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Permit CITY OF TIGARD BUILDING PERMIT PERMIT #: BUP2005 -00215 T'l DEV W H PMENg Tigard, R9 -639 -4171 ICE DATE ISSUED: 5/23/2005 -- 13125 PARCEL: 1S135AB-03400 SITE ADDRESS: 10260 SW GREENBURG RD' ZONING: C -P SUBDIVISION: LINCOLN TOWER -TOWN OF METZGER LOT: 014 JURISDICTION: TIG Project Description: Relocate 8 heads. 1'�� 0 REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION CLASS OF WORK: JL� F FIRST: sf N: S: E: W: TYPE OF USE: COM SECOND: sf PROJECT OPENINGS? TYPE OF CONST: : 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: $ 1,000.00 Owner: Contractor: EQUITY OFFICE PROPERTIES TRUST AFP SYSTEMS INC ONE SW COLUMBIA ST #300 19435 SW 129TH PORTLAND, OR 97258 TUALATIN, OR 97062 Phone: Phone: 503 - 692 -9284 • FEES Reg #: LIC 67534 Description Date Amount REQUIRED ITEMS AND REPORTS [TAX] 8% State Surchaq 5/23/2005 $5.00 [BUILD] Permit Fee 5/23/2005 $62.50 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 99,0r 1- 800 -332 344. Issued By: Permittee Signature: �'1�1‹..:ca7n. 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. MAY - 03:14PM FROM- Automatic Fire Protection 5036921186 • T -790 P.002/002 F -012 B ` • ' :. ,A Permit A lication . • - • Received / Building ' - ` �,- _ 0\1 DateB :) 3 05 6P Permit No. )UU —ta) i � Planning Approve Other City of Tigard 9E. Date/f3 : Permit No.= 13125 SW Hall Blvd. 0 2005 Plan Review Other Tigard, Oregon 97223 .. 2, Date/I3 : Permit No.: Phone: 503 - 639 -4171 Fax: 5 3 -5 p B) � "' '9 � l`' Post - Review Land Use �gg i / r Date/13: Case No. Internet: www_ci.tigard.or.us Gil U v j \ $ Men. 4�W Contact i 0 See Page 2 for 24 -hour Inspection Request: , 10 i NamelMcthod: v/ ' u . lemental Information i TYPE OF W ORXC , .':REQUIR D• D TA: ID New construction Demolition . .- , 1; & 22 FAMILY DWELLING ddition/alteration/replaeement Other: ' . CAT EGORY OF CONSTRUCTION , Note: Permit fees" are based on the total value of the work performed. Indicate 1 & 2 -Famil dwellin _ - ommercial/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 I Other: Valuation IOB ` S II"E,T1vFORMATION and LOCATION No. of bedrooms: No. of baths: • Total number of floors rob site address: / [ t2 c,,,,...) -'x� New dwelling area (sq. ft.) Suite #: (o`l Bld ./A t. #: - r) • Garage/carport area (sq. ft.) . Pro ect Natxte: • t -0 y - �i \ Covered porch area (sq. ft.) Cross street/Directions to job site: Deck area (sq. ft.) Other structure area (sq. ft.) 0 ' `'' 77.RQIJIREA DAxA ,,c r . ' • . . 1 ERCIAL:.. USt C)ETECKLIST . - . Subdivision: Lot ;<l: :... ... -. Tax map /parcel #: Note; Permit fees' are based on the total value of the work performed- Indicate ' , DESCRIPTION - OF V'ORK . . the value (rounded to the nearest dollar) of all equipment, materials, labor, overhead and profit for the work indicated on this application. — L . ` .a.. . 1 S / l 7 Valuation $ Existing building area (sq. ft.) _JO /a- New building area (sq. ft - ____p 1 i A Number of stories ' ROURTY:OWNER• I 0 Cet.ANT'' : Type of construction / A Occupancy group(s): Existing; Pi 1 A Address: Name: t ~'t� 0 pl (% - New; _ id) er— / _ -- City /State /Zip: NOTICE: All contractors and subcontractors are required to be Phone: Fax. - license with the Oregon Construction Contractors Board under - AP)PL' : :: • �' ONTACT ]PE RSON' provisions of ORS 701 and may be required to be licensed in the Business Name: t" S 7 5 7n- ¶ jurisdiction where work is being performed_ If the applicant is exempt Contact Name: vrJ t c from licensing, the following reason applies; r Address: — ' t _ — a . City /State /Zip: ,(.,I_yA• 7 Z.�7 c4� __ Phone: L Z --� -2_ Fax: 4') —ll _ l ABVir�i�vcrE>�ivzll .>r> ES *' - E -mall: ,. ' . Plederefer. fee schedule . • CONTRACTOR'., . - , . . Business Name: • l ---- IIPA-1111. _ Fees due upon application $ Address: /el _5 L. , j I - 7 e -- , 1 4, 0c City /State /Zip: A_Li,Ca -t' l v.) 1 , � Z G f am, `' Z Amount received $ Phone: . -- _ Fax: , Gr 7.. —/ < 6 .. Date received: _ - Authorized T � Notice: This permit application expires if a permit is not obtained within -- Signature: --- Date :� Cl 180 days after it has been accepted as complete. f . / J Li© ( - ' • *Fee methodology set by Tri- County Building Industry Service Board. (Pie c print name) i :\Dtts\Permit Forms\BldgPermitApp.doc 01/03