Permit CITY OF TIGARD BUILDING PERMIT
COMMUNITY DEVELOPMENT Permit #: BUP2010 -00180
TE Cart RD 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 08/05/2010
Parcel: 1 S 134AA01800
Jurisdiction: Tigard
Site address: 10180 SW NIMBUS AVE J3
Subdivision: SCHOLLS BUSINESS CENTER Lot: 0
Project: EID PASSPORT
Project Description: TI
Owner: FEES
ROBINSON, CONSTANCE A & Description Date Amount
ROBINSON, LYNN ET AL, BY KG INVESTMENT Permit Fee - Additions, Alterations, 08/05/2010 $564.15
MGMT, 10240 SW NIMBUS AVE #L3 Demolition
PHONE: 12% State Surcharge - Building 08/05/2010 $67.70
Plan Review 08/05/2010 $366.70
Plan Review - Fire Life Safety 08/05/2010 $225.66
Contractor:
GUILD CONSTRUCTION INC
PO BOX 674
BEAVERTON, OR 97075
PHONE: 503 - 957 -1173
FAX: 503 -291 -1532
Specifics:
Type of Use: COM
Class of Work: ALT
Dwelling Units: 0
Stories: 1 Height: 0 ft
Bedrooms: 0 Bathrooms: 0
Value: $35,000
Floor Areas: •
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $1,224.21
Required: Required Items and Reports (Conditions)
Fire Sprinkler: No Parapet:
Fire Alarm: No Protected Corridors: No
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 rul le Oregon Utility Notification Center. Those rules are set forth in OAR
952 - 001 -0010 throu• I • R 952 - 001 -0100. ou m =•y - - or direct questions to OUNC by calling 513.246.6699 or 1.800.332.2344.
Issued By� Permittee Signatur- / �`_
.539.4175 by 7:00 a.m. for an inspection at busines day.
This permit card shall be kept In a conspicuous place on the job s e until co ' pletion of the project.
Approved plans are required on the job site at the time • f each • spection.
Building Permit Application
Commercial ` 1 (>12 0l I icE, Util: ()NIA 1
a ,, Received
UPI City of Tigard f �, Dat JU Permit No.:
13125 SW Hall Blvd., Tigard, OR 97223 1� . c ,Q Plan Review ► V,/ 10 Vie
Phone: 503.639.4171 Fax: 503.598.19.'1 G J V DateB : _ Juris +� ��� 5 t o Other Permit:
Inspection Line: 503.639.4175 O p Date Ready Ty: : ® See Page 2 for
f I Civ� R l) `t �f Notified/Meth 1J Su
Internet: www.tigard -or.gov � ' P 1 Supplemental Information
TYPE OF WOR C3 �� t ° ��� \ ��� ®
K . 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 CONDUCTION work indicated on this application.
❑ 1- and 2- family dwelling Co mmercial/industrial Valuation: $
❑ 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: /0/ BO v !f ff A4 , vJ'71�,117z1--- New dwelling area: square feet
City /State /ZIP: 47' ,io 04. 97 3 Garage /carport area: square feet
J
Suite/bldg. /apt. ' : 3 , i tag- Project name: Ejd,_5 Covered porch area: square feet
Cross street/dir. ions t • ob site:r / 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.
/� /' 476e/o 4i7 -57/ , �o.lG- ,DeA/0 �� Valuation: S '� BDO. B Q
/v#KU AAA/ - �;CV7U6C.i94- , � " • Existing building area: square feet
New building area: square feet
• PROPERTY OWNER ❑ TENANT Number of stories:
Name: ,, ' . Type of construction:
Address: / hch/es
0 2 40 c94/ 4kt,rds Auer ,.....5,,,, 43 Occupancy groups:
City /State /ZIP: M , , , q 7 22 3 Existing:
(.5: - 3 -9 � -�-
Phone: ; ,-,,. Fax: ( ) New:
-
❑. APPLICANT ❑ CONTACT PERSON NOTICE
Business name: /./44 All contractors and subcontractors are required to be
Contact name: l t.[f Sj��j licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address: 6,7ZQ 6i(/ /�j .C.404IL/, S jurisdiction in which work is being performed. If the
City /State /ZIP: /004,7 ./ OX , 9 7j9/� applicant is exempt from licensing, the following reasons
apply:
7id Phone: 3 ) L— d Fax:: ( )
E -mail: c j Hi.5 Vo aa, 6mi
CONTRACTOR
Business name: G
�/ / D BUILDING PERMIT FEES *
Address: p a . 3,1)( (i (Please refer to fee schedule
y tl `a AJ 1 OAP:
plan review fee (or deposit):
City/State/ZIP:
FLS plan review fee (if applicable):
Phone: ( 507 95 _// r Fax: ( )
CB lic.: l (l' V Total fees due upon application: ' 4 4 d l
Amount received:
Authorized signatur xa This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: �,� �� vv � Date: 0 - 6 id * Fee methodology set by Tri -County Building Industry
Service Board.
I: \Building\Permits\BUP -COM PermitApp.doc 10/01/09 440- 4613T(11 /02/COM/WEB)
Building Division
. Accessibility: Barrier Removal Improvement Plan
TIGAlzD
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] $
MULTIPLIER (25% barrier removal requirement): x .25
TOTAL BUDGET FOR BARRIER REMOVAL: [2] $
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): $
5 E PLpij
I: \Building \ Permits \B[JP -COM PermitApp.doc 06/25/08
I ° Building Division ..
TIGARD
Over- The - Counter (OTC) Building Permit
Check List
Description of Project: 1 1 •
GENERAL. INFORMATION
Class of Work:* A Fl Areas (sq. ft.): Exterior Wall Construction:
Type of Use:* e First floor: N: S:
Type of Construction: Second floor: E: W:
r Occupancy Group: Third floor: Openings Protected Y /N ?:
Occupancy Load: Total sq ft.: N: S:
Stories: Note: Combine total floor area for E: E:
Height: _ all floors above third floor and Roof Construction: _
Floor Load: add to the third floor s . ft. Fire Retardant:
Basement: Basement Area Separation Rated:
Mezzanine: Garage: • Occu. Separation Rated:
REQUIRED ITEMS
Fire sprinkler: P Handicap access:
Smoke detector: Protected.corridors:
Fire alarm: IV Parking spaces ( #):
Notes:
Total Valuation: $ C ,C
INSPECTIONS FEES DUE
Footing /foundation Firewall $v' (5 Permit Fee
Post /beam structural Smoke detector $ ,.`7.70 State Surcharge
Shear wall Misc. inspection $ „ l Plan Review Fee
Masonry Approach /sidewalk $ J, el„,, FLS Plan Review Fee
Framing $ Additional Permit Fee
Insulation Sprinkler rough -in $ Additional Plan Review Fee
Gyp board Fire alarm $ Metro Construction Excise Tax
•
Suspended ceiling Sprinkler final $ School Construction Excise Tax
Final inspection $ Misc. Fee
$ Hourly Rate Fee
$ Hourly Rate State Surcharge
$ Other:
$ Total Fees Due
►a4 �1
*OPTIONS:
TYPE OF USE COM = commercial; CMS = commercial manufactured structure.
CLASS OF WORK ACS = accessory; ADD = addition; ALT = alteration; FND = foundation; DEM = demo; .
FND = foundation; FPS = fire protection system; NEW = new OTR = other (use for fences, decks, retaining walls, signs, awnings
or canopies); REP = repair.
I: \Building \Forms \OTC - BUP.doc 08/19/08