Permit •
Mi CITY QF f TIGAR® T V PERMIT #: BUP2008 -00256
COMMUNITY''DEVELOPMENT DATE ISSUED: 7/24/2008
TIGARD 13125 SW Hall Blvd.; T OR 97223 503.639.4171 PARCEL: 1S135AB-01002
SITE ADDRESS: 10220 SW GREENBURG RD 601 ZONING: R -12
SUBDIVISION: LINCOLN CENTER/THREE LINCOLN LOT: 009 JURISDICTION: TIG
PROJECT: MATRIX
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: 66 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 : Y HNDICP ACC:
BEDRMS: BATHS: IMP SURFACE: PRO CORR: Y PARKING:
VALUE: $ 10,500.00
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 - 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 7/24/2008 $126.85
[TAX] 12% State Surch 7/24/2008 $15.22
[BUPPLN] Pin Rv 7/24/2008 $82.45
[FLS] FLS Pin Rv 7/24/2008 $50.74
Total $275.26
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 copy
of these rules or direct questions to OUNC by calling 503.246.6699 or 1.800.332.2344.
/ —'� 'ermittee Signature:
;
` �� Aral/ A Al ∎
Issued By: . /, Awl f
aro
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 Applica.tion
C011fifiereta.l Recei FOR OFFICE USE ONLY
M I Ay, /' �,
City of Tigard Re°54Et) DateB v ed : Permit No.: ( J 1 13125 SW Hail Blvd., Tigard, OR -1 Plan Rev ewO7� ��
Phone: 503.639.4171 Fax: 503.598.1960 1 2 4 2SU Date/B : �Pfa � �� Other Permit:
Inspection Line: 503.639
TIGARD Dat Read /: 0 See Page 2 for
Internet: www.tigard- or �� AI Notified /M e thod: Supplemental Information
TYPE OF m_ ti ,'.':: €ff`= ,,, REQUIRFDDATA 1 AND= 2 -FAMII Y_DWELIIlS,G =,.
❑ 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
CATEGO Q F CO x o -noN
work indicated on this application.
Valuation: $
❑ I- and 2- family dwelling ® Commercial /industrial
❑ Accessory building ❑ Multi- family Number of bedrooms:
1=1 Master builder I=1 Other:
Number of bathrooms:
, INFORMATION :AND LOCATION Total number of floors:
1
m g
Job site address: 3 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.: 601 Project name: Matrix Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
Other structure area: square feet
REQllIRED DAl A: C9MiV1ERCIAL- USE.CIIECKLIST
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, ma materials, labor, r overhead, and the profit for the
t o a e r
I ®N OFD V4 ORK� Age work indicated on this application.
Interior Tenant Improvement Valuation: $$10,500.00
Improvements to include minor demolition, new walls, doors and relites Existing building area: 6,513 square feet
New building area: square feet
® ROPER> OWNER
4,66'97 011 77. ®TENANT Number of stories: 6
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:
2 � ®APPLIt1AIN1 CONTAC:"T�'PERSON'
.ear � ,
N E
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 maybe 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
: CONTRACTOR
Business name: Russell Construction ,BUILDING PERMIT FLEES *.
Address: 20915 SW 105th Ave ��
(Please rejer,to fee setie$u!e)��
Structural plan review fee (or deposit):
City/State /ZIP: Tualatin, OR 97062
Phone: (503) 228 -4898 Fax: (503) 228 -2770 FLS plan review fee (if applicable):
Total fees due upon application:
CCB lic.: 58918 ��•
• Amount received: .. 7 S.X
Authorized signature:
This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: Kjerstine Yachter Date: 07/24/2008 * Fee methodology set by Tn County Building Industry
Service Board.
L\Building \Permits \BUP -COM PermitApp.doc 2/23/07 440- 4613T(11/02/COM /WEB)
CITY OF TIGARD A BUILDING DIVISION PERMIT #: B(JP2O08 002(�t,
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7124/2008
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION INSPECTION WORKSHEET FOR DATE: 10/3112008 TIME: 7 :00AM PAGE: 34
SITE ADDRESS: 10220 SW GREENBURG RD 501 CLASS OF WORK:
SUBDIVISION: LINCOLN CENTERI HREE LINCOLN LOT #: 009 TYPE OF USE:
PROJECT NAME MATPIX
DESCRIPTION: 11.
OWNER: ayh1ORENSTEIN REALTY SERVICES, PHONE #: 503- 412 -4800
CONTRACTOR: RUSSELL CONSTRUCTION INC. PHONE #: 503-220-4898
Inspection Request Scheduled For: Date: 10/31/2008 Pour Time:
Code # lspection Description Confirm # Contact # Message
299 4 Final inspection 077451 -01 503 -780 -3222 n� N
f�
Corrections /Comm: nts /Instructions:
is G 1.D - %+$ris &.* '• ifitczoo-tr--
0 ee•zoa k -ooil
c3..) 5 1( 2_,(-L.A., - te_x_iu- Appori _ , - c_io-s.c z 4, '
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74/U CY h ` S 3 LA -2_S
❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: Phone #: (503) 718- 1
•
CITY OF TIGAR® .,--Ai ---- •
BUILDING DIVISION PERMIT #: RUf 002'.;6
Alk 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/24/2008
Phone: (503) 639 -4171 11
Inspection Requests (24 Hrs.): (503) 639 -4175 .. ':
INSPECTION WORKSHEET FOR DATE: 10/21/2008 TIME: 7:00AM PAGE: 48
SITE ADDRESS: 102N SW GREENBURG P1) 601 CLASS OF WORK:
SUBDIVISION: LINCOLN CENTER/THREE LINCOLN LOT # : 009 TYPE OF USE:
PROJECT NAME: MATRIX
DESCRIPTION: - -
OWNER: SHORENSTEIN REALTY SERVICES, PHONE #: 5•03412 -4800
CONTRACTOR: RUSSELL CONSTRUCTION INC. PHONE #: 503 - 27841891
Inspection Request Scheduled For: Date: 10/21/2008 Pour Ti -.
Code # Inspection Description Confirm # Contact # Mes-.ge
299 Final inspection 076930 -01 503- 78U•3222 Y
Corrections /Comments/ nstructions: • t7f s _ ... / . 2.771: f...j (i/e.,_ /
0
X k , __:
' U'
❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: t.,,, Date: Phone #: (503) 718 - Y J
CITY OF TIGARD ' ,
BUILDING DIVISION ,,,. PERMIT #: I3tJP2008-00266
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/34/2008 IK
Phone: (503) 639 -4171 I I
Inspection Requests (24 Hrs.): (503) 639 -4175 s ''
INSPECTION WORKSHEET FOR DATE: 8/7/2008 TIME: 7:01AM PAGE: 37
SITE ADDRESS: 10220 SW GREENBURG RD 601 CLASS OF WORK:
SUBDIVISION: LINCOLN CENTER /THREE LINCOLN LOT #: 009 TYPE OF USE:
PROJECT NAME: MATRIX
DESCRIPTION: TI.
OWNER: SI REALTY SERVICES, PHONE #: 503-412 -4800
CONTRACTOR: RUSSELL CONSTRUCTION INC. PHONE #: . 503-226.4898
Inspection Request Scheduled For: Date 8/7/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
275 Framing 073854 -01 503 -843 -7071 N
Corrections /Comments /Instructions:
ZA-i & /(-) p( , P ki c t - ^P
?L-4f■IS
O To v L X114 -. &3 — i2r U
A C -o i _
111 PASS 7 A - 1.RTIAL A_P E] CANCEL l] NO ACCESS
❑ FAIL Fa r C ALL FOR INSPECTION. El ADDITIONAL FEES ASSESSED
/ Q
Inspector: Date: 8 7 dg Phone #: (503) 718- Z ��