Permit 'L
CITY TIGARD BUILDING PERMIT
PERMIT #: BUP2008 -00204
COMMUNITY DEVELOPMENT DATE ISSUED: 6/12/2008
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 1S135AB-01004
SITE ADDRESS: 10220 SW GREENBURG RD 410 ZONING: C -P
SUBDIVISION: LINCOLN CENTER /TWO LINCOLN LOT: JURISDICTION: TIG
PROJECT: EXTERRO
Project Description: Interior TI - new walls, doors and relites.
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: sf N: S: E: W:
OCCUPANCY GRP: B TOTAL AREA: 0 sf ROOF CONST: FIRE RET?
OCCUPANCY LOAD: 43 BASEMENT: sf AREA SEP. RATED:
STOR: 6 HT: ft GARAGE: sf OCCU SEP. RATED:
BSMT ?: MEZZ ?: REQD SETBACKS REQUIRED
FLOOR LOAD: 50 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: $ 8,000.00
Owner: Contractor:
SHORENSTEIN REALTY SERVICES RUSSELL CONSTRUCTION INC.
ONE SW COLUMBIA #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 6/12/2008 $105.40
[TAX] 12% State Surch 6/12/2008 $12.65
[BUPPLN] Pin Rv 6/12/2008 $68.51
[FLS] FLS Pln Rv 6/12/2008 $42.16
Total $228.72
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow the -s adopted by the
Oregon Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through I. R 952.. -0 -010►. Y•u may obtain a copy
of these rules or direct questions to OUNC by calling 503.246.6699 or 1.800.332.2344. -
Issued By:a/ j liii L/ /.....1 Permittee Signature: / I , 4 111 ���_
• ,
Call 503.639.4175 by 7:00 a.m. for an inspection that business day.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
•
Building Permit Application
,
COinitterifil . FOR OFFICE USE ONLY
City of Tigard
r..,G.V4,1S9 R 6 , 1 al 0 6 S 11/4,1
Permit No.: (J g, ' 2O0
. 1 13125 SW Hall Blvd., Tigard, OR 97223
11 . Phone: 503.639.4171 Fax: 503.598.190. ‘,./1-
11111 P ..1 71n
Other Permit: •
•
TIGARD Inspection Line: 503.639.4175 n(4) Date Ready/y: 1E1 See Page 2 for
Internet: www.tigard-or.gov Notified/Method: EIM Supplemental Information
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rs ,,:4-i,4i
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IN\IG
0 New construction 0 Dem$ - Permit fees* are based on the value of the work performed.
S Indicate the value (rounded to the nearest dollar) of all
El Addition/alteration/replacement 0 Other: equipment, materials, labor, overhead, and the profit for the
; 771.r2 work indicated on this application.
i r: °: :'?•. , ' L'A061 A.,...:,:t,': ,-,:', •-',.....-: ,.-1- 4.......',.. • , ''-'-• --',.' --
Valuation: $
0 1- and 2-family dwelling ' [E] Commercial/industrial
0 Accessory building 0 Multi-family Number of bedrooms:
0 Master builder 0 Other: Number of bathrooms:
AirAni •': •-•-•-, -•'-•--, = : Total number of floors:
Job site address: 2 Lincoln 10220 SW Greenburg RD New dwelling area: square feet
City/State/ZIP: Tigard, OR 97223 • Garage/carport area: square feet
Suite/bldg./apt. no.: 410 Project name: Exterro Covered porch area: square feet
•
Cross street/directions to job site: Deck area: square feet
Other structure area: square feet
44111411rAWA6M11
•••.'REQ.....,_ED :§ ,,, '- ' i •,. : oug
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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
- .: , i14:,:,:,',„440,0110,71 - 51r'=' - '.'',. , -!'. , 14"g§difirikA 446fikairriVrtr7r 7 :::.: work indicated on this application.
VAPM1104471, . %,41,00:111‘4, '-'•• ::', ,,,, ::: --, .,-.,.,,i-;;::„, igi:60:ftl.:10,„ •
Work to include demolition, new walls, doors and relites Valuation: $$8,000.00
Interior Tenant Improvement Existing building area: 4,246 square feet •
,
New building area: square feet
";:f'4410 ..•'...1 ' i*N-A. Number of stories:
iiiiiO41;i0t„,,,,,:,. .., ,.,„,„::„,:,116,,, isk.; , ,, /I', , ' ,i:' ommesimmv,,-i-:', . '.......:,,,,..4,44:*4: wiimulhow,.y.3.
Name: Shorenstein • Type of construction:
Address: One SW Columbia St. Suite 300 Occupancy groups:
City/State/ZIP: Portland, OR 97258 • Existing:
Phone: (503)412-4800 Fax: ( ) New: •
;::-....:, -,,' • " •
4i- , ..;,4,.-:,;tii;,..„Apilir NF := 7
, 11. ttteT:A': lilits150.17.V
, 1;74:440NOM kro.:'' mtvi :t ;-:'': 72-; , '.'t:Zit;bCNP!,A,E:titWifc.T1.7-:;.,f,,A-a:-7:eOMMRIMihle:i4(1
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
applicant is exempt from licensing, the following reasons
City/State/ZIP: Portland OR 97214
apply:
Phone: (503) 224-9560 Fax:
E-mail: mroush@grpmack.com
r"•!:,, : - :7 •
U,i1 .-:1'.•k•- - ctilli tI •' . 'I , :-;•:.:::iretAIWYP 4 '1 7 '. '.'... :"I'''
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$W ;:-•,-::::,tregiaibgie:-Arp-4,;:.
Business name: Russell Condtruction
)110:41 :'2,-::,'„•:1:;:,.
,,,,
Address: 20915 SW 105 Ave
Structural plan review fee (or deposit): 1 g c , . 5 (
City/State/ZIP: Tualatin, OR 97062
FLS plan review fee (if applicable): +2 - 1 (0
Phone: (503) 228-4898 Fax: ( )
i /
CCB lic.: 58918 / i I I Total fees due upon application: 2_ 2.. .
Amount received: 2 z g. 7 2-
Authorized signature. . Cp/9 2./0 8 This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: -E
y Date: C i 1 a itcycS * Fee methodology set by Tri-County Building Industry
. _
' Service Board.
I:\Building\Permits\BUP PermitApp.doc 2/23/07 440-4613T(1I/02/COM/WEB)
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CITY OF TIGARD
BUILDING DIVISION PERMIT #:
C3Ul� -2008 -00204
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/12}20git
Phone: (503) 639 -4171 / ug
Inspection Requests (24 Hrs.): (503) 639 -4175 �'!4L:
INSPECTION WORKSHEET FOR DATE: 7/30/2008 TIME: 7:01AM PAGE: 46
SITE ADDRESS: 10220 SW GREENBURG RD 410 CLASS OF WORK:
SUBDIVISION: LINCOLN CENTERITVO LINCOLN LOT #: TYPE OF USE:
PROJECT NAME: EXTERRO
DESCRIPTION: Interior 11 - nevv walls, doors; and relites.
OWNER: SHORENSTEIN REALTY SERVICES, PHONE #: 50:412 -4800
CONTRACTOR: RUSSELL CONSTRUC,TION INC PHONE #: 503- 228.469B
Inspection Request Scheduled For: Date 7/30/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
299 Filial inspection 073433.01 503-700-3222 N
Corrections /Comments /Instructions:
GZig.ZZ9o5 _co / 9 7 Alu e4-f___ . 5 PeZ- INf tu L- . be, ,
Ni o e 1- F- 2 -S Su L &---... yH ti-C
.
❑ PASS 1 PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
_aim.. 7 �3a U g
Inspector: L Date: Phone #: (503) 718- 71 .-r
CITY OF ��n m m m�vm� m m�����m�� ,^ s
BUILDING DIVISION ~ '
~°°~"~~�=""~~= ~�"°"~°"~~"° - PERMIT #: BUP2008'00204
13125SVV Hall Blvd. Tigard, ORQ7223 DATE ISSUED: 6/12/2000
Phone: (503) 639-4171
,
Inspection Requests (24Hm.) �
�}3)63Q-4176 ~JAW-
INSPECTION WORKSHEET FOR DATE: 6/26/2008 TIME: 7:Q0AhA PAGE: 17
SITE ADDRESS 10220 SW GREENBURG RD 410 CLASS OF WORK:
SUBDIVISION: LINCOLN CENTERTIWO LINCOLN LOT #: TYPE OF USE:
PROJECT NAME: EXI"ERRO
DESCRIPTION: Interior TI - new walls, doors and rm|itwn.
OWNER: SMC)RENSTE|W REALTY SERVICES, PHONE #: 503-412-4800
CONTRACTOR: RUSSELL CONSTRUCTION INC. PHONE #: 503-228-4898
Inspection Request Scheduled For: Date: 6/20/20U8 Pour Time:
Code # Inspection Description Confirm # Contact # Message
776 Framing 071878-01 503-780'3222 W
Corrections/Comments/Instructions:
PARTIAL APPROVAL 11] CANCEL NO ACCESS
FAIL 1/ CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED
'
Inspector: r Date: ���«��"� �hone�� K�O3) 718' �—,-_- ` '
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