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Permit r, CITY OF TIGARD BUILDING PERMIT COMMUNITY DEVELOPMENT Permit#: BUP2015-00209 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 07/14/2015 Parcel: 1 S135AB03400 Jurisdiction: Tigard Site address: 10260 SW GREENBURG RD 950 Project: Ameriprise 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 235 MONTGOMERY ST, 16TH FLOOR 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: lg DC Provision Review,COM TI-Ping 07/14/2015 $88.00 Occupancy Grp: B Occupancy Load: 17 Permit Fee-Additions,Alterations, 07/14/2015 $317.06 Demolition Dwelling Units: 0 12%State Surcharge-Building 07/14/2015 $38.05 Stories: 12 Height: 0 ft Plan Review 07/14/2015 $206.09 Bedrooms: 0 Bathrooms: 0 Plan Review-Fire Life Safety 07/14/2015 $126.82 Value: $15,643 Info Process/Archiving-Lg$2.00(over 07/14/2015 $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 $782.02 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. ATTENT • . gon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001- through OA 52-01 '90 You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. Iss d By: / ' r � Permittee Signature: Call 503.639.4175 by 7:00 a.m.for the next available inspection d This permit card shall be kept in a conspicuous place on the job site until completion of the prof t. Approved plans are required on the job site at the time of each inspection. Building Permit Application Commercial FOR OFFICE USE ONLY City of Tigard REcEIVED R1Ved Datem : •y n �7--- / Permit No pAy<j(6is�/ .1,,, . 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Revic�� \� Phone: 503.718.2439 Fax: 503.53 J 6C Date/B : r Other Permit: Inspection Line: 503.639.4175 �� 11 2015 Date Rea. lug: TIGARD ® SeePage2fnr Internet: www.tigard-oI.gov IT Notified/Method: Supplemental Information 1)iCix YOFT1(.A1 T �lH/P091111VisioN REQUIRED DATA:1-AND 2-FAMILY DWELLING ❑New construction ®Demolition! t� 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 Number of bedrooms: ❑ rY g ❑Multi-family ❑Master builder ❑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/bldgJapt.no.:950 Project name:Ameriprise-Sundberg 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. 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. Scope of work includes interior tenant improvements for an approx.1,697 SF Valuation: $15,643 tenant on the 9'"of 12 floors.Work includes demolition,new walls,doors and Existing building area: 1,697 square feet relites,and new cabinetry. New building area: 1,697 square feet ® PROPERTY OWNER ❑ 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:(503)412-4903 New: B 0 APPLICANT ❑ CONTACT PERSON BUILDING PERMIT FEES* Business name:Mackenzie (Please refer to fee 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 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 105'"Ave Solar Installation Specialty Code checklist. City/State/ZIP:Tualatin,OR 97062 Permit fee(includes plan review $18000 and administrative fees): Phone:(503)692-9002 Fax:(503)692-9008 State surcharge(12%of permit fee): $21.60 CCB lie.:58918 Total fee due upon application: $201.60 Authorized signature: This permit application expires if a permit is not obtained ( within 180 clays after it has been accepted as complete. I Print name:Lauren ohde Date:07/14/15 * Fee methodology set by Tn-County Building Industry Service Board. I:\Building\Permits\BUP-COM PermitApp.doc 02/24/2011 440-4613T(11/02JCOM/WEB) 51111 ' Building Division I !GARD Over-The-Counter (OTC) Building Permit II Check List Project Description: T l APPUCITIQN SP C�FIC.INFORMATION GENERAL INFORMATION i Class of Work*: i\u Occupancy Group: Type of Construction: Type of Use**: CO? Occupancy Load: PF Oregon Specialty Code: -2© SPECIFICS Number of Stories: 1"-i — 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: 4'r- 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: $ I)(fAS , FEES DUE $ , DC Prov Rvw,COM TI—Ping?4qb.t'` $ DC Prov Rvw,COM TI—LRP DC Provision Review Fee for COM TI(effective 7/1/2014) $ .-6 ,� Permit Fee—Add,Alt,Demo Project Valuation Planning LRP $ --j8,t.5 12%State Surcharge Up to$4,999 $0.00 $0.00 $ � •.4,— Plan Review,Structural $5,000-$74,999 $75.00 $11.00 $ 1 ,,, ' an Review,Fire Life Safety ` , $75,000-$149,999 $187.00 $28.00 $ . :— 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: $ 76,,OZ- TOTAL FEES DUE E P USE: C0';CMS. ed strut "4' LASS OF WORK ACS=. cessgr •ADD=addition;ADU=accessory dwelling unit;ALT=alteration;DEM=demo;NEW=new; s,signs,awnings or canopies). I:\Building\Forms\OTC_BUP_070114.docx City of Tigard 711 ■ COMMUNITY DEVELOPMENT DEPARTMENT T 1 G A K D Building Permit Review — Commercial - No Land Use Building Permit #: un /5-- G11 o 9 Site Address: / 00 -3A) , Suite/Bldg#: 9j ) Project Name: ji� r7 3P �-/ (Name of commercial business occupying the space. If vacant,enter Spec Space.) Planning Review /� t /. Proposal: /, c4 ,t - ..e ',�71 -p/enca.474' Existing Business Activity: r 1 Ce Prop ed Business Activity: Ly/Verify site address suite#exists and active in s ermit s t P Y Plr' :ver Terrace Neighborhood: El Yes Ur No 17 ntng: 4j —V I rmitted Use: Yes ❑ No ❑ Spec Space [D' C firm no land use required. Business License: Exists: es ❑ No,applicant notified to obtain business license Notes: Approved by Planning: r / Date: ��`f-4 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: 7/4/(/5— Site Plans: # Building Plans: # Building Permit#: ErEnter building permit#above. Workflow Routing. 0'Planning C 'ermit Coordinator Building Workflow Sign-off: 2 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 k ,,Q Date: 7/ 44c I:\Building\Fortes\BldgPermitRvw_COM_NolandUse_070915.docx Permit Coordinator Review ❑ Conditions "Met"prior to issuance of building permit ❑ Approved, NOT ' : ased: Date: Notes: Revisions (after Building Submi only) Revision Notice 1: %ate Sent to Applicant: Revision Notice 2: Date Sent to Applicant: Revision Notice 3: Date Sent to Applicant: ❑ SDC Fees E -red: Wash Co Trans Dev Tax: ❑ Yes • /A Tigard Trans SDC: ❑ Yes ❑ N/ Parks SDC: ❑ Yes ❑ N/A ❑ OK to Issue Permit Approved by Permit Coordinator: Date: I:\Building\Forms\B1dgPermitRvw_COM_NolandUse_070915.docx