Permit Support Document (4) UPI
CITY OF TIGARD BUILDING PERMIT
• COMMUNITY DEVELOPMENT Permit A: BUP2023-00090
Date issued: 7/27/2023
T[G A R D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 parcel: 2S113A600300
Jurisdiction: Tigard
Site address: 16037 SW UPPER BOONES FERRY RD 300
Project: Professional Liability Fund Subdivision: FANNO CREEK ACRE TRACTS Lot: 38
Project Description: TI for existing tenant:Demolition and new partition walls.
Contractor: CEDAR MILL CONSTRUCTION COMPANY Owner: OREGON STATE BAR,THE
19465 SW 89TH AVE 16037 SW UPPER BOONES FERRY RD
TUALATIN,OR 97062 PO BOX 231935
TIGARD, OR 97224
PHONE: 503-885-9370 PHONE:
FAX: 503-885-9368
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: VB Permit Fee-Additions,Alterations, 07/27/2023 $4,947.15
Occupancy Grp: B Occupancy Load: 309 Demolition
12%State Surcharge-Building 07/27/2023 $593.66
Dwelling Units: 0 Plan Review 06/21/2023 $3,215.65
Stories: 0 Height: 0 ft Tenant Improvements in Existing 07/27/2023 $489.00
Bedrooms: 0 Bathrooms: 0 Development
Value: $780,000 Plan Review-Fire Life Safety 07/27/2023 $1,978.86
Info Process/Archiving-Lg$2.00(over 07/27/2023 $18.00
11x17)
Floor Areas: Metro CET 07/27/2023 $936.00
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $12,178.32
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. Or:•:- aw requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952-001-0010 through O:• 52-Or .090. You may obtain a copy of the rules or direct questions to OUNC by calling 5 32.1987 0 1.r 00.332.2344. �/
Issued By: - /. ' Permittee Signature: < OZPPI./f0 g101
Call 503.639.4175 by 7:00 a.m.for the next available Inspecti t )frd-'/1 c./ Iv)
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.
City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT
Accessibility: Barrier Removal Improvement Plan
Commercial & Multi-Family - Additions or Alterations
TIGARD 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov
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 are 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 percent(25%).
VALUATION: Total of all renovation,alteration or modification being done,
excluding painting and wallpapering: [1] $ 780,000.00
MULTIPLIER(25%barrier removal requirement): x .25
TOTAL BUDGET FOR BARRIER REMOVAL: [2] $ 195,000.00
ELEMENTS: In choosing which accessible elements to provide under this section,priority shall be given
to those elements that will provide the greatest access. Elements shall be provided in the
following order:
(a) Parking
$ Compliant
(b) An accessible entrance: $ Compliant
(c) An accessible route to the altered area: $ Compliant
(d) At least one accessible restroom for each sex or a single unisex
restroom: $ Compliant
(e) Accessible telephones: $ Compliant
(f) Accessible drinking fountains:and, $ Complaint
Where new elements
(g) When possible,additional accessible elements such as storage and are added,they shall
alarms:
$ be compliant
TOTAL (shall equal line [2] of Valuation Computation): $
1:\Building\Permits\BUP_COM_PemtitApp.doc Rev.03/05/2019
City of Tigard
!PI C COMMUNITY DEVELOPMENT DEPARTMENT
TIGARD Building Permit Review — Commercial - No Land Use
,4:
Building Permit #: i t.(/ n 3 _ Q6)6•7 6)
Site Address: t (, b 3 7 9 w u pp-er- lgioo n.t 5 l`t`y�u 1dg#: 3e:).C.'
Project Name: F ,Fes54)A91 i2.,gb;1;.f f Funk T'nier,nr h Z.
(Name of commercial business occupying the space. If vacant,enter Spec Space.)
Planning Review
Proposal: peyno k C6054`tuGkio/\ o- . vdJlous tAte`ior 5Potee5 incki.iiI. Nusi;}>,r\ wi115.
sit peat K1 'Arlitrab`a Kay plan " far 1opilh'01n5 uF wsAk. No cjign e o:p ose nr {eAan ,
c11,f i nACr:orr. s-'Ofi ,
Existing Business Activity: D, t`ee
Proposed Business Activity: 1
eVerify site address/suite# exists and active in permit system.
ver Terrace Neighborhood: ❑ Yes �No
L'7 Zoning: .T - r
sPermitted Use: 1-Yes ❑ No E Spec Space
Confirm no land use required.
Er Business License:
Exists: ❑ Yes /No, applicant was provided a business license application
Notes: Nr, cinanzie oS J Se. , (No ehicJio(' ,..dal . No VtAck. %nit relt);neol.
Approved by Planning: 6 .-4-` - --Date: 4 /A.t / a 5,
Revisions (after Building Submittal only) Reviewer Date
Revision 1: E Approved ❑ Not Approved
Revision 2: ❑ Approved ❑ Not Approved
Revision 3: ❑ Approved ❑ Not Approved
Building Permit Submittal
Original Submittal Date: /At 6-3
Site Plans: #
Building Plans: ##
Building Permit#: E-Enter building permit#above.
Workflow Routing: fi1 Planning -B-erinit Coordinator �g--Building
Workflow Sign-off: Sign-off for Planning(include notes from planning review)
Route Application Documents: e[D-Building: original permit application, site plans,building plans, engineer and
beam calculations and trust details,if applicable,etc.
Notes:
By Permit Technician: ate: c /
I:113uildinglForms161dgPetmitRvw_COM_NolandUse 09072022.doex
Engineering Review
❑ Slope at building pad:
❑ PFI Permit#:
❑ Conditions "Met"prior to issuance of permit
0 Easements (encroachments)per engineering conditions of appr. -al and plat (not typical on SDR/CUP)
❑ Water Quality/Quantity Facility:
•
Assess Water Quality Fee in-lieu: 0 Yes lro No
Assess Water Quantity Fee in-lieu: 0 Ye ❑ No
LIDA Facility on lot: ❑ 'es ❑ No Add Fee: 0 Yes 0 No
❑ NOT Approved by Engineerin_• Date
Notes:
Approved by Engin• - ng: Date:
Revisions (after :uilding Submittal only)
Reviewer Date
Revision . ❑ Approved ❑ Not Approved
Revis..n 2: 0 Approved 0 Not Approved
' ision 3: 0 Approved 0 Not Approved
Permit Coordinator Review
Ill onditions "Met"prior to issuance of permit
❑ Approved,NOT Released: Date:
❑ ENG Revisions Required: Date:
Notes:
SDC Exemption ❑ Applied for ❑ Received Does not apply
'ees Entered: Wash Co Trans Dev Tax: ❑ Yes N/A 0 Deferred
Tigard Trans SDC: 0 Yes N/A 0 Deferred
Parks SDC: ❑ Yes N/A ❑ Deferred
LIDA Fee: ❑ Yes N/A
Date: 1-,
�K to Issue/Approved by Permit Coordinator: lSl
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: 0 Approved 0 Not Approved
Revision 3: 0 Approved ❑ Not Approved
I:\Building\Forms\BldgPermitRvw_COM_NolandUse_08162022.docx