Permit Building Permit Application
Commercial RECEIVED FOR OFFICE USE ONLY
City of Tigard MAR y 1 2020 Received . /f ,,7� Iir� �l y� r' �i
13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review r
r• Phone: 503.718.2439 Fax: 503.598.196 �`� Other Permit:
CITY OF TIGARD Datealy: 3-J ) o
TIGARD BUILDING
Line: 503.639.4175 BUILDING DIVISION Date RcadyBy: tons ® See Page 2 for
Internet: www.tigard-or.gov Notified/Method: Supplemental Information
TYPE OF WORK REQUIRED DATA:1-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.
❑ I-and 2-family dwelling LEICommercial/industrial Valuation: $
0 Accessory building ❑Multi-family Number of bedrooms:
❑Master builder 0 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 Garage/carport area: square feet
Suite/bldg./apt.no.:303 Project name:Netop 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.
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 inclue demoition,new walls,doors,casework and finishes. Valuation: $$46,000.00
Existing building area: 3,833 square feet
New building area: 3,354 square feet
® PROPERTY OWNER 0 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 97.35 Existing: B
Phone:(503)412-4844 Fax:( )
New: R
0 APPLICANT ® CONTACT PERSON BUILDING PERMIT FEES*
Business name:Mackenzie (Please refer to lee schedule)
Structural plan review fee(or deposit):
Contact name:Chloe Kirchhofer
Address: 1515 SE Water Ave Suite 100 FLS plan review fee(if applicable):
City/State/ZIP:Portland,OR 97214 Total fees due upon application:
Phone:(503)224-9560 Fax: :(503)228-1285 Amount received:
E-mail: ckirchhofergmcknze.com PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
CONTRACTOR Commercial and residential prescriptive installation of
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 105'Ave. Solar Installation Specialty Code checklist.
City/State/ZIP:Tualatin,OR 97062 Permit fee(includes plan review $I80.00
and administrative fees):
Phone:(503)692-9002 Fax:( )
State surcharge(12%of permit fee): $21.60
CCR lie.:58918
�1,, ' Total fee due upon application: $201.60
Authorized signature: 1 di - 12 ` This permit application expires if a permit is not obtained
VVV within 180 days after it has been accepted as complete.
Print name:C\-113. .o v( -31-O J Date:03/11/202048 * Fee methodology set by Tri-County Building Industry
Service Board.
I:\Building\Permits\BUP-COM PermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
City of Tigard • BUILDING DIVISION
- 414 E. ' Over-The-Counter (OTC) Building & Fire Protection System Permit
TIGARD Appointment Checklist
Permit Record#: ) 1 /h,.._ 7
Contact Name: a 2' r�t rch4/47 to Phone #: 7 7/ 3 t/(, 3 Z 7
Business Name: /ka CG<Ch 2-�•t Appt. Date/Time: 3///f�j 5
Site Address: /C'300 4i. O trx.cijifv�, / Bldg/Suite #: 373 O
Project Name: Nc14- ,o New Tenant? Yes 0 No
Project Description: }�z.yjr p/ !/tz'w (...e..e'$ dvfitr f5j t Cu 6,!'n cr.
Existing Use: _ New Use: k
MMD Required: 0 Yes (To Related Record#:
APPLICATION SPECIFIC INFORMATION
GENERAL INFORMATION
Class of Work: AFTOccupancy Group: Type of Construction: ) - �{
Type of Use: Occupancy Load: 3 Oregon Specialty Code: �j-[/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: �"t.3(9 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: 1^10 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: $ 67.07-�j� FEES DUE
$ ) o2 DCProvRvw,COMTI—Ping
$ • Permit Fee—Add,Alt,Demo
DC Provision Review Fee for COM TI-Effective 7/1/2019 $ 12%State Surcharge
Project Valuation $ • Plan Review,Structural
Up to$4,999 $0.00
$5,000-$74,999 $102.00 $ a . Plan Review,Fire Life Safety
$ --- Info Proc/Arch,Lg(over 11x17$2.00)
$75,000-$149,999 $254.00 $ Info Proc/Arch,Sin (up to 11x17$0.50)
$150,000 and over $406.00 $ Metro CET(over$100,000)
$ School CET(new square footage)
$ Tigard CET($50,000 or more)
$ Hourly Rate Fee
$ Hourly Rate State Surcharge
$ Misc.Admin Fee ((��
Building Staff: $ co•op Other:Addro S S Fz'L
Date/Time: $16 9 S.O 8 TOTAL FEES DUE
I:\Building\Forms\oTC_BUP_FPS_010120.docx
•
Julie Drinkwater
From: Julie Drinkwater
Sent: Tuesday, February 18, 2020 6:00 PM
To: 'Chloe A. Kirchhofer'
Cc: Lindsey Carpenter; Kelly Battaglia;#Building Permit Technicians
Subject: RE: 10300 1 Lincoln - Suite 303 OTC Request
Hello Chloe
We look forward to seeing you on Wednesday, March 11, at 10:00am.
Thank you
Julie Drinkwater
Permit Technician
City of Tigard I Building Department
13125 SW Hall Blvd
Tigard,OR 97223
503-718-2804
From:Chloe A. Kirchhofer[mailto:CKirchhofer@mcknze.com]
Sent:Tuesday, February 18, 2020 11:05 AM
To:Julie Drinkwater<JulieD@tigard-or.gov>;#Building Permit Technicians<TigardBuildingPermits@tigard-or.gov>
Cc: Lindsey Carpenter<LCarpenter@mcknze.com>; Kelly Battaglia<KBattaglia@mcknze.com>
Subject: RE: 103001 Lincoln-Suite 303 OTC Request
Caution!This message was sent from outside your organization. Allow sender I Block sender
Hi Julie,
Please put us down for March 11`h at 10am.
We will assume there is an additional $50 to include into the permit fee for the new address.
Thanks!
Chloe Kirchhofer
D 971.346.3792
Mackenzie Email Disclaimer
From:Julie Drinkwater<JulieD@tigard-or.gov>
Sent:Tuesday, February 18, 2020 8:47 AM
To:Chloe A. Kirchhofer<CKirchhofer@mcknze.com>; #Building Permit Technicians<TigardBuildingPermits@tigard-
or.gov>
Cc: Lindsey Carpenter<LCarpenter@mcknze.com>; Kelly Battaglia<KBattaglia@mcknze.com>
Subject: RE: 10300 1 Lincoln-Suite 303 OTC Request
Hello Chloe
1
I
City of Tigard
714COMMUNITY DEVELOPMENT DEPARTMENT
TIGARD Building Permit Review — Commercial - No Land Use
Building Permit #: 6(/20 o - 77
Site Address: ( 0 300 S w C trod b vrd 6Z Suite/Bldg#:
Project Name: Ne-l-op
(Name of commercial business occupying the space. If vacant,enter Spec Space.)
Planning Review _
Proposal: "7L ko i rlGt U die- GL nn 0 , nEW (Ai OARS cdooeS
CAce \Nor� 1 Ur) ishRS
Existing Business Activity: C/O irn fv L ,r-CA. cam, h D oh c l C0 e
Proposed Business Activity: 1! Ii
COY Verify site address/suite#exists and active in permit system.
River Terrace Neighborhood: 0 Yes 0 No
7 Zoning: (VV up I
Permitted Use: 0 Yes ❑ No 0 Spec Space
/21 Confirm no land use required.
yi Business License:
Exists: 0 Yes ? No,applicant was provided a business license application
Notes:
Approved by Planning: //71, . (_--:. Date: 2 /I I i Z
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: 0 Approved 0 Not Approved
Revision 3: ❑ Approved 0 Not Approved
Building Permit Submittal
Original Submittal Date: 3 4/1
Site Plans: #$
Building Plans: 4
Building Permit#: Enter building permit#above.
Workflow Routing: /if Planning C na ,--E1-13-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: Date:
I:\BuildingWortns\BldgPennitlivw_COM_NoLandUse 1118I9.docx
Permit Coordinator Review
O Conditions "Met"prior to issuance of b 'ng permit
O Approved,NOT Released: Date:
Notes: LIP.
Revisions (after Buil. ng S i bmi al only
Revision Notice 1: I at• Sent to App . ant:
Revision Notice 2: aat. Sent t i ' .plicant:
Revision Notice 3: I Sen o Applicant:
❑ SDC Fees Entere 1: W. Co Trans Dev Tax: 0 Yes 0 N/A
igard Trans SDC: 0 Yes ❑ N/A
Parks SDC: 0 Yes 0 N/A
❑ OK to Issue Pe
Approved by ' rmit Coordinator: Date:
I:\Building\Fomvs\BldgPemutRvw_COM_NolendUse_1 11819.docx