Permit , CITY OF TIGARD BUILDING PERMIT
.: . a COMMUNITY DEVELOPMENT Permit #: BUP2010 00187
T I G.AA E5 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171
Date Issued: 08/18/2010
Parcel: 2S113AB00500
Jurisdiction: Tigard
Site address: 16083 SW UPPER BOONES FERRY RD 110
Subdivision: Lot: 0
Project: Spec Space
Project Description: TI
Owner: FEES
G &S FC LLC Description Date Amount
16850 SW UPPER BOONES FERRY RD STE A Permit Fee - Additions, Alterations, 08/18/2010 $767.10
PORTLAND, OR 97224 Demolition
PHONE: 503- 693 -0108 Plan Review 08/18/2010 $498.62
Plan Review - Fire Life Safety 08/18/2010 $306.84
12% State Surcharge - Building 08/18/2010 $92.05
Contractor:
BARTEL CONTRACTING INC
PO BOX 160
GLADSTONE, OR 97027
PHONE: 503- 650 -4084
FAX: 503- 650 -4104
Specifics:
Type of Use: COM
Class of Work: ALT
Dwelling Units: 0
Stories: 3 Height: 0 ft
Bedrooms: 0 Bathrooms: 0
Value: $54,157
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $1,664.61
Required: Required Items and Reports (Conditions)
Fire Sprinkler: Yes Parapet:
Fire Alarm: Yes 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 -0100. You may obtain a c• • • - the -ru es or direct questions to OUNC by calling 503.246 or 1.800.332. 344.
Issued By: Pe rmittee Signature:
/
'a £3.639.4175 by 7:00 a.m. for an inspection that business . . -
This permit card shall be kept in a conspicuous place on the job site until compproject.
Approved plans are required on the job site at the time of each inspection.
Building Permit Application
Commercial a FOR E IiSF: ()NI l'
City of Tigard I / Dateiv 7 4 td Permit No.: I eve �
A.
° 13125 SW Hall Blvd., Tigard, OR 97223 ..?/,‘ Q [ � f Plan Review ►� V
II II Phone: 503.639.4171 Fax: 503.598.1960 , DateB : t . -/ -j 4 l u Other Permit:
T I G A R D Inspection Line: 503.639.4175 Date ReadyB : 1}uri � ® See Page 2 for
Internet: www.tigard- or.gov TIGN Notified/Method: I t� Supplemental Information
CITE ® c IN115
1
TYPE OF Wt LD'..� DIN
REQUIRED DATA: 1- AND 2- FAMILY DWELLING
® New construction 1. 1 ❑ 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 ® Commercial /industrial 'r i Valuation: $
❑ Accessory building 12 Multi-family Number of bedrooms:
❑ Master builder ❑ Other:
Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: 16083 SW Upper Boones Ferry Road, Suite r!¢, New dwelling area: square feet
City/State /ZIP: Tigard, Oregon 97224 -7733 Garage /carport area: square feet
Suite/bldg. /apt. no.: 110 Project name: Spec Suite jar Covered porch area: square feet
Cross street/directions to job site: 72" Avenue Deck area: square feet
Other structure area: square feet
REQUIRED DATA: COMMERCIAL -USE CHECKLIST
Subdivision: Lot no.: Permit fees* are based on the value of the work performed.
Tax map /parcel no.: 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.
New speculative office tenant improvement within an existing office building. Valuation: $$54,157.00
Existing building area: square feet
New *L area: 2,647 square feet
® PROPERTY OWNER I ❑ TENANT Number of stories: 1
Name: Parkland Development Type of construction: I1 -13
Address: 16850 SW Upper Boones Ferry Road, Suite A Occupancy groups:
City/State /ZIP: Portland, Oregon 97224 Existing: n/a
Phone: (503)639 -0108 Fax: (503)639 -0709 New: B
2'1 APPLICANT ® CONTACT PERSON NOTICE
Business name: LRS Architects, Inc. All contractors and subcontractors are required to be
Contact name: Trish Nixon licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address: 720 NW Davis, Suite 300 jurisdiction in which work is being performed. If the
City/State /ZIP: Portland, Oregon 97209 applicant is exempt from licensing, the following reasons
apply:
Phone: (503) 221 -1121 Fax: : (503) 221-2077
E -mail: tnixon @Irsarchitects.com
CONTRACTOR
Business name: To-be selfrird" e 1/6- e BUILDING PERMIT FEES*
Address: PO 11 - 60 16/0 (Please refer to fee schedule)
City/State /ZIP: CC /, f ��t> � o 2 C 70? -1 Structural plan review fee (or deposit):
_ t t /y[ FLS plan review fee (if applicable):
Phone: ( �� (�� —Clogs Fax: 3 ) it Vi
CCB I1c.: [ ( g 7c1/4) Total fees due upon application: J�
Amount received: yf 6' 9?
Authorized signatty� �� This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: Trish Nixon Date: 08.09.10 * Fee methodology set by Tri- County Building Indust
Service Board. �t
1: \ Building \Permits \BUP -COM PetmitApp.doc 10/01/09 440- 4613T(11 /02 /COM/WEB) '7 Q
VtV t (A
° I
Building Division
Accessibility: Barrier Removal Improvement Plan
T
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 per -cent (25 %).
•
VALUATION: Total of all renovation, alteration or modification being done,
excluding painting and wallpapering [1] $
MULTIPLIER (25% barrier removal requirement): x .25
TOTAL BUDGET FOR BARRIER REMOVAL: [2] $
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 $
(b) An accessible entrance: $ •
(c) An accessible route to the altered area: $
(d) At least one accessible restroom for each sex or a single unisex
restroom: $
(e) Accessible telephones: $
(f) Accessible drinking fountains: and, $
(g) When possible, additional accessible elements such as storage and
alarms: $
TOTAL (shall equal line [2] of Valuation Computation): $
•
I: \Building \Permits \BUP -COM PermitApp.doc 06/25/08
I N Building Division
Over- The - Counter (OTC) Building Permit
Ticnii° Check List.
Description of Project:
GENERAL INFORMATION .
Class of Work :* �� Floor Areas (sq. ft.): Exterior Wall Construction:
Type 'of Use:* CON First floor: N: S:
Type of Construction: '2E7 Second floor: E: W:
Occupancy Group: Third floor: Openings Protected Y /N ?:
Occupancy Load: Total sq ft.: N: S:
,�
Stories: bJ Note: Combine total floor area for E: E:
Height: J all floors above third floor and Roof Construction:
Floor Load: add to the third floor s . ft. Fire Retardant: •
Basement: Basement: Area Separation Rated:
Mezzanine: Garage: Occu. Separation Rated:
. REQUIRED ITEMS
Fire sprinkler: yes Handicap access: ,
Smoke detector: Protected corridors: _
Fire alarm: YES Parking spaces ( #):
Notes:
Total Valuation: $ 157
INSPECTIONS FEES DUE .
Footing /foundation Firewall $ 7 ��. Q Permit Fee
Post /beam structural • Smoke detector $ � J5 State Surcharge
Shear wall Misc. inspection • $ , 6 Plan Review Fee
Masonry Approach /sidewalk $ 306 FLS Plan Review Fee
Framing $ Additional Permit Fee
Insulation Sprinkler rough -in $ Additional Plan Review Fee
Gyp board Fire alarm $ Metro Construction Excise'Tax
Suspended ceiling Sprinkler final $ School Construction Excise Tax
Final inspection $ Misc. Fee
$ Hourly Rate Fee
$ Hourly Rate State Surcharge
$ Other:
$ •' b 4 , Total Fees Due
*OPTIONS:
TYPE OF USE: COM = commercial; CMS = commercial manufactured structure.
CLASS OF WORK: ACS = accessory; ADD = addition; ALT = alteration; FND = 'foundation; DEM = demo;
FND = foundation; FPS = fire protection system; NEW = new OTR = other (use for fences, decks, retaining walls, signs, awnings
or canopies); REP = repair.
I: \Building \Forms \OTC - BUP.doc 08/19/08 •