Permit a
CITY OF TIGARD BUILDING PERMIT
7 '' COMMUNITY DEVELOPMENT
7 Permit#: BUP2020-00244
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 12/16/2020
TF '141�C' 9 Parcel: 1S135AB04500
Jurisdiction: Tigard
Site address: 10250 SW GREENBURG RD 212
Project: Spec Space Subdivision: 1991-055 PARTITION PLAT Lot: 1
Project Description: Interior vacancy improvements of approximately 1,870 sf.on 2nd floor.Work to include demo, new walls,doors,
relites,relocation of casework and finishes
Contractor: RUSSELL CONSTRUCTION INC Owner: LINCOLN CENTER LLC
20915 SW 105TH AVE BY SHORENSTEIN PROPERTIES LLC
TUALATIN, OR 97062 555 CALIFORNIA ST 49TH FL
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: IIB Permit Fee-Additions,Alterations, 12/15/2020 $453.95
Demolition
Occupancy Grp: B Occupancy Load: 49 12%State Surcharge-Building 12/15/2020 $54.47
Dwelling Units: 0 Plan Review 12/02/2020 $295.07
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 $181.58
Value: $25,000 Info Process/Archiving-Lg$2.00(over 12/15/2020 $6.00
11x17)
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $1,094.07
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.
Issued By: t i`i(1 !1 4 1 C n nk' Permittee Signature: Di Wt r 6T 9(3 f
1.1 \U.J 1,/J\ 1d.X X Call 503.639.4175 by 7:00 a.m.for the next available Inspection date. „�v+ t u`V
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 g_
Commercial FOR OFFICE USE ONLY
Cl of Tigard REC R�IE Received Permit No.:
• 13125 SW Hall Blvd.,Tigard,OR 97223 Dian Review
k2/o`�92.0 �
Phone: 503.718.2439 Fax: 503.598.196GN0v 2 5 2020 Date;By: Ja�Q..a42) Other Permit:
I-I G n It D Inspection Line: 503.639.4175 Date Ready/By: Jun ® See Page 2 for
Internet: www.tigard-or.gov CI �r Kafir tip Notified/Method: PPS/2,6 G Supplemental Information
BUILDING DIV!, rIv4 trtlr f
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 ❑Other: equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
❑ 1-and 2-family dwelling Z Commercial/industrial Valuation: $
❑Accessory building ❑Multi-family Number of bedrooms:
❑Master builder ❑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:Tigard,OR 97223 Garage/carport area: square feet
Suite/bldg./apt.no.:212 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 1,870 square Valuation: $$25,000.00
feet on the second floor of three floors total.Work to include demolition, Existing building area: 1,870 square feet
relocation of casework,new walls,doors,relites,plumbing and finishes. New building area: N/A square feet
I ) PROPERTY OWNER ❑ TENANT Number of stories: 3
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*
(Please refer to fee schedule)
Business name:Mackenzie
Structural plan review fee(or deposit): 2 95 0 7
Contact name:Kelly Battaglia
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:kbattaglia@mcknze.com PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
CONTRACTOR Commercial and residential prescriptive installation of
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: Apo&, ,'�► This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name:Kelly Battaglia Date: 11/24/2020 * 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) 7 ( ( ,
City of Tigard
• COMMUNITY DEVELOPMENT DEPARTMENT
TIGARD Building Permit Review — Commercial - No Land Use
Building Permit #: jUP2o20 �
Site Address: 10250 SW Greenburg Rd Suite/Bldg#: 212
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
CIVerify site address/suite#exists and active in permit s stem.
ElRiver Terrace Neighborhood: ❑ Yes No
❑° zoning: MUE-1
0 Permitted Use: U Yes U No U Spec Space
ElConfirm no land use required.
❑r 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: ///25 2020
Site Plans: # 3
Building Plans: # .�
Building Permit#: Enter buildin ermit# above.
Workflow Routing: [ Planning I Permit Coordinator Building
Workflow Sign-off: Sign-off for Planning (include notes from planning review)
Route Application Documents: CT building: original permit application, site plans,building plans,engineer and
beam calculations and trust details,if applicable,etc.
Notes:
By Permit Technician: Date: /2/0!/24Zi
I:\Building\Forms\B1dgPermitRvw_COM_NoLandUse_111819.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 Ap. 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:
I:\Build ingWForms\Bl dgPermitRvw_COM_NoLandUse_111819.docx