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Permit CITY OF TIGARD BUILDING PERMIT PERMIT #: BUP2004 -00308 1,L • III DEVELOPMENT SERVICES DATE ISSUED: 6/30/2004 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 PARCEL: 1S135AB -03400 SITE ADDRESS: 10260 SW GREENBURG RD 350 SUBDIVISION: LINCOLN TOWER -TOWN OF METZGER ZONING: C -P BLOCK: LOT: 014 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: 12 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: $ 1,200.00 Remarks: Demo walls and infill corridor door. Owner: Contractor: EQUITY OFFICE PROPERTIES TRUST C SCHIEWE & ASSOCIATES INC 10260 SW GREENBURG RD #100 1024 NE DAVIS ST TIGARD, OR 97223 PORTLAND, OR 97232 Phone: 892 -2500 Phone: 503 - 234 -6617 Reg #: LIC 54105 FEES REQUIRED INSPECTIONS Description Date Amount Sprinkler Permit Required [BUILD] Permit Fee 6/30/2004 $62.50 Framing lnsp [TAX] 8% State Surcharl 6/30/2004 $5.00 Final Innspe Gyp Board spe ctti n [BUPPLN] Pln Rv 6/30/2004 $40.63 [FLS] FLS Pln Rv 6/30/2004 $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: Za.4...1a-4-6 Permittee Signature: ) Call 639 -4175 by 7 pr ' or an inspection the next business day F , Building Permit Application FOR OFFICE USE ONLY City of Tigard " °cuEOVED /�� Received //__ � �t k J Date/Bv: Le pi [/ �. -�/ Permit No.: -..00 13125 SW Hall Blvd „'Tigard, OR 97223 i ._ / „fir Phone: 503.639.4 Fax: 503.598.1960 UNI 2 4 2004 ”' ; , Dan " 4' ' ® p n y: Review A DaO Permit: Inspection Line: 503.639.4175 • � f .. Date Ready /By: /� /a e t, j'' '. 0 See Attached Checklist for Internet: www.ci.tigatd.or.us CITY OF TIGARD No' ied/Method: / /� . Supplemental Information � f:', .,, r;�:m3. - ., ; «�, y �, °� ;�.,�.�' • 't�;e.:3 ,a cps ;.� ,:fie � 7ur. s ;r `. ;a .. <�.,� ..= �s�m;k .^,. .:.cc.�" ^ice;= TYiI.'E'�OF`: =, \��� :: .,�'`'v�� ' . ' - °�' ,. -*.., ';k'z -= _ • - -- = isaF,r<..ma, �.;,, ..s...m,..- ^;�..�5 -:+�e _a .. . < � - l ,. WORR g 4 g , �: L iREQI7IREDII t 1' -AND 2;FAMILY DWEI:u? .0 <^.'4'x:^ .:.:c:.� �+ � ?a;:#�"_`a -. �.^l. - *. X41 '.z''e�sA^.d�Y+^�"°�k,�'2C:e ... 3,"?.F.��9`�.� _= ''k���1�€�.3. {�` =�E:° =d..e � �,' ,¢( r ' t�# �' }k'. -F�e ,e- »3';,.,3+ r€C` �«3�'k'� rrL ✓td�_�H2 +�++' --�- °4` w"d�ft6�2� - vim ❑ New construction ❑ Demolition Permit fees* are based on the value of the work performed. Indicate the value (rounded to the nearest dollar) of all 12 Addition/alteration/replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the € omm � s , ,�, ,�. �. , . , y:.�a "� ya!r. ��. n:^. �b� :,. rte. a. 4 = ^,'rwr, s `a K r w' �"_, -; k :; . " = .. , , work indicated on this a `:,11, ir..., , . w - -. .A CA=tP'EGOR OE CQNS`IrrRUGTION °' - ` = , I application. .d,.� -s, �� w ,�t� + �'..' a ..:.1 =:�,.ta�a��:?'�'�csi�: -,a- � ��,x�..ta:� ;..::z.�, «� -'U`^� xiE'"�*�����' �_��.^- .'r#- s�s� >.�Y�'i4i ❑ i -and 2-family dwelling Valuation: $ Y g ® Commercial /industrial ❑ Accessory building ❑ Multi - family Number of bedrooms: ❑ Master builder ❑ Other: Number of bathrooms: ` r�=,�.'' +��g: , ^ =;� ^" :� sic`:.' ^a - :�:..:.; ::.: �•- ,wa,.= : »;�,.�s;.�, _ _ .. r. � a�i . - `u P " f ` `� - R . ",:.. ` ; ,,; ; JQ sITE INF.oRMATIOI ° A ' , ,i, OCATION`; r : " °` „£ „ Total number of floors: :.';^ , aA... es.,ra,;,:.+.x.s.,,; «,a =: .,f ak / .• „ s:;�.'3 +zx. z. a:. „:.e a � ^` '�,': k ":i, 'iy;Sx' r” ' ,'. .. , i, Job site address: L i/? COI 1i To Gi /er_ jo ` 1. Oo 4/ G Yeen bur r 20 New dwelling area: square feet (t3/7 City /State/ZIP: nor / , 0 Garage/carport area: square feet Suite/bldg. /apt. no.: `3 n 5 O oject name: p, t 5—/1—.j Covered porch area: square feet Cross street/directions to job site: Deck area: square feet Other structure area: square feet 'REQUIREDrDATA CONIIGIERGIAL-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 Ay ;3F . x ._ ; , :, _ a , , ; _, „• „��. _ µ ms , %,; rA equipment, materials, labor, overhead, and the profit for the e ;§ k ,, $ t DE OE W = " � - ', .t: : w indicated on this application, Net,/ Te .r L fripraiei'i.ehf Valuation: $ p1 9- Existing building area: square feet New building area: square feet �.�� v nc, .r, �- .ec .. - . :.5 .. s.4.":^.�,,« "n.r �.��'ku. 4 •,� : S ' ^ * r; � ',' 'rtf-[i. p' . •:�.,. i- ",-° : ,, _ e <.W =,e s.. r ..ri .. sK : _ -, ; —# S: �`;_L,. .Kj,, ..,�-=, „-,u,. , . :Y4 ! °` :; TEN t :'g Number of stories: Name: goo tt 0 Jf,c -f2 Type of construction: 1/ - F/ 2 Address: Oil& t-J Ca, (U 1.4 h/a ` o/ C� 3� Occupancy groups: /3 City /State /ZIP: %9O / a 9 72 oz Existing: Phone: (503) :ci./ 2— 4 d 0O Fax: ( 5a3) if 12 - 4 8'4 '8 New: Y= ;''.`n &. , ..T� _... , > -, ..'r�<- +; ^r, 's= �:> i �� �,' r ' - .< e. 4 *- x.v ^. - =dF�s- m....:.. -. - �a .' ' m t`t 1PELICANT e :,.rn "-`-, " &4 ; `' h. ? "".; ®' , � _ ''� ,_; -, ^ - • ., - ,� ,: , .A ,:- ,. , : �_.,§^ NTr 1C1a PERS ;.~ x' eAr e g ii : '1111:41 e Business name: Ora v )La Ck-e -kl21 C y All contractors and subcontractors are required to be Contact name: J V r l l b e.e licensed with the Oregon Construction Contractors Board ,t 9 p under ORS 701 and may be required to be licensed in the Address: P 0 ©k 6 0 9 jurisdiction in which work is being performed. If the City /State/ZIP: Poe 1 ^/a y,./ o K 91201 applicant is exempt from licensing, the following reasons Phone: ( 503) 2 2 4._ 9 5 6© Fax:: ( 5e3) 2 2 y _ /2 g5- apply: E -mail: S \rt -6 63 rp rnct-c k • c. i r—M ,CON s1 - Business name: e - S C h l' etc] p / / SS o iG�t2 S <.�: µms , F _ ,' : i:� -,^,.: ean n _: tl Address: b d .. w , 1 . 1 , BUII:D P,ER141TT= FEES *;; Address: G s--\---- � ��_.�� " �.. �. � ,n::'.-�::�.s- :=x;��,��b�- ...sue: =. =M�;��: i Please refer to fee schedule. City /State/ZIP: 3 e QJ -ert ■ t p • 9 7'° e Phone: (rj03) A4.6— e6 7 Fax: ( ) Fees due upon application >. I 0 Amount received CCB lic.: `7 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 l '`-' V 4 /;L1 'J Date: * Fee methodology set by Tri- County Building Industry (l/ Service Board. r \Buildine\Pennits\BUP- PennitA , doe 12/03 4404613T(11/02/COM/WEB) CITY OF TIGARD 24 -Hour BUILDING Inspection Linp: (503) 6 175 INSPECTION DIVISION Business Line: (503) 7 MST BUP A -&- '302 /t7 Received h �• Date uested l AM PM BUP Location ,) Q i O - 'L ' �l� r�r/� ' ��� Suite 357) MEC Contact Person Ph PLM Contractor Ph ( ) SWR • �LDIN Tenant/Owner Cis , / o-'1n->f-t-J -' ELC in � � ELC Foundation Access: Ftg Drain ELR Crawl Drain Slab Inspection Notes: � SIT Post & Beam Shear Anchors C Ext Sheath/Shear Int Sheath /Shear Framing Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof • o • 1 ina 427 PART FAIL P MBING Post & Beam Under Slab Rough-In Water Service Sanitary Sewer Rain Drains Catch Basin / Manhole Storm Drain Shower Pan Other: • - Final PASS PART FAIL MECHANICAL Post & Beam Rough -In Gas Line Smoke Dampers Final PASS PART FAIL ELECTRICAL Service Rough -In UG /Slab Low Voltage Fire Alarm Final Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL SITE Please call for reinspection RE: El Unable to inspect — no access Fire Supply Line ADA / Approach/Sidewalk Date t o ! � /� Inspector Ext Other: Final DO NOT REMOVE this inspection record from the Job site. PASS PART FAIL