Permit CITY OF TIGARD BUILDING PERMIT
'' tl' ' COMMUNITY DEVELOPMENT Permit#: BUP2020-00038
T[GAR.D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 03/16/2020
Parcel: 2S113AB00500
Jurisdiction: Tigard
Site address: 16083 SW UPPER BOONES FERRY RD 200
Project: Liberty Mutual Subdivision: FANNO CREEK ACRE TRACTS Lot: PT 37
Project Description: TI for existing tenant:A new demising wall to convert existing space into(2)suites.
Contractor: BUILT ENVIRONMENTS NORTHWEST Owner: G&S FC LLC
PO BOX 160 16083 SW UPPER BOONES FERRY RD,
GLADSTONE, OR 97027 STE
TIGARD, OR 97224
PHONE: 503-650-4084 PHONE:
FAX: 503-650-4104
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: VB Permit Fee-Additions,Alterations, 03/16/2020 $1,105.95
Demolition
Occupancy Grp: B Occupancy Load: 49 12%State Surcharge-Building 03/16/2020 $132.71
Dwelling Units: 0 Plan Review 02/11/2020 $718.87
1 Stories: 0 Height: 0 ft Address Fee 03/16/2020 $50.00
Bedrooms: 0 Bathrooms: 0 DC Provision Review,COM New-Bldg 03/16/2020 $203.00
Value: $100,000 Plan Review-Fire Life Safety 03/16/2020 $442.38
Info Process/Archiving-Lg$2.00(over 03/16/2020 $18.00
11x17)
Floor Areas: Tigard CET-Non-Residential-Admin 03/16/2020 $40.00
Total Area: 0 Tigard CET-Non-Residential-AH 03/16/2020 $960.00
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $3,670.91
Required: Required Items and Reports (Conditions)
Fire Sprinkler: Parapet:
Fire Alarm: Protected Corridors:
Smoke Detectors: Manual Pull Stations:
Accessible Parking: 0
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 the 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 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
ee..9_ )
Issued By: / Nermittee Signature:
Cal .639.4175 by 7:00 a.m.for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the Job site at the time of each inspection.
° Building Permit Application
Commercial 1 ttl; ill I]t 1. 1"ei t}!1 S
City of Tigard RECEIVE R�we,.
�' DatclEiy:0t/u/ _ Permit No.:O I/J� -Weer
13125 5W hell Blvd,Tigard,OR 97223 FEB 12 2020 Plan Review _ 0
Phone: 503.718.2439 Fax: 503.598.1960 Dete/By. OA Other Pcrmic
_ i i1,n. Inspection Line: 503.639:4175 CITY OF TIGARD Date Rcatii/By y ru .: la See Page 2tor
Internet: www.tigard-or.gov ' Trice/Meth Supplemental Information
BUILDING DIVISION-- —
TYPE OF WORK REQUIRED DATA:1-AND 2-FAMILY DWELLING
New construction4' l' " a Permit fees"are based on the value of the work performed.
IN❑ 0 Other:Demoliti indicate the value(rounded to the nearest dollar)of all
Addition%alteration'replacement CI Other: 1' equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
0 I-and 2-family dwelling tillCommerciatrindustrial Valuation: $
AccessorybuildingNumber of bedrooms:
_ El Multi-family
❑Master builder 0 Other. Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: 16083 SW Upper Booties Ferry Rd New dwelling area: square feet
City State ZIP:Tigard,OR 97224 Garage/carport area: square feet
Suitebldg.;apt.no.:200 T Project name:Liberty Mutual Tigard Covered porch area: square feet
Cross strect'directions to job site:lit
Deck urea: square feet
Across from where SW 72 i Ave dead-ends into SW Upper Boones Ferry Rd Other structure area: square feet
REQUIRED DATA:.COMMERCIAI:-USE CIIECIQLISI II
..........................
Subdivision; Lot no.: Permit fees"are based on the value of the work performed.
Tax map/parcel no.: 25113AB00500 indicate the value(rounded to the nearest dollar)of all
equipment,materials,labor,overhead,and the profit for the
DESCRIPTION OF WORK work indicated on this application.
This Tenant Improvement project involves the conversion of a single tenant, Valuation: $100,000
suite into two separate tenant suites. Existing building area: 27571 square feet
—__ New building area: 27571 square feet
0 PROPERTY OWNER ® TENANT Number of stories: 3
Name:Liberty Mutual Insurance Company-Molly Vespa Type of construction: II-B
Address: 175 Berkley Street-Mailstop TOSB Occupancy groups:
City'State/ZTP:Boston,MA 02116 Existing: B,Office
Phone:(857)224-2777 Fax:( ) New: B.Office
ti APPLICANT 8N CONTACT PERSON ,. BUILDING PERMIT 1 EES' ` `a
— ---
Business name:Brereton Architects •'-. ltiieiefer�feaxtJlsrhrk�J-•," 2 a ,Its
Structural plan review fee(or deposit): $0.00
Contact name:Nada Blasutto -
FLS plan review fee(if applicable): 50.00
Address:909 Montgomery Street,Suite 260 -- --
""'-"�"'� Total fees due upon application: 718.87
City`State:ZIP:San Francisco,CA 94133 — _................_.___.—
Phone:(415)963-4637 Fax: :(415)546-3932 Amount received:
I.
E-mail. nhdimitriou(a hrrrefon.com PIIO,1OVOLTAIC SOLAR PANEL SYSTEM FEES"
Commercial and residential prescriptive installation of
CONTRACTOR roof-top mounted PhotoVoltaic Solar Panel System.
Business name:1 BD I�-f- V s Submit two(2)sets of roof plan with connection details
/? r— - and fire department access,along with the 2010 Oregon
Address: 7� L Solar Installation Specialty Code checklist.
City/State!Z.1P: G 1 �e 0 9 7rj Permit fee(includes plan review S 180.00 i
u 7
and administrative feest_
6sQ — �n
Phone:(5Q?) 2 / Fax:( )
State surcharge(12%ofpemtit fee): $21.60
CCB lie.: 777�7 Total fee due upon application: S201.60
Authorized signature: l R.+efi%r: .C- cE"w - This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
*
Print name:Nada Blasuttu Date:02.05.2020 Fee methodology set by Tn-County Building Industry
--- - Service Board.
C\Building`,Pemuta\BUP-COMPermitApp.doc 02/24r201I 440-4613T(11%02/COM/WEB)
Building Permit Application
Commercial FOR OFFICE USE ONLY
i� f Received t
City of Tigard EI V DateBy: ,' ///� �j1}T Permit No.:� 4 lU tl�'6'
14 13125 SW Hall Blvd.,Tigard,ORBEG Plan Review -�/�Z y
g' _ Phone: 503.718.2439 Fax: 503.598.1960 6 q (� Date/By: Other Permit:
Ti t;AR D Inspection Line: 503.639.4175 FEB 2.O2O Date Ready/By: Ions:
�• I ® See Page 2 for
Internet: www.tigard-or.gov Notified/Method: ��Z. Supplemental Information
-.,.y ;F:MCIA.RD
TYPE OF tt )NCa U1V11 - " REQUIRED DATA:I-AND 2-FAMILY DWELLING
❑New construction ❑ Demolition Permit fees*are based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
® Addition alteration/replacement ❑Other: equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
❑ 1-and 2-family dwelling Z Commercial industrial Valuation: $
Number of bedrooms:
ElAccessory building ElMulti-family
❑Master builder El Other:
Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: 16083 SW Upper Boones Ferry Rd New dwelling area: square feet
City/State/ZIP:Tigard,OR 97224 Garage/carport area: square feet
Suite/bldg./apt.no.:200 Project name:Liberty Mutual Tigard Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
Across from where SW 72nd Ave dead-ends into SW Upper Boones Ferry Rd Other structure area: square feet
REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision: Lot no.: Permit fees*are based on the value of the work performed.
Tax map/parcel no.: 25113.AB00500 Indicate the value(rounded to the nearest dollar)of all
equipment,materials,labor,overhead,and the profit for the
DESCRIPTION OF WORK work indicated on this application.
This Tenant Improvement project involves the conversion of a single tenant, Valuation: $100,000
suite into two separate tenant suites. Existing building area: 27571 square feet
^ �, "I , New building area: 27571 square feet
—!�6�_ �.,re.-. :,- CI S
0 PROPERTY OWNER ® TENANT Number of stories: 3
Name: Liberty Mutual Insurance Company-Molly Vespa Type of construction: II-B
Address: 175 Berkley Street-Mailstop TO8B Occupancy groups:
City'State ZIP:Boston,MA 02116 Existing: B,Office
Phone: (857)224-2777 Fax:( ) New: B,Office
® APPLICANT ® CONTACT PERSON BUILDING PERMIT FEES*
Business name:Brereton Architects (Please refer to fee schedule)
Structural plan review fee(or deposit): $0.00
Contact name:Nada Blasutto
FLS plan review fee(if applicable): $0.00
Address:909 Montgomery Street,Suite 260
City/State/ZIP:San Francisco,CA 94133 Total fees due upon application: 718.87
Amount received:
Phone:(415)963-4637 Fax: :(415)546-3932
E-mail nbdimitriouCbreretoacom PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
CONTRACTOR Commercial and residential prescriptive installation of
roof-top mounted PhotoVoltaic Solar Panel System.
Business name:TBD Submit two(2)sets of roof plan with connection details
- and fire department access,along with the 2010 Oregon
Address: Solar Installation Specialty.Code checklist.
Permit fee(includes plan review
City/State/ZIP: $180.00
and administrative fees):
Phone:( ) Fax:( ) State surcharge(I 2%of permit fee): $21.60
CCB lic.: Total fee due upon application: $201.60
Authorized signature: This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name:Nada Blasutto Date:02.05.2020 * Fee methodology set by Tri-County Building Industry
Service Board.
1:\Building\Permits\BUP-COM PermitApp.doc 02/24/201 I 440-4613T(11/02/COM/WEB)
•
1 I " Building Division
Accessibility: Barrier Removal Improvement Plan
TIGARD
REQUIREMENT: OREGON REVISED STATUTE (ORS) 447.241.
(1) Every project for renovation,alteration or modification to affected buildings and related
facilities shall be made to insure that the path of travel to the altered area and the restroom,
telephones and drinking fountains are readily accessible to individuals with disabilities unless
such alterations arc disproportionate to the overall alterations in terms of cost and scope.
(2) Alterations made to the path of travel to an altered area may be deemed disproportionate to
the overall alteration when the cost exceeds twenty-five per-cent(25%).
VALUATION: Total of all renovation,alteration or modification being done,
excluding painting and wallpapering: [1] $ 100000
MULTIPLIER(25%barrier removal requirement): a .25
TOTAL BUDGET FOR BARRIER REMOVAL: [2] $ 0
ELEMENTS: In choosingwhich accessible elements toprovide under this section,priorityshall be given
to those elements that will provide the greatest access. Elements shall be provided in the
following order:
(a) Parking $ 0
(b) An accessible entrance: $ 0
(c) An accessible route to the altered area: $ 0
(d) At least one accessible restroom for each sex or a single unisex
restroom: $ 0
(e) Accessible telephones: $ 0
(f) Accessible drinking fountains:and, $ 0
(g) When possible,additional accessible elements such as storage and
alarms: $ U
TOTAL(shall equal line [2] of Valuation Computation): $ 0
To the best of our knowledge and information provided to Brereton from the Landlord, the restrooms and
Path of Travel comply with code
I:A Building\Permits\BUP-COOL PermitApp.doc 03/03/2011
■ 4
City of Tigard
11111 COMMUNITY DEVELOPMENT DEPARTMENT
T I G A R D Building Permit Review — Commercial - No Land Use
Building Permit #: 80/0 1k-cuo 3 w 2 v0
Site Address: � SW O Ir L RA Suite/Bldg#: ..
��b 1
Project Name: Lb.* Ki61 Tipal
(Name of commercial business occupying the space. If vacant,enter Spec Space.)
Planning Review (
Proposal: 71 trta Grortrip, o+ 01%. 41/.0"1-- SpcL. ii\iv INA Li-se,acs.
Existing Business Activity: U�rrtI.
Proposed Business Activity: VCnru
0 erify site address/suite# exists and active in permit syst5m.
V River Terrace Nei hborhood: 0 Yes L"J No
Zoning: 7.
lalL ermitted Use: pia'Yes 0 No ❑ Spec Space
't_�,'Busoonfuln no land use required.
L4iness License:
Exists: ❑ Yes [ NO, applicant was provided a business license application i11 on 2r'W,n1
Notes: GO 1 cut, d wTL-L. Ah�: T1 S IUO SPk - 45 t t J As56w� o /-
v DPF,ESS NN(•Ot� . 1 ..; ct, -2.,,,_
Approved by Planning: .J���^ .d"� Date: 2'6' 4
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved 0 Not Approved
Revision 2: 0 Approved 0 Not Approved
Revision 3: 0 Approved ❑ Not Approved
Building Permit Submittal
Original Submittal Date:
Site Plans: #
Building Plans: #
Building Permit#: [ l_— to building permit#above. � �
Workflow Routing g m eut Coordinator 15'Building
Workflow Sign-off: ��ii '�°ff for Planning(include notes from planning review)
Route Application Documents: [ 'Building: original permit application,site plans,building plans,engineer and
beam calculations and trust details,if applicable, etc.
Notes: 5-C,Jlt d'3 G rc p t r (s r'.
By Permit Technician: „f � � Hate a�i�jz)
1:1Building\Forms\BldgPermitRvw_COM_NoLandUse_1 11819.docx
Permit Coordinator Review
❑ Conditions "Met"prior to issuance of building permit
❑ Approved, NOT Released: Date:
Notes:
Revisions (after Building Submittal only)
Revision Notice 1: Date Sent to Applicant:
Revision Notice 2: Date Sent to Applicant:
Revision Notice 3: Date Sent to Applicant:
e SDC Fees Entered: Wash Co Trans Dev Tax: ❑ Yes .LiJ�"N/A
Tigard Trans SDC: ❑ Yes Lam'N!/A
Parks SDC: ❑ Yes ❑"-N-/A
KOK to Issue Permit
)
Approved by Permit Coordinator: 71rt ll� ate: 2/ -2-AD
1:'Building\Forms\B ldgPermitRvw_COM_No Lan d Us e_1 11819.docx