Permit II CITY OF TIGARD BUILDING PERMIT
11 PERMIT #: BUP2008 -00394
' . COMMUNITY DEVELOPMENT DATE ISSUED: 12/16/2008
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 1S135AB-01003
SITE ADDRESS: 10300 SW GREENBURG RD 540 ZONING: C -P
SUBDIVISION: LINCOLN CENTER /ONE LINCOLN LOT: JURISDICTION: TIG
PROJECT: HERR & DIMONE
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: 14 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: $ 20,500.00
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 12/16/200E $198.35
[TAX] 12% State Surch 12/16/200E $23.80
[BUPPLN] Pln Rv 12/16/200E $128.93
[FLS] FLS Pln Rv 12/16/200E $79.34
Total $430.42
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 •AR S52 -00 ou may obtain a copy
of these rules or direct questions to OUNC by calling 503.246.6699 or 1.800.332.2344.
Issued By �,y� ` Permittee Signature:
O
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.
Building Permit Application
COmmetetM FOR OFFICE USE ONLY
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City of Tigard % Dece iv e d o .� to I Permit No.: 4_, : ,,, f�l y L�
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13125 SW Flail Blvd., Tigard, < ' 4 �0o Plan Review'
Phone: 503.639.4171 Fax: St',. 5' 1960` G 1
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® DateB �'�` �IES7' Other Permit:
TIGARD Inspection Line: 503.639 Q` Date ` Date Rea : y: _ MI El See Page 2 for
Internet: www.tigard- or.gov ` i Notified/Method: Supplemental Information
g y ,
"_ # ` w , PE'OF , . . 'iii N t tt rr. REQUIRED DATA 1 A FA MILi( r ii W ihil - G e/,
ea wk :`� aea .tee.. :- �ru ,- »m, x3@5 .�5,I.,, :ti '-�e : =-" a.;r�, - ...e,:,,i,T,' ...__^` =., . - b,,.t.,:.:,.. M
Ill New construction � [ i ] 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
`• -" " 4 "�CATECORY" C ON STRUCTION r work indicated on this application.
,„;i, rfie,O t ..i. ::!t >. ;,�,,.. ' " - . ; x �g _ '- z , i. >,,• ja i.l
❑ 1- and 2- family dwelling ® Commercial /industrial Valuation: $
❑ 'Accessor building 111 Multi-family Number of bedrooms:
111 Master builder ❑ Other: Number of bathrooms:
- JOB ri :INFORMATTONrAND DGA' ION - Total number of floors:
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.: 540 Project name: Herr and Dimone Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
Other structure area: square feet
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REQUIRED DAN� A Crai ORGIAL GHECKI IST?l`
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
�',,.' .A �i me-=.;. ,' x CV
x;94 - 7.7: DESQRLPTION OF WORK - w • i n di cated on this application.
Interior Tenant Improvement Valuation: $$20,500.00
Work to include minor demolition, new walls and new doors Existing building area: 1,309 square feet
New building area: square feet
r a >
"''''' .® PROPERTY -. OWN ,
a
e k . t TEr chi ` 1 Number of stories: 5
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:
NV .
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. ®''!C ONY ACT P ER SOV . ., ° 1` 4 NO aV..E , € , `. ,.. . ..
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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: mtoth @grpmack.com
+- .. ! #W - . .=. 1 , µ .1t CONTRACTOR � ' --. 1 � " , -, 4 .
Business name: Russell Construction al tfr BUILDING PERMITFEES ,. ti �
Address: 20915 SW 105th Ave / . " r" -_ _ . '" . _ (Pl eas e: rfer,rto fee s chedule) , , §� �� , I
Structural plan review fee (or deposit):
City /State /ZIP: Tualatin, OR 97162
FLS plan review fee (i f applicable):
Phone: (503) 228 - 4898 Fax: (503) 228 - 2770
CCB lie,: 58918 � — Total fees due u a �� / I�
Amount received: �✓'
Authorized signature:
ifP This permit application expires if a permit is not obtained
w ithin 180 days after it has been accepted as complete.
Print name: Kim Ford Date: 12/16/08
* Fee methodology set by Tri- County Building Industry
Service Board.
I:ABuildingAPermits \BUP -COM PermitApp.doc 2/23/07 440- 4613T(I I /02 /COM /WEB)
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CITY OF TIGARD . .
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BUILDING DIVISION PERMIT #: BUP2008-003f.44
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 12/16/2008
Phone: (503) 639-4171
Inspection Requests (24 Hrs.): (503) 639-4175 ..,--04. ■ - '%.L
INSPECTION WORKSHEET FOR DATE: 1/22/1 .3 TIME: 7:00AM PAGE: 17
SITE ADDRESS: •030a SW GREENBURG RD 640 CLASS OF WORK:
SUBDIVISION: LINCOLN CENTER/ONE LINCOLN LOT #: TYPE OF USE:
PROJECT NAME: HERR & DIMONE
DESCRIPTION: TI
OWNER: SHORENSTEIN REALTY SERVICES, PHONE #: 603
CONTRACTOR: RUSSELL CONSTRUCTION INC PHONE #: :
Inspection Request Scheduled For: Date: •/22009 Pour Time:
2/
Code # Inspection Description Confirm # Contact # Message
299 Final inspection 079899-01 503-760-3222 N
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Corrections/Comments/Instructions:
1 6 M 111 F -----
IN PARTIAL APPROVAL I1 CANCEL fl NO ACCESS
n FAIL WrCALL FOR INSPECTION El ADDITIONAL FEES ASSESSED
•-••--
Inspector: Date: /
—_______
/ ZZ ° Phone #: (503) 718-
_ ,
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CITY OF
��nn m m�'u TIGARD ^ , -A
BUILDING DIVISION PERMIT | ~~~~""~~�"^~~� ~°"°"~°"-^~ , : BUP2OD8-003�1
| 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 12/16/20U8
Phone: (503) 639-4171
Inspection Requests (24 Hrs.): (503 ) 639~4175 =44 41!
INSPECTION WORKSHEET FOR DATE: 1/8/2009 TIME: 7:08*m PAGE: 26
SITE ADDRESS CLASS 10300 WORK:
SUBDIVISION: LOT TYPEOFUSE
� L|N[�OLN�EK��F�0MEU@�0 #: USE:
PROJECT NAME: HERR&0hd{)NE
DESCRIPTION: TI
OWNER: SHORENSTEIN REALTY SERVICES, PHONE #: 503-412-48O0
CONTRACTOR: RUSSELL CONS1RUCTION INC PHONE #: 5O3-2284098
Inspection Request Scheduled For: Date: 1/8/2UO9 Pour Time:
Code # Inspection Description Confirm # Contact # yWeaom*e
776 Framing 079490'01 503'780'3222 SIP
Corrections/Comments/Instructions:
FR/k--1--% ' -- -_-- ' r -Ft- - ' . ' -_ __�~ ' P i -_)
�� ' wm~ ^- _ ~ �_ 1111M
�� \//q--.-
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[| PASS El CANCEL ri NO ACCESS
II
n FAIL r CALL INSPECTION 0 ADDITIONAL FEES ASSESSED
1 '
Inspector: �� -" Date: c5� *, 7 Phone #: (503) 718- -