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Permit (33) CITY OF TIGARD BUILDING PERMIT IN ' COMMUNITY DEVELOPMENT Permit#: BUP2018-00027 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 05/16/2018 T f C.A I%Dg Parcel: 2S104AB04700 Jurisdiction: Tigard Site address: 13401 SW BENISH ST Project: Our Redeemer Lutheran Church Subdivision: None Lot: None Project Description: Foundation for a new 1,792 sq.ft.modular daycare facility. Contractor: MODERN BUILDING SYSTEMS INC Owner: OUR REDEEMER LUTHERAN CHURCH PO BOX 110 13401 SW BENISH ST AUMSVILLE, OR 97325 TIGARD, OR 97223 PHONE: 503-749-4949 PHONE: FAX: 503-749-4950 Specifics: FEES Description Date Amount Type of Use: COM Class of Work: NEW Type of Const: VB Permit Fee-Additions,Alterations, 05/16/2018 $564.15 Demolition Occupancy Grp: E Occupancy Load: 89 12%State Surcharge-Building 05/16/2018 $67.70 Dwelling Units: 0 Plan Review 02/20/2018 $366.70 Stories: 1 Height: 15 ft DC Provision Review,COM New-Bldg 05/16/2018 $180.50 Bedrooms: 0 Bathrooms: 2 Info Process/Archiving-Lg$2.00(over 05/16/2018 $2.00 Value: $35,000 11x17) Info Process/Archiving-Sm$0.50(up to 05/16/2018 $20.00 11x17) Floor Areas: Erosion Control w/Development 05/16/2018 $107.60 Total Area: 0 Accessory Struct: 0 Basement: 0 Carport: 0 Covered Porch: 0 Deck: 0 Garage: 0 Mezzanine: 0 Total $1,308.65 Required: Required Items and Reports(Conditions) 1 Ersn Cntrl 503-639-4175 Fire Sprinkler: Parapet: Fire Alarm: Yes Protected Corridors: Smoke Detectors: Manual Pull Stations: Accessible Parking: 0 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules ar- s=t forth in OAR 952-001-0010 through OAR 9 001-0090. Yo may obtain a copy of the rules or direct questions to OUNC by calling 503.2 98 •r 1.800.332.2344 Issued By: / ,. Permittee Signature: ✓�,�%� Call 503.639.4175 by 7:00 a.m.for the next available inspection date. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. Building Permit Application Commercial FOR OFFICE USE ONLY Cityof Tigard Received F g Date/B ...4".. 1/ Permit No.: �` t 13125 SW Hall Blvd.,Tigard,OR 97223 ECi"'s' Plan Review Phone: 503.718.2439 Fax: 503.598.1960 +� . �: Date/B : S. Iani Other Permit: TI G A R D Inspection Line: 503.639.4175Date Ready/By: � H See Page 2 for Internet: www.tigard-or.gov $gyp B 2 0 2018Notified/Method:S " i i Supplemental Information of A i 4142A/ TYPE'OF L 4,I ,,, qq�� _ 4�1 DATA:I-ANTI T.^F`,+�3lIIlri��t VI'ELIr�TG "fie „. ew construction 0 Demolition w. l, , .I Permit fees*are based on the value of the work performed. Indicate the value(rounded to the nearest dollar)of all ❑Addition/alteration/replacement 0 Other: equipment,materials,labor,overhead,and the profit for the - CATEGORY'OF c slRUCITO work indicated on this application. El1-and 2-family dwelling CommercialIindustnal Valuation: $ ❑Accessory building 0 Multi-family Number of bedrooms: ElMaster builder 0 Other: Number of bathrooms: JOB S111, INFORMATION AND LOCATION Total number of floors: Job site address: 3.41101 ,.,) 113C-).A6-1 cf New dwelling area: square feet City/State/ZIP: 1-1/4;39D, I p(L 1122_3 Garage/carport area: square feet Suite/bldg./apt.no.: Project name: /cue. (�� HI Covered porch area: square feet Cross street/directions to job site: 5w \�,/j�•! �" A t( I`►ii-51-• Deck area: square feet � Other structure area: square feet r4,:f iif :,. fi : ,, REOU DAT, Coo C1 ,L-IUSE CHECKLIST Subdivision: i y VittRa l 7 Lot no.1, Permit fees*are based on the value of the work performed. Indicate the value(rounded to the nearest dollar)of all Tax map/parcel no.: ZS%. 4 04500 „ equipment,materials,labor,overhead,and the profit for the Ste BESCRIPTION01RK' work indicated on this application. cation.O51Valuation: $ 3 St or1- prl,._ 7 10Ai iq_ Moogi„/A. _ C sibA C•• it1 CA0 ©4 -M w Existing building area: square e feet New building area: (--7-1 square e feet ElPROPERTY O*NE , f TE%ANF ': Number of stories: Name: Type of construction: `ft Address: Occupancy groups: f City/State/ZIP: Existing: Phone ( ) Fax ( ) New: APPLICANT ❑.CONTACT PERSON (,Please refertufeesckei4tr Business name: tAto \A1��( l51 �� i ��, Structural plan review fee(or deposit): Contact name: 1�t�4 J 12p6t 1 ,r7.1`'1 FLS plan review fee(if applicable): Address: p.o. 'k \\o Total fees due upon application: City/State/ZIP: AuMS‘.)\LL , )0G-- CI-736 Phone:( ,) -74,1- 4 /i- Fax::(s3) -74(1-4150 Amount received: E-mail OV'OLTAIc I AR P NEL SYSTEM FEES* NTIRACT �L^. ' Commercial and residential prescriptive installation of ,;� � � CO © roof-top mounted Photovoltaic Solar Panel System. Business name: Ma": igyl�,16 cts�S Submit two(2)sets of roof plan with connection details Address: "," N 7 and fire department access,along with the 2010 Oregon 0,16)X \rh Solar Installation Specialty Code checklist. City/State/ZIP: /�' Permit fee(includesplan review ty A.,,t\ 11 t 1A>c OIL e7 $180.00 f and administrative fees): Phone:( v 3)7-99-444q F •( .),) 749-4q(0 State surcharge(12%of permit fee): $21.60 CCB li • e- 4(03 Total fee due upon application: $201.60 Authorized signature: '177 Total permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name:rlukt4 U Date: 17),q)1) * Fee methodology set by Tri-County Building Industry Service Board. . I:\Building\Permits\BUP-COM PermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) City of Tigard r COMMUNITY DEVELOPMENT DEPARTMENT 11111 T 1 G A R D Building Permit Review — Commercial - With Land Use Building Permit #: 8 o i r. 7 Site Address: 13101 S\,./ PeiiA Cf. Suite/Bldg#: Project Name: (OJT r1t6twiv Li.-IvrAn (\u4 (Name of commercial business occupying the space. If vacant,enter Spec Space.) Planning Review ` Proposal: "Alli 2,32,3x-�� `'f pa I A�� 1 Cay C luc �' �� ' Cc{Ur Curs. TI � c� M i,,.ilI MliTerify site address/suite# exists and active in permit system. [2 t:ver Terrace Neighborhood: ❑ Yes 0/'1\To IQ Lind Use Case#: IlhU2,013 -Oc001 IR/Plans Match Approved Land Use: Site Plan 6 Landscape Plan OF Other: _/ 01- Urban Forestry Plan id Elevation Plan LJ Building Height: Maximum Height LIAc pal Height I S Conditions Met: ❑ Prior to Submittal L+�1 Prior to Permit Issuance [1 Business Licen : Exists: Of Yes ❑ No,applicant notified to obtain business license [J' Public Facilities Improvement(PFI) Permit: Required: ❑ Yes, applicant was notified [ No Applied For: ❑ Yes ❑ No, stop intake Notes: Approved by Planning: LtjL-- Date: 2,--1,--ii Revisions (after Building Submittal only) Reviewer Date Revision 1: E Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved Building Permit Submittal Original Submittal Date: #/ /i 1/ Site Plans: Building Plans: #14r,�— Building Permit#: building permit#above. ildi Workflow Routing: ,_Manning 0''IJ ngineering Coordinator 31-15.-----1ng Workflow Sign-off: L�+S S -off for Planning(include notes from planning review) Route Application Documents: L3'Building: original permit application, site plans,building plans,engineer and beam calculations and trust details,if applicable,etc. Notes: By Permit Technician: a-?' Date: A67/44 Jt 4 I:\Building\Forms\B1dgPermitRvw_COM_WithLandUse 060116.docx Engineering Review ❑ Slope at building pad: ❑ PFI Permit#: ❑ Conditions "Met"prior to issuance of building permit pstements (encroachments)per engineering conditions of approval andplat (not typical on SDR/CUP) er Quality/Quantity Facility: ,/ Assess Water Quality Fee in-lieu: ❑ Yes •CJ No Assess Water Quantity Fee in-lieu: ❑ Yes .r No LIDA Facility on lot: ❑ Yes ,iNo ! � ) ,�NOT Appro•e. e y E•gi eeri :: 45�,;, /. . /' 11)4 ) I P'dl- ' ►d ate t" s ' 'Ay, �- .�!��: Notes: . '! I R, / ,p, JI,,, �, a VZ ' „ A-t- 1) • sn- Date: Approved by Engineering: Revisions (after Building Submittal only) / //'' Reviewer ate Revision 1: Approved ❑ Not Approved Al/kC. ti k I Tr. cS /e Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved Permit Coordinator Review ❑ Conditions "Met"prior to issuance of building permit ❑ Approved,NOT Released: Date: Notes: Revisions (after Building Submittal only) Revision Notice 1: Date Sent to Applicant: Revision Notice 2: Date Sent to Applicant: Revision Notice 3: Date Sent to Applicant: C Fees Entered: Wash Co Trans Dev Tax: ❑ Yes N/A Tigard Trans SDC: ❑ Yes N/A Parks SDC: ❑ Yes N/A OK to Issue Permit 7 pproved by Permit Coordinator: i ate: I `s r 7 )K-- Pt-441/4-J. N E •S 5 •+1 w a -- £ Gv c-14-1-7,6,0-S J '', I,) c i:\Building\Forms\B1dgPermitRvw_COM_WithLandUse_070915.docx Z�I'1 W