Permit CITY OF TIGARD BUILDING PERMIT
.1111
s * COMMUNITY DEVELOPMENT Permit#: BUP2022-00259
T[G ART) 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 12/1/2022
Parcel: 1 S 135AB01004
Jurisdiction: Tigard
Site address: 10220 SW GREENBURG RD 610
Project: Keyence Subdivision: METZGER,TOWN OF
Lot: 9
Project Description: TI for new tenant: Demolition,new walls,doors, relites, casework,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: IB Permit Fee-Additions,Alterations, 11/29/2022 $955.35
Occupancy Grp: B Occupancy Load: 37 Demolition
12%State Surcharge-Building 11/29/2022 $114.64
Dwelling Units: 0 Plan Review 10/25/2022 $620.98
Stories: 0 Height: 0 tt DC Provision Review, COM TI-Ping 11/29/2022 $274.00
Bedrooms: 0 Bathrooms: 0 Plan Review-Fire Life Safety 11/29/2022 $382.14
Value: $80,000 Info Process/Archiving-Lg$2.00(over 11/29/2022 $16.00
11x17)
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $2,363.11
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 0 952-001-0090. You may o aina copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
//�1, ✓lam . -- ,
Issued By: jr L Z ' Permittee Signature: �n ,9. r
�� vv
Call 503.639.4175 pc' .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 FOR OFFICE USE ONLY
-iihi City of Tigard RECEIVE ire eeivea
Date/By: �qg Permit No.: /� o v
" 13125 SW Hall Blvd.,Tigard,OR. 97223 j(Srl�1 Mt_
"'1l rG/ rr �p �(
q Plan Review
Phone: 503-718-2439 Fax: 503-598-1960 n CT 1 9 (u I. Date/By: ) ) j Related Permit:
Inspection Line: 503-639-4175
T 1 GARD p Date Ready/By: ' ® See Page 2 for
Internet: www.tigard-or.gov city BI Notified/Method: t I 1 /7«�'
of TIGA // � I Supplemental Information
BUILDING nIViS19T1 .tv&t ed A-;h l e r it a-y .rs-
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.
❑ 1-and 2-family dwelling HCommercial/industrial Valuation: $
ElAccessory building 0 Multi-family Number of bedrooms:
❑Master builder ❑Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: 10220 SW Greenburg Rd. New dwelling area: square feet
City/State/ZIP: Tigard, OR 97223 Garage/carport area: square feet
Suite/bldg./apt.#: 610 Project name: Keyence 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 SW Other structure area: square feet
Locust St. REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision: 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, lighting and Valuation: $ 80,000
finishes. Existing building area: 5,586 square feet
New building area: 5,586 square feet
PROPERTY OWNER ❑ TENANT Number of stories: 6
Name: Shorenstein Realty Services Type of construction: I-B
Address: 10220 SW Greenburg Road, Suite 310 Occupancy groups:
City/State/ZIP: I aka O wegrt,PR 9Z035 1-1. ai L Of. ctian Existing: B
Phone:( 503 )412-4844 Fax:( ) New: B
0 APPLICANT VCONTACT PERSON BUILDING PERMIT FEES*
Business name: Mackenzie (Please refer to fee schedule)
Structural plan review fee(or deposit):
Contact name: Ashlee White
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:( 971)254-9495 Fax: :( ) Amount received:
E-mail: awhite@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
e :- This signature: Ashlee White�-,a..;;,,„�„m permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: Ashlee White Date: 10/18/2022 * Fee methodology set by Tri-County Building Industry
Service Board.
I:\Building\Permits\BUP_COM_PermitApp.doc Rev.04/21/2014 440-4613T(I 1/02/COM/WEB)
City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT
41 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] $ XX,000
MULTIPLIER(25%barrier removal requirement): x .25
TOTAL BUDGET FOR BARRIER REMOVAL: [2] $ XX,XXX
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_PernitApp.doc Rcv.03/05/2019
City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT
Plan Submittal Requirements
Commercial & Multi-Family - New, Additions or Alterations
TIGARD 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov
1. SITE PLAN (3) copies - fully dimensional, drawn to scale and labeled with:
A. ❑ map&tax lot# ❑ project name ❑ site address
❑ suite number
❑ zoning ❑ applicant name ❑ phone number
B. North arrow.
C. Scale (architectural or engineering only).
D. Street names.
E. Setbacks.
F. Parking,including disabled access.
G. Finished floor elevations.
2. EROSION CONTROL PLANS AND DETAILS.
3. BUILDING PLANS: See the "Plan Submittal Requirement Matrix" for the number of
plans required based on submittal type (no redlines or tape-ons accepted).
All details listed below shall be incorporated into the plans:
A. Scale (architectural or engineering only).
B. Foundation plan.
C. Floor plan(s).
D. Cross sections.
E. Reflective ceiling plan.
F. Seismic bracing detail for suspended ceiling.
G. Roof plan.
I-I. Exterior elevations.
I. Structural calculations,plans, details and specifications.
J. Accessibility barrier removal worksheet.
K. Deposit -based on valuation of project.
1:\Building\Pemuts\BUP_COM_PetmitApp.doc Rev.03/05/2019
City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT
1114 _ " Plan Submittal Requirements Matrix
Commercial & Multi-Family - New, Additions or Alterations
TIGARD 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov
Type of Submittal # of Plans
(Includes new, additions and alterations.) Required at
Submittal
Demolition Permit 2
(site plan is required showing location and square footage
of all buildings to be demolished,erosion control plan and
tree protection,if applicable)
Site Work 3
(must include location of all accessible parking)
Plumbing (site utilities) 2
Building 3
Fire Protection System 3
Mechanical 2
Plumbing(building fixtures) 2
Electrical 2
Solar Photovoltaic 2
(Requires check list for prescriptive installation. If not
prescriptive installation,engineering is required.)
Plan review is dependent upon submittal of a completed application and plans.
After plan review approval, the Plans Examiner will contact the applicant to request
additional sets of plans for distribution purposes (for contractor, City of Tigard,Washington
County, and Tualatin Valley Fire&Rescue),if applicable.
I:\Building\Permits\BUP_COM_PemiltApp.doc Rev.03/05/2019
City of Tigard
i II COMMUNITY DEVELOPMENT DEPARTMENT
■
TIGARD Building Permit Review — Commercial - No Land Use
Building Permit #: / P v?-,)--1.76 -9-
Site Address: 10220 <an) « ;„ Suite/Bldg#: 67/0
Project Name: �nte7JC.4,7"
(Name of commercial business occupying the space. If vacant,enter Spec Space.)
Planning Review
Proposal: 1!-
Existing Business Activity: ce `C e
Proposed siness Activity: PPMC.-e--
Verify site address/suite#exists and active in permit system.
0 Rivtr Terrace Neighborhood: ❑ Yes 0'No
• er
6.9.red Use: Yes 0 NN 0 Spec Space
ICJ Located in Floodplain: ❑ Yes ;�f No
Supplemental Floodplain Form Required: ❑ Yes,applicant was notified ❑ No
eived: ❑ Yes ❑ No
Cm no land use required.
Business License:
Exists: ❑ Yes o,applicant was provided a business license application
Notes:
Approved by Planning: "b••+ ' — ,Date: /0/IA Z
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: /ts/ad-
Site Plans: #Building Plans: # 3
Building Permit#: [ -Enter building permit#above.
Workflow Routing: Cf'la'nning ❑ Permit Coordinator Q'r3Iding
Workflow Sign-off: M-"S gn_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: Date: (f/i/2)-
I:\Building\Forms\B1dgPermitRvw_COM_NoLandUse_111819.docx
- .. 't Coordinator Review
❑ Condi...s "Met"prior to issuance of permit
❑ Approved, : Released: Date:
❑ ENG Revisions ' - •uired: Date:
Notes:
❑ SDC Exemption 0 Apph-: for 0 Received 0 Does not apply
❑ Fees Entered: Wash Co Tran 'ley Tax: 0 Yes 0 N/A ❑ Deferred
Tigard Trans SDC: ❑ Yes ❑ N/A 0 Deferred
Parks SDC: 0 Yes 0 N/A ❑ Deferred
LIDA Fee: \ Yes ❑ N/A
El OK to Issue/Approved by Permit Coordinator: Date:
•
Revisions (after Building Submittal only) '' -viewer: Date:
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: ❑ Approved 0 Not Approved
Revision 3: ❑ Approved El Not Approved
I:\Building\Forms\BldgPermitRvw_COM_NoLandUse_08162022.docx