Permit _ CITY OF TIGARD BUILDING PERMIT
^1'� 1 COMMUNITY DEVELOPMENT Permit#: BUP2020-00048
TlltirARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 03/04/2020
Parcel: 1 S 126DC03300
Jurisdiction: Tigard
Site address: 9900 SW GREENBURG RD 220
Project: Jewish Federation Subdivision: LEHMANN ACRE TRACT Lot: 5
Project Description: Minor inter partition demolition to create new private office,work room,conference room,and open office area and
creating on new conference room in common area(under shell address.)
Contractor: JHC COMMERCIAL LLC Owner: MEADOWS 196 LLC
11125 SW BARBUR BLVD BLD C 5665 MEADOWS RD STE 140
PORTLAND, OR 97219 LAKE OSWEGO, OR 97035
PHONE: 503-624-7100 PHONE:
FAX: 503-684-5295
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: g Permit Fee-Additions,Alterations, 03/02/2020 $1,105.95
Demolition
Occupancy Grp: B Occupancy Load; 12%State Surcharge-Building 03/02/2020 $132.71
Dwelling Units: 0 Plan Review 02/19/2020 $718.87
Stories: 0 Height: 0 ft DC Provision Review,COM TI-Ping 03/02/2020 $254.00
Bedrooms: 0 Bathrooms: 0 Plan Review-Fire Life Safety 03/02/2020 $442.38
Value: $99,700 Tigard CET-Non-Residential-AH 03/02/2020 $957.12
Tigard CET-Non-Residential-Admin 03/02/2020 $39.88
Info Process/Archiving-Lg$2.00(over 03/02/2020 $14.00
Floor Areas: 11x17)
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $3,664.91
Required: Required Items and Reports (Conditions)
Fire Sprinkler: Yes 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 952-001-0090. 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: Permittee Signature: ij eQ , `'�`'
all 50 .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 FOR OFFICE USE ONLY
r , J Received 5 1 ���AY//�WV 7I
City of Tigard ��V�I V < P �1
UPI • 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Re
g Plan Review A
a Phone: 503-718-2439 Fax: 503-598-1960 Related Permit:
FEB 1 9 202G Date Re g �t3�p
T I G A R U Inspection Line: 503fi39 4175 Date Rcady/By: �,� ® See Page 2 for
Internet: www.tigard-or.gov CITY OF TIGARD Not Method: AO�� 4 Supplemental Information
t III DING DIVISION
WORK. REQUIRED DATA:1-AND 2-FAMILY DWELLING
0 New construction 0 Demolition Permit fees*are based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
❑X Addition/alteration/replacement 0 Other: equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
❑ 1-and 2-family dwelling 0Commercial/industrial 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: 9900 SW Greenburg Road New dwelling area: square feet
City/State/ZIP: Tigard, Oregon 97223 Garage/carport area: square feet
Suite/bldg./apt.#:220 Project name:Jewish Federation T.I. Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
SW Greenburg Road & SW Coral Street Other structure area: square feet
REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision: Lot#: Permit fccs*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.
Interior Tenant Improvement: minor interior partition demolition. Create Valuation: $ 99,700
new private office, work room, conference room and open office area. Existing building area: 48,929 square feet
Create new building conference room... t 11 eat.ti-sq(/I-t. Ad`Ga . New building area: 0 square feet
® PROPERTY OWNER 0 TENANT Number of stories: 2
N amc: Madrona Greenburg, LLC Type of construction: V-B
Address: 210 SW Morrison St, Suite 600 Occupancy groups:
City/State/ZIP: Portland, Oregon 97204 Existing: B
Phone:( ) Fax:( ) New: B
® APPLICANT 0 CONTACT PERSON BUILDING PERMIT FEES*
(Please refer to fee schedule)
Business name: LRS Architects Structural plan review fee(or deposit):
Contact name: Peter Kim
Address: 210 SW Morrison St, Suite 600 FLS plan review fee(if applicable):
City/State/ZIP: Portland, Oregon 97204 Total fees due upon application:
Phone:(503) 221-1121 Fax::(503) 221-2077 Amount received:
E-mail: pklm@IrsarchlteCtS.com PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
Commercial and residential prescriptive installation of
CONTRACTOR roof-top mounted PhotoVoltaic Solar Panel System.
Business name: JHC Companies Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
Address: 11125 SW Barbur Blvd, Solar Installation Specialty Code checklist.
Permit fee(includes plan review
City/State/ZIP: Portland, Oregon 97219 and administrative fees): $180.00
Phone:( 503) 624-7100 Fax:1 503) 684-5295 State surcharge(12%of permit fee): $21.60
CCB Tic.: 158061 (.6.1..CO1..2_f Total fee due upon application: $201.60
Authorized signature: 1 This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: Pet Im Date: 02.19.2020 * Fee methodology set by Tri-County Building Industry
Service Board.
I:1Buildineermits113UP_COM_PermitApp.doc Rev.04/21/2014 440-4613T(I 1/02/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] $ 99,700
MULTIPLIER(25%barrier removal requirement): x .25
TOTAL BUDGET FOR BARRIER REMOVAL: [2] $ 24,925
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): $
The building has been upgraded accordingly to the accessibility upgrades list
as outlined in OSSC 3411.
The building is 100%accessible and does not require additional upgrade.
I:\Building\Permits\BUP_COM_PermitApp.doc Rev.03/05/2019
City of Tigard
IIICOMMUNITY DEVELOPMENT DEPARTMENT
C
TIGARD Building Permit Review — Commercial - No Land Use
Building Permit #: �l�l'if./792-0: z 'r
Site Address: %O i) cs'Pp/ , t Suite/Bldg#: 22O
Project Name: ��-Pw.,.tti - <er b-�
(Name of commercial business occupying the space. If vacant,enter Spec Space.)
Planning Review
Proposal: 77 /7_ ja t ,
Existing Business Activity: °[ j
Proposed Business Activity: 7/
Verify site address/suite# exists and active in permit ssyssttyw.
91° '. er Terrace Neighborhood: ❑ Yes 1? No
tted Use: Yes ❑ No ❑ Spec Space
5nfirm no land use required.
Business License:
Exists: ❑ Yes No,applicant was provided a business license application
Notes:
Approved by Planning: g Date: �h c/9 D
Revisions (after Building Submittal only) Reviewer Date
Revision 1: 0 Approved ❑ Not Approved
Revision 2: ❑ Approved 0 Not Approved
Revision 3: ❑ Approved Cl Not Approved
Building Permit Submittal
Original Submittal Date: 02'r(g7�
Site Plans: # �?
Building Plans: #
Building Permit#: nter building ermit#above.
Workflow Routing: lanning Eermvt Coordinator uilding
Workflow Sign-off: Sign-off for Planning(include notes from annmg review)
Route Application Documents: 'Building: original permit application, site plans,building plans, engineer and
beam calculations and trust details,if applicable,etc.
Notes:
By Permit Technician: ate: 1/9
1:'Building\Forms\BldgPemitRvw_COM_NoLandUse_111819.docx
Permit Coordinator Review
❑ Conditions "Met"prior to issuance of building permit
❑ Approved,NOT Released: Date:
Notes:
Revisions (after Building Submittal only)
Revision Notice 1: Date Sent t. 'pplicant:
Revision Notice 2: Date Se. to Applicant:
Revision Notice 3: Dat- "ent to Applicant:
❑ SDC Fees Entered: ' ash Co Trans Dev Tax: ❑ Yes 0 N/A
Tigard Trans SDC: 0 Yes 0 N/A
Parks SDC: ❑ Yes 0 N/A
❑ OK to Issue Pe• it
Approved by 'errnit Coordinator: Date:
I:\Building\Forms\BldgPermitRvw_COM_NoLandUse_111819.docx