Loading...
Permit /•• BUILDING PERMIT CITY T I GA R D PERMIT #: BUP2004 -00379 0 ' l ll DEVELOPMENT SERVICES DATE ISSUED: 8/5/2004 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 PARCEL: 1S135AB 01002 SITE ADDRESS: 10220 SW GREENBURG RD 201 SUBDIVISION: THREE LINCOLN -TOWN OF METZGER ZONING: R -12 BLOCK: LOT: 009 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: 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: f i gDO OU Remarks: Relocate (10) fire sprinklers heads. Owner: Contractor: EQUITY OFFICE PROPERTIES TRUST MCKINSTRY COMPANY ONE W COLUMBIA #300 5400 NE COLUMBIA BLVD PORTLAND, OR 97202 PORTLAND, OR 97218 Phone: 503 - 412 -4800 Phone: 331 -0234 Reg #: MET 44 FEES LIC REQUIRED INSPECTIONS Description Date Amount Sprinkler Rough -In [BUILD] Permit Fee 8/5/2004 $62.50 Sprinkler Final [TAX] 8% State Surcharl 8/5/2004 $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 - 13) 24. -.,99 or 1- 800 - 332 -2344. Issue • By: 0.0 �..;,4:f�, Perm itte- - Signature: Call 639 -4175 by 7 p.m. for an inspection the next business day fl Fire Protection System j uiM Permit Ap plication Receive I OFFICE'`USE ONLY d Q Building /, Date /By: U - e , Permit No.://�JU --e037, City of Tigard Plannin Approval Other Date /By: Permit No.: 13125 SW Hall Blvd. Plan Review Other Tigard, Oregon 97223 Date /By: Permit No.: Phone: 503- 639 -4171 Fax 503 -598 -1960 411101# I Post-Review Date /By: Case No. Land Use Internet: www.ci.tigard.or.us d —'` Contact --J ! ® See Page 2 for 24 -hour Inspection Request: 503- 639 -4175 Name /Method: / S ' Supplemental Information :" ,is -; : `,' TYPE OF _WORK;i., REQUIRED DATA ❑ New construction ❑ Demolition - - i':& 2'FAMIGY;D;W : t p Note: ' Perniit fees* '` '.:. k performed. Indicate 'ti'`'. ., .': : No es are based on the total value of the wor � Addrtion/alterahon/re Addition/alteration/replacement Other r ." C�ATEGORY�,OFCONSTRU,GTION• =� � �` ,, * P cafe ❑ 1 & 2- Family dwelling ,K" Commercial/Industrial the value (rounded to the nearest dollar) of all equipment, materials, labor, .overhead and profit for the work indicated on this application. ❑ Accessory Building ❑ Multi- Family ❑ Master Builder ❑ O ther: Valuation $ Mas Builder :.: ' JOB: SITEIINFORMATION _and °=LO;CATION ' ;n _ No of bedrooms: No of baths: Job site address: ) o7 Z O 612,e€,,j6,L,24.61 F' Total number of floors New dwelling area (sq. ft.) Suite #: 7_,C I Bldg. /Apt. #: - EE 1,/ / Li) UN Garage /carport area (sq. ft.) Project Name: .9opt-IL,.Ep Po1pi'r Covered porch area (sq. ft.) Cross street/Directions to job site: Deck area (sq. ft.) Other structure area (sq. ft.) ;,1:'_ , ,, - "vS�a : i:a�. vx, s. ss: t ;e" ' [,{ s "?'~ .:.:�, �f. „QUJ_R.ED:RD; ,T,A,, �. .. i'<�i:� . qr' '. �1.�.��' - .,cA�. '� ' RE Q a F�� .�'. .z ”; >J + " , � ,�i,- ;.,,�.. r "v =1 r wCOMMERC TSE,CHEC s T : „' ;;a`� ;.. "v-'}� >�. -M1�: ems' ,� ,. �s '�s�.:,�:::�„�>v._�~r��:�: �.� �; , ;Q.:.. .._ a3 „ � , .. : 3 Subdivision: Lot #: Tax map /parcel #: Note: Permit fees* are based on the total value of the work performed. Indicate ._ >Ir',.t- IN;;1,' ESCRI'PTIC?N,_OF r • ,:? �d: : 3 N; ;; k the value (rounded to the nearest dollar) of all equipment, materials, labor, r; a`;: ° ., G «,:;;,;D : u. W ORIC : ' overhead and profit for the work indicated on this application. )Z c-•l ' 5 P. fii 2 ,e/I NMLL- 1' 0 Valuation S i *IP Existing building area (sq. ft.) lb. New building area (sq. ft.) as Number of stories .tf,'. . �wk'V;) i , `'_ '`; ; ;~ , `. Type of construction A' — .� i ® �l'ROPrERTY�OWNER,;; ��,. r \TENANTS , � - �. - i „ � �;'. YP Name: eepv i-i etCPIcel Pk 1) Occupancy group(s): xis ing: 75 , I }3 Address: City /State /Zip: Phone' Fax: NOTICE: All contractors and subcontractors are required to be .', a i .K s licensed with the Oregon Construction Contractors Board under ', AEPLICANT ^�'`g,,;,,'� „. „ CONTACTt:PERS_ON ,_ , provisions of ORS 701 and may be required to be licensed in the Business Name: m c 1 4 r. 9, e 5( Co , jurisdiction where work is being performed. If the applicant is exempt Contact Name: � � p e, fi from licensing, the following reason applies: Address: 9.1( , j e C.0 L1 AA (3U City /State /Zip: 4 i or., c:7-7 7 l ) Fa x: o � , .,, , Ax m , - 41= : _• 4 .: � # ;' : �: k.t -• 'i-v -� Phone: So 3 .�,�1, a�3�I 3 �3/ �. e „ ` .: ;1''`' ' ., x , : BUILDING +PERM'I -T FEES ��� - �� tt'; �'m ;,,�. �• E -mail: M� /'1'1 t - i Nq. s( (G' . , 74, °� ' c i �, ti �,k ,_ ., - Please refer to fee schedule 1 , ,, r t � - � �� � ,� -�. � `CONS' �RACT,OR , : -_ � . _ 4F - .� , .. - . . ��- a i �__ �, _ . x,s.�_, _ ..` ». °” a_; _ naT ., �_ k n-v. - � - -. sz �; w�.t.,., i >4� / Business Name: AA e- Ki „19 Go • Fees due upon application $ (Q 7. 51) Address: "iroci /QC. 66�ur -% $)ta 1 City /State /Zip: - TT - 6 A.g...0 n V. 9-724./5 Amount received $ Phone: 60 l .0231 Fax: >03 . - 53 1 , L9 blo Date received: CCB Lic. #: 09 f I Authorized 1 .�7 Signatur O Notice: This permit application expires if a permit is not obtained within ,....... /0 � 180 days after it has been accepted as complete. p40�• Date: - - *Fee methodology set by Tri -County Building Industry Service Board. ( i lease print name) is \Dsts \Permit Forms \BldgPermitApp.doc 01/03 / `. 1 q Fire Protection Permit Check List A.) ❑ New ❑ Addition Alteration ❑ Repair B.) Modification to sprinkler heads only: Describe work to 1. 1 -10 heads: No plan review required. be done: 2. 11+ heads: Plan review required. Number of sprinkler heads: (l OJ Additional description of work: 'S.P_ Type- of .Systern - (Corriplete A; B er-C'as'appl A.) Sprinkler Wet Si Dry ❑ Standpipes -/t)Wjq Additional Hazard Group L i4f -1'7 i Information Density ) O Design Area 51)7=i K. Factor fd Sprinkler Project Valuation: $ 1X?© B.) Type I - Hood Fire Suppression System' Hood Project Valuation $ J IJ / C.) Fire Alarm Submittal shall Battery Calculations Yes ❑ include: Individual Component Yes ❑ Cut Sheets Fire Alarm Project Valuation: $ /V /A- Project Valuation Subtotal (A, B & C): $ )) Sop ` `' Permit fee based on valuation (see chart): $ 8% State Surcharge: $ FLS Plan Review 40% of Permit: $ 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. i:\dsts \forms \FPSchecklist.doc 11/21/01 CITY OF TIGARD 24 -Hour BUILDING Inspection Line: (503) 639 -4175 IN IONIVISION Business Line: (503) 639 -4171 MST (LJ 9/� S/ lr✓` Bu��d - 003 7� Received / a 3 Date Requested AM PM BUP Location 12 Suite c- / MEC / Contact Person /� h (4- o c63 PLM Contractor Ph ( ) SWR JIL NG Tenant/Owner ELC Footing ELC Foundation Access: j Ftg Drain � rYLL_,>) � E LR Crawl Drain Slab Inspection Notes: SIT Post & Beam Shear Anchors Ext Sheath /Shear Int Sheath /Shear Framing Insulation Drywall Nailing Fir `ire Sprin - Fire Alarm Susp'd Ceiling Roof ` Ad A 1 !iiiii� PART FAIL fr . ING _ Post & Beam Under Slab 1� Rough -In /1 Water Service Sanitary Sewer Rain Drains Catch Basin / Manhole Storm Drain • Shower Pan Other: Final PASS PART FAIL MECHANICAL Post & Beam Rough -In Gas Line Smoke Dampers Final PASS PART FAIL ELECTRICAL Service Rough -In UG /Slab Low Voltage Fire Alarm Final Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL SITE ❑ Please call for reinspection RE: Unable to inspect — no access Fire Supply Line ADA • Approach /Sidewalk Date Inspector Ext Other: Final DO NOT REMOVE this inspection record from the job site. PASS PART FAIL