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 .