Permit I
CITY OF TI GARD BUILDING PERMIT
PERMIT #: BUP2005 -00065
, 1 DEVELOPMENT SERVICES DATE ISSUED: 2/18/2005
All 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171
SITE ADDRESS: 10260 SW GREENBURG RD 330 PARCEL: 1S135AB -03400
SUBDIVISION: LINCOLN TOWER -TOWN OF METZGER ZONING: C -P
BLOCK: LOT: 014 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: $ 500.00
Remarks: Fire protection TI, relocate (1) head, plug (2) heads and add (1) head.
Owner: Contractor:
EQUITY OFFICE PROPERTIES TRUST MCKINSTRY COMPANY
ONE SW COLUMBIA ST #300 5400 NE COLUMBIA BLVD
PORTLAND, OR 97258 PORTLAND, OR 97218
Phone: 503 - 892 -2500
Phone: 331 -0234
FEES Reg #: LIC 40981
Description Date Amount REQUIRED ITEMS AND REPORTS
[BUILD] Permit Fee 2/18/2005 $62.50
[TAX] 8% State Surcharl 2/18/2005 $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 (5' 99 o r 1- 800 - 332 -2344.
Issue
.
• ■ ii[
Permittee
Signature: L`�
Call 6 4 -4175 by 7 p.m. for an inspection the next business day
Fire Protection System
Building Permit Application OFFICE USE ONLY
Cl of Tigard Received �rTI }.� Permit No.: `J g Date /B ��' , ! A is /
13125 SW Hall Blvd., Tigard, OR 97223 Plan Review
Phone: 503.639.4171 Fax: 503.598.1960 � �� p °1''�I Date /By: Other Permit:
Inspection Line: 503.639.4175 Date Ready /By. Juris: 0 See Page 2 for
Internet: www.ci.tigard.or.us Notified /Method: Supplemental Information
;; ) TYPE'OF: WORK z" '" REQUIRED DATA ;1. AND'2 FAMI(L'Y DWELLING
❑ 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
work indicated on this application.
�s..: _� __ _, :� .�:_:,_•.3 era: >>W _ ..m,� :: � t:�:.:��� ,k��.- �:�_s� :�_ -o�_ «_.:�;�_ �� . �.,�.,. A_��
❑ 1- and 2- family dwelling ® Commercial /industrial Valuation: $
❑ Accessory building ❑ Multi - family Number of bedrooms:
El Master builder ❑ Other: Number of bathrooms:
;t•+,,K b of floors:
), ,O Total number f
JOB,; SFGE�INFORIVIATION:AND LUCATION, i ,;• €`'a�
Job site address: 10260 SW Greenburg Rd New dwelling area: square feet
City/State /ZIP: Tigard, Or Garage /carport area: square feet
Suite /bldg. /apt. no.: 330 Project name: Suite 330 Vacancy Covered porch area: square feet
Cross street/directions to job site: Lincoln Center Deck area: square feet
Other structure area: square feet
REQUIRED? D`A`TA:, COMMERCIAL -USE CHECKLIST ;
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
,;:.,. '
�i, °� �: -. work indicated on this application.
DESCRIPT10N; bOFWORK :`%�- 41141` °a � ;
Relocate l sprinkler, Plug 2 sprinklers, add 1 sprinkler Valuation: $
Existing building area: square feet
New building area: square feet
:PROPERTY ";QWNER " a ., a. k =TENANT"
;; � ; ;5 ,;,•,• �.. � Number of stories:
..us`, <.,...,, ,,_.. -.- _� %•�� "•••A;'.., G��.e� .. .... ..... ..... ...usa .._ttt.. >...% " ».. ... ,..,...: d.g. _�... ,_ _ _ „��::;_ ., ,.,..,
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:
; '
NT` P
:APPLICANT CO ACT E R50N,� " ei s a -�« : � '�
>•aH � . ?e „' � ':� t,gt� €: - ° N OTI CE "�"� ��'i$:. >.._ „�.: - €;
Business name: McKisntry 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 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) 832-8539
E -mail: Richardg @mckinstry.com
Business name: McKinstry Co f `" " ” ::° _. "guILDING. l?ERiDIIT FEES....' '
Address: 5400 NE Columbia
Please refer to fee schedule.
City/State /ZIP: Portland, Or 97218
Fees due upon application
(503) 331 -2468 Fax: (503) 331 -6906
Amount received
CCB lie.: 40981
Date received:
Authorized � a T his permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: Richard ordon Date: 2 -18 -05 * Fee methodology set by Tri-County Building Industry
Service Board.
is\ Building \ Permits \FPS- PermitApp.doc 12/03 440- 4613T(11/02/COM /WEB)
CITY OF TIGARD 24 -Hour
BUILDING Inspection Line: (503) 639 -4175
INSPECTION DIVISION Business Line: (503) 639 -4171 MST
Received �� D ate Requested W2 - > , "� S AM PM BUP
Location i 4? ee b G Suite " g'S MEC
Contact Person �f P h ( ) 2 — G PLM
Contractor Ph ( ) SWR
UIL"D Tenant/Owner ELC
Footing
Foundation ELC
Access:
Ftg Drain ELR
Crawl.Drain -
Slab Inspection Notes: SIT
Post & Beam
Shear Anchors
Ext Sheath/Shear
Int Sheath/Shear
Framing
Insulation f /
Drywall Nailing
Firewall
Pie Spri kler ) �' ��
Fire Alarm Susp'd Ceiling WAIIIIPAMEM/Or
��
Roof '� WWI
• , ../ �, \I 2, )
�* \
1 tt • ART FAIL \ C
}
4G
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
Rough -In
UG /Slab
Low Voltage
Fire Alarm
Final Reinspection fee of $ required b:fore next inspection Pay at City Hall, 13125 SW Hall Blvd.
PASS PART FAIL
SITE ❑ Please c: II for rein-•ection RE: =�1 0 Unable to inspect — no access
ADASupply Line
4 ��
Approach/Sidewalk Date Inspect Ext
Other:
Final DO NOT REMOVE this inspe ,ion record from the Job site.
PASS PART FAIL