Permit CITY OF TIGARD BUILDING PERMIT
PERMIT #: BUP2004 -00523
411 DEVELOPMENT B So RV (503) 639 -4171 SERVICES DATE ISSUED: 11/4/2004
-- 13125 SW SITE ADDRESS: 10220 SW GREENBURG RD 410 PARCEL: 1S135AB -01004
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: : 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: - # 00
Remarks: Relocate (8) & add (2) sprinkers per HFAP 13.
Owner: Contractor:
EQUITY OFFICE PROPERTIES TRUST AFP SYSTEMS INC
ONE SW COLUMBIA #300 19435 SW 129TH
PORTLAND, OR 97258 TUALATIN, OR 97062
Phone: 503 - 4152 -4800
Phone: FAX - 692 -1186
Reg #: M T692- 926400
FEES LIC REQUIRED INSPECTIONS
Description Date Amount Sprinkler inspection
[BUILD] Permit Fee 11/4/2004 $62.50 Sprinkler Final
[TAX] 8% State Surcharl 11/4/2004 $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: � �� r i7� Ji
Permittee
Signature: jI & c)\7,f'
Call 639 -4175 by 7 p.m. for an inspection the next business day
NOV-02-04 04:19PM FROM-Automatic Fire Protection 5036921186 T-467 P.002/004 F-771
. •
• ■ ,
BuildU Permit Application FOR OFFICE USE ONLY -
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City of Tigard RECE D
ilk# Rece.d.,..... 0 „, a7 p- A
Date/13 : / Permil.No.: ' ( ...k.,... :42) ---.... ---
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13125 SW Ball Blvd., Tigard, OR 97223 Plan Reiew
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Phone: 503.639.4171 Fax: 503.598.1960 6.71, ..,03 , Other Permit:
Inspection Line: 503.639.4175 NOV 0 2, 2004 .1.4•- r"
...-: --... Date Ready/By: 13 See Page 2 for
Internet: www.ci.tigard.or.us CITY OF TIGARD Notified/Method: Supplemental Information
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0 New construction 0 Demolition Permit fees* arc based on the value of the work performed.
— Indicate the value (rounded to the nearest dollar) of all
0 Additio Virlffk El Other: equipment, materials, labor, overhead, and the profit for the
• Ti:';' Ilif , ..;4,,F,k-4:.:ip , .. : ,.. : :.2;',., : ;‘x,M - ,.;,- work indicated on tins application.
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0 1- and 2-family dwelling Com cial dustrial Valuation: $
0 Accessory building 0 Multi-family Number of bedrOorris:
0 Master builder El Other: Number of bathrooms:
-;-[?i .. 1: ....,•ia :• 7 ...., ...... ,. • , .....• „: r ...7,
1:'' • . - i 4 - . , %41k1 5 .-. kg, - : . i rr.4.7-:- ,.... :.1 1 „,, Total number of floors:
,
' :. 'A.:;,) L. .4%.? ..t .T.:F!rire.:,..,,...-•Wq.FA• • g..r ,-; , RP. • "
,... Job site address: it.,2Z6 6 Cturf ‘6_^ 5IS 4ICS New dwelling area: - square feet
City/State/ZIP: Garage/carport area: square feet
Suit '.1d:. rpt no..1 1 oc,_iProject name: up I., LA rN i tr c a p icn Covered porch arca: square feet
Cross street/directions to job site: C rua _G o z-z I 1 4 7 ki - Deck mires: — square feet
• Other structure area: square feet
regiiigPaf
_ ...
Subdivision: Lot no.: Permit fees* are based on the value of the work performed.
Indicate the value (rounded to the nearest dollar) of all
Tax map/parcel no.; •
equipment, materials, labor, overhead, and the profit for the
..., work indicated on this application.
...---•••-"
....--
, Valuation. 9st, s
_
. ...t. 11.- 44. - 2. - .. .1■1-7 akli 4 I..LC 0; . co
Ile■ N' ____ Existing building area: S&7 square feet
New building area: -- square feet
' N
umber of Stories: (...
...it•T'LL' :3'''grIM.Y , --q r Ait.: ,..., zvr,"1-glitut3;
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Name: L. .„..,..., ../ pc; Type of construction: 1 4E5
-- Address: Occupancy groups: G
--
City/State/ZIP:
Existing:
Phone: ( ) Pax: ( )
New: --
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Business name: N97 e - 2 1 1....\L . All contractors and subcontractors are required to be
1 1
licensed with the Oregon Construction Contractors Board
Contact name: %- ,.....) (ysbi...x under ORS 701 and may be required to be licensed in the
Address: 19 ASS" e WC( liA I CA ._ .—
it--. jurisdiction in which work is being performed. If the
City/State/ZIP: a
applicant is exempt from licensing, the following reasons
T t.... LyZ 9-t 6,(
apply;
Phone: ( S) (AZ Cl2W I Fax: : (SS ) ( Z - IA % (
Z-mail:
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Business name: ,.,
.
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_
Address: \C ek' i ‘7_9
Please refer ro fee schedule.
.............,
cily/stateizip, k 0 A , L. . LV 91 CS(t."7.._ —
Fees due upon application ---4CW
Phone: (SZ ) Co9Z-.CIV?)4 Fax: (51) ) 4,9z _tig —
Amount received
CCB lie.: C A —
Date received:
Authorized signature:
C4
This permit application expires if a permit is not obtained
1
- within 180 days after it has been accepted as complete.
Print name; G at...) t- seil-.1 Date: 0.,. (.4 . Fee methodology set by Tri-County Building Industry
Service Board.
i:GuildinTermitaPS-PctmitApp doc 12/03 440-4613-M1/02/C0M/1MM)
Yr ' 77
CITYTIGARD 24 -Hour
BUILDING , Inspection Line: (503) 639 -4175
INSPECTION DIVISION Business Line: (503) 639 -4171 MST
BuP IJD� O�d�
Received Date Requested 1 � 5° AM PM BUP 2 c ' -5
Location • - p ia /_ %411 j �1.. Suite WO MEC
Contact Person / _ - •1 ( k 8' e PLM
Contractor Ph ( ) SWR
BUILDING Tenant/Owner ELC
Footing
Foundation ELC
Access:
Ftg Drain ELR
Crawl Drain
Slab Inspection Notes: —,yam SIT
Post & Beam COQ
Shear Anchors
Ext Sheath/Shear
Int Sheath/Shear
Framing r -00 . *7
Insulation '-1/C- 7-00 ° 6-�Q
Drywall Nailing
Firewall A 6o,5 0 -8 COI
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Other:
P. PASS PART FAIL
PLU = ING
- ost & 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, 13125 SW Hall Blvd.
PASS PART FAIL
SITE - Please /for reinspe• ion RE: A A ❑ Unable to inspect - no access
Fire Supply Line veu
ADA
Approach/Sidewalk Date Inspector Ext
Other:
Final DO N I REMOVE this inspection record from the job site.
PASS PART FAIL