Permit CITY OF TIGARD BUILDING PERMIT
:"- COMMUNITY DEVELOPMENT Permit#: BUP2022-00114
Date Issued: 5/11/2022
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 1S135AB01004
Jurisdiction: Tigard
Site address: 10220 SW GREENBURG RD 400
Project: KPA Subdivision: METZGER,TOWN OF Lot: 9
Project Description: TI to include,demo, new walls and relites.
Contractor: WALEN CONSTRUCTION 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: 503-718-6680 PHONE:
FAX:
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: IB Permit Fee-Additions,Alterations, 05/05/2022 $842.40
Occupancy Grp: B Occupancy Load: 33 Demolition
12%State Surcharge-Building 05/05/2022 $101 09
Dwelling Units: 0 Plan Review 04/27/2022 $547.56
Stories: 0 Height: 0 ft DC Provision Review,COM TI-Ping 05/05/2022 $110 00
Bedrooms: 0 Bathrooms: 0 Plan Review-Fire Life Safety 05/05/2022 $336.96
Value: $65,000 Info Process/Archiving-Lg$2.00(over 05/05/2022 $14.00
11x17)
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $1,952.01
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 riot 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: ��V"� I �v Permittee Signature:
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.
a
Building Permit Application
Commercial EC E IV FOR OFFICE USE ONLY
City of Tigard Received Li I 1—
!�„ APR 2 5 2022 Date/By: a Permit No.: pop _G�
`� A 13125 SW Hall Blvd.,Tigard,OR 97223
_ Plan Review `'
Phone: 503-718-2439 Fax: 503-598-1960 DateBy: 7 —.2, . Related Permit:
TIGAKO Inspection Line: 503-639-4175 CITY OF 1�IGA 3t Date Ready/By: r r;9:
• Internet: www.tigard-or.govDIVISION ified/Method: 7 �� S See Page 2 for
BUILDING G Supplemental Information
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 El Other: equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
Li1-and 2-family dwelling VCommercialJindustrial 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: 10220 Greenburg Rd. New dwelling area: square feet
City/State/ZIP: Tigard, OR 97223 Garage/carport area: square feet
Suite/bldg./apt.#:400 Project name: KPA Tenant Improvement Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
Job site is located on east side of Greenburg Rd. between SW Oak St. and Other structure area: square feet
SW Locust St. REQUIRED DATA:COMMERCIAL-USE CHECKLIST
t Subdivision: I Lot#: Permit fees*are based on the value of the work performed.
Tax map/parcel#: 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, relites,casework, and finishes. Valuation: $ 65,000
Existing building area: 4,816 square feet
New building area: 0 square feet
PROPERTY OWNER 0 TENANT Number of stories: 1
Name: Shorenstein Realty Services 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:
❑ APPLICANT CONTACT PERSON
BUILDING PERMIT FEES*
Business name: Mackenzie
(Please refer to fee schedule
Structural plan review fee(or deposit):
Contact name: Katie Reinhart
Address: 1515 SE Water Ave. Suite 100 FLS plan review fee(if applicable):
City/State/ZIP: Portland,OR 97214 Total fees due upon application:
Phone:( 503)224-9560 Fax::( ) Amount received:
E-mail: kreinhart@mcknze.com PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
CONTRACTOR Commercial and residential prescriptive installation of
roof-top mounted PhotoVoltaic 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
Address: 20915 SW 105th Ave. 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.: 223805
Total fee due upon application: $201.60
Authorized signature: This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: Katie Reinhart Date: 04/20/2022 * Fee methodology set by Tri-County Building Industry
Service Board.
I:\Building\Permits\BUP_COM_PermitApp.doc Rev.04/21/2014 440-4613T(Il/02/COM/WEB)
City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT
1,1 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%).
VALUATION: Total of all renovation,alteration or modification being done,
excluding painting and wallpapering: [1] $ 65,000
MULTIPLIER(25%barrier removal requirement): x .25
TOTAL BUDGET FOR BARRIER REMOVAL: [2] $ 16,250
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_PernritApp.doc Rev.03/05/2019
•
City of Tigard
o COMMUNITY DEVELOPMENT DEPARTMENT
III
TIGARD Building Permit Review — Commercial - No Land Use
Building Permit #: R P -c<j I L4
Site Address: / 0 220 C.gef;Mgc426. iD Suite/Bldg#: '/°
Project Name: l - •
(Name of commercial business occupying the space. If vacant,enter Spec Space.)
Planning Review
Proposal: T
Existing Business Activity: ance
Proposed usiness Activity:
Verify site address/suite#exists and active in permit system.
❑ River Terrace Neighborhood: ❑ Yes No
pM ` i
e tied Use: Yes ❑ No ❑ Spec SP ace
J Confirm no land use required.
L� { Business License:
r' { Exists: ❑ Yes ❑ No,applicant was provided a business license application
Notes:
Y
Approved by Planning: /17. 3-- Date: ZA-/z 2
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: ❑ Approved ❑ Not Approved
1 Revision 3: ❑ Approved ❑ Not Approved
Building Permit Submittal
Original Submittal Date: Lt/5/a a
Site Plans: # /-
Building Plans: #
Building Permit#: ErEnter building permit#above.
Workflow Routing: CI-"Planning ❑ Permit Coordinator tl- Building
Workflow Sign-off: ErSign-off for Planning(include notes from planning review)
Route Application Documents: iBuilding: original permit application,site plans,building plans,engineer and
beam calculations and trust details,if applicable,etc.
Notes:
By Permit Technician: l awn Date:
I:\Building\Fonns\BldgPermitRvw COM NoLandUse 111819.docx
Permit Coo nator Review
❑ Conditions "Met" Yr o issuance of budding 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: ry
Revision Notice 3: Date Sent to Applicant: �-
❑ SDC Fees Entered: Wash Co Trans Dev Tax: ❑ Yes N/A
Tigard Tigard Trans SDC: ❑ Yes ❑ N7�A
Parks SDC: ❑ Yes ❑ N/A"\
❑ OK to Issue Permit
Approved by Permit Coordinator:
Dat\
NN
1:\Building\Forms\BldgPennitRvw COM_NoLandUse_111819.docx