Permit '' ` .i CITY OF TIGARD B PERMIT
4 r
PERMIT #: BUP2007 -00592
COMMUNITY DEVELOPMENT DATE ISSUED: 11/15/2007
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 1S135AB-01004
SITE ADDRESS: 10220 SW GREENBURG RD 500 ZONING: C -P •
SUBDIVISION: LINCOLN CENTER /TWO LINCOLN LOT: JURISDICTION: TIG
PROJECT: CONCERO INC
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: 38 BASEMENT: sf AREA SEP. RATED:
STOR: 6 HT: ft GARAGE: sf OCCU SEP. RATED:
BSMT ?: MEZZ ?: REQD SETBACKS REQUIRED
FLOOR LOAD: psf LEFT: ft RGHT: ft FIR SPKL: Y SMOK DET:
DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP ACC:
BEDRMS: BATHS: IMP SURFACE: PRO CORR: Y PARKING:
VALUE: 2 Sao . 06
Owner: Contractor:
SHORENSTEIN REALITY SERVICES RUSSELL CONSTRUCTION INC.
ONE SW COLUMBIA #300 20915 SW 105TH AVE.
PORTLAND, OR 97258 TUALATIN, OR 97062
Contact #: PRI 503 - 228 -4898
Phone: 503-412-4800 FAX 503 - 228 -2770
Reg #: LIC 58918
FEES
Description Date Amount REQUIRED ITEMS AND REPORTS
[BUILD] Permit Fee 11/15/2007 $69.65
[TAX] 8% State Surcharf 11/15/2007 $5.57
[BUPPLN] Pin Rv 11/15/2007 $45.27
[FLS] FLS Pin Rv 11/15/2007 $27.86
Total $148.35
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law.
All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is
suspended for more than 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center.
Those rules - : : orth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain a copy of = - rules or d' ect questions to OUNC by
calling 5: .246.6699 o 1.800.332.2344. \ /l
Issue. By: Permittee Signature: )Ci f / \ IIJ �� �l`�
11 rIY Call 503.639.4175 by 7:00 a.m. for an inspection th t business • -y.
This permit card shall be kept in a conspicuous place on the job sitte, until completion of the project.
Approved plans are required on the job site at the time of each inspection.
`-- `'
Building Permit Applc . ' FOR OFFICE USE ONLY .
City of Tigard H Date/By:
/ /60 em PenmtNo.: JOU , ■
, 7 1
/ ��rit:�
13125 SW Hall Blvd., Tigard, OR 97223 is Plan Review
Phone: 503.639.4171 Fax: 503.598.196N U V 1 5 /11111 1 � I I I + Date /Bv: ' 1, — =�r'
inspection Line: 503.639.4175 �1 � Date Ready /:y: Jar 0 See Attached Checklist for
Internet: www.ci.tigard.or.us CITY OF UIGAR - Notified/Method: / IC— Supplemental Information
BUILDINODWUISIOP
..; . ::�.:. -`,'.` '- 'i:.< - n.. . ., .. �� . �, y ;P':� '.. ^;� °;:- .�::... Fm..,p,., . .: �.* "sx � � ti'' 3. �a" ti,. � €.,.:..;,::: ^:.M�o,E . E �. '�r�.�r. 4 :.$;' , 'w;;- : .m w a��u .
,: , ;X° ' . .r . t TYPk OFWURK i " ` r , L
i k« :,, REQUIRED DATA:31 AND 2 FANllLY DWE DING
�,a "� � t�b..a c. ��am� °�°. �a`^„:�a�:xr,„d�§��;�s., �_ -. �- .F��.t. - ^�._ � .m_�.��,�� ��:- ��^.�: �a�;� �rw�zc��a�a�a. ...� a.�Mz:
❑ 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
w %` r a 1 work indicated on this application.
CATEGORY-440R CONSTRUC'"TION
s _44....x,...: - ,. .a^se -47_ 4,44e .. > -t a'4"66�D< -4 ., 4, 4^,�+ e . _. ,.� 4,%, . .. n. .4.44:4. Valuation: $
❑ 1- and 2- family dwelling ® Commercial /industrial
El Accessory building ❑ Multi family Number of bedrooms:
❑ Master builder ❑ Other: Number of bathrooms:
�:' s ` ''ue ` ��� : " Total numberoffloors:
,, JOB STTE ORMA.TION AND I ATION
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.: 500 Project name: Concero, Inc. Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
Other structure area: square feet
RE,QLJJRED DATA fi CO M CIAL -US U G H ChIST,
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
z , DESCRIPf UE I N O W y work indicated t on this lapplicat on ead, and the profit for the
a e r
: _.
Interior Tenant Improvement Valuation: $$2,500.00
Improvements to include minor demolition, new walls and cabinetry Existing building area: 3,786 square feet 1
New building area: square feet
i . .. ® PRQP.ERY OWNER _ ® TEN NT Number of stories: 6
Name: Shorenstein Reality Services Type of construction: I -B
Address: One SW Columbia St. Suite 300 Occupancy groups:
City/State /ZIP: 97258 Existing: B
g�
Phone: (503)412 -4800 Fax: (503)412 -4848 New:
APPIsI E ANT ' i�; W ,i.. z : ,.CONTACT . PER$O , = + '
r �,. a ^ ...� : P ,.. - '".: �" .. + >-w °� ,r °_ .�.:. -�_ = <,e:+r� ` - a. .....t � „ ��.. W ' .�. NOTICE _ :4 a , . a �
Business name: Group Mackenzie All contractors and subcontractors are required to be
Contact name: Kim Sedlak licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address: 1515 SE Water Ave jurisdiction in which work is being performed. If the
City/State /ZIP: Portland, OR 97214 applicant is exempt from licensing, the following reasons
apply:
Phone: (503) 224 -9560 Fax: : (503) 228 -1285
E -mail: ksedlak @grpmack.com
CONTRAC 54
Business name: Russell Construction °Nt-�;�, t''` <, "'.1
F . itIMItG PERMiII FEES* lam... - .. ;
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 / /
i / , Date received:
Authorized signature: � l (4 This permit application expires if a permit is not obtained
' f/ ' t . within 180 days after'it has been accepted as complete.
Print name: Kim Sedlak { Date: 11/15/ 07 * Fee methodology set by Tri -County Building Industry
Service Board.
I \Building \Permits \BUP- PermitApp doc 12/03 440- 4613T(I 1/02/C064/WEB)
" .
CITY OF TIGARD
BUILDING DIVISION $ PERMIT #: BUP2007-00592
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: - 11/15/2007
Phone: (503) 639-4171 164441 lei
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: 1/9/2008 TIME: 7:01AM PAGE: 45
SITE ADDRESS: 10720 SW GREENBURG RD 500 CLASS OF WORK:
SUBDIVISION: LINCOLN CENTER/TWO LINCOLN LOT #: TYPE OF USE:
PROJECT NAME: CONGER() INC
DESCRIPTION: TI
OWNER: SHORENSTEIN REALITY SERVICES, PHONE #: 503-412-4800
CONTRACTOR: RUSSELL CONSTRUCTION INC. PHONE #: 503-220-4898
Inspection Request Scheduled For: Date: 1/9/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
299 Final inspection 062791-01 503-780-3222 N
Corrections/Co ents/Instructions:
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ASS El PARTIAL APPROVAL EI CANCEL fl NO ACCESS
D FAIL Li CALL FOR INSPECTION El ADDITIONAL FEES ASSESSED
. _________„--- --2.Y24
Inspector: Date: Phone #: (503) 718-
CITY OF TIGARD - •, .
BUILDING DIVISION PERMIT #: StJP2007 -Q092
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/1 &2007
Phone: (503) 639 -4171 �IW�i�l
Inspection Requests (24 Hrs.): (503) 639 -4175 �' '`
INSPECTION WORKSHEET FOR DATE: 12/3/2007 TIME: 7 :00AM PAGE: 35
GREENBURG PF;�
SITE ADDRESS: 10220 ,-SW �,NSURG RD 500 CLASS OF WORK:
SUBDIVISION: LINCOLN CENTER/TWO LINCOLN LOT #: TYPE OF USE:
PROJECT NAME: CONCERO INC
DESCRIPTION: TI
OWNER: SHORENSTEIN REALITY SERVICES, PHONE #: 503412 -4800
CONTRACTOR: RUSSELL CONSTRUCTION INC. PHONE #: 503 228.4858
Inspection Request Scheduled For: Date: 12/3/2007 Pour Time:
Code # Inspection Description Confirm # . Contact # Me:sage
l o 27() Framing 060630-01 503 - 780.3222 Y
/ orr ctiors /Co ments /Instructio s:
gt7 Ao7- op
•
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p PASS n PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
VA litC.----- :12 3 2 2 Inspector: Date. r � Phone #: (503) 718
i