Permit t �
CITY OF TIGARD BUILDING PERMIT
° - COMMUNITY DEVELOPMENT Permit#: BUP2021-00222
Date Issued: 10/5/2021
TIGARD 13125 SW Hall Blvd,Tigard OR 97223 503.718.2439 Parcel: 1S135AB01004
Jurisdiction: Tigard
Site address: 10220 SW GREENBURG RD
Project: 3 Lincoln Center Subdivision: METZGER,TOWN OF Lot: 9
Project Description: 2nd Floor Toilet Room Upgrades.Landlord improvements to include interior demo,new walls,doors,and
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, 10/01/2021 $1,136.15
Occupancy Grp: B Occupancy Load: Demolition
12%State Surcharge-Building 10/01/2021 $136.34
Dwelling Units: 0 Plan Review 09/28/2021 $738.50
Stories: 0 Height: 0 ft Metro CET 10/01/2021 $125.28
Bedrooms: 0 Bathrooms: 0 Plan Review-Fire Life Safety 10/01/2021 $454.46
Value: $104,400 DC Provision Review,COM New-Ping 10/01/2021 $218.50
Tigard CET-Non-Residential-Admin 10/01/2021 $41.76
Tigard CET-Non-Residential-AH 10/01/2021 $1,002.24
Floor Areas: Info Process/Archiving-Lg$2.00(over 10/01/2021 $14 00
Total Area: 0 11x17)
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $3,867.23
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: Natty Vaw Pe,Wege, Permittee Signature: p,Apptiz.a,KArrt,„
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 6-- 115 2
Commercial RECEIVED FOR OFFICE USE ONLY
Cityof Tigard c,�? 1 ), 2021 RDate/By: / f `O 2021
1/ifPeanit No.:W P2021
II 13125 SW Hall Blvd.,Tigard,OR 97223 ' Plan Revie
Phone: 503.718.2439 Fax: 503.598.19 y'� 9, / Other Permit:
�i i Y OF TIGARD DateB 4 t
T 1 GA R D Inspection Line: 503.639.4175 BUILDING DIVISION Date ReadyBy: ® See Page 2 for
Internet: www.tigard-or.gov fied/Method: ,�v/ I upplemental Information
TYPE OF WORK REQUIRED DATA:1- D 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.
El1-and 2-family dwelling Z Commercial/industrial Valuation: $
ElAccessory building El Multi-familyNumber of bedrooms:
ElMaster builder ❑Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address:3 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.:- Project name:2°"Floor Toilet Room Upgrades 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.
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,and finishes. Valuation: $$104,400.00
Existing building area: 255 square feet
New building area: 255 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
El APPLICANT ® CONTACT PERSON BUILDING PERMIT FEES*
Business name:Mackenzie (Please refer tofee schedale)
Structural plan review fee(or deposit): 75
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 Photo Voltaic 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
Authorized signature:Scoptt Rplott This permit application expires if a permit is not obtain,
within 180 days after it has been accepted as comple'
Print name:Samantha Ruddy Date:09/14/2021 * Fee methodology set by Tri-County Building Industr
Service Board.
I:\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] $ 104,400
MULTIPLIER(25%barrier removal requirement): x .25
TOTAL BUDGET FOR BARRIER REMOVAL: [2] $ 26,100
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\Pemrits\BUP-COM PermitApp.doc 03/03/2011
City of Tigard
COMMUNITY DEVELOPMENT DEPARTMENT
T l c Building Permit Review — Commercial - l�o Land Use
Building Permit #: jf22021 00222-
Site Address: 10220 SW Greenburg Road Suite/Bldg#:
Project Name: 3 Lincoln-2nd Floor Toilet Room upgrades
(Name of commercial business occupying the space. If vacant,enter Spec Space.)
Plai/Pi/W.1 eviely
Proposal: TI
Existing Business Activity: N/A
Proposed Business Activity:
® Verify site address/suite# exists and active in permit system.
El River Terrace Neighborhood: ❑ Yes 7 No
Zoning: MUE-1
PM Permitted Use: ❑ Yes ❑ No ❑ Spec Space
Confirm no land use required.
a Business License:
Exists: ❑ Yes ❑ No,applicant was provided a business license application
Notes:
Approved by Planning: iv, oeuviebti Date: 9/20/2021
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: ❑ Approved ❑ Not Approved
Revision 3: ❑ Approved ❑ Not Approved
8uildir Permit Strbrrlittal
Original Submittal Date: 0V1t5,,20L/
Site Plans: # 3i
Building Plans: # 3
Building Permit#: Mr'tnter building permit# above.
Workflow Routing: Planning ❑ Permit Coordinator ErBuilding
Workflow Sign-off: [ Sign-off for Planning(include notes from planning review)
Route Application Documents: 52ruilding: original permit application,site plans,building plans, engineer and
beam calculations and trust details,if applicable, etc.
Notes:
By Permit Technician: Date: 09/28 20Z/
1:\Building\Forms\BldgPermitRvw COM NoLandUse_111819.docx 1
•. .t COO/Willa tot-Reviety
❑ Con. . "Met"prior to issuance of building permit
❑ Approved,NO - eased: ' . e:
Notes:
Revisions (after Building Submittal only)
Revision Notice 1: Date Sent to Applicant
Revision Notice 2: Date Sent to A.. • t:
Revision Notice 3: Date Sen .plicant:
❑ SDC Fees Entered: . Co Trans Dev Tax: ❑ Yes ❑
Tigard Trans SDC: 0 Yes ❑ N/A
Parks SDC: 0 Yes ❑ N/A
❑ OK • sue Permit
pproved by Permit Coordinator: Date:
I:\Building\Fonns\BldgPermitRvw_COM NoLandUse_111819.docx