Permit CITY OF TIGAR BUILDING PERMIT
PERMIT #: BUP2005 -00255
It DEVELOPMENT SERVICES DATE ISSUED: 6/15/2005
Ail 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171
PARCEL: 1 S135AB -04500
SITE ADDRESS: 10250 SW GREENBURG RD 200 ZONING: C -P
SUBDIVISION: LINCOLN BUILDING PP1991 -055 LOT: 001 JURISDICTION: TIG
Project Description: TI: Relocating walls.
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: 40 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: $ 18,000.00
Owner: Contractor:
EQUITY OFFICE PROPERTIES TRUST FRED SHEARER + SONS INC(CCB #357)
ONE SW COLUMBIA ST #300 5500 SW ARTIC DRIVE
PORTLAND, OR 97258 BEAVERTON, OR 97005
Phone: Phone: 503 - 520 -9991
FEES Reg #: LIC 357
Description Date Amount REQUIRED ITEMS AND REPORTS
[BUILD] Permit Fee 6/15/2005 $216.10
[TAX] 8% State Surcharl 6/15/2005 $17.28
[BUPPLN] Pln Rv 6/15/2005 $140.47
[FLS] FLS Pln Rv 6/15/2005 $86.44
Total $460.29
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes
and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is
not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law
requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain a copy of these rules or direct questions to OUNC by
calling 503 - 246 -6699 or 1- 800 - 332 - 34.. _
Issued B /$ ,' .1!X� Permittee Signature: '
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 am required on the job site at the time of each inspection.
1•
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Building Permit A I t tio_I11 ` ( ED - FOR OFFICE USE ONLY ..
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City of Tigard Received / / Q �! rj PemutNo.:
Date
13125 SW Hall Blvd., Tigard, OR 9722 Date/By: 40 J IJI'S 4 �, - • ,• , .— I I,. ��
9 f C Plan Review 1
Phone: 503.639.4171 Fax: 503.598.1960" I 0 ZO / A ith l °It� DateB : Other Permit:
Inspection Ins Line: 503.639.4175 ' I I Ready/ By: Read Juris: El See Attached Checklist for
p CITY OF TIGARD W Notified/Method: Supplemental Information
Internet: www.ci.tigard.or.us pp
BUILDING DIVISION
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�ry� , ,141.4,':=.1-v-,,,,,' 1 �. �YsP�E OF w� '��:�;� � k ,�. �RE A 1 ; gAN J�:2,- FiAI!%IIII�Y °:D WEI;LINGa
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❑ New construction ❑ Demolition Permit fees* are based on the value of the work performed.
Indicate the value (rounded to the nearest dollar) of all
E Addition/alteration /replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the
i _ ', ,' x ` : - ' «:'' . � : ::w ..,., ,�:...�,,.7•i.,,, • r work indicated on this application.
_ ' .`. °. f =� , � t,C TEG OR OF CON C IQN � ° ��,;, ' 4 t143�
111 1- and 2- family dwelling /74 Commercial /industrial
Valuation: $ •
El Accessory building ❑ Multi - family Number of bedrooms:
❑ Master builder ❑ Other: Number of bathrooms:
07 :IO$ SITE E RiV1 ITION A 414OCAT OI`W. Total number of floors:
Job site address: i oz. 50 5 to gIQ.. r &i s€ Rq red. New dwelling area: square feet
City/State/ZIP: Pb RT h 6 2 '7 7zZ Garage /carport area: square feet
Suit ldg. /apt. no.: 20 Project name: kiT64 res r( (4p a z- pIej E Covered porch area: square feet
Cross street/directions to job site: FOR E5 l e t . r y 172,t4cYfAti. Deck area: square feet
wit , L X / CO L A - Other structure area: square feet
E DA'i CO'1 CI3ed&iS, : : ”
Subdivision: Lot no.: Permit fees* are based on the value of the work performed.
Tax map /parcel no.: Indicate the value (rounded to the nearest dollar) of all
equipment, materials, labor, overhead, and the profit for the
-, ° ,r n+ , h,. `i w
9 ,;. ti. _, :» •
,1 4,, ` l: work indicated on this a
f l ° t �. k. •Ni'r , ItrPZTION O , WO RTS t` ` ` , . ?� . ,�"' Y.. t application.
Valuation: $
*,G$1 o. of Ex &I. Mr: tv -LIA 41 rr_t /8 00 0
s iEa) .1u4 IA_ ;1,7 l � ) - Ltp Ade Existing building area: square feet (
, x '!Air g ' a �e pi e = L // / C l�iC7G New building area: square feet
�,.,, c:r -- c.�t;� ?,', n ' ;,,;C. -cr(,.r :: �, / w . ' � ,, . :�. <,E�`.:.n "� y ' `nt`3i�?: �. Number of stories: < P O RTYWO T€NAN� i g
' % ., a.3.,, � ,4 rai>i r, 'Y44 04 1 , . ' ^Y:'± wNk *Ala „.30 � : aL 3
Name: Foe 01-, -Tie M d di al 9 „ /) Type of construction: g r d d L -
/
' Address: 0 > 0 c 9 oilB W s ' � 200 Occupancy groups: I \
City/State/ZIP: pF 2 T L M1I it Q to 9 7Z Z 3 Existing:
Phone: (13) yG - g r
Z Fax e03) ijse- z-20 3 :
New•
`", _ , ' '. r, , a i, hi '.wk'» .„ ; 4 t',3,', " �t �„'`su 2 ""; * . " .-'a i �" "4 ' " _ - ,m,T
' > I . APAI vT , s ; w C 1 TACT PAiRSON :. a 0 . ns��;' IV z : :=Ai . ,} ^..,
,.� .' i „ =w.� * _ _ , ax� tt -a, •ss :- a.,. � „fit .�. r NOTICE c”.
Business name: Fir „ ! g ft . f44 eke 5„,,,..., Le C. All. contractors and subcontractors are required to be
licensed with the Oregon Construction Contractors Board
Contact name: //� IC � L V z �
i ^ - /� a under ORS 701 and may be required to be licensed in the
Address: 5 5.00 SW 472Cn c 1)i (V E jurisdiction in which work is being performed. If the
City/State /ZIP: gE,bq V E it-70 , D2 .q 7 s-
applicant is exempt from licensing, the following reasons
pQ�j apply:
Phone: (503) 5ze9 _ 91 ci I Fax: : ( ) (.e6 - 1
Email: 0 oo O R. e a!I 's .sie Ei W
i , fie€ , s # t. , "h ' �1 ye `�`” ', » ", ' ' g 7 Mt "x�k:`i'.. " `='�' v
Business name: _•
rime{ SH- iE� re p re. Se7 �lS N �� a
om. xI4 4�sii�bYiv� :lvliT��E11s *�
Address: 55!9,9 5 LC' ■ iq l� e7 r/ G DR.! U E. •
Pleease e refer to fee schedule.
City/State /ZIP: 45 iF Au Fie-Few 2 r ✓ S
) 5 zt� _ 99? ( 603) 6 919 / Fees due upon application �a z �
Phone: `!) Fax: Fes
CCB lie.: 4*. 35 Amount received
Date received:
Authorized signatur. e / ' This permit application expires if a permit is not obtained
� fAl —.r .1r—di AI / within 180 days after it has been accepted as complete.
Print name: /' �O �� Date: (7 rc * Fee methodology set by Tri- County Building Industry
Service Board.
i:\ Building \Permits \BUP- PermitApp.doc 12/03 440- 4613T(1I/02 /COM/WEB)
•
• Building Division
Plan Submittal Requirement Matrix
=--� Commercial & Multi- Family - New, Additions or Alterations
City of Tigard
°� Typeof bmzttal = { #of Plane
¢x
�- �(Incl adch�ions�an��alterahons� � Requ><red at �.
Demolition Permit 2
(site plan required showing location and square
footage of all buildings to be demolished)
•
Site Work 2
(must include location of all accessible parking)
Plumbing (site utilities) 2
Building 1*
•
Fire Protection System 3**.,
•
Mechanical 2 -
f
•
• Plumbing (building fixtures) 2'
Electrical 2
•
Plan review is dependent upon submittal.of a completed application and plans.
After plan review approval, the Plans Examiner will contact the applicant to request
additional sets of plans for distribution purposes (for contractor, City of Tigard,
Washington County, and Tualatin Valley Fire & Rescue) - •
* For over - the - counter commercial tenant improvements, submit 2. sets of plans.
** "New" fire protection systems require that plans bear the original seal of an
Oregon licensed fire suppression engineer, or NICET level "3" technicians.
i:\ Building \Forms \COM- PlanSubReq.doc 12/24/03
CITY OF TIGARD . .
BUILDING DIVISION PERMIT #: BUP200S-00255
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6115/2005
Phone: (503) 639 -4171 ai jll
Inspection Requests (24 Hrs.): (503) 639 -4175 �.:'
INSPECTION WORKSHEET FOR DATE: 8/18/2006 TIME: 7:06AM PAGE: 84
SITE ADDRESS: 10250 SW GREENBURG RD 200 CLASS OF WORK:
SUBDIVISION: LINCOLN CENTER /LINCOLN BLDG LOT #: 001 TYPE OF USE:
PROJECT NAME: FOREST CITY TRADING
DESCRIPTION: TI: Relocating walls.
OWNER: EOUITY OFFICE PROPERTIES TRUST, PHONE #:
CONTRACTOR: SHEARER + SONS INC(CCB #357), FRED PHONE #: 503 - 520 -9991
Inspection Request Scheduled For: Date: 8/18/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
299 Final inspection 013810-01 971 -236 -9121 Y
,2- L,. iVv(iCe_
Corrections /Comments /Instructions:
FLA iC° Vel zia4- t"
F SV\4L o
/.
Le
PASS fl PARTIAL APPROVAL ❑ CANCEL n NO ACCESS
F FAIL A CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
g _ �_�
Inspector: Altai - Date: I Phone #: (503) 718-
w r