Permit (188) CITY OF TIGARD BUILDING PERMIT
COMMUNITY DEVELOPMENT Permit#: BUP2017-00293
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 11/21/2017
T t '1 Tt.T Parcel: 2S 113AB00500
Jurisdiction: Tigard
Site address: 16083 SW UPPER BOONES FERRY RD 200
Project: Liberty Mutual Subdivision: FANNO CREEK ACRE TRACTS Lot: PT 37
Project Description: TI for new tenant: New partitions,ceiling grid,and doors.
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 Permit Fee-Additions,Alterations, 11/20/2017 $2,615.95
Demolition
Occupancy Grp: B Occupancy Load: 99 12%State Surcharge-Building 11/20/2017 $313.91
Dwelling Units: 0 Plan Review 11/07/2017 $1,700.37
Stories: 3 Height: 0 ft DC Provision Review,COM TI-Ping 11/20/2017 $361.00
Bedrooms: 0 Bathrooms: 0 Plan Review-Fire Life Safety 11/20/2017 $1,046.38
Value: $350,000 Info Process/Archiving-Lg$2.00(over 11/20/2017 $26.00
11x17)
Metro Const.Excise Tax 11/20/2017 $420.00
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $6,483.61
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
952-001-0010 through 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.
Issued By: -ermittee Signature: A41"010111111KT
Cal 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 completi. of the proj-
Approved plans are required on the job site at the time of each inspe. ion.
Iii
, ..Building Permit Application
. -1,N8)40
Commercial
VFOR OFFICE, I SE ON LI
City of Tigard8 ( 114:1/4:VA)' 1 Received
- s \ • Date/By �/ Permit No.: e r7 .RL/3
't 13125 SW Hall Blvd.,Tigard,OR 97223 Ian Review , W ��
-11 Phone: 503.718.2439 Fax: 503.598.1960 04 CN,k at y. 11" � �'�' - Other Permit:
T 1 G A R D Inspection Line: 503.639.4175 f� eadyBy: 0 .- Juris: El See Page 2 for
Internet: www.ti ard-or. ov ,00‘).,'NJJ tified/Method: /
g g � 1 ,�`����� l� /� �� Supplemental Information
k It
TYPE OF WORK ' REQUIRED DATA:1-AND 2-FAMILY DWELLING
❑New construction 0 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 0 Other: equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTIONwork indicated on this application.
❑ 1-and 2-family dwelling ®Commercial/industrial Valuation: $
❑Accessory building 0 Multi-family Number of bedrooms:
❑Master builder 0 Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address:16083 SW Upper Boones Ferry Rd New dwelling area: square.feet
City/State/ZIP:Tigard,OR 97224 • Garage/carport area: square feet
Suite/bldg./apt.no.:200 Project name:Liberty Mutual Tigard Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
Across from where SW 72"d Ave dead-ends into SW Upper Boones Ferry Rd 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.
Tax map/parcel no.:2S113AB00500 Indicate the value(rounded to the nearest dollar)of all
equipment,materials,labor,overhead,and the profit for the
DESCRIPTION OF WORK work indicated on this application.
This Tenant Improvement project involves the conversion of a single tenant,full Valuation: $350,000.00
floor suite to a small suite and multi-tenant floor. Existing building area: 27571 square feet
Mc..ri , ti v T .�) t-e-s(.;N c I , ,'.i) 4 , f. New building area: 27571 square feet
0 ROPERTY OWNER J ►� TENANT Number of stories: 3
Name:Liberty Mutual Insurance Company-Debra Salton Type of construction: Il-B
Address:175 Berkley Street-Mailstop MO1F Occupancy groups:
City/State/ZIP:Boston,MA 02116 Existing: B,Office
Phone:(857)224-6117 Fax:( ) New: B,Office
►5 APPLICANT ® CONTACT PERSON BUILDING PERMIT FEES*
Business name:Brereton Architects (Please refer tofee schedule)
Structural plan review fee(or deposit): $0.00
Contact name:Kim Ramos
Address:909 Montgomery Street,Suite 260
FLS plan review fee(if applicable): $0.00
City/State/ZIP:San Francisco,CA 94133 Total fees due upon application: $1,700.
Phone:(415)963-4620 Fax: :(415)546-3932 Amount received:
E-mail:kramos@brereton.com PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
CONTRACTOR Commercial and residential prescriptive installation of
roof-top mounted Photo Voltaic Solar Panel System.
Business name:Built Environments Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
Address:135 East Hereford Street Solar Installation Specialty Code checklist.
City/State/ZIP:Gladstone,OR 96027 Permit fee(includes plan review $180.00
and administrative fees):
Phone:(503)650-4086 Fax:(503)650-4104 State surcharge(12%of permit fee): $21.60
CCB lic.:79970
Total fee due upon application: $201.60
Authorized signature: 4.1tve>" ' This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name:Kim Ramos Date:10/30/17 * Fee methodology set by Tri-County Building Industry
Service Board.
I:\Building\Permits\BUP-COM PermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
1
II
d Building Division
Accessibility: Barrier Removal Improvement Plan
TIGARD
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 PermitApp.doc 03/03/2011
I
Building Division
.
Plan Submittal Requirements
TI G A R D 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: See 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:\Building\Permits\BUP-COM PernutApp.doc 03/03/2011
Building Division
' I Plan Submittal Requirement Matrix
T I G A u D Commercial& Multi-Family-New,Additions or Alterations
Type of Submittal # of Plans
(Includes new,additions and alterations) Requited at
Submittal
Demolition Permit 2
(site plan required showing location and square
footage of all buildings to be demolished)
Site Work 3
(must include location of all accessible parking)
Plumbing (site utilities) 2
Building 3
Fire Protection System 3
Mechanical 2
Plumbing (building fixtures) 2
Electrical 2
Plan review is dependent upon submittal of a completed application and plans.
After plan review approval, the Plans Examiner will contact the applicant to request
additional sets of plans for distribution purposes (for contractor, City of Tigard,Washington
County, and Tualatin Valley Fire&Rescue),if applicable.
I:\Building\Permits\BUP-COM PermitApp.doc 03/03/2011
IIICity of Tigard
q COMMUNITY DEVELOPMENT DEPARTMENT
T1cAlzD Building Permit Review — Commercial - No Land Use
Building Permit #: 5ifj1 7 a---c c A 3
f
Site Address:
l6 o g 3 S e)/"�'G,,- ,bretv4($uite/Bldg#:
Project Name: L j 4e'
/0lo�va 1 -7--;`9GFKO(
(Name of commer ial business occupying the space. ff.vacant,enter Spec Space.)
Planning Review
Proposal: "Teilan .1 ✓1irra✓Lnn°,,\1.---
Existing Business Activity: S) -1-(9 FG Awn 6.-.8 .c•e
Proposed Business Activity: ;�j. /v,)L7 ii)1vQj Q g/'c
Er Vee ify site address/suite#exists and active in/permit system.
-a River Terrace Neighborhood: El Yes JNo
,..1:2--"Zoning: ....1—,. _7:::,
ermitted
P
ermitted Use: SCJ Yes ❑ No Cl Spec Space
(Cl Confirm no land use required.
Business License:
Exists: 3Yes ❑ No,applicant notified to obtain business license
Notes:
Approved by Planning: �— _ / Date: ( 1 (�//7
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: ///6 17
Site Plans: 1,
Building Plans: #
Building Permit#: Linte�r building permit#above.
Workflow Routing: [ Planning t Coordinatorde-13M-Xing
Workflow Si off:
Cl.
-off for Planning(include notes from planning review)
Route Application Documents: L�- gr; original permit application,site plans,building plans, engineer and
beam calculations and trust details,if applicable, etc.
Notes: A) 1/ 7 / ct
A- wisAA-AA
By Permit Technician: I- _.
Date: AM7
I:\Building\Forms\B1dgPermitRvw 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: CI Yes /A
Tigard Trans SDC: ❑ Yes N/A
Parks SDC: ❑ Yes N/A
''frOK to Issue Permit Approved by Permit Coordinator: Date: )IIS///4, ( 6-6-1A-- a/
g1 3 �`-) /a` C(12n'�
N .4 i 0 4 ry:
1/1/°/
I:\Building\Forms\B1dgPermitRvw_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 BUP2017-00293
Inspection Type: Inspector:
299 Final inspection Jeff Grove
Result:
PASS - CofO
Comments:
Violation Summary:
Inspector Contractor