE BEAVERTON, OR 97005 Phone: I oIr.-_'I Reg #: All 1 00001990 I W 556.44 This Certificate issued 8/25/21)(13 grants occupancy of the above referenced building or portion thereof and confirms that the building has been inspected for compliance with the State of egon Specialty CFfor the group, occupancy, and a uthder whicl t`�i of meed permit wa s BUILDING INSPECTOR BUILDINGFICIAL 0,9 POST IN CONSPICUOUS PLACE C i TY OF TIGHK D ELECTRICAL PERMIT APERMIT#: ELC2003-002 17 M DATE ISSUED: 4/29/03 13125 SW Hall Blvd., Tiqard. OR 97223 (503) 639-4171 PARCEL: 2S104AB-04700 SITE ADDRESS: 13401 SW KNISH ST ZONING: R-4.5 SUBDIVISION: BLOCK: LOT: JURISDICTION: TIG Project Description: Electrical work associated with construction of 5,0134 square foot addition to existing church. Job No. 10382 RESIDENTIAL UNIT __TEMP SRVC/FEEDERS MISCELLANEOUS_ 1000 SF OR LESS: 0 200 amp: PUMP/IRRIGATION: EACH ADD'L 500SF: 201 400 amp: SIGN/OUT LINE LTG: LIMITED ENERGY: 401 - 600 amp: SIGNAL/PANEL: MANF HMI SVC/FDR: 601+amps - 1000 volts: MINOR LABEL (10): SERVICE/FEEDER BRANCH CIRCUITS ADD'L INSPECTIONS 0 200 amp: 3 W/SERVICE OR FEEDER: 31 PER INSPECTION: 201 - 40G amp: 1st W/O SRVC OR FDR: PER HOUR: 401 - 600 amp: EA ADD'L BRNCH CIRC: IN PLANT: 601 - 1000 amp: PLAN REVIEW SECTION 1000+ amp/volt: >=4 RES UNITS: >600 VOLT NOMINAL: Reconnect only: SVC/FDR>=225 AMPS: CLASS AREA/SPEC OCC: Owner: Contractor: OUR REDEEMER LUTHERAN CHURCH ATLAS ELECTRICAL CONTRACTORS 13401 SW BENISH ST 4403 SE ROETHE RD TIGARD,OR 97223 MILWAUKIE,OR 97267 Phone: 503-52.4-6646 Phone: F-659-4944 Reg #: W8-2212 2581 S LIC 1532 _ FEES III 3-2(' Description Date Amount Required Inspections TI{I.I'Rh1T) I I ( I'rrnut .1 It.(11 $447.05 --' IIfI.PL('KI Fl (( I'In Rev 4 It f t $111,76 Rough-in Elecl'I Final I I At 1811",State I'aX 4 16 W, $35.76 Rough-in Elect'I Final _ Rough-in Total $594.57 Low Voltage Inspection Low Voltage Inspection Elect'I Service Elect'I Service This Permit is issued subject to the regulations contained in the Tigard Municipal Code,State of OR.Specialty Codes and all other applicable laws. 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 than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR Q52-001-0100 You may obtain copies of these rules or direct questions to OUNC at(503)246-6699 or 1-800-332-2344. Issued By: i Permit Signature: { OWNER INSTALLATION ONLY The installation is being made on property I own which is not intended for sale, lease, or rent. OWNER'S SIGNATURE: __— DATE: CONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR. ELEC'N: _ DATE: LICENSE NO: .-�"S O pt �—- ---- -------- --- ------- -- Call 639-4175 by 7:00pm for an inspection the next business day Electrical Permit Application Date received�,' Xr e Ptrtrutno.: City of Tigard Project/appl.no.: Expiredate: City of regard Address: 13125 SW Hall Blvd,Tigard,OR 97223 Date issued: By: I Receipt no.: Phone: (503) 639-4171 Fax. (503) 598-1960 Case file nPayment Land use approval: _ v (�1 U I "t 2 family dwelling or accessory 0 Commercial/industrial O Multi-family ❑'fenan[improvement U 4ew construction U Addition/altetation/replacement A ()(her_ U Partial I " Job address: 13401 SW Beni.sh Street _ I Bldg. no.: I Suite no.: Tax map/tax lot/account no.: Lot: Block: Subdivision: l Project name: Our Redeemer Luh r scnption and location of work on premises: er. Estimated date of completion/ins tion: 1I MIN III Imil WIAJJULI� Fee I Max Job no: ikj:38l - — Dc:cription Qty. (ea.) Total no.inn r. Business name: Atlas Electrical I-snKieormulti-r mihper Audress: 4403 SE Roethe Road dwellin4ttnit.Includ"2trachedgara;e. rt Citv: Mi.lwaukie State: OR ZIP: 97267 ServieelnchWed: Phone: 659-2212Fax: _ E-mail: 1000 sq.f-or less 4 Foch additional 500 sq.ft.or portion thereof CCB no.: 1532 Elec.bus.lic.no: 3-2C Limited energy,residential 2 City/ tro lic.no: 432 Limited energy,non-residentini 2 4/15/03 Each manufactured home or modular dwelling Date Service and/or fader 2 Signature of supery g eiectrician(required) See�lceaorfeedan-io�nbttioeti l ;up.elect.n-ime(p r):Rorl U—mo' alteradoa or relocation: MIUNIHAW 200 amps or lest 'a an �r) Ili Awl • 201 amps to 400 amps Name(print): 401 amps to 600 amps 2 Mailing address: 601 amps to 1000 amps 2 City: State: lZIP. Over 100)amps or volt_t 2 Plione: Fax: E-moil: Raonn stogy _' Tetapontry aerrices err hedens- Uvmer installation:The installation is being made on property I own Insnlladae.alteradoe,orrelocadon: witich is not intended for sale,lease,rent.or exch ange according to 200 amps at less 2 ORS 447,455,479,670,701. 201 Stops to 400 amps2 Owner's si tort: Date: a01 to 600 ams '- Branch circuits-new,Wtendon, or extension per panel: Name: A. Fee for branch circuits with p rcitase of Address. service or feeder fee,each branch circuit Ste, ZIP: B. Fee for branch circuits without purchase City: - of service or feeder fa,first branch circuit, 42 Phone- - Fax: F mail: Each additional branch circuit: misc.(Service or feeder not included): Each pump or irrigation code 2 U Service over 225.unps-com-crual J Health-Cate f=11N Each pump f itoutire ionligcirc 2 Service over 320 amps-Hung of 1 U Hazardouslocation Signal circuit(s)or a lirruted energy panel. faruly dwellings 21 U Building o•.-t 10,000 square feet four err 8 , J System over 600 volts nonunal mote residential units to one structure alteration,or eatcnstL ❑Building aver three stones U Feeders.400 amps or more •Descri uon: -1 Occupant band over 99 persons 0 Manufactured structures or RV park Each additional bupecdon over the allowable in any of the above: Fgress/lighungplan U Other: Pet ina coon Submit_sM of pbma with any of the above. investigation fee The above are not applicable to temporary coaatrvction service. other Permit fee.....................$ 442,Q5--- Not All)unsdicuons accent audit cads.pleax call jurisdiction r«more mtamuuon. Notice:This permit application Plan review(at � `!b) $ uL 76 U Viae U Mastert:ard expires if a permit is not obtained Credit card number 35.76 within 180 days after it has been State surcharge(8%) ....5 .._ — _ Fxpiret accepted as complete. TOTAL .......................S 594.57 Name of cyrdltolder u shown on credit card � s Cardholder sttW i'moia _ MO+615 1(v06COM11­[W Electrical Permit Fees: Limited Energy Fees: Complete Fee Schedule Below: _TYPE OF WORK INVOLVED -RESIDENTIAL ONLY _ Restricted Energy Fee................................................ 75. 500 _ Number of Inspections per permit allowed) (FOR ALL SYSTEMS) Service, included: Items Cost Total y Check Type of Work Involved: Residentla,-perunit 1000 sq.ft,or less _ S145.15 4 Audio and Stereo Systems Each addd!jnal 500 sq.ft.or portion thereof _ $33.40 ,1 ❑ Burglar Alarm Limited Energy $75.00 Each Manuf d ilorne or Mrxlular ❑ Garage Door Opener' Dwelling Service or Feeder _ $90.90 2 Serv.#-es or Feeders ❑ Heating,Ventilation and Air Conditioning System' Installation,alteration,or relocation 200 amps or less $80.30 2 ❑ Vacuum Systems' 201 amps to 400 amps $106.85 2 401 amps to 600 amps $160.60 2 601 amps to 1000 amps $240.60 2 ❑ Other Over 1000 amps or volts $454.65 2 Reconnect only $66.85 2 Temporary Services or Feeders TYPE OF WORK INVOLVED -COMMERCIAL ONLY Installation,alteration,or relocation Fee for each system........................... ............................ $7.5.00 200 amps or less _ $66.85 2 (SEE OAR 918-260-260) 201 amps to 400 amps $100.30 2 401 amps to 600 amps $133.75 2 Check Type of Work Involved: Over 600 amps to 1000 volts, ❑ see"b"above. Audio and Stereo Systems Branch Circuits ❑ Boiler Controls New,alteration or extension per panel a)The fee for branch circuits ❑ with purchasr o service or Clock Systcros feeder fee. Each branrhcircuit $6.65 2 ❑ Data Telecommunication Installation b)Tl o efl fc, aran(.h circuits wfh nut purcha se of service Fire Alarm Installation - cr '-oder fee_ ja '..st brava.do ud _ $46.85 ___ ❑ HVAC Each,additional branch c,rruit $6 69 MW*Ianeous ❑ Instrumentation (Service of feeder not included) Eads pump or.Irrigation rirrle $53.40 ❑ Intercom and Paging Systems Each sign or outline lighting $53.40_ Signal circuit(s)ora limited ene ❑ panel,alteration or extension $75.00 Landscape Irrigation Control' Mina Labels(10) $125.00 ❑ Medical Each additional inspection over „ the allowable in any of the above se Cells Per inspection _ $62.50 Q Nurse Per hour $62.50 _ ❑ In Plant $73.75 Outdmr Londansp-Lighting' Fees: ❑ Protective Signaling Enter total of above fees S ❑ Other — 8%State Surcharge S N-imber of Systems 25%Plan Review Foe No licenses are required Licerses are required for all other installations See"Plan Review'section on $ front of application. _ Fees: total Balance Due $ Enter total of above fees $ ❑ Trust Account p 8%State Surcharge = Total Balance Due 5 Asts\fbrms,elc-fees.doc 10/09/00 CITYOF T I GA R D PLUMBING PERMIT DEVELOPMENT SERVICES PERMIT#: PLM2002-00387 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 4/15/03 SITE ADDRESS: 13401 SW BENISH ST PARCEL: 2S104AB-04700 SUBDIVISION: ZONING: R-4 5 BLOCK: LOT: JURISDICTION: TIG CLASS OF WORK: ADD GARBAGE DISPOSALS: MOBILE HOME SPACES: TYPE OF USE: COM WASHING MACH: BACKFLOW PREVNTRS: 1 OCCUPANCY GRP: A3 FLOOR DRAINS: TRAPS: STORIES: 2 WATER HEATERS: CATCH BASINS: 4 FIXTURES LAUNDRY TRAYS: SF RAIN DRAINS: SINKS: URINALS: GREASE TRAPS: LAVATORIES: OTHER FIXTURES: TUB/SHOWERS: SEWER LINE: 70 ft WATER CLOSETS: WATER LINE: 500 ft DISHWASHERS: RAIN DRAIN: 700 ft Remarks: Site utilities for 5084 square foot 2-story addition. FEES Owner: -' Description Date Amount OUR REDEEMER LUTt/I=RAN CHURCH � 3401 SW BENISH ST II'I.UMI;I I'crmit I've 4115/03 y649.00 1 13401 S, OR 97223 I I AXI s", Statc Trrx 4/15/03 $51.92 TIGAIPI \11'1 \1 Ilan kr%ire\ 4/15/03 $162.25 Phone : 503-524-6646 Total $86317 Contractor: TIMBER VALLEY PLUMBING PO BOX 34 CANBY,OR 97013 REQUIRED INSPECTIONS Phone : 266-4300 Water Line Insp ^ Water Line Insp Reg #: MET /►tum I IS Water Line Insp LIC .11031 Fire Supply Line-FPS PLM 3-1001'11 Fire Supply Line-FPS Storm Drain Insp Storm Drain Insp Storm Drain Insp Rain Drain Insp RP/Backflow Preventer Final Inspection This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable laws. 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 than 180 days. ATTENTION. Oregon law requires you to follow rules adopted by the Oregon Issu�d By: Permittee Signature: Call (503) 639-4175 by 7:00 P.M. for an inspection needed the next business'tiay Plumbing Permit Application I)atc received: ,�� (� Permit no.: City of Tigard Sewer permit no.: Building permit no.: Address: 13125 SW Hall Blvd,Tigard,OR 97223 -- t'iry„�I Tigard Phone: (503) 639-4171 ProjecUappl.no.: xp dole: Fax: (503) 598-1960 bate issued: B JZeceipt no.: Laski use approval: Case file no.: Payment type: U I &2 family dwelling or accessory U Commercial/industrial U Multi-family U Tenant improvement U New construction J Addition/alteration/replacement U Fulld service U Other: Jub address: j,' ( Ly --— Description (?r�. Fcc(ca.) total Netr I-and Z-family rlNcllinRs only: — Bldg.no.: Suite no.: (includes too ft.for each utilityconnec(iun) Tax map/tax lot/account no.: SFR(1)bath Lot: I Block: Subdivision: SlR(2)bath Project name: ! C SFR(3)bath City/county:-f Zip: Zr7, --7-, Each additional bath/kitchen De ription and location of work on remises: __ Siteutilities: ( „ Catch hasitt/area drain Est.date uannpletion/inspectiun: Drywells/leach line/trench drain l' _ Footing drain(no.lin.fl.) Manufactured home utilities Business name:-1 f/dot rr c f' I/t. �,` Manholes Address: J' . L/ Rain drain connector City: r State:! ZIP: ?70ary /3 Sanilsewer(no.lin.ft.) Phone: - -- Fax: Email: Storm sewer(no.lin.ft) — CCB no./ r Plumb.bus.reg.no: _/ Water service(no. lin. ft.) Fixture or item: City/met lie.no.: _—�] Absorption valve Contractor's reptcsentative signAtun' _ Beck flow reventer I' nt name: �Datc: Bacnkwater valve r i Basins/lavatory Name:12A 1. r✓J ` Clothes washer Dis twasher Address: Drinking fountain(s)IL _ City: Stat ZIP: - ( Ejectors/sump _ Phone: ax: E-mail: Expansion tank ixturelsewer cap Name(print): " �� � � Floor drains/floor sinks/hub Garbage disposal _ Mailing address: b 1 Hose bibb _ City:' State: ZIP: t . Z lee maker _— Phone: Fax: I IT-mail: Interceptor/grease trap Owner installation/residential maintenance only: The actual installation Primer(s) _ will be made by me or the maintenance and repair made by my regular Roof drain(commercial) _ employee on the property I own as per ORS Chapter 447. Sin (s),basin(s),lays(s) Owner's signature: Date: I Sum Tubs/shower/shower pan _ Urinal Name:(-• _ -Water—closet Address: ^x Water heater - City: j State- ZIP: Other: Phone`. ?Y' pk. E-mail: otsl Minimum fee................$ Not alt)utiadicaons accept credit cards,please call jurisdiction form informuion Notice:"this permit application visa U Mastercard Plan review(at _ 96) S U expires if a permit is not obtained credit card number ._ __ --L-1-- within 180 days alter it has been Slate surcharge(8%)....s F.xpitex on accepted as complete. 'TOTAL ....................... Naar of cardlalder u shown credit card $ catdhddiK Hputure Arrlounl C 440 4616(~'OM) PLUMBING PERMIT FEES: PRICE TOTAL New 1 and 2-family dwellings only: FIXTURES individual) QTY ea AMOUNT (includes all plumbing fixtures in PRICE TOTAL Sink 16.60 the dwelling and the first100 ft. QTY (ea) AMOUNT Lavatory 16.60 for each utility connection) --- One 1 bath $249.20 Tub or Tub/Shower Comb. 16.60 Two bath $350.00 Shower Only 16.60 Three 3 bath $399.00 Water Closet 1660 ---l J-8-- TAL - - ---- SUBTO Urinal 16.60 8%STATE SURCHARGE _ Dishwasher 16.60PLAN REVIEW 25%OF SUBTOTAL Garbage Disposal 16.60 _`__,_ TOTAL Laundry Tray 16.60 Washing Machine 16.60 Floor Drain/Floor Sink 2" 16.60 PLEASE '',OMPLETE: 3" 16.60 4" 16.60 Water Heater O conversion O like kind 16.60 Quantfty by Work Performed Gas piping requires a separate mechanical Fixture Type: New Moved Replaced Removed/ permit __- ______ _ Capped MFG Home New Water Service 46.40 MFG Home New San/Storm Sewer 46.40 Lavatory Tub or Tub/Shower Hose Bibs 16.60 Combination _ Roof Drains 16.60 Shower Only Drinking Fountain 16,60 Water Closet Urinal Other Fixtures(Specify) 16.60 Dishwasher Garbage Disposal �- Laundry Room Tray Washing Machine Floor Drain/Sink: 2" Sewer-1st 100' 55.00 S ,DO 3" Sewer-each additional 100' 46.40 4" Water Service-1 st 100' 55.0006 Water Heater Other Fixtures Water Service-each additional 200' _ ! 46.40 - - (Specify) Storm 8 Rain Drain-1st 100' 55.00 U Storm 3 Rain Drain-each additional 100' 46.40 Commercial Back Flow Prevention Device 46.40 ,y Residential Backflow Prevention Device' 27.55 -- - Catch Basin qr 16.60 L_ Inspection of Existing Plumbing or Specially 62.50 Requested Inspections _ rRtt COMM ENTS REGARDING ABOVE: Rain Drain,single family dwelling 65.25 Grease Traps 16.60 ------ QUANTITY TOTAL Isometric or riser diagram Is required if Quantity Total is >9 _ - _ ---- - --_ "SUBTOTAL 8%STATE SURCHARGE -- - - --- - "PLAN REVIEW 25%OF SUBTOTAL Required only If fixture qty total is�P TOTAL f *Minimum permit fee is$72 54+6%state surcharge,except Residential Backflow Prevention Device,which Is$36.25•B%state surcharge "All Now Commercial buildings require 2 sets of plans with Isometric or rise, diagram for plan review. i vimsVorms�plm-fees doc 12,126/01 CITY OF T I G A R D BUILDING PERMIT PERMIT #: BUP2003-00341 DEVELOPMENT SERVICES DATE ISSUED: 7/3/03 13125 SW Hall Blvd., Tiqard, OR 97223 (503) 639-4171 PARCEL: 2S104AB-04700 SITE ADDRESS: 13401 SW BENISI-i ST SUBDIVISION: ZONING: R-4.5 BLOCK: LOT: JURISDICTION: CIG REISSUE: FLOOR AREAS _ _ EXTERIOR WALL CONSTRUCTION CLASS OF WORK: FPS FIRST: sf N S: E: W TYPE OF USE: COM SECOND: sf PROJECT_ OPENINGS? _ TYPE OF CONST: 5N sf N: S: E: W: OCCUPANCY GRP: B TOTAL AREA: sf ROOF CONST: FIRE RET? OCCUPANCY LOAD: BASEMENT: sf AREA SEP. RATED: STOR: 2 HT: ft GARAGE: sf OCCU SEP. RATED: BSMT?: MEZZ'e: R_E_QD SETBACKS _ _ REQUIRE_D FLOOR LOAD: psf LEFT: ft RGHT. ft FIR SPKI-_ ^l�SMOK DET: DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP ACC: BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING: VALUE: $ 15,328.00 Ri.marks: Fire alarm system for church addition. Owner: Contractor: OUR REDEEMER LUTHERAN CHURCH ATLAS ELECTRICAL CONTRACTORS 13401 SW BENISH ST 4403 SE ROETHE RD TIGARD, OR 97223 MILWAUKIE,OR 962.67 Phone: 503-524-6646 Phone: 659-2212 Reg #: LIC 1532 FEES REQUIRED INSPECTIONS Description Date Amount Electrical Permit Required I[it 11-Dj Permit Ilee 6/10/03 $196.90 Fire Alarm Insp ITAXj 8%)State Tax 6/10/03 $15.75 Smoke detector insp III S]FLS Pln Rv 6/10/03 $78.76 Final Inspection Total $291.41 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 than 180 days. ATTENTION: Oregon law requires you to few the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-OW—t6rougi` R 952-001-0100. You may obtain a copy of these rules or direct questions to OUNC by calling ('" 3)246-6699 or -800-33 344. ISSUed 13 ; Permittee �' �- Signature: Call 639-4175 by 7 p.m. for an inspection the next business day 'b8N'l 0 2/240 N 4:P F'6AX'J5'035981980 CITY OF TIGARD Q002/005 Fire Protection System BQdft Permit Awlication Received Building zlp� M IaTvy: 6TL1 -P=Tdt No.;AA t I&K eesvl 02141, City of Tigard DAP12mins WBY,ApprOval PmfttNo.: 13125 SW Hall Blvd. Plan Review Other Tigard,Omgm 97223 Phone: 503-639-4171 Pax: 503-598-1960 post-Review, I.And Use DO/By: Cue No. Internet: www.ci.figardor.us contact Jurial., rBee Page 2for 24-hour Inspection Request: 503-639-4175 supplemental Information New Const-action I El Demolition • 3 -Addition/alt,.-ration/:arplacement Other: T, Note: PctTWt fees*am hued on the total value of the work performed. Indicate the value(rounded to the nearest dollar)of all equiptnent,materials,labor, I &�2-Farrffly dwelling Ptommiercial/bdustrial overbad and profit for the work indicated on this application e g�Amessory Building multi-Family Master eo . Master Builder Other: Valuation..................................................... S —7— No.of bedi oams: No.of baths: Job site uWrau. Taild number of floors ................................. New dwelling area(sq.fQ.............................. Suite#: Garagelearpon am(sq.ft.)............................ Project Name: 0" Covered porch an(sq.ft.)............................. Cross su=VVirections to job site: QDeck area(sq.ft.)........................................... Other structure area(sq.ft)............. ....... Subdivision: --7—Lot W. Tax map/ drCel#: New Permit(me*am based on the total value of the work performed. Indicate the value(rounded to the nearest dollar)of all equipment,materials,labor, thead and profit for the work indicated on this application.CA) J–/1 /-1 91 (103 Valuation.......................... .........11........... Existing building area(sq.ft.)......................... New building area(sq.ft.)............................... Number of stories.,......., 11.1 IMM.7m, Type of construction... ................................ "I Name: occupancy group(s): Exifts; New; Address: city/§W!��Z�. NOTICE: All conowtors and subcontractors are required to be P C: Fax: licensed with the Oregon Construction Contractors Board under visions of ORS 701 and may be required to be licensed in the Business Name: 4sdiction where work is being performed If the applicant is exempt Contact Name: from licensing,the following reason applies: Address: 9 14n? – Ci!X/State/Zip: M, kJ2.&,j.X 0 Phone: 6SC/–,2-,2J'AYaX: IR(''l I&IF M Business Name: A rl I'm I P71 Fees due upon application.............................. S ;�5 IA 1— Address: Address: HqO3 5E qC'),e– Ci /Star le/zhAmount received............................................. $ Ph 0 tyi., 4 ,-& r__-�28 1;i-J, "';J f Data received: CCB Lic�- #: I';- 2 Authorized Netite: Wit permit applitattion expire if a P011111111 h met obtained w"1111111 signstum: Dam: 180 days aftr it lin been accepted as emplitte. Q *Faa matbodelM to by Tri-County Belkliall Imilvetry ge"Ies beard. (Plexus print n"e) 1!\D@UV'etTMtFomm\SidgPorrrtitApp.doc 01103 CITYOF T I G A R D SITE WORK PERMIT DEVELOPMENT SERVICES PERMIT # : SIT2002-00024 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED : 4/15/03 SITE ADDRESS: 13401 SW BENISH ST PARCEL : 2S104AB-04700 SUBDIVISION: ZONING : R-4.5 BLOCK: LOT: _ JURISDI( ` lON : 710 CLASS OF WORK: PAVING ?: Y RESO. NO: TYPE OF USE: COM GRADING ?: Y VALUE: 94,000.00 EXCV VOLUME- 1,360 cy LANDSCAPING?: FILL VOLUME: 600 cy SIT' PREP ?: ENG FILL?: Y STORM DRAINS?: SOILS RPT READ?: Y IIVIPERV SURFACE: 16,025 sf Remarks: Site work associated with 5084 square foot 2-story addition to existing church. Owner: — --- - _FEES OUR REDEEMER LUTHERAN CHURCFI Description Date Amount 13401 SW BENISH ST _ TIGARD, OR 97223 1111JPPLN] Phi Uk-Valu 9/27/02 $462.46 [FLS] FLS Pln Ra 9/27/02 $284.59 Phone: 503-524-6646 [BUILD] Print Fee-Valu 4/15/03 $711.48 [TAX] 8%S't fax-Valu 4/15/03 $56.92 Contractor: [ERPRMT] Erosion Untl 4/15/03 $80.00 YORKE + CURTIS [ERPLN] Ersn Plck-USA 4/15/03 $26.00 4480 SW 101ST AVE [EROSN] Frsn Plck-C'O"I 4/15/03 $26.00 BEAVERTON, OR 97005 Total $1.647.45 Phone: 645-2123 Reg #: LIC 55644 Required Inspections Erosion Control Insp 846-8444 Excavation Fill Grading Retaining Wall/Footing Sprinkler supply lines Fire system test Final Report Eng'd Grading Final Inspection This permit is issued subject to the regulations contained in the Tigard Municipal Code. State of OR Specialty Codes and all other applicable laws. 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 than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through 9AR 952.-1001-0100. You may obtain copies of these rules or direct questions to OUNC by calling (503)246-669 Issu d By: Permittee Signature: Call (503) 639-4175 by 7:00 P.M. for an inspection needed the next business day 1.3 4.O/ Sw OEOSH ST Site Work Building Permit Application Date received: Permit no.:p rf• -1-y City of Tigard City of%'igarrl lddress: 13125 SW Hall Blvd,Tigard,OR 97223 Project/appl.no.: uT!vdate: Phone: (503) 639-4171 Date issued: By' Receipt no.: Fax: (503) 598-1960 i Case file no.: Payment type: Land use approval: L 1&2 family:Simple Complex: TYPE OF U I &2 family dwelling or accessory U Commercial/industrial U Multi-family U New construction U Demolition Addition/alteration/replacement U Tenant improvement U Fire sprinkler/alarm U Other: Joh address: f [i 1 =, `� _ Bldg...no.: Suite no.: Lot: Block: Subdivision: Tax map/tax lot/account no.: Project name: r, 1v Izo Description and location of work on promises/special conditions: i OWN t It FOR SPECIAL INFORMATIOX, USE CHECKLIST Name: �. � Ukf N>`�f r" . _ (Floodplain,septic capacity,solai, Mailing address: 11� �L,�I� Tj 7 1 •� I &2 family dwelling: n �. City: Vf? Statim _ ZI Valuation of work Phone: 'L Fax: I E-mail: No.of bedrooms/baths...................... O O Owner's representative: • I l"1 Total number of floors �... / ............ ............... Phonef�"tc Fax: E-matt !welling welling area(sq. ft.) ............. .......... C t-ge/carport area(sq. ft.)......................... Name: �j -� t'f� (iry Covered porch area(sq. ft.) ......................... Mailing address: /' Y 1 ( Deck area(sq. 11.) .......... ............... City: r State- ZIP:C Other structurenren(sq. fl.)......................... Phone: Fax: i z E-mail CommerciaUindustrial/multi-fslmiii: t Valuation of work........................................ $ f l` j Existing bldg.area(sq, ft.) ............... Business name: Address: �� l New bldg.area(sq. ft.) ................................ C` r Number of stories.................... ' City: State: 'ZIP: TYf+e of construction.................................... �N Phone: Fax: E-mail: CCB noOccupancy group(s): Existing: New: .: - ' ---- y/metro lir n Notice:All contractors and subcontractors are required to be ARChITEOIDESIGNER licensed with the Oregon Construction Contractors Board under Name: -!-C 1 1 f > > v ! �� provisions of ORS 701 and may be required to he licensed in the Address: �• . ' ' ( — jurisdiction where work is being performed. If the applicant is Cit �- . % State: ZIP exempt from licensing,the following reason applies: Contact person: Plan no.: - Phone: ,',' r Fax: E-mail: — NamContact person: Fees due upon application ........................... $�- Address: Y r_ . > - Date received: City: - '&TState: ' ZIP: Amount received ................................... .... $ _ Phone: C' Fax: E-mail: Please refer to fee sr.hedule. hereby certify I have read and examined this application and the Not all Jurisdictims accept credit cards,please cell Jurisdiction fol more intornution attached checklist. All provisions of laws and ordinances governing this U Visa U MasterCard work will he complied with,whether specified herein or not, i j^ Credit cud number _ LL_ f. pircs Authorized signs tt�e:-.----r c -A Date: �L { Name of cardholder as shown on credit cud Print name:_�–' �^ Cudholder il`tlatnrc Amount Notice:This permit application expires if a permit is not obtained within IRO days after it has been accepted as complete. aai-4613(60WOM) I u SITE WORK PERMIT CHECK LIST Commercial, Multi-Family (R-1 occupancy) and Residential: Please complete all items below, unless otherwise noted. Excavation Volume: cu. yds. Grading Volume: JS A report required for>5,000 cuyds.) L cu. ds. Fill Volume: (Fill exceeding 12." in depth shall be compacted to 90% of !' maximum density) cu. yds. Retaining structure? (Cheek one) ❑ Rock ❑ CMU ❑ Concrete 'fes jEGr'tEN�co PR E�Asr *Total new impervious area including all buildings, Q sidewalks, and paving: I v.51f S s . ft. Site Utilities Plumbing Work: Complete the "TAN" Plumbing Permit Application for site utilities plumbing work. Plans Required: See "Site Work Permit Application - Plan Submittal Requirements" attached. The following must accoman this application: Site Plan with Vicinity Map showing *Parking (including ADA) and ADA compliance Lighting_Plan_ Grading Plan and details *Lands_ca iP ng Plan_ - Erosion Control Plan and details Soils Report if required) Retaining Structures *Does not apply to 1 and 2-family dwellings. ------------Y-- - # of Plans TYPE OF SUBMITTAL Required at (Includes New, Additions or Alterations) Submittal Commercial 4 Multi-Family R-1 Occupancy 4 One- & Two-Family Dwelling 4 NOTE: Plan review is dependent upon submittal of a completed application and plans. After plan review approval, the Plans Examiner will contact the applicant to request additional sets of plans for distribution purposes (for Contractor, City of Tigard, Washington County, and Tualatin Valley Fire & Rescue). iAdsts\forms\sitechecklist.doc 09/24/01 CITY' OF TIGARD — ELECTRICALPERMIT- RESTRICTED ENERGY DEVELOPMENT SERVICES PERMIT#: ELR2003-00183 13125 SW Hall Blvd.. Tiqard, OR 97223 (503) 639-4171 GATE ISSUED: 6/26/03 PARCEL.: 2S 104AB-04700 SITE ADDRESS: 13401 SW SENISH ST SUBDIVISION: ZONING: R-4.5 BLOCK: LOT: JURISDICTION: TIG Proiect Description: Instill 2 low voltage systems. (1)data tele. and (1)fire alarm. A.RESIDENTIAL B.COMMERCIAL AUDIO & STEREO: AUDIO & STEREO: INTERCOM & PAGING: BURGLAR ALARM: BOILER: LANDSCAPE/IRRIGAT: GARAGE OPENER: CLOCK: MEDICAL: HVAC: DATA/TELE COMM: NURSE CALLS: VACUUM SYSTEM: FIRE ALARM: OUTDOOR LANDSC LITE: OTHER: HVAC: PROTECTIVE SIGNAL: INSTRUMENTATION: OTHER: TOTAL# OF SYSTEMS._____ _ Owner: Contractor: OUR REDEEMER LUTHERAN CHURCH ATLAS ELECTRICAL CONTRACTORS 13401 SW BENISH ST 4403 SE ROETHE RD TIGARD, OR 97223 MILWAUKIE, OR 97267 Phone: 503-524-664u Phone: 1 -059-4944 Reg#: MiST-22100002432 SUI' 258IS LIC 1 i FEES ELF ke4uired Inspections Description Date Amount Low Voltage Inspection I I.IKM f 11R Permit 6/26/03 $150.00 Low Voltage Inspection Elect'I Final IA\I x State Tax 6/26/03 $12.00 Total $162.00 This Permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable laws. 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 than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 throuc Issued by f `�_ �r <<.�l__ Z Permittee Signatures (`c7t.0 c.,C > L OWNER INSTALLATION ONLY The installation is being made on property I own which is not intended for sale, lease, or rent. OWNER'S SIGNATURE: DATE: CONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR. ELEC'N LICENSE NQ -_moi Ca11 639-4175 by 7:00 P.M. for an inspection needed the next business day Electrical PermitApptication Datereceived• -,)-.t,*.� y Permitno.: City of Tigard' Projecdappl.no.: Expire date: City oj77gard Address: 13125 SW Hall Blvd,Tigard,Ok 97223 Date issued: By: f Receipt no.: Phone: (503) 639-4171 Fax: (503) 598-1960 Case file no.: _ Payment type: Land use approval: 1 J I & 2 family dwelling or accessory Q Commercial/indiv ti Tal 0 Multi-family O Tenant improvement ❑New construction ❑,Ad(lition/alterationlreplacertu•rat I ')they. O Partial 1 1 Job address: 1.3401 SW BENISH STREET Bldg.no.: Suite no.: Tax map/tax lot/account no.: Lot: I Block: Subdivision: Project name: Our Redemeer Luther Bescription and location of work on premises: Add (2) limited ener to PermIt Estimated daw of complcuotdinspection: #ELC2003-00'1 7 SCHEDULE Job no: 10382 pee Mart Description Business name�At]ag ,) ; -a) Contractors, T nc _p (M) Total no.!tar flew rrsidentLri Angle or multi family per Address: 4403 SE Roethe Road ,twetlint;:tnit.in,ludesaitwlwdpi-.We. City: Mi.lwaukie State: OR ZIP: 97267 Servicrinuluded: Phone: 659-2212 1 Fax: 659-494. E-mai:: 1000 sqft.or less 4 Each additional 500 sq.ft.or portion thereof CCB no.: 12 Elec.bus.lic.no: 3-2C Limited energy,residential 2 City/mr.tro lie.no.: Lrmitedenergy,non-residential 2 6/20/03 Each manufactured home or modular dwelling Sigoattua of stipervising c (regnt d) Date Service and/or feeder 2 Sup.eldtname(printll onald J Gauger Lirxaseno:2 81S Services or feeders-indallistdoo, I alteration or"elocatlon: 200 amps or Iw - 2 Name(print): 201 amps to 400 amps 2 401 amps to 600 amps 2 Mailing address: 601 amps to 1000 amps _ 2 City: SLafC: ZIP: - Over 1000 amps or volts 2 Phone: Fax: E-mail: Reconnect on_y_ I Owner installation:The installation is bi-rig made on property I own Temporary senicn or feeders- which is not intended for sale,lease,rent.or exchange according to Iruttallation,alteration,°'relocation` 200 amps or less 2 ORS 447,455,479,670,701. '01 amps to 400 amps--�--- 2 OWrler'S Agnature; Date: _ _ __ .til l to W)amns --------_-- Branch circuits-nen,alteration, or extension per panel: Name. A. Fee for branch circuits with purchase of - - --- Address: service service or feeder fix,each branch circuit 2 City ti Lite ZIP' B. Fee for branch circuits without purchase of service of feeder fee,first branch circuit: 2 Phone: Fax: I E-mail: Each additional branch circuit: _ Miac.(Service or feeder not included): a Service over: :ulips-conimerc-iat _1 llealth-.are facihiv Fach pump or imgation c:r.te 2 *Service over 320 amps-rating of 182 J Huxtiouslocanon Fach sign or outline lighting family dwellings 7 Building over 10.000 square feet four or Signal circuit(.;or a ijmurd energy panel - *System over 600 volts nominal more residentiai units in one structure alteration,or extension• 2 75 $15C.00 U Budding over farm stones 0 Feeders.41X)amps car more *Description. 7 Occupant load over 99 persons ] Manufactured structures or RV park FAA additional Inspection over the allowable In any of the alcove: ~ Fgmsallighungplan J Other. ——_ Per inspection Submit-._sets of plans with any of the above. Investigation fee The above airs not applicable to to:uporary comiroction seMee. other Not all jurisdictions accept credit cards,please call jurisdiction fa'nae inranurirtn, Notice:This permit application Permit fee.....................$ 15n-on 0 Visa 0 MasterCard expires if a permit is not obtained Plan review(at — %) $ Cicdit card number: _ / / within 180 days after it has been State surcharge(8%) ....$ 12.00 s'00 Expires Name of cardholder as shown on cm4l card - accepted as complete. TOTAL .......................$ CardhoWc sipariae S Amount 440461'i6tlWOAfi Electrical Permit Fees: Limited Energy Fees: 7YPE OF WORK INVOLVED -RESIDENTIAL ONLY _ Complete Fee Schedule Below; Restricted Energy Fee........_............""""""""" Number of Inspections per permit allowed c $75.00 (FOR ALL SYSTEMS) Service included: Items Cost Total Check Type of Work Involved: Residential-per unit 1000 sq ft or less _ 3145.15 — 4 r__j Audio and Stereo Systems Each additional 500 sq,ft.or r -portion thereof `� $33.40 "1 Burglar Alarm Limited Energy $75.00 Each Manufd Home or Modular Dwelling Service or Feeder _—_— $90 90 _ 2 Garaqe Door Opener' Services or Feeders Heating,Ventilation and Air Conditioning System' Installation,alteration,or relocafon 200 amps or less _ $80.30 2 Vacuum Systems' 201 amps to•100 amps $106,85 401 amps to 600 amps $160.60 2 601 amps to 1000 amps $240.60 2 ❑ Other Over 1000 amps or volts _ $45465 2 Reconnect only $66.85 2 Temporary Services or i'eeders TYPE OF WORK INVOLVE=D -COMMERCIAL ONLY Installation,alteration,or relax ition Fee for each system................................................ ......... 575,10 200 amps or less $66.85 2 (SEE OAR 918-260-260) 201 amps to 400 amps $100.30 _ 2 401 amps to 600 amps _ $133 75 — 2 Check Type of Work Involved Over 600 amps to 1000 volts. _ see•'b"above. Audio and Stereo Systems Branch Clrr:uits ❑ New,alteration or extension per panel Boiler Controls a)rhe fee for branch circuits with purzhase of service or Clock Systems feeder fee. Eactrbranch circuit $6.65 2 ® Data Telecommunication Installation b)1 tie fee for branch circuits without purchase of service If��1I Fi`re Alarm Installation or feeder fee` ' `_-First branch circuit $4685 f� HVAC Each additional branch circuit $6.65 LJ Miscellaneous Instrumentation (Sem"or feeder riot included) _ Each pump or irrigatlnn circle _ $5340 ❑ Each sign or outline lighting $53.40 I Intercom and Pagm Mems Signal circuits)or a limited energy panel,alteration or extension $7500 Landscape Irrigation Control' Minor Labels(10) _ _ $12.5.00 _ Each additional Inspection over medical the allowable int any of the above Per Inspection _ $62.90 __ Nurse Calls Per hour $62.50 In Plant _ $73.75 —_ Outdeor Londsrape I ighfing' Fees: Prottttmft Signaling Enter total of above fees $ Other r%state Surcharge $ 2 Number of Systems 25%Plan Review Fee No licenser,are required. Licenses are required for all other installations See'Plan Review'section cn $ front of application Fees: total Balance Due Enter total of above fees S 150.00 ❑ Trust Account p _ 8".State Surcharge $ 12.00 Total Balance Due S_ 162100 __ cVisu\forms\elc-fees dog 10/09/00 CITY OF TIGARD 24-Hour BUILDING Inspection Line: (503)639-4175 INSPECTION PNVISION Business Line: (503)639-4171 MST � BUP �-00 VS Received _-- -_ Date Requested -s, -_ AM _ PM --- _ BUP _ Location _ d1 � o&t Suite __. MEC Contact Person —.— ✓--2 Ph( ) FO 7 —1 PLM — Contractor Ph( ) - SWR -__— BUILDING Tenant/Owner - ELC Footing ELC Foundation Access: - Fog Drain C) F 7j C1 1 ELR Drai la _,) Inspection Notes: SIT s &Beam - -- - - - - --- Shear Anchors - Ext Sheath/Shear _ Int Sheath/Shear Framing - - ------- Insulation Drywall Nailing - Firewall Fire Sprinkler - - Fire Alarm Susp'd Ceiling Roof Other:- - - - -- - Fi AS ART FAIL - - - - - Post A Beam - - -- - Under Slab - Rough-In Water Service - ---- -- Sanitary Sewer / Rain Drains --- Catch Basin/Manhole Storm Drain - - - Shower Pan Other: - -_ Final PASS PART FAIL MECHANICAL ---- - ------- ------ Post& Beam Rough-In Gas Line Smoke Dampers --- Final PASS PART FAIL - ---------- - ELECTRICAL Service - Rough-In UGiSlab - -- - - _ Low Voltage Fire Alam Final PASS PART FAIL C� Reinspection fee of$__- required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. SITE - F-1 Please call for reinspection RE: Unable to inspect-no access Fare Supply line ADA Approach/Sidewalk Date rInspector ut _ Other: Final DO NOT REMOVE this Inspection record from the Job site. PASS PART FAIL CITY OF TIGARD 2t spection Line: (503)639-4175 BUILDING INSPECTION DIVISION Business Line: (503)639-4171 BUP Received __ Date Re uested _�Q — AM PM BUP 3 Location Suite MEC C�p - Contact Person — Ph; ) PLM _ Contractor —_ _ Ph 2SWR BUILDING Tenant/Owner ELC Footing __ J ELC Foundation Access: "� E L R, .—� Ftg Drain Crawl Drain SIT Slab Inspection Notes: Post&Beam - - Shear Anchors Ext Sheath/Shear Int Sheath/Shear ' Framing ^ Insulation t� V Drywall Nailing Firewall _ Fire Sprinkler - Fire Alarm Susp'd Ceiling Roof — Other: __..._ Final PASS PART FAIL PLUMBING _ --- -- Post s Beam _ Undr,r Slab ----� Rough-In Water Service Sanitary Sewer Rain Drains — Catch Basin/Manhole _ Storm Drain Shower Pan Other: -- - --- - — — Final PASS PART FAIL MECH♦­AN ICAL —.--- - — — Post& Beam Rough-In -- -" Gas Line Smoke Dampers Final PASS PART FAIL - ELECTRICAL Service Rough-In ��1� \ G L.•�'/� /r �i.lcid NF�SL G_ d �� ,UG/Slab ow o -------- - Fire�__ I�V`-- Fina Reinspection fee of$_—_ required before next inspection. Pay at City Hall, 13125 SW Nall Blvd. AU PART 1 SITE F] Please call for reinspection RE: / [j Unable to inspect-no access Fire Supply Line ADA le- Me Inspector Approach/Sidewalk Other: _------._.---�- Final D© NOT REMOVE this Inspection record from the job site. PASS PART FAIL x 19/12/2003 11:20 503-227-7784 BERRY NORDLING ENGIN PAGE 02/06 ,r: >.. " rrtrl' I 1 IJ•@., ' X11,• 1 ` ,. rr, PI ''�(�� y�• ..G, ,�' I�,II �,�( ',�� 1� , .,r'r II i. `. w►h l I°I' e?,I fi 1' c 1�7:I� .kr n� t"_`'T" �� i M t W r'�iA'}Mr -gl r r tri r,i 'i'I rl'�!� }� �J l.r i ,l 1llt ln�h dry'. 1;I�:y r. r ! I!. 1 I, {� / it 'h TI 'I .I, •�" " `'' � „*,,.,t.,, ,1. ;rJrl' � �;I;Li6, "Nllli ir., r(,' III..ti..,. 1',� r•. .I „ �n �, ,,,r^;',p 'I�II •-� I�'r1. (1!' •rl'.�I August 12, 2003 01-101 Zaik Miller 2340 NW Thurman Suitc 201 Portland, OR 97210 Attn: Jim Miller RE: Final Structural Observation Junc 10,2003 Our Redeemer Lutheran Church 13401 SW Benish Street Tigard, OR 97223 Present: Steve Horton Yorke& Curtis Construction John E Nordling. PE Berry-Nordling Engineers,. Inc. Structural work nearing completion with majority of framing in place. Construction to date, to the best of our knowledge, is in conformance with the design documents. See photographs n–D. enclosed. John E Nordling, F277-17-11.1 '1' r111'..6L .� �a.1'}lA}i'.14r' Y,'��tIL:+WIir}'I!�III+.,rA} ..u..:.ft..e•r 1 Reay-Nordling Engineers, Inc. Cover r CITY OF TIGARD 2.4-Hour BUILDING Inspection Line: (503) 639-4175 INSPECTION DIVISION Business Line: (503) 639-4171 MST —_ q' BUP Received - Date Requested o AM- __ PMy BUP Location 3 U _ —Suite _ MEC Contact Person - -- Ph(—,.—) �542 77 ( -3 12' PLM _ ----- Contractor _- Ph(—) SWR BUILDING Tenant/Owner _ — ELC _ Footing Foundation Access. ELC _ Ftg Drain ELR Crawl Drain - Slab Inspection Notes: SIT Post&Beam Shear Anchors - - -- Ext Sheath/Shear Int Sheath/Shear -- Framing -- Insulation es ---- Drywall Nailing --- -- Firewall Fire Sprinkler Fire Alarm f , Susp'd Ceiling — --- - �� - ---- Roof r O r: - - - -- kBING PART FAIL.--- Post A Beam -_-- Under Slab Rough-In Water Service Sanitary Sewer Rain Drains - ------ - Catch Basin/Manhole Storm Drain -- Shower Pan Other. _ --- Final PASS PART FAIL MECHANICAL Post& Beam Gas Line Smoke Dampers -•-.-- _- --- — Final PASS PART FAIL - ----- - - -- -- - ELECTRICAL Service ----- - --- Rough-in UG/Slab - -- Low Voltage ----------- Fire Alarm -- Final RO required before next Inspection. Pay at City Hall, 13125 SW Wali Blvd. PASS PART FAIL � nen fee of$o SITE - Please call for reinspection RE: Unable to inspect-no access Fire Supply Line ADA _ In Approach/Siddwalk Debs— -- � spector Other: _ Final DO NOT REMOVE this Inspection record from the job site, PASS PART FAIL CITY OF TIGARD 24-Hour BUILDING Inspection Line: (503)639-4175 INSPECTION DIVISION Business Liner (503)639-4171 MST BUP 3 - oo 3 <- •I I'leceived - __- Date Requested AM---____ PM _ BUIP Location __ Suite MEC - =-^�-= .- — Ph -- ) .1G� cl.33 PLM Contac Person --- — ( — ----- Contractor .-- C --� -- _— Ph(------ ) SWR 14UILDII Tenant/Owner __- - - c ELC -rMn9 ELC Foundation Access: Ftg Drain ELR Crawl Drain - — Slab Inspection Nates: Q (�, - SIT _ Post& Beam �- 7 � Shear Anchors — Ext Sheath/Shear - --- — Int Sheath/Shear Framing - -- - — -— — — insulation Drywall Nailing — --� -- Firewall Fire Sprinkler ---- Fire Alarm ' p Other: s.k PASS arPART FAIL INQ__ Post& Beam Under Slab - Rough-In Water Service --- Sanitary Sewer Rain Drains -- Catch,Basin/Manhole _ Storm Drain ------ Shower Pan Other: - - -- -—— Final PASS PART FAIL MECHANIC/4L ---- - -- ----- --T — - Post& Beam Rough-In ----- - - Gas Line Smoke Dampers - -------- Final PASS PART FAIL -- -- —� ELECTRICAL Service Rough-In ----- - -- UG/Slab Low Voltage -- _-- —� — ---- ---- Fire Alarm Final Reinspection fee of$ required before next Inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS FART FAIL [-1 Please call for reinspection RE:__ __ Unable to inspect-no accc,ss Fire Supply Line �� ADA Approach/Sidewalk Date b1sRector Ext -- Other: Final �'— —_I DO NOT REMOVE this Inspection record from the Job site. PASS PART FAIL C 101 1 Integration Corporation � � ��l LIFE SAFETY TEST 8063 SW Cirrus Drive • Beaverton, OR 97008 INSTALLATION CERTIFICATION (503) 641-2222 Phone • (503) 64 1-1464 Fax CCB# 150747 Site Information: Inspection Date: Job Name:—LL tj J4f- Owner Name:.--__-� Address: 1 s 1,, Address: Phone: . ( Phone- 1_.-1_ Testing Frequency: M Q S A I Note:y AuthoWy Having Jurisdiction: Inspectors initials: PANEL: Manufacturer:. Manufacturer:. Model No: _Type of Mulitoring: NAC 7- Software Revision Date: Monitoring Agen,y: A C 5 — IDC: Addressable(' Hardwired_Q Phone#- 510 1 � Operator No: No.of IDC loops/zones: I No.of Signal circuits:, Locatio r: IAC: Audio OY ON No of channels:_Style:— Receiver type/Account No: Voltage,,, 'Charge: Standby: j.,jclLoad:; Alarm signal received at station with trouble active El ON Earth ground ©Norns ONote Elevator recall phase I ONorm ON/A ONote AC loss (]Norm ONote Annunciator-No.of points:A Ll. ONorm ON/A ONote Signal trouble [jNorm[]Note HVAC shutdown rJNorm ON/A ONote Zone trouble ONorm eNote Door hold release on alarm OY ON ONote Battery trouble EINorcn ONot!! AC breaker location/panel: A .-, A AUX NODES/BOOSTER POWER SUPPLIES: LOCATION: Connections tightened OY ON Battery size:_ _ Batteries chocked WY ON Voltage_ ; __Charge: id S dby: Load: Trouble check OY ON Location cleaned Ely EIN aLy-7 yid PERIPHERALS: Panel cleaned [JY ON Devices Teed Total ipje'dg-,_ Total e_sled ote —. Service Tag applied OY ON �i 11 s ion S __- Pre-testing notes: Smoke detectors I/P i Heat detectors _ Duct detectors --'" Horns/sgeakers — _ Visual units Sprinkler systems W/D - Annunciators 1 ------__--— - Other •— .- FNFPA 72:` System/Receiver Type: � Location of:_ f i is L1o�n /. As-builts: _ Operation Manua ls:_ A Ind t Test reports: Receiver and key: System meets: 7j 4 1 ve _ NFPA 72 Chapters(circle) 12 3 416 7 NEC 760 EjY ON Manufacturers Insbiwtiot 'Installed by:/mr _ —_ (Signature)_,,, - COMiNENTS/CORRECTIONS MADE: dr ��� Signals not tested per customer,*quest OV Performance S.Artwo 7erh. � �t..---a— Ownerc Rep..--_____ (Signature) 'ep.:__,_— (Signature) / _ r.,-^��/ (Signatwe) Date. WHITE-OFFICE CANAR"•FIRE PANEL CITY OF TIGARD 13125 S.W. HALL BLVD. TIGARD, OR 97223 IMPORTANT PERMIT NOTICE TIMBER VALLEY PLUMBING PO BOX 34 CANBY, OR 97013 Plumbing Signature Form Permit #. PLM2002-00387 Date Issued: 4/15/03 Parcel: 2S104AB-04700 Site Address: 13401 SW BENISH ST Subdivision: Block: Lot: Jurisdiction: R-4.5 Zoning: TIG Remarks: Site utilities for 5084 square foot 7-story addition. Your company has been indicated as the plumbing contractor for the permit indicated above. In order for the plumbing permit to be valid, please have the appropriate individual from your company sign below and return this Plumbing Signature Form prior to the start of the work to the address above, ATTN: Building Division. No plumbing inspections will be authorized until this completed form is received OWNER PLUMBING CONTRACTOR- OUR REDEEMER LUTHERAN Ch TIMBER VALLEY PLUMBING 13401 SW BENISH ST PO BOX 34 TIGARD, OR 97223 CANBY, OR 970.13 Phone #:503-524-6646 Phone #: 206-4300 Req #: LIC I M a 1 PLM 166PP AN INK SIGNATURE IS REQUIRED ON THIS FORM Sig re of Authorized Plumber If you have ani questions, please call 503.718.2433 CITY OF T I G A R D - BUILDING PERMIT PERMIT#: BUP2002-00425 DEVELOPMENT SERVICES DATE IvsUED: 4/15/03 13125 SW Hall Blvd., Tigard. OR 97223 (503) 639-4171 PARCEL: 2S104AB-04700 SITE ADDRESS: 13401 SW BENISH ST SUBDIVISION: ZONING: R-4.5 BLOCK: LOT: JURISDICTION: TIG REISSUE: _ FLOOR AREAS EXTERIOR WALL CONSTRUCTION CLASS OF WORK: AIT FIRST: 2,500 sf N: S: E. W: TYPE OF USE: COM SECOND: 2,500 sf _ _ PROJECT OPENINGS? TYPE OF CONST: `-1N sf N: S: E: W: OCCUPANCY GRP: B TOTAL AREA: 5,000 sf ROOF CONST: FIRE RET? OCCUPANCY LOAD: 70G BASEMENT: sf AREA SEP. RATED: STOR: 2 HT: 24 ft GARAGE: sf OCCU SEP, RATED: B SMT?: MEZZ?: _ READ SETBACKSREQ_U_IRED FLOOR LOAD: psf LEFT: ft RGHT: FIR SPKL_ �SMOK DET: DWELLING UNITS: FRNT: ft REAR: tt FIR ALRM : HNDICP ACC: BEDRMS: BATHS: 1 IMP SURFACE: PRO CORR: PARKING: VALUE: $ 500,600.00 Remarks: 5084 square foot 2-story addition to an existing church. Owner: Contractor: OUR REDEEMER LUTHERAN CHURCH YORKE + CURTIS 13401 SW BENISH ST 4480 SW 101 STAVE TIGARD, OR 97223 BEAVERTON, OR 97005 Phone: 503-524-6646 Phone: 646-2123 Reg #: MET 0000g040g1990 UIRE _ FEES LIC REQD INSPECTIONS Description Date Amount Erosion Control Insp 846-8 Framing Insp III(1I'1'LNI I'In 16, 9/27/02 $1,504.69 Mechanical Permit Require Roof naiing Insp II'I til Fl.s 1)111 9/27/02 $925.96 Electrical Permit Required Insulation Insp Plumbing Permit Required Shear Wall Insp 1 I IF-Isl I IF-Instit 4/15103 $4,407.00 Foot/Found Insp Gyp Board Insp TIF-I1TI I'll: Mass h 4/15/03 $990.00 Footing Drain Susp Ceiing Insp (additional fees not listed here) Struc Steel Insp Reinforced concrete final r Reinf Steel Insp Bolts in concrete final repo Total $10,820.95 Slah Insp Structural welding final rep Masonry Insp Structural observ. final re 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 than '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 952-00,L-t3II 10 thro h OAR 952-001 0100. You may obtain a copy of these rules or direct questions to OUNC by cal li (503)246-66Nr 1-800- 32-2344. Iss4ed By: Pe mt Rtee Slgneture: Call 639-4175 by 7 p m. for an inspection the next business day Building Permit Application City of 'Tigard p Date received: 9 e?e eA Permit no.:O,�G� 4; - Address: 13125 SW Hall Blvd Tigard,OR 97223 Proiect/appl.no.: Expire date: 01Y ofTigard Phone: (503) 639-4171 Date issued: By: Receipt no.: Fax: (503) 598-1960 Case file no.;�,T � „^ Payment type: Land use approval: GLiFAOn.1 -D2DDo2 1&2 family: Simple Complex: Z) I &2 family dwelling or accessory ZICommercial/industrial >Multi-family :1 New construction O Demolition A Addition/alteration/replacement O Tenant improvement ZI Fire sprinkler/alarm ZI Other. li Job address: 1401 W 17j61IJ 1 S j}�-I�{;�-t Bldg. no.: Suite no.: Lot: Block: Subdivision: I Tax map/tax lot/account no.: Project name: D UW_ it GHV IQ G4 EX)OC.411 D 1 N 15 TIZ All r--. Desai tion and location of work on pr:rniaes/special conditions: %o +(- 2' �'It '� r�D�-n,n� T `rF— ji�1J� Colt N Erg (� Tfi-t� �l i—�► NC_�. - --- � Ill l Name:6Uk L_UT"0ZA,\l ('Hu4m Mailing address:13,40t cviil N I&H laT • 1&2 family dwelling: City:"r 1 State: Z_IP: -1 22-3 Valuation of work ........................................ 5 Phone: Fax: E-mail: No.of bedrooms/baths................................ Owner's representative: MTotal number of floors .................................. Phone Fax: E-mail: New dwelling area(sq. ft.)............................ — Garage/carport area(sq.ft.).......................... Name: GV -n_C> G. Covered porch area(sq.ft.) .......................... Mailing address: SW 10 lc:, /r%r-> Deck arca(sq.ft.).......................................... City: State:CR I ZIP:—Cfj Other structure area(sq. ft.).......................... Phone: Fax: E-mail: Commercial/indulitriaUmulti-family: Valuation of work ......................................... S _ Business name: C] ( Existing bldg.area(sq.ft.)............................ Address: New bldg.area(sq.ft.).................................. City: �j�p-��Ill"C"T�JStatc• Z_IP. Number of stories.......................................... f 21� Fax: ( E-mail: Type of construction .... ................................ Phone CCB no.:55CR4t� Occupancy grnup(s►: Existing: City/metro lie.no.: New: Notice:All contractors and subcontractors are required to be licensed with the Oregon Construction Contractors Board under Name:ZA IL l ll 1 S S(1�1�}-t�5 provisions of ORS 701 and may be required to be licersed in the Address: 1 �7 jurisdiction where work is being performed.If the applicant is City: _� I exempt from licensing,the following reason applies: V rate: 7(P: Contact person: 'i'12, Plan no.: — Phone:? 'Fax:2�- E-mail: - Name: 161iAA `j - N 1� Contact person: L*) Fees due upon application.............................S Address: (Ck)-j S W G�13 E l nate received: City. IState.C' ' jZll Amount rer_oned ...........................................S _ Phone: ZZ'1•'t'1 Fax: 2'1.'(� E-mail: Please refer to fee schedule I hereby certify 1 have read and examined this application and the Not all junsdictrons aecepr credit cards.oleau call unsdictron for more inti-nnvion. attached checklist.All provisions of laws and ordinances governing this a vis. J MaoetCard work will be complied with,whethe ecilied herein,or n Credit card number— -- / Ceprm Authorized signature: Date: I Name of cardholder as shown on credit card W U f Print name: — Cardholder silmature Amount Notice:This permit application ev. ites if a permit is not obtained within 180 days after it has been accepted as complete. 4eo-1f.I3(AOa•COMI Ar,, Accumulative Sewer Tally Tenant Name. Our Redeemer Lutheran Church This SWR#2003-00127 Address: 13401 SW Benish This PLM# 2003-00118 Fixture Value Previous Previous Credits Capped Fixture Fixture New New # value capped off value added added total total count oft#s count # value #s values Baptise /Font 4 0 _ _ 0 0 0 Bath-Tub/Shower 4 0 0 _ 0 0 0 J3cuzzi/Vy11h1l,U31 4 0 0 _ 0 0 0 Cai Wash- Each Stall _ 6 0 _ 0 0 0 0 - Drive through 16 0 0 0 0 0 - Cuspidor/Water Aspirator 1 i 0 0 _ _ 0 0 0 Dishwasher- Commercial 4 0 0 0 0 0 - Domestic _2 _ 0 ' 0 0 0 0 Drinking Fountain 1 0 0 0--..-o 0 Ere Wash 1 0 0 0 0 0 Floor Drain/Sink-2 inch 2 0 0 1 2 1 2 _ 3 inch 5 0 0 0 _ 0 0 4 inch 6 0 0 !_ 0 0 0 Car Wash Dr 6 0 0 0 0 0 _Garbage Disposal D^mestic(to 3/4 HP) 16 0 0 _ 0 0 0 _ Commercial (to 5 HP) 32 0 _ 0 0 _ 0 0 Industrial (over 5 HP) 48 0_ 0 _ _ _ 0 0_- 0 Ice Machine/Refrigerator Drain 1 0 0 _ 0 0 _ 0 - Oil Sep(Gas Station) - 6 0 _0 _ 0 _ 0 0 Rec. Vehicle Dump station 16 0 0 _ 0 0 0 Shower-Gang (per head) 1 0 0 0 0 0 - Stall2 0 C 0 0 0 Sink- Bar/Lavatory - 2 0 0 5 10 _5 10 Bradley 5 `0 ---0 0 0 0 Commercial 3 �0 - 0 _ 0 0 0 Service 3 0 0 0 0 0 Swimming Pool Filter ^ 1 _ _ 0 0 0 0 0 Washer-Clothes 6 0 0 0 0 0 Water Extractor 6 0 0 -_ - 0 ^p _ 0 Water Closet-Toilet 6 0 0 _ 2 _12 12 Urinal 6 _ _ _ 0 _ 0 _- 0 0 _0 Previous EDU Count 3 48 0 Capped EDU Credit 0 TOTALS 0 1 48 0 0 8 1 24 8 72 Current Fixture Value 72 divided by 16= _ 4.5 Current EDU 1 EDY = $2,300.00 Previous Fixture Value_ 48 divided by 16 = _3.0 _Previous ECU Change _ 24 divided by 16 = 1.5 over (under) $ 3,450.00 Enter ECU Change Here 1.5 HISTORY _ 3 LDL) previous per Sheryl. PLM# EDU# SWR# PLM# EDU# SWR# _ PLM# EDU# SWR# Name- Date: Signature of person that calculated this tally sheet and date perfromed is required CITYOF TIGARD _ PLUMBING PERMIT DEVELOPMENT SERVICES PERMIT#: PLM2003-00148 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 4/29/03 SITE ADDRESS: 13401 SW BENISH ST PARCEL: 2S104AB-04700 SUBDIVISION: ZONING R-4.5 BLOCK: LOT: JURISDICTIGN: TIG CLASS OF WORK: ALT GARBAGE DISPOSALS: MOBILE HONE SPACES: TYPE OF USE: COM WASHING MACH: BACKFLOW PREVNTRS: OCCUPANCY GRP: B FLOOR DRAINS; 1 TRAPS: STORIES: WATER HEATERS: 2 CATCH BASINS: FIXTURES LAUNDRY TRAYS: SF RAIN DRAINS: SINKS: URINALS: GREASE TRAPS: LAVATORIES: `) OTHER FIXTURES: 4 TUB/SHOWEF SEWER LINE: ft WATER CLOSETS: 2 WATER LINE: ft DISHWASHERS: RAIN DRAIN: ft Remarks: 1 floor drain, 5 sinks, 2 water closets and 2 water heaters. Other fixtures: 3 hose bibbs and 1 primer. Owner: FEES Description Date Amount OUR REDEEMER LUTHERAN CHURCH 13401 SW BENISH ST IN UNIBI I'erniit I ee 4/29/03 $232.40 TIGARD, OR 97223 1I'LMI'LNI Ilan Review 4/29/03 $58.10 I I"AYI lax 4/29/03 $18.60 Phone : Silt-S 1a-r, i 4o Total $309.10 Contractor: LIMBER VALLEY PLUMBING PO BOX 34 CANBY, OR 97013 REQUIRED INSPECTIONS Phone : 266-4110 Sewer Inspection Water Service Insp Reg #: \II'T 00000 IxUnderfloor/Underslab I K, 42031 Top-out Insp I'L.M 3-166PB Rain Drain Insp Final Inspection This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable laws. 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 than 180 days. ATTENTION- Oregon law requires you to follow rules adopted by the Oregon 14sued By: i `Q 4 dt Permittee Signature, �T1 >, .I;-,— ,,�r�_ Call (503 639-4175 by 7:00 P.M. for an inspection needed the next business day