Permit (96) CITY OF TIGARD BUILDING PERMIT
:."` COMMUNITY DEVELOPMENT1111 Permit#: BUP2017 00239
13125 SW Hall Blvd.,Tigard OR 97223 5037182439 Date Issued: 08/29/2017
T t . .
Parcel: 1 S 135AB01003
Jurisdiction: Tigard
Site address: 10300 SW GREENBURG RD 500
Project: Myatt&Bell Subdivision: METZGER,TOWN OF Lot: 9
Project Description: TI for existing tenant:Demolition,new walls,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 08/29/2017 $91.00
Occupancy Grp: B Occupancy Load: 34 Permit Fee-Additions,Alterations, 08/29/2017 $586.19
Demolition
Dwelling Units: 0 12%State Surcharge-Building 08/29/2017 $70.34
Stories: 5 Height: 0 ft Plan Review 08/29/2017 $381.02
Bedrooms: 0 Bathrooms: 0 Plan Review-Fire Life Safety 08/29/2017 $234.48
Value: $37,000 Info Process/Archiving-Lg$2.00(over 08/29/2017 $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 $1,369.03
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: p
Call . .4175 by 7:00 a.m.for the ne 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
ReceivCity of Tigard DateBe� JA :aims Permit No.: _.
13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review
Phone: 503.718.2439 Fax: 503.598.196 Date/B : 'Z Other Permit:
T I GA RD Inspection Line: 503.639.4175 Date Ready/By: ® See Page 2 for
Internet: www.tigard-or.gov Notified/Method: a.e �
I7 , ASupplemental Information
❑New construction
41-AfiZEntiGARD Permit fees*are based on the value of the work performed.
ilip� iVrIIndicate the value(rounded to the nearest dollar)of all
®Addition/alteration/replacementht�. equipment,materials,labor,overhead,and the profit for the
CATEGORY OP CQNSRUcnO work indicated on this application.
Valuation:
❑ 1-and 2-family dwelling ®Commercial/industrial
ElAccessory building ❑Multi-family Number of bedrooms:
❑Master builder ❑Other: Number of bathrooms:
jO&Bm ITION L ATIO 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.:500 Project name:Myatt&Bell,P.C. 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
=s€
®UREIC DATAt CO MER�L-ISR KL
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
::: D.ES P'TION f)P o,
work indicated on this application.
E,
Work to include demolition,new walls,and relites. Valuation: $$37,000.00
Existing building area: 2,742 square feet
New building area: 3,407 square feet
®® PRO O : .TEi 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
VIOMIC/l N` : 0 ONTACT 'ERSON T FE
� P
,...... . ......:.......Pki**nefert#:ikefWlet.....
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
Pf YOLTAJC SOL R PA L S TEI L; s
E-mail:ckirchhofer@mcknze.com
Commercial and residential prescriptive installation of
O 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 lie.: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:Chloe Kirchhofer Date:08/29/2017 * 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
a COMMUNITY DEVELOPMENT DEPARTMENT
f
Building Permit Review — Commercial - No Land Use
TIGARD
Building Permit #: ' )/7 -
Site Address: ( 0300 S vJ C,rhea- bur 24. Suite/Bldg#: S OD
Project Name: IN1 y 01-+, r Q e t i P C
(Name of commercial business occupying the space. If vacant,enter Spec Space.)
Planning Review
Proposal: E r TT. D ex-y)c7 , ✓1 Q w v`k-( 1 Gies
Existing Business Activity: 0 c(/I (1/
Proposed Business Activity: 0 u2_
Verify site address/suite# exists and active in permit system.
)6 River Terrace Neighborhood: ❑ Yes ,d No
j 'Zoning: M I T E -
f Permitted Use: .❑ Yes ❑ No ❑ Spec Space
Confirm no land use required.
,2T Business License:
Exists: El Yes ❑ No,applicant notified to obtain business license
Notes:
Approved by Planning: � Date: 9 ZG l-1
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: (I-10
Site Plans: # A/1/
Building Plans: # 3
Building Permit#: nter finbuilding�permiit above. �-
Workflow Routing: ❑ ning RYICrmtt Coordinator L°�fiutlding
Workflow Sign-off: 114'5;n-off for Planning(include notes from planning review)
Route Application Documents: Llriutlding: original permit application, site plans,building plans,engineer and
beam calculations and trust details,if applicable,etc.
Notes: OTC_
/7
By Permit Technician: « Date: f/
I:\Building\Forms\BldgPernutRvw_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:\BuildingWormsBldgPermitRvw COM NoIandUse 070915.docx
City of Tigard • BUILDING DIVISION
4 .4■ Over-The-Counter (OTC) Building & Fire Protection System Permit
1 1(,A R r) Appointment Checklist
Permit Record#: 'X(]--(t) 1
Contact Name: Of 1 at J Phone#: 503-2--'/- Z••
Business Name: `Maw .a M Appt. Date/Time: ; - - :00
Site Address: l65470�� .1-4.40'Jt q� t2�. Bldg/Suite #: w
Project Name: �e 4 �,C,, 1 New Tenant? 0 Yes4: \I
Project Description: _�Q„Q�,„ i,-.-- ,JA 4,t- toa�.o Dv +OJ -/Q
1
Existing Use: ( New Use:
MMD Required: 0 Yes 26No Related Record#:
GENERAL INFORMATION
Class of Work: p� Occupancy Group: Q Type of Construction: ) - a
Type of Use: Occupancy Load: 3 (L,_ Oregon Specialty Code: 'Lo ) 4_,
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: 5: N: S: Occupancy Separation:
E: W: E: W: Access.Parking Spaces:
REQUIRED ITEMS n�
Fire Sprinklers: IV 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: $ <571 ()CC [ ,. 9t �` , s ' f t ,
$ q. . DC Prov Rvw,COM TI-Ping
ss 66, . 19 Permit Fee-Add,Alt,Demo
DC Provision Review Fee for COM TI(effective 7/1/2017) $ 10 .A l}.. 12%State Surcharge
Project Valuation $ , 1 .v _ Plan Review,Structural
Up to$4,999 $0.00 $2 ' Plan Review,Fire Life Safety
$5,000-$74,999 $91.00 $ Info Proc/Arch,Lg(over 11x17$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
4/9,7 2.
03 $ School Construction Excise Tax
I c 1 ' c 0 i $ Hourly Rate Fee
$ Hourly Rate State Surcharge
-l- # Q-(it .r*-- $ Misc.Admin Fee
$ Other:
Building Staff: $ Other
Date/Time: $ i 3 6 9.O 3 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 500, TIGARD, OR,
97223
Record Type: Record ID:
Commercial - Building BUP2017-00239
Inspection Type: Inspector:
299 Final inspection Jeff Grove
Result:
PASS - NoCofO
Comments:
Violation Summary:
Inspector Contractor