Permit � ,
.f I
CITY OF TIGARD BUILDING PERMIT
PERMIT #: BUP2004 -00327
TT �I
DEVELOPMENT
SW B
LOPMENT r SERVICES
o
SER I 639-4171
DATE ISSUED: 7/8/2004
– 13125 SITE ADDRESS: 10260 SW GREENBURG RD;2 -Jtr 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: 16 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: $ 300.00
Remarks: Modify (3) sprinkler heads.
Owner: Contractor:
EQUITY OFFICE PROPERTIES TRUST MCKINSTRY COMPANY
10260 SW GREENBURG RD #100 5400 NE COLUMBIA BLVD
TIGARD, OR 97223 PORTLAND, OR 97218
Phone: 892 -2500
Phone: 331 -0234
Reg #: MET 4 00 0g 0 g 0 1 1179
FEES LIC REQUIRED INSPECTIONS
Description Date Amount Sprinkler Rough -In
[BUILD] Permit Fee 7/8/2004 $62.50 Sprinkler Final
[TAX] 8% State Surcharq 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: 46'- i
Permittee Signature: ,/z( �
Call 639 -4175 by 7 p.m. for an inspection the next business day
Fire Protection System
Building Permit Application, FOR OFFICE USE ONLY
City of Tigard J °� v O V E ® Received 9 f . ® permit No� � - a03a
Date /Bv:
13125 SW Hall Blvd., Tigard, OR 97223 Plan Review
Phone: 503.639.4171 Fax: 503.598.19ZL 8 200k f ( I tl Date /By: Other Permit: . y'DoSe
Inspection Line: 503.639.4175 s Date Ready /By: Juns: El See Page 2 for
Internet: www.ci.tigard.or.us Notified/Method: 77( Supplementallnformation
CITY OF TIGARD
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��; REQilIREDDATA :.l- .AND:2- F'AMILX�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
" "''r i : ; ` `° E G °° ' 7" ° ' °° '° r`"" °tote work indicated on this application.
t CATEGORY OF' >GON :..; - ; :';; <z;
El 1 -and 2- family dwelling ® Commercial /industrial Valuation: $
❑ Accessory building ❑ Multi - family Number of bedrooms:
❑ Master builder ❑ Other: Number of bathrooms:
SITE::IN O i Total number of floors:
TION < ` >_ %,r
Job site address: 10260 SW Greenburg rd New dwelling area: square feet
City/State /ZIP: Tigard, Oregon Garage /carport area: square feet
Suite/bldg. /apt. no.: 390 Project name: Suite 390 Covered porch area: square feet
Cross street/directions to job site: Lincoln Tower Deck area: square feet
Other structure area: square feet
, R) QU REDsDATA COMMERCIA USE GH ECKLIST e ,
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.: equipment, materials, labor, overhead, and the profit for the
' �,' ; � wo rk indicated on this � DESCR IPTIOIV OF- �WORIC' . - application.
�,.
Modify 3 sprinkler heads in tenant improvement Valuation: $$300.00
Existing building area: square feet
New building area: square feet
® _ PROPERTY:.QVVNER,, ❑ "TENANT = = -`: Number of stories:
Name: Type of construction:
Address: Occupancy groups:
City/State /ZIP: Existing:
Phone: ( ) Fax: ( ) New:
, 555 ._, a ;; r5 S_
� ,.APR I I . P , -, •
L CANT C NTACT ERSON `;; ; : ; ' � '
� 9 .. .......... .........•...: m.:�:.:.: :< w ... � °' "�
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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
•
ralltIAEZIVADa.KCO*4 CTOR, .,.,•., s:R
Business name: McKinstry Co 4-:ts Lam_ -r�� -„ - - r ' �"
BUILDING" PER :n -_ t
Address: 5400 NE Columbia
Please refer to fee schedule.
City/State /ZIP: Portland, OR 97218
Fees due upon application 6 7- sn
Phone: (503) 331 -0234 Fax: (503) 331 -6906
Amount received
CCB lie.: 40981
Date 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 D e: 7 - - * Fee methodology set by Tri County Building,Industry
Service Board.
i:\ Building \Permits\FPS- PermitApp.doc 12/03 440- 4613T(11/02 /COM/WEB)
CITY OF TIGARD 24 -Hour
BUILDING ' Inspection Line: (50 75 MST
INSPECTION DIVISION Business Line: (503) 171
BUP ,Q 1 1 0 (-/ -6i3c7
Received Date Re•uested F J .R-S AM PM BUP
Location 6 Z • rJ e_ .-i/ ■L 1 i Suite 3 MEC
Contact Person - -- Ph ).� LIE 'OS(0 3 PLM
Contractor Ph ( ) SWR
BUILDING Tenant/Owner ELC
Footing
Foundation ELC
Access:
Ftg Drain ELR
Crawl Drain
Slab Inspection Notes: J SIT
Post & Beam e f / _, ., 6 /rize-Tf
Shear Anchors
Ext Sheath/Shear ,
Int Sheath /Shear
Framing
Insulation
Drywall Nailing
Firewall
ire.
Fire Alarm
Susp'd Ceiling
Roof
Other
PART FAIL i
■
BING
• St & Beam ` 1
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 0 Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
PASS PART FAIL
SITE ❑ Please call for reinspection RE: El Unable to inspect — no access
Fire Supply Line
VZ; c
ADA Date CP2-- 1 6 (1 Approach/Sidewalk D Inspector Ext
Other:
Final DO NOT REMOVE this. inspection record from the job site.
PASS PART FAIL