Permit (202) CITY OF TIGARD BUILDING PERMIT
'f- COMMUNITY DEVELOPMENT Permit#: BUP2018 00199
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 07/17/2018
T[ � R•L� Parcel: 2S113AB00500
Jurisdiction: Tigard
Site address: 16083 SW UPPER BOONES FERRY RD 320
Project: Bridgeport Family Medicine Subdivision: FANNO CREEK ACRE TRACTS Lot: PT 37
Project Description: Sign Permit: Installing(1)single faced illuminated sign.
Contractor: TUBE ART SIGNS&SPORTS DISPLAYS Owner: G&S FC LLC
4243-A SE INTERNATIONAL WAY 16083 SW UPPER BOONES FERRY RD,
MILWAUKIE, OR 97222 STE
TIGARD, OR 97224
PHONE: 503-653-1133 PHONE:
FAX: 503-659-9191
Specifics: FEES
Description Date Amount
Type of Use: COM Info Process/Archiving-Sm$0.50(up to 07/17/2018 $1.00
Class of Work: ALT Type of Const: VB 11x17)
Occupancy Grp: B Occupancy Load: Permit Fee-Additions,Alterations, 07/17/2018 $134.54
Dwelling Units: Demolition
Stories: Height: ft 12%State Surcharge-Building 07/17/2018 $16.14
Bedrooms: Bathrooms: Plan Review 07/17/2018 $87.45
Value: $3,500
Floor Areas:
Total Area:
Accessory Struct:
Basement:
Carport:
Covered Porch:
Deck:
Garage:
Mezzanine:
Total $239.13
Required: Required Items and Reports(Conditions)
Fire Sprinkler: Parapet:
Fire Alarm: Protected Corridors:
Smoke Detectors: Manual Pull Stations:
Accessible Parking:
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: �4 �' Permittee Signature: 4 OWA JUL....7
Call 3.639.4175 by 7:00 a.m.for the next avai ' spection date.
This permit card shall be kept in a conspicuous place on the job site until completion .he project.
Approved plans are required on the job site at the time of each inspection.
Building Permit Application
Commercial .� FOR OFFICE USE ONLY
City of Tigard Received � 1/ Permit No.: -° _ •"
■ 13125 SW Hall Blvd.,Tigard,OR 97223„ Date/By: £ s"ee/i� , •, b
Plan Review
r
III = Phone: 503.718.2439 Fax: 503.598.196 # s`:1 DateBy: �' -1 1 Other Permit:t52:37fia7 / ` ') d,-,✓4,
T 1 G A R D Inspection Line: 503.639.4175 Date Ready/By: Juris: RI See Page 2 for j
Internet: www.tigard-or.gov N Tied/Method. l ` �/I Supplemental Information
<,. : TYPE ,
OF`WORK REQUIRE i l ATA 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 CONSTRUCTION work 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:
,. fr
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.:#320 Project name:Bridgeport Family Medicin Covered porch area: square feet
Cross street/directions to job site:SW Durham Rd Deck area: square feet
Other structure area: square feet
REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision: 1 Lot no.: Permit fees*are based on the value of the work performed.
Tax map/parcel no.:R513153 Indicate the value(rounded to the nearest dollar)of all
equipment,materials,labor,overhead,and the profit for the
DESCRIPTION 04" WORK work indicated on this application.
Manufacture and install one(1)single faced illuminated sign Valuation: $$3,500.00
Existing building area: square feet
New building area: square feet
® PROPERTY OWNER M ❑ TENANT Number of stories:
Name:G&S FC,LLC C/O Colliers International Type of construction:
Address:851 SW Sixth Ave.Suite 1200 Occupancy groups:
City/State/ZIP:Portland,OR 97204 Existing:
Phone:( ) Fax:( )
New:
® APPLICANT 0 CONTACT PERSON ° ='BUILDING`PERMIT FEES* �`-
Business name:Tube Art Group (Please refer to feeschedule) ,`
Structural plan review fee(or deposit):
Contact name:Haley Arnell
FLS plan review fee(if applicable):
Address:4243-A SE International Way
Total fees due upon application:
City/State/ZIP:Milwaukie OR 97222
Amount received:
Phone:(503)653-1133 Fax::(503)659-9191
PHOTOVOLTAICSOLAR PANEL SYSTEM FEES*
E-mail:harnell@tubeart.com
Commercial and residential prescriptive installation of
CONTRACTOR roof-top mounted PhotoVoltaic Solar Panel System.
Business name:Tube Art Group Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
Address:4243-A SE International Way Solar Installation Specialty Code checklist.
City/State/ZIP:Milwaukie OR 97222 Permit fee(includes plan review $180.00
and administrative fees):
Phone:(503)653-1133 Fax:(503)659-9191 State surcharge(12%of permit fee): $21.60
CCB lic.:70956
Total fee due upon application: $201.60
Authorized signature: cpialThis permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name:Haley Arnell Date:6/19/18 * 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)
'PI
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
1,1 Building Division
Plan Submittal Requirements
T I 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 PermitApp.doc 03/03/2011
Building Division
Plan Submittal Requirement Matrix
T I G A R D Commercial& Multi-Family-New,Additions or Alterations
Type of Submittal # of Plans
(Includes new,additions and alterations). Required 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
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
16083 SW UPPER BOONES FERRY RD 320,
TIGARD, OR, 97224
Record Type: Record ID:
Commercial - Building BUP2018-00199
Inspection Type: Inspector:
299 Final inspection Jeff Grove
Result:
PASS - NoCofO
Comments:
Violation Summary:
Inspector Contractor