Loading...
Permit CITY OF TIGARD RMIT # BUILDIN BUP PER 2004 - MIT 00504 DEVEL r S o ER9 ICES 639 -4171 DATE ISSUED: 10/21/2004 SITE ADDRESS: 10220 SW GREENBURG RD 500 PARCEL: 15135AB 01004 SUBDIVISION: TWO LINCOLN - TOWN OF METZGER ZONING: C -P BLOCK: LOT: JURISDICTION: TIG 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: $ 250.00 Remarks: Fire sprinkler TI, cap (2) fire sprinkler heads and relocate (1) head. Owner: Contractor: EQUITY OFFICE PROPERTIES TRUST MCKINSTRY COMPANY ONE SW COLUMBIA #300 5400 NE COLUMBIA BLVD PORTLAND, OR 97258 PORTLAND, OR 97218 Phone: 503 - 412 -4800 Phone: 331 -0234 Reg #: MET 4 0 � 0 g 0 g 0 1 1179 FEES LIC REQUIRED INSPECTIONS Description Date Amount Sprinkler Rough -In [BUILD] Permit Fee 10/21/2004 $62.50 Sprinkler Final [TAX] 8% State Surchari 10/21/2004 $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 B 4f Permittee Signature: y '�� / � / Call 639 -4175 by 7 p.m. for an inspection the next business day Fire Protection System I Building Permit Application FOR OFFICE USE ONLY Received r Q mi lO • Date/By: LD � O � Permit No.: , S - 5 City of Tigard Planning Approval Other Date /By: Permit No.: 13125 SW Hall Blvd. Plan Review Other �],/ , Tigard, Oregon 97223 Date /By: Permit No.: 7` - �`j`/ /Q y �+ Land Use Phone: 503- 639 -4171 Fax: 503 - 598 -1960 - � Post- Review t i Internet: www.ci.ti ard.or.us ti Date /By: Case No. g Contact �Ju ® See Page 2 for 24 -hour Inspection Request: 503- 639 -4175 Name /Method. / 6, Supplemental Information TYPEOF WORK,: REQUIRD:DATA:,; 'a ; ❑ New construction ❑ Demolition . •I:& 2'FAMILY D- WELLIN.G : ' ' j1 Addition/alteration /replacement ❑ Other: CATEGORY= OF, ,. Note: Permit fees* are based on the total value of the work performed. Indicate ❑ 1 & 2- Family dwelling ,' Commercial/Industrial the value (rounded to the nearest dollar) of all equipment, materials, labor, overhead and profit for the work indicated on this application. ❑ Accessory Building ❑ Multi- Family ❑ Master Builder ❑ Other: Valuation $ - '. :' . ; -' ::;.JOB:SITEINFORIVIATION and,iLO,CATIQN` ' ' .. 7 :: . No of bedrooms: No of baths: Job site address: 10 O r$(i6 6 2Er'/0 (3Up ' 7PijAP Total number of floors I " New dwelling area (sq. ft.) Suite #: j Bldg. /Apt. #: Ldt CD(JJL Garage /carport area (sq. ft.) Project Name: 'Co fr.1 j�/J o Covered porch area (sq. ft.) Cross street/Directions to job site: Deck area (sq. ft.) Other structure area (sq. ft.) • "ft'i ,4 ��.,.P a �? i .�.,., y, ? '.'r- 0 to �.- �. 4 ""� :r2.� ". I"•. Tk 4q 5> ti, i t ii!L):,a ::. t COli iLizta li CHECKLLST Subdivision: Lot #: ,.., Tax map /parcel #: Note: Permit fees* are based on the total value of the work performed. Indicate ..: r t -- - - :���,�; z.r,;;�;,: ^e;?:,�DESC °RIPTION�OFWORK .• - -;a �• c;.;::•::::''::!:.:,:., he value (rounded to the nearest dollar) of all equipment, materials, labor, overhead and pro t "" ... pfit for the work indicated on this application. ' F LA El OW C' l—) �7 puti t-eg 5 " Valuation �70 F.-ace-errs i) aluation $ Existing building area (sq. ft.) / New building area (sq. ft.) Number of stories A , >PROPrERTY OWN'ER TENANTk „;,;_ q'W: : ;''`tx ?4' . :: Type of construction ' A Name: Eqv 1 orfc'. PRo Pitt -S Occupancy group(s): Existing: 13 New: 13 / Address: bn?g 5k,3 co i-th--6 %r•+- S'CrC Soo City /State /Zip: NOTICE: All contractors and subcontractors are required to be Phone: Fax licensed with the Oregon Construction Contractors Board under ® APPLICANT�',i!� :`L':''� ;1. ; .•`;i4,31)' ..`;'CONT•ACT�PERSQN."" f� ^: �,;;;; provisions of ORS 701 and may be required to be licensed in the Business Name: fli1 ,5-712-`1' COmPst/uY jurisdiction where work is being performed. If the applicant is exempt Contact Name: c) / 1/4t9 g.- from licensing, the following reason applies: Address: s 00 N& co .-iJ p &> n 6t.vo Cit /State /Zip: ropitfrpoi f OR , G1 � 110 o Fa x: Ote ' ii:••.'3: >: �_;,; :;s: ,; •... 'iti's ?.4.t' u�i��. :.•,,^! : :,. ^TL:...: Phone: 0'3.33 I ft 0 /.3 33 1. e."9 ,:;. J :','. a: , • ., '" i - .. ^ . ,>~n MIA' E -mail: a m �.jz-+rrSrz BUII DING'sP,ERMIT ;FEES *' ' i � ' �" >trs + refer to fe *Itedule f. '; t i m .,. - � � ^'ur , «,; �.r "':•71•,an.:.. '� k f �' x , €mot �• & �Y 2 � ?":•,r, ' r :,., _ . ,.� :I €: '' a ..._ '.. ,,. �;�- ;pCON�TRAC'T�©R }�� � • a ,,:� • , Business Name: ,4&C, 4,1)'1W -.. Ci0Mgc/J`t Fees due upon application $ Address: 5 /Ae Co Giriv, 0 -✓D City /State /Zip: pop ol'Z,.. i 2-la Amount received $ Phone: 3 , .023' Fax: ,3I , 6,9 c , l.. Date received: CCB Lic. : 'L1.3 0 1 A #ioc -pi - 3 77 4® Authorized 1 Notice: This permit application expires if a permit is not obtained within Signature: > Date: 1a • / •b� 180 days after it has been accepted as complete. �& I .4E (z *Fee methodology set by Tri -County Building Industry Service Board. (Please print name) is \Dsts\Permit Forms \BldgPermitApp.doc 01/03 Fire Protection Permit Check List A.) ❑ New ❑ Addition ,Alteration ❑ Repair B.) Modification to sprinkler heads only: Describe work to 1. 1 -10 heads: No plan review required. be done: 2. 11+ heads: Plan review required. Number of sprinkler heads: Additional description of work: nob, ( �� SPlLI�)ct . A/'EAoS Type of System '( Complete A; B= ,or A.) Sprinkler Wet ,L Dry ❑ Standpipes N /,4 Additional Hazard Group G16714 Information Density I o Design Area / Ca K. Factor S (lo Sprinkler Project Valuation: $ B.) Type I - Hood Fire Suppression System Hood Project Valuation $ AJ/A C.) Fire Alarm Submittal shall Battery Calculations Yes ❑ include: Individual Component Yes ❑ Cut Sheets Fire Alarm Project Valuation: $ Project Valuation Subtotal (A, B & C): $ Z® °.9 Permit fee based on valuation (see chart): $ 8% State Surcharge: $ FLS Plan Review 40% of Permit: $ 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. is \dsts \forms \FPSchecklist.doc 11/21/01 CITY OF TIGARD 24 -Hour BUILDING Inspection Line: (503) 639 -4175 INSPECTION DIVISION Business Line: (503) 639 -4171 MST / BUP 06 L F 6 4 / l Received Date Requested d — Z AM PM BUP Location �C� !�1! %� is . i Suite MEC Contact Person ONet-L' -e Ph (/ ) U c I —,�7�� PLM Contractor `' Ph S, ) SWR BUILDING Tenant/Owner ELC Footing ELC Foundation Access: Ftg Drain ELR Crawl Drain Slab Inspection Notes: SIT Post & Beam Shear Anchors Ext Sheath /Shear Int Sheath/Shear Framing Insulation Drywall Nailing Firewall t Fire Alarm , ' Susp'd Ceiling Roof ., .rr • ART FAIL I‘ ' Post & Beam Under Slab Rough -In Water Service Sanitary Sewer Rain Drains Catch Basin / Manhole Storm Drain Shower Pan Other: Final PASS PART FAIL MECHANICAL Post& Beam Rough -In Gas Line Smoke Dampers Final PASS PART FAIL ELECTRICAL Service Rough -In UG /Slab Low Voltage Fire Alarm Final Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL SITE El Please call f r reinspection RE: El Unable to inspect — no access Fire Supply Line �� I►. ADA Approach/Sidewalk Date � v Inspect Ext Other: Final DO NOT REMOVE this Inspection record from the job site. PASS PART FAIL