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Permit CITY OF TIGARD BUILDING PERMIT PERMIT #: BUP2004 -00307 , 44 DEVELOPMENT SERVICES DATE ISSUED: 6/30/2004 13125 SW Hall Blvd., Tigard, OR 97223 ($31 639 -4171 PARCEL: 1S135AB-03400 SITE ADDRESS: 10260 SW GREENBURG RD 3,941 3 `�6 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: 16 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: $ 2,400.00 Remarks: Demo walls and infill demising wall. 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 $72.10 Framing Insp [TAX] 8% State Surchari 6/30/2004 $5 77 Gyp Board [BUPPLN] Pln Rv 6/30/2004 $46.87 Final Innspsp ectLion [FLS] FLS Pln Rv 6/30/2004 $28.84 Total $153.58 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 - 800 - 332 -2344. Issued By: Permittee Signature: k � . _ Call 639 -4175 by 7 pi for an inspection the next business day �:. JUiMing Permit App is t iri.: V E 0 FOR OFFICE USE ONLY' , City of 'Tigard Received ' , 13125 SW Hall Blvd.,T ➢U gard.OR 97223 �� 200 DatelBy: O�[ �� Permit No.: rat: � 7 do, Phone: 503.639.4171 Fax: 503.598.1960 / Plan Review 7 '1 �/W x Inspection Line: 503.639.4175 I!I ' I Date Ready/By: B _ O `` , Other Permit: See Attached Checklist for gas1orus Internet: www.ci.ti CIT OF TIGA , _ r . ., BUILDING DIVISION Not ,, - �� I / Ie. ethod: / .� V t�[la _ ` Supplemental Information - .. 6 . tf; :g , :. , PYPE :` 'OF' W � t V:.,. i `- x _ . ::r.: ,. - _- ° :�.r -gPy;. °`-'a .. RRa'�; «,�.rns`s� `' _ ;:��,`.,;.F.,���"x,`', �`;i:: I7IREI}ID`A�TE1:,1`= - - � O .... � =��, . � r •._ - ' , : Q .. AND >2= FaMILrDW>g.I:INg,?'1 ❑ 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/alteratiovFreplacement ❑ Other: - »:.,� ��,. A ,, ,�, - equipment, materials, labor, overhead, and the profit for 'A:PEG z „.,:r,,:.,,:,.� the ��'.� ±vim ,Ttit�= c'�s;a <`,� �,� may ,.., r .�, yg ORS "OF G ,„ , , ,.I;R � ' '° : w ., - = work indicated on this application. ❑ I- and 2- family dwelling ® Commercial /industrial Valuation: ❑ Accessory building ❑ Multi - family Number of bedrooms: ❑ Master builder ❑ Other: Number of bathrooms: .. . ,sl • ,40 STIE.INEORNIATIOSii* " EOC rAti1� � " ' ` . ` ,_ Total number of floors: 'i3'+' - t . � 4 v:Md" Job site address: Lit CO Iv, 'rower .. IO2 bD 'Sw: _Gretalap, ,0.v9 R 0 New dwelling area: square feet City /State/ZIP: POrrTIO..Vtd 1 O R Garage/carport area: square feet Suite/bldg. /apt. no.: 3 9 O . k Project name: f �,1 e C?T� � 4 Covered porch area: square feet Cross street/directions to job site: Deck area: square feet Other structure area: square feet ; `REQUIRED : .COMMERCIAL= USE"CIECKLIST`' . \ 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.; WORIC.' - , : Pr: - work indicated on this application. N e . (A/ 7tn.an T ol p ra v e.T Valuation: S gc -- Existing building area: square feet New building area: square feet :. Q,P,ROPERTY •OWNER:' . - _ °Q;;,TENANT` _ , ;4 Number of stories: / Name: j; .Qi tii 7 ' I c' Type of construction: "'- Address: O -5w co lvmb:a Sot t-.300 /72....., n Occupancy groups: City /State/ZIP: QOYThMId, oR 9 7 ad 2 / Existing: Phone: (503) 4/2- .r-eOQ I Fax: ( 5 03) 4/ 2 4S4 ' New: . � J ,K : - ` ° " .. - - -�Q; COIwTA CT�PE . , "� - ..,:�AP PLIC�ll!I1' - .. w' °_ - :.'«,,: .'i`: .';i: ;' •.- , NOTICE,,:. _ ., - ... , ..w: « , Business name: G r c-ke. 4 21 e All contractors and subcontractors are required to be Contact name: '15() 5 cA yi Nt �V g licensed with the Oregon Construction Contractors Board Address: under ORS 701 and may be required to be licensed in the P© Q O X G9 0 3 9 jurisdiction in which work is being performed. If the City / State/ZIP: ©R. -72 J applicant is exempt from licensing, the following reasons par, , Phone: (5a3 ) 5..2 4...95 60 Fax:: ( d apply: E -mail: S\D' S t� rp mac be . co m _ wow. - _ � ��.�:;w1 ���„�_:., ._.. ._r:!�:- - =?�.t Business name: C . S cht e..w e. j , C. , .. ..� `' ` r;3: > '� BLII DIN( P Address: L 6 1 5 S w i I I S�' , m- �:: _..z _.: R `F '� :N : y: h..: City /State/ZIP: " je ✓Qr 0rl i O R 9 700 8 Please refer to fee schedule. Phone: ( ) fj Fees due upon application 3 4 _461 - 7 IF ax :( ) CCB lic.: 55 he. 1 p Amount received ♦ / Date received: Authorized signature: ti /f b This permit application expires if a permit is not obtained n / � �` within 180 days after it has been accepted as complete. � Print name: /v c« Date: * Fe methodology Bu odology set by Tti- County Building Industry Service Board. r ■BUP.PermaApp.d«x: IJ03 - O-46 13Tf I I R)JCOM,WEB) CITY OF TIGARD 24 -Hour BUILDING Inspection Line: (503) 639 -4175 INSPECTION DIVISION Business Lirir : • (503) 639 -4171 MST BUP goo/-e0367 6 Received Date Requested 4 — �S AM A - P Location Z) D' Ce 6 JE.A ! /ii 4�._,. - AZa& _ Contact Person Ph ( / ) M • /. C . I Contras Ph ( ) : R Mar B Tenant/Owner ELC Footing Foundation ELC Access: Ftg Drain ' ELR Crawl Drain �0� Slab Inspe S Post & Beam Shear Anchors 1 Ext Sheath/Shear Int Sheath/Shear �, / S) '. n „ / Framing -c' \ U 1 `+� X.� -0 � Insulation / /' t,/ _ Q [ r 7 $ ,tC 3 1 Drywall Nailing E .—Lei 'f Firewall 6 ` 3 p (�e9 O "T L _ 0 0 3 7--) 7-e--v■iut Q - cam k(- c, \- � ) �/ Fire Sprinkler `b �\ Fire Alarm Susp'd Ceiling Roof Other: vili►Y '` PAR �► { AV BING 1 W' I DA , I.VO y . ost & Beam Under Slab - Rough-In Se �- — ■ Water Service Sanitary Sewer , Rain Drains Catch Basin / Manhole ��` • / S V1 ` L i v Storm Drain — Shower Pan ^ _ - (,V 1 L Other: ` - Final ♦ V W\ - S ) -2 41 PASS PART FAIL J / MECHANICAL • `k I Post& Beam ✓\ W C 5 P� Rough -In C� ° 7 `" Gas Line 6A--,C_ s S n � /' Smoke Dampers �j ?�[ ` / F PASS PART FAIL 4047" ( /L- ? 3 " 0 • } ELECTRICAL _ 7/N S / o L1 EA-J> .. ` ' 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 ca for ?ns ection E: 0 Unable to inspect — no access Fire Supply Line 7 / a " --1 ,i ADA D Inspector Ext Approach/Sidewalk P Other: Final DO NOT REMOVE this inspection record from the job site. PASS PART FAIL