Permit � ' - -' BUILDING PERMIT
CITY T I G A R D PERMIT #: BU P2005 -00080
'""'1` l DEV W H BMENa r SERVICES 639 -4171 DATE ISSUED; 3/2/2005
Ai. Al
SITE ADDRESS: 10200 SW GREENBURG RD 340 PARCEL: 1S135AB 00900
SUBDIVISION: FIVE LINCOLN 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: 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: $ 450.00
Remarks: Add 7 sprinklers.
Owner: Contractor:
EQUITY OFFICE PROPERTIES TRUST MCKINSTRY COMPANY
ONE SW COLUMBIA ST #300 5400 NE COLUMBIA BLVD
PORTLAND, OR 97258 PORTLAND, OR 97218
Phone:
Phone: 331 -0234
FEES Reg #: LIC 40981
Description Date Amount REQUIRED ITEMS AND REPORTS
[BUILD] Permit Fee 3/2/2005 $62.50
[TAX] 8% State Surchaq 3/2/2005 $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 -6. or 1 400- 332 -2344.
Issued By: I!: a All101.4 . c_
Permittee '
Signature: ± ,> /� _ .
Call 639/75 by 7:00 p.m. for an inspection the next 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.
Fire Protection Sy'lliti C EV,E D
. .,,
ikl Permit Application
Bi FOR OFFICE USE ONLY , '
City of Tigard M o 2 2005 , Receive.
Date /B e / No: Permit No 80 • 13125 SW Hall Blvd., Tigard, OR 97223 Plan Revi:
Phone: 503.639.4171 Fax: 503.5eArf OF TIGAa r I_ .111 Date /By: Other Permit:
Inspection Line: 503.639.4175 = ra h . Date Ready /By: tuns: Ei See Page 2 for
Internet: www.ci.tigard.or.us p g BUILD DIVI . Notified /Method: Supplemental Information
- TYPE OF; 641 ,« % ; •,i : i. 0.12EDkDATA: , ND '2= FAMiLY :.': "•?:
❑ New construction ❑ Demolition 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
_ -s -a 4 >:work indicated on this application.
:CATEG .. FY'CONST1tUCTION_ 'g:,1 .
El 1- and 2-family dwelling Valuation: $
® Commercial /industrial
El Accessory building ❑ Multi- family Number of bedrooms:
El Master builder El Other:
Number of bathrooms:
14 =,4:- JOB. INFORMATION :'AND '" Total number of floors:
Job site address: 10200 SW Greenburg Rd. New dwelling area: square feet
City/State /ZIP: Tigard, Or Garage /carport area: square feet
Suite/bldg. /apt. no.: 340 Project name: West America Mortgage Co. Covered porch area: square feet
Cross street/directions to job site: Lincoln Center Deck area: square feet
Other structure area: square feet
'REQUIRED DATA ;,,CO43iiRCIA iUSE CIIEG ;'
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.:
::: -,* ..:. ; ,..z.:,: . »..,- .:,, , and the profit for the
equipment, materials, labor, overhead, a e o
r
`, - 'I . 'VIM' j work indicated on this a lication.
g : .DESCRIPTION O F, ;WORK ti f , ,: ' '
Relocate 2 sprinklers, Plug 3 sprinklers, add 2 sprinklers Valuation: $
Existing building area: square feet
New building area: square feet
®a 5 OWNE R's ' ,0 ® ? :TE NA NT :< Number of stories:
�. 1
Name: Equity Office Properties Trust Type of construction:
Address: 10260 SW Greenburg Rd #100 Occupancy groups:
City/State /ZIP: Tigard, Or 97223 Existing:
Phone: (503)892 -2500 Fax: ( ) New:
PriICANT � NT' T > PE RSON � 4,
.
� ;AP C ONTAC T AC
NO C �� �.�� .,�u.
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: 5400 NE Columbia jurisdiction in which work is being performed. If the
City/State /ZIP: Portland, Or 97218 applicant is exempt from licensing, the following reasons
apply:
Phone: (503) 331 -2468 Fax: : (503) 832-8539
E -mail: Richardg @mckinstry.com
: CONTRACTOR:% ° e� ',W;,',;,,,', - F ?
Business name: McKinstry Co. �,� - ;•:_; A, :x_
. BUII ',.e * EERMIT '.'FEES* ` _<:;-:,`
'.r raj ' ..i- •'.:�- :,.:•�:.,, ..,..< ::�.. _.._,..
Address: 5400 NE Columbia
Please refer to fee schedule.
City/State /ZIP: Portland, Or 97218
Fees due upon application
. Phone: (503) 331 - 2468 Fax: (503) 331 - 6906
Amount received
CCB lie.: 40981
Date received:
Authorized signature: / _ This permit application expires if a permit is not obtained
� + ��t within 180 days after it has been accepted as complete.
Print name: Richard Gordon / Date: 3 - - * Fee methodology set by Tri-County Building Industry
Service Board.
1:\ Building \Permtts\FPS- PermitApp.doc 12/03 440- 4613T(11/02/COM /WEB)
CITY OF TIGARD , ,.
BUILDING DIVISION PERMIT #: (3l�PaODS�4O0 )
1 13125 SW I;all Blvd., Tigard, OR 97223 D ATE ISSUED:
Phone: (503) 639 -4171 /on iI
Inspection Requests (24 Hrs.): (503) 639 -4175 .._._.W `:_..
INSPECTION WORKSHEET FOR DATE: TIME: PAGE:
SITE ADDRESS: / 0o200 -7y Le(b u,,,q Act S)e , S CLASS OF WORK:
SUBDIVISION: J LOT #: TYPE OF USE:
PROJECT NAME: •
DESCRIPTION:
OWNER: CY.ct,i J A PHONE #: a0r'j —5769
CONTRACTOR: PHONE #:
Inspection Request Scheduled For: Date: Pour Time:
Code # /q9 Inspection Description Confirm # Contact # Message
S ;rev jp -
Corrections /Comments /Instructions:
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e......--- 1 11•1 Alf
5 vat, , 1, L
P ASS n PARTIAL APPROVAL n CANCEL n NO ACCESS
FAIL n CALL FOR INSPECTION I I ADDITI• AL F` ES ASSESSED
14 Inspector:,w�osic Date: _ 65 Phone #: (503) 718 -
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