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Permit i A, . ' CITY OF TI GARD BUILDING PERMIT PERMIT #: BUP2004 -00499 . ,� „ A . �I� I , DEVELOPMENT SERVICES DATE ISSUED: 10/18/2004 "`- -' 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 SITE ADDRESS: 10220 SW GREENBURG RD 500 PARCEL: 1S135AB -01004 SUBDIVISION: TWO LINCOLN - TOWN OF METZGER ZONING: C -P BLOCK: LOT: 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: 35 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: $ 1,800.00 Remarks: Demo wall for future tenant. 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 - 412 -4800 Phone: 503 - 646 -6617 Reg #: LIC 54105 FEES REQUIRED INSPECTIONS Description Date Amount Electrical Permit Required [BUILD] Permit Fee 10/18/2004 $62.50 Framing lnsp Insp [TAX] 8% State Surcharl 1 0/1 8/2004 $5.00 Gyp Final Innspsp d Becttion ion [BUPPLN] Pln Rv 10/18/2004 $40.63 [FLS] FLS Pln Rv 1 0/1 8/2004 $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 yo _to- follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952 -00 - 010 through QAR 952 - 001 -0100. You may obtain a copy of these rules or direct questions to OUNC by callin (503) 246 -6699 or 1- 800 - 332 -23 • Issu By: 0 A A ^ t , ii 11 l___0_441 Permittee ' X Signature: / ��.t. 4/.., Call 639 -4175 by 7 p.m. for an inspection the next business day Building 'Permit Application FOR OFFICE USE ONLY Received � /� /� [ , Q City Of Tigard Date /By: /0 I p (/" � PermitNo.: / �� / 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review Phone: 503.639.4171 Fax: 503.598.1960 �I�j DateBv: Q ` /9'elf Aar, Other Permit: Inspection Line: 503.639.4175 a - W Date Ready/By: El See Attached Checklist for Internet: www.ci.tigard.or.us Notified/Method: i Supplemental Information .. _ �.. ; t r- � :;�;,�patl. ".:, -,..�. �wSmA C�,.�...:�.t�.�. •�: - . TY OF° WORK t REQ AND- 2- FAl�ITLYD�YELL[NG - _ s ��_.��a.� . �� . �. �, , a a ,. �raa =e a �- .�Nn.�:; a � : , �. -,.,, , . �� - , ..._�..r.- ❑ 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 aa�.��.+- ,- . <.r.;;.,:;'. �&�.".�i.�';:.ae..- ...`.m <'aa :7'X^«.'s;�v. " work indicated on this application. :..i � ., � � �x „ �..�;"�' ° Y a CATEGORY -DOE &CONSTR�UC'PION r' ❑ 1- and 2- family dwelling ® Commercial /industrial Valuation: $ ❑ Accessory building ❑ Multi - family Number of bedrooms: 111 Master builder ❑ Other: Number of bathrooms: J013 SITE. TNFORhTA I ION AND LOCATIOIy ,' a Total number of floors: Job site address: 10220 SW Greenburg RD New dwelling area: square feet City /State /ZIP: TIGARD, OR 97233 Garage /carport area: square feet Suite/bldg. /apt. no.: 500 Project name: Concero Covered porch area: square feet Cross street/directions to job site: Deck area: square feet Other structure area: square feet REQUIRED =DATA COIVIMERCTAL=USE CHECKLIST Subdi vision: 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, ma materials, labor, overhead, and the profit for the t a s e r AtITT,n'2 t DESC R IPTION O F W OR K . work indicated on this application. -,,z ._. >.�.��.� -s.:, s-,°'C �.T�r.,. .. -�,a. wax... » as. ,,a+: 3 k _. .>� __• � ;; New Tenant Improvement Valuation: $$1,800.00 Existing building area: square feet New building area: square feet ®- PROPERTY OW111ER `� ❑ TENP . „� � ° Number of stories: Name: EQUITY OFFICE Type of construction: j Address: ONE SW COLUMBIA SUITE 300 Occupancy groups: City /State /ZIP: PORTLAND, OR 97202 Existing: Phone: (503)412 -4800 Fax: (503)412 -4848 New: ; , i ,. °=CONTACT PERSO � i z a < _ .. MI ' f, �; NOTICE .142,', 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: GONTR`'ACTOR 't, Fa' Business name: C. SCHIEWE & ASSOCIATES -r -. Address: 6615 SW 111 ST 0.4 ` BUILDING PERMIT FEES 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 lie.: 54105 �� / D ate received: Authorized signature: / 2 /C �� % � ` �” . f ��/� w o, k This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name: 4a � e� (�2aA�� Date: 10 - - * Fee methodology set by Tri- County Building Industry ` Service Board. is \Building \Permits \BUP- PermitApp doc 12/03 440- 4613T( II /02 /COM /WEB) CITY OF TIGARD 24 -Hour BUILDING Inspection Line: (503) 639 -4175 INSPECTION DIVISION Busin- s Line; (503) 639 -4171 MST BUP 2 �� — 6 C 3 4 - q? Received Date Requested PM BUP k Location 2_2- ) 6 sc--LU Sai MEC Contact Person Ph ( ) PLM Contractor Ph ( ) SWR BUILDING Tenant/Owner ELC Footing ELC Foundation Access: Ftg Drain ELR Crawl Drain Slab Inspection Notes: SIT Post & Beam Shear Anchors Ext Sheath /Shear Int Sheath/Shear Framing Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling ■Vir Roof Other. / vellagf PASS PART FAIL Vie i1 BING 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 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 cal or reinspection RE: El Unable to inspect — no access • Fire Supply Line ADA Approach/Sidewalk Date Inspecto , � Ext Other: Final DO NOT REMOVE this inspection record from the job site. PASS PART FAIL CITY OF TIGARD 24 -Hour BULIDING Inspection Line: (503) 639 -4175 INSPECTION DIVISION Business Line: (503) 639 -4171 MST l BUP 47/-F7 Received Date Requested 1 ° 3 AM PM BUP Location Oz 2-6 .1_L■i■ Suite MEC Contact Person J Ph ( ) . _ �� ' 6 -S - 4 7 PLM Contractor Ph ( ) SWR BUILDING Tenant/Owner ELC Footing Foundation ELC Access: Ftg Drain ELR Crawl Drain Slab Inspection Notes: SIT Post & Beam Shear Anchors Ext Sheath/Shear Int Sheath/Shear Framing Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm • Susp'd Ceiling Roof J i ' Othe • .0" • � i/ /W "Ma / •ASS, PART FAIL •� ? 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 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 Please call , •r reinsp:, tion RE: — . Unable to inspect – no access Fire Supply Line a , _ pg ADA / Approach/Sidewalk Date / Inspector Ext Other: Final . DO N • T REMOVE this inspection record from the Job site. . PASS PART FAIL