Permit CITY OF TIGARD BUILDING PERMIT
IN It : COMMUNITY DEVELOPMENT Permit#: BUP2013-00267
T j(a AR 0 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 10/30/2013
Parcel: 1S135AB01003
Jurisdiction: TIGARD
Site address: 10300 SW GREENBURG RD 410
Project: Buckendorf Subdivision: METZGER,TOWN OF Lot: 9
Project Description: TI:Existing tenant moving into adjoining space.
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 10/30/2013 $70.00
Occupancy Grp: B Occupancy Load: 16 DC Provision Review,COM TI-LRP 10/30/2013 $10.00
Dwelling Units: 0 Permit Fee-Additions,Alterations, 10/30/2013 $301.85
Demolition
Stories: 5 Height: 0 ft 12%State Surcharge-Building 10/30/2013 $36.22
Bedrooms: 0 Bathrooms: 0 Plan Review 10/30/2013 $196.20
Value: $14,168 Plan Review-Fire Life Safety 10/30/2013 $120.74
Info Process/Archiving-Lg$2.00(over 10/30/2013 $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 $743.01
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@8 or 1.800.332.2344.
Issued By: ' Permittee Signature: ' J'
jliF5 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 t�i FOR OFFICE USE ()NIA
I____—
��1 Received //�r.``
III City of Tigard ON DateB : f v/, OP13 lj Permit No.: p- v l `° 13125 SW Hall Blvd.,Tigard, Plan Revie
M Phone: 503.639.4171 Fax: 503.598.1960 013 Date/B : �j�/ ��VM Other Permit: �,�
T I G A K D Inspection Line: 503.639.4175 ( Q Date Ready/BY. Juris: PI See Page 2 for
Internet: www.tigard-or.gov O�` �q0 p� Notified/Method: �o Supplemental Information
TYPE �� ci D%N%S%® REQUIRED DATA:1-AND 2-FAMILY DWELLING
❑New construction ratj1)emolition 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.
El 1-and 2-family dwelling ® m
Comercial/industrial Valuation: $
El Accessory building El 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.:410 Project name:Buckendorf&Associates 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: $$14,168.00 G-xi h�✓e-n71- /u.4.1 .lro7 ad J v,rw,i �,�S �
Existing building area: 1543 square feet
New building area: square feet
® PROPERTY OWNER ❑ TENANT Number of stories: 5.
Name:Shorenstein Realty Services Type of construction: H-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,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:
eived:
Authorized signature: Amount ec
nt This permit afees pplication upon expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name:Whit Middlecoff,AIA Date:10/30/2013 * 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)
Building Division
O Development Code Provision Review
T I GA RD Commercial Projects - No Associated Land Use Case
Building Permit No: I3 Po16 I CF-ff pedited Review OTC
Project Name: li( ;;(.0r-r &-15'd
4�-cs
Site Address: /O 30 . �cJ. (bveg,,,ti vy 2�. , Suite/Bldg #:
Plans Routed:
Original Plan Submittal Date: i o/30113 Routed By:
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 A., '.i 4dct at (503) 718-2/3'i/or @tigard-or.gov)
Proposal:
/421 �2 / tc j go 14.40,0
Zoning }'Y1UE l -
Permitted Use Yes No ❑
Land Use Required: Yes ❑ No
Notes:
,�OTApproved ❑ Not Approved ❑ DCPR Not Required-No DCPR Fees Due
Date Routed to Building: /0 - 30' /-3
1:\CURPLN\Masters\Development Code Provision.RevievADCPR COM NoLandUse.doc.Rev.-01/16/13
1 Building Division
Over-The-Counter (OTC) Building Permit
T[GARD Check List
Project Description: 71
APPLICATION SPECIFIC INFORMATION
GENERAL INFORMATION
Class of Work*: � Occupancy Group: Type of Construction:
Type of Use**: �Q7,(,� Occupancy Load: (n Oregon Specialty Code: -Zet
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:
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: Fire Alarms: Smoke Detectors:
Parapet: Manual Pull Stations: Protected Corridors:
Total Project Valuation: $ I"t)t CO , FEES DUE
/ $ `70 .02) DC Prov Rvw,COM TI—Ping
$ Q CO DC Prov Rvw,COM TI—LRP
DC Provision Review Fee for COM TI(effective 7/1/2013) $ MEjrrD Permit Fee—Add,Alt,Demo
Project Valuation Planning LRP $ .,2. 12%State Surcharge
Up to$4,999 $0.00 $0.00 $ 20 Plan Review,Structural
$5,000-$74,999 $70.00 $10.00 $ ME Plan Review,Fire Life Safety
$75,000-$149,999 $174.00 $26.00 $ ,065 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
Planning Staff: $ Hourly Rate State Surcharge
$ Misc.Admin Fee
Permit Coordinator: $ Other:
$ Other:
Building Staff: $ Other:
Date/Time: $ 743,0( 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).
•
1:\Building\Forms\OTC-BUP.docx 07/01/2013
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
10300 SW GREENBURG RD 410, TIGARD, OR, 2013 -12 -04 00:00:00
97223
Record Type: Record ID:
Commercial - Building BUP2013 - 00267
Inspection Type: Result:
299 Final inspection PASS - No C of 0
Comments:
Violation Summary:
Inspector Contractor