Permit CITY OF TIGARD BUILDING PERMIT
COMMUNITY DEVELOPMENT Permit #: BUP2010 -00076
FGARL7 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171
Date Issued: 04/14/2010
4 T
Parcel: 1 S135AB01003
Jurisdiction: Tigard
Site address: 10300 SW GREENBURG RD 130
Subdivision: LINCOLN ONE Lot: 0
Project: Balance Your World
Project Description: TI
Owner: FEES
LINCOLN CENTER LLC Description Date Amount
BY SHORENSTEIN PROPERTIES LLC, 555 Permit Fee - Additions, Alterations, 04/14/2010 $149.75
CALIFORNIA ST 49TH FL Demolition
PHONE: 12% State Surcharge - Building 04/14 /2010 $17.97
Plan Review 04 /14/2010 $97.34
Plan Review - Fire Life Safety 04/14/2010 $59.90
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: $5,000
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $324.96
Required: Required Items and Reports (Conditions)
Fire Sprinkler: No 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 accord- • : • - 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. ATTE • N: Oregon la • e• -s yo to f• • the rules adopted by the Oregon Utility Notification Center. Those rules re set forth in OAR
952 - 001 -00 0 through OAR 95 ■01 -01. 0 Y• m. y obtain a copy of the rules or direct questions to OUNC by calling 503.2 9 or 1.800.332.2344.
Issued ;:y: � ` � Permittee Signature: SC
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.
•
Building Permit Application
- --
Commercial V �D R rtllz r)1 I Ie r. u�l O NI.S ... ... ...
!�
Clty Of Tigard . o • Date /Bed , Permit No.: , e , ,1,- , � 7
13125 SW Hall Blvd., Tigard, QQgpA7 3 lo Plan Revie 7 �
C `s Phone: 503.639.4171 Fax: 3®S.b98 i I DateB :
T I E1'!V, Other Permit:
GARD IN
Inspection Line: 503.639.4175 Date Ready /:: y: Juris: ® See Page 2 for
Internet: www.tigard- or.goCITy OF TIGARD Notified/Method: Supplemental Information
BUILDING DIVIS!QN .
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.
El 1 - and 2- family dwelling ® Commercial /industrial Valuation: $
1=1 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.: 130 Project name: Balance Your World 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: $5,000
Existing building area: 1,132 square feet
New building area: square feet
- .10 PROPERTY OWNER . ❑ TENANT Number of stories: 12
Name: Shorenstein Realty Services Type of construction: II -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
• ►Z1; 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 S W 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 fee d ue upon application: � � � / 96
cub Amount received: G, f/ 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: 4/14/2010 * Fee methodology set by Tri- County Building Industry
Service Board.
(:\Building \Permits\BUP -COM PermitApp.doc 10/01/09 440- 4613T(1 I /02 /COM /WEB)
Building Division
Accessibility: Barrier Removal Improvement Plan
T I G LW'; '
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] $ 5,000
MULTIPLIER (25% barrier removal requirement): x .25
TOTAL BUDGET FOR BARRIER REMOVAL: [2] $ 1,250
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) Parking $
(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): $
D AER
l:ABuilding \Permits \BUP -CONI PermitApp.doc 06 /25/08
` 1 ,_ ° Building Division
TIGARD Over - The - Counter (OTC) Building Permit
Check List
Description of Project:
GENERAL INFORMATION
Class of Work:* /1.T" Floor Areas (sq. ft.): Exterior Wall Construction:
Type of Use:" Wit,( First floor: N: S:
Type of Construction: 2 Second floor: E: W:
Occupancy Group: Third floor: Openings Protected Y /N ?:
Occupancy Load: ' ' Total sq ft.: N: S:
Stories: Note: Combine total floor area E: E:
_ J _ f or
Height: all floors above third floor and Roof Construction: _
Floor Load: add to the third floor sq. ft. Fire Retardant:
Basement: Basement: Area Separation Rated:
Mezzanine: Garage: Occu. Separation Rated:
REQUIRED ITEMS
Fire sprinkler: NY Handicap access:
Smoke detector: Protected corridors:
Fire alarm: % P arking spaces (#):
Notes:
Total Valuation: $ ' X'Ci
INSPECTIONS FEES DUE
Footing /foundation Firewall $ 1 (; 7- — ' Permit Fee
Post /beam structural Smoke detector $ , a+ State Surcharge
Shear wall Misc. inspection $ t ,'..: Plan Review Fee
Masonry Approach /sidewalk $ -' , ' FLS Plan Review Fee
Framing $ Additional Permit Fee
Insulation Sprinkler rough -in $ Additional Plan Review Fee
Gyp board Fire alarm $ Metro Construction Excise Tax
Suspended ceiling Sprinkler final $ School Construction Excise Tax
Final inspection $ Misc. Fee
$ Hourly Rate Fee
$ Hourly Rate State Surcharge
$ Other:
$ 324-54, Total 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.doc 08/19/08