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Permit
CITY OF TIGARD BUILDING PERMIT COMMUNITY DEVELOPMENT Permit#: BUP2020-00243 TI,t ARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 12/16/2020 Parcel: 1S135AB01002 Jurisdiction: Tigard Site address: 10220 SW GREENBURG RD 135 Project: Spec Space Subdivision: METZGER,TOWN OF Lot: 9 Project Description: Interior vacancy improvements of approximately 2,545 sf 1st floor.Work to include demo and new finishes. 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: lg Permit Fee-Additions,Alterations, 12/15/2020 $438.74 Demolition Occupancy Grp: B Occupancy Load: 26 12%State Surcharge-Building 12/15/2020 $52.65 Dwelling Units: 0 Plan Review 12/02/2020 $285.18 Stories: 0 Height: 0 ft DC Provision Review,COM TI-Ping 12/15/2020 $103.00 Bedrooms: 0 Bathrooms: 0 Plan Review-Fire Life Safety 12/15/2020 $175.50 Value: $24,000 Info Process/Archiving-Lg$2.00(over 12/15/2020 $8.00 11x17) Floor Areas: Total Area: 0 Accessory Struct: 0 Basement: 0 Carport: 0 Covered Porch: 0 Deck: 0 Garage: 0 Mezzanine: 0 Total $1,063.07 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.-}.2c4. Issued By: ` 4�� Permittee Signature: � c'1 \\ra 1 l l) \V XXXMMM �t0�t0��) y'Call 503.639.4175 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 B'll 12S120 Commercial RECEIVED Received FOR OFFICE USE ONLY City of Tigard Date/By: /2/o i/,p 2 Permit No.: 8aP2O2"f 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review III 503.718.2439 Fax: 503.598.1960NOV 2 52020 Date/By. — f+ Other Permit: T I G n R D Inspection Line: 503.639.4175 x _- ,� Date Ready/By: n I ® See Page 2 for Internet: www.tigard-or.gov CITY OF IILil�FSD Notit edJMethod:iZ/✓♦,S/ .i /y(..(7 1 Supplemental Information !I_rt 3U .. , rmi;`'!flN &-`1.1-- K-t�Zt� 1 TYPE OF WORK REQUIRED DATA:1-AND 2-FAMILY 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 0 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: $ 0 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:3 Lincoln-10220 SW Greenburg Road New dwelling area: square feet City/State/ZIP:Tigard,OR 97223 Garage/carport area: square feet Suite/bldg./apt.no.:135 Project name:Vacancy Space Prep 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 interior vacancy improvements of approximately 2,545 square Valuation: $$24,000.00 feet on the first floor of six floors total.Work to include demolition and new Existing building area: 2,545 square feet finishes. New building area: N/A square feet ® PROPERTY OWNER 0 TENANT Number of stories: 6 Name:Shorenstein Type of construction: I-B Address:5335 Meadows Rd.,Suite 275 Occupancy groups: City/State/ZIP:Lake Oswego,OR 97035 Existing: B Phone:(503)412-4844 Fax:( ) New: B ❑ APPLICANT ® CONTACT PERSON BUILDING PERMIT FEES* Business name:Mackenzie (Please refer to fee schedule) Structural plan review fee(or deposit): 2gy,IS Contact name:Kelly Battaglia Address: FLS plan review fee(if applicable): 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:kbattaglia@,mcknze.com PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES* Commercial and residential prescriptive installation of CONTRACTOR roof-top mounted PhotoVoltaic Solar Panel System. 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 Avenue 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:( ) State surcharge(12%of permit fee): $21.60 CCB lie.:58918 Total fee due upon application: $201.60 Authorized signature: This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. I Print name:Kelly Battaglia Date: 11/24/2020 * Fee methodology set by Tri-County Building Industry Service Board. 77. 0 p 1:\Building\Pennits\BUP-COM PennitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) City of Tigard 14 COMMUNITY DEVELOPMENT DEPARTMENT T I G A R D Building Permit Review — Commercial - No Land Use Building Permit #: 5 UPZoz© -/V2q Site Address: 10220 SW Greenburg Rd Suite/Bldg#: 135 Project Name: Spec Space (Name of commercial business occupying the space. If vacant,enter Spec Space.) Planning Review Proposal: Landlord work for spec space Existing Business Activity: Office Proposed Business Activity: Spec Space 0 Verify site address/suite#exists and active in permit swem. ElRiver Terrace Neighborhood: ❑ Yes Ld No ElZoning: MUE-1 ❑o Permitted Use: U Yes U No U Spec Space QConfirm no land use required. 0 Business License: N/A Exists: ❑ Yes ❑ No, applicant was provided a business license application Notes: Approved by Planning: Date: 11/25/20 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: 11/5/132CU Site Plans: # 3 Building Plans: # 3 Building Permit#: Et Enter buildingermit# above. Workflow Routing: 'Planning LI Permit Coordinator Rtuilding Workflow Sign-off: Q'Sign-off for Planning (include notes from planning review) Route Application Documents: Building: original permit application,site plans,building plans,engineer and beam calculations an. trust details,if applicable,etc. Notes: By Permit Technician: jam/%77/ Date: /.2/oi24l I:1Building\Forms\BldgPermitRvw_COM_NoLandUse_1118 '.docx • it Coordinator Review ❑ Conditio "Met"prior to issuance of building permit ❑ Approved, NO • eased: I ate: Notes: Revisions (after Building Submittal only) Revision Notice 1: Date Sent to Applicant: Revision Notice 2: Date Sent to Apo ' t: Revision Notice 3: Date Sent t. ' .plicant: ❑ SDC Fees Entered: W . Co Trans Dev Tax: ❑ Yes Tigard Trans SDC: ❑ Yes ❑ N/A Parks SDC: ❑ Yes ❑ N/A ❑ OK to I -. - Permit • • oved by Permit Coordinator: Date: l:lBuildingU'orms\BldgPermitRvw_COM_NoLandUse_111819.docx