Permit tr.,K', , C ITY OF TIGARD BUILDING PERMIT
PERMIT #: BUP2006 -10017
'' ,, IJI DEVELOPMENT SERVICES DATE ISSUED: 3/14/2006
'- 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171
PARCEL: 1S135AB-01003
SITE ADDRESS: 10300 SW GREENBURG RD 190 ZONING: C -P
SUBDIVISION: LINCOLN CENTER /ONE LINCOLN LOT: JURISDICTION: TIG
Project Description: TI
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: 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: $ 1,500.00
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
FEES Reg #: LIC 54105
Description Date Amount REQUIRED ITEMS AND REPORTS
[BUILD] Permit Fee 4/3/2006 $62.50
[TAX] 8% State Surcharl 4/3/2006 $5.00
[BUPPLN] Pln Rv 4/3/2006 $40.63
[FLS] FLS Pln Rv 4/3/2006 $25.00
Total $133.13
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 -0 -0010 'rou • h OAR 952 - 001 -0100. You may obtain a copy of these • es or direct questions to OUNC by
calli g 503 -246 -6 •9 11- 800 - 332 -2344. -
Issu d By: � i!_,, i ; Permittee Signa a • � p # ( 1 � -- ��
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 R E I L O E I FOR OFFICE USE ONLY
City of Tigard Date Bya � d ' _ Permit No.: i � Rood; /Xi
13125 SW Hall Blvd., Tigard, OR 97223 Plan Review
Phone: 503.639.4171 Fax: 503.598.19 14 1006 II Date /B v: Other Permit:
Inspection Line: 503.639.4175 "' Date Ready /By: Jut Ei See Attached Checklist for
Internet: www.ci.tigard.or.us CITY OF i i6 P , c 1 1 Notified/Method: Supplemental Information
. : ...°_� ° .. .-e -:� :. ;, - 5a ; . � ?:
.,..,'. .tlis a.: Y O t4WQRK; _, f`.. _. :.. M., qtRtm REQUIREDDATA & AND2EAMiLYDELLING.
❑ 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
'; W : *�f. p a° ,� � f �� work indicated on this application.
CATEGORY OF : COI\STRUCTION
dwelling Valuation:
❑ 1- and 2-family $
y g ®Commercial /industrial
❑ Accessory building ❑ Multi - family Number of bedrooms:
El Master builder El Other:
Number of bathrooms:
JOB SITky 1NFORMAT ONA1DCATION Total number of floors:
Job site address: 1 LINCOLN 10300 SW GREENBURC RD New dwelling area: square feet
City/State /ZIP: TIGARD, OR 97223 Garage /carport area: square feet
Suite/bldg. /apt. no.: 190 Project name: Mobil Solutions Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
Other structure area: square feet
REQ Mr PATKi IAL -USE CI1§,W1ST.
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
"7"79:11161111104.:,:— DE 14.- n . : - : - !
SCRIPO tON °pF WORi " i work indicated on this application.
Interior Tenant Improvement Valuation: $$1,500.00
Existing building area: 951 square feet
New building area: square feet
itI PRORERTV OVS',NFR ❑ TEN'ANT, 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: B 3 Q
g�
Phone: (503)412 -4800 Fax: (503)412 -4848 New:
::. AP PL ICAN T CONTACT PERS °` 1
.. ..., i �.eks: :.x �a .o-<. z -', ' a `" a cs+;..,a. - 4g , U,
-max .,.: '$�.° $mss-. 30 � _':s". `li�q '� .+e.�4. -, t.�:.. �+� FR �'3R
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
. CONTRACTOR - k r
Business name: C Schiewe @ Associates Inc. ,,
BUILDTYERMIT FEES *,
Address: 6615 SW 111 Ave.
Please refer to fee schedule.
City/State /ZIP: Beaverton, OR 97008
Fees due upon application
Phone: (503) 646 -6617 Fax: (503) 277 -2095
Amount received
CCB lic.: 54105
Date received:
Authorized signature:
'-
g This permit application expires if a permit is not obtained
!f / ^- within 180 days after it has been accepted as complete.
Print name: Josh • app Date: 03/14/ 06 * Fee methodology set by Tri- County Building Industry
Service Board.
i.tB¢i !ding \PermitslBUP- PermitApp.doc 12/03 440- 4613T( I I /02/COM/WEB)
CITY OF TIGARD - -
BUILDING DIVISION 1 PERMIT #:gL P )v v
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED:
Phone: (503) 639 -4171 - 01V t - ,
Inspection Requests (24 Hrs.): (503) 639 -4175 /
I
ij '
NSPECTION WORKSHEET FOR DATE: I �
SITE ADDRESS: 1 0 300 e `"f.5 & S L � CLASS � !
SUBDIVISION: LOT #: TYP ,J
PROJECT NAME:
DESCRIPTION: .
OWNER: . . . PHONE 4� 7 fN 3)- - ) ---2—
CONTRACTOR: PHONE #:
I
Inspection Request Scheduled For: Pour Time:
Code # Inspection Description Message
q'1� - ca'c+.�,.L.a)�
Corrections /Comments /Instructions: ak
1
N PASS F/ ' ' IAL APPROVAL ❑ CANCEL ❑ NO ACCESS
FAIL a ' L FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
K s...7:5_, i I
Inspector: Date:3 Phone #: (503) 718- Z-6 41
CITY OF TIGARD
BUILDING DIVISION "+ PERMIT #:&4 D6' 1 D Ui 7
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED:
Phone: (503) 639 -4171 qi 4 °q r>�,
Inspection Requests (24 Hrs.): (503) 639 -4175 ! ``'f
INSPECTION WORKSHEET FOR DATE: TIME: PAGE:
SITE ADDRESS: 10 30 ® V 9 ''.' 1 � j Rey Si T" / 9 0 CLASS OF WORK:
SUBDIVISION: // LOT #: TYPE OF USE:
PROJECT NAME:
DESCRIPTION:
OWNER: PHONE #: S 3 —75.1:) — 32.-2:2.
CONTRACTOR: PHONE #:
Inspection Request. Scheduled For: Date: 5..___/-(2 CP Pour Time:
Code # Inspection Description Confirm # • Contact # Message • .73 ) —vi w
Corrections /Comments /Instructio : 4
6 - '0' Ce ` Pc- MIL-
_
/1
PASS ❑ ' . ' IAL APPROVAL ❑ CANCEL n NO ACCESS
FAIL r • LL FOR INSPECTION n ADDITIONAL FEES ASSESSED
l
Insp ect.' : _ Dater Z O Phone #: (503) 718 v