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Permit f a I xu 1 1� OF TIGARD BUILDING PERMIT PERMIT #: BUP2007 -00361 ..- COMMUNITY DEVELOPMENT DATE ISSUED: 7/26/2007 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 1 S 135CB -00300 SITE ADDRESS: 11445 SW TIEDEMAN AVE ZONING: I -P SUBDIVISION: LOT: JURISDICTION: TIG PROJECT: ROOFLIFE OF OREGON Project Description: Warehouse addition and remodel. REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION CLASS OF WORK: ADD FIRST: 144 sf N: S: E: W: TYPE OF USE: COM SECOND: sf PROJECT OPENINGS? TYPE OF CONST: 5N sf N: S: E: W: OCCUPANCY GRP: S1 TOTAL AREA: 144 sf ROOF CONST: FIRE RET? OCCUPANCY LOAD: 8 BASEMENT: sf AREA SEP. RATED: STOR: 1 HT: ft GARAGE: sf OCCU SEP. RATED: BSMT ?: N MEZZ ?: N REQD SETBACKS REQUIRED FLOOR LOAD: psf LEFT: ft RGHT: ft FIR SPKL: SMOK DET: DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP ACC: BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING: VALUE: $ 36,500.00 Owner: Contractor: TIEDEMAN CROSSING LLC COVERT ENTERPRISES INC 11445 SW TIEDEMAN AVE. 979 66TH STREET TIGARD, OR 97223 SPRINGFIELD, OR 97478 Phone: 503 - 925 -0125 Contact #: PRI 541 - 729 - 1649 Reg #: LIC 82272 FEES Description Date Amount REQUIRED ITEMS AND REPORTS [BUPPLN] Pln Rv 7/9/2007 $191.12 [FLS] FLS Pin Rv 7/9/2007 $117.61 [BUILD] Permit Fee 7/26/2007 $294.03 [TAX] 8% State Surcha 7/26/2007 $23.52 Total $626.28 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 than 180 days. ATTENTION: Oregon law requires ou to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 throu• OAR ° 2- 001 -0100. You may obtain a copy of these rules or direct questions to OUNC by calling 503.246.6699 or 1.800.332.2344. Issued By: —` � 40 _At' Permittee Signature: O _ Call 503.639.4175 by 7:00 a.m. for an inspection that business day. 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. ( 44 5 t,� (( D U1 AN -0 r" 5 V r: D Buildin Perm Appli on ` -� ° ° `'"' FOR OFT ICE uSE ONLY g City of Tigard ( �] Receives 8" �J Tigard � O v L007 Date/By: , T 01 � Permit No.: ! JI.IV" �V � � ���/ IN .i 13125 SW Hall Blvd., Tigard, OR 97Z Plan R - ' C e., ® Other Permit: Ph one: 503.639.4171 Fax: 98 i .19 1 D ateB � � �� i; . 1 Inspection Line: 503.639.41 1 S 1 � i AIRY— Date Re • • By: See Attached Checklist for TIGARD / /! D7 `r S Internet: www.tigard or. DIVISION Notified/Method: r Supplemental Information TYPE OF WORK REQUIRED DATA: 1- AND 2 -F • w' Y D c L i ❑ 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 ❑ Other: equipment, materials, labor, overhead, and the profit for the CATEGORY OF CONSTRUCTION work indicated on this application. Valuation: $ ❑ 1- and 2- family dwelling ❑ Commercial /industrial ❑ 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: 11445 SW TIEDEMAN AVE New dwelling area: square feet City/ State/ZIP: TIGARD, OR 97223 Garage /carport area: square feet Suite/bldg. /apt. no.: Project name: ROOFLIFE OF OREGON Covered porch area: square feet Cross street/directions to job site: HWY 217 TO GREENBURG RD, SOUTH ON Deck area: square feet GREENBURG TO TIEDEMAN AVE Other structure area: square feet REQUIRED DATA: COMMERCIAL-USE CHECKLIST Subdivision: I Lot no.: 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.: equipment, materials, labor, overhead, and the profit for the DESCRIPTION OF WORK work indicated on this application. REMODEL OF EXISTING WAREHOUSE SPACE Valuation: $$36,500.00 Existing building area: 2291 square feet New building area: square feet ® PROPERTY OWNER ❑ TENANT Number of stories: 1 Name: TIEDEMAN CROSSING LLC Type of construction: WOOD Address: 11445 SW TIEDEMAN AVE Occupancy groups: City/State/ZIP: TIGARD, OR 97223 Existing: Phone: (503)925 -0125 Fax: (503)214 -5185 New: ❑ APPLICANT ❑ CONTACT PERSON NOTICE Business name: All contractors and subcontractors are required to be Contact name: licensed with the Oregon Construction Contractors Board under ORS 701 and may be required to be licensed in the Address: jurisdiction in which work is being performed. If the applicant is exempt from licensing, the following reasons City/ State/ZIP: apply: y: Phone: ( ) Fax: : ( ) 5 lot i . k k E -mail: CONTRACTO 1 i 7'41 Business name: COVERT ENTERPRISES INC BUILDING PERMIT FEES* Address: 979 66 STREET (Plearerejerto fee schedule Structural plan review fee (or deposit): p i y City/State/ZIP: SPRINGFIELD, OR 97478 Phone: (541) 729 -1649 I Fax ( ) FLS plan review fee (if applicable): i 7 L/ CCB lic.: 082272 4 1 Total fees due upon application: 'I : / 7 Amount received: goy 71;S Authorized signature: rndt application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name: DENNIS J. COVERT Date: 5116/07 • Fee methodology set by Tri-County Building Industry /.' City of Tigard, Oregon o 13125 SIW Hall Blvd. • Tigard, OR 97223 1 a3 July 6, 2007 44.0r-A' r rr " � ^" Vii: ® ' '• f Tiedeman Crossing, LLC u Attn: Peter Morin ` Z' 11445 SW Tiedeman Avenue F Tigard, OR 97223 RE: Tiedeman Crossing, LLC Minor Modification MMD2007 -00018 Dear Mr. Morin: This letter is in response to your request for approval for a Minor Modification (MMD2007- 00018) at 11445 SW Tiedeman Avenue, WCTM 1S135CB, Tax Lot 300. You have requested to modify the site by building a 144 square foot addition to the existing 2,201 square foot warehouse and remodel the entire warehouse. The submitted site plan reflects the current and proposed conditions. Analysis of Modification Request: Section 18.360.060 of the Tigard Development Code Site Development Review chapter states: "Any modification which is not within the description of a major modification as provided in section 18.360.050 shall be considered a minor modification." Section 18.360.050 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. An increase in dwelling unit density or lot coverage for residential development. The proposal does not involve residential development. Therefore, this criterion does not apply. 2. A change in the ratio or number of different types of dwelling units. The proposal does not involve residential development. Therefore, this criterion does not apply. 3. A change that requires additional on -site parking in accordance with Chapter 18.765. The existing use, a contracting business, will remain the same. Therefore, the parking requirement remains the same and the proposed change is not one that will require additional onsite parking in accordance with Chapter 18.765. 4. A change in the type of commercial or industrial structures as defined by the Uniform Building Code. There will be no change in the type of industrial structure as defined by the Building Code. The applicant indicates that the remodel will bring the warehouse into compliance with the current Building Code and the addition will be of the same type of structure. 5. An increase in the height of the building(s) by more than 20 percent. The applicant has not proposed to increase the height of the building. Therefore, this criterion does not apply. 6. A change in the type and location of accessways and parking areas where off -site traffic would be affected. The roposal does not include changes to the access points, driveway aisles, or location of parking. Therefore, this criterion does not apply. 7. An increase in vehicular traffic to and from the site and the increase can be expected to exceed 100 vehicles per day. The 144 square foot increase of warehouse space is not expected to increase traffic significantly. Therefore, it is unlikely to generate more than 100 vehicles per day. Page 1 of 2 Phone: 503.639.4171 o Fax: 503.684.7297 ® www.tigard- or.gov o TTY Relay: 503.684.2772 8. An increase in the floor areas proposed for a non- residential use by more than ten percent excluding expansions under 5,000 square feet. The proposed addition is 144 square feet and the existing office /warehouse building is 6,399 square feet. In addition, there is an additional storage building onsite, the area of which the applicant did not provide. Therefore, the proposed addition is less than 2% of the existing floor area. 9. A reduction in the area reserved for common open space and /or usable open space that reduces the open space area below the minimum required by the code or reduces the open space areas by more than ten percent. The proposed addition will be replacing existing asphalt. Therefore, this criterion does not apply. 10. A reduction of project amenities (recreational facilities, screening; and /or, landscaping provisions) below the minimum established by the code or by more than ten percent where specified in the site plan. The proposed addition will be replacing existing asphalt. Therefore, this criterion does not apply. 11. A modification to the conditions imposed at the time of Site Development Review approval that is not the subject of criteria (B). 1 through 10 above this subsection. There have not been any previous conditions of approval for the use of this site. Therefore, this criterion does not apply. THIS REQUEST HAS BEEN APPROVED BY THE CURRENT PLANNING DIVISION. PLEASE SUBMIT A COPY OF THIS LETTER WITH YOUR BUILDING PERMIT APPLICATION. This request is determined to be a minor modification to an approved site development plan. The Director's designee has determined that the pro osed minor modification of this existing plan will continue to promote the general welfare of the City and will not be significantly detrimental, nor injurious to surrounding properties provided that,_ development which occurs after this decision complies with all applicable local, state, and federal Jaws. If you need additional information or have any questions, please call the Current Planning Division at (503) 639 -4171 or stop by the Permit Center at City Hall, 13125 SW Hall Blvd, Tigard, OR 97223. )er; EmilyEn Assistant Planner Page 2 of 2 N ,. CITY OF TIGARD • BUILDING DIVISION PERMIT #: BUP2007 -00361 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/26/2007 Phone: (503) 639 -4171 \ µ> d " + — Inspection Requests (24 Hrs.): (503) 639 -4175 �' W ' I.. INSPECTION WORKSHEET FOR DATE: 9/19/2007 TIME: 7:OOAM PAGE: 46 SITE ADDRESS: 11445 SW TIEDEMAN AVE CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: ROOFLIFE OF OREGON DESCRIPTION: Warehouse addition and remodel. OWNER: TIEDEMAN CROSSING LLC, PHONE #: 503- 9250125 CONTRACTOR: COVERT ENTERPRISES INC PHONE #: 541 Inspection Request Scheduled For: Date: 9/19/2007 o- Pour Time ( 5 - ji - vu Code # /Inspection Description Confirm # Contact # Me ,.age S 235 i Shear watts /anchors 055903 -01 503-849-9977 Y �� r% — Corrections /Comments /Instructions: .-..- C Q c ` (/%w. 1 ( OA kl — 6 i C't" S o--e O AryAAA.-e____- -- 16 ,--- 1" — e , v.i ki), A, a • ,O PASS ❑ PARTIAL APPROVAL n CANCEL n NO ACCESS n FAIL Ill CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED 1 Inspector: — Date: Phone #: (503) 718- ' - i ' CITY OF TIGARD . {. • : BUILDING DIVISION �` PERMIT #: BUP2007-00361 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/26/2007 Phone: (503) 639 -4171 a °U �� tili Inspection Requests (24 Hrs.): (503) 639 -4175 '.� INSPECTION WORKSHEET FOR DATE: 9/10/2007 TIME: 7 :00AM PAGE: 42 SITE ADDRESS: 11445 SW TIEDEMAN AVE CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: ROOFLIFE OF OREGON DESCRIPTION: Warehouse addition and remodel. OWNER: TIEDEMAN CROSSIND PHONE #: 503-925 -0125 CONTRACTOR: COVERT ENTERPRISES INC PHONE #: 541 - 7231649 Inspection Request Scheduled For: Date: 9/10/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 1 35 Shear wallsdanchors 055359 -01 503849 -9977 N Corrections /Comments /Instructions: rU C C.l�7 , el p. ci t a) _Z ■ cam` / 2 < e>i< -ro 5 / Dd . &, o /c� ' e � E_ id& PASS VI_ PARTIAL APPROVAL El CANCEL PI NO ACCESS 'J FA r CALL FOR INSPECTION Il ADDITIONAL FEES ASSESSED . S / _ / Inspector: Date: 7 °/° 7 Phone #: (503) 718 - 7 CITY OF TIGARD BUILDING DIVISION PERMIT #: BUP2007 -00361 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/2612007 Phone: (503) 639 -4171 dm l Inspection Requests (24 Hrs.): (503) 639 -4175 as INSPECTION WORKSHEET FOR DATE: 8116/2007 TIME: 7:OOAM PAGE: 313 SITE ADDRESS: 11445 SW TIEDEMAN AVE CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: ROOFLIFE OF OREGON DESCRIPTION: Warehouse addition and remodel. OWNER: TIEDEMAN CROSSING LLC, PHONE #: 503 - 925 -0126 CONTRACTOR: COVERT ENTERPRISES INC PHONE #: 541-729-1649 Inspection Request Scheduled For: Date: 8/16/2007 Pour Time: 12:00 Code # Inspection Description Confirm # Contact # Message 205 Footing 054120 -01 503 1304 -7952 N A,Ae? v.6 (� li k- (z Vi r 1 - 4 - 1 C■ P ° C ST-Y o 'Jo po 0r( , 1 7� __ . ) oz7Al L-. pA�5 Z / bC-. 2 -7 X 22 0 c - � a i f J4-;s 'p air Gi V t--C -- , Ka./ (_� C SS r" Z ' L Ali4t -(S ©` . to .e 41/4) - 1: 2 6 ..)1■1 p 4 lb- 0--7NX • Gf> tGc-S 51'CTliir4Z.. no P(�z.--r n,( o r � -y v to d6C%-(---6-1C 2, `mo .E.--- L 7/r P 0 _ V) �s PASS PARTIAL APPROVAL ❑ CANCEL NO ACCESS FAIL 7 ALL FOR INSPECTION H ADDITIONAL FEES ASSESSED Inspector: ■ Date: 5 © Phone #: (503) 718- --L CITY OF TIGARD BUILDING DIVISION o • PERMIT #: B1JP2007 -00361 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/26/2007 Phone: (503) 639 -4171 h .1 1l:Iil Inspection Requests (24 Hrs.): (503) 639 -4175 AM. INSPECTION WORKSHEET FOR DATE: 8/16/2007 TIME: 7:OOAM PAGE: 37 SITE ADDRESS: 11445 SW TIEDEMAN AVE CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: ROOFLIFE OF OREGON DESCRIPTION: Warehouse addition and remodel. OWNER: TIEDEMAN CROSSING LLC, PHONE #: 503-925-0125 CONTRACTOR: COVERT ENTERPRISES INC PHONE #: 541 - 729 -1649 Inspection Request Scheduled For: Date: 8/16/2007 Pour Time: 12:00 Code # Inspection Description Confirm # Contact # Message 210 Foundation walls 054120 -02 503. 804 -7952 N Corrections /Comments/ Instructions: ) PASS h PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS I FAIL / CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED 254:' Inspector: Date: Phone #: (503) 718 - Z-6r7 Client#: 329577 DECAARC A CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 7/20/2010 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Kibble & Prentice, a USI Co. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE P.O. Box 370 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Seattle, WA 98111 206 441 - 6300 INSURERS AFFORDING COVERAGE NAIC # INSURED INSURER A: Hartford Casualty Insurance Company 29424 Deca Architecture, Inc. INSURER B: U. S. Specialty Insurance Company 29599 935 SE Alder St. INSURER C: Portland, OR 97214 INSURER D: INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADD'L TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS LTR INSRC DATE (MMIDD/YY) DATE (MM /DD/YY) A GENERAL LIABILITY 52SBAPR0288 09/25/09 09/25/10 EACH OCCURRENCE $1,000,000 X COMMERCIAL GENERAL LIABILITY PREMISES (ER occurrence) $300,000 CLAIMS MADE © OCCUR MED EXP (Any one person) $10,000 PERSONAL & ADV INJURY $1,000, _ GENERAL AGGREGATE $2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP /OP AGG $2,000,000 7 POLICY [Ti] JEC ri LOC A AUTOMOBILE LIABILITY 52SBAPR0288 09/25/09 09/25/10 COMBINED SINGLE LIMIT ANY AUTO (Ea accident) $1,000,000 ALL OWNED AUTOS BODILY INJURY $ SCHEDULED AUTOS (Per person) X HIRED AUTOS BODILY INJURY X NON -OWNED AUTOS (Per accident) $ PROPERTY DAMAGE $ (Per accdent) GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC $ AUTO ONLY: AGG $ EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE $ OCCUR n CLAIMS MADE AGGREGATE $ DEDUCTIBLE $ RETENTION $ $ A WORKERS COMPENSATION AND 52SBAPR0288 09/25/09 09/25/10 I OR STATUS I X I TORY OMITS EMPLOYERS' LIABILITY (WA Stop Gap) E.L. EACH ACCIDENT $ ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? E.L. DISEASE - EA EMPLOYEE $ II yes, describe under SPECIAL PROVISIONS below E.L. DISEASE - POLICY LIMIT $ B OTHER Professional US091274503 10/07/09 10/07/10 $1,000,000 per claim Liability $1,000,000 annl aggr. DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS RE: Tigard Faade Improvement CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION City of Tigard /City Center DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 4.5 DAYS WRITTEN Development Agency NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL Attn: Sean Farrelly IMPOSE NO OBLIGATION OR LIABIUTY OF ANY KIND UPON THE INSURER, ITS AGENTS OR 13125 SW Hall Blvd. REPRESENTATIVES. Tigard, OR 97223 AUTHORIZED REPRESENTATIVE 5T wiL -4Im6 -r- ACORD 25 (2001/08) 1 of 2 #S4604199/M4153779 SXFJU © ACORD CORPORATION 1988 IMPORTANT If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). DISCLAIMER The Certificate of Insurance on the reverse side of this form does not constitute a contract between the issuing insurer(s), authorized representative or producer, and the certificate holder, nor does it affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon. • ACORD 25-S (2001/08) 2 of 2 #S4604199/M4153779