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Permit t1. . " CITY OF TIGARD BUILDING PERMIT 1 PERMIT #: BUP2006 -00389 111. DEVELOPMENT SERVICES DATE ISSUED: 8/17/2006 �=- 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 1S135AB-00900 SITE ADDRESS: 10200 SW GREENBURG RD 340 ZONING: C -P SUBDIVISION: LINCOLN CENTER /FIVE LINCOLN LOT: JURISDICTION: TIG Project Description: Fire sprinklers, (8) 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: 65 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: $ 1,294.00 Owner: Contractor: EQUITY OFFICE PROPERTIES TRUST DELTA FIRE INC ONE SW COLUMBIA ST #300 14795 SW 72ND AVE PORTLAND, OR 97258 PORTLAND, OR 97224 Phone: 503 - 412 -4800 Contact #: PRI 503 - 620 -4020 FAX 503 - 620 -1058 FEES Reg #: LIC 64174 Description Date Amount REQUIRED ITEMS AND REPORTS [BUILD] Permit Fee 8/17/2006 $62.50 [TAX] 8% State Surchari 8/17/2006 $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- 00a'0010'through OAR 952 - 001 -0100. You may obtain a copy of these rules or direct questions to OUNC by callipg 503 -246- 669,9 rte- 00 � 33 � 2 9 -2344. Issued B N �,& P ermittee Signature: , / j ■ �__ � Al _ - - i 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 Received 13125 SW Hall Blvd. 0 Permit No.: � G Date/B , Tigard, OR 97223 Plan Review lig s ' Phone: 503.639.4171 Fax: 503.598.1960 p�eg Other Permit: T I G A R D Inspection Line: 503.639.4175 Date Ready /By: =I 0 See Page 2 for Internet: www.tigard or.gov Notified/Method: Supplemental Information ''. ^ °' �+ at. ", - a.- :stq, +�.s, cs.xnmrP , re` e. s ce' -,.s 2.`.*. ,t3r, 44P'4 *ss:+st.�. nr:rt.,z,..... e. .c bS •rie ��1� x "d •:- . S i -r, .,ytll} -.s t H'�/"` .,x" ` " . - ` { "t--41 -d + ¢ - TYPE O �YOR r. '� RIyQU1RED UA A 31 ANDn. FtkN1Il-,Y DW a�� � '�.: . . , <''`.^i�"'i2i. .• :.` -�,= t�•:m�ar.. �� �',q� <,t ". ��a�a��i: :5:t ��,.., s• u�, eis��r a�r s�' o. � �;< ns W.. ��.�a �ss�� ::a,nEV: ° �F_. <es� .z1.. , � �� ❑ New construction ❑ Demolition Permit fees* are based on the value of the work performed. indicate the value (rounded to the nearest dollar) of all A Addition /alteration /replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the u " n x�� c v." work indicated on this application. .r � '.. .-Q� C O O STRUCT • iO t x� . : - PP El I- and 2- family dwelling Commercial /industrial Valuation: S ❑ Accessory building ❑ Multi - family Number of bedrooms: ❑ Master builder El Other: Number of bathrooms: r a k> � y JOB S ITE IN60RMA.TtiON," [O ,�. 4 •tz' Total number of floors: litoi. Job site address: IQ� � � � to bo k �k 4 New dwelling area: square feet City /State/ZfP: .-f ' f Garage /carport area: square feet Suite/bldg. /apt. no.: �" ( 1 0 Project name: ?At v1/4) - � t Covered porch area: square feet Cross street /directions to job site: �/J Deck area: square feet Other structure area: square feet • • f aa= �:z =a�aa s c a n ;ca.,n� scea . r : REQUIRED,,D'A1A: GON1i�1ERCIAG:USE°GHECKL'IST , 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 i .k. UESGRIPTION OFVORI L r4 '�:' ' ; s' work indicated on this application. ,, ,- t- t , r,.'.;.,.. 70VT. .,,6 sw3as,a - � ., - _ r . _ A x `.. ,_ mss. V ��� e re- p` inla,1e Valuation: S I ,r Existing building area: square feet New building area: square feet ..ossd;,wg z trra--�v aacr..-+ .w3, .i� z t e,�,s�::r., ,..,e , , a ..:* F f ID PROPER`GY OWNER' , 4, t ( -4 5- ® TENANT t 4- Number of stories: .... k` a� ,�..:r',o.sKn�.�c,c..YU frsv..< ,z _ r �*' 2 . '^''c _ :..r, -,..� `sn_- ..� z. Name: Type of construction: Address: Occupancy groups: City /State /ZIP: Existing: Phone: ( ) Fax: ( ) New: o.�- s :n �w...�.. .�+c�r,�ra. r.w*u _.,�; ,�..,..�,,. �� x is e`-1 . '�..�N - -. y ,� } . e ms , aIVI ANT -P ®�3CONTAG P ER50 4V -, o ° N ` ;� 't Business name: 1:), ' i �� e -•n/� All contractors and subcontractors are required to be r V licensed with the Oregon Construction Contractors Board Contact name: J LC. e J LA under ORS 701 and may be required to be licensed in the Address: 1147% s 7, V� jurisdiction in which work is being performed. If the City /State /ZIP: �t�rHand 97 J applicant is exempt from licensing, the following reasons Phone: (503)69 --tie 9 Fax:: 60..._ )690 ...-tOC., . E mad )0. A . 5@1re coya ; x�� zir. i. .a� -":�`;� , 'l5�,k '�*r`L�•5cW^a =ate t -?� �. -�5�. �'A�» �a � `. �. ! :y x . r f . ,PP NIEONTRAGTOR r, = ,,.; BLILUINGPER �, a;. eai ... �'�.� N R r;sm an W.,w .Y `> : ..s�: s, ka.3 m•� ,I('F.: - i . , tp z,�r =-". efer �-.: .w., i ,, ed : 'w- ^ � - r / fe ��� i a4e~, - P ( lease r to fee 2hule) 4 : ; ,, ;k , Business name: Permit fee: /„7 ,� Address: IL47p6 .s( A) 7024 ,eve. lS/ / 4( R. 97 State surcharge (8% of permit tee): ' City /State /ZIP: © R FLS plan review (40% of permit tee): Phone: (535) , „(,4Q Fax:•(653) 60 (Due upon application.) CCB lie.: l0 1-11714 Total permit fees: iej 7 'V`� �.i Amxp s ifa pd: Authorized signature: This permit application expires if a permit is not obtained Print name: t / CD �� ' 1 l �4�f•rhroe, +� Date: /� within 180 days after it has been accepted as complete. 6 Qv +� * Fee methodology set by Tri County Building Industry Service Board. t \Bwlding\Permits\FPS-Perm ItApp.doe 03 /23/06 440 -161 iT(I I /OJCOM /WEB) • City of Tigard: Fire Protection Permit Checklist Page 2 - Supplemental Information gr,�5.v R; a' -•R:° ,a'A',t 3 a �'. D. workit .< �.._: ;4' 1.) ❑ New 2.) Modification to sprinkler heads only: ❑ Addition [1-10 heads: No plan review required. ['1l teration ❑ 11+ heads: Plan review required. El Repair Number of sprinkler heads: Additional description of work: c7 �VSSVr�+i'�' "�?ka'�� ++:�:�'�x w `s� �F+` �a:;.�>r�x` ism ,m s '�.� - �..`� TypM System (Complete AFB; ` :Ret a appti'cal l_'e} 4 t Y1 � 1 ' = � � Y � • N .� � L��TF� :J� 8 � ,� Y vferc'�t�s t.) Commercial, Sprinkle )' r � Yy -A :ac,s+d,"'s;�. r�+..i�i�:�'�r� :� ..., i .� a ... � '„ ._ .. - .-.n ,�.. _ _ r� ,a.a •,, ' 'n ❑_Dry • Additional Standpipes W i A Information: Hazard Group L s' r.A • Density NIA ' Design Area 1.1 i h' K. Factor S �L Sprinkler Project Valuation: $ �1 a_q(2 B%) t,W1 :06ri FiregSuppress on` Sygt m ;' :;i f arm : Hood Project Valuation: $ - 35fi.in 44 "fi.'*we" W 'ad a r s 7 H S . t tff. 92 X ''•Y�.. Ts�?ee'�.��uw.- n+.AiM� w �: £>°+�. * k. 7 , w Submittal shall Battery Calculations El Yes include: Individual Component ❑ Yes Cut Sheets Fire Alarm Project Valuation: $ m: x^° - 3 s i S° ` `` 71: ,t ` 1 ` "S. far Y - x +r{"t'. . o +D }; �Res><dential Spnnkler (Stand Alone System) , c �� 4;e Square Footage: Permit Fee: ,tr' s+4�';v* ` " i.J. 0 to 2,000 $18750 k � ��� � ' 2,001 to 3,600 $232.50 �� . 3,601 to 7, $29150 *' - 7,201 and greater $381.50 .:.:7 Sprinkler Project Square Footage: - sq. ft. �a `�,. � F><regProCecttoRI � -zoo Project valuation subtotal (see A, B & C above): $ 9 (, • • Permit fee based on project valuation (see fee schedule): $ Permit fee based on square footage (see D above): $ pf • • State Surcharge (8% of permit fee): $ 13 Q 0 • . FLS Plan Review (40% of permit fee): $ ' • TOTAL: $ (07 -� 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 firesuppression engineer, or NICET level "3" technicians. . • L\ Building \l'ermits\ (' PS- Permit: \pp.doc 9 CITY OFTIGARD A , BUILDING DIVISION PERMIT #: BUP200&00389 • - 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 0/1712006 Phone: (503) 639-4171 Inspection Requests (24 Hrs.): (503) 639-4175 , INSPECTION WORKSHEET FOR DATE: 9/29/2006 TIME: 7:06AM PAGE: 75 =-SITEADDRESS: 10200 SW GRFENBURG RD 340 CLASS OF WORK: SUBDIVISION: LINCOLN CENTER/FIVE LINCOLN LOT #: TYPE OF USE: PROJECT NAME: PNW TELCO DESCRIPTION: Fire sprinklers, (8) heads. OWNER: EQUITY OFFICE PROPERTIES TRUST, PHONE #: 503-412-4800 CONTRACTOR: DELTA FIRE INC PHONE #: 503,620-4020 Inspection Request Scheduled For: Date: 9/29/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 999 Sprinkler final 037350-01 503-708-0322 Corrections /Comments / Instructions: • irgarffmmarizo t_g ASS I I PARTIAL APPROVAL CANCEL I I NO ACCESS FAIL n CALL FOR INSPECTION ADDI ONA , FEES ASSESSED Inspector: Wil! ATI Date:q f 4 % Phone #: (503) 718--Zt-Z—