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Permit BUILDING PERMIT CITY OF TIGARD PERMIT #: BUP2005 -00134 A1l& DEVELOPMENT SERVICES DATE ISSUED: 4/4/2005 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 1S135AB-01004 SITE ADDRESS: 10220 SW GREENBURG RD 250 ZONING: C -P SUBDIVISION: TWO LINCOLN - TOWN OF METZGER LOT: JURISDICTION: TIG Project Description: Sprinkler TI, add (2) heads and relocate (1) head. 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: $ 350.00 Owner: Contractor: EQUITY OFFICE PROPERTIES TRUST MCKINSTRY COMPANY ONE SW COLUMBIA #300 5400 NE COLUMBIA BLVD PORTLAND, OR 97258 PORTLAND, OR 97218 Phone: 503- 293 -2745 Phone: 331 -0234 FEES Reg #: LIC 40981 Description Date Amount REQUIRED ITEMS AND REPORTS [BUILD] Permit Fee 4/4/2005 $62.50 [TAX] 8% State Surcharl 4/4/2005 $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 -00 I .rough OAR 952 - 001 -0100. You may obtain a copy of these rules or direct questions to OU► , by calling .. o3-246-66°9 . - 800 - 332 -2344. Issue. By: / . , Il-. �.. Permittee Signature: —if �� Ale 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 System • Bulld Per mit Application , FOR OF USE ONLY City of Tigard Date /B ©ffrilla Permit No.: / � i i y , 0 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review .� Phone: 503.639.4171 Fax: 503.598.1960 Atoril " A Date /By: Other Permit: Inspection Line: 503.639.4175 •' Date Ready /By: Ju El See Page 2 for Internet: www.ci.tigard.or.us Notified /Method: / icl' Supplemental Information .� ,.•. ,.. -. <. -..�: i.., •: ;;-.. ..,, -;.r M.� ._: ....:. ,ter. �t -..�.; ����: <,c >nx::.,a <;.,_�- �iF.:,.���;k.:;. °.3 �. .... .,,; .. ._ E �, ARK_= sa;� -= IRED' DATA "1 :AN D.,2F- A ; -A,r� REQU ❑ 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 irfiri ` N ialalo ;; work indicated on this application. t CATEGORY OF, ,GONSTRUCTIwspV, >•. ,; 4 El 1- and 2- family dwelling ® Commercial/industrial '\ Valuation: $ El Accessory building ❑ Multi- family Number of bedrooms: ❑ Master builder ❑ Other: Number of bathrooms: I.s . : a ; ': tt '"; .MM s; _ AND LOCATION Total number of floors: _ ,;. , ; '. , STI E INF . ; 5� Job site address: 10230 SW Greenburg Rd. New dwelling area: square feet City/State /ZIP: Portland, Or 97223 Garage /carport area: square feet Suite/bldg. /apt. no.: 250 A Project name: Academy Mortgage Covered porch area: square feet Cross street/directions to job site: Lincoln II bldg. Deck area: square feet Other structure area: square feet 4 ,-,,,,a .ft.;,; t..,, ,` :cE: Wi n.-„ .,,,,, , ... .,. ;- REQUIRED DATA-:- COM -USE C . et ° cf° ` §Tim ,c .w;S. >..:;,,, a ° : °r. -. >-" ,:', ::., ,,,, .. , '.4.04.,: 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 application. r r ��: �;DESCRIETION�;O,F.:,WORK ,,� P Add 2 sprinkler heads and relocate 1 sprinkler head. Valuation: $ Existing building area: square feet New building area: square feet riFirat r °PROPERTY ,OWNER, ® Number of stories: Name: Equity Office Properties Trust Type of construction: Address: 10260 SW Greenburg Rd # 100 Occupancy groups: City/State /ZIP: Tigard, Or 97223 Existing: Phone: (503)892 -2500 Fax: ( ) New: . 041:11 .APPLICANT ' 4 4 g - <:CONTACT PERSON' -� „'. � %' . . ,- �,- �' . - -.., . ��� -�-mow �:� =.�-_:,��.�. NOTICE. :i;; 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 ,� v 1CONTR.ACTUR Business name: McKinstry Co. : ,. ; . : __ m ,., . , ,rc/>:>ABUILDING PE > ;- 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:( ) Amount received CCB lic.: 40981 Plate 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: Richard Gordon / Date: 4 - - 05 * Fee methodology set by Tri- County Building Industry Service Board. is \Building\Permits \FPS- PermitApp.doc 12/03 440- 4613T( I 1 /02 /COM /WEB) •