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Permit I ., CITY OF TIGARD BUILDING PERMIT PERMIT #: BUP2008 -00308 COMMUNITY DEVELOPMENT DATE ISSUED: 9/4/2008 ,TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 1S135AB-04500 SITE ADDRESS: 10250 SW GREENBURG RD 120 ZONING: C - SUBDIVISION: LINCOLN CENTER /LINCOLN BLDG LOT: 001 JURISDICTION: TIG PROJECT: THE GUIDANCE GROUP 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: 23 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: PARKING: VALUE: $ 7,000.00 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 c-. Reg #: LIC 58918 FEES Description Date Amount REQUIRED ITEMS AND REPORTS [BUILD] Permit Fee 9/4/2008 $98.25 [TAX] 12% State Surch 9/4/2008 $11.79 [BUPPLN] Pln Rv 9/4/2008 $63.86 [FLS] FLS Pln Rv 9/4/2008 $39.30 Total $213.20 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 o to follow the rules ado.. - by the Oregon Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through O •52 -• e -:. e. s. You m., ..tain a copy of these rules or direct questions to OUNC by calling 503.246.6699 or 1.800.332.2344. , Issued By / � Permittee Signature: & _ _ ��� r , II aloPv 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 Application , �fon: m ete a �® FOR OFFICE USE ONLY Received p� SNI . , C Tia Date /B : / �, •'ermit 4 / _ _ 1, '� 13 25 y SW of Hall g Blvd Tigard, OR ,� : � • `�� Plan Review ` t ♦ � A l� �I �I Other Permit: Phone: 503.639.4171 Fax: 503.59:.1960 P iltirg TIGARD Inspection Line: 503.639.4175 J � �� ® Date B Date Ready :y: 0 See Page 2 for Internet: www.tigard or `` �� ® �l { ` � � � I { ; otified/Method: Supplemental Information e ;; - � TYPE°O ; W. t = REQUIR ED DATA ::I =S 2= F.AAIII * Y. DWEI II I NG` "< �- , - ® , �:.: a?a : . - , _ _ , o - ... _;,�__ � p i �' 3.4, s _ ai; e�- _ -� . �. - ",�cc _ -- ; _ *�aa ,. ❑ New construction 111 i emolition 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 :4 - 1 :3 -- a ,, A STET GORY OF CONSTRUCTION - 2A work indicated on this application. �� ' _ _ '-_., „';� - -.tea :.v_� :''.- ''''._...'-. .'.. Valuation: $ ❑ 1- and 2- family dwelling ® Commercial /industrial El Accessory building ❑ Multi- family Number of bedrooms: El Master builder El Other: Number of bathrooms: r L`OCA T70N.. t �� ��� � �M �'TIOiv AND � � �— ' _ Total number of floors: .TOB: STI'EINF.OR 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.: 120 Project name: The Guidance Group Covered porch area: square feet Cross street/directions to job site: Deck area: square feet Other structure area: square feet QUIRED DATA 9701 ERCIA.1.41$E,CHEG7i[ IST • 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 DESCRIPTION OFWORI� < work indicated on this application. Interior Tenant Improvement Valuation: $$7,000.00 t' Work to include minor demolition, new walls, doors and relites Existing building area: 2,201 square feet New building area: square feet >' ' :42' PRO ERTY OWNER .. - TENAN 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: _, APPT;ICAIVT. , - _. CONTACT PERS®N S .. ... « ., 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 CONTdRBACTOR Business name: Russell Construction - ~ >> >- .- , -: = .. ' .BTiIDINGPEiRNIIT EPEES . - =" _ -:: Address: 20915 SW 105th Ave ' ' : ( Please refectorieeFschedute). " ''' tl :A.,,,, City/State /ZIP: Tualatin, OR 97062 Structural plan review fee (or deposit): Phone: (503) 228 -4898 Fax: (503) 228 -2770 FLS plan review fee (if applicable): CCB lic.: 58918 Total fees due upon application: (7 3 d , O ` �-...., , Amount received: ?/3 ` Authorized signature: ' � 4 1 This permit application expires if a permit is not obtained — ". within 180 days after it has been accepted as complete. Print name: Kim Sedla. ,a Date: 09/04/08 * Fee methodology set by Tri- County Building Industry W I r ■ Service Board. I: \Building \Permits\BUP - •M P:'p.doc 2/23/07 440- 4613T(I I /02/COM/WEB) • CITY OF TIGARD A . BUILDING DIVISION PERMIT #: 8UP2008-00308 13125 SW Hall Blvd., Tigard, OR 97223 SA, DATE ISSUED: 9/4/2008 Phone: (503) 639-4171 n Inspection Requests (24 Hrs.): (503) 639-4175 INSPECTION WORKSHEET FOR DATE: 11/26/2008 TIME: 7 PAGE: 38 SITE ADDRESS: 1020 SW GREENBURG RD 120 CLASS OF WORK: SUBDIVISION: LINCOLN CENTER/LINCOLN BLDG LOT #: 001 TYPE OF USE: PROJECT NAME: THE GUIDANCE GROUP DESCRIPTION: OWNER: SHORENSTEIN REALTY SERVICES, PHONE #: 503-412-4800 CONTRACTOR: RUSSELL CONSTRUCTION INC PHONE #: 603-228-4898 Inspection Request Scheduled For: Date: 11/2612008 Pour Time: Code # Inspection Description Confirm # Contact # Message 299 Final inspection 078515.01 503.780-3222 Corrections/Comments/Instructions: T VV PAS-. • PARTIAL APPROVAL LI CANCEL n NO ACCESS FAIL / CALL FOR INSPECTION Ei ADDITIONAL FEES ASSESSED 411/PP f Inspector: Date: ag Phone #: (503) 718- ZZ • CITY OF TIGARD il, BUILDING DIVISION PERMIT #: BUP2008-00308 D ATE 13125 SW Hall Blvd., Tigard, OR 97223 E ISSUED: 9/4/2008 Phone: (503) 639-4171 , aytiiii Inspection Requests (24 Hrs.): (503) 639-4175 INSPECTION WORKSHEET FOR DATE: 1 tted2008 TIME: 7 PAGE: 44 SITE ADDRESS: 10250 SW GREENBURG RD 120 CLASS OF WORK: SUBDIVISION: LINCOLN CENTER/LINCOLN BLDG LOT #: 00i , TYPE OF USE: PROJECT NAME: THE GUIDANCE GROUP DESCRIPTION: TI. OWNER: SHORENSTFIN REALTY SERVICES, PHONE #: 503-412-4800 CONTRACTOR: RUSSELL CONSTRUCTION INC PHONE #: 503-228-4898 Inspection Request Scheduled For: Date: 11/6/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 275 Framing 077717-01 503-780-3222 N Corrections/Comments/Instructions: 616 2co£3 - 0053) — -o -37 /0 — WI (a € r" ' 1 ) . ertidi rfr 3Ctrews 6-- kitad 12•V/c 411 I:: 6 e ■ ) Zibi- 0 .1-- „AZ A 5 AIRTRAl 2 El CANCEL 0 NO ACCESS 0 FAIL I I CALL FOR INSPECTION El ADDITIONAL FEES ASSESSED Inspector: ZS Date: ‘.//jou d e Phone #: (503) 718- .2 J