Permit CITY OF TI GAR® BUILDING PERMIT
PERMIT #: BUP2005 -00462
Alil DEVE Hall O BMEN O
SERVICES DATE ISSUED: 9/13/2005
— 13125 I
PARCEL: 1S135AB-03400
SITE ADDRESS: 10260 SW GREENBURG RD 1000 ZONING: C -P
SUBDIVISION: LINCOLN CENTER /LINCOLN TOWER LOT: 014 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: 2N : sf N: S: E: W:
OCCUPANCY GRP: B TOTAL AREA: 0 sf ROOF CONST: FIRE RET?
OCCUPANCY LOAD: 21 BASEMENT: sf AREA SEP. RATED:
STOR: 10 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: $ 9,000.00
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: Phone: 503 - 646 -6617
FEES Reg #: LIC 54105
Description Date Amount REQUIRED ITEMS AND REPORTS
[BU[LD]Permit Fee 9/13/2005 $129.70
[TAX] 8% State Surchari 9/13/2005 $10.38
[BUPPLN] Pln Rv 9/13/2005 $84.31
[FLS] FLS Pln Rv 9/13/2005 $51.88
Total $276.27
This permit is issued subject to the regulations contained in the Tigard•Municipal Code, State of OR. Specialty Codes
and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is
not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law
requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain a copy of these rules or direct questions to OUNC by
calling 503 - 246 -6699 or 1- 800 - 332 -2344.
Issued By: _. .5.„..„..--- / / 1 Permittee Signature: _ :.� �� //
Call 503 - 639 -4175 by 7:00 a.m. for an inspection that business day.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
1 Building Permit Ap it EIVED FOR OFFICE USE ONLY _
City of Tigard Received EP 1 3 2 05 Date/By 9 Permit No.: r U r, 0O,9-00Y6
13125 SW Hall Blvd., Tigard, OR 97223
Phone: 503.639.4171 Fax: 503.598.196 � r,ta , �1'o'+ ps1ft I i Date /B . �%�� Other Permit:
Inspection Line: •
503.639.4175 _l4 A I�
www.ci.tigard.or.us Date Ready/By: Juris: El See Attached Checklist for
Internet: www.ci.ti � ""
g WY QF T1GA Notified/Method: Supplemental Information
nU1LDIN G DNISI •
TYPE OF WORK REQUIRED DATA: 1 -AND2- FAMILY DWELLING:
❑ New construction ❑ Demolition Permit fees* are based on the value of the work performed.
Indicate the value (rounded to the nearest dollar) of all
j a Addition /alteration/replacement ❑ Other: equipment, materials, labor, overhead, and the profit.for the
- • CATEGORY OF CONSTRUCTION A _ work indicated on this application.
Valuation: ,$ • a-'
❑ 1- and 2- family dwelling 'Commercial /industrial . t 4.1.7S-* 4.1.7S-*
❑ Accessory building ❑ Multi- family Number of bedrooms:
❑ Master builder ❑ Other: Number of bathrooms:
.. JOB SITE INFORMATION - AND LOCATION Total number of floors:
Job site address: 1(S 2 (20 SW, 6,P.gE.r W ZG, R New dwelling area: square feet
City /State /ZIP: `fl c Ok. ei 7L - 23 Garage /carport area: square feet
. Suite/bldg. /apt. no.: 1000 Project name: ..p fttJq3 UAt._ 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, materials, labor, overhead, and the profit for the
DESCRIPTION OF WORK • . work indicated on this application.
Valuation: $
Existing building area: square feet
- New.building area: ADV square feet
PROPERTY OWNER ❑; T ENANT Number of stories: t 0
Name: Eir;2J 1TY pc F le.E P RoPE12-Tt E.S Type of construction: I - B
Address: Occupancy groups: e) ete 21
City /State /ZIP: Existing:
Phone: ( ) Fax: ( ) New:
,,APPLICANT ❑ CONTACT PERSON • NOTICE
Business name: < ?(z.,wP ,ksp-ZLE • All contractors and subcontractors are required to be
Contact name: ,Os J -�'Ap� licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address: CX0 e t 0 , W fbA, 1J c r • jurisdiction in which work is being performed. If the
City /State /ZIP: P. (11 o Q ? . _B ei applicant is exempt from licensing, the following reasons
apply:
Phone: (G23) a 24- ag6 O Fax:: ( ) .
E -mail: c.r p (� rP Md a.�i‹ . C9M
t CONTRACTOR. •
Business name: 6,... S( � 4- A Sso�x....is,es
.BUILDING' PERMIT FEES* _
Address:
Please refer to fee schedule.
City /State /Z1P:
Fees due upon application
Phone:( ) Fax:( )
Amount received
CCB lic.:
Date received:
Authorized signature: ., P/ This permit application expires if a permit is not obtained
� within 180 days after it has been accepted as complete.
Print name: Jost,k,s 4 K \.tep Date: e /3/05 * Fee methodology set by Tri- County Building Industry
Service Board.
i:\ Building \Permils\BUP- T1- PermitApp.doc 12/03 440- 4613T(11 /02JCOM/WEB)
•
•
Building Division
i.� ll' Plan Submittal Requirement Matrix `
Commercial & Multi - Family - New, Additions or Alterations
City of Tigard
ti
Type of Submittal # of Plans •
(Includes newt additions and alterations:) Required at
• Sibniittal
De olition Permit 2
(site an required showing location a square
footage of all buildings to be demol• hed)
•.
Site Work 2
(must include ocation of . accessible parking)
Plumbing (site uti ies) 2
Building 1*
•
Fire Prot- tion System 3 **
Mech. , 'cal •
Plu bing (building fixtures) 2
El ctrical • 2
. 4 .
•
x .\
Plan review is depe ent upon submittal of a completed application -a`nd 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.
.
ir\ Building \Permits\BUP- T1- PermitApp.doc 12/03 440- 4613T(I I /02/COM/WEB)
•
CITY OF TIGARD
BUILDING DIVISION PERMIT #: 13UP2005 00462
13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 9/13/2005
Phone: (503) 639 -4171 in
I Ins pection Requests (24 Hrs.): (503) 639 -4175 L�
INSPECTION WORKSHEET FOR DATE: 10/21/2005 TIME: 7 :08AM PAGE: 88
SITE ADDRESS: 10260 SW GREENBURG RD 1000 CLASS OF WORK:
SUBDIVISION: LINCOLN CENTER /LINCOLN TOWER LOT #: 014 TYPE OF USE:
PROJECT NAME: CD FINANCIAL
DESCRIPTION: TI
OWNER: EQUITY OFFICE PROPERTIES TRUST, PHONE #:
CONTRACTOR: C SCHIEWE & ASSOCIATES INC PHONE #: 503 - 646 -6617
Inspection Request Scheduled For: Date: 10/21/2005 Pour Time:
Code #• Inspection Description Confirm # Contact # Message
299 Final inspection 018972 -01 603-780-3222 N
Corrections /Comments/ Instructions:
t r-
iPA 7--- I I PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
n FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: a \ Date: ( 1° Phone #: (503) 718 -