Permit q CITY OF TIGARD BUILDING PERMIT
COMMUNITY DEVELOPMENT Permit#: BUP2014-00042
T l GA RD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 02/26/2014
Parcel: 1 S 135AB01002
Jurisdiction: Tigard
Site address: 10220 SW GREENBURG RD 235
Project: Randstad Subdivision: METZGER,TOWN OF Lot: 9
Project Description: TI for new tenant:New walls,doors and server room.
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 DC Provision Review,COM TI-Ping 02/26/2014 $70.00
Class of Work: ALT Type of Const: IIB
Occupancy Grp: B Occupancy Load: 26 DC Provision Review,COM TI-LRP 02/26/2014 $10.00
Permit Fee-Additions,Alterations, 02/26/2014 $438.74
Dwelling Units: 0 Demolition
Stories: 6 Height: 0 ft 12%State Surcharge-Building 02/26/2014 $52.65
Bedrooms: 0 Bathrooms: 0 Plan Review 02/26/2014 $285.18
Value: $24,000 Plan Review-Fire Life Safety 02/26/2014 $175.50
Info Process/Archiving-Lg$2.00(over 02/26/2014 $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 $1,036.07
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. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules a = set forth in OAR
952-001-'• : .- *AR 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.23.! 987 or 1.800.;32.2344.
ssued By: - 110/401 Permittee Signature: fr I� L e�' -
Call 503.639.4175 by 7:00 a.m.for the next available inspectio 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.
Building Permit AnplicArri,
Commercial IVIED FOR OFFICE USE ONLY• City of Tigard [ [� gg c 2014 Received
13125 SW Hall Blvd.,Ti OR 9723 2 6 2014 Date/B : . 4. Pi 0 / _
Tigard, Plan Review ��l\� ��
11 Phone: 503.718.2439 Fax: 50 /1�e
Plan : Ii it a '
Other Permit.
TI G A K D Inspection Line: 503.639.4175 T^IGARD Date Ready/B : El See Page 2 for
Internet: www.tigard-or.gov RI111nmin^'wimp Notified/Method: �� . Supplemental Information
TYPE OF WORK Ilik 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.
❑ 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:3 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.:235 Project name:Randstad 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: 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 new walls,doors and server room. Valuation: $$24,000.00
Previous tenant was Casio,a general office,new tenant is Randstad,general Existing building area: 2540 square feet
office use New building area: 2540 square feet
® PROPERTY OWNER I ❑ TENANT Number of stories: 6
Name:Shorenstein Type of construction: I-Il
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 to fee schedr/e)
Structural plan review fee(or deposit):
Contact name:Kim Ford
FLS plan review fee(if applicable):
Address:1515 SE Water Ave Suite 100 _
Total fees due upon application:
City/State/ZIP:Portland,OR 97214 -
Phone:(503)224-9560 Fax::(503)228-1285
Amount received:
E-mail:kford @mcknze.com PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
Commercial and residential prescriptive installation of
CONTRACTOR roof-top mounted Photo Voltaic Solar Panel System.
Business name:Russell Construction Submit two(2)sets of roof plan with connection details
105th 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
lir"
Authorized signature:IV A► This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
[ Print name:Kim Fo • Date:02/26/2014 * Fee methodology set by Tri-County Building Industry
Service Board.
I:1Building\Permits'BUP-COM PermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
L_
Building Permit Number: 64,Roil, cz b'-fa,
III Building Permit Review
Commercial Project -No Associated Land Use Case
TIC;ARD
Site Address: 1 0220 SW Greenberg Rd. *m5
❑Verify site address is valid. 1
Project Name : Canas--eat
Planning Review
Proposal: Tenco1i"_ f mpcov 12n+ -Foi neW -'enan+ — s -a+( c q Company —Wf+h
no expansion. New wails and server roan
V zoning. M U E-1
Permitted Use i Yes El No ❑ Spec Space
ag Land Use Required ❑ Yes Ni No
Notes: O 4 i Ce, +o oft i C e. IASc° .
Approved by: Ot -Tim Lehrb�h x 2440 Date: 212611 y
Revisions (after Building Submittal only) Reviewer Date
Revision 1 Approved El Not Approved ❑
Revision 2 Approved ❑ Not Approved ❑
Revision 3 Approved ❑ Not Approved Cl
Building Permit Submittal
Original Plan Submittal: Date: iliv//i By: 6.
Site Plans: # N/4
Building Plans: # 3
Create Case Record#: E�n�er case#above for Building Permit Number.
Workflow Routing: P"Tlanning C2 Engineering ❑ Permit Coordinator tT Building
Workflow Sign-off: O'S-in-off for Planning staff,including notes from planning review(page 1)
Route Application Documents: uilding: original permit application, site plans,building plans,engineer and
beam calculations and trust details,if applicable,etc.
Reviewed By: AO/ Co? ) Date: ?- a.(o .r
Notes:
I:\Building\Forms\BldgPermitRvw_COM_NoLandUse_123013.docx
11 I • Building Division
Over-The-Counter (OTC) Building Permit
r«'ARD Check List
Project Description: ' (
APPLICATION SPECIFIC INFORMATION
GENERAL INFORMATION
Class of Work*: T Occupancy Group: Type of Construction:
Type of Use**: Occupancy Load: 2.45. Oregon Specialty Code: g2671
SPECIFICS
Number of Stories: L 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: if ''''3 Fire Alarms: (ieS Smoke Detectors:
Parapet: Manual Pull Stations: Protected Corridors:
Total Project Valuation: $ � FEES DUE
$ v QC DC Prov Rvw,COM TI—Ping
$ fir,ear DC Prov Rvw,COMTI—LRP
DC Provision Review Fee for COM TI(effective 7/1/2013) $ &Fa& Permit Fee—Add,Alt,Demo
Project Valuation Planning LRP .04 G :� 12%State Surcharge
Up to$4,999 $0.00 $0.00 $ Ze IFS Plan Review,Structural
$5,000-$74,999 $70.00 $10.00 $ Plan Review,Fire Life Safety
$75,000-$149,999 $174.00 $26.00 $ ,CC) 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: $ Other:
$ Other:
Building Stiff: $ Other:
Date/Time: $ (p x,07 TOTAL FEES DUE
*TYPE OF USE: COM=commercial;CMS=commercial manufactured structure.
**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
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 235, TIGARD, OR,
97223
Commercial - Building
299 Final inspection
2014-04-11 00:00:00
BUP2014-00042
PASS - C of O
Violation Summary:
Inspector Contractor