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Permit (23)
CITY OF TIGARD BUILDING PERMIT COMMUNITY DEVELOPMENT Permit#: BUP2019-00002 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 01/02/2019 T I G A R Dg Parcel: 1S135AB01004 Jurisdiction: Site address: 10220 SW GREENBURG RD 530 Project: AG Spanos Subdivision: METZGER,TOWN OF Lot: 9 Project Description: Work to include new walls,a new door,and a new relite for TI 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: 503-412-4800 FAX: 503-692-9008 Specifics: FEES Description Date Amount Type of Use: COM Class of Work: ALT Type of Const: IB Permit Fee-Additions,Alterations, 01/02/2019 $149.75 Demolition Occupancy Grp: B Occupancy Load: 14 12%State Surcharge-Building 01/02/2019 $17.97 Dwelling Units: 0 Plan Review 01/02/2019 $97.34 Stories: 0 Height: 0 ft Info Process/Archiving-Lg$2.00(over 01/02/2019 $6.00 Bedrooms: 0 Bathrooms: 0 11x17) Value: $4,754 Plan Review-Fire Life Safety 01/02/2019 $59.90 Floor Areas: Total Area: 0 Accessory Struct: 0 Basement: 0 Carport: 0 Covered Porch: 0 Deck: 0 Garage: 0 Mezzanine: 0 Total $330.96 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: dee i i 0,11'f mittee Signature: ZeAlkt14 -ti 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 th6 project. Approved plans are required on the job site at the time of each inspection. Building Permit Application Commercial RECEIVED FOR OFFICE USE ONEY RECEIVED�d Received ��/I City of Tigard Date/By: 1�� /� /, l''' f� f (/ /Q 13125 SW Hall Blvd.,Tigard,OR 97223 JAN 2 2019 Plan Review ■ Other Permit: Phone: 503.718.2439 Fax: 503.598.1960 Date/By: g p Inspection Line: 503.639.4175 r F y G Date Ready/By: _+ Juris: ® See Page 2 for TIGARD p GIP( 1i��(YLi Internet: www.tigard-or.gov 31JILD{{ppG y lV h Notified Method: Supplemental Information TYPE OFWORK " REQUIRED'DATA.1-AND 2-FAMILY DWELLING Permit fees*are based on the value of the work performed. ❑New construction ❑Demolition 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 CAT�GpR�"OF CUNSfiRIICTIUN" , work indicated on thisapp[cation ❑ 1-and 2-family dwelling ®Commercial/industrial Valuation: $ ❑Accessory building 0 Multi-family Number of bedrooms: 0 Master builder 0 Other: Number of bathrooms: SOB"SITE INIFORMATION !Ill LOCATION Total number of floors: Job site address:2 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.:530 Project name:AG Spanos 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.COM RCIA.I.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 theprofit fit for the T.I�S��II1tON O � �� i work indicated onthis application. Work to include new walls,a new door and a new relite Valuation: $$4,754.00 Existing building area: 1362 square feet New building area: 1362 square feet '3 ► 1Ol€')wCITY O"4 ER ❑Q TENA 1T Number of stories: 6 Name:Shorenstein Type of construction: I-B Address:5800 Meadows Road,Suite 240 Occupancy groups: City/State/ZIP:Lake Oswego,OR 97035 Existing: B Phone:(503)412-4800 Fax:(503)412-4903 New: B >a PLIC © C�eAC T P1i SONBUILDING PERMIT S* s 4r4`s�tu4.i4iii.. Business name:Mackenzie Structural plan review fee(or deposit): Contact name:Kelly Battaglia FLS plan review fee(if applicable): Address:1515 SE Water Ave Suite 100 City/State/ZIP:Portland,OR 97214 Total fees due upon application: Amount received: Phone:(503)224-9560 Fax::(503)228-1285 E-mail:kbattaglia@mcknze.com PHOTOVOLTAIC SOAR`F" L SViST FSS* ' ofiii! .. i "..:."; C4??2N IItAt T#11'... ve . ;.. i ? .: roof-top mounted Photovoltaic Solariinstallation PanelSystem. 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: VetOth;Ctrkj,..} This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name:Kelly Battaglia Date:01/03/2018 * 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 • BUILDING DIVISION IN _ Over-The-Counter (OTC) Building & Fire Protection System Permit TIGARD Appointment Checklist ro Permit Record#: 16v` , 5 — o �� Contact Name: .&E-LLy ? -?7 Lle9 Phone #: £p.3— .2�e/— F.5-6 Q Business Name: l'74-,(i-E7Vy/," Appt. Date/Time: s2/i e /O,w e'i Site Address: /e,2,„2 e ç ) / 1(,e 2e6 Bldg/Suite #: 5-3 D Project Name: 19-G -.0 9 ,0_c New Tenant? ❑ Yes AV No Project Description: 77 / p-72.. A/6W A 9-t- S ^/ALJ dfl2 .,¢n/a 41.E-AJZl7- . Existing Use: ©��? C►,,�- New Use: t7/ F-(G- MMD Required: ❑ Yes No Related Record#: :" ,-. c .0 "j a , o+ucfe? c T �,.w aViri�41 i v „ ioi i0,0' t . phi rii 6G2= GENERAL INFORMATION Class of Work: Ar\L Occupancy Group: Type of Construction: ) Ii Type of Use: Occupancy Load: 4 Oregon Specialty Code: j 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: S: N: S: Occupancy Separation: E: W: E: W: Access.Parking Spaces: REQUIRED ITEMS Fire Sprinklers: \/ o�--S 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: $ '14;0. 2Y %fi �1 IEd . . $--- DC Prov Rvw,COM TI—Ping $ ) 4 . 7S Permit Fee—Add,Alt,Demo DC Provision Review Fee for COM TI (effective 7/1/2018) $ )7 . ci',J 12%State Surcharge Project Valuation $ q 7 .3 14 Plan Review,Structural Up to$4,999 $0.00 $ —q. g•0 Plan Review,Fire Life Safety $5,000-$74,999 $98.00 $ G , 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 $ Metro Construction Excise Tax $ School Construction Excise Tax $ Hourly Rate Fee $ Hourly Rate State Surcharge $ Misc.Admin Fee $ Other: Building Staff: $ Other: Date/Time: $.330. 9c, TOTAL FEES DUE I:\Building\Forms\OTC_BUP_FPS_070118.docx City of Tigard 1111 1 COMMUNITY DEVELOPMENT DEPARTMENT ■ T1cARo Building Permit Review — Commercial - No Land Use Building Permit #: t(P,A 0 —66002-- Site ;6002_Site Address: l0'P v Sup �,e,e,,,4,,c, WcJ Suite/Bldg#: 630 Project Name: A6 soQ,,ps (Name of commerekal business occupying the space. If vacant,enter Spec Space.) Planning Review / /off/ Proposal: 7Prlo4T �iyloroPetri on74- ei Gti41/ Existing Business Activity: ©-a lGe Proposed Business Activity: ('a7C 2 Verify site address/suite#exists and active in permit system. River Terrace Neighborhood: ❑ Yes 4fr—No 'Zoning: , V E- 12'Permitted Use: -Er Yes ❑ No ❑ Spec Space .B--Confirm no land use required. "Er-Business License: Exists: ❑ Yes ❑ No,applicant notified to obtain business license Notes: Approved by Planning: / Date: 1/9/7 Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved 0 Not Approved Building Permit Submittal Original Submittal Date: , Site Plans: # _ Building Plans: # Building Permit#: I'`nter building permit#above. Workflow Routing: /1/ Planning e wilding Workflow Sign-off: G Sign-off for Planning(include notes fro planning review) Route Application Documents: 7 Building: original permit application, site plans,building plans,engineer and beam calculations and trust details,if applicable,etc. Notes: By Permit Technician: ,i ,. `4.4.1,/, `_ Date: I J.T2 )J 7 r I:\Building\Forms\BldgPermitRvw_COM NoLandUse 060116.docx Permit Coordinator Review ❑ Conditions "Met"prior to issuance of building permit 0 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 pplicant: -Revision Notice 3: Date Sent to Applic. - ❑ SDC Fees Entered: Wash Co Tra.: ley Tax: ❑ Yes ❑ N/A Tigard T T . s SDC: ❑ Yes ❑ N/A P. -'SDC: ❑ Yes ❑ N/A ❑ OK to Issue Permit Approved by Per, it Coordinator: Date: I:\Building\Forms\BldgPermitRvw_COM_NoLandUse_070915.docx