Permit (206) CITY OF TIGARD BUILDING PERMIT
: • COMMUNITY DEVELOPMENT Permit#: BUP2018-00216
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 07/17/2018
T I�''' It.[� g Parcel: 1S135AB00900
Jurisdiction: Tigard
Site address: 10200 SW GREENBURG RD 500
Project: Bridgewell Resources Subdivision: METZGER,TOWN OF Lot: 9
Project Description: Minor demolition,a new wall,new doors,and relites.
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: 503-412-4800
FAX: 503-692-9008
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: lB DC Provision Review,COM TI-Ping 07/17/2018 $98.00
Occupancy Grp: B Occupancy Load: 161 Permit Fee-Additions,Alterations, 07/17/2018 $271.43
Demolition
Dwelling Units: 0 12%State Surcharge-Building 07/17/2018 $32.57
Stories: 0 Height: 0 ft Plan Review 07/17/2018 $176.43
Bedrooms: 0 Bathrooms: 0 Plan Review-Fire Life Safety 07/17/2018 $108.57
Value: $12,286 Info Process/Archiving-Lg$2.00(over 07/17/2018 $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 $693.00
Required: Required Items and Reports(Conditions)
Fire Sprinkler: Yes Parapet:
Fire Alarm: Protected Corridors:
Smoke Detectors: Manual Pull Stations:
Accessible Parking: 0
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will
be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180
days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952-001-0010 through OAR 952-001-0090. Youymay obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
,Z
Issued By: �/1dx/� iitl X447''...-
G4 Permittee Signature: t
Call 503.639.4176 by 7:00 a.m.for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Building Permit Application
•
k
Commercial " FOR OFFICE USE ONLY
Ear$
City of Tigard Received 7 7/� Permit No.: 00]r�'-. 16
13125 SW Hall Blvd.,Tigard,OR 97223 1 U L 1 4 2018 Plan Review (/'vv�� �'
ll Phone: 503.718.2439 Fax: 503.598.1960 Date/By: 7.. ) —) Other Permit:
_ �, -z#��
T I G A R D Inspection Line: 503.639.4175 Ct' Y o E° fl( AR iDate Ready/By: Juris El See Page 2 for
Internet: www.tigard-or.gov sk i�� t�'9 `E Notified/Method: Supplemental Information
OT:W...: : REQUIREDDATM I=AND 2$AMILY J)WELLLN
❑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
®Addition/alteration/replacement 0 Other: equipment,materials,labor,overhead,and the profit for the
CATEGORY.QF C01�STRIIC"TiOl�t
workindicated on this application.
El1-and 2-family dwelling ®Commercial/industrial Valuation: $
0 Accessory building 0 Multi-family Number of bedrooms:
❑Master builder 0 Other: Number of bathrooms:
JOB .Il!dF.C1R1v�ATI4l*1 A LtaCATION
Total number of floors:
Job site address:5 Lincoln-10200 SW Greenburg Road New dwelling area: square feet
City/State/ZIP:Tigard,Oregon Garage/carport area: square feet
Suite/bldg./apt.no.:500 Project name:Bridgewell 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
REQ JI D DATA,.:COMM RCIAL USE CIIkCKLIST: .
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
DEic, y work indicated on this application.
Work to include minor demolition,a new wall,new doors and relites Valuation: $$12,286.00
Existing building area: 16094 square feet
New building area: 16094 square feet
< PROP RT ! O V!l1EB
.: � TPIANT Number of stories: 7
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
ii AP1'LICAN ' CONTACT P O :� ::* PELT F ...R
Business name:Mackenzie
8r lrr ¢e yr: .... .
Structural plan review fee(or deposit):
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 P1I1OrOVOLTAIC QLARPA. s. :m FEES* .;.
[:Q )QAC s t ...
.
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
and fire department access,along with the 2010 Oregon
Address:20915 SW 105th 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 lie.:58918
Total fee due upon application: $201.60
Authorized signature: �j�p Q p._ This permit application expires if a permit is not obtained
vl �lX ��' within 180 days after it has been accepted as complete.
Print name:Kelly Battaglia Date:03/15/2018 * 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)
11 iii City of Tigard • BUILDING DIVISION
I Over-The-Counter (OTC) Building & Fire Protection System Permit
116 A R n Appointment Checklist
Permit Record#: aufigV9 7O 1 Cs,
Contact Name: N /, Phone #: Csa 3,.) ,11-qco
Business Name: � � /vk�e.._ Appt. Date/Time: "7//7/4 s /v,'"'
Site Address: fdiev se...) 6,,.e ,,bA/ Bldg/Suite #: 5-C
Project Name: ,
d New Tenant? ❑ Yes No
Project Description: . ;(5))w �^s7'- kencl/.75�.wi is i z../,..elf/eZio
Existing Use: ` New Use: /R
MMD Required: ❑ Yes 0--N6 Related Record#:
APPLICATION.SPECIFIC INFORMATION
GENERAL INFORMATION —C)
Class of Work: 4)`"1° Occupancy Group: Type of Construction:
Type of Use: 3 _ Occupancy Load: , Oregon Specialty Code: 111.
SPECIFICS \
Number of Stories: 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: Accessory 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: Ni Fire Alarms: Smoke Detectors:
Sprinkler Type: A 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: $ /
.0Z(?CZ- ' - : -;
$ Gqte- DC Prov Rvw,COM TI—Ping
$ 071.ti,3 Permit Fee—Add,Alt,Demo
DC Provision Review Fee for COM TI(effective 7/1/2017) $ .3 a._r,-7 12%State Surcharge
Project Valuation $ (7(. r 4/3 Plan Review,Structural
Up to$4,999 $0.00 $ [65.s-7 Plan Review,Fire Life Safety
$5,000-$74,999 _S-94-700 a$:W*0 $ 6✓ Info Proc/Arch,Lg(over 11x17$2.00)
$75,000-$149,999 0 7-11.3, $ Info Proc/Arch,Sm(up to 11x17$0.50)
$150,000 and over 9,64166 w $ Metro Construction Excise Tax
$ School Construction Excise Tax
$ Hourly Rate Fee
$ Hourly Rate State Surcharge
$ Misc.Admin Fee
$ Other:
Building Staff: $ Other:
cv -t evel.,', Jt W 1-e---c-
Date/Time: $ 6r7.— TOTAL FEES DUE
�o
I:\Building\Forms\OTC_BUP_FPS_070117.docx 6 9 3
r
Branden Taggart
From: Branden Taggart
Sent: Thursday, July '12, 2018 4:17 PM
To: 'Kelly Battaglia'
Cc: Lindsey Carpenter; Chloe A. Kirchhofer;#Building Permit Technicians
Subject: RE: OTC Appointment Request: 10200 SW Greenburg Rd Suite 500
Attachments: Branden Taggart.vcf
Hi Kelly,
The next available OTC appointment is Tuesday,July 17 at 10:00, and I will schedule you for the appointment. The
balance due is$687.00 plus the archiving fee. Wednesday,July 18 is also available at the moment if Tuesday does not
work for you.
Thanks,
Branden Taggart
111,,,,4 City of Tigard
■ • Senior Permit Technician
Community Development
TIGARD
13125 SW Hal Blvd
Tigard,OR 97223
(5€I3}718-2449
bra n dent@tigard-or,gov
From: Kelly Battaglia [mailto:KBattaglia@mcknze.com]
Sent:Thursday,July 12, 2018 8:32 AM
To:#Building Permit Technicians<TigardBuildingPermits@tigard-or.gov>
Cc: Lindsey Carpenter<LCarpenter@mcknze.com>; Chloe A. Kirchhofer<CKirchhofer@mcknze.com>
Subject: OTC Appointment Request
Good morning,
We would like to book an OTC appointment for the next available time slot.The project is at 5 Lincoln, 10200 SW
Greenburg Rd, Suite 500. The tenant is Bridgewell and they are an existing tenant. The existing use of space is office
and the new use of space will be office. The scope of work includes minor demolition, new walls, doors and relites. The
valuation for the project is$12,286, can you please provide us with the permit fee amounts?
Thank you,
Kelly Battaglia
Interiors I LEED Green Associate
. .... i.0,,,,4 . .L .9»f ':'i$
Architecture • Interiors • Engineering • Planning
1
P.503.224.9560 W mcknze.com C vcard
RiverEast Center
1515 SE Water Ave, Suite 1OO
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.
2
Samuel Copelan
Subject: Kelly @ McKenzie; 10200 SW Greenburg Rd Suite 500; Bridgewell; 503-224-9560
Location: CR 3 Permit Center
Start: Tue 7/17/2018 10:00 AM
End: Tue 7/17/2018 11:00 AM
Recurrence: Weekly
Recurrence Pattern: every Tuesday,Wednesday, and Thursday from 10:00 AM to 11:00 AM
Meeting Status: Meeting organizer
Organizer: -Building_OTC
Resources: CR 3 Permit Center
Call Handling Mode 2: 2
TI for existing tenant: Demolition, new walls,doors,and relites.
1
City of Tigard
IIIa COMMUNITY DEVELOPMENT DEPARTMENT
■
T l c A RD Building Permit Review — Commercial - No Land Use
Building Permit #: 6(/k97--00al ici
Site Address: 102,00 Ski,/ Grte4cii I.A Suite/Bldg#: SOO
Project Name: 6r+htwGtl
(Name of commercial business occupying the space. If vacant,enter Spec Space.)
Planning Review
Proposal: -11. str Cx3} „s '‘44 : 1r"ol ' \ea! uI LS j COJ 4 rdj
cs.
Existing Business Activity: (bilk
Proposed Business Activity: (J.Wkl Cl.
y.fy site address/suite# exists and active in permit syste2
r Terrace Neighborhood: ❑ Yes LI No
E oning: hub-1 —/
DI�' rmitted Use: I.0 Yes ❑ No ❑ Spec Space
[i Confirm no land use required.
— [2 Business License:
Exists: ❑ Yes LJ No,applicant notified to obtain business license
Notes:
Approved by Planning: L (. r,L. Date: 7-19-11
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: ❑ Approved ❑ Not Approved
Revision 3: ❑ Approved ❑ Not Approved
Building Permit Submittal
Original Submittal Date: ? lF
Site Plans: # _
Building Plans: #
Building Permit#: nter building permit#above.
Workflow Routing: p=Planning " 'cr it C x 1iy2atr • ›a.Building
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: er‘r ,/i Date: 7/1711 o
I:\Building\Fonns\BldgPermitRvw_COM NoLandUse_060116.docx
Permit Coordinator Review
❑ Conditions "Met"prior to issuance of building permit
El Approved,NOT Released: i ate:
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 Tras.:'Iev Tax: ❑ Yes ❑ N/A
Tigard ns SDC: ❑ Yes ❑ N/A
SDC: ❑ Yes ❑ N/A
❑ OK to Issue Permit,
Approved by P. rmit Coordinator: Date:
I:\Building\Forms\B1dgPermitRvw COM NoLandUse_070915.docx
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
10200 SW GREENBURG RD 500, TIGARD,
OR, 97223
Record Type: Record ID:
Commercial - Building BUP2018-00216
Inspection Type: Inspector:
299 Final inspection Jeff Grove
Result:
PASS - CofO
Comments:
Violation Summary:
Inspector Contractor