Permit "1 <a
CIT OF TIGARD BUILDING PERMIT
PERMIT #: BUP2004 -00419
,1�yA' DEVELOPMENT SERVICES DATE ISSUED: 9/7/2004
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 PARCEL: 1S135AB 03400
SITE ADDRESS: 10260 SW GREENBURG RD 190
SUBDIVISION: LINCOLN TOWER -TOWN OF METZGER ZONING: C -P
BLOCK: LOT: 014 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: 24 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: $ 44,000.00
Remarks: New walls for TI
Owner: Contractor:
EQUITY OFFICE PROPERTIES TRUST HORIZON RETAIL CONSTRUCTION
ONE SW COLUMBIA ST #300 1458 HORIZON BLVD
PORTLAND, OR 97258 • RACINE, WI 53406
Phone:
Phone: 262- 638 -6008
Reg #: LIC 98581
FEES REQUIRED INSPECTIONS
Description Date Amount Mechanical Permit Require
[BUILD] Permit Fee 9/7/2004 $425.80 Electrical Permit Required
[TAX] 8% State Surchari 9/7/2004 $34.06
Sprinkler Permit Required
BUPPLN Pln Rv 9 /7/2004 $276.77 Plumbing Permit Required
[BUPPLN] Framing Insp
[FLS] FLS Pin Rv 9/7/2004 $170.32 Gyp Board Insp
Total Final Inspection
$906.95
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 -! e : • .ugh OAR 952 - 001 -0100. You may obtain a copy of these rules or direct questions to OUNC by
calli • (503) 246 - 66•' or 1- 800 - 332 -2344.
Issu. • By: A ti o , / %I
1 ..
Permittee 1 / 1 i
Signature: / , , _�,, fr
Call 6j' -4; 7 ' - .m. for an inspection the next business day
1111 4 t. t„
Building Permit Application ." / FOR OFFICE USE O . .
City of Tigard Date/By: / / 49' Permit No.: ' 't► Qcif 9
13125 SW Hall Blvd., Tigard, OR 97223 Plan Review �C
Phone: 503.639.4171 Fax: 503.598.1960 / p lli Date/By: - '',...0 L� Other Permit:
Inspection Line: 503.639.4175 P ew Date Ready/By: H See Attached Checklist for
Internet: www.ci.tigard.or.us Notified/Method: 11 1MI . Supplemental Information
a. ..,�, ;'�`+. �t« . r .., � 4 ar::A. .`�;£� �.,•v� aa ..,»� .k .�`.t�:r^ sY.." '°�' >. +M'- ,;'ux';a:'.,:.: - " �.: � •C= �,t "i��52xi.?�.M�..3.; ;'", `�'' '�"
it . _ , ;TI'P "OF . _, . ` A " : , ;'w F . , : `= RE. ° II , EA=DATA :4 AIVD , AMILY�D P:If.: IV.G.
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❑ 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
ddition/alteration/replacement ❑ Other: equipment, materials, labor, overhead, and the profi or the
;:
. ` iN 5 . ,w, Ze °. . � 'i . <
*v ,r - R; s ;te. =;:sz zm.., j ,z, ,Z; ~ ;; ; „ �t work indicated on this application.
LL e =` a;M - OF tbiet C N R T M—Y- � s r,`. 1
> V "°
❑ 1- and 2- family dwelling ®- eommercial /industrial Valuation: $
❑ Accessory building 11:1 Multi-family Number of bedrooms:
❑ Master builder ❑ Other: Number of bathrooms:
' a l I .45613 IT
S E I NRORIYIATIO V AIVb i ' QC T =L O lY j * `, ' - Total number of floors:
, . ,.. �,> , ., , s . . V a�_ i F,A R , a,v - „ ” w ,r 7 •-.n..
Job site address: /0,9./0(3. ' i96 New dwelling area square feet
City/State /ZIP: �CZ�� r w ( \ 'Z - Garage /carpor .rea: square feet
r Suite/bldg. /apt. no.: I Project name: . KSIA . ,1/ e5f,e the Covered ..rch area: square feet
Cross street/directions to job site: Dec .rea: square feet
Other structure area: square feet
41 DD`r#'I 1..t RCI USE::C'AE
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
-,"°t, ., '/ 11 , `' ,, ? - « .,?k..::. ,,s t,KIci k." . .Y` r' "`r' z %t.<3= :? T +'i.i ±. As°.,'.t »:. „-yee ;;;” '.: - ';' ; :7- „'e�
* - ” , '4 a A� S C A tc w t ; o - , 1Vs - fiOR *. i a work indicated on this application. ,
l 501? S42- , Valuation: $ c{L1 t ClC.O
Existing building'area: square feet
New building area: square feet
- r r . R ' i ' .1itz .a.;" „ :.: : '” ":sz .,- .." ,"- "
. r ,&., •., .-,,n r ^ ;`;.rtpp,.. ;: °>
®PO r _ _. .
R ..k > F IAT - t I ` s Number of stories:
Name: 14 % 1, � � c.! t e -> Type of construction:
Address: Occupancy groups:
City/State /ZIP: Existing:
g
Phone: ( ) Fax: ( ) New:
P. ET : � z£ CONGA *':PE e * T.x.4 v "
x - .3 F .�4:1�.a ,.> - a .. a .... - . 4,0f � 11 t t nl _,
Business name: -- All contractors and subcontractors are re uired to be
-,Th2 - 17. c- t t - r$ q
Contact name: i licensed with the Oregon Construction Contractors Board
'TZ�N'1 • C7v 6'4'0t112ef under ORS 701 and may be required to be licensed in the
Address: P 'j )o — C. Q G t4 -4 jurisdiction in which work is being performed. If the
City/State/ZIP: applicant is exempt from licensing, the following reasons
cZTt_ rpm ,7 e3 ( 9 Z � apply:
Phone: (So"') 32,c, 6-5-5—/ Fax: : ( /`Q'1 ) c 8` 1 -3 06+0'2
E- mail: Tbt't“ 0 T - CE- ✓i702. M. iTS . c.oc.A
Business name: 4Z "L. a t.. �'e_ GL: k Cc:bt •S--F .1. � -
' ' "�% �B =ILbINGPER:NIIffEES * -
Address: (Li j$ (-(02(14••, i3( veL.
P lease refer to fee schedule.
City/State /ZIP: 1'�rx,- 0.._.t 4 :5 c6 c.
Fees due upon application
Phone: ( ?c,2-) 6r53 -_ b% Fax: (may) 6O - 601
CCB lic.: 9 Q' Ss-1 (F /a4 Amount received
( 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: co -0 1 kk Av 1 ^ kv .. P Date: , _ l/
( _ * Fee methodology set by Tn- County Building Industry
�f Service Board.
i\ Building \Permits\BUP- PerrrutApp.doc 12/03 440- 4613T(I1/02 /COM/WEB)
. Building Division
0 �I 1 \
•
, � °N' A Plan Submittal Requirement Matrix il
Commercial & Multi - Family - New, Additions or Alterations
City of Tigard
'1 , Ty of tal z �= , ,, # o f 4 Pl a ns
a SrP i t, e� 1 to a
{Tnc de & addrnonspn al r . R equ>tued $at
.. . , "' 1 . : ... u I 1 6* J.: Subm>ttal.. ;.
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
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 24 -Hour
BUILDING Inspection Line: (503)f39 -4175
MST
INSPECTION DIVISION Business Line: (503) 639 ®,o) d 4 7 -- 00 �9
Received Date Reque d , ® AM PM BUP 7
Location / 6 a` ✓' ✓'� Suite / / 6 MEC
Contact Person Ph PLM
Contractor Ph ( ) SWR
Tenant/Owner ELC
Footing ELC
Foundation Access: •
Ftg Drain ELR
Crawl Drain
Slab Inspection Notes :� SIT
Post & Beam �'
Shear Anchors c J'
Ext Sheath/Shear
Int Sheath/Shear
Framing E` ` / C-0 - • 6 1 e- -6 dS 'Kee C - . Drywall -
Nailing
Nailing
Firewall / O / lA � Fire Sprinkler C/C )
Fire Alarm Lr 1 c-
Susp'd Ceiling L
Roof er 61 1 - 1 1 1 L�) j
4. : 4.--/ ---Q •
Oth
mal
iia PART FAIL
• ► BING
Post & Beam
Under Slab
Rough -In
. 9 eIII 4
Water Service
Sanitary Sewer
Rain Drains r f
Catch Basin / Manhole
Storm Drain - -
Shower Pan
Other: .w
Final ��
PASS PART FAIL ,; •
MECHANICAL
Post & Beam
Rough -In
Gas Line
Smoke Dampers
Final
PASS PART FAIL /ff
ELECTRICAL
Service
Rough -In
UG /Slab
Low Voltage
Fire Alarm
Final
.0 Reinspection fee of $ required before next inspection.. Pay at City Hall, 13125 SW Hall Blvd.
PASS PART FAIL _
SITE ❑ Please call for reinspection RE: Unable to inspect - no access
Fire Supply Line
ADA t VVO Approach /Sidewalk Date Inspector i° Ext
Other:
Final DO NOT REMOVE this Inspection record from the Job site.
PASS PART FAIL