Permit i l l q CITY OF TIGARD BUILDING PERMIT
11 ',.• COMMUNITY DEVELOPMENT Permit #: BUP2010 -00190
T I GA 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 08/12/2010
D
Parcel: 1S135AB01002
135AB01002
Jurisdiction: Tigard
Site address: 10220 SW GREENBURG RD 125
Subdivision: LINCOLN THREE Lot: 0
Project: Hood River Distillers
Project Description: TI
Owner: FEES
LINCOLN CENTER LLC Description Date Amount
BY SHORENSTEIN PROPERTIES LLC, 555 Permit Fee - Additions, Alterations, 08/12/2010 $834.87
CALIFORNIA ST 49TH FL Demolition
PHONE: 12% State Surcharge - Building 08/12/2010 $100.18
Plan Review 08/12/2010 $542.67
Plan Review - Fire Life Safety 08/12/2010 $333.95
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: 6 Height: 0 ft
Bedrooms: 0 Bathrooms: 0
Value: $63,220
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $1,811.67
Required: Required Items and Reports (Conditions)
Fire Sprinkler: Yes Parapet:
Fire Alarm: Yes Protected Corridors: No
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 rule et forth in OAR
952- 001 -0010 through OAR 952 - 001 -0100. You ma obtain a co. • T) -s_or direct questions to OUNC by calling 503 4 1 00.332.2344.
Issued By: y � /�� �J PermitteeSignature: '
i�!:''k'� 9.4175 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 I UR Ol lICl: USE ONLY
City of Tigard Received
s _ Permit No.:
° 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review " o
Phone: 503.639.4171 Fax: 503.598.1960 DateB : h a NM Other Permit:
T I G A K D Inspection Line: 503.639.4175 Date Rea .
y: ® See Page 2 for
Internet: www.tigard- or.gov Notified/Method: M Supplementallnformation
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.
❑ 1- and 2- family dwelling Valuation: $
® Commercial/industrial
El 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: 3 Lincoln - 10220 SW Greenburg Road New dwelling area: square feet
City /State/ZIP: 97224 Garage/carport area: square feet
Suite/bldg. /apt. no.: 125 I Project name: Hood River Distillers 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.
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.
Valuation: $$63,220.00
Existing building area: 3,811 square feet
New building area: square feet
® PROPERTY OWNER I ❑ TENANT Number of stories: 6
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 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:
Amount received:
Authorized signature: PA---- 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: 08/09/2010 * Fee methodology set by Tri- County Building Industry
Service Board.
I:\Building\Permits\BUP -COM PermitApp.doc 10/01/09 440- 4613T(11 /02/COM/WEB)
° Building Division
Over- The - Counter (OTC) Building Permit
r r c n R Check List
Description of Project: T( •
GENERAL INFORMATION
Class of Work :* ALT - Floor Areas (sq. ft.): Exterior Wall Construction:
Type of Use:* CaNt First floor: N: S:
Type of Construction: 7-0 Second floor. E: W:
Occupancy Group: floor: Openings Protected Y /N ?:
Occupancy Load: 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: ' On
Fire alarm: ti Parking spaces ( #):
Notes:
. Total Valuation: $ 63 22C),
INSPECTIONS FEES DUE
Footing /foundation Firewall $ 634., p Permit Fee
Post /beam structural Smoke detector $ OD i State Surcharge
Shear wall Misc. inspection $ --aTiffi Plan Review Fee
Masonry Approach /sidewalk $ p Wg 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:
$ 1A11 , t„,7 Total Fees Due
*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