Permit (2) CITY OF TIGARD BUILDING PERMIT
44
III
COMMUNITY DEVELOPMENT
Permit q: BUP2022-00220
T 1 G A RD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 11/7/2022
Parcel: 1 S134AA01900
Jurisdiction: Tigard
Site address: 10115 SW NIMBUS AVE 200
Project: Dr. Saum Hadi Veterinary Subdivision: IKOLL BUSINESS CENTER,TIGARD Lot: B
Project Description: TI for new tenant: New non-load-bearing walls and cabinetry.
Contractor: BNK CONSTRUCTION INC Owner: ROBINSON,JERRY CHRISTOPHER TRUST
45 82ND DR, SUITE 53B DIETRICH, NANCY BISHOP
GLADSTONE, OR 97027 9701 SE MCLOUGHLIN BLVD
MILWAUKIE, OR 97222
PHONE: 503-557-0866 PHONE:
FAX: 503-557-1085
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: VB Permit Fee-Additions,Alterations, 11/02/2022 $2,513.27
Occupancy Grp: B Occupancy Load: 49 Demolition
12%State Surcharge-Building 11/02/2022 $301.59
Dwelling Units: 0 Plan Review 09/06/2022 $1,633.63
Stories: 0 Height: 0 ft DC Provision Review,COM TI-Ping 11/02/2022 $434.00
Bedrooms: 0 Bathrooms: 0 Plan Review-Fire Life Safety 11/02/2022 $1,005.31
•
Value: $332,148 Info Process/Archiving-Lg$2.00(over 11/02/2022 $14.00
11x17)
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0 Metro CET 11/02/2022 $398.58
Total $6,300.38
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 952-0 1-0090. You m obtain a co of the rules or direct questions to OUNC by calling 503.232.1987l/ or 1.800.332.2344.
Issued By: � Permittee Signature: \v /� 1
7 Call 503.639.4175 by 7:00 a.m.for the next available inspection date. �� //7
This permit card shall be kept in a conspicuous place on the job site until completion of the project. L
Approved plans are required on the Job site at the time of each inspection.
Building Permit Application
Commercial FOR OFFICE USE ONLY
City of Tigard R`ceived
Datemy: 2 Permit °.:
13125 SW Hall Blvd.,Tigard,OR 97223 anReview (B/! /� q f//L' G1
rir
Phone: 503-718-2439 Fax: 503-598 l9 *:t�gy; 20 ,..Zj Related Permit.
T t GARD Inspection Line: 503-639-4175 Tl E C F I V E It':to Ready/uy / r Juriv: ® See Page 2 for
Internet: www.tigard-or.gov No' cd/Methe ! -• /� "rf�.--ry Supplemental Information
!!! iY/
TYPE OF WORK . REQUIRED DATA:1-AND 2-FAMILY DWELLING
❑New construction ❑Derrioiiii-Oir vi" i :irli iL. Permit fees*are based on the value of the work performed.
0 O♦h� �-��NG DIVISION Indicate the value(rounded to the nearest dollar)of all
®Addition/alteration/replacementequipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
❑ I-and 2-family dwelling IDCommercial/industrial Valuation: $
0 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: 10115 SW Nimbus,Suites 200&250 New dwelling area: square feet
City/State/ZIP: Tigard,OR 97223 Garage/caiport area: square feet
Suite/bldg./apt.#: 200&250 Project name: Dr.Saum Hadi Veterinary Covered porch area: square feet
Cross street/directions to job site: SW Nimbus and SW Scholls Ferry Rd. Deck 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.
Tax map/parcel# 1 S 134AA01900 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.
Valuation: S 332,148
NEW VETERINARY PRACTICE.ADD NON
LOAD BEARING WALLS,PLUMBING AND CABINETRY. Existing building area: 2,603 square feet
NO CHANGE IN OCCUPANCY New building area: 2,603 square feet
0 PROPERTY OWNER ® TENANT Number of stories: i
Name: Dr.Sawn Hadi Type of construction: VA-Sprinkled
Address: 10115 SW Nimbus Suites 200&250 Occupancy groups:
City/State/ZIP: Tigard,OR 97223 Existing: B
Phone: ( ) Fax:( ) New: B
(l APPLICANT ❑ CONTACT PERSON BUILDING PERMIT FEES*
Business name: Obsidian Design,LLC (Please refer to fee schedule)
Structural plan review fee(or deposit):
Contact name: Chelsea Rodgers
FLS plan review fee(if applicable):
Address: 5921 SE Cedar St.
Total fees due upon application:
City/State/ZIP: Milwaukie,OR 97222
Phone:(503 )579-3657 I Fax::( )
Amount received:
E-mail: obsidiandesi m a R PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
b pdxC6nail.com
CONTRACTOR Commercial and residential prescriptive installation of
roof-top mounted PhotoVoltaic Solar Panel System.
Business name: BnK Construction,Inc. Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
Address: 45 82nd Dr.. Solar Installation Specialty Code checklist.
City/State/ZIP: Gladstone,OR 97027 Permit fee(includes plan review $180.00
and administrative fees):
Phone:( 503 ) 808-0729 Fax:( )
State surcharge(12%of permit fee): $21.60
CCB Lic.: 0107555 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.
* Fee methodology set by Tri-County Building Industry
Print name: Chelsea ers Date: 09/01/22
Service Board.
I:113uildingTermits\ _COM_PermitApp.doe Rev.04/21/2014 440-4613T(l1/02/COM/WEB)
City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT
1.1111 t 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.gov
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-Eve percent(25%).
VALUATION: Total of all renovation,alteration or modification being done,
excluding painting and wallpapering: [I] $ 332,148
MULTIPLIER(25%barrier removal requirement): x .25
TOTAL BUDGET FOR BARRIER REMOVAL: [2] $ 83,037
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 $
(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: $
TOTAL(shall equal line [2] of Valuation Computation): $
I:\Building\Permits\BUP_COM_PemritApp.doc Rev.03/05/2019
City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT
_ " Plan Submittal Requirements
Commercial & Multi-Family - New, Additions or Alterations
TIGARD 13125 SW Hall Blvd. •Tigard, Oregon 97223 • 503.718.2439 • www.tinard-or.gov
1. SITE PLAN (3) copies - fully dimensional,drawn to scale and labeled with:
A. ❑ map&tax lot# ❑ project name ❑ site address ❑ suite number
0 zoning ❑ applicant name ❑ phone number
B. North arrow.
C. Scale (architectural or engineering only).
D. Street names.
E. Setbacks.
F. Parking,including disabled access.
G. Finished floor elevations.
2. EROSION CONTROL PLANS AND DETAILS.
3. BUILDING PLANS: See the "Plan Submittal Requirement Matrix" for the number of
plans required based on submittal type (no redlines or tape-ons accepted).
All details listed below shall be incorporated into the plans:
A. Scale (architectural or engineering only).
B. Foundation plan.
C. Floor plan(s).
D. Cross sections.
E. Reflective ceiling plan.
F. Seismic bracing detail for suspended ceiling.
G. Roof plan.
H. Exterior elevations.
I. Structural calculations, plans,details and specifications.
J. Accessibility barrier removal worksheet.
K. Deposit- based on valuation of project.
I:\Building\Permits\BUP_COM_PennhApp.doc Rev.03/05/2019
MICity of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT
Plan Submittal Requirements Matrix
Commercial & Multi-Family - New, Additions or Alterations
TIGARD 13125 SW Hall Blvd. • Tigard, Oregon 97223 •503.718.2439 • www.tieard-or.gov
Type of Submittal # of Plans
(Includes new, additions and alterations.) Required at
Submittal
Demolition Permit 2
(site plan is required showing location and square footage
of all buildings to be demolished,erosion control plan and
tree protection,if applicable)
Site Work 3
(must include location of all accessible parking)
Plumbing(site utilities) 2
Building 3
Fire Protection System 3
Mechanical 2
Plumbing (building fixtures) 2
Electrical 2
Solar Photovoltaic 2
(Requires check list for prescriptive installation. If not
prescriptive installation,engineering is required.)
Plan review is dependent upon submittal of a completed application and plans.
After plan review approval, the Plans Examiner will contact the applicant to request
additional sets of plans for distribution purposes (for contractor,City of Tigard,Washington
County, and Tualatin Valley Fire&Rescue),if applicable.
I:\Building\Permits\BUP_COM_PerrnitApp.doc Rev.03/05/2019
ct r Y` tilitMlik --n, Office 6/{,1 clinic)111 -
City of Tigard
a COMMUNITY DEVELOPMENT DEPARTMENT
TIGARD Building Permit Review — Commercial - No Land Use
Building Permit #: e ,,,_._.U,,,r,„'
Site Address: (OS PPAI VVI Ith/S Suite/Bldg#: 7-0°
Project Name: Di. SGl Wv\ 'c{o(&l Vet-weary
(Name of commercial business occupying the space.'If vacant,enter Spec Space.)
Planning Review
Proposal: 4.6mtvik vorvavyint
A.
Existing Business Activity: N~~Of ffiket144110e4 �i ac )
Proposed Business Activity: 'Mte14a1 I erke C Jai
Verify site address/suite#exists and active in permit system.
❑ River Terrace Neighborhood: ❑ Yes zr No
Zoning: Mom-2
Permitted Use: . r Yes ❑ No 0 Spec Space
k7 Confirm no land use required.
Business License:
Exists: 0 Yes 'No,
`appliicantt was provided a business license application
Notes: �1(c ill) MMD fLI v�Y VII Akte Al 1fie Ua WW1 towerrivioveM.
Approved by Planning: Date: 47/ /2 7--
Revisions (after Building Submittal only) Reviewer Date
Revision 1: 0 Approved ❑ Not Approved
Revision 2: 0 Approved 0 Not Approved
Revision 3: ❑ Approved ❑ Not Approved
Building Permit Submittal
Original Submittal Date: ,-
Site Plans: #
Building Plans: #
Building Permit#: Wi,� �nter building permit#above. � �
Workflow Routing: Sd�P anning ❑ Permit Coordinator I(XBuilding
Workflow Sign-off:
� �gn-�off for Planning(include notes from planning review)
Route Application Documents: LBttilding: original permit application, site plans,building plans,engineer and
beam calculations and trust details,if applicable,etc.
Notes:
By Permit Technician: Date: / 901,
I:1Building Worms\BldgPermitRvw_COM_NoLandUse 11I819.docx
Permit Coordinator Review
❑ Conditions " e ' .rior to issuance of building permit
El Approved,NOT Re -sed: Date:
Notes:
Revisions (after Building Submittal only)
Revision Notice 1: Date Sent to ' ph ..t:
Revision Notice 2: Date S- to Applicant:
Revision Notice 3: P; e Sent to Applicant:
❑ SDC Fees Entered. Wash Co Trans Dev Tax: ❑ Ye ❑ N/A
Tigard Trans SDC: El Yes N/A
Parks SDC: ❑ Yes ❑
❑ 0 to Issue Permit
Approved by Permit Coordinator: Date:
Gt ce . 3 .01
1:\Building Worms\BldgPermitRvw_COM NoLandUse_l 11819.docx