Permit CITY OF TI GARD BUILDING PERMIT
PERMIT #: BUP2004 -00531
l
DEVELOPMENT Tigard, � 639 -4171 DATE ISSUED: 11/8/2004
SITE ADDRESS: 10260 SW GREENBURG RD 960 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: 32 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: $ 2,800.00
Remarks: Tenant Improvement
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
Reg #: LIC 54105
FEES REQUIRED INSPECTIONS
Description Date Amount Framing Insp
•
[BUILD] Permit Fee 11/8/2004 $72.10 Gyp Board Insp
[TAX] 8% State Surchari 11/8/2004 $5.76 Final Inspection
[BUPPLN] Pln Rv 11/8/2004 $46.87
[FLS] FLS Pln Rv 11/8/2004 • $28.84
Total $153.57
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: / / •
Permittee �j�
Signature: / ( /61/e�l
rC.6
Call 639 -4175 by 7 p.m. for an inspection the next business day
BuitlitiPermit Application . FOR OFFICE' USE ONLY
City of Tigard Received id qr —"‘"
Date/By: - Permit NO.614 op _c 33
13125 SW Hall Blvd., Tigard, OR 97223 Plan Review
Phone: 503.639.4171 Fax: 503.598.1960 • • 1( Date/By:II" 65.1f Other Permit:
Inspection Line: 503.639.4175 4 Date Ready/By: turis El See Attached Checklist for
Internet: www.ci.tigard.or.us Notified/Method: Supplemental Information
OiVaera
q.041,4ex Wmane;;;,-
111 New construction U Demolition Permit fees* are based on the value of the work performed.
Indicate the value (rounded to the nearest dollar) of all
Z Addition/alteration/replacement 111 Other: equipment, materials, labor, overhead, and the profit for the
Crt'.Tre work indicated on this application.
! "6iikapiN4Lv.," 't;MtaMAPV:amZkatattil
0 1- and 2-family dwelling 0 Commercial/industrial Valuation:
Number of bedrooms:
Accessory building El Multi-family
0 Master builder U Other: Number of bathrooms:
Total number of floors:
Job site address: 10260 SW Greenburg RD New dwelling area: square feet
City/State/ZIP: TIGARD, OR 97233 Garage/carport area: square feet
Suite/bldg./apt. no.: 960 Project name: CLM GROUP Covered porch area: square feet
Cross street/directions to job site: Deck area square feet
Other structure area: square feet
nii:411aTaIr6644
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
iieliggigt,farVaiirctitt=iiiigaiM8MPVoill44111iCirte„74 41.44Z111019FN work indicated on this application.
skammarm, ', ftiNcw:ACtr;
Valuation: :A2,800.00
New Tenant Improvement
Existing building area: square feet
New building area: square feet
tirtint**WiT,Nh,U. 4,041,1051;14111,4,44.11,,OtaN Number of stories:
Name: EQUITY OFFICE Type of construction:
Address: ONE SW COLUMBIA SUITE 300 Occupancy groups:
City/State/ZIP: PORTLAND, OR 97202 Existing:
Phone: (503)412-4800 Fax: (503)412-4848
New:
APO
ia-56ave , grl?=111041
Business name: Group McKenzie All contractors and subcontractors are required to be
licensed with the Oregon Construction Contractors Board
Contact name: JEFF HUMPHREYS
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:
'L:;:A:IPPCIIr,AR
Business name: C. SCHIEWE & ASSOCIATES
Address: 6615 SW 111 TH ST
Please refer to fee schedule.
City/State/ZIP: BEAVERTON, OR 97008
Fees due upon application $153.57
Phone: (503) 646-6617 Fax: ( )
Amount received
CCB lie.: 54105
Date received:
Authorized signature: 4 C. / A This permit application expires if a permit is not obtained
•7 7.1 within 180 days after it has been accepted as complete.
Print name: A 1kAeV-zo.A,4 Date: 11 * Fee methodology set by Tri-County Building Industry
Service Board.
Building \ Permits \ BUP-PermitApp.doc 12/03 440-46I3T( I 1/02/COM/WEB)
CITY OF TIGARD 24 -Hour
BUILDING Inspection Line: (503) 639- 4175
INSPECTION DIVISION Business Line: (503) 639 -4171
BuP �
Received Date Requested t! AM n PM BUP �o
Location ! a � �1 _! _ �c _ 1 � Suite � e MEC
1
Contact Person Ph ( ) PLM
Contractor Ph ( ) SWR
BUILDING Tenant/Owner 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
Fire Alarm �' WM RIM RW_�,r
Susp'd Ceiling' � ` �; �
O
of
MSS& I.
in
PASS PART FAIL
PLUMBING
Post & 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
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. ❑ Please call °•r reinsp= tion RE: Unable to inspect — no access
Fire Supply Line �
ADA �
Approach/Sidewalk Date 4spector 11111, Ext
Other:
Final DO NOT REMOVE this inspectio record from the Job site.
PASS PART FAIL