Permit (26) CITY OF TIGARD BUILDING PERMIT
° COMMUNITY DEVELOPMENT Permit#: BUP2017-00151
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 06/13/2017
E Ott RD 13125 Parcel: 1S135AB01004
Jurisdiction: Tigard
Site address: 10220 SW GREENBURG RD
Project: Lincoln Center Subdivision: METZGER,TOWN OF Lot: 9
Project Description: Demolition,ceiling,and lighting improvements at elevator lobbies on floors 2 though 6.
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: Ig Permit Fee-Additions,Alterations, 06/13/2017 $767.10
Demolition
Occupancy Grp: B Occupancy Load: 12%State Surcharge-Building 06/13/2017 $92.05
Dwelling Units: 0 Plan Review 06/13/2017 $498.62
Stories: 6 Height: 0 ft Plan Review-Fire Life Safety 06/13/2017 $306.84
Bedrooms: 0 Bathrooms: 0 Info Process/Archiving-Lg$2.00(over 06/13/2017 $6.00
Value: $55,000 11x17)
DC Provision Review,COM TI-Ping 06/13/2017 $90.00
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $1,760.61
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 Center. Those rules are set forth in OAR
952-001-0010 through OAR 952-001-0090. You may obtain a copy. - les or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: e mittee Signature: 1 /L
Call 03.639.4175 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
City of Tigard �y ived + Permit No.: i w
IN "' 13125 SW Hall Blvd.,Tigard,OR 97223 "i v
9p t T`t7 `1� 'r �' �iY R ReviewPhone: 503.718.2439 Fax: 503.598.1960 f - Date/B : Other Permit
Rairelki
T I G A R D Inspection Line: 503.639.4175 Date Ready/By: ® See page 2 for
Internet: www.tigard-or.gov ,�� V Notified/Method: /, ;,„if, Supplemental Information
TYPE OF WORK I NI REQUIRED DATA: -AND 2FAMI Y DWELLING
0 New construction 0 Demolitici .{''ill CIO1 Permit fees*are based on the value of the work performed.
�1j � kS .� 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.
❑1-and 2-family dwelling ® m
Comercial/industrial Valuation: $
0 Accessory building 0 Multi-family Number of bedrpoms:
0 Master builder 0 Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address:3 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.:NA Project name:Elevator Lobby Upgrades 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:COMRCIAL-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 domoltion,new ceiling and light fixtures.01- r Ion, Aci Valuation: $$55,000.00
ON -eitk:`r5 2 Gu Existing building area: 1,450 square feet
New building area: 1,450 square feet
® PROPERTY OWNER 0 TENANT " Number of stories: 5
Name:Shorenstein Type of construction: I-B
Address:5800 Meadows,Suite 240 Occupancy groups:
City/State/ZIP:Lake Oswego,OR 97035 Existing: B
Phone:(503)412-4902 Fax:(503)412-4903 New: B
►e APPLICANT 0 CONTACT PERSON BUILDING,PERMIT FEES*
Business name:Mackenzie
(Please refer to fee schedule)
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
Phone:(503)224-9560 Fax::(503)228-1285 Amount received:
E-mail:ckirchhofer@mcknze.com PIIOTOVOLTAIC 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
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
and administrative fees): $180.00
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: 1/1 h I A k - This permit application expires if a permit is not obtained
(AMA
within 180 days after it has been accepted as complete.
Print name:Chloe Kirchhofer Date:06/13/17 * Fee methodology set by Tri-County Building Industry
Service Board.
I:1Building\Permits\BUP-COM PermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
City of Tigard
IIIp COMMUNITY DEVELOPMENT DEPARTMENT
TIGARD Building Permit Review — Commercial - No Land Use
Building Permit #: /_;(lour i 7- ,6/
Site Address: 1 027...C, l,0 Gj.E61J 9-G RD Suite/Bldg#: 3 Lir cot y)
E1�e
Project Name: i tov Lrolc,b.y tA, Yb,(€-S
(Name of commercial business occupying Ye space. If vacant,enter Spec Space.)
Planning Review (� l(' �j
,
Proposal: 1nt 'yw\- 1 rti tbo k oott 411,"S 1110 /113h+ c (4-1,Iries
c041d' t t-11th 1o#' yearo
Existing Business Activity: OA eve
Proposed Business Activity: ' 1
Verify site address/suite#exists and active in permit system.
River Terrace Neighborhood: ❑ Yes A No
C; oning: M A - ,
gPermitted Use: 15 Yes IDNo CISpec Space
L1JI Confirm no land use required.
Business License:
Exists: if Yes ❑ No,applicant notified to obtain business license
Notes: jAe Chiato alt i'mposaci
Approved by Planning: 9"tiel4e3M,. Date: CP/l3 / 17
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: h3 7
Site Plans: #
Building Plans: # 3
Building Permit#: tenter building permit#above.
Workflow Routing: lanning ❑ Permit Coordinator ding
Workflow Sign-off: �E-'Si Aff for Planning(include notes from planning review)
Route Application Documents: E lu.il iling: original permit application,site plans,building plans,engineer and
beam calculations and trust details,if applicable, etc.
Notes: 07-e--'
C.-'
By Permit Technician: . .--7,5 -"`" Date: 6A3/f 7
I:\Building\Fonns\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\B1dgPermitRvw_COM_NoLandUse 07091 5.docx
City of Tigard • BUILDING DIVISION
1111 r, Over-The-Counter (OTC) Building & Fire Protection System Permit
1 7 Appointment Checklist
Permit Record#: et60420<7-cp15-1
Contact Name: (ti Joe_u;re. Phone #: Cs-42;o/-‘15-4,0
Business Name: G"oWrd1N (e..-4..,— et GAppt. Date/Time: /d �
(JO N 6/3//7
Site Address: /da� 51,3 I� �� (d- rn Q.Ae4„;)Bldg/Suite #:
Project Name: Loco pN Ce,,-/-c,—Lt
Project Description: (c,;//1,-4-0, C (1'4 k-hin,4 ivr„'mX/` %i e* el,...(a2,r.1c06r21 rip)
df t/-4- c2) 7 Ctvr.S'.
Existing Use:
.5 New Use: 5
MMD Required: 0 Yes [ -1�o Related Record#:
GENERAL INFORMATION
Class of Work: A :1– Occupancy Group: R Type of Construction: I 1 -. a
Type of Use: Occupancy Load: Oregon Specialty Code: e ,o l Li
--
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: .C1 O 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: ye.5 Fire Alarms: % p 5 Smoke Detectors:
Sprinkler Type: Alarm Type: Protected Corridors:
Standpipe Required: Pull Stations Required: Parapet
Hazard Group: Battery Caks Provided:
Density: Cut Sheets Provided:
Design Area:
K Factor:
Total Project Valuation: $ 55;c
$ o DC Prov Rvw,COM TI–Ping
$ 7 6 7. 1 Q Permit Fee–Add,Alt,Demo
DC Provision Review Fee for COM TI(effective 7/1/2016) $ q a OS 12%State Surcharge
Project Valuation $ l} 9 s . CI Plan Review,Structural
Up to$4,999 $0.00 h to(od(.6 u $ as a. , , g y.Plan Review,Fire Life Safety
$5,000-$74,999 $90.00 ,../.. qd $ 6 -- Info Proc/Arch,Lg(over 11x17$2.00)
$75,000-$149,999 $224.00 j 115.11. $ Info Proc/Arch,Sm(up to 11x17$0.50)
$150,000 and over $357.00 $ Metro Construction Excise Tax
-het aL • $ School Construction Excise Tax
$ Hourly Rate Fee
$ Hourly Rate State Surcharge
$ Misc.Admin Fee
$ Other:
Building Staff $ Other:
Date/Time: $ OTAL FEES DUE
I:\Building\Forms\OTC_BUP_FPS_070116.docx $ 1%7 60. 6 I
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
10220 SW GREENBURG RD, TIGARD,
OR, 97223
Record Type: Record ID:
Commercial - Building BUP2017-00151
Inspection Type: Inspector:
299 Final inspection Jeff Grove
Result:
PASS - NoCofO
Comments:
Violation Summary:
Inspector Contractor