Permit • I' CITY OF TIGARD BUILDING PERMIT
- COMMUNITY DEVELOPMENT Permit #: BUP2011 -00103
,TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 05/25/2011
Parcel: 2S113AB00500
Jurisdiction: TIGARD
Site address: 16083 SW UPPER BOONES FERRY RD 105
Project: Metro Multifamily Housing Association Subdivision: FANNO CREEK ACRE TRACTS Lot: PT 37, F
Project Description: TI
Contractor: Owner: G &S FC LLC
16083 SW UPPER BOONES FERRY RD,
STE
TIGARD, OR 97224
PHONE: PHONE:
FAX:
FEES
Specifics: Description Date Amount
Type of Use: COM DC Provision Review, COM TI - Ping 05/25/2011 $160.00
Class of Work: ALT DC Provision Review, COM TI - LRP 05/25/2011 $24.00
Dwelling Units: 0 Permit Fee - Additions, Alterations, 05/24/2011 $985.47
Stories: 3 Height: 0 ft Demolition
Bedrooms: 0 Bathrooms: 0 12% State Surcharge - Building 05/24/2011 $118.26
Value: $83,290 Plan Review 05/24/2011 $640.56
Plan Review - Fire Life Safety 05/24/2011 $394.19
Info Process /Archiving - Lg Sheet (over 05/24/2011 $12.00
Floor Areas: 11x17)
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
•
Garage: 0
Mezzanine: 0
Total $2,334.48
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 -0090. You may obta'. - .. of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
.
Issued By: A� mu - . - . •nature: ' / / I l /l i / [/ /A
Ca' 5 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 RECEIVED FOR OFFICE USE ONLY
City of Tigard Received �°2 5'
/j
- /IA Permit No. �u0 - ,r,0iQ3
13125 SW Hall Blvd., Tigard, OR 9722� eiv
AY 2 4 2011 Plan Review Phone: 503.718.2439 Fax: 503.598.1960 Date /B : Other Permute C20// — D0S 6/
T1GARD Inspection Line: 503.639.4175 CITY OF TIGARD Date Ready /: El See Page 2 for
Internet: www.tigard - or.gov BUILDING DIVISION Notified/Method: Supplemental Information
' TYP OF WO ` REQUIRED DATAf 1- 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
CA_TEGORY_�OF ;CONSTRUCTION: work indicated on this application.
Valuation:
❑ 1- and 2- family dwelling ® Commercial /industrial
❑ Accessory building ❑ 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 New dwelling area: square feet
City /State /ZIP: Tigard, Oregon 97224 Garage /carport area: square feet
Suite /bldg /apt. no.: 105 Project name: Metro Multifamily Housing Assoc. T.I. Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet •
Other structure area: square feet
' REQUIRED DATA: COMMERCIAL -USE CHECKLIST `.'
Subdivision: Prop ID: W248295 Lot no.: Permit fees* are based on the value of the work performed.
Indicate the value (rounded to the nearest dollar) of all
Tax map /parcel no.: equipment, materials, labor, overhead, and the profit for the
.' DESCRIPTION OE °°WORK - - work indicated on this application.
New tenant improvement in an existing office shell (never been occupied). No exterior Valuation: $83,290
work included. Existing building area: 49,963 square feet
New building area: No change square feet
® 'PRO - - ❑m TENANT' . " Number of stories: 3 •
Name: Parkland Development, LLC Type of construction: II -B
Address: 16083 Upper Boones Ferry Road, Suite 120 Occupancy groups:
City /State /ZIP: Tigard, Oregon 97224 Existing: B & S -1
Phone: (503) 639 -0108 Fax: (503) 639 -0709
New: B
la APPLICANT ❑ CONT PERSON"
, NOTICE.
Business name: LRS Architects All contractors and subcontractors are required to be
Contact name: Darcie McConnaha 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: dmcconnaha @lrsarchitects.com
GONTRACTORa
Business name: Bartel Contracting, Inc. 1 S_*
BUILDING PERMIT FEE
Address: PO Box 160 . ,.: (Please.refe fee *seleednle)
City /State /ZIP: Gladstone, Oregon 97027 Structural plan review fee (or deposit):
FLS plan review fee (if applicable):
Phone: (503) 650 -4084 Fax:( )
CCB lie.: 79970 Total fees due upon application:
Amount received:
Authorized signature: ✓� t
I t l , 0 , This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: D( Mama _ Date: 05.24.11 * Fee methodology set by Tri- County Building Industry
Service Board.
1: \Building \Permits \BUP -COM PermitApp.doc 09/09/10 440- 4613T(11/02/COM /WEB)
Building Division
• Over- The - Counter (OTC) Building Permit
TIGARD Check List
Project Description: Ti
APPLICATION SPECIFIC INFORMATION
GENERAL INFORMATION
*Class of Work: A T— Occupancy Group: Type of Construction:
*Type of Use: `P Occupancy Load: X----' Oregon Specialty Code:
SPECIFICS
Number of Stories: Building Height: Mixed Use:
Number of Dw Units: Number of Bathrooms: Number of Bedrooms:
BUILDING SQ FT - SCHOOL CET OTHER SQUARE FOOTAGES
Story Square Footage: Accessory Structure: Covered Porch:
Basement: Garage: Deck:
Total Square Footage: Carport: Mezzanine:
SETBACKS
Sideyard Setback — Left Sideyard Setback — Front
Sideyard Setback — Right Sideyard Setback — Back
CONSTRUCTION
Exterior Walls: Openings Protected: Firewall Separation:
N: S: N: S: Occupancy Separation: •
E: W: E: W: Access. Parking Spaces:
REQUIRED ITEMS
Fire Sprinklers: Lee Fire Alarms: ler-`rj Smoke Detectors:
Parapet: Manual Pull Stations: Protected Corridors:
Total Project Valuation: $ 63 , Z.9"0 FEES D 0 '�
$ I '}, Co DC Prov Rvw, COM TI — Ping
74 DC Prov Rvw, COM TI — LRP 'l$t 0'
r
DC Provision Review Fee for COM TI $ c65.4 Permit Fee — , r , emo �' 0P Df
Project Valuation Planning LRP $ 8,`z — 12% State Surcharge C. (- CO''
Up to $4,999 $0.00 $0.00 $ P ',j . Plan Review, Structural e � �6
$5,000 - $74,999 $64.00 $9.00 $ Agt , ' Plan Review, Fire Life Safety rlO
$75,000 - $149,999 $160.00 $24.00 $ VZ, C :) Info Proc /Arch, Lg (over 11x17 $2.00) '
$150,000 and over $256.00 $38.00 $ Info Proc /Arch, Sm (up to 11x17 $0.50)
$ Metro Construction Excise Tax /.'i
$ School Construction Excise Tax
$ Hourly Rate Fee
Planning Staff: $ Hourly Rate State Surcharge
$ Misc. Admin Fee
Permit Coordinator: $ Other:
$ Other:
Building Staff: $ Other:
Date /Time: $ 2:33 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; O'IR = other (use for fences, decks, retaining walls, signs, awnings or canopies);
REP = repair.
1: \ Building \ Forms \OTC- BUP.docx 01/13/2011
i
II
Building Division
Development Code Provision Review
TIGARD Commercial Projects - No Associated Land Use Case
Building Permit No: E Expedited Review
Plan Submittal Date: 0 Li/' /
To the Applicant: / /Os 4g5 ) /00,f 4 �" /
> If the proposed use is not permitted within the zone, please contact the Building Division to cancel
the permit application. Building Permit Technicians (503) 718 -2439.
> If a land use is required and for all other questions, please contact the staff person listed above the
Planning Review section.
Staff: please check items along left onl if approved.
Planning Review (contact l'�' at 503 - 718-, V V or @@ tigard- or.gov)
Zoning :...1— — i Permitted Use Yes Lam' No ❑
I"Land Use Required: Yes ❑ No IE (explain below)
Notes: 7 ( /j LG �.yrt' 01:A-- /1 l¢-9<
Approved ❑ Not Approved Date: ` / '1/ fl �' /
Permit Coordinator Review (contact Albert Shields at 503 - 718 -2426 or albert@tigard-or.gov)
Notes:
Routed back to Building Division Date:
I: \CURPLN