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Permit w CITY OF TIGARD BUILDING PERMIT PERMIT #: BUP2006 -00014 A. "..IIII DEVELOPMENT i Br SERVICES O -639 -4171 DATE ISSUED: 1/5/2006 PARCEL: 1S135AB-00900 SITE ADDRESS: 10200 SW GREENBURG RD 500 ZONING: C -P SUBDIVISION: LINCOLN CENTER /FIVE LINCOLN LOT: JURISDICTION: TIG Project Description: Fire sprinkler TI, relocate (5) heads and add (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: $ 1,096.00 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 - 293 -2745 Contact #: PRI 503 620 - 4020 FAX 503 - 620 - 1058 FEES Reg #: LIC 64174 Description Date Amount REQUIRED ITEMS AND REPORTS [TAX] 8% State Surchari 1/5/2006 $5.00 [BUILD] Permit Fee 1/5/2006 $62.50 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 Cente . Those rules are set forth in OAR 952 -01 ::. ! through OAR 952- 001 -0100. You may obtain a copy of these r,I:s or dire '.uestions to Of NC by calli r g 503 -246 .69 or 1 -8 332 -2344. Issu-d By:( p„ �J�G Permittee Signature: ` i 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. "t Fire PI; action System • Building Permit Application FOR OFFI USE ONLY City of Tigard Receiyea / 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review / i� Phone: 503.639.4171 Fax: 503. 98.1960 Other Permit: Date/By: Inspection Line: 503.639.4175 '' II Date Ready/By ' , V. I la See Page 2 for Internet: www.ci.tigard.or.us Notified/Method: " , C. Supplementallnformadon .ox • Z'XPLF:f?F WORK: e�.� ' = cam *�'� TA T _; .'.-... � %- ::fd."�•�,. .. .,., ,.. �:3dF�!. ._... ._.... ... .-. ... n.di._ - .. � ... _ .._.. ^J.�.�c _ ,,. .�. :�.,REQIJIRED-DA ���I ❑ New construction ❑ Demolition Permit fees* are based on the value of the work performed. Indicate the value (rounded to the nearest dollar) of all \- \ddition/alteration/replacement I ❑ Other: equipment, materials. labor, overhead, and the profit for the -- :;,:..:_ -. 4 work indicated on this application. ' . CATEGORY` OE CONSTRQCTIO - - . ❑ I- and 2- family dwelling commercial /industrial I Valuation: S ❑ Accessory building I ❑ Multi- family Number of bedrooms: ❑ Master builder ❑ Other: Number of bathrooms: JO SIT N IFORi B lATIONt:AND LO. ATT©N< : =- ?? - ; ,n "•'; Ze2fi'' Total number of floors: Job site address: r() Z (32) ` S z C9- geey6„... f-zro.t'� - I New dwelling area: square feet City / State/ZIP: -s p o ii., ./ o re_ I Garage/carport area: square feet • 1 t Suite /bldg. /apt. no.: Project name: Nv2 ?ax - D e . ec., _Ce: S Covered porch area: square feet I. Cross street/directions to job site: 1145 Deck area: square feet Other structure area: square feet -.. - .,:... - .� 'ta 11 ye. t°:,:aW. ,v -r:. - 5 a •. ,!r,,.. ° .L:.T"r �;4 " REQUIRE()x )1% 914II.ER fSF-P KL + ' Subdivision: I Lot no.: Permit fees* are based on the value of the work performed. Indicate the value (rounded to the nearest dollar) of all Tax map /parcel no.: equipment, materials, labor, overhead, and the profit for the DEScRIP TIOiY- OF -RrOit Titt. ' s �.>:4 rr R " work indicated on this application. �� ��� ��'�':;- ::....... ,. ii .. ..__......._. .:c:. ro._.•�iu:: -_ Valuation: S r : - S. n.: F. :':,:.:,-"����'lt�C;aakxat�.:fi .� ,\ q/_ LvLx : ' i'ker S 1 v / G i ( b . , /JC 41 d to l il_eGt.d Existing building area: square feet New building area: square feet D»PROPERTY OWNER. .- :'TENANT° 'e'.'.; - Number of stories: Name: L-nr;`�i, -- n ,k r -- Nor p � ! -(�Ytc Type of construction: Address: `OZ a_ �ep gti,rq D f3 s Occupancy groups: City/State.'ZIP: � � v �{/ L t Existing: Phone: I ) I Fax: ( ) New: A APPLICANT :7 .CONTACT PERSON ' -' ... - : _ °,,r `> "''' • Business name: ■,e,lrk p ` T, , All contractors and subcontractors are required to be licensed with the Oregon Construction Contractors Board Contact name: _ • , 1 • A under ORS 701 and may be required to be licensed in the Address: / 79, e c - 7 Z.� d_` e.n , 4 .. Q . jurisdiction in which work is being performed. If the �� : applicant is exempt from licensing, the following reasons City /State/ZIP: ?a'K�T i „,d_ ` � 017Z2.L/ > r' app Phone: (6-7 ) �.Z. - 1- ibz � I Fax: : (6) C• ZO - 1C) E -mail: CONTRACTOR _ y Business name: pe pe 1 Inc_ t BUILDING_P.ERMIT FEES"; , . " Address: m-195- Sz_Z 2...../4-d 14t/e- P lease refer r fee schedule City State. Z1P: 4-j r (K Cl 7 2, Z�� Fees due upon application Phone: ( 5/53 Ga ZO - GO ZJ j Fax' ( ) ( ,?t'6- 4.)&C� .amount received CCB lie.: 6y( 7q 1 ' '7 Date received: Authorized signature: This permit application expires if a permit is not obtained q./t__...---1414./-62.__ within 180 days after it has been accepted as complete. Print name: Mo r5� Date: ( 06 • Fee methodology set by Tri -County Building industry i. t Service Board. . Iiw Wm¢ Yr:mns FPS- Pcrrn¢App due , .03 140 4613T( I /02/COt.VWEB) CITY OF TIGARD Q BUILDING` DIVISION PERMIT #: a 6,0 (p - (J o /4/ 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: Phone: (503) 639 -4171 / emu 4Puw� Inspection Requests (24 Hrs.): (503) 639 -4175 'f �.. INSPECTION WORKSHEET FOR DATE: TIME: PAGE: SITE ADDRESS: / U Zo O ff / / / ,. C..0 CLASS OF WORK: SUBDIVISION: lLOT #: TYPE OF USE: PROJECT NAME: DESCRIPTION: OWNER: PHONE #: CONTRACTOR: PHONE #: Inspection Request Scheduled For: Date: 3 —j U – o C Pour Time: Code # Inspection Description Confirm # Contact # Message Corrections /Comments/ Instructions: /�► ■ iii/ --lit 0 {.-L°7 '''. i I 7r7-- PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS Li FAIL I CALL FOR INS PECTION ❑ ADDIT ONAL FEES ASSESSED A In Inspector: r Date: A 10 ---• Phone #: (503) 718- CITY OF TIGARD BUILDING DIVISION PERMIT #: BUP2006.00014 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/5/2006 Phone: (503) 639-4171 /A i i nititi l lic Inspection Requests (24 Hrs.): (503) 639-4175 ,-,61- -L. INSPECTION WORKSHEET FOR DATE: 202006 TIME: 7:02AM PAGE: 41 SITE ADDRESS: 10200 SW GREENBURO RD 500 CLASS OF WORK: SUBDIVISION: LINCOLN CENTER/FIVE LINCOLN LOT #: TYPE OF USE: PROJECT NAME: NORPAC DESCRIPTION: Fire sprinkler TI, relocate (6) heads and add (1) head. OWNER: EQUITY OFFICE PROPERTIES TRUST, PHONE #: 5n293 CONTRACTOR: DELTA FIRE INC PHONE #: 503 Inspection Request Scheduled For: Date: 21612006 Pour Time: Code # Inspection Description Confirm # Contact # Message 910 SprinWer rough-in/test ' 026310-01 503-620-4020 V Corrections/Comments/Instructions: W. Igi 111 I I ell Ig h 1 Kal VATIMIEBI - MT \ W W r ASS . 0 PARTIAL APPROVAL 11 CANCEL 0 NO ACCESS 0 FAIL PM CALL FO 7 INSPECTION I ADDITIO AL FEES ASSESSED Illo• OA i .2, ,- . Inspector: 411107 ; Date: ill0 Mr 411. Phone #: (503) 718-2-A-2-3