Permit (12) CITY OF TIGARD BUILDING PERMIT
COMMUNITY DEVELOPMENT Permit#: BUP2016-00218
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 07/06/2016
Parcel: 1S135AB01004
Jurisdiction: Tigard
Site address: 10220 SW GREENBURG RD 530
Project: AG Spanos Corp Subdivision: METZGER,TOWN OF Lot: 9
Project Description: TI-some demolition,new walls,doors,relites,new reception desk and cabinetry.
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 07/06/2016 $90.00
Occupancy Grp: B Occupancy Load: 14 Permit Fee-Additions,Alterations, 07/06/2016 $438.74
Demolition
Dwelling Units: 0 12%State Surcharge-Building 07/06/2016 $52.65
Stories: 6 Height: 0 ft Plan Review 07/06/2016 $285.18
Bedrooms: 0 Bathrooms: 0 Plan Review-Fire Life Safety 07/06/2016 $175.50
Value: $23,393 Info Process/Archiving-Lg$2.00(over 07/06/2016 $6.00
11x17)
Address Fee 07/06/2016 $50.00
Floor Areas:
Total Area: 1362
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $1,098.07
Required: Required Items and Reports(Conditions)
Fire Sprinkler: 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
952-0 'W610 throu.•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.
Is ued By: / , r Permittee Signature: /j l
n
Call 503.639.4175 by 7:00 a.m.for the next available inspection date. (y// /44/1/1 V
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 r t :;k FOR OFFICE LSE ONLY
Cityof Tigard Received 1 Permit No.: hap,,
/
® 13125 SW Hall Blvd.,Tigard,OR 97223 Date/B : 7 �� hap,, /lll��s�l •
a 7 ;,,. Plan R2v�ew I VA
Phone: 503.718.2439 Fax: 503.59 10)60 60 k) ;.t7 1) Date/B :� � Other Permit:
T I GA RD Inspection Line: 503.639.4175 Date Rea. t —
77luris: H See Page 2 for
Internet: www.tigard-or.gov n`:. Notified/Method: Supplemental Information
.. . .> .. a ...
DATA:':1-AND 2-FAMILY DWELL G
❑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
''''A''.:'—'::' DY OF CO 1STRUCI*IOAI work indicated on thispi
p cation.
a
❑ 1-and 2-family dwelling ®Commercial/industrial Valuation: $
1=1Accessory building ❑Multi-family Number of bedrooms:
❑Master builder CIOther: Number of bathrooms:
,JOB SITE..INI+.ORMATION ANti LOCATION Total number of floors:
Job site address:2 Lincoln-10220 SW Greenburg Road New dwelling area: square feet
City/State/ZIP:Portland,OR 97223 Garage/carport area: square feet
Suite/bldg./apt.no.:530 Project name:AG Spanos Corp TI 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 CHE KLIST°.
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.
.
Interior tenant improvements for new tenant on 5th of 6 floors Valuation: $$23,393.00
Work includes demolision,new walls,doors,relites,new reception desk and Existing building area: 1362 square feet
cabinetry. New building area: 1362 square feet
i'"4 PROPERTY O EII ❑;TEN 1T ! . .,. . . Number of stories: 6
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
►®� APPLL€AN ❑ CONT.ACT PERSON:." BUILDING PERMIT raS*.
Business name:Mackenzie (Please'relertQ ¢eschaduIel
Structural plan review fee(or deposit):
Contact name:Abby Cridland .
FLS plan review fee(if applicable):
Address:1515 SE Water Ave Suite 100
Total fees due upon application:
City/State/ZIP:Portland,OR 97214
Amount received:
Phone:(503)224-9560 Fax: :(503)228-1285
E-mail:acridland@mcknze.com 'PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
...
Commercial and residential prescriptive installation of
CONTRACTOR p
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 105th 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 lie.:58918
Total fee due upon application: $201.60
Authorized signature: Se
, / This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name:Abby Cridland Date:07/6/16 * Fee methodology set by Tri-County Building Industry
Service Board.
I:\Building\Permits\BUP-COM PermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
IICity of Tigard
a COMMUNITY DEVELOPMENT DEPARTMENT
T I G A R D Building Permit Review — Commercial - No Land Use
Building Permit #: —P P av(ia —OOa-/g
Site Address: 1 o a.�-o SiK �„u.,,.b.,r5 1?--.4 Suite/Bldg#: S30
Project Name: A � Spa.Y, o
(Name of commercial business occupying the space. If vacant,enter Spec Space.)
Planning Review ✓'
Proposal: ""1' 1 - ad.d.- ; .1.0 e` W a (l 4 4-0 e.A.L.4-14-- a-r-r-ic_e S •
Existing Business Activity: 04 it-
Proposed
.Proposed Business Activity: 04; c ,
Verify site address/suite#exists and active in permit system.
--River Terrace Neighborhood: ❑ Yes 11-No
,N'Zoning: (vk (J (5, -
kr Permitted Use: e Yes ❑ No ❑ Spec Space
—onfirm no land use required.
Business License:
Exists: ❑ Yes A''No,applicant notified to obtain business license
Notes:
Approved by Planning: C/A44—.L-. a . Ca-i. v...- Date: -7 ' (o - (C'
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: 7/4,1/ Co
Site Plans: # ;
Building Plans: # 3
Building Permit#: 0---Enter building permit#above.
Workflow Routing: 2'Planning o L Belding
Workflow Sign-off: Et-Sign-off for Planning(include notes from planning review)
Route Application Documents: L'J Building original permit application,site plans,building plans, engineer and
beam calculations and trust details,if applicable,etc.
Notes: 07-0.—
By Permit Technician: -a''' Date: "4/4
I:\Building\Forms\BldgPermitRvw_COM_NoLandUse_060116.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: - . o pp cant:
Revision Notice 2• - Date Sent to Applica .
Revision Not( 3: Date Sent to Appli•.nt:
❑ SDC Fees Entere e: Wash Co Tra I ev Tax: ❑ Yes ❑ N/A
Tigard Tra SDC: ❑ Yes ❑ N/A
Parks S I ❑ Yes ❑ N/A
❑ OK to Issue Permit
Approved by Permit Coor•mator: Date:
I:\Building\Forms\BldgPermitRvw_COM_NoIandUse_070915.docx
SICity of Tigard • BUILDING DIVISION
Over-The-Counter (OTC) Building & Fire Protection System Permit
Appointment Checklist
Permit Record#: aaP i -co a-1 c
Contact Name: 0 4 , (jd2 Phone #: .x"63-aa V-'9560
Business Name: O , (.ems Appointment Date: 7/s//4 @ A CO192,
Site Address: 1pa AO - .� c- � �. Bldg/Suite #: ,530
Project Name: ,/-}�o 6130..1.0 5 (Ia-r •
Project Description: I , .`ire c _ '• - 3, A V e.e,1444,
Existing Use: `7dr'" New Use: ii.,
MMD Required: ❑ Yes 0 No Related Record#:
GENERAL INFORMATION
Class of Work: ALI Occupancy Group: lier Type of Construction: 2-6
Type of Use: A, 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:
k Total Square Footage: t.ot," 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: 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: $ 2..-3 t3 3,
$ G='im j ei 'P C Prov Rvw,COM TI-Ping
-� $ s .-' Permit Fee-Add,Alt,Demo
PSC Provision Rei w Fee for COM TI(effec. e 7 015) $ fj , ,,,ata. 12%State Surcharge
Z7 Project Valua t.n $ .' Plan Review,Structural
Up to$4,999 $0.00 Do $ (6.. ,j ,. Plan Review,Fire Life Safety
$5,000-$74,99 . $.88,00---.9O, $ r#41111/ 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
aa
$ School Construction Excise Tax
Hourly Rate Fee
$ Hourly Rate State Surcharge
sc.Admin Fee /
$ 5b- ° Other: AbDD 66 `Dtt AJtW $ts r rt-
Building Staff $ •.. er:
Date/Time: $ j07E= 'OTAL FEES DUE
I:\Building\Forms\OTC_BUP_FPS_020916.docx /U K.O
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
10220 SW GREENBURG RD 530, TIGARD, OR,
97223
Commercial - Building
299 Final inspection
PASS - C of O
BUP2016-00218
Chip Barnett
Violation Summary:
Inspector Contractor