Permit CITY OF TIGARD BUILDING PERMIT
■'V. COMMUNITY DEVELOPMENT permit#: BUP2020-00090
Date Issued: 04/09/2020
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 parcel: 2S101 DD00400
Jurisdiction: Tigard
Site address: 6825 SW SANDBURG ST 100
Project: Collective Church Subdivision: SALEM FREEWAY SUBDIVISION Lot: 2
Project Description: Removal of interior walls in lobby.
Contractor: JAEGER GENERAL CONTRACTORS Owner: VIGILANT
130 WEST CLACKAMAS BLD 6825 SW SANDBERG ST
GLADSTONE, OR 3/29/2020 TIGARD, OR 97223
PHONE: 503-969-1276 PHONE:
FAX:
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: VB Permit Fee-Additions,Alterations, 04/09/2020 $301.85
Demolition
Occupancy Grp: A-3 Occupancy Load: 299
12%State Surcharge-Building 04/09/2020 $36.22
Dwelling Units: 0 Plan Review 04/06/2020 $196.20
Stories: 0 Height: 0 ft DC Provision Review,COM TI-Ping 04/09/2020 $102.00
Bedrooms: 0 Bathrooms: 0 Plan Review-Fire Life Safety 04/09/2020 $120.74
Value: $15,000 Info Process/Archiving-Sm$0.50(up to 04/09/2020 $4.00
11x17)
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $761.01
Required: Required Items and Reports(Conditions)
Fire Sprinkler: Parapet:
Fire Alarm: 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 are set 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 503.232.1987 or 1.800.332.2344.
1
Issued By: ;6,---r Q. , Permittee Signature: , 67 /
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
City of TigardED t� y Received
lc" Oa, • Permit N°. tl?c) --DD01
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73125 SW Hall Blvd.,Tigard,OR 97223 Plan Revie [�
. Phone: 503-718-2439 Fax: 503-598-1960 NI AR 3 O ZOZO Date By: ` a ' Q Related Permit:
Inspection Line: 503-639-4175 ['�§, Date Ready,By: l kris: ® See Page 2 for
TIGARD Internet: t.J'i www.tigard-or.gov i y OF rlGAF1D Notifjpd/Meth �/� // Supplemental Information
ING—nl\f t..'n`, 1a ..-
TYPE OF WORK REQUIRED DATA:1-AND 2-FAMILY DWELLING
0 New construction ❑Demolition Permit fees*are based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
®Addition/alteration/replacement El Other: equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
❑ 1-and 2-family dwelling ®Commercial/industrial Valuation: $
❑Accessory building ❑Multi-family Number of bedrooms:
❑ Master builder ❑ Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: 6825 SW Sandburg New dwelling area: square feet
City/State/ZIP: Tigard, Oregon Garage/carport area: square feet
Suite/bldg./apt.#: /0 b 1I Project name: Collective Church Lobby Covered porch area: square feet
Cross street/directions to job site: SW 72nd Ave. Deck area: square feet
Other structure area: square feet
REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision: Lot#: Permit fees*are based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
Tax map/parcel#: equipment,materials,labor,overhead,and the profit for the
DESCRIPTION OF WORK work indicated on this application.
Removal of interior walls at the entry to the church Valuation: $ $ 15,000
Existing building area: 24,287 square feet
New building area: 0 square feet
MI PROPERTY OWNER ❑ TENANT Number of stories: 2
Name: Vigilant Type of construction: V-B Fully Sprinklered
_
Address:6825 SW Sandburg Rd. Occupancy group s:
City/State/ZIP:Tigard, Oregon Existing: A-3, B
Phone: ( ) Fax:( ) New: A-3, B
21 APPLICANT ❑ CONTACT PERSON BUILDING PERMIT FEES*
Business name: KASA Architects (Please refer to fee schedule)
Structural plan review fee(or deposit): ` 94, , 20
Contact name: Kevin Saxton
FLS plan review fee(if applicable):
Address:4119 NE Cesar E Chavez Blvd.
Total fees due upon application:
City/State/ZIP:Portland, Oregon 97211
Phone:(503)284-6917 Fax: :( ) Amount received:
E-mail: ksaxton@kasapdx.com
PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
Commercial and residential prescriptive installation of
CONTRACTOR roof-top mounted PhotoVoltaic Solar Panel System.
Business name:Jaeger General Contractors Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
Address: 130 W Clackamas Blvd Solar Installation Specialty Code checklist.
City/State/ZIP: Gladstone, Oregon 97027 Permit fee(includes plan review $I80.00
and administrative fees):
Phone:(503) 969-1276 Fax:( ) State surcharge(12%of permit fee): $21.60
CCB Lie.: 219935 Liz, —
Total fee due upon application: $201.60
Authorized signature: 4.14\ This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: Kevin Saxton Date: March 20, 2020 * Fee methodology set by Tri-County Building Industry
Service Board.
I:ABuildingA Permits yBUP_COM PennitApp.doc Rev.04/21/2014 440-4613T(I1/02/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 he made to insure that the path of travel to the altered area and the restroom,
telephones and drinking fountains arc readily accessible to individuals with disabilities unless
such alterations arc 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] $ 15,000
MULTIPLIER(25%barrier removal requirement): x .25
TOTAL BUDGET FOR BARRIER REMOVAL: [2] $ 3,750
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): $
Please note that the building is fully accessible, and the site has accessible
parking spaces.
A Building\Permits\BUP_COM_PermitApp.doc Rev.03/05/2019