Permit CITY TIGARD BUILDING PERMIT
PERMIT #: BUP2006 -00515
':%. .
-d, DEVELOPMENT SERVICES DATE ISSUED: 10/26/2006
w- 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171
PARCEL: 1S135AB-00900
SITE ADDRESS: 10200 SW GREENBURG RD 200 ZONING: C -P
SUBDIVISION: LINCOLN CENTER /FIVE LINCOLN LOT: JURISDICTION: TIG
Project Description: TI
REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION
CLASS OF WORK: ALT FIRST: sf N: S: E: W:
TYPE OF USE: COM SECOND: sf PROJECT OPENINGS?
TYPE OF CONST: 2FR sf N: S: E: W:
OCCUPANCY GRP: B TOTAL AREA: 0 sf ROOF CONST: FIRE RET?
OCCUPANCY LOAD: 273 BASEMENT: sf AREA SEP. RATED:
STOR: 7 HT: ft GARAGE: sf OCCU SEP. RATED:
BSMT ?: MEZZ ?: REQD SETBACKS REQUIRED
FLOOR LOAD: psf LEFT: ft RGHT: ft FIR SPKL: SMOK DET:
DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP ACC:
BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING:
VALUE:- 3 3 /co . 0 b
Owner: Contractor:
EQUITY OFFICE PROPERTIES TRUST RUSSELL CONSTRUCTION INC.
ONE SW COLUMBIA ST #300 20915 SW 105TH AVE.
PORTLAND, OR 97258 TUALATIN, OR 97062
Phone: Contact #: PRI 503 228 - 9413
FAX 503 - 228 -2770
FEES Reg #: LIC 58918
Description Date Amount REQUIRED ITEMS AND REPORTS
[FLS] FLS Pln Rv 10/26/200€ $140.32
[BUPPLN] Pin Rv 10/26/200€ $228.02
[BUILD] Permit Fee 10/26/200€ $350.80
[TAX] 8% State Surcha 10/26/200€ $28.06
Total $747.20
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 than 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 -0100. You may obtain a copy
of these rules or direct questions to OUNC by calling 503 - 246 -6699 or 1- 800 - 332 -2344.
Issued By: ca,,, Permittee Signature: e,G 410.9:,
L
//-
Ca li 503- 639 -4175 by 7:00 a.m. for an inspection that business day. •
This permit card shall be kept in a conspicuous place on the job site until completion o the project.
Approved plans are required on the job site at the time of each inspection.
-- ti
Building Permit Application FOR OFFICE USE ONLY
Received , /
City of Tigard Date/By: it ' p / PennitNo.. (( J , �� /`
13125 SW Hall Blvd., Tigard, OR 97223 Plan Rev'.F
Phone: 503.639.4171 Fax: 503.598.1960 r'M� Date/B : Ir�) f , I Other Permit:
Inspection Line: 503.639.4175 . • ' I I Date Read El See Attached Checklist for
Internet: www.ci.tigard.or.us Notified/Method: Supplemental Information
,r - TYPE OF WORK'; :°
'� �� "4 e t b" ' ' E UIRED D l' -AND 2= FAMIIY 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
:mss `:.' : ' - __: gy __°=_ ... - r _ '1 = W::' :i-: ::- : :- :° work indicated on this application.
=-�� � CATEGORY _OF CO STRUCTION
Valuation: $
❑ 1- and 2- family dwelling ® Commercial /industrial
E1 Accessory building ❑ Multi - family Number of bedrooms:
❑ Master builder ❑ Other: Number of bathrooms:
i s JOB9'STTE „IIVFORMAT ON AND OCIATTON ., - Total number of floors:
Job site address: 5 LINCOLN 10200 SW GREENBURG RD New dwelling area: square feet
City /State /ZIP: TIGARD, OR 97223 Garage /carport area: square feet
Suite/bldg. /apt. no.: 200 Project name: Farmer's Insurance Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
Other structure area: square feet
REQUIRED'DATA: CONIMERG'I� US CHECKLIST
�o a ar t vAMMe
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
`" it 1} t ESCRIPTION ®F WORK 0 '' 1- i work indicated on this application.
Interior Tenant Improvement Valuation: $$33,100.00
Existing building area: 15,020 square feet
New building area: square feet
i@® PROt'FRTY:= OWN z ,f ❑ TENANT a„, 4
y .4 . ,,.I,: Number of stories: 7
Name: Equity Office Properties Trust Type of construction: I -B
Address: One SW Columbia St. Suite 300 Occupancy groups:
3 ato
g
City /State /ZIP: 97258 Existing: B
Phone: (503)412 -4800 Fax: (503)412 -4848 New:
® 1PPLICANT x "' . ❑CONTACT P >ERSON' r ? 1, �
i R w . .. _ � �� ., t .. as ati2, v a z NOTI(?E
Business name: Group Mackenzie All contractors and subcontractors are required to be
Contact name: Joshua Tapp licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address: 0690 SW Bancroft St jurisdiction in which work is being performed. If the
City /State /ZIP: 97239 applicant is exempt from licensing, the following reasons
apply:
Phone: (503) 224 -9560 Fax: : (503) 228-1285
E -mail: jtapp @grpmack.com
-CO,v ,vim
t � , v a " NTRACa T t OR _
% °�1 .� ._.sQ. - 4�,�„r��,�w� ..v.nLr a `` �; �f �r^v�a.�__�. ...
Business name: Russell Construction[ i t a �� r a tE °v ; i
a BITILD °P ERMIT F EES*
Address: 20915 SW 105 Ave t:w ��
Please refer to fee schedule.
City /State /ZIP: Tualatin, OR 97062
Fees due upon application
Phone: (503) 228 -4898 G Fax: (503) 228 -2770
CCB lie.: - ej O/ / g 1 s Amount received
\,.. . ' Date received:
Authorized signature: 7 This permit application expires if a permit is not obtained
2 within 180 days after it has been accepted as complete.
Print name: Joshua Ta`. Date: 10/26/06 * Fee methodology set by Tri- County Building Industry
Service Board.
1:\ Building \ Permits \BUP- PermitApp doc 12/03 440- 4613T(I1 /02 /COM/WEB)
r
CITY ,OFTIGARD
BUILDING DIVISION PERMIT #: 13UP2006.00515
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/26/2006
Phone: (503) 639-4171
Inspection Requests (24 Hrs.): (503) 639 -4175 . -..
INSPECTION WORKSHEET FOR DATE: 2/1/2007 TIME: 7 :01AM PAGE: 74
SITE ADDRESS: 10200 SW GREENBURG RD 200 CLASS OF WORK:
SUBDIVISION: LINCOLN CENTER /FIVE LINCOLN LOT #: TYPE OF USE:
PROJECT NAME: FARMERS INSURANCE
DESCRIPTION: TI
OWNER: EQUITY OFFICE PROPERTIES TRUST, PHONE #:
CONTRACTOR: RUSSELL CONSTRUCTION INC. PHONE #: 503.228 -9413
Inspection Request Scheduled For: Date: 2/1/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
299 Final inspection 042795-01 503- 780.3222 Y
Corrections /Comments /Instructions:
AR y
c— R Z — OCR 2
F a - A 4a
. /<<
4
. la / (1, -----
( ,0
PASS I PARTIAL APPROVAL I I CANCEL ❑ NO ACCESS
I I FAIL CALL FOR NSPECTION I ADDITI • N ■ L FEES ASSESSED
Inspector: � wlaw Date: G Phone #: (503) 718 - 2 _/
s
CITY OF TIGARD
BUILDING DIVISION
A PERMIT #: BUP2006-00515
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/26/2006
Phone: (503) 639-4171 b o AlPvittiliil`
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: 1/11/2007 TIME: 7:03AM PAGE: 35
SITE ADDRESS: 10200 SW GREENBURG RD 200 CLASS OF WORK:
SUBDIVISION: LINCOLN CENTER/FIVE LINCOLN LOT #: TYPE OF USE:
PROJECT NAME: FARMERS INSURANCE
DESCRIPTION: 11
OWNER: EQUITY OFFICE PROPERTIES TRUST, PHONE #:
CONTRACTOR: RUSSELL CONSTRUCTION INC. PHONE #: 503-226-9113
Inspection Request Scheduled For: Date: 1/11/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
275 Framing 041962-02 503.718-2423 N
Corrections /Comments/ Instructions:
<------
Warag43 — if .‘ ' 00.-4010r Vii,,i/ -
b.... RA?
64
/,1 ,
PASS n PARTIAL APPROVAL fl CANCEL El NO ACCESS
FAIL 0 CALL FOR INSPECTION [ I ADDITIONAL FEES ASSESSED
Inspector: - Date: t 4 Phone #: (503) 718-4 7 - -- >
_ _
CITY ilf TIGARD
BUILDING DIVISION PERMIT #: BUP2006-00515
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/26/2006
Phone: (503) 639-4171 A
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: 12/20/2006 TIME: 7:00AM PAGE: 44
SITE ADDRESS: 10200 SW GREENBURG RD 200 CLASS OF WORK:
SUBDIVISION: LINCOLN CENTER/FIVE LINCOLN LOT #: TYPE OF USE:
PROJECT NAME: FARMERS INSURANCE
DESCRIPTION: Ti
OWNER: EQUITY OFFICE PROPERTIES TRUST, PHONE #:
CONTRACTOR: RUSSELL CONSTRUCTION INC. PHONE #: 503-228-9413
Inspection Request Scheduled For: Date: 12/20/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
287 Suspended ceiling 041292-01 503-780-3222 Y P/100
Corrections/Comments/Instructions:
1
,a1 ,
\ . ._ ,_ ,_..-- airtalm&Nry
.-- -
NW' • v'w ' MP NMI '
•
•
PASS r7 PARTIAL APPROVAL 0 CANCEL I I NO ACCESS
Li FAIL • CALL FOR INSPECTION I I ADDITIOrrL F S ASSESSED
4 0111141 /1 ,
Inspector: Date: t Z U Phone #: (503) 718- Z-14
_ .
i
CITY:OF
BUILDING DIVISION
PERMIT #: BUP2006-00616
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/28/2008
Phone: (503) 639-4171 pit
Inspection Requests (24 Hrs.): (503) 639-4175 ,.......„...41■ .....,
INSPECTION WORKSHEET FOR DATE: 1211r2oo6 TIME: 6:58Am PAGE: 71
SITE ADDRESS: 10200 SW GREENBURG RD 200 CLASS OF WORK:
SUBDIVISION: LINCOLN CENTER/FIVE LINCOLN LOT #: TYPE OF USE:
PROJECT NAME: FARMERS INSURANCE ,
DESCRIPTION: TI
OWNER: EQUITY OFFICE PROPERTIES TRUST, PHONE #:
CONTRACTOR: RUSSELL CONSTRUCTION INC. PHONE #: 503-22B-9413
Inspection Request Scheduled For: Date: 1211/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message ,
246 Firma!! 040399-01 603-708-0322 N
Corrections/Comments/Instructions:
----------
•
A Al
.-
1/P r A
, .
n PASS PARTIAL APPROVAL E CANCEL I NO ACCESS
I I FAIL I I CALL FOR INSPECTION pi ADDIT ONAL FEES ASSESSED
r ,
Inspector: ,
,0 Date: [ ( .• Phone #: (503) 718-
.! 1
CITY OF TIGARD e —
BUILDi It. DIVISION PERMIT #: BUP200 06515
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10126/20
Phone: (503) 639 -4171
Ag @ �oik �1
Inspection Requests (24 Hrs.): (503) 639 -4175 __..
INSPECTION WORKSHEET FOR DATE: 11/22 TIME: 7 :03AM PAGE: 31
SITE ADDRESS: 10200 SW GREENRURG RD 200 CLASS OF WORK:
SUBDIVISION: LINCOLN CENTER /FIVE LINCOLN LOT #: TYPE OF USE:
PROJECT NAME: FARMERS INSURANCE
DESCRIPTION: TI
OWNER: EQUITY OFFICE PROPERTIES TRUST, PHONE #:
CONTRACTOR: RUSSELL CONSTRUCTION INC. PHONE #: 503 - 228.9413
Inspection Request Scheduled For: Date: 11/22/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message 16: . 7
275 Framing 040156-01 503-780-3222 Y AP--NaV
Corrections/Comments! Instructions:
Corrections/Comments/Instructions:
.
, 42:rer f
T Ws.
Lei •
I
t
IT .1 '1
C
PASS I 1 PARTIAL APPROVAL n CANCEL I NO ACCESS
I I FAIL I CALL FOR INSPECTION I ADDITI • AL F' ES ASSESSED
Ato ,
Inspector: ( Date: v / •
� V Phone #: (503) 718 -
W