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Permit CITY OF TIGARD BUILDING PERMIT 1111 I: C OMMUNITY DEVELOPMENT P ermit #: BUP2013 00118 'TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 05/14/2013 Parcel: 1S135AB01004 Jurisdiction: Tigard Site address: 10220 SW GREENBURG RD 570 Project: Wave Connex 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 - 692 -9002 PHONE: FAX: 503 - 692 -9008 Specifics: FEES Description Date Amount Type of Use: COM Class of Work: ALT Type of Const: IIB DC Provision Review, COM TI - Ping 05/14/2013 $67.00 • Occupancy Grp: B Occupancy Load: 61 DC Provision Review, COM TI - LRP 05/14/2013 $10.00 Dwelling Units: 0 Permit Fee - Additions, Alterations, 05/14/2013 $842.40 Demolition Stories: 0 Height: 0 ft 12% State Surcharge - Building 05/14/2013 $101.09 Bedrooms: 0 Bathrooms: 0 Plan Review 05/14/2013 $547.56 Value: $64,159 Plan Review - Fire Life Safety 05/14/2013 $336.96 Info Process /Archiving - Lg $2.00 (over 05/14/2013 $10.00 11x17) Floor Areas: Total Area: 0 Accessory Struct: 0 Basement: 0 Carport: 0 Covered Porch: 0 • Deck: 0 Garage: 0 Mezzanine: 0 Total $1,915.01 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 enter. 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 503 3 .19 7 or 1.800.332.2344. Issued By: Permittee Signature: Call 503.639.4175 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. IN u Building Division Over- The - Counter (OTC) Building Permit z c n a ° Check List Project Description: l ,ttp )C'((t APPLICATION SPECIFIC INFORMATION GENERAL INFORMATION *Class of Work: Occupancy Group: s t3 Type of Construction: Z1 *Type of Use: (`?iTZA . Occupancy Load: to ( , Oregon Specialty Code: 2L (3 SPECIFICS Number of Stories: (7 Building Height: Mixed Use: Number of Dw Units: Number of Bathrooms: Number of Bedrooms: BUILDING SQ FT - SCHOOL CET OTHER SQUARE FOOTAGES Story Square Footage: Accessory Structure: Covered Porch: Basement: Garage: Deck: Total Square Footage: Carport: Mezzanine: SETBACKS Sideyard Setback — Left Sideyard Setback — Front Sideyard Setback — Right Sideyard Setback — Back , CONSTRUCTION Exterior Walls: Openings Protected: Firewall Separation: N: S: N: S: Occupancy Separation: E: W: E: W: Access. Parking Spaces: REQUIRED ITEMS Fire Sprinklers: Y( Fire Alarms: ' Smoke Detectors: Parapet: Manual Pull Stations: Protected Corridors: Total Project Valuation: $ i OD FEES DUE $ ,7. CO DC Prov Rvw, COM TI — Ping $ 0 . 00 DCProvRvw,COMTI — LRP DC Provision Review Fee for COM TI $ 4, • 411 Permit Fee — Add, Alt, Demo Project Valuation Planning LRP $ () . •'' 12% State Surcharge Up to $4,999 $0.00 $0.00 $ ` ,'7 Plan Review, Structural $5,000 - $74,999 $67.00 $10.00 $ Sla Plan Review, Fire Life Safety $75,000 - $149,999 $167.00 $25.00 $ 10. CO Info Proc /Arch, Lg (over 11x17 $2.00) $150,000 and over $268.00 $39.00 $ Info Proc /Arch, Sm (up to 11x17 $0.50) $ Metro Construction Excise Tax $ School Construction Excise Tax $ Hourly Rate Fee Planning Staff: $ Hourly Rate State Surcharge $ Misc. Admin Fee Permit Coordinator: $ Other: $ Other: Building Staff: $ Other: Date /Time: $ ()� j.© f 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.docx 07/01/2012 Building Permit Applicatio R ECEIVED FOR ICE USE Commercial City of Tigard 1 2013 Date/B e a e/Bea 5.--t Permit No.: 1 3 _ ( f , 1 3125 SW Hall Blvd., Tigard, OR 97223 Plan Review '•� i Phone: 503.639.4171 Fax: 503.598Y OF TIGARD Date/B : Other Permit: T I G A K D , Inspection Line: 503 Date Ready /By: Lurie: ® See Page 2 for Internet: www.tigard- or.gov BUILDING DIVISION Notified/Method: . 1 10 Supplemental Information 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 CATEGORY OF CONSTRUCTION work indicated on this application. ❑ I- and 2- family dwelling ® CommerciaUindustrial 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: Two Lincoln - 10220 SW Greenburg Road New dwelling area: square feet City /State /ZIP: Tigard, OR 97224 Garage /carport area: square feet Suite/bldg. /apt. no.: 570 Project name: Waveconnex 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. Indicate the value (rounded to the nearest dollar) of all Tax map /parcel no.: equipment, materials, labor, overhead, and the profit for the DESCRIPTION OF WORK work indicated on this application. Valuation: $$64,159.00 Existing building area: 6132 square feet New building area: 0 square feet ® PROPERTY OWNER ❑ TENANT Number of stories: 5 Name: Shorenstein Realty Services Type of construction: 2 -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 I 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 FLS plan review fee (if applicable): Phone: (503) 228 -3413 Fax: (503) 228 -2770 Total fees due upon application: CCB lic.: 58918 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: Whit Middlecoff, AIA Date: 05/14/2013 * Fee methodology set by Tri- County Building Industry Service Board. I:\Building\Permits■BUP -COM PermitApp.doc 10/01/09 440- 4613T(I1/02 /COM/WEB) 11,1 a Building Division Plan Submittal Requirements T I G A R D Commercial & Multi- Family - New, Additions or Alterations 1. SITE PLAN (fully dimensional, drawn to scale) labeled with: A. ❑ map & tax lot # ❑ project name ❑ site address ❑ suite number ❑ zoning ❑ applicant name ❑ phone number B. North arrow. C. Scale (architectural or engineering only). D. Street names. E. Setbacks. F. Parking, including disabled access. G. Finished floor elevations. 2. EROSION CONTROL PLANS AND DETAILS. 3. BUILDING PLANS: See the "Plan Submittal Requirement Matrix" for the number of plans required based on submittal type (no redlines or tape -ons accepted). All details listed below shall be incorporated into the plans: A. Scale (architectural or engineering only). B. Foundation plan. C. Floor plan(s). D. Cross sections. E. Reflective ceiling plan. F. Seismic bracing detail for suspended ceiling. G. Roof plan. H. Exterior elevations. I. Structural calculations, plans, details and specifications. J. Accessibility barrier removal worksheet. K. Deposit - based on valuation of project. 4. EXTRA SET OF THE FOLLOWING: A. Two (2) copies of site plan to include vicinity map. B. One (1) copy of erosion control plan with details. C. Fire Department Building Survey, and full set of architecture drawings. I: \Building \Permits \BUY -COM PermitApp.doc 03/03/2011 1 ,7 v' Building Division . Plan Submittal Requirement Matrix T:IGAR'D. Commercial & Multi- Family - New, Additions or Alterations Type of Submittal # of Plans (Includes new, additions and alterations.) Required at Submittal Demolition Permit 3 (site plan required showing location and square footage of all buildings to be demolished) Site Work 3 (must include location of all accessible parking) Plumbing (site utilities) 2 Building 3 Fire Protection System 3 Mechanical 2 Plumbing (building fixtures) 2 Electrical 2 Plan review is dependent upon submittal of a completed application and plans. After plan review approval, the Plans Examiner will contact the applicant to request additional sets of plans for distribution purposes (for contractor, City of Tigard, Washington County, and Tualatin Valley Fire & Rescue), if applicable. • I: \Buil ding \Permits \BUP -COM PermitApp.doc 03/03/2011 IIIII ° Building Division Development Code Provision Review T I GA RD Commercial Projects with Approved Land Use Building Permit No.: & P —00( ( I Land Use Casefile No.: Routed Plans: (tlt �� � Submittal Date: Submittal Date: Submittal Date: To the Applicant: Each review type must be approved. If the plan is not approved, please revise and resubmit three (3) copies to the Building Division. Only checked (✓) items are approved. Items not approved and those listed in the notes must be revised prior to re- submittal. For questions please contact the appropriate staff person(s) listed above each section. STAFF: please only mark those items on the left side that are approved. Planning Review (contact J Dhn Ro at 503- 718 - °Z ( l 2 - c i or @tigard- or.gov) ❑ Land Use Approval ❑ Building Plans Match Approved Plan: Yes ❑ No ❑ ❑ Maximum Building Height ❑ Conditions Met ❑ Street Trees ❑ Protected Trees f 61° �j� Notes: Jae R7 2 Original Plan: Approved Sf Not Approved ❑ Date: S ' � / 7 ` �,� Revision 1: Approved ❑ Not Approved ❑ Date: Revision 2: Approved ❑ Not Approved ❑ Date: (Review Continues on Page 2) Page 1 of 2 Engineering Review (contact Mike White at 503 - 718 -2464 or MikeW @tigard - or.gov) ❑ Actual Slope: cyo ❑ PFI Permit # ❑ Conditions Met Notes: Original Plan: Approved ❑ Not Approved ❑ Date: Revision 1: Approved ❑ Not Approved ❑ Date: Revision 2: Approved ❑ Not Approved ❑ Date: Permit Coordinator Review (contact Albert Shields at 503 - 718 -2426 or albert @tigard - or.gov) ❑ Planning Okay to Issue Permit ❑ Arborist Okay to Issue Permit ❑ Engineering Okay to Issue Permit Notes: Original Plan: Date Sent to Applicant: Revision 1: Date Sent to Applicant Revision 2: Date Sent to Applicant Okay to Issue Permit: Yes ❑ No ❑ Date Routed to Building: Page Location: Record Type: Inspection Type: Comments: Inspection Date: Record ID: Result: City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 10220 SW GREENBURG RD 570, TIGARD, OR, 97223 Commercial - Building 299 Final inspection 06/27/2013 00:00 BUP2013-00118 PASS - C of O Violation Summary: Inspector Contractor Location: Record Type: Inspection Type: Comments: Inspection Date: Record ID: Result: City of Tigard 13125 SW Hal Blvd. Tigard, OR 97223 Tel: 503.718.2439 10220 SW GREENBURG RD 570, TIGARD, OR, 97223 Commercial - Building 275 Framing 05/24/2013 00:00 BUP2013-00118 PART Okay to cover with electrical Approval Violation Summary: Inspector Contractor