Permit II CITY OF TIGARD BUILDING PERMIT
11 I COMMUNITY DEVELOPMENT Permit#: BUP2015-00212
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 07/16/2015
Parcel: 1 S135AB03400
Jurisdiction: Tigard
Site address: 10260 SW GREENBURG RD 535
Project: Benjamin Edwards Subdivision: METZGER,TOWN OF Lot: 9
Project Description: TI for existing tenant.
Contractor: R&H CONSTRUCTION CO Owner: LINCOLN CENTER LLC
1530 SW TAYLOR ST BY SHORENSTEIN PROPERTIES LLC
PORTLAND, OR 97205-1819 235 MONTGOMERY ST, 16TH FLOOR
SAN FRANCISCO, CA 94104
PHONE: 503-228-7177 PHONE:
FAX: 503-224-3638
Specifics: FEES
Description Date Amount
Type of Use: COM —
Class of Work: ALT Type of Const: IIB DC Provision Review,COM TI-Ping 07/16/2015 $88.00
Occupancy Grp: B Occupancy Load: 17 Permit Fee-Additions,Alterations, 07/16/2015 $707.41
Demolition
Dwelling Units: 0 12%State Surcharge-Building 07/16/2015 $84.89
Stories: 12 Height: 0 ft Plan Review 07/16/2015 $459.82
Bedrooms: 0 Bathrooms: 0 Plan Review-Fire Life Safety 07/16/2015 $282.96
Value: $47,849 Info Process/Archiving-Lg$2.00(over 07/16/2015 $12.00
11x17)
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $1,635.08
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: fr _ Permittee Signature: - _
Call 503.639.4175 by 7:00 a.m.for the next available inspection 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.
Building Permit Application
Commercial FOR OFFICE USE ONI.1'
City of Tigard Received aNi�
y b Date/B 7 /� lv� Permit No..A . --# 5
• 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review `�. ���
' 3. Phone: 503.718.2439 Fax: 503.598.1960 Date/B : �� Other Permit:
TI G A R D Inspection Line: 503.639.4175 Date Ready'Ilir turfs 0 See Page 2 for
Internet: www.tigard-or.gov 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/alterationheplacement ❑Other: equipment,materials,labor,overhead,and the pro FA-the
CATEGORY OF CONSTRUCTION work indicated on this application.
Valuation: $
❑ 1-and 2-family dwelling ®Commercial/industrial _
❑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:10260 SW Greenburg RD New dwelling area: square feet
City/State/ZIP:Tigard,OR 97223 Garage/carpo :rea: square feet
Suite/bldg./apt.no.:535 Project name:Benjamin Edwards Covered r•rch area: square feet
Cross street/directions to job site: Dec : ea: square feet
II er structure area: square feet
REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision:N/A Lot no.: Permit fees*are based on the value of the work performed.
Tax map/parcel no.: Indicate the value(rounded to the nearest dollar)of all
equipment,materials,labor,overhead,and the profit for the
DESCRIPTION OF WORK work indicated on this application.
Commerical tenant improvement of an existing business space. Valuation: $$47,849.00
Existing building area: N/A square feet
New building area: 1,652 square feet
® PROPERTY OWNER ❑ TENANT Number of stories: 11
Name:Shorenstein Realty Services LP Type of construction: IIB(assumed)
Address:10220 SW Greenburg Road,Suite 310 Occupancy groups:
City/State/ZIP:Portland,OR 97223 Existing: Business
Phone:(503)412-4880 Fax:( ) New Business
• ❑ APPLICANT ❑ CONTACT PERSON BUILDING PERMIT FEES*
(Please refer to fee schedule)
Business name: j t � LM t i J Structural plan review fee(or deposit): $0.00
Contact name: l-Beccyy Pi,}; f.J, vvf 1A,V(
Address: Pia; L� "" 0)-(0.3-40( i..- FLS plan review fee(if applicable): 742.78
x(33 =�� Total fees due upon application: 742.78
City/State/ZIP:SL- eu+s1-I A-63105 [ v,....k 17-Z Z./
Amount received: 742.78
Phone:{344t206 Yt22 —,03 3 7,..4.3,S'C3 bFax::( )
PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
E-mail:r om ) ?.(4 )y7C-Vq\/„ n_IA".
Commercial and residential prescriptive installation of
CONTRACTOR roof-top mounted PhotoVoltaic Solar Panel System.
Business name:R&H Construction Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
Address:1530 SW Taylor St Solar Installation Specially Code checklist.
City/State/ZIP:Portland,OR 97205 Permit fee(includes plan review
and administrative fees): $180.00
Phone:(503)248-5520 Fax:( )
State surcharge(12%of permit fee): $21.60
CCB lie.:38304 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:Aseheel-Berry ,.k""/,ts v.j Date:7/8/2015 * 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)
71 City of Tigard
•
COMMUNITY DEVELOPMENT DEPARTMENT
T I G A R D Building Permit Review — Commercial - No Land Use
Building Permit #: o2p/,5'.. aT a---
Site Address: /da(p 6 ccto ,e_p_iibu ft/Suite/Bldg#: 5" ,S---
Project Name: / 1 e ,
(Name of commercial business occupying the space. If vacant,enter Spec Space.)
Planning Review
Proposal: 7". 4r 71 in/pin V-e/'APil
Existing Business Activity: 0 - ce
Proposed Business Activity: Si Cp
site address/suite#exists and active in permit syst .
i`Y'4,'vet Terrace Neighborhood: ❑ Yes LN No
If oning 4 4J— 1
V emitted Use: Ltd Yes ❑ No ❑ Spec Space
nfirm no land use required.
Business License:
Exists: Yes ❑ No,applicant notified to obtain business license
Notes:
Approved by Planning: Date: . /1-1/15
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: 7//fo`/S
Site Plans: # '
Building Plans: # g–
Building Permit#: Enter building •ermit#Jive.
Workflow Routing: gP Planning /P.'.1.01.ermlt Coordinator uilding
Workflow Sign-off: )Sign-off for Planning(include notes from planning review)
Route Application Documents: )Building: original permit application,site plans,building plans,engineer and
beam calculations and trust details,if applicable,etc.
Notes:
By Permit Technician: .i/=�;iorJ. .1._ Date: 7//6/1_5-
1:\Building\Forms\B1dgPermitRvw_COM_NoLandUse 070915.docx
Permit Coordinator Review
❑ Conditions"Met"prior to issuance of building permit
❑ Approved, NOT Released: Date:
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:
❑ SDC Fees Entered: Wash Co Trans Dev Tax: ❑ Yes ❑ N/A
Tigard Trans SDC: ❑ Yes ❑ N/A
Parks SDC: ❑ Yes ❑ N/A
❑ OK to Issue Permit
Approved by Permit Coordinator: Date:
(:\Building\Forms\BldgPermitRvw_COM_NolandUse 070915.docx
I 111 Building Division
Over-The-Counter (OTC) Building Permit
l_ G R" Check List
Project Description: T( ,4 foZO/ 5 ^QD.2A.2 --
,;,,. „. APPLICATION SPECIFIC INFORMATION
GENERAL INFORMATION -\
Class of Work*: L,�T, ^ Occupancy Group: Type of Construction:
Type of Use**: (mil Occupancy Load: Oregon Specialty Code: 204—
SPECIFICS
Number of Stories: I'1--- 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: ti.2 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: 47,e49
Total Project Valuation: $
.60 1 FEES DUE
$ e:56,67r)DC Prov Rvw,COM TI—Ping
$ '?D , I Permit Fee—Add,Alt,Demo
(effective / ) °? , — 12%State Surcharge
DC Provision Review Fee for COM TI effective 1/2015 $ f•7
Project Valuation Planning $ ' ge'ZPlan Review,Structural
Up to$4,999 $0.00 $ '27,-t;E, Plan Review,Fire Life Safety
$5,000-$74,999 $88.00 $ i'2„,Q) Info Proc/Arch,Lg(over 11x17$2.00)
$75,000-$149,999 $220.00 $ Info Proc/Arch,Sm(up to 11x17$0.50)
$150,000 and over $351.00 $ Metro Construction Excise Tax
$ School Construction Excise Tax
$ Hourly Rate Fee
$ Hourly Rate State Surcharge
$ Misc.Admin Fee
$ Other:
$ Other:
$ Other:
Building Staff: Other:
Date/Time: $ I t:7.5570?)TOTAL)TOTAL FEES DUE
*TYPE OF USE: COM=commercial;CMS=commercial manufactured stru re:' `'
''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_070115.docx