Permit (56) CITY OF TIGARD BUILDING PERMIT
N -P _ COMMUNITY DEVELOPMENT Permit#: BUP2018-00318
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 11/14/2018
T r c;;�It i� 9 Parcel: 1S135AB01002
Jurisdiction: Tigard
Site address: 10220 SW GREENBURG RD 571
Project: Trellborg Subdivision: METZGER,TOWN OF Lot: 9
Project Description: Work to include demolition,new walls,doors,and cabinetry.
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 11/14/2018 $98.00
Occupancy Grp: B Occupancy Load: 35 Permit Fee-Additions,Alterations, 11/14/2018 $729.45
Demolition
Dwelling Units: 0 12%State Surcharge-Building 11/14/2018 $87.53
Stories: 0 Height: 0 ft Plan Review 11/14/2018 $474.14
Bedrooms: 0 Bathrooms: 0 Plan Review-Fire Life Safety 11/14/2018 $291.78
Value: $50,000 Info Process/Archiving-Lg$2.00(over 11/14/2018 $8.00
11x17)
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $1,688.90
Required: Required Items and Reports(Conditions)
Fire Sprinkler: Yes Parapet:
Fire Alarm: Yes Protected Corridors:
Smoke Detectors: Manual Pull Stations:
Accessible Parking: 0
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will
be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180
days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952-001-0010 through OARS 001-0090.,You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: �� .1.......c_...,
AY 71 i� Permittee Signature: ������1 V I4.1
1111r
/ Call 503.639.4175 by 7:00 a.m.for the next available inspect',n date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Building Permit Application
Commercial FOR OFFICE USE ONLY
Cl of Tigard y Received �� P
1312ySW Hall Blvd.,Tigard,OR 97223E i :s Date/By: if/i i/1 i99Vo�.al�-G031 r
Plan RBye / Other Permit:
••'�� Phone: 503.718.2439 Fax: 503.598.190` Date/By:: BY f, �$
T I G A R D Inspection Line: 503.639.4175 Date Ready/By: Juris: Ed See Page 2 for
Internet: www.tigard-or.gov NM!,li 4 ,):011.', Notified/Method: Supplemental Information
TYPE F s l O€JTRED DATA 1 AND 2 FAMILY DWF1!T NG: `
❑New construction
dio ttiortr r ' Permit fees*are based on the value of the work performed.
[ ti �
Indicate the value(rounded to the nearest dollar)of all
®Addition/alteration/replacement 0 Other: equipment,materials,labor,overhead,and the profit for the
workindicated on thisapplication.
. `.' _ ;' CATER3l4F ?�IS3'RIJCTTOI+I ,'i ,'
❑ 1-and 2-family dwelling ®Commercial/industrial Valuation: $
❑Accessory building 0 Multi-family Number of bedrooms:
❑Master builder 0 Other: Number of bathrooms:
JOB S#TE INFORMATION AND LOCATIOI Total number of floors:
Job site address:3 Lincoln-10220 SW Greenburg Road New dwelling area: square feet
City/State/ZIP:Portland,OR 97223 Garage/carport area: square feet
Suite/bldg./apt.no.:571 Project name:Trelleborg 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
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
I)) S IIIP LTN, 1° DBI . work indicated on this application.
Work to include demolition,new walls,doors and cabinetru Valuation: $$50,000.00
Existing building area: 3463 square feet
New building area: 3463 square feet
►a
i 1PERTY tI?�1P , I ENANT, Number of stories: 6
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
Business name:Mackenzie a. . ..rto' ... .....
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
Phone:(503)224-9560 Fax::(503)228-1285 Amount received:
E-mail:kbattaglia@mcknze.com
PIIU C L SOLAR I'A S7ltSTEM SEES*
Commercial
an
residential
GON" to TO of
roof-top mounted Photovoltaic Solar ve nPaneltSystem.allation
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 Total fee due upon application: $201.60
Authorized signature: '("e/ 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: 11/14/2018 * Fee methodology set by Tri-County Building Industry
Service Board.
I:ABuilding\Permits\BUP-COM PermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
ipi City of Tigard • BUILDING DIVISION
RI
Over-The-Counter (OTC) Building & Fire Protection System Permit
TIGARD Appointment Checklist
Permit Record#: d tfre2el 7-003/G
Contact Name: !Cell.? /� �",-
� , 7,-,‘ Phone #: (5 3 �,3.[f" o
Business Name: icz,le v Appt. Date/Time: ///////isi
Site Address: 10,40 54.J G, e.v ✓ A./ Bldg/Suite #: 5 7/
Project Name: --Tie,' //4,3y4 New Tenant? ❑ Yes X No
Project Description: A--ne3.A1 ,,,, j � p„) c��./l t if ,�.s t �/��C.
Existing Use: t5 New Use: 5
MMD Required: ❑ Yes k No { 1 Related Record #:
„i ilii ���! C :.�`R�nP�x t� T p Ml'?S1-! g {�”} 4 B :: ,Jvey P!0i��� , la' Pt`s
:..i �i.. a :- Wilds IG _.. .,.. ..� s ">'..! _ -, s .. _ �; .,': AnA!k(Its u,,. . . ''s:-.�n?22
GENERAL INFORMATION
Class of Work: PLT.. Occupancy Group: b Type of Construction: I 6
Type of Use: (eh' Occupancy Load: /3S'' Oregon Specialty Code:
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: r Fire Alarms: r 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: $ I Oa).� , pI A :910sitilt
$ DC Prov Rvw,COM TI—Ping
$ >. Permit Fee—Add,Alt,Demo
DC Provision Review Fee for COM TI (effective 7/1/2018) $ , 12%State Surcharge
Project Valuation $ k! Plan Review,Structural
Up to$4,999 $0.00 $ "N',':- Plan Review,Fire Life Safety
$5,000-$74,999 $98.00 $ C' Info Proc/Arch,Lg(over 11x17$2.00)
$75,000-$149,999 $243.00 $ p-' Info Proc/Arch,Sm(up to 11x17$0.50)
$150,000 and over $388.00 $ Metro Construction Excise Tax
$ School Construction Excise Tax
Pi
$ Hourly Rate Fee
GjW. '%o _7L $ Hourly Rate State Surcharge
G � _, $ Misc.Admin Fee
$ _ Other:
Building Staff: $ Other:
Date/Time: $ TOTAL FEES DUE
I:\Building\Forms\OTC_BUP_FPS_o70118.docx
Front1 DSTS
Subject: Kelly Battaglia @ McKenzie; 10220 SW Greenburg Rd, Suite 571;Trelleborg; (503)
224-9560
Location: Salem, OR
Start: Wed 11/14/2018 10:30 AM
End: Wed 11/14/2018 11:30 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
Call Handling Mode 2: 2
TI for existing tenant: Demolition, new walls,doors,and casework.
Branden Taggart
From: Kelly Battaglia <KBattaglia@mcknze.com>
Sent: Friday, November 02, 2018 8:00 AM
To: Branden Taggart
Cc: #Building Permit Technicians
Subject: RE: OTC Appointment Request
Hi Branden,
I'll take the Wednesday appointment.
Thank you,
Kelly Battaglia
Interiors | LEED Green Associate
Architecture • Interiors • Engineering • Planning
P50].224.9500wVmckuze.comCycard
RiverEast Center
15156EWater Ave, Suite 10O
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.
From: Branden Taggart<brandent@tigard-or.gov>
Sent:Thursday, November 01, 2018 5:01 PM
To: Kelly Battaglia <KBattaglia@mcknze.com>
Cc:#Building Permit Technicians<TigardBuildingPermits@tigard-orgov>
Subject: RE: OTC Appointment Request
Hi Kelly,
I can schedule you for the following OTC appointments that week:
Tuesday, November 13at10:00a.rn.
Wednesday, November 14 at 10:00 a.m.
Thursday, November 1Sat-10:OOa.rn.
Which appointment would you like? The fees will be $1,680.90 plus our archiving fee.
Thanks,
1
Bnandem Taggart
. Cit)r of Tigard
: 111 Senior Permit Technician
Community Development
TICARD
131 Blvd
Tigard, OR 97223
(503)718-2449
bmnd«mtigtigard-mr'Q«^
From: Kelly Battaglia [mailto:KBattaglia@mcknze.com]
Sent:Thursday, November Ol' ZO188:24AM
To:#Building Permit Technicians<TigardBuildingPermits@tigard-or.gov>
Subject: OTC Appointment Request
Hello,
We'd like to schedule an OTC appointment starting the week of November 12th. The project is for an existing tenant
Trelleborg, at 3 Lincoln, 10220 SW Greenburg Rd, Suite 571. The current use of the space is office and the continued use
of space will also be office.The scope of work includes demolition, new walls, doors and casework.Valuation is$50,000.
Could you please provide us with the permit fee amount?
Thank you,
Kelly Battaglia
Interiors I LEED Green Associate
Architecture • Interiors • Engineering • Planning
P 503.224.9560 W mcxoze.coun C vcard
RiverEast Center
1515 SE Water Ave, Suite 100
Portland OR 97214
This email is conf|Uentia|, 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 requeabad, 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
City of Tigard
II COMMUNITY DEVELOPMENT DEPARTMENT
■
TIGARD Building Permit Review — Commercial - No Land Use
ry
Building Permit #: � 1�pA QQ 31 1
Site Address: I C:22-0 S,k/ rte,, , g, Suite/Bldg#: S 7-1
Project Name: TRIlt bt r,
(Name of corfunercial business occupying the space. If vacant,enter Spec Space.)
Planning Review }
Proposal: TI- . r 2'�-I-;`) -kwalti' lit'2,-\6lAVINi 11,1-td L4114 tta"ri a.,a Cqtvtrk-.
Existing Business Activity: 04 i ct
Proposed Business Activity: Ij it
Verify site address/suite#exists and active in permit systtee .
L'tRiver Terrace Neighborhood: ❑ Yes L� No
LIQ'Zoning. IA U E-I
Ay ermitted Use: Lr' Yes ❑ No ❑ Spec Space
I► infirm no land use required.
(� )Business License:
�71 Exists: ❑ Yes iNo,applicant notified to obtain business license
Notes:
Approved by Planning: . L11JC1 Date: I t`I f'(
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: ❑ Approved 0 Not Approved
Revision 3: 0 Approved 0 Not Approved
Building Permit Submittal
Original Submittal Date: /1 l!'-!//o-
Site Plans: #
Building Plans: #
.1
Building Permit#: nter building permit#above.
Workflow Routing: "Planning Building
Workflow Sign-off: [''Sign-off for Planning(include notes from planning review)
Route Application Documents: FrBuilding: original permit application, site plans,building plans,engineer and
beam calculations and trust details,if applicable,etc.
Notes:
/, A
By Permit Technician: , I; i. Ft I /AZ /i
j —� Date: /j
I '
I:\Building\Forms\BldgPermitRvwCOM NoLandUse 060116.docx
Permit Coordinator Review
❑ Conditions "Met"prior to issuance of building permit
O Approved,NOT Released: Date:
Notes:
Revisions (after Building Submittal only)
Revision Notice 1: Date Sent to Applicant:
Revision Notice 2: Date Sent to Applic t:
Revision Notice 3: Date Sent to A•. cant:
O SDC Fees Entered: Wash C. rans Dev Tax: ❑ Yes ❑ N/A
Tig. : Trans SDC: ❑ Yes ❑ N/A
arks SDC: Cl Yes ❑ N/A
❑ OK to Issue Permit
Approved by Pe it Coordinator: Date:
I:\Building\Forms\BldgPermitRvwCOM NoLandUse_070915.docx
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
10220 SW GREENBURG RD 571 , TIGARD,
OR, 97223
Record Type: Record ID:
Commercial - Building BUP2018-00318
Inspection Type: Inspector:
299 Final inspection Jeff Grove
Result:
PASS - NoCofO
Comments:
Violation Summary:
Inspector Contractor