Permit CITY OF TIGARD BUILDING PERMIT
' •' COMMUNITY DEVELOPMENT Permit#: BUP2018-00347
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 12/19/2018
T t i;AR t g Parcel: 1S135AB00900
Jurisdiction: Tigard
Site address: 10200 SW GREENBURG RD
Project: 5-Lincoln Subdivision: METZGER,TOWN OF Lot: 9
Project Description: Work to include demolition,new walls,and ADA upgrades to the existing(3rd floor)toilet rooms.
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: IB DC Provision Review,COM TI-Ping 12/19/2018 $98.00
Occupancy Grp: B Occupancy Load: 5 Permit Fee-Additions,Alterations, 12/19/2018 $729.45
Demolition
Dwelling Units: 0 12%State Surcharge-Building 12/19/2018 $87.53
Stories: 0 Height: 0 ft Plan Review 12/19/2018 $474.14
Bedrooms: 0 Bathrooms: 0 Plan Review-Fire Life Safety 12/19/2018 $291.78
Value: $49,810 Info Process/Archiving-Lg$2.00(over 12/19/2018 $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 $1,690.90
Required: Required Items and Reports(Conditions)
Fire Sprinkler: Yes Parapet:
Fire Alarm: Protected Corridors:
Smoke Detectors: Manual Pull Stations:
Accessible Parking: 0
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will
be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180
days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by callin. 5,3.232.1987 or 1.800.332.2344.
frAIssued By: / •'4 Permittee Signature: l ar '* •�.
Call 503.639.4175 by 7:00 a.m.for the next available inspection date.
This perrnit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Building Permit Application
Commercial RECEIVED FOR OFFICE USE ONLY
Received / �/
City of Tigard DEC 1 9 2018
Date/By: lL/l t�/ F''jy ' �jl$'�(��3�-�
13125 SW Hall Blvd.,Tigard,OR 97223Plan Review
iliAllC „ Other Permit:
Phone: 503.718.2439 Fax: 503.598.19 A �ry Date/By: tit-Y 9— V- / {
TI G A R D Inspection Line: 503.639.4175 ��OF TGA 'a Date Ready/By: ` Juris: Ea See Page 2 for
Internet: www.tigard-or.gov BUILDING DJV!SlO Notified/Method: Supplemental Information
.. TYPE"OF WORK .: REQUIRED DATA:i-AND 2-FAMILY DWELLING"
❑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 OF CONSTRJCTION work indicated on this application.
Valuation: $
❑ 1-and 2-family dwelling ®Commercial/industrial
0 Accessory building 0 Multi-family Number of bedrooms:
❑Master builder 0 Other: Number of bathrooms:
JOl3"SITZ 1;NFORMATION AND IIACAT.I. :
Total number of floors:
Job site address:5 Lincoln-10200 SW Greenburg Road New dwelling area: square feet
City/State/ZIP:Portland,OR 97223 Garage/carport area: square feet
Suite/bldg./apt.no.:n/a Project name:3rd Floor Toilet Room 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 .."....D D?184(.:+G N RCIAI,-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
DESCkIPTION:(W W£1RK work indicated on this application.
Work to include demolition,new walls,and ADA upgrades to the existing Valuation: $$49810
toilet rooms Existing building area: 418 square feet
New building area: 418 square feet
4 PROPERTY.OWNEt TENANT 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
t 4 APPLIC NT ❑ CONTACT PERSON., ... ... BIJILIIIi i+G PE i'EE'S*
Business name:Mackenzie """ ""� " "' " (Plea ,refrw$e hidt .
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 PIIOTOVOLTAI!C SOLAR PA EL SYSTEM P:;EES* ..'
., _. f. .
CONTRACTOR;
:; Commercial and residential prescriptive installation o
: "... .. roof top mounted Photovoltaic Solar Panel System.
Business name:Russell Construction (2)
Submit twosets 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 lie.:58918 Total fee due upon application: $201.60
``
Authorized signature: I Alyw ill° This permit application expires if a permit is not obtained
II within 180 days after it has been accepted as complete.
Print name:Kelly Battaglia Date:12/19/2018 * 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
1 41
, NI .
Over-The-Counter (OTC) Building & Fire Protection System Permit
TIGARD
Appointment Checklist
Permit Record#: 81/t p l r-Oa gq 7
Contact Name: /<67.--e-1 g BGG/if Phone #:- j.? - o?a /- 956, D
Business Name: /`f/1-4E-A/a/E Appt. Date/Time: /�,//9//f K. /are7b
Site Address: //Je2e0 ,SC,> 6 , ---v/S-u4f AA Bldg/Suite #: 3".)— • j-z',&
Project Name: „5" Z...-/Ale-04-A/ New Tenant? ❑ Yes ❑ No
Project Description: fNj -E ®/1-, A €i`'!Dz-,7 / A/€h) ex/f}-G c_--cs ('09-- Ez✓'/2f- 1
4:6 /}- r. -P —j2.4-4 E3 /�57Z j f'"+,-- /77ye d r,s
Existing Use: oNewUse: p��
MMD Required: ❑ Yes No Related Record+� #:
1 _ - ,, . . nig r"j+4,,7 i,,. . �Go slit.,(I ..i )RMAT1�O{�, ,: , 1;,a „ ` ,,,; „�� :
GENERAL INFORMATION
Class of Work: 1SVT Occupancy Group: D Type of Construction: 1,31-•
Type of Use: Occupancy Load: .. Oregon Specialty Code: )
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: \/- Fire Alarms: Smoke Detectors:
Sprinkler Type: J 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: $ '9 ''oe/0 t FEES-1 lu a
$ 4$— DCProv Rvw,'COM TI–Plug
ji...2acitfic Permit Fee–Add,Alt,Demo
DC Provision Review Fee for COM TI(effective 7/1/2018) $ 87 .453 12%State Surcharge
Project Valuation $ 1479 . j I.,. Plan Review,Structural
Up to$4,999 $0.00 $ a,q . '7 g Plan Review,Fire Life Safety
$5,000-$74,999 $98.00 $ i a 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: $ I C 9 o,9()TOTAL FEES DUE
I:\Building\Forms\OTC_BUP_FPS_070118.docx
Front1 DSTS
Subject: Kelly Battaglia, MacKenzie, 503-224-9560, 10200 SW Greenburg Rd, 5 Lincoln
Location: CR 3 Permit Center
Start: Wed 12/19/2018 10:00 AM
End: Wed 12/19/2018 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
Tenant: 5 Lincoln
Scope of Work: 3rd Floor restrooms—interior demolition, new walls, casework and ADA upgrades.
Existing use: Office
New use: office
Project valuation: $49,810
1
Dianna Howse
From: Dianna Howse
Sent: Monday, December 10, 2018 9:43 AM
To: Kelly Battaglia
Cc: #Building Permit Technicians; Lindsey Carpenter; Chloe A. Kirchhofer
Subject: RE: OTC Permit Appointment
Hello Kelly,
Here is the estimate for a project valuation of$49,810:
vim, eater34La10.d?0 ;el Fee Toter si.sao40
rliiiv: !kg Ens
PC Peevision Review.COM Ti-Pew 1 Eacti
w ec ffi Fa- e' l 1 :t..a 11x,:ti!,± I Each 172945
ty e. t as _ ..�: a' I Each 12917
riee.Reinevi 1 Eadi $$474.14
is saaa'. £ kp 1 Each SST53
Please add $2.00 per page for pages over 11x17 and $0.50 per page for pages up to 11x17 for one complete plan set
Thank you.
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: Kelly Battaglia <KBattaglia@mcknze.com>
Sent: Monday, December 10, 2018 9:16 AM
To: Dianna Howse<Dianna@tigard-or.gov>
Cc:#Building Permit Technicians<TigardBuildingPermits@tigard-or.gov>; Lindsey Carpenter
<LCarpenter@mcknze.com>; Chloe A. Kirchhofer<CKirchhofer@mcknze.com>
Subject: RE: OTC Permit Appointment
Hi Dianna,
The valuation for the 3rd floor restrooms at 5 Lincoln is$49,810. Could we please get the permit fee amount?
Kelly Battaglia
Interiors I LEED Green Associate
MACKENZIEw
DE536.Y[ ORSYEE4 7 CL ENT FOCUSED
Architecture • Interiors • Engineering • Planning
1
w, s
Dianna Howse
From: Kelly Battaglia <KBattaglia@mcknze.com>
Sent: Thursday, December 6, 2018 9:58 AM
To: Dianna Howse
Cc: #Building Permit Technicians; Lindsey Carpenter; Chloe A. Kirchhofer
Subject: RE: OTC Permit Appointment
Hi Dianna,
Let's do Wednesday, December 19th at 10am.The project is for the 3td floor restrooms at 5 Lincoln, 10200 SW Greenburg
Rd. The current use of the space is restrooms and the continued use of space is restrooms.The scope of work includes
demolition, new walls,casework and ADA upgrades.Valuation is TBD.
We will get back to you shortly on the valuation.
Thank you!
Kelly Battaglia
Interiors j LEED Green Associate
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.
From: Dianna Howse<Dianna@tigard-or.gov>
Sent:Thursday, December 06, 2018 9:52 AM
To: Kelly Battaglia <KBattaglia@mcknze.com>
Cc:#Building Permit Technicians<TigardBuildingPermits@tigard-or.gov>; Lindsey Carpenter
<LCarpenter@mcknze.com>; Chloe A. Kirchhofer<CKirchhofer@mcknze.com>
Subject: RE: OTC Permit Appointment
Hi Kelly,
Here are the next available OTC dates/times:
• Thursday, December 13th at 10:00 am
• Tuesday, December 18th at 10:00 am
• Wednesday, December 18th at 10:00 am
It is ok that you don't have the project valuation, but we need the following information in order to schedule the OTC:
• Site address
• Tenant Name
• Is this a new tenant:
1
s i
• Existing Use:
• New Use:
Thank you.
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: Kelly Battaglia <KBattaglia@mcknze.com>
Sent: Wednesday, December 5, 2018 10:29 AM
To: Branden Taggart<brandent@tigard-or.gov>
Cc:#Building Permit Technicians<TigardBuildingPermits@tigard-or.gov>; Lindsey Carpenter
<LCarpenter@mcknze.com>; Chloe A. Kirchhofer<CKirchhofer@mcknze.com>
Subject: OTC Permit Appointment
Hi Branden,
We are finishing up a CD set that we are hoping to issue before the city and our holiday closures. We are waiting to hear
what the valuation will be, hopefully by the end of the week. Is there a chance we could schedule the OTC appointment
and then let you know what the valuation is once we receive it?We just want to make sure the appointments aren't all
booked before it's too late!
Thank you,
Kelly Battaglia
Interiors I LEED Green Associate
Architecture • Interiors • Engineering • Planning
P 503.224.9560 W mcknze.corn 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 Schedule."
2
City of Tigard
'PIN COMMUNITY DEVELOPMENT DEPARTMENT
■
T 1 G A R D Building Permit Review — Commercial - No Land Use
Building Permit #: Y tifla(i1 r—c '-17
Site Address: 10200 .1„1 Gree-1.7) RI Suite/Bldg#:
Project Name: 5 L;n1CoIr
(Name of commercial business occupying the space. If vacant,enter Spec Space.)
Planning Review 1
Proposal: 2 rk Floor f 41001^,\S ^ in4trl ar dler..1 i)—o, new t l3j Casewari /�&nA ` i)4 JhrjA
Existing Business Activity: QCCi«
Proposed Business Activity: O k
V rify site address/suite# exists and active in permit syste
T.
[ ver Terrace Neighborhood: ❑ Yes [ No
LIQ oning: I'm- 1— 2/
"yermitted Use: LSI Yes ❑ No ❑ Spec Space
IV Confirm no land use required.
Business License:
Exists: ❑ Yes ❑ No,applicant notified to obtain business license
Notes:
Approved by Planning: e e 1 Date: 11-19-4
—
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: 12.//? /l i
Site Plans: #
Building Plans: #
Building Permit#: ter building permit#above.
Workflow Routing: Planning T' + t-r___ t /...5.—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:
/,,Z//
��� �
By Permit Technician: , _A , ,��'�j/I�?!. / Date: 9�/
I:\Building\Forms\BldgPermitRvw_COM NoLandUse_060 1 16.docx
Permit Coordinator Review
❑ Conditions "Met"prior to issuance of building permit
O 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 Applicant:
O SDC Fees Entered: Wash Co Trans?' Tax: 0 Yes 0 N/A
Tigard Trans..I C: 0 Yes 0 N/A
Parks io C: 0 Yes ❑ N/A
❑ OK to Issue Permit
Approved by Pe • it Coordinator: Date:
I:\Building\Forms\BldgPermitRvw_COM_NoLandUse_070915.docx