Permit CITY OF TIGARD BUILDING PERMIT
1111 = COMMUNITY DEVELOPMENT Permit#: BUP2014-00066
Date Issued: 03/26/2014
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 1 S135A604500
Jurisdiction: Tigard
Site address: 10250 SW GREENBURG RD 217
Project: CASCADE MORTGAGE Subdivision: 1991-055 PARTITION PLAT Lot: 1
Project Description: TI for existing tenant:Downsizing existing suite and constructing new walls. Suite 219 will be vacant.
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 03/26/2014 $70.00
Occupancy Grp: B Occupancy Load: 14 DC Provision Review,COM TI-LRP 03/26/2014 $10.00
Permit Fee-Additions,Alterations, 03/26/2014 $286.64
Dwelling Units: 0 Demolition
Stories: 0 Height: 0 ft 12%State Surcharge-Building 03/26/2014 $34.40
Bedrooms: 0 Bathrooms: 0 Plan Review 03/26/2014 $186.32
Value: $14,000 Plan Review-Fire Life Safety 03/26/2014 $114.66
Info Process/Archiving-Lg$2.00(over 03/26/2014 $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 $706.02
Required: Required Items and Reports(Conditions)
Fire Sprinkler: Yes Parapet:
Fire Alarm: Protected Corridors:
Smoke Detectors: Manual Pull Stations:
Accessible Parking: 0
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will
be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if w, is suspended for more the 180
days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification ent='. T ose rules are set forth in OAR
952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 50 '2.1••7 or 1.:00.332`344.
Issued By: ! � — - Permittee Signature:
. 3$. by 7:00 a.m.for the next available ins.• on d IF ,
This permit card shall be kept in a conspicuous place on the job site until om. ' on of the project.
Approved plans are required on the job site at the time of each' spection.
Building Permit Application
Commercial Ci� FOR OFFICE USE ONLY
City of Tigard �j�v Date/Bed � ,-_
l DateB : - _— '. • .e'' PCnn�l No , P PAP
III
n 13125 SW Hall Blvd.,Tigard,OR •.r Y Plan Re ' �► �1 y
Phone: 503.718.2439 Fax: ` Ot �0�� Date/B, A lei �,
I 1 c;n K v Inspection line: 503.639.4175 % Date Rem ® See Page 2 for
Internet: www.tigard-or.gov ���� ���`O� Notified/Method: Supplemental Information
TYPE OF WO(`0�C���l REQUIRED DATA:1-AND 2-FAMILY DWELLING
❑New construction ❑fl¢tq Permit fees*are based on the value of the work performed.
�1 Indicate the value(rounded to the nearest dollar)of all
®Addition/alteration/replacement ❑tler: 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:4 Lincoln-10250 SW Greenburg Road New dwelling area: square feet
City/State/ZIP:Portland,OR 97223 Garage/carport area: square feet
Suite/bldg./apt.no.:217 Project name:Cascade Residential Mort 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 downsizing their existing suite and constructing new walls and Valuation: $$14,000.00
doors. The vacancy to remain is Suite 219. Existing building area: 2091 square feet
New building area: 1406 square feet
® PROPERTY OWNER I ❑ TENANT Number of stories: 3
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 gofer schedrfe)
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
a 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 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
/A within 180 days after it has been accepted as complete.
Print name:Kim Ford Date:03/26/2014 * Fee methodology set by Tri-County Building Industry
Service Board.
1:1Building\Permits\BUP-COM PermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
Building Permit Number: -1p /41-01.7,-)6 G,
Building Permit Review
Commercial Project — No Associated Land Use Case
IIGARD
Site Address: 1 Q29) SI/J C re I lout 1, gd. 4-211
pc/Verify site address is valid.
Project Name : CAbCrA4C SIG(. a-P M6)14blo r
Planning Review
Proposal: lreRlp- 2.vnoae-( -v, .(Xts'1?1rn ..4,„Y✓i'f-
RV-Zoning: MU F—a-
l�_d,' Pmitted Use Yes ❑ No ❑ Spec Space
Ly'Land Use Required ❑ Yes .. (No
Notes:
Approved by: A 11 1, 414 Lu..4 - Date: 3/21e fi'-!
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: yx(p�jy By: d!j
Site Plans: # [
Building Plans: # 3_214/i
Create Case Record#: n�ter se#above for Building Permit Number.
Workflow Routing: anning ❑ Engineering ❑ Permit Coordinator L Building
Workflow Sign-off: El—S; -off for Planning staff,including notes from planning review(page 1)
Route Application Documents: ding: original permit application,site plans,building plans,engineer and
beam calculations and trust details,if applicable,etc.
Reviewed By: ,;N Date: �6pc/
Notes: 0---T C jj /
1:\Building\Forms\BldgPermitRvw_COM_NoLandUse_123013.docx
I Building Division
Over-The-Counter (OTC) Building Permit
r i \IZ D Check List
Project Description:
APPLICATION SPECIFIC INFORMATION
GENERAL INFORMATION
Class of Work*: Occupancy Group: i Type of Construction: '28
Type of Use**: Occupancy Load: l Oregon Specialty Code: go(C)
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: ti2 2 Fire Alarms: Smoke Detectors:
Sprinkler Type: Alarm Type: Protected Corridors:
Standpipe Required: Pull Stations Required: Parapet:
Hazard Group: Battery Calcs Provided:
Density: Cut Sheets Provided:
Design Area:
K Factor: /�
Total Project Valuation: $ (4 I FEES DUE
/ � $ '7Q,At. DC Prov Rvw,COM TI—Ping
$ I !s DCProvRvw,COMTI—LRP
DC Provision Review Fee for COM TI(effective 7/1/2013) $ 7 4 Permit Fee—Add,Alt,Demo
Project Valuation Planning LRP $ 91Eirr 12%State Surcharge
Up to$4,999 $0.00 $0.00 $ mow Plan Review,Structural
$5,000-$74,999 $70.00 $10.00 $ miff Plan Review,Fire Life Safety
$75,000-$149,999 $174.00 $26.00 $ f 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
$ Hourly Rate State Surcharge
$ Misc.Admin Fee
$ Other:
$ Other:
Building Staff: $ Other:
Date/Time: $ 7%0 .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\CFTC-BUP.docx 07/01/2013
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
10250 SW GREENBURG RD 217, TIGARD, OR,
97223
Commercial - Building
299 Final inspection
PASS - C of O
May 29, 2014 at 1:54:17 PM
BUP2014-00066
Chip Barnett
Violation Summary:
Inspector Contractor