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Permit • CITY OF T I GA R D BUILDING PERMIT PERMIT #: BUP2005 -00127 'i DEVELOPMENT SERVICES DATE ISSUED: 3/31/2005 ` 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 1S135AB-01002 SITE ADDRESS: 10220 SW GREENBURG RD 135 ZONING: R -12 SUBDIVISION: THREE LINCOLN -TOWN OF METZGER LOT: 009 JURISDICTION: TIG Project Description: TI walls. 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: 29 BASEMENT: sf AREA SEP. RATED: STOR: 5 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: $ 1,400.00 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: Phone: 503 - 646 -6617 FEES Reg #: LIC 54105 Description Date Amount REQUIRED ITEMS AND REPORTS [BUILD] Permit Fee 3/31/2005 $62.50 [TAX] 8% State Surchari 3/31/2005 $5.00 [BUPPLN] Pin Rv 3/31/2005 $40.63 [FLS] FLS Pln Rv 3/31/2005 $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 - 001 -0010 through OAR 952 - 001 -0100. You may obtain a copy of these rules or direct questions to OUNC by calling 503 -246 .a .99 or 1- 800 - 332 -2344 Issued By j � _ 4F Permittee Signatu 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. IA Permit Air r i V • FOR OFFICE USE ONLY Received City of Tigard Date /By: I Permit No.: • _ J ` d 13125 SW Hall Blvd., Tigard, OR 97223 1 200 Plan Review i - /j / rMl •' ,',,\ Date /B Other Permit: Phone: 503.639.4171 Fax: 503.598.1960 Y�I Inspection Line: 503.639.4175 CITY OF TIGARD Date Ready /By: Juris: H See Attached Checklist for Internet: www.ci.tigard.or.us I S I ON Notifed/Method: Supplemental Information BUILDIN G V D IV -- -- -_ - - -- - - _ _ - . - TYPE'' -OF _WORK _ _ - - -- _ - - - 4 REQUIRED,DAT A r1= AND '2= 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 r ® Addition/alteration/replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the - - : - CATEGORY =OF 'CONSTRUC TION _ -_ _ _- — _ ° - - work indicated on this application. ❑ 1- and 2-family dwellin g El y Valuation: $ ❑ Accessory building ❑ Multi- family Number of bedrooms: ❑ Master builder ❑ Other: Number of bathrooms: - -- _ JOB - ,SITE INFORMATION AND_ LOCATION- =- • - _ __- - - Total number of floors: Job site address: 10220 SW Greenburg Rd, Tom Lincoln 13 S New dwelling area: square feet City/State /ZIP: TIGARD, OR 97233 3 Garage /carport area: square feet Suite/bldg. /apt. no.: 135 Project name: Randstad Covered porch area: square feet Cross street/directions to job site: Deck area: square feet Other structure area: square feet REQUIRED E. DATA: COMMERCIALUSCIIECKI!ST 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 - - _DESCRIPTION -OF - WORK - , __ -, -"----=- ,__ _ _ — =- work indicated on this application. New Tenant Improvement Valuation: $$1,400.00 Existing building area: square feet New building area: square feet T _,-. ❑;.PROPERTY -OWNER - _ - - _ -_ - - D. TENANT 7 ` - Number of stories: Name: EQUITY OFFICE Type of construction: I -B Address: ONE SW COLUMBIA SUITE 300 Occupancy groups: City /State /ZIP: PORTLAND, OR 97202 Existing: B Phone: (503)412 -4800 Fax: (503)412 -4848 New: B - -® APPLICANT_ m - ❑ 'CONTACT - _PERSON t • _ - ° --- _ - r - — - , - NOTICE 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: -,- t.=- = _ , _- _ CONTRACTOR = _ -- _. ;- _ Business name: C. SCHIEWE & ASSOCIATES - - _ = - -BUI_ L_DIN_ G -= ,PERMIT= -FEE S_ * - = Address: 6615 SW 111 ST Please refer to fee schedule City/State /ZIP: BEAVERTON, OR 97008 Fees due upon application $133.13 Phone:(503)646 -6617 Fax:( ) Amount received CCB lic.: 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. Print name: go 20. ��-e 04e Date: 03 - - * Fee methodology set by Tri- County Building Industry Service Board. i:\Building \Permits \BUP- PermitApp.doc 12/03 440- 4613T(I1 /02 /COM/WEB) CITY OF TIGARD BUILDING DIVISION PERMIT #: BUP2005.00127 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/31/2005 Phone: (503) 639 - 4171 /' /IiWN Inspection Requests (24 Hrs.): (503) 639 - 4175 112. INSPECTION WORKSHEET FOR DATE: 5/13/2005 TIME: 7:12AM PAGE: 92 SITE ADDRESS: 10220 SW GREENBURG RD 135 CLASS OF WORK: SUBDIVISION: THREE LINCOLN -TOWN OF METZGER LOT #: 009 TYPE OF USE: PROJECT NAME: RANDSTAD DESCRIPTION: TI walls. OWNER: EQUITY OFFICE PROPERTIES TRUST, PHONE #: CONTRACTOR: C SCHIEWE & ASSOCIATES INC • PHONE #: 5Q3 64&6617 Inspection Request Scheduled For: Date: 5/13/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 299 Final inspection 006771 -01 503 - 348 -0553 N Corrections /C • mments/ Instructions: IQ,tM . & v\ 270c • Vi \ PASS n PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION El ADDITIONAL FEES ASSESSED Q. \ �> Inspector: Date: Phone #: (503) 718-