Permit CITY OF TIGARD BUILDING PERMIT
.
s .. COMMUNITY DEVELOPMENT Permit #: BUP2012 00092
T I G AR O 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 06/21/2012
Parcel: 2S114AB00200
Jurisdiction: Tigard
Site address: 16055 SW 92ND AVE
Project: Tigard Seminary Subdivision: 1993 -078 PARTITION PLAT Lot: 2
Project Description: Voluntary partial seismic upgrade in conjunction with re -roof project.
Contractor: SILCO Owner: CORPORATION OF THE PRESIDING BISHOP /CH
8316 N LOMBARD #451 JESUS CHRIST OF L D S
PORTLAND, OR 97206 50 E NORTH TEMPLE 22ND FL
SALT LAKE CITY, UT 84150
PHONE: 503 - 286 -8691 PHONE:
FAX:
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee - Additions, Alterations, 06/21/2012 $301.85
Class of Work: ALT Demolition
Dwelling Units: 0 12% State Surcharge - Building 06/21/2012 $36.22
Stories: 0 Height: 0 ft Plan Review 05/08/2012 $196.20
Bedrooms: 0 Bathrooms: 0 Info Process /Archiving - Lg $2.00 (over 06/21/2012 $14.00
Value: $15,000 11x17)
Info Process /Archiving - Sm $0.50 (up to 06/21/2012 $37.50
11x17)
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $585.77
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 a•• - 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 •rk is suspended for more the 180
days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Ce ter. T ose rules are set forth in OAR
952 -001 -0010 through OAR 952 -001 -0090. You may obtain a copy of the rules or direct questions to OUNC by calling -23.232.1 87 or I: 10.332.2344.
Issued By: / \ V J Permittee Signature: 40.
Call 503.839.4175 by 7:00 a.m. for the next available inspection date.
This permit card shall be kept in a conspicuous place on the Job she until completion of the proJec
Approved plans are required on the Job site at the time of each Inspection.
Building Permit Application
Commercial RECEIVED roll OFFICE USE ONLY
of Tigard Re ceived ,
DateB : s � 'z Permit No. iP , .2-DOO2'-
p
7 „,
a 13125 SW Hall Blvd., Tigard, OR 97223 �'����� Phone: 503.718.2439 Fax: 503.598.1960 MAY - 8 2012 Date B Re :4 m m Other Permit:
T I G A R D Inspection Line: 503.639 Date Rea • , : y: 0/u �' 9J See Page 2 for
Internet: www.tigard or.gov CI'I'1(OF TIGARD Notified/Meth / �. ►r�I Supplemental Information
BUILDING DIVISION 0
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: $
❑ Accessory building ❑ Multi- family Number of bedrooms:
❑ Master builder ® Other: Classroom Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: 16055 SW 92 Avenue New dwelling area: square feet
City/State/ZIP: Tigard, OR, 97224 Garage/carport area: square feet
Suite/bldg. /apt. no.: Project name: Tigard Seminary Covered porch area: square feet
Cross street/directions to job site: Durham Road to 92 Avenue 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.
CI
Voluntary Partial Seismic Upgrade in conjunction with Re -Roof Valuation $ I OC re
Existing building area: 1355 square feet
New building area: square feet
❑ PROPERTY OWNER ❑ TENANT Number of stories: 1$
Name: Corporation of the Presiding Bishop of the Church Type of construction: Type V
Address: 50 East North Temple Street Occupancy groups:
City/State/ZIP: Salt Lake City Utah 84150 Existing: Group E
Phone: ( ) Fax ( ) New: No Change
® APPLICANT ® CONTACT PERSON
BUILDING PERMIT FEES"
Business name: John A. Stark Architect (Please refer ro fee schedule)
Contact name: John Stark
Structural plan review fee (or deposit): / 94 _2_0
Address: PO Box 23215
FLS plan review fee (if applicable):
City/State/ZIP: Portland OR 97281 Total fees due upon application:
Phone: (503) 544 -6840 Fax: : (503) 213 -6181 Amount received:
E -mail: jsbellaopus@msn.com PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES"
CONTRACTOR Commercial and residential prescriptive installation of
roof -top mounted Photo Voltaic Solar Panel System.
Business name: L G v Submit two (2) sets of roof plan with connection details
and fire department access, along with the 2010 Oregon
Address: $31G A. L._0 /464 /464/1:t /67 Solar Installation Specialty Code checklist.
City/State/ZIP: p at) D q ?fib Permit fee (includes plan review $180.00
and administrative fees):
Phone: 0 6 6 9 � 8-4,f/ Fax: ( ) State surcharge (12% of permit fee): $21.60
CCB lic.: f 5 g7 9.— 5/4
Total fee due upon application: $201.60
Authorized signature: This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: John Stark Date: 05 /07/2012 • Fee methodology set by Tri- County Building Indus
Service Board. 1— / 3 6 . T--
I:\Building\Permits\BUP-COM PermitApp.doc 02/24/2011 440- 4613T(l 1 /02/COM/WEB) r - 6- --737-r-79 6P