Permit r
CITY OF TIGARD PERMIT
PERMIT #: BUP2002 -00193
,� DEVELOPMENT SERVICES DATE ISSUED: 6/13/02
;- 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171
SITE ADDRESS: 12930 SW SCHOLLS FERRY RD PARCEL: 1S133AD -02200
SUBDIVISION: ZONING: R -7
BLOCK: LOT: JURISDICTION: TIG
REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION
CLASS OF WORK: ADD FIRST: / 370 sf N: S: E: W:
TYPE OF USE: COM SECOND: — - sf PROJECT OPENINGS?
TYPE OF CONST: 5N h sf N: S: E: W:
OCCUPANCY GRP: E2 TOTAL AREA: 1 a . 5 sf ROOF CONST: FIRE RET?
OCCUPANCY LOAD: 95 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:
DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP ACC:
BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING:
VALUE: $ 99,680.00
Remarks: classroom addition to an existing church office building
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: 503 - 648 -8621 Phone: 503 - 407 -1627
Reg #: uc 111999
FEES REQUIRED INSPECTIONS
Type By Date Amount Receipt Electrical Permit Required Firewall lnsp
PLCK CTR 5/17/02 $469.57 27200200000 Fire Alarm Permit Requirec Gyp Board Insp
Plumbing Permit Required Final Inspection
FIRE CTR 5/17/02 $288.97 27200200000 Foot/Found Insp Final Inspection
PRMT CTR 6/13/02 $744.30 27200200000 Footing Drain
PLC2 CTR 6/13/02 $14.23 27200200000 Slab lnsp
Mechanical Insp
(additional fees not listed here) Framing lnsp
Framing Insp
Total
$3,028.36 Insulation Insp
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 -1987. You may obtain a copy of these rules or direct questions to OUNC by
calling (503) 246 -6699 0 1- 800 - 332 -2344.
Pemiittee
Signat 0 4 '1 c. i•
Issu - d By: , .! _•_ - %�/il iiA-V a . /
Call 639 -4175 by 7 p.m. for an inspection the next business day
or = le/Z• �e -3 0Z____
Buildingpermit4tp 1 �, _.t n
A f‘ik City of Tig . r , . - - 1 Datereceived: / v Permit no p l . -60/ °3
Addrt:ss: 13125 SW Hall Blvd. Ti •
P t/espi.,ha_: T Edate:
t.ie�►oJI'sgara Phone: (503) 639 -4171 ? iN+ >� Date issued: By I Recciptao.:
Fax: (503) 598 ' Case file no.: Payment type:
Land use app • al: G -a.;. •.. .1, ! . 11 04- 1&2 family: Simpk Comp
T) PC Oi Pi:+:'si1 (
❑ 1 & 2 fanny dwelling or accessory •., , - _.. 0 Multi - family O New construction 0 Demolition
X Addidon/abxrationfreplace.ment 0 Tenant improvement 0 Fue spriakledalami 0 Other
Job address: 12 SCROLLS FlRRY 1Z7 . Bldg. no.: Suite no.: —
Lot , Black: 'Subdivision: ITaa mapfax lot/account no.:
Project name: kJ &AY4A1U SPrrtsr ro'+uRrr - .GLASSRmM AvemoJ -lc 1.1. oF t I s
Description and location of wort on prernisestspecid conditions: ,___ l 7c2 . ________
G« \Lli i t)R 5['F I. 11. 1\1 01:•N1.1T1(:1 \. L tiL. ( 111 ( It! l',1
Name: 1r.1L3ST406 15Artlsr 6441/I24-14 (IIoodpl.,irr. :tctix .t
Mailing address: 12.130 5C•iir:AlLeS rist5trif Rv . 1 & 2 family :
City: T'I !State: OR 1 17ZZ3 Valuation of work ..Y..w $
Phone: 503 $2A• •3'3 ax 1E No. of b edroom I nths _.._
Owner's repnvo: . Total number of floors
Phone: ax: E Now dwelling area (sq. ft.)
Garage/carport area (sq. ft) ...........
Name l ter -- sls't� b5,. o w Coveted porch area (sq. ft.)
Mailing address: Deck area (sq. ft.) .... ...-- ._
City: !sane: J ZIP: Other store area (eth . - —
Cmgla l ui�eeaial/ato> "mailY:
Phone: Fax: • E-mail: vahtadon of workM g=--xl7.Q...)..-. -. $ 4 e=•
DU
Business acme: 81 81 1'Cnl�i
Existing bldg. area (sq. ft.) Z. f16Q_g
New bldg. area (sq. R) 1. 370 .5F. , -
Address: 1 6775 s W Lf V '' Fo.T BL 'J
CI 1r, Ntunber of stories 1 - Z •
. Lit... OS W 1r40 j State: o rt ZIP: 4 1 7035" Type of construction 5 s N iZ.
P
- ( : Z1 t '
hont~Se3 •toy • 14,1.7 Fax: 1E-mail:
occuPancY Pang* Existing:
-I 4 8
CCB no.: 4k I I _ New E -- 1 _
—
City/metro lit- no. m Na All contractors and are required to b
,a a r I I 1 1 111. 111)1` 1 11 hound with the Oregon Construction Contractors Board under '
Name: 1 4 1 1 2 .14 k. Ni.I.4- 57.4417 provisions of ORS 701 and may be required to be licensed in the
Add... F 2505 . N •� a INs ►zt'H 5T jurisdiction whore wort is bring performed. If the applicant is
P to s taoe : oI� IZ� :17211 exempt from licwsiag, the following reason applies:
k-- k
Contact person: Plan no.:
Phone: 5o3.l93.7t.24 Fax: B mail: / ,
Name: Contact penon: , Fees due upon application ....._..__..... $
Address: Data received: _ .
$rate. 1?.1P Amount received ..._..__ ............... S -
Phone: Fax: [ &mail: Please refer to foe schedule.
I hereby certify I have read and examined this application and the 'Nor as *W WI= arcp aura mods. prune majored' aloe r« more Istommeen
attached checklist. All provisions of laws and ordinances governing this 0 Visa O MmtoCasd
work will be complied with, whether Vi , . -, herein or not. aedk card ®near. , � r•L
�x 17 5il � o� Upset
Authorised signature: ?kg NOW a < ean tioleer se � borrs oe oeodi� m:d
Print name: K »- K . N A e.r.sfZJt 4 crdhd der s AMMO ,
Notice: This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. 4444613 (to COM)
pLN2J• $41PL5
Fes is a138.
1 3 5
;nnr% aNIV'TT m xTT'� I tnoaTogccnc vim; TACT 7n112.TT /fin
M.1UHL /
1/2" f 5' -O" EXIST'G. - NO CHANGES
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4/0 x 3/0 SL. 4/0 x 3/0 SL. • .
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1' -6" MN. /, i / -
PROVIDE A.D.A COMPLIANT 0
THRESHOLD AT EACH NEW 0
EXT. DOOR (3 LOCATIONS) • • • • • •
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o MULTI - PURPOSE
0 THIS SPACE, ORIC
NEW CL14S5ROOM 'B' O A RESIDENTIAL I-11 GENERALLY USE
542 5.F OFFICE SPA(
OCCUPANCY = 21 -- °— L
' s/o C l� 4 CITY OF�TIGARD �.
aom / App�roac tt • ' . I k
�,ou31.� b riitionally Approved t i
/ / Qn� /s describd 1rl � iT - tn gyp, � ? ork a �r.�oa. -U �1 = _, -
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7 n Date: 04r7Ll__
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3/O x 6/8 J L ► J /
3/0 x 6/ I � 1 (41,
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New
CITY OF TIGARD 24 -Hour
BUILDING Inspection Line: (503) 639 -4175
INSPECTION DIVISION Business Line: (503) 639 -4171 MST
Received ' Date Requested // ( g AM PM BUP
Location — • _ • ' 4_. uite 6-td MEC
Contact Person Ph ( / ) 1 7 / a a- 7 PLM
Contractor Ph ( ) SWR
BUILDING Tenant/Owner ELC
Footing ELC
Foundation Access:
Ftg Drain ELR
Crawl Drain
Slab Inspection Notes: SIT
Post & Beam
Shear Anchors
Ext Sheath/Shear
Int Sheath/Shear +
Framing
Insulation
Drywall Nailing
Firewall '
Fire Sprinkler
Fire Alarm
7
Susp'd Ceiling
Roof
Other:
4,6111yr-
4' AS PART FAIL
• LUMBING
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: ❑ Unable to inspect — no access
Fire Supply Line 1 /r(6
ADA `
Approach/Sidewalk Dat 1 Inspector Ext
Other:
Final DO NOT REMOVE this inspection record from the Job site.
PASS PART FAIL