Permit „ CITY OF TIGARD BUILDING PERMIT
`7 R COMMUNITY DEVELOPMENT Permit#: BUP2015 00088
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 04/01/2015
Parcel: 1 S135AB00900
Jurisdiction: Tigard
Site address: 10200 SW GREENBURG RD 400
Project: Bridgewell Resources Subdivision: METZGER,TOWN OF Lot: 9
Project Description: TI for existing tenant. Work includes demolition inside suite and corridor,new walls,and new doors.
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 04/01/2015 $187.00
Occupancy Grp: B Occupancy Load: 170 DC Provision Review,COM TI-LRP 04/01/2015 $28.00
Permit Fee-Additions,Alterations, 04/01/2015 $1,166.35
Dwelling Units: 0 Demolition
Stories: 7 Height: 0 ft 12%State Surcharge-Building 04/01/2015 $139.96
Bedrooms: 0 Bathrooms: 0 Plan Review 04/01/2015 $758.13
Value: $109,452 Plan Review-Fire Life Safety 04/01/2015 $466.54
Info Process/Archiving-Lg$2.00(over 04/01/2015 $18.00
11x17)
Floor Areas: Metro Const.Excise Tax-Commercial 04/01/2015 $131.34
Use
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $2,895.32
Required: Required Items and Reports(Conditions)
Fire Sprinkler: 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: / 1 Permittee Signature: lijem
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 RECEIVE.
FOR OFFICE USE ONLY
City of Tigard Da _
Date/B /j y 1J Permit No.: / ` r• i
rifill
" 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Re
Phone: 503.718.2439 Fax: 503.598.1960 APR 1 201 Date B : .41. M%��itR� Other Permit:
TIGARD Inspection Line: 503.639.4175 Rate Rea. ' See page 2 for
Internet: www.tigard-or.gov CITY OF TIGA•_Date 9`i- Supplemental Information
BUILnING DIVISI•
TYPE OF WORK REQUIRED DATA:1-AND 2-FAMILY DWELLING
❑ 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 ❑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: $
ID Accessory building ❑Multi-family
Number of bedrooms:
El Master builder ❑Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address:5 Lincoln-10200 SW Greenburg Road New dwelling area: square feet
City/State/ZIP:Portland,OR 97223 Garage/carport area: square feet
Suite/bldg./apt.no.:400 Project name:Bridgewell Resources 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: I 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.
Full floor expansion and interior TI for an exist 11,611 sf tenant on 4th of 7 Valuation: $$109,452.00
floors.Exist tenant to expand an additional 5,303 sf.Work includes demolition Existing building area: 11611 square feet
inside suite and corridor,new walls,doors,relites and cabinetry. New building area: 16914 square feet
® PROPERTY OWNER ❑ TENANT Number of stories: 7
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)412-4902 Fax:(503)412-4903 New: B
® APPLICANT ❑ CONTACT PERSON BUILDING PERMIT FEES*
Business name:Mackenzie (Please refer to fee schedule)
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:Irohde @ mcknze.com
PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
CONTRACTOR Commercial and residential prescriptive installation of
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 lic.:58918 Total fee due upon application: $201.60
Authorized signature: 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:04/01/15 * Fee methodology set by Tri-County Building Industry
Service Board.
I:\Building\Permits\BUP-COM PermitApp.doc 02/24/2011 440-46131(11/02/COM/WEB)
City of Tigard
III COMMUNITY DEVELOPMENT DEPARTMENT
■
T I G A R D Building Permit Review — Commercial - No Land Use
Building Permit #: /rl,9Pj/5-,-6wde
Site Address: I p 200 SW C rein burg R a, Suite/Bldg#: A 00
Project Name: 13rid9e,0,e ti Re s Ourc¢S
(Name of commercial business occupying the space. If vacant,enter Spec Space.)
Planning Review
Proposal: FIJI I Irtoor e X pc4 r l i o n 610 c _ i n Or TL r-v r y di_
Existing Business Activity: tYl aN S tY-1 (►..L /al 0(-ti L .
Proposed Business Activity: 1 v)(1A/i -h t`rk,l, / Q (6,i ifl_
0 Verify site address/suite#exists and active in permit system.
—B–River Terrace Plan District ❑ Yes ❑ No
0 zoning: MVEI--
, 'Permitted Use: 'Yes ❑ No ❑ Spec Space
Confirm no land use required.
Business License:
Exists: ❑ Yes ❑ No,applicant notified to obtain business license
Notes:
Approved by Planning: o i Z G A_— ( t( . LG�-&. Date: '4/ I / 15
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: 7'Its
Site Plans: # AM}
Building Plans: # —
Building Permit#: GCE er building permit#above.
Workflow Routing: planning ❑ Permit Coordinator Ca'lding
Workflow Sign-off: U—5rgn-off for Planning(include notes from planning review)
Route Application Documents: ding. original permit application,site plans,building plans,engineer and
beam calculations and trust details,if applicable,etc.
Notes: O Z
By Permit Technician: Date: lf/ /i>----
1:1Building\Forms\BldgPermitRvw_COM_NoLandUse 031015.docx
Permit Coordinator Review
❑ Conditions "Met"prior to issuance of building permit
❑ 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:
❑ OK to Issue Permit
Approved by Permit Coordinator: Date:
I:\Building\Forms\BldgPermitRvw_COM_NoLandUse 031015.docx
71 Building Division
Over-The-Counter (OTC) Building Permit
TIGARI)
Check List
Project Description: l c
APPLICATION SPECIFIC INFORMATION
GENERAL INFORMATION
Class of Work*: Occupancy Group: e Type of Construction: `20
Type of Use**: ` Occupancy Load: r7 ) Oregon Specialty Code: 't4,_
SPECIFICS
Number of Stories:
7 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: q A T
Total Project Valuation: $ [D I 1` 2 rC0 FEES DUE
l $ fre ,,, DC Prov Rvw,COM TI—Ping
$ 1, /- DC Prov Rvw,COM TI—LRP
DC Provision Review Fee for COM TI(effective 7/1/2014) $ Irf r , ak Permit Fee—Add,Alt,Demo
Project Valuation Planning LRP $ Et _ 12%State Surcharge
Up to$4,999 $0.00 $0.00 $ 7 ,t( Plan Review,Structural
$5,000-$74,999 $75.00 $11.00 $ Altir Plan Review,Fire Life Safety
$75,000-$149,999 $187.00 $28.00 $ tg,a Info Proc/Arch,Lg(over 11x17$2.00)
$150,000 and over $299.00 $44.00 $ Info Proc/Arch,Sm(up to 11x17$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:
Date/Time: $ 2895'32TOTAL 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
Location:
Record Type:
Inspection Type:
Result:
Comments:
Inspection Date:
Record ID:
Inspector:
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
10200 SW GREENBURG RD 400, TIGARD, OR,
97223
Commercial - Building
299 Final inspection
PASS - No C of O
BUP2015-00088
Jeff Grove
Violation Summary:
Inspector Contractor