Permit i .. , ,q
!--,r BUILDING PERMIT
CITY TIGARD PERMIT #: BUP2005 -00389
u411• DEVELOPMENT O r SERVICES I -639 -4171 DATE ISSUED: 8/11/2005
— 13125 PARCEL: 1S126DC-03300
SITE ADDRESS: 09900 SW GREENBURG RD 270 ZONING: C -P
SUBDIVISION: LEHMANN ACRE TRACT LOT: 005 JURISDICTION: TIG
Project, Description: Fire sprinkler.
REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION
CLASS OF WORK: FPS FIRST: sf N: S: E: W:
TYPE OF USE: SF SECOND: sf PROJECT OPENINGS?
TYPE OF CONST: : 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: $ 1,087.00
Owner: Contractor:
ATHERTON REALTY PARTNERSHIP VIKING AUTOMATIC SPRINKLER CO
MARTHA ATHERTON 3245 NW FRONT AVE
221 S WOLF g PORTLAND, OR 97210
liQneLAIN i4(- ?9P -NI0
Phone: 227 -1171
FEES Reg #: LIC 64837
•
Description Date Amount REQUIRED ITEMS AND REPORTS
[BUILD] Permit Fee 8/11/2005 $62.50
[TAX] 8% State Surchari 8/11/2005 $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- 99 or 1- 800 - 332 -2344.
Issued By: Permittee Signature:
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.
01/26/01 FRI 09:16 FAX 503 598 1960 CITY OF TIGARD 21002
Buualding Permit A pplication =A . •. ; ;
• NU151/!la rJl�l1011(19 Daterece : Permit no _�
� .,f,, t , i . City of Tigard aaeoll dO ADO I `; q
•je Project/appl.no.: Expire date:
City afTigard Address: 13125 SW Hall Blvd, Tigard, OR 97223
Phone: (503) 639 -4171 5004 T T 0 - v.,y Date issued By: Receipt no.:
Fax: (503) 598- 1960 //r���� t "` i Case file no.: Pay ment ty pe:
Land use approvaf] A ll q n I Tr=-� . 1&2 family: Simple Complex:
TYPE OF PERiVIIT .. - ' . , : -
0 1 & 2 family dwelling or accessory 0 Commer :ial/industrial 0 Multi- family 0 New construction 0 Demolition
0 Addition /alteration/replacement 0 Tenant improvement 3it Fire sprinkler/alarm 0 Other.
• 1 • . . JOB SITE INFORMATION i
Job address: I ci o 5tu- R RD Tf; re • pia ' Z 223 Bldg. no.: Suite no
Lot: Block: Subdivision: i Tax map/tax lot/account no.: .1.-10
Project name: W 6l l.S fi•4RGt) r. —
Description and location of work on premises/special conditions: R.St t4tt;. 3 Silt+. U10..60_ te-z:1J 1 Nfst.t) _ s
t?l.u.G o36 Foil TMu�14T Stv-P&D3 I rAe5s.'1
... ; OWNER ' . ... ' • FOR SPECIAL LNFOIIMATION, USE CHECKLIST '•
Name: _ . . ( Flaodplain , septic capacity, solar, etc.)
Mailing address: 1 & 2 family dwelling:
City: !State: J:;IP: . ! Valuation of work $
Phone: Fax: IE -mail: No. of bedrooms/baths •
Owner's representative: Total number of floors
Phone: IFaA: E -mail: New' dwelling area (sq. ft.)
I . APPLICANT ... . Garage/carport area (sq. ft.)
Name: k)ay.a E. W t N STe 0 Covered porch area (sq. ft.)
Mailing address: 3 4 . FRoter Deck area (sq. ft.)
Other structure area•(s ft.)
City: Po�f1Tl.t► wiD State:oQ ::IP: e11210 q'
Phone: sea -2Z1- ttt t 1Fax:sla.121- E -mail: ConrmerciallindusMaUmalti family:
C ONTRACTOR. Valuation of work t O$Z .6° , $
Existing bldg. area (sq. ft.)
Business name: V■tt: %! (, /.v- Co YV•wrt c S Iry l-tar
P New bldg. area (sq. ft.)
Address: 3145 N•‘,0 - ilI° siT pal • Number of stories
City ? oext -re. u`a J Sty :O & 171P: 9 -t -LA u Type Of construction !
Phone:sal 27.'1 - in t Fax 2LZ4ss tj E -mail: Occupancy group(s): Existing:
CCB no.: 64%31 '
New.
City/metro lie. no.: 0000 2 (` Notice: All contractors and subcontractors are required to be
. . -. - — _ _ .IIDESIGNER . licensed with the Oregon Construction Contractors Board under
Name: V3 P►Miv 6 W t•wrs - provisions of ORS 701 and may be required to be licensed in the
Address: Sww 3o 46- jurisdiction where work is being performed. If the applicant is
►� 14.t exempt from licensing, the following reason applies:
• City: State: L:IP: •
Contact person: Plan no.: ,r',�j_
Phone: Fax: E -mail:
ENGINEER .
' Name: Contact person: Fees due upon application $
Address: . Date received: //
City. (State : :?JP: Amount received $ t07
Phone: Fax: , E-mail Please refer to fee schedule.
I hereby certify I have read and examined this applic Won and the Not all Jurisdictions accept =slit cards, please all jurisdiction for more iofonnarioa
attached checklist. All provisions of laws and ordinaices governing this o Visa OMasterCard
work will be complied with, whether specified herein or not. Cruet ma amber: / /
{ expires .
Authorized signature. t 0,-,.... -e_t .. ).4.ra' ).*;.•-t Date: i3 - 8 - o S Noma at cardbaidec u shows as credit card „
Print name: w o.y a Ga tr l t ti Std 1.J c� arwraer d�ro<e $ Amooni
Notice: This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. - 440-4613 (6�DO/COM)
CITY OF
BUILDING DIVISION PERMIT #: S(C -1t Or§ q
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED:
Phone: (503) 639 -4171 �n�wiulP��ypuppl���
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: TIME: PAGE:
SITE ADDRESS: 0,70p C 3 - 2 CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: (,E,95 C
DESCRIPTION:
OWNER: PHONE #:
CONTRACTOR: PHONE #:
Inspection Request Scheduled For: Date: Pour Time:
Code # Inspection Description Confirm # Contact # Message
Corrections /Comments / Instructions:
E = &
Lavr
5X.i
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED VA:k).
Inspector: �/ Date: ( #: (503) 718-