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Permit CITY TIGARD BUILDING PERMIT PERMIT #: BUP2006 -00282 Avro I DEVELOPMENT SERVICES DATE ISSUED: 7/11/2006 , .�� I 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 1 S 135AB -01003 SITE ADDRESS: 10300 SW GREENBURG RD 470 ZONING: C -P • SUBDIVISION: LINCOLN CENTER /ONE LINCOLN LOT: JURISDICTION: TIG Project Description: TI - 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: 0 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: $ 5,500.00 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: Contact #: FAX 503 - 277 - 2095 PRI 503 - 646 -6617 Reg #: LIC 54105 FEES Description Date Amount REQUIRED ITEMS AND REPORTS [BUILD] Permit Fee 7/11/2006 $100.90 [TAX] 8% State Surcha 7/11/2006 $8.07 [BUPPLN] Pln Rv 7/11/2006 $65.59 [FLS] FLS Pln Rv 7/11/2006 $40.36 Total $214.92 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 th e - rules or direct questions to OUNC by calling 503 - 246 -6699 or 1- 800 - 332 -2344. f 1L y: 4t 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. • Building Permit A ft EIVED FOR OFFICE USE ONLY / j City of Tigard Date/By: t ( v (f/ Permit No.: l e 2cod - 13125 SW Hall Blvd., Tigard, OR 972Tt 1 C AMA "�'� PZ Plan Phone: 503.639.4171 Fax: 503.598. ( L- 1 1 2006 / ,B v llA j�� Other Permit: Inspection Line: 503.639.4175 "' I I Date R-1 0 See hkl Internet: www.ci.tigard.or.us BUILDING OF ING DIVISI Notified/Method: Supplemental Attaced Information for BUILD DIVISION - E1tOF''WORK t REQUIRED DAI rt al AND 2 -F MII Y 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 ® Addition/alteration/replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the CA GORY O " work indicated on this application. TEi CONSTRUCTION .. dwelling Valuation: ❑ 1- and 2-family $ y g ®C ommercial /industrial ❑ Accessory building ❑ Multi- family Number of bedrooms: ❑ Master builder ❑ Other: Number of bathrooms: Total number of floors: JOB' :STYE I144 ORRM"ATION "AND LOCATION Job site address: 1 LINCOLN 10300 SW GREENBURG RD New dwelling area: square feet City/State /ZIP: TIGARD, OR 97223 Garage /carport area: square feet Suite/bldg. /apt. no.: 470 Project name: Nationwide Covered porch area: square feet Cross street/directions to job site: Deck area: square feet Other structure area: square feet REQUIRED'DATA: C USE=CEiECIQ:IST 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 OE WORK ;,_- work indicated on this application. Interior Tenant Improvement Valuation: $$5,500.00 Existing building area: 1,869 square feet New building area: square feet "� � PROPERIX OWNI3R 0 ,TENAN�7` "'" 1 Number of stories: 5 Name: Equity Office Properties Trust Type of construction: I -B Address: One SW Columbia St. Suite 300 Occupancy groups: City/State /ZIP: 97258 Existing: g� Phone: (503)412 -4800 Fax: (503)412 -4848 New: 0 Business name: Group Mackenzie All contractors and subcontractors are required to be Contact name: Joshua Tapp licensed with the Oregon Construction Contractors Board under ORS 701 and may be required to be licensed in the Address: 0690 SW Bancroft St jurisdiction in which work is being performed. If the City/State /ZIP: 97239 applicant is exempt from licensing, the following reasons apply: Phone: (503) 224 -9560 Fax: : (503) 228 -1285 E -mail: jtapp @grpmack.com Business name: C Schiewe @Associates Inc. ` °BUILD_ llVG' PERMIT FEES* Address: 6615 SW 111 Ave. Please refer to fee schedul e. City /State /ZIP: Beaverton, OR 97008 Fees due upon application Phone: (503) 646 -6617 Fax: (503)277 -2095 Amount received CCB lie.: 54105 - 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: J 1 ' ua Tapp Date: 07/11/ 06 * Fee methodology set by Tri- County Building Industry Service Board. r\Building \ Permits \BUP- PermitApp doc 12/03 440- 4613T(I1 /02/COM/WEB)