Permit (2) CITY OF TIGARD!h.
BUILDING PERMIT
a �� COMMUNITY DEVELOPMENT Permit#: BUP2020-00242
TlGAR D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 12/16/2020
Parcel: 1S135AB01003
Jurisdiction: Tigard
Site address: 10300 SW GREENBURG RD 275
Project: Spec Space Subdivision: METZGER,TOWN OF Lot: 9
Project Description: Interior vacancy improvements of approximately 4,985 sf.Work to include demo,new walls,doors,relites,
casework and 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 Permit Fee-Additions,Alterations, 12/15/2020 $789.69
Class of Work: ALT Type of Const: IB
Demolition
Occupancy Grp: B Occupancy Load: 49 12%2%State Surcharge-Building 12/15/2020 $94.76
Dwelling Units: 0 Plan Review 12/01/2020 $513.30
Stories: 0 Height: 0 ft Address Fee-per lot/suite(up to first 20) 12/01/2020 $50.00
Bedrooms: 0 Bathrooms: 0 DC Provision Review,COM Ti-Ping 12/15/2020 $103.00
Value: $58,000 Plan Review-Fire Life Safety 12/15/2020 $315.88
Info Process/Archiving-Lg$2.00(over 12/15/2020 $8.00
11)(17)
Floor Areas: Tigard CET-Non-Residential-Admin 12/15/2020 $23.20
Total Area: 0 Tigard CET-Non-Residential-AH 12/15/2020 $556.80
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $2,454.63
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 952-001-0090.01 You may obtain/ta a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: f� VA Y�n 4ot1� n(j„ \FJ Permittee Signature: ona "��r^ �y-s S
`�ZCA��ZCr llU((ddd���..000 lllSSSIIIJJJ�..�'t_}c�" `Clalll 503.639.4175 by 7:00 a.m.for the next available inspection date..V�' l� v, 4
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-q l2-5 /2
Commercial RECEIVED FOR OFFICE USE ONLY
City of Tigard Received �1 Date/By I1/*) 2020 Permit No.: .8up.7^{�A-002`,2
• 13125 SW Hall Blvd.,Tigard,OR 97223 N O V 2 5 2020 Plan Review
Phone: 503.718.2439 Fax: 503.598.1960 Date/By: J - J 14-i„, Other Permit:
T I G A R D Inspection Line: 503.639.4175 CiT Y OF !i I3 ARD Date Ready/fly: ! �7.� Jl Jwi HiSee Page 2 for
Internet: www.tigard-or.gov 3UI LDI NG DIVISION NotifieddMethod:i.6 S) CD AJ GT Supplemental Information
Ert`Aq"I j.- I 4 L y
TYPE OF WORK REQUIRE 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.
❑ I-and 2-family dwelling 0 Commercial/industrial Valuation: $
❑Accessory building 0 Multi-family Number of bedrooms:
❑Master builder ❑Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
lob site address:1 Lincoln-10300 SW Grecnburg Road New dwelling area: square feet
City/State/ZIP:Tigard,OR 97223 Garage/carport area: square feet
Suite/bldg./apt.no.:275 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.
Indicate the value(rounded to the nearest dollar)of all
Tax map/parcel no.:
equipment,materials,labor,overhead,and the profit for the
DESCRIPTION OF WORK i. work indicated on this application.
Work to include demolition,new walls,doors,relites,casework,and finishes Valuation: $$58,000.00
Existing building area: 4985 square feet
New building area: 4985 square feet
® PROPERTY OWNER I 0 TENANT Number of stories: 1
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): 5(03. 315
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
Amount received:
Phone:(503)224-9560 Fax::(503)228-1285
E-mail:kbattaglia@mcknze.com PHOTOVOLTAICR 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 105t°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 lic.:58918
q/�� Total fee due upon application: $201.60
Authorized signature: //////L..i.� i / 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 Tr-County Building Industry
Service Board. �f
1:\Building\Permits\BUP-COMPermitApp.doc 02/24/2011 440-4613T(I I/02/COM/WEB) I l r. 3
City of Tigard
COMMUNITY DEVELOPMENT DEPARTMENT
TIGARD Building Permit Review — Commercial - No Land Use
Building Permit #: o U P 2Q 20 _W 2 L-Z
Site Address: 10300 SW Greenburg Rd Suite/Bldg#: 275
Project Name: Spec Space
(Name of commercial business occupying the space. If vacant,enter Spec Space.)
Planning Review
Proposal: Landlord work for spec space; combining former suites 271 & 280 into 1 suite
Existing Business Activity: Office
Proposed Business Activity: Spec Space
❑r Verify site address/suite#exists and active in permit s ystem.
ElRiver Terrace Neighborhood: ❑ Yes L"I No
El Zoning: MUE-1
ElPermitted Use: U Yes U No CJ Spec Space
❑ Confirm no land use required.
❑o Business License: N/A
Exists: ❑ Yes ❑ No, applicant was provided a business license application
Notes:
Approved by Planning: Z �.a 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: /2 20
Site Plans: # ,3
Building Plans: # 3
Building Permit#: lErEnter building permit# above.
Workflow Routing. Planning LJ Permit Coordinator lift uilding
Workflow Sign-off: El-Sign-off for Planning(include notes from planning review)ry
Route Application Documents: u Building: original permit application, site plans,building plans,engineer and
beam calculations an. trust details,if applicable,etc.
Notes: /
1/. /
By Permit Technician: Date: �l zG2 d
1:1Building\Forms\BldgPermitRvw_COM NoLandUse_111819.docx
Abb 4 co
- •.it Coordinator Review ��
❑ Conditio . "Met"prior to issuance of building permit 47CeE
❑ Approved, NO - eased: /000
Notes:
Revisions (after Building Submittal only) £L4117
Revision Notice 1: Date Sent to Applicant:
Revision Notice 2: Date Sent to Ap. -• t:
Revision Notice 3: Date Sent to .plicant:
0 SDC Fees Entered: W - Co Trans Dev Tax: 0 Yes I ,
Tigard Trans SDC: ❑ Yes ❑ N/A
Parks SDC: ❑ Yes ❑ N/A
0 OK to I.-. • Permit
• . oved by Permit Coordinator: Date:
1:1Bui I ding\Forms\B1dgPermitRvw_COM_NoLandUse_111819.docx