Permit ,
A - ` CITY OF TIG�4RD BUILDING PERMIT
PERMIT #: BUP2003 -00491
' . 4
i ° DEVELOPMENT SERVICES DATE ISSUED: 8/14/03
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171
PARCEL: 1S135AB-01004
SITE ADDRESS: 10220 SW GREENBURG RD 501
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 : 7,037 sf N: S: E: W:
OCCUPANCY GRP: B TOTAL AREA: 7,037 sf ROOF CONST: FIRE RET?
OCCUPANCY LOAD: 70 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: $ 11,000.00
Remarks: Tenant improvement, extend corridor and add walls for offices.
Owner: Contractor:
EOP LINCOLN, LLC C. SCHIEWE & ASSOCIATES INC
10260 SW GREENBURG RD 1024 NE DAVIS ST
SUITE 100 PORTLAND, OR 97232
PORTLAND, OR 97223
Phone:
Phone: 503 - 234 -6617
Reg #: LIC 54105
FEES REQUIRED INSPECTIONS
Description Date Amount Mechanical Permit Require
[BUILD] Permit Fee 8/14/03 $148.90 Electrical Permit Required
Sprinkler Permit Required
[TAX] 8% State Tax 8/14/03 $11.91 Framing lnsp
[BUPPLN] Pln RI/ 8/14/03 $96.79 Gyp Board Insp
[FLS] FLS Pln Rv 8/14/03 $59.56 Final Inspection
Total $317.16
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes
and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is
not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law
requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952 -00 : i I t ro•s OAR 952 - 001 -0100. You may obtain a copy of these rules or direct questions to OUNC by
calli a (503) 246 -6699 sr 1- 800 -3 2344. P.
0 Iss ed By: ' Millk$ 1 Pemii : -
Signature: )( )Z --
Call 639 -4175 by 7 p.m. for an inspection the next business day
,
Building Permit Application FOR.OFFICE USE ONLY ' ,
Received v '/ / Building Q
Date/By: o /7 DD , : / Permit No.ha.Patz
City Of Tigard • Planning Approval Other
13125 SW Hall Blvd. Plan Review Other
y: Othe No.:
Plan R
Tigard, Oregon 97223 Date /By: 6t/4 Permit No.:
Phone: 503- 639 -4171 Fax: 503 -598 -1960 41a 1 . Post - Review Land Use
Internet: www.ci.tigard.or.us - 0111 Date /By: Case No.
Contact 1 ® See Page 2 for
24 -hour Inspection Request: 503- 639 -4175 Name /Method: ( ( , Supplemental Information
'' : ":. OF:,WOW := , ; . �a3:s;
- . ._,.: .REQUIRED DATA':. :.
❑ New construction ❑ Demolition 1 °
'., &x2 F ;; '` ; ;-
:AIVIIL y ING ' - ,
X Addition/alteration /replacement ❑ Other:
' ' CATEGORY ; `, OF' C ONSTRUCTION ' ''";:W''' Note: Permit fees* are based on the total value of the work performed. Indicate
❑ 1 & 2- Family dwelling ' 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 111 Multi-Family .
❑ Master Builder ❑ Other: Valuation $
,.
JOB `SITE INFORMATIONland LOCATION 2% ': :; _ . No of bedrooms: No of baths:
Job site address: /022.0 5W - Greenbur (toa Total number of floors
.9 New dwelling area (sq. ft.)
Suite #: BO j Bldg. /Apt. #:Three Lincol Garage /carport area (sq. ft.)
Project Name: We4(s Far /(om /4ov'tq' q e Covered porch area (sq. ft.)
j% Cross street/Directions to � site: (/ Deck area (sq. ft.)
• Other structure area (sq. ft.)
'4:W :: : : ' :n :gREQ.isABED'-DAT',A: - 4 :';:::, -W:- ;:.,- . ?;
';COMMERCIAL `USE CHtc; ' ,` " -..
Subdivision: Lot #:
Tax map /parcel #: 45-a3 41QXe2 Note: Permit fees* are based on the total value of the work performed. Indicate
. ` ; " DE SCRIP-.TIOM'OFI>W.ORKt "^ t: ?t "' t 9' ': `• `;` °;.. • y; the value (rounded to the nearest dollar) of all equipment, materials, labor,
overhead and profit for the work indicated on this application.
Tenant Irr►prover,evit
1 Oo
Valuation $ l.., 000 ,
Existing building area (sq. ft.)
New building area (sq. ft.) 7 037 SF
Number of stories (,) Si X
IF14PROPERTY OWNER g -'' ': Li til ° FTENANT y :3 M:''' . •.z .'u. Type of construction IL.- FF -
Name: EQUITY °FF(�E P1-opep-Ti E —s Occupancy group(s): Existing: (3
New: (3
. Address: One' SW.. Colvm'bi a - S Soo • • .
City /State /Zip: Port anct OF- . 97258
Phone: 503 412 - 4800 Fax: NOTICE: All contractors and subcontractors are required to be
A�PELICAI!iT� - -' ` • ` ��_v licensed with the Oregon Construction Contractors Board under
;i�. a K,v:.z 'CONTACT ,w -, 4';r. provisions of ORS 701 and may be required to be licensed in the
Business Name: GU) i rchitee'ts 1hG, jurisdiction where work is being performed. If the applicant is exempt
Contact Name: lay (.. Give from licensing, the following reason applies:
Address: 1120 NW Conch St. Su;- Soo .
City /State /Zip: ?ortIar t o p - , . . P h o n e : 5 o 3 2 7 4 - , C 0 5 6 , j Fax:
€,, „,', , e . .-:Vn` � .;'xi a" ' s +h,.`rte",4�e ?`r 5'xt`%2'.1^ is �e c��.R ' ..'y:"-: "s l "= : y
E -mail: riu
_. ,� - {��`d��B�JILUINGiPERMTL�FEES* = � : �3;yr
: � ._ : u :.P, ", �� 1 ; "- ;
�•. -�, ;t;r , . .. �.6 ,�, : 1 "ease tofee se ` z « t 3; .
n alta . , ,T `irdoNTRAC o yw F=� lm - I _ r tra vAinkr:< �_ iwo ri — ms s: � 4;_ i
Business Name: C . se1.iewe- C , Fees due upon application $
Address: /021 NE Davis k.rt
Cit /State /Zip: Forrt atAA ( , ,'1 2 32 . Amount received $
Phone5o3 1,31--(p(01.7 ' Fax: Date received:
CCB Lic. #: 5 41 0 7
Authorized
Signature: . / Date: g '
Notice: This permit application expires if a permit is not obtained within
180 days after it has been accepted as complete.
lk R . Glur
*Fee methodology set by Tri -County Building Industry Service Board.
(Please print name)
i:\Dsts\Permit Forms\BldgPermitApp.doc 01/03
Wells ra V come Moe
. v 3 _ 501 �
f/1-f. COP L 8.11 -e3
A , A Accessibility:
A
_.- e l -- Barrier Removal Improvement Plan
City of Tigard •
REQUIREMENT: OREGON REVISED STATUTE (ORS) 447.241.
(1) Every project for renovation, alteration or modification to affected buildings and related
facilities shall be made to insure that the path of travel to the altered area and the restroom,
telephones and drinking fountains are readily accessible to individuals with disabilities unless
such alterations are disproportionate to the overall alterations in terms of cost and scope.
(2) Alterations made to the path of travel to an altered area may be deemed disproportionate to
the overall alteration when the cost exceeds twenty-five per -cent (25 %).
VALUATION: of all renovation, alteration or modification being done o0
excluding painting, wallpapering. [1] $ L 1 pm.
multiply: 25% Barrier removal requirement. .25
BUDGET FOR BARRIER REMOVAL [2] $ 2 °p
In choosing which accessible elements to provide under this section, priority shall be given to those
elements that will provide the greatest access. Elements shall be provided in the following order:
0111o41' ` 2 7 G O . o'
( A Ca> , t�s S; Work - 1 3 , rew
or� $ t
s\ r�
a creoa,wl ay,p am.d ham; id l eL44KCer
(b) An accessible entrance: $
(c) An accessible route to the altered area: $
(d) At least one.accessible restroom for $
each sex or a single unisex restroom:
(e) Accessible telephones: $
(f) Accessible drinking fountains: and $
•
(g) When possible, additional accessible
elements such as storage and alarms: $
TOTAL: Shall equal line 2 of Value Computation $ 2(7 Oo .
i:\dsts\forms\Accessibility.doc 06/07/02