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CITY OF TIGARD BUILDING PERMIT
;'I I • COMMUNITY DEVELOPMENT Permit#: BUP2021-00305
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 12/21/2021
Parcel: 1 S 135AB04500
Jurisdiction: Tigard
Site address: 10250 SW GREENBURG RD 112
Project: Spec Space Subdivision: 1991-055 PARTITION PLAT Lot: 1
Project Description: Work to include interior demo and finishes.
Contractor: WALEN CONSTRUCTION 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: 503-718-6680 PHONE:
FAX:
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: Permit Fee-Additions,Alterations, 12/21/2021 $575.17
Occupancy Grp: Occupancy Load: Demolition
12%State Surcharge-Building 12/21/2021 $69.02
Dwelling Units: 0( Plan Review 12/10/2021 $373.86
1 Stories: 0 Height: 0 ft DC Provision Review,COM TI-Ping 12/21/2021 $110.00
1 Bedrooms: 0 Bathrooms: 0 Plan Review-Fire Life Safety 12/21/2021 $230.07
Value: $36,000 Info Process/Archiving-Lg$2.00(over 12/21/2021 $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 $1,368.12
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: NoLLy Vavv De,Weg Permittee Signature: Qw App- ti LOB^'
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 4:. ._12 2 Zf
Commercial POR OFFICE USE ONLY
RECEIVED Received g �p 'n �f, 7
City of Tigard DateBy: `2/6 21 2/ 7 Permit No.:B(. 2OZ`-CO03
16 p 13125 SW Hall Blvd.,Tigard,OR 97223 DEC 0 2 2021 Plan Review
S Phone: 503.718.2439 Fax: 503.598.1960 6 Date/By: Ip� ) Other Permit:
T I G R D Inspection Line: 503.639.4175 CITY OF TI Date Ready/By: ® See Page 2 for
Internet: www.tigard-or.gov BUILDING DI ISIONc ed/Metho ( � - Supplemental Information
TYPE OF WORK REQUIRED DATA:1-AND 2-FAMILY DWELLING
0 New construction 0 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: $
❑ 1-and 2-family dwelling ®Commercial/industrial
❑Accessory building ID Multi-familyNumber of bedrooms:
❑Master builder El 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.:112 Project name:Vacancy Space Prep Covered porch area: square feet
ICross 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 and finishes. Valuation: $$36,000.00
Existing building area: 2,342 square feet
New building area: 2,342 square feet
® PROPERTY OWNER 0 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:( 1 New: B
0 APPLICANT Z CONTACT PERSON BUILDING PERMIT FEES*
Business name:Mackenzie (Please refer to fee schedule)
Structural plan review fee(or deposit): 373.84.
Contact name:Suzie Hong
FLS plan review fee(if applicable):
Address:1515 SE Water Ave Suite 100
City/State/ZIP:Portland,OR 97214 Total fees due upon application:
Phone:(503)224-9560 Fax: :(503)228-1285 Amount received:
E-mail:shong@mcknze.com PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
Commercial and residential prescriptive installation of
CONTRACTOR roof-top mounted Photo Voltaic Solar Panel System.
Business name:Walen Construction Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
IAddress: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
6 CCB lic.:223805
Total fee due upon application: $201.60
Authorized signature: .2, --7 This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name:Suzie Hong Date:12/02/21 * Fee methodology set by Tri-County Building Industry
Service Board.
I:\Building\Permits\BUP-COM PermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
f.
4
•
Buildin Division
IN ■ g
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] $ 36,000
MULTIPLIER(25%barrier removal requirement): x .25
TOTAL BUDGET FOR BARRIER REMOVAL: [2] $ 9000
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: $
'.j (e) Accessible telephones: $
(f) Accessible drinking fountains:and, $
'i (g) When possible,additional accessible elements such as storage and
alarms: $
TOTAL(shall equal line [2] of Valuation Computation): $
I:\Building\Permits\BUP-COM PermitApp.doc 03/03/2011
City of Tigard
11111 COMMUNITY DEVELOPMENT DEPARTMENT
0
T 1 G A R D Building Permit Review — Commercial - No Land Use
Building Permit #: ZU p2,021--OO2?O' 6 Rot
Site Address: 9 Li nc o to -- (0 20 b"(^J 61t e" Su'to/Bldg#: I i 2,,,
Project Name: " ax 42-
(Name of commercialibusiness occupying the space. If vacant,enter Spec Space.)
Planning Review
Proposal: j N,I-eri O( dJUrS 2- -Chi it In a,,s 114 p,Pe f9 Ar`
Existing Business Activity: �!
Proposed Business Activity:
t )Verify site address/suite#exists and active in permit system.
❑ River Terrace Neighborhood: ❑ Yes YO No
'' Zoning: m U 6 --4
KI Permitted Use: ElYes ❑ No $ Spec Space
ig Confirm no land use required.
13uaniess License:
Elzi is: "Yes LJ No,applicant was provided a business tense a
Notes:
Approved by Planning: 404/1Date: L2/6/ ZiOZ-
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: 112/02/2O21
Site Plans: # 3
Building Plans: # c3
Building Permit#: 52 Enter building permit#above.
Workflow Routing: Q-Planning ❑ Permit Coordinator Ct-Building
Workflow Sign-off: C},1.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: Date: /.2/O J o�I
1:\Building\Forms\BldgPermitRvw_COM_NoLandUse_l 11819.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 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 ❑ N/A
Tigard Trans SDC: ❑ Yes ❑ N/A
Parks SDC: ❑ Yes ❑ N/A
❑ OK to Issue Permit
Approved by Permit Coordinator: Date:
I:\Building\Forms\B1dgPermitRvw_COM NoLandUse_111819.docx