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Permit CITY OF TIGARD BUILDING PERMIT COMMUNITY DEVELOPMENT Permit #: BUP2010 -00034 T I G A D 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 03/02/2010 R Parcel: 1S135AB00900 Jurisdiction: Tigard Site address: 10200 SW GREENBURG RD 360 Subdivision: LINCOLN CENTER/FIVE LINCOLN Lot: 0 Project: Ameriprise Project Description: Interior TI, Owner: FEES LINCOLN CENTER LLC Description Date Amount BY SHORENSTEIN PROPERTIES LLC, 555 Permit Fee - Additions, Alterations, 03/03/2010 $210.59 CALIFORNIA ST 49TH FL Demolition PHONE: 12% State Surcharge - Building 03/03/2010 $25.27 Plan Review 03/03/2010 $136.88 Plan Review - Fire Life Safety 03/03/2010 $84.24 Contractor: WALSH CONSTRUCTION CO /OREGON 2905 SW 1ST AVE PORTLAND, OR 97201 PHONE: 503 - 222 -4375 FAX: 503- 274 -7676 Specifics: Type of Use: COM Class of Work: ALT Dwelling Units: 0 Stories: 7 Height: 0 ft Bedrooms: 0 Bathrooms: 0 Value: $9,000 Floor Areas: Total Area: 0 Accessory Struct: 0 Basement: 0 Carport: 0 Covered Porch: 0 Deck: 0 Garage: 0 Mezzanine: 0 Total $456.98 Required: Required Items and Reports (Conditions) Fire Sprinkler: Yes Parapet: Fire Alarm: Yes Protected Corridors: No 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 Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952-001-0100. You may obtain a copy of the rules or direct questions to OUNC by calling 503.246.6699 or 1.800.332.2344. Issued By: / 17� r� Perm ittee Signature: ,A/ /97 / e e9-77o."/ Cali 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. t' Building Permit Application RECEIVED 40, `6. v?,x0 I 1 -- I I € - IJ S I i () \ 1 1 i`t t4 r . z Commercial K ., € � , • gl.+ ,. ;. i aw a . .:. -�.. . s City of Tigard Date/I3 (V C G I N Permit No.: 0I O . �+w3 1 3125 SW Hall Blvd., Tigard, OR 9722 R 0 2 2010 Plan Review®� 1 • , ` , Phone: 503.639.4171 Fax: 503.598.19 DateB : • Other Permit: `fIG I) ' Inspection Line: 503.639.4175 Date Ready r Juris: ® See Page 2 for - Internet: www.tigard - or.gov CITY OF TIGARD Notified/Method: Supplemental Information BUILDING DIVISION 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 CATEGO RY OF CONSTRUCTION work indicated on this application. ❑ I - 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: / 0206 . -�U G 2e.� A/tC&V 4 / Ev a 3 New dwelling area: square feet City /State /ZIP: 19erLji.i✓ l 02 e77 f 772-3 Garage /carport area: square feet Suite/bldg. /apt. no.: P roject name: Am 7 / Covered porch area: square feet Cross street/directions to site: Deck area: square feet ✓ 4 U 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. /nOdc 2 WxlL�S J (oc.�TZ= DDO Valuation: S ? t! C w/>tc{ ) OQ� 6 1&7Z ) Pa''`ul / 7 Ali . 2E,�•t!)t/�/ �C�TE UOic61 Existing building area: square feet P4-774 t f ,- N6E u/ C/, -nic7 New building area: square feet ❑ PROPERTY OWNER I ❑ TENANT Number of stories: Name: -meg/ / se - N / �,I/ 4, C /4 , Type of construction: Address: , ' 9.( A[>• Occupancy groups: City/State/ZIP: / ' Existing: Phone: ( ) Fax: ( ) New: ❑ . APPLICANT XCONTACT PERSON NOTICE • Business name: to . —_ reiligT. Co - All contractors and subcontractors are required to be licensed with the Oregon Construction Contractors Board Contact name: BiOC ii 62/9s9� under ORS 701 and may be required to be licensed in the Address: jurisdiction in which work is being performed. If the City /State /ZIP: applicant is exempt from licensing, the following reasons apply: Phone: (5-63) S-/ c t g5— Fax:: ( ) E -mail: CONTRACTOR Business name: WAt / . 5 ,. Z. { Cr70j 60.4x BUILDING PERMIT FEES* Address: �F0 S E (Please refer to fee schedule) Structural plan review fee (or deposit): City /State /ZIP: Po RI) 02 972x/ Phone: ( 2:2,2, , X1 Fax: ( 3) 27t1, J674 FLS plan review fee (if applicable): Total fees due upon application: 145 ( q 8 CCB lie.: ` 2_ 6 7 V ati ll �� � Amount received: Authorized signature: e \ / ��j' This permit applic expires if a permit is not obtained � within 180 days after it has been accepted as complete. Print name: 6-0k 62A>< Date: © 3 , O 2 , zo /Q * Fee methodology set by Tri- County Building Industry Service Board. I: \Building \Permits \BUP -COM PermitApp.doc 10/01/09 440- 4613T(11 /02/COM/WEB) if ; 114 ° ° Building Division Accessibility: Barrier Removal Improvement Plan 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] $ MULTIPLIER (25% barrier removal requirement): x .25 TOTAL BUDGET FOR BARRIER REMOVAL: [2] $ 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: $ (0 Accessible drinking fountains: and, $ (g) When possible, additional accessible elements such as storage and alarms: $ TOTAL (shall equal line [2] of Valuation Computation): $ 1:\ Building\ Permits \BUP -COMf PermitApp.doc 06/25/08