Permit CITY TIGARD BUILDING PERMIT
PERMIT #: BUP2008 - 00339
COMMUNITY DEVELOPMENT DATE ISSUED: 10/9/2008
T[GARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 1S135AB-01002
SITE ADDRESS: 10220 SW GREENBURG RD 301 ZONING: R -12
SUBDIVISION: LINCOLN CENTER/THREE LINCOLN LOT: 009 JURISDICTION: TIG
PROJECT: COMSYS
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: 79 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: N PARKING:
VALUE: $ 39,000.00
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 10/9/2008 $305.21 •
[TAX] 12% State Surch 10/9/2008 $36.63
[BUPPLN] Pln Rv 10/9/2008 $198.39
[FLS] FLS Pln Rv 10/9/2008 $122.08
Total $662.31
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 ex•ire if work is not started within 180 days of
issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requi ,-s y• to f- - , the rules adotted by the
Oregon Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through bAR •5 - '! : e You may •btain a copy
of these rules or direct questions to OUNC • -. . • `• -.- _ _ .699 or 1.800.332.2344. '
• ` I
Issued B / J / Permittee Signature: -1y —
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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.
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•
Building Permit Application
Commercial e F OR OFFICE USE ONLY
City of Tigard Date/Ba � PermitNo.. 13125 S W Hall Blvd., Tigard, O . t or 0 elos)
Pla Date n B / _ Revy. ie r
Phone: 503.639.4171 Fax: 50 , :, . t.,.,� (it ' 1 I Permit: Other Pe
t
TIGARD Inspection Line: 503.639.4175 ( O � D R ea d y /fa H See Page 2 for
Internet: www.tigard - or.gov OC, \ O (1ap Notified/Method: A Supplemental Information .
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� y�aat.`..." i l� :�.: r' . �.;.. '"�"` -3;,. :. �""fla :,'- `M °<:'a. "� �n -. •.: ; -3^. -- is..'a%x'x "3�az
TYPE - OF:: b ° 0
a •.. ,aa wit"
.. , 1 . s:QLIRED DATA �.. AnD 2 pFAMILYDWELLInG
❑ New construction •: ;► , . l ttion 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
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work indicated on this application.
3 `° CA�EGflR1''0 CONStfRUCTiON � < - Y 1 '
❑ 1- and 2- family dwelling ® Commercial /industrial Valuation: $
❑ Accessory building ❑ Multi- family Number of bedrooms:
❑ Master builder ❑ Other: Number of bathrooms:
" Total number of floors:
OB SITE I NFO, P,O,1%11,4 tACATI.ON 1
._.,, a.. ... � : � �s�__ � � �. °.., .nom ....
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.: 301 Project name: Comsys Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
Other structure area: square feet
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ttEQI3IREA i# TA ,GOMME CAI 118E CHECK[ IST' -
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
F ° :,
DESCRIPTION OF' WORRYg work indicated on this application.
iataii InteriorTenant Improvement Valuation: $$39,000.00
Work to include minor demolition, new walls, and new doors, non -rated corridor Existing building area: 7,893 square feet
New building area: square feet
g PROPERTY O WN R 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:
NiPPLIC T , `CONTA'CT PERSON` : , N OTICE ._. .. .. ,
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
Ve CTOR aim
Business name: Russell Construction BELllIN
IG EERMT1FEE
I-S*
Address: 20915 SW 105th Ave .; (Please refer to$(ee`sehedulej.- - -__
City /State /ZIP: Tualatin, OR 971062 Structural plan review fee (or deposit):
Phone: (503) 228 -4898 p j Fax: (503) 228 -2770 FLS plan review fee (if applicable):
CCB lie.: 58918 ; Total fees due upon application:
• �.
Amount received:
Authorized signature: / 1
C7 ci This permit application expires if a permit is not obtained
Print name: Kim Ford 1 Date: 10 - - within 180 days after it has been accepted as complete.
* Fee methodology set by Tri- County Building Industry
Service Board.
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CITY OF TIGARD
BUILDING DIVISION PERMIT #: t3UP2008 -00339
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/9/2008
Phone: (503) 639 -4171 / u��I,iilljil
Inspection Requests (24 Hrs.): (503) 639 -4175 AA _
INSPECTION WORKSHEET FOR DATE: 2/19/2009 TIME: 7:01AM PAGE: 26
SITE ADDRESS: 10220 SW GREENBURG RD 301 CLASS OF WORK:
SUBDIVISION: LINCOLN CENTER/THREE LINCOLN LOT #: 009 TYPE OF USE:
PROJECT NAME: COMSYS
DESCRIPTION: TI
OWNER: SHORENSTEIN REALTY SERVICES, PHONE #: 503- 412 -48(30
CONTRACTOR: RUSSELL CONSTRUCTION INC PHONE #: 503- 228
Inspection Request Scheduled For: Date: 219/2009 Pour Time:
Code # Inspection Description Confirm # Contact # Message
299 Final inspection 080627 -01 50.780 -3222 N
Corrections /Comments /Instructions:
•
,/: % PARTIAL APPROVAL ❑ CANCEL (l NO ACCESS
n FAIL ' " ALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: v / iil Phone #: (503) 718- Z7
CITY OF TIGARD
BUILDING DIVISION PERMIT #: 131JP2008-00339
13125 SW Hall Blvd., Tigard, OR 97223 • DATE ISSUED: 10/912008
Phone: (503) 639-4171 A\
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Inspection Requests (24 Hrs.): (503) 639-4175 &J"
INSPECTION WORKSHEET FOR DATE: 2/17/2009 TIME: 7; 00A1v1 PAGE: 9
SITE ADDRESS: 10220 SW GREENBURG RD 301 CLASS OF WORK:
SUBDIVISION: LINCOLN CFNTERTIHREE LINCOLN LOT #: 009 TYPE OF USE:
PROJECT NAME: COMSYS
DESCRIPTION: TI
OWNER: SHORENSTEIN REALTY SERVICES, PHONE #: 5034112-4800
CONTRACTOR: RUSSELL CONSTRUCTION INC PHONE #: 03-228-4898.
Inspection Request Scheduled For: Date: 2/17/2009 Pour Time:
Code # Inspection Description Confirm # Contact # Message
•
299 Final inspection 080564-01 603780-3222 N
Corrections /Comments/ Instructions:
c) 6 – 0 c cx5 — o Fr, k.j e lt
6 e 5
• PARTIAL APPROVAL n CANCEL El NO ACCESS
FAI • CALL FOR INSPECTION El ADDITIONAL FEES ASSESSED
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Inspector: 4 Date: t 7 Phone #: (503) 718-
CITY OF TIGARD .. ,
BUILDING DIVISION
A PERMIT #: BUP1008-00339
D ATE , 411
1 13125 SW Hall Blvd., Tigard, OR 97223 ISSUED: 10/9/2008
Phone: (503) 639-4171 affl figottit
Inspection Requests (24 Hrs.): (503) 639-4175 ..7,451W ii...
INSPECTION WORKSHEET FOR DATE: 1/13/2009 TIME: 7:00AM PAGE: 17 1
SITE ADDRESS: 10220 SW GREENBURG RD 301 CLASS OF WORK:
SUBDIVISION: LINCOLN CENTER/THREE LINCOLN LOT #: OM TYPE OF USE:
PROJECT NAME: COMSYS
DESCRIPTION: TI
OWNER: SHORENSTEIN REALTY SERVICES, PHONE #: 503-412-4800 1
CONTRACTOR: RUSSELL CONSTRUCTION INC PHONE #: 503-228-4898
Inspection Request Scheduled For: Date: 1/13/2009 Pour Time:
Code # Inspection Description Confirm # Contact # Message
275 Framing 079627-01 503-780-3222 N
Corrections/Comments/Instructions:
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i n PASS C'DARTIAL APPROVAL 0 CANCEL 0 NO ACCESS
I I FAIL 7 CALL FOR INSPECTION 0 ADDITIONAL FEES ASSESSED
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Inspector: Date: VC 37 3' Phone #: (503) 7182-24____
CITY OF TIGARD
BUILDING DIVISION PERMIT #: 8UP2008- 00339
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUE : 10/91200(3
Phone: (503) 639-4171 av�Nilp'�I
Inspection Requests (24 Hrs.): (503) 6394175 _e '__..
INSPECTION WORKSHEET FOR DATE: 2/ 11/2009 TIME: 7 :OOAM PAGE: 26
SITE ADDRESS: 10220 SW CREENBURG RD 301 CLASS OF WORK:
SUBDIVISION: LINCOLN CENTER/THREE LINCOLN LOT #: 009 TYPE OF USE:
PROJECT NAME: COMSYS
DESCRIPTION: TI
OWNER: SHORENSTEIN REALTY SERVICES, PHONE #: 503- 412 -41100
CONTRACTOR: RUSSELL CONSTRUCTION INC PHONE #: 503- 22l3 -489E3
Inspection Request Scheduled For: Date: 2/1112009 Pour Time:
Code # Inspection Description Confirm # Contact # Message
998 Alarm final 080441 -01 503 -780 -3222 N
Corrections /Comments/ Instructions:
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n PASS n PARTIAL APPROVAL CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: k
P Date: `\ ®CI Phone #: (503) 718 -
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