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Permit
1 _, _„: CITY OF TIGARD BUILDING PERMIT PERMIT #: BUP2008 -00145 : COMMUNITY DEVELOPMENT DATE ISSUED: 4/30/2008 T[GARd. 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 1S135AB-03400 SITE ADDRESS: 10260 SW GREENBURG RD 400 ZONING: C - SUBDIVISION: LINCOLN CENTER /LINCOLN TOWER LOT: 014 JURISDICTION: TIG PROJECT: REGIS Project Description: Relocate (8) fire 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: 2FR sf N: S: E: W: OCCUPANCY GRP: B TOTAL AREA: 0 sf ROOF CONST: FIRE RET? OCCUPANCY LOAD: 189 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: $ 1,180.00 Owner: Contractor: SHORENSTEIN REALTY SERVICES PACIFIC FIRE SYSTEMS ONE SW COLUMBIA ST #300 6704 RIVERIA CT PORTLAND, OR 97258 WEST LINN, OR 97068 Phone: 503 Contact #: PRI 503 - 710 -6646 Reg #: LIC 180140 FEES Description Date Amount REQUIRED ITEMS AND REPORTS [BUILD] Permit Fee 4/30/2008 $62.50 [TAX] 12% State Surch 4/30/2008 $7.50 Total $70.00 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 s or irect qu ns to OUNC by calling 503.246.6699 or 1.800.332.2344. Iss ed By: P ermittee Signature: _ �� 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. Minding Permit Application Fill'eF rotection System _ FOR OFFICE USE ONLY r City of Tigard k1 C l t Dace / By: Q^ Ty, � Permit No.: • 8<c Iii 13125 SW Hall Blvd., Tigard, OR 97 43 Plan Review ' Phone: 503.639.4171 Fax: 503.598.1960 Date /By. Other Permit: T I G A R D Inspection Line: 503.639.4175 APR 3 0 2008 Date Ready/By: ® See Page 2 for Internet: www.tigard- or.gov Notified/Method: • ' L / fti Supplemental Information PEW r ° - nGARD v TYPE 0E1 WORKf n W ICION REQUIRED DATA: 1- AND 2- FAMILY DWELLING ❑ New construction ❑ Demolition Permit fees* are based on the value of the work performed. Indicate the value (rounded to the nearest doll.. of all Addition/alteration/replacement ❑ Other: equipment, materials, labor, overhead, and t, • profit for the CATEGORY OF CONSTRUCTION work indicate. on this application. ❑ 1- and 2- family dwelling Commercial /industrial Valuation: $ ❑ Accessory building ❑ Multi - family Number of bedrooms: El Master builder CI Other: Number of bathro ms: JOB SITE INFORMATION AND LOCATION Total number of floes: Job site address: / 0 2_ 6 0 5 cc) e vi -e e:A. h j d New dwelling area: square feet City /State /ZIP: r�'jGL.I (o�w i 1 CR Garage /carport . ea: square feet Suite/bldg. /apt. no.: e /OO Project name: Ael wg Covered pot area: square feet Cross street/directions to job site: Deck are.. square feet Other cture 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 DESCRIPTION OF WORK work indicated on this application. ��— Valuation: $ 1 I Q0,c) Existing building area: square feet New building area: square feet XPROPERTY OWNER C] TENANT Number of stories: Name: Si OY1 e ti S (j i'N Type of construction: Address: Occupancy groups: City /State /ZIP: Existing: Phone: ( ) Fax: ( ) New: ❑ ' APPLICANT ❑ CONTACT PERSON NOTICE Business name: — �j�/ S fi > All contra ctors and subcontractors are required to be � r� C� L � �� q Contact name: �Z{�, i� •7� licensed with the Oregon Construction Contractors Board under ORS 701 and may be required to be licensed in the 6 Address: / I 't1,61N_ e jurisdiction in which work is being performed. If the City /State /ZIP: Wcs LS I . K A of ?704g- applicant is exempt from licensing, the following reasons apply: Phone: (6V / LC>-- CO L 4-114, C/ N� Fax:: ( ) E -mail: C...t�- r, \ � r-01 ∎ , tiI t C: 7 1 CONTRACTOR BUILDING PERMIT FEES* S -rte_ �5 � � (Please refer tP schedule) Business name: fee: Per fee: 6,2 Address: City /State /ZIP: State surcharge (12% of permit fee): 7 . .; FLS plan review (40% of permit fee): Phone: ( ) Fax: ( ) (Due upon application) CCB lie.: C b ) Li/ a /'/7 Q Total permit fees: Authorized signature: ' Amount received: 70 �° This permit application expires if a permit is not obtained Print name: 6' n , i � Date: e i - 3O - 01-' within 180 days after it has been accepted as complete. `/ * Fee methodology set by Tri- County Building Industry ( Service Board. 1:\Building\Permits \FPS - PermitApp.doc 03/23/06 440- 4613T(t l /02 /COM/WEB) • City of Tigard: Fire Protection Permit Checklist Page 2 - Supplemental Information Describe work to be done:, ' 1.) ❑ New 2.) Modification to sprinkler heads only: ❑ Addition ❑ 1 -10 heads: No plan review required. ❑ Alteration ❑ 11+ heads: Plan review required. ❑ Repair Number of sprinkler heads: Additional description of work: .Type of System (Compete A, B, C or D as applicable): A.) Commercial Sprinkler ❑ Wet ❑ Dry Additional Standpipes Information: Hazard Group Density Design Area K. Factor Sprinkler Project Valuation: $ B .') Type I - Hood Fire Suppression System Hood Project Valuation: $ C:) Fire Alarm Submittal shall Battery Calculations ❑ Yes include: Individual Component ❑ Yes Cut Sheets Fire Alarm Project Valuation: $ D.) Residential Sprinkler (Stand Alone • Square Footage: Permit Fee: 0 to 2,000 $187.50 2,001 to 3,600 $232.50 3,601 to 7,200 $292.50 7,201 and greater $381.50 Sprinkler Project Square Footage: sq. ft. Fire Protection Permit Fees Project valuation subtotal (see A, B & C above): $ Permit fee based on project valuation (see fee schedule): $ Permit fee based on square footage (see D above): $ State Surcharge (12% of permit fee): $ FLS Plan Review (40% of permit fee): $ TOTAL: $ Plan review requires a completed application and 2 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: \Buil ding \Permits \PPS- PennitApp.doc 2 . . CITY OF TIGARD ,� BUILDING DIVI PERMIT #: BUP2008- 00'145 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/30/2008 Phone: (503) 639 -4171 / gmpei Inspection Requests (24 Hrs.): (503) 639 -4175 $i INSPECTION WORKSHEET FOR DATE: 5/7/20' TIME: 7:00AM PAGE: 30 SITE ADDRESS: 10260 SW GREENBURG RD 400 CLASS OF WORK: SUBDIVISION: LINCOLN CENTER/LINCOLN TOWER LOT #: 014 TYPE OF USE: PROJECT NAME: REGIS DESCRIPTION: Relocate (8) fire sprinkler heads OWNER: SHORENSTEIN REALTY SERVICES, PHONE #: 503 -412 -4800 CONTRACTOR: PACIFIC FIRE SYSTEMS PHONE #: 553-710 -6646 Inspection Request Scheduled For: Date: 517/2008 Pour Time: Code # Inspection Description Confirm # Contact # Messa• - 999 Sprinkler final 069490-01 503-710-6646 Corrections/Comments/Instructions: • 6 11 " ❑ PARTIAL APPROVAL ❑ CANCEL n NO ACCESS ❑ FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: . — , Date: < 7 © ° Phone #: (503) 718- _ � yy ■ . . CITY OF TIGARD • - BUILDING DIVISION , PERMIT #: f3UP2008-00145 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4130/2000 Phone: (503) 639-4171 4:0 I i° B m - 0 Inspection Requests (24 Hrs.): (503) 639-4175 Aqi■ . All. INSPECTION WORKSHEET FOR DATE: 5i2/2008 TIME: 7:00AM PAGE: 38 SITE ADDRESS: 10260 SW GREENBURG RD 400 CLASS OF WORK: SUBDIVISION: LINCOLN CENTER/LINCOLN TOWER LOT #: 014 TYPE OF USE: PROJECT NAME: REGIS DESCRIPTION: Relocate (13) fire sprinkler heads OWNER: SHORENSTEIN REALTY SERVICES, PHONE #: 503-412-4800 CONTRACTOR: PACIFIC FIRE SYSTEMS PHONE #: 503-710-6646 Inspection Request Scheduled For: Date: 502008 Pour Time: Code # Inspection Description Confirm # Contact # Message 999 Sprinllor final 069221-01 603-710-6646 N Corrections/Comments/Instructions: c' ife,--(-.- 1 / 0 ' 7 ?le '-j 61Z_ 1-1-t.°4-7 5 cs77 I El PASS PARTIAL APPROVAL El CANCEL ' El NO ACCESS i — i 7fA FAI 1 • CALL FOR INSPECTION 0 ADDITI oNA FE2. ASSESSED Inspector: I Date:alp Phone #: (503) IF"