Permit '1 �E� a, CITY OF TIGARD BUILDING PERMIT
PERMIT #: BUP2008 -00321
P I
COMMUNITY DEVELOPMENT DATE ISSUED: 9/16/2008
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 1 S 135AB -04500
SITE ADDRESS: 10250 SW GREENBURG RD 111 ZONING: C -P
SUBDIVISION: LINCOLN CENTER /LINCOLN BLDG LOT: 001 JURISDICTION: TIG
PROJECT: CORNFORTH CONSULTANTS
Project Description: Altering (6) 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: 2FR sf N: S: E: W:
OCCUPANCY GRP: B TOTAL AREA: 0 sf ROOF CONST: FIRE RET?
OCCUPANCY LOAD: 74 BASEMENT: sf AREA SEP. RATED:
STOR: 3 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: $ 600.00
Owner: Contractor:
SHORENSTEIN REALTY SERVICES AFP SYSTEMS INC
ONE SW COLUMBIA ST #300 19435 SW 129TH
PORTLAND, OR 97258 TUALATIN, OR 97062
Phone: 503-412-4800 Contact #: FAX 503 - 692 -1186
PRI 503 - 692 -9284
Reg #: LIC 67534
FEES
Description Date Amount REQUIRED ITEMS AND REPORTS
[BUILD] Permit Fee 9/16/2008 $62.50
[TAX] 12% State Surch 9/16/2008 $7.50
Total $70.00
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 - �
/Permittee Signature: p / CClej7c C /` �
/I d�
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.
T , SEP -16 -2008 TUE 02 :18 PM AUTOMATIC FIRE PROTECT, , NO, 5036921186 P. 02/06
• Fire Protection System
BuildingPcrirriit Application 7 - - - 1 0, R. 1_l_l& L 1ST Ot`ii, — - -, - -
EI E� Date eat No ' _ —
City of Tigard REC V � r _ ''.D.. Dem : '�
't 13125 SW Hull Blvd., Tigard, OR 97223 ri Plan Ra4icw ptlur Pcmlit:
.% ,• : , Phone: 503.639.4I71 Fax; 503.595.1960 1 6 ZOO Dalai . 6c c2 for
Inspection Line: 503.639 .4 I75 SEP paleReedy /by; r
'i t �� t i...) Internet: www.tigard -or.g/ov D rruiflad/Methed . supplemental tnformnitaa
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Permit fees° are based on the value of the work performed_
Q New construction Demolition Indicate the value (rounded to the,ncarest dollar) of all
-G-Addition/alteration/replacement 0 Other: equipment, materials, labor, overhead, and the profit for the
, .- ti y ,.' r• AA r :vg p 1 work indicated on this application.
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0 1- and 2-family dwelling Commercial /industrial S
Number of bedrooms:
❑ Accessory building Q Multi - family
iil Master builder
Q Other. Number of bathrooms:
7Y ' ', ,� 1.{r R # }�.� T ,� { '�,�'f / i,tit�1, si :/e .. 1, 1 3 j,K t ' " 1 H�`T A." ,: i S r n l.d, Total number of floors:
f !11S 'k ,i., T,11g ` -, ��1 ?el lei T. ; r1 a ,! �I .tRi �, PIV�U4'li'15 .r.� 1 _ :111I1.Y�,'L ' .,! 1 � .ff>Stil
Job site address: JO as 0 (� 1,_______:_ New dwelling area: square feet
City /StatelZTP: -- L et ,1 J r. Garage/carport areal: square feet
Suite/bldg. /apt. no.: Project ,nume:C , U U �_,DA00.4.11:0-.4",k2 Covered porch area: square feet
Cross strecl /directions to job site: 2 I`7 1,3 - . . , �A� Deck area: _ square fret
I Other structure area: square feet
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Subdivision: Lot no.: Permit fees* are based on the value of the work performed.
Indicate the value (rounded to the nearest dollar) of all
Tax map/parcel no.: � y�
, . 7 7 o I `l�' equipment, materials, labor, overhead, and the profit for the
-
. r !� a
� c r -.. , ". yc, 1�, 1 al 1: r r � week indicated on this a pp lic ation.
1�.[ r� "! _ Valuation: < 1' $ . ��.� .
Existing building, tires: yD square feet
-- ,New building area: Q sgtutrc feci
v �' W 4 r� 4i 1 !'. : c „ ' , 4
t r 1 yisTU', 4 ��r�A j� '� t 1 t'R� Number OfStO
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as
-1_1/._ / +, r Type of construction:
Address: b 1 'l S L..) fp • + Occupancy groups: ,
City/State/ZIP:' rl kxistingr:
Phone:( ) Fax :( ) New:
,;,. r. ^ia. \�: r,' ' A,S g:i `t ➢1O :141: y' . :n ,'n• "•r, ,a; iyry f . 'l�' t ^ . - - tb '_ if , .t ,' ;,,/, ' 1 S '..iq "1"'9',. ;� I
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Business name: ` - • 40h 1)•-10.; . All contractors and subcontractors are required to be
licensed with the Oregon Consiruotion Contractors Board
Contact name: y,, s T We' ' under ORS 701 and may be required to be licensed in the
�
Address: t i • Par jurisdiction in which work is being performed. Yale
" applicant is exempt from licensing,. the following reasons
City/Slate/2a
l _ Y # ofif apply:
Phone:(4) l - a[ Fax: ' ( .a , ) 04 ) • 0
E- mail: 3•, 1 F 9 S „
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Business name:�� ��. ' Permit fee: G d, , J t/
Address: ,a Ir 1 t ' Slate surcharge (8% of permit fee):
City /State/ZIP: i. A L . f V + ° /0 'i' FLS plan review (40% of permit fee):
Phone: & ) bill' r 12.71,4' Fax; ( A r 2" I IS'- _, (Due upon O hCarlcu+,) . �..
CCB lie_: - ' S 3 Total permit fees: 0
Amount received:
Authorized signature :I --
T his per application expired if a permit is not obtaine
"*r r r Dyta: ° l. / —b Q within 180 days after it has been accepted is complete.
Print name: Iv— >Vi , Sd • Fee tnethoclology set by Tti- County Building Industry
Service Board,
t: lIIulldinalPcr ,nilaliPS- PartnitApp.daC aimIo6 440 - 461re 1t /W!OOwvan)
CITY OF TIGARD
BUILDING DIVISION PERMIT #: BUP2008-00321
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9116/2008
Phone: (503) 639-4171 ei*V
Inspection Requests (24 Hrs.): (503) 639-4175 ,,,, ......
INSPECTION WORKSHEET FOR DATE: TIME: PAGE:
10/17/2006 7:02AM 19
SITE ADDRESS: CLASS OF WORK:
10250 SW GREENBURG RD 111
SUBDIVISION: LOT #: TYPE OF USE:
LINCOLN CENTER/LINCOLN BLDG 001
PROJECT NAME:
CORNFORTH CONSULTANTS
DESCRIPTION:
Altering (6) sprinkler heads.
OWNER: PHONE #:
SHORENSTEIN REALTY SERVICES, 503
CONTRACTOR: PHONE #:
AFP SYSTEMS INC 503-692-9264
Inspection Request Scheduled For: Date: Pour Time:
10/17/2008
Code # Inspection Description Confirm # Contact # Message
999 Sprinkler final 076854-03 503-780-3222 N
Corrections/Comments/Instructions:
•
ci,,,
PARTIAL APPROVAL D CANCEL 0 NO ACCESS
El FAIL El CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED
. Inspector: ZS Date: / 7 Phone #: (503) 718- (12 7
: .
.._ . .
CITY OF TIGARD ...._ . . . ,
BUILDING DIVISION :--' PERMIT #: BUP2008-00321
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/1&200U
Phone: (503) 639-4171 Jai
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: 9/1812008 TIME: 7:00AM PAGE: 11
SITE ADDRESS: 10250 SW GREENBURG RD 111 CLASS OF WORK:
SUBDIVISION: LINCOLN CENTER/LINCOLN BLDG LOT #: 001 TYPE OF USE:
PROJECT NAME: CORNFORTH CONSULTANTS
DESCRIPTION: Altering (6) sprinkler heads.
OWNER: SHORENSTEIN REALTY SERVICES, PHONE #: 603-412-4800
CONTRACTOR: AFP SYSTEMS INC PHONE #: 503-692-9284
Inspection Request Scheduled For: Date: 9/18/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Messa• -
910 Sprinkler rough-in/test 076634-01 971-322-9917 4110
Corrections/Comments/Instructions:
AI&
.e ■1
ir PAS / [1] PARTIAL APPROVAL 0 CANCEL 0 NO ACCESS
II FAIL
ra CALL FOR INSPECTION H ADDITIO AL FEES ASSESSED
Inspector: Date: ,Q a Phone #: (503) 718-
,
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