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Permit . _�',� CITY OF TIGARD BUILDING PERMIT . = COMMUNITY DEVELOPMENT Permit #: BUP2012 -00023 TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 01/31/2012 Parcel: 1S133AD02200 Jurisdiction: Tigard Site address: 10730 SW 130TH AVE Project: Westgate Baptist Church Subdivision: HAWK'S BEARD TOWNHOMES Lot: 62 Project Description: Install balcony risers. Contractor: B DUTTON CONSTRUCTION INC Owner: WESTGATE BAPTIST CHURCH 16775 SW LAKE FOREST BLVD 12930 SW SCHOLLS FERRY RD LAKE OSWEGO, OR 9703 TIGARD, OR 97223 PHONE: 503 - 572 -7392 PHONE: 503 - 524 -3500 FAX: FEES Specifics: Description Date Amount Type of Use: COM Permit Fee - Additions, Alterations, 01/31/2012 $195.38 Class of Work: ALT Demolition Dwelling Units: 0 12% State Surcharge - Building 01/31/2012 $23.45 Stories: 0 Height: 0 ft Plan Review 01/31/2012 $127.00 Bedrooms: 0 Bathrooms: 0 Plan Review - Fire Life Safety 01/31/2012 $78.15 Value: $7,500 Info Process /Archiving - Lg $2.00 (over 01/31/2012 $2.00 11x17) Floor Areas: Total Area: 0 Accessory Struct: 0 Basement: 0 Carport: 0 Covered Porch: 0 Deck: 0 Garage: 0 Mezzanine: 0 Total $425.98 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 - . - - - • - 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. ' ' ENTION: Orego aw re• ires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952 -' +1 -0010 through OAR 952 -8. 8 09 '•u may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. Is ued By: �� I Permittee Signature: r /14 ( " Call 503:639:4175 by7:00 "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 Comm RECEIVED FOR OEIICE USE ONLY C of Tigard Received li . g DateB : Permit No.: % • I, i • n 13125 SW Hall Blvd., Tigard, OR 9722 A 0 y Plan Review 1- 2: ' Phone: 503.718.2439 Fax: 503.598.1 60' 1 J 2012 Date /B . M ? � 1 a ).4?,. Other Permit: T FG A RD Inspection Line: 503.639 DateReady /By: Juris H See Page2for Internet: www.tigard- or.gov CITY OF I lUPi D Notified/Method: Supplemental Information BUILDING DIVISION �,'_« �' -.f., = >, - ' : �, . ,,: _tea= .� r,�'•„ _ r��;,.,:. :���: �_': YL � ' ; , a E WO RK:: ,,E" <::� „ x� - � „ ..,,. , .... , - . ,,..,, : • , ., : .. . �- , RE SULKED =F DAT "1 " A. ND2, AMIL D °l r. n ..s c_< a.,, ..:' «�..., _tin .iF , ,., � ^. .,,.,,, ,, ,. ❑ 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 ' ` '^_"' "c on 1 ACA 'I'EGORY'OFxnGONSTRUG'G[Q1Vit,` � �' " "` work indicated this application. ID Co 1- and 2- family dwelling mmercial /industrial Valuation: $ ❑ Accessory building ❑ Multi- family Number of bedrooms: ❑ Master builder ❑ Other: . . • Number of bathrooms: ,;• s;,1prA � ?:•y; =�:'� ,:',8F};�r.�::;zr�.... _ s�•. �.;,s�,". ,;•�..s;., y, ° ✓ v.z�.. ;s' Total number of floors: .,,x� - . JOB STI'E° =I F , c i',W OItMATION AND�L o+C,„, ... ° „':%: Y-.',,' . , ,:' ' t : =:' : i 7. a ';'E ... -. . ""�'K."~R�¢,. - ,. - y .. a....- - �.mx..x _,.�,*�..,. - a,z „_ „_ < . °.0 ` -_. Q, f��9i Job site address: .t 6730 5 t,3 l3 0 New dwelling area: square feet City /State /ZIP: . k (:-/r12J 1 0 (2_.,(2_.,e c (2_.,e IN.) 71;2.3 Garage /carport area: square feet Suite/bldg. /apt. no.: Project name: Covered porch area: square feet Cross street/directions to job site: Deck area: square feet 'CXtr5GCS FE%1.t2') 4 t 2 ,8 -6 ^ Other structure area: square feet t IREQUIREDfDATAi ;coMMERG"I.#4J , 'CHECKLIST Subdivision: Lot no.: Permit fees* are based on the value of the work performed. Tax map /parcel no.: Indicate the value (rounded to . _ s o ar ' W' ;- ,,.<. :: . .. , ,,,",,,- UM,,.,'0,,, ^ "' ;,. x :,,..., E' - , ;':a",,. and profit fo the equipment, materials or, overhead, a the �:E ' %"BESCRIETl4NxOF" W,.oRK1 u E .< - _ >`";_. -�� work indicated e • is application. d er - 1,66Ai y « gl S efts Valuation: $ ei 6D Existing buil • !, area: square feet New building area: - .. -et ;„` OPERTX;OWNE , ? #: a,. :. , ' PR�,... R �,, "TENANT Number of stones Name: /JiFS nits” Zarnsr Crtunch{• Type e of construction: Address: IZ SD s faJ ' c.,..; (SBLC pt... t t . co Occupancy groups: City /State /ZIP: --c” t rr nail i Caa, 66.64 , s q( 7 7,Z3 Existing: Phone: (a03) 5Zy -35 6 - 6 Fax: ( 5 6 3 ) SZy 45 CO New: ,., „ ....._....,,.., i ; s ay s; '.,;�;:. -�., D CONTACT R�', ;,. ;,�:•:., . �..,. ..,,..,, _ EzE•, , „� g A��m` =� -�. BUII;DIN E [T E : `' .:, a , ; . ` -,I ( Plewerefer,rofee"s c % redu le )' . .. . : r a< i ' , "` , Business name: b u-r btJ 071,3sfiizoc,I SNC. Structural plan review fee (or deposit): Contact name: `7 ■ fry U� A a � FLS plan review fee (if applicable): Address: ( 6'l 15 51• c thi L F - es -r `g(,,V Total fees due upon application: City /State /ZIP: Larv., 6 Os 4,,Z 6(,-0 r On ..,q 5763S . • Phone: Amount received: ( &3) 5 7 , 7 t Z Fax: ( ) C, ° ";w: PHOTOVOLTAISOLAR PANEL SYSTEM'FEES *4.i_. E `. �� D A er"610 C *Mot) , Cool ,.. �,. ? ::,' ,. ° "w, -_' , ° 'ff > ° '• °..' . _ . :. -'. ` = • ;;„;� ', �: Commercial and residential prescriptive installation of �> :: '" �,._ " -_.. ' °. �-::_ �,�.� -s O , . W ; � x; ,� :;., .� :__ �,���s - -Y _ x, , ��_ «; .; i��'. •, ",,:gy a roof -top mounted Photovoltaic Solar Panel System. Business name: R ' V CA a , fRAc 0 i oc Submit two (2) sets of roof plan with connection details and fire dep • • - t access, along with the ! 1 Oregon Address: t 6') 1 7 S eSC:3 I. IVK 6 FORMS( ' c V.D Solar Installation p • •"%1 Code c • • • ist. City /State /ZIP: (,, 0 dsL3 07TH Permit fee (includes revie $180.00 ( ) and ad,•' istrative =•s): $ 7Z 7 3 i Z F ax: Phone: (� ©3) State su - • ge (12% of permit fee): $21.60 CCB- lic.: / f fa 7h - - Total fee due upon application: $201.60 Authorized signature: /# This permit application expires if a permit is not obtained C. l v within 180 days after it has been accepted as complete. Print name: Z ez tem U V i) Date: / — �6.., / z * Fee methodology set by Tri -County Building Industry Service Board. I: \Building \Permits \BUP -COM PermitApp.doc 02/24/2011 440- 4613T(I 1/02 /COM/WEB) 1 14 " Building Division Over- The - Counter (OTC) Building Permit TIGARD C heck List Project Description: ZPLGan) t( RX$ 5 APPLICATION SPECIFIC INFORMATION GENERAL INFORMATION *Class of Work: A t.7-- Occupancy Group: ,A -3 Type of Construction: *Type of Use: C'/ Occupancy Load: /,/ ,/,e} Oregon Specialty Code: SPECIFICS Number of Stories: Building Height: Mixed Use: Number of Dw Units: Number of Bathrooms: Number of Bedrooms: BUILDING SQ FT - SCHOOL CET OTHER SQUARE FOOTAGES Story Square Footage: Accessory Structure: Covered Porch: Basement: Garage: Deck: Total Square Footage: Carport: Mezzanine: SETBACKS Sideyard Setback — Left Sideyard Setback — Front Sideyard Setback — Right Sideyard Setback — Back CONSTRUCTION Exterior Walls: Openings Protected: Firewall Separation: N: S: N: S: Occupancy Separation: E: W: E: W: Access. Parking Spaces: REQUIRED ITEMS Fire Sprinklers: Fire Alarms: Smoke Detectors: Parapet: Manual Pull Stations: Protected Corridors: Total Project Valuation: $ FEES DUE $ DC Prov Rvw, COM TI — Ping $ DC Prov Rvw, COM TI — LRP DC Provision Review Fee for COM TI $ Permit Fee — Add, Alt, Demo Project Valuation Planning LRP $ 12% State Surcharge Up to $4,999 $0.00 $0.00 $ Plan Review, Structural $5,000 - $74,999 $64.00 $9.00 $ Plan Review, Fire Life Safety $75,000 - $149,999 $160.00 $24.00 $ / Info Proc /Arch, Lg (over 11x17 $2.00) $150,000 and over $256.00 $38.00 $ Info Proc /Arch, Sm (up to 11x17 $0.50) $ Metro Construction Excise Tax $ School Construction Excise Tax $ Hourly Rate Fee Planning Staff: $ Hourly Rate State Surcharge $ Misc. Admin Fee Permit Coordinator: $ Other: $ Other: Building Staff: $ Other: Date /Time: $ 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. I: \ Building \ Forms \OTC = BUP.docx 01/13/2011