Permit `" � t,.� BUILDING PERMIT
C ITY OF TIGAR® PERMIT #: BUP2005 -00100
L ���I�t DEVELOPMENT SERVICES DATE ISSUED: 3/16/2005
13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 1S135AB-01003
SITE ADDRESS: 10300 SW GREENBURG RD 200 ZONING: C -P
SUBDIVISION: LINCOLN ONE /RED LOBSTER /CASA L LOT: JURISDICTION: TIG
Project Description: TI Demo, add glass, cut wall to less than 8'9 ".
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: 25 BASEMENT: sf AREA SEP. RATED:
STOR: 2 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: $ 1,200.00
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 3/16/2005 $62.50
[TAX] 8% State Surcharl 3/16/2005 $5.00
[BUPPLN] Pln Rv 3/16/2005 $40.63
• [FLS] FLS Pln Rv 3/16/2005 $25.00
Total $133.13
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 99 ,r 1-800-332- 4. ki-(a,‘ — c—
Issued By: Permittee Signature:
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.
I
Building Permit Applic i>
CE l _ .P Foil off FrcF usE ov a
Recei ved .
City of Tigard J / 7 y Permit No.:
13125 SW Hall Blvd., Tigard, OR 97223 Plan Review
Phone: 503.639.4171 Fax: 503.598.1960 CITY 0 1'i Date /B Other Permit:
Inspection Line: 503.639.4175 BVI�p p G ' F TIGHT_ /b 4s 111 "' Date Ready/By: See Attached Checklist for
Internet: www.ci.tigard.or.us I 'V G DIVISION Notified /Method: Supplemental Information
g�
-;y �.a , -.•?,, i s b`z ._3'';-°�`- i_" rz°:'.g. ,.� °,c' S., ..+';"S
°- .1 YPE QF WORK �� +— '� t RE UIRT3DaD'ATA: °i` `AND�2 FAMILAiVELL -IIG
F �,s�' ` €� .:� �`� Q;� >:. ,... °.. �.:;�.�
❑ 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 El Other: equipment, materials, labor, overhead, and the profit for the
As GAT GORY OF Cy ONSTRUGTTON `� work indicated on this application.
._ fix=.
El 1- and 2- family dwelling ® Commercial /industrial Valuation: $
❑ Accessory building ❑ Multi - family Number of bedrooms:
❑ Master builder El Other: Number of bathrooms:
..NZ" . '• + . : ?•si .� .- .ice:,- -'"t'r %T.v e :. r,: ' `ityt. w^ x?'° s a�. ' = a" ' :' '
?JOBSI1 FLNFORMATIONAlVD>OGATiO1Y Total number of floors:
Job site address: 10300 SW Greenburg Rd, One Lincoln New dwelling area: square feet
City /State /ZIP: TIGARD, OR 97233 Garage /carport area: square feet
Suite /bldg. /apt. no.: 200 Project name: Home Loan Funding Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
Other structure area: square feet
°^
` REQUIRED Di1TA •:COMMERCIAL- °USEt€BECKLI S
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
, t DESCRITION -UF ,WORD _ ` ; R, j `� work indicated on this application.
�,`.� .~?' � - �;.�sa..� �. �. y ... ?�..; .,��`� ..mss _•. v �. _."��f,.�s �� �.,
New Tenant Improvement Valuation: $$1,200.00
Existing building area: square feet
New building area: square feet
Number of stories:
PT ,I ter ' �' =s It
Name: EQUITY OFFICE Type of construction: I -B
Address: ONE SW COLUMBIA SUITE 300 Occupancy groups:
City /State /ZIP: PORTLAND, OR 97202 Existing: B
Phone: (503)412 -4800 Fax: (503)412 -4848
New: B
� t'y � sAPPC 1 GAN I. 4 { ., � ° ® CQN7 ACT PE . ° , � .. ^' • et , ° OT it tn
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:
.,e} ,. ; -''. "es °a; re- a is :r at:' .tom -'•' _ _ a f. 4.. lg e - "ere ce.a
h CONTRACTOR
Business name: C. SCHIEWE & ASSOCIATES .• °3
- °BUILDING "PERMIT =FEES# , .A;e � :
Address: 6615 SW I11��ST ". _- it=W,x _,�_�r �ti �� =,a. , .. .. .
Please refer to fee schedule.
City /State /ZIP: BEAVERTON, OR 97008
Fees due upon application $143.92
Phone: (503) 646 -6617 Fax:(
Amount received
CCB lie.: 54105
Date received:
Authorized signature: This permit application expires if a permit is not obtained
e/
within 180 days after it has been accepted as complete.
//46.t Print name: Date: 03-15-05 * Fee methodology set by Tri- County Building Industry
Service Board.
is \Building \Permits \BUP- PermitApp.doc 12/03 440- 4613T( I I /02/COM/WEB) 11
CITY OF TIGARD
BUILDING DIVISION PERMIT #: BUP2al�� oo�o�
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/16/2005
' Phone: (503) 639 -4171 A hypuyGi�i�
Inspection Requests (24 Hrs.): (503) 639 -4175 .._.�
INSPECTION WORKSHEET FOR DATE: TIME: PAGE:
5/11/2005 7:12AM 72
SITE ADDRESS: CLASS OF WORK:
10300 SW GREENBURG RD 200
SUBDIVISION: LOT #: TYPE OF USE:
LINCOLN ONE/RED LOBSTER /CASA L
PROJECT NAME: HOME LOAN
DESCRIPTION: TI Demo, add glass, cut wall to less than 8'9 ".
OWNER: PHONE #:
CONTRACTOR: EQUITY OFFICE PROPERTIES TRUST PHONE #:
C SCHIEWE & ASSOCIATES INC 503 - 646 -6617
Inspection Request Scheduled For: Date: Pour Time:
5/11/2005
Code # Inspection Description Confirm # Contact # Message
299 Final inspection 006563.01 503-348-0563 Y
Corrections /Comments /Instructions: n p
•
I
k
0
V ASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
FAIL ❑ CALL F INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: yr Dater (( Phone #: (503) 718-