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Permit (28)
CITY OF TIGARD BUILDING PERMIT i .1412:` COMMUNITY DEVELOPMENT Permit#: BUP2017-00291 T[GARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 11/02/2017 Parcel: 1 S 135AB00900 Jurisdiction: Tigard Site address: 10200 SW GREENBURG RD 150 Project: Corvel Healthcare Subdivision: METZGER,TOWN OF Lot: 9 Project Description: TI for existing tenant:Demolition,new walls,doors,and relites. 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 Specifics: FEES Description Date Amount Type of Use: COM Class of Work: ALT Type of Const: Ig DC Provision Review,COM TI-Ping 11/02/2017 $91.00 Occupancy Grp: B Occupancy Load: 33 Permit Fee-Additions,Alterations, 11/02/2017 $423.53 Demolition Dwelling Units: 0 12%State Surcharge-Building 11/02/2017 $50.82 Stories: 7 Height: 0 ft Plan Review 11/02/2017 $275.29 Bedrooms: 0 Bathrooms: 0 Plan Review-Fire Life Safety 11/02/2017 $169.41 Value: $23,000 Info Process/Archiving-Lg$2.00(over 11/02/2017 $10.00 11x17) Floor Areas: Total Area: 3229 Accessory Struct: 0 Basement: 0 Carport: 0 Covered Porch: 0 Deck: 0 Garage: 0 Mezzanine: 0 Total $1,020.05 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: dr Permittee Signature: %W�r A�Ili is4� i 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 e project. Approved plans are required on the job site at the time of each inspection. Building Permit Application Commercial i + FOR(>FFICE USE ONLY City of Tigard Received , 7 - c Date/B Wrzo,M. Permit No.: ! !, t� N . 13125 SW Hall Blvd.,Tigard,OR 97223 i�C�V .f f U Plan Review Phone: 503.718.2439 Fax: 503.598.1960 DateB : —3 — )7 '' Other Permit: T I GA RD Inspection Line:8503.639..4175 'Tv c1 �S d(.A . 13 ate Ready/13y: 4 ® See Page 2 for Internet: www.ti and-or. ov g& gp+8��I�®LLg' ''.y g Notified/Method: �' 7 y, ' Supplemental Information UI.M.,4""+'' OBIT IS t r-Cd YPE OF WORI'4 REQUIRED IATA I ANI 2 FAMILYDWELLING. ❑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 ❑Other: equipment,materials,labor,overhead,and the profit for the workindicated on this application.,; : ! CATEGORYGF CONSTRUCT }N 0 1-and 2-family dwelling ®Commercial/industrial Valuation: $ 1E1Accessory building 0 Multi-family Number of bedrooms: El Master builder ❑Other: Number of bathrooms: JOB SITE.INFO MATIONt AND LOCATION Total number of floors: Job site address:5 Lincoln-10200 SW Greenburg Road New dwelling area: square feet City/State/ZIP:Portland,OR 97223 Garage/carport area: square feet Suite/bldg./apt.no.:150 Project name:Corvel Lerperatien/,`fit i f,\ - � 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 MERCIAL-USE GCI CKLIST: ; 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 Requipment,materials,labor,overhead, ad and theprofit for the DESCRIPTION work indicated on this application. Work to include demolition,new walls,doors and relites,and new cabinetry Valuation: $$23,000.00 Existing building area: 3,229 square feet New building area: 3,229 square feet !va P O ERTY OBER _ ❑.TENANT' Number of stories: 7 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 >®a A 'PLICAN ❑`CONTACT PARSON ' ;_BUILIIiNG PtaMITtELSt Business name:Mackenzie (P1 refer to ee sehedule) Structural plan review fee(or deposit): Contact name:Kelly Battaglia FLS plan review fee(if applicable): Address:1515 SE Water Ave Suite 100 City/State/ZIP:Portland,OR 97214 Total fees due upon application: Phone:(503)224-9560 Fax::(503)228-1285 Amount received: E-mail:kbattaglia@mcknze.com PHOTOVOLTAIC SOLAR PANED;SYSTEM FEES. `. ' C01+lRAC7 Og of Commercial and residential prescriptive installation 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 and administrative fees): $180.00 Phone:(503)692-9002 Fax:(503)692-9008 State surcharge(12%of permit fee): $21.60 CCB lie.:58918 _ Total fee due upon application: $201.60 Authorized signature: /, /moi% ► This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name:Kelly Battaglia Date:11/01/2017 * 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 lig Over-The-Counter (OTC) Building & Fire Protection System Permit TR,c,n E D Appointment Checklist Permit Record#: / 97,/7 Vogt/ Contact Name: Cif L.©E .///Lc ', p e Phone #: .,5'o3 — 07.2 y 7,5-4.,p Business Name: /7r9C',f= /Z/ Appt. Date/Time: //.,2h 7 (c1p, ,y,,). Site Address: /o.2r o S"cL) G1�t� 3i.azG Bldg/Suite#: /fie Project Name: eC.22/E-4 cciePD/t„nDW New Tenant? ❑ Yes No Project Description: ,)Gi`.,O 4.,T/vN il/zJ /19— A q0/2,S/ 2'L4 7---L'S % C.76/A/67J2- i7-/z.i-er-/z. c/S 77..1G- 7 /" J7 Existing Use: e), e'c.�. New Use: ® ,��e 2 MMD Required: 0 YesTo Related Record#: APPLICATION SPECIFIC INFORMATION GENERAL INFORMATION Class of Work: i ) T Occupancy Group: n Type of Construction: > — Q Type of Use: .O Occupancy Load: 3 3 Oregon Specialty Code: 30 1 0.. SPECIFICS Number of Stories: i Building Height: Mixed Use: )1 0 Number of Dw Units: Number of Bathrooms: Number of Bedrooms: BUILDING SQ FT-SCHOOL CET OTHER SQUARE FOOTAGES Story She: 1. ) 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 J e 5 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: $ a2•S'el� FEES DUE serf sq ) --- DC Prov Rvw,COM TI—Ping $ li a 3 .s3 Permit Fee—Add,Alt,Demo Q ilmorr DC Provision Review Fee for COM TI(effective 7/1/2017) $ S( , $a 12%State Surcharge Project Valuation $ a 9 Plan Review,Structural Up to$4,999 $0.00 $ 1 9,y I Plan Review,Fire Life Safety $5,000-$74,999 $91.00 $ 10 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: $ JOa° .OS TOTAL FEES DUE I:\Building\Forms\OTC_BUP_FPS_070117.docx Dianna Howse From: Dianna Howse Sent: Thursday, October 19, 2017 10:38 AM To: 'Chloe A. Kirchhofer' Cc: Kim Ford; Kelly Battaglia;#Building Permit Technicians Subject: RE: OTC Appointment- November 2nd Hello Chloe, I have the OTC appointment scheduled for Thursday, November 2nd at 10:00 am. Here is a list of the fees due, plus be sure to add for the plan pages fees. 5a'„,:ec„,3553r,e5 S29 OCe.1 00 s,r Fee lotal "...5-3 ,55 41,111 99.1151A I toil 91..t F,fft- each fit, W,, 11 t em f a _,,5 fi`p J 15:5 w ... :5 State, S (1214 � F¢ Thank you. Dianna L. Howse Building Division Services Supervisor City of Tigard ( Community Development 13125 SW Hall Blvd I Tigard, OR 97223 503-718-2430 Direct 1503-718-2439 Permits From: Chloe A. Kirchhofer [mailto:CKirchhofer©mcknze.com] Sent: Thursday, October 19, 2017 10:25 AM To: #Building Permit Technicians Cc: Dianna Howse; Branden Taggart; Kim Ford; Kelly Battaglia Subject: OTC Appointment - November 2nd Hello, We would like to make an OTC appointment for November 2"d at 10am, if still available. The project is at 5 Lincoln, 10200 SW Greenburg Rd.,Suite 150. The tenant is CorVel Corporation and they are an existing tenant at 5 Lincoln,Suite 150. The existing use of space is office and the new use of space will be office. The scope of work includes demolition, new walls,doors, relites and cabinetry. The valuation of the project is$23,000, can you please provide us with the permit fee amount? Thank you, Chloe Kirchhofer City of Tigard a COMMUNITY DEVELOPMENT DEPARTMENT IIII TIGARD Building Permit Review — Commercial - No Land Use Building Permit #: 84,00i-1-00A Site Address: !02,b0 SIN (611 aill Suite/Bldg#: Lso Project Name: Crve4 (Name of commercial business occupying the space. If vacant,enter Spec Space.) Planning Review Proposal: T. L .. -5\( at 51 -oma()f- Existing Business Activity: uTi 10 —y ociciih,_i Proposed Business Activity: Office / Verify site address/suite# exists and active in permit system. River Terrace Neighborhood: CI Yes E No A Zoning: AU E-- I .1:S Permitted Use: "iil'Yes El No ❑ Spec Space J Confirm no land use required. .- Business License: Exists: Yes El No,applicant notified to obtain business license Notes: Approved by Planning: 7&to,ttlyM Date: 11141 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: J//- -7 Site Plans: # Building Plans: # .3 /11 Building Permit#: [ - r building permit#above. Workflow Routing: [Manning CI Permit Coordinator C-B'Iding Workflow Sign off: 71--Si off for Planning(include notes from planning review) Route Application Documents: [ 3 'Wig. original permit application, site plans,building plans, engineer and beam calculations and trust details,if applicable, etc. Notes: By Permit Technician: ff--",,, ' Date: Oh 7 I:\Building\Forms\B1dgPermitltvw 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 CosTrans Dev Tax: ❑ Yes ❑ N/A Tigard Trans SDC: 111 Yes ❑ N/A Parks SDC: ❑ Yes ❑ N/A ❑ OK to Issue Permit Approved by Permit Coordinator: Date: I:\13uilding\Forms\BldgPermitRvw_COM_NoLandUse_070915.docx FOR OFFICE USE ONLY—SITE ADDRESS: This form is recognized by most building departments in the Tri-County area for transmitting inf.=s. '6 Please complete this form when submitting information for plan review responses and revisions. This form and the information it provides helps the review process and response to your project. ,, City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT :11111 2 Transmittal LetterC'T' ' ARC TI G A R n 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or. TO: C)Ps\J DATE RECEIVED: DEPT: BUILDING DIVISION RECEINEP NOV 2 2 2017 FROM: C1*R- V117� CITY OFTIGAR.D COMPANY: m� 1__ 1 BUILDING DSIN _ PHONE: . ODA-. 43\SLU By. RE: t Da-Ob ¶ ) _ 611 — •* _ • (Site Address) 'ermit `um.er C(ptnouf ,rt > rojecan subdivision name and ober) ATTACHED ARE THE FOLLOWING ITEMS: Copies: Description:' Copies: Description: Additional set(s)of plans. � Revisions: Wide/V-- 'ebc�11'� Cop Cross section(s) and details. Wall bracing and/or lateral analysis. Floor/roof framing. Basement and retaining walls. Beam calculations. Engineer's calculations. Other(explain): REMARKS: FOR OFFICE USE ONLY Routed to Permit Te ician: Date: ) 1 C— �� Initials: I Fees Due: 1.1 Ye ❑ No Fee Description:` Amount Due: , �7 v �I �`'1 1,/'c\ \[ $ $ $ $ Special Instructions: Reprint Permit(per PE): ❑ Yes I l ❑ Done 4 Applicant Notified: , Date: /02./?'(55/ Initials: •4 I:\Building\Forms\TransmittalLetter-Revisions.doc 05/25/2012