Permit CITY T I GA R D BUILDING PERMIT
PERMIT #: BUP2006 -00364
4,,, DEVELOPMENT SERVICES DATE ISSUED: 8/1/2006
— 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171
PARCEL: 1 S 135AB -00900
SITE ADDRESS: 10200 SW GREENBURG RD 180 ZONING: C -P
SUBDIVISION: LINCOLN CENTER /FIVE LINCOLN LOT: JURISDICTION: TIG
Project Description: TI ceiling (231 sq ft)
REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION
CLASS OF WORK: ALT FIRST: sf N: 5: 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: 1 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: $ 3,000.00
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: 503 - 293 -2745 Contact #: FAX 503 - 277 -2095
PRI 503 - 646 -6617
Reg #: LIC 54105
FEES
Description Date Amount REQUIRED ITEMS AND REPORTS
[BUILD] Permit Fee 8/1/2006 $72.10
[TAX] 8% State Surcha 8/1/2006 $5.77
[BUPPLN] Pln Rv 8/1/2006 $46.87
[FLS] FLS Pln Rv 8/1/2006 $28.84
Total $153.58
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
oft ese rule - s -o direct questions to OUNC by calling 503 - 246 -6699 or 1- 800 - 332 -2344.
sued By: � Permittee Signature: �i � 0
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 FOR OFFICE ONLY
City g Date/By: Clt Of Tigard Dat B , a &� Permit No.:
e /B I i . .
13125 SW Hall Blvd., Tigard, OR 97223 Plan Revie
p , � , Other Permit:
Phone: 503.639.4171 Fax: 503.598.1960 , Date/B r : ' :�
Inspection Line: 503.639.4175 Date Reary /By: • FAI El See Attached Checklist for
Internet: www.ci.tigard.or.us Notifed/Method: 4 , Supplemental Information
r �e°
4 _ . , , - „ FPE OF WORK' �� t REQ DA A ND 2 FAMILY DWE
_
� y�� s _ =�,a� s�4x eat�� =...,�ti��i_ =_ -.:., .�- , �r,.: ��;�,�n �,.�a��.,a. ° 4-. ��.�r +nra�c „� 'a.„ -= sz,�ff
❑ 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
Vim, d °, ' '''' -M, . �;�r : R O.,.„ ..- . uw ggfi ..< : x t-::fr: m : - work indicated on this application.
CATEGOF CONSTR CTION a
dwelling Valuation: $
❑ 1- and 2-family g ®Commercial /industrial
❑ Accessory building ❑ Multi - family Number of bedrooms:
❑ Master builder ❑ Other: Number of bathrooms:
P:t JOB SITE , G- IO . N U L OCA ; a TI . g ' Total number of floors:
x - . 3a NFORMA AN ON
Job site address: 5 LINCOLN 10200 SW GREENBURG RD New dwelling area: square feet
City /State /ZIP: TIGARD, OR 97223 Garage /carport area: square feet
Suite/bldg. /apt. no.: 180 Project name: Space Prep Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
Other structure area: square feet
ii' Qi1IRED Dka OMMERCIAL- IISE'CHECK['IST: -,_
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
DESCRIPTION QF WORK ,. work indicated on this application.
Interior Tenant Improvement Valuation: $$3,000.00
Existing building area: 3,229 square feet
New building area: square feet
--' - - '-- + � T
® P 0„ 3 1 Fs OWNER y .„ , ENAl _. , 4- Number of stories: 7
Name: Equity Office Properties Trust Type of construction: I -B
Address: One SW Columbia St. Suite 300 Occupancy groups:
City/State /ZIP: 97258 Existing: B
g
Phone: (503)412 -4800 Fax: (503)412 -4848 New:
E
r °Z! ICANT`- � .,. 1 ❑ G®NT$ACT <E.ERSO ' ;=, . .= t
too §:t :i i
_+�� -_= -_ter, _��, max_ � � a�: l i�- �a�. ": N OTI � E '� . t .',:40'-'t=., _ ' -�+
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
f . °, CONTRACTOR xa _ s�
Business name: C Schiewe @ Associates Inc. t 1311ILDING PE FEES* `-' er Address: 6615 SW 111 Ave. �� �wr... - _
Please refer to fee schedule.
City/State /ZIP: Beaverton, OR 97008
Fees due upon application
Phone: (503) 646 -6617 Fax: (503) 277 -2095 •
Amount received
CCB lie.: 54105 •
Date received:
Authorized signature: ` �
g � �y� J / / This permit application expires if a permit is not obtained
9 I within 180 days after it has been accepted as complete.
Print name: Stacey Alexander / Date: 07/31/ 06 * Fee methodology set by Tri- County Building Industry
Service Board.
t
1: \Building \ Permits \BUP- PermitApp doc 12/03 440- 4613T(11/02/COM /WEB)