Permit CITY OF TIGARD BUILDING PERMIT
a ' . COMMUNITY DEVELOPMENT Permit#: BUP202000093
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 04/29/2020
Parcel: 1 S135AB00900
Jurisdiction: Tigard
Site address: 10200 SW GREENBURG RD
Project: 5 Lincoln Subdivision: METZGER,TOWN OF Lot: 9
Project Description: 7th floor restroom improvements to include interior demolition,new walls,ADA upgrades and new finishes.
Contractor: RUSSELL CONSTRUCTION INC 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: 503-692-9002 PHONE:
FAX: 503-692-9008
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: VB Permit Fee-Additions,Alterations, 04/27/2020 $718.43
Demolition
Occupancy Grp: B Occupancy Load: 0 12%State Surcharge-Building 04/27/2020 $86.21
Dwelling Units: 0 Plan Review 04/27/2020 $466.98
Stories: 0 Height: 0 ft DC Provision Review, COM TI-Ping 04/27/2020 $102.00
Bedrooms: 0 Bathrooms: 0 Plan Review-Fire Life Safety 04/27/2020 $287.37
Value: $49,000 Info Process/Archiving-Lg$2.00(over 04/27/2020 $6.00
11x17)
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $1,666.99
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 952-001-0090. 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:
-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.
E/// /l
Budding Permit Application
Commercial FOR OFFICE USE ONLY /yy��
CC Received L/// ` j p.it A� aQv�-005 3
City of Tigard E C C�U Datdey: 2c GVI7 k
• 13125 SW Hall Blvd.,Tigard OR 97223 Plan Revieq r�
pri
Phone: 503.718.2439 Fax: 503.598.1960 APR Q 1 2020 DateeBy: �7 ')S AO Other Permit
T 1 G A R D Inspection Line: 503.639.4175 Date Ready/By: Join ® See Page 2 for
Internet: www.tigard-or.gov Notified/Method: / Supplemental Information
CITY 01=TIGARD `yam/�o) jj.7-�
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 ElCommercial/industrial Valuation: $
❑Accessory building El Multi-familyNumber of bedrooms:
❑Master builder ElOther: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address:5 Lincoln-10200 SW Greenburg Road New dwelling area square feet
City/State/ZIP:Tigard,OR 97223 Garage/carport area: square feet
Suite/bldg./apt.no.:NA Project name:Toilet Room Improvements 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: Lot no.: Permit fees*are based on the value of the work performed.
Tax map/parcel no.: 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.
Sy
Work to include demolition,new walls,ADA upgrades and new finishes Valuation: $$49,000.00
Existing building area: 409 square feet
New building area: 409 square feet
® PROPERTY OWNER ❑ TENANT Number of stories: 7
Name:Shorentein Realty Services Type of construction: I-B
Address:5335 Meadows Rd.,Suite 275 Occupancy groups:
City/State/ZIP:Lake Oswego,OR 97035 Existing: B
Phone:(503)412-4844 Fax:( )
New: B
❑ APPLICANT ® CONTACT PERSON BUILDING PERMIT FEES*
(Please refer la fee schedule)..
Business name:Mackenzie `
Structural plan review fee(or deposit): ��P t , e <e.l'
Contact name:Chloe Kirchhofer
Address: 1515 SE Water Ave Suite 100 FLS plan review fee(if applicable):
Total fees due upon application:
City/State/ZIP:Portland,OR 97214
Phone:(503)224-9560 Fax::(503)228-1285 Amount received:
E-mail:ckirchhofer*,mcknze.eom PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
Commercial and residential prescriptive installation of
CONTRACTOR roof-top mounted PhotoVoltaic Solar Panel System.
Business name:Russell Construction Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
Address:20915 SW 105d'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.:58918 Total fee due upon application: $201.60
Authorized signature: 2QU k This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name:Chloe Kirchhofer Date d/l c. * Fee methodology set by Tri-County Building Industry
/ Service Board.
f:\Building1Permits\BUP-COM PennitApp.doc 02/24/2011 440-4613T(11/02/COM/WEII)
City of Tigard
COMMUNITY DEVELOPMENT DEPARTMENT
■
T I G A It D Building Permit Review — Commercial - No Land U s e
Building Permit #: Q Gt/ 6lCj p DO 9 3
Site Address: 02 oO ,S\A/ Ore yi Suite/Bldg#:
Project Name: 5 LwkC,D I►'1 �J
(Name of commercial business occupying the space. If vacant,enter Spec Space.)
Planning Review
Proposal: T. \ . - ►Z tvoow, l vv\p ,1-}f"
Existing Business Activity: T.I/A
Proposed Business Activity: /v// 4-
Verify site address/suite#exists and active in permit system.
*River Terrace Neighborhood: ❑ Yes iztNo
oning.. QuE-- I
M Permitted Use: ❑ Yes ❑ No ❑ Spec Space
IT—Confirm no land use required.
M`k.Business License:
"� Exists: 0 Yes 0 No,applicant was provided a business license application
Notes:
Approved by Planning: v Date: 4124 2
Revisions (after Building Submittal only) Reviewer Date
Revision 1: E Approved 0 Not Approved
Revision 2: 0 Approved 0 Not Approved
Revision 3: ❑ Approved 0 Not Approved
Building Permit Submittal
Original Submittal Date: y//2t7
Site Plans: # z
Building Plans: #
Building Permit#: Ci--Snter building permit#above.
Workflow Routing: planning 0 Permit Coordinator 8`Building
Workflow Sign-off: .0—Sign-off for Planning(include notes from planning review)
Route Application Documents: El—�uilding: original permit application, site plans,building plans, engineer and
beam calculations and trust details,if applicable,etc.
Notes:
By Permit Technician: cV &411.66-- Date: Y7/20
I:1BuildinglFormslBldgPermitRvw_COM_NoLandUse_1118I9.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 to Applicant:
Revision Notice 2: Date Sent to Applicant:
Revision Notice 3: Date Sent to Applica. :
❑ SDC Fees Entered: Wash Co Trans ►,ev Tax: ❑ Yes ❑ N/A
Tigard Trans :P C: ❑ Yes ❑ N/A
Parks SD . ❑ Yes ❑ N/A
❑ OK to Issue Permit
Approved by Permit Coordinfttor: Date:
L:\Building\Forms\B1dgPermitRvw_COM_NoIandUse_111819.docx
1