Permit CITY OF TIGARD BUILDING PERMIT
1114
S. COMMUNITY DEVELOPMENT Permit#: BUP2019-00322
Date Issued: 02/05/2020
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439
Parcel: 2S 104AB04700
Jurisdiction: Tigard
Site address: 13401 SW BENISH ST
Project: Our Redeemer Lutheran Church Subdivision: None Lot: None
Project Description: A new 188 sq.ft. covered walkway accessory structure.
Contractor: OWNER Owner: OUR REDEEMER LUTHERAN CHURCH
13401 SW BENISH ST
TIGARD, OR 97223
PHONE: PHONE:
FAX:
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: VB Permit Fee-Additions,Alterations, 02/05/2020 $119.33
Demolition
Occupancy Grp: U Occupancy Load: 0 12%State Surcharge-Building 02/05/2020 $14.32
Dwelling Units: Plan Review 11/27/2019 $77.56
Stories: Height: ft Info Process/Archiving-Sm$0.50(up to 02/05/2020 $1.00
Bedrooms: Bathrooms: 11x17)
Value: $2,500
Floor Areas:
Total Area:
Accessory Struct:
Basement:
Carport:
Covered Porch:
Deck:
Garage:
Mezzanine:
Total $212.21
Required: Required Items and Reports(Conditions)
Fire Sprinkler: Parapet: 1 Special Inspection(see plans)
Fire Alarm: Protected Corridors:
Smoke Detectors: Manual Pull Stations:
Accessible Parking:
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 are set forth in OAR
952-001-0010 through OAR 952-001-0090. You m obtain a copy oft rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: 0111:(/4Permittee Signature: I
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.
w
Building Permit Application
Commercial FOR OFFICE LSE O\l.A
City of Tigard Received J permit No.
g C r V Date/B : f` 27 f
13125 SW Hall Blvd.,Tigard,OR 9722 L V�' ` �� Plan Review
Phone: 503-718-2439 Fax: 503-598-1960 Date/By: ) .4 ' J Related Permit: Epoldif;:0364719Y�
T I G A R D Inspection Line: 503-639-4175 NOV 2 7 2019 Date Ready/By: /G 7u*ls_ ® e2 for
Internet: www.tigard-or.gov Notified/Method:/Z//7 // 7,'� Supplemental Information
_ j,,ITY OF TIGARD j1-7. ,.L,. Lc e-.ev-S
TYPE OF WOUitII-�hlIIVIi�)l y REQUIRED DATA:1-AND 2-FAMILY DWELLING
❑New construction 0 Demolition Permit fees*are based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
g,Addition/alteration/replacement ❑Other: equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
El I-and 2-family dwelling d Commercial/industrial Valuation: $
ElAccessory building ❑Multi-family Number of bedrooms:
ElMaster builder 0 Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: /3 y D/ /W 4,X vo is- Y I SY New dwelling area: square feet
City/State/ZIP: rl(�"„ j'-7 a..j� �� / Garage/carport area: square feet
Suite/bldg./apt.#: � Project name:�,0-1/'f ut c*„.Ai / 5'4t d,,,R" Covered porch area: square feet
Cross street/directions to job site: S'7,4/ („),,,rA,t.,- 1}, e'�a-resf- Deck area: square feet
72 IS 571reerkOther structure area: square feet
REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision: Lot#: Li,7 'D Permit fees*are based on the value of the work performed.
Tax map/parcel#: S �y Indicate the value(rounded to the nearest dollar)of all
equipment,materials,labor,overhead,and the profit for the
DESCRIPTION OF WORK work indicated on this application.
Valuation: $ Z,� 0
1�'�w �Jee--sj�-�„�iv/1 �U1�. srd.��wgl� ��`�'�nee
CfmA/`PiVI 17 Y u//I7�Yl 74 /(.t bpi / pi / e-y� , Existing building area: square feet
/?9-6 _chi j�/��i 9�-n( /' 7 New building area: �� square feet
J PROP'ERTY OWNER Jf TENANT Number of stories:
Name: Ij.cam (-Ue' .wL (,�/t f.�-(7N"t Type of construction:
Address: /3 Y8/ $L'J I 18--k S— Occupancy groups:
City/State/ZIP: Ti?x,ret OR q7.)_.)3 Existing:
Phone:$-o) ) S2 !-6G(16 Fax:( ) New:
11 APPLICANT 0 CONTACT PERSON BUILDING PERMIT FEES*
—"" (Please refer to fee schedule)
Business name:
-- Structural plan review fee(or deposit):
Contact name:D ) /C1n
/3 l��� � FLS plan review fee(if applicable):
Address:
Total fees due upon application: it-77 5
City/State/ZIP: 7'-i C/ -.:2-D--3
Amount received:
Phone:(9,),3 ) 3-- 6 930 Fax::( )
E-mail: U ( ,^ 0Imo,el 6�n) (i , �� PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
CIF' Commercial and residential prescriptive installation of
CONTRACTOR roof-top mounted Photo Voltaic Solar Panel System.
Business name: (J - { C(C ✓ \C tl Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
Address: 3 of/vvLe 0. c a,(5,..th„ Solar Installation Specialty Code checklist.
City/State/ZIP: (( t l Permit fee(includes plan review $180.00
and administrative fees):
Phone:( ) (( li Fax:(/ , ) State surcharge(12%of permit fee): $21.60
CCB Lic.: NA --l/6 - kui // Total fee due upon application: $201.60
Authorized signature: / This permit application expires if a permit is not obtained
«LCC.���
within 180 days after it has been accepted as complete.
Print name: Qom,,o� -(ct S 6 [ Date: ((_Z7—/ 1.' * Fee methodology set by Tri-County Building Industry
�l Service Board.
I:\Building\Permits\BUP_COM_PermitApp.doc Rev.04/21/2014 440-4613T(I 1/02/COM/WEB)
City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT
Accessibility: Barrier Removal Improvement Plan
• Commercial & Multi-Family - Additions or Alterations
TIGARD 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov
REQUIREMENT: OREGON REVISED STATUTE (ORS) 447.241.
(1) Every project for renovation,alteration or modification to affected buildings and related
facilities shall be made to insure that the path of travel to the altered area and the restroom,
telephones and drinking fountains are readily accessible to individuals with disabilities unless
such alterations are disproportionate to the overall alterations in terms of cost and scope.
(2) Alterations made to the path of travel to an altered area may be deemed disproportionate to
the overall alteration when the cost exceeds twenty-five percent(25%).
VALUATION: Total of all renovation,alteration or modification being done,
excluding painting and wallpapering: [1] $
MULTIPLIER(25%barrier removal requirement): x .25
TOTAL BUDGET FOR BARRIER REMOVAL: [2] $
ELEMENTS: In choosing which accessible elements to provide under this section,priority shall be given
to those elements that will provide the greatest access. Elements shall be provided in the
following order:
(a) Parking $
(b) An accessible entrance: $
(c) An accessible route to the altered area: $
(d) At least one accessible restroom for each sex or a single unisex
restroom: $
(e) Accessible telephones: $
(f) Accessible drinking fountains: and, $
(g) When possible,additional accessible elements such as storage and
alarms: $
TOTAL(shall equal line [2] of Valuation Computation): $
I:\Building\Permits\BUP_COM_PermitApp.doc Rev.03/05/2019
City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT
Plan Submittal Requirements
Commercial & Multi-Family - New, Additions or Alterations
TIGARD 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov
1. SITE PLAN (3) copies - fully dimensional, drawn to scale and labeled with:
A. ❑ map&tax lot# ❑ project name ❑ site address ❑ suite number
❑ zoning ❑ applicant name ❑ phone number
B. North arrow.
C. Scale (architectural or engineering only).
D. Street names.
E. Setbacks.
F. Parking, including disabled access.
G. Finished floor elevations.
2. EROSION CONTROL PLANS AND DETAILS.
3. BUILDING PLANS: See the "Plan Submittal Requirement Matrix" for the number of
plans required based on submittal type (no redlines or tape-ons accepted).
All details listed below shall be incorporated into the plans:
A. Scale (architectural or engineering only).
B. Foundation plan.
C. Floor plan(s).
D. Cross sections.
E. Reflective ceiling plan.
F. Seismic bracing detail for suspended ceiling.
G. Roof plan.
H. Exterior elevations.
I. Structural calculations, plans, details and specifications.
J. Accessibility barrier removal worksheet.
K. Deposit- based on valuation of project.
I:A Building\Permits\BUP_COM_PcrmitApp.doc Rev.03/05/2019
City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT
Plan Submittal Requirements Matrix
Commercial & Multi-Family - New, Additions or Alterations
TIGARD 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov
Type of Submittal # of Plans
(Includes new, additions and alterations.) Required at
Submittal
Demolition Permit 2
(site plan is required showing location and square footage
of all buildings to be demolished,erosion control plan and
tree protection,if applicable)
Site Work 3
(must include location of all accessible parking)
Plumbing (site utilities) 2
Building 3
Fire Protection System 3
Mechanical 2
Plumbing (building fixtures) 2
Electrical 2
Solar Photovoltaic 2
(Requires check list for prescriptive installation. If not
prescriptive installation,engineering is required.)
Plan review is dependent upon submittal of a completed application and plans.
After plan review approval, the Plans Examiner will contact the applicant to request
additional sets of plans for distribution purposes (for contractor, City of Tigard,Washington
County, and Tualatin Valley Fire & Rescue),if applicable.
I:A Building\Permits\BUP_COM_PermitApp.doc Rev.03/05/2019
City of Tigard
NI
illCOMMUNITY DEVELOPMENT DEPARTMENT
0
T l c AR o Building Permit Review — Commercial - With Land Use
Building Permit #: ff4`p /1—or3d ,
Site Address: I3101 SW n rA ,'f Suite/Bldg#:
Project Name: Oki, IVA.tr.tr LA4krn (Airs - Gtirtk LokLAy
(Name of commercial business occupying the space. If vacant,enter Spec pace.)
Planning Review evireke!� .tc s 1-Y-,a,� 4 a w a , i I ( i
Proposal: Ntv it,-S 4i Ca, S t'it.wAll� S-rvdtt/tt (finv�r+1�^i CiNslr �t�n LI/lv�b4/- 1 ,,.011)
(-al' SL,�AtItS, t n rtt oi` i. J P 7
Lf rify site address/suite#exists and active in permit syste .
L_,/River Terrace Neighborhood: Cl Yes No
EVLLand Use Case#: ( uP 2_O t -OooQ 3
LYPlaanss Match Approved Land Use:
[ "Site Plan ❑ Landscape Plan ❑ Other:
PK❑ Urban Forestry Plan TrElevation Plan
3uilding Height: Maximum Height 30 AAc�Height [ S
LTS Conditions Met: ❑ Prior to Submittal IV Prior to Permit Issuance
Business License:
Fjxists: ❑ Yes ❑ No,applicant was provided a business license application
[' Public Facilities Improvement(PFI) Permit: ,� ��--
Required: CI Yes,applicant was notified [i1' Applied For: ❑ Yes Cl No,stop intake
Notes: /'
Approved by Planning: /LS_ A1k Date: I (,�—H I
Revisions (after Building Submittal only) j Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: ❑ Approved ❑ Not Approved
Revision 3: ❑ Approved ❑ Not Approved
Building Permit Submittal
Original Submittal Date: ///V7/c1
Site Plans: # 3
Building Plans: #
Building Permit#: ente�rbuilding permit#above.
Workflow Routing: Planning Engineering Coordinator EiHreding
Workflow Sign-off: 1:1.. 1-off for Planning(include notes from planning review)
Route Application Documents: [ - g: original permit application,site plans,building plans,engineer and
beam calculations and trust details,if applicable,etc.
Notes:
By Permit Technician: Date;.. 4y/4/y
I: Building Forms BldgPermitRvw COM_WithLandUse_111819.docx
Engineering Review
GVSlope at building pad: 2
❑ PFI Permit#:
QConditions "Met"prior to issuance of building permit
Easements (encroachments)per engineering conditions of approval and plat (not typical on SDR/CUP)
Water Quality/Quantity Facility:
Assess Water Quality Fee in-lieu: ❑ Yes Er/No
Assess Water Quantity Fee in-lieu: ❑ Yes [No
LIDA Facility on lot: ❑ Yes C7"No
❑ NOT Approved by Engineering: Date
Notes:
Approved by Engineering: Date: /2/t-/?,0/g
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
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:
Rev. ion Notice 3: Date Sent to Applicant:
SDC Fes Entered: Wash Co Trans Dev Tax: ❑ YesG�N/A
ze
Tigard Trans SDC: ❑ Yes p
Parks SDC: ❑ Yes
N/A
OK to Issue Permit
Approved byPermit Coordinator: Date: ,Z /�/l�
PP
I:\Building\Forms\B ldgPermitRvw_COM_W ithLandU s e_111819.docx