Permit CITY OF TIGARD BUILDING PERMIT
COMMUNITY DEVELOPMENT Permits: BUP2014-00175
TIGARD 13125 SW Hall Blvd ,Tigard OR 97223 503.718.2439 Date Issued: 07/30/2014
Parcel: 1S135AB03400
Jurisdiction: Tigard
Site address: 10260 SW GREENBURG RD 1170
Project: Ameriprise Subdivision: METZGER.TOWN OF Lot: 9
Project Description: Interior demo,new walls.doors,relites&cabinetry modifications Tenant.Ameriprise,is 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 07/30/2014 $75.00
Occupancy Grp: B Occupancy Load: 22 DC Provision Review.COM TI-LRP 07/30/2014 $11.00
Permit Fee-Additions,Alterations. 07/30/2014 $423 53
Dwelling Units: 0 Demolition
Stories: 12 Height: 0 ft 12%State Surcharge-Building 07/30/2014 $50.82
Bedrooms: 0 Bathrooms: 0 Plan Review 07/30/2014 $275.29
Value: $22.817 Plan Review-Fire Life Safety 07/30/2014 $169.41
Info Process/Archiving-Lg$2.00(over 07/30/2014 $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 $1.009.05
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 rules are set forth in OAR
952-001-0010 throuah OAR 952-001-0090 You may obtain a copy of the rules or direct questions to OUNC by calling 503.232 1987 or 1 800 332 2344
Issu d By: Permittee Signature: A' � G
Call 503.839.4175 by 7:00 a.m,for the next available inspec' date.
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.
Buildine Permit ApplicatCEfVED
Commercial ((� FOR OFFICE USE ONLY
Flip City of Tigard JUL 30 20'.t Received , Permit No. Ott I`)t9a/�/— }�?
" 13125 SW Hall Blvd.,Tigard,OR 7 �g� Plan Review ile M:11131
Phone: 503.718.2439 Fax: 503.1 E Ilit 7V Date/B : wyi «
TI G ARD Inspection Line: 503.639.4175 a pt nongl Date Rea.1."': Lurie: HI See Page 2 for
Internet: www.tigard-or.gov 9VI 7 Notified/Method: Supplemental Information
TYPE OF WORK REQUIRED DATA:1-AND 2-FAMILY DWELLING
Ll New cuustructiun El 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:
ID Accessory building CI Multi-family Number of bedrooms:
ID Master builder III 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.:1170 Project name:Ameriprise 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: 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 includes demo,new walls,doors,relites&cabinetry modifications. Valuation: $22,817
Ameriprise is an existing tenant that is relocating to STE 1170 @ Lincoln Tower. Existing building area: 2,175 square feet
STE 1170 is currently vacant&was previously occupied by Business Solutions. New building area: 2,175 square feet
® PROPERTY OWNER I ❑ 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:(5031412-4903 New: B
® APPLICANT ❑ CONTACT PERSON BUILDING PERMIT FEES*
Business name:Mackenzie
(Please refer Wise schedule)
Structural plan review fee(or deposit):
Contact name:Lauren Rohde
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:Irohde@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 lic.:58918
Total fee due upon application: 5201.60
Authorized signature: bi ("Q This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
I Print name:Lauren Rohde Date:07/30/2014 I * Fee methodology set by Tri-County Building Industry
Service Board.
I:1Building\Permits\BUP-COM PermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
111;11 Building Division
Over-The-Counter (OTC) Building Permit
I i`' t' Check List
Project Description:
APPLICATION SPECIFIC INFORMATION
GENERAL INFORMATION
Class of Work*: L k Occupancy Group: 1j Type of Construction:
Type of Use**: C f q Occupancy Load: ZZ Oregon Specialty Code:
SPECIFICS
Number of Stories: ri--. 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
Sidyard Setback—Left Sideyard Setback—Front
Sidcyard 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: 1 Fire Alarms: Smoke Detectors:
Sprinkler Type: Alarm Type: Protected Corridors:
Standpipe Required: Pull Stations Required: Parapet:
Hazard Group: Battery Cales Provided:
Density: Cut Sheets Provided:
Design Area:
K Factor:
Total Project Valuation: $ 7-ZI I-7 FEES DUE
$ b, DC Prov Rvw,COM TI—Ping
$ A dp DC Prov Rvw,COM TI—LRP
DC Provision Review Fee for COM TI(effective 7/1/2014) $ 'y , Permit Fee—Add,Alt,Demo
Project Valuation Planning LRP $ •,ji, 12%State Surcharge
Up to$4,999 $0.00 $0.00 $ - igft" Plan Review,Structural
$5,000-$74,999 $75.00 $11.00 $ j` Plan Review,Fire Life Safety
$75,000-$149,999 $187.00 $28.00 $ • ,I Info Proc/Arch,Lg(over 11x17$2.00)
$150,000 and over $299.00 $44.00 $ 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;DF,M=demo;NEW=new;
O"IR=other(use for fences,decks,retaining walls,signs,awnings or canopies).
t:\Building\Forms\OTC_BUP 070114.docx
City of Tigard
111111 COMMUNITY DEVELOPMENT DEPARTMENT
■
I'1 G n R D Building Permit Review — Commercial - No Land Use
Building Permit #: _ ti(,L,(} ,20/(1-66/ 75—
Site Address: 1 0260 SW G re bu(3 'M. Suite/Bldg#: \ 7O
Project Name: AMexi pc ise.
(Name of comrAercial business occupying the space. If vacant,enter Spec Space.)
Planning Review
Proposal: ±ertax* reloca- ion w i+hi n Lincoln Cext r; wa14 demo and rye 1
wal\ cOns rudi on
Existing Business Activity: f i n nc,1 Q-� S e v i GL?5
Proposed Business Activity: -�j nag ci services
NI/Verify site address/suite#exists and active in permit system.
Zoning M U E-1.�.f
MI/Permitted Use: &1 Yes ❑ No ❑ Spec Space
00 Confirm no land use required.
Notes:
Approved by Planning: I 1 m }rbQ "� Date: /13911q
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: 7klirf
Site Plans: #
Building Plans:
Building Permit#: 2>riter building permit# above.
Workflow Routing: le planning ❑ Permit Coordinator Building
Workflow Sign-off: P'-Si;peOff for Planning(include notes from planning review)
Route Application Documents: LYuilding: original permit application,site plans,building plans,engineer and
beam calculations and trust details,if applicable,etc.
Notes:
By Permit Technician: (t Date: 7l5o/ty
1:1Buildingl Forms1BldgPermitRvw_COM_NoLandUse_07I S 14.docx
Permit Coordinator Review
❑ Conditions Met- Prior to Issuance of Building Permit
Notes:
Revisions (after Building Submittal only)
Revision Notice 1: Date Sent to Applicant:
Revision Notice 2: Date Sent to Applicant:
Revision Notice 3: Date Sent to Applicant:
❑ OK to Issue Permit
Approved by Permit Coordinator: Date:
1:1Building\Formsl BIdgPermitRvw_COM_NoLandUse_071514.docx
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 1170, TIGARD, OR,
97223
Commercial - Building
299 Final inspection
PASS - C of O
BUP2014-00175
Chip Barnett
Violation Summary:
Inspector Contractor