Permit Er CITY OF TIGARD BUILDING PERMIT
COMMUNITY DEVELOPMENT Permit #: BUP2010 -00248
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 12/03/2010
Parcel: 1S135AB00900
Jurisdiction: Tigard
Site address: 10200 SW GREENBURG RD 360
Project: Ameriprise Subdivision: LINCOLN CENTER /FIVE LINCOLN Lot: 0
Project Description: TI (6458 sq ft)
Contractor: WALSH CONSTRUCTION CO /OREGON Owner: LINCOLN CENTER LLC
2905 SW 1ST AVE BY SHORENSTEIN PROPERTIES LLC
PORTLAND, OR 97201 555 CALIFORNIA ST 49TH FL
SAN FRANCISCO, CA 94104
PHONE: 503 - 222 -4375 PHONE:
FAX: 503 - 274 -7676
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee - Additions, Alterations, 12/03/2010 $1,426.07
Class of Work: ALT Demolition
Dwelling Units: 0 12% State Surcharge - Building 12/03/2010 $171.13
Stories: 0 Height: 0 ft Plan Review 11/10/2010 $926.95
Bedrooms: 0 Bathrooms: 0 Plan Review - Fire Life Safety 11/10/2010 $570.43
Value: $152,314 Metro Const. Excise Tax - Commercial 12/03/2010 $182.78
Use
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $3,277,36
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 ac • •- -- with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is susp - nded for more the 180
days. ATV TION: Orego aw requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rul -. are set forth in OAR
952- 001 - 5010 through OAR 952 -1 •1•1 Y. may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.801.332.
Issued By: / Permittee Signature:
CaII 503.639.4175 by 7:00 a.m. for the next available inspection d te.
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.
m ilding Permit Application
Commercial
, .
RECEtVE ' FOR OFFICE USE ONLY
City of Tigard Received // o� �� �Q Permit No.:
V 10 2010 , o i —�
° 13125 SW Hall Blvd. Tigard OR 97 Plan Review _ '�
' Phone: 503.639.4171 Fax: 503.598.1960 Date/13 : ' Other Permit:
t C
T I GA It D Inspection Line: 503.639.4175 CITY OF TIGARD Date Ready /B
El y: Page 2 for
Internet: www.tigard-or.gov BUILDING DIVISION Notified/Method: , /t) f� Supplemental Information
- L-w) 'frig Ye
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 ❑ Commercial /industrial Valuation: $
❑ Accessory building ❑ Multi - family Number of bedrooms:
❑ Master builder iii Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: ) 2040 ,,.,4 A 1ZL 1'a u t., New dwelling area square feet
City /State /ZIP: ... PORT-U/0 ja 0,2 q •4. 2 2 `; Garage /carport area: square feet
Suite/bldg. /apt. no.: - 3 e,_,,� Project name: AM e-/z. pie: s,..- F,`,_)!41✓t-.•4 L Covered porch area: square feet
Cross street/directions to job site: 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.
`EA . g,` %,, ^ \A/ AiI -5 Z1 17)4;e4-1` Valuation: $ �' . 1' (
Existing building area: Y.7., square feet
New building area: square feet
PROPERTY OWNER ❑ TENANT Number of stories:
Name: . /.1-64 .. 6.:- / 0 '7--e ) lr. Type of construction:
Address: Occupancy groups:
City /State /ZIP: Existing:
Phone: ( ) Fax: ( ) New:
❑ APPLICANT ❑ CONTACT PERSON NOTICE
Business name: All contractors and subcontractors are required to be
Contact name: licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address: jurisdiction in which work is being performed. If the
City /State /ZIP: applicant is exempt from licensing, the following re tons
apply:
Phone: ( ) Fax: : ( )
E -mail:
CONTRACTOR
Business name: \,", A (:S l._ ( ,04.! S ) fl v 4,; J O'() BUILDING PERMIT FEES*
,qcN- r • +_} �' .‘,,,it �` (Please refer tojeeschedule)
Address:
e L'f i G L T r� '.
City /State /ZIP: V Structural plan review fee (or deposit): 7A�f • 7 J
G ` � � Z I FLS plan review fee (if applicable): 510 , 4/3
Phone: (, 3) -20c,„ - 2 ,, I Fax: ( ) A
I e j Z � Total fees due upon application: 4 i 9 ? 57
L
CCB lie.: C Amount received:
Authorized signature: d C.7,.. This permit application expires if a permit is not obtained
w ithin 180 days after it has been accepted as complete.
Print name: f 1 f ^eyj Date: it I 0 (i 0 * 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
Accessibility: Barrier Removal Improvement Plan
TIGARD
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] $
MULTIPLIER (25% barrier removal requirement): x .25
TOTAL BUDGET FOR BARRIER REMOVAL: [2] $
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): $
L \ Building \ Permits \BUY -COM PermitApp.doc 06 /25/08