Permit CITY OF TIGARD BUILDING PERMIT
PERMIT #: BUP2004 -00541
DEVELOPMENT SERVICES DATE ISSUED: 11/15/2004
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 PARCEL: 1S135AB -03400
SITE ADDRESS: 10260 SW GREENBURG RD 1160
SUBDIVISION: LINCOLN TOWER -TOWN OF METZGER ZONING: C -P
BLOCK: LOT: 014 JURISDICTION: TIG
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: 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
Remarks: Sprinkler heads: relocate 7 and add (2) pendents.
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: FAX - 692 -1186
Reg #: MBf692- 9
FEES LIC REQUI ED INSPECTIONS
Description Date Amount Sprinkler inspection
[BUILD] Permit Fee 11/15/2004 $62.50 I1JAlr ZN��
[TAX] 8% State Surcharl 11/15/2004 $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: .4 0 / _, � _ ��
Pe rm ittee
Signature: O (�
Call 639 -4175 by 7 p.m. for an inspection the next business day
,.
'1 -12 -04 10:3 , FROM - Automatic Fi re Protection 5036921186 T -515 P.003/005 F -919
'I ., a ]Pr ten
lcatioll! zo FOROFFICE>JSEONLY •
Building Permit ApA1� vI 11JJ �� 4 . p —, 006 G` �� 1` Receive I Permit No.:
City of Tigard 4 t� U Dete�Y: (/ 1 ` '!
13125 SW Hall Blvd., Tigard, OR 1 9722 3 Plan Review ( OtherPermi '� /r K `005d
1®® di re- . , , ,41110 - Dau/➢2y:
phone: 503.639 -4l Fax: 503.596,1960`�fl . Date Ready/13y: r is: [3 Sc e Page 2 for
Inspection Line: 503.639.4175 �1� " 1 ' ; 4- " ' Da yf 1hod: 1 Supplemen f9 rormation
�
Internet: www.ci.tigard.or.us ,� '
r11S i N _ .,,,ltl�l i..:: G <' w, ' I.:t M1 p vlIL3I EL>
,' ,,•, , r cep N t �:.-. 5 c4C .:27, , S' °.P V r*:-. . ,.�.:. ,,Atv �'! �P' 1 . • , Q., . „,, n �t:�•i • .- ^ .... ,, , , •
�,1= �4,.. -'�� � � � �•.�{ ., -:r., :.. a,�r, a..;:... %D.: Lei �, Of the work performed.
,r• ° iz: w ; co ni t r uc t i on ;i�,sr t;�,:r � . -.'' permit fees are base on the value P
El New construc Q Demolition Permit
the value (rounded to the nearest dollar) of all
equipment, materials, labor, overhead, and the profit for the
Additie altcrntia eplaccment ❑ Qrht: y- y indicated on this application..
r,r__ i�r;; : sip' s work dice PP
:t•l . •.. ;Y. WJT � ���,�.,� 7, t7 S lU�v::;., t) . �rti� {���'', .1.!�i'1F��
- • 1 .* 3 ;F� x l., n� 5.� - ��t< -i „' ^', .. d,.. 7j ° : . Y •. •� : -- >: Mr/` .�- Yr'�a,,.: �37.,$'tic.:. ,a:''
"i( :r1:i %f ?:. i'ti? l9� \• 1 "�� �a�a Valuation:
❑ 1 - and 2- family dwelling ® Caeameraial/indusirial . • • '
Number of bedrooms:
❑ Accessory banding ❑ Multi - family
ID _ Number of bathrooms:
Master builder fl Ocher:
„ - w o. „ r 1, +^1 =a' .:';''t Total number of floors:
nc�at' ar4n P'T - ^ "n x� f lo�'0 rl: � .., ?� -i F^InT�n� � F'n
•: i r r4,' L '' k! •" .. ..�1 �J; 11 .W O '' � , Cie. - `•, --;, .,'i+•,^r ., ` „ F I. =" ; . �''�l4'41FC.3 ,114 w:. -.. R:114:11
"� site n "� r ` ' :' New dwelling area: square feet lob si address: �pZ �+ r ` ~
�.x.�Y \t„t4 \ t�v.
GaragPJcarPort arcs= square feet \
■
• City /State/ZIP: �?t square feet
Project name: , , le . Covered porch area:
�. dgJapt- no.: ‘k( CD 1 L —
Cross street/directions to job site: t .p_ ,
Deck area: square feet
Other structure area: square feet
Lot no. Permit fees" are based on the value of the work performs d-
Subdivision: Indicate the value (rounded to the nearest dollar) of all
TaxP /Parcel no.: . overhead, and the profit for the
equipment, materials, labor, o P
w .p, , ..n M .. a : +yam • ><'tz �;��ti' /({' ? •� � • t p`F ' ���h work indicated on this application -
174:.--, e el :eti l' e•- :M 2 7t g.. • .� �M. aY- • \- n3n '= �
i•' :' '
- / 0° S Y W I M! [ NNN ��2 ,7 �6 nr" •a Valuation:
= k l • , ' i� -v
X21 �1Cl t ‘�✓"n � Existing building area 7(�jg square feet
s
New building arcs: — square feet
ii ; w'v, .. Number of stones: a.
M+ ... enrtrf :, `. ':,1 _' r +;fit' ,yt(,..•gaI ,,,, � .� '
s +, �'. :, L e _ ' ' ay � � s. , „ : . r � ,. eee...�ti eeei e,..,• , . .- . e ,. � tree Type of consuttction! �
Name: �u‘.�`i \ • �i-eiglcit?
Occupancy groups:
Address:
City/State/DR Existing:
Phone: ( ) Fax: ( ) New.
- .r. ,;?',� }+� F . • V , . "n , '`{�w + +• j1`. i, ; (1 t . -" - - eniee r4„p„, tee ,,e,'"pe j �g]'' �. ]F_, - .
. �,7 'i" '{ ^ F i � , � - J } tai- Rii..65,n r d ; 4+. �i ..y r ry1Y ; ,'{ J'ir';`n'�4.?(i';�'1:`r� ^il �i.;,r •{1•-
eeeieeeeeeeet Business name: l r , -. , 1 ,_ All contractors and subcontractors are required to be
licensed with the Oregon Construed= Contractors Board
Contact name: s lit t A iJ l .Stl..4 - under ORS 701 and may be required to be licensed in the
jurisdiction in which work is being performed. If the
Address: ‘9 q3S S l Tlx - applicant is exempt from licensing, the following reasons
C i t y / S t n t e / Z / P P : J L . 1 A , 4 . 0 - R . q 1 - 1 ( s u 2 apply: -
Phone: ( sis J ) 6 53-z_ a
- 1 a Fax:: (9 ) ( ? -
E - m a i l ; ,
:r. tr:`_WFiSr'!4. � r .,4�'y�,, , " -? �r !Ei'� r,rk ?��y�o�...,,, J,7�� ,i'.r' � �? f
- T. pp::'L`ll"'r'z ..�'-`�.� M'; ��,4'. . lei- li: � .44- s;•11y?* ars U!-, tX`...; Wi t".'. El aiRi't _11.0)1 ;'. •i . :i' �" . 4 _. 4
' �• �; h,:` �..�,,:,3d>..�-�';�'•'.�r..•. �t \;sir �.�,�- �,:.i(. -: -. ... -•,. , -�.. t: ��.,.. ... .,.ue•:..._ .-
Business name: 1 GeST L.lu 1 1 ; "' [?�%bll!fG ':...
Address: 1q Z\''. .' i ,z...9 t ti f C ,Please refer ro fee schedule.
City/Statc/ZIP: S 8L - 1 C cz1 1.1,62 p,
D Fees du u application C , JV
Phone: (S63) GR2 92,R4 I Fs": (� ) p F Z _ 11 o� - Amount received
CCB lie.: ., Date received:
Authorized signature: This permit application expires if a permit is D ot obtained
�1�� \I \ \���:`* within 180 days after it has been accepted as complete.
Date: (l�� - 6,1 . Fee methodology set by Tri-County Building Industry
Print name: 1 at...) iv SQt• Service Board,
. a40 4613T(1 uovcOIW\� •
i:\ Building \I'ertnita \FPS•Pcrmiupp.doc 1J03 .
:TY OF TIGARD 24 -Hour
'' BUi DING Inspection Line: (503) 639 -4175
I NSPECTION DIVISION Business"Line: (503) 639 -4171 7,,MST
BUP .2? 'd ( 1l
Received Date Requested /� J ame ) AM PM BUP "''_( `'_
Location le)' Co D -41- Suite /lh MEC
Contact Person /PQtz-Q--Q Ph ( ) Y g X63 PLM
Contractor Ph ( ) SWR
BUILDING Tenant/Owner ELC
Footing
ELC
Foundation
Access:
Ftg Drain ELR
Crawl Drain
Slab Inspection Notes: SIT
Post & Beam
Shear Anchors
Ext Sheath/Shear ,
Int Sheath/Shear
Framing
Insulation I
Drywall Nailing — L., —
FireSll �P .411 1Wita �ir F
Fire Alarm
Susp'd Ceiling
Roof — . 4 /---- 1111
i . 1317: ING
Post & Beam
Under Slab
Rough -In
Water Service - /
Sanitary Sewer 1-- 4 1
Rain Drains
Catch Basin / Manhole f
Storm Drain
Shower Pan
11 ! _
Other:
Final
PASS PART FAIL
MECHANICAL .
Post & Beam
Rough -In
Gas Line
. Smo. - .t. mpers
�
ayr�
PART FAIL
-- TRICAL
Service
Rough -In
UG /Slab
Low Voltage
Fire Alarm
Final ❑ Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
PASS PART FAIL
SITE 0 Please call fo reinspectio. RE: • , NO Unable to inspect – no access
Fire ADASupply Line 1, A
l k'
Approach/Sidewalk Date Inspector 07 Est
Other:
Final DO NO REMOVE this inspection record from the Job site.
PASS PART FAIL