Permit (53) CITY OF TIGARD BUILDING PERMIT
" 2.. . COMMUNITY DEVELOPMENT Permit#: BUP2017-00286
Date Issued: 10/31/2017
'TIA.R_D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S113A600500
Jurisdiction: Tigard
Site address: 16083 SW UPPER BOONES FERRY RD 200
Project: Fanno Creek Place Subdivision: FANNO CREEK ACRE TRACTS Lot: PT 37
Project Description: Landlord work only to divide suite 200 into two suites. New suite 250.
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 DC Provision Review,COM TI-Ping 10/31/2017 $91.00
Class of Work: ALT Type of Const: IIB
Occupancy Grp: B Occupancy Load: Permit Fee-Additions,Alterations, 10/31/2017 $674.35
Demolition
Dwelling Units: 0 12%State Surcharge-Building 10/31/2017 $80.92
Stories: 3 Height: 45 ft Plan Review 10/31/2017 $438.33
Bedrooms: 0 Bathrooms: 0 Plan Review-Fire Life Safety 10/31/2017 $269.74
Value: $45,000 Info Process/Archiving-Lg$2.00(over 10/31/2017 $12.00
11x17)
Address Fee 10/31/2017 $50.00
Floor Areas:
Total Area: 49963
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $1,616.34
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- -- • me rules or direct questions to OUNC by calling 503.232.1987 or 1.800.33 2344.
Issued By: Permi - -'nature: sa..
all 13.639.4175 by 7:00 a.m.for the next avail pection date.
This permit card shall be kept in a conspicuous place on the job site until completion o he project.
Approved plans are required on the job site at the time of each inspection.
Building Permit Application
Commercial
City of Tigard 'EC VE ate/By:eceived It)�,j�J� ] / T5 Permit No.:/3/
f1 7—/srg�<✓r
w 13125 SW Hall Blvd.,Tigard,OR 97223L.�iX_ 111 l' G��a'�('
Plan Review Other Permit:
■` Phone: 503.718.2439 Fax: 503.598.1960lig Date By: )o-.3)--
Inspection Line: 503.639.4175 1 �, �� Date Ready/By: pJuris: 1 ® See Page 2 for
T 1 G A R D 1 Notified/Method: l b 1
(7 13.1,-- 7-x.„6, Supplemental Information
Internet: www.tigard-or.gov [
TYPI'~ OF WORIti REQUIRED DATA:1-AND 2-FAMILY DWELLING
�r❑ i!� 1)1V151O Permit fees*are based on the value of the work performed.
❑New construction n Indicate the value(rounded to the nearest dollar)of all
®Addition/alteration/replacement 0 Other: equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
Valuation: $
❑ 1-and 2-family dwelling ®Commercial/industrial
❑Accessory buildingMulti-family Number of bedrooms:
0
❑Master builder 0 Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address:16083 SW Upper Boones Ferry Road New dwelling area: square feet
City/State/ZIP:Tigard,OR 97224 � Garage/carport area: square feet
,r,wv0 (,9-P .� 'Ji't«
Suite/bldg./apt.no.: Project name:."d a Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
SW Upper Boones Ferry Rd&SW 72nd Ave. 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:Create a floor common corridor to anticipate multi-tenant Valuation: $45,000
secenario. Landlord improvement Existing building area: 49963 square feet
New building area: 0 square feet
® PROPERTY OWNER 0 TENANT Number of stories: 3
Name:Parkland Development,LLC(Su Moran) Type of construction: II-B
Address: 16083 SW Upper Boones Ferry Rd.,Suite 120 Occupancy groups:
City/State/ZIP:Portland,OR 97224 Existing: B
Phone:(503)639-0108 Fax:(503)639-0709 New: B
Z4 APPLICANT 0 CONTACT PERSON BUILDING PERMIT FEES*
(Please refer tafee schedule)
Business name:LRS Architects
Structural plan review fee(or deposit):
Contact name:Peter Kim
FLS plan review fee(if applicable):
Address:720 NW Davis St.,Suite 300
Total fees due upon application:
City/State/ZIP:Portland,OR 97209
Amount received:
Phone:(971)242-8176 Fax: :(503)221-2077
PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
E-mail:pkim@Irsarchitects.com
Commercial and residential prescriptive installation of
CONTRACTOR roof-top mounted Photo Voltaic Solar Panel System.
Business name:Built Environments NW(Roman Michalchuk) Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
Address:P.O.Box 160 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:( ) State surcharge(12%of permit fee): $21.60
CCB lic.:79970 Total fee due upon application: $201.60
Authorized signature C" • This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name:Peter M.Kim Date:10.31.2017 * Fee methodology set by Tri-County Building Industry
- Service Board.
1:\Building\Permits\BUP-COM PermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
r
im City of Tigard • BUILDING DIVISION
,11114
Over-The-Counter (OTC) Building & Fire Protection System Permit
r I(,A R r) Appointment Checklist
Permit Record#: kfic20 i 7-061247,
Contact Name: & it. k/� Phone #: 99/ —,2 Y.z— k'/A,
Business Name: S 4L/Le6///6. e._7-S Appt. Date/Time: //J///7 go /o•0'd ef,y
Site Address: /6Ot3 5 j 44Pyz ,1 3`igzey Bldg/Suite #: 0 f Z. S'O
Project Name: New Tenant? 0 Yes 0 No
Project Description: 14y61_o,2A l4JO2,e ONL+f lD IN/1//.6g" £u / TE" .200 /'1/7t'
.. Li,u/TES (i/€zt) 3 Ce/TE- ;64°-.0,2-5-49)
Existing Use: 61ii5 C e New Use: O/=^C c
MMD Required: 0 Yes X'No Related Record#:
APPLICATION SPECIFIC INFORMATION
GENERAL INFORMATION
Class of Work: A)7 Occupancy Group: ,Q Type of Construction: )j13
—
Type of Use: Occupancy Load: Oregon Specialty Code:
SPECIFICS
Number of Stories: .3 Building Height: 14. S' Mixed Use: NO
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 ��
e:oota F
Square Carport: Mezzanine:
1
q g
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: 1 f�.S 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: $ y 000 FEES DUE. ' '_
$ .q J -- DC Prov Rvw,COM TI—Ping oto
$ 6-74,3 S Permit Fee—Add,Alt,Demo a ft o r
DC Provision Review Fee for COM TI(effective 7/1/2017) $ g0.9 of 12%State Surcharge 1
Project Valuation $43 g.33 Plan Review,Structural
Up to$4,999 $0.00 $a 6q_ 71- Plan Review,Fire Life Safety
$5,000-$74,999 $91.00 $ la, -- Info Proc/Arch,Lg(over 11x17$2.00)
$75,000-$149,999 $226.00 $ Info Proc/Arch,Sm(up to 11x17$0.50)
$150,000 and over $361.00 $ Metro Construction Excise Tax
$ School Construction Excise Tax
$ Hourly Rate Fee
$ Hourly Rate State Surcharge
$ Misc.Admin Fee
$ .S0 e 0T7 Other:,fr?S4i2 Z J41/7E- ZS-a
Building Staff: $ Other:
Date/Time: $ j()6,,-ot TOTAL FEES DUE
I:\Building\Forms\OTC_BUP_FPS_070117.docx
Dianna Howse
From: Dianna Howse
Sent: Tuesday, October 17, 2017 4:57 PM
To: 'Peter Kim'
Cc: 'Darcie McConnaha';#Building Permit Technicians; Oscar Contreras
Subject: RE:Commercial T.I.
Hello Peter,
Your voice mail message indicated that this project has a valuation of$45,000 and that you would like to know the plan
review submittal fee. Here is a list of the plan review fee, including other fees that must be paid at the time of OTC
appointment. There is also a fee of$2.00 per page for plan pages over 11x17 in size, and $0.50 per page for pages up to
11x17 in size that will be added to these fees.
You must also have a valid licensed contractor identified at the time of OTC appointment as we will be prepared to issue
the permit during the appointment. If you do not have a contractor, and cannot pay the entire amount of the fees due,
then we cannot schedule an OTC appointment, however you can submit the application materials Monday-Thursday,
8:00 am to 4:00 pm. We are closed on Fridays. We will still need the suite number prior to submittal.
f / nt*V tier =
a
fa »3 s
Thank you.
Dianna L. Howse
Building Division Services Supervisor
City of Tigard I Community Development
13125 SW Hall Blvd I Tigard, OR 97223
503-718-2430 Direct 1503-718-2439 Permits
From: Dianna Howse
Sent: Tuesday, October 17, 2017 4:44 PM
To: 'Peter Kim'
Cc: Darcie McConnaha; #Building Permit Technicians; Oscar Contreras
Subject: RE: Commercial T.I.
Hello Peter,
Our next available OTC appointment is Tuesday, October 31ST at 10:00 am.
1
Dianna Howse
From: Peter Kim <pkim@Irsarchitects.com>
Sent: Wednesday, October 18, 2017 11:31 AM
To: Dianna Howse
Cc: Darcie McConnaha; #Building Permit Technicians; Oscar Contreras
Subject: RE: Commercial T.I.
Attachments: Fanno.pdf
Hello Dianna,
Please see attached address application.
The available suite 200 will be used by a new prospective tenant, Liberty Mutual, and the leftover vacant suite will be
assigned to suite 250. trrr% CE"
The usage will be 'B'to 'B' so no change of occupancy type.
We'll prepare possibly two separate checks, one for address application and another one for OTC permit process.
Please let us know if Tuesday 10 am is still available for us.
Thank you,
Sincerely,
Peter Kim I LRS Architects I Portland I Shanghai
971.242.8176 direct•720 NW Davis Street Suite 300• Portland,OR 97209•www.lrsarchitects.com vCard
From: Dianna Howse [mailto:Dianna@tigard-or.gov]
Sent: Tuesday, October 17, 2017 4:44 PM
To: Peter Kim
Cc: Darcie McConnaha; #Building Permit Technicians; Oscar Contreras
Subject: RE: Commercial T.I.
Hello Peter,
Our next available OTC appointment is Tuesday, October 31st at 10:00 am.
Before we can schedule the appointment, we need to know the current suite number that you are dividing into (2)
spaces, and you will need to obtain a new suite number for the newly created space. I have attached the address form
with instructions. Please let us know when the new suite number has been created and we can schedule an
appointment.
Please tell us the existing and new use for this space. Also, is the space currently vacant, and if so, do you know the
names of the new tenants that will occupy these suites or is it just Spec Space at this point?
Thank you and please let me know if you have any questions.
Dianna L. Howse
Building Division Services Supervisor
City of Tigard I Community Development
13125 SW Hall Blvd I Tigard, OR 97223
503-718-2430 Direct 1503-718-2439 Permits
From: Peter Kim [mailto:pkimc lrsarchitects.com]
Sent: Tuesday, October 17, 2017 3:35 PM
To: #Building Permit Technicians
Cc: Darcie McConnaha
Subject: Commercial T.I.
Hello,
I have a commercial TI project, landlord common area improvement, that I'd like to schedule an over-the-counter permit
review.
All works are interior.
Single-tenant floor is changing in to a two-tenant scenario and the landlord is generating a common hallway to prepare
for the future tenants.
Would you have any open slots this week for me to bring the set for review?
The address is 16083 SW Upper Boones Ferry Rd.
Please let me know.
Thank you,
Sincerely,
Peter Kim I LRS Architects I Portland I Shanghai
971.242.8176 direct•720 NW Davis Street Suite 300 • Portland,OR 97209 •www.Irsarchitects.com •vCard
DISCLAIMER: E-mails sent or received by City of Tigard employees are subject to public record laws. If requestede-mail
may be disclosed to another party unless exempt from disclosure under Oregon Public Records Law. E-mails are retained
by the City of Tigard in compliance with the Oregon Administrative Rules "City General Records Retention Schedule.'
!SIG:59e695b2192453909020316!
2
City of Tigard
II " COMMUNITY DEVELOPMENT DEPARTMENT
OS
T1cARD Building Permit Review — Commercial - No Land Use
0
Building Permit #: ebt&U 7 03,17r6, .. v� 12.6 t
Site Address: 16 Q'�3 S W U PPS r 'OOl e i 9'uite/Bldg#:
Project Name: 2 vt (( C--i too/ cc rIOril 0 r) A re Cl
(Name of commercial business occupying the space. If vacant,enter Spec Space.)
Planning Review
Proposal: 'Y. , Cre G1 .R a Cl 0U C tt en T0" Cc re-rcie f
Existing Business Activity: IP / &cm rn. j a—c<.k. D f ti cc
Proposed Business Activity: I P a i '
Verify site address/suite# exists and active in permit system.
River Terrace Neehborhood: CI Yes Al No
75 Zoning:
7 Permitted Use: Yes ❑ No )Spec Space
1 Confirm no land use required.
-EHIMMZIM5nse: N/A-
Exists: ❑ Yes ❑ No,applicant notified to obtain business license
Notes:
Approved by Planning: 0 Date: WI 3 1 1 11
Revisions (after Building Submittal only) Reviewer Date
Revision 1: El Approved ❑ Not Approved
Revision 2: ❑ Approved El Not Approved
Revision 3: ❑ Approved ❑ Not Approved
Building Permit Submittal
Original Submittal Date: /LI i 3i/f)
Site Plans: #
V___
Building Plans: # -�
Building Permit#: ❑ Enter building permit#above.
Workflow Routing: ming ❑ Permit Coordinator ding
Workflow Sign-off: Chiff for Planning(include notes from planning review)
Route Application Documents: cog: original permit application,site plans,building plans, engineer and
beam calculations and trust details,if applicable,etc.
Notes: Cr(
By Permit Technician: r_, Date: ifiVIV 7
I:\Building\Forms\BldgPermitRvw_COM_NoLandUse 060116.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:
Revision Notice 3: Date Sent to Applicant:
❑ SDC Fees Entered: Wash Co Trans Dev Tax: ❑ Yes ❑ N/A
Tigard Trans SDC: ❑ Yes ❑ N/A
Parks SDC: ❑ Yes ❑ N/A
❑ OK to Issue Permit
Approved by Permit Coordinator: Date:
I:\Building\Forms\BldgPennitRvw_COM NoLandUse_070915.docx
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
16083 SW UPPER BOONES FERRY RD 200,
TIGARD, OR, 97224
Record Type: Record ID:
Commercial - Building BUP2017-00286
Inspection Type: Inspector:
299 Final inspection Jeff Grove
Result:
PASS - NoCofO
Comments:
Violation Summary:
Inspector Contractor