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1111. CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
> COMMUNITY DEVELOPMENT Permit #: FPS2009 -00035
Date Issued: 05/28/2009
.TIGAR.D 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Parcel: 1S135AB01002
Jurisdiction: Tigard
Site address: 10200 SW GREENBURG RD, STE# 750
Subdivision: Lot: 0
Project: Western Architectural
Project Description: Add /alter 8 heads.
Owner: FEES
LINCOLN CENTER LLC Description Date Amount
BY SHORENSTEIN PROPERTIES LLC, 555
Permit Fee - COM 05/28/2009 $62.50
CALIFORNIA ST 49TH FL 12% State Surcharge - Building 05/28/2009 $7.50
PHONE:
Contractor:
MCKINSTRY COMPANY
12021 NE AIRPORT WAY SUITE G
PORTLAND, OR 97220
PHONE: 503 - 331 -2461
FAX: 503 - 331 -6906
Type of Use: COM
Class of Work: ALT Type of Const:
Occupancy Grp: Height: ft
Stories:
Commercial Sprinkler System:
Sprinkler Required: Sprinkler Type:
Standpipe Required: Hazard:
Density: 0 Design Area: 0
K Factor: 0
Commercial Fire Alarm System:
Fire Alarm Required: Alarm Type:
Pull Station Required: Smoke Detectors Req:
Battery Calcs Provided: Cut Sheets Required:
Total $70.00
Valuations: Required Items and Reports (Conditions)
Sprinkler Valuation: 1500
Residential Square Footage: 0
Fire Alarm Valuation: 0
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 the 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 the rules
or direct questions to OUNC by calling 503.246.6699 or 1.800.332.2344.
Issued By: 71 r, ,n t ( n A /� Permittee Signature: ( ; p iQQ
.1 ��)J
Call 503.639.4175 by 7:00 a.m. for an inspection that business day. l\ \)
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.
r , CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
1 `I `` COMMUNITY DEVELOPMENT Permit #: FPS2009 -00035
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 05/28/2009
Parcel: 1 S135AB01002
Jurisdiction: Tigard
Site address: 10220 SW GREENBURG RD 125
Subdivision: Lot: 0
Project: Western Architectural
Project Description: Add /alter 8 heads.
Owner: FEES
LINCOLN CENTER LLC Description Date Amount
BY SHORENSTEIN PROPERTIES LLC, 555
CALIFORNIA ST 49TH FL Permit Fee - COM 05/28/2009 $62.50
12% State Surcharge - Building 05/28/2009 $7.50
PHONE:
Contractor:
MCKINSTRY COMPANY
12021 NE AIRPORT WAY SUITE G
PORTLAND, OR 97220
PHONE: 503 - 331 -2461
FAX: 503 -331 -6906
Type of Use: COM
Class of Work: ALT Type of Const: ■
Occupancy Grp: Height: ft •
Stories:
Commercial Sprinkler System:
Sprinkler Required: Sprinkler Type:
Standpipe Required: Hazard:
Density: 0 Design Area: 0
K Factor: 0
Commercial Fire Alarm System:
Fire Alarm Required: Alarm Type:
Pull Station Required: Smoke Detectors Req:
Battery Calcs Provided: Cut Sheets Required:
Total $70.00
Valuations: Required Items and Reports (Conditions)
Sprinkler Valuation: 1500
Residential Square Footage: 0
Fire Alarm Valuation: 0
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 • o tarted within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to folk the les adopted • t e Oregon
Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952-001-0100. You , ay obtain a • opy of the rules
or direct quest ••ns to •UNC by calling 503.246.6699 or 1.800.332.2344.
Issued By: Permittee Si natur / A Zt
AI
Call 503.639.4175 by 7:00 a.m. for an inspection that ' usiness 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.
•
Buil Permit Applicat',yy�i CEIVED
Fire Protection System q Q FOR OFFICE USE ONLY
City MAY 2 V 2009 Received I PermitNo.:
q 131 of Tigard
SW Hall Blvd., Tigard, OR 97223 Date /B : t� _�Ir
g Plan Review
I N Phone: 503.639.4171 Fax: 503�. F TIGARD Date /By: Other Permit
TIGARD Inspection Line: 503.639.4175� DIVISION Date Ready /By: tom: El See Page for
Internet: www.tigard- or.gov Notified /Method: T 1 C Supplemental , Information
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.. , -i ; . , .f,,. y .. ,,, :.. D ='DAT' : ]_° , 7Awe 11 : „ WE 'I
.'TYPE M.OF: WORK?`'- _ `: �� RE ' UIRE A A1 D, . I N ; :a
❑ New construction ❑ Demolition Permit fees* are based on the value of the work performed.
Indicate the value (rounded to the nearest dollar) of all
Z Addition/alteration /replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the
6I*F < <, «l %. CA - WY• k : --:� >, ON work indicated on this application.
a ^^ 1 EGORY O F GO S R U CTI . dye : ,, '
Valuation: $
❑ 1- and 2- family dwelling ® Commercial /industrial '
❑ Accessory building ❑ Multi- family Number of bedrooms:
El Master builder ❑ Other: Number of bathrooms:
1 :��:-
JOB'SITE 1 ORMATIONAND ; ,LOCATION;', xF ~-- Total number of floors:
Job site address;- 1•9e00r SW Greenburg Rd. 5 Lincoln (C 2 'Z Q New dwelling area: square feet
City/State /ZIP: Tigard, OR 97223 Garage /carport area: - square feet
Suite/bldg. /apt. no.150' `7 Project name: Western Architectural Covered porch area: square feet
I
Cross street/directions to job site: Deck area: square feet
Mckinstry Job #70262 Other structure area: square feet
1REQUIIZ_ED'6ATr1: (ISI TRCIAL;11 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
-.; ,;; !; S C R '„ e - ' €,,; :P
DESGRLPTION `OF WORK : ' '' �' 'i., WE'::: \; :;: work indicated on this application.
.. . �� :.: «.,.• „ �.�a..a�•;.t „, ,•e.r��s -.:; a;;; �;Tlyds°`i. °j.',aer:
�..,,. .. � � . , - .�....:, Valuation: $1,500.00
Fire sprinkler mods. Add 2(two) fire sprinkler heads. Relocate 5(five) fire
Existing building area: 8851 square feet
sprinkler heads. Plug 1(one) fire sprinkler head.
New building area: 8851 square feet
- _'_. R , . Number of stories:
”. l'R'OPE1tT OWNER' ;, - TENANT N
Name:
Type of construction:
Address: • Occupancy groups:
City/State /ZIP: • Existing:
Phone: ( ) Fax: ( ) New:
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Business name: Mckinstry Co. All contractors and subcontractors are required to be
licensed with the Oregon Construction Contractors Board
Contact name: Diane Parke under ORS 701 and may be required to be licensed in the
Address: 16790 NE Mason St. Suite #100 jurisdiction in which work is being performed. If the
applicant is exempt from licensing, the following reasons
City/State /ZIP: Portland, OR 97230 apply:
Phone: (503)331 -2465 Fax: : (503) 331-6907
E -mail: dianep @mckinstry.com
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Business name: Mckinstry Co. Permit fee:
Address: see above State surcharge (12% of permit fee):
City/State /ZIP: FLS plan review (40% of permit fee):
Phone: ( ) Fax: ( ) (Due upon application)
CCB lie.: 172811 Total permit fees:
Amount received: 7” , no
Authorized sig inforarAWIP
/ This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: Dial • Parke Date: 05/28/09 * Fee methodology set by Tri-County Building Industry
Service Board.
I.\Building \ Permits \FPS - PermitApp.doc 03/23/06 440- 4613T( I I /02 /COM /WEB)
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