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11075 SW GAARDE STREET-3 +�Wrwtirrrr.r.r��.r•r..r.r_rr-r w+•+�..-r.�.ryr•.r. 1 1 y Co%lie *lea f Woo- ell i, a kA • ' '� i ' \ �`'�.., ,�''` Fe oil r fit I ,oved ol�ly; i��L� workb�d orf. ~�esc � �1r ,ati•►.n1....rM�M�.ACArr•ra.iA-. +VLA _w. we_I►. �..d.-.-..... _ ,.✓.r. ....r.��..r•.rw..rr.rrr�rr n. ..r.r..�.�r,.r�r�r�rM..��r�.sw.....-ter...-_�.rw.._ .-..... ..w w.��•..rww.�« -... ......__-._.....rte+• _-....+r• .s..,.►� .wf , al7L—r •i,�ia ! M; ' 1 I f l l l l l l l l l l l l l l f I I I ITT T T 1 T T T l i l ( r 1 1 II I I 1 f "f 1 1 ► I t I I I i f I I 1 f l I r 1 t 1 I 1 1 1 1 ( 1 1 1 1 NOTICE: IF THE PRINT OR TYPE ON ANY I � � 1 � 1 ( Ir C 1 III I I ISI I 1� 1 I IMAGE IS NOT AS CLEAR AS THIS NOTICE, 1 2 4 D-ee, 0200q 8 10 _ 11 12J IT IS DUE TO THE QUALITY OF THE _ _ No,38 ORIGINAL DOCUMENT E 6Z 8Z LZ 8Z Z fiZ EZ Z TZ OZ 6T 8I GT gT 2T tI El[ ZT TT T 6 8 L 9 Q fi E�Z I ��ri�w IIIIIIII.IIIIIIII1111111111111111111111.1� 111111�J 111 Il 11111111111. IIU. 11111.11111111111Illllllllllllllllillll111Illlllll11. IIIIIIIIIIIIIIIIIIIIIIIIiIIi IllllllllllliLlil11.11 lllif111� 1� H r- L) O 9 v P7 Ln d rc, s H Z1 � 07 0 L71 ro H Ul w H U1 ,'I7 �] Cr1 c n 11075 SW GAARDE STREET _ CITY OFTIGARD SITE WORK DEVELOPMENT SERVICES PERMIT 13125 5W Nall Blvd., Tigard,OR 97223 (503)6394171 PERMIT #. . . . .. . . : S I T96-004 r, DATE ISSUED: ti/26/96 PARCEL: EIS 1 O3DC--01 100 1 FE ADDRESS. . . : 11075 SW GAARDE. S1 IBDIVISIOH. . . . s ZONING: R-3. 5 BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . s ---------------------------- -- 1 YPF OF WORK: COM PAVING?. . . . . . . . . : Y RESO. NO. : EXCV VOLUME: 0 Cy GRADING?. . . . . . . . : N VALUE. . . $ : 171 FILL VOLUME: 0 Cy LANDSCAPING?. . . . : Y ENG FILL.?,. . . . . N SITE: PREF? . . . . . Y :OILS RPT REDD? : N STORM DRAINS?— . : Y I MPERV SURFACE: 7614 s f 1reniarks : SITE WORK/PRIVOTE IMPROVEMENTS (SURFACE. WATER DRAINAGE, WATER/FIRE I.. TNF--'. 9 AND SANITARY LATERAL) TO NEWLY RELOCATED BUILDING TO BE USED FOR SUNDAY SCHOOL 8, 208 SG! FT (MINOR MODIFICATION OF PRESENT CUP) ., THIS WORK IN ADDITION TO WORE', ON 511'96-0003. Owner: -__.__._..____. -_.._------------------------_-•------.___-_ FEES --.-----_------ FIRST BAPTIST CHURCH type amol.tnt by date recpt 11075 SW GAARDE ST PL..CK $ 110. 83 BON 09/30/96 96-284527 SWM $ 454. 68 JMH 11/26/96 96-286999 TIGARD OR 97223 SWM $ 2:53. 00 .TMH 11/26/96 96-2:86999 PY.one # : 639-391:3' PRMT $ 170. 50 ..JMH 1. 1/26/96 96----286999 SPCT $ 8. 53 JMH 11/2'6/96 96-286999 Contractor,: ----_...... __..________.______-__..___.._EROS $ 80. 00 ,JMH 11./26/96 96-286999 CENTREX CONSTRUCTION INC. ERPC $ 2:6. 00 JMH 11/26/96 96-286999 82:50 SW HUNZ IKER STREET ERPC $ 26. 00 J11H 11/26/96 96-286999 TIGARD OR 972 "'3 ------------------------------------. Phone #: $ 11.29. 54 TOTAL F?e+r_I #. , : 563`.8 - - ---- - REOU I RED INSPECTIONS ------- ?hi' perm is issued subject to the regulations contained in the E,(cavat ion Insp T.gard Municipal Code, Stant of Ore. Specialty Codes and all othr,• S'1:rm Drain Insp applicabl? laws. All work will be done in accordance with Final Inspection approves plans. This persi.t will expire if work is not started Erosion Control within 180 days of (ssuarce, or if work is suspended for sore than 188 days. Flermittee Signet re : 1 s s r..l e d B y: ` ,, ,. CAII for inspection — 639--4175 L �, QF TIGARD Site Permit Application �� / Z y P' d Beck#,�Z 13125 SW HALL BLVD. Private Grading, Paving, Site Accessibility l l Iqly bate Recd y TIGARD, OR 97223 Retaining Structures, Utilities and Related Work Date to P.E. (503) 639-4171 x304 Date to DST A - -c--Permit# .k" -_Gp Called Print or Type 17,'%,: Incomplete or Illegible applications will not be accepted Project Name ' utllltles('Complete all that apply) Job �U.N�A -�v1*AcAOU SEjpkA Address Address Storm Sewer Linear Ft. Name (� ^ Sanitary Sewer Owner MailingAddress Linear Ft. Fresh Water " Linear Ft. Cdy/State Zip Phone Catch Basins Izz Name Clean Outs # Mailing Address Describe work to be done: General -14.3 Addition a�C �L'� ��\IJ �I KI�Sc' `'l,� � o Alteration Repairp Contractor City/Statei.p Phone Additional Description of Work: LArcD Ac PY `tate Const. ant. Board Lic. # �xp. Date S� EwG« kCP_ ) .5l�m� l.), r\,' BCW E re of current COT Business Tax or Metro# Exp. Date � I licenses N me Project c� S A �'' E'n+ �, X1( 1 F L_ Valuation ej lnR'1(1 Architect Mailing Adder jss Plan Submittal: (3)sets containing each of the following, must accompany this a lication: City/State l c Zip Phone3 Site plan with Vicinity Map Parking(including 1 �' - (`� ShowingADA compliance ADA)$ Lighting Plan Name Grading Plan and details Landscaping Plan Engineer Mailing Address Erosion Control Plan and Retaining Structures details including calculations City/State Zip Phone Site Utility Plan and details Soils Report (showing connection to (if required) acoroved system) iExcavation Volume I hereby acknowledge that I have read this application,that the (Soils report required for--5.000 cu. Yards information given is correct,that I am the owner or authorized cu.yds, agent of the owner,and that plans submitted are in compliance _ with Oregon State laws. Fill�olumt, Slgnatufe of Owner/Agent Date (Soils report required for>5,00 cu. Yds.) cu. yds. Ytiill:he fill support a structure Contact Person Name Phone i (Engineer required if answer is yes) YESo Nf-, j Retaining structure?(check one) C]Rock FOR OFFICE USE ONLY C] CMU 7 f Notes: ❑Concrete — p0ther___ Total new impervious area including all Land se Case# p buildings, sidewalks. and paving _ Sri Ft ei/ _ `M � � Ma RL# rWsts�s teapo doc — _ &96 Permit # Account Description Amount Amt. Pd. Bal. C` Build. Permit (BUILD) 70 )J Plumb. Permit (PLUMB) Mech. Permit (MECH) ELC/ELR Permit (ELPRMT) State Tax (TAX) Bldg: Plumb: Mech: ELC/ELR: Plan Check Build: (BUPPLN) Plumb: (PLMPLN) Mech: (MECPLN) CDC Review (LANDUS) Sewer Connection (SWUSA) Sewer Inspection (SWINSP) Parks Dev Charge (PKSDC) Commercial TIF (TIF-C) Industrial TIF (TIF-1) Institutional TIF (TIF-IS) Office TIF (TIF-O) Mass Transit TIF (T-IF-MT) ,i( Water Quality (WQUAL) _� ifs Water Quantity (WQUANT) 1 Erosion Control Permit (ERPRMT) C ' � 'K Erosion Planck/USA (ERPLAN) _ Erosion Planck/COT (EROSN) Fire Life Safety (FLS) TOTALS: PE . . . . . . : CITY OF TIGARD DATERMIT IS�L#UED:. 0 1 G 4, COMMUNITY DEVELOPMENT DEPARTMENT 13125 SW Hall Blvd.Tigard,Oregon 372234199 (503)539-4171P ',ARCEL: ESIOZDC-0110L, �';i d() FD I V i�.)I ON. . . . i ZONING: R-3. 5 . . . . . . . . . . LOT. . . . . . . . !.',L (31"' WORK: NEW PAVING?. . . . . . . . . Y RES0. NO. VOLUME: 0 GRADING?- - - y VALUE. . . 4004,.; A)LUME t 0 LANI)SC()P I NG?. . . . c y c:j F 1L.i..?. . . . . . . N SITE PREP?. . . . . . . y N y RP I' REDID? : STORM IMPERV SURFACEi 0 of ;agar 'Jite W01-P f-c U,-Ail-ding moved to ti-ir- site. Tier" : --l..— —,--------- F7EE5 MG1 BAPTIST (,1-1UPD,! tyl)e Amol.tnt by date r,ecpt SW GAARDE ST PRMT $ 44. 50 JMH 02/14/96 96-275950 5PcT I. =3 JM11 OL/ 14/'JE, 96-27579bO (-ii-IRU OR 97223 PLCK $ L:18. 93 JMH 02/14/96 96--a-'75950 one fl ; 639 391" EROS $ 801710 JMH 0.:'/14/96 9 C'17 5-)50 ERPC $ 26. 00 iril 1 02/14/96 96- --'75950 It V"act 0r __..._...__. ...._._....__.._-_._._____.._._. _._. __.._--ERPC $ x='6. 00 JMl 1 02/14/96 236"-2'7595-17.1 qJPLE 'r LANDSCAPE 10 "W BULL 11TH RD I'BARD OR 9722', 1,urie tt . C,39 -4493 $ OI. '::,C, TOTAL .eq #. . -. 11949 REQUIRED INSPECTIONS -�is permit is issued sutjtct to the regulations contained in the Lro5iori C.orit),ol .gard Mqnicipai Code, State of Ore. Sperialty Codes and all other L)(ctavatiori Itisp I;:licab*le ia"s. P11 wcrk will be none in accordance with Gr-aditq .4 Irisp proved plans. This permit will expire if oork is not started Gtr-rn Dt--ain JritiFj .thin 180 days cf issuance, or if work is suspended for more Misc. Inspection adys. Final Irispectiori ............ C "ITI 1.t L C E !J)1.LItia L 1.ti,e L ULsli far- inspect I011 639-4175 5 —F - 0003 Commercial Building Permit_ Application City of Tigard 13125 SW Hall Blvd. L Tigard, OR 97223 (503) 639-4171 Y I I Jobsite Address: /l G 75 (w. Lo[?a rt,r Tenant: Suite# Office Use Only Valuation: 4-)- C r J Planck/Rec # ('yAr f d / d - S'Z C Permit # `,'/ `w' oewy3 Owner: I 1 11 f t �,��,P�l f,� ( hi�� y- Map & TL# Address v — Approvals Required -- Planning . Phone Engineering _ Other Contractor: Address: Type of const: _ i Occupancy class: Phone: ll Sprinklered? Yes No Contractor's License # lL -1 1 (attach copy of current Oregon license) Sy. ft. of prrject. _ Contact name & phone: Story (I st, 2nd, etc.) _ Proposed use Architect/Engineer: Previcus use: Address _ Note. Plumbing & mechanical plans must be submitted at time of building permit application. Phone JOB DESCRIPTION: tv _ 9- 4V) Applicant Signature & Phone number ti Received by Date Received I �'" Permit Account Description Amount AmL Pd. Sal. Due Bldg. Permit (BUILD) G/ �- Plumb. Permit (PLUMB) Mech. Permit (MECH) �-3 State Tax (TAX) Bldg: Plumb: Mach: 113 Plan Check (PLANCK) / , J' r{ Bldg: Plumb: Mach: Sewer Connection (SWUSA) Sewer Inspection (SWINSP) _ Parks Dev Charge (PKSDC) _ Residential TIF (TIF-R) Mass Transit TIF (TIF-MT) Commercial TIF (TIF-C) Industrial TIF (TIF-1) Institutional TIF (TIF-IS) Office TIF (TIF-0) Water Quality (WQUAL) Water Quantity (WQUAN-) ' �h�� f e Firo Life Safety (FLS) Erosion Cntrl Permit (ERPRMT) �'y .-- Erosion Planck/USA (ERPLAN) Erosion Planck/COT (EROSN) TMJ I ALS: Ob'� CITY OF TIGARD 24-Hour BUILDING t Inspection Line: (5#.)659-4175 MST �_— INSPECTION DIVISION Business Lit c (503)639-4171 BLIP W Received / _ _ Date Req=z" _ AM PM — BUP 114- Location _41� Suite _ MEC Contact Person ��`-� _ Ph(----) 9:Z.7�- -F`- U� PLM Contractor —Y Ph( —) _ SWR BUILDING Tenant/Owner __—. Iu ELC Footing ELC --- Foundation Access: FFtg Drain ELR - Crawl Drain SIT Slab Inspection Notes: Post& Beam Shear Anchors Ext Sheath/Shear -- - Int Sheath/Shear Framing --- ----- Insulation Drywall Nailing --�`, --- - ------- — Firewall Fire Sprinkler �-+ �- Fire Alarm Susp'd Ceiling --- - - _- ----- ____- - Roof Other: (_ f7 Final - �� = (0 —_ PASS PART FAIL Post&Beam Under Slab Rough-In Water Service Sanitary Sewer Rain Drains - Catch Basin/Manhole Storm Drain - Shower Pan Other: -. - -- - Final PASS PART FAIL MECHANICA_L Post&Beam Rough-In - -- -- _ ---- Gas Line Smoke Dampers —-- --_— - - Final PASS PART FAIL ELIC TRICAL - --- -- Service Rough-In — - UG/Slab Low Voltage - ---- - -._ Fite Alarm Fina Reinspection fee of$_. --__-_ required b6fore next inspection Pay at City Hall, 13125 SW Hall Blvd. -fVAAS PART FAIL E Please call for reinspection RE:-------- Unable to inspect--no access Fire Supply Line ADA Date l� 2 Inspect '� t _ Ext Approach/Sidewalk Other: Final -- DO NOT REMOVE this inspection record from the Job site. PASS PART FAIL_ CITY O F TIGARD MECHANICAL PERMIT DEVELOPMENT SERVICES PERMIT #. . . . . . . : MEC97-016171 13125 SW Hall Blvd., Tigard,OR 97223 (503)639-4171 DATE ISSUED: 06/12/97 PARCEL: 2,9103DC-01100 �.;ITE ADDRE!35. . . : 11075 SW GAARDE ST #B SUBD I V I S I ON. . . . : ZONING: R-3. 5 BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . JURISDICTION: 'TIG --------------------------------------------------------------------------------------- CLASS OF WORK. . :ALT FLOOR FURN. . . . : 0 EVAP COOLERS: 0 TYPE OF USE. . . . :COM UNIT HEATERS. . : 0 VENT FANS. . . : OCCUPANCY GRP. . :A2. 1 VENTS W/O APDL: 0 VENT SYSTEMS: 0 �OORIES. . . . . . . . : 0 BOILERS/COMPRESSORS HOODS. . . . . . . : 0 1IUEL TYr-"ES--------- 0-3 HP. . . . : 0 DOMES. INCIN: 0 -GAS 3-15 HPI. . . . : 0 COMML. INCIN: 0 MAX INPUT: J250000 LATU 15-30 I-AP. . . . : 0 REPAIR UNITS: 0 FIRE DAMPERS". . : Y 30-50 HP. . . . : 0 WOODSTOVES. . : 0 GAS PRESSURE. . . : M 50+ HP. . . . : 0 CLO DRYERS. . : 0 NO. OF UNITS----------- AIR HANDLING UNITS OTHER UNITS. : 2 FURN ( 100K BTU: 0 10000 c f m : 0 GAS OUI ETS. : I FURN ) =100K BTU: 1 1.0000 cf'm : 0 Remail-(s : Mechanical for school roes. Owner- : FEES TIGARD FIRST BAPTIST CHURCH type amoi.tnt by dat a r,ecpt 11075 SW GAARDE ST PIRMT $ 34. 50 JSD 06/lc�/97 97--295870 TIGARD OR 9722,33 PLCK $ 8. 63 JSD 06/12/97 97-295870 5PCT $ 1. 73 JSD 06/12/97 97-295870 rfic)ne #-. Contractor,. EBA SHEET METAI- INC PO BOX 5565 BEAVERTON OR 97006 r-..h,,-ie #: 591--8181 $ 44. 86 TOTAL F?P,, 0(7,3533, REQUIRED INSPECTIONS This permit is issued subject to the regulations contained in the G a s Line I n s p Tigard Municipal Code, State of Ore. Specialty Codes and all other Meehan i ca I I n s p applicable laws. All work will be done in accordance with D i.i c-t Inspec,ti o n approved plans. This permit will expire if work is not started Fire D a in p e v, I n s p within 18@ days of issuance, or if work is suspended for more M i s c,. fnspec-t i nn than 180 days. Final 1T1Spaction P e i mitten S i g n a t i-t t,a 4L T s-,t-t ad By • Call for inspection 639-4175 Plan ChecK It CITY OF TIGARD Mechanical Permit Application Recd By — 13125 SW HALL BLVD. Commercial and Residential Date Rec d o TIGARD, OR 97223 Date to P E (503) 639-4171, x304 Date to DST Print or Type Permdir MEC�I"i YP Called 1) _ Incomplete or illegible applications will not be accepted Name of Devek omenvProject Description `",r.:51. -r C Table 1A Mechanical Code QTY PRICE AMT Job Sire Address Swtea A) Permit Fee 0- -0- 1000 Address I 11VIT 5 u) CQattif,% Bldgs J tyrState _'ip 1 ) Furnace to 100000 BTU 600 5 ' 49including ducts&vents Name or name o business) 2 I Furnace 100,000 BTU+ 7 50 Owner '`") o ine!ur ing ducts R ynntc r CA) A. JC) Mai i Address r 3) Floor Furnace 6 00 U `' lig r S including vent Cnyistate :,p Phone 4) Suspended heater,wall heater 600 9 or floor mounted heater Name for ria a of bus5) Vent not included in appliance pennit 300 D f.r -r St' Occupant M4111hq Address 6) Roder or comp,heat pump,air Gond. 600 11(_) to 3 HP:absorb unit to 100K BUT" coyistate Zip Phone 7.) Boder or comp,heat pump,air Gond. 11 00 9`722) 3-15 HP:absorb unit to 500K BTU" Contractor ', Narne M 8) Boder or comp,heat pump,air cond. 1500 (Prior to � I I 15-30 HP.absorb unit 5-1 and BTU– issuance t f'r Mning Address .�� 9) Boder or comp,heat pump,air cond. 2 .50 \ applicant Y• 65 30-50 HPabsorb unit 1-1 75md BTU" must provide all 'tyrstate Zip Phone 10) Boder or comp,heat pump,air cond. 3750 contractor ;L) ggxb . 59) 13 1$1 >50 HP.absorb unit 1 75 and BTU" license Oregon Const Cont Board Lic a Exp Date 11 ) Air handling unit to 10,000 CFM 450 information 3.S_53 1- 99 for COT COT Business Tax or Metro N Exp Date /! 12) Air handling unit 10.000 CFM 750 database) C,CJUv 1 13 5'2- `l• 91 ('' Architect Name � 13) Non-portable evaporate cooler 450 or Ma ting Address 14) Vent fan connected to a single duct 300 6.c Engineer Ctv 51a a Z.p Phone 2. 15 1 Ventilation system not included in 450 _ appliance permit Describe work New O Addition(D Alteration 47 Repair O 16 i Hood served by mechanical exhaust 450 to be done Residential O Ncn-residential 0 _ Additional Description of work d.- )3"-5f oop t�t�r17) Domestic incinerators 7 50 �vMa ilrurT'aca. FX1,1()Lr. — Y+4*11foc, t QUCAXA7'CfY. Q 18) Commercial or ndustnal type 30 00 Incicerator Existing use of 19 I Repair units a^0 I budding or property_firl ,rA _ 20) Wood stove � 4 50 Proposed use of 21 I C.othes dryer etc I 4 50 budding or property 5Choo1 — 22 i Other units 4 50 Tvice of fuel-oil O natural gas 0 LPG O electric O 123 Gas piping one to four outlets 2 JO I hereby acknowledge!hat I nave read th.s application that the 24) More than 4-per outlets(each 50 nformat)on given s correct.that I am the owner or authorized agent of the owner.that plans submitted are in compliance with Oregon State QTY SUBTOTAL aw5 Signature of OwnerlAgent Date 'SUBTOTAL 5'o SURCHARGE I r I (J Contact Person Name Phone I_ PLAN REVIEW 25316 OF SUBTOTAL TO_ I 1-AL dst`mechpmt.d trev 9 'Minimum permit fee?s S25+5'o surcharge ,r —Residential A C rpqu)res site Dian showing placement of unit. EBA Sheet Metal, inc. P. O. Box 5565 RECEIVED Beaverton. OR 97006 Phone: 591-8181 MAY 3 n 1997 Pax: 649-2915 COMMUNITY avauPl ovf May 29. 1997 City of Tigard Oregon 13125 S.W. Hall Blvd. Tigard, OR 97223 Attn: Robert Poskin, CBO Plans 1_;xaminer PC# 5-44c Mec#: 97-0130 Tigard First Baptist Church 11075 S W Gaarde St. Mr. Peskin, In reply to your Mechanical Plan Review dated 5.15-97, for the above captioned project, we oflcr the following inli)rmation: 1. 1 A The only way we are able to provide the required outside air per occupant in this portion ofthe building is by installing an outside air duct, connecting to the furnace, with damper control and one control damper will be mounted at the return air duct. This will serve as an economizer system with outside air sensors. When the furnace calls for heat the dampers will modulate to set points. Whe-1 not calling for heat, the outside air damper will modulate lbr 100% outside air, and open the motorized relief damper for pressure release. Please see revised print for outside air duct location. 2. Please see -nclosed submittal data on lire dampers. 3. We are installing one smoke detector in supply duct and one in return air duct. Smoke detectors will he wired to shut down unit at detection of'smoke. Please sec the enclosed submittal data on the smoke detector. 4. Please see the gas piping drawing on the print as supplied by the plumbing .ontractor. Ifvou have any questions on this letter, responding to your comments on the mechanical plan review, please feel free to contact me. Sincerely, EBA Shect Metal. Inc. & a , bw Fd Aguirre MAY 29 '97 12:36PM E.J. BARTELLS PORT. P, , - i S i C I H U l ��E R Air Handling *Manville"' Permacoie"' l l l systems Linacoustic- Standard �u l U Manville" Permacote`! - Linacoustic" HP L Fiber Glass Duct Liners Absorbs Disturbing Sound. in-shop handling,fabrication,and jobsite Permacote Linacoustic Standard and H0 shipment.It resists scuffing and abrasion have exceptional sound-absorbing prop from mechanical fasteners and shop ernes far exceeding the requirements tools.It necessary,the surface may be of ASTM C 1071.Duct-transmitted noise, cleaned with commonly available duct such as crosstalk and sound energy from cleaning equipment following the proce- air movement and mechanical equipment aures detailed in the North American is noticeably reduced. insulation Manufacturers Association (NAIMA)Duct Cleaning Guide Conserves Entergy. The glass fibers in Permacote LinaCQU9tiC Low Air Flow Resistance. Standard and HP are uniquely produced The smooth surface on Permacote offers Type:Flexible Duct Liners(Coated) to provide exceptional tnermal properties. minimum resistance to air flow. Temperature Limit:250°F(12VC) Resistant to Dust and Dirt. Easy to Fabricate. Description The tough,acrylic polyter used to coat Permacote is light in weight and easy Manville Permacote Linacoustic Standard the airstream surface helps guard against to handle.Clean,even edges can be and Permacote Linacoustic HP are flexible the incursion of dust or dl t into the 91.11 accurately cut with regular shop tools. strate,minimizing the potential for bio- Resiliency and high tensile strength duct liner insulations made from strong, glass fibers bonded with a dark thermo- setting resin,The airstream surface is Will Not Support Microbial Growth. Compliance with Government:;pPcs protected with Permacote,a durable, The Permacote surface coating is spe- and Other Standards state-of-the-art acrylic surface coating cially formulated so it will not support the growth of fungus or bacteria,as deter- ASTM C 1071,Type I Factory-Applied Edge Coating. g g (Replaces HH-1-5458 and Fdge coating is factory applied to the mined by testa in accordance with NAIMA AHC 101) edges of the blanket assuring coverage of ASTM C 1071 and ASTM G21 and G22. the leading edges per SMACNA require- Note that as with any type of duct or build- ASTM(321 and G2.2. menta.Shop fabrication cuts may be ing surface.if proper maintenance and SMACNA Application Standards coated with the Manville"SuperSeal'" operation practices are not followed micro- for Duct Liners Permacote products(see data Nage bial growth could occur in accumulated AHS 202) dirt, In a duct system this can be avoided NFPA 90A and 9013 with proper design,tiftration,maintenance Uses and operation of the HVAC system, Canada:CGSB 51-GP-11M Permacote Linacoustic Standard and Resists Damage. Guide Specifications and Installation HP are specifically designed as finers The specially-designed Permacote air- Recommendations for sheet metal ducts in air conditioning, heating and ventilstlng systems.They stream surface enhances the material's See data page AHS-)to Guide Specific, offer outstanding durability in exposure to ability to resist damage from typical tions,Duct Lining. air velocity and superior acoustic al and Available Forms thermal performance in systems operat �— �— iny at velocities up to 5,000 fpm Permacote Linacoustic Standard Permacote Linacoustic HP (25.4 m/sec)and tempstatures up to Thickness (in) �—(mml (in) (mm) 2501F(121°C) -� - -`13 1 25 1 25 Benefits 1, 38 Improves indoor Bulldiny Envlranment. 2 51 Permacote Linacoustic Standard and HP -- --- --- -�— mml help improvte indoor environmental qual- Roll Width'—_ _(in� � _(ini_ (mm) lty by helping to control b-.'h temperature 34 to 36 964 to 914 34 to 36 846 to 9' and sound 46 to 48 1168 to 1219 46 to 48 1168 to 12 _ 58 to 60 1473 to 152458 to 60 1473 to 15. Withstands High Velocity. Roll Length- (lineal feet) ineal meters — (lineal feet) (lineal mak Permacote Linacoustic Standard and - -g-- l�-- --�-� HP have been tested at velocities as 50 100 30,5 high as 12,500 fpm(63,5 m/sec)which 100 311 is 2t/,-times the recommender+maximum 150 48 velocity of 5,OOO fpm(25.4 m/sec). 200 61 ---- —._-_--- 'Available to!'e inerBment9 U&patent No 4990370;Canadian Patent Pend,l q "Check with plant for eveilabdny AN;-1!>F r n , / 1 111 'me oN gwL NO SO dfiL CPO 1 / 1 •. 1 1� 1 1/ 1 1 1 1• . - •.-• . 1 moi. , � �►- ��► ►�i�'/►•11!j�►��►��+�:�►� �i� .moi I%�i/� fir• U �=mrw-Impacgo-,M*MIN 144 0446; VoL OR AIN. NO, IBM j!� �rl�'` ��•��`•i►�� ► wklIMionk,16% VW r�i mss.•ii�.�..1�►-�•�..�-�► r r��►-' •r:�� ...ave�v�r..�.er�•►�►�w►�.�: ��. ' r�•� '�+�\fi►� ;:r�` al►- yr �1�� GDuct Lining (Coateo) Guide Specifications Appliclltlon Restnt :wn' ,nuf Limlt.Ui ,n , nt U.tii' Msiterials ;.f I Lininit tclf Mets+t Ducts nst illation RecomfnendaUuns AA :.r,;'rr•,I nr, r I i 1r imnil' Ail FxI'tlnrs of JuC dtia yrla f R;rerf r,t, ullowln 1 I. with ' ir. ,.. • ,x,E4er dutt'vio, ,di Ce I-omplett,'y .ov,.rnp ■ 4, ;r , ,h,rr, with �' :r'lcr,P�trndCnlF?Linacci._>Uc TnP � , i, I Ili , �I nu_N'i't'. DdCM ':U.i1t;.vf:,U�:9C'a� •it't'd. • Il:+r, , •r••ai-It'Li'Iar'o"t I 1.11I'w,e'I' vi• - 1 .t,w!I All Ilot l'L9Cr)t@ Ll r'10)',1,,'',_ Not i t; ill t�•.:,t it.)36'l.Ff tlt:nt ,wtirl,;{' 1 ,.,,'rir• N'. :tt. IUlntn. ItjeIC'"J p" P$itt.tit '.. �t. ~, , hill: by t'ue-iffy piece: ■ r. un I Special AppllcatIon, ,.>u)r; • :^Jail', � 11fE)f,t� Ur inl;ik:' �i -:r,l I. UnconditionedSpAcers ■ n,Irn111t• 'tInr I. 'rigall -t'-� CK:1'Prf r�.,' ,,.'r'ttur5 �' 1�1 l •, ,, _,r ■ t_: ,� !' .r ..� �F, In ril Sen,mvo Areas in Hospitals Witertal Handlinq avid Storage r -, ■ ,. ,, ,.r,.. „� .V.-tern` Prrhl.nu;,I In I u!I:tIi ".h,{II ho Kf tit -= to P'?r'nacolq I In;t,�, , . I rn,,, '," ptCtfiAd ,�r unUcai ,�r iry durnw trnrL;��n'at'rrn sti fngfr .t .' r :F,,., . , •in 1 inSt:il;tl'OI' IFf :.fIJ(1 ba takPl i tv11::a I:uCi:, In)s.t rr,sealf'n IC pir-jent (molt^.'thr .Inm ir-,m ',I.rrr I,. Ihr'7! mn.!.Il re 3n,;lfI•'t.nrn antenna the t'''•� '' '' . urrnt: „r,1,91n,I�lt1m rtu!.h•I'nr,.Il at,,, , y_•,-rtl mstr' i , �•_ the { a! •n `i Special Noise Control C.ducaul)n and Welfaff ' III olerlurn )r duct systerns with t r �f ', noise,mrid'tiona or more domes I,n,a I cuushral recti - w' I in,fCUuAv-HP or 7'Pdrl'I ir' I utal'UUS'c- �si' P'RIIa4r•tp I IndGuu:;tic gh41.`.)P.tdh�Ir"y ' Icy ii stir vt mutat with full covaragc X an d 4pprov(td auh(I and all ozpose(f r oadmo Pdges and transverse De nEatly b jn"without Daps and hf' Dated wltn Prrttla.-OtP G1ttory fill)W1ed er-tge matinq Shop or field ciI h;l,l :w liheralty wated with Menvtlle° SuperSer31" Eoue Treatment of ipprovud adhesive When vfalucih urtds 40001 tae mylat nn' O-ry leading flage Noshln'n I. Iced On duct or Ue r•ham ached Dy scrtly•''vets '1r wuliI 111e PermacI naccws!ic:,hall ue additionAliv 'r'd with merhanit:al tasloners ,I tier the Schedule Ilhvwf I In the di&x 'he nqh'. The pin length should hr to hold the material 'I'm v n place with minimum COn1ptPF'YOn Y' ,t the mational. MAV 29 '97 12:51PM E.J. BARTELLS PORT. P.77, trap Microlite er r,, Spec'{-�.�..,E<� Hata ,. al Conductivity (ASTM C 510) Si :rd 'x '��' l " ,kaging — Therm - - ' _mperntur, it Compressed Labeled enrN 5 t.'i 5J' roll Unfaced 35,: F .17' C) Thickness �''_. - — — — - ThickneG; Faced d50"r=1121°C) - Type_ -- — _— --- - 75 3_ 29 100 1 75 21 . '., 2 Moisture adsorption Less than 0.290 27 2 by volume 100 25 150 _— — - -— 150 .24 .25 - Alkdllnity Less than 0.6°'0 _.— — -- --' Note;All typf and to ck"e-ases are available n expressed as Conductivity dl 76-F Meet,Temperature widths from,2a'through 96"with adw,tnout lacing. Na,o •Tesleo with material thickness compre:ysrd 251,16Addn onal thicknesses and cher lengihs available on special ordo, Contact req onal Office 16t (orroslvity(with steel, Does not Installed R-Values _- availability. copper or aluminum) accelerate — - Labeled Installed Out of Pkg. Government Specification Capillarity Negligible Type Thickness,In, "R"t - 'p° _ Compliance (after 24 hours) _ 75 j,,;— 4 2 5,2 HH-1-5588 Cido>r None — 2 5.6 139 Form B,Type 1,Class 6 Shrinkage None 3 8.3— 10.9 — Designation 2 Type 75 4.5 5.b 3 Type 100 Resistance to fungi Does not 100 11/2 6 0 7 4 4 Type t 50 and bacteria promote 2 150 11i2 4.7— 6.0 MIL-1.22.023D Underwriters' Laboratories Surface 2 6,3 8,0 _ Type I & II Burning Characteristics — —' Class 2 Tvpe 75 All products meet the Si.irface Burning t Installed R-Value cal^ulated with a 3 Type 100 Characteristics requirements of NFPA material thickness compressed it-,a 4 Type 150 90A and 908 Standards and FHA,as maximum of 25%following recom- tested by UL. Faced materials are mended duct wrap stretch-outs(see ASTM E 84 test9d ss composite products "Guide Specifications'Vapor Barrier ASTM C-553.Type I (insulation, adhesive and facing). Duct Insulation Data page AHS-1113). Class S-2 Type 75 UI-Guide No.40 U8.3. Card R3711 B-3 Type 100 Fire Hazard Classification 25/50, For more Information on other Manville 5-4 Type 150 UL labels 800P)OPI nn P"'C09"%"'^e;n reou!secA on wdly i thermal insulations and syster.'s,write HH_B.1009,Type II FSK Jau!,cer Manville, Product Information Center, Canada Facing information P.O. Box 5108, Denver,Colorado CCSB _ FSK Aluminum Foil B0217-5108,or call 1.800.654-3103. "— with Reinforced with fiber glass scrim Fax (303)978-2318 When ordering material to comply any laminated to UL rated kraft. government specification, a statement of Class I Vinyl Regional Sales Offices that fact must appear on the purchase order Gray and white. Meets NFPA 90A Government regulations prohibit the and 90B. UL rated. Northern certification cl compliance after shipment PO.Box 158 has been made Perrneance Defiance,OH 43512 FSK(Facing) 02 penis (419)784-7000 Manville Canada,Inc. Class I Vinyl 1.3 perms (800)334-2399 295 The West Mall (800)835-2341 (From Ontario 8 Etobicoke,Ontario M9C 4Z7 (Per ASTM E 96, Procedure A for Eastern Canada) (416)626-5200 facing material prior to lamination After Fax:(419)784-7866 Fax:(416)626.8635 lamination, permeance values may be For worldwide export higher.) Southern 200 W.Industrial Blvd. Manville Sales Corp. The phy3,cal and cnemir,a properties Of Engineered products Group Microlite Fityer Glass Duct lnsulab.+n reprcsen' Cleburne,TX 76031 Export Department typical,average values 00talned in amordenep (617)645.9101 PO.Box 5108 with accepted test methodr:and ere subject to (800)271-901B marine'manufacturing variallont.They are Fax:(817)556-6660 Denver,CO 80217.5108 supplied its 8 IeCMnical service And are 5*8Ct to (303)978 3642 change without notice.Aetererice5 10 numerical Fax:(303)978-2700 flame spread aril smoke dCvelopett ratings are not Westem Telex:21E115 MANY UR intended to reflect nazarOs of these or arty other PO.Box 1209 Fax:(303)978 2008 Materials under actual the conditions.Check filth Corona.CA 91718 the!Man one regional Onioe to assure current (714)737-3070 (800)387-6955 Mechanical (900)835-4346(From Manitoba S Western Canada) Insulation rix:(714)716-55,JS e Systems P 0 Sox 5108 Denver, Colorado 80217-5108 Cit-.md er L.SA CITY OF TIGARD - DEVELOPMENT SERVICES BUILDING PERMIT PERMIT #. . . . . . . : BIJF'97-0244 13125 SW Hall Blvd.,Tigard,OR 97223 (503)6394171 DATE ISSUED: 06/04/97 PARCEL_: 261O3DC-01100 SITE ADDRESS. . . : 11075 SW f_-;AARDE ST #B SUBDIVISION. . . . : ZONING:R--3. 5 BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . . JURISDICTION:TIG REISSUE: FLOOR AREAS----------- EXTERIOR WALL CONSTRUCTION— CLASS OF WORK. :FF'S F I RST. . . . : 0 s f N: S: E: W: TYPE OF USE. . . :COM SECOND. . . : 0 sf PROTECT OPENINGS?----------- TYPE OF' CONST. :5N . . . . 0 sf N: S: E: W: OCCUPANCY GRP. :A2. 1 TOTAL----------: 0 s f ROOF CONST: FIRE RET ) : OCCUPANCY LOAD: 0 BASEMENT. : 1700 sf AREA SEF'. RATED: STOR. : 0 HT : 0 ft GARAGE. . . : 0 sf OCCU SEP. RATED: BSMT? :Y ME Z? : REDD SETBACK 5----------- REDUI RED--- F_I.._OOR LOAD. . . . : 0 pis f LEFT: 0 ft RGHT: 0 ft F I R SF'KL_:Y SMOK DET. . DWELLING UNITS: 0 FRNT: 0 ft REAR: 0 ft FIR ALRM:Y HNDICP ACC: BEDRMS: 0 BATHS: 0 IMF' SURFACE: 0 F'RO CORR: PARKING: 0 VAI..UE. $ : 4200 Remark s : FPS Owner,; ________..._.__._____..____....__._______.._ .._________________.----•----._._...._. FEES FIRST BAPTIST CHURCH type amoi.int by date rerpt 11075 SW GAARDE FIRE f 0. 00 JDA 05/223/97 97-294679 T 1GAP.D OR 97224 PRMT E 50. 50 B 06/04/97 97-295430 FIRE $ E0. 2O Phone #: SPCT E 2'. 53 B 06/04/97 97--295430 Contractor: A & R FIRE PROTECTION CO PO BOX 459 NORTH PI—AINS OR 97133 Phone #: 503--647-2468 E 73. 1-3 TOTAL Reg #. . 000659 -- ----- REQUIRED INSPECTIONS -- -This permit is issued subject to the regulations contained in the Spr-inPler Roi_igh-- Tigard Municipal Code, State of Ore. Specialty Codes and all other Spr i n k 1 er- Final _. applicable laws. pll work will be done in accordance with approved plans. This permit will expire if work is not started within 190 days of issuance, or if work is suspended for more than IN days. f e i-m i t t e e N T ,,,;i_t e d B y: f"J _._ 1 Call for- insoe-tion — 639-4175 I in — ire Protection Permit Application Plan Check 0 c TY OF TIGARD 1%'\ Commercial or Residential Rec d By 125 SW HALL BLVP. Date Recd / C 3ARD, OR 97223 Print or Type Date to P E. 0 3) 639-4171 Ext. 304'-----Incomplete or illegible applications will not be accepted Date to oS,T Permits �(J—�F Called LO 6- `! / Name of DevelopmonHPtgect Type of System(Complete A or B as applicable) Job F/ Ns -T I s 7' l.F-Ju RC Address Address A.)Sorinkler Wet Dry p San � A RDF_ St – Name Standpipes ' t hazard Group Owner MadtngAddress r Additional L, G 1 O '2 -s I,1 G A 19 F, D Information Density City/State Zips Phone �. 7, ,0 Name _ ____ Design Area1� 715 T` S S-T K Factor Occupant Ma� Add c � Z I 7 s" W G AR R 0 E S- Sprinkler Project Valuation $ 2 J U mac, City/StatZip e �7 O Phone COT Business Tax or Metro# Exp. Date B•) Fire Alarm ontractor66 Submittal Shall Include Battery Calculations YES 0 (Sprtnkheror '� 1� IntiNklualComponent YES[] I�`o�) Ma Add_ �� Cut Sheets _ J Fire Alarm Project Valuation $ *�� ++ City/S to Zip Phone Project Valuation Subtotal (A or B) $ r' a.Wsclon'Cenw State Const Cont. Board L c.# ExA.Gate G .+d n~fa 0�'S (? 3 y Z?/ Permit fee based on valuation cor er.e...► COT B nese Tax or Moho le I;x .Daq► a �O J `� see chart on track Nam. 5%Sumharge rNmlm Address FLS Plan Review 40% of Permit a �, rchitect g C P City/State zip I Phone TOTAL $ PUNS MUST BE SU13MITI ED.soprared aria a permit issued prior to mstallabon. W escribe.wont A.)New, Addition O Alteration O Repair O Three sob P,planand d srb plan(and"Wo V map?required whict snows limbon of be done: , B.) Basement�( Mood/Vent O Spray Booth O 1 t+er"y soanoww"that I have read out sopMnbon.that the information given is Corrowe O Partial O Errtway O cone,;hat I am the owner or authonted agent o,the owner,and y+at Gans sutrmt;ed are.n comotiance with Oregon State laws. ,cotttonal Descnpuon of'Nortk Sig lure of t?vvnerlAgent Date Contact Person Name –TA.)In Exisnng Bwloirg New BuildingPhon� Building Rot,) F n c c y c+'4(' (e(f) ( /1" Z /L/ V '.)ata B ) Commercial Residential FOR OFFICE USE ONLY: _ Plat# Map/TL* No of stones Sq F; Notes Occup,: _/Gass Type of Construction OC (DST) 8/96 ) CITY OF TIGARD BUILDING PERMIT FEEE� TOTAL PLAN STATE BUILDING VALUATION OF PERMIT F.L.S. REVIEW TAX PERMIT PROJECT FEES (40%) (65X) (5%) FEES 1-1500 25.00 10.00 16.25 1.25 52.50 1,501-1600 26.50 10.60 17.23 1.33 55.66 1,601-1.700 28.00 11.20 18.20 1.40 58.80 1,701-1.800 29.50 11.80 19.18 1.48 61.96 1,801-1,900 31.00 12.40 20.15 1.55 65.10 1.901-2,000 32.50 13.00 21.13 1.63 68.25 2,001-3,000 38.50 15.40 25.03 1.93 80.ps 3,001-4,000 44.50 17.80 28.93 2.23 93.46 4,001-5,000 50.50 20.20 32.83 2.53 106.06 5,001-6,000 56.50 22.60 36.73 2.83 118.66 6,001-7,000 62.50 25.00 40.63 3.13 131.25 7,001-F,000 68.50 27.40 44.53 3.43 143.86 8,001-9,000 74.50 29.80 48.43 3.73 '156.46 9.001-10,000 80.50 32.20 52.33 4.03 169.06 10,001-11,000 86.50 34.60 56.23 4.33 181.66 11,001-12,000 92.50 37.00 60.13 4.63 194.26 12,001-13,000 98.50 39.40 64.03 4.93 206.86 13,001-14,000 104.50 41.80 67.93 5.23 219.46 14,001-15,000 110.50 44.20 71.83 5.53 232.06 15,001-16,000 116.50 46.60 75.73 5.83 244.66 16,001-17,000 122.50 49.00 79.63 6.13 257.26 17,001-18,000 128.50 51.40 83.53 6.43 269.86 18,001-19,000 134.50 53.80 87.43 6.73 282.46 19,001-20,000 140.50 56.20 91.33 7.03 295.06 20,001-21,000 146.50 58.60 95.23 7.33 307:66 21,001-22,000 152.50 61.00 99.13 7.63 32.0.26 22,001-23,000 158.50 63.40 103.03 7.93 332.86 23,001-24,000 164.50 65.80 106.93 8.23 345.46 24,001-25,000 170.50 68.20 110.83 8.53 358.06 25.001-26,000 175.00 70.00 113.75 8.75 367.50 26,001-27,00 179.50 71.80 116.68 8.98 376.96 27,001-28,000 184.00 73.60 119.60 9.20 386.40 28.001-29,000 188.50 75.40 122.53 9.43 395.86 29.001-30,000 193.00 77.20 125.45 9.65 405.30 30.001-31,OCO 19750 79.00 128.38 9.88 414.76 31,CO1-32,000 20.00 80.80 131.30 10.10 424.20 32,001-33,000 206.50 82.60 134.23 10.33 433.66 33,001-34,000 211.00 84.40 137.15 10.55 443. ;0 34.001-3;5.00O 215.50 86.20 140.08 10.78 452.56 35.001-36 000 220.00 88.00 143.00 11.00 462.00 36.001-37 000 22450 89.80 145.93 11.23 471.46 37,CO1-38 000 229.00 91.60 14885 11.45 480.90 1 PRESUPR.DCC (DST) 9196 MAY 19 197 07:46AM GENSCO INC PTLD 8523 t 1 DUCT SMOKE DETECTORS UNIVERSAL VOLTAGE MODEL SMGii"E ALARMS 115 VAC, 24 VAC, 24 VDC OPERATION "Worth Asking For" PRODUCT DESCRIPTION Fire( duct smoke detectors provide early detection of smoke and products of combustion present in air moving through an MVAC duct. These devices are designed for prevention of smoke recirculation in areas by the air handling systems, Fans, blowers, and complete systems may be shut down in the event of smoke detection The Universal Voltage Model will operate on any one of three input voltages (115 VAC, 24 VAC, or 24 VDC), Firex Duct Detectors are supplied with either a photoelectric or ionization detector head. Each Duct Detector contains (2) form "C" alarm contacts and (1) form "C" trouble contact. �_,� Visual indicators are mounted on the housing front for ease of pilot and alarm status indication. !r' A manual tesvreset switch is also provided on the U� front of the detector. Air sampling is accomplished by two tubes which protrude into the duct An exha jist tube of one standard length (7.5") is provided wiih the detector housing. Intake sampling tubes, which must tie ordered sepatrately, are available in three standard lengths. Duct mounting is accomplished by the use of a template and 4 sheet metal screv�s, which are provided 0550 Ionization Model 0551 Photoelectric Model PRODUCT FEATURES AND BENEFITS *Less labor intensive -installation template included *Visual indication (LED) on 30" angle *Large terminal connection screws •New UL 268A listing -Power supervisory relay included -Factory set tube alignment -Two independent form "C" alarm contacts standard 9115 VAC. 24 VAC, 24 VDC one model -interchangeable "plug-in" photoelectric or ionization heads -Ruggeri steel backbox with plastic cover •+✓ompatible with building automatior, & fire alarm systems -Installation without cover removal -Dust filtering included in detector head •built-n power supply -No additional screens or filters to clean -Only three standard tube lengths required MAPLE CHASE cOMPANY 2A20 Thatcher Road, Downers Gjove. IL 60515 1 YEAR LIMITED WARRANTY Ph- 708-983-1550/FAX 708-966.9302 MAY, 19 97 07r47AM GENSCO INC PTLD e5z3 P.2/2 WIRING POWER CONNECTIONS REMOTE Sol1a.oA 1G.OA I,OA ACCESSORIES NFL OW 1 2 3 4 5 5 7 8 9 t0 1t 12 13 14 15 1E t7 t8 15 a0 ALARM TROU666 CONTACTi CONTACTS F1J;EX"OUCT SMOKE DETECTOR 1tEv 24VA.C. 24v0C e 60 H: W 60 Hz npu; Inp�l Input 205 A vpx. 0 OB A.MAX. 0.1 A Mix q,) - 1ELI t 2 3 S ! 1 2 3 4 5 c 115 V A.0 OPERATION 24 V,A,C,OPERATION 2»V D.C.OPERATION PRODUCT SPECIFICATIONS ITEM0550" 115 volt AC, 24 volt AC, Or 24 volt DC ionization 0551 - 115 volt AC, 24 volt AC, or 24 volt DC photoelectric 0532 - Sampling tube for 6" to 2 5' duct Widths 0533 - Sampling tube for 2.5'to 5.0'duct widths 0534 - Sampling tube for 5.010 10.0' duct widths POWER REQUIREMENTS: 115 volt AC operation (9 5 ma standby, 15 ma alarm 24 volt AC operation a ?_0 ma standby, 5o ma alarm 24 volt DC operation ma 20 ma standby, 50 ma alarm RL6AY CONTACT RATING: Alarm contacts, two form "C" rated at 10 amps 0 115 VAC re5istive Trouble contacts, one form "C" rated at 5 amps (M 115 VAC resistive RADIOACTIVE ELEMENT For model 0550 only, Americium 241: 1.0 Micro-Curies SENSITIVITY Factory set AIR VELOCITY: 300 to 4000 feet/minute APPROVAL Underwriters Laboratories Listed (UL266A) California State Fire Marshall AMBIENT TEMPERATURE: 32' F to 120' F (0' C to 490 C) HUMIDITY. 10% to 850% R.M. MATERIAL 18 ga. steel backbox, p,astic ARS-94VO cover FINISH Textured grey finish MAXIMUM NET WEIGHT 4 0 pounds Template and necessary hardware supplied MOUNTING' 10^ H x A 25"W x 2.25" D (25.4 cm H x 21 ctn W x 5-T, cm Dl DIMENSIONS: Distributed BY: DUCT SMOKE DETECTORS 8i SAMPLING TUBES DUCT SMOKE DETECTOR SAMPLING TUBES Item 0550 - Ionization type (tem 0532 2.5' Item 055' . Photoelectric type item 533 9.0' Item 0534 10.0' - Note' See form no. 150.844 for listing of additional accesuories �. MAPLE CHASE COMPANY Printed in U.S.A 2820 THATCHER ROAD t +91991 M&pie Chase CompAny DOWNERS GROVE,IL 60515 150-643A Phone(709)963-11550 1 FAX(706)960-9302 UaI Ikf HI SERIES CFD-15 POTTORFF model CFD-1 5R-NS ceiling radiation damper 4)USM TESTED PEA U1_sss • 3 HOUR RATED FOR USE IN 1,2,OR 3 HOUR CEILINGSFpTT011_FF UNDERWRITERS LABORATORIES `5T1 FELE 0 814603 v �d CALIFORNIA STATE FIRE MARSHAL C�T� �. FILE R 3225-0368.104 ✓. `V F ��c R M_e HORIZONTAL MOUNTING POSITION USTED PRODUCT cONIFOP s TO U.0.C.43-7 CONFORMN TO N.F R A OU t 4i SPECIFICATIONS • 22 GA. galvanized steel frame. • 22 GA. butterfly style galvanized steel blades. Model CFD--15R-NS Zinc plated steel closure spring. for horizontal mounting_ • • All steel parts with galvanized finish or zinc coating. • Blades insulated with ceramic refractory material. • U. L. approved fusible link (165F std.). • Installation instnlctions provided with units. • Maximum diameter 24". Minimum diameter 5°. Units are supplied net I.D. for installation onto air distribution. >r k `;K+,• 2 7/1s• , Factory mounted sleeve (CFO-15R-S). C3 1� - • 118" undersized for installation into existing duct ��tt drops.[] �-�--- D "'i • Factory mounted volume control device: Net Sae OFtiertal VC-165(1651F link).Sita„lard C] Volume Control Device VG212 (212•F link)Optlonal Quilted ceramic blade insulation.❑ • Thermal blanket for tapered steel backed diffuser. CRB-24(Ceramic nahactory blanket)L7 QM24(ChMed ceramic blanket) [, 7-25-sz POrrORrr COMPANY INC. 700 SOUT14 VAIL AVENUE MONTEBR 10,CA 90640 (213)72MM14 05. 19, 97 06:37 $5113 234 Soil JOHNSON AIR PROD SERIES CFD-15 POTTORFF1-hour asilin fire damper lay4n diffuser installation instructions POrfORFF `CJ.STI \\1111 I I �D % \1111�11III $1� co 4ft 11uSTID PRODUCT A CONFORMS TO U.B_C_43-7 CONFORMS TO N_FYA 90A CSrM 322fi-.'i6tl:104 B g•j f d iS :i:e: !'.%`•'1-� s=::;:r::F:i;3ii;iiE;dedi;d d I Damper Installation for Fire-Rated pamper Installation for Fire4ia-ted T-Bar Ceiling Hard Ceiling A. The fire damper shall be attached to the back of a steel diffuser or outlet box (0.027" steel min.) by welding, or with rivets, or with No. 10 sheet metal screws, at 12" o.c. maximum. A minimum of three connections. B. The diffuser or outlet box (0.027" steel min.) shall he protected with a 24" x 24" - for T- Bar ceiling and cut-to--ft for special sized diffusers- 1/4" thick, 91b density ceramic refractory blanket. The blanket shall be cut so that it protects the back of the diffuser or outlet box up to the base of the fire damper frame. If the diffuser does not allow for access to the damper, appropriate access to the damper must be provided when installed. C. Standard fire rated T-Bar or hard ceiling constniction. Hard ceiling construction requires a minimum of 1' spacing between damper sleeve and framing member. "T-Bar" ceiling grid must be supported on the 4 comers surrounding the damper by minimum 12 swg wire. Hard ceiling opening shall be a maximum of 1/2" larger than the overall damper/ outlet box/ diffuser assembly. D. Flexible duct or steel duct drop can be attached using standard duct fastening techniques. No duct required on 'plenum retum' systems. CFD-15 11..26.91 POT7URFFCOMPANY INC 700 SOUTH VAIL AVENUE MONTEBELLO.CA 90640 (213)728-9004 C114 Y OF TIGARD BUILDING PERMIT DEVELOPMENT SERVICES PERMIT #. . . . . . . : SUP'36-124531 13125 SW Hall Blvd.,Tigard,OR 97223 (503)6394171 DATE ISSUED: 02/06/97 PARCEL: 2S103DC-12,1100 [TE iADDRF.-ISS. . . 11075 SW GAARDE ST #B 5 JBDTVTSION. . . . ZONING-.R--3. nCK. . . . . . . . . . LOT.. . . . . . . . . . . . . . RE-".ISSUE: FLOOR EXTERIOR WALL CONSTRUCTION CLASS OF WORK. .-ALT FIRST. . . . : 3880 sf N: S: E.- W: TYPE OF USE. . . :COM SECOND. . . : 0 sf. PROTECT OPEN INGS? TYPE OF CONST. :5-1HR . . . : 0 sf N: St E: W: GRP. .A2. 1. TOTAL—-- ..--: ,1?,880 sf ROOF cnNST: FIRE RETI : OCrUPANCY LOAD: 575 BASEMENT. : 3840 sf AREA SEP. RATED: '3"r 0R. : 0 HT: 0 ft GARAGE. . . - 0 sf OCCU SEP. RATED: DSMT? aY MEZZ?: REDD SETBACKS---------- REQUIRED-------------.------.. R L..00R EQUIRED-------------------- F'I-..00R LOAD. . . . : 0 psf LEFT: 0 ft RGHT : 0 ft FIR SPIKL:Y SMOK DET*. . :N DWELLING UNITS: 0 FRNTs 0 ft REAR: 0 ft FIR ALRM:Y HNDICP ACC:Y Pt:'_DRMS: 0 Bp , :45: 0 IMP, SURFACE: 0 PRO CORR:Y PARKING: 0 VnLUE. $ : 28,40 Remarks : REBUIL). 1 , TERIOR OF NEWLY RELOCATED BUILDING TO BE USED FOR SUNDAY SCHf ' OL 7, 640 SO FT (MIND., MODIFICATION Or PRESENT CUP) Oie basement flout, is occupancy group A2. I The first floor is a group A-3 Supossedly the rooms are used for instruction for less than 12 hours a week ilierefore not an E accupanry )�-jner: ---------------------------------------------------------- FEES IRST BAPTIST CHURCH type .:I m a 1.1 T1 t by date recpt 1171-1 SW GAARDE ST PRMT R 895. 50 DRA 02/06/97 97290027 PLCK 1 582. 08 MH 1.0/02/9- 6 9r,:,--283A71 0(iRD OR 97223 FIRE 358. 20 DRA 02/06/97 972.'900:'7 'lione #: 639-3913 5PCT $ 44. 7A DRA W:'106197 972900�-'7 EROS $ 88. 00 DRA 021/06/97 97290027 :RPC $ 28. 60 DRA 02/06/97 9729007 (71:.i. ; REX CONSTRUCTION INC. ERPIC $ 28. 60 DRA 02/06/97 97290027 0'-150 SW HUN71KER STREET TIF $ 5017. 00 DRA 02/06/97 97 -290040 TIGARD OR 97223 ----------------------------------------- r'll'ine #. $ 7042. 76 TOTAL Reg #. . : 58.358 REQUIRED INSPECTIONS This permit is issued subject to the regulations captained in the Framing Insp Tigard Municipal Code, State of Eyre. Specialty rode, and all other Trisulation Insp applicable laws. All work will be done in accordance with Rain drain Insp approved plans. This permit will expire if work is not started Final. Inspection within 18@ days of issuance, or if work is suspended for more Shear Wall Insp than 180 days. Firewall Insp r3yp Board Insp (- usp Ceilng Insp r :r0 Cal 1 f at-, i.n-,pection C,39-4175 r Ammercial Building Permit Application City of Tigard 13125 SW Hall Blvd. I � l Tigard, OF? 97223 I (503) 639-4171 Jobelte Address: ( �� u. Cw-�• c�c Tenant: ,, � _ Suite# Office Use Only Valuation: �� '� �, J _ ? Pla k/Rec # q-- _ ,a�u hk)l�l�tau//lel /id U�i i `'>fl# it# lA � - - Owner: Firs( 130 ��+�I l,,�r ch -- L� Map & TL. # Address: 1 l i) '� �. ) c.r��C S-\ Approvals Required Planning Phone: _ Engineering �� Other �n �J Contractor: Cy- I?VA r e A � S�r.n L'�'N!:),^ Address: f5 Z I � (1l a ,.n 'L\,��\.✓ i1 c Type of const: \�ZLS Occupancy class: 14 -7 1 Phone: � 103 �� Sprinklered? Yes y O�) C,miractor's License # -�� (�� - '3 (11 (attach copy of current Oregon license) Sq. ft. of project: L .•�f /'vr� Contact name & phone: ICU �>_ Story (1st, 2nd, etc.) Froposed use: c.�, Architect/Engineer: Previous US,*-* Address: \ N i h r d \l 111 r! .. t IA; ,. Al U Note: Plumbing & mechanical plans must be submitted at time of building permit application. , t phone: ._ Z. Z y �•1 `I� � ; JOB DESCRIPTION: �► n�S� b `C�1 r` m a�� S r I. Applicant Signature & Phone number ' f ;, ,4. � � • r� .. Pec;ved by: .{�Date Received: Permit 0 Account Description. Amount ArrR. Pd. Eal. Due Bldg. Permit (BUILD) Plumb. Permit (PLUMB) Mach. Permit (MECH) _ State Tax (TAX) Bldg: Plumt: Mach: Plan Chick (PLANCK) Bldg: Plumb: Mach: Sewer,;onnection (SWUSA) Sewer Inspection (SWINSP) Parks Dev Charge (PKSDC) _ Residential TIF MF-R) Mass Transit TIF (TIF-MT) Commercial TIF MF-C) Industrial TIF –JW4) Institutionil TIF (TIF4S) Office TIF (TIF-0) Water 0 jaiity (WQUAL) Water Cuantity (WO ANT) e=.—,,1l Fire Lif Safety (F 4/S) r i, 35Y,r�� Erosion Cntrl Permit (ERPRMT) �_ Erosion Planck/USA (ERPLAN) Erosion Planck/COT (EROSN) TOTALS: I CITY OF T1 ARD MECHANICAL PERMIT -, DEVELOPMENT SERVICES PERMIT#: MEC2003-00689 13125 SV: Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 2,2104 PARCEL: 2S103DC-01100 SITE ADDRESS: 1 1075 SW GAARDE ST B SUBDIVISION: ZONING: R-3.5 BLOCK: LOT: JURISDICTION: TIG CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS: TYPE: OF USE: COM UNIT HEATERS: VENT FANS: OCCUPANCY GRP: Al VENTS W/O APPL: VENT SYSTEMS: STORIES: BOILERS/COMPRESSORS _ HOODS: FUEL TYPES 0 - 3 HP: DOMES. INCIN: PG 3 - 15 HP: COMMI_. INCIN: MAX INPUT: BTU 15 - 30 HP: REPAIR UNITS: FIRE DAMPERS?: 30 - 50 HP: WOOD STOVES: PRESSURE: 50 + HP: FURN < 100K BTU: 2 _AIR HANDLING UNITS CLO DRYERS: -- OTHER UNITS: FURN >=100K BTU: <= 10000 cfm: GAS OUTLETS: > 10000 cfm: Remarks: IZL'I larr i n)n(y I IVAC. New unit %\ctghts 330lbs, nikl unit -t ttm. St1.000 blus. Nc�\ mitt I Imi. �0.0001)tus Value. $o,20o.L1() ' ' 04, athling inletim [hrnarc unit. Owner: FEES^ FIRST BAPTIST CHURCH OF Description Date Amount TIGARD, THE �MEC•II I I'rl]III( Fee 12/2/03 $72.50 '11075 SW GAA,RDE TIGARD, OR 97223 � TAX] 8';..State tiurrhart 12./2/03 $5.80 MECHj Permit Fce 2/2/04 $90.60 Phone: I I AXI R"' Statc tiurrhart 212/04 $7.25 Contractor: Total $176.15 HYDRO TEMP MECHANICAL INC 28465 SW BOBERG RD WILSONVILLE, OR 97070 REQUIRED INSPECTIONS Phone: 503-230-9359 Heating Unt Insp Final Inspection Reg #: LIC 63907 This permit is issued .,ubject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes anrt all other applicable laws. All work will be clone 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 in the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-00.1-0100. You may obtain copies of these rules or direct questions to OUNC bx c I�ng (50,3246-6699. Issued By: J14 Lfi"k, Permittee Signature:�-_' 1—__. Ca'il ( 9-4175 by 7:00 P.M. for inspections needed the next business day - hanical Permit Application Received Mcchanicai Date/Bo 3 Permit No If of Tipand , (d,..,.+ • • � ` Planning Ap roval Building Y b DatelBy Permit No 13125 SW Ifall Blvd. ��M flan Review --� Other l igard,Oregon 97223 �- 0Date"B Permit No.. Phone: 503-639-4171 Fa ,�Q,� '+r�60 Post-Review - land Use �1` '�- Date/B Case No.. n Internet: www.ci.tigard.or�}1/e'f� i� �x�+ Contact June Sec Pwse 2 for ?4-hour Inspection Requesf`. �U3-��-4175 Name%Method Supple"ental Information. TYPE OF WORKT _ COMMERCIAL FEE•SCHEDULE-USE CHECKLIST New eonstntetion Demolition Mechanical permit fees*are Fased on the total value c''thc work Ad.iition/alteration/replacement F� Other: _ perform,d. Indicate the value(rounded to the nearest dollar)of all CATEGORY OF CONSTRUCTION mechanical materials,equipment, labor,overhead and profit. -ElI & 2-Famll dwelling_ x C�onlmercial/Industrial V 6 J Value: S 00 See Page 2 for Fee Schedule Accessory Buildui —Y d — r�- ——-� — -�- RESIDENTIAL EQUIPhIENT/SYSTEMS FEE*SCHEDULE �� Multi_Fan ❑ Master Builder Other: Description Qty Fee(ea-) -Total Heatin C'oolin JOB SITE INFORMATION and LOCATION umace-add-on air conditioning•' 14.00 Job site address: nk k 14.00 Suite#; _ Bldg/Apt.#: Duct work _ 14.00 H dronic hot waters stem 14.00 Project Name: _.Y_ Cross street/Directions to job site: Residential boiler(for radiator or hydronic system) 14.00 C t Unit heaters(fuel,not elc,tris) (in wall,in-duct,sus ended,etc.) 14.00 Flue!vent(for any of above) _10.1111 Subdivision: Lot#: Repair units 12.15 - - Other Fuel Appliances _ 'Fax map/parcel #: Water heater 10.00 DESCRIPTION OF WORK Gas fireplace — _ 10.00 v '11 ,/A Flue vent(water heater gas fireplace) 10.00 ifA 1i w Log li hter as) --To 10.00 Wood/Pellet stove 1000 _ (\ �^' D • ` ( y �D Wood fireplace/insert _ _ 10.00 ML t-I c D Qv V IAJI 4- 5 C' VV hf,)l Chimney/liner/flue/vent _ 10.00 PROPERTY OWNER TENANT _Other: 1 o.0o Name: f Environmental Exhaust&Ventilation Address I I Q t aJ Range hoodlnther kitchen equipment 10.00 �- Clothes dryer exhaust M 00 City/State/Zip: r C i , U 1--1 ZZ Single duct exhaust Phone: Fax: _ (bathrooms,toilet compartments, rl A FL D CONTACT PE ON utility rooms) _ 6.80 Name: kl(�9 L iAtuacrawl space fans - 10.00 Address:_ ), S t� o Other: - _ it).un — Fuel Piping City/State/Zip: �,U c J, (� ••(55.40 for first 4,$1.00 each additional' Phone: O' Furnace,etc. •• Gas he heat pump •+ E-niall: Wall,suspended,unit heater — •+ __ _ CONTRACTOR Water heater •• Business Name: 63A APV) u1/-Q, Fire lace _ ____ •• a-__ Address: Range — •• City/State/Zip: BH - — •• Clothes dryer(gas) — •• Phone: Fax: Other: •• CCB Lic, #: UI -a,�; - Total: --- Authorized _ Mechanical Permit Feea•_ Sivnature: �/(/�' Date- Subtotal: S �- Minimum Permit Fee 572.50 S Plan Review Fee(2of Permit I cc) (Please print name) State Surcharge(80'.of Permit Fee) S TOTAL PERMIT FF_E 5 Notice: I his pc;mit application expires if s p.,nrit nor oblained wi(hi't *Fee methodology set M Tri-Copunt,* Building Indus'm Service Board. 180 dens after,it has been accepted as complete. **Site plan required for eslerior A/C units. i list,Permit l ornts Mcri'crmrt:\pp doi M 0.� Mechanical Permit Application -City of Tigard Page 2 - Supplemental Information Commercial Fee Schedule: "TOTAL VALUATION: PERMIT FEE: $1.00 to$2,000.00 Minimum fee$72.50 $2,001.00 to$5,000.00 $72.50 for the first$2,000.00 and$2.30 for each additional $100.00 or fraction ther:;of,to and _ including,x5,000.00. $5,001.00 to$10,000.00 $141.50 for the first$5,000.00 and$1.80 for each additional $100.00 or fraction thereof, to and including$10,000.00. $10,001.00 to$50,000.00 $231.50 for the first$10,000.00 and$1.35 for each additional $100.00 or fraction thereof,to _ and including$50,000.00. $50,001.00 to$100,000.00 $771.50 for the first$50,000.00 and$1.25 for each additional$100.00 or fraction thereof,to _ �- and includin $100,000.00. _ $100,001.00 and up $1,396.50 for the first$100,000.000 and $1.10 fir each additional $100.00 or fraction thereof. All New Commercial Buildings require 2 sets of plans. i 1HwldingWermit FcrrnsA1,ecPermitAppFg2 09-01-03 doc CITY OF TIGARD 24-Hour BUILDING Inspection Line: (503)639-4175 INSPECTION DIVISION Business Line: (503)639-4171 MST —_ BUP _ Received __.._..._—/,� Date Requested—__°� _ AM M --_ BUP Location .___-__//1 v � �-�",_—Suite MEC 3—G_ O Contact Person _ -_-_ Ph( ) � - PLM -- Contractor Ph(__ ) — _ SWn BUILDING _ Tenant/Owner — ELC FoolingELC Foundation ACCeS ' Ftg Drain ELR Crawl Drain 41 Slab lnspection Notes: SIT Post& Beam Shear Anchors ---------- --"_--W-- --------------- -- __.__.__.._.____-___ Ext Sheath/Shear Int Sheath/Shear Framing - - ------- ------------------- Insulation Urywali Nailing -- — �_— Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling -- Roof t ie': Final PASS PART FAIL. " PLUMBING Post 8 Beam- _._- ----- --- - - Under Slab __- Rough-In Water Service ------- - Sanitary Sewer ^- Rain Drains ----- - - --- Catch Basin/Manhole Storm Drain Shower Pan Other: -- -- - - - ----- -- - — - Final - SS �CHANICA Rough-In --- -- - -- - ------ - — Gas Line SrookeDampers _ASS PART FAIL -- --- --------- ELM TRICAL ----------------------- Service _-_ -- -----.-- Rough-In UG/Slab - LOW Voltage Fire Alarm -- --- - - - ------- --- --Final Ll Ll-� PASS PART FAIL Reinspection fee of$ _ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. SITE Please call for reinspection RE:- �� p Unable to inspect-no access Fire Supply LineADA / Approach/Sidewalk Date � Intspector Ext Other: _ Final DO NOT REMOVE this Inspection record from the job site. PASS PART FAIL M A T T E S N A R C H I T E C T S April 24, 1996 Mr. James Funk, Plans Examiner City of Tigard 13125 SW Hall Blvd. Tigard, OR 07223 Re: TIGARD FIRST BAPTIST CHURCH a.wnilRD 11075 SW Gaarde, Tigard, OR 97223 Permit #11075 "New Foundation and Basement" VO)RTI.ANb OREGON 97209 i 503 224 6145 Dear Mr. f=unk; Enclosed are three copies of sheets A2,A5, and A6(dated October 2, 199.5) indicating the modifications to th^ basement configuration brought about by reversing the building end-far-end. Engineering modifications and details for the changes will follow by another party. I have limited my involvement at this time to the basement wall dimensional changes and interior column/footing locations only. The concrete wall height at the modified west wall will be window sill height with wood framing and siding above. The revised NE corner basement wall full height. Revised grades and ramp between the west wall and the parking are to follow after new finish floor elevation is established. Please call if you have any questions. Thank you for your assistance. Sincer�ly�_ _ l,1 � John L. e-son, A.1.. . cc w/encl Tex Whiteman, Tigard First Baptist Church Emmert International McGarrigle Engineering CITY OF TIGARD ELECTRICAL PERMIT DEVELOPMENT SERVICES PERMIT #: ELC97-0026 13125 SW Hall Blvd.,Tigard,OR 97223 (503)6394171 DOTE ISSUEDi 01/15/97 PARCEL: 25I.03DC-01. 100 -!'I- ADDRF9. S. 11075 SW GAARDE S7 B D I V I S I ON. . . . : ZONING:R-3. 5 017v. . . . . . . . . . : LOT. . . . . . . . . . .. . . . oJect Description: ADD .2:10 BRANCH CIRCUITS 1,,D 3 SERVICE/FEEDERS —RESIDENTIAL UNIT—_.... ----TEMP SRVC/FEEDERS------- 1,100 SF OR LESS. . . . : 0 0 — 200 amp. . . . . . . 1 0 PUMP/IRRIGATION. . . . 1 0 iCH ADD' L 500SF. . . : 0 `.Ot — 400 amn. . . . . . . .. 0 SIGN/OUT LINE LTG. . : V, i...�.MITED ENERGY. . . . . : 0 401 — 600 amp. . . . . . . : 0 SIGNAL/PANEL.. . . . . . . : 0 MONF. HM/ SVC/FDR. . : 0 601 +afqps- 1,000 : 0 M!NOR LABEL ( 1.0) - . . : IP -SERVICE/FEEDER---- ----BRANCH CIRCUITS----- ---ADDIL INSPECTIONS—- 1,7, 200 AMP. . . . . . : 0 W/SERVICE OR FEEDER: 20 PER INSPECTION. . . . . : 1l, �q 4.00 amp. . . . . . : 3 1st W/O SRVC OR FDR. : 0 PER HOUR. . . . . . . . . . . : 0 '101 600 amp. . . . . . : 0 EA ADD"- BRNCH CIRC: 0 1 N PLANT. . . . . . . . . . . . 0 M1 1000 amp. . . . . : 0 REVIEW SECTION—_--._____—_.—_--_ ,100+ ECTION------------------ ,100+ amp/volt. . . . . : 0 ) =4 RF5 UNITS. . . . . . . . : ) 600 VOLT NOMINAL. . : 1 Reconnect only. . . . . : 0 SVC/FDR > = 225 AMPS. . : CLASS AREA/SPEC OCC. : ln�ltl: -1 -1 -1'*-,------,- - - I __ I FEES RST BAPTIST CHURCH type amount by date recpt 1 10'75 SW GAARDE PRMT $ 340. 00 TP7 01/15/97 97-288927 PLCK $ 85. 00 TP-T' 01/19, /97 97--288927 7_Tf',OP') OR 97223 5PCT $ 17. 00 I(-.)T Ot/15/97 97- 28A 1)27 #: ,intrActor: - -_-------__-------------------------------- ' t C;E ---------------' ICE ELECTRIC 440. 00 TOTAL ! '79 SE BELMONT ST --------- REQUIRED INSPECTIONS P(-.',P'TLAND OR 97215 Ceiling Cover Undet-Wros.tnd Cove F11-ione #: V-233-8801 Wall coyer Elect9l, Servier, Rey #. . : 000001 Th:; pervit is i-ilied subject to the regulations contained in the Tigard Municipal Code, State of 0". Specialty Codes and all other Per Lt e>f S i q T1.1 t 1.1 applicably laws, All work will be done in accordance with approved plans. This pertit will expire if work is not started within 180 days of issuance, or if work is suspended for sort than 180 days. Issued B y ---OWNER INSTALLATION ONLY.-- ThE., in-,tallation is being made an property I own which is not intended for lease, or rent. r1WHERIS SIGNATURE: DATE: INSTALLATION SIGNATURE OF SUPR. ELECI �N: DATE: !(1-NSE NO: Call for inspection — 639-4175 Job, #9132.99 Community Development L LECTRICAL PERMIT APPLICATION 13125 SW Hall Blvd. Tigard, OR 97223 Planck/Rec. # Permit # Phone (503) 639-4171 Date Issued CITY OF Tl ARD FAX (503) 6847297 Issued by TDD No. (503) 684-2772 Inspection (503) 639-4175 1. Job Address: 4. Complete Fee Schedule Below: Name of Development_lj r--,t T3ant i Gt- Church ofTi rd Number of Inspections per permit allowed Address 11075 SW Gaarde Service included Items Cost(ea) Sum Gity/State/Zip Tigard OR 4a. Residential-per unit 4 1000 sq h or lose $11000 Name (or name of business)First Bptist church Lf rige relech additional 500 Fwl it or portion thereol $2500 i Commercial[ Residential❑ I Limned Energy $2500 Each Manufd Home or Modular 2 Dwelling Service or Feeder $M 00 2a. Contractor installation only: 4b.Services or Feeders Installation.allelattonor relocation 1 loctrical Contractor Tice Electric Co 200 amps or leas $so 00 Address_ PO BOX 15009 201 amps to 400 amps _� $80 30 ? Cil Portland State OR _ Zi 40 xe to 600 amps $12000 2 Y P�7293 801 amps to 1000 amps $18000 2 Phone No. 233-8801 Over 1000 amp@ at volts $34000 Contractor's License No. 26-126C Reconneclonly $5000 Gunlractor's Board Reg. No. 166 4c.Temporary Services or Feeders —y'�- Installation allaratinn.or relocation 2 Signature of SElec'n `> 200 amps or lass $5000 1 icense No. Ti•- 1 is Phone No. -8801 201 amps to 400 amps $7500 -- 401 amps to 800 amps $100 on 231-3372 Over eoo amps to 1000 vans 2b. For owner installati see W above 4d. Branch Circuits Print Owner's Name New alleration or extension per panel Address n)The lee for branch circuits viith City__ pumhaw of aarviea or Areder Ara. i Stale Zip Each branch circus _20 $1.00 100.00 Phone No. _ b)The fee lot branch cecuns without _ The installation is being made on property I own which is purcha"of service or Mader Ara. not intended for sale, lease or rent. Fire l branch cirw't $3500 addsional branch circus �5 00 Moor s Signature__ — 4e. Miscellaneous (Service or feeder not included) ? 3. Plan Review section (it required): Each pump at sngniton circle $4000 Each sign or outline lighling 94000 Signal crcuit(s)or a limned energy Please check appropriate item and enter fee in section 58. panel aMeration or extension _ $40 00 4 or more residential units in one structure Minor Labels(10) $10000 _ Service and feeder 225 amps or more System over 600 volts nominal 41. Each additional inspection over ( lassified area or structure containing special occupancy the allowable in any of the above as described in N E C Chapter 5 Pet inspection f35 00 Per hour __ $55 00 _ In Plant $55 n0 Submit 2 sets of plans with application where any of the above -- apply. Not required for temporary construction services. 5. Fees: NOTICE 5o. Enter total of above fees $ 340.00 5%Surcharge(05 X total fees) $ 17.0 PERMITS BECOME VOID IF WORK OR CONSTRUCTICN Subtotal $ - 357.0 AUTHORIZED IS NOT COMMENCED WITHIN 180 DA'-3, OR iF Sb. Enter 25%of line A for 85.00 CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR Plan Review if required(Sec 3) $ A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS Subtotal $ -442.00 COMMENCED ❑ Trust Account 0 $ Balance Due $ 442.00 .,..r�.n.urwr nm sv D D ? In !RIM 10 v+ w m cc _ cn R tn m rI CD CD CL to - CD j' cD O or C 1 3 r"-F -- - aro N b /�CA �. -L O OD N O o cn y T (D N A N c(D co 0- o o pD n� w = CSO-- nO'D C 2. z n 1 = � � �J00220� r 3 pcljD 0 (iD N (O ro0 n n N 7 O m N- I -` T� M M 0 Wim � cn � ? ° N dcp N (� o0 c o o CDTi r- rp W CU p `° w o T > -3 C) n m f C7 d 0 it 3 N 0 S w3 d� `D m 'G N w p 0 Q r K o cn Ca o N a 0. r. m 1 c -n 0 n s, � I-� -- U) I RI $ I go CD n d 3 �� n , co yv : s D 0 I S nom. 00 - °� x / °-' Q CA N GD p A O — —_ cD —h O ao N O lD O to O A cD A D vi 3 w m N A M fD ,u m � N j N N W U O O N Ln Ln O (AO O I F. )_--— lD C7 U+ . —I W_ Q D m c_ � v - m w W Z: 4 Z W Z J O (D (") cr C7 m o n 0 3 o z L - a M A T T F S 0 N • A R C N 1 T E C T S April 24. 19% Mr. .lames Funk, Plans Fxaminer City of Tigard 13125 SW flail Blvd. Tigard, OR 07223 Re: TIGARD FIRST BAPTIST CHURCH KIc� 13 510 NW THIRD 11075 SW Gaarde, Tigard, OR 97223 PoknANn Permit #11075 "New Foundation and Basement" (-e',GON 97219 503 224 6145 Dear Mr. Funk: Enclosed are three copies of sheets A2. A5,and A6(dated October 2, 1915) indicating the modifications to the basement configuration brought about by reversing the building end-for-end. Vngineering modifications and details for the changes will follow by another party. I have limited my involvement at this time to the basement wall dimensional changes and interior column/footing locations only. The concrete wall height at the modified west wall will be window sill height with wood framing and siding above. The revised NF,corner basement wall is full height. Revised grades and ramp b;tween the west wall and the parking are to follow after new finish floor elevation is established. Please call it you have any questions. Thank you for your assistance. Sincer Ya_ John L. eson, A.I. f:c w/encl Tex Whiteman, Tigard First Baptist Church Emmert International McGarrigle Engineering TO: Al Kemnec DATE: June 1.1, 1996 Emmert International 11811 SE Highway 212 Clackamas,OR FROM: John L. Matteson, A.I.A. COPIES TO: file Whiteman PROJECT: Tigard First Baptist Church Funk ' 11075 SW Gaarde, Tigard, OR 0'7223 ✓ (---McGarrigie SUBJECT: Basement Wall Reinforcement Al This is to confirm our phone conversation this AM regarding the change in Doug Winn's detail 1-A8, dated October 2, 1996: Vertical #5 bars spaced at 10-inches on center(as indicated on Winn's drawing) can be char.ee. to #6 bars spaced at 12-inches on, center. Changing the spacing will align the wall bars with the footing#4's spaced at 12-inches on center. All ether reinforcement, includin, Winn's addenda letter of March 28, 1996, to remain as indicated. Please call if you have any questions. John Matteson Matteson Architects 510 N.W. Third Avenue. Portland, Oregon 97209 (503) 224-6145 CITY O F TIGAR D SEWER CONNECTION DEVELOPMENT SERVICES PERMIT PERMIT #. . . . . . . : 5WR97-00114 13125 SW Hall Blvd., Tigard,OR 97223 (503)6394171 DATE ISSUED: 01/23/97 PARCEL: 2SI03DC-01100 i.TE ADDRESS. . . : 1L075 SW GAARDE S] F0 I Ck I i3,,UBDIVISION. . . . : ZONING: R3. 5 i3LOCK. . . . . . . . . . : LOT. . . . . . . . . . . . . .. ---------------------------------------------------------------------------- TENANT NAME. . . . . :TIGARD FIRST BAPTIST CHURCH USA NO. . . . . . . . . . : FIXTURE UNITS. . . : 81 CLASS OF WORK. . . :ALT DWELL-I NG UN I TS. . : 5 TYPE OF USE. . . . . :REL NO. OF BUILDINGS: 0 INSTALL TYPE. . . . :131]9WR IMPERV SURFACEt 0 -,f Remarks: RF- PILM97-0009 Owner: FEES FIRST BAPTIST CHURCH type amnlint by date recrit 11075 SW GAARDE ST PRMT $ 11000. 00 B 01/23/97 97-289361 TIGARD OR 97223 Phone #: 639-3913 C."ONTRACTOR NOT ON FILE one ti $ 1 1.000. 00 TOTAL F?coq REQUIRED INSPEC7IONS This Appl,cant agrees to comply with ill thp rules and regulations of the Unified Sewage Agency, The pewit eypires 180 days from the date issued. The total amount paid will he forfeited if the permit expires. The Agency does not quarantpo he accuracy of the side sewer laterals. If the sewer is net located it the measurement given, the installer shall prospect 3 feet in all di-ectiong from the distance given. If not so located, the installer shall purchase a "lap and Side Sewer" Permit and Vie Agency will instal., a lateral. 1--lermittep 8 i griat urp - I s s,.i e 0 Call for inspection 539-4.175 Commercial euilding Permit Awlic tior_i ,:,ty of ',,lard 131;5 SW Hall Blvd rigard, OR 97.:3 15031 d39-1,171 Jobsite Address:, lC� c� cc3'� �'"�'''r`�f OFFICE USE ONLY Planck/Rec. # Valuation: Permit - Map &TL 0 Owner: / _T t Approvals-Required Address: Planning _ Engineering " lephone: �. Other Contractor: address: Type of constr:_ Telephone: Occupancy Class:. _ Contractor:; License # � _ Sprinkler? Yes No (attach -ropy of current Oregon license) Sq. Ft. Of Project: Contact name & telephone: Story (1st, 2nd, etc.): lrchitect 3 Engineer: _ Proposed Use: Address: Previous use: _ Note: Plumbing & mechanical plans must i elephone: v be submitted at time of buil," -I permit application. ._IUB DESCRIPTION: � � � ` ✓ � �� `� ?,� --- (Applicant Signature & Telephone *lumber) Received by: __ Gate Received: _ _ — CZAIPE:� XC CST 'G55 PERMITS Account Description Amount Amt Pd. Balance Due � Building Permit (BUILD) Plumbing Permit (PLUMB) Mechanical Permit (MECH) State Tax (TAX) Bldg. Plumb. Mech. Plan Check (PLANCK) Bldg. Plumb. Mech. / Sewer Connection (SWUSA,) i Sewer Inspection (SWINSP) Parks Dev Charge (PKSDC) Residential TIF (TIF-R) Mass Transit TIF (TIF-NM Commercial TIF (TIF-C) Industrial TIF (TIF-1) Institutional TIF (TIF-IS) Office TIF (TIF-0) Water Quality (WQUAL) Water Quanity (WQUANT) Fire Life Safety (FLS) Erosion Cntrl Permit (ERPRMT) Erosion PlancklUSA (ERPLAN) Erosion Planck/COT (EROSN) 11�[�U J ! l �' �'•' T0TAI.S: C:NIPE_R CCC CST, ?; Accumulative SE-wer Tally Tenant Narne -Yirc� �iic7J S! DL-,7Z 9 This SWR# � Address: r/p (aa�r�e ��" This PLM#: r'�r+`�7`�t��Y Fix!ure Value Previous Previous Credits Capped Fixtures Fixtures New total New # Value Capped off value added# added #S total Count off#s count value values Baptistry/Font 4_ - -- _ Bath Tub/Shower 4 Jacuzzi/Whirlpool -_4 — Car Wash- Each Stall _ Drive Through 16 Cuspidor/Water Aspirator _1_ _ T Dishwasher-Co •ir,ncrcial 4 - A� -Dornestic 2 _ Drinking Fountain_Ey - e Wash Floor Drain/sink-2 inch 2 3 inch 5 -� 4incn 6. -Car Wash Drn Garbage Disposal 16 Domestic(to 3/4 HP) _ Conimercial (to 5 HP) 32 J _ Industrial(over 5 HP) _ 48 Ice Machine/Refrigerator Drains 1 _ — Oil Sep(Gas Station) 6 _ - Rec. Vehicle Dump Station 16 Shower-Gang(Per Head) ~- - Stall Sink_Bar/Lavatory 2 Bradley _ _ 5` -Commercial �-� 3 _ Service _ _ 3 Swimming Pool Filter 1 — — Washer- Clothes _ 6 _Water Ex!ractor 6 Water Closet-Toilni i 6 - - (2 3Cn - Urinal 6 -7 TOTALS Total fixture values l ✓,divided by 16 =_"I EDU �� r 5 HISTCRY ► ;�.-� z PLM# EDU# SWR# PLM# EDU# SWR# _ PLM# EDU# SWR# PLM# EDU# SWR# PLM# EDU# SW_R# ✓� PLMf EDU# SWR# ~_ PL.M# ^- EDU# SWR#_ -P-Mit EDU# SWR# \dsts�swrtaly dor. — m CITY OF TIGARD DEVELOPMENT SERVICES PLUMBING PERMIT 13125 SW H0 Blvc, Tigard, OR 97223 (503)639-4171 PERMIT #. . . . . . . : PLM960310 DATE ISSUED: 10/17/96 PARCEL: 2SI03DC--011.00 SITE ADDRESS. . . : 11075 SW GAARDE 51 dc b SUBDIVfSTON. . . . .- ZONING: R---3. 3 BLOCV.. . . . . . . . . . LOT. . . . . . . . . . . . . CLASS OF WORK. . :NEW GARBAGE DISPOSALS. : 0 MOBILE HOME SPACES. : 0 TYPE OF USE. . . . : REL WASHING MACH. . . . . . : 0 BACKFLOW PREVNTRS. . 0 OCCUPANCY BRP. . :Al FLOOR DRAINS. . . . . . : 0 TRAPS. . . . . . . . . .. . . . . : 0 STORIES. . . . . . . . : 0 WATER HEATERS. . . . . : 0 CATCH BASINS. . . . . . . : 0 FIXTURES------------------ LAUNDRY TRAYS. . . . . .. 0 SF RAIN DRATNS. . . . . 0 SINKS. . . . . . . . . . : 0 URINALS. . . . . . . . . . . . 0 GREASE TRAPS. . . . . . . . 0 LAVATORIES. . . . . : 0 OTHER FIXTURES. . . . : 0 TUB/SHOWERS....: 0 SEWER LINE (ft ) . . . : 0 WATER CLOSETS..: Vi WATER LINE (ft ) . . . : 0 DISHWASHERS. . . . : Q) RAIN DRAIN (ft) . . . : 300 Remarks : Owner-: -------------- FEES --------------- FIRST BAPTIST CHURCH type Amtii,int by date r,eept 11075 SW GAARDE ST PRMT $ 80. 00 DRA 10/17/96 96-285334 5PCT $ -ff. 00 D13A 1.0/17/96 96--2'853,34 TIGARD OR 97223 Phone #: 639--3913 Conty,actor.- WESTERN PLUMBING `9460 SW TIGARD STREET TIGARD OR 97223 Phone #- 503 639-5296 84. 00 TOTAL Reg #_ : 002439 -------- REQUIRED INSPECTIONS This permit is issued subject to the regulations contained in the Storm Drain Insp Tigard Municipal Code, State of Dre. Specialty Codes and al; other Final Ins pest ion applicable laws. All work will be done in accordance with approved plans. This permit will ei(pire if work is not started within 180 days of issuance, or if work is suspended for more than IN days. e V-M i t t Sign t i_ir-e- Call far i Tic.;liect in 639-4175 City Of Tigard PLUMBING PERMIT APPLICATION Planck/Rec. # I`3125 SW Hall Blvd. Permit # e_ _ Tigard, OR 97223 (503) 639-4171 . p��?> MINIMUM $25.00 PERMIT FEE. + ST. SURCHARGE N•m °�o«.ipm. � New aingle Family Realdences Only r 1dy '• ',/ O 1 BATH HOUSE$110.00 Cl 2 BATH HOUSE$195.00 Job 'S i�./• E 3 BATH HOL SE$225.00 Address ao Fee includes all plumbirg ndures ;n the dwelling and the"t 101 feet of water service, sanitary sewer and storm sewer. See fees below FIXTURES QTY PRICE AMT Sink i 9.00 M•.w ••• fJ�J `f°A°�^^ Lavatory 9.00 �/'�/J/^I VI -- Owner Tub or Tub/Shower Comb. 9.00 rsr Shower Only 9.00 Water Closet 9.00 N.-i«n.m..1 bsn...) Dishwasher �- - 9.00 Garbage Disposal 9.00 Occupant M.Arg,y,,,,,.. Ph- Washing Machine - 9.00 Floor Drain 9.00 Water Heater 9.00 Laundry Room Tray 9.00 - m• �"� Urinal 9.00 ��,' i �,�� • Othor Fixtures (Specify) -- 9.00 M.Mg Awn... an^n• Contractor �l�j ;9.� � - - 9.00 9.00 w 9.00 Sewer 1st 100' 30.00 Ste.R.pp.ft~N. cer Sewer-ea. Addit. 100' 25.00 Water Service 1st 100' 30.00 I hereby acknowledge that I have read this application that the Water Service ea. Addit. 200' 25.00 information given is correct, that I am the owner or authorized agent of the owner, that plans submitted are in compliance with State laws, that Storm &Rain Drain 1st 100' 30.00 I ar, registered with the Constriction Contractors Buard, that the Storm &Rain Drain Addit. 100' 2 25.00 rJ number given is correct. (If exempt from State registration., please - give reason below) Mobile Home Space 25.00 - Back Flow Prevention Gev)ce or Anti-Pollution Device 9.00 rl& � Any Trap or Waste Not ,• r -�� Connected to a Fixture 9.00 - Des(;ribe work new Acidition 0 alteration rep it (l_ Catch Basin -� 900 to be done residential O non-residentia' Insp of Exist. Plumbing 40.00/hr - ____ Specially Requested Inspections 40.00/hr Existing use of building or property _ - Rain Drain, single family_dwell"'g 30.00- Residential backflow prevention devices 15.00 Proposed use of building or property -- '(Except rosidentlal backflow Prevention devices) NOTICE *Minimum Fee $25.00 SUBTOTAL Q/) PERMITS Bk_COME VOID IF WORK OR CONSTRUCTION w AUTHORIZED IS NOT COMMENC•t0 WITHIN 180 DAYS, OR IF 5%S!)RCHARGE CONSTRUCTION OR WORK IS SU::PENDED OR ABANDONEDFOR A PERIOD OF 180 DAYS AT ANY TIME. AFTER WORK IS COMMENCED PLAN REVIEW 25% OF SU9TOTAL �.f TCTA"_ Special Conditions Date issued by- _-- - I CITY OF TIGARD / FL_UMBING PERMIT .< DEVELOPMENT SERVICES PERMIT #. . . . . . . : F'LM37-0386 13125 SVS Hall Blvd., Tigard,OR 97223 (503)639.4171 DATE ISSUED: 09/E'3/97 PARCEL: 2S1O3DC-01100 ;31 T L ADDRESS. . . : 11.075 SW GAARDE ST #B SUBDIVISION. . . . : ZONING. R-3. 5 BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . . JUR.'.SDICTION: TIA ------------ CLASS OF WORT:. . :ALT GARBAGE DISPOSALS. : 0 MOBILE HOME: SPACES. : 0 TYPE OF USE. . . . :COM WASHING MACH. . . . . . : 0 BACKFLOIAI PREVNTRS. . : 1 OCCUPANCY GRP. . :A? FLOOR DRAINS. . . . . . . 0 TRAPS. . . . . . . . . . . . . . . 0 STORIES. . . . . . . . : 0 WATER HEATERS. . . . . : 0 CATCH Bf-1SINS. . . . . . .. : 0 LAUNDRY TRAYS. . . . . : 0 SF RAIN DRAINS. . . . . : 0 SINK'+. . . . . . . . . . 0 URINALS. . . . . . . . . . . . 0 GREASE TRAPS. . . . . . . . 0 I_AVATOOIES. . . . : 0 OTHER FIXTURES. . . . : 0 TuB/SHOWF.RS. . . : 0 SEWER LINE (ft ) . . . : 0 WATER CLOSET:,. : 0 WA CE R LINE (ft ) . . . : 0 DISHWASHERS. . . . : 0 RAIN DRAIN (ft ) . . . : 0 Remarks : Install hack flow prevention device I Owner: FIRST BAPTIST CHURCH type amoI-rnt by date recpt 11075 SW GAARDE: ST F'RMT f 25. 00 JSD 09/:.x3/97 97-299465 TIGARD OR 97223 SPCT E 1. 25 JSD 09/23/97 97-299465 Phone #: MICHAF_L & CO PLUMBING 1-, O BOX 23O08 TIGARD OR '371'81 Phone #: 639-3189 f 26. 25 TOTAL Reg #. . : OOO67B REQUIRED INSPECTIONS This permit is issued subject to the regulations contained in the RP/Backflow Prev Tigard Municipal Code, State of Ore. Specialty Codes and all ether Final Inspection applicable laws. All Mork will be done in accordave with approved plans. This pa-mit will expire if work is nrt started within 18B days of issuance, or if work is suspended for more than 188 days. ATTENTION: Oregon law requires ymi to follooi rules adopted by the Oregon Ut.lity Notification Center. TE:-je ru'.es are set forth in OAR through OAP 952AWI-@M@. Y)u may obtain copies of these rules or direct questions to OLW by calling (5@3)24-1967. Issued By : Perm. ttee Signati.lye1 ++++++++++++++•F+++F++++++++-fi +++++++++++++++++++++++C+++++++++++++++++++++t+++ Call 639--4175 by 6:00 p. in. for an inspect: ion needed the next business day s-+++++++++•++i-++++- ++++++++++++++++++++++++++++++++++++++++++++ CITY OF TIGARD Plumbing Application Recd By 13125 SVS' HALL BLVD. Commercial and Residential Date Recd TIGARD, OR 97223 Date to P.E. (503) 639-4171 Date to DST_ Permit tt- T — c ---(" D Print or Type Related SWR 0 _ Incomplete or illegible applications will not be accepted called �^ Name of Development/Projet, ,lob ,QAozI-r IWA CN of/Q9rt r) FIXTURES (Individual) � QTY PRICE AMT Address Street Address Suite Sink 9.00 //0 1 yJ/5 40-1?e/� Lavatory 900 Bldg a CRylState Zip Tub or rub/Shower Comb. 9.00 _ 9(rA�� 011 _ Name Shower Cnly 9.00 Water Closet 9.00 Owner Mailing Address Suite Dishwasher 9.00 Garbage Disposal i 9.00 ;ily/Stale ^Zip Phone Wash ng Machine 900 Name Floor Lhain 2" 9.00 17 C (/C` 3' 9.00 OCCUparti Madtry Address Suite 4' 900 -- Water Heater O conversion O like kind 9.00 City/Stale Zip Phone Lau.idry Room Tray 9.00 rName� A �61 1117114/r, ,/?/1i6 Other Fixtures(Specify) 900 Contractor Mailing Address Suite — r1 /3 a�'.2.306'0 --_ soo (Prior to issuance City/Stat*' Zip Phone 9.00 applicant must 7,Agdy2- 0 S7 4 7`1 //r'_j W — 900 provide all Oiegon Const Cont. doard Lic.# Exp.Date 9.00 contractors (p 7�)"' ---- - — _ 9.00 lictmse Plumbing Lic.t v F�cp,Date) '' Sewer-1st 100' — 30.00 informa!ion it r _ _ expired r' F-3 Y3 A/3 Sewer-each add,ttonal 100' 2500 in COT COT 9usmess Tax or Metro# E7;; Date 4 Water Service-ttti 100' 30.00 _database) Water Service-each additional 200' 25.00 Name _ Architect Slor..i d Rain Drain 1st 100' 30.00 _ -_ -j Ur Maitiri 4ddr_rss i Suite _ t Mo bil R Ram Drain-each additional 100' - 25.00 Mobile Home Space 25.00 E=ngineer City Stam Zip Phone Commensal Deck Flay Prevention Dir+,ice or Anti- Pollution Device —� D� scnbe work New O lddition O Alteration O Repair O Residential Backflow Prevention Dev ce' 15 00 to be done Residential ? Non-residential O Any Trap or Waste Not Connected to a Fixture 9.00 FFF --� i,dmtionat oescnpuon of worts I Catch Basin 9.00 IAA-r-1a�� ZC,�`�� /j Insp.of Existing Plumbing 4000 _ per/hr Specialty Requested Inspections 4000 I Existing use of per/hr building or property w�'� tiZC r i•-C- - C/lfr/tC!/ Rain Drain.single family dwelling 3000 Grease Traps 900 Proposed use of budding or property _. t:UANTITY TOTAL I- — - Isometric or nser diagram is regwreti A Ouanrty Total s >9 Are you,_appmg, movnty or replat mg any fixtures? Yes C7 No❑ (If yes see back of form) 'SUBTOTAL— y h 1 hereby acknowledge than I have read this applicabcn.that the infarmation 56/t SURCHARGE given is rurrert,that I am the owner of authonzed agent of the owner,and 11-al plans su i5titter. ,re in compliance with Oregon State Laws PLAN REVIEW 25%OF SUBTOTAL S gnats ner/Agent Date R�VIW oety A t ftm Qty totals 7 TOTAL �o anon Name Phone 'Minimum permit tees S25 5%surcharge,except Residential Backflow l F:evenhon Device,which is S15+ 5%surcharge cstsbmepp Qoc 591 n / PLEASE-C-QMP-LEM�►aAEPA-i-QeRJATE TO -RQJECt Fixtures to be capped, moved or replaced Q y Sink Lavatory ___ — Tub or Tub/Shower Combination _ Shower Only Water Cioset_ Dishwasher G arbage Disposal 'Plashing Machine 'Ioor Drain, 2" Water Heater Laundry Room Tray Urinal Other Fixtures (Specify) — COMMENTS REGARDING ABOVE: I cstmerrava lac 5,91 � r�` CITY OF TIGARD DEVELOPMENT SERVICES PLUMBIN3 PERMIT 13125 SW Hall Blvd, Tigst( OR 97223 (503)639.4171 PERMIT #. . . . . . . : PLM97-000') DATE ISSUED: 01/24/97 1''f*E ADDRESS. . . I IV)75 SW BPARDE PART. ---L: ESI03DC-oiloo UBDIVISION. . . . j ZONING: R-3. 5 i LOI.. . . . . . . . . . . . . CLASS OF WORK. . :ALT GARBAGE DISPOSALS. : Q) MOBILE HOME SPACES. :-0_---- TYPE TYPE OF USE:. . . . :COM WASHING MACH. . . . . . : 0 BACKFLOW PREVNTRS. . : 0 OCCUPANCY GRP. . .-A2. 1 FLOOR DRAINS. . . . . . : 4 TRAPS. . . » » . . » . . . . » » : STORIES. . . . . . . . : 0 WATER HEATERS. . . . . : I CATCH BASINS. . . . . . . : 0 FIXTURES----.-------- -_ - - LAUNDRY TRAYS. . . . . : I SF PAIII DRAINS. . . . . 0 SINKS. . . . . . . . . . : 2 URINALS. 2 GREASE TRAPS. . . . . . . : 0 LAVATORIES. . . . . : OTHER FT) RES. . . . 2 TUB/SHOWERS. . . . r 0 SEWER LINE (ft ) . . . : 100 WATER CLOSETS. . : G WATER LINE ( --t ) . . . : 1.00 DISHWASHERS. . . . : I RAIN DRAIN 0 Remarks : Tigard First Baptist Church Owner: -------------------------------------------------------- FEES TIGARD FIRST BAPTIST CHURCH type amount try date recpt 11075 SW GAARDE ST PIRMT $ 267. 00 JSD 01/24/97 97-289432 3 66. 75 DRA 0111019*7 97-288775 TIGARD OR 97223 ` PCT d 13. 35 JSD 01/24/97 97-289432 Phone #: Cant Tactor: —--------------------------- --- WESTERN PLUMBING 9460 SW TIqARD STREET TIGARD OR 97223 Phone #: 503-639-5296 347. 10 TOTAL Reg #. . ., 002439 REOUIRED INSPECTIONS This permit is issued -,object to the regulations contained in the Water Service In Tigard Municipal Code, State of Ore. Specialty Codes and all other PLM/Underfloor applicable laws, All work will be done in accordance with Top-out Insp appt,oved plans. This permit will expire if work is not started Rain Drain I n s p witim IN days of issuance, or if: work is suspended for more Misr— Inspection than IN days. Final Inspection c st..(ed 1Y C Call for iiisper-tifin 639-4175 I . City of Tigard PLUMBING PERMIT APPLICATION Planck/Rec. ; f 13125 SW Hall Blvd. Permit # Tigdrd, OR 97223 io-9 (503) 639-4171 Ae MINIMUM $25.00 PERMIT FEE + ST. SURCHARGE ��`�'°'�'��, �"%� • � Now Single Famlly Residences Only Aa'•'• ❑ 1 BATH HOUSE$140.00 ❑ 2 BATH HOUSE$195.00 Job �,�u�,�,�t,{�,�j x ❑ 3 BATH HOUSE$225.00 Addr,ss cx,) za Fee includes all plumbing fixtures in the dwelling and the first 100 feet of water service, sanitary sewer and storm sewer. See fees below, N.. «n.m.er eiwM-1FIXTURES OTY PRICE AMT Sink T- 9.00 or M.Ang Md ... Lavatory v 9.00 121, 0 IV Owner Tub or Tub/Shower Comb. - 9.00 C"Y'S'•'• Shower Only 9.00 Water Closet ✓ 9.00 of bu.lnma) Dishwasher y 9.00 -y- Garbage Disposal 9.00 Occupant M.dng aa... vnm. Washing Machine _ 9.00 Floor Drain v 9.00 iw "••~ za Water Heater 9.00 Laundry Room Tray 9.00 N. Urinal - 9.00 Other Fi,ctures (Specify) 9.00 M.*V Ad&.. ph.. fj J Contractor A, �J 9.00 i 900 rrY)�WM/yyy''' z4 - 9.00 ' ✓ },L/� ��j Sewer tat 100' 30.00 MO.R.p.e.n«,N. Cer R. T..N. Sewer-ea. Addit. 100' 25.00 .�LJ�,1-12 Water Service ist 100' 30.00 ��-- I hereby acknowledge that I have read this application, that the Water Service ea. Addit. 200' 25.00 information given is correct, that I am the owner or authorized agent of - the owner, that plans submitted are In compliance with State laws, that Storm &Rain Drain 1st 100' 30.00 I am registr•;red with the Construction Contractor's Board, that the Storm R Rain Drain Addit. 100' 25.00 number given is correct. (If exempt from State registration, please give reason below.) Mobile Horne Spa-.e 25.00 Back Flow Prevention Device or Anti-Pollution Device 9.00 Eupmxe q n•'• Any Trap orVVaste Not Connected to a Fixture 900 Describe work new U addition () alteration repair O Catch Basin 9.00 to be done reside„ial (D non-residential Insp. of Exist. Plumbing 40.00/hr Specially Requested Inspections 40.00/hr Existing use of - - - building or proporty 4v_�^ Rain Drain, single family dwelling i 30.00 Residential backflow prevention devices 15.00 Proposed use or budding or proper/ _ -�--�- "(Except rc•roe hist backflow preventir . rh•✓lces) NOTICE 'Minimum Fee $25.00 SUBTOTAL c' PERMITS BECOME VOID IF WORK OR CONSTRUCTION / AUTHORIZED IS NOT COMMENCED'41THIN 180 DAYS, OR IF 5%SURCHARGE r '1 CONSTRUCTION OR WORK 1S SI ISPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK 15 COMMENCED. PLAN REVIEW 25% OF SUBTOTAL TOIAL Special Conditions Date issued - ^� by >^� •i f CITYOF TIGARD PLUMBING PERMIT DEVELOPMENT SERVICES PERMIT#: PLM2001-00632 12,125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 11129/01 PARCEL: 2S 103DC-01100 SITE ADDRESS: 11075 SW GAARDE SVA SUBDIVISION: ZONING: R-3.5 BLOCK: LOT: JURISDICTION: TIG CLASS OF WORK: ALL GARBAGE DISPOSALS: MOBILE HOME SPACES: TYPE OF USE: COM WASHING MACH: BACKFLOW PREVNTRS: OCCUPANCY GRP: FLOOR DRAINS; TRAPS: STORIES: WATER HEATERS: CATCH BASINS: FIXTURES_ _ LAUNDRY TRAYS: SF RAIN DRAINS: SINKS: URINALS: GREASE TRAPS: LAVATORIES: OTHER FIXTURES: TUB/SHOWERS: SEWER LINE: ft WATER CLOSETS: WATER LINE: 200 ft DISHWASHERS: RAIN DRAIN: ft Remarks: Replace 200 ft. water service. _ FEES Owner:Owner: --- -- Type By Date Amount Receipt FIRST BAPTIST CHURCH OF — TIGARD, THE PRMT CTR 11/29/01 $101.40 27200100000 11075 SW GAARDE 5PCT CTR '1/29/01 $8.12 27200100000 TIGARD, OR 97223 Total $109.52 Phone 1: ' Contractor: 3 MOUNTAINS PLUMBING PO BOX 386 SHFRWOOD, OR 97140 REQUIRED INSPECTIONS Phone is 503-925-1342 Water Line Insp � � `— Reg #: LIC 141187 Final Inspection PLM 34-368PB This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is riot started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-0001-0010 through OAR 952-0001-0080. You may obtain copies of these rules or direct questions to OUNC by calling (503) 246-1987. Issued By: �,� Permittee Signature: t�� Call (503) 639-4175 by 7:00 P.M. for an inspertion needed the next businets day Plumbing Permit Application Dade received: Permit no.: ) - City of Tigard 00 sewer ,omit no.: Building Address: 13125 SW Hall Blvd,Tigard,OR 97223 1 --_ g permit no.: Cityn/Tigurd phone: (503) 639-4171 1'rgject/appl.no.: Expire date: Fax: (503) 598-1960 Date issued: — By: ( Receipt no.: Land use approval: Cast:tyle no. Payment type: U 1 &2 family dwelling or accessory W Commercial/industrial U Multi-f:ut,ily U Tenant improvement ❑New construction Addition/allerttion/replacemcnl U I ,nd scn'tre J Other Kimmel IN UNUMMEZZ= Job address: ( (� "1$ _ �� w •c 17 r OAA 1)eserl tion _ Qt . Fee(ea.) Total Bldg.no,; Suite no,: - New I-and 2-famlly dwellings only: ----- (irscludes100fl.foreachutilityconnection) Tax map/tax lot/account no.: ,R (I)bath ----- Lot: Block: Subdivision: SI� ---- --- - -- --- —---- R(2)bath Project name: 'r'ft rt',)r T^,�fry SFR(3)bath City/county: I 1 "Or/ t, t. IP.- "17 7 z Each additional bath/kitchen Descn'ptiun and location of work on premises: Site utilities: '•V•r •.-e/- o -vt e,; _ Catch basin/area drain m Est.date of copletion/inspection: � Drywells/leach line/trench drain fooling drain(no.lin. ft.) _ Business name: -- Manufactured home utilities — _-1 �-. t ' � L�,v� c,t r, I+r/N S ,�'t� L � Manholes Address: '7, V �'3 9 L Rain drain connector _ City: 4,- ,, State: c,'2 I ZIP: 917 L Sanitary sewer(no.lin.ft.) — Phone: 2 , L Fax, : .l,„ E-mail: Storm sewer(, lin. ft.) CCB no.: Plumb.bus.reg.no: ./ _3 t,5 4'' Water service(no. ►in.ft.) City/metro lic.no.: c. c C 3 r b Fixture or Item: rr Absorption valve Contractor's representative signature: / Print name: 1 a,^ 5 t �+, ,. Date: 1/ tY'- GI Back flow reventer Backwater vale Basins/lavatory Name: l7 ,., - 4,e /I Z — Clothes washer — Address: Dishwasher City: _ -�Statc: -- 'LIP: Drinking fountain(s) Phone: Ejectors/sump - ,�—y /I I ax: G mail Expansion tank I' can Name(print): Floor drainsifloor sinks/hub Mailing address: ----- --- -- Garbage disposal — — -- - Ilose bibb — City: 1;talc: 7,IP_ lee maker Phone: Fax: E- ail: Interceptor/grease trap Owner instal lation/residential maintenance only: The. actual installation Primer(s) will he made by me or the maintenance and repair made by my rrgular Roof drain(commercial) employee on the property I own as per ORS Chapter 447. Sink(s),basin(s), ays(s) Owner's A nature: Date: __ Sump Tubs/shower/shower pan Name: Urinal - Water closet Address: Waiter City: State: ZIP_--- Other: — Phone: Fax: E-mail- Total Not all Jad"dons weep credit tach,please call udsdktton forride informatloe Notice:This perntit application Minimum fee................$ — 1(, ( `) L 6f Visa ❑MasterCard expires if a permit is not obtained Plan review(at _ %) $ afro :- credit card number: N 791 1`1/ Y y t.LE i / _ within 190 days atter it has been State surcharge(8%)....$ 4' , 1 't Name of cardholder n shown on credit card P complete. It. `7, �' 2 accepted as tom tete. TOTAL ..................$ ' _ S Crdhotder signature Amount dN)--4hlh IrsUaV('OM) tI• PLUMBING PERMIT FEES: PRICE TOTALNew 1 a.id 2-family dwellings only: FIXTURES Individual) QTY ea AMOUNT (includes all plun•iblog fixtures In PRICE TOTAL Sink 16.60 - the dwelling and the first100 ft. QTY (ea) AMOUNT Lavatory — _— _ j6-60 — for each utiIRRRRRR connectl_o_n)____ w_ bath -` $249.20 Tub or Tub/Shower Comb _ 16.60 Two 2 bath $250.00 Shower Only 16.60 Three(33)bath $399.00 Water Closet -- -- -- - 16 60 ---� --- - --- r --- _-___ _ _SUBTOTAL _ Urinal 1G.60 t?•/.STATE SURCHARGE - Dishwasher 16.60 PLAN 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 COMPLETE: 3" 1660 4" 16.60 Water Heater O conversion O like kind 1660 uantity b I Woi, Pedormed Gas piping requ;res a separate mechanical Fixture Type: New Moved Replaced Removed/ permit MFG Home New Water Service 46.40 Sink MFG Home New Sari/Storm Sewer 46.40 Lavatory Tub or Tub/Shower Hose Lbs 16.60 Combination Roof Drains 16.60 Shower Only - Drinking Fountain 16.60 Water Closet Other Fixtures(Specify) 16.60 Urinal _ Dishwasher _ —�� _Garbage Dis op sal —' Laundry Room Tray -- - Washinq Machine__ _ Floor Drain/Sink: 2" Sewer-1st 100' 55,00 3" - Sewer-each additional 100' 46.40 - _ 4" Water Service-1st 100' 55.00 f Water Heater Water Service-each additional 200' 46.40 Other Fixturas - S eci L Storm&Rain Drain-1st 100' 55.00 _ Storm 6 Rain Drain-each additional 100' 4640 Com nercial Back Flow Prevention Devicr? 4640 - -- Residential Backflow Prevention Device' 27.55 - CalcJn Basin ---- 16,,60 — - Inspection of Existing—PluRibing or Specially 7250 Re tested inspections perthr COMMENTS REGARDING ABOVE. Rain Drain,single family dwelling 65.25 Grease Traps 16.6 - - QUANTITY TOTAL - Isometric or riser diaqrsfr.is requi id If —`— Quantity Total is >9 — *SUBTOTAL — -- —-- B%STATE SURCHARGE - - ------ - — "PLAN REVIEW 25%OF SUBTOTAL Required only-if fixture city total Is>9 TOTAL $ Minimum permit fee is$72 50+8%state surcharge except Residential Backflow Prevention Device,which is$afi 25+8%state surcharge ~All New Commercial Buildings requlre 2 sets of plans with Isometric or riser diagram for plan review. 1:ldstslformslplm-fees,doc 08/29/01 CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 BUP Date Requested AM PM BLD Location G �, v Suite MEG Contact Person Ph PLM U d ro 3 L Contractor Ph SWR -- U3 ILDING Tenant/Owner C-,�u-�l,G�ti-- ELC Retaining Wall ELR Footing Access: Foundation FPS _ Fig Drain �� SGN Crawl Drain Inspection Notes* Slab _ _ _ SIT Post&Beam Ext Sheath/Shear ' Int She athlShear Framing — —_ Insulation Drywall Mailing Firewall Fre Sprinkler ------Fire Alarm 5uacp'cl Ceiling ---•-- F oof Final — PASS PART FAIL - — -----—— -'LUMBING Post a Bram -. _. _— -----— --- -------_---— Under Slab Top Out Water Service Sanitary Sewer Rain Drains PART FAIL _ 1111MANICAL Post& Beam --— — `— Rough In Gas Line — ---- --- ----.___� Smoke Dampers Final -- — PASS PART FAIL ELECTRICAL -- Service Rough In UG/Slab - Low Voltage Fire Alarm - Final PASS PART FAIL SITE Backfill/Grading —" Sanitary Sewer Storm Drain [ j Reinspection fee of$ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line [ j Please call for reinspection RE: [ j Unable to inspect-no access ADA �� Approach/Sidewalk Date �ls Inspector�// � // r e. Ext Other L Final PASS PART FAIL DO NOT REMOVE this Inspection record from the job site. SEE 35MM R, OLL# 23 FOR LARGE DOCUMENT CITY OF TIGARD 24-Hour BUILDING Im.pection Line: (503)539-4175 MST INSPECTION DIVISION Business Line: (503)639-4171 BUIP Received Date Requested Akl_ L-� PM BLIP Location Suite IVXC Contact Person Ph PLM Contractor------. Ph SWR BUILDING Tenant/Owner IELC FoundationAccess-. ELC Fig Drain ELR Ciawl Drain Slab inspection News: SIT Post 8 Beam Shear Ancrors Ext Shepah/Shear Int She,iflh/3hear Framli i�, Insulitiari DrVN311 Nailing ,=i, (,'4-all Fire Sprinklar ".re Alarm ',lrap'd Calling Roof Other: 4 (nal LA, PA 3s PART FAIL -PLUMBING PC-st& Beam I. nder Slab Hough-In Water Service Alf-ra)-r Sanitary SEwer Rain Drains Catch Basin/Manhole Storm Drain ------- Shower Pan Other: Final --PASS PART IL MECHANICAL Post& Beam Rough-In Gas Line Sm-oke Dampers PASS,) PARTFAIL Ser i—ce—ICAL'_ Rough-In UG/Slab L)w 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 roitispection Pr Unable to inspect-no access Fire Supply Line ADA Dote, Inspector Approach/Sidewalk Other Finn' DO NOT REMOVE this Inspection record fk,,om the job site. PASS PART FAIL CITYOF 'TI�+ARD _ MECHANICAL PERMIT – JEW:'LOPMENT SERVICES PERMIT#: MEC2003-00039 13125 c41 Hall Blvd., Tigard, OR 97,23 (503) 639-4171 DATE ISSUED: 1/10/03 PARCEL: 2S 103DC-01100 SITE iADVRESS: "+1(,"5 ,W/VAA,RDE ST f3 SUBDIVISION ZONING: R-3.5 BLOCK: LOT: JURhSDICTiON: TIG CLASS OF V1 ORK: A,.T FLOOP TURN: EVAP COOLERS: TYPE 01: USF---: GOV, UNIT HEATERS: 1 VENT rANS: OCCUPANC'f ,`RP: B VENTS W/O APPL: VENT SYSTEMS STORIES: BOILERS/COMPRESSORS _ HOODS: _ FUEL TYPES __ 0 - 3 HP: DOMES. INCIN: '.PG 3 - 15 HP: COMML, INCIN: IMAX INPUT BTU 15 - 30 HP: REPAIR UNITS: FIRE DAMPERS?: 30 50 HP: ODSTOVES: GAS PRESSURE: 50 + HP: C FURN < 100K BTU: AIR HANDLING UWTS CLO DRYERS: OTHER UNITS: FURN >--100K BTU: <= 10000 cfm: GAS OUTLETS: > -10000 cfm: Remarkf.. HVAC rep�3(;emert rooftop unit. Owner:-__ — - -- ---- �- -----FCS FIRS"r BAPTIST CHURCH OF Description D)te Amount TIGAR13, THE 11015 SW GAARDE J IA\J ti'%,State]ax 1/10/03 $5.80 TIGARD, OR 97223 1MEC141 Pcrtnrt I-ce 1/10/03 `,72.50 jN1FCPLNJ I'lan Itev 1110/03 $18.13 Phone: 503-639-3913 Total $9„ 43 Contractor: THE HEATING SPECIALIST 9300 NE HALSEY PORl'LAND, OR 97220 REQUIRED INSPECTIONS Mechanical Insp Phonr;: uiur Final Inspection Reil #: LIC 5662.8 This permit is issued Subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Cedes and all other applicable laws All work will be done in accordance with approved plans This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more tnan 180 days. ATTENTION Oregon law requires you to follow rules adopteJ in the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001 "0010 through OAR 952-001-0100. You may obtain copies of tiiese rules or direct questions to OUNC by calling (5031)246-6699, Issued By: - �; L, Permittee Signature: , �i Call (503) 639-4175 by 7:00 P.M. for inspections needed the next business day Mechanical Permit Application Low Date received: / -O�p Permit ibi City of Tigard REi�. I VIE `1 Project/appl. no.: Expire date: 011,o/Dgartl Address: 1312.5 SW Hall Blvd,Tigard,O 7721- J Phone: (503) 639-4171 pAI Date issued; ray: Receipt no.; Fax; tai),; 598-1960 JN o Rn'- ase rile no.: Payment type: Land use approval:-- CITY OF 7IGpan _ Auitdint;per,nit no.. U 1 &2 family dwelling or accessory 14 Commercial/industrial U Multi-family J 1 cnant inlproaenlent U New construction U Addition/alteration/replacement ❑Other: IOU SITE INFORM%.I ION COMM,ERCIAL VALUATION SCIIIEDULF, Job address: (10 1 v l-c.) UCIndicate equipment quantities in boxes belo". Indicate the dollar Bldg. no.: Suite no.: value of all nlcc'.1anical materials,equipment,labor,overhead, Tax neap/tax lot/account no.: profit. Value$ Lot: Block: Subdivision: *See checklist for important application information and Project name: T'% d. Fr rg; 13p 'T%%T C.hwtah jurisdiction's fce schedule for residential permit fee. City/county: T a ZIP: 11-t y -- Description and I ation of 1 ork on premises: __ 1 "`---"G Pee leo.) IWO Est.dale of completion/ spection: � Uescrltfior. Qlh `es.onlpJ Tenant improvement or change of use: Air hand _ Is existing space heated or conditioned?U Yes LJ No una ----CFM No Air conditioning(siie plan required) L — Is existing space insulated'U Yes U Na Alteration o existing lIVAC system -- 1 boiler/compressors _ Business name: -rf,- j�p -xt n" ��Q�,y State boiler permit no.: — III ._Tons___13TU/II _ Address; 93ot, NE I4rtt6de Fire/smoke dampers/duct smoke detectors City: 21rLpNi> IStated 1,IP:gyjZ,1.b -eat pump(site pan require Phone:A.51.-1000 Fax: a-5,i -7 1 oz. E-mail: Install/replacemei urner—BTU71T - - - Including ductwork4em liner U Yes U No CCP no.: 15L.t, $ nstu rep ace re ocale heaters- suspended, City/metro lie,no.: I b*10 or floor mounted Name(please print) ,Q_ �'cnt fur a fiance other than ('urnurc --- efnf;crat un: Absorption units Itl1' II Name: i Chillers Address: . Con.pressors — r - EmIronnienfid exhaust and pent Ia1 on: City: Appliance vent Phone: Fax: I -m. Dryer exhaust Hoods Type I/II/res. itc ten azmat hood fire suppression system _ Name:Tt & F=t 1s i OtA 1.s t Cki t.ta: h Exhaust fan with single duct(bath fans) Mailing at rens: I t D't S b Lo Gssa e-de_ Exhaust system apart front heating or AC _ _d_ Fuelpiping an t sir ut on(up to outlets) City_:�Ti_get, State:�� Z1P:'I'-r�.x___ Type: [ Pei NG clip Phone: t'ax: --- E-mail: i tm ct'-ich.1fi ,n,ii %e r out ets 11110 n 10131 Process Piping(sc sematic required) Name: Number of outlets - - - -- f er qte app once or equ—ipment: Address Decorative fireplace City: "t.uC LIP: Insert-type Thune: I,t E-mail: oo stovc.pe et stove _ 01 er: - Applicant's ognattuc ��,,,r Date: -.r 3 0ter: Name(print): vie r-/a,t,rc4S Nat nil tunrdiclionr accept credo conk.please cell turiwllctiun lft imore infomta6on, Permit fee ..................... $ 1✓(•SL/ 0 visa O Mastet('ard Notice: This permit application Minimum fee................ $ _ Credit card namber.- /_L Y expires if a permit is not obtained Plan review(at — %) $ _ ►/ taptro, within IRO days after it fins been State surcharge(8%).... $ Name of cardholder as shown on credit card accepted a9 complete. — 7 ---Cnrdhuldrr signature - �-Aenaum 7CR ,3v •ion-4617(boo,COM) Nr 1 3Cj(o•�3 Jan . 10 . 2003 9:30AM THE HEATG SPEC 503 251 1102 No-6923 P . 2/2 The Keating Specialist` Prc;ec` IIEATING COOLING G[:'`�� g r a T- r,s r 9300 NB HAMBY STI:RET PORTLAND, OR,BGON 9722"r. ►— _ (503)257-7000 Par(303)237-7702 QQ� fm ' ... .� a ' .. ,;..... .. . .. ... .. 2,--,Y.'/o{ a art Ave.vv t+a ' Q, ONiC6 ON Si�fQ p .✓ - rc _,Qa, 1,x•.5 2. I M; Ira:i3G�,/. yCp, C- 7`Y �r x 10 — Ava z-xIa ITEM QTY. WEIGHT DESCRIPTION GP 1 1 380 LB GAS PACK 4 TON (� Z 100, I i SCOPE: REPLACE GP-1 HVAC GP� 0OP-1 HVAC 15' b m ;t CITY OF TIGARD �--� PPr 'ed............................... .. HVAC GP-4 rn N .and Tonally Approved.................. oro ly the work as described in* 2FROCTINO N14.0 23.s:-&0—OL7 See if tty to• Follow. . I Attuh t. 1 ob — y� SUNDAY SCHOOL BUILDING RECEIVED JAN 2 2003 CITY QE TIrAQL� The Heatin HVAC PLA� DINc DIVISIONg I Specialist TIGARD FIRST BAPTIST CHURCH i _ 11075 SW GAARDEIaC. ' i TIGARD, OREGON 9300 NE HALSEY STREET SIZE FscMko _ owoNo PORTLAND. OREGON 97220 J DB I � (503) 257-7000 257-7702 FAX (sca.e NTs 12-24-02 SNE- -- F 1 •0 � • • • b f ••• • • ♦ r • • • • • • i •1 1 • • 1 1 I 1 • 1 1 1 1 • • � • w � 1 1• • � 1 CITY OF TIGARD February 5, 1997 OREGON Tigard First Baptist Church 1 1075 SW G iarde St Tigard OR S 7223 Re: BUP96-0531 Please find enclosed copies of the Traffic Impact Fee (TiF) assessment letter. TIF worksheet, TIl- payment option form, andTIF appeal information form. Please complete the TIF payment option form and return it to my attention by February 19, 1997. Per ordinance, the payment option form must he completed and returned no later than this date. The permit also cannot to he issued till this matter is completed if you have any questions concerning any of'the mentioned items, please feel free to contact me at 639-4171, extension 410. _Sincerely, Debbie Adamski Development Services Technician c. Building Dile i'IF File 13125 SW Hall Blvd., Tigard, OR 972.23 (503) 639-4171 TDD (503) 684-2772 - --- February 5, 1997 CITY OF TIGARD Tigard First Baptist Church OREGON 11075 SW Gaarde St Tigard OR 97223 TRAFFIC IMPACT FEE FOR Tigard First Baptist Church Enclosed with this letter you will find a calculation sheet showing the computation that has been performed to determine the amount of the Traffic Impact Fee (TIF) to be paid for the project noted above. The amcunt of the FIF is $50'17. You have three payment options available to you. The first is to pay the TIF at the time you are issued a building permit. The second is to arrange for payment over time by signing a promissory note (if you wish to exercise this second option please contact me for additional details). The third option is to defer payment until occupancy. Traffic impact fees are subject to an annual increase of up to 6% if not paid or financed prior to July 1 st of each year. Please note that you may ap,)eal the discretionary decisions made in determining the appropriate category and the amount of the fee based on that category. A notice of appeal must t e received by the City Recorder no later than 5:00 p.m. on February 19, 1997 and must be accompanied by the $625.00 appeal fee required by Washington County. Although filed with the City Recorder, an appeal would be heard by the Washington County Hearings Officer. If you have any questions, or if I can be of further service, please contact me at 639- 4171 . Debbie Adamski Development Services Technician c: TIF file Buildinq file WMATIF o0, 13125 SW Hall Blvd., Tigard, OR 971023 (503) 639-4171 TDD (503) 684-2772 --— — -- COUNTYWIDE COREGON ttD TRAFFIC IMPACT FEE PAYMENT OPTION FORM Date Site Address Project Name Plan Check# I realize that I must make a decision on payment of the Traffic Impact Fee (TIF) at this time. Therefore, I request the following ;'noose whichever option or options are applicable): ❑ Cash or Check ❑ Credit Voucher ❑ Bancroft or Installment Payments and/or ❑ The Ordinance allows for deferral of payment of the TIF until issuance of the occupancy permit if the TIF is greater than $5,000. If the TIF meets this requirement, 1 also request this option I understand the TIF must be paid prior to issuance of an occupancy permit. I also understand that the TIF will be recalculated based on the prevailing rates at the time of payment. Please be advised that TIF rates may increase up to six percent each .July 1 st. This rate increase is nct subject to appeal. OWNER/APPLICANT OWNER/APPLICANT - c: Bullding Permit File Payment Option Notebook hUo OWItf'01 b 13125 SW Hall Blvd„ Tigard, OR 97223 (503) 639-4171 TDD (f)03) 684-2772 — -- COUNTYWIDE TRAFFIC IMPACT FEE APPEAL INFORMATION Attached is a copy of the Director's decision on this Traffic Impact Fee assessment or Traffic Impact Fee Credit/Offset request. This decision may be appealed and a public hearing held by filing a signed petition for review (appeal) within fourteen (14) calendar days of the date written notice is provided (date mailed). APPEAL PERIOD: Date mailed: 4 J. to 5:00PM on GfG✓uf1Q'1 /� Appeal Due Date A motion for reconsideration also may be filed wft`iin seven calendar days of the date written notice of the decision is provided (see Section 208 of the Washington County Community Development Code). A motion for reconsideration does not stop the appoai period(s) from running and is available only as of-, extraordinary remedy for when a mistake of law o-fact has occurred. A motion for reconsideration requires a filing fee of $ � This decision will be final If an appaal is not filed by the due date(s), and a motion for reconsideration is not granted by the Director. The complete file is available at I al`l,`� t�t4 Lr✓ L for review. A petition for review (appeal) must contain the following: 1. The name of the applicant and the relevant casefile/building permit/other development permii number; 2. The name and signature of the petitioner filing the petition for review (appeal). If a group consisting of more than one person is filing a single petition for review, one individual shall be designated as the group's representative for all contacts with the Department. All Department communications regarding the petition, Including correspondence, shall be with this representative; 3. A statement of the interest of the petitioner; 4. The date the notice of decision was sent as Specified In the notice; 5. The petition for review (appeal) shall state the relevant facts, applicable ordinance provisions, and relief sought; and 6. The fee of $625.00 for Director's decisions being appealed to the Washington County Hearinas Officer. For further AVMI information contact:_ Iorm 1 3 DATE. PLANS CHECK NO.: PROJECT TITLE. COUNTYWIDE TRAFFIC IMPACT FEE APPUC�T`V` r 1,4� r, WORKSHEET MAILING ADDRESS. (FOR NON SINGLE FAMILY USES) 11C rw C.'AfI C �` CITY/ZIP/PHONE: RATE PER TAX MAP NO.: .I LAND USE CATEGORY TRIP �11! �'��" 1 I«J RESIDENTIAL $169.00 SITUS NO.ADDRESS: BUSINESS AND COMMERCIAL $42.00 OFFICE $155.00 INDUSTRIAL $162.00 \1 INSTITUTIONAL PAYMENT METHOD: CASH/CHECK CREDIT INS flTUl10NAL CNLY: BANCRC FT(PROMISSORY NOTE) LAND USE CATEGORY DESCRIPTION OF WEEKDAY AVG.TRIP WE�SKEND AVj.TRIP DEFER—O OCCUPANCY ] USE 'llv w_ : + RATE 'G RATE /�5•�� BASIS: .. , 1 t.' '�. 1 i 4 _ ) LP 1- LVil 0 f£ r) r +, �. r1�:, is ��1.•'��:r+L.�, _ :�;� , , ,', �•~L )-�� 15 ivµl l,T? tTf_ crr `1:< ti.,c , : ., I L . r1 r0q ';ALCULATIONS: �7 (� C, .,)(7-70 r= )'f�l"l-b :�f _ s bl.67t c17 PROJECT TRIP GENERATION' FEE. I�� 1 r FOR ACCOUNTING PURPOSES ONLY ADDITIONAL NOTES: , Al 1P) v�`) ROADAMT ! I I TRANSIT AMT.:,, T I _ (� I f��( `� = I 1 l PREPARED BY u24M q%dorumVam*VMPACT dm roan rd'n CC WASNINGTCN COUNTY i2 August 1996 CITY OF TIGARD Centrex Construction OREGON 8250 SW Hunziker Tigard, Oregon 97223 2 SUBJECT: TIGARD FIRST BAPTIST CHURCH Four sets of plans for the new Sunday School facility located behind 11075 SW Gaarde St. were received without plans for site-work. I have routed the plops to our"hold"area until site-work plans have been received and the required contr actor information(also needed for Centrex) is returned with the permit application. I have mailed an application for site-work to John Matteson. Site-work includes all paving, grading, handicap access improvements, landscaping, exterior lighting, signage,retention,, prii ate drainage systems(catch basins,etc.)private water and fire lines and any improvements ma de to the sits:to nerve the new structure. The former medical building moved to the site will ie reviewed as bwlding material and is subject to current building code as determined by the Plar s Examiner and Building Official. (Permit ,ssuance for both the structure and site-work will be Subject to approval by the City of Tigard a;well as the Tualatin Valley Fire and Rescue Fire Mirshal. John Matteson has noted on his plans that sub-trade work will be applied for by the individual contractor involved. Each of your sub-contractors will need to provide three copies of plans,a specialty application and copies of their CCB and specialty license from the State of Oregon, plus either a copy of their City of Tigard Business Tax Certificate or a Metro Business License. Also, a new address will be assigned to the Sunday School Buildiug for purposes of identifying the location for building records and emergenc;,vehicles. Please reel free to contact me if you have questions. Cordially, Jean Heitschmidt, DST(e::+.ension 361) Community Development (extension 304) c: Mark Roberts, Planning Department Jim Funk, Commercial Plans Examiner Enclosure NMI aPTST/jmh091296 13125 SW Hall Blvd., rjard, (W 97"23 (503) 639-4171 TDD (503) 684-2772 12-11-96 05:32PM Poi 684-7297 Total#of pages—I-- Copy to follow?(Y/N)_N_ TO: h4r.Jim Funk,Plans Examiner DATE: December 11, 1996 City if Tigard FROM: Jcnn L. Matteson. A.I.A. COPIES TO: file PROJECT: Tigard First Baptist Church 11075 SW Gaarde,Tigard,OR 97223 PC#: 9-42c BUP#f: 96-0531 SUBJECT: Plan Review determination by Fire Marshal Mr. Funk Per our phone conversation today regarding your Plan Review letter dated November 22, 1996 it is my vnderstanding the following has been determined b0c Fire Mat'sW -- 1) The lower level(basement)Occupancy is A2.1. 2) Construction for A2.1 Occupancy must be not less than Type V-1 hr. 3) Occupant load for lower level is 383 people(7 sq.ft. per person per Table 10-A,2679 sq.ft, net urea in'VMeeting Rm.). 4) A2.1 Occupancy rrquires'side isle'exitper Section 10115, '� � �� (X4.necessitating adding an exit to the east side of the Meeting Room. 5) Upper level(main floor)construction must be not less than Type V-1 hr.construction because lower level A2.1 requires 1 hr. OX ? construction, ? 6) Field verification of existing building for 1 hr.construction is j required or adding fire sprinklers as fire resistive substitution Gr (substitution does not apply to exit corridor 1-hr requirement). Please call and let me know if you are in agreement with,or corrections neerl to be made to the above by 12.12-96,as I would like to make the {� drawing changes and return them to you. v John M. I LA f �lr,► •. • i ., , ry >n 1 raj . �.� Matteson Architects 510 N.W. Third Avenue. Portland. Oregon 97209 (503)224-6145 f MEMORANDUM CITY OF TIGARD, OREGON DATE: November 21, 1996 TO: Jim Funk, Building Division FROM: Brian Rager, Development Review Engineer RE: CUP 96-006%T Bard First Baptist Churc Sunday School Building Addition 'This memo is to let you know that I have crimpleted Engineering comments for the above project and that there will_ be a waterguality facility required. Therefore, vhen you see this project come through for building permits, you will need to charge the water quality fee. If you have questions,please let me know. c: Jill Aldrich. Development Services 11EWBRIANRWIASTERSMOBLDMEM MAS PAGE I November 22, 1996 CITI' OF TIGARD John Matteson 510 NW Third OREGON Portland, Or' 97209 2 RE: Tigard First Baptist Church Building Plan Review 11075 SW Gaarde PC#: 9-42c; BUP#: 96-0531 Submittal documents for the abovo referenced project have been reviewed for conformance with the applicable 1996 Oregon Specialty Codes and other applicable codes and standards. The fo!I:)wmg comments are noted: 1. Submit completed Energy Compliance Forms 2a, 3a, 3b, 4a through 4j, and 5a r t through 5c from the April 1, 1996 Revised Oregon Energy Code. ..ice 1� The ramp railing shall become 42' high at the point the ramp or sidewalk is 30" C�- above grade [OSSC, Section 509). Correct Detail E/A1. A. Provide a guardrail along the open side of the walkway connecting i buildings (see Sheet Al) south of Line D between Grid 0 and 2. The door shall swing into the accessible toilet stall of Women's Restroom 04, as Vill there is inadequate corridor width [OSSC, Section 1109.10.3.1 (Exception 1)). Sinks provided in meeting rooms shall be accessible in accordance with OSSC, Section 1109.11.3. Provide a detail within the plans. Doors accessible for persons with disabilities shall have an 18" wide maneuvering space adjacent to the latch side of the door [Section 1109.9.3, Tatle 11E]. Provide required clearance at Kitchen Doors 03 and 04. RE AND LIFE 4. r Provide a site plan showing proximity of buildings to property lines. Provide a floor plan of all existing buildings on the site, drawn to scale, type of construction, whether buildings are sprinklered, and rooms labeled to type of use. 13125 Jvd Hall Blvd., Tigard, OR 97223 (503) 639 4171 TDD (503) 684-2772 Tigard First Baptist Church Building Plan Review PC#: 9-42c BUP#: 96-0531 Page#2 fA. If the combination of the existing and the new building exceeds the allowable area permitted by OSSC, Section 505, fire-resistive r construction may be required for opposing exterior walls. Buildings housing a Group A2.1 shall be of one-hour, fire-resistive construction (OSSC, Table 5-A]. See BuildingStatistic notes Sheet Al. li OSSC, Section 712, Exception 3, for useable space under floors does not apply as the specific requirement of Section . 33.2.2.2 does. Provide a one-hour, fire- resistive, ceiling-floor assembly with opelings protected. See Note, Sheet A-3. 5. Provide a door and hardware schedule within the plan. Include a glazing schedule for win, -ws in the corridors. Provide cross-sections between Gridlines A and B and between D and C, detailing corridor wall, roof-ceiling, and floor-ceiling assemblies. A. Wall splice shown in Detail 3/A4 shall include an additional layer of Type-X, 5/8" gypsum board for corridor application. 1` A Group A2.1 shall have a manual fire alarm system, audible and visual alarms, ' a prerecorded public announcement message, and an emergency power source, all in accordance with UFC, Section 1007.2.2 and OSSC, Section 1108.4.10. A. Submit a fire alarm permit application and three (3) sets of plans and specifications. Fire block all walls at the T-Bar ceiling line (OSSC, Section 708.2.1). \2. Correct Building Statistic note for type of construction, Sheet Al, and for occupancy classification of lower floor. �. Provide a special inspection report prepared by an approved testing agency confirming the existing gypsum board on the ceiling-roof assembly and corridor wall construction is in fact 5/8" Type X gypsum board. i 1. The first floor is designated an A-3 occupancy. ST TUHALOt,"r"r.` �'. Complete the enclosed Special Inspection form and return to this office prior to our issuance of the building permit. Copies of all special inspection repos , shall be filed with this office continually during construction. A final signed repor. must be on file before occupancy will be permitted fOSSC, Section 1701.31. '. Locate and detail, on the plan, the (2) 16-ft and (2) 12-ft shear walls in the clerestory as specified by the designing engineer. Tigard First Baptist Church BuilrAng Plan Review PC#: 9-42c BU?#: 96-0531 Page#3 The basement is classifier: as an A2.1 occupancy. The number of sanitary fixtures required in each restroom is determined by using OSSC, Appendix Chapter 29, Table 29A. Provide additional water closets in the Women's Restroom. 1.J Submit a fire sprinkler permit app;:ration and three (3) sets of plans, cut sheets `✓ on components, and hydraulic calculations. Are the water heaters gas or electric? r 2./ Submit a mechanical permit application and three (3) sets of plans. Please submit three copies of revised submittal documents and a letter indicating your response to the above comments for review. Plea:,e call me at (503) 639-4171 if you have any questions. Sincerely, Jim Funk PLANS EXAMINER Enclosure U TRMSYS\DOC:UMENT\9UP96_05.3I\PC9-42C.DOC r M A T T E S u N A R C H 1 T E C T S January 20, 1997 Mr. James Funk, Plans Examiner City of Tigard 13125 SW Hall Blvd. Tigard,OR 97223 Re: TIGARD FIRST BAPTIST CHURCH 510 NWTNIRI► 11075 SW Gaarde, Tigard, OR 97223 PhR1'IANO PC.# 9-42c BUP# 96-4531 OREGON 97209 5032246145 Dear Mr. trunk; In response to your Building Plan Review letter dated November 22, 199(), l offer the following comments and accompanying drawings(7 sheets)dated 12-249(): ENERGY COIN PLIANCE The upper level is an existing building which has been moved onto a new foundation/ basement structure. Energy compliance and should be considered under Section 3404- Moved Buildings, para. (2), and only insulation overhead and under the floor should be considered. The under floor area will be an occupied and heated space, and the overhead attic area is specified for R19 insulation where replacement is required due to construction. ACCESSIBILITY 1,. The walk landing from the parking are, to the lower level will have a 42" ht. railing per revised detail 1/A 1, if the change in height is 30"or more. A. A guard rail has been added to the patio between buildings per sheet A 1, and similar to detail ]/Al. 2- The door swing at the Lover Level Men and Women's rest room toilet stalls have been reversed to swing into the stalls as shown on sheet A3. / Sinks in the Upper Level meeting rooms are existing sink cabinets and there is no work planned for modifying, moving,or changing these fixtures or cabinets, other than to eliminate some of them. The sink/cabinet is not a primary or essential function of the Meeting Room. It is my opinion that sink/cabinets to remain do not have to mee: handicap requirements of Section 1109.11.3 as this relates to the design and construct on -►f"affected buildings" per Sec. 1109.1,and defined in Sec. 1 , 12. Accessibility to the Meeting Rooms, Rest Rooms and plumbing fixtures have been met. Kitchen door, have been dimensioned to have an 18" latch-side clearance as shown on the 'Lower Floor Plan', sheet A3. k AND LIFE$AFLJ �1 . The 'Site Development Plan' has dimensions indicating distances from buildings to curb line. 12. The type of looms and area of the existing church has been noted on the 'Site Development Plan'. A. The combined area of the existing ihurch (64(X)s0 and the moved building(4184 sf) equal 10,584 square feet, which is permitted by Table 5-B for Type VN, open four sides (12,(XX) sf i. page 2 January 20, 1997 Mr. James Funk, Plans Examiner hk p FI AND LIFE SAFETY Cont, 3t' 'Building Statistic Notes' have been removed farm sheet A 1 to shect'Site Development Plan' htZ +/t VV and noted that the lower level occupancy is A2.1 and 1-hour construction. V 'Lower Reflected Ceiling Plan'on sheet A3 has been changed to indicate I-hour T-bar ceiling r system. A door and hardware schedule has been added to sheet A3. A window schedule is not required because there are no meeting room windows viewing into the corridor. b. Cross sections have been drawn between grid lines A - B, and D - C, and are found on sheet A5., A. Wall splice detail 3/A4 has been changed to indicate 1/2" gypsum exterior sheathing in lieu of plywood. 17. Fire alarm system for the lower level has been indicated under "notes" on 'Lower Floor Plan', sheet A3. Alarm system to meet applicable code reference per your letter. l J Fire alarm system will be submitted under separate permit by subcontractor. >�. Fire blocking per :sec. 709.2 (walls/ceiling) has been noted on the 'Lower Flour Plan', sheet A3. d. "Building Statistics" notes have been corrected and are found on sheet 'Site Development Plan'. W. Special inspection for Type 'X' gypsum board by testing it agency has been requested of the Owner and the report will be fon�arded. b/f.� First floor occupancy is designated A3. STRUCTURAL V Special inspection for welding, etc. is not required for this permit. Special inspection w !s .Itiired for permit It] 1075. �. Bear "all locations are indicated on 'I Ipper Floor Plan' by details 5/5, 6/5, 9/5, 9/5, "hold down". The wall between th; hold down connections is the shear wall, using the gypsum board and studs. F'LLLRj BI NG J. The number of toilets required for the Women's Room per Table 29A is 2 (2794sf'/ 30sf= 9.1 people / 2 =47 women =- 1/75 or worst case 2/75), Two(2) are shown on the plan. FIRL SPRINKLER 01, Fire sprinkler system will be submitted tinder separate permit by subcontractor. MKIJANICAL J-: The water heater is electric, and tinted on 'Lower Level Plan', sheet A3. /2.' Mechanical system will he submitted under separate permit bN subcontractor. pate _3 January 20, 1997 Mr. James Funk, Plans Examiner The above paragraphs marked with an asterisk * require a .esponse to my interpretation of the code: 1)energy compliance,and 2) sink/cabinet modification for accessibility. Per our meeting and phone discussions regarding the occupancy classification of the lower level, and the determination by the Deputy Fire Marshal, a stair and doors have been added (per Sec. 1016.2)for exiting from the lower level thru the upper level. This concludes my response to your Building Plan Review. Please feel free to contact me with any questions or for additional information. Thank you for your assistance. Sincerely, i John 1,.tfvIattes , A.. A. cc w/enol Tex Whiteman,Tigard First Baptist Church Centrex Construction Company November 17, 1995 Tigard First Baptist Church CITY OF TIGARD Attention: Tex Whiteman 11075 SW Gaarde Street OREGON Tigard, OR 97223 Re: Minor Modification of the approved Conditional Use Permit to add a larger Sunday School Building Dear Mr. Whiteman: This letter is in response to your request to replace the existing building on the church property with a relocated office building for use as a Sunday School. The floor plans you provided indicate that two existing 4,000 square foot office buildings are to be located on the site and are to be stacked on top of each other. The existing site has approximately 12,000 square feet of gross floor area. A 1,800 square foot building has been demolished to provide room for these buildings. You have also agreed to demolish the existing Bolt Hall which is approximately 1,728 square feet to allow placement of the office building. Because the net increase in square footage is less than 10% of the existing square footage on the site these types of changes have been approved as a Minor Modification to the original Conditional Use Permit. The D,rector has approved this request subject to the following Conditions of Approval: 1.) The proposed office structures shall be designed so that the bottom floor of the building does not have a finished floor. 2.) The existing Bolt Hall shall be demolished prior to Permanent Occupancy or a Performance Bond shall be pcsted guaranteeing the demolition of Bolt HMI within a three m1:nth period after remporary Occupancy of the nevrly relocated structures. Please submit a copy of this letter with any Building Permits to avoid unnecessary delays in permit processing. Please feel free to contact me conceming this information. Sincerely, Mark Roberts Associate Planner, AICP i Vogin"rpin"ark_Nex.doc C: David Scott Jill Aldrich Douglas Winn 13125 SW Hall Blvd., Tigard, OR 9)223 (503) 639-4171 TDD (503) 684-271: ---------- i 3E1 "? 04;TiPH IfITEL ELECTR011ICS 97L :- :_397?'9E- DOUGLAS R. WINN, ARCHITECT ALA 1220'SW Lansdowne Lime Tigard,OR 91223 903.64259-75 11r, Tc% Whiteman, Owncr's Representative TIGARD FIRST B.VTIST CHURCH 11013 SW Gaarde Street Tigard, Orcgon 97223 RL: TIGARD FIRST BAPTIST CIiURCH New Sunday School Building Structin-A Calculations Dear Tex: By way of FAX I am foniarding to you the structural calculations for the foundations for the Church project as we discussed last night. An original copy-was sent to the Church last week as well.but may still be enroute in the mail system It is my understanding that you will forward this to the City for their use I was surprised to hear that the t.n ire electncal system needs to be upgraded—Jus is different from the _cope that wvc had emisioned. 't c knew that if-we were to use the building for a felt time school that it would need updated,but fur once or twice a week usage it was assumed that a full upgrade vvas not needed How"ever, by upgrading the systems the Church will not be limited by it's facilities to provide extended scmiccs or nunistries in.he future so this value added to the structure will be a positive investment for the congregation. 1 understand that Lowell w id be reviewing this will the F_.lcc.Mcal Inspector. 'Mis will proNide us with the details required to move forward. Sincerely. i_vuglas R. Winn, Archil cet AIA FAX: 503-684-1955 In Pages including this page. r r 6. �1 AIV J T91.1 Mr. Al Kemnec DATE: June 12, 1996 11811 SE Hwy 212 Clackamas. OR 97015 FROM: John L. Matteson, A.I.A. COPIES TO: file Whiteman PROJECT: New Sunday School Building McGarrigle Funk SUBJECT: Revised foundation and Details COPIES DATE DESCRIPTION 1 0-10-90 Sheet A 1 (D size)foundation plan. beam plan, footing and beam details. REMARKS Al Sheet A 1 is incomplete -the W 16x26 beam connection to the concrete wall requires beam attachment detailing(detail 5/1),the column and beam connection (detail 3A/1) along grid '5' is assumed to be similar to Doug Winn's drawing -A9, but needs to be reviewed by the engineer. The foundation dimension has been revised per your field measurements (changing 6'-0" to 4'-0" near -rid '1' and 'B'). The foundation wall at grid 'A5' and 'D5' is indicated as a pilaster per Doug Winn's drawing - I need to review this with the engineer, plus look at the grades at the SW corner. Keep me infonned if and when any work is starting. John v,— Matteson Architect, -SM N.N''. Tliird Avenue, Portland, Oregon 97209 (503) 224-6145 01-29-97 11 :0'jAM POI 694.7297 Total#of pages—I— Copy to follow?(YIN)__N_ TO: Mr.Jim Funk,Plans Examiner DATF,: January 29, 1997 City of Tigard ['ROM: John L. Matteson, A.I.A. COPIES TO: file PROJECT: Tigard First Baptist Church 11075 SW Caarde,Tigard,OR 97223 pc*:9-42c 13UP#: 96.0531 SUBJECT: Exist.ig Sink Cabinets In Meeting Rooms Mr. Funk It is my opinion that the existing sink cabinets meet handicap accessibility and t►o modification is necessary for the following reasons: 1)existing cabinet height is 31" (34" max. ht. per Sec. 1109.11.3.2). 2)faucets are single lever type permitting use as specified in Sec. 1109.11.3.7. 3)Sufficient clear floo.-space is available in front of the cabinet to provide a side approach to the cabinet for wheelchair use(Sec. 1109.2.3). Also, under Sec. 1113 -Alterations, 1113,1.2.1 General "If existing elements...are altered,each such altered element...shail comply....". However,then is no alteration to the existing cabinets(elements?)and it is my opinion that modifications are not required. Please let me know the City of Tigard's Building Department determination at your earliest convenience. Thank you for your assistance In this matter. Joh h . r r � G' /1e f Matteson Architects 510 N.W. Third Avenue. Portland, Oregon 9"1209 (503)224-6145 :rte December 5, 1995 CITY OF TIGARD OREGON First Baptist Church 11075 SW Gaarde St . Tigard, OR 97223 Re : FOUNDATION FOR BUILDING RE::,OCATE 11075 SW Gaarde St . PC10-52C Bup95-0445 The pians and specifications ha,►e been reviewed for conformity applicable codes . Please submit three (3) sets of revised plans and specifications incorporating the following requirements: 1 . Provide a plan with detail.; and specifications for tiie grade beams specified in the engineer' s work papers, Sheet 6 and 7 . A. A finished slab floor is not permitted at this time (see the 11/17/95 letter from the Tigard Planning Department) . \2. Correct Sheet A-8 to specify the corre•,t anchor bolt size and spacing in accordance with the engineer' s design. i3 . A site permit is required. Provide three (3) copies of pians detailing: r` A. Storm drainage for the building and additional impervious areas . B. Accessible route from the publ..c way to the basement entrance and exit . C. Erosion control in accordance with the Unified Sewerage Agency specifications . 1 D. Van accessible parking space with adjacent access aisle and route to the building. 4 . Complete the enclosed Special Inspection form and return to this office. Copies of all inspection reports shall be filed with this office continually during construction . A final signed report must be on file before occupancy will be permitted [OSSC, Section 306 (c) ) . 13125 SW Hall Blvd., 'igard, OR 97223 (503) 639-4171 TDD (503) 6}1-2772 -- --------- — First Baptist Church December 5 , 1995 pg. 2 5 . An automatic sprinkler system shall be inetalled in basements used for assembly or educational purposes, when th— hasement is larger than 1, 500 square feet [OSSC, Section 3802 (c) (e) ] . A. Clearance shall be provided around all piping extending fl through walls and floors . Provide a 1" clearance on all sides for pipes 1" through 3 1/2" and 2" for pipe sizes 4" and larger `NFPA 13-4-5 .4 . 3 .4 (a) ] • 6 . The Floor/ceiling assembly sepataitil.g the first floor from the basement shall be a one-hour tested assembly with opening protected. (OSSC, section 1703 and 4306 (j ) l If you wish to discuss any of these items, please give me a call . Sincerely, James Funk Plans Examiner t,up95-0445\pc10-52c i 1 i it place where people care" QED 1 February 12, 1996 COMMUNi� UE4El4PMEN1 Mr. James Funk Pians Examiner City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Re: December 5, 199 letter Foundation for Building Relocate 11075 SW Gaarde St. PC 10-52C Bup95-0445 The following has been decided in response to your December 5 letter: Item #1 We will comply. Item 112 We will comply. Item #3 Enclosed. Item #4 Enclosed. Item 115 We will comply. Item 116 We will comply. Sincerely, hilman .(: D ,h(,ard First Baptist Church 11075 S.W. Gaardc Street Tigard, Oregon 97224-3798 • (503)639-3913 • FAX (503)684-1955 "a place where people care" February 12. 1996 Mr. James Funk Plans Examiner City of Tigard 13125 SW Hall Blvd. Tigard. OR 97223 Re: December 5. 1995 letter Foundation foi Building Relocate 11075 SW Gaarde St. PC 10-52C Bup95-0445 The following has been decided in response to your Deccn�bcr 5 letter: Item #1 We will comply. Item M2 We will comply. Item N3 Enclosed. Item #4 Enclosed. Item N.5 We will comply. Item #6 We will compiy. Sincerely, (—�4x Tigard First Baptist Church 11075 S.W. Gaarde Street Tigard. Oregon 97224-3798 • (503)639-3913 FAX (503)684-1955 ,oLj1LA)1j,4L,.� PLRMAET f' RI1TT #. . . . . . 'j. . CITY OF TIGARD -0t4 r5 C117YAMUNITY DEVELOPMENT DEPARTMENT DATE !SSUED: 0C/14/96 13125 SW Hall Blvd.Tigard,Oregon 9722390199 (503)03g-4171 PARCEL: A I L C4001-", JBD IV IS I Ufi. ZONING: R-3. 5 —OCK. . . » » » LOT. . . . . . . . . . . . . 1 .1)GUL: FLOOR AREAS— -----.- EXTLRIOR WALL CONSTRUCTION . .LASE OF' WORK. '.1ALT FIRST. . . . : 300a, 5f N: S. E: W. >PE 017 USE'. . . .Sp SrGOND. . . : 0 a 1, PROTECT OP'r:.NINCS'1------- YPE OF CONST. .5N 0 Sf N- S: E. W: 1-.CUPANC'Y GRP. :R3 32000 S f ROOF CONST: FIRF RET?; XUPANCY LOADs 0 BASEMENT. : 0 s AREA SEP. RATED: 1'OR. ,. I HT : 0 f GARAGE...: 0 sf Ocr U SEP. RATED: _iMl ? -N MEZZ?3 REUD SETBACKS----------- REQUIRED—------- : OOR LOAD. . . . : 0 p s f LEFT, 0 ft RGHT: 0 ft FIR SPKL.. r711OV, DET. . ii 4ELLING UNITS: I FRNT., 0 ft REAR: 0 ft FIR A,—RM. HNDICP ACC: i1r)RMS: 0 LATHS - 0 IMP SURF(iCE: E. PRO CORR: PARK I NG 0 ILUE. $ : 32000 *mar'Ps - New foundation arci basement for- as building moved to the site. boncl It $1-Abmitted to -Finanz:e 0,2071)C, (quod For- 1:: mos.). jmFi FEES i I RaT DAPTTST CHUPCH type amount by date r-ec:pt 075 SW GAARDE SiT V, LCP, $ 131. 30 B 10/20/95 95-271909 PRMT $ c:02- 00 JMH 02/ 14/96 96--;7.75951 GfiRD OR 972t-23 FIRE 't 60- 80 JMH 14/96 96-2-7595Q, ,one #. 631) 3913 10. 11) J11H 0.2/*14/96 9E,--a 75`3;D LROS $ 26. 00 JMH 012'/14!96 96--275950 TI t r'aC t 0 1- ...E Rpr 1 8. 45 JMI[J 02/14;9E. )E,_a,7c ,IMERT INTERNATIONAL E RPC # 8. 45 JMH 02/14/96 96-1275950 t 3 1 1 SE F 4 W.' 21: PFRMT i, J,0000. 00 02/0'7/95 PERF BONF, -ACKAMAS OR 97015 love If: 655-7191 R L]'0467. 10 TOTAL 000805 REOiIRLD INSPECTIONS -5 Pe mit is issued subject tc the regulations contained in the Foat ing .'In:-, p Tigard Municipal Code, Slate of Ore. 'specialty Codes and all other Foundation Insp applicauip iawi. Ail Work wiii be done in accorda!ice with F irial Inspec:tior) approved plans. This permit Nill expire if work it not started Foot/Found Insp wit�Jn 180 days of issuance, Tr if ho-'s is suspended for more Fust/beam Insp than j80 days. Str—Ac Steel Insp Reinf Gtvei Insp ''igh strength bo Per-mittee 5w-iniilet- Undc)-s Mi -c:. Inspection Final Inspectiol, s�_�ed 13y ('a I I f 0 t- t 639 4 17 F30P C"' City & Tigan! Commercial Building Permit Application 13125 SW Hall Blvd. I ��sc��ti1 Pv Tigard, OR 97223 I �l (503) 639-4171 y Jobsite Address: / ?�� .�ti • �y C1 C� r��' Tenant: Suite# Office Use Only l _ Valuation: -` (0 CSZ7 Planck/Rec # I() `� Z - Permit# (f7 Owner: E, Map & TL # 1 7� �`,'1 Address: 1) C' -2 r7 �� Approvals Required `7 7 2 T` Planning Phone: L::5� -:3 �( - /' Engineering Other Contractus: )711'7'1 CC) - Address: I ( el:E, 14Lc.°c' r-� Type of const: Occupancy class: Phone 1,�Ci �� - -2/ Sprinklered? Yes Contractor's License # _ ��--�S _ _ o► �.,, (attach copy of current Oi vogon. license) Sq. ft. of project: Contact came & phone: T a^y< .� v�.t 0�Y�" I,SS --7/$C,�tory (1st, 2nd, etc.) _ ArchitecUEnginrar: _�. ,• . ,�• _JpLL 1? /2 �Q-1/� Proposed use: _ �, Previous use: Q/�, ,��,c{ L,1 in 10- Address CAddress Note: Plumbing & mechanical plans 7 LZ- must be submitted at time of 3 -7building permit application PhoneJ08 DE,3CRIPTION cL I,, l � �olitin�t,e,. ohiy � t S nf re & Phone number Received b `��`� L '' Y � �� ` _ Date Receiver': (C Permit # Account Description Amount Amt. Pd. Bal. Due Bldg. Permit (BUILD) f-O 2- Plumb. Permit (PLUMB) Mach. Permit (MECH) State Tax (TAX) _— Bldg: Plumb: Mech: Plan Check (PLANCK) j1�� Bldg: Plumb: Mech: S3wer Connection (SWUSA) Sewer Inspection (SWINSP) Parks Dev Charge (PKSDC) Residential TIF (TIF-R) Mass Transit TIF (TIF-MT) Commercial TIF (TIF-C) Industr;al TIF (TIF-1) Institutional TIF (TIF-IS) Office TIF (TIF-0) Water Quality (WQUAL) Water Quantity (WQUANT) Fire Life C lety (FLS) Erosion Cntrl Permit (ERPRMT) Erosion PlanckiUSA (ERrLAN) � P M 1 Erosion Psanck,COT (EPOSN) TOTALS: December 5 , 1995 CITY OF TIGARD OREGON First Baptist Church / 11075 SW Gaarde St . Tigard, OR 97223 Re : FOLIMATION FOR BUILDING RELOCATE 11.075 SW Gaarde St . PC10-52C Bup95-0445 The plaris and specifications have been reviewed for conformity to applicable codes . Please submit three (3) sets of revised plans and specifications incorporating the following requirements : 1 . Provide a plan with details and specifications for the grade beams specified in the engineer' s work papers, Sheet 6 and 7 . A. A finished slab floor is not permitted at this time (see the 11/17/95 letter from the Tigard Planning Department) . 2 . Correct Sheet A-8 to specify the correct anchor bolt size and spacing in accordance with the engineer' s design. 3 . A site permit is required. Provide three (3) copies of plans detailing: A. Storm drainage for the building and additional impervious areas . B. Accessible route from the public way to the basement ent -ance and exit . C. Erosion control in accordance with the Unified Sewerage Agency specifications . D . Van accessible parking space with adjacent accejs aisle and route to the building. 4 . Complete the enclosed Special Inspection form and return to this office . Copies of all inspection reports shall be filed with this office continually during construction . A final signed report must be on file before occupancy will be permitted [OSSC, Section 306 (c) ) . 131'5 SW Hail Blvd., Tigard, OR 97223 (5031 639-4171 TDD (503) 684-2772 --- -- First Baptist Church December 5, 1995 pg. 2 5 . An automatic sprinkler System shall be installed in basements used for assembly or educational purposes, when the basement is larger. than 1, 500 square feet [OSSC, Section 3802 (c) (e) ] . A. Clearance shall be provided around all piping extending through walls aid floors . Provida a 1" clearance on all sides for pipes 1" through 3 1./2" and 2" for pipe sizes 4" and larger [NFPA 13-4-5 .4 . 3 .4 (a) ] . 6 The floor/ceiling assembly separating the first floor from the basement shall be a one-hour tested assembly with opening protected [OSSC, Section 1703 and 4306 (j ) ] . If you wish to discuss any of these items, please give me a call . Sincerely, James Funk Plans Examiner btlp95-0445',Pc10-52c CITY OF TIGARD BUILDING INSPECT'ON DIVISION MST 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 BUP _ _ Date Requested_ AM�_PM k BLD Location /�Q 7� ~ c2 ILL r �- Suite _ MEC Contact Person _ _h.G,�J Ph �'' >� �� PLM Contractor Ph SWR _ BUILDING Tenant/Owner ELC Retaining Wall ELR Footing Access. Foundation FPS Fig Drain Crawl Drain Inspection Notes: SGN _ Slab ------ ��' t�y , '��>�� SIT -- Post& Beam Ext Sheath/Shear Int Sheath/Shear - - Framing - Insulation Drywall Nailing Firewall Fire Sprinkler e /4^ -- Fire Alarm - Susp'd CeilingRoof Misc - --- - Final r PASS PART FAIL +--- - - —-- - - PLUMBING Post& Beam - - --------------------- ------------ --- -- Under Slab TopOut - . ---- ----- -- ----- ---. _..__ __._----- -_. " . Water Service Sanitary Sewer Rain Drains Final PAS: PART FAIL Post& Beam --- -- - ---- Gas Line --- S DamprarG k- klIPART FAIL ELFCTRICAL - -- _-_- - Service Rough In UG/Slab Low Voltage -_ -- -- --- Fire Alarm I ;nal PASS PART FAIL SITE Backfill/Grading - - ---- ---- Sanitary Sewer Storm Drain [ )Reinspection fee of$ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin I ]Please call for reinspection RE: [ J Unable to inspect-no access Fire Supply Line - ADA Approach/Side-walk Date Inspector Ext Ot'ier -- Final PASS PART FAIL DO NOT REMOVE this inspection record frorn the job site. r iIFebruary 13, 1996 CITY OF GARD OREGON Carlson TesVng Company, Inc. PO Box 23814 Tigard, OR 97281 PERMIT NO: SUP 95-0445 PROJECT ADDRESS- 11075 SW aaarde St PROJECT DESCRIPTION: Tigard First Baptist Chcvch TYPES OF SPECIAL INSPECTION: Structural special inspe( tions. Dear Mr. Leach: TI•e owner has notifi3d us that he/she -ill retain your services to perform Specia! Inspection. in accordance Y itii the provisions of the State Building Code, permit document;, and special inspection requirements. The owner or the owner's agert must also confirm with yoc that they have a:therized you to do the special inspection work. As the regulatory agency, tho City requires that you do the following: t. Submit copies of all inspection reports promptly to the Building Division, architect, engineer, and the contractor. 2. Ma'ntain one copy of each field report at the job site. 3. S,;hrnit a final report at the completion of each category of work that you inspect. (See U.B.C. 7015 for soils special inspection final rep(,rt requirements). If you fail to comply with the above requirements, there may be cause for the City to revs ke your authority as special inspector for this job. Should you have any questions, please call the Building Division at (50) 639-4171. Sincerely, Jim Funk Building Division ^.c7'rc'�fy' 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 TDD (.503) 684-2772 41 co m i r � DOX v n C1 I - TITR F x n cf). cA �lj m rri N Tl — c C I m X —s f� `) � � U) �uC/) � O cD Q io w w� on O � 1 m n fel D n r- � -+ c0 r z O I rn F- 0 + o L 0 sus C.x C to i " \ �- � ? o limIll - n a NA co n m — 0 S X. 0 -0 " D� rt' � n m — n � D , z 00 \j o E co -� cn CTS S i t A � ' I V1 t 7• r.r � t ° � N f ■ r i y r N cnz D % co E c► U ' s! f N _ i r � .j Cl n N -1 I f lot i Q D M 33 � 1 C� to D • • ------ �....r Aw Cr SL4'' Z N3 U ! d .`4 fb fl I ^ -i + n r � i I l� I 1 IS, c � I� W m -- Cy a C? D eV rJJ m �• 1� ca rn r, Ir �� f M A T T F S O N A R C H 1 T E C T S March 7, 1997 Mr. James Funk, Plan,, Examiner City of"T'igard 13125 SW Hall Blvd. Tigard, OR 97223 Re. TIGARD FIRST BAPTIST CHURCH 510NWTR1RU 11075 SW Gaarde, Tigard, OR 97223 PORTIANO PC# 9-42c B U P# 96-0531 OREGON 97209 Fire Hydrant 503 22,6145 Dear Mr. Funk, This leper is to confirm our phone conversation of March 6, 1997 regarding the rey:iirement for a fire hydrant at the afx)ve project. It is my understanding that you reviewed the project and existing fire hydrant locations on SW 110th and Garrde Street with Mr. Gene Birchill, Fire Marshal. 1t is my understanding that existing hydrants are more than 250-feet from the farthermost part of the new building and a new hydrant will be required on-site to provide hose access within the 250- foot .listance. The new hydrant is to be located adjacent to the fire sprinkler vault, where shown on the Site Development Plan', on SW 110th Avenue. If there is any modification to the above information or understanding, please contact me as soon as possible. Thank you for your assistance. Sincerely, 7 John L. Nlott4on, A.I.A. cc w/encl Tex White,nan, Tigard First Baptist Church Centrex Construction Company 1 AAmrW, Amwest 11 7 4 M 4b 2 SGMT a *3 OS** N 0 T I C F O F C A N C F L L A T T 0 N 7TYPE OF BOND ORIGINAL EFFECTIVE DATE DATE OF NOTICE 1 3U 44 53 HDUSF MOVI N5 BOND 2-07-96 2-15-97 jH_ 15U:- LIL Y OF I IGAiO 13125 SW HALL BLVD 'ORT- AVO, OR 97223 � MNE,T SJRFTY INSURANC-E COMPANY hereby notifies you that it has elected to ancel said uond in its entirety . Such cancellation will becovp effective 30 days after obligee receives notice. This n5tice is given to you in accordance with the cancellation provision i n said ) ond. AVCLL-,EJ F04 404-RF 4EW AL A MWFS-T SURETY INS114 ANCE COMPANY Al Tn,4EY-iN-7AET 'RI NL IPA- oPq Po ( �gZ�,.= T.U . NORTHWEST, I WC . Cn DEC 14 12005 S.W . 197TH CT1995 4 O FAR A5! a ; I ISA�O, Jk 97223h'b ♦ �Nd: ADDRESS ALL CORRESPONDENCE RELATING TO THIS NOTICE TO: �RJDJQR J.U. FULW ILFR 8 - 0. INS., INC . AMWFST SURETY INSURANCE COMPANY P.) . BOX 69508 PORTLAND ••- • 1911 N.F . BPOADMAY --- - ;2-34T- AND, OR 91201 ( SU 3) 293-8325 PORTLAND, OR 97712 (503) 2R4-2024 I OHLTGFL COPY A.AC-A1001(REV 1i981 (� J I q OSC 3 August 30, 2002 Multi-sensory Instruction Teaching Children Hands-on The mission of MITCH Public Elementary School is to(ally integrate City of Tigard the environment,curriculum 'ff 13125 SW Hall Blvd. and instructional strategies f on a home-like J Tigard, OR 97223 i domestic(arm. i Core Knowledge School Attn: Daryl ]ones • Fax #503-624-3681 Grades K-8 Strive to Exceed i State Education Standards Daryl, i M.I.T.C.H. Charter School will be using the basement Learning Adventures (Building A) with no more than 49 people (staff and Non-profit Organization students combined) and the upstairs, which we are • i planning to use as an office already complies for office Before&After-School Programs } . usage. Seasonal/Summer Camps Tutoring Boldt Hall, the other building at the location, 11075 SW Gaarde, will now be used for M.I.T.C.H. Charter School with no more than 49 students and staff combined. Phase see the attached building A and Building B plot f flan changes. Please call if you have any questions. Thank you, PO Box 230575 Tigard.OR 97281-0575 r ✓ Debi Lorence www mitchcharter.org Director, M.I.T.C.H. Charter School learninadventtjre@aol.com phone/fix 503-524.5411 w GARDEf b G E ST `a��v� sT I IL, 7 6 u) ;74 AI Dc CITY OF TIGARD August 30, 2002 OREGON First Baptist Church Attn: Debi Lorene !� 11075 S W Gaarde St Tigard, OR 97223 RE: Mitch Charter School The City of"Tigard Building Division has reviewed the suhmitted building! plans fir the atwvc referenced address in accordance with the Oregon Structural Specialty Code(OSSC), 1998 edition and the 1999 Uniform Fire Code as amended by TVFR. !Tans have been submitted and reviewed for a occupancy permit to allow an F.lementary Charter school to reside at the above-mentioned address. The school is proposing to use Three rooms on the main floor for gra,les 1-3 and a large room in the basement to be used for kindergarten students. The following items shall be limitations due to the current facilities capabilities at this time ofthis review. Due to the occupant load greater than 50 the bailding shall be sprinkled and be provided with fire alarms. I ► flans submitted show minimal restroom facilities on the main floor. In accordance with crapter 29 the main floor occupant load shall be limited to 25_girls and 30 lwys or a total of 7.750 square feet of usable space which t:vcr comes first. 2) Building shall be provided with a minimum of two fire extinguishers per floor with a maximum spacing of 50 feet apart. 3) Drinking fountains shall be provided on each floor as per chapter 29. 4) Corridors shall be i hr rated and maintainer; with rated opening with closures. 5) Exit signage shall be provided. Exit lumination shall be provided. 6) Entire facility shall be ADA accessible including restrooms. exits and drinking fountains. Due to the items noted above a walk through inspection of'the existing facility is required to verify compliance. Note: depending on the out come ofthe site visit additional items maybe added too and those that comply will be removed from this notice. 13125 SW Hall Blvd., Tigard, OR 97223 (503)639-4171 TDD (503)684-2772 I t'y( ve any questions regarding this review, please contact me at (503) 369-4171 ext. 2436 Si cerc,ly, 1), VI h es Tans I es 04 b - - - r I r K z � b co ri CD 3 CD n r—_ I o z n _ rF - z C i• 50'3 s M y to r R7 .•; 'd C Rf + z .'C �; H D._ r mmn ❑ m.n m � _ C v A n 4 n - ❑ lam = C i I 1 N c m N ❑ r. ❑ T r) 10 -i C17 77 >Z O V R91 T y A hNl 7PC D N H 9rrmn A M p p n Z C r' ❑ � A 4 y D > ? I 7LO n� 0 1> z r C y � Ty 1" MrD mm Y D 10 LATaC) b M z A ao m o � ;AM n MDy � Ao � rN 7- f rn ❑ » � D P z N H a y o p" M 7e,n :i D n C; C ;r, 3 y rn r y a d ti _A A A>9 mxmNS — r d 7 m In nNin a ov .'Ah ✓ D 1 H;3 p ❑ yr _ 7 z�r P AHn �° D ❑ 'r I n am _ > ❑ ; U f (' > n > � c , n y m � �Oyr Mi ♦. M F m A (� a m 7 4J\ •..� n z R T. z f/1 7o m / �� m m iy M r r''i• -i Z ig r. 7 Z o a Q x M V� 70 i f r, 1 r ter, p c :n Lirjpi m r_ p) p ❑�' w h7 w � a 7 C H 0000 rA rri p c p (' O 00 '— h�i m 1. a '° I m if sot to Rf tn C) / Z- , prif,� F/7 r , •*t m nt Yn'm �p 3 m m m p� >°T ° rm no pT m n D C y►�yy i � j1 W t O zr o y 3 ^' r., t 0 in o' 0 m m > Li y a1 a, r z s ❑ �,r m m -? ❑ v VI ❑ y r C) Z --1 Tvvl. 1'4s 62a Seventh Street 14480 SW Jenkins Road 7401 SW Washo Court l'11 . Oregon City,OR 97045 Beaverton,OR 97005 "tualatin,OR 97062 (503)657.1365-Office (503)356-4700-Office (503)612-7000-Oftice Tualatin `r'alley (503)657-7913 -Fax (503)644.2214-Fax (503)612-7003 -Fax Fire & Rescue _ NI" Inspection I"Re-Inspection 2"d Re-Inspection Inspection Field Report — DIS-IRIIII'HON OCCUPnNI Original iNSPECTOKFILE. Yellow Copy Occupancy ID: 6088D-024-000 Nam`: FIRST BAPTIST CHURCH(MINISTRY CENTER) Business License: Location: 11075 SW GAARDE St City/State: TIGARD, OR Contact Name Day Time Phone After Hours Phone Nancy Pearson First Baptist Church Activities Scheduled Status Action,ITO,Annual Technical Inspection 12/01/2001 Completed ❑ New Activities Type Code Comments Cleared/Completed Ott—a`) f Act, i•` CMA I i m &(Aj4' b V e. (A",r Ziih� _ /}'�/r/�'l.'1+ Lr -�aiA�_& 01..of 3 ' s ,, -------�1-�3..�--��SZ__.—.:JLC' �r�� j�Y�_ '�-_ ,�'i+� +�F- .•l V w Additional Commgl% —` ._. htr�_ -. V Insp or Si4tue/Number Date oc('om (I 00) Page I of,I Printed M10/2001 12.53:12 CITY OF TIGARD CERTIFICATE OF OCCUPANCY DEVELOPMENT SERVICES PERMIT#: BUP2002-00353 13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 DATE ISSUED: PARCEL: 2S 103DC-01100 ZONING: R-3 5 JURISDICTION: TIG SITE ADDRESS: 11075 SW GAARDE ST A SUBDIVISION: BLOCK: LOT: CLASS OF WORK: ALT TYPE OF USE: CUM TYPE OF CONSTR: 5N OCCUPANCY GRP: E1 OCCUPANCY LOAD: 49 TENANT NAME: REMARKS: Change of occupancy for the basement of bldg A to be used as a Kindergarden and first grade building is limited to 49 tctal due to no fire alarm Owner: FIRST BAPTIST 11075 SW GAARDE STREE=T TIGARD, OR 97223 Phone: 503-639-5757 Contractor: Phone. Reg 4: Thi ertificate issued 09/05/2002 grants occupancy of the above referenced building or po ion thereof and confirms that the building has been inspected for compliance with the Sta of Ore n Specialty Codes for the group, occupancy, and use under which the rete encedm' was issued. f3L GINS CTOR BUILDIN OFFICIAL POST IN CONSPICUOUS PLACE CITY OF TIGARD BUILDING PERMIT PERMIT#: BUP2002-00353 DEVELOPMENT SERVICES DATE ISSUED: 9/5/02 13125 SW Hall Blvd.. Tigard, OR 97223 (503) 639-4171 PARCEL: 2S103DC-01100 SITE ADDRESS: 11075 SW GAARDE ST A SUBDIVISION: ZONING: R-3.5 BLOCK: LOT: JURISDICTION: TIG REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION CLASS OF WORK: ALTFIRST: sf N: S: E: W: TYPE OF USE: COM SECOND: sf PROJECT OPENINGS? TYPE OF CONST: 5N sf N: S: E: W: OCCUPANCY GRP: E1 TOTAL AREA: 0.00 sf ROOF CONST: FIRE RET? OCCUPANCY LOAD: 49 BASEMENT: sf AREA SEP. RATED: STOR: HI: ft GARAGE: sf OCCU SEP. RATED: BSMT?: MEZZ?: RECID SETBACKS REQUIRED FLOOR LOAD: psf LEFT: ft RGHT: ft FIR SPKL: SMOK DET: DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP ACC: BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING: VALUE: Remarks: Change of occupancy for the basement of bldg A to be used as c Kindergarden and first grade building is limited to 49 total due to no fire alarm Owner: Contractor: FIRST BAPTIST 11075 SW GAARDE STREET 11GARD, OR 97223 Phone: 503-807-1935 Phone: Reg #: _ FEES REQUi?FD INSPECTIONS Type By Date Amount Receipt Final Inspection PRMT CTR 8/19/02 $62.50 27200200000 Final inspection 5PCT CTR 8/19/02 $5.00 272002100000 PLCK CTR 8/19/02 $40.63 27200200000 FIRE CTR 8/19/02 $25.00 27200200000 Total $1-13 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Speer-ilty 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 952-001-0010 through OAR 952-001-1987. Yo-a may obtain a copy of these rules or direct questions to OUNC by calling (503) 246-6699 or 1-800-332-2344. Permittee Signature: +) Issued By: � Call 639-4175 by 7 p.m. for an inspection the next buSIness day Ruildin Permit Application IFce :Received /��01 Building Date/By Permit No.: '-BO Planning Approval Other City Of Tigard 'Fest horin —Date/By: _ Permit No.: 13125 SW Hall Blvd. Plan Review Other Tigard,Oregon 97223 Datgi _ Permit No.: ^� Post-Review Land Use Phone: 503-639-4171 Fax: 503-598-1960 Datc/13 : Case tJo. �U 1;J� �nw L1'YI� S Internet: www.ei.tigard.or.us Contact luris See Page 2 for 24-hour Inspection Request: 503-639-4175 Name/Method: _ - Su Icmental Information TYPE OF WORK REQUIRF,D DATA: ❑ New construction I Demolition X & 2 FAMILY DWELLINGAddition/alteration/replacement Other: CATEGORY OF CONSTRUCTION Note Permit feeed un the total value of ilia wor rfurp,ed. Indicate 1 & 2-Family dwellin Commercial/Industrial the value(roundee ne st dollar)of nil cquipmc ,materials,labor, overhead end prothe wor dicatcd on this ication.Accesso $uildin Multi-TamilMaster guilder Other: Valuation....... . ........................ $i_. _JOB SITE INFORMATION and LOCATIONNo.ofbedroomNo.of sTotal number os........... ........................Job site address: OD-1 sN� u rot e New dwelling q. R. ...........................Suite#: $ld ./A t.#:�I;nyiY,cSbid Garage/carport .)............................ __..._._-- —_- -Project Name: CM&t t:� hall Covered porch sq. ft.)............................. ___Cross street/Directions to job site: Deck area(sq. .............................. Qther,structure area(sq.ft.)............................ - y REQUIRED DATA: QCOMMERCIAL-USE CHECKLIST Subdivision: Lot #: _ Tax ma / arccl#: Note: Permit fees*arc based on the total value of the work perfomx:d. Indicate DESCRIPTION OF WORK the value(rounded to the nearest dollar)of all equipment,materials,labor, --- overhead and profit for the work indicated on this application. <K n- T4 u c vv +leA Set. Valuation........................................................ $— -- Existing building area(sq.ft.)......................... ` ' 0►!r\ New building area(sq.ft.)............................... - Number of stories............................................ � ,—_- [JjO RTY OWNER —(� TENANT Type of construction....................................... Occupancy group(s): Existing: New: Address: 1 ca? c i e _CitV/State/Zip: T� e �a 3 — — NOTICE: All contractors and subcontractors are required to be Phone: 2f-1 - 57.5'7 PaX: licensed with the Oregon Construction Contractors Board under APPLICANT CONTACT PERSON provisions of ORS 701 and may be required to be licensed in the Business Name: _ jurisdi:tion where work is being performed. If the applicaid is exempt Contact Name: from licensing,the following reason applies: Address: City/State/Zip: ----- - -- - -- ------------ Phone: FSX: ` _ BUILDING PERMIT FEES* E-mail: Please refer to fee scheaule. CONTRAC OR —� ---- - -- BusLi— city/StRtggir, me: Fees due upon application.............................. $ Ad ) _._—...—� ? Amour!received............................................ $ Fax: —___ Date received: Phone: — � CCB Lie. #: ___1 - -" - Notice: This permit application aspires If a pctmit not o' tie" within Authorized / �� 7 �� 1811 dais after it hoc been accepted ae complete. Si nature: ( _ Date: d •Ft.-methodolopv set by'rrl-county ItuiidinP 1,1411.tr, ties,ice It'1111 (Plepse prt::!name) Commercial Plan Submittal Requirement Matrix Ott of Tigard li TYPE OF SUBMITTAL # cit Flans (Includes New, Addition: r,r Alterations) I Roquired at Submittal Site Work 4 (must include location of all accessible parking) Plumbing S .--_ ite Utilities building — Z Building Fire Protection System 3** Mechanical 2 Plumbing - Building Fixtures Electrical --- 2 - Plan review is dependent upon submittal of a completed application and plane. 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). *For over-the-counter commercial tenant improvemonts, submit 2 sets of plans. **"New" fire protection systems require that plans bear the original seal of an Oregon licensed fire suppression engineer, or NICET level "3" techniclens. lAdsts\forms\COM-matrix.doc 9/24101 C I �� O� TIGARD ��D ELECTRICAL PERMIT PERMIT#: ELC2001-00506 DEVELOPMENT SERVICES DATE ISSUED: 10/12/01 13125 SW Halr Blvd.,Tigard, OR 97223 (503) 639-4171 PARCEL: 2S103DC-01 100 SITE ADDRESS: 11075 SW GAARDE ST B SUBDIVISION: ZONING: R-3.5 BLOCK: LOT : JURISDICTION: TIG Project Description: Nursery Remodel RESIDENTIAL UNIT TEMP ERVC/FEEDERS —MISCELLANEOUS_—_ 1000 SF OR LESS: 0 - 200 amp: PUMP/IRRIGATION: EACH Art'D'L 500SF: 201 - 400 amp: SIGN/OUT LINE LTG: LIMITED ENERGY. 401 - 600 amp: SIGNAI.,PANEL: MANF HM/ SVC/ FDR: 601+amps - 1000 volts: MINOR LA:3r'L (10): SERVICE/FEEDER BRANCH CIRCUITS _ ADD_'L INSPECTIONS 0 - 200 amp: W/SERVICE OR FEET-ER: PER INSPECTION: 201 - 400 amp: 1st W/O SRVC OR FDR: 1 PER HOUR: 401 - 600 amp: EA ADD'L BRNCH CIRC: 2 IN PLANT: 601 - 1000 amp: _ _PLAN REVIEW SECTION 1000+ amp/volt: —' >=4 RES UNITS: J _ > 600 VOLT NOMINAL: — — Reconnect only: SVC/FDR >= 225 AMPS: CLASS AREA/SPEC OCC: Owner: Contractor: FIRST BAPTIST CHURCH OF TICE. ELECTRIC TIGARD, THE PO BOX 15009 11075 SW GAARDE 2139 SE BELMONT ST TIGARD, OR 97223 PORTLAND, OR 97293-5009 Phone: Phone: 233-8801 Reg #: LIC 166 SUP 2586S ELE 26-126C _ v FEES Required Inspections Type By Date — Amount Receipt Ceiling Cover PRMT CTR 10/12/0' $135.15 2720010000( Wall Cover Elect'I Final SPCT CTR 10112/01 $10.81 2720010000( Total $145.96 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 with,n 180 days of issuance,or tf work is suspended for more than 180 days ATTENTION Oregon law requires you to fol!ow rules adopted by the Oregon Utility Notification Center Those rul-,s are set forth in OAR 952-001-0010 through OAk 952-001 9080 You may obtain copies of these rules or direct questions to OUNC at(503) 246.6699 or 1-800-332-2344 Permit Signature: Issued By: OWNER INSTALLATION ONLY__, The installation is being matte on property I own which is not intended for sale, lease, or rent. OWNER'S SIGNATURE: _. —___ DATE CONTRACTOR INSTALLATION ONLYSIGNATURE OF OF SUPR. ELEC'N _— —_ DATE:-- LICENSE ATE:LICENSE NO Call 639-4175 by 7:00pm for an inspection the next business day 10/12/2001 11:24 503-872-8290 TICE ELECT.SER%/.DEPT PAGE 0'-' 10/11/2901 14:44 `r0:3-d1; 02111 TIQ-; ELECT.SERV.VCr7 f AAL 01 Pa9w 1 of 2 Electrkal Permit AppUcalion City .of 11prd clbyntarr Addrm; 13 4S sw kt:.l Rlvn,Tisertl.(.11t 977.21 Phono: (503)639 rl.11 _ _.• _ -_ ------• ------ Fax. (Al) 599-1960 Ow Atmao.: Pslrroeot Land use>dpp10V21: 41 1 2 tamlly dwalli"nr xwe"Ory i.J ollttt.rcrialAnQtlslHtd U Multi-family U Toml impruvemcni U New cmu%tuctiontl Miticxt/altr�tlgp/teFibcet+tsrt[ 0 Other:_ _- U Partial 7nla eddreat % 814« pw; SuGln uo.; Tax t Iot/blow no'l �.— -- . Prq' nuorA ara Jp _j ►ea.dou at wor�c� �t�+>+►:>o�: tsar � 1 --- �_ Rsd►,aw 4M a qqW Job wr go, tanrtne �1)usiatar tugr: �.�c�.�:�:�.:La t�-4�r-• --- -iwe.racda.tf.t-+Md.or t+� Adtlres!: FU Hc�oc _.�„SSl 1.r-- _ dw 0dfi t.tnc1MAM+hhdadtrrtea r(.1 I' t1 �statoZLP: 72AUSCM rr-l.ieddaa � 3 HBQI -97 - Fr•tratil: +a,� •�� _ -_ �Cs~'B ttu.: I.•� Floc-F us.be,na: 2F-1 �. te��y�,a,le.n1L1 a /moav t1a: _._,L1rLL• -- —'- 1— RI�O{��R tx WC�RO'nrunl �x �S Of a M c _ 9aPhlMafrs—t+adilrat+ea4 y�yKsam" o J M&1 .ue L'wireea; 25a6s ]0o erre or tam _ 1 1Votfta nest): �lgryrei l3RptLit_C21uz5;A , - CdA eeeoo�npr _ —_ --�---- u s4zr I zr�►: - -- ItI0t1 atepr ur�rNm —�- — P i bona: ' '*VVSrMw'=;rtbe+e++- C}vneY ineMllldin4:71►e in kaon is boin=nta&nn pmpeny 1"A 1Rsr�ntl+,eiwrelh++�err.lawioa which it not it A&.d for yak,lr. -,rtat,of axchAngv 6060rdlAf t to 1%"w or lar 2 (11tS 447,45.4,4779.670, 701, �ff% b —iw p x Owner's ar tnr..rtl.a iw+poM A e�an Ibe b+1toA wgtlr rM,pe chw^E AAQt� - - t11w c�1 arwrt --•�-�•� 0• Pw WINete�i�ioltw u wuhMd 161 City. Aims—- er Hader tbc firs trteodt draatr 1 1'Anee' Ftar E 11x11: heart h� 2 U 4ar.tmerrer�raerpe�earrimeeetr t:1$eiltfd��MetlitY "may tea+ t _.. -1-- U 9etvi�o+a�1(f ae�o+•eatlat cl 111 Q hiald duurlocadan gtlaal�t'Ie a a Umlud mw - 2 Dewt heandw11iM1 d RWlduyu.,�.IQtYlOrpu�t..�r.auar ►1�1eaffeet• 1 _ 1 Iu 9"UM caw O60 Nolte eemind more PAWtetid VMa it me ama-M t.l p.,liMRll ewe tnrea wnetea O 1'+es&p,tab emir eM twew •IJdetsert: ]L�oetpanrieeAevlrY9►�nan. QM..dfwLtedltlUaMcxntivt+lAc UteA rowe lre�Ana"wow tik+wr cl ftir.earyt�+t+nttl++� rl rwtw. NW - _—1—T_..5�- alM"W Sew of alma WN&W etas above oYe, rK The"Owe are sot arpUaLbfle to Mleperffl• Mhktr. O�tr — - AerrtlJc fa . ..••........5 1 5. µr.rt..r+.w.�.,e.��....' -'__...•� - -••'':•••• t�oeloe-T'1>V�s,alreoptleaelao Alan mmitw ;tot ex(dt'M fE�{+�'R++�t b Oot s>brrnert wee lie tlto�, SAW it b.a hr�ft sign am" --MA ___._- euuptadacen •)toTAL ................. ...S •e�.y+e�te�aneoM' 1trv911 AO Alii o981089Co9 YVA or:oT root-z1 417 ELECTRICAL PERMIT ��Y OF TIGARD IGARD PERMIT#: ELC2001-00630 DEVELOPMENT SERVICES DATE ISSUED: 12/12/01 13125 SW Hall Blvd.. Tiqard, OR 97223 (503) 639-4171 PARCEL: 2S103DC-01100 SITE ADDRESS: 11075 SW GAARDE ST A SUBDIVISION: ZONINIG: R-3.5 BLOCK: LOT : JIJRISDICTIUN: TIG Prosect Description: Installation of lights and outlets in Bolt Hall. Job No. 99.5805 _ 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 am;): SIGNAL/PANEL: MANF HMI SVC/ FUR: 601+amps - 1000 volts: MINOR LABEL (10): SE_RV CEiFEEDER _ BRANCH CIRCUITS ADD'L INSPECTIONS _ 0 '.00 an-op: W/SERVICE OR FEEDER: PER INSPECTION: 201 - 400 amp: 1st W/O SRVC OR FDR: i PER HOUR: 401 - 600 amp: EA ADD'L BRNCH CIRC: `i IN PLANT: 601 - 1000 amp: _ PLAN REVIEW SECTION 1000+ ampivolt: >=4 RES UNITS: > 600 VOLT NOMINAL: Reconnr?ct only: SVC/FDR >= 225 AMPS: _ CLASS AREA/SPEC OCC: Owner: Contractor: FIRST BAPT'ST CHURCH OF TICE FLECTRI,� TIGARD, THE PO BOX 15009 11075 SW GAARDE 2139 SE BEL.M ONT ST TIGARD, OFA 97223 PORTLAND, OR 97293-5009 Phone: Phone: 233-3801 Reg#: LIC 166 SUP 2586S ELF 26-126C FEES Required Inspections Type By Date Amount Ret:eipt Ceiling Cover PRMT CTR 12/12/01 $73.45 2720010000( Wali Cove, Elect'I Final 5PCT CTR 12/12/01 $5.88 272001000U( Total $79.33 This Permit is issued subject to the regulations contained in the Tigard Municipal Code,State o' OR. Specially Codes and all other applicable laws. All work will be done in accordance with approved plans. This permit will expire If work is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rues adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952.001-0010 through OAR 952-001-0080. You may obtain copies of these rules or direct questions to _ I Permit Signature: , // Issued rv: OWNER INSTALLATION ONLY The installation is being made on property I own which is not intended for sale, lease, or rent. OWNER'S SIGNATURE: DATE: CONTRACTOR INSTALLATION ONL Y SIGNATURE OF SUPR. ELEC'N: '�e� --� _ .� DATE:._ LICENSE NO: Call 639.4175 by 7:00prn fur an inspection the next business day 12/10/2001 10:49 503-872-8290 TICE ELECT.SERV.DEPT PAGE 02 10/10/00 ME 08:00• FAA 503 598 1980 CITY OF 7'1('.AR1) ®002 Page 2. of 3 Electrical rrdtrF"PJVtftM 1)areleoelvet ; /o n/ Perealtnea 'P"V 0010*e"' City of Tigard Proleevappess Lnu.: mm P.apiredate: Fi Clryvjl2$tud Addr13125 SW Hell Blvd,TIOWt -UR 97213 pateJ�ued: —� ey: it,cetptno.: Phone; (503) 639-417 1 CITY OF 710AKL Case file no. Payment type: Pax: (503) 598-1960 MRLDINO DMSION, Land use approval: . I 1 9t 2 family dwelling or accessory a Cornmerosal/industrial ❑Mina i:vtuly Cl Tenant improvement :J New constructive Ifl Addition/slrcratlun/repin••rmerlt Other; ©Partial IM 1"0 151 IN rill Job address: 1107') SJ Carde S1_ ii)dg, no :cm c no.: .ax rri_ tsa lot/accountro.: Lor. Altxk: Sutxiivisrr,u Project name Tigard First MptljiCscjPtion end location of work on prernises: Wire__q .S ran( r tut etS Estimated date of com letlon/inspectiun: � iCt Hc)]t 11;i I 1 _ Job poi 99.5805 11en h1 Businessnarlle; !'[rir� Fla-• �- _ ilOe 0b. ra) Total to.lnsp 4ddre}.s. $ +- -- News nesldesrtlnl•elade or rglddamily per • d»ellYsalaalt,Itx4nder'aeuerreAtasKe, City: Ar) t 1 E I- State: ZifA: -00 It asyKiuded: L P`t,°ne'503-2�3_fiEiLl tut. B•md1: gdWorndS001q.fF arportiaotherwt 4 � r lug C U no.: j 6 Blec.bus.lim no: 26-1260 li.K.5.0110 ,resittendel ` 2 (..•Ity/til wo Ii: no. 203 4 Llm(taJeaerp,non-reeldattial 21 2 7 10 0 Each matlufWuredhameermoeuludw rin '- SI Abilure of Apervising elee lelar. 'r tilted Dols Semi to and/or realer 2 Sup elect nett+e(pnnl; Tp}Z T Uceaaeno Givicesarf era-Installation, - sheradtrro.relocat{oo: ,,Iamljiieimtm __ 200veys or less 2 frame(print): Tigard First 13apti: t Ciurdiit` t jtoux)ampr _ z 401 art s W 600 aro s 2 hitilin6 address: s to 1000 uhpt 2 City' Stere; Z1P: Over 1000 amps or volts _ 2 Phone Fax: F�ttlaii: econnectatly 0wn~ er installation:The installation is being tuadc on prupeny I own Tea•►mary+��orr.nlris- which Is not intended for este,lease,rent,or cxcJtanpe aicnrciing Ir iadatlrron,deetsdoet,a,rdocatlon: URS 417,4SS.479,670, 701. 200 rorlass 101 s o100ampa_ _ Q�401ler'i Si rialin : Late: _ 401 ttr 7 MLT 111111011 PI V I Branek circulus•arew, (senors, Name rrew attbn Orr PZ11 Add 243; _ servlet or frsdrr fee.each branch tired,, 2 Cit �^ i gate: ��ZIP: N Ieeror renchchoults vlthaurpurMeee P hone Fay.: P llleil; of semcoor(coder fee,6tit brunch oircuic vi Pochaddtuoralbranchcitcull• — 14 Mbe (Sarteeor iruefleeJti )i J Ssn•reeorevL3wtvi coramer^_ial J it&IthKAtefs.-lllry Elea pump oftrrieoiloncircle 2 J 3drvkeoter120ertlhewutulsof 16. LJ Haterdoorloaiion Sacissi norouilLnelightine Li !.mllydes0in�s Q tiuiWintuvett 10,1Mequate hufeuror 91tae elreu l(s)us4limitrdrnergypenal, CI Svstrtnova600volts neminal mo,nreeldentWunulLaone stracturs alunuon,oreatMnon• 2 J QBurld,reavtrl"^garottes 0Fealets,400aatpsnelrurs •ticµ}I don: it7 O.:urint load over 99 persau J Menulsetuted enyeturs or av putt FJ sddlll orf tare aticvrable V u)of tae stiova 7 E�retsrtftunetlan U Otter _ . - shout. ----- ----- atisapecduo 3ubrdl_„ante of plans with stir otthe shout. Invetu edonfu The above are not ani ble to tensportuy tuner^actlod eerrlde, Other vol hl lu.•ltdicuont srsrla t,@&orris,pka,r call im►dkann(n,mtw m lirfados Nodes:This pemtit application PCClhll fee S 73.45 , ,fiisa Q Mut expires If a permit is not obtained Plan review(at C,ear eta no within 190 days after it has been State surcharge.(8%1 ,...$ aN W_ Be,_pledascomplete. TOTAL S .34 - I '-ITT OF TIGARD (BUILDING INSPECTION DIVISION MST. 24-Flour Inspection Line: 639-4175 Business Line: 639-4171 ---- -- �/ BUP _-.-_____—_Date Requested AM PM ,W BLD Location--- I I C' s.-*te e2 r,�Suite MEC Contact Person r Fh ,�_1 .� PI•M Contractor Ph SWR BUILDING Tenant/Owner 1 �L'r,..c.�1. _ ELC 4-- Retaining Wall ELR Footing EcFoundation S: FPC Fog Drain SGNCrawl Drain ction Nates.Slab �' _..:�''� SIT mPost&Bea .Ext Sheath/ShearInt Sheath/Shear Framing Insulation �.11 L Drywall Nailing Firewall Fire Sprinkler 41 Fire Alarm Susp'd Ceiling -- — Roof Misc: —- Final Pr.SS PART FAIL - -- — PLUMBING �i Post& Beam — --- - - Under Slab Top Out Water Service Sanitary Sewer Rain Drains Final _---- PASS PART FAIL MECHANICAL Post&Beam -- -- - Rough In Gas Line - Smoke Dampers Final --- - -- PASS PAPT FAIL ELECTRICAL --- -_— _ -- – Service _ - Rough In UG/Slab - Low Voilage Fire Alarm r f ina PART FAIL —�-- --- --- SITE Backfill/Grading Sanitary Sewer Storm Drain [ ]Reinspection fee of$ — required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line [ ]Please call for reinspection RE: ( ]Unable to inspect-no access ADA A roach/Sidewalk Ot er Date U/ Inspector -1 qd < _Ext Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site, __ BUILDIN�� PERMIT CITY OF TIGARD PERMIT #: BUP2002-00379 DEVELOPMENT SERVICES ;-ATE ISSUED: 9/13/02 13125 SW Hall Blvd., Tiqard, OR 97223 (503) 639-4171 PARCEL: 2S103DC-01100 SITE ADDRESS: 11075 SW GAARDE ST B SUBDIVISION: ZONING: R-3.5 BLOCK: LOT: JURISDICTION: TIG REISSUE: FLOOR AREA_S _ _ EXTERIOR WALL CONSTRUCTION CLASS OF WORK: ALT FIRST: sf N: S: E: W: TYPE OF USE: COM SECOND: Ff PROJECT OPENINGS? TYPE OF CONST: 5N sf N: S. E: NJ: GCCUPANCY GRP: E1 TOTAL AREA: 0.00 sf ROOF CONST: FIRE RET'? OCCUPANCY LOAD: 49 BASEMENT: sf AREA SEP. RATED: STOR: HT: ft GARAGE: sf OCCU SEP. RATED: BSMT?: MEZZ?: _ READ SETBACKS _ REQUIRED FLOOR LOAD. psf LEFT: ft RGHT: ft FIR SPKL: YSMOK DET: DWELLING UNITS: FRNT: ft REAR: ft FIR AL RM : HNDICP ACC: BEDRMS: BATHS: IMP SURFACE.:: PRO CORR: PARKING: VALUE: $ 2,000.00 Remarks: Change of occupancy from B to E1 in building B also known as Bolt Hall, to be used for 2nd and 3rd grade Max occupant load 49 Owner: Contractor: FIRST BAPTIST 11075 SW GAARDE STREET TIGARD, OR 97223 Phone: 503-387-7538 Phone: Reg #: FEES REQUIRED INSPECTIONS _ Type By Date Amount Receipt Finallnspuction PRMT CTR 9/3/02 $62.50 27200200000 5PCT CTR 9/3/02 $5.00 27200200000 PLCK CTR 9/3/02 $40.63 27200200000 FIRE CTR 9/3!02 $25.00 27200200000 Total $133.13 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 952-001-0010 through OAR 952-001-1987. You may obtain a copy of these rules or direct questions to OUNC by calling (503)246-6699 or 1-800-332.2344. Permittee Signature: _ _ --' Issued,By: k Call 639-4175 by 7 p.m. for an inspection the next business day i ':wilding Permit Application i a Date received: ! 0 Permit no.: (� �' 9 City of Tigard Address: 13125 SW Hall Blvd,Tigard,OR 97223 ProjecUappl.no.: Expire date: City of Tigard phone: (503) 639-4171 nate issued: 13y: t-� Receipt no.: Fax: (503) 598-1960 Case file no.: Payment type: Land use approval: _ W family:Simple Complex: U I &2 family dwelling or accessory U Commercial/industrial U Multi-family U N,!.w construction U Demolition U Add ition/alreration/replacement U Tenant improvement U Fire sprinkler/a.wrn U Other: 1 ' SITE INFORMATION Job address: Bldg,no.: Suite no.: Lot: _ Block: Subdivision: Tax map/tax lot/account no.: Project name: Description and location of work on premises/special con:litions: D ' _ 1 1 Name: •r G -r' e (Flooilplalin,septic capacity,solar, Mailing address: S Wj d 1&2 family dwelling: City: `� (� f _ State:OVA ZIP: Valuation of work........................................ _ Phone: — Fax: E-mail: No.of bedrooms/baths................................. _ Owner's representative: Total number of floors................................. Phone: Fax: E-mail: New dwelling area(sq.ft.) .......................... APPLICANT Garage/carport area(sq.ft.) Name: , U i n c e� 1C �� ( Covered porch area(sq.ft.) ......................... _ Mailing address: Deck arca(sq. ft.) ........................................ City: LII State: ZIP: e r 7.41 Other structure area(sq.ft.)......................... Phone: Fax: E-mail: Commereiallindustriallmulti-family: 1NTRAUFORValuation of work........................................ $.� Existing bldg.area(sq.ft.) .......................... _ Business name: 77777-7 - New bldg.area(sq.ft.) Address: ............................... -- - Number of stories........................................ City: State: rzil': Phone: Fax: E-mail: 'type of construction.................................... Occupancy group(s): Existing: CCB no.: New: - - - -- - - City/metro Iic.no.: Notice:All contractors and subcontractors are required to be licensed with the Oregon Construction Contractors Board under Name: provisions of ORS 701 and may be required to be licensed in the Address: i jurisdiction where work is being performed.If the applicant is State: 111': exempt from licensing,the following reason applies: City: Contact person: Plan no.: Phone: Fax: F,mail:� Nanta: Contact person: Fees due upon application ......................... Address: Date received: _ City: State: ZIP: Amount received ......................................... $ Phone: Fnx: E-mail: Please refer to fee schedule. 1 hereby certify I have read and examined this application and the Not a iuria8:dons accept credit cards,pievm call jurisdiction for mom information attached checklist.All provisions of laws and ordinances governing this U visa U MasterCard work will be complied w' whctbpr specified n or not. O Credit card number Expires/ �)7 Authorized signature: Date: ✓ Name of cardholdei ns shown on cmJn rand Print name: Caniholdcr signuurc Amount Notice:'Ibis permit application expires if a permit is not obtained within 190 days after it has been accepted as complete. 440461.1(60WOM) Commercial Plan Sabmittal Requirement Matrix City of Tigard _ TYPE OF SUBMITTAL # of Plans (Inclu,les New, Additions or Alterations) Required at Submittal Site Work I 4 (must include location of all accessible parking) Plumbing - Site Utilities 2 Building 1* Fire Protection System 3** Mechanical 2 Plumbing - Building Fixtures 2 Electrical 2 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 pLrposes (for Contractor, City of Tigard, Washington County, and Tualatin Valley Fire & Rescue). *For over-the-counter commercial tenant improvements, submit 2 sets of plans. **"New" fire protection systems require that plans bear the original seal of an Oregon licensed fire suppression engineer, or NICET level "3" technicians. i\dsts\forms\COM-malrix.doc 9124101 • 9T• (1 _j y o ��.gRTER sco September 3, 2002 Multi ,ensory Instruction leaching Children Hands-on The mission of MITCH Public Elementary trh,ol City of Tigard Is to(idly integrate i 13125 SW Hall Blvd. the environment,curriculum i Tigard OR 97223 and instructional strategies ' on n home-like domestic(arm. j To Whom It May Concern: Core Knowledge School i Grades K-8 ; Boldt Hall, the other building at the location, 11075 SW Gaarde, will now be used for M.I.T.C.H. Charter Sch(-,jl Strive toExceed State Education Standards ; with no more than 49 students and staff combine;. As 1 per our conversation with Daryl on Friday August 30r�' at 2pm, Boldt Hall now has lever handles, no deadbolts LearningAdventures and handicap handles per each bathroom. Non-profit Organization • Witn these items finished, we are now seeking our Before&After-School Programs final inspection. Seasonal/Summer Camps • Tutoring Please call if you have any questions. Thank you, Debi Lorence Director, M.I.T.C.H. Charter School Cell Phone #503-936-6196 PO Box 230575 Tigard,OR 97281-u_-%5 www,mitchcharter.org Iearnlnadventure®aol.com phone/fax 503.524-5411 GARDEr Gam, I E ST CITY OF TIGARD DEVELOPMENT SERVICES 13125 3W Hall Blvd., Tigard,OR 97223 (503)639-41/1 CERT IF I CATC* OF OCCUPANCY PERMT-r #. . . . . . . t eur,96-m31 DATE ISSUEDi Oj /17/98 PARCEL: 21-33103w-0i loo 1 T ADDRESS. . . : 1. 1075 SW C.IPARDE ST #8 1PIDIVIRION. . . . : ZONING- R 3. 5 OGv. . . . . . . . . . : LOT. . . . . . . . . . . . . a J UR I IM,I ;TION: 1 1.G I 'S OF:' WORK. :,ALT I-YVIF O�-` USE. colvi I'M.7- OF CONST Ri2,,.-1HR OLCUPANCY GRP. :ALS. I 1)f-C1JPnNC'v' LOAD: 575 1 ENAN T N()Mi:-'. . . :FI PSI RAPT.1 ST CHURCI I -mark : REBUILD INTERIOP (IF Nf-WLY Rf::J-tfl-ATr.--A) BUILDING TO BE USED FOR SUNU)i HOCIL 640 Vii(? F-r IRST BAPTIST CHURCH 075 SW GAARDE ST I GARD OR ')7223 ,one #s ; .NTPEX CONSTRUCTION INC ,0 50 SW 1JUNZIKER RE) I'IGAPE) OR 97i2- 2 3 110TIe #c 604--0443 000563 As Certificate grants occupancy of thP above referenc-ed buildiog or portion ereoF and confit-ins that the building hAs hewn inspected for compliance with Stat 0 -gon Specialty Coder for the gr,00-t occu ;knry, and uao 1.1ndev i rh t�j ' ( fUt orenced permit was iSSLted. OFF ii-IJING 114S7,PECTOP OU .I ID OFF I ICIAL POET IN CONSPICUOUS PLACE Qeto r e • 11 h Post-it,rex Note 7671 5 V TO r' I - 11 FromL-Jpages.. , r' CoJQe � n. P"na Y Phnnet4 i Fen r Fa.r DOUGLAS R WINN,ARCHITECT AICA tno7 my Laosdowge j sne Ttprd,OR 01225 503.647.66'5 I Marsh 2R, 1996 FAX TO. 503-684-1955 6 PAGES D4CLUMNG Ti IS PAGE Mr.Tex Whiteman,Uwner's Perrerentative TIGARD FIRST BAPTIST CHURCH 11075 Aa1 f3urde Street j TT�acd,t3re�ot5 97223 RE: nGARD FIRST BAPTI!T r HUlKCH AQJusttnadt to€'*uc.ural Design of Ea,.Wall aw Tex' After our recent te!epbans eall,1 reviewed eweml perms with the etruetural ungincer and I'd Hie to rasa them nn to you: 1. As ronf rmed In my March 21, 1996 FAX,if the slab oa pude is puurtd before the basement walls are backf►llad,d+e feetlne,adjustments made in my November 26, 'Y96 letter[Itum 2 with t^vlaed dahlia]may be dtuegarded(le,the VW x 121)"focling of the eme,will can be changed'pack to a 2'W x 10"D footing its shown on Sheat AS.and the tirade beams shown between the oehunn fnarings and wa1 foatwgs re-, else,be deleted as well]. 2 The structural engineer has directed tat we cbaage zhhe upper out wail latrrni load re.lstance destp sbowo ontmally on Sheet A6 and replace it with the revisions shown on the New Sheets A6Rnn d AM attached. This new des:pjt adds soma Tabu to the tap-ourside of the out wall,mid adds diaEn strel angles to provide the lateral load resistance for the top of the out wall. This[A e more Positive approeeh than previously I•resented,and door*t ctr.mt an the mtocated bulldlug to laterally suppost the top of the rrlst well These trowl diagonals nead to be In Plage before the basement wall%are backfilled. Plasse issue thesu.n,-A,instructions and drawings to ytrur cowrartnr fnr their action Ou ancthat subjeo%I received•bill ftotn PDS Ln•riro=s:ztal for the ubaatas M-0996on we received on the building test September. It is attached to this Ise=,and needs to be paid Cmc you take care of this" 1 hope that all Is going well with the protect. if vmt have%try questions,Please caul. �Smctze ly, Douglas R.Winn,Arabltoct AIA ATTACHLV- 1 gut:ctv"I Calcutatlons dated 3-27-96 2. New Detail A showing diagonal corntectlons to Beams 3. New Sibert A6 and AA r. Invoice for Asbestos Survey Rom PBS Euvitcmt.cntel I t'.I �'?bua' iA�O �1;Fi'�Hw TE CITY OF TIGARD BUILDING INSPECTION DIVISION 24-Hour Inspection Line: 6394175 Business Phone: 6394171 Date Requested: I ( -7 (,YT A M. P.M.,__ MST// BUR 'tenant: C_ 1� �. - Suite: Bldg: MLC: ontractor Phone: _ PI,M: _ Phone: L^ ILC: LZ - _ _ SFF BUILDING Bw"on't) PLUMBING MECHANICAL ELECTRICAL SITE Site eam Post/Beam Post/Ilearn Cover/Service Sewer/Storm fooling Roof lJndl'I/Slab Roagh-In Ceiling Water Line Slab Frmning 'top Out Gas line Rough-In IJG Sprinkler Foundation Insulation Sewer Ilood/Duct Reconnect Vault lismt Damp Dr-ywall Stonn Furnace Temp Service MISC. Masonry Ceiling Rain Ihain A/C IJG Slab Shear/Sheath Aby Crawl/1'ormd Or I leal Prunp Low Voll Approved Approved Approved Approved Appy/Sdwlk Nroved Not Approved Nol Approved Not Al, roved Not Approved Ir FINAI,' FINAL FINAL FINAI FINAL n Call for reinspection I O Reinspection Ice of S re aired before next it Mon O l hiable to inspect Inspx.clor Date ' / - Page eof -T -------_ _ --- -- - - -- -- CITYOF T I G A R D MECHANICAL PERMIT DEVELOPMENT SERVICES PERMIT#: MEC2000-00289 DATE ISSUED: 07/21/2000 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 PARCEL: 2S103DC-01100 SITE ADDRESS: 11075 SW GAARDE ST A ZONING: R-3,5 SUBDIVISION: BLOCK: LOT: JURISDICTION: TIG CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS: TYPE OF USE: COM UNIT HEATERS: VENT FANS: OCCUPANCY GRP: UNK VENTS W/O APPL: VENT SYSTEMS: STORIES: BOILERSICOMPRESSORS HOODS: FUEL TYPES 0 - 3 HP: DOMES. INCIN: �— 3 - 15 HP: COMML. INCIN: MAX INPUT: BTU 15 -30 HP: REPAIR UNITS: FIRE DAMPERS?: 30 -50 HP: WOODSTOVES: GAS PRESSURE: 50+ HP: CLO DRYERS: FURN <100K BTU: AIR HANDLING UNITS OTHER UNITS: FURN >=100K BTU: <= 10000 cfm: GAS OUTLETS: 1 > 10000 cfm: Remarks: Gas piping - one outlet. Located in kitchen area, above T-bar. Owner: _ FEES FIRST BAPTIST CHURCH OF Type By Date Amour t Receipt TIGARD, THE PRMT JMT 07/21/20( $50.00 0003870 11075 SW GAARDE 5PCT JMT 07/21/20( $4 00 0003870 TIGARD, OR 97223 - yJl Total $54.00 Phone: -- Contractor: _ ALL TEMP PROFESSIONAL 8230 SE 72N ST PORTLAND, OR 97206 _ REQUIRED INSPECTIONS Phone: Reg #:LIC 000585 This, permit is issued subject to the regulations contained in the I igard Municipal Code, State of Ore. Specialty Codes and all other applicable laws. All work will be done in accordance with approved ply-~ .3. 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 in the Oregon Ut�lity Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0080. You may obtain copies of these rules or direct questions to OUNC by calling (503)246-9189 Issue By: _ Permittee Signature: _ Call (503) 639-4175 by 7:00 P.M. for inspections needed the next business day '02/23/00 VIED 11:42 FAX 503 696 1980 'CITY 0F'TIGkkG W 002 CITY Gi TIGARD Mechanical Permit Applicat Recd nyekw _1 13126 SW HALL BLVD. Commercial and ResiderIF Date I C'd TIGARD, OR 97223 Date I 'E (603) 6394171, x304JUl. 13, ?inn Dater )ST Print or or Type Perms VMENI � LOPGeller. Incomplete or Illegible a plications cioMl�+llA �ccepted _ -- Nems of(Hv.loprNnbf�ropol Desaiptlon y i T/5 C Nti �ri Table 1A Mechanical Code - Q( Price Amt Job Sven darns Swtee A Pe mit Fee '. 'r 16 00 1) Furnefx to t00,C00 BTU Address ( `1` `�I I 6/�►�rr' Including ducts 6 vents see footnote 1,2 965 Ityr ve Zip 2) Furnace 100,000 BTU+ 7l 4-A N,1 'r( V.-j-Ll Including duets 5 vents coo footnote 1,2 12 OD Name(a nave of Wetness) 31 Floor Furisoe - — Omer A ( � rye r ` G' ': 1-icluding vent see footnote 1,2 9 65 41 Suspended hea:o)r,viol heater I WISH mg Add-act or floor mounted heater soe footnote 1,2 _965 !c)17� J T 7 ' S Vent not Included In appliance permit 4 0 5 I itylstsu Zip hcne,5 o 3 i ChW*a that apply 'Bolkir Heal A.r �j-13c/i3 For Items i•10,see or Pump Cond Q'y P ice Amt Neer(or na of eusnua) footnotes 1,2 Comp -- 6)<3HP;absorb unit to -_ 101K BTU q('5 Occupant all 'how'"Y� 7)3.16 HP;absorb unit 130c to 60Ck BTU 17.65 ty 9tns - zip Phcne 8115-30 HP;absorb— - unt.5-1 nVBTU i 2415 9)30-50 HP;absorb Contractor v'm' `� un t 1-1.75 mi BTU ___ _ — 36 DO r4 cNIP 10)>50HP;absorb unit -- - -_ Pro,to pe tilt 01.75 mil BTU _ 00 1 issuance,a copy ` = N1� ff 11L 1 i Air handling unit to 17,000 CFM— Cf all 1 Congos C ty; nI zw licit _ _ _- _--- - -- --- 7.00 are rnqu)rsd H � '(�ft) LA `)1 4-Lr 41-111 I 12)Air handling unit 10,0001 FM- expired n COT otr-e�son Coral Cont.Board LIC s E De .1 55 database FI CI3 13)Nor.ponr,ble evaporate Cooler ' Ambltect Nmmd7-o—E' --- 14)Vert t.t connected 10•single duct Or tA-il-pAdd•esa - - ---- _ - - 4 75 151 Vertllan.n system not Included In applerco, pormt 1.00 EnninimirElf, .srte is vncne 151 Hcad seg e,4 by mechsnioal exhaust 7.00 —�--- — 17)Domestic Incise aMrs Deecrlbo work to bei done (N 5 I Now 0 Repoir O Replace with like kind Yes 0 No 0 18)Ccmmero el or industrial type me ne-eto Rr;tmdonhsl O Commerolal O 40 25 19)Repair umis ~Addill.ma Information o•description o`work - 9.4C 201 Wood etovelgea FP'other units'clothe dryer'et, 700 NOTE: For Commorc at projects only Unity ever 400 lbs require 211(1199 D-ping one to rct.r ounets structural as celes _Sas footnote 1 3 75 S )5 pe of fuel oil D na,ura gas LPG O s s,aric O 22)More 75 then 4• er outlet eocn) Mlnlmurn Permit Fee 150.00 SUBTOTAL :' rl hereby ecknoavledge thst I Pave rose this application,flat We InfermehOn91,1.SURCFARGE ♦ i P; vel is correct,the!I err the ownerp•awhor>•ed agent of — PLAN REVIEW 25'/#OF GUBT07A tliq owner•that ulmit in wmpl ance will)O ya Stale lathe Required for ALL commercial ermus oniI ;i�CD j y�` VO Pturs of OwnorlAgent orate ----- --- - -- --- --- Other inspections and Fees: 1. t-lspectlonm s outside of normal buslnoss hours( rinum charge-two Contact Person Nsrpe Phcx e - hours] 65000 per hour 2 Inspections for which no fee Is epaclflcalty Indicated Im nl•num charge-half hour) $5000 per hour Foonotea for cormtlsrclal IoJects only: 3 Additional plan review roc ulred by ctwrk)og,additlutS ur rev1s0.vrs to 1 ProvkM fu I sche•nal c of existing and proposed gets line and pressure plans(minimum charge-ores-half hour)$10.00 per hour 7 Provkie draA:fngs to acafe showktg exlsVrg end propnsed mechanlral 'State Gcntractor Boiler Certfcot on requned un is — "ResidenJol A'C reqs res site plan show;ng placement o1 unl 1 Imechperm doe rev 7119W CITYOF TIGA.RD SITE WORK PERMIT DEVELOPMENT SERVICES PERMIT# : SIT2000-00028 13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 DATE ISSUED : 7/14/00 SITE ADDRESS: 11075 SW GAARDE ST B PARCEL : 2S103DC-01100 SUBDIVISION: ZONING : R-3.5 BLOCK: LOT: JURISDICTION : TIG CLASS OF WORK: OTR PAVING ?: RESO. NO: TYPE OF USE: COM GRADING ?: VALUE: EXCV VOLUME: Cy LANDSCAPING?: FILL VOLUME: Cy SITE PREP ?: ENG FILL?: STORM DRAINS?: SOILS RPT REQD?: IMPERV SURFACE: sf Remarks: This permit is for erosion control only, per requirements of Unified Sewerage Agency. Owner: — FEES FIRST BAPTIST CHURCH OF TIGARD, THE Type By Date Amount Receipt 11075 SW GAARDE EROS DEB 7/14/00 $165.00 0003733 TIGARD, OR 97223 Total $165.00 Phone: Contractor: OWNER Phone: Reg #: Required Inspections Erosion Control Insp 844-8444 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 nines are set forth in OAR 952-001-0010 through OAR 952-001-0080 You may obtain copies of these rules or direct questions to OUNC by calling (503) 246-1987 Permittee SignatWe: Issu�By: Call (503)639-4175 by 7:00 P.M. for an inspection needed the next business day CITY OF TIGARD Site Permit A• -plication Plan neck# — 13125 SW HALL BLVD. Commercial, R. iential Re°' ey_ Date Recd �7' -a� TIGARD, OR 97223: : and Multi-Famliy Date to P.E.�— (503) 639-4171 x304 D,,'.to DST -- Permit Print or Type Related SWR#__„`__ Incomplete or illegible applications will not be accepted Called�� Project Name Utilities(complete all that apply) C1P Job - 7 �Prl ST OHkA�4--1t Address Address Storm Sewer rJ c�J #��f< fir— — _ Linear Ft. Name Sanitary Sewer Q ©i ridAwt Linear Ft. Owner Mang Addre s ^ �� Fresh Water �� __ Linear Fl. Cit /State Zip Catch Basins General Name Clean Outs Contractor _ # Pon,to pennit Mailing Address Describe work to be done: Issuance,a Newt] Addition❑ Alteration[] Repair copy or all E] licenses are City/State �v Zip Phone Additional Description of Work: F!C*>'eA) inquired it expired in COT State Const. Cont. Board Lic.# Exp. Date Y �� ` Y database Project -- Valuation Architect Mailing Address Plans Required: See Matrix on back page The following,must accoln any this application:_ City/State Zip Phone Site plan with Vicinity Map Parking(including --� — ___ Showing ADA compliance ADA &t_i htin9 Plan Name �} Grading Plan and details Landscaping Plan — Erosion Control Plan and Retaining Engineer Mailing Address g Structures details Including calculations City/State Zip Phone Site Utility Plan and details Is Report (showing connection to (if required) approved system) Excavation Volume I hereby acknowledge that I have read this application,that the Information given is correct,that I am the owner or authorized cu. yds. agent of the owner,and that plans submitted are in compliance with Oregon Slab laws. Grading Volurne Signatu� f OWner!A t Date (Soils report required for>5,000 cu. Yds,) ��i4/o cu s. Fill Volume Con acterson; meu Phone (Fill exceeding 12”in depth shall be compacted To 90%of Maximum Density) CLL YON. Retaining structure?(check one) []Rock FOR OFFICE USE ONLY ❑CMU Notes: ❑Con�,ruie: [_]Other Total new impervious area including all land Use Case# Map/TL# buildings, sidewalks, and�avirl�_ Sc. Ft CITY OF TIGARD t� �l C) C d l c�L f u/ CrC�7/0 COMMERCIAL SITE WORK PERMIT I'\dsts\forms\sile-app doc 3117/00 q q - j ( T y