Permit CITY OF TIGARD BUILDING PERMIT
i
COMMUNITY DEVELOPMENT Permit#: BUP2015-00179
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 06/23/2015
Parcel: 1S 134AA01800
Jurisdiction: Tigard
Site address: 10130 SW NIMBUS AVE D5
Project: Scholls Business Center Subdivision: IKOLL BUSINESS CENTER,TIGARD Lot: 2
Project Description: Repair and replacement of fire damaged structural components and interior finishes in units D5&D6.Repair and
replace back to pre-fire condition.
Contractor: COTTON COMMERCIAL USA INC Owner: HANSON, RONALD D
5370 NORTHWEST 35TH TERRACE SUITE 113 ROBINSON, CONSTANCE A
FT LAUDERDALE, FL 33309 ROBINSON, CHESTER TRUST ET AL
203604 EAST FINLEY RD
KENNEWICK,WA 99331
PHONE: 941-400-20124 PHONE:
FAX:
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: IIIB DC Provision Review,COM TI-Ping 06/23/2015 $299.00
Occupancy Grp: S-1 Occupancy Load: DC Provision Review,COM TI-LRP 06/23/2015 $44.00
Permit Fee-Additions,Alterations, 06/23/2015 $2,917.95
Dwelling Units: 0 Demolition
Stories: 1 Height: 0 It 12%State Surcharge-Building 06/23/2015 $350.15
Bedrooms: 0 Bathrooms: 0 Plan Review 06/23/2015 $1,896.67
Value: $400,000 Plan Review-Fire Life Safety 06/23/2015 $1,167.18
Metro Const.Excise Tax-Commercial 06/23/2015 $480.00
Use
Floor Areas: Info Process/Archiving-Lg$2.00(over 06/23/2015 $14.00
11x17)
Total Area: 0 Info Process/Archiving-Sm$0.50(up to 06/23/2015 $12.50
Accessory Struct: 0 ' 11x17)
Basement 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $7,181.45
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 lea 41e set forth in OAR
952-001-r' • roug ♦ 952-001-r••0 You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.198 or 1.800. f.23441
Is ued By: �< /� �� Permittee Signature: •�� �•■
Call 503.839.4175 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 Application
Commercial FOR OFFICE USE ONLY
i
City of Tigard Received 83 /S ' Permit No.: 0 n,.- /
11111111 . • 13125 SW Hall Blvd,Tigard,OR 97223 Plan Review ILw_, �/�IN
Phone: 503.718.2439 Fax: 503.598.1960 Date/B : i [fti� Other Permit:
T 1 G A R D Inspection Line: 503.639.4175 Date Ready. luris ® See Page 2 for
Internet: www.tigard-or.gov Notified/Method: 6, a 3/St[��"'�/ Supplemental Information
TYPE OF WORK REQUIRED DATA:1-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
®Addition/alteration/replacement ❑Other: equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
❑ 1-and 2-family dwelling Valuation: $
®Commercial/industrial
❑Accessory building ❑Multi-family Number of bedrooms:
1:1 Master builder ❑Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: 10130 SW Nimbus Ave. New dwelling area: square feet
City/State/ZIP:Tigard,Oregon 97223 Garage/carport area: square feet
Suite/bldg./apt.no.:D5&D6 Project name:Fire Damage Repair Covered porch area: square feet
Cross street/directions to job site:SW Cascade Blvd. Deck area: square feet
Other structure area: square feet
REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision:Scholls Business Center 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.
Repair and replacement of fire damaged structural components and interior Valuation: 55400,000.00
finishes.repair or replace back to pre-fire conditions. Existing building area: 4,472 square feet
New building area: 4,472 square feet
® PROPERTY OWNER ❑ TENANT Number of stories: 1
Name: KG Investment Management Type of construction: V-A
Address:10240 SW Nimus Ave.suite L-3 Occupancy groups:
City/State/ZIP:Tigard,Oregon 97223 Existing: B
Phone:(503)598-9980 Fax:(503)5989982 New: B
❑ APPLICANT ❑ CONTACT PERSON BUILDING PERMIT FEES*
(Please refer to fee schedule)
Business name:Ankrom Moisan Architects
Structural plan review fee(or deposit):
Contact name:Sabine O'Halloran
FLS plan review fee(if applicable):
Address:6720 SW Macadam,suite 100
City/State/ZIP:Portland,Oregon,97219 Total fees due upon application:
Phone:(503)245-7100 Fax::(503)245-7710 Amount received:
E-mail:sabineo@ankrommoison.com PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
Commercial and residential prescriptive installation of
CONTRACTOR roof-top mounted Photo Voltaic Solar Panel System.
Business name:Cotton Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
Address:5370 Northwest 35th Terrace,suite 113 Solar Installation Specialty Code checklist.
City/State/ZIP:Ft.Lauderdale,FL.33309 Permit fee(includes plan review
S180.00
and administrative fees):
Phone:(941)400-21024 Fax:( )
State surcharge(12%of permit fee): $21.60
CCB lic.: "Z•
Z0 / Total fee due upon application: $201.60
Authorized signature: de. This permit application expires if a permit is not obtained
p within 180 days after it has been accepted as complete.
Print name: rn,Vc,th •• G:J 9 I".‘ . Date:6 1 131Y5 * Fee methodology set by Tri-County Building Industry
Service Board.
I:\Building\Permits\BUP-COM PermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
;I I 11 Building Division
ri(,;yFU)
Over-The-Counter (OTC) Building Permit
Check List
Project Description: T( A(2E.
GENERAL INFORMATION
Class of Work*: {� Occupancy Group: S( Type of Construction: ` �jj
Type of Use**: Occupancy■ Load: Oregon Specialty Code: 14_
SPECIFICS
Number of Stories: l 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: on 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 Valuation: $ 41 616 (770 FEES DUE
$ 2 ,D DC Prov Rvw,COM TI—Ping
$ DC Prov Rvw,COM TI—LRP
DC Provision Review Fee for COM TI (effective 7/1/2014) $ 2.. (7s Permit Fee—Add,Alt,Demo
Project Valuation Planning LRP $ 9, ! 12%State Surcharge
Up to$4,999 $0.00 $0.00 $ r' Plan Review,Structural
$5,000-$74,999 $75.00 $11.00 $ - , . - Plan Review,Fire Life Safety
$75,000-$149,999 $187.00 $28.00 $ 0 4. Info Proc/Arch,Lg(over 11x17$2.00)
$150,000 and over $299.00 $44.00 $ '.SCD Info Proc/Arch,Sm(up to 11x17$0.50)
$ A £4 t etro Construction Excise Tax
$ School Construction Excise Tax
$ Hourly Rate Fee
$ Hourly Rate State Surcharge
$ Misc.Admin Fee
$ Other:
$ Other:
Building Staff: $ Other:
Date/Time: $ 71i. ../1. -TOTAL FEES DUE
. ;
s i ' '. --c6-1 ■. m--4 W,. MS=commercial manufac r e s``fnitZure. . ......— '
**CLASS W _�.access!? ; !, • *II.0=accessory dwelling unit;ALT=alteration;DEM=demo;NEW=new;
( ,t' : or canopies).
I:\Building\Forms\OTC_BUP_070114.docx
City of Tigard
ligCOMMUNITY DEVELOPMENT DEPARTMENT
Building Permit Review — Commercial - No Land Use
I It . I? I)
Building Permit #: � o Q 2-a(S- 1'7
Site Address: 101;2)0 SW Nimbus Ave_. Suite/Bldg#: D5 , V6
Project Name: Ra.p 1 d Te c}hno\r \es
(Namb of commercial business o pying the space. If vacant,enter Spec Space.)
Planning Review
Proposal: 41 yr. Ci arna E repot 1'( -Co{ 2X 1 S'i"1 nQ t'e,nan+.-- reS -o!eix\ or)
Existing Business Activity: {ep If —a(t'�n+ 41 r e
Proposed Business Activity: t A l�( — 0 r i,e,fl 1�N r e.+a, 1
P
/Verify site address/suite#exists and active in permit sys m.
LJ River Terrace Plan District ❑ Yes RNo
g ME-2.
�ermitted Use: /Yes ❑ No ❑ Spec Space
no land use required.
[ Business License/-
Exists: ig Yes ❑ No,applicant notified to obtain business license
Notes:
•
Approved by Planning: \ 1 1 YY} \.-4r110 a dr) Date: 6 123 1 1 5
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: (fig 5//5
Site Plans: # -----
Building Plans: # 3
Building Permit#: 0-Enter building permit#above.
Workflow Routing. .0 Planning r 01/Building
Workflow Sign-off: la-Sign-off for Planning(include notes from planning review)
Route Application Documents: Q—Building original permit application,site plans,building plans,engineer and
beam calculations and trust details,if applicable,etc.
Notes:
By Permit Technician: ,
C ___2. _«s _! Date: 679 y/
1:\Building\Forms\BldgPermitRvw_COM_NoLandUse 031015.docx
Permit Coordinator Review
❑ Conditions "Met"prior to issuance of building permit
❑ Approved,NOT Released: Date:
Notes:
Revisions (after Building Submittal only)
Revision Notice 1: Date Sent to Applic. • :
Revision Notice 2: Date Sent to A.: cant:
Revision Notice 3: Date Sent t• ' pplicant:
❑ OK to Issue Permit
Approved by Pe • Coordinator: Date:
I:\Building\Forms\BldgPermitRvw_COM_NoLandUse 031015.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
10130 SW NIMBUS AVE D5, TIGARD, OR, 97223
Commercial - Building
299 Final inspection
PASS - C of O
BUP2015-00179
Chip Barnett
Violation Summary:
Inspector Contractor