Permit rWAIMIA -� CITY OF TIGARD
BUILDING PERMIT
COMMUNITY DEVELOPMENT Permit #: BUP2009 -00199
1 3125 SW Hall Blvd., Ti Date Issued: 11/04/2009
� and OR 97223 503.639.4171 9
t ,1tY: Parcel: 1S135AB01003
Jurisdiction: Tigard
Site address: 10300 SW GREENBURG RD 470
Subdivision: Lot: 0
Project: Spec Space
Project Description: TI
Owner: FEES
LINCOLN CENTER LLC Description Date Amount
BY SHORENSTEIN PROPERTIES LLC, 555 Permit Fee - Additions, Alterations, 11/04/2009 $393.11
CALIFORNIA ST 49TH FL Demolition
PHONE: 12% State Surcharge - Building 11/04/2009 $47.17
Plan Review 10/29/2009 $255.52
Plan Review - Fire Life Safety 10/29/2009 $157.24
Contractor:
RUSSELL CONSTRUCTION INC
20915 SW 105TH AVE
TUALATIN, OR 97062
PHONE: 503 - 228 -4898
FAX: 503 - 228 -2770
Specifics:
Typo of Use: COM
Class of Work: ALT
Dwelling Units: 0
Stories: 0 Height: 0 ft
Bedrooms: 0 Bathrooms: 0
Value: $20,726
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mez.an:ne: 0
Total $853.04
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 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. ATTE . • .: - on law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952-001-:$10 through 0A' 952 - 001 -0100, You may obtain a copy of the rules or direct questions to OUNC by calling 50 • •.6699 •r 1800.332,2344.
Issue i By: Permittee Signature:
Call 503.639.4175 by 7:00 a.m. for an inspection that bu ay.
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.
j
Bu - 1ding Permit Application `EX Ph i - 4E
commercial ,r^" 3 y ' • FOH OFFIC1�.�JS�_ ON1.1 '
;, f City of Tigard Y % � y Da /0 R 9 o r L4,84709 0 17?
l � � Permit No.:
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° 1 31 25 SW Hall Blvd, Tigard, OR 9 23 C� 7* Plan R vi
a Phone: 503.639.4171 Fax: 503.598.1960 (, \ l ® Date/By: Other Permit:
T I G A R D Inspection Line: 503.639.4175 Date Ready/By: ® See Page Z far
et: www.dgard- or.gov �� p � `� 'P5i
n" Notified/Method: 11 '7U9 V21 '� C SiupplementaiInformatlon
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TYPE OF WO 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 ❑ Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address Greenburg Road New dwelling area: square feet
City/State/ZIP: Tigard, Oregon 97224 Garage/carport area: square feet
Suite/bldg. /apt. no.: 470 I Project name: 1 Lincoln; Lincoln Center 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.
Tenant Improvement Valuation: $20,726.00
Existing building area: 2,193 square feet
New building area: - square feet
® PROPERTY OWNER ❑ TENANT Number of stories: 5
Name: Shorenstein Realty Services Type of construction: II -FR
Address: 5335 Meadows Road, Suite 300 Occupancy groups:
City/State/ZIP: Lake Oswego, Oregon 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: John Efdman licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address: 1120 NW Couch St jurisdiction in which work is being performed. If the
City/State/ZIP: Portland, OR 97209 applicant is exempt from licensing, the following reasons
apply:
Phone: (503) 224 -9656 I Fax: : (503) 224 -6273
E -mail:
CONTRACTOR
Business name: Russell Construction BUILDING PERMIT FEES* •
Address: 20915 SW 105 Ave (Please refer m r" "h` `�
City/State/ZIP: Tualatin, OR 97062 -9511 Structural plan review fee (or deposit): * �Ss: 5
Phone: (503) 228-3413 Fax: (503) 228-2770 FLS plan review fee (if applicable): l 7.
CCB lac.: 58918 Total fees due upon application:
7(p
Amount received: R y /off '
Authorized signs . - • a This permit application expires if a permit is not obtained
� within 180 days after it has been accepted as complete.
Print name: J `' /�" "`l i AMA 14 1 Date: (0 • Zq • oq * Fee methodology set by Tri-County Building Industry
Service Board.
I:\Building\Permits\BOP -COM PermitApp.doc 10 /01/09 440- 4613T(11 /02/COM/WEB)
, Building Division
Accessibility: Barrier Removal Improvement Plan
T1IGnRD;
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] $ 20,726
MULTIPLIER (25% barrier removal requirement): x .25
TOTAL BUDGET FOR BARRIER REMOVAL [2] $ 5,182
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) idasolsigsg Campus site work, reconfiguring drives, sidewalks, $ 5,182
ramps, & building entrances.
(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): $
I: \Building \Permits \BUP -COM PermitApp.doc 06/25/08
; Building Division
g Plan Submittal Requirements
T I G A R D Commercial & Multi - Family - New, Additions or Alterations
1. SITE PLAN (fully dimensional, drawn to scale) labeled with:
A. ❑ map & tax lot # ►/ project name ® site address ® suite number
® zoning ® applicant name ® phone number
B. North arrow.
C. Scale (architectural or engineering only).
D. Street names.
E. Setbacks.
F. Parking, including disabled access.
G. Finished floor elevations.
2. EROSION CONTROL PLANS AND DETAILS.
3. BUILDING PLANS: See the "Plan Submittal Requirement Matrix" for the number of
plans required based on submittal type (no redlines or tape -ons accepted).
All details listed below shall be incorporated into the plans:
A. Scale (architectural or engineering only).
B. Foundation plan.
C. Floor plan(s).
D. Cross sections.
E. Reflective ceiling plan.
F. Seismic bracing detail for suspended ceiling.
G. Roof plan.
H. Exterior elevations.
I. Structural calculations, plans, details and specifications.
J. Accessibility barrier removal worksheet.
K. Deposit - based on valuation of project.
4. EXTRA SET OF THE FOLLOWING:
A. Two (2) copies of site plan to include vicinity map.
B. One (1) copy of erosion control plan with details.
C. Fire Department Building Survey, and full set of architecture drawings.
I: \Building \Permits \BUP -COM PemdtApp.doc 06/25/08