Permit CITY OF TIGARD BUILDING PERMIT
COMMUNITY DEVELOPMENT Permit #: BUP2009 -00102
13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 06!04/2009
TI:Cr � Parcel: 1 S135AB03400
Jurisdiction: Tigard
Site address: 10260_SW_GREENBURG_RD- 850 --...
Subdivision: LINCOLN TOWER Lot: 0
Project: Mortgage Express
Project Description: TI
Owner: FEES
LINCOLN CENTER LLC Description Date Amount
BY SHORENSTEIN PROPERTIES LLC, 555 Permit Fee - COM 06/04/2009 $321.98
CALIFORNIA ST 49TH FL 12% State Surcharge - Building 06/04/2009 $38.64
PHONE: Plan Review 06/04/2009 $209.29
Plan Review - Fire Life Safety 06/04/2009 $128.79
Contractor:
RUSSELL CONSTRUCTION INC
20915 SW 105TH AVE
TUALATIN, OR 97062
PHONE: 503 - 228 -4898
FAX: 503 - 228 -2770
Specifics:
Type of Use: COM
Class of Work: ALT
Dwelling Units: 0
Stories: 12 Height: 0 ft
Bedrooms: 0 Bathrooms: 0
Value: $41,250
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $698.70
Required: Required Items and Reports (Conditions)
Fire Sprinkler: Yes Parapet:
Fire Alarm: Yes Protected Corridors: No
Smoke Detectors: Manual Pull Stations:
Accessible Parking: 0
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all oth: r 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 w•rk i . suspended for more the 180
days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those Iles : re se a 9Afl
952 -001 -0010 throug OAR 952-001-0100. You may obtain a copy of the rules or direct questions to OUNC by calling I .2..•.6699 or 1.810.332.2344
Issued By: C%- n �.C� ,� Permittee Signature: 4111111I■ _ �.
Call 503.639.4175 by 7:00 a.m. for an inspection that busi: y.
This permit card shall be kept in a conspicuous place on the job site until compl:tion of the project.
Approved plans are required on the job site at the time of each inspection.
-
Building Permit Application
•
City of Tigard
Received FOR OFFICE USE ONLY •
Date/B: 44 Permit No.: ° 2600( • et 2
IN q 13125 SW Hall Blvd., Tigard, R 97223
Phone: 503.639.4171 Fax: 503.5%krT, 4 2.00
Plan Revie A goi k
Other Penni t:
TIGARD
Inspection Line: 503.639.4175 J Date/By: ME 11121 7■Aidig rki gilal
Date Rea. El See Page 2 for
Internet: www.tigard OVtIG Notified/Method: Supplemental Information
ar lx/ r . DIVISI° S
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New construction U Demolition Permit fees* are based on the value of the work performed.
Indicate the value (rounded to the nearest dollar) of all
El Addition/alteration/replacement U Other: equipment, materials, labor, overhead, and the profit for the
114"9" work indicated on this application.
4511, "
Valuation:
ri 1- and 2-family dwelling El Commercial/industrial
El Accessory building U Multi Number of bedrooms:
Number of bathrooms:
El Master builder Other:
''''"""''''''wola"" AND ALOCATIO - Total number of floors:
Job site address: Lincoln Tower 10260 SW Greenburg Rd New dwelling area: square feet
City/State/ZIP: Portland, OR 97223 Garage/carport area: square feet
Suite/bldg./apt. no.: 850 Project name: Mortgage Express Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
Other structure area: square feet
R011141.EB:liA A:: ditetwisTx:::
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
work indicated on this application.
Interior Tenant Improvement Valuation: $$41,250.00
Work to include minor demolition, new walls, doors and relites Existing building area: 14128 square feet
New building area: square feet
•r' L.alpiotorojaaR r j Number of stories: 12
Name: Shorenstein Type of construction: I - B
Address: One SW Columbia Street, Suite 300 Occupancy groups:
City/State/ZIP: Portland, OR 97258 Existing:
Phone: (503)412-4906 Fax: (503)412
New:
. = aV2aTragact - - -
lag 2 : -
Business name: Group Mackenzie All contractors and subcontractors are required to be
Contact name: Morgan Toth 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 Fax: : (503) 228
E mtoth@grpmack.com
Business name: Russell Construction
(please refer to fee schedule).
Address: 20915 SW 105th Ave
Structural plan review fee (or deposit):
City/State/ZIP: Tualatin, OR 97062
FLS plan review fee (if applicable):
Phone: (503) 228-4898 Fax: (503) 228
Total fees due upon application:
CCB lie.: 58918
Amount received: ( 7 8 - 7 0
Authorized signature. This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: Kim Ford Date: 06/04/09 * Fee methodology set by Tri-County Building Industry
Service Board.
I:\Building\Permits\.BUP-COM PermitApp.doc 2/23/07 440-4613T(l I/02/COM/WEB)