Permit CITY OF TIGARD BUILDING PERMIT
8 COMMUNITY DEVELOPMENT Permit#: BUP2014-00218
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 09/18/2014
Parcel: 1 S 135AB01002
Jurisdiction: Tigard
Site address: 10220 SW GREENBURG RD 245
Project: PMC Sierra Subdivision: METZGER,TOWN OF Lot: 9
Project Description: TI for new tenant: Demolition,new walls and doors.
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 09/18/2014 $75.00
Occupancy Grp: B Occupancy Load: 32 DC Provision Review,COM TI-LRP 09/18/2014 $11.00
Permit Fee-Additions,Alterations, 09/18/2014 $475.99
Dwelling Units: 0 Demolition
Stories: 6 Height: 0 ft 12%State Surcharge-Building 09/18/2014 $57.12
Bedrooms: 0 Bathrooms: 0 Plan Review 09/18/2014 $309.39
Value: $26,166 Plan Review-Fire Life Safety 09/18/2014 $190.40
Info Process/Archiving-Lg$2.00(over 09/18/2014 $6.00
11x17)
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $1,124.90
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 through 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.
Issued By: rmittee_Signature: ( .
C . 9.4175 by 7:00 a.m.for the next available ins n dat
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 Application
Commercial FOR OFFICE USE ONLY
Received
City of Tigard vj� .� Permit No.:
13125 SW Hall Blvd.,Ti i �' • y Dam !'"` sr 2",,,, ��' -61,, r2
Phone: 503.718.2439 F: 'k' 9160 D teB view ��� �+
e
Inspection line: 503.639.' 5 Date Ready/B . ® See Page 2 for
ll(�1R1) Q A g
Internet: www.tigard-or.gov 1 D`141�t Notified/Method: M- Supplemental Information
�E
TYPE 0 tra;NCKU REQUIRED DATA:1-AND 2-FAMILY DWELLING
frrt
❑New construction y1 `11�• ��_ 111)51 Permit fees*are based on the value of the work performed.
{{ Indicate the value(rounded to the nearest dollar)of all
®Addition/alteration/replacement B10. Ull Other: equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
El -and 2-family dwelling ®Commercial/industrial Valuation: $
El Accessory building El Multi-family Number of bedrooms:
❑Master builder ❑Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address:3 Lincoln-10220 SW Greenburg Road New dwelling area: square feet
City/State/ZIP:Portland,OR 97223 Garage/carport area: square feet
Suite/bldg./apt.no.:245 Project name:PMC Sierra 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.
Interior Tenant Improvements for a 3,143 square foot space on the 2nd of 6 Valuation: $26,166.00
floors.Work to include demolition,new walls,doors,relites and cabinetry. Existing building area: 3,143 square feet
New building area: 3,143 square feet
® PROPERTY OWNER I ❑ TENANT Number of stories: 6
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 (i9liassnjirto fee sekedule)
Structural plan review fee(or deposit):
Contact name:Lauren Rohde
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:Irohde @mcknze.com
PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
CONTRACTOR Commercial and residential prescriptive installation of
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 I Fax:(503)692-9008
State surcharge(12%of permit fee): $21.60
CCB lie.:58918 Total fee due upon application: $201.60
Authorized signature: l This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name:Lauren R de ` Date:09/18/2014 * Fee methodology set by Tri-County Building Industry
Service Board.
I:\Building\Permits\BUP-COM PermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
rall
;I • Building Division
Over-The-Counter (OTC) Building Permit
l `' v[:1) Check List
Project Description: 1 1
APPLICATION SPECIFIC INFORMATION
GENERAL INFORMATION
Class of Work*: Occupancy Group: f Type of Construction: 247:-.>Type of Use**: Occupancy Load: Z Oregon Specialty Code: 2¢(d
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: Lej, 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: $ 24v)( (o(o FEES DUE
$ . /s► DC Prov Rvw,COM TI—Ping
$ am. DC Prov Rvw,COM TI—LRP
DC Provision Review Fee for COM TI(effective 7/1/2014) $ ( Permit Fee—Add,Alt,Demo
Project Valuation Planning LRP $ _ , (Z 12%State Surcharge
Up to$4,999 $0.00 $0.00 $ 410- f Plan Review,Structural
$5,000-$74,999 $75.00 $11.00 $ —Mirk i Plan Review,Fire Life Safety
$75,000-$149,999 $187.00 $28.00 $ (d ,. ) 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: $ ( ( Z4,R4)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_070114.docx
City of Tigard
114 •
■
COMMUNITY DEVELOPMENT DEPARTMENT
T 1 G A K D Building Permit Review — Commercial - No Land Use
Building Permit #: eap,20/bi_oio94 25'
Site Address: 1 0220 SW Greenburj Rd. Suite/Bldg#: 2y5
Project Name: ?MC Sierra.
(Name of commercial business occupying the space. If vacant,enter Spec Space.)
Planning Review
Proposal: TI -For new +enani-, no change in use.
Existing Business Activity: 04 ice,
Proposed Business Activity: �
j C.P
NJ Verify site address/suite #exists and active in permit system.
LrJ Zoning: M UE-1, ,_,
L ,Permitted Use: LJ Yes ❑ No ❑ Spec Space
IV Confirm no land use required.
Notes:
Approved by Planning: e -Ti rltlr�jp�,�1 Date: q i 1i` iti
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: 11/61/1
Site Plans: # /V/,4
Building Plans: # `j
Building Permit#: jn rbuilding permit#above.
Workflow Routing: Plan ling ❑ Permit Coordinator 4Q—Building
Workflow Sign-off: Lgg-'51_04#-off for Planning(include notes from planning review)
Route Application Documents: p�$uilding. original permit application,site plans,building plans,engineer and
beam calculations and trust details,if applicable,etc.
Notes: G
By Permit Technician: -- — Date: 77i1/Ay
1:\Bui Iding\Forms\B1 dgPe rm itRvw_COM_NoL andU se_071 5 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:
I:\Building\Forms\B l dgPe rm i tRvw_COM_No L andUse_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
10220 SW GREENBURG RD 245, TIGARD, OR,
97223
Commercial - Building
299 Final inspection
PASS - C of O
BUP2014-00218
Jeff Grove
Violation Summary:
Inspector Contractor