Permit (61) it,.._ ,, CITY OF TIGARD BUILDING PERMIT
91 I COMMUNITY DEVELOPMENT Permit#: BUP2017-00226
T R AR D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 08/10/2017
Parcel: 1 S 135AB01003
Jurisdiction: Tigard
Site address: 10300 SW GREENBURG RD 385
Project: US Tax Services Subdivision: METZGER,TOWN OF Lot: 9
Project Description: TI for new tenant to Tigard:Demolition,new walls,doors,and relites.
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 08/10/2017 $91.00
Permit Fee-Additions,Alterations, 08/10/2017 $332.27
Occupancy Grp: B Occupancy Load: g
Dwelling Units: 0 Demolition
12%State Surcharge-Building 08/10/2017 $39.87
Stories: 0 Height: 0 ft Plan Review
Bedrooms: 0 Bathrooms: 0 08/10/2017 $215.98
Plan Review-Fire Life Safety 08/10/2017 $132.91
Value: $17,000 Info Process/Archiving-Lg$2.00(over 08/10/2017
11x17) $4.00
Address Fee 08/10/2017 $50.00
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $866.03
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. 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 of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: Permittee Signature: Chiba ,
I 39.4176 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 R r, 17.4 FOR OFFICE. l Sl;O\LI'
City of Tigard 'E ,, 1 Permit No.:ateBy: ff /13/i 7 N6t4fic,,..„ 7.2:4;)??.4
13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review
_ Phone: 503.718.2439 Fax: 503.598.1960 la O Date/By: $ -,o i� Other Permit:
T I G A R D Inspection Line: 503.639.4175 tIl Q ! Date Ready/By: loris: I See Page 2 for
Internet: www.tigard-or.gov Notified/method: 7 Supplemental Information
CITYppO.O �.- lGA D
TYPE OF.wO MJ 1LDING Braii0 REQUIRED DATA:1-AND 2 FAMILY DWELLING
❑New construction 0 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.
❑ 1-and 2-family dwelling ®Commercial/industrial Valuation: $
0 Accessory building 0 Multi-family Number of bedrooms:
❑Master builder 0 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.:385 Project name:US Tax Services 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 minor demolition,news walls,doors and relites. Valuation: $$17,000.00
Existing building area: 883 square feet
New building area: 883 square feet
►e PROPERTY OWNER 0 TENANT ` ' Number of stories: 1
Name:Shorenstein Type of construction: I-B
Address:5800 Meadows Rd.,Suite 240 Occupancy groups:
City/State/ZIP:Lake Oswego,OR 97035 Existing: B
Phone:(503)412-4800 Fax:(503)412-4903 New: B
APPLICANT 0 CONTACT PERSON BUILDING PERMIT FEES*
(Please refer to 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
Phone:(503)224-9560 Fax::(503)228-1285
Amount received:
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'h 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: /VA ,/ `J This permit application expires if a permit is not obtained
f—. within 180 days after it has been accepted as complete.
Print name:Chloe Kirchhofer Date:08/10/2017 * 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)
IIICity of Tigard
u COMMUNITY DEVELOPMENT DEPARTMENT
T1cARD Building Permit Review — Commercial - No Land Use
Building Permit #: 84,x/ 7—(Ja
Site Address: /O C ') Sk) q'Y-eni) � Suite/Bldg#: 0c—
Project Name: (>((-7 X ,c)e ,�
(Name of commercial business occupying the space. If vacant,enter Spec Space.)
Planning Review
Proposal: 77/ / ) 4e7L
Existing Business Activity: 0A9
PVVerify
oposed Business Activity: /1
site address/suite# exists and active in permit syste .
ever Terrace Neighborhood: CI Yes Ud No
f� oning: ty
rmitted Use: Yes C7No El Spec Space
onfirm no land use required.
J71 Business License:
Exists: Yes ❑ No,applicant notified to obtain btatn business license
Notes:
Approved by Planning: Date: e/iD))
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: El Approved El Not Approved
Revision 3: ❑ Approved ❑ Not Approved
Building Permit Submittal
Original Submittal Date: 0 -7
Site Plans: $ r
Building Plans: ##
Building Permit#: Center building permit#above.
Workflow Routing: ffriianning ❑ Permit Coordinator f]—$tiding
Workflow Sign-off: [ - off for Planning(include notes from planning review)
Route Application Documents: Wig: original permit application, site plans,building plans, engineer and
beam calculations and trust details,if applicable,etc.
Notes: 0�
By Permit Technician: ------
� Date: r/ '�./7
I:\Building\Forms\BldgPennitRvw_COM_NoLandUse 060116.docx
Permit Coordinator Review
❑ Conditions "Met"prior to issuance of building permit
❑ Approved,NOT Released: Date:
Notes:
Revisions (after Building Submittal only)
Revision Notice 1: Date Sent to Applicant:
Revision Notice 2: Date Sent to Applicant:
Revision Notice 3: Date Sent to Applicant:
❑ SDC Fees Entered: Wash Co Trans Dev Tax: ❑ Yes ❑ N/A
Tigard Trans SDC: ❑ Yes ❑ N/A
Parks SDC: ❑ Yes ❑ N/A
❑ OK to Issue Permit
Approved by Permit Coordinator: Date:
I:\Building\FormsBldgPernutRvw_COM_NoLandUse_070915.docx
City of Tigard • BUILDING DIVISION
Over-The-Counter (OTC) Building &Fire Protection System Permit
r A l:n Appointment Checklist
Permit Record#:
Contact Name: (.54.\t o-e 3,6n Phone #: 56S-gag-qSl00
e �;
Business Name: `n,� � a'`�
►lar Appt. Date/Time: 1, o oo
Site Address: (p3bh� ( �J Bldg/Suite #: 3$es
Project Name: f —�
���►0 i co New TenaZyt Yes 0 No
Project Description: %- vin , 400xyzz toe„ O
Am) c�a,n
Existing Use: New Use: ,(A
Related Record#
MMD Required: D'1Yes 0 No ' U
.
GENERAL INFORMATION
Class of Work: >Q Occupancy Group: 3 Type of Construction:
-
Type of Use: (b Occupancy Load: I Oregon SpecialtyCode: I 1
SPECIFICS IZ�
Number of Stories: I Building Height: Mixed User
Number of Dw Units: Number of Bathrooms: I I I 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 I
CONSTRUCTION
Exterior Walls: Openings Protected: Firewall Separation:
N: S: N: S: Occupancy Separation:
E. Y
W: E: W: Access.ParkingSpaces:
REQUIRED ITEMS P
Fire Sprinklers: n OFire Alarms:
Sprinkler Type: � Smoke Detectors:
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: $ (7 006
$ DC Prov Rvw,COM TI_Ping
DC Provision Review Fee for COM TI(effective 7/1/201 $ 7► Permit Fee-Add,Alt,Demo
$ $ 12%State Surcharge
Project Valuation $ &P5- q I Plan Review,Structural
a
Up to$4,999 $0.00 $ 1 . 9 Plan Review,Fire Life Safety
$5,000-$74,999 $91.00 $ Lib Info Proc/Arch,Lg(over 1 17$2.00)
$75,000-$149,999 $226.00 $ Info Proc/Arch,Sm(up to 11x17$0.50)
$150,000 and over $361.00 $ Metro Construction Excise Tax
144 n^ tt_v 4 1 3 $ School Construction Excise Tax
,L 9 .0 U $ Hourly Rate Fee
5( ,v Hourly Rate State Surcharge
7 $ Misc.Admin�e-nee
�'+�'-Fn• $ 5-0.00 Other: (i-t /Y�i2 4-D
Building Staff. $ Other1564--
Date/Time: $ g 6 TOTAL FEES DUE
I:\Building\Forms\OTC_BUP_FPS_070117.docx
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
10300 SW GREENBURG RD 385, TIGARD, OR,
97223
Record Type: Record ID:
Commercial - Building BUP2017-00226
Inspection Type: Inspector:
299 Final inspection Jeff Grove
Result:
PASS - CofO
Comments:
Violation Summary:
Inspector Contractor