Permit CITY OF TIGARD BUILDING PERMIT
COMMUNITY DEVELOPMENT Permit A: BUP2021-00106
Date Issued: 5/20/2021
TI G A R D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439
Parcel: 1S135AB01003
Jurisdiction: Tigard
Site address: 10300 SW GREENBURG RD 120
Project: Spec Space Subdivision: METZGER, TOWN OF Lot: 9
Project Description: Landlord work prior to TI: Demolition 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
FEES
Specifics:
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: jg Permit Fee-Additions,Alterations, 05/19/2021 $164.96
Demolition
Occupancy Grp: B Occupancy Load: 15 12%State Surcharge-Building 05/19/2021 $19.80
Dwelling Units: 0 Plan Review 05/05/2021 $107.22
Stories: 0 Height: 0 ft DC Provision Review,COM TI-Ping 05/19/2021 $103.00
Bedrooms: 0 Bathrooms: 0 Plan Review-Fire Life Safety 05/19/2021 $65.98
Value: $6,000 Info Process/Archiving-Lg$2.00(over 05/19/2021 $4.00
11x17)
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $464.96
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 952-001-009 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: Permittee Signature:
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.
Ri'jlding Permit Application $-
commercial R EC E IV E D FOR OFFICE USE ONLY
City of Tigard O/ Re-iv-1D$/03/769/ '� PermitNe.:bUP2Q2-00I0G
14 _ rp Dan e
13125 SW Hall Blvd.,Tigard,OR 97223 T it ¢P Plan Review
Phone: 503.718.2439 Fax: 503.598.1960 Date/By:
S- .3- 2,1 Other Permit:
Inspection Line: 503.639.4175 CITY OF TIGARD Date Ready/By: r J ® See Page 2 for
T I G A R D Noti ethod: 1 applemental Ia rmation
Internet: www.figard-or.gov BUILDING DIVISION.
TYPE OF WORK REQUIRED D A:1- 2-FAMILY DWELLING
❑Demolition Permit fees*are based on the value of the work performed.
❑New construction Indicate the value(rounded to the nearest dollar)of all
Addition/alteration/replacement ❑Other: equipment,materials,labor,overhead,and the profit for the
work indicated on this application.
CATEGORY OF CONSTRUCTION
Valuation: $
❑ 1-and 2-family dwelling ®Commercial/industrial
Number of bedrooms:
❑Accessory building
0 Multi-family
❑Master builder D
Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address:1 Lincoln-10300 SW Greenburg Road New dwelling area: square feet
City/State/ZIP:Tigard,OR 97223 Garage/carport area: square feet
Suite/bldg./apt.no.:120 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: I 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 work indicated on this application.
Valuation: $$6,000.00
Work to include minor demolition and new finishes.
Existing building area: 1481 square feet
New building area: 1481 square feet
L PROPERTY OWNER ❑ 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 fa fee schedule)
Business name:Mackenzie
Structural plan review fee(or deposit): /D
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
PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
E-mail:sruddy®mcknze.com
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 1051s Avenue Solar Installation Specialty Code checklist.
Permit fee(includes plan review $180.00
City/State/ZIP:Tualatin,OR 97062 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
uoeuyea.dws.n.mm•anM This permit application expires if a permit is not obtained
Samantha Ruddy°"" acceptedco
mplete.
signature: m �.a�ao moo; within 180 days after it has been as com lete.
Date:04/28/2021 * Fee methodology set by Tri-County Building Industry
Print name:Samantha Ruddy Service Board.
I:\Building\Permits\BUP-COM PermitApp.doc 02/24/2011 440-4613T(I 1/02/COM/WEB)
$
IPIII
s
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] $ 6000
MULTIPLIER(25%barrier removal requirement): x .25
TOTAL BUDGET FOR BARRIER REMOVAL: [2] $ 1500
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\Permits\B1JP-COM PemntApp.doc 03/03/2011
City of Tigard
IIICOMMUNITY DEVELOPMENT DEPARTMENT
Building Permit Review — Commercial - No Land Use
TIGARD
Building Permit #: 73UP2n21 -OD(0 )
Site Address: /O c O .2k) 9.ee ece Suite/Bldg#: /7 6
Project Name: 7Pec c
(Naf(ic of commercial usiness occupying the space. If vacant,enter Spec Space.)
Planning Review
Proposal: L 4d e0d12// — -1 .ee (- Z Ce
Existing Business Activity: g9r.e
Pro sed Business Activity: S��/ ea
V fy site address/suite# exists and active in permit s st
ver Terrace Neighborhood: ❑ Yes No
om l ng: ki
./
emitted Use: E Yes ❑ No Spec Space
Confirm no land use required.
.) Business License:
Exists: ❑ Yes ❑ No,applicant was provided a business license application
Notes:
Approved by Planning: �� Date: 4---941—
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved 0 Not Approved
Revision 2: ❑ Approved 0 Not Approved
Revision 3: ❑ Approved 0 Not Approved
Building Permit Submittal,t1 1/ !
Original Submittal Date: �` ��
Site Plans: # 3
Building Plans: # 3
Building Permit#: Ei--Enter building permit# above.
Workflow Routing: a—Planning 0 Permit Coordinator l 'Building
Workflow Sign-off: Er Sign-off for Planning(include notes from planning review)
Route Application Documents: O'Building: original permit application, site plans,building plans,engineer and
beam calculatio and trust details,if applicable,etc.
Notes:
2,1
By Permit Technician: j Date: �y�j�
I:\Building\Forms\BldgPennitRvw_COM_NolandUse_I 1 1819.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 t Applicant:
Revision Notice 2: Date Sen o Applicant:
Revision Notice 3: Date S-. t to Applicant:
❑ SDC Fees Entered: Was Co Trans Dev Tax: ❑ Yes ❑ N/A
T_ard Trans SDC: ❑ Yes ❑ N/A
"arks SDC: ❑ Yes ❑ N/A
❑ OK to Issue Permit
Approved by Permit C ordinator: Date:
1:\Building\Forms\BldgPermitRvw_COM_NoLandUse_l 11819.docx