Permit CITY OF TIGARD BUILDING PERMIT
•
°F� 111 COMMUNITY DEVELOPMENT Permit#: BUP2021-00084
T[GARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 4/29/2021
Parcel: 1 S 134AD06202
Jurisdiction: Tigard
Site address: 10500 SW NIMBUS AVE T
Project: Solid Rock Fellowship Subdivision: IKOLL BUSINESS CENTER,TIGARD Lot: A
Project Description: Demo of existing walls,relocation of existing door,new walls.transom interior windows and doors,replace light
fixtures 1-for-1 in assembly space and lobby.ADA upgrade to entrance
Contractor: TODD HESS BUILDING CO Owner: DIETRICH, NANCY BISHOP
9414 SW BARBUR BLVD SUITE 150 ROBINSON,JERRY CHRISTOPHER TRUST
PORTLAND, OR 97219 ROBINSON, LYNN ET AL
9701 SE MCLOUGHLIN BLVD
MILWAUKIE, OR 97222
PHONE: 503-220-5953 PHONE:
FAX: 503-222-2670
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: B Permit Fee-Additions,Alterations, 04/28/2021 $729.45
Demolition
Occupancy Grp: A-3 Occupancy Load: 299 12%State Surcharge-Building 04/28/2021 $87.53
Dwelling Units: 0 Plan Review 04/13/2021 $474.14
Stories: 0 Height: 0 ft DC Provision Review,COM TI-Ping 04/28/2021 $103.00
Bedrooms: 0 Bathrooms: 0 Plan Review-Fire Life Safety 04/28/2021 $291.78
Value: $50,000 Info Process/Archiving-Lg$2.00(over 04/28/2021 $26,00
11x17)
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total S1,711.90
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.
Issued By: HollyVc,yvDs'Wage Permittee Signature: OVV 47 Lt.CartA71
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 C. — , _ —
* Commercial �(-' FOR OFFICE USE ONLY
City of Tigard RECEIVE` Da i l/J3/2oZr
Permit No.: p2122.1_bon•?4.
• 13125 SW Hall Blvd.,Tigard,OR 97223 p 5 r a, Plan Review 1
APR 1 ) `0'' '1 �� '�1 Related Permit:
Phone: 503-718-2439 Fax: 503-598-1960 4 DatelBy: /
L l C, R I> Inspection Line: 503-639-4175 � r} Date Ready/By: ) 7 El See Page 2 for
Internet: www.tigard-or.gov CITY
Y OF I IGARLi NopetuMethod�/C le, Supplemental Information
TYPE OF WORK REQUIRED DATA:1-AND 2-FAMILY DWELLING
❑New construction ❑Demolition Permit fees*are based on the value of the work perform-.
Indicate the value(rounded to the nearest dollar)of all
El Addition/alteration:replacement D Other: equipment,materials,labor,overhead,and the prof or the
CATEGORY OF CONSTRUCTION work indicated on this application.
❑ 1-and 2-family dwelling 2Commercial/industrial Valuation: $
IDAccessory 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: 10500 SW NIMBUS AVE New dwelling• -•. square feet
City/State/ZIP: PORTLAND,OR 97223 rcr I,it nc- i% rt .. .-.p Garage/carp. area: square feet
Suite/bldg./apt.#: BUILDING T Project name: SBC( Solid Rock Tenant Improvement Cover:porch area: square feet
Cross street/directions to job site: C t f V rC , no ( I k area: square feet
Other structure area: square feet
: REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision: I Lot#: Permit fees*are based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
Tax map/parcel#: 1 S134AD06202 equipment,materials,labor,overhead,and the profit for the
DESCRIPTION OF WORK work indicated on this application.
Valuation: $50,000
DEMOLITION OF EXISTING WALLS;RELOCATION OF EXISTING DOOR;NEW WALLS,
TRANSOM INTERIOR WINDOWS,AND DOORS.REPLACE NEW LIGHT FIXTURES Existing building area: 36,416 square feet
ONE-FOR-ONE IN ASSEMBLY SPACE AND LOBBY.ADA UPGRADES TO ENTRANCE. New building area: 36,416 square feet
ei PROPERTY OWNER ❑ TENANT Number of stories: 1
Name: KYLE LATTA Type of construction: III-B
Address: 10240 SW NIMBUS AVE#L3 Occupancy groups:
City/State/ZIP: PORTLAND,OR 97223 Existing: A-3&B
Phone:( ) 503-598-9980 Fax:( ) New: A-3&B
d APPLICANT ❑ CONTACT PERSON BUILDING PERMIT FEES*
(Please refer to fee schedule)
Business name: ANKROM MOISAN ARCHITECTS
Structural plan review fee(or deposit): t{71i//
Contact name: REBECCA BROCK
n n FLS plan review fee(if applicable):
Address:38 NW DAVIS ST SUITE 300
City/State/ZIP: PORTLAND,OR 97209 Total fees due upon application:
Amount received:
Phone:( ) 503-892-8373 Fax: :( )
PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
E-mail: REBECCAB@ANKROMMOISAN.COM
Commercial and residential prescriptive installation of
CONTRACTOR roof-top mounted PhotoVoltaic Solar Panel System.
Business name:TODD HESS BUILDING COMPANY Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
Address: 9414 SW BARBUR BLVD,SUITE 150 Solar Installation Specialty Code checklist.
City/State/ZIP: PORTLAND,OR 97219 Permit fee(includes plan review $180.00
and administrative fees):
Phone:( ) 503-220-5953,EXT.38 Fax:( ) 503-222-2670 State surcharge(12%of permit fee): $21.60
CCB Lic.: 66821 Total fee due upon application: $201.60
Authorized signature: g1 a This permit application expires if a permit is not obtained
/ within 180 days after it has been accepted as complete.
Print name Rebecca Brock Date: 04/08/21 * Fee methodology set by Tri-County Building Industry
Service Board.
1:\Building\Permits'BUP_COM_PermitApp.doc Rev.04/21/2014 440-4613T(11/02/COM/WEB)
City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT
_ p Accessibility: Barrier Removal Improvement Plan
• Commercial & Multi-Family - Additions or Alterations
TIGARD 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.Pov
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 percent(25%).
VALUATION: Total of all renovation,alteration or modification being done,
excluding painting and wallpapering. [1] $ 50,000
MULTIPLIER(25%barrier removal requirement): x .25
TOTAL BUDGET FOR BARRIER REMOVAL: [2] $ 12,500
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 $ N/A
(b) An accessible entrance: $ 5,300
(c) An accessible route to the altered area: $ N/A
(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): $ 5,300
I:\Building\Permits\BUP_COM_PennitApp.doc Rev.03/05/2019
City of Tigard
1111 COMMUNITY DEVELOPMENT DEPARTMENT
TIGARD Building Permit Review — Commercial - No Land Use
Building Permit #: ,1)P20Z( -0000 --
Site Address: 10500 SW Nimbus Ave Suite/Bldg#: T
Project Name: Solid Rock Fellowship
(Name of commercial business occupying the space. If vacant,enter Spec Space.)
Planning Review
Proposal: T.I. existing tenant and new concrete ADA ramps at building entrances; no change to landscaping or parking
Existing Business Activity: Religious Institution
Proposed Business Activity: Religious Institution
12 V rify site address/suite#exists and active in permit s�stem.
-vet.Terrace Neighborhood: ❑ Yes 11 No
0 Zoning: M U E-2
Permitted Use: Id Yes U No U Spec Space
❑. infirm no land use required.
�'.
(.� :usiness License:
Exists: ❑ Yes ❑ No,applicant was provided a business license application
Notes:
Approved by Planning: 4/12/21
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: Q///2/262/
Site Plans: #
Building Plans: #
Building Permit#: Enter buildin p1ermit# above. Er
Workflow Routing: Planning u Permit Coordinator CI Building
Workflow Sign-off: Sign-off for Planning(include notes from planning review)
Route Application Documents: [1ding: original permit application, site plans,building plans,engineer and
beam calculations a d trust details,if applicable,etc.
Notes:
By Permit Technician: Date: D0//3l 1
1:\Building\Fortes\B I dgPertn i tR vw_CO M_N o LandUs e_111819.do cx
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 Applica-t:
❑ SDC Fees Entered: Wash Co Trans D v Tax: ❑ Yes 0 N/A
Tigard Trans S P .: ❑ Yes ❑ N/A
Parks SDC: ❑ Yes ❑ N/A
❑ OK to Issue Permit
Approved by Permit Coordinator: Date:
1:\Building\Forms\B1dgPermitRvw_COM_NoLandlJse_111819.docx