Permit CITY OF TIGARD BUILDING PERMIT
•
II ' COMMUNITY DEVELOPMENT Permit#: BUP2015-00230
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 07/30/2015
Parcel: 1 S 135AB01002
Jurisdiction: TIGARD
Site address: 10220 SW GREENBURG RD 551
Project: Apex Systems Subdivision: METZGER,TOWN OF Lot: 9
Project Description: TI for existing tenant:New walls,doors,and relocated doors.
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 07/30/2015 $88.00
Occupancy Grp: B Occupancy Load: 54 Permit Fee-Additions,Alterations, 07/30/2015 $575.17
Demolition
Dwelling Units: 0 12%State Surcharge-Building 07/30/2015 $69.02
Stories: 6 Height: 0 ft Plan Review 07/30/2015 $373.86
Bedrooms: 0 Bathrooms: 0 Plan Review-Fire Life Safety 07/30/2015 $230.07
Value: $35,076 Info Process/Archiving-Lg$2.00(over 07/30/2015 $8.00
11x17)
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $1,344.12
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 cop • - -s or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: - •ermittee Signature: L\sziE-
all 503.639.4175 by 7:00 a.m.for the next available inspec n date. J\
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 I t)R OFFICE USE ONLY
City of Tigard RECEIVED Received 7 0 /C..' Per„i No
• 13125 SW Hall Blvd.,Tigard,OR 97223 Date/B : . n Folder' ��/� ",j S - ��
g Plan Review
Phone: 503.718.2439 Fax: 503.598.1963u L 3 0 2015
Date/B : ♦�� Other Permit:
� �l l 1 i a� Inspection Line: 503.639.4175 J1 Date Ready : ® Page 2 for
Internet: www.tigard-or.gov
CITY OF TIGARD Notified/Method: ;f� �/� Supplemental Information
t-
TYPE 441NC DIVISION
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:Three 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.:551 I Project name:Apex Systems 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 includes interior tenant improvements for an approx.5,354 SF Valuation: $$35,076.00
existing tenant on the 5th of 6 floors.Work to include demolition,new walls, Existing building area: 5354 square feet
doors and relocated doors/relites. New building area: 5354 square feet
0 PROPERTY OWNER ❑ TENANT Number of stories: 6
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 I Fax::(503)228-1285
Amount received:
E-mail:hohde@mcknze.com PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
• Commercial and residential prescriptive installation of
CONTRACTOR roof-top mounted Photo Voltaic 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: (, 41014
This permit application expires if a permit is not obtained
Uwithin 180 days after it has been accepted as complete.
Print name:Lauren Rohde Date:07/30/2015 * Fee methodology set by Tri-County Building Industry
Service Board.
1:1BuildingWermits\BUP-COM PennitApp.doc 02/24/2011 440-4613T(1I/02/COM/WEB)
1111 City of Tigard
■
COMMUNITY DEVELOPMENT DEPARTMENT
T 1 G A R Il Building Permit Review — Commercial - No Land Use
Building Permit #: 0,90;01s--2.,,,093,
Site Address: /() 2.2/O04.2A SW (,►teen ‘,,,i Suite/Bldg#: 35 l
Project Name: 4104ex 7-T
(Name of coifimercial business occupying the space. If vacant,enter Spec Space.)
Planning Review _
Proposal: ( h e /(64)115,4404-41 - -/I 4o✓It4. / 7-7, off
Existing Business Activity: (,/ce
Proposed Business Activity: Mice, - 46 GIw ,i. 4.,,,,,
1E Verify site address/suite#exists and active in permit yste .
❑ River Terrace Neighborhood: ❑ Yes XNNo
❑ Zoning: ,/f t/I -
• ermitted Use: y.j Yes ❑ No ❑ Spec Space
Confirm no land use required.
❑ Business License:
Exists: ❑ Yes ❑ No,applicant notified to obtain business license
Notes:
Approved by Planning: i ." Date: 7—& —/S---
Revisions (after Building Su u mittal 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 /c
Site Plans: # /V f}
Building Plans: # —
Building Permit#: ❑ Enter building permit#above. ,�
Workflow Routing. Inning �rmit Coordinator N�tiutlding
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: or-c-
By Permit Technician: i�� Date: 7/�d/,j
1:\Building\Forms\BldgPermitRvw_COM_No Land tisc_0709I 5.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
Building Division
Over-The-Counter (OTC) Building Permit
T I GAR D Check List
Project Description: Ti
GENERAL INFORMATION
Class of Work*: Occu i an Grou.: =NM Type of Construction:
Type of Use**: f Occupancy Load: • _ Oregon Specialty Code: "20A—
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: l �"J 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: $ �7�r-g= FEES DUE
$ , /C)DC Prov Rvw,COM TI—Ping
$ �j.t7 Permit Fee—Add,Alt,Demo
DC Provision Review Fee for COM TI(effective 7/1/2015) $ ',OZ 12%State Surcharge
Project Valuation Planning $ Plan Review,Structural
Up to$4,999 $0.00 $ 22�.07 Plan Review,Fire Life Safety
,
$5,000-$74,999 $88.00 $ C:27 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: $ td344-,12_ 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;
O"IR=other(use for fences,decks,retaining walls,signs,awnings or canopies).
I:\Building\Forms\OTC_BUP_070115.docx