Permit (191) CITY OF TIGARD BUILDING PERMIT
.1 COMMUNITY DEVELOPMENT Permit#: BUP2016-00338
Date Issued: 12/07/2016
T I c�,+,R D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 1S135AB03400
Jurisdiction: Tigard
Site address: 10260 SW GREENBURG RD 530
Project: SVN Imbrie Realty Subdivision: METZGER,TOWN OF Lot: 9
Project Description: New walls,doors,relites&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
FEES
Specifics:
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: Ig DC Provision Review,COM TI-Ping 12/07/2016 $90.00
Occupancy Grp: B Occupancy Load: 26 Permit Fee-Additions,Alterations, 12/07/2016 $453.95
Demolition
Dwelling Units: 0 12%State Surcharge-Building 12/07/2016 $54.47
Stories: 12 Height: 0 ft Plan Review 12/07/2016 $295.07
Bedrooms: 0 Bathrooms: 0 Plan Review-Fire Life Safety 12/07/2016 $181.58
Value: $24,358 Info Process/Archiving-Lg$2.00(over 12/07/2016 $6.00
11x17)
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $1,081.07
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. A A • : Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
95 .01-0010 through e R 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.
sued By: k Permittee Signature: /cChth
G'Lit/CM*/
Call 503.639.4175 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 App i i
Commercial r FOR OFFICE USE ONLY
City of Tigard {� T ReDaceived
(2- 7 �l0 Permit No.:44 p�f6 6o 33 b
: - " 13125 SW Hall Blvd.,Tigardi.i9IT9 223 2016 Plan Review, j NM
Phone: 503.718.2439 Fax: 503.598.1960 Date/B 140,16... 1 Alilb
Other Permit:
Line: 50
Inspection 3.63 p Date Rea d Juris: El See Page 2 for
TIGARD p � � A`�
Internet: www.tigard-or.gov Notified/Method: Supplemental Information
BUILDING DIY SJ
.' TYPE OF WORK 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 0 Other: equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
Valuation: $
0 1-and 2-family dwelling ®Commercial/industrial
Number of bedrooms:
0 Accessory building ❑Multi-family
Number of bathrooms:
❑Master builder ❑
Other:
JOB Sl'1'E 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.:530 Project name:SVN Imbrie Realty 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.
Work to include demolition,new walls,doors and relites,and new cabinetry.
Valuation: $24,358.00
Existing building area: 2,581 square feet
New building area: 2,581 square feet
►®t PROPERTY OWNER 0 TENANT Number of stories: 12
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
►e APPLICANT 0 CONTACT PERSON BUILDING PERMIT FEES*
Meuse refer tv.fee schedule)
Business name:Mackenzie Structural plan review fee(or deposit):
Contact name:Chloe Kirchhofer 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
PIIOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
E-mail:ckirchhofer@mcknze.com
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.
Permit fee(includes plan review $180.00
City/State/ZIP:Tualatin,OR 97062 and administrative fees):
Phone:(503)692-9002 Fax:(503)692-9008 State surcharge(12%of permit fee): $21.60
CCB lic.:58918 �/QTotal fee due upon application: $201.60
Authorized signature: (f ta,f ,,,,j4„,„ This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name:Chloe Kirchhofer Date:12-07-2016 * 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)
City of Tigard • BUILDING DIVISION
UPI Over-The-Counter (OTC) Building & Fire Protection System Permit
i Appointment Checklist
Permit Record#: cam.P do i to-06 5' K'
Contact Name: 1,-N?,,` o,S Phone#: $503-a9..4-95-100
Business Name: e ,�� Appt. Date/Time: /A/7 61:00
Site Address: lc ow r� , A u, Bldg/Suite#: 530
Project Name: N van,.b ti
Project Description: .e i c) , -a4 o .� 2¢J � "�-fo
46
Existing Use: 'j j New Use: .
MMD Required: ❑ Yes y No Related Record#:
GENERAL INFORMATION ,
Class of Work:
tvAA Occupancy Group: Type of Construction:Type of Use: Occupancy Load: 2�(..—, Oregon Specialty Code: lif)(4
SPECIFICS
Number of Stories: e'. ." 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: .251Carport: 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: 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: $ "2-4-13 .627,
$ ,xino DC Prov Rvw,COM TI—Ping
1,45 .9.5"3 $ .."2"-- ,Permit Fee—Add,Alt,Demo
DC Provision Review Fee for COM TI(effective 7/1/2016) 17 $ " 12%State Surcharge
`'
Project Valuation ;e7 $ 4i Review,Structural
Up to$4,999 $0.00 /�1 5-T $ ' an 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: $ Other:
Date/Time: $ j TOTAL FEES DUE
I:\Building\Forms\OTC_BUP_FPS 070116.docx /1 o$!' b--7
s
City of Tigard
III 'I COMMUNITY DEVELOPMENT DEPARTMENT
T I GA R D Building Permit Review — Commercial - No Land Use
Building Permit #: .--Pjutt()c90 (9-Ov 33?
Site Address: /Oa,0 S'&) c j-,eeri,bu t£ Suite/Bldg#: s se)
Project Name: ,c1/MJ /m1 n'ie ea
(Name of commercial business occupying the space. vacant,enter Spec Space.)
Planning Review
Proposal: .Tl AA' °zP lI1--
Existing Business Activity: I'r S7 (Q ,€
Proposed Business Activity: 'e`,
/Verify site address/suite#exists and activeinpermit s�yst .
%''ver Terrace Ne* hborhood: ❑ Yes 1►d No
41 Z ring: M LiC�—�
4G ermitted Use: Iz Yes ❑ No ❑ Spec Space
ld C firm no land use required.
Business License•
Exists: Yes ❑ No,applicant notified to obtain business license
Notes:
Approved by Planning: 4----`� —;g z4- Date: / VV/,)(
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 /o
Site Plans: #
Building Plans: # —T
Building Permit#: [enter building permit#above.
Workflow Routing: 0'Planning N24vegittioefiklto —TBuilding
Workflow Sign-off: Er Sign-off for Planning(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: 07—e
—
By Permit Technician: C i),.� r� Date: /4/7/6
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 A. cant:
Revision Notice 2: Date Sent pplicant:
Revision Notice 3: Date S t to Applicant:
El SDC Fees Entered: 'gash Co Trans Dev Tax: El Yes ❑ N/A
Tigard Trans SDC: El Yes ❑ N/A
Parks SDC: ❑ Yes ❑ N/A
❑ OK to Issue Per '
Approved by Permit Coordinator: Date:
I:\Building\Forms\BldgPermitRvw_COM_NoLandUse_070915.docx
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
10260 SW GREENBURG RD 530, TIGARD, OR,
97223
Record Type: Record ID:
Commercial - Building BUP2016-00338
Inspection Type: Inspector:
299 Final inspection Jeff Grove
Result:
PASS - NoCofO
Comments:
Violation Summary:
Inspector Contractor