Permit CITY OF TIGARD BUILDING PERMIT
#: BUP2008 00309
COMMUNITY DEVELOPMENT DATE ISSUED: 9/5/2008
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 1S134AA-01800
SITE ADDRESS: 10130 SW NIMBUS AVE D8 ZONING: I -P
SUBDIVISION: SCHOLLS BUSINESS CENTER LOT: 002 JURISDICTION: TIG
PROJECT: PUGET SOUND
Project Description: TI.
REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION
CLASS OF WORK: ALT FIRST: sf N: S: E: W:
TYPE OF USE: COM SECOND: sf PROJECT OPENINGS?
TYPE OF CONST: 5N sf N: S: E: W:
OCCUPANCY GRP: B TOTAL AREA: 0 sf ROOF CONST: FIRE RET?
OCCUPANCY LOAD: 10 BASEMENT: sf AREA SEP. RATED:
STOR: 1 HT: ft GARAGE: sf OCCU SEP. RATED:
BSMT ?: MEZZ ?: REQD SETBACKS REQUIRED
FLOOR LOAD: psf LEFT: ft RGHT: ft FIR SPKL: N SMOK DET:
DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP ACC:
BEDRMS: BATHS: IMP SURFACE: PRO CORR: N PARKING:
VALUE: $ 2,150.00
Owner: Contractor:
ROBINSON, CONSTANCE A + GUILD CONSTRUCTION INC
ROBINSON, LYNN + BELL, KAY ET PO BOX 674
BY INSIGNIA COMMERCIAL GROUP . BEAVERTON, OR 97075
BEAVERTON, OR 97008
Phone: Contact #: PRI 503 - 957 -1180
FAX 503 - 291 - 1532
Reg #: LIC 109116
FEES
Description Date Amount REQUIRED ITEMS AND REPORTS
[BUILD] Permit Fee 9/5/2008 $69.65
[TAX] 12% State Surch 9/5/2008 $8.36
[BUPPLN] Pin Rv 9/5/2008 $45.27
[FLS] FLS Pln Rv 9/5/2008 $27.86
Total $151.14
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 than 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 -0100. You may obtain a copy
of these rules or direct questions to OUNC by calling 503.246.6699 or 1.800.332.2344.
•
ILL
Issued By I /`jam � - ermittee Signature: /
Call 503.639.4175 by 7:00 a.m. for an inspection that business day.
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.
Clmmercial Tenant Improvement
. • Building Permit AnDlicati VED FOR OFFICE 1151.O;NL1
City of Tigard e v Permit No.: G�� f v •
° 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review oi 1 A
Phone: 503.639.4171 Fax: 503.598.19615 E p - 5 2 0 y i Date/B . � . ieom 1 Other Permit:
T i G A R D Inspection Line: 503.639.4175 Date Re y : y. ®
w- See Page 2 for
Internet: www.tigard or.gov
CITY '' OFTIGARD Notified/Method: Supplemental Information
�
TYPE l7ltA1iIQ„G DIVISIOn' , • 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.
El 1- and 2- family dwelling [Commercial /industrial Valuation: S
❑ Accessory building ❑ Multi - family Number of bedrooms:
❑ Master builder ❑ Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: 1 l yip ), � US /11)C- New dwelling area: square feet
City /State/ZIP: ' ' `' -� 3 Garage /carport area: square feet
o
Suite/bldg. /apt. no.: Di Project name: ,V 1 S Du 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 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
DESCRIPTION OF WORK work indicated on this application.
V
2 /S D 0 h �l 1 l �Qil /� -114,11:4- al- u � Valuation: $ Existing building area: / (. f 3 FrCyquare feet
New building area: •!q'5 rC feet
. 12 ROPERTY OWNER I ❑ TENANT Number of stories: t
Name: IC obi 1460 v Ce F 0e.--1 fi OiC. // KI I.u,ee Type of construction:
Address: /0 p 0 / 1' C j L ��` 3 Occupancy groups:
City / State/ZIP: 4-1, q ?j7 5 Existing:
Phone: ( ) Fax: ( ) New:
APPLICANT ❑ CONTACT PERSON NOTICE
Business name: - 6�,Q / All contractors and subcontractors are required to be
Contact name: Lr (/- licensed with the Oregon Construction Contractors Board
��� under ORS 701 and may be required to be licensed in the
Address: Y jurisdiction in which work is being performed. If the
City/State/ZIP: I 7 _ 1 applicant is exempt from licensing, the following reasons
^� �J apply:
Phone: (5 c _ ! l i Q(� �
_ Fax: : ) G�'1 I -13 3 7/
E -mail:
CONTRACTOR
Business name: -6C ) /a T-,,,6„... BUILDING PERMIT FEES*
•
Address: PD / o X 6 V (Please refer to fee schedule)
_ '
City /State/ZIP: li G IJ .. vi 1il D/ T? 1 )6/ Structural plan review fee (or deposit):
Phone: (,'03) QS7 -I) Fax: c5 3 ) 2i) - /S 3 ‘z.../ FLS plan review fee (if applicable):
CCB lic.: / Total fees due upon application: r 5 telly
Amount received: l Lf Authorized signature: This permit application expires if a peris not obtained
Print name:
/ `, u 1 4,,t. �DS Y� Date: I q — Ll — (J eti e within 180 days after it has been accepted as complete.
• Fee methodology set by Tri- County Building Industry
Service Board.
1:\ Building \Permits\BUP- TI- PermitApp.doc 0323/06 440 -4613T(Il /02 /COM/WEB)
0
.• .
Q.. Building Division
Plan Submittal Requirement. Matrix
T I G A R D Commercial & Multi-Family = New, Additions or Alterations
Type of Submittal # of Plans
(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 1*
•
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)
* For over -the- counter commercial tenant improvements, submit 2 sets of plans.
** "New" fire protection systems require that plans bear the original seal of an
Oregon licensed fire suppression engineer, or NICET level "3" technicians.
I:\ Building \Permits \BUP- TI- PermitApp.doc 03/23/06
CITY OF TIGARD
BUILDING DIVISION' PERMIT #: BUP2008 -00309
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/512008
Phone: (503) 639 -4171 "��
ihii I iir
Inspection Requests (24 Hrs.): (503) 639 -4175 F L..
INSPECTION WORKSHEET FOR DATE: 9/12/200; TIME: 7:00AM PAGE: 16
SITE ADDRESS: 10130 SW NIMBUS AVE D8 CLASS OF WORK:
SUBDIVISION: SCHOLLS BUSINESS CENTER LOT #: 002 TYPE OF USE:
PROJECT NAME: PUGET SOUND
DESCRIPTION: TI.
OWNER: ROBINSON, CONSTANCE A +, PHONE #:
CONTRACTOR: GUILD CONSTRUCTION INC PHONE #: 603 967
Inspection Request Scheduled For: Date: 9/12/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Messa• -
299 Final inspection 075420.01 503 -957 -1180 d
Corrections /Comments /Instructions:
'� "" U PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL %/ CALL FOR INSPECTION ❑ ADDITI AL FEES ASSESSED
Q s 2--6- Inspector: . _ Date: 1 L Phone #: (503) 718-
CITY OF TIGARD
BUILDING DIVISION PERMIT #: BUP2008 -00309
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/5/2008
Phone: (503) 639 -4171 uDi�; 1:7;11. ,kh
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 9/9/2008 TIME: 7:00AM PAGE: 10
SITE ADDRESS: 10130 SW NIMBUS AVE D8 CLASS OF WORK:
SUBDIVISION: SCROLLS BUSINESS CENTER LOT #: 002 TYPE OF USE:
PROJECT NAME: f UGET SOUND
DESCRIPTION: TI.
OWNER: ROBINSON, CONSTANCE A +, PHONE #:
CONTRACTOR: GUILD CONSTRUCTION INC PHONE #: 503.957 -1180
Inspection Request Scheduled For: Date: 9/9/3008 Pour Time:
Code # Inspection Description Confirm # Contact # Messa•e
275 Framing 07526401 503 380 -8229 411110
Ga<./—
Corrections/Comments/Instructions:
PAS El PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL 1,7 CALL FOR INSPECTION El ADDITIONAL FEES ASSESSED
Inspector: _ , Date: Phone #: (503) 718 6;
IOW