Permit CITY OF TIGARD BUILDING PERMIT
PERMIT #: BUP2005 -00629
Ail DEVELOPMENT SERVICES DATE ISSUED: 12/8/2005
13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171
PARCEL: 1S135AB-03400
SITE ADDRESS: 10260 SW GREENBURG RD 160 ZONING: C -P
SUBDIVISION: LINCOLN CENTER /LINCOLN TOWER LOT: 014 JURISDICTION: TIG
Project Description: Fire sprinklers: 5 relocate, 1 cap and 2 new.
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: : 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: $ 933.00
Owner: Contractor:
EQUITY OFFICE PROPERTIES TRUST DELTA FIRE INC
ONE SW COLUMBIA ST #300 14795 SW 72ND AVE
PORTLAND, OR 97258 PORTLAND, OR 97224
Phone: Contact #: PRI 503 620 - 4020
FAX 503 - 620 - 1058
FEES Reg #: LIC 64174
Description Date Amount REQUIRED ITEMS AND REPORTS
[BUILD] Permit Fee 12/8/2005 $62.50
[TAX] 8% State Surchaq 12/8/2005 $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 r os or dir-- questions to OUNC by
calling 503 - 246 -6699 or 1- 800 - 332 -2344.
Issued By: Permittee Signatu 7 � 1 —Axe_
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.
Ire Proteetio` . System
Building Permits .pl c:,a;tion FOR OFFICE USE ONLY .
Received g
City of Tigard " Dateliv: Iov R Q S 66 Permit No -: 2 t P _�A
1:125 SW Hall Blvd., Tigard, OR 97223 Plan Review S
Phone: 503.639.4171 Fax 503.5 0 5 y l ` Date/By: Other Permit:
Inspection Line: 503.639.41 75 Uli 0 8 �00 `�' 1 Date ReadyiBy: ly ® See Page 2 for
Internet: www.ci.tigard.or.us Notified/Method: J� � C t 1 Supplemental Information
CITY OF TIGARD
. xa r
'- - .. -.., :: a .... r_�'^,•.• -".i ^t`tM *...s .. .., r.' ^T � -. ". _._,_ n.. .. ... 1.. .'/3- iS:' . y 2Y1�.iF [T�
❑ New construction I ❑ Demolition Permit fees" are based on the value of the work performed.
Indicate the value (rounded to the nearest dollar) of all
Additiorvalteration/replacement I ❑ Other: 1 equipment, materials, labor, overhead, and the profit for the
4 .. :;« Y , :_: : :, work indicated on this application.
' . CATEGORY''OF CONSTRUCTION.
❑ I- and 2- family dwelling Commercial /industrial Valuation: S
❑ Accessory building I ❑ Multi- family
Number of bedrooms:
❑ Master builder ❑ Other: Number of bathrooms:
'" ' ;,,i -' ".! Total number of floors: JOB" SlT INFORMATION: AN1 L: „_, , . - ,.- -.,,,n 44 '' �* r
Job site address: i 6 2.6 O. J Gv �'� Ab �, New New dwelling area: square feet
City /State/ZIP: T i f-[ r / Ca"' Garage/carpon area: square feet .
Suite/bldg./apt. no.: Project name: Ld i b vk r - - j[U Covered porch area: square feet I.
Cross street/directions to job site: Sew QJ '2.e--C Deck area: square feet
Other structure area: square feet
ieatEQUIRED DATA ,C,Q11I ER 't1E IS).*
.,......,...,...._.... .._._ . - •a to --++ ,.. .,_ FMW-
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
= DESCRIP'CIUN ., RI w•? `•t �r �u e ai" k% =�•. work indicated on this application.
Buz;_..— .• .. :.x,. �41rs..U -;
,, -- _ i 1 Valuation: S G 33,36)
f i � f -� t•�� ciie z,_ ke'i cS Existing building area: square feet
= 'P 1 &13 1 1e-c.
,` _:, s New building area: square feet
:-.. . .. . Number of stones:
Q`PROPERTY OWNER'. .. .. ' - . TENANT '.. �__ ^ ' +'. "
Name: LA4., al,,,,,T i sve-r It t.;._.- \) 12-eS Type of construction:
Address: I G 2_4. d .3 (e1/4) C i z. ekb 'Ke---L c. Occupancy groups:
Citv'State. /ZIP• 'Tegs44, yVel f ,-1 I Existing:
Phone: ( ) I Fax: ( ) New:
APPLICANT • _ 0 CONTACT PERSON; .. • - - . - • '.:" : --_ : ' :' . :'
Business name: �l'� V. 1 T c . All contractors and subcontractors are required to be
� licensed with the Oregon Construction Contractors Board
Contact name: ` l . 1 F i ie 2 fi r , ,� I under ORS 701 and may be required to be licensed in the
Address: + ` , jurisdiction in which work is being performed. If the
��(f ;,4' applicant is exempt from licensing, the following reasons
CitviState /ZIP: G,2:71e1rL.. f
.y W. oz c1 z.Z4 le' _ _ apply:
Phone: ( s z - yd ! Fax:: (SZZS) 6 Le - %d Sg - - --
E -mail:
CONTRACTOR - ..• , . . • .
Business name: "c F,- i ze t l-.I\c , BUILDING- ._ PERMIT FEES*"
Address: 114-1 ( '— 5 , 6 . zt1 d , L"A„e_il. , i - Please refer to fee schedule.
City /State.'ZIP: --- " c . &-i-f t c flzaci
Fees due upon application
Phone. ( S' ) 6., L 0- yc z 3 Fa,: ( 5713 t zv -teis 8
Amount received
CCB lie : y
6 9
Date received:
�1�=�s��
Authorized signature: Kbe, This permit application expires if a permit is not obtained
� within 180 days after it has been accepted as complete.
Print name: C L l ., �� l /� t /�� �' Y ((1- Date: l * Fee methodology set by Tri -County Building Industry
Service Board.
tiuuunc Pc: rtuli FPS- PcrmnApp dot: c: 03 co—o e 13T1i 1 /O21COMIWEB1
• CITY Of TIGARD
BUILDING DIVISION PERMIT #: BUP20054J0629
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1216/2005
Phone:. (,03) 639-4171 ioak
, w i l
Inspection Requests (24 Hrs.): (503) 639-4175 „.„. ....... t
INSPECTION WORKSHEET FOR DATE: 1 TIME: 7:01AM PAGE: 46
SITE ADDRESS: 10260 SW GREENBURG RD 160 CLASS OF WORK:
SUBDIVISION: LINCOLN CENTER/LINCOLN TOWER LOT #: 014 TYPE OF USE:
PROJECT NAME: KELLY SERVICES
DESCRIPTION: Fire sprinklers: 5 relocate, 1 cap and 2 new.
OWNER: EQUITY OFFICE PROPERTIES TRUST, PHONE #:
CONTRACTOR: DELTA FIRE INC PHONE #: 503-620-4020
Inspection Request Scheduled For: Date: 12/14/2005 Pour Time: ,
Code # Inspection Description Confirm # Contact # Message
939 Sprinkler final 023435-01 503-780-3222 Y
-0cP-Otik
Corrections/Comments/Instructions:
-------■,
1 1 PARTIAL APPROVAL 0 CANCEL 0 NO ACCESS
0 FAIL 0 CALL FOR INSPECTION 1 ADDITI• NAL FEES ASSESSED
Il■ VA
'
ofr / (A
Inspector: / Date: .=.- one #: (503) 718-
,, ,,• ,
CITY OF TIGARD
BUILDING DIVISION PERMIT #: BUP2005-00629
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 12/O/2005
Phone: (503) 639-4171
Requests (24 Hrs.): (503) 639 -4175 W
INSPECTION WORKSHEET FOR DATE: 1219/2005 TIME: 7:04AM PAGE: 57
SITE ADDRESS: 10260 SW GREENBURG RD 160 CLASS OF WORK:
SUBDIVISION: LINCOLN CENTER /LINCOLN TOWER LOT #: 014 TYPE OF USE:
PROJECT NAME: KELLY SERVICES
DESCRIPTION: Fire sprinklers: 5 relocate, 1 cap and 2 new.
OWNER: EQUITY OFFICE PROPERTIES TRUST, PHONE #:
CONTRACTOR: DELTA FIRE INC PHONE #: 503-620-4020
Inspection Request Scheduled For: Date: 12/9/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
910 Sprinkler rough -in /test 023189 -01 503-620-4020 Y
Corrections /Comments /Instructions:
I+ v Fr
oF 0)612-k- 04(.) bpld
16-3s pE,c_Tio-ki
•
6 le — Lvov
ASS I I PARTIAL APPROVAL n CANCEL n NO ACCESS
❑ FAIL c n CALL FOR INSPECTION n ADDITI NAL EES ASSESSED
Inspector: 6 . Date: q Phone #: (503) 718-