Permit (106) „ CITY OF TIGARD BUILDING PERMIT
II' , COMMUNITY DEVELOPMENT Permit#: BUP201600088
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 03/23/2016
Parcel: 2S112AA00600
Jurisdiction: Tigard
Site address: 6777 SW BONITA RD 120
Project: Royal Vending Subdivision: None Lot: None
Project Description: TI-Addition of wall and door to create conference room,casework in office and warehouse.
Contractor: VANOSDEL CONSTRUCTION Owner: ICON OWNER POOL 1 WEST LLC
PO BOX 1057 BY RYAN
BATTLEGROUND,WA 98604 PO BOX 460169
HOUSTON,TX 77056
PHONE: 360-600-9916 PHONE:
FAX: 360-687-7677
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: IIIB DC Provision Review,COM TI-Ping 03/23/2016 $88.00
Occupancy Grp: B Occupancy Load: 16 Permit Fee-Additions,Alterations, 03/23/2016 $256.22
Demolition
Dwelling Units: 0 12%State Surcharge-Building 03/23/2016 $30.75
Stories: 1 Height: 0 ft Plan Review 03/23/2016 $166.54
Bedrooms: 0 Bathrooms: 0 Plan Review-Fire Life Safety 03/23/2016 $102.49
Value: $11,500 Info Process/Archiving-Lg$2.00(over 03/23/2016 $6.00
11x17)
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $650.00
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. • NTI•'. •regon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
9 -001-0010 through OA- 952-001-00•• 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: 01111
Permittee Signature: ,,, (� L AI I.
Call 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 completion of the project.
Approved plans are required on the job site at the time of each inspection.
Building Permit ApoTrip, q FOR OFFICE USE ONLY
City of Tigard Received , Permit No.: �%ipp
13125 SW Hall Blvd.,Tigard,OR 97223 Date/13 : a3 LO �lcEr O
g Plan Revte:�
Phone: 503.639.4171 Fax: 503.598.1960 2 ?n, /,�tl�p R�M���`�� Plan R ming�gin Other Permit:
Inspection Line: 503.639.4175 Date Rea Juris: ® See Attached Checklist for
Internet: www.ci.tigard.or.us Notified/Method: Supplemental Information
3 l.RtV(4a VV4 4 N REQUIRED DATA:1-AND 2-FAMILY DWELLING
0 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:
Job site address:6777 SW Bonita Rd. New dwelling area: square feet
City/State/ZIP:Tigard,Oregon 97223 Garage/carport area: square feet
Suite/bldg./apt.no.:120 Project name:Royal Vending TI Covered porch area: square feet
Cross street/directions to job site: oa Deck area: square feet
SW Bonita and SW 72 at Nelson Business Center
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
work indicated on this application.
DESCRIPTION OF WORK
Interior tenant modification. Addition of wall and door to create a conference room, Valuation: $$11,500.00
casework in office&warehouse and a utility sink in the warehouse. Existing building area: 1,500 square feet
New building area: 1,500 square feet
Number of stories: 1
® PROPERTY OWNER 0 TENANT
Type of construction: III-B
Name:GLP Properties
Occupancy groups:
Address:One SW Coumbia-Suite 950
City/State/ZIP:Portland,Oregon 97258 Existing: B/Sl
New: B/S1
Phone:(503)221.9900 Fax:( )
® APPLICANT ® CONTACT PERSON NOTICE
All contractors and subcontractors are required to be
Business name:Mildren Design Group,P.C. licensed with the Oregon Construction Contractors Board
Contact name:Betty Sheppeard under ORS 701 and may be required to be licensed in the
jurisdiction in which work is being performed.If the
Address:7650 SW Beveland St.-Suite 120 applicant is exempt from licensing,the following reasons
City/State/ZIP:Tigard,Oregon 97223 apply:
Phone:(503)244.0552 Fax: :( )
E-mail:betty@mdgpc.com
CONTRACTOR
Business name:VanOsdel Construction BUILDING PERMIT FEES*
Address:PO Box 1057 Please refer to fee schedule.
City/State/ZIP:Battle Ground,Washington 98604 Fees due upon application
Phone:(360)687.8636 Fax:( ) Amount received
CCB lic.:164073 Date received:
�j � _� • , This permit application expires if a permit is not obtained
Authorized signature: �y�'�`- TS- 1�►` within 180 days after it has been accepted as complete.
1L�^''"`_�� * Fee methodology set by Tri-County Building Industry
Print name:Betty K.Sheppeard Date:03.23.16 Service Board.
is\Building\Permits\BUP-PermitApp.doc 12/03 440-4613T(11/02/COM/WEB)
11111
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] $ 11,500
MULTIPLIER(25%barrier removal requirement): x .25
TOTAL BUDGET FOR BARRIER REMOVAL: [2] S 2,875
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 $ 1,200
(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: $ 350
TOTAL(shall equal line [2] of Valuation Computation): $ 1,550
I:\Building\Permits\BUP-COM PermitApp.doc 03/03/2011
City of Tigard
III ■
COMMUNITY DEVELOPMENT DEPARTMENT
T I G A R D Building Permit Review — Commercial - No Land U s e
ry,
Building Permit #: jPco«- ( )O
Site Address: 7 7 9-Sip ,669',/,ii Ed. Suite/Bldg#: /cRo
Project Name: V. ,I Q
(NamUf commercial business oceupyilig the space. If vacant,enter Spec Space.)
Planning Review _
Proposal: T/ 7//L) Yl€k> . ` T .�
r ��
Existing Business Activity: ‘&2a-r. �J A Ous=e'
Proposed Business Activity: l/
V.Verify site address/suite#exists and active in permit syst .
0.,,ver Terrace Neighborhood: ❑ Yes V No
F! mooning: 1-1—
ermitted Use: Yes ❑ No ❑ Spec Space
Confirm no land use required.
Business License:
Exists: License:
❑ No,applicant notified to obtain business license
Notes:
Approved by Planning: z / Date: -3/23//@
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: 0 Approved 0 Not Approved
Revision 3: 0 Approved 0 Not Approved
Building Permit Submittal
Original Submittal Date: a5'/P
Site Plans: #
Building Plans: #
Building Permit#: ErEnter building permit#above.
Workflow Routing l-Planning a L-
- building
Workflow Sign-off: [ -Sign-off for Planning(include notes from planning review)
Route Application Documents: ErBuilding: original permit application,site plans,building plans,engineer and
beam calculations and trust details,if applicable,etc.
Notes: 07---e----
By
--_e----
By Permit Technician: ' ‘Ili A, .4 J Date: 454,
I:\Building\Forms\BldgPermitRvw_COM_NoLandUse_070915.docx
Permit Coordinato Review
❑ Conditions "Met"prior to 'ssuance of building permit
❑ Approved, NOT Release.. Date:
Notes:
Revisions (after Building Submittal only)
Revision Notice 1: Date Sent to Apo cant:
Revision Notice 2: Date Sent to A►s he .t:
Revision Notice 3: Date Sent to pplicant:
❑ SDC Fees Entered: Wash Co 'rans Dev Tax: ❑ Yes ❑ N/A
Tigard rans SDC: \ Yes ❑ N/A
Parks DC: ❑ - ❑ N/A
❑ OK to Issue Permit
Approved by Permit Coor nator: Date:
I:A Building yForns\BldgPennitRvw_COM_NolandUse 0709I5.docx
City of Tigard • BUILDING DIVISION
111 I Over-The-Counter (OTC) Building & Fire Protection System Permit
r l G A R D Appointment Checklist
Permit Record#: —6 t-i-Y"o >[ b-oonSS
Contact Name: Phone #: 3-0.49 -os-c-2-
_Business Name: 1 V G i [ ,tAppointment Date: J(r E Q:c JCS
Site Address: (.1)77 7 Pte-rt v1/4.) Appointment
Bldg/Suite #: /ac.)
Project Name: V f
Project Description: 11-Es l v .o CI- CQ oo ,3
Existing Use: �j --D New Use: 7
MMD Required: ❑ Yes q No Related Record #:
GENERAL INFORMATION
Class of Work: k:r Occupancy Group: '� Type of Construction: r:
Type of Use: (" jy(A. Occupancy Load: ( . Oregon Specialty Code: -26 •
SPECIFICS
Number of Stories: ' 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
Fire Sprinklers: �(' 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: $ I (p '` I
$ 'v DC Prov Rvw,COM TI—Ping
$ `r., Air Permit Fee—Add,Alt,Demo
DC Provision Review Fee for COM TI(effective 7/1/2015) $ ,` 75' 12%State Surcharge
Project Valuation $ eta, ' Plan Review,Structural
Up to$4,999 $0.00 $ '' Plan Review,Fire Life Safety
$5,000-$74,999 $88.00 $ r , gr Info Proc/Arch,Lg(over 11x17$2.00)
$75,000-$149,999 $220.00 $ Info Proc/Arch,Sm(up to 11x17$0.50)
$150,000 and over $351.00 $ Metro Construction Excise Tax
$ School Construction Excise Tax
$ Hourly Rate Fee
$ Hourly Rate State Surcharge
$ �----- Mi . min Fee
$ _ --_Qtther:
Building Staff: Other:
Date/Time: $ '`90 TO •I FEES DUE
I:\Building\Forms\OTC_BUP_FPS_020916.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
6777 SW BONITA RD 120, TIGARD, OR, 97224
Commercial - Building
299 Final inspection
PASS - No C of O
BUP2016-00088
Chip Barnett
Violation Summary:
Inspector Contractor