Permit =;d
CITY OF TI GARD BUILDING PERMIT
PERMIT #: BUP2004 -00572
T i DEVELOPMENT SERVICES DATE ISSUED: 12/9/2004
I
+ 13125 SW Hall Blvd.. Tigard, OR 97223 (5031 639 -4171
SITE ADDRESS: 10220 SW GREENBURG RD 698- 10 1.5" PARCEL: 1S135AB -01004
SUBDIVISION: TWO LINCOLN - TOWN OF METZGER ZONING: C -P
BLOCK:Th RE LOT: JURISDICTION: TIG
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: 135 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: $ 84,700.00
Remarks: TI: new walls for offices.
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 REQUIRED INSPECTIONS
Description Date Amount Mechanical Permit Require
[BUILD] Permit Fee 12/9/2004 $662.25 Electrical Permit Required
TAX 8% State Surchar 12/9/2004 $52 98
Sprinkler Permit Required
[TAX] ! Plumbing Permit Required
[BUPPLN] Pin Rv 12/9/2004 $430.47 Framing lnsp
[FLS] FLS Pln Rv 12/9/2004 $264.90 Firewall Insp
(additional fees not listed here) Gyp Board lnsp
Final Inspection
Total $1,610.60
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.
7
Issued By: /L--•a/C/‘C___/ s< " � =' Z
Signature: /,L4-�i 4
Call 639 -4175 by 7 p.m. for an inspection the next business day
! p '
Building Permit Application FOR oFFICE`USE ONLY ' ; ,4:
City of Tigard Dateh' /J vl 0 Permit No.: • a .— W✓
13125 SW Hall Blvd., Tigard, OR 97223 Plan Review I
Phone: 503.639.4171 Fax: 503.598.1960 /4 It I & �Tj! Other Permit
Inspection Line: 503.639.4175 ,, ', Date Ready /By: El See Attached Checklist for
Internet: www.ci.tigard.or.us Notified/Method: Supplemental information
*`:,fi rts',. •�„.s'a: fcr�;s. =.r= .%'� - =' %3!sa.'ia," : �G' "�:f��- `,:.., e,�. �. u.:. , *�, i ?�.z s ,,;.�'r'�,°vb�. ':a°��t7
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1: YPE O,, ?FORK K :, ,. 44. _ RE H .i71RED' =DATA. 1 < A D 2 -F
_,�'`i` �`;_ "'E °.w� .iT 4t. _ :t >`= .� Q. N -�.. ,AMILY;DWELL
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❑ New construction ❑ Demolition Permit fees* are based on the value of the work performed.
Indicate the value (rounded to the nearest dollar) of all
S . Addition/alteration/replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the
,1 ,.s> ::°- ,= ' ,4,7,- _ww4- _ w i n a licati n.
�� =:�t�.a�= ''`�< `'�; � ri; � � . '�`%`4=' : �'<: = "« ork ndlcated o this pp o
: >: ` 4 a _ = `.�` ' ,� , .CATEGO,R , Q COPISTR`UC ION V V V V � r .,,,
Valuation: S 8-( / 7oo
❑ 1- and 2- family dwelling )' Commercial /industrial
❑ Accessory building ❑ Multi - family Number of bedrooms: /7/,,
❑ Master builder ❑ Other: Number of bathrooms: & f / .
:.,' ;:. -, -47- ,., ,,A, ,%-t ga p..,-.e> s` '-= ks a:r'� . ,:-. r.= gN-., na3`' ;,iwp. >, ,4,,17,, ' 7 r /
` 4 i eAt dOB SITE rE®R AN IIOCATIOI M ' . Total number of floors:
Job site address: I 0 22,0 s i Lu, G A J (0 u 0._ ' • r New dwelling area: square feet
City/State /ZIP: -: n R -i- ( fl 0 2 C 2Z3 Garage /carport area: square feet
Suite/ g,4ap4.no : G Project name: F 1 -S 1 F2-000 tcLit M Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
Other structure area: square feet
:,.� � as" ,. : z�:.f�n: -'i.i . , ... . .
_ IR`EQUIREDtDAT i COIVI1VtERCI , -USE CH'E li
:�.- o:e€%ctht :,, . ^' ....° X^'. ..�' rii. , ..; ''+ , .
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
, ': €4,,,,:,i'� Y`:,`' =`;`dtr.' ia:,Y,. +:w ika:Y._ ':,.:;e.ag', °;.T .;-.rye. �_ ;g„ - is 'e
T U .t „) 4TSI itI A 0444th f $ :vim work indicated on this applicati on.
1 )€47to exi 5h,v1 w1�Ls C� wig 6 Z S4eS Valuation: $
'YL10 4-70 10 F t (t-$ T F12- 1G L_- I - 1 - o CAJ -I- 1 t't.-t;. Existing building area: square feet
G 2 New building area: square feet
P OPERTY: ®WNER, b *' ,
_ .
` ..A.:» ' . iL
: ice, 4-. . w. w s.,C 4 h ? NANT ;, e, ._El Number of stories:
Name: 1--:... &U ... v OFF L E.-? P --7 s - r Type of construction:
Address: 1,E s', W. CD/ u on to 1'0. S 3 00 Occupancy groups:
City/State /ZIP: 0 i 0 a CO 12 Existing:
Phone: (9)3 ) LI I Z - 4 8 o 0 Fax: ( 5b3) L I 1 - 4 8 4 8 New:
`?, � •i » zi ";'?'� , � �:.'.r� k -,�_' �.� ,.� x. r::.. , !s � T`Y, ";:.a;� ;�: ;x'.a,�. ��,�; ' . { "M SS"
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` AP - ICAN e 9, N
try ��.. ,.. ® `e CO NTACT''•PE RSO `�,.e � .r . V ��; »t ...,.. - ` • , , .
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Business name: 6 S cA t€..[:e, e. I ' S So c . .) L All contractors and subcontractors are required to be
Contact name: C /(._. Pi, N licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address: (0 (D I s- S L c i 7 / 1 / jurisdiction in which work is being performed. If the
City/State /ZlP:� E ,v ���t?� 0 c1 / 00 6 applicant is exempt from licensing, the following reasons
/ - r apply:
(4, (..) (
Phone: (503) , - ( tv ( I -7 Fax: ( Sb3 (049- Q tv 1 c
E -mail:
a�.?��� ; ,.r� . ��� �� >> COlVRAC R O a .....> ���..rc. �w� _� ,�,, ,z,., . ..411
Business name: C t S •6.J E SOG tr .... ,,,,..._ _�_,
`�'�/ L P ';. wat, . W jAppING.EERMIT *'
Address: (�� I S 5� I I l ,t1 , e
Please refer to fee schedule.
City/State /ZIPT t4,41,- 4 ::::)'C2.- 9.1 co R
�
Fees due upon application
Phone: (Sb3) 4 (�, —(2 ( \ Fax: (Sp3) (0 t../ t../ 4 _9 (O 1 - + 1 6 _ x Amount received
CCB lic.: S (0 5
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: C i►4 /e 1 &. 0 At Date: 1 2-', cj &, * Fee methodology set by Tri- County Building Industry
Service Board.
i Building \Permits \BUP- PermitApp doe 12/03 440- 4613T(1 I/02 /COM/WEB)
r
Building Division
A40111 Plan Submittal Requirement Matrix
Commercial & Multi- Family - New, Additions or Alterations
City of Tigard
ate t Type of�Subm><tta�h �.#ofPlans
s
�(Zncludes new, < additions and alterat:,9ns )t Rovitred at
?*:.
Demolition Permit 2
(site plan required showing location and square
footage of all buildings to be demolished)
Site Work • 2
(must include location of all accessible parking)
Plumbing (site utilities) 2
Building 1*
Fire Protection System 3 **
Mechanical • 2
• ' C
Plumbing (building fixtures) 2
•
Electrical 2
Plan review is dependent upon submittal of a completed application and plans.
After plan review approval, the Plans Examiner will contact the applicant to request •
additional sets of plans for distribution purposes (for contractor, City of Tigard,
Washington County, and Tualatin Valley Fire & Rescue)
•
* For over - the - counter commercial tenant improvements, submit 2 sets of plans.
** "New" fire protection systems require that plans bear the original seal of an
Oregon licensed fire suppression engineer, or NICET level "3" technicians.,
i:\Bui lding\Forms \COM- PlanSubReq.doc 12/24/03
CITY OF TIGARD
BUILDING DIVISION PERMIT #: BUP2004 00572
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 12/9/2004
Phone: (503) 639 -4171 �m °u''uNp�i�IIIN�f�I h
Inspection Requests (24 Hrs.): (503) 639 -4175 ~__..
INSPECTION WORKSHEET FOR DATE: 5/12/2005 MIME: 7:08AM PAGE: 89
SITE ADDRESS: 10220 SW GREENBURG RD 615 CLASS OF WORK:
SUBDIVISION: THREE LINCOLN -TOWN OF METZGER LOT #: 0Og TYPE OF USE:
PROJECT NAME: FIRST FRANKLIN
DESCRIPTION: TI: new walls for offices.
• OWNER: EQUITY OFFICE PROPERTIES TRUST, PHONE #:
CONTRACTOR: C SCHIEWE & ASSOCIATES INC PHONE #: 503. 646.6617
Inspection Request Scheduled For: Date: 5/12/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
299 Final inspection 006668 -02 503 -348 -0563 Y
6t.t/
Corrections /Comments /Instructions:
16 �v
•
). ),J
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL (l CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: � Date: IVO Phone #: (503) 718 -