Permit ., - 'N CITY OF TIGARD BUILDING PERMIT
PERMIT #:
COMMUNITY DEVELOPMENT DATE ISSUED: 5 2007 00256
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 1 S 135AB -01004
SITE ADDRESS: 10220 SW GREENBURG RD 310 ZONING: C -P
SUBDIVISION: LINCOLN CENTER /TWO LINCOLN LOT: JURISDICTION: TIG
PROJECT: SHORENSTEIN
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: E3 TOTAL AREA: 0 sf ROOF CONST: FIRE RET?
OCCUPANCY LOAD: 49 BASEMENT: sf AREA SEP. RATED:
GARAGE: sf OCCU SEP. RATED:
STOR: HT: ft
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: $ 2,000.00
Owner: Contractor:
EQUITY OFFICE PROPERTIES TRUST RUSSELL CONSTRUCTION INC.
ONE SW COLUMBIA #300 20915 SW 105TH AVE.
PORTLAND, OR 97258 TUALATIN, OR 97062
Contact #: PRI 503 - 228 -4898
Phone: FAX 503 - 228 -2770
Reg #: LIC 58918
FEES
• REQUIRED ITEMS AND REPORTS
Description Date Amount
[BUILD] Permit Fee 5/8/2007 $62.50
[BUPPLN] Pln Rv 5/8/2007 $40.63
[FLS] FLS Pin Rv 5/8/2007 $25.00
[TAX] 8% State Surcha 5/8/2007 $5.00
Total $133.13
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 B j / /, Permittee Signature: 0' Ad `4
or
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 j lic FOR OFFICE USE ONLY
.,
� v.-.w tt Receive.
City of Tigard Date/B Q �,� Pernut No.p �'
13125 SW Hall Blvd., Tigard, OR 97223
Plan Revi- $ �r
Phone: 503.639.4171 Fax: 503.598.196gh Other Perniir. �AY 8 2007 ",��� Date /By: r<z�la� �'
Inspection Line: 503.639.4175 W Date Ready(: y: 8 See Attached Checklist for
Internet: www.ci.tigard.or.us (i if 11� 0 Notified /Method: Supplemental Information
r t.vn`i:' x_aa*
,`RE U1RED °DATA 11- ANI):2'FATVHLY DWELLING )L/
.�:- �a`PEOF,VI,ORK`. Q .,......._ z_
❑ 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
e n v avw a ssaaae vv _ -_, work indicated on this application.
CATEGORY,OF CONSTRUCTION
� Valuation: $
❑ 1- and 2- family dwelling ® Commercial /industrial
❑ Accessory building ❑ Multi- family Number of bedrooms:
❑ Master builder ❑ Other: Number of bathrooms:
t =�� 0 00 - a w e ' " Total number of floors:
aQB S ° NFOUMA4aION AND LOCATION
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.: 310 Project name: 2070951.02 Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
Other structure area: square feet
a a a a area: a - r °oasvo aearvasa s t
REQUIRED, DATA .GOO MMERCIA tUSEa €HECKLIST 1
.aaaa .. � . a.a_.0,00 +.0a
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
:, . r::.,,,,.. , ...:tea 00. .<:,: q ea a nd the profit for the
�..�_ .._.t ".
. � - _ ma lab
e DESCRIP'I§[®1�I" OFW®RK work indicated on this
Interior Tenant Improvement Valuation: $2000.00
Existing building area: 2,178 square feet
New building area: 2,178 square feet
PROPERTY.OWNERF ❑..I ENANT Number of stories: 6
Name: Shorenstein Realty Services Type of construction: I -B
Address: One SW Columbia St. Suite 300 Occupancy groups:
City /State /ZIP: 97258 Existing:
g�
Phone: (503)412-4800 Fax: (503)412-4848 New:
.. ®' API'1 1GANT ❑ - CONTACT PERSON , t" 1' °
a �r0s, a d7� f NOTICE. ,0 `.
Business name: Group Mackenzie All contractors and subcontractors are required to be
Contact name: Stacey Alexander 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: salexander @grpmack.com
Business name: Russell Construction ;. ' 'a
Business
BUILDING., ) PERMIT FEES, t x,
Address: 20915 SW 105" Ave a . / 0' �� a a _. .
Please refer to fee schedul&
City /State /ZIP: Tualatin, OR 97062
Fees due upon application
Phone: (503) 228-4898 Fax: (503) 228- 770
Amount received
CCB lic.: 58918
Date received:
Authorized signature: i /� /� / This permit application expires if a permit is not obtained
____ within 180 dad s after it has been accepted as complete.
Print name: Stacey Alexander / Date: 05/08/ 07 * Fee methodology set by Tr-County Building Industry
Service Board.
i\ Building \Pernuts \BUP- PermitApp.doc 2/03 440 -46 t 3T(1 t /02/COM /WEB)
CITY OF TIGARD
BUILDING DIVISION PERMIT #: BUP2007- 00256
13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 5/8/2007
Phone: (503) 639 -4171 i ti l lo ug ``
Inspection Requests (24 Hrs.): (503) 639 -4175 -1_
INSPECTION WORKSHEET FOR DATE: 6/4/2007 TIME: 7:01AM PAGE: 3
SITE ADDRESS: 10220 SW GREENBURG RD 310 CLASS OF WORK:
SUBDIVISION: LINCOLN CENTER/TWO LINCOLN LOT #: TYPE OF USE:
PROJECT NAME: SHORENSTEIN
DESCRIPTION: TI
OWNER: EQUITY OFFICE PROPERTIES TRUST, PHONE #:
CONTRACTOR: RUSSELL CONSTRUCTION INC. PHONE #: 503-228 -4890
Inspection Request Scheduled For: Date: 6/4 /2007 Pour Time:
Code # Inspection Description Confirm # Contact # Mes
299 Final inspection 049527 -02 503 - 780.3222 ( 7 )
Corrections/Comments/Instructions:
dP
IK' PASS / '' RTIAL APPROVAL ❑ CANCEL NO ACCESS
FAIL fir ALL FOR INSPECTION ❑ ADDITIONAL F ES ASSESSED
/r i /
Inspector: Date: / / 0 Phone #: (503) 718 -
0
CITY OF TIGARD
BUILDING DIVISION PERMIT #: SUP2007 -00266
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/8/2007
Phone: (503) 639 -4171 Azoo
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 5/21/2007 TIME: 7:02AM PAGE: 49
SITE ADDRESS: 10220 SW GREENBURG RD 310 CLASS OF WORK:
SUBDIVISION: LINCOLN CENTER/TWO LINCOLN LOT #: TYPE OF USE:
PROJECT NAME: SIIORENSS
DESCRIPTION: TI
OWNER: EQUITY OFFICE PROPERTIES TRUST, PHONE #:
CONTRACTOR: RUSSELL CONSTRUCTION INC. PHONE #: 503. 228 -4898
Inspection Request Scheduled For: Date: 6/21/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
275 Framing 048652 -01 503-780-3222 N
Corrections /Comments /Instructions:
*Ili PASS II 'ARTIAL APPROVAL n CANCEL ❑ NO ACCESS
n FA % A L FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
��
Inspector Date: 7"-- Phone #: (503) 718 - Z.41/