Permit 4;46 BUILDING PERMIT
``G I TY OF TI GA R D PERMIT #: BUP2005 -00657
1 ,,,4II DEVELOPMENT SERVICES
-639 -4171 CES DATE ISSUED: 12/29/2005 — 13125 SW Hall Blvd.,
PARCEL: 1 S 135AB -01004
SITE ADDRESS: 10220 SW GREENBURG RD 100 ZONING: C -P
SUBDIVISION: LINCOLN CENTER /TWO LINCOLN LOT: JURISDICTION: TIG
Project Description: (5) hornstrobes.
REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION
CLASS OF WORK: FPS 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: 33 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: $ 2,075.00
Owner: Contractor:
EQUITY OFFICE PROPERTIES TRUST T & L COMMUNICATIONS INC
ONE SW COLUMBIA #300 PO BOX 87387
PORTLAND, OR 97258 2800 NE 65TH AVE SUITE A
VANCOUVER, WA 98661
Phone: Contact #: FAX 360- 737 -9648
PRI 360- 737 -9725
FEES Reg #: LIC 67787
Description Date Amount REQUIRED ITEMS AND REPORTS
[BUILD] Permit Fee 12/29/200f. $72.10
[TAX] 8% State Surcharl 12/29/200E $5.77
[FLS] FLS Pin Rv 12/29/200E $28.84
Total $106.71
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 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. T ose rule . a. - set fort,AR
952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain a copy of these rules - . r direc `�-u a -tions t. •UNC by
calling 503 - 246 -6699 or 1- 800 - 332 -2344. / / J
Issued By: , Permittee Signature: / /�`/, /
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.
. Buildinetr a it Application
t,, Received FOR OFFICE USE ONLY
. .
- . e t—it(altIVEt • g Off ' ' Building e32m __
60 k. Ill
• ermit No.• c
- r. Date/B :
City of Td Planning Approval
Date/B : ..„-iii Other
igar
Permit No.:
13125 SW Hall Blvd. DEC 29 2005 iillhpo Plan RevielWIWAIM Other
Tigard, Oregon 97223
L) C s li - D YO G c
DIVISION , 1184ll'illitlit Post-Revi Land Use
Date/B • 1 . gfZjIM Permit No.:
• Acr
e ,,
Phone: 503-639-4171 rax: 5-5
03
Date/B : Case No.
Internet: www.ci.tigard. tiIN
Contact El See Page 2 for
24-hour Inspection Request: 503-639-4175 Name/Method: En Su, . lemental Information
: tfEr.:':'';TTe**4;' i'VliA::56:::TH
0 New construction 0 Demolition '
84,, '.' p -, 0 D : k _ A , 4 ,, - :,•,,, ,, V.,- , ::4, '
,...,, - -,,::4 , ,-. 7•7 ,
0 Addition/alteration/re slacement c] Other:
te,gieli64,5 0:::- ,k Note: Permit fees* are based on the total value of the work performed. Indicate
1111 1 & 2-Family dwelling Li Commercial/Industrial the value (rounded to the nearest dollar) of all equipment, materials, labor,
overhead and profit for the work indicated on this application.
Li Accessory Building 0 Multi-Family
El Master Builder 0 Other: Valuation $
t. --- F L Az ire - - 37;7., g No of bedrooms: No of baths:
Job site address: (02205C Total number of floors
- a te.an c_.k .7 le
New dwelling area (sq. ft.)
Suite #: I (X) 1 Bldg./Apt.#: Garage/carport area (sq. ft.)
Project Name: Trans pi et 'fr o.'.- Covered porch area (sq. ft.)
Cross street/Directions to job site: Deck area (sq. ft.)
Other structure area (sq. ft.)
1
.. 1 - : ,:'1,,A 7 P,', at -.:. aacla4a-f
', - tr r ,-; . ,,,, s: . :111
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Subdivision: i___., N. v1.60 I K 2_, I Lot #: . v
Tax map/parcel #: Note: Permit fees* are based on the total value of the work performed. Indicate
N14 : ,: : ,,a,-Aworoslowwww ftwi-7, z..57 the value (rounded to the nearest dollar) of all equipment, naterials, labor,
overhead and profit for the work indicated on this application. -
j..-j opi,. s fro -.02.,5 Valuation i4195-c''
Existing building area (sq. ft.)
New building area (sq. ft.)
Number of stories
ii iv naniff, ',., mr,:: Type of construction
Name: - . Occupancy group(s):
Existing:
Address: . New:
City/State/Zip:
Phone Fax NOTICE: All contractors and subcontractors are required to be
:
the Oregon Construction Contractors Board under
451141- Ma Tilkj CallilM"- - -"- . "-''=X-' provisions of ORS 701 and may be required to be licensed in the
Business Name: - MC__ e_ a_14 a ca.. AD -r-) jurisdiction where work is being performed. If the applicant is exempt
Contact Name: k7. 5 - 73. ‘,...r t---,74 from licensing, the following reason applies:
•
Address: /4 c> ,6 ,)-z- .g" 73e
City/State/Zip: 1,4i Pt
Phone: 3C,0? 3? 5;92 cl jc., c 23776 - Ye" -
tocw•-.541414: el n nriN,G.r.,7k k:. I , o
E -mail: '' ' ',1m.„-C. 7 1 • , 7, - ' °.,, " - t ,, = ,, W;W,r . A.. - i - ,:.4•,t,',4, - .
g24' ,*•tift"'' - eas .! • 1O P.:. OoS'' • 1 4.r
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a>7111 h-A.Vgz, ,.,6 - allz-:;i:, t-,A-.t,,
Business Name: ----- g;., C__ eipptioluip wiz. -...s Fees due upon application $
Address: et, , s 73
City/State/Zip: //A1 )11- Amount received $
Phone: IC 0,3 77,1; 'ax: ,1 C.c))37 c/6 v r Date received:
CCB Lic. #: 771 - -. (
Authorized
Signature: " 1 0 . . . _ . . . . , - / v Date: ) 2 - ; 3 - 0 5 — Notice: This permit application expires if a permit is not obtained within
180 days after it has been accepted as complete.
PI5 c., c L- \_..../) *Fee methodology set by Tri-County Building Industry Service Board.
(Please print name)
i ADsts \Permit Forms \BldgPermitApp.doc 01/03
CITY OF TIGARD h
BUILDING DIVISION PERMIT #: 2o5 06 Ce 5'7
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED:
Phone: (503) 639 -4171 : ll fillo lo
Inspection Requests (24 Hrs.): (503) 639 -4175 :�.._�� `.L
INSPECTION WORKSHEET FOR DATE: y '3/0 TIME: PAGE:
SITE ADDRESS:I0 -2- 1Dr.2ile "3+ti -r� s` 1. L*e- CLASS OF WORK:
SUBDIVISION: LOT #: I 00 TYPE OF USE:
PROJECT NAME: iti, c ...0 1 rte
DESCRIPTION:
OWNER: PHONE #:
CONTRACTOR: 4- I__ V -1 w,'" --i`- ` k.--4-`A -S PHONE #:
Inspection Request Scheduled For: Date: Pour Time:
Code # Inspection Description Confirm # Contact # Message
nr
C rr ctions /Comments /Instructions:
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ASS I I PARTIAL APPROVAL ❑ CANCEL I I NO ACCESS
FAIL I I CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
`
Inspector: �� Date: yl '3 / t0 Phone #: (503) 718- 2 LI2