Permit , BUILDING OF TIGARD BUILDING PERMIT
CITY PERMIT #: BUP2005 00151
l DEVEL PMENT ICES -639 -4171 DATE ISSUED: 4/19/2005
13125 SW PARCEL: 1S135AB-01002
SITE ADDRESS: 10220 SW GREENBURG RD 135 ZONING: R -12
SUBDIVISION: THREE LINCOLN -TOWN OF METZGER LOT: 009 JURISDICTION: TIG
Project Description: 2 sprinkler heads capped, relocate 1 head and add 1 head.
REISSUE: e FIRST: AREAS EXTERIOR WALL CONSTRUCTION
CLASS OF WORK: Aer 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: 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
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 4/19/2005 $62.50
[FLS] FLS Pln Rv 4/19/2005 $5.00
Total $67.50
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes
and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is
not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law
requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain a copy of these rules or direct questions to OUNC by
calling 503-246-6.'9 or 1- 800 - 332 -2344. /
Issued By: , ,_Z Permittee Signature:> ,
Call 503 - 639 -4175 by 7:00 a.m. for an inspection that business day.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Fire Protection Syste O U
Bl xlrcil>r�g Permit App 1 V FOR OFFICE USE ONLY
2005 Received J _ �-�
City of Tigard APR Date /By: (q / VS" Go- Permit No U ifx 0 ✓ 66/ 5—/
• 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review /
Phone: 503.639.4171 Fax: 503.598.19COITY OF TI GAR 4 Date /By: Other Pennit:
Inspection Line: 503.639.4175 ! ='' I Date Ready /By: Juris: 0 See Page 2 for
Internet: www.ci.tigard.or.us BUILDING DIVIS1w Notified /Method: Supplemental Information
,.._o;lgi .ry E _ TyPE .WORK, : ,'• fZ :;r••;r. RE.. UIR ED DATA: =I - D.2 —FAMI ***ELL r
u.�
❑ New construction ❑ Demolition Permit fees* are based on the value of the work performed.
Indicate the value (rounded to the nearest dollar) of all
® Addition/alteration/replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the
? A `CATEGORY :OF :CONSTRUCTION: �
work indicated on this application.
' ;. °.' ",�: x.;•.3°.;?'.::;'-'. ^_ %5;... ^;. ..: --__<.-'<< �,,.= �.�'C.',_•'.: A�v.3t$�.;'�F: -
❑ 1- and 2-family dwelling Valuation: $
y g ®Commercial /industrial
❑ Accessory building El Multi-family Number of bedrooms:
❑ Master builder ❑ Other: Number of bathrooms:
Total number of floors.
Job site address: Lincoln -3 10220 Greenburg Rd. New dwelling area: square feet
City/State /ZIP: Portland, Or Garage /carport area: square feet
Suite/bldg. /apt. no.: 135 Project name: suite 135 Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
Other structure area: square feet
; ,REQU1RED:DATA COMMERCIAli= USE<GHECKLIST
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, materials, labor, overhead, and the profit for the
work indicated on this nation.
,. P� N= OF W ORI{A =�' � `� :ti
d Gated o th s a h
Plug 2 sprinkler heads, relocate 1 sprinkler head, add 1 sprinkler head. Valuation: $ 444.0
Existing building area: square feet
New building area: square feet
°, �...... < r :per. •-, = - k , , {" e _. s . :::,:
PRUP.ERTtYs OVYNER;. .; TENANT';K2 %''., Number of stories:
,..
Name: Equity Office Type of construction:
Address: Occupancy groups:
City/State /ZIP: Existing:
Phone: ( ) Fax: ( ) New:
r �;
`PPLIC' CUNTAC EERS
A ANTr�••, O
„E r
dCE
,NOT
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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 blvd. 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 ) 331 -6906
E -mail: richardg@mckinstry.com
mckinstry.com
x, CONTRAC
Business name: McKinstry Co.
BUILDINGI'ERMIT
Address: 5400 NE. columbia Blvd.
Please refer to fee schedule
City/State /ZIP: Portland, Or 97218
Fees due upon application
Phone: (503) 331 -0234 Fax: (503)331 -6906
Amount received
CCB lic.: 40981
Date received:
Authorized signature: This permit a permit is not obtained
within 180 days application after it expires has been if accepted as complete.
Print name: 1 Date: rj.' / y- 05 * Fee methodology set by Tri- County Building Industry
Service Board.
i:\ Building \Permits\FPS- PermitApp.doc 12 /I. 440- 4613T(11/02 /COM/WEB)
CITY OF TIGARD
BUILDING DIVISION PERMIT #: BUP2005 00161
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/19/2036
Phone: (503) 639 -4171 an iii'A
Inspection Requests (24 Hrs.): (503) 639 -4175 ...,_4
INSPECTION WORKSHEET FOR DATE: 4/20/2005 TIME: 7:11AM PAGE: 79
SITE ADDRESS: f R :
10220 SW GREENBURG RD 136 CLASS OF WOK , l
SUBDIVISION: THREE LINCOLN -TOWN OF MEl'ZGER LOT #: 009 TYPE OF USE:
PROJECT NAME: RANDSTAD
DESCRIPTION: 2 sprinkler heads capped, relocate 1 head and add 1 head.
OWNER: EQUITY OFFICE PROPERTIES TRUST, PHONE #:
CONTRACTOR: MCKINSTRY COMPANY PHONE #: 331 -0234
Inspection Request Scheduled For: Date: 4/20/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
999 Sprinkler final 004897 -02 503.209 -5769 N
Corrections/Comments/Instructions:
4
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V PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: �� Date: (/0 one #: (503) 718-