Permit I
t
CITY OF TIGARD BUILDING PERMIT
PERMIT #: BUP2004 -00375
"` °u �II'� DEVELOPMENT SERVICES DATE ISSUED: 8/4/2004
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171
SITE ADDRESS: 10220 SW GREENBURG RD 201 PARCEL: 1S135AB-01002
SUBDIVISION: THREE LINCOLN -TOWN OF METZGER ZONING: R -12
BLOCK: LOT: 009 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: 2FR : sf N: S: E: W:
OCCUPANCY GRP: B TOTAL AREA: 0 sf ROOF CONST: FIRE RET?
OCCUPANCY LOAD: 86 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: $ 16,600.00
Remarks: TI - New walls for offices.
Owner: Contractor:
EQUITY OFFICE PROPERTIES TRUST C SCHIEWE & ASSOCIATES INC
ONE$W COLUMBIA #300 6615 SW 111TH AVE
PORTLAND, OR 97202 BEAVERTON, OR 97008
Phone: 503 - 412 -4800
Phone: 503 - 646 -6617
Reg #: LIC 54105
FEES REQUIRED INSPECTIONS
Description Date Amount Mechanical Permit Require
[BUILD] Permit Fee 8/4/2004 $206.50 Electrical Permit Required
[TAX] 8% State Surchari 8/4/2004 $16.52 Sprinkler P Required
Firre e Alarm r larm P Per ermit Requires
[BUPPLN] Pln Rv 8/4/2004 $134.23 Plumbing Permit Required
[FLS] FLS Pln Rv 8/4/2004 $82.60 Framing Insp
Gyp Board Insp
Total
$439.85 Final Inspection
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: % .i i/.
Pe rm ittee
Signature: ie, ��
2 �-Q
Call 639 -4175 by 7 p.m. for an inspection the next business day
■•7
Building Permit v17 FOR OFFICE USE ONLY
Received
City of Tigard Permit No.: 7
13125 SW Hall Blvd., Tigard, OR ikt t is 0 4 20041 Plan Review,.
, gf„044 Other Permit
Phone: 503.639.4171 Fax: 503.50. ..0 li n YPI NIA0 Date/B :
Inspection Line: 503.639.4175 Date Ready/By: Juris: 0 See Attached Checklist for
Internet: www.ci.tigard.or.us CITY OF TIGARD Notified/Method: cp Supplemental Information
BUILDING DIVISION
0 New construction 0 Demolition Permit fees* are based on the value of the work performed.
Indicate the value (rounded to the nearest dollar) of all
El Addition/alteration/replacement 0 Other: equipment, materials, labor, overhead, and the profit for the
0111 work indicated on this application.
, Afil . ..144:30-1 - 11
Valuation:
0 1- and 2-family dwelling El Commercial/industrial
Number of bedrooms:
0 Accessory building P Multi-family
0 Master builder 0 Other: Number of bathrooms:
6;414 0ICSITVINFORMATI 0 Isl?'!AIND0eATION-'**/**malt- Total number of floors:
Job site address: 10220 GREENBURG FtD New dwelling area: square feet
City/State/ZIP: TIGARD, OR 97233 Garage/carport area: square feet
Suite/bldg./apt. no.: 201 Project name: KNOWLEDGE POINTS Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
Other structure area: square feet
REQUi;'CO I I -FiCii
Subdivision: Lot no.: Permit fees* are based on the value of the work performed.
Indicate the value (rounded to the nearest dollar) of all
Tax map/parcel no.:
equipment, materials, labor, overhead, and the profit for the
tookt,..A 11111111L., ..4V,1141 work indicated on this application.
; AVIV
V
New Tenant Improvement Valuation: $$16,600.00
Existing building area: square feet
New building area: square feet
litg440 tht Number of stories:
Name: EQUITY OFFICE Type of construction:
Address: ONE SW COLUMBIA SUITE 300 Occupancy groups:
City/State/ZIP: PORTLAND, OR 97202 Existing:
Phone: (503)412-4800 Fax: (503)412-4848 New:
taitirgArWailltiltAq I tAllitiltinfiarfrefirTigi5N7fAX=Wi smat.v=,
q.kort AVIOnAiz' ,IRCE5iiired
. , .
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:
ir' ,y
Business name: C. SCRIEWE & ASSOCIATES
Address: 6615 SW 111 ST
Please refer to fee schedule.
City/State/ZIP: BEAVERTON, OR 97008
Fees due upon application $439.85
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: JEFF HUMPHREYS Date: 08-04-04 * Fee methodology set by Tri-County Building Industry
Service Board.
\ Building \ Permits \ BUP-PermitApp.doc 12/03 440-4613T(11/02/COM/WEB)
CITY OF TIGARD 24 -Hour
BUILDING Inspection Line: (503) 639 -4175
INSPECTION DIVISION Business Line: ,(503) 639 -4171 C1 U ST
uP �'a
Received Date Requ sted D - / AM PM _ BUP
/
Location [ °� a v �1__'�1L II Suite I MEC
Contact Person f3a4,t_e___ Ph (/ ) -; d =/ " O C6,3 PLM
Contractor Ph ( ) SWR
BUILDING Tenant/Owner ELC
Footing /
Foundation ELC
Access:
Ftg Drain ELR
Crawl Drain
Slab Inspection Notes: G�� f' 0 c G �� / SIT
Post & Beam -
Shear Anchors r� �f�
Ext Sheath/Shear 7 ��� / in 0/
Int Sheath/Shear L � � iii5 Framing � �' ",a,72...4,3,„ ` �:
Insulation g'" l _ t Q
Drywall Nailing 00 ` / -' °"
Firewall (% V C k 1
Fire Sprinkler 6i /1
Fire Alarm �, 0 V _ o o W 7
Susp d Ceiling //'� (L �
Roof • "l/7il /f 7 I) 0 L a „- •
Other:
, , PART FAIL
• MBING
Post & Beam
Under Slab
Rough -In
Water Service
Sanitary Sewer
Rain Drains
Catch Basin / Manhole
Storm Drain
Shower Pan
Other:
Final s
PASS PART FAIL
a /4 i f " ze soilit , 1 I r . :I 311a(2 1 1
MECHANICAL
Post& Beam
Rough -In
Gas Line
Smoke Dampers
Final
PASS PART FAIL
ELECTRIC AL
Service
Rough -In
UG /Slab •
Low Voltage
Fire Alarm
Final ❑ Reinspection fee of $ required before next inspection. .Pay at City Hall, 13125 SW Hall Blvd.
PASS PART FAIL
SITE 0 Please call for reinspection RE: 111 Unable to inspect — no access
Fire Supply Line ` /6 ADA I
Approach/Sidewalk Date Inspector _ Z Ext
Other:
Final DO NOT REMOVE this inspection record from the Job site..
PASS PART FAIL