11265 SW GAARDE STREET � II2f 5 Gaovde
CITY OF rIGARD 24-dour
BUILDING Line. (503)639-4175 r MST
INSPECTION DIVIS60N Business Line: (503) 639-4171 @-P 9195', 60-2-S--
(-71100AM PM BUP --- — -
Received _-_ _�. _____Date Requested ___ –
Location Suite___ _ - MEC
Contact Parstn __ --_-- i Ph(_---_.-) ----. ----
PLM
- - -
Contractor _._-- — — C�%�—_ Ph(--) — — SWR
U L
Tenant/Owner D � � — ELC
- ---
Footing ELC
Foundation I Access: ELR
Fig Drain
Crawl Drain - S17
Slab Inspection Noes:
Post&Beam — --
Shear Anchors
Ext Sheath/Shear
Int Sheath/Shear
Framing -- --- - - --
Insulation
Drywall Nailing -
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling --- - -
Roof
Other.
SS PART FAIL
P U NG - ----- -
Post&Beam
Under Slab - - - -- —
Rough-in
Water Service
Sanitary Sewer
Rain Drains
Catch Basin/Manhole _
Storm Drain
Shower Pan
Other:_
Final -
PASS PART FAIL
MECHANICAL -
Post&Bearn�
Rough-In -
Gas Line
Smoke Dampers -
Final
PASS PART FAIL
ELECTRICAL -- -
Service
Rough-In --
UG/Slab
Low Voltage - -- ------- ---�._— - -
Fire Alarm
Final Reinspection fee of$ required before next inspection. Pay at City Hall, 13125 SW Hall 91vd.
PASS PART FAIL
SITE 1 Please call for reinspection RE: Unable to inspect-no access
Fire Supply Line C�
ADA / t 0/O
Approach/Sidewalk Date. __ __-__ Inspector __—. —_ — ut -----
Other:
Final DO NOT REMOVE thi Inspection record from the Job site.
PASS PART FAIL
r V
✓ C,
1
HB
T AGRA Limited
Engineering & Environ mental Services
CA-10506
3 June, 1994
Sprung Instant Structures Ltd.
1001 - 10`" Avenue S.W.
Calgary, Alberta
T2R OB7
Attention: Mr. Peter Bos
Dear Sir:
"TedlaeFabric FrictionalTestiri;
Further to our test report, dated March 28 1988, regarding fri.ction factor testing of your
"Tedlar" fabric under snow loading, Mr. Kase has vi:,w�f calculations
Desip
Associates Inc. (Lynnwood, Washington, U.S.A.) requested a
incorporating this data.
As stated in our report, testing of the fabric at -1°C under a snow loas value in determiningd gs e staticow esit tion
a
factor of 0.01. Mr. Vand�26 ndThehas eattached diagram summarizes Mr. Vanden Ende's
Tedlar fabric roof with pitch.
calculations. ,
It is the opinion of HBT AGRA Limited that, although the calculations magi be simplistic,
they are accurate in estimating the forces expec .d
We thank you for the oppoi cunity to assist you with this project. Please contact the
undersigned if we can be of further service.
Yours truly,
HB.� FJ�Ir=: �vie dy; � � y
�e ,,
roJ -ml;�
-ng
.W;,Forfylaw; P.Erig:'
Buil 'agi'neer i
RC:. -,:�: G+,tosoe.xas
Materials Di-vision
= AC- RA
rih & Environmental Group
CITY OF TIiGARD 24-Hour
BUILDING Inspection Line: (503) 639-4175
INSPECTION DIVISION 3usiness Line: (503) 639-w1 G1,/� MST — ------
q-6)
/ �< BLIP —.-- - --Received __- _ Date Requested - 7 `��-Z.-- AMM w�/ BLIP
La,ation 1—S�� '�
�!''�'� � --�-�-�'-�--�'_-� Suite._ MEC
Contac'Person -_- Ph (_ ) Z —SG 43 _ - PLM _
Contractor Ph —) - SWR —
BUILDING Tenant/Owner — _ ELC
- - —_
Footing --
Foundation Access: ELC
Ftg Drain -
Crawl Drain ELR
Slab Inspection Notes SIT
Post& Beam - _- --_--
Shear Anchors - --.--- --- --
Ext Sheath/Shear -
Int Sheath/Shear
Framing
Insulation --._—
Drywall Nailing r "�
Firewall �j ✓ - � -
Fire Sprinkler
Fire Alarm —
Susp'd Ceiling
Roof --
Other:_ - ✓�� �� --
Final . -
PASS PART FAIL — ���+� G � __
PLUMBING
PL.st&Beam ----- ------ — - ---
Under Slab
Rough-In — — —
Water Service —
Sanitary Sewer — ---
Rain Drains
Catch Basin/Manhole /
Storm Drain
Shower Pan
Other: ----
Final
PASS PART Mt
-
'::IM L
os earn
Rough-In
Gas Line --
Smoke Dampers --
•ina - — -
PART FAIL
TRICAL — ----
Se ice _
Rough-In
UG/Slab
Low Voltage
Fire Alarm ---- — -
Final E] Reinspection fee Of$ required before next inspection. Pay at City Hall, 13125 SWI .SII Blvd.
_PASS PART FAIL
SITE 0 Pleas cal f r pection RE:Fire Supply Line p — able to inspect-no access
ADA --
Approach/Sidewalk Daft
_— Inspector
Other:
Final
PARI FAIL DO NOT REMOVE this Inspection record from the job .Ite.
FA
CITY OF TIGARD 24-Hour
BUILDING Inspection Lin-: (503) 639-4175
M S'I"
INSPECTION DIVISION Business Line: (503) 639-4171
-------
BUP - - --
Rereived _ —__ Date Requested - �� _. AM__ -- PM BUP
Location _ s —. Suite __. MEC
Contact Person _ _ ` Ph(�--) P;.M
Contractor _
— Ph( —) -----^ SWR � ------
BUILDING Tenant/Owner C-� �V1-� ELf: jQ�G•''��
Footfiy
Foundation -- ELS•
A;C9S:s.
Ftg Drain ELR
Crawl Drain
Slab Inspection Notes: SIT
Post& Beam
Shear Anchors — --
Ext Sheath/Shear
Int Sheath/Shear
Framing
!nsulation
Drywall Nailing —
Firewall
Fire Sprinkler -�.J_ —�l._� L• $>„ j� i
Fire Alarm
Susp'd Ceiling —
Roof
Other:
Final — ---
PASS PART_ FAIL - -�---
PLUMBING
Post&Beam
Under Slab
Rough-In
Water Service
Sanitary Sewer
Rain Drains
Catch BRSin/Manhole
Storm Drain ....... -- - — -
Soolver Pan
Other. -
Final
PASS PART FAIL - —
MECHANICAL _ Iq - �
Post& Beam
Rough-In - --------
Gas Lire
Smoke Dampers
Final
PASS PART FAIL --- -- ------- -
ECTRICAL
Serve
40
UG/Slab
Low Voltage
Fire Alarm
m [] Reinspection tee of$` _ required t afore next inspection. Pay at City Hall, 13125 SW Hall Blvd.
SSI PART FAIL
Please call for reinspection RE: _ [� I.Inabie to inspect-no access
Fire Supply Line I
ADA ,�, � �
Appicach/Sidewalk Dats__-�=�!'��J C__.__._ I119pecto►
Other
Final n0 NOT REMOVE this Inspection record from the Job site.
PASS PART FAIL
CITY OF TiGARD 24-Hour
BUILDING Inspection Line: (503) 639-4175
INSPECTION DIVISION Bu3iness Line: (503)639-4171 MST _
�! BLIP
Received - --_ -- / Date Requested [ ��-Z AM __- _- _ PM - _ BUP --
Location �L ^ ` � "c chi ► ' k- lk Suite_._ MEC _
Contact Person _f 1_._— Ph( ) Cv 3� z. P .M
Contractor _ _ Ph(-.-..----) SWR
BUILDING Tenant/Ownpr , <�<�
Footi_ng
Foundation i�-L t L ELC
Access:
Ft Drain
g ELR
Crawl Drain
Slab Inspection Notes: - SIT _
Po-t& Beam
Shear Anchors - - -
Ext Sheath/Shear
Int Sheath/Shear
Framing
Insulation
Drywall Nailing --
Firewall �� �. ,� � J tJ L
Fire Sprinkler - - — —
Fire Alarm
Susp'd Ceiling - - ------ -- -
Other: —
Final
_SS PART FAIL
PLUMBING _ _
Post&Beam T
Under Slab
Rough-In
Water Service
Sanitary Sewer
Rain Drains
Catch Bnsin/Manhole
Storm Drain
Shower pan
Other.
Final �-----�-- -
PASS PARI FAIT_ _ - -
MECH_ANICA_L
Post& Blom
Rough-In
Gas Line
Smoke Dampers
Final
PASS PART FAIL ---
EL •GYRI . L�.`- - -
--�- - -
Service
Rough-In
UG/Slab
Low Voltage
Fire Alarm - ----
t7rf
_naj1_�) F] Reinspection fee of$ -- required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.PART FAIL ---
E] Plewa call for reinspection AE: Unable to inspect-no access
Fire Supply Line ,
ADA 0 71
Approach/sidewalk
Daft -� ^c _ Inspector
Other:
Final - _ ADO NOT REMOVE this inspection record Morn the,job site.
PASS PART FAIL
CITYOF TIGARD MECHANICAL PERMIT
DEVELOPMENT SERVICES PERMIT#: MEC2001-OC356
13125 SW Hall Blvd., Tivard, OR 97223 (503) 639-4171 DATE ISSUED: 10/11/01
SITE ADDRESS: 11265 SW %AARDI= S F PARCEL: 2S 103DC-01000
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: VENTS W/O APPL: VENT SYSTEMS:
STORIES: ----BOILERS/COMPRESSORS_ HOODS:
_ FUEL TYPES 0_- 3 HP: DOMES. INCIN:
3 - 15 HP- COMML. INCIN:
MAX INPUT: BTU 15 - 30 HP:
FIRE DAMPERS?: 30 - 50 HP: REPAIR UNITS:
GAS PRESSURE: 50 + ftp: WOODSTOVES-
FURN < 1001( BTU: _ AIR HANDLING UNITS CLO DRYERS:
FURN >=100K BTU: <= 10000 cfin. - OTHER UNITS: 0
> 10000 cfrn: GAS OUTLETS:
Remarks: Installation of temporary outside air vent. Gas piping.
Owner: - .� ----- .
_ FEES
TIGARD ASSEMBLY OF GOD Type By Date Amount Receipt
11385 SW F 97223
TIGARD, OR 97223 EN ST PRMT CTR 10/11/01 $72.50 2720010000
5FJCT CTR 10/11/01
$5.80 2720010000
Phone: Total $78.30
Contractor-
SPECIALTY HEATING & COOLING
9528 SW TIGARD ST
TIGARD, OR 97223 REQUIRED INSPECTIONS
Gas Line Insp
Phr,ne:620-5643 Final Inspection
Reg #:LIC 60578
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore.
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 in 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 ordiiect questions to OUNC by calling
(rn'A17dFi_g1 RQ
Issue By: _'i _ , , r; t ', Permiriee Signature:
Call (503) 63q-4175 by 7:00 P.M. for insper:licns needed the next business day
Mechanical Permit Application
)
T .rDate received: Permit no.:
Cit of Ti and t
y g Project/appl.no.: Expire date:
City ofTigard Address: 13125 SW Hall Blvd,Tigard,OR 97223
Phone: (503) 639-4171 Date issued: By: Receipt no.:
Fax: (503) 598-1960 Case file no.: Payment typ,::
Land use approval: Building permit no.:
7gl &2 family dwelling or accessory 0 Commercial/industrial O Multi-family :1 Tenant improvement
C3 New construction 5'Addition/alteration/replacement 0 Other. _
11 SITE IN11701"MATION1 t
j
Job address: 4L5 .S(.v C! Qqr -t' Indicate equipment quantities in boxes below. Indicate the dollar
Bldg.no.: Suite no.: value of all mec di ma dalsi equipment,labor,overhead.
Tax map/tax lot/account no.: profit. Value' _7
Lot: Block: Sub divisi n: *See checklist for important application information and
Project name: b jurisdiction's fee schedule for residential permit fee.
City/county: // - Cl/ a N ZIP: DWEUING PERMIT FEE SCHEDULE
Description an location of work on premises: o t 1 t 1 "Tt
Fee(i-j.) Total
Est.date of completion/inspection: Description I Qty. It es.only Res.only
Tenant.improvement or change of use: —�
Is existing space heated or conditioned?0 Yes O No Mondidoning
handling unit CFI�t _
(site an required)
[s existing space insulated?0 Yes 0 No 1 Alteration of exiLV C system
1 Boi er/compressors
Busin^ss nam State boiler permit no.:
L r Q 1 His Tons BTU/H
Address: 5 6f.t) —/-70a,70 s'/ Fire/smoke dampers/duct smo a detectors
City: 7__1fLCz100 State:0 41 ZIP:Cl 7,,�dt 3 Heat pump(site plan required)
Phone (,,,Vz5kq FaxL-9ar O)/ E-mail: Instal Ureplace turnacelbumer /
Including ductwork vent liner C7 Yes No
CCB no.: nsta mplace/relocate eaters-suspended,
City/metro lic.no.: ! _ wall,or floor mounted
Name(please print): t- ZI 5 Vent forappliance other than furnace
e gens on:
Absorption units 8TU/H
Name: T'Y Lee /y " 7��1� Chillers_ _ HP
Address: 5,L r IS / ,j S T Com ressors HP
City: �f Stae:G ZIP: y 7d,42 n ronmvent exhaust dsrt ventilation:
Appliance vent
gone 3 Gap- Fax:S g Crj1 E-mail: ryerex aust
Hoods,Type /res.kitchen/ azmat
hood fire suppression system
Name: Q'r S P�24 Q -" Exhaust fan with single duct(bath fans)
Mailing address: /aExhausts stem a art from heating or Al
knell piping rn ut on(up to 4 outlets)
City.,71 q al I State:Ole I ZIP: q 7 r2 ;;Z Type: __LPG NG Oil
Phone: Fax: E-mail: Fuel piping each additional over 4 outlets
Process piping(schematic required)
Name: Number of outlets
Other listed spitUance or equipment:
Address: Decorative Fireplace
City: State: ZIP: Insert-type
Phone: ax: E-mail: o stove/pel et stove
lhhcr.
Applicant's sign• ure: Date:1 /p QOther
Name (print): N "�(y c�kjVAI
[;�Vo.a
1 jurisdictions accept crnlit cards,please:all jurisdiction for more infamcuon Permit fee.....................$Notice, ihts petmn applicatiun Minimum fee................$
❑MasterCard ,
credij card number: _ 4�� v expires if a permit is not obtained r
'��`� �.(&_J9 - --1� within 180 days ager it has been Plan review(at _ .2) $
_5 r l �d �r? Li Expires
Ga State surcharge(8%) ....$
�J Nutte ofcud s mown nn creditcard accepted as complete. TOTAL
� 1 1 h 1_,y _ $ .......................$
Cardholder signature Amount 41n.46I7 j&MCOMI
S
, 9-1
SC J
D
' C
� � w
i
i
u �
� 3 L
M �
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C
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A4 A4
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Cel
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0
�,N"I -
s2
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� I
lri;1a, of TI1F 1 I 17 FAX 5(13 6,44 0954 R S h N TFSTTNG
Main ONlro Selern rh%ce Send OA'F01
PO.BOX 23814 41)80 Huds-on AVQ.,NF P.O Box 7918
Inc. iyarr),Oregon 97281 5010m,On 97301 Bond,OR 5770%
330-9155
Carlson Testing, iliPhone(503)68"64 664,3460 FFAX(503)$89.1309a fFX(541))330.41 K3
Snecial Inspection
FINAL SUMMARY LETTER
October 10, 2001
T0005178
City of Tigard
13125 SW Hall Blvd., FILE A
Tigard, OR 91723-8199
Attn• n0iding Department
Re: Gaarde Christian School
11265 ISM Gaarde St -Tigard, OR
Permit No.: BUP1999-00256
Dear Sir or Madam-
1 his is to certify that in acc:ordenc-e with Section 1701 of the Uniform Buliding Code and Chapter 24.20,
Title 24, we have performed special inspection of the following item(s) per our inspection reports only.
Reinforcing Steel
Concrete_ Compressive Strength Testing
Installation of Wedge & Epoxy Anchors
All in!spoctions and tests were performed and reported according to the requirements of Project
Uocumer is and, to the Fest of our knowledge, the work was In conformance with the approved plans and
specifications, approved change orders and applicablo workmanship provisions of the State Building Code
and Standards, as well as the structural engineer's design changes, approvals and verbal instructions.
Our reports pertain to the material tested/Inspected only. Information contained herein is not n)he
reproduced, except in full, without prior-authorization from this office
If there are any further questions regarding this matter, please do not hesitate to contact this office.
Respectfully submitted,
CARL_ ON TESTING, INC
am F. Hietpas
Qua t nssurencd Manager
JFH/l
Cc, t-;aarde Christian School Toni Frisinger
Mike's Concrete
P'w.V1 r n FM II;.NN'1RRNT.4 1
CITY O F TIGARD —ELECTRICAL PERMIT
Ai DEVELOPMENT SERVICES PERMIT#: ELC2000-00498
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639.4171 DATE ISSUED: 3/22/00
SITE ADDRESS: 11265 SW GAARDE ST PARCEL: 2S103DC-01000
SUBDIVISION:
BLOCK: ZONING: R-3.5
LOT : .JURISDICTION: TIG
Proier:t Description: Installation of one 200 amp or less service or feeder and 5 branch circuits.
RESIDENTIAL UNIT TEMP SRVC/FEEDERS
1000 SF OR LESS: --- - MISCELLANEOUS
EACH ADD'L 500SF: 0 - 200 amp: PUMP/IRRIGATION:
LIMITED ENERGY: 201 • 400 amp: SIGN/our LINE LTG:
Ih1ANF HM/SVC/FDR: 401 - 600 arnp: SIGNAL/PANEL:
601+amps - 1(100 volts: MINOR LABEL (10):
SERVICE/FEEDER _ BRANCH CIRCJITS
0 - 200 amp: 1 ��--`--- - — _ADD'L INSPECTIONS
201 - 400 amn: W/SERVICE _
OR FEEDER: 5 PER INSPECTION: —
'Ist W/O SRVC OR FDR:
401 - 600 amp: EA ADD'I- BRNCH CIRC: PER HOUR:
601 - 1003 arnp: IN PLANT:
1000+ amp/volt: -- - _ PLAN REVIEW SECTION
>=4 RES UNITS:
Reconnect only: > 600 VOLT NOMINAL:
SVC/FDR >= 225 AMPS: C ASS LREA/SPED OCC:
Owner:
TIGARD ASSEMBLY OF GOD Contractor:
11385 SW FAIRHAVEN ST TAKE CHARGE ELECTRIC INC
TIGARD, OR 97223 7270 NW HELVETIA RD
HIL.LSBORO, OR 97124-8538
Phone:
Phone: 647-0946
Reg#: ELE 34-287C
L'" 81761
SUP 3087S
5�1 FEESe By Date Required Inspertions_ _ Amount Receipt -.—___—PMT CTR 8/22/0 1.00 2720000000( Elect'I Service
5PCT CTR Elect'I Final
8/22/00 $7.28 2720000000(
Total $98,28
This Permit is issued suoject 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,o, it 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 OAF;952-001-0010 through OAR 952-001-0080 You may obtain copies of these rules ordirect questions to OUNC at(503)
246-1987
PERMITTEE'S SIGNATURE
ISSUED BY: ) /7
T'he installation is being made on property OWNER INSTALLATION ONLY —
g p p I own which is not intended for sale, lease, or rent.
OWNER'S SIGNATURE:
--— ------. DATE: _
— ---------_ _ CONTRACTOR INSTALLATION ONLY
DATE:__.
SIGNATURE OF SUPR. ELEC'N:
k � c l f t�
2`
LICENSE NO: 25
Call 639-4175 by 7:00pm for an Inspection the next business day
CITY OF TIGARD Electrical Permit Application Plan Ch
1312E SW HALL BLVD. Recd 11 y
n/��9� � Date Recd E-f a l U
TIGARD OR 97223 _
-- Date to P.E.
Phone(SG,.,639-4171, x304 bate to DST
Inspection (503)6394175 Print of Type Permit# Fri aaoo-00 Y94'
Fax(503) 598-1960 Incomplete or illegible will not be accepted Called !_
1. Job Address: 4. Complete Fee Schedule Below:
Name of Development_ _ _ Number of Inspections per permit allowed
Name(or name of businessCi. � 1���`.4 Service included: Items Cost Sum
Address 12-2_lc 5�;(;(t�;.��f r y - 4a. Resl„9ntial-per unit
r^ 1000 sq.ft or less $ 117.75 4
City/State/Zip �r�/rfr1= _ -- Each additional 500 sq.1t.or
Commercial Residential ❑ LiPorthereof $ .75 _ t
Limited
Energy _ $ 60.00
E.a�n Manut'd Home or Mudu'ir
2a. Contractor installation only: Dwelling Service or Feeder $ 72.75 _ 2
(Prior to permit Issuance,applicants must provide contractor license 4b.Services or Feeders
Information for COT data-base).' Installation,alteration,or relocation
mssk Ifrl 200 am or less $ 64.25 2
Electrical Cc,ntractor� amp.; _____I__ .
Address 201 amps to 400 amps $ 85.50 2
v r'���y�f,� 401 amps to 600 amps $ 128.50 2
City W i State (ty�_Zip 601 amps to 1000 amps $ 192.50 2
Phone No. ('=�{ ) �:r y {(� Over 1000+mps or volts S 363.75 2
Job No. _ Reconnect only $ 53.50 2
Elec.Cont. Lice. No. --'Sll Exp.Date 110 C I 4c.Temporary Services or Feeders
OR State CCB Reg No �<-.<1"7Exp.Date /F_ � is'r/ 0 Installation,alteration,or relocation
COT Business Tax or Metro No. Exp.Dale ` 200 snips or less S 53 50 _ 2
201 amps to 400 amps $ 8025 2
Signature of Supr. Elec'n 401 amps to 600 amps - $ 100.00 �- 2
Over 600 amps to 1000 volts,
�,� (�
License No. _Exp,Date see"b"above.
/�-
,�, 4d.Branch Circuits
Phone No. . L _ _._ _ Now,alteration or extension per panel
a)The fee for branch circuits
2b. For owner installations: with purchase of service or
feeder fee.
Print Owner's,Name Each branch circuit �- $ 5 35L�! 2
Address b)The fee for branch circuits
-- without purchase of service
City State - 7_ip - or feeder fee.
Phone No. _ First branch circuit $ 37.50
Each additional branch circuit $ 5 15
The installation is being i-side on property I own which is not 4e.Miscellaneous
iniended for sale,lease or rent. (Servir.e or feeder not included)
Each pump or Irrigation circle $ 42.75 _
Owner's Signature Each sign or outline lighting _ $ 42.75
Signal circult(s)or a limited energy
3. Plan Review section if required):* panel,alteration or extension _ $ 60.00
Minor Labels(10) S 100.00
Please check appropriate Item and enter fee in section 58. 4f.Each additional Inspection over
4 or more residential units in one structure the allowable In any of the above
_
_ Service and feed(. Per inspection $ 5000
. 225 amps or more per hour _ $ 50 00
System over 600 volts nominal In Plant _ $ 5900
Classified area or structure containing special occupancy as
described in N E C Chapter 5 5. Fees:
Sa.Enter total of above fees $
Submit 2 sets of plans with application where any of the above apply. 8%Surcharge(.08 X total fees) $
Not required for temporary construction services. Subtotal $_
5b Enter 25%of fine 8a for
NOTICE Plan Review if requi (Sec 3) $ _
PERMITS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED Subtotal $
IS NOT COMMENCED WITHIN 180 DAYS,OR IF CONSTRUCTION OR
WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS ❑ Trust Account#
AT ANY TIME AFTER WORK IS COMMENCED Total balance Due $
Ildsts\forms\elcctrlc duc
CITYOF TIGARD BUILDING PERMIT
DEVELOPMENT SERVICES0256
DATE ISSUED: 05/30/2000
13125 SW Hall Blvd., ligard, OR 97223 (503) 639-4171 PARCEL: 2S103DC-e1000
SITE ADDRESS: 11265 SW GAARDE ST'
SUBDIVISION: ZONING: R-3.5
BLOCK: LOT: JURISDICTION: TIG
REISSUE: FLOOR AREAS _ _ EXTERIOR_WALL CONSTRUCTION _
CLASS OF WORK: OTR FIRST: 1.891 sf N: S_ E: —W: —
TYPE OF USE: COM SECOND: 0 sf _ PROJECT OPENINGS?
TYPE OF CONST: 5-1 HR O sf N: S: E: W:
OCCUPANCY GRP: A3 TOTAL AREA: 1,891 00 sf ROOF CONST: FIRE RET?
OCCUPANCY LOAD: 283 BASEMENT: sf AREA SEP. RATED:
STOR: 1 HT: ft GARAGE: sf OCCU SEP. RATED:
BSMT?: MEZZ?: REQD SETBACKSREQUIRED _
FLOOR LOAD: psi LEFT: ft RGHT: ft FIR SPKL: N SMOK DET.N
DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : N HNDICP ACC:)
BEDRMS: BATHS: IMP SURFACE: PRO CORR: N PARKING:
VALUE: $ 37,474.00
Remarks: Engineered Play Structure - Note the fabric covering has been tested and meets the requirements for one hour
construction Approval is authorized as an alternate under OSSC 104.2.8 by J. Funk.
Owner: V
Contractor:
TIGARD ASSEMBLY OF GOD RIVERSIDE HOMES
11385 SVJ FAIRHAVEN ST 15455 NW GREENBRIER PKWY
TIGARD, OR 97223 SUITE 140
BPFoneTtPhone: rrj,_ 4RR_(Q
Q6-21 15
Reg #: LIC 7006
FEES REQUIRED INSPECTIONS
Type By Date Amount Receipt Foot/Found Insp
PLCK BON 06/17/199£ $145.93 99-316195 Misc. Inspection
FIRE BON 06/17/199� $89.80 99-316195 Final Inspection
5PCT GEO 05/30/200C $27.50 0002529
CDCB GEO 05/30/200C $125.00 0002529
(additional fees not listed here)
Total $922.98 0
This permit is issued Subject to the regulations contained in the Tigard Municipal `C�oc.1-e�, State o OR.
Specialty Codes and all other applicable law. All work will be done in accordance with approved plans.
This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more
than 180 days ATTE=NTION: Oregon law requires you to follow the rules adopted by the Oregon Utility
Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-1987. You
may obtain a copy of these rules or direct questions to OUNC by calling (503) 2.46-1987.
Pennitee
Signature:
Issued By: ,l
Call 639-4175 by 7 p.m. for an inspection the next business clay
CITY OF TIGARD Commercial Building Permit Application
13125 SW HALL BLVD. Recd e
New Construction and Additions Date Recd
TIGARD, OR 97223 Date to P.E. Z'
(503) 639-4171 Date to D
Print or Type Permit! , �y„c:-/a
---- Incomplete or illegible applications will not be accepted caliedds eco ' 6
Nama of Development/Proied rJ/f �` yr,:,_�
Job
Address sheet ddress 5utte - T Existing Build gnI gni p New Building
�n�,,,�.� Qc .- �,vy,,,,C, t;
Bldg* Clty/State Z�---- Building, 1 1
p Data f
Name T — Existing Use of Building or Property:
Property Le R-� - C'��I
Owner Mallin Address Jvc _�� �C � J
quite Proposed Use of Buildin or Pro e
p m'�
City/State ZIP Phone Co 1,`(Z t.\ 1 Cl p n n
` -S- - No. Of Stories
Occupant Name
Sq. Ft. Of Project:
Contractor Occupancy Classes)
Prior to permit Mailing Address _
issuance,a cony Suite
of all licenses Types)of Construction
Cc�v� wl`�rinlE G�► �, � -
are required if City/State Zip Pn Will this project have a Fire Suppression Sy tem? t,� �
expired In C.O 7 �l
database `� Yes ❑ _ No
Oregon Const.Cont.Board Lir,A Exp.Date -- /�
Americans with Disabilities Act(ADA)
Valuation X 25% =$ Participation
Name --- _COmplete Accessibility Form
Architect �;' t Project - $ --- -
c c. I t rUc' k Valuation T- --_
Mailing Address Suite --7 t I O
Plans aequired: See Mat Ix for number of sets to submit
Clty/Staff^ — Zip Phone -
on back.
Engineer Name &(—)�
hereby acknowledge that I have read this application,that the information
_ A
given is correct,that I am the owner or authorized agent of the owner,and
Mailing Addrbes Suite that plans submitted are in compliance with Oregon State Laws
L _P/1 w Signature of Owner/Ag Date t
ulty/State Zip �' (. Phone t . C / �' --
Contact Pefson one
Name 1
_ Phone
Indicate type of work New ' Addition O - _
Accessory Structwe O Foundation Only p Demolition O
Alteration n
Repair O Other O
oescription of work: --- FOR OFFICE USE ONLY
iL.l rd �L'4' ., f�(tom A Map/TLk -- Land Use:
// Notes —
Par s: Estimated!qbf Employees
TIF`
If tho above figure Is not sullpfied at the time of application,the city will M/ 'r y /ue
jAJ-t! —
catcutatn the fee based upon the number of Parking spaces.
Note: Site Work Permit Application must precede or accompany Building �J _
Permit Application f 7 Q�L ) I LC 61 3
I\COMNEW DOC (DST) 5198 �1� �� Yw 1 ,v r
COMMERCIAL PLAN SUBMITTAL
REQUIREMENT MATRIX
Plan Review is dependent Capon submittal of BOTH plans AND a COMPLETED
application. For an eiectrir,al submittal, the application must contain the
signature of the supervising electrician before plan review will be conducted.
After plan review approval, Plans Examiner will contact the applicant to request
additional plan sets for distribution purposes. (Copy for Contractor, City,
Washington County, Tualatin Valley Fire & Rescue)
Total—# Of 1
TYPE OF SUBMITTAL Plans KEY:
_ Submitted
S (Private) 1 _ S = Site Work
B (New or Add) 1 B = Building
F (New or Add or Alt) 3 F = Fire Protection System
M (New or Add or Alt) – 1 M = Mechanical
B & M (New or Add) 1 P = Plumbing
P (New, Add, or Alt) _ 2 E = Electrical
B & M & P (New or Add) 2 New = New Building
E (New, Add, or Alt) 2 Add = Addition
B & F & M & P 8_E_ 3 Alt = Alternation to Existing
(New , Add) Building
`B or B & M (Alt)
*B & M & P (Alt) 3
*B & M & P & E(Alt) 3
*B & M & P & E & F(Alt)� 3�
NOTES.
*Shaded areas designate AL-1' submittals only.
lidsts\forms\matrxcom doc 10/30/98
CITY OF TIGARD MECHANICAL PERMIT
DEVELOPMENT SERVICES PERMIT#: MEC2001-00410
13125 SW Hail Blvd.,Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 11/,4/01
PARCEL: 2S 03DC-01000
SITE ADDRESS: 11265 SW GAARDE ST
SUBDIVISION: ZONING: R-3.5
BLOCK: LOT: JURISDICTION: TIG
CLASS OF WORK: OTR FLOOR FURN: EVAP COOLERS:
TYPE OF USE: COM UNIT HEATERS: VENT FANS:
OCCUPANCY GRP: VENTS W/O APPL: VENT SYSTEMS:
STORIES: BOILERS/COMPRESSORS HOODS:
FUEL TYPES 0 - 3 HP: 1 DOMES. INCIN:
I-PG 3 - 15 HP: COMML. INCIN:
MAX INPUT: BTU 15 -30 HP:
FIRE DAMPERS?: 30 -50 HP: REPAIR UNITS:
OU
GAS PRESSURE: 50 + HP: CLO DRYERS:
FURN < 100K BTU: AIR HANDLING UNITS C
OTHER UNITS:
FURN >=100K BTU: <= 10000 cfm:
>
GAS OUTLETS:
10000 cfm:
Remarks: Installation of exterior a/c unit.
Owner: _ FEES
TIGARD ASSEMBLY OF GOD Type By Date Amount Receipt
11385 SW FAIRHAVEN ST t-IRMT CTR 11/14/01 $72.50 272001000C
TIGARD, OR 97223 5PCT CTR 11/14/01 $5.80 27"7001000C
PLCK CTR 11/14/01 $1813 272001000C
Phone: Total $96.43
Contractor:
SPECIALTY HEATING & COOLING
9528 SW TIGARD ST
TIGARD, OR 97223 REQUIRED INSPECTIONS
Mechanical Insp
Phone:620-5643 Final Inspection
Reg#:LIC 66578
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore.
Specialty Codes and all other applicable laws. All work will be done in accordance with approved
plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended
for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted in the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR
915F-001-0080. Y(� may btain copies of these rules or direct questions to OUNC by calling
( i: 9AR-CIIIA0
ue By: �'�' � 1�- �� .�! Permittee Signature: —
Call (503) 639-4175 by 7:00 P.M. for inspections needed the next business day
Mechanical Permit Application � }
----- Dateteceived: // /f/D/ Permit no.:
City of Tigard Pro. tj ppl.no.: Expire date:
Ciryvjrigard Address: 13125 SW Hall Blvd,Tigard,OR 97223 — —
Phone: (503) 639-4171 Date issued: By. Reccipt no..
Fax: (503) 598-1960 Case file no.: Payment type.
Land use approval: —__ Building permit no.:
.t
rNew
mily dwelling or accessory O Commercial/indusaial O Multifamily J T•n.int impro ro mu-nt
nstruction Addition/aterati /replacement Q Other: v
JOB SITE INFORINATION t 11, COMMERCIAL ! SCHEDULE
Job address: a r _ Indicate equipment quantities in boxes below. Indicate the dollar
Bldg.no.: Suite no.: ! value of all mecharygnlgnaterials,equipment,labor,overhead.
Tar..ma /tax lot/account no.: profit. Value$ 1
Lot: Block: Subdivision: _ 'See checklist for important application information and
Project name: ,*rQ Od 7 jurisdiciian's fee schedule for residential permit fee.
City/county: v.d !sN ZIP:
Description and location of work on premises:Z,&� <i 4 t ! I ! a t
Est.date of completion/inspection: Descri on Fm.nni Total
V. Res.only Ry.onlvi
Tenant improvement or change of use: Air handling unit CRI
Is existing space heated or conditioned'.11 Yes O No Air can juoning(site Ian require )
Is existing space insulated? 'Yes No Alteration of existing HVAC system —i
CONTRACTORNIECIIANICAL of er/compressors
_._
Business nam C• a L- Q j7 j State bailer permit no.:
HP Tons BTI1/H
Address: �l t) 1 ,t7 -9/- _ irdsma a ampers/duct smoke detectors
City: r (c1 d _ State:p,e ZIP:9 7,j1 of 3 eat pump(site plan required) _
Phone' (,+_V Fax;S 981-o)/ E-mail: Instalilreplace furnac umer /
CCB no.: ,�j �' Including ductwork/vent liner O Yes O No
..ta I I 1pl ace/relocateheaters-suspen ed,
City/mrtro lic.no,: ! wall,or floor mounted
Name(please rint)LL&/'t! i {�.I S ent for appliance other than furnace
CONTACTPERI.SdNRefrigeration:
Absorption units BTU/H
Name: rW LZe/V .Sly h 07 Chillers `-- HP
Address: 5,!. $- S / ,1 S<�~' Compressors HP
Environmental exhaust an vent lation:
City: -r-ljStae:Q ��ZIP: Appliancevent
Phone: 3 G.2O S( faY:59i�'�}I/&' E-mail: ryerexhaust
! Hoods,Type rex. itc eNhazmat
f hood fire suppression system
Name:
/ Q G� d55.,;"Lllel '-f (7Oc a Exhaust fan with single duct(bath fans)
Mailing address: ra_e xhaust systema art rom heating or AC
city:/ 6ticl I Statere Fuel piping an ut on(up to 4 outlets)
Type: LPG NG --Oil
Phone: (p 3` -5 3c Fax l: m;ul: Fucl piping each additional over 4 outlets
01111H 10 313 Processpiping(schematicrequired)
Name: Number of outlets
---- Ot er t appliance or equipment:
Address: __ Decoretivetire_place _
Citv: _ State: !IP nsert-ty e
Phone: a.e: -tn:ul: oo stove/pelletstove
Other:
Applicant's sign• ure: Date // e`7/ ter:
Name(print): ,1
fee................ ....
NoPermit $ b l
I jurisdictions rccept credit cards,please jurisdiction for more information.
_
visa 13 MasterCard Notice:This permit application
Minimum fee................$
���r�� 4.`k1g x expires if a permit is not obtained
Crreditt caarid number: _ a� `� (IT23 — Fbe/ It)ires within 180 days after it has been Plan review(at %) $ Ilk
Na%e ut c fho n on l card r p ' State surcharge(8%) ....S &.
�r ,�� J accepted as complete.
Cardhuides sipattrrc Amount .W04617 1V WCOW
CITY OF TIGARD
Approved..........................................................( :
Conditionally Approved.....................................( ):
For only the wo a d scribed In-
PERMIT N0._ "OQV/d
See Letter to:Follow.........................................( ):
Job A r :�_ ch. ...( ��
By:
y�
1
100'
i1 .
b°
1
'O
J
J
Cry
7'
F� y
. t
1
1 1 1 t f
.. 1 1
•� rx-
�N
Form 4a (cont.) _ Project Name: page:
SYSTEMS - GENERAL
7. Off-hour Controls - HVAC Systems (Section 131' , 1.3.3)
Complies.All new HVAC systems are capable of automatic setback or shutdown during periods
of non use or alternate use of the space ser✓ed by the system.
J Exception. Equipment has full load heating demands of 2 kW (6.826 Btu/hr) or less and is
controlled by a readily accessible manual off-hour control.
S. Off-hour Controls - Supply and Exhaust Systems (1313.1.3.3)
J Complies. Plans require that outdoor air supply and exhaust systems have a means of auto.
uratic (either motorized or gravity damnper) volume shutoff or reduction during periods of non-
use or alternate use of the space served by the system.
J Exception. The building qualifies for an exception to the requirement for automatic shutoff or
reduction.The applicable code exception is Section 1313.1.3,1, Exception
9. Heat Pump Controls (Section 1313. 1.3.4)
J No Heat Pump. The plans/specs do not call for a new heat pump.
J Complies. All new heat pumps equipped with supplementary heaters are controlled as required
in Section 1313.1.3.4,
10. Equipment Performance (Section 1313. 1.4)
J No New HVAC Equipment. The building plans do not call for new electrical HVAC equipment,
combustion heating equipment or heat-operated cooling equipment.
Complies. All new HVAC equipment has efficiencies not less than those required by the code
The following equipment efficiency worksheets are attached
11. Duct Insulation (Section 1313.2.2 & 1313.3.2)
J No Ducts. The building plans/specs do not call for new HVAC ducts or plenums.
/11( Simple System: Complies, The plans/specs call for a Simple System, and all exterior supply.
return air-handling ducts and plenums and all outside air ducts are insulated as required by Sec
1313.2.2.
J Complex System: Complies. The building plans/specs call for a Complex System, and all air-
handling ducts and plenums are insulated as required by Sec. 1313.3.2.
12. Piping Insulation (Section 1314)
Exceptions ,)( No New Piping. The building plans/specs do not call for new piping serving a heating or cooling
See a discussion of
system or part of a circulating service water heating system.
qualifying excep- J Complies. All new piping serving a heating or cooling system or part of a circulating service
tions on p.4-17. wafer heating system complies with the requirements of the Code, Section 1314.1.
_1 Exception. New piping qualifies for the following exception: Section 1314, Exceptic^
13 . Service Water Heating (Section 1315)
No New Water Heating. The building plans,specs do not call for new water heaters, Ilot water
storage tanks, service hot water distribution systems, swimming pools or spas.
Exceptions J Complies. All new water heaters. hot water storage tanks, service ho; Aatdr distribution sys-
See a discussion of tems. swimming pools or spas comply with the requirements of the Code.
qualifying excep- :j Exception. The applicable code exception is. Section
tions on p.4.18. .
Exception . Portions
of the building which qualify:
4-2 Systems
(t'96;
Worksheet 4a Protect NAme: _ _ Page:
UNITAR`.Y AIR CONDITIONER -- AIR COOLED
Equipment (a) - (b) (C) (d) (e)
Seep.4.19 fora Proposed
discussion of Performance
equipment rating,,9 Cooling Seasonal Compliance
and equipment Capacity Steady Scheduledefinitions
Equip. ID Model Designation (Btu/h) State Load (A-E)
) fir. 4 6 b A
i
1. Does the proposed equipment meet the required equipment efficiency?
Enter "Y" if yes. Y
2. Check boxes to indicate the source of information:
J ARI Unitary Directory, Section AC (Enter the page number)
J ARI Applied Products Directory, Section ULE (Enter the page number
Product data Attach data furnished by the e ui ment su Iier)
Comply Cooling Ca acit (Btu-h) Minimum Ratio
ance But not Steady Seasonal or
Schedule Equipment T e Over over - State Part Load
Single Package 0 65,000 na u.7 SEER
A Without a 65,000 135,000 8.9 EER 8.3 IPLV
Heating Section 135.000 760,000 8.5 EER 7.5 ILPV
760,000 - 8.2 EER 7.5 IPLV
Split System 0 65,000 na 10.0 SEER ,
B Without a 65.000 135.000 8.9 EER 0.3 IPLV
Heating Section 135,000 760,000 8.5 EER I 7.5 IPLV
760,000 - E.2 =ER 7.3 IPLV
Single Package 0 65,000 na 9.7 SEER
C With a 65,000 135,000 E.9 ZER 6.3 IPLV
Heating Section 135,000 760.000 6.3 EER 7.3 IPLV
760,000 - 8.0 EER 7.3 IPLV
Split System 0 65,000 nq 10.0 SEER
D With a 65,000 135.000 °.3 EER 8.3 IPLV
Heating Section 135,000 760,000 8.3 EER 7.3 IPLV
_
60,000 - 8.0 EER 7.3 IPLV
E Condensin Unit Only 135,000 - 9.9 EER 1 11.0 IPLV
4-4 Systems cuss►
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C40•
CITY OF TIGARD 24-Hour
BUILDING Inspection Line: (503)639-4175
MST
INSPECTION DIVISION Business Line: (503)639-4171
BUP
Received ___ Date Requeste _- 0 ? AM_____-___ PM _ BUP
Location
0 d 3 S"(p
Contact Person -- ----- --- - Ph {.__ --) ------- --- ---- PLM - -
Contractor - - - ----- - Ph ( --' ---- --- SWR _-�—_- -
BUILDING Tenant/Owner _- _ ` - c �E L C
Footing ' ELC __-----
Foundation Access:
Fig Drain ELR - -_
Crawl Drain
Slab Inspection Notes: ' l /a� r ( fi, SIT
Post&Beam
Shear Anchors ` ( -
Ext Sheath/.,hear
Int Sheath/Shear
Framing
Insulation
Drywall Nailing - _ - ----- -- ---
Firewall
Fire Sprinkler -- - - - - - --- _- -
Fire Alarm
Susp'd Ceiling -- —--- -----
Roof
Other:._ --
Final
PASS PART FAIL
PLUMBING
Post& Beam
Under Slab - - --- -- ---- -Rough-in �-
Water Service --- - - - --
Sanitary Sewer
Rain Drains - - - -- -- - -
Catch Basin/Manhole
Storm Drain -- -- - - - -- ------- —
Shower Pan
Othnr. _ -
Final _
PS -_ A FAIL
M -- - - - -
Post& Beam
Rough-In
,as Line
S_mo Dampers - - -
"1=in
PART FAIL - - - __—
CTRICAL
Service
Rough-In
UC;/Slab
t-ow Voltage
Fire Alarm
Forial [] Reinspection fee of$__ __required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
PASS PART FAIL
SIT_EPlease call for reinspection RF Unable to inspect-no access
Fire Supply Line
ADA / r,
Approach/Sidewalk Date- ine� —_ pectoe
Other:,-.------
Final DO NOT REMOVE this Inspection record from the job site.
PASS PART FAIL
CITY OF
TIGARD
IGARD PLUMBING PERMIT
DEVELOPMENT SERVICES PERMIT#: PLM2002-00388
13125 SW Hall Blvd., Tigard, OR 972.23 (50:) 639-4171 DATE ISSUED: 10/1 02
SITE ADDRESS: 11265 SW GAARDE S'T PARCEL: 2S1C13DC-01000
SUBDIVISION: ZONING:
BLOCK: LOT: JURISDICTION:
CLASS OF WORK: OTR GARBAGE DISPOSALS: MOBILE HOME SPACES:
TYPE OF USE: QOM WASHING MACH: BACKFLOW,' PREVNTRS:
OCCUPANCY GRI': FLOOR DRAINS; TRAPS:
STORIES: WATER HEATERS: CATCH BASINS: 1
FIX'r1IRES _ LAUNDRY TRAYS: SF RAIN DRAINS:
SINKS URINALS: GREASE TRAPS:
LAVATORIES: OTHER FIXTURES:
TUB/SHOWERS: SEWER LINE: ft
WATER CLOSETS: WATER LINE: ft
DISHWASHERS: RAIN DRAIN: 600 ft
Remarks: Installation of storm drainage.
FEES
Owner: — — -
- escription Date Amount
TIGARD ASSEMBLY OF GOD DDe — -
11385 SW FAIRHAVEN ST II'I.IIMIil Permit Ice 10/1/02 $118.00
TIGARD, OR 97223 1I'I.1 N1111 Permit Fee 10/1/02 $0.00
111I.MI'L.NI I'Ian Review 10/1/02 $29.50
lI'I.MPLN, Phii Review 1011/02 $0.00
Phone 1: I'I.1\I Slate fax 1011102 $9.44
Contractor: I'l AXI /0 Stale Tar 10/1/02 $0.00
CR WOODS TRUCKING INC. Total $156.94
P.O. BOX 1488
SHERWOOD, OR 97140 REQUIRED INSPECTIONS
Phone 1: 503-625-5452 Storm Drain Insp
Final Inspection
Reg#: LIC 123973
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR.
Specialty Codes and all other i.pplicable 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 suspF.nded
for more than 130 days. ATTENTION: Oregon law requires you to follow rules adopted by the Jregon
Issued By: _ _ Permittee Signature:x
_ _ Call (503) 639.4175 by 7:00 P.M. for an inspection needed the next business day
Plumbing Permit Application
Date received:!C-1 -D yPermit no.: ✓4J -i'n• Nk'
city of "Tigard Sewer permit no.: Building permit no.:
Address: 13125 SW Hall Blvd,Tigard,OR 97223 Projcct/appl.no.: Expire date:
rtc, lli�,ur� Phone: (503) 639-4171 --
Fax: (503) 598-1960 Date issued: By Receiptno.-.
Land use approval: _ case rite no.: Payment type:
7UNewfamily dwelling or accessory U Commercial/industrial J Multi-f:unily U Tenant improvement
construction U Add it ion/alteration/replacement J I ootl ur�tcr ❑Other:
crDescription QtV. Fec(ea.) 'Intal
Job address: ,` ✓[�! 7'6/ New I-and 2-family dwellings only:
Bldg.no.: Suite no.: _ (h+ciudes Woft.foreachulililvconr linnj
Tax map/lax lot/account no.: til It t I I hath
fit; Block: Subdivision: SFR(2)bath
N r c --
Project Hume: 55�� .-th
Gl c arc � SFR(3)hat — --
City/county: c 41 . ZIP: Each additional ba itchen
Description d location of workpn premises:_ _ Slteutlllties: 4--
rk + c' 7 Catch hasin/area drain Drywells/leach ine/trench drain 25iGst.date of completion/inspection: Footing drain(no.lin.ft.)Manufactured home utilities Business name: C [ c+ ti % j ✓c�t ��( Hanks
Address: t7. IL i W Rain drain connector _J
City: r v:<< State: 6 ZIP: 7/`l v_ Sanitary sewer(no.lin.ft.)
Phone: A`c 3S/.to 1 Fax:(pzs_s z y t E-mail: Storm sewer(no.lin.ft.)
Water service no.lin.ft.)
CCB no.: 2 3ti' Plumb.bus.reg.no: Fixture or Item:
City/metro lie.no.: " ! - Absorption valve
Contractor's representative signature: 4-- ql 8 Back flow preventer _
Print name: .,t OL? Date: c '� Backwater valve
all Ilasins/lavatory
Clothes washer
Name: IC d iS Lr't'r/ S --_ Dishwasher
Address: 'C i>ak IYJ t Drinking fountain(s)
City: Tt r LL c t State LII' Ejectors/sump
Phone: ' S I vs../ 1 Fax: Email: __J r,xpansion tank
-ixwre/sewer cap
Floor drains/floor sinkst'hub
Name(print): J ,+ �c Garbage disposal
Mailing address: / y U _ e,qu Vcte Hose bibb
City: _�' Statc: C'v ZIP: �'1
� ci +� lee maker
Phone: Fax: E-mail: Interceptor/grease trap _
Owner installation/residential maintenance only: The actual installation Primer(s) _
will be made by me or the maintenance and repair made by my regular Roof drain(commercial) _
employee on the property I own as per ORS Chapter Mil. Sink(s),basin(s),lays(s) —
Owner's signature: Date: Sump -
Tubs/showcr/shower pan
Urinal --
Name: Watercloset --
Address: -- _ Water heater
City: State: ZIP: Other:
Phone: F;+x: E-mail: otal
Minimum fee................$ — —Not all jurisdictions accept credit anti,please telt Jurisdiction for more information, Notice: Illis permit application Plan review(at -_ %) $ —
U visa U Mastercard expires if a permit is not obtained State surcharge(8%)....$
Credit card nurnher ._ within 180 days after it has been TOTAL . .....................$
accepted as complete ---
Name of cardr older u shown on cndit cid $
ExpiresCmdhotder signature Amount - 440461616WICOM1
PLUMBING PERMIT FEES:
PRICE TOTAL New 1 ane 2.- Ily dwellings only:ea
QTY --
FIXTURES individual
- ----�_-_ AMOUNT (Includes all plumbing fixtures In PRICE TOTAL
Sink _ 1660 the dwelling and the first100 ft. QTY (ea) AMOUNT
Lavatory— 16 60 -- _for each utllit 7y connection _
Tub or Tub/Shower Comb -- 1660 -- One(1)bath - $249.20
_ Two Obath $350.00
Showe,Only - 1660 Three_ 3 bath --
Water Closet - 16.60 --,.-_ __ - -
Udnal -- 16.60 - -- SUBTOTAL
---- - __ 8%STATE SURCHARGE
Dishwasher 16.60 PLAN REVIEW 25%OF SUBTOTAL
Garbayc Disposal - 1660 - TOTAL
LaundryTray i- -- 16.60 `---
Washing Machine
Floor Drain/Floor Sink 2" 1660
3" - 16,60 PLEASE COMPLETE:
4" - 16.60
Water Healer O conversion O like kind 1660 -� _Quantit b Work Performed
Gas piping requires a separate mechanical Fixture Type: New Moved Replaced Removed/
_11e_rm __ --
MFG Home Now Watur Service4640 Sink -
MFG Home New San/Storm Sewer 46,40 `- Lavatory ---
Hose Bibs 16.60 Tub or Tub/Shower - --- "
__-. ___ Combination _
Roof Drains 16.60 Shower Only --
Drinking Fountain 16.60 Water Closet
Other Fix!ures(Specify) -- 13 60 - -- Urinal '
Dishwasher - --
_
Garbage Dis osal -
-- - Laundry Room Tray -
- -- Washing Machine
Floor Drain/Sink: 2"
Sewer• 1s1 100
55.00 -- 3,. --
Sewer-each additional 100 46 40 - 4„ --
Water Service•1st 100 '900
00 Water Heater
Water Service-each additional 200' 46 q0 ------ Olhcr Fixtures
S�iecifyL_-`
;term 8 Rain Drain-1st 100' j 5500 --
Storm 8 Rain Drain-each additional 100' 4640 --
Commercial Back Flow Prevention Device 4640 _
Residential Backflow Prevention Device' 27.55
Catch Basin 16.60 /L _- - - - ---
Inspection of Existing Plumbing or Specially 6250 - -
Requested Inspectionsper/hr COMMENTS REGARDING ABOVE:
Rain Drain,single lamily dwelling 6525
Grease 1 raps 1660 - - - - ---
QUANTITY TOTAL ----- --- - --- -- -- --
Isometric or riser diagram is required if
Ouanlity Total Is >9
- "SUBTOTAL _ ---- - -- - --- --
8%STATE SURCHARGE
"PLAN REVIEW 25-%OF SUBTOTAL ` Sv - ---- -- ------ --------- -- --
Required only If fixture Molal Is>9
TOTAL
l
*Minimum permit fee Is$72 50+8%state surcharge,except Residential Backflow
Prevention Device,which Is S36 25♦8%state surcharge
**All New Commercial Buildings require 2 sets of plans with laometrlc or riser
diagram for plan review.
i:%dstslformsWm-fees.doc 12/26/01
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CITY OF TIGARD 24-Hour
BUILDING Inspection I ine (503)639-4175 MST _-- ---- -
INSPECTION DIVISION Business ne: (503)639-4171
/ BUP - -------
Received Date Reyu ted -�� __-_- AM_._-✓ PM BLIP -_----"--------
Locationsuite----
MEC
PLM��o•Z "'tOd 3a d
Contact Person ----�fS'CSC�2 Ph(__ )Contractor
BUILDING Tenant/Owner AL3 ___-__-------------
-Fo --- "--
oting EL - -_ _--- -- -..-
Foundation A ss-
Ftg Drain � Q d[�f 7L %if4� !1 LL-G CJS T1s �ELR ---..------------"------
Crawl Drain r� SIT ---__ ----. ------
Slab Ins ectio Note
Post& Beam - - -- _--
Shear Anchors
Ext Sheath/Shear _
In!Sheath/Shear
Framing - - -
Insulation
Drywall Nailing
Firewall
Fire Sprinkler ---� - - —
Fire Alarm
Susp'd Ceiling -_-- - ------- - -- ----
Roof ------- -- -
Other.__ ----- --�
Final
_P_A55 _PART FAIL
PLU - ------------
_M_BING - - ---- -- -- -------- - --- -
Post&Beam
Under Slab - - - - -. .---- ---_- ------
Rough-In ---------- --
Water Service - - ---- — -
Sanitary Sewer
Rain Drains M�
C�a�Ca
rm _
Shower Pan _—_--� ----___--- --•
SO
A PART FAIL
ANICAL-- --
- _— _-
host 8 Beam -
Rough-In -
Gas Line - -
Smoke Dampers - -
Final
PASS PART FAIL -
_ELECTRICAL — — ---
Service - -
Rough-In
UG/Slab
Low Voltage
Fire Alarm
Final [ Reinspection fee of$ -_ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
PASS PART FAIL
SITE — [] Please call for reinspection RE [� Unable to Inspect-no access
Fire Supply Line
Deb Inspector
ADA _ -
Approach/Sidewalk
Other: ---- - ---
Final DO NOT REMOVE this Inspection record from the job site.,
PASS PART FAIL
OVFgCE 0
STA L
CALIFORNIA DEPARTMENT OF FORESTRY and FIRE PROTECTION
OFFICE OF THE STATE FIRE MARSHAL
REGISTERED FLAME RESISTANT PRODUCT
Product: Registration No.
8028,8128,8218,8424,9319,8814, FA-10301
Product Marketed By:
SEAMAN CORPORATION
1000 VENTURE BLVD
WOOSTER OH 44691-
This product meets the minimum requirements of flame resistance established by the California
State Fire Marshal for products identified in Section 13115, California Health and Safety Code.
The scope of the approved use of thk's product is provided in the current edition of the
CALIFORNIA .APPROVED LIST OF FLAME RETARDANT CHEMICALS AND FABRICS,
GENERAL AND LI UTED APPLICATIONS CONCERNS published by the Califoniia State
Fire Marshal.
�* Expires: 06/30/2000
Deputy State Fire Marshal
FR.V
United States Testing Company, Inc.
j 291 FAIRFIELD AVENUE • FAIRFIELD.NEW JERSEY 07004 • 201-575-5252 Is Fax. 201-57G-8271
S REPORT OF TEST
Engineering Services
CLIENT: Sprung Instant Structures Ltd. NUMBER: 105.507-1
1001 - lnth Avenue S .W.
Calgary, Alberta, Canada September 15 , 1992
T2R OB7
SUBJECT: Flammability
REFERENCE:
Sprung Instant Structures Ltd. , Purchase Order dumber
33274 dated September 9 , 1992 .
SAMPLE IDENTIFICATION:
One ( 1) sample of material was submitted and identified
by the Client as :
Shelter.ite 9319 FR LTC
TEST PERFORMED:
The submitted sample was tested for Flammability in
accordance with the procedures outlined in NFPA 701
Large Scale Test (Sirgle Sheets) .
st ' g Supervised by:
SIGNED ,FOR THE COMPANY
y 2�,v
BY /
1 SteveZaldarola � v/ {�✓ c
Page
of 2 Senior Supervisor Jj�h �Lomash
lv Fire Technology _� President
w® J
SGS unnoe•d Ine SG5�Iouo ISU:.eI!I;lnrale ae SW.«Iarcel
• BioloqY • Chemistry • Environmental • Materak • Facilities in Principal Cities •
UNITED STATES TESTING COMPANY INC.REPOnTS AND LETTERS ARE FOR THE EXCLUSIVE USE OF THE CLIENT TO WHOM THEY ARE ADDRESSED AND THEY AND THE NAME OF THE UNITED STATES TESTING
COMPANY INC.OH ITS SEALS OR INSIGNIA ARE NOT TOBE USED UNDER ANY CIRCUMSTANCES IN ADVERTISING TO THE GENERAL PUBUC AND THEIR COMMUNICATION TO ANY OTHERS OR THE USE OF THE NAME
OF UNITED STATES T ESnNG COMPANY INC MUST RECEIVE OUR PRIOR WRITTEN APPROVAL OUR REPORTS APPLY ONLY TO THE STANDARDS OR PROCEDURES IDENTIFIED TO THE TESTS CONOUCTED.ANO TO
THE SAMPLaSI TESTED ANWOR INSPECTIONS MADE UNLESS OTHERWISE SPFpFIED THE TEST ANwan INSPECPON RESULTS ARE NOT INDK)ATNE CR REPRESF'ITATN€OF THE QUAUTIES OF THE LOT FRCM
WHICH THE SAMPLE WAS TAKEN OR OF APPARENTLY IDENTICAL OR Sims AR PRODUCTS AND NOTHING CONTAINED IN CUR REPORTS SHALL BE.DEEMED TO AMPLY OR MEAN THAT UNITED STATES tEST'NG
COMPANY,INC.CONDUCTS ANY QUALITY CONTROL PROGRAM FOR THE CLIENT TO WHOM"REPORT IS ISSUED SAMPLES NOT DESTrOYEOIN TESTING ARE RETAINED A MAXIMUM OF THIRTY DAYS AT WHICH
TIME THEY MAY BE SHIPPED BACK TO tHE CUENT
United States Testing Company, Inc.
291 FAIRFIELD AVENUE • r""AIRFIELD. NEW JERSE'�07004 • 201-575-9252 • Fax 201 575-9271
REPORT OF TEST
Engineering Services
CLIENT: Sprung Inst,nt Structures Ltd . NUMBER: 105607-2
1001 - 10th Avenue S.W.
Calgary, Alberta, Canada September, 15 , 1992
T2R OB7
SUBJECT: Flammability
REFERENCE:
Sprung Instant Structures Ltd. , Purchase Order Number
33274 dated September 9 , 1992 .
SAMPLE_ IDENTIFICATIONi_
One ( 1) sample of material was submitted and identified
by the Client as:
Shelterite 9319 FR IITC
TEST PERFORMED:
The submitted sample was tested for Flammability in
accordance with the procedures outlined in Underwriters
Laboratories Inc. , Tests for Flame Propagation of
Fabrics & Films (Large Scale Flame Test, Single Sheets)
UL-214 .
T.e�. t ' g Supervised by:
SIGNED FOR THE COMPANY
Page 1. Steve Caldarola
of 2 Senior Supervisor 70�L Lomash
lv Fire Technoloqy Ifice President
J
d Ine SGS G,MD ISx.I•GMr re oa Sw.e+ur,`rl
• Riology • Chemistry • Environmental • Materials 41 Facilities in Principal Cities •
UNITEO STATES TESTING COMPANY INC REPORTS ANO LETTERS ARE FOR THE EXCLUSIVE USE OF TF'-CLIENT TO WHOM THEY ARE ADDRESSED AND nIEY AND THE NAME CF THE UNFTED STATES TESTING
COMPANY.INC_OR ITS SEALS OR INSIGNIA ARE NOT IO SE USEDUNOFR ANY CIRCUMST AWES IN ADVERTISING TO THE GENERAL PURUC Aho"HEIR CCMMIIN0CATION TO ANY CTHERS OR TME LSE OF THE NAME
OF UNITED STATEST ESTING COMPANY.INC.MUST RECFJVEOUR PRIOR WRITTEN APPROVAL OUR REPORTS APPLY ONLY TO THE STANGAROS OR PROCEDURESIOFNTIFIED TO THE TESTS CONDUCTED.AND TO
THE SAMP.EISI TESTED AND,OR INSPECTIONS MADE UNL ESS OTHERWISE SPECIFIED THE TEST AND,OR INSPECTIONRESGLTS ARE NOT'HOMdTNE<R ED To I FNTATIVE OF THE AT U UNITED
OF THE LOT FROM
WHICH THE SAMPLE WAS TAKEN On OF APPARENTLY IDENTICAL OR SIMILAR PRODUCTS AND NOTHING CONT AINFO IN OI IR REPORTS SHALL BE CEEMED fO IMPLY DR MEAN THAT UNITED STATES TESTING
COMPANY.MC.CONOUCT9 ANY OUAUTY CONTROL PROGRAM FOR THE CIIEN'10 WHO
THE REPORT'S ISSUED SAMPLES NL' OESTFprEO W TESTING ARE RETAINED AMAXI/AU LI Of THIRTY DAYS AT WHICH
TIME I HEY MAv OF SHIPPED BACK TO THE CLIENT
United States Testing Company, Inc.
CLIENT: Sprung Instant Structures Ltd. NUMBER: 105607-3
TEST RESULTS:
The test results, calculated in accordance with ASTM E-84-91a for
Flame Spread and Smoke Developed Values are as follows :
Test Specimen: Shelterite 9319 FR LTC
Flame Spread Index* : 10
Smoke Developed Value* : 300
*Graphs of the Flame Spread, Smoke Developed and Time-Temperature
are shown in Figures 1, 2 and 3 at tt-,o end of this report.
OBSERVATIONS•
Ignition was noted at 11 seconds along with charring and melting
of the specimen directly exposed to the flame. Also observed
were shrinking, slight flaking and flaking embers as the
flamefront advanced a maximum distance of 2 feet at 30 seconds.
Afterglow was evident upon test completion.
Page 3
y�`yr'' lll
// //265 SW v iarrie Street M rprt>, OR 97114 1�'Phwr.(50-3)-639-53.36`"Fax(!503)-684-6492
REC",. . ...
January 10. 20(1(1
.JAN 1 ;7
City of Tigard
copy
COMMUNITY ULVLLUPML.,,-
13125 SW Ilall Blvd.
Tigard,OR 97223
Attn: Permits
Re. ""I'll 1,.!91) 002 5
To Whom II May Concern:
We would like to request an extension on our huilding permit appl' ation#BUP1999-00256. a have had
a prohlem in siting. We would like a six-month extension.
II you have any questions. please call m.-at 503/639-5336.
In I lis Service,
Rev. Thomas P. Frisinger
Senior Pastor
�4ei?ior Pastor Tho/nas Fiisingler
FRGM : EMMERT INTERNATIONAL PHONE N0. : 503 555 3933 No;. i 1995 04: 11FM P1
U4i111/0 5 15:53 %TS03 664 7297 i: I'T1" OF "I1GAE2D j��
oVlRSIZE LOAD PfUU41T
Permit :��Z
ITYOFTIFARDC (Ciali0 TT*AID Date Insued: --
COMMUNrTY DEVELOPMENT DEPARTMENT \ OREGON Hove Datee_
0129 SW HO Baal P.O.ea FWW.Tlpad,Cb-v-•9=(UD)43&4175
item to ne -----
one or PurpoAe of Itam (If to be located is the City) :
construction of ICS$" _ ,� C}C and wOOCl
overall Dispensione (L-aded on vehicle)1 2 ea Vr, SCr+o ► � 5 -
Width: Heightc fid' Q^ Length:_ 1r��
Item to be Moved From: 19875 SL; h5fih 'TM'^�atin�Qp
Item to Moved To: _ J2651a1LGaard' -IZm -M.1
Exact aouLQ of Move: St��.�t«,,.►,o,a -
proponed Uare of Move: 1795 -__ Proposed time. of Move$ I)a_y]_fight
TOW vehicle: Sp-P. attached
Lie#: PDC#:
---
Year flake. ----
Yee 1 $-----
Owner, Fil5t Baptist ChuEc of--_Ti ard-_.
Address: SW Gaai�de Receipt #:
t
City: T•LQ3Cd-_-_---- ---_..__
StatE'
Phone: Sn�-6_39-391.3 -- i� Fe—te Is teaued snib�st to e� e�gdlaelaas
- - - vaatainod La the TLgaad quLLCip" Cafe- lure of
cwl" Rad all. debar apPLLC t LA Lai+ Jul WWW rt]1
Mowing .contractor- }rDfiMrt 1nterTkltlOt .— be Mos Le wormca.er.. With es.. pMrLatew of cad.
AddseP6 ���11 7lA •i �_ �_ QR/ltt. E7- L NS40M Of thiM PSMLt 4=SM "M
aataortae ebo alseratLoa, XqWwaL or asd/s0Oesernt •,f
City, Clacks s__-. - WW paellc ec PrL.ata P'VUPvrt7 ri.tbent Licirt baoLsq
State QR __�Zlp�-11s[.+.�---- neeitsnd ..rioam fssataalsa [av ti+ e. 7 Naas
Phone: 50 or pablie .reLtr. ""A VOCUSt
LadltarrE O&M date.
contractors
insurance Co=Pany:- EiI1C1r EaLLjWn A:ge - - - --
(ntrrenr r:npp of an weord form 2S-S eertificAtO of ineuranee moat bw attaebed)
permit tee s iQrature: — _-- _-- -
Approved by: ,,.�------ - - ---
Date: •-
1l �
FFnruary 16, 2000
CITY OF TIGARD
TigGrd Assembly of God OREGON
Gaarde Christian School
Thomas P. Frisinger, Senior Pastor /
11265 SW Gaarde Street
Tigard, OR 97224
Dear Mr. Frisinger:
This letter is in response to your request for Minor Modification (MMD2000-00003) approval to
construct a 2,000 square foot Stressed Membrane Structure (Play-Tent) to be located on the east
side of the Church/School building at 11265 SW Gaarde Street in the city of Tigard.
This property is designated for Low-Density Residential within the R-3.5 zoning district. The
current use of the site is listed as a Conditional Use for this zoning district. The Tigard
Community Development Code, Site Development Review Section, states; "if the requested
modification meets any of the major modification criteria, that the request shall be reviewed as a
new Site Development Review application."
Section 18.330.020.B.2 states that the Director shall determine that a major modification(s) has
resulted if one (1) or more of the changes listed below have been proposed:
1. A change in land use;
'The structure wi:i make an enclosed play area for the existing Church/School facility. No
change in the use is proposed.
2. A 10% Increase In dwelling unit density;
The play structure does not fall under Tigard's definition of a dwelling unit. Therefore,
this standard does not apply.
3 A change In the type and/or location of access ways and parking areas where off-
site traffic would be affected;
The proposal does not include revisions to the existing driveway locations; therefore, off-
site traffic would not be affected.
4. An increase in the floor area proposed for non-residential use by more than 10%
where previously specified;
The existing building is 20,340 square feet. The proposed Stressed Membrane Stru.;ture
(Play-Tent) will be 2,000 square feet, which is under the 10% area limit.
5. A reduction of more than 10% of the area reserved for common open space and/or
usable open space;
The proposal is not a multi-family project. Therefore, this criterion does not apply.
Page 1 of 2
13125 SW Hall Blvd., Tlgard, OR 97223 (503)639-4171 TDD(503)684-2772
ements
ore than
6. A reduction of specified
setback
tbair The expansion would2not� encroach into the
No reduction in setbacks sproposed.
minimLrn required setbacks.
7. An elimination of project amen�tierScreeni g;e than �or Landwhere scaping previously
provisions;
provided, such as. Recreational Facilities;
and
The proposal is to provide a cover for the existing play area. Since this project is not a
multi-family use, this criterion does not apply.
g. A 10% incrE3se in the approved density.
This proposal is to expand the existing Church/School facility and does not include a
residential development. Therefore, this standard does not apply.
This request is determined to be a Minor Modo e�Minor Modificat on of this to an existinConditional t onal Use
Use. The
Director's designee has determined that theo
p p
is in compliance with all applicable 1guirements 8.330 020.Af ofithetle, and the Tiga d Development iCode.not
Therefore,
modification as defined in
Subsection pro
posed.
this request has been approved, as p
If you need additional information or have any questions, please feel free to call me at
(503) 639-4171, ext. 317.
Siicerely,
e`w cheidegger
Assistant Planner
I:\curr1\Mathew\m1f imod\2000-00003
c; 2000 Planning Correspondence File
MMD2000-00003 File
Land Use File CUP89-02
June 7, 1999
Mr. Thomas P. Frisinger COY OF 11GARD)
Tigard Assembly of God OREGON
11265 SW Gaarde Street
Tigard, OR 97224
RE: Minor Modification (MMD 1999-00005) for the Tigard Assembly of God Church
11265 SW Gaarde Street; WCTM 2S103DC, Lot 1000
Dear Senior Pastor Frisinger:
This letter is in response to your request for Minor Modification approval to erect a 1,981 square
foot structure over the playground located at the Tigard Assembly of God Church at 11265 SW
Gaarde Street, in the Low-Density Residential (R-3.5) Zone.
Section 18.330.020.C.2 states that a request for approval of a Minor Modification shall be-
approved, approved with conditions or denied following the Director's review based on findings
that all applicable provisions of the Development Code are met and that the proposal is not a
Major Modification. A Major Modification is processed as a new Conditional Use Permit. Section
18.330.020.13.2 provides that the Director shall determine that a Major Modification(s) will result
if one (1) or more of the following changes are proposed:
1. A change in land use. The structure will make an existing play area usable during
inclement weather. No change in use is proposed as part of the modification. Therefore,
this criterion in not triggered.
2. A 10% increase in dwelling unit density. No dwelling units are existing or proposed;
therefore, this criterion does not apply.
3. A change in the type and/or location of access ways and parking areas where off-
s,te traffic would be affected. The proposal will not alter access ways or parking areas,
therefo,e, this criterion does not apply.
4. An increase in the floor area proposed for a non-residential use by more than 10
percent where previously specified. The Tigard Community Development Code
Section 18.26.030 defines "floor area" as the gross horizontal area of all floors of a
building. The pmnosed modification will involve the placement of a 1,981 square foot
free-standing membrane structure over an existing play area, which is less than 10
percent of the existing church facility that contains approximately 20,340 square feet.
Therefore, this criterion is not triggered.
5. A reduction of more than 10 percent of the area reserved for common open space
and/or usable open space. The proposal is not a multi-family project. Therefore, this
criterion is not triggered.
13125 SW Hall Blvd„ Tigard, OR 97223 (.503)630-4171 TDD(503)684-2772
Page 1 of 2
6. A reduction of specified setback requirements by more than 20 percent. The
setbacks of the existing structures and the proposed structure exceed the setback
requirements. The applicable setbacks of a religious institution include a front yard
setback of 25 feet, a rear yard setback of 20 feet and a side yard setback of 20 feet. As
the site plan indicates, the proposed structure will be situated within the existing
playground, well outside the required setbacks. Therefore, this criterion is not triggered.
7. An elimination of project amenities by more than ten percent where previously
specified, such as: a. Recreational facilities; b. Screening; or, c. Landscaping
provisions. The proposal is to provide a cover for the existing playground. Since this
project is not a multi-family use, this criterion is not triggered.
8. A 10 percent increase in the approved density. 'This proposal is for expansion of a
church facility and does not include residential development. Therefore, `.his criterion
does not apply.
This request is determined to be a minor modification to an existing conditional use. Pursuant
to Section 18.330.060.0., the Director's designee has determined, based on the above findings,
that the proposed modification is not a major modification. It does not violate any code
provisions.
THIS PROPOSED MINOR MODIFICATION IS, THEREFORE, APPROVED.
Please provide a copy of this letter when applying for permits, if required. There is a fee for
required permits. Please contact the Development Services Division for information on permits
and current fees.
If you need additional information or have any questions, please feel free to call me at
(503) 639-4171, extension 317.
Sincerely,
Doris Michael
Associate Planner
I:\curpl\doris\minmod\tiigrdassernblycupmirn,iod.doc
c: 1999 Planning correspondence file
CUP 89-00002 Land use file
6/7/99 Thomas Frisinger Letter Page 2 of 3
Re: Tigard Assembly of God Minor Mod. Approval to,add a Playground Cover