Permit CITY OF TIARD BUILDING PERMIT
PERMIT #: BUP2004 -00314
I .. DEVELOPMENT SERVICES DATE ISSUED: 6/30/2004
13125 SW Hall Blvd., Tigard. OR 97223 (503) 639 -4171 PARCEL: 1S136DD -00200
SITE ADDRESS: 11560 SW 67TH AVE 333
SUBDIVISION: WEST PORTLAND HEIGHTS ZONING: MUE
BLOCK: LOT: 004 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: 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: $ 800.00
Remarks: Modification of (10) fire sprinkler heads for TI
Owner: Contractor:
GREEN, JOSEPH W MCKINSTRY COMPANY
PO BOX 1 5400 NE COLUMBIA BLVD
DONALD, OR 97020 PORTLAND, OR 97218
Phone:
Phone: 331 -0234
Reg #: MET 4 0 p 0 0 00 0 1 1 00001179
FEES LIC REQUIRED INSPECTIONS
Description Date Amount Sprinkler Rough -In
[BUILD] Permit Fee 6/30/2004 $62.50 Sprinkler Final
[TAX] 8% State Surchari 6/30/2004 $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 -!: • • • : • OAR 952 - 001 -0100. You may obtain a copy of these rules or direct questions to OUNC by
callin; (503) 246 -6699 0 1-80s 32 -2 44.
Issu • • By:
Permittee . Signature: IgParit:
r
Call 639 -4175 by 7 p.m. for an in. pection the next business day
Fire Protection System
' Building - Permit Application FOR OFFICE USE ONLY
City of Tigard Dam /By: �p �D Permit No.: �� j 1:05
13125 SW Hall Blvd., Tigard, OR 97223 Plan Review
Phone: 503.639.4171 Fax: 503.598.1960 ( Date /By: Other Permit:
Inspection Line: 503.639.4175 ^•' � Date Ready /By: Jul • El See Page 2 for
Internet: www.ci.tigard.or.us Notified/Method: is Supplemental information
TYPE OF WORK 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 dollar) of all
0 Addition/alteration /replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
Valuation: $
❑ 1- and 2- family dwelling 0 Commercial /industrial
❑ Accessory building El Multi-family Number of bedrooms:
El Master builder ❑ Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: 11560 SW 67 Ave New dwelling area: square feet
City/State /ZIP: Tigard, Oregon Garage /carport area: square feet
Suite/bldg. /apt. no.: enlEr name: Green Office Building Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
Other structure area: square feet
REQUIRED DATA: COMMERCIAL -USE CHECKLIST
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
DESCRIPTION OF WORK work indicated on this application.
Modify 10 sprinkler heads in tenant improvement Valuation: $$800.00
Existing building area: square feet
New building area: square feet
❑ PROPERTY OWNER ❑ TENANT Number of stories:
Name: KCV Type of construction:
Add • �, ,[ ' Occupancy groups:
City/State
�� /�� / / 76'c' Existing:
Phone: ( 3) Ira& ,,,,,, p y Fax: ( ) New:
C. APPLICANT // ❑ CONTACT PERSON NOTICE
Business name: McKinstry Co All contractors and subcontractors are required to be
Contact name: Richard Gordon licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address: jurisdiction in which work is being performed. If the
City/State /ZIP: applicant is exempt from licensing, the following reasons
apply:
y:
Phone: (503) 331 -0234 Fax: : (503) 331-6906
E -mail: richardg @mckinstry.com
CONTRACTOR
Business name: McKinstry Co BUILDING PERMIT FEES*
Address: 5400 NE Columbia
Please refer to fee schedule
City/State /ZIP: Portland, OR 97218 , 5
Fees due upon application /
Phone: (503) 331 -0234 Fax: (503) 331 -6906
Amount received
CCB lic.: 40981
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: Richard Gordon Date: 6 -30 -04 * Fee methodology set by Tri-County Building Industry
Service Board.
i:\ Building \Permits\FPS- PetmitApp.doc 12/03 440-46 13T( 1 1 /02/COM/WEB)
OF TIGARD .
BUILDING DIVISION
PERMIT #: BUP2004-00314
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/30/2004
. Phone: (503) 639-4171
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: 61912006 TIME: 7:02Atvl PAGE: 6
SITE ADDRESS: 11560 SW 67TH AVE 333 CLASS OF WORK:
SUBDIVISION: WEST PORTLAND HEIGHTS LOT #: 004 TYPE OF USE:
PROJECT NAME: GREEN OFFICE COMPLEX
DESCRIPTION: Modification of (t1 JO fire s.prinliliThebdil§iTli
OWNER: PHONE #:
CONTRACTOR: MCKINSTRY COMPANY PHONE #: • 331-02111 '
Inspection Request Scheduled For: Date: 6/9/2006 Pour Time: .
Code # Inspection Description Confirm # Contact # Message
299 Final inspection 031489-01 • ' 503.806-3004 Y
Corrections/Comments/Instructions: .
MFRA • . •
•
malll i v._ -,..._ .' i I 111111Ka '
...._. -mg . .
W
- I
r .--
. -------..°
. • 1
1
1 .
/ V -
I PASS 0 PARTIAL APPROVAL 111 CANCEL El NO ACCESS
FAIL • D CALL FOR INSPECTION 111 ADDIT ONA FEES ASSESSED
_
Oli /
Inspector: ell
4 Date: 4 EP a
w Phone #: (503) 718:2AK2-
CITY OF TIGARD 24 -Hour
BUILDING Inspection Line: (503) 639 -4175
INSPECTION DIVISION Business Line: (503) 639 - 4171 MST /
_c�
BUP aoo q- 003/ LT
Received - Date Requested l AM PM BUP
•
Location / /5 0 1O 7 Suite MEC
Contact Person Ph ( )77 O 9 7 Co PLM
Contractor Ph ( ) SWR
BUILDING Tenant/Owner ELC
Footing
Foundation Access: ELC
Ftg Drain ELR
Crawl Drain
Slab Inspection Notes: , �j / SIT
Post & Beam ✓1.0('
Shear Anchors
Ext Sheath/Shear /
„-
- -�- --_ <_-� s° gar ' `
Int Sheath/Shear
Framing
Insulation
Drywall Nailing p i
Fi re Alarm V� (Iv_S V ( . ' f ti '
Susp'd Ceiling -
Roof
Other:
r; -
PASS "ART . FAIL
PLUM = G
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 61'
Low Voltage AW1VIr
Fire Alarm 110-
Final Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
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