Permit CITY OF TIGARD BUILDING PERMIT
COMMUNITY DEVELOPMENT Permit#: BUP2022-00285
Date Issued: 12/13/2022
T I GA RD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439
Parcel: 1 S135AB01002
Jurisdiction: Tigard
Site address: 10220 SW GREENBURG RD 551
Project: Spec space Subdivision: METZGER,TOWN OF Lot: 9
Project Description: Landlord work prior to TI:Demolition and new finishes for vacancy space prep.
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, 12/09/2022 $377.90
Occupancy Grp: B Occupancy Load: 37•
Demolition
•
12%State Surcharge-Building 12/09/2022 $45.35
Dwelling Units: 0 Plan Review 11/16/2022 $245.64
Stories: 0 Height: 0 ft DC Provision Review,COM TI-Ping 12/09/2022 $110.00
Bedrooms: 0 Bathrooms: 0 Plan Review-Fire Life Safety 12/09/2022 $151.16
Value: $20,000 Info Process/Archiving-Lg$2.00(over 12/09/2022 $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 $938.05
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- -0090. You ay obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: f ���7/.rq GC/Permittee Signature: /<!C LG�
(-� 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
��P!"
Commercial Vtii.,_,; to FOR OFFICE USE ONLY
114 City of Tigard 11(1l/ I 4i ReceivedDateBy: f/ /( ,2-2- _ P & )-2-����
13125 SW Hall Blvd.,Tigard,OR 97223 plan Review
Phone: 503-718-2439 Fax: 503-598; 60 , + l l l..-t/: DateB p�• ^ � Related Permit:
Y: 11
T I G A II.p Inspection Line: 503-639-417S -°1 11' 1;y i,ihlp i i(N^' Date Ready/By: tad%: ® See Page 2 for
- Internet: www.tigard-or.gov Notified/Method:l 8(� Supplemental Information
ftT l' "41 a g a-r
TYPE OF WORK REQUIRED DATA:1-AND 2-FAMILY DWELLING
❑New construction ❑Demolition Permit fees*are based on the value of the work performed.
p Indicate the value(rounded to the nearest dollar)of all
YY 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 X Commerciallindustrial
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 SW Greenburg Road New dwelling area: square feet
City/State/ZIP: Tigard,OR 97223 Garage/carport area: square feet
Suite/bldg./apt.#: 551 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: Lot#: Permit fees*are based on the value of the work performed.
Tax map,parcel it: 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 cabinetry,plumbing,and finishes. Valuation: $ 20,000
Existing building area: 5,095 square feet
New building area: 5,095 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
❑ APPLICANT X CONTACT PERSON BUILDING PERMIT FEES*
Business name: Mackenzie (Please refer to fee schedule)
Structural plan review fee(or deposit):
Contact name: Samantha Ruddy
FLS plan review fee(if applicable):
Address: 1515 SE Water Ave,Suite 100
Total fees due upon application:
City/State/ZIP: Portland,OR 97214
Phone:( 503 )224-9560 Fax: :( ) Amount received:
E-mail: sruddy@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 Lic.: 223805 Total fee due upon application: $201.60
Or signed bySamantha Ruddy
Authorized signature: Ruddy n `°a� °°"
This permit application expires if a
permit
is not obtained
r:xoas„so°zxnmoo within 180 days after it has been accepted as complete.
Print name: Samantha Ruddy Date: 11/16/2022 * Fee methodology set by Tri-County Building Industry
Service Board.
I:\Building\Permits\BUP_COM_PermitApp.doc Rev.04/21/2014 440-4613T(11/02/COM/WEB)
City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT
it 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] $ 20,000
MULTIPLIER(25%barrier removal requirement): x .25
TOTAL BUDGET FOR BARRIER REMOVAL: [2] $ 5,000
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_PermitApp.doc Rev.03/05/2019
Permit Coordinator Review
❑ Conditions "Met"prior to issuance of permit
❑ Approved, NOT Released: Date:
❑ ENG Revisions Required: Date:
Notes:
El SDC Exemption 0 Applied for 0 Received ❑ Does not apply
❑ Fees Entered: Wash Co Trans Dev Ta.. ❑ Yes ❑ N/A ❑ Deferred
Tigard Trans SDC: ❑ Yes 0 N/A ❑ Deferred
Parks SDC: ❑ Yes 0 N/A ❑ Deferred
LIDA Fee: ❑ Yes ❑ N/A
❑ OK to Issue/Approved by P- 't Coordinator: Date:
Revisions (after Building Sub. ittal only) Reviewer Date
Revision 1: 0 A..roved ❑ Not Approved
Revision 2: 0 'pproved ❑ Not Approved
Revision 3: Approved ❑ Not Approved
]:\Building\Forms\BldgPermitRvw_COM_NoLandUse_08162022.docx
MACKENZIE
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
65596-1
Date: November 16, 2022 Project Number: 2190952.24
To: City of Tigard
13125 SW Hall Blvd
Tigard, OR 97223-8199
Attention: Greg Berry
Project Name: 10220 3 Lincoln - Suite 551 VSP
Enclosed: Quantity Medium Description Comment
3 Bond Full Permit Set For your review
(Color)
Remarks:
Signed: Samantha Ruddy
Transmitted Employee Delivery(SJR)
Via:
If enclosures are not as noted, kindly notify us at once.
Mackenzie reference url:https://deltekpim.mcknze.com/DMS/view_document.aspx?ID=3601025&Latest=true