Permit (73) CITY OF TIGARD BUILDING PERMIT
71 : COMMUNITY DEVELOPMENT Permit#: BUP2017 00199
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 07/18/2017
Ttkt 9 Parcel: 1S135AB01002
Jurisdiction: Tigard
Site address: 10220 SW GREENBURG RD 201
Project: Radiant Senior Living Subdivision: METZGER,TOWN OF Lot: 9
Project Description: TI-work to include minor demolition,new walls,doors&relites.
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: Ig DC Provision Review,COM TI-Ping 07/18/2017 $91.00
Occupancy Grp: B Occupancy Load: 54 Permit Fee-Additions,Alterations, 07/18/2017 $256.22
Demolition
Dwelling Units: 0 12%State Surcharge-Building 07/18/2017 $30.75
Stories: 6 Height: 0 ft Plan Review 07/18/2017 $166.54
Bedrooms: 0 Bathrooms: 0 Plan Review-Fire Life Safety 07/18/2017 $102.49
Value: $12,000 Info Process/Archiving-Lg$2.00(over 07/18/2017 $6.00
11x17)
Floor Areas:
Total Area: 5408
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $653.00
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
952-001-001• oug JAR 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.
_O Issued By: _/ _ Permittee Signature: ( '1&i I
Call 503.639.4175 by 7:00 a.m.for the next available insp@ction date. a
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
CommercialRECEIVED FOR OFFICE USE ONLY
City of Tigard Received Date/13 • _7 f J Permit No.: '490/7 &D`g
lig - .4 13125 SW Hall Blvd.,Tigard,OR 9722(3'� Q 2l1 l n 7 Plan Review
-. .� '
I Other Permit:
O
Phone: 503.718.2439 Fax: 503.598.`196 DateB
TI G A R D Inspection Line: 503.639.4175 l' �j TIGA Date Ready/By: Juris: ® See Page 2 for
Internet: www.tigard-or.gov 1I' g Notified/Method: Supplemental Information
UI DING DEVISlO
TY?...:. WORK RI✓lUIR DAT1l, . ANI2 `AMIL W-.--- G....
0 New construction 0 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
CAIS RY OF CONSTRI)CTIOI�I
workapplication.
indicated on this cation
dwellingValuation: $
0 1-and 2-family El
0 Accessory building 0 Multi-family Number of bedrooms:
0 Master builder ❑Other: Number of bathrooms:
Total number of floors:
STYE Ii�IFORMt4TIOlY�";LOCATION, ;"
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.:201 Project name:Radiant Senior Living 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
RE?I3IREI#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
D1 RIP tON pWORwork indicated on this application.
Work to include minor demolition,new walls,doors and relites. Valuation: $12,000.00
Existing building area: 5,408 square feet
New building area: 5,408 square feet
ii PRO1 ERT5 'OWNER ❑ 'I'EI ANT 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
X4 APPl ICS :CONTACT PERSON BIJILDING PERMIT FEES
IPiease r J*ti fe s kedut'l
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:
City/State/ZIP:Portland,OR 97214
Phone:(503)224-9560 Fax::(503)228-1285 Amount received:
E-mail:ckirchhofer@mcknze.com PHOTOVO.TAIC SOT.AR PANEL SYSTEM EES*
Commercial and residential prescriptive installation of
aMioinCONTRACTOR 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
�,�'/ +` .�j This permit
fee due upon application: $201.60
Authorized signature: ��a ryermit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print'name:Chloe Kirchhofer Date:07/17/17 * Fee methodology set by Tri-County Building Industry
Service Board.
IABuilding\Permits\BUP-COM PermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
City of Tigard
111111 q COMMUNITY DEVELOPMENT DEPARTMENT
■
TIGARD Building Permit Review — Commercial - No Land Use
Building Permit #: 61-tP(901.7--CZ/99
Site Address: ( 0 2.23 Da L rt -1 ,,J!C r(. Suite/Bldg#:
Project Name: foolce/ 1- ext Cu r l W M
(Name of commercial business occupying the space. I acant,enter Spec Space.)
Planning Review
Proposal: I I i (Y 110r otkin70 irlaArki v'.i(.n1I i / G:0rf . Y )1'ffJ •
1
Existing Business Activity: 0(61Ft ` (,C(r1 r?W' T.+ za-
Proposed Business Activity: a cc.,--a„ /
L„,0 m p-u_r c.
Verify site address/suite# exists and active in permit system.
ARiver Terrace Neighborhood: ❑ Yes /in No
VI Zoning: IV))U E 1-
0 Permitted Use: iz Yes ❑ No ❑ Spec Space
yi Confirm no land use required.
4 Business License:
Exists: El Yes ❑ No,applicant notified to obtain business license
Notes:
Approved by Planning: (Al GA-"----:— P.' :.),- Date: 7 / I S / i 7
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: 7//W/ 7
Site Plans: #
Building Plans: #
Building Permit#: 'CI Enter buildin permit#above.
Workflow Routing: 2—Planning er Building
Workflow Sign-off: ET-Sign-off for Planning(include notes from planning review)
Route Application Documents: 1I Building: original permit application, site plans,building plans,engineer and
beam calculations and trust details,if applicable,etc.
Notes:
By Permit Technician: ___) ( (2 . _..4-L1Date: 7441' '7
I:\Building\Forms\BldgPermitRvwCOM NoLandUse_060116.docx
Permit Coordinator Review
El 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\BldgPermitRvw_COM_NoLandUse 070915.docx
City of Tigard • BUILDING DIVISION
lig ■ Over-The-Counter (OTC) Building & Fire Protection System Permit
.1
c;n l:n Appointment Checklist
Permit Record#: i .P 9O!7 CC/4 9
Contact Name: Chlo4_, 4.� Phone #: ,50g-A24_ 9 5c
Business Name: 1,146.1"...„.6,7,, Appt. Date/Time: 7/jg /p;420
Site Address: l 62.24:" ,N It.�..2.«.b„a72.0Bldg/Suite#: /
Project Name: �.oL, 4.- tom' ���,;,i Jc cy New Tenant? 0 Yes 0 No
Project Description: Iv, ,44.),1....401/4114A) wafiQ.rl ,,rye, leas NO ✓,it _4,.
Existing Use: New Use:
MMD Required: 0 Yes 0 No Related Record#:
. all ,. :b ... � t
. ``
GENERAL INFORMATION
Class of Work: A) J Occupancy Group: Q Type of Construction: i— j3
Type of Use: a Occupancy Load: S Oregon Specialty Code: am j 9-
SPECIFICS
Number of Stories: 6 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: S'L}0 $ 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: 1 f e.5 Fire Alarms: Smoke Detectors:
Sprinkler Type: Y 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: $ /.2, 000g f;r x R ' ,t '`! i °4 ;
$ • --- DC Prov Rvw,COM TI—Ping
$A;G•oc Permit Fee—Add,Alt,Demo
DC Provision Review Fee for COM TI(effective 7/1/2017) $ 30 , 7� 12%State Surcharge
Project Valuation h $ 6 [ Plan Review,Structural
U 4929 $0.00 P 'r��� $ j oa ,1. Plan Review,Fire Life Safety
$5,000-$74,999 $ 1.0
90 $ 6✓- Info Proc/Arch,Lg(over 11x17$2.00)
$75,000-$149,999 226.00 $ Info Proc/Arch,Sm(up to 11x17$0.50)
$150,000 and over $361.00 $ '421-' Metro Construction Excise Tax
"Pao.H i T G CC. 41 564 cd $ - _ School Construction Excise Tax
'7J e- 4.1.0. 4-t 4 j•�'O $ Hourly Rate Fee
Amµ. �� ? $ Hourly Rate State Surcharge
�"' $ Misc.Admin Fee
$ Other:
Building Staff: $ Other:
Date/Time: $ -C.b`'3 9y TOTAL FEES DUE
I:\Building\Forms\OTC_BUP_FPS_070117.docx
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
10220 SW GREENBURG RD 201 , TIGARD, OR,
97223
Record Type: Record ID:
Commercial - Building BUP2017-00199
Inspection Type: Inspector:
299 Final inspection Jeff Grove
Result:
PASS - NoCofO
Comments:
Violation Summary:
Inspector Contractor