Permit CITY OF TIGARD BUILDING PERMIT
111 ...g. # COMMUNITY DEVELOPMENT Permit#: BUP2021-00080
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 4/26/2021
Tf GARD g Parcel: 1S135AB00900
Jurisdiction: Tigard
Site address: 10200 SW GREENBURG RD
Project: Shorenstein Subdivision: METZGER,TOWN OF Lot: 9
Project Description: Work to include demo,new walls,ada upgrade and finishing
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: VB Permit Fee-Additions,Alterations, 04/23/2021 $718.43
Demolition
Occupancy Grp: B Occupancy Load: 0 12%State Surcharge-Building 04/23/2021 $86.21
Dwelling Units: 0 Plan Review 04/07/2021 $466.98
Stories: 0 Height: 0 ft DC Provision Review,COM TI-Ping 04/23/2021 $103.00
Bedrooms: 0 Bathrooms: 0 Plan Review-Fire Life Safety 04/23/2021 $287.37
Value: $49,000 Info Process/Archiving-Lg$2.00(over 04/23/2021 $10.00
11x17)
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $1,671.99
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 DUNG by calling 503.232.1987 or 1.800.332.2344.
Issued By: fVt!„V wecje Permittee Signature: Owl ppLimon
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.
•
•t Budding Permit Application . - / 2.
Commercial RECEIVE r FOR OFFICE USE ONLY /' f/
Received I2 2oz/ Permit No.:�P2DH
City of Tigard APR 01 2021 Date/By:�� 08'd
13125 SW Hall Blvd.,Tigard,OR 97223 Plan Reviety i I
Phone: 503.718.2439 Fax: 503.598.1960 CITY OF TIGARD Date/By: .1�O ,/— other Permit:
1 I,,1 R I) Inspection Line: 503.639.4175 Date Ready/By: / ru'. la See Page 2 for
Internet: www.tigard-or.gov BUILDING DIVISION�fled/ 1ethod:�/ Supplemental Information
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.
0 1-and 2-family dwelling ®Commerciallindustrial
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:5 Lincoln-10200 SW Greenburg Road New dwelling area: square feet
City/State/ZIP:Tigard,OR 97223 Garage/carport area: square feet
Suite/bldg./apt.no.:N/A Project name:2nd Floor Toilet i u.m. p odes j oj 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 Ceenburg Road Other structure area: square feet
REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision: I 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,ada upgrades,and finishes. Valuation: $$49,000.00
Existing building area: 414 square feet
New building area: 414 square feet
® PROPERTY OWNER 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*
(Please refer to fee schedule)
Business name:Mackenzie
Structural plan review fee(or deposit): , FE
Contact name:Samantha Ruddy
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: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 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 lic.:58918 Total fee due upon application: $201.60
°p eyweeb'Mote Ruddy This permit application expires if a permit is not obtained
Samantha Ruddy°"c-us.amHewm.m—°°e
Authorized signature: ow m„.�.s..� a p
:m,a.p,ro:aswroo� within 180 days after it has been accepted as complete.
Print name:Samantha Ruddy Date:04/01/2021 * Fee methodology set by Tri-County Building Industry
Service Board.
1:\Building\Permits1BUP-COM PennitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
m
14
Building Division
Accessibility: Barrier Removal Improvement Plan
TIGARD
REQUIREMENT: OREGON REVISED STATUTE (ORS) 447.241.
(1) Every project for renovation,alteration or modification to affected buildings and related
facilities shall be made to insure that the path of travel to the altered area and the restroom,
telephones and drinking fountains are readily accessible to individuals with disabilities unless
such alterations are disproportionate to the overall alterations in terms of cost and scope.
(2) Alterations made to the path of travel to an altered area may be deemed disproportionate to
the overall alteration when the cost exceeds twenty-five per-cent(25%).
VALUATION: Total of all renovation,alteration or modification being done,
excluding painting and wallpapering: [1] $ 49,000
MULTIPLIER(25%barrier removal requirement): x .25
TOTAL BUDGET FOR BARRIER REMOVAL: [2] $ 12,250
ELEMENTS: In choosing which accessible elements to provide under this section,priority shall be given
to those elements that will provide the greatest access. Elements shall be provided in the
following order:
(a) Parking $
(b) An accessible entrance: $
(c) An accessible route to the altered area: $
(d) At least one accessible restroom for each sex or a single unisex
restroom: $
(e) Accessible telephones: $
(f) Accessible drinking fountains:and, $
(g) When possible,additional accessible elements such as storage and
alarms: $
TOTAL(shall equal line [2] of Valuation Computation): $
I:\Building\Pemilts\BUP-COM PermitApp.doc 03/03/2011
of Tard
IIIIIII
COMMUNITYCityTigard
DEVELOPMENT DEPARTMENT
TIGARD Building Permit Review — Commercial - No Land Use
Building Permit #: BUP2o21-0O0 go
Site Address: 10200 SW Greenburg Rd Suite/Bldg#:
Project Name: Lincoln Center
(Name of commercial business occupying the space. If vacant,enter Spec Space.)
Planning Review
Proposal: Remodel second floor bathrooms; all interior work
Existing Business Activity: Office
Proposed Business Activity: Office
11 V-rify site address/suite#exists and active in permit system.
11 l' 'ver Terrace Neighborhood: ❑ Yes L"I No
ell Zoning: MUE-1
❑ Permitted Use: U Yes LJ No U Spec Space
❑. C,nfirm no land use required.
1"Cusiness License:
Exists: ❑ Yes ❑ No, applicant was provided a business license application
Notes:
l
Approved by Planning: ...._ Date: 4/2/21
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 1��yy��
fi/ 2D2i
Site Plans: # 3
Building Plans: # 3
Building Permit#: Q'Enter buildin ermit# above. �,7ts�
Workflow Routing: Q Planning U Permit Coordinator uiding
Workflow Sign-off: 19 Sign-off for Planning(include notes from planning review)
Route Application Documents: ❑ ruilding: original permit application, site plans, building plans,engineer and
beam calculations and trust details,if applicable,etc.
Notes: /
By Permit Technician: _- -;!:17",. ///- Date: , O /JU2/
I:1Bui lding\Form s\BldgPermitRvw_COM_NoLandUse_111819.docx
Permit Coordinator Review
❑ 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 Applican•.
❑ SDC Fees Entered: Wash Co Trans D Tax: ❑ Yes ❑ N/A
Tigard Trans S 9 : ❑ Yes ❑ N/A
Parks SDC: ❑ Yes ❑ N/A
❑ OK to Issue Permit
Approved by Permit Coordinator Date:
1:1Building\Forms\BldgPermitRvw_COM_NoLandUse_l 11819.docx