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11065 SW NORTH DAKOTA STREET-1 F I { M I � rk I 11065 SW W-W--M faA on ST _ � [_„(�C Suite 100 - AGC Center V v HAAS J 9450 SW Commerce Circle T, �s Wilsonville, OR. 97070 6� et & (503)682-2450 -rr7�v1 S s Q c a t e S t Inc. (503)682-4018 Fax ullrnilF.rn/rnr�,s 8 SurveynrS August 3, 1998 61 19 Mr. Brian R.af;cr 13125 SW Nall Tigard.OR 97223 Cj AK Tigard LDS Parkin&AddWon I-flffii S W-Narlh Dakota Street ... Dcar Brda . Attached is a cope of the drainage report for the parking lot addition on the LDS Church site. Sinccrcl\. David M. Price. P.E,. R.L.A. Project Engineer CC: 98.052.427 1 ) LRS-Michael Roberts I 052ligrd.803 February 4, 1998 FEB Q ;j 1998 I'+tECE1V�p _ E� � CITY OF TIGARD fu;ark I�iloreto, AIA OREGON LRS Architects 1 '9 1 SW Salmon, Suite 100 / Portland, OR 97205 RE: Church of Jesus Christ of LDS; 11365 SW North Dakota Street Dear Mr. Diloreto This letter is in response to your request for a minor modification to an approved Conditional Use Permit (CUP 92-0002/PDR 92-0004). The modification would remove trees and associated landscape islands, replace these areas with parfong and expand the parking area to const uc,-t a new row of 2.8 parking spaces. The Tigard Community Development Code, Conditional Use Permit Review Section, states: 'if the requested modification meets any of themajor modification criteria, that this request shall be reviewed as a new Conditional Use Review application° Section 18.130.050(8) states that the Director shall determine that a major modification(s) will result 4 one (1) or more of the following changes are proposed. There will be: 1. A change It, land use. Th.3 request for additional parking does not classify as a chance of land use. 2. An Increase in dwelling unit density. This criteria is not applicable as this request dons not involve residential dwelling units. 3. A ten (10) percent change In the ratio of different types of dwelling units to the, number of units. This criteria is not applicable as this request does not involve residential dwelling units. 4. A change in the type of commercial or industrial structures. The props_ad modification requires no change of the structure as defined by the Uniform Building Code. 5. A change in the type and location of accessways and parking areas where off-site traffic would be affected. This ,aques does not require a change in accesswayc or parking areas where_ off-site traffic ovould be affected. 13125 SW Hall Blvd., Tigard, OR 97223 (5C3) 639-4171 TDD (503) 684-2772 �n �� iin:- TJ7 cn6 s1�az�_ ii ..�s cNl �Irn = Fo E?Fi-ZZ- Lrlr 6• An Increase In the floor area proposed for non-,residential use by more than ten (10) percent where previously specified. This criteria is not applicable as the request does not involve expansion of the existing structure. 7. A reduction of more than ten (10) percent of the area reserved or common open space and/or usable open space. Common open space was not required as part of a Conditional Use Permit. 8. A reduction of specified setback requirements by more man 20 percent. The proposesi expansion of the parking area will continue to provide the minimum 20-f)ot side yard setback required of a religious assembly .ise. 9. An elimination of project amenities (Recreational facilities, Screening; and/or, Landscaping provisions) by more than ten (10) percent where previously specified. Recreational facilities were not required a,-c part of the Conditional Use approval. Reduction of project amenities (landscape islands) are less than ten (1Q percent of the landscaping provided. 10, A tart (10) percent Increase in the approved density. phis criteria is not applicable as this request does not involve residential dwelling units. h This request is, therefore, determined to be a minor modification. 'l-he Directors designee has determined that the proposed minor modification, of this ex.sting site will oromote the general welfare of the City and will not be significantly detrimental, iior njurious, to surrounding properties provided that development which ocruis after this decision complies with applicable local, state and fedora! laws. the City of Tigard Building Division has reviewed the request and states that the applicant shall obtain a site permit prior to constr etion. The City of Tigard Engineering Department has reviewed the request and states that the applicant's plans indicate that additional impervious areas wvill be added tochis site. It does not appear that the surface water runoff from this liew parking area could be properly treated in the existing drainage swale along the north property !lne. Ther9fore, accord:,nce with Unified Sewerage Agency (USA) Design and Construction Sunda;as, the applicant, shall submit a design for an additional water quality facility to treat the additional runctf. T11e new facility shall be constructed as a part of the new parking lot improvements THIS REQUEST HAS BEEN APPROVED SUBJECT TO O TME FOLLOWING CONDITIONS OF APPROVAL: 1 The applicant shall ot.1ain, A site permit from the Building Division. 2/4/96 Mark piloreto/LRS Architects Letter pag» 2 of 4 re: Church of Jesus Christ of LDS Minor Mod. Approval 11065 SW North Dakota Street; WCTM 1`3 134D8, 00300 The applicant shall provide an on-site water quality facility as required by USA Design and Constructic�r standards (adopted by Resolution and Order No. 96-44). Final plans and calculations shall be submitted to the Engineering Department (Brian Rager) for review and approval prior to issuance of the site permit. In addition, a. proposed maintenance plan shall be submitted along with the plans and calculations for review and approval. Revised site and landscaping plans shall be submitted for review by the Planning Division. STAFF CONTACT: William D'Andrea, Planning Division (503) 639-4171, ext. 315. The revised plans sh_+II include the following: A. Retainage an area of the exiatirg landscaping islands for parking lot trees. Section 18.100.110.A, states that trees shall be planted in landscaped islands in all parking areas and shall be equally distributed on the basis of one (1) tree for each seven (l) parf ing spaces in order to provide a canopy effect. The minimum dimension on the landscape islands shall be three (3) feet wide and the landscaping shall be protected from vehicular damage by Borne form of wheel guard or curb; B. Two (2) additional landscaping islands for parking lot trees within the new parking areas; I (, , 0: * Tree inventory and Plan. Section 18.150.025 requires 'hat a tree plan for the planting, removal and protection of trees prepared by a certified arborist sh:311 be provided with a Conditional Use application. The tree plan shall include identification of all existing trees, identification of a program to save existing trees or mitigate tree removal over 12 incises in caliper, which trees are to be removed, protection program defining standards and methods that will he used by the applicant to protect trees during and after construction; D. Parking Lot Landscaping. Section 18.100.110(A) requires the screening of parking and loading areas. Landscaped parking areas shall include special design features which effectively screen the parking lot areas from view. Planting materials to be ins!alled should achieve a relative balance between low lying and vertical shrubbery and trees; 0*10 Bi,ffering and Screenino. Section 18.100.130 contains the buffer matrix to be used in calculating widths of buffering and screening to be installed between proposed uses. The Matrix indicates that where a parking lot abuts a single-family use, the required buffer and screening width shall be ten (10) feet. Seclion 18.100.080.0 contains the minimum improvement standards for the buffering area. The minimum improvements within a buffer area shall consist of the following: i ) At least one (1) row of trees shall be planted. They shall be no less than ten (10) feet high for deciduous trees and five (5) feet high for evergreen trees at the time of planting. Spacing of the trees depends on the size of the tree at maturity; 2!4/98 Mark D+loreto/LPS Architects Letter Page 3 of 4 rs: Church of Jesus Christ of LDS Minor Mod. Approval 11085 SW North Dakota Street; WCTM IS I NDS, 00300 t70 r;7r t:nc; u-_-1_A*Y c>�� .�?n cn i nr In addition, at ieast teen (10), fire (5)-gallon shrubs; or 20, one (1)- gallon shrubs shall be planted for each 1000 square feet of required buffer area; and iii.) The remaining area shall be pILnted in lawn, groundcover or spread with bark mulch. Section 18,.100.080.E states that where screening is mquired tho following standards shall apply in addition to those required for buffering: i.) A hedge of narrow or broadleaf evergreen shrubs which will form a four (4)-foot continuous screen within two (2) years of planting, or ii,) An earthen berm planted with evergreen plant materisJs which will form a continuous screen six (6) feet in height within two (2) years. The unp.anted portion of the berm shall be planted in lawn, ground cover or bark mulch, or iii.) A five (5)-foot or !alter fence or wall shall be constructed to provide a continuous sight obscuring screen. and F. One (1) additional handicapped parking space. If you need additional information or have any questions, please feel free to call me at (503) 639-4171. Sincerely, William D'Andrea Associate Planner, AICP I\cu0n\wm--up9242 mrd c: 1998 Planning corresputidence file CUP 92-0002JPDR 92-0004 land use file Tigard Church of Jesus Christ of LDS 2/4/98 Mark Dilorato/LRS Architects Letter Page 4 of 4 re: Church of Jesus Christ of LDS Minor Mod. Approval 11065 SW North Dakota Street; WCTM 1 S 134D6, 00300 ,n .a s-nq sa�e7 t 1j-3-Atf July 6, 1998 CITY OF TIGARD OREGON LRS Architect 1121 SW Salmon St. Portland. OR 97205 Attn: Michael Roberts RE: LDS Church Site Plan Poview 11065 SW North Dakota PC#. 6-110c SIT#: 98-0025 Submittal documents for the above referenced project have been reviewed for conformance with the applicable 1996 Oregon Specialty Codes and other applicable codes and standards. The following comments are noted: SITE-.WORK,, 1. TURNING RADIUS: The inside turning rade is and outside turning radius shall be not less than 2.5 feet and 45 feet respectively, measured from the same centr-r point. (UFC Sec. 902.2.2.3) Please submit three copies of revised submittal documents and a letter indicating your response to the above comments for review. Please call me at (503) 639-4171 if you have any questions. Sincerely, Rort Poskin. CRO SENIOR PLANS EXAMINER 13125 5W Hall Blvd., Tigard, OR 97223 (503)639-4171 TDD (503)684-2772 ------- —�– CITYOF TIGARD SITE WORK PERMIT PERMIT# : 00025 13125 SW stall Blvd ,Tigard, OR 97223 (503) 639-4171 DATE ISSUED DEVELOPMENT SERVICES 4/21/9 : 4121/99 PARCEL : 1S134DB-00300 SITE ADDRESS: 110(35 SW NORTH DAKOTA ST SUBDIVISION: ZONING : R-4.5 SLOCK: LOT: JURI,DICTION : 'TIG CLASS OF WORK: ADD _ PAVING ?: Y RtSO. NO: TYPE OF USE: COM GRADING; 7: N VALUE: $170,000.00 EXCV VOLUME: 0 Cy LANDSCAPING?: N FILL VOLUME: 0 Cy SITE PREP ?. Y ENG FILL?: N STORM DRAINS?: Y SOILS RPT REVD?: N IMPERV SURFACE: 14 7C0 sf Remarks: Parking lot addition Owner:_! - -- --- --- _ FEES LIDS CHURCH Type By Date Amount Receipt 50 E N. TEMPLE STREET - -- — — SALT LAKE CITY, UT 84150 PLCK DI_H 7/1/98 $395.20 98-306949 FIRE DLH 7/1/98 $243.20 98-306949 PRMT GEO 4/21/99 $608.00 99-314717 Phone: 5PCT GEO 4/21/99 $30.40 99-314717 Contractor: EROS GEO 4/21/99 $80.00 99-314717 ERPU GEO 4/21199 $26.00 99-314717 OWNER ERPC GEO 4/21/99 $26.00 99-314717 SIGNED RESPONSIBILITY FORM QUL% GEO 4/21/99 $1,169.32 99-314717 IN FILE Wr.3UN GEO 4/21/99 $1,614.77 99-314717 Total $4,192.89 Phone: Reg#: Required Inspections Erosion Control Insp 844-8444 Grading Paving Insp Strm Drain Insp Misc. Inspection Final Inspection This permit is issued subject to the re-gulations 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, or if 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 OAR 952-001-0010 through OAR 952-001-0080. )you may obtain copies of th se rules or direct questions to OUNC by calling (503) 246-1987. i Permittee Signature: Issued By: Z/ -`�� -�� ------- - Call (503) 639-417.5 by 7:00 P.M. for an inspection needed the next business clay r:ITY OF 71GARIL7 Site Permit Application Recd By_ Date Recd 0 -q , 1312.5 SW HALL BLVD. Commercial: Complete ENTIRE form Date to P E. '2 � TIGARD, OR 97223 Residence: Complete SHADED areas Date to DST qLAE (5031639-4171 x304 Permit# -?�- Related SWR 0- Called_ Print or Type ce�� Incomplete or illegible applications will not be accepted Project Name Utilities(Complete all that apply) 1 Job A-- , ��..&1-& lJa6uL; - Address Address Storm Sewer Yi �j Linear Ft. /!fie_ `"-ttJ Al- r'-Ah-07A .�� r,=- -- Name Sanitary Sewer L 3 Cti,RC•�__. � - - Linear Ft. Owner Mail' .Address ',�. - Fresh Water ygt-> . IV. !�c n��z� _-'( � Linear Ft. City/State Zip Phone Catch Basins Cener'al Name �q-�j Clean Outs Contractor mor. - Pnor to permit Mailing Address Describe work to be done: issuance.a New[] Addition {_Alteration[] Repairo copy of all --- licenses am City/State Zip Phone Additional Description of Work: required if expired In COT State Const. Cont. Board Lic.# E—Xp Oate database �- Name Project '-- -- `� _ ff ITEL/ M• �%' Valuation $ Architect Madrng Address , Plans Required: See Matrix on back �� L' The following,,mu-it accompan this application: — C'yfstate 7_ip Phone ite plan with Vicinity Map Parking(including o ADA com liance ADM)& Lighting Plan Name Grading Plan and details L andsraping Plan / . 5c Engineer Mailing Address Erosion Control Plan and Retaining Structures al details including calculations Ci tate Zip Phone Site Utility Plan and details v Soils Report (showing connection to (if required) a proved system) _ EXcavatl0i VOID + I hereby acknowledge that I haves read this application,that the (Soils report required for>5,000 cu.Yards information given is correct,that I am the owner or authorized cu. yds agent of the owner,and that plans submitted are in compliance with Oregon State tows Fill Volume slg�ature of o�wger/Agentr Date / (Soils report required for>5,000 cu.Yds.) /I / JJ _ __ cu.Yds._ WII the fill support astructure - Contact ertaon Namla 1 jt_I Phone f (Engineer required if answer is yes) YESQ NO[] Re'aining structure?(check one) fR FOR FFICE USE ONLY Notes:reteI� �r SA' M"-F Total new impervious area including all Land Use Case# l_# bu rigs, sidewalks, and paviii.9 siteapp.docN 8 �l9 9`� r/ c� �. oit� ; (�� ?v.FF P4c 1 19 we V'."-'f6"30 COMMERCIAL PLAN SUBMITTAL REQUIREMENT MATRIX DISTRIBUTION TO PLANS OUT TO DS'. EXAMINERS (Note a.) TYPE OF SUBMITTAL TOTAL CPE PPE: EPE CPE PPE EPE SITE 1 1 -- -- 3 (j,o,u) -- -- B (New or Addy 1 1 -- - 3 (j,o,w) -- -- F (New or Add or Alt.) 3 3 -- -- 3 (j,o,f) M (New or Add. or Alt) 1 1 -- -- 2 (j,o) -- -- B & M (New or Add) 1 1 -- -- 3 (j,o,w) -- -- P (New, Add. or Alt) 2 -- 2 -- -- 20,o) - B & M & P (New or Add.) 2 1 1 -- 3 (j,o,w) 20,o) - E (New, Add, or Alt) 2 -- -- 2 -- -- 20,o) B & M & P & E (New, Add) 3 1 1 i 3 (j,o,w) 2(j.o) 20,o) B or B & M (Alt) � ~- 1 t ^ -- -- 2 0,o) ^- - B & M & I' (Alt) 3 1 2 -- 20'o) 2 (j,o) -- B & M &.I'& E (Alt) 3 1 L_ i i 2(j,oi 2(j,k)) I 2 (j,o). NOTES. KEY: a. Before returning to DST, Plans examiner gets appropriate j = Job B = B!-'P number of revised plans from applicant, stamps and completes, o = Office M = MEC updates and adds actions. f= Fire P= PLM u= USA E= ELC b. Shaded arias designate AILT submimis only. w= Wash. County F = FPS c. FPS is a new permit category set aside for fire sprinklers and fire alarms. d. Effective August 15, 1997, Tualatin Valley Fire and Rescue no longer requires a set of approved plans to be forward,,d to their office. Exception, continue to forward a copy of approved fire sprinkler and fire alarm plans with calculations. h'Vnstnc Doe 1� Permit* OF o Y`J Address: Qf�S '•:�. . .' Issued by: Date: � _-- ---- - Statement: Irformation !Notice to Property Owners About Construction Responsibilities Note: Oregon Law, ORS 701.055(4), requires residential construction permit appli- cants who are not registered with 'he Construction Contractors Board to sign the following statement before a building permit can be issued. This statement is required ,for residential building, electrical, mechanical, and phnnhing permits. Licensed architect an(]engineer applicants, exempt from registration under ORS 701.010(7), need not submit this statement. This statement will be filed with the permit. Fill in the appropriate blanks and initial boxes 1 and 2, and either box 3A or 313: 1. 1 own, reside in, or will reside in the completed structure. 2. 1 understand that I must register as a construction contractor if the structure is sold or offered for sale before or upon completion. 1J 3A. My general contractor is 1J (Name) Contractor regis. # I will instruct my general contractor that all subcontractors who work on the structure must be registered with the Construction Contractors Board. OR 3B, I will be my own general contractor. If I hire subcontractors, I will hire only subcontractors registered with the Construction Contractors Board. If 1 change my mind and hire a general contractor, 1 will contract with a contractor who is registered %ith the CCB and will immediately notify the office issuing this building permit of the name of the contractor. I hereby certify that the above information is correct and that I have read and do understand the Information Notice to Property vers about Construction Responsibilities on the reverse side of this form. (Signat re of i t applicant) (Date) (White copy to issuing agency permit file, pink copy to applicant) hiformation 109ce to Property Owners About C onstt u cti,t n Responsibilities :!! t h) I 01! .i! .ill('!ii ' 'J7. "i ,� 11;ics I .. .. .,. lA'<1r UL •..� i,'. a�,;ctl�' +. ��' u.... 'U ,d�'lltl' 1.: -i);IIIS:i`til.(r,.: uiltl aW'f(I ail �.,.J: ..,. EMPLOYEE c USPONSII iIUTEES: l of t. ,tl�rtlr r.,f' L•r� ,I,I .� 1 �: ...,. .,.Slllt, ,I }r',It11.'+tt - rl - I!I , Ir airy (•,•t ,tl. I .� tl, r! '1, .II +tri f Il l�t� 1�,Ilh�lI ill Ihr• IIN Il ,I .I Ir II � GrllL'., ,.,.. ..L i .. . .. ...t ...1, ... I,1,.1•i, I. (il�,lr iIr,, � ,. ,fir. , �t i ISI,11 i ;:I •, I +.,� is I, i. a-futlHii.tl i11i1) ttf111 rrl� l�ilirl.Ij�C tr4YtltaliCl'. �:tlllllll l ',r :rl l{L,Ul�llil''.',Iiv,I;l1► lil t l'U .1 X1'U�1.I'.t'.I,.yl.�yllili. �1t,�111:1',t, � I �I rl 'I"' r.J�.W. .'ll.� ,..� I JIt: rti+.�I l- �.1111t1r� lk""i "mil l' _ I ;it\ ti'._O'- t I1•!illclgi: hoil1 1-1111l,- tier- ;I i,r 1� I i. t•' !r'Itt. It11C 1n♦1rl)e t'a i,l + 1!t�)lnt�'1 ".l. l t'i' illl It:.;;'r ,. n1 1111;,' t.l -.I llv.'f t l;1 rHtr '+It411+•, li�,t(�crtlsr.• ��1 •,.t••urrtimnNo�+.•thee•apr,i��+rs,�•1a�.•�t�llrr,wt�j?,r.tier;ttr.�r�ntr,tt•tlyt.thrr,rrr�inntr.'thl't�r�rknt'rl,,t" 1 +tl,lnc'1`�r!i��h tt,tlir,. ,Inst Ire hlrt+tv hiiihlirtl i0f'6t11't l-it lht,is pinrrime til"m ko th6f clot reerftihh the tmtiirrrl iwl rwk holo":. 11')kill lta d+� 1lrljt lnrirFt� llc ; L�r,t', Ikk rlh, 0I C111 IltV M3ard(}'C1 t',t4 1.41.40, wile .l) ;();/VIX .4,,'! i 'Chr 13aartl is Io:utrtl at 700 5ururu.'r '�i 'A- Suite Mx1, to Salem. THE CHURCH OF JESUS CHRIST OF LATTER-DAY SAINTS IT- FACILITIES MANAGEMENT Willamette OR FM Group P.O.Box 1753 Lake Oswego,Oregon 97035 April 13, 1999 City of Tig,.trd Planning and Building 13125 SW Hall Blvd. Tigard, OR 97223 To Whom It May Concern: RE: LDS Church, 'Tigard Parking Lot Expansion In terms of designee contractor selection and constriction administrator, Steven Lee and/or Michael Roberts will be our designee to represent the Church of Jesus Christ of Latter-Day Saints on this project. If you have any questions about this project and /or designees, please contract me at your con- venience, at (503)743-4504. Sincerely, rlan Dyer, ProiectVa'_n�ag.-r 9400 Fleatlifield Lane Turner, OR 97392 MVMr } T A • N t N 1 V T • L T.: Debbie, Ory of rgard, Community Octclopmcnt i,rqp d. Tigard Metzger Parking Addition 97167 hwe Wednesday, April 07, 1999 rvatnhn J�•�.r rn,�ui,•r rFir,r L FAX-wmbow 598-1960 TrlrpAnrrr numArr 639 4171 Wenowmit N /h., r.3 Us mea [-� A(nvnge, n Ch'—'rAi [] uh,r Iq hrrw L4tr Tbrrrif,inn 4 Remnrks: Ochbie, based upon my telephone mr___ ^,age, th;s merno is to Inform the City of Tigard chat ` our Client has placed a barrier and/or tree protection around the two 30'pines as noted in Bob MaTany's Tree Report for the City's permitting. Please have your people do a site inspection so when I submit the check for$3,554.49, 1 can pick up the building permit. Thank you for your cooperation. 0 ra �1 r r r t• r • r cavi., r a File, Adrian Ryr_r, Joe Martine:, Mich x•!Rohvrtc Tr,.,wtir trj br Steven A. Lee TO d LLUZ- TZZ EO5 - :3u1 s•; Lq-.-3A 1 SNI dqF: EO 66.. LO_ -Add CITE' OF TIGARD BUILDING INSPECTION DIVISION 24-Hour Inspection Linc: 639-4175 Business Phone: 6394171 '7fDate Requested: 2" -I 7 A.M. P.M. — MST: location: `J BUR Tenant: fi Suite: Bldg: MEC: Contractor; 4nd C D�'. Phone: 39"58 3 �/V�(`tR PLM: Owner: one: di�p,d,dJ ►r I I IYLI_ I.VG G � ELF: BUILDING BLDG(con't) PLUMBING SH�lc AL R,LECTRICAL SITE Site Posylicam Post/Beam Post/Beam (.over79e-rJ M—''-I Sewer/Stonn Footing Roof UndFUf lab Rough-hi CeilingM�- Water Line Slab Framing Top Out Gas bine Rough-ln v�i UG Sprinkler Foundation Insulation Sewer Ilood/Duct Reconnect Vault D3smt Damp Drywall Ston, Furnace •I'etnp Service MISC. Masonry Ceiling Rain Dram A/C UG Slab Shear/Sheath Fire Spklt/Alm Crawllfca id Di Ileat I'!unp I It Approved Approved Approved pprovcd Approved Appr/Sdwlk Not Approved Not Approved Not Approved o oved Not Approved FINAL FINAL FINAL FINAL FINAL J PC 1,E GAEAKEA IN PAMEL f3 - - --- - -- Er,::c 0 Call for reinspect C3 Reinspection Cee of S_--- ired'1efo next inspection O Unable to inspect page--oC Ins tm, Date: ----i f -- CITY OF TIGARD ELECTRICAL PERMTT DEVELOPMENT SERVICES PERMIT #: ELC97-0397 13125 SW Hall Blvd.,Tigard,OR 97223 (503)639.4171 DATE ISSUED: 06/c3/97 PARCEL.: 1513 +DB-0O:-"0O SITE PDDRESS. . . : 11O65 SW NORTH DAKOTA SI SUBDIVISION— . - ZONING:R-.4. `; BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . . 7URISDICTION: TIG Pr j ec:t Dcl sc-r i pt i on : Installation of 3 circuit breakers w/out feeder, -- RESIDENT 1 A1_. UNIT------ - - -1"EMF' SRVC/FE.EDEPS------ 1000 0 SF OR LESS. . . . : 0 0 X00 amp. . . . . . . : 0 PUMP/T.RR.IGA'f ION. . . . : 0 f ACH ADD' l- 5O0SF. . . : 0 201 - 400 amp. . . . . . . : 0 S I GN S OUT I_ I NE L TG. . : L LIMITED ENE'RGY. . . . . : 0 401 600 amp. . . . . . . : 0 SIGNAL/PANEL. . . . . . . : 0 MANE. HM/ SV(.-,/FDR. . : N 6O1 +amps-1000 volts. : 0 MINOR LABEL ( 10) . . . : 0 -----SERV I CE/FEEDER-- -- --_-BRANCH C I RCU I T'5---- -..---- -----ADD' L I N SPECT I ONS--_ i71 - x:00 amp. . . . . . : 0 W/'.SERVICE OR FEEDER: 0 PER INSP'EC'TION. . . . . . 0 201 -- 400 amp. . . . . . : 0 I st W/0 SRVC OR FDR. : t PER HOUR. . . . . . . . . . . : 0 401 -- 600 amp. . . . . . . 0 EA ADD' L. BRNCH CIRC: IN PLANT. . . . . . . . . . .. : 0 601. -- 1.000 amp. . . . . : 0 - - -------______..___p'LAN REVIEW 1.000+ amp/volt. . . . . : 0 ) =4 REIT UNITS. . . . . . . . : ) 600 VOLT NOMINAL. . Reconnect only. . . . . : 0 SVC/FDR ) = 225 AMPS. . : CLASS AREA/SPEC OCC.: Owner. _.-.___.__.-__________.._____._._______._.___---_-----_____.._.-...__ FEES JOHN STARK type amoI_rnt by date recpt LEE--RUFF-STARK ARCHITECTS PRMT $ 45. 00 DRA O6/23/97 97-296296 5285 SW MEADOWS STREET, #340 5PCT $ E. 25 DRA 06/23/97 97-6'96296 I..AKE OSWEGO OR 97305 Phone #: Contractor- : Mt HOOD ELECTRIC INC 47. 25 TOTAL 8900 SW BURNHAM RD � UNIT F-7 --_---- REOU I RED INSPECTIONS ----- f r IGARD OR 97223 Wall. Cover Elect' 1 Final Phone #: 639-5(333 Elect' 1 Service Reg #. . 0O0011 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Oregon Specralts Codes and all ether applicable laws. all work will be done in accordance with approved plans. This permit will expire if wort is not started within IN days of issuance, or if work i suspended for more than 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notificatir, Center. Those rules are set forth in OAR 952-0014818 throuyh OAR 9S2-N01-1987. You may obtain a copy of these rules or direct questions to OUNC by calling 15831246-1997, r Permittee Signature : �_ =.Ma`AIssoaed BY�N._..�1[<.Y_C ..,L_._. INSTALLATION ONLY----------------------------_ The installation is being made on property I own which is not intended for sale, lease, or sent. OWNER' S SIGNATURE: DATE: -__---___________________CONTRACTOR INSTALLATION SIGNATURE OF SURR. E:LEC' N z �Q,0 J 1�-+ •' DATE: I..ICENSE NO: ++-t++++++•++++-1+++ F++++++++++++-F++++++++++++++++++++++++++++-1.4++++++++++++++++++ Call 639--4175 by 6:O0 p. m. for an inspection needed the next bf-rsiness day ++++++++++4•++++++.+++++++++++++++++++•1•++++++++++++++++++-I-+4 h+4+++++++4- -+t+++4-++ Community Development ELECTRICAL PERMIT APPLICATION 13125 SW Hall Blvd. Tigard, OR 97223 Permit # _ 1 _ Date Issued Phone (503) 639-4171 ?G OITY OF TiGARD FAX (503) 684-7297 TDD No. (503) 684-2772 i Inspection (503) 6394175 1. Job Address: 4. Complete Fee Schedule Below: Name of Development, Number of Inspections per permit allowed Addre3s_ )I- - V n Service included Items Cost(ea) Sum City/State/Zip_ I �4 k V, � ��ZZ3 4a. Residential •per unit - loon ga. It or leas L S G��t►f:� - -Name (or name of business) Each eddnherel f sq ft or portion(hereof ---- Commercial Residential ❑ Limped Energy Each Manurd Home or Modular Dwelling Service or Feeder -- 2a. Contractor installation only: 4h. services or Feeders 1 Installation,alteration,or relocation Electrical Co tractor I "� 200 amps or less $80 00 Add,ess IIEZ7 201 amps to 400 amps $0000 00 Cit a State Zip 17223 401 Amps to 100amps $1 000 C17221 ----- y 801 amps to 1000 amps Phone NOver 1000 amps or volts $340.00 Job NO Reconnect only $5000 contractor's license NO. y L L 4c.Temporary Services or Feeders Contractor's Board Reg. No, I_ Installation.alteration,or relocation Signature of Supr. Elec'n 200 amps or less y $75 201 amps to 400 amps 00 2 License NO. / o P, 0 401 amps l0 800 amps $7500 Over 600 amps to 1000 volts $100 00 - -- 2b. For owner installations: see"b"above 4d. Branch Circuits Print Owner's Name__ _ New,alteration or extension per pane Address A)The fee for branch circuits with purchase of smite or leader roe. City _ State _ ZIp Each branch circuit $5.00 Phone No. __ b)The fee for branch circuits without 7 purchase of service or feeder fee. r, fhe installation is being made on property I own which is First branch circuit $35 00 not intended for sale, lease or rent Each additional branch circuit f5 00 Owner's Signature — 4e. Miscellaneous 7 (Service or feeder not Included) 3. Plan Rovlew section /If required): Each pump or irrigation circle $4000 Each sign or outline lighting $40 00 _ -- Z Signal circult(s)or a limited energy Please check appropriate item and enter fee in section 5B. panel,alteration or extension $40 00 --- 4 4 or more residential units in one structure Minor Labels(10) $10000 Service and feeder 225 amps or more 4f. Each additional inspection over _System over 600 volts nominal the allowable in any of the above _Classified area or structure containing special occupancy re.inspecl,on $3500 as described in N.E.C. Chapter 5 1-,hour $5500 _ n Plant $5600 _ Submit 2 sets of plans with application where any of the above — apply. Not required for temoorrry construction services. 5. Fees: u dL 5a. Enter total of above fees $ 7 2 NOTICE 5%Surcharge (05 X total fees) $ �f Subtotal $ �e-- PERMITS BECOME VOID IF WORK OR CONSTRUCTION 5b. Enter 25%of line A for AUTHORIZED IS NOT CuMMENCED WITHIN 180 DAYS, OR IF Plan Review N required (Sec 3) $ _ CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR Subtotal $ A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED «a n tee. w, Trust Account N $ Ralanre Due s 4 7 %S ELECTRICAL PERMIT- CITY OF T I G A R D � RESTRICTED ENERGY DEVELOPMENT SERVICES PERMIT#: ELR2002.-00099 13125 SW Hall Blvd., Tigard. OR 97223 (503) 639-4171 DATE ISSUED: 5/30/02 SITE ADDRESS: 11065 SW NORTH DAKOTA ST PARCEL: 1 S134DB-00300 SUBDIVISION: ZONING- R-4.5 BLOCK: LOT: JURISDICTION: TIG Proiect Description: Low voltage for fire alarm system. A. RESIDENTIAL B._COMMERCIAL_ AUDIO & STEREO: AUDIO & STFREO: INTERCOM & PAGING: BURGLAR ALARM: BOILER: LANDSCAPE/IRRIGAT: GARAGE OPENER: CLOCK: MEDICAL: HVAC: DATA/TELE COMM: NURSE CALLS: VACUUM SYSTEM: FIRE ALARM: X OUTDOOR LANDSC LITE: OTHER: HVAC: PROTECTIVE SIGNAL: INSTRUMENTATION: OTHER: _ TOTAL # OF SYSTEMS: 1 Owner: --- — � Contractor: --_--�-_—M CORPORATION OF THE SIMPLEXGRINNELL. PRESIDING BISHOP/CHURCH OF 6305 SW ROSEWOOD JESUS CHRIST OF L D S L A;�E OSWEGO, OR 97035 SALT LAKE CITY, UT 84150 Phone: Phone: 503-693-9000 Reg #: LiC 149921 F.LE 26-946CLF _ FEES —_ Required Inspections _Type By Date _ _Amount Receipt Low Voltage Inspection PRMT CTR 5/30/02 v $75.00 2720020000 Elert'I Final 5PCT CTR 5/30/02 $6.00 2720020000 Total — $81.00 J This Permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specially 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 :s 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 OAR 952-001-0010 through OAR 952-001-0080. You may obtain copies of these rules or direct questionIto OUNC at (50:t) 246-1987. /� 7, Issued by �,( �,/��G,� ��/ Permittee Signature aAlo OWNER INSTALLATION ONLY The installation is being made on property I own which is not intended for sale. lease, or rent. OWNER'S SIGNATURE: DATE: CONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR. ELEC'N LICENSE NO. ---- (i ry L•LLC -- - -— ---_ ------ -- Call 639-4175 by 7:00 P.M. for an inspection needed the next business day Electrical Permit Application �- -�- -�— Date received:._. O'L PCI IHI1 no.: City of igaruo ruject/appl. no.: Expire date: _ ('irvu/7igard Address: 13125 SW Flail Blvd.,rigard,OR 0122') Date issued: Ay: Receipt no.: Phone: (503) 639-4171 Fax: (503) 598-1960 MAY 3 0 2001 Cuse file no.: Payment type: Land use approval: J I &2 family dwelling or accessory Commercial/industrial LJ Multi-family J Tenant improvement LJ New construction LlAdditiun/alteraiion/rerla(•ement 'J Other: _U Partial Joh address: Bldg. nay Suite no.: Tax map/tax lot/account no.: Lot: Block: Subdivision: Project name: bescri)tion and location of work on premises: I-slirnated date of comj,let:lm/inspection: Jo!now: - lee +tai nevcription Qty (Co.) total no,I"% Business name Q r IV—e Nrvv residemtlal-shrgle lir multi-family per Address: w p—�•ocr dmlllntunit.IncludesnonrhedKarace. City: I Stale: rt. LZlP: Serviceincluded: 1000. 4 "L ft.or less Phone: Fa E-mail: - Each additional 500 sq.ft.or pillion Ilrrrcof CCB no.: Elec.bus.Ilc.no: Limited energy, residential 2 City/metro lic,no.: - limited energy, non-residential Each manufactured home or modular dwelling. - -- Service and/or feeder -' Signature of supervising elcorician (required) Dale _ __. -_—_---_. Sup.elect.naw(printf: v Ft 1-10111 no ccc j y/p Servlce%orfeeders Installation. adteratlon or relocal ion: 200 amps or less 2 a cL fit: 201 amps to 400 amp, 2 Name(print): CdIP, 'rkt W.6,[Uuu iS 2 401 am s to G(x)an s _ Mailing address: Wl amps to 1000 amps 2 —City: -r r(AkE Cil-V _ State: T ZIP: % C Over HXx1 ams or volts 2 Phone: r—,,Ix I E-mail: Reconnect only I Usvnci installation: The installation is being made on property I own Temporarv%ervIce%orfreders which is not intended for sale,lease,rent,or exchange according to Installation,all erattnn,orrelocation: ` 200 amps or les, ORS 447,455,479,070,701. 201 amp%to 4(x);rn_rps__------ — 2 Owner's si nature:- Date: 401 b.600 amps 2 -- Branch ch snits-nea,alteration. or evrnsion per panel! Name: A. Fee for hranch circuits with purchase of Address: service or feeder fee,each branch circuit City: State: ZIP: _^ It. Fee for branch circuits withrwl purchase of sauchi -1 or feeder fee. Ii branch circuit: 2 F'ax: Phone: Email: Each additional brarrclr(In it +f loc.(Service or(ceder not hit lolled): U Service nver 225 :unpN wronnrrrcial J Health-care lucda> Each punas(u irrigation ar(Ic U Service over 120 apps ranng of 1&2 J Ilwardous locution Each sign or outline lighting fatally dwellings U 0uilding over 10,000 square feet four or Signal circuit(%)(it a limited energy panel, U System nver 010 volts nominal i n rr residential units in line structure alteration, ur extension• 2 U Building over three stories U Feeders.400 amps lir snore •111cscription: U Occupant load over W)persons J Manufactured structures or RV park t nth nd(0tionvil inspection over the allonable Imany ofthe above: U F.grcm/Iighting plan J Other- - I'cr mspc(wm _ Submit_sets of plans with any of the above. Investigation fee The above are not applicable to temporary construction service. Other Not nil jurisdictions accept credit cnm nls.plec call jurisdiction for mote infm milli,"' Notice: nis permit application Permit fee ......................$ U Visa U Masictt'ard expires if a permit is not obtained Plan review tat _- %) $ Credit card number L1 within 190 days after it has been State surcharge(814 0.....$ lispitcv accepted as complete. TOTAL.................... .. .. Name of citirdW e-ns shown Wt (Mit catd S Crnlhnlder slgnauarc Amount 4.I0-4615 16r0a/('OMa CITY OF TIGARD 24-Hour BUILDING Inspection Line: (503) 639-4175 MST INSPECTION DIVISION Business Line: (503) 639-4171 BUP Received 2 Date Requested AM ____ __ PM __ -_ SUP I_ocatiun D-C Suite -- ----- -_ MEC Contact PersonC�7L'r� Ph PLM ----_ - - Contractor. ��m nl x �f'r•,n_j L Ph(____ ) - -- --_ SWR -- - rBUILDING _ 7 Tenant/Owner -_.--_ ELC Footing ELC Foundation Access: Ftg Drain ELR = Crawl Drain Slab Inspection N rtes: SIT - -_ Post&Beam Shear Anchors --- Ext Sheath/Shear .r Int Sheath/Shear Framing _ _ --- Insulation Drywall Nailing — r3—�- -- -- Firewall Fire Sprinkler - -� Fire Alarm Susp'd Ceiling - -- Roof Other: Final - 7 PASS PART_ FAIL �+ PLUMBING 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 PARTFAIL ELECTRICAL_ _ Service Rough-In UG/Slab - -- - -- _--._ _- ------ Low Voltage _ Fire Alarm ro I u Reinspection fee of$__ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PART FAIL --- Please call for reinspection REQ_ � F] Unable to inspect-no access Fire Supply Line ADA date cit { Inspector . ( Ext Approach/Sidewalk —-� l J Q ,- -- Other: Final DO NOT REMOVE this Inspection record from the fob site. PASS PART FAIL / BUILDING PERMIT i CITY OF TIGARD PERMIT#: BUP2002-00143 DEVELOPMENT SERVICES DATE ISSUED: 5/13/02 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 PARCEL: 1 S134DB-00:',00 SITE ADDRESS: 11065 SW NORTH DAKOTA ST SUBDIVISION: -ZONING: R-4.5 BLOCK: LOT: JURISDICTION: TIG REISSUE: FLOOR AREAS _ EXTERIOR WALL CONSTRUCTION — CLASS OF WORK: FPS FIRST: sf N: S E: W: TYPE OF USE: COM SECOND: sf PROJECT. OPENINGS? TYPE OF CONST: UNK sf N: S: E: W: OCCUPANCY GRP: B TOTAL. AREA: 000 sf ROOF CONST- FIRE RET? OCCUPANCY LOAD: BASEMENT: sf AREA SEP. RATED: STOP.: HT: ft GARAGE: sf OCCU SEP. RATED: BSMT?: MEZ-Z?: RE'-!D SETBACKS REQUIRED_ Fi.00R LOAD- psf LEFT: ft RGHT: I" FIR 5P__KL: SMOK DET: DWELLING UMTS: FRNT: ft REAR: f. TIP ALRM : HNDICP ACC: BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING: VALUE: $ 1,500.00 Remarks: installation of door holdopens and smoke detectors Owner: Contractor: CORPORATION OF THE SIMPLEXGRINNELL LP PRESIDING BISHOP/CHURCH OF 6305 SW ROSEWOOD ST ,IFSL)S CHRIST OF L D S LAKE OSWEGO, OR 97035 f�Fione KE CITY, UT (34150 Phone: 503-683-9000 Rer #: LIC 149921 -� FEES REQUIRED INSPECTIONS Type By Date — Amount Receipt Final Inspection PRMT CTR 5/13/02 $62.50 27200200000 5PCT CTR 5/13/02 $5.00 27200200000 FIRE CTR 5/13/02 $25.00 27200200000 --_.�--------- Total $32.50 --- 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 952-001-1987. You may obtain a copy of these rules or direct questions to OUNC by calling (503)246-6699 or 1-800-332-2344. Pe rm Ittee Signature: /rJ t Issued By: Call 639-4175 by 7 p.m. for an inspection tha next business day ��r..a®.rlr�rt�,tary. Building Permit Application Date received: Y' � 7i Permit m, � t� City of Tigard Addre�t 13125 SW Hall 131\d.'lard,OR ')i_' PrgjccVuppL no,; Expire date: Date issued: fly•• Receipt no.: Phone: 1503) 639-4171 \ Fax: (503) 598-1960 Case file no.: Payment type: Land use approval: 1&2 family: Simple complex: J 1 &2 family dwelling or acs JCommercial/industrial J Multi-Iumily U New construction _l Demolition J Addition/alteration/replaccmcni J Tenant impi-menu•nt 4 f nr sprinkler/alarm U Other: Till 10 1111111171-0 K111,13 IN I ioitzm Joh address: et /!1 ✓.• BIdg no.: Suite no.: o S VV No K rh D.4 k ..__ _ -- -- l.o(: Block: ax map/tax lot/account no.: Subdivision: Project name: --- -_— Description and location of work on premises/special conditions: A u�� wR AuJ`0=5 A Pe_t�_r Rte___ Name: Mailing address: //d ^4.t7-A P41etv rA I & 2 family diielliug: City: n G r0 State:v 'l.IP: Z 3 Valuation of work ........................................ $ —. Phone: / H I Fax: F-nail: No.of hedrooms/haths.................................. _--- -_ Owner's representative: - & e Total number of flours .................................. -----. Photic: Fax: E-mpil: New dwelling area(sq. ft.)............................ Garage/carport area(sq.ft.) .........................• Co-,cred porch area(sq.ft.) ......................... Narnc: Dock ( ..__------------ Mailing address: ' p ocarea sq. ft.) .... .........................•........... w o t.✓v.�- -- --- City State- 2 zip:: Q fes' 011ier structure arca tut. f ... t.) .. .... . ............. --- ('ommerclallindu+trial/multi-family: Phone: ta. - 'G,4� Fax:&'/ - ! I:-mail: Valuation of work y _Lu Business ntune:s, M r,/-x (r Existing bldg.arca(sq.ft.)............................ /('r w�( C New bldg.t1-ca(sq. ft.).................................. --- Address: .QS S,co F ID S CEW 00.7 Y Number of stories.......................................... _ cit RA,gyp 05w e I U Statc:0 'LIP: � � 'I'ypc of construction ..................................... Phone: 693 1 Fux6 - Oct 1!pancy group(s): Existing: _--_-- CCB no.: / I New: City/metro he.no Notice:All contractors and subcontractors are required to he licensed with the Oregon Construction Contractor%Board under Name: provisions of ORS 701 and may he required to he licensed in the Address: jurisdiction where work is being performed. If the applicant i% - - State: -- exempt from licensing,the following reason applies: Ully: ZIP: Contact person: Plan no.: Phone: Far F-mail: -- Namfi�•®��kG1C v^,ee[ Contact person uNfCl Fees due tiplrn application.............................$ —.-- Address: 3(J,S' �5,,i OSt'�•+ Date received: ciry:L,f� �.vv v State: ZIP: , � Amount received................................•..........$ _ Phone e,3 5,OOV I Fax fit E-mail: — Please refer to fee schedule,___ hereby certify I have read and examined this application and the Not all Jurisdictions accept credit cards.please call iurisdicn,m ren m,wr inGxmauon attached checklist. All provisions of laws and ordinances governing this J Visa J MasterCard work will he complied%v- whether specified hl' cin tiir not. t'rntit card number __.F.x -- P Authorised signature: .'el—'re-401 5��- _ Nome or caMhol er as xhown on credit cat Print name: P,11 (L l �� _ �` 44= ---- —— `r'ardhol er slgnaitire ---�� ,imuum Notice: This permit application expires if a pennit is not obtained within 180 days after it has been accepted a%complete. 440.4611 Ldlon uhlt CITY OF TIGARD 24-Dour BUILDING Inspection Line: (503)639-4175 MST INSPECTION DIVIS60N Business Line: (503)639-4171 — Received —� Date Requested_ AM. PM __ -__- - BUP Locationi i c� Suite _ MEC Contact Person ______ _ Ph( ) �1- 3 PLM Contractf), _– - - - - Ph(---) DWR LDIN TenanVOwner — ELC ELC Fuundatiun ---_------_•. Access: Fig Drain ELFT Crawl Drain Slab Inspection Notes: / / _ /I 1 SIT ___• _ Post&Beam �-ef�llXr Shear Anchors -- Ext Shoath/Shear ` Int Sheath/Shear C Framinq — Insulatic n Drywall 14ailing Firewall Fkler - re Al Susp'd Ceiling - --- Roof Other. F' _PART FAIL__ -- --- - -PL M II_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 -- - - ------ - - -- - - - MEC_HANICA_L_ 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 rein pertion RE:------ Fire E:—_ __-- [� Unable to inspect -no access Fire Supply Line (,, I ��/\ Approach/Sidewalk D�-- -� ^ 0 -- inspector V ___Ext—_— PP Other: Final __—� DO NOT REMOVE this inspection record from the job site. PASS PART FAIL Permit#: .7i OF 0 Address: 21 0 1""Ilcd hv: Date: Statement: Information Notice to Property Owners About Construction Responsibilities Note: Oregon Law, ORS 701.055(4), requires residential construction permit appli- cants who are not registered with the Construction Contractors Board to sign the following statement before a building permit can he issued. This statement is required for residenti(d building, electrical, mechanical, and plumbing permits. Licensed architect and engineer applicants, exemptftoin registration under ORS 701.010(7), need not submit this statement. This statement will be filed with the permit. Fill in the appropriate blanks and initial hoxes I and 2, and either box 3A or 313: IT1. 1 own, reside in, or will reside in the completed structure. F-1 2. 1 understand that I must register as a construction contractor if the structure is sold or offered for sale before or upo,t co. piction. A. My general contractor is. 7eizongSZ-C (Name) ntractor regis. # I will instruct my general contractor that all subcontractors who work on the stru:ture must be registered with the Construction Contractors Board. OR 113. 1 will be my own general contractor. If I hire subcontractors, I will hire only subcontractors registered with the Construction Contractors Board. If I change my mind and hire a tcneral contractor, I will contract with a contractor who is registered with the CCB and will irnmediLtely notify the office issuing this building permit of the name of tl contractor. I hereby certify that the above informatimi is correct mid Ili-it I have read anti do understand thu Information Notice to Pro- irty Owners about Consti-ticlinii Itvspmv�ihilities on the re%erse side of this form. (Signatui of peftnit applicant) (Date) (While copy to issuing agencY permit file, pink copy to applicant) v A, �p Information Notice to Property Owner. About Construction l= espinn ibili#ies �',1'f., ,. '�',/ 'lU ,� ,1, ,. ,f°i'U(rt'+l r f 1'.i'' Ufl�lr! , :t� i:••JI i , ':7P•r1.7!!!l!('i1 ,r, ,1, i � r, ia: � .a �' ! ,_ ,;r . .. 'rU � i., �:!.+,.I � ,11•� r ! r?S,'i!)�, 1,.. rJ i.:frl. .. ac;s ✓.) t :iil��l,vl. . �4lL,t' �r,lilyti.11Pt yi,�lpll a=,ll :. -ilPt�X'' l _`I 4.011"1 h. EMPLOYER VESPONSISR.ITIM- AN�,! ^'LY _p,; r \,il" l;-'Mk�4fi:d..�'ql ,x,11 A!. t' li.tl 1 Iili' ]?U"ll_i pV' . . fie,riMily 11(1'1 11pr offirirll. at the rtpttl°r,t,rini+'tittw.s�Rn thfv Cln tale r":tiilg'd inSj eLtiO!; �Pl,ii�111U11i1� f(IJP."sll( {'I: 1�YIft• I,rl t_slil L�lc' C �i1�511LbC1itP11( +in�:I'::��I��I'.� r;l ,•,.,1 111(1 t�,vv I�1 Pv!!} �`;.tl..r,y O►,t n.'1 1 [°�n �'S.v,r;l I. ;�s�':,P:,•.; -,1 ,.P;'I �•iununl'I `�I ��P I' 1111 Pig il�f_ II CITYOF TIGARD ____ SITE WORK PERMIT DEVELOPMENT SERVICES PERMIT# : SIT98-00025 13125 SW Hall Blvd., Tigard, OR 97223 (503) 6394'171 DATE ISSUED : 4/21/99 SITE ADDRESS: 1 1065 SVV NORTFI DAKOTA ST PARCEL : 1 S 134DB-00300 SUBDIVISION: ZONING : R-4.5 BLOCK: LOT: JURISDICTION : TIG CLASS OF WORK: ADD PAVING RESO. NO: TYPE OF USE: COM GRADING ?: N VALUE: $170,000.00 E-XCV VOLUME: 0 cy LANDSCAPING?: N FILL VOLUME: 0 Cy SITE PREP ?: Y ENG FILL?: N STORM DRAINS?: Y SOILS RPT READ?: N IMPERV SURFACE: 14.700 sf Remarks: Parking lot addition. Owner: _-__-- _._--- FEES --- — LDS CHURCH —_ ---_--- --= 1 v ,Cheer-# : 1731.0 Date : 04/16/99 Ld Account Purpose Cd-Invoice/Referen,:e# Amount _ 026 1821 674CNA PERMITS _ I-- 1071.7 311554 . 49 ri CITY OF TIGARD e_ Check Total $ 3 , 554 . 49 ATTN: PLANNING AND BUILDING Vendor ID: 1.381 13125 SW HALL BLVD Account #: TIGARD OR 97223 CNA PERMITS (Cd; I=Invoice, C=Credit, D=Discount THE CHURCH OF JESUS CHIUST OF LATTER-DAY SAINTS FACILITIES MANAGEMENT Willamette OR FM Group P.O. Box 1753 Lake Oswego,Oregon 97035 April 13, 1999 City of Tigard Planning and Building 13125 SW Hall Blvd. Tigard, OR 97223 To Whom It May Concern: RE: LDS Church, 'Cigard Parking Lot Expansion In terms of designee contractor selection and construction administrator, Steven Lee and.or Michael Roberts will be our designee to represent the Church of Jesus Christ of Latter-Day Saints on this project. If you have any questions about this project and /or designees, please contract me at your con- vcnience, at (503) 743-4504. Sincerely, rtan Dyer, Projectl anager 9400 Heathfield Lane Turner, OR 97392 ad/mw �F,rz.M�T CELECTRICAL PERMIT CITY O F TI GAR D PERMIT#: F_LC1999-00430 DEVELOPMENT SERVICES DATE ISSUED: 7/19/99 13125 SW Hall Blvd., Tiqard, OR 97223 (503) 639-4171 PARCELS 1S134DB-00300 SITE ADDRESS: 11065 SW NORTH DAKOTA ST SUBDIVISION: ZONING: R-4.5 BLOCK: LOT : JURISDICTION: TIG Proiect Description: Add two (2)branch circuits _RESIDENTIAL UNIT TEMP SRVCIFEE_DERS MISCELLANEOUS 1000 SF OR LESS: 0 - 200 amp: PUMP/IRRIGATION: EACH ADD'L 500SF: 201 - 400 amp: SIGN/OUT LINE LTG: LIMITED ENERGY: 401 •, 600 amp: SIGNAL/PANEL.: MANF HMI SVC/ FDR: 601+amps - 1000 volts: MINOR; LABEL (10). SERVICE/FEEDER BRANCH CIRCUITS _ADD'L INSPECTIONS _ 0 - 200 amp: W/SERVICE OR FEEDER: PER INSPECTION: 201 - 400 amp: 1st W/O SRVC OR FDR: 1 PER HOUR: 401 - 600 amp: EA ADD'L BRNCH CIRC: 1 IN PLANT: 601 - 1000 amp: PLAN REVIEW SECTION_ ___ 1000+ amp/volt: _ >=4 RES UNITS: > 60')VOLT NOMINAL- Reconnect oniy: —__ _SVC/FDR >= 225 AMPS: CLASS AREA/SPEC OCC: Owner: Contractor: LDS CHURCH NEW TECH ELECTRIC 11065 SW NORTH DAKOTA 1400 NE 48TH AVE TIGARD, OR 97223 HILLSBORO, OR 97124 Phone: Phone: 503-648-1900 Reg #: LIC 41868 SUP 2113s ELE 26-418c _ FEES _ _ _` Required Inspections Type By Date Amount Receipt Ceiling Cover 5PCT GEO 7/19/99 $3.00 99-316977 Elect'I Final PRNAT GEO 7/19/99 $42 85 99-316977 Total $45.85 ORIGINAL 1 his Permit is issued subject to the regulations contained in the Tigard Municipal Code State of CR 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 by 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 or direct questions to OUNC at(503) 246-1987 Permit Signature: —_Y Issued By: G OWNER INSTALLATION ONLY The installation is being made on property I own which is not intended for sale, lease, or rent. OWNER'S SIGNATURE: DATE: CONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR. ELEC'N: — � - _. _ _ _-- DATE:--?—'- LICENSE NO: _----- Call 639-4175 by 7:00pm for an inspection the next business day CITY OF TIGARD Electrical Permit AppAE®fidfiD Plan Check a 13125 SW HALL BLVD. Rac'd By Date Recd TIGARD OR 97223 Date to P.E. Phone (503)639-4171, x304 Print or TypWMMUNIIr 0I010PMENI Date to DST Inspection (503) 639-4175 Permit uStC(�eo�3d Fax (503) 604-7297 Incomplete or illegible will not be accepted railed 1. Job Address: "-p-9 �'f�ulP�N 4. Complete Fee Schedule Below: Name of Development_' 1�L• c" -- Number of Inspections per permit allowed Name(or name of businesskL!/YI'1�TL�C Service included: Items Cost Sum Address W1_ 4a. Residential-per unit 1000 sq.It or less $110.00 City/State/Zip _,__ ___.__ Each additional 500 sq.It.or Gommercial,� Residential ❑ portion thereof $25.00 Limited Energy $25.00 Each Manul'd Home or Modular Dwelling Service or Feeder $68.00 2a. Contractor installation only: I (Attach copy of al rent IiSanseV 4b.Services or Feeders Electrical Contractor installation,alteration,or relc,ation 200 amps or less $60.00 2 Address L -h F �_..__=. 201 amps to 400 amps $80.00 - _ 2 City State KYXI Zip 401 amps to 600 amps - $120.00 2 Phone No. _ 601 amps to 1000 amps $180.00 2 Job No. over 1000 amps or volts _._ $340.00 _ 2 Elec.Cont. Lice. No. 4/-%4-'L Exp.Date Reconnect only $50.00 OR State CCB Reg. No.__Z Exp.Dato____ _ 4c.Temporary Services or Feeders COT Business Tax or Metro No. _Exp.Date-_--__- installation,alteration,or relocation 200 amps or less $50.00 _ 2 nature u r. Elec'n // � r/� 201 amps to 400 amps $75.00 SI of S _--_ 2 g �s- �� ` 401 amps to 600 amps $100.00 1 Over 600 amps to 1000 volts, License No. JJ Exp.Date_ see"b"above. Phone No. - _ _ _ --- --- 4d.Branch circuits Now,alteration or extension per panel 2b. For owner Installations: a)The fee for branch circuits with purchaar of service or Print Owner's Name feeder fee. Address Each branch circuit ".00 -_ - -- -- - b)The fee for branch circuits City _ StateZip without purchase of Phone No. _ service orfeeder he. / 37,35D First branch circuit $3500 2 The installation is being made on property I own which is not Each additional branch circuit WTfff-3 2 intended for sale,lease or rent. 4e.Miscellaneous (Service or feeder not Included) Owner's SignatUfe Each pump or Irrigation circle $40.00 2 Each sign or outline lighting _- $40.00 3. flan Review section (it required):* Signal circult(s)or a limited energy panel,alteration or extension _- $40.00 - ------ Please check appropriate Item and enter fee in section 5B. Minor labels(10) $100.00 -_ 4 or more residential units In one structure 4f.Each additional Inspection over Service and feeder 225 amps or more the allowable in any of the above System over 600 volts nominal Per inspection $35.00 Classified area or structure containing special occupancy Per hour $55.00 as described in N.E.C.Chapter 5 In Plant -_ $55.00 -------- 'Submit 2 sets of plans with appllcatinn where any of the above apply. 5. Fees: Not required for temporary construction servlr as. 5s.Enter total of above fees $ 5%Surcharge(.05 X total fees) $ NOTICE Subtotal $ 5b.Enter 25%of line 6s for PERMITS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED IS Plan Review if_Tguirgd(Sec.3) $ NOT COMMENCED WITHIN 180 DAYS,OR IF CONSTRUCTION OR WORK Subtotal $ --- IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANYa TIME f',FTER WORK IS COMMENCED. 1:1Trust Account a - $ A . Total balance Due J 1 0STSTI.C9S AF'T Rav 9199 CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 _ BUP Date Requested AM _PM -_ BLD v_ Location /A) Suite MEC Contact Person Ph _ — PLM Contractor Ph >� / fir ' ' SwR BUILDING Tenant/Owner ELC L-,u-L--f�� - ) Retaining Wall `—� ELR Footing Access: -----___---__-....---._--- Foundation FPS Ftg Drain SGN Crawl Drain Inspection Notes Slab SIT Post&Beam Ext Sheath/Shear Int Sheath/Shear Framing - Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling - -- ---- Roof Misr, Final PASS PART FAIL PLUMBING Post A.Beam Under Slab T op Out Water Service Sanitary Sewer — --- Rain Drains Final PASS PART FAIL MECHANICAL Post& Beam --- Rough In Gas Line Smoke Dampers Final PASS PART FAIL (J,:LC-CTRICAJZ> _ Service Rough In UG/Slab Low Voltage Fire Alarm PAS PART FAIL - --SITE Backfill/Grading Sanitary Sewer Storm Drain ( ]Reinspection fee of$_ _ required before next Inspection. Pay at City Hall, 13125 SW Hail Blvd Catch Basin [ ]Please call for reinspection RE.` _ [ ]Unable to Inspect-no access Fire Supply Line ADA Approach/Sidewalk Date " -_ - Inspector -- .aExt Other Final PASS PART FAIL DO NOT REMOVE this inspection record frons the job site. CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 BLIP Date Requested / =;Ji PM BLD Location a:� Sults MEC Contact PersonZ(,� t, Ph PLM Contractor Ph _ SWR BUILDING Tenant/Owner ELC ----- -- -- Retaining Wall .� ELR —� Footing Acc-ess: Foundation FPS --.__- Ftg Drain - SGN Crawl Drain Inspe(..,)n Notes - -- Slab -- -- -- ---- --- _ . .. - ------ -- SIT _ F Post& Beam Ext Sheath/Shear Int Sheath/Shear Framing Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling - - - - - - -- Roof Misc �- Final PASS PART FAIL '� ------- �� PLUMBING GZ�''✓%� ��/�<�z f?_ .� Post& Beam Under Slab Top Out Water Service Sanitary Sewer Rain Drains Final PASS PART FAIL_ MECHANICAL Post& Beam - -- - -- --- -- -- Rough In Gas Line - ----- --- -_-- - Smoke Dampers Final -- - - - - --- - ---- PASS PART FAIL ELI_CfRICAL ------ - - - - Service Rough In UG/Slab Low Voltage i Fire Alarm -- - -- Final PASS PART FAIL — -- - - apt Backfill/Grading Sanitary Sewer Storm Drain [ j Reinspection fee of$ required before next inspection. Pay at City Hall, 13125 SIN Hall Blvd Catch Basin [ j Please call for reinspection RE: [ j Unable to inspect-no access Fire Supply Line — ADA1� Approach/Sidewalk Date I,/ ,/ � /('4 y Inspector_!1_ __ Ext Other -- ---- -- F. A PART FAIL DO NOT REMOVE this inspection record from the job site.