Permit A: - CITY OF TIGARD BUILDING PERMIT
PERMIT #: BUP2004 -00458
� . �i� l DEVELOPMENT SERVICES DATE ISSUED: 9/28/2004
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 PARCEL: 1S135AB -03400
SITE ADDRESS: 10260 SW GREENBURG RD 1060
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: 17 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: $ 7,800.00
Remarks: New demising & interior partions for T.I.
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 9/28/2004 $120.10 Electrical Permit Required
[TAX] 8% State Surchan 9/28/2004 $9.61
Sprinkler Permit Permit Require(
Fire Alarm Permit Requirr
es
[FLS] FLS Pln Rv 9/28/2004 $48.04 Framing Insp
[BUPPLN] Pln Rv 9/28/2004 $78.06 Gyp Board lnsp
Total Final Inspection
$255.81
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 1 80 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: : //- ,„, .
Perm ittee
Signature: �o 9- 2g- (' /`T
Call 639 -4175 by 7 p.m. for an inspection the next business day
K
Buildiht Permit Application FOR OFFICE USE ONLY
City of Tigard
44‘1 Received
Date/By: — pf I. Permit No.: 2 /MC/ c7 ii
13125 SW Hall Blvd., Tigard, OR 97223 Plan Review
Phone: 503.639.4171 Fax: 503.598.1960 Date/Bv: Other Permit:
, t
Inspection Line: 503.639.4175 Date Ready/By: El See Attached Checklist for
Internet: www.ei.tigard.or.us Notified/Method: Supplemental Information
p New construction Demolition Permit fees* are based on the value of the work performed.
Indicate the value (rounded to the nearest dollar) of all
Z Addition/alteration/replacement ['Other: equipment, materials, labor, overhead, and the profit for the
kr work indicated on this application.
1- and 2-family dwelling Z Commercial/industrial Valuation:
Number of bedrooms:
Accessory building LI Multi-family
LI Number of bathrooms:
Master builder rj Other:
„ „
Total number of floors:
Job site address: 10240.SW Greenburg RD New dwelling area: square feet
City/State/ZIP: TIGARD, OR 97233 Garage/carport area: square feet
Suite/bldg./apt. no.: 1060 Project name: ASSET MANAGEMENT Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
Other structure area: square feet
'A ?IS WE ' Cfaligf
, ,- 4 -9
Subdivision: 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
701,11",irry,130411:11k4W -ag 0414 work indicated on this application.
4100:440!
New Tenant Improvement Valuation: $57,800.00
Existing building area: square feet
New building area: square feet
litiZ4?; Ng44, Number of stories:
- :,"01,1n,111 MeV:, ;„
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:
44:14114kM 5454r5TrifydiMigifis'ifi/44,50140!,32," . - .
vAlifiknaPr7 „ ;;Ft INVIC ?NOTICE ;' Z„;111
Business name: Group 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 following reasons
apply:
Phone: (503) 224-9560 Fax: : (503) 228-1285
E-mail:
:d:tr 4:41144C-Yn. 'e.;1401''
ia4:kjfitr:V .
Business name: C. SCHIEWE & ASSOCIATES
. ..:q4INC . '. -- ;iit 3 11.1M 1 - . 19..ir r "%rAfflo , : .t;
Address: 6615 SW 111" ST
Please refer to fee schedule.
City/State/ZIP: BEAVERTON, OR 97008
Fees due upon application $255.81
Phone: (503) 646-6617 Fax: ( )
Amount received
CCB lic.: 54105
Date received:
Authorized signature: X11...(
• This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: P a) f? j q a el( F' \ Date: 09 * Fee methodology set by Tri-County Building Industry
Service Board.
i \ Building \ Permits \ BLJP-PerrnitApp.doe 12/03 440-4613T(11/02/COM/WEB)
CITY OF TIGARD 24 -Hour
ILDING Inspection Line: (503) 639 -4175
INSPIQN DIVISION Business Line: (503) 639 -4171 MST f/
BUP (96
Received Date Requested / ` AM i61,2 PM BUP
l
Location v? Q b Suite 6 MEC
Contact Person / l _ _ h ( ) L� r� J ' PLM
Contractor Ph ( ) SWR
BUILDING Tenant/Owner ELC
Footing
Foundation ELC
Access:
Ftg Drain ELR
Crawl Drain
Slab Inspection Notes: JO 61/7
� , SIT •
Post & Beam
Shear Anchors
Ext Sheath /Shear
Int Sheath/Shear
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler -' %
Fire Alarm A r
Susp'd Ceiling � �
Roof �L �� �ev
Other: 741111.
440 PART FAIL
• o 1 BING
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
ELECTRIC AL
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 . for re nspection RE: Unable to inspect — no access
Fire Supply Line f
ADA
Approach /Sidewalk Dat Inspector / Ext
Other:
Final DO NOT REMOVE this inspection record from the Job site. /
PASS PART FAIL