Permit 4„
4
CITY OF TIGARD BUILDING PERMIT
PERMIT #: BUP2006 -00482
DEVELOPMENT SERVICES DATE ISSUED: 10/6/2006
-2 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171
PARCEL: 1S135AB-00900
SITE ADDRESS: 10200 SW GREENBURG RD 450 ZONING: C -P
SUBDIVISION: LINCOLN CENTER /FIVE LINCOLN LOT: JURISDICTION: TIG
Project Description: Relocate 4 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: 4 ,t i i /D SD. 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 10/6/2006 $62.50
[TAX] 8% State Surcha 10/6/2006 $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. Y• may obtain a copy
of these rules or direct questions to OUNC by calling 503 - 246 -6699 or 1- 800 - 332 -2344.
•
Issued B / 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.
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Building Permit Ap p ' li ' cati o n' FOR OFFICE =USE'iONLY
City of-Tigard Tj C Date /B t`� tp /ob 46 Permit No o p.�p b �/
13125 SW Hall Blvd., Tigard, 1897223%, 2006 PlanR view
Phone: 503.639.4171 Fax: p /ft 503.598.1960 � li o i l lI DatDate/By: Other Permit:
Inspection Line: 503.639.41j�75 JL uJl I-'� 1l � $ , 1 �: '' \rnJ' ' t, Date Ready /By: ions 21 See Attached Checklist for
Internet: www.ci.tigard.pr.us Notified/Method: Supplemental Information
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❑ 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 •
,; i 6 0 45ar doab STRCJCmb , ow o work indicated on this application.
Valuation: $ /05.0
❑ 1- and 2- family dwelling Commercial /industrial
❑ Accessory building ❑ Multi- family • Number of bedrooms:
❑ Master builder ❑ Other: Number of bathrooms:
41 :, : s .:, : +,sse, 'gi; .'.7z: -- _- :C, ".I x :�, . ,.. .: 4£=z ar .3%:;_i -;: °'. �. ;;>,. , ,,, ,v" " ., ,% , , - -w°W:-.,ry .�za '''
�V 7 c ; ; W i er S p;E IIY a L® n „ '• y am , Total number of floors: .
Job site address: i( 63 beet74. taikla /ed., New dwelling area: square feet
City /State /ZIP: s er: G, e',c tO 2 d Garage /carport area: square feet
r�
Suite/bldg. /apt. no.: " / 7 l Project name: / �J Q 1/ , 1'c. bi' Covered porch area: square feet
Cross street/directions to job ste: Deck area: square feet
Other structure area: square feet
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REQ D DA;T :COMER USEyC i IS
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
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A l � -', }1)ES+GB'I -4 4N OF WQRK ,r ;: ,z , work indicated on this application. kn
1 Valuation: $
-t $0eC>d ° " It e -et. e- r
Existing building area: square feet
. New building area: square feet
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- - ,; ,, r - ,,, Number of stones: .
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Name: 0 ,7. - _„ a 44. ,^ 77 •014- -F1' y-e” Type of construction:
Address: t Occupancy groups:
City/State /ZIP: • Existing:
Phone: ( ) Fax: ( ) New:
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Business name: . All contractors and subcontractors are required to be
� licensed with the Oregon Construction Contractors Board
Contact name: C �C /f4 e , ��,4 under ORS 701 and may be required to be licensed in the
Address: j� 0 .2-( jv c. A-/� ,0 y�`� ta ! + ' $°� i - jurisdiction in which work is being performed. If the
/ E applicant is exempt from licensing, the following reasons
City /State /ZIP: I I ' ` r r S ; < r 2:
y i' C�
apply:
Phone: ( co') ? ;/ — O,i„ g'4 ' Fax:: (541) 3 . 37-- 6 917
E- mail:'
e;.�<r . ,. . -;;i ?Srs*.�s,,a� ': _ n <: ;:.:F' `;�;�- _':i:'I 'S' ��.".' -.,' x, yes; a ,2e,'- .,.
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Business name: 7 /4 I ,t rt-S . . ;,.. „.;: , ”, , a k � *;r;,', • ,. W,
�6 /i' bf J , � y W 3 >7,i.D1NG R AIO U E S z i t
Address: /01_ f A- / t • �t , a4. c)s0P 7 �,J� � Sl ,077.: L"') Please refer to fee schedule.
City /State /ZIP: 4 it. et 0 J / 1 6 i2 (97,2.0.2_4
Fees due upon application
Phone: 33/ - oz? W Fax: (543) `0
Amount received
CCB lic -:
Date received:
;/‘,7.5
Authorized signature .. This permit application expires if a permit is not obtained
1 / , �, � � - within 180 days after -it has been accepted as complete.
Print name: r / �, l.+ f1 - � '�• �✓: li mit Date: /4 5-...-6 'j 4 * Fee methodology set by Tri- County Building Industry
f , Service Board.
i'\Building \Permits \BUP- PermitApp.doc 12/03 440- 4613T(r 1/02 /COM/WEB)
CITY OF TIGARD
BUILDING DIVISION
A AliA PERMIT #: BUP2006-00482
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/6/2006
Phone: (503) 639-4171
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: 10/9/2006 TIME: 7:01AM PAGE: 59
SITE ADDRESS: 10200 SW GREENBURG RD 450 CLASS OF WORK:
SUBDIVISION: LINCOLN CENTER/FIVE LINCOLN LOT #: TYPE OF USE:
PROJECT NAME: POLLME!ER, INC.
DESCRIPTION: Relocate 4 heads.
OWNER: EQUITY OFFICE PROPERTIES TRUST, PHONE #:
CONTRACTOR: MCKINSTRY COMPANY PHONE #: 503-331-0234
Inspection Request Scheduled For: Date: 10/9/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
999 Sprinkler final 037843-02 503-209-5769
Corrections/Comments/Instructions:
••■■- C
PASS El PARTIAL APPROVAL 0 CANCEL 0 NO ACCESS
F FAIL 0 ALL FOR INSPECTION ADDITIO L F ES ASSESSED
1(1.
Inspector: IPIAV _ _ _ - -
Date: , Phone #: (503) 718-
l/Pr
CITY OF TIGARD '
BUILDING DIVISION PERMIT #: BUP200 fftl48
. 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/6/2006
Phone: (503) 639 -4171 t � A µv���i I l\
Inspection Requests (24 Hrs.): (503) 639 -4175 ....Jar' �I�..
INSPECTION WORKSHEET FOR DATE: 10/9006 TIME: 7:01AM PAGE: 60 _
SITE ADDRESS: 10200 SW GREENBURG RD 450 CLASS OF WORK: ,
SUBDIVISION: LINCOLN CENTER /FIVE LINCOLN LOT #: TYPE OF USE:
PROJECT NAME: POLLMEIER, INC. i.
DESCRIPTION: Relocate 4 h ea d s.
OWNER: EQUITY OFFICE PROPERTIES TRUST, PHONE #:
CONTRACTOR: MCKINSTRY COMPANY PHONE #: 503 - 331 -0234
Inspection Request Scheduled For: Date: 10/9/2006 Pour Time: .
Code # Inspection Description Confirm # Contact # Message
910 Sprinkler rough -in /test 037843 -01 503 - 209 -5769 N
Corrections /Comments /Instructions:
gm
( t u 0 , .
i -- -®
PASS ❑ PARTIAL APPROVAL ❑ CANCEL 1 I NO ACCESS
I I FAIL • CALL FOR INSPECTION n ADDITIO AL EES ASSESSED
Inspector: a Date: 0 9 v Phone #: 503 718 - ..4'- '`'L
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