Permit CITY OF TIGARD BUILDING PERMIT
�. COMMUNITY DEVELOPMENT Permit#: BUP2020-00011
Date Issued: 01/30/2020
I I G;A B o 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 1 S 134AA02100
Jurisdiction: Tigard
Site address: 10300 SW NIMBUS AVE PC
Project: KG Investments Subdivision: IKOLL BUSINESS CENTER,TIGARD Lot: 3
Project Description: TI for new tenant:New interior walls,doors,and new ADA compliant cabinets in breakroom and restrooms.
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
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: VB Permit Fee-Additions,Alterations, 01/30/2020 $1,287.15
Demolition
Occupancy Grp: B Occupancy Load: 50 12%State Surcharge-Building 01/30/2020 $154.46
Dwelling Units: Plan Review 01/21/2020 $836.65
Stories: Height: ft DC Provision Review,COM TI-Ping 01/30/2020 $254.00
Bedrooms: Bathrooms: Plan Review-Fire Life Safety 01/30/2020 $514.86
Value: $130,000 Info Process/Archiving-Lg$2.00(over 01/30/2020 $16.00
11x17)
Metro CET 01/30/2020 $156.00
Floor Areas: Tigard CET-Non-Residential-Admin 01/30/2020 $52.00
Tigard CET-Non-Residential-AH 01/30/2020 $1,248.00
Total Area:
Accessory Struct:
Basement:
Carport:
Covered Porch:
Deck:
Garage:
Mezzanine:
Total $4,519.12
Required: Required Items and Reports(Conditions)
Fire Sprinkler: Parapet:
Fire Alarm: Protected Corridors:
Smoke Detectors: Manual Pull Stations:
Accessible Parking:
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 rul adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952-001-0010 through OAR 952-001-0090. You may tain a copy e rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: Permittee Signature: / 1.4
Call 503.639.4175 by 7:00 a.m.for the next available inspection date.14, i/. ttj
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
Commercial FOR OFFICE USE ONLY
Received 5t' +
City Of Tigard Date/By: /, 1 PermitNo ,'pt / i,.; -t 4. t ,
13125 SW Hall Blvd.,Tigard,OR 97223 "
g Plan Review 7 a
101
Related Pernut J h
Phone: 503-718-2439 Fax: 503-598-196RCr�IVE, Date/By: J "a, 'pt;0 za+ '4 (,yft_
T I CARD Inspection Line: 503-639-4175 COVE
Datc RcadyBy: Jury ® See Page 2 for
Internet: www.tigard-or.gov t+* N tified/Metho . /����� .-�4z- I Supplemental Information
TYPE OF WORK1 t-j' OF TtGARD.c REQUIRED DATA:1-AND 2-FAMILY DWELLING
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
gAddition/alteration/replacement ❑Other: equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
Valuation: $
❑ 1-and 2-family dwelling Comercial/industrial m
ElAccessory building 0 Multi-family Number of bedrooms:
❑Master builder ❑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
SCHOLLS BUSINESS CENTER
Suite/bldg./apt.#: SUITE C Project name: KG-LEASING OFFICE r Ay,_,(eery X;$1',°04,45 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: I Lot#: 2100 Permit fees*are based on the value of the work performed.
Tax map/parcel#: 1 S 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: $ 130,000
New interior walls and doors for tenant build-out.
New section of ACT. New ADA compliant sink/cabinet at break room & Existing building area: 4,902 square feet
restrooms. New building area: SAME square feet
X PROPERTY OWNER ❑ 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
X APPLICANT 0 CONTACT PERSON BUILDING PERMIT FEES*
(Please refer to fee schedule)
Business name: ANKROM MOISAN ARCHITECTS
Structural plan review fee(or deposit):
Contact name: REBECCA BROCK
FLS plan review fee(if applicable):
Address:38 DAVIS STREET
Total fees due upon application:/ d•j
City/State/ZIP: PORTLAND, OR 97209
Phone:(503)892-8373 Fax: :( ) Amount received:
E-mail: REBECCAB@a 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
and administrative fees): S180.00
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: C�6 - / ��
This permit application expires if a permit is not obtained
h "" 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:ABuilding\Permits\BUP_COM_PermitApp.doe Rev.04/21/2014 440-4613T(11/02/COM/WEB)
City of Tigard
III �I COMMUNITY DEVELOPMENT DEPARTMENT
TIGARD Building Permit Review — Commercial - No Land Use
Building Permit #: ,en, x, - r'jC,rc)i
Site Address: j 0 300 Svc 1V i rhbL,i Gsi f — Suite/Bldg#: t)
Project Name: ,c C h 0) 1 S e). S 1rn e S S (.QX f''
(Name of commercial business occupying the space. If vacant,enter Spec Space.)
Planning Review
Proposal: I r)-K rl G r T_i _ r e).-1- in t r ( 1 (., cLo of W .'6L5
bo .y1ci our , Niftw ADA- C cmp5iCunt- reS+ rt)0rimS
Existing Business Activity: V VF-1 UZ f 0 (Al Cl h 7e,
Proposed Business Activity: f 1 / I
AVerify site address/suite# exists and active in permit system.
7 River Terrace Neighborhood: ❑ Yes 0 No
, Zoning: M V 2
XPermitted Use: .Vi Yes ❑ No ❑ Spec Space
Confirm no land use required.
V Business License:
Exists: ❑ Yes ?"No,applicant was provided a business license application
Notes:
Approved by Planning: AlLam^- 17\".-- ---, Date: i / '21 11.0
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: / - 1
Site Plans: #
Building Plans: #
Building Permit#: nter building permit#above.
Workflow Routing: a-Manning '`'Permit Coordinator Ig•"B"n`ilding
Workflow Sign-off: 0•-Sign-off for Planning(include notes from planning review)
Route Application Documents: [--Building: original permit application, site plans,building plans,engineer and
beam calculations and trust details,if applicable,etc.
Notes: —
By Permit Technician: ,�s . _ /j Date: //)-3/)--c)
,rj
1:\Building\Forms\BldgPennitRvw_COM NoLandUse 111819.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:
ii: StiC Fees Entered: Wash Co Trans Dev Tax: ❑ Yes /A
Tigard Trans SDC: ❑ Yes /A
Parks SDC: ❑ Yes N/A
K to Issue Permit
Approved by Permit Coordinator: iii Date: / 3/7
I:\Building\Fonns\B1dgPermitRvw COM NoLandUse 111819.docx