Permit CITY OF TIGARD BUILDING PERMIT
• 6 �
COMMUNITY DEVELOPMENT Permit #: BUP2010 -00257
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 11/18/2010
Parcel: 1 S 134AA01800
Jurisdiction: Tigard
Site address: 10110 SW NIMBUS AVE B11
Project: Horiba Subdivision: SCHOLLS BUSINESS CENTER Lot: 0
Project Description: TI
Contractor: GUILD CONSTRUCTION INC Owner: ROBINSON, CONSTANCE A &
PO BOX 674 ROBINSON, LYNN ET AL
BEAVERTON, OR 97075 BY KG INVESTMENT MGMT
10240 SW NIMBUS AVE #L3
PORTLAND, OR 97223
PHONE: 503 - 957 -1173 PHONE:
FAX: 503 - 291 -1532
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee - Additions, Alterations, 11/18/2010 $377.90
Class of Work: ALT Demolition
Dwelling Units: 0 12% State Surcharge - Building 11/18/2010 $45.35
Stories: 1 Height: 0 ft Plan Review 11/18/2010 $245.64
Bedrooms: 0 Bathrooms: 0 Plan Review - Fire Life Safety 11/18/2010 $151.16
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 $820.05
Required: Required Items and Reports (Conditions)
Fire Sprinkler: No 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 co, of the rules or . - ct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: / j � ��'� Permittee Signature:
C : *{ 175 by 7:00 a.m. for the next available ins ction date.
This permit card shall be kept in a conspicuous place on the job site u , til completi.. of the project.
Approved plans are required on the job site at the time of e ch inspect on.
Bnj!ding Permit Application
Commercial FOR OFFICE USE ONLY
City of Tigard Received permit No,: /
13126 SW Hall Blvd., Tigard, OR 972 `A Date/13 k
11 1
% ^ P lan Review {
Phone. 503.639.4171 Fax: 603,598,1 °, P ` I D . LoW Date /B : ' i l Q Other Permit:
'TIGARD Inspection Line: 503.639 \\OV Date Ready /By: El See Page 2 for
Internet: www.tigard- or.gov ,` GPRO t Notified/Method: 1 ; w - Supplemental Information
OF \C, \ 0k4
rt�n x t r k d ehr'a \ ° \ w E.t b"1 v m
r , :: TYPES "OF WOR � Y G 1., RP` G : ;
AA\\ Q TJIRED DATA �1 AND�2 FAMI�Y D WEILLIN
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❑ New construction [1] De (ition Perrttit fees* are based on the value of the work performe d .
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: S
❑ Accessory building Ill Multi-family Number of bedrooms:
❑ Master builder ❑ Other: Number of bathrooms:
' , , JOB E SIT INFORMA_ TI ®N AND` LOC . r Total number of floors:
Job site address: 10 &IQ (SR/ /Er . L0 I - New dwelling area: square feet
City /State /ZIP: ) /) O R 9 7 2-- y Garage /carport area: square feet
Suite /bldg. /apt. no.:d -/I Project name: "�t� Covered porch area: square feet
Cross street /directions to job site: ,v Deck area: square feet
Other structure area: square feet
REQUIRED'DATA COMMERCIAL USE CHECKLIST
Subdivision: Lot no.: Permit fees* are based on the value of the work performed.
Indicate the value (rounded to the nearest dollar) of all
Tax map/parcel no.: equipment, materials, labor, overhead, and the profit for the
10 DESCRIPTION OF WORK .,_ r work indicated on this applicat
�.. �
.. / g,140 Valuation: $ Z� 000 O01
Existing building area: square feet
New building area: square feet
❑ PROPERTY "bWNER< ❑TENANT:`''
Number of stories:
Name: 41/U 7;ti Type of construction:
Address:!' /0fg 5 L1 AL./ ,4 J
�Q� G3 Occupancy groups:
City /State /ZIP: /J � 6 4 , 4 77:2;3 Existing:
Phone: ( S 98 - gp
/ 7U U Fax: 5L�) ij 28 9f 44'Z- New:
�9,�'.e y+ aka s . i 14 ;, x .. - a �M1 c
, , ^aye PPLI z4r: t.:, r • *o _. ` CONTACT PERSON . z r r 2 a + � A i ,
Business name.4, , f R Q M A ( S 11 _ , \ J / $ Xfs 7 / i All contractors and subcontractors are required to be
Contact name: of w c $ v licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address: 6,720 5'} �jq.C.. s ,c?,4>� Ole.- Sv/7 i jurisdiction in which work is being performed. If the
City /State /ZIP: applicant is exempt from licensing, the following reasons
�O 9 7 L I7 9 apply
PhoneSe) Ti 1-S 7,/ t) Fax: : ( ) 2� " 7710
E -mail ' 7 / /.S t0 p1 M 0 CO/n
i 'r, CONTRACTOR >v
Business name: al tin 6 //o� r�"` BUILDING PERMIT FEE yi :,
Address:
u �� .. ( Pad,i'ei e fei to fee sehedtt[) i o .;
y r�FIQ� e A Z . N 04•
Stnictural plan review fee (or deposit):
Cit /State /ZIP: i�—f�i 9/
yO
Phone: 0J
22 ) ( 5 7 // Fax: ( ) FLS plan review fee (if applicable):
Total fees due upon application: )1), v5
CCB lie,: _
i "�'�[ G_ n Amount received
Authorized sigia �`U�—r. This permit application expires if a per it is not obtained
] within 180 days after it has been accepted as complete.
4.
Print name: , l . Date: / 8
l * Fee methodology set by Tri- County Building Industry
Service Board,
I:ABuilding \Permits \BUP -COM PermitApp.doc 2/23/07 440- 4613T(1 I /02/COM/WEB)
..1'1 'X
111 Building Division
Accessibility: Barrier Removal Improvement Plan
TIGARD
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REQUIREMENT: OREGON REVISED STATUTE (ORS) 447.241.
(1) Every project for renovation, alteration or modification to affected buildings and
related facilities shall be made to insure that the path of travel to the altered area and
the restroom, telephones and drinking fountains are readily accessible to individuals
with disabilities unless such alterations are disproportionate to the overall alterations
in terms of cost and scope.
(2) Alterations made to the path of travel to an altered area may be deemed •
disproportionate to the overall alteration when the cost exceeds twenty -five per -cent
(25 %).
VALUATION: Total of all renovation, alteration or modification being
done, excluding painting and wallpapering: [1] $
MULTIPLIER (25% barrier removal requirement): x .25
•
TOTAL BUDGET FOR BARRIER REMOVAL: [2] $
ELEMENTS: In choosing which accessible elements to provide under this section, priority shall be
given to those elements that will provide the greatest access.' Elements shall be
provided in the following order:
(a) Parking $
•
(b) An accessible entrance: $
(c) An accessible route to the altered area: $
(d) At least one accessible restroom for each sex or a single unisex
restroom: $ •
(e) Accessible telephones: $
(f) Accessible drinking fountains: and, $
•
(g) When possible, additional accessible elements such as storage and
alarms: - $
TOTAL (shall equal line [2] of Valuation Computation): $
I: \Building\Permits \B! P -COM PermitApp.doc 06/25/08
Building Division
Plan Submittal Requirements
TIGARD
Commercial & Multi- Family - New, Additions or Alterations
1. SITE PLAN (fully dimensional, drawn to scale) labeled with:
A. ❑ map & tax lot # ❑ project name ❑ site address suite number
1 1 zoning ❑ applicant name ❑ phone number
B. North arrow.
C. Scale (architectural or engineering only).
D. Street names.
E. Setbacks.
F. Parking, including disabled access.
G. Finished floor elevations.
2. EROSION CONTROL PLANS AND DETAILS.
3. BUILDING PLANS: See the "Plan Submittal Requirement Matrix" for the
number of plans required based on submittal type (no redlines or tape -ons
accepted).
All details listed below shall be incorporated into the plans:
A. Scale (architectural or engineering only).
B. Foundation plan.
C. Floor plan(s).
D. Cross sections.
E. Reflective ceiling plan.
F. Seismic bracing detail for suspended ceiling.
G. Roof plan.
H. Exterior elevations.
I. Structural calculations, plans, details and specifications.
J. Accessibility barrier removal worksheet.
K. Deposit - based on valuation of project.
4. EXTRA SET OF THE FOLLOWING:
A. Two (2) copies of site plan to include vicinity map.
B. One (1) copy of erosion control plan with details.
C. Fire Department Building Survey, and full set of architecture drawings.
I: \Building\Permits \BUP -COM PermitApp.doc 06/25/08
Building Division
Plan Submittal Requirement Matrix
TIGARD
Commercial & Multi- Family - New, Additions or Alterations
Type of Submittal # of Plans
nt
(Includes new,. additions and alterations:) Required'at
Submittal ,
Demolition Permit 2
(site plan required showing location and square
footage of all buildings to be demolished)
Site Work 2
(must include location of all accessible parking)
Plumbing (site utilities) 2
Building 2
Fire Protection System 2
Mechanical 2
Plumbing (building fixtures) 2
Electrical 2
Plan review is dependent upon submittal of a completed application and plans.
After plan review approval, the Plans Examiner will contact the applicant to request
additional sets of plans for distribution purposes (for contractor, City of Tigard,
Washington County, and Tualatin Valley Fire & Rescue)
I: \Building\Permits \BUP -COM PermitApp.doc 06/25/08
I iia Building Division
. Over - The - Counter (OTC) Building Permit
TlGARD Check List
Description of Project: TT
GENERAL INFORMATION
Class of Work: *r Floor Areas (sq. ft.): Exterior Wall Construction:
Type of Use:* COM First floor: N: S:
Type of Construction: Second floor: E: W:
Occupancy Group: Third floor: Openings Protected Y /N ?:
Occupancy Load: Total sq ft.: N: S:
Stories:
rs, Note: Combine total floor area for E: E:
Height: all floors above third floor and Roof Construction:
Floor Load: add to the third floor sq. ft. Fire Retardant:
Basement: Basement: Area Separation Rated:
Mezzanine: Garage: Occu. Separation Rated:
REQUIRED ITEMS
Fire sprinkler: OD Handicap access:
Smoke detector: Protected corridors:
Fire alarm: Parking spaces ( #):
Notes:
Total Valuation: $ 2 I (
INSPECTIONS FEES DUE
Footing /foundation Firewall $ 77 90 Permit Fee
Post /beam structural Smoke detector $ , 5 State Surcharge
Shear wall Misc. inspection $6j, 4'' Plan Review Fee
Masonry Approach /sidewalk $ FLS Plan Review Fee
Framing $ Additional Permit Fee
Insulation Sprinkler rough -in $ Additional Plan Review Fee
Gyp board Fire alarm $ Metro Construction Excise Tax
Suspended ceiling Sprinkler final $ School Construction Excise Tax
Final inspection $ Misc. Fee
$ Hourly Rate Fee
$ Hourly Rate State Surcharge
$ Other:
$ 620 STotal Fees Due
*OPTIONS:
TYPE OF USE: COM = commercial; CMS = commercial manufactured structure.
CLASS OF WORK ACS = accessory; ADD = addition; ALT = alteration; FND = foundation; DEM = demo;
FND = foundation; FPS = fire protection system; NEW = new; OTR = other (use for fences, decks, retaining walls, signs, awnings
or canopies); REP = repair.
I: \Building \Forms \OTC- BUP.doc 08/19/08