Permit ' C ITY O F TIGARD BUILDING PERMIT
PERMIT #: BUP2004 -00500
4 6
+L c ' DEVELOPMENT SERVICES DATE ISSUED: 10/19/2004
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 PARCEL: 1S135AB-01004
SITE ADDRESS: 10220 SW GREENBURG RD 410
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: 20 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: $ 8,400.00
Remarks: New tenant improvement, new demising and interior partitions.
Owner: Contractor:
EQUITY OFFICE PROPERTIES TRUST C SCHIEWE & ASSOCIATES INC
ONE SW COLUMBIA #300 6615 SW 111TH AVE
PORTLAND, OR 97258 BEAVERTON, OR 97008
Phone: 503 - 4152 -4800
Phone: 503 - 646 -6617
Reg #: LIC 54105
FEES REQUIRED INSPECTIONS
Description Date Amount Mechanical Permit Require
[BUILD] Permit Fee 10/19/2004 $129.70 Electrical Permit Required
[TAX] 8% State Surchari 10/19/2004 $10.38
Sprinkler Permit Required
Framing
FLS FLS Pln Rv 10 /19/2004 $51.88 Gyp Board dsp
[FLS] Gyp Boarrd Insp
[BUPPLN] Pin Rv 10/19/2004 $84.30 Final Inspection
Total $276.26
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 -00 I a •ugh OAR 952 - 001 -0100. You may obtain a copy of these rules or direct questions to OUNC by
calling ' 03) 246 -66•° •r 1- 800 - 332 -2344.
ic � ,; � �_� - ' j' , -
Issue • By:
Permittee
Signature: X. •I I
Call 639 -4175 by 7 p.m. for an inspection the next business day
Buildiri le rmit Applicat onC E I W E D FOR OFFICE USE ONLY
City of Tigard ()L I t i Date /B / /9 ay I Permit No.: A Si '"+� �
13125 SW Hall Blvd., Tigard, OR 97223 `�
g Plan Review
Phone: 503.639.4171 Fax: 503.598.1960 CITY OF TIC igl 1 Date /Bv: / — ' A ` Other Permit:
Inspection Line: 503.639.4175 p p' tI�� � 'I I_ Date Ready /By: O kris ® See Attached Checklist for
Internet: www.ci.tigard.or.us BUILDING Dl . IO IVI'a Notified/Method: Supplemental Information
r: .. - = , `i,. TYPE OF /WORICz�. : ` ^, r " s t ...REQUIRED`DATA4 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
® Addition /alteration/replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the
CATEGORY OF .CONSTRUCTION work indicated on this application.
❑ 1- and 2- family dwelling ® Commercial /industrial Valuation: $
El Accessory building I=1 Multi-family Number of bedrooms:
❑ Master builder ❑ Other: Number of bathrooms:
'JOB SITE INFORMATION AND LOCATIONa - Total number of Floors:
Job site address: 10220 SW Greenburg RD New dwelling area: square feet
City /State /ZIP: TIGARD, OR 97233 Garage /carport area: square feet
Suite/bldg. /apt. no.: 410 Project name: BNC MORTGAGE 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.
Indicate the value (rounded to the nearest dollar) of all
Tax map /parcel no.: equipment, materials, labor, overhead, and the profit for the
DESCRIPTION OF WORK work indicated on this application.
New Tenant Improvement Valuation: $$8,400.00
Existing building area: square feet
New building area: square feet
❑ PROPERTY OWNER ❑ TENANT Number of stories:
Name: EQUITY OFFICE Type of construction: t=iza
Address: ONE SW COLUMBIA SUITE 300 Occupancy groups:
City /State /ZIP: PORTLAND, OR 97202 Existing: 5
Phone: (503)412 -4800 Fax: (503)412 -4848 New: 3
® APPLICANT "❑ CONTACT PERSON
qm;
Business name: Group McKenzie All contractors and subcontractors are required to be
Contact name: JEFF HUMPHREYS 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
',BUILDING. PERMIT FEESf
Address: 6615 SW 111T" ST ..,r�.: �._.
Please refer to fee schedule.
City/State/ZIP: BEAVERTON, OR 97008
Fees due upon application $276.26
Phone: (503) 646 -6617 Fax:( )
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.
��1 -6,„k -� eidp,
Print name: , Date: 10 - - * Fee methodology set by Tri- County Building Industry
Service Board.
i:\ Building \Permits \BUP- PermitApp.doc 12/03 440-46 13T(1 I /02 /COM /WEB)
CITYTIGARD 24 -Hour
BUILDING Inspection Line: (503) 639 -4175
INSPECTION DIVISION Business Line: (503) 639 -4171 MST t/,
BUP Odsd d
Received Date Requested / �a ( AM PM 0 BUP Zook--- 5
Location I _ D-0 Aa.l.. Suite WO MEC
Contact Person / _ - P .1 ( )r ' ;g 6-S-3 PLM
Contractor Ph ( ) SWR
BUILDING Tenant/Owner ELC
Footing
Foundation ELC
Access:
Ftg Drain ELR
Crawl Drain
Slab Inspection Notes: 4 n SIT
Post & Beam
Shear Anchors
Ext Sheath/Shear
Int Sheath/Shear
Framing ZC _ C *7
Insulation C� ` Z-00 AV— 6-ZQ
Drywall Nailing �
Firewall iL �b p� 06 °C51
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Other:
r PASS PART FAIL
PLU = ING
-ost & 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 111 Please c- i''for reinspe. ion RE: VA • A Ei Unable to inspect – no access
Fire Supply Line
ADA
6
Approach/Sidewalk Date Inspector Ext
Other: /
Final DO N • REMOVE this inspection record from the job site.
PASS PART FAIL