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Permit (100) CITY OF TIGARD BUILDING PERMIT ° COMMUNITY DEVELOPMENT Permit#: BUP2017-00267 Date Issued: 10/04/2017 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 1S135A604500 Jurisdiction: Tigard Site address: 10250 SW GREENBURG RD 125 Project: Spec Space Subdivision: 1991-055 PARTITION PLAT Lot: 1 Project Description: TI scope of work includes demolition,new wall infill,new cabinetry and ceiling improvements. Contractor: RUSSELL CONSTRUCTION INC Owner: LINCOLN CENTER LLC 20915 SW 105TH AVE BY SHORENSTEIN PROPERTIES LLC TUALATIN, OR 97062 555 CALIFORNIA ST 49TH FL 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: IIB DC Provision Review,COM TI-Ping 10/04/2017 $91.00 Occupancy Grp: B Occupancy Load: 22 Permit Fee-Additions,Alterations, 10/04/2017 $608.23 Demolition Dwelling Units: 0 12%State Surcharge-Building 10/04/2017 $72.99 Stories: 2 Height: 0 ft Plan Review 10/04/2017 $395.35 Bedrooms: 0 Bathrooms: 0 Plan Review-Fire Life Safety 10/04/2017 $243.29 Value: $39,000 Info Process/Archiving-Lg$2.00(over 10/04/2017 $6.00 11x17) Floor Areas: Total Area: 2202 Accessory Struct: 0 Basement: 0 Carport: 0 Covered Porch: 0 Deck: 0 Garage: 0 Mezzanine: 0 Total $1,416.86 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. 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. r Issued By: /C0 L f��_ Permittee Signature: gun k 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 Applicatio , V I, Commercial FOR OFFICE USE ONLY City of Tigard f Received /y ����/ Permit No /p ©p( fit!° DateDate/B [J g ' 9/02 " i 41 III13125 SW Hall Blvd.,Tigard,OR 97223`�t Plan Revrew , _ Phone: 503.718.2439 Fax: 503 59 1960 Date/B : , Y•� „n Other Permit: T I G A R D Inspection Line: 503.639.4175 ,. !.;ib Date Ready/By: Jugs: El See Page 2 for Internet: www.tigard-or.gov ; Notified/Method: Supplemental Information TYPE OE WOB RE()IIIA IIATA 1 AN 2 FAMILY 1)WELUN ❑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 O work indicated on this pplicaonCATWORYOP CO11itIC I : ... . .. . , , ❑ 1-and 2-family dwelling ®Commercial/industrial Valuation: $ ❑Accessory building 0 Multi-family Number of bedrooms: ❑Master builder 0 Other: Number of bathrooms: JQB SCrl� I1V�ORlVATIC}N'ANI I.+( ATIQ�1 Total number of floors: Job site address:4 Lincoln-10250 SW Greenburg Road New dwelling area: square feet City/State/ZIP:Portland,OR 97223 Garage/carport area: square feet Suite/bldg./apt.no.:125 Project name:Vacancy Space Prep 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 DATAt COMMER ;T `+ H KLIS�„'< :: 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 I""""m N OIf WORD work indicated on this application. Work to include demolition,new wall infill,new cabinetry and ceiling Valuation: $$39,000.00 improvements. Existing building area: 2,202 square feet New building area: 2,202 square feet ►/ PROPERTY:OWNER ❑ TENA ::......... 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 r. APPLICAI9T CONTACT PERSON RMI IBES* ::... ...__ :. ... .:, Bi)iLDl 1GPE::.... I :..:.( aae refer tt+fee rheduf) 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 E-mail:ckirchhofer@mcknze.com PI OTOVOLTAIC OLAR PANEL SYSTEMI+EES* }N Jt'R1�G Commercial and residential prescriptive installation of ;: TO _ roof top mounted PhotoVofaic SoarPanel 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 Total fee due upon application: $201.60 Authorized signature: li%IJVt)-.L e . This permit application expires if a permit is not obtained iii�w��wwwvvv • _ within 180 days after it has been accepted as complete. Print name:Chloe Kirchhofer Date:10/04/2017 * 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) la iii City of Tigard • BUILDING DIVISION ' Over-The-Counter (OTC) Building & Fire Protection System Permit T I C;A RD r? Appointment Checklist Permit Record#: 043(1/ O/7 -.0,0.24, 7 Contact Name: 64/40 E- /4/4, 7e- Phone#: 5j.,3- 2 /— Business Name: /ye/�p j� Appt. Date/Time: /s..5//7 ca 10;at,61/%7 Site Address: /p a s O 50--4) C7d E7 /. /2,G,, ..6 Bldg/Suite #: / Project Name: -C,Er -C,rt`C New Tenant? 0 Yes 0 No Project Description: .b E77r?z.-,77 J d,= /.c/7 72fe'X, A//f'Lc) a1-t AI6 -U " C09-6/r/e-72 y 'J.. C 'i a.I6- '-tv)) iFiC:i-i`7en(s- Existing Use: 6', 4r.5C. New Use: Q�j-^-jCE' MMD Required: 0 Yes No Related Record#: APPLICATION SPECIFIC INFORMATION GENERAL INFORMATION Class of Work: PCI--1 Occupancy Group: Type of Construction: 2e Type of Use: Occupancy Load: Z_7_... Oregon Specialty Code: 2_45 tAtk— SPECIFICS Number of Stories: �L/ 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: 2)2.62, 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: ti-- 7 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: $ 3 `it,OO 6 ?EES DUE $ 9 ,Gn DC Prov Rvw,COM TI—Ping /' e $ t `�-- Permit Fee—Add,Alt,Demo t/S DC Provision Review Fee for COM TI(effective 7/1/2017) $ —z2 r 12%State Surcharge Project Valuation $ (7-79!�, 'Ian Review,Structural Up to$4,999 $0.00 - $ Zk3 ,2C' Plan Review,Fire Life Safety $5,000-$74,999 $91.00 $ rQn) 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 $ School Construction Excise Tax $ Hourly Rate Fee $ Hourly Rate State Surcharge $ Misc.Admin Fee - / $ Other: Building Staff: ��N $ Other: Date/Time: $ t AICTOTAL FEES DUE I:\Building\Forms\OTC_BUP_FPS_070117.docx IIm City of Tigard a COMMUNITY DEVELOPMENT DEPARTMENT T 1 c A u o Building Permit Review — Commercial - No Land Use Building Permit #: ,U ,tea 7 -2O_ 2 Site Address: I 0 2-50 S W Grezci b u r`cj (-.:4- ' Suite/Bldg#: 1 Z S' Project Name: V A C of fl C' S e ai Prep. (Name of commercial business occupying the space. If vacant,enter Spec Space.) Planning Review Proposal: T O je.nv r Ti r C4.Lm f0 r nem/ 1/Vc/tict, i r)(-r 11 C i brie_ry , Art rt Ozi idler her ; ly rw ve- r , -, 1-1 Existing Business Activity: S pe C f10a 62, Proposed Business Activity: t/ r/ Verify site address/suite# exists and active in permit system. VRiver Terrace Neighborhood: ❑ Yes ,Zi No 0 Zoning: NA` u G - yrPermitted Use: CIYes LiNo Spec Space Confirm no land use required. El Business License: Exists: ❑ Yes ❑ No, applicant notified to obtain business license Notes: Approved by Planning: M (;) \-1-N- Vim- Date: 1014 / ( 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: Site Plans: #$ Building Plans: # Building Permit#: ❑ Enter building permit#above. Workflow Routing: ❑ Planning ❑ Permit Coordinator ❑ Building Workflow Sign-off: ❑ 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: By Permit Technician: Date: I:\Building\Fonns\B1dgPennitRvw_COM_NoLandUse 070915.docx Permit Coordinator Review ❑ Conditions "Met"prior to issuance of building permit E 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\Fonns\BldgPermitRvw_COM_N oLandUse_070915.docx City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 10250 SW GREENBURG RD 125, TIGARD, OR, 97223 Record Type: Record ID: Commercial - Building BUP2017-00267 Inspection Type: Inspector: 299 Final inspection Jeff Grove Result: PASS - CofO Comments: Violation Summary: Inspector Contractor