Permit (168) 11111 311: CITY OF TIGARD BUILDING PERMIT
COMMUNITY DEVELOPMENT Permit#: BUP2016-00323
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 11/15/2016
T fes' ` ' 9 Parcel: 1 S126DC03300
Jurisdiction: Tigard
Site address: 9900 SW GREENBURG RD 110
Project: Server Logic Subdivision: LEHMANN ACRE TRACT Lot: 4-5
Project Description: Office addition and reconfiguration
Contractor: ROBERT TODD CONSTRUCTION INC Owner: ATHERTON REALTY PARTNERSHIP
4080 SE INTERNATIONAL WAY 8113 2100 S WOLF
MILWAUKIE, OR 97222 DES PLAINES, IL 60018
PHONE: 503-653-5704 PHONE:
FAX: 503-653-5729
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: VB DC Provision Review,COM TI-Ping 11/15/2016 $224.00
Occupancy Grp: B Occupancy Load: 65 Permit Fee-Additions,Alterations, 11/15/2016 $1,299.23
Demolition
Dwelling Units: 0 12%State Surcharge-Building 11/15/2016 $155.91
Stories: 2 Height: 0 ft Plan Review 11/15/2016 $844.50
Bedrooms: 0 Bathrooms: 0 Plan Review-Fire Life Safety 11/15/2016 $519.69
Value: $131,239 Info Process/Archiving-Lg$2.00(over 11/15/2016 $10.00
11x17)
Metro Const.Excise Tax 11/15/2016 $157.49
Floor Areas:
Total Area: 5287
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $3,210.82
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 fort in OAR
952-001-0 roug R 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.19: or 1.800.332./44.
Issued : 0/ Permittee Signature: /.
Call 503.639.4175 by 7:00 a.m.for the next available inspection ate.
This permit card shall be kept in a conspicuous place on the job site until completion of the projec
Approved plans are required on the job site at the time of each inspection.
Building Permit Application
Commercial REcyj
I` FOR OFFICE USE ONLY
' City} of Tigard Date,sea , m f liv,Pao 6,-00 3,13
II g Permit No.:
13125 SW Hall Blvd.,Tigard,OR 97223 N()V 15try
_ Phone: 503.718.2439 Fax: 503.598.1960 2016 Plan Review Date/B : AR sa� � Other Permit:
TI G A R D Inspection Line: 503.639.4175 P',,' x f, Date Ready/: : Juris: El See Page 2 for
Internet: www.tigard-or.gov t"^ c0/(o T Notified/Method: Supplemental Information
TYPE OF WORK , REQUIRED DATA:1-AND 2-FAMILY DWELLING,
0 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:TI 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:
0 Master builder 0 Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address:9900 SW Greenburg Road New dwelling area: square feet
City/State/ZIP:Tigard,OR 97223 Garage/carport area: square feet
Suite/bldg./apt.no.:110 Project name:Server Logic TI Covered porch area: square feet
Cross street/directions to job site:SW Greenburg,SW Coral Street Deck area: square feet
Other structure area: square feet
REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision: Lot no.: Permit fees*are based on the value of the work performed.
Tax map/parcel no.: 1S126DC03300 Indicate the value(rounded to the nearest dollar)of all
equipment,materials,labor,overhead,and the profit for the
DESCRIPTION OF WORK work indicated on this application.
t a.._,..„, `�� Valuation: $131,239.00
i(e.--
UJl Existing building area: 5,285 square feet
New building area: 0 square feet
® PROPERTY OWNER 0 TENANT Number of stories: 2
Name:Cushman Wakefield,Grace McNeilly Type of construction: TYPE V-B
Address:200 SW Market St,Suite 200 Occupancy groups:
City/State/ZIP:Portland,OR 97201 Existing: B
Phone:(503)380-4033 Fax:( ) New: B
0
APPLICANT ►1 CONTACT PERSON BUILDING PERMIT FEES*
Business name:LRS Architects (Please refer to fee schedule)
Structural plan review fee(or deposit):
Contact name:Kelsey Luscombe
FLS plan review fee(if applicable):
Address:720 NW Davis,#300
City/State/ZIP:Portland,OR 97209 Total fees due upon application:
Phone:(503)221-1121 Fax: :( ) Amount received:
E-mail:kluscombe@lrsarchitects.com PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
CONTRACTOR Commercial and residential prescriptive installation o
roof-top mounted Photo Voltaic Solar Panel Sys .
Business name:Robert-Todd Construction Submit 2)sets of roof plan with co ton details
and fire depa it access,along w' e 2010 Oregon
Address:4080 SW International Way,Suite B-113 Solar Installation Sp- shy Cs,• checklist.
City/State/ZIP:Milwaukee,OR 97222 Permit fee(inclu. `. .n review
and inistrative -s): $180.00
Phone:(503)653-5704 Fax:( ) State surc .ge(12%of permit fee): $21.60
CCB lic.:98517
Total fee due upon application: 01.60
Authorized signature: 3 This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name:Kelsey Luscombe Date: 11.01.2016 * Fee methodology set by Tri-County Building Industry
Service Board.
I:\Building\Permits\BUP-COM PennitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
City of Tigard • BUILDING DIVISION
Over-The-Counter (OTC) Building & Fire Protection System Permit
Appointment Checklist
Permit Record#: ?3 .c.P 9-b 1 to-OD 3 a-3
Contact Name: f,�'c, Phone#: T -/ 3
Business Name: Gies .--a., '_RAppt. Date/Time: // ,,"..
Site Address: cNNO) 5W (P ee.v, ry Bldg/ uite #: /fv
Project Name: S /c✓' c
Project Description: / iW 7e.A1
!> SG d iu,✓ d re.co-V'icfg'L,r7ii
Existing Use: New Use: ,63,
MMD Required: 0 Yes d-NE• Related Record#:
GENERAL INFORMATION
Class of Work: /\LA Occupancy Group: f3 Type of Construction:
Type of Use: COV Occupancy Load: ( ." Oregon Specialty Code: 2,6'.
SPECIFICS
Number of Stories: 2- 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: .5.z7 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: t 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: $ IS,
$ DC Prov Rvw,COM TI—Ping
$ 1246.2.- Permit Fee—Add,Alt,Demo
DC Provision Review Fee for COM TI(effective 7/1/2016) $ 12%State Surcharge
Project Valuation $ y Plan Review,Structural
Up to$4,999 $0.00 $ �"j z Plan Review,Fire Life Safety
$5,000-$74,999 $90.00 $ • /I510 Info Proc/Arch,Lg(over 11x17$2.00)
$75,000-$149,999 $224.00 $ Info Proc/Arch,Sm(up to 11x17$0.50)
$150,000 and over $357.00 $ ( J at Metro Construction Excise Tax
$ School Construction Excise Tax
$ Hourly Rate Fee
$ Hourly Rate State Surcharge
$ Misc.Admin Fee
$ Other:
Building Staff: $ Other:
Date/Time: $ 3 2(Oc CDTAL FEES DUE
I:\Building\Forms\OTC_BUP_FPS_070116.docx
City of Tigard
111 4' COMMUNITY DEVELOPMENT DEPARTMENT
TIGARD Building Permit Review — Commercial - No Land Use
Building Permit #: � A P c62/ -DC:) a-3
Site Address: 5)5)00 (a ) �/ 0/44/ p Suite/Bldg#: I/O
Project Name: S.e(W ' e Ci
(Name of commercial bus' e, occupying the space. If vacant,enter Spec Space.)
Planning Review
Proposal: 7// /Ze 7-PB...2,171—
...2, ' '
Existing Business Activity: `
Proposed Business Activity:
Verify site address/suite# exists and active in permit syst�.
0 .ver Terrace Neighborhood: CI Yes No
oning:
Vermitted Use: Yes ❑ No ❑ Spec Space
firm no land use required.
Business License:
Exists: [IQ Yes ❑ No,applicant notified ed to obtain business license
Notes:
Approved by Planning: < Date: -- /141--J/
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: ❑ Approved ❑ Not Approved
Revision 3: El Approved ❑ Not Approved
Building Permit Submittal
Original Submittal Date: ///5"-X�p
Site Plans: # 3
Building Plans: # 3
Building Permit#: inter building permit#above.
Workflow Routing: Planning Per ii cea;cll ,.2 Building
Workflow Sign-off: 17—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: 0-7-0—
By Permit Technician: CD, 0-60Date: //57//-6
I:\Building\Forms\BldgPermitRvw COM_NoLandUse 060116.docx
Permit Coordinator Review
❑ Conditions "Met"prior to issuance of building permit
❑ Approved,NOT Released: Date:----
Notes:
Revisions (after Building Submi• : only)
Revision Notice 1: .to Sent to Applicant:
Revision Notice 2• Date • t to Applicant:
Revision No ' e 3: Date Sent to • •.licant:
❑ SDC Fees - ntered: Wash Co Trans Dev Tax: IN Yes ❑ N/A
Tigard Trans SDC: CI CIN/A
Parks SDC:
CI ■
❑ OK to Issue Permit
Approved by Permit Coordinator: Date:
1:\Building\Forms\BldgPermitRvw_COM NoLandUse_070915.docx
13125 SW Hall Blvd.
Tigard, OR 97223
City of Tigard
Location:
9900 SW GREENBURG RD 110, TIGARD, OR,
97223
Record Type:
Commercial - Building
Inspection Type:
299 Final inspection
Result:
PASS -CofO
Comments:
Violation Summary:
Inspector
Tel: 503.718.2439
Inspection Date:
Record ID:
BUP2016-00323
Inspector:
Chip Barnett
Contractor