Permit (115) CITY OF TIGARD BUILDING PERMIT
COMMUNITY DEVELOPMENT Permit#: BUP2016-00062
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 02/24/2016
Parcel: 1 S 135ABO3400
Jurisdiction: Tigard
Site address: 10260 SW GREENBURG RD 500
Project: Experis Subdivision: METZGER,TOWN OF Lot: 9
Project Description: TI for existing tenant relocating within Lincoln Center. Work includes demolition,wall construction,and new doors.
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: IB DC Provision Review,COM TI-Ping 02/24/2016 $351.00
Occupancy Grp: B Occupancy Load: 56 Permit Fee-Additions,Alterations, 02/24/2016 $2,313.95
Demolition
Dwelling Units: 0 12%State Surcharge-Building 02/24/2016 $277.67
Stories: 12 Height: 0 ft Plan Review 02/24/2016 $1,504.07
Bedrooms: 0 Bathrooms: 0 Info Process/Archiving-Lg$2.00(over 02/24/2016 $12.00
Value: $300,000 11x17)
Metro Const.Excise Tax 02/24/2016 $360.00
Plan Review-Fire Life Safety 02/24/2016 $925.58
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $5,744.27
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 c es or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: ermittee Signature:
Call 517n3g.41175 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
�l Received ,/
City of Tigard �G� Date/B : /(/ Permit No.:
• 13125 SW Hall Blvd.,Tigard,OR 97223 p 4��16 Plan Re'
Phone: 503.718.2439 Fax: 503.598.1960 G�� p nn� Da B : Other Permit:
Inspection Line: 503.639.4175 ` ��f�r Read /" Juris: ® See Page 2 for
Internet: www.tigazd-Otgov \� otified/Method: �Y Supplementallnformation
V�n
TYPE OF WO 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/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 ❑Multi-family Number of bedrooms:
❑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/bldg./apt.no.:500 Project name:Experis 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.
Indicate the value(rounded to the nearest dollar)of all
Tax map/parcel no.: 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 5'h of Valuation: $$300,000.00
12 floors.Work to include demolition,new walls,doors,relites and new Existing building area: 5,530 square feet
cabinetry. New building area: 5,530 square feet
❑ PROPERTY OWNER ® TENANT Number of stories: 12
Name:Experis-Eric Babula Type of construction: I-B
Address: 100 Manpower Place Occupancy groups:
City/State/ZIP:Milwaukee,WI 53212 Existing: B
Phone:(414)906 7116 Fax:( ) New: B
® APPLICANT ❑ CONTACT PERSON BUILDING PERMIT FEES*
Business name:Mackenzie Please refer tofee 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:lrohde@mcknze.com PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
Commercial and residential prescriptive installation of
CONTRACTOR roof-top mounted Photovoltaic 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 lic.:58918 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:Lauren Ro de Date:02/23/16 * Fee methodology set by Tri-County Building Industry
Service Board.
I:\Building\Petmits\BUP-COM PermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
City of Tigard
COMMUNITY DEVELOPMENT DEPARTMENT
■
Building Permit Review — Commercial - No Land Use
Building Permit #:
Site Address: I b2(a d S w 6rcen b vd- Suite/Bldg#:
Project Name: £X Per, S
(Name of commercial business occupying the space. If vacant,enter Spec Space.)
Planning Review
Proposal: T-Z GO r G{O o i- eA-n o W 6�,kk S
A,c c ri . ( ,In (j tj L,,t_ Tt o c n+
Existing Business Activity: W m 1,Y�rc 6,C o H-i c
Proposed Business Activity: C,,J YY) Jnn__Q�1A_XL b F tj C,�_
Verify site address/suite#exists and active in permit system.
River Terrace Neighborhood: ❑ Yes No
Zoning: M V E — I
Permitted Use: /Z Yes ❑ No ❑ Spec Space
Confirm no land use required.
Business License:
Exists: ❑ Yes ❑ No,applicant notified to obtain business license
Notes:
Approved by Planning: ! 11�0 - Date:
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:
Site Plans: #
Building Plans: #
Building Permit#: d,�,-�En'ter building
,�permit t##above. � _�
Workflow Routing: �L`l anning L�rnvt Coordinator 1—Building
Workflow Sign-off: E 5 ff for Planning(include notes from planning review)
Route Application Documents: [ding: original permit application,site plans,building plans,engineer and
beam calculations and trust details,if applicable,etc.
Notes: /
By Permit Technician: Date: 02-, ,
1:\Building\Fonns\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:
1:\Building\Forms\B1dgPermitRvw_COM_NoLandUse_070915.docx
City of Tigard • BUILDING DIVISION
Over-The-Counter (OTC) Building & Fire Protection System Permit
Appointment Checklist
Permit Record#: & //
Contact Name: Phone #: 503
Business Name: Appointment Date:
Site Address: C.) Bldg/Suite #:
Project Name: P� 4!�Xp"_�)e_� -
Project Description: —yj ` , � Lz' .Q
Existing Use: New Use:
MMD Required: DI No Related Record#:
GENERAL INFORMATION /
Class of Work: ( Occupancy Group: Type of Construction:
Type of Use: ['t^vtk Occupancy Load: Oregon Specialty Code:
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: Ca ort: Mezzanine:
SETBACKS
Side and Setback–Left Side and Setback–Front
Side and Setback–Right Side and 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: 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: $ �3�, (OMC Prov Rvw,COM TI–Ping
$_ ermit Fee–Add,Alt,Demo
DC Provision Review Fee for COM TI(effective 7/1/2015) 12%State Surcharge
Project Valuation r/ '50 Plan Review,Structural
Up to$4,999 $0.00 ✓ $
$ gz 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
02/14, �� ��SOU $ School Construction Excise Tax
U $ Hourly Rate Fee
S7 l , $ Hourly Rate State Surcharge
C.Ke�w,Q.�- e�l.e,c�-•U" $ Misc.Admin Fee
$ Other:
Building Staff: $ ther:
Date/Time: $ OTAL FEES DUE
I:\Building\Forms\OTC_BUP_FPS_020916.docx
FOR OFFICE USE ONLY-SITE ADDRESS: /0.2 O �eW26-� w
5
1 This form is recognized by most building departments in the Tri-County area for transmitting information.
Please complete this form when submitting information for plan review responses and revisions.
This form and the information it provides helps the review process and response to your project.
City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT
111 _ Transmittal Letter
T 1 G A R.D 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.ticard-or.gov
TO: t::),t vl 1.e Loch) DATE I .SEC 3VED
DEPT: BUILDING DIVISION ) ffllll�eAPR 7 2016 LJ
J
FROM: t_oo., t/ - CITY OF TIGARD
BUILDING DIVISION
COMPANY: t'V1c71Gtuit4?.te. /1-D%(112/7 '/Gnie,, Goh,,
PHONE: �i 0 3 24 °1S to a ByB/,
RE: 102.10 0 So) C ve_ rt / $Vl 2_0110-c'bb co 2
+'�1
(Site Ads e s) (Permit Number)
. Pivi - Svi t•i-e S Ob.
(Pro;ec name or su 'vision name and lot nu ber)
ATTACHED , ' E THE FOLLO ING ITE S:
Copies: D• :cription: C• •ies: Description:
• I ditional set(s) of plans. Revisions: Le'!i' 7,1.40 til 1 = 11 141 I b
oss section(s) and details. Wall bracing and/or lateral analysis.
Floor/roof framing. Basement and retaining walls.
Beam calculations. Engineer's calculations.
Other (explain):
REMARKS: Vw►vtov ve Ji Sn.ov1S -iv V1-o4-eS ov1 SIALe T I .1) AZ . ,I AS. l
idc to.1 l tt e5 .1 - ve4 " ve Vi c►o rt cto k.t.AS
FOR O FIC USE ONLY
Routed to Permit Technicia> Date: 4- 'Zr ((o Initials•
Fees Due: ❑ Yes No Fee Description: Amount ue:
$
$
$
$
Special
Instructions:
Reprint Permit (per PE): ❑ Yes ❑ No ❑ Done
Applicant Notified: kdrAgw I Date: ./oz//(o Initials'
C\Building\Forms\TransmittalLetter-Revisions.doc 05/25/2012
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
10260 SW GREENBURG RD 500, TIGARD, OR,
97223
Commercial - Building
299 Final inspection
PASS - C of O
BUP2016-00062
Jeff Grove
Violation Summary:
Inspector Contractor