Permit n CITY OF TIGARD BUILDING PERMIT
I COMMUNITY DEVELOPMENT WrAllreal Permit#: BUP2013-00309
TIGARD 13125 SW Flail Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 12/19/2013
Parcel: 1 S135AB01004
Jurisdiction: Tigard
Site address: 10220 SW GREENBURG RD
Project: Lincoln Two-Classroom Subdivision: METZGER,TOWN OF Lot: 9
Project Description: 2nd floor-create classroom. 2/24/14,reprinted to correct the location of classroom,2nd floor not 1st floor.
Contractor: RUSSELL CONSTRUCTION INC Owner: LINCOLN CENTER LLC
20915 SW 105TH AVE BY SHORENSTEIN PROPERTIES LLC
TUALATIN,OR 97062 555 CALIFORNIA ST 49TH FL
SAN FRANCISCO, CA 94104
PHONE: 503-692-9002 PHONE:
FAX: 503-692-9008
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: IIB DC Provision Review,COM TI-Ping 12/19/2013 $70.00
Occupancy Grp: B Occupancy Load: DC Provision Review,COM TI-LRP 12/19/2013 $10.00
Dwelling Units: 0 Permit Fee-Additions,Alterations, 12/19/2013 $393.11
Demolition
Stories: 0 Height: 0 ft 12%State Surcharge-Building 12/19/2013 $47.17
Bedrooms: 0 Bathrooms: 0 Plan Review 12/19/2013 $255.52
Value: $20,500 Plan Review-Fire Life Safety 12/19/2013 $157.24
Info Process/Archiving-Lg$2.00(over 12/19/2013 $4.00
11x17)
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $937.04
Required: Required Items and Reports(Conditions)
Fire Sprinkler: Yes Parapet:
Fire Alarm: Yes 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. ATTEN ••• Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952-001 •• 0 through• ' 95 :• 0090. You may obtain a copy of the rules or direct questions to OUNC by :..• 32.1987 or 1.800.332.2344.
Iss =d By: Permittee Sig•ature:
Call 603.839.4176 by 7:00 a.m.for the next available Ins .'on 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.
I II CITY OF TIGARD BUILDING PERMIT
I I COMMUNITY DEVELOPMENT Permit #: BUP2013 -00309
T t G A P O 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 12/19/2013
Parcel: 1 S 135AB01004
Jurisdiction: Tigard
Site address: 10220 SW GREENBURG RD
Project: Lincoln Two Subdivision: METZGER, TOWN OF Lot: 9
Project Description: 1st floor - create classroom
Contractor: RUSSELL CONSTRUCTION INC Owner: LINCOLN CENTER LLC
20915 SW 105TH AVE BY SHORENSTEIN PROPERTIES LLC
TUALATIN, OR 97062 555 CALIFORNIA ST 49TH FL
SAN FRANCISCO, CA 94104
PHONE: 503 - 692 -9002 PHONE:
FAX: 503 - 692 -9008
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: IIB DC Provision Review, COM TI - Ping 12/19/2013 $70.00
Occupancy Grp: B Occupancy Load: DC Provision Review, COM TI - LRP 12/19/2013 $10.00
Permit Fee - Additions, Alterations, 12/19/2013 $393.11
Dwelling Units: 0 Demolition
Stories: 0 Height: 0 ft 12% State Surcharge - Building 12/19/2013 $47.17
Bedrooms: 0 Bathrooms: 0 Plan Review 12/19/2013 $255.52
Value: $20,500 Plan Review - Fire Life Safety 12/19/2013 $157.24
Info Process /Archiving - Lg $2.00 (over 12/19/2013 $4.00
11x17)
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $937.04
Required: Required Items and Reports (Conditions)
Fire Sprinkler: Yes Parapet:
Fire Alarm: Yes 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. ATT • •': •r:.• • law requires you to follow the rules adopted by the Oregon Utility Notification Cents . Those ru ss are set forth in OAR
952 -001 -• /10 through OAR 95 8 01 c e You may obtain a copy of the rules or direct questions to OUNC by calling 503. 4 2.1 • ;7 or .800.332.4
Issue. By: i/ / Permittee Signature: LOOM. �� r'
Call 503.639.4175 by 7:00 a.m. for the next available ins. n • ate.
This permit card shall be kept in a conspicuous place on the job site until corn , lotion of the pro ect
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 B PE1VED Received , 2 f,
Daten3 / 7 / 3 4 , / Permit N o.: � � ; d �3 30
• Er
1312e SW Hall Tigard, 1 2013 Plan Date/B Rev iew 0J�ME:
Phone: 503.718.2.2 439 39 Fax: 503.59. l. W � �
T I G A R D Inspection Line: 503.639.4175 Date Ready :y: kris: El See Page 2 for
Internet: www.tigard
CITY OFTIIGA Notified/Method: Supplemental Information
TYPE )1tV1ato 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.
❑ 1- 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: 10220 SW Greenburg Road New dwelling area: square feet
City /State/ZIP: Portland, OR Garage/carport area: square feet
Suite/bldg./apt. no.: n/a I Project name: 2 Lincoln Classroom Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
Project north of SW Oak Street, south of SW Locust Street and east of Greenburg Other structure area: square feet
Road
REQUIRED DATA: COMMERCIAL -USE CHECKLIST
Subdivision: I 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.
Work to include minor demolition, new walls, doors and cabinetry Valuation: $$20,500.00
Existing building area: 914 square feet
New building area: square feet
® PROPERTY OWNER I ❑ TENANT Number of stories: 6
Name: Shorenstein Type of construction: I -B
Address: One SW Columbia Street Suite 500 Occupancy groups:
City / State/ZIP: Portland, OR 97258 Existing: Assembly /Office
Phone: (503)412 -4902 Fax: (503)412 -4903 New: Assembly /Office
IN APPLICANT ❑ CONTACT PERSON BUILDING PERMIT FEES*
Business name: Mackenzie (Please refer to fee schedule)
Structural plan review fee (or deposit):
Contact name: Kim Ford
FLS plan review fee (if applicable):
Address: 1515 SE Water Ave. Suite 100
City / State/ZIP: Portland, OR 97214
Total fees due upon application:
Phone: (503) 224-9560 I Fax: : (503) 228 -1285 Amount received:
E- mail: kford @mtitnze.carn PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
Commercial and residential prescriptive installation of
CONTRACTOR roof -top mounted PhotoVoltaic Solar Panel System.
Business name: Russell Construction Submit two (2) sets of roof plan with connection details
and fire department access, along with the 2010 Oregon
Address: 20915 SW 105 Ave Solar Installation Specialty Code checklist.
City/ State/ZIP: Tualatin, OR 97062 Permit fee (includes plan review $180.00
and administrative fees):
Phone: (503) 692 -9002 I Fax: (503) 692 -9008 State surcharge (12% of permit fee): $21.60
CCB lic.: 58918
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: Kim Ford I Date: 12/19/13 * Fee methodology set by Tri -County Building Industry
Service Board.
I :1Building\Permits\BUP -COM PermitApp.doc 02/24/2011 440- 4613T(I 1/02/COM/WEB)
Building Division
Over - The - Counter (OTC) Building Permit
TIGARD
Check List
Project Description: 1
APPLICATION SPECIFIC INFORMATION
GENERAL INFORMATION
Class of Work *: y Occu.anc Grou.: fir Ty' pe of Construction: 2_Fj
Tr e of Use * *: WORM Occu. anc Load: ��� Ore ton S . ecial 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 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: L j Fire Alarms: l C.<: Smoke Detectors:
Parapet: Manual Pull Stations: Protected Corridors:
Total Project Valuation: $ I FEES DUE
$ 10 DC Prov Rvw, COM TI - Ping
$ U . CO DC Prov Rvw, COM TI - LRP
DC Provision Review Fee for COM TI (effective 7/1/2013) $ 4:t gri Permit Fee - Add, Alt, Demo
Project Valuation Planning LRP $ ' 12% State Surcharge
Up to $4,999 $0.00 $0.00 $ 2-Plan Review, Structural
$5,000 - $74,999 $70.00 $10.00 $ INWi Plan Review, Fire Life Safety
$75,000 - $149,999 $174.00 $26.00 $ Igalllo Info Proc /Arch, Lg (over 11x17 $2.00)
$150,000 and over $278.00 $41.00 $ Info Proc /Arch, Sm (up to 11x17 $0.50)
$ Metro Construction Excise Tax
$ School Construction Excise Tax
$ Hourly Rate Fee
Planning Staff: $ Hourly Rate State Surcharge
$ Misc. Admin Fee
Permit Coordinator: $ C) er:
Other:
Building Staff: `Other:
Date /Time: $ cf 3 7,0 TOTAL F ; ES DUE
*TYPE OF USE: COM = commercial; CMS = commercial manufactured structu -
"*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
Building Division
Development Code Provision Review
TIGARD Commercial Projects - No Associated Land Use Case
,w>
Building Permit No: —7— & n O( 9 p- Expedited Review
Project Name: a2 A-, ►J 0_01_43 C I. - P H
Site Address: /o 2.2 0 5 w G (4,4. Ishr rs 72.1 , Suite /Bldg #:
Plans Routed:
Original Plan Submittal Date: M//9A3 Routed By: CI:4
1" Revision Submittal Date: Routed By:
2 " 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) rnti �ii. at (503) 7181 SS Tor J to @tigard- or.gov)
Proposal:
Zoning Y E -
Permitted Use Yes 'i' No ❑
Land Use Required: Yes ❑ No CV
Notes: I Yt/47t-f i c— 604 (p , No fit.S e- •
Approved ❑ Not Approved ❑ DCPR Not Required – No DCPR Dees Due
Date Routed to Building:
L \CURPLN\Masters\Development Code Provision Review\DCPR COM NoLandUse.doc Rev. 01/16/13