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Permit 'CITY OF TIGARD BUILDING PERMIT PERMIT #: BUP2005 -00471 Aoit A ^_Ili, DEVELOPMENT SERVICES DATE ISSUED: 9/14/2005 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 1S135AB -01002 SITE ADDRESS: 10220 SW GREENBURG RD 551 ZONING: R -12 SUBDIVISION: LINCOLN CENTER /THREE LINCOLN LOT: 009 JURISDICTION: TIG Project Description: TI 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: 3,356 BASEMENT: sf AREA SEP. RATED: STOR: 6 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: $ 20,000.00 Owner: Contractor: EQUITY OFFICE PROPERTIES TRUST C SCHIEWE & ASSOCIATES INC ONE SW COLUMBIA ST #300 6615 SW 111TH AVE PORTLAND, OR 97258 BEAVERTON, OR 97008 Phone: 503 - 293 -2745 Phone: 503 - 646 -6617 • FEES Reg #: LIC 54105 Description Date Amount REQUIRED ITEMS AND REPORTS [BUILD] Permit Fee 9/14/2005 $235.30 [TAX] 8% State Surcharl 9/14/2005 $18.82 [BUPPLN] Pln Rv 9/14/2005 $152.95 [FLS] FLS Pln Rv 9/14/2005 $94.12 Total $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 -ti 0 thr. gh OAR 952 - 001 -0100. You may obtain a copy of these rules or direct questions to OUNC by calli no 03- 246 -66• • • r '`..00- 332 -2344. / - Issu .. By ` h / Permittee Signature: ` 4! - 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. tw, Building Permit App Ici ',...-., - 1VED FOR OFFICE USE ONLY City of Tigard Received Date/By: Permit No.. IP •. • a 0 • ip 13125 SW Hall Blvd., Tigard, OR 97223 EP 1 4 2005 4,0 A\ Plan Review Phone: 503.639.4171 Fax: 503.598.1960v ei I . Date/B : Other Pennit: , 41, 1 Inspection Line: 503.639.4175 Date Ready/By: Juris. Ei See Attached Checklist for Internet: www.ci.tigard.or.us CITY OF TIGARD Notified/Method. Supplemental Information BUILDING DIVISION ii0 El New construction El Demolition Permit fees* are based on the value of the work performed. Indicate the value (rounded to the nearest dollar) of all Z Addition/alteration/replacement El Other: equipment, materials, labor, overhead, and the profit for the work indicated on this application. $ 1=I I - and 2-family dwelling Z Commercial/industrial Number of bedrooms: El Accessory building El Multi-family El Master builder El Other: Number of bathrooms: Total number of floors: kgiiii Job site address: THREE LINCOLN 10220 SW GREENBURG RD New dwelling area: square feet City/State/ZIP: TIGARD, OR 97223 Garage/carport area: square feet Suite/bldg./apt. no.: 551 Project name: APEX SYSTEMS Covered porch area: square feet Cross street/directions to job site: Deck area: square feet Other structure area: square feet EREVIJAiD 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 - i41,11:1,"' work indicated on this application. -v , , ' 2; ;.:-...-', Interior Tenant Improvement Valuation: $$20,000.00 Existing building area: 3,244 square feet New building area: square feet ;, i i ic„:-,,k7o* �J , ..:.: ,,..:1. i IiiRAi; :,, ;, f f.:AM" og...- "P.a., ,,,,,, , ,,,,,, ' ' , !44 : P e '., ':':''' - ' ii,i4L ,,-..;5,1''Pk,,-- . Number of stories: 6 Name: Equity Office Properties Trust Type of construction: I-B Address: One SW Columbia St. Suite 300 Occupancy groups: City/State/ZIP: 97258 Existing: B Phone: ( ) Fax: ( ) New: t '!.:: 6 iiek4i ,;, :c.,44 inillirf - :-' - iill 4 v4444.44,:u .:,..;,,e,-,, i''-t,' , t , ' , .<,.. ,,, r4t . 4% ,, ,-, , - - ' . -,/,-talaum 0 '=.. ' 2.'166 1910151.:z0errIt,■,rj.,..:r4;; <.,,. t,a 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 Business name: C Schiewe @Associates Inc. 5!t:17 . '" „ : 1;; l ii41*4: 44 ! 0 . 1 (O ki *teNIIE.t :: :E:11 7 : Address: 6615 SW 111 Ave. Please refer to fee schedule. City/State/ZIP: Beaverton, OR 97008 Fees due upon application Phone: (503) 646-6617 Fax: ( ) Amount received CCB lie.: 54105 .7' 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: .1 a Tapp Date: 9/14/ 05 * Fee methodology set by Tri-County Building Industry Service Board. t: \ Building \ Permits \ BUP-PermitApp.doc 12/03 440-4613T(1 I /02/COM/WEB) CITY OF TIGARD r 1314 P BUILDING DIVISION PERMIT #:q d Q ` j ( L/ 7 13125 SW Hall Blvd., Tigard, OR 97223 / < - — ISSUED: Phone: (503) 639 -4171 *me u 1 1A" ri /` .. � Inspection Requests (24 Hrs.): (503) 639 -4175 Ar 4__l • INSPECTION WORKSHEET FOR DATE: TIME: PAGE: SITE ADDRESS: 16 d, , 4 / i / # -S-( CLASS OF WORK: SUBDIVISION: i #: TYPE OF USE: PROJECT NAME: 4- ( ✓� / S <- /LS DESCRIPTION: /'�►' OWNER: PHONE #: CONTRACTOR: PHONE #: Inspection Request Scheduled For: Date: Pour Time: Code # Inspection Description Confirm # Contact # Message g-- 4. 7 F'Vk all/A-,(12-''L 1 2.R0 - 3D-D-3.. Corrections /Comments / Instructions: Ca- 0/A-- r- s .Q. . ; S L % Pii L 6` --2_ A,) , ea- 05 007 3 7 1___I -4 i --- r \A__4\_,e0._, C ) L. A a je----., 1 4 { j a • i - � ; . ?' • j(Akci•IJ 44 e . , 1 1 PASS I PARTIAL APPROVAL ❑ CANCEL fI NO ACCESS n FAIL I I CALL FOR INSPECTION III ADDITIONAL FEES ASSESSED Inspector: Date: 1, i/ V° , Phone #: (503) 718- CITY OF TIGARD BUILDIING DIVISION ilk PERMIT #: BUP2005-00471 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/14/2005 Phone: (503) 639-4171 A AVOli it,. Inspection Requests (24 Hrs.): (503) 639-4175 INSPECTION WORKSHEET FOR DATE: 10/19/2006 TIME: 7:03AM PAGE: 67 SITE ADDRESS: 10220 SW GREENBURG RD 551 CLASS OF WORK: SUBDIVISION: LINCOLN CENTER/THREE LINCOLN LOT #: 009 TYPE OF USE: PROJECT NAME: APEX SYSTEMS DESCRIPTION: TI OWNER: EQUITY OFFICE PROPERTIES TRUST, PHONE #: 503-293-2745 CONTRACTOR: C SCHIEWE & ASSOCIATES INC PHONE #: 503-646-6617 Inspection Request. Scheduled For: Date: 10/19/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 287 Suspended ceiling 018681-01 503-319-7843 Y e ( --' Corrections/Comments/Instructions: • CALL- tO CAI to ccr p_ IIIMIIIIIIPMENIFINP' 0 WI _., / 1 ASS fl PARTIAL APPROVAL I I CANCEL 0 NO ACCESS n FAIL CA FOFVNSPECTION 0 ADDITIO AL FEES ASSESSED Inspector: Date: . , / Phone #: (503) 718- CITY OF TIGARD BUILONeDIVISION PERMIT #: BUP2005-00471 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9114/2005 Phone: (503) 639-4171 betivitt Inspection Requests (24 Hrs.): (503) 639-4175 INSPECTION WORKSHEET FOR DATE: 10/5/2005 TIME: 7:00AM PAGE: 78 SITE ADDRESS: 10220 SW GREENBURG RD 551 CLASS OF WORK: SUBDIVISION: LINCOLN CENTER/THREELINCOLN LOT #: 009 TYPE OF USE: PROJECT NAME: APEX SYSTEMS DESCRIPTION: TI • OWNER: EQUITY OFFICE PROPERTIES TRUST, PHONE #: 503-293-2745 CONTRACTOR: C SCHI EWE & ASSOCIATES INC PHONE #: 503-646.6617 Inspection Request Scheduled For: Date: 10/5/2005 Pour Time: Code # Inspection Description Confirm # Coritact # M-ssage 275 Framing 017470-01 503-780-3222 Corrections/Comments/Instructions: (0 41111 • ----- PASS PARTIAL APPROVAL EI CANCEL NO ACCESS El FAIL I I CALL FOR INSPECTION fl ADDITIONAL F ES ASSESSED Inspector: Date: 'hone #: (503) 718-