Permit �.
CITY OF TI GARD BUILDING PERMIT
PERMIT #: BUP2004 -00607
I DEVELOPMENT SERVICES DATE ISSUED: 12/29/2004
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171
SITE ADDRESS: 10260 SW GREENBURG RDO 331> PARCEL: 1S135AB -03400
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: 25 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: TI Walls and ceiling.
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
Reg #: LIC 54105
FEES REQUIRED INSPECTIONS
Description Date Amount Mechanical Permit Require
[BUILD] Permit Fee 12/29/2004 $62.50 Electrical Permit Required
[TAX] 8% State Surchaq 12/29/2004 $5.00 F it
Fire Alarm Require(
[BUPPLN] Pln Rv 12/29/2004 $40.63 Framing lnsp
[FLS] FLS Pln Rv 12/29/2004 $25.00 Gyp Board Insp
Total $133.13 Susp Ceilng lnsp
Final Inspection
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes
and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is
not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law
requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952- 001 -0010 through OAR 952 - 001 -0100. You may obtain a copy of these rules or direct questions to OUNC by
calling (503) 246 -6699 or 1- 800 - 332 -2344.
Issued By: ,,,... /(�( -„ !'. /�,r�1�(.1/�
Permittee / /��
Signature: o
Call 639 -4175 by 7 p.m. for an inspection the next business day
S.
Building Permit Application .. FOR OFFICE USE ONLY ,
City of Tigard (�I'CS�'$(�ma, sNI 1111�f Receive,
DatDate/By: A N, a D Permit No. ` I_+ LI X1/_0
13125 SW Hall Blvd., Tigard, OR 972��y� c)11 i0 k.
� Plan Review �l /CJ
Phone: 503.639.4171 Fax: 503.598.1960 •`` `` --{,44-4*'' I I Date /B : Other Permit:
Inspection Line: 503.639.4175 (�' c(' t (j J jet ` •I I .. Ready /By: Date Read /B B See Attached Checklist for
� 1JIJ
Internet: www.ci.tigard.or.us Notified/Method: Supplemental Information
IPS a� „�� �_._. ..£_� z„ , "�� t �° � a �� � c . .TA :.. ND- 'r > >< , 'FAM ,,° .- � � II.Y DELUIlVG :�,.,
: � V - .> � < n t> r - iz ” r � : REQUIRED DA 1 A v
❑ 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
,':.v -; ::` ,. ,,: >,.., -- ,..m _,:. � -,,, A : ,k V,IPM€ . r Z ",k ::,; e*- --o -.. t work indicated on this application.
1 _. ;s ` 4' , CATEGO R - OF GONSTaRUCTION pp
❑ 1- and 2- family dwelling ® Commercial /industrial Valuation: $
❑ Accessory building Ill Multi-family Number of bedrooms:
❑ Master builder ❑ Other: Number of bathrooms:
NV „ JOB SITE I1 FORMAATION Ar LOCATION ,.k 4 P ( 0 Total number of floors:
Job site address: 10260 SW Greenburg RD,Lincoln Tower New dwelling area: square feet
City/State /ZIP: TIGARD, OR 97233 Garage /carport area: square feet
Suite/bldg. /apt. no.: 330 Project name: 4) ‘ Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
Other structure area: square feet
REQUJREDDATA (COMMERCIAL USE GHECKLIS=
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
.!IrW:'!fY,:PiF NIMONS161111111Cli§ailAfelM WORKS : ' work indicated on this application.
' . .x-a0 .. . . i ,: a a_+ ' . , . � ,. g'
New Tenant Improvement Valuation: $$1,200.00
Existing building area: square feet
New building area: square feet
�i .,
4 , PRop O WNER ® PiANfI Number of stories:
Name: EQUITY OFFICE Type of construction:
Address: ONE SW COLUMBIA SUITE 300 Occupancy groups:
City /State /ZIP: PORTLAND, OR 97202 Existing:
Phone: (503)412 -4800 Fax: (503)412 -4848 New
® APPLICANT . , , ,.as ' : "E ='°' ° i „ .
-:�a- -. - C ONTACT PERSON ' ,z � ” - " t t" . ""r s � a . . t ;
x
Business name: Croup 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 f llowing reasons
apply: &p?. So
Phone: (503) 224 -9560 Fax: : (503) 228-1285 9 /_3 (-A _ �
E-mail: ,. (J 7)(
Business name: C. SCHIEWE & ASSOCIATES a13;
_ ,:- $ �B[7ILDINGi, PERC1PFa FEES 9 ,
Address: 6615 SW 111 ST
Please refer to fee schedule.
City /State/ZIP: BEAVERTON, OR 97008
Fees due upon application $300.00
Phone:(503)646 -6617 Fax:( )
Amount received
CCB lie.: 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: e. o 4 Q ,/ Date: 12 - 28 - 04 * Fee methodology set by Tri- County Building Industry
Service Board.
i. \Building \ Permits \BUP- PermitApp_doc 12/03 440- 4613T( 1 I /02/COM/ WEB)