Permit (33) CITY OF TIGARD BUILDING PERMIT
COMMUNITY DEVELOPMENT Permit#: BUP2018-00128
T[GA D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 04/26/2018
Parcel: 1 S 135AB01004
Jurisdiction: Tigard
Site address: 10220 SW GREENBURG RD 650
Project: Spec Space Subdivision: METZGER,TOWN OF Lot: 9
Project Description: Landlord work for future tenant: Demolition,and a new wall,door,and relites.
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 Type of Const: IB DC Provision Review,COM TI-Ping 04/26/2018 $91.00
Occupancy Grp: B Occupancy Load: 30 Permit Fee-Additions,Alterations, 04/26/2018 $487.01
Demolition
Dwelling Units: 0 12%State Surcharge-Building 04/26/2018 $58.44
Stories: 6 Height: 0 ft Plan Review 04/26/2018 $316.56
Bedrooms: 0 Bathrooms: 0 Plan Review-Fire Life Safety 04/26/2018 $194.80
Value: $28,000 Info Process/Archiving-Lg$2.00(over 04/26/2018 $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 $1,153.81
Required: Required Items and Reports(Conditions)
Fire Sprinkler: Yes Parapet:
Fire Alarm: Protected Corridors:
Smoke Detectors: Manual Pull Stations:
Accessible Parking: 0
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will
be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180
days, ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952-001-0010 through OAR 952-001-0090. You may obtain a copy of the
rules or direct questions to OUNC by calling 403.232.1987 or 1.800.332.2344,
Issued By: P rrrTtttee nature: ' �
Cal 3.6 75 by 7:00 a.m.for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the pr•ject.
Approved plans are required on the job site at the time of each inspection.
Building Permit Application
Commercial FOR OFFICE USE ONLY
Cityof Tigard Cjj IV :=Received Permit No.: ,A.. • t
:alt_1f DateB : �rl� L�� �t ,c�i
13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review
Phone: 503.718.2439 Fax: 503.598.1960 Date/B : :I Other Permit:
T I G A R D Inspection Line: 503.639.4175 APR �" 2018 Date Ready/By: ® H See Page 2 for
Internet: www.tigard-or.gov Notified/Method: „� Supplemental Information
(� 'TIGARD
�R'OFt W[? a, piiiiimNili REt v.- m.w. . i � Ia �
: ^' Permit fees*are based on the value of the work performed.
El New construction .. . ion
Indicate the value(rounded to the nearest dollar)of all
®Addition/alteration/replacement 0 Other: equipment,materials,labor,overhead,and the profit for the
CATEGORY O ON$ Rile_
work indicated on this application.
u, .
Valuation: $
0 1-and 2-family dwelling /1 Commercial/industrial
ElAccessory building 0 Multi-family Number of bedrooms:
El Master builder El Other:
Number of bathrooms:
o.8 s :. TION LUCATIOI Total number of floors:
Job site address:2 Lincoln-10220 SW Greenburg Road New dwelling area: square feet
City/State/ZIP:Portland,OR 97223 Garage/carport area: square feet
Suite/bldg./apt.no.:650 Project name:Vacancy Space Prep 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
DDA ` :}CQ. ...CIAL-USII �
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
WO work indicated on this applicationU C ON OF .
Work to include demolition,a new wall,tenant entry door and relites Valuation: $$28,000.00
Existing building area: 2,923 square feet
New building area: 2,923 square feet
►� PROPERTY O Number of stories: 6
Name:Shorenstein Type of construction: I-B
Address:5800 Meadows Road,Suite 240 Occupancy groups:
City/State/ZIP:Lake Oswego,OR 97035 Existing: B
Phone:(503)412-4800 Fax:(503)412-4903 New: B
,e APPLI T a tiONTACr PERSON >8 silo +ler"PPRMIT Es:
.... ..: _,..(P'lesise rtafeessttedule) ....................
Business name:Mackenzie
Structural plan review fee(or deposit):
Contact name:Chloe Kirchhofer
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:ckirchhofer@mcknze.com
P iO OVOLTAIC SOLAR PANELS �
Commercial and residential prescriptive installation of
£O 1TRACTOR System.
-.. . ...... ..... .... .. . .... _ roof top mounted Photovoltaic Solar Panel
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 105°'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:(503)692-9008
State surcharge(12%of permit fee): $21.60
CCB lic.:58918 Total fee due upon application: $201.60
Authorized signature: I ....off ._. 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:04/26/2018 * Fee methodology set by Tri-County Building Industry
Service Board.
I:\Building\Permits\BUP-COM PermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
City of Tigard
r COMMUNITY DEVELOPMENT DEPARTMENT
i ■
TIGARD Building Permit Review — Commercial - No Land Use
Building Permit #: ,, j, ,1,g
5,-.-ie 666)
Site Address: j 6,2„?,a 0 (;ree in&rr; ( Suite/Bldg#:
Project Name: `oZ Li?co)0
(Name of commercial business occupying the space. If vacant,enter Spec Space.)
Planning Review .1
Proposal: I en C 4� T ivre/O�-1 e-fl / `V ctCcm 5.&r c e r.
Existing Business Activity: )00 n e voc:c%n,
Proposed Business Activity: A),9+,1Ly — Vctocxr\+-
Verify site address/suite# exists and active in permit system.
River Terrace Neighborhood: ❑ Yes l:-*-No
2'Zoning: J V i t)E
Permitted Use: Yes ❑ No ❑ Spec Space
;,,,Confirm no land use required.
❑ Business License:
Exists: ❑ Yes ❑ No,a plicant notified to obtain usiness license
Notes: fel On cis 099- use L n -1‘-, 6 re Mc?y Ire v r.e -tv,-.4e
4-.Q.,;;414_, Gt v dri . O L/'al
Approved by Planning: �_ (.-(-----___ Date: 1-1/ 6./g.
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: El Approved ❑ Not Approved
Revision 3: ❑ Approved ❑ Not Approved
Building Permit Submittal
Original Submittal Date: k//xA a
Site Plans: # _ 0*-_
_
Building Plans: # 13
Building Permit#: er building permit#above.
Workflow Routing: arming ❑ Permit Coordinator ding
Workflow Sign-off: C '<ign-off for Planning(include notes from planning review)
Route Application Documents: wilding: original permit application, site plans,building plans,engineer and
beam calculations and trust details,if applicable,etc.
Notes: 69 ci
By Permit Technician: / < t� Date: Et/ C/r r
I:\Building\Forms\BldgPermitRvw_COM NoLandUse_060116.docx
Permit Coordinator Review
❑ Conditions "Met"prior to issuance of building permit
E l 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 Applicant:
El SDC Fees Entered: Wash Co Trans Dev Tax: ❑ Yes El N/A
Tigard Trans SDC: El Yes ❑ N/A
Parks SDC: El Yes El N/A
❑ OK to Issue Permit
Approved by Permit Coordinator: Date:
I:\Building\Forms\B1dgPermitRvw_COM NoLandUse_070915.docx
Dianna Howse
From: Chloe A. Kirchhofer <CKirchhofer@mcknze.com>
Sent: Monday, April 16, 2018 4:37 PM
To: Dianna Howse
Cc: Lindsey Carpenter; Kelly Battaglia; #Building Permit Technicians
Subject: RE: OTC Appointment Request
Thank you! Yes, please put us down for 10am on April 26th
Chloe Kirchhofer
InteriorsJob Captain
Architecture • Interiors • Engineering • Planning
P >03 224.9560 W rr.r,;kn TM<r.corn vc,o rst.
RiverEast Center
1515 SE Water Ave, Suite 100
Portland OR 97214
This email is confidential, may be legally privileged, and is intended solely for the addressee. If you are not the intended recipient,
access is prohibited. As email can be altered, its integrity is not guaranteed.
From: Dianna Howse [mailto:Dianna@tigard-or.gov]
Sent: Monday,April 16, 2018 4:30 PM
To: Chloe A. Kirchhofer<CKirchhofer@mcknze.com>
Cc: Lindsey Carpenter<LCarpenter@mcknze.com>; Kelly Battaglia <KBattaglia@mcknze.com>; #Building Permit
Technicians<TigardBuildingPermits@tigard-or.gov>
Subject: RE: OTC Appointment Request
Hello Chloe,
We have Thursday,April 26th at 10:00 am open. Here is a list of the permit fees:
Value(Contractor)628,000,00 v] Fee Total $1,147 81
DC Provision Review.COM 11.P lat 1 Each Sygl.(10
F°; - p : ' .tom SLAM 1 Each $487.01
Plan Res -Fare Life Safety 1 Each 6194.80
PI* " 1 Each 6316 56
12 State Surd-tame-Building 1 Each $53 44
Please add $2.00 per page for over 11x17 and $0.50 per page for up to 11x17.
Thank you and please let me know if you want this date/time.
1
Dianna L. Howse
Building Division Services Supervisor
City of Tigard I Community Development
13125 SW Hall Blvd I Tigard, OR 97223
503-718-2430 Direct 1503-718-2439 Permits
From: Chloe A. Kirchhofer<CKirchhofer@mcknze.com>
Sent: Monday, April 16, 2018 3:22 PM
To: Dianna Howse<Diannaptigard-or.gov>; #Building Permit Technicians<TigardBuildingPermits@tigard-or.gov>
Cc: Lindsey Carpenter<LCarpenter@mcknze.com>; Kelly Battaglia <KBattagliaRmcknze.com>
Subject:OTC Appointment Request
Hello,
We'd like to schedule an OTC appointment. Please let us know what loam openings you have available starting the
week of 4/23. The project is at 2 Lincoln, 10220 SW Greenburg Rd., Suite 650. The current use of space is vacant office
and the new use of space will be vacant office. The scope of work includes demolition, a new wall, door and relites. The
valuation of the project is$28,000, can you please provide use with the permit fee amount?
Thank you!
Chloe Kirchhofer
Interiors I Job Captain
x
Architecture • interiors • Engineering • Planning
P 503.224,9560 W mcknza,corn C VCar(1
RiverEast Center
15.15 SE Water Ave, Suite 100
Portland OR 972.1.4
This email is confidential, may be legally privileged, and is intended solely for the addressee. If you are not the intended recipient,
access is prohibited. As email can be altered, its integrity is not guaranteed.
DISCLAIMER: E-mails sent or received by City of Tigard employees are subject to public record laws. If requested, e:-mail
may be disclosed to another party unless exempt from disclosure under Oregon Public Records l....aw. E-mails are retained
by the City of Tigard in compliance with the Oregon Administrative Rules "City General Records Retention Schedule."
2
4.
City of Tigard • BUILDING DIVISION
■ ll Over-The-Counter (OTC) Building & Fire Protection System Permit
r 1(,A I:1 Appointment Checklist
Permit Record#: el/emir-0o I lit
Contact Name: L p E 2 Ctiti/f d- Ems. Phone #: 503 — Y—93
Business Name: /igeje.c--A/Z,►g SlGn/ Appt. Date/Time: yepz, /j2 C /4,170 lfry
Site Address: jpao20 Su) [ > f.e,ez,-.%-/S Bldg/Suite #: a C'
Project Name: , 'i.a, -� SA9-C-E New Tenant? ❑ Yes Zf..No
Project Description: /.\l 72.E a/a. A-E71 p/ /9-- A/i J 9-1.-e-, c ex., i I�' Z/TFS
Existing Use: rCC New Use: & C
MMD Required: ❑ Yes p' No Related Record#:
. APPLICATION SPF FI O 14 .T f .
GENERAL INFORMATION
Class of Work: jj 1' Occupancy Group: Q Type of Construction: J— CS
Type of Use: r Occupancy Load: 340 Oregon Specialty Code: as), r
SPECIFICS
Number of Stories: G Building Height: Mixed Use:
Number of Dw Units: Number of Bathrooms: Number of Bedrooms:
BUILDING SQ FT-SCHOOL CET OTHER SQUARE FOOTAGES
Story Square Footage: a.91Accessory Structure: Covered Porch:
Basement: Garage: Deck:
Total Square Footage: Carport: Mezzanine:
SETBACKS
Sideyard Setback—Left Sideyard Setback—Front
Sideyard Setback—Right Sideyard Setback—Back _
CONSTRUCTION
Exterior Walls: Openings Protected: Firewall Separation:
N: S: N: S: Occupancy Separation:
E: W: E: W: Access.Parking Spaces:
REQUIRED ITEMS
Fire Sprinklers: 1 J e 5 Fire Alarms: Smoke Detectors:
Sprinkler Type: Alarm Type: Protected Corridors:
Standpipe Required: Pull Stations Required: Parapet:
Hazard Group: Battery Calcs Provided:
Density: Cut Sheets Provided:
Design Area:
K Factor:
Total Project Valuation: $ AP/00n 0 ,
r , ' ' FEES WA
$ 9 )-- DC Prov Rvw,COM TI—Ping
$ g ! s ) Permit Fee—Add,Alt,Demo
DC Provision Review Fee for COM TI(effective 7/1/2017) $ $, 49 12%State Surcharge
Project Valuation $ i Co. r 6 Plan Review,Structural
Up to$4,999 $0.00 $ 1 gr. 8o Plan Review,Fire Life Safety
$5,000-$74,999 $91.00 $ Info Proc/Arch,Lg(over 11x17$2.00)
$75,000-$149,999 $226.00 $ Info Proc/Arch,Sm(up to 11x17$0.50)
$150,000 and over $361.00 $ Metro Construction Excise Tax
$ School Construction Excise Tax
$ Hourly Rate Fee
$ Hourly Rate State Surcharge
$ Misc.Admin Fee
$ Other:
Building Staff: I Other:
Date/Time: $ ) j �' 3,8 i T AL FEES DUE
I:\Building\Forms\OTC_BUP_FPS_070117.docx _.