Permit CITY OF TIGARD BUILDING PERMIT
PERMIT #: BUP2004 -00328
-•�1
Aft DEVELOPMENT SERVICES DATE ISSUED: 7/8/2004
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 PARCEL: 1S135AB 01004
SITE ADDRESS: 10220 SW GREENBURG RD 350
SUBDIVISION: TWO LINCOLN - TOWN OF METZGER ZONING: C -P
BLOCK: LOT: 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: 15 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: Y SMOK DET:
DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP ACC:
BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING:
VALUE: $ 1,000.00
Remarks: Modify (10) sprinkler heads.
Owner: Contractor:
EOP LINCOLN, LLC MCKINSTRY COMPANY
10260 SW GREENBURG RD 5400 NE COLUMBIA BLVD
SUITE 100 PORTLAND, OR 97218
PORT LAND, OR 97223
o
Phone: 331 -0234
Reg #: MET 00001179
FEES LIC REQM INSPECTIONS
Description Date Amount Sprinkler Rough -In
[BUILD] Permit Fee 7/8/2004 $62.50 Sprinkler Final
[TAX] 8% State Surchari 7/8/2004 $5.00
Total $67.50
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes
and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is
not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law
requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain a copy of these rules or direct questions to OUNC by
calling (503) 246 -6699 or 1- 800 - 332 -2344.
Issued By: _ P /Jl AI
Permittee . 0 jr'
Signature:
Call 639 -4175 by 7 p.m. for a inspection the next business day
Fire Protection System
Building Permit Application FOR OFFICE USE ONLY
•
CCity io
of Tigard �d B Deceived 7 4 Permit Noou�J00/. -405
Plan
13125 SW Hall Blvd., Tigard, OR 97223 Rv: d / /0 ( '�
Plan RevieN
Phone: 503.639.4171 Fax: 503.598.196 Date /By: 8 20 ,4� Other Permit: 60/
U L li ��-�
Inspection Line: 503.639.4175 '` Date Ready /By: Juns: El See Page 2 for
Internet: www.ci.tigard.or.us Notified /Method: 776-- Supplemental Information
CITY OF TIGARD
%;;'.a - t$(� �;!ii I� _ ' a ^;zr-'o ." . .'��:._:_- ��
DWELLING -fry.
��REQUIRED DATA: 1= "AND'2= FAIGIILY "'
❑ 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
PP
work k indicated on this application.
". O S UCTION
El 1- and 2- family dwelling ® Commercial /industrial Valuation: $
El Accessory building ❑ Multi- family Number of bedrooms:
❑ Master builder ❑ Other: Number of bathrooms:
Total number of floors:
AND ..LOCATION ;::.
Job site address: 10220 SW Greenburg rd New dwelling area: square feet
City/State /ZIP: Tigard, Oregon Garage /carport area: square feet
Suite /bldg. /apt. no.: 350 Project name: Soft source Covered porch area: square feet
Cross street/directions to job site: Two Lincoln Center Deck area: square feet
Other structure area: square feet
=;f,RE UIRED DATA:_ COMMERCIAL=USE.CHECKI:ISTL ; y;
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.
Modify 10 sprinkler heads in tenant improvement Valuation: $$1,000.00
Existing building area: square feet
New building area: square feet
Number of stories:
OWNER "r
;; ❑:l?ItOPERTY - - ❑�- TENANT - :;::,' � . -.�'
Name: Type of construction:
Address: Occupancy groups:
City/State /ZIP: Existing:
Phone: ( ) Fax:( )
New:
..- � <.., -�- 35:`x:....`" :�? } :"°'K� :.3�a:x;<rk?i p^,y"',C }7.3�:'•! �' "r
g
NOTICE,Y.;.
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: jurisdiction in which work is being performed. If the
City/State /ZIP: applicant is exempt from licensing, the following reasons
apply:
Phone: (503) 331 -0234 Fax: : (503) 331-6906
E -mail: richardg @mckinstry.com
.•,�;; %:
CONTRACTOR: K
. _1,..
4 .
Business name: McKinstry Co , B :. -
[TI1
L?*;' :P ".ERMI'I` FEES*
Address: 5400 NE Columbia „,Aa....
Please refer to fee schedule.
City/State /ZIP: Portland, OR 97218 , 750
Fees due upon application (,
Phone: (503)331 -0234 Fax: (503) 331 -6906
CCB lic.: 40981 Amount received
n J / � � Date received:
Authorized signature: / I/ 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: 7 -7 -04 * Fee methodology set by Tri-County Building Industry
Service Board.
i.\Building \Permits \FPS- PennitApp.doc 12/03 440 -46 I3T(I I /02 /COM/\EB)
CITY OF TIGARD 24 -Hour
UILDING Inspection Line: (503) 639 -4175
INSPE�T IONiDIVISION Business Line: (503) 639 -4171 MST
BUP
Received Date Re neste AM PM BUP 20 ari g_25
Location � — Suite 3 SZ MEC
Contact Per ��� Ph ( ) PLM
r Con Ph ( ) SWR
BUILDIN�C/ Tenant/Owner ELC
cso lig
Foundation ELC
Access:
Ftg Drain ELR
Crawl Drain
Slab Inspection Notes: SIT
Post & Beam
Shear Anchors
Ext Sheath/Shear
Int Sheath /Shear
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling _ _
Roof
g S PART FAIL
P ING
Post & Beam
Under Slab
Rough -In
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 v„ mum
Rough-In fit'/ = / ��"'�/
G /Slab ' v ,_'`� =; w
Low Voltage
Fire Alarm
Final Q 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