Permit CITY OF TIGARD BUILDING PERMIT
•
• ,;. COMMUNITY DEVELOPMENT Permit #: BUP2010 -00124
T [ G AR D 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171
Date Issued: 06/09/2010
Parcel: 1S 135AB01006
Jurisdiction: Tigard
Site address: 10500 SW GREENBURG RD 100
Subdivision: LINCOLN PLAZA Lot: 0
Project: Beal Bank
Project Description: TI
Owner: FEES
LINCOLN CENTER LLC Description Date Amount
BY SHORENSTEIN PROPERTIES LLC, 555 Permit Fee - Additions, Alterations, 06/09/2010 $925.23
CALIFORNIA ST 49TH FL Demolition
PHONE: 12% State Surcharge - Building 06/09/2010 $111.03
Plan Review 06/09/2010 $601.40
Plan Review - Fire Life Safety 06/09/2010 $370.09
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: 0 Height: 0 ft
Bedrooms: 0 Bathrooms: 0
Value: $75,085
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $2,007.75
Required: Required Items and Reports (Conditions)
Fire Sprinkler: Parapet:
Fire Alarm: Protected Corridors:
Smoke Detectors: Manual Pull Stations:
Accessible Parking: 0
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will
be done ' ordance wi - •proved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180
day TTENTION: Oregon law - • you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
9 - 001 -0010 through OAR 952 11 -0100. may obtain a copy of the rules or direct questions to OUNC by calling 503.246.6699 or 1.800.332.2344.
Perm Signature:
ssued By: � g ,
Call 503.639.4175 by 7:00 a.m. for an inspection that business day.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Building Permit Application
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City of Tigard ° ECEIVED Date /B d /t (,9.Dj pp,” 0 _00 0
',3 " y . Permit No.:
° 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review
Phone: 503.639.4171 Fax: 503.598.IKAll e) c Z in Date /By: Other Permit:
Inspection Line: 503.639.4175 - ti Date Ready /By: Juris: ® See Page 2 for
TIGARD
Internet: www.tigard- or.gov Notified/Method: Supplemental Information
CITY OF TIGARD
TYPE OVIMG DIVISION REQUIRED DATA: 1- AND 2- FAMILY DWELLING
❑ New construction ❑ Demolition Permit fees* are based on the value of the work performed.
Indicate the value (rounded to the nearest dollar) of all
® Addition /alteration /replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application
Valuation: —_ - -$ — - - - -- _ _ - - -
❑ 1- and 2- family dwelling ® Commercial /industrial -- -- --
- - ❑ Accessory building ❑ Multi- family Number of bedrooms:
❑ Master builder CI Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: 10500 SW Greenburg Rd, Ste 100 New dwelling area: square feet
City /State /ZIP: Tigard, OR 97223 Garage /carport area: square feet
Suite/bldg. /apt. no.: Project name: BEAL Bank Covered porch area: square feet
Cross street/directions to job site: Located in Lincoln Center Deck area: square feet
Other structure area: square feet
REQUIRED DATA: COMMERCIAL - USE CHECKLIST
Subdivision: Ashbrook Farm Lot no.: Permit fees* are based on the value of the work performed.
Tax map /parcel no.: 1 s135AB -01006 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.
Alteration of an existing space for a.new tenant / Tenant Improvement Valuation: $$75,085.00
Existing building area: 1963 square feet
New building area: 1963 square feet
® PROPERTY OWNER ❑ TENANT . Number of stories: 1
Name: Shorenstein Realty, Kelly Levine Type of construction: remodel
Address: 10220 SW Grenburg Road, Ste 310 Occupancy groups:
City /State /ZIP: Portland, OR 97223 Existing:
Phone: (503)412 -4802 Fax: (503)619 -3110 New: Bank
❑ APPLICANT ® CONTACT PERSON NOTICE
Business name: CB Richard Ellis All contractors and subcontractors are required to be
Contact name: Kirsten Cowden licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address: 1300 SW 5 Ave, Suite 3000 jurisdiction in which work is being performed. If the
City /State /ZIP: Portland, OR 97201 applicant is exempt from licensing, the following reasons
apply:
_ Phone: (503) 221- 4803 _ 1 Fax: : (503) 221-4873 •
E -mail: kirsten.cowden @cbre.com
CONTRACTOR
Business name: tat.&s C + t BUILDING PERMIT FEES* •
Address: 91s 5t,3 icc:}.11 (Please refer to fee schedule)
Structural plan review fee (or deposit): $971.49
City /State /ZIP: ( 9"701 2_ 9 SW
Phone: O3 ) C -41 �p2 Fax: (1 ) (O`j Z-7oo� FLS plan review fee (if applicable):
CCB lie.: S81 13 Total fees due upon application: $971.49
1
Amount received:
Authorized signature: - - -- This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: Kirsten Cowden Date: * 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)
•
:1011 ° Building Division
I Over- The - Counter (OTC) Building Permit
i ieA►z D Check List
Description of Project: -r-t
GENERAL INFORMATION
Class of Work:* - Floor Areas (sq. ft.): Exterior Wall Construction:
Type of Use:* First floor: N: S:
Type of Construction: ' Second floor: E: W:
Occupancy Group: Third floor: Openings Protected Y /N ?:
Occupancy Load: Total sq ft.: N: S:
Stories: r Note: Combine total floor area for E: E:
Height: all floors above third floor and Roof Construction:
•
Floor Load: add to the third floor s . ft. Fire Retardant:
Basement: Basement: Area Separation Rated:
Mezzanine: Garage: _ Occu. Separation Rated:
REQUIRED ITEMS •
Fire sprinlder: / Handicap access: .
Smoke detector: Protected corridors: X-"
Fire alarm: Parking spaces ( #):
Notes:
Total Valuation: $ 7 s .C
INSPECTIONS - FEES DUE
Footing /foundation Firewall $ 92„15,2..,- Permit Fee
Post /beam structural Smoke detector $ t It 1,&3 State Surcharge
Shear. wall Misc. inspection $ (, , 40 Plan Review Fee
Masonry Approach /sidewalk $ 76 ,Ect 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:
$ 2a"). !, r 75 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