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Permit ` , ` CITY OF TIGARD BUILDING PERMIT PERMIT #. BUP2006 -00471 DATE ISSUED: 9/28/2006 DEVELOPMENT SERVICES ^'°' ill'' 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 1 S 135AB -00900 SITE ADDRESS: 10200 SW GREENBURG RD 450 ZONING: C -P SUBDIVISION: LINCOLN CENTER /FIVE LINCOLN LOT: JURISDICTION: TIG Project Description: POLLMEIER INC; T.I. walls (1,197 sq ft). 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: 47 BASEMENT: sf AREA SEP. RATED: STOR: 7 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:4 s / 0 0 , oO 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 - 277 - 2095 PRI 503 - 646 -6617 FEES Reg #: LIC 54105 Description Date Amount REQUIRED ITEMS AND REPORTS [BUILD] Permit Fee 9/28/2006 $100.90 [TAX] 8% State Surcha 9/28/2006 $8.07 [BUPPLN] Pln Rv 9/28/2006 $65.59 [FLS] FLS Pln Rv 9/28/2006 $40.36 Total $214.92 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: P e rmittee Signature: :�, i 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 USE ONLY `J g City of Tigard p Jr E 13125 SW Hall Blvd, Tigard, OR 97223 ' — �' • -' i ' _ Phone: 503.639.4171 Fax: 503.598.1960 Aw it f ' Date/B : Other Permit: Inspection Line: 503.639.4175 n Date Ready /By: El See Attached Checklist for Internet: www.ci.tigard.or.us SEP 2 8 " I Notified/Method: Supplemental Information Tl� � lit >- `.;. REQUIRED ..AND 2 AM[LYD 1NG mw.: y r u C :r0 fees* P ermit ees are based on the value of the work erformed. ❑ New construction D`ertiolttton` •. � j @ p Indicate the value (rounded to the nearest dollar) of all ® Addition/alteration/replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the _` work indicated on this application. ".:: ` ='; is = CAEGORI "OIL CONSTRUCTION ❑ 1- and 2- family dwelling ® Commercial /industrial Valuation: $ ❑ Accessory building El Multi-family Number of bedrooms: ❑ Master builder ❑ Other: Number of bathrooms: JQ B .- =- ,- ��ri�� -•k_ Total number of floors: SIT> =NFO �AaTI®N AND ;_LOCAT.IOIV:= _ s 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.: 450 Project name: Pollmeier, Inc. Covered porch area: square feet Cross street/directions to job site: Dcck area: square feet Other structure area: square feet R E ®UIRFD DA A COMMERCIg,= USE ;CfI✓CKLIST r 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, �' DESCRIPTION 'OF WORK - ..� work indicated t on this l appli ationead, and the profit for the Interior Tenant Improvement Valuation: $$5,100.00 Existing building area: 1,971 square feet New building area: square feet PROPERTY OYNEI2 y . , z ❑ , TENANT Number of stories: 7 f Name: Equity Office Properties Trust Type of construction: I -B Address: One SW Columbia St. Suite 300 Occupancy groups: City/State /ZIP: 97258 Existing: g� Phone: (503)412 -4800 Fax: (503)412 -4848 New 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 n � °<� � _ e., FONT {RAG +Tort � =... Business name: C Schiewe @ Associates Inc. =_�° 'BUILDING PERMIT FEE ` '° 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: (503) 277 - 2095 Amount received CCB lic.: 54105 Date received: Authorized signature: 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: 09/28/ 06 * Fee methodology set by Tri- County Building Industry Service Board. i:\ Building \Permits \BUP- PermitApp,doc 12/03 440- 4613T( I I /02 /COM /WEB) . . . • CITY OF TIGARD BUILDING DIVISION PERMIT #: BUP200600471 , 13125 SW 1-(all Blvd., Tigard, OR 97223 DATE ISSUED: 9/2812006 1 Phone: (503).639-4171 AftoltivOill Inspection Requests (24 Hrs.): (503) 639-4175 Al.. . INSPECTION WORKSHEET FOR DATE: 11/1612006 TIME: 7:07AM PAGE: 32 SITE ADDRESS: 10200 SW GREENBURG RD 450 CLASS OF WORK: SUBDIVISION: LINCOLN CENTER/FIVE LINCOLN LOT #: TYPE OF USE: PROJECT NAME: POLLMEIER, INC. DESCRIPTION: POLLMEIER INC; T.I. walls (1,197 sq ft). , OWNER: EQUITY OFFICE PROPERTIES TRUST, PHONE #: CONTRACTOR: C SCHIEWE & ASSOCIATES INC PHONE #: 503-646-6617 Inspection Request Scheduled For: Date: 11/15/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 299 Final inspection 039790-02 503-780-3222 N . Corrections/Comments/Instructions: • ------- 1 401 , -■ l I PASS n PARTIAL APPROVAL 0 CANCEL I I NO ACCESS I I FAIL II* FOR INSPECTION I I ADDITI NAL F S ASSESSED Inspector: Aft i Date: i 1 ‘7.- I etPhone #: (503) 718- 1 W v . _ ri VIIIIIGARD BUILDING DIVISION PERMIT #: BUP2006-00471 D ATE 13125 SW Hall Blvd., Tigard, OR 97223 E ISSUED: 9/28/2006 Phone4503) 639-4171 . !,egovt:pi inspection Requests (24 Hrs.): (503) 639-4175 — .. ' INSPECTION WORKSHEET FOR DATE: 10/20/2006 TIME: 7:01AM PAGE: 16 SITE ADDRESS: 10200 SW GREENBURG RD .450 CLASS OF WORK: SUBDIVISION: LINCOLN CENTER/FIVE LINCOLN LOT #: TYPE OF USE: PROJECT NAME: POLLMEIER, INC. DESCRIPTION: POLLMEIER INC, Ti. walls (1,197 sq ft). OWNER: EQUITY OFFICE PROPERTIES TRUST, PHONE #: CONTRACTOR: C SCHIEVVE & ASSOCIATES INC PHONE #: 503-646-6617 Inspection Request Scheduled For: Date: 10/20/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message A ' 2.99 Final inspection 038593-01 503-780-3222 Y f t 4 CRL\ E i ) Corrections/Comments/Instructions: .41 .4i ■Ir • ■r fAl TA All Al ( ..". _ ./tc41- lWATAgreAPP4FOr&areAP AMP' wi i , . II ■ -4 1111111sax.W.211111r ' V" erir wr wry .4... i . A "iiIIII _ irangsrAwAriPP - _o• moritiviv' Ar • . %. ( 4 gr, • wor rir n PARTIAL APPROVAL fl CANCEL NO ACCESS 4 I ALL OR IN PECTION 0 ADDITIO AL F ES ASSESSED - c•,M . L. , W i - Inspector: p, Date: 6 eL. Phone #: (503) 718- - . CITY-, OF TIGARD • , - BUILDING DIVISION PERMIT #: BUP2006-00471 I 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/28/2006 Phone: (503) 639-4171 -40#49011 Inspection Requests (24 Hrs.): (503) 639-4175 AL- 01 I ... . P. . . . -- INSPECTION WORKSHEET FOR DATE: 10/3/2006 TIME: • 7: 06A1v1 PAGE: 54 SITE ADDRESS: 10200 SW GREENBURG RD 450 CLASS OF WORK: SUBDIVISION: LINCOLN CENTER/FIVE LINCOLN LOT #: TYPE OF USE: PROJECT NAME: POLLMEIER, INC. DESCRIPTION: POLLMEIER INC; Ti. walls (1,197 sq ft). OWNER: EQUITY OFFICE PROPERTIES TRUST, PHONE #: CONTRACTOR: C SCHIEWE & ASSOCIATES INC PHONE #: 503-646-6617 Inspection Request Scheduled For: Date: 10/3/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 275 Framing 037525-01 503-780-3222 N Corrections/Comments/Instructions: ------ ,.... •I ASS 7 PARTIAL APPROVAL El CANCEL , 7 NO ACCESS 0 FAIL 7 CALL FOR INSPECTION 0 ADDITIONAL FEES ASSESSED ....._____ Inspector: Date: t S 66 Phone #: (503) 718- _______