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Permit CITY OF TIGARD BUILDING PERMIT : COMMUNITY DEVELOPMENT Permit #: BUP2009 -00187 T f GARD 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 10/08/2009 Parcel: 15101800 Jurisdiction: Tigard Site address: 10180 SW NIMBUS AVE J1A Subdivision: SCHOLLS BUSINESS CENTER Lot: 0 Project: City Edge Community Church Project Description: TI Owner: FEES ROBINSON, CONSTANCE A & Description Date Amount ROBINSON, LYNN ET AL, BY KG INVESTMENT Permit Fee - Additions, Alterations, 10/08/2009 $423.53 MGMT, 10240 SW NIMBUS AVE #L3 Demolition PHONE: 12% State Surcharge - Building 10/08/2009 $50.82 Plan Review 10/08/2009 $275.29 Plan Review - Fire Life Safety 10/08/2009 $169.41 Contractor: GUILD CONSTRUCTION INC PO BOX 674 BEAVERTON, OR 97075 PHONE: 503 - 957 -1173 FAX: 503- 291 -1532 Specifics: Type of Use: COM Class of Work: ALT Dwelling Units: 0 Stories: 1 Height: 0 ft Bedrooms: 0 Bathrooms: 0 Value: $23,000 Floor Areas: Total Area: 0 Accessory Struct: 0 Basement: 0 Carport: 0 Covered Porch: 0 Deck: 0 Garage: 0 Mezzanine: 0 Total $919.05 Required: Required Items and Reports (Conditions) Fire Sprinkler: No Parapet: Fire Alarm: Protected Corridors: No 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. A - • • . = = . on law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952 -e -0010 through OA 952 -001-0 00. You may obtain a copy of the rules or direct questions to OUNC by callin . 46.6699 or 1.800.332.2344. Iss ed By: / / Permittee Signatu . / k _ of _.: ,.s it Call 503.639.4175 by 7:00 a.m. for an Inspection that busines(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. Building Permit Application Commercial FoR 01: 1 usu ()Nl IN City of Tigard OCT p $ 2009 Date/B � � o9 W Permit No.: fe a /6i 9 e r/g a 13125 SW Hall Blvd., Tigard, OR 97223 Plan Revie . 1,►� Receivd Phone: 503.639.4171 Fax: 503.598. L" I OF TIGARD Date/B : O r Other Permit: I' I C; A it p Inspection Line: 503.639 Date Ready Jurir ® See Pa e 2 for Ins rnet: www.tigard- or.gov BUILDING DIVISION Notified Supplemental Info rm ation TYPE OF WORK 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 " 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 11 Commercial/industrial Valuation: $ ❑ Accessory building El Multi-family Number of bedrooms: ❑ Master builder ❑ Other: Number of bathrooms: JOB SITE INFORMATION AND LOCATION Total number of floors: Job site address: /e7/ 00 Cciti 4440 41iF . New er dwelling area: square feet City /State /ZIP: P0icc 7z. ofE 91722 3 Garage /carport area: square feet Suite/bldg. /apt. n0.:7, j,�. Project name: 4)7 COMP/ APT/ 6/ 2./ 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. j V aluation: S a ?j o6 7.'/. 7�oi�oe� T his 774 , , /1.�ra 0)0 . � 0 • V/ • . EA..) /61/>/5 A- , . 4 1. t,-,41-xx..) Existing building area: square feet Co^/P 7E/ e,C) d ,4f 1) y W�-4,0 New building area: square feet PROPERTY OWNER 7 ❑ TENANT Number of stories: Name: K / �y /,Nfr.S7 kf 75 . Type of construction: Address: �� 2 ��Z gO � W /V //`��d'VS /�UE. [l / 7�" L .J Occupancy groups: City /State /ZIP: POLL. (J ', DA . 972 2 Existing: Phone:50 )) _6* -- 9� _ 9 980 Fax: ( ) New: L' APPLICANT d CONTACT PERSON NOTICE Business name: AvirRoM Al64 5,9/V Ais- ociA72.,0 4,14 7e All contractors and subcontractors are required to be Contact name: t✓ /WBj,J licensed with the Oregon Construction Contractors Board under ORS 701 and may be required to be licensed in the Address: l 720 cS� /� i9/-! Aiz., cru17',E /00 jurisdiction in which work is being performed. If the City/State/ZIP: r�� q applicant is exempt from licensing, the following reasons Ci ty �OR 7 (R . / 7� apply: Phone:5ja3) 21 7/00 I Fax: ) Z f5 - 7710 E -ma ; j U.S w a,yt a a. 6, r,-.) (` /' CONTRACTOR Business name: lJ /GO 6,,,cJ57RuC.720A) BUILDING PERMIT FEES* Address: (Please refer to tee schedule) City/State /ZIP: Structural plan review fee (or deposit): Phone: ( 503) Q 5 7• 11 ?, j I Fax: ( ) FLS plan review fee (if applicable): CCB lic.: fp9 ii G Total fees due upon application: Qv a � ' -` Amount received: Authorized s gnat e: This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name: i 4.diA.) Date: A2 - 8 - if, + • Fee methodology set by Tri -County Building Industry Service Board. IABuilding\Permits\BUP -COM PerrnitApp.doc 2 /23/07 440- 4613T(11 /02 /COM/WEB) ° Building Division • Accessibility: Barrier Removal Improvement Plan TIGARD 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 per -cent (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): $ T: \Building \Permits \BUP -COM PermitApp.doc 06/25/08 ° Building Division Over- The - Counter (OTC) Building Permit TIGARD Check List Description of Project: \ 1 GENERAL INFORMATION Class of Work:* - NCI — Floor Areas (sq. ft.): Exterior Wall Construction: Type of Use:* C.OKA First floor: N: S: Type of Construction: Oa. Second floor: E: W: Occupancy Group: Pt Third floor: Openings Protected Y /N ?: Occupancy Load: 'y A Total sq ft.: N: S: Stories: I Note: Combine total floor area for E: E: Height: all floors above third floor and Roof Construction: Floor Load: add to the third floor s . ft. Fire Retardant: Basement: Basement: Area Separation Rated: Mezzanine: Garage: _ Occu. Separation Rated: REQUIRED ITEMS Fire sprinkler: 00 Handicap access: Smoke detector: Protected corridors: LOZD Fire alarm: Parking spaces ( #): Notes: Total Valuation: $ "Z.-3 ) O INSPECTIONS FEES DUE Footing /foundation Firewall $ .'5 Permit Fee Post /beam structural Smoke detector $ e Z_ State Surcharge Shear wall Misc. inspection $ Z?S Plan Review Fee Masonry Approach /sidewalk $ 1 61 . 4 FLS Plan Review Fee Framing $ Additional Permit Fee Insulation Sprinkler rough -in $ Additional Plan Review Fee Gyp board Fire alarm $ Metro Construction Excise Tax Suspended ceiling Sprinkler final $ School Construction Excise Tax Final inspection $ Misc. Fee $ Hourly Rate Fee $ Hourly Rate State Surcharge $ Other: $ q ( 9 , Total Fees Due *OPTIONS: TYPE OF USE: COM = commercial; CMS = commercial manufactured structure. CLASS OF WORK ACS = accessory; ADD = addition; ALT = alteration; FND = foundation; DEM = demo; FND = foundation; FPS = fire protection system; NEW = new; OTR = other (use for fences, decks, retaining walls, signs, awnings or canopies); REP = repair. T \Building \forms \OTC- BUP,doc 08/19/08