Permit (106) CITY OF TIGARD BUILDING PERMIT
.- Permit#: BUP2018-00300
s COMMUNITY DEVELOPMENT
Tigard OR 97223 503.718.2439
13125 SW Hall Blvd.,Ti Date Issued: 10/30/2018
TIGARf� 9
Parcel: 1S135AB04500
Jurisdiction: Tigard
Site address: 10250 SW GREENBURG RD 111
Project: CORNFORTH CONSULTANTS Subdivision: 1991-055 PARTITION PLAT Lot: 1
Project Description: Work to include demolition,new walls,doors and relites,new cabinetry,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: 504-412-4800
FAX: 503-692-9008
Specifics: FEES
Description Date Amount
Type of Use: COM DC Provision Review,COM TI-Ping 10/30/2018 $243.00
Class of Work: ALT Type of Const: IB
Occupancy Grp: B Occupancy Load: 78 Permit Fee-Additions,Alterations, 10/30/2018 $993.00
Demolition
Dwelling Units: 0 12%State Surcharge-Building 10/30/2018 $119.16
Stories: 0 Height: 0 ft Plan Review 10/30/2018 $645.45
Bedrooms: 0 Bathrooms: 0 Plan Review-Fire Life Safety 10/30/2018 $397.20
Value: $85,000 Info Process/Archiving-Lg$2.00(over 10/30/2018 $10.00
11x17)
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $2,407.81
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 ain a copy
the rules or direct questions to OUNC by caig 503.232.1987 or 1.800.332.2344.
Issued By: ` / Permittee Signature: fK' �1J V, do,
4 Pvt.
_„01Z:5 °.
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 i Ifi
CommercialFOR OFFICE USE ONLY
Li L: 30 /0
Cl of Tigard Receivedty: O/ !V ,/.,_, �/0 Q —./v
`J g Date/By: 30 r "�iCV�(� (J
13125 SW Hall Blvd.,Tigard,OR 97223 + ' 1�i �� Plan Review
' a Phone: 503.718.2439 Fax: 503.598.11c),„�pfi�rr++,�pp��tt g, Date/By: p�-- 1:3_ Other Permit:
LG ,1 I9A"I !Nil SI Y
T I G A R D Inspection Line: 503.639.4175 y,, t d �.. i Date Ready/By: Jur s: H See Page 2 for
Internet: www.tigard-or.gov Notified/Method: Supplemental Information
TYPE OF WORK REQUIRED DATA:1-AND 2-FAM1LX 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 0 Other: equipment,materials,labor,overhead,and the profit for the
CATEGORY O1 CONSTRUC t ION work indicated on this application.
❑ 1-and 2-family dwelling ®Commercial/industrial Valuation: $
❑Accessory building I=1 Multi-family Number of bedrooms:
1=1 Master builder 0 Other: Number of bathrooms:
JOB SITE INFOI IATION:AND LOCATION Total number of floors:
Job site address:4 Lincoln-10250 SW Greenburg Road New dwelling area: square feet
City/State/ZIP:Portland,OR 97223 Garage/carport area: square feet
Suite/bldg./apt.no.:111 Project name:Cornforth Consultants 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
QUIRTD DATA}COMMl R ':IAL-U E C +CKLIST
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!WORKS work indicated on this application.
Work to include demolition,new walls,doors and relites,new cabinetry and new Valuation: $$85,000.00
finishes Existing building area: 7713 square feet
New building area: 7713 square feet
me PROPERTY;OWNER . ❑.TENANT:: Number of stories: 3
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
► AMFLLcApi CONTCTPERSON BU1i..D1e� � 1TFE
.. ..... . YG . .E
S
TJ aiW rw SCfedki
uBusiness name:Mackenzie
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
Phone:(503)224-9560 Fax::(503)228-1285 Amount received:
E-mail:kbattaglia@mcknze.com P HOTOVOLTAIC SOLAR PANEL SYSTEM FEES' `
of
;.: CONTRACTOR . ; . .:
Commercial and residential prescriptive installation
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 lic.:58918
�' 7�j Total fee due upon application: $201.60
Authorized signature: / ���t/�l This permit application expires if a permit is not obtained
/�I ._� 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)
City of Tigard • BUILDING DIVISION
Over-The-Counter (OTC) Building & Fire Protection System Permit
TIGARD Appointment Checklist
Permit Record#: Au i'e2n1"-Q0360
Contact Name: gellt &rial94:1 Phone #: /sv3) .&i- cc
Business Name: pv,ke..,z,k. Appt. Date/Time: h5/3d�/f 62, idA,t, 4,01A.
Site Address: /62SZ0 ,5-4,,J ave ,Q,/ S'L„7c /il Bldg/Suite #: ///
Project Name: 40y �-
� jd-y, d-,,f ✓71' New Tenant? ❑ Yes ❑ No
Project Description: &*v,J Al.G-.i y c f. J c.,,+! %J, -✓4,1 -✓ 'b, 1 ~'/"e4/4
Existing Use: SNew Use: 9
MMD Required: ❑ Yes I.sd-.No Related Record #:
GENERAL INFORMATION
Class of Work: ' 14- Occupancy Group: iS,r Type of Construction: -6
Type of Use: Occupancy Load: 71 Oregon Specialty Code: /H
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: 5Fire 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: $ rS a00 ,::.::,-,- 4\a--
, 110',,m,,,ti„ , 1 ok
$ DC Prov Rvw,COM TI-Ping
$ .. Permit Fee-Add,Alt,Demo
DC Provision Review Fee for COM TI(effective 7/1/2018) $ - . 12%State Surcharge
Project Valuation $ fjet.(c L/c" Plan Review,Structural
Up to$4,999 $0.00 $ 3,7. Oe) Plan Review,Fire Life Safety
$5,000-$74,999 $98.00 $ (0— Info Proc/Arch,Lg(over 11x17$2.00)
$75,000-$149,999 $243.00 $ Info Proc/Arch,Sm(up to 11x17$0.50)
$150,000 and over $388.00 $ Metro Construction Excise Tax
$ School Construction Excise Tax
$ Hourly Rate Fee
$ Hourly Rate State Surcharge
$ Misc.Admin Fee
$ Other:
Building Staff: $ Other:
Date/Time: $ 1L/07 q j TOTAL FEES DUE
I:\Budding\Forms\OTC_BUP_FPS_070118.docx
Branden Taggart
From: Branden Taggart
Sent: Wednesday, October 17, 2018 12:46 PM
To: 'Kelly Battaglia'
Cc: Lindsey Carpenter; #Building Permit Technicians
Subject: RE: OTC Appointment Request
Attachments: Branden Taggart2.vcf
Kelly,
I have you scheduled for the 30th. See you then.
Thanks,
Branden Taggart
,„q City of Tigard
rl,a Senior Permit Technician
Community Development
13125 SW HaR Blvd
Tigard,OR 97223
(503)718-2449'
brandent@tigard-or.gov
From: Kelly Battaglia [mailto:KBattaglia@mcknze.com]
Sent:Wednesday, October 17, 2018 11:29 AM
To: Branden Taggart<brandent@tigard-orgov>
Cc: Lindsey Carpenter<LCarpenter@mcknze.com>; #Building Permit Technicians<TigardBuildingPermits@tigard-or.gov>
Subject: RE: OTC Appointment Request
Hi Branden,
Let's do the 30th!
Thank you,
Kelly Battaglia
Interiors I LEED Green Associate
MACKENZIE
r$,€,^IMA
Architecture • Interiors Engineering Planning
P 501224.9560 W mcknze.com C vcard
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.
1
•
From: Branden Taggart<brandent@tigard-or.gov>
Sent: Wednesday, October 17, 2018 10:11 AM
To: Kelly Battaglia <KBattaglia@mcknze.com>
Cc: Lindsey Carpenter<LCarpenter@mcknze.com>; #Building Permit Technicians<TigardBuildingPermits@tigard-or.gov>
Subject: RE: OTC Appointment Request
Hi Kelly,
We have the following OTC appointments available:
Tuesday, October 30 at 10:00 a.m.
Thursday, November 1 at 10:00 a.m.
Tuesday, November 6 at 10:00 a.m.
Wednesday, November 7 at 10:00 a.m.
Thursday, November 8 at 10:00 a.m.
Which appointment would you like? Also, the permit fees will be$2,397.81 plus the archiving fee.
Thanks,
Branden Taggart
w City of Tigard
0 = Senior Permit Technician
Community Development
13125 SW Hall Blvd
Tigard,OR 97223
(503}718-2449
brandent@tigard-or.gov
From: Kelly Battaglia [mailto:KBattaglia@mcknze.com]
Sent:Tuesday, October 16, 2018 4:22 PM
To:#Building Permit Technicians<TigardBuildingPermits@tigard-or.gov>
Cc: Lindsey Carpenter<LCarpenter@mcknze.com>
Subject: OTC Appointment Request
Hello,
We'd like to schedule an OTC appointment starting the week of October 29th. The project is Cornforth Consultants at 4
Lincoln, 10250 SW Greenburg Rd, Suite 111. Cornforth currently occupies the space, using it for office and the
continued use of space will be office. The scope of work includes demolition, a new wall, new relites, ceiling work, new
cabinetry and finishes. Valuation is$85,000. Could you please provide us with the permit fee amount?
Thank you!
Kelly Battaglia
Interiors I LEED Green Associate
2
MACKENZIE .�~r0 ��"m�� N�^ 0�~ N~�� +�_ 0 U�� °
.'rt *~, ~mcWwrm
Architecture • Interiors • Engineering • Planning
P 503.224.9560 W mcknze.com C vcard
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.
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 Law. E-mails are retained
by the City of Tigard in compliance with the Oregon Administrative Rules "City General Records Retention Snhedu|e.^
City of Tigard
1111 COMMUNITY DEVELOPMENT DEPARTMENT
■
T 1 c A Ro Building Permit Review — Commercial - No Land Use
Building Permit #: ktg16r7 ?9
Site Address: 102.E L=' SW E reext lotlt7:9 (24, Suite/Bldg#: t
Project Name: cli,. I.0,- CO r r F=c r (....c.-15 L° Me
(Name of commercial business occupying the space. If vacant,enter Spec Space.)
Planning Review
Proposal: wiLia42 .7 L W O(i'L / G ?-M'0 , virbt.t) vv(AAA i ! G ,t�t `3
rl° Lr }f S , rid V'"Lt
Existing Business Activity: No cM OKI C9 1.
Proposed Business Activity:
'Verify site address/suite# exists and active in permit system.
'River Terrace Neighborhood: ❑ Yes ,/6 No
Zoning: (V1'V
iPermitted Use: ❑ Yes ❑ No El Spec Space
Confirm no land use required.
egr Business License:
Exists: El Yes ❑ No,applicant notified to obtain business license
Notes:
Approved by Planning: '` t,t9-1A/N, Date: 0/ 30 l
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: `)/30/(G
Site Plans:
Building Plans: #
Building Permit#: O.-nter building permit#above.
Workflow Routing: Tanning I_'. :uilding
Workflow Sign-off: ESign-off for Planning(include notes from .lanning review)
Route Application Documents: Building: original permit application, site plans,building plans,engineer and
beam calculations and trust details,if applicable,etc.
Notes:
ByPermit Technician: . c. Date:
I:\Building\Fonns\BldgPern itRvw_COM_NoLandUse_060116.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 Se• o Applicant:
Revision Notice 2: Da ent to Applicant:
Revision Notice 3: D ate Sent to Applicant:
O SDC Fees Entered:, Wash Co Trans Dev Tax: 0 Yes 0 N/A
Tigard Trans SDC: 0 Yes 0 N/A
Parks SDC: 0 Yes 0 N/A
❑ OK • Issue Permit
:proved by Permit Coordinator: Date:
I:\Building\Forms\BldgPermitRvw_COM NoLandUse_070915.docx
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
10250 SW GREENBURG RD 111 , TIGARD,
OR, 97223
Record Type: Record ID:
Commercial - Building BUP2018-00300
Inspection Type: Inspector:
299 Final inspection Jeff Grove
Result:
PASS - NoCofO
Comments:
Violation Summary:
Inspector Contractor