Permit , rw � CITY OF TIGARD BUILDING PERMIT
PERMIT #: BUP2004 -00250
1 DEVELOPMENT SERVICES DATE ISSUED: 5/28/2004
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 PARCEL: 1S135AB -01002
SITE ADDRESS: 10220 SW GREENBURG RD 350
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: 51 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: Y SMOK DET:
DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP ACC:
BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING:
VALUE: $ 20,000.00
Remarks: TI, new walls to expand existing tenant space.
Owner: Contractor:
EQUITY OFFICE PROPERTIES TRUST C SCHIEWE + ASSOCIATES
10260 SW GREENBURG RD #100 1024 NE DAVIS
TIGARD, OR 97223 PORTLAND, OR 97232
Phone:
Phone: 234 -6617
Reg #: LIC 54105
FEES REQUIRED INSPECTIONS
Description Date Amount Mechanical Permit Require
[BUILD] Permit Fee 5/28/2004 $235.30 Electrical Permit Required
[TAX] 8% State Surcharl 5/28/2004 $18.82 F Framing Insp
[BUPPLN] Pln Rv 5/28/2004 $152.95 Gyp Board Insp
[FLS] FLS Pln Rv 5/28/2004 $94.12 Susp Ceilng Insp
Total Final Inspection
$501.19
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 -001 1 - :. • OAR 952 - 001 -0100. You may obtain a copy of these rules or direct questions to OUNC by
calling .13) 246 -6699 o 1- 800 -33 - 344
Issu d By: 1 tog Ii , . 6.114k-k§4,1
Perm ittee
Signature: /`
Call 639 -4175 by 7 p.m. for an inspection the next business day
• • Permit - FOR OFFICE USE ONLY
Bl>il.Jjli.ng Permit Application Received Building N lL
• Date/By: Permit No.: 50/ (P O S 00210
City of Tigard Planning Approval Other
y Date/By: Permit No.:
13125 SW Hall Blvd. Plan Review Other
Tigard, Oregon 97223 Date/By: S - df✓ / PS, Permit No.:
Phone: 503- 639 -4171 Fax: 503 -598 -1960 � ao 10011 f� Post - Review Land Use
��
Internet: www.ci.tigard.or.us •�i � ■ c 1 Date/By: Case No. .
Inspection Request: 503- 639 -4175
Contact Juris.: Su See Page l Information
24 -hour Ins
p 4 Name /Method: Supplementallnformation
TXPE OF. W „ORIC= z .. •:
., -_ ' : ".-: e; ;
°.R I)A ; =.: : -:.; ;..
❑ New construction ❑ Demolition =:1 1 D - ' -
yf Addition/alteration /replacement ❑ Other: k•z,,.
• - CATEGORYOCCQNSTRUCTIONI!.''k';'s `� j•;” "'' .. Note: Permit fees* are based on the total value of the work performed. Indicate
❑ 1 & 2- Family dwelling ig Commercial/Industrial the value (rounded to the nearest dollar) of all equipment, materials, labor,
overhead and profit for the work indicated on this application.
❑ Accessory Building ❑ Multi - Family
❑ Master Builder ❑ Other: Valuation $
� . .JOB SITE ?INFORMATI "may-
'��'�'' QN�andLOCATIQN�R; >,�;.';.. - �,,:,�';`% No of bedrooms: No of baths:
Job site address: 1022. 0 3W Green ur' (toa,ct Total number of floors
9 New dwelling area (sq. ft.)
Suite #: 3S0 Bldg. /Apt. #: Z L iiAco
f_ Garage /carport area (sq. ft.)
Project Name: S 1„
oT � OitiCe_ Covered porch area (sq. ft.)
Cross street/Directions to job site: Deck area (sq. ft.)
Other structure area (sq. ft.)
:: > ; ° ; hz > k � t � ;• ; . r. 'f 'RE . UWED�DATt1: n : 1 ! . a ." �:' '> ' . .:: f
..r='' COIVI = USE`CHECKLI T >' > = `
Subdivision: Lot #: :._,, >..._ ....... ... . .
Tax map /parcel #: Note: Permit fees* are based on the total value of the work performed. Indicate
..W.' -:: :: ' T" • " '" t`° �4� �x "` ' �'• ,::i , the value (rounded to the nearest dollar) of all equipment, materials, labor,
w::.DESCRIPTION�OF�WORK f��,..,�,
overhead and profit for the work indicated on this application.
TeY1an't Irnp rove»evtt
Valuation $2 00 .u'
' Existing building area (sq. ft.) 5,143 s-f
New building area (sq. ft.)
Number of stories (( --c( X
, ,PROPERTYUWN ER�� `;, wis�Iii® aENANTaa:Arzw. Type of construction
Name: EQUITY OFFIGE pi&ope -TIC —S Occupancy group(s): Existing: i*
New: 4
Address: One SW- Colvm'bi •; Sui. 3 o - • ' -:. -
City /State /Zip: Port( a i4 01- 9725$
Phone:S3 4 -4800 Fax: NOTICE: All contractors and subcontractors are required to be
; r._.,. - licensed with the Oregon Construction Contractors Board under
<APPI Ie;41" 2gIt''ti t_= ,: = 3CONTAC- E : � F ' provisions of ORS 701 and may be required to be licensed in the
" Business Name: GRP Ar itee S I In G. jurisdiction where work is being performed. If the applicant is exempt
Contact Name: flay P.. Glur from licensing, the following reason applies:
Address: 112.0 NW Covc11 St,. SL, ire 300
City /State /Zip: ?ortlalid 1 Op -
Phone :5o3 224 9t'o5t'o I Fax: mss, =,. - }.,
E -mail: ,� : *' BULL DING PE +FEES' V t. .' ,;
t . l referto fe. '
�. Yrx •me /�•��1�T T� �� y,,F-fr �,' .- ..�,., g r - -k3�," I`. eage ee'schedul
:.,,.a, ac 't •a � + :.,. �,
...,.. N��;n�k »x� }�� s �1' i�° l" Vll r zi? i�t] VT .Qit'"g,�.K'd;,�' "tf�' €�t�xs�ry '� a� ie3e ��'e a¢'�':5?�` �E[' . v:.`4er"= �, ��rs �flc °�.''r'��•t}°�:-- s« '?`_�irtr*"�' c�[`"F >.. ,stir..' �'' -s .5� '�st�•ePT's „�, n�r_ x
Business Name: G . S Gh i ewe CesAZ't , Fees due upon application $
Address: (o Q, IS S W 111 t`- Ave
City /State /Zip: (Sea) , D(L Amount received $
Phone: 503 G t6 6617 Fax: Date received: •
CCB Lic. #: S1-10 dr
Authorized
Signature: ��"�^ D ate: S 2 6' o Notice: This permit application expires if a permit is not obtained within
180 days after it has been accepted as complete.
1 R GIu r *Fee methodology set by Tri - County Building Industry Service Board.
(Please print name)
i :\Dsts\Permit Forms \BldgPermitApp.doc 01/03 .
•
CITY OF TIGARD 24 -Hour
BUILDING Inspection Line: (503) 639 -4175
INSPECT KM DIVISION Business Line: (503) 639 -4171 MST
Received Date Requested Z3 AM PM BUP
Location / 0 a2 "Ag Suite caCt MEC
Contact Person �7— 4. _-'uD Ph ( ) cf 6 PLM
Co or Ph ( ) SWR
Tenant/Owner ELC
Footing
Foundation Access: ELC
Ftg Drain ELR
Crawl Drain
Slab Inspection Notes: z / D 427./.> SIT
Post & Beam
Shear Anchors
Ext Sheath/Shear
Int Sheath/Shear
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling 162)
Roof o*�
Othe
/ J\J TL
PART FAIL
L ING
Post & Beam
Under Slab
Rough -In
Water Service
Sanitary Sewer
Rain Drains
Catch Basin / Manhole
Storm Drain
Shower Pan
Other:
Final
PASS PART FAIL
MECHANICAL
Post & Beam
Rough -In
Gas Line
Smoke Dampers
Final
PASS PART FAIL
ELECTRICAL
•
Service 11■11W II I`�
Rough -In � % /,�
UG /Slab Flaw i VW/ 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: Unable to inspect — no access
Fire Supply Line
ADA
Approach /Sidewalk Date Inspector Ext
Other:
Final DO NOT REMOVE this inspection record from the job site.
PASS PART FAIL