Permit I '
CITY OF TI GARD BUILDING PERMIT
PERMIT #: BUP2006 -00052
AM SERVICES DATE ISSUED: 1/17/2006
13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171
PARCEL: 1S135AB-00900
SITE ADDRESS: 10200 SW GREENBURG RD 150 ZONING: C -P
SUBDIVISION: LINCOLN CENTER /FIVE LINCOLN LOT: JURISDICTION: TIG
Project Description: Add /relocate (3) sprinkler heads.
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: 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
Owner: Contractor:
EQUITY OFFICE PROPERTIES TRUST MCKINSTRY COMPANY
ONE SW COLUMBIA ST #300 12021 NE AIRPORT WAY SUITE G
PORTLAND, OR 97258 PORTLAND, OR 97220
Phone: Contact #: FAX 503 - 331 -6906
PRI 503 - 331 - 0234
FEES Reg #: LIC 40981
Description Date Amount REQUIRED ITEMS AND REPORTS
[BUILD] Permit Fee 1/12/2006 $62.50
[TAX] 8% State Surchaq 1/12/2006 $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 question . IUNC by
calling 503 -246 • .99 or 1- 800 - 332 -23,1 .
Issued By: i ' Air! ,4 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.
Fite Protection System
Building Permit Application FOR OFFICE. USE ONLY
City of Tigard D�� �B d/_ /7 Pertnit �fJlji QQ/Jdj —
13125 SW Hall Blvd., Tigard, �' �p ® Plan R evi e w
Phone: 503.639.4171 Fax: 1G-�! {:" fi lr ED ti' " #P+ � , Date /By: Other Perm'
Inspection Line: 503.639.4175 �1 I I Date Ready /By: Jun ' 0 See Page 2 for
Internet: www.ci.tigard.or.us , JAN i7 2006 Notified/Method: Supplemental Information
�o-
..�. .. -.. ,_.- i ., . -....a .. .... .� ,v. . m = ... ;,_.. - . � �� : ' . ' ....: m, <.. �.: \ \ . &, .S"� V l l` �: ,.. „ � ,.
= :ANA ,.. „ ,,
❑ New construction BU1LDjNG DNin olition Permit fees* are based on the value of the work performed.
Indicate the value (rounded to the nearest dollar) of all
® Addition/alteration /replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the
°- : `, �• -_° "�° ' - indicated t 1
�, � . ,.. , > :��' te =.
O ;O COBS l J ( ? " „, <'_ work on s application.
; � � `�,a�`, =��� ° � '°
❑ I dwelling Valuation:
- and 2-family $
y g ®Commercial /industrial
® Accessory building ❑ Multi- family Number of bedrooms:
❑ Master builder ❑ Other: Number of bathrooms:
c- ,,, F I311�Ie�-T zj • A D., ' ,. Total number of floors:
T , , ,, ,r�: ,�;: <:. - ,, UI; LO = A7aIfJN'
.: .,_ :�,�. � - ..;, . , ,. ..., t; " ;.
Job site address: 10200 SW Greenburg road New dwelling area: square feet
City /State /ZIP: Tigard, Or 97223 Garage /carport area: square feet
Suite/bldg. /apt. no.: 150 Project name: Feildstone Mortgage Covered porch area: square feet
Cross street/directions to job site: 5 Lincoln Deck area: square feet
Other structure area: square feet
REQUIRED?DATA €01 'ItRCF II =L1S1 CHECKCIST
Subdivision: Lot no.: Permit fees* are based on the value of the work performed.
Tax map /parcel no.: Indicate the value (rounded to the nearest dollar) of all
:,,. -_ : ,: , equipment, overhead, and the profit for the
_ �c -:,; fir; „ ; e_ ' < , , ' ; ". > =r. _.��;�',••.: work indicated ,; �;-
' i .- -= .,: }:;. dica ed onhis a
materials, h ati ne
�.::R -,.� . - DE _ '°
Add/ relocate 3 sprinklers Valuation: $
Existing building area: square feet
New building area: square feet
, �; �; � \t,
PROPI2TY:UWNER":.. _ n;TENAN•T,z "; ^:z ` ;: Number of stories:
Name: Equity Office Properties Trust Type of construction:
Address: 10260 SW Greenburg road #100 Occupancy groups:
City /State /ZIP: Tigard, Or 97223 Existing:
Phone: (503) 892 -2500) Fax: ( ) New:
eLIC' colva�a: e�:i'i3�s®
APP A N N? • � "�
�Cl
Business name: McKinstry Co. All contractors and subcontractors are required to be
Contact name: Craig Patterson licensed with the Oregon Constniction Contractors Board
under ORS 701 and may be required to be licensed in the
Address: 12021 N.E. Airport Way Suite G jurisdiction in which work is being performed. If the
City /State /ZIP: Portland, Or 97220 applicant is exempt from licensing, the following reasons
apply:
Phone: (503) 331 -0234 Fax: : (503) 331-6907
E -mail: craigp @mckinstry.com
Business name: McKinstry Co. riTAV _��� � �,: „,, �"•�
.BIIIDIN i1T , EES_
Address: 12021 NE Airport Way Suite G
Please refer to fee schedule.
City /State /ZIP: Portland, Or 97220
Fees due upon application
Phone: (503) 331 -0234 Fax: (503) 331 -6907
Amount received
CCB lie.: 40981 _ U
/i
Date received: lQ
Authorized signature: This permit application expires if a emit is not obtained
within 180 days after it has been accepted as complete.
Print name: Craig Patterso; Date: 1 -17 -06 * Fee methodology set by Tri- County Building Industry
Service Board. /y
\Building \Permits \FPS- PermitApp.doc 12/03 440 -46 t 3T(11/02/COM /WEB)
City of Tigard: Fire Protection Permit Checklist
Page 2 - Supplemental Information
III.
1.) El New 2.) _Modification to sprinkler heads only:
LII Addition CEI .1!-10 heads: No plan review required.
Alteration 11+ heads: Plan review required.
Repair
Number of sprinkler heads: 3
•
Additional description of work:
6401:141:SY000 : ta$,Appitca c;
Wet LiDry
Additional Standpipes
Information: Hazard Group light
Density .10
Design Area 1500
K. Factor 5.6
Sprinkler Project Valuation: $ 800
FIAAtAr ' - 1
Hood Project Valuation:
- - *MOP
Submittal shall Battery Calculations El Yes
include: Individual Component El Yes
Cut Sheets
Fire Alarm Project Valuation: $
Square Footage: Permit Fee: :S0:741:7r:':1P410"414
0 to 2,000 $187.50
2,001 to 3,600 $232.50
3,601 to 7,200 $292.50
7,201 and greater $381.50
Sprinkler Project Square Footage: sq. ft.
Project Valuation Subtotal (A, B & C): $
Permit fee based on valuation (see attached chart): $ 62.50
Permit fee based on square footage (D) (see fees above): $
State Surcharge 8% of Permit Fee: $ 5.00
FLS Plan Review 40% of Permit Fee: $
TOTAL: $ 67.50
Plan review requires a completed application and 3 sets of plans at submittal. Plan review fees are required at
submittal.
"New" fire protection systems require that plans bear the original seal of an Oregon licensed fire suppression
engineer, or NICET level "3" technicians.
W:\PORTLAND\FIRE PROTECTION\BIDS\FORMS\tigard example.doc 2
CITY.-OETIGARD
BUILDING DIVISION
AO PERMIT #: BUP2006-00052
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/17noos
Phone: (503) 639-4171 &RANA i it
Inspection Requests (24 Hrs.): (503) 639-4175 ,_-41-', 'IL.
INSPECTION WORKSHEET FOR DATE: 2/13/7006 TIME: 7:03Alvi PAGE: 63
SITE ADDRESS: 10200 SW GREENGURG RD 150 CLASS OF WORK:
SUBDIVISION: LINCOLN CENTER/FIVE LINCOLN LOT #: TYPE OF USE:
PROJECT NAME: HELDSTONE MORTGAGE
DESCRIPTION: Addirelocate (3) sprinkler heads.
OWNER: EQUITY OFFICE PROPERTIES TRUST, PHONE #:
CONTRACTOR: MCKINSTRY COMPANY PHONE #: 503-331-0234
Inspection Request Scheduled For: Date: 21 13/ 2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
999 Sprinkler final 026752-02 503-780-3222 N
Corrections/Comments/Instructions:
----
--- -,
--I— of
( IT 1
i
PARTIAL APPROVAL n CANCEL r7 NO ACCESS .
I I FAIL CALLyR INSPECTION ADDITI NAL EES ASSESSED
_
1.1
Inspector: '
C -441‘ tnr,
Date: 7-- (-) Phone #: (503) 718- Z413
1
' CITY:OF TIGARD
BUILDING DIVISION PERMIT #: BUP2006 „00062
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/1717006
Phone: (503) 639 -4171 Ai
Inspection Requests (24 Hrs.): (503) 639 -4175 = � �
INSPECTION WORKSHEET FOR DATE: 1/24/2006 TIME: 6 :58AM PAGE: 50
SITE ADDRESS: 10200 SW GREENBURG RD 150 CLASS OF WORK:
SUBDIVISION: LINCOLN CENTER /FIVE LINCOLN LOT #: TYPE OF USE:
PROJECT NAME: FIELDSTONE MORTGAGE
DESCRIPTION: Add /relocate (3) sprinkler heads.
OWNER: EQUITY OFFICE PROPERTIES TRUST, ,. PHONE #:
CONTRACTOR: MCKINSTRY COMPANY PHONE #: 503.331-0234
Inspection Request Scheduled For: Date: 1/24 /2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
910 2rinkler rough -in /test 025567 -01 503-209-5769 Y
Corrections /Comments /Instructions: ei9--VP
I
......- tir
i \‘' 'IVY
•
ASS ❑ PARTIAL APPROVAL ❑ CANCEL n NO ACCESS
FAIL CA i
L FOR INSPECTION I I ADDITIONAL F S ASSESSED
Inspector: ' ' Date: ` Z� `'� Phone #: (503) 718- 2_,4_,,