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Permit (95) CITY OF TIGARD COMMERCIAL MANUFACTURED STRUCTURE PERMIT 114 • COMMUNITY DEVELOPMENT and OR 97223 503.718.2439 13125 SW Hall Blvd.,Ti Permit#: CMS2018-00001 TI[ ;tiht7 9 Date Issued: 05/16/2018 Parcel: 2S 104AB04700 Site address: 13401 SW BENISH ST Jurisdiction: Tigard Project: Our Redeemer Lutheran Church Subdivision: None Lot: None Project Description: 1,792 sq.ft.modular classroom. 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 FEES Specifics: Description Date Amount Type of Use: COM MH State Admin 05/16/2018 $30.00 Class of Work: NEW Type of Const: VB MH BLD Permit 05/16/2018 $275.50 Occupancy Group: E 12%State Surcharge-Building 05/16/2018 $33.06 Stories: 1 Height: 15 ft Project Valuation: $0.00 Floor Areas: First Floor Area: 0 Second Floor Area: 0 Third Floor Area: 0 Total Area: 0 Required Setbacks: Left: 0 Right: 0 Front: 0 Rear: 0 Required: Parking Spaces: 0 Fire Sprinklers: No Total $338.56 Smoke Detectors: Yes Party Wall: No Required Items and Reports(Conditions) This permit is issued subject to the regulations contained in the Tigard Municipal Code,State of OR.Specialty Codes and all other applicable law. All work will be done in accordance with approved plans.This permit will expire if work is not started within 180 days of issuance,or if work is suspended for more the 180 days.ATTENTION:Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules ar= et forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.23 .1987 or 1.800.332.2344 Ael 41, Issued By: i2!li� �/�G� c Permittee Signature: , ` Call 503.639.4175 by 7:00 a.m.for the next available inspection date. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. Manufactured Dwelling - mwszmommi Placement Permit Applicatio$ f E E . City of T1 and Received J g Date/By: ! a Permit Na: /' ) t ry 1,1 • 13125 SW Hall Blvd.,Tigard,OR 97223 r.. t 471-- �J 4/ "'v"'�" t ' 0Plan Review 1 Phone: 503.718.2439 Fax: 503.598.1960+E B Date/By: �s 8 Other Permit: T TGA RI) Inspection Line: 503.639.4175 Date Ready/By: kris. 0 See Plan Submittal Internet: www.tigard-or.gov ' T`�+ N *� Notified/Method: . Requirements .,1 O 1. > rk 5 /� g ,fit -[o JOB SITE IINFORM,=.Tlw,l`. OWNER INFORMATION Site Address: ‘S \ .7 C-rii i\ t Name: /� z. -=t.7 (� X1-1--L , Park Name: 0/A lJ�� Subdivision&Lot#: ��-� ,�� p t�` _100, Address: 34 0` S-, &,,,„„z_47_ H ...,T--- Directions to inspection site: City: Z.c.e-' i7 I Statecv_ IZIP:Q.-7 Z•� E Phone:5 _C-z L1 _f uFax: l.- Is property inside city limits? "Yes 0 No E-mail: Jam) 1 �P �( Lo LOCAL GOVERNMENT APPROVALS onin Sanitation Signature: .tIA Signature: Jurisdiction: L i at -�`�a Jurisdiction: rix Date: 2:1,i)-- g Date: MANUFACTURED DWELLING PLACEMENT PERMIT FEES Cost(each) No.of Sum (1) Installation/re-inspection Items (a) Placement(includes placement,electrical feeder,30'of water/sewer connection). $ 275.50 ( $ S (b) State surcharge at 12%(of placement fee only)• $ 33.06 (b) Re-inspection(includes inspection and 12%state surcharge). $ 100.80 $ Placement permit to be obtained only by homeowner,or Oregon-licensed manufactured dwelling installer. (2) Electrical (a) Service and/or feeder(new service installation or alteration/relocation of existing service). $ See Electrical Permit Application Electrical service permit to be obtained only by homeowner performing work or signing supervisor of Oregon-licensed electrical contractor performing work. (3) Plumbing (a) New water service(for services over 30 lineal feet)• $ See Plumbing Permit Application (b) New sanitation/storm sewer or rain drain(for services over 30 lineal feet). $ See Plumbing Permit Application Plumbing permit to be obtained only by homeowner performing work or Oregon-licensed plumbing contractor performing work. (4) Miscellaneous fees (a) Administrative fee(State of Oregon). $ 30.00 $ (b) System development fees(sewer connection,storm water,parks development&traffic impact). $ See Permit&System Development Fees SUB-TOTAL $ SET-UP OR INSTALLATION CONTRACTOR APPLICANT Name: or Name: Address: cALAq c7 Address: City: cut.A�4 State: ��, 1 ZIP:1 375-- City: I State: I ZIP: Phone:6,3_-NkC_ACI+, l�, Fax:Sc3 _ 3.\C-`-9 50 Phone: I Fax: CCB No.: Lk '3 MDI No.: \ E-Mail: kvdCL*.W“ CI KO9Ei &t<ZDP-t:--S\S r r✓-C (o f,* SKIRTING CONTRACTOR Name: _ I hereby certify that the ' formation above is true and correct. =, 'CZ-,t_.- All work to b, s-r •r d s'all be in accordance with all Address: governing aw , - ul'.. City: State: ZIP: Phone: Fax: Authorized Signa,.re Date - ' CCB No.: I MDI/LSI No.: Print Name: /4 i'LA,t, s I:\Building\Permits\SPM-PermitApp.doc 10/16/2014 14 Of Building Permit Application Plan Submittal Requirements TIGARD Manufactured Dwelling 1. SITE PLAN-Three (3) copies, fully dimensional and drawn to scale,labeled with: A. ❑ map &tax lot# ❑ subdivision name ❑ subdivision lot# ❑ site address ❑ zoning ❑ applicant name ❑ phone number Size requirement: 8-1/2"x 11", to a maximum 11"x 17". All details listed below shall be incorporated into the site plan: B. North arrow. C. "Drawn to scale"indicates standard architect or engineer scale. D. Footprint of structure,including accessory structures,garage,carport and decks shall reflect actual building dimensions,including retaining walls. E. Finished floor elevations, all levels. F. Garage finished floor elevation. G. Corner lot elevations. If more than 4 feet elevation differential,plan must show contour lines at 2-foot intervals. H. Location of all cuts and fills on the lot. I. Driveway corner elevations. J. Zoning setbacks (front, side and rear). K. The location of all public and private easements. L. The location,termination, and all invert elevations of all drainage piping(sanitary and storm) showing all elevations necessary to show positive gravity flow to the approved drainage device (i.e. peepholes, storm lateral, sanitary lateral). M. Residential driveways, sidewalks will be shown on site plans and will be in accordance with the City of Tigard standards. Driveway cuts shall not be permitted within 30 feet of intersecting right-of-way lines,nor within 6 feet of property lines. Weep holes/drain pipes will be installed 6 feet from adjoining property lines. Multiple driveways on individual parcels of land must have 30 feet of separation;joint-use driveways require a formal agreement. N. Show all erosion control devices proposed for site. Contact Clean Water Services (CWS) at 503-681-5113 for assistance. 0. Show location of existing facilities and new or relocated structures (utilities,well/septic systems,mailboxes, power poles,water meter,light pole, stop sign, etc.). P. Indicate property slope directions. Q. Existing and finished contours when slope in any direction exceeds 20% (additional requirements may apply- see grading policy). R. Site plan to include tree size,type and location per approved project street tree plan (if applicable),and City of Tigard Street Tree List. S. Site plan to include trees and tree protection measures as required by conditions of approval. Tree locations, driplines,and protection measures must be drawn to scale and must include the project arborist's signature of approval. 2. BUILDING PLANS-Three (3) full sets for illustrating the manufactured dwelling foundation or basement construction (no redlines or tape-ons accepted). Size requirement: up to 24"x 36"maximum, folded into eighths (9"x 12")with the plans inside. No rolled, reversed or mirrored plans will be accepted. All details listed below shall be incorporated into the building plans: A. Scale (architectural or engineering only). B. Cross sections of the manufactured dwelling foundation or basement(every set of plans shall contain a minimum of two cross sections at mid-point of each direction). C. Exterior elevation (all views shall be shown). D. Basement wall,foundation and retaining wall sections. E. Documentation by manufacturer indicating that manufactured dwelling roof can support over-framing of garage roof. F. Driveway construction. I:\Building\Permits\SFM-PermitApp.doc 10/16/2014 . Branden Taggart From: Branden Taggart Sent: Thursday, February 22, 2018 3:28 PM To: 'Alan Rasmussen' Cc: #Building Permit Technicians Subject: FW: Fee Estimate - 13401 SW Benish St - Lutheran Church Attachments: SFM_PermitApp 061815.pdf; LutheranChurch_BldgPermitEstimate_101617.pdf; LutheranChurch_Estimate_101617.pdf; BU P_COM_PermitApp.pdf; PLM U_PermitApp.pdf; SIT_PermitApp_080216.pdf Importance: High Hi Alan, Regarding the church daycare facility, we will need to receive the site work permit and (3) sets of plans to complete plan review for the other permits you submitted. Also, since there is over 1,000 sq. ft. of new impervious area, we will need to receive (2)sets of storm water calculations along with the site work permit to address water quality for the site. For further details pertaining to water quality,you may contact Mike White by calling his cell phone at(503) 804- 0658. Furthermore,the plumbing site utilities permit application will need to be submitted with the site work permit, even if you do not know who the contractor will be at the moment. I have attached the site work permit application above that lists all of the requirements for submittal. If you have any questions about this process, please let us know. Thank you, Branden Taggart Oh_. ..r City of Tigard Senior Permit Technician Community Development TIGARD 13125 SW Hall Blvd Tigard,OR 97223 (503)718-2449 b randent©tigard-o r,gov From: Branden Taggart Sent:Thursday, February 8, 2018 3:55 PM To: 'Alan Rasmussen' <arasmussen@modernbuildingsystems.com> Cc:#Building Permit Technicians<TigardBuildingPermits@tigard-or.gov> Subject: FW: Fee Estimate- 13401 SW Benish St- Lutheran Church Hello Alan, I noticed that we sent you the below email estimate with a valuation of$35,000.00 for the Lutheran Church located at 13401 SW Benish St. In your previous email,you mentioned the valuation was$40,000. What is the valuation for the site work? Is the site work valuation going to be $20,000.00? , Thank you, 1 Branden Taggart 4 City of Tigard Ip dJ.= Senior Permit Technician Community Development r WARD 13125 SW Flail Blvd Tigard,OR 97223 (503)718-244* bra rid a nt©tigard-o r.g ov From: Dianna Howse Sent: Monday, October 16, 2017 3:01 PM To: 'arasmussen@modernbuildingsystems.com' <arasmussen@modernbuildingsystems.com> Cc:#Building Permit Technicians<TigardBuildingPermits@tigard-or.gov>;Albert Shields<albert@tigard-or.gov> Subject: Fee Estimate - 13401 SW Benish St- Lutheran Church Hello Allen, Per your request, I have attached the following files: • Manufactured Placement Permit Application with the following permit fees: o Placement= $275.50 (includes placement, electrical feeder, 30' of water/sewer connection) o 12%State Surcharge =$33.06 o Administrative fee= $30.00 o Total permit fee=$338.56 • Building permit fee estimate for a project valuation of$35,000 • Sewer system development fee estimate for additional plumbing fixtures at this site • Building permit application for construction of foundation and access • Plumbing Site Utilities permit application for water/sanitary/storm lines beyond 30' The project description includes the placement of a new 28'x 64' manufactured structure for the use as a daycare facility. A daycare already exists in the church building, and this would be for(2)additional classrooms and bathrooms for daycare use. I have copied Albert Shields, Permit Coordinator, on this email so that he can provide you with an estimate for transportation and parks SDC fees that might be assessed based on the additional added space for daycare at this location, 13401 SW Benish St. Our office is open for submittals Monday-Thursday, 8:00 am to 4:00 pm, we are closed on Fridays. The plan review fee (see building permit estimate) for the building permit will be required at submittal, along with (3) sets of plans (see building permit application for submittal information). For the remaining permit applications, we do not collect a submittal fee as all fees are collected when the permit is ready to be issued. Thank you and please let me know if you have any questions. Dianna L. Howse Building Division Services Supervisor City of Tigard I Community Development 13125 SW Hall Blvd I Tigard, OR 97223 503-718-2430 Direct 1503-718-2439 Permits DISCLAIMER: E-mails sent or received by City of Tigard employees are subject to public record laws. If requested, e-mail 2 may be disclosed to another party unless exempt from disclosure under Oregon Public Records Law. E-mails are retained by the City of Tigard in compliance with the Oregon Administrative Rules"City General Records Retention Schedule." 3 City of Tigard r COMMUNITY DEVELOPMENT DEPARTMENT TIG A ri D Building Permit Review — Commercial - With LandUse Building Permit #: _Qv sa ', i Site Address: 13'401 S k.,.I 0e/1i-A V. Suite/Bldg#: Project Name: Off tul.ttnu" LAVhn C.. 1 h (Name of commercial business occupying the space. If vacant,enter Spec Space.) Planning Review II I r Proposal: 411 23x6](1 I pil A ti tvI lJL C�afcm U,., G',--t) cn d-6') 1„,41 4erify site address/suite#exists and active in permit system. ir,dver Terrace Neighborhood: 0 Yes No ler E, L/nd Use Case#: �MpLO($-0000(1 1111./Plans Match Approved Land Use: Lel Site Plan 6 Landscape Plan Other: �, Urban Forestry Plan Elevation Plan LTJ Building Height: Maximum Height 4S Ac al Height Conditions Met 0 Prior to Submittal g ,5 —/ us Prior to Permit Issuance [? Business Licen� xists: Di Yes 0 No,applicant notified to obtain business license Cif blic Facilities ties Improvement(PFI) Permit: Required: 0 Yes,applicant was notified I:i No A lied For: Notes: PP Yes 0 No,stop intake Approved by Planning: Lei CO_ �'". Date: 2,--Zdif Revisions (after Building Submittal only) Revision 1: 0 A d Reviewer Date PProve ❑ Not Approved Revision 2: 0 Approved 0 Not Approved Revision 3: 0 Approved 0 Not Approved Building Permit Submittal Original Submittal Date: /3 j/ , Site Plans: # Building Plans: 17-----Building Permit#: r building permit#above. Workflow Routing: ,,�� __���� Iu�Plammrig fg-"F,ngineering Coordinatorg Workflow Sign-off: 121.w. -off for Planning(include notes from planning review) Route Application Documents: `J f using: original permit application,site plans,building plans,engineer and beam calculations and trust details,if applicable, etc. Notes: By Permit Technician: MOW `, Date: I:\BuildineForms\BldgPermitRvw COM_WithLandUse 060116.docx Engineering Review ❑ Slope at building pad: ❑ PFI Permit#: O Conditions"Met"prior to issuance of building permit Watercements (encroachments)per engineering conditions of approval and plat(not typical on SDR/CUP) Quality/Quantity Facility: Assess Water Quality Fee in-lieu: 0 Yes eNo Assess Water Quantity Fee in-lieu: 0 Yes .r No LIDA Facility on lot: 0 Yes ,12-"No 1 ��. '►AV . 5 ;ate � ,, �+> ,Ap 0NOT Appro•e yE. _i1eeri •• "J�,t1 4 I A 4 )� e , .." , , No I, . 1,, AlfrAMMAIIPArr ir Am t, Mair4 IA."' Date: Approved by Engineering: Reviewer ate Revisions (after Building Submittal only) kik I TL 5-- f Revision 1: Approved 0 Not Approved Revision 2: 0 Approved 0 Not Approved Revision 3: 0 Approved ❑ Not Approved Permit Coordinator Review 0 Conditions"Met"prior to issuance of building permit Date: ❑ Approved,NOT Released: 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: Wash Co Trans Dev Tax: 0 Yes N/A 10 C Fees Entered: Tigard Trans SDC: 0 Yes N/A Parks SDC: 0 Yes ZOKto Issue Permit L`�ate: /0 /41 � pproved by Permit Coordinator: Lt.24-74g- Q.L-) 41- i ri -TO 0 t-- -14W15-J3)3a‘i nlj I 4,046-K-- PIA*J. N w -e... 6.v c.fi-rum IA) ( I:\Building\Fonns\BldgPermitRvw_COM withLandUse 070915.docx L Le7