Permit CITY OF TIGARD BUILDING PERMIT
8. COMMUNITY DEVELOPMENT Permit it: BUP2020-00040
1.I ARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 02/12/2020
Parcel: 1 S 135AB03400
Jurisdiction: Tigard
Site address: 10260 SW GREENBURG RD 1050
Project: Sentry Subdivision: METZGER,TOWN OF Lot: 9
Project Description: Demolition new walls,doors,relites,casework,and finishes. 4/8/2020: REPRINT permit to correct suite address
from 1150 to 1050.
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: 503-412-4844
FAX: 503-692-9008
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: IS DC Provision Review,COM TI-Ping 02/12/2020 $406.00
Occupancy Grp: B Occupancy Load: 71 Permit Fee-Additions,Alterations, 02/12/2020 $1,589.15
Demolition
Dwelling Units: 0 12%State Surcharge-Building 02/12/2020 $190.70
Stories: 0 Height: 0 ft Plan Review 02/12/2020 $1,032.95
Bedrooms: 0 Bathrooms: 0 Plan Review-Fire Life Safety 02/12/2020 $635.66
Value: $180,000 Info Process/Archiving-Lg$2.00(over 02/12/2020 $18.00
11x17)
Metro CET 02/12/2020 $216.00
Floor Areas: Tigard CET-Non-Residential-Admin 02/12/2020 $72.00
Total Area: 0 Tigard CET-Non-Residential-AH 02/12/2020 $1,728.00
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $5,888.46
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: <1.1_j' /'/ /l Permittee Signature:
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
1114
3 COMMUNITY DEVELOPMENT Permit#: BUP2020-00040
T t G A p D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 02/12/2020
Parcel: 1 S135AB03400
Jurisdiction: Tigard
Site address: 10260 SW GREENBURG RD 1150
Project: Sentry Subdivision: METZGER,TOWN OF Lot: 9
Project Description: Demolition new walls,doors,relites,casework,and finishes.
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: 503-412-4844
FAX: 503-692-9008
Specifics: FEES
Description Date Amount
Type of Use: COM DC Provision Review,COM TI-Ping 02/12/2020 $406.00
Class of Work: ALT Type of Const: IB
Occupancy Grp: B Occupancy Load: 71 Permit Fee-Additions,Alterations, 02/12/2020 $1,589.15
Demolition
Dwelling Units: 0 12%State Surcharge-Building 02/12/2020 $190.70
Stories: 0 Height: 0 ft Plan Review 02/12/2020 $1,032.95
Bedrooms: 0 Bathrooms: 0 Plan Review-Fire Life Safety 02/12/2020 $635.66
Value: $180,000 Info Process/Archiving-Lg$2.00(over 02/12/2020 $18.00
11x17)
Metro CET 02/12/2020 $216.00
Floor Areas: Tigard CET-Non-Residential-Admin 02/12/2020 $72.00
Tigard CET-Non-Residential-AH 02/12/2020 $1,728.00
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $5,888.46
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 - 1-0090. Y y obtain a cop of the les or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: Permittee Signature: (Ivo
Call 503.639.4175 by 7:00 a.m.for the next available inspection date. f'
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 _ -n-,
Commercial 1 1l 14 4 L.L.i FOR OFFICE USE ONLY
Received L j� �
City of Tigard I: 1 2 20?1J /�
III • 13125 SW Hall Blvd.,Ti ard,OR 97223 (- Pla R : w r '= i-
g Plan Revi w r'��
Phone: 503.718.2439 Fax: 503 59S I t j Other Permit:
L! 1 Cl�" �It ilET1L7 Date/B
Inspection Line: 503.639.4175 t Date Ready/By: ® See Page 2 for
T I G A RD Internet: www.tigard-or.gov •,. !19 t" g '�'�_7-,i ''' Notified/Method: Fa Supplemental Information
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.
El 1-and 2-family dwelling ®Commercial/industrial Valuation: $
Number of bedrooms:
0 Accessory building 0 Multi-family
0 Master builder 0 Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION I Total number of floors:
Job site address:Lincoln Tower-10260 SW Greenburg Road New dwelling area: square feet
City/State/ZIP:Tigard,OR 97223 Garage/carport area: square feet
Suite/bldg./apt.no.:1050 Project name:Sentry 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 cast of Greenburg Road Other structure area: square feet
—
REQUIRED DATA:COMMERCIAL-USE CHECKLIST
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 WORK work indicated on this application.
Work to include new walls,doors,relites,cabinetry and finishes. Valuation: $$180,000.00
Existing building area: 7,006 square feet
New building area: 7,006 square feet
® PROPERTY OWNER I 0 TENANT 1 Number of stories: 12
Name:Shorenstein Realty Services Type of construction: I-B
Address:5335 Meadows Rd.Suite 275 Occupancy groups:
City/State/ZIP:Lake Oswego,OR 97035 Existing: B
Phone:(503)412-4844 Fax:( ) New: B
❑ APPLICANT ® CONTACT PERSON BUILDING PERMIT FEES*
Business name:Mackenzie (Please refer to fee schedule)
Structural plan review fee(or deposit):
Contact name:Chloe Kirchhofer
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:ckirchhofer@mcknze.com PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
Commercial and residential prescriptive installation of
CONTRACTOR roof-top mounted Photo Voltaic 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
and administrative fees): $180.00
Phone:(503)692-9002 Fax:( ) State surcharge(12%of permit fee): $21.60
CCB lie.:58918
Total fee due upon application: $201.60
Authorized signature: 66A // This permit application expires if a permit is not obtained
I� within 180 days after it has been accepted as complete.
Print name:Chloe Kirchhofer Date:02/12/2020 * Fee methodology set by Tri-County Building Industry
Service Board.
I:\Building\Permits\BUP-COM PermitApp.doc 02/24/2011 440-4613T(ll/02/COM/WEB)
City of Tigard
71COMMUNITY DEVELOPMENT DEPARTMENT
C
TTGARD Building Permit Review — Commercial - No Land Use
Building Permit #: 4( 2O DOOtv �
Site Address: 1(,21ee c'k) grP,m. Poe Suite/Bldg#: /')(i
Project Name: ‘-J=Pti7Lr
(Name of com ci usiness occupying the space. If vacant,enter Spec Space.)
Planning Review
Proposal: 77/ hPn) 'Y 17,7-71—
a_
Existing Business Activity: g (7 r
Propo ed Business Activity: OA?
Ve ' site address suite#exists and activein fy / permit syste�
1101'' -r Terrace Neighborhood: ❑ Yes Ild" No
►t oning. /k��/
,1rmitted Use: Yes ❑ No ❑ Spec Space
firm no land use required.
Business License:
Exists: ! Yes No,applicant was provided a business license application
Notes:
Approved by Planning: =_ Date: .2/z�J--()
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved Cl Not Approved
Revision 2: ❑ Approved ❑ Not Approved
Revision 3: ❑ Approved El Not Approved
Building Permit Submittal
Original Submittal Date: p2 //2
Site Plans: #
Building Plans: #
Building Permit#: nter building permit#above.
Workflow Routing: lanning ❑ sy,derfrinator uilding
Workflow Sign-off: Sign-off for Planning(include notes from pl ning 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: Date: A /12_1.2
I:\Building\Forms\BldgPernutRvw_COM NoLandUse 111819.docx
Permit Coordinator Review
0 Conditions "Met"prior to issuance of building permit
❑ Approved,NOT Released: Date:
Notes:
Revisions (after Building Submittal only)
Revision Notice 1: Date Sent to ' .plicant:
Revision Notice 2: Date Sent . Applicant:
Revision Notice 3: Date S- t to Applicant:
0 SDC Fees Entered: •sh Co Trans Dev Tax: ❑ Yes 0 N/A
Tigard Trans SDC: ❑ Yes ❑ N/A
Parks SDC: ❑ Yes ❑ N/A
❑ OK to Issue Pe• it
Approved b 'ermit Coordinator: Date:
I:\Building\Forms\BldgPernutRvw_COM_NoLandUse_111819.docx
City of Tigard • BUILDING DIVISION
/III ' Over-The-Counter (OTC) Building & Fire Protection System Permit
T 1 G A R D Appointment Checklist
Permit Record#: 6(a,f2CP__C) —vcZ£1
Contact Name: ✓ `/1 4 c( Phone #: 5 03 '- `iSZL tI
Business Name: / it z;`E', Appt. Date/Time: j id 0;cuu
Site Address: /0 ?-60 ��/ 6v'e �e-i.,, 1,. Bldg/Suite #: 0 j
Project Name: 5CN New Tenant? '-0 Yes ❑ No
Project Description: Aseyvah Ai cW 4j ) ti,,,i/Jr 440c'7:J, r'c'l, .So ,,,,i-c t.,i,.✓h/ '—' / � jit.as.
Existing Use: /� New Use: /
MMD Required: ❑ Yes g No Related Record#:
APPLICATION SPECIFIC INFORMATION
GENERAL INFORMATION
462Class of Work: Occupancy Group: Le Type of Construction: I
Type of Use: Occupancy Load: —71 Oregon Specialty Code: Ot 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: 71)0(40 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: v( ..e_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: $ /V) ck)D. FEES DUE
$ LI °� DC Prov Rvw,COM TI—Ping
$ ( 5',.1 S` Permit Fee—Add,Alt,Demo
DC Provision Review Fee for COM TI-Effective 7/1/2019 $ 9 0."J D 12%State Surcharge
Project Valuation $ I.p32,lc—Plan Review,Structural
Up to$4,999 $0.00 $ (p 3s—, cote Plan Review,Fire Life Safety
$5,000-$74,999 $102.00 $ l 9 O Info Proc/Arch,Lg(over 11x17$2.00)
$75,000-$149,999 $254.00 $ Info Proc/Arch,Sm(up to 11x17$0.50)
$150,000 and over $406.00 $ a j(0. 0 0 Metro Construction Excise Tax
$ School Construction Excise Tax
$ t ,C'),'p° Tigard Construction Excise Tax
$ Hourly Rate Fee
$ Hourly Rate State Surcharge
$ Misc.Admin Fee
Building Staff: $ Other:
Date/Time: $ 6--wa.4(0 TOTAL FEES DUE
I:\Building\Forms\OTC_BUP_FPS_010120.docx
KBranden Taggart
From: Kelly Battaglia <KDattag|ia@mcknze.com>
Sent: Tuesday, January 28' 2020 2:59 PIVI
To: #Bui|ding Permit Technicians
Cc: Lindsey Carpenter; Chloe A. 0ohhofer
Subject: OTC Appointment Request
� Caution!This message was sent from outside your organization. �
Hello again,
We'd like to schedule another OTC appointment. Can you please let uo know what you have available in the near
future?Our project is located atl02605VVGreenbur0 Rd. Lincoln Tower, Suite 105U.Tenant is Sentry.The existing use
of space is vacant office and the new use of space will be office.The scope of work includes demolition, new walls,
doors, re|ites, casework and finishes.The valuation is$l80,UOO can you please provide us with the permit fee amount?
Thank you,
Kelly Battaglia
Interiors | Lsco Green Associate
Architecture Interiors Engineering Planning
og7z.o46367z r5oy.zz4.es60 Vvmcknze.cnm
xw:rsastCenter, 1*z5ss Water Avenue#1on Portland,On97zz4
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Mackenzie Email Disclaimer
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