Permit CITY OF TIGARD BUILDING PERMIT
= COMMUNITY DEVELOPMENT Permit#: BUP2020-00264
If CARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 1/12/2021
Parcel: 1 S135AB00900
Jurisdiction: Tigard
Site address: 10200 SW GREENBURG RD 150
Project: Corvel Healthcare Subdivision: METZGER,TOWN OF Lot: 9
Project Description: TI-work to include demo, new walls,casework,lighting and 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: ID Permit Fee-Additions,Alterations, 01/11/2021 $520.07
Occupancy Grp: B Occupancy Load: 48 Demolition
12/o State Surcharge-Building 01/11/2021 $62.41
Dwelling Units: 0 Plan Review
01/06/2021 $338.05
Stories: 0
Height: 0 ft DC Provision Review,COM New-Bldg 01/11/2021 $205.00
Bedrooms: 0 Bathrooms: 0 Plan Review-Fire Life Safety 01/11/2021 $208.03
Info Process/Archiving-Lg$2.00(over 01/11/2021 $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 $1,341.56
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: i^ V\ \anS1e Permittee Signature: On r. f,l 1�er‘
J 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
Commercial
13 - 12/2r3120
_ FOR OFFICE USE ONLY
City of TigardIMP RECEIVED Received,Z 24 2.0Zo
• 13125 S W Hall Blvd.,Tigard,OR 97223 Date/By: / 4, Permit No.:/511P2020 'W
Phone: 503.718.2439 Fax: 503.598.1960 C 9 n „ ^^ Plan Revie ir
L. �, L� ...;! Date/By: �� �"a,Q Other Permit:
TIGARD Inspection Line: 503.639.4175 Date Ready/By: Ip/ ras;
Internet: www.ti and-or. ov / 10 6 I S See Page 2 for
g g t �J<- V r,tr rt!% Notified/Method: ! O i Supplemental Information
TYPE OF WORK REQUIRED DATA:1-AND 2-FAMILY DWELLING
0 New construction ❑Demolition Permit fees*are based on the value of the work performed.
El Addition/alteration/replacement 0 Other:
Indicate the value(rounded to the nearest dollar)of all
equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
ID I-and 2-family dwelling LEICommercial/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: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.:150 I Project name:Corvel TI
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.
Work to include demolition,new walls,casework,lighting and finishes Valuation: $$31,000.00
Existing building area: 7,072 square feet
New building area: n/a square feet
® PROPERTY OWNER J 0 TENANT Number of stories: 7
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 :i CONTACT PERSON BUILDING PERMIT FEES*
Business name:Mackenzie (Please refer Co fee schedule)
Contact name:Kelly Battaglia Structural plan review fee(or deposit): S,05
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:(503)224-9560 I Fax::(503)228-1285 Amount received:
E-mail: kbattagliaCmcknze.com PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
CONTRACTOR Commercial and residential prescriptive installation of
roof-top mounted PhotoVoltaic Solar Panel System.
Business name:Russell Construction Submit two(2)sets of roof plan with connection details
Address:20915 SW 105ih Avenue and fire department access,along with the 2010 Oregon
Solar Installation Specialty Code checklist.
City/State/ZIP:Tualatin,OR 97062 Permit fee(includes plan review
Phone:(503)692-9002 I Fax:( )
and administrative fees): $180.00
State surcharge(12%of permit fee): $21.60 CCB lic.:58918
Total fee due upon application: gained
Authorized signature: kota. This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name:Kelly Battaglia I Date: 12/22/2020 * Fee methodology set by Tri-County Building Industry
Service Board.
l 00.S. 51
I:\Building\Permits\BUP-COM PermitApp.doc 02/24/2011 440-4613T(II/02/COM/WEB)
t21
City of Tigard
;I ■
COMMUNITY DEVELOPMENT DEPARTMENT
T,C;AZD Building Permit Review — Commercial - No Land Use
Building Permit #: 8l4(2ZO2D- (gyp
Site Address: 10200 SW Greenburg Rd Suite/Bldg#: 150
Project Name: Corvel TI
(Name of commercial business occupying the space. If vacant,enter Spec Space.)
Phir/PiriR-,0eviely
Proposal: TI
Existing Business Activity: Office
Proposed Business Activity: Office
® Verify site address/suite# exists and active in permit system.
® River Terrace Neighborhood: ❑ Yes J No
® Zoning: MUE-1
❑x Permitted Use: 0 Yes El No 0 Spec Space
® Confirm no land use required.
® Business License:
Exists: ® Yes ❑ No,applicant was provided a business license application
Notes:
Approved by Planning: AlIVA OCINtetrb Date: 12/23/2020
Revisions (after Building Submittal only) Reviewer Date
Revision 1: 0 Approved 0 Not Approved
Revision 2: 0 Approved 0 Not Approved
Revision 3: ❑ Approved 0 Not Approved
.110 idh Permit Stibixiittal
Original Submittal Date: / 23 2e2e,
Site Plans: # 3 /
Building Plans: # _3
Building Permit#: 11-Enter building permit# above.
Workflow Routing: ❑"Planning I 'Permit Coordinator [YBuilding
Workflow Sign-off: Et-Sign-off for Planning(include notes from planning review)
Route Application Documents: Ilk Building: original permit application, site plans,building plans,engineer and
beam calculations and trust details,if applicable, etc.
Notes: /
By Permit Technician: Date: /27Z9/ZOZo
1:1BuildingTorms1BldgPennitRvw_COM_NoLandUse 1I1819.docx
Pe --it Coordinator Reviewv
❑ Conditio " let" prior to issuance of building permit
❑ Approved,NO •ased:
Notes:
Revisions (after Building Submittal only)
Revision Notice 1: Date Sent to Applicant:
Revision Notice 2: Date Sent to Appli
Revision Notice 3: Date Sent to - .. cant:
❑ SDC Fees Entered: W. o Trans Dev Tax: ❑ Yes ❑ N -
igard Trans SDC: 0 Yes 0 N/A
Parks SDC: ❑ Yes ❑ N/A
❑ OKto •• .ePermit
. .roved by Permit Coordinator: Date:
1:\Building\Forms\B1dgPermitRvw_COM NoLandUse_111819.docx