Permit (186) CITY OF TIGARD BUILDING PERMIT
1111
COMMUNITY DEVELOPMENT Permit#: BUP2016-00335
TICn:'1J D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 12/06/2016
Parcel: 1 S 135AB04500
Jurisdiction: Tigard
Site address: 10250 SW GREENBURG RD 215
Project: Variant Subdivision: 1991-055 PARTITION PLAT Lot: 1
Project Description: TI for new tenant: New walls and doors.
Contractor: Owner: LINCOLN CENTER LLC
BY SHORENSTEIN PROPERTIES LLC
555 CALIFORNIA ST 49TH FL
SAN FRANCISCO, CA 94104
PHONE: PHONE:
FAX:
Specifics: FEES
Description
Type of Use: COM Date Amount
Class of Work: ALT Type of Const: IIB DC Provision Review,COM TI-Ping 12/06/2016 $90.00
Permit Fee-Additions,Alterations, 12/06/2016 $520.07
Occupancy Grp: B Occupancy Load: 13
Dwelling Units: 0 Demolition
12%State Surcharge-Building 12/06/2016 $62.41
Stories: 3 Height: 0 ft
Plan Review 12/06/2016 $338.05
Bedrooms: 0 Bathrooms: 0
Plan Review-Fire Life Safety 12/06/2016 $208.03
Value: $30,261 Info Process/Archiving-Lg$2.00(over 12/06/2016
11x17) $4.00
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $1,222.56
Required: Required Items and Reports(Conditions)
Fire Sprinkler: Yes Parapet:
Fire Alarm: Protected Corridors:
Smoke Detectors: Manual Pull Stations:
Accessible Parking: 0
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will
be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180
days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952-001-0010 through OAR 952-001-0090. You may obtain a c e rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By:
Permittee Signature: Cav /�'d.A- Li /
1503.639.4175 by 7:00 a.m.for the next available inspection date. ��
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Building Permit Application
Commercial 1FOR OFFICE USE ONLY
City of Tigard8,1CON
Received 1 ����j
.1,1 . Plan Ai�i�5'�iEr�' Permit No.: y „.,'cit. ( 4.
13125 SW Hall Blvd.,Tigard,OR 9722 �Q�� Plan Revises j
C Phone: 503.718.2439 Fax: 503.598.1960 /" Other Permit:
( Da[eB
TI G A R n Inspection Line: 503.639.4175 '0--C°Ni Date Read"�_��� ® See Page 2 for
Internet: www.tigard-or.gov r$% * Ready
irtii 7r
k �� tea fied/Method: � ., ' �� "r!/ Supplemental Information
TYPE OF WORKK REQUIRED DATA:1-AND 2-FAMILY DWELLING
El New construction ❑DemolitionPermit fees*are based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
®Addition/alteration/replacement El 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: $
EIAccessory building ElMulti-familyNumber of bedrooms:
EI Master builder 111 Other:
Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address:4 Lincoln-10250 SW Greenburg Road New dwelling area: square feet
City/State/ZIP:Portland,OR 97223 Garage/carport area: square feet
Suite/bldg./apt.no.:215 Project name:Variant • 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.
Tax map/parcel no.: 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.
Work to include demolition,new walls,doors and relites and cabinetry Valuation: $30,261
Existing building area: 1,214 square feet
New building area: 1,214 square feet
® PROPERTY OWNER 0 TENANT Number of stories: 3
Name:Shorenstein
Type of construction: I-B
Address:One SW Columbia Street Suite 500
Occupancy p y 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)
Contact name:Chloe Kirchhofer Structural plan review fee(or deposit):
Address:1515 SE Water Ave Suite 100 FLS plan review fee(if applicable):
City/State/ZIP:Portland,OR 97214 Total fees due upon application: / ..
Phone:(503)224-9560 Fax: :(503)228-1285 Amount received:
E-mail:kford@mcknze.com PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
CONTRACTOR Commercial and residential prescriptive installation of
roof-top mounted Photo Voltaic Solar Panel System.
Business name:Russell Construction Submit two(2)sets of roof plan with connection details
Address:20915 SW 105th Ave and fire department access,along with the 2010 Oregon
Solar Installation Specialty Code checklist.
City/State/ZIP:Tualatin,OR 97062 Permit fee(includes plan review
and administrative fees): $180.00
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: glida Vtitpcikhaitik This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name:Chloe Kirchhofer Date:12/06/2016 * Fee methodology set by Tri-County Building Industry
Service Board.
I:\Building\Petmits\BUP-COM PermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
City of Tigard
a COMMUNITY DEVELOPMENT DEPARTMENT
1111
T 1 c a R o Building Permit Review — Commercial - No Land Use
Building Permit #: OG9
Site Address: i02 Y- ri V)'Z Suite/Bldg#: 2,,6
Project Name: \Jiik y lit
(Name of commercial business occupying the space. If vacant,enter Spec Space.)
Planning Review
Proposal: 'T, —r\iI 'JVD��S ( ars 1 iQ)', -- S ((1vi GGt
Existing Business Activity: j%lts
Proposed Business Activity: of6 to
Verify site address/suite# exists and active in permit system.
River Terrace Neighborhood: El Yes No
g(Zoning: V Gil
--
Permitted Use: Yes ❑ No El Spec Space
Confirm no land use required.
Business License:
Exists: ❑ Yes No,applicant notified to obtain business license
Notes:
Approved by Planning: ki-viV) A, 12174-- Date: t 2—i( C I(P
Revisions (after Building Submittaaonly) Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: ❑ Approved El Not Approved
Revision 3: El Approved ❑ Not Approved
Building Permit Submittal
Original Submittal Date: /4/6//t/
Site Plans:
Building Plans: # — �
Building Permit#: ❑ Enter building permit#above.
Workflow Routing: SPI nning ❑ Permit Coordinator �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: � - Date: /i(1/4,
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 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 El N/A
Tigard Trans SDC: ❑ Yes El N/A
Parks SDC: ❑ Yes ❑ N/A
❑ OK to Issue Permit
Approved by Permit Coordinator: Date:
I:\Building\Fonns\BIdgPermitRvw_COM No1_andUse_070915.docx
City of Tigard • BUILDING DIVISION
Over-The-Counter (OTC) Building & Fire Protection System Permit
Appointment Checklist
Permit Record#: ar,, /6--co'33$
Contact Name: L � Phone #: P5:53—(3,.,1-957.00
Business Name: {teaAppt. Date/Time: /a/� @ 09:60 PPI
Site Address: ( 2-50 ,�,,�j,a Bldg/Suite#: a i5
Max-Project Name:
Project Description: •-ALLL) .LOSL01 0e-6..4_,o 1 c 0 '
-. A C `�
Existing Use: New Use: 1J .
MMD Required: ❑ YesNo Related Record#:
GENERAL INFORMATION
-.).4
Class of Work: ¢� r�i�/\ Occupancy Group: Type of Construction: L,
Type of Use: ( Occupancy Load: Oregon Specialty Code: O .
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: 12. 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: c' 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: $ ` 10, 2C C
$ DC Prov Rvw,COM TI—Ping
$ 2e),® Permit Fee—Add,Alt,Demo
DC Provision Review Fee for COM TI(effective 7/1/2016) $ # r t 12%State Surcharge
Project Valuation $ Review,Structural
Up to$4,999 $0.00 $ _`�f, dta - 'Ian Review,Fire Life Safety
$5,000-$74,999 $90.00 $ A dwai, 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 $ Metro Construction Excise Tax
$ School Construction Excise Tax
$ Hourly Rate Fee
$ Hourly Rate State Surcharge
$ Misc.Admin Fee
$ Other:
Building Staff: $ Other:
Date/Time: $ ( ZOTAL FEES DUE
I:\Building\Forms\OTC_BUP_FPS_070116.docx
13125 SW Hall Blvd.
Tigard, OR 97223
City of Tigard
Location:
10250 SW GREENBURG RD 215, 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:
BUP2016-00335
Inspector:
Jeff Grove
Contractor