Permit CEl OF TIGARD BUILDING PERMIT
COMMUNITY DEVELOPMENT E ISSU D: BUP2008-00278
DATE SSUED: 8/19/2008
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 1 S 135AB -01004
SITE ADDRESS: 10220 SW GREENBURG RD 540 ZONING: C -P
SUBDIVISION: LINCOLN CENTER/TWO LINCOLN LOT: JURISDICTION: TIG
PROJECT: PAXTON & MILLER
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: 17 BASEMENT: sf AREA SEP. RATED:
STOR: 6 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 : HNDICP ACC:
BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING:
VALUE: if LSOO. 0
Owner: Contractor: •
SHORENSTEIN REALTY SERVICES RUSSELL CONSTRUCTION INC
ONE SW COLUMBIA #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 8/19/2008 $83.95
[TAX] 12% State Surch 8/19/2008 $10.07
[BUPPLN] PIn Rv 8/19/2008 $54.57
[FLS] FLS Pln Rv 8/19/2008 $33.58
Total $182.17
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 ado. - . by the
Oregon Utility Notification Center. Those rules are set forth in OAR 952 -001 -0010 through 0' - •52 -00 -e 1.09..�ou m. ; ... in a copy
of these rules or direct questions to OUN by'catrin. c. 246.6699 or 1.800.332.2344. -
<<
` / � Issued By // .00.' �� ir " Permittee Signature: t�� . � � - w �
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
1 -'''.° - 1 .. .--- -
COMMeretal 06 4) FOR OFFICE USE ONLY
City of Tigard
q 13125 SW Hall Blvd.,
Er ) ‘ S3 111°
friel0 lil Received
• iq Cfc- g Permit No.: p . 1. - . r
Plan Rev;;
I .. ' Phone: 503.639.4171 Ti Tigard, OR 97223 Fax: 503.598.1960 iNG vs.-- ^Inv% Date/I3 :Iivia0SMNE - I 2 Other Permit:
TIGARD Inspection Line: 503.639.4175 CI:=6 DI II‘j Date Read7r : - — El See Page 2 for
Internet: www.tigard-orgov
. Notified/method: MU Supplemental Information
, I'':iiNt:'':j1:A: P5';':•K;
iti,,,r4v4.,:„44-:.,,..,:ssimig.i'iatgiVi,,,,F,:.„::Lor;i:4064,,AiVoilieX4i.;:i,:::70iviegrik,F:::::.i.,arKii) iii; VtfiiiAiaiiiolfriVAIitiik'mlifiiWiaWd:R .
%
0 New construction El Demolition Permit fees* are based on the value of the work performed.
Indicate the value (rounded to the nearest dollar) of all
0
Addition/alteration/replacement 0 Other: equipment, materials, labor, overhead, and the profit for the
' A1110.44f , :441F0: , :o (rP'.,'"'"* R1:. work indicated on this application.
011114# 7 . 4 QN
Valuation: $
0 1- and 2-family dwelling El Commercial/industrial
Number of bedrooms:
111 Accessory building n Multi-family
0 Master builder 0 Other: Number of bathrooms:
PP;17.C,14,"Alig39Igi**11,14Ajii6,11174.04,49111,.S41.21n Total number of floors:
Job site address: 2 Lincoln 10220 SW Greenburg Rd New dwelling area: square feet
City/State/ZIP: Portland, OR 97223 Garage/carport area: square feet
Suite/bldg./apt. no.: 540 Project name: Paxton Miller CPA's Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
Other structure area: square feet
irliNtIalrb.Ai.A460TiCTAI
Subdivision: Lot no.: Permit fees* are based on the value of the work performed.
Indicate the value (rounded to the nearest dollar) of all
Tax map/parcel no.:
equipment, materials, labor, overhead, and the profit for the
q" 7:41 AAPKV fikSj:- • work indicated on this application.
-1:1q0040 . ,ii,...,...4 ',- :,4,, iiii'. , .,, r.:‘.,, bgrOrt.r '''1,,.,i,..„,,11*
Interior Tenant Improvement Valuation: $$4,500.00
Work to include new walls and door Existing building area: 1,611 square feet
New building area: square feet
PartrAtil)iiii..,067NVD i..111.1P-„ :1 ,...,q Number of stories: 6
V4:111111:1,, - J , Plitilfil ,, P - 1 -- oktAL :: 1 "'
Name: Shorenstein Type of construction: I
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:
ett , cf Asin'"zislEii4iiig6wilfr: , , , ..,,, , MA:,..:Ir i vt. 117 '
SFAiN .i :.NZamTaMri*IN' IA:!!!7'& ,.,.; ie , , 401,6,
- ' 4, atm . , i; , a a ■1■ , '''1 ,' i- 2 ':i:.:4‘
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 '
N '' n TV 1
4 S' ; 'IlVr r '
41,. ,1 , ft" ' 74::„:':2
Business name: Russell Construction 0../2,.-,4.tr,„.274-Wil12011113,0GitERMITSEESt2=':4:44M—'
Address: 20915 SW 105th Ave
Structural plan review fee (or deposit):
City/State/ZIP: Tualatin, OR 97062
FLS plan review fee (if applicable): ?3, sr
Phone: (503) 228-4898 , Fax: (503) 228-2770
CCB lie.: 58918
„...,ii , / Total fees due upon application: /0' 7
i . . Amount received: /
Authorized signature: ././
A / -- This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: Kim Sedlak I Date: 08/19/08 * Fee methodology set by Tri-County Building Industry
Service Board.
I:\Building\Permits\BUP-COM PermitApp.doc 2/23/07 440-4613T(11/02/COM/WEB)
CITY OF TIGARD _ . .
BUILDING DIVISION PERMIT #:
13
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: U !If3 O�TB
��0
Phone: (503) 639-4171 13/19/2000 Inspection Requests (24 Hrs.): (503) 639 -4175 � ' �_ __ 1
INSPECTION WORKSHEET FOR DATE: 1( ?/ lI7/200t3 TIME: 7: OOAM PAGE: 24
SITE ADDRESS: 111220 SW s,RE;I NDUR(� FAD 540 CLASS OF WORK:
SUBDIVISION: LINCOLN CE:NTERrIWO LINCOLN LOT #: TYPE OF USE:
PROJECT NAME: f AX1T)N 1?, MILLER
DESCRIPTION:
TI.
OWNER: S HOR E NSrEIN REALTY SERVICES, PHONE #: � �i80ta
CONTRACTOR: PHONE #:
RUSSELL RUSSELL CONSTRUCTION INC 503-228-4898
Inspection Request Scheduled For: Date: 10/10/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
299 Final iri€:pection O76548-01 503.700 -3222 N
Corrections /Comments/ Instructions:
A.Jerk Q •. R,zv1 d s siAA 6 / e ,' c, (- � ... 1 A f 4 U' 1
_ 1
Pe r ty.', w e,t_ c ;fig -- ooc7
C se _ rF:
ASS ❑ PARTIAL APPROVAL CANCEL n NO ACCESS
_ FAIL n CALL FOR INSPECTION El ADDITIONAL FEES ASSESSED
Inspector: /3S Date: /Ovcic 8 Phone #: (503) 718- 2C(23
CITY OF �. '
��nm n ��n TIGARD '
BUILDING DIVISION PERMIT #: BUP2008-002/8
13125SVV Hall B�d.. Tigard, OR07223 D ATE |SSUED: 8/19/M8
Phone: (503) 639-4171
\nupoohonRequeo�(24Hmj:(503)630'4175 ��0�'
INSPECTION WORKSHEET FOR DATE: 9V1E/2008 TIME: 7:O1Ak8 PAGE: 11
SITE ADDRESS: 10220 SVVGREENBURGRD54O CLASS OF WORK:
SUBDIVISION: LINCOLN CENTER/1W() LINCOLN LOT #: TYPE OF USE:
PROJECT NAME: PAXT0N&MILLER
DESCRIPTION: TI.
OWNER: SHORENSFON REALTY SERVICES, PHONE #: 603-112-4800
CONTRACTOR: RLJSSELL CONSTRUCTION INC PHONE #: 503-228-4898
Inspection Request Scheduled For: Date: 91160009 Pour Time:
Code # Inspection Description Confirm # Contact # Message
276 Framing 075606'01 603'780-3222 N
Corrections/Comments/Instructions:
i
| PASS �:TIA 1~°~: AL | |CANCEL ri NO ACCESS
| | FAIL ■ OR INSPECTION ri ADDITIONAL FEES ASSESSED
Date: //C^�m�^' Z6
leo
CITY OF = / '
��nm n n�'m� TIGARD
BUILDING DIVISION PERMIT ~~~~^~~~~^~~~~ ~~^~^~~^~~^~ #: kHEC�OODOO461
13125 SW Hall 8�d,Tigard, OR 97223 D ��E ISSUED:
g/11/20UD
Phone: (503) 639-4171
Inspection Requests (24 Hrs.): (503) 630~4175 °��� e�
INSPECTION WORKSHEET FOR DATE: TIME: PAGE:
� 10/10/2000 � 7:OOAM � 20
SITE ADDRESS: � � #: CLASS OFVVORK�
10220 SW �
SUBDIVISION: - LOT TYPE OFUSE�
�
LINCOLN CENTER/TWO LJNCOLN
PROJECT NAME: � F`A*JDM & MILLER
DESCRIPTION:
Relocating (1) diffuser and adding O\ exhaust fan. Valuation: $1.500.00
OWNER: PHONE #:
� �H���NSTEN� EALTYSERmCES. 503-412-4 '800
CONTRACTOR: PHONE #: � Ak�ER!CANMEAJ|N(�INC � 50�Z53-46UO
lnspection Request Scheduled For: Date: � PourTime�
' 10V10/2008
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 076558'01 509'780'3222 Y
Corrections/Comments/Instructions:
•
//� - ^+~� \
L�'�e� '�~��� �
PARTIAL APPROVAL 0 CANCEL Lill NO ACCESS
pi FAIL 0 CALL FOR INSPECTION 0 ADDITIONAL FEES ASSESSED
Inspector: % Date: /0 ce7ocl Phone #: /503\ 718- 2c/2