Permit CITY OF TIGARD BUILDING PERMIT
COMMUNITY DEVELOPMENT Permit#: BUP2013-00211
T t G 11AR O 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 08/21/2013
Parcel: 1 S135AB01003
Jurisdiction: Tigard
Site address: 10300 SW GREENBURG RD 360
Project: DiLorenzo&Company 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 08/21/2013 $70.00
Occupancy Grp: B Occupancy Load: 29 DC Provision Review,COM TI-LRP 08/21/2013 $10.00
Dwelling Units: 0 Permit Fee-Additions,Alterations, 08/21/2013 $423.53
Demolition
Stories: 0 Height: 0 ft 12%State Surcharge-Building 08/21/2013 $50.82
Bedrooms: 0 Bathrooms: 0 Plan Review 08/21/2013 $275.29
Value: $22,134 Plan Review-Fire Life Safety 08/21/2013 $169.41
Info Process/Archiving-Lg$2.00(over 08/21/2013 $8.00
11x17)
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $1,007.05
Required: Required Items and Reports(Conditions)
Fire Sprinkler: No 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 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 503.23/:87 or 1,800.332.2344.
Issued By:400' Permittee Signature:
. * 77175 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
Commercial FOR OFFICE USE ONLY
City of and I fir= No.: ,(�
II y f Ti d g DateReceiveB : D J i N P✓(Al `O(i.
•
13125 SW Hall Blvd.,Tigard, • 13 Plan Review �1
Phone: 503.639.4171 Fax: 511' I r.� DateB : A A1 , Other Permit:
Inspection Line: 503.639.4175 ® Date Rea, a
Juris: El See Page 2 for
www.tigard-or.gov \;„\.)`) P�.�
Notified/Method: 7702 Supplemental Information
TYPE OF W 4.\C.r REQUIRED DATA:1-AND 2-FAMILY DWELLING
❑New construction EXPA6Yition 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.
❑ 1-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:1 Lincoln-10300 SW Greenburg Road New dwelling area: square feet
• City/State/ZIP:97224 Garage/carport area: square feet
Suite/bldg./apt.no.:360 Project name:DiLorenzo&Company 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: $$22,134.00
Existing building area: 3035 square feet
New building area: square feet
0 PROPERTY OWNER ❑ TENANT Number of stories: 5
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
0 APPLICANT ❑ CONTACT PERSON NOTICE
Business name:GBD ARCHITECTS All contractors and subcontractors are required to be
Contact name:Whit Middlecoff,AIA 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 105th Avenue (Please refer to fee schedule)
City/State/ZIP:Tualatin,Oregon 97062-9511 Structural plan review fee(or deposit):
Phone:(503)692-9002 Fax:(503)692-9008 FLS plan review fee(if applicable):
CCB lic.:58918 Total due application:
Amount xP received:
Authorized signature: This rmit a fees lication upon a Tres if a ermit is not obtained
Pe PP� P
within 180 days after it has been accepted as complete.
Print name:Whit Middlecoff,AIA Date:08/21/2013 * Fee methodology set by Tri-County Building Industry
Service Board.
1:\Building\Permits\BUP-COM PermitApp.doc 10/01/09 440-4613T(I1/02/COM/WEB)
III q Building Division
° Development Code Provision Review
TI G n R D Commercial Projects - No Associated Land Use Case
Building Permit No: iQLP02,6( 3-0oo2 i L' Expedited Review OZ
Project Name:/X 1O3v0 Or eP Ll (4A 3'-v k -3Cap
Site Address: I0..Lore,vzcn) 11- C cw) , Suite/Bldg #: 3G.0
)
Plans Routed:
Original Plan Submittal Date: 0/p1/I 3 gT Routed By: 477
1St Revision Submittal Date: Routed By:
2nd Revision Submittal Date: Routed By:
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 if approved.
Planning Review (contact at (503) 718- or @tigard-or.gov)
i
Proposal: . / k- r ./c - ✓iR sr or."/-
IIMIIIIIIr
Zoning rr U C-
Permitted Use Yes No ❑
Land Use Required: Yes ❑ No)27
Notes: .6rk
g/Approved ❑ Not Approved ❑ DCPR Not Required—No DCPR Fees Due
Date Routed to Building: V-z ( " / 3
I:\CURPLN\Masters\Development Code Provision Review\DCPR_COM_NoLandUse.doc Rev.01/16/13
III e Building Division
Over-The-Counter (OTC) Building Permit
--FIG A Check List
Project Description: 7n
APPLICATION SPECIFIC INFORMATION
GENERAL INFORMATION
Class of Work*: (' Occupancy Group: Type of Construction: 'Zj
Type of Use**: iA/t Occupancy Load: 9 Oregon Specialty Code: `L)r)
SPECIFICS
Number of Stories: 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: T
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: 136 Fire Alarms: Smoke Detectors:
Sprinkler Type: Alarm Type: Protected Corridors:
Standpipe Required: Pull Stations Required: Parapet:
Hazard Group: Battery Calcs Provided:
Density: Cut Sheets Provided:
Design Area: ____ _
K Factor:
Total Project Valuation: $ 2-7-1( 4.CY FEES DUE
$ jr /III DC Prov Rvw,COM TI—Ping
$ ro,1�I DC Prov Rvw,COM TI—LRP
DC Provision Review Fee for COM TI(effective 7/1/2013) $ A .5e3 Permit Fee—Add,Alt,Demo
Project Valuation Planning LRP $ I,f, 12%State Surcharge
Up to$4,999 $0.00 $0.00 $ Z• ,02( Plan Review,Structural
$5,000-$74,999 $70.00 $10.00 $ Plan Review,Fire Life Safety
$75,000-$149,999 $174.00 $26.00 $ ,OQ Info Proc/Arch,Lg(over 11x17$2.00)
$150,000 and over $278.00 $41.00 $ Info Proc/Arch,Sm(up to 11x17$0.50)
$ Metro Construction Excise Tax
$ School Construction Excise Tax
$ Hourly Rate Fee
$ Hourly Rate State Surcharge
$ Misc.Admin Fee
$ Other:
$ Other:
Building Staff $ •- Other: _
Date/Time: $ (.06/05—TOTAL FEES DUE
*TYPE OF USE: COM=commercial;CMS=commercial manufactured structure.
**CLASS OF WORK ACS=accessory;ADD=addition;ADU=accessory dwelling unit;ALT=alteration;DEM=demo;NEW=new;
OTR=other(use for fences,decks,retaining walls,signs,awnings or canopies).
I:\Building\Forms\OTC-BUP.docx 07/01/2013