Permit CITY OF TIGARD BUILDING PERMIT
11111 $ COM MUNITY DEVELOPMENT Per #: BUP2011 00110
13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 06/07/2011
TIGARD Parcel: 1 S 134AA01800
Jurisdiction: Tigard
Site address: 10120 SW NIMBUS AVE C5A
Project: Aero Hair Studio Subdivision: SCHOLLS BUSINESS CENTER Lot:
Project Description: TI
Contractor: GUILD CONSTRUCTION INC Owner: HANSON, RONALD D
PO BOX 674 ROBINSON, CONSTANCE A
BEAVERTON, OR 97075 ROBINSON, CHESTER TRUST ET AL
KENNEWICK, WA 99331
PHONE: 503 - 957 -1173 PHONE:
FAX: 503 - 291 -1532
FEES
Specifics: Description Date Amount
Type of Use: COM DC Provision Review, COM TI - Ping 06/07/2011 $64.00
Class of Work: ALT DC Provision Review, COM TI - LRP 06/07/2011 $9.00
Dwelling Units: 0 Permit Fee - Additions, Alterations, 06/07/2011 $180.17
Stories: 0 Height: 0 ft Demolition
Bedrooms: 0 Bathrooms: 0 12% State Surcharge - Building 06/07/2011 $21.62
Value: $6,558 Plan Review 06/07/2011 $117.11
Plan Review - Fire Life Safety 06/07/2011 $72.07
Info Process /Archiving - Sm Sheet (up to 06/07/2011 $1.50
Floor Areas: 11x17)
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $465.47
Required: Required Items and Reports (Conditions)
Fire Sprinkler: No 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 -001 • • ug • - • 2- 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 a y: # � � Permittee Signature: ,t"
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 Applicac>�g
Commercial jj � FOR OFFICE USE ONLY
City of Recei.ed ! 41111P7' /
`J f Tigard JUN 7 2011 7 Permit No.: �1�1'l�
51 ii
Datei Bv.
1
or
3125 SW Hall Blvd.. Tigard. OR 97223 Plan Re.i
m Phone: 503.718.2439 Fax: ;0 011 1 VF TIGARD I ~' _� Other Permit.
D /Bv: �� "/�
TIGARD Inspection Line: 503.639.4175._ UILDING DIVISION Date Ready ty: Jails 0 See Page 2for
Internet: WWW.tigard- or.gov Notified /Method: Supplemental Information
TYPE OF WORK REQUIRED DATA: 1- AND 2- FAMILY DWELLING
Permit fees* are based on the value of the work performed.
ill New construction El Demolition
Indicate the value (rounded to the nearest dollar) of all
IN(Addition/alteration/replacement ❑ Other: equipment, materials. labor, overhead. and the profit for the
CATEGORY' OF CONSTRUCTION work indicated on this application.
El 1- and 2- family dwelling Commercial /industrial
Valuation: $
❑ Accessory building
❑ Multi - family Number of bedrooms:
❑ Master builder ❑ Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
lob site address: / 01z9 S ;ref bum A 5 ' -GS New dwelling area: square feet
City /State /ZIP: r17 �1 1 a � q--22.-z.,,, /° Garage /carport area: square feet
Suite /bldg./apt. no.: Project name: f 2 5 CD 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: 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. / /l
*I —,. a i #1 r, / of ' z , Valuation: $ ' " +
5 1 i , ' Existing building area: square feet
New building area: square feet
PROPERTY OWNER j ❑ TENANT Number of stories: /
Name: et)+ I l ./91,f$la N.CL. M/ co k Obit )J Type of construction:
Address: 02,t10 5 HI b 5 5u_ jjG `3 O groups:
City /State /Z_IP: j A 0 cr 7' Z , ay
�/ Existing:
Phone: (,. )) 5 9'- / q t D Fax: ( 5Q3) S-I �i ge- 7 G q
tI � New:
N APPLICANT ❑ CONTACT PERSON BUILDING PERMIT FEES* I
Business name: 6 u ► ` a 1„.,....., (Please refer to fee schedule)
)� Structural plan review fee (or deposit):
Contact name: KIA) L tl, KI96'e�V
Address:
P O 4.f y FLS plan review fee (if applicable):
City /State /ZI I': I rei OP V T t?i4 ' 7 R 79X- 06 71/ Total fees due upon application:
Phone: (Spy) 9 S7 - ) f 4') I Fax: : (03 1 2-q 1 -lc 3 z., Amount received:
E - mail: PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
CONTRACTOR Commercial and residential prescriptive installation' of
..� roof-top me..ted PhotoVoltaic Solar Panel Sys . • .
Business name: l J u f 1d i,,, Submit two (2) is of roof plan with con ion details
Address: P 0 6 (tf>C (7 and fire departmen : cess, along wi • e 2010 Oregon
Solar Installation Spect v Cod" ecklist.
[. City/State/ZIP: ,i - eito V q707 5 =/'6 7 V Permit fee (includes . sn review $180.00
Phone: (503) -`
(r`` S Z
7 - �I�t/ !� � and admix' trati ees):
I I ax: (5�3 ! �'1'Iti3
CCB lie.: /of //41 �1j (7111' State surcharge -% of permit fe= • $21.60
/ , ll 'Total fee due upon application: N $201.60
Authorized signature � This permit application expires it a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: 7.e,_y ) AceS 2 °1 V Date: r0 — 7— / / * Fee // set by Tri- County Building Industry
Service Board.
I \ Building vPermits\BUP -COM PermitApp.doc 02/24/2011 440- 4613T(I I /02 /COM /WEB)
III _ Building Division
Development Code Provision Review
T I G A R D Commercial Projects - No Associated Land Use Case
n
Building Permit No: u -Polo/ / - 4O //d ❑ Expedited Review
Plan Submittal Date: �unc 7,eloi!
To the Applicant:
➢ If the proposed use is not permitted within the zone, please contact the Building Division to cancel
the permit application. Building Permit Technicians (503) 718 -2439.
➢ If a land use is required and for all other questions, please contact the staff person listed above the
Planning Review section.
Staff: please check items along left only if approved.
Planning Review (contact JaIt•t Rya at 503 - 718 - c)-y0y or j04.1 �/ @tigard- or.gov)
Zoning /ttU5— Z Permitted Use Yes L7 No ❑
❑ Land Use Required: Yes ❑ No (explain below)
Notes: 7 1 - ,6 C has. J e /i 4%036 t/1t
Cd' Approved ❑ Not Approved Date: Jv "c 7 20(/
Permit Coordinator Review (contact Albert Shields at 503- 718 -2426 or albert @tigard- or.gov)
Notes:
Routed back to Building Division Date:
I: \CURPLN
;' B uilding Division
Over- The - Counter (OTC) Building Permit
TIGARD Check List
Project Description: Ti
APPLICATION SPECIFIC INFORMATION
GENERAL INFORMATION
*Class of Work: = Occupancy Group: .V Type of Construction:
*Type of Use: -C'UA Occupancy Load: Oregon Specialty Code: 105
SPECIFICS
Number of Stories: 1 Building Height: Mixed Use:
Number of Dw Units: Number of Bathrooms: Number of Bedrooms:
BUILDING SQ FT - SCHOOL CET OTHER SQUARE FOOTAGES
Story Square Footage: Accessory Structure: Covered Porch: _
Basement: Garage: Deck:
Total Square Footage: Carport: Mezzanine:
SETBACKS
Sideyard Setback — Left Sideyard Setback — Front
Sideyard Setback — Right Sideyard Setback — Back
CONSTRUCTION
Exterior Walls: Openings Protected: Firewall Separation:
N: S: N: S: Occupancy Separation: _
E: W: E: W: Access. Parking Spaces:
REQUIRED ITEMS
Fire Sprinklers: CO Fire Alarms: Smoke Detectors:
Parapet: Manual Pull Stations: Protected Corridors:
Total Project Valuation: $ 0 ✓ 58 FEES DUE
$ j , �^ DC Prov Rvw, COM TI — Ping
$ ' , /a DC Prov Rvw, COM TI — LRP
DC Provision Review Fee for COM TI $ ��liffir Permit Fee — Add, Alt, Demo
Project Valuation Planning LRP $ 12% State Surcharge
Up to $4,999 $0.00 $0.00 $ a Plan Review, Structural
$5,000 - $74,999 $64.00 $9.00 $ PTA Plan Review, Fire Life Safety
$75,000 - $149,999 $160.00 $24.00 $ Info Proc /Arch, Lg (over 11x17 $2.00)
$150,000 and over $256.00 $38.00 $ l ,• Info Proc /Arch, Sm (up to 11x17 $0.50)
$ Metro Construction Excise Tax
$ School Construction Excise Tax
$ Hourly Rate Fee
Planning Staff: $ Hourly Rate State Surcharge
$ Misc. Admin Fee
Permit Coordinator: $ Other:
• ter:
Building Staff: Other:
Date /Time: $ ( V.55,47 TOTAL FEES D. E
*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 \Foams \OTC - BUP.docx 01/13/2011
SCHOLLS
BUSINESS
CENTER
vK
CI TY Q TIGARD
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A PROJECT OF THE PRINCIPAL FINANCIAL GROUP
A FORUM PROPERTY