Permit CITY OF TIGARD BUILDING PERMIT
= COMMUNITY DEVELOPMENT Permit#: BUP2020-00253
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 1/4/2021
T I[ A R D g Parcel: 1 S135AB01004
Jurisdiction: Tigard
Site address: 10220 SW GREENBURG RD 400
Project: Spec Space Subdivision: METZGER,TOWN OF Lot: 9
Project Description: Landlord work prior to TI: Demolition, new walls,doors,relites,and finishes.
Contractor: RUSSELL CONSTRUCTION INC Owner:
20915 SW 105TH AVE
TUALATIN, OR 97062
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, 01/04/2021 $797.22
Demolition
Occupancy Grp: B Occupancy Load: 34 12%State Surcharge-Building 01/04/2021 $95.67
Dwelling Units: 0 Plan Review 12/18/2020 $518.19
Stories: 0 Height: 0 ft DC Provision Review,COM TI-Ping 01/04/2021 $103.00
Bedrooms: 0 Bathrooms: 0 Plan Review-Fire Life Safety 01/04/2021 $318.89
Value: $59,000 Info Process/Archiving-Lg$2.00(over 01/04/2021 $8.00
11x17)
Tigard CET-Non-Residential-Admin 01/04/2021 $23.60
Floor Areas: Tigard CET-Non-Residential-AH 01/04/2021 $566.40
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $2,430.97
Required: Required Items and Reports(Conditions)
Fire Sprinkler: Parapet:
Fire Alarm: Protected Corridors:
Smoke Detectors: Manual Pull Stations:
Accessible Parking: 0
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will
be done in accordance with approved plans. This permit will expire if work is net started within 180 days of issuance, or if work is suspended for more the 180
days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232,1987 or 1.800.332.2344.
Issued By: `1 \1An�� �y,0 Permittee Signature: �V\ G�1t(Ant.
Call 503.639.4175 by 7:00 a.m.for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Building Permit Application a- IZ is 20
Commercial NEC El VED FOR OFFICE USE ONLY
= Received t�-�� ^ 3
1111 City of Tigard 1 Receive: 1Z ti\ZAZO �N PermitNo.:$U T wZb-oo '
• 13125SWHallBlvd.,Tigard,OR 97223 DEC a 2020 Plan Review Phone: 503.718.2439 Fax: 503.5 Date/By: ja-•t.1e.�'� Other Permit:
TISiARD Inspection Line: 503.639.4175 t i T OF 11`.�A S�' Date Ready/By: p1 J ® See Page 2 for
Internet: www.tigard-or.gov BUU DING DIVISION) Notified/Method: /,1J9 b�zl =' Supplemental Information
tt)c.*-...awitnai 6)4n4/N
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 ElCommercial/industrial Valuation: $
ElAccessory building El Multi-familyNumber of bedrooms:
❑Master builder ❑Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address:2 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.:400 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 demolition,new walls,doors,relites,and finishes. Valuation: $$59,000.00
Existing building area: 5,016 square feet
New building area: N/A square feet
® PROPERTY OWNER ❑ 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):
Contact name:Samantha Ruddy
FLS plan review fee(if applicable):
Address:1515 SE Water Ave Suite 100
City/State/ZIP:Portland,OR 97214 Total fees due upon application:
Amount received:
Phone:(503)224-9560 Fax::(503)228-1285
E-mail:sruddy@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 105a+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 Total fee due upon application: $201.60
OIMI*Ala by Baru I.Ruddy
gn Samantha Ruddy oxo-�.E.. ....o-a .,1..a,-',�,-, This permit application expires if a permit is not obtained
Authorized signature: p„.y,N„y�q,,
CAM 2,21117+•1844 1605130' within 180 days after it has been accepted as complete.
Print name:Samantha Ruddy Date:2020-1214 * Fee methodology set by Tri-County Building Industry
Service Board.
h\Building\Permits\BUP-COM PermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
12 1512r)
City of Tigard
i 7
COMMUNITY DEVELOPMENT DEPARTMENT
C
T I G A R D Building Permit Review — Commercial - No Land Use
Building Permit #: F2vP 21bZe -OO 2 S3
Site Address: 10220 SW Greenburg Rd Suite/Bldg#: 400
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
❑e Verify site address/suite #exists and active in permit s�stem.
Q River Terrace Neighborhood: ❑ Yes ILI No
❑o Zoning: MUE-1
❑s Permitted Use: U Yes U No U Spec Space
❑o Confirm no land use required.
❑a Business License: N/A
Exists: ❑ Yes ❑ No,applicant was provided a business license application
Notes:
Approved by Planning: Date: 12/16/20
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: V.L\%si o ('
Site Plans: # 3
Building Plans: # ''S
Building Permit#: WJ Enter building ermit# above.
Workflow Routing: Vi Planning Li Permit Coordinator 0 Building
Workflow Sign-off: La Sign-off for Planning(include notes from planning review)
Route Application Documents: Building: original permit application, site plans,building plans, engineer and
beam calculations and trust details,if applicable,etc.
Notes:
By Permit Technician: \--\0\1J \.)Cl n VJe W C Date: \2I V1\2.O2.O
I:\BuildingWForms BldgPermitRvwCOM NoLandUse_111819.docx
Pe Coordinator Review
❑ Conditions k i et"prior to issuance of building permit
❑ Approved,NOT ' - - .sed: it ate:
Notes:
Revisions (after Building Submittal only)
Revision Notice 1: Date Sent to Applicant:
Revision Notice 2: Date Sent to Ape .nt:
Revision Notice 3: Date Sent • pplicant:
❑ SDC Fees Entered: Co Trans Dev Tax: ❑ Yes ❑ N
Tigard Trans SDC: ❑ Yes ❑ N/A
Parks SDC: ❑ Yes ❑ N/A
❑ OK to a Permit
: . rroved by Permit Coordinator: Date:
1:\Building\Forms\B1dgPermitRvw_COM NoLandUse_1 118I9.docx
Branden Taggart
From: Branden Taggart
Sent: Thursday, December 31, 2020 12:59 PM
To: sruddy@mcknze.com
Subject: Vacancy Space Prep Permit: BUP2020-00253 - 10220 SW Greenburg Rd. Suite 400
Attachments: Invoice.pdf
Hi Samantha,
The spec space Building permit, located at 10220 SW Greenburg Rd. Suite 400, is ready to issue now. The balance due is
$1,912.78, and I have attached an invoice above for you to reference. The permit fees can be paid online through our
website: https://aca.accela.com/tigard/Default.aspx. From there, click on the Building tab, enter the permit number
(BUP2020-00253) in the Record Number field,and click Search. Once paid, please notify us at
TigardBuildingPermits@tigard-or.gov, and we will place this permit and the approved site copy set of plans in our open
Permit Center conference room for you to pick up between the hours of 8:00 a.m. and 5:00 p.m., Monday through
Thursday. We are closed on Fridays. No appointment is necessary to pick up.
Thank you,
Branden Taggart
• City of Tigard
W %` Senior Permit Technician
Community Development
1'144.0
13125 SW Hall Blvd
Tigard, DR 97223
(503)718-2449
brandent@tigard-or.gov
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