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Permit
CITY OF TIGARD BUILDING PERMIT 11111 3 COMMUNITY DEVELOPMENT Permit#: BUP2015 00231 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 07/30/2015 Parcel: 1S134AA01800 Jurisdiction: Tigard Site address: 10160 SW NIMBUS AVE F4 Project: Billings Dance Center Subdivision: IKOLL BUSINESS CENTER,TIGARD Lot: 2 Project Description: TI for existing tenant:Minor demolition and remodel of existing restroom to make it ADA compliant. 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 Specifics: FEES Description Date Amount Type of Use: COM Class of Work: ALT Type of Const: VA DC Provision Review,COM TI-Ping 07/30/2015 $88.00 Occupancy Grp: B Occupancy Load: 94 12%State Surcharge-Building 07/30/2015 $80.92 Plan Review 07/30/2015 $438.33 Dwelling Units: 0 Plan Review-Fire Life Safety 07/30/2015 $269.74 Stories: 1 Height: 0 ft Info Process/Archiving-Lg$2.00(over 07/30/2015 $8.00 Bedrooms: 0 Bathrooms: 0 11x17) Value: $45,000 Permit Fee-Additions,Alterations, 07/30/2015 $674.35 Demolition Floor Areas: Total Area: 0 Accessory Struct: 0 Basement: 0 Carport: 0 Covered Porch: 0 Deck: 0 Garage: 0 Mezzanine: 0 Total $1,559.34 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 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.p2.2344. Issued By: L./.. / ` -s_ arm Signature: �. 111.4 Call •.4175 by 7:00 a.m.for the next available in.•action•ate. This permit card shall be kept in a conspicuous place on the job site unt corn•etion of the project. Approved plans are required on the job site at the time of eac' • •ection. :I , 1. Building Division Over-The-Counter (OTC) Building Permit r t c n R D Check List Project Description: T1 APPLICATION SPECIFIC INFORMATION GENERAL INFORMATION � , y Class of Work*: KG Occupancy Group: Type of Construction: ' .Pt Type of Use**: & zU. _ Occupancy Load: icii3r Oregon Specialty Code: 2C5461/4 SPECIFICS Number of Stories: t 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: i.--/D 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: $ 5 iCM• e' FEES DUE $ az• can DC Prov Rvw,COM TI—Ping $ . ' ''' S. Permit Fee—Add,Alt,Demo DC Provision Review Fee for COM TI(effective 7/1/2015) $ `r1,,' 2%State Surcharge Project Valuation Planning $ 4 3' 3Jan Review,Structural Up to$4,999 $0.00 $ _ _ ` .7 4 Plan Review,Fire Life Safety $5,000-$74,999 $88.00 $ .CJ) Info Proc/Arch,Lg(over 11x17$2.00) $75,000-$149,999 $220.00 $ Info Proc/Arch,Sm(up to 11x17$0.50) $150,000 and over $351.00 $ Metro Construction Excise Tax $ School Construction Excise Tax $ Hourly Rate Fee $ Hourly Rate State Surcharge $ Misc.Admin Fee _$ Other: $ Other: $ Other: Building Staff: $ Other: Date/Time: $ I , TOTAL FEES DUE *TYPE OF USE: COM=commercial;CMS=commercial manufactured structure. **CLASS OF WORK ACS=accessory;ADD=addition;ADU=accessory dwelling unit;ALT=alteration;DEM=demo;NEW=new; O'IR=other(use for fences,decks,retaining walls,signs,awnings or canopies). _ I:\Building\Forms\OTC_BUP_070115.docx Buildin&Permit Application Commercial BEC �ED FOR OFFICE USE ONLti' `•� Received City of Tigard (1 2,015 Date/B !�� Permit No.: d _`I / 13125 SW Hall Blvd.,Tigard,OR 97223 Ju`, 3 Plan Review ,r / i Related Permit: Phone: 503-718-2439 Fax: 503-598-1960 Arf,;p Date/By: �� � �5 TI c.,\It I Inspection Line: 503-639-4175 �F Ty� Date Ready :y: Juris: H See Page 2 for Internet: www.tigard-or.gov U1 D'NG(��V�S,®� Notified/Method:�/30/�S %�� Supplemental Information B ❑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 work indicated on this application. ❑ 1-and 2-family dwelling Commercial/industrial Valuation: $ ❑Accessory building ❑Multi-family Number of bedrooms: ❑Master builder ❑Other: Number of bathrooms: // Total number of floors: Job site address: 1Ot(,o S� 1 V s ,&J E I New dwelling area: square feet City/State/ZIP: © (9 Garage/carport area: square feet Suite/bldg./apt.#: Project name:buijp �t�p� Cam'*e Covered porch area square feet Cross street/directions to job sit L_. ,rt 4 t F +' _ Deck area: square feet Other structure area: square feet Subdivision: I Lot#: Permit fees*are based on the value of the work performed. Tax map/parcel#: Indicate the value(rotnded to the nearest dollar)of all equipment,materials,labor,overhead,and the profit for the . work indicated on this application. 1• {- 1.da OC , T �ICf 5"['c . Lt(Ax m.. 0 1.-tacA n,-.1.3 Valuation: $ L J oQo•c Rte,-tabu e) �> „,,T// ��� Ti �D� Existing building area square feet G y Alh c CaC 'q1 1 New building area: square feet Number of stories: Name: K 61 W V is r.AeiT Ms•-►� X61.4�lJ7 Type of construction: Address: to 2,4.0 Stu 1J ci,413 u5 .,t;)G j fi L-3 Occupancy groups: City/State/ZIP: ?C?,TL (3 I ©Q• 4112 Z 3 Existing: Phone:a 3) t'J95 -1180 Fax:( ) New: IIILDING PERWITI PEES1 Business name: �u oM Ma iS� ANLAA it tS review fee(or r deposit): 'sJ Structural plan review fee(or Contact name: 1.„, 1O CC _ FLS plan review fee(if applicable): Address: (41 Zo SO 444 E . X91 10 0 Total fees due upon application: City/State/ZIP: ? --r,,- Ok., 9-12A9 Amount received: Phone:G. ) 246 - ---No b I Fax::( ) E-mail: ' ■ ti 5 a A I(ror>71'nes i 6-an• Co✓YI Commercial and residential prescriptive installation of roof-top mounted Photo Voltaic Solar Panel System. Business name: t��v ILO t;p os'i-w cal a� Submit two(2)sets of roof plan with connection details and fire department access,along with the 2010 Oregon Address: Solar Installation Specialty Code checklist. Permit fee(includes plan review City/State/ZIP: and administrative fees): $180.00 Phone:( ) Fax:( ) State surcharge(12%of permit fee): $21.60 CCB Lic.: $201.60 Total fee due upon application: Authorized signa re: - c � This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name:` 3, SL>z t Date:n - 30 �'j * Fee methodology set by Tri County Building Industry oJ� Service Board. I:\Building\Permits\BUP_COM_PennitApp.doc Rev.04/21/2014 440-4613T(I 1/02/COM/WEB) City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT !pi •■ Accessibility: Barrier Removal Improvement Plan Commercial & Multi-Family - Additions or Alterations 1 ;\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_PermitApp.doc Rev.12/18/2014 City of Tigard III COMMUNITY DEVELOPMENT DEPARTMENT ■ TIGARD Building Permit Review — Commercial - No Land Use Building Permit #: 6.19a9/5-1-03- 31 Site Address: t 0 ‘6,0 S w N i m b v t ol v-e_. Suite/Bldg#: P4 S . 6 7 Project Name: giii ,e_ c ■ (Name of 66mmercial business occupying the space. If vacant,enter Spec Space.) Planning Review Proposal: - T re.rr ode( Existing Business Activity: ( O Ile)I'nel"als,( N p U n j ex vi-e. Proposed Business Activity: C.fl m M,ti-U-2.JL. Verify site address/suite#exists and active in permit system. . River Terrace Neighborhood: ❑ Yes —B°N? Poning: M C - _ U Permitted Use: 7 Yes ❑ No ❑ Spec Space XConfirm no land use required. fr Business License: Exists: ❑ Yes ❑ No,applicant notified to obtain business license Notes: Approved by Planning: /11 f 011 I L g i'/o c.Q Gc.« Date: 7/30 //f 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: !S Site Plans: # N Building Plans: # Building Permit#: ntnter building permit#above. Workflow Routing: L7 Y)anning ❑ Permit Coordinator Workflow Sign-off: Sig off for Planning(include notes from planning review) Route Application Documents: g, original permit application,site plans,building plans,engineer and beam calculations and trust details,if applicable,etc. Notes: By Permit Technician: yi` .. —�, Date: Jc►�)' ./..4,4 I:\Building\Fomns\BldgPermitRvw_COM_Nol_andUse_070915.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 Applicant: Revision Notice 2: Date Sent to Applicant: Revision Notice 3: Date Sent to Applicant: ❑ SDC Fees Entered: Wash Co Trans Dev Tax: ❑ Yes ❑ N/A Tigard Trans SDC: ❑ Yes ❑ N/A Parks SDC: ❑ Yes ❑ N/A ❑ OK to Issue Permit Approved by Permit Coordinator: Date: 1:\Buil ding\Forms\B1 dgPermitRvw_COM_NoLandUse_070915.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 10160 SW NIMBUS AVE F4, TIGARD, OR, 97223 Commercial - Building 299 Final inspection PASS - No C of O BUP2015-00231 Chip Barnett Violation Summary: Inspector Contractor