Permit q CITY OF TIGARD BUILDING PERMIT
PERMIT #: BUP2008 -00221
° COMMUNITY DEVELOPMENT DATE ISSUED: 6/27/2008
T1 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 1S135AB-01004
SITE ADDRESS: 10220 SW GREENBURG RD 410 ZONING: C -
SUBDIVISION: LINCOLN CENTER/TWO LINCOLN LOT: JURISDICTION: TIG
PROJECT: EXTERRO
Project Description: Fire Protection system. Altering (8) sprinkler heads.
REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION
CLASS OF WORK: FPS FIRST: sf N: S: E: W:
TYPE OF USE: COM SECOND: sf PROJECT OPENINGS?
TYPE OF CONST: sf N: S: E: W:
OCCUPANCY GRP: TOTAL AREA: 0 sf ROOF CONST: FIRE RET?
OCCUPANCY LOAD: 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: Y SMOK DET:
DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP ACC:
BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING:
VALUE: IF to ` 06
Owner: Contractor:
SHORENSTEIN REALTY SERVICES MCKINSTRY COMPANY
ONE SW COLUMBIA #300 12021 NE AIRPORT WAY SUITE G
PORTLAND, OR 97258 PORTLAND, OR 97220
Phone: 503-412-4800 Contact #: PRI 503 331 - 2461
FAX 503 - 331 -6906
Reg #: LIC 172811
FEES
Description Date Amount REQUIRED ITEMS AND REPORTS
[BUILD] Permit Fee 6/27/2008 $62.50
[TAX] 12% State Surch 6/27/2008 $7.50
Total $70
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 t• - rules adopted by the
Oregon Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through 0' ' •52 -001 -1 00. You may obtain a copy
of these rules or direct questions t• OUNC b calling 503.246.6699 or 1.800.332.234.. -
Issued c'. Permittee Si natur =: // /
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
Fire Pr otection System FOR OFFICE USE ONLY
Received / i City of Tigard Date /B : - 1 1� A '.rmitNo .. E" L' .I
IN ° 13125 SW Hall Blvd., Tigard, OR ` q►b
C °\1VS Plan Review
C 1 O0) D ate /By: Other Permit: j f� 4 - I
Inspection Phone: 503.639.4171 Fax: 503.59: 1 ` .. 'Q� `l
T I G A K D pection Line: 503.639 \` \N % f D ate Ready /By: � 3 �� ® See Page 2 for
Internet: www.tigard- or.gov Jv ` G pR O otified /Meth -- & Supplemental Information
TYPE OF WO N �Vw��'`O REQUIRED DATA: 1- AND 2- FAMILY DWELLING
❑ New construction ❑ � lit ti i \ P ermit 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
CATEGORY OF CONSTRUCTION work indicated on this application.
Valuation: $
❑ 1- and 2- family dwelling ® Commercial /industrial
❑ Accessory building ❑ Multi- family
Number of bedrooms:
❑ Master builder ❑ Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: 10220 SW Greenburg Rd New dwelling area: square feet
City/State /ZIP: Tigard, OR 97223 Garage /carport area: square feet
Suite/bldg. /apt. no.: 410 Project name: Exterro Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
—n---0‘0 cic; Other structure area: square feet
REQUIRED DATA: COMMERCIAL -USE CHECKLIST
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
DESCRIPTION OF WORK work indicated on this application.
Valuation: $5600.00
Relocate 8 sprinker heads for new layout
Existing building area: square feet
New building area: square feet
0 PROPERTY OWNER ❑ TENANT Number of stories:
Name: Type of construction:
Address: Occupancy groups:
City /State /ZIP: Existing:
Phone: ( ) Fax: ( ) New:
® APPLICANT ❑ CONTACT PERSON NOTICE
Business name: McKinstry Co. All contractors and subcontractors are required to be
Contact name: Jason Carver licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address: 12021 NE Airport Way, Ste G jurisdiction in which work is being performed. if the
applicant is exempt from licensing, the following reasons
City/State /ZIP: Portland, OR 97220 apply:
Phone: (503) 331 -2461 Fax: : (503) 331-6906
E -mail: jasonc @mckinstry.com
CONTRACTOR BUILDING PERMIT FEES*
(Please refer to fee schedule)
Business name: Same as applicant 6�
Permit fee:
Address:
State surcharge (12% of permit fee): 7°
City/State /ZIP: FLS plan r s,' w /4 ° miit fee):
Phone: ( ) Fax: ( ) ue upon n pry.
CCB lic.: 172811 Total permit fees: --70 &E.—
Amount received:
Authorized signature:
This permit application expires if a permit is not obtained
Date: within 180 days after it has been accepted as complete.
Print name:
Fee methodology set by Tri-County Building Industry
Service Board.
h \ Building \Permits \FPS- PermitApp.doc 03 /23/06 440- 4613T(1I /02 /COM/WEB)
CITY OF TIGARD
BUILDING DIVISION PERMIT #: BUP2008•0022.1
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/27/2008
Phone: (503) 639 -4171 ICI
Inspection Requests (24 Hrs.): (503) 639 -4175 rL_,.
INSPECTION WORKSHEET FOR DATE: 7/18/2008 TIME: 7;00AM PAGE: 8
SITE ADDRESS: 10220 SW GREENI3URG RD 410 CLASS OF WORK:
SUBDIVISION: LINCOLN CENTER/1W&) LINCOLN LOT #: TYPE OF USE:
PROJECT NAME: EJCTERRO
DESCRIPTION: Fire Protec=tion system. Relocating (8) sprinNer heads.
OWNER: SHORENSTEIN REALTY SERVICES, PHONE #: 60342 -4800
CONTRACTOR: MCKINSTRY COMPANY PHONE #: 503-331-2461
Inspection Request Scheduled For: Date: 7/18/2000 Pour Time:
Code # Inspection Description Confirm # Contact # Message
910 Sprinkler ro - /tort 0728Th -01 503 480.3222 Y
Corrections /Comments/ Instructions:
•
F:41 _ J I/, PARTIAL APPROVAL ❑ CANCEL n NO ACCESS
Ft FAIL "VA CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
-
-7 7—‘V7
Inspector: Date: / /g DI Phone #: (503) 718-
'
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BUILDING ��U�8�U��� PERMIT ~°~°"°~~~^"~~° ~�"""~°"~~"~ #: Bk)P200"D221
13125 SW Hall Blvd., Tigar , OR 97223 DATE ISSUED: 6/27r2008
Phone: (503) 639-4171
Inspection Requests �4Hnoj �
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INSPECTION DATE: TIME: PAGE: ' � 7/3O/�OU� � 7 �U1Ah4 � 48
S|TEADDRESS� CLASSOFVV0RK�
WORK:
� 10220 SWGREENDURG RD 410
LOT#
SUBD|V/S0N� #: TYPE
� LINCOLN LINCOLN � USE:
PROJECT NAME: � EX ERQD
DESCRIPTION: � Fi|ePrntodion system. Relocating (8) oprinWyr heads.
OWNER: �SERVICES, PHONE# 603-412-4800 8HQR�S7EM�EALl�
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CONTRACTOR: � k1CK|NSTRYC0kAPANY PHONE #: � 503-331'2461
lnspection Request Scheduled For: Date: 7/30/2008 Pour Time: .
Code # Inspection Description Confirm # Contact # Message
999 Sprinkler final 073432-01 503'780-3222 N
Corrections/Comments/Instructions:
A V 1 RARTAL APAPPROVAL | | CANCEL / �� / NO ACCESG
FAIL 11 ALL FOR INSPECTION n ADDITIONAL FEES ASSESSED
' -
Inspector: ^ Date: �' '�� Phone #: (503) 718-
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BUILDING DIVISION PERMIT ~°~~"~~~°"""~= ~~"°"~~"~°^~ #: 5K1P2008-00221
13125GVV Hall Blvd Tigard, OR DATE ` ' ISSUED: 027/2008
Phone: (503) 639-4171
Inspection Requests �4Hm.): (503) 639-4175
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INSPECTION WORKSHEET FOR DATE: TIME: PAGE: � 7/30/2008 T| � 7��1AhA � 47
SITE ADDRESS: CLAGSOFVVOHK�
� 182J00 �
SUBDIVISION: L|NC0LNCENTER/l LOT #: TYPE � CENTER/TWO � �
PROJECT NAME: -
� �U2RR0
DESCRIPTION: � FireP/oieoU*n system, Relocating (B)sp|in Her heads,
OWNER:
CONTRACTOR: PHONE #: � SH 503-412-4800
�
� K4OK|NSTRYCOMPANY PHONE #: � 503-331'2461
Inspection Request Scheduled For� Date: Pour Time:
For: � 7/30/2008 �
Code # Inspection Description Confirm # Contact # Message
299 Final inspection 073432-02 503-780-3222 Y
Corrections/Comments/Instructions:
4
FASS F�RT|ALAPPROV�L �� CANCEL 1 | NO ACCESS
111 FAIL | CALL FOR INSPECTION AOD|T|[)NALFEESA8SESSEO
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----- Date: 7 y Sx»A l e Phone #: (503) 718- 2--4�'
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