Permit CITY TIGARD BUILDING PERMIT
COMMUNITY DEVELOPMENT DATEEISSUIED: 12/18/20000643 7
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 1S135AB-01003
SITE ADDRESS: 10300 SW GREENBURG RD 530 ZONING: C -P
SUBDIVISION: LINCOLN CENTER /ONE LINCOLN LOT: JURISDICTION: TIG
PROJECT: HARRIS & BOWKER
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: 17 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: SMOK DET:
DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP ACC:
BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING:
VALUE: $ 10,500.00
Owner: Contractor:
EQUITY OFFICE PROPERTIES TRUST RUSSELL CONSTRUCTION INC.
ONE SW COLUMBIA ST #300 20915 SW 105TH AVE.
PORTLAND, OR 97258 TUALATIN, OR 97062
Phone: Contact #: PRI 503 - 228 -4898
FAX 503 - 228 -2770
Reg #: LIC 58918
FEES
Description Date Amount REQUIRED ITEMS AND REPORTS
[BUILD] Permit Fee 12/18/2007 $126.85
[TAX] 8% State Surcha 12/18/2007 $10.15
[BUPPLN] Pln Rv 12/18/2007 $82.45
[FLS] FLS Pln Rv 12/18/2007 $50.74
Total $270.19
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 0 R 952 - 001 -0100. ou may obtain a copy
of these rules or direct uestions to OUNC by calling 503.246.6699 or 1.800.332.2344.
r . ,
Issued By: Permittee Signature:---1
Call 503.639.4175 by 7:00 a.m. for an inspection 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.
■/1;11-1
BuiTdin;Q Permit Applicatio + FOR OFFICE USE ONLY -
City of Tigar Date/By: l %ZI l £t I Cr) Permit No. ) '7 �/
o
9 i /3
13125 SW Hall Blvd., Tigard, OR .17„ ' \\t I Plan Review - ' 'f
Phone: 503.639.4171 Fax: 503.59:.1'60 r (� 1 r ' . ,,. Date By: 1 e 1 " Other Permit:
Inspection Line: 503.639.4175 OG" 1 : ' Date Ready / luris �r� See Attached Checklist for
Internet. www.ci.tigard.or.us 01 ' Notified/Method: ! Supplemental Information
. � ., IIIV I~ `'�1M1'ORKW =',R1r < IIII�D n 1 , I # 1VITL�I' >D�'4 , Gar; - �� y
. 'va'. «. 3�' ��.... ?"� n,
❑ 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
tWr, ' �.�: .'.: -::-
t, m g a; - ,.. . � . i.�> >° A - ,�.;�;.; ;.- .:. ; " -- work indicate on this application.
GO }''��„i,?F� Ct?1�15 "TRC) aTfiN - - - ;; , � era;;':'
„ � - .'
El 1 - and 2- family dwelling ® Commercial /industrial Valuation: $
1:1 Accessory building 111 Multi-family Number of bedrooms:
❑ Master builder III Other:
Number of bathrooms:
�: .,,:::�.�' _ ,:...,,�_ �.; �.: tee,,,.,„
r: ; x:� - :,_�`- .. >:,, .n ) " g ,e ,,,:; r .
_� .TO TI E';•I ", >' �'QBMA`FIUN`' a „ I?�"LQCAT'Ifil`1 ;,;,, ,,,,
s.s:.`::....�' °” . „ ,;��F,:, .- .�rns,.o-.t aW, .•z�� ,. Total number of floors:
Job site address: 1 LINCOLN 10300 SW GREENBURG RD New dwelling area: square feet
City /State /ZIP: TIGARD, OR 97223 Garage /carport area: square feet
Suite/bldg. /apt. no.: 530 Project name: Harris & Bowker Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
Other structure area: square feet
'REQiTIRFrD A`I'A:::Cf)1VIMERCt, ,i s- USE;CHECKUS`T
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
>.. -° ,, „,,, � „ ,,>, ,;,,,_. , ,,, overhead, and the profit for the
\\ equipment, materials, labor, overhe d a e r
Q WORK 494::: ; t
` n;4 0 : F C R IP TERII Ti cam` ;t' '°' , work indicated on this application.
,'_..y.. .;fie • - nb ::, --` �`- .•,,5.' . ✓r '• ., ' '�, i', t"a .a, <'s i.'A't )'
interior Tenant Improvement Valuation: $$10,500.00
Work to include demolition, new walls, doors, relites and cabinetry Existing building area: 1,605 square feet
New building area: square feet
NKa ri:l / / %ii- .- r�:f, =� :: ;`a.,. %. �. , b^� �.,�x.., •",'.
ROPERI', . tlU R'” <- =i Number stories:
1.,.4:'‘';'• ah�, -;�"_, �.0 C � °;<. � �; , ' , T111RANT;'. umber of sto s• 5
Name: Shorenstein Reality Services Type of construction: I -B
Address: One SW.Columbia St. Suite 300 Occupancy groups: ,
Ciry /State/Z1P: 97258 — - -- _,
Existing: B
Phone: (503)412 -4800 Fax: (503)412 -4848 New:
a��� =" ;Vi �`"� °;;�,'�:- � - �>' � �� i
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�'� .,,dn �' z.3 "
Pl'I:;IC -
°l�' � CO 1'RRSON �:
. :fit: _ '' <,€ ' : � , �'" NOTICE' CE� <, ,y, - ' % '':,�,� -
Business name: Group Mackenzie All contractors and subcontractors are required to be
Contact name: Kim Sedlak 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: 97214 applicant is exempt from licensing, the following reasons
apply:
Phone: (503) 224 -9560 Fax: : (503) 228 -1285
E -mail: ksedlak @grpmack.com
Q
Business name: Russell Construction
1141,10
Address: 20915 SW 105 Ave all
Please refer to fee schedule.
City /State /ZIP: Tualatin, OR 97062
Fees due upon application
Phone: (503) 228 -4898 Fax: (503) 228 -2770
CCB lie.: 58918 Amount received
1 .--
Date received:
Authorized signature: ter / / � ∎ ". This permit application expires if a permit is not obtained
l I ( • within 180 days after it has been accepted as complete.
Print name: Kim Sedlak Date: Date: 12/18/ 07 * Fee methodology set by Tri County Building Industry
Service Board.
i' \ Building \ Permits \BUP- PermtApp doc 12/03 440-461 3T( 1 l /02 /COM /WEB)
CITY OF ,
��n� u n-�u TIGARD
BUILDING DIVISION - - PERMIT #: OUp2007'-00643
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 12/18/2007
Phone: (503) 639-4171 away lk
Inspection Requests (24 Hrs.): (503) 639-4175 = °
INSPECTION WORKSHEET FOR DATE: 3/2' /2008 TIME: 7:O1AM PAGE: 33
SITE ADDRESS: 10900EWGAEENBURGRU530 CLASS OF WORK:
SUBDIVISION: LINCOLN CENTER/ONE LINCOLN LOT #: TYPE OF USE:
PROJECT NAME: HARRIS 6:BAWKBQ
DESCRIPTION: TI
OWNER: SHORENSTEIN REALTY SERVICES, PHONE #:
CONTRACTOR: RUSSELL CONSTRUCTION INC. PHONE #: 603-228-4898
Inspection Request Scheduled For: Date: 3/21/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
259 Final inspection 067112-01 603-780-3222
Corrections/Comments/Instructions:
. •
AL APPROVAL 0 CANCEL ri NO ACCESS
n FAIL CALL FOR INSPECTION 7 ADDITIONAL FEES ASSESSED
•
��Q��
|nspeotoc �-��m�ww° Date: / ' Phone #: (503) 718- 26477
CITY OF TIGARD .•
BUILDING DIVISION PERMIT #: BUP2007-00643
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 12/11312007
Phone: (503) 639-4171 440 11401 (1
I
Inspection Requests (24 Hrs.): (503) 639-4175 - I
INSPECTION WORKSHEET FOR DATE: 3/2012008 TIME: 7: 02AM PAGE: 43
SITE ADDRESS: 10300 SW GREENBURG RE) 630 CLASS OF WORK:
SUBDIVISION: LINCOLN CENTER/ONE LINCOLN LOT #: TYPE OF USE:
PROJECT NAME: HARRIS & BOWKER
DESCRIPTION: TI
OWNER: SHORENSTEIN REALTY SERVICES, PHONE #:
CONTRACTOR: RUSSELL. CONSTRUCTION INC. PHONE #: 503-220-4698
Inspection Request Scheduled For: Date: 3/20/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
299 Final in:pection 067007-01 603-780-3222
Corrections /Comments/ Instructions:
eLIZZ:zy06 — c oo 92-- 0/96.1■/ Pii , Pi_j (C__ i 0
.
I I PASS fl A .1-TIAL APPROVAL LII CANCEL fl NO ACCESS
N FOR INSPECTION I I ADDITIONAL FEES ASSESSED
Inspector: —AK— Date: 4 Phone #: (503) 718-
CITY OF TIGARD
BUILDING DIVISION A,.
PERMIT #: 13UP2007- 00€43
.
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: '1..2
#1Ltf.?OtD1
Phone: (503) 639 -4171 /omm
5
Inspection Requests (24 Hrs.): (503) 639-4175 `__�
INSPECTION WORKSHEET FOR DATE: 2/29/2008 TIME: 7:0:3AM PAGE: 5
SITE ADDRESS: 10300 SW GREEN13URC RD 530 CLASS OF WORK:
SUBDIVISION: LINCOLN CENTER /ONE LINCOLN LOT #: TYPE OF USE:
PROJECT NAME: HARRIS & BOWI(ER
DESCRIPTION: TI
OWNER: SHORENSTEIN REALTY SERVICES, PHONE #:
CONTRACTOR: RUSSELL CONSTRUCTION INC. PHONE #: 503 -220 -4898
Inspection Request Scheduled For: Date: 2/29/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
275 Framing . 055921-01 503-780-3222 N
Corrections /Comments /Instructions:
ote ,A41-
e1 Lam"? 0 - ' C 000 ( 4 Z CT —c
VVI L%C ? 6 o o o cV C TT)
(►.. ❑ PARTIAL APPROVAL n CANCEL n NO ACCESS
I I FAIL n CALL FOR INSPECTION I I ADDITIONAL FEES ASSESSED
Inspector: Date: 7 (i Phone #: (503) 718- Z--y '