Permit •
" � CITY O TI CARD BUILDING PERMIT
PERMIT #: BUP2005 -00002
I DEVELOPMENT SERVICES DATE ISSUED: /— b5
13125 SW Hall Blvd., Tigard. OR 97223 (503) 639 -4171 PARCEL: 1S135AB -01004
SITE ADDRESS: 10220 SW GREENBURG RD€6@6 67 15
SUBDIVISION: T-WO LINCOLN - TOWN OF METZGER ZONING: C -P
BLOCK: EE 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: $ 1,965.00
Remarks: Fire sprinklers
Owner: Contractor:
EQUITY OFFICE PROPERTIES TRUST AFP SYSTEMS INC
ONE SW COLUMBIA #300 19435 SW 129TH
PORTLAND, OR 97258 TUALATIN, OR 97062
Phone:
Phone: FAX- 692 -1186
Reg #: INE3C692- 9
FEES LIC REQUIRED INSPECTIONS
Description Date Amount Sprinkler inspection
[BUILD] Permit Fee 1/3/2005 $62.50 Sprinkler Rough In
[FLS] FLS Pln Rv 1/3/2005 $25.00 Sprinkler Final
[TAX] 8% State Surcharl 1/3/2005 $5.00
Total $92.50
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: Z� /G�zi.‘„._„__
Permittee
Signature: a2-7 > «iii
Call 639 -4175 by 7 p.m. for an inspection the next business day
CoEI'VE® / ���6 � �
Y File ]Protection VsLem ¥ '
•
ttt+• l
Buil4ing Ap ati9W005 F OR OFFICE.' USE ONLY
Received . Permit No.
City of Tigard c . „Y T IGARD DaDate/By: (' ii • 1lR 00' / —OUQo�
13125 S W Hall Blvd., Tigard, 7 2 1 Plan Review j / h � Other Permit: 503.639.4171 FBI I�' 8G DIVISIO �� �" /`�� `'�i�� Date/Sy: �
Inspection Line: 503.639.417 ► Date Ready/By Juns: A 0 See Page 2 for
�. .
Internet: www.ci.tigazd.or.u5 Notified/Method: Supplemental Information
•
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❑ New construction ❑ Demolition Permit fees* are based on the value of the work performed. G
Indicate the value (rounded to the nearest dollar) of all ON
Z Additio alteration/ 'placement • - ❑ g
Other: • • equipment, materials, labor, overhead, and the profit for the
- � .�.0... .' .,:041 ,F.�_ It ,z ,;_;; �r,'_kc- :r "v,
y ,.: ,, rol ,: r u ri + ;'rl -e - i4: ,•: work indicated on this application.
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- -' - , . :.. Valuation: $
I.
� 1- and 2- family dwelling � Commercia d ustri al _
Number of bedrooms:
❑ Accessory building ❑ Multi - family
❑ Master builder El Other: Number of bathrooms:
. '] yt.9f*_? -'„t `.!Cab;. x..a S�°<+%ix'�,�+h r "�'•, ",at,;:;�5 "- x^zrr- ,...2:.,u•,t;. •'r "°; .:� Total number of floors:
:., <: r. , s x :i OB rr rl�l`I?O1t1VIAyI?. : ,.,AIYI� OcA Ql ,.�. ;. T
'xke:.':ii' z;° . r%,��s R:�,. ,., t�aa.v :. ; *_e, { ; w •.� Y•"a. . �s «,r, .+'�fs:�1Y::6i _� t;. ,w a ._ . a�: ...,.,...
New dwelling area: square feet
Job site address: (�Z24 �i-� �l \� -' 11 t 1.1CpV�J C
City/State/ZIP: -01 • pvz 9�Z2.� Garage /carport area: square feet
dIth. dg. /apt. no.: C Project name: g i S cR Ar.l1G L u,1 •'` Covered porch area: square feet •
Cross street/directions to job site: , C g,atil ' A 2ci Deck area: square feet 1
Other structure area: square feet
4 -��
r = / /RFQU :A' O MMERLIA,�L I
�A:?C. '; �:4�;USE:C�I'EC3��` ST
Subdivision: I 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
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:�; - E;" e: niW,' i . atf1 ,; ; x =:�" 4 .:; V work indicated on this application.
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i` �rt^� � -' _»?raxx =., r, zs- 3A�i9, '�"�Fa+�� °�” � �S' ^;.:. �'a?': `�r :�<�;it4,"; r'�'�,~•'� �
00/i7 '.'t.`•i:,t�ix�.�i, ?;�e�:,=� -"� -'�W3�'; �'.:'�uwa"#�- %'.4:.# .a,.�; ahs, r
y - I . TE ZCo 'pi07 J 4 ( L. ‘ l w -I C�.l o4— Valuation: $ t 9 �o5 . Oa
F rit1� a_ �i � � ?A VI Existing building area:'' square feet
New building area: square feet
g ...}:t>ky6s -. - as- rar],r.,s`:u• x's --..,. _ - : 4;r�. , ,+�a'„�'4r:t- °n �J=':, +.;:�s-r..r, ;::�. € -_, "
;at PO.#7 4 s , w” = z •` ; Number of stories:
� � f " ,Ysj� , 4;E2AxE Z"Y d (3Pt R . z a V ,•: ,,„ ,:; ', „f _ , i ; 1,� , , -
'�a . £ -, '3r -•rz :�ah:::3n;Y ..dFZ: ,.,:ls",�z"•t�J':t:.. •:c,.��.:.�es'. ,, ... a� =�;.z °. , r.�.,'.' "� ?9xt3"= :.:r t:-�.n 'r�ri -86.: rS6.?P$;c•;
Name: LIN t 1 � L Type of construction: >�'Z
Address: `"` Occupancy groups: g
City/ State/ZIP: Existing: S .
Phone: ( ) Fax: ( ) -New: Z
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Business name: 1* 6, - % 5 ,....\c_. All contractors and subcontractors are required to be
/ � licensed with the Oregon Construction Contractors Board
Contact name: 'gam t A 1....) lx•Sp� under ORS 701 and may be required to be licensed in the
Address: `9 4 S,t V2 ! tf - jurisdiction in which work is being performed. If the
applicant is exempt from licensing, the following reasons
City/ State/ZIP: 3 s p( - R . 91 aloZ apply:
Phone: ( Sad) Col 92 4 Fax:: (S ) 0 Z - t ‘ p o (c
E -mail:
a=."s 40, 5 . ., . ;?,,, >,,V. v f- °.: ifi f i ' "e'.9',w °:•�' i ' :, u=:f.ig 2L'£ "•7a, a d 'i:::ti. ., :;;: ;, s:: R
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w < ycE r 4 ,, -f a }a. "8 xO1�1tTi lCTtQiR. ,, i s °'r 1 W
. *�.�``�,�s`S£`r:_i"�.., �. r._ � %"�:�.`:�';`#�'�,,M.rS',..;�., r °x.� .>.'?• ss:... a. _..-•. � „ �, r:..,,��r,.,.�,:. "?�.:�'�.t•._. .. .�._.... �71ie:�: =,K.��� : -. W � .t °._
Business name: A G- STL 1,,.. k 1JC, _ * - 311- .D I .,s,
f . B I1 ,.. ? ' * FEES *:
n ^ .-,� Ya;_- 'i era _:. ,..
Address: 1� `I� � I ZS I H � �(� Please refer to fee schedule.
City/State /ZIP: i ,,,,__ . L-0 91 PC32 Fees due upon application - {Z.St
Phone: (2;, ) c 9Z4 Fax: (r ) 4,c z , 1 i $C_,, Amount received 9"L��
CCB lic.: �, S Date received: .
l -� CS
Authorized signature:
t14444- This permit application expires if a permit is not obtained
,1 A � within 180 days after it has been accepted as complete.
Print name: cR., 1 AlJ L S0 � Date: t..S . l.� * Fee methodology set by Tri- County Building Industry
1 Service Board.
c\Building\Permits \FPS- PennitApp.doc 12/03 440 - 46137(11 /02 /COM/WBB)
Fire Protection Permit Check List
e'-
o�b on
D,
1.) ❑ New 2.) Modification to sprinkler heads only:
❑ Addition _ 1 -10 heads: No plan review required.
S- Alteration j 11+ heads: Plan review required.
❑ Repair
Number of sprinkler heads: 3g
Additional description of work: - -- .(, ' 7 kuvc -C Zc s N 5 4 r t -- j -
Ria-I rC 'pQ ha v4k..675, rzlz
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;., ic; 4 22;,3
hem= } "�;om IeteT �.0 or��Drt c
r�?
#
x' 111- E
Coin. 1
m
Wet ❑ Dry
• Additional Standpipes ,
Information: ' Haz'ard' •Group - • • tic o1 _
Density , la
- Design Area: ;
K. Factor , • c. (
Sprinkler Project Valuation: $ L9(,ps. o0
:�^= :.°.§ .�'+�g�3m^. �,'" °`�,^ z:'�:s�'. - �:'� xr'.� ";'t;,,•,.��' "'"" <!�-ui3:: c`. a�a.:are: - - r.a
.. ....�. :s. «,,� ^, ,k. . ., :x -. ,�.. Hrr.,, a _ ,,�.,„ tr,�; ;`,=u� ,.a== ;',x,A3, °hut` _
7 , :. S,s s' : c��.r,, , f � ) , z _ �s.,''�, +�: fir':' -s3a'i�.a:+;:.,rx'-
U$:.Tp e.�I, II00 lrexiu '11�SSIOn�;��i,= S`�CIIT�,,. ,��¢}:.. wa =awa���u.. ,•�...a:=;M °'w:'e
Hood Project Valuation: $
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5 4` "'t > ".�" ...+d`r`„'E; : => '"'�. •�,` .,r a'SS'� "� "';�.s ::•f`i:.�. ., .; ..;5°'= :t'r' > <<.`"r�:.....r.',. �..�:s'," i%er`e,. :s
•x v, - n�s?Ra •4• - , u.�. ; �'..� �s c ��r" m�`•w= +,` y. -. wrz „ •ti":::� ?,�a f=G5''� ,.��, 1wy,.n:y;'• � ?: sk:' ><..4i;' <:.4. <, � wr «:er.. o
Submittal shall °Battery Calculations . All Yes- . - :
include: Individual Component ❑- Yes ,; r .
Cut Sheets
Fire Alarm Project Valuation: $
�tC. .�,':" f::�� °�,,..{:. "- �';a+.z-b�:'�,4. <x. .�� +.. ..r,,z= ^,;a»r :s. �r ",= NZ';�.���4 `€r�.�..��� .,r =:�
`
� _.; „��� "'� x..5:,s.. zG, °`�:;:. i�...�sfs �:�.��,:^•�� ": �r: t �'; f .
=D I. 74.0 ar ; tan` n Sa ttem; , : , t. ,; :, ;,:.-;' , , r; . r
,_,,..�..)�r..,� +x ,`,S_',e -,., n-.• -. ...�fe%�..as -.,= _ .. ...�"u _.... .w ._,Yw..p ..�., ... �. ». ,� -„s . �f .n�Ya. , . �..,, .��rs =e .rf�;':at...
Square Footage: Permit Fee:_`
0 to 2,000 $187.50
2,001 to 3,600 $232,50
3,601 , £' ''=` yi'
7 601 to 7 f 200 $29250 �� s
7,201 and greater $381.50 '=`r°
Sprinkler Project Square Footage: sq. ft:
Project Valuation Subtotal (A, B & C): $
Permit fee based on valuation (see attached chart): $
Permit fee based on square footage (D) (see fees above): $
State Surcharge 8% of Permit Fee: $
FLS Plan Review 40% of Permit Fee: $
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. •
i:\Buildin \FPSchecklist.doc 12/24/03
•
' / CITY.OF TIGARD
BUILDING DIVISION
414 1 Iiih , A PERMIT #: BUP2005-00002
I
Il 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/14/2005
Phone: (503) 639-4171 ...,...ztoti IA 1
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: 4/2212005 TIME: 7:12AM PAGE: 78
SITE ADDRESS: 10220 SW GREENBURG RD 615 CLASS OF WORK:
SUBDIVISION: THREE LINCOLN-TOWN OF METZGER LOT #: 009 TYPE OF USE:
PROJECT NAME: FIRST FRANKLIN
DESCRIPTION: Fire sprinklers
OWNER: EQUITY OFFICE PROPERTIES TRUST, PHONE #:
CONTRACTOR: AFP SYSTEMS INC PHONE #: FAX
Inspection Request Scheduled For: Date: 4/22/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
999 Sprinkler final 006138-01 503-348-0563 N
Corrections/Comments/Instructions:
•
' MI6 1 • . I „.„,....„ it f
Fir - "Wledif - I 11 4 " Imii '
---
PASS El PARTIAL APPROVAL 0 CANCEL El NO ACCESS
El FAIL 0 CALL FOR INSPECTION El ADDITIONAL FEES ASSESSED
Inspector: Date: - (31‘ Zr7e it: (503) 718-