Permit CITY OF TIGARD BUILDING PERMIT
•„
COMMUNITY DEVELOPMENT Permit#: BUP2014-00017
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 01/23/2014
Parcel: 1 S135AB01004
Jurisdiction: Tigard
Site address: 10220 SW GREENBURG RD 260
Project: Fleet Concepts Subdivision: METZGER,TOWN OF Lot: 9
Project Description: TI-some demolition,new walls.doors,sink&cabinetry.
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 01/23/2014 $70 00
Occupancy Grp: B Occupancy Load: 27 DC Provision Review,COM TI-LRP 01/23/2014 $10 00
Permit Fee-Additions,Alterations, 01/23/2014 $464 97
Dwelling Units: 0 Demolition
Stories: 6 Height: 0 ft 12%State Surcharge-Building 01/23/2014 $55.80
Bedrooms: 0 Bathrooms: 0 Plan Review 01/23/2014 $302.23
Value: $26.000 Plan Review-Fire Life Safety 01/23/2014 $185.99
Info Process/Archiving-Lg$2 00(over 01/23/2014 58.00
11x17)
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport 0
Covered Porch: 0
Deck. 0
Garage: 0
Mezzanine: 0
Total $1.096 99
Requited: 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 it work is not started within 180 days of issuance. or if work i suspended for more the 180
days. ATTE IOAL_ Oregon law requires you to follow the rules adopted by the Oregon Utility Notificatio Center. Those rules are set forth in OAR
952-001- 10 through OAR,952-001-•o90 You may obtain a copy of the rules or direct questions to OUNC by calling 503,32 987 0 1 800 3: 2344
1 'I' '�k+
Is ed By: • i gyp' ,fk/ a) Permittee Signature: , ��J+-
Call 503.839.4175 by 7:00 a.m.for the next available inspec': .a
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.
Mil Building Division
Over-The-Counter (OTC) Building Permit
TIGARD Check List
Project Description:
APPLICATION SPECIFIC INFORMATION
GENERAL INFORMATION
Class of Work*: )V--1--- Occupancy Group: .
roup: / Type of Construction: 'Le-
Type of Use**: Occupancy Load: ? Oregon Specialty Code: 2_ate,
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: (1)(6,.. Fire Alarms: ] Smoke Detectors:
Parapet: Manual Pull Stations: Protected Corridors:
Total Project Valuation: $ 2-L-5)6.-Inn FEES DUE
$ 0,Q^ DC Prov Rvw,COM TI—Ping
$ C.) ` de C Prov Rvw,COM TI—LRP
DC Provision Review Fee for COM TI(effective 7/1/2013) $ 4R!�`r Permit Fee—Add,Alt,Demo
Project Valuation Planning LRP $ ,f 12%State Surcharge
Up to$4,999 $0.00 $0.00 $ 4.2,, Plan Review,Structural
$5,000-$74,999 $70.00 $10.00 $ 1P�j' �"� Plan Review,Fire Life Safety
$75,000-$149,999 $174.00 $26.00 $ Iii) 41'41 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: $ e ther:
$ O m:er:
Building Staff: $ Oth: :
Date/Time: ' 1 QcfC,Q' 0 AL FEES DUE
"TYPE OF USE: COM=commercial;CMS=commercial manufactured stru■ e.
**CLASS OF WORK ACS=accessory;ADD=addition;ADU=accessory d -lung uni - =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 Permit Application
Commercial (" ���� FOR OFFICE USE ONLY
City of Tigard '��,v� f�� Permit No.: �, �
i • 13125 SW Flail Blvd.,Tigard.0 223 14 Plan Review �►
Phone: 503.718.2439 Fax: 503.598.196w0` c 3�.� Date/B _i�1�,��+ Other Permit:
I Ii._, \is n Inspection line: 503.639.4175 `nN \\ Date Ready :y: funs: See Page 2 for
Internet: www.tigard-or.gov iJ`r��VccIC1 C�vo� Notified/Method: Supplemental Information
TYPE OF WO f G�) REQUIRED DATA:1-AND 2-FAMILY DWELLING
❑New construction \\bemolition 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.
El I-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:2 Lincoln-10220 SW Greenburg Road New dwelling area: square feet
City/State/ZIP:Portland,OR 97223 Garage/carport area: square feet
Suite/bldg./apt.no.:260 I Project name:Fleet Concepts Covered porch area: square feet
Cross street/directions to job site:Project located north of SW oak street, Deck area: square feet
south of SW Locust Street and east of Greenburg Road Other structure area: square feet
REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision: I Lot no.: Permit fees*are based on the value of the work performed.
Tax map/parcel no.: Indicate the value(rounded to the nearest dollar)of all
equipment.materials,labor,overhead.and the profit for the
DESCRIPTION OF WORK work indicated on this application.
Work to include demolition,new walls,doors,sink and cabinetry Valuation: $$26,000.00
Existing building area: 2,687 square feet
New building area: 2,687 square feet
® PROPERTY OWNER J ❑ 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: B
Phone:(503)412-4902 Fax:(503)412-4903 New: B
® APPLICANT ❑ CONTACT PERSON BUILDING PERMIT FEES*
Business name:Mackenzie • (Please refer t fee schedule)
Structural plan review fee(or deposit):
Contact name:Kim Ford
Address: 1515 SE Water Ave Suite 100 FLS plan review fee(if applicable):
City/State/ZIP:Portland,OR 97214 Total fees due upon application:
Amount received:
Phone:(503)224-9560 I Fax::(503)228-1285
E-mail:kford @mcknze.com PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
CONTRACTOR Commercial and residential prescriptive installation of
roof-top mounted Photo Voltaic 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 105th 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 Fax:(503)692-9008 State surcharge(12%of permit fee): $21.60
CCB tic.:58918
Total fee due upon application: $201.60
Authorized signatur•. -44I��� — This permit application expires if a permit is not obtained
�► �- ' within 180 days after it has been accepted as complete.
Print name:Kim Fo . I Date:01/23/2014 * Fee methodology set by Tri-County Building Industry
Service Board.
1:\Building\Permits\BUP-COM PermitApp.doc 02/24/2011 440-46131(11/02/COM/WEB)
Building Permit Number: g„ p j/-ceD/7
NI Building Permit Review
Commercial Project —No Associated Land Use Case
I IGARD
Sit ddress: &Asko £c 2tu,J btaa el. 44- c40
Verify site address is valid.
Project Name : c L ,,h(,v, (pd.,.,, - fyed- �ov
Planning Review
Proposal: w c,..- 7'1— C xf O /t2 Q./7�'�.,c 1 ck , At to./✓L
o L y�
"(zoning:
❑ Permitted Use L`r Yes ❑ ❑ Spec Space
❑ Land Use Required ❑ Yes L�J'No
Notes:
Approved by: Date: 7/./.V3/// e
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 Plan Submittal: Date: By:
Site Plans: #
Building Plans: #
Create Case Record#: ❑ Enter case#above for Building Permit Number.
Workflow Routing: ❑ Planning ❑ Engineering ❑ Permit Coordinator ❑ Building
Workflow Sign-off: ❑ Sign-off for Planning staff,including notes from planning review(page 1)
Route Application Documents: ❑ Engineering: (1) copy of permit application, (1) site plan, (1) building plan and
original plan review routing form.
❑ Building original permit application, site plans,building plans,engineer and
beam calculations and trust details,if applicable,etc.
Reviewed By: Date:
Notes:
I:1BuildinglFormslBldgPermitRvw_COM NoLandUse_123013.docx
Location:
Record Type:
Inspection Type:
Comments:
Inspection Date:
Record ID:
Result:
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
10220 SW GREENBURG RD 260, TIGARD, OR,
97223
Commercial - Building
299 Final inspection
2014-02-28 00:00:00
BUP2014-00017
PASS - C of O
Violation Summary:
Inspector Contractor