Permit -= BUILDING PERMIT
CITY OF TIGARD PERMIT #: BUP2005 -00627
4 11 DEVELOPMENT SERVICES DATE ISSUED: 12/7/2005
13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171
PARCEL: 1 S 135AB -01004
SITE ADDRESS: 10220 SW GREENBURG RD 100 ZONING: C -
SUBDIVISION:. LINCOLN CENTER /TWO LINCOLN LOT: JURISDICTION: TIG
Project Description: Add /relocate (5) sprinkler 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: 5N : 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: $ 1,097.00
Owner: Contractor:
EQUITY OFFICE PROPERTIES TRUST DELTA FIRE INC
ONE SW COLUMBIA #300 14795 SW 72ND AVE
PORTLAND, OR 97258 PORTLAND, OR 97224
Phone: Contact #: PRI 503- 620 -4020
FAX 503- 620 -1058
Reg #: LIC 64174
FEES
Description Date Amount REQUIRED ITEMS AND REPORTS
[BUILD] Permit Fee 12/7/2005 $62.50
[TAX] 8% State Surcha 12/7/2005 $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 by calling 503 - 246 -6699 or 1- 800 - 332 -2344.
Issued By: Permittee Signature: iete et ' Q_
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.
•
.i re•otection System
Bu': i ' Permit Application FOR OFFICE USE ONLY . •
City of Tigard Date/13 ,/94 Q0 --�6-� Permi,No. x3 � Add 13125 SW Hall Blvd., Tigard, OR 9722 EC E Q y E ; h4 Plan Review
Phone: 503.639.4171 Fax: 503.598.1960 - ,, t "I Date/By: I Other Permit:
Inspection Line: 503.639.4175 DEC 7 200 1_I Date Ready/By: luris: 63 See Paget for
Internet: www.ci.tigard.or.us t, Notified/Method: -11(r- Supplemental Information
"?=:. �J =x- ,1::' 1":24 7.t r h �y t. _It - QUIRED:D _ fi < DI-fE i15iG
.f� [. .: Wi -
t: om .. i.:«:� ..- •.'G•- : :�a..^ - �:.: > ,r •.:_, - . � • :.. - p :_'i.�',� --- �.uz-> ' .
❑ New construction ❑ Demolition • Permit fees* are based on the value of the work performed.
I Indicate the value (rounded to the nearest dollar) of all
I 1 Additionialteration/replacement ❑ Other: I equipment, materials, labor, overhead, and the profit for the
CATEGORIC 'OF . CONSTRUCFIOP =T:' '"` "a ".-"'" -"'' ".; work indicated on this application.
❑ I - and 2- family dwelling I'r Commercial /industnal Valuation: S
❑ Accessory building I ❑ Multi- family I Number of bedrooms:
❑ Master builder ❑Other:
Number of bathrooms:
JOB` SIT.L I NFOR _ Mr ,'F ION: : A ND = i;0 !iiii = c y ~ . `t , -. Total number of floors:
F
Job site address: /6 2Z6 . S fL.') I New dwelling area: square feet
City /State/ZIP: c ws a C o, 1 Garage/carport area: square feet
Suite'bldg. /apt. no.: /06 Project name: , Lrn.cj3(( moans 'fir 4 - , Covered porch area: square feet I.
Cross street/directions to job site: Deck area: square feet
Other structure area: square feet
SQUIRED= DATA: R M S1: KP
Subdivision: 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
-
i work indicated on this application.
- - - DESCRI;P` LION• UF- WURI�»:; _ s:�...,_�• �s`�%>=:
Valuation: S
Existing building area: square feet
New building area: square feet
. ` Number of stories:
L Q. PROPERTY OWNER .`. . '. .. :`;. TENANT'..::, . , :: ".'.
Name: Z Ll I It - 71 7-4.41,SAcklz li,v Type of construction:
Address: /() Z2,„..c) St 1_..e�4A /j(. Lit Occupancy groups:
City /State,ZlP: 'r �txLd'La.dti+.t t CV. J Existing:
Phone: ( ) I Fax: ( ) New:
APPLICANT CONTACT. PERSONA :' :.. ... =�
.: ...` NOTICE: ^ . , ; �.:. - ,;i{i
Business name: } e1 , 4 61 ' h j : �t' t All contractors and subcontractors are required to be
licensed with the Oregon Construction Contractors Board
Contact name: , 1 L -rtr-r I under ORS 701 and may be required to be licensed in the ,
Address: l-11 1.T S td --) � d ` j' ) jurisdiction in which work is being performed. If the
1 applicant is exempt from licensing, the following reasons
Ciiv,State.'ZIP: '• r c , _je -' iit.J l cc_ �'-1z.,2�( y' apply:
Phone: (5 ) 6 Z0—e-to zd I Fax:: (/5?3 )Co - /Oss
E -mail:
CONTRACTOR ' . , . "
Business name: �-- t .. z-i'l.G r I BUILDING= PERMIT FEES'"
Address: �_ ►:!� lL(�Cl� 5 03 Z Zyi t�-t Please refer to fee schedule.
CitywState: :ZIP: th v t. i ��`1 I
Fees due upon application
Phone: (5b3 ) 6 2_0 - 4:10ze, I Fax: (- :&76 ) 62 Go5
Amount received
CCB re.: my 11 CI
/ q/ - Date received:
Authorized signature: This permit application expires if a permit is not obtained
/O / within 180 days after it has bee accepted as complete.
Print name: j )44, ` fff b e y Date: / c- • Fee methodology set by Tri -County Building Industry
r Service Board.
. ISurid,nc fcr rn,ts FPS- PermuApp.Uuc :_oJ j30 40I 3T(I I /02/COiVWEB)
CITY OF TIGARD (-3
BUILDING DIVISION PERM #:2 JOc 00 ( Z-)
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED:
Phone: (503) 639 -4171 �a41�1ii� �(l'�'
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: i/ \ 3 to / TIME: PAGE:
SITE ADDRESS: V 0 12.-6 C e > •. -✓-"* /�� 1' CLASS OF WORK:
SUBDIVISION: LOT #: l a TYPE OF USE:
PROJECT NAME:
DESCRIPTION:
OWNER: t PHONE #:
CONTRACTOR: '\+ \.-e PHONE #:
Inspection Request Scheduled For: Date: Pour Time:
Code # Inspection Description Confirm # Contact # Message
' ,C1 4 5____()_r 1 -c. Le-a.., 4r.: .-"' G...Q
Corrections /Comments /Instructions:
: ' (
0 II
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,t ij
!'
IP
"' .
PASS n PARTIAL APPROVAL ❑ CANCEL n NO ACCESS
n FAIL CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED
W Inspector: k. / z ( 2-- v L) c �. Date: P hone #: (503) 718-
- TIGARD A
BUILDING DIVISION PERMIT #: BUP200& -00627
1 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 12/7/2005
Phone: (503) 639- 4171 uritI i
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 12/15/2006 TIME: 7:04AM PAGE: 84
SITE ADDRESS: 10220 SW GREENBURG RD 100 CLASS OF WORK:
SUBDIVISION: LINCOLN CENTER/TWO LINCOLN LOT #: TYPE OF USE:
PROJECT NAME: 1 RANSNATION
DESCRIPTION: Add/relocate (6) sprinkler heads.
OWNER: EQUITY OFFICE PROPERTIES TRUST, PHONE #:
CONTRACTOR: DELTA FIRE INC PHONE #: 503-620-4020
Inspection Request Scheduled For: Date: 12/15/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
910 Sprinkler rough -in /test 023496 -01 503.620 -4020 Y
Corrections /Comments /Instructions:
..- - • .:tai� i r 4I 1 t '/`I
ASS n PARTIAL APPROVAL E CANCEL n NO ACCESS
n FAIL n CALL FO INSPECTION n ADDITI.' AL FE' S ASSESSED
1�1 J
Inspector: 4�I Date: I hone #: (503) 718 -*