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Permit CITY OF TIGARD BUILDING PERMIT PERMIT #: BUP2003 -00631 A DEVELOPMENT SERVICES DATE ISSUED: 10/30/03 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 PARCEL: 1S135AB 01004 SITE ADDRESS: 10220 SW GREENBURG RD 540 SUBDIVISION: TWO LINCOLN - TOWN OF METZGER ZONING: C -P BLOCK: LOT: 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: 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: VALUE: $ 650.00 Remarks: Relocate (5) fire sprinkler heads. Owner: Contractor: EOP LINCOLN, LLC MCKINSTRY COMPANY 10260 SW GREENBURG RD 5400 NE COLUMBIA BLVD SUITE 100 PORTLAND, OR 97218 PORTLAND, OR 97223 Phone: Phone: 331 - 0234 Reg #: MET 00001179 FEES LIC REQ INSPECTIONS Description Date Amount Sprinkler Rough - [BUILD] Permit Fee 10/30/03 $62.50 Sprinkler Final [TAX] 8% State Surchar4 10/30/03 $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 B • _ :J1 li S igna t u e V 2_ k..0_39 Signature: �� � � Call 639 -4175 by 7 p.m. for an inspection the next business day Building Permit Application - -- _ :- {`- r [ / ` - _ �. _.. -�+- OI i ltsL 1 �1• -':Y ll \� l�r'� Yr'.� Atik ���� of Tigard Date received: /Off �� �i // (90& ! / l , Project/appl. no.: Expire date: City of Tigard Address: 13125 SW Hall Blvd, Tigard, OR 97223 Phone: (503) 639 - 4171 Date issued: By: Receipt no.: Fax: (503) 598 - 1960 �l 0 05 - / p (O Case file no.: Payment type: Land use approval: � W l&2 family: Simple Complex: C `- ,�" -- - 4 1, . T � 1':PE OTP R -' . _, . _- - 0 I & 2 family dwelling or accessory 0 Commercial/industrial 0 Multi - family 0 New construction 0 Demolition D Addition /alteration/replacement 0 Tenant improvement bif Fire sprinkler /alarm 0 Other: _ JOB S iN ION = -- 1. Y , {_' .- v __ '--' -2. - - . ... , -- _._ _ ._. �.. ._ . ,v --. -i. ", ,4 e£ - _ ',,. -- . fir _ ='S_ "S "^4 � . - Job address: /O � (U GE_C_E/v /E/L& /2_0 . Bldg. no.: Suite no.: 52/O J Lot: Block: Subdivision: Tax map /tax lot/account no.: Project name: )4-X T®AI - Al /L(L Description and location of work on premises /special conditions: _ /2C CSC 5Pi2/NkL6/2 fit /i-b S . � . , .* 03'.1'NER �_2t .-T _ ECI: L NF(ORMATION, C ?SE C EekL1ST: � ._ _ �= F012 =S P Name: - __ (>•loodplatn se ph rcapactty solar. et _ Mailing address: 1 & 2 family dwelling: City: State: ZIP: Valuation of work $ Phone: Fax: E -mail: No. of bedrooms/baths Owner's representative: Total number of floors Phone: Fax: E -mail: New dwelling area (sq. ft.) _ "� _ r 1PYLl ,k 4 AI 1 _ a _ _ _ _ Garage /carport area (sq. ft.) Name: fri C..ILINSTEN (0. Covered porch area (sq. ft.) Mailing address: 6 /U E Cow v L gLV () Deck area (sq. ft.) City: POar N 1 State: © ZIP: _•I S Other structure area (sq. ft.) Phone503 33l OZ34 Fax 35/.00C E-mail: Z- Commercial /industrial /multi - family: a p amt.:_ ; CONTR=ACTOR" - -- ,=-= -- Valuation of work $ 5 Business name: / C_- //US Q_ 60 Existing bide. area (sq. ft.) Address: 6 NE C ((Alibi/A- B vi) New bldg. area (sq. ft.) Number of stories Ki • / / . • V I ZIP: 7Z 1 L Phone: 5j3, 334023cl Fax: 33/. & c0 (,, E -mail: Type of construction l CCB no .r Occupancy group(s): Existing: • New: City /metro lie. no.: -#-- Notice: All contractors and subcontractors are required to be >= - ARCH77 ECT /DESIGNER - .:, - -- =. -_= _` licensed with the Oregon Construction Contractors Board under Name: provisions of ORS 701 and may be required to be licensed in the Address: jurisdiction where work is being performed. If the applicant is City State: ZIP: exempt from licensing, the following reason applies: Contact person: Plan no.: Phone: Fax: E -mail: :;; --. _ ' lENGINEER -5 .- - -- , 1- :'-..v- �T.- _ _ _ _ �.- "0ITICE L'SEa( 11 - Name: Contact person: Fees due upon application $ Address: Date received: City: State: ZIP: Amount received $ Phone: Fax: E -mail: Please refer to fee schedule. I hereby certify I have read and examined this application and the Not all jurisdictions accept credit cards. please call jurisdiction for more information. attached checklist. All provisions of laws and ordinances governing this a Visa 0 MasterCard work will be complied it wh ter specified herein or not. Credit card number / / l / �1 Expires Authorized signature: L/ ,/ Date: /(�74- 2'-03 Name of cardholder as shown on credit card Print name: u l T i'/,. I� Cardholder signature $ Amount Notice: This permit application expires if a permit is not obtained within 180 days atter it has been accepted as complete. 440-4613 (6 /00/COm) CITY OF TIGARD 24 -Hour TY'. • BUILDING Inspection Line: (503) 639 -4175 INSPECTION DIVISION Business Line: (503) 639 -4171 MST cr ,3 -d©6, w Received /1/ = ' / -» Date Requested Val AM PM ' - 00 6 31 Location • 2 2— 0 /O& Suite 5 VO MEC • Contact Person V h ( 503) 347 - 056.3 PLM Contractor . Ph ( ) SWR BUILDING Tenant/Owner 1�-�C't - 1I-eV ELC Footing ELC Foundation Access: Ftg Drain _ ELR Crawl Drain Slab Inspection - Note: /p � "SIT Post & Beam 7 v p( e_o... -S -e. c a t l Shear Anchors Ext Sheath /Shear \ -V1/1 e e_ Int Sheath/Shear = .Framing - Insulation � v P ZOO � ._ �� -�—✓ _S"p 2 L Drywall Nailing L� �� r Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Ilia" PART FAIL ING • Post & Beam Under Slab Rough-In Water Service Sanitary Sewer Rain Drains Catch Basin / Manhole Storm Drain Shower Pan Other: - Final PASS PART FAIL MECHANICAL " Post "& Beam Rough -In Gas Line - Smoke Dampers Final - PASS PART FAIL ELECTRICAL Service Rough -In UG /Slab Low Voltage Fire Alarm Final ❑ Reinspection fee of $ required before next inspection. Pay at City Hall, 1.3125 SW Hall Blvd. 1 PASS PART FAIL SITE ❑ Please call for reinspection RE: Unable to inspect — no access Fire Supply Line ADA / / � �� Approach/Sidewalk Date (- Inspector Ext Other: Final DO NOT REMOVE this inspection record from the job site. `PASS PART FAIL