Permit tITY OF TIGARD BUILDING PERMIT
PERMIT #: BUP2005 -00617
e' b DEVELOPMENT SERVICES DATE ISSUED: 11/29/2005
' 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171
PARCEL: 1S135AB-01006
SITE ADDRESS: 10500 SW GREENBURG RD 200 ZONING: C -P
SUBDIVISION: LINCOLN CENTER /LINCOLN PLAZA LOT: 002 JURISDICTION: TIG
Project Description: TI, walls
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: 20 BASEMENT: sf AREA SEP. RATED:
STOR: 1 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: $ 4,500.00
Owner: Contractor:
EQUITY OFFICE PROPERTIES TRUST CRAFTSMAN HOMES GROUP LLC
ONE SW COLUMBIA ST #300 4250 SW 86TH AVE
PORTLAND, OR 97258 PORTLAND, OR 97225
Phone: 503 - 293 -2745
Phone: 503 - 292 -0474
FEES Reg #: LIC 97218
Description Date Amount REQUIRED ITEMS AND REPORTS
[BUILD] Permit Fee 11/29/200E $91.30
[TAX] 8% State Surcharq 11/29/200E $7.30
[BUPPLN] Pin Rv 11/29/200E $59.35
[FLS] FLS Pin Rv 11/29/200E $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
952-08 -8810 t : • h O £ 95 - 001 -0100. You may obtain a copy of these rules or direct questions to OUNC by
calli'g 503 - 246 -669 .r 1 408 .32-2344.
Is ued By: I, I / j� £1/ / • . 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.
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Buildin Permit Application y n- v4jEll FOR OFFICE USE ONLY
City of Tigard 5 ' Received /
Permit No.: AI .0 , 0 d: y
,I-1. To•-'40,
13125 SW Hall Blvd., Tigard, OR 97223
. ‘ i re o 1.4V . ,4,, D Pl ate/By: AM orn
an Review
Phone: 503.639.4171 Fax: 503.598.1960 -twN („ , Date/By: Other Permit:
Inspection Line: 503.639.4175 ,,s11, ali Date Ready/By: pr See Attached Checklist for
"
Internet: www.ci.tigard.or.us C) -r \G'-\1 NotifiecUMethod: i Supplemental Information
C\INI rNIKICa 0NIS‘ 01
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New construction 0 Demolition Permit fees* are based on the value of the work performed.
0
Indicate the value (rounded to the nearest dollar) of all
E Addition/alteration/replacement 0 Other: equipment, materials, labor, overhead, and the profit for the
••'',,-,'',* 177.ftVria work indicated on this application.
ccT,Y4:qr,'C...9 f
Valuation: $
0 1- and 2-family dwelling El Commercial/industrial
Number of bedrooms:
0 Accessory building 0 Multi-family
0 Master builder 0 Other: Number of bathrooms:
. -0--rlpri.mEi.-1,1
O -'2 :.i-,m7"'.,:i., Total number of floors:
.. —
Job site address: LINCOLN PLAZA 10500 SW GREENBURG RD New dwelling area: square feet
City/State/ZIP: TIGARD, OR 97223 Garage/carport area: square feet
Suite/bldg./apt. no.: 200 Project name: Dr. Tunik Chiropractic Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
Other structure area: square feet
REQUIRED7OMIVIAREIAL-,ljg
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
DESC- i i' :7 -'1:27 1- 7: k .F.,Z,,,110,i,4 4 .,1 work indicated on this application.
Interior Tenant Improvement Valuation: $$4,500.00
Existing building area: 1,967 square feet
New building area: square feet
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,EFLIAROpf:4Ty OWNER Ottor optstmlooti p o mm,r , ,. ,,,, Number of stories: 1
Name: Equity Office Properties Trust Type of construction: 1-B
Address: One SW Columbia St. Suite 300 Occupancy groups:
City/State/Z1P: 97258 Existing: B
Phone: ( ) Fax: ( ) New:
OMINNOMMigl4P-RICAkr IiikigiCitH Cill:VONSAMPEiSON:7 l
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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
MitIrOMV,,' ° N 0 itatitAlingi liiinifearadrafittialirNikAr '. 3: :;"::::::
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Business name: C Schiewe @ Associates Inc.
IIP' :q ...J.:
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: ( )
Amount received
CCB lie.: 54105
Authorized signature: O ........ ... ...,-",..- Date received:
..--"--
This permit application expires if a permit is not obtained
...
within 180 days after it has been accepted as complete.
Print name: Joshua Tapp .Z 7' -- Date: 11/29/05 * Fee methodology set by Tri-County Building Industry
Service Board.
i \BuildingTermits \ BUP-PermitApp doc 12/03 440-4613T( I I /02/COM/WEB)
CITY OF TIGARD
p ,
BUILDING DIVISION PERMIT #: I3UP20t)i-00617
13125 SW. Hall Blvd., Tigard, OR 97223 DATE ISSUED: - I - 1/29/2005
Phone: (503) 639-4171 444111111t,
Inspection Requests (24 Hrs.): (503) 639-4175 _A- -......
INSPECTION WORKSHEET FOR DATE: 1/6/2006 TIME: 7:00AM PAGE: 49
SITE ADDRESS: 10500 SW GREENBURG RD 200 CLASS OF WORK:
SUBDIVISION: LINCOLN CENTER/LINCOLN PLAZA LOT #: 002 TYPE OF USE:
PROJECT NAME: DR. TUNIK CHIROPRACTIC
DESCRIPTION: TI, walls
OWNER: EQUITY OFFICE PROPERTIES TRUST, PHONE #: 503-2932745
CONTRACTOR: CRAFTSMAN HOMES GROUP LLC PHONE #: 503-292-0474
Inspection Request Scheduled For: Date: 116/2006 Pour Time:
Code # Inspection Description , Confirm # Contact # Message
299 Final inspection 024498-01 503-320-3424 V 711 — p
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Corrections/Comments/Instructions: flp
• .
X PASS I I PARTIAL APPROVAL III CANCEL n NO ACCESS
pi FAIL El ALL FOR INSPECTION pi ADDITIONAL FEES ASSESSED
Inspector: Date: I 00( , Phone #: (503) 71 V 8 ‘61°
CITY_OF TIGARD _.
` BUILDING DIVISION PERMIT #: BUP2005.00617
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/29/2005
Phone: (503) 639- 4171,,r
Inspection Requests (24 Hrs.): (503) 639 -4175 �J ' __-
INSPECTION WORKSHEET FOR DATE: 12/6/2005 TIME: 7 :02AM PAGE: 32
SITE ADDRESS: 10500 SW GREENBURG RD 200 CLASS OF WORK:
SUBDIVISION: LINCOLN CENTER /LINCOLN PLAZA LOT #: 002 TYPE OF USE:
PROJECT NAME: DR. TUNIK CHIROPRACTIC
DESCRIPTION: lI, walls
OWNER: EQUITY OFFICE PROPERTIES TRUST, PHONE #: 503 - 2 7 45
CONTRACTOR: CRAFTSMAN HOMES GROUP LLC PHONE #: 503. 292 -0474
Inspection Request Scheduled For: Date: • 12/6/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
275 Framing 023000 -01 503- 320 -3424 Y
Corrections /Comments /Instructions: `'t ■ 3
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4j
istilat f • mil■ v
I ASS ❑ PARTIAL APPROVAL ❑ CANCEL n NO ACCESS
n FAIL ❑ CALL OR INSPECTION ❑ ADDITIONA FEES ASSESSED
Inspector: 17 Date: i '-`' Phone #: (503) 718 -