Permit 114 y q CITY OF TIGARD BUILDING PERMIT
2 ' COMMUNITY DEVELOPMENT Permit#: BUP2015-00221
T t G AR@ 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 07/22/2015
Parcel: 1 S135AB01003
Jurisdiction: Tigard
Site address: 10300 SW GREENBURG RD 370
Project: Epic Land Solutions Subdivision: METZGER,TOWN OF Lot: 9
Project Description: TI-Existing tenant expanding into adjoining suite.
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:
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 07/22/2015 $88.00
Occupancy Grp: B Occupancy Load: 23 Permit Fee-Additions,Alterations, 07/22/2015 $438.74
Demolition
Dwelling Units: 0 12%State Surcharge-Building 07/22/2015 $52.65
Stories: 5 Height: 0 ft Plan Review 07/22/2015 $285.18
Bedrooms: 0 Bathrooms: 0 Plan Review-Fire Life Safety 07/22/2015 $175.50
Value: $23,994 Info Process/Archiving-Lg$2.00(over 07/22/2015 $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 $1,046.07
Required: Required Items and Reports(Conditions)
Fire Sprinkler: No 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
952-001-0 u 952-001-0e•'. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issu d 8y: - X,,i / Permittee Signature: C
/
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 RECEIVED FOR OFFICE USE ONLY
City of Tigard Received: O� ,. S ) Permit N .. c9-2 i
III • 13125 SW Hall Blvd.,Tigard,OR 99r/1,50 2 2 2015 Plan Review I �m �1u / ~�
g Plan Review
Phone: 503.718.2439 Fax: 503.5 Date/By: I f 2 1 Other Permit:
I I t:t Inspection Line: 503.639.4175 Date Ready/By: kris: ® See Page 2 for
Internet: www.tigard-or.gov t CITY OF-"1'IGARO Notified/Method: Supplemental Information
BUILDING DIVISION
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: $
❑Accessory building ❑Multi-family
Number of bedrooms:
❑Master builder ❑Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address 101)00 S t C1 VIM`e .l�,t New dwelling area: square feet
City/State/ZIP:Portland,OR 97223 --"11 Garage/carport area: square feet
Suite/bldg./apt.no.�'7 C) I Project name: L t j;t l.,;1, &.0-
-pli.4.,-h�D vt.0 1- 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.
Valuation: $$23,994.00
,p.v pmt in}� c�4 a.al 411/r" "�-%. (A)0 V`(� Existing building area: --,.,. square feet
1✓1�c y(,t,A; :iv(-Lit S t p(„pa/S iA.re( -t C‘t..6(.14,t14A, New building area: ., square feet
® PROPERTY OWNER I ❑ TENANT J Number of stories: 9
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
0 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:lrohde @mcknze.com PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
CONTRACTOR Commercial and residential prescriptive installation of
roof-top mounted PhotoVoltaic Solar Panel Syste
Business name:Russell Construction Submit two )sets. ..f plan with Conn: '. details
Address:20915 SW 105th Ave and fire department acces , • ong wi - 2010 Oregon
Solar Installation Specialty C.• • : klist. •
City/State/ZIP:Tualatin,OR 97062 Permit fee(includes . revi $180.00
and admi ': ative fees):
Phone:(503)692-9002 Fax:(503)692-9008 State surcharge ".of permit fee): $21.60
CCB lic.:58918 Total .- due upon application: $201.60
Authorized signature: ( I2 This pe l' application expires if a permit is not obtained
v within 1:1 days after it has been accepted as complete.
Print name:Lauren Rohde I Date:07/22/15 * Fee meth..ology set by Tri-County Building Industry
Service Board.
I:\Building\Permits\BUP-COM PermitApp.doc 02/24/2011 440-4613T(I 1/02/COM/WEB)
711 ■ City of Tigard
• COMMUNITY DEVELOPMENT DEPARTMENT
T 1 G A R U Building Permit Review — Commercial - No Land Use
Building Permit #: Att P96I5=e02-9'f
Site Address: I 'd♦ az , i Ar_ ! /Suite/Bldg#: .--r�
Project Name: E—p1e Lf '/a..
(Name of commercial business occupying the space. If vacant,enter Spec Space.)
Planning Review
Proposal: 4 'j.S70 ;l -��(p ! ii'17b /UZ/ e)f7 .v_fi7'
Existing Business Activity: •it r
Prop sed Business Activity: �'Ce
IG Veri site address suite#exists and active in permit s st .
Verify � p
river Terrace Neighborhood: El Yes IQ No
emng: /Y/GIB —
rmined Use: U'Yes ❑ No ❑ Spec Space
Er C nfrm no land use required.
Business License:
Exists: Yes ❑ No,applicant notified to obtain business license
Notes:
Approved by Planning: Date: C.s'/A h 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 l
Original Submittal Date: 8.9-/'C
Site Plans: #
Building Plans: #
Building Permit#: ErEnter building permit#above.
Workflow Routing: P flanning 't ator g
Workflow Sign-off: ,,0'S -off for Planning(incl�tes 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:
By Permit Technician: A l`_ 1 , Date: '7 }-/r
I: 070915.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:
❑ SDC Fees Entered: Wash Co Trans Dev Tax: ❑ Yes ❑ N/A
Tigard Trans SDC: ❑ Yes ❑ N/A
Parks SDC: ❑ Yes ❑ N/A
❑ OK to Issue Permit
Approved by Permit Coordinator: Date:
I:\Building\Forms\BldgPermitRvw_COM_NoLandUse_070915.docx
, . li
IN Building Division
Over-The-Counter (OTC) Building Permit
r rGARD Check List
Project Description: I
GENERAL INFORMATION
Class of Work*: ilk(ter Occupancy Group: Type of Construction: r-
Type of Use**: ,{_ Occupancy Load: ."2-S Oregon Specialty Code: - 20(L
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: N n 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: $ 2?J ri4-L FEES DUE
$ ' ..00 DC Prov Rvw,COM TI—Ping
$ d v , (4 Permit Fee—Add,Alt,Demo
DC Provision Review Fee for COM TI(effective 7/1/2015) $ '' 4' 12%State Surcharge
Project Valuation Planning $ 29,5, (ej Plan Review,Structural
Up to$4,999 $0.00 $ 17S,' Plan Review,Fire Life Safety
$5,000-$74,999 $88.00 $ to,( Info Proc/Arch,Lg(over 11x17$2.00)
$75,000-$149,999 $220.00 $ _ Info Proc/Arch,Sm(up to 11x17$0.50)
$150,000 and over $351.00 $ Metro Construction Excise Tax
$ School Construction Excise Tax
$ Hourly Rate Fee
$ Hourly Rate State Surcharge
$ Misc.Admin Fee
$ Other:
$ Other:
$ Other:
Building Staff: $ Other:
Date/Time: $ 04,07 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_070115.docx