Permit a CITY OF TIGARD BUILDING PERMIT
m COMMUNITY DEVELOPMENT Permit #: BUP2010 -00186
T I G AR D 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 130
Subdivision: Lot: 0
Project: State Farm
Project Description: TI - Suite 130 on first floor and all of second floor.
Owner: FEES
G &S FC LLC Description Date Amount
16850 SW UPPER BOONES FERRY RD SUITE Permit Fee - Additions, Alterations, 08/18/2010 $3,219.95
A Demolition
PHONE: 503 - 639 -0108 Plan Review 08/12/2010 $2,092.97
Plan Review - Fire Life Safety 08/12/2010 $1,287.98
CDC Building Review, COM 08/18/2010 $128.00
Contractor: CDC Planning Review, COM 08/18/2010 $128.00
BARTEL CONTRACTING INC CDC Planning Review, COM - LRP 08/18/2010 $38.00
PO BOX 160 12% State Surcharge - Building 08/18/2010 $386.39
GLADSTONE, OR 97027 Metro Const. Excise Tax - Commercial 08/18/2010 $540.00
PHONE: 503 - 650 -4084 Use
FAX: 503 - 650 -4104
Specifics:
Type of Use: COM
Class of Work: ALT
Dwelling Units: 0
Stories: 0 Height: 0 ft
Bedrooms: 0 Bathrooms: 0
Value: $450,000
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $7,821.29
Required: Required Items and Reports (Conditions)
Fire Sprinkler: Yes Parapet:
Fire Alarm: Yes Protected Corridors:
Smoke Detectors: No 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 r are set fort in OAR
952 - 001 -0010 through OAR 952- 001 -0100. You may obtain a copy o • ,- cif' direct questions to OUNC by calling it • • • • or 4800.332.2344.
Issued By: ._ `eimittee Signature: �� A ■
.c., . " .4175 by 7:00 a.m. for an inspection that busin:
This permit card shall be kept in a conspicuous place on the job site until co e pro
• Approved plans are required on the job site at the time of each inspection.
Building Permit Application
Commercial lei FOIZ OFFICE HSI: ()NIA'
City of Tigard / DateB ` P ermit N y 41 i p A t ,�� f �8 ,
/'
° 13125 SW Hall Blvd., Tigard, OR 97223 T A �` 0 Plan Review A C Phone: 503.639.4171 Fax: 503.598.196 DateB i , j ( " k v Other Permit:
T I G A R D Inspection Line: 503.639.4175 Date ReadyB See Page 2 for
Internet: www.tigard or.gov Notified/Method: Supplemental Information
TYPE OF WORK REQUIRED DATA: 1- AND 2- FAMILY DWELLING
\ ZNew construction 'r. = • ❑ 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.
1:1 1- and 2- family dwelling let Commercial/industrial 1...= Valuation: $
El 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: 14 €5.3 1514 tw gooksit F ( i gizA g New dwelling area: square feet
City/State /ZIP: TI G AAA, 5/ • `� , 2.z 7 3 Garage /carport area: square feet
, „ a
Suite/bldg. /apt. no.: l''. l,3broject n e:�- � e. W*4 -77193
�G • Covered porch area: square feet
Cross street/directions to job site: 7Z'.LD Ave_ 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.
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.
7 -/T l rfpilta..� p €- �r i� Valuation: $ • i fVO I 450
/ V E xisting building ,9 ��n/tly �w /Srf
� -bid. Tz' is /rx.�.v ilding area: square feet
-rte
OA/ ' /9 J/90)4701/ V '/N 4 . 0 e'er 21G( New tg area: Z5 .1 '7p. square feet
�Q PROPERTY OWNER ❑ TENANT Number of stories:
Name: ` _ 1 E O'•i2 r Type of construction: '7'd-pQ 13
Address: 1 Ip E j < s u p ( Le v ey o F Occupancy groups:
City/State /ZIP: F 7(R. r 4I T %�.� Su Existing:
Phone: ( 5,i) (O 2 ff -- 7/ bb Fax: (,p3 6007 - D7cy7 New: 8 a 5- 1
J
' 'st APPLICANT 'ONTACT PERSON NOTICE
Business name: L t J PQ t ' tG All contractors and subcontractors are required to be
Contact name: -- r - p„.1 - 4 N R y DI licensed with the Oregon Construction Contractors Board
`'. A under ORS 701 and may be required to be licensed in the
Address: ""79,..0 ) ] �� Tio a jurisdiction in which work is being performed. If the
City/State /ZIP: PD 0� )61.A4 applicant is exempt from licensing, the following reasons
apply:
Phone: ( b 2 1- 11 ) Fax: : ) 24 ° " 2 .. 07 7
E -mail: 2 I ( f S etch• C .
�/ CONTRACTOR ` {t
Business name: _ I � L t �-� , A- an t C,,, 1 1�., BUILDING PERMIT FEES*
Address: 0 Pa X, t L . (Please refer to fee schedule)
City/State/ZIP: /� Structural plan review fee (or deposit):
Ci
ty l.� I.A 'ai`O i.) t _ l C 2 coo _.'7
Phone: (N3) (Q 6?- ... Lk' (( Fax: ( 9)7 ( c0 ylc, y FLS plan review fee (if applicable):
Total fees due upon application:
CCB lic.: •7 Cqq 7 0 3/t it
Amount received:
Authorized signat This permit application expires if a permit is not obtained
within ISO days after it has been accepted as complete.
Print name: /2j 3.// 2-.• / 2-44 Date: 7/00/2 d/O * Fee methodology set by Tri-County Building Industry
` Service Board.
1: \Building \Permits \BUP -COM PermitApp.doc 10/01/09 440- 4613T(11 /02 /COM/WEB)
51
Building Division
Accessibility: Barrier Removal Improvement Plan
"TIGAR`D;
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 Pen"nitApp.doc 06/25/08