Permit n CITY OF TIGARD BUILDING PERMIT
ill I ' COMMUNITY DEVELOPMENT Permit#: BUP2015-00252
TIGARD ARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 08/20/2015
Parcel: 1S 135AB00900
Jurisdiction: Tigard
Site address: 10200 SW GREENBURG RD 700
Project: Somerset Investment Subdivision: METZGER,TOWN OF Lot: 9
Project Description: TI for new tenant to Tigard:Demolition with new walls and 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 Permit Fee-Additions,Alterations, 08/20/2015 $696.39
Demolition
Occupancy Grp: B Occupancy Load: 82 12%State Surcharge-Building 08/20/2015 $83.57
Dwelling Units: 0 Plan Review 08/20/2015 $452.65
Stories: 7 Height: 0 ft Plan Review-Fire Life Safety 08/20/2015 $278.56
Bedrooms: 0 Bathrooms: 0 Info Process/Archiving-Lg$2.00(over 08/20/2015 $8.00
Value: $46,530 11x17)
DC Provision Review,COM TI-Ping 08/20/2015 $88.00
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $1,607.17
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 s or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By:
‘....d.... /
Permittee Signature: 1
� UC . 9.4175 by 7:00 a.m.for the next available inspec n 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.
1111111 ' Building Division
I I vkn
Over-The-Counter (OTC) Building Permit
(i
Check List
Project Description:
.:_ti.�.,...s.:.: APPLICATION SPECIFIC INFORMATION
GENERAL INFORMATION
Class of Work*: N T- Occupancy Group: -3 Type of Construction: '2&
C'-
Type of Use**: D1jtA Occupancy Load: ,2 Oregon Specialty Code: -zoo
SPECIFICS C
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: yea Fire Alarms: Smoke Detectors:
Sprinkler Type: t Alarm Type: Protected Corridors:
Standpipe Required: Pull Stations Required: Parapet:
Hazard Group: Battery Calcs Provided:
Density: Cut Sheets Provided:
Design Area:
K Factor: --��pp��
Total Project Valuation: $ i5,�v.Cr) FEES DUE
$ '0,00 DC Prov Rvw,COM TI-Ping
$ .. ; Permit Fee-Add,Alt,Demo
DC Provision Review Fee for COM TI(effective 7/1/2015) $ 12%State Surcharge
Project Valuation $ Z,VDPlan Review,Structural
Up to$4,999 $0.00 $ ? r. lan Review,Fire Life Safety
$5,000-$74,999 $88.00 $ 0 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: / ' $ ((c,C1.-1,17 T TAL FEES DUE
*TYPE OF USE: COM=commercial;CMS=commercial manufact�i red_siructure. _-
**CLASS Oh.WORK A.2=accessory;ADD=addition;ADU=accessory dwelling unit;ALT=alteration;DEM=demo;NEW=new;
O lR=otheilik for fe_ Ldecks,retaining walls,signs,awnings or canopies).
I:\Building\Forms\OTC_BUP_070115.dooc
Building Permit Application
Commercial FOR OFFICE USE ONLY
Received
City of Tigard Received
' « a `N s_ ;
DateB : S. n Folder't ._a 6--"` _
IIIII
• 13125 SW Hall Blvd.,Tigard,OR 9722 Plan Review r
Phone: 503.718.2439 Fax: 503.598.1960 Date/I3 : In AV ��� Other Penn
I I t, \IM Inspection Line: 503.639.4175 AUG 2 0 2015 Date Ready/13y: ® See page 2 for
Internet: www.tigard-or.gov Notified/Method: it / Iota Supplemental Information
CITY Cr_ TGARD
TYPE OF iitifiEDING 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.
❑ I-and 2-family dwelling ®CommerciaUindustrial Valuation: $
❑ Accessory building El Multi-family Number of bedrooms:
III Master builder ❑Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address:Five 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.:700 I Project name:Somerset Investment 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.8,156 SF Valuation: $$46,530.00
tenant on the 7th of 7 floors.Work to include demolition,new walls,doors and Existing building area: 8156 square feet
relites,and new cabinetry. New building area: 8156 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: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 105''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 lie.:58918 , n 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:08/19/2015 * Fee methodology set by Tri-County Building Industry
Service Board.
I:1Building\Permits\BUP-COM PermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
11
Ili City of Tigard
■
COMMUNITY DEVELOPMENT DEPARTMENT
T 1 G A R[ Building Permit Review — Commercial - No Land Use
Building Permit #: 0/1)490/S--C6 a
Site Address: it /00.40o (Nee el Suite/Bldg#: /00
Project Name: Jr_crrlvsoA , veSim oil IS
(Name of commercial business occupying the space. If vacant,enter Spec Space.)
Planning Review
Proposal: ee. 72-
Existing Business Activity: Or-C
Proposed Business Activity: cC.
Verify site address/suite# exists and active in permit system.
❑ River Terrace Neighborhood: ❑ Yes No
tSC Zoning: A If c
Permitted Use: yes ❑ No ❑ Spec Space
,SK Confirm no land use required.
❑ Business License:
Exists: ❑ Yes ?No,applicant notified to obtain business license
Notes:
Approved by Planning: Date: r--(7)G- '/-
Revisions(after Building Sub ittal only) Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: ❑ Approved ❑ Not Approved
Revision 3: 0 Approved ❑ Not Approved
Building Permit Submittal
Original Submittal Date: SYDVPS"'
Site Plans: # /e
Building Plans: # 3
Building Permit#: er uilding permit#above.
Workflow Routing. Manning ❑ Permit Coordinator B—ding
Workflow Sign-off: 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: __
By Permit Technician: r��G Date: rA,/'S—
1:\Building\Fotms\BldgPennitRvw_COM_N o Land U se_0709 15.doc x
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:
L:\Building\Forms\BldgPermitRvw_COM_NoLandUse_070915.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 700, TIGARD, OR,
97223
Commercial - Building
299 Final inspection
PASS - No C of O
BUP2015-00252
Jeff Grove
Violation Summary:
Inspector Contractor