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Permit
CITY OF TIGARD BUILDING PERMIT y I' _ COMMUNITY DEVELOPMENT Permit#: BUP2015 00293 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 10/15/2015 Parcel: 1S135AB01003 Jurisdiction: TIGARD Site address: 10300 SW GREENBURG RD 400 Project: ID Experts Subdivision: METZGER,TOWN OF Lot: 9 Project Description: TI for new tenant: New walls,doors,and demolition. 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: Ig DC Provision Review,COM TI-Ping 10/15/2015 $88.00 Occupancy Grp: B Occupancy Load: 28 Permit Fee-Additions,Alterations, 10/15/2015 $241.01 Demolition Dwelling Units: 0 12%State Surcharge-Building 10/15/2015 $28.92 Stories: 5 Height: 0 ft Plan Review 10/15/2015 $156.66 Bedrooms: 0 Bathrooms: 0 Plan Review-Fire Life Safety 10/15/2015 $96.40 Value: $10,018 Info Process/Archiving-Lg$2.00(over 10/15/2015 $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 $614.99 Required: Required Items and Reports(Conditions) Fire Sprinkler: No 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 obt-'n-+-cap .f the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. Issued By: 4/* � Permittee Signature: I_ X�T ,m .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 ONLY Received City of Tigard �1� Date/B : ' y /5- Iy. Permit No.: `� ■ — Er 13125 SW Hall Blvd..Tigard.OR 9',P)_%.` c Plan Review [� Phone: 503.718.2439 Fax: 503.59:II.. {G Date/B Other Permit: TIGARD Inspection Line: 503.639.4175 ((�`j 1 5 201J Date Ready/By: 171 See Page 2 for Internet: www.tigard-or.gov Olr 111 Notified/Method: �►J Supplemental Information TYPE OF v G V fAID014 i �� REQUIRED DATA:1-AND 2-FAMILY DWELLING ❑ New construction 4emoii on 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 Valuation: $ ®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:1 Lincoln-10300 SW Greenburg Road New dwelling area: square feet City/State/ZIP:Portland,OR 97223 Garage/carport area: square feet Suite/bldg./apt.no.:400 Project name: ID Experts 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 include interior tenant improvements for a tenant on the 4th of Valuation: $$10,018.00 5 floors.Work to include demolition,new walls,door and cabinetry modification Existing building area: 2773 square feet New building area: 2773 square feet ® PROPERTY OWNER ❑ TENANT Number of stories: 5 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 (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:lrohde @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 105th Ave Solar Installation Specialty Code checklist. Permit fee(includes plan review City/State/ZIP:Tualatin,OR 97062 $180.00 and administrative fees): Phone:(503)692-9002 Fax:(503)692-9008 State surcharge(12%of permit fee): $21.60 CCB lic.:58918 hit Total fee due upon application: $201.60 Authorized signatur� �� 7A4,-, This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name:Lauren Rohde Date:10/15/15 * Fee methodology set by Tri-County Building Industry Service Board. 1:\Building\Permits\BUP-COM PermitApp.doc 02/24/2011 440-4613T(I I/02/COM/WEB) City of Tigard COMMUNITY DEVELOPMENT DEPARTMENT 1. Building Permit Review — Commercial - No Land Use oTIGARD wi:-_,eiwticki Building Permit #: eum, v0„9. Site Address: /27d 6reg4 6L,, Suite/Bldg#: 4/-6/9 Project Name: 6 . (Name of commercial business occupying the space. 1f vacant,enter Spec Space.) Planning Review Proposal: C ,,- 7-4__ Existing Business Activity: GEC Proposed Business Activity: 602� verify site address/suite# exists and active in permit system. F.• 'ver Terrace Nei j�hborhh od:. ❑ Yes Io P4 Zoning: /�i��/i / c ❑ Permitted Use: Yes ❑ No ❑ Spec Space ` iConfirm no land use required. ❑Business License: Exists: ❑ Yes ❑ No, applicant notified to obtain business license Notes: Approved by Planning: Date: Revisions (after Building S e ittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved Building Permit Submittal Original Submittal Date: di/ /S Site Plans: # AM Building Plans: # ? Building Permit#: r building permit#above. Workflow Routing: 'L�'1'la,,�, ��tining ❑ Permit Coordinator ©ding Workflow Sign-off: Sign-off for Planning(include notes from planning review) Route Application Documents: uilding: original permit application, site plans, building plans, engineer and beam calculations and trust details,if applicable, etc. Notes: x)77 By Permit Technician: , :—� Date: A/5-7/y I:ABuilding\Forms\BldgPcrmitRvw_COM_NoLandUsc_0709I5.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: I:\Building\Fonns\BldgPennitRvw_COM_NoLandUse_070915.docx Building Division Over-The-Counter (OTC) Building Permit T=IGARD Check List Project Description: 4. • APPLICATION SPECIFIC INFORMATION GENERAL INFORMATION Class of Work*: �� Occupancy Group: V Type of Construction: i. Type of Use**: e—erA/‘ Occupancy Load: Z 8 Oregon Specialty Code: Z O 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: N 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: $ FEES DUE $ DC Prov Rvw,COM TI—Ping $ 02/1.0/ Permit Fee—Add,Alt,Demo DC Provision Review Fee for COM TI(effective 7/1/2015) $ g,q 2. 12%State Surcharge Project Valuation _$ ` ,&CP Plan Review,Structural Up to$4,999 $0.00 $ 14,-40 Plan Review,Fire Life Safety $5,000-$74,999 $88.00 $ `/_U) 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: $ 6/7.7/ 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_B UP_070115.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 10300 SW GREENBURG RD 400, TIGARD, OR, 97223 Commercial - Building 299 Final inspection PASS - C of O BUP2015-00293 Jeff Grove Violation Summary: Inspector Contractor