Permit Ir IF CITY OF TIGARD BUILDING PERMIT
PERMIT #: BUP2006 -00575
COMMUNITY DEVELOPMENT DATE ISSUED: 12/19/2006
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 1 S 135AB -00900
SITE ADDRESS: 10200 SW GREENBURG RD 200 ZONING: C -P
SUBDIVISION: LINCOLN CENTER /FIVE LINCOLN LOT: JURISDICTION: TIG
Project Description: Fire sprinkler TI - relocate (16) heads and add (6) 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: 2FR sf N: S: E: W:
OCCUPANCY GRP: B TOTAL AREA: 0 sf ROOF CONST: FIRE RET?
OCCUPANCY LOAD: 273 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: $ 1,700.00
Owner: Contractor:
EQUITY OFFICE PROPERTIES TRUST AFP SYSTEMS INC
ONE SW COLUMBIA ST #300 19435 SW 129TH
PORTLAND, OR 97258 TUALATIN, OR 97062
Phone: Contact #: FAX 503 - 692 - 1186
PRI 503 - 692 -9284
FEES Reg #: LIC 67534
Description Date Amount REQUIRED ITEMS AND REPORTS
[BUILD] Permit Fee 12/7/2006 $62.50
[TAX] 8% State Surcha 12/7/2006 $5.00
[FLS] FLS Pin Rv 12/7/2006 $25.00
Total $92,50
•
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 rule • •. -ct questions to OUNC by calling 503.246.6699 or 1.800.332.2344.
1
Is. ued By: \ 14 Permittee Signature: y J /
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.
Fire stem S r 460 01 0 7 .
Building Permit Application '' . I'O z oFF ICS: OSE;ONLY `
k � r E RE 151 Received Permit No.:
I N
City of Tigard E�� -� �° Daters . Lrp,Ce. �-e61,57 5
a P hone SW Hall Blvd., Tigard, OR 97223 C Plan R ewilk
' P 0
hone: 503.639.4171 Fax: 503.598.1V600.0 6 7 200 Daze . t Other Permit:
t ®
TIG L�I. U vv Inspection Line: 503.639.4175 Date Ready.: �� ,�� � Ju�.sr See Page 2 for
t /ice
Internet: ww.tigard - ocgov CITY ����® Noti ed/Method: / // c Supplemental Information
BUILDING DIVISION j i , AffilialI
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❑ New construction ❑ Demolition Permit ees* a e based on the value of the work performed.
Indicate e : ue (rounded to the nearest dollar) of all
IA. Addition /alteration/replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the
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ti,g t`iliAlt< °tSi ZI 3e -.s`u'.^.^a:�; - - ' - := t`^m'ea` �t "�°:%at-`n.,s �; -) work indicated on this application.
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❑ 1- and 2 -family dwelling ❑ Commercial /industrial Valuation: $
❑ Accessory building ❑ Multi - family Number of bedrooms:
❑ Master builder 1:1 Other: Number of bathrooms:
S;J.,•'.' ,.. T ,,..-, tty °. A.1. »<..,ni, r 3:�e=ip:z.i v`,- k,i P: ,,vt.t.-- ,.'. =:5 ^,:� +c .ivui st :.:Fr.. ei, �.,�:� , „ 0i,, `r " Total number of floors:
' ` �,
' iv R > o -tom JOB, SITE INF ORMATIQ N AND "IACATION { 1 s
Job site address: / 0 a_00 s kJ f^ ; , • � 5 New dwelling area: square feet
City /State/ZIP: 'Prr I4 V k Garage /carport area: square feet
Suite/bldg. /apt. no.: 200 Project name: ee�1v ^-,J a y/t a,,v -.c4 Covered porch area: square feet
Cross street /directions to job site: Deck area: square feet
Other structure area: square feet
; ;tR C - IST
Subdivision: - I Lot no.: Permit fees* are based on the value of the work performed.
Tax map /parcel no.: Indicate the value (rounded to the nearest dollar) of all
equipment, materials, labor, overhead, and the profit for the
`
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> 5” s.' r' .,a .,ate. ., ,,,, r,._,�• ;;,� ' � • work indicated on this application.
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R 2 -69CJ i L — A t i(,� 1:.��t"it/-1 Valuation: $ fl e0.`i
• Existing building area: '6 G, ay- square feet
New building area: i 0 t^ i e feet
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y` ', �`, ,,.,r+ -:' f y4 } `i'�.: $ . „ .�kt":,':.5^i t i�'ki✓,".3'':; , ...�^.j`,1 . i e
�, 1 PRPE . 40V4 ` . t` , % 4 - , #1'EIYANT, ; I I Z i. z- Number of stories: •
.
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Name: Type of construction: `� r
Address: t 9 y w !' t cL4kL , ed Occupancy groups: Q:73 ,..E
City /State /ZIP: ( .4.7 1/ 4. 0.y,,..,-...�� L Existing:
Phone: ( ) Fax: ) New:
i =1.O a',i' PI'LICANTx :.r @ONTACT PERSO < i` t . , - ;: :;, >,.�,
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Business name: S All contractors and subcontractors are required to be
Contact name: licensed with the Oregon Construction Contractors Board
Iilrt. fit= under ORS 701 and may be required to be licensed in the
Address: jurisdiction in which work is being performed. If the
City /State /ZIP: applicant is exempt from licensing, the following reasons
apply:
Phone: (• ) Fax:: ( )
E -mail:
_� � k,. -;` :,,, w:�.,t�� �. � G TOR � � . w r , i hl
_ _ BUILDIlV GPERMIT`EEES..
v ONI'R/� s ,; , , , . .� x 3 e � �'�p>v�I
_ - . - _ .. - . - c , v _g , ?- 1�2CS8refer LOfeextredu�e) . ,c 1 .4';
Business name: AF P S4 ns s ;v C Permit fee:
Address: 1 9 `i 3'S S (,J i 11 r"'■
State surcharge (8% of permit fee):
City /State /ZIP: ' i L (9R FLS plan review (40% of permit fee):
Phone: ( ) (,92-92 16 y Fax: ( ) (2 —t I V. (Due upon application.)
CCB lic.: (°)t5 3`-I Total permit fees:
i1 r �'�. 5Z) signature: "%- ti Amount received:
This permit application expires if a permit is not obtained
Print name: , � .- Date: ' within 180 days after it has been accepted as complete.
� C - �� * Fee methodology set by Tri- County Building Industry
Service Board.
I:\ Building \Permits \FPS- PemitApp.doc 03/23/06 440 -4613T(I1 /02 /COM/WEB) /
/�
City of Tigard: Fire Protection Permit Checklist
Page 2 - Supplemental Information
D'escribe<work to`be;done;::'` -: -
1.) ❑ New 2.) Modification to sprinkler heads only:
❑ Addition ❑ 1 -10 heads: No plan review required.
❑ Alteration ❑ 11+ heads: Plan review required.
❑ Repair
Number of•sprinkler heads: g.‘
Additional description of work:
•
Type. of System (Complete A, B, C or D as applicalle)
A.)' Commercial Spruikler
L Wet ❑ Dry
Additional Standpipes
Information: Hazard Group L }T
Density .10 a
Design Area 15°0
K. Factor S. V
Sprinkler Project Valuation: $ 'fir) 00 i~
.`.B' ): Type I Hood Fire Suppress on System ;4 _
Hood Project Valuation: $
C) Fire 4Alarni
Submittal shall Battery Calculations ❑ Yes
include: Individual Component ❑ Yes
Cut Sheets
Fire Alarm Project Valuation: $
D) Residential Sprinkler (Stand Alone System)
Square Footage: Permit Fee:
0 to 2,000 $187.50
2,001 to 3,600 $232.50
3,601 to 7,200 $292.50 `' '
7,201 and greater $381.50
Sprinkler Project Square Footage: sq. ft.
Fire Protection. Permit:°Fees,
Project valuation subtotal (see A, B & C above): $
Permit fee based on project valuation (see fee schedule): $
Permit fee based on square footage (see D above): $
State Surcharge (8% of permit fee): $
FLS Plan Review (40% of permit fee): $
TOTAL: $
Plan review requires a completed application and 2 sets of plans at submittal. Plan review fees are required at submittal.
"New" fire protection systems require that plans bear the original seal of an Oregon licensed fire suppression
engineer, or NICET level "3" technicians.
I: \ Building \Permits\ FPS- PermitApp.doc 2
111 OF TIGARD
575
BUILDING DIVISION PERMIT #: BUP2006-00Mt
13125 SW HaILBIvd., Tigard, OR 97223 DATE ISSUED: 100612006
Phone: (503) 639-4171 A
4 _4 4
Inspection Requests (24 Hrs.): (503) 639-4175 . --...... t
29i2006 12r
INSPECTION WORKSHEET FOR DATE: TIME: 7:00AM PAGE: 3
SITE ADDRESS: 10200 SW GREENBURG RD 200 CLASS OF WORK: ,4
SUBDIVISION: LINCOLN CENTER/FIVE LINCOLN LOT #: TYPE OF USE:
PROJECT NAME: FARMERS INSURANCE
DESCRIPTION:
ir _II1J141-1W-S
OWNER: EQUITY OFFICE PROPERTIES TRUST, PHONE #:
CONTRACTOR: RUSSELL CONSTRUCTION INC, PHONE #: 503-228,9413
Inspection Request Scheduled For: Date: 12/290006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
999 Sprinkler final 00660-01 503-780-3222 N
Corrections /Comments/ Instructions:
.../ -- 5 44
/.. • ' . 7 - Pt VC .. /I riP _ . t ,
/14"1*/■11111■
.....„ i , - .,■- .• If ,
•
.....Z n PARTIAL APPROVAL fl CANCEL fl NO ACCESS
I I FAIL I I CALL FOR INSPECTION n ADDITIOIAL r EES ASSESSED
-Nig 4 _,,er AL, i
Inspector: dy 1 , Date: U Phone #: (503) 718- _AL
_ , .
CITY .OPTIGARD
BUILDING DIVISION
A PERMIT #: BuP2006-00575
D ATE 13125 SW Hall Blvd., Tigard, OR 97223 E ISSUED: 12119/2006
Phone: (503) 639-4171 byliPioltiiiik
Inspection Requests (24 Hrs.): (503) 639-4175 La,-Alw IL
INSPECTION WORKSHEET FOR DATE: 12/20/2006 TIME: 7:00AM PAGE: 38
SITE ADDRESS: 10200 SW GREENBURG RD 200 CLASS OF WORK:
SUBDIVISION: LINCOLN CENTER/FIVE LINCOLN LOT #: TYPE OF USE:
PROJECT NAME: FARMERS INSURANCE
DESCRIPTION: Fire sprinWer Ti - relocate (16) heads and add (6) heads.
OWNER: EQUITY OFFICE PROPERTIES TRUST, PHONE #:
CONTRACTOR: AFP SYSTEMS INC PHONE #: 503-693-9284
Inspection Request Scheduled For: Date: 12/20/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
910 Sprinkler rough-in/test 041309-01 503-692-9284 N
Corrections /Comments/ Instructions:
(---
.,./...L...ep.... er '
PASS pi PARTIAL APPROVAL fl CANCEL 1 NO ACCESS
I FAIL _ CALL FOR INSPECTION fl ADDITION . L FE -S ASSESSED
Inspector: at &Irk Date: i 0/ Phone #: (503) 718242,