Permit n CITY OF TIGARD BUILDING PERMIT
COMMUNITY DEVELOPMENT Permit#: BUP2022-00187
Date Issued: 8/11/2022
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 1 S135A601004
Jurisdiction: Tigard
Site address: 10220 SW GREENBURG RD
Project: Lincoln Center Subdivision: METZGER,TOWN OF Lot: 9
Project Description: Fourth floor restroom upgrades: Demolition, new walls,doors,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:
FEES
Specifics:
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: Permit Fee-Additions,Alterations, 08/11/2022 $1,136.15
Demolition
Occupancy Grp: Occupancy Load: 12%State Surcharge-Building 08/11/2022 $136.34
Dwelling Units: 0 Plan Review 07/27/2022 $738.50
Stories: 0 Height: 0 ft DC Provision Review,COM TI-Ping 08/11/2022 $274.00
Bedrooms: 0 Bathrooms: 0 Plan Review-Fire Life Safety 08/11/2022 $454.46
Value: $104,400 Info Process/Archiving-Lg$2.00(over 08/11/2022 $14.00
11x17)
Metro CET 08/11/2022 $125.28
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $2,878.73
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- - 90. Y a btain a copy f th rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
i v
Issued By: Permlttee Signature: /fA€ 522
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
r -Commercial FOR OFFICE USE ONLY
Cityof Tigard Received /�1/y�}� �t y, p
6 DECEIVED DateBy: 7/' ! /� Pemet No.: /f,t F�'9�' ��`D�
II • 13125 SW Hall Blvd.,Tigard,OR 972 Plan Review „'vl
3 Phone: 503-718-2439 Fax: 503-598-1960 q qqq Date/By: $ea a, Related Permit:
Inspection Line: 503-639-4175 ZU2L Date Ready/By: r> : Id See Page 2 for
T I G n - Internet: www tigard-or.gov JULJ U L 1 Notified/M • p20. Supplemental Information
CM'OF TIGARD
TYPE OF NailLD1 REQU D 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 ®Commercial/industrialValuation: $
❑Accessory building ❑Multi-family Number of bedrooms:
❑Master builder ❑Other: Number of bathrooms:
O a a,d10B SITE INFORMATION AND LOCATION Total number of floors:
Job site address:"f0208-SW Greenburg Road New dwelling area: square feet
City/State/ZIP: Tigard, Oregon Li Kic.,i,J ((After Garage/carport area: square feet
Suite/bldg./apt.#: Project nam ' 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#: Permit fees*arc 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 and finishes. Valuation: $ 104,400.00
111 j% r l'r- ID
r �,, f � Existing building area: 135 square feet
New building area: 135 square feet
r
® PROPERTY OWNER ❑ TENANT Number of stories: 6
Name:Shorenstein Type of construction: I-B
Address: 5335 Meadows Road, 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 to fee schedule)
Structural plan review fee(or deposit):
Contact name: Ashlee White
FLS plan review fee(if applicable):
Address: 1515 SE Water Ave Suite 100 �1
Total fees due upon application: t l 3$,yb
city/state/zip: Portland, OR 97214
Amount received:
Phone:(971 )254-9495 Fax::( )
PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
E-mail: awhite@mcknze.com
Commercial and residential prescriptive installation of
CONTRACTOR 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 Lic.:223805 Total fee due upon application: $201.60
Authorized signature: Ashlee White E a^ This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: Ashlee White Date:07-07-2022 * Fee methodology set by Tri-County Building Industry
Service Board.
I:\Building\Permits\BUP_COM_PemiltApp.doc Rev.04/21/2014 440-4613T(11/02/COM/WEB)
•
City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT
■ 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] $ 104,400.00
MULTIPLIER(25%barrier removal requirement): x 2
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\Pemuts\BUP_COIvi_PermitApp.doc Rcv.03/05/2019
allig of Tigard
City
d �
g
r COMMUNITY DEVELOPMENT DEPARTMENT
TIGARD Building Permit Review — Commercial - No Land Use
Building Permit #: (dpe)a- —pd 16-7
Site Address: 10210 &till 'rCidvl Suite/Bldg#:
Project Name: 2, l,Mco\v' 440A • olvr iLoym op 5
(Name of commercial business occupying the space. If vacant,enter Spec Space.)
Planning Review Proposal: --(\ V-C(e"rAOO rivvI 0.0
Existing Business Activity: O` Q
�� C
Proposed Business Activity: CA El l CQ_
erify site address/suite#exists and active in permit system.
0 River Terrace Neighborhood: 0 Yes g7 No
oning: ft/v6- 1
emitted Use: Qes ID No ❑ Spec Space
onfirm no land use required.
Business License:
Exists: ` l&s 0 No,applicant was provided a business license application
Notes: ffs.----•.
I
Approved by Planning: Date: 7(l ti(722
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: ❑ Approved ❑ Not Approved
Revision 3: ❑ Approved 0 Not Approved
Building Permit Submittal
Original Submittal Date: )--
Site Plans: #
Building Plans: #
Building Permit#: n ar building permit#above.
Workflow Routing: Planning ❑ Permit Coordinator L' " ilding
Workflow Sign-off: Cff for Planning(include notes from planning review)
Route Application Documents: Ir.-Building original permit application,site plans,building plans,engineer and
beam calculations and trust details,if applicable,etc.
Notes:
By Permit Technician: '------ Date: /ay/
1:\Building\Forms\BldgPermitRvw_COM_NoLandUse_l Ill 19.doex
Permit Coordinator Review
D Conditions "Met"prior to issuance of building permit
❑ Approved, NOT Released: c ate:
Notes:
Revisions (after Building Submittal only)
Revision Notice 1: Date Sent to Applicant:
Revision Notice 2: Date Sent to App -.nt:
Revision Notice 3: Date Sent to < .plicant:
❑ SDC Fees Entered: Was "o Trans Dev Tax: ❑ Yes ❑ N/A
.gard Trans SDC: ❑ Yes ❑ N/A
Parks SDC: ❑ Yes ❑ N/A
❑ OK to Issue Pe it
Approved by ermit Coordinator: Date:
I:\Building\Forms\BldgPermilRv w_COM_NoLandUse_11 I 819.docx
A C K E N Z I E 6
1515 SE Water Ave.Suite 100•Portland OR 97214
PO Box 14310•Portland OR 97293
TEL:503.224.9560•NET:MCKNZE.COM•FAX:503.228.1285
Letter of Transmittal
65464-1
Date: July 12, 2022 Project Number: 2190951.20
To: City of Tigard
13125 SW Hall Blvd
Tigard, OR 97223-8199
Attention:
Project Name: 10220 2 Lincoln - 4th Floor Toilet Room Upgrades
Enclosed: Quantity Medium Description Comment
3 Bond Full Permit Set For your review
1 Original Intake Form For your use
Remarks:
Signed: Ashlee White
Transmitted Employee Delivery (AMW)
Via:
If enclosures are not as noted, kindly notify us at once.
Mackenzie reference ad:https://deltekpim.mcknze.com/DMS/view_document.aspx?ID=3488549&Latest=true