Permit CITY OF TIGARD BUILDING PERMIT
11111 COMMUNITY DEVELOPMENT Permit#: BUP2015-00062
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 03/12/2015
Parcel: 1 S135AB04500
Jurisdiction: Tigard
Site address: 10250 SW GREENBURG RD 101
Project: Bike Storage Subdivision: 1991-055 PARTITION PLAT Lot: 1
Project Description: TI-Interior space improvements to create bike storage facility for building tenants.
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
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: IIB DC Provision Review,COM TI-Ping 03/12/2015 $75.00
Occupancy Grp: B Occupancy Load: 8 DC Provision Review,COM TI-LRP 03/12/2015 $11.00
Permit Fee-Additions,Alterations, 03/12/2015 $423.53
Dwelling Units: 0 Demolition
Stories: 3 Height: 0 ft 12%State Surcharge-Building 03/12/2015 $50.82
Bedrooms: 0 Bathrooms: 0 Plan Review 03/12/2015 $275.29
Value: $22,022 Plan Review-Fire Life Safety 03/12/2015 $169.41
Info Process/Archiving-Lg$2.00(over 03/12/2015 $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 $1,011.05
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. ATTE • • Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952-001 :110 through O•- 952-0• 800. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Iss ed By: & A Permittee Signature: /
Call 503.639.4175 by 7:00 a.m.for the next available inspecti• •ate.
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 RECEIVED FOR OFFICE USE ONLY
II -
City of Tigard Received
y g DateB v j Permit No.: �L�O�/5��Q&'y•• 13125 SW Hall Blvd.,Tigard,OR 97 !i, . 12 2015 Plan Review yet
Phone: 503.718.2439 Fax: 503.598. *74 Date/B : Other Permit:
TIGARD Inspection Line: 503.639.4175 CITY OF TIGARD Date Rea."" : lurks: 10 See Page 2 for
Internet: www.tigard-or.gov BUILDING DIVISION Notified/Method: Supplemental Information
TYPE OF WORK REQUIRED DATA:1-AND 2-FAMILY DWELLING
❑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
0 Addition/alteration/replacement ❑Other: equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
❑ 1-and 2-family dwelling ®Commercial/industrial Valuation: $
❑Accessory building ❑Multi-family Number of bedrooms:
❑Master builder ID Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION 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.:101 Project name:Bike Storage Facility 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:COMMERCIAL-USE CHECKLIST
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
DESCRIPTION OF WORK work indicated on this application.
Scope of work for the project includes interior space improvements for an Valuation: $22,022
approx.862 sq ft tenant on the l't of 3 floors.Work includes demolition,new Existing building area: 862 square feet
walls,door,cabinetry and fixtures. New building area: 862 square feet
0 PROPERTY OWNER 1 ❑ TENANT Number of stories: 3
Name:Shorenstein Type of construction: I-B
Address:One SW Columbia Street Suite 500 Occupancy groups:
City/State/ZIP:Portland,OR 97258 Existing: B
Phone:(503)4124902 Fax:(503)4124903 New: B
0 APPLICANT ❑ CONTACT PERSON BUILDING PERMIT FEES*
fer Business name:Mackenzie incase r t0fuu*°ii)
Structural plan review fee(or deposit):
Contact name:Lauren Rohde
FLS plan review fee(if applicable):
Address:1515 SE Water Ave Suite 100
City/State/ZIP:Portland,OR 97214
Total fees due upon application:
Phone:(503)224-9560 Fax::(503)228-1285
Amount received:
E-mail:lrohde @mcknze.com PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
Commercial and residential prescriptive installation of
CONTRACTOR 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 I $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: 62,LC( This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name:Lauren Rohde Date:03/12/15 * Fee methodology set by Tri-County Building Industry
Service Board.
I:1BuildinglPermits\BUP-COM PermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
114 City of Tigard
■
COMMUNITY DEVELOPMENT DEPARTMENT
T 1 G A R D Building Permit Review - Commercial - No Land Use
Buildin g Permit #: Pa-0i 5 -CDZ
Site Address: /0-50 ea'o C044.40/1aitg4 AD Suite/Bldg#: /O/
Project Name: 7. k L -�-pt'a
(Name of commercial business occupyitig the space. If vacant,enter Spec Space.)
Planning Review
Proposal: L n4Erto^ T.WI p(ow-e∎YYNitirl#S +i eyl SfiY)9
Co re)(V -co / In ci yr hi at we
Existing Business Activity: CAD VYI Ana-L.i 4k t t rcLu S 4—r RI.
Proposed Business Activity: UM')rn.Q/z A L i nOW fl-v- X.
, 1 Verify site address/suite#exists and active in permit system.
River Terrace Plan District ❑ Yes ❑ No
%Zoning: (VI Li G
g-Permitted Use: i"es ❑ No ❑ Spec Space
Confirm no land use required.
Business License:
Exists: ❑ Yes ❑ No,applicant notified to obtain business license
Notes:
Approved by Planning: t(Nel0 Vvi-c ti (i it o AD u Date: '/ i 2/ 1 S
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: f/A//
Site Plans: # 5
Building Plans: # '3
Building Permit#: Er—Enter building permit#above. �
Workflow Routing: [a'Planning 2 r 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:
I
By Permit Technician: ` , ..,f � . �, Date: /9/5--
I:\Building\Forms\BldgPerm itRvw_COM_NoLandUse_030415.docx
Permit Coors! • tor Review
❑ Conditions Met-Pri• to Issuance of Building Permit
❑ Approved,NOT Releas• s: 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:
❑ OK to Issue Permit
Approved by Permit Coordinator: Date:
1:Building\Forms\BldgPermitRvw_COM_NoLandUse 020415.docx
Building Division
Over-The-Counter (OTC) Building Permit
I It, \R [)
�--( Check List
Project Description: l
APPLICATION SPECIFIC INFORMATION
GENERAL INFORMATION `
Class of Work*: 1.� Occu.an . Grou.: Type of Construction: ..
Tre of Use**: r/e�- Occu.an Load: Ws-s _ Oregon Specialty Code: f
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: 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: $ 22) 027-- I FEES DUE
$ 75,Cr) DC Prov Rvw,COM TI–Ping
$ 1 I , CO DC Prov Rvw,COM TI–LRP
DC Provision Review Fee for COM TI(effective 7/1/2014) $ A2 r Permit Fee–Add,Alt,Demo
Project Valuation Planning LRP $ —Mar 12%State Surcharge
Up to$4,999 $0.00 $0.00 $ '‘...–,417.- ` Plan Review,Structural
$5,000-$74,999 $75.00 $11.00 $ MI Plan Review,Fire Life Safety
$75,000-$149,999 $187.00 $28.00 $ Memo Info Proc/Arch,Lg(over 11x17$2.00)
$150,000 and over $299.00 $44.00 $ Info Proc/Arch,Sm(up to I 1x17$0.50)
$ Metro Construction Excise Tax
$ School Construction Excise Tax
$ Hourly Rate Fee
$ Hourly Rate State Surcharge
$ Misc.Admin Fee
$ Other
$ Other.
Building Staff: $ Other:
(d l( •cam"
Date/Time: $ Igo TOTAL FEES DUE
*TYPE OF USE: COM=commercial;CMS=commercial manufactured structure.
**CLASS OF WORK ACS=accessory;ADD=addition;ADU=accessory dwelling unit;ALT=alteration;DEM=demo;NEW=new;
OTR=other(use for fences,decks,retaining walls,signs,awnings or canopies).
I:\Building\Forms\OTC_BUP_070114.docx
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
10250 SW GREENBURG RD 101 , TIGARD, OR,
97223
Record Type: Record ID:
Commercial - Building BUP2015-00062
Inspection Type: Inspector:
299 Final inspection Jeff Grove
Result:
PASS - CofO
Comments:
Violation Summary:
Inspector Contractor