Permit it, CITY OF TIGARD BUILDING PERMIT
COMMUNITY DEVELOPMENT Permit#: BUP2020-00041
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 02/18/2020
TIGARDParcel: 1 S135AB01003
Jurisdiction: Tigard
Site address: 10300 SW GREENBURG RD
Project: Lincoln Center Subdivision: METZGER,TOWN OF Lot: 9
Project Description: Interior demolition, new walls,doors,and finishes for 2nd floor restrooms.
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: 503-224-9560
FAX: 503-692-9008
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: Ig DC Provision Review, COM TI-Ping 02/18/2020 $102.00
Occupancy Grp: B Occupancy Load: 3 Permit Fee-Additions,Alterations, 02/18/2020 $729.45
Demolition
Dwelling Units: 0 12%State Surcharge-Building 02/18/2020 $87.53
Stories: 0 Height: 0 ft Plan Review 02/18/2020 $474.14
Bedrooms: 0 Bathrooms: 0 Plan Review-Fire Life Safety 02/18/2020 $291.78
Value: $50,000 Info Process/Archiving-Lg$2.00(over 02/18/2020 $8.00
11x17)
Tigard CET-Non-Residential-Admin 02/18/2020 $20.00
Floor Areas: Tigard CET-Non-Residential-AH 02/18/2020 $480.00
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $2,192.90
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 obt y-ef.the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
( c {LL
Issued By: Permittee Signature: ; l l
�t-�� 11`\C ' .. �� = is
Call 503.639.4175 by 7:00 a.m,for the next available inspection riate.
This permit card shall be kept in a conspicuous place on the job site until completion of the projeF
Approved plans are required on the job site at the time of each inspection.
Building Permit Application
Commercial y� FOR OFFICE USE ONLY
City of Tigard ` /�® Date/B a f� I`�J /,r'
il 1413125 SW Hall Blvd.,Tigard,OR 9722 V Plan Review , _ rl
_ Phone: 503.718.2439 Fax: 503.598.1960 Date/By: Other Permit:
T 1 G A It D Inspection Line: 503.639.4175 FEB 5 202 fl Date •Ready By: '1 orris: ® See Page 2 for
Internet: www.tigard-or.gov U �7 edMetho }„t 7 ,/i t Supplemental Information
�tj
TYPE OF I .4. DING DIVISION REQUIRED DATA:I-AND 2-FAMILY DWELLING
❑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.
❑ 1-and 2-family dwelling ®Commercial/industrial Valuation: $
ElAccessory building El Multi-familyNumber of bedrooms:
ElMaster builder ❑Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address:1 Lincoln-10300 SW Greenburg Road New dwelling area: square feet
City/State/ZIP:Tigard,OR 97223 LHe,-4 ` . ✓ Garage/carport area: square feet
Suite/bldg./apt.no.:N/A Project name:Toilet Room-Upgrades 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:COMMERCIAL-USE CHECKLIST
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
DESCRIPTION OF WORK work indicated on this application.
Work to include demolition,new walls,doors and finishes. Valuation: $$50,000.00
Existing building area: 291 square feet
New building area: 291 square feet
® PROPERTY OWNER ❑ TENANT Number of stories: 5
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:( j New: B
0 APPLICANT ® CONTACT PERSON BUILDING PERMIT FEES*
(Please refer to fee schedule)
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
Total fees due upon application:
City/State/ZIP:Portland,OR 97214
Amount received:
Phone:(503)224-9560 Fax::(503)228-1285
PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
E-mail:ckirchhofer@mcknze.com
Commercial and residential prescriptive installation of
CONTRACTOR 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 105t"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:( ) State surcharge(12%of permit fee): $21.60
CCB lie.:58918 Total fee due upon application: $201.60
Authorized signature: r jut), �` 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:02/05/2020 * 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)
.4
City of Tigard • BUILDING DIVISION
Over-The-Counter (OTC) Building & Fire Protection System Permit
TIGARD Appointment Checklist
Permit Record#: A[iL 6200 G1/
Contact Name: /C 6Z-L 6 4 77-6- / Phone #: 9 7/-3 Y6 360 7a ,
Business Name: /7 l9--e/4E71J g/ Appt. Date/Time: /57 Z j Co fevev A. ,
Site Address: /036.0 S.,J 6 / rty2'G /c Bldg/Suite #:
Project Name: 4 A/CoL/ j C.E7'ri E — New Tenant? ❑ Yes 0No
Project Description: /ivr-L72.,UR. ,er-E-m'1OL,77C/J1 A7 c.° 4/1-t_c_� ,. Ace,/Ls ter/
./ Apr `3 FF A- 2' 14- " T'2-ac.K-iS
Existing Use: O, /C.&— New Use: 'J=/CE'"
MMD Required: ❑ Yes ' No Related Record#:
APPLICATION SPECIFIC INFORMATION
GENERAL INFORMATION
Class of Work: A'c. Occupancy Group: 3 Type of Construction:
Type of Use: Occupancy Load: � Oregon Specialty Code: ;.t6;/ j
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 ( 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: ( k) 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: $ —50/ 01-0 FEES DUE
at) DC Prov Rvw,COM TI—Ping
$ Permit Fee—Add,Alt,Demo
DC Provision Review Fee for COM TI-Effective 7/1/2019 $ g '7 Z,1 12%State Surcharge
Project Valuation $ . Plan Review,Structural
Up to$4,999 $0.00 $ Plan Review,Fire Life Safety
$5,000-$74,999 $102.00 $ v 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 $ Metro Construction Excise Tax
$ a) School Construction Excise Tax
$ S"OO. '. Tigard Construction Excise Tax
$ Hourly Rate Fee
$ Hourly Rate State Surcharge
$ Misc.Admin Fee
Building Staff: $ Other:
Date/Time: $a)q a.% TOTAL FEES DUE
I:\Building\Forms\OTC_BUP_FPS_010120.docx
Dianna Ornelas
From: Kelly Battaglia <KBattaglia@mcknze.com>
Sent: Tuesday, January 28, 2020 8:34 AM
To: Dianna Ornelas
Cc: Lindsey Carpenter; Chloe A. Kirchhofer; #Building Permit Technicians
Subject: RE: OTC Appointment Request
Caution!This message was sent from outside your organization.
Hi Dianna,
The 5th would be great, thank you!
Kelly Battaglia
MACKENZIE.
D 971.346.3672
Mackenzie Email Disclaimer
From: Dianna Ornelas<Dianna@tigard-or.gov>
Sent: Monday,January 27, 2020 6:35 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 Appointment Request
Hello Kelly,
Here are the next available dates for OTC appointments:
• Wednesday, February 5th at 10:00 am
• Tuesday, February 11th at 10:00 am
• Wednesday, February 12th at 10:00 am.
The estimated fees for a project valuation of$50,000 as listed below:
V_I Et0$50:-000 0 E ee I owl 12.1844.90
gm* trttivU.D.4 Fees
1 Each 53
QC ProvisIon Rev**.C TI i Eadti 510200
PermIl F -Agchtio$./AIWORCoa„PPnvoittPri 1Each 5729 45
Plan Rolm I Each 4 a 4:14
Ptah Review-Fire Lae Sarah, 1 Each 8291 78
I Each (100
Tlaar0 CET -R tha1 A + 1Eadl E20 00
Please add $2.00 per page for pages over 11x17 and $0.50 per page for pages up to 11x17 for one complete plan set.
1
•
Thank you and please let us know what date works best for your team.
Dianna L. Ornelas(Howse)
Building Division Services Supervisor
City of Tigard I Community Development
13125 SW Hall Blvd I Tigard, OR 97223
503-718-2430 Direct 1503-718-2439 Permits
From: Kelly Battaglia <KBattaglia@mcknze.com>
Sent: Monday,January 27, 2020 10:28 AM
To:#Building Permit Technicians<TigardBuildingPermits@tgard-or.gov>
Cc: Lindsey Carpenter<LCarpenter@mcknze.com>; Chloe A. Kirchhofer<CKirchhofer@mcknze.com>
Subject: OTC Appointment Request
Hello,
We'd like to schedule an OTC appointment. Can you please let us know what you have available in the near future?Our
project is located at 10300 SW Greenburg Rd. 1 Lincoln, 2' Floor Restrooms.The existing use of space is restrooms and
the continued use of space will be restrooms . The scope of work includes demolition, new walls, doors and finishes. All
new plumbing fixtures to occur at existing plumbing locations. The valuation is$50,000, can you please provide us with
the permit fee amount?
Thank you,
Kelly Battaglia
Interiors I LEED Green Associate
Architecture I Interiors I Engineering I Planning
D 971.346.3672 P 503.224.9560 W mcknze.com
RiverEast Center,1515 SE Water Avenue#100,Portland,OR 97214
u, errs
1
Mackenzie Email Disclaimer
DISCLAIMER: F-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. F-mails are retained
by the City of Tigard in compliance with the Oregon Administrative Rules"City General Records Retention Schedule."
2
City of Tigard
o COMMUNITY DEVELOPMENT DEPARTMENT
■
T I G A R D Building Permit Review — Commercial - No Land U s e
Building Permit #: Njie. > "'Ci'1/
Site Address: 10 3o6 .L/ Crtfrkr ILI Suite/Bldg#: r`
Project Name: 2'-'
'Nut- g14 ms
(Name of commercial business occupying the space. If vacant,enter Spec Space.)
Planning Review, iU \ `i
Proposal: ILKO L.al Ai 66ersi ANA l-►ki3 tr 1-I t f d , 411 AV-,
pt,M6 Cr e4&4rvj lotunbi k vrt.c.
Existing Business Activity: IA, j rc c11aN Pn17
N
Proposed Business Activity: At j nt�•rQ aht a^7
�,erify site address/suite# exists and active in permit sys .
ver Terrace Neighborhood: ❑ Yes El No
L i Zoning:
►-Permitted Use: 0 Yes 0 No 0 Spec Space
L'Confirm no land use required.
1 A-Business License:
Exists: 0 Yes 0 No,applicant was provided a business license application
Notes:
Approved by Planning: 44.,e, Date: 2 Glib— S 7 i W
Revisions (after Building Submittal only) Reviewer Date
Revision 1: 0 Approved 0 Not Approved
Revision 2: 0 Approved ❑ Not Approved
Revision 3: ❑ Approved 0 Not Approved
Building Permit Submittal
Original Submittal Date: Z
Site Plans: #
Building Plans: #
Building Permit#: /30 nter building permit#above.
Workflow Routing: 21" anning Q P nator ❑ • • g
Workflow Sign-off: -Sign-off for Planning(include notes from nning review)
Route Application Documents: p-Building: original permit application, site plans,building plans,engineer and
beam calculations and trust details,if applicable,etc.
Notes: /L/.2
By Permit Technician: Date: ,Z/
I:\Building\Fonns\BldgPermitRvw_COM NoLandUse 111819.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.a cant:
Revision Notice 2: Date Sent to ;pplicant:
Revision Notice 3: Date Sent to Applicant:
❑ SDC Fees Entered: Wash Co Trans Dev Tax: ❑ Yes ❑ N/A
Tigar. rans SDC: ❑ Yes ❑ N/A
Par,s SDC: ❑ Yes ❑ N/A
❑ OK to Issue Permit
Approved by Permit Coordinator: Date:
I:\Building\Forms\BldgPernvtRvw COM NoLandUse 111819.docx
Front1 DSTS
Subject: Kelly Battaglia, MacKenzie, 971-346-3672, 10300 SW Greenburg Rd, 2nd floor
Restrooms
Location: CR_-_3_Permit_Center
Start: Wed 2/5/2020 10:00 AM
End: Wed 2/5/2020 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 demolition, new walls, doors and finishes for 2"d floor restrooms. All new plumbing fixtures to
replace existing plumbing fixtures.
Valuation: $50,000
1