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Permit - BUILDING PERMIT crTY O F TIGARD PERMIT #: i r CO MMUNITY DEVELOPMENT DA TE ISSUED: 12/18/2007 P 00644 .�. ,. , TtGARO 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 1S135AB-01002 SITE ADDRESS: 10220 SW GREENBURG RD 571 ZONING: R - 12 SUBDIVISION: LINCOLN CENTER/THREE LINCOLN LOT: 009 JURISDICTION: TIG PROJECT: TRELLEBORG Project Description: Add (2) pendents, relocate (6). 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: B 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: SMOK DET: DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP ACC: BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING: VALUE: $ 1,100.00 Owner: Contractor: SHORENSTEIN REALTY SERVICES AFP SYSTEMS INC ONE SW COLUMBIA ST #300 19435 SW 129TH PORTLAND, OR 97258 TUALATIN, OR 97062 Contact #: FAX 503 - 692 -1186 Phone: 503 - 412 -4800 PRI 503-692-9284 Reg #: LIC 67534 FEES Description Date Amount REQUIRED ITEMS AND REPORTS [BUILD] Permit Fee 12/18/2007 $62.50 [TAX] 8% State Surcha 12/18/2007 $5.00 Total $67.50 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: Permittee Signature: 0-4- Cali 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. DEC -17 -2007 MON 0 1 : 2 2 FAX N0, 5036921186 P. 02 Fire Protection System Buildin Permit A licatio ; t -- (� - 1A,i t . 1) Received permitNo , „,..,,,,/ I, i / City of Tigard ; i ' .' ^ -,.'" Dote . i % o / 0 13125 SW Hall Blvd., Tigard, OR 97223_ Review OtherPemnt: . Phone: 503.639.4171 Fax: 503- 598444Q 1 , / I Dai mds H See Pnl e2 for In ectlonLlne: 503 - 639,4175 Date ;BY Supplemental Information 1' I i.i :\ It 11 CITY Y Jt— a 1 �tiD Not ied/Method: Internet: WWW hgurd 9I 60V a (� I [♦.. ' M1 1 A L r1. 1 'N •011 'rl! N�7�7�An� >• p Y'XI 14 . � 4fl ,. w 1 ..IIIIV ri � Ih I rl . X� �' :, - {; / ' MDAT -'1 mwa,, ^ .rf , , r,l h p ,, 1 Wu 11, I f r I r , t ; •,{ r EL f r ��;ri i 1 ...v .. .. ea 1 1 +1 r � �� r �� F � ., � ! ?7 I � 1 I �. , �liQ�r 5 Permit fees* arc based on the value of the work perform . [] New construction 0 Demolition Indicate the value (rounded to thc nearest dollar) of all — materials, labor, overhead, and the profit for the . Other: equipment, ma , {,� Addtuon /alteration /replacement ❑ ,, m work indicated on this application. f .:. .. y ',. r r,,a a r it hi H'P r d , t p . ; I J, y 1 !' r LN . r 1VC,wY. , °r 11 ., Al: fa S , M O ' L ' l � A * ki 4 u �1 ;u CA�'1'GU�!� � 1 ; �� iir�..� . � ' I Valuation: 0 1- and 2- family dwelling iM Commercial /industrial Number of bedrooms: ❑ Accessory building _ o Multi family — — _ Number of bathrooms: ❑ Master builder ❑ Other: y, , ,.. 1 1 e.. „ _, Q lit A 4t 4t ,5x r ,� , i Jl ,i�,,,,,,,,,,,mk,', li` $�H Total number of $oors: 1 !.:11, l 1i;:1,? r i�`' � f tL� r rat;.1 ,; ' r .t*.I AI , ' 4 New dwcll_ing arca: square feet Job site address: ...TIC' a. a, 0 S W 01~. �� w s uare feet Garage /carport area q City /State/ZIP: Suite/bldg. /apt. no.; S square feet ��`" t Covered porch area: 1 ) Project nine: `rj�„ Jo t Cross stroct /directions to job site: • : , LL o Deck area; square feet • Other structure area; . square feet u 'c°s'.,1 AA .- lr, ��iYtY�w('� �+ 'lick I lto `4 *Tk IC a r , n *57T of no.: Permit fees* are based on the value of the work performed - Subdivision: I Indicate the value (rounded to the nearest dollar) of all Tax map /parcel no equipment, materials, labor, overhead, and the profit for the 6 1 1 ( I nuASn ,,•' r m ,,,,,ln.,, ,, �' I �y� I }} } / , µl� "p� work indicated ob this application. ,tit :'., S ! r ` I /• ' 1 t4 I W 1 r 1 } � 1 1f 1 ri flt ;'f11R � ;" 151 Tt: i4 lMv yr � Ff3�4Y� 1 4 d * I . dr M4',Y l k r 1 r I W r it; ,, .r �.� .�., Ai -r :, i„ 1u/v (.14A cam 1�� ' ' d . : . . Existing building square feebuilding area: l (V1 • — New building arca: 2 GOO square feet — a r ' �f1 a 1 1 v �� l i 4 '�{{ti ' : 1( ' :81; /.'iii Number Of stones: S -, ' r Y g -' :Y * 73RT1f 1 i 111 lye � 6 ,, PIT' 1 7 m , / , 1 �ap „ab 1, Typo of construction: Name: r,., .--1. I � Address: 1(9 �-1r - k) 6 1 O ccupancy groups: Existing: City/State/ZIT. . — rj _ Phone: ( ) Fax: ( ) New: ,,� . ", �, :, .: 7"I' i 'r, !° 9 T , r � .r _ ' ' ( ��,. i , r 1: : r ,..''I Hr "M 11 ,11 :I 0. � _��., . ';'4'''''''::"::( 1' I �� `I � ■ 4 l r �l�� r r r lM , a.l1 l�.L ,.".I'"'f�.Ti9 r' �1�ffli II+T' I1 tY i 1 F,+� 1. I ' L 11 �l 4Vli RI��V �tIM 1 %Di fl r "` 1 tl�"i' Cl'u t 1 ?� . ui�t :!.t�, �� , �'i r. ��. �r`.� y.J 1 � „lam � I#r�`�1.Q (K r� : t�. l. .:rr, 1 � r .. ''A'- A.�.c �,rl, r. 1 r. ,�:,t /.:; ; ..r rr.,,,. Business Warne: A F 'R S 1 4 C All contractors and subcontractors are required to bc I f � 1 licensed with thc Oregon Construction Contractors Board Contact name: _ _ X1 P' l►t.t'Of under ORS 701 and may be required to bc licensed in thc 1 jurisdiction in which work is being performed. 1f the Address: `( � S l ` , • ' ` applicant is exempt from licensing, the following rcwsons City /Stale /Zll': l L )0 4_. BA. 410' ap•ly: Phone: ( ) (93- 9avc'1 Fax: : ( )10 I lS t E-mail: ,11,r PI'f t` S S . C.o1^-- �rr1, , 1 , y � f ,r ��p L n r 1 r ; pr " . . •� � I� • w;' �^ I /r��ltl�l Ynl' illi�l ti��d.l Ii'21k�'roltalachQdplC I t �{ . .;. r Business name: - J F f �i.I S S jL -. .� f Permit fee: Address: J � State surcharge (8% of permit fee): City/State/ZIP: ITS plan review (40 % of permit fee): Due t1 n p lic crlinn. Phone: ( ) T ( ) Total permit fees: CCB lie.: e� 4, Amount received: Authorized signature: • This permit application expires if a permit is not obtained within 180 days otter it has been accepted as complete. �a — r�—a Print name: ,.,..\ two... 1r 1�1 b✓ Date: G * Pee methodology sal by Tri- County Building industry I Service Board. doe 03/73/06 440- 4613T(1I /WCOM/WP -13) I:\& lihlinglP°nnIIAYt'PS- PaneIIAPP� / G q •/ CITY OF TIGARD BUILDING DIVISION , #: OtJP 07- 006..44 13125 SW Hall Blvd., Tigard, OR 97223 - DATE ISSUED: 17/ 13!2007 Phone: (503) 639 -4171 /� j - Inspection Requests (24 Hrs.): (503) 639 -4175 AL INSPECTION WORKSHEET FOR DATE: 12128 0107 TIME: 7 :00Am PAGE: 9 SITE ADDRESS: 10220 SW GREENBURG RD 571 CLASS OF WORK: SUBDIVISION: LINCOLN CENTER /THREE LINCOLN LOT #: 309 TYPE OF USE: PROJECT NAME: TRELLEI3ORG DESCRIPTION: Add (2) pendents, relocate (s). OWNER: SHORENSTEIN REALTY SERVICES, PHONE #: 503-412-4800 CONTRACTOR: AFP SYSTEMS INC PHONE #: 5.03 -G92 -9284 Inspection Request Scheduled For: Date: 12128/2007 Pour Time: Code # Inspection Description Confirm # Contact # Messa•e 999 Sprinkler final 062296-01 503.780 -3222 0 Corrections /Comments/ Instructions: PAS % PARTIAL APPROVAL ❑ CANCEL n NO ACCESS n FAIL fr CALL FOR INSPECTION ❑ ADDITION■ FEES ASSESSED or: ' vii Date: © Phone #: (503) 718- � � Inspect ( ) 7 CITY OF TIGARD BUILDING DIVISION • #: 0,3P:2007-00E41 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 12/18/2007 Phone: (503) 639 -4171 .- - l l Inspection Requests (24 Hrs.): (503) 639 -4175 &.. ` I.. INSPECTION WORKSHEET FOR DATE: 12/27/ )007 TIME: 7 :00 AM PAGE: 57 SITE ADDRESS: 10220 SW GREENBURG RD 571 CLASS OF WORK: SUBDIVISION: LINCOLN CENTER /THREE LINCOLN LOT #: 009 TYPE OF USE: PROJECT NAME: TRELLEI3ORC DESCRIPTION: Add (2) pendent, relocate (6). OWNER: SHORENSTt=IN REALTY SERVICES, PHONE #: Mt-412-41300 CONTRACTOR: AFP SYSTEMS INC PHONE #: 503 -692 -9281 Inspection Request Scheduled For: Date: 12/27/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 910 SprinIEier rough -in /test 062161 -01 503 -692 -9284 N Corrections /Comments /Instructions: 4 PL- A n /Z; NI PARTIAL APPROVAL ❑ CANCEL fI NO ACCESS n FAIL 1! CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED Inspector: _ _ _ ��'� Date: C Phone #: (503) 718- `