Permit CITY OF TIGARD BUILDING PERMIT
a COMMUNITY DEVELOPMENT Permit#: BUP2020-00144
Tigard OR 97223 503.718.2439 13125 SW Hall Blvd.,Ti Date Issued: 7/22/2020
TIGARD 9
Parcel: 1 S 135AB01004
Jurisdiction: Tigard
Site address: 10220 SW GREENBURG RD 570
Project: Maxim Subdivision: METZGER,TOWN OF Lot: 9
Project Description: Interior demolition,new walls,doors, relites and finishes.
Contractor: RUSSELL CONSTRUCTION INC 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: 503-692-9002 PHONE:
FAX: 503-692-9008
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: ALT T Permit Fee-Additions,Alterations, 07/20/2020 $1,023.12
ype of Const: IB Demolition
Occupancy Grp: B Occupancy Load: 78 12%State Surcharge-Building 07/20/2020 $122.77
Dwelling Units: 0 Plan Review 06/17/2020 $665.03
Stories: 0 Height: 0 ft DC Provision Review,COM TI-Ping 07/20/2020 $254.00
Bedrooms: 0 Bathrooms: 0 Plan Review-Fire Life Safety 07/20/2020 $409.25
Value: $89,000 Info Process/Archiving-Lg$2.00(over 07/20/2020 $12.00
11x17)
Tigard CET-Non-Residential-Admin 07/20/2020 $35.60
Floor Areas: Tigard CET-Non-Residential-AH 07/20/2020 $854.40
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $3,376.17
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 tan a copy of the rules or direct t—ttguestions to OUNC by calling 503.232.1987 or 1.800.332.2344.
•
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Issued By: �/ / :4„,: . ee Signature: ///A�
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 �'4° /?
Commercial
IOlI (1HRI: I SE 0A I 1
Cityof Tigard JUN 0 8 2020 Received n
Daffy Permit ho,�`, uu
IIi• 13125 SW Hall Blvd.,Tigard,OR 97 GARD Plan Review 1 S 'ill ( P d�f' /
• _ Phone: 503.718.2439 Fax: 503.59�1 fir ^���� I Date/By: ee ' Oct Permit:
Inspection Lim: 503.639.4175 L D I t 9 t,A D i VI S i O�r7���t���yyy----=at`Rcady/By: r..: er See Page 2 for
T[GARD Internet: wwwtigard-or.gov ted/Menad: ij7 Ar), '' Supplemental Information
TYPE OF 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
r_� 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 ®Commerciallindustrial Valuation: $
❑Accessory building 0 Multi-family Number of bedrooms:
❑Master builder ❑Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
lob site address:2 Lincoln-10220 SW Greenberg Road New dwelling area: square feet
City/State/ZIP:Tigard,OR 97223 Garage/carport area: square feet
Suite/bldgJapt no.:570 Project name:Maxim 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 Greenberg Road Other structure area: square feet
REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision: I Lot no.: Permit fees*are based on the value of the work performed.
map/parcel no.: Indicate the value(rounded to the nearest dollar)of all
Tax rna
IPpequipment,materials,labor,overhead,and the profit for the
DESCRIPTION OF WORK work indicated on this application.
Work to include demolition,new walls,doors,relites and finishes Valuation: $$89,000.00
Existing building area: 7790 square feet
New building area: Na square feet
•e PROPERTY OWNER 0 TENANT Number of stories: 6
Name:Shorenstein 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
0 APPLICANT ® CONTACT PERSON BUILDING PERMIT FEES*
(Please refer to fee schedule
Business name:Mackenzie
Structural plan review fee(or deposit): fo(j , O3
Contact name:Kelly Battaglia
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::(503)228-1285 -
E-mail:kbattaglia@mcknze.com 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 1
and fine department access,along with the 2010 Oregon
Address:20915 SW 1051°Avenue Solarinstallarion Specialty Code checklist.
City/State/DP: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 tic.:58918 cl
Taal fee due upon application: $20 L60
Authorized signature: tl� This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name:Kelly Battaglia Date:06.08.2020 * Fee methodology set by Tn-County Building Industry
Service Board.
L:\Building\Permits\BUP-COM PermitApp.doc 02124/2011 440-4613T(11/02/COM/WEB)
City of Tigard
711COMMUNITY DEVELOPMENT DEPARTMENT
■
TlcnxD Building Permit Review — Commercial - No Land Use
Building Permit #: (3 Ct 10 70 Zo -- (ad /1 yr
Site Address: i 02 ZQ SSW 6ree,riWrI P4 Suite/Bldg#: 570
Project Name: MAX.I AI
(Name of commercial business occupying the space. If vacant,enter Spec Space.)
Planning Review
Proposal: T. t .
Existing Business Activity: Q-F{lc.p
Proposed Business Activity: U cp
.Verify site address/suite # exists and active in permit system.
rg River Terrace Neighborhood: E Yes A No
lg.. Zoning: IAU.6-1
S-Permitted Use: ig Yes 0 No 0 Spec Space
Confirm no land use required.
Business License:
Exists: -Yes 0 No,applicant was provided a business license application
Notes:
Approved by Planning: R. Date: (0 i 16)110
Revisions (after Building Submittal only) Reviewer Date
Revision 1: 0 Approved ❑ Not Approved
Revision 2: D Approved ❑ Not Approved
Revision 3: ❑ Approved ❑ Not Approved
Building Permit Submittal
Original Submittal Date: (,P/�/ '2-e
Site Plans: #
Building Plans: # _
Building Permit#: ‘0- Enter building permit# above.
Workflow Routing: trPlanning 0 Permit Coordinator 8-13-uilding
Workflow Sign-off: Sign-off for Planning(include notes from planning 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: �/>`�/ I/ tier.. Date: //�5/2.0
1:1BuildingTorms\BldgPermitRvw_COM_NoLandUse_l 11819.docx
Permit Coordinator Review
❑ Conditions "Met"prior to issuance of building permit
❑ Approved, NOT Released: P Date:
Notes: 117W
t.'
Revisions (after Building Submittal only)
Revision Notice 1: Date Sent to Applica. :
Revision Notice 2: Date Sent to Appli- nt:
Revision Notice 3: Date Sent to Apr cant:
❑ SDC Fees Entered: Wash Co T . s Dev Tax: ❑ Yes 0 N/A
Tigard Tr. s SDC: 0 Yes ❑ N/A
Parks S►C: ❑ Yes ❑ N/A
❑ OK to Issue Permit
Approved by Permit Coordi ator: Date:
I:1 Building\Forms\BldgPermitRvw_COM_NoLandUse_111819.docx