Permit 1 \ ' , CITY OF TIGARD BUILDING PERMIT
PERMIT #: BUP2004 -00186
'4j1. DEVELOPMENT SERVICES DATE ISSUED: 4/27/2004
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 PARCEL: 1S135AB -01003
SITE ADDRESS: 10300 SW GREENBURG RD 525
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: 2FR : sf N: S: E: W:
OCCUPANCY GRP: B TOTAL AREA: 0 sf ROOF CONST: FIRE RET?
OCCUPANCY LOAD: 5 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: $ 5,000.00
Remarks: New walls to create tenant space.
Owner: Contractor:
EQUITY OFFICE PROPERTIES TRUST C SCHIEWE & ASSOCIATES INC
10260 SW GREENBURG RD #100 1024 NE DAVIS ST
TIGARD, OR 97223 PORTLAND, OR 97232
Phone:
Phone: 503 - 234 -6617
Reg #: LIC 54105
FEES REQUIRED INSPECTIONS
Description Date Amount Framing Insp
[BUILD] Permit Fee 4/27/2004 $91.30 Gyp Board lnsp
Final Inspection
[TAX] 8% State Surchari 4/27/2004 $7.30
[BUPPLN] Pin Rv 4/27/2004 $59.35
[FLS] FLS Pln Rv 4/27/2004 $36.52
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: / cZ(C6,1_42,66.— pe:16.4„&e.)
Perm ittee
Signature: x )2- _.
` Call 639 -4175 by 7 p.m. for an inspection the next business day
} '' .
} u><�d><ng Permit Appl>< A '- 1 1 FOR OFFICE USE ONLY
Received Building ,--
l„ ce • -' - Date/By. 0- �
4 ` . f3 Permit NoiljU GS�r. '"YID /Q [�
City of Tigard Planning A al Other
Perr
13125 SW Hall Blvd. c � "I �,00�. Plan ReviDate/By: Othe r
it No.:
o GG�r e Other
Tigard, Oregon 97223 �QP . 1) Date/By: i/ 2 7-or Dv Permit No.:
Phone: 503- 63 -4171 Fax: 503 -598 -1 \G''". t Post - Review Land Use
Internet: www.ci.tigard.or.us ccc`I O- G O � 'll Contact C No.
�I ® See Page 2 for
24 -hour InspeCtlon Request: 503 -6W Name/Method: l �j Supplemental Information
I
- . TXP. -E OF:WOR�IC..� �- ,-s. =- ;' _ , � ;:�, s� _� - :• ; ; - r...
'; .- REQUIRED DATA g f � , .., :
❑ New construction
❑ Demolition :::;' - 1 &T
>,sj i
Er Addition /alteration/replacement ❑ Other: ' ` ° '`" '` ``
' CATEGORY; OFCONSTRUCTIONM, ; ' °' {: =- ?. •= Note: Permit fees* are based on the total value of the work performed. Indicate
❑ 1 & 2- Family dwelling KCommercial/Industrial the value (rounded to the nearest dollar) of all equipment, materials, labor,
overhead and profit for the work indicated on this application.
❑ Accessory Building ❑ Multi- Family
❑ Master Builder ❑ Other: Valuation $
-,JOB-`SITtE INFORMAT}IONt d='LOCATIOON . i._: ;=': No of bedrooms: No of baths:
Job site address: 10' oo SW Green 2,� b�r (io Total number of floors
New dwelling area (sq. ft.)
Suite #: 52 S Bldg. /Apt. #: 1 Lincoln Garage /carport area (sq. ft.)
Project Name: J " S H alted • Covered porch area (sq. ft.)
Cross street/Directions tb job site: Deck area (sq. ft.)
Other structure area (sq. ft.)
_; _ = , n;. , 1 - 4, . ' :,-, CI R_ ED ,' = '} ' r-,fit4 "
;.�:w.s .i,. =�:z.� <<.�. ^. -. ; ".?' �dV t52s1�'S�. .: s.:`�.': - " :';`
: - US E `C FI E CKEIST r;.i . 'N'. ''.
Subdivision: Lot #:
Tax map /parcel #: Note: Permit fees* are based on the total value of the work performed. Indicate
- cDESCRIPTIONzOF W,ORIC;t =;'«' f&*Z- '.' _ , . the value (rounded to the nearest dollar) of all equipment, materials, labor,
overhead and profit for the work indicated on this application.
Te►lant IPipro1ernexit
Valuation $ 51000 oo
Existing building area (sq. ft.) GI 7 USF
1 New building area (sq. ft.)
Number of stories (5 FIVE
g 1PROPERTY OWN'EW ;' Z ®;TENANT`z" a,..,,. e? ' e , ; . _ Type of construction Z - FP–
Name: EQUI OF FIaE PROpeRTIC - -S Occupancy group(s): Existing: 13
Address: One SW. Columbia , Sui. 300" - • • , .. New: d
City /State /Zip: Portl aKa, 01 97252
Phone:503 412 -4800 Fax: NOTICE: All contractors and subcontractors are required to be
y ,• - ... licensed with the Ore
A"PPI ICANT'� Ta I `GON V : e —.0 M50, ei,, -- Oregon Construction Contractors Board under
provisions of ORS 701 and may be required to be licensed in the
Business Name: G[3D Areltiteas Ir G, jurisdiction where work is being performed. If the applicant is exempt
Contact Name: f-ay F. Glur from licensing, the following reason applies:
Address: 11 20 NW Coucl- St. Su ire SOO
City /State /Zip: por't1 a IAA 7 op.... .
Phone:5o3 224-96,5G Fax:
E -mail: = � II F ES* '
` ' : ;_ - _� 7� . p • a,� = ,� i,, . �;, 'lease ,-refer toafee sched e A; .
'f "§, ,a. _.-..:'°�. T*az ' r »s ONT.RAC; '�. ta? ?Y . ? ,� m ., ,•`.v, 1'4.4?. �' 3 `. w--. =.. 'sie u.FAm ... `,_2 .'
Business Name: C C. Sc�1 j el. e . Fees due upon application $
Address:
City /State /Zip: 1 eave rl , 0p-. '37008 Amount received $
Phone5o'b 64(0 6(017 Fax: Date received:
CCB Lic. #: 5 1. 10 5
Authorized ¢
Signature: YZ, -,` Date: 1 - 2 7.0 '." Notice: This permit application expires if a permit is not obtained within
180 days after it has been accepted as complete.
i r
*Fee methodology set by Tn -County Building Industry Service Board.
(Please print name)
iMsts\Permit Forms\BldgPermitApp.doc 01/03 g_ 4 4- Al
•
` ; -:•• J- uared 1 Livtc - 525
I 4.21,01-
A it it Accessibility:
Ai ovotth
Barrier Removal Improvement Plan
City of Tigard
REQUIREMENT: OREGON REVISED STATUTE (ORS) 447.24t
(1) Every project for renovation, alteration or modification to affected buildings and related
facilities shall be made to insure that the path of travel to the altered area and the restroom,
telephones and drinking fountains are readily accessible to individuals with disabilities unless
such alterations are disproportionate to the overall alterations in terms of cost and scope.
(2) Alterations made to the path of travel to an altered area may be deemed disproportionate to
the overall alteration when the cost exceeds twenty-five per -cent (25 %).
VALUATION: of all renovation, alteration or modification being done ao
excluding painting, wallpapering. [1] $ S I ODe),
multiply: 25% Barrier removal requirement. .25
BUDGET FOR BARRIER REMOVAL [2] $ 1
In choosing which accessible elements to provide under this section, priority shall be given to those
elements that will provide the greatest access. Elements shall be provided in the following order:
(a) Campus Sit lnl'ork, Ire coN U $ � f 2S0
driv w
alks i btdy eti'�rA,ce.r.
(b) An accessible entrance: $
(c) An accessible route to the altered area: $
(d) At least one accessible restroom for $
each sex or a single unisex restroom:
(e) Accessible telephones: $
(f) Accessible drinking fountains: and $
(g) When possible, additional accessible
elements such as storage and alarms: $
TOTAL: Shall equal line 2 of Value Computation $ 1 X250 00
i:\dsts\forms\Accessibility.doc 06/07/02
CITY OF TIGARD 24 -Hour
BUILDING . . ., Inspection Line: (503) 639 -4175
INSPECTION fIVISION Business Line: (503) 639 -4171 MST p�
�y BUP 0 ∎OO — C Io
Received Date Re uested l� -- 1 AM PM BUP
Location / D, 3 06 J (,c %'C Suite ‘- MEC
Contact Person ffli 81/1 Ph ( ) c3 6 S (03 PLM
Contractor Ph ( ) SWR
BUILDING Tenant/Owner ELC
Footing
Foundation ELC
Access:
Ftg Drain
ELR
Crawl Drain
Slab Inspection Notes: �/� - SIT
Post & Beam � .�-�X � .41te/l�l / �t4if�7/
Shear Anchors
Ext Sheath /Shear
Int Sheath /Shear
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof •
na I S 4,
P SS ART FAIL
PLU ING
111111rgrAlM
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 i , +fir
Service
Rough-In LC/17AIhEW_ ki rir/
UG /Slab -►lam', .PEW wl�
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 call for reinspection RE: Unable to inspect - no access
Fire Supply Line
ADA
Approach /Sidewalk Date Inspector Ext
Other:
Final DO NOT REMOVE this Inspection record from the Job site.
PASS PART FAIL