Permit C ITY OF TIGARD BUILDING PERMIT
PERMIT #: BUP2005 -00415
Assoil
� _��� � DEVELOPMENT SERVICES DATE ISSUED: 9/23/2005
13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 1S135AB-00900
SITE ADDRESS: 10200 SW GREENBURG RD 400 ZONING: C -P
SUBDIVISION: LINCOLN CENTER /FIVE LINCOLN LOT: JURISDICTION: TIG
Project Description: Fire sprinklers.
REISSUE: ",,� e5 FLOOR AREAS EXTERIOR WALL CONSTRUCTION
CLASS OF WORK: /� . FIRST: sf N: S: E: W:
TYPE OF USE: COM SECOND: sf PROJECT OPENINGS?
TYPE OF CONST: 2FR : sf N: S: E: W:
OCCUPANCY GRP: B TOTAL AREA: 0 sf ROOF CONST: FIRE RET?
OCCUPANCY LOAD: 159 BASEMENT: sf AREA SEP. RATED:
STOR: 7 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: $ 4,939.00
Owner: Contractor:
EQUITY OFFICE PROPERTIES TRUST DELTA FIRE INC
ONE SW COLUMBIA ST #300 14795 SW 72ND AVE
PORTLAND, OR 97258 PORTLAND, OR 97224
Phone: Phone: 503 - 620 -4020
FEES Reg #: LIC 64174
Description Date Amount REQUIRED ITEMS AND REPORTS
[BUILD] Permit Fee 8/23/2005 $91.30
[TAX] 8% State Surcharl 8/23/2005 $7.30
[FLS] FLS Pin Rv 8/23/2005 $36.52
Total $135.12
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes
and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is
not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law
requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952 - 001 -0010 through OAR 952 - 001 -0100. You may.obtain a copy of these ru -- or dire questions to OUNC by
calling 503 - 246 -66 9 or 1- 800 - 332 -2344. 4/Pee__
Issued By:$ ,, / / 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.
BUILDING PERMIT
CITY F T I GA R D PERMIT #: BUP2005 -00415
ijeill DEVELOPMENT SERVICES DATE ISSUED: 9/23/2005
�`--' 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171
PARCEL: 1S135AB-00900
SITE ADDRESS: 10200 SW GREENBURG RD 400 ZONING: C -P
SUBDIVISION: LINCOLN CENTER /FIVE LINCOLN LOT: JURISDICTION: TIG
Project Description: Fire sprinklers.
REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION
CLASS OF WORK: ALT FIRST: sf N: S: E: W:
TYPE OF USE: COM SECOND: sf PROJECT OPENINGS?
TYPE OF CONST: 2FR : sf N: S: E: W:
OCCUPANCY GRP: B TOTAL AREA: 0 sf ROOF CONST: FIRE RET?
OCCUPANCY LOAD: 159 BASEMENT: sf AREA SEP. RATED:
STOR: 7 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: $ 4,939.00
Owner: Contractor:
EQUITY OFFICE PROPERTIES TRUST DELTA FIRE INC
ONE SW COLUMBIA ST #300 14795 SW 72ND AVE
PORTLAND; OR 97258 PORTLAND, OR 97224
Phone: Phone: 503 - 620 -4020
FEES Reg #: LIC 64174
Description Date Amount REQUIRED ITEMS AND REPORTS
[BUILD] Permit Fee 8/23/2005 $91.30
[TAX] 8% State Surcharl 8/23/2005 $7.30
[FLS] FLS Pln Rv 8/23/2005 $36.52
Total $135.12
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 ru . or dire questions to OUNC by
calling 503 - 246 -66 9 or 1-800-332-2344.
Issued By: AV /Ai Permittee Signature
NI
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.
f O02O0 6 r021.4143 04 t
re • Protection System
'B Permit Application— . R
h �• :� r F F O R OFFICE USE ONLY `
u is ° E ® , / � Received/�
City of Tigard DateB e7 o : 1) . _ U' Permit No. • ii ,ta,�5 �oL 75
13125 SW Flail Blvd., Tigard, OR 97223 r [ Plan Review �1
Phone: 503.639.4171 Fax: 503.598.1960 U'� 2.3 20 I Date /B : � Otlrr Perntit:
Inspection Line: 503.639.4175 NV f■ I Date Ready/By: . s: PI See Page 2 for
Internet: www.ci.tigard.or.us CITY OF TIGAbL, Notified/Method: (1 -I Vr 0F(, () Supplemental Information
ill la WING DIVISION V e_ JA 1
,- „ �.. ,.. ttm . W . ..,........, -. 0 „ ; :.. r te ,; , •*
r =° , , x . ° iJIRED,, i44,4,- : :AN D. - , AIVIILY
YPE . O W O RK, � Q
❑ 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
°` ° °` `� �����•" "� -� " N-" "" work indicated on this application.
` <` . ATE GORY::OF,CONSTRLIG ,IONS,. °. = ' ',: ,
t ,. .. _ R,„ .., .., ° . ,, , , : =; .k, ., , ��, tip - ,C
;a Valuation: $
❑ 1- and 2- family dwelling ® Commercial /industrial
❑ Accessory building 111 Multi-family Number of bedrooms:
❑ Master builder ❑ Other: Number of bathrooms:
x ..:,- , .•- sza:�•,u e.<a ,, ,f<.,mv2r.; >.•;,..° • -. ..;a.:�y� -r
•, Total number of floors.
,, 3 0 3 : 41T E 1NF t1R M A- C D ,,,. - I ` '', %. .
,,. ,,1',�3ta - °� tea, . ,,, ,,, „ .: -. - .� �,r �, -
Job site address: 10200 SW Greenburg Rd New dwelling area: square feet
City /State /ZIP: Tigard, OR l Garage /carport area: square feet
Suite/bldg. /apt. no.: 400 Project name: Five Linco NorPac Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
Other structure area: square feet
F REQ IR I? I? v M1YII✓ 21AL- IS CC_3Ec,h44 1 4
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.:
. x , ._ a p � map/parcel n " h overhead, and the p
equipment materials, labor, o d a e ofit for the
r
DESG t - `W OR K ` work indicated on this application.
Valuation: $$4,939.00
Existing building area: square feet
New building area: square feet
1 : -_ E RA= ? h' V TENANT ` : . : ..- Number of stories: • k'111 ❑ PROPERTY °'OW�IE ,�.:; -�f; '�Y,iy : ®. � v,,.
Name: NORPAC Type of construction:
Address: 10200 SW Greenburg Rd Occupancy groups:
City/State /ZIP: Tigard, OR Existing:
Phone: ( ) Fax: ( ) New:
x
,�. ,. I �H,, - : ,_ . <.. '; -. .tea -; ,, z.�L�'
,. s,.. :a ..- : 3r: °ice' _:=;
T, E, ', : _ :.:.. APPLICA �. C Oi11T T''PER$QN° ''' ;� � , 0' -w , • ,
® �.. ::..- - . � ? - NO T 10 -- ::., - a \ .
...,���:.,,.�. - \......rte... _. - _�.. ... .,,.... � -. . -- .- .- .....,,, ....,, -. �,.
Business name: Delta Fire, Inc. All contractors and subcontractors are required to be
Contact name: Brian Olsen licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address: 14795 SW 72nd Ave jurisdiction in which work is being performed. If the
applicant is exempt from licensing, the following reasons
City /State /ZIP: Portland, OR 97224
apply:
Phone: (503) 620 -4020 Fax: : (503) 620 -1058
E -mail: briano @deltafire.com
:'1.,:-:,:. TA *. .. ,CLINTRAC ,.
OR - ,a:.. F'.. -,,. ,
;' ,� , c. . . ..�.. =.tz� t;;�<.,,,.. °::� �� .,: � mow. -. _. -- ....
Business name: Delta Fire, Inc. ° ' "' �- �`i
E Bt1[T DING' FERMI F . ... " -< >,,,
Address: 14795 SW 72nd Ave
Please refer to fee schedule.
City/State /Z1P: Portland, OR 97224
Fees due upon application /3 .
Phone: (503) 620 -4020 Fax: (503) 620 -1058
Amount received
CCB lie.: 64174
)7/ Date received:
Authorized signature This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: Jack►_ cCourtney Date: 22/05 * Fee methodology set by Tri- County Building Industry
Service Board.
i. \Building',Permas \FPS- PermitApp doe 1 2/03 440- 4613T( I I /02 /COM /WEB)
•
,
City of Tigard: Fire Protection Permit Checklist
Page 2 - Supplemental Information
es iree worizbto be, 0,„n„ . , , :<ai �� :�._ t . - -„ m„ .„ „ : _;
1.) ❑ New 2.) Modification to sprinkler heads only:
® Addition ® 1 -10 heads: No plan review required. r
❑ Alteration n
11+ heads: Plan review required. l..'
ID Repair s ��
Number of sprinkler heads: 33 C/ �r- ��
Additional description of work: � G r�� f"0� � i
`` e of S stem �C otti I e t e r A r o r Da a ppl c w ig ' . ' y{ 1 . li -7 /9 ,
��'�r .- Wig'- _ 5 � C x�a t T � , b
"� Co mer, -,, Spr:'inkler � .. '�'
- - fi x ; :m ,a :, .z „,, .. & 9b...,�
Z Wet ❑ Dry
Additional Standpipes N/A
Information: Hazard Group Light
.
Density .10
Design Area 1500
K. Factor 5.6
_Sprinkler Project Valuation: .$ .00 '
0350210 o 51416 S uppress on S .. wE r - - w . . _� _ -. —
Hood Project Valuation: $
N r
Submittal shall Battery Calculations ❑ Yes
include: Individual Component ❑ Yes
Cut Sheets
Fire Alarm Project Valuation: $
;
?' v3 --
q4, , -K';a ° =s <'- : ”" „n^� ;a:.:. >'�. _MT ; T,�s• -- fY"
. ,� : -- „ l' _ < �„ ,s - sue_ ... ,.� ;r44 : ., >x.* ="-� 4 4
P 4 � � ��:._ Zg * � ' °#°.l5 -f - t ” .<. z+; � f .r;,��` -•e� �3. 4�'�,�5 -.;,,
i` d ,k �a ' - ` - -,,'a D am _V, ��i�' :' .,: ,-, `zw s - _ ,, ' - „f �` N
i
It esidenti r iV ;V nkle �StandrAlonelSystem)
. � ,1:�. 6.- n, mwmAa sa 1 ,= l-- t'_r,4 r �. <.�: 1_.: .� x.rm
Square Footage: Permit Fee: ` ze f ., , l `
0 to 2,000 $187.50 rr , �
2,001 to 3,600 $232.50 k t,- 4 w -,
3,601 to 7,200 $292.50 x , ._ , , 14
$381.5 "`
7,201 and eater #f x ' a s o `. :54x`a
Sprinkler Project Square Footage: sq. ft. A I,
•
Project Valuation Subtotal (A, B & C): $ 647 , Y '
Permit fee based on valuation (see attached chart): $ 7 0
Permit fee based on square footage (D) (see fees above): $
State Surcharge 8% of Permit Fee: $ 5.77
FLS Plan Review 40% of Permit Fee: $ 28.8'
TOTAL: $ !
Plan review requires a completed application and 3 sets of plans at submittal. Plan review f- , s are re t
submittal.
"New" fire protection systems require that plans bear the original seal of an Oregon licensed fire suppression
engineer, or NICET level "3" technicians.
http:/ /www.ci.tigard.or.us /city_hall/ departments /cd /docs /FPS - PermitApp.doc 2
RECEIVED
City of Tigard: Fire Protection Permit Checklist
Page 2 - Supplemental Information `' ��fl5
mss:. :: ..� :: :.. ' CITY t - )i TIGARD
r D esc rabe work.to.be don -e• -=
.n...,, .- . 41P r cy� - �< `"s. n. e "UtWs 1 1
1.) ❑ New 2.) Modification to 'sprinkler heads only:
Addition ❑ 1 -10 heads: No plan review required.
'Alteration ) 11+ heads: Plan review required.
❑ Repair
Number of sprinkler heads: 3
Additional description of work:
'YPofSystem(CorripletexAB, Cor ID ^as applicable) y ;
A guommercaal Sprankier
- R
Wet ❑ Dry
Additional Standpipes
Information: Hazard Group
Density
Design Area
K. Factor
Sprinkler Project Valuation: $ qq
•
), Ty peI.,- HoodreSuppresston Systepn , �.,. - >, . w ,
Hood Project Valuation: $
3
Submittal shall Battery Calculations [11 Yes
include: Individual Component ❑ Yes
Cut. Sheets
Fire Alarm Project Valuation: $
4.141a7'. JIWT! a . '' . ' , : W= D) Itesidentaai ` Sprankler> (Stand Alone,Syste ,
Square Footage: Permit Fee: i ,1,0,010z;44441-1a•--,,A
0 to 2,000 $187.50
2,001 to 3,600 $232.50
3,601 to 7,200 $292.50 5Ycyl& ;
7,201 and greater $381.50 ` �£
Sprinkler Project Square Footage: sq. ft.
Project Valuation Subtotal (A, B & C): $ G(
Permit fee based on valuation (see attached chart): $ C' ( •
Permit fee based on square footage (D) (see fees above): $
State Surcharge 8% of Permit Fee: $ 7. 30
FLS Plan Review 40% of Permit Fee: $ _36
TOTAL: $
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.
http: / /www.ci.tigard.or.us /city_ hall / departments /cd /dots /FPS- PermitApp.doc 2
•
CITY OF TIGARD ,
BUILDING DIVISION PERMIT #:
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED:
Phone: (503) 639 -4171 BUP2005-00415
9 9/23/2005
/ m � iridip� pipl�i,ej
Inspection Requests (24 Hrs.): (503) 639 -4175 'I':_..
INSPECTION WORKSHEET FOR DATE: TIME: 7 :12AM PAGE: 90
SITE ADDRESS: CLASS OF WORK:
SUBDIVISION: 10200 SW GREENBURG RD 400 LOT #: TYPE OF USE:
PROJECT NAME: LINCOLN CENTER /FIVE LINCOLN
DESCRIPTION: NORPAC .
Fire spriniders.
OWNER: EQUITY OFFICE PROPERTIES TRUST, PHONE #:
CONTRACTOR: DELTA FIRE INC PHONE #: 503 - 620 -4020
Inspection Request Scheduled For: Date: 9/22005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
910 Sprinkler rough -in /test 016542 -01 503 - 620 -4020 CP)
Corrections /Comments /Instructions:
(fit
---� , Z� o c--- 0 ® `36
( > yv...A c, 6f -c-e. t s S Q---cQ,„
z 6______ ko z,,,As- z 2___cL..., ,..
� 1 PASS PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
n FAIL I I CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: \ Date: / #: (503) 718-
CITY OF TIGARD
BUILDING DIVISION PERMIT #: BUP2006.00415
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/23/2006
Phone: (503) 639 -4171 � l
Inspection Requests (24 Hrs.): (503) 639 -4175 ,4 1111
INSPECTION WORKSHEET FOR DATE: 10/13/2005 TIME: 7:04AM PAGE: 102
SITE ADDRESS: 10200 SW GREENBURG RD 400 CLASS OF WORK:
SUBDIVISION: LINCOLN CENTER /FIVE LINCOLN LOT #: TYPE OF USE:
PROJECT NAME: NORPAC
DESCRIPTION: Fire sprinNers.
OWNER: EQUITY OFFICE PROPERTIES TRUST. PHONE #:
CONTRACTOR: DELTA FIRE INC PHONE #: 503 - 620 -4020
Inspection Request Scheduled For: Date: 10/13/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
999 Sprinkler final 018213 -01 503 - 784 -7149 YY -�^
:
Corrections /Comments /Instructions \�=0� (- Y V
111111111 I'Vv
ASS n PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: ' Date: ( ((3/ o Phone #: (503) 718-
, ,,