Permit CITY OF TIGARD BUILDING PERMIT
PERMIT #: BUP2006 -00048
Ir,' DEVELOPMENT SERVICES DATE ISSUED: 1/12/2006
'- I- � 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171
PARCEL: 1S135AB-00900
SITE ADDRESS: 10200 SW GREENBURG RD 150 ZONING: C -P
SUBDIVISION: LINCOLN CENTER /FIVE LINCOLN LOT: JURISDICTION: TIG
Project Description: TI, fire alarm, adding (3) new strobes.
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: 26 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: $ 750.00
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 #: FAX 360 737 - 9648
PRI 360 737 - 9725
FEES Reg #: LIC 67787
Description Date Amount REQUIRED ITEMS AND REPORTS
[BUILD] Permit Fee 1/12/2006 $62.50
[TAX] 8% State Surcharl 1/12/2006 $5.00
[FLS] FLS Pln Rv 1/12/2006 $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 -u ` hrough OAR 952 - 001 -0100. You may obtain a copy of these rules or direct questions to OUNC by
callin. 03-2464• o 11.I0- 332 -2344. •
Issu ByJ 1 E MI! , — ' Permittee Sign. 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 Protection System
y� Building Permit Application FOR OFFICE USE ONLY .
City of Tigard Date/Bea ( / ?- 0 AM./ Permit No.: ^. I // D�iif
i
13125 SW Hall Blvd., Tigard, OR 97223 Plan Review
Phone: 503.639.4171 Fax: 503.598.1960 yd "'�''aI }l1 Date/B . Other Permit:
Inspection Line: 503.639.4175 Date ReadyBy: , ® See Page 2 for
Internet: www.ci.tigard.or.us Notified/Method: Supplemental Information
TYPE OF WORK REQUIRED DATA 1- AND 2- FAMILY DWELLING
❑ New construction El 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
CATEGOR Y OF CONSTRUCTION work indicated on this application.
El 1- and 2- family dwelling Commercial /industrial
Valuation: $
El Accessory building ID Multi-family Number of bedrooms:
❑ Master builder ❑ Other: Number of bathrooms:
JOB SITE INFORMATION' AND LOCATION Total number of floors:
Job site address: 1 O t Q ,'W G y- p 7 New dwelling area: square feet
City /State /ZIP: DrAA.q ∎A o( e 7.,-._ Garage /carport area: square feet
Suite/bldg. /apt. no.: l 50 Project name: h Fi U-le.._ ' Covered porch area: square feet
Cross street /directions to job site: - 7 E OD 5 /O,t) € Ht-a. Deck area: square feet
Other structure area: square feet
REQUIRED DATA: COMMERCIAL -USE 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.
S VI-QS A/ . Valuation: $ 7 5-0,--- _ -- 1IT.1�.
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 •
t
Business name: —MC, CO AIM Lk tA k tC ,._5 All contractors and subcontractors are required to be
Contact name: SS f3 u S-q t t) licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address: P 0 ( a p cis-731r) jurisdiction in which work is being performed. If the
City /State /ZIP: LA/A-- , \ t
applicant is exempt from licensing, the following reasons
l./ apply:
Phone: (ibta) ) 3-) 9 ") Z-.- Fax:: ((3( X3 '7 r4 •
E -mail:
CONTRACTOR
Business name: ' `t L._ e.„.z7 kt 1/4_tii/t t C - 1
BUILDING PERMIT FEES *
Address: '' 0 6 -0 1 `-) 3 ' 1 Please refer to fee schedule.
City /State /ZIP: -YZ (� -
3 ( )'?3 7 f. 7 Z Fax: 7 3 7 (./ O Fees due upon application
Phone: (
( Ga) 7 `7 t;
CCB lic.: (,; a---) e�'t -) 1/Lt. -� 0 Amount received
Date received:
Authorized signature: e: ;:7 r'/ � This permit application expires if a permit is not obtained
/� within 180 days after it has been accepted as complete.
Print name: CcS- I,q Date: l- «p (, * Fee methodology set by Tri- County Building Industry
Service Board.
is \Building\Permits \FPS - PermitApp.doc 12/03 440- 4613T(11 /02/COM/WEB)
City of Tigard: Fire Protection Permit Checklist 1
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 El 1 1+ 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 y 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.
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.
L•\ Building \Permits\FPS- PermitApp: 2
CITY OF TIGARD
BUILDING DIVISION
,Ailho PERMIT #: BUP2006-00040
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/12/2006
Phone: (503) 639-4171 woot
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET WORKSHEET FOR DATE: 2/10/2006 TIME: 7:04AM PAGE: 03
SITE ADDRESS: 10200 SW GRE:ENBURG RD '160 CLASS OF WORK:
SUBDIVISION: LINCOLN CENTER/FIVE LINCOLN LOT #: TYPE OF USE:
PROJECT NAME: FIELDSTONE MORTGAGE
DESCRIPTION: II, fire alarm, adding (3) new strobes.
OWNER: EQUITY OFFICE PROPERTIES TRUST, PHONE #:
CONTRACTOR: T & L COMMUNICATIONS INC PHONE #: 3%737-9725
Inspection Request Scheduled For: Date: 2J-10/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
998 Alarm final 026507-01 03.463-4600 N
Corrections /Comments/ Instructions:
•
Ili J-- ■ I _ e
AMP -0
4 J i 1 1
mot ma
't. ------
PASS pi PARTIAL APPROVAL 0 CANCEL 0 NO ACCESS
I I FAIL 0 CALL FOR INSPECTION 0 ADDITI NAL FEES ASSESSED
Inspector: ditritA Date: 1 0 10,(9 Phone #: (503) 718-
. - • NW .