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Permit F , a n CITY OF TIGARD BUILDING PERMIT ` II : COMMUNITY DEVELOPMENT Permit #: BUP2010 00143 1.4 :` Date Issued: 06/22/2010 TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Parcel: 1S135AB01003 Jurisdiction: Tigard Site address: 10300 SW GREENBURG RD 410 Subdivision: LINCOLN ONE Lot: 0 Project: Buckendorf Project Description: TI Owner: FEES LINCOLN CENTER LLC Description Date Amount BY SHORENSTEIN PROPERTIES LLC, 555 Permit Fee - Additions, Alterations, 06/22/2010 $393.11 CALIFORNIA ST 49TH FL Demolition PHONE: 12% State Surcharge - Building 06/22/2010 $47.17 Plan Review 06/22/2010 $255.52 Plan Review - Fire Life Safety 06/22/2010 $157.24 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: 5 Height: 0 ft Bedrooms: 0 Bathrooms: 0 Value: $20,614 Floor Areas: Total Area: 0 Accessory Struct: 0 Basement: 0 Carport: 0 Covered Porch: 0 Deck: 0 Garage: 0 Mezzanine: 0 Total $853.04 Requ Required Items and Reports (Conditions) Fire Sprinkler: No 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 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 952-001-0100. You may obtain a co f tha rules or direct questions to OUNC by calling 546.6699 or 1.800.332.2344. Issued By: fl " ' G Permittee Signature: �`� all 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. Building Permit Application Commercial �� ' FOR OFFICE IC is EESE;ONLY. '. City of Tigard 9�0�0 Da e/B : (P a v (0 I 3 Permit No.: t ° —co lq q 13125 SW Hall Blvd., Tigard, OR 9 2. Plan Review r - Phone: 503.639.4171 Fax: 503.598.960 \• r i\ Other Permit: I'.I G A K i3 Inspection Line: 503.639 J �� y�`j'VV Date Ready/ l._;yk EI See Page 2 for Internet: www.tigard- or.gov r \ � �� Notified/Method: 1 .J,t`D Supplemental Information TYPE OF WORI jP" 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. ❑ 1- and 2- family dwelling ® CommerciaUindustrial 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: 1 Lincoln - 10300 SW Greenburg Road New dwelling area: square feet City /State/ZIP: 97224 Garage/carport area: square feet Suite/bldg. /apt. no.: 410 Project name: Buckendorf 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: $20,614 Existing building area: 1,156 square feet New building area: square feet ® PROPERTY OWNER I ❑ TENANT Number of stories: 4) 5 Name: Shorenstein Realty Services Type of construction: II -B 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 SW 105 Avenue (Please refer tojeeschedule) 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: MA.. Amount received: 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, AIA Date: 6/21 /2010 * Fee methodology set by Tri- County Building Industry . Service Board. 1:\Building\Permits'BUP -COM PermitApp.doc 10/01/09 440- 4613T(I I /02 /COM/WEB) • • Building Division Accessibility: Barrier Removal Improvement Plan T1GARD;. REQUIREMENT: OREGON REVISED STATUTE (ORS) 447.241. (1) Every project for renovation, alteration or modification to affected buildings and related facilities shall be made to insure that the path of travel to the altered area and the restroom, telephones and drinking fountains are readily accessible to individuals with disabilities unless such alterations are disproportionate to the overall alterations in terms of cost and scope. (2) Alterations made to the path of travel to an altered area may be deemed disproportionate to the overall alteration when the cost exceeds twenty-five per -cent (25 %). VALUATION: Total of all renovation, alteration or modification being done, excluding painting and wallpapering: [1] $ 20,614 MULTIPLIER (25% barrier removal requirement): x .25 TOTAL BUDGET FOR BARRIER REMOVAL: [2] $ 5,154 ELEMENTS: In choosing which accessible elements to provide under this section, priority shall be given to those elements that will provide the greatest access. Elements shall be provided in the following order: (a) Parking $ (b) An accessible entrance: $ (c) An accessible route to the altered area: $ (d) At least one accessible restroom for each sex or a single unisex restroom: $ (e) Accessible telephones: $ (f) Accessible drinking fountains: and, $ (g) When possible, additional accessible elements such as storage and alarms: $ TOTAL (shall equal line [2] of Valuation Computation): $ N 0 5A- is EXI ST l:\ Building\ Permits \BUP -COM PcrmitApp.doc 06 /25/08 • Building Division .. IN q Over =The- Counter (OTC) Building Permit T i c A li Check List Description of Project: GENERAL INFORMATION Class of Work:* Floor Areas (sq. ft.): Exterior Wall Construction: Type of Use:* First floor: N: S: Type of Construction: 2 Second floor: E: W: Occupancy Group: 13 Third floor: Openings Protected Y /N ?: Occupancy Load: 17 Total sq ft.: N: S: Stories: Note: Combine total floor area for E: E: Height: all floors above third floor and Roof Construction: Floor Load: add to the third floor s.. ft. Fire Retardant: Basement: Basement: Area Separation Rated: Mezzanine: Garage: Occu. Separation Rated: • • REQUIRED ITEMS Fire sprinkler: Handicap access: Smoke detector: Protected corridors: ( 1 9 �'-S Fire alarm: 1 Parking spaces ( #): Notes: • Total Valuation: $ 2© f . INSPECTIONS FEES D.UE Footing /foundation Firewall $ d ,,, jd e) Permit Fee , 13 , t 1 Post /beam structural Smoke detector $ I v: � �5 State Surcharge Shear wall Misc. inspection $ Z :'sari► Plan Review Fee Masonry Approach /sidewalk $ /17 1 , �, FLS Plan Review Fee Framing $ Additional Permit Fee Insulation Sprinkler rough -in $ Additional Plan Review Fee Gyp board Fire alarm $ Metro Construction Excise Tax Suspended ceiling Sprinkler final $ School Construction Excise Tax Final inspection $ Misc. Fee $ Hourly Rate Fee $ Hourly Rate State Surcharge $ Other: $ , • Total Fees Due — 153,6' *OPTIONS: TYPE OF USE: COM = commercial; CMS = commercial, manufactured structure. CLASS OF WORK ACS = accessory; ADD = addition; ALT = alteration; FND = foundation; DEM = demo; • FND = foundation ;. FPS fire protection system; NEW = new; OTR = other (use for fences, decks retaining walls, signs, awnings or canopies); REP = repair. I: \Building \Forms \OTC - BUP.doc 08/19/08