Permit (11) 1111 CITY OF TIGARD BUILDING PERMIT
COMMUNITY DEVELOPMENT
Permit#: BUP2016-00260
T[ ARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 08/30/2016
Parcel: 1 S 135AB03400
Site address: 10260 SW GREENBURG RD 600 Jurisdiction: Tigard
Project: Maccoll,Busch,Sato Subdivision: METZGER,TOWN OF
Project Description: TI for new tenant to Tigard:Demolition,new walls and doors. Lot: 9
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
Type of Use: COM Description Date
Amount
DC Provision Review,COM TI-Ping 08/30/2016 $90.00
Class of Work: ALT Type of Const: IB
Permit Fee-Additions,Alterations, 08/30/2016 $902.64
Occupancy Grp: B Occupancy Load: 45
Dwelling Units: 0 Demolition
Stories: 0 12%State Surcharge-Building 08/30/2016 $108.32
Height: 0 ft Plan Review
Bedrooms: 0 Bathrooms: 0 08/30/2016 $586.72
Plan Review-Fire Life Safety 08/30/2016 $361.06
Value: $73,000 Info Process/Archiving-Lg$2.00(over 08/30/2016
11x17) $10.00
Misc Administration Fee 08/30/2016 $50.00
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $2,108.74
Required: Required Items and Reports(Conditions)
Fire Sprinkler: Yes Parapet:
Fire Alarm: Yes 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 ent-r Those rules are set forth in OAR
952-001-0010 through OAR 952-001-0090. You may obtain a co• of the rules or direct questions to OUNC by calling 503. .4.197 or 1.:00.332.2344
Issued By: f' -•rmittee Signature: A–rffiigi
/—
all 503.639.4175 by 7:00 a.m.for the next available insp• io 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.
City of Tigard • BUILDING DIVISION
'III Over-The-Counter (OTC) Building & Fire Protection System Permit
, < ,' Appointment Checklist
Permit Record#: 140 f(,—dy
Contact Name: LAA„.„ Phone #: 503- LI. 9s4.0
Business Name:
-�
L.,. Appt. Date/Time: s./.30 (c coo
Site Address: (pug)(pug) citz b�� Bldg/Suite#: C
Project Name: .•e�..�1Z 1 PDaut. ,/
Project Description:
Existing Use: r New Use:
MMD Required: 0 y No
Related Record#: --C�/'v
GENERAL INFORMATION
Class of Work: A
Type of Use: a Type of Construction: I 45)COM Occupancy Load: 1 j5 I Oregon Specialty Code:
SPECIFICS
Number of Stories: I Building Height: Mixed Use:
Number of Dw Units: Number of Bathrooms: I I Number of Bedrooms: I
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—LeftSideyard Setback—Front
Sideyard Setback—Right I Sideyard Setback—Back
CONSTRUCTION I I
Exterior Walls: Openings Protected: Firewall Separation:
N:
S: N: S: Occupancy Separation:
W: E: W: Access.Parking Spaces:
REQUIRED ITEMS
Fire Sprinklers: x Fire Alarms: Smoke Detectors:
Sprinkler Type: Alarm Type: Protected Corridors:
Standpipe Required: Pull Stations Required: Parapet:
Hazard Group: p
Battery Calcs Provided:
Density: Cut Sheets Provided:
Design Area:
K Factor:
Total Project Valuation: $ 7,3 coo
$ X DC Prov Rvw,COM TI—Ping
DC Provision Review Fee for COM TI(effective 7/1/2016 $ JC Permit Fee—Add,Alt,Demo
Project Valuation ) $ X 12/o State Surcharge
$ Plan Review,Structural
Up to$4,999 $0.00 $ Plan Review,Fire Life Safety
$5,000-$74,999 $90.00 $ Info Proc/Arch,L (over 11x17$2.00)
$75,000-$149,999 $224.00g $ '
$ Info Proc/Arch,Sm(up to 11x17$0.50)
$150,000 and over $357.00 $ Metro Construction Excise Tax
-NoT-I Fy Ni-LLL 1 T !' $ School Construction Excise Tax
16 Py i'e> $ Hourly Rate Fee
$ Hourly Rate State Surcharge
$ Misc.A Fee
$ ?13'4P6 Other: u i T>± 4h) ► .SS J 4.
Building Staff: $ Other: h'A gu..Tti 4
Date/Time: 14 N E ua o4 du Te,
, ` 10r,7L/ TO FEES DUE MO, Rat
mornNa w"
I:\Building\Forms\OTC_BUP_FPS_070116.docx -rr-
Building Permit Application
Commercial
® FOR OFFICE USE ONLY
City of Tigard -.a
.;
g ED Received
]3125 SW Hall Blvd.,Tigard,OR 9722 "� C Date/B : 36 i�� Permit No.: ' / ^16E.E.
_ Phone: 503.718.2439 Fax: 503.598.1960 c�III
�Q,U Pl' R ,� (F7 �,
Inspection Line: 503.639.4175 ��� J Date/B : , Other Permit:
T I G A R D p Date Read
Internet: www.tigard-or.gov 3,3 fA Y ho IMI ® See Pent 2l Informationnr
gB'��p � ��,�tified/Method: �� � ��
r° J l 'w, Supplemental
TYPE OF W0��`T*+ #�
REQUIRED DATA:1-AND 2-FAMILY DWELLING
0 New construction 0 Demolition Permit fees*are based on the value of the work performed.
®Addition/alteration/replacementIndicate the value(rounded to the nearest dollar)of all
0 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:
0 Master builder 0 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.:600 I Project name:Maccoll,Busch,Sato
Cross street/directions to job site:Project located north of SW oak street, Covered porch area: square feet
south of SW Locust Street and east of Greenburg Road Deck area: square feet
Other structure area: square feet
Subdivision: REQUIRED DATA:COMMERCIAL-USE CHECKLIST
I 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.
Valuation: $$73,000.00
Work to include new demising wall to divide a current vacant suite,demolition
new walls,doors,relites and cabinetry Existing building area: 8,130 square feet
New building area: 4,405 square feet
® PROPERTY OWNER I 0 TENANT
Number of stories: 12
Name:Shorenstein
Address:One SW Columbia Street Suite 500 Type of construction: I-B
City/State/ZIP:Portland,OR 97258 Occupancy groups:
Phone:(503)412-4902 Existing: B
Fax:(503)412-4903
® APPLICANT New: B
❑ CONTACT PERSON; BUILDING PERMIT FEES*
Business name:Mackenzie
(Please refer to fee schedule)
Contact name:Kim Ford Structural plan review fee(or deposit):
Address:1515 SE Water Ave Suite 100 FLS plan review fee(if applicable):
City/State/ZIP:Portland,OR 97214 Total fees due upon application:
Phone:(503)224-9560 I Fax::(503)228-1285 Amount received:
E-mail:kford@mcknze.com PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
CONTRACTOR Commercial and residential prescriptive installation of
roof-top mounted Photo Voltaic Solar Panel System.
Business name:Russell Construction Submit two(2)sets of roof plan with connection details
Address:20915 SW 105th Ave and fire department access,along with the 2010 Oregon
Solar Installation Specialty Code checklist.
City/State/ZIP:Tualatin,OR 97062
Permit fee(includes plan review
Phone:(503)692-9002 Fax:(503)692-9008 and administrative fees): $180.00
CCB lit.:58918 State surcharge(12%of permit fee): $21.60
�� /+�
Authorized signa - Total fee due upon application: $201.60
tur � / ` _
--'' This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name:Kim Ford Date:08/30/2016 * Fee methodology set by Tri-County Building Industry
Service Board.
I:ABuilding\Permits\BUP-COM PermitApp.doc 02/24/2011
440-4613T(11/02/COM/WEB)
City of Tigard
!IN ■
COMMUNITY DEVELOPMENT DEPARTMENT
TICARo Building Permit Review — Commercial - No Land Use
Building Permit #: oz4/0026/6._0 ,
Site Address: /Q,..ZP ,S740 Z7,6 Suite/Bldg#: ��l
Project Name: ALO Q// igacC 4
(Name of commercial business occupying the space. If vacant,enter Spec Space.)
Planning Review
Proposal: T k> ,leA,,?
Existing Business Activity:
Proposed Business Activity: 1f
Verify site address/suite#exists and active in permit s st .
I FL �' ver Terrace Neighborhood: GI Yes yOf
No
r, honing: J
�/ rmitted Use: Yes GI Ci Spec Space
VConfiirm no land use required.
IIa Business License
Exists: L� Yes ❑ No, applicant notified to obtain business license
Notes:
Approved by Planning: Date:
- ---� g� D/
Revisions (after Building Submittal only) Reviewer
Revision 1: f=1 Approved ❑ Not Approved Date
Revision 2: ❑ Approved Cl Not Approved
Revision 3: El Approved ❑ Not Approved
Building Permit Submittal
Original Submittal Date: #�'O3j� �(�
Site Plans: y
Building Plans: # 3
Building Permit#: 42—Enter building permit#above.
Workflow Routing: [Fanning ❑ Permit Coordinator 'min
Workflow Sign-off: g
off for Planning(include notes from planning review)
Route Application Documents: Dgig. original permit application, site plans,building plans, engineer and
beam calculations and trust details,if applicable, etc.
Notes: d iZ-
By Permit Technician:
Date: /73
I:\Building\Forms\B1dgPermitRvw 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: 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 0 N/A
Tigard Trans SDC: 0 Yes 0 N/A
Parks SDC: 0 Yes 0 N/A
0 OK to Issue Permit
Approved by Permit Coordinator: Date:
I:\BuildingTorms\BldgPermitRvw_COM_NoLandUse_070915.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
10260 SW GREENBURG RD 600, TIGARD, OR,
97223
Commercial - Building
299 Final inspection
PASS - C of O
November 1, 2016 at 1:09:16
PM
BUP2016-00260
Jeff Grove
Violation Summary:
Inspector Contractor