Permit •
i , CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
1111 g . ° COMMUNITY DEVELOPMENT Permit #: FPS2009-00034
13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 05/28/2009
Ta. G ARI? 9 Parcel: 1 S 135AB01004
Jurisdiction: Tigard
Site address: 10220 SW GREENBURG RD 320
Subdivision: Lot: 0
Project: Ameriprise
Project Description: Add relocate (9) heads.
Owner: FEES
LINCOLN CENTER LLC Description Date Amount
BY SHORENSTEIN PROPERTIES LLC, 555
Permit Fee - COM 05/28/2009 $62.50
CALIFORNIA ST 49TH FL 12% State Surcharge - Building 05/28/2009 $7.50
PHONE:
Contractor:
MCKINSTRY COMPANY
12021 NE AIRPORT WAY SUITE G
PORTLAND, OR 97220
PHONE: 503 - 331 -2461
FAX: 503- 331 -6906
Type of Use:
Class of Work: Type of Const:
Occupancy Grp: Height: ft
Stories:
Commercial Sprinkler System:
Sprinkler Required: Sprinkler Type:
Standpipe Required: Hazard:
Density: 0 Design Area: 0
K Factor: 0
Commercial Fire Alarm System:
Fire Alarm Required: Alarm Type:
Pull Station Required: Smoke Detectors Req:
Battery Calcs Provided: Cut Sheets Required:
Total $70.00
Valuations: Required Items and Reports (Conditions)
Sprinkler Valuation: 0
Residential Square Footage: 0
Fire Alarm Valuation: 0
•
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 the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the 0 -gon
Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. .0 'ay obtain a copy o - ules
or direct questions to OUNC by calling 503.246.6699 or 1.800.332.2344. %//�J
Issued By: j Permittee Signature: i `/ G �����/ �
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.
• Building Permit Application
Fire Protection System RECEIVED • FOR OFFICE USE ONLY
48 Received v . • 00
City of Tigard Received
Permit No.: •
" 13125 SW Hall Blvd., Tigard, OR 97223 MAY 2 8 2009 Plan Review
Phone: 503.639.4171 Fax: 503.598.1960 Date /By: Other Permit:
TI GARD Inspection Line: 503.639 Date Ready /By: !oils: See Page 2 for
Internet: www.tigard- or.gov CITY OF TIGARD Notified /Method: Supplemental Information
BUILDING DIVISION
❑ 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
work indicated on this application.
z� CATEGQRI' OFD >CONSTRUCTION' � "��;.^ ``���,.�
>„ . :....:.:.. ... .: , ,E'.,.s•.c. .>m:�: =tea:: .'.,,; .'z �.F ::.:�..,:;.:.:.:.. >.:�., ��:.:�,.... ,; °�'.; : ,,. " -� ;�.> .��_; =.:..a.• �..
❑ 1- and 2- family dwelling ® Commercial /industrial
Valuation: $1,000.00
❑ Accessory building ❑ Multi- family Number of bedrooms:
❑ Master builder ❑ Other: Number of bathrooms:
<' ,,t .' € LOCATION . : ` f, :y %,;";, Total number of floors:
t��aC :.• JOB SITE: >INFORMATION yAND
Job site address4021TSW Greenburg Road, Suite 320 New dwelling area: square feet
City/State /ZIP: Portland, OR 97223 Garage /carport area: square feet
Suite/bldg. /apt. no.: Project name: Ameriprise Financial Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
McKinstry Job #70256 Other structure area: square feet
•,E'er': „'� .. ., .., ».... ..;,... .r- , ...�.z�xe _,,.., .. c..,,,.F,- :, -, - S�:ii;'o:i ,.....
AREQUIRED DATA:..CO1VIlbIERCIAL- USLCHEGK 1
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
°° .y. V\ 4_ work indicated on this k;
'DESCl21PTIONa OF WORK� � ' ` �� ' ' ��: application.
Add (5) new fire sprinkler heads and relocate (4) fire sprinkler heads. Valuation: $
Existing building area: square feet
New building area: square feet
'J?I20PERTIi OWNER° TENANT.,,;,. Number of stories:
Name: Ameriprise Finanacial Type of construction:
Address: 10230 SW Greenburg Rd, Suite 320 Occupancy groups:
City/State /ZIP: Portland, OR 97223 Existing:
Phone: ( ) Fax: ( ) New:
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APPLIGAIVT CONTACT .ER ON
..�. rise" . " NOTICE„ a "
Business name: McKinstry Company, LLC All contractors and subcontractors are required to be
Contact name: Diane Parke, Project Coordinator licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address: 16790 NE Mason St. jurisdiction in which work is being performed. If the
City/State /ZIP: Portland, OR 97230 applicant is exempt from licensing, the following reasons
apply:
Phone: (503) 331.2465 Fax: : (503) 331.6907
E -mail: dianep @mckinstry.com
' CONTRACTOR`. " ",iy *
�' i
B ILDING =PERM T FEE
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U I S:
O' ... ofce,scliedule)
Business name: McKinstry Company, LLC � ,E'
Permit fee:
Address:
City/State /ZIP: State surcharge (12% of permit fee):
FLS plan review (40% of permit fee):
Phone: ( ) q. tle F��x: ( ) (Due upon application.)
CCB lie.: 172811 Total permit fees:
Authorized signatP�� Amount received: . 0) C
�1 This permit application expires if a permit is not obtained
Print name: \. 4 p� Date: within 180 days after it has been accepted as complete.
* Fee methodology set by Tri- County Building Industry
Service Board.
I:\Buildmg \Permits \FPS- PermitApp.doc 03/23/06 440- 4613T(I1 /02 /COM/WEB)