Permit '^ COMMUNITY DEVELOPMENT CITY OF TIGAR® BUILDING PERMIT
'Pi P ERMIT #: BUP2008 -00274
D ATE ISSUED: 8/14/2008
fTIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 1S135AB-04500
SITE ADDRESS: 10250 SW GREENBURG RD 111 ZONING: C -P
SUBDIVISION: LINCOLN CENTER /LINCOLN BLDG LOT: 001 JURISDICTION: TIG
PROJECT: CORNFORTH CONSULTANTS
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: 74 BASEMENT: sf AREA SEP. RATED:
STOR: 3 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: N PARKING:
VALUE: $ 18,500.00
Owner: Contractor:
SHORENSTEIN REALTY SERVICES RUSSELL CONSTRUCTION INC
ONE SW COLUMBIA ST #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 8/14/2008 $184.05
[TAX] 12% State Surch 8/14/2008 $22.09
[BUPPLN] Pln Rv 8/14/2008 $119.63
[FLS] FLS Pln Rv 8/14/2008 $73.62
Total $399.39
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 t• follow the rules adopted by the
Oregon U . • : .tion Center. Those rules are set forth in OAR 952 - 001 -0010 through OAr 95 -001 -' !!. 'um., •.tain a copy
of th -: - rules or direct . esti• - to OUNC by calling 503.246.6699 or 1.800.332.2344.
Is- ued By: , / A IF �`� P Signature: A .j Jr ■
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.
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Builc;i:fg Permit Application ,
CO -Ii7i 1 ECEN + y, FOR OFFICE USE ONLY
City of Tigard r Plan 6 ' ' D4 Permit No.: , : �, �' /I �, �f 7v
- = 4 13125 SW Hall Blvd., Tigard, OR 97223 A UG 1 4 20G�� y "`�"`
an Review V
DateBy: Other Permit:
Phone: 503.639.4171 Fax: 503.598.1960 ( '
TIGARD Inspection Line: 503.639.4175 �` p - 9GA Date Ready /By: 0 See Page 2 for
Internet: www.tigard-or i � , 1� " e 9 { � � Notified/Method: `� Supplemental Information
. mw �, t .- 5
. _. ... TYP.E OFWORK
," s i . ,.. 4 .� - . t - _ n
REQUIRED DA TA:j1- A'ND °2= FA MILY.DWEI - G
❑ 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
. 1 work indicated on this application.
CATEGORY-.OF CONSTRU CTION,: -i °_, - ,:-- ::r,_ =
Valuation: $
❑ 1- and 2- family dwelling ® Commercial /industrial
El Accessory building ❑ Multi - family Number of bedrooms:
El Master builder ❑ Other: Number of bathrooms:
_ . ` ce - JOB E NFORM _ ATION AND LOCATI N 1 Total number of floors:
..:. °' " e ns x" , .._ : .t .. - .2` ,::',"\ m M 4W .,
Job site address: 4 Lincoln 10250 SW Greenburg Rd New dwelling area: square feet
City/State /ZIP: Portland, OR 97223 Garage /carport area: square feet
Suite/bldg. /apt. no.: 111 Project name: Cornforth Consultants Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
Other structure area: square feet
REQUIRED D "ATA:- COMME°RCL&L- USE:CHECKLIST
y -. � _ �r =
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, materials, labor, overhead, and the profit for the
oN O " " " „' ' r .. work indicated on this a
�� r "��SCRIPTION OE WORK - _ - _ ' application.
�R_
Interior Tenant Improvement- Expansion Valuation: $$18,500.00
Work to include minor demolition, new cabinetry, new walls, doors and ceiling Existing building area: 7,350 square feet
grid, tile and layout New building area: square feet
2 PROPERTY °-OWNER :. ,=''':. > --: ; .<_ ❑ :TE e Number of stories: 3
Name: Shorenstein Type of construction: I -B
Address: One SW Columbia Street, Suite 300 Occupancy groups:
City/State /ZIP: Portland, OR 97258 Existing: B
Phone: (503)412 -4906 Fax: (503)412 -4848 New:
% :,: ,. ,.:,:_;„, ; CONTACT PERSO . ... : .. . -. `. .�5* ".
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: 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: mroush @grpmack.com
- NT
- ORACTO .: ,
Business name: Russell Construction -- - - -; BIJILDINGjPFsRN1.1 FE1 ;;:";" ". 4 ' ;" = .';,
Address: 20915 SW 105th Ave = - . - -- • - -<' (Pl refer"to j e schedul) : _ " = , i , 4. Structural plan review fee (or deposit):
City /State /ZIP: Tualatin, OR 97062
Phone: (503) 228 -4898 Fax: (503) 228 -2770 FLS plan review fee (if applicable):
CCB lie.: 58918 Total fees due upon application:
I Amount received: v . �7
A signatb -. ` — - /
This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: Kim Se` Date: 08/14/08 * Fee methodology set by Tri- County Building Industry
Service Board.
I:\Building\Permits \BUP - COM PermitApp doe 2/23/07 440- 4613T(11/02/COM /WEB)
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CITY OF TIGARD - -
BUILDING DIVISION PERMIT #: 1 �JP � 274
13125 SW Hall Blvd., Tigard, OR 97223 / DATE ISSUED: 8/14/2008
Phone: (503) 639 -4171 Aim �ii� f� l ' \ r
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: i0/2W7008 TIME: 7:01AM PAGE: 34
SITE ADDRESS: 102,50 SW GREENI3URG RD 11.1 CLASS OF WORK:
SUBDIVISION: LINCOLN CENTER/LINCOLN BLDG LOT #: 001 TYPE OF USE:
PROJECT NAME: CORNFORTH CONSULTANTS
DESCRIPTION: TI
OWNER: SI REALTY SERVICES, PHONE #: 503,412 -4800
CONTRACTOR: RUSSELL CONSTRUCTION INC PHONE #: 50228 -4888
Inspection Request Scheduled For: Date: 10/28/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
299 Final inspection 077222 - 01 503 - '180 - 3222 N
Corrections /Comments /Instructions:
II
, \(4'' SS n PARTIAL APPROVAL [ CANCEL n NO ACCESS
FAIL n CALL FOR INSPECTION I ADDITIONAL FEES ASSESSED
Inspector: ' /�, � Date: ) ' / 81 phone #: (503) 718 - . � ` �
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CITY OF TIGARD At, ,
BUILDING DIVISION PERMIT #: f3UP2008- 00274
.13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/14/2008
Phone: (503) 639 -4171 414491141,ili,
Inspection Requests (24 Hrs.): (503) 639 -4175 `__—
INSPECTION WORKSHEET FOR DATE: 10/1 7/2008 TIME: 7 :02AM PAGE: 18
SITE ADDRESS: CLASS OF WORK:
10:50 S�/ CREE.Nf31JRd; RD 111
SUBDIVISION: LINCOLN CENTER /LINCOLN BLDG LOT #: 001 TYPE OF USE:
PROJECT NAME: C ORNFORTH CONSULTANTS
DESCRIPTION: TI
OWNER: SHORENSTEIN REALTY SERVICES, PHONE #: 503 - 412 -48800
CONTRACTOR: RU C ONSTRUCTION INC PHONE #: 503- 228 -4898
Inspection Request Scheduled For: Date: 10/17/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
288 F inal inspection 075851 -04 503- 780.3222 N
Corrections/Comments/Instructions:
/em P RODS - 00 WO a s5 /.? o c,1 (--J 5)
EL RA—e8 - c 0.295 — c::,_-.\ / - 7oc'T o (cut)
V6C,ZC09 -00c/75 - Ra sS /3- aC r o Q s)
Sew � vjc" (..Joie) r6 -0 -(99 Cf?A9
1 ) Q' kre- /tic c / Re. l -4 e. r # 12e_ L i 4.e_
9>rd� i c) e_ e . (714 e ; %-S
A oTk.e ,r �Ss --
❑ PASS decTDARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
FAIL t ePl I CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: 7--S Date: l��l>e 2Y2 '3
Phone #: (503) 718-
_ ._ .....
i CITY OF TIGARD. . ..
BUILDING DIVISION PERMIT #:
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 13UP2000-00274
0/14/2008
Phone: (503) 639-4171
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: TIME: PAGE:
10/15/2008 7:00AM 1
SITE ADDRESS: CLASS OF WORK:
10250 SW GREFNBURG RD ill
SUBDIVISION: LOT #: TYPE OF USE:
LINCOLN CENTER/LINCOLN BLDG 001
PROJECT NAME: CC)RNFORTH CONSULTANTS
DESCRIPTION: TI
OWNER: PHONE # : 503„412
SHORENSTEIN REALTY SERVICES,
CONTRACTOR: RUSSELL CONSTRUCTION INC PHONE # : 503-228-4898
Inspection Request Scheduled For: Date: 10/15/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
28 7 Suspended ceiling 076758-01 503-780-3222 V
Corrections/Comments/Instructions:
JoAed / L 706 08
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I //0 - C) ic-
C, Si a- (Zoo ,-.' ‘ 0 - 4 ' O lc-
LaPASS PARTIAL APPROVAL 1:1 CANCEL El NO ACCESS
7 FAIL n CALL FOR INSPECTION El ADDITIONAL FEES ASSESSED
Inspector: 235 Date: /5 Phone #: (503) 718- 2 V23
, _
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CITY OF TIGARD
BUILDING DIVISION PERMIT #: l3UP2008- 01)274
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8114/2000
Phone: (503) 639 -4171 W
Inspection Requests (24 Hrs.): (503) 639 -4175 �I ��
INSPECTION WORKSHEET FOR DATE: 10f14i008 TIME: 7:00AM PAGE: 1
SITE ADDRESS: 10,0 SW CIEENCUF24�r RD 111
CLASS OF WORK:
SUBDIVISION: LINCOLN CENTER /LINCOLN BLDG LOT #: 00 TYPE OF USE:
PROJECT NAME: CORNFORTH CONSULTANTS
DESCRIPTION: TI
OWNER: SHORENSTEI N REALTY SERVICES, PHONE #: 503-412-4800
CONTRACTOR: RUSSELL CONSTRUCTION INC PHONE #: 603-228-4898
Inspection Request Scheduled For: Date: 10114/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
287 2 � Suspended ceiling 076697 -01 503-780-3222 Y
Corrections /Comments /Instructions:
5 ee a c 4- c )ak.e e) r3 cx7o 6 cZ
*e..1« A (... I .1I ,„_ I £'L C .2608 R o0So3 — /c /c 7sc, die t 13 .
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j) Sec . r e S c.e.5 v►l L. Sid" b+4- C� Roc /0'3
n PASS PARTIAL APPROVAL n CANCEL ❑ NO ACCESS
n FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: /70c-TO Phone #: (503) 718- 2 W -3
4.7
CITY OF TIGARD
BUILDING DIVISION PERMIT #:
Inspection Requests (24 Hrs.): (503) 639-4175
BUP
13125 SW Hall Blvd., Tigard, OR 97223 7 ,„--- j DATE ISSUED:
8114120011
Phone: (503) 639-4171
—.is"- -J.
INSPECTION WORKSHEET FOR DATE: TIME: PAGE:
10/13/2008 7:00AM 25
SITE ADDRESS: CLASS OF WORK:
10250 SW GREENBURG RD 111
SUBDIVISION: LOT #: TYPE OF USE:
LINCOLN CENTER/LINCOLN BLDG 001
PROJECT NAME:
CORNFORTFI CONSULTANTS
DESCRIPTION:
Ti
OWNER: PHONE #:
SHORENSTEIN REALTY SERVICES, 503
CONTRACTOR: PHONE # 503
RUSSELL CONSTRUCTION INC
Inspection Request Scheduled For: Date: Pour Time:
10/13/20013
Code # Inspection Description Confirm # Contact # Message
287 Suspended ceiling 076607-01 503-7130-3222 N
Corrections/Comments/Instructions:
. ..
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1:4- C\(---
4
PASS PARTIAL APPROVAL 0 CANCEL 7 NO ACCESS
AIL 7 CALL FOR INSPECTION 0 ADDITIONAL FEES ASSESSED
".., JZ___ ON / 43- -'`
Inspector: Date: Phone #: (503) 718- 2--1
, ,
CITY OF TIGARD
,... :., ,.(..„
BUILDING DIVISION . PERMIT #: BUP2008-00274
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/14/2000
Phone: (503) 639-4171 .thitilill\
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: TIME: PAGE:
9/24/2008 7:00AM
SITE ADDRESS: CLASS OF WORK:
10250 SW GREENBURG RD 111
SUBDIVISION: LOT #: TYPE OF USE:
LINCOLN CENTER/LINCOLN BLDG 001
PROJECT NAME: CORNFORTH CONSULTANTS
DESCRIPTION: TI
OWNER: SHORENSTEIN REALTY SERVICES, PHONE #: 503-412-4800
CONTRACTOR RUSSELL CONSTRUCTION INC PHONE #: 503-228-4898
Inspection Request Scheduled For: Date: 9/24/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Messase
275 Framing 075872-01 503-780.3222
Corrections/Comments/Instructions:
kIA br--7744/ _ I / 14 1
1-16a - ./ Nr- 61417 Gc4
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O PASS i PARTIAL 0 CANCEL fl NO ACCESS
g ib,„
O FAIL arCALL FOR INSPECTION 0 ADDITIONAL FE S ASSESSED
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Inspector: i Date: o 6 Phone #: (503) 718-
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CITY OF TIGARD
BUILDING DIVISION PERMIT #: BUP2001100274
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/14/2008
Phone: (503) 639-4171 t\
1i
Inspection Requests (24 Hrs.): (503) 639-4175 ,.....V
INSPECTION WORKSHEET FOR DATE: 9/17/2008 TIME: 7:00AM PAGE: 25
SITE ADDRESS: 10250 SW GREENBURG RD 111 CLASS OF WORK:
SUBDIVISION: LINCOLN CENTER/LINCOLN BLDG LOT #: 001 TYPE OF USE:
PROJECT NAME: CORNFORTH CONSULTANTS
DESCRIPTION: TI
OWNER: SHORENSTEIN REALTY SERVICES, PHONE #: 503-412-4800
CONTRACTOR: RUSSELL CONSTRUCTION INC PHONE #: 503-228-4898
Inspection Request Scheduled For: Date: 9/17/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
275 Framing 075553-01 503-780 -3222 N
Corrections/Comments/Instructions:
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iti■Ii 71. k 4 .....
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n PASS ‘ 1.--i r.
4 i RTIA 1 .t.:.iiie f AL ''' 0 CANCEL 0 NO ACCESS
fl FAIL CALL FOR INSPECTION III ADDITIONAL FEES ASSESSED
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Inspector: Date: Phone #: (503) 718- Z
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