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Permit CITY OF TIGARD BUILDING PERMIT COMMUNITY DEVELOPMENT Permit #: BUP2011 -00116 TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 06/09/2011 Parcel: 1S135AB01003 Jurisdiction: Tigard Site address: 10300 SW GREENBURG RD 400 Project: Kforce Subdivision: ASHBROOK FARM Lot: PTS 1, 2 Project Description: TI Contractor: RUSSELL CONSTRUCTION INC Owner: LINCOLN CENTER LLC 20915 SW 105TH AVE BY SHORENSTEIN PROPERTIES LLC TUALATIN, OR 97062 555 CALIFORNIA ST 49TH FL SAN FRANCISCO, CA 94104 PHONE: 503 - 228 -4898 PHONE: FAX: 503 - 228 -2770 FEES Specifics: Description Date Amount Type of Use: COM DC Provision Review, COM TI - Ping 06/09/2011 $64.00 Class of Work: ALT DC Provision Review, COM TI - LRP 06/09/2011 $9.00 Dwelling Units: 0 Permit Fee - Additions, Alterations, 06/09/2011 $819.81 Stories: 5 Height: 0 ft Demolition Bedrooms: 0 Bathrooms: 0 12% State Surcharge - Building 06/09/2011 $98.38 Value: $61,109 Plan Review 06/09/2011 $532.88 Plan Review - Fire Life Safety 06/09/2011 $327.92 Info Process /Archiving - Lg Sheet (over 06/09/2011 $8.00 Floor Areas: 11x17) Total Area: 0 Accessory Struct: 0 Basement: 0 Carport: 0 Covered Porch: 0 Deck: 0 Garage: 0 Mezzanine: 0 Total $1,859.99 Required: Required Items and Reports (Conditions) Fire Sprinkler: No Parapet: Fire Alarm: Yes 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 - - - • - • e 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. • ' ENTION: Ore.: law re.uires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952 -0e -0010 through OAR 9 •-0. -11091 •u may obtain a copy of the rules or direct questions to OUNC by calling 503. .19 7 or 1.800.332.2344. Issue By: ' OGAAEk Permittee Signature: Call 503.639.4175 by 7:00 a.m. for the next available inspection date. 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 Co mmercial T � FOR OFFICE USE ONLY City of Tigard R CEIVED Date/B tl `7 ` � � Permit No.: / (( t � �fJ /t / :/ ° 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review` ' • Phone: 503.639.4171 Fax: 503.598.1 J I t l Date/B : �� te Other Permit: T[ G A R Inspection Line: 503.639.4175 ll' V 9 2 01 i Date Ready /By. Juris: See Page 2 for Notitied/Method: Supplemental Information Internet: www.tigard or.gov , CITY OF TIGARD TYPE OF WV�li1 ft INU 1)1 VISION 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: $ Z Commercial /industrial ❑ 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.: 400 Project name: Kforce 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: $$61,109.00 • Existing building area: 2,773 square feet New building area: square feet ® PROPERTY OWNER ❑ TENANT Number of stories: 5 Name: Shorenstein Realty Services Type of construction: H -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, AIA 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: 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: 6/9/2011 * Fee methodology set by Tri- County Building industry Service Board. C \Building\Permits \BUP -COM PermitApp.doc 10/01/09 440- 4613T(11/02/COM /WEB) • 1111 211( Building Division 4 Development Code Provision Review T CGARD Commercial Projects - No Associated Land Use Case Building Permit No: �L& PAD (1 '-e0 / / Ca ❑ Expedited Review Plan Submittal Date: OW f // To the Applicant: ➢ If the proposed use is not permitted within the zone, please contact the Building Division to cancel the permit application. Building Permit Technicians (503) 718 -2439. ➢ If a land use is required and for all other questions, please contact the staff person listed above the Planning Review section. Staff: please check items along left only if approved. Planning Review (contact 30170 Rye/ at 503-718-2 ' 503-718-2 VoL5 or ja 4, )zi @ti - or. ❑ Zoning /',E- / Permitted Use Yes No ❑ ❑ Land Use Required: Yes ❑ No E (explain below) Notes: /Jd G (4 ✓ e /in (/5 e L'1 Approved ❑ Not Approved Date: I, ° Permit Coordinator Review (contact Albert Shields at 503 - 718 -2426 or albert @tigard - or.gov) Notes: Routed back to Building Division Date: L \CURPLN il 1, . Building Division . Over- The - Counter (OTC) Building Permit TIGARD Check List Project Description: M A. APPLICATION SPECIFIC INFORMATION GENERAL INFORMATION , *Class of Work: Occupancy Group: - Type of Construction: *Type of Use: Occupancy Load: �! j Oregon Specialty Code: ZO 1 ( 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: 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 00 Fire Sprinklers: Fire Alarms: Smoke Detectors: Parapet: Manual Pull Stations: Protected Corridors: Total Project Valuation: $ (‘0( ) (( ,. CO FEES DUE $ (24., DC Prov Rvw, COM TI — Ping $ ' DC Prov Rvw, COM TI — LRP DC Provision Review Fee for COM TI $ f , " ( Permit Fee — Add, Alt, Demo Project Valuation Planning LRP $ ° I j , r 12% State Surcharge Up to $4,999 • $0.00 $0.00 $ 5 j2, Plan Review, Structural $5,000 - $74,999 $64.00 $9.00 $ '32.77 -.`� Plan Review, Fire Life Safety $75,000 - $149,999 $160.00 $24.00 $ 1, S, en Info Proc /Arch, Lg (over 11x17 $2.00) $150,000 and over $256.00 $38.00 $ Info Proc /Arch, Sm (up to 11x17 $0.50) $ Metro Construction Excise Tax $ School Construction Excise Tax $ Hourly Rate Fee Planning Staff: $ Hourly Rate State Surcharge $ Misc. Admin Fee Permit Coordinator: $ Other: $ Other: Building Staff: $ Other: Date /Time: $ 185 / ` C OTOTAL 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.docx 01/13/2011 .