Permit ,, q CITY OF TIGARD BUILDING PERMIT
• '': a - COMMUNITY DEVELOPMENT Permit #: BUP2012 -00255
Date Issued: 12/13/2012
TIGAR-P 13125 SW Hall Blvd , Tigard OR 97223 503.718.2439 Parcel: 2S113AB00500
Jurisdiction: TIGARD
Site address: 16083 SW UPPER BOONES FERRY RD 110
Project: United Advertising Publications Subdivision: FANNO CREEK ACRE TRACTS Lot: PT 37
Project Description: TI 2263 sq ft
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 DC Provision Review, COM TI - Ping 12/13/2012 867 00
Occupancy Grp: B Occupancy Load: DC Provision Review, COM TI - LRP 12/13/2012 810 00
Dwelling Units: 0 Permit Fee - Additions, Alterations, 12/13/2012 $180.17
Demolition
Stories: 3 Height: 0 ft 12% State Surcharge - Building 12/13/2012 $21 62
Bedrooms: 0 Bathrooms: 0 Plan Review 12/13/2012 $117 11
Value: $7,000 Plan Review - Fire Life Safety 12/13/2012 $72 07
Info Process /Archiving - Lg $2 00 (over 12/13/2012 $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 $473 97
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 la 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 • more the 180
days ATTENTION Oregon law requires you to follow the rules adopted by the Oregon Utility Notifica Center T o•e rules are . orth 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 51.2 1987 or 1 :Or 332 2344
Issued By: �i I Permittee Signature: ,`
"S 111 JJJ"' 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 Applicati 11
CommercialE�j` Y �D FOR OFFICE USE ONLY
City of Tigard fEC 1 3 2012 Dat /B d 19 lei Permit No j ,..)01 a - 01) ;Le
° 13125 SW Hall Blvd , Tigard, OR 972 Plan Review��`I (
Phone 503 718.2439 Fax. 503 59 Date /B i they Permit
T I G A R D Inspection Line 503 639 4175 �� 1 , v' �� ' "'— Date Ready /: Jur s El See Page 2 for
Internet: www tigard -or gov BUILDING DIVISION Notified/Method i1 62 Supplemental Information
TYPE OF WORK REQUIRED DATA: 1- AND 2- FAMILY DWELLING
❑ New construction ❑ Demolition P- • it fees* are based on the value of the work performed.
Indi e the value (rounded to the nearest dollar) of all
® Addition/alteration/replacement ❑ Other: equipm• • , materials, labor, overhead, and the profit for the
CATEGORY OF CONSTRUCTION work iodic. don this application.
dwelling Valuation: $
❑ I- and 2-family g ®C ommercial /industrial
❑ Accessory building ❑ Multi- family Number of bedroo
❑ 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 97224 Garage /carport area: s• . re feet
Suite/bldg. /apt. no.: 110 Project name: United Advertising Covered porch area: square . • t
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.
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.
Tenant improvement on 2263 sqft per attached plans Valuation: $$7,000.00
Subcontractors (i.e. mechanical and electrical) will apply for their own permits Existing building area: 2263 square feet
This permit is for building only New building area: 2263 square feet
® PROPERTY OWNER ❑ TENANT Number of stories: I
Name: Parkland Development, LLC Type of construction: Alemoorivrilr r
Address: 16083 Southwest Upper Boones Ferry Road, Suite 120 Occupancy groups:
City /State /ZIP: Tigard, OR 97224 Existing: B
Phone: (503)639 -0108 Fax: (503)639 -0709 New: B
® APPLICANT ® CONTACT PERSON BUILDING PERMIT FEES*
Business name: Bartel Contracting, Inc (Please refer tn fee schedule)
Structural plan review fee (or deposit):
Contact name: Steve Sprawkins
FLS plan review fee (if applicable):
Address: 135 East Hereford Street
City /State/ZIP: Gladstone, OR 97027 Total fees due upon application:
Amount received:
Phone: (503) 650 -4084 Fax: : (503) 650 -4104
E -mail: steve@bartelcontracting.com PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
Com • cial and residential prescriptive installation of
CONTRACTOR roof -top m.. • ed Photo Voltaic Solar Panel System.
Business name: Same as applicant Submit two (2) s- . f roof plan with connection details
and fire department ac along with the 2010 Oregon
Address: Solar Installation Specialty ':.e checklist.
City /State /ZIP: Permit fee (includes plan r- •-w $180.00
and administrative fees.
Phone: ( ) Fax: ( )
State surcharge (12% of permit fee): $21.60
CCB lie.: 79970
Total fee due upon application: $ 01.60
Authorized signature: T hi s permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: Michael James Date: 12/5/12 * Fee methodology set by Tri -County Building Industry
Service Board.
I \Building \Permits \BUP -COM PermttApp doe 02/24/2011 440- 4613T(1 I/02 /COM/WEB)
11 _ Building Division
e ' Plan Submittal Requirements
TIGARD 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: Sec 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.
I \Buddin \Permits \BUY -COM PcrmitApp.doc 03/03/2011
Building Division
Over- The - Counter (OTC) Building Permit
TLGARD Check List
Project Description: MAP DoL>' - ooc 1 S
APPLICATION SPECIFIC INFORMATION
GENERAL INFORMATION
*Class of Work: Occupancy Group: ' Type of Construction: '
*Type of Use: Occupancy Load: Oregon Specialty Code: n
SPECIFICS
Number of Stones: 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: (&S Fire Alarms: Var.1 Smoke Detectors:
Parapet: Manual Pull Stations: Protected Corridors:
Total Project Valuation: $ (, FEES DUE
$ (. (O DC Prov Rvw, COM TI — Ping
$ t),Lr:0 DC Prov Rvw, COM TI — LRP
DC Provision Review Fee for COM TI $ 1 , (7 Permit Fee — Add, Alt, Demo
Project Valuation Planning LRP $ 21, 6,2.- 12% State Surcharge
Up to $4,999 $0.00 $0.00 $ 117 , 1 Plan Review, Structural
$5,000 - $74,999 $67.00 $10.00 $ .72 .07 Plan Review, Fire Life Safety
$75,000 - $149,999 $167.00 $25.00 $ - to ,Cr) Info Proc /Arch, Lg (over 11x17 $2.00)
$150,000 and over $268.00 $39.00 $ Info Proc /Arch, Sm (up to 11x17 $0.50)
$ Metro Construction Excise Tax
$ 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: $ 73,9'7 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; OTR = other (use for fences, decks, retaining walls, signs, awnings or canopies);
REP = repair.
L \ Building \ Forms \OTC - BUP.docx 07/01/2012
Building Division
.1111
Development Code Provision Review
TIGARD Commercial Projects - No Associated Land Use Case
Building Permit No: &Le 'bb a-S5 ❑ Expedited Review
Plan Submittal Date: I alt 31/
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 `Jo / at 503 - 718 - o1. or J n 44# @tigard- or.gov)
Proposal: Zvtivewit fittkont ( Witt. Vie,
Zoning `� P
Permitted Use Yes ' 2 No ❑
Land Use Required: Yes ❑ No 1
Notes:
t, Approved ❑ Not Approved Date: 62 - (3 ` lZ
REVISED 10/4/12
Building Permit Application
Commercial FOR OFFICE USE ONLY
City of Tigard Date /Bvd Permit No
- ° 13125 SW Hall Blvd.. Ti;ard, OR 97223 Plan Review
Phone 503 718 2439 Fax. 503 598 1960 Date/By Other Permit
TI GARD Inspection Line 503 639.4175 Date Ready /By Lunn RI See Page 2 for
Internet www tigard- or.gov Notified/Method Supplemental Information
TYPE OF WORK REQUIRED DATA: I- AND 2- FAMILY DWELLING
❑ New construction ❑ Demolition P • it fees* are based on the value of the work performed.
Indic e the value (rounded to the nearest dollar) of all
® Addition/alteration/replacement ❑ Other. equipmt . materials, labor, overhead. and the profit for the
CATEGORY OF CONSTRUCTION work iodic d on this application.
❑ I - and 2- family dwelling ® Commercial /industrial Valuation: S
❑ Accessory building ❑ Multi- family Number of bedroo
❑ 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 97224 Garage /carport area: sq. e feet
Suite/bldg. /apt. no.: 110 Project name. United advertising Covered porch area: square t
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.
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.
Tenant improvement on 2263 sqft per attached plans Valuation SS7,000.00
Subcontractors (i.e. mechanical and electrical) will apply for their own permits Existing building area: 2263 square feet
This permit is for building only New building area 2263 square feet
® PROPERTY OWNER ❑ TENANT Number of stories I
Name Parkland Development, LLC Type of construction: dice T (
Address: 16083 Southwest Upper Boones Ferry Road, Suite 120 Occupancy groups.
City /State /ZIP Tigard, OR 97224 Existing: B
Phone. (503)639 -0108 Fax: (503)639 -0709 New B
® APPLICANT ® CONTACT PERSON BUILDING PERMIT FEES*
(Please refer to fee schedule)
Business name: Bartel Contracting, Inc
Structural plan review fee (or deposit):
Contact name: Steve Spr3wkins
FLS plan review fee (if applicable)
Address. 135 East Hereford Street
City /State /ZIP. Gladstone, OR 97027 Total fees due upon application:
Amount received:
Phone: (503) 650 -4084 Fax. : (503) 650-4104
E -mail. stevei/bartelcontracting.com
PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
Com - cial and residential prescriptive installation of
CONTRACTOR roof -top me..ted Photo Voltaic Solar Panel System.
Business name: Same as applicant Submit two (2) s - of roof plan with connection details
and fire department act . along with the 2010 Oregon
Address' Solar Installation Specialty : 4 checklist.
Permit fee (includes plan r '-w
City/State/ZIP $ 180.00
and administrative fees).
Phone: ( ) Fax: ( ) State surcharge (12% of permit fee): $21.60
CCB lie.: 79970
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: Michael James Date: 12/5/12 * Fee methodology set by Tn- County Building Industry
Service Board
I \Building \Permits \BUP -COM PermitApp doc 02/24/2011 440- 4613T(I I /02 /COM /WEB)