Permit •
. n CITY OF TIGARD BUILDING PERMIT
COMMUNITY DEVELOPMENT Permit #: BUP2012 -00025
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 02/07/2012
Parcel: 1S135AB01002
Jurisdiction: Tigard
Site address: 10220 SW GREENBURG RD 201
Project: Radiant Senior Living Subdivision: METZGER, TOWN OF Lot: 9
Project Description: TI
Contractor: RUSSELL CONSTRUCTION INC Owner: LINCOLN CENTER LLC
20915 SW 105TH AVE BY SHORENSTEIN PROPERTIES LLC
TUALATIN, OR 97062 555 CALIFORNIA ST 49TH FL
SAN FRANCISCO, CA 94104
PHONE: 503 - 228 -3413 PHONE:
FAX: 503 - 228 -2770
FEES
Specifics: Description Date Amount
Type of Use: COM DC Provision Review, COM TI - Ping 02/07/2012 $64.00
Class of Work: ALT DC Provision Review, COM TI - LRP 02/07/2012 $9.00
Dwelling Units: 0 Permit Fee - Additions, Alterations, 02/07/2012 $880.05
Stories: 6 Height: 0 ft Demolition
Bedrooms: 0 Bathrooms: 0 12% State Surcharge - Building 02/07/2012 $105.61
Value: $69,061 Plan Review 02/07/2012 $572.03
Plan Review - Fire Life Safety 02/07/2012 $352.02
Info Process /Archiving - Lg $2.00 (over 02/07/2012 $8 00
Floor Areas: 11x17)
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $1,990.71
Required: Required Items and Reports (Conditions)
Fire Sprinkler: Yes Parapet:
Fire Alarm: Yes 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 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 -0090. You may obtain a copy of the rules or direct questions to OUNC by calling 50 .2 2.1 87 or 1.800.332.2344.
Issued By: • l 1�G - ermittee Signature:
Call' .K by 7:00 a.m. for the next available inspection date. - - 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
1Commercial yyy FOR OFFICE USE ONLY
City of Tigard �`�� Date /B / N M Permit No.: ✓!P ,
- e 13125 SW Hall Blvd., Tigard, OR 9722_ Plan Review
Phone: 503.639.4171 Fax: 503.598 9 b 1� DateB `�� Other Permit:
TI G A R D Inspection Line: 503.639.4175 A � Date Ready/Sy: la See Page 2 for
Notified/Method:
Supplemental Information
R? Internet: www.tigard- or.gov
TYPE OF WORK ®r �W‘ 1. REQUIRED DATA: 1- AND 2 -FAMI Y DWELLING
❑ New construction ❑ i 4ilitio — 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 ❑ Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: 3 Lincoln - 10220 SW Greenburg Road New dwelling area: square feet
City /State /ZIP: 97224 Garage/carport area: square feet
Suite/bldg. /apt. no.: 201 Project name: Radiant Senior Living 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.
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.
Valuation: $$69,061.00
Existing building area: 5408 square feet
New building area: square feet
® PROPERTY OWNER • ❑ TENANT Number of stories: 6
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
® 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 SW 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 fees due upon application:
- Amount - received: - - J qf® .-)
Authorized signature: This permit application expires if a pe 't is not obtained
within 180 days after it has been accepted as complete.
Print name: Whit Middlecoff, AIA Date: 02/07/2012 * Fee methodology set by Tri- County Building Industry
Service Board.
l:\Building\Permits \BUP -COM PermitApp.doc 10/01/09 440-4613T( I 1/02/COM/WEB)
Building Division
Development Code Provision Review
TIGARD Commercial Projects - No Associated Land Use Case
Building Permit No: ell 0. 11Y6pedited Review
Plan Submittal Date: 1
6 1/ iaj
To the Applicant:
➢ If the proposed use is not permitted within the zone, please contact the Building Division to cancel
the permit application. Building Permit Technicians (503) 718 -2439.
➢ If a land use is required and for all other questions, please contact the staff person listed above the
Planning Review section.
Staff: please check items along left only i approved.
Planning Review (contact at 503 - 718 -r.2 /Yo�orr I @tigard- or.gov)
L1" Zoning /!!'��i / Permitted Use Yes t�J No ❑
E Land Use Required: Yes ❑ No Er (explain below)
Notes: (9 C/ j 4 p c '--
21% (//46w,
135 Approved ❑ Not Approved Date: 3./711 -- -
G �7J7 J
Permit Coordinator Review (contact Albert Shields at 503 - 718 -2426 or albcrt @tigard- or.gov)
Notes:
/L //4
Routed back to Building Division Date:
I: \CURPLN