Permit CITY OF TIGARD BUILDING PERMIT
`� II q
COMMUNITY DEVELOPMENT Permit#: BUP2022-00229
Date Issued: 11/3/2022
T t GA RD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 1S135A600900
Jurisdiction: Tigard
Site address: 10200 SW GREENBURG RD 110
Project: Spec Space Subdivision: METZGER,TOWN OF
Lot: 9
Project Description: Landlord work prior to TI: Demolition, new casework, and new 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: IB Permit Fee-Additions,Alterations, 11/01/2022 $301.85
Occupancy Grp: B Occupancy Load: 27 Demolition
12%State Surcharge-Building 11/01/2022 $36.22
Dwelling Units: 0 Plan Review 09/26/2022 $196.20
Stories: 0 Height: 0 ft DC Provision Review,COM TI-Ping 11/01/2022 $110.00
Bedrooms: 0 Bathrooms: 0 Plan Review-Fire Life Safety 11/01/2022 $120.74
Value: $15,000 Info Process/Archiving-Lg$2.00(over 11/01/2022 $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 $773.01
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 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 OA 952-001-0090, You may obtain a copy of the rules or direct questions to OUNC by callipg-8p3.232.1987 dr 1., 00.332.2344.
i rIssued By: 'n' n 4,,v
Permittee Signature: j j I,� '
Call 503.639.4175 by 7:00 a.m.for the next available inspect n date.
This permit card shall be kept in a conspicuous place on the job site until.&g letion of te p je .
Approved plans are required on the job site at the time of each inspection.
Building Permit Application
Commercial FOR OFFICE USE ONLY
Received �p n
1312512 SW Tigard ECEIVE laoRev I7�j1- / — Pe nit No.: /{ ]r9��f
• Hall Blvd.,Tigard,OR 97223 Ian Review (/ ?-
® Phone: 503-718-2439 Fax: 503-598-1960' DateBy: �,.'-2�, Related Permit:
TIGARD Inspection Line: g503-63�4175 SEP 4 q qq ate ReadyBy: Juris: ®PPe Page 2 for
K. Internet: www.tigard-or.gov ov 1 IDLE �otified/Metho Supplemental Information
TYPE OF WO 'Jt U` TiGARL�
- tI1tnwirniviSION 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
XAddition!altcration'replacement ❑Other: equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
❑ 1-and 2-family dwelling X Commercial/industrial Valuation: $
❑Accessory building ❑Multi-family Number of bedrooms:
❑Master builder E Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: 10200 SW Greenburg Road New dwelling area: square feet
City/State/ZIP: Tigard,OR 97223 Garage,/carport area: square feet
Suite/bldg./apt.#: 110 Project name: Vacancy Space Prep Covered porch area: square feet
Cross street/directions to job site: Turn onto Locust Street from Greenburg Road. Deck area: square feet
Other structure area: square feet
REQUIRED DATA:COMMERCIAL-USE CHECKLIST
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 casework,and finishes. Valuation: $ 15,000
Existing building area: 3,914 square feet
New building area: 3,914 square feet
X PROPERTY OWNER ❑ TENANT Number of stories: 1
Name: Shorenstein Reality Services 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
0 APPLICANT X CONTACT PERSON BUILDING PERMIT FEES*
(Please refer to fee schedule)
Business name: Mackenzie
Contact name: Samantha Ruddy Structural plan review fee(or deposit):
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: :( )
E-mail: sruddy@mcknze.com PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
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
and administrative fees): $180.00
Phone:( 503) 692-9002 Fax:( ) State surcharge(12%of permit fee): $21.60
CCB Lic.: 223805 Total fee due upon application: $201.60
Digitally signed by Samantha Ruddy
oN:c-us,Esmddy@neknze.eom, Thispermit application expires if a permit is not obtained
Authorized signature: Samantha Ruddy o=Mackenzie,eN-Samar,lhaRuddy PP P
Date.2022.09.1216:44:10-07'00i within 180 days after it has been accepted as complete.
Print name: Samantha Ruddy Date: 09/12/2022 * Fee methodology set by Tri-County Building Industry
Service Board.
I:ABuilding\Permits\BUP_COM_PermitApp.doc Rev.04/21/2014 440-4613T(I1/02/COM/WEB)
City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT
IIII N 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 projcct 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] $ 15,000
MULTIPLIER(25%barrier removal requirement): x .25
TOTAL BUDGET FOR BARRIER REMOVAL: [2] $ 3,750
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_PcrmitApp.doc Rev.03/05/2019
City of Tigard
COMMUNITY DEVF.T OPMENT DEPARTMENT
C
TIGARD Building Permit Review — Commercial - No Land Use
Building Permit #: igi3Op,2-j�..r per?
0)41
Site Address: 161.00 SlAi ilietAributil cLA Suite/Bldg#: 110
Project Name: \JOICAIN RACg P
(Name of commercial business occupying the space. If vacant,enter Spec Space.)
Planning Review
Proposal: -l M 'el • ?j1 1`k51'
Existing Business Activity: 0116(.,{,
Proposed Business Activity:
Verify site address/suite# exists and active in permit system.
❑ River Terrace Neighborhood: ❑ Yes 7-No
Zoning: /VI(0
.2'Permitted Use: ❑ Yes ❑ No Spec Space
Confirm no land use required.
Business License:
Exists: ❑ Yes ❑ No,applicant was provided a business license application
Notes:
Approved by Planning: Date: ( /i`7 (Z2
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: ❑ Approved ❑ Not Approved
Revision 3: 0 Approved ❑ Not Approved
Building Permit Submittal
Original Submittal Date: ' //4/14,
Site Plans: # X 14
Building Plans: # 3
Building Permit#: CYI n er building permit#above.
Workflow Routing: anning 0 Permit Coordinator I ding
Workflow Sign-off: 0/Sign-off for Planning(include notes from planning review)
Route Application Documents: uilding: original permit application, site plans,building plans, engineer and
beam calculations and trust details,if applicable, etc.
Notes:
By Permit Technician: j—� Si__.__ Date: "r//4/12.
7-9
I:\BuildingTorms adgPermilRvw_coM_NoLanduse_09ono22.docx
Permit Coordinator Review
❑ Conditions "Met"prior to issuance of permit
❑ Approved,NOT Released: Date:
❑ ENG Revisions Required: Date:
Notes:
❑ SDC Exemption D Applied for ❑ Received ❑ Does not apply
E Fees Entered: Wash Co Trans Dev Tax: ❑ Yes ❑ N/A ❑ Deferred
Tigard Trans SDC: ❑ Yes ❑ N/A 0 Deferred
Parks SDC: 0 Yes ❑ N/A 0 Deferred
LIDA Fee: 0 Yes ❑ N/A
❑ OK to Issue/Approved by Permit Coordinator: Date:
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: 0 Approved 0 Not Approved
Revision 3: 0 Approved 0 Not Approved
I:\Building Worms\B1dgPermitRvw_COM_NoLandUse_08152022.docx