Permit CITY OF TIGARD BUILDING PERMIT
•
a COMMUNITY DEVELOPMENT Permit#: BUP2014-00121
TI G A.R.D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 05/27/2014
Parcel: 1 S135AB01003
Jurisdiction: Tigard
Site address: 10300 SW GREENBURG RD 540
Project: Lincoln Tax&Accounting Subdivision: METZGER,TOWN OF Lot: 9
Project Description: TI for new tenant.
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 05/27/2014 $70.00
Class of Work: ALT Type of Const: IIB
Occupancy Grp: B Occupancy Load: 13 DC Provision Review,COM TI-LRP 05/27/2014 $10.00
Permit Fee-Additions,Alterations, 05/27/2014 $256.22
Dwelling Units: 0 Demolition
Stories: 5 Height: 0 ft 12%State Surcharge-Building 05/27/2014 $30.75
Bedrooms: 0 Bathrooms: 0 Plan Review 05/27/2014 $166.54
Value: $11,861 Plan Review-Fire Life Safety 05/27/2014 $102.49
Info Process/Archiving-Lg$2.00(over 05/27/2014 $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 $640.00
Required: Required Items and Reports(Conditions)
Fire Sprinkler: No 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 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 503.23 .1•.7 or 1.:00.332.2344
��
Issued By: •erml •_ -'•i:lure: / =`
sue
Q- by 7:00 a.m.for the next available Ins• d e.
This permit ca •s ept 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 Application RECEIVED
Commercial i )It OFFICE USE ONLY
City of Tigard MAY 2 7 2014 RDeacteeB ive d:
-� "w4 ,,_�
•
13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review ®�
II Phone: 503.718.2439 Fax: 503.598.1 . r
1111 QTY OF TIGARD Da` Other Permit:
1 1 t, \I 1 Inspection Line: 503.639.4175 Date Read ? ' 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.
❑ I-and 2-family dwelling ®Commercial/industrial Valuation: $
❑Accessory building ❑Multi-family Number of bedrooms:
❑ Master builder El Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address:1 Lincoln-10300 SW Greenburg Road New dwelling area: square feet
City/State/ZIP:Portland,OR 97223 Garage/carport area: square feet
Suite/bldg./apt.no.:540 Project name:Lincoln Tax&Accounting 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 tenant improvements to an existing Suite.Work to include new Valuation: $$11,861.00
walls,doors and relite Existing building area: 1,309 square feet
New building area: 1,309 square feet
® PROPERTY OWNER ❑ TENANT Number of stories: 5
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 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 Photo Voltaic Solar Panel System.
Business name:Russell Construction Submit two(2)sets of roof plan with connection details
m 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
c
Authorized signature: i A t� •' This permit application expires if a permit is not obtained
/k, Pi" within 180 days after it has been accepted as complete.
Print name:Kim Ford I Date:05/27/2014 * Fee methodology set by Tri-County Building Industry
Service Board.
BBuilding\Permits\BUP-COM PermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
City of Tigard
r COMMUNITY DEVELOPMENT DEPARTMENT
■
T I G A R D Building Permit Review — Commercial - No Land Use
Building Permit #: BuP -o -cot -)
Site Address: 10300 SW Greenburg Rci. Suite/Bldg#: SIO
Project Name: Li neoln Tax & Accoun+i no`
(Name of commercial business occupying the spate. If vacant,enter Spec Space.;
Planning Review
Proposal: Tencz r+ i mprcwe nerrk.s -4-0 e-x i s+in4 su ire, including new wal I s,
donrs
4 Verify site address/suite#exists and active in permit system.
Ciftoning: N W E.-1 z
/Permitted Use: gg Yes 0/No ❑ Spec Space
® Land Use Required: ❑ Yes 2 No Type Required
Notes:
Approved by Planning: 14 rrl _6r1('kjac�1 Date: 5117114
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 Submittal Date: ,SN�-7//�/
Site Plans: # `A
Building Plans: # ___
Building Permit#: me uilding permit#above. ,_
Workflow Routing: ❑/1 nning ❑ Engineering El Permit Coordinator `IT!utldtng
Workflow Sign-off: lystgn-off for Planning(include notes from planning review)
Route Application Documents: ding original permit application,site plans,building plans,engineer and
beam calculations and trust details,if applicable,etc.
Notes: C7/e_
By Permit Technician: ....4:::7-77- Date: 5A7/7
1:\Building\Forms`,B IdgPermitRvw_COM_NoLandUse_042914.docx
Building Division
Over-The-Counter (OTC) Building Permit
TIGARD Check List
Project Description:
APPLICATION SPECIFIC INFORMATION
GENERAL INFORMATION
Class of Work*: Occupancy Group: Type of Construction: Z
Type of Use**: Na—k Occupancy Load: Oregon Specialty Code: L)
SPECIFICS
Number of Stories: .j 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 Calcs Provided:
Density: Cut Sheets Provided:
Design Area:
K Factor:
Total Project Valuation: $ ) Q FEES DUE
$ "70.CDC) DC Prov Rvw,COM TI—Ping
$
a'. DC Prov Rvw,COM TI—LRP
DC Provision Review Fee for COM TI(effective 7/1/2013) $ `h Permit Fee—Add,Alt,Demo
Project Valuation Planning LRP $ 1 ' 12%State Surcharge
Up to$4,999 $0.00 $0.00 $ ITIW, Plan Review,Structural
$5,000-$74,999 $70.00 $10.00 $ CL, 'T Plan Review,Fire Life Safety
$75,000-$149,999 $174.00 $26.00 $ A .04b 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: $ 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:
Result:
Comments:
Inspection Date:
Record ID:
Inspector:
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
10300 SW GREENBURG RD 540, TIGARD, OR,
97223
Commercial - Building
299 Final inspection
PASS - C of O
BUP2014-00121
Chip Barnett
Violation Summary:
Inspector Contractor