Permit y, 4 j lll CITY OF TIGARD BUILDING PERMIT
PERMIT #: BUP2005 -00211
DEVELOPMENT SERVICES DATE ISSUED: 5/19/2005
13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171
PARCEL: 1S135AB-01002
SITE ADDRESS: 10220 SW GREENBURG RD 415 ZONING: R - 12
SUBDIVISION: THREE LINCOLN - TOWN OF METZGER LOT: 009 JURISDICTION: TIG
Project Description: Relocate (10) sprinkler heads.
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: 1 FR 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: $ 1,200.00
Owner: Contractor:
EQUITY OFFICE PROPERTIES TRUST AFP SYSTEMS INC
ONE SW COLUMBIA ST #300 19435 SW 129TH
PORTLAND, OR 97258 TUALATIN, OR 97062
Phone: Phone: 503 - 692 -9284
Reg #: LIC 67534
FEES
Description Date Amount REQUIRED ITEMS AND REPORTS
[BUILD] Permit Fee 5/19/2005 $62.50
[TAX] 8% State Surcha 5/19/2005 $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 -6699 or 1- 800 - 332 -2344.
Issued B " ..Z e 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.
•
MAY - 19 - 05 10:37AM FROM- Automatic Fire Protection 5036921186 T -778 P.002/002 F -973
illaii iila Per „ i , e o el , L J , � ° Oi •
,. : Received Datc/Bv: _ Building ,.)
• �✓ 0) dd ) /
J - I Permit No.: 1.A
City of Tigard j AY 1 9 2005 Planning Approval Other
Darc/B Permit No -:
13125 SW Hall Blvd. Plan Review Other -
Tigard, Oregon 97223 CITY OF TIGARD Date./13y: Permit No.:
Phone: 503- 639 -4171 Faxt315113 31Pili ISI 414' I l J 1 tt Post- Review Land Use
.1 11111 Date/B : Case No.
Internet: Www.ci.tigard.or.us 2 �+ ^� "' Contact Jut-is.. ® See Page 2 for
24 -hour Inspection Request 503 639 - 4175 Name/Method: T) (r Supplemental Information
•
. • TYPE OF WORK- • • = .. . -..,.
• ❑ New construction ❑ Demolition . .-4 . &;1.FAl ir:DWELILING'
`ddition/alteration/replacement ❑ Other:
" CATEGORY OF CONSTRUCTION : • .: Note: Permit fees" are based on the total value of the work performed. Indicate
❑ 1 & 2- Family dwelling ['Gomrnercial/Industrlal the value (rounded to the nearest dollar) of all equipment, materials, labor,
overhead and profit for the work indicated on this application.
Accessory Buildm • ❑ Multi -1 amil
Master Builder ❑ Other: Valuation $
. • . .; JOB SITE. INFORMATION and,LOCATION • No. of bedrooms: No_ of baths:
Job site address: /AAA _ W G ive �{� T number of floor _,
'New dwelling area (sq. ft.)
Suite #: /' j 1 J3ldg. /Apt. #: ..3 Garage/catpon area (sq. ft.)
Project Name: ' i•-1 D - rD L_ o' Covered porch area (sq. ft)
Cross street/Directions to job site: Deck area (sq. ft -
Other structure area (sq. ft.)
. ∎•.•• R>EQUIRED :DATA; .;, :._':'
,CO14MERCIAL.: USE ST • Subdivision: I Lot #: ' • .. ' • _..
Tax map /parcel #: Note: Permit fees* are based on the total value of the work performed. indicate
.. _ . .DESCRIPTION OF WORK . • the value (rounded to the nearest dollar) of all equipment, materials, labor,
overhead and profit for the work indicated on this application.
Valuation $ 1'2 OD
Existing building area (sq. ft.) ) NIP.-
New building area (sq. ft.)
Number of stories W /&._
4:YROPERTY. OWNER . Fp. TRNANT - .... Type of construction n) ) A -
}�
Occupancy group(s): Existing: =:*;EI
Name: E0,A -� � n it" . New:
Address: •
City /State /Zip:
Phone: Fes; NOTICE: All contractors and subcontractors are required to be
licensed with the Oregon Construction Contractors Board under
.gd• stPPEIC,A�N'h.: •-....: ;, CONTACT PERSON provisions of ORS 701 and may be required to be licensed in the
Business Name: 4`-r"' \ S (4 - trod. ,,,,..le.-_, jurisdiction where work is being performed. If the applicant is exempt
Contact Name: ! L i L from licensing, the following reason applies:
Address: /CI 5 v-) 1 -.C „ T k. & \-/_ .
City /State /Zip Jr0 i....100,
„� i 4 3 ) ;;') j ThLSl
Phone: t oeo -ev `? `i Fax: 67, e r Z i E 5V...1.
E -mail: .. Bort DING PEgmrr ;; ..9w ::•' !7• .
.';: ?;_Ple fee sdiedule- - .. '... • ..
CONTRACTOR': ...
Business Name: I, ') r rv, . ' Pecs due upon application $ _
Address: 19035 1 17i, A A .'
lit) r4 LA r, c.,...-)-1-e___. �,. ci \ Amount received S
City/State/Zip:
Phone: L4 2.. -c Fax: f.? ,.. ) Date received:
CCB Lic. #: I P - 4 - 34- - - -
Authori2ed ) l
i— Notice: This permit application expires If a permit is not obtained within
Signarurc d�.� Date:. 180 days after it has been accepted as complete.
' !), '
�- �-� *Fee mcthodolou set by x'ri Couaty Building Industry Service Board,
(Please/print name)
i- :\Dsts\Permis Forrrts\EldgPcrmitApp.doc 01/03
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CITY OF TIGARD .
BUILDING DIVISION PERMIT #: BUP2005-00211
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/19/2005
Phone: (503) 639 -4171 �
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 6/13/2005 TIME: 7:08AM PAGE: 77
SITE ADDRESS: 10220 SW GREENBURG RD 415 CLASS OF WORK:
SUBDIVISION: THREE LINCOLN -TOWN OF METZGER LOT #: 009 TYPE OF USE:
PROJECT NAME: FORD MOTOR CREDIT
DESCRIPTION: Relocate (10) sprinkler heads.
OWNER: EQUITY OFFICE PROPERTIES TRUST, PHONE #:
CONTRACTOR: AFP SYSTEMS INC PHONE #: 503 - 692-9284
Inspection Request Scheduled For: Date: 6/13/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
999 Sprinkler final 009034 -01 503-348-0563 Y
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•
PASS • ❑ PARTIAL APPROVAL ❑ CANCEL — NO ACCESS
❑ FAIL ❑ CALL Fu' INSPECTION ❑ ADDITI AL FE S ASSESSED
Inspector: (107111k Date: Gone #: (503) 718 -
CITY.'OF TIGARD
BUILDING DIVISION PERMIT #: BUP2005- 00211
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/19/2005
Phone: (503) 639 -4171 t EljIi ?\
Inspection Requests (24 Hrs.): (503) 639 -4175 • _..'!!� _ —
INSPECTION WORKSHEET FOR DATE: 5/20/2005 TIME: 7 :11AM PAGE: 77
SITE ADDRESS: 10220 SW GREENBURG RD 415 CLASS OF WORK:
SUBDIVISION: THREE LINCOLN -TOWN OF METZGER LOT #: 009 TYPE OF USE:
PROJECT NAME: FORD MOTOR CREDIT
DESCRIPTION: Relocate (10) sprinkler heads.
OWNER: EQUITY OFFICE PROPERTIES TRUST, PHONE #:
CONTRACTOR: AFP SYSTEMS INC PHONE #: 503 - 692 -9284
Inspection Request Scheduled For: Date: 5/20/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
910 Sprinkler rough -in /test 007365 -01 503 - 692 -9284 N
Corrections /Comments /Instructions: •
i
I i\ , re _ ' i k IlifAli . ,
, f
, . -
PASS ❑ PARTIAL APPROVAL ❑ CANCEL n NO ACCESS
n FAIL ❑ CALL FOR INSPECTION ❑ ADDITI NAL F ES ASSESSED
. �4 / X
Inspector: -_' Date. Phone #: (503) 718-