Permit (39) _ CITY OF TIGARD BUILDING PERMIT
: I COMMUNITY DEVELOPMENT Permit#: BUP2019-00004
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 01/09/2019
T t i I<:r: g Parcel: 2S101 DA00102
Jurisdiction: Tigard
Site address: 13221 SW 68TH PKWY 401
Project: Spec Space Subdivision: None Lot: None
Project Description: Minor demolition,new walls,doors,relites,ceilings,and fixtures.
Contractor: PACIFIC CREST STRUCTURES INC Owner: CARRIE GRIFFTHS, CBRE
17750 SW UPPER BOONES FERRY RD SUITE 1420 5TH AVENUE, SUITE 1700
190 SEATTLE,WA 98101
DURHAM, OR 97224
PHONE: 503-968-8949 PHONE:
FAX: 503-598-6658
Specifics: FEES
Description Date Amount
Type of Use: COM DC Provision Review,COM TI-Ping 01/09/2019 $388.00
Class of Work: ALT Type of Const: IB
Occupancy Grp: B Occupancy Load: 18 Permit Fee-Additions,Alterations, 01/09/2019 $1,709.95
Demolition
Dwelling Units: 0 12%State Surcharge-Building 01/09/2019 $205.19
Stories: 0 Height: 0 ft Plan Review 01/09/2019 $1,111.47
Bedrooms: 0 Bathrooms: 0 Plan Review-Fire Life Safety 01/09/2019 $683.98
Value: $199,500 Info Process/Archiving-Lg$2.00(over 01/09/2019 $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 $4,108.59
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 ma btain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: %I/Y Permittee Signature: ��J J---
Call 503.639.4175 by 7:00 a.m.for the next available inspection date. (Ts"->--
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
CommercialFOR OFFICE USE ONLY
�City of Tigard Received DateB Permit No.:
III M 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review
Phone: 503-718-2439 Fax: 503-598-1960 JAN 9 2019 Date/B : - di a if Related Permit:
T l C'A R D Inspection Line: 503-639-4175 Date Ready/By: Jam: ® See Page 2 for
Internet: www.tigard-or.gov CITY OF FIGAR Notified/Method: Supplemental Information
UILDENG DIVISION
TYPE OF WORK REQUIRED DATA:1=AND 2-FAMILY 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 ❑Other: equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
1111-and 2-family dwelling 'Commercial/industrial
Valuation: $
111Accessory building ❑Multi-family Number of bedrooms:
❑Master builder ❑Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: 1 ..1 C1/ ;r Y- 'P0111{1A)e1 1,,1 New dwelling area: square feet
City/State/ZIP: ,,,a, , 112.7_2, J Garage/carport area: square feet
Suite/bldg./apt.#: 4131 Project name: 1-40610' Ivo pvC671- Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
Other structure area: square feet
REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision: Lot#: Permit fees*are based on the value of the work performed.
Tax map/parcel#: 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.
�t g+�M > + e Valuation: $ (e q tz_._
P;V4t':i�, uilJtruk 10n f wit,/ w iI. l C1ttNrS l Po!ite 1 C?l'l lkr:is, I
C llr .41I/11
n,�t �� Existing building area: square feet
1 trt New building area: square feet
PROPERTY OWNER 0 TENANT Number of stories:
Name: OA y t k. ( -HA L / (12.,R . Type of construction: }.'.g7
Address: Occupancy groups:
1y�� � -- �IfQV`li1L` d �Ltl}2_ I�t�-� O P YZ�' Ps.
City/State/ZIP: C.
-t'4 -Z, if^ C�� Existing: ( itv Sc
Phone:(Z.r.+tG.) 1-41'2_.' 2,2i Fax:( ) New: ( lln 2 S'`>
liit APPLICANT 0 CONTACT PERSON BUILDING PERMIT FEES*
(Please refer W fee schedule)
Business name: ack•Ro ` Structural plan review fee(or deposit):
Contact name: 2 x._19 V_ A,i'�Li���r e/v� FLS plan review fee(if applicable):
Address: is t'-*
1�� 5t viol-.Z i/ ti/&M ��` f t°
s Total fees due upon application:
City/State/ZIP: 12.i4.c v J i;`.Q. 11 2,1(4
Phone:(E t. ) ,1_ GIS'(pQ Fax::( ) Amount received:
E-mail: 7- PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
�"1h 4 G pt ,L In 1, Ar4v1.3_,' '4 ` .(t. 1/1 Commercial and residential prescriptive installation of
J CONTRACTOR roof-top mounted Photo Voltaic Solar Panel System.
Business name: rk i L r c f-- c -t&k.t�-ts� Submit two(2)sets of roof plan with connection details
�„, and fire department access,along with the 2010 Oregon
Address: i"'"'�co S' Jp U N0 C Rr• .\ 2.(A i 5i-rt 1c() Solar Installation Specialty Code checklist.
City/State/ZIP: q J K Permit fee(includes plan review
��• ` �+i ���'4and administrative fees): $180.00
Phone:(ci ) ivy,-.?Act q Fax:( ,y5) S`r 6, tots S State surcharge(12%of permit fee): $21.60
t.02CCB Lic.: C11� t Total fee due upon application: $201.60
Authorized signature: v ,,,2.i,-- This permit application expires if a permit is not obtained
,, 4 within 180 days after it has been accepted as complete.
Print name: c`"1 t/‘ i to V�(a�`,/, Date: * Fee methodology set by Tri-County Building Industry
Service Board.
I:\Building\Permits\BUP_COM_PermitApp.doc Rev.04/21/2014 440-4613T(11/02/COM/WEB)
V
' City of Tigard • BUILDING DIVISION
Over-The-Counter (OTC) Building & Fire Protection System Permit
T ll,A RD Appointment Checklist
Permit Record#:
Contact Name: /3�- -J Lt i4 ifrrh Phone #: Z - -/_ 9 c---6c.)
Name:
/l/l/.tC''�'v1? /i= Appt. Date/Time: ` f :c'.-r47
Site Address: i 3,Zd,/ SAI C,k Tz. Bldg/Suite#: 4/0 i
Project Name: Srre- S�4,r r• New Tenant? 0 Yes 0 No
Project Description: fi 7&19 Se / ,t (c a.fpw- -s /'14,&&„41,/5_ /44 oQrt4 te)
t Iwu/fc, eG6/ 4 ftc, 46>/c/ ✓°GIi12S1�L°Ge-5r-w�/lci 0 -T�/s4CS
Existing Use: GY_ New Use: ...066`GG
MMD Required: 0 Yes cgs No Related Record#:
APPUCATION SITCOM INFORMATION
GENERAL INFORMATION
Class of Work: `�'- Occupancy Group: 4 Type of Construction:
Type of Use: Occupancy Load: ) g Oregon Specialty Code: aj) II...-
SPECIFICS
Number of Stories: Building Height: Mixed Use:
Number of Dw Units: Number of Bathrooms: Number of Bedrooms:
BUILDING SQ FT-SCHOQ L CET OTHER SQUARE FOOTAGES
Story Square Footage: !7 '69 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: )S 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: $ i Cjq 1 X00 I,
$ .. ;; DC Prov Rvw,COM TI—Ping
$ S'c Permit Fee—Add,Alt,Demo
DC Provision Review Fee for COM TI(effective 7/1/2018) $ _ ,ii _ . ' 12%State Surcharge
Project Valuation $ EU Plan Review,Structural
Up to$4,999 $0.00 $ . : a!FZ Plan Review,Fire Life Safety
$5,000-$74,999 $98.00 $ 1 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: $L 1 o 849 TOTAL FEES DUE
I:\Building\Forms\OTC_BUP_FPS_070118.docx
Front1 DSTS
Subject: Beth Lundgreen @ Mackenzie, 13221 SW 68th; Spec Space; 503-224-9560
Location: CR 3 Permit Center
Start: Wed 1/9/2019 10:00 AM
End: Wed 1/9/2019 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
Landlord work to include 1,700 square feet of improvements which include minor demolition, new
walls, ceiling tiles, doors, relites, casework, and finishes.
1
•
Julie Drinkwater
From: Julie Drinkwater
Sent: Monday,January 07, 2019 9:31 AM
To: Beth Lundgreen
Cc: Dina Radzwillowicz;#Building Permit Technicians
Subject: RE: 2080243.44 -Triangle III - Suite 401/Spec Plan
Good morning Beth
Per your request on a previous email, I have scheduled the OTC appointment for Wednesday,January the 9th, at
10:00a m.
The fee estimate is listed below. Please add the following fees based on the number of pages for one plan set and one
set of calculations:
Info Process/Archiving-Sm $0.50(up to 11x17)
Info Process/Archiving- Lg$2.00 (over 11x17)
neueeConiractar)$199.500 00 vi Fee T $3,41561
QOM Etei
DC Proince Review COM T1. 1 Each 1388.90
t 1 Each $1,709 95
eIELBILIML62 -Fee 1 lfc Sa1e4v 1 Maw Amo' $1 00
Plan Review Exh 51,11147
7 Each $20519
Thank you and please let us know if you have any questions.
Julie Drinkwater
Permit Technician
City of Tigard Building Department
13125 SW Hall Blvd
Tigard, OR 97223
503-718-2804
From: Beth Lundgreen [mailto:BLundgreen@mcknze.com]
Sent:Thursday,January 03, 2019 10:33 AM
To:Julie Drinkwater<JulieD@tigard-or.gov>
Cc: Dina Radzwillowicz<DRadzwillowicz@mcknze.com>;#Building Permit Technicians<TigardBuildingPermits@tigard-
or.gov>
Subject: RE: 2080243.44-Triangle Ill -Suite 401/Spec Plan
Hi Julie,
See the answers below. What are the permit fees?
BETH LUNDGREEN, NCIDQ
P 503.224.9560 W mcknze.com C vcard
1
From:Julie Drinkwater<JulieD(c@tigard-or.gov>
Sent:Tuesday, December 18, 2018 9:22 AM
To: Beth Lundgreen<BLundgreen@mcknze.com>
Cc: Dina Radzwillowicz<DRadzwillowicz@mcknze.com>;#Building Permit Technicians<TigardBuildingPermits@tigard-
o r.gov>
Subject: RE: 2080243.44-Triangle Ill-Suite 401/Spec Plan
Good morning Beth
Please provide the following information so that we can schedule the OTC appointment for you:
• Name: Beth Lundgreen
• Company Name: Mackenzie
• Company Phone: 503.224.9560
• Site Address: 13221 sw 68th Parkway, Tigard OR 97223
• Suite Number: 401
• Project Name: Tenant Improvement, Suite 401
• Scope Of Work: 1,787. Minor demolition, new wall, ceiling, doors, relites and finishes.
• Existing Use: Business
• New Use: Business
• Project Valuation: $199,500
Here is a list of submittal items needed for an OTC plan review appointment:
• Building permit application (see attached)
• (3) copies of construction plans/floor plans
• Contractor identified on the permit application
• Funds to pay for all permit fees at the appointment
Our next available OTC appointments are the following dates/times:
• Wednesday, December 26th at 10:00am
• Thursday, January 3rd at 10:00am
• Wednesday, January 9th at 10:00am
Thank you and please let us know what OTC appointment date works best for you.
Julie Drinkwater
Permit Technician
City of Tigard Building Department
13125 SW Hall Blvd
Tigard, OR 97223
503-718-2804
From: Beth Lundgreen [mailto:BLundgreen@mcknze.com]
Sent: Monday, December 17, 2018 4:43 PM
To:#Building Permit Technicians<TigardBuildingPermits@tigard-or.gov>
Cc: Dina Radzwillowicz<DRadzwillowicz@mcknze.com>
Subject:2080243.44-Triangle III -Suite 401/Spec Plan
2
Hello,
We'd like to schedule on OTC appointment this week, preferably on Wednesday or Thursday morning. The project is
Triangle III, Suite 401 at 13221 SW 68th Parkway. The scope of work is approximately 1,700 square feet of improvements
which include minor demolition, new walls, ceiling tiles, doors, relites, casework and finishes.
We don't yet have an valuation, but expecting to receive that information shortly.
BETH LUNDGREEN, NCIDQ
Interiors
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 Schedule."
3
Julie Drinkwater
From: Beth Lundgreen <BLundgreen@mcknze.com>
Sent: Thursday,January 03, 2019 10:28 AM
To: Julie Drinkwater
Cc: Dina Radzwillowicz;#Building Permit Technicians
Subject: RE:2080243.44 -Triangle III- Suite 401/Spec Plan eC
Hi Julie, 0((/(
We can do the uaarY pp9th a ointme t
( Y "
Thank you! ✓" V`
63
�V
j\r'
BETH LUNDGREEN, NCIDQ r/
P 503.224.9560 W mcknze.com C vcard
From:Julie Drinkwater<JulieD@tigard-or.gov>
Sent:Wednesday,January 02, 2019 4:21 PM
To: Beth Lundgreen<BLundgreen@mcknze.com>
Cc: Dina Radzwillowicz<DRadzwillowicz@mcknze.com>;#Building Permit Technicians<TigardBuildingPermits@tigard-
or.gov>
Subject: RE: 2080243.44-Triangle Ill -Suite 401/Spec Plan
Good afternoon Beth
I will cancel the OTC appointment that was scheduled for tomorrow,the 3rd of January at 10:00am. The next three
available appointments are as follows:
• Wednesday,January the 9th at 10:00am
• Thursday,January the 10th at 10:00am
• Tuesday,January the 15th at 10:00am.
I will be happy to reschedule for you as soon as you notify us with your preference.
Thank you and please let us know if you have any questions.
Julie Drinkwater
Permit Technician
City of Tigard I Building Department
13125 SW I1all Blvd
Tigard, OR 97223
503-718-2804
From: Beth Lundgreen [mailto:BLundgreen@mcknze.com]
Sent:Wednesday,January 02, 2019 4:02 PM
To:Julie Drinkwater<JulieD@tigard-or.gov>
Cc: Dina Radzwillowicz<DRadzwillowicz@mcknze.com>; #Building Permit Technicians<TigardBuildingPermits@tigard-
or.gov>
Subject: RE: 2080243.44-Triangle Ill -Suite 401/Spec Plan
1
City of Tigard
UPI ■ COMMUNITY DEVELOPMENT DEPARTMENT
TIGARD Building Permit Review — Commercial - No Land Use
Building Permit #: i�l((a))-(4 j " a017
Site Address: i3 L1 Sv o8 fo,- w07 Suite/Bldg#: LI o
— Project Name: pec S Ott ,
(Name of coimercial business occupying the space. If vacant,enter Spec Space.)
Planning Review
( p
- Proposal: LAAAt 1 1,,,‘,1( 11; ;a(, ori 11-04 .5 tre 41 ' i,t,-N -114,, L,AAalv „c,L& i'h;,ar- attrwji hi')
nt..../ LAii, (t;ii„ j ti(c) £(o.1, rrtl,k Cay:ws, , av,U (--.1',0,E,, 'II ;,\4tna,-
Existing Business Activity: 04 iv.
- Proposed Business Activity: 04 kt
Verify site address/suite# exists and active in permit system.
E 4River Terrace Neighborhood: ❑ Yes 7No
C2” Zoning: 7 V
'Permitted Use: ❑ Yes ❑ No L'7 Spec Space
- Ld'"Confirm no land use required.
- 15,A13usiness License:
Exists: ❑ Yes ❑ No,applicant notified to obtain business license
Notes:
Approved by Planning: / ,-0,4mCbr,L Date: l` I.`I I
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: ❑ Approved El Not Approved
Revision 3: ❑ Approved ❑ Not Approved
Building Permit Submittal
Original Submittal Date: 57
Site Plans: #
Building Plans:
Building Permit#: r "nter building permit#above.
Workflow Routing: "Planning ❑ epi �etdin tQr 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:
if
By Permit Technician: Alead.4.4 A',A,,�A/I�,, Date: —7-7-4—
r
I:\Building\Forms\BldgPermitRvw_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 Sent to Applicant
Revision Notice 2: Date Sent to Appli , t:
Revision Notice 3: Date Sent to ' :. cant:
❑ SDC Fees Entered: Wash • Trans Dev Tax: 0 Yes 0 N/A
Ti...d Trans SDC: 0 Yes ❑ N/A
arks SDC: ❑ Yes ❑ N/A
O OK to Issue Permit
Approved by Per t Coordinator: Date:
I:\Building\Fonns\BldgPennitRvw COM NoLandUse_070915.docx
City of Tigard
Tel: 503.718.2439
Location: Inspection Date:
13221 SW 68TH PKWY 401 , TIGARD, OR, 97223
Record Type: Record ID:
Commercial - Building BUP2019-00004
Inspection Type: Inspector:
299 Final inspection Jeff Grove
Result:
PASS - NoCofO
Comments:
Violation Summary:
Inspector Contractor