Permit CITY OF TIGARD BUILDING PERMIT
t: COMMUNITY DEVELOPMENT Permit#: BUP2014-00192
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 08/25/2014
Parcel: 1S 134AA01900
Jurisdiction: Tigard
Site address: 10115 SW NIMBUS AVE 700
Project: JetSet Coffee Subdivision: IKOLL BUSINESS CENTER,TIGARD Lot: B
Project Description: TI for new tenant:demo existing casework,add new case work and non-structural partion wall,and conform
bathroom to ADA compliance.
Contractor: COMMERCIAL CONTRACTORS INC Owner: ROBINSON, CONSTANCE A
1265 SOUTH 35TH PLACE BY KILLIAN PACIFIC LLC
RIDGEFIELD,WA 98642 500 EAST BROADWAY, STE 110
VANCOUVER,WA 98660
PHONE: 503-227-4440 PHONE:
FAX: 503-227-6644
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: Vg Permit Fee-Additions,Alterations, 08/25/2014 $498.03
Occupancy Grp: A-2 Occupancy Load: 42 1 Demolition Stte
12/�State Surcharge-Building 08/25/2014 $59.76
Dwelling Units: 0 Plan Review 08/12/2014 $323.72
Stories: 0 Height: 0 ft Plan Review-Fire Life Safety 08/12/2014 $199.21
Bedrooms: 0 Bathrooms: 0 DC Provision Review,COM TI-Ping 08/25/2014 $75.00
Value: $28,399 DC Provision Review,COM TI-LRP 08/25/2014 $11.00
Info Process/Archiving-Lg$2.00(over 08/25/2014 $8.00
11x17)
Floor Areas:
Total Area: 1186
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $1,174.72
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- :w. Al wo 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 • use' ded g' •e the 180
days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center, T ose ru= are .- fo h in OAR
952-001-0 rough•'- 952-0' '090. You may obtain a copy of the rules or direct questions to OUNC by calling .232. 87 or 1 800.332.2 . r
Iss ed By: 1_ , I` / / Permittee Signature: . i�s
A'Call 503.639.4175 by 7:00 a.m.for the next available Inspection d te.
This permit card shall be kept in a conspicuous place on the job site until completion of: . project.
Approved plans are required on the job site at the time of each inspection.
Building Permit Application RECEIVED
Commercial AUG 12 2014 FOR OFFICE USE ONLY
Received
. City of Tigard Date/B :, / Veil Permit N•t de —OP '
II gm 13125 SW Hall Blvd.,Tigard,OR 97223 ITY OF TIGARD Plan Revie = r t
Phone: 503-718-2439 Fax: 503-598- 1 t� DateB : !Wig T Related Permit:
Inspection Line: 503-639-4175 id ILDING DIVISION ISIOI Date Ready/13y: J�aris 65 See Page 2 for
T I G A R D Noti.ed/Method: i / �, Supplemental Information
Internet: www.tigard-or.gov � �f y '�/ �� PP
j f .
.,- i;i.ak E OF WOR K l, .. ,, - I UIRfl
'-'4'.',:1". )DATA:.1-e AND 2-FAMIL .UWE , t"'
❑Ne 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
d ytae s"
CATEGORY OF C/ '' 't C I IOI�t' work indicated on this application. r,
-rjr,I � 1
❑ 1-and 2-family dwelling i• ommercial/industrial Valuation: :�E!i,.i,j�h
❑Accessory building 12 Multi-family Number of bedrooms:
❑Master builder ❑Other: Number of bathrooms:
' JoB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: ip\\ -D Su...) N It,A W-3 New dwelling area: square feet
City/State/ZIP: REAJ{ .V (P-- CI riCGC6 Garage/carport area: square feet
Suite/bldg./apt.#: Project name:
s 1 E,- 1 )f e Covered porch area square feet
Cross street/directions to job site: ()3 ' m S S''W a I(S f Deck area: square feet
Other structure area: square feet
REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision: 1 Lot#: Permit fees*are based on the value of the work performed.
Tax map/parcel#: 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.
MO O e)ue►►n e0.SeL x -- • Add Ilion of Valuation: $ ZS 3gq.°c'
Y\f,V Co.- 'e ta)Y €; ' ''• o n o n s �-Orc&I pa r�-cn o� Existing building area square feet
w t` . New building area: square feet
PROPERTY OWNER ,TENANT Number of stories:
Name: J O 4 C 0-1-7 ee Type of construction:
Address: /0 )) S 94) 1■1;m 1O s f\Ve_ Occupancy groups: A A -Z
City/State/ZIP: 2 alb r I CST\I Or_ ' (70,0 O Existing: A-2
Phone:( ) Fax:( ) New: A-2._
APPLICANT ❑ CONTACT PERSON BUILDING PERMIT'FEES*
Business name: F IU eY\'i �oc I (pfeaaerdsrtol� Neuhiscte)
Structural plan review fee(or deposit):
Contact name: - .' .- 4 - M E U SS4' S771/\17-o/4 FLS plan review fee(if applicable):
Address: 'Zl N (actin AkP> ivic 5SA- `�Rtto ick-s � .pcl)c.Cow
/� p� U Total fees due upon application:
City/State/ZIP: o Y=l\coil l 6e " 112 0 `
Amount received:
Phone:( ) ' . :,►'l f ( Fax: :( )
E-mail: A>fa los■�� a. PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
- .aaiiiiuut./loil�l►�1ll1�3�r7Lt�l •' Commercial and residential prescriptive installation of
CONTRACTO' roof-top mounted Photo Voltaic Solar Panel System.
Business name: C(, Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
Address: 5S g 5 • I sl C i y`C 1€ Solar Installation Specialty Code checklist.
City/State/ZIP: 12--)1615'e. .e-t A l� 61S( 4 Permit fee(includes plan review $180.00
n 1 and administrative fees):
Phone:(rjO ) 22 1. A4+.0 I Fax:( ) State surcharge(12%of permit fee): $21.60
CCB Lic.: I7,...5q)_r (p 24 0'
Total fee due upon appication: $201.60
Authorized signature: �,�— This permit application expires if a permit is not obtained
I ll /IWO within 180 days after it has been accepted as complete.
Print name: OTINKUNITII�. Date: 0 Nip= * Fee methodology set by Tri-County Building Industry
Service Board
I:\Building\Permits\BUP COM_PermitApp.doc Rev.04/21/2014 440-4613T(11/02/COM/WEB)
r + I
City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT
Accessibility: Barrier Removal Improvement Plan
Commercial & Multi-Family - Additions or Alterations
1 '6A R[) 13125 SW Hall Blvd. •Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov
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 percent(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): $
I:\Building\Permits\BUP_COM_PernritApp.doc Rev.04/21/2014
City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT
._ " Plan Submittal Requirements
Commercial & Multi-Family - New, Additions or Alterations
T I G n R D 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov
1. SITE PLAN (3) copies - fully dimensional, drawn to scale and 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. ADDITIONAL INFORMATION AS FOLLOWS:
A. Fire Department Building Survey with (1) additional full set of architecture
drawings.
I:\Building\Permits\BUP_COM_PermitApp.doc Rev.04/21/2014
a
City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT
1111 " Plan Submittal Requirements Matrix
Commercial & Multi-Family - New, Additions or Alterations
", D 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov
Type of Submittal # of Plans
(Includes new, additions and alterations.) Required at
Submittal
Demolition Permit 3
(site plan required showing location and square
footage of all buildings to be demolished)
Site Work 3
(must include location of all accessible parking)
Plumbing(site utilities) 2
Building 3
Fire Protection System 3
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),if applicable.
I:\Building\Permits\BUP COM_PemutApp.doc Rev.04/21/2014
' • RECEIVED
74 City of Tigard
r COMMUNITY DEVELOPMENT DEPARTMENT AUG 12 2014
Building Permit Review — CommercialertgaFIKINd Use
TIGARD
Building Permit #: 13a/°o20/5'-00/9a-
Site Address: 101 15 SW N i mbe/,s Ave. Suite/Bldg#: 100
Project Name: Je+ Ciaffse,
(Name of commercial business occupying the space. If vacant,enter Spec Space.)
Planning Review
Proposal: +PxiTt improvemen-1s 11G I ud►nq (l e no 1 r°p1ACe ner& of
cl3,seWork1
brie 9 res Coorris up 40 ADA eoclP_
._ � •
Existing Business Activity: jy no ctrl dr1nkif10( (214-Towr, Hero)
Proposed Business Activity: • , • • 4 a 4 d r' ' 1,4 - 4 _ ■.ri •
rd Verify site address/suite #exists and active in permit system.
d/Zoning: MvE- 2 ermitted Use: gYes ❑ No ❑ Spec Space
g Confirm no land use required.
Notes:
Approved by Planning: Y Date: $112.1 I Li
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: ❑ Approved ❑ Not Approved
Revision 3: ❑ Approved ❑ Not Approved
Building Permit Submittal
Original Submittal Date: 0�//',
Site Plans: #
Building Plans: # 3
Building Permit#: Ei Enter building permit#above. ��
Workflow Routing: t�lanning IId" +LT Permit Coordinator Building
Workflow Sign-off: O Sign-off for Planning(include notes from planning review)
Route Application Documents: Lin Building: original permit application,site plans,building plans,engineer and
beam calculations and trust details,if applicable,etc.
Notes:
By Permit Technician:
'CO)c Date:� L�f/
I:\Bu ilding\Forms\B IdgPermitRvw_COM_NoLandUse_071514.docx
• i
Permit Coordinator Review
❑ Conditions Met- Prior to Issuance of Building Permit
Notes:
Revisions (after Building Submittal only)
Revision Notice 1: Date Sent to Applicant:
Revision Notice 2: Date Sent to Applicant:
Revision Notice 3: Date Sent to Applicant:
t?
OK to Issue Permit .-Approved by Permit Coordinator: Date: _Vi '2A±.
1:Building\Forms\BldgPermitRvw_COM_NoLandUse_071514.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
10115 SW NIMBUS AVE 700, TIGARD, OR,
97223
Commercial - Building
299 Final inspection
PASS - C of O
BUP2014-00192
Chip Barnett
Violation Summary:
Inspector Contractor