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Permit IA � • CITY OF TI GARD BUILDING PERMIT PERMIT #: BUP2006 -10006 , 111K DEVE Hall O PMENT R9 ICES -639 -4171 DATE ISSUED: 3/2/2006 / PARCEL: 1S135AB-01004 SITE ADDRESS: 10220 SW GREENBURG RD 310 ZONING: C -P SUBDIVISION: LINCOLN CENTER /TWO LINCOLN LOT: JURISDICTION: TIG Project Description: TI, wall (2,178 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: 22 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: $ 500.00 Owner: Contractor: EQUITY OFFICE PROPERTIES TRUST C SCHIEWE & ASSOCIATES INC ONE SW COLUMBIA #300 6615 SW 111TH AVE PORTLAND, OR 97258 BEAVERTON, OR 97008 Phone: 503 - 293 -2745 Contact #: FAX 503 - 277 -2095 PRI 503 - 646 -6617 FEES Reg #: LIC 54105 Description Date Amount REQUIRED ITEMS AND REPORTS [BUILD] Permit Fee 3/31/2006 $62.50 [TAX] 8% State Surchan 3/31/2006 $5.00 [BUPPLN] Phi Rv 3/31/2006 $40.63 [FLS] FLS Pln Rv 3/31/2006 $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 y• • • • ow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952 -00 0010 throu e h • A R 952 - 001 -0100. You may obtain a copy of these s or direct questions to OUNC by calling '.03- 246 -6699 sr 1 84-332-2344. 0- 332 -2344. . Issued :y: , ,i!dy I [__ Permittee Sig ature: .e ) 4Q er 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 APPlic*j E • , FOR OFFICE USE ONLY City of Tigard Received Date/By: § 0 Penult No.: t soda, / k 13125 SW Hall Blvd., Tigard, OR 97223 R 2, Plan Review Phone: 503.639.4171 Fax: 503.598.1960 NIA • Date/B : Other Permit: Inspection Line: 503.639.4175 Date Ready/By: Jur - 1E1 See Attached Checklist for Internet: www.ci.tigard.orus GiTy OF T iot\I Notified/Method: 1(4 • Supplemental Information BUILDiNG .,t .:44,104 WitiVeateaMAWAla 4i4J WTPTYPE OF WORK El New construction J 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 p Other: equipment, materials, labor, overhead, and the profit for the 9 ` 7 q'dtrOlt i Vir:3 17 afEajitikiitti5AIRAletthia43.11410.0441,14154119f1014 work indicated on this application. Valuation: I- and 2-family dwelling 0 Commercial/industrial Number of bedrooms: Accessory building Multi-family Master builder Other: Number of bathrooms: 1...i.711,10„,,„.„„"A„11,1,..,,,Oti,„,,,,,„P.,,tii6„.,.„•6:2A1•••41;61.'iliiii‘iti,4"::::::%rktitH' Total number of floors: Job site address: 2 LINCOLN 10220 SW GREENBURG RD New dwelling area: square feet City/State/ZIP: ..OR 97223 Garage/carport area: square feet Suite/bldg./apt. • 310 Project name: Space Prep Covered porch area: square feet Cross street/dir- • s to job site: Deck area: square feet Other structure area: square feet REQUIRED DATA OMMIE461AL Varelfit.iSik.S — -" 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 - DtSCIiIPTION'OF work indicated on this application. . Interior Tenant Improvement Valuation: $$500.00 Existing building area: 2,178 square feet New building area: square feet Number of stones Nb f tri 6 3r SVADry Name: Equity Office Properties Trust Type of construction: 1-B Address: One SW Columbia St. Suite 300 Occupancy groups: City/State/ZIP: 97258 Existing: B a P. ode Phone: (503)412-4800 Fax: (503)412-4848 New: I- P1iCT 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 6 4t,:ioltgoto:Airligiii - „ : fir 11:!:0;',..,'!"1.VirNti, Business name: C Schiewe @ Associates Inc. Address: 6615 SW Ill 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: 4141.■& This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name: Kathy Morten Date: 03/01/ 06 * Fee methodology set by Tri-County Building Industry Service Board. \ BuildingTermits 13UP-PermitApp.doc 12/03 440-4613T(11/02/COMIWEB) CITY OF TIGARD - BUILDING DIVISION PERMIT #: ‘ ,?0"646 � 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: Phone: (503) 639 -4171 /u Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: TIME: PAGE: SITE ADDRESS: OF WORK: SUBDIVISION: LOT $ 110 111111111111 WE OF USE: PROJECT NAME: DESCRIPTION: OWNER: PHONE #: CONTRACTOR: PHONE #: Inspection Request Scheduled For: Date: 3 'oZ 7 ` Pour Time: Code # Inspection Description Confirm # Contact # Message rr ctipns/ omments /Instructions: (,dvt 7'� Gv k A Gti c it 1- fl/ Le a .Q r - re VLe,v0 IA s s � i r-e L. -; - (,) 12 -(01). lJ : j ML.€ t II ' ASS ❑ PARTIAL APPROVAL CANCEL ❑ NO ACCESS FAIL ❑ CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED Inspector: Date: / 7 7 6 Phone #: (503) 718 - Li2 Y CY.OFTIGARD BUILDING DIVISION PERMIT # - MOO (v 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: Phone: (503) 639 -4171 °Nn u t Inspection Requests (24 Hrs.): (503) 639 -4175 J .. - '! .L INSPECTION WORKSHEET FOR DATE: TIME: PAGE: / Q a SITE ADDRESS: ` ° / 3 / 6 " ) CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: DESCRIPTION: OWNER: PHONE #: CONTRACTOR: PHONE #: Inspection Request Scheduled For: Date: 3-8' -- d 0 Pour Time: Code # Inspection Description Confirm # Contact # Message 0 7 ,c 'r- (--sr, ? 3 a C) Corrections /Comments / Instructions .— I 1A-TV tejAc ' ../ sg t i F P ASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL CALL FOR INSPECTION ❑ ADDIT ON ' L FEES ASSESSED Inspector: 117 Date: . R IF 4. Phone #: (503) 718 - 1.2_____3'•