09-September (2) CITY OF TIGARD BUILDING PERMIT
11111 iti
1 ` ' COMMUNITY DEVELOPMENT Permit#: BUP2019-00232
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 09/03/2019
TIGARD Parcel: 1 S 134AA02100
Jurisdiction: Tigard
Site address: 10340 SW NIMBUS AVE NA
Project: Titan Supply Group Subdivision: IKOLL BUSINESS CENTER,TIGARD Lot: 3
Project Description: TI for new tenant: Demolition of interior walls and suspended ceiling,and new interior walls and doors.
Contractor: PACIFIC CREST STRUCTURES INC Owner: DIETRICH, NANCY BISHOP
17750 SW UPPER BOONES FERRY RD SUITE ROBINSON, JERRY CHRISTOPHER TRUST
190 ROBINSON, LYNN ET AL
DURHAM, OR 97224 9701 SE MCLOUGHLIN BLVD
MILWAUKIE, OR 97222
PHONE: 503-968-8949 PHONE:
FAX: 503-598-6658
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: VB Permit Fee-Additions,Alterations, 09/03/2019 $1,407.95
Demolition
Occupancy Grp: B Occupancy Load: 101 12%State Surcharge-Building 09/03/2019 $168.95
Dwelling Units: 0 Plan Review 08/22/2019 $915.17
Stories: 0 Height: 0 ft DC Provision Review, COM TI-Ping 09/03/2019 $406.00
Bedrooms: 0 Bathrooms: 0 Plan Review-Fire Life Safety 09/03/2019 $563.18
Value: $150,000 Info Process/Archiving-Lg$2.00(over 09/03/2019 $24.00
11x17)
Metro Const. Excise Tax 09/03/2019 $180.00
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $3,665.25
Required: Required Items and Reports(Conditions)
-- ---_EirLS rinMer - — Par pet: ____ ____
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.
.7
Issued By: /' /_, Permittee Signature:
,
4...--it
• ..„3.639.4175 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 f the project.
Approved plans are required on the job site at the time of each inspection.
Building Permit Application
Commercial FOR OFFICE USE ONLY
City of Tigard Received PeritNo.:RECEIVED Date/By: 40—
,4a6t' _exl^
13125 SW Hall
Blvd.,Tigard,OR 97223 Plan Review
Phone: 503-718-2439 Fax: 503-598-1960 q Date/By: ^oZ�—) Related Permit:
TI G A F:[) Inspection Line: 503-639-4175 AUG 2 4 2019 Date Ready/By: Juris:��> ® See Page 2 for
Internet: www.tigard-or.gov N• fied/Method:/ ! .� "Wto
Supplemental Information
CITY OF TIGARD
❑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
®Addition/alteration/replacement 0 Other: equipment,materials,labor,overhead,and the profit for the
�F� ON t1 rht'-,4;ZO work indicated on this application.
1.31-and 2-family dwelling Commercial/industrial Valuation: $
❑Accessory building 0 Multi-family Number of bedrooms:
❑Master builder ❑Other: Number of bathrooms:
Total number of floors:
Job site address: 10340 SW NIMBUS AVENUE-BUILDING N New dwelling area: square feet
City/State/ZIP: PORTLAND,OREGON 97223 Garage/carport area: square feet
Suite/bldg./apt.#: SUITE N-A Project name: S BUSINESS CENTER- Covered porch area: square feet
TITAN S
TITAN SUPPLY GROUP
Cross street/directions to job site: Deck area: square feet
Other structure area: square feet
., .e» -ate . s�. c._�' ��-. �. O
Subdivision: Lot#: 2100 Permit fees*are based on the value of the work performed.
Tax map/parcel#: 1 S134AA0 Indicate the value(rounded to the nearest dollar)of all
{ equipment,materials,labor,overhead,and the profit for the
y� ( ®R ' ':' ` ` work indicated on this application.
a+.; �,14 1; ��rs,", twk� ,..a�� ',"T'�,',`.,k '. '� .��,,, �,a �:,n ,
Valuation: $ 150,000
DEMO PORTION OF FXISTIN( INTFRIOR WAI I S, NFW INTERIOR WAI I S ANI) —
DOORS FOR TENANT BUILD-OUT. DEMO PORTION OF SUSPENDED CEILING. Existing building area: 10,079 square feet
NEW ADA COMPLIANT SINK/CASEWORK/HARDWARE. New building area: SAME square feet
: "i,3,.'. tx-.z Ir x
. . ,•,; Number of stories: 1 STORY
Name: KG INVESTMENTS/CONTACT:KYLE LATTA Type of construction: VB
Address: 10240 SW NIMBUS AVENUE,SUITE L3 Occupancy groups:
City/State/ZIP:PORTLAND,OREGON 97223 Existing: B
Phone: (503)245-7100 (503)245-7710 New: B
elikkefiagattgl'&140
Business name: ANKROM MOISAN ARCHITECTS Structural plan review fee(or deposit):
Contact name: REBECCA BROCK
FLS plan review fee(if applicable):
Address:38 NW DAVIS STREET
Total fees due upon application: f
City/State/ZIP: PORTLAND,OR 972091`7
—- • Amaunt received:
Phone (503)892433/3ax:i�" T�
E-mail:REBECCAB@ANKROMMOISAN.COM � ! S' wf Frx
Commercial and residential prescriptive installation of
roof-top mounted PhotoVoltaic Solar Panel System.
Business name: PACIFIC CREST STRUCTURES, INC. Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
Address: 17750 SW UPPER BOONES FERRY RD.SUITE 190 Solar Installation Specialty Code checklist.
City/State/ZIP: DURHAM,OR 97224 Permit fee(includes plan review $180.00
and administrative fees):
Phone: (503)968-8949 (503)598-6658 State surcharge(12%of permit fee): $21.60
CCB Lic.:66915 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: REBECCA BROCK Date:
g /22 it * Fee methodology set by Tri-County Building Industry
1 L Service Board.
I:\Building\Permits\BUP_COM_PermitApp.doc Rev.04/21/2014 440-4613T(11/02/COM/WEB)
City of Tigard
q COMMUNITY DEVELOPMENT DEPARTMENT
■
r l cA Ro Building Permit Review — Commercial - No Land Use
Building Permit #:
Site Address: 1D34' ' Sw 44rr°,5 Suite/Bldg#: /0—A
Project Name: 7;- ,',
(Name of commercial busine.4s bccung the space. Yf vacant,enter Spec Space.)
Planning Review
Proposal: T'f
Existing Business Activity: (b
Proposed Business Activity: OP-Prre
B—verify site address/suite# exists and active in permit system.
4:1 River Terrace Neighborhood: ❑ Yes e'Ro
2-Zoning: htv E.- /a
�-Permitted Use: —Yes Cl No ❑ Spec Space
u—Confirm no land use required.
❑ Business License:
Exists: ❑ Yes ❑ No,applicant notified to obtain business license
Notes:
Approved by Planning: Date: Y/�
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: / J/el
Site Plans: - -----
Building Plans: # 3
Building Permit#: er building permit#above.
Workflow Routing: [- -Pianning 1g-ire-Trait Coordinator 9—fittitang
Workflow Sign-off:
[�..�-St -off for Planning(include notes from planning review)
Route Application Documents: d'"Building: original permit application, site plans,building plans,engineer and
beam calculations and trust details,if applicable,etc.
Notes:
By Permit Technician: `tom-- Date: 82. /
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:
70/(C Fees Entered: Wash Co Trans Dev Tax: El D /A
Tigard Trans SDC: ❑ Yes af54A
Parks SDC: ❑ Yes a N/A
L7 OK to Issue Permit
Approved by Permit Coordinator: Date:
Idle/ ' 1
I:\Building\Forms\B1dgPermitRvw_COM_NoLandUse_070915.docx