Permit CITY OF TIGARD BUILDING PERMIT
COMMUNITY DEVELOPMENT Permit#: BUP2014-00049
T tGA RD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Data Issued: 03/04/2014
Parcel: 1S135AB03400
Jurisdiction: Tigard
Site address: 10260 SW GREENBURG RD 190
Project: Conference Center Subdivision: METZGER,TOWN OF Lot: 9
Project Description: Converting office suite into a conference center
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: 503-412-4902
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 03/04/2014 $70.00
Occupancy Grp: B Occupancy Load: 101 DC Provision Review,COM TI-LRP 03/04/2014 $10.00
Dwelling Units: 0 Permit Fee-Additions,Alterations, 03/04/2014 $553.13
Demolition
Stories: 12 Height: 0 ft 12%State Surcharge-Building 03/04/2014 $66.38
Bedrooms: 0 Bathrooms: 0 Plan Review 03/04/2014 $359.53
Value: $34,000 Plan Review-Fire Life Safety 03/04/2014 $221.25
Info Process/Archiving-Lg$2.00(over 03/04/2014 $6.00
11x17)
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $1,286.29
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, •r if work is suspended for more the 180
days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification r'-nt r. Those rules l:re set forth in OAR
952-001-0 rough►•R 95 D01-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503 .1••7 or 1..00.332.234
Issue By: I`[`41! `` — ' Perm Signature: �' WA_
Call 503.639.4175 by 7:00 a.m.for the next available inspecti••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.
•
III Building Division
Over-The-Counter (OTC) Building Permit
TIGARD
Check List
Project Description: —1-1
APPLICATION SPECIFIC INFORMATION
GENERAL INFORMATION _
Class of Work*: r Occupancy Group: Type of Construction: 2.{m
Type of Use**: Ce.)M Occupancy Load: kk Oregon Specialty Code: 26 l I SPEIFICS `
Number of Stories: r2j 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: Ye-S Fire Alarms: -1 Smoke Detectors:
Parapet: Manual Pull Stations: Protected Corridors:
Total Project Valuation: $ 3'4j > FEES DUE
$ 7 co DC Prov Rvw,COM TI—Ping
$ ( I 4 DC.Prov Rvw,COM TI—LRP
DC Provision Review Fee for COM TI(effective 7/1/2013) $ . 1. Permit Fee—Add,Alt,Demo
Project Valuation Planning LRP $ - • . ' 12%State Surcharge
Up to$4,999 $0.00 $0.00 $ i Plan Review,Structural
$5,000-$74,999 $70.00 $10.00 $ '2�1 ,•ZPlan Review,Fire Life Safety
$75,000-$149,999 $174.00 $26.00 $ (.,,00 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 Staff: $ Other:
Date/Time: $ (z8(0,2:1 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
1
Building Permit Number: '� ,�p a01 LI-6 colt
Building Permit Review
Commercial Project—No Associated Land Use Case
TIGARD
Site Address: /004(0 Sill 67 - cyr
❑Verify site address is valid.
Project Name : C r i�€2
Plannin Review ,,,��'' / ,( 4'11614 /�
Propos. : /&ih% l� Y�C/Alt V U� �Ii, '.� c £ i4
.•liar t,-i _ /3 0, c E, e 0 u u- da no4 env.)•
Cl Zoning:
❑ Permitted Use LYes ❑�, Np Cl Spec Space
❑ Land Use Required El Yes LYNo
Notes:
Approved by: Date:
Revisions (after Building Submittal only) Reviewer Date
Revision 1 Approved ❑ Not Approved ❑
Revision 2 Approved El Not Approved ❑
Revision 3 Approved ❑ Not Approved ❑
Building Permit Submittal
Original Plan Submittal: Date: t I By: (0--P,
Site Plans: #
Building Plans: #
Create Case Record#: VEnter case# above for Building Permit Number.
Workflow Routing: P l nning ❑ Engi Bring ❑ Permtt rdinator [ ' uilding
Workflow Sign-off: Sign-off for Planning staff,including note from planning review(page 1)
Route Application Documents: ❑ Building: original permit apphc • site plans,building plans,engineer and
beam calculations and trust s,if app • le,etc.
Reviewed By: Date:
Notes:
I:\Building\Forms\BldgPermitRvw_COM_NoLandUse_123013.docx
Building Permit Application VEt)
Commercial RECEII OR OFFICE USE ONLY
City of Tigard DateReceived B : ...... milliggi Permit No.: /..- J — - s�
13125 SW Hall Blvd.,Tigard.OR 9' �\ — 4 2014 Plan Revi '��'um�� _-
s Phone: 503.718.2439 Fax: 503.598.1960 Date/B : Other Permit:
T t G n R D Inspection Line: 503.639.4175 CITY OF WARD Date Rea Jim ® See Page 2 for
Internet: www.tigard-or.gov Notified/Method: Supplemental Information
RI II!t1tAtrt.ntincil*!f!
TYPE OF WORK 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
0 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:
El Master builder ❑Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address:Lincoln Tower-10260 SW Greenburg Road New dwelling area: square feet
City/State/ZIP:Portland,OR 97223 Garage/carport area: square feet
Suite/bldg./apt.no.:190 Project name:Conference Center 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.
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 turning Suite 190 into a conference center,new walls,doors Valuation: $34,000
and cabinetry Existing building area: 1,513 square feet
New building area: 1,513 square feet
® PROPERTY OWNER I 0 TENANT Number of stories: 12
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
0 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 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 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 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 lie.:58918 Total fee due upon application: $201.60
Authorized signature: P � This permit application expires if a permit is not obtained
'� 1 within 180 days after it has been accepted as complete.
Print name:Kim Fo . Date:03/04/2014 * Fee methodology set by Tri-County Building Industry
Service Board.
I:\Building\Pennits\BUP-COM PermitApp.doc 02/24/2011 440-46113T(11/02/COM/WEB)
Location:
Record Type:
Inspection Type:
Result:
Comments:
Inspection Date:
Record ID:
Inspector:
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
10260 SW GREENBURG RD 190, TIGARD, OR,
97223
Commercial - Building
299 Final inspection
PASS - C of O
May 29, 2014 at 1:58:47 PM
BUP2014-00049
Chip Barnett
Violation Summary:
Inspector Contractor