Permit H
CITY OF TI GARD BUILDING PERMIT
PERMIT #: BUP2004 -00573
.i DEVELOPMENT SERVICES DATE ISSUED: 12/17/2004
�'l 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171
SITE ADDRESS: 10260 SW GREENBURG RD 530 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:0./ ,4a.
Remarks: FPS 11, relocate (20) fire sprinkler heads and add (2) new.
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: FAX - 692 -1186
Reg #: X692- 96Q760.033443459
•
FEES LIC REQUIRED INSPECTIONS
Description Date Amount Sprinkler inspection
[BUILD] Permit Fee 12/9/2004 $62.50 Sprinkler Final
[TAX] 8% State Surchari 12/9/2004 $5.00
[FLS] FLS Pin Rv 12/9/2004 $25.00
Total $92.50
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:
Permittee rI i)an
Signature: i ; U J 1„ Wi
Call 639 -4175 by 7 p.m. for an inspection the next business day
040 ge Grre- h t)Or g gl IX Liradh
Fire Protection System
, itt .,.... %., 72
Build Permit Application - -. ;,:- - . . , , . FOR OFFICE USEONLY
, ..A
City of Tigard Received frir
,- ' d 'MEM P enn i ` N ° . : AtWidat, "
13125 SW Hall Blvd., Ti c , N gard, OR 972 ‘,.) Plan Review 0 r, ; finf i ,w ni
Phone: 503.639.4171 Fax: 503.598.61- /4,1,M Date/B : Other Permit:
Inspection Line: 503.639.4175 k0.1.9.11" 2-7......" Date Ready/By: i ..... , i . ..,,,,r pliRV 121 See Page 2 for
Internet: www.ci.tigard.or.us \:. Notified/Method/ 76 11P1 , ' ill° 0, Supplemental Information
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ID New construction TOV131-Vemoli the Permit fees* are based on the value of the work performed.
Indicate e value (rounded to the nearest dollar) of all
I. Addition(aTteration)eplac' enient . _ . ['Other:, ' equipment, materials, labor, overhead, and the profit for the
.....0.4,
4'11-.51gaiai-X,Fanc,VINITOWtk-F-t WiZgiltird:E.ry,w11 work indicated on this application.
VAIWVIVAtii5:1A4*'374-0*-,i, .1a-V,...tia...4.*Atil-4.
Valuation: $
0 1- and 2-family dwelling sicornitriduftrial '
Number of bedrooms:
C3 Accessory • building 0 Multi-family
E Master builder El Other: Number of bathrooms:
Total number of floors:
":
Job site address: ta( 1.0. L \ o :135 1,- t p4Otsu-4, New dwelling area: - square feet
City/State/ZIP: - 176zo . t • 2 c 1 r - t i Garage/carport area: square feet
Id no.: .. "113 , Project name:rAga10/ Cfspc.: (th „ Covered porch area: square feet
Cross street/directions to job site: - - 0) ‘,...14c2 Ofc-icc Deck area: square feet
— 711 4 CRIE,1.- - Other structure area: square feet
- Li occm.a4 Cin-rr6:2 5.06vaara.„065,44,10a4y81.,:.;6i6.10...,,..,
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
work
tRitf-St?-',4i ligqillf
9 . indicated on this application
Valuation: $
ouf.-..- W4Pi`
4
-
- \ L7.1.3.-C-ATC ';4: 4 ADD Z \ 12,
*1-lit
LC t;, t.-1 14RA IS Existing building area: 2 IS square feet
New building area: , square feet
Number of stories:
!;'.._Ak,zFvssil_._$4r,ia-a.1,.-.t.,avgkv:;:z-,nt'..A;t•gzz. 0::::rAM:!NPKA-V,1„,„7,4„,„,,....v„,:skAAL,..1)-zgirtm
Name: L,ts? , - \--,( ) ...c" Type of construction:
Address: Occupancy groups: 6
City/State/ZIP: Existing:
Phone: ( ) Fax: ( ) -New: —
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Business name: *- e , 1 -.. % j1 , - .. . All contractors and subcontractors are required to be
licensed with the Oregon Construction Contractors Board
Contact name: S 1 A t ....) a ,
. '
' under ORS 701 and may be required to be licensed in the
Address: 19 41S e.,„ .-z III. 1 3„ j ,—_ . _ jurisdiction in which work is being performed. If the
applicant is exempt from licensing, the following reasons
City/State/ZIP: Ta aL. (. -R . 91 (si,-z_ apply:
Phone: ( Se■b) ( Cl2W.1 Fax: : (S1VS ) 0 z .. ii (
E-mail:
. ,.. - :?•gti=... 1 -:'''a , ..*:-I4 , 0, - Ort, , ,TANg.t4k . „ - STLVI4 : 74. - at.,1,;V:1 0 .41c4tirAt-143 - AWRIM , if - t.I r q„,'p, , XPO
akkattalligtt-IYAS:4064.1-41-f4.%
Business name: Pk k,-- GiST k Is-V- - 134!?..10',7*:SiIISWII■1.':'.'"&..Zjii,KICIWS•*; .1', .„"' .•
Address: ‘CI 4'\'' ,, .., TH a
.f Please refer to fee schedule.
...------
City/State/ZIP: k ,... L.. LD a 916,67_
Fees due upon application eit--S*6
Phone: (Sb3 ) Cazsizg4 Fax: (5b1 ) actz . 1 1 t(_
c‘,5 S Amount received
CCB lic.: ta
91.SL.
Date received:
.• Authorized signature:
t(\%41k_ This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: I 1 . 4 , 1 , Date: k * Fee methodology set by Tri-County Building Industry
Service Board.
.. •
i: \Building \Permits \ FPS-PormitAPP.doc 12/03 440-4613T(11/02/COM/WEB)
Fire Protection Permit Check List •
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1.) ❑ New 2.) Modification to sprinkler heads only:
❑ Addition ❑ 1 -10 heads: No plan review required.
Alteration [K 11+ heads: Plan review required.
❑ Repair
• - • Number of sprinkler heads: ZZ_
Additional description of work:--- , 12 a m Z(s. 4 a 2 ' 1
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ial�S
® Wet n Dry
Additional Standpipes
Information: • Hazard Group �;� C 11 IAA?
Density
Design Area ' .
. K. Factor. • , • - . (�
Sprinkler Project Valuation: $ (((
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.,"�` ,.. "� '"'��?�= "i. r,�, , s„ �:§%;.s.' " " -., - '� , ., ..^; ". . t�� .
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-•: �. ��p�,_ .:..��.��;�.,._�r.:.P,:.f�..,�_ - .. Hood Project Valuation: � ��� : y.�. � �.� .::.
J
w,,:`�., '•.�s: >.,,.;„y.+- n��,-;:,_ a,y� ��: .�•w„ - ^.-�i:F'::r,. .�.r,+*r`J,'�;s; ,...- u�,� .,:� atvr... .,:�::, •'- ��.,�;. x,:x. - ": r:,'.'a6�< " ° »'�s ,:g,,. ,.�,,
:3 r n:" ,, "% 'i'�`*Y`M'F''`+'.h's., 4;5.`�`a �`i <• .� '*,o-'a�` -L 3, °�T"'�a�a y. �" - r .'
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,gCFdic ,X's.S afNN;' I � µ i y : s" .'; itif 4 "�r3 1 +z . �`+'.e�c�"t'�', y; tb 4.�.+i Y �+',,�-'�'•»., fis'� rvt
'2R'r... ,� :�` k�' x . y ' : • ,�:::.. ^. .'.,.,.3 �'. ,v,., gnu. ..�. ,'�S!;, «aw..s�°'">,..., �. ?�. i
Submittal shall Battery Calculations ., .,' ❑ Yes.
• include: Individual Component ❑ Yes
Cut Sheets
Fire Alarm Project Valuation: $
.�" o” ��??'�'a'�-�� "*'�' <::�� e��:. sR�,�'�rir;. �.:?4��`,^�`",9't' °'gym 'd �a,;2�:... �'•�`'a�' - =k�r,:' . a cv.
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sv „
uare Footage: Permit Fee: „ aw ;..
0 to 2,000 $187.50
2,001 to 3,600 $232.50
3,601 to 7,200 $292.50
•
7,201 and greater $381.50
Sprinkler Project Square Footage: sq. ft:
Project Valuation Subtotal (A, B & C): $
Permit fee based on valuation (see attached chart): $
•
Permit fee based on square footage (D) (see fees above): $
State Surcharge 8% of Permit Fee: $
FLS Plan Review 40% of Permit Fee: $ -
TOTAL: $
• Plan review requires a completed application and 3 sets of plans at submittal. Plan review
fees are required at submittal. •
"New” fire protection systems require that plans bear the original seal of an Oregon
licensed fire suppression engineer, or NICET level "3" technicians.
i:\ Building\Forms \FPSchecklist.doc 12/24/03
TTY OF TIGARD 24 -Hour
BUILDING Inspection Line: (503) 639 -4175
INSPECTION DIVISION Business Line: (503) 639 -4171 MST
BUP 4,7 �{ e��73
Received Date Requested ° AM PM BUP
Location v a (o a • / .Zi- A-.4 Suite ' 3 d MEC
Contact Person Ph (/ ) 'J a — q=2 PLM
Contractor Ph ( ) SWR
BUILDING 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
Drywall Nailing
Firewall
re Sprit'
Fire A arm
Susp'd Ceiling
Roof .4 �T
Other:,
- Age"
PAS PART FAIL � � /pvi vow, j
PLU = ING - P O /
Beam I W
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 $ requir-d before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
PASS PART FAIL
SITE Please • - II for rein . pection RE: 1 Unable to inspect — no access
Fire Supply Line �
ADA ,'
Approach /Sidewalk Date J Inspector. Ext
Other:
Final DO OT REMOVE this inspe on record from the Job site.
PASS PART FAIL
•