Permit BUILDING PERMIT
CITY OF TIGARD
PERMIT #: BUP2002 -00145
.4 DEVELOPMENT SERVICES DATE ISSUED: 4/30/02
+ L ° 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171
SITE ADDRESS: 15555 SW 98TH ST PARCEL: 2S111CA -01000
SUBDIVISION: ALDERBROOK FARM ZONING: R -7
BLOCK: ,/� LOT: 016 JURISDICTION: TIG
,
REISSUE: T'` FLOOR AREAS EXTERIOR WALL CONSTRUCTION
CLASS OF WORK: / Z FIRST: sf N: S: E: W:
TYPE OF USE: COM SECOND: sf PROJECT OPENINGS?
TYPE OF CONST: NONE : sf N: S: E: W:
OCCUPANCY GRP: NONE TOTAL AREA: 0.00 sf ROOF CONST: FIRE RET?
OCCUPANCY LOAD: BASEMENT: sf AREA SEP. RATED:
STOR: HT: ft GARAGE: sf OCCU SEP. RATED:
BSMT ?: MEZZ ?: 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: $ 3,500.00
Remarks: Relocation of tptbar b -q e. pd-c.civ l--t, a UCZ
Owner: Contractor:
CORP OF PRESIDING BISHOP OF OWNER
CHURCH OF JESUS CHRIST LDS
50 E N O RTHccTTTEyyM P #511 -4705
S P �� K 4 F 2b�650- gOr Phone:
Reg #:
FEES REQUIRED INSPECTIONS
Type By Date Amount Receipt Foot/Found Insp
PLCK CTR 4/25/02 $53.11 27200200000 Framing Insp
Final Inspection
FIRE CTR 4/25/02 $32.68 27200200000
PRMT CTR 4/30/02 $81.70 27200200000
5PCT CTR 4/30/02 $6.54 27200200000
Total $174.03
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 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 -1987. You may obtain a copy of these rules or direct questions to OUNC by
calling (503) 246 -6699 or 1- 800 -332-
Pe rm ittee / AA
Signature: / I �-
Issued By: 6,4,1„„ Zalith
Call 639 -4175 by 7 p.m. for an inspection the next business day
lir -
A c74. 4...-___
Alto Building Permit Application
Date received: ,/j{CO/� Permit no.: jd is_ t /95
t b = , City of Tigard P 3t,
Project/appl.no.: Expire date:
City of Tigard Address: 13125 SW Hall Blvd, Tigard, OR 97223 -
Phone: (503) 639 - 4171 Date issued: B Receipt no.:
Fax: (503) 598 - 1960 ��.# /4 VI((1) ODOa - 00 o 07 Case file no.: Payment type: �
Land use approval: r 3 414' 1 1 de)° 1- 1 &2 family: Simple Complex:
TYPE OF PERMIT
❑ 1 & 2 famil dw lling or accessory ❑ Commercial/industrial ❑ Multi - family i tirbilillk ,,,, ."'"r^Tripn ❑ Demolition
Additio alteration/r lacement ❑ Tenant improvement ❑ Fire sprinkler /alarm ❑ Other:
JOB SITE INFORMATION
Job address: / s's S 5 fv ? $`f— a ,. Bldg. no.: Suite no.: '
Lot: Block: Subdivision: Tax map /tax lot/account no.:
0- Project name: : f — E
O Descri • tion aild location of work on premises/special cot ditions: 4 v - t• •. •r7 — _ a I
Qe 6 - ;rte = ; 'n ove .ti - ,t `
O 1INER FOR SPECIAL INFORMATION, USE CIIECKLIST
(Floodplain, septic capacity, solar, etc.)
r�.. Imo. �� _ -_ �.�. •
P �
Mailing addres : I t{ _ If ; � 15 I & 2 family dwelling:
ECM - q , ,! �� ZIP: ; _ Valuation of work $
Phone: p -. p - - ' E -mail: No. of bedrooms/baths
Owner's representative: 1 ., /_ el A- • ' ilici 'M Total number of floors
Phone:42 3 -5 ja �
- - New dwelling area (sq. ft.)
.1 t APPLICANT Garage /carport area (sq. ft.)
Q- Covered porch area (sq. ft.)
Name: Deck area (sq. ft.) l
9_ Mailing address:
C� City: State: ZIP: ZIP: Other structure area (sq. ft.) CV. Ph Fax: Email:
Commercial/industrial/multi-family: c0.,,s1 �(� ('ON "TR:1(' "1012 State:
Fax: Valuation of work $ 3900
/ Existing bldg. area (sq. ft.)
Business name: Address:
j 60 New bldg. area (sq. ft.)
Number of stories _
City:
Type of construction
E -mail:
Occupancy group(s): Existing:
r Phone: CCB no.: New:
City /metro lie. no.: Notice: All contractors and subcontractors are required to be
AR('IHITECT /DESIGNER licensed with the Oregon Construction Contractors Board under
Name: provisions of ORS 701 and may be required to be licensed in the
Address: jurisdiction where work is being performed. If the applicant is
City: State: ZIP: exempt from licensing, the following reason applies:
X. Contact person: Plan no.:
Phone: Fax: E -mail:
`k ENGINEER
w
Name: Contact person: Fees due upon application $
Address: Date received:
� City: State: ZIP: Amount received $
L . Phone: Fax: E -mail: Please refer to fee schedule.
I hereby certify I have read and examined this application and the Not all jurisdictions accept credit cards, please call jurisdiction for more information.
attached checklist. All provisions of law a d ordinances governing this ❑ Visa ❑ MasterCard
/
work will be complied w"; , i he • spe • herein or not. Credit card number: Expires /
_ P
Authorized signature: -4. / f `' 4 Date: a� o�D02 Name of cardholder as shown on credit card
Print name: _ � , i Cardholder signature $ Amount
t>J Notice: This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. 440 -4613 (6ro01COM)
3a &8
A ill Commercial Plan Submittal
Requirement Matrix
City of Tigard
TYPE OF SUBMITTAL # of Plans
(Includes New, Additions or Alterations) Required at
Submittal
Site Work 4
(must include location of all accessible parking)
Plumbing - Site Utilities 2
Building 1*
Fire Protection System 3 **
Mechanical 2
Plumbing - Building Fixtures 2
Electrical 2
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).
*For over - the - counter commercial tenant improvements, submit 2 sets of plans.
** "New" fire protection systems require that plans bear the original seal of an
Oregon licensed fire suppression engineer, or NICET level "3" technicians.
i:\dsts \forms \COM- matrix.doc 9/24/01
CITY OF T CARD
24 -Hour -
BUILDING Inspection Line: (503) 639 -4175
INSPECTION DIVISION Business Line: (503 • • - MST
Received Date Request d ` PM BUP
, 5T ,
Location / L7 Suite MEC
Contact Person gi Is Poll Ph k / PLM
Contractor Ph ( ) SWR
Tenant/Owner /' �J`7 ELC
Footing
Foundation ELC
Access: /
Ftg Drain t2L 4, ELR
Crawl Drain
Slab Inspection Notes: ��_ SIT
Post & Beam
Shear Anchors
Ext Sheath/Shear
Int Sheath/Shear
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm \\
Susp'd Ceiling
Roof
Othe • v
ASt PART FAIL
PLUMBING
Post & Beam
Under Slab
Rough -In
Water Service
Sanitary Sewer
Rain Drains
Catch Basin / Manhole
Storm Drain
Shower Pan
Other:
Final
PASS PART FAIL
MECHANICAL
Post & Beam
Rough -In
Gas Line
Smoke Dampers
Final
PASS PART FAIL
ELECTRICAL
Service
Rough -In
UG /Slab
Low Voltage
Fire Alarm
Final Reinspection fee of $ required before next inspection. Pay at City Hail, 13125 SW Hall Blvd.
PASS PART FAIL
SITE ❑ Please call for reinspection RE: Unable to inspect — no access
Fire Supply Line /
I�
ADA Date 7— Inspector ,, Ext
Approach/Sidewalk
Other:
Final DO NOT REMOVE this inspection record from the job site.
PASS PART FAIL