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Permit (79) CITY OF TIGARD BUILDING PERMIT COMMUNITY DEVELOPMENT Permit#: BUP2017-00127 -111 Date Issued: 05/18/2017 TiGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 1 S 135AB01003 Jurisdiction: Tigard Site address: 10300 SW GREENBURG RD 271 Project: Portland Autism Center Subdivision: METZGER,TOWN OF Lot: 9 Project Description: TI-Minor demolition,new walls and casework. 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 05/18/2017 $90.00 Occupancy Grp: B Occupancy Load: 31 Permit Fee-Additions,Alterations, 05/18/2017 $542.11 Demolition Dwelling Units: 0 12%State Surcharge-Building 05/18/2017 $65.05 Stories: 5 Height: 0 ft Plan Review 05/18/2017 $352.37 Bedrooms: 0 Bathrooms: 0 Plan Review-Fire Life Safety 05/18/2017 $216.84 Value: $33,000 Info Process/Archiving-Lg$2.00(over 05/18/2017 $6.00 11x17) Floor Areas: Total Area: 3054 Accessory Struct: 0 Basement: 0 Carport: 0 Covered Porch: 0 Deck: 0 Garage: 0 Mezzanine: 0 Total $1,272.37 Required: Required Items and Reports(Conditions) Fire Sprinkler: No 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. ATT . •N: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-'% -0010 through 4- 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. ssued By: �� / Permittee Signature: 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 Application Commercial FOR OFFICE USE ONLY 111 - City of Tigard RDateBea m� r Permit No.: : !7 ,1,`m 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review 111 • Phone: 503.718.2439 Fax: 503.598.1960 Date/B : � Other Permit: T I G A R D Inspection Line: 503.639.4175 Date ReadyBy: Juris: ® See Page 2 for Internet: www.tigard-or.gov Notified/Method: Supplemental Information TYPE OF WORKREQUIRED DATA.i AND 24AMII:Y AW LING ❑New construction El 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. El1-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:1 Lincoln-10300 SW Greenburg Road New dwelling area: square feet City/State/ZIP:Portland,OR 97223 Garage/carport area: square feet Suite/bldg./apt.no.:271 Project name:Portland Autism Center 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 R13QUIRED DATA COMl KCIAL USE C1 CKLIST:. LL .0 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 A SCRIPTION OF WORK �. e m ment materials,labor,overhead, and the profit for the work indicated on this application. Work to include minor demolition,new walls and casework. Valuation: $$33,000.00 Existing building area: 3,054 square feet New building area: 3,054 square feet ►� PROPERTT':OWNER Number of stories: 5 Name:Shorenstein Type of construction: I-B Address:5800 Meadows Road Suite 240 Occupancy groups: City/State/ZIP:Lake Oswego,OR 97035 Existing: B Phone:(503)412-4800 Fax:(503)412-4903 New: B ►®e.:APPLICANT . ": 0 CONTA+E T PR ISON .:.! : BUILDI1 G PERMITFE S* Business name:Mackenzie (Please refer o dee schedale . 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 E-mail:ckirchhofer@mcknze.com PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES* CONTRACTOR:.. Commercial and residential prescriptive installation of 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°'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 � �t11 : This permit fee due upon application: $201.60 Authorized signature: CAW,( ` application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name:Chloe Kirchhofer Date:05/18/2017 * 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 " COMMUNITY DEVELOPMENT DEPARTMENT 1111111 Tlcnuo Building Permit Review — Commercial - No Land Use Building Permit #: r P ©I-7—OC/d7 Site Address: /O300 a ) Cr..,. ,, hu Et Suite/Bldg#: ,77/ Project Name: ,b /5A-- (Name of commercial business occupying the space. If vacant,enter Spec Space.) Planning Review Proposal: /. exi. .7 -1-e&21,/ Existing Business Activity: ( / 4C ( Proposed Business Activity: // 1d Verify site address/suite# exists and active in permit syst71. 11 ":ver Terrace Neighborhood: ❑ Yes V No ►A oning: 44 UE/ 10/Permitted Use: Yes ❑ No Spec Space firm El no land use required. Business License: n • Exists: Yes ❑ No,applicant notified to obtain business license Notes: Approved -�21� PP b Y Planning: °--- `- � 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: S�g�7 Site Plans: # 3 Building Plans: # Building Permit#: IGI Enter building permit#above. Workflow Routing: .. Planning et o "Building Workflow Sign-off: 2—Sign-off for Planning(include notes from planning review) Route Application Documents: JBuilding: original permit application, site plans,building plans, engineer and beam calculations and trust details,if applicable, etc. Notes: () `ra- By Permit Technician: Ci .._ (2.44e_.-4.4&_44-) Date: /j�' I:\Building\Forms\BldgPermitRvw COM NoLandUse 060116.docx Permit Coordinator Review ❑ Conditions "Met"prior to issuance of building permit ❑ Approved,NOT Rele.sed: Date: Notes: Revisions (after Building Submittal only), Revision Notice 1: Date Se o Applicant: Revision Notice 2: Dat-.:ent to Applicant: Revision Notice 3: P.to Sent to Applicant: ❑ SDC Fees Entered: Wash Co Trans Dev Tax: ❑ Yes N/A Tigard Trans SDC: ❑ Yes ❑ N Parks SDC: ❑ Yes ❑ N/A ❑ OK to Issue Permit Approved by Permit Coordinator: Date: I:\Building\Forms\BldgPermitRvw_COM NoLandUse_070915.docx l City of Tigard • BUILDING DIVISION Over-The-Counter (OTC) Building & Fire Protection System Permit Appointment Checklist Permit Record#: t ct-P !7-CO / 7 Contact Name: 0-44-e , i.h eia� Phone #: 5D ,2a�ti-957a 6 Business Name: A/1 e��"ner'-'� Appt. Date/Time: 5 /$ " Site Address: jDSoo . ,1'.e 3 u ig� k, Bldg/ uite#: A7/ Project Name: Ppx a,c t 6 Y►'` v Project Description: __11,,,,,_,, _Q :3= ",_` LL ,PL A ,I- e6-03 , Existing Use: tNew Use: -��1J MMD Required: No Related Record#: GENERAL INFORMATION Class of Work: iart- Occupancy Group: B Type of Construction: I j. Type of Use: Occupancy Load: 3 3 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: 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: No 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: $ 35,o6 v $ • 0 DC Prov Rvw,COM TI—Ping $ _ i Permit Fee—Add,Alt,Demo DC Provision Review Fee for COM TI(effective 7/1/2016) $ o 12%State Surcharge Project Valuation $3sa •,3-7 Plan Review,Structural Up to$4,999 $0.00 $a 1 6 , g 4. Plan Review,Fire Life Safety $5,000-$74,999 $90.00 $ 6 ..' 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: $)a,']a ,37 TOTAL FEES DUE I:\Building\Forms\OTC_BUP_FPS_070116.docx City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 10300 SW GREENBURG RD 271 , TIGARD, OR, July 13, 2017 at 8:59:50 AM 97223 Record Type: Record ID: Commercial - Building BUP2017-00127 Inspection Type: Inspector: 299 Final inspection Jeff Grove Result: PASS - CofO Comments: Violation Summary: Inspector Contractor