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Permit CITY OF TIGARD BUILDING PERMIT PERMIT #: BUP2006 10033 `, 1I1; ' DEVELOPMENT SERVICES DATE ISSUED: 3/29/2006 ---' 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 1S135AB-01003 SITE ADDRESS: 10300 SW GREENBURG RD 550 ZONING: C -P SUBDIVISION: LINCOLN CENTER /ONE LINCOLN LOT: JURISDICTION: TIG Project Description: TI 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: 11 BASEMENT: sf AREA SEP. RATED: STOR: 5 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: $ 2,300.00 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: Contact #: FAX 503 - 277 -2095 PRI 503 - 646 -6617 FEES Reg #: LIC 54105 Description Date Amount REQUIRED ITEMS AND REPORTS [BUILD] Permit Fee 4/6/2006 $72.10 [TAX] 8% State Surchari 4/6/2006 $5.77 [BUPPLN] Pln Rv 4/6/2006 $46.87 [FLS] FLS Pln Rv 4/6/2006 $28.84 Total $153.58 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 thespLes or direct questions to OUNC by calling -24 69 r 1-800-332-2344. Issued B Permittee Signature: � A;� ', ,� Y 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 Application FOR OFFICE USE ONLY City of Tigard EcElt V ED Re 4 ceived . Date/By: a P ermit N o.: Atda'air '" /66 33 13125 SW Hall Blvd., Tigard, OR a Phone: 503.639.4171 Fax: 503.598.1960 4,0„• Plan Review fr ill Date/B : 4,1 Other Permit: Inspection Line: 503.639.4175 liti* 2, 29b maim. Date Read / y: WIP Jure See Attached Checklist for Internet: www.ci.tigard.or.us Notified/Me iod: I j C Supplemental Information pF TIGNRD -4 " - rrr "rrN4Awiditom rKizr,t;I rf"tREQUIRED:DATAWAND12=PAMILY-DWELEINGW El New construction 0 Demolition Permit fees* are based on the value of the work performed. Indicate the value (rounded to the nearest dollar) of all El Addition/alteration/replacement El Other: equipment, materials, labor, overhead, and the profit for the IZATiti" F 7 1: work indicated on this application. Valuation: 0 1- and 2-family dwelling [E] Commercial/industrial Number of bedrooms: 0 Accessory building 0 Multi-family 0 Master builder U Other: Number of bathrooms: iiiiilittils1PokWIOACANDIACkTION - 11&44444.444 4,4114,4i4.4,4004m4 " a aaX,'.:==.. - = Total number of floors: Job site address: 1 LINCOLN 10300 SW GREENBURG RD New dwelling area: square feet City/State/ZIP: TIGARD, OR 97223 Garage/carport area: square feet Suite/bldg./apt. no.: 550 Project name: NCCI Covered porch area: square feet Cross street/directions to job site: Deck area: square feet Other structure area: square feet Nreaii4D neasstacs-,-,, . - saWw,„ - - - 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 work indicated on this application. Interior Tenant Improvement Valuation: $$2,300.00 Existing building area: 1,058 square feet New building area: square feet M14 Number of stories: 5 < 40, NWAMMIA Name: Equity Office Properties Trust Type of construction: I-B Address: One SW Columbia St. Suite 300 Occupancy groups: City/State/ZIP: 97258 Existing: Phone: (503)412-4800 Fax: (503)412-4848 New: 4 4. 41---h! 4-47!1.10:41114114f 4 44'444441 - _ 4,-. `;- 44'4 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 may be 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 il-:;"=A;::7:■"': r Business name: C Schiewe @ Associates Inc. Address: 6615 SW 111 Ave. Please refer to fee schedule. City/State/ZIP: Beaverton, OR 97008 Fees due upon application Phone: (503) 646-6617 Fax: (503) 277-2095 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: Jos - ua Tapp Date: 03/28/ 06 * Fee methodology set by Tri-County Building Industry Service Board. \ Building \ Permits \ BUP-PermitApp doc 12/03 440.461 3T( I 1/02/COMAVEB) CITY OF TIGARD 3 4,„,... BUILDING DIVISION PERMIT #: s 2. — 1 D 0.33 13125 SW Hall Blvd., Tigard, OR 97223 / ' 14Y111-2 DATE ISSUED: Phone: (503) 639 -4171 ! l ylpglp, l / Inspection Requests (24 Hrs.): (503) 639 -417 - . ' i j INSPECTION WORKSHEET FOR DATE: TIME: PAGE: SITE ADDRESS: 1 03 QO GY w,, /'emu Si`� 5C CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: DESCRIPTION: 1 OWNER: PHONE( #:;�� 7�'' �7'"Z 1 CONTRACTOR: PHONE #: Inspection Request Scheduled For: Date: `"T' 3 0 ce, Pour Time: Code # Inspection Description Confirm # Contact # Message g 7 : 5 7 . C J rv^-12-- Corr tions /Comme /ctions: fl sa 1 PASS V APPROVAL n CANCEL n NO ACCESS I I FAIL (l CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: \ v ` v Da /3 I Phone #: (503) 718- 2-1/4172_ CITY OF TIGARD BUILDING DIVISION PERMIT #: BUP2006.10033 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/29/2006 Phone: (503) 639-4171 Inspection Requests (24 Hrs.): (503) 639-4175 INSPECTION WORKSHEET FOR DATE: 4/20/2006 TIME: 7:04AM PAGE: 6 SITE ADDRESS: 10300 SW GREENBURG RD 560 CLASS OF WORK: SUBDIVISION: LINCOLN CENTER/ONE LINCOLN LOT #: TYPE OF USE: PROJECT NAME: NCCI DESCRIPTION: TI OWNER: mum( OFFICE PROPERTIES TRUST, PHONE #: CONTRACTOR: C SCHIEVVE & ASSOCIATES INC PHONE #: 503-646-6611 Inspection Request Scheduled For: Date: 4/20/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 299 Final inspection 028396-01 603-780-3222 Corrections/CoMments/Instructions: PASS 111 PARTIAL APPROVAL CANCEL r7 NO ACCESS I FAIL fl CALL FOR INSPECTION ADDITIONAL FEES ASSESSED 41 /41k t Inspector: Date: Ill a 6) 0 Co Phone #: (503) 718-