Permit CITY TIGARD BUILDING PERMIT
PERMIT #: BUP2008 -00255
'COMMUNITY DEVELOPMENT DATE ISSUED: 7/24/2008
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 1S135AB-01003
SITE ADDRESS: 10300 SW GREENBURG RD 305 ZONING: C -
SUBDIVISION: LINCOLN CENTER /ONE LINCOLN LOT: JURISDICTION: TIG
PROJECT: REACH LOCAL
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: 38 BASEMENT: sf AREA SEP. RATED:
STOR: 5 HT: ft GARAGE: sf OCCU SEP. RATED:
BSMT ?: MEZZ ?: REQD SETBACKS REQUIRED
FLOOR LOAD: psf LEFT: ft RGHT: ft FIR SPKL: N SMOK DET:
DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : Y HNDICP ACC:
BEDRMS: BATHS: IMP SURFACE: PRO CORR: Y PARKING:
VALUE: $ 5,200.00
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 $91.10
[TAX] 12% State Surch 7/24/2008 $10.93
[BUPPLN] Pln Rv 7/24/2008 $59.22
[FLS] FLS Pln Rv 7/24/2008 $36.44
Total $197.69
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.
■ Issued B . ,� . - Permittee Signature: . /.1,/ .l J, 0 j„/ I AIIW
Call 503.639.4175 by 7:00 a.m. for an inspection that : usiness 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
Corn er_llal FOR OFFICE USE ONLY
City of Tigard *0.\ICCII. Re' et.ed 1 Per No.: i • ,
II 13125 SW Hall Blvd., Tigard, OR 972 "C) ` oo� �' � ■ g
Phone: 503.639.4171 Fax: 503.598.190 ` `� 6 1 � � . ; _ ik a wni . O OtherPermit:
TIGARD Inspection Line: 503.639 Jv P ear ......
a� ti Cy: Jura. ® See Page 2 for
Internet: www.tigard - or.gov Oi. \ \ j \W iifed/Method: 17.4 Supplemental Information
CO �,,._1,�:1.�.. . _ -:�t - 'x;;�a. : -�; - �,::, ><�� 0�.,. �,,\ �;F : _�;�� _: ,t ,.:;,� ^ �J -� w = »rte � : °- � .,,�. .m,::.- :, � ? w .. ; - : °.: a , �"
TYPEOF ,VORK # �1,,, EQU
~ � _.. a_ � � R, _ ED D ATA� I �, i1N D WEIj I:ING i .; - :
❑ New construction ❑ Demotion 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
:,5! s W . work indicated on this application.
- CAT:E ® F C®NSTR UC,TION ;
ID I - and 2- family dwelling Z Commercial /industrial Valuation: $
ID Accessory building ❑ Multi- family Number of bedrooms:
❑ Master builder ❑ Other: Number of bathrooms:
If': .,' t ' "' g"," ` ' � ' q l' 6 Total number of floors:
JOB STI'E INFORI IATION A - L
1 ' DOCA TION 7- ?
Job site address: 1 Lincoln 10300 SW Greenburg Rd New dwelling area: square feet
City/State /ZIP: Portland, OR 97223 Garage /carport area: square feet
Suite/bldg. /apt. no.: 305 Project name: Reach Local Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
Other structure area: square feet
REQUIREDDATA COIVINIERC17SECIIEGKLIST -,
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
Rte , & ., a i � DESCR I P r N OE woftK � W work indicated on this application.
Interior Tenant Improvement Valuation: $$5,200.00
Improvements to include minor demolition, new doors, walls and relites Existing building area: 3,738 square feet
New building area: square feet
.
® PROPERTY' "OWNER V . Z r, : TFNANT Number of stories: 5
:, rte.. < . ....4 . 14,",. ��_ar r . .,-. .. _. :y i.A ° 44'
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:
�'$APPI:IGANT . ti ® C®N p t J K <
� r s,� . . —fig.: r , t_ � a_ .. w. w . _ - _ — _. s:. _ _. _ __rJ : _ '' t NO [17CE :101:40101:
.. .. i1P, 'a ,iii .
Business name: Group Mackenzie All contractors and subcontractors are required to be
Contact name: Morgan Roush licensed with the Oregon Construction Contractors Board
• under ORS 701 and may be required to be licensed in the
Address: 1515 SE Water Ave Suite 100 jurisdiction in which work is being performed. If the
City/State /ZIP: Portland, OR 97214 applicant is exempt from licensing, the following reasons
apply:
Phone: (503) 224 - 9560 Fax: : (503) 228 -1285
E -mail: mroush @grpmack.com
' 3-$ ,4,,,,-, i m_ CONTRACTOR. 4 . M' i,„ , ,
Business M11,1 LEtIN`G }PERMIT FEES n, I ' 'if
mess name: Russell Construction ;_ ��; r_„ �=
Address: 20915 SW 105th Ave 6 a•t`a "'` �'lease're ergo: ee,schedule == , t • ,w
f f ��' I
City /State /ZIP: Tualatin, OR 97062 Structural plan review fee (or deposit):
Phone: (503) 228 - 4898 Fax: (503) 228 - 2770 FLS plan review fee (if applicable):
CCB lic.: 58918 Total fees due upon application: � 7 C7
e
Amount received: C4 7 c c
Authorized signature: i
This permit application expires if a permit is not obtained
• within 180 days after it has been accepted as complete.
Print name: Kjerstine Vachter Date: 07/24/2008 * Fee methodology set by Tri County Building Industry
Service Board.
1:\Building \Pernlits\BUP -COM PermitApp.doc 2/23/07 440- 4613T(11/02/COM /WEB)
CITY OF TIGARD
BUILDING DIVISION . „
PERMIT #: BUP2008-0025
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/24/2008
Phone: (503) 639-4171 #ll 011
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: 812' /.008 TIME: 7:00AM PAGE: 23
SITE ADDRESS: 10300 SW GREENSURG RD 305 CLASS OF WORK:
SUBDIVISION: LINCOLN CENTER/ONE LINCOLN LOT #: TYPE OF USE:
PROJECT NAME: REACH LOCAL
DESCRIPTION: TI.
OWNER: SHORENSTEIN REALTY SERVICES, PHONE #: 603
CONTRACTOR: RUSSELL CONSTRUCTION INC. PHONE #: 503
Inspection Request Scheduled For: Date: 8128/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
299 Final inspection 074789-01 503-780-3222
Corrections/Comments/Instructions:
• PARTIAL APPROVAL fl CANCEL fl NO ACCESS
n FAIL If ALL FOR INSPECTION 7 ADDITIONAL FEES ASSESSED
— - - -
Inspector: Date:fr ,--t3 Phone #: (503) 718- — -
,
_ .
CITY OF TIGARD , ,
BUILDING DIVISION PERMIT #: E?UP2001 0U25
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7124/2008
Phone: (503) 639- 4171441h10 .
Inspection Requests (24 Hrs.): (503) 639 -4175 AL
INSPECTION WORKSHEET FOR DATE: 8/1/2008 TIME: 7 :00AM PAGE: 33
SITE ADDRESS: 10 GREENI3URG RD 305 CLASS OF WORK:
SUBDIVISION: LINCOLN CENTER /ONE LINCOLN LOT #: TYPE OF USE:
PROJECT NAME: REACH LOCAL
DESCRIPTION: TI
OWNER: SHORENSTEIN REALTY SERVICES, PHONE #: 503-412-4800
CONTRACTOR: RUSSELL CONSTRUCTION INC. PHONE #: 503- 228 -4898
Inspection Request Scheduled For: Date: 8/1/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
275 Framing 073581 -01 503- 780 -3222 N
Corrections /Comments /Instructions:
noeift 14%, / Is Pa_ A41--(i k I (._, r- ANNA
1\/(917{:
O K-- x/i /Z._ t..,% r7-f , le-- _- /q il� ,ec2Vd4 -c____
n PASS �1'"' • , n CANCEL n NO ACCESS
FAIL /' CALL FOR INSPECTION I ADDITIONAL FEES ASSESSED
/ -
75
Inspector: Date: d Phone #: (503) 718- 7