Permit II a CITY OF TIGARD. BUILDING PERMIT
I PERMIT #: BUP2008-00289
COMMUNITY DEVELOPMENT DATE ISSUED: 8/26/2008
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 1S135AB-00900
SITE ADDRESS: 10200 SW GREENBURG RD 700 ZONING: C -P
UBDIVISION: LINCOLN CENTER /FIVE LINCOLN LOT: JURISDICTION: TIG
PROJECT: FARMERS INSURANCE
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: 74 BASEMENT: sf AREA SEP. RATED:
STOR: 7 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: it Lis SZDO .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 8/26/2008 $338.75
[TAX] 12% State Surch 8/26/2008 $40.65
[BUPPLN] Pln Rv 8/26/2008 $220.19
[FLS] FLS Pln Rv 8/26/2008 $135.50
Total $735.09
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes an. all other
applicable law. All work will be done in accordance with approved plans. This permit will ex•ire if work i started it in 1180 days of
issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requi e. yo ollow the ules .c1 opted by the
Oregon Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 throu. O' R ° ' -:: 1100. You a obtain a copy
of these rules or direct questions to OUNC by calling 503.246.6699 or 1.800.332.2344.
_...._
Issued By: /��� �` Permittee Signature: -k Al l r.
ir.,...-■ ow _
ii Call 503.639.4175 by 7:00 a.m. for an inspection t' - 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
CoM'mercial FOR OFFICE USE ONLY •
City of Tigard R eceived
Permit No.: _
13125 SW Hall Blvd., Tigari� i3 ENE) Date /By: AR =
Plan Review 71111WK4141111.M7
Phone: 503.639.4171 Fax: '.0 ° •. :.'' °:0 Date/B,v: �Il• Other Permit:
TIGARD Inspection Line: 503.639.4175 Date Ready /By: 0 See Page 2 for
Internet: www.tigard or.gov AUG 2 6 2fltl. Notified/Method: �� Supplemental Information
se e` s,. -. •, . +.t; :x -:.'za?% : -• "� `x'�y. ,, ".- ,� ':�'.R3x- °a�:a' '_=�� ..
$ - -: N � M e �tT YP.g' : ` „. - K, ,j r e � 7 REQUIRE>) "DATA .� AND 2 FA DWELLING ti v
'��„ -, ��t.,= -- 3- ..�a, ' " ��� � ..� a�.. .�,�.:-� �' v��w ,.�s.,.�.s� &t�%'m..e,rta�... � ...� >��Y �_- �,..• , . ,..,.. ... � 3
❑ New construction RtlILitbiMn 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.
°CATEGOT2Y O>C®NS�Ri`1CT10N
. „. � s� �a.�.�r- ..- .x".._�r
111 1- and 2- family dwelling ® Commercial /industrial Valuation: $
❑ Accessory building ❑ Multi- family Number of bedrooms:
❑ Master builder ❑ Other: Number of bathrooms:
, FO
JOB SITE INRMATIO N AND LOCATION ! z g a Total number of floors:
£ - - _ yA&h� '$ '..�'*m- =%ac±z_ Vi --. > � .. - �4» .?.- + w. > r. a .”
Job site address: 5 Lincoln 10200 SW Greenburg Rd New dwelling area: square feet
City/State /ZIP: Portland, OR 97223 Garage /carport area: square feet
Suite/bldg. /apt. no.: 700 Project name: Farmers Insurance Group Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
Other structure area: square feet
REQ ED(DAT C OMMERGI IL SE <HE KI L S '
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
• P .:s ,e:b. , indicated overhead, and the profit materials, labor, a e ofit or the
r
DESFRIPTION OF WORK work indicate on this application.
Interior Tenant Improvement Valuation: $45,500
Work to include demolition, new walls, doors and relites, and new ceiling areas. Existing building area: 7,368 square feet
Work also to include the addition of a multi - tenant corridor New building area: square feet
®- , PROPERTY: OUWER - TENANT: - Number of stories: 7 •
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:
gang. W N` s 5 -' "O"" Y' k
'_ APPLICANT ;CONTACT PERS ON
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
Business name: Russell Construction 1 , '18 MpTTS:G PEI2111T FEES
Address: 20915 SW 105th Ave .. ., (PIeastsreferto_feeschedulej', t ,
City/State /ZIP: Tualatin, OR 97062 Structural plan review fee (or deposit):
Phone: (503) 228 -4898 ax: (503) 228 -2770 FLS plan review fee (if applicable):
CCB lie.: 58918 Total fees due upon application: 735 vq
� 1 !
Amount received: 735-,
c7
Authorized signature: I _
' This permit application expires if a permit is not obtain d
within 180 days after it has been accepted as complete.
Print name: Kim Sedlak Date: 08/26/08 * Fee methodology set by Tri- County Building Industry
Service Board.
1:\Building \Permits \BUP -COM PermitApp.doc 2/23/07 440- 4613T(11/02/COM /WEB)
. .
CITY OF TIGARD
BUILDING DIVISION
A PERMIT #: BUP2008-00289
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/26/2008
Phone: (503) 639-4171 I NiliVitillii
Inspection Requests (24 Hrs.): (503) 639-4175 .K1111 lw 11.
INSPECTION WORKSHEET FOR DATE: 11/7/2008 TIME: 7 PAGE: 36
SITE ADDRESS: 10200 SW GREFNBURG RD 700 CLASS OF WORK:
SUBDIVISION: LINCOLN CENTER/FIVE LINCOLN LOT #: TYPE OF USE:
PROJECT NAME: FARMERS INSURANCE
DESCRIPTION: TI.
OWNER: SHORENSTEIN REALTY SERVICES, PHONE #: 503-412-4600
CONTRACTOR: RUSSELL CONSTRUCTION INC PHONE #: 503-228-4898
Inspection Request Scheduled For: Date: 11/7/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
299 Final inspection 077792-01 503-780-3222 N
■ • rrections/ Com ments/ Instructions:
6 2e08 - oo‘O
Z OP ,2rng - CO -- ‘ 55 e3 /0/3 //de ((z r3)
.#64e, : JO 0 04heir
Las
, SS 0 PARTIAL APPROVAL 0 CANCEL _ NO ACCESS
0 FAIL 0 CALL FOR INSPECTION 0 ADDITIONAL FEES ASSESSED
Inspector: Z.5 Date: - 34/0.. as Phone #: (503) 718- 2923
CITY OF TIGARD
BUILDING DIVISION
PERMIT #: BUP2008-00289
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/26/2008
Phone: (503) 639-4171
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: TIME: PAGE:
10/3/2008 7:00AM
SITE ADDRESS: CLASS OF WORK:
10200 SW GREENBURG RD 700
SUBDIVISION: LOT #: TYPE OF USE:
LINCOLN CENTER/FIVE LINCOLN
PROJECT NAME:
FARMERS INSURANCE
DESCRIPTION: TI,
OWNER: PHONE #: 603-412-4800
SHORENSTEIN REALTY SERVICES,
CONTRACTOR: RUSSELL CONSTRUCTION INC PHONE #: 503,..720.4898
Inspection Request Scheduled For: Date: 10/312008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
276 Framing 076289-01 603-780-3222
Corrections/Comments/Instructions:
5.ae- r 4 0k--e) 3o -core) C t
- 73 - TA (4,.. Ok
:
eotss eJ IC) -05
6teci- (.% ( Ala ( 01, - ( 5S ec) g-2‘-os (6.2))
14 ri PARTIAL APPROVAL I I CANCEL NO ACCESS
F FAIL CALL FOR INSPECTION I ADDITIONAL FEES ASSESSED
Inspector: e /3S Date: 2 .0 c-7 oet Phone #: (503) 718- 2Y_23
r'
CITY OF TIGARD
BUILDING DIVISION PERMIT #: BUP204�1 OU2n8
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/26/2008
Phone: (503) 639 -4171 ����� ��4hu�ii� 1/
Inspection Requests (24 Hrs.): (503) 639 -4175 `__..
INSPECTION WORKSHEET FOR DATE: 0/3012008 TIME: 7 :00AM PAGE: 71
SITE ADDRESS: 10200 SW GREENBURG RD 700 CLASS OF WORK:
SUBDIVISION: LINCOLN CENTER /FIVE LINCOLN • LOT #: TYPE OF USE:
PROJECT NAME: FARMERS INSURANCE
DESCRIPTION: 11
OWNER: SHORENSTEIN REALTY SERVICES, PHONE #: 503 -412 -4800
CONTRACTOR: RUSSELL CONSTRUCTION INC PHONE #: 503-22e-489B
Inspection Request Scheduled For: Date: 913012008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
275 Framing 076072 -01 503 -780 -3222 Y
Corrections /Comments /Instructions: Ar
( Q qt u ► .0 L c 60vt(-- 13 rec. k (.60 W.-
Z) 0 (I ► Ciz_ - 33 `/,4 (.tic//5 ))O "4' -. --`, , Lit: slue) 0.-, ; vn c &' ��- s'-'
I I PASS 4:4 APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: /JS Date: 3G Phone #: (503) 718- 29-2 3