Permit CITY OF TIGARD BUILDING PERMIT
COMMUNITY DEVELOPMENT Permit#: BUP2019-00105
T f f. ARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 04/23/2019
Parcel: 1 S 135AB00900
Jurisdiction: Tigard
Site address: 10200 SW GREENBURG RD 700
Project: Road Scholar Subdivision: METZGER,TOWN OF Lot: 9
Project Description: TI for new tenant: Demolition, new walls,doors,relites, and 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:
FAX: 503-692-9008
Specifics: FEES
Description Date Amount
Type of Use: COM Permit Fee-Additions,Alterations, 04/23/2019 $917.70
Class of Work: ALT Type of Const: IB Demolition
Occupancy Grp: B Occupancy Load: 82 12%State Surcharge-Building 04/23/2019 $110.12
Dwelling Units: 0 Plan Review 04/23/2019 $596.51
Stories: 0 Height: 0 ft Plan Review-Fire Life Safety 04/23/2019 $367.08
Bedrooms: 0 Bathrooms: 0 Info Process/Archiving-Lg$2.00(over 04/23/2019 $12.00
Value: $75,000 11x17)
DC Provision Review,COM TI-Ping 04/23/2019 $243.00
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $2,246.41
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 obtai• . .. o the rules or direc lons to OUNC by calling 503.232./11987 or 1.800.332.2344.
•
Issued By: L/ Pt. i'ee is — •I
Cay 4176 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
Commercial pp /�FOUR OFFICE.USE()NIA;
City of Tigard R E C E I V R deed `Z /jist+►�i� ' r
11111 • 13125 SW Hall Blvd.,Tigard,OR 97223Plan Revic
IIIPhone: 503.718.2439 Fax: 503.598.1960 Date/B : �.
T c AID Inspection Line: 503.639.4175 APR 2 3 2019 Date Ready/By: ® 0 See Page 2 for
Internet: www.tigard-or.gov Notified/Method: d1a1•IDM Supplemental Information
CITY OF TIGAR 8 ;, ti
r
{lit W s0 RRE ii}D 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
AI8 3iY{E.CISIi8C1 '' workindicated on this application.4vTai
Valuation: $
❑1-and 2-family dwelling ®Commercial/industrial
Number of bedrooms:
ElAccessory building El Multi-family
❑Master builder ❑Other: Number of bathrooms:
JOB SITE,INFO►+RATION AN13:;LO 2ATI'4:::::i,:;::-;::Z;;',:::::':.:,.7.:::: ;;:.:::„ ::'''. 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.:700 Project name:Road Scholar 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
REQUIRED DATA.CiiML>F111fiFticiAL U = _ LIST
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
ii T OWORK workindicatedicated on this application.
Work to include demolition,new walls,doors,relites,cabinetry and finishes Valuation: $$75,000.00
Existing building area: 8,156 square feet
New building area: 8,156 square feet
'.'' _ >< PROPERTY OWNER "; i=1!,':'.'7.,':'.7','.',1!!'!!;,!!!!!"!! !!!!'.1.!!!!!P. Number of stories: 1
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° rPPLICANT... . 4 °s ❑ Col!�1'i'AtCT PERSON UILD RMI EE.E
1'E
i# 1N1� `�'
aseiefertofee. else :.i. ..
Business name:Mackenzie
Structural plan review fee(or deposit):
Contact name:Chloe Kirchhofer
FLS plan review fee(if applicable):
Address:1515 SE Water Ave Suite 100
City/State/ZIP:Portland,OR 97214 Total fees due upon application:
Phone:(503)224-9560 Fax::(503)228-1285 Amount received:
`P ? "-'11,...1.1.1,.'„.:...411,1,11p1
...E-mail:ckrchhofer@mcknze.com
CONTR;Afy'fUIi ,
_:. ,.,...... . - _ roof-top mounted Photovoltaic SolartPanel ve tSystem.
allation of
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 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: C 1.2 This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name:Chloe Kirchhofer Date:04/23/2019 * Fee methodology set by Tri-County Building Industry
Service Board.
I:ABuilding\Permits\BUP-COMPermitApp.doc 02/24/2011 440-4613T(I1/02/COM/WEB)
III • City of Tigard • BUILDING DIVISION
i Over-The-Counter (OTC) Building & Fire Protection System Permit
T I(,n i.D Appointment Checklist
Permit Record#: 9 . /7-ab 1QS--
Contact Name: al LUc_k. Phone#: (52) — i -ó d
Business Name: Appt. Date Time:
Site Address: 1,92-tit) St-.,1 Byte /4(jr t 60-.1 Bldg/Suite #: 7(y()
Project Name: t S eita6a r New Tenant? Yes 0 No
Project Description: 4,Yo/J 7S J.4J i ,vie....„) t.,J�,/l 5, A/Gt-J,„,/0,c-j', , //-1—eJJ „„/ eey',W...3'`,>.
Existing Use: New Use: .`g
MMD Required: 0 Yes Eimoo Related Record#:
APPLICATION SPECIFIC INFORMATION
GENERAL INFORMATION
Class of Work: A)11 Occupancy Group: _ Type of Construction: _ B
Type of Use: Occupancy Load: 8 Oregon Specialty Code: 0 ) 1-
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: \J .-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: $ t 75—) rJdv• 6, fat z.. 4- ? ,,44,44.&,-4,4,,,,,,,,;-,,---.
$ .L3 DCProvRvw,COM TI—Ping
$ q I/. 70 Permit Fee—Add,Alt,Demo
DC Provision mew Fee for COM TI(effective? 1 2018) I I l o, 1 12/o State Surcharge
.. 1
Project Valuation $ 6 , Plan Review,Structural
Up to$4,999 $0.00 $3 61.Q� Plan Review,Fire Life Safety
$5,000-$74,999 $98.00 $ )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: $2..01 l),.(, 1-10 TOTAL FEES DUE
I:\Building\Forms\OTC_BUP_FPS_07011&dacx
Branden Taggart
From: Chloe A. Kirchhofer <CKirchhofer@mcknze.com>
Sent: Tuesday, April 9, 2019 2:22 PM
To: Branden Taggart;#Building Permit Technicians
Cc: Kelly Battaglia; Lindsey Carpenter
Subject: RE: 5 Lincoln - #700/ Road Scholar TI
Hello,
Can we please do a switch and schedule the Marcus and Millichap OTC for April 18th and do Road Scholar on April 23rd
instead? Marcus and Millichap are eager to get the permit.
Thank you,
Chloe Kirchhofer
Interiors IJob Captain
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: Branden Taggart<brandent@tigard-or.gov>
Sent:Tuesday, April 09, 2019 2:18 PM
To: Chloe A. Kirchhofer<CKirchhofer@mcknze.com>;#Building Permit Technicians<TigardBuildingPermits@tigard-
or.gov>
Cc: Kelly Battaglia <KBattaglia@mcknze.com>; Lindsey Carpenter<LCarpenter@mcknze.com>
Subject: RE: 5 Lincoln-#700/Road Scholar TI
Chloe,
The OTC appointment for Thursday,April 18 is available for Road Scholar. The fees due without the archiving fees are as
follows:
1
i
Fee Cat F.,'r,w,m 11111M140.Caltxt475,K400 v Fee Ti .;1 62234.41
Wog 15 f5
r A " X19 l °`,r ,E m ,Com Ti•N 1 Each S243.(0 NEW 5243 9)
i i 03 Penr0 Fee• .1 'r ,.Alterahons,e 1 1 Each 5917 70 NEW t7 70
ofw`s r 00 man Rim.Fire t I Each 5357 65 NEW 7.OS
,.. 0012010 n Rmw 1 DO 550651 NEW 1
1..� 2019 i -,.. 1 Each 511012 NEW 5110,12
Please confirm that this date still works for you. Once I hear back I will schedule the appointment.
Thank you,
Brandaen Taggart
IIq City of Tigard
a , Senior Permit Technician
Community Development
TIGARD
13125 SW Hall Blvd
Tigard,OR 97223
(503)718-2449
brandent@tigard-or.gov
From: Chloe A. Kirchhofer<CKirchhofer@mcknze.com>
Sent: Monday, April 8, 2019 2:22 PM
To:#Building Permit Technicians<TigardBuildingPermits@tigard-or.gov>
Cc: Kelly Battaglia <KBattaglia@mcknze.com>; Lindsey Carpenter<LCarpenter@mcknze.com>
Subject: 5 Lincoln -#700/Road Scholar TI
Hello,
Can you please let us know what you have available for OTC appointments starting 4/18? We have a project at 5
Lincoln, 10200 SW Greenburg Rd., Suite 700. The tenant is Road Scholar and they are new to Lincoln Center. The
existing use of space is office and the new use of space will be office. The scope of work includes demolition, new walls,
new doors and relites and new cabinetry. The project valuation is$75,000, please provide use with the permit fee
amount.
Thank you,
Chloe Kirchhofer
Interiors'Job Captain
2
Architecture • Interiors • Engineering • Planning
P 503.224.9560 W mcknze.ovm 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."
City of Tigard
ii
COMMUNITY DEVELOPMENT DEPARTMENT
II
T 1 G A R D Building Permit Review — Commercial - No Land Use
Building Permit #: gwczm-c6/05
Site Address: a 0200 S w EW €41 V L 19 + - Suite/Bldg#: -7 'CO
Project Name: 12.o acc ,E C of c r
(Name of commercial business occupying the space. If vacant,enter Spec Space.)
Planning Review
Proposal: -& U�' r—� , C /AN/1: r €,) -AUCLL i . C(GC t s, tom'-l r te
Existing Business Activity: "0(-'121 Li
Proposed Business Activity: v -ce,
r Verify site address/suite# exists and active in permit system.
9 River Terrace Neighborhood: ❑ Yes W No
(��"• Zoning. M U C- - k
7Permitted Use: L ' Yes ❑ No ❑ Spec Space
' Confirm no land use required.
Vi Business License:
Exists: El Yes Of No,applicant notified to obtain business license
Notes:
Approved by Planning: 3-1\",--- t''1' Date: '-17Z,-3/ i t,
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: 00.
Site Plans: #
Building Plans:
Building Permit#: raltiter building permit#above. �
L'
Workflow Routing: L�,_,YPlantv [-P'
ng e`rm`it Coordinator [1---B"-a-&-g--
�f- tff-&-g
Workflow Sign-off: 'Sign-off for Planning(include notes from planning review)
Route Application Documents: ding: original permit application, site plans,building plans,engineer and
beam calculations and trust details,if applicable,etc.
Notes: % -
By Permit Technician: G ,/ Date: V,23/-7,00"�
I:\Building\Forms\BldgPermitRvwCOM NoLandUse_060I16.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 Applicant:
Revision Notice 3: Date Sent to Applicant:
❑ SDC Fees Entered: Wash Co Trans Dev Tax: ❑ Yes ❑ N/A
Tigard Trans SDC: ❑ Yes ❑ N/A
Parks SDC: ❑ Yes ❑ N/A
❑ OK to Issue Permit
Approved by Permit Coordinator: Date:
I:\Building\Forms\BldgPermitRvw COM_NoLandUse 070915.docx
City of Tigard
Tel: 503.718.2439
Location: Inspection Date:
10200 SW GREENBURG RD 700, TIGARD,
OR, 97223
Record Type: Record ID:
Commercial - Building BUP2019-00105
Inspection Type: Inspector:
299 Final inspection Jeff Grove
Result:
PASS - CofO
Comments:
Violation Summary:
Inspector Contractor