Permit •
CITY OF TIGARD . BUILDING PERMIT
P ERMIT #: BUP2003 -00296
- `�y DEVELOPMENT SERVICES DATE ISSUED: 5/27/03
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 PARCEL: 1 SI33AD -02200
SITE ADDRESS: 12930 SW SCHOLLS FERRY RD .
SUBDIVISION: ZONING: R -7
BLOCK: LOT: JURISDICTION: TIG
• REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION
CLASS OF WORK: ALT FIRST: 140 sf N: S: E: W:
TYPE OF USE: COM SECOND: sf PROJECT OPENINGS?
TYPE OF CONST: 5N : sf N: S: E: W:
OCCUPANCY GRP: B TOTAL AREA: 140 sf ROOF CONST: FIRE RET?
OCCUPANCY LOAD: 1 BASEMENT: sf AREA SEP. RATED:
STOR: HT: ft GARAGE: sf OCCU SEP. RATED:
BSMT ?: MEZZ ?: REQD SETBACKS REQUIRED
FLOOR LOAD: psf LEFT: ft RGHT: ft FIR SPKL: SMOK DET:Y
DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP ACC:
BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING:
VALUE: $ 2,500.00
Remarks: Adding new wall to create office. Smoke detector permit required.
Owner: Contractor:
WESTGATE BAPTIST CHURCH BRIAN DUTTON
12930 SW SCHOLLS FERRY RD 16775 SW LAKE FOREST BLVD
TIGARD, OR 97223 LAKE OSWEGO, OR 97035
Phone:
Phone: 503 - 407 -1627
Reg #: LIC 111999
FEES REQUIRED INSPECTIONS
Description Date Amount Mechanical Permit Require
[BUILD] Permit Fee 5/27/03 $72.10 Electrical Permit Required
[TAX] 8% State Tax 5/27/03 $5.77 Framing dsp
BUPPLN Pln Rv 5/27/03 $46.87 Gyp Board
nsp Li on
[BUPPLN] Final Inspection
[FLS] FLS Pln Rv 5/27/03 $28.84
Total $1 53.58
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 than 180 days. ATTENTION: Oregon law
requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain a copy of these rules or direct questions to OUNC by
calling (503) 246 -6699 or 1- 800 - 332 - 2344.
Issued By: 6.41A,c-a./ cd.d �(/.3
S it e G' "
Signature: ,�
re: 0, /
Call 639 -4175 by 7 p.m. for an inspection the next business day
05/21/2003 15:59 FAX 503595/960 CITY OF TIGARD fa 002
Building Permit Appi atioia rOR.OFF1c L ONLY' 5-a•1 -c � r Pemt ftNo.P U _ old-' % -67
City of Tigard Phoning Approval Other
Oate/13 : Permit No.:
_ 13125 SW Hall Blvd. P'aw other
Tigard, Oregon 97223 DatdB': ,f- 29 .03/08 Permit No.:
Phone: 503 - 6394171 Fax: 503 -598 -1960 "'- ll I 'i Pest•Re view land Use Case
, Internet www.ci.tigard.or.us ' -I f No- Spa Face 2 for
24-hour Inspection Request 503 -639 -4175 Name/Method. -p c , Supplemental Information m
rC" ; =r: y ; „.F., ` A',9 74.Fi � ,{- ti."' cl 0:4,-. t. r':! .∎. '"• FF'a=; A^!' t bi �- •
.. .a' ':ti�i• i . , �!vS,.�Vr, ir ?..irl,�.� 1�,r�'p,, I . .rG i� - r t‘ T� J ;:° ' i� 6 � i" , 6 t ` i - a ∎' `��� • :? r y ,
• •: , : r' iP:'17; .y ;'.1.t
: ra r ' � 4o-. � r. T k r r S• 1 , :: f ,,4 Lf
New construction ❑ Demolition F, I!.! 1y� idry• , I:. r ": !- : 11: :-(j ) :::'.. ". ' , 1 t (c1 d!0 7 ri,� t rl -
4 Addition/sheratto . . lacement 0 Other:
,s` .P.,? ist i; uci c i,; sr r: ,o,t,1i a >„'Ebil r 7" ''' Note: Permit fees• am based on the total value of the work performed. Indicate
III. 1 it 2- Famiil dwellm 1 110 Commercial/Industrial the value (rounded to the nearest dollar) of all equipment. materials. labor,
overhead and profit for the work indicated on Ilia application.
■ Access° Buil • ' 1 • Multi - Family_
I■ Master Builder • Other Valuattion_......_ ............ .........- •--- .- .._....-- ...... $ —
„ !+ 'k Y,` rim ' ;;71:. ,ro(T.. \71 i1 1O L 'i' 1:7 _ P i '- `dl Na Of bedrooms: NO. of baths.
Total number of floors-- .-- _ -- _ ...... .. ..............
lob site tldt3ress: l2 g i� U.S 1=�(ittV R D New dwelling area (sq. ft
Suite *ill: Bldg. /Apt. #: Garage/carport area (sq. it.). —
Pro•ect Name: -. ,1 I. !. - - %S'C G ltb a tt Covered porch area (sq. ft.)
Cross street/Directions to job site: neck area (sq. ft.) ............ .....,.................... -....
Other stnecan'e area (sq. ft.)
Subdivision: I Lot #: L I .. u _ - .. C , . , f t :I,
Tax 1 . arcel #: . Note: Permit fees* are based an the total value of the work performed. Indicate
( ? ! r.?z n . c.0 7,"r cl a 1 a I , 1 1 , the value (rotmded to the nearest dollar) of all eq.riprnent, rradermis, labor,
overhead and profit for the work indicated on this application.
: Ate _ ' .: i t0 oP -4c( CD
Valuation ............... .._.••.- --- ......•--- .. -. � •
-- Existing building area (sq. ft-) ........... ___......_ 4000 sr, FT
New building area (sq. ft) — --
Number of storiea......... ._.-- ...................... _.,
f%1'- • C"i7 ,..._. ., i':"_ .;:Ji _ r,.,
`,- r, -Y .11..: 7 5 w . ' LI _"' Type of construction.
Name: Occupancy group(s): Existing:
New: -
Address:
Ci /State/Zi . _ .._.
Phone: Fax: NOT ICE: All contractors and subcontractors are required to be
. licensed with the Oregon Conslrnesion Contractors Board under
L r = C =..; 1 • Ec i -J- i_ i : i «}; \; +_, provisions of ORS 701 and may be required to be licensed in the
Business Name: Jtlrfsdiction where work is being performed. It the applicant is exempt
Contact Name: z k i rtN 'b u rlt0 tJ from licensing, the following reason applies: -
Addass: 1_6111,4.3 (.c 1.i E ottE$Y Soo b - •
Ci /State/Zi.: . , . O . v C Old j7o3S
Phone: o 3 S 71 S Fax: tr e . ,,i-,..:',-1-,.-;1:
Fes= i l � f r JrIt• r 1 n ,ti
E F _^, yL ' ;:i c ��i, ' P' ii r'4tF4:::i, _ 1 r 1 , •I''' I . . i i t.- , .. . 'w- - h - r -- I oti _._.. - 1 nry
Lti- lai{.,, - • l ` •- - : �. a.G L Y._.' -� I ..?.1 �.F -.i ^��.�:._
Business Name: 1) %mtOt4 R 6PA,o9 6wtU(s Fees due upon application ............ ___ .................. $
Address: Lb77S Sw Chv(r ( ottESr Qt
City/State/Zip: t. s.t s' 640 0 Ce S 763S Amount received. ..... .. ......... ..... ......... ...___..... $
—
Phone: 4"03 -S ?t -7312 I Fax: So3 a 7S oZCt Date received ; �_-
—Authorized Lic. #• — — - ----
s,� Notice: This permit applicadee expires If a permit Is not obtained within
Si gnat bate: % 180 days after It has been accepted as complete.
'Foe methodology sat by Tri- County Building Indeetry Service Board.
(Please print name)
i:1t8ts1Peamlt Forms\DldgPe rmitApp.doe 01003
CITY OF TIGARD 24 -Hour
BUILDING Inspection Line: (503) 639 -4175
INSPECTION DIVISION Business Line: (503) 639 -4171 MST
BUP 3 CO
'� �o
Received Date Requeste• -7 AM PM BUP
Location � � -._ : • te • MEC
Contact Person Ph ( / ) 3 /' -P LM
Contractor Ph ( ) SWR
ILDING Tenant/Owner ELC
tin
Foundation ELC
Ftg Drain 4.4 r ( r -10 L S s,,q, r [ .e Xe (— e (lab ELR
Crawl Drain
Slab Inspection Notes: SIT
Post & Beam /C 3
Shear Anchors
Ext Sheath/Shear
Int Sheath/Shear
Framing
Insulation /Pr 7 0/1e5
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof 19
Other:
14a' ) PART FAIL
P 1 ' BING
Post & Beam
Under Slab
Rough -In
Water Service
Sanitary Sewer
Rain Drains
Catch Basin / Manhole
Storm Drain
Shower Pan
Other:
Final
PASS PART FAIL
MECHANICAL
Post & Beam
Rough -In
Gas Line
Smoke Dampers
Final
PASS PART FAIL
ELECTRICAL
Service
Rough -In
UG/Slab
Low Voltage
Fire Alarm
Final Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
PASS PART FAIL
SITE Please call for reinspection RE: Ell Unable to inspect — no access
Fire Supply Line
ADA
Approach/Sidewalk Date G / 7 (0 3 Inspector Ext
Other:
Final DO NOT REMOVE this inspection record from the Job site.
PASS PART FAIL