Permit CITY OF TIGARD BUILDING PERMIT
PERMIT #: BUP2005 -00551
� ' DEVELOPMENT iB gr SO R I 503-639-4171
DATE ISSUED: 10/13/2005
PARCEL: 1 S 135AB -03400
SITE ADDRESS: 10260 SW GREENBURG RD 1150 ZONING: C -P
SUBDIVISION: LINCOLN CENTER /LINCOLN TOWER LOT: 014 JURISDICTION: TIG
Project Description: TI, walls (6,564 sq ft)
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: 66 BASEMENT: sf AREA SEP. RATED:
STOR: 12 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: $ 14,500.00
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
FEES Reg #: LIC 54105
Description Date Amount REQUIRED ITEMS AND REPORTS
[BUILD] Permit Fee 10/13/200E $187.30
[TAX] 8% State Surchari 10/13/200E $14.98
[BUPPLN] Pln Rv 10/13/200E $121.75
[FLS] FLS Pln Rv 10/13/200E $74.92
Total $398.95
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 o . • follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952 -.t 11 -0010 through OAR 952 - 001 -0100. You may obtain a copy of these rules or direct questions to OUNC by
cal ng 503- 246 -66• • or 1 -: 01 -3. -- 44. / -
I i P e rmittee Signature: „Vr
Iss ■ ed By: �/�� ! � .....• -� 1L 9
Call 503 - 639 -4175 by 7:00 a.m. for an inspection that business day.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
•
Building Permit Appli`\E® FOR OFFICE USE ONLY
City of Tigard 1� DDate/By: /D4 Permit No.: 4 i( „+ W 5 i
13125 SW Hall Blvd., Tigard, OR 97223 `` 7 C Plan Revie h '
Phone: 503.639.4171 Fax: 503.598.19 6130 A I A, Date/B : RrL Other Permit:
Inspection Line: 503.639.4175 R D f'I ( Date ReadRr ~ : 1111 BJ See Attached Checklist for
Internet: www.ci.tigard.or.us Go' , of [� S 1ON Notified Method: Supplemental Information
�,. t .EOF;yd ®RK E Y DVYEtiING”
R QUIR>GD DATA:: Y A1VD, 2 Fri, IL winfRommoi -5
❑ 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
575r47- work indicated on this application.
CATEGORY OF CONSTRUCTION
1 - a nd 2-family dwelling Valuation: $
El y g ®C ommercial /industrial
1=1 Accessory building ❑ Multi- family Number of bedrooms:
❑ Master builder ❑ Other: Number of bathrooms:
';, ; ®I3 SITE INFORkairoN AND Lf3CATIf3N ,; Total number of floors:
Job site address: LINCOLN TOWER 10260 SW GREENBURG RD New dwelling area: square feet
City/State /ZIP: TIGARD, OR 97223 Garage /carport area: square feet
Suite/bldg. /apt. no.: 1150 Project name: Obsidian Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
Other structure area: square feet
U IRED DA RG C A COMME L -USE AST
REQ
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
j BES CRI PTI®N OT WORK work indicated on this application.
Interior Tenant Improvement Valuation: $$14,500.00
Existing building area: 6,564 square feet
New building area: square feet
®. O ANT Number of stories: 12
Name: Equity Office Properties Trust Type of construction: I -B
Address: One SW Columbia St. Suite 300 Occupancy groups:
City /State /ZIP: 97258 Existing:
g�
Phone: ( ) Fax: ( ) New:
�� - APPLICAN'1 CONTACT ° P RSOIS
are - .., � - ` ° _ - - � _. � _ � _ e NOTICE '4
Business name: Group Mackenzie All contractors and subcontractors are required to be
Contact name: Joshua Tapp licensed with the Oregon Construction Contractors Board
under ORS 701 and maybe required to be licensed in the
Address: 0690 SW Bancroft St jurisdiction in which work is being performed. If the
City/State /ZIP: 97239 applicant is exempt from licensing, the following reasons
apply:
Phone: (503) 224 -9560 Fax: : (503) 228 -1285
E -mail: jtapp @grpmack.com
s � b
` "` � � CONTRACTOR ' a
0,11.1011111,17: ,461
Business name: C Schiewe @ Associates Inc. 4A dC_t< f_ -- _-.. -mom =,�=
BLIlLD11VG- ;IPERMIT' °F.EES *�'" ` '-
=
Address: 6615 SW ill Ave.
Please refer to fee schedule
City /State /ZIP: Beaverton, OR 97008
Fees due upon application
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: Joshua T Date: 10/13/ 05 * Fee methodology set by Tri County Building Industry
Service Board.
i:\ Building \Permits \BUP- PermnApp doc 12/03 440- 4613T(t1 /02 /COM /WEB)
F l
CITY OF TIGARD
, BUILDING DIVISION PERMIT #: BUP2005 -00551
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/13/2005
Phone: • (503) 639 -4171 / u1101i1(l�
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 11/1/2005 TIME: 7:06AM PAGE: 13
SITE ADDRESS: 10260 SW GREENBURG RD 1150 4-50 2 - - c V 3 C SS OF WORK:
SUBDIVISION: LINCOLN CENTER /LINCOLN TOWER LOT #: 014 TYPE OF USE:
PROJECT NAME: OBSIDIAN
DESCRIPTION: TI, walls (6,564 sq ft)
OWNER: EQUITY OFFICE PROPERTIES TRUST, PHONE #:
CONTRACTOR: C SCHIEWE & ASSOCIATES INC PHONE #: 503- 646.6617
Inspection Request Scheduled For: Date: 11/1/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
275 Framing 020016 -01 503-780-3222 Y
Corrections /Comments /Instructions: APO f
-) COIVA , /#0. 1KA
c2.Dor
ro-L-
2 fl PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
FAIL ❑ CALL FOR NSPECTION ❑ ADDITIONA FEES ASSESSED
4/1 ( Inspector: 40-1 Date: l ` Phone #: (503) 718 -
CITY OF TIGARD
BUILDING DIVISION PERMIT #: (302 _
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED:
Phone: (503) 639 -4171 "m it
F
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: / (/ 4k, "— TIME: PAGE:
SITE ADDRESS: (CGZ- C5 CE0eu (, -Q CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: ® (� (a
DESCRIPTION:
OWNER: PHONE #:
CONTRACTOR: PHONE #:
Inspection Request Scheduled For: Date: Pour Time:
Code # Inspection Description Confirm # Contact # Message
175 FP44.1AJil 04= 021 c z -c )
Corrections /Comments / Instructions:
el
•
PASS PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL n CALL FOR INSPECTION n ADDITI• AL F. S ASSESSED
011
( .
Inspector: Date I �� Phone #: (503) 718-
1
CITY._OF TIGARD
BUILDING DIVISION
Ak PERMIT #: BUP2005-00551
D ATE 13125 SW Hall Blvd., Tigard, OR 97223 E ISSUED: 10/13/2005 I
Phone: (503) 639-4171 "ifillii
Inspection Requests (24 Hrs.): (503) 639-4175 ......rav ' .........
INSPECTION WORKSHEET FOR DATE: 11/2912005 TIME: 7:05AN1 PAGE: 70
SITE ADDRESS: 10260 SW GREENBURG RD 1160 CLASS OF WORK:
SUBDIVISION: LINCOLN CENTER/LINCOLN TOWER LOT #: 011 TYPE OF USE:
PROJECT NAME: OBSIDIAN
DESCRIPTION: TI, walls (6,664 sq ft)
OWNER: EQUITY OFFICE PROPERTIES TRUST, PHONE #:
CONTRACTOR: C SCHIEWE & ASSOCIATES INC PHONE #: 503-646-6617
Inspection Request Scheduled For: Date: 11/29/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
299 Final inspection 022546-01 503-780-3222 Y
Corrections/Comments/Instructions:
4
10
nt 1/0
4k ■111/
PASS H PARTIAL APPROVAL 0 CANCEL pi NO ACCESS
0 FAIL I I CALL FOR INSPECTION fl ADDIT NAL ES ASSESSED
. 43 ir
i
Inspector:
ft, '
vp- Date: 1- t- . k.-- hone #: (503) 718-