Permit CITY OF TIGARD BUILDING PERMIT
PERMIT #: BUP2005 -00640
T . J I W k
DEVELOPMENT r SO R9 ICES -639 -4171 DATE ISSUED; 12/14/2005
PARCEL: 1S135AB-00900
SITE ADDRESS: 10200 SW GREENBURG RD 500 ZONING: C -P
SUBDIVISION: LINCOLN CENTER /FIVE LINCOLN LOT: JURISDICTION: TIG
Project Description: TI - bathroom addition
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: R FR' : 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: $ 12,000.00
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 - 644 - 9679
PRI 503 - 646 - 6617
Reg #: LIC 54105
FEES
Description Date Amount REQUIRED ITEMS AND REPORTS
[BUILD] Permit Fee X2/14/200° $158.50
[TAX] 8% State Surcharp 12/14/200E $12.68
[BUPPLN] Pln Rv 12/14/200` $103.03
[FLS] FLS Pin Rv 12/14/200` $63.40
Total $337.61
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
require . •u "0 the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
95 -101 -0010 through 0 A ' ! .11 -0100. You may obtain a copy of these rules or direct questions to OUNC by
:fling 503 - 246 -6699 1 -:I ' -2344. /
sued BXs� - Permittee Signature:
Call 503 - 639 -4175 by 7:00 a.m. for an inspection that business • .y.
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.
I^
Building Permit Applic_a iquN \ E® t • ~FOR OFFICE ti's ONLY ' r
• City of Tigard ` � Received Permit No.: 1
13125 SW Hall Blvd., Tigard, OR 97223 `� 8. 100 A Date /By /Aim Permit ' ��(� v
Phone: 503.639.4171 Fax: 503.598.1960 1 Plan Review
Date/B _ � w�'/�J1 Other Permit:
Inspection Line: 503.639.4175 tt�� y , 11
� � r^ ' ' � 0 l' • Date Read /B I/ Mill 8 See Attached Checklist for
Internet: www.ci.tigard.or.us c' D`v
0 ,fj Notified/Method: Su Information
TYPE,_OF� WORK, R :.I -.AND 2= FA611LY DW ELLING'"
❑ 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 +OFD CONSTRUCTION _ work indicated on this application.
❑ 1- and 2- family dwelling ® Commercial /industrial Valuation: $
❑ Accessory building El Multi-family Number of bedrooms:
❑ Master builder ❑ Other: Number of bathrooms:
,JOB SITE- INFORMATION LOCATION' ° ' • Total number of floors:
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.: 500 Project name: T ' 1.1L_p/ft Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
Other structure area: square feet
REQUIRED'I)'ATA :'COM'MERCIAL -USE CHECKLIST,
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.
Interior Tenant Improvement Valuation: $$12,000.00
, Existing building area: 657 square feet
New building area: square feet
. ►I1 t' PROPERTY'OWNER ° - Q, TEi•I'ANT' -. , 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
Phone: ( ) Fax: ( ) New:
. ' ®' APPLICANT - ❑ CONTACT PERSON NOTICE'
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 perforated. 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
'CONTRACTOR
Business name: C Schiewe @ Associates Inc. 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) 646 -6617 Fax: ( )
Amount received
CCB lic.: 54105
z - 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: 12/14/05 * 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 U OS 0
BUILDING DIVISION PERMIT #:20 - - CO l7
6
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED:
• Phone: (503) 639 -4171 � a��Nu�ii�@�, hl ,
Inspection Requests (24 Hrs.): (503) 639 -4175 . ' r
INSPECTION WORKSHEET FOR DATE: TIME: PAGE:
/
SITE ADDRESS: / Da Dso • 0 0Y' 5OD CLASS OF WORK:
SUBDIVISION: 'OT #: TYPE OF USE:
PROJECT NAME:
DESCRIPTION:
OWNER: PHONE #:
CONTRACTOR: PHONE #:
Inspection Request Scheduled For: Dater -16-6 0 Pour Time:
Code # Inspection Description Confirm # Contact # Message
9 .7 c- Corrections /Comments/ Instructions:
I ; i
t , . Vilir
simarevr ...
•
P ASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
I I FAIL ❑ CALL FOR SPECTION ADDITI . EES ASSESSED
' Ie?
Inspector: f Date Phone #: (503) 718- •:_____Z__"..53
,,
CITY.:-OF,.TIGARD
BUILDING DIVISION PERMIT #: BUP2006 -006 It
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED 12114/2006
Phone: (503) 639- 4171 in��ii
Inspection Requests (24 Hrs.): (503) 639 -4175 �I I
INSPECTION WORKSHEET FOR DATE: 2/16/2606 TIME: 7 : 07AM PAGE: 79
SITE ADDRESS: 'IO200 SW GREENBURO RD 600 CLASS OF WORK:
SUBDIVISION: LINCOLN CENTER /FIVE LINCOLN LOT #: TYPE OF USE:
PROJECT NAME: NORPAC
DESCRIPTION: TI • bathroom addition
OWNER: EOUi1Y OFFICE PROPERTIES TRUST, PHONE #: 603.293.27416
CONTRACTOR: c SCHIEWE & ASSOCIATES INC PHONE #: 03,646.6617
Inspection Request Scheduled For: Date: 2116/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
287 Susponded ceiling 026949 60'3 (� 'Y
r'
Corrections /Comments /Instructions: V-0 t E_
I
1 0 ttO '- ■ (D di i
L u
.......
•
,/
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
FAIL ❑ CALL FOR INSPECTION ❑ ADDITIO AL FE; S ASSESSED
�1 _
Inspector: o Date: . (t i && #: (503) 718- �
CITICOF„TIGARD
BUILDING DIVISION PERMIT #: BUP2005-00640
I 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 12114/2005
Phone: (503) 639-4171
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: 2/3/2006 TIME: 7:02A1vI PAGE: 5
SITE ADDRESS: 10200 SAN GREENBURG RD WO CLASS OF WORK:
SUBDIVISION: LINCOLN CENTER/FIVE LINCOLN LOT #: TYPE OF USE:
PROJECT NAME: NORPAC
DESCRIPTION: 11 - bathroom addition
OWNER: EQUITY OFFICE PROPERTIES TRUST, PHONE #: 603-293-2745
CONTRACTOR: C SCHEME & ASSOCIATES INC PHONE #: 503-646-6617
Inspection Request Scheduled For: Date: 2/3/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
27b Framing 026264-01 03-700-3222
Corrections/Comments/Instructions: /k4) I E
14 ....„ 1 „,,
1 ,1
1 I I PARTIAL APPROVAL El CANCEL fl NO ACCESS
n FAIL CALL FOR INSPECTION ADDITIONAL FEES ASSESSED
Inspector: Date: 4---/ LitIDP Phone #: (503) 718-