Permit (134) CITY OF TIGARD BUILDING PERMIT
IN II-. ' COMMUNITY DEVELOPMENT Permit#: BUP2018-00353
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 12/27/2018
T l ;ti r<.Dg Parcel: 1S134AD06201
Jurisdiction: Tigard
Site address: 10450 SW NIMBUS AVE R-2A
Project: Spec space Subdivision: IKOLL BUSINESS CENTER,TIGARD Lot: 3
Project Description: Demolition of interior walls on the first and second floors in preparation of a spec suite.
Contractor: GUILD CONSTRUCTION INC Owner: KYLE LATTA
PO BOX 674 10240 SW NIMBUS AVENUE, L-3
BEAVERTON, OR 97075 PORTLAND, OR 97223
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: VB Permit Fee-Additions,Alterations, 12/27/2018 $674.35
Demolition
Occupancy Grp: B Occupancy Load: 269 0
12/o State Surcharge-Building 12/27/2018 $80.92
Dwelling Units: 0 Plan Review 12/27/2018 $438.33
Stories: 0 Height: 0 ft Plan Review-Fire Life Safety 12/27/2018 $269.74
Bedrooms: 0 Bathrooms: 0 Info Process/Archiving-Lg$2.00(over 12/27/2018 $6.00
Value: $45,000 11x17)
DC Provision Review,COM TI-Ping 12/27/2018 $98.00
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $1,567.34
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 1.800.332.2344.
a
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Issued By:,gc.,,, r/ � Permittee Signature:
Call 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 the project.
Approved plans are required on the job site at the time of each inspection.
Building Permit Application
Commercial RECRVF
FOR OFFICE USE ONLY
City of Tigard ReceivePe , .. ��.
II 13125 SW Hall Blvd.,Tigard,OR 97223 DEC 2 7 2018 j' i /31/ M ,i % / 1 _
g Plan Review J j v 11 Other Permit:
/no-�, Date/By:
2
Phone: 503.718.2439 Fax: 503.598.1960 ,
ate/By: I _
Inspection Line: 503.639.4175 Date Ready/By: Jwis: H See Page 2 for
TIGARD BUILDING Internet: www.tigard-or.gov 3-�I�+ DIVISION Notified/Method: Supplemental Information
TYPE OF WORK REQUIRED DATA-1-AND 2-FAMILY DWELLJN(I
0 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 0 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 0 Multi-family Number of bedrooms:
❑Master builder 0 Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address:10450 SW NIMBUS AVENUE-BUILDING R, New dwelling area: square feet
City/State/ZIP:PORTLAND,OREGON 97223 Garage/carport area: square feet
Suite/bldg./apt.no.:R-2a,2b Project name:SCHOLLS BUSINESS CENTER Covered porch area: square feet
Cross street/directions to job site:Scholls and Nimbus Deck area: square feet
Other structure area: square feet
REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision: Lot no.: 6Z131„ Permit fees*are based on the value of the work performed.
Tax map/parcel no.: 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.
The demolition of interior walls on the first and second floor in preparation,of Valuation: $$45,000.00
a spec suite. Existing building area: 26899 square feet
New building area: 0 square feet
►A PROPERTY OWNER 0 TENANT; Number of stories: 2
Name:Kyle Latta Type of construction: VB
Address: 10240 SW Nimbus Avenue,L-3 Occupancy groups:
City/State/ZIP:Portland OR 97223 Existing: B
Phone:(503)598-9980 Fax:( ) New: B
0 APPiiCANT 0 CONTACT PERSON BUILDING PERMIT FEES*
Meuse refer lofee schedule)
Business name:Ankrom Moisan Architects
Structural plan review fee(or deposit):
Contact name:Rebecca Brock
FLS plan review fee(if applicable):
Address:38 NW Davis Street
Total fees due upon application:
City/State/ZIP:Portland/OR/97209
Amount received:
Phone:(503)892-8373 Fax::( )
E-mail:rebeccab@ankrommosian.com PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
Commercial and residential prescriptive installation of
CONTRACTOR roof-top mounted Photo Voltaic Solar Panel System.
Business name:Guild Construction Inc Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
Address:PO Box 674 ' Solar Installation Specialty Code checklist.
City/State/ZIP:Beaverton,OR Permit fee(includes plan review $180.00
and administrative fees):
Phone:(503)957-1180 Fax:( ) State surcharge(12%of permit fee): $21.60
CCB lic.:109116 CA/(2-4v Total fee due upon application: $201.60
Authorized signature: This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: t` ' A. V "o"`-' Date: \--1_1 `Z 7 (\I, * 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)
City of Tigard • BUILDING DIVISION
1111 ' q Over-The-Counter (OTC) Building & Fire Protection System Permit
1 1(,A Ez n Appointment Checklist
Permit Record#: AR/9a r-co,3,3
Contact Name: qr L c re , ,roc/‹. Phone #: 9)3 ' ,i-,--,2 , 33)3
At/ter-OM Name: At/ter-OM AfvicGld Jiff. Appt. Date/Time: /,Z ) ? //F. / )
Site Address: lOci S V Ahki Bldg/Suite #: 4_R,_ Ile_2 ),
Project Name: Sp re (* New Tenant? ❑ Yes 0 No
Project Description: Or, t o r,-P !'e / vc wu//S tyc, -1 - I s"r(0(4 ez p/e>r, Af7
pre,a/aik,/`1 O s fire Sze r7'•
Existing Use: 13 New Use: R
MMD Required: 0 Yes 0 No Related Record#: !�-'
' A.
APPLICATION ,I€
:SPE C INFORMATION
GENERAL INFORMATION
Class of Work: A ii Occupancy Group: 13 Type of Construction: V
Type of Use: ,� �� Cj).Occupancy Load: Oregon Specialty Code:
1)---
SPECIFICS
Number of Stories: 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: V C3 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: $ Lis, (-,dc3 - _ , L
$ .gr._-� DC Prov Rvw,COM TI-Ping
$ 74.3 3. Permit Fee-Add,Alt,Demo
DC Provision Review Fee for COM TI(effective 7/1/2018) $ : . • 12%State Surcharge
Project Valuation $ _ WIts Plan Review,Structural
Up to$4,999 , . $0.00 $ _ - "161, Plan Review,Fire Life Safety
$5,000-$74,999 $98.00 $ 6,--- Info Proc/Arch,Lg(over 11x17$2.00)
$75,000-$149,999 $243.00 $ Info Proc/Arch,Sm(up to 11x17$0.50)
$150,000 and over $388.00 $ Metro Construction Excise Tax
$ School Construction Excise Tax
$ Hourly Rate Fee
$ Hourly Rate State Surcharge
$ Misc.Admin Fee
$ Other:
Building Staff: $ Other:
Date/Time: $13 67.3 if TOTAL FEES DUE
I:\Building\Forms\OTC_BUP_FPS_070118.docx
Julie Drinkwater
From: Julie Drinkwater
Sent: Monday, December 17, 2018 8:26 AM
To: Rebecca Brock
Cc: Bethanne Mikkelsen;#Building Permit Technicians
Subject: RE:AMA Requesting OTC, Scholls Business Center
Attachments: BUP Com.pdf
Good morning Rebecca
I have scheduled the OTC for December the 27th at 10:00am.
Here is a list of submittal items needed for an OTC plan review appointment:
• Building permit application completed (see attached) including address
• (3) copies of construction plans/floor plans
• Contractor identified on the permit application
• Funds to pay for all permit fees at the appointment.
Thank you and please let us know if you have any questions.
Julie Drinkwater
Permit Technician
City of Tigard Building Department
13125 SW Hall Blvd
Tigard, OR 97223
503-718-2804
From: Rebecca Brock [mailto:rebeccab@ankrommoisan.com]
Sent:Thursday, December 13, 2018 10:30 AM
To:#Building Permit Technicians<TigardBuildingPermits@tigard-or.gov>
Cc: Bethanne Mikkelsen<bethannem@ankrommoisan.com>
Subject:AMA Requesting OTC,Scholls Business Center
To Whom It May Concern:
I would like to request an OTC for December 27th at 10am:
• Name: Rebecca Brock
• Company Name:Ankrom Moisan Architects
• Company Phone: 503-892-8373
• Site Address: 10450 SW Nimbus Ave. Bldg. R, Portland, OR 97223
• Project Name: Scholls Business Center—Suite R-2a & R-2b
• Scope Of Work:The demolition of interior walls on the first and second floor in preparation of a spec suite.
• Project Type: Spec Suite
• Intended Use: Business
• Date Desired: 12/27/18
1
City of Tigard
COMMUNITY DEVELOPMENT DEPARTMENT
r1cARo Building Permit Review — Commercial - No Land Use
Building Permit #: /S/I f1i r—a,T�3
Site Address: 0-60 ,S\AI N iv tc e Suite/Bldg#: R-o;lh to
Project Name: aIaS ?;kASkntss 1 r Akc. S LCe'
(Name of commercial business occupying the space. If vacant,enter Spec Space.)
Planning Review
Proposal: 1', I .
Existing Business Activity: V``1C,c61,I�'1'
Proposed Business Activity: WA,VW
N,Verify site address/suite#exists and active in permit system.
.35 River Terrace Neighborhood: ❑ Yes ta No
Zoning: Ml,1G'.
Permitted Use: ❑ Yes ❑ No . Spec Space
AConfirm no land use required.
Business License: ,-
Exists: ❑ Yes ❑ No,applicant notified to obtain business license
Notes:
Approved by Planning: °e _ Date: h la-7 (t
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: /Z./)—)
Site Plans: #
Building Plans: #
Building Permit#: nter building permit#above.
Workflow Routing: LrPlanning '�$uilding
Workflow Sign-off: Sign-off for Planning(include notes from limning review)
Route Application Documents: wilding: original permit application, site plans,building plans, engineer and
beam calculations and trust details,if applicable,etc.
Notes: a
By Permit Technician: ,J/� 0511j Date: /2/,,..?M—
I:\Building\Forms\BldgPermitRvw_COM NoLandUse_060116.docx
Permit Coordinator Review
❑ Conditions "Met"prior to issuance of building permit
O Approved,NOT Released: I ate:
Notes:
Revisions (after Building Submittal only)
Revision Notice 1: Date Sent to Applicant:
Revision Notice 2: Date Sent to Applica
Revision Notice 3: Date Sent to A.•;cant:
O SDC Fees Entered: Wash C. rans Dev Tax: 0 Yes 0 N/A
Tiy. . Trans SDC: 0 Yes 0 N/A
Parks SDC: 0 Yes 0 N/A
❑ OK to Issue P: it
Approv- : .y Permit Coordinator: Date:
I:\Building\Forms\BldgPermitRvwCOM NoLandUse_070915.docx