Permit i � ,I ' CITY OF TIGA BUILDING PER •
hi . PERMIT #: BUP2008 -00190
COMMUNITY DEVELOPMENT DATE ISSUED: 7/2/2008 •
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 1S135AB-01004
SITE ADDRESS: 10220 SW GREENBURG RD 600 ZONING: C -
SUBDIVISION: LINCOLN CENTER/TWO LINCOLN LOT: JURISDICTION: TIG
PROJECT: FARMERS INSURANCE
Project Description: Fire protection system. Relocating (11), adding (5), and plugging (9) 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: 2N sf N: S: E: W:
OCCUPANCY GRP: B TOTAL AREA: 0 sf ROOF CONST: FIRE RET?
OCCUPANCY LOAD: 80 BASEMENT: sf AREA SEP. RATED:
STOR: 6 HT: ft GARAGE: sf OCCU SEP. RATED:
BSMT ?: Y MEZZ ?: N REQD SETBACKS REQUIRED
FLOOR LOAD: 50 psf LEFT: ft RGHT: ft FIR SPKL: Y SMOK DET:
DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : Y HNDICP ACC:
BEDRMS: BATHS: IMP SURFACE: PRO CORR: Y PARKING:
VALUE: $ 900.00
Owner: Contractor:
SHORENSTEIN REALTY SERVICES MCKINSTRY COMPANY
ONE SW COLUMBIA #300 12021 NE AIRPORT WAY SUITE G
PORTLAND, OR 97258 PORTLAND, OR 97220
•
Phone: 503 Contact #: PRI 503- 331 -2461
FAX 503 - 331 -6906
Reg #: LIC 172811
FEES
REQUIRED ITEMS AND REPORTS
Description Date Amount
[BUILD] Permit Fee 6/5/2008 $62.50
[TAX] 12% State Surch 6/5/2008 $7.50
[FLS] FLS Pin Rv 6/5/2008 $25.00
Total $95.00
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.
'- 1
Issued Permittee Signature: s2 ,,,Xrcel*-/ G Y✓
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.
F 'lam S t MO C.E_ 10 - 6 . BCi-
Buildin Permit Application
Fire., Protection System FOR OFFICE USE ONLY
. City of Tigard E Received /// / \)
.f nn DateB Per N o.: !�.. li__ _. qV
: 'A ° 13125 SW Hall Blvd., Tigard, OR 97223 oOv
Plan Review L
Phone: 503.639.4171 Fax: 503.598.1960 O�j tk : 1W" v •� Other Permit: I • 1___ I Q
T I G A R D Inspection Line: 503.639.4175 \ \� G _ .� :. ReadyB l j orris: See Page 2 for
Internet: www.tigard - or.gov , � �1. • `otified/Method: y_ / 67 �b Supplemental Information
• -.-1; /de re... r _ •
' TYPE OF WORK ` S) REQUIRED.•DATA:1 - AND 2- FAMILY DWELLING
❑ New construction ❑ Demolitt!r, 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.
Valuation: $
❑ 1- and 2- family dwelling Commercial /industrial
❑ Accessory building ❑ Multi - family Number of bedrooms:
❑ Master builder ❑ Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: I cDZ(�4 S (j 6 "_ d New dwelling area: square feet
City /State /ZIP: 'ft Q (�2 Garage /carport area: square feet
Suite/bldg. /apt. no.: ti �` 66 Project name: Fikr- � ,u any- 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
1
DESCRIPTION OF WORK
,� I 1 . work indicated on this application.
1` 21, (A. C; 5 ✓Vl/�er5 4 '444. 14(taW( tK-- A2.1� Valuation: $ £ orb (ftor PzrtzcnuN Pt/z
`Nu l 1 1 a.) O k I ADD 5- t [ ply q Q Existing building area: square feet
New building area: square feet
❑ PROPERTY OWNER ❑ TENANT Number of stories:
Name: Type of construction:
Address: Occupancy groups: '
City/State /ZIP: Existing:
Phone: ( ) Fax: ( ) New:
APPLICANT ❑ CONTACT PERSON NOTICE.
Business name: ! r' ill AS C� All contractors and subcontractors are required to be
Contact name: „3 Si a � licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address: fa-02 N 11 E A (. � ! - ; r �' ' _ jurisdiction in which work is being performed. If the
City /State /ZIP: Po r' i'10vvd n ( t. op ? ' applicant is exempt from licensing, the following reasons
/ n apply:
Phone:( 33( " L(.,( Fax: 6
E mail: So,'1 Ca7nIGICI .45 - Co/V\ .
C ' TRACTOR BUILDING PERMIT FEES*
Business �--��
i 5 4/ YL C
(Please Teter lo schedule)
usiness name:
Address: ,r Permit fee: C/
City/State /ZIP: ' State surcharge (12% of permit fee): 7
, , FLS plan review (40% of permit fee): JO
Phone: ( ) Fax: ( ) (Due upon application.) . 2 s . )
d
CCB lie.: I D_s, I Total permit fees: 4 $ (5-6 ,
Authorized signature:
Amount received:
v This permit application expires if a permit is not obtained
Print name: - � � N CA(VCr.1 Date: within 180 days after it has been accepted as complete.
* Fee methodology set by Tri- County Building Industry
Service Board.
C\Building\Permits \FPS- PermitApp doc 03/23/06 440- 4613T(11/02 /COM/WEB)
1 ,
CITY OF TIGARD
BUILDING DIVISION • PERMIT #: BUP2008-00190
13125 SW Hall Blvd., Tigard, OR 97223 A„,.
" DATE ISSUED: 712/2008
Phone: (503) 639-4171 hopplie,
Inspection Requests (24 Hrs.): (503) 639-4175 AA 4 ; f /Jja
INSPECTION WORKSHEET FOR DATE: 7/23/2 TIME: 7:02AM PAGE: 1
SITE ADDRESS: 10220 SIN GREENBURG RD 600 CLASS OF WORK:
SUBDIVISION: LINCOLN CENTER/TWO LINCOLN LOT #: TYPE OF USE:
PROJECT NAME: FARMERS INSURANCE
DESCRIPTION: Fire protection syslem. Relocating (ii), adding (5), and plugging (9) sprinkler heads. •
OWNER: SHORENSTEIN REALTY SERVICES, PHONE #: 503-412-4800
CONTRACTOR: MCKINSTRY COMPANY PHONE #: 603
Inspection Request Scheduled For: Date: 7/23/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Mess e
999 Sprinkler final 073092-01 503-780-3222
Corrections/Comments/Instructions:
0 11 M 4
i PARTIAL APPROVAL El CANCEL I I NO ACCESS
FAIL / CALL FOR INSPECTION fl ADDITIONAL FEES ASSESSED
i ..s
Inspector: /Air '''''• Date: 7/2-57o6 Phone #: (503) 718- 2-6:---7
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_ . . .
CITY OF TIGARD :c-----1,
BUILDING DIVISION PERMIT #: E3UP200B-00190
13125 SW Hall Blvd., Tigard, OR 97223 A ‘1'- DATE ISSUED: 7/7J2008
Phone: (503) 639-4171 , :Arlp i i t
Inspection Requests (24 Hrs.): (503) 639-4175 __SIP. I-
INSPECTION WORKSHEET FOR DATE: 7/17/2008 TIME: 7:00AM PAGE: 61
SITE ADDRESS: 10220 SW GREENBURG RD 600 CLASS OF WORK:
SUBDIVISION: LINCOLN CENTER/TWO LINCOLN LOT #: TYPE OF USE:
PROJECT NAME: FARMERS INSURANCE
DESCRIPTION: Fire protection system. Relocating (11), adding (5), and plugging (9) sprinidei heads.
OWNER: SHORENSTEIN REALTY SERVICES, PHONE #: 603-412-4600
CONTRACTOR: MCKINSTRY COMPANY PHONE #: 503-331-2461
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Inspection Request Scheduled For: Date: 7/17/2008 14? Pour Time:
Code # Inspection Description Confirm # Contact # Mes-ag:
999 Sprinkler final 072746-01 603-780-3222 Y
Corrections/Comments/Instructions: t-
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I I PASS El PARTIAL APPROVAL 0 CANCEL fl NO ACCESS
p e r-AIL El CALL FOR INSPECTION El ADDITIONAL FEES ASSESSED
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Inspector: Date: 7 T Phone #: (503) 718-2-Y2'y
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CITY OF TIGARD
. ' r
BUILDING DIVISION
A PERMIT #: BUP2008-00190
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/2/2008
Phone: (503) 639-4171 _TilhAlli
Inspection Requests (24 Hrs.): (503) 639-4175 .. 11.
INSPECTION WORKSHEET FOR DATE: 777/2008 TIME: 7:00AM PAGE: 21
SITE ADDRESS: 10220 SW GREENBURG RD 600 CLASS OF WORK:
SUBDIVISION: LINCOLN CENTER/iWO LINCOLN LOT #: TYPE OF USE:
PROJECT NAME: FARMERS INSURANCE
DESCRIPTION: Fire protection system. Relocating (11), adding (5), and plugging (9) sprinkler heads.
OWNER: SFIORENSTEIN REALTY SERVICES, PHONE #: 503-412-4800
CONTRACTOR: MCKINSTRY COMPANY PHONE #: 503-331-2461
Inspection Request Scheduled For: Date: 717/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
999 Sprinkler final 07223401 503-572-1641 N
Corrections/Comments/Instructions:
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A • ___ _ _ ■
•
0 PASS n PARTIAL APPROVAL 0 CANCEL , 0 NO ACCESS
FAIL CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED
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Inspector: Date: 7/2A I Phdrie #: (503) 718-