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11265 SW GAARDE STREET � II2f 5 Gaovde CITY OF rIGARD 24-dour BUILDING Line. (503)639-4175 r MST INSPECTION DIVIS60N Business Line: (503) 639-4171 @-P 9195', 60-2-S-- (-71100AM PM BUP --- — - Received _-_ _�. _____Date Requested ___ – Location Suite___ _ - MEC Contact Parstn __ --_-- i Ph(_---_.-) ----. ---- PLM - - - Contractor _._-- — — C�%�—_ Ph(--) — — SWR U L Tenant/Owner D � � — ELC - --- Footing ELC Foundation I Access: ELR Fig Drain Crawl Drain - S17 Slab Inspection Noes: Post&Beam — -- Shear Anchors Ext Sheath/Shear Int Sheath/Shear Framing -- --- - - -- Insulation Drywall Nailing - Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling --- - - Roof Other. SS PART FAIL P U NG - ----- - 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&Bearn� 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 91vd. PASS PART FAIL SITE 1 Please call for reinspection RE: Unable to inspect-no access Fire Supply Line C� ADA / t 0/O Approach/Sidewalk Date. __ __-__ Inspector __—. —_ — ut ----- Other: Final DO NOT REMOVE thi Inspection record from the Job site. PASS PART FAIL r V ✓ C, 1 HB T AGRA Limited Engineering & Environ mental Services CA-10506 3 June, 1994 Sprung Instant Structures Ltd. 1001 - 10`" Avenue S.W. Calgary, Alberta T2R OB7 Attention: Mr. Peter Bos Dear Sir: "TedlaeFabric FrictionalTestiri; Further to our test report, dated March 28 1988, regarding fri.ction factor testing of your "Tedlar" fabric under snow loading, Mr. Kase has vi:,w�f calculations Desip Associates Inc. (Lynnwood, Washington, U.S.A.) requested a incorporating this data. As stated in our report, testing of the fabric at -1°C under a snow loas value in determiningd gs e staticow esit tion a factor of 0.01. Mr. Vand�26 ndThehas eattached diagram summarizes Mr. Vanden Ende's Tedlar fabric roof with pitch. calculations. , It is the opinion of HBT AGRA Limited that, although the calculations magi be simplistic, they are accurate in estimating the forces expec .d We thank you for the oppoi cunity to assist you with this project. Please contact the undersigned if we can be of further service. Yours truly, HB.� FJ�Ir=: �vie dy; � � y �e ,, roJ -ml;� -ng .W;,Forfylaw; P.Erig:' Buil 'agi'neer i RC:. -,:�: G+,tosoe.xas Materials Di-vision = AC- RA rih & Environmental Group CITY OF TIiGARD 24-Hour BUILDING Inspection Line: (503) 639-4175 INSPECTION DIVISION 3usiness Line: (503) 639-w1 G1,/� MST — ------ q-6) / �< BLIP —.-- - --Received __- _ Date Requested - 7 `��-Z.-- AMM w�/ BLIP La,ation 1—S�� '� �!''�'� � --�-�-�'-�--�'_-� Suite._ MEC Contac'Person -_- Ph (_ ) Z —SG 43 _ - PLM _ Contractor Ph —) - SWR — BUILDING Tenant/Owner — _ ELC - - —_ Footing -- Foundation Access: ELC Ftg Drain - Crawl Drain ELR Slab Inspection Notes SIT Post& Beam - _- --_-- Shear Anchors - --.--- --- -- Ext Sheath/Shear - Int Sheath/Shear Framing Insulation --._— Drywall Nailing r "� Firewall �j ✓ - � - Fire Sprinkler Fire Alarm — Susp'd Ceiling Roof -- Other:_ - ✓�� �� -- Final . - PASS PART FAIL — ���+� G � __ PLUMBING PL.st&Beam ----- ------ — - --- Under Slab Rough-In — — — Water Service — Sanitary Sewer — --- Rain Drains Catch Basin/Manhole / Storm Drain Shower Pan Other: ---- Final PASS PART Mt - '::IM L os earn Rough-In Gas Line -- Smoke Dampers -- •ina - — - PART FAIL TRICAL — ---- Se ice _ Rough-In UG/Slab Low Voltage Fire Alarm ---- — - Final E] Reinspection fee Of$ required before next inspection. Pay at City Hall, 13125 SWI .SII Blvd. _PASS PART FAIL SITE 0 Pleas cal f r pection RE:Fire Supply Line p — able to inspect-no access ADA -- Approach/Sidewalk Daft _— Inspector Other: Final PARI FAIL DO NOT REMOVE this Inspection record from the job .Ite. FA CITY OF TIGARD 24-Hour BUILDING Inspection Lin-: (503) 639-4175 M S'I" INSPECTION DIVISION Business Line: (503) 639-4171 ------- BUP - - -- Rereived _ —__ Date Requested - �� _. AM__ -- PM BUP Location _ s —. Suite __. MEC Contact Person _ _ ` Ph(�--) P;.M Contractor _ — Ph( —) -----^ SWR � ------ BUILDING Tenant/Owner C-� �V1-� ELf: jQ�G•''�� Footfiy Foundation -- ELS• A;C9S:s. Ftg Drain ELR Crawl Drain Slab Inspection Notes: SIT Post& Beam Shear Anchors — -- Ext Sheath/Shear Int Sheath/Shear Framing !nsulation Drywall Nailing — Firewall Fire Sprinkler -�.J_ —�l._� L• $>„ j� i Fire Alarm Susp'd Ceiling — Roof Other: Final — --- PASS PART_ FAIL - -�--- PLUMBING Post&Beam Under Slab Rough-In Water Service Sanitary Sewer Rain Drains Catch BRSin/Manhole Storm Drain ....... -- - — - Soolver Pan Other. - Final PASS PART FAIL - — MECHANICAL _ Iq - � Post& Beam Rough-In - -------- Gas Lire Smoke Dampers Final PASS PART FAIL --- -- ------- - ECTRICAL Serve 40 UG/Slab Low Voltage Fire Alarm m [] Reinspection tee of$` _ required t afore next inspection. Pay at City Hall, 13125 SW Hall Blvd. SSI PART FAIL Please call for reinspection RE: _ [� I.Inabie to inspect-no access Fire Supply Line I ADA ,�, � � Appicach/Sidewalk Dats__-�=�!'��J C__.__._ I119pecto► Other Final n0 NOT REMOVE this Inspection record from the Job site. PASS PART FAIL CITY OF TiGARD 24-Hour BUILDING Inspection Line: (503) 639-4175 INSPECTION DIVISION Bu3iness Line: (503)639-4171 MST _ �! BLIP Received - --_ -- / Date Requested [ ��-Z AM __- _- _ PM - _ BUP -- Location �L ^ ` � "c chi ► ' k- lk Suite_._ MEC _ Contact Person _f 1_._— Ph( ) Cv 3� z. P .M Contractor _ _ Ph(-.-..----) SWR BUILDING Tenant/Ownpr , <�<� Footi_ng Foundation i�-L t L ELC Access: Ft Drain g ELR Crawl Drain Slab Inspection Notes: - SIT _ Po-t& Beam Shear Anchors - - - Ext Sheath/Shear Int Sheath/Shear Framing Insulation Drywall Nailing -- Firewall �� �. ,� � J tJ L Fire Sprinkler - - — — Fire Alarm Susp'd Ceiling - - ------ -- - Other: — Final _SS PART FAIL PLUMBING _ _ Post&Beam T Under Slab Rough-In Water Service Sanitary Sewer Rain Drains Catch Bnsin/Manhole Storm Drain Shower pan Other. Final �-----�-- - PASS PARI FAIT_ _ - - MECH_ANICA_L Post& Blom Rough-In Gas Line Smoke Dampers Final PASS PART FAIL --- EL •GYRI . L�.`- - - --�- - - Service Rough-In UG/Slab Low Voltage Fire Alarm - ---- t7rf _naj1_�) F] Reinspection fee of$ -- required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.PART FAIL --- E] Plewa call for reinspection AE: Unable to inspect-no access Fire Supply Line , ADA 0 71 Approach/sidewalk Daft -� ^c _ Inspector Other: Final - _ ADO NOT REMOVE this inspection record Morn the,job site. PASS PART FAIL CITYOF TIGARD MECHANICAL PERMIT DEVELOPMENT SERVICES PERMIT#: MEC2001-OC356 13125 SW Hall Blvd., Tivard, OR 97223 (503) 639-4171 DATE ISSUED: 10/11/01 SITE ADDRESS: 11265 SW %AARDI= S F PARCEL: 2S 103DC-01000 SUBDIVISION: ZONING: R-3.5 BLOCK: LOT: JURISDICTION: TIG CLASS OF WORK: ALT FLOOR FURN: `EVAP COOLERS: TYPE OF USE: COM UNIT HEATERS: VENT FANS: OCCUPANCY GRP: VENTS W/O APPL: VENT SYSTEMS: STORIES: ----BOILERS/COMPRESSORS_ HOODS: _ FUEL TYPES 0_- 3 HP: DOMES. INCIN: 3 - 15 HP- COMML. INCIN: MAX INPUT: BTU 15 - 30 HP: FIRE DAMPERS?: 30 - 50 HP: REPAIR UNITS: GAS PRESSURE: 50 + ftp: WOODSTOVES- FURN < 1001( BTU: _ AIR HANDLING UNITS CLO DRYERS: FURN >=100K BTU: <= 10000 cfin. - OTHER UNITS: 0 > 10000 cfrn: GAS OUTLETS: Remarks: Installation of temporary outside air vent. Gas piping. Owner: - .� ----- . _ FEES TIGARD ASSEMBLY OF GOD Type By Date Amount Receipt 11385 SW F 97223 TIGARD, OR 97223 EN ST PRMT CTR 10/11/01 $72.50 2720010000 5FJCT CTR 10/11/01 $5.80 2720010000 Phone: Total $78.30 Contractor- SPECIALTY HEATING & COOLING 9528 SW TIGARD ST TIGARD, OR 97223 REQUIRED INSPECTIONS Gas Line Insp Phr,ne:620-5643 Final Inspection Reg #:LIC 60578 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes and all other applicable laws. 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 rules adopted in the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0080. You may obtain copies of these rules ordiiect questions to OUNC by calling (rn'A17dFi_g1 RQ Issue By: _'i _ , , r; t ', Permiriee Signature: Call (503) 63q-4175 by 7:00 P.M. for insper:licns needed the next business day Mechanical Permit Application ) T .rDate received: Permit no.: Cit of Ti and t y g Project/appl.no.: Expire date: City ofTigard Address: 13125 SW Hall Blvd,Tigard,OR 97223 Phone: (503) 639-4171 Date issued: By: Receipt no.: Fax: (503) 598-1960 Case file no.: Payment typ,:: Land use approval: Building permit no.: 7gl &2 family dwelling or accessory 0 Commercial/industrial O Multi-family :1 Tenant improvement C3 New construction 5'Addition/alteration/replacement 0 Other. _ 11 SITE IN11701"MATION1 t j Job address: 4L5 .S(.v C! Qqr -t' Indicate equipment quantities in boxes below. Indicate the dollar Bldg.no.: Suite no.: value of all mec di ma dalsi equipment,labor,overhead. Tax map/tax lot/account no.: profit. Value'­ _7 Lot: Block: Sub divisi n: *See checklist for important application information and Project name: b jurisdiction's fee schedule for residential permit fee. City/county: // - Cl/ a N ZIP: DWEUING PERMIT FEE SCHEDULE Description an location of work on premises: o t 1 t 1 "Tt Fee(i-j.) Total Est.date of completion/inspection: Description I Qty. It es.only Res.only Tenant.improvement or change of use: —� Is existing space heated or conditioned?0 Yes O No Mondidoning handling unit CFI�t _ (site an required) [s existing space insulated?0 Yes 0 No 1 Alteration of exiLV C system 1 Boi er/compressors Busin^ss nam State boiler permit no.: L r Q 1 His Tons BTU/H Address: 5 6f.t) —/-70a,70 s'/ Fire/smoke dampers/duct smo a detectors City: 7__1fLCz100 State:0 41 ZIP:Cl 7,,�dt 3 Heat pump(site plan required) Phone (,,,Vz5kq FaxL-9ar O)/ E-mail: Instal Ureplace turnacelbumer / Including ductwork vent liner C7 Yes No CCB no.: nsta mplace/relocate eaters-suspended, City/metro lic.no.: ! _ wall,or floor mounted Name(please print): t- ZI 5 Vent forappliance other than furnace e gens on: Absorption units 8TU/H Name: T'Y Lee /y " 7��1� Chillers_ _ HP Address: 5,L r IS / ,j S T Com ressors HP City: �f Stae:G ZIP: y 7d,42 n ronmvent exhaust dsrt ventilation: Appliance vent gone 3 Gap- Fax:S g Crj1 E-mail: ryerex aust Hoods,Type /res.kitchen/ azmat hood fire suppression system Name: Q'r S P�24 Q -" Exhaust fan with single duct(bath fans) Mailing address: /aExhausts stem a art from heating or Al knell piping rn ut on(up to 4 outlets) City.,71 q al I State:Ole I ZIP: q 7 r2 ;;Z Type: __LPG NG Oil Phone: Fax: E-mail: Fuel piping each additional over 4 outlets Process piping(schematic required) Name: Number of outlets Other listed spitUance or equipment: Address: Decorative Fireplace City: State: ZIP: Insert-type Phone: ax: E-mail: o stove/pel et stove lhhcr. Applicant's sign• ure: Date:1 /p QOther Name (print): N "�(y c�kjVAI [;�Vo.a 1 jurisdictions accept crnlit cards,please:all jurisdiction for more infamcuon Permit fee.....................$Notice, ihts petmn applicatiun Minimum fee................$ ❑MasterCard , credij card number: _ 4�� v expires if a permit is not obtained r '��`� �.(&_J9 - --1� within 180 days ager it has been Plan review(at _ .2) $ _5 r l �d �r? Li Expires Ga State surcharge(8%) ....$ �J Nutte ofcud s mown nn creditcard accepted as complete. TOTAL � 1 1 h 1_,y _ $ .......................$ Cardholder signature Amount 41n.46I7 j&MCOMI S , 9-1 SC J D ' C � � w i i u � � 3 L M � .J C xJw A4 A4 J N � d � Cel v \ 0 �,N"I - s2 o y v ` N � I lri;1a, of TI1F 1 I 17 FAX 5(13 6,44 0954 R S h N TFSTTNG Main ONlro Selern rh%ce Send OA'F01 PO.BOX 23814 41)80 Huds-on AVQ.,NF P.O Box 7918 Inc. iyarr),Oregon 97281 5010m,On 97301 Bond,OR 5770% 330-9155 Carlson Testing, iliPhone(503)68"64 664,3460 FFAX(503)$89.1309a fFX(541))330.41 K3 Snecial Inspection FINAL SUMMARY LETTER October 10, 2001 T0005178 City of Tigard 13125 SW Hall Blvd., FILE A Tigard, OR 91723-8199 Attn• n0iding Department Re: Gaarde Christian School 11265 ISM Gaarde St -Tigard, OR Permit No.: BUP1999-00256 Dear Sir or Madam- 1 his is to certify that in acc:ordenc-e with Section 1701 of the Uniform Buliding Code and Chapter 24.20, Title 24, we have performed special inspection of the following item(s) per our inspection reports only. Reinforcing Steel Concrete_ Compressive Strength Testing Installation of Wedge & Epoxy Anchors All in!spoctions and tests were performed and reported according to the requirements of Project Uocumer is and, to the Fest of our knowledge, the work was In conformance with the approved plans and specifications, approved change orders and applicablo workmanship provisions of the State Building Code and Standards, as well as the structural engineer's design changes, approvals and verbal instructions. Our reports pertain to the material tested/Inspected only. Information contained herein is not n)he reproduced, except in full, without prior-authorization from this office If there are any further questions regarding this matter, please do not hesitate to contact this office. Respectfully submitted, CARL_ ON TESTING, INC am F. Hietpas Qua t nssurencd Manager JFH/l Cc, t-;aarde Christian School Toni Frisinger Mike's Concrete P'w.V1 r n FM II;.NN'1RRNT.4 1 CITY O F TIGARD —­ELECTRICAL PERMIT Ai DEVELOPMENT SERVICES PERMIT#: ELC2000-00498 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639.4171 DATE ISSUED: 3/22/00 SITE ADDRESS: 11265 SW GAARDE ST PARCEL: 2S103DC-01000 SUBDIVISION: BLOCK: ZONING: R-3.5 LOT : .JURISDICTION: TIG Proier:t Description: Installation of one 200 amp or less service or feeder and 5 branch circuits. RESIDENTIAL UNIT TEMP SRVC/FEEDERS 1000 SF OR LESS: --- - MISCELLANEOUS EACH ADD'L 500SF: 0 - 200 amp: PUMP/IRRIGATION: LIMITED ENERGY: 201 • 400 amp: SIGN/our LINE LTG: Ih1ANF HM/SVC/FDR: 401 - 600 arnp: SIGNAL/PANEL: 601+amps - 1(100 volts: MINOR LABEL (10): SERVICE/FEEDER _ BRANCH CIRCJITS 0 - 200 amp: 1 ��--`--- - — _ADD'L INSPECTIONS 201 - 400 amn: W/SERVICE _ OR FEEDER: 5 PER INSPECTION: — 'Ist W/O SRVC OR FDR: 401 - 600 amp: EA ADD'I- BRNCH CIRC: PER HOUR: 601 - 1003 arnp: IN PLANT: 1000+ amp/volt: -- - _ PLAN REVIEW SECTION >=4 RES UNITS: Reconnect only: > 600 VOLT NOMINAL: SVC/FDR >= 225 AMPS: C ASS LREA/SPED OCC: Owner: TIGARD ASSEMBLY OF GOD Contractor: 11385 SW FAIRHAVEN ST TAKE CHARGE ELECTRIC INC TIGARD, OR 97223 7270 NW HELVETIA RD HIL.LSBORO, OR 97124-8538 Phone: Phone: 647-0946 Reg#: ELE 34-287C L'" 81761 SUP 3087S 5�1 FEESe By Date Required Inspertions_ _ Amount Receipt -.—___—PMT CTR 8/22/0 1.00 2720000000( Elect'I Service 5PCT CTR Elect'I Final 8/22/00 $7.28 2720000000( Total $98,28 This Permit is issued suoject to the regulations contained in the Tigard Municipal Code, State of OR Specialty Codes and all other applicable laws All work will be done in accordance with approved plans This permit will expire if work is not started within 180 days of issuance,o, it work is suspended for more than 180 days ATTENTION. Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center Those rules are set forth in OAF;952-001-0010 through OAR 952-001-0080 You may obtain copies of these rules ordirect questions to OUNC at(503) 246-1987 PERMITTEE'S SIGNATURE ISSUED BY: ) /7 T'he installation is being made on property OWNER INSTALLATION ONLY — g p p I own which is not intended for sale, lease, or rent. OWNER'S SIGNATURE: --— ------. DATE: _ — ---------_ _ CONTRACTOR INSTALLATION ONLY DATE:__. SIGNATURE OF SUPR. ELEC'N: k � c l f t� 2` LICENSE NO: 25 Call 639-4175 by 7:00pm for an Inspection the next business day CITY OF TIGARD Electrical Permit Application Plan Ch 1312E SW HALL BLVD. Recd 11 y n/��9� � Date Recd E-f a l U TIGARD OR 97223 _ -- Date to P.E. Phone(SG,.,639-4171, x304 bate to DST Inspection (503)6394175 Print of Type Permit# Fri aaoo-00 Y94' Fax(503) 598-1960 Incomplete or illegible will not be accepted Called !_ 1. Job Address: 4. Complete Fee Schedule Below: Name of Development_ _ _ Number of Inspections per permit allowed Name(or name of businessCi. � 1���`.4 Service included: Items Cost Sum Address 12-2_lc 5�;(;(t�;.��f r y - 4a. Resl„9ntial-per unit r^ 1000 sq.ft or less $ 117.75 4 City/State/Zip �r�/rfr1= _ -- Each additional 500 sq.1t.or Commercial Residential ❑ LiPorthereof $ .75 _ t Limited Energy _ $ 60.00 E.a�n Manut'd Home or Mudu'ir 2a. Contractor installation only: Dwelling Service or Feeder $ 72.75 _ 2 (Prior to permit Issuance,applicants must provide contractor license 4b.Services or Feeders Information for COT data-base).' Installation,alteration,or relocation mssk Ifrl 200 am or less $ 64.25 2 Electrical Cc,ntractor� amp.; _____I__ . Address 201 amps to 400 amps $ 85.50 2 v r'���y�f,� 401 amps to 600 amps $ 128.50 2 City W i State (ty�_Zip 601 amps to 1000 amps $ 192.50 2 Phone No. ('=�{ ) �:r y {(� Over 1000+mps or volts S 363.75 2 Job No. _ Reconnect only $ 53.50 2 Elec.Cont. Lice. No. --'Sll Exp.Date 110 C I 4c.Temporary Services or Feeders OR State CCB Reg No �<-.<1"7Exp.Date /F_ � is'r/ 0 Installation,alteration,or relocation COT Business Tax or Metro No. Exp.Dale ` 200 snips or less S 53 50 _ 2 201 amps to 400 amps $ 8025 2 Signature of Supr. Elec'n 401 amps to 600 amps - $ 100.00 �- 2 Over 600 amps to 1000 volts, �,� (� License No. _Exp,Date see"b"above. /�- ,�, 4d.Branch Circuits Phone No. . L _ _._ _ Now,alteration or extension per panel a)The fee for branch circuits 2b. For owner installations: with purchase of service or feeder fee. Print Owner's,Name Each branch circuit �- $ 5 35L�! 2 Address b)The fee for branch circuits -- without purchase of service City State - 7_ip - or feeder fee. Phone No. _ First branch circuit $ 37.50 Each additional branch circuit $ 5 15 The installation is being i-side on property I own which is not 4e.Miscellaneous iniended for sale,lease or rent. (Servir.e or feeder not included) Each pump or Irrigation circle $ 42.75 _ Owner's Signature Each sign or outline lighting _ $ 42.75 Signal circult(s)or a limited energy 3. Plan Review section if required):* panel,alteration or extension _ $ 60.00 Minor Labels(10) S 100.00 Please check appropriate Item and enter fee in section 58. 4f.Each additional Inspection over 4 or more residential units in one structure the allowable In any of the above _ _ Service and feed(. Per inspection $ 5000 . 225 amps or more per hour _ $ 50 00 System over 600 volts nominal In Plant _ $ 5900 Classified area or structure containing special occupancy as described in N E C Chapter 5 5. Fees: Sa.Enter total of above fees $ Submit 2 sets of plans with application where any of the above apply. 8%Surcharge(.08 X total fees) $ Not required for temporary construction services. Subtotal $_ 5b Enter 25%of fine 8a for NOTICE Plan Review if requi (Sec 3) $ _ PERMITS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED Subtotal $ IS NOT COMMENCED WITHIN 180 DAYS,OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS ❑ Trust Account# AT ANY TIME AFTER WORK IS COMMENCED Total balance Due $ Ildsts\forms\elcctrlc duc CITYOF TIGARD BUILDING PERMIT DEVELOPMENT SERVICES0256 DATE ISSUED: 05/30/2000 13125 SW Hall Blvd., ligard, OR 97223 (503) 639-4171 PARCEL: 2S103DC-e1000 SITE ADDRESS: 11265 SW GAARDE ST' SUBDIVISION: ZONING: R-3.5 BLOCK: LOT: JURISDICTION: TIG REISSUE: FLOOR AREAS _ _ EXTERIOR_WALL CONSTRUCTION _ CLASS OF WORK: OTR FIRST: 1.891 sf N: S_ E: —W: — TYPE OF USE: COM SECOND: 0 sf _ PROJECT OPENINGS? TYPE OF CONST: 5-1 HR O sf N: S: E: W: OCCUPANCY GRP: A3 TOTAL AREA: 1,891 00 sf ROOF CONST: FIRE RET? OCCUPANCY LOAD: 283 BASEMENT: sf AREA SEP. RATED: STOR: 1 HT: ft GARAGE: sf OCCU SEP. RATED: BSMT?: MEZZ?: REQD SETBACKSREQUIRED _ FLOOR LOAD: psi LEFT: ft RGHT: ft FIR SPKL: N SMOK DET.N DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : N HNDICP ACC:) BEDRMS: BATHS: IMP SURFACE: PRO CORR: N PARKING: VALUE: $ 37,474.00 Remarks: Engineered Play Structure - Note the fabric covering has been tested and meets the requirements for one hour construction Approval is authorized as an alternate under OSSC 104.2.8 by J. Funk. Owner: V Contractor: TIGARD ASSEMBLY OF GOD RIVERSIDE HOMES 11385 SVJ FAIRHAVEN ST 15455 NW GREENBRIER PKWY TIGARD, OR 97223 SUITE 140 BPFoneTtPhone: rrj,_ 4RR_(Q Q6-21 15 Reg #: LIC 7006 FEES REQUIRED INSPECTIONS Type By Date Amount Receipt Foot/Found Insp PLCK BON 06/17/199£ $145.93 99-316195 Misc. Inspection FIRE BON 06/17/199� $89.80 99-316195 Final Inspection 5PCT GEO 05/30/200C $27.50 0002529 CDCB GEO 05/30/200C $125.00 0002529 (additional fees not listed here) Total $922.98 0 This permit is issued Subject to the regulations contained in the Tigard Municipal `C�oc.1-e�, State o OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days ATTE=NTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-1987. You may obtain a copy of these rules or direct questions to OUNC by calling (503) 2.46-1987. Pennitee Signature: Issued By: ,l Call 639-4175 by 7 p.m. for an inspection the next business clay CITY OF TIGARD Commercial Building Permit Application 13125 SW HALL BLVD. Recd e New Construction and Additions Date Recd TIGARD, OR 97223 Date to P.E. Z' (503) 639-4171 Date to D Print or Type Permit! , �y„c:-/a ---- Incomplete or illegible applications will not be accepted caliedds eco ' 6 Nama of Development/Proied rJ/f �` yr,:,_� Job Address sheet ddress 5utte - T Existing Build gnI gni p New Building �n�,,,�.� Qc .- �,vy,,,,C, t; Bldg* Clty/State Z�---- Building, 1 1 p Data f Name T — Existing Use of Building or Property: Property Le R-� - C'��I Owner Mallin Address Jvc _�� �C � J quite Proposed Use of Buildin or Pro e p m'� City/State ZIP Phone Co 1,`(Z t.\ 1 Cl p n n ` -S- - No. Of Stories Occupant Name Sq. Ft. Of Project: Contractor Occupancy Classes) Prior to permit Mailing Address _ issuance,a cony Suite of all licenses Types)of Construction Cc�v� wl`�rinlE G�► �, � - are required if City/State Zip Pn Will this project have a Fire Suppression Sy tem? t,� � expired In C.O 7 �l database `� Yes ❑ _ No Oregon Const.Cont.Board Lir,A Exp.Date -- /� Americans with Disabilities Act(ADA) Valuation X 25% =$ Participation Name --- _COmplete Accessibility Form Architect �;' t Project - $ --- - c c. I t rUc' k Valuation T- --_ Mailing Address Suite --7 t I O Plans aequired: See Mat Ix for number of sets to submit Clty/Staff^ — Zip Phone - on back. Engineer Name &(—)� hereby acknowledge that I have read this application,that the information _ A given is correct,that I am the owner or authorized agent of the owner,and Mailing Addrbes Suite that plans submitted are in compliance with Oregon State Laws L _P/1 w Signature of Owner/Ag Date t ulty/State Zip �' (. Phone t . C / �' -- Contact Pefson one Name 1 _ Phone Indicate type of work New ' Addition O - _ Accessory Structwe O Foundation Only p Demolition O Alteration n Repair O Other O oescription of work: --- FOR OFFICE USE ONLY iL.l rd �L'4' ., f�(tom A Map/TLk -- Land Use: // Notes — Par s: Estimated!qbf Employees TIF` If tho above figure Is not sullpfied at the time of application,the city will M/ 'r y /ue jAJ-t! — catcutatn the fee based upon the number of Parking spaces. Note: Site Work Permit Application must precede or accompany Building �J _ Permit Application f 7 Q�L ) I LC 61 3 I\COMNEW DOC (DST) 5198 �1� �� Yw 1 ,v r COMMERCIAL PLAN SUBMITTAL REQUIREMENT MATRIX Plan Review is dependent Capon submittal of BOTH plans AND a COMPLETED application. For an eiectrir,al submittal, the application must contain the signature of the supervising electrician before plan review will be conducted. After plan review approval, Plans Examiner will contact the applicant to request additional plan sets for distribution purposes. (Copy for Contractor, City, Washington County, Tualatin Valley Fire & Rescue) Total—# Of 1 TYPE OF SUBMITTAL Plans KEY: _ Submitted S (Private) 1 _ S = Site Work B (New or Add) 1 B = Building F (New or Add or Alt) 3 F = Fire Protection System M (New or Add or Alt) – 1 M = Mechanical B & M (New or Add) 1 P = Plumbing P (New, Add, or Alt) _ 2 E = Electrical B & M & P (New or Add) 2 New = New Building E (New, Add, or Alt) 2 Add = Addition B & F & M & P 8_E_ 3 Alt = Alternation to Existing (New , Add) Building `B or B & M (Alt) *B & M & P (Alt) 3 *B & M & P & E(Alt) 3 *B & M & P & E & F(Alt)� 3� NOTES. *Shaded areas designate AL-1' submittals only. lidsts\forms\matrxcom doc 10/30/98 CITY OF TIGARD MECHANICAL PERMIT DEVELOPMENT SERVICES PERMIT#: MEC2001-00410 13125 SW Hail Blvd.,Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 11/,4/01 PARCEL: 2S 03DC-01000 SITE ADDRESS: 11265 SW GAARDE ST SUBDIVISION: ZONING: R-3.5 BLOCK: LOT: JURISDICTION: TIG CLASS OF WORK: OTR FLOOR FURN: EVAP COOLERS: TYPE OF USE: COM UNIT HEATERS: VENT FANS: OCCUPANCY GRP: VENTS W/O APPL: VENT SYSTEMS: STORIES: BOILERS/COMPRESSORS HOODS: FUEL TYPES 0 - 3 HP: 1 DOMES. INCIN: I-PG 3 - 15 HP: COMML. INCIN: MAX INPUT: BTU 15 -30 HP: FIRE DAMPERS?: 30 -50 HP: REPAIR UNITS: OU GAS PRESSURE: 50 + HP: CLO DRYERS: FURN < 100K BTU: AIR HANDLING UNITS C OTHER UNITS: FURN >=100K BTU: <= 10000 cfm: > GAS OUTLETS: 10000 cfm: Remarks: Installation of exterior a/c unit. Owner: _ FEES TIGARD ASSEMBLY OF GOD Type By Date Amount Receipt 11385 SW FAIRHAVEN ST t-IRMT CTR 11/14/01 $72.50 272001000C TIGARD, OR 97223 5PCT CTR 11/14/01 $5.80 27"7001000C PLCK CTR 11/14/01 $1813 272001000C Phone: Total $96.43 Contractor: SPECIALTY HEATING & COOLING 9528 SW TIGARD ST TIGARD, OR 97223 REQUIRED INSPECTIONS Mechanical Insp Phone:620-5643 Final Inspection Reg#:LIC 66578 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted in the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 915F-001-0080. Y(� may btain copies of these rules or direct questions to OUNC by calling ( i: 9AR-CIIIA0 ue By: �'�' � 1�- �� .�! Permittee Signature: — Call (503) 639-4175 by 7:00 P.M. for inspections needed the next business day Mechanical Permit Application � } ----- Dateteceived: // /f/D/ Permit no.: City of Tigard Pro. tj ppl.no.: Expire date: Ciryvjrigard Address: 13125 SW Hall Blvd,Tigard,OR 97223 — — Phone: (503) 639-4171 Date issued: By. Reccipt no.. Fax: (503) 598-1960 Case file no.: Payment type. Land use approval: —__ Building permit no.: .t rNew mily dwelling or accessory O Commercial/indusaial O Multifamily J T•n.int impro ro mu-nt nstruction Addition/aterati /replacement Q Other: v JOB SITE INFORINATION t 11, COMMERCIAL ! SCHEDULE Job address: a r _ Indicate equipment quantities in boxes below. Indicate the dollar Bldg.no.: Suite no.: ! value of all mecharygnlgnaterials,equipment,labor,overhead. Tar..ma /tax lot/account no.: profit. Value$ 1 Lot: Block: Subdivision: _ 'See checklist for important application information and Project name: ,*rQ Od 7 jurisdiciian's fee schedule for residential permit fee. City/county: v.d !sN ZIP: Description and location of work on premises:Z,&� <i 4 t ! I ! a t Est.date of completion/inspection: Descri on Fm.nni Total V. Res.only R­y.onlvi Tenant improvement or change of use: Air handling unit CRI Is existing space heated or conditioned'.11 Yes O No Air can juoning(site Ian require ) Is existing space insulated? 'Yes No Alteration of existing HVAC system —i CONTRACTORNIECIIANICAL of er/compressors _._ Business nam C• a L- Q j7 j State bailer permit no.: HP Tons BTI1/H Address: �l t) 1 ,t7 -9/- _ irdsma a ampers/duct smoke detectors City: r (c1 d _ State:p,e ZIP:9 7,j1 of 3 eat pump(site plan required) _ Phone' (,+_V Fax;S 981-o)/ E-mail: Instalilreplace furnac umer / CCB no.: ,�j �' Including ductwork/vent liner O Yes O No ..ta I I 1­pl ace/relocateheaters-suspen ed, City/mrtro lic.no,: ! wall,or floor mounted Name(please rint)LL&/'t! i {�.I S ent for appliance other than furnace CONTACTPERI.SdNRefrigeration: Absorption units BTU/H Name: rW LZe/V .Sly h 07 Chillers `-- HP Address: 5,!. $- S / ,1 S<�~' Compressors HP Environmental exhaust an vent lation: City: -r-ljStae:Q ��ZIP: Appliancevent Phone: 3 G.2O S( faY:59i�'�}I/&' E-mail: ryerexhaust ! Hoods,Type rex. itc eNhazmat f hood fire suppression system Name: / Q G� d55.,;"Lllel '-f (7Oc a Exhaust fan with single duct(bath fans) Mailing address: ra_e xhaust systema art rom heating or AC city:/ 6ticl I Statere Fuel piping an ut on(up to 4 outlets) Type: LPG NG --Oil Phone: (p 3` -5 3c Fax l: m;ul: Fucl piping each additional over 4 outlets 01111H 10 313 Processpiping(schematicrequired) Name: Number of outlets ---- Ot er t appliance or equipment: Address: __ Decoretivetire_place _ Citv: _ State: !IP nsert-ty e Phone: a.e: -tn:ul: oo stove/pelletstove Other: Applicant's sign• ure: Date // e`7/ ter: Name(print): ,1 fee................ .... NoPermit $ b l I jurisdictions rccept credit cards,please jurisdiction for more information. _ visa 13 MasterCard Notice:This permit application Minimum fee................$ ���r�� 4.`k1g x expires if a permit is not obtained Crreditt caarid number: _ a� `� (IT23 — Fbe/ It)ires within 180 days after it has been Plan review(at %) $ Ilk Na%e ut c fho n on l card r p ' State surcharge(8%) ....S &. �r ,�� J accepted as complete. Cardhuides sipattrrc Amount .W04617 1V WCOW CITY OF TIGARD Approved..........................................................( : Conditionally Approved.....................................( ): For only the wo a d scribed In- PERMIT N0._ "OQV/d See Letter to:Follow.........................................( ): Job A r :�_ ch. ...( �� By: y� 1 100' i1 . b° 1 'O J J Cry 7' F� y . t 1 1 1 1 t f .. 1 1 •� rx- �N Form 4a (cont.) _ Project Name: page: SYSTEMS - GENERAL 7. Off-hour Controls - HVAC Systems (Section 131' , 1.3.3) Complies.All new HVAC systems are capable of automatic setback or shutdown during periods of non use or alternate use of the space ser✓ed by the system. J Exception. Equipment has full load heating demands of 2 kW (6.826 Btu/hr) or less and is controlled by a readily accessible manual off-hour control. S. Off-hour Controls - Supply and Exhaust Systems (1313.1.3.3) J Complies. Plans require that outdoor air supply and exhaust systems have a means of auto. uratic (either motorized or gravity damnper) volume shutoff or reduction during periods of non- use or alternate use of the space served by the system. J Exception. The building qualifies for an exception to the requirement for automatic shutoff or reduction.The applicable code exception is Section 1313.1.3,1, Exception 9. Heat Pump Controls (Section 1313. 1.3.4) J No Heat Pump. The plans/specs do not call for a new heat pump. J Complies. All new heat pumps equipped with supplementary heaters are controlled as required in Section 1313.1.3.4, 10. Equipment Performance (Section 1313. 1.4) J No New HVAC Equipment. The building plans do not call for new electrical HVAC equipment, combustion heating equipment or heat-operated cooling equipment. Complies. All new HVAC equipment has efficiencies not less than those required by the code The following equipment efficiency worksheets are attached 11. Duct Insulation (Section 1313.2.2 & 1313.3.2) J No Ducts. The building plans/specs do not call for new HVAC ducts or plenums. /11( Simple System: Complies, The plans/specs call for a Simple System, and all exterior supply. return air-handling ducts and plenums and all outside air ducts are insulated as required by Sec 1313.2.2. J Complex System: Complies. The building plans/specs call for a Complex System, and all air- handling ducts and plenums are insulated as required by Sec. 1313.3.2. 12. Piping Insulation (Section 1314) Exceptions ,)( No New Piping. The building plans/specs do not call for new piping serving a heating or cooling See a discussion of system or part of a circulating service water heating system. qualifying excep- J Complies. All new piping serving a heating or cooling system or part of a circulating service tions on p.4-17. wafer heating system complies with the requirements of the Code, Section 1314.1. _1 Exception. New piping qualifies for the following exception: Section 1314, Exceptic^ 13 . Service Water Heating (Section 1315) No New Water Heating. The building plans,specs do not call for new water heaters, Ilot water storage tanks, service hot water distribution systems, swimming pools or spas. Exceptions J Complies. All new water heaters. hot water storage tanks, service ho; Aatdr distribution sys- See a discussion of tems. swimming pools or spas comply with the requirements of the Code. qualifying excep- :j Exception. The applicable code exception is. Section tions on p.4.18. . Exception . Portions of the building which qualify: 4-2 Systems (t'96; Worksheet 4a Protect NAme: _ _ Page: UNITAR`.Y AIR CONDITIONER -- AIR COOLED Equipment (a) - (b) (C) (d) (e) Seep.4.19 fora Proposed discussion of Performance equipment rating,,9 Cooling Seasonal Compliance and equipment Capacity Steady Scheduledefinitions Equip. ID Model Designation (Btu/h) State Load (A-E) ) fir. 4 6 b A i 1. Does the proposed equipment meet the required equipment efficiency? Enter "Y" if yes. Y 2. Check boxes to indicate the source of information: J ARI Unitary Directory, Section AC (Enter the page number) J ARI Applied Products Directory, Section ULE (Enter the page number Product data Attach data furnished by the e ui ment su Iier) Comply Cooling Ca acit (Btu-h) Minimum Ratio ance But not Steady Seasonal or Schedule Equipment T e Over over - State Part Load Single Package 0 65,000 na u.7 SEER A Without a 65,000 135,000 8.9 EER 8.3 IPLV Heating Section 135.000 760,000 8.5 EER 7.5 ILPV 760,000 - 8.2 EER 7.5 IPLV Split System 0 65,000 na 10.0 SEER , B Without a 65.000 135.000 8.9 EER 0.3 IPLV Heating Section 135,000 760,000 8.5 EER I 7.5 IPLV 760,000 - E.2 =ER 7.3 IPLV Single Package 0 65,000 na 9.7 SEER C With a 65,000 135,000 E.9 ZER 6.3 IPLV Heating Section 135,000 760.000 6.3 EER 7.3 IPLV 760,000 - 8.0 EER 7.3 IPLV Split System 0 65,000 nq 10.0 SEER D With a 65,000 135.000 °.3 EER 8.3 IPLV Heating Section 135,000 760,000 8.3 EER 7.3 IPLV _ 60,000 - 8.0 EER 7.3 IPLV E Condensin Unit Only 135,000 - 9.9 EER 1 11.0 IPLV 4-4 Systems cuss► 11.14-.1001 14 24 FAX 1530221G0B2 lIEL[II�IF BFIfiHA>; �':nI 1t7jy , iYgV7 --T YSCOSOSQ202.01 - 0 Tog: •.' All d►mersions are in inchedmil MWOM Standard EAeciSnay 6 Ton Packaged Gas/Electric Convertible C/ 60a � SRW h I i Jnr Aft—-rome NAM a rout ftMYiYi C r �opf"s 1'Q1R!Arun r'W T W rsM w.rtaR NA RR. iAr tM so."twtF fr>T OEM OM"CPA h / rW wlY Irr tr .nctu 6)CIAA .R0 tro.�E+ln� .Rr, /rut�lul�uR.,I1lr_ MT ['101!OOr M R1r no rdl R !M MW Amon $aq T1s��v —wAVo A11ur Conn* / J err• � '"air parr o.n N" �1N 'u l RM-lyyil� f/ �WW1l� �lNtlr / TR rI1 pP11fANtTW-M / /// L wrllo�A C67MM6W1 - SyL—mwo boom fin M_tsf �n Mon bs6 Q ne l UrA ry�T�/�liT F' MX—KTX Mol rI N1 �M11�N It1'Rfn F\� Unn oproting C.KUR Stir nr MM.rr%j h C'mtlt stm Of Mom _JRrCIn Slti+M 14.1 Y'�11n CUM-lraelro' Anp�c�ty Gram!___ '�� R 113 !1 5 S0 ]]] C �6 5 YSCU60A4 411 506 160 25t B t5 6 .� YSCOmAW 511633 172 70 T2! ' U tl6 1Q NOTES I MAra tywto In NI 1 11/14/2001 14:24 FAX 15902218082 MELODIE AFCf;NAN: Od All dimensions aro 111 inthe'/milllmetm vim 5115WROUNwr I DIM i i I I � J� I ' D IN' Pintettr/1►Asw s1 .ndRbn.n .r Ori N m►rttTn. a t un we 1 + ,rpvpwrA, aw rr,.Q�aw� �M fflrNlNq ' (APAR W top IMOOM ' GlIAP-9 41946 NMI 3 11- 1J-20:11 14:24 FAX 15302216052 NELODIE BECKHAM Z03 All dlmenslons are In Inchosfmllllmetem e r jkpw" ~d/pM=d -6p bt-- I /N tltR a Als 9rf OWN" NOW" fA 11 6' >M lT u IL�G NMI mI fW WI I—'W1 ''y/'M goo"vims"• 5 11/14/2001 14:24 FA\ 15J0'.:7Ru5: MELODIE Ac(KHAY. o: lilrb i Cmnerd --- ^, - - --— 6 TOM Con1d'/Ob YSC�A1 AVr t`�j7rew�w` - Grim Conllnp Orly 6J.100 b .1In MAIM 49.90 ion NOrnwol CIM I ARI Raleto CFAI 7.000/!UK I am ARI Nrt Conorin unanr /0.000 klMOrmo Pert-Wed Vwte% Sil"i Praror(kVrl b K IG7�iei�inwtaid _� Nam"INoOe 7 MMnur I� Law Hlyrt He@Unq InptA IHnU 0 0 W 000 1000 W.0100 30 130 000 Hetanrry Dutixr,(FAu' t 0 /].000 1 1/,000A 30 101.000 Afi1f 1G' ?' 010 /1 5 /0 9urrrly stain Fmcl-ii ^K1 /1 0 0 /1.0 1 /0.0 Mu Btrrn.rt 2 h T 2 3 No su" 7 1 1 ' f1Rs C�A*dlDprs Pepe Stan Intl 1R I trr v7 tICWIIR//f0"oil llfl Snn ren—M- I L rs,Re IIn)DU 3175 .3 5 FRoe Area Isq IU eel / mmtbi" 2117 '.'—iii•-tpgr - _---Tsncw —'roma c TWm$iu Oft) 1175 ] 2 Face Am*Iso t' Soo s RvwalFPl Vi ll peRgenrr C r r Short Onhrc SIvn not Onn(Azn elm N015r/e(nt lfK NPT _ 1!M NO llKdlDtMnrwer hn 1 1R2 1 2 Drive TypAIN Sl,+rwn• ()IrtacUl DIr CFM 3170 3 70 No Mrrtcwrjmf, 113) / 33 IM"FAMA 107S 1 75 , flfi�e—"' OW W6+r Vain I yp« iRtli, FC r 1 NO IlsatyU4rtleree lint Illi x it InI x l ONw Tgpoil Speeds UnacUt Ulf No Marne 1 Morn HP(Winalmrcl/O enlmil) 001►a1 .00 Maa RPM(S►erMarOR)vrsLmd) 95511/4 9051 0511' Moa Frim»mea lesUadl a/1a► 6 — S DPW%LTwypr - tf1 spay No UmrtlDlamov(nt, 11 t 1/11 x 11 Dave 1,7mMo.Speeds Haig 0 1 Fwatilli Sleeve No Millon Muv HP(Slsre�leem , IMW Mdcrr RPM(staneWdOCKWIiind) Moa Frwrrn Sts(5+sdb0rrrstod) 1f1/ 1 - FYR11/f1Rp 7 Vel (NO)Sue liemrhnryrad QI 710 Y,7s x 1' _ (2)2D I?s x 64iip-�bomiyAm 0110,W It NOTi6 —�— t COMPul 1lfferrrn9e n rare 91 h F tirfllrt.b F-1U s'7 b//h 67 F er"M 00 W&GMM cApariry Mee fee Inrb.*trt Aker or M"mwv talar AP eftw.ty knot wtn kwkars tale~d 4t now n Urltr are Aber ON oawraoort u e30%d nbtnrse rem t 1rA�are r�slee e+esaotears vee+tti Uwwy Aenmltsbet f�a .wWkw*.prop*rrt root is Miee an AN So Kv u MOO 2. in nelim SUN am rake.AAI ee.Nt*M and ti aerwkwa nKbt OPM NO puewve* 1 life ii V Part linm In aemwRI rrre wer,AS.-OW 710111 R� M loth era rats ot W•I enaMora, 00'f entering pry Duet aryl 67-F wraerlrtq taw bulb n Alk rood crrn A "m,"Adnate emrA limb SWW"V,ane rtrthy Dau terve emblef W ane eppnnm udnr Uborrary=2 eonelrbre v"Arrt.rdn Nstknol 06milMomlt Imai isa"L"derift Rlrrwp Wwan ea far a4,Iwt1h1 tp T POW Ml.FOf.►eel" abr"2M rlll rMngs tamt/te be m&jawil tea rhe oar of K for naeh IIM NA.ears a MrM S AFUL is raid In aurfAarrrr oft DO(WS W~WIL S. Ouery Sovtd Rmth li—k w.eed rM ter apWr/11MAerrtreeen nre In T Al le. 7 RaAlOrroe evP r ten apfeAaM"m water ler o AW"pimm trrua.w UFO nuTwoh ee arra rrVIM nretstfva e..hb[ar ew1 ytgatt k tote aatmrl Mglt neral WW h t 1W 135 R Rod etw ae}IM.N rt.Ira ane rnratan herr MMWa k "10"ria"opal RIM SM rtesMlsimm h 20 1 31)r l �� C40• CITY OF TIGARD 24-Hour BUILDING Inspection Line: (503)639-4175 MST INSPECTION DIVISION Business Line: (503)639-4171 BUP Received ___ Date Requeste _- 0 ? AM_____-___ PM _ BUP Location 0 d 3 S"(p Contact Person -- ----- --- - Ph {.__ --) ------- --- ---- PLM - - Contractor - - - ----- - Ph ( --' ---- --- SWR _-�—_- - BUILDING Tenant/Owner _- _ ` - c �E L C Footing ' ELC __----- Foundation Access: Fig Drain ELR - -_ Crawl Drain Slab Inspection Notes: ' l /a� r ( fi, SIT Post&Beam Shear Anchors ` ( - Ext Sheath/.,hear Int Sheath/Shear Framing Insulation Drywall Nailing - _ - ----- -- --- Firewall Fire Sprinkler -- - - - - - --- _- - Fire Alarm Susp'd Ceiling -- —--- ----- Roof Other:._ -- Final PASS PART FAIL PLUMBING Post& Beam Under Slab - - --- -- ---- -Rough-in �- Water Service --- - - - -- Sanitary Sewer Rain Drains - - - -- -- - - Catch Basin/Manhole Storm Drain -- -- - - - -- ------- — Shower Pan Othnr. _ - Final _ PS -_ A FAIL M -- - - - - Post& Beam Rough-In ,as Line S_mo Dampers - - - "1=in PART FAIL - - - __— CTRICAL Service Rough-In UC;/Slab t-ow Voltage Fire Alarm Forial [] Reinspection fee of$__ __required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL SIT_EPlease call for reinspection RF Unable to inspect-no access Fire Supply Line ADA / r, Approach/Sidewalk Date- ine� —_ pectoe Other:,-.------ Final DO NOT REMOVE this Inspection record from the job site. PASS PART FAIL CITY OF TIGARD IGARD PLUMBING PERMIT DEVELOPMENT SERVICES PERMIT#: PLM2002-00388 13125 SW Hall Blvd., Tigard, OR 972.23 (50:) 639-4171 DATE ISSUED: 10/1 02 SITE ADDRESS: 11265 SW GAARDE S'T PARCEL: 2S1C13DC-01000 SUBDIVISION: ZONING: BLOCK: LOT: JURISDICTION: CLASS OF WORK: OTR GARBAGE DISPOSALS: MOBILE HOME SPACES: TYPE OF USE: QOM WASHING MACH: BACKFLOW,' PREVNTRS: OCCUPANCY GRI': FLOOR DRAINS; TRAPS: STORIES: WATER HEATERS: CATCH BASINS: 1 FIX'r1IRES _ LAUNDRY TRAYS: SF RAIN DRAINS: SINKS URINALS: GREASE TRAPS: LAVATORIES: OTHER FIXTURES: TUB/SHOWERS: SEWER LINE: ft WATER CLOSETS: WATER LINE: ft DISHWASHERS: RAIN DRAIN: 600 ft Remarks: Installation of storm drainage. FEES Owner: — — - - escription Date Amount TIGARD ASSEMBLY OF GOD DDe — - 11385 SW FAIRHAVEN ST II'I.IIMIil Permit Ice 10/1/02 $118.00 TIGARD, OR 97223 1I'I.1 N1111 Permit Fee 10/1/02 $0.00 111I.MI'L.NI I'Ian Review 10/1/02 $29.50 lI'I.MPLN, Phii Review 1011/02 $0.00 Phone 1: I'I.1\I Slate fax 1011102 $9.44 Contractor: I'l AXI /0 Stale Tar 10/1/02 $0.00 CR WOODS TRUCKING INC. Total $156.94 P.O. BOX 1488 SHERWOOD, OR 97140 REQUIRED INSPECTIONS Phone 1: 503-625-5452 Storm Drain Insp Final Inspection Reg#: LIC 123973 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other i.pplicable laws. 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 suspF.nded for more than 130 days. ATTENTION: Oregon law requires you to follow rules adopted by the Jregon Issued By: _ _ Permittee Signature:x _ _ Call (503) 639.4175 by 7:00 P.M. for an inspection needed the next business day Plumbing Permit Application Date received:!C-1 -D yPermit no.: ✓4J -i'n• Nk' city of "Tigard Sewer permit no.: Building permit no.: Address: 13125 SW Hall Blvd,Tigard,OR 97223 Projcct/appl.no.: Expire date: rtc, lli�,ur� Phone: (503) 639-4171 -- Fax: (503) 598-1960 Date issued: By Receiptno.-. Land use approval: _ case rite no.: Payment type: 7UNewfamily dwelling or accessory U Commercial/industrial J Multi-f:unily U Tenant improvement construction U Add it ion/alteration/replacement J I ootl ur�tcr ❑Other: crDescription QtV. Fec(ea.) 'Intal Job address: ,` ✓[�! 7'6/ New I-and 2-family dwellings only: Bldg.no.: Suite no.: _ (h+ciudes Woft.foreachulililvconr linnj Tax map/lax lot/account no.: til It t I I hath fit; Block: Subdivision: SFR(2)bath N r c -- Project Hume: 55�� .-th Gl c arc � SFR(3)hat — -- City/county: c 41 . ZIP: Each additional ba itchen Description d location of workpn premises:_ _ Slteutlllties: 4-- rk + c' 7 Catch hasin/area drain Drywells/leach ine/trench drain 25iGst.date of completion/inspection: Footing drain(no.lin.ft.)Manufactured home utilities Business name: C [ c+ ti % j ✓c�t ��( Hanks Address: t7. IL i W Rain drain connector _J City: r v:<< State: 6 ZIP: 7/`l v_ Sanitary sewer(no.lin.ft.) Phone: A`c 3S/.to 1 Fax:(pzs_s z y t E-mail: Storm sewer(no.lin.ft.) Water service no.lin.ft.) CCB no.: 2 3ti' Plumb.bus.reg.no: Fixture or Item: City/metro lie.no.: " ! - Absorption valve Contractor's representative signature: 4-- ql 8 Back flow preventer _ Print name: .,t OL? Date: c '� Backwater valve all Ilasins/lavatory Clothes washer Name: IC d iS Lr't'r/ S --_ Dishwasher Address: 'C i>ak IYJ t Drinking fountain(s) City: Tt r LL c t State LII' Ejectors/sump Phone: ' S I vs../ 1 Fax: Email: __J r,xpansion tank -ixwre/sewer cap Floor drains/floor sinkst'hub Name(print): J ,+ �c Garbage disposal Mailing address: / y U _ e,qu Vcte Hose bibb City: _�' Statc: C'v ZIP: �'1 � ci +� lee maker Phone: Fax: E-mail: Interceptor/grease trap _ Owner installation/residential maintenance only: The actual installation Primer(s) _ will be made by me or the maintenance and repair made by my regular Roof drain(commercial) _ employee on the property I own as per ORS Chapter Mil. Sink(s),basin(s),lays(s) — Owner's signature: Date: Sump - Tubs/showcr/shower pan Urinal -- Name: Watercloset -- Address: -- _ Water heater City: State: ZIP: Other: Phone: F;+x: E-mail: otal Minimum fee................$ — —Not all jurisdictions accept credit anti,please telt Jurisdiction for more information, Notice: Illis permit application Plan review(at -_ %) $ — U visa U Mastercard expires if a permit is not obtained State surcharge(8%)....$ Credit card nurnher ._ within 180 days after it has been TOTAL . .....................$ accepted as complete --- Name of cardr older u shown on cndit cid $ ExpiresCmdhotder signature Amount - 440461616WICOM1 PLUMBING PERMIT FEES: PRICE TOTAL New 1 ane 2.- Ily dwellings only:ea QTY -- FIXTURES individual - ----�_-_ AMOUNT (Includes all plumbing fixtures In PRICE TOTAL Sink _ 1660 the dwelling and the first100 ft. QTY (ea) AMOUNT Lavatory— 16 60 -- _for each utllit 7y connection _ Tub or Tub/Shower Comb -- 1660 -- One(1)bath - $249.20 _ Two Obath $350.00 Showe,Only - 1660 Three_ 3 bath -- Water Closet - 16.60 --,.-_ __ - - Udnal -- 16.60 - -- SUBTOTAL ---- - __ 8%STATE SURCHARGE Dishwasher 16.60 PLAN REVIEW 25%OF SUBTOTAL Garbayc Disposal - 1660 - TOTAL LaundryTray i- -- 16.60 `--- Washing Machine Floor Drain/Floor Sink 2" 1660 3" - 16,60 PLEASE COMPLETE: 4" - 16.60 Water Healer O conversion O like kind 1660 -� _Quantit b Work Performed Gas piping requires a separate mechanical Fixture Type: New Moved Replaced Removed/ _11e_rm __ -- MFG Home Now Watur Service4640 Sink - MFG Home New San/Storm Sewer 46,40 `- Lavatory --- Hose Bibs 16.60 Tub or Tub/Shower - --- " __-. ___ Combination _ Roof Drains 16.60 Shower Only -- Drinking Fountain 16.60 Water Closet Other Fix!ures(Specify) -- 13 60 - -- Urinal ' Dishwasher - -- _ Garbage Dis osal - -- - Laundry Room Tray - - -- Washing Machine Floor Drain/Sink: 2" Sewer• 1s1 100 55.00 -- 3,. -- Sewer-each additional 100 46 40 - 4„ -- Water Service•1st 100 '900 00 Water Heater Water Service-each additional 200' 46 q0 ------ Olhcr Fixtures S�iecifyL_-` ;term 8 Rain Drain-1st 100' j 5500 -- Storm 8 Rain Drain-each additional 100' 4640 -- Commercial Back Flow Prevention Device 4640 _ Residential Backflow Prevention Device' 27.55 Catch Basin 16.60 /L _- - - - --- Inspection of Existing Plumbing or Specially 6250 - - Requested Inspectionsper/hr COMMENTS REGARDING ABOVE: Rain Drain,single lamily dwelling 6525 Grease 1 raps 1660 - - - - --- QUANTITY TOTAL ----- --- - --- -- -- -- Isometric or riser diagram is required if Ouanlity Total Is >9 - "SUBTOTAL _ ---- - -- - --- -- 8%STATE SURCHARGE "PLAN REVIEW 25-%OF SUBTOTAL ` Sv - ---- -- ------ --------- -- -- Required only If fixture Molal Is>9 TOTAL l *Minimum permit fee Is$72 50+8%state surcharge,except Residential Backflow Prevention Device,which Is S36 25♦8%state surcharge **All New Commercial Buildings require 2 sets of plans with laometrlc or riser diagram for plan review. i:%dstslformsWm-fees.doc 12/26/01 3 75 11280L- 137-80 128013780 7 - 11.335 - ?74 1129 5 855 ''d'• 385 r IM i •a ; 389 • /. 1 90 NT _ g ^ r I b 94 0aw, rn ' AAR ® 1 dr \ 4 Y 1„ CITY OF TIGARD 24-Hour BUILDING Inspection I ine (503)639-4175 MST _-- ---- - INSPECTION DIVISION Business ne: (503)639-4171 / BUP - ------- Received Date Reyu ted -�� __-_- AM_._-✓ PM BLIP -_----"-------- Locationsuite---- MEC PLM��o•Z "'tOd 3a d Contact Person ----�fS'CSC�2 Ph(__ )Contractor BUILDING Tenant/Owner AL3 ___-__------------- -Fo --- "-- oting EL - -_ _--- -- -..- Foundation A ss- Ftg Drain � Q d[�f 7L %if4� !1 LL-G CJS T1s �ELR ---..------------"------ Crawl Drain r� SIT ---__ ----. ------ Slab Ins ectio Note Post& Beam - - -- _-- Shear Anchors Ext Sheath/Shear _ In!Sheath/Shear Framing - - - Insulation Drywall Nailing Firewall Fire Sprinkler ---� - - — Fire Alarm Susp'd Ceiling -_-- - ------- - -- ---- Roof ------- -- - Other.__ ----- --� Final _P_A55 _PART FAIL PLU - ------------ _M_BING - - ---- -- -- -------- - --- - Post&Beam Under Slab - - - - -. .---- ---_- ------ Rough-In ---------- -- Water Service - - ---- — - Sanitary Sewer Rain Drains M� C�a�Ca rm _ Shower Pan _—_--� ----___--- --• SO A PART FAIL ANICAL-- -- - _— _- host 8 Beam - Rough-In - Gas Line - - Smoke Dampers - - Final PASS PART FAIL - _ELECTRICAL — — --- Service - - Rough-In UG/Slab Low Voltage Fire Alarm Final [ Reinspection fee of$ -_ 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 Deb Inspector ADA _ - Approach/Sidewalk Other: ---- - --- Final DO NOT REMOVE this Inspection record from the job site., PASS PART FAIL OVFgCE 0 STA L CALIFORNIA DEPARTMENT OF FORESTRY and FIRE PROTECTION OFFICE OF THE STATE FIRE MARSHAL REGISTERED FLAME RESISTANT PRODUCT Product: Registration No. 8028,8128,8218,8424,9319,8814, FA-10301 Product Marketed By: SEAMAN CORPORATION 1000 VENTURE BLVD WOOSTER OH 44691- This product meets the minimum requirements of flame resistance established by the California State Fire Marshal for products identified in Section 13115, California Health and Safety Code. The scope of the approved use of thk's product is provided in the current edition of the CALIFORNIA .APPROVED LIST OF FLAME RETARDANT CHEMICALS AND FABRICS, GENERAL AND LI UTED APPLICATIONS CONCERNS published by the Califoniia State Fire Marshal. �* Expires: 06/30/2000 Deputy State Fire Marshal FR.V United States Testing Company, Inc. j 291 FAIRFIELD AVENUE • FAIRFIELD.NEW JERSEY 07004 • 201-575-5252 Is Fax. 201-57G-8271 S REPORT OF TEST Engineering Services CLIENT: Sprung Instant Structures Ltd. NUMBER: 105.507-1 1001 - lnth Avenue S .W. Calgary, Alberta, Canada September 15 , 1992 T2R OB7 SUBJECT: Flammability REFERENCE: Sprung Instant Structures Ltd. , Purchase Order dumber 33274 dated September 9 , 1992 . SAMPLE IDENTIFICATION: One ( 1) sample of material was submitted and identified by the Client as : Shelter.ite 9319 FR LTC TEST PERFORMED: The submitted sample was tested for Flammability in accordance with the procedures outlined in NFPA 701 Large Scale Test (Sirgle Sheets) . st ' g Supervised by: SIGNED ,FOR THE COMPANY y 2�,v BY / 1 SteveZaldarola � v/ {�✓ c Page of 2 Senior Supervisor Jj�h �Lomash lv Fire Technology _� President w® J SGS unnoe•d Ine SG5�Iouo ISU:.eI!I;lnrale ae SW.«Iarcel • BioloqY • Chemistry • Environmental • Materak • Facilities in Principal Cities • UNITED STATES TESTING COMPANY INC.REPOnTS AND LETTERS ARE FOR THE EXCLUSIVE USE OF THE CLIENT TO WHOM THEY ARE ADDRESSED AND THEY AND THE NAME OF THE UNITED STATES TESTING COMPANY INC.OH ITS SEALS OR INSIGNIA ARE NOT TOBE USED UNDER ANY CIRCUMSTANCES IN ADVERTISING TO THE GENERAL PUBUC AND THEIR COMMUNICATION TO ANY OTHERS OR THE USE OF THE NAME OF UNITED STATES T ESnNG COMPANY INC MUST RECEIVE OUR PRIOR WRITTEN APPROVAL OUR REPORTS APPLY ONLY TO THE STANDARDS OR PROCEDURES IDENTIFIED TO THE TESTS CONOUCTED.ANO TO THE SAMPLaSI TESTED ANWOR INSPECTIONS MADE UNLESS OTHERWISE SPFpFIED THE TEST ANwan INSPECPON RESULTS ARE NOT INDK)ATNE CR REPRESF'ITATN€OF THE QUAUTIES OF THE LOT FRCM WHICH THE SAMPLE WAS TAKEN OR OF APPARENTLY IDENTICAL OR Sims AR PRODUCTS AND NOTHING CONTAINED IN CUR REPORTS SHALL BE.DEEMED TO AMPLY OR MEAN THAT UNITED STATES tEST'NG COMPANY,INC.CONDUCTS ANY QUALITY CONTROL PROGRAM FOR THE CLIENT TO WHOM"REPORT IS ISSUED SAMPLES NOT DESTrOYEOIN TESTING ARE RETAINED A MAXIMUM OF THIRTY DAYS AT WHICH TIME THEY MAY BE SHIPPED BACK TO tHE CUENT United States Testing Company, Inc. 291 FAIRFIELD AVENUE • r""AIRFIELD. NEW JERSE'�07004 • 201-575-9252 • Fax 201 575-9271 REPORT OF TEST Engineering Services CLIENT: Sprung Inst,nt Structures Ltd . NUMBER: 105607-2 1001 - 10th Avenue S.W. Calgary, Alberta, Canada September, 15 , 1992 T2R OB7 SUBJECT: Flammability REFERENCE: Sprung Instant Structures Ltd. , Purchase Order Number 33274 dated September 9 , 1992 . SAMPLE_ IDENTIFICATIONi_ One ( 1) sample of material was submitted and identified by the Client as: Shelterite 9319 FR IITC TEST PERFORMED: The submitted sample was tested for Flammability in accordance with the procedures outlined in Underwriters Laboratories Inc. , Tests for Flame Propagation of Fabrics & Films (Large Scale Flame Test, Single Sheets) UL-214 . T.e�. t ' g Supervised by: SIGNED FOR THE COMPANY Page 1. Steve Caldarola of 2 Senior Supervisor 70�L Lomash lv Fire Technoloqy Ifice President J d Ine SGS G,MD ISx.I•GMr re oa Sw.e+ur,`rl • Riology • Chemistry • Environmental • Materials 41 Facilities in Principal Cities • UNITEO STATES TESTING COMPANY INC REPORTS ANO LETTERS ARE FOR THE EXCLUSIVE USE OF TF'-CLIENT TO WHOM THEY ARE ADDRESSED AND nIEY AND THE NAME CF THE UNFTED STATES TESTING COMPANY.INC_OR ITS SEALS OR INSIGNIA ARE NOT IO SE USEDUNOFR ANY CIRCUMST AWES IN ADVERTISING TO THE GENERAL PURUC Aho"HEIR CCMMIIN0CATION TO ANY CTHERS OR TME LSE OF THE NAME OF UNITED STATEST ESTING COMPANY.INC.MUST RECFJVEOUR PRIOR WRITTEN APPROVAL OUR REPORTS APPLY ONLY TO THE STANGAROS OR PROCEDURESIOFNTIFIED TO THE TESTS CONDUCTED.AND TO THE SAMP.EISI TESTED AND,OR INSPECTIONS MADE UNL ESS OTHERWISE SPECIFIED THE TEST AND,OR INSPECTIONRESGLTS ARE NOT'HOMdTNE<R ED To I FNTATIVE OF THE AT U UNITED OF THE LOT FROM WHICH THE SAMPLE WAS TAKEN On OF APPARENTLY IDENTICAL OR SIMILAR PRODUCTS AND NOTHING CONT AINFO IN OI IR REPORTS SHALL BE CEEMED fO IMPLY DR MEAN THAT UNITED STATES TESTING COMPANY.MC.CONOUCT9 ANY OUAUTY CONTROL PROGRAM FOR THE CIIEN'10 WHO THE REPORT'S ISSUED SAMPLES NL' OESTFprEO W TESTING ARE RETAINED AMAXI/AU LI Of THIRTY DAYS AT WHICH TIME I HEY MAv OF SHIPPED BACK TO THE CLIENT United States Testing Company, Inc. CLIENT: Sprung Instant Structures Ltd. NUMBER: 105607-3 TEST RESULTS: The test results, calculated in accordance with ASTM E-84-91a for Flame Spread and Smoke Developed Values are as follows : Test Specimen: Shelterite 9319 FR LTC Flame Spread Index* : 10 Smoke Developed Value* : 300 *Graphs of the Flame Spread, Smoke Developed and Time-Temperature are shown in Figures 1, 2 and 3 at tt-,o end of this report. OBSERVATIONS• Ignition was noted at 11 seconds along with charring and melting of the specimen directly exposed to the flame. Also observed were shrinking, slight flaking and flaking embers as the flamefront advanced a maximum distance of 2 feet at 30 seconds. Afterglow was evident upon test completion. Page 3 y�`yr'' lll // //265 SW v iarrie Street M rprt>, OR 97114 1�'Phwr.(50-3)-639-53.36`"Fax(!503)-684-6492 REC",. . ... January 10. 20(1(1 .JAN 1 ;7 City of Tigard copy COMMUNITY ULVLLUPML.,,- 13125 SW Ilall Blvd. Tigard,OR 97223 Attn: Permits Re. ""I'll 1,.!91) 002 5 To Whom II May Concern: We would like to request an extension on our huilding permit appl' ation#BUP1999-00256. a have had a prohlem in siting. We would like a six-month extension. II you have any questions. please call m.-at 503/639-5336. In I lis Service, Rev. Thomas P. Frisinger Senior Pastor �4ei?ior Pastor Tho/nas Fiisingler FRGM : EMMERT INTERNATIONAL PHONE N0. : 503 555 3933 No;. i 1995 04: 11FM P1 U4i111/0 5 15:53 %TS03 664 7297 i: I'T1" OF "I1GAE2D j�� oVlRSIZE LOAD PfUU41T Permit :��Z ITYOFTIFARDC (Ciali0 TT*AID Date Insued: -- COMMUNrTY DEVELOPMENT DEPARTMENT \ OREGON Hove Datee_ 0129 SW HO Baal P.O.ea FWW.Tlpad,Cb-v-•9=(UD)43&4175 item to ne ----- one or PurpoAe of Itam (If to be located is the City) : construction of ICS$" _ ,� C}C and wOOCl overall Dispensione (L-aded on vehicle)1 2 ea Vr, SCr+o ► � 5 - Width: Heightc fid' Q^ Length:_ 1r�� Item to be Moved From: 19875 SL; h5fih 'TM'^�atin�Qp Item to Moved To: _ J2651a1LGaard' -IZm -M.1 Exact aouLQ of Move: St��.�t«,,.►,o,a - proponed Uare of Move: 1795 -__ Proposed time. of Move$ I)a_y]_fight TOW vehicle: Sp-P. attached Lie#: PDC#: --- Year flake. ---- Yee 1 $----- Owner, Fil5t Baptist ChuEc of--_Ti ard-_. Address: SW Gaai�de Receipt #: t City: T•LQ3Cd-_-_---- ---_..__ StatE' Phone: Sn�-6_39-391.3 -- i�­ Fe—te Is teaued snib�st to e� e�gdlaelaas - - - vaatainod La the TLgaad quLLCip" Cafe- lure of cwl" Rad all. debar apPLLC t LA Lai+ Jul WWW rt]1 Mowing .contractor- }rDfiMrt 1nterTkltlOt .— be Mos Le wormca.er.. With es.. pMrLatew of cad. AddseP6 ���11 7lA •i �_ �_ QR/ltt. E7- L NS40M Of thiM PSMLt 4=SM "M aataortae ebo alseratLoa, XqWwaL or asd/s0Oesernt •,f City, Clacks s__-. - WW paellc ec PrL.ata P'VUPvrt7 ri.tbent Licirt baoLsq State QR __�Zlp�-11s[.+.�---- neeitsnd ..rioam fssataalsa [av ti+ e. 7 Naas Phone: 50 or pablie .reLtr. ""A VOCUSt LadltarrE O&M date. contractors insurance Co=Pany:- EiI1C1r EaLLjWn A:ge - - - -- (ntrrenr r:npp of an weord form 2S-S eertificAtO of ineuranee moat bw attaebed) permit tee s iQrature: — _-- _-- - Approved by: ,,.�------ - - --- Date: •- 1l � FFnruary 16, 2000 CITY OF TIGARD TigGrd Assembly of God OREGON Gaarde Christian School Thomas P. Frisinger, Senior Pastor / 11265 SW Gaarde Street Tigard, OR 97224 Dear Mr. Frisinger: This letter is in response to your request for Minor Modification (MMD2000-00003) approval to construct a 2,000 square foot Stressed Membrane Structure (Play-Tent) to be located on the east side of the Church/School building at 11265 SW Gaarde Street in the city of Tigard. This property is designated for Low-Density Residential within the R-3.5 zoning district. The current use of the site is listed as a Conditional Use for this zoning district. The Tigard Community Development Code, Site Development Review Section, states; "if the requested modification meets any of the major modification criteria, that the request shall be reviewed as a new Site Development Review application." Section 18.330.020.B.2 states that the Director shall determine that a major modification(s) has resulted if one (1) or more of the changes listed below have been proposed: 1. A change in land use; 'The structure wi:i make an enclosed play area for the existing Church/School facility. No change in the use is proposed. 2. A 10% Increase In dwelling unit density; The play structure does not fall under Tigard's definition of a dwelling unit. Therefore, this standard does not apply. 3 A change In the type and/or location of access ways and parking areas where off- site traffic would be affected; The proposal does not include revisions to the existing driveway locations; therefore, off- site traffic would not be affected. 4. An increase in the floor area proposed for non-residential use by more than 10% where previously specified; The existing building is 20,340 square feet. The proposed Stressed Membrane Stru.;ture (Play-Tent) will be 2,000 square feet, which is under the 10% area limit. 5. A reduction of more than 10% of the area reserved for common open space and/or usable open space; The proposal is not a multi-family project. Therefore, this criterion does not apply. Page 1 of 2 13125 SW Hall Blvd., Tlgard, OR 97223 (503)639-4171 TDD(503)684-2772 ements ore than 6. A reduction of specified setback tbair The expansion would2not� encroach into the No reduction in setbacks sproposed. minimLrn required setbacks. 7. An elimination of project amen�tierScreeni g;e than �or Landwhere scaping previously provisions; provided, such as. Recreational Facilities; and The proposal is to provide a cover for the existing play area. Since this project is not a multi-family use, this criterion does not apply. g. A 10% incrE3se in the approved density. This proposal is to expand the existing Church/School facility and does not include a residential development. Therefore, this standard does not apply. This request is determined to be a Minor Modo e�Minor Modificat on of this to an existinConditional t onal Use Use. The Director's designee has determined that theo p p is in compliance with all applicable 1guirements 8.330 020.Af ofithetle, and the Tiga d Development iCode.not Therefore, modification as defined in Subsection pro posed. this request has been approved, as p If you need additional information or have any questions, please feel free to call me at (503) 639-4171, ext. 317. Siicerely, e`w cheidegger Assistant Planner I:\curr1\Mathew\m1f imod\2000-00003 c; 2000 Planning Correspondence File MMD2000-00003 File Land Use File CUP89-02 June 7, 1999 Mr. Thomas P. Frisinger COY OF 11GARD) Tigard Assembly of God OREGON 11265 SW Gaarde Street Tigard, OR 97224 RE: Minor Modification (MMD 1999-00005) for the Tigard Assembly of God Church 11265 SW Gaarde Street; WCTM 2S103DC, Lot 1000 Dear Senior Pastor Frisinger: This letter is in response to your request for Minor Modification approval to erect a 1,981 square foot structure over the playground located at the Tigard Assembly of God Church at 11265 SW Gaarde Street, in the Low-Density Residential (R-3.5) Zone. Section 18.330.020.C.2 states that a request for approval of a Minor Modification shall be- approved, approved with conditions or denied following the Director's review based on findings that all applicable provisions of the Development Code are met and that the proposal is not a Major Modification. A Major Modification is processed as a new Conditional Use Permit. Section 18.330.020.13.2 provides that the Director shall determine that a Major Modification(s) will result if one (1) or more of the following changes are proposed: 1. A change in land use. The structure will make an existing play area usable during inclement weather. No change in use is proposed as part of the modification. Therefore, this criterion in not triggered. 2. A 10% increase in dwelling unit density. No dwelling units are existing or proposed; therefore, this criterion does not apply. 3. A change in the type and/or location of access ways and parking areas where off- s,te traffic would be affected. The proposal will not alter access ways or parking areas, therefo,e, this criterion does not apply. 4. An increase in the floor area proposed for a non-residential use by more than 10 percent where previously specified. The Tigard Community Development Code Section 18.26.030 defines "floor area" as the gross horizontal area of all floors of a building. The pmnosed modification will involve the placement of a 1,981 square foot free-standing membrane structure over an existing play area, which is less than 10 percent of the existing church facility that contains approximately 20,340 square feet. Therefore, this criterion is not triggered. 5. A reduction of more than 10 percent of the area reserved for common open space and/or usable open space. The proposal is not a multi-family project. Therefore, this criterion is not triggered. 13125 SW Hall Blvd„ Tigard, OR 97223 (.503)630-4171 TDD(503)684-2772 Page 1 of 2 6. A reduction of specified setback requirements by more than 20 percent. The setbacks of the existing structures and the proposed structure exceed the setback requirements. The applicable setbacks of a religious institution include a front yard setback of 25 feet, a rear yard setback of 20 feet and a side yard setback of 20 feet. As the site plan indicates, the proposed structure will be situated within the existing playground, well outside the required setbacks. Therefore, this criterion is not triggered. 7. An elimination of project amenities by more than ten percent where previously specified, such as: a. Recreational facilities; b. Screening; or, c. Landscaping provisions. The proposal is to provide a cover for the existing playground. Since this project is not a multi-family use, this criterion is not triggered. 8. A 10 percent increase in the approved density. 'This proposal is for expansion of a church facility and does not include residential development. Therefore, `.his criterion does not apply. This request is determined to be a minor modification to an existing conditional use. Pursuant to Section 18.330.060.0., the Director's designee has determined, based on the above findings, that the proposed modification is not a major modification. It does not violate any code provisions. THIS PROPOSED MINOR MODIFICATION IS, THEREFORE, APPROVED. Please provide a copy of this letter when applying for permits, if required. There is a fee for required permits. Please contact the Development Services Division for information on permits and current fees. If you need additional information or have any questions, please feel free to call me at (503) 639-4171, extension 317. Sincerely, Doris Michael Associate Planner I:\curpl\doris\minmod\tiigrdassernblycupmirn,iod.doc c: 1999 Planning correspondence file CUP 89-00002 Land use file 6/7/99 Thomas Frisinger Letter Page 2 of 3 Re: Tigard Assembly of God Minor Mod. Approval to,add a Playground Cover