Permit CITY OF TIGARD BUILDING PERMIT
PERMIT #: BUP2003 -00620
,�� DEVELOPMENT SERVICES DATE ISSUED: 10/21/03
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171
PARCEL: 1S135AB-01004
SITE ADDRESS: 10220 SW GREENBURG RD 540
SUBDIVISION: TWO LINCOLN - TOWN OF METZGER 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: 10 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: Y SMOK DET:
DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP ACC:
BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING:
VALUE: $ 10,000.00
Remarks: TI, new offices.
Owner: Contractor:
EOP LINCOLN, LLC C SCHIEWE + ASSOCIATES
10260 SW GREENBURG RD 1024 NE DAVIS
SUITE 100 PORTLAND, OR 97232
PORTLAND, OR 97223
Phone:
Phone: 234 - 6617
Reg #: LIC 54105
FEES REQUIRED INSPECTIONS
Description Date Amount Mechanical Permit Require
[BUILD] Permit Fee 10/21/03 $139.30 Electrical Permit Required
[TAX] 8% State Tax 10/21/03 $11.14 Plumbing Permit Required
Framing ming Insp
[BUPPLN] Pin Rv 10/21/03 $90.55 Gyp Board lnsp
[FLS] FLS Pln Rv 10/21/03 $55.72 Final Inspection
Total $296.71
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 workis
• 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: ��L� i ^ /
Pe rm ittee
Signature: , . `-,_
Call 639 -4175 by 7 p.m. for an inspection the next business day
Building Permit Application , - - FOR OFFICE USE ONLY ..
•
Building
DateB : I a-I 0 eA Permit No. 3. . al, _ $
City of Tigard Planning App oval Other
Date/B Permit No.:
13125 SW Hall Blvd. Plan Review Other
Tigard, Oregon 97223 Date/B : Permit No.:
Phone: 503- 639 -4171 Fax 503 -598- 1960--41400°` I Date/B : Case No. Post - Review Land Use
Internet: www.ci.tigard.or.us --.• Contact Juris.: (EI See Page 2 for
24 -hour Inspection Request: 503 -639 -4175 Name/Method: Su , lemental Information
' .. ',TI'PEaOF VORIE =x ° _p `' °` �r'' . - „ , ,..•:-.:. - -•; , :�,
_ . Y g:JIRED AT .,.
El New construction Demolition _ ^ ., .
n ❑ o ion ' 1�:8��2 =FAN .' �
)Q Addition/alteration/replacement 111 Other:
`' � `` _
1 -:',
" CATEGORY�QFCONSTRUCT�ION "
" - • .';�•;° ',==;: Note: Permit fees* are based on the total value of the work performed. Indicate
❑ 1 & 2- Family dwelling IgCommercial/Industrial the value (rounded to the nearest dollar) of all equipment, materials, labor,
overhead and profit for the work indicated on this application.
❑ Accessory Building ❑ Multi- Family
❑ Master Builder ❑ Other: Valuation $
JOB 'SITE IN'FORMATION <, No of bedrooms: No of baths:
Job site address: 102.20 SW Greenbur (ion Total number of floors
9 New dwelling area (sq. ft)
Suite #: 540 Bldg. /Apt. #: Two Gin coin Garage/carport area (sq. ft.)
Project Name: Paxton Millet CPA Covered porch area (sq. ft.)
Cross street/Directions to job site: Deck area (sq. ft.)
Other structure area (sq. ft.)
,' . t x Q I
s. RED; f . w; .;.
,- COMMERCIAL IJSE CHECKLIST , `k '
Subdivision: Lot #:...
Tax map/parcel #:
Note: Permit fees* are based on the total value of the work performed. Indicate
.. 1 DESCRIPTIONIOF,WORK <:q ': '.:: "e : the value (rounded to the nearest dollar) of all equipment, materials, labor,
overhead and profit for the work indicated on this application.
Teh2nt- I
Valuation $ 1O OOO'
Existing building area (sq. ft.)
New building area (sq. ft.) J Gil zF
Number of stories ( S(j(
PK
PROPERTY OWNER .`: :. = I , g TENAN;Tt :;' . °',t ; `Ii `. ;: Type of construction 1E-FR
Name: EQUITY °FF(C.E ppop LTIC—S Occupancy group(s): Existing: D.
Address: One' SW Colvm'bi a •, Sui. Soo ''. • , -
New: e.
City /State /Zip: Port a►4, OF 9
Phone: SO3 412 - 480 0 Fax: NOTICE: All contractors and subcontractors are required to be
r , • . licensed with the Oregon Construction Contractors Board under
M APPLICAN T- ' i Aril .:> CONTAre PERSON = A'' ,.;
provisions of ORS 701 and may be required to be licensed in the
Business Name: GIN? Areluteets 11ha, jurisdiction where work is being performed. If the applicant is exempt
Contact Name: I-ay F. Glue from licensing, the following reason applies:
Address: 1120 NW CovcL' St. ,S1,;te 300
City /State /Zip: Port121A4 0p. •
Phone: 503 211. j Fax:
r zo,: 'A,.zi 3 g',1, , ' 5: �` t'.-k z a r tdar,4t "$ ",,,,, ..f r a :
°' I AF BUt ER z �"'
t ri ,._ ; a gyp° n y. t �r
E-mail: -ma l : ;x r .: .,�:., :J. :.. s • = }= ' . .t Eleaselreierto #fee`sch ;' S e ts .
;...:.�u_>,;�.a;�. ,:..,r�sr.�'�:��.��GONT:RACTOR� w s° ��a� ����ya_ :�_.._,�- �:�.�;:� >w�:�f =.:�x4�r.4�- �_— �:tiato:�i�� � � :..:;: e\Wt;1-....
Business Name: C. Sehi e1Me Con stn. O OI Fees due upon application $
Address: 1024- N E Day is St.
City /State /Zip: Port 1akv,{ op-. 572.2. Amount received $
Phone0o3 234 - CoG, l 7 I Fax: Date received :_
CCB Lic. #: 51.107
Authorized
Signature: Notice: This permit application expires if a permit is not obtained within
Date: !� • Z I. '� 3 180 days after it has been accepted as complete.
: R . Glu r
*Fee methodology set by Tri -County Building Industry Service Board.
(Please print name)
i:\Dsts\Permit Forms\BldgPermitApp.doc 01/03
•
CITY OF TIGARD 24 -Hour • 7
BUILDING Inspection Line: (503) 639 -4175
INSPECTION DIVISION Business Line: (503) 639 -4171 MST
(03 —OD hw
Received /) / Z( , r' / .? ate Requested / /ate AM PM // C — 00 6 3 1
Location • 2 2- C _ e' 44 Suite _ 5 CZO MEC
Contact Person A .. I n i h( 5O2 3 ci f— 0 6 b3 PLM
Contractor , Ph ( ) SWR
BUILDING Tenant/Owner I2.Q_C`f ELC
Footing - ELC
Foundation Access:
Ftg Drains ; ::... ELR
Crawl Drain
Slab Inspection-Not es \SIT
Post & Beam p ca L l
Shear Anchors
Ext Sheath/Shear. Kim e e_-
Int Sheath /Shear
rFraming ---
Insulation � y P � 00
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
PART FAIL
7 37 ; ING
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 Hail, 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 Z t/1 (- Inspector Ext
Other:
Final DO NOT REMOVE this inspection record from the Job site
\PASS PART FAIL