Permit (166) CITY OF TIGARD BUILDING PERMIT
111 COMMUNITY DEVELOPMENT Permit#: BUP2019-00077
T-I G,\Rn 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 04/02/2019
Parcel: 1S135AB01003
Jurisdiction: Tigard
Site address: 10300 SW GREENBURG RD
Project: 4th floor toilet room Subdivision: METZGER,TOWN OF Lot: 9
Project Description: Demolition and new walls and doors.
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: 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 04/02/2019 $98.00
Occupancy Grp: B Occupancy Load: 4 Permit Fee-Additions,Alterations, 04/02/2019 $542.11
Demolition
Dwelling Units: 0 12%State Surcharge-Building 04/02/2019 $65.05
Stories: 0 Height: 0 ft Plan Review 04/02/2019 $352.37
Bedrooms: 0 Bathrooms: 0 Plan Review-Fire Life Safety 04/02/2019 $216.84
Value: $33,000 Info Process/Archiving-Lg$2.00(over 04/02/2019 $8.00
11x17)
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $1,282.37
Required: Required Items and Reports(Conditions)
Fire Sprinkler: No 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 503.232.1987 or 1.800.332.2344.
Issued By: ,/i/LL/ rt ��r -• --e Signature: ( ry wrap �O
L. ►�!
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 RECEIVED
Commercial FOR OFFICE USE ONLY
APR - 2 2019 Received
1 City of Tigard _ Pe /
Date/By: .6?�5 aX/
13125 SW Hall Blvd.,Tigard,OR 97223 CITY OF TIGARD Plan Revie ��
111 Phone: 503.718.2439 Fax: 503.598.196BUILDING DIVISION Date/By: '�' 9 Other Permit:
TIGARD Inspection Line: 503.639.4175 Date Ready/By: Juris: El See Page 2 for
Internet: www.tigard-or.gov Notified/Method: Supplemental Information
TYPE-"OF WORK SQUIRED DATA1€-AND 2-FAMILY giy0f LING
0 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
r
CAT'E�RY bF Gt31+lSTRt1CTIU1�t
work indicated on this application.
❑ 1-and 2-family dwelling ®Commercial/industrial Valuation: $
❑Accessory building 0 Multi-family Number of bedrooms:
❑Master builder 0 Other: Number of bathrooms:
JOB SITS f1�1)�`#�f) T[fi1V;?tlNP.LqCATIQN
Total number of floors:
Job site address:1 Lincoln-10300 SW Greenburg Road New dwelling area: square feet
City/State/ZIP:Tigard,OR 97223 Garage/carport area: square feet
Suite/bldg./apt.no.:n/a Project name:4ch Floor Toilet Room Upg 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
REQU .....,D.DATA; COM RCIAL;USE CH 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 and doors Valuation: $$33,000.00
Existing building area: 381 square feet
New building area: 381 square feet
.
ea PROPERTY;OWNER I 'T AN( '• Number of stories: 5
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
'07'4'''.. .".'P ❑CONTACT PERSON..... 'BU LDI NG Pl~ :T EEE *
Business name:Mackenzie I ' 'ao fie esda },
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
:
, PINOTOi.V LTAICSO AR P L SYSE1 FEESE-mail:kbattaglia@mcknze.comCO '1'RACTR ; Commercial and residential prescriptive installation of
IN ( } °.
*
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 Authorized signature: 0 '1 TTotal fee due upon application: $201.60
�40� 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:04/01/2018 * 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
1 I c A h n Appointment Checklist
Permit Record#: AL(Y `j- 0607
Contact Name: ,e\�// 7 / wig �
* Phone #: d.ci '' d
Business Name: /yL,�� `CM2-/.� Appt. Date/Time: 'j/2//1 10:0aliti
Site Address: 10300 SGS) - Oce /5, Bldg/Suite #:
Project Name: 40t ,e-loor 7e2i(r f-y1 p New Tenant? ❑ Yes 12-"No
Project Description: „Voir-ft u/ G„ bt z!« /,uc.#/is 4 ifc It t 4k(Sh t C•
Existing Use: New Use:
MMD Required: 0 Yes F""No Related Record#:
APPLICA' 'ION.SPE ,IFIL INFORMATION
GENERAL INFORMATION
Class of Work: A-ri Occupancy Group: Type of Construction:
Type of Use: 1.1, Occupancy Load: Oregon Specialty Code: DO )
9_,)„..
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: ►10 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: $ ../0"e..)-(3 1 �rESSt,
$ 8 DC Prov Rvw,COM TI Ping
$3'�y-�, 1 I Permit Fee—Add,Alt,Demo
DC Provision Review Fee for COM TI(effective 7/1/2018) $ ,S. , 12%State Surcharge
Project Valuation $3 _ Plan Review,Structural
Up to$4,999 $0.00 $ �� Plan Review,Fire Life Safety
$5,000-$74,999 $98.00 $ g-- 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: $)a ga . 37 TOTAL FEES DUE
I:\Building\Forms\OTC_BUP_FPS_070118.docx
R `
Julie Drinkwater
From: Julie Drinkwater
Sent: Monday, March 25, 2019 9:13 AM
To: Kelly Battaglia
Cc: Lindsey Carpenter; Chloe A. Kirchhofer;#Building Permit Technicians
Subject: RE: OTC Permit Request
Hello Kelly
I have scheduled the OTC appointment for April 2, at 10:00.
Thank you
Julie Drinkwater
Permit Technician
City of Tigard I Building Department
13125 SW Hall Blvd
Tigard,OR 97223
503-718-2804
From: Kelly Battaglia [mailto:KBattaglia@mcknze.com]
Sent: Monday, March 25, 2019 8:52 AM
To:Julie Drinkwater<JulieD@tigard-or.gov>
Cc: Lindsey Carpenter<LCarpenter@mcknze.com>; Chloe A. Kirchhofer<CKirchhofer@mcknze.com>;#Building Permit
Technicians<TigardBuildingPermits@tigard-or.gov>
Subject: RE:OTC Permit Request
Hi Julie,
We?II take the April 2"d slot.
Thanks!
Kelly Battaglia
Interiors I 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.
1
•
From:Julie Drinkwater<JulieD@tigard-or.gov>
Sent: Monday, March 25,2019 8:49 AM
To: Kelly Battaglia <KBattaglia@mcknze.com>
Cc: Lindsey Carpenter<LCarpenter@mcknze.com>; Chloe A. Kirchhofer<CKirchhofer@mcknze.com>;#Building Permit
Technicians<TigardBuildingPermits@tigard-or.gov>
Subject: RE:OTC Permit Request
Good morning Kelly
Thank you for your OTC request. Below is an estimate of your permit fees based on the project valuation of
$33,000. Please add the following fees based on the number of pages for one plan set:
• Info Process/Archiving-Small $0.50 (up to 11x17)
• Info Process/Archiving- Large $2.00 (over 11x17)
Jalue(Contractor)S33,ODO.00 vJ Fee T $1,274.37
Fee Item tettUna
DC Review.COM Tl-Phi 1 h $98.03
Permit Fee-Mcklioris.Merabons,Donation Each 5542.11
Plan Review-Foe Lf`e Safety Each 5216 e4
Plan Review 1 Each $352.37
12%Statp Surcharge-Buitdinq 1 Each 165.05
The next available OTC appointments are listed below.
• Tuesday,April 2, at 10:00am
• Wednesday, April 3, at 10:00am
• Thursday,April 4, at 10:00am
Here is a list of submittal items needed for an OTC plan review appointment:
• Building permit application completed (see attached) including address
• (3) copies of construction plans/floor plans
• Contractor identified on the permit application
• Funds to pay for all permit fees at the appointment.
Thank you and please let us know what appointment date works best for you.
2
•
Ju1ie•Drinkwater
Permit Technician
City of Tigard Building Department
13125 SW Hall Blvd
Tigard, OR 97223
503-718-2804
From: Kelly Battaglia [mailto:KBattaglia@mcknze.com]
Sent: Friday, March 22, 2019 1:12 PM
To:#Building Permit Technicians<TigardBuildingPermits@tigard-or.gov>
Cc: Lindsey Carpenter<LCarpenter@mcknze.com>; Chloe A. Kirchhofer<CKirchhofer@mcknze.com>
Subject: OTC Permit Request
Hello,
We would like to request an OTC appointment at the earliest convenience for the followingproject:4th Floor Toilet
q pp
Rooms at 1 Lincoln, 10300 SW Greenburg Road.The current use of the space is restrooms and the continued use of the
space will be restrooms.The scope of work only includes demolition, new walls and new finishes.Valuation is$33,000.
Please note:there is no suite number associated with this as they are the 4th floor restrooms- I know in the past this has
been an issue with the permit technicians.
Could you also please provide the permit fee amount?
Thank you!
Kelly Battaglia
Interiors 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.
3
Front1 DSTS
Subject: Kelly Battaglia, Mackenzie, 503-224-9560, 1300 SW Greenburg
Location: CR 3 Permit Center
Start: Tue 4/2/2019 10:00 AM
End: Tue 4/2/2019 11:00 AM
Recurrence: (none)
Organizer: -Building_OTC
SCOPE OF WORK: Interior demo, new walls, and new finished.
TENANT NAME: 4th floor toilet room
EXISTING USE: Office
NEW USE: Office
1
City of Tigard
N COMMUNITY DEVELOPMENT DEPARTMENT
ilhil 1
T1caRD Building Permit Review — Commercial - No Land Use
Building Permit #: garita --O&(2'2 7
Site Address: 1,000 \sJ rctd)„. P. Suite/Bldg#: --
4 Project Name: 1 L 't
(Name of commercial business occupying the space. If vacant,enter Spec Space.)
Planning Ren
view
Proposal: I1n1r ati,v nw i,,,ra1Is) L1ycccrki:cktd ;�,jt4 t 6
4' }
- Existing Business Activity: 04;tt
- Proposed Business Activity: ACt
”
El'(erify site address/suite#exists and active in permit sysstea.
ver Terrace Neighborhood: ❑ Yes LAS No
- L oning: IjkUe-I /
rmitted Use: C�" Yes ❑ No ❑ Spec Space
onfirm no land use required.
i Business License:
Exists: ❑ Yes [ No,applicant notified to obtain business license
Notes:
Approved by Planning: ,.&- \MJL C Date: "1-2--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: _ ,
Site Plans: #
Building Plans: #
Building Permit#: •' nter building permit#above.
Workflow Routing: I Planning 't eet narsr yr-Building
Workflow Sign-off: ]J Sign-offor Pl nning(include notes from planning review)
Route Application Documents: /7 Building: original permit application, site plans,building plans,engineer and
beam calculations and trust details,if applicable,etc.
Notes:
ByPermit Technician: �,♦ - / Date: yfi._/l?
‘,/
I:\Building\Forms\BldgPermitRvwCOM 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 splicant:
Revision Notice 2: Date Sent • Applicant:
Revision Notice 3: Date S;'t to Applicant:
E SDC Fees Entered: sh Co Trans Dev Tax: ❑ Yes ❑ N/A
Tigard Trans SDC: ❑ Yes ❑ N/A
Parks SDC: ❑ Yes ❑ N/A
❑ OK to Issue Per- it
Approved by 'ermit Coordinator: Date:
I:\Building\Forms\BldgPermitRvwCOM NoLandUse_070915.docx