Permit CITY OF TIGARD BUILDING PERMIT
s ' COMMUNITY DEVELOPMENT Permit#: BUP2015-00347
T I GARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 12/08/2015
Parcel: 1 S135AB01003
Jurisdiction: Tigard
Site address: 10300 SW GREENBURG RD 140
Project: Edward Jones Subdivision: METZGER,TOWN OF Lot: 9
Project Description: TI-work to include new walls and door.
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: IIB DC Provision Review,COM TI-Ping 12/08/2015 $88.00
Occupancy Grp: B Occupancy Load: 12 Permit Fee-Additions,Alterations, 12/08/2015 $332.27
Demolition
Dwelling Units: 0 12%State Surcharge-Building 12/08/2015 $39.87
Stories: 5 Height: 0 ft Plan Review 12/08/2015 $215.98
Bedrooms: 0 Bathrooms: 0 Plan Review-Fire Life Safety 12/08/2015 $132.91
Value: $16,895 Info Process/Archiving-Lg$2.00(over 12/08/2015 $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 $813.03
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. • Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
95 1-0010 through R 1-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
I sued By: Permittee Signature: PIA-kJ
t
Call 503.639.4175 by 7:00 a.m.for the next available inspection
This permit card shall be kept in a conspicuous place on the job site until corn• • ion of the project.
Approved plans are required on the job site at the time of each inspection.
Building Permit Application
Commercial RECEIV�1� FOR OFFICE USE ONLY
City of Tigard �" ReceDateived/ I AgammePermit No.: 0! y
114 • 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review APb
_ Phone: 503.718.2439 Fax: 503• 960 8 2 015 Date/B : .0,10.A P rAl Other Permit:
I I c.A R v Inspection Line: 503.639.4175 uU tom- Date Ready/By: lurks: ® See Page 2 for
Internet: www.tigard-or.gov Notified/Method: Supplemental Information
CITY Ot N( CiGAK1*
TIRCED O1VIROIN REQUIRED DATA:1-AND 2-FAMILY DWELLING
❑New construction 0 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.
❑ 1-and 2-family dwelling Valuation: $
®Commercial/industrial
0 Accessory building IDMulti-familyNumber of bedrooms:
❑Master builder 0 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.:140 Project name:Edward Jones 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 1“of Valuation: $$16,895.00
5 floors.Work to include new walls and door. Existing building area: 1,172 square feet
New building area: 1,172 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 0 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: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)s- of roof plan with connec.• a etails
and fire department • cess,along wi • - 2010 Oregon
Address:20915 SW 105th Ave Solar Installation Spec:. , Co, ecklist.
City/State/ZIP:Tualatin,OR 97062 Permit fee(includ n review $180.00
and as•t nistrativ- --s):
Phone:(503)692-9002 Fax:(503)692-9008 State surchar:- (12%of permit fee): $21.60
CCB lic.:58918 Total fee due upon application: $201.60
Authorized signatur • Z/15,tiv/vn This permit application expires if a permit is not obtained
IVI�y within 180 days after it has been accepted as complete.
Print name:Lauren ohde Date:12/7/15 * Fee methodology set by Tri-County Building Industry
Service Board.
I:\BuildingTetmits\BUP-COM PermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
City of Tigard
r COMMUNITY DEVELOPMENT DEPARTMENT
■
T I c u n Building Permit Review — Commercial - No Land Use
Building Permit #: -------j(a e a-D/ s---,0347
Site Address: tD30C) svJ Grepnbur) Rd. Suite/Bldg#: I y0
Project Name: Gdvdar8 Jones
(Name of commercial business occupying the space. If vacant,enter Spec Space.)
Planning Review /r
Proposal: r1 to r ne ) 04-,Ge, u e .-- new VJO & nma cloo(
Existing Business Activity: vcx o.n4 (Ai c e)
Proposed Business Activity: off ce}
VVerify site address/suite# exists and active in permit system.
' River Terrace Neighborhood: ❑ Yes 14 No
7 oning: MUE4.
Permitted Use: Yes E No ❑ Spec Space
nfirm no land use required.
13
SCJ Business License:
Exists: ❑ Yes INo,applicant notified to obtain business license
Notes: t1O expangi •Yl or e�avn0� L �
elf
__ ''II���v 1 ,
Approved by Planning: LI 1 Yl'1 A alp_ Ja Date: 1 2_/3 11 S
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: ///t///C
Site Plans: #
Building Plans: # 3
Building Permit#: Enter building permit abo e.
Workflow Routing. Planning ❑ Pe oordinator B"tuilding
Workflow Sign-off: Er-Sign-off for Plannin (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: L) P
By Permit Technician A ;I Date: / /p' / S--
I:\Building\Fonms\BldgPermitRvw_COM_NoLandUse_0709I 5.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 • • cant:
Revision Notice 2: Date Sent . Applicant:
Revision Notice 3: Date • t to Applicant:
❑ SDC Fees Entered: ash Co Trans Dev Tax: ■ Yes 0 N/A
Tigard Trans SDC: ❑ .. 0 N/A
Parks SDC: 0 Yes 0 N/A
❑ OK to Issue Permit
Approved by Permit Coordinator: Date:
1:\Building\Forms\B1dgPermitRvw_COM_NoLandUse_070915.docx
II • ' Building Division
Over-The-Counter (OTC) Building Permit
Ti c n n Check List
Project Description:
APPLICATION SPECIFIC INFORMATION
GENERAL INFORMATION
Class of Work*: (c Occupancy Group: Type of Construction:
Type of Use**: k.0-1,1,LOccupancy Load: 1 Oregon Specialty Code: f
SPECIFICS
Number of Stories: S 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 � y
Fire Sprinklers: 1 ') 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: $ �j�.�`D— FEES DUE
$ ,�� DC Prov Rvw,COM TI–Ping
$ , 2-27 Permit Fee–Add,Alt,Demo
DC Provision Review Fee for COM TI (effective 7/1/2015) $ g 12%State Surcharge
Project Valuation $ '2 1 , Plan Review,Structural
Up to$4,999 $0.00 $ �'��,CI( Plan Review,Fire Life Safety
$5,000-$74,999 $88.00 $ Axe, 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: $ ,03 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_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 140, TIGARD, OR,
97223
Commercial - Building
299 Final inspection
PASS - C of O
BUP2015-00347
Chip Barnett
Violation Summary:
Inspector Contractor