Permit CITY OF TIGARD BUILDING PERMIT
COMMUNITY DEVELOPMENT Permit#: BUP2014-00118
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 05/22/2014
Parcel: 2S113AB00500
Jurisdiction: Tigard
Site address: 16083 SW UPPER BOONES FERRY RD 320
Project: Bridgeport Family Medicine Subdivision: FANNO CREEK ACRE TRACTS Lot: PT 37
Project Description: TI for new tenant.
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: DC Provision Review,COM TI-Ping 05/22/2014 $174.00
Occupancy Grp: B Occupancy Load: 34 DC Provision Review,COM TI-LRP 05/22/2014 $26.00
Dwelling Units: 0 Permit Fee-Additions,Alterations, 05/22/2014 $947.82
Demolition
Stories: 3 Height: 0 ft 12%State Surcharge-Building 05/22/2014 $113.74
Bedrooms: 0 Bathrooms: 0 Plan Review 05/22/2014 $616.08
Value: $78,665 Plan Review-Fire Life Safety 05/22/2014 $379.13
Info Process/Archiving-Lg$2.00(over 05/22/2014 $6.00
11x17)
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $2,262.77
Required: Required Items and Reports(Conditions)
Fire Sprinkler: Yes 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 callin. 503.232.1987 or 1.800.332.2344.
Issued By: Perm i 'ea Signature: ,L &C1``71=1Mg-ik
9.4175 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 (HZ(II 1 I( I I s1 ()NI 1
City of Tigard c°..,\I �' Permit No.: 4� _ 1'
• 13125 SW Hall Blvd.,Tigard,OR 9722 Plan Review
t Phone: 503.718.2439 Fax: 503.598.1 t pate/B : ��I , /P J a Permit. / if i 4%
cl
i J i
inspection Line: 503.639.4175 4 Date R — .
T I G A R D
`lQ� Y B See Page 2 for
Internet: www.tigard-or.gov MPS % Noufied/Method.: Supplemental Information
TYPE OF WORK \"Q_�,^�`�'�1O�� REQUIRED DATA:1-AND 2-FAMILY DWELLING
❑New construction ❑)WORK
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: $xxx
❑Accessory building El Multi-family Number of bedrooms: xxx
❑Master builder ❑Other: Number of bathrooms: xxx
JOB SITE INFORMATION AND LOCATION Total number of floors: xxx
Job site address:16083 SW Upper Boones Ferry RD New dwelling area: xxx square feet
City/State/ZIP:Tigard,OR 97224 Garage/carport area: xxx square feet
Suite/bldg./apt.no.:320 Project name:Bridgeport Family Med Covered porch area: xxx square feet
Cross street/directions to job site: Deck area: xxx square feet
Other structure area: xxx square feet
REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision: 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 OF WORK work indicated on this application.
Spec spaced completed last year,completing new TI layout to include metal stud Valuation: $ c(-QC -•
framing,drywall,insulation,rough carpentry,doors,ceiling tile,casework Existing building area: 3316 square feet
Building permit only. Trade related permits to be pulled separately. New building area: 3316 square feet
® PROPERTY OWNER ❑ TENANT Number of stories: 3'd
Name:Norris,Beggs,and Simpson Type of construction: Tenant Improve
Address: 121 SW Morrison,Suite 200 Occupancy groups:
City/State/ZIP:Portland,OR 97204 Existing:
Phone:(503)223-7181 Fax:(503)624-0636 New: B&S-1
® APPLICANT ❑ CONTACT PERSON BUILDING PERMIT FEES*
Business name:Contractor as below ( refer
fee schedule)
Structural plan review fee(or deposit):
Contact name:Mike James
FLS plan review fee(if applicable):
Address:
City/State/ZIP: Total fees due upon application:
Phone:(503)713-3479 Fax::( ) Amount received:
E-mail:mikej@bartelcontracting.com PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
Commercial and residential prescriptive installation of
CONTRACTOR roof-top mounted Photo Voltaic Solar Panel System.
Business name:Bartel Coontracting Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
Address:PO Box 160/135 E Hereford St Solar Installation Specialty Code checklist.
City/State/ZIP:Gladstone,OR 97027 Permit fee(includes plan review $180.00
and administrative fees):
Phone:(503)650-4084 Fax:(503)650-4104
State surcharge(12%of permit fee): $21.60
CCB lic.:79970
Total fee due upon application: $201.60
Authorized signature: `.C/L1, i — -- N-∎/W� This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name:', i i ►_ i ce(„i C Date: * Fee methodology set by Tn County Building Industry
_ _ Service Board.
I:\Building\Permits\BHP-COM PerrnitApp.doc 1 4121 1 440-4613T(11/02/COM/WEB)
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III City of Tigard
COMMUNITY DEVELOPMENT DEPARTMENT
TIGARD Building Permit Review — Commercial - \o Land Use
Building Permit #: I0t cv,?.0114- a) I1 g
Site Address: /(00&'3 SW Uppoe 6 Ov 3 Fl Suite/Bldg#:
Project Name: (3e/D6-EfOIr- mer
�
(Name of commercial business occupyidg the space. If vacant,enter Spec Space.)
Planning Review ,
Proposal: /.y 4/01'z 1-I
Verify site address/suite # exists and active in permit system.
❑ Zoning. J -P
❑ Permitted Use: ..a–Yes ❑ No ❑ Spec Space
❑ Land Use Required: ❑ Yes -No Type Required
Notes:
Approved by Planning: 64SP Date:
ZZ Yr
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: ❑ Approved ❑ Not Approved
Revision 3: ❑ Approved ❑ Not Approved
Building Permit Submittal
Original Submittal Date: 5l //1i
Site Plans: # N M.
Building Plans: # ';
Building Permit#: _ nterte�r building permit#above.
Workflow Routing. L�SYiannjng ❑ Engineering ❑ Permit Coordinator but g
Workflow Sign-off: _1n off 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: OZ
By Permit Technician: e.7, Date: 5/0/V/yi
1
1:\Building\Forms\BldgPermitRvw_COM_NoLandUse_042914.docx
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1114 ' Building Division
Over-The-Counter (OTC) Building Permit
TI`'ARI' Check List
Project Description:
APPLICATION SPECIFIC INFORMATION
GENERAL INFORMATION
Class of Work*: A-CT Occupancy Group: Type of Construction:
Type of Use**: (fit Occupancy Load: Oregon Specialty Code: _ d
SPECIFICS
Number of Stories: 3 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: !, Fire Alarms: Smoke Detectors:
Sprinkler Type: Alarm Type: Protected Corridors:
Standpipe Required: Pull Stations Required: Parapet:
Hazard Group: Battery Calcs Provided:
Density: Cut Sheets Provided:
Design Area:
K Factor:
Total Project Valuation: $ 74 5-t FEES DUE
$ (74,C DC Prov Rvw,COM TI—Ping
$ .7. a. DC Prov Rvw,COM TI—LRP
DC Provision Review Fee for COM TI(effective 7/1/2013) $ 'o. ob L.Permit Fee—Add,Alt,Demo
Project Valuation Planning , LRP $ ('�.•s 12%State Surcharge
Up to$4,999 $0.00 $0.00 $ 0" Plan Review,Structural
$5,000-$74,999 $70.00 $10.00 $ .. r Plan Review,Fire Life Safety
$75,000-$149,999 $174.00 $26.00 $ SNAP Info Proc/Arch,Lg(over 11x17$2.00)
$150,000 and over $278.00 $41.00 $ Info Proc/Arch,Sm(up to 11x17$0.50)
$ Metro Construction Excise Tax
$ School Construction Excise Tax
$ Hourly Rate Fee
$ Hourly Rate State Surcharge
$ Misc.Admin Fee
$ Other:
$ Other:
Building Staff: $ Other:
Date/Time: $ 2_,2142,,73'0TAL FEES DUE
*TYPE OF USE: COM=commercial;CMS=commercial manufactured structure.
**CLASS OF WORK ACS=accessory;ADD=addition;ADU=accessory dwelling unit;ALT=alteration;DEM=demo;NEW=new;
OTR=other(use for fences,decks,retaining walls,signs,awnings or canopies).
I:\Building\Forms\OTC-BUP.docx 07/01/2013
Location:
Record Type:
Inspection Type:
Result:
Comments:
Inspection Date:
Record ID:
Inspector:
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
16083 SW UPPER BOONES FERRY RD 320,
TIGARD, OR, 97224
Commercial - Building
299 Final inspection
PASS - C of O
BUP2014-00118
Chip Barnett
Violation Summary:
Inspector Contractor