Permit CITY OF TI GARD BUILDING PERMIT
PERMIT #: BUP2005 -00367
u141' DEVELOPMENT SERVICES 503-639-4171
DATE ISSUED: 8/3/2005
Hall Blvd.,
PARCEL: 1S135AB-00900
SITE ADDRESS: 10200 SW GREENBURG RD 400 4111112110P ZONING: C -P
SUBDIVISION: 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: 2FR : sf N: S: E: W:
OCCUPANCY GRP: B TOTAL AREA: 0 sf ROOF CONST: FIRE RET?
OCCUPANCY LOAD: 40 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: $ 35,000.00
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: Phone: 503 - 646 -6617
FEES Reg #: LIC 54105
Description Date Amount REQUIRED ITEMS AND REPORTS
[BUILD] Permit Fee 8/3/2005 $358.30
[TAX] 8% State Surchan 8/3/2005 $28.66
[BUPPLN] Pln Rv 8/3/2005. $232.90
[FLS] FLS Pln Rv 8/3/2005 $143.32
Total $763.18
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 qu stions to OUNC by
calling 503 -24. .99 or 1-800-332-2344.
• 4t
Issued By . ,� �G- r�C.�a. Permittee Signature: Ade,-
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.
•
_. 1.,..4.
Building Permit Application AuG 3 21(25 . FOR "OFFICE USE ONLY dop
City of Tigard CITY OF TICAR Received r �/ Permit No.: ) � '40 r
I
13125 SW Hall Blvd., Tigard, OR 97223 Date/ ��
BUILDING D' 1 Plan Review
Phone: 503.639.4171 Fax: 503.598.1960 ^` I ` Date /B Other Permit:
Inspection Line: 503.639.4175 _041,. ed 1 Date Ready /By: Juris: RI See Attached Checklist for
Internet: www.ci.tigard.or.us Notified /Method: Supplemental Information
TYPE OF WORK - REQUIRED.DATA: I --AND 2- FAMILY DWELLING
['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
CATEGORY OF CONSTRUCTION' 1 work indicated on this application.
❑ 1- and 2- family dwelling 21 Commercial /industrial Valuation: $
El Accessory building El Multi-family Number of bedrooms:
❑ Master builder El Other: Number of bathrooms:
JOB SITE INFORtMATION - AND, LOCATION _ Total number of floors:
Job site address: Five Lincoln, 10200 SW Greenburg Rd New dwelling area: square feet
City/State /ZIP: Portland OR 97223 Garage /carport area: square feet
Suite/bldg. /apt. no.: Suite 400 Project name: Norpac Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
Other structure area: square feet
REQUIRED DATA :'COMMERCIAL USE.CIIECKLIST
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 OF WORK - , . ' - ' work indicated on this application.
Valuation: $35,000.00
Existing building area: square feet
New building area: 15933 square feet
® PROPERTY' OWNER ❑ TENANT . ' Number of stories:
Name: Equity Office Properties Type of construction: I -
Address: One SW Columbia Suite 300 Occupancy groups:
City/State /ZIP: Portland OR
Existing: B
Phone: (503 )412 - 4800 Fax: (503)412 -4848 New:
® APPLICANT ' ❑ CONTACT PERSON `
. .- NOTICE
Business name: Group Mackenzie All contractors and subcontractors are required to be
Contact name: Susan Higbee licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address: 0690 SW Bancroft 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: : (228) 1885
E -mail:
CONTRACTOR . '
Business name: C Schiewe & Associates
- BUILDING PERMIT . FEES*
Address: 6615 SW 111 Ave
Please refer to fee schedule.
City /State /ZIP: Beaverton OR 97008
Fees due upon application
Phone: (503) 234 - 6617 Fax: (503) 277 - 2095
CCB lic.: 54105 Amount received
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: JJ4v V G '< • kk P" Date: X373/05 * Fee methodology set by Tri- County Building Industry
(/ Service Board.
i:\ Building \Permits \BUP- PermitApp.doc 12/03 440- 46!3T( I I /02/COM/WEB)
CITY OF TIGARD
BUILDING DIVISION PERMIT #: BUP2005- 00367
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/3/2005
Phone: (503) 639 -4171 iiylr�E�fj +ll
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 11/14/2005 TIME: 7:12AM PAGE: 139
SITE ADDRESS: 10200 SW GREENBURG RD 400 CLASS OF WORK:
SUBDIVISION: LINCOLN CENTER /FIVE LINCOLN LOT #: TYPE OF USE:
PROJECT NAME: NORPAC
DESCRIPTION: TI (15,933 sq ft area)
OWNER: EQUITY OFFICE PROPERTIES TRUST, PHONE #:
CONTRACTOR: C SCHIEWE & ASSOCIATES INC PHONE #: 503 - 646 -6617
Inspection Request Scheduled For: Date: 11/14/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
299 Final inspection 021061 -01 503-784-7149 Y
Corrections /Comments /Instructions: OC_a
E 2
k.
ASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
n FAIL ❑ CALL FOR INSPECTION n ADDITIO AL FE -S ASSESSED
Inspector: Date: l I • 'hone #: (503) 718-
,
CITY OF TIGARD
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BUILDING DIVISION PERMIT #: BUP00 5~I�0367
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/
Phone: (503) 639 -4171 : A �i @fl
Inspection Requests (24 Hrs.): (503) 639 -4175 —
INSPECTION WORKSHEET FOR DATE: TIME: 7:07AM PAGE:
SITE ADDRESS: 10200 SW GREENBURG RD 400 CLASS OF WORK:
SUBDIVISION: LINCOLN CENTER /FIVE LINCOLN LOT #: TYPE OF USE:
PROJECT NAME:
NORPAC
DESCRIPTION: TI (15,933 sq ft area)
OWNER: PHONE #:
EQUITY OFFICE PROPERTIES TRUST,
CONTRACTOR: C SCHIE�+VE & ASSOCIATES INC PHONE # : 503646 -5617
Inspection Request Scheduled For: Date: 3{23/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
287 Suspended ceiling 016426-01 503 -784 -7149 N
Corrections/Comments/Instructions:
n
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, i' . ) �r
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P ASS n PARTIAL APPROVAL ❑ CANCEL n NO ACCESS
1 I FAIL n CALL FOR INSPECTION n ADDITI NAL FEES ASSESSED
Inspector: Z3 18- C ? "
N date. Phone #: (503) 7
CITY
BUILDING Im I,JION PERMIT #:
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: BUP2005-00367
8/3/2005
Phone: (503) 639-4171 Am i
7/;_iiippil
Inspection Requests ,(24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: TIME: PAGE:
9/22/2005 7:12AM 78
SITE ADDRESS: CLASS OF WORK:
10200 SW GREENBURG RD 400
SUBDIVISION: LOT #: TYPE OF USE:
LINCOLN CENTER/FIVE LINCOLN
PROJECT NAME:
NORPAC
DESCRIPTION: TI (15,933 sq ft area)
OWNER: PHONE #:
EQUITY OFFICE PROPERTIES TRUST,
CONTRACTOR: C SCHI EWE & ASSOCIATES INC PHONE #: 503.-646-6617
Inspection Request Scheduled For: Date: Pour Time:
9/2212005
Code # Inspection Description Confirm # Contact # Message
287 Suspended ceiling 016331-01 503-784-7149 Y
Corrections/Comments/Instructions: --ta2-
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FIF/K; I I PARTIAL APPROVAL El CANCEL El NO ACCESS
FAIL CALL FOR I \ SPECTION El ADDITI NAL FE S ASSESSED
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Inspector: AIWA ' Date: I T 2-' one #: (503) 718-
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CITY' , , ,
.
BUILDING DIVISION PERMIT #: BUP2005.00367
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/3/2005
Phone: (503) 639 -4171 - / ir I '
Inspection Requests (24 Hrs.): (503) 639 -4175 ..._...„W L L
INSPECTION WORKSHEET FOR DATE: 8/24/2005 TIME: 7:08Am PAGE: 59
SITE ADDRESS: 10200 SW GREENBURG RD 400 CLASS OF WORK:
SUBDIVISION: LINCOLN CENTER /FIVE LINCOLN LOT #: TYPE OF USE:
PROJECT NAME: NORPAC
DESCRIPTION: TI
OWNER: EQUITY OFFICE PROPERTIES TRUST. PHONE #: .
CONTRACTOR: C SCHIEWE & ASSOCIATES INC PHONE #: 503 - 645.6617
Inspection Request Scheduled For: Date: 8!24/2005 Pour Time:
Code # Inspection Description Confirm # Contact # _ Message
275 Framing 014174 -01 503- 784 -7149 Y
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Corrections /Comments /Instructions: CAL( l U,n:,v
. k am. � co,0 - \ A-T O ?
ASS n PARTIAL APPROVAL n CANCEL I NO ACCESS
FAIL 12 CA FOR I .PECTION n ADDITIONAL FEES ASSESSED
k tii
Inspector: A I11/_11 Date: _) if -- a S Phone #: (503) 718-