Permit t` A4,::'" CITY OF TIGARD BUILDING PERMIT
COMMUNITY DEVELOPMENT Permit #: BUP2010 -00073
tGAFkD' 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 04/08/2010
Parcel: 1 S 135AB01004
Jurisdiction: Tigard
Site address: 10220 SW GREENBURG RD 360
Subdivision: LINCOLN CENTER/TWO LINCOLN Lot: 0
Project: Waldron Company
Project Description: TI
Owner: FEES
LINCOLN CENTER LLC Description Date Amount
BY SHORENSTEIN PROPERTIES LLC, 555 Permit Fee - Additions, Alterations, 04/08/2010 $696.39
CALIFORNIA ST 49TH FL Demolition
PHONE: 503- 619 -3200 12% State Surcharge - Building 04/08/2010 $83.57
Plan Review 04/08/2010 $452.65
Plan Review - Fire Life Safety 04/08/2010 $278.56
Contractor:
RUSSELL CONSTRUCTION INC
20915 SW 105TH AVE
TUALATIN, OR 97062
PHONE: 503 - 228 -4898
FAX: 503 - 228 -2770
Specifics:
Type of Use: COM
Class of Work: ALT
Dwelling Units: 0
Stories: 5 Height: 0 ft
Bedrooms: 0 Bathrooms: 0
Value: $46,105
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $1,511.17
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 ' - _ - .bject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will
be don ' accordance wi - pproved 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 TTENTION: Oregon la •u -s you to follow the rules adopted by the Oregon Utility Notification Center. Those rul are s tforth in OAR
95 - 001 -0010 through OAR • 001 -0 • You may obtain a copy of the rules or direct questions to OUNC by calling 503 4 . 9 o 1.800.3332.2344.
Is ued By: / �� / Permittee Signature: A ✓ `'
Call 503.639.4175 by 7:00 a.m. for an inspection that business day.
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.
g Permit Application
Comme rcial 1 R I I(E U l 0 RECE\E Rece ived t/ City of Tigard Date/B 7 S ID TO Permit No.: G p j / . COO 73
13125 SW HaII Blvd., Tigard, OR 97223 nn PR 0 Date 111 2010 Plan Review ►� ?� �
H B : �a Other Permit
Phone: 503.639.4171 Fax: 503.598.1960
I C A R t) Inspection Line: 503.639.4175 Date Ready Ellis: ® See Page 2 for
Internet: www.tigard- or.gov cm( OF TIG A R D
Notified/Method: Supplemental Information
BUILDING DIVISI
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.
Valuation: $
❑ 1- and 2- family dwelling ® 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: Two Lincoln - 10220 SW Greenburg Road New dwelling area: square feet
City /State/ZIP: 97224 Garage/carport area: square feet
Suite/bldg. /apt. no.: 360 Project name: Waldron Company 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: $ 46,105
Existing building area: 1,683 square feet
New building area: 0 square feet
® PROPERTY OWNER ❑ TENANT Number of stories: 5
Name: Shorenstein Realty Services Type of construction: ?
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 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: 4 5/ - i7
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: 4/7/2010 * Fee methodology set by Tri- County Building Industry
Service Board.
I: \Building\Permits\BUP -COM PermitApp.doc 10/01/09 440-46 I 3T(11/02/COM/WEB)