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Permit (3) CITY OF TIGARD BUILDING PERMIT = COMMUNITY DEVELOPMENT Permit#: BUP2022-00184 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 8/4/2022 Parcel: 1 S 134AA01900 Site address: 10115 SW NIMBUS AVE 600 Jurisdiction: Tigard Project: Donburi Factory Subdivision: IKOLL BUSINESS CENTER,TIGARD Lot: B Project Description: TI for new tenant:Demolition,new pony wall,and new finishes. Contractor: ALINA CONSTRUCTION Owner: ROBINSON,JERRY CHRISTOPHER TRUST 3912 SE 171 STAVE DIETRICH, NANCY BISHOP PORTLAND, OR 97236 9701 SE MCLOUGHLIN BLVD MILWAUKIE, OR 97222 PHONE: 503-820-9910 PHONE: FAX: Specifics: FEES Type of Use: COM Description Date Amount Class of Work: ALT Type of Const: VA Permit Fee-Additions,Alterations, 08/04/2022 $225.80 Occupancy Grp: B Occupancy Load: 8 Demolition Dwelling Units: 0 12%State Surcharge-Building 08/04/2022 $27.10 Stories: 0Plan Review 07/18/2022 $146.77 Height: 0 ft DC Provision Review,COM TI-Ping 08/04/2022 $110.00 Bedrooms: 0 Bathrooms: 0 Plan Review-Fire Life Safety 08/04/2022 $90.32 Info Process/Archiving-Sm$0.50(up to 08/04/2022 $2.00 11x17) Floor Areas: Total Area: 0 Accessory Struct: 0 Basement: 0 Carport: 0 Covered Porch: 0 Deck: 0 Garage: 0 Mezzanine: 0 Tota 1 $601.99 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 95 01-0090. Yo ay obtain a opy of t e rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. Issued By: Permittee Signature: em)z4ei 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 FOR OFFICE USE ONLY City Tigard RECEIVED8-1�¢Q� Received Permit No.: a 13125 SWW Hall Blvd.,Tigard,OR Date/B = Phone: 503-718-2439 Fax: 503-59Plan Review 18 2022 Date/By: Y : ,.� Related Perm .'Z it: POAPUI ., 000;'4'.000;'4'.Inspection Line: 503-639-4175 IJ Date Read /B 7urls: Sec Page 2 for Y Internet: www.tigard-or.gov CITY OF TtGARD Notified/Method: Supplementallnformation TYPE a� REQUIRED DATA.1-AND 2:FAMILY DWELLING jAddit ew construction ❑Demolition Permit fees*are based on the value of the work performed. ion/alteration replacement El Other: Indicate the value(rounded to the nearest dollar)of all 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 ❑Multi-family Number of bedrooms: ❑Master builder ❑Other: Number of bathrooms: J09 SITE INFORMATIONAIS LCI+CATION Total number of floors: Job site address: 7 iAz,�q s 1 New dwelling area: square feet City/State/ZIP: Z39Garage/carport area: square feet Suite/bldg./apt.#: Llt:1!611 �� /2 �r j w( r L Covered porch area: square feet Cross street/directions tojob site: Deck area: square feet G=L S f' r Other structure area: square feet REQUIRED DATA.:COMMERCIAL-USE CHECT(LIST Subdivision: Lot#: Permit fees*are based on the value oft ie work performed. Tax map/parcel#: 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. 'S 'lVA )_'t !21Valuation: i Existing building arca: ( t square feet ! �� i(/lf 7TH New building area: square feet (� PR1dhRT7176V&ER "TENANT Number of stories: Name: , Type of construction: Address: Occupancy groups: City/State/ZIP: 7 R �, -� Phone:( )[L) Existing: 1 0 APPLICANT New: CONTACT PERSON BUILDING PERMTT FEES* Business name: 'o -f - 01-Z {l°taase'eertd eesrhedute Contact name: ~J Structural plan review fee(or deposit): Address: FLS plan review fee(if applicable): IlJ City/State/ZIP: �y f Total fees due upon application: i Phone:( �" _2-70 7 Fax::( ) Amount received: 102) E-mail: �Y� 'f'cij/C'✓7 cy `121CY t f-(—V/v PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES- CQNIRACTQR Commercial and residential prescriptive installation of roof-top mounted Photovoltaic Solar Panel System. Business name: Submit two 2 se p � (� �y��}f r c�� - O sets of roof Ian with connection details t'jAddress j and fire department access,along with the 2010 Oregon (�� /� �� f Y"o Solar Installation Specialty Code checklist. City/State/ZIP: `fir �i c �i Permit fee(includes plan review and administrative fees): $180.00 Phone:O � (] �J Fax:( ) CCB Lic.: ft State surcharge(12%of permit fee): $21.60 Total fee due upon application: $201.60 Authorized signature: (KI This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name: ho. Date: �,� * Fee methodology set by Tri-County Building Industry Service Board. 1:ABuilding\Permits\BUP COM PermitApp.doc Rev.04/21/2014 440-4613T(11/02/CONI/WEB) City of Tigard COMMUNITY DEVELOPMENT DEPARTMENT S R Building Permit Review — Commercial - With Land Use Building Permit #: Site Address: n Sys/ i\)krv1b1Suite/Bldg#: �P- Project Name: ECIC �1 (Name of commercial business occupying the space. If vacant,enter Spec Space.) Planning Reviews CCvQy� Proposal: V (� C Verify site address/suite# exists and active in permit system. River Terrace Neighborhood: ❑ Yes ❑ No C� Land Use Case #: M _ © ( , Plans Match Approved Land Use: ❑ Site Plan ❑ Landscape Plan ❑ Other: ❑ Urban Forestry Plan ❑ Elevation Plan Building Height: Maximum Height Actual Height Conditions Met: ❑ Prior to Submittal ❑ Prior to Permit Issuance Business License: Exists: �E Yes ❑ No,applicant was provided a business license application Public Facilities Improvement (PFI) Permit: Required: ❑ Yes, applicant was notified ❑ No Applied For: ❑ Yes ❑ No, stop intake Notes: (r JI Approved by Planning: YLk Date: —7- 1� . Z Z 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: 7 Site Plans: ## Building Plans: ## -; Building Permit #: Ent r�tbuilding pe rmi above. /� Workflow Routing: ��'�laanning ngmeering Ei- ermit Coordinator 54-$>�ng Workflow Sign-off: P Sign- ff for Planning(include notes from planning review) Route Application Documents: ding. original permit application, site plans,building plans, engineer and beam calculations and trust details,if applicable, etc. Notes: By Permit Technician: Date: ->//-7 I:\Building\Fonus\BldgPennitRvw COM WithLandUse 111819.doex Engineering Review /Slope at building pad: VfV l� PFI Permit#: 14 Conditions "Met"prior to issuance of building permit 41c` EI�EI asements (encroachments) per engineering conditions of approval and plat (not typical on SDR/CUP) it/e— Easements Quality/Quantity Facility: Assess Water Quality Fee in-lieu: ❑ Yes eNo Assess Water Quantity Fee in-lieu: ❑ Yes VN " O LIDA Facility on lot: El Yes o Add Fee: ❑ Yes ❑ No ❑ NOT Approved by Engineering: Date Notes: Approved by Engineering: &Q46f 4 Date: 71Zd W-,P L Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved �77- rnrf rn�r�inator Review —ondifions "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: ��IDC Fees Entered: Wash Co Trans Dev Tax: ❑ Yes N/A N v Tigard Trans SDC: ❑ Yes N/A Parks SDC: ❑ Yes N/A LIDA Fee: ❑ Yes N/A OK to Issue Permit Approved by Permit Coordinator: aDate: I:1Building\Fonns\BldgPennitRvw COM_WithLandUse_111819.docx