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Permit (58) CITY OF TIGARD BUILDING PERMIT IN • COMMUNITY DEVELOPMENT Permit#: BUP2018-00333 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 11/27/2018 T l ;;ti i>n 9 Parcel: 1S135AB00900 Jurisdiction: Tigard Site address: 10200 SW GREENBURG RD 365 Project: Farmers Insurance Subdivision: METZGER,TOWN OF Lot: 9 Project Description: New interior multi-tenant floor build-out for new tenant moving into the 3rd floor. 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: 312-636-5012 FAX: 503-692-9008 Specifics: FEES Description Date Amount Type of Use: COM Class of Work: ALT Type of Const: Ig DC Provision Review,COM TI-Ping 11/27/2018 $388.00 Occupancy Grp: B Occupancy Load: 112 Permit Fee-Additions,Alterations, 11/27/2018 $2,011.95 Demolition Dwelling Units: 0 12%State Surcharge-Building 11/27/2018 $241.43 Stories: 0 Height: 0 ft Plan Review 11/27/2018 $1,307.77 Bedrooms: 0 Bathrooms: 0 Plan Review-Fire Life Safety 11/27/2018 $804.78 Value: $250,000 Info Process/Archiving-Lg$2.00(over 11/27/2018 $22.00 11x17) Metro Const.Excise Tax 11/27/2018 $300.00 Floor Areas: Total Area: 0 Accessory Struct: 0 Basement: 0 Carport: 0 Covered Porch: 0 Deck: 0 Garage: 0 Mezzanine: 0 Total $5,075.93 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. Issued By: �!�-- Permittee Signature:A 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 t 1:-.1 FOR OFFICE USE ONLY' City of Tigard r� 2018 Date/Bed ��/1,"'%fi r+» /r ■ 13125 SW Hail Blvd.,Tigard,OR 97223 NOV V 2 I /"r , v • g Plan Review 6 ) �, II Phone: 503.718.2439 Fax: 503.598.1960 f p DateB : 0 1 ,-,' Other Permit: TIGARD Inspection Line: 503.639.4175 Gi I V Or !GAR IF Date Ready/By: ' Juris: H See Page 2 for Internet: www.tigard-or.gov BUILDING 'NISI , ified/Method: Supplemental Information r ' ;,- m F... zw , TYP -PTi k*�.'a . ` , tgt Q Eb U iTA'1 AND 2 F~.,Dm;m:G D New construction ❑Demolition Permit fees*are based on the value of the work performed. Indicate the value(rounded to the nearest dollar)of all 0 Addition/alteration/replacement 0 Other: equipment,materials,labor,overhead,and the profit for the A`TEGORY▪ OF VO1YISTRR JC;r1ON , r ' �- work indicated on this application. El1-and 2-family dwelling ®Commercial/industrial Valuation: $ 0 Accessory building 0 Multi-family Number of bedrooms: ElMaster builder 0 Other: Number of bathrooms: JOB SITE I111FO▪ RMATION AND'LOC:AT'ION Total number of floors: Job site address:10200 SW GREENBURG RD New dwelling area: square feet City/State/ZIP:TIGARD,OR,97223 Garage/carport area: square feet Suite/bldg./apt.no.:365 Project name:FARMERS INSURANCE OFFICE Covered porch area: square feet Cross street/directions to job site:SW LOCUST&LINCOLN ST Deck area: square feet Other structure area: square feet 32`EQ14RED DATA COMMERCIAL-USE CHECKLIST. Subdivision:METZGER TOWN Lot no.:1 Permit fees*are based on the value of the work performed. Tax map/parcel no.:R0271583 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. NEW INTERIOR MULTI-TENANT FLOOR BUILT-OUT FOR NEW TENANT Valuation: $$250,000.00 MOVING INTO THE 3RD FL Existing building area: 4,977 square feet PARTIAL DEMOLITION OF THE EXISITNG SPACE.NEW WORK INCLUDES NEW CONFERENCE ROOM,RECEPTION,OFFICES,IT ROOM,PANTRY,AND ' New building area: 4,977 square feet AN OPEN WORK AREA Number of stories: 7 3 ,,�54PE`�"" "��O SER „ TENANT„ '* _. '� "" Type of construction: IB Name:FARMERS INSURANCE Occupancy groups: Address:3003 77THAVE SE. Existing: B City/State/ZIP:MERCER ISLAND,WA 98040 New: B Phone:(312)636-5012 Fax ( ) BUILDING PERMIT FEES* 4P'ACALYT ❑`CONTACT PERSON -,f ., `.sx(Plirise re(r'[o fed schedule)" Business name:HELLMUTH,OBATA+KASSABAUM,INC.(110K) Structural plan review fee(or deposit): Contact name:FAN WANG FLS plan review fee(if applicable): Address:ONE BUSH ST.STE 200 Total fees due upon application: City/State/ZIP:SAN FRANCISCO CA 94104 Amount received: Phone:(415)243-0555 Fax: :(415)882-7763 PINTO (I�LTICS(?I�A1t A EYhS CSTEM FEES ,...:< E-mail:FAN.WANG@HOK.COM Commercial and residential prescriptive installation of r -*r' roof-top mounted PhotoVoltaic Solar Panel System. CONTRACTQR Submit two(2)sets of roof plan with connection details Business name:RUSSELL CONSTRUCTION and fire department access,along with the 2010 Oregon Solar Installation Specialty Code checklist. Address:20915 SW 105TH AVE Permit fee(includes plan review . and administrative fees): $180.00 City/State7ZIP:TUALATIN,OR,97062 State surcharge(12%of permit fee): $21.60 Phone:(503)692-9002 Fax:( ) CCB lic.:58918 Total fee due upon application: $201.60 This permit application expires if a permit is not obtained Authorized signature within 180 days after it has been accepted as complete. * Fee methodology set by Tri-County Building Industry Print name:FAN WANG Date:11/27/2018 Service Board. I:\Building\Permits\BUP-COM PermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) • 1 NI City of Tigard • BUILDING DIVISION Re Over-The-Counter (OTC) Building & Fire Protection System Permit TIGARD Appointment Checklist Permit Record#: 13 'f O/( O d 333 Contact Name: d49n/ ft/9n/G- Phone #: 7a0,—eace_7—‘6P75" Business Name: //a x. Appt. Date/Time: /s/a 7//� /OW 9/y Site Address: /0 app S& 672e-EN t 6. /2.i Bldg/Suite #: 3'4 Project Name: ,' /Zt l.S /,iSG.,I?f rvC New Tenant? 74 Yes ❑ No Project Description: 7T7 NVE--(4./ 7'-iv4"/T lJ��/ / Ca/VEL--xe cE , 41fj MA -Y, e-0,/ "9-Le? ,./T ,7, Existing Use: ,eif e E New Use: i0j. /G8'. MMD Required: El Yes F No Related Record#: . . : : -0sou ,, s., i,,} O10P- � �: r f:. 4 w: ii i'o''o+r ! J e 4 GENERAL INFORMATION 1— Class of Work: A)-1-5-- Occupancy Group: Ie Type of Construction: Type of Use: 6 Occupancy Load: J 1 2 Oregon Specialty Code: an ) 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: 14.') 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: 1)G� 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: $ 2-5--©/ 071-0 '; ,N FEES `= ' '; $3 : Z DC Prov Rvw,COM TI Ping $ Q 1 . 9‘ Permit Fee—Add,Alt,Demo DC Provision Review Fee for COM TI (effective 7/1/2018) $ 9. 1.43 12%State Surcharge Project Valuation $ 0© 7.77 Plan Review,Structural Up to$4,999 $0.00 $ di, 0 tf, 76 Plan Review,Fire Life Safety $5,000-$74,999 $98.00 $ "" Info Proc/Arch,Lg(over 11x17$2.00) $75,000-$149,999 $243.00 $ Info Proc/Arch,Sm(up to 11x17$0.50) $150,000 and over $388.00 $ .2 O 3 — Metro Construction Excise Tax $ School Construction Excise Tax $ Hourly Rate Fee $ Hourly Rate State Surcharge $ Misc.Admin Fee $ Other: Building Staff: $ Other: Date/Time: $ o 7 S_93 TOTAL FEES DUE I:\Building\Forms\OTC_B U P_FP S_0701 18.docx Front1 DSTS Subject: Fan Wang, HOK, 720-883-6875, 10200 SW Greenburg Rd, Suite 365, Farmers Insurance Location: CR 3 Permit Center Start: Tue 11/27/2018 10:00 AM End: Tue 11/27/2018 11:00 AM Recurrence: Weekly Recurrence Pattern: every Tuesday, Wednesday, and Thursday from 10:00 AM to 11:00 AM Meeting Status: Meeting organizer Organizer: -Building_OTC Resources: CR 3 Permit Center Tenant Name: Farmers Insurance (new tenant) Scope of work: Tenant improvement for new tenant offices, conference rooms, pantry, copy area and IT room. Project Valuation: $250,000 Existing use: office New use: office 1 Dianna Howse From: Fan Wang <fan.wang@hok.com> Sent: Tuesday, November 13, 2018 2:26 PM To: Dianna Howse Cc: Aida Ribar;Andy Potter;John Borkgren/USA;#Building Permit Technicians Subject: RE: Farmers over-the-counter permit appointment request Hi Dianna—thanks for the prompt response. If it is still available, I would like to take the spot on Tuesday, Nov 27th at 10am. Thanks again! FAN WANG HOK fan.wang@hok.com t+1 415 356 8544 From: Dianna Howse [mailto:Dianna@tigard-or.gov] Sent:Tuesday, November 13, 2018 12:04 PM To: Fan Wang<fan.wang@hok.com> Cc:Aida Ribar<aida.ribar@hok.com>; Andy Potter<andy.potter@hok.com>;John Borkgren/USA <john.borkgren@cushwake.com>;#Building Permit Technicians<TigardBuildingPermits@tigard-or.gov> Subject: RE: Farmers over-the-counter permit appointment request Hello Fan, Here is a list of the permit fees for a project valuation of$250,000: value(C tract ).$254, .00 V Fee Total $5,053.93 Fetter Ella pC ProvIsien Rehr.COM TI- Each 5388.00 -:Ra? al..*a M..i•'.'m: 31a' .•.t 1 Each 92,011.95 Metro Const Face T t Each $304.04 Platt Reylow Each $1,307,TT SAW Each $804.711 Wit•; ad A .1 11."«r� 1 Each $241.43 Also, please add$2.00 per page for pages over 11x17 and $0.50 per page for pages up to 11x17 for one complete plan set. The next available OTC appointment dates/times are as follows: • Wednesda November2yt at 10:00 am • Tuesday, November 2r at 10:00 am • Wednesday, November 28th at 10:00 am Please let us know what date works best for you. Thank you. 1 Dianna L. Howse Building Division Services Supervisor City of Tigard I Community Development 13125 SW Hall Blvd I Tigard, OR 97223 503-718-2430 Direct 1503-718-2439 Permits From: Fan Wang<fan.wang@hok.com> Sent:Tuesday, November 13, 2018 9:53 AM To:#Building Permit Technicians<TigardBuildingPermits@tigard-or.gov> Cc:Aida Ribar<aida.ribar@hok.com>; Andy Potter<andy.potter@hok.com>;John Borkgren/USA <iohn.borkgren@cushwake.com> Subject: Farmers over-the-counter permit appointment request Hi: We are working on a Farmers Insurance office project at 10200 SW Greenburg Rd Suite 365 Tigard OR 97223. The overall USF is about 4500+/-sf The space is currently an vacant office space,and the new interior built-out will not change the occupancy use of the space. The scope of this interior built-out includes new offices, an open work area,a couple small conference rooms, a pantry, a copy area, and an IT room.The overall value of construction is about$250,000. Could you please help (1) set up an over-the-counter review appointment, (2) provide an estimated permit fee as well? Please let us know if you need any other info from us. Thanks in advance! Best, FAN WANG Job Captain HOK One Bush Street, Suite 200 I San Francisco, CA 94104 USA t+1 415 356 8544 C+1 720 883 6875 fan.wang@hok.com hok.com I connect ! privacy policy DISCLAIMER: E-mails sent or received by City of Tigard employees are subject to public record laws. If requested, e-mail may be disclosed to another party unless exempt from disclosure under Oregon Public Records Law. E-mails are retained by the City of Tigard in compliance with the Oregon Administrative Rules"City General Records Retention Schedule." 2 City of Tigard IIIII " COMMUNITY DEVELOPMENT DEPARTMENT II T t G A R D Building Permit Review — Commercial - No Land U s e Building Permit #: K ,(/ 0Lc)/?--.03 0 Site Address: 161OO S W -ruu.,Lrj J Suite/Bldg#: 365 Project Name: Per,+.icrilut v (Name of commercial business occupying the space. If vacant,enter Spec Space.) Planning Review Proposal: 71 ntw 4,"‘a.-J Ori-A cSi Cci,Nk. tt roe-vi,) pall-en Genn QrcA)a -11 rot;:41. Existing Business Activity: Or-i; (1 -° Proposed Business Activity: Okt W Verify site address/suite# exists and active in permit syste . L1J' 'ver Terrace Neighborhood: ❑ YesNo oning: MVS-1 - RI/Zoning: Use: LJ Yes El No ❑ Spec Space infirm no land use required. — II, Business License: Exists: ❑ Yes L1 No,applicant notified to obtain business license Notes: Approved by Planning: LCDate: I I-L 3 _I 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: -2.7 Site Plans: # Building Plans: # Building Permit#: Enter building permit#above. Workflow Routing: 5ii..Planning atnt:,e. wilding Workflow Sign-off: ;A.Sign-off for Planning(include notes from planning review) Route Application Documents: ?;3"-Building: original permit application, site plans,building plans,engineer and ( beam calculations and trust details,if applicable, etc. Notes: APIA* iB Permit Technician: / «tel//<<«�r Date: I:\Building\Forms\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 onl Revision Notice 1: Date S-• to Applicant: Revision Notice 2: Da ent to Applicant: Revision Notice 3: i ate Sent to Applicant: ❑ SDC Fees Entered: Wash Co Trans Dev Tax: 0 Yes 0 N/A Tigard Trans SDC: 0 Yes 0 N/A Parks SDC: 0 Yes El N/A ❑ OK ssue Permit Approved by Permit Coordinator: Date: I:\Building\Forms\BldgPermitRvw_COM NolandUse_070915.docx City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 10200 SW GREENBURG RD 365, TIGARD, March 20, 2019 at 8:37:14 AM OR, 97223 Record Type: Record ID: Commercial - Building BUP2018-00333 Inspection Type: Inspector: 299 Final inspection Chip Barnett Result: PASS - CofO Comments: Violation Summary: Inspector Contractor