Permit L
t . „ CITY OF TIGARD BUILDING PERMIT
��" PER #: BUP2007 -00203
COMMUNITY DEVELOPMENT DATE IS 4/11/2007
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 1S135AB-01003
SITE ADDRESS: 10300 SW GREENBURG RD 390 ZONING: C -P
SUBDIVISION: LINCOLN CENTER /ONE LINCOLN LOT: JURISDICTION: TIG
PROJECT: RELIANCE
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: 29 BASEMENT: sf AREA SEP. RATED:
STOR: 5 HT: ft GARAGE: sf OCCU SEP. RATED:
BSMT ?: MEZZ ?: REQD SETBACKS REQUIRED
FLOOR LOAD: psf LEFT: ft RGHT: ft FIR SPKL: N SMOK DET:Y
DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : Y HNDICP ACC:
BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING:
VALUE: $ 2,000.00
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
Description Date Amount REQUIRED ITEMS AND REPORTS
[BUILD] Permit Fee 4/11/2007 $62.50
[TAX] 8% State Surcha 4/11/2007 $5.00
[BUPPLN] Pin Rv 4/11/2007 $40.63
[FLS] FLS Pln Rv 4/11/2007 $25.00
Total $133.13
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
Ore 'Iity- Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may o.tain a copy
these rules or dir8c que . '. I o JUN by calling 503.246.6699 or 1.800.332.234
i ` � sued By: P ermittee Signature: � �� � � . L /
Call 503.639.4175 by 7:00 a.m. for an inspection that busine 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.
Bit Permit Application - • FOR OFFICE USE ONLY •
City of Tigard Datet.ea nrD , b./ a Permit No.: Alk.
13125 SW Hall Blvd., Tigard, OR 9 22 � •.�� m�
Phone:• 503.639.4171 Fax: 503.598.1960 , plan Revi" i igt Date /B b�,1 al 71I Other Permit:
Inspection Line: 503.639.4175 ?' Date Re 'Wc;: El See Attached Checklist for
Internet: www.ci.tigard.or.us APR 1 1 20i W Notified/Method: dr Supplemental Information
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a - h :. < i13 X1tU RE IIIREDDATA ;1: =AND 2 =RAMII Y`DWEI LING
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❑ New construction 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
C7iUN: °'>" work indicated on this application.
a� CA'TEGORY_ =OF �0� S">'Iit1' _�
1=1 1- and 2-family dwelling Valuation: $
y g ®C ommercial /industrial
111 Accessory building 1=1 Multi-family Number of bedrooms:
El Master builder I=1 Other:
Number of bathrooms:
r °JOB;SITE I.NFOILMArTION2AND :I:QCATION Total number of floors:
m,'<�: _-... 'mot �� •�., .:r:.. ... „��:......��:�,: =,R... _... -., :
Job site address: I LINCOLN 10300 SW CREENBURG RD New dwelling area: square feet
City/State /ZIP: TIGARD, OR 97223 Garage /carport area: square feet
Suite/bldg. /apt. no.: 390 Project name: 2020955.45 14'� � Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
Other structure area: square feet
REQIII ,RI: k ::cO ERCIAI:; i7SE CHEcKLISTrt
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
.' work indicated on this a caton
k ' •
r DESGRIP,T.10 :QI .,; WQRK v: .;. lii
PP
Interior Tenant Improvement Valuation: $2,000.00
Existing building area: 1,162 square feet
New building area: square feet
® C2 EWOwI!IEti� ��,'_ � TE-�AN �. " Number ofstories: 5
Name: Equity Office Properties Trust 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:
.z:
APPL°IGANT- `GO A I'ERSOI�I: ::::. ;>
Business name: Group Mackenzie All contractors and subcontractors are required to be
Contact name: Stacey Alexander licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address: 0690 SW Bancroft St jurisdiction in which work is being performed. If the
City/State /ZIP: 97239 applicant is exempt from licensing, the following reasons
apply:
Phone: (503) 224 -9560 Fax: : (503) 228-1285
E -mail: salexander@grpmack.com
�.. � . O a•., RACTQR ��,� ��,�.
Business name: Russell Construction = . •>;w = "`
r BLlli llll�ItIT EES *a
Address: 20915 SW 105 Ave =;
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 signature: 9gej,rofj
/ This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: Stacey Alexander Date: 04/11/ 07 * Fee methodology set by Tri-County Building Industry
Service Board.
i:\ Building \Permits \BUP- PermitApp.doc 12/03 440- 46t3T(I1 /02 /COM/WEB)
[ CITY OF TIGARD
BUILDING DIVISION , PERMIT #: BUP2007-00203
-I -
1 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/1112007
Phone: (503) 639-4171 :Totill
Inspection Requests (24 Hrs.): (503) 639-4175 ,,.
INSPECTION WORKSHEET FOR DATE: 4/25/2007 TIME: 7:00AM PAGE: 67
SITE ADDRESS: 10300 SW GREENBURG RD 390 CLASS OF WORK:
- SUBDIVISION: LINCOLN CENTER/ONE LINCOLN LOT #: TYPE OF USE:
PROJECT NAME: RELIANCE
DESCRIPTION: TI
OWNER: EQUITY OFFICE PROPERTIES TRUST, PHONE #:
CONTRACTOR: RUSSELL CONSTRUCTION INC. PHONE #: 503-228-4898
Inspection Request Scheduled For: Date: 4/25/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
275 Framing 047070-01 503-780-3222 N
Corrections/Comments/Instructions:
•
I .
1
I p PASS ATIAL APPROVAL n CANCEL n NO ACCESS
fl FAIL j r dr ' FOR INSPECTION fl ADDITI oNAL FEES ASSESSED
j or
Inspector: .■ _ - 4/11
Date: -‘5 ° Phone #: (503) 718- 2 ‘ /
L . .. . . NI.
CITY OF TIGARD
BUILDING DIVISION PERMIT #: BUP2007-00203
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/11/2007
Phone: (503) 639 -4171 n
Inspection Requests (24 Hrs.): (503) 639 -4175 ��'
INSPECTION WORKSHEET FOR DATE: 5/11/2007 TIME: 7:01AM PAGE: 109
SITE ADDRESS: 10300 SW GREENBURG RD 390 CLASS OF WORK:
SUBDIVISION: LINCOLN CENTER /ONE LINCOLN LOT #: TYPE OF USE:
PROJECT NAME: RELIANCE
DESCRIPTION: TI
OWNER: EQUITY OFFICE PROPERTIES TRUST, PHONE #:
CONTRACTOR: RUSSELL CONSTRUCTION INC. PHONE #: 503 -228 -4898
Inspection Request Scheduled For: Date: 5/11/2007 n ; Pour Time:
Code # Inspection Description Confirm # Contact # M sage
299 Final inspection 048075 -01 503 - 780-3222 Y
Corrections /Comments /Instructions:
IA 0 - 7 - 00 2t'_t2 C -- r
•
--*- '`‘t <-i at." 1
I I PASS n PARTIAL APPROVAL n CANCEL I I NO ACCESS
CilLE,AIL__. I I CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED
Inspector: 1 Date: T� 1(1 - 2. Phone #: (503) 718- i• V 2-5f
CITY OF TIGARD -.
llii •
BUILDING DIVISION PERMIT #: BUP2007- 00203
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/11/2007
Phone: (503) 639 -4171 aru1
Inspection Requests (24 Hrs.): (503) 639 -4175 ' �
INSPECTION WORKSHEET FOR DATE: 5/22/2007 TIME: 7:01AM PAGE: 29
SITE ADDRESS: 10300 SW GREENBURG RD 390 CLASS OF WORK:
SUBDIVISION: LINCOLN CENTER /ONE LINCOLN LOT #: TYPE OF USE:
PROJECT NAME: RELIANCE
DESCRIPTION: TI
OWNER: EQUITY OFFICE PROPERTIES TRUST, PHONE #:
CONTRACTOR: RUSSELL CONSTRUCTION INC. PHONE #: 503 - 2213 -4898
*
Inspection Request Scheduled For: Date: 5/22/2007 p Pour Time:
Code # Inspection Description Confirm # Co act # Message
209 Final inspection 048806 -01 503 - 780.3222 N
Corrections /Comm nts /In tructions: S /
6 -- / e c V c/a G Nj
el ' l / 14/H
_EL C-10 0 ) - 6 6 7- (e \-- risfr-c c/s Ck)
. 0 o _ 0 o / 3 g 60 LA" - -
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1,1,,A....1).?„,;/) 5`1J w
1(.
PASS I PARTIAL APPROVAL n CANCEL n NO ACCESS
FAIL n CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED
Inspector: Dat Z Z ` Phone #: (503) 718- ��Z I