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Permit (46) CITY OF TIGARD BUILDING PERMIT 1 COMMUNITY DEVELOPMENT j�M Permitd: BU30/20100256 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 10/30/2014 Parcel: 2S112AA00600 Jurisdiction: Tigard Site address: 6713 SW BONITA RD 210 Project: IDI Distributors Subdivision: MILLMONT PARK Lot: 49 Project Description: Interior remodel. New full height wallm new doors,new relite. No structural. 11/6/14,Change contractor to FSG Northwest Inc. Contractor: FSG NORTHWEST INC Owner: WALTON CWOR NELSON 13 LLC PO BOX 4552 BY EQUITY OFFICE MANAGEMENT LLC PORTLAND, OR 97208 PO BOX A-3879 CHICAGO, IL 60690 PHONE: 503-680-2865 PHONE: FAX: Specifics: FEES Description Date Amount Type of Use: COM Class of Work: ALT Type of Const: IIIB DC Provision Review,COM TI-Ping 10/30/2014 $75.00 Occupancy Grp: B Occupancy Load: 47 DC Provision Review,COM TI-LRP 10/30/2014 $11.00 Permit Fee-Additions,Alterations, 10/30/2014 $767.10 Dwelling Units: 0 Demolition Stories: 2 Height: 0 ft 12%State Surcharge-Building 10/30/2014 $92.05 Bedrooms: 0 Bathrooms: 0 Plan Review 10/30/2014 $498.62 Value: $55,000 Plan Review-Fire Life Safety 10/30/2014 $306.84 Info Process/Archiving-Lg$2.00(over 10/30/2014 $10.00 11x17) Floor Areas: Misc Administration Fee 11/17/2014 $45.00 Total Area: 0 Accessory Struct: 0 Basement: 0 Carport: 0 Covered Porch: 0 Deck: 0 Garage: 0 Mezzanine: 0 Total $1,805.61 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 952-001-0s • •_• OAR 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by callinr • .232.1987 or 1.800.332.2344. Issued By: /, Permittee Signatu Ink Call 503.639.4175 by 7:00 a.m.for the next available inspecti• 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. 5032440417 Mlldren 08:00:08 a.m. 11-06-2014 1 /1 City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT RECEIVED IRequest Permit Action q NOV 6 2014 T t G A It 1) 13125 SW Hall Blvd. •Tigard, Oregon 97223 • 503.718.2439 •www.tigard-or.gov "11 ut tiGA u inb TO: CITY OF TIGARD BUILDING D1VI,SI01\ Building Division Services Supervisor 13125 SW Hall Blvd.,Tigard,OR 97223 Phone: 503.718.2430 Fax: 503.598.1960 www.tigard-or.gov FROM: ❑ Owner ® Applicant ❑ Contractor El City Staff (check one) REFUND OR Name: Mildren Design Group,P.C. INVOICE TO: (Business or Individual) Mailing Address: 7650 SW Beveland-Suite 120 City/State/Zip: Tigard,Oregon 97223 '' ao m Phone No.: 503.244.0552 c( r PLEASE TAKE ACTION FOR THE ITEM(S) CHECKED (1): J ❑ CANCEL/VOID PERMIT APPLICATION. I • ❑ REFUND PERMIT FEES (attach copy of original receipt and provide explanation below). !v llf� I=1 INVOICE FOR FEES DUE(attach case fee schedule and provide explanation below). 1 ® REMOVE/REPLACE CONTRAC ORON PERMIT(do not cancel permit). Permit#: BUP2014-00256 1 Site Address or Parcel#: 6713 SW Bonita Rd-Suite 210 Z p, Project Name: IDI Distribution TI S N W Subdivision Name: Nelson Business Center Lot#: 2 q r( EXPLANATION: A different contractor was hired for the job.Contractor will be FSG �+ O Northwest. CCB#195217 P o ct Signature: .!/ +t-i L /4119414-'A Date: 11/5/2014 ‘r) Betty K. Sheppeard Print Name: Refund Policy 1. The Community Development Director or Building Official may authorize the refund of a) any fce which was erroneously paid or collected. b) not more than 80%of the land use application fee when an application is withdrawn or canceled before any review effort has been expended. c) not more than 80%of the land use application fee for issued permits. d) not more than 80%of the building plan review fee when an application is canceled before any plan review effort has been expended. e) not more than 80".'.of the building permit fee for issued permits prior to any inspection requests. 2. All refunds will be returned to the original payer in the form of a check. Please allow 3-4 weeks for processing refund requests. Rte to Sys Admin: Date // 4. / By Rte to Bldg Admin: Date By Refund Processed: Date Invoice Processed: Date By Permit Canceled: Date By Parcel Tag Added: Date By Receipt# Date Method Amount$ I:\Building\Forms\RegPcrutAction_062614.duc 1,1 p CITY OF TIGARD BUILDING PERMIT • COMMUNITY DEVELOPMENT a Permit#: BUP2014-00256 Date Issued: 10/30/2014 TfGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 / Parcel: 2S112AA00600 �� Jurisdiction: Tigard Site address: 6713 SW BONITA RD 210 Project: IDI Distributors Subdivision: MILLMONT PARK Lot: 49 Project Description: Interior remodel. New full height wallm new doors, new relite. No structural. 11/6/14,Change contractor to FSG Northwest Inc. Contractor: FSG NORTHWEST INC Owner: WALTON CWOR NELSON 13 LLC PO BOX 4552 BY EQUITY OFFICE MANAGEMENT LLC PORTLAND, OR 97208 PO BOX A-3879 CHICAGO, IL 60690 PHONE: 503-680-2865 PHONE: FAX: Specifics: FEES Description Date Amount Type of Use: COM Class of Work: ALT Type of Const: IIIB DC Provision Review,COM TI-Ping 10/30/2014 $75.00 Occupancy Grp: B Occupancy Load: 47 DC Provision Review,COM TI-LRP 10/30/2014 $11.00 Permit Fee-Additions,Alterations, 10/30/2014 $767.10 Dwelling Units: 0 Demolition Stories: 2 Height: 0 ft 12%State Surcharge-Building 10/30/2014 $92.05 Bedrooms: 0 Bathrooms: 0 Plan Review 10/30/2014 $498.62 Value: $55,000 Plan Review-Fire Life Safety 10/30/2014 $306.84 Info Process/Archiving-Lg$2.00(over 10/30/2014 $10.00 11x17) Floor Areas: Misc Administration Fee 11/17/2014 $45.00 Total Area: 0 Accessory Struct: 0 Basement: 0 Carport: 0 Covered Porch: 0 Deck: 0 Garage: 0 Mezzanine: 0 Total $1,805.61 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 952-001-9 e --•. 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. Iss ed By: , /4 Permittee Signature: / 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. 1,1 p CITY OF TIGARD BUILDING PERMIT • COMMUNITY DEVELOPMENT a Permit#: BUP2014-00256 Date Issued: 10/30/2014 TfGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 / Parcel: 2S112AA00600 �� Jurisdiction: Tigard Site address: 6713 SW BONITA RD 210 Project: IDI Distributors Subdivision: MILLMONT PARK Lot: 49 Project Description: Interior remodel. New full height wallm new doors, new relite. No structural. 11/6/14,Change contractor to FSG Northwest Inc. Contractor: FSG NORTHWEST INC Owner: WALTON CWOR NELSON 13 LLC PO BOX 4552 BY EQUITY OFFICE MANAGEMENT LLC PORTLAND, OR 97208 PO BOX A-3879 CHICAGO, IL 60690 PHONE: 503-680-2865 PHONE: FAX: Specifics: FEES Description Date Amount Type of Use: COM Class of Work: ALT Type of Const: IIIB DC Provision Review,COM TI-Ping 10/30/2014 $75.00 Occupancy Grp: B Occupancy Load: 47 DC Provision Review,COM TI-LRP 10/30/2014 $11.00 Permit Fee-Additions,Alterations, 10/30/2014 $767.10 Dwelling Units: 0 Demolition Stories: 2 Height: 0 ft 12%State Surcharge-Building 10/30/2014 $92.05 Bedrooms: 0 Bathrooms: 0 Plan Review 10/30/2014 $498.62 Value: $55,000 Plan Review-Fire Life Safety 10/30/2014 $306.84 Info Process/Archiving-Lg$2.00(over 10/30/2014 $10.00 11x17) Floor Areas: Misc Administration Fee 11/17/2014 $45.00 Total Area: 0 Accessory Struct: 0 Basement: 0 Carport: 0 Covered Porch: 0 Deck: 0 Garage: 0 Mezzanine: 0 Total $1,805.61 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 952-001-9 e --•. 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. Iss ed By: , /4 Permittee Signature: / 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. CITY OF TIGARD BUILDING PERMIT 1 COMMUNITY DEVELOPMENT j�M Permitd: BU30/20100256 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 10/30/2014 Parcel: 2S112AA00600 Jurisdiction: Tigard Site address: 6713 SW BONITA RD 210 Project: IDI Distributors Subdivision: MILLMONT PARK Lot: 49 Project Description: Interior remodel. New full height wallm new doors,new relite. No structural. 11/6/14,Change contractor to FSG Northwest Inc. Contractor: FSG NORTHWEST INC Owner: WALTON CWOR NELSON 13 LLC PO BOX 4552 BY EQUITY OFFICE MANAGEMENT LLC PORTLAND, OR 97208 PO BOX A-3879 CHICAGO, IL 60690 PHONE: 503-680-2865 PHONE: FAX: Specifics: FEES Description Date Amount Type of Use: COM Class of Work: ALT Type of Const: IIIB DC Provision Review,COM TI-Ping 10/30/2014 $75.00 Occupancy Grp: B Occupancy Load: 47 DC Provision Review,COM TI-LRP 10/30/2014 $11.00 Permit Fee-Additions,Alterations, 10/30/2014 $767.10 Dwelling Units: 0 Demolition Stories: 2 Height: 0 ft 12%State Surcharge-Building 10/30/2014 $92.05 Bedrooms: 0 Bathrooms: 0 Plan Review 10/30/2014 $498.62 Value: $55,000 Plan Review-Fire Life Safety 10/30/2014 $306.84 Info Process/Archiving-Lg$2.00(over 10/30/2014 $10.00 11x17) Floor Areas: Misc Administration Fee 11/17/2014 $45.00 Total Area: 0 Accessory Struct: 0 Basement: 0 Carport: 0 Covered Porch: 0 Deck: 0 Garage: 0 Mezzanine: 0 Total $1,805.61 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 952-001-0s • •_• OAR 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by callinr • .232.1987 or 1.800.332.2344. Issued By: /, Permittee Signatu Ink Call 503.639.4175 by 7:00 a.m.for the next available inspecti• 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. 5032440417 Mildren 02:40:25 p.m. 11-05-2014 1 /1 City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT IN Request Permit Action T I c \It n 13125 SW Hall Blvd. •Tigard, Oregon 97223 • 503.718.2439•www.tigard-or.gov . TO: CITY OF TIGARD RECEIVE') Building Division Services Supervisor 13125 SW Hall Blvd,Tigard,OR 97223 NOV 5 2014 Phone: 503.718.2430 Fax: 503.598.1960 www.tigard-or.gov a FROM: ❑ Owner ® Applicant ❑ Contractor El City, NG DIVISION (check one) �S REFUND OR Name: Mildren Design Group,P.C. INVOICE TO: (Business or Individual) Mailing Address: 7650 SW Beveland-Suite 120 City/State/Zip: Tigard,Oregon 97223 Phone No.: 503.244.0552 PLEASE TAKE ACTION FOR THE ITEM(S) CHECKED (1): ❑ CANCEL/VOID PERMIT APPLICATION. ❑ REFUND PERMIT FEES (attach copy of original receipt and provide explanation below). ❑ INVOICE FOR FEES DUE (attach case fee schedule and provide explanation below). ® REMOVE/REPLACE CONTRACTOR ON PERMIT(do not cancel permit). r// Permit#: BUP2014-00256 Site Address or Parcel#: 6713 SW Bonita Rd-Suite 210 Project Name: IDI Distribution TI Subdivision Name: Nelson Business Center Lot#: EXPLANATION: A different contractor was hired for the job.Contractor will be FSG Northwest. CCB#195217 Signature: I:. ) IA S e I\ Date: 11/5/2014 Betty K.Sheppeard Print Name: Refund Policy 1. The Community Development Director or Building Official may authorize the refund of a) any fee which was erroneously paid or collected b) not more than 80' of the land use application fee when an application is withdrawn or canceled before any review effort has been expended. c) not more than 80%of the land use application fee for issued permits, d) not more than 80°u of the building plan review fee when an application is canceled before any plan review effort has been expended. c) not more than 80"ii of the building permit fee for issued permits prior to any inspection requests. 2. All refunds will be returned to the original payer in the form of a check. Please allow 3-4 weeks for processing refund requests. FOR OFFICE USE ONLY Rte to Sys Admin: Date f/5-pi By .7 Rte to Bldg Admin: Date`j 2d /'y' : , ?i„, Refund Processed: Date By Invoice Processed: Date By Permit Canceled: Date By Parcel Tag Added: Date By Receipt# Date Method Amount$ 1:\Building\Forms\ItegPcnnitAction 062614.doc CITY OF TIGARD BUILDING PERMIT s COMMUNITY DEVELOPMENT Permit#: BUP2014-00256 T[G A R D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 10/30/2014 Parcel: 2S112AA00600 Jurisdiction: Tigard Site address: 6713 SW BONITA RD 210 Project: IDI Distributors Subdivision: MILLMONT PARK Lot: 49 Project Description: Interior remodel. New full height wallm new doors,new relite. No structural. Contractor: ROBERT TODD CONSTRUCTION INC Owner: WALTON CWOR NELSON 13 LLC 4080 SE INTERNATIONAL WAY B113 BY EQUITY OFFICE MANAGEMENT LLC MILWAUKIE, OR 97222 PO BOX A-3879 CHICAGO, IL 60690 PHONE: 503-653-5704 PHONE: FAX: 503-653-5729 Specifics: FEES Description Date Amount Type of Use: COM Class of Work: ALT Type of Const: IIIB DC Provision Review,COM TI-Ping 10/30/2014 $75.00 Occupancy Grp: B Occupancy Load: 47 DC Provision Review,COM TI-LRP 10/30/2014 $11.00 Permit Fee-Additions,Alterations, 10/30/2014 $767.10 Dwelling Units: 0 Demolition Stories: 2 Height: 0 ft 12%State Surcharge-Building 10/30/2014 $92.05 Bedrooms: 0 Bathrooms: 0 Plan Review 10/30/2014 $498.62 Value: $55,000 Plan Review-Fire Life Safety 10/30/2014 $306.84 Info Process/Archiving-Lg$2.00(over 10/30/2014 $10.00 11x17) Floor Areas: Total Area: 0 Accessory Struct: 0 Basement: 0 Carport: 0 Covered Porch: 0 Deck: 0 Garage: 0 Mezzanine: 0 Total $1,760.61 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 952-001-001• •.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. Iss ed By: / / Permittee Signature: SIP` At . A—`� 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 Application Commercial RECEIVED FOR OFFICE USE ONLY eeei� City of Tigard R DaleB ed: , p ge /11 ; 1 -iii) Permit No.: pc,9,„/ _al,25 4. i r 13125 SW Hall Blvd.,Tigard,OR 97223 8 Plan Review ►�I, IN Phone: 503.718.2439 Fax: 50 1 Date/B A��& 10 O Other Permit:',� -°0 2014 I I I> Inspection Line: 503.639.4175 Date Ready/By: Ions: Ei7 See Page 2 for Internet: www.tigard-or.gov CITY OF TIGARD Notified/Method: Supplemental Information 001101W(WitIVISION REQUIRED DATA:1-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. Valuation: $1-and 2-family dwellin g ®Commercial/industrial ❑Accessory building ❑Multi-family Number of bedrooms: ❑Master builder ❑Other: Number of bathrooms: JOB SITE INFORMATION AND LOCATION Total number of floors: Job site address:6713 SW Bonita Rd-Suite 210 New dwelling area: square feet City/State/ZIP:Tigard,Oregon ' Garage/carport area: square feet Suite/bldg./apt.no.:C Project name:1DI Distributors T.L Covered porch area: square feet Cross street/directions to job site:NelsonBusiness Center-SW 72"&Bonita Deck area: square feet Other structure area: square feet REQUIRED DATA:COMMERCIAL-USE CHECKLIST Subdivision: Lot no.: Permit fees*are based on the value of the work performed. Tax map/parcel no.: 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. Interior remodel. New full height wall,new doors,new relite. No structural Valuation: $$55,000.00 work. Existing building area: square feet New building area: 20,00 square feet ® PROPERTY OWNER ❑ TENANT Number of stories: 2 Name:IndCor Type of construction: HIB Address:One SW Columbia-Suite 950 Occupancy groups: City/State/ZIP:Portland,Oregon 97258 Existing: B/S Phone:(503)221.9900 Fax:( ) New: B/S ® APPLICANT IN CONTACT PERSON BUILDING PERMIT FEES* Business name:Mildren Design Group,P.C. (Please refer to fee schedule) Structural plan review fee(or deposit): Contact name:Betty Sheppeard Address:7650 SW Beveland-Suite 12- FLS plan review fee(if applicable): City/State/ZIP:Tigard,Oregon 97223 Total fees due upon application: Phone:(503)244.0552 Fax::( ) Amount received: E-mail:betty @mdgpc.com PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES* Commercial and residential prescriptive installation of CONTRACTOR roof-top mounted PhotoVoltaic Solar Panel System. Business name:Robert Todd Construction Submit two(2)sets of roof plan with connection details and fire department access,along with the 2010 Oregon Address:4080 SE International Way Solar Installation Specialty Code checklist. City/State/ZIP:Milwaukie,Oregon 97222 Permit fee(includes plan review $180.00 and administrative fees): Phone:(503)6533704 Fax:( ) State surcharge(12%of permit fee): $21.60 CCB lic.: sJ -'7/ Total fee due upon application: $201.60 Authorized signature: Btais I L. This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name:Betty K.Sheppeard I Date: 10/30/14 * 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) 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] $ 40, O t0� MULTIPLIER (25%barrier removal requirement): x .25 TOTAL BUDGET FOR BARRIER REMOVAL: [2] $ WI 00%.0 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 $ 2, 000 (b) An accessible entrance: $ 0 (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, $ 95 (g) When possible,additional accessible elements such as storage and alarms: $ 1 TOTAL(shall equal line [2] of Valuation Computation): $ 23 C� 4,-e-A Gem. ail., 61,_,4 i.,-...4- ,...., I:\Building\Permits\BUP-COM PermitApp.doc 03/03/2011 Building Division Development Code Provision Review TIGARD Commercial Projects - No Associated Land Use Case Pc -oi Co 5(a Building Permit No: Tc� ❑ Expedited Review Plan Submittal Date: /c/ 30//y To the Applicant: ➢ If the proposed use is not permitted within the zone,please contact the Building Division to cancel the permit application. Building Permit Technicians (503) 718-2439. ➢ If a land use is required and for all other questions, please contact the staff person listed above the Planning Review section. Staff: please check items along left only if approved. Planning Review (contact tnQfic54 f lraSS at 503-718-241' or_mc. riSSe--- @tigard-or.gov) Zoning Permitted Use Yes No ❑ 6d' Land Use Required: Yes ❑ No Er (explain below) Notes: 1111}ei I UY YelYNOlid (1(111)11018. ok USee ?sCOPOSRd, Approved ❑ Not Approved Date: 101" 0+ l� Permit Coordinator Review (contact Albert Shields at 503-718-2426 or albeit @tigard-or.gov) Notes: Routed back to Building Division Date: I:\CURPLN 11114 ' Building Division Over-The-Counter (OTC) Building Permit I I`' " Check List Project Description: T APPLICATION SPECIFIC INFORMATION GENERAL INFORMATION A Class of Work*: K LT Occupancy Group: f Type of Construction: ,? j Type of Use**: CNA _ Occupancy Load: 7 Oregon Specialty Code: Z[)4-- SPECIFICS Number of Stories: T 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: $ /(t"C _ FEES DUE $ ,CD DC Prov Rvw,COM TI—Ping $ •00 DC Prov Rvw,COM TI—LRP DC Provision Review Fee for COM TI(effective 7/1/2014) $ .Iii Permit Fee—Add,Alt,Demo Project Valuation Planning LRP $ • 12%State Surcharge Up to$4,999 $0.00 $0.00 $ A5'jar. Plan Review,Structural $5,000-$74,999 $75.00 $11.00 $ _ • ..1:1 'Ian Review,Fire Life Safety $75,000-$149,999 $187.00 $28.00 $ Q di 0 Info Proc/Arch,Lg(over 11x17$2.00) $150,000 and over $299.00 $44.00 $ Info Proc/Arch,Sm(up to 11x17$0.50) $ Metro Construction Excise Tax $ School Construction Excise Tax $ Hourly Rate Fee $ Hourly Rate State Surcharge $ Misc.Admin Fee $ Other: $ Other: Building Staff: $ ; 7 4,0- ` j Other: Date/Time: $ t TOTAL FEES DUE "TYPE OF USE: COM=commercial;CMS=commercial manufactured structure. **CLASS OF WORK ACS=accessory;ADD=addition;ADU=accessory dwelling unit;ALT=alteration;DEM=demo;NEW=new; OTR=other(use for fences,decks,retaining walls,signs,awnings or canopies). I:\Building\Forms\OTC_BUP_070114.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 6713 SW BONITA RD 210, TIGARD, OR, 97224 Commercial - Building 299 Final inspection PASS - C of O BUP2014-00256 Chip Barnett Violation Summary: Inspector Contractor 5032440417 Mlldren 08:00:08 a.m. 11-06-2014 1 /1 City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT RECEIVED IRequest Permit Action q NOV 6 2014 T t G A It 1) 13125 SW Hall Blvd. •Tigard, Oregon 97223 • 503.718.2439 •www.tigard-or.gov "11 ut tiGA u inb TO: CITY OF TIGARD BUILDING D1VI,SI01\ Building Division Services Supervisor 13125 SW Hall Blvd.,Tigard,OR 97223 Phone: 503.718.2430 Fax: 503.598.1960 www.tigard-or.gov FROM: ❑ Owner ® Applicant ❑ Contractor El City Staff (check one) REFUND OR Name: Mildren Design Group,P.C. INVOICE TO: (Business or Individual) Mailing Address: 7650 SW Beveland-Suite 120 City/State/Zip: Tigard,Oregon 97223 '' ao m Phone No.: 503.244.0552 c( r PLEASE TAKE ACTION FOR THE ITEM(S) CHECKED (1): J ❑ CANCEL/VOID PERMIT APPLICATION. I • ❑ REFUND PERMIT FEES (attach copy of original receipt and provide explanation below). !v llf� I=1 INVOICE FOR FEES DUE(attach case fee schedule and provide explanation below). 1 ® REMOVE/REPLACE CONTRAC ORON PERMIT(do not cancel permit). Permit#: BUP2014-00256 1 Site Address or Parcel#: 6713 SW Bonita Rd-Suite 210 Z p, Project Name: IDI Distribution TI S N W Subdivision Name: Nelson Business Center Lot#: 2 q r( EXPLANATION: A different contractor was hired for the job.Contractor will be FSG �+ O Northwest. CCB#195217 P o ct Signature: .!/ +t-i L /4119414-'A Date: 11/5/2014 ‘r) Betty K. Sheppeard Print Name: Refund Policy 1. The Community Development Director or Building Official may authorize the refund of a) any fce which was erroneously paid or collected. b) not more than 80%of the land use application fee when an application is withdrawn or canceled before any review effort has been expended. c) not more than 80%of the land use application fee for issued permits. d) not more than 80%of the building plan review fee when an application is canceled before any plan review effort has been expended. e) not more than 80".'.of the building permit fee for issued permits prior to any inspection requests. 2. All refunds will be returned to the original payer in the form of a check. Please allow 3-4 weeks for processing refund requests. Rte to Sys Admin: Date // 4. / By Rte to Bldg Admin: Date By Refund Processed: Date Invoice Processed: Date By Permit Canceled: Date By Parcel Tag Added: Date By Receipt# Date Method Amount$ I:\Building\Forms\RegPcrutAction_062614.duc CITY OF TIGARD BUILDING PERMIT s COMMUNITY DEVELOPMENT Permit#: BUP2014-00256 T[G A R D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 10/30/2014 Parcel: 2S112AA00600 Jurisdiction: Tigard Site address: 6713 SW BONITA RD 210 Project: IDI Distributors Subdivision: MILLMONT PARK Lot: 49 Project Description: Interior remodel. New full height wallm new doors,new relite. No structural. Contractor: ROBERT TODD CONSTRUCTION INC Owner: WALTON CWOR NELSON 13 LLC 4080 SE INTERNATIONAL WAY B113 BY EQUITY OFFICE MANAGEMENT LLC MILWAUKIE, OR 97222 PO BOX A-3879 CHICAGO, IL 60690 PHONE: 503-653-5704 PHONE: FAX: 503-653-5729 Specifics: FEES Description Date Amount Type of Use: COM Class of Work: ALT Type of Const: IIIB DC Provision Review,COM TI-Ping 10/30/2014 $75.00 Occupancy Grp: B Occupancy Load: 47 DC Provision Review,COM TI-LRP 10/30/2014 $11.00 Permit Fee-Additions,Alterations, 10/30/2014 $767.10 Dwelling Units: 0 Demolition Stories: 2 Height: 0 ft 12%State Surcharge-Building 10/30/2014 $92.05 Bedrooms: 0 Bathrooms: 0 Plan Review 10/30/2014 $498.62 Value: $55,000 Plan Review-Fire Life Safety 10/30/2014 $306.84 Info Process/Archiving-Lg$2.00(over 10/30/2014 $10.00 11x17) Floor Areas: Total Area: 0 Accessory Struct: 0 Basement: 0 Carport: 0 Covered Porch: 0 Deck: 0 Garage: 0 Mezzanine: 0 Total $1,760.61 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 952-001-001• •.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. Iss ed By: / / Permittee Signature: SIP` At . A—`� 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.