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Permit
c, � ..2 — 0 L/ ._`� —c- \Q \.,� —� . r-e- v - \ S --i� -- ,,. CITY OF TIGARD BUILDING PERMIT PERMIT #: BUP2004 -00321 i l DEVELOPMENT SERVICES DATE ISSUED: 7/7/2004 F,f . 13125 SW Hall Blvd., Tigard, OR 97223 (5031639 -4171 SITE ADDRESS: 10300 SW GREENBURG RD 590 PARCEL: 1S135A6 01003 SUBDIVISION: LINCOLN ONE /RED LOBSTER /CASA L ZONING: C -P BLOCK: LOT: 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: BASEMENT: sf AREA SEP. RATED: . STOR: 1 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: $ 2,000.00 Remarks: Corridor wall, door and glazing and interior walls. Owner: Contractor: EQUITY OFFICE PROPERTIES TRUST C SCHIEWE & ASSOCIATES INC 10260 SW GREENBURG RD #100 6615 SW 111TH AVE TIGARD, OR 97223 BEAVERTON, OR 97008 Phone: Phone: 503 - 646 -6617 Reg #: LIC 54105 FEES REQUIRED INSPECTIONS Description Date Amount Framing Insp [BUILD] Permit Fee 7/7/2004 $62.50 Framing lnsp [TAX] 8% State Surchari 7/7/2004 $5.00 Gyp Board Insp Gyp Board Insp [FLS] FLS Pln Rv 7/7/2004 $25.00 Gyp Board lnsp [FLS] FLS Pln Rv 8/23/2004 $62.50 Final Inspection Total $155.00 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. d Issued . -17...."lati,64f Permittee 0 , (- Signature: Call 639 -4175 7 p.m. for an inspection the next business day CITY OF TI GARD BUILDING PERMIT PERMIT #: BUP2004 -00321 DEVELOPMENT SERVICES DATE ISSUED: 7/7/2004 -�' I 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 SITE ADDRESS: 10300 SW GREENBURG RD,S'1'6' J 'c O PARCEL: 1S135AB -01003 SUBDIVISION: LINCOLN ONE /RED LOBSTER /CASA L ZONING: C -P BLOCK: LOT: 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: BASEMENT: sf AREA SEP. RATED: STOR: 1 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: $ 2,000.00 Remarks: Corridor wall, door and glazing. 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: Phone: 503 - 234 -6617 Reg #: LIC 54105 FEES REQUIRED INSPECTIONS Description Date Amount Framing Insp [BUILD] Permit Fee 7/7/2004 $62.50 Gyp Board Insp [TAX] 8% State Surcharl 7/7/2004 $5.00 Final Inspection [FLS] FLS Pln Rv 7/7/2004 $25.00 Total $92.50 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: Peit Sig n attu a re: fia.k(7_4 Si au Call 639 -4175 by 7 p.m. for an inspection the next business day Building Permit Application FOR.OFFICE USE ONLY City of Tigard Received Date/By: , tr ft Permit No.: 9004 .420 _ , 13125 SW Hall Blvd., Tigard, OR 97223 Plan RevieW Phone: 503.639.4171 Fax: 503.598.1960 Argotiminal,A, Date/B : • 3A, Other Permit: Inspection Line: 503.639.4175 ,_ 7411 Date Ream y/By: furis: El See Attached Checklist for Internet: www.ci.tigard.or.us Notified/Method: Supplemental Information ' 1 1=1 New construction 0 Demolition Permit fees* are based on the value of the work performed. Indicate the value (rounded to the nearest dollar) of all IZ Addition/alteration/replacement 0 Other: equipment, materials, labor, overhead, and the profit for the work indicated on this application. 0 1- and 2-family dwelling El Commercial/industrial Valuation: El Number of bedrooms: Accessory building El Multi-family 0 Master builder 0 Other: Number of bathrooms: c - 0,.:14,44,010101101C Total number of floors: '4111.610164.11.1111111.0042 P,N APPNAllismotioVirr Job site address: 10300 SW Greenburg Rd New dwelling area: square feet City/State/ZIP: Portland, OR Garage/carport area: square feet Suite/bldg./apt. no. :,5411 5q 0 Project name: Source One Covered porch area: square feet Cross street/directions to job site: Deck area: square feet Other structure area: square feet Subdivision: Lot no.: Permit fees* are based on the value of the work performed. Indicate the value (rounded to the nearest dollar) of all Tax map/parcel no.: equipment, materials, labor, overhead, and the profit for the suldripreetRAA,:apVgif. 'eiiykir :;„14-iiitilt! work indicated on this application. ' P . New Tenant Improvement Valuation: $$1,200.00 Existing building area: square feet New building area: square feet Number of stories: Name: Equity office Type of construction: Address: One SW Colombia Suite 300 Occupancy groups: City/State/ZIP: Portland, OR Existing: Phone: (503)412-4800 Fax: (503)412-4848 New: W4I AN ie(rth' 16'4 Pft'd gak-k .1000.0:,!9111ffairainoww .LAtailleffliMINVM "1344'•4;,-;.;c . Business name: Group McKenzie All contractors and subcontractors are required to be Contact name: Susan Higbee licensed with the Oregon Construction Contractors Board under ORS 701 and may be required to be licensed in the Address: PO Box 69039 jurisdiction in which work is being performed. If the City/State/ZIP: Portland, OR 97201 applicant is exempt from licensing, the following reasons apply: Phone: (503) 224-9560 Fax: : (503) 228-1285 E-mail: Business name: C. Schiewe & Associates Address: 6615 SW 111 St Please refer to fee schedule. City/State/ZIP: Beaverton, OR 97008 Fees due upon application $92.50 Phone: (503) 646-6617 Fax: Amount received CCB lie.: 54105 A o 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: Cu Cerh"..../ /4-( Date: 7 ) 7/6 6,7 * Fee methodology set by Tri-County Building Industry Service Board. \Permits \ BUP-PennitApp.doc 12/03 440-4613T( 11/02/COM/WEB) CITY OF TIGARD 24 -Hour BUILDING , Inspection Line: (503) 639 -4175 MST INSPECTION DIVISION Business Line: (503) 639 -4171 BU • D— Received Date Requested AM PM BUP Location ' Suite J` MEC Contact Person (Q ®© Pau Ph' ) PLM Contractor Ph ( ) SWR BUILDING Tenant/Owner e.-1.11/."(7 _ i( ELC Footing 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 �� C i, Susp'd Ceiling Roof IMILWA AINLIW , .. Other: PART FAIL / BING / at Post & Beam _ , ' ,� 1�� E�.�SF Under Slab �� \ "411V Rough -In ' , A ar Water Service ( Sanitary Sewer Rain Drains Catch Basin / Manhole S) Storm Drain Shower Pan Other: Final PASS PART FAIL MECHANICAL Post& Beam Rough -In Gas Line Smoke Dampers Final PASS PART FAIL ELECTRICAL Service Rough -In UG /Slab Low Voltage Fire Alarm Final Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL SITE I Please call for reinspection RE: El 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