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Permit • City of Tigard • • COMMUNITY DEVELOPMENT DEPARTMENT RECE 7 r Action Request Permit Acti q o JUN 2 6 2012 Ar -Iron,gD ti : 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.ti , o;,. ov BU e I DING !ViS!ON TO: CITY OF TIGARD Building Division Services Supervisor 13125 SW Hall Blvd., Tigard, OR 97223 Phone: 503.718.2430 Fax: 503.598.1960 www.tigard- or.gov V 9„I / ly �}.� FROM: El Owner ❑ Applicant ❑ Contractor ❑ City Staff .d('t'r (check one) REFUND OR Name: INVOICE TO: (Business or Individual) fl 1r1 C� fo i �.� coimrvt v� i � e , t, ' _, Mailing Address: City /State /Zip: t (c__ ,.e...._ 0 ,e_. c?-7z0_4 Phone No.: . — G 3 __ /3 • PLEASE TAKE ACTION FOR THE ITEM(S) CHECKED (✓): N' CANCEL /VOID PERMIT APPLICATION. ❑ REFUND PERMIT FEES (attach copy of original receipt and provide explanation below). • a INVOICE FOR FEES DUE (attach case fee schedule and pro - xptanation Gel REMOVE /REPLACE CONTRACTOR ON PERMIT (.. not cancel permit). Permit #: _ r:. ...e%0, -:� #2u.� 7 9 Site Address or Parcel #: Project Name: Subdivision Name: Lot #: EXPLANATION: Signature: _ ,;'' Date: c -- 2C _ 2r, I Z . Print Name: p 5 l2- , Gc_J )' ( Sol) Refund Policy 1. The Director or Building Official may authorize the refund of: a) any fee which was erroneously paid or collected. b) not more than 8O% of the land use application fee when an application is withdrawn or canceled before any review effort has been expended. c) not more than 80% of the land use application fee for issued permits. d) not more than 80% of the building plan review fee when an application is canceled before any plan review effort has been expended. e) not more than 80% of the building permit fee for issued permits prior to any inspection requests. 2. Refunds will be returned to the original Payer in the same method in which payment was received. Please allow 2 -4 weeks for processing refunds. FOR OFFICE USE ONLY Rte to S s Admin: Date B Rte to Bld: Admin: Date '7�® B llj Refund Processed: Date lvA01111 B ,; -° Invoice Processed: Date �m B 4f4' Permit Canceled: Date 2mm B .41 .2, Parcel Ta: Added: Date B Receipt # Date Method - Amount $ I: \Building\ Forms \RegPermitAction.doc Rev 05 /25/2012 71 CITY OF TIGARD ° Building Division TIGARD 13125 SW Hall B1vd.,Tigard, OR 97223 503.718.2439 INVOICE TO: Grace Point Community Church Customer ID: C12 -0003 Attn: James R. Wilson Invoice No.: INV2012 -00007 11075 SW Gaarde St. Invoice Date: 07/19/2012 Tigard, OR 97224 Date Due: Upon Receipt Case No. Site Address Subdivision - Lot # or Project Name Amount Due BUP2008 -00279 11075 SW Gaarde St. Grace Point Community Church $329.00 addition Invoice Total: $329.00 ® Please see attached fee schedule for description of fees due. (Detach and return this portion with payment.) Case No.: BUP2008 -00279 Customer ID: C12 -00003 Site Address: 11075 SW Gaarde St. Invoice No.: INV2012 -00007 Project: Grace Point Community Church Invoice Date: 07/19/2012 Date Due: Upon Receipt Invoice Total: $329.00 Amount Paid: $ Office Note: Please forward copy of payment receipt to Dianna Howse. Please mail payment to: City of Tigard, Building Division Attn: Dianna Howse 13125 SW Hall Blvd. • Tigard, OR 97223 I: \ Building \Accounting \Invoice.doc 01/14/2011 ; CITY OF TIGARD FEE AND PAYMENT HISTORY II . : _ 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 TIIGARD BUP2008 -00279 - 11075 SW GAARDE ST A Revenue Payment Fee Description Account Number Fee Amount Invoiced Paid Date Paid Method Receipt # Due [BUPPLN] Pln Rv 245 -0000- 433000 $7,286.70 $7,286.70 $7,286.70 8/19/08 Check 2720080000 $0.00 0000002937 [FLS] FLS Pln Rv 245 -0000 -433020 $4,484.12 $4,484.12 $4,484.12 8/19/08 Check 2720080000 $0.00 • 0000002937 [CDCBLD] CDC Bld Rev 245 -0000 -433060 $143.50 $143.50 $143.50 [CDCPLN] CDC Pln Rev 100 -0000- 433060 $143.50 $143.50 $143.50 [LRPF] LR Planning Surcharge 100 -0000- 438050 $42.00 $42.00 $42.00 Totals for Fees $12,099.82 $12,099.82 $11,770.82 $329.00 Receipt # Payment Method Check # Payor: Receipt Date Receipt Amount 27200800000000002937 Check 10674 FIRST BAPTIST 08/19/2008 $11,770.82 CHURCH OF TIGARD Total Payments: $11,770.82 Balance Due: $329.00 Building Permit Application 0 O 4. Commercial Recei FOR OFFICE USE ONLY ONLY • City f Ti and 041) y Date /B ,kr Permit No.: ✓ /, :, 9 q 13125 SW Hall Blvd., Tigard, OR 972 QQ� Plan Review t '� 0 . Phone: 503.639.4171 Fax: 503.598.1 �0 `VV rr 19l Date; B Other Permit: / y T I G \ R D Inspection P on Line: 503.639.4175 • II . - Ready, By: ® See Page 2 for Internet: www.tigard- or.gov O l ih., ' 'al/Method: Supplemental Information �� �� 1' TYPE OF WORK ((�� REQUIRED DATA: 1- AND 2- FAMILY DWELLING ® New construction ❑ Deri15Iit` n 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. ❑ I - and 2- family dwelling ® Commercial /industrial Valuation: $ ❑ 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: 11075 SW GAARDE ST New dwelling area: square feet City/State /ZIP: Tigard /Or/97224 Garage /carport area: square feet Suite /bldg. /apt. no.: Project name: Grace Point Community Chu Covered porch area: square feet Cross street/directions to job site: SW 1 10 and SW Gaarde St. Deck area: square feet Other structure area: square feet REQUIRED DATA: COMMERCIAL - USE CHECKLIST Subdivision: Lot no.: 1100 Permit fees* are based on the value of the work performed. Tax map /parcel no.: r477852 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. da Valuation: 444 #00#104);0% D o Addition of new sanctuary, lobby, classrooms and multipurpose space ace Existing building area: square feet New building area: 24247 square feet 0 PROPERTY OWNER ❑ TENANT Number of stories: 2 Name: Grace Point Community Church - Jim Wilson rep. Type of construction: 5b Address: 11075 SW Gaarde St Occupancy groups: City/State /ZIP: Tigard, Or 97224 Existing: A3 Phone: (503 )639 3913 Fax: ( ) New: A3 0 APPLICANT 0 CONTACT PERSON NOTICE Business name: Mark Siemieniec Architecture All contractors and subcontractors are required to be Contact name: Mark Siemieniec licensed with the Oregon Construction Contractors Board under ORS 701 and may be required to be licensed in the Address: 7575 SW 91 Ave jurisdiction in which work is being performed. If the City /State /ZIP: Portland , Or 97223 . applicant is exempt from licensing, the following reasons apply: Phone: (503 ) 245 4163 Fax: : (503 ) 245 4163 E - mail: mas@ ms- arch.com CONTRACTOR Business name: to be determined BUILDING PERMIT FEES* Address: (Please refer to fee schedule) City/State /ZIP: Structural plan review fee (or deposit): 7 ?. 7 l7 Phone: ( ) Fax: ( ) FLS plan review fee (if applicable): /l.� / 191 • CCB lie.: Total fees due upon application: i 1 0 — Amount received: Authorized signatur This permit application expires if a permit is not obtained 40 1, - , Siemie Date: 08/19/2008 * within 180 days after it has been accepted as complete. Print name: Ma Fee methodology set by Tri- County Building Industry Service Board. I: \Building \Pennits \BUP -COM PennitApp.doc 2/23/07 440 -4613T( /02 /COM /WEB) This form is recognized by most Building Departments in the Tri- County area for transmitting information. Please complete this form when submitting information for plan review responses and revisions. This form and the information it provides helps the review process and response to your project. 1, V BUILDING DIVISION T I G A R D TRANSMITTAL LETTER a TO: P"` n DATE RECEIVED: DEPT: BUILDING DIVISION MAR 2 3 2009 FROM: � i Ls a ti pre J . COMPANY: Ca hA Po O 1' I►1 Q,ui <114424 t : . �; k PHONE: 5Z$— C ..51 3e 13 By: RE: (Site Address) e 2c j CO 2 7g ( ) N umber) (Project name or subdivision name and lot number) ATTACHED ARE THE FOLLOWING ITEMS: Copies: Description: Copies: Description: Additional set(s) of plans. Revisions: Cross section(s) and details. Wall bracing and /or lateral analysis. Floor /roof framing. Basement and retaining walls. Beam calculations. Engineer's calculations. Other (explain): S P 2 le-)S2 Q� . REMARKS: (I � kt Q V 0 c- 1120-( n �c�,ul�S -C e �n P \R$ u �.e �' V • FOR OFFICE USE ONLY Routed to Permit Technician: Date: Initials: Fees Due: ❑ Yes ❑ No Fee Description: Amount Due: Special Instructions: Reprint Permit (per PE): ❑ Yes ❑ No ❑ Done Applicant Notified: Date: Initials: I:\ Building\ Fomis \TransmittalLetter - Revisions.doc 4/4/07 ? 2.pog - 47.-0 7- - 7 (- 7 Form 3a Project Name: Grace Point Community Church New Sanc Page: 1 I BUILDING ENVELOPE - GENERAL Check all boxes 1. Exceptions (Section 1312) that apply. ❑ No Envelope Components. The building plans do not call for new or altered building envelope components, e.g., walls, floors or roof /ceilings. ❑ A Non - conditioned Building. The proposed structure has no spaces heated or cooled by an HVAC system. Exceptions ❑ Exception. All new or altered building envelope components do not comply with the Discussion of qualifying requirements, Section 1312, but qualify for Exception: 04 0-2 0-3 0-4 0-5 exceptions in Portions of the building that qualify: instructions section. Plans /Specs Show compliance by The plans /specs show compliance in the following locations: including a drawing 1 sheet, detail number, specification section 2. Air Leakage (Section 1312.1.1) and/or subparagraph. 0 Complies. Plans require penetrations in building envelope are sealed and windows and doors are caulked, gasketed or weatherstripped. The plans /specs show compliance in the following locations: Arch Specs Section: 07900 3. Suspended Ceiling (Section 1312.1.2.1) O Complies. Building plans do not show suspended ceilings used to separate conditioned space from unconditioned space. No exceptions permitted. 4. Recessed Light Fixtures (Section 1312.1.2.2) O Complies. The building plans do not show recessed light fixtures installed in ceilings separating conditioned spaces from unconditioned spaces. ❑ Exception. The building plans require that fixtures installed in direct contact with insulation be insulation coverage (IC) rated. The plans /specs show compliance in the following locations: 5. Moisture Control (Section 1312.1.4) O Complies. A one -perm vapor retarder is installed on the warm side (in winter) of all exterior floors, walls and ceilings, and a ground cover installed in the crawl space of both new and existing buildings where insulation is installed. The plans /specs show compliance in the following locations: Arch Specs Section: 07213 1.04 ❑ Exception. All new or altered building envelope components do not comply with the vapor retarder requirements of the code, but qualify for an exception. Note applicable exception. Section 1312.1.4, Exception: 0-1 0-2 Portions of the building that comply: Climate 6. Climate Zones Zones 0 Zone 1 - A building site is in Climate Zone 1 if its elevation is less than 3000 feet above sea level and it is in one of the following counties: Benton, Columbia, Clackamas, Clatsop, Coos, Curry, Douglas, Jackson, Josephine, Lane, Lincoln, Linn, Marion, Multnomah, Polk, Tillamook, Yamhill, or Washington. AA? '''',. ❑ Zone 2 - Building sites not in Zone 1, or where construction site elevation is 3000 feet or '' _`' higher in Zone 1, are in Zone 2. r ∎ of 3 -1 Compliance with OSSC, effective 04 /01/07 Form 3b Project Name: Grace Point Community Church Ne Page: 2 PRESCRIPTIVE PATH Part 1 of 4 CLIMATE ZONE 1 Exterior Wall Window Area Area Glazing Maximum Glazing (total rough frame ft2) (gross ft2) % Fraction Complies • Glazing Conditioned Percent Space 1 + 9,962 X 100 = 14.0% Yes Calc- _ ulation Seml Conditioned + X 100 = Yes See instruction Space section for a Conditioned discussion of glazing percent Mechanical + X 100 = Yes calculation. Penthouse Windows Window Max Minimum Window Shading Minimum From Work- (from Worksheet 3d) U- Factor Assembly (from Worksheet 3d) Coefficient Assembly sheet 3d, place the highest N/A N/A El N/A N/A ❑. Overall Window U -Value Complies N/A SC Complies N/A U- factor and highest Center- Required of -Glass SC. Or Minimum Double glazed with 0 inch Required Minimum check minimum Assembly (Fixed airspace, low-e coating, alum Assembly Tinted outdoor pane assembly and Windows) frame identify window. Required Mini - mum Assembly Double -glazed window with a (Operable 0.5 inch air space, low-e Windows and coating and thermally broken frame Curtainwail) The plans /specs show window compliance in the following locations: Arch Specs Section, 08800 Notes 'From Worksheet 3d, place the highest Overall Window U- factor or check (Minimum Assembly). See "Window Requirements" in table on the following page for specific MA requirements. Excel version will automatically insert minimum assembly requirements or greatest U -value from Worksheet 3d. Z 'From Worksheet 3d, place the highest "center-of-glass" shading coefficient (SC) for glass or check MA (Minimum Assembly). See "Window Require- ments" in following table for specific MA requirements. Excel version will automatically insert minimum assembly requirements or greatest SC from Worksheet 3d. Shading Coefficient (SC) can be calculated from Solar Heat Gain Coefficient using the equation: SC = SHGC • 0.87. Manufacturers data may also be used to document SC. Walls R -Value Wall / insulation Type Insulation Only U- Factor See instructions Frame (wood or metal framing) Detail A3, All, A7, A16 Metal Pa -I 16 or for a discussion J of wall require Frame (wood or metal framing) 2x6 Stud Wall R -19 Batt Details A� ments. ( 19 or J Or A or I :J or J or Below- R -Value Grade Walls Insulation Only U- Factor See instructions Below -Grade Walls (Min. R -7.5) (Max. 0.11) fora discussion of .102,:1.54, ' o: •. 4" Metal Stud Furring, 16 inch o.c. R-19 Batt 19 or .. requirements. r V . Notes 3 Submit Worksheet 3a for each calculated assembly U- factor s 3 -2 Compliance with OSSC, effective 04/01/07 Form 3b Project Name: Grace Point Community Church New Page: 3 PRESCRIPTIVE PATH Part 2 of 4 Code Requirements - Zone 1 Discussion of these requirements in the instruction section. ZONE 1 Wall Requirements _ Window Recuirements Max. Max. Glazing R -Value Shading Fraction' Wall / Insulation Type Insulation Only U- Factor Max. U- Factor Coefficient Up to 15% CMU 'Masonry w /integral loose fill insulation N/A or 0.300 7 0.540 0.57 Masonry or concrete w /cont. exterior insulation 1.4 or 0.300 CMU Masonry wfintegral rigid fill insulation N/A or 0.210 Masonry or concrete w/interior insulation 11 or 0.130 Up to 30% Masonry or concrete wlcont. exterior insulation 2.8 or 0.210 0.540 0.57 Frame (wood or metal framing) 13 a 0. 130 Other (provide short description) 13 or 0.130 CMU Masonry w/integral rigid fill insulation N/A or 0.210 Masonry or concrete w/interior insulation 11 or 0.130 Up to 40% Masonry or concrete w /cont. exterior insulation 2.8 or 0.210 0.370 10 0.35 Frame (wood or metal framing) 13 or 0.130 Other (provide short description) 13 or 0.130 Code Requirements - Zone 2 Discussion of these requirements in the instruction section. ZONE 2 Wall Requirements Window Rec uirements Wall / Insulation Type Max. Max. Glazing R -Value U- Factor Max. U- Factor Shading Fraction' Insulation Only Coefficient U to 15% CMU 'Masonry w/integral loose fin insulation N/A or 0.300 11 11 p Masonry or concrete w /cont. exterior insulation 1.8 or 0.270 0.500 0.57 CMU Masonry w /integral rigid fill insulation N/A or 0.160 Masonry or concrete w/interior insulation 13 or 0.090 Up to 25% Masonry or concrete w /cont. exterior insulation 4.3 or 0.160 0.500 0.57 Frame (wood or metal framing) 19 or 0.090 Other (provide short description) 19 or 0.090 CMU Masonry w/integral rigid fill insulation N/A or 0.160 Masonry or concrete w/interior insulation 13 or 0.090 Up to 33% Masonry or concrete w /cont. exterior insulation 4.3 or 0.160 0.370 0.43 Frame (wood or metal framing) 19 or 0.090 Other (provide short description) 19 or 0.090 Notes 4 The Simplified Trade -off Approach must be used if glazing fraction exceeds allowable percentages 5 Minimum weight of masonry and concrete walls = 45 Ib/ft2 of wall face are: 6 All cores to be filled. At least 50% of cores must be filled with vermiculite or equivalent fill insulatior 7 Prescriptive MA (Minimum Assembly) - For Fixed Windows: double -glazed window with a 0.5 inch air space, Iowa coating and aluminum frame. MA shading coefficient description is a tinted outboard pane of glass. ForOperable Windows or Curtainwall: double - glazed window with a 0.5 inch air space. low° coating and thermally broken frame. MA shading coefficient description is a tinted outboard pane of glass. 9 All cores except bond beams must contain rigid insulation inserts approved for use in reinforced masonry walls a Batt insulation installed in metal or wood frame walls shall be insulated to the full depth of the cavity, up to 6 inches in depth. 10 Prescriptive MA (Minimum Assembly) - For Fixed Windows: double -glazed window with a 0.5 inch argon filled space, lowa coating (e <= 0.05) and thermal break frame. For Operable Windows or Curtainwall: only use Max U- Factor. MA shading coefficient description is a 0.25 -inch thick glass with lowa coating (e <= 0.05) with a tinted outboard pane. 11 Prescriptive MA (Minimum Assembly) - For Fixed Windows: double -glazed window with a 0.5 inch air space, lowa coating and aluminum frame. For Operable Windows or Curtainwall: double - glazed window with a 0.5 inch air space, lowe coating (e <= 0.1) and thermally broken frame. MA maximum shading coefficient description is a tinted outboard pane of glass. 7�� 12 Prescriptive MA (Minimum Assembly) - For Fixed Windows, a double - glazed window with a 0.5 inch argon filled space, lowa coating (e <= 0.05) and the rmal break frame. For Operable Windows or Curtainwall, only use Max U Factor. MA shad coefficient description is a 0.25 - inch thick glass y S ! with lowa coating (e <= 0.05). i 9 3 - 3 Compliance with OSSC, effective 04/01/07 Form 3b Project Name: Grace Point Community Church New Page: 4 PRESCRIPTIVE PATH Part 3 of 4 Roofs/ R -Value Insulation Only U- Factor Ceilings Roof / Ceiling (Min. R -19) (Max. 0.050) See instructions for a dicussion of Standing Seam Metal, 8" Purlings, R -19 Batt Insulator R -19 or roofs /ceilings. Notes 11 Write -in a short description for assembly with the lowest insulation R -value or the highest assembly U- factor. 12 Submit Worksheet 3b for each calculated roof /ceiling assembly U- factor. Skylight Area Roof Area Skylight Maximum Skylight (total rough frame ft2) (gross ft2) % 13 Fraction Complies Skylights Conditioned Includes glazed Space 0 + 15,135 X 100 = 0.0% Yes smoke vents. Semi - See instructions Conditioned + X 100 = N/A for a dicussion of skylights. Space Conditioned Mechanical + X 100 = N/A Penthouse • Skylight Area Roof /Ceiling Area Skylight (total rough (gross ft2) Percent' frame ft2) Skylights Skylights Max Minimum Skylights Shading Minimum From Worksheet (from Worksheet 3d) U-Factor Assembly (srom Worksheet 3d) Coefficient' Assembly 3d, place highest Overall Vertical *N/A - ❑ ON/A - N/A Window U- factor and highest U -Value Complies Yes SC Complies Yes Center -of -Glass SC. Required Minimum N/A Required Minimum N/A (must use SC) Assembly _ Assembly The plans /specs show window compliance in the following locations: Code Compliance Thermal Performance Shading Coefficient Require- Option Overall Vertical U- Factor Center of Glass SC Performance U -1.230 for overall assembly in overhead plane SC -0.47 center -of -glass meats Min. Assembly (MA) Double glazed, 0.5 -inch airspace N/A Notes 13 Skylight percentage area is based on total skylight and smoke vent rough frame area divided by total conditioned roof area. Percentage must not exceed 6 percent of total roof /ceiling area in conditioned building space. The Simplified Trade -off Approach must be used if glazing fraction exceeds allowable percentages. 14 From Worksheet 3d. place the highest Overall Vertical U- factor or write - in MA (Minimum Assembly). See "Skylight Requirements" in table above for specific MA requirements. 15 From Worksheet 3e, place the highest "center-of-glass" shading coefficient (SC) for glass. See "Skylight Requirements" in table above for specific MA requirements. Shading Coefficient (SC) can be calculated from the Solar Heat Gain Coefficient using the equation: SC = SHGC 0.87. Manufacturers data may also be used to document SC. �r: 3-4 Compliance with OSSC, effective 04/01/07 Form 3b Project Name: Grace Point Community Church New Page: 5 PRESCRIPTIVE PATH Part 4 of 4 • Floors See instructions is R -Value for a dicussion Floors over Unconditioned Spaces Insulation Only U- Factor of floors. TJI Joists over Craw!space (R - 19 Batt) 19 or Heated Concrete Slab Edge R -Value Insulation Only Heated Slab -on -Grade (Section 1312.1.2.4) ❑ Complies. Building plans show insulation extending downward from the top of the slab a minimum • distance of 24 inches or downward and under the slab for a combined minimum distance of 24 inches or to the bottom of the thickened edge of the of slabs used as a foundation. The plans /specs show compliance in the following locations: Notes 16 Write -in a short description for assembly with the lowest insulation R -value or the highest assembly U- factor. 17 Submit Worksheet 3c for each calculated floor assembly U- factor. 18 Write -in a short description for Heated Slab, which has heat, integrated into slab such as hydronic heat. If more than one floor type, enter the lowest insulation R -value or the highest component U -factor of any floor. Code Compliance Options Require- Min. R -Value Max. U- Component Insulation Only Factor meats Floor over Unconditioned Spaces 1 11 I or I 0.070 Climate Climate Component Zone 1 Zone 2 Heated Concrete Slab Edge, Min. R -Value 1 7.5 I or I 10.0 Doors U- Factor See 19 R -Value Center -of- e in Se a n structio of Doors" Insulation Only Panel for opaque, with leaf width greater than 4' (Min. R -5) (Max. 0.20) doors. or Notes 19 Write -in a short description for Doors. If more than one door type, enter the lowest insulation R -value or the highest center -of- panel U -factor of any door. The following doors are exempt from door and window U -factor and shading coefficient requirement 0 3 -5 Compliance with OSSC, effective 04 /01/07