Permit (74) CITY OF TIGARD BUILDING PERMIT
; . 2.,-,71 COMMUNITY DEVELOPMENT Permit#: BUP2017-00223
[GAS 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 08/09/2017
i-
Parcel: 1 S 135AB01003
Jurisdiction: Tigard
Site address: 10300 SW GREENBURG RD 130
Project: Summit Funding Subdivision: METZGER,TOWN OF Lot: 9
Project Description: Minor demolition and addition of new wall for new tenant.
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:
FAX: 503-692-9008
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: IB DC Provision Review,COM TI-Ping 08/09/2017 $91.00
Occupancy Grp: B Occupancy Load: g Permit Fee-Additions,Alterations, 08/09/2017 $210.59
Demolition
Dwelling Units: 0 12%State Surcharge-Building 08/09/2017 $25.27
Stories: 5 Height: 0 ft Plan Review 08/09/2017 $136.88
Bedrooms: 0 Bathrooms: 0 Plan Review-Fire Life Safety 08/09/2017 $84.24
Value: $9,000 Info Process/Archiving-Lg$2.00(over 08/09/2017 $4.00
11x17)
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $551.98
Required: Required Items and Reports(Conditions)
Fire Sprinkler: No Parapet:
Fire Alarm: Yes 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.
VIA
/nomIssued By: ��� �px_r �`` -. •nature: /
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 FOR OFFICE USE ONLY
ceived /Ay
City of Tigard I,!',.teB Q Permit No.: ,''
1 ° 13125 SW Hall Blvd.,Tigard,OR 97223 11' _40,
/ �"
g 1_ Plan Review q
Phone: 503.718.2439 Fax: 503.598.1960 Date/B : 1 " : Other Permit:
T I G A R D Inspection Line: 503.639.4175 a 1(11 1 Date ReadyBy: ® H See Page 2 for
Internet: www.tigard-or.gov �` l 1 Notified/Method: ��j!`l Supplemental Information
RD
TYPE OF.'WORx lamRF9VIRI I WET t F iivv ,tnvo
❑New construction ❑De iv •it106 DPIPermit 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
workindicated on this application.
CATEGORYOPCONSTRUCTION
El1-and 2-family dwelling ®Commercial/industrial Valuation: $
ElAccessory building I=1 Multi-family Number of bedrooms:
❑Master 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:Portland,OR 97223 Garage/carport area: square feet
Suite/bldg./apt.no.:130 Project name:Summit Funding,Inc. 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 "COM RCIAL-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 minor demolition and a new wall Valuation: $$9,000.00
Existing building area: 1,133 square feet
New building area: 913 square feet
`i ►, PROPERTY OWNER ❑ TENANT", Number of stories: 1
Name:Shorenstein Type of construction: I-B
Address:5800 Meadows Rd.,Suite 240 Occupancy groups:
City/State/ZIP:Lake Oswego,OR 97035 Existing: B
Phone:(503)412-4800 Fax:(503)412-4903 New: B
►®4 APPLICAI�IT : ❑"CONTACT PERSON..;:; FEES* .;
m�.:" . : . .... _.... -'BUILDT�iG"PEI�kIIfi" ..... .
(Pfeaseeg.Cerpr;te;►:xehe4ulej ......, .
Business name:Mackenzie
Structural plan review fee(or deposit): ,
Contact name:Chloe Kirchhofer
Address:1515 SE Water Ave Suite 100 FLS plan review fee(if applicable):
Total fees due upon application:
City/State/ZIP:Portland,OR 97214
Amount received:
Phone:(503)224-9560 Fax::(503)228-1285
E-mail:ckirchhofer@mcknze.com PHOTOVOLTAIC SOI"4 R PAIS+L SYSTEM FEES*
CONTRACTOR. ..:
P
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 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
�
�p This permit
fee due upon application: $201.60
Authorized signature: (��"ij d� application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name:Chloe Kirchhofer Date:08/09/2017 * Fee methodology set by Tri-County Building Industry
Service Board.
I:\Building\Perntits\BUP-COM PermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
Dianna Howse
From: Dianna Howse
Sent: Tuesday,July 25, 2017 6:53 PM
To: 'Chloe A. Kirchhofer'
Cc: Kim Ford;#Building Permit Technicians
Subject: RE: OTC Permit Appointment 8/3
Hello Chloe,
Per your request, I have scheduled the OTC appointment for Thursday August 3`d at 10:00 am.
Here is a list of the permit fees due:
Value(Corrtractor$ 000 00 v' Fee Tota $547 a
Fee Item Quantity Unit Fees
DC Provision Review.COM Ti-Plno 1 Each 591 00
Permit Fee-Additions,Atterabons.Demolition 1 Each 5210 Eh
P, n _-v � -Fir- :it- .t ' 1 Each 584.24
Pian Renew 1 Each $136.8$
12%State Surcharac-Buridino 1 Each 525 27
In addition to the above fees, please add$0.50 per page for construction plans up to 11x17,and$2.00 per page for
construction plans over 11x17.
Thank you.
Dianna Howse
Building Division Services Supervisor
City of Tigard I Community Development
13125 SW Hall Blvd.,Tigard, OR 97223
503-718-2430
From: Chloe A. Kirchhofer [mailto:CKirchhofer@mcknze.com]
Sent: Tuesday, July 25, 2017 3:15 PM
To: #Building Permit Technicians
Cc: Debbie Adamski; Kim Ford
Subject: OTC Permit Appointment 8/3
Hello,
We would like to schedule an OTC appointment for Thursday 8/3 at 10am if this is still available. The project is at 1
Lincoln, 10300 SW Greenburg Rd,Suite 130.The tenant is Summit Funding Inc., and they are a new tenant to Lincoln
Center. The existing use of space is vacant office and the new use of space will be office. The scope of work includes
minor demolition and a new wall. The valuation of the project is$9,000, can you please provide us with the permit fee
amount?
1
Thank you,
Chloe A. Kirchhofer
-Interiors-
MA K N I .
OCS O.v OCovft. i C. rt.T COO* 15 p
Architecture • Interiors • Engineering • Planning
P 503.224.9560 W rncknze.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."
2
41
City of Tigard
.111 COMMUNITY DEVELOPMENT DEPARTMENT
TIGARD Building Permit Review — Commercial - No Land Use
Building Permit #:
Site Address: 1030 0 SW ref bo ro act. Suite/Bldg#: 13 o
Project Name: S Urn rn;-t Sind;n�
(Name of commercial business occupying the space. If vacant,enter Spec Space.)
Planning Review
Proposal: P F-T yr i n o r 0La a)c c h d- CX)r)S 1'Yv c.+- 'le'v`y w cit
Existing Business Activity: `Aon)(fl.ti Z.tr aid , S pec sem LQ
Proposed Business Activity: (j3 yy)rru-c-c4-44..
Verify site address/suite# exists and active in permit system.
Z1 River Terrace Neighborhood: ❑ Yes 0 No
PI Zoning: t v 'V E -
0 Permitted Use: ❑ Yes ❑ No g Spec Space
Confirm no land use required.
P. Business License:
Exists: ❑ Yes ❑ No,applicant notified to obtain business license
Notes:
Approved by Planning: Date: $/'3 I I -j
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: ❑ Approved ❑ Not Approved
Revision 3: ❑ Approved ❑ Not Approved
Building Permit Submittal
Original Submittal Date: FA
Site Plans: # _44p_
Building Plans:
Building Permit#: ,®,itter building permit#above.
Workflow Routing: L7 1'ianning ❑ Permit Coordinator Fding
Workflow Sign-off: g gn-off for Planning(include notes from planning review)
Route Application Documents: ding: original permit application, site plans,building plans,engineer and
beam calculations and trust details,if applicable,etc.
Notes: (1R_
By Permit Technician: e Date: 3i /' 7
I:\Building\Forms\BldgPermitRvw_COM_NoLandUse_060116.docx
Permit Coordinator Review
❑ Conditions "Met"prior to issuance of building permit
❑ Approved,NOT Released: Date:
Notes:
Revisions (after Building Submittal only)
Revision Notice 1: Date Sent to Applicant:
Revision Notice 2: Date Sent to Applicant:
Revision Notice 3: Date Sent to Applicant:
❑ SDC Fees Entered: Wash Co Trans Dev Tax: ❑ Yes ❑ N/A
Tigard Trans SDC: ❑ Yes ❑ N/A
Parks SDC: ❑ Yes ❑ N/A
❑ OK to Issue Permit
Approved by Permit Coordinator: Date:
I:\Building\Forms\B1dgPermitRvw_COM NoLandUse_070915.docx
City of Tigard • BUILDING DIVISION
: I Over-The-Counter (OTC) Building & Fire Protection System Permit
T I<<A R n Appointment Checklist
Permit Record#: C 1.,/,' /7- t
Contact Name: #z—o ,(ej/.C# p ,-� Phone #: .S0,3-o?24/—9',..5-67 D
Business Name: A1Clcw y/ c' Appt. Date/Time: d �/7 & za _
Site Address: /p300 -SW E e- 74ee/1‘,- Bldg/Suite #: /2-O
Project Name: Sus-ii-If 7- .n/,o/^✓c&.• /01/G New Tenant? /Er Yes 0 No
Project Description: ly/,Jo A, €7 O4./7-70A.1 ‘ ,7e-ziJ tcJ$Lc—
Existing Use: -f'i's ea-- New Use: _ D i C_
MMD Required: 0 Yes No Related Record#:
APPLICATION SPECIFIC INFORMATION
GENERAL INFORMATION
Class of Work: At' Occupancy Group: a Type of Construction: j...„n
Type of Use: 6 Occupancy Load: q Oregon Specialty Code: caoi 4_
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: n 0 Fire Alarms: V 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: $ FEES [
$ q I— DC Prov Rvw,COM TI—Plug
$ JO. Permit Fee—Add,Alt,Demo
DC Provision Review Fee for COM TI(effective 7/1/2017) $ 12%State Surcharge
Project Valuation $ Plan Review,Structural
Up to$4,999 $0.00 $ L O Li. Plan Review,Fire Life Safety
$5,000-$74,999 $91.00 $ t{, Info Proc/Arch,Lg(over 11x17$2.00)
$75,000-$149,999 $226.00 $ Info Proc/Arch,Sm(up to 11x17$0.50)
$150,000 and over $361.00 $ Metro Construction Excise Tax
$ School Construction Excise Tax
$ Hourly Rate Fee
$ Hourly Rate State Surcharge
$ Misc.Admin Fee
$ Other:
Building Staff: $ Other:
Date/Time: $ i °g T 0 TAL FEES DUE
I:\Building\Forms\OTC_BUP_FPS_070117.docx
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
10300 SW GREENBURG RD 130, TIGARD, OR,
97223
Record Type: Record ID:
Commercial - Building BUP2017-00223
Inspection Type: Inspector:
299 Final inspection Jeff Grove
Result:
PASS - NoCofO
Comments:
Violation Summary:
Inspector Contractor