Permit CITY OF TIGARD BUILDING PERMIT
COMMUNITY DEVELOPMENT Permit A: BUP2021-00202
Date Issued: 9/16/2021
T[GARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 1S135AB04500
Jurisdiction: Tigard
Site address: 10250 SW GREENBURG RD 111
Project: Comforth Consultants Subdivision: 1991-055 PARTITION PLAT Lot: 1
Project Description: New walls,doors,relites,and finishes
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: IB Permit Fee-Additions,Alterations, 09/16/2021 $362.69
Occupancy Grp: B Occupancy Load: 52 Demolition
12%State Surcharge-Building 09/16/2021 $43.52
Dwelling Units: 0 Plan Review 09/13/2021 $235.75
Stories: 0 Height: 0 ft DC Provision Review,COM TI-Ping 09/16/2021 $110.00
Bedrooms: 0 Bathrooms: 0 Plan Review-Fire Life Safety 09/16/2021 $145.08
Value: $18,300 Info Process/Archiving-Lg$2.00(over 09/16/2021 $8.00
11x17)
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $905.04
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: er7.7,/Van.Dp.1/t ge. Permittee Signature: Ov iAppUcatu-
Call 503.638.4175 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 15-g 4
Commercial FOR OFFICE USE ONLY
City of Tigard RECEIVED Received
Date/By: � permit No.: —OU z
li
• 13125 SW Hall Blvd.,Tigard,OR 97223 WP�Z�Phone: 503.718.2439 Fax: 503.598.1960 Plann Review /
��(3 I! 7Q�1 Date/By:Rev .,�JJ-a, Other Permit
—
l I G n K U Inspection Line: 503.639.4175 Date Ready/By: / el See Page 2 for
Internet: www.tigard-or.gov `ITV OF IGANL, �!/v .2( + ur Supplemental Information
i'G DIVISION -il'i
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.
❑ 1-and 2-family dwelling ElCommerciallindustrial 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:4 Lincoln-10250 SW Greenburg Road New dwelling area: square feet
City/State/ZIP:Tigard,OR 97223 Garage/carport area: square feet
Suite/bldg./apt.no.: 111 Project name:Cornforth Consultants 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,new walls,doors,relites,and finishes. Valuation: $$18,300.00
Existing building area: 7713 square feet
New building area: 7713 square feet
❑ PROPERTY OWNER ® TENANT Number of stories: 1
Name:Cornforth Consultants Type of construction: I-B
Address:10250 SW Greenburg Road,Suite 111 Occupancy groups:
City/State/ZIP:Tigard,Oregon 97223 Existing: B
Phone:(503)452-1100 Fax:( ) New: B
❑ APPLICANT ® CONTACT PERSON BUILDING PERMIT FEES*
Business name:Mackenzie
(Please refer to fee schedule)
Structural plan review fee(or deposit):
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(a7mcknze.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
Address:20915 SW 105"Avenue and fire department access,along with the 2010 Oregon
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
Authorized signature: yv�j� This permit application expires if a permit is not obtained
U U within 180 days after it has been accepted as complete.
Print name:Samantha Ruddy Date:08/18/2021 * Fee methodology set by Tri-County Building Industry
- Service Board.
I:\Building\Permits\BUP-COM PermitApp.doc 02/24/2011 440-4613T(11/02/COMIWEB)
111
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] $ 18,300
MULTIPLIER(25%barrier removal requirement): x .25
TOTAL BUDGET FOR BARRIER REMOVAL: [2] $ 4,575
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 PennitApp.doe 03/03/2011
City of Tigard
a COMMUNITY DEVELOPMENT DEPARTMENT
III
TlcnRD Building Permit Review — Commercial - No Land Use
Building Permit #: UP2OZ1— 00 ZOZ.
Site Address: /(72,) Sw ee S Ca Suite/Bldg#: 1 I I
Project Name: N'Fv2-T74 e,onfuc .r1 ( y L.incow 2crx_7
(Name of commercial business occupying the space. If vacant,enter Spec Space.)
Planning Review
Proposal: 1NT YLI02 livietairimeriTZ FR VC- CY1arl"--
Existing Business Activity: . 1a
Proposed Business Activity: V/
l�rify site address/suite#exists and active in permit system.
River Terrace Neighborhood: ❑ Yes ..J.2""No
age M u E-
IIV mrtted Use: Yes ❑ No ❑ Spec Space
1r`a�'Confirmof, no land use required.
Business License:
Exists: ❑ Yes ❑ No, applicant was provided a business license application
Notes:
Approved by Planning: e"� Date: 7/4f4(
Revisions (after Building Submittal o. ) Reviewer Date
Revision 1: 0 Approved 0 Not Approved
Revision 2: 0 Approved 0 Not Approved
Revision 3: ❑ Approved 0 Not Approved
Building Permit Submittal
Original Submittal Date: \\'\ZI
Site Plans: # 3
Building Plans: # 3
Building Permit#: 'Enter building permit#above.
Workflow Routing. Ci/Planning C'Permit Coordinator Building
Workflow Sign-off L�J Sign-off for Planning (include notes from planning review)
Route Application Documents: [Building: original permit application, site plans,building plans,engineer and
beam calculations and trust details,if applicable,etc.
Notes:
By Permit Technician: M Date: KW\Z
IABuilding\Forms\BldgPemutRvw COM NoLandUse 111819.docx
Permit Coordinator Review
NA'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 Applicant:
SDC Fees Entered: Wash Co Trans Dev Tax: ❑ Yes (V N/A
Tigard Trans SDC: ❑ Yes zr N/A
Parks SDC: ❑ Yes 0 N/A
6 OK to Issue Permit
Approved by Permit Coordinator: Date: (S(2'
I:BuildinglFonns\BldgPertnitRvw_COM NolandUse_111819.docx