Permit (54) CITY OF TIGARD BUILDING PERMIT
`r'! ; ' COMMUNITY DEVELOPMENT Permit#: BUP2016-00267
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 09/06/2016
Parcel: 1 S135AB03400
Jurisdiction: Tigard
Site address: 10260 SW GREENBURG RD 350
Project: Alten Sakai Subdivision: METZGER,TOWN OF Lot: 9
Project Description: TI for existing tenant:Demolition,new wall and doors for office reconfiguration.
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 09/06/2016 $90.00
Occupancy Grp: B Occupancy Load: 13 Permit Fee-Additions,Alterations, 09/06/2016 $317.06
Demolition
Dwelling Units: 0 12%State Surcharge-Building 09/06/2016 $38.05
Stories: 12 Height: 0 ft Plan Review 09/06/2016 $206.09
Bedrooms: 0 Bathrooms: 0 Plan Review-Fire Life Safety 09/06/2016 $126.82
Value: $15,610 Info Process/Archiving-Lg$2.00(over 09/06/2016 $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 $782.02
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 ork is suspended for more the 180
days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. hos rules are set forth in OAR
952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.19:%• 1.800. 32.234'
'�.'
Issued By: AAPPP
rnom-
� -e • ature: ��t �L-- �'�
o r. ,.39.4175
by 7:00 a.m.for the next available inspectio .ate
This permit card shall be kept in a conspicuous place on the job site until completi•n 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 f
City of Tigard e eBAM= Permit No.:4.f..„0,
4 II 13125 SW Hall Blvd.,Tigard,OR 97223 "' \j' ,i•-'Plan Revie .^�t� �i
: !: Phone: 503.718.2439 Fax: 503.598.1960 ) '„ Date/B : ' �', A% �� (� Other Permit:
T 1 G A R D Inspection Line: 503.639.4175 h11 Date Rea. Q // ® See Page 2 for
Internet: www.tigard-or.govrli (1).1\4\i Notified/Method: ! 6 M Supplemental Information
SY
TYPE OF WORK xp Ow�i• \Itxj\S�,v REQUIRED DATA:1-AND 2-FAMILY DWELLING
El New construction ❑Demolit ,p���av� 9 Permit fees*are based on the value of the work performed.
ia,��!! 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.
CI1-and 2-family dwelling ®Commercial/industrial Valuation: $
IIIAccessory building L]Multi-family Number of bedrooms:
El Master builder III 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.:350 Project name:Alten Sakai Expansion 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.
Work to include interior tenant improvements for an approximately 1,267 sqaure Valuation: $$15,610.00
foot expansion area for an existing tenant to now occupy a total of 8,827 square Existing building area: 7,560 square feet
feet,Work to include demolition,new walls,foors and relites New building area: 8,827 square feet
® PROPERTY OWNER ❑ TENANT Number of stories: B
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
►ZI APPLICANT ❑ CONTACT PERSON BUILDING PERMIT FEES*
Business name:Mackenzie (Please refer to fee schedule)
Structural plan review fee(or deposit):
Contact name:Kim Ford
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:kford@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 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 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:Kim Ford Date:09/06/2016 * Fee methodology set by Tri-County Building Industry
Service Board.
I:\Building\Permits\BUP-COM PermitApp.doc 02/24/2011 440-4613T(1l/02/COM/WEB)
City of Tigard
lig ■ w COMMUNITY DEVELOPMENT DEPARTMENT
T1cARo Building Permit Review — Commercial - No Land Use
Building Permit #: e ir2,1,0 -ooi 7
Site Address: 10 26 0 Sw 6 relou r GJ (Z.ct. Suite/Bldg#: 390
Project Name: A itrAel S 0,k.c
(Name of commercial business occupying the space. If vacant,enter Spec Space.)
Planning Review
Proposal: TI ex P 6r)Sc o Y)
Dale/o , n , VNI 61 113 I. d oor.s ,e b+ej
Existing Business Activity: OP m/YlJtt cu_
Proposed Business Activity: FYI(V1-€J C.i a.-l.
VVerify site address/suite#exists and active in permit system.
0. River Terrace Neighborhood: ❑ Yes 2 No
Zoning:
Nur✓ — 1-
/Z Permitted Use: ❑ Yes ❑ No ❑ Spec Space
Confirm no land use required.
Business License:
Exists: ❑ Yes ❑ No,applicant notified to obtain business license
Notes:
Approved by Planning: Al�� �..(-40-4.2. Date: 9/ (o // t
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: ❑ Approved ❑ Not Approved
Revision 3: E Approved ❑ Not Approved
Building Permit Submittal
Original Submittal Date: q '
Site Plans: #
Building Plans: #
Building Permit#: I,���,,,,"'l__�__nte—�r building permit#above.
Workflow Routing: Ly—Pianning ❑ Permit Coordinators g
Workflow Sign-off: i-off 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: —7�
ByPermit Technician: gr-rAt---zere--,-
f Date: g�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: 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\Forms\BldgPermitRvw_COM NoLandUse O'70915.docx
City of Tigard • BUILDING DIVISION
114
Over-The-Counter (OTC) Building & Fire Protection System Permit
Appointment Checklist
Permit Record#: et/,2o l 6--00.4)7
Contact Name: to/v% �,.z? Phone #: (5-03) Allif....15-6,c)
Business Name: /vIC-ken17 A9 Appt. Date/Time: q/6/10 g, /act)
Site Addrress: lO v �j'r�v rep-A. J BTdgjSuife #: .
Project Name: C///i 4J s-,‘,--,„ ; ✓
Project Description: ptfAke yc fv7c,,t,,.axk,r,
Existing Use: New Use:
MMD Required: 0 Yes Cho Related Record#:
GENERAL INFORMATION
Class of Work: Occupancy Group: Type of Construction:
Type of Use: Occupancy Load: Oregon Specialty Code: '0(4- .
SPECIFICS
Number of Stories: 1L' 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: t'207 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: ce ' 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: $ (51 CO-en
1 $ O CC2 DC Prov Rvw,COM TI–Ping
$ .J ,O�Permit Fee–Add,Alt,Demo
DC Provision Review Fee for COM TI(effective 7/1/2016) $ '17 cy. 12%State Surcharge
Project Valuation $ '0,, I',Plan Review,Structural
Up to$4,999 $0.00 $ W off' ' Review,Fire Life Safety
$5,000-$74,999 $90.00 $ ` /!'/' Info Proc/Arch,Lg(over 11x17$2.00)
$75,000-$149,999 $224.00 $ Info Proc/Arch,Sm(up to 11x17$0.50)
$150,000 and over $357.00 $ Metro Construction Excise Tax
$ School Construction Excise Tax
$ Hourly Rate Fee
$ Hourly Rate State Surcharge
$ Misc.Admin Fee
$ Other:
Building Staff: er:
Date/Time: e-------$ Z O2T' TAL FEES DUE
I:\Building\Forms\OTC_BUP_FPS 070116.docx
13125 SW Hall Blvd.
Tigard, OR 97223
City of Tigard
Location:
10260 SW GREENBURG RD 350, TIGARD, OR,
97223
Record Type:
Commercial - Building
Inspection Type:
299 Final inspection
Result:
PASS -CofO
Comments:
Violation Summary:
Inspector
Tel: 503.718.2439
Inspection Date:
Record ID:
B U P2016-00267
Inspector:
Jeff Grove
Contractor