Permit CITY OF TIGARD. BUILDING PERMIT
PERMIT #: BUP2005 -00628
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SER9 ICES -639 -4171 DATE ISSUED: 12/8/2005
Ai- PARCEL: 1S135AB-00900
SITE ADDRESS: 10200 SW GREENBURG RD 150 ZONING: C -P
SUBDIVISION: LINCOLN CENTER /FIVE LINCOLN LOT: JURISDICTION: TIG
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: : sf N: S: E: W:
OCCUPANCY GRP: B TOTAL AREA: 0 sf ROOF CONST: FIRE RET?
OCCUPANCY LOAD: BASEMENT: sf AREA SEP. RATED:
STOR: 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: $ 9,500.00
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: Contact #: FAX 503 - 644 - 9679
PRI 503 - 646 - 6617
FEES Reg #: LIC 54105
Description Date Amount REQUIRED ITEMS AND REPORTS
[BUILD] Permit Fee 12/8/2005 $139.30
[TAX] 8% State Surcharl 12/8/2005 $11.14
[BUPPLN] Pln Rv 12/8/2005 $90.55
[FLS] FLS Pln Rv 12/8/2005 $55.72
Total $296.71
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- 9 or 1- 800 - 332 -2344.
Issued By: Permittee Signature -- / -11011.P7'
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.
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Building Permit AppR i tI I r FOR,OFFICE USE ONLY ,
City
Rece ived ,1 ..0/.14:
of Tigard _ ► Pennit No. Vid,�
g Date/By: � , _� � �
13125 SW Hall Blvd.. Tigard, OR 97223 DEC 0 8 2005 Plan Review
Phone: 503.639.4171 Fax: 503.598.1960 Date B : , - /11111 Other Permit:
S
�.
Inspection Line. 503.639.4175 CITY OF TG --, '- �
I Date Ready /:y: See Attached Checklist for
Internet: wti'w.ci.ti ard.or.us l NotifiedMethod: Supplemental Information
. BUILDING DIVISION
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a.. � ,_ ;./ , .x,.. TYP OF ,C .
�' . ; >.. ittr0 : v� � ,1` -,V , ,.,. R DDAT . 1 �: AND, 2;F AA IIL Y DWE LLIN G :uM
❑ 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
°"r�rxsa " r� r "" work indicated on this application.
GAaTrEGORY °.OF CONSTRlfC710\: "V;� , i k
Valuation: $
❑ 1- and 2- family dwelling ® Commercial /industrial
❑ Accessory building ❑ Multi - family Number of bedrooms:
❑ Master builder ❑ Other: Number of bathrooms:
_,,.».... . ,+' �R&?»"3:£az, t :q -, ...
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JOB SITE.INFORMATION A°NDLOG�AT[ON _
Total number of floors:
h
Job site address: 5 LINCOLN 10200 SW CREENBURG RD New dwelling area: square feet
City/State /ZIP: TIGARD, OR 97223 Garage /carport area: square feet
Suite /bldg. /apt. no.: 150 Project name: Fieldstone Mortgage Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
Other structure area: square feet
r '.":,, aL , + <cr, ; z
REQUIRED DATsA: IL''U a a0 : a IRKLIS $
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
''''''.17' moo.,r . a i
DE CRIPTION. OF' WORK �� work indicated on this application.
Interior Tenant Improvement Valuation: $$9,500.00
Existing building area: 3,853 square feet
New building area: square feet
® TAM R roTY AIW , 7:: ❑ TE "
,.., :<
Number of stories: 7
Name: Equity Office Properties Trust Type of construction: 1 -B
Address: One SW Columbia St. Suite 300 Occupancy groups:
City/State/ZIP: 97258 Existing: B
g�
Phone: ( ) Fax: ( ) New:
,. I APPIIICANT '� . %�a�;_ �; g
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<, . � �.�W��� �d � r�� �a��T."_ °p , � � .7 .. �.� .� ���. i � i .. r�� .- 4,� _ . i - ' 4 � � � , NOT =ICE ar
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Business name: Group Mackenzie All contractors and subcontractors are required to be
Contact name: Joshua Tapp licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address: 0690 SW Bancroft St jurisdiction in which work is being performed. If the
City /State /ZIP: 97239 applicant is exempt from licensing, the following reasons
apply:
Phone: (503) 224 -9560 Fax: : (503) 228 -1285
E -mail: jtapp @grpmack.com
`? ' : " CONI KA L`-`: TOR ',. _ c I
W
Business name: C Schiewe @ Associates Inc. _ "
>"', q: 1 °11 TNC P X,.14 FE1 S it .. - i
Address: 6615 SW 111 Ave.
Please refer to fee schedule.
City/State /ZIP: Beaverton, OR 97008
Fees due upon application
Phone: (503) 646 -6617 Fax: ( )
Amount received
CCB lie.: 54105
Date received:
Authorized signature: ='
g .0' This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: Joshua Tapp Date: 12/08/05 * Fee methodology set by Tri County Building Industry
Service Board.
i:\ Building \Permns \BUP- PermitApp.doe 12/03 440- 4613T( 11102/COM /WEB)
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BUILDING DIVISION
PERMIT #: 8K)P1UD5-00G28
I 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1%/8/20O6
Phone: (503) 639-4171
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: 2/13/2006 TIME: 7:03AM PAGE: GA
SITE ADDRESS: 10200 5*yGREENBURGRD160 CLASS OF WORK:
SUBDIVISION: LINCOLN CENTER/FIVE LINCOLN LOT #: TYPE OF USE:
PROJECT NAME: FIELDSTONE MORTGAGE
DESCRIPTION: TI
OWNER: EQUITY OFFICE PROPERTIES TRUST, PHONE #:
CONTRACTOR: C 9CH|E�VE & ASSOCIATES INC PHONE #: 503-646.6817
Inspection Request Scheduled For: Date: 2/13/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
. 299 Final inspection 026752-01 503.780'3222 Y
Corrections/Comments/Instructions:
•
PASS \u �
| � PARTIAL APPROVAL ri CANCEL NO ACCESS
I I FAIL fl CALL FOR INSPECT ADDITI NAL EES ASSESSED
Inspector ` � Date: Phone #: (503) 718- 7--ka-:5
CITV.0-6F
BUILDING DIVISION
A PERMIT #: BUP2005.00628
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1202005
!
Phone: (503) 639-4171
Inspection Requests (24 Hrs.): (503) 639-4175 ........._._ —
INSPECTION WORKSHEET FOR DATE: 202006 TIME: 7:01AM PAGE: 1
SITE ADDRESS: 10200 SW GREENSURG RD 150 CLASS OF WORK:
SUBDIVISION: LINCOLN CENTER/FIVE LINCOLN LOT #: TYPE OF USE:
PROJECT NAME: FIELDSTONE MORTGAGE
DESCRIPTION: TI
OWNER: EQUITY OFFICE PROPERTIES TRUST. PHONE #:
CONTRACTOR: C SCHIEWE & ASSOCIATES INC PHONE #: 593•646-6617
Inspection Request Scheduled For: Date: 202006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
267 suspended ceiling 026509-01 503-780-3222 N
Corrections/Comments/Instructions:
r .,.. 6 /
PASS 7 PARTIAL APPROVAL D CANCEL fl NO ACCESS
I I FAIL n CALL F INSPECTION 11] ADDITI • AL ES ASSESSED
do
..(
• Inspector: Date: 6/6 Phone #: (503) 718- 2k V5?
y I
CIT-1,0FTIGARD
BUILDING DIVISION PERMIT #: BUP2005-00628
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 12/01200n
Phone: (503) 639-4171 A,
Inspection Requests (24 Hrs.): (503) 639-4175 _All- 1 1
INSPECTION WORKSHEET FOR DATE: 1/25/2006 TIME: 7:03AM PAGE: 73
SITE ADDRESS: 10200 SW GREENBURG RD 160 CLASS OF WORK:
SUBDIVISION: LINCOLN CENTER/FIVE LINCOLN LOT #: TYPE OF USE:
PROJECT NAME: FIELDSTONE MORTGAGE
DESCRIPTION: TI
OWNER: EI)UITY OFFICE PROPERTIES TRUST, PHONE #:
CONTRACTOR: C SCHIEWE, & ASSOCIATES INC PHONE #: 603-646-6617
Inspection Request Scheduled For: Date: 1/26/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
276 Framing 026676 503-780-3222 V
kaot e
Corrections/Comments/Instructions:
/ 1
Illi gl■ ■11 le:
7..1
,....-
..._
rc_i----DA-s- 7 PARTIAL APPROVAL CANCEL El NO ACCESS
7 FAIL c CALL FOR INSPECTION I I ADDIT ONAL FE S ASSESSED
■ A
Pk‘ •
Inspector: Date: .4° Phone #: (503) 718-2'