Permit •
CITY OF T I GA R D BUILDING PERMIT
PERMIT #: BUP2005 -00127
'i DEVELOPMENT SERVICES DATE ISSUED: 3/31/2005
` 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171
PARCEL: 1S135AB-01002
SITE ADDRESS: 10220 SW GREENBURG RD 135 ZONING: R -12
SUBDIVISION: THREE LINCOLN -TOWN OF METZGER LOT: 009 JURISDICTION: TIG
Project Description: TI walls.
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: 29 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: $ 1,400.00
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 3/31/2005 $62.50
[TAX] 8% State Surchari 3/31/2005 $5.00
[BUPPLN] Pin Rv 3/31/2005 $40.63
[FLS] FLS Pln Rv 3/31/2005 $25.00
Total $133.13
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 .a .99 or 1- 800 - 332 -2344
Issued By j � _ 4F Permittee Signatu
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.
IA Permit Air r i V • FOR OFFICE USE ONLY
Received
City of Tigard Date /By: I Permit No.: • _ J ` d
13125 SW Hall Blvd., Tigard, OR 97223 1 200 Plan Review i -
/j / rMl •' ,',,\ Date /B Other Permit:
Phone: 503.639.4171 Fax: 503.598.1960 Y�I
Inspection Line: 503.639.4175 CITY OF TIGARD Date Ready /By: Juris: H See Attached Checklist for
Internet: www.ci.tigard.or.us I S I ON Notifed/Method: Supplemental Information
BUILDIN G V D IV
-- -- -_ - - --
- - _ _ - . - TYPE'' -OF _WORK _ _ - - -- _ - - - 4 REQUIRED,DAT A r1= 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 r
® Addition/alteration/replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the
- - : - CATEGORY =OF 'CONSTRUC TION _ -_ _ _- — _ ° - - work indicated on this application.
❑ 1- and 2-family dwellin g El y Valuation: $
❑ Accessory building ❑ Multi- family Number of bedrooms:
❑ Master builder ❑ Other: Number of bathrooms:
- -- _ JOB - ,SITE INFORMATION AND_ LOCATION- =- • - _ __- - - Total number of floors:
Job site address: 10220 SW Greenburg Rd, Tom Lincoln 13 S New dwelling area: square feet
City/State /ZIP: TIGARD, OR 97233 3 Garage /carport area: square feet
Suite/bldg. /apt. no.: 135 Project name: Randstad Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
Other structure area: square feet
REQUIRED E.
DATA: COMMERCIALUSCIIECKI!ST
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.
New Tenant Improvement Valuation: $$1,400.00
Existing building area: square feet
New building area: square feet
T _,-. ❑;.PROPERTY -OWNER - _ - - _ -_ - - D. TENANT 7 ` - 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 New: B
- -® APPLICANT_ m - ❑ 'CONTACT - _PERSON t • _ - ° --- _ -
r - — - , - NOTICE
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:
-,- t.=- = _ , _- _ CONTRACTOR = _ -- _. ;- _
Business name: C. SCHIEWE & ASSOCIATES
- - _ = - -BUI_ L_DIN_ G -= ,PERMIT= -FEE S_ * - =
Address: 6615 SW 111 ST
Please refer to fee schedule
City/State /ZIP: BEAVERTON, OR 97008
Fees due upon application $133.13
Phone:(503)646 -6617 Fax:( )
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: go 20. ��-e 04e Date: 03 - - * Fee methodology set by Tri- County Building Industry
Service Board.
i:\Building \Permits \BUP- PermitApp.doc 12/03 440- 4613T(I1 /02 /COM/WEB)
CITY OF TIGARD
BUILDING DIVISION PERMIT #: BUP2005.00127
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/31/2005
Phone: (503) 639 - 4171 /' /IiWN
Inspection Requests (24 Hrs.): (503) 639 - 4175 112.
INSPECTION WORKSHEET FOR DATE: 5/13/2005 TIME: 7:12AM PAGE: 92
SITE ADDRESS: 10220 SW GREENBURG RD 135 CLASS OF WORK:
SUBDIVISION: THREE LINCOLN -TOWN OF METZGER LOT #: 009 TYPE OF USE:
PROJECT NAME: RANDSTAD
DESCRIPTION: TI walls.
OWNER: EQUITY OFFICE PROPERTIES TRUST, PHONE #:
CONTRACTOR: C SCHIEWE & ASSOCIATES INC • PHONE #: 5Q3 64&6617
Inspection Request Scheduled For: Date: 5/13/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
299 Final inspection 006771 -01 503 - 348 -0553 N
Corrections /C • mments/ Instructions:
IQ,tM .
&
v\ 270c
•
Vi \ PASS n PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION El ADDITIONAL FEES ASSESSED
Q. \ �>
Inspector: Date: Phone #: (503) 718-