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Permit I , q CITY OF TIGARD BUILDING PERMIT IIIs COMMUNITY DEVELOPMENT Permit#: BUP2014-00225 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 10/02/2014 Parcel: 1 S135AB00900 Jurisdiction: Tigard Site address: 10200 SW GREENBURG RD 110 Project: Fidelity National Title Subdivision: METZGER,TOWN OF Lot: 9 Project Description: TI for existing tenant. Adding a partition and door. 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 Specifics: FEES Description Date Amount Type of Use: COM Class of Work: ALT Type of Const: IIB DC Provision Review,COM TI-Ping 10/02/2014 $75.00 Occupancy Grp: B Occupancy Load: 39 DC Provision Review,COM TI-LRP 10/02/2014 $11.00 12%State Surcharge-Building 10/02/2014 $79.60 Dwelling Units: 0 Plan Review 10/02/2014 $431.16 Stories: 7 Height: 0 ft Plan Review-Fire Life Safety 10/02/2014 $265.33 Bedrooms: 0 Bathrooms: 0 Info Process/Archiving-Lg$2.00(over 10/02/2014 $8.00 Value: $43,600 11x17) Permit Fee-Additions,Alterations, 10/02/2014 $663.33 Demolition Floor Areas: Total Area: 0 Accessory Struct: 0 Basement: 0 Carport: 0 Covered Porch: 0 Deck: 0 Garage: 0 Mezzanine: 0 Total $1,533.42 Required: Required Items and Reports(Conditions) Fire Sprinkler: Yes Parapet: Fire Alarm: 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 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 Notificatii Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 90383 87 or 1.800.332.2344. Issued By: •ermittee Signature: q %� al 13.639.4175 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 Commercial FOR OFFICE USE ONLY Received /'? City of Tigard ('��``v�l Plan Review !v Permit No.: I / • /�'A 13125 SW Hall Blvd.,Tigard,OR 1V Plan B : �-� ©� Other Permit: Phone: 503.639.4171 Fax: 503. DateB : 1 0 TI C;A R D Inspection Line: 503.639.4175 Date Ready 65 See Page 2 for Internet: www.tigard-or.gov Or j 2 2014 Notified/Method: !- Supplemental Information TYPE OFD REQUIRED DATA:1-AND 2-FAMILY DWELLING ❑New construction p++tt® i t Permit fees*are based on the value of the work performed. Dv 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 ® m Comercial/industrial 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:S Lincoln-10200 SW Greenburg Road New dwelling area: square feet City/State/ZIP:97224 Garage/carport area: square feet Suite/bldg./apt.no.:110 Project name:Fidelity Title 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: $$43,600.00 TX Ckj1`v5 «6- ,r Existing building area: 3909 square feet New building area: square feet ® PROPERTY OWNER ❑ TENANT Number of stories: 7 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 g� 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:Walsh Construction BUILDING PERMIT FEES* Address:2905 SW Fast Avenue (Please refer toJee schedule) City/State/ZIP:Portland,Oregon 97201 Structural plan review fee(or deposit): Phone:(503)519-0045 Fax:(503)229-0448 FLS plan review fee(if applicable): CCB lic.:147267 J-it— Tot al fees due upon application: Amount received: Authorized signature: s 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: 10/02/2014 * Fee methodology set by Tri-County Building Industry Service Board. I:\Building\Permits\BUP-COM PermitApp.doc 10/01/09 440-4613T(1 I/02/COM/WEB) City of Tigard Ili COMMUNITY DEVELOPMENT DEPARTMENT ■ r G n�� Building Permit Review — Commercial - No Land Use Building Permit #: Awodo i--W9.01.5 Site Address: 10200 SA1 Gre. nbu.rj Rd. Suite/Bldg#: 110 Project Name: Fiderfy Title. (Name of coimmercial business occupying the space. If vacant,enter Spec Space.) Planning Review ^ �, Proposal: T( -For ex I s !ns -Ina,r��• i n3 a pc +rhon and a door. Existing Business Activity: office_ Proposed Business Activity: f j Ce., VVerify site address/suite #exists and active in permit system. I1 Zoning: MUE-1. ',Permitted Use: ❑ Yes ❑ No ❑ Spec Space IM Confirm no land use required. Notes: no expvRion Or akan3t, ii) A.0 Hvey Jl Jt Approved by Planning: /y/ // Date: 16/211 q Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved Building Permit Submittal Original Submittal Date: / Plans: #/ it /y /} Building Plans: I� Building Permit#: re�'E Wi�nter building permit#above. Workflow Routing: Ird"l'1 ' g ❑ Permit Coordinator Iuilding Workflow Sign-off: S4� ign f for Planning(include notes from planning review) Route Application Documents: g: original permit application, site plans,building plans,engineer and beam calculations and trust details,if applicable,etc. Notes: By Permit Technician: lDate: /(142//(7 I:\Building\Forms\BldgPermitRvw_COM_NoL andUse_071 5 14.docx Permit Coordinator Review ❑ Conditions Met- Prior to Issuance of Building Permit Notes: Revisions (after Building Submittal only) Revision Notice 1: Date Sent to Applicant: Revision Notice 2: Date Sent to Applicant: Revision Notice 3: Date Sent to Applicant: ❑ OK to Issue Permit Approved by Permit Coordinator: Date: L\Building\Forms'B IdgPermitRvw_COM_NoLandUse_071514.docx P P . Building Division Over-The-Counter (OTC) Building Permit 7iGniiu Check List Project Description: -1---( APPLICATION SPECIFIC INFORMATION GENERAL INFORMATION Class of Work*: k l Occupancy Group: Type of Construction: 20 Type of Use**: Occupancy Load: t Oregon Specialty Code: A— 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: 5: Occupancy Separation: E: W: E: W: _ _ Access.Parking Spaces: REQUIRED ITEMS Fire Sprinklers: (-1, ) Fire Alarms: Smoke Detectors: Sprinkler Type: Alarm Type: Protected Corridors: Standpipe Required: Pull Stations Required: Parapet: Hazard Group: Battery Calcs Provided: Density: Cut Sheets Provided: Design Area: K Factor: Total Project Valuation: $.4.- 1 X00, I FEES DUE $ 7-7 M1 DCProvRvw,COMTI—Ping $ do go DC Prov Rvw,COM TI—LRP DC Provision Review Fee for COM TI(effective 7/1/2014) $ _ _ Permit Fee—Add,Alt,Demo Project Valuation Planning LRP $ ,, , • 12%State Surcharge Up to$4,999 $0.00 $0.00 $ • , I Plan Review,Structural $5,000-$74,999 $75.00 $11.00 $ -26,, ,.7 Plan Review,Fire Life Safety $75,000-$149,999 $187.00 $28.00 $ Info Proc/Arch,Lg(over 11x17$2.00) $150,000 and over $299.00 $44.00 $ Info Proc/Arch,Sm(up to 11x17$0.50) $ Metro Construction Excise Tax $ School Construction Excise Tax $ Hourly Rate Fee $ Hourly Rate State Surcharge $ Misc.Admin Fee $ Other: $ Other: Building Staff: $ Other: Date/Time: $ (1)3 , TOTAL FEES DUE *TYPE OF USE: COM=commercial;CMS=commercial manufactured structure. **CLASS OF WORK ACS=accessory;ADD=addition;ADU=accessory dwelling unit;ALT=alteration;DEM=demo;NEW=new; OTIR=other(use for fences,decks,retaining walls,signs,awnings or canopies). I:\Building\Forms\OTC_BUP_070114.docx Location: Record Type: Inspection Type: Result: Comments: Inspection Date: Record ID: Inspector: City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 10200 SW GREENBURG RD 110, TIGARD, OR, 97223 Commercial - Building 299 Final inspection PASS - No C of O BUP2014-00225 Jeff Grove Violation Summary: Inspector Contractor