Permit CITY OF TIGARD BUILDING PERMIT PERMIT #: BUP2005 -00342
E �� DEVELOPMENT SERVICES DATE ISSUED: 7/19/2005
13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171
PARCEL: 1 S 135AB -01004
SITE ADDRESS: 10220 SW GREENBURG RD 420 ZONING: C - P
SUBDIVISION: TWO LINCOLN - TOWN OF METZGER LOT: 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: 5N : sf N: S: E: W:
OCCUPANCY GRP: B TOTAL AREA: 0 sf ROOF CONST: FIRE RET?
OCCUPANCY LOAD: 9 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: $ 1,000.00
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
Reg #: LIC 54105
FEES
Description Date Amount REQUIRED ITEMS AND REPORTS
[BUILD] Permit Fee 7/19/2005 $62.50
[TAX] 8% State Surcha 7/19/2005 $5.00
[BUPPLN] Pln Rv 7/19/2005 $40.63
[FLS] FLS Pin Rv 7/19/2005 $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 -6699 or 1- 800 - 332 -2344.
Issued By: I � t:f tCM Permittee Signature: _S��- Nap
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 App coo roNEIVED FOR OFFICE USE ONLY
City of Tigard Received /7
Permit No.•. 11 L .. 21x) 5 - 0 3
Date/By:
13125 SW Hall Blvd., Tigard, OR 97223 1 Plan Review
Phone: 503.639.4171 Fax: 503.598.1960 97223 U It . (\ 2005 A Date/B : Other Permit:
CITY OF
Inspection Line: 503.639A175 • _iljl„„ AI 1
TIGA Date Ready/By: EI See Attached Checklist for
Internet: www.ci.tigard.or.us UILDING DIVISION Notified/Method: Supplemental Information
B
New construction 1=1 Demolition Permit fees* are based on the value of the work performed.
Indicate the value (rounded to the nearest dollar) of all
El Addition/alteration/replacement LI Other: equipment, materials, labor, overhead, and the profit for the
,X4000,1,41 work indicated on this application.
Valuation:
1- and 2-family dwelling El Commercial/industrial
Number of bedrooms:
Accessory building D Multi-family
n Master builder E Other: Number of bathrooms:
Total number of floors:
.
Job site address: 10220 SW Greenburg New dwelling area: square feet
City/State/ZIP: Portland Oregon 97223 Garage/carport area: square feet
Suite/bldg./apt. no.: Suite 420 Project name: LA [eight Loss Covered porch area: square feet
Cross street/directions to job site: Greenburg Deck area: square feet
Other structure area: square feet
S.
_COMMERCIAL-USEICIREGICLIST1
USWWV.Mid#06MelgainarbantWeVeAlgahft9a"..MMWAttaV44
Subdivision: Lincoln Tower-Town of Metzger 2 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
Zi work indicated on this application.
,-„
Interior Tenant Improvement Valuation: $1000.00
Existing building area: square feet
New building area: square feet
IfF Number of stories:
, *;:ewr sftti go:maid „: 41 *NM g:` — .1.11 ,Eiktt;
Name: Equity Office Porperties Trust Type of construction: I-B
Address: One SW Columbia St Suite 300 Occupancy groups:
City/State/ZIP: 97258 Existing:
Phone: ( ) Fax: ( ) New:
at APJ1 ,„.
IpJ! j I 1 NOT10E .: eaiA;
Business name: Group Mackenzie All contractors and subcontractors are required to be
Contact name: Susan Higbee 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 Portland OR 97239 applicant is exempt from licensing, the following reasons
:
apply:
Phone: (503-224-9560) Fax:
E-mail:
Business name: C Schiewe & Associates Inc
cal
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: ( )
Amount received
CCB lie.: 54105
' /0/ Date received:
Authorized signature:40OP Thi permit application expires if a permit is not obtained
f
within 180 days after it has been accepted as complete.
Print name: Susan B. Higbee Date: July 19, 2005 * Fee methodology set by Tri-County Building Industry
Service Board.
i Permits \ BUP-PermitApp doc 12/03 440-4613T(11/02/COM/WEB)
f IT' F TIGARD
Y O GAR®
BUILDING DIVISION PERMIT #: BUP2005-00342
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/1912005
Phone: (503) 639 -4171 � � �lh� ti
Inspection Requests (24 Hrs.): (503) 639 -4175 w
INSPECTION WORKSHEET FOR DATE: 7/29f2005 TIME: 7 :07AM PAGE: 78
SITE ADDRESS: 10220 SW GREENBURG RD 420 CLASS OF WORK:
SUBDIVISION: TWO LINCOLN - TOWN OF METZGER LOT #: TYPE OF USE:
PROJECT NAME: LA WEIGHT LOSS
DESCRIPTION: TI - walls.
OWNER: EQUITY OFFICE PROPERTIES TRUST, PHONE #:
CONTRACTOR: C SCHIEWE & ASSOCIATES INC PHONE #: 503.64&6617
Inspection Request Scheduled For: Date: 7/29/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
299 Final inspection 012429-01 503780.3222 N
Corrections /Comments /Instructions:
Afi ch
'LM!
.Jri
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑
FAIL 'OR INSPECTION III ADDITIe NAL F. S ASSESSED
Ins ector: l� #: (503) 718 -
p Da te: Phone ( )
1