Permit l CITY OF TIGARD
BUILDING PERMIT
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pf » COMMUNITY DEVELOPMENT Permit #: BUP2010 -00072
T [ G�hRD, 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 04/08/2010
Parcel: 1 S 135AB03400
Jurisdiction: Tigard
Site address: 10260 SW GREENBURG RD 350
Subdivision: LINCOLN TOWER Lot: 0
Project: CleanNet
Project Description: Tl
Owner: FEES
LINCOLN CENTER LLC Description Date Amount
BY SHORENSTEIN PROPERTIES LLC, 555 Permit Fee - Additions, Alterations, 04/08/2010 $241.01
CALIFORNIA ST 49TH FL Demolition
PHONE: 503 - 619 -3200 12% State Surcharge - Building 04/08/2010 $28.92
Plan Review 04/08/2010 $156.66
Plan Review - Fire Life Safety 04/08/2010 $96.40
Contractor:
RUSSELL CONSTRUCTION INC
20915 SW 105TH AVE
TUALATIN, OR 97062
PHONE: 503 - 228 -4898
FAX: 503 - 228 -2770
Specifics:
Type of Use: COM
Class of Work: ALT
Dwelling Units: 0
Stories: 12 Height: 0 ft
Bedrooms: 0 Bathrooms: 0
Value: $10,782
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $522.99
Required: Required Items and Reports (Conditions)
Fire Sprinkler: Yes Parapet:
Fire Alarm: Yes Protected Corridors: Yes
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 i suspended for more the 180
days. ATT • • •regon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rule = s t forth in OAR
952- 001 - %010 through •'AR 952 -r • -010r. You may obtain a copy of the rules or direct questions to OUNC by calling 503.2 • •: •l 1.800.332.2344.
Issued : / 1 2..likJ Permittee Signature:
CaII 503.639.4175 by 7:00 a.m. for an inspection that business day.
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.
iThll Permit Application
Commercial I t)Il t)1 I Ic l:��ltil ONI y , _ � ,
City f Ti and R IV � Received �j / la P
y g DateDate/8 O tO l � Permit 4 N •• 67 , 60 -
q 13125 SW Hall Blvd., Tigard, OR 97223 pp QQ Plan Review ,�
U PI
C '.; Phone: 503.639.4171 Fax: 503.598.196Ar ®'v 2 10
Date/B : ,j Q Other Permit:
91 G AIt D Inspection Line: 503.639.4175 Date Ready /By: Juris: ® See Page 2 for
arr^ Internet: www.tigard - or.gov CITY OF TIGARD Notified/Method: Supplemental Information
BUILDING DIVISION
TYPE OF WORK REQUIRED DATA: 1- AND 2- FAMILY DWELLING
•
❑ New construction ❑ 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.
❑ I- and 2- family dwelling ® Commercial /industrial Valuation: $
❑ Accessory building ❑ Multi - family Number of bedrooms:
❑ Master builder ❑ Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: Lincoln Tower - 10260 SW Greenburg Road New dwelling area: square feet
City /State/ZIP: 97224 Garage/carport area: square feet
Suite/bldg. /apt. no.: 350 Project name: CleanNet Covered porch area: square feet
Cross street/directions to job site: SW Locust Street Deck area: square feet
Other structure area: square feet
REQUIRED DATA: COMMERCIAL -USE CHECKLIST
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
DESCRIPTION OF WORK work indicated on this application.
Valuation: $10,782.00
Existing building area: 1,267 square feet
New building area: square feet
® PROPERTY OWNER ❑ TENANT Number of stories: 12
Name: Shorenstein Realty Services Type of construction:
Address: 5335 Meadows Road, Suite 300 Occupancy groups:
City /State/ZIP: Lake Oswego, Oregon 97035 Existing: B
Phone: (503)619 -3200 Fax: (503)619 -3210 New: B
® APPLICANT ❑ CONTACT PERSON NOTICE
Business name: GBD ARCHITECTS All contractors and subcontractors are required to be
Contact name: Whit Middlecoff licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address: 1120 NW Couch Street, Suite 300 jurisdiction in which work is being performed. If the
City / State/ZIP: Portland, Oregon 97209 applicant is exempt from licensing, the following reasons
apply:
Phone: (503) 224 -9656 Fax: : (503) 299-6273
E -mail: whit @gbdarchitects.com
CONTRACTOR
Business name: Russell Construction BUILDING PERMIT FEES*
Address: 20915 S W 105 Avenue (Please refer to fee schedule)
Structural plan review fee (or deposit):
City / State/ZIP: Tualatin, Oregon 97062 -9511
Phone: (503) 228 -3413 Fax: (503) 228 -2770 FLS plan review fee (if applicable):
CCB lic.: 58918 Total fees due upon application: ,�f
Amount received: 1952 • 9?
Authorized signature: This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: Whit Middlecoff, ALA Date: 3/12/2010 * Fee methodology set by Tri- County Building Industry
Service Board.
I: \Building\Petmits\BUP -COM PermitApp.doc 10/01/09 440- 4613T(1 I /02 /COM/WEB)