Permit CITY TIGARD BUILDING PERMIT
PERMIT #: BUP2007 -00036
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COMMUNITY DEVELOPMENT DATE ISSUED: 1/25/2007
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 1S135AB-01004
SITE ADDRESS: 10220 SW GREENBURG RD 200 ZONING: C - P
SUBDIVISION: LINCOLN CENTER /TWO LINCOLN LOT: JURISDICTION: TIG
Project Description: Cruise Master - TI, (2,243 sq ft)
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: 48 BASEMENT: sf AREA SEP. RATED:
STOR: 2 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: $ 7,500.00
Owner: Contractor:
EQUITY OFFICE PROPERTIES TRUST RUSSELL CONSTRUCTION INC.
ONE SW COLUMBIA #300 20915 SW 105TH AVE.
PORTLAND, OR 97258 TUALATIN, OR 97062
Phone: Contact #: PRI 503 - 228 - 4898
FAX 503 - 228 -2770
FEES Reg #: LIC 58918
Description Date Amount REQUIRED ITEMS AND REPORTS
[BUILD] Permit Fee 1/25/2007 $120.10
[TAX] 8% State Surcha 1/25/2007 $9.61
[BUPPLN] Pin Rv 1/25/2007 $78.07
[FLS] FLS Pln Rv 1/25/2007 $48.04
Total $255.82
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.
Issue By: �� / p S/ Permittee Signature: �1
Call 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 of the project.
Approved plans are required on the job site at the time of each inspection.
Building Permit Application ; : : FOR OFFICE USE ONLY'
City Of T Received
igard DateBB / / `f D Perm ,
Permit No.: / I
13125 SW Hall Blvd., Tigard, OR 9 Plan Review A _ n Phone: 503.639.4171 Fax: 503.59��i %," t D . Date/B : Other ' ermit:
Inspection Line: 503.639.4175 2 p^' 4 - I Date Ready/By: See Attached Checklist for
Internet: www.ci.tigard.or.us JAN `2' 5 20 07 Notified/Method: 1 Supplemental Information
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< .N 1 �RDAT 1AND 2 FAMILY DWEI I 1NG
QUIRE'
❑ 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 CONSiPRU�CiTION
�� � �, -� � � � �; work indicated on this application.
.... �:-� ���.;.._ s" _ rv��,�t< � :„ .cuffs
El I- and 2- family dwelling ® Commercial /industrial
Valuation: S
El Accessory building El Multi-family Number of bedrooms:
El Master builder El Other:
Number of bathrooms:
y � t JOB SITE INFORMATION AND LOCATION _ Total number of floors:
Job site address: 2 LINCOLN 10220 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: Cruise Masters Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
Other structure area: square feet
REQUIRED HATA: COMMERCIAL IISE 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
a, =r- q and the profit for the
equipment, materials, s abor overlie
e up t a s e o
r
DESCRIPTION OF WORK '" - „ work indicated on this application.
Interior Tenant Improvement Valuation: 557,500.00
Existing building area: 2,243 square feet
New building area: square feet
® - P rain OWNER ; - � _W,= ;_ _ � � ❑` TENANT � � ' 1 Number of stories: 6
? ,� ..
Name: Equity Office Properties Trust Type of construction: 1 -B
Address: One SW Columbia St. Suite 300 Occupancy groups:
City /State /ZIP: 97258 Existing: B
er,
Phone: (503)412 -4800 Fax: (503)412 -4848 New:
- ... ® �t� ®' CONTACT. PERS , k -t A � � I � ...
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
CONTRACTOR ;.,s .T :: ,.:
Business name: Russell Construction . *
B ILDIN
UG RM
R EPT F ,,, EES ''
Address: 20915 SW 105 Ave ��
Please refer to fee schedule.
City /State /ZIP: Tualatin, OR 97062
Fees due upon application
Phone: (503) 228 -4898 Fax: (503) 228 -2770
Amount received
CCB tic.: 58918
Date 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: Joshua Tapp / Date: 01/25/ 06 * Fee methodology set by Tn County Building Industry
3 � - Service Board.
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BUILDING DIVISION PERMIT #: BUp2007.00036
13125SVV Hall 8lvd.. Tigard, DRO7223 DATE ISSUED: 1/2512007
Phone: (503) 639-4171
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Inspection Requests �4Hrej:(503)G3Q-4175 .� ^.~
INSPECTION WORKSHEET FOR DATE: 2/211200 TIME: 7:00AIVI PAGE: 47
SITE ADDRESS: 102 SyYGREENBURGRQ CLASS OF WORK:
SUBDIVISION: LINCOLN LINCOLN LOT #: TYPE OF USE:
PROJECT NAME: CRUISE MASTER
DESCRIPTION: Cruise Master ' TI, (2.243 sq ft)
OWNER: EQUITY OFFICE PROPERTIES TRUST, PHONE #:
CONTRACTOR: RUSSELL CONSTRUCTION INC. PHONE #: 503-228-4898
Inspection Request Scheduled For: Date: 2y2112007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
299 Final inspection 043611-01 603-780-3222 N '
Corrections/Comments/Instructions:
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���`SS -- PARTIAL APPROVAL ri CANCEL I I NO ACCESS
EI FAIL III CALL FO~ INSPECTION ri ADD|T|• AL ES ASSESSED
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Inspector: Date: _ ' _m �� Phone #: (5U3) 718«�^~
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CITY„OE. TIGARD
BUILDING DIVISION PERMIT #: BUP2007-00036
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/25/2007
Phone: (503) 639/4171 A "
JUI
Inspection Requests (24 Hrs.): (503) 639-4175 IL
INSPECTION WORKSHEET FOR DATE: 1/29/2007 TIME: 7:05AM PAGE: 26
- • SITE ADDRESS: 10220 SW GREENBURO RD 200 CLASS OF WORK:
SUBDIVISION: LINCOLN CENTER/TWO LINCOLN LOT #: TYPE OF USE:
PROJECT NAME: CRUISE MASTER
DESCRIPTION: Cruise Master - TI, (2,243 sq ft)
OWNER: EQUITY OFFICE PROPERTIES TRUST, PHONE #:
CONTRACTOR: RUSSELL CONSTRUCTION INC. PHONE #: 503-226-4898
Inspection Request Scheduled For: Date: 1/29/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
275 Framing 042636-01 503-7130-3222 Y
Corrections/Comments/Instructions:
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40 ' -
.- . 411 i
Lip 141/11PIMMILit
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PASS 0 PARTIAL APPROVAL fl CANCEL n NO ACCESS
I FAIL H CALL FOR INSPECTION 0 ADD IT ONAL EES ASSESSED
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Inspector: Date: .,.., l..,
ifikk Vg ,
U " Phone #: (503) 718-
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