Permit 111‘11.‘ j":: CITY OF TIGARD BUILDING PERMIT
` a COMMUNITY DEVELOPMENT Permit#: BUP2015-00279
Date Issued: 09/29/2015
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 parcel: 1 S135A600900
Jurisdiction: Tigard
Site address: 10200 SW GREENBURG RD 500
Project: Bridgewell Resources Subdivision: METZGER,TOWN OF Lot: 9
Project Description: TI for existing tenant: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: 11L3 DC Provision Review,COM 11-Ping 09/29/2015 $88.00
Occupancy Grp: B Occupancy Load: 161 Permit Fee-Additions.Alterations, 09/29/2015 $317.06
Demolition
Dwelling Units: 0 12%State Surcharge-Building 09/29/2015 $38.05
Stories: 7 Height: 0 ft Plan Review 09/29/2015 $206.09
Bedrooms: 0 Bathrooms: 0 Plan Review-Fire Life Safety 09/29/2015 $126.82
Value: $16,000 Info Process/Archiving-Lg$2.00(over 09/29/2015 $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, Slate 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: ,/ —_ Perm ittee Signature: / �
Cal r 7 639.4175 by 7:00 a.m.for the next available inspection date. IV
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.
City of Tigard
COMMUNTY DEVELOPMENT DEPARTMENT
TICARD Building Permit Review — Commercial - No Land Use
e
Building Permit #: gelpn i 5 00A-29
Site Address: I 0,0 pi) S w G rut n bk,-e1/2 Suite/Bldg#: 5O0
Project Name: '�,-; cl e y ,,,,t\I Res 0U r ce—S
(Name of commercial business meupving the space. If vacant,enter Spec Space.)
Planning Review
Proposal: INAA -1.;0., 0C igt, }r\+eA,;- WoA(s -h c re_c -C -4-we in cffice,
k:“..1h'in C.n €IA s \i.-t5 --cn6^t.s sp Act ,
Existing Business Activity: C,.-P{-`,a
Proposed Business Activity: 0---cl cg-
INVerify site address/suite # exists and active in permit system.
: River Terrace Neighborhood: ❑ Yes p No
Zoning: M\kE.. '
21 Permitted Use: ED Yes ❑ No ❑ Spec Space
)® Confirm no land use required.
gBusiness License:
Exists: p Yes ❑ No,applicant notified to obtain business license
Notes:
Approved by Planning: _ a - L'p,,"v\.2-•--- Date: 61 a 1 - IS
Revisions (after Building Submittal only) Reviewer Date
Revision I: ❑ Approved ❑ Not Approved
Revision 2: ❑ Approved ❑ Not Approved
Revision 3: ❑ Approved ❑ Not Approved
Building Permit Submittal
Original Submittal Date: Cr , - /r
Site Plans: #
Building Plans: #
Building Permit#: �CC Inter building permit #above.
Workflow Routing: ,C`�'1'lannmg ❑ Permit Coordinator uvlcling
\Vorkflow Sign-off: L`Tbtgn-off for Planning (include notes from planning review)
Route Application Documents: wilding: original permit application, site plans, building plans, engineer and
beam calculations and trust details, if applicable, etc.
Notes: Cr
By Permit Technician: sta r- r— Date: er�j1f/tS
/—
1:\Building\Forms\BldgPennit Rvw_COM_NoLandUse_070915.dnex
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 Dcv Tax: ❑ Yes ❑ N/A
Tigard'Frans SDC: ❑ Yes ❑ N/A
Parks SDC: ❑ Yes ❑ N/A
❑ OK to Issue Permit
Approved by Permit Coordinator: Date:
CA Building A Forms VBldgPermitRvw_COM_NoL ndUse_070915.docs
II , . Building Division
Over-The-Counter (OTC) Building Permit
T I G A R D Check List
Project Description: l `
lik: MMif a`ut y,27.'4 "t ;IN rAPPIICATION SPECIFIC;INFORMATION
GENERAL INFORMATION
Class of Work*: 4L1 Occupancy Group: Type of Construction: 2r j
Type of Use**: ( (TM, Occupancy Load: I ( Oregon Specialty Code: .204._
SPECIFICS
Number of Stories: -7 Building Height: Mixed Use:
Number of llw 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: 5: N: S: Occupancy Separation:
E: \V: E: W: Access.Parking Spaces:
REQUIRED ITEMS
Fire Sprinklers: Tr:
r-J 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 Coo. 0 '77.:7:r ' "—TEE-STATE! �.. . 1.` `A°'�_;
$ a 40 DC Prov Rvw,COM TI—Ping
$ 7 ., Permit Fee—Add,Alt,Demo
DC Provision Review Fee for CO\I TI(effective 7/1/2015) $ 7� a' 1270 State Surcharge
Project Valuation $ dr.. d' Plan Review,Structural
Up to$4,999 $0.00 $ lj ,-.'7..Plan Review, Fire Life Safety
$5,000 $74,999 $88.00 $ �, �.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: $ (3L.07 TOTAL FEES DUE
*TYPE OF USEf COM commercial CMS' eommerntl tnairufacmred sirtaure. -
**CLASS OF WORK'ACS xeessorya ADl?. addaion AD U, tcces4y d vellmg unit,Ala' alterantin DIM demo:NEW W new,
I.O I R,__other(use toSfencest;decks;.l Cttntngtw Ills, tgna;fawnil4;s:areanopieS).=, _ ' 1* ,: ,'-,^._t
I:\Building\Forms\OTC_BUP_0701 I S.docx
Building Permit Application
Commercial ��++ \i‘ 50 " -FOR oFFiCH,USE ONLY.. - " , -
- City of Tigard G> .0 Dal iced. 4"At? is i+ Permit No QA /do/� ,
illii
Ii\e0 r
13125 SW Hall Blvd Tigard.0 7223 q 9 `� AS Plan Re•icw
Phone 503.7182439 Fax: 503.598.19 la Dale/I3 y��'��Ij M� Other Permit:
'TIGARD Inspection Line: 503.639.4175 77 C���`Nap ® See Page2for
Internet: www board ot. ov �\pi O` ^ I,SO Sup plement:d Information
```,pi Of V
TYPE ra
OP" REQUIRED DATA: I-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/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: $
111 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:5 Lincoln-10200 SW Greenburg Road New dwelling area: square feel
City/State/ZIP: Portland,OR 97223 Garage/carport area: square feel
Suite/bldg./apt.no.:500 Project name: Bridgewell Resources 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 to occur within an existing full floor tenant on the fifth of Valuation: $$16.000.00
seven floors.Work to include new walls,doors and relites. Existing building area: 16094 square feet
New building area: 16095 square feet
® PROPERTY OWNER ❑ TENANT Number of stories: 7
Name:Shorenstein Type of construction: 1-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 I ERSON 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
Total fees due upon application:
City/State/ZIP:Portland,OR 97214
Phone:(503)224-9560 Fax: :(503)228-1285 _ Amount received:
E-mail:Irohde @mckme.ann PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
Commercial and residential prescriptive installation of
CONTRACTOR root-top mounted PholoVoltaic 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'h 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 tic.:58918 ///��� Total fee due upon application: $201.60
Authorized signature: //- I - a, 'this permit application expires if a permit is not obtained
` I�1J x-P' "t-f/"' within 180 days after it has been accepted as complete.
Print name: Lauren Ro e Date:9/29/15 * Fee methodology set by Tri-County Building Industry
Service Board.
I:ABuildingAPermits\BUP-COM PermitApp.doc 02/24/2011 440-4613T(I I/02/COM/WEB)
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
10200 SW GREENBURG RD 500, TIGARD, OR,
97223
Commercial - Building
299 Final inspection
PASS - No C of O
BUP2015-00279
Jeff Grove
Violation Summary:
Inspector Contractor