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Permit
CITY OF TIGARD BUILDING PERMIT COMMUNITY DEVELOPMENT Permit#: BUP2014-00188 T E( ARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 08/07/2014 Parcel: 1S 134AA01800 Jurisdiction: Tigard Site address: 10240 SW NIMBUS AVE L9B Project: Smith&Nephew Subdivision: IKOLL BUSINESS CENTER,TIGARD Lot: 2 Project Description: Demo one wall,new barsink&cabinet. Rebuild suspended ceiling. 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: 503-598-9980 FAX: 503-291-1532 Specifics: FEES Description Date Amount Type of Use: COM Class of Work: ALT Type of Const: IIIB DC Provision Review,COM TI-Ping 08/07/2014 $75.00 Occupancy Grp: B Occupancy Load: 22 DC Provision Review,COM TI-LRP 08/07/2014 $11.00 Permit Fee-Additions,Alterations, 08/07/2014 $271.43 Dwelling Units: 0 Demolition Stories: 1 Height: 0 ft 12%State Surcharge-Building 08/07/2014 $32.57 Bedrooms: 0 Bathrooms: 0 Plan Review 08/07/2014 $176.43 Value: $12,602 Plan Review-Fire Life Safety 08/07/2014 $108.57 Info Process/Archiving-Sm$0.50(up to 08/07/2014 $2.00 11x17) Floor Areas: Total Area: 0 Accessory Struct: 0 Basement: 0 Carport: 0 Covered Porch: 0 Deck: 0 Garage: 0 Mezzanine: 0 Total $677.00 Required: Required Items and Reports(Conditions) Fire Sprinkler: No Parapet: Fire Alarm: No 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. on law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952- 1-0010 through OAR -001-•••.. ou may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. sued By: l� • / Permittee Signature: �1 Call 503.539.4175 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. City of Tigard 114 ■ COMMUNITY DEVELOPMENT DEPARTMENT TI G n K D Building Permit Review — Commercial - No Land Use Building Permit #: —73 LA.. a-D 1 Site Address: ,/ c24 J /0„4.s Suite/Bldg#: Project Name: (Name of commercial business occupying the space. If vacant,enter Spec Space.) Planning Review Proposal: /tih04/ Q ! et/4`// he( , Icis /ç Existing Business Activity: �%Gl<<C Proposed Business Activity: 0614 ❑ Verify site address/suite #exists and active in permit system. ❑ Zoning: R ❑ Permitted Use: ❑ Yes ❑ No ❑ Spec Space ❑ Confirm no land use required. ,,( Notes: J4 Oh&r3e /h WC car" r,y Approved by Planning: /r, / Date: , / - - Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: Cl Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved Building Permit Submitt Original Submittal Date: p 7// 41 Site Plans: # Building Plans: # 'j Building Permit#: enter building permit#above. Workflow Routing: 0-41-arming ❑ te a or Building Workflow Sign-off: Sign-off for Planning(include notes from planning review) Route Application Documents: uilding: original permit application, site plans,building plans,engineer and beam calculations and trust details,if applicable,etc. Notes: By Permit Technician: dIS !./i' t . . s, i Date: A l:\B uilding\Forms\B1dgPermitRvw_COM_NoLandUse_071514.docx Permit Coordinato Review El Conditions Met-Prior to Issu. •ce of Building Permit Notes: Revisions (after Building Submittal only) Revision Notice 1: Date Sent to Applican • Revision Notice 2: Date Sent to Ap.: ant: Revision Notice 3: Date Sent t• pplicant: El OK to Issue Permit Approved by Permit Coordinator: I ate: 1:\Bui I din g\Forms\B IdgPermitRvw_COM_NoL and Use_071514.docx Building Permit Application Commercial RECEIVE!) Ft,RO11 l(,: I •l 0vl,1 1,1 City of Tigard Re Datce ived eB : �f 1 Permit No.: ,P`_ ` .•1 - v 13125 SW Hall Blvd.,Tigard,OR 9N TA 2014 Plan Review C,6 �y Phone: 503.718.2439 Fax: 503.598.1 0 DateB : X/2311 Other Permit: Inspection Line: 503.639.4175 Date Ready/By: Juris H See Page 2 for TIGARD Internet: www.tigard-or.gov CITY OF TIGARD Notified/Method: Ord/L( Supplemental Information BUILDING DIVISION TYPE OF WORK REQUIRED DATA:I-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 IN Addition/alteration/replacement ❑Other: equipment,materials,labor,overhead,and the profit for the CATEGORY OF CONSTRUCTION work indicated on this application. Valuation: $ / O �• 6D ❑ 1-and 2-family dwelling Ai Commercial/industrial I ❑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: /pig /V/ �jl,( S New dwelling area: square feet City/State/ZIP: Pp p)/ i k- tog__ q ,7 Z Garage/carport area: square feet Suite/bldg./apt.no.:L dtbJL J v Project name:✓j4,, ,I 11 .1�t�7/'I qj 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. 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: $ eut0 ti IA)(cjf rttr,,,; bar5lyk- 0- t abe {-t c b 11 1 of 5 u e, e oiled G t/I/-,) Existing building area: /y1 D9/ square feet New building area: / 'fi;1 square feet pit PROPERTY OWNER ❑ TENANT Number of stories: / / Name:Rhivi3 -1 C©rl siet vicC. 6r u4.4 pie rt.f J A Type of construction: /1 113 Address: p Z y.o S f V)).44U e. Si Sl /7 G L- 3 Occupancy groups: 6 City/State/ZIP: Po I„f lu'4 el OIL I ,Z. Z3 Existing: Phone:(5D3) 5 c 6,_lc/7 1) Fax:(5113) 6--q ff-y4y 9 Z New: ❑ APPLICANT •[ CONTACT PERSON BUILDING PERMIT FEES* (Please refer to fee schedule) Business name: jj Cl 1 id VW-- Structural plan review fee(or deposit): Contact name:rt J j ti X49_„hC Y FLS plan review fee(if applicable): Address: PD. 13 c x b 7 9 ` Si Total fees due upon application: e City/State/ZIP: ge_x 0 ,,lpl.t pit 170,75--O 7 ` Amount received: Phone:( C n3 q j 7 _J ) c` Fax::cy,) 4 `f' -/5 3 7---- f, PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES* E-mail: kt9S e e k,1.1 is- et I-1 co• G.D f'z7 Commercial and residential prescriptive installation of / CONTRACTOR roof-top mounted PhotoVoltaic Solar Panel System. Business name: I . H C---, Submit two(2)sets of roof plan with connection details and fire department access,along with the 2010 Oregon / Address: 0 0/C t 7 LI Solar Installation Specialty Code checklist. City/State/ZIP: /�c a t,C v i� OIL / ?i 7.5-- D 6 7 y Permit fee(includes plan review $180.00 (� and administrative fees Phone:(5 b31 y 5-7--/1 i7 D Fax:(303) Z'f H5 3 "Z. State surcharge(12%of permit fee): $21.60 CCB lie.: log//6. Total fee due upon application: $201.60 Authorized signature This permit application expires if a permit is not obtained : - --7...,.-1-4-z_..- within 180 days after it has been accepted as complete. Print name: j� �/ * Fee methodology set by Tri-County Building Industry /��11 l Li IC DSV Date: �— �_—/ ` Service Board. I:\Building\Permits\BUP-COM PermitApp.doc 02/24/2011 440-4613T(1 I/02/COM/WEB) Building Division Over-The-Counter (OTC) Building Permit I `' i' Check List Project Description: APPLICATION SPECIFIC INFORMATION GENERAL INFORMATION Class of Work*: Arl----''-- Occupancy Group: Type of Construction: (I (6 Type of Use**: C0 pal Occupancy Load: 2 2_ Oregon Specialty Code: 2 0/Q SPECIFICS Number of Stories: Buildin: Hei:ht: Mixed Use: Number of Dw Units: Number of Bathrooms: Number of Bedrooms: BUILDING SQ FT-SCHOOL CET OTHER SQUARE FOOTAGES Story Square Footage: Access() Structure: Covered Porch: Basement: Gara•e: Deck: Total Square Footage: 1 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 � l Fire Sprinklers: /( 0 Fire Alarms: © Smoke Detectors: Sprinkler Type: Alarm Type: Protected Corridors: Standpipe Required: Pull Stations Required: Parapet: Hazard Group: Battery Calcs Provided: Density: Cut Sheets Provided: Design Area: K Factor: Total Project Valu.tion: $ p l `p Q I FEES DUE 1 $ DC Prov Rvw,COM TI—Ping $ DC Prov Rvw,COM TI—LRP DC Provision Review Fee for COM TI(effective 7/1/2014) $ Permit Fee—Add,Alt,Demo Project Valuation Planning LRP $ 12%State Surcharge Up to$4,999 $0.00 $0.00 $ Plan Review,Structural $5,000-$74,999 $75.00 $11.00 $ Plan Review,Fire Life Safety $75,000-$149,999 $187.00 $28.00 $ Info Proc/Arch,Lg(over 11x17$2.00) $150,000 and over $299.00 $44.00 $ Info Proc/Arch,Sm(up to 11x17$0.50) $ Metro Construction Excise Tax r $ School Construction Excise Tax I $ Hourly Rate Fee $ Hourly Rate State Surcharge $ Misc.Admin Fee $ Other: $ Other: Building Staff: $ Other: Date/Time: $ TOTAL FEES DUE ji *TYPE OF USE: COM=commercial;CMS=commercial manufactu structure. **CLASS OF WORK ACS=accessory;ADD=addition;ADU=accessory we ng unit;ALT=alteration;DEM=demo;NEW=new; O1R=other(use for fences,decks,retaining walls,signs,awnings or canopies). I:\Bui]ding\Forms\OTC_BUP_070114.docx Location: Record Type: Inspection Type: Result: Comments: Inspection Date: Record ID: Inspector: City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 10240 SW NIMBUS AVE L9B, TIGARD, OR, 97223 Commercial - Building 299 Final inspection PASS - C of O September 4, 2014 at 10:53:48 AM BUP2014-00188 Chip Barnett Violation Summary: Inspector Contractor