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Permit CITY OF TIGARD BUILDING PERMIT PERMIT #: BUP2004 -00509 A DEVELOPMENT SERVICES DATE ISSUED: 10/26/2004 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 PARCEL: 1S135AB -03400 SITE ADDRESS: 10260 SW GREENBURG RD 1160 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: 1FR : 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: w BATHS: IMP SURFACE: PRO CORR: PARKING: VALUE: ' 6GO CC) Remarks: New 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 10/26/2004 $139.30 Electrical Permit Required [TAX] 8% State Surchari 10/26/2004 $11.14 P Pll umbumbing Permit Required ing Permit Required [BUPPLN] Pln Rv 10/26/2004 $90.55 Framing lnsp [FLS] FLS Pin Rv 10/26/2004 $55.72 Gyp Board Insp Total Final Inspection $296.71 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: ,•,, Permittee Signature: /?- 2/40-47--(70-1-M • Call 639 -4175 by 7 p.m. for an inspection the next business day lcUllding Permit Application • FOR OFFICE USE ONLY Received ,/f City of Tigard DaDate/By: / 0 / ;1 .- A Permit No.:' '' 13125 SW Hall Blvd., Tigard, OR 97223 pl. R - - V0v 0 9 v t Phone: 503.639.4171 Fax: 503.598.1960 I *�d "�i i B Date : I — _.. "0 `f j Other Permit: Inspection Line: 503.639.4175 " 1 Date Ready/By: 0 See Attached Checklist for Internet: www.ci.tigard.or. Notified/Method: Supplemental Information ' ';a.n - - :ir '°.`.: ;ta'!',a�> ?kt `.4..�"" ti,, .:;.�.:.; - as = - :" „ .. ffi� = ,i'% z ,.v...x,.� +:s t,..,� E. �? , : : "`'.' Air ^ - „ ,a t ; «aa ; :s . °:t , 'cka3 , 3 R`. ..,..��_ .`; a"� ? 7Yk..n� ; 7; ,'.n::s :�:'°«i,a ,, Y ” Wi ,'a F; "W©K g, = :.3 r _; ::. ,a RFQ L3II2F.D Tl# r= 't�1llfof, k s � �.. -� -. {�s'�n ,�33 . .,�: �"�rwa1� =.nom *=zoo: , 4,-89»� .�� °�°«a �a�a"r.�.de��a�, �,r�r � ��r�s�� ❑ 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 ;.. ;�',, ' e " k _ ate, car. a - ' mss' work °� :12::.-i- �� GAT '. . O �t7NST U , ON` � ' A ,. ��f' k indicated on this application. • ❑ 1- and 2- family dwelling ® Commercial /industrial Valuation: $ ❑ Accessory building ❑ Multi- family Number of bedrooms: ❑ Master builder ❑ Other: JC�B�S I1VFQ r` , ,, -, Number of bathrooms: '�I �l Total number of floors: '4,�Cl,O,'1ON Job site address: 10260 SW Greenburg RD New dwelling area: square feet City/State /ZIP: TIGARD, OR 97233 Garage /carport area: square feet Suite/bldg. /apt. no.: 1160 Project name: Ameriquest Mortgage co. Covered porch area: square feet Cross street/directions to job site: Deck area: square feet Other structure area: square feet ,�xi „°,, >rcrTrfi.��..`�;F�w a ._• x3.zr" rn cm° �°`„w' n_ r UIRED` ML,, CO It : . tS I iS T x 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 Rip equipment, materials, labor, overhead, and the profit for the t . ° , work indicated on this application. ~. :� ... , _, ,V '.? „ „z ESCR - ° OR1Z % §; ,, , „: a. ,',7.,,W . PP ma New Tenant Improvement Valuation: $$9,600.00 Existing building area: square feet New building area: square feet '�-�� , -'.�r� � 4 .rte l� *F. -,��N -,-� � � �� - Rarii2 r n i ` °� ''.£: � ..� [lf ij tX F V Number of stories: ; a*' ,,.,..,.„. N - z,, ,.,pa x .+h. ':.. .d,,, S# ' 43 , par - . , M - sae lr .. v,. ",^ :. e 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: z_.', R� _ � , ';� -° v�^ i Y;+C*{+�$L{ m µcv'.4t. ,...a��” At.,'_,,, . ,:. m.,- ..� -_ �, .:� 'Y^5 � -, x8 . /.1 z rti A1V , diza nP (3N n " , t "t i = zt - , y 1: . i40'4. - a__ s`..x ; ti , ,tgl . '�'9; :. ..- ie - .0 >,- ` Z ,s 'a"'. �z.Ae- . ,...d 8� .'nn a .m.R�.i°'` -.. a te` 4 *'it - "fit 11W.5 ° f'.€ .?,J AWL E�^F:� - Y° .. L<i », . a.��."'. .. s�?t'L�a. � NV. "k , '+ka _ tat* 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/ZEE': Portland, OR 97201 applicant is exempt from licensing, the following reasons apply: Phone: (503) 224 -9560 Fax: : (503) 228 -1285 E -mail: x. . s w _ , . 1C0a1-,IL4 O R , k * ° � 'Air ” ( Business name: C. SCHIEWE & ASSOCIATES ' u . = -,, ., ,, ,, 111TH . ,.41 ..:s „ : . F G ' <PE � � � ., -- Address: 6615 SW 111 ST Please refer to fee schedule City/State /ZIP: BEAVERTON, OR 97008 • Fees due upon application $296.71 Phone: (503) 646 -6617 Fax: ( ) Amount received CCB lic.:.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: a / 4,„4,kf l ^/Q/ Date: 10 - - * Fee methodology set by Tri- County Building Industry (� %�^''�� Service Board. i:\Buitding \Permits \BUP- PernntApp doc 12)03 440- 4613T(1 I /02 /COM/WEB)