Permit (6) E,
CITY OF TIGARD BUILDING PERMIT
COMMUNITY DEVELOPMENT Permit#: BUP2020 00007
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 01/22/2020
TIGARD D Parcel: 2S 113AB00300
Jurisdiction: Tigard
Site address: 16037 SW UPPER BOONES FERRY RD 300
Project: Oregon State Bar Subdivision: FANNO CREEK ACRE TRACTS Lot: 38
Project Description: Infill two doors in existing restroom and move two doors to accommodate lavatory installation.
Contractor: CEDAR MILL CONSTRUCTION COMPANY Owner: OREGON STATE BAR, THE
19465 SW 89TH AVE 16037 SW UPPER BOONES FERRY RD
TUALATIN, OR 97062 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: VA Permit Fee-Additions,Alterations, 01/22/2020 $553.13
Demolition
Occupancy Grp: B Occupancy Load: 1 12%State Surcharge-Building 01/22/2020 $66.38
Dwelling Units: Plan Review 01/14/2020 $359.53
Stories: Height: ft Plan Review-Fire Life Safety 01/22/2020 $221.25
Bedrooms: Bathrooms: Info Process/Archiving-Lg$2.00(over 01/22/2020 $6.00
Value: $34,000 11x17)
Floor Areas:
Total Area:
Accessory Struct:
Basement:
Carport:
Covered Porch:
Deck:
Garage:
Mezzanine:
Total $1,206.29
Required: Required Items and Reports(Conditions)
Fire Sprinkler: Parapet:
Fire Alarm: Protected Corridors:
Smoke Detectors: Manual Pull Stations:
Accessible Parking:
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 calling .232.1987 or 1.800.332.2344.
Issued By: `er ' - '.nature: fa
,e�-
Oe •
C 03.639.4175 by 7:00 a.m.for the next available inspect' •-•":. -.
This permit card shall be kept in a conspicuous place on the job site until completion of the projec
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 JAN 14 2020 EL
— �
l/� f�I13125 SW Hall Blvd,Tigard,OR 97223 r
Phone: 503-718-2439 Fax: 503-598-19aITY OF TIGARD Date/B : . ^ gi 1�1� r 'r%;' / _y►
TIGARD Inspection Line: 503-639-4175 BUILDING DIVISION DateReadyBy: iPage2or
Internet: www.tigard-or.gov Notified/Method: p , , y JMill Supplemental Ifnformation
ii ,. + r I L"'"ir.l
TYPE OF WORK ' QUIRED DATA:1-AND 2-FAMILY DWELLING
❑ w construction ❑Demolition Permit fees*are based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
MI 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 j Commercial/industrial Valuation: $
111Accessory building ❑Multi-family Number of bedrooms:
❑Master builder ❑Other: Number of bathrooms:
JOB SITE INFORMATION
/AND LOCATIONC / Total number of floors:
Job site address: (603 7/ VV V �.ev- 'Ao,.P1 ferry ( c New dwelling area: square feet
City/State/ZIP: T Kv6� e
✓ 17 LZ Cf /^e / Garage/carport area: square feet
Suite/bldg./apt.#: Project name: Covered porch area: square feet
Cross street/directions to job site: p„y kt 4,� 5 v 1�`1.-- Qoo 3 Deck area: square feet
e-c Q.c/.. Other structure area: square feet
REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision: Lot#: Permit fees*are based on the value of the work performed.
Tax map/parcel#: Indicate the value(rounded to the nearest dollar)of all
equipment,materials,labor,overhead,and the profit for the
[[i' DESCRIPTION OF WORK work indicated on this application.
/1.&-t( r w O JO4Y� et>i-- X
p -3 iwp� rE(? mcn.. Valuation: $ 3 pOO
oi ow-, cr ?
-A,.9 S,t'1 SCS ° /eG",./e4;./t- Existing building area: square feet
tz� � icon ,./e4;./t-
1,4a✓ P s)f/ / .-1 New building area: square feet
0 PROPERTY OWNER [(TENANT Number of stories:
Name: O s 6 Type of construction:
Address: <6 0 ) 7 v"fre,i— 4-004-t, 6'0'47 ( Occupancy groups:
City/State/ZIP: 75,O,,,,/, Q-'- Existing:
Phone:( ) Fax:( ) New:
0 APPLICANT [►CONTACT PERSON BUILDING PERMIT FEES*
Business name: Cid, /11 - a r CQ 5���(`_ _ (Please refer to feepsit):schedule)
/n� i v.il Structural plan review fee(or deposit):
Contact name: G(� /3 ea 5.A-4
(9 k 6 S Ct...„.. 479 /4...t..- FLS plan review fee(if applicable):
Address:
City/State/ZIP: !v a.I/Q�i"^ D r gig-62—
Total fees due upon application:
E Amount received:
Phone:(50),) 401 9?...35----- Fax::( )
/ PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
E-mail: pay--e.:C,eO/4✓M:t(M.(9^4
Commercial and residential prescriptive installation of
CONTRACTOR roof-top mounted PhotoVoltaic Solar Panel System.
Business name: C. eia.,..- /1.0„,,_ `y C 046-44:citb.../1 Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
Address: 19 46 see.. t?9 t'Vt /1� Solar Installation Specialty Code checklist.
`, Permit fee(includes plan review
City/State/ZIP: Tv Lt,( i. 0/, 9? 06 Z and administrative fees): $180.00
Phone:(b,3) gg 9-5 7,0 Fax:( ) State surcharge(12%of permit fee): $21.60
CCB Lie.::`"' g i .34,5---
Total fee due upon application: $201.60
Authorized signature: This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: Date: '�- yQ * Fee methodology set by Tri-County Building Industry
r Service Board.
I:\Building\Permits\BUP_COM_PermitApp.doc Rev.04/21/2014 440-4613T(11/02/COM/WEB)
City of Tigard
COMMUNITY DEVELOPMENT DEPARTMENT
TIGARD Building Permit Review — Commercial - No Land Use
Building Permit #: cf)-- C,vvv
Site Address: ,O3-1 Svc V Pyo-r" Goo ne s (er Suite/Bldg#:
Project Name: C C,rt ,r 1V€A 1Yk i't - (`j(-C ,, 57 7_ A
(Name of commercial business occupying the space. If vacant,enter Spec Space.)
Planning Review
Proposal: TI Go Ge n ciLr. (V Q ) (s rO or-v-
jVtS .I. 2 oLoors cAn Sin l2-i
Existing Business Activity: IV'c9 CM tel
Proposed Business Activity:
y" Verify site address/suite# exists and active in permit system.
VS River Terrace Neighborhood: ❑ Yes No
yfZoning: P
�l Permitted Use: 7 Yes ❑ No ❑ Spec Space
Confirm no land use required.
ness-License: (WA-
Exists: ❑ Yes ❑ No,applicant was provided a business license application
Notes:
Approved by Planning: —` �� c Date: 1/ ( 4 l
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:
Site Plans: #/4N/1-
Building Plans: #
Building Permit#: nter building permit bove.
Workflow Routing: ming ermit Coordinator
Workflow Sign-off: -off for Planning(include notes from planning review)
Route Application Documents: [1-' dng: original permit application, site plans,building plans,engineer and
beam calculations and trust details,if applicable,etc.
Notes:
By Permit Technician: 622th ,�r'7 G -Pi 71 (4 e 7 1 Date: //4/2..6
I:\Building\Forms\BldgPermitRvw_COM_NoLandUse_111819.docx
Permit Coordinator Review
❑ Conditions "Met"prior to issuance of building permit
❑ Approved,NOT Released: Date:
Notes:
Revisions (after Building Submittal only)
Revision Notice 1: Date Sent to Applicant:
Revision Notice 2: Date Sent to Applicant:
Rev'sion Notice 3: Date Sent to Applicant:
SDC Fees Entered: Wash Co Trans Dev Tax: ❑ Yes 7/A
Tigard Trans SDC: ❑ Yes
Parks SDC: El Yes ?i-r-A-
N/A
OK to Issue Permit
Approved by Permit Coordinator: // e: /A z
I:\Building\Forms\B 1dgPermitRvw_COM_NoLandUse_l 11819.docx