Permit (4) CITY OF TIGARD BUILDING PERMIT
COMMUNITY DEVELOPMENT Permit#: BUP2019-00318
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 11/21/2019
T I Ci g ID 13125 Parcel: 1 S 135AB01003
Jurisdiction: Tigard
Site address: 10300 SW GREENBURG RD 308
Project: Variant Subdivision: METZGER,TOWN OF Lot: 9
Project Description: Demolition,new walls,doors,relites,and casework.
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: 503-412-4844
FAX: 503-692-9008
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: DC Provision Review,COM TI-Ping 11/21/2019 $102.00
Occupancy Grp: Occupancy Load: Permit Fee-Additions,Alterations, 11/21/2019 $498.03
Demolition
Dwelling Units: 0 12%State Surcharge-Building 11/21/2019 $59.76
Stories: 0 Height: 0 ft Plan Review 11/21/2019 $323.72
Bedrooms: 0 Bathrooms: 0 Plan Review-Fire Life Safety 11/21/2019 $199.21
Value: $29,000 Address Fee-per lot/suite(up to first 20) 11/21/2019 $50.00
Info Process/Archiving-Lg$2.00(over 11/21/2019 $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 $1,240.72
Required: Required Items and Reports(Conditions)
Fire Sprinkler: 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-•••1 Y. ay o ' a copy of the rules or direct questions to OUNC by calli�: 503.232.1987 or 1.800.332.2344.
Issued By: / ` Permittee Signature: / •
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 th •roject.
Approved plans are required on the job site at the time of each inspection.
Building Permit Application
Commercial ® �-+ \ FOR OFFICE USE ONLY t
City of Tigard RECEI V Dai�Bya it 2f /c d P'r ,,,. of`2 Oo3l r
D
111 iii 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review % % `
Phone: 503.718.2439 Fax: 503.598.196(0 +Z `Z 19 Date/By: J J kor ' Other Permit:
TIGARD
Inspection Line: 503.639.4175 Date Ready/By: /� if �� Juris: H See Page 2 for
Internet: www.tigard-or.gov CITY OF TIGARD Notified/Methodff/ Supplemental Information
BUILDING DIVISION
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 ❑Other: equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
❑ 1-and 2-family dwelling ®Commercial/industrial Valuation: $
❑Accessory building 0 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.:308 Project name:Variant 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 include demolition,new walls,doors,relites,casework and finishes Valuation: $$0.00 �, 0
Existing building area: 2071 square feet
New building area: n/a square feet
® PROPERTY OWNER 0 TENANT Number of stories: 5
Name:Shorenstein Type of construction: I-B
Address:5335 Meadows Road,Suite 275 Occupancy groups:
City/State/ZIP:97035 Existing: B
Phone:(503)412-4844 Fax:( ) New: B
0 APPLICANT ® CONTACT PERSON BUILDING PERMIT FEES*
Business name:Mackenzie (Please refer m fee schedule)
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 PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
Commercial and residential prescriptive installation of
CONTRACTOR roof-top mounted Photo Voltaic 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 Avenue Solar Installation Specialty Code checklist.
City/State/ZIP:97062 Permit fee(includes plan review $180.00
and administrative fees):
Phone:(503)692-9002 Fax:( ) State surcharge(12%of permit fee): $21.60
CCB lic.:58918
Total fee due upon application: $201.60
Authorized signature: liPtC)154This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name:Kelly Battaglia Date:11-21-2019 * 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
INM COMMUNITY DEVELOPMENT DEPARTMENT
i
TIGARD Building Permit Review — Commercial - No Land Use
Building Permit #: 4 i i ..— 3
Site Address: 10300 S v GreL/lbaci a Suite/Bldg#: 7Cf
Project Name: V OLr'i&'*
(Name of commercial business occupying the space. If vacant,enter Spec Space.)
Planning Review�- (, f ( i
Proposal: 11, Cr t.tite•AS 4.4.64 itv 1,-,Iffy 1fS l It it C-4c.�,44-) lutiltii f cl A SkIJ
5
Existing Business Activity: 0.11.t
- Proposed Business Activity: °Wile-
Vyerify site address/suite# exists and active in permit system.
ver Terracc.Neighborhood: D Yes D/1\10
No
ITitoning: nu -.1J W ` :)141 s/v rt 1 I o Dar-4.1'
rmitted Use: es D No ❑ Spec Space
L' Confirm no land use required.
0.4Usiness License. ,
Exists: n Yes No,applicant was provided a business license application
Notes:
Approved by Planning: .2j (Io Date: 11-1,1-11
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: ' 6G 44( !6//
Site Plans: #
Building Plans: #
Building Permit#: 0. -nter building permit#above.
Workflow Routing: ►/ lanning �� tutor ► uilding
Workflow Sign-off: /1:!--Sign-off for anning(include notes from pl, ning review)
Route Application Documents: 'B„ilding: original permit application, site plans,building plans,engineer and
beam calculations and trust details,if applicable,etc.
Notes:
By Permit Technician: Date: ///24 4,
,,gtX: iS
I:\Bui Iding\Fonns\BldgPennitRvw_COM_NoLandUse_l 11819.docx
Permit Coordinator Review
❑ Conditions "Met"prior to issuance of building permit
❑ Approved, NOT Released: Date:
Notes:
Revisions (after Building Submittal onl,-
Revision Notice 1: Date - t to Applicant:
Revision Notice 2: D. - Sent to Applicant:
Revision Notice 3: •ate Sent to Applicant:
❑ SDC Fees Entered: Wash Co Trans Dev Tax: 0 Yes 0 N/A
Tigard Trans SDC: 0 Yes 0 N/A
Parks SDC: 0 Yes 0 N/A
❑ OK to I- ue Permit
Approved by Permit Coordinator: Date:
I:\Building\Forms\BldgPermitRvw_COM_N o Lan dUse_111819.docx
' City of Tigard • BUILDING DIVISION
IL 4
Over-The-Counter (OTC) Building & Fire Protection System Permit
1 1 G A R n Appointment Checklist
Permit Record#: SG(Pl J1 D
Contact Name: e�it l U r— l't/'GLr LtC>'tz-c Phone #: 1 J(16.(16. —,3 !.l
Business Name: zktoeGA'`vKLl•e. Appt. Date/Time: [//Z[//'! tD:I'o€ ,
Site Address: /03 00 SW fJ I2J
Cfrt6k. . Bldg/Suite #: 30r ok
Project Name: Vet r i a k,T— New Tenant? Cl Yes K No
Project Description: jjel~filYcikt H r / (i,'C /is /lj/'S i ye. " , 4-- '
«, e*/'_ .
Existing Use: 1 New Use: 6
MMD Required: El Yes ❑ No Related Record#:
APPLICATION SPECIFIC INFORMATION
GENERAL INFORMATION \-_
Class of Work: %13
Occupancy Group: PI Type of Construction: ji�
Type of Use: Occupancy Load: a) Oregon Specialty Code: JAI
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: a...O 1 ) 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: hlO 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: $ 2'j, 7.q7 FEES DUE
$ v - DC Prov Rvw,COM TI-Ping
$ ' 1 ,0 Permit Fee-Add,Alt,Demo
DC Provision Review Fee for COM TI-Effective 7/1/2019 $ (p 12%State Surcharge
Project Valuation $ _ Plan Review,Structural
Up to$4,999 $0.00 $ "L'� Plan Review,Fire Life Safety
$5,000-$74,999 $102.00 $ i Info Proc/Arch,Lg(over 11x17$2.00)
$75,000-$149,999 $254.00 $ Info Proc/Arch,Sm(up to 11x17$0.50)
$150,000 and over $406.00 $ Metro Construction Excise Tax
$ School Construction Excise Tax
$ Hourly Rate Fee
$ Hourly Rate State Surcharge
$ Misc.Admin Fee
$ 5 ` " Other: 1..-494--c.),) 1---e.,.._
Building
G.-
Building Staff: $ Other:
Date/Time: $ J a_9 7a TOTAL FEES DUE
I:\Building\Forms\OTC_BUP_FPS_070119.docx
•
Julie Drinkwater
From: Julie Drinkwater
Sent: Thursday, November 14, 2019 1:10 PM
To: 'Chloe A. Kirchhofer'
Cc: Lindsey Carpenter; Kelly Battaglia; #Building Permit Technicians
Subject: RE: 10300 1. Lincoln - Suite 308/Variant TI - OTC Request
Hello Chloe
I have scheduled the OTC for Thursday, November 21, at 10:00am.
We look forward to seeing you then.
Thank you
Julie Drinkwater
Permit Technician
City of Tigard Building Department
13125 SW Hall Blvd
Tigard, OR 97223
503-718-2804
From: Chloe A. Kirchhofer [mailto:CKirchhofer@mcknze.com]
Sent:Thursday, November 14, 2019 11:36 AM
To:Julie Drinkwater<JulieD@tigard-or.gov>
Cc: Lindsey Carpenter<LCarpenter@mcknze.com>; Kelly Battaglia <KBattaglia@mcknze.com>; #Building Permit
Technicians<TigardBuildingPermits@tigard-or.gov>
Subject: RE: 10300 1 Lincoln-Suite 308/Variant TI -OTC Request
.... .. .... ..._
Caution! This message was sent from outside your organization. Allow sender I Block sender
Hi Julie,
Please put us down for 10am on November 21ST
Thanks!
Chloe Kirchhofer
D 971.346.3792
Mackenzie Email Disclaimer
From:Julie Drinkwater<JulieD@tigard-or.gov>
Sent:Thursday, November 14, 2019 10:48 AM
To: Chloe A. Kirchhofer<CKirchhofer@mcknze.com>
Cc: Lindsey Carpenter<LCarpenter@mcknze.com>; Kelly Battaglia <KBattaglia@mcknze.com>; #Building Permit
1
Front1 DSTS
Subject: Chloe Kirchhofer, Mackenzie, 971-346-3792, 10300 SW Greenburg
Location: CR 3 Permit Center
Start: Thu 11/21/2019 10:00 AM
End: Thu 11/21/2019 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
SCOPE OF WORK: Demolition, new walls, doors, relites, and cabinetry.
TENANT NAME:Variant
EXISTING USE: B
NEW USE: B
1