Permit T
BUILDING PERMIT
C ITY OF T I GA R D PERMIT #: BUP2005 -00055
iii DEVELOPMENT SERVICES DATE ISSUED: 2/15/2005
13125 SW Hall Blvd., Tigard. OR 97223 (503) 639 -4171
SITE ADDRESS: 10200 SW GREENBURG RD 340 PARCEL: 1S135A6 -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: : sf N: S: E: W:
OCCUPANCY GRP: B TOTAL AREA: 0 sf ROOF CONST: FIRE RET?
OCCUPANCY LOAD: 35 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: $ 2,800.00
Remarks: T.I. - walls for office space.
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 ITEMS AND REPORTS
Description Date Amount
[BUILD] Permit Fee 2/15/2005 $72.10
[TAX] 8% State Surchar, 2/15/2005 $5.77
[FLS] FLS Pln Rv 2/15/2005 $28.84
[BUPPLN] Pln Rv 2/15/2005 $46.86
Total $153.57
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: 2 � � ,
Permittee
Signature: / . Wa k7
Call 639 -4175 by 7 p.m. for an inspection the next business day
i
a
B u i tufn g Permit Application FOR OFFICE USE ONLY
Cit of Ti and Received n _ // _
y g CEVJ Et) DateBy: ,..C ' Q� ,)---.7...t1 Permit No.: -0 U As-- ad ).�
13125 SW Hall Blvd., Tigard, OR 9722 N1 ® Plan Review \,
Phone: 503.639.4171 Fax: 503.598.1 60 Date/By: - - VS >-7 Other Permit:
� a
� �
Inspection Line: 503.639.4175 t-� 20 ,...a __, Date Ready/By: Juris 0 See Attached Checklist for
Internet: www.ci.tigard.or.us FEB V Notified/Method:. 3 i L J' . Supplemental Information
., v � •, .;,.Ti' °; ;, �'e ::dt3<sn w e. .s. • . _ '1'= .� z 5 ;::; ..:, .a &r i:!°.trz? saS�. ��.::;s"�"'u _" ':�' .'4s?.'+'
„.: .,: ., ..., a ` f " µw< ?: p . a .` "sr k;-D DAT ..,1 -4 4 k 3 G
i` .
❑ New construction SUlin .II 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
Wel ' _ " ' s: °= :, : ii €-, .:.+ r ' P7I C ':'''''1 ; s - work indicated i
; w orncate on this a
` . } t� G TEGORYOI COIISTRUGTI p = _ ; :': application.
�.� :-stn w*���_;,''"�..��v�:.ar,- �,*^r :r _ .wad..= r'r.._ an .tea .s' x� -+ 144: . >.
❑ 1- and 2- family dwelling ® Commercial /industrial' Valuation: $
El Accessory building ❑ Multi- family Number of bedrooms:
❑ Master builder ❑ Other: Number of bathrooms:
R t - t S , .� x t � " Total number of floors:
TTY' ,, A. ION A- LOCr1TIC11\ � '
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.: 3403105,: Project name: WestAmerica Mortgage Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
Other structure area: square feet
£REQUIRED oA T� GOIVIME I G: :IAL °IISE CHECIKUST
Subdivision: Lot no.: Permit fees* are based on the value of the work performed.
d
l
h
Indicate the value (rounded to the nearest dollar
Tax map /parcel no.: ( dollar) of all
`. {y5, >„ ._ equipment, materials, labor, overhead, and the profit for the
p l a,
� i jt . .w DES ON OTi� g -. , 7 j ' j ib work indicated on this application.
New Tenant Improvement Valuation: $$2,800.00
Existing building area: square feet
New building area: square feet
:41;!, _ ft 'z"°" ` erf s' ss, t o t4 ; #.� i 1 ' - r :+ s,- '',4','N'' ;
- , , :<API , - - T .. . € i , ' T . e V Vti4 Number of stories:
Name: EQUITY OFFICE Type of construction: I -B
Address: ONE SW COLUMBIA SUITE 300 Occupancy groups:
City/State /ZIP: PORTLAND, OR 97202 Existing: B
Phone: (503)412 -4800 Fax: (503)412 -4848
r
3w 't . ®. APPI IGAN,., �,' ❑CONTACTPERSON�� a a 14n ° ^
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
City/ State/ZIP: Portland, OR 97201 applicant is exempt from licensing, the following reasons
apply:
Phone: (503) 224 -9560 Fax: : (503) 228 -1285
E -mail:
a ir„_ - CON .;�. ; s a
Business name: C. SCHIEWE & ASSOCIATES, ,<; . .. •, ,_. -r >,. ,,
Trt � y , _ > .sIIII D p R I T F A .�. „
» .:... ii
Address: 6615 SW 111 ST '
Please refer to fee schedule.
City/State/ZIP: BEAVERTON, OR 97008
Fees due upon application $153.57
Phone: (503) 646 -6617 Fax: ( )
CCB received
CB lic.: 54105
Date received:
Authorized signature: //�! 6./d. tJad - 4 This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: R µ Q`_o_`(Z a ‹,c ‹,c Date: .02 * Fee methodology set by Tri County Building Industry
Service Board.
i'\Building \Permits \BUP- PermitApp.doc 12/03 440- 4613T(11/02/COM /WEB)
11
CITY OF TIGARD „ » _
BUILDING DIVISION PERMIT #:1;30p00.05.49:30.-54-
13125 SW Hall Blvd., Tigard, OR 97223 DATE- ISSUED:
Phone: (503) 639 -4171 A i I ihl
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: ( TIME: PAGE:
SITE ADDRESS: I6'; GICer-CO Ro OT #:
CLASS OF
TYPE OF WORK:
SUBDIVISION:
PROJECT NAME:
DESCRIPTION:
OWNER: PHONE #:
CONTRACTOR: PHONE #:
Inspection Request Scheduled For: Date: Pour Time:
Code # Inspection Description Confirm # Contact # Message
Corrections /Comments /Instructions:
r , c ,s4
ASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL •C ALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
spector: ( 1 Date: I 05 #: (503) 718-
CITY OF TIGARD .
BUILDING DIVISION PERMIT #: BUP2005.00055
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 2/15/2005
Phone: (503) 639 -4171. dNn�i�f�h'�
Inspection Requests (24 Hrs.): (503) 639 -4175 ,. L. -:_�
INSPECTION WORKSHEET FOR DATE: 4/1/2005 TIME: 7:10AM PAGE: 89
SITE ADDRESS: 10200 SW GREENBURG RD 340 CLASS OF WORK:
SUBDIVISION: FIVE LINCOLN LOT #: TYPE OF USE:
PROJECT NAME: WESTAMERICA MORTGAGE
DESCRIPTION: T.I. - walls for office space.
OWNER: EQUITY OFFICE PROPERTIES TRUST, PHONE #:
CONTRACTOR: C SCHIEWE & ASSOCIATES INC PHONE #: 503 - 646 -6617
Inspection Request Scheduled For: Date: 4/1/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
299 Final inspection 003474 -01 503 - 340.0563 Y
Corrections /Comments /Instructions:
(lc.ico C_/
...imi. Ai
& I - A WIT1-711° 1 Nil IIIPP'
.d,
-.. fAM i l T rIMIET I
= ��li rte - %.
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIO AL FEES ASSESSED
t i A ir ,f % Date: Phone #: (503) 718 -
•
CITY OF TIGARD .
ButibI DIVISION PERMIT #: BUP200 00055
13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 2/15/2006
Phone: (503) 639 -4171 "pill
Inspection Requests (24 Hrs.): (503) 639 -4175 __..
INSPECTION WORKSHEET FOR DATE: 3/10/2006' TIME: 7 :30AM PAGE: 7
SITE ADDRESS: 10200 SW GREENBURG RD 340 CLASS OF WORK:
SUBDIVISION: FIVE LINCOLN LOT #`. TYPE OF USE:
PROJECT NAME: WESTAMERICA MORTGAGE
DESCRIPTION: T.I. - walls for office space.
OWNER: PHONE #:
CONTRACTOR: C SCHIEWE & ASSOCIATES INC PHONE #: 503.646 -6617
I
Inspection Request Scheduled For: Date: 3/10/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
275 Framing 001242 -01 603- 348 -0563 N I
Corrections/Comments/Instructions:
1
A',
PASS n PARTIAL APPROVAL ❑ CANCEL n NO ACCESS
n FAIL I I CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED
---- dYW Inspector: Date: U � Phone #: (503) 718-