Permit CITY OF TIGARD BUILDING PERMIT
IS . COMMUNITY DEVELOPMENT Permit #:.BUP2012 -00154
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 08/16/2012
Parcel: 2S113AB00500
Jurisdiction: Tigard
Site address: 16083 SW UPPER BOONES FERRY RD 300
Project: Therapeutic Associates Subdivision: FANNO CREEK ACRE TRACTS Lot: PT 37
Project Description: TI
Contractor: BARTEL CONTRACTING INC 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: IIB Permit Fee - Additions, Alterations, 08/16/2012 $970.41
Demolition
Occupancy Grp: B Occupancy Load: 138 12% State Surcharge - Building 08/16/2012 $116.45
Dwelling Units: 0 Plan Review 08/02/2012 $630.77
Stories: 0 _ Height: 0 ft Plan Review - Fire Life Safety 08/02/2012 $388.16
Bedrooms: 0 Bathrooms: 0 DC Provision Review, COM TI - Ping 08/16/2012 $167.00
Value: $81,134 DC Provision Review, COM TI - LRP 08/16/2012 $25.00
Info Process /Archiving - Lg $2.00 (over 08/16/2012 $14.00
11x17)
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $2,311.79
Required: Required Items and Reports (Conditions)
Fire Sprinkler: Yes Parapet:
Fire Alarm: Yes Protected Corridors: No
Smoke Detectors: Manual Pull Stations:
Accessible Parking: 0
This permit i. subject to the regulations contained in the Tigard Municipal Code. State of OR. Specialty Codes and all other applicable law. All work will
be don- accordance ' h 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 aw requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952 401 -0010 through OAR 952 • -..!0. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Is- ed By: � Permittee Signature:
Call 503.639.4175 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 I skit 4 P7 FOR OFFICE USE ONLY
City of Tigard AUG 0 2 2012 DateB pZ 00 /59
y - P No 466 Za
q 13125 SW Hall Blvd., Tigard, OR 97223 Plan Revie
I Phone: 503.718.2439 Fax: 503.598.1960 T / F T U Date/By: Other Permit:
Inspection Line: 503.639.4175 � " ' " � t tiw.. , :r ® See Page 2 for
T I G A R D Internet: www.tigard- or.gov [3��� I �i�t ''�! tl y s1 ' Notifed/M y eh od: 77C� Supplemental Information
TYPE OF WORK REQUIRED DATA: 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
CATEGORY OF CONSTRUCTION work indicated on this application.
❑ 1 -and 2- family dwelling ® Commercial /industrial Valuation: $
❑ 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 Southwest Upper Boones Ferry Road New dwelling area: square feet
City /State /ZIP: Tigard, OR Garage /carport area: square feet
Suite/bldg. /apt. no.: 300 Project name: Therapeutic Associates 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: 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.
Tenant improvement fo approximately 9,064sq /ft on third floor Valuation: X81,134.00
Existing building area: 9,064 square feet
New building area: 9,064 square feet
® PROPERTY OWNER ❑ TENANT Number of stories: 3
Name: G &S FC, LLC c/o NAI NBS Type of construction: Tenant lmprovem
Address: 16083 Southwest Upper Boones Ferry Road, Suite 120 Occupancy groups:
City /State /ZIP: Tigard, OR Existing:
Phone: (503)684 -6000 Fax: (503)624 -0636 New:
® APPLICANT ❑ CONTACT PERSON BUILDING PERMIT FEES*
Business name: Bartel Contracting, Inc (Please rejerro fee schedute)
Structural plan review fee (or deposit): ap 3 a , 77
Contact name: Steve Sprawkins
Address: 135 East Hereford Street FLS plan review fee (if applicable): 3 6
er, /
Total fees due upon application:
City /State /ZIP: Gladstone, OR 97027 / O/ G,
Phone: (503) 819 -9323 Fax: : (503) 650 -4104 Amount received: / e
E -mail: sieve @bartelcontracting.com PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
Commercial and residential prescriptive installation of
CONTRACTOR roof -top mounted PhotoVoltaic Solar Panel System.
Business name: Bartel Contracting, Inc Submit two (2) sets of roof plan with connection details
and fire department access, along with the 2010 Oregon
Address: 135 East Hereford Street Solar Installation Specialty Code checklist.
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Permit fee (includes plan review City /State /ZIP: Gladstone, OR 97027 P /
and administrative fees):
Phone: (503) 819 -9323 Fax: (503) 6504104 State surcharge (12% of permit fee): 1
CCB Iic.yA"‹ 79 /i / ' 3 Total fee due upon application: 1
Authorized signature: This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print names tev kiac M ( D ate: 20120801 * Fee methodology set by Tri -County Building Industry
Service Board.
I: \Building \Permits \BUP -COM PermitApp.doc 02/24/2011 440- 4613T(11/02 /COM/WEB)
_ a 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 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): $
1:\ Building \ Permits \BUP -COM PcrmitApp.doc 03/03/2011
ill ° Building Division
Plan Submittal Requirements
T I G A R D Commercial & Multi- Family - New, Additions or Alterations
1. SITE PLAN (fully dimensional, drawn to scale) labeled with:
A. ❑ map & tax lot # ® project name ® site address ® suite number
❑ zoning ® applicant name ® phone number
B. North arrow.
C. Scale (architectural or engineering only).
D. Street names.
E. Setbacks.
F. Parking, including disabled access.
G. Finished floor elevations.
2. EROSION CONTROL PLANS AND DETAILS.
3. BUILDING PLANS: See the "Plan Submittal Requirement Matrix" for the number of
plans required based on submittal type (no redlines or tape -ons accepted).
All details listed below shall be incorporated into the plans:
A. Scale (architectural or engineering only).
B. Foundation plan.
C. Floor plan(s).
D. Cross sections.
• E. Reflective ceiling plan.
F. Seismic bracing detail for suspended ceiling.
G. Roof plan.
H. Exterior elevations.
I. Structural calculations, plans, details and specifications.
J. Accessibility barrier removal worksheet.
K. Deposit - based on valuation of project.
4. EXTRA SET OF THE FOLLOWING:
A. Two (2) copies of site plan to include vicinity map.
B. One (1) copy of erosion control plan with details.
C. Fire Department Building Survey, and full set of architecture drawings.
1: \Building \Pcrmits \BUP -COM Pcmvulpp.doc 03 /03/2011
III a Building Division
Plan Submittal Requirement Matrix
T I G A R D Commercial & Multi- Family - New, Additions or Alterations
Type of Submittal # of Plans
(Includes new, additions and alterations.) Required at
. Submittal
Demolition Permit 2
(site plan required showing location and square
footage of all buildings to be demolished)
Site Work 3
(must include location of all accessible parking)
Plumbing (site utilities) 2
Building 3
Fire Protection System 3
Mechanical . 2
Plumbing (building fixtures) 2
Electrical 2
Plan review is dependent upon submittal of a completed application and plans.
After plan review approval, the Plans Examiner will contact the applicant to request
additional sets of plans for distribution purposes (for contractor, City of Tigard, Washington
County, and Tualatin Valley Fire & Rescue), if applicable.
1:: \Building \Pcmmits \BUP -COM PcrmitApp.doc 03 /03/2011
1,
Building Division
: .
Development Code Provision Review
T I G A R D Commercial Projects - No Associated Land Use Case
Building Permit No: g4(/ /a2 - e)0/5 - V ❑ Expedited Review
Plan Submittal Date: /a/ /o2- tkL-
.
To the Applicant:
• 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 only if approved.
Planning Review (contact A T at 503 -718 - 1 ' or @tigard- or.gov)
❑ Zoning I p Permitted Use Yes )2 No ❑
❑ Land Use Required: Yes ❑ No 1( (explain below)
Notes:
e %P/%(C� el S��7r4L1 Xi y; 1--/ e .
2 1 Approved ❑ Not Approved Date: S - 2 - 2
Permit Coordinator Review (contact Albert Shields at 503- 718 -2426 or albert @tigard - or.gov)
Notes:
Routed back to Building Division Date:
•
I: \CURPLN