Permit (53) CITY OF TIGARD BUILDING PERMIT
r {
. COMMUNITY DEVELOPMENTill Permit#: BUP2019 00148
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 07/10/2019
Parcel: 1 S 134AA02100
Jurisdiction: Tigard
Site address: 10300 SW NIMBUS AVE PB
Project: Saibri Cooper Subdivision: IKOLL BUSINESS CENTER,TIGARD Lot: 3
Project Description: Demo portion of existing interior walls, new interior walls,and doors for tenant build out. Demo portion of
suspended ceiling. New ADA compliant sink cabinet at break room and lab.Suites PB&PD.
Contractor: BROCKAMP&JAEGER INC Owner: DIETRICH, NANCY BISHOP
15796 S BOARDWALK ST ROBINSON, JERRY CHRISTOPHER TRUST
OREGON CITY, OR 97045 ROBINSON, LYNN ET AL
9701 SE MCLOUGHLIN BLVD
MILWAUKIE, OR 97222
PHONE: 503-655-9151 PHONE: 503-245-7100
FAX:
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: VBPermit Fee-Additions,Alterations, 07/10/2019 $1,903.23
Demolition
Occupancy Grp: B Occupancy Load: 60 12%State Surcharge-Building 07/10/2019 $228.39
Dwelling Units: 0 Plan Review 06/20/2019 $1,237.10
Stories: 0 Height: 0 ft DC Provision Review, COM TI-Ping 07/10/2019 $388.00
Bedrooms: 0 Bathrooms: 0 Plan Review-Fire Life Safety 07/10/2019 $761.29
Value: $231,979 Info Process/Archiving-Lg$2.00(over 07/10/2019 $24.00
11x17)
Metro Const. Excise Tax 07/10/2019 $278.37
Floor Areas:
T l Area:ea 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $4,820.38
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 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.
4101)
V (k. t ..j/..L
Issued By: /` Permittee Signature:
'<,/'�3.639.4175 by 7:00 a.m.for the next avai a. • pection 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 `(11:711
Q K
Commercial H.
""� f'" FOR OFFICE USE ONLY
City of Tigard I UN 2 0 2019 Date/Bea 67Mir �Eriv' " .7CO i
- '" 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review
Phone: 503-718-2439 Fax: 503-598-16, 1 l '° l 6I-- I klptil L. Date/By: G" , 1 Related Permit:
Inspection Line: 503-639-4175 ! t g+ t""e F Date Read B / Juris: BJ See Pae 2 for
TIGARD p 3a. 1 o r)nl("�>
Y Y g
Internet: www.tigard-or.gov �' "` �otified Mets:e / Supplemental Information
L L
'
tri
3.,x.•-.k.by 3.s+�`),34a svr.:"« +4ArS.` "X.'ds*" %7. F ,::.n ..cs n.,1,k c,,r nr.='t[ ' (-:,.'r.4-e;sni„ n3A+ ,d,s r .t,i ,..1...v.,ekS
,,s- , •.1.,,,,,i-ii., c
x
+:o++reis§mm2KwM' +Y5Y5M�'xTr„sAf ,i , 1 %ld x3t�14'd Y i ¢CFSe +a .Mszl, +t'Yli fF9'a's.f%ICbM�. `l II iG'eb"dr963� €1 ilk Ai: '.:
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
' 1 CATEGORY=OT CONSTRUCTION °a = work indicated on this application.
❑ 1-and 2-family dwelling ®Commercial/industrial Valuation: $
❑Accessory building 0 Multi-family Number of bedrooms:
0 Master builder ❑Other: Number of bathrooms:
1- I o `° Total number of floors:
JQB ITE IIFQRNIATIOIV AND'LOCATION ..N..”,
Job site address: 10300 SW Nimbus Ave-Building P New dwelling area: square feet
City/State/ZIP: Portland,OR 97223 Garage/carport area: square feet
Suite/bldg./apt.#:Suite P-B&P-D Project name: SAILBsAIIORILLCCCBUSINESSOPER CENTER Covered porch area: square feet
'
Cross street/directions to job site: Deck area: square feet
Other structure area: square feet
REQ[7 1i ,DAT OMMCRC e1L-USE CHECELI$T '
Subdivision: I 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
";DESCRJP 'IO 4 OF WORK ., r work indicated on this application.
Demo portion of existing interior walls,new interior walls and doors for tenant build out. Valuation: $ 231,979.00
Demo portion of suspended ceiling.New ADA compliant sink cabinet at break room and lab. Existing building area: 12,625 square feet
New building area: SAME square feet
"a 0**Rb' OWNER , ;P Q,TENANT 1 Number of stories: 1 STORY
Name: KG INVETSTMENTS / CONTACT:KYLE LATTA Type of construction: VB
Address: 10240 SW NIMBUS AVE,SUITE L3 Occupancy groups:
City/State/ZIP: PORTLAND,OR 97223 Existing: B
Phone:( 503)245-7100 Fax:( 503)245-7710 New: B
"ice,It $1(CANT ::1, ,fl +CONTACT PERSON `Y fUILDINGFER'm'IT FEES*
„,,.i,;,r' ,="(Alea.sereterlo eesclredure). . ,
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
City/State/ZIP: PORTLAND,OR 97209 Total fees due upon application:
: ..
Amount received:
E-mail: REBECCAB@ANKROMMOISAN.COM PHOTOVOLTAI SOLAR ANELSI' M
Commercial and residential prescriptive installation of
CONTRACTOR : .,, , -,". . . _, roof-top mounted PhotoVoltaic Solar Panel System.
Business name: BROCKAMP&JAEGER,INC. / CONTACT:CRAIG SHEARMIRE Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
Address: 15796 S.BOARDWALK Solar Installation Specialty Code checklist.
Permit fee(includes plan review
City/State/ZIP: OREGON CITY,OR 97045 and administrative fees): $180.00
Phone:( 503)655-9151 Fax:( ) State surcharge(12%of permit fee): $21.60
CCB Lic.: 30 Total fee due upon application: $201.60
Authorized signature: 4. , This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: KV LE ` ) 4 Date: 0 * Fee methodology set by Tri-County Building Industry
1 Service Board.
I:\Building\Permits\BUP_COM_PermitApp.doc Rev.04/21/2014 440-4613T(11/02/COM/WEB)
City of Tigard
1111 COMMUNITY DEVELOPMENT DEPARTMENT
I
T1caRD Building Permit Review — Commercial - No Land Use
Building Permit #: /0 p? -, wyr
Site Address: ) C3 60 SSV /i,,n,, S A fr e Suite/Bldg#: P
Project Name: 5 old bi ', ( per-
(Name of commercial business occyfpying the space. If vacant,enter Spec Space.)
Planning Review
Proposal: Tem g yi 4 , r,,, ro fI e yr) en-7/.s
Existing Business Activity: 0 MG"e G 4d/ )/VG rel/?LS 6)5
Proposed Business Activity: Re ee /14-1 Ovcf Q'Qve%prya=.y1-7`'
Vrify site address/suite# exists and active in permit system.
Erte er Terrace Neighborhood: ❑ Yes Eri o
,Lf Zoning: 0 E
Er Permitted Use: .-Yes ❑ No ❑ Spec Space
El Confirm no land use required.
, ' Business License:
Exists: ❑ Yes IBJ No,applicant notified to obtain business license
Notes:
Approved by Planning: Date: c/oR049
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: Q77
Site Plans: # 3
Building Plans: # 3
Building Permit#: nter building permit#above.
Workflow Routing: Tanning Permit Coordinator `Building
Workflow Sign-off: ign-off for Planning(include notes fiOm planning review)
Route Application Documents: uildi'g: original permit application,site plans,building plans, engineer and
beam calculations and trust details,if applicable,etc.
Notes:
By Permit Technician: . �/j A . I Date: &/..7,„.6717,_
/ -
I:\Building\Porms\BldgPermitRvw COM_NoLandUse_060116.docx
Permit Coordinator Review
❑ Conditions "Met"prior to issuance of building permit
0 Approved,NOT Released: Date:
Notes:
Revisions (after Building Submittal only)
Revision Notice 1: Date Sent to Applicant:
Revision Notice 2: Date Sent to Applicant:
vision Notice 3:lDate Sent to Applicant: �
SDC Fees Entered:/ Wash Co Trans Dev Tax: ❑ Yes 2 N/A
Tigard Trans SDC: 0 Yes 2N/A
4Parks SDC: 0 Yes EN/A
?J OCto Issue Permit
Approved
by Permit Coordinator: /7ate: //2‘`‘iii,
I:\Building\Forms\BldgPermitRvw_COM_NoLandUse_070915.docx