Permit n CITY OF TIGARD BUILDING PERMIT
COMMUNITY DEVELOPMENT Permit#: BUP2021-00261
Date Issued: 11/9/2021
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 1S134AD06200
Jurisdiction: Tigard
Site address: 10565 SW NIMBUS AVE 110
Project: Bigleaf Networks Subdivision: IKOLL BUSINESS CENTER,TIGARD Lot: A
Project Description: TI-including new offices,conference room, break room,ADA restroom and new finishes.
Contractor: KIRBY NAGELHOUT CONSTRUCTION CO Owner: DIETRICH, NANCY BISHOP
63049 LOWER MEADOW DR ROBINSON, JERRY CHRISTOPHER TRUST
BEND, OR 97701 ROBINSON, LYNN ET AL
9701 SE MCLOUGHLIN BLVD
MILWAUKIE, OR 97222
PHONE: 541-389-7119 PHONE:
FAX:
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: VB Permit Fee-Additions,Alterations, 11/09/2021 $2,464.95
Occupancy Grp: B Occupancy Load: 112 Demolition
12%State Surcharge-Building 11/09/2021 $295.79
Dwelling Units: 0 Plan Review 10/27/2021 $1,602.22
Stories: 0 Height: 0 ft DC Provision Review,COM TI-Ping 11/09/2021 $434.00
Bedrooms: 0 Bathrooms: 0 Plan Review-Fire Life Safety 11/09/2021 $985.98
Value: $325,000 Info Process/Archiving-Lg$2.00(over 11/09/2021 $28.00
11x17)
Metro CET 11/09/2021 $390.00
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $6,200.94
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 requ' s you to the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952-001-0010 through OAR 2-001-0090. You ay obtai a copy he les or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: Permittee Signature: ct. a P //t.W7
Cal 503.639.4175 by 7:00 a.m.for the next available inspection date.
This permit card shalle 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 1 12_G l�1
Commercial FOR OFFICE USE ONLY
Cityof Tigard RECEIVE Received ry 'A'� �4' �//,7n�/ /'0 (
g DateBy �0 ` /-�/ Permit No U !.(J l Cl
at
• 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review Q
171
II Phone: 503-718-2439 Fax: 503-598-1960 0 C T 2 5 2021 DateBy: � ' C_7 Related Permit
T I GAR D Inspection Line: 503-639-4175 Date Ready/By: J is: See Page 2 for
s Internet: www.tigard-or.gov CITY OF TIGARD Noti d/Method: 7/ [ ' Supplemental Information
BulmiN 1'?lt,lr��rvv < `
TYPE OF WORK 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.
❑ 1-and 2-family dwelling ® m Comercial/industrial Valuation: $
❑Accessory building 0 Multi-family Number of bedrooms:
❑Master builder ❑Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: 10565 SW Nimbus Ave, Building S New dwelling area: square feet
City/State/ZIP: Portland, OR 97223 Garage/carport area: square feet
Suite/bldg./apt.#: Bldg Si S1 11 p Project name: Bigleaf Networks Covered porch area: square feet
Cross street/directions to job site: Scholls & Nimbus Deck area: square feet
Other structure area: square feet
REQUIRED DATA:COIM ERCIAL-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 mapiparcel equipment,materials,labor,overhead,and the profit for the
DESCRIPTION OF WORK work indicated on this application.
Tenant Improvement including new offices, conference rooms, Valuation: $325,000.00
break room, ADA restroom and new finishes. Existing building area: 11,216 square feet
New building area: 11,216 square feet
® PROPERTY OWNER 0 TENANT Number of stories: 1
Name: Joshua Shearer Type of construction: V-B
Address:10300 SW Nimbus Ave, Suite P-C Occupancy groups: B
City/State/ZIP:10300 SW Nimbus Ave, Suite P-C Existing: B
Phone: ( ) Fax:( ) New: B
❑ APPLICANT NI CONTACT PERSON BUILDING PERMIT FEES*
Business name: Ankrom Moisan Architects (Please refer tofee schedule)
Structural plan review fee(or deposit):
Contact name: Bethanne Mikkelsen
FLS plan review fee(if applicable):
Address: 38 NW Davis Street, Suite 300
Total fees due upon application:
City/State/ZIP: Portland, OR 97219
Phone:( 503) 952-1593 Fax: :( ) Amount received:
E-mail: bethannem@ankrommoisan.com & rebeccab@ankrommoisan.com PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
Commercial and residential prescriptive installation of
CONTRACTOR roof-top mounted PhotoVoltaic Solar Panel System.
Business name: Kirby Nagelhout Construction Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
Address: 10180 SW Nimbus Ave, Suite J3 Solar Installation Specialty Code checklist.
City/State/ZIP: Portland, OR 97223 Permit fee(includes plan review $180.00
and administrative fees):
Phone:(503 )530-8420 Fax:( )
State surcharge(12%of permit fee): S21.60
CCB Lic.:95590 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: e a Date: 10/25/21 * Fee methodology set by Tri-County Building Industry
Service Board.
I:\Building\Permits\BUP_COM_PermitApp.doc Rev.04/21/2014 440-4613T(11/02/COM/WEB)
City of Tigard
COMMUNITY DEVELOPMENT DEPARTMENT
i 11
TIGARD Building Permit Review — Commercial - No Land Use
Building Permit #: ,.13v,PZU2,1-OO2(vA
Site Address: JOSS , A) /V/MEW A VE Suite/Bldg#: 81.%5, .S.1rire-
!l C7
Project Name: 73.1 tr4F' D W S
(Name of commercial business occupying the space. If vacant,enter Spec Space.)
Planning Review
Proposal: 1---.. 12 .
Existing Business Activity:
Proposed_op Business Activity: Off)GC
[ Verify site address/suite# exists and active in permit syste i.
2-- er Terrace Neighborhood: E Yes -J No
'Zoning: MvE2-
I!J P�,ermitted Use: 'Yes ❑ No ❑ Spec Space
Ca/Confirm no land use required.
❑ Business License:
Exists: ❑ Yes ❑ No, applicant was provided a business license application
Notes:
Approved by Planning: Date: id/u/Zi
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: ❑ Approved ❑ Not Approved
Revision 3: E Approved ❑ Not Approved
Building Permit Submittal
Original Submittal Date: /D 'Jc 202-f
Site Plans: #
Building Plans: # ,'
Building Permit#: rtYEnter building permit#above.
Workflow Routing: QvPlanning ❑ Permit Coordinator WI3uilding
Workflow Sign-off: t'Sign-off for Planning(include notes from planning review)
Route Application Documents: ' uilding: original permit application, site plans,building plans, engineer and
beam calculations and trust details,if applicable, etc.
Notes:
By Permit Technician: Date: /D/274o 1
I:\Building\Fonns\BldgPermitRvw_COM_NoLandUse_111819.docx
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 ❑ N/A
Tigard Trans SDC: ❑ Yes ❑ N/A
Parks SDC: ❑ Yes ❑ N/A
❑ OK to Issue Permit
Approved by Permit Coordinator: Date:
I:\Building\Forms\B1dgPennitRvw_COM_NoLandUse_111819.docx