Permit lipir
BUILDING PERMIT
CITY OF TIGARD
PERMIT #: 8UP2004 -00570
.400..t./
1 DEVELOPMENT SERVICES DATE ISSUED: 12/8/2004
�,1 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171
SITE ADDRESS: 10300 SW GREENBURG RD 375 PARCEL: 1S135A6 01003
SUBDIVISION: LINCOLN ONE /RED LOBSTER /CASA L ZONING: C -P
BLOCK: LOT: 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: 2N : sf N: S: E: W:
OCCUPANCY GRP: B TOTAL AREA: 0 sf ROOF CONST: FIRE RET?
OCCUPANCY LOAD: 35 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:49 gOt> DO
Remarks: T.I. new walls.
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 12/8/2004 $91.30 Electrical Permit Required
Sprinkler Permit Required
[TAX] 8% State Surchari 12/8/2004 $7.30 Framing lnsp
[BUPPLN] Pln Rv 12/8/2004 $59.35 Gyp Board lnsp
[FLS] FLS Pln Rv 12/8/2004 $36.52 Final Inspection
Total $194.47
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: 7
Permittee
Signature: pylai,k,re
Call 639 -4175 by 7 p.m. for an inspection the next business day
Bui n Permit Application FOR OFFICE USE ONLY /1
City Of Tigard Received pemutNo.: JI U
Date/By: �(/ ��
Date
13125 SW Hall Blvd., Tigard, O' Ri /0 Plan Review
Phone: 503.639.4171 Fax: 503.' �� �� prll Date /B : — 4 Q OtherPerniit:
p
Ins ection Line: 503.639.4175 _ �i �' I Date Read ' o: See Attached Checklist for
DEC 08 2004 ° ! e Jur
H
Internet: www.ci.tigard.or.us Notified/Method: / (I Supplemental Information
Rctt'illsksfi ".� a ". � .. r = t = p EQ UIRED
BUILDING Dd "`" �p
❑ New constructioni'ri'olition 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
1 . :^ tit .;� s. a�� r c ,17 - A work indicated on this application.
CATEGORY OF CONSTRUCTION
❑ I- and 2- family dwelling ® Commercial /industrial Valuation: $
El Accessory building El Multi-family Number of bedrooms:
❑ Master builder ❑ Other: Number of bathrooms:
JOB SIT JINFORMATION AND LOCATION , , 4 " " °„
t ;_ ' Total number of floors:
Job site address: 10300 SW Greenburg RD New dwelling area: square feet
City/State /ZIP: TIGARD, OR 97233 Garage /carport area: square feet
Suite/bldg. /apt. no.: 375 Project name: Financial Benefits Resources Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
Other structure area: square feet
§REQUIFtEI DATA: "COMMERCIAL TJ SE'CHEGKLIST:.
"%U MW zap e-= ..,'mow
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
DE9CRIPTtQN OF WORK work indicated on this a pplication.
New Tenant Improvement Valuation: $$4,800.00
Existing building area: square feet
New building area: square feet
i; . > PR PERTY OWNER p& $ j."1 `4 41 ❑ TENANT „ 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:
a� "�:� �. �" °tom �� ��� �,��a c;.a�,
;'a P ,LIGAN T i t, .. 4 - °. �.. �x ON� `�� PER S ON . _ OT fir.:
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:
t ' , . { GON7 Rl1CTOR " 7 i
s : , , o,s s4sf Istv, .q.:
Business name: C. SCHIEWE & ASSOCIATES
BIJLLDINGPERMIT FEES "" 7 ,
Address: 6615 SW 111 ST
.__ b. ... �m >.
Please refer to fee schedule.
City /State /ZIP: BEAVERTON, OR 97008
Fees due upon application $194.47
Phone: (503) 646 -6617 Fax:( )
Amount received
CCB lie.: 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: Date: 12 -02 -04 * 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)
CITY OF TIGARD 24 -Hour
BUILDING Inspection Line; (503 639 -4175
INSPECTION DIVISION Business Line: (503) 639 -4171 MST
SUP:20 - 4) S - 70
Received Date Requested l — . )- c AM PM BUP
Location /2)30) Suite 37S MEC
Contact Person ed-i-U2-- Ph ) e540 PLM
Contractor Ph ( ) SWR
BUILDING Tenant/Owner /2■- 3 ELC
Footing
Foundation ELC
Access:
Ftg Drain ELR
Crawl Drain
Slab Inspection Notes: (2 SIT
Post & Beam
Shear Anchors
Ext Sheath/Shear
Int Sheath/Shear L Z4 77
Framing �--(
Insulation *44 -
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Ot
PAS - PART FAIL 4110 •
L'U : ING
Post & Beam
Under Slab 6� -
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 fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
PASS PART FAIL
SITE Please c: II for reins. -ction RE: ❑ Unable to inspect — no access
Fire Supply Line
ADA Approach/Sidewalk
Date 1111 Inspecto %! Ext
PP
Other:
Final DO NOT REMOVE this inspection record from the-job site.
PASS PART FAIL