Permit , ,CITY OF TIGARD BUILDING PERMIT
+T '' PERMIT #: BUP2007 -00527
' COMMUNITY DEVELOPMENT DATE ISSUED: 10/11/2007
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 1S135AB-01004
SITE ADDRESS: 10220 SW GREENBURG RD 470 ZONING: C -
SUBDIVISION: LINCOLN CENTER/TWO LINCOLN LOT: JURISDICTION: TIG
PROJECT: 7 ELEVEN INC
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: 106 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: $ 8,500.00
Owner: Contractor:
EQUITY OFFICE PROPERTIES TRUST RUSSELL CONSTRUCTION INC.
ONE SW COLUMBIA #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 10/11/2007 $112.55 •
[TAX] 8% State Surcha 10/11/2007 $9.00
[BUPPLN] Pln Rv 10/11/2007 $73.16
[FLS] FLS Pln Rv 10/11/2007 $45.02 .
Total $239.73
•
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 ' ityAotification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain a copy
oft -se rules or dir -ct . - tions to OUNC by calling 503.246.6699 or 1.800.332.2344.
sued By: , ` I ` 0 Li...L'.. Permittee Sig ' t. / ' ,riViralir
i
Call 503.639.4175 by 7:00 a.m. for an inspec 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.
Built ing Permit lei 0r r - FOR OFFICE USE ONLY
City of Tigard Da[ s y � // 6
Permit No.:
7 1 ' 4 9e0,7--651:',5-
13125 SW Hall Blvd., Tigard, OR 97223 V 1 200' Plan Review ' r � ► .
Phone: 503.639.4171 Fax: 503.598.1968 Date /B 11 Other Permit:
�� � 4' ��7�1' •
Inspection Line: 503.639.4175 rt Or 6! I Date Read /B ruse
Attached Checklist for
Y
gg y p 1� � - //
Internet: www.ci.tigard.or.us A L� x
Notified /Method: 7CQ Su pplemental Information
DIVISION
oripotemitrawm:-.:,::i*tiore",f � E sOF WORK rA: a 9 � R QUIRED_DATA 1 AND.'- FAMiGY'DWELLING
❑ 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
work indicated on this application.
CATEGORY.; OG�ONS°TRi:1CTlf)N ..a� / � '
❑ 1- and 2- family dwelling ® Commercial /industrial Valuation: $
❑ Accessory building ❑ Multi - family Number of bedrooms:
❑ Master builder ❑ Other: Number of bathrooms:
�• " = IOB SITE :INFORMA ON AND LOCATION 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.: 47470 Project name: 7 -11 Inc. Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
Other structure area: square feet
REQUIRED DATA•' COMMERCIAL USE CHECKL 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
_ u
DESCRIPTION - OF 3'U,QRK = work indicated on this application.
Interior Tenant Improvement Valuation: $$8,500.00
To include minor demolition, new wall, new cabinetry and new finishes Existing building area: 7,295 square feet
New building area: square feet
®, "PRO ERTY 'OWNER TENANT Number of stories: 6
.x
11.
Name: Shorenstein Realty Services Type of construction: I -B
Address: One SW Columbia St. Suite 300 Occupancy groups:
City/State /ZIP: 97258 Existing:
g�
Phone: (503)412 -4800 Fax: (503)412 -4848 New:
►5 ABP AN 4e PERSON
-•�, �, °. _ NOTICE
Business name: Group Mackenzie All contractors and subcontractors are required to be
Contact name: Kimberly Sedlack 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: ksedlack @grpmack.com
� � � a , `•.� C e FR
m �:n
o- _ -: ONTRA T O
. Business name: Russell Construction (B 1DINGPERMIT FEES
Address: 20915 SW 105 Ave
�t, ..
Please refer to fee schedule.
City/State /ZIP: Tualatin, OR 97062
Fees due upon application
Phone: (503) 228 -4898 F : .13) 228 -2770
CCB lit.: 58918 • Amount received
11 '•. � Date received:
Authorized signature: I 1 Ar This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: Kimberly S• a k .,_ Date: 10 /11/ 07 * Fee methodology set by Tri- County Building Industry
Service Board.
1 i.\ Building \Permits \BUP- PermitApp.doc 12/03 440- 4613T(1 t /02 /COM/WEB)
■
CITY OF TIGARD
1 BUILDING DIVISION
A PERMIT #: 13UP2007-00527
1 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/11/2007
Phone: (503) 639-4171 hati 1#
Inspection Requests (24 Hrs.): (503) 639-4175 s.:14 IL
INSPECTION WORKSHEET FOR DATE: 2/7/2008 TIME: 7:03AM PAGE: 32 1
I
. I
SITE ADDRESS: 10220 SW GREENBURG RD 470 CLASS OF WORK:
SUBDIVISION: LINCOLN CENTER/TWO LINCOLN LOT #: TYPE OF USE:
PROJECT NAME: 7 INC
DESCRIPTION: fl
OWNER: EQUITY OFFICE PROPERTIES TRUST, PHONE #:
CONTRACTOR: RUSSELL CONSTRUCTION INC. PHONE #: 503.228-4898
1
I
Inspection Request Scheduled For: Date: 2/7/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
299 Fina! inspection 064671-01
- 0 - :*5- 780-3222 Y
kirig-K)-7-rE
Corrections/Comments/Instructions:
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PASS 7 PARTIAL APPROVAL El CANCEL 7 NO ACCESS
7 FAIL — I l CALL FOR INSPECTION El ADDITIONAL ' EES ASSESSED
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Inspector: V If / .."'? A ik 00
Date: 7 OF 0 Phone #: (503) 718-
•
CITY OF TIGARD • _
BUILDING DIVISION PERMIT #: I3UP 007 - 00.127
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/11/2007
Phone: (503) 639 -4171 �i @�ii�y �
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 2/1/2006 TI . 7:02AM PAGE: 2
SITE ADDRESS: 10220 SW GREENBURG RD 470 CLASS OF WORK:
SUBDIVISION: LINCOLN CENTER/TWO LINCOLN LOT #: TYPE OF USE:
PROJECT NAME: 7.EI_EVEN INC
DESCRIPTION: TI
OWNER: EQUITY OFFICE PROPERTIES TRUST, PHONE #:
CONTRACTOR: RUSSELL CONSTRUCTION INC. PHONE #: 503 -228 -4698
Inspection Request Scheduled For: Date: 2/1/2008 Pour Time:
Code # Inspection Description j ( j Confirm # Contact # Message
,n
299 Final inspection /fi t/ 064371 -01 503760.3222 N
ri
Corrections /Comments /Instructions: j 1 , , /` , j4. A Q - 1 t LS)
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❑(... E.AIL PASS El PARTIAL APPROVAL fI CANCEL ❑ NO ACCESS
❑ CALL FOR INSPECTION I I ADDITIONAL FEES ASSESSED
Inspector: WI Date: V ° " Phone #: (503) 718- 2-4 24
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CITY OF TIGARD
.,
BUILDING DIVISION - PERMIT #: fit1P2007-00527
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10111/2007
Phone: (503) 639-4171 itaotoi A
Inspection Requests (24 Hrs.): (503) 639-4175 AL
INSPECTION WORKSHEET FOR DATE: 111712008 TIME: 7:00AM PAGE: 60
SITE ADDRESS: 10220 SW GREENGURG RD 470 CLASS OF WORK:
SUBDIVISION: LINCOLN CENTERRWO LINCOLN LOT #: TYPE OF USE:
PROJECT NAME: 7 INC
DESCRIPTION: TI
OWNER: EQUITY OFFICE PROPERTIES TRUST, PHONE #:
CONTRACTOR: RUSSELL CONSTRUCTION INC. PHONE #: 503-226-4898
Inspection Request Scheduled For: Date: 1117/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Messase
296 dilr spection Z 06338401 503-780-3222 400
Corrections/Comments/Instructions:
art 4.• , NIL it =-- 1 0 (\i of=
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So . efri IT *P ( 0 7
PASS O RTIAL A - • - = , 11 0 CANCEL NO ACCESS
0 FAIL CALL FOR INSPECTION fl ADDITIONAL FEES ASSESSED
—
Inspector: Lia........_ ' 11111111.11 " Date: 1 /9 (bO Phone #: (503) 718- ,■
41 111■
_: .
CITY OF TIGARD .,
BUILDING DIVISION . PERMIT #: 13up2007-00527
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/11/2007
Phone: (503) 639-4171 Javiitilil
Inspection Requests (24 Hrs.): (503) 639-4175
..,,...
INSPECTION WORKSHEET FOR DATE: 11/2812007 TIME: 7:00AM PAGE: 3
SITE ADDRESS: 10220 SW GREEICURG RD 470 CLASS OF WORK:
SUBDIVISION: LINCOLN CENTER/TWO LINCOLN LOT #: TYPE OF USE:
PROJECT NAME: 7 INC
DESCRIPTION: TI
OWNER: EQUITY OFFICE PROPERTIES TRUST, PHONE #:
CONTRACTOR: RUSSELL CONSTRUCTION INC. PHONE #: 503-228-4898
Inspection Request Scheduled For: Date: 11no/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Messes -
287 - Suspended ceiling 060415-01 503-780-3222
Corrections/Comments/Instructions:
•
R. -ASS /4 PARTIAL APPROVAL 1 CANCEL El NO ACCESS
n FAIL C,' CALL FOR INSPECTION fl ADDITIOr AL FEE . ASSESSED
Inspector: Date: / Phone #: (503) 718- ‘V
CITY OF TIGARD
BUILDING DIVISION -- . „ /
PERMIT #: BUP2007-00527
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10,11/2007
Phone: (503) 639-4171 :04:41t i 1 60)
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: 11/012007 TIME: 7: 01)Am PAGE: 41
SITE ADDRESS: 10220 SW GREENBURG RD 470 CLASS OF WORK:
SUBDIVISION: LINCOLN CENTER/TWO LINCOLN LOT #: TYPE OF USE:
PROJECT NAME: 7 - ELEVEN INC
DESCRIPTION: TI a '•
OWNER: EQUITY OFFICE PROPERTIES TRUST, PHO / •
CONTRACTOR: RUSSELL CONSTRUCTION INC. P ifr #: 503-220-4898
Inspection Request Scheduled For: • Date: 1118/2007 0. ID Pour Time:
Code # Inspection Description Confirm # Contact # M:.sage
275 Framing 069266.01 503-780-3222 V ,
Corre tions Comments/Instructions:
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II P tm d 7- 0 0 (-r4k ( (Nr-p_diz-x- s vv 47 (pe
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0 -;)-)-
I I PASS PARTIAL APPROVAL 0 CANCEL 7 NO ACCESS
I I FAIL CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED •
Inspector: IZ (/i ‘( A(— Date: i t/07 Phone #: (503) 718-