Permit -
CITY OF TIGARD BUILDING PERMIT
PERMIT #: BUP2004 -00264
DEVELOPMENT SERVICES DATE ISSUED: 6/7/2004
13125 SW Hall Blvd.. Tigard, OR 97223 (503) 639 -4171
SITE ADDRESS: 10250 SW GREENBURG RD 201 PARCEL: 1S135AB -04500
SUBDIVISION: LINCOLN BUILDING PP1991 -055 ZONING: C -P
BLOCK: LOT: 001 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: 2 -1 HR : sf N: S: E: W:
OCCUPANCY GRP: B TOTAL AREA: 0 sf ROOF CONST: FIRE RET?
OCCUPANCY LOAD: 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: $ 3,000.00
Remarks: TI
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 6/7/2004 $72.10 Electrical Permit Required
[TAX] 8% State Surchan 6/7/2004 $5.77 Sprinkler Permit Required •
Framing Insp
[BUPPLN] Pln Rv 6/7/2004 $46.87 Gyp Board Insp
[FLS] FLS Pin Rv 6/7/2004 $28.84 Final Inspection
Total $153.58
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 -0010 through OAR 952 - 001 -0100. You may obtain a copy of these rules or direct questions to OUNC by
calling (503) 246 -6699 or 1- 800 - 332 -2344.
Issued By: .d S -
—
Permittee
Signature:
Call 639 -4175 by 7 p.m. for an inspection the next business day
I
Building Perini ,A i i teal gi p , I n ., FOR OFFICE USE ONLY .
, n ; u 1> ®' Received Building ' 200 -p 0 2 6
Date/By: �V e y [ill Permit No.: `~
� �
City of Tigard p � Planning Appro al Other
13125 SW Hall Blvd. JUN 2004 Date/By:
Plan evn Rev Othe No.:
ie Other
Tigard, Oregon 97223 CITY OF TIGARD Date/By: - 7 - v /7 35 ,& .... Permit No.:
Phone: 503 - 639 -4171 li.t9114U§3l 10 . . /�a r ��1�\ Post- Review
Land Use
Internet: www.ci.tigard.or.us �. E! Contact Case No.
24 -hour Inspection Request: 503-639-4175 Name/Method: Contact Juris.: u See Page 2 for
I Supplemental Information
• `TYPEOF WORK - ; :•::, - .::°2 ::,;
❑ New construction ❑Demolition REQUIRED:DATA
I & 2 :FAMILY DWELLING
Addition /alteration/replacement ❑ Other:
' CATEGORY QF=CONSTRTICTION' : :''; .° Note: Permit fees* are based on the total value of the work performed. Indicate
❑ 1 & 2- Family dwelling igCornmercial/Industrial the value (rounded to the nearest dollar) of all equipment, materials, labor,
❑ ACCeSSO overhead and profit for the work indicated on this application.
rY BUlldm g ❑ M ulti- Family
❑ Master Builder ❑ Other: Valuation $
JOB SITE INFORMATION and'`L'OCATION ` . No of bedrooms: No of baths:
Job site address: ( 0 2- 5 n SW t'-, r Total number of floors
V (�pa
Suite #: 2 0 .9 New dwelling area (sq. ft.)
( Bldg. /Apt. #: L 1 ,-. C.�� 1 j Garage/carport area (sq. ft.)
Project Name: Forest Cl Covered porch area (sq. ft.)
Cross street/Directions to job silt: Deck area (sq. ft.)
Other structure area (sq. ft.)
:,, :•..- REQUIRED DATA 7> ;�s.::::.; ;;,,^ , .;;
Subdivision: :: ? COIVIri�ERCIAL = USE' CHECKLIST
Lot #: .. -
Tax map /parcel #: Note: Permit fees* are based on the tot
.; , ermrt total value of the work performed. Indicate
a tl r
T DESCRIPTION WORK' ` the value (rounded to the nearest dollar) of all equipment, materials, labor,
TeY►arit- lenpro'/eYnevit overhead and profit for the work indicated on this application.
t Valuation $ 7j6-Z70..&°
Existing building area (sq. ft.) 7C 't .5
New building area (sq. ft.)
Number of stories () 71.1•EE
Et, PROPERTY: OWNER•;: ::: ® :;TENANT ;-: :,: 4i:::!:: Type of construction 4 -, 1-0- ,
Name: EQUITY °FF(GE flkofe Occupancy group(s): Existing: p
Address: On SW Columbia. Sui. 3Oci '_. - . -- New: t3
City/State /Zip: rortlartet, op- ,7258
Phone:503 412-4800 Fax: NOTICE: All contractors and subcontractors are required to be
EF•AAPPLICANTrft.if0:, s ;,CONTA`CO3PERSQrsMb:
licensed with the Oregon Construction Contractors Board under
'ts e
Business Name: G 1'�1^e.11't provisions of ORS 701 and may be required to be licensed in the
t' G t Inc. jurisdiction where work is being performed. If the applicant is exempt
Contact Name: F- y (k. Gior from licensing, the following reason applies:
Address: 1 120 NW Covcll St, _ So;te So; 300
City/State /Zip: ?ortland op,. •
-
Phone: 5o3 2L -96,54, I Fax:
,t mar at-
E -mail: _ ..: • , #e
-�£� ;a �:' . • '�� J �'• -
g? . :i :_T :: iCO) t .( t .� , *;-*:`g : -4. rg' „ E t, - tEfei o tte�dile: �: -
r ` 4 ' ^LG ?mar �"�"'a�� �:- �a: + ck �..`.- .`.= .`SC,: ` v' a.. v y. „Y..r..'2"�- �rx".'' -':_ "', 4t'� � .._5.
Business Name: C Sd i e toe 4 Asr- , Inc . .
t Fees due upon application $
Address: 66 l S sw lilt' Avenue
City/State /Zip: 'P'eave t OF-- Amount received $
Phone:503 69- (p - I Fax: Date received:
- CCB Lic. #: 54 109-
Authorized
Signature: A-, „, Date: 6.7 .. A Notice: This permit application expires if a permit is not obtained within
180 days after it has been accepted as complete.
l� R . Glu r
(Please print name) , *Fee methodology set by Tri -County Building Industry Service Board.
i :\Dsts\Pennit Fomu\BidgPermitApp.doc 01/03
•
•
, ,. .
ores' Ci�'i ZI/
L A I° H ` Ili '
:i!J. t~� Barrier Removal Improvement Plan
t City of Tigard
N
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
excluding painting, wallpapering.
[1] $ '5Cra co-3
multiply: 25% Barrier removal requirement. .25
BUDGET FOR BARRIER REMOVAL [2] $ 7 0 . °')
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:
(a) - Parfk- a c ce,rib le eott7... $ 15o.
(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 $ 150 I.)9
i:\dsts\fomLs\Accessibility.doe 06/07/02
CITY OF TIGARD 24 -Hour
BUILDING Inspection Line: (503) 639 -4175
INSPECTION DIVISION - Business Line: (503) 639 -4171 MST
Received Date Requested 8 '' - AM PM BUP
Location 1 0 Z SSc ) Z J2 �}') Gf� Suite / MEC
Contact Person I -' Ph 3� CC'S PLM
Contractor Ph ( ) SWR
BUILDING Tenant/Owner ELC
Footing
Foundation ELC
Access:
Ftg Drain ELR
Crawl Drain
Slab Inspection Notes: ( r SIT
Post & Beam
Shear Anchors
Ext Sheath/Shear
Int Sheath /Shear
Framing
Insulation
Drywall Nailing
Firewall )_
Fire Sprinkler
Fire Alarm
Susp'd Ceiling /�
Roof
Ot • '
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 / , 1�
Service :4, gkin
Rough -In
UG /Slab �. J ��
Low Voltage
Fire Alarm
Final Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
PASS PART FAIL
SITE El 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