Permit •
— CITY OF TIGARD BUILDING PERMIT
q
s : ~• - COMMUNITY DEVELOPMENT Permit #: BUP2010 00003
TI GARD 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 01/05/2010
Parcel: 1 S135AB01003
Jurisdiction: Tigard
Site address: 10300 SW GREENBURG RD 590
Subdivision: Lot: 0
Project: ID Expert
Project Description: TI
Owner: FEES
LINCOLN CENTER LLC Description Date Amount
BY SHORENSTEIN PROPERTIES LLC, 555 Permit Fee - Additions, Alterations, 01/05/2010 $1,068.30
CALIFORNIA ST 49TH FL Demolition
PHONE: 12% State Surcharge - Building 01/05/2010 $128.20
Plan Review 01/05/2010 $694.40
Plan Review - Fire Life Safety 01/05/2010 $427.32
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:
Stories: 5 Height: ft
Bedrooms: Bathrooms:
Value: $95,000
Floor Areas:
Total Area:
Accessory Struct:
Basement:
Carport:
Covered Porch:
Deck:
Garage:
Mezzanine:
Total $2,318.22
Requir Required Items and Reports (Conditions)
Fire Sprinkler: No Parapet:
Fire Alarm: Yes Protected Corridors: Yes
Smoke Detectors: Yes Manual Pull Stations:
Accessible Parking:
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all o, er . • plicable 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 wor 'is - spended for more the 180
days. ATT ON: Ore o• law requires ou to follow the rules adopted by the Oregon Utility Notification Center. Those r - • a• • • • '• •
952 -00 0010 through OAR 9 -01 1100 Y. may obtain a copy of the rules or direct questions to OUNC by calling : .26699 or 1.:00.332.2344.
Issu By: I / Permittee Signature:
Call 503.639.4176 by 7:00 a.m. for an inspection that busines-
This permit card shall be kept in a conspicuous place on the job site until co on of the project.
Approved plans are required on the job site at the time of each i spection.
Building Permit Applicati pp F
Commercial E, " � OR OFFICE'USE ONLY .f
• • City of Tigard JpN - 6.'2010 Received /D ,�, PermitNo.: • L[,p960 — 41:103
. 11 13125 SW Hall Blvd., Tigard OR 97223
11 1
g Plan Review
:" Phone: 503.639.4171 Fax: 503.598.1j,169w OF TIGARD DateB : Other Permit: j P1 g.e.ao /o- eve
TIGARD Inspection Line: 503.639.4175 l�� 1 DIVISION Date Ready /By: Juris: H See Page 2 for
. Internet: www.tigard or.gov BU►�DING Notified/Method: Supplemental Information
: i:Y_-02 ",. , -.:.; "�" • ;:� ,.. „ ..e,:. ..fe I .E� -4s a,�. ....:.: :�i; « .'a:.. E. 5 .":R'5.t:,.:,, +A �,
: , a TYPE OF WORK a ...s.y > ' I - 4 40 _ . • ,, A ter, ": ° w - o ".
- �_ ,,. QU R E D DATA .l AN 2 FAM ILYDWELLING
°�,�s�33 :t _ a�'e. �' � ,e.% �' :�:-a «N.. a�s��+�..'^a a%? -.� o ,.x. . .. � c , __
_€ vr�. .<�. _��e .��_v:� ��� �� 'R �m� _gam: e� a; 8 �� ��v Sr� -
❑ 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
l' " -,'t =.$:�`z =.:_=4: work indicated on this application.
--rz
TEGORYOF ,CONSTRUCTION g
❑ 1- and 2- family dwelling ® Commercial /industrial Valuation: $
El Accessory building 111 Multi-family Number of bedrooms:
❑ Master builder ['Other:
Number of bathrooms:
`" a ar: " " LO " 4 Total number of floors:
JOB S>TE' INFO a i e via ON AND LOCATION
Job site address: 1 Lincoln 10300 SW Greenburg Rd New dwelling area: square feet
City/State /ZIP: Portland, OR 97223 Garage /carport area: square feet
Suite/bldg. /apt. no.:590 Project name: ID Experts Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
Other structure area: square feet
$REQUIRED DATA COMMERCIAL USE '
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
N i2 k u rr , f �� equipment, materials, labor, overhead, and the profit for the
. DESCRIPTIONy 77 ,- work indicated on this application.
Interior Tenant Improvement Valuation: $$95,000.00
Work to include new walls, new doors and relites, new modernfold partition and Existing building area: 10115 square feet
new cabinetry New building area: square feet
_P Number of stories: 5
- _. � , TENT � .,�
Name: Shorenstein Type of construction: I -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:
,x lvaf .;. "sue'-:';'.;. 7 , ;: : It
&fi PAYPLIGAt�T ;; - ;m ;'CONTACT ERSON
' i
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
migtv ' P: -. r C ONTRACTOR
e. ,W3 �
Business name: Russell Construction ;
` `rn BUIIDING`PERIGIITITEES*`
Address: 20915 SW 105th Ave ,, 9� - :_ ' (R1easere(erto.fee;sehedule) ' _ _,,ak
Structural plan review fee (or deposit):
City/State /ZIP: Tualatin, OR 97062
FLS plan review fee (if applicable):
Phone: (503) 228-4898 Fax: (503) 228-2770
CCB lie.: 58918 Total fees due upon application:
Amount received:
Authorized signatur-.
This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: Kim Ford Date: 01/05/2010 * Fee methodology set by Tri- County Building Industry
Service Board.
I: \Building \Permits \BUP -COM PermitApp.doc 2/23/07 440 3T(1 I /02/COM/WEB)
li fil , " Building Division
TIGARD Over- The - Counter (OTC) Building Permit
Check List
Description of Project: *1/r
GENERAL INFORMATION
Class of Work:* ' LT- Floor Areas (sq. ft.): Exterior Wall Construction:
T .e of Use:* MEM First floor: N: S:
T .e of Construction: Second floor: E: W:
Occu.anc Grou.: W Third floor: Openings Protected Y /N ?:
Occu.anc Load: /Q _ Total sq ft.: N: S:
Stories: Note: Combine total floor area E: E:
for
Hei:ht: 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: /VC) Handicap access: )/
Smoke detector: 7 S Protected corridors: y/� L,e
Fire alarm: `fE S Parking spaces ( #):
Notes:
Total Valuation: $
INSPECTIONS FEES DUE
Footing /foundation Firewall $ Permit Fee
Post /beam structural Smoke detector $ State Surcharge
Shear wall Misc. inspection $ 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:
$ 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
This form is recognized by most Building Departments in the Tri- County area for transmitting information.
Please complete this form when submitting information for plan review responses and revisions.
This form and the information it provides helps the review process and response to your project.
BUILDING DIVISION
TIGARD TRANSMITTAL LETTER
a
TO: DA-1st IJ.L5o1-1 DATE RECEIVED:
DEPT: BUILDING DIVISION
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FROM: V– •
COMPANY: G�pu� TIArCX– 1�Z1�
PHONE: 563 — 2Zzi- clb coo By. •
RE: O o: r D _ ; � �, _ z P : e = 000d3
ite .. ress — (Permit/Case Number) --
ID X IP
'roject name or su..rvision name an• of num.er
ATTACHED ARE THE FOLLOWING ITEMS:
Copies: , fMescrliAl0 Copies: Description;2 .a., .)
Additional set(s) of plans. 2.. Revisions: A .2
Cross section(s) and details. Wall bracing and/or lateral analysis.
Floor /roof framing. Basement and retaining walls.
Beam calculations. Engineer's calculations.
Other (explain):
REMARKS: r ‘ • A ' 2 ■ `�.1� �' S
•!: ! O. AI A! ■ %. -
.. 2 A
FOR OFFIC USE ONLY n a ry =uz
Routed to Permi echnician: Date: I/ 70 Initials
Fees Due: es n No Fee Description: Amount Due:
>. - $ 9
0 Iki)OL- $
a9 $
Special
Instructions: -
Reprint Permit (per PE): n Yes i A No ❑ Do
Applicant Notified: Date: / / 3 _ �; l . :_ Initia
L\ Building\ Forms\ TransmlttalL .etter- Revisions . doc 4/4/07