Permit A, ,
A - CITY OF TIGARD BUILDING PERMIT
PERMIT #: BUP2004 -00292
l4 DEVELOPMENT SERVICES DATE ISSUED: 6/24/2004
- - c � J 11 13125 SW Hall Blvd.. Tigard, OR 97223 (503) 639 -4171
SITE ADDRESS: 10260 SW GREENBURG RD.386 37 PARCEL: 1S135AB-03400
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: 13 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: $ 17,500.00
Remarks: TI
Owner: Contractor:
EQUITY OFFICE PROPERTIES TRUST C SCHIEWE & ASSOCIATES INC
10260 SW GREENBURG RD #100 1024 NE DAVIS ST
TIGARD, OR 97223 PORTLAND, OR 97232
Phone: 892 -2500
Phone: 503 - 234 -6617
Reg #: LIC 54105
FEES REQUIRED INSPECTIONS
Description Date Amount Mechanical Permit Require
[BUILD] Permit Fee 6/24/2004 $216.10 Electrical Permit Required
[TAX] 8% State Surcharl 6/24/2004 $17.29
Sprinkler Permit Permit Require(
Fire Alarm Permit Requirr
es
[BUPPLN] Pln Rv 6/24/2004 $140.47 Plumbing Permit Required
[FLS] FLS Pln Rv 6/24/2004 $86.44 Framing lnsp
Total Gyp Board lnsp
otal $460.30
Final Inspection
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: c���� ; k ;; ;. " &v
Permittee 3 j. /� Signature: if/C/
Call 639 -4175 by 7 p.m. for an inspection the next business day
, e , \\ i s -
Building Permit Apt & -ation , ..00k FOR OFFICE USE ONLY "
City of Tigard \ RO Received
S" GP Date /Bv: Permit No.:
P a
13125 SW Hall Blvd..,Tigard, OR 97223 <�\ �� - .. � /
` v \ Plan Review
Phone: 503.639.4171 Fax: 503.598.1960 G \� � Q A l to \ / ,hI + Date/B : . ...AL.'', � 0 Other Permit.
Inspection Line: 503.639.4175 5 v \ �Q \ \" _ ,�• Date Ready /By: El See Attached Checklist for
Internet: www.ci.tigatd.or.us c3 Notified/Method: IMI Supplemental Information
.';y .1-.,A;:. '.r , &- .a^ --'r,«r:'.z.,..w.•...uas = �,,:.� ,, rte- :�„'; �«�..a,:.,
ri q ., lor ^r ar. v `a4 1 -, w s *,,e• .,:-• ', •rrizri• •• 4
P TYRE OF,:SwORI-s ,4.
E x. � .s. „�� •:vi•:- �s- :��. >�`'�.: "� ", �;a�4,�° �... �:: �'`"x�A .��,��r . �REQ .�1.:A F , , � � SING;
❑ New construction ❑ Demolition Permit fees* are based on the value of the work performed.
Indicate the value (rounded to the nearest dollar) of all
CO Addition /altteratit /replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the
ohm. R +, �-,� w ' - n7"`"' �.°'� ".'!v ta.»�,:e!;-- :M1iY!SU >*'" •-- 7^:uP f +°.:txh. - =:xn -
. n ei.', Sfi ..
A,. r t work indicated on this application.
.. _mae. fir,' . �;.� � z �CATEG;dRYO,F �C01!T�'U;G'TIUN,; °_ -, r � PP
❑ 1 - and 2- family dwelling ,J] Commercial /industrial Valuation: $
❑ Accessory building ❑ Multi- family Number of bedrooms:
❑ Master builder 0 Other: Number of bathrooms:
t.. '''[�� ����"``^`"���r <n;��s =� ,c.d. " >. cai- ....:���r.;a:r+r�:z -R:: raeu- .<.�w:�- ;v.,wa+,.�:_ o^.�. �,.,p: -;� =e� a.c- ,r�..,r:�q, .�,... ,� -
Total number of floors:
�,`��,;�,; � .�Y±�J..,.�a�. , �_- INEQRMA 'I'IUl!T�.ANDLOCATIUNx -':�^ , "a,�' }��
",1'� "r - ._• '. SHk�dWa*a;..- �+k,+n .^. .;: si'.r^SiFi•. d:�Sr x- -..;u ;MIN
k:'r �.`7U
Job site address: Li h C o1� To 1..,./e I. New w dwelling area: square feet
City /State/ZIP: ` o r •t t, oR Garage/carport area: square feet
Suite/bldg. /apt. no.: '3 E, Project name: )40,�� e r e,, f-2 Covered porch area: square feet
Cross street/directions to job site: Deck area. square feet
Other structure area: square feet
°; REQUIRED DATA COMMERCIAL -.USE CHECKLIST:;;
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, profit for the
�.,;. 4 �, m ,.��, �,,,.._,_ e m ment, materials, labor, ov erhead, and the
., a'- , r,. ` DES I'S.:o WORK , ' ':. x,ar,;i ;M, ° g: t a< a:: {
,=:. "''k�������''�:"�' "�• ,.... u.. srt �:�. �,.�..�� ���- .;�- „ - �$:.��F� �€ ���., �;���t work indicated on this application.
Ten an 7” IiMrr €ve meel (.t/ark Valuation: $ 1 7, 50 O
Existing building area: square feet
New building area: square feet
°„ � PRO �. ;�-
4 ;u .. f ;, , ;, A.. , R7 • N �ES ti:f� tTEI!IANT� N 2t ': Number of stories: /2
Name: G 01 t O / /, 'C_a
Type of construction: - F J2
Address: an i Co 1 U Wl \ 1 a �-V' `Suit_ 30'0 Occupancy groups:
City /State/ZIP: Po r li am c / Q 2 97 2
Existing:
Phone: ( 503) 1 2 - 4 g0 a Fax: ( 563) 4 - 12 — �I r� / ,p
-. _.� . �,- .'7 ' �«.�,«.,f:�;>�1�� �; � - , Q Y O New:
,
- �'vr.,. i.. 'a-�C � i, i . R^� .5�, ?A ±, ... x �a � 'rx .. „- ct�.�,...,, :r>.,r� £�:t
�� y,. �: ArrilcAlvT . <� � `eta «;
,� -� `��'',,. ~..,�� � : �• �;.. �._ x. 7, ��� , ._�:..�.'�.��'i *. ..=�,��� ®,�CONTAGTBERSON�:: �k;�; ;� =.x= '.rte - ' ,� �',�,, .��.::_.�,�,: �:��. -
.t ., .,j_ ...2 ..,.x,. 1,..,-1,4•1,.: :.sag _.� ,T ; V l . - :x ;,< l + , .'
Business name: 'ro 4: xt s' . r r•: ie ''' . a m £
G /v1 o 6 b
n a k z1 € All contractors and subcontractors are required to be
Contact name: 1. U So.NA 1--\■ c- b e. licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address:
Pis r, O X 90 3 o jurisdiction in which work is being performed. If the
City / State/ZIP: �� /Qh O 9 7.20 I' applicant is exempt from licensing, the following reasons
apply:
Phone: ( 503) 2 2 4.- 9 3 60 Fax:: ( 503) 2- 2 g_ /'Z ,g,- 5T
E -mail: S\Dh •O q r`t to eke'k , ca Al
215 117, ,- iN "; ' ,CONTRACTOR a 1 1_.. A
Business name: C- ' c - .L A SS O C( 0.�C�ij , �.
'�;`, h �. "� ' ' YBUII:DING"��'P,E "�� :. r ~.� ���t,_. ,���
n , , p i R1lIT1 FEES* y °,
Address: j �kJ"� =a. - �atei..wt.*,,� u��.��a- x�,�...,�+`*'Sa+ �z�'s.v�"�a � � ai'
�' / w `, Please refer to fee schedule.
City /State/ZIP: e0 . . v - T 0 K J e 910 a 8
Fees due upon application
Phone: ( .503) 6 4.,6- 6 6"/ 7 Fax: ( )
CCB lic.:
5 / O 6 Amount received
Date received:
N.k n e This
permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: l - Ait kis g.e
Date: 6_ ZZ De * Fee methodology set by Tti- County Building Industry
/ Service Board.
i:\ BuildingNernuts \BUP- PemutAp,.doc 12/03 440- 4613TT( I I/02/COMJWEB)
CITY OF TIGARD 24 -Hour
BUILDING Inspection Line: (503) 639 -4175
INSPECTION DIVISION Business Line: (503) 639-4171 MST
BUP 4 DO
Received Date Requested AM PM BUP
Location ,E 57C MEC
Contact Person Ph ) �3 cep p - 2 S 3 PLM
Contrac Ph ( ) SWR
UILDING Tenant/Owner ELC
o •
Foundation ELC
Access:
Ftg Drain ELR
Crawl Drain
Slab Inspection Notes: SIT
Post & Beam
Shear Anchors
Ext Sheath /Shear
Int Sheath /Shear
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler •
Fire Alarm
•
Susp'd Ceiling
Roof
Other: r �
ASS PART FAIL I !�
P U l, :ING
-ost & 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 � A
Service
Rough-In Oni 1 _
UG /Slab / I ./ � No/
Low Voltage
Fire Alarm
Final 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
Approach/Sidewalk Date Inspector Ext
Other:
Final DO NOT REMOVE this inspection record from the Job site.
PASS PART FAIL