Permit (30) irL CITY OF TIGARD BUILDING PERMIT
COMMUNITY DEVELOPMENT Permit#: BUP2019-00189
Date Issued: 07/31/2019
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 7/31/2 604500
Jurisdiction: Tigard
Site address: 10250 SW GREENBURG RD 110
Project: MiaDonna Subdivision: 1991-055 PARTITION PLAT Lot: 1
Project Description: TI to include demo and addition of new walls,doors,relites,cabinetry,and finishes for new tenant.
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
FEES
Specifics:
Description Date Amount
Type of Use: COM DC Provision Review,COM TI-Ping 07/31/2019 $102.00
Class of Work: ALT Type of Const: IB
Permit Fee-Additions,Alterations, 07/31/2019 $767.10
Occupancy Grp: B Occupancy Load: 27
Demolition
Dwelling Units: 0 12%State Surcharge-Building 07/31/2019 $92.05
Stories: 0 Height: 0 ft Plan Review 07/31/2019 $498.62
Bedrooms: 0 Bathrooms: 0 Plan Review-Fire Life Safety 07/31/2019 $306.84
Value: $55,000 Info Process/Archiving-Lg$2.00(over 07/31/2019 $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 $1,776.61
Required: Required Items and Reports(Conditions)
Fire Sprinkler: Yes Parapet:
- --Fire-4lalrrrt - _
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:
Permittee Signature:ti�� ,Y , , ��
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
Commercial RECEIVED FOR OFFICE USE ONLY i
DRateBy:ed. 'I ll�1C\ 6'�1 1»c 5 i- it �
City of Tigard Date/By: ` PermitNo.:'
13125 SW Hall Blvd.,Tigard,OR 97223 J U L 3 1 2019 Plan Review �7
Phone: 503.718.2439 Fax: 503.598.1960 Date/By:
1— Other Permit:
TIGARD Inspection Line: 503.639.4175 CITY OF TIGARD Date Ready/By: Jure ® See Page 2 for
Internet: www.tigard-or.gov BUILDING DIVISION Notified/Method: Supplemental Information
_<, _.,_M__ .__:� ._... w a ,,.,,...-.M.,.,, :_ ,..._a_. . . ......, ,.,®.:� _,.~ItIU�lb�4'Tr�I�=,419113- Ili
1:1 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 CONSTRUCTION work indicated on this application.
Valuation: $
❑ 1-and 2-family dwelling ®Commercial/industrial
❑Accessory building 0 Multi-family Number of bedrooms:
❑Master builder 0 Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address:4 Lincoln-10250 SW Greenburg Road New dwelling area: square feet
City/State/ZIP:Portland,OR 97223 Garage/carport area: square feet
Suite/bldg./apt.no.:110 Project name:MiaDonna Office 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;COMM.EROIAL Tl .C KLIST
Subdivision: Lot no.: Permit fees*are based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
Tax map/parcel no.: equipment,materials,labor,overhead,and the profit for the
i ± DESCRIPTION OEWORK work indicated on this application.
Work to include demolition,new walls,doors,relites,cabinetry and finishes Valuation: $$55,000.00
Existing building area: 2799 square feet
New building area: 2799 square feet
®4 PROPERTY";OWNF .. 0TENAN ff], Number of stories: 3
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
►4 APPLICANT ❑;CONTA:: 'E ON . BUILDINGP ITFEES* "
lPIeare rsfer"ati. e s 4 eli
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
Amount received
Phone."'503)224--956`1 _-._ _._._-. Fax: 3)22E-12E5
E-mail:kbattaglia@mcknze.com PIIOTOYQLTAIG SOLAR:P N. j.SYSTPI FEES'
.:
COTRACTOII
- Commercial and residential prescriptive installation of
;; .. .. .., N ; 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 Total fee due upon application: $201.60
•
Authorized signature: ' 1 r This permit application expires if a permit is not obtained
' ,; within 180 days after it has been accepted as complete.
Print name:Kelly Battat is i Date:07/31/2018 * Fee methodology set by Tri-County Building Industry
Service Board.
I:ABuilding\Permits\BUP-COM PermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
Julie Drinkwater
From: Julie Drinkwater
Sent: Monday,July 22, 2019 3:57 PM
To: 'Kelly Battaglia'
Cc: Lindsey Carpenter; Chloe A. Kirchhofer;#Building Permit Technicians
Subject: RE: OTC Permit Appointment Request
Hello Kelly
I have scheduled the OTC appointment for Wednesday,July 31,at 10:00am.
Thank you
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,July 22, 2019 3:26 PM
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 Appointment Request
Caution! This message was sent from outside your organization. Allow sender I Block sender
Hi Julie,
Let's do Wednesday July 31St!
Thanks and see you then,
Kelly Battaglia
Interiors iLEED 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
1
'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:Julie Drinkwater<JulieD@tigard-or.gov>
Sent: Monday,July 22, 2019 2:23 PM
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 Appointment Request
Hello Kelly
Our next available OTC appointments for next week are the following dates/times:
• Tuesday,July 30, at 10:00am
• Wednesday,July 31, at 10:00am
• Thursday, August 1, at 10:00am
Thank you and please let us know what OTC appointment date next week works best for you.
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,July 22, 2019 2:15 PM
To:Julie Drinkwater<JulieD(c@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 Appointment Request
Hi Julie,
Thank you for getting back to us! What do you have available for next week OTC appointments?
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
2
L.
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:Julie Drinkwater<JulieD@tigard-or.gov>
Sent: Monday,July 22, 2019 2:08 PM
To: Kelly Battaglia <KBattaglia@mcknze.com>
Cc: Lindsey Carpenter<LCarpenter@mcknze.com>; Chloe A. Kirchhofer<CKirchhofer@mcknze.com>;#Building Permit
Technicians<TigardBuildingPermits@tigard-or.Rov>
Subject: RE:OTC Permit Appointment Request
Good afternoon Kelly
Thank you for your OTC appointment request. Attached please find the building permit application. Below is
an estimate of your permit fees based on the project valuation of$55,000.00. 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)
ilue(Contractor456,000,00 v l Fee Total 516766.61
Fee Item Quantity Unit Fees
DC ProVisiore Review.COM Ti-Ping 1 Each $102.00
Permit Fee Additions.Alterations, Demolition 9 Each $767 10
Pian Review-Fife Life Satiety 1 Each $306.84
Plan Review 1 Each $498.62
12%State Surctlame-Building 1 Each $92.05
Our next available OTC appointments are the following dates/times:
• Tuesday,July 23, at 10:00am
• Wednesday, July 24, at 10:00am
• Thursday, Jury 25, at ramy
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
3
From: Kelly Battaglia [mailto:KBattaglia@mcknze.com]
Sent: Friday,July 19, 2019 12:17 PM
To:#Building Permit Technicians<TigardBuildingPermits@tigard-or.gov>
Cc: Lindsey Carpenter<LCarpenter@mcknze.com>; Chloe A. Kirchhofer<CKirchhofer@mcknze.com>
Subject: RE:OTC Permit Appointment Request
Valuation is$55,000.
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.
From: Kelly Battaglia
Sent: Friday,July 19, 2019 12:17 PM
To:#Building Permit Technicians<TigardBuildingPermits@tigard-or.gov>
Cc: 'Lindsey Carpenter'<LCarpenter@mcknze.com>; Chloe A. Kirchhofer<CKirchhofer@mcknze.com>
Subject:OTC Permit Appointment Request
4
Hello,
We would like to request an OTC appointment for the following project: MiaDonna for Suite 110 at 4 Lincoln, 10250 SW
Greenburg Rd.The current use of the space is office and the continued use of the space will be office.The scope of work
includes demolition, new walls,doors and relites, and new cabinetry.
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."
5
City of Tigard
COMMUNITY DEVELOPMENT DEPARTMENT
■
TIGARD Building Permit Review — Commercial - No Land Use
Building Permit #: 1N?2rL; _Wk Ci
Site Address: \O2-) Sv\) CAree4ILIA rr Pd. Suite/Bldg#: 1 t_O
•J
Project Name: k\2 DOv\V\bt
(Name of commercial business occupying the space. If vacant,enter Spec Space.)
Planning Review
Proposal: 1
Existing Business Activity: v4-f !(.P
Proposed Business Activity: off;ty
l Verify site address/suite# exists and active in permit system.
VL River Terrace Neighborhood: ❑ Yes X No
'Zoning: M U 6_ I
Permitted Use: i4 Yes ❑ No ❑ Spec Space
`C Confirm no land use required.
Business License:
Exists: ❑ Yes No,applicant notified to obtain business license
Notes:
Approved by Planning: o 00-AE)-1--- Date: la 1)61
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: -l \\q
ite fuS: - --- ---- -_ _ -
Building Plans: #
Building Permit#: Enter building permit#above. ,,�
Workflow Routing: [Planning `+Pcrmit Coer __ Lr'Bnateruilding
Workflow Sign-off: [ I ign-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: \........34 , Date: \ 1\\ON
I:\Building\Forms\BldgPermitRvw_COM NoLandUse 060116.docx
Permit Coordinator Review
❑ Conditions "Met"prior to issuance of building permit
❑ Approved,NOT Released: ...-`a Date:
l�dF
Notes: ,f
Revisions (after Building Submittal only)
Revision Notice 1: Date Sent to Ap.;cant:
Revision Notice 2: Date Sent to ' 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 • emit Coordinator: Date:
I:\Building\Forms\BldgPermitRvwCOM NolandUse 070915.docx