Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Permit
Fr CITY OF TIGARD BUILDING PERMIT PERMIT #: BUP2006 -00566 COMMUNITY DEVELOPMENT DATE ISSUED: 11/29/2006 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 1S135AB-00900 SITE ADDRESS: 10200 SW GREENBURG RD 200 ZONING: C -P SUBDIVISION: LINCOLN CENTER /FIVE LINCOLN LOT: JURISDICTION: TIG Project Description: Fire alarm TI. 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: 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: $ 5,000.00 Owner: Contractor: EQUITY OFFICE PROPERTIES TRUST T & L COMMUNICATIONS INC ONE SW COLUMBIA ST #300 PO BOX 87387 PORTLAND, OR 97258 2800 NE 65TH AVE SUITE A VANCOUVER, WA 98661 Phone: Contact #: PRI 360 - 737 -9725 FAX 360 737 - 9648 Reg #: LIC 67787 FEES Description Date Amount REQUIRED ITEMS AND REPORTS [BUILD] Permit Fee 11/29/200€ $91.30 [TAX] 8% State Surcharl 11/29/200€ $7.30 [FLS] FLS Pln Rv 11/29/200€ $36.52 Total $135.12 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 OUN y ailing 503.246.6699 or 1.800.332.2344. � I Issue By: � _,�� Pe rmittee Signature: � zO ` �. / t.Pi , �d� ---- ',._.-- 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 Protection System i Building Permit Application FOR OFFICE USE ONLY City of Tigard DDaze/Be. / PermitNo.: = 1Z1' / 6 , 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review /r ,.r.h' f� 15, Phone: 503.639.4171 Fax: 503.598.1960 �" , 4' I; `� 1 ° Date/By Other Permit: Inspection Line: 503.639.4175 . Date Ready/By: ® See Page 2 for Internet: www.ci.tigard.or.us • Notified/Method: IIMI Supplemental Information TYPE OF WORK REQUIRED DATA: 1 AND 2 FAMILY DWELLING ❑ 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 CATEGORY OF CONSTRUCTION work indicated on this application. ❑ 1- and 2- family dwelling A] Commercial /industrial Valuation: $ El Accessory building ❑ Multi- family Number of bedrooms: ❑ Master builder ❑ Other: Number of bathrooms: JOB SITE INFORMATION AND LOCATION Total number of floors: A Job site address: k I j ) 00 s C, CQAA ‘c it k CV New dwelling area: square feet City /State /ZIP: f c . r k ln� v t9 ,, Garage /carport area: square feet • Suite/bldg. /apt. no.: ' c c Project name: v t 1AA-C2.- f S Covered porch area: square feet Cross street /directions to job site: Deck area: square feet Other structure area: square feet REQUIRED DATA:, COMMERCIAL CHECKLIST Subdivision: 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 DESCRIPTION OF WORK work indicated on this application. Valuation: $ [- cstis� J �t%b� N s 'E t- s /grim S Existing building area: square feet New building area: square feet ❑ 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: 'Ilk_ (AAA/kiwi CIO I�C(..V1 Ao l.� All contractors and subcontractors are required to be Contact name: V sc ��-zS 1,14 c..--> licensed with the Oregon Construction Contractors Board under ORS 701 and may be required to be licensed in the Address: e 0 gc.)K t ) 3 jurisdiction in which work is being performed. If the City /State /ZIP: © �/�� l applicant is exempt from licensing, the following reasons apply: Phone: (3(s) -) .7 ZS- Fax: : (3,o) 7,j 7 76 r . E -mail: CONTRACTOR Business name: '�� - c-c VW fro oi,t t ce9,6 c •5 BUILDING PERMIT FEES* Address: Y_ C) IS g 1:3 1 /]/� i Please refer to fee schedule. City /State /ZIP: j �0�. V t4//`L� V Phone: ( ()) ` !) ZS� Fax: ( --) 16 �.� Fees due upon application CCB lie.: (41 �) n \v � j r Amount received l D ate received: 6 Authorized signature: This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name: S C t �-(.s (,a t.,--) Date: 0 ._ 7•-0 * Fee methodology set by Tri- County Building Industry / Service Board. is \Building\Permits \FPS - PermitApp.doc 12/03 440- 4613T(1 l /02/COM/WEB) • City of Tigard: Fire Protection Permit Checklist Page 2 - Supplemental Information Describe 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: Additional description of work: Type of System (Complete A, B, C or D as applicable): A.) Commercial Sprinkler ❑ Wet ❑ Dry Additional Standpipes Information: Hazard Group Density Design Area K. Factor Sprinkler Project Valuation: $ B.) Type I - Hood Fire Suppression System Hood Project Valuation: $ C.) Fire Alarm Submittal shall Battery Calculations '® Yes include: Individual Component EA Yes Cut Sheets Fire Alarm Project Valuation: $ 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. Project Valuation Subtotal (A, B & C): $ Permit fee based on valuation (see attached chart): $ Permit fee based on square footage (D) (see fees above): $ State Surcharge 8% of Permit Fee: $ FLS Plan Review 40% of Permit Fee: $ TOTAL: $ Plan review requires a completed application and 3 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 CITY. ®F TIGARD BUILDING DIVISION PERMIT #: BUP2006 -005$6 ' 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/ gl �+f�6 Phone: (503) 639 -4171 � Iniiq�� '� Inspection Requests (24 Hrs.): (503) 639 -4175 ...' P ` .L INSPECTION WORKSHEET FOR DATE: 1/4/2007 TIME: 7 : 00Am PAGE: 32 SITE ADDRESS: 10200 SW S3REENBURC RD 200 CLASS OF WORK: _ SUBDIVISION: LINCOLN CENTER /FIVE LINCOLN LOT #: TYPE OF USE: PROJECT NAME: FARMERS INSURANCE DESCRIPTION: Fire alarm TI. OWNER: EQUITY OFFICE PROPERTIES TRUST, PHONE #: CONTRACTOR: T & L COMMUNICATIONS INC PHONE #: 360 - 737 - 9725 Inspection Request Scheduled For: Date: 1/4/2007 Pour Time: Code # Inspection Description Confirm # Co. - _ • i -ssage 999 Sprinkler final 041758 -01 503 -780 -3222 \ Corrections /Comments /Instructions: f 11 ' �/01� WI rr PASS n PARTIAL APPROVAL n CANCEL ❑ NO ACCESS n FAIL p_CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED Inspector: 1 Date: ` 4 0 7 Phone #: (503) 718 - -t- 4-