Permit CITY OF TIGARD BUILDING PERMIT
COMMUNITY DEVELOPMENT Permit #: BUP2009 -00151
ibARD 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 08/06/2009
Parcel: 1S135AB01004
Jurisdiction: Tigard
Site address: 10220 SW GREENBURG RD 350
Subdivision: Lot: 0
Project: Softsource
Project Description: TI
Owner: FEES
LINCOLN CENTER LLC Description Date Amount
BY SHORENSTEIN PROPERTIES LLC, 555 Permit Fee - COM 08/06/2009 $184.05
CALIFORNIA ST 49TH FL 12% State Surcharge - Building 08/06/2009 $22.09
PHONE: Plan Review 08/06/2009 $119.63
Plan Review - Fire Life Safety 08/06/2009 $73.62
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: $18,500
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $399.39
Required: Required Items and Reports (Conditions)
Fire Sprinkler: Yes Parapet:
Fire Alarm: Protected Corridors: No
Smoke Detectors: Manual Pull Stations:
Accessible Parking: 0
This permit is issued sub'ect 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 with - • •roved 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:. ATTENTION: Oregon la - • wire• yo to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
9' - 001 -0010 through OAR • • 3 01-0 60 •u may obtain a copy of the rules or direct questions to OUNC by calling 503.246.6699 •r 1.81
I sued By: / / / Permittee Signature: r/
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 FOR OFFICE USE ONLY
n IIir Tigard Date/B ed v , 07 ! PemutNo.: .\ , u g acO9 eV/57 _ 13125 SW Hall Blvd., Tigard, OR 9 223 Plan RevieW� IC
Phone: 503.639.4171 Fax: 503.598.12¢Q G 0 6 2009 f { O ther Permit:
(�1J DateB : A� �J
TIGARD Inspection Line: 503.639.4175 Date Ready /By: Ei See Page 2 for
Internet: www.tigard - or.gov OF TtG I�R®
CITY Notified/Method: Supplemental Information
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❑ 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
_.._.. r , . i, �, - .» _:. ;7 .. ;,_ .
5 -- R,.,r:-: =. ; gAr, xi,;,t •;r .e> 4sum,..`..t., .: .
1x 4 & , i;ViZ kit , ,1 C AT E G,ORY F O O, NSTR1 2 . s� &, ' ” ,; work indicated on this application.
❑ 1- and 2- family dwelling ® Commercial/industrial Valuation: $
El Accessory building ❑ Multi - family Number of bedrooms:
❑ Master builder ❑ Other: Number of bathrooms:
''' £ r, s JOB SITE INF MATION A ND LO CATTON � _ `1 t' Total number of floors:
Job site address: 2 Lincoln 10220 SW Greenburg Rd New dwelling area: square feet
City/State /ZIP: Portland, OR 97223 Garage /carport area: square feet
Suite/bldg. /apt. no.: 350 Project name: Softsource Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
Other structure area: square feet
REQUIRED=DA�TA COMMERCIAI i∎ ,, ' ,, — T
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
- . t DESCRIPTION of ""WORK a 'i work indicated on this application.
Interior Tenant Improvement Valuation: $$18,500.00
Work to include minor demolition, new walls, doors and relites Existing building area: 4,178 square feet
New building area: square feet
' ® "PROPERTI''. - ' Mil TENANT , Number of stories: 6
Name: Shorenstein Type of construction: 1 -B
Address: One SW Columbia Street, Suite 300 Occupancy groups:
City/State /ZIP: Portland, OR 97258 Existing: B
Phone: (503)412 -4906 Fax: (503)412 -4848 New:
f
T LIEANT ` >� 4 i, CONTACT' -P1 RS O ri 11 v t .1' ,
. . �a� U_. a. _ -,, >.� a �..... ,.., . 4, ' ; NOTIC E =
Business name: Group Mackenzie All contractors and subcontractors are required to be
Contact name: Morgan Toth licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address: 1515 SE Water Ave Suite 100 jurisdiction in which work is being performed. If the
City /State /ZIP: Portland, OR 97214 applicant is exempt from licensing, the following reasons
apply:
Phone: (503) 224 -9560 Fax: : (503) 228 -1285
E -mail: mtoth @grpmack.com
1 .. ... : s ., . n' „
a `' ` 4 . + CON -
Business name: Russell Construction � q v ” �m 1 1
,BUIL A G,PERMFF FEES ` .? ? gg
Address: 20915 SW 105th Ave i `i /�0* '. a` _(Pl ), t f.Phr
City /State /ZIP: Tualatin, OR 97062 Structural plan review fee (or deposit):
FLS plan review fee (if applicable):
Phone: (503) 228 -4898 Fax: (503) 228 -2770
CCB Tic.: 58918 Total fees due upon application:
Amount received:
Authorized signature: f , �j %�
This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: Nate Klink Date: 08/06/2009 * Fee methodology set by Tri- County Building Industry
Service Board.
I:\Building\Permits\BUP -COM PermitApp.doc 2/23/07 440- 4613T(11/02 /COM/WEB)
j Jovtfce
2 L -s° 5.2g•oc-
1� \\ Accessibility:
�U�rw YY�� I fA
E,I Barrier Removal Improvement Plan
City of Tigard
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: of all renovation, alteration or modification being done
excluding painting, wallpapering. [1] $ SC 000
multiply: 25% Barrier removal requirement. .25
BUDGET FOR BARRIER REMOVAL [ $ 5 t 600
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 /Cas7L' -r d'i'd Word, re cov,-t,,,,; $ 5 .`
civivex i c (ew -aUUJ ( r 40 1 , 611, ti- iva,,e
•
(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 eaual line 2 of Value Computation $ 5 GOZ) .
i:\dsts\forms\Accessibility.doc 06/07/02
II _ a Building Division
Over- The - Counter (OTC) Building Permit
TIGARD
Check List
t
Description of Project: I '
GENERAL INFORMATION
Class of Work:* T Floor Areas (sq. ft.): Exterior Wall Construction:
Type of Use:* [50 First floor: N: S:
Type of Construction: Second floor: E: W:
Occupancy Group: Third floor: Openings Protected Y /N ?:
Occupancy Load: I� Total sq ft.: N: S:
Stories: � 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 TIEMS
Fire sprinkler: Y Handicap access:
Smoke detector: Protected corridors: Cre ��j
Fire alarm: Parking spaces ( #):
Notes:
Total Valuation: $ 18 rj0
INSPECTIONS 1 FEES DUE
Footing /foundation Firewall $ i A, " Permit Fee
Post /beam structural Smoke detector $ State Surcharge
Shear wall Misc. inspection $ Plan Review Fee
Masonry Approach/ sidewalk $ . 1 , 62- 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
$ ou . : ate Fee
$ Jourly Ra State Surcharge
O
$ 3, WTotal Fee P ue
*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