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Permit C ITY OF TIGARD BUILDING PERMIT =2 )11 ra .„ PERMIT #: COMMUNITY DEVELOPMENT DATE ISSUED: TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 1 S135AB -01002 SITE ADDRESS: 10220 SW GREENBURG RD 501 ZONING: R -12 SUBDIVISION: LINCOLN CENTER /THREE LINCOLN LOT: 009 JURISDICTION: TIG PROJECT: WELLS FARGO HOME MTG. 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: 19 BASEMENT: sf AREA SEP. RATED: STOR: 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:' 3900 — 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 -4898 FAX 503 - 228 -2770 Reg #: LIC 58918 FEES Description Date Amount REQUIRED ITEMS AND REPORTS [BUILD] Permit Fee 9/25/2007 ' $76.80 [TAX] 8% State Surcha 9/25/2007 $6.14 [BUPPLN] Pln Rv 9/25/2007 $49.92 [FLS] FLS Pln Rv 9/25/2007 $30.72 Total $163.58 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 •AR 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: Permittee Signature:J( i j 4 AAR %L, u� ___62 f I ' wit 1 — WI — Call 503.639.4175 by 7:00 a.m. for an inspection that busines 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 ;�c. 1 .,�1 5 FOR OFFICE USE ONLY City of Tigard ° t Received P ermit No.: 13125 SW Hall Blvd., Tigard, OR 97223 '� Dat-/B : r� J✓ /��`, 1, / / ...eV o p ; d , w '� Date /: Plan Rev: T ' ' 11 1/' Jl -J� � Phone: 503.639.4171 Fax: 503.598.1 f (' - � 1 'Ty:' R_a W Date y. 10 See Attached Checklist for Inspection Line: 503.639.4175 2 5 2007 � �• Ij ���' Internet: www.ci.tigard.or.us c y �r t4 . t (i f R Notified/ - shod: Supplemental Information >. ,,".. ,';,',. 'm j 1 Mf r . tv ", , : g A , ..., :, � �.c ,aE,. =. -f: - :e r 3 i - ; -� " . ,� „gym- c;'�;1, y 'ta..:xr_.; . g'i� .ia• , ...,, "` :: L � G ,„,ST i i i - r" °. S i 8s y ; " a � ,, ,K 1 40 -ANDZ - FAMILY D m. a �«... - -" ( 3 ili-0, W. t. "1 �, ;e -;;c -. :,4- % °1 -- �; '7 ,P ,H.. xi s+' 9,V: ?_ , ,Zi % -m8.._ x... ::-' , 43V, : ❑ 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 wr W � CATEGORY OF CONSTR UCTION -�°� ll work indicated on this application. ratrc ❑ I- and 2- family dwelling ® Commercial /industrial Valuation: $ ❑ Accessory building ❑ Multi - family Number of bedrooms: ❑ Master builder ❑ Other: Number of bathrooms: _ ° .,:',4.0w.::::- OB S1TE FORMA�`TION 'AND LOCATION ` , " r Total number of floors: Job site address: 3 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.: 501 Project name: Wells Fargo Home Mortgage Covered porch area: square feet Cross street/directions to job site: Deck area: square feet Other structure area: square feet REQ RED:DATA' "C OMMERCI A L USE CH.ECKL tST ali 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 ', + . 27 7 � �� i'r :, P " . "( work indicated thislapplicationead, and the profit for the a e r DESCRIPTION OF WO „ R Interior Tenant Improvement Valuation: $$3,900.00 Work limited to new demising wall and new door Existing building area: 1,942 square feet New building area: square feet N5 .i y„ t ROPE! fY "OW . xi ", TEN VT; ,i , 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: B Phone: (503)412 -4800 Fax: (503)412 -4848 New ._Vp APP rG T _. ' . R ` CONTACT PERSO _ =*- ;� :': k ., 4 _ I ,Y�^�R 'NOT Business name: Group Mackenzie All contractors and subcontractors are required to be Contact name: Morgan Roush 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: mrr @grpmack.com ' ; COiVT.RAGT©R 3 to I., . Business name: Russell Construction t " " "3,�ar� x s ski i ;aBC1[ DING P FEES* " , 111 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 lie.: 58918 / ' / 1 D ate received: Authorized signature:x„ , • I � i 4$ 7 This permit application expires if a permit is not obtained i I .` within 180 days after it has been accepted as complete. Print name: Joshua Ta r I , ,� � Date: 09/25 07 * Fee methodology set by Tri- County Building Industry Service Board. i:\ Building \Permits \BUP- PermitApp doe 12103 440- 4613T(11/02/COM/WEB) CITY OF TIGARD BUILDING DIVISION PERMIT #: 13UP2007 -00600 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9 612007 Phone: (503) 639 -4171 x � I 4' Inspection Requests (24 Hrs.): (503) 639 -4175 -� i "' ' � I INSPECTION WORKSHEET FOR DATE: 10/26/2007 TIME: 7 :00AM PAGE: 74 SITE ADDRESS: 10 220 SW GREENBURG RD 501 CLASS OF WORK: SUBDIVISION: LINCOLN CENTER /THREE LINCOLN LOT #: 009 TYPE OF USE: PROJECT NAME: WELLS FARGO HOME MTG. DESCRIPTION: TI OWNER: EQUITY OFFICE PROPERTIES TRUST, PHONE #: CONTRACTOR: RUSSELL CONSTRUCTION INC. PHONE #: 503 -2 20..48913 Inspection Request Scheduled For: Date: 10/26/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 299 Final inspection 068395 -01 503- 780.3 222 Y Corrections /Comments /Instructions: , PARTIAL APPROVAL n CANCEL ❑ NO ACCESS n FAIL n CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED Inspector: — Date: I i / Phone #: (503) 718- � Z CITY OF TIGARD BUILDING DIVISION ,_. PERMIT #: BUP2007-00600 1 13125 SW Hall Blvd., Tigard, OR 97223 • DATE ISSUED: 91292007 Phone: (503) 639-4171 Inspection Requests (24 Hrs.): (503) 639-4175 , ..ilil. n = N • INSPECTION WORKSHEET FOR DATE: 10/9/2007 TIME: 7:00AM PAGE: 57 SITE ADDRESS: 10220 SW GREENBURG RD 501 CLASS OF WORK: SUBDIVISION: LINCOLN CENTER/THREE LINCOLN LOT #: 009 TYPE OF USE: PROJECT NAME: WELLS FARGO HOME MTG. DESCRIPTION: TI • • OWNER: EQUITY OFFICE PROPERTIES TRUST, PHONE #: CONTRACTOR: RUSSELL CONSTRUCTION INC. PHONE #: 803-220 Inspection Request Scheduled For: Date: 10/9/2007 (IPAJ Pour Time: Code # Inspection Description Confirm # Contact # Me .age cili gi? 275 Framing 057170-01 503780-3222 Y I Corr- ctions/ ments/Instructions; IA-, Co •- ' . J(5 1 El,c,7,0 0 - 00 L (; ( 51,-.) ° :. % tft D7 41- r PASS fl PARTIAL APPROVAL 1 i CANCEL El NO ACCESS l I FAIL pi CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED V(A. Ja----- 1 0 / Inspector: Date: Phone #: (503) 718-