Permit � n CITY OF TIGARD BUILDING PERMIT
I COMMUNITY DEVELOPMENT Permit#: BUP2015 00166
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 06/16/2015
Parcel: 1 S135AB03400
Jurisdiction: Tigard
Site address: 10260 SW GREENBURG RD 400
Project: Regus HQ Global Subdivision: METZGER,TOWN OF Lot: 9
Project Description: TI for existing tenant:New wall construction for office space.
Contractor: TODD HESS BUILDING CO Owner: LINCOLN CENTER LLC
9414 SW BARBUR BLVD SUITE 150 BY SHORENSTEIN PROPERTIES LLC
PORTLAND,OR 97219 235 MONTGOMERY ST, 16TH FLOOR
SAN FRANCISCO, CA 94104
PHONE: 503-220-5953 PHONE:
FAX: 503-222-2670
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: IIB DC Provision Review,COM TI-Ping 06/16/2015 $75.00
Occupancy Grp: B Occupancy Load: DC Provision Review,COM TI-LRP 06/16/2015 $11.00
Permit Fee-Additions,Alterations, 06/16/2015 $164.96
Dwelling Units: 0 Demolition
Stories: 0 Height: 0 ft 12%State Surcharge-Building 06/16/2015 $19.80
Bedrooms: 0 Bathrooms: 0 Plan Review 06/16/2015 $107.22
Value: $5,500 Plan Review-Fire Life Safety 06/16/2015 $65.98
Info Process/Archiving-Sm$0.50(up to 06/16/2015 $2.50
11x17)
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $446.46
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 c••4 • - • - or direct questions to OUNC by calling 503. .1987 or 1.800.332.2344.
Issued By: A _ Permittee Signature: 4.
t� jam 1��i ///, -/..dik
^07
9.4175 by 7:00 a.m.for the next available ins•,ctio i • to.
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 Pert4titlication
h i City of-Portland, Oregon - Bureau of Development Services
__s/ r 1900 SW 4th Avenue,Portland,Oregon 97201•503-823-7310•TTY 503-823-6868•www.portlandoregon.govlbds
Type of work Office Use Only
❑New construction Addition/alteration/replacement Permit no: et tPao!S o - /_/
❑Demolition ❑Other: Date received: W�61/6 r 1rP W
Category of construction By: 1`� Li(6(v-
❑1 &2 family dwelling A Commercial/industrial ❑Accessory building
❑Multifamily ❑Master builder ❑Other: Required Data: One and Two Family Dwelling
Job site information and location Permit fees'are based on the value of the work per-
formed.Indicate the value(rounded to the nearest dollar)
Job no.Q.1j 03—' Job address: ` 0 Z(00 5LJ c3 9..eef.)3u 0..6-- 12, of all equipment,materials,labor,overhead,and the profit
for the work indicated on this application.
City/State/ZIP: Pc Rr L, b d r2 9 2 Z Z 3
Suite/bldg./apt.no.: 1-f TT4Fuzi Project name: RE SRECEIVED Valuation:
umber of bedrooms:
pp
Cross street/directions tb site: 1U N 1 6 2015 Number of bathrooms:
Total number of floors:
Subdivision. Lot no. Tax mar •CSI OF TIGAI� w dwelling area: square feet
.i I.TANG DIVISi D 9 q
Description of work Garage/carport area: square feet
Deft` F n‘ 511 0 Cr— S tfo+2 w ttr..� t D co�� eu(L Covered porch area: square feet
Deck area: square feet
New w za 5e e,4rza-T R N e -) or-Ft c r.c • -Other structure area: square feet
W i i1tg- U trtfr S W t T-Ct4) f N 5 rive.-k- I t4 c--- L& Gt+'- Required Data: Commercial Use
s w i rCt4. Prkl*-1 r t 24i3 gee_ ,SASE Permit fees*are based on the value of the work per-
formed.Indicate the value(rounded to the nearest dollar)
Provide RS Permit no. of all equipment,materials,labor,overhead,and the profit
11/
Property owner CI Tenant for the work indicated on this application.
Valuation: 55 00
Name: Re. S E-mail:
Existing building area: square feet
Address: '0 i.e.,"0 Sw G-P eet 8u(, ,( ' e D New building area: square feet
City/State/ZIP: PoizA—Zdt-. D 0 6 Ci 7 2_2. Number of stories:
Phone: 5 03 - 7_9 3 S coo o I FAX: Type of construction:
Owner installation:This installation is being made on property that I own,which is not intended for sale,lease,rent, Occupancy groups
or exchange. Existing:
Owner signature: Date: New
• Contractor Notice
Business name: 'D5 E-mail: All contractors and subcontractors are required to be
licensed with the Oregon Construction Contractors Board
Address: 944 v.( s w 8�G(t 8(.90 under ORS 701 and may be required to be licensed in the
City/State/ZIP: PO(LrTLAi� 2 9 7 z( 9 jurisdiction in which work is being performed.
Statement of Fact:I certify that the facts and information
Phone: SD 3 2.1./..) S 9 S 3 I FAX: So 3 12.2_ i5 70 set forth in this application are true and complete to the
best of my knowledge.I understand that any falsification,
CCB lic.no. a 6 g z misrepresentation or omission of fact(whether intentional or
not)in this application or any other required document,as welt
Authorized signature: / '' as any misleading statement or omission,may be cause for
revocation of permit and/or certificate of occupancy,regardless
Print name: B�lair -�e ( Date: �p - ( `( 5 of how or when discovered.
I♦ Applicant • Contact Person I acknowledge that work related to this Building Permit
/� Application may be subject to regulations governing the
Business name: To DD -53 iJ u) L.D t N(,._ c� handling,removal and/or disposal of asbestos and/or lead-
based name: based paint.If the work is subject to regulations governing
fiel`t7J D c r3 5 E(JL`l,1J asbestos and/or lead-based paint,I will comply with all such
Address: 1(,.(I 5 w �fQ r3(A l,_ a L U J regulations. (initials)
11 Building Permit Fees*
City/State/ZIP: 2. D CD 2 el 7 Z i q Please refer to fee schedule
Phone: So 3 Z-20 59 5 3 I FAX: S o 3 Z 2 Z Z S 7 cj Fees due upon application
E-mail: r . Amount received
h QiYt� t�dd 1 e55 b l di. co L t�
Date received
Authorized signature: �-,_A.
/ �/ 7 This permit a pp lication expires if a
permit is not obtained
Print name: Alai 8,046E Date: —/
within 180 days after it has been accepted as complete.
insp_permitapp_building 10/06/14
111111 ' Building Division
Over-The-Counter (OTC) Building Permit
ilk, \RI)
Ti heck List
Project Description: l I
GENERAL INFORMATION
Class of Work*: iNt,T- : Occupancy Group: 15 Type of Construction: -7Jo
Type of Use**: COAL Occupancy Load: Oregon Specialty Code: 2U(-
SPECIFICS
Number of Stories: ('7j 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 it-le
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: $ '5c 22 FEES DUE
$ 16,.00 DC Prov Rvw,COM TI—Ping
$ ( , • DC Prov Rvw,COM TI—LRP
DC Provision Review Fee for COM TI(effective 7/1/2014) $ :r. , Permit Fee—Add,Alt,Demo
Project Valuation Planning LRP $ ,a• 12%State Surcharge
Up to$4,999 $0.00 $0.00 $ • .4 Plan Review,Structural
$5,000-$74,999 $75.00 $11.00 $ ', p•' Plan Review,Fire Life Safety
$75,000-$149,999 $187.00 $28.00 $ Info Proc/Arch,Lg(over 11x17$2.00)
$150,000 and over $299.00 $44.00 $ '250 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: $ 444C,..41-C, TOTAL FEES DUE
'YPE OF USETTE NI=c+";mercial;CMS-278Mind man
**CLASS O F WQItK:..,AGs_accessory;ADD=addition;ADU=accessory dwelling unit;ALT=alteration;DEM=demo;NEW=new;
,retaining walls,signs,awnings or canopies).
I:\Building\Forms\OTC_BUP_070114.docx
City of Tigard
4 COMMUNITY DEVELOPMENT DEPARTMENT
—
`_ Building Permit Review - Commercial - No Land Use
11 ( : \ I: 1)
Building Permit #: ,ayl/ i/c=a)/(pc,
Site Address: 16 2. 00 Sw 6(re_n by rO . Suite/Bldg#:
Project Name: R6 5 V S
(Name of commercial business occupying the space. If vacant,enter Spec Space.)
Planning Review
Proposal: .1 Ilierio r -1--(X)U✓ i- •1 M pc v_triQAn t-s
Existing Business Activity: 0 C I Lt. CO(f rrit.e .(at
Proposed Business Activity: 0(,(^'(e 00+"1 Iry„j-U eak r1 0 c_k e4 Y1 ,e ( r1 vac
ae
)Z Verify site address/suite#exists and active in permit system.
.E1---River Terrace Plan District ❑ Yes /`-' No
O Zoning: M U E - i
2 Permitted Use: 0 Yes ❑ No ❑ Spec Space
.6 Confirm no land use required.
ABusiness License:
Exists: "Yes ❑ No,applicant notified to obtain business license
Notes:
Approved by Planning: m i `0 n CG r3 I I 0 tk e&kA.. Date: 6/i CO / ( 5
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: 67/rv�/s
Site Plans: #
Building Plans:Building Permit#: PL- ter building permit#above.
Workflow Routing: D-155;7 ing PkVerinit Coordinator 0—Trading
Workflow Sign-off: 0. 3ign-off for Planning(include notes from planning review)
Route Application Documents: la-Su i g : original permit application,site plans,building plans,engineer and
beam calculations and trust details,if applicable,etc.
Notes: On_
By Permit Technician: —_ _ c __ — Date: b 74//5"-
I:\Building\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:
L\Bui(ding\Forms\BIdgPermitRvw_COM_NoLandUse_031015.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
10260 SW GREENBURG RD 400, TIGARD, OR,
97223
Commercial - Building
299 Final inspection
PASS - C of O
BUP2015-00166
Chip Barnett
Violation Summary:
Inspector Contractor