Permit CITY OF TIGARD BUILDING PERMIT
1,
COMMUNITY DEVELOPMENT Permit #: BUP2010 -00286
T E G AR D 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 01/18/2011
Parcel: 1 S134AD06200
Jurisdiction: Tigard
Site address: 10565 SW NIMBUS AVE 100
Project: TSE Subdivision: Lot: 0
Project Description: TI (27,394 sqft)
Contractor: PERLO CONSTRUCTION LLC Owner: ROBINSON, CONSTANCE A &
7190 SW SANDBURG ST ROBINSON, LYNN ET AL
PORTLAND, OR 97223 BY KG INVESTMENT MGMT
10240 SW NIMBUS AVE #L3
PORTLAND, OR 97223
PHONE: 503 - 624 -2090 PHONE:
FAX:
FEES
Specifics: Description Date Amount
Type of Use: SF Permit Fee - Additions, Alterations, 12/30/2010 $2,917.95
Class of Work: ALT Demolition
Dwelling Units: 0 12% State Surcharge - Building 12/30/2010 $350.15
Stories: 1 Height: 0 ft Plan Review 12/30/2010 $1,896.67
Bedrooms: 0 Bathrooms: 0 Plan Review- Fire Life Safety 12/30/2010 $1,167.18
Value: $400,000 Metro Const. Excise Tax - Commercial 12/30/2010 $480.00
Use
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $6,811.95
Required: Required Items and Reports (Conditions)
Fire Sprinkler: Yes Parapet:
Fire Alarm: Yes 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 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: Permittee Signature: 4 p ��l
Call 503.639.4175 by 7:00 a.m. for the next available inspection da 1
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
A t 6 141
Commercial RECEIVED FOR OFFICE USE ONLY
r
City of Tigard DEC 0 7010 Received
DateB :. /%Z o�) (O _/ Permit No.: ./ / No -rte. • .
13125 SW Hall Blvd., Tigard, OR 97223 Plan Review ► .
'
C ' Phone: 503.718.2439 Fax: 503.598.19 DateB /
: i1 �Qr ( other Permit:
OF TIG
Inspection Line: 503.639.4175 AR D Date Re ..y . i Juris: H See Page 2 for
' ' ` " "t ° BUILDING DIVISION _ g g l PP 1
Internet: www.tigard-or.gov N otified/Me •d• � I / . l
�/ 4 1 1 4 ' 3/ � Su lemenfallntormatioo
TYPE OF WORK t IRED DATA: 1- AN - FAMILY DWELLING
❑ New construction El 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.
dwelling Valuation: S
❑ l- and 2-family g ❑ CommerciaUindustrial
❑ 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: to 565 51.0 N 144150s. r C, 1•`) /00 New dwelling area: square feet
City/State /ZIP: 11 C k IJ J Of Cr/ zZ3 Garage /carport area: square feet
Suite/bldg. /apt. no.: Project name: 1St 1 "1./N3C. . Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
Other structure area: square feet
REQUIRED DATA: COMMERCIAL -USE CHECKLIST
Subdivision: I Lot no.: Permit fees' are based on the value of the work performed.
Indicate the value (rounded to the nearest dollar) of all
Tax map /parcel no.: equipment, materials, labor, overhead, and the profit for the
DESCRIPTION OF WORK work indicated on this application.
Valuation: $ '4120, Co 0
1i cn)a+° T ! IN/NW o v Give e—rv7— � t X 9 1 47
Existing building area: square feet
T New building area: 27 1 ' ,s feet
❑ PROPERTY OWNER n,� ❑ TENANT Number of stories: I
Name: T 0 rt eJ S UB r 1-1--C_ J /LA/ t.) co 1 Type of construction: 35.
Address: $01 & )) Ave Occupancy groups:
City/State /ZIP: b E S M o t i t s ' A Existing:
Phone: ((2) 5 g " 99 g Fax: ( ) New:
❑ APPLICANT ❑ CONTACT PERSON NOTICE
Business name: 146 ) ,0vES-rtyv MkNpCr 6 L LC _ All contractors and subcontractors are required to be
Contact name: t/� (-,�- L V licensed with the Oregon Construction Contractors Board
F— ` ,� under ORS 701 and may be required to be licensed in the
Address: /62,4() St N m
tpuS _ J Su L.- 3 jurisdiction in which work is being performed. If the
City/State /ZIP: .. "2,0 cot ail -L23 applicant is exempt from licensing, the following reasons
apply:
Phone: (5 S4e .1 '7'to I Fax: :(c03) SR8•' eng2
E-mail: 401-tta■®V1 I A V CS�'N 614/1 C�
V1 CONTRACTOR el,
Business name: 6 •;%=' :.% ec9e7 2)F-I I 4_12.1.40 lib l� U-1 oft) 14LC_ BUILDING PERMIT FEES*
(Please refer to fee schedule)
Address: 71 ? c C µ) f},,tr) Pa(,I 'Leo Structural plan review fee (or deposit):
City/State /ZIP: po 2 Lis is. ) - r 02 q 7� 3
Phone: (5b5) (, `fie `� f 0 I Fax: ( ) FLS plan review fee (if applicable):
CCB lic.: t $q !pq Total fees due upon application:
) Amount received: t V.9:5
/ f . ( �
if & Authorized signature: K �, s /' A�j� This permit application expires if a permit is not obtained
V"'^' _ within 180 days after it has been accepted as complete.
Print name: V y / (,E L ' P, � Date: i 2.1 '30' i 0 * Fee methodology set by Tr -County Building Ind
7 Service Board. Al \Building\Permits\BUP -COM PermitApp.doc 09/09/10 440 -4613T(11 /02/COM/WEB) 1r f /I J i .t.:
I N : .
° Building Division
Accessibility: Barrier Removal Improvement Plan
TIGARD
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: $
(0 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 PermitApp.doc 06/25/08
I.
Building Division
Plan Submittal Requirements
T G n R D Commercial &.Multi-Family - New, Additions or Alterations
•
1. SITE PLAN (fully dimensional, drawn to scale) labeled with:
A. ❑ map & tax lot # ❑ project name ❑- site address ❑ suite number
❑ 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.
4. EXTRA: SET OF THE FOLLOWING:
A. Two (2) copies of site plan to include vicinity map.
B. One (1) copy of erosion control plan with details.
C. Fire Department Building Survey, and full set of architecture drawings.
I: \Building \Permits \BUP -COM PemutApp.doc 06/25/08
a .
° Building Division
Plan Submittal Requirement Matrix
T G A R D Commercial & Multi- Family - New, Additions or Alterations
Type of Submittal # of Plans
(Includes new, additions and alterations.) Required at
Submittal
Demolition Permit 2
(site plan required showing location and square
footage of all buildings to be demolished)
Site Work 2
(must include location of all accessible parking)
Plumbing (site utilities) 2
Building 2
Fire Protection System 2
Mechanical 2
Plumbing (building fixtures) 2
Electrical 2
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)
I: \Building \Permits \BUP -COM PermitApp.doc 06/25/08