Permit (207) CITY OF TIGARD BUILDING PERMIT
:. 4 COMMUNITY DEVELOPMENT Permit#: BUP2018-00218
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 07/19/2018
T I i;;ti r n g Parcel: 1 S134AA01800
Jurisdiction: Tigard
Site address: 10110 SW NIMBUS AVE B11
Project: Scholls Business Center Subdivision: IKOLL BUSINESS CENTER,TIGARD Lot: 2
Project Description: Adding(2)private offices and a storage room.
Contractor: GUILD CONSTRUCTION INC Owner: KYLE LATTA
PO BOX 674 10240 SW NIMBUS AVENUE, L-3
BEAVERTON, OR 97075 PORTLAND, OR 97223
PHONE: 503-957-1173 PHONE: 503-598-9980
FAX: 503-291-1532
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: VBDC Provision Review,COM TI-Ping 07/19/2018 $98.00
Occupancy Grp: B Occupancy Load: 26 Permit Fee-Additions,Alterations, 07/19/2018 $377.90
Demolition
Dwelling Units: 0 12%State Surcharge-Building 07/19/2018 $45.35
Stories: 0 Height: 0 ft Plan Review 07/19/2018 $245.64
Bedrooms: 0 Bathrooms: 0 Plan Review-Fire Life Safety 07/19/2018 $151.16
Value: $20,000 Info Process/Archiving-Lg$2.00(over 07/19/2018 $12.00
11x17)
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $930.05
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: "j:Z�� a �
� Permittee Signature: Of
I,:. _ . ,I
Litl'iLl
Call 503.639.4175 by 7:00 a.m.for the next available insp-ction d.te.
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 i-11—( it If k ' FOR OFFICE USE ONLY
City of Tigard Received 7AEINIVALI
/ Permit No./‘' / •"
11 13125 SW Hall Blvd.,Tigard,OR 972 UL 1 9 2018 Date/B :
Plan Revie
I Phone: 503.718.2439 Fax: 5o3.5c,w09 OF 7,,..,, ,,c-., Date/B : '-- : a —1 CZ. IF Other Permit:
Inspection Line: 503.639.4175 i 1 T k...,t l /1.1:A17‘:i.,1 Date Ready/By: Juris. El See Page 2 for
TIGARD
Internet: www.tigard-or.gov iBuLt:iiii\ic=4,, u:Ii\lisic)(\, Notified/Method: Supplemental Information
Tli*EP.Fwo*< , - , , , ,ts.tttOVIOXD DATA,:1-4011)1•VAAVILY OWtLIASO
0 New construction 0 Demolition Permit fees*are based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
El Addition/alteration/replacement 0 Other: equipment,materials,labor,overhead,and the profit for the
work indicated on this
CATEGORY OF- CONstaucilION .' ., , ' application.
Valuation: $
0 1-and 2-family dwelling El Commercial/industrial
0 Accessory building 0 Multi-family Number of bedrooms:
0 Master builder 0 Other: Number of bathrooms:
J1,410,iiptAtiiikio..c4,I0,,x4,:: : : i ..:, ,-:, : , Total number of floors:
,,, .' ' , -,.. , ' , = -‘ '.,..',..
Job site address: 10110 SW Nimbus Ave,Building B New dwelling area: square feet
City/State/ZIP:Portland OR Garage/carport area: square feet
Suite/bldg./apt.no.:B-11 Project name:Scholls Business Center Covered porch area: square feet
Cross street/directions to job site:Scholls and Nimbus Deck area: square feet
Other structure area: square feet
' ' •- ,',..' .— --,==,-.°,,c. ,"', „,,4=',.',,
(4110,OiXtrMbalvt)Ott:e. : SE't
Subdivision: Lot no.: 1800 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.:WCTM 1S134AA
equipment,materials,labor,overhead,and the profit for the
OFWORI(,.., ,>, „ ,.., ,, ,,:, , ",”,' : , work indicated on this application.
Adding two private offices and a storage room. Valuation: $$20,000.00
Existing building area: 2516 square feet
New building area: 0 square feet
PROPOITY'",OW,nR " , ,'' ' i"` , ' 0"nNorr ' , , ., Number of stories: 1
Name:Kyle Latta Type of construction: VB
Address: 10240 SW Nimbus Avenue,L-3 Occupancy groups:
City/State/ZIP:Portland OR 97223 Existing: B
Phone:(503)598-9980 Fax:( ) New: B
E31 APPLICANT 1J CONTACT PERSON BUILDING PERMIT FEES*
Mose refer 44).fto gaol ...,,
Business name:Ankrom Moisan Architects
Structural plan review fee(or deposit):
Contact name:Bethanne Mikkelsen
FLS plan review fee(if applicable):
Address:38 NW Davis Street
Total fees due upon application:
City/State/ZIP:Portland OR
Amount received:
Phone:(503)952-1593 Fax:
PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
E-mail:bethannem@ankrommoisan.com
Commercial and residential prescriptive installation of
CONTRACTOR roof-top mounted Photo Voltaic Solar Panel System.
Business name:Guild Construction Inc Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
Address:PO Box 674 Solar Installation Specialty Code checklist.
Permit fee(includes plan review
City/State/ZIP:Beaverton,OR $180.00
and administrative fees):
Phone:(503)957-1180 Fax:( ) State surcharge(12%of permit fee): $21.60
CCB lie.:109116 $201.60ined
Authorized signature: tn Itit_ ki ,)/(z_............___
1 1,1 . withinpermit is not obtained
within as complete.
• k (.4,. c ,
Print name: Wilta/tit,A
.611/1C1()
—'••..._i Date: This permit
Total180afdpeaepyldsi cuaaeftt iueorpnoiten xhapapisrpbel sieceiafnt ai accepted
n:
* Fee methodology set by Tri-County Building Industry
Service Board.
l:\Building\Permits\BUP-COM PermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
City of Tigard • BUILDING DIVISION
■ Over-The-Counter (OTC) Building & Fire Protection System Permit
1 I G A E.n Appointment Checklist
Permit Record#: Pr 7(v ( )A /r
Contact Name: 7 A4ie / Vl rw Phone #:
Vf44-0.-...iiiLl____
Business Name: U .,,� �ty�,� Appt. Date/Time:
Site Address: `j)/l() 'St,J ,4/,j vi r¢vr. Bldg/Suite #: 8//
Project Name: ie'-.1w, ,, F, New Tenant? 0 Yes Jk" No
Project Description: ( ce, I A,_ 4,,,�,y) 6,9t7Z.1 o,t r,� cQ�,,,-
4.74'07:4-..Ari- /1,) &O it €40,-,A4-4,1, 7a,ex-c7o, fif,Vi
Existing Use: "'t, T New rase:
MMD Required: K Yes 0 No Related Record#:
APPLICATION SPECIFIC INFORMATION
GENERAL INFORMATION
Class of Work: F4Occupancy Group: Q Type of Construction: V.f
Type of Use: .110 Occupancy Load: w Oregon Specialty Code: ) .11r
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: ,,4'j w 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: lryjh ' 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: $ 010 J O O O i A �j
$ q$"'. DC Prov Rvw,COM TI—Ping
$37-7 ,9b Permit Fee—Add,Alt,Demo
DC Provision Review Fee for COM TI(effective 7/1/2017) $ 41"4 12%State Surcharge
Project Valuation $ aL. 6,4. Plan Review,Structural
Up to$4,999 $0.00 $ j k J , J 6., Plan Review,Fire Life Safety
$5,000-$74,999 491-90 9'8.oo. $ ) a.— 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
$ Other:
Building Staff: $ Other:
Date/Time: $ 9 3 O ,orTOTAL FEES DUE
I:\Building\Forms\OTC_BUP_FPS_070117.docx
City of Tigard
a COMMUNITY DEVELOPMENT DEPARTMENT
■
T I G A RD Building Permit Review — Commercial - With Land Use
Building Permit #: /'6 '/ jj r--r�al
Site Address: \ 0 110 SU Vinbt4 4 .e. Suite/Bldg#: (3I I
Project Name: Ref-iflik Frst LLL.
(Name of commercial business occupying the space. If vacant,enter Spec Space.)
Planning Review
Proposal: E-Aij\ir' 4IA.i .n (06L4,
p i.. ' alloti 4-(P\ &() ')}1 g i . Kkir G 411'' 1 ll wItt
Ad
—/ Cvr spec iI r�l.t.,�z Win" at rt h( an 11 z" `2e Si d d er Fi *lib(L� n24,-/ , is (° a
11 rift'site address/suite#exists and active ' permit system. �� kWt� +1,4. dry
Ltd River Terrace Neighborhood: Ly Yes ❑ No
Qt/ and Use Case#: hh O LU q- QOV 2
----s
Plan atch Approved Land Use:
Site Plan ❑ Landscape Plan ❑ Other:
7❑ Urban Forestry Plan ❑ Elevation Plan
d Building Height: Maximum Height Lf Actual Height
19"I Conditions Met: ❑ Prior to Submittal ❑ Prior to Permit Issuance
Business Liceens .:
Exists: LE Yes ❑ No,applicant notified to obtain business license
Ri Public Facilities Improvement (PFI) Permit:
Required: ❑ Yes,applicant was notified IJ No Applied For: ❑ Yesi1/4/40 No,stop intake
Notes:
Approved by Planning: -- Adi II `AAA / Date: ii 11 115
Revisions (after Building Submittal onl 411 Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: ❑ Approved ❑ Not Approved
Revision 3: ❑ Approved ❑ Not Approved
Building Permit Submittal /
Original Submittal Date: 7(1', ll f1'
Site Plans: #
Building Plans: #
Building Permit#: c ''Enter building permit#above.
Workflow Routing: Planning Engineering Building
Workflow Sign-off: lTannSign-off for ing(include notes from planning review)
Route Application Documents: -Building: original permit application, site plans,building plans,engineer and
beam calculations and trust details,if applicable, etc.
Notes: �
By Permit Technician: e....... -,,� `��j� Date: j
I:\Building\Forms\B1dgPermitRvw COM_WithLandUse_060116.docx
Engineering Review
❑ Slope at building pad:
❑ PFI Permit#:
❑ Conditions "Met"prior to issuance of building permit
❑ Easements (encroachments)per engineering conditions of approval and plat(not typical o SDR/CUP)
❑ Water Quality/Quantity Facility:
Assess Water Quality Fee in-lieu: ❑ Yes ❑ No /
Assess Water Quantity Fee in-lieu: ❑ Yes ❑ No /
i
LIDA Facility on lot: ❑ Yes ❑ No j
❑ NOT Approved by Engineering: Date
Notes:
Approved by Engineering: / Date:
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: ❑ Approved ❑ Not Approved /
Revision 3: ❑ Approved ❑ Not Approved '
Permit Coordinator Review
❑ Conditions "Met"prior to issuance of building peg 't
❑ Approved,NOT Released: % Date:
Notes:
Revisions (after Building Submittal o�')
Revision Notice 1: Date Se,/ to Applicant:
Revision Notice 2: Date 'nt to Applicant:
Revision Notice 3: Dat"Sent to Applicant:
❑ SDC Fees Entered: Yash Co Trans Dev Tax: ❑ Yes ❑ N/A
Tigard Trans SDC: ❑ Yes ❑ N/A
i Parks SDC: ❑ Yes ❑ N/A
E l OK to Issue Pe /it
Approved b ermit Coordinator: Date:
I:\Building\Forms\BldgPemutRvw_COM_WithLandUse_070915.docx
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
10110 SW NIMBUS AVE B11 , TIGARD, October 1 , 2018 at
OR, 97223 10:22:11 AM
Record Type: Record ID:
Commercial - Building BUP2018-00218
Inspection Type: Inspector:
299 Final inspection Chip Barnett
Result:
PASS - CofO
Comments:
Violation Summary:
Inspector Contractor