Permit CITY OF TIGARD BUI COMMUNITY DEVELOPMENT DATE ISSUED: 110/2/2008
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 1S135AB-03400
SITE ADDRESS: 10260 SW GREENBURG RD 350 ZONING: C -
SUBDIVISION: LINCOLN CENTER /LINCOLN TOWER LOT: 014 JURISDICTION: TIG
PROJECT: PRO MED
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: 13 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: $ 15,500.00
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 Contact #: PRI 503 - 228 -4898
FAX 503 - 228 -2770
Reg #: LIC 58918
FEES
Description Date Amount REQUIRED ITEMS AND REPORTS
[BUILD] Permit Fee 10/2/2008 $162.60
[TAX] 12% State Surch 10/2/2008 $19.51
[BUPPLN] Pln Rv 10/2/2008 $105.69
[FLS] FLS Pin Rv 10/2/2008 $65.04
Total $352.84
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 yo to follow the rules adopted by the
Oregon Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through •AR 9.2 - 00 - 10. You may obtain a copy
of these rules or direct questions to OUNC by calling 503.246.6699 or 1.800.332.2344.
�11''' 11111,
Issued By:�� . ,�� rmi
_` Pettee Signature: —,,
Call 503.639.4175 by 7:00 a.m. for an inspection that b siness 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
• C'ommerci'al , FOR OFFICE USE ONLY
City of Tlgard Received ���
IN q k � Date /: Pernut No.: / � ■ _ b 13125 SW Hall Blvd., Tigard, OR 97223 ' v
g R �� "'r Plan Re i-
Phone: 503.639.4171 Fax: 503.59 Q Q Date /B : i r Other Permit: wag
TIGARD I Line: 503.639.4175 ` "' I �QO Date Ready B y: 8 See Page 2 for
Internet: www.tigard or.gov k\ 1' Notified/Method: i Supplemental Information i o
:.> � rrv„ ., u,. C x mss ..
,ry ea = - A y �f R TYPE4,'WOIiKVIV "�; , -\ ,' :REQUIREDDATA °1- �iND2,B &G i
❑ New construction El D "i"1°O Permit fees* are based on the value of the work performed.
sc�� Indicate the value (rounded to the nearest dollar) of all
® Addition alteration /replacement ❑ RN): equipment, materials, labor, overhead, and the profit for the
' -`� work indicated on this application.
-�_ *- CATEGYOF C0.1STRi1ION � .
_. _ :� ,� OR��.. _ o. - , ,�a� G-.,o ��,x��. � ..� '��' Valuation: $
❑ 1- and 2- family dwelling ® Commercial /industrial .
El Accessory building III multi-family Number of bedrooms:
❑ Master builder 111 Other: Number of bathrooms:
TOB STTE„ INFORMA< i i AND,O ;C ATION° µ §'' Total number of floors:
Job site address: Lincoln Tower 10260 SW Greenburg Rd New dwelling area: square feet
City/State /ZIP: Portland, OR 97223 Garage /carport area: square feet
Suite/bldg. /apt. no.: 350 Project name: Pro Med Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
Other structure area: square feet
,:1 RED OA TH COMlVIEIRCIAL -US I.XST,.'
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
q overhead, a and the profit equipment, materials, labor, over e a e ofit for the r
- RE (F " work indicated on this application.
Interior Tenant Improvement Valuation: $515,500.00
Work to include minor demolition, new walls, new door and new relite Existing building area: 1,267 square feet
New building area: square feet
��
PROPERTY�OAir ' r - irft A I
x i Number of stories: 12
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:
F
>- � APPLICANT s ® t. =CON;T CT PERS N 1 i s; . -..� -- -
- _ . , - ,.� . - . s � » � , � , a �_ { 1 s 4 NOTI ; :' ,
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: mtoth @grpmack.com
. CONTR TOR - Po
Business name: Russell Construction 4:- --i.- '11 BUILDING PER11IT FEES, L' - 4:; , ,p,4,4,:„.'
Address: 20915 SW 105th Ave ' < } i., P,leaserefert fee -.' . a >,,, iizw i
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 lie.: 58918 Total fees due upon application: 3 • pi
•
Amount received:
Authorized signature:
ir This pe rmit application expires if a permit is not obtained
Print name: Kim Ford Date: 10 -02 -08 within 180 days after it has been accepted as complete.
* Fee methodology set by Tri- County Building Industry
Service Board.
I:ABuilding\Permits \BUP -COM PermitApp.doc 2/23/07 440- 4613T(II /02 /COM /WEB)
CITY OF TIGARD .
BUILDING DIVISION PERMIT #: BUP2008-00330
13125 SW Hall Blvd., Tigard, OR 97223 ..A
DATE ISSUED: 10/2/2008
Phone: (503) 639-4171 Aro ONO i i
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: 10/300008 TIME: 7:00Am PAGE: 22 -
SITE ADDRESS: 10260 SW GREENt3URG RD 350 , CLASS OF WORK:
SUBDIVISION: LOT #: 0 TYPE OF USE:
LINCOLN CENTER/LINCOLN TOWER
PROJECT NAME: PRO IvIED
DESCRIPTION: -
OWNER: SHORENSTEIN REALTY SERVICES, PHONE #: 503-412-4800
CONTRACTOR: RUSSELL CONSTRUCTION INC PHONE #: 503-228-469B
Inspection Request Scheduled For: Date: 10/3012008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
299 Final inspection 077370-01 503-780-3222 N
Corrections/Comments/Instructions:
ez_e_z_eNve -c,c›- A a.> V/ (-7
p PASS
0 PARTIAL APPROVAL 0 CANCEL 0 NO ACCESS
es , ',CALL FOR INSPECTION 0 ADDITIONAL FEES ASSESSED
Inspector: _ //CALL
Date: tO Phone #: (503) 718- 2-rt‘ZY
, 1
CITY OF TIGARD J..,
BUILDING DIVISION A PERMIT #:
BUP2008-00330
13125 SW Hall Blvd., Tigard, OR 97223 , DATE ISSUED: 10/2/2008
Phone: (503) 639-4171 i th i ti i
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: TIME: PAGE:
10/9/2008 7:01AM 40
SITE ADDRESS: CLASS OF WORK:
10260 SW GREENBURG RD 350
SUBDIVISION: LOT #: TYPE OF USE:
LINCOLN CENTER/LINCOLN TOWER 014
PROJECT NAME: PRO MED
DESCRIPTION:
TI.
OWNER: PHONE #: 503
SHORENSTEIN REALTY SERVICES,
CONTRACTOR: PHONE #:
RUSSELL CONSTRUCTION INC 503-228-4898
Inspection Request Scheduled For: Date: Pour Time:
10/9/2008
Code # Inspection Description Confirm # Contact # Message
275 Framing 076439-01 503-780-3222 N
Corrections/Comments/Instructions:
2...le .2606 - oo 5 26;ft Lila // Cov et C.14,1 y — c Cc
?1,0 2crie - 00 39 X - .A. o +
l a '
•
I
QA .41, 00P rcr )
0 k
n Cs:x. e.--
Ala 4 c : 614 ry 5 ; de- 0 1-e- X/0 4- 1:.: i'._de'd D, 4',,,<_ c4
i ■ to \A .<71-7/1 re-CP%Cr ./-
...41 7 PARTIAL APPROVAL El CANCEL [1] NO ACCESS
FAIL E CALL FOR INSPECTION El ADDITIONAL FEES ASSESSED
Inspector: 35 Date: 96CT0,5 Phone #: (503) 718- 7/.73