Permit CITY OF TIGARD BUILDING PERMIT
COMMUNITY DEVELOPMENT Permit #: BUP2013 -00093
T t ; A R D 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 04/30/2013
Parcel: 2S113AB00300
Jurisdiction: Tigard
Site address: 16037 SW UPPER BOONES FERRY RD 100
Project: Simpson Property Group Subdivision: FANNO CREEK ACRE TRACTS Lot: 38
Project Description: Add conference room and coffee bar
Contractor: PACIFIC CREST STRUCTURES INC Owner: OREGON STATE BAR, THE
17750 SW UPPER BOONES FERRY RD SUITE 16037 SW UPPER BOONES FERRY RD
190 TIGARD, OR 97224
DURHAM, OR 97224
PHONE: 503 - 968 -8949 PHONE: 503 - 620 -0222
FAX: 503 - 598 -6658
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: IIB DC Provision Review, COM TI - Ping 04/30/2013 $67.00
Occupancy Grp: B Occupancy Load: 9 DC Provision Review, COM TI - LRP 04/30/2013 $10.00
Permit Fee - Additions, Alterations, 04 /30/2013 $301.85
Dwelling Units: 0 Demolition
Stories: 3 Height: 0 ft 12% State Surcharge - Building 04 /30/2013 $36.22
Bedrooms: 0 Bathrooms: 0 Plan Review 04/30/2013 $196.20
Value: $14,730 Plan Review - Fire Life Safety 04 /30/2013 $120.74
Info Process /Archiving - Lg $2.00 (over 04/30/2013 $4.00
11x17)
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $736.01
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 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 -00 0 • • OAR 952 -001 -0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issue By: � Permittee Signature: / //w
Call 503.839.4175 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.
'TIM'ding Permit Application
Commercial R E C EI'J FOR OFFICE USE ONLY
City of Tigard APR 3 0 2013 Dat y 4 / 30 /� Permit No.::W JDl5 arm ?)
13125 SW Hall Blvd., Tigard, OR 97223 Plan Review
Phone: 503.639.4171 Fax: 503.598.1 I e /B y : �� Other �°t:
°ITY OF TIGARD
Inspection Line: 503.639.4175 Date Ready/By: 0 See Page 2 for
"` "' " Internet: www.tigard- or.gov BUILDING DIVISION Notified/Method: SupptesseetalIaferssatio.
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 Comerciandustrial
Valuation: $
m U
❑ 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: New dwelling area: square feet
/lo O .3 7 s u/ ��cr/✓°aps 4/ .
City/State/ZIP: 771 it.-1 d O 1 7 ZZ 3 i O� Garage carport area: square feet
Suite/bldgJapt. no.: I Project name: s`m S�I'7 T 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: I 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
I
1 e DESCRIPTION OF WORK work indicated on this application.
/ / r T /1 a/1 Mm /?7{ri/!le/YI T ✓, -- d1 d d Valuation: s / , 1 30. 0 0
min ,,
in - vOl-,7 t4/ � ` �� �
s Existing building errs B square feet
GGG��� ' ! j ` 4 .,, e square feet
�� P New building area: J r
PROPERTY OWNER I ❑ TENANT Number of stories: fii,s• r 7
Name: M,Y �yL �l�Y Type of construction: `48 Spin �� �'r� d
Address:
/60,,0 3 7 j �/ UP�y fr--4,.7 Occupancy groups:
City/ State/ZIP: 7), pie q )2 2213 �� cal Existing:
Phone: (5.53 & e, Z ZZ Fax: ( ) New: 13 .
gf APPLICANT ❑ CONTACT PERSON NOTICE
Business name: Ti / Yvb-- All contractors and subcontractors are required to be
Contact name: /4 h a t ` `! fti. , licensed with the Oregon Construction Contractors Board
7 under ORS 701 and may be required to be licensed in the
Address: PD /lox. . le jurisdiction in which work is being performed. If the
p _ R _ I 9D' applicant is exempt from licensing, the following reasons
City / State/ZIP: �, v/� apply:
Phone: ( ) 7B / (,7 t / Fax: : ( )
E -mail: /Sm/i 0 7) de?.r / <j,"P//P . 4-.0/2.7
CONTRACTOR '--J —
Business name: i`e' W )4 (/1/S / S Gh 5 `
�,/ BUII.DING PERMIT FEES*
Address: / 7 7 .�7) OW �� s 8/.p/'les . ie lien e o roger schedule)
City/ State/ZIP: 4 p/ 4 � �� X , Z s Structural plan review fee (or deposit):
AAL FLS plan review fee (if applicable):
Phone: ( ) .119E r �-/ I Fax: ( ) 5f S IOIP 5 - —
CCB lic.: 49 * Total fees due upon application:
Amount received:
Authorized signature: - This permit application expires if a permit is not obtained
(/! within 180 days after it has been accepted as complete.
Print name: // h Soh /105.. I Date: L/, 3D. /3 I • Fee methodology set by Tri -County Building Industry
Service Board.
1: 1Building\Permits\BUP -cOM PermitApp.doc 2/23/07 440-4613T( I 1/02/COM/WEB)
: .
" Building Division
Over- The - Counter (OTC) Building Permit
T l G n R D Check List
Project Description:
APPLICATION SPECIFIC INFORMATION
GENERAL INFORMATION '
*Class of Work: )(,,r` Occupancy Group: Type of Construction: °L,g ' 4 ; *Type of Use: Ca44 Occupancy Load: Oregon Specialty Code: 2Ct
SPECIFICS
Number of Stories: q 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 L
Fire Sprinklers: , Tom Fire Alarms: i r Smoke Detectors:
Parapet: Manual Pull Stations: Protected Corridors:
Total Project Valuation: $ tic 730. CO FEES DUE
$ k,7, co DC Prov Rvw, COM TI — Ping
$ 10 .CC? DC Prov Rvw, COM TI — LRP
DC Provision Review Fee for COM TI .. 'O .8 Permit Fee — Add, Alt, Demo
Project Valuation Planning LRP $ 3G.2:Z 12% State Surcharge
Up to $4,999 $0.00 $0.00 $ 1 IC. Plan Review, Structural
$5,000 - $74,999 $67.00 $10.00 $ 12c 14 Plan Review, Fire Life Safety
$75,000 - $149,999 $167.00 $25.00 $ it, () 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: $ 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.
I: \Building \Forms \OTC - BUP.docx 07/01/2012
lig i
NI Building Division
Development Code Provision Review
Ti G A R tD Commercial Projects - No Associated Land Use Case
Building Permit No: ` r 3 ‘.),-Pe>tO 3 - F 3 2i:CE‘
xpedited Review
j
Proect Name: c i l--t P -0/.) neo ?,
Site Address: 1 (v n ' A) WYE --- &ones ,4''/4 Suite /Bldg #: /
Plans Routed: 4/3 Original Plan Submittal Date: Routed By:
1St Revision Submittal Date: Routed By:
2n Revision Submittal Date: Routed By:
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 q0 Flo at (503) 718-1. or _4)161 @tigard - or.gov)
Proposal: Ot L t� . s"' v e..
Zoning
Permitted Use Yes 17No ❑
Land Use Required: Yes ❑ No L"1
Notes:
Approved ❑Not Approved 0 DCPR Not Required - No DCPR Fees Due
a te Routed to Building:
I: \CURPLN\Masters\Development Code Provision RevieWDCPR_COM NoLandUse.doc Rev. 01/16/13
Location:
Record Type:
Inspection Type:
Comments:
Inspection Date:
Record ID:
Result:
City of Tigard
13125 SW Hal Blvd.
Tigard, OR 97223 Tel: 503.718.2439
16037 SW UPPER BOONES FERRY RD 100,
TIGARD, OR, 97224
Commercial - Building
275 Framing
05/28/2013 00:00
BUP2013-00093
PASS
Violation Summary:
Inspector Contractor