Permit CITY OF TIGARD BUILDING PERMIT
7111 COMMUNITY DEVELOPMENT Permit#: BUP2021-00107
T I( A R n 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 5/20/2021
Parcel: 1 S 135AB01003
Jurisdiction: Tigard
Site address: 10300 SW GREENBURG RD 200
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
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: IB Permit Fee-Additions,Alterations, 05/19/2021 $164.96
Demolition
Occupancy Grp: B Occupancy Load: 30 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 952-001-0090. Yo 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: A(�(//� � 6///�
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.
1 Building Permit Application $—4 Ae3 21
Commercial RECEIVED FOR OFFICE USE ONLY 7
City of Tigard DateBy D5.Q3 202/ 'e Permit No.6�PZ�-0O1O/
13125 SW Hall Blvd.,Tigard,OR 97223 AeR 2 R 7021 Plan Rev ew,v 7—" �j✓J�/y
Phone: 503.718.2439 Fax: 503.598.1960 Date/By: 13-2) Other Permit
Tic,\k D Inspection Line: 503.639.4175 CITY OF TIGARD D Ready/By: �/ C a I ®supSeem 2lnformation
for
Internet: www.tigard-or.gov otified/Method: 7 l
BUILDING DIVISION
TYPE OF WORK REQUIRED DATA: - 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.
Valuation: $
❑ I-and 2-family dwelling ®Commercial/industrial
❑Accessory building III Multi-family
Number of bedrooms:
❑Master builder ❑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.:200 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.
Work to include demolition and new finishes. Valuation: $$6,000.00
Existing building area: 3118 square feet
New building area: 3118 square feet
® 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 to fee schedale)
Business name:Mackenzie
Structural plan review fee(or deposit): /07u
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 105'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
w-o.r HAdY This permit application expires if a permit is not obtained
signagn Samantha Ruddy°""°6 =°"""" • daysacceptedcomplete.
ture: w-im n�,cws meA cn
within 180 after it has been as coin lete.
Print name:Samantha Ruddy Date:04/28/2021 * Fee methodology set by Tri-County Building Industry
Service Board.
1:\Building\Permits\BUP-COM PermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
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\BUP-COM PetmitApp.doc 03/03/2011
City of Tigard
_ q COMMUNITY DEVELOPMENT DEPARTMENT
•
Building Permit Review — Commercial - No Land Use
TIGARD
Building Permit #: .80)J21-0O ( 07
Site Address: /0300 S'/() C ..PE11,1'Li led Suite/Bldg#: .20()
Project Name: ,q,pee Qlpo a
(Nat&of commercia€business occupying the space. If vacant,enter Spec Space.)
Planning Review /�
Proposal: Laatr�hr dk_DeirL•--- C y0 a
Existing Business Activity: ec_e_Pro .osed Business Activity: _90
III Ve 'fy site address/suite# exists and active in permit syste
1 N10•'ver Terrace Neighborhood: ❑ Yes No
T. - oning: Puri
I, exmitted Use: ❑ Yes ❑ No Y(J Spec Space
V Con m no land use required.
usiness License:
Exists: ❑ Yes ❑ No,applicant was provided a business license application
Notes:
Approved by Planning: Date: .2-
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: ,O -202/
Site Plans: # 3
Building Plans: #��3
Building Permit#: r L nter building permit#above.
Workflow Routing: L vPlanning ❑ Permit Coordinator ['Building
Workflow Sign-off: n Sign-off for Planning(include notes from planning review)
Route Application Documents: uilding: original permit application, site plans,building plans,engineer and
beam calculations and trust details,if applicable,etc.
Notes:
By Permit Technician: / ��/� Date: Or�'A3/1f✓/
I:\Building\Forms\B1dgPennitRvw_COM_NoLandUse_1118I9.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 Se to Applicant:
Revision Notice 3: Date nt to Applicant:
❑ SDC Fees Entered: W Co Trans Dev Tax: ❑ Yes ❑ N/A
"igard Trans SDC: ❑ Yes ❑ N/A
Parks SDC: ❑ Yes 0 N/A
O OK to Issue Permit
Approved by Perm' Coordinator: Date:
l:\Building\Forms\BldgPennitRvw COM NoLandUse 111819.docx