Permit CITY OF TIGARD BUILDING PERMIT
- E COMMUNITY DEVELOPMENT Permit#: BUP2022-00124
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 6/1/2022
Parcel: 1 S135AB01002
Jurisdiction: Tigard
Site address: 10220 SW GREENBURG RD 571
Project: Axian Subdivision: METZGER,TOWN OF
Lot: 9
Project Description: Tenant Improvement includes:demolition,new walls,doors,relites and finishes.
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: VB Permit Fee-Additions,Alterations. 05/26/2022 $663.33
Occupancy Grp: B Occupancy Load: 37 Demolition
12%State Surcharge-Building 05/26/2022 $79.60
Dwelling Units: 0 Plan Review 05/12/2022 $431.16
Stories: 0 Height: 0 ft DC Provision Review,COM TI-Ping 05/26/2022 $110.00
Bedrooms: 0 Bathrooms: 0 Plan Review-Fire Life Safety 05/26/2022 $265.33
Value: $44,000 Info Process/Archiving-Lg$2.00(over 05/26/2022 $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 $1,559.42
Required: Required Items and Reports(Conditions) ('
Fire Sprinkler: Parapet: b4{
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: Hatud va„pe,we.3, Permittee Signature: Qvt,Ap C44 .o-vt
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
Commercial RECEIVED FOR OFFICE USE ONLY
City of Tigard Received
`J g Permit No.:
13125 SW Hall Blvd.,Tigard,OR 97223 MAY 11 2022 Date By: //� �11� uU1 elut�i
if
II
Date/By:
an Review v _ ar , -�� Other Permit:
Phone: 503.718.2439 Fax: 503.598. � y
Inspection Line: 503.639.4175 UM Y OF TIU'1I-U:' Date Ready/By: lulls:T I G A R D Y Y ) H See Page 2 far
Internet: www.tigard-or.gov BUILDING DIVISION Notifi ethod: p( /L 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 ❑Other: equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
❑ I-and 2-family dwelling ElCommercial industrial Valuation: $
❑Accessory building ❑Multi-family Number of bedrooms:
IDMaster 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.:571 Project name:Axian 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,rates,and finishes. Valuation: $$44,000.00
Existing building area: 3,717 square feet
New building area: 3,717 square feet
® PROPERTY OWNER ❑ TENANT Number of stories: I
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.i ) New: B
❑ APPLICANT ® CONTACT PERSON BUILDING PERMIT FEES*
(Please refer to fee schedule)
Business name:Mackenzie
Structural plan review tee(or deposit):
Contact name:Ashlee White
FLS plan review fee(if applicable): ,``}l,
Address:1515 SE Water Ave Suite 100 s
City/State/ZIP:Portland,OR 97214
Total fees due upon application:
Amount received: t
Phone:(503)224-9560 Fax: :(503)228-1285
PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
E-mail: awhite(a/mcknze.com lla
CONTRACTOR Commercial and residential prescriptive installation of
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 Ii
Address:20915 SW 105th Avenue Solar Installation Specialty Code checklist.
City/State/ZIP:Tualatin,OR 97062 Permit fee(includes plan review !'s
and administrative fees):
$180.00
Phone:(503)692-9002 Fax:( ) State surcharge(12%of permit fee): $21.60
CCB lie.:223805
Total fee due upon application: $201.60
rnAny yi,a by a mea whit.
Authorized signature: °N c @'a °` permitapplicationexpires '
Ashlee White''-� w This if a permit is not obtained
:o:z,as'o s03.25.0700• within 180 days after it has been accepted as complete.
Print name:Ashlee White Date:05/10/2022 * Fee methodology set by Tri-County Building Industry
Service Board.
I:ABuilding\Permits\BUP-COM PermitApp.doc 02/24/2011 440-4613T(1 I/02/COM/WEB)
Building Division
INS
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] $ 44,000
i! MULTIPLIER(25%barrier removal requirement): x .25
Viz=
Ilr TOTAL BUDGET FOR BARRIER REMOVAL: [2] $ 11,000
tll
R3.
4" ELEMENTS: In choosing which accessible elements to provide under this section,priority shall be given
ik
il to those elements that will provide the greatest access. Elements shall be provided in the
li following order:ki
(a) Parking $
(b)
An accessible entrance: $
ft;. (c) An accessible route to the altered area: $11
(d) At least one accessible restroom for each sex or a single unisex
,Il. restroom: $
il..i
ti
s};, (e) Accessible telephones: $
lr 11" (f) Accessible drinking fountains:and, $
Ii �'
(g) When possible,additional accessible elements such as storage and
lt��'x alarms: $
�,"
i .
]
,10 TOTAL(shall equal line [2] of Valuation Computation): $
+t;
4
I:\Building\Permits\BUP-COM PemutApp.doc 03/03/2011
City of Tigard
4 COMMUNITY DEVELOPMENT DEPARTMENT
14
Budding Permit Review — Commercial - N o Land Use
Building Permit #: {j4 Q042,-- r a y
Site Address: 16 ZZp 5k) 6 r e 1J (Z . Suite/Bldg#: , -7/
Project Name: .180 VI
(Name of commercial business occupying the space. If vacant,enter Spec Space.)
Planning Review ( (?vlidA
Proposal: `I've�-Q O it f/e M O1 U,((3( JQv/s i U`�s� `` .Q.s
Existing Business Activity: ,e,
Proposed Business Activity:
l%Verify site address/suite# exists and active in permit system.
❑ River Terrace Neighborhood:Al ❑ Yes �] No
,V Zoning M'V (- — l
pPermitted Use: )0 Yes ❑ No ❑ Spec Space
pConfirm no land use required.
) Business License:
Exists: /0 Yes ❑ No,applicant was provided a business license application
Notes:
Approved by Planning: )�� , t "�/� Date: �°� t /Zc 2—
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: // a a
Site Plans: # A
Building Plans: #
Building Permit#: la Enter building permit#above.
Workflow Routing: ®-Planning ❑ Permit Coordinator fi,t'Building
Workflow Sign-off: IV- Sign-off for Planning(include notes from planning review)
Route Application Documents: ,a- Building original permit application, site plans,building plans,engineer and
beam calculations and trust details,if applicable, etc.
Notes: I
By Permit Technician: i � a_d_ ,/ Date: s/a�
a2
1:1Building\Forms\BldgPermitRvw_COM_NoLandUse_111819.docx