Permit CITY OF TIGARD BUILDING PERMIT
11111 s COMMUNITY DEVELOPMENT Permit#: BUP2014-00123
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 05/29/2014
T[��'�R O 9 Parcel: 1S135AB01003
Jurisdiction: Tigard
Site address: 10300 SW GREENBURG RD 308
Project: West Coast Careers Subdivision: METZGER,TOWN OF Lot: 9
Project Description: TI for new tenant:Relocating within building.
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 05/29/2014 $70.00
Occupancy Grp: B Occupancy Load: 21 DC Provision Review,COM TI-LRP 05/29/2014 $10.00
Permit Fee-Additions,Alterations, 05/29/2014 $608.23
Dwelling Units: 0 Demolition
Stories: 5 Height: 0 ft 12%State Surcharge-Building 05/29/2014 $72.99
Bedrooms: 0 Bathrooms: 0 Plan Review 05/29/2014 $395.35
Value: $38,080 Plan Review-Fire Life Safety 05/29/2014 $243.29
Info Process/Archiving-Lg$2.00(over 05/29/2014 $6.00
11x17)
Floor Areas: Misc Administration Fee 05/29/2014 $50.00
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $1,455.86
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 503.2 2.1•'7 or 1.800.332.2344,
Issued By: Permittee Signature: �•�
41111M.=NOW —"am.
/1I
.4175 by 7:00 a.m.for the next available inspe• te.
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.
I
Building Permit Application
Commercial
`'�� � FOR OFFICE.USE ONLY
lig City of Tigard ® p , _
. • 13125 SW Hall Blvd.,Tigard,0 r •4 Plan Rev' / ^ i1.F �,
Phone: 503.718.2439 Fax: 503 '60 '��1 Date/B �l���� IM El IM
IL, E: Inspection Line: 503.639.4175 `l P� �j Date R .. :y: ® See Page 2 For EITI
I Internet: www.tigard-or.gov Ct` oF�, Pkp��,`.tifiedmethod: .�� , Supplemental Information
TYPE OF WO REQUIRED DATA:1-AND 2-FAMILY DWELLING
New construction 12 lition 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: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.:308 Project name:West Coast Careers TI 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 minor demolition,new walls,doors,relites,cabinetry and Valuation: $38,080
plumbing Existing building area: 2,071 square feet
New building area: 2,071 square feet
® PROPERTY OWNER I ❑ 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
0 APPLICANT ❑ CONTACT PERSON BUILDING PERMIT FEES*
Business name:Mackenzie
(Please refer Wee sck.dale)
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:kfordolmcknze.coro 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
within 180 days after it has been accepted as complete.
Print name:Kim Ford Date:05/29/2014 * Fee methodology set by Tri-County Building Industry
Service Board.
1:1Building\Permmits\BUP-COM PermitApp.doc 02/24/2011 440-4613T(I 1/02/COM/WEB)
;l • ' Building Division
Over-The-Counter (OTC) Building Permit
I c' v k" Check List
Project Description:
APPLICATION SPECIFIC INFORMATION
GENERAL INFORMATION
Class of Work*: Occupancy Group: Type of Construction:
Type of Use**: Occupancy Load: l Oregon Specialty Code: • i)to
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: 06 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: $ (...'�j)(:)9L,612) FEES DUE
$ —?Q,() DC Prov Rvw,COM TI-Ping
$ i• rte►DC Prov Rvw,COM TI-LRP
DC Provision Review Fee for COM TI(effective 7/1/2013) $ rim 27 Permit Fee-Add,Alt,Demo
Project Valuation Planning LRP $ —', 12%State Surcharge
Up to$4,999 $0.00 $0.00 $ , ■ Ian Review,Structural
$5,000-$74,999 $70.00 $10.00 $ • .2- Plan Review,Fire Life Safety
$75,000-$149,999 $174.00 $26.00 $ .,(r 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.Ad Fe
$ Co, Other: MIS ` is-
$ Other:
Building Staff: $ Other:
Date/Time: $ (A41±1 g�-TOTAL FEES DUE
-r 5-0
"TYPE OF USE: COM=commercial;CMS=commercial manufactured stnfture.
*'CLASS OF WORK ACS=accessory;ADD=addition;ADU=accessory dwelling unit;ALT=alteration;DEM=demo;NEW=new;
OTR=other use for fences,decks,retainin' walls,s'; s,awnin:•or cano.i- 1l
I:\Building\Forms\OTC-BUP.docx 07/01/2013 ,1 / 'i 5S".
City of Tigard
COMMUNITY DEVELOPMENT DEPARTMENT
's ■
T 1 G A R D Building Permit Review — Commercial - No Land Use
Building Permit #: otA(Jdp(+i--c0 I�3
Site Address: IOO SW 6[re6116We3 Suite/Bldg#:
Project Name: \t\k --Coasl- Carters T(
(Name of commercial business occupying the space. If vacant,enter Spec Space.)
Planning Review
Proposal: 'Fenny* Imp rove,h tm-
❑Verify site address/suite #exists and active in permit system.
2 Zoning:
11"-Permitted Use: Q"Yes �❑, No CI Spec Space
[ Land Use Required: ❑ Yes L}"No Type Required
Notes: DO (*law 1h L C'
Approved by Planning: ATIA.4 41114 Date: 55. ?Pt. ILI
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: ,5/d /1`J
Site Plans: # Ain
Building Plans: # 3
Building Permit#: O t r building permit# above.
Workflow Routing: Pl ing ❑ Engineering ❑ Permit Coordinator ding
Workflow Sign-off: Lt2d'S -off for Planning(include notes from planning review)
Route Application Documents: 2'Building: original permit application, site plans,building plans,engineer and
�
j beam calculations and trust details,if applicable, etc.
Notes: UT -
By Permit Technician: 6 ,'T Date: 5-4,19//7.
I:\Buil ding\Forms\BldgPermitRvw_COM_NoLandUse_042914.docx