Permit CITY OF TIGARD BUILDING PERMIT
s ' COMMUNITY DEVELOPMENT Permit#: BUP2021 00119
Date Issued: 6/16/2021
T l i;A p t7 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439
Parcel: 1 S 126DC03300
Jurisdiction: Tigard
Site address: 9900 SW GREENBURG RD 180
Project: OMF Subdivision: LEHMANN ACRE TRACT Lot: 5
Project Description: TI-including removing existing non-bearing interior partitions to create an open office area for workstations.
Re-build existing lower casework in existing breakroom per ADA requirement.
Contractor: JHC COMMERCIAL LLC Owner: MADRONA GREENBURG LLC
11125 SW BARBUR BLVD BLD C 210 SW MORRISON ST
PORTLAND, OR 97219 PORTLAND, OR 97204
PHONE: 503-624-7100 PHONE:
FAX: 503-684-5295
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: VB Permit Fee-Additions,Alterations, 06/14/2021 $707.41
Demolition
Occupancy Grp: B Occupancy Load: 49 12%State Surcharge-Building 06/14/2021 $84.89
Dwelling Units: 0 Plan Review 05/19/2021 $459.82
Stories: 0 Height: 0 ft DC Provision Review,COM TI-Ping 06/14/2021 $103.00
Bedrooms: 0 Bathrooms: 0 Plan Review-Fire Life Safety 06/14/2021 $282.96
Value: $48,000 Info Process/Archiving-Lg$2.00(over 06/14/2021 $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 $1,648.08
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 OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: Permittee Signature: OwApn �`l
}folly Vaw7e/WP.fe t
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.
it
Building Permit Application ,.._5
Commercial FOR OFFICE USE ONLY
City of Tigard RECEIVE 1
Dateive /9/202/ ;1177 Permit No.:eli 21--00 I,
'q 13125 SW Hall Blvd.,Tigard,OR 97223 l „ 171 Plan Revie Q Related Permit:
Phone: 503-718-2439 Fax: 503-598-1960 MAY t 111
DatetBv: � , a
T I GARD Inspection Line: 503-639-4175 Date eady y.. / hais. H See Page 2 for
Internet: www.tigard-or.gov CITY OF TIGARD tfied/Meth : l -n Supplemental Information
TYPE OF WORK REQUIRED DATA:1-AND 2-FAMILY DWELLING
El 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 ®Commercial/industrialValuation: $
ElAccessory building ❑Multi-family Number of bedrooms:
ElMaster builder ❑Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: 9900 SW Greenburg Rd. New dwelling area: square feet
City/State/ZIP: Tigard,Oregon 97223 Garage/carport area: square feet
Suite/bldg./apt.#:180 Project name: OMF Office T.I. Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
SW Greenburg Rd.&SW Coral St. Other structure area: square feet
REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision: I Lot#: Permit fees*are based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
Tax map/parcel r: 1 S 126DC03300 equipment,materials,labor,overhead,and the profit for the
DESCRIPTION OF WORK work indicated on this application.
Office interior tenant improvement,including removing existing non-bearing interior Valuation: $ 48,000
partitions to create an open office area for workstations. Re-build existing lower casework Existing building area: 41,690 square feet
in existing break room per ADA requirement. New building area: 0 square feet
® PROPERTY OWNER 0 TENANT Number of stories: 2
Name: Julia Winkler-Madrona Greenburg,LLC Type of construction: V-B
Address: 210 SW Morrison St,Suite 600 Occupancy groups:
City/State/ZIP: Tigard,Oregon 97204 Existing: B-Professional Services
Phone:( 503 ) 225-0701 Fax:( )
New: B-Professional Services
® APPLICANT 0 CONTACT PERSON BUILDING PERMIT FEES*
(Please refer to fee schedule)
Business name: LRS Architects
Structural plan review fee(or deposit): '
Contact name: Peter Kim
FLS plan review fee(if applicable):
Address: 720 NW Davis St,Suite 300
Total fees due upon application:
City/State/ZIP: Portland,Oregon 97209
Amount received:
Phone:( 503 ) 221-1121 Fax::(503 )221-2077
E-mail: pkim@Irsarchitects.com PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
Commercial and residential prescriptive installation of
CONTRACTOR roof-top mounted PhotoVoltaic Solar Panel System.
Business name: JHC Companies Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
Address: Carter Myers Solar Installation Specialty Code checklist.
City/State/ZIP: 11125 SW Barbur Blvdd,Oregon 97219 Permit fee(includes plan review $180.00
and administrative fees):
Phone:( 503 ) 936-1387 Fax:( 503) 684-5295 State surcharge(12%of permit fee): $21.60
CCB Lic.: 158061 Total fee due upon application: $201.60
Authorized signature: .f., p..r^" This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: Peter im Date: 05.17.2021 * Fee methodology set by Tri-County Building Industry
Service Board.
I:\Building\Permits\BUP_COM_PemiitApp.doc Rev.04/21/2014 440-4613T(I 1/02/COM/WEB)
r;
N
gar " „W ..
.. .. . . . ,.,.,.
City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT
71
: . , .
Accessibility: Barrier Removal Improvement Plan
Commercial & Multi-Family - Additions or Alterations
TIGARD 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov
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 percent(25°o).
VALUATION: Total of all renovation,alteration or modification being done,
excluding painting and wallpapering: [1] $ 48,000
MULTIPLIER(25%barrier removal requirement): x .25
TOTAL BUDGET FOR BARRIER REMOVAL: [2] $ 12,000
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 $ Compliant
(b) An accessible entrance: S Compliant
(c) An accessible route to the altered area: $ Compliant
(d) At least one accessible restroom for each sex or a single unisex
restroom: $ Compliant
(e) Accessible telephones: $ Compliant
(t) Accessible drinking fountains: and, $ Compliant
(g) When possible,additional accessible elements such as storage and
alarms: $ Compliant
TOTAL(shall equal line [2] of Valuation Computation): $ Compliant
The building is 100% compliant and no additional upgrade is needed.
I:\Building\Penults\BUP_COM_PernutApp.doc Rev.03/05/2019
City of Tigard
III COMMUNITY DEVELOPMENT DEPARTMENT
1
T1cnuD Building Permit Review — Commercial - No Land Use
Building Permit #: B0P202-00119
Site Address: 9900 SW Greenburg Rd Suite/Bldg#: 180
Project Name: OMF Office TI
(Name of commercial business occupying the space. if vacant,enter Spec Space.)
Planniri l�eviety
Proposal: TI
Existing Business Activity: Office
Proposed Business Activity: Office
® Verify site address/suite # exists and active in permit system.
® River Terrace Neighborhood: ❑ Yes g I No
E Zoning: MUE-1
RI Permitted Use: M Yes ❑ No ❑ Spec Space
• Confirm no land use required.
J Business License:
Exists: II Yes ❑ No,applicant was provided a business license application
Notes:
Approved by Planning: AlaltM OetiKetrti Date: 5/18/2021
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: ❑ Approved ❑ Not Approved
Revision 3: ❑ Approved ❑ Not Approved
13uildiuk Permit Submittal
Original Submittal Date: ,ar/1/2O2,/
Site Plans: # 3
Building Plans: # 3
Building Permit#: [VEnter building permit#above.
Workflow Routing: Planning ❑Permit Coordinator Ly' Building
Workflow Sign-off: Sign-off for Planning(include notes from planning review)
Route Application Documents: T Building: original permit application,site plans,building plans, engineer and
beam calculations and trust details,if applicable,etc.
Notes:
i
By Permit Technician: _ i / Or" Date: 1,15 9/zoL,'
I:\Building\Forms\Bldg PermitRvw_COM_NoLandUse_I11819.docx
• t Coordinator.Retrietp
❑ Conditio " et"prior to issuance of building permit
❑ Approved,NO - •ased: D
Notes:
Revisions (after Building Submittal only)
Revision Notice 1: Date Sent to Applicant:
Revision Notice 2: Date Sent to Appli .
Revision Notice 3: Date Sent to : .. cant:
❑ SDC Fees Entered: W. o Trans Dev Tax: ❑ Yes ❑ N
igard Trans SDC: ❑ Yes ❑ N/A
Parks SDC: ❑ Yes ❑ N/A
❑ OK to •. .e Permit
• . •roved by Permit Coordinator: Date:
I:\Building\Forms\BldgPermitRvw_COM NoLandUse_111819.docx