Permit • CITY OF TIGARD BUILDING PERMIT
PERMIT #: BUP2004 -00552
4 41Altc DEVELOPMENT SERVICES DATE ISSUED: 11/23/2004
13125 SW Hall Blvd.. Tigard, OR 97223 (503) 639 -4171 PARCEL: 1S135AB-03400
SITE ADDRESS: 10260 SW GREENBURG RD 1180
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: 6 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: $ 3,200.00
Remarks: TI New wall for offices.
Owner: Contractor:
EQUITY OFFICE PROPERTIES TRUST C SCHIEWE + ASSOCIATES
ONE SW COLUMBIA ST #300 1024 NE DAVIS
PORTLAND, OR 97258 PORTLAND, OR 97232
Phone: 503 - 412 -4800
Phone: 234 -6617
Reg #: LIC 54105
FEES REQUIRED INSPECTIONS
Description Date Amount Mechanical Permit Requir€
[BUILD] Permit Fee 11/23/2004 $81.70 Electrical Permit Required
Sprinkler Permit Required
[TAX] 8% State Surchari 11/23/2004 $6.54 Plumbing Permit Required
[FLS] FLS Pln Rv 11/23/2004 $32.68 Framing Insp
[BUPPLN] Pln Rv 11/23/2004 $53.10 Gyp Board Insp
Total Final Inspection
$174.02
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: atj, it_a„, ,.., /
Permittee
Signature: , t V40, 4
Call 639 -4175 by 7 p.m. for an inspection the next business day
Building Permit Application FOR OFFICE USE ONLY
Cit of Tigard Received ♦ Permit No.: r
y Date/By: If t 3 Ot-/ • P 0 0
Other Permit:
13125 SW Hall Blvd., Tigard, OR 97223 Plan Review
I Phone: 503.639.4171 Fax: 503.598.1960 - ,' Date/Bv:
', Inspection Line: 503.639.4175 ° Date Ready /By: Aids: 0 See Attached Checklist for
Internet: www.ci.tigard.or.us Notified/Method: T i I C Supplemental Information
;ax: `v , ^mr.. >.�;- s;;��_;� .s - --- °' 's, n :. ,,.. s .71030 - :a"
TYP OF WORK 3 . i k �= RE Qi7IRED'DA0.. 1- A R 2- FAMILYDR ING EL) �++
._ - � - a.. -f ,E«s� °row. >a " e ==
❑ 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
?- "•`CATEGORY OCONSTRUG'TION " " a, ', work indicated on this application.
ffitfh AB X04 .. _ . < a � ■
El I- and 2- family dwelling ® Commercial /industrial Valuation: $
111 Accessory building 1=1 Multi Number of bedrooms:
El Master builder ❑ Other: Number of bathrooms:
" r ; JO$ AND GOCAT1ON t N�, ,`•. . „ Total number of floors:
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.: 1180 Project name: HARROWER FINANCIAL Covered porch area: square feet ,\
Cross street/directions to ob site:
J Deck area: square feet
Other structure area: square feet
REQUIRED-DATA" C,OMME DIAL USE"CHECKLIST
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
D9C4IPTI9N OFW®RK work indicated on this application.
New Tenant Improvement Valuation: $$3,200.00
Existing building area: square feet
New building area: square feet
PRO ERTY 07 ER =, = -,; _ liM011 I fil " :4 " iNANT1 41 1 1 0106 11 , 4 P 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:
p: ®APPiICAN. ®CQN7ACT PERSON £f= e N
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:
CONTRACTOJ2 7,
Business name: C. SCHIEWE & ASSOCIATES -x h ; rte �:z. "Br _ - ;�
� - BUILDING "PERMITFEES
Address: 6615 SW 111 ST
Please refer to fee schedule.
City/State /ZIP: BEAVERTON, OR 97008
Fees due upon application $174.02
Phone: (503) 646 -6617 Fax:(
Amount received
CCB lic.: 54105
Date received:
Authorized signature: This permit application expires if a permit is not obtained
Fade" within 180 days after it has been accepted as complete.
Print name: Date: 11 - 22 - 04 * Fee methhodollogy y b
set by Tri- Count y Building Industry
Service Board.
i. \ Building \ Permits \BUP- PermtApp doc 12/03 440- 4613T( I I /02 /COM /WEB)
CITY OF TIGARD 24 -Hour
uILDING Inspection Line: (503) 639 -4175 MST
INSPECTION DIVISION Business Line: (503) 639 -4171 BUP 0 ?4 06 ¥
Received Date Requested " —36) AM PM BUP
Location / v 4 / " Suite / / Q d MEC
Contact Person Ph ( ) 3 471--e , 0 .Sly 3 PLM
Contractor Ph ( ) SWR
BUILDING Tenant/Owner ELC
Footing
ELC
Foundation
Ftg Drain Access: ELR
Crawl Drain
Slab Inspection Notes: f SIT
Post &. Beam
Shear Anchors
Ext Sheath/Shear
Int Sheath/Shear
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
PA 1 PART FAIL r
PLU, =;= ING
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
ELECTRICAL
Service
Rough -In •
UG/Slab
Low Voltage
Fire Alarm
Final Reinspection ` -e of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
PASS PART FAIL
SITE El Please call f'-r reinsp: ,tion RE: El Unable to inspect — no access
Fire Supply Line Pig f/
ADA D ate / ` " NI Inspector ` 4 Ext
Approach/Sidewalk — P
Other:
Final DO NO REMOVE this inspe ; ion record from the job site.
PASS PART FAIL