Permit CITY OF TIGARDIN BUILDING PERMIT
' Permit#: BU P2019-00095
' ''- COMMUNITY DEVELOPMENT � � �=r= � ��, ��-
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 MEI Date Issued: 04/17/2019
I Parcel: 1 S 126 B C01506
Jurisdiction: Tigard
Site address: 9020 SW WASHINGTON SQUARE RD 555
Project: V-Tech Subdivision: None Lot: None
Project Description: Work to include demolition, new walls,doors,relites,and finishes. 4/23/2019: REPRINT permit to correct suite
address from 550 to 555.
Contractor: PACIFIC CREST STRUCTURES INC Owner: TOWMAN ONE EMBASSY CENTRE LLC
17750 SW UPPER BOONES FERRY RD SUITE BY TOWMAN LLC
190 25425 BASCOM AVE STE 230
DURHAM, OR 97224 CAMPBELL, CA 95008
PHONE: 503-968-8949 PHONE: 503-595-9685
FAX: 503-598-6658
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: IIA DC Provision Review,COM TI-Ping 04/17/2019 $98.00
Occupancy Grp: B Occupancy Load: 48 Permit Fee-Additions,Alterations, 04/17/2019 $752.04
Demolition
Dwelling Units: 0 12%State Surcharge-Building 04/17/2019 $90.24
Stories: 0 Height: 0 ft Plan Review 04/17/2019 $488.83
Bedrooms: 0 Bathrooms: 0 Plan Review-Fire Life Safety 04/17/2019 $300.82
Value: $52,200 Info Process/Archiving-Lg$2.00(over 04/17/2019 $8.00
11x17)
Misc Administration Fee 05/14/2019 $45.00
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $1,782.93
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 calling 503.232.1987 or 1.800.332.2344.
r 7
Issued By: . � p� 'ermittee Signature:
Call '13.639.4175 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.
II!'C m� ` BUILDING PERMIT
CITY OF TIGARD
s COMMUNITY DEVELOPMENTffisPermit Permit#: BUP2019-00095
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 04/17/2019
T[t. .r I.j. 9 Parcel: 1 S 126BC01506
Jurisdiction: Tigard
Site address: 9020 SW WASHINGTON SQUARE RD 555 41
Project: V-Tech Subdivision: None Lot: None
Project Description: Work to include demolition,new walls,doors,relites,and finishes. 4/23/2019: REPRINT permit to correct suite
Address from 550 to 555.
Contractor: PACIFIC CREST STRUCTURES INC Owner: TOWMAN ONE EMBASSY CENTRE LLC
17750 SW UPPER BOONES FERRY RD SUITE BY TOWMAN LLC
190 25425 BASCOM AVE STE 230
DURHAM,OR 97224 CAMPBELL, CA 95008
PHONE: 503-968-8949 PHONE: 503-595-9685
FAX: 503-598-6658
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: HA DC Provision Review,COM TI-Ping 04/17/2019 $98.00
Occupancy Grp: B Occupancy Load: 48 Permit Fee-Additions,Alterations, 04/17/2019 $752.04
Demolition
Dwelling Units: 0 12%State Surcharge-Building 04/17/2019 $90.24
Stories: 0 Height: 0 ft Plan Review 04/17/2019 $488.83
Bedrooms: 0 Bathrooms: 0 Plan Review-Fire Life Safety 04/17/2019 $300.82
Value: $52,200 Info Process/Archiving-Lg$2.00(over 04/17/2019 $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 $1,737.93
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 calling 503.232.1987 or 1.800.332.2344.
Issued By: 4n51/1-zer-j-e____ Permittee Signature: NL e 77
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.
CITY OF TIGARD BUILDING PERMIT
' 'N ' ' COMMUNITY DEVELOPMENT Permit#: BUP2019-00095
Tit_ARID 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 04/17/2019
Parcel: 1S126BC01506
Jurisdiction: Tigard
Site address: 9020 SW WASHINGTON SQUARE RD 550
Project: V-Tech Subdivision: None Lot: None
Project Description: Work to include demolition,new walls,doors,relites,and finishes.
Contractor: PACIFIC CREST STRUCTURES INC Owner: TOWMAN ONE EMBASSY CENTRE LLC
17750 SW UPPER BOONES FERRY RD SUITE BY TOWMAN LLC
190 25425 BASCOM AVE STE 230
DURHAM, OR 97224 CAMPBELL, CA 95008
PHONE: 503-968-8949 PHONE: 503-595-9685
FAX: 503-598-6658
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: IIA DC Provision Review,COM TI-Ping 04/17/2019 $98.00
Occupancy Grp: B Occupancy Load: 48 Permit Fee-Additions,Alterations, 04/17/2019 $752.04
Demolition
Dwelling Units: 0 12%State Surcharge-Building 04/17/2019 $90.24
Stories: 0 Height: 0 ft Plan Review 04/17/2019 $488.83
Bedrooms: 0 Bathrooms: 0 Plan Review-Fire Life Safety 04/17/2019 $300.82
Value: $52,200 Info Process/Archiving-Lg$2.00(over 04/17/2019 $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 $1,737.93
Required: Required Items and Reports(Conditions)
Fire Sprinkler: Yes Parapet:
Fire Alarm: Protected Corridors:
Smoke Detectors: Manual Pull Stations:
Accessible Parking: 0
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will
be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180
days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952-001-0010 through OAR 952-001-0090. You may o ain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: '/!�� Permittee Signature: 945 0(
/
Call 503.639.4175 by 7:004m.for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Building Permit Application
Commercial RECEIVE'I FOR OFFICE USE ONLY
Cityg Received
11111 2of Tl and APR 1 7 2019 Date/By: if /7 /7 , j `��Cr2 -{. )9'S
13125 SW Hall Blvd.,Tigard,OR 97223 Plan Revie`� �p
Phone: 503.718.2439 Fax: 503.598.1960 G/'�' q�^,� Date/By: 1 - i 7..' ) y Other Permit:
TI G A R D Inspection Line: 503.639.4175 CITY Or fIt�l`�fYD to Ready/By: Juris: ® See Page 2 for
Internet: www.tigard-or.gov 3U1LDING DIVISIQAtified/Method: Supplemental Information
E OF WOR]£ RE DIRE DATAi 1.AND 2$AMIY.Y DWE 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
CATEGO workindicated on this application.
_:.. RY �? COl!ISTRI7CTIUN
a p icat
El1-and 2-family dwelling ®Commercial/industrial Valuation: $
❑Accessory building 0 Multi-family Number of bedrooms:
0 Master builder 0 Other: Number of bathrooms:
4.011. ITE IdFORM;ATIEOhI LtfCATION..
Total number of floors:
Job site address:One Embassy Centre 9020 SW Washington Sq.Rd. New dwelling area: square feet
City/State/ZIP:Tigard,OR 97223 Garage/carport area: square feet
Suite/bldg./apt.no.:,555 c-s--0 Project name:V-Tech Covered porch area: square feet
Cross street/directions to job site:Project located East of SW Scholls Deck area: square feet
Ferry Road and South of SW Hall Blvd Other structure area: square feet
DTA COM A, - , C E+C IS '..':
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
13E I Q1 W0Rl work indicated on this application.
Work to include demolition,new walls,doors,relites and finishes Valuation: $$52,200.00
Existing building area: 4815 square feet
New building area: 4815 square feet
®e PROPER' OWNER D ')l' Number of stories: 5
Name:Wyse Real Estate Type of construction: II-A
Address:810 SE Belmont St.,Suite 100 Occupancy groups:
City/State/ZIP:Portland,OR 97214 Existing: B
Phone:(503)595-9685 Fax:(503)294-0400 New: B
i4 'PLIC:i CONTACT XON #ittS
Business 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
PHOTOVOLTAIC SOS PANEL SYSTEM FI ES
A 'f ; i
Commercial and residential prescriptive
res.cr ptiv..e installation o
f
?lTRO ;: s roof-top
mounted Photovoltaic Solar Panel System.
Business name:Pacific Crest Structures,Inc. Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
Address: 17750 SW Upper Boones Ferry Rd.,St.190 Solar Installation Specialty Code checklist.
City/State/ZIP:Durham,OR 97224 Permit fee(includes plan review $180.00
and administrative fees):
Phone:(503)958-8949 Fax:( ) State surcharge(12%of permit fee): $21.60
CCB lie.:66915
Total fee due upon application: $201.60
Authorized signature: ' ( la This permit application expires if a permit is not obtained
a �w� within 180 days after it has been accepted as complete.
Print name:Kelly Battaglia '' Date:04/16/2019 * Fee methodology set by Tri-County Building Industry
Service Board.
I:\Building\Permits\BUP-COM PermitApp.doc 02/24/2011 440-46131(11/02/COM/WEB)
City of Tigard • BUILDING DIVISION
■ Over-The-Counter (OTC) Building & Fire Protection System Permit
A II n Appointment Checklist
Permit Record#: U f`oz
Contact Name: K,- i� /:/ Phone#: S V3 .2...2.1/
Business Name: A G-Ksz‘i Z Appt. Date/Time: 4/(0](/tet ( :ppc,,t.c
Site Address: 7/2,,L0 SLe) /.C/�.s4(;,g yjf,, S m rc Bldg/Suite #:
Project Name: V —? c-ki New Tenant? ,. Yes 0 No
Project Description: Dcmh,..,/ ' AJ .r-w ce.e.e/( fPc/ r 1/,l*,
crpta CS
Existing Use: New Use:
MMD Required: 0 Yes No Related Record#:
APP .ICA' ION SPECIFIC;INFORMATION
GENERAL INFORMATION
Class of Work: Occupancy Group: Type of Construction: 1 )– A
Type of Use: /4-1" Occupancy Load: (.i 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: ,}Z� Fire Alarms: Smoke Detectors:
Sprinkler Type: JJ 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: $
$ --- DC Prov Rvw,COM TI–Ping
$ 7 _ ,0 t Permit Fee–Add,Alt,Demo
DC Provision Review Fee for COM TI(effective 7/1/2018) _ 12%State Surcharge
Project Valuation $4 R, g. Plan Review,Structural
Up to$4,999 $0.00 $LUQ .$a. Plan Review,Fire Life Safety
$5,000-$74,999 $98.00 $ --- 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: OTAL FEES DUE
t 17 . . 73
Frontl DSTS
Subject: Kelly Battaglia, Mckenzie, 503-224-9560, 9020 SW Washington Square
Location: CR 3 Permit Center
Start: Wed 4/17/2019 10:00 AM
End: Wed 4/17/2019 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
SCOPE OF WORK: Interior demo, a new walls, a new door,a new relite, and new finishes.
TENANT NAME: V-Tech
EXISTING USE: Office
NEW USE: Office
1
•
Julie Dririkwater
From: Julie Drinkwater
Sent: Monday, April 08, 2019 8:53 AM
To: 'Kelly Battaglia';#Building Permit Technicians
Cc: Morgan Toth; Christine Mack
Subject: RE: OTC Permit Request
Hello Kelly
Excellent! We will see you on Wednesday, April 17, at 10:00am.
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: Kelly Battaglia [mailto:KBattaglia@mcknze.com]
Sent: Monday,April 08, 2019 8:12 AM
To:Julie Drinkwater<JulieD@tigard-or.gov>;#Building Permit Technicians<TigardBuildingPermits@tigard-or.gov>
Cc: Morgan Toth<MToth@mcknze.com>; Christine Mack<CMack@mcknze.com>
Subject: RE: OTC Permit Request
Hi Julie,
Yes,V-Tech is a new tenant.
We will take the April 17th appointment,thank you!
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,April 08, 2019 8:05 AM
To: Kelly Battaglia <KBattaglia@mcknze.com>;#Building Permit Technicians<TigardBuildingPermits@tigard-or.gov>
Cc: Morgan Toth <MToth@mcknze.com>; Christine Mack<CMack@mcknze.com>
Subject: RE: OTC Permit Request
Good morning Kelly
Thank you for your OTC appointment request. Is V-Tech a new tenant?
Below please find the fee estimate based on the valuation of$52,200.
Vabe(Contraclor)552, 00 v Fee Total 51,729,93
Fee item 1.. � flirt
IC Provision Review.COM Ti-F 1 Each DUO
" Fee "- Alterations.Oernolittn 1 Each 5752:04
Plan Review-Fie Life Stets 1 Each $31:43.82
Plan Review 1 Each $488.83
12%State Surcharge-Building 1 Each $90.24
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)
Our next available OTC appointments are the following dates/times:
• Wednesday, April 17, at 10:00am
• Thursday, April 18, at 10:00am
• Tuesday, April 23, at 10:00am
Attached please find the commercial building permit application.
Thank you and please let us know what OTC appointment you would prefer.
Julie Drinkwater
Permit Technician
City of Tigard Building Department
13125 SW Hall Blvd
Tigard, OR 97223
2
503-718-2804
•
From: Kelly Battaglia [mailto:KBattaglia@mcknze.com]
Sent: Friday,April 05, 2019 12:15 PM
To:#Building Permit Technicians<TigardBuildingPermits@tigard-or.gov>
Cc: Morgan Toth<MToth@mcknze.com>; Christine Mack<CMack@mcknze.com>
Subject:OTC Permit Request
Hello,
We would like to request an OTC appointment for the following project:V-Tech for Suite 555 at One Embassy Center,
9020 SW Washington Square Rd.The current use of the space is vacant office and the new use of the space will be
office.The scope of work includes demolition, a new wall, a new door and relite, and new finishes.Valuation is$52,200.
Could you please provide the permit fee amount?
Thank you!
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.
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
City of Tigard
INI .
COMMUNITY DEVELOPMENT DEPARTMENT
T 1 c A R n Building Permit Review — Commercial - No Land Use
Building Permit #: /5R/30,20( - v 9 s---
Site Address: `j(jc,O S / Lkkn 5.,,c,a V) Suite/Bldg#: S
Project Name: c (7;.(t
(Name of commercial business occupying the space. If vacant,enter Spec Space.)
Planning Review
Proposal: 17_ '
1,,k;11,-- t � t,
. ptL., ,l.11 i 0.4.i. c rr) f r(A a/4; ) Ci\aLd
Existing Business Activity: *LE,
Proposed Business Activity: Ot�i
lyerify site address/suite#exists and active in permit syst .
ver Terrace Ne' hborhood: El Yes o
ning: rU
I rmitted Use: /Yes El No ❑ Spec Space
tQ' Confirm no land use required.
1/Business License: ,_,/
Exists:(+ CI Yes (L+d- r No,applicant notified to obtain business license
�l
Notes: S) clA/0 ,114i f v":i4i4 l
t 14
Approved by Planning: la l Date: 4-11-N
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: V7/7//,
Site Plans: #
Building Plans: #
Building Permit#: /. Enter building permit#above.
Workflow Routing: ►i `lanning a ordinator I,4:uilding
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: - Al / Date: 4/47/�,
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 A. ecant:
Revision Notice 2: Date Sent t.;-pplicant:
Revision Notice 3: Date Se. 'to Applicant:
❑ SDC Fees Entered: W. Co Trans Dev Tax: ❑ Yes ❑ N/A
igard Trans SDC: ❑ Yes ❑ N/A
Parks SDC: ❑ Yes ❑ N/A
❑ OK to Issue Pe it
Approved . ermit Coordinator: Date:
I:\Building\Forms\BldgPermitRvwCOM NoLandUse 070915.docx
City of Tigard
Tel: 503.718.2439
Location: Inspection Date:
9020 SW WASHINGTON SQUARE RD 555, June 21 , 2019 at 9:34:42 AM
TIGARD, OR, 97223
Record Type: Record ID:
Commercial - Building BUP2019-00095
Inspection Type: Inspector:
299 Final inspection Chip Barnett
Result:
PASS - CofO
Comments:
Violation Summary:
Inspector Contractor