Permit CITY OF TIGARD BUILDING PERMIT
PERMIT #: BUP2005 -00235
u � a 'I I I � DEVELOPMENT H BMENg Tigard, - -4171 DATE ISSUED: 6/2/2005
PARCEL: 1S135AB-01004
SITE ADDRESS: 10220 SW GREENBURG RD 210 ZONING: C -P
SUBDIVISION: TWO LINCOLN - TOWN OF METZGER 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: 13 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: $ 2,000.00
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: Phone: 503 - 646 -6617
FEES Reg #: LIC 54105
Description Date Amount REQUIRED ITEMS AND REPORTS
[BUILD] Permit Fee 6/2/2005 $62.50
[TAX] 8% State Surchari 6/2/2005 $5.00
[BUPPLN] Pln Rv 6/2/2005 $40.63
[FLS] FLS Pln Rv 6/2/2005 $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 -2f 99oy'f 800 -33 -344.
Issued By _.� C // __ u e ���� Perm Signatur i -
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.
BUlICiIII D FOR OFFICE USE ONLY
Received
City of Tigard Permit No.:
13125 SW Hall Blvd., Tigard, �ard, O I , 9 223 Plan ! ,- • i - -OO ,
t Plan Review QS
Phone: 503.639.4171 Fax: 50159_ tl l9 6 0 �" 2005 IY��fli?� Date /By: G Z /'J "i' ) Other Pennit:
Inspection Line: 503.639.417S,1T OF TIGARD Date Ready /By: \_ r is: El See Attached Checklist for
Internet: www.ci.tigard.or.uS Notified /Method: a -. Supplemental Information
BUILDING DIVISION
- -` TYPE OF WORK - - - REQUIRED DATA 1- 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
® Addition/alteration/replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the
_ = . _ CATEGORY _ - - - work indicated on this application.
_ CONSTRUCTION
= _ _ - _ - = _ _
❑ l- and 2- family dwelling ® Commercial /industrial Valuation: $
❑ Accessory building ❑ Multi- family Number of bedrooms:
❑ Master builder ❑ Other: Number of bathrooms:
'_ _ _ _ JOB =SITE INFORMATION -AN LOCATION _ 4 r - - Total number of floors: 6
Job site address: 10220 SW Greenburg Rd, II Lincoln New dwelling area: square feet
City/State /ZIP: TIGARD, OR 97233 Garage /carport area: square feet
Suite/bldg. /apt. no.: Suite: 210 Project name: Advanced Asset Management 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.
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 W - 2 - = — = p = _ - _- _ work indicated on this application.
New Tenant Improvement Valuation: $$2,000.00
Existing building area: square feet
New building area: square feet
-
❑ .PROPERTY -: - - j = .--_-- ❑ - TENANT_ - - Number of stories:
Name: EQUITY OFFICE Type of construction: I -
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 = - _ ,,. _ ❑ PERSON _ _ - 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
E -mail:
_ _- __ _ _ _ - _ _ _ _ CONTRACTOR. y = -- _ _ _ .
Business name: C. SCHIEWE & ASSOCIATES = B UILDING - PERMIT FEES*
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
n, within 180 days after it has been accepted as complete.
Print name: Date: 06 - 01 - 05 * Fee methodology set by Tri-County Building Industry
!!!"` �,lf.,- �g c/� Service Board.
i:\ Building \Permits \BUP- PermitApp.doc 12/03 440- 4613T( I I /02 /COM/WEB)
CITY CIF TIGARD
BUILDING DIVISION PERMIT #: BUP2005 00235
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6j21200s
Phone: (503) 639 -4171 / a� NpI'
Inspection Requests (24 Hrs.): (503) 639 -4175 '__..
INSPECTION WORKSHEET FOR DATE: 7/15/2005 TIME: 7:11AM PAGE: 64
SITE ADDRESS: 10220 SW GREENBURG RD 210 CLASS OF WORK:
SUBDIVISION: TWO LINCOLN - TOWN OF METZGER LOT #: TYPE OF USE:
PROJECT NAME: ADVANCED ASSET MANAGEMENT
DESCRIPTION: TI -
OWNER: EQUITY OFFICE PROPERTIES TRUST, PHONE #:
CONTRACTOR: C SCHIEWE & ASSOCIATES INC PHONE #: 503 - 646 -6617
Inspection Request Scheduled For: Date: 7/15/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
299 Final inspection 011487 -01 503-780-3222 Y
Corrections /Comments /Instructions: hRole--
. ., 1
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/ .
/ PASS n PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ C , LL FOR INSPECTION ❑ ADDIT ONAL F ES ASSESSED
Inspector: 0 Date. Phone #: (503) 718-