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Permit f _ n CITY OF TIGARD BUILDING PERMIT COMMUNITY DEVELOPMENT Permit#: BUP2016-00125 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 04/07/2016 Parcel: 1 S 135AB01004 Jurisdiction: Tigard Site address: 10220 SW GREENBURG RD 640 Project: Old Republic Subdivision: METZGER,TOWN OF Lot: 9 Project Description: TI for existing tenant:Demolition and construction of a new demising wall. 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: IB DC Provision Review,COM TI-Ping 04/07/2016 $88.00 Occupancy Grp: B Occupancy Load: 14 Permit Fee-Additions,Alterations, 04/07/2016 $453.95 Demolition Dwelling Units: 0 12%State Surcharge-Building 04/07/2016 $54.47 Stories: 6 Height: 0 ft Plan Review 04/07/2016 $295.07 Bedrooms: 0 Bathrooms: 0 Plan Review-Fire Life Safety 04/07/2016 $181.58 Value: $24,110 Info Process/Archiving-Lg$2.00(over 04/07/2016 $4.00 11x17) Floor Areas: Total Area: 0 Accessory Struct: 0 Basement: 0 Carport: 0 Covered Porch: 0 Deck: 0 Garage: 0 Mezzanine: 0 Total $1,077.07 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 copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1 332.2344. Issued By: f' Permittee Signature: fr64j1( ' 39 639.4175 by 7:00 a.m.for the next available inspea' 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. Building Permit Application pp Commercial FOR OFFICE USE ONLY City of Tigard 1C)4Received , Date/B 7/C+ ow Permit No.:z , : - 'III 2 ■ 13125 SW Hall Blvd.,Tigard,OR 97223 ` PlanROther Permit 503.718.2439 Fax: 503.598.1960 Date/B : Inspection Line: 503.639.4175 p l ' TIGARD Date Read /B � ® See ragee 2 for Internet: www.tigard-or.gov n Notified/Method:1� .rr ' Supplemental Information ormation l )`` Oki ,Pa`. TYPE OF WORK �� REQUIRED DATA:1-AND 2-FAMILY DWELLING .. y(c. Q Q ❑New construction 0 De y��" Permit fees*are based on the value of the work performed. Q � Indicate the value(rounded to the nearest dollar)of all ®Addition/alteration/replacement ❑Ot r: 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 0 Multi-family Number of bedrooms: ❑Master builder 0 Other: Number of bathrooms: JOB SITE INFORMATION AND LOCATION Total number of floors: Job site address:2 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.:640 Project name:Old Republic 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 to include interior tenant improvements for an existing tenant on Valuation: $$24,110.00 the 6th of 6 floors.Work to include demolition,new demising wall and new Existing building area: 1336 square feet cabinetry. New building area: 1336 square feet ® PROPERTY OWNER 0 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 ® APPLICANT 0 CONTACT PERSON BUILDING PERMIT FEES* (Please refer to fee schedule) Business name:Mackenzie Structural plan review fee(or deposit): Contact name:Lauren Rohde FLS plan review fee(if applicable): Address:1515 SE Water Ave Suite 100 Total fees due upon application: City/State/ZIP:Portland,OR 97214 Amount received: Phone:(503)224-9560 Fax: :(503)228-1285 E-mail:lrohde@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: 62Afil--e" Thiswipermit apdays expires has beef a permit isnotcoobtained within 180 days after it has been accepted as complete. Print name:Lauren Rohde Date:04/07/2016 * Fee methodology set by Tri-County Building Industry Service Board. I:\Building\Permits\BUP-COM PermitApp.doc 02/24/2011 440-4613T(I l/02/COM/WEB) City of Tigard 1 v COMMUNITY DEVELOPMENT DEPARTMENT ■ TIGARD Building Permit Review — Commercial - N o Land Use e„ Building Permit #: 04o711/<v--( jl `- Site Address: 10120 9W Greenburo, Rd. Suite/Bldg#: 6140 Project Name: Nein Republic (Name of commercial business occupying the space. If vacant,enter Spec Space.) Planning Review Proposal: -TI +p redu,Gt, e i siin 1-ena + space., Existing Business Activity: ice, Proposed Business Activity: j .e/ Verify site address/suite# exists and active in permit system. River Terrace Neighborhood: ❑ Yes No FA Zoning: AUE-1 iermitted Use: NYes ❑ No ❑ Spec Space Zig onfirm no land use required. Business License: / Exists: ❑ Yes l 1 No,applicant notified to obtain business license Notes: Approved by Planning: Tim Leirlitoadn Date: \-1116 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: Lt/7A' Site Plans: # ,iv/4- Building Plans: # 3 Building Permit#: E--Enter building permit#above. Workflow Routing: 1 ing ❑ Permit Coordinator eH3tding Workflow Sign-off: t ff 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: OTC_ By Permit Technician: s —`�cir1F.--- - Date: il7A, I:\Building\Forms\BldgPermitRvw_COM_NoLandUse_07o915.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 0 N/A Tigard Trans SDC: ❑ Yes ❑ N/A Parks SDC: ❑ Yes ❑ N/A ❑ OK to Issue Permit Approved by Permit Coordinator: Date: I:\Building\Fonns\BldgPermitRvw_COM_NoLandUse 07091 5.docx City of Tigard • BUILDING DIVISION ei IN I Over-The-Counter (OTC) Building & Fire Protection System Permit I l i, \RI) Appointment Checklist Permit Record#: 84/26,20i(p--(tel aS` Contact Name: AA-C 4., Phone #: -214-q t Business Name: 1..{0.C, �� .}ta., Appointment Date: q/i//& /O.eOm Site Address: (perp "al-0"al-0 C f .,n�u„�q l•&, Bldg/Suite Lc..(�� Project Name: Q 1✓ p�.h E �1 Project Description: _ • i, a a• a •„ Existing Use: Oinil,PL New Use: 0[1;x, o MMD Required: ❑ Yes No Related Record #: (� APPLICATION SPECIFIC INFORMATION GENERAL INFORMATION . _ Class of Work: Occupancy Group: Type of Construction: l�j Type of Use: C_L,.54, Occupancy Load: t 4 Oregon Specialty Code: 2,::)f 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: 7 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: $ 724A1) . '-) FEES DUE $ C DC Prov Rvw,COM TI—Ping $ 4110110010 ermit Fee—Add,Alt,Demo DC Provision Review Fee for COM TI (effective 7/1/2015) $ , 12%State Surcharge Project Valuation $ "I'‘' 1 Plan Review,Structural Up to$4,999 $0.00 $ Ian Review,Fire Life Safety $5,000-$74,999 $88.00 $ illtdi 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: Building Staff: $ Other: $ Date/Time: 2C??IC'7 T TAL FEES DUE r . /_— I:\Building\Forms\OTC_BUP_FPS_020916.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 10220 SW GREENBURG RD 640, TIGARD, OR, 97223 Commercial - Building 299 Final inspection PASS - No C of O BUP2016-00125 Jeff Grove Violation Summary: Inspector Contractor