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Permit
CITY TIGARD BUILDING PERMIT PERMIT #: BUP2005 -00110 ,���� DEVELOPMENT SERVICES DATE ISSUED: 3/21/2005 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 1 S 135AB -03400 SITE ADDRESS: 10260 SW GREENBURG RD 380 ZONING: C -P SUBDIVISION: LINCOLN TOWER -TOWN OF METZGER LOT: 014 JURISDICTION: TIG Project Description: Relocate (2) & add (1) fire sprinkler. . 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: VALUES D© 00 Owner: Contractor: EQUITY OFFICE PROPERTIES TRUST MCKINSTRY COMPANY ONE SW COLUMBIA ST #300 5400 NE COLUMBIA BLVD PORTLAND, OR 97258 PORTLAND, OR 97218 Phone: Phone: 331 -0234 Reg #: LIC 40981 FEES Description Date Amount REQUIRED ITEMS AND REPORTS [BUILD] Permit Fee 3/21/2005 $62.50 [TAX] 8% State Surcha 3/21/2005 $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 rules or direct questions to OUNC by calling 503 - 246 -6699 or 1- 800 - 332 -2344. Issued By: J y Permittee Signature: \`j a 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. Fire Protection System ' wilding Permit Application' �r� FOR OFFICE USE O N LY City 1�� Received _ `J Of Tigard g t� ° � [ Date /By:,�,�� D� -9L Pennit No.:'���,� � �y J/ (� 13125 SW Hall Blvd., Tigard, OR 97 _3 op5 DatelB� Plan Review Phone: 503.639.4171 Fax: 503.598.1960 2 Vi m, •! i h° Other Pennit ''' Y � Inspection Line: 503.639.4175 ��* 1� - , Date Ready /Br: Juns: ® See Pace 2 for Internet: www.ci.tigard.or.us O� ��GIRSiO� Notified /Method: j Cr Supplemental Information ir > TYP()IvW. RKa r:i, ,, ir,:.; _ ._ , - O �:e � �� ,C: = REQUIRED DATA :;1 AND .2= FAMILY ; ��: °.,` ❑ New construction ❑ Demolition 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 =;Yt '`' RY:•i F ( ON TI N work indicated on this application. CATEGQ Q . C S C O_ ❑ 1- and 2- family dwelling ® Commercial /industrial Valuation: $ ❑ Accessory building ❑ Multi - family Number of bedrooms: ❑ Master builder ❑ Other: Number of bathrooms: n;, ;.t Total number of floors: � JOB` ° SITE. INFORMATION LOCATION Job site address: 10260 SW Greenburg Rd New dwelling area: square feet City/State /ZIP: Tigard, Or Garage /carport area: square feet Suite/bldg. /apt. no.: 380 Project name: Suite 380 Covered porch area: square feet Cross street/directions to job site: Lincoln Tower Deck area: square feet Other structure area: square feet REQUIRED: DATA: •,COMMERCIAL USE'CKECKLIST L, 35 s, s` r .,.,. .. -_ ,_ _ _ 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 x y equipment, materials, labor, overhead, and the profit for the ' °`- ` DESCRIPTION ~OF WORK °; R `. work indicated on this application. _ ti d Relocate 2 add 7 Fire Sprinklers. Valuation: S Existing building area: square feet New building area: square feet ;, PROPERTY:OWNER 0 \ =TENANT " / Number of stories: Name: Equity Office Properties Trust Type of construction: Address: 10260 SW Greenburg Rd # 100 Occupancy groups: City/State /ZIP: Tigard, Or 97223 Existing: Phone: (503)892-2500 Fax:( ) New: 4o ®: =APPLI 'ANP ' NI1I j' �<:. �. NOTICE Business name: McKinstry Co. All contractors and subcontractors are required to be " Contact name: Richard Gordon licensed with the Oregon Construction Contractors Board under ORS 701 and may be required to be licensed in the Address: 5400 NE Columbia Blvd. jurisdiction in which work is being performed. If the City/State /ZIP: Portland, Or 97218 applicant is exempt from licensing, the following reasons apply: Phone: (503) 331-2468 Fax: : (503) 832-8539 E -mail: Richardg @mckinstry.com CONTRACTOR a Business name: McKinstry Co.�- ai BUILDING PERMIT FEES, k. Address: 5400 NE Columbia Please refer to fee schedule. City/State /ZIP: Portland, Or 97218 Fees due upon application Phone: (503) 331-2468 Fax: (503) 331-6906 Amount received CCB lie.: 40981 Date received: Authorized signature: This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name: Richard Gordon Date: 3 -21 -05 * Fee methodology set by Tr-County Building Industry Service Board. i:\ Buildmg \Permits\FPS- PermitApp.doc 12/03 440- 4613T(11102/COM /WEB) CITY OF TIGARD 4- BUILDING DIVISION PERMIT #: BUP2005 -00110 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/21/2005 Phone: (503) 639-4171 Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 3/23/2005 TIME: 7 :08AM PAGE: 99 SITE ADDRESS: 10260 SW GREENBURO RD 380 CLASS OF WORK: SUBDIVISION: LINCOLN TOWER -TOWN OF METZGER LOT #: 014 TYPE OF USE: PROJECT NAME: TRELLEBORG DESCRIPTION: Relocate (2) & add (1) fire sprinkler. OWNER: EQUITY OFFICE PROPERTIES TRUST, PHONE #: CONTRACTOR: MCKINSTRY COMPANY PHONE #: 331 -0234 Inspection Request Scheduled For: Date: 3/23/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 999 Sprinkler final 002616-02 603-209-5769 N Corrections /Comments/ Instructions: 64 5' e l`t (44. (,- e • PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS n FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: rya V /{,(APl1 4_ Date: 3 ` 2-/ Phone #: (503) 718 -