Permit CITY OF TIGARD BUILDING PERMIT
1111 u COMMUNITY DEVELOPMENT Permit#: BUP2014-00082
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 04/09/2014
T[Cr '"R D g Parcel: 1 S135AB03400
Jurisdiction: Tigard
Site address: 10260 SW GREENBURG RD 160
Project: Manpower Subdivision: METZGER,TOWN OF Lot: 9
Project Description: TI: Moving walls in office space for new tenant to Tigard.
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 04/09/2014 $70.00
Occupancy Grp: B Occupancy Load: 21 DC Provision Review,COM TI-LRP 04/09/2014 $10.00
Dwelling Units: 0 Permit Fee-Additions,Alterations, 04/09/2014 $804.75
Demolition
Stories: 12 Height: 0 ft 12%State Surcharge-Building 04/09/2014 $96.57
Bedrooms: 0 Bathrooms: 0 Plan Review 04/09/2014 $523.09
Value: $60,000 Plan Review-Fire Life Safety 04/09/2014 $321.90
Info Process/Archiving-Lg$2.00(over 04/09/2014 $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 $1,830.31
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 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 rule 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 503.2 f.1•;7 or 1 800.332.23i4.
Issued By: ittee Signature:
AMIMV !.
;. ' -zrif0175 by 7:00 a.m.for the next available inspec ion da =.
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 ApplicationRECEIVED
Commercial FOR OFFICE USE ONLY
City of Tigard APR 9 2014 Received y 9Q'
Date/B . i f �:,.
• 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Revi
' Phone: 503.718.2439 Fax: 503.598/1'ffYOFTIGA Date/B /ei,r(,�� Other Permit:
It ,�i Inspection Line: 503.639.4175 ��i Date Ready/By: lulls: ® See Page 2 for
Internet www.tigard-or.gov BUILDING DIVISION Notified/Method: Supplemental Information
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
®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: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.:160 Project name:Manpower 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 i
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 wall and door. Valuation: $60,000
Existing building area: 2,045 square feet
New building area: 2,045 square feet
® PROPERTY OWNER ❑ 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
® APPLICANT ❑ CONTACT PERSON BUILDING PERMIT FEES*
Business name:Mackenzie
(Please refer w fee schedu!<J
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 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 lic.:58918 Total fee due upon application: $201.60
Authorized signature: ��� - This permit application expires if a permit is not obtained
g t,4G_C within 180 days after it has been accepted as complete.
Print name:Kim Ford Date:04/09/2014 * Fee methodology set by Tri-County Building Industry
Service Board.
I:\Building\Permits'BUP-COM PernritApp.doc 02/24/2011 440-46131(11/02/COM/WEB)
Building Permit Number: zjUU�0/y
" Building Permit Review
Commercial Project — No Associated Land Use Case
TIGARD
Site Address: I n 24 O 5 w [ri_LN
❑Verify site address is valid.
Project Name : /V\ q,h 20 w.e
Planning Review
Proposal: '— l I N 1- t1iJ °�+ � lU o c�'�" in (A3,1_ -
Coning: rG MLA E -
'Permitted Use LEI Yes ❑ No ❑ Spec Space
❑ Land Use Required ❑ Yes Cz1'No
Notes:
Approved by Date: II-7 /�f
Revisions (after Bui ding 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: Q / By: j7
Site Plans: #
Building Plans: #
Create Case Record#: nter case#above for Building Permit Number.
Workflow Routing: tanning ❑ Engineering ❑ Permit Coordinator I�iSwldtng
Workflow Sign-ofE ign-off for Planning staff,including notes from planning review(page 1)
Route Application Documents: utlding. original permit application,site plans,building plans,engineer and
beam calculations and trust details,if applicable,etc.
Reviewed By: kiA/ Date: 4A/,'
Notes: OZ_
I:\Building\Forms\BldgPermitRvw_COM_NoLandUse_123013.docx
Building Division
Over-The-Counter (OTC) Building Permit
TIGARD Check List
Project Description: T(
APPLICATION SPECIFIC INFORMATION
GENERAL INFORMATION
Class of Work*: Occupancy Group: Tempe of Construction:
Type of Use**: _ 6:MA Occupancy Load: Oregon Specialty Code: 2C)tCS
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: � Fire Alarms: Smoke Detectors:
Sprinkler Type: Alarm Type: Protected Corridors:
Standpipe Required: Pull Stations Required: Parapet:
Hazard Group: Battery Caks Provided:
Density: Cut Sheets Provided:
Design Area:
K Factor: I
Total Project Valuation: $ ( C), OCO, FEES DUE
$ i riles DC Prov Rvw,COM TI—Ping
$
Ow DC Prov Rvw,COM TI—LRP
DC Provision Review Fee for COM TI(effective 7/1/2013) $ r Permit Fee—Add,Alt,Demo
Project Valuation Planning LRP $ ,7 12%State Surcharge
Up to$4,999 $0.00 $0.00 $ r Plan Review,Structural
ire
$5,000-$74,999 $70.00 $10.00 $ m ., Plan Review,Fire Life Safety
$75,000-$149,999 $174.00 $26.00 $ 171.410 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: $ l)) .3ITOTAL 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:
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 160, TIGARD, OR,
97223
Commercial - Building
299 Final inspection
PASS - C of O
May 30, 2014 at 10:15:28 AM
BUP2014-00082
Chip Barnett
Violation Summary:
Inspector Contractor