Permit 11111 .11 Cil"* OF TIGARD BUILDING PERMIT
PERMIT #: BUP2007 -00313
COMMUNITY DEVELOPMENT DATE ISSUED: 6/13/2007
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 1S135AB-00900
SITE ADDRESS: 10200 SW GREENBURG RD 180 ZONING: C -P
SUBDIVISION: LINCOLN CENTER /FIVE LINCOLN LOT: JURISDICTION: TIG
PROJECT: GROUP ONE LENDING
Project Description: Fire sprinkler TI - plug (1) head and relocate (1) head.
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: $ 600.00
Owner: Contractor:
EQUITY OFFICE PROPERTIES TRUST MCKINSTRY COMPANY
ONE SW COLUMBIA ST #300 12021 NE AIRPORT WAY SUITE G
PORTLAND, OR 97258 PORTLAND, OR 97220
Contact #: PRI 503 - 331 -0234
Phone: FAX 503 - 331 -6906
Reg #: LIC 40981
FEES
Description Date Amount REQUIRED ITEMS AND REPORTS
[BUILD] Permit Fee 6/13/2007 $62.50
[TAX] 8% State Surchart 6/13/2007 $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 . • -; 503.24.... a9 or 1.800.332.2344.
41#
Iss ed By: k //h 2 _. Permittee Signature: / _
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 Protectio t ystem
,
Building Permit Application FOR OFFICE USE ONLY '
City of Tigard Received I (Q n•1
o, NO 7 NM Permit No.: „ I u `
13125 SW Hall Blvd., Tigard, OR 97223 Plan Review
Phone: 503.639.4171 Fax: 503.598.1960 *.n4,04:11111 I ; Date/B . Other Permit:
Inspection Line: 503.639.4175 t` . Date Ready/By: See Page2,
Internet: www.ci.tigard.or.us Notified/Method: Supplemental
• ' 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 /alterationIreplacement El Other: equipment, materials, labor, overhead, and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
0t .o
• Valuation: $
❑ 1- and 2 -family dwelling Commercial /industrial -
❑ Accessory building El Multi Number of bedrooms:
❑ Master builder El Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: / 4 2073 S ti.) , f2C g 0. b,,,jtq , e New dwelling area: square feet
City /State /ZIP: la
®P1kut, 4062_ f Garage /carport area: square feet
Suite Idg. /apt. no.: /gb Project name: r1� „ ,n �'j � Covered porch area: square feet
ross street /directions to job site: ( 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.
��i.t, I k �,_ A,J i2`�. ` 0 LGrLr `� / /� et. d Valuation: $ QQ `�
/ Existing building area: square feet
New building area: square feet
• ❑ ,PROPERTY OWNER ❑ TENANT Number of stories:
Name: S4 D/ t" 4 -7 t ./.4. Type of construction:
Address: Occupancy groups:
City /State /ZIP: Existing:
Phone:( ) Fax:( )
. New:
❑'APPLICANT ❑ CONTACT PERSON NOTICE
Business name: ' j� k � y Z� All contractors and subcontractors are required to be
licensed with the Oregon Construction Contractors Board
Contact name: 9 —
e t 19 ev under ORS 701 and may be required to be licensed in the
Address: /.20.„2.1 S. ,4 pe a' ba 54 g jurisdiction in which work is being performed. If the
r �Ie 9 7 6 2_ ® applicant is exempt from licensing, the following reasons
' City /State /ZIP:
d�fi� apply:
Phone: ( %03) 73r1 °ea Try , Fax: :(6O3) 3?/ !� 9 D4"
E -mail:
•
CONTRACTOR
Business name: 7 c �f �4 ( t e �
• 1' �r
- BUILDING PERMIT FEES*
Address: /.,20 at Ahi ,44 1 on r" Skt /
..�.¢ Please refer to fee schedule.
City /State /ZIP: fG p2, l / d-t4. j On_ 47A-7-6 / d �+ Fees due upon application
Phone: (5'63) 33 / 4j,2 711 • Fax: (ccg) 33` — , to C
CCBlic.: 0 7'(,, Amount received
P Date received:
Authorized signature: This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: e fcr / Gi6 / .0.4e -+°0- Date: 6 / 3 - 0 7 * Fee methodology set by Tri- County Building Industry
I Service Board.
i:\ Building \Permits\FPS- PermitApp doc 12/03 440-4613T(I I /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 A 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 ❑ 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): $ (,Q•11. rm
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 OF TIGARD
BUILDING DIVISION PERMIT #: BUP2007 -00313
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/13/2007
Phone: (503) 639 -4171 141 l t
Inspection Requests (24 Hrs.): (503) 639 -4175
' INSPECTION WORKSHEET FOR DATE: 6/15/2007 TIME: 7:02AM PAGE: 73
SITE ADDRESS: 10200 SW GREENBURG RD 180 CLASS OF WORK:
SUBDIVISION: LINCOLN CENTER /FIVE LINCOLN LOT #: TYPE OF USE:
PROJECT NAME: GROUP ONE LENDING
DESCRIPTION: Fire sprinkler TI - plug (1) head and relocate (1) head.
OWNER: EQUITY OFFICE PROPERTIES TRUST, PHONE #:
CONTRACTOR: MCKINSTRY COMPANY PHONE #: 503 -331 -0234
Inspection Request Scheduled For: Date: 6/15/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
999 Sprinkler final 050285.02 503- 209-5769 N
Corrections /Comments /Instructions:
•
PASS ARTIAL APPROVAL n CANCEL ❑ NO ACCESS
l FAIL CALL FOR INSPECTION n ADDITIONAL FE S ASSESSED
Inspector: Date: 6 /� Phone #: (503) 718- ��
CITY OF TIGARD
BUILDING DIVISION - • PERMIT #: BUP2007- 00313
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/13/2007
Phone: (503) 639 -4171 mil, i 1t
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 6/15/2007 TIME: 7:02AM PAGE: 74
SITE ADDRESS: 10200 SW GREENBURG RD 180 CLASS OF WORK:
SUBDIVISION: LINCOLN CENTER /FIVE LINCOLN LOT #: TYPE OF USE:
PROJECT NAME: GROUP ONE LENDING
DESCRIPTION: Fire sprinkler TI - plug (1) head and relocate (1) head.
OWNER: EQUITY OFFICE PROPERTIES TRUST, PHONE #:
CONTRACTOR: MCKINSTRY COMPANY PHONE #: 503 - 331 -0231
Inspection Request Scheduled For: Date: 6/15/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
910 Sprinkler rough -in /test 050285 -01 503 - 209 -5769 N
Corrections /Comments /Instructions:
PASS m1 PARTIAL APPROVAL n CANCEL NO ACCESS
❑ FAIL prICALL FOR INSPECTION n ADDITIONAL FEES ASSESSED
Inspector: • ter! Date: 6 As Phone #: (503) 718- 2-0?(