Permit (27) ti CITY OF TIGARD BUILDING PERMIT
. '' COMMUNITY DEVELOPMENT Permit#: BUP2017-00143
T t ARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 06/08/2017
Parcel: 1S135AB01002
Jurisdiction: Tigard
Site address: 10220 SW GREENBURG RD 415
Project: Spec Space Subdivision: METZGER,TOWN OF Lot: 9
Project Description: TI for future tenant:Minor demolition,new walls,doors,relites,exterior glazing panels,and modifications to exterior
pavers.
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: Permit Fee-Additions,Alterations, 06/08/2017 $619.25
Demolition
Occupancy Grp: Occupancy Load: 12%State Surcharge-Building 06/08/2017 $74.31
Dwelling Units: 0 Plan Review 06/08/2017 $402.51
Stories: 0 Height: 0 ft Plan Review-Fire Life Safety 06/08/2017 $247.70
Bedrooms: 0 Bathrooms: 0 Info Process/Archiving-Lg$2.00(over 06/08/2017 $6.00
Value: $40,000 11x17)
DC Provision Review,COM TI-Ping 06/08/2017 $90.00
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $1,439.77
Required: Required Items and Reports(Conditions)
Fire Sprinkler: Parapet:
Fire Alarm: Protected Corridors:
Smoke Detectors: Manual Pull Stations:
Accessible Parking: 0
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work'will
be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180
days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: ,:_____71.,,,, ,....,...1/4_,T---
(----------� - •• i•nature: 641,e'f
'
INIP 111111.'
Call 5$•..3•., 5 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.
L. --
Building Permit Application
Commercial acco
, FOR OFFICE USE ONLY
CIt OfTl and Received
Y g DateB s /� j Permit No.: / ��
lig - " 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review
Other Permit:
Phone: 503.718.2439 Fax: 503.598.19 Date/
Inspection Line: 503.639.4175 3\-1 4 Date Ready/By: Juris: El See Page 2 for
T I GA RD
t 1 Notified/Method: Supplemental Information
Internet: www.tigard-or.gov i ( i t PP
(AIN , . 4r
T P a sii r ig BEQ D:".:4 < 1 .AN!)2-FAMILY DWELLING
Permit fees*are based on the value of the work performed.
0 New construction 0 Demolition
Indicate the value(rounded to the nearest dollar)of all
®Addition/alteration/replacement ❑Other: equipment,materials,labor,overhead,and the profit for the
C TEGORY Off'£O+1STltUCTTf1I�I
workapt
indicated on this application.
Valuation: $
❑ 1-and 2-family dwelling ®Commercial/industrial
CIAccessory building ❑Multi-family Number of bedrooms:
❑Master builder 0 Other: Number of bathrooms:
JOB Shit*INFOR1IMTION Ow LOCATION Total number of floors:
Job site address:3 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.:415 Project name:Vacancy Space Prep /g 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 DAT k}COMMER;C USE L UI CI LIST
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
DESI R PTION O WORD` work iicated on this application.
Work to include minor demolition,new walls,new doors and relites,new exterior Valuation: $$40,000.00
glazing panels and modifications to exterior pavers. Existing building area: 3,859 square feet
New building area: 3,859 square feet
®i4 PROPI R'll'Y O'4 ❑ ', NAN Number of stories: 1
Name:Shorenstein Type of construction: I-B
Address:5800 Meadows Rd.Suite 240 Occupancy groups:
CitY/State/ZIP:Lake Oswego,OR 97035
Existing: B
Phone:(503)412-4800 Fax:(503)412-4903 New: B
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Business
..,...,,.
Business name:Mackenzie
Structural plan review fee(or deposit):
Contact name:Chloe Kirchhofer
FLS plan review fee(if applicable):
Address:1515 SE Water Ave Suite 100 !�
Total fees due upon application: ii�/-7 7
City/State/ZIP:Portland,OR 97214 YY�l
Amount received:
Phone:(503)224-9560 Fax::(503)228-1285
E-mail:ckirchhofer@mcknze.com P1IOTOVQL AXG SOLAR PANELSYSTEM FEES*
Commercial and residential prescriptive installation of
CONT" i1CTOi!t System.
'. ,, . : roof top mounted Photovoltaic Solar Panel
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
k Total fee due upon application: $201.60
Authorized signature: (�,1 Ch / ` 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:06/08/2017 * Fee methodology set by Tri-County Building Industry
Service Board. .
I:\Building\Permits\BUP-COM PermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
City of Tigard
III ■ " COMMUNITY DEVELOPMENT DEPARTMENT
Building Permit Review — Commercial - No Land Use
TI GARD
Building Permit #: 84,0A017-6)0,43
Site Address: t022O &W &rrt/ribU,rJ Suite/Bldg#: LI(S
Project Name: 3 -Unto'w
(Name of commercial business occupying the space. If vacant,enter Spec Space.)
Planning Review
Proposal: Ti
Existing Business Activity: VGNay'
Proposed Business Activity: VOILA y'
'Verify site address/suite# exists and active in permit system.
River Terrace Neighborhood: ❑ Yes No
Zoning: NAt/Iv7&--A
jii-Permitted Use: ❑ Yes ❑ No ' Spec Space
frConfirm no land use required.
A-Business License:
Exists: El Yes X No,applicant notified to obtain business license
Notes:
Approved by Planning: klp,k1/) OtW 411 C._ Date: U18 f l i
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: G /7
Site Plans: #
Building Plans: #
Building Permit#: Center building permit#above. .
Workflow Routing: fanning ❑ Permit Coordinator B--Bt1ding
Workflow Sign-off: [sig 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: C17Z
By Permit Technician: res �- Date: 4/gyv
I:\Building\Fonns\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 ❑ 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\BldgPermitRvwCOM NoLandUse 070915.docx
City of Tigard • BUILDING DIVISION
Over-The-Counter (OTC) Building & Fire Protection System Permit
Appointment Checklist
Permit Record#: �/ 7—ooi N3
Contact Name: \o-e.... Phone #: p 3-o ti-q -6 s 6
Business Name: ,�a,..�., „ Appt. Date/Time: (,o/c .9:cc ,1044Site Address: /p—o rc.� 6Q-t*-,0.614,24, 4. Bldg/Suite eq , in--
ProjeProject
ct Name: -Fuze - .e_.¢_
Project Description: M.oc . 'D gi-ro" r-,0Ni iJt.., 4e rc,c s, `-pboi x t2£.+re
Existing Use: % 1 ,i/e-e✓ New Use: ..10._.2..e.__•
MMD Required: 0 es No Related Record#:
GENERAL INFORMATION
Class of Work: A)-1- Occupancy Group: 13 Type of Construction: J- Q
Type of Use: Q� Occupancy Load: 3 C) Oregon Specialty Code: a0 14
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: \I c . Fire Alarms: Smoke Detectors:
Sprinkler Type: Alarm Type: Protected Corridors:
Standpipe Required: Pull Stations Required: Parapet:
Hazard Group: Battery Caks Provided:
Density: Cut Sheets Provided:
Design Area:
K Factor:
Total Project Valuation: $ If d o 0
�
a'
-� DC Prov Rvw,COM TI-Ping
Permit Fee-Add,Alt,$ 630 . ,),..7 ,Demo
DC Provision Review Fee for COM TI(effective 7/1/2016)-71,4,.. J $ 7.5". Gs 12%State Surcharge
Project Valuation 1'°:1`i50 $ y0 9 , 6 Plan Review,Structural
Upto$4,999 $0.00 Plan Review,Fire Life Safety
$5,000-$74,999 $90.00 $ , — 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: $ j , 0 TOTAL FEES DUE
I:\Building\Forms\OTC_BUP_FPS_070116.docx
itt 31,-77
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
10220 SW GREENBURG RD 415, TIGARD, OR,
97223
Record Type: Record ID:
Commercial - Building BUP2017-00143
Inspection Type: Inspector:
299 Final inspection Chip Barnett
Result:
PASS - NoCofO
Comments:
Violation Summary:
Inspector Contractor