Permit cr CITY OF TIGARD BUILDING PERMIT
;11 I COMMUNITY DEVELOPMENT Permit#: BUP2015-00265
T i G A R 1_) 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 11/10/2015
Parcel: 2S 112AD01100
Jurisdiction: Tigard
Site address: 6650 SW BONITA RD
Project: Sleep Train Subdivision: 2000-020 PARTITION PLAT Lot: 1
Project Description: TI-Remodel existing tenant space
Contractor: RETAIL CONSTRUCTION SERVICES INC Owner: PACA PROPERTIES LLC
11343 39TH ST N 6600 SW BONITA RD
LAKE ELMO, MN 55125 TIGARD, OR 97224
PHONE: 651-704-9000 PHONE:
FAX:
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: IIIB Permit Fee-Additions,Alterations, 10/07/2015 $1,619.35
Demolition
Occupancy Grp: M Occupancy Load: 291 12%State Surcharge-Building 10/07/2015 $194.32
Dwelling Units: 0 Plan Review 10/07/2015 $1,052.58
Stories: 0 Height: 0 ft Plan Review-Fire Life Safety 10/07/2015 $647.74
Bedrooms: 0 Bathrooms: 0 DC Provision Review,COM TI-Ping 10/07/2015 $351.00
Value: $185,000 Info Process/Archiving-Lg$2.00(over 10/07/2015 $66.00
11x17)
Info Process/Archiving-Sm$0.50(up to 10/07/2015 $3.00
Floor Areas: 11x17)
Metro Const. Excise Tax 10/07/2015 $222.00
Total Area: 9000
Accessory Struct: 0
Basement: 0
Carport 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $4,155.99
Required: Required Items and Reports(Conditions)
Fire Sprinkler: 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 a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
�� t
Issued By: Permittee Signature. >��
Call 503.639.4175 by 7:00 a.m.for the next available inspection da`
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.
I
.B ing Permit Application
Commercial FOR OFFICE USE ONLY
City of Tigard RECEIVED Received ��� �� I
" 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review ' 7 / ' , ��
Phone: 503.718.2439 Fax: 503.59AL S0r� 1 2015 Date/B : :w ''� Other Permit:
T I GARD Inspection Line: 503.639.4175 Date Ready/By: RI See Page 2 for
CITY OF I
Internet: www.tigard-or.gov 4-!C rr,.r Notified/Method: I �� Supplemental Information
---BUIL—E444G—Ect
TYPE OF WORK REQUIRED DATA:I-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 ®Commercial/industrial Valuation: $
❑Accessory building 11 Multi-family Number of bedrooms:
❑Master builder ❑Other: Number of bathrooms:
(,(o50 JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address:669(KW Bonita Road New dwelling area: square feet
City/State/ZIP:Tigard,OR 97224 Garage/carport area: square feet
Suite/bldg./apt.no.: Project name:Sleep Train Covered porch area: square feet
Cross street/directions to job site:HWY 5 Deck area: square feet
iOther structure area: square feet
REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision: Lot no.: Permit fees*are based on the value of the work performed.
W Tax map/parcel no.:2S112AD01100 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.
non-structural interior finish out in an existing single floor suite Valuation: 55185,000.00
Existing building area: 9000 square feet
New building area: square feet
VJ
4 ❑ PROPERTY OWNER ® TENANT Number of stories: I
Name:Sleep Train Type of construction: Ill-B
Address:5818 Gulf Freeway Occupancy groups:
() City/State/ZIP:Houston,TX 77023 Existing: M
2 Phone:(713)651-2017 Fax:( ) New: M
El APPLICANT ❑ CONTACT PERSON BUILDING PERMIT FEES*
Business name: (Please refer to fee schedule)
Structural plan review fee(or deposit): $774.20
Contact name:Rob Jacknewitz
Address:2324 Hampton Ave
FLS plan review fee(if applicable):
Total fees due upon application:
City/State/ZIP:Saint Louis,MO 63139
Phone:(314)647-5100 Fax: :(314)646-0262
Amount received:
E-mail: rjacknew @permitconsultants.com PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
Commercial and residential prescriptive installation of
CONTRACTOR roof-top mounted PhotoVoltaic Solar Panel System.
Business name—trot it Thii P12. ' 4 ( �!'1tS,j✓G 1L/�k �ar,A'ces Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
Address: ��j ?j -j N Solar Installation Specialty Code checklist.
City/State/ZIP: /� Permit fee(includes plan review
/ e� �'` �S��� and administrative fees): $180.00
Phone:(6/Z)308--3/(6 Fax:( ) log - 9 Ave State surcharge(12%of permit fee): $21.60
CCB lie.: 6 L/O . 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: y z o y 7 y 3 Ari-.,Ko e w i'-i-Z Date: C•-2_1-Z /S * 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)
+ +a
City of Tigard
. COMMUNITY DEVELOPMENT DEPARTMENT
T I G n Ii Building Permit Review — Commercial - No Land Use
Building Permit #: t i° /5=ca0 c3e0 S
, , Sd
Site Address: .=e SW Bor►'r et Rd, Suite/Bldg#:
Project Name: Steep-Train
(Name of commercial business occupying the space. If vacant,enter Spec Space.)
Planning Review
Proposal: interior-11 in ecis+in5 sinanle. \oor sul+e,
Existing Business Activity: reel I
Proposed Business Activity: Same"
ri Verify site address/suite# exists and active in permit syst m.
,River Terrace Neighborhood: ❑ Yes [! No
PN oning: 1 — p 1
ermitted Use: m Yes ❑ No ❑ Spec Space
LLJ Confirm no land use required.
Business License: /
Exists: El Yes L� No,applicant notified to obtain business license
Notes: Wean! Sleep Train score, in -form( Paul S
Approved by Planning: —TIM �.�1`CbOuC�'1 Date: SIB 1 `1 5
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: .3/81 /PC
Site Plans: # 3
Building Plans: # "5--
Building Permit#: I Enter building permit#above.
Workflow Routing: 0' Planning [- Permit Coordinator Building
Workflow Sign-off: a Sign-off for Planning(include notes from planning review)
Route Application Documents: if Building: original permit application,site plans,building plans,engineer and
beam calculations and trust details,if applicable,etc.
Notes:
E \ Ic
By Permit Technician � G¢-v Date:
I:\Buil ding\Forms\BldgPermitRvw_COM_NotandUse_070915.doc x
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 [eN/A
Tigard Trans SDC: ❑ Yes /NW. /A
Parks SDC: ❑ Yes PAN/A
nee K to Issue Permit / �Appr oved by Permit Coordinator: / Date: S
I:\Building\Frnnns\BldgPennitRvw_COM_NohndUsc_0709I 5.docx
Location:
Record Type:
Inspection Type:
Result:
Comments:
Inspection Date:
Record ID:
Inspector:
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
6650 SW BONITA RD, TIGARD, OR, 97224
Commercial - Building
299 Final inspection
PASS - C of O
BUP2015-00265
Chip Barnett
Violation Summary:
Inspector Contractor
FOR OFFICE USE ONLY—SITE ADDRESS:
This form is recognized by most building departments in the Tri-County area for transmitting information.
Please complete this form when submitting information for plan review responses and revisions.
This form and the information it provides helps the review process and response to your project.
111 City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT
Transmittal Letter
TIGARD 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov
TO: *Yl o A 2 Tio G GP rn- 4,d, / DATER f mED
DEPT: BUILDING DIVISION
SEP292015
FROM: 12019, SAc.koe A)rt. CITY OF TIGARD
BUILDING DIVISION
COMPANY:
PHONE: 3i ii• 6 q 7. 5(o� By: -7-
RE: sty You:i 4o Y?� Y3t+.(� -7.. 1c.- '°�2.6�
tte ress (Permit Number)
SLee.Q Tr241 iJ
(Project name or subdivision name and lot number)
ATTACHED ARE THE FOLLOWING ITEMS:
Copies: Description: Copies: Description:
Additional set(s) of plans. 3 Revisions: pie 14 + ,MO? t te.G
Cross section(s) and details. Wall bracing and/or lateral analysis.
Floor/roof framing. Basement and retaining walls.
Beam calculations. Engineer's calculations.
Other(explain):
REMARKS: rte.();c ev, y21.,o��)S T o Ze .— 0e- NUJ STr?-tC-TE.O,1. b c >v?4T,ve.
!/Z WQL.L 1 ,O ) ) 1C Lc 'L e4T L r5
FOR OFFICV USE ONLY
Routed to Permit Techn �an: Date: lo l? ( '3- Initials
Fees Due: ❑ Yes Fee Description: Amount ue:
$
$
$
Special
Instructions:
Reprint Permit (per PE): ❑ Yes I ❑ No ❑ Done
Applicant Notified: Date: Initials:
1:\Building\Forms\TransmittalLetter-Revisions.doc 05/25/2012