Permit BUILDING PERMIT
CITY OF TIGARD
PERMIT #: BUP2005 -00059
' " j' i DEVELOPMENT SERVICES DATE ISSUED: 2/16/2005
, �'I I 13125 SW Hall Blvd.. Tigard, OR 97223 (503) 639 -4171
SITE ADDRESS: 10500 SW GREENBURG RD 100 PARCEL: 1S135AB 01006
SUBDIVISION: LINCOLN PLAZA ZONING: C -P
BLOCK: LOT: 002 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: 18 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: $ 7,800.00
Remarks: TI: wall office space.
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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 ITEMS AND REPORTS
Description Date Amount
[BUILD] Permit Fee 2/16/2005 $129.70
[TAX] 8% State Surcharl 2/16/2005 $10.38
[FLS] FLS Pln Rv 2/16/2005 $51.88
[BUPPLN] Pln Rv 2/16/2005 $84.30
Total $276.26
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: /'G�e-c...,_ -
Permittee
Signature: . / PA//, QGt e h.
Call 639 -4175 by 7 p.m. for an inspection the next business day
S'
Bt II Permit Application FOR OFFICE. USE ONLY
City of Tigard Received p ermit No.:
13125 SW Hall Blvd., Tigard, OR 97223 DateBy:.. /Ga E7 5 -8 G 2�. 5 c7c� C� S
g Plan Review
z it
Phone: 503.639.4171 Fax: 503.598.1960 ' YP O i m
Date /B : Other Permit:
Inspection Line: 503.639.4175 - Date Ready /By: El See Attached Checklist for
Internet: www.ci.tigard.or.us Notified/Method: Supplemental Information
°s ;- ^v� kr � � : a.,- • , fig ; . ,,� ;.. ,�. + �� `� . , -� ._r±,.> ,,.:- x
? �� p TY PE QF WORK A ' , , - RE b UIRED 4= ANill DWELLING' P
.
❑ 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 ❑ Other: equipment, materials, labor, overhead, and the profit for the
"" * * f IO z:. work indicated on this application.
Cry TEC4R± . Q CQISTIRUGITON
El 1- and 2- family dwelling ® Commercial /industrial Valuation: $
❑ Accessory building El Multi-family Number of bedrooms:
El Master builder CI Other:
Number of bathrooms:
j JO SITE INFORMA, ON AND x1:OCATLt?N Total number of floors:
.- K �. - _� �. -. gym`
Job site address: 10500 SW Greenburg Rd New dwelling area: square feet
City /State /ZIP: TIGARD, OR 97233 Garage /carport area: square feet
Suite/bldg. /apt. no.: 100 Project name: Stewart Title Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
Other structure area: square feet
.REQUIREDtDATA COMMERCIAL USE CHEG'K13ISTt
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, ma materials, labor, overhead, and the profit for the
t d a e r
.. i DESCRTPiii5N Q -WORK P . work indicated on this application.
. . „
New Tenant Improvement Valuation: $$7,800.00
Existing building area: square feet
New building area: square feet
DIP OPERTY,OWNER = Vii❑ TENANT r ,, Number of stories:
Name: EQUITY OFFICE Type of construction: II -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
r ,® A P I .. T . T PERSON r 7: - 1
.11ea < . " i e . ." i a- ,..7s OTICE v "
rn
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
CitylStatelZIP: Portland, OR 97201 applicant is exempt from licensing, the following reasons
apply:
Phone: (503) 224 -9560 Fax: : (503) 228-1285
E -mail:
4 A
CONTRA �g
Business name: C. SCHIEWE & ASSOCIATES
° B'UILIIING P ERMIT ° FEES* $
Address: 6615 SW 111 ST rP,,.A °"
Please refer to fee schedule.
City /State /ZIP: BEAVERTON, OR 97008
Fees due upon application $276.26
Phone: (503) 646 -6617 Fax:( )
Amount received
CCB lic.: 54105
/ Date received:
Authorized signature: 12_/,{ // 9 , This permit application expires if a permit is not obtained
rr ` � � within 180 days after it has been accepted as complete.
Print name: Rd Zap p t,e_c.4_2A 4.e Je( Date: 02 - 15 - 05 * Fee methodology set by Tri County Building Industry
Service Board.
i:\ Building \Permits \BUP- PermitApp doe 12/03 440- 4613T(I I /02 /COM/WEB)
CITY OF TIGARD
BUILDING DIVISION PERMIT #: BUP2006-00069
13 125 SW Ha ll Blvd ., Tigard, OR 97223 DATE ISSUED: 2/1612005 Phone: (503) 639 -4171 /f,fJtllIpit
Inspection Requests (24 Hrs.): (503) 639 -4175 ,_-_,14
.
INSPECTION WORKSHEET FOR DATE: 3/31/2005 TIME: 7:05AM PAGE: 2
SITE ADDRESS: 10500 SW GREENBURG RD 100 CLASS OF WORK:
SUBDIVISION: LINCOLN PLAZA LOT #: - 002 TYPE OF USE:
PROJECT NAME: STEWART TITLE
DESCRIPTION: TI: wall office space.
OWNER: EQUITY OFFICE PROPERTIES TRUST, PHONE #:
CONTRACTOR: C SCHI EWE & ASSOCIATES INC PHONE #: 503 -646 -6617
Inspection Request Scheduled For: • Date: 3/31/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
cc ..il iO... :,, ,, , ...
299 Final inspection 003385.01 503 -348 -0563 Y
Corrections/Comments/Instructions:
F IHG. I G, {'l_
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4SS (l PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAI CALL OR INSPECTION ❑ ADDITIONAL FEES ASSESSED
A
Inspector; Date: 03 ` Phone #: (503) 718-