Permit CITY OF TIGARD BUILDING PERMIT
COMMUNITY DEVELOPMENT Permit#: BUP2015-00351
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 12/22/2015
Parcel: 1 S134AA01900
Jurisdiction: Tigard
Site address: 10115 SW NIMBUS AVE 500
Project: Express Employment Professionals Subdivision: IKOLL BUSINESS CENTER,TIGARD Lot: B
Project Description: TI to demo non-structural walls,construct new non-structural partitions,new storefront,casework,and doors.
Contractor: COMMERCIAL CONTRACTORS INC Owner: ROBINSON, CONSTANCE A
1265 SOUTH 35TH PLACE BY KILLIAN PACIFIC LLC
RIDGEFIELD, WA 98642 500 EAST BROADWAY, STE 110
VANCOUVER,WA 98660
PHONE: 503-227-4440 PHONE:
FAX: 503-227-6644
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: VB DC Provision Review,COM TI-Ping 12/22/2015 $220.00
Occupancy Grp: B Occupancy Load: 41 Permit Fee Additions,Alterations, 12/22/2015 $955.35
Demolition
Dwelling Units: 0 12%State Surcharge-Building 12/22/2015 $114.64
Stories: 1 Height: 0 ft Plan Review 12/22/2015 $620.98
Bedrooms: 0 Bathrooms: 0 Plan Review-Fire Life Safety 12/22/2015 $382.14
Value: $80,000 Info Process/Archiving-Lg 52.00(over 12/22/2015 $1200
11x17)
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $2,305.11
Required: Required Items and Reports(Conditions)
Fire Sprinkler: Yes 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 503 232.1 87 or 1.600.33 .2344
Issued By: Permittee Signature:
Call 503.639.4175 by 7:00 a.m.for the next available inspection da
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.
BuildinL, Permit Application
Commercial FOR OFFICE USE ONLY
City of Tigard Received Permit N
Date/By:
Y:
a 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review i l
Phone: 503.718.2439 Fax: 503.598.1960 DateB ( Other Permit:
Inspection Line: 503.639.4175 Date Read y: Juris: H See Page 2 for
Internet: www.tigard-oLgov Notified/Method: Supplementallnformation
TYPE OF WORK REQUIRED DATA: I-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.
ElI-and 2-family dwelling ®Commercial/industrial Valuation: $
❑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:10115 NW Nimbus Avenue New dwelling area: square feet
City/State/ZIP:Tigard,Oregon 97223 Garage/carport"area: square feet
Suite/bldg./apt.no.:500 Project name:Express Employment Prof. Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
Other structure area: square feet
REQUIRED DATA:COMNIERCIAL-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
DESCRIPTION OF WORK work indicated on this application.
Demolition of non-structural walls.Construction of non-structural partitions. Valuation: $$80,000.00
New storefront.New casework and plumbing fixtures.New doors to be installed. Existing building area: square feet
New building area: 1939 square feet
❑ PROPERTY OWNER ® TENANT Number of stories: 1
Name:Express Employment Professionals Type of construction: ills
Address: 10115 NW Nimbus Avenue Occupancy groups:
City/State/ZIP:Tigard,Oregon 97223 Existing: B
Phone:( ) Fax:( ) New: B
® APPLICANT ❑ CONTACT PERSON BUILDING PERMIT FEES*
Please refer to fee schedule
Business name:Commercial Contractors,Inc.
Structural plan review fee(or deposit):
Contact name:Jake Money
FLS plan review fee(if applicable):
Address: 1265 S 35th Place
Total fees due upon application:
City/State/ZIP:Ridgefield,WA 98642
Amount received:
Phone:(503)227.4440 Fax::(503)227.6644
PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
E-mail:jake@ccige.com
Commercial and residential prescriptive installation of
CONTRACTOR roof-top mounted Photovoltaic Solar Panel System.
Business name:Commercial Contractors,Inc. Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
Address:1265 S 35th Place Solar Installation Specialty Code checklist.
City/State/ZIP:Ridgefield,WA 98642 Permit fee(includes plan review1 and administrative fees): $180.00
Phone:(503)227.4440 Fax:(503)227.6644 State surcharge(12%of pen nit fee): $21.60
CCB lic.:123729 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:Jake Money Date: 12/14/15 * Fee methodology set by Tri-County Building Industry
Service Board.
1:\Building\PermitABUP-00M PermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
City of Tigard
v COMMUNITY Dl:, --,'NT DT'PAR'fl\41:NT
0
Building Permit Review — Commercial - No Land Use
• D
Building Permit #: ,aa/ftp/��-D03�/
Site Address: 101 s SCJ M IY'f LAp ) Nye . Suite/Bldg#: 500
Project Name: E�S,bCP.S�, E P`oVYY1C,rtT P'f0'1Ps�ioffc�,I ��
(i\an c of unrnmercial b�siness uccuhving the sPace. I f vacant,enter Stec Spacc.)
Planning Review
Proposal: T A 4 p� Oem em p�Obi q TTL
Gowu
Existing Business Activity: I MoorP.YS�'etbl YI P ± (nc7+ ADafOVed)
Yv
osed Business Activit): 04i cPcrif y site address suite# exists and active in permit s)-stem.
River Terrace Neighborhood: ❑ Yes No
Zoning:
i
Permitted Use: l 9 Yes ❑ No ❑ Spec Space
C�rConfirm no land use required.
Business License:
F'xists: ❑ Yes (/NO, applicant notified to obtain business license
Notes: previous �kse, n roVP , C P�V�r� n fo
Wove leY evi P, le w i h rkjw va r i co—
Approved by Planning: In Lek V-6C ) Date:
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:
Site Plans: # 2
Building Plans: # .1:2--
Building
2Building Permit#: �1`nter building permit# above.
Workflow Routing: bo—Planning ❑ Permit Coordinator 4-ff—Building
Workflow Sign-off: sign-off for Planning(include notes from planning review)
Route Application Documents: �uilding: original permit application, site plans, building plans, engineer and
beam calculations and trust details,if applicable, etc.
Notes:
By Permit Technician: Date:
1:\Building\Forms\BldgPci7nitRv",_COM_NoLandUsc_070915.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:
❑ SDC Fees Entered: Nash Co Trans Dev Taff: ❑ Yes ❑ N/A
Tigard Trans SDC: ❑ Yes ❑ N/A
Parks SDC: ❑ Yes ❑ N/A
❑ OK to Issue Permit
Approved by Permit Coordinator: Date:
I:\Building\Forms\BldgPermitRvw_COM_NoLandUse_070915.doex
" Building Division
Over-The-Counter (OTC) Building Permit
Check List
Project Description: 71
APPLICATION SPECIFIC INFORMATION
GENERAL INFORMATION
Class of Work*: Occupancy Group: Type of Construction:
Type of Use**: Occupancy Occu anc Load: Oregon Specialty Code:
SPECIFICS
Number of Stories: 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 Foot a e: Carport: Mezzanine:
SETBACKS
Side and Setback—Left Side and Setback—Front
Side and Setback—Fight Side and 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: $ 80 0 FEES DUE'
$ (OC)DC Prov Rvw,COM TI—Plug
$ �a.�ermit Fee—Add,Alt,Demo
DC Provision Review Fee for COM TI(effective 7/1/2015) $ , 12%State Surcharge
Project Valuation $ Plan Review,Structural
Up to$4,999 $0.00 $ Plan Review,Fire Life Safety
$5,000-$74,999 $88.00 $ � Info Proc/Arch,Lg(over 11x17$2.00)
$75,000-$149,999 $220.00 $ Info Proc/Arch,Sm(up to 11x17$0.50)
$150,000 and over $351.00 $ Metro Construction Excise Tax
$ School Construction Excise Tax
$ Hourly Rate Fee
$ Hourly Rate State Surcharge
$ Misc.Admin Fee
$ Other:
$ Other:
$ Other:
Building Staff: $ Other:
Date/Time: �$ ZZO 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,cetainin -walls,signs,awnings,or canopies).
I:\Building\Forms\OTC_B U P_070115.docs
_ q Building Division
Accessibility: Barrier Removal Improvement Plan
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 wtith 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): $
l:ABuilding\Permits\BUP-CODI PermitApp.doc 03/03/2011
_ n Building Division
Plan Submittal Requirements
Commercial &Multi-Family- New,Additions or Alterations
1. SITE PLAN (fully dimensional, drawn to scale) labeled with:
A. ❑ map & tat lot# ❑ project name ❑ site address ❑ suite number
❑ 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. Seisimic bracing detail for suspended ceiling.
G. Roof plan.
H. Exterior elevations.
L 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 frill set of architecture drawings.
l:ABuilding\Perm is\BUI'-CO\I PermitApp.doc 03/03/2011
_ 4 Building Division
Plan Submittal Requirement Matrix
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 3
(must include location of all accessible parking)
Plumbing (site utilities) 2
Building 3
Fire Protection System 3
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, Cite of Tigard, Washington
County, and Tualatin Valley Fire & Rescue), if applicable.
I:AIiuilding\Permits\FiUP-CO\4 PcrmitApp.doc 03/03/2011
Location:
Record Type:
Inspection Type:
Result:
Comments:
Inspection Date:
Record ID:
Inspector:
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
10115 SW NIMBUS AVE 500, TIGARD, OR,
97223
Commercial - Building
299 Final inspection
PASS - C of O
BUP2015-00351
Chip Barnett
Violation Summary:
Inspector Contractor