Permit (13) CITY OF TIGARD BUILDING PERMIT
COMMUNITY DEVELOPMENT Permit#: BUP2018-00164
Tf GARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 05/30/2018
Parcel: 1S 134AA01800
Jurisdiction: Tigard
Site address: 10180 SW NIMBUS AVE J3
Project: Kirby Nagelhout Construction Co Subdivision: IKOLL BUSINESS CENTER,TIGARD Lot: 2
Project Description: TI for new tenant:Demolition,new interior walls,and new breakroom casework.
Contractor: KIRBY NAGELHOUT CONSTRUCTION CO Owner: DIETRICH, NANCY BISHOP
20635 BRINSON BLVD ROBINSON, JERRY CHRISTOPHER TRUST
BEND, OR 97701 ROBINSON, LYNN ET AL
9701 SE MCLOUGHLIN BLVD
MILWAUKIE, OR 97222
PHONE: 541-389-7119 PHONE:
FAX:
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: VB DC Provision Review,COM TI-Ping 05/30/2018 $91.00
Occupancy Grp: B Occupancy Load: 50 Permit Fee-Additions,Alterations, 05/30/2018 $575.17
Demolition
Dwelling Units: 0 12%State Surcharge-Building 05/30/2018 $69.02
Stories: 0 Height: 0 ft Plan Review 05/30/2018 $373.86
Bedrooms: 0 Bathrooms: 0 Plan Review-Fire Life Safety 05/30/2018 $230.07
Value: $35,205 Info Process/Archiving-Lg$2.00(over 05/30/2018 $16.00
11x17)
Address Fee 05/30/2018 $50.00
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $1,405.12
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 rul-s 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 cor of the rules• direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: Permittee Signature: /
Call.13.• 9.4175 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.
4
Building Permit Application
Commercial FOR OFFICE, USE ONLY
City of Tigard ! eived r `'r g g EIV , 1 Ar// .. Permit No.: / 1 L — ♦ .
13125 SW Hall Blvd.,Tigard,OR 97223REC
s'eB
S 'an Review
Phone: 503.718.2439 Fax: 503.598.1960 Date/B : �' 30— • Other Permit:
T I GA R D MAY Inspection Line: 503.639.4175 Date Ready/By: ® See Page 2 for
Internet: www.tigard-or.govNotified/Method: ? L:" ��� Supplemental Information
Q, - � . �ii t�"? ii n ...�( -gym its_i ' , ," ;: !��i',,o it ": -, ' i .�,,,--i ,-- ,
r
0 New construction 0 ;,! � ! ; k Permit fees*are based on the value of the work performed.
- Indicate the value(rounded to the nearest dollar)of all
®Addition/alteration/replacement 0 Other:
.... 7,-,-.-T7', ..,-.,
_ equipment,materials,labor,overhead,
and thepro
f t for the
l'''"4:11`5,;27 �N � ® ,. O e a m work indicated on this application.
._ .e. 2d ld t,"" oi,vd a , w a
air . .., 17
1-and 2-family dwellin Valuation: $
11g ®Commercial/industrial
Accesso Number of bedrooms:
Elry buildin g ❑Multi-family
0 Master builder 0 Other: Number of bathrooms:
n 4 air �j
�iMi�,. ti �` OB -,,, , -T� p -:,,-;- sur ' Total numberoffloors:
Job site address:10180 sw Nimbus Ave.suite J3 New dwelling area: square feet
City/State/ZIP:Portland,OR 97223 Garage/carport area: square feet
Suite/bldg./apt.no.:Building 1 Project name:SBC-Kirby Nagelhout Covered porch area: square feet
Cross street/directions to job site:SW Cascades Blvd. Deck area: square feet
Other structure area: square feet
Subdivision:Scholls Business Center 1 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.:W270110 equipment,materials,labor,overhead,and the profit for the
NItt, �
„ ', ,Fi r` i �� . @' ! j , 4work indicated on this application.
remodel of existing office interior for new tenant. Valuation: $35205.00
News interior walls.new shower, new kitchen casework Existing building area: 5,900 square feet
„ New building area: 5,900 square feet
11,
°' 0® inn imI ,41,41-7:" h, �,;iigr .,,., ��k .�� Number of stories: 1
Name:KG Investments,Kyle Latta Type of construction: 5 B
Address:10240 SW Nimbus Avenue,suire L3 Occupancy groups:
City/State/ZIP:Portland,OR 97223 Existing: B
Phone:(503)598-9980 Fax (503)598-9982
�' �, nt _l(r iii i� _ �� ,1! hn - F€ New: B
,.."a '.....-, 1-7,70,---1:-.,✓ ',-----,'4,1',-,14116' '--1111o4,-01P, I '"'�, - • _
iI=' -",r},. m r " li� �i 4- n __„;-,-)0L_,ii , '1-',1, ... 'tefrr'r' � 11111 � -'w..nNg
Business name:Ankrom Moisan Architects
Structural plan review fee(or deposit):
Contact name:Jill Sabin/Vince Galea
FLS plan review fee(if applicable):
Address:38 NW Davis Street
Total fees due upon application:
City/State/ZIP:Portland,OR 97209
Phone:(503)245-7100 Fax: :(503)7710 Amount received:
s o'
E-mail:jills@ankrommoisan.com ffi- .5: il " 1�
_riv:,,,, i ° r ' _ r, Commercial and residential prescriptive installation of
- .. .,„--",----4.7=11:17,F3,744,,,,,
-t- _r401S, n a A4` r roof-top mounted Photovoltaic Solar Panel System.
Business name:Kirby Nagelhout Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
Address: 10110 SW Nimbus Ave.Suite B6 Solar Installation Specialty Code checklist.
City/State/ZIP:portland,OR 97223 Permit fee(includes plan review
and administrative fees): $180.00
Phone:(503)530-8420 Fax:(503)385-5834 State surcharge(12%of permit fee): $21.60
CCB lic.:95590
Total fee due upon application: $201.60
(I)_Authorized signature: This permit application expires if a permit is not obtained
.."____
/ within 180 days after it has been accepted as complete.
Print name: ( !�13 f.1) 1"1 t Date: S-13 g * Fee methodology set by Tri-County Building Industry
ul zo(/ Service Board.
I:\Building\Permits\BUP-COM PermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
1111 Building Division
Accessibility: Barrier Removal Improvement Plan
TIGARD
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] $ 35,205.
MULTIPLIER(25%barrier removal requirement): x .25
TOTAL BUDGET FOR BARRIER REMOVAL: [2] $ 6,302.
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): $
1:\Building\Permits\BU:P-COM PermitApp.doc 03/03/2011
III 'I 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
El 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 03/03/2011
r
ili
® Building Division
Plan Submittal Requirement Matrix
TIGARD Commercial&Multi-Family-New,Additions or Alterations
1-2-W-r44e0 Ni,:41111p
I ffs hION ye 1, , , — . ,_ 2Demolition Permit
(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, City of Tigard,Washington
County, and Tualatin Valley Fire&Rescue),if applicable.
I:\Building\Permits\KT-COM PermitApp.doc 03/03/2011
III. City of Tigard
Ia COMMUNITY DEVELOPMENT DEPARTMENT
TIGARD Building Permit Review — Commercial - No Land Use
Building Permit #: 55,lpk)/V-Cit)!oy
Site Address: \()130 SV/ Ki;,,,,, y Suite/Bldg#: J3 '-u'l
- Project Name: '; Can
(Name of commercial business occupying the space. If vacant,enter Spec Space.)
Planning Review
Proposal: 11- b C LMi; Ar''-t( eat-1211- )n UMTS LI (AP 11241 104,;i441-1‘ wll lh cv r ✓lz(..) "'\(,j
Existing Business Activity: 041(e
Proposed Business Activity: 04',(t
Cl
it -rify site address/suite#exists and active in permit system.st
River Terrace Neighborhood: 111 Yes L'J No
,�,�,//Zoning: hU% —Z
L1 PP rmitted Use: <Yes ❑ No ❑ Spec Space
)Confirm no land use required.
*Business License:
Exists: ❑ Yes Lld No,applicant notified to obtain business license
Notes: 144areL 1.- c-H v<,� a-. cirtt( rr "° t4 r-t J 1
Approved by Planning: jrayrvtAt
Cilliek
Date: S' ?Q-(f,
Revisions (after Building Submittal only) Reviewer Date
Revision 1: El Approved ❑ Not Approved
Revision 2: El Approved ❑ Not Approved
Revision 3: ❑ Approved ❑ Not Approved
Building Permit Submittal
Original Submittal Date: d
Site Plans: # i1
Building Plans: #
Building Permit#: U.-Brier building permit#above.
Workflow Routing: g-"P arming ❑ Permit Coordinatording
Workflow Sign-off: tU- n-off for Planning(include notes from planning review)
Route Application Documents: [ding. original permit application, site plans,building plans,engineer and
beam calculations and trust details,if applicable,etc.
Notes:
By Permit Technician: 1 w 7„ts• Date: , X,
I:\Building\Forms\BldgPermitRvw_COM NoLandUse 060116.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: Wash Co Trans Dev Tax: ❑ 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.docx
1
.1114 II City of Tigard • BUILDING DIVISION
Over-The-Counter (OTC) Building & Fire Protection System Permit
T i,,,, .i, Appointment Checklist �� --/S1--S
Record#: / - D 6 i / �0g,938$
Contact Name: LW SA k/yt ,j4,-C6--- 503' Phone #: 5'pyS 7/a2
Business Name: AAkv /1/62t.. c, Af✓Gh. Appt. Date/Time: J7opo mss`-/ee;e0
Site Address: to /.0 Sze1l/ifru 4 u5 Bldg/Suite #: J ua� y
Project Name: kivb A/cc?..7,/4 r of eetis-t. �,. New Tenant? 0 Yes 0 No
Project Description: 77 h, air m_p jh.i5-ri.ew- iv fh.yt��.rz k-t //S mire C,,f,e, Hrrte.
19.0 19-77'04.,, Gtr//< 'c✓- ti tti. pi, h I:
Existing Use: a C"- 'C T New Use: 0
MMD Required: 0 Yes g No Related Record#:
. APPLLICAT1ON SPEC IT` F i l AT1014
GENERAL INFORMATION
Class of Work: Occupancy Group: V Type of Construction: ` ....1:4_,
Type of Use: Occupancy Load: e.:) Oregon Specialty Code: •1(-u`
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: c.I 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: 0 QJ 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: $s3S' 2.0 G
$ • DC Prov Rvw,COM TI-Ping
5-7.5"-i 1 $ _._$j Permit Fee-Add,Alt,Demo
DC Provision Review Fee for COM TI(effective 7/1/2017)64-t1 L $ „,,„. a 12%State Surcharge
Project Valuation $ >�� Plan Review,Structural
Up to$4,999 ���� �•T
$0.00 no 07 _ .. ;, Plan Review,Fire Life Safety
$5,000-$74,999 $91.00 $ - r. --__ Info Proc/Arch,Lg(over 11x17$2.00)
$75,000-$149,999 $226.00 $ Info Proc/Arch,Sm(up to 11x17$0.50)
$150,000 and over $361.00 $ Metro Construction Excise Tax
$ School Construction Excise Tax
$ Hourly Rate Fee
$ Hourly Rate State Surcharge
$ Misc.Admin Fee
$ S`-7), — Other: lc re,)s -
Building Staff: $ Other:
Date/Time: $ _____.r. OTAL FEES DUE
I:\Building\Forms\OTC_BUP_FPS_070117.docx 4103110
Frontl DSTS
Subject: Jill Sabin, Ankrom Moisan Architects, 503-245-7100 - 10180 SW Nimbus, Suite J3 and
J4, Kirby Nagelhout Construction Company
Location: CR_-_3_Permit_Center
Start: Wed 5/30/2018 10:00 AM
End: Wed 5/30/2018 11:00 AM
Recurrence: (none)
Organizer: CR_-_3_Permit_Center
Call Handling Mode 2: 2
Project description:TI to demo interior partition walls and add new partition walls for new tenant.
Existing use: office
New use: office
1
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
10180 SW NIMBUS AVE J3, TIGARD, OR, 97223
Record Type: Record ID:
Commercial - Building BUP2018-00164
Inspection Type: Inspector:
299 Final inspection Jeff Grove
Result:
PASS - CofO
Comments:
Violation Summary:
Inspector Contractor