Permit BUILDING PERMIT
CITY OF TIGARD PERMIT #: BUP2006 -00242
I4, DEVELOPMENT SERVICES DATE ISSUED: 6/5/2006
I
I° 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171
PARCEL: 1 S 135AB -03400
SITE ADDRESS: 10260 SW GREENBURG RD 540 ZONING: C -
SUBDIVISION: LINCOLN CENTER /LINCOLN TOWER LOT: 014 JURISDICTION: TIG
Project Description: Relocate (8) heads & Plug (1).
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: 5N 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: $ 2,000.00
Owner: Contractor:
EQUITY OFFICE PROPERTIES TRUST MCKINSTRY COMPANY
ONE SW COLUMBIA ST #300 12021 NE AIRPORT WAY SUITE G
PORTLAND, OR 97258 PORTLAND, OR 97220
Phone: Contact #: FAX 503 - 331 - 6906
PRI 503 - 331 -0234
Reg #: LIC 40981
FEES
Description Date Amount REQUIRED ITEMS AND REPORTS
[TAX] 8% State Surcha 6/5/2006 $5.00
[BUILD] Permit Fee 6/5/2006 $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 -6699 or 1- 800 - 332 -2344.
Issued By �G�j p "v Permittee Signature: _u , ,
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 Pr Protection Syst tc o
Building Permit Application '�•. " _ • , FOR Oil ICV USE ONLi
•
City of Tigard JUN N 5 L 2006 Received �J - Penult it No.. 1 rJ
13125 SW Hall Blvd., Tigard, OR 97223 J V IU o Date/13y: O L/ W / ft---(21,2_ 1 Ian Review
Phone: 503.639.4171 Fax: 503.598,. 960v p U, � /i 440 Date /By: Other Permit:
Inspection Line: 503.639.4175 4 ..1 4 ..1.1. Y
. j<!ij ,,: A' . /L' Date Ready/By: ISE ® See Page 2 for
Internet: www.ci.tigard.or.us IJ J D 'DIY d J `�Si.7�i J n A T�I , . Notified/Method: Supplemental Information
J j
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• ` , - :. :TYPE;OF WORK;; : <.. :• _x,. •
. . _ - � :... • =•- .,, .. <,,�•,,!, ,,_.., . REQUIRED-DATA 4- .AND FAMILYDWELLING:.::
❑ New construction ❑ Demolition Permit fees* are based on the value of the work performed.
Indicate the value (rounded to the nearest dollar) of all
VI,Add ❑ Other: equipment, materials, labor, overhead, and the profit for the
` - work indicated on this application.
' ,, • iCATEGORI' OF CONSTRUCTION - • . PP
❑ 1- and 2- family dwelling 11�,Commercial /industrial Valuation: $ , U Q • `�
El Accessory building ❑ Multi- family Number of bedrooms:
12 Master builder 1:1 Other:
Number of bathrooms:
• • •• - .`JOB'.iSITE,r "INFORM =AND ,, LOCATION'` = - .{ i`-�- ':,'. " . Total number of floors:
Job site address: / O 2 ( D S W t- £,_r ol, 1 t:.ot YL.. / ? New dwelling area: square feet
City /State /ZIP: /, R-7'7tc , c / 0 A Garage /carport area: square feet
Suite/bldg. /apt. no.: 5 y 15 Project name: SC c to vt-r' '7777' c Covered porch area: square feet
r
Cross street /directions to job site: Deck area: square feet
Other structure area: square feet
' ?REQUIRED:DATA: COMMER'CIAL'USE CHECKLIS,T,';'`
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
,t?'" _ ;= - "DESCRIPT_ION OF • ?WORK'•• work indicated on this application.
fi e /0 LeCT: — ` /C.t e , - / s)4i2 i k f-cN . Valuation: $
/ Existing building area: square feet
New building area: square feet
' "' ° " '"' " ®• TY•.OWNER'''x ' " ® -- TEN ., Number of stories:
Name: G to ;'1 OP' t'c C Type of construction:
��! F
Address: I_
/ �J,?. (CJ `J 0..) C�✓Lt -cam Y, tt yl , . c r ?, ``06 Occupancy groups:
City /State /ZIP: t r „ 7 /4 9 7 2,, Existing:
Phone: ( !i) f) 7.2- - j 4 G Fax: ( ) New
" ❑'APPLICANT';'$ i,;, 3 ;'` , � ` *.; - ` ®.CONTACT'aP.ERSON. 1 ,
i -*- �t .. .. •:_ . . .... `
Business name: .. _.
//Gli I kr S !k ,� C U All contractors and subcontractors are required to be
Contact name: C ,oz_ g a 0 Al licensed with the Oregon Construction Contractors Board
: (fr under ORS 701 and may be required to be licensed in the
Address: / p 2_ i N (' Al ie /DD,c ` 4(...), . 5' p. / l Y 4 jurisdiction in which work is being performed. If the
�► /'2 Z G applicant is exempt from licensing, the following reasons
City /State /ZIP: •
D 2T�G vt apply
Phone:( •-p ) r�3`f— O23 .. Fax:: (5'03) 3S/ —9 -
( i f�
E -mail: '
- / . l- & ! /e: ivf 57k tom C 6 K
: -- . :� r.. .- 'CONTRACTOR': ....
Business name: C
k(t/` S (n2 v (1.0 .
` �BUILDING'''PERMIT 'FEES*
Address: / 2 062./ /VE /9 '/✓ //J "" t4I -74•-•
o Y �k. / Please refer to fee schedule.
City /State /ZIP: 14 N 77c µ c/ / Gtj .97v- 2
Fees due upon application
Phone: ( 3i /-_,;= Fax: ( 505) 33 / - 9 0 7
Amount received
CCB lic.: /. u
/ I 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: G , rG 7 ' ' r `. _3 •,.t Date: to _r —C) * Fee methodology set by Tri- Comity Building Industry
/ • Service Board.
i:\ nuitding \Perinits\FPS- PermitApp.doc 12/03 440- 4613T(II /02 /COM /WEi)
•
City of Tigard: Fire Protection Permit Checklist
Page 2 - Supplemental Information
Dcrrkbe done
1.) El New 2.) Modification to sprinkler heads only:
El Addition 1 -10 heads: No plan review required.
[2- Alteration El 11+ heads: Plan review required.
I:1 Repair
Number of sprinkler heads:
Additional description of work:
Tj'petoVSysteim(Crompleteek;013;:te`orMpas
e`l
1171 Wet • CI Dry
Additional Standpipes
Information: Hazard Group Lc-it
Densit , 0
Design Area /6'0
K. Factor 5, 4,
Sprinkler Project Valuation: $
Hood Project Valuation:
• • ..- „:
Submittal shall Battery Calculations 1:1 Yes
include: Individual Component El Yes
Cut Sheets
Fire Alarm Project Valuation: $
Zianignatf2MOZW.Varg4tMZ.grZaile4W
-14.2
11.V4eitilentiat'Spitiliklor4(Stand Alone::Systeth) , : ,
Square Footage: Permit Fee:
0 to 2,000 $187.50
klatAt;a04
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.
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.
1:\BuildingTermitsTPS-PermitApp.doc 2
CITY.QF TIGARD
• BUILDING DIVISION PERMIT #: BUP2006•00242
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/5/2006
Phone: (503) 639 -4171 . �m� �ill
Inspection Requests (24 Hrs.): (503) 639 -4175 =.� 1±.
•
INSPECTION WORKSHEET FOR DATE: &7/2006 TIME: 7 :06AM • PAGE: 94
SITE ADDRESS: 10260 SW GREENBURG RD 0 CLASS OF WORK:
SUBDIVISION: LINCOLN CENTER /LINCOLN TOWER LOT #: 014 TYPE OF USE:
PROJECT NAME: SECURITY TITLE GUARANTY COMPAN
DESCRIPTION: Relocate (8) heads & Plug (1).
OWNER: EQUITY OFFICE PROPERTIES TRUST, PHONE #:
CONTRACTOR: MCKINS1'RY COMPANY PHONE #: 603 - 0234
Inspection Request Scheduled For: Date: 6/7/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
999 Sprinkler final 031236.01 503-572-0862 N
Corrections /Comments/ Instructions:
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1 I WS a rmo. '
•
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' 1E1 I — ■111Pr �— l
(
ASS n PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑
FAIL CALL FOR INSPECTION n ADDITI NAL FEES ASSESSED
Inspector: , Date: 7 c, Phone #: (503) 718 -7�"