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Permit (50) IrL CITY OF TIGARD BUILDING PERMIT COMMUNITY DEVELOPMENT Permit#: BUP2017-00165 FG A D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 06/20/2017 Parcel: 1 S 135AB01004 Jurisdiction: Tigard Site address: 10220 SW GREENBURG RD 450 Project: Apex Systems Subdivision: METZGER,TOWN OF Lot: 9 Project Description: TI-some demolition,new walls,doors,relites&new cabinetry 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 Permit Fee-Additions,Alterations, 06/20/2017 $797.22 Demolition Occupancy Grp: B Occupancy Load: 41 DC Provision Review,COM TI-Ping 06/20/2017 $90.00 Dwelling Units: 0 12%State Surcharge-Building 06/20/2017 $95.67 Stories: 6 Height: 0 ft Plan Review 06/20/2017 $518.19 Bedrooms: 0 Bathrooms: 0 Plan Review-Fire Life Safety 06/20/2017 $318.89 Value: $59,000 Info Process/Archiving-Lg$2.00(over 06/20/2017 $10.00 11x17) Floor Areas: Total Area: 0 Accessory Struct: 0 Basement: 0 Carport: 0 Covered Porch: 0 Deck: 0 Garage: 0 Mezzanine: 0 Total $1,829.97 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 952-00 •10 throu••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. Iss ed By: / Permittee Signature: ' Call 503.639.4175 by 7:00 a.m.for the next available inspection datte. 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 t FOR OFFICE USE ONLY Cityof Tigard REEiVE!) Received �� a , �n . g Date/B .` , Permit No.: �' C�ti� /6 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Reviewrit Phone: 503.718.2439 Fax: 503.59&. r02 0 1 r Date/B : r Other Permit: T I G A R D Inspection Line: 503.639.4175 (J�y o` Date Ready/By:" Juris: ® See Page 2 for Internet: www.tigard-or.gov 2Notified/Method: Supplemental Information CITY OF TiG SRI) -: .9 . i';n Iii ° SIO I QUIRED UATA*1 AND 2 i+AMbtILY 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 workindicated on this application. . CTEGORY.'OF CONSTRITIO4 1=I1-and 2-family dwelling ®Commercial/industrial Valuation: $ IDAccessory building ❑Multi-family Number of bedrooms: ❑Master builder ❑Other: Number of bathrooms: JOB SITE;INFORMATION AND I OCATION 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.:450 Project name:Apex Systems 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 OMM RCIA.L-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 D CRIPI'ON OF WORM work indicated on this application. Work to include demolition,new walls,doors and relites,and new cabinetry. Valuation: $$59,000.00 Existing building area: 4,104 square feet New building area: 4,104 square feet >®t P OPEiiTY OWN R TENAN 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)412-4902 Fax:(503)412-4903 New: B i APPLICANT C©1STACT 1'BRSON . ^ $t1ILDI1G pETtMI'i'QRS*m Business name:Mackenzie (PlErelertnfeesehedukj :.; Structural plan review fee(or deposit): Contact name:Chloe Kirchhofer FLS plan review fee(if applicable): Address:1515 SE Water Ave Suite 100 City/State/ZIP:Portland,OR 97214 Total fees due upon application: Phone:(503)224-9560 Fax::(503)228-1285 Amount received: E-mail:ckirchhofer@mcknze.com PIIOTOVOLTAIC SOLAR PANEL SYSTEM I E$* CONTRACTOR Commercial and residential prescriptive installation of P roof-top mounted Photo Voltaic Solar Panel System. Business name:Russell Construction Submit two 2)sets of roof plan with connection details and fire depart ' . access,along with the 2010 Oregon Address:20915 SW 105th Ave Solar Installation Sp,.,'alty Code checklist. City/State/ZIP:Tualatin,OR 97062 Permit fee(inclus s1an reuse_ and ad J. --e fees): $180.00 Phone:(503)692-9002 Fax:(503)692-9008 State Burch 2%of perms ee): $21.60 CCB lic.:58918 — 1'I Total fee due upon application: $201.60 �,/Authorized signature: k. 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:06/20/2017 * 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 .114 COMMUNITY DEVELOPMENT DEPARTMENT I TIGARD Building Permit Review — Commercial - No Land Use Building Permit #: Pa-6/(Q —©a /4 5-- Site Site Address: 10-2-2_o 614c31 , 2A Ta't4 Suite/Bldg#: L,'i Col Y Z Project Name: -X 5 s'-1-errric iT (Name of commercial business occupying the space. If vacant,enter Spec Space.) Planning Review L Proposal: 11n'!'tY�Y10.� t�t)Or'k- /1 *WV 4o 1.1/1tit c) ce, vi-eAz c►fl, doom, Existing Business Activity: C et? Proposed Business Activity: t t V/Verify site address/suite#exists and active in permit system. River Terrace Neighborhood: ❑ Yes 0. No Cr Zoning: Nti u izr Permitted Use: Ltd Yes El No ❑ Spec Space Or Confirm no land use required. Business License: Exists: Ef Yes ❑ No,applicant notified to obtain business license Notes: 11r.rrta( Works' ant, Yl© 0.Ylc�'e a� LAS+e Approved by Planning: .. /,/,‘?t, ,� Date: ("/"./-0/17 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: (-go/0 /7 Site Plans: # 3 Building Plans: # Building Permit#: TEnter building permit#above. �/ Workflow Routing: O' 'Planningrt LX Buildin g Workflow Sign-off: Er Sign-off for Planning(include notes from planning review) Route Application Documents: O'B"uilding: original permit application, site plans,building plans,engineer and beam calculations and trust details,if applicable,etc. Notes: /By Permit Technician: (Ct) ( ���, Date: &As/' I:\Building\Forms\BldgPermitRvwCOM NoLandUse 060116.docx Permit Coordinator Review ❑ Conditions "Met"prior to issuance of building permit ❑ Approved,NOT Released: = Date: Notes: Revisions (after Building Submittal ._- Revision Notice 1: Da ent to ' .. 'cant: Revision Notice 2: ao ate Sent to Applican Revision Notice 3: Date Sent to Applicant: ❑ SDC Fees Entered: Wash Co Trans Dev Tax: ❑ Yes ■ N/A Tigard Trans SDC: ❑ Yes ❑ Parks SDC: ❑ Yes ❑ N/A ❑ OK to Issue Permit Approved by Permit Coordinator: Date: I:\Building\Forms\BldgPermitRvw_COM NoLandUse_070915.docx City of Tigard • BUILDING DIVISION 1111 Over-The-Counter (OTC) Building & Fire Protection on System Permit < i, f,I, Appointment Checklist Permit Record#: I"n ,90/6)—0 6/6 6.--- Contact Contact Name: alvt_. i'r Ad.f Phone #: ( 3)Wit{-q5-60 Business Name: / clec,v'Li`C% Appt. Date/Time: 6' �h l Q Ay;drj Site Address: /0?4-d JJ C � t y� Yr._ k5� Bldg/ cite #: Its-D Project Name: s ,._A1. , Project Description: 7- eA;r i, ; da )i ivi„an I', 11c&-.s Existing Use: New Use: /g MMD Required: C3Yes o Related Record#: GENERAL INFORMATION Class of Work: (___(, Occupancy Group: Type of Construction: ( e Type of Use: (2(72Ak Occupancy Load: XV Oregon Specialty Code: CE-3 cot-- 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: j 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: $ 5 ,c,) $ ,(22 DC Prov Rvw,COM TI—Ping $ -'! . ''........2-Permit Fee—Add,Alt,Demo DC Provision Review Fee for COM TI(effective 7/1/2016) $ f'),(,-,7 12%State Surcharge Project Valuation $ r Plan Review,Structural Up to$4,999 $0.00i i, 7.24.4 7 $ 04 $ �, Plan Review,Fire Life Safety $5,000-$74,999 $90.00 at $ GS a ` Info Proc/Arch,Lg(over 11x17$2.00) $75,000-$149,999 $224.00C.I,et? $ Info Proc/Arch,Sm(up to 11x17$0.50) $150,000 and over $357.00 ` 1-ad,. $ Metro Construction Excise Tax $ School Construction Excise Tax $ Hourly Rate Fee $ Hourly Rate State Surcharge $ Misc.Admin Fee $ Other: Building Staff: $ Other: Date/Time: $ (mct,c-i NOTAL FEES DUE I:\Building\Forms\OTC_BUP_FPS_070116.docx City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 10220 SW GREENBURG RD 450, TIGARD, OR, 97223 Record Type: Record ID: Commercial - Building BUP2017-00165 Inspection Type: Inspector: 299 Final inspection Chip Barnett Result: PASS - CofO Comments: Violation Summary: Inspector Contractor