Permit CITY OF TIGARD BUILDING PERMIT
COMMUNITY DEVELOPMENT Permit #: BUP2011 -00236
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 11/10/2011
Parcel: 1 S 134AA01800
Jurisdiction: Tigard
Site address: 10110 SW NIMBUS AVE B1
Project: People Growers Subdivision: IKOLL BUSINESS CENTER, TIGARD Lot: 2
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
203604 EAST FINLEY RD
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 11/10/2011 $64.00
Class of Work: ALT DC Provision Review, COM TI - LRP 11/10/2011 $9.00
Dwelling Units: 0 Permit Fee - Additions, Alterations, 11/10/2011 $195.38
Stories: 0 Height: 0 ft Demolition
Bedrooms: 0 Bathrooms: 0 12% State Surcharge - Building 11/10/2011 $23.45
Value: $7,240 Plan Review 11/10/2011 $127.00
Plan Review- Fire Life Safety 11/10/2011 $78.15
Info Process /Archiving - Sm Sheet (up to 11/10/2011 $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 $498.48
Required: Required Items and Reports (Conditions)
Fire Sprinkler: Parapet:
Fire Alarm: Protected Corridors:
Smoke Detectors: Manual Pull Stations:
Accessible Parking: 0
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will
be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180
days. ATTENTION. Oregon law requires you to follow to - - - . • • • • • the Oregon Utility Notification Center. Those rules are set forth in OAR
952- 001 -0010 through OAR 952 - 001 -0090. You may obtain a o•y of the rules or direct qu- tions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By — Permittee Signature:
C... by 7:00 a.m. for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Building Permit Application
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-, 01 ` r °� � FOR OFFICE USE ONLY
C oiiihrerc><al � \ City of Tigard
5� Received Permit No.: 1
. ® �� Date /B : � q �I 0 Jo_ r,
1 3125 SW Hall Blvd., Tigard, 01V9722 A �;i r`� Plan Dac ReB view
Other Permit:
' 1 ,.::' Phone: 503.718.2434 Fax: 503.59$`1960 A �,� ; C� e / : ��r���
� s � � Date Read /1 121
See Page 2 for
TIGARD Inspection Line: 503.639 f� `.'� Ready /i7:
Internet: www.tigard- or.gov Notified/Method: ► Supplemental Information
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❑ 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
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=- � . _ CATEGOR,- &,a`.CONSTRUCTION ,•''
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� - ^ - � : _ Valuation: $
❑ 1- and 2- family dwelling ® Commercial /industrial
❑ Accessory building
❑ Multi- family Number of bedrooms:
❑ Master builder ❑ Other: Number of bathrooms:
TI_.,, N. A` .: 1-# TION :.4 ° ° ' I' Total number of floors:
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Job site address: 10110 SW Nimbus New dwelling area: square feet
City /State /ZIP: Portland, Oregon 97223 Garage /carport area: square feet
Suite/bldg. /apt. no.: B -1 Project name: People Growers Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
Other structure area: square feet
REQUIRED DATA GOMMER"CIA USE CIIECKI 1ST
Subdivision: 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
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: :r 'w ; work indicated o lication
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New F r Valuation: $7,240.00
wall/door/ ADA accessable cabinet
Existing building area: square feet
New building area: square feet
� � � � " °�' - «.fro :.TENANT.R ' `; v< Number of stories: I
®,:PROPERTY. (1WNER.r;- . 0 ..„ ' =
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Name: Robertson Constance A. + /co KG Investment Mgt. Type of construction:
Address: 10240 SW Nimbus suite L -3 Occupancy groups:
City /State /ZIP: Portland Oregon 97223 Existing:
Phone: (503)598 -9980 Fax: (503)598 -9982 New:
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Business name: Guild Inc. - Structural plan review fee (or deposit):
Contact name: Kevin Koser
FLS plan review fee (if applicable):
Address: PO Box 674
Total fees due upon application:
City /State /ZIP: Beaverton Or, 97075 -0674
Amount received:
Phone: (503) 957 -1180 Fax:: (503) 291 -1532 .aa,� arx >y: ;,::: >.,..' -: k • •..; >•,r,,,.
^` =' 'PHOTO OL;TAIC SOLAR PANEL SYSTEM FEES, ,
E -mail: koserkm @yahoo.com
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Commercial and residential prescriptive installation o
`sw ^s " M— ° (CONTRAC , .: 4 , A : :,r , : roof -top mounted Photovoltaic Solar Panel System.
Business name: Guild Inc. Submit two (2) sets of roof plan with connection details
and fire department access, along with the 2010 Oregon
Address: PO Box 674 Solar Installation Specialty Code checklist.
Permit fee (includes plan review $180.00
City /State /ZIP: Beaverton Or, 97075-0674 and administrative fees):
Phone: (503) 957 -1180 Fax: (503) 291 -1532 State surcharge (12% of permit fee): $21.60
CCB lic.: 109116 Total fee due upon application: $201.60
Authorized signature: This permit application expires if a permit is not obtained
g within 180 days after it has been accepted as complete.
* Fee methodology set by Tri- County Building Industry
Print name: Kevin Koser Date:
Service Board.
I: \Building \Permits \BUP -COM PermitApp.doc 02/24/2011 440- 4613T(11 /02 /COM /WEB)
Ph
Building Division
Development Code Provision Review
TIGARD Commercial Projects - No Associated Land Use Case
Building Permit No: QU PA I I -- ced-3te ❑ Expedited Review
Plan Submittal Date:
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,; /S/" / at 503 -718 - 2 V3' or @ ti or.
❑ Zoning Permitted Use Yes '`q No ❑
❑ Land Use Required: Yes ❑ No (explain below)
Notes: R1/ /II ✓t,e 7 — wo /tyw ,— ,
proved ❑ Not Approved Date: / r/0 -/(
Permit Coordinator Review (contact Albert Shields at 503 - 718 -2426 or albert @tigard - or.gov)
Notes:
Routed back to Building Division Date:
I: \CURPLN
Building Division
Over- The - Counter (OTC) Building Permit
TIGARD Check List
Project Description: I
APPLICATION SPECIFIC INFORMATION
GENERAL INFORMATION
*Class of Work: L Occupancy Group: Tpe of Construction:
*T •e of Use: Occusane Load: Oregon S.ecial Code: 20
SPECIFICS
Number of Stories: 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: Fire Alarms: Smoke Detectors:
Parapet: Manual Pull Stations: Protected Corridors:
Total Project Valuation: $ 72- rCC FEES DUE
$ lk; DC Prov Rvw, COM TI — Ping
$ DC Prov Rvw, COM TI — LRP
DC Provision Review Fee for COM TI $ ctrj", 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 $ , ( 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 $ , f 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:
$ Other:
Building Staff: $ Other:
Date /Time: $ 44 TOTAL FEES DUE
*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.docx 01/13/2011