Permit CITY OF TIGARD BUILDING PERMIT
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s COMMUNITY DEVELOPMENT Permit#: BUP2020-00158
Date Issued: 7/23/2020
T[GAR D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439
Parcel: 1 S 134AA01800
Jurisdiction: Tigard
Site address: 10170 SW NIMBUS AVE 111
Project: Scholls Business Center Subdivision: IKOLL BUSINESS CENTER,TIGARD Lot: 2
Project Description: Emergency wall repair for Building H due to damage from an impact.
Contractor: PERLO CONSTRUCTION LLC Owner: DIETRICH, NANCY BISHOP
16101 SW 72ND AVE SUITE 200 ROBINSON,JERRY CHRISTOPHER TRUST
TIGARD, OR 97224 ROBINSON, LYNN ET AL
9701 SE MCLOUGHLIN BLVD
MILWAUKIE, OR 97222
PHONE: 503-624-2090 PHONE:
FAX: 503-639-4134
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: IIA Permit Fee-Additions,Alterations, 07/23/2020 $509.05
Demolition
Occupancy Grp: E Occupancy Load: 0 12%State Surcharge-Building 07/23/2020 $61.09
Dwelling Units: 0 Plan Review 07/16/2020 $330.88
Stories: 0 Height: 0 ft Info Process/Archiving-Sm$0.50(up to 07/23/2020 $14.50
Bedrooms: 0 Bathrooms: 0 11x17)
Value: $30,000
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $915.52
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.
Issued By: Ar. Permittee Signature: r e::::3p
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.
Building Permit Application
Commercial FOR OFFICE USE ONLY
City of Tigard RECEi t l►late/By
Permit No.: /�
ute/By: 7�r/�e ,� tJt!.tR,27>(9®lls l '.
t " 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review
2 Phone: 503-718-2439 Fax: 503-598-1960 DateiBy: �'�� '�Q Related Permit:
TIGARD Inspection Line: 503-639-4175 J U L 15 2020 Date Ready,By: // / / i lu is: Sec Page 2 for
m' Internet: www.tigard-or.gov ''{' /� i� Notifie ethod: 7,14 ? �j/ Supplemental Information
CIY
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TYPE OF D i G:D 111 'ON QLTIRED 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:replacemenr ❑x Other: Emergency Repair equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application. I
Valuation: $ 1
❑ 1-and 2-family dwelling 0 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: 10170 SW Nimbus New dwelling area: square feet
City/State/ZIP: Portland, OR 97223 Garage/carport area: square feet
Suite/bldg./apt.#: Bldg 'H' Project name:Bldg 'H'Wall Panel Repair Covered porch area: square feet
Cross street/directions to job site: t l t, , 49 t AS 6,ahr Deck area: square feet
SW Nimbus South of Scholls Ferry Road Other structure area: square feet
REQUIRED DATA:COMMERCIAL-USE CHECKLIST
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
DESCRIPTION OF WORK work indicated on this application.
Emergency repair to a tilt up wall Valuation: $ 30,000
Existing building area: 15,102 square feet
New building area: square feet
i) PROPERTY OWNER 0 TENANT Number of stories: Single Story
Name: KGIP Investment Properties,Attn. Melanie Cole-Smith Type of construction: Single Story
Address: 10300 SW Nimbus Ave.,Suite P-C Occupancy groups:
City/State/ZIP:Portland,OR 97223 Existing: V-B(Assumed)
Phone:( 503 )705-9364' Fax I ) New: No Change
!1 APPLICANT ® CONTACT PERSON (BUILDI BUILDING PERMIT FEES*
Business name: VLMK Engineering + Design qlarMleK s'I elute
Structural plan review fee(or deposit):
Contact name: Amy Tallent
FLS plan review fee(if applicable):
Address: 3933 S Kelly Ave Total fees due upon application:
City/State/ZIP: Portland, OR 97239
Phone:(503) 222-4453 Fax: :( ) Amount received:
E-mail: amyt@VImk.COm PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
Commercial and residential prescriptive installation of
CONTRACTOR roof-top mounted PhotoVoltaic Solar Panel System.
Business name: Perlo Construction Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
Address: 11450 SW Amu Street Solar Installation Specialty Code checklist.
City/State/ZIP: Permit fee(includes plan review
Tualatin, OR 97062 $180.00
and administrative fees):
Phone:(503 )624-2090 Fax:( ) State surcharge(12%of permit fee): $21.60
CCB Lie.: 189245 / / f/ 2'N 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: Amy Tallent Date: 7-15-20 * 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)