Permit BUILDING PERMIT
" CIT OF TIGARD
PERMIT #: BUP2008 -00099
COMMUNITY DEVELOPMENT DATE ISSUED: 4/3/2008
TI'GARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 1 S 135AB -01004
SITE ADDRESS: 10220 SW GREENBURG RD 600 ZONING: C -
. SUBDIVISION: LINCOLN CENTER/TWO LINCOLN LOT: JURISDICTION: TIG
PROJECT: FARMERS INSURANCE
Project Description: Includes demolition, new walls, new doors and new cabinetry.
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: 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 : Y HNDICP ACC:
BEDRMS: BATHS: IMP SURFACE: PRO CORR: Y PARKING:
VALUE: r/ r u b
Owner: ( Contractor:
SHORENSTEIN REALTY SERVICES RUSSELL CONSTRUCTION INC.
ONE SW COLUMBIA #300 20915 SW 105TH AVE.
PORTLAND, OR 97258 TUALATIN, OR 97062
Phone: 503-412-4800 Contact #: PRI 503- 228 -4898
FAX 503 - 228 -2770
Reg #: LIC 58918
FEES
Description Date Amount REQUIRED ITEMS AND REPORTS
[BUILD] Permit Fee 4/3/2008 $191.20
[TAX] 12% State Surch 4/3/2008 $22.94
[BUPPLN] Pln Rv 4/3/2008 $124.28
[FLS] FLS Pln Rv 4/3/2008 $76.48
Total $414.90
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the
Oregon Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through O' R 952 - 001 -0100 / You may obtain a copy
of these rules or direct questions to OUNC by calling 503.246.6699 or 1.800.332.2344.
•
Issued By: fy. � Permittee Signature:.
Call 503.639.4175 by 7:00 a.m. for an inspectio t at business day.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Building Perr.it- AAplication
COIT tne'rcial v EOROFFICE " USE ONLY
City of Tigard 10 , CSI M Zil ReceB ��� • —
Permit No.:
■
qi 13125 SW Hall Blvd., Tigard, ,1 • . — 23. c Date 7Q O$
Plan Revie
Phone: 503.639.4171 Fax: 503.59 ; T I R O °' p D ate /B : /n i 1 �� , Other Permit
' Inspection Line: 503.639.4175 Date Rea��?� tu is 8 See Page 2 for
TIG RD �,� N ,
Internet: www.tigard- or.gov y s ,� �� � 0
� Notified /Method: Supplemental Information
` g ��
i- . , . .. - . �._ .._ ". ' '.. „ ,1 r .. .1 ... ; ,..m '.,. .. 4- ,, ,
k. t n REQUIRE sa 1 . AND 2 FA111IL N `' <
❑ 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
� 177 i =' ""� work indicated on this application.
m .
= " ` _ : W m ;, e CATEGORY , OF - GONSTRUC'GION �
Valuation: $
❑ I- and 2- family dwelling ® Commercial /industrial
❑ Accessory building ❑ Multi - family Number of bedrooms:
El Master builder 1=1 Other:
Number of bathrooms:
AN
OB .' SITE I E -
T# IOl\ D l,OCA'ITONi `
- �_ - Total number of floors:
Job site address: 2 LINCLON 10220 SW GREENBURG RD New dwelling area: square feet
City /State /ZIP: TIGARD, OR 97223 Garage /carport area: square feet
Suite/bldg. /apt. no.: 600 Project name: Farmers Insurance Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
Other structure area: square feet
• � REQUIR E D:DATA .COMMERCI CHE
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, ,, . ,„ DESCRIPTION OF WO , , < ,,- work ndiindicated t on this application. a
and the profit for the
a e ro
Includes demolition, new walls, new doors and new cabinetry Valuation: $$19,500.00
Existing building area: 7,924 square feet
New building area: square feet
PROPERT Y OWNER ; 4 TENANT 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
Phone: (503)412 -4800 Fax:( ) New:
; APPLIC AN T E rCONTACT' PERSO - <"' r
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 Suite 100 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
TM° . t ," ;
fi ' CONTRACTOR -.
tidy ",.,.. _ �: F' ��.���^ ._.. .w:.- x t�,i , ,z ia;x <;;`k?4',:' . i .: .a =�' `t;
Business name: Russell Construction, e . [BUILDING PERT FEES *
• Address: 20915 SW 105 Ave a -.: :0 = (Pteas'erefertofee - $ ;d i i •
Structural plan review fee (or deposit):
City /State /ZIP: Tualatin, OR 97062
. FLS plan review fee (if applicable):
Phone: (503) 228 -4849 Fax: (503) 228 -2770 _
CCB lie.: 58918 1 Total fees due upon application:
�� Amount received:
Authorized signat. r-: t
,�� I •1 iiv This permit application expires if a permit is not obtained
�y within 180 days after it has been accepted as complete.
Print name: Ki Se a Date: 04/03/08 * Fee methodology set by Tri- County Building Industry
Service Board.
I:\Building\Permits \BUP -COM PermitApp.doc 2/23/07 440-4613T(1 I /02/COM/WEB)
CITY OF TIGARD'` ..
BUILDING DIVISION _ PERMIT #: BUP20000099
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/3/2008
Phone: (503) 639-4171 F nd�lp iii °,°
Inspection Requests (24 Hrs.): (503) 639 -4175 AiSr 11:.
INSPECTION WORKSHEET FOR DATE: 7/11/2008 TIME: 7 :00Ai PAGE: 37
•
SITE ADDRESS: 10220 SW GREENBURG RD 600 CLASS OF WORK:
SUBDIVISION: LINCOLN CENTER!TWO LINCOLN LOT #: TYPE OF USE:
PROJECT NAME: FARMERS INSURANCE
DESCRIPTION: TI. Includes demolition, new walls, new doors and new cabinetry.
OWNER: SHORENSf'EIN REALTY SERVICES, PHONE #: 503 - 412 -4800
CONTRACTOR: RUSSELL CONSTRUCTION INC. PHONE #: 503 - 228.4898
Inspection Request Scheduled For: Date: 7/11/2008 - r Pour imp:
Code # Inspection Description Confirm # Contact # Mes age
_ 299 Final inspection 072466 -03 503- 780 -3222
Corrections /Comments /Instructions: ..-------N
�� 1
( i
I
,5-§" ❑ PARTIAL APPROVAL ❑ CANCEL n NO ACCESS
FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: `-/4:( Date: 7/® tw Phone #: (503) 718- 2-\-- z`10
,
CITY OF TIGARD ,.
r " 4
l` A ill
BUILDING DIVISION
PERMIT #: BUP2008-00099
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 413/2008
Phone: (503) 639-4171 Amiroveip
Inspection Requests (24 Hrs.): (503) 639-4175 Aar "
INSPECTION WORKSHEET FOR DATE: 7/1112008 TIME: 7:00AM PAGE: 30
SITE ADDRESS: 10220 SW GREENBURG RD 600 CLASS OF WORK:
SUBDIVISION: LINCOLN CENTER/TWO LINCOLN LOT #: TYPE OF USE:
PROJECT NAME: FARMERS INSURANCE
DESCRIPTION: TI. Includes demolition, new walls, new doors and new cabinetry.
OWNER: SHORENSTEIN REALTY SERVICES, PHONE #: 503-412-4800
CONTRACTOR: RUSSELL CONSTRUCTION INC. PHONE #: 503-228-4898
Inspection Request Scheduled For: Date: 7/11/2008 Pour Time:
Code # Ispection Description Confirm # Contact # Message
281 \Pr Suspended ceiling 072466-02 503-780.3222 N
Corrections/Co ents/Instructions:
o 4A_Ai
4
..----
, .
"--.
PASS I PARTIAL APPROVAL fl CANCEL fl NO ACCESS
0 FAIL n CALL FOR INSPECTION fl ADDITIONAL FEES ASSESSED
I"; c '-----'-' Date: - 2/ 1 VC)
Inspector: Phone #: (503) 718- 2----211
CITY OF TIGARD
BUILDING DIVISION PERMIT #: BUP2008-00099
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/3/2008
Phone: (503) 639-4171 ipody
Inspection Requests (24 Hrs.): (503) 639-4175 „,1611- -111.
INSPECTION WORKSHEET FOR DATE: 7/11/2008 TIME: 7:00AM PAGE: 39
SITE ADDRESS: 10220 SW GREENBURO RD 600 CLASS OF WORK:
SUBDIVISION: LINCOLN CENTER/TWO LINCOLN LOT #: TYPE OF USE:
PROJECT NAME: FARMERS INSURANCE
DESCRIPTION: TI. Includes demolition, new avails, new doors and new cabinetry.
OWNER: SHORENSTEIN REALTY SERVICES, PHONE #: 503-412-4800
CONTRACTOR: RUSSELL CONSTRUCTION INC. PHONE #: 503-220-4898
Inspection Request Scheduled For: Date: 7/11/2008 Pour Time: -
Code # i t4spection Description Confirm # Contact # Message
245 Firma!!
072466-01 03-780-3222 N
Corrections/Comments/Instructions:
\IL m4. QI q 0 Er (c . 9 - /04454,
SS 0 PARTIAL APPROVAL CANCEL 0 NO ACCESS
I I FAIL 0 CALL FOR INSPECTION n ADDITIONAL FEES ASS SSED
Z‘ (d..
Inspector: Date: \ 6 one #: (503) 718- 721 LI
CITY OF TIGARD
,
BUILDING DIVISION PERMIT #: BUP2008-00099
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/3/2008
Phone: (503) 639-4171 _INIOMIlliillii ,
Inspection Requests (24 Hrs.): (503) 639-4175 aMo - r"
INSPECTION WORKSHEET FOR DATE: 6/2/2008 TIME: 7:02AM PAGE: 26
SITE ADDRESS: 10220 SW GREENBURG RD 600 CLASS OF WORK:
SUBDIVISION: LINCOLN CENTER/TWO LINCOLN LOT #: TYPE OF USE:
PROJECT NAME: FARMERS INSURANCE
DESCRIPTION: TI. Includes demolition, new walls, new doors and new cabinetry.
OWNER: SHORENSTEIN REALTY SERVICES, PHONE #: 503-412-4600
CONTRACTOR: RUSSELL CONSTRUCTION INC. PHONE #: 503-226-4898
Inspection Request Scheduled For: Date: 6/212008 Pour Time:
Code # Inspection Description Confirm # . Contact # Message
275 Framing 07062401 503-780-3222 N
Corrections/Comments/Instructions:
ICA- — EC ? C'-) \/6e-_ \.‘-/ iT1 - _." .- 1,, Z,-4 4ff V 4
At .../
pi PASS (Ir/ *.t : ' ..-- - — OVAL fl CANCEL El NO ACCESS
fl FAIL ALL FOR INSPECTION 7 ADDITIONAL FEES ASSESSED
Inspector: ,,_____ Date: ____________ Phone g& .
Phone #: (503) 718-
_ .
1 , .
CITY OF TIGARD .
BUILDING DIVISION PERMIT #: BUP2001100099
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/3/20013
. Phone: (503) 639-4171
Inspection Requests (24 Hrs.): (503) 639-4175 ..
INSPECTION WORKSHEET FOR DATE: 6/2/2008 TIME: 7:02AM PAGE: 25
SITE ADDRESS: 10220 SW GREENBURG RD 600 CLASS OF WORK:
SUBDIVISION: LINCOLN CENTER/TWO LINCOLN LOT #: TYPE OF USE:
PROJECT NAME: FARMERS INSURANCE
DESCRIPTION: TI. Includes demolition, new walls, new doors and new cabinetry.
OWNER: SI-IORENSTEIN REALTY SERVICES, PHONE #: 503-412-4800
CONTRACTOR: RUSSELL CONSTRUCTION INC. PHONE #: 503-228-4898
Inspection Request Scheduled For: Date: 6/2/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Mes
245 Firewall 070624-02 503-7803222 Y
t\ ....7 rrections/Comments/Instructions:
. -
, t
. 0
•
::.
145C-67): cv- 1Z s ---- < i*bt- < bZy
e-- ,--
._21se:r _r•-_7c g ( 4-11-t---- v 2--1C-c. ■
e .. ie . f.t6 - ■ q / .ALLIziO -,A1.1■11 , c=:7/4 t_1 -1--- F-•>--, -
. _
—.....m........_
-,
III PASS 4 A cit,a,1 1,.. HDARTIAL A1 e , • . 111 CANCEL fl NO ACCESS
0 FAIL-
711 -.."POR INSPECTION 0 ADDITIONAL FEES ASSESSED
Inspector: ____ __...." Date: Z 0,5 Phone #: (503) 718- _
CITY OF TIGARD
BUILDING DIVISION PERMIT #: BUP2008- 00099
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/3/200B
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639 -4175 „al _I
INSPECTION WORKSHEET FOR DATE: 6J18/2008 TIME: 7:02AM PAGE: 66
SITE ADDRESS: 10220 SW GREENBURG RD 600 CLASS OF WORK:
SUBDIVISION: LINCOLN CENTER /TWO LINCOLN LOT #: TYPE OF USE:
PROJECT NAME: FARMERS INSURANCE
DESCRIPTION: TI, Includes demolition, new walls, new doors and new cabinetry.
OWNER: SHORENSTEIN REALTY SERVICES, PHONE #: 603. 412 -4800
CONTRACTOR: RUSSELL CONSTRUCTION INC. PHONE #: 603-228-4898
Inspection Request Scheduled For: Date: 6/1812008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
287 Suspended ceiling 071602 -01 603-780-3222 N
Corrections /Comments /Instructions:
1 ) M j Z -1 /4-r ( - - i - c _ ■l 67 A 'I (1, v -- , -. - n- -,S - 7 -- " - I
es l --c� L_-/ AI l- c,., - v��Z .
1...10 - r fin/ -I - 71 a (�
d `
n PASS ILI PARTIAL APPROVAL ❑ CANCEL I I NO ACCESS
rr9� La L FOR INSPEC O. (i ADDITIONAL FEES ASSESSED
Inspector: Date: 6 1/g/g Phone #: (503) 718 - Z.Z4r
i
CITY OF TIGARD .;
1
BUILDING DIVISION PERMIT #: BUP200f3 -00099
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/312008
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639 -4175 jig/If:It �
INSPECTION WORKSHEET FOR DATE: 7/7/2008 TIME: 7:00AM PAGE: 20
SITE ADDRESS: 10 220 SW GREENBURG RD 600 CLASS OF WORK:
SUBDIVISION: LINCOLN CENTER /TWO LINCOLN LOT #: TYPE OF USE:
PROJECT NAME: FARMERS INSURANCE
DESCRIPTION: TI. Includes demolition, new walls, new doors and new cabinetry.
OWNER: SHORENSTEIN REALTY SERVICES, PHONE #: 503 -412 -4800
CONTRACTOR: RUSSELL CONSTRUCTION INC. p PHONE #: 503-2204898
V ii\-
Inspection Request Scheduled For: Date: 7/7/2008 A I ~ Pour Ti • -:
Code # Inspection Description Confirm # Contact # Mes :ge
299 Final inspection 072237 -01 503-780 -3222 Y
/�------
Corrections /Comments/ Instructions:
,./; tk)ct f2.1 vf.e.7"...e_... N co ,..., f ,
611-4, U 2/ 6 (.4,17S (2,e-c_%( .
i
1 : - / /_k s C,___,_ , 4 c -e ' .
"..13 ,I* .761 op q 0 iat_.'
A e A _— / _
_
r ,-e_i..te- (:_1_, a
A v -141; J-04e i
❑ PASS n PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
*AIL IX CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
4 2%7P2
Inspector: Date: 7
// 'f--- Phone #: (503) 7 18-