Permit (27) CITY OF TIGARD BUILDING PERMIT
2 COMMUNITY DEVELOPMENT Permit#: BUP2016 00253
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 08/24/2016
T t ' g Parcel: 1S134AA02100
Jurisdiction: Tigard
Site address: 10300 SW NIMBUS AVE PC
Project: DaBella Exteriors Subdivision: IKOLL BUSINESS CENTER,TIGARD Lot: 3
Project Description: Small amount of demolition. Some new non-structural partition walls,existing ceiling to remain.
Contractor: GUILD CONSTRUCTION INC Owner: ROBINSON, JERRY CHRISTOPHER TRUS
PO BOX 674 ROBINSON, MICHAEL WILLIAM
BEAVERTON, OR 97075 HANSON, RONALD D 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: VB DC Provision Review,COM TI-Ping 08/18/2016 $90.00
Occupancy Grp: B Occupancy Load: 50 Permit Fee-Additions,Alterations, 08/18/2016 $475.99
Demolition
Dwelling Units: 0 12%State Surcharge-Building 08/18/2016 $57.12
Stories: 1 Height: 0 ft Plan Review 08/18/2016 $309.39
Bedrooms: 0 Bathrooms: 0 Plan Review-Fire Life Safety 08/18/2016 $190.40
Value: $27,000 Info Process/Archiving-Lg$2.00(over 08/18/2016 $12.00
11x17)
Floor Areas:
Total Area: 4838
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $1,134.90
Required: Required Items and Reports(Conditions)
Fire Sprinkler: Yes 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 1.800.332.23444..//I1�,-
---"--- i/ jtm .)
Issued By4/ � . Permittee Signature: , r `\
II 503.639.4175 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 ApplicationPO
C 4' mercial FOR OFFICE I.SI 0.11.1
• CI of TI and e. , Received
`J g * 1•z '' Date/B : ._j`6 f / ial PermitNo.: �/(r 32.. 3
13125 SW Hall Blvd.,Tigard,OR 97 �` r Plan Revie 7►
Phone: 503-718-2439 Fax: 503-598 " "`F Date/B : / . Related Permit:
TI G A R D Inspection Line: 503-639-4175R. .) \fi Date Ready'7t►' Juris: ® See Page 2 for
Internet: www.tigard-or.gov ti` 1. fo t. Notified/Method: Supplemental Information
:.\\Ii
d i. ',Y
tivc��
TYPE OF W m �'� REQUIRED DATA:1-AND 2-FAMILY DWELLING
❑New constructionf . Permit fees*are based on the value of the work performed.
i
l� r1Indicate the value(rounded to the nearest dollar)of all
i Addition/alteration/replacement herr: equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
❑ 1-and 2-family dwelling Commercial/industrial Valuation: $ 2/oo)
❑Accessory building Multi-family Number of bedrooms:
0 Master builder 0 Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: 10 300 su.) 0 IMLVs 44.v. okh-r Pc . New dwelling area: square feet
City/State/ZIP: —'(1f,'�) Oft ci-j z 23 Garage/carport area: square feet
Suite/bldg./apt.#: 1�`� Project name:DN, u_A 'E, es 4 RI0 S. 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#: 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.
' bA.tJt.i A)-40 ci�T CF .bema(t-rt s t.,. Se t-•tE Az() Valuation: $
1.200—StivciT I .A.L., 116(7rico(A)AAA •E.VISr i �l I.INC-i T Existing building area: square feet
ttee:ly@ N New building area: square feet
tit PROPERTY OWNER 0 TENANT Number of stories:
Name:J( 6,i, tkves r 11 rI AC q.iwT Type of construction:
Address: ,,::;z4.,0 Klm BUS pV Svl-re s—3 Occupancy groups:
City/State/ZIP: Pei' ' i_A4..45)CJR.. Existing:
Phone:(s) 5dt C)9$O Fax:( ) New:
APPLICANT ter CONTACT PERSON BUILDING PERMIT FEES*
` ,O 5 A-L�I ,1(1 (Please refer to fee schedule)
Business name: I`..t 1�^ ,5 /
Structural plan review fee(or deposit):
Contact name: 1L4.., SI.1A)
Address: (p1 3 Su- pi,,,,,„„,, . FLS plan review fee(if applicable):
Total fees due upon application:
City/State/ZIP: Pori-, o&j
Amount received:
Phone:( ) 1 J— too Fax::( )
` 1'_ PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
E-mail: ll a
\ nI` b.61110Isa/1.(0M .
Commercial and residential prescriptive installation of
CONTRACTOR roof-top mounted PhotoVoltaic Solar Panel System.
Business name: G i .►_LZ, Co/0 57-,2,,,,7-20,..) 1 J1 Submit two(2)sets of roof plan with connection details
Pp
and fire department access,along with the 2010 Oregon
O
Address: ' R' 64:2 x ( 7 LI Solar Installation Specialty Code checklist.
City/State/ZIP: �+ Permit fee(includes plan review
ty �� ��1 6 ` 7�7� and administrative fees): $180.00
Phone:(5Z) ?57- 1173 Fax:(5:3 ) 9..q/ —/5-3/}.. State surcharge(12%of permit fee): $21.60
CCB Lie.: 167116,
Total fee due upon application: $201.60
Authorized si P t / This permit application expires if a permit is not obtained
A within 180 days after it has been accepted as complete.
Print name:`! , . Date:P1� ' —l� * Fee methodology set by Tri-CountyBuilding Industry
Service Board.
I:\Building\Permitst: ..•_COM_PermitApp.doc Rev.04/21/2014 440-4613T(I1/02/COM/WEB)
0-
City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT
Accessibility: Barrier Removal Improvement Plan
•
Commercial & Multi-Family - Additions or Alterations
TIGARD 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 • COMMUNITY DEVELOPMENT DEPARTMENT
N _. . Plan Submittal Requirements
Commercial & Multi-Family - New, Additions or Alterations
TIG1\RD 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_PernutApp.doc Rev.12/18/2014
..
City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT
Plan Submittal Requirements Matrix
Commercial & Multi-Family - New, Additions or Alterations
TIGARD 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 2
(site plan is required showing location and square footage
of all buildings to be demolished,erosion control plan and
tree protection,if applicable)
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
Solar Photovoltaic 2
(Requires check list for prescriptive installation. If not
prescriptive installation,engineering is required.)
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_Per itApp.doc Rev.12/18/2014
City of Tigard
II ■
r COMMUNITY DEVELOPMENT DEPARTMENT
T I G A R D Building Permit Review — Commercial - No Land U s e
Building Permit #: ! Pae)/(Q—O0 01
Site Address: 1 0300 S vV N m b L s G ve, . Suite/Bldg#: i°C
Project Name: D a Oen a E(J-eri ors
(Name of commercial business occupying the space. If vacant,enter Spec Space.)
Planning Review
Proposal: Th{-Wi c7 r TT ,. O2Am o , n eiw W of 1 1 S
Existing Business Activity: WO C/Iii a nf/I-e
Proposed Business Activity: 1
Verify site address/suite#exists and active in permit system.
n River Terrace Neighborhood: ❑ Yes ;;KNo
i
Zoning: M 0C Z
5j� permitted Use: ' Yes No Spec Space
�/Confirm )2:rCICI no land use required.
Business License:
Exists: El Yes ❑ No,applicant notified to obtain business license
Notes:
Approved by Planning: /l'c 0 li+•cLe4... "3L -c.-"---• Date: 8/i9 /l (-
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: El Approved ❑ Not Approved
Revision 3: ❑ Approved El Not Approved
Building Permit Submittal
Original Submittal Date: t/?//SQ
Site Plans: # /
Building Plans: # ,
Building Permit#: Enter building permit#above.
Workflow Routing: ,Planning e di a Building
Workflow Sign-off: sign-off for Planning(include notes from planning review)
Route Application Documents: ❑-"Suilding: original permit application, site plans,building plans,engineer and
beam calculations and trust details,if applicable,etc.
Notes: OTC--
By
!. .By Permit Technician: CK-._. Cf Date: c /8/,c
I:\Building\Forms\BldgPermitRvw COM_NoLandUse 060116.docx
City of Tigard • BUILDING DIVISION
Over-The-Counter(OTC) Building & Fire Protection System Permit
Appointment Checklist
Permit Record#: ,PSD /4-60 as-3
Contact Name: 790r-1,-.13,-rd Phone #: 5a 3 4.s-7/00
Business Name: j/6.0,,, Mc;jcIA, r Appointment Datelei:,.zr,+fc� 8I.LB�� � 1;b 10?w)
Site Address: /0200 it44L•s Bldg/Suite#: BOG
Project Name: a 5z-//q l,xfr•_,,r:,,rs
Project Description: ave,,w-,,/,),, - .w ),,,r c.ra<! c ,r Ne,,„/ c' j
Existing Use: e New Use:
MMD Required: 0 Yes 1E'1<- Related Record#:
GENERAL INFORMATION
Class of Work: �� Occupancy Grou s: S Type of Construction:
Type of Use: C-.C.'UV\. Occupancy Load: -'1,-.
,.`_',- Oregon Specialty Code: �'��
SPECIFICS r
Number of Stories: 1 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: igra5 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:
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: $ 2 -7� ,
4y) $ iiii.,i..1-"--7..,:
--,_r DC Prov Rvw,COM TI—Ping
$ 4 fj7''''' ' Permit Fee—Add,Alt,Demo
DC Provision Review Fee for COM TI(effective 7/1/2015) $ ..(2--12%State Surcharge
Project Valuation $ Ale it Plan Review,Structural
Up to$4,999 $0.00 $ thtli i, Plan Review,Fire Life Safety
$5,000-$74,999 $88.00 $ C ,OW 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: / ,
Building Staff $ Other: `
Date/Time: $ 11 t TOTAL FEES DUE
I:\Building\Forms\OTC_BUP_FPS_020916.docx
Permit Coordinator Review
❑ Conditions "Met"prior to issuance of building permit
❑ Approved,NOT Released: e:
Notes:
Revisions (after Building Submittal on
Revision Notice 1: Date Se o App...nt:
Revision Notice 2: D. ent to Applicant:
Revision Notice 3: l ate Sent to Applicant:
❑ SDC Fees Entered: Wash Co Trans Dev Tax: ❑ Yes Ili • A
Tigard Trans SDC: ❑ Yes ❑ N/A
Parks SDC: ❑ Yes ❑ N/A
❑ OK to Issue Permit
Approved by Permit Coordinator: Date:
I:\Building\Forms\BldgPermitRvw_COM NoLandUse_07091 5.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
10300 SW NIMBUS AVE PC, TIGARD, OR,
97223
Commercial - Building
299 Final inspection
PASS - No C of O
October 31, 2016 at 12:21:26
PM
BUP2016-00253
Jeff Grove
Violation Summary:
Inspector Contractor