Permit 11111 CITY OF TIGARD BUILDING PERMIT
COMMUNITY DEVELOPMENT Permit#: BUP2013 00208
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 08/21/2013
Parcel: 1 S 134AA02100
Jurisdiction: Tigard
Site address: 10340 SW NIMBUS AVE NC
Project: Greentowne Real Estate Subdivision: IKOLL BUSINESS CENTER,TIGARD Lot: 3
Project Description: Ti for new walls,electrical,sprinkler and HVAC drop for new tenant.
Contractor: GUILD CONSTRUCTION INC Owner: HANSON, RONALD D
PO BOX 674 ROBINSON, CONSTANCE A
BEAVERTON, OR 97075 ROBINSON, CHESTER TRUST ET AL
203604 EAST FINLEY RD
KENNEWICK,WA 99331
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: IIIB DC Provision Review,COM TI-Ping 08/21/2013 $70.00
Occupancy Grp: B Occupancy Load: DC Provision Review,COM TI-LRP 08/21/2013 $10.00
Dwelling Units: 0 Permit Fee-Additions,Alterations, 08/21/2013 $225.80
Demolition
Stories: 1 Height: 0 ft 12%State Surcharge-Building 08/21/2013 $27.10
Bedrooms: 0 Bathrooms: 0 Plan Review 08/21/2013 $146.77
Value: $9,560 Plan Review-Fire Life Safety 08/21/2013 $90.32
Info Process/Archiving-Sm$0.50(up to 08/21/2013 $1.50
11x17)
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $571.49
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: Permittee Signature:
Call 603.639.4176 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 RECEIVED FOR OFFICE USE ONLY
City of Tigard q�� '2 1 L 3 Date Bea _�'2� `�' Permit N. /
a i 3-� a d
Pr I
a 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review ;�. /!��
Phone: 503.718.2439 Fax: 503.598.l9 Date/B : �1 Other Permit:
TIGARD
Inspection Line: 503.639.4175 CITY OF TIGARD Date Ready:Ir.
See Page 2 for
Internet: www.tigard-or.gov BUILDING DIVISION Notified/Method: I 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.
Valuation: $
❑ 1-and 2-family dwelling .•Commercial/industrial
❑Accessory building ❑ Multi-family Number of bedrooms:
❑Master builder I=1 Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address:if 1) L i D a5 ), ,, New dwelling area: square feet
City/State/ZIP: et.„, IL- qS 7 Zz-3 Garage/carport area: square feet
Suite/bldg./apt.no.: Project name:0I,e_e_1440 Wu pa) 4ut6_- 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: Lot no.: Permit fees*are based on the value of the work performed.
Tax map/parcel no.: 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._q N-e-u) �� 13JE)GC-�Ufc-a/j 1 Kz•� s�bLlvlIlet/ Valuation: $ /j
tiV � Existing building area: 3 7/S square feet
///✓✓✓ New building area: 371 S square feet
elk-PROPERTY OWNER _ /� ❑ TENANT Number of stories:
Name:�J)t,I 014 (Pil 54�/l1Le-kt/ :: ,h �[tve.�-ynekt r Type of construction:
Address: /40.2j./0 S 0 It y) 4 h,,,,_5 sW,7t_L. 3 Occupancy groups:
a
City/State/ZIP:Pe I^-1--) vi a 0 1�--- q.? Z2,3�/ Existing:
Phone:( 0 ) 5-q O Cj L(b)D Fax:(50 3)51t y.--1 / D Z/ New:
a APPLICANT ❑ CONTACT PERSON BUILDING PERMIT FEES*
Business name: 1i I /a II,,/ (Please refer to fee schedule)
Structural plan review fee(or deposit):
Contact name: V y is 1.96 e-L/'
FLS plan review fee(if applicable):
Address: /3D I/3oX 67 1/ 0 City/State/ZIP: 0 cp. 0 ti 0 I _ X07 S-Pb7 y Total fees due upon application:
Phone:603 c( I ) YD Fax: :(y 4) Zy) -i s 3 7i Amount received:
E-mail: 1{O4e k>� a,`/r.L N D • (.�"v{ PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
/ Commercial and residential prescriptive installation of
CONTRACTOR roof-top mounted PhotoVoltaic Solar Panel System.
Business name: U /� ��c.,-- Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
Address: PD 6 p 6 -7 L/ Solar Installation Specialty Code checklist.
City/State/ZIP: 6�a Jul, �� /D 41-70? s -O6 y Permit fee(includes plan review $180.00
and administrative fees):
Phone:(5o 3) Cr S 7 _/1 Fax: 603 ) zyi -1.533 '2 State surcharge(12%of permit fee): $21.60
CCB lie.: 1, y 11 6, Total fee due upon application: $201.60
Authorized signature: `f 2� This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
* Fee methodology set by Tri-County Building Industry
Print name: 'I /(196�J f/ Date: �l-13 Service Board.
1:\Building\Permits\BUP-COM PermitApp.doc 02/24/2011 440-461 3T(I 1/02/COM/WEB)
Building Division
Development Code Provision Review
T i G Rlj Commercial Projects - No Associated Land Use Case
Building Permit No: 4Z1,02-0/3 — 00.2-6(r IExpedited Review 67
Project Name: N
Site Address: /l 3 4'0 Se-L) AV/A, GC S Suite/Bldg #: /VC.,
Plans Routed:
Original Plan Submittal Date: X2i/3 Routed By: "
1 st Revision Submittal Date: Routed By:
2nd Revision Submittal Date: Routed By:
To the Applicant:
➢ If the proposed use is not permitted within the zone, please contact the Building Division to cancel
the permit application. Building Permit Technicians (503) 718-2439.
➢ If a land use is required and for all other questions, please contact the staff person listed above the
Planning Review section.
Staff: please check items along left only if approved.
Planning Review (contact .'of r+ ►v C at (503) 71821421°r Yle'S 1- @tigard-or.gov)
Proposal: -i'C.h0'r Y ''.` DOI -t ocutiee h.PiW ■■
Zoning tv1u
Permitted Use Yes RK No ❑
Land Use Required: Yes ❑ No Fir
Notes: O Cr 'r V (Afire,-
Approved ❑ Not Approved ❑ DCPR Not Required—No DCPR Fees Due
Datc Routcd to Building:
1:\CURPLN\Masters\Development Code Provision Revie ■\DCPR_COM_NoLandUse.doc Rev.01/16/13
III ° Building Division
Over-The-Counter (OTC) Building Permit
TIGMUD
Check List
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Project Description: 1
APPLICATION SPECIFIC INFORMATION
GENERAL INFORMATION
Class of Work*: 'r' Occupancy Group: Type of Construction:
Type of Use**: CCM Occupancy Load: Oregon Specialty Code: 70 10
SPECIFICS
Number of Stories: . 1 Building Height: Mixed Use:
Number of Dw Units: Number of Bathrooms: Number of Bedrooms:
BUILDING SQ FT-SCHOOL CET OTHER SQUARE FOOTAGES
Story Square Footage: Accessory Structure: Covered Porch:
Basement: Garage: Deck:
Total Square Footage: Carport: Mezzanine:
SETBACKS
Sideyard Setback—Left Sideyard Setback—Front
Sideyard Setback—Right Sideyard Setback—Back
CONSTRUCTION
Exterior Walls: Openings Protected: Firewall Separation:
N: S: N: S: Occupancy Separation: _
E: W: E: W: Access.Parking Spaces:
REQUIRED ITEMS
Fire Sprinklers: Fire Alarms: Smoke Detectors: _
Sprinkler Type: Alarm Type: Protected Corridors:
Standpipe Required: Pull Stations Required: Parapet:
Hazard Group: Battery Calcs Provided:
Density: _ Cut Sheets Provided:
Design Area:
K Factor: •
Total Project Valuation: $ ate(----00 FEES DUE
$ 10,a3 DC Prov Rvw,COM TI—Ping
M DC Prov Rvw,COM TI—LRP
DC Provision Review Fee for COM TI(effective 7/1/2013) $ 20,,e0 Permit Fee—Add,Alt,Demo
Project Valuation Planning LRP $ 27, 0 12%State Surcharge
Up to$4,999 $0.00 $0.00 $ A , Plan Review,Structural
$5,000-$74,999 $70.00 $10.00 $ "...' . Zi Plan Review,Fire Life Safety
$75,000-$149,999 $174.00 $26.00 $ Info Proc/Arch,Lg(over 11x17$2.00)
$150,000 and over $278.00 $41.00 $ f .9n Info Proc/Arch,Sm(up to 11x17$0.50)
$ Metro Construction Excise Tax
$ School Construction Excise Tax
$ Hourly Rate Fee
$ Hourly Rate State Surcharge
$ Misc.Admin Fee
$ Other:
$ Other:
Building Staff: $ Other:
Date/Time: $ 57J ,ACI TOTAL FEES DUE
*TYPE OF USE: COM=commercial;CMS=commercial manufactured structure.
**CLASS OF WORK ACS=accessory;ADD=addition;ADU=accessory dwelling unit;ALT=alteration;DEM=demo;NEW=new;
OTR=other(use for fences,decks,retaining walls,signs,awnings or canopies).
I:\Building\Forms\OTC-BUP.docx 07/01/2013
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