Permit e '' BUILDING PERMIT
CITY T' ��R® PERMIT #: BUP2004 -00576
'o�.l DEVELOPMENT SERVICES DATE ISSUED: 12/10/2004
'All 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171
SITE ADDRESS: 10200 SW GREENBURG RD 110 PARCEL: 1S135AB 00900 •
SUBDIVISION: FIVE LINCOLN ZONING: C -P
BLOCK: LOT: JURISDICTION: TIG
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: 33 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: $ 6,500.00
Remarks: TI: New walls.
•
Owner: Contractor:
EQUITY OFFICE PROPERTIES TRUST C SCHIEWE & ASSOCIATES INC
ONE SW COLUMBIA ST #300 6615 SW 111TH AVE
PORTLAND, OR 97258 BEAVERTON, OR 97008
Phone:
Phone: 503 - 646 -6617
Reg #: LIC 54105
FEES REQUIRED INSPECTIONS
Description Date Amount Mechanical Permit Require
[BUILD] Permit Fee 12/10/2004 $110.50 Electrical Permit Required
TAX 8% State Surchar 1 2/10/2004 $g 84
Sprinkler Permit Required
[TAX] ! Plumbing Permit Required
[BUPPLN] Pln Rv 12/10/2004 $71.83 Framing lnsp
[FLS] FLS Pln Rv 12/10/2004. $44.20 Susp Ceilng lnsp
Total Final Inspection
$235.37
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 By: _C et.— A' 1 _ _ ."
S e
S R /� // / ' /
ignaure: � �'�( ,Q � e P/�i'
Call 639 -4175 by 7 p.m. for an inspection the next business day
Building Permit Application FOR OFFICE USE ONLY
City of Tigard
Received
Date/By: 10 3_8. Permit No.: 40, 0 —2 300 005116
13125 SW Hall Blvd., Tigard, OR 97223 Plan Review
Other Permit:
Phone: 503.639.4171 Fax: 503.598.1960 Date/B :
Inspection Line: 503.639.4175 Date Ready/By: Juris: 10 See Attached Checklist for
Internet: www.ci.tigard.or.us Notified/Method: Supplemental Information
t'';'
New construction El Demolition Permit fees* are based on the value of the work performed.
Indicate the value (rounded to the nearest dollar) of all
E Addition/alteration/replacement 0 Other: equipment, materials, labor, overhead, and the profit for the
ovwoo
work indicated on this application.
'
Valuation:
0 I- and 2-family dwelling Z Commercial/industrial
Number of bedrooms:
Accessory building E Multi-family
111 Master builder Q Other: Number of bathrooms:
Mielltrit AW.iiir724:11 Total number of floors:
Job site address: 10200 SW Greenburg RD New dwelling area: square feet
City/State/ZIP: TIGARD, OR 97233 Garage/carport area: square feet
Suite/bldg./apt. no.: 110 Project name: Fidelity National Company Covered porch area: square feet
Cross street/directions to job site: Deck area square feet
Other structure area: square feet
'2
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
:341r work indicated on this application.
Valuation: $$6,500.00
New Tenant Improvement
Existing building area: square feet
New building area: square feet
it-An Ara jiarAftnivilik 411. Number of stories:
00%11
Name: EQUITY OFFICE Type of construction:
Address: ONE SW COLUMBIA SUITE 300 Occupancy groups:
City/State/ZIP: PORTLAND, OR 97202 Existing:
Phone: (503)412-4800 Fax: (503)412-4848
New:
1, kjilgllZqON: ,TfPfliS
sf0„ mc, 1014
Business name: Group McKenzie All contractors and subcontractors are required to be
Contact name: JEFF HUMPHREYS licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address: PO Box 69039 jurisdiction in which work is being performed. If the
applicant is exempt from licensing, the following reasons
City/State/ZIP: Portland, OR 97201
apply:
Phone: (503) 224-9560 Fax: : (503) 228-1285
E-mail:
hav,„,,Aw
Business name: C. SCHIEWE & ASSOCIATES
4 AnwRat
Address: 6615 SW 111 ST
Please refer to fee schedule.
City/State/ZIP: BEAVERTON, OR 97008
Fees due upon application $235.37
Phone: (503) 646-6617 Fax: (
Amount received
CCB lie.: 54105
Date received:
A kuthorized signature: ip,16/,,,/, This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Pi name: Date: 12-02-04 * Fee methodology set by Tri-County Building Industry
Service Board.
\ BuildingTermits BUP-PermitApp.doc 12/03 440-4613T( 11/02/COM/WEB)
CITY OF TIGARD • 24 -Hour - - -
BUILDING Inspection Line: (503) 63 •J -
INSPECTION DIVISION Busines•Line:' (503 rt. MST
, _ BUP �ODgf -1 Z�
Received Date Requee r ° AM PM BUP
. Location /b �O v .�1 v Suite // 6 MEC
Contact Person f/.?.C—, Ph ( ) 2 _ PLM
Contractor Ph ( ) SWR
BUILDING Tenant/Owner ELC
Footing
Foundation ELC
Access:
Ftg Drain ELR
Crawl Drain
Slab Inspection Notes: SIT
Post & Beam
Shear Anchors
Ext Sheath/Shear
Int Sheath /Shear 4 _ j x ,J. JZ,¼-v-' .
Framing
Insulation ` t � _ 0 0 - T C C 1 d/a ®cj f S
Drywall Nailing - l '' 1L / (�
Firewall 2 ZU -� `''I — Cr d 3 k C J D C4 / 6-Q )
Fire Sprinkler
Fire Alarm
Susp'd Ceiling /e r-i_y_.0 S .1:21
Roof
Other:
PART FAIL
BING
Post & Beam
Under Slab
Rough -In
Water Service
Sanitary Sewer
Rain Drains
Catch Basin / Manhole
Storm Drain il
Shower Pan
Other: �,
Final I. :
iv
PASS PART FAIL '
MECHANICAL ' f
Post & Beam _`'
- Rough -In J
Gas Line
Smoke Dampers ir_
Final
PASS PART FAIL -
ELECTRICAL
Service
Rough -In
UG /Slab
Low Voltage
Fire Alarm
Anal 0 Reinspection fee of $ _ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
PASS PART FAIL
SITE ❑ Please call for reinspection RE: 0 Unable to inspect — no access
Fire Supply Line �- .�
Approach /Sidewalk Date / S Inspector Ext
Other: !
Final DO NOT REMOVE this inspection record from the job site.
PASS PART FAIL