Permit (178) CITY OF TIGARD BUILDING PERMIT
NI- COMMUNITY DEVELOPMENT Permit#: BUP2018-00261
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 09/13/2018
T r ,ti I:.Dg Parcel: 1 S135AB01003
Jurisdiction: Tigard
Site address: 10300 SW GREENBURG RD 220
Project: Kelly Services Subdivision: METZGER,TOWN OF Lot: 9
Project Description: Adding a new demise wall and new 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: 503-412-4800
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 09/13/2018 $98.00
Occupancy Grp: B Occupancy Load: 18 Permit Fee-Additions,Alterations, 09/13/2018 $317.06
Demolition
Dwelling Units: 0 12%State Surcharge-Building 09/13/2018 $38.05
Stories: 0 Height: 0 ft Plan Review 09/13/2018 $206.09
Bedrooms: 0 Bathrooms: 0 Plan Review-Fire Life Safety 09/13/2018 $126.82
Value: $16,000 Info Process/Archiving-Lg$2.00(over 09/13/2018 $6.00
11x17)
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $792.02
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 obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: w!-_.___ ,,'tee Si nature: ,'f Ai" Op- -�/
1
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 th, project.
Approved plans are required on the job site at the time of each inspection.
T
Building Permit Application
Commercial RECEIVED FOR OFFICE USE ONLY
Received /� permit �,y
City of Tigard Date/By: c A -72)/(i / ,, tes� z�vf
13125 SW Hall Blvd.,Tigard,OR 97223 SEP 1 3 2018 Plan Review 9 hh 7_,,
G Phone: 503.718.2439 Fax: 503.598.1960 Date/By: . 3 3-G „ i Other Permit:
TIGARD
Inspection Line: 503.639.4175 CITY OF TIGARD Date Ready/By: Juris: 0 See Page for
Internet: www.tigard-or.gov BUILDING !` tSIO ` Notified/Method:
Supplemental lLeImLeYntDal InfEormIatNioGn
TYPEOWORKREQUIRD DATA1AND 2-FAWL
❑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
CATEGO'!:.;'''f,',,:',„,Y 1i CONSTRUCTIO 1 work indicated on this application.
Valuation: $
0 1-and 2-family dwelling ®Commercial/industrial
❑Accessory building 0 Multi-family Number of bedrooms:
0 Master builder 0 Other: Number of bathrooms:
JOB SITE INFORITION°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 Garage/carport area: square feet
Suite/bldg./apt.no.:220 Project name:Kelly Services 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
REQIJI1 D QATAi CGN I.CIfAL-USE COK ICST
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 •
� indicated on this application.>FWORK? wor
Work to include a new demise wall and new finishes Valuation: $16000
Existing building area: 1729 square feet
New building area: 1729 square feet
►4 PROPERTY;O3 NE$i .. ❑ TENANT Number of stories: 5
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
e 4 AFP.LICA T. . d CO e, CT PER OBITII.olNC'r P R ^IIT FEES*
.Pteusn .e * c I
Business name:Mackenzie * r
Structural plan review fee(or deposit):
Contact name:Kelly Battaglia
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
E-mail:kbattaglia@mcknze.com PIlOTOV;OLTAIC.SOLAR P NEL SYSTEM FEES*
Commercial and residential prescriptive installation of
CONTRACTOR
roof top mounted Photovoltaic Solar Panel System.
Submit two(2)sets of roof plan with connection details
Business name:Russell Construction
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 $180.00
and administrative fees):
Phone:(503)692-9002 Fax:(503)692-9008 State surcharge(12%of permit fee): $21.60
CCB lic.:58918
Total fee due upon application: $201.60
Authorized signature: yei° � � This permit application expires if a permit is not obtained
4within 180 days after it has been accepted as complete.
Print name:Kelly Battaglia Date:03/15/2018 * 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)
Samuel Copelan
Subject: Kelly Battaglia, Mackenzie, 503-224-9560, 10300 SW Greenburg Rd, Ste 220, Kelly
Services
Location: CR=_3_Permit_Center
Start: Thu 9/13/2018 10:00 AM
End: Thu 9/13/2018 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
Tenant: Kelly Services
Existing Use: Office
New Use: office
Scope: TI to add new wall,electrical and finishes.
Project Valuation: $16,000.00
1
Dianna Howse
From: Dianna Howse
Sent: Wednesday,August 29, 2018 6:07 PM
To: Kelly Battaglia
Cc: Lindsey Carpenter;#Building Permit Technicians
Subject: RE: OTC Appointment Request
Hello Kelly,
We have the next available OTC appointments September 13t and 18tht 10:000 am.
The permit fees for a project valuation of$16,000 are as follows:
Vaiue( ontr )516.00000 v Fee TSB 57.,:;:02
. .`....'1!'J. :.;.• "I'A.1 .pa.11.L.d€'V,sl. 1 Each $317.06
t ,' 1,�s � 1 Each $126.62
• -t L.41,1, 1 Each $205.09
12 $urchatoe-• . 1 Each' $38,06
Please add $2.00 per page for pages over 11x17 and $0.50 for pages up to 11x17 for one plan set.
Thank you and please let us know what date works best for your team.
Dianna L. 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:Wednesday,August 29, 2018 3:56 PM
To:#Building Permit Technicians<TigardBuildingPermits@tigard-or.gov>
Cc: Lindsey Carpenter<LCarpenter@mcknze.com>
Subject:OTC Appointment Request
Hello,
We'd like to schedule an OTC appointment starting the week of Sept. 10th. The project is Kelly Services at 1 Lincoln,
10300 SW Greenburg Rd,Suite 220. The existing use of space is office and the new use of space will be office. The
scope of work includes a new wall, new electrical and new finishes. The valuation is$16,000, can you please provide the
permit fee amount?
Thank you,
Kelly Battaglia
Interiors I LEED Green Associate
1
N�/� �� u�* N�' ��� N�� �5� � N�"
N`�N����� Nn� N�~ N�� ��' N �� ~
DESIGN DRIVEN / CLIENT FOCUSED
Architecture • Interiors ' Engineering • Planning
pso3z24.yssOWmcxnze.comCvcan1
RiverEast Center
1515 SE Water Ave, Suite 100
Portland OR 97214
This email is confidenUa|, 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
IN City of Tigard • BUILDING DIVISION
41
Over-The-Counter (OTC) Building & Fire Protection System Permit
TIGARD Appointment Checklist
Permit Record#: VJ tvGZi-77--41I.-/t9"C r-�a�'/
Contact Name: REGI Phone #: —rD3 o' --9,54,d
Business Name: /
7`?�L' Appt. Date/Time: //3`/e' e 70,`py (fry
Site Address: /aloe NetzoeG /Lp Bldg/Suite #: Z2 )
Project Name: k cy Sods e-F-s New Tenant? ❑ Yes P No
Project Description: 77 77 AX5-ie.) a)f}-lam, , cite_ ¢ min!/Std r
Existing Use: New Use:
MMD Required: ❑ Yes S No Related Record #:
A '1:7710i
a.. -.. «., -- .a•R,._ T -x,. F .. { '`9Tnr.. ..
GENERAL INFORMATION
Class of Work: roam, Occu.anc Grou.: �' Tr e of Construction: Ret'
Tj.e of Use: ��� 11110111101.1 Occu.anc Load: Ore_•on S.ecial Code: p d4.11
SPECIFICS
Number of Stories: Buildin: Hei•ht: — Mixed Use:
Number of Dw Units: Number of Bathrooms: Number of Bedrooms:
BUILDING SQ FT-SCHOOL CET OTHER SQUARE FOOTAGES
Sto S.uare Foota•e: Accesso Structure: Covered Porch:
►� Ny�7 Gara:e: Deck:
Total S.uare Foota.e: Ca sort: Mezzanine:
SETBACKS
Side and Setback-Left —, Side and Setback-Front —, —
Side and Setback-Ri•-
ht Side and Setback-Back
CONSTRUCTION
Exterior Walls: 0senin.s Protected: Firewall Se.aration:
N: S: N: S: Occu.anc Se oration:
E: W: E: W: MISZESEMEM
REQUIRED ITEMS
Fire S.rinklers: MIMI Fire Alarms: Smoke Detectors:
IENEEMIEMIIMI Protected Corridors:
Stand pipe Re.uired: Pull Stations Re.uired: Para set:
Hazard Grou.: Batte Calcs Provided:
Densi : Cut Sheets Provided:
Desi: Area:
K Factor:
�r r.
Total Project Valuation: $ 6i Cre , 170 $ � M1�i y;
$ ' DC Prov Rvw,COM TI-Ping
+tr t ),0C. y' Permit Fee-Add,Alt,Demo
DC Provision Review Fee for COM TI (effective 7/1/2018) $ ; , ♦ 12%State Surcharge
Project Valuation $ a _ ;2Plan Review,Structural
(Oo
Up to$4,999 $0.00 ir010 • t - Plan Review,Fire Life Safety
$5,000-$74,999 $98.00 $ Info Proc/Arch,Lg(over 11x17$2.00)
$75,000-$149,999 $243.00 $ Info Proc/Arch,Sm(up to 11x17$0.50)
$150,000 and over $388.00 $ Metro Construction Excise Tax
$ School Construction Excise Tax
$ Hourly Rate Fee
$ Hourly Rate State Surcharge
$ Misc.Admin Fee
$ Other:
Building Staff: $ Other:
Date/Time: $49-5-..a&—TOTAL FEES DUE
I:\Building\Forms\OTC_BUP_FPS_070118.docx t . .V L
1City of Tigard
■ COMMUNITY DEVELOPMENT DEPARTMENT
i
T l c n Ro Building Permit Review — Commercial - No Land Use
Building Permit #: u(/�PZ(J/�'-ood-- /
Site Address: tQ1QQ SW Gru461Jr, 1261. Suite/Bldg#: 22.W
Project Name: kt1) Sers
(Name of'cvicommercial business occupying the space. If vacant,enter Spec Space.)
Planning Review
-- Proposal: tAfo"1; A,I✓te It. nu✓ +.r1/411( L.►( + new Cci‘4ht
Existing Business Activity: Otte
Proposed Business Activity: QcCt
L11 Verify site address/suite#exists and active in permit sysstee
.ver Terrace Neighborhood: ❑ Yes LIG No
oning: M( E 1
Di/Permitted Use: Yes ❑ No ❑ Spec Space
— Confirm no land use required.
VBusiness License:
Exists: ❑ Yes /No,applicant notified to obtain business license
Notes:
Approved by Planning: Co74J41_ Date: 4-11 -1?
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: ' l(,3//!T
Site Plans: #
Building Plans: #
Building Permit#: !— nter buildin permit#above.
Workflow Routing: M Planning ermit Coordinator uilding
Workflow Sign-off: rla Sign-off forPlanning(include notes fro-6 planning review)
Route Application Documents: uilding: original permit application, site plans,building plans,engineer and
beam calculations and trust details,if applicable, etc.
Notes: I A , _
By Permit Technician: /FAT/ 1 p 1 "1,*• I ate: /i3/cr-
I:\Building\Forms\BldgPermitRvw_COM_NolandUse_0601
16.doc
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 t.-'`pplicant:
Revision Notice 2: Date Se., to Applicant:
Revision Notice 3: Date ent to Applicant:
❑ SDC Fees Entered: + ash Co Trans Dev Tax: ❑ Yes ❑ N/A
Tigard Trans SDC: ❑ Yes ❑ N/A
Parks SDC: ❑ Yes ❑ N/A
❑ OK to Issue P it
Approved lb Permit Coordinator: Date:
I:\Building\Forms\BldgPermitRvw_COM_NoLandUse_070915.docx
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
10300 SW GREENBURG RD 220, TIGARD,
OR, 97223
Record Type: Record ID:
Commercial - Building BUP2018-00261
Inspection Type: Inspector:
299 Final inspection Jeff Grove
Result:
PASS - NoCofO
Comments:
Violation Summary:
Inspector Contractor