Permit BUILDING PERMIT
�' CITY OF TIGARD
'' ° PERMIT #: BUP2006 -00411
C OMMUNITY DEVELOPMENT D ATE ISSUED
,. , : /1 /z 9/10/2007
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 25111 BC -02800
SITE ADDRESS: 10445 SW CANTERBURY LN ZONING: R -3.5
SUBDIVISION: LOT: 3 - 4 JURISDICTION: TIG
PROJECT: MITCH CHARTER SCHOOL
Project Description: Change of use.
REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION
CLASS OF WORK: OTR FIRST: sf N: S: E: W:
TYPE OF USE: COM SECOND: sf PROJECT OPENINGS?
TYPE OF CONST: 5 - HR sf N: S: E: W:
OCCUPANCY GRP: El TOTAL AREA: 0 sf ROOF CONST: FIRE RET?
OCCUPANCY LOAD: BASEMENT: sf AREA SEP. RATED:
STOR: 2 HT: ft GARAGE: sf OCCU SEP. RATED:
BSMT ?: MEZZ ?: REQD SETBACKS REQUIRED
FLOOR LOAD: 50 psf LEFT: ft RGHT: ft FIR SPKL: SMOK DET:Y
DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : Y HNDICP ACC:
BEDRMS: BATHS: IMP SURFACE: PRO CORR: Y PARKING:
VALUE: $ 2,000.00
Owner: Contractor:
CALVIN PRESBYTERIAN CHURCH
10445 SW CANTERBURY LN
TIGARD, OR 97224
Contact #:
Phone: .
Reg #:
FEES
Description Date Amount REQUIRED ITEMS AND REPORTS
[TIF -IS] TIF - Institute 9/11/2006 $16,995.00
[TIF -MT] TIF -Mass Trn 9/11/2006 $3,630.00
[BUILD] Permit Fee 9/10/2007 $62.50
[TAX] 8% State Surcha 9/10/2007 $5.00
(additional fees not listed here)
Total $20,717.50
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: ilthti 4 4.) Permittee Signature: 9 �, 7
Call 503.639.4175 by 7:00 a.m. for an inspection that business � day.
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.
ding Permit Applicat`n, _� ' ` ' , I '
Buil '', +,`\ a F FOJt OF ICE USE ONLY
!' �' _
City of Tigard Received ( /
��{ ? tiff" � • Permit No.: + "
13125 SW Hall Blvd., Tigard, OR 97223 .cV Plan Review
Phone: 503.639.4171 Fax: 503.598.1960 RUG e. Date/By: D
��jlf
I Date/By: : • er Pe
Inspection Line: 503.639.4175 — � , ,a w "_ _.. Date Ready /By: I Ell See Attached Checklist for
I t: w.e ard.or.us i L e � �� Y ; Not " ethod: `." 0 II i/ ' appleme t al Inform+
TYPE -7D1/1VfOI21 P % REQUIRED DAT; ,AND 2- FAMILY DWE I 'G
El 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: Change of Use - No work equipment, materials, labor, overhead, and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
❑ 1- and 2- family dwelling El Commercial/industrial Valuation: $
❑ Accessory building ❑ Multi - family Number of bedrooms:
El Master builder ® Other: Educations) Number of bathrooms: I
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: 10445 SW Canterbury Lane New dwelling area: square feet
City /State /ZIP: Tigard, OR 97224 Garage /carport area: square feet
Suite/bldg. /apt. no.: Project name: MITCH Charter School Covered porch area: square feet
Cross street/directions to job site: SW 103" and SW Canterbury Lane 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.
Indicate the value (rounded to the nearest dollar) of all
Tax map /parcel no.: equipment, materials, labor, overhead, and the profit for the
DESCRIPTION OF WORK work indicated on this application.
Change of Use from A -3 occupancy to E Occupancy on lower level of existing church Valuation: $$0.00
facility Existing building area: 24,000 square fee,
New building area: 0 square feet
' ❑ PROPERTY OWNER ® TENANT Number of stories: 2
A. Name: Debi Lorence, MITCH Charter School Type of construction: V -B
Address: 10445 SW Canterbury Lane Occupancy groups:
\, ■ City /State /ZIP: Tigard, OR 97224 Existing: A -3
Phone: (503)639 -5757 Fax: ( ) _ New: E, A -3
1\" ❑ APPLICANT ® CONTACT PERSON NOTICE
�, Business name: Studio Parati Architects, PC All contractors and subcontractors are required to be
y licensed with the Oregon Construction Contractors Board
1N Contact name: Jonathan Gray / Gary Olmon under ORS 701 and may be required to be licensed in the
Address: 20085, NW Tanasbourne Drive jurisdiction in which work is being performed. If the
applicant is exempt from licensing, the following reasons
City /State /ZIP: Hillsboro, OR 97214 apply:
11, Phone: (503) 858 -4242 Fax: : (503) 645 -5500 6u i t-'17 B 62 .50
E -mail: GrayJ @StudioParati.com / OlmonG @StudioParati.com f -5 A5-.4"6 a 5 -E1
•
CONTRACTOR e09. X 6 ' 1. ' G)
Business name: BUILDING PERMIT FEES* `� Address: /fi,...--
Please refer to fee schedule.
City /State /ZIP: Fees due upon application Pr1-}S
w Phone: ( ) Fax: )
Amount receive
cCB tic.: I —.- -..- -{
I Date received: 08/28/06
Authorized signature:
/ ikir ' I This permit application expires if a permii is no! obtained
�'� .,. 1 1 within 180 days after it has been accepted as complete.
Print name: Jonathan Cray Date: 08/28/06 * Fee methodology set by Tri- County Building Industry
Service Board.
ih hk I. \Ruilding \Permits \BUP- PermitApp. dot: 12/03 440- 4513T(1 i /02 /COM/WEB)
CITY OF TIGARD
BUILDING DIVISION --- - - PERMIT #: BUP2008- 00=111
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/10/200/
Phone: (503) 639 -4171 l
Inspection Requests (24 Hrs.): (503) 639 -4175 ' • •
INSPECTION WORKSHEET FOR DATE: 9/28/2007 TIME: 7:00Am PAGE: 61
SITE ADDRESS: 10445 SW CANTERBURY LN CLASS OF WORK:
SUBDIVISION: LOT #: 3.4 TYPE OF USE:
PROJECT NAME: MITCH CHARTER SCHOOL
DESCRIPTION: Change of use.
OWNER: CALVIN PRESBYTERIAN CHURCH, PHONE #:
CONTRACTOR: PHONE #:
Inspection Request Scheduled For: Date: 9/28/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
299 Final inspection 056550-01 503-639 -5757 N
Corrections /Comments /Instructions: .
_ia • — C ` 7 , c.7 — 1 11 A '
■10110 P' IAL APPROVAL ❑ CANCEL NO ACCESS
n FAIL . ' . L FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: ■ Date: 4S/ Phone #: (503) 718- _Z1(7_
4%1