Permit "` ., BUILDING PERMIT
.1 CITY OF TIGARD PERMIT #: BUP2007 -00612 11 /29/2007
° ° COMMUNITY DEVELOPMENT DATE ISSUED:
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 1 S135AB 03400
SITE ADDRESS: 10260 SW GREENBURG RD 200 ZONING: C -
SUBDIVISION: LINCOLN CENTER /LINCOLN TOWER LOT: 014 JURISDICTION: TIG
PROJECT: ASCENTIUM
Project Description: TI - expansion
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: 12 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: $ 2,500.00
Owner: Contractor:
EQUITY OFFICE PROPERTIES TRUST RUSSELL CONSTRUCTION INC.
ONE SW COLUMBIA ST #300 20915 SW 105TH AVE.
PORTLAND, OR 97258 TUALATIN, OR 97062
Contact #: PRI 503- 228 -4898
Phone: FAX 503 - 228 -2770
Reg #: LIC 58918
FEES
REQUIRED ITEMS AND REPORTS
Description Date Amount
[BUILD] Permit Fee 11/29/2007 $69.65
[TAX] 8% State Surcharl 11/29/2007 $5.57
[BUPPLN] Pln Rv 11/29/2007 $45.27
[FLS] FLS Pln Rv 11/29/2007 $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 are set forth in OAR 952- 001 -0010 through OAR 952 - 001 -0100. You may obtain a cop •f these rule: • r direct questions to OUNC by
call 03.246.669• • 1.800.332.2344. �---„
4 la (ii ‘.
Is ued By: • # i / 1 Permittee Signature: jj Ay,
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.
. h
Building Permit App 1 t FOR OFFICE USE ONLY :
City of Tigard , Q IEI Received /! /V9��
DDate/By: / • ;1007-4)06/2—
13125 SW Hall Blvd., Tigard, OR 97223 �j O V 2 Plan Reviet
Phone: 503.639.4171 Fax: 503.598.196 2 ( � Al , Date /B : , �! /` Other Permit:
Inspection Line: 503.639.4175 CITY ®F„ I <- Date Rea. • ty: ® See Attached Checklist for
Internet: www.ci.tigard.or.us GAS �" Notified/Method: IM. Supplemental Information
GUOLDINGDIUlSI ®IV
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� � k T - v O WURK ° Ht x ,� R E . U IREDIDATA 1 AN 2= F AM L EY-DWEI:LING
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El 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
4
` = r i ° " I - °�`," / ,:- , „ work indicated on this application.
A . C 4TEG O R Y. ?06 CONSTRUCTION 5 s ; box
., �a _ ; � -^ :a�:�,�® a �rswa3ss . � Valuation: $
❑ 1- and 2- family dwelling ® Commercial /industrial
El Accessory building ❑ Multi- family Number of bedrooms:
❑ Master builder ❑ Other: Number of bathrooms:
as Total number of floors:
4 6a -< = ' x ls( SITE .INFO RMATION. "AN D LOCATION
Job site address: LINCOLN TOWER 10260 SW GREENBURG RD New dwelling area: square feet
City/State /ZIP: TIGARD, OR 97223 Garage /carport area: square feet
Suite/bldg /apt. no.: 200 Project name: ASCENTIUM EXPANSION Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
Other structure area: square feet
REQUIREDuDATA COMMERCIAL t3SE CHECKLIST
.�aam a :ate.
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
' •A, , - DESCRIPTION , OFD W 3 . L work indicated on this application.
Interior Tenant Improvement Valuation: $52,500.00
Improvements to include demolition and new door and relite Existing building area: 7,292 square feet
New building area: square feet
., _` PROPERTY OWNER 10:NT " ` ' Number of stories: 12
Name: Shorenstein Reality Services Type of construction: I -B
Address: One SW Columbia St. Suite 300 Occupancy groups:
City/State /ZIP: 97258 Existing: B
Phone: (503)412 -4800 Fax: (503)412 -4848 New:
APPLICANTi - il CONTACT PE tg " . `� < r _ t~ a`, `-
1,,,,t,4,..-4,„-. : a ` `® . �"$ 8� 3, a 3 e � . , i � r fl r _ O n . > : 7, 3 i a ' � , A 7 . , ,N OT1 G�' E e a
I 'a -..3, = tam: _ .: .,
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, #100 jurisdiction in which work is being performed. If the
City /State /ZIP: 97214 applicant is exempt from licensing, the following reasons
apply:
Phone: (503) 224 -9560 Fax: : (503) 228 -1285
E -mail: ksedlak @grpmack.com
: -
: � CONTg �4 w " era
;"�,__- .� , a. x ,tea >L, _. a tea° �����a��w � . ,� � . � m.. 6�V�� �!� _ &,_ .
Business name: Russell Construction. °:_,`.m.a..: -
BUILDI1NG ;PE, ,:
"
Address: 20915 SW 105 Ave . :.,.r< ,__ ,3 ket :ti , F:i ; .,
- _.._" x
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
Date received:
Authorized si nature:
g it permit application expires if a permit is not obtained
r\ within 180 days after it has been accepted as complete.
Print name: Kim Sedlak ' / e j� - - - Date: 11/29/ 07
i Fee methodology set by Tri- County Building Industry
1' i Service Board.
I \Building \Permits \BUP- PermitApp c /0 440- 4613T(t t /02 /COM/WEB)
CITY OF TIGARD
BUILDING DIVISION PERMIT #: I3UP2007 00612
13125 SW Hall Blvd., Tigard, OR 97223 ' DATE ISSUED: 1
Phone: (503) 639 -4171 hoillimr
Inspection Requests (24 Hrs.): (503) 639 -4175 ..
INSPECTION WORKSHEET FOR DATE: 12J78/2007 TIME: 7 :00AM PAGE: 63
SITE ADDRESS: 10260 SW GREENBURG RD 200 CLASS OF WORK:
SUBDIVISION: LINCOLN CENTER /LINCOLN TOWER LOT #: 014 TYPE OF USE:
PROJECT NAME: ASC ENTIUM
DESCRIPTION: TI - expansion
OWNER: EQUITY OFFICE PROPERTIES TRUST, PHONE #:
CONTRACTOR: RUSSELL CONSTRUCTION INC. PHONE #: 503 - 4898
Inspection Request Scheduled For: Date: 12/28/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message �p�
299 Final inspection 0662258.01 503.780.3222 r/
Corrections /Comments /Instructions: /�
�01 d� , ■ _ - JI 0 C .1. i ! -d • L --
— FTh t 7Q 2ex,. 7 1 6.-.*,,.._,_ 5/74 7 A
P� & PARTIAL APPROVAL _ CANCEL n NO ACCESS
❑ FAIL 11 CALL FOR INSPECTION I I ADDITIONAL FEES ASSESSED
Inspector: — Date: Ilk
87
/ Phone #: (503) 718 -`7
. .
CITY OF TIGARD
BUILDING DIVISION , PERMIT #: 13UP2007-00612
...Ai ,..„
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: i1/29/2007 I
Phone: (503) 639-4171 imatti$14' _
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: 1216/2007 TIME: 7:06AM PAGE: 56
SITE ADDRESS: 10260 SW GREENBURG RD 200 CLASS OF WORK:
SUBDIVISION: LINCOLN CENTER/LINCOLN TOWER LOT #: 014 TYPE OF USE:
PROJECT NAME: ASCENTIUM
DESCRIPTION: TI - expansion 1
OWNER: EQUITY OFFICE PROPERTIES TRUST, PHONE #:
CONTRACTOR: RUSSELL CONSTRUCTION INC. PHONE #: 503-228-4898
Inspection Request Scheduled For: Date: 1216/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
275 Framing 060923-01 503-780-3222 N
Correcti a ns/Comments/Instructions:
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n PASS n PARTIAL APPROVAL 0 CANCEL 0 NO ACCESS
X FAIL I l CALL FOR INSPECTION ADDITIONAL FEES ASSESSED
Inspector: 14 0/1
Date: 1 2 11 te k #: 1<1 Phone ft (503)
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