Permit CITY TIGARD BUILDING PERMIT
PERMIT #: BUP2006 -00116
�s, DEVELOPMENT SERVICES DATE ISSUED: 5/2/2006
�t
' 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 - 4171
PARCEL: 25111 BC -02800
SITE ADDRESS: 10445 SW CANTERBURY LN ZONING: R -3.5
SUBDIVISION: LOT: 3 - JURISDICTION: TIG
Project Description: TI Bearing wall removed
REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION
CLASS OF WORK: ALT FIRST: sf N: S: E: W:
TYPE OF USE: COM SECOND: sf PROJECT OPENINGS?
TYPE OF CONST: 5 - HR : sf N: S: E: W:
OCCUPANCY GRP: A3 TOTAL AREA: 0 sf ROOF CONST: FIRE RET?
OCCUPANCY LOAD: BASEMENT: sf AREA SEP. RATED:
STOR: 1 HT: 41 ft GARAGE: sf OCCU SEP. RATED:
BSMT ?: y MEZZ ?: N REQD SETBACKS REQUIRED
FLOOR LOAD: 100 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: $ 13,600.00
Owner: Contractor:
PRESBYTERY OF PORTLAND THE ROBERT GRAY PARTNERS INC
CALVIN PRESBYTERIAN CHURCH PO BOX 1000
10445 SW CANTERBURY LN SHERWOOD, OR 97140 -1000
TIGARD, OR 97224
Phone: Contact #: PRI 503 - 692 - 4675
FAX 503 - 692 -9292
Reg #: LIC 65424
FEES
Description Date Amount REQUIRED ITEMS AND REPORTS
[BUPPLN] Pin Rv 4/6/2006 $115.51
[FLS] FLS Pin Rv 4/6/2006 $71.08
[BUILD] Permit Fee 5/2/2006 $177.70
[TAX] 8% State Surcha 5/2/2006 $14.22
Total $378.51
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State .'f OR Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if wor is not started within 180 days of
issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law require- you to fol K the rules adopted by the
Oregon Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through 0' R 952 -001 -0 10. You may obtain a copy
of these rules or direct questions to OUNC by calling 503 - 246 -6699 or 1- 800 -33 - - -- ,
� 4 / //
p
Issued By: w Permittee Signa ure: ! f I 'igl l'
Call 503 - 639 -4175 by 7:00 a.m. for an inspection that business .ay.
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.
,
/O S w N4`(--60 ry
Commercial Tenant Improvement. . --
� 'baCiv
Building Permit Applicati d • ' FOR Oi FIC USE ONLY
City of Tigard N� 2006 Received o IM A, a l • P No.: T owD — oat / ,
Date/By. .
" 13125 SW Hall Blvd., Tigard, OR 97223 1 Plan Review
III
Phone: 503.639.4171 Fax: 503.598.1960 Date/By � dd 411-111 Other Permit:
TI G A R D Inspection Line: 503.639.4175 CITY OF TIGARD Date Ready Ty: luris• El See Page 2 for
Internet: www.tigard- or.gov BUILDING DIVISION Notified/Method: 01. Supplemental Information
TYPE OF WORK REQUIRED DATA: 1- AND 2- FAMILY DWELLING
❑ 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.
❑ 1- and 2- family dwelling [,Commercial /industrial
•
' Valuation: $
El 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: ! 0 44-5 S r V CcL rderb 1Jr)/ New dwelling area: square feet
City /State /ZIP: � n „ 0 F t7 e- . Garage /carport area: square feet .
Suite/bldg. /apt. no.: J Project name: lQI Vi' n G lur Covered porch area: square feet •
Cross street /directions to job site: Deck area: square feet
Other structure area: square feet
REQUIRED DATA: COMMERCIAL - USE CHECKLIST
. Subdivision: Lot no.: Permit fees* are based on the value of the work performed.
Tax-map/parcel no.: 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: $ 13 I WO
Existing building area: square feet
New building area: square feet
I PROPERTY OWNER TENANT Number of stories:
Name: Cal Cal ∎1i / - Ties - Chi .e rC f l Type of construction:
Address: I 0 coo (CLYL U r�/ Occupancy groups: A a ,
City /State /ZIP: 1 (3ar 0 Z 6 1.10- 1, 4- Existing:
Phone: ( ) Fax: ( )
New:
'0 APPLIC / j ❑ CONTACT PERSON NOTICE
Business name: n V e r1- 6 y .t'LrT,/ n All contractors and subcontractors are required to be
Contact name: �i (J �' / 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
City /State /ZIP: sheray/Thd. CSR applicant is exempt from licensing, the following reasons
;y� (� �j ^' �t,,� /,� ^� apply:
Phone: G? � �_ 4 --1 s Fax:: ( .1(.t J �t D - q LX J 2
E -mail: \1 Ift ,� i .1,-)1_,
CONTRACTOR /J
Business name: - Rob e�-f Cerra lPr,r,r5 BUILDING PERMIT FEES*
/
Address: � Q f3 71 icc (Please.referto fee schednle_
City /State /ZIP: r) (-\ k � wap d_ 0 R tq -j I4..() Structural plan review fee (or deposit): / 15-.51
Phone: 60'5 roct2 -A{n1 c5 F : �_ _Cii pa, FLS plan review fee (if applicable): 7) - b
CCB lie.: 9
Total fees due upon application: 4 /86 ,
_
Amount received: / �' 6. ,
Authorized signature: ' /bk-Ly
This permit application expires if a permit is not obtained
�� _ lr ( , f within 180 days after it has been accepted as complete.
��I�J� r A
Print name: S £ 4 _ L'-
Date: * Fee methodology set by Tri- County Building Industry
Service Board.
I: \Building \Permits \BUP -TI- PermitApp.doc 03/23/06 440 -4613T(I I /02/COM/WEB)
•
Building Division
Plan Submittal Requirement Matrix
T I GA R D Commercial & Multi- Family - New, Additions or Alterations
• Type of Submittal # of, Plans
• (Includes new, additions and alterations.) Required at
Submittal
Demolition Permit 2
(site plan required showing location and square
footage of all buildings to be demolished)
Site Work 2
(must include location of all accessible parking)
Plumbing (site utilities) 2
Building 1*
Fire Protection System 2 **
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.
L: \ Building\ Permits \BUP -TI- PermitApp.doc 03/23/06
N
CITY OF TIGARD BUP200600116
BUILDING DIVISION PERMIT #. 5/2/2006
13125 SW Hall Blvd., Tigard, OR 97223 'W_ DATE ISSUED:
Phone: (503) 639 -4171 t+ ��i @ "I+ +
Inspection Requests (24 Hrs.): (503) 639 -4175 „JAI- '! L
7/21/2006 7:01 AM 18
INSPECTION WORKSHEET FOR DATE: TIME: PAGE:
10445 SW CANTERBURY LN
SITE ADDRESS: 3 - 4 CLASS OF WORK:
SUBDIVISION: CALVIN PRESBYTERIAN CHURCH LOT #: TYPE OF USE:
PROJECT NAME: TI Bearing wall removed
DESCRIPTION:
PRESBYTERY OF PORTLAND THE,
OWNER: ROBERT GRAY PARTNERS INC PHONE #: 503 -692-4675
CONTRACTOR: PHONE #:
7/21/2006
Inspection Request Scheduled For: Date: Pour Time: /12J b‘
Cogb# I inffigiciiigpelawription (1000d 9MR a - #/524 M� . a g _
X-Ls5R:gefi o ( 4
Corrections /Comments /Instructions:
n
,
PASS ❑ PARTIAL APPROVAL ❑ CANCEL NO ACCESS
n FAIL ❑ CALL FOR INSPECTION I I ADDITIONAL FEES ASSESSED
Inspector:
VZ/i. Date. f Phone #: (503) 718- y'
1
CITY OF TIGARD . . .• •
BUILDING DIVISION PERMIT #: BUP2006-00116
13125 SW Hall Blvd., Tigard, OR 97223
. 441k
: h i,l i l t 11\ ' i DAT SUED: 5/2/2006
[ Phone: (503) 639-4171
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: 6/2312006 TIME: 7:01AM PAGE: 83
SITE ADDRESS: 10445 SW CANTERBURY LN CLASS OF WORK:
SUBDIVISION: LOT #: 3 - 4 TYPE OF USE:
PROJECT NAME: CALVIN PRESBYTERIAN CHURCH
DESCRIPTION: (11 removed)
__-_,----------
i
OWNER: PRESBYTERY OF PORTLAND THE, PHONE #:
CONTRACTOR: ROBERT GRAY PARTNERS INC PHONE #: 503-6914675
Inspection Request Scheduled For: Date: 6/22/2006 Pour Tim:.:
i
Code # Inspection Description Confirm # Contact # -ssage
245 Firemll 032135-01 971-563-7524 Y
Corrections/Comments/Instructions:
. •
•
•
ASS I I PARTIAL APPROVAL 0 CANCEL El NO ACCESS
FAIL fl CALL FOR INSPECTION 0 ADDITIONAL FEES ASSESSED
\ ---A/
Date: (
Inspector: Phone #: (503) 718-
CITY OF TIGARD
1 BUILDING DIVISION PERMIT #: BUP2006-00116
1 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 51212006
Phone: (503) 639-4171 .zpiti lit
Inspection Requests (24 (503) 639-4175 „....
INSPECTION WORKSHEET FOR DATE: 6/2012006 TIME: 7:01AM PAGE: 1 .
SITE ADDRESS: 10445 SW CANTERBURY LN CLASS OF WORK:
SUBDIVISION: LOT #: 3 - 4 TYPE OF USE:
PROJECT NAME: CALVIN PRESBYTERIAN CHURCH
DESCRIPTION: TI Bearing wall removed
OWNER: PRESBYTERY OF PORTLAND THE, PHONE #:
CONTRACTOR: ROBERT GRAY PARTNERS INC PHONE #: 503-6914675
Inspection Request Scheduled For: Date: 6120/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
275 Flaming 03201401 971-663-7524 Y
Corrections /Comments/ Instructions:
, - 2_o IAA Ali
A ' ....-.. r b I ,
7,10lb
i . •1P - re) fi ILc ...-
I*
ligliril I I W■ dirg
I ' ' ■ -
PASS PARTIAL APPROVAL 0 CANCEL fl NO ACCESS
I I FAIL III CALL FOR INSPECTION fl ADDITIO AL FEE ASSESSED
Arb i*,•• 4 , \
Inspector:
ifFT 141 l ter
Date: , Phone #: (503) 71822
OITY,_OF TIGARD
BUILDING DIVISION PERMIT #: BUP200S -00115 I
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/
Phone: (503) 639- 4171�llrlf'(I(
Inspection Requests (24 Hrs.): (503) 639 -4175 ��W
INSPECTION WORKSHEET FOR DATE: 5/19/2005 TIME: 7:01AM PAGE: 7
SITE ADDRESS: 10445 SW CANTERBURY I_N CLASS OF WORK:
SUBDIVISION: LOT #: 3.4 TYPE OF USE:
PROJECT NAME: CALVIN PRESBYTERIAN CHURCH
DESCRIPTION: TI Bearing wall removed
OWNER: Pf -Z SI3YTEERY OF PORTLAND THE, PHONE #:
CONTRACTOR: ROBERT GRAY PAR1 NERS INC PHONE #: 503 -692 -4575
Inspection Request Scheduled For: Date: 6/19/2005 Pour Time: 2.00
Code # Inspection Description Confirm # Contact # Message
205 Footing 030227-01 971.563 -7524
Corrections /Comments /Instructions: '1"-E. VIE_
/t'.`L Aug ,' - -
l !Tgpi ? r A1/i:,i - f� ;/�_.� r
M 1 us' ' -� �. , ` °- ._ .' ..--....... —
• I ASS n PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
FAIL n ALL OR INSPECTION n ADDITI NAL EES ASSESSED
� ►,. 1 41 7 Inspector: il Date: ��° 718:2--718:2--4 hone #: (503) 718 �