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Permit CITY OF TIGARD BUILDING PERMIT PERMIT #: BUP2005 -00581 � I I DEVELOPMENT SERVICES DATE ISSUED: 11/1/2005 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 1 S 135AB -00900 SITE ADDRESS: 10200 SW GREENBURG RD 400 ZONING: C -P SUBDIVISION: LINCOLN CENTER /FIVE LINCOLN LOT: JURISDICTION: TIG Project Description: Chiller base. REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION CLASS OF WORK: ALT 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: $ 3,000.00 Owner: Contractor: EQUITY OFFICE PROPERTIES TRUST CARRIER CORPORATION ONE SW COLUMBIA ST #300 7841 SW CIRRUS DR BLD 84 PORTLAND, OR 97258 PORTLAND, OR 97008 Phone: 503 - 293 -2745 Phone: 503 - 641 -5540 FEES Reg #: LIC 71449 Description Date Amount REQUIRED ITEMS AND REPORTS [BUILD] Permit Fee 11/1/2005 $72.10 Bolts in concrete [TAX] 8% State Surcharl 11/1/2005 $5.77 Structural welding [BUPPLN] Pln Rv 11/1/2005 $46.87 [FLS] FLS Pln Rv - 11/1/2005 $28.84 Total $153.58 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 au-to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952- 1 -0010 through OAR 952 - 001 -0100. You may obtain a copy of these rules or direct questions to OUNC by calli g 503 - 246 -669 o -811 32 -2344. / Iss ed By: • L li / � t� j , Permittee Signature: A fir Call 503 - 639 -4175 by 7:00 a.m. for an inspection tha • usiness 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. "C Buildine Permit E I V FOR OF lci USE ONLY • City of Tigard NOV Received By: /flit � Permit No.: AM -665g/ ate /By e i 13125 SW Hall Blvd., Tigard, OR 97223 I� � ' Plan Reviej ) Phone: 503.639.4171 Fax: 503.598.1960 iik �t •�� i i +11 Daze/B • Other Permit: Inspection Line: 503.639.4175 AL Date Read r ® See Attached Checklist for Internet: www.ci.tigard.or.us CITY OF MA" i Notified/Method: INI Supplemental Information BUILDING DIVISION 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 Commercial /industrial Valuation: $ ❑ Accessorrbuilding ❑ Multi- family Number of bedrooms: ❑ Master builder ❑ Other: Number of bathrooms: • JOB SITE .INFORMATION AND LOCATION Total number of floors: Job site address: I 0 Can s t, J 6 f , � \ to ( New dwelling area: square feet City /State /ZIP: 1 4 "L � 4-1:2 )-.3 Garage /carport area: square feet Suite/bldg. /apt. no.: ,„�{, "'' Project name: N A C___ Covered porch area: square feet Cross 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. C t\‘, / L - ( a Valuation: $ ) Q Y 4 Existing building area: s quare feet New building area: square feet ❑ PROPERTY OWNER -L'] TENANT • Number of stories: Name: p ` Type of construction: ilia 2 t-1 ry Address: v s ---- e ( (1- y r c Occupancy groups: City /State /ZIP: ` I {- ) Q. 4 i caLc ( J - L I r � `x-3 - Existing: (� Phone: (' 0)> J ?-- i� Fax: ( � .3. )-6 New: `` ■ �ai\f l)� 5� Q -APPLICANT ErCONTACT PERSON NOTICE Business name: 0 ci V f< ( t_( p All contractors and subcontractors are required to be Contact name: .R ©-- t"z 9-1- licensed with the Oregon Construction Contractors Board � under ORS 701 and may be required to be licensed in the Address: 7 7g / 0 5' .,) C__( S , � r' ) )JZ /,i2. g'/ jurisdiction in which work is being performed. If the City /State/ZIP: (��, �.4. cL �' 7 S? applicant is exempt from licensing, the following reasons a C +J"� Cd ) 4/1" apply: Phone: ( 1;‘,-S) � " ) V l' .. c - 5 --- �'0 Fax:: ( JU)) Cy /.,- 7l E -mail: CONTRACTOR /j Business name: 5_,J2...----- � t"1 ,0 8(,` e,, BUILDING PERMIT FEES* Address: Please refer toffee schedule. City /State /ZIP: Fees due upon application Phone: ( ) Fax: ( ) CCB lic.: —7 ' ii Ii1 30 00 Amount received I % O Date received: Authorized signatur This permit application expires if a permit is not obtained N \ within 180 days after it has been accepted as complete. Print name: Date: ' 0 - l - 0 - kr7-- * Fee methodology set by Tri- County Building Industry Service Board. i:\ Building \Pennits\BUP- Tt- PennitApp.doc 12/03 440-4613T(1 1 /02/COM/WEB) Building Division . Plan Submittal Requirement Matrix Commercial & Multi - Family - New, Additions or Alterations City of Tigard Type of Submittal # of Plans (Includes new, additions and alterations.) • ° Required at , Submittal` Demolition Permit 2 /// (site plan required showing location and square footage of all buildings to be demolished) Site Work 2 (must include location of all accessible parking) Plums r (site utilities) 2 Building 1* Fire Protection System 3 ** Mechanical 2 Plumbing (, ilding fixtures) 2 Electrical 2 Plan review is dependent upon submittal of a completed application and plans. After plan review approval, the Plans Examiner will contact the applicant to request additional sets of plans for distribution purposes (for contractor, City of Tigard, Washington County, and Tualatin Valley Fire & Rescue) * For over - the - counter commercial tenant improvements, submit 2 sets of plans. ** "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 \Pennits\BUP- 17- PermitApp.doc 12/03 440- 4613T(I I /02/COM/WEB) CITE' OF TIGARD BUILDING DIVISION PERMIT #: BUP2005.00631 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/1/2005 Phone: (503) 639- 4171 .u 1 lii,, l k� Inspection Requests (24 Hrs.): (503) 639 -4175 ��&!J _ _.. INSPECTION WORKSHEET FOR DATE: 11/23/2005 TIME: 7:00AM PAGE: 67 SITE ADDRESS: 10200 SW GREENBURU RD(400') CLASS OF WORK: SUBDIVISION: LINCOLN CENTER /FIVE LINCOLN LOT #: TYPE OF USE: PROJECT NAME: INORPAC ) DESCRIPTION: Chiller base. OWNER: EQUITY OFFICE PROPERTIES TRUST, PHONE #: 503-298 -2745 CONTRACTOR: CARRIER CORPORATION PHONE #: 503. 641 -5540 Inspection Request Scheduled For: Date: 11/23/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 299 Final inspection 022291 -01 503 -641 -5540 N Corrections /Comments /Instructions: 'or . - i ‘J I ./` V vi ASS ❑ PARTIAL APPROVAL ❑ CANCEL n NO ACCESS n FAIL n CALL FOR INSPECTION ❑ ADDITfz; NAL FEES ASSESSED Inspector: Date: (` Phone #: (503) 718- f CITY O.. TIGARD BUILDING DIVISION PERMIT #: BUP2006- 00681 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/1/2006 Phone: (503) 639- 4171 u�iiplp j � l � Inspection Requests (24 Hrs.): (503) 639 -4175 :�' : _.. INSPECTION WORKSHEET FOR DATE: 11/16/2006 TIME: 7:03AM PAGE: 64 SITE ADDRESS: 10200 SW GREENBURG RD @PPS CLASS OF WORK: SUBDIVISION: LINCOLN CENTER /FIVE LINCOLN LOT #: TYPE OF USE: PROJECT NAME: CRPAC DESCRIPTION: -hit I rf ase. OWNER: EQUITY OFFICE PROPERTIES TRUST, PHONE #: 603- 293 -2746 CONTRACTOR: CARRIER CORPORATION PHONE #: 603- 641 -5640 Inspection Request Scheduled For: Date: 11/16/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 299 Final inspection 021423-01 503 -641 -6640 N Corrections /Comments / Instructions: )jr L - 4 , n PASS ' PARTIAL APPROVAL ❑ CANCEL n NO ACCESS IL CALL FOR I' SPECTION ❑ ADDITIONAL FEES ASSESSED fil*1 I Inspector: r I� Date: ((/1(Ohone #: (503) 718-