Permit (140) CITY OF TIGARD BUILDING PERMIT
I ' COMMUNITY DEVELOPMENT Permit#: BUP2019-00117
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 05/07/2019
T t C;;E R n9 Parcel: 1 S135AB01002
Jurisdiction: Tigard
Site address: 10220 SW GREENBURG RD 235
Project: Randstad Subdivision: METZGER,TOWN OF Lot: 9
Project Description: Work to include demolition,new wall,door,and finishes.
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 DC Provision Review,COM TI-Ping 05/07/2019 $98.00
Occupancy Grp: B Occupancy Load: 26 Permit Fee-Additions,Alterations, 05/07/2019 $241.01
Demolition
Dwelling Units: 0 12%State Surcharge-Building 05/07/2019 $28.92
Stories: 0 Height: 0 ft Plan Review 05/07/2019 $156.66
Bedrooms: 0 Bathrooms: 0 Plan Review-Fire Life Safety 05/07/2019 $96.40
Value: $11,000 Info Process/Archiving-Lg$2.00(over 05/07/2019 $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 $626.99
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. Yo may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: /1/ /_ /_
L......" Permittee Signature: 1 ���
,o0„/„..7,00 ..
Call 503.639.4175 by 7:00 a.m.for the next available inspection ate. 17 iti
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
City of Tigard Received J / P /
1111 q 13125 SW Hall Blvd.,Tigard,OR 97223 Date' :
Pl
, 75' / li ��, //
111 g Dan Review �'" G 4 /
Phone: 503.718.2439 Fax: 503.598.196 Date/By: Other Permit:
T I G A R D Inspection Line: 503.639.4175 MAY 7 2019 Date Ready/By: Juris: El See Page 2 for
Internet: www.tigard-or.gov Notified/Method: Supplemental Information
CITY OF T1�Q
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❑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
work tndicat d onth
this application.CATEGORY OECONRUCTION
❑ 1-and 2-family dwelling ►1 Commercial/industrial Valuation: $
❑Accessory building 0 Multi-family Number of bedrooms:
❑Master builder 0 Other: Number of bathrooms:
JOB SITU INFORMATION"1NT3LOCATION
Total number of floors:
Job site address:3 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.:235 Project name:Randstad 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
REQUIREDDATA CU.At �USR CIIfECK1;.IST i'
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,
overhead,and theprofit for the
DE CRIPTQ1+ QE.WORK: work indicatedon this application.
Work to include demolition,new wall,door and finishes Valuation: $11,000
Existing building area: 2540 square feet
New building area: 2540 square feet
0 PRO OWNEI+ T %1 AI iT Number of stories: 6
Name:Shorenstein Type of construction: I-B
Address:5800 Meadows Road,Suite 240 Occupancy groups:
City/State/ZIP:Lake Oswego,OR 97035 Existing: B
Phone:(503)412-4800 Fax:(503)412-4903 New: B
1'''.4 APPLICANT CONNIT. CT P.E N P. TtMIT F F$
�UII.D
Business name:Mackenzie
[iteler*rf scledi,1e,};
Structural plan review fee(or deposit):
Contact name:Kelly Battaglia
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:kbattaglia@mcknze.com
PHOTOVQLTATC:SOLAR PANEL SYSTEM 1?EPS h '
Commercial and residential prescriptive installation of
COl!ITi A TO1 ,.....
i : , . ,..._; i 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
�. ►_ This permit application expires if a permit is not obtained
Authorized signature: VI// r'
���� wry within 180 days after it has been accepted as complete.
Print name:Kelly Battaglia Date:05/06/2019 * Fee methodology set by Tri-County Building Industry
Service Board
I:\Building\Pennits\BUP-COM PermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
City of Tigard • BUILDING DIVISION
la
_' Over-The-Counter (OTC) Building & Fire Protection System Permit
I l c A 1:1) Appointment Checklist
Permit Record#: CX)//?
Contact Name: � Phone#: 7� � 7,
•Business Name: c A t Date/Time: S
2r� pp •
Site Address: kdd..p 45-1 j 6ZZ.t.bzi ,, Bldg/Suite #: -
Project Name: izc.0( New Tenant? 0 Yes ! 'o
Project Description: dzy-vhji?.4,4v1
Existing Use: New Use:
MMD Required: 0 Yes Related Record#:
APPLICATION SPECIFIC INFORMATION
GENERAL INFORMATION
Class of Work: As.I Occupancy Group: A
Type of Construction: 1
Type of Use: Occupancy Load: Oregon Specialty Code: AO/C1
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: yrs Fire Alarms: Smoke Detectors:
Sprinkler Type: 6 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: $ //d&v, M
$ f'Z.c DC Prov Rvw,COM TI—Ping
$ a t .U` Permit Fee—Add,Alt,Demo
Project Valuation l T ; c,4 Plan Review,Structural
Up to$4,999 $0.00 $ "tr. 7o Plan Review,Fire Life Safety
$5,000-$74,999 $98.00 $ (o'.Up 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/Tine .4 5 TOTAL FEES DUE
I:\Building\Forms\O'rC._BUP FPS 070118.doac
City of Tigard
gi
COMMUNITY DEVELOPMENT DEPARTMENT
T1cARD Building Permit Review — Commercial - No Land Use
Building Permit #: ga6V 60/77
Site Address: 1022,E S \/ 61 rekAn b Orr-) e. rQ.Suite/Bldg#: 23$
Project Name: R ono(
o( S ttn G(
(Name of commercial business occupying the space. If vacant,enter Spec Space.)
Planning Review
Proposal: fe.,r►42,r T
Existing Business Activity: 6 Cc,'
02,
Proposed Business Activity: i? G'Ir1 C'l
Verify site address/suite# exists and active in permit system.
River Terrace Neighborhood: ❑ Yes ie. No
7 Zoning: M'J E - 1
Permitted Use: ❑ Yes ❑ No ❑ Spec Space
VI Confirm no land use required.
71 Business License:
Exists: ib Yes ❑ No,applicant notified to obtain business license
Notes:
Approved by Planning: /')kg--A,•- . Date: 7 /1 cj
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: ❑ Approved ❑ Not Approved
Revision 3: El Approved ❑ Not Approved
Building Permit Submittal _
Original Submittal Date: Ej 7-//T
Site Plans: #
Building Plans: #
BuildingPermit#: -'
nter butldtn permit#above.
Workflow Routing: / lanning e • a it Building
Workflow Sign-off: n Sign-off for lanning(include notes from anning 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:
L•\Building\Fonns\BldgPennitRvw_COM NoLandUse 060116.docx
Permit Coordinator Review
E Conditions "Met"prior to issuance of building permit
❑ Approved,NOT Released: ate:
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 Applica•
❑ SDC Fees Entered: Wash Co Tra. I ev Tax: ❑ Yes ❑ N/A
Tigard •ns SDC: ❑ Yes ❑ N/A
P. -s SDC: ❑ Yes ❑ N/A
❑ OK to Issue Permi
Approved b 'ermit Coordinator: Date:
I:\Building\Forms\BldgPernutRvw_COM NoLandUse 070915.docx
City of Tigard
Tel: 503.718.2439
Location: Inspection Date:
10220 SW GREENBURG RD 235, TIGARD,
OR, 97223
Record Type: Record ID:
Commercial - Building BUP2019-00117
Inspection Type: Inspector:
299 Final inspection Jeff Grove
Result:
PASS - NoCofO
Comments:
Violation Summary:
Inspector Contractor