Permit iliCITY OF TIGARD BUILDING PERMIT
' COMMUNITY DEVELOPMENT Permit#: BUP2020-00010
Date Issued: 01/21/2020
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439
Parcel: 1S134AA02100
Jurisdiction: Tigard
Site address: 10300 SW NIMBUS AVE PC
Project: KG Investments Subdivision: IKOLL BUSINESS CENTER,TIGARD Lot: 3
Project Description: Demolition of ceiling and casework prior to TI.
Contractor: GUILD CONSTRUCTION INC Owner: DIETRICH, NANCY BISHOP
PO BOX 674 ROBINSON, JERRY CHRISTOPHER TRUST
BEAVERTON, OR 97075 ROBINSON, LYNN ET AL
9701 SE MCLOUGHLIN BLVD
MILWAUKIE, OR 97222
PHONE: 503-957-1173 PHONE:
FAX: 503-291-1532
FEES
Specifics:
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: Permit Fee-Additions,Alterations, 01/21/2020 $377.90
Demolition
Occupancy Grp: Occupancy Load: 12%State Surcharge-Building 01/21/2020 $45.35
Dwelling Units: 0 Info Process/Archiving-Lg$2.00(over 01/21/2020 $6.00
Stories: 0 Height: 0 ft 11x17)
Bedrooms: 0 Bathrooms: 0
Value: $20,000
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $429.25
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 1.800.332.2344.23�
Issued By: ._.'A.„.t...... ....,
�� Permittee Signature: z�"(1f
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 of the project.
Approved plans are required on the job site at the time of each inspection.
1
Building Permit Application
Commercial ® FOR OFFICE USE ONLY
City of Tigard RECEIVED Received
. Date/B : ' i '} Permit No.: 1 / -
13125 SW Hall Blvd.,Tigard,OR 97223 Riew
Phone: 503-718-2439 Fax: 503-598-1960 JAN 21 2020 Planev
Date/B Related Permit:
TIGARD Inspection Line: 503-639-4175 Date Ready/By: Juris: 6i See Page 2 for
Internet: www.tigard-or.gov CITY OF TIGARD Notified/Method: 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 Commercial/industrial Valuation: $
❑Accessory building v 0 Multi-family Number of bedrooms:
❑Master builder [2]Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
• Job site address: 10300 SW NIMBUS AVENUE - BUILDING P New dwelling area: square feet
City/State/ZIP: PORTLAND, OREGON 97223 Garage/carport area: square feet
SSuite/bldg./apt.#: Pro Project name: KGHOLLS BUSINESS CENTER Coveredporch area: square feet
SUITE C l KG-LEASING OFFICE Au-Tiv'a4,„,13 q
Cross street/directions to job site: Deck area: square feet
Other structure area: square feet
REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision: Lot#: 2100 Permit fees*are based on the value of the work performed.
Tax map/parcel#: 1S 134AA0 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.
Valuation: $ 20,000
Demo portion of existing interior walls and doors for tenant build-out. —
Demo portion of gyp. ceiling. Demo existing casework. Existing building area: 4,902 square feet
New building area: SAME square feet
PROPERTY OWNER 0 TENANT Number of stories: 1 STORY
Name: KG INVESTMENTS/CONTACT: KYLE LATTA Type of construction: VB
Address: 10240 SW NIMBUS AVE, SUITE L3 Occupancy groups:
City/State/ZIP: PORTLAND, OR 97209 Existing: B
Phone:( 503)245-7100 Fax:( 503)245-7710 New: B
1,0 APPLICANT 0 CONTACT PERSON BUILDING PERMIT FEES*
Business name: ANKROM MOISAN ARCHITECTS (Please refer tnfee schedule
1
Structural plan review fee(or deposit):
Contact name: REBECCA BROCK
FLS plan review fee(if applicable):
Address:38 DAVIS STREET
City/State/ZIP: PORTLAND, OR 97209 Total fees due upon application:
Amount received:
Phone:(503)892-8373 Fax::( )
E-mail: REBECCAB@ANKROMMOISAN.COM PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
Commercial and residential prescriptive installation of
CONTRACTOR roof-top mounted PhotoVoltaic 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: P.O. BOX 674 Solar Installation Specialty Code checklist.
City/State/ZIP: BEAVERTON, OR Permit fee(includes plan review $180.00
and administrative fees):
Phone:(503)957-3887 Fax:( ) State surcharge(12%of permit fee): $21.60
CCB Lic._ 109116 Total fee due upon application: $201.60
Authorized signature: Q:; ' 4:,i
1/ This permit application expires if a permit is not obtained
w within 180 days after it has been accepted as complete.
Print name: REBECCA BROCK Date: 1/21/2020 * Fee methodology set by Tri-County Building Industry
Service Board.
I:\Building\Permits\BUP_COM_PermitApp.doc Rev.04/21/2014 440-4613T(11/02/COM/WEB)