Loading...
Permit a .1- - CITY OF TIGARD BUILDING PERMIT PERMIT #: BUP2004 -00378 ; c�' , l , DEVELOPMENT SERVICES DATE ISSUED: 8/5/2004 II 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 SITE ADDRESS: 10260 SW GREENBURG RD 810 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: b 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: ,# • ©d Remarks: Add (2) and relocate (1) fire 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 0 � 0 g 0 g 0 1 1179 FEES LIC REQUIRED INSPECTIONS Description Date Amount Sprinkler Rough -In [BUILD] Permit Fee 8/5/2004 $62.50 Sprinkler Final [TAX] 8% State Surcharl 8/5/2004 $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 (5 .99 or 1- 800 - 332 -2344. Issue By: j / 4 ,I, "j , Permittee Signature: - _ - Call 639 -4175 by 7 p.m. for an inspection the next business day Fire Protection System 1, _.,9 FOR OFFICE USE ONLY Buildin hermit Application Received Building / • Q Date /B : 1 / Permit No.: ;L iio -. 065n n City of Tigard Planning Ap - ov.1 Other Date /By: Permit No.: 13125 SW Hall Blvd. Plan Review Other Tigard, Oregon 97223 Date /By: Permit No.: v Phone: 503 - 639 -4171 Fax: 503 -598 -1960 I� � l) 1 Po Review Land Use Date /By: Case No. Internet: www.ci.tigard.or.us • --` Contact ]uris.: ® See Page 2 for 24 -hour Inspection Request: 503- 639 -4175 Name /Method: Supplemental Information . T,, WORKi, D. . REQUIREDsDATA:;, a,.. ❑ New construction ❑ Demolition I.& 2' FAMILY;DWELL�IN.G' .. Note: Permit .� • :� �. " ` '..:.,,... Addihon/alteration/re placement III Other: - CATEGORY'OF CONSTRUCTION rmit fees* are based on the total value of the work performed. Indicate ❑ 1 & 2- Family dwelling ",Commercial/Industrial the value (rounded to the nearest dollar) of all equipment, materials, labor, overhead and profit for the work indicated on this application. ❑ Accessory Building ❑ Multi- Family ❑ Master Builder ❑ Other: $ - Valuation / ' No of bedrooms: No of baths: •s: , •; JOSSI:TE INFORIVIATION =ION:' :' :: Job site address: p Total number of floors i ,5 co fps �5Ugi K New dwelling area (sq. ft Suite #: a Bldg. /Apt. #: ,,j/l a(,,,,frOI4 Garage /carport area(sq. ft.) Project Name: irrog-T f r , er-1 5S Covered porch a (sq. ft.) Cross street/Directions to job site: Deck area ( ) Other str ure area (sq. ft.) 1_ c Mu., EDrDATA a A , CONIlI�RCIAL rtlS CHECKLLST -, Subdivision: Lot #: Tax map /parcel #: Note: Permit fees* are based on the total value of the work performed. Indicate .::P: =.::.� gRi'- '"q DESCR'IP RTION;OF WORJ. :; >'• k .'.' =«.'`�'_, the value (rounded to the nearest dollar) of all equipment, materials, labor, r,:-- t. D Puc e er,� overhead and profit for the work indicated on this application. ADD 0) 55P r 9e. -, .® r_ sP � i /J I ep_ Valuation $ 55b ✓ l '-'� "-`' Existing building area (sq. ft.) :I New building area (sq. ft.) i Number of stories ❑( .P,I OPERTY'OWNER TENANT , , •if..µ A " k'""'"' ''`'`'i Type of construction 1 °'Zz— :I' N ame: ) � OW)C Prit9Ftpl CS Occupancy group(s): xis ing: I Address: City /State /Zip: Phone: Fax NOTICE: All contractors and subcontractors are required to be .,,, ,, e .. , g licensed with the Oregon Construction Contractors Board under EN;4•PEI IGANT'r ;� a;,�r ' S � ® �C ONNTCT;.POSON i t t,�:� provisions of ORS 701 and may be required to be licensed in the Business Name: �n c_ 4, ,49-1-1.1 Co ' • jurisdiction where work is being performed. If the applicant is exempt Contact Name: ZE /4Aeraa(L from licensing, the following reason applies: Address: 5 /.9 9p iA O City /State /Zip: �� 11 1y e.- . 17Z) Q> Phone: 5b4....3/ ax: "5i , (MP ,, ; _y ,.z,, T-', ,: r$ t �te r ,P5: ,;.`= ,,_ __ _ ; ; , ��r.�< , '> : `BUII $` �•,�•, �;: E-mail: ';� FEES t ,�t:��� -�� _ , . ,. . t `° - a;S NSF'. '-` ^';✓ a',« f'` rt,>:. .:.i'r`':.;..� °i'�:a'T =•' , ks -.e a° .%'�,'; :';• ���+e e i♦ I`—� � ; _, `��¢i� f h, ; .Pleae refer.rto�fee,.sched r:��. � "r��' i �_ :. : c ?`:' `v e:4:i.�:ilik:a , s.�TOR'' ,�" •� -xAf, �;.$ .'F' =g:` �� ?.» `� 1 • 't. . :�., .:, . :,'z;' �w.4: #:.. �:.x. .' 's ;=. - :'9-,*TM., :,� °; �b',,, : , :en_•..': k., s: >i- �R::..=CONTRAC *.. ` � '.. , 'a" »s�S` �ll�..e _.. � !;. ,:., / .O, -- Business Name: n/1 G�j,✓5i s GO • Fees due upon application $ (( 7. S Address: 4eD© /fie Col- cM4 /f} Ow° City /State /Zip: `F , e3K- . el '7 ./ 6 Amount received $ Phone: 503 351, o'z %-/ Fax: , 33 / , 09O Date received: CCB Lic. #: '/c g/ Authorized toe/ 416 Notice: This permit application expires if a permit is not obtained within Signature: . D ate: V � 180 days after it has been accepted as complete. %_!_1 e 't *Fee methodology set by Tri -County Building Industry Service Board. (Please print name) i:\Dsts\Permit Forms \BldgPermitApp.doc 01/03 Fire Protection Permit Check List A.) ❑ New ❑ Addition XAlteration ❑ Repair B.) Modification to sprinkler heads only: Describe work to 1. 1 -10 heads: No plan review required. be done: 2. 11+ heads: Plan review required. Number of sprinkler heads: 3 Additional description of work: i -- per- � Z -"op Type of System 'i : appliicable),: A.) Sprinkler Wet Si Dry ❑ Standpipes nr /f\ Additional Hazard Group 1.1 C HT 14--A Information Density 1 o Design Area / 'SVC) K. Factor Sprinkler Project Valuation: $ -off B.) Type I - Hood Fire Suppression System Hood Project Valuation $ C.) Fire Alarm Submittal shall Battery Calculations Yes ❑ include: Individual Component Yes ❑ Cut Sheets Fire Alarm Project Valuation: $ /ti 4 Project Valuation Subtotal (A, B & C): $ fib? Permit fee based on valuation (see chart): $ 8% State Surcharge: $ FLS Plan Review 40% of Permit: $ 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. is \dsts \forms \FPSchecklist.doc 11/21/01 CITY OF TIGARD 24 -Hour BUILDING Inspection Line: (503) 639 -4175 INSPECTIONDIVISLON Business Line: (503) 639 -4171 MST d BUP cROo o a 3715 Received Date Requested F 6 AM PM BUP Location f Z? (Ov Suite U/ 0 MEC Contact Person Ph ( )b q' 7 C09 PLM Contractor Ph ( ) SWR BUILDING Tenant/Owner ELC Footing ELC Foundation 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 • ire arm Susp'd Ceiling Roof SS PART FAIL PLU : ING & Beam Under Slab Water ` Water Service L 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 /W ", .I UG /Slab g AM Low Volta e _ Fire Alarm / >' Final Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL SITE Please call for reinspection RE: Unable to inspect - no access Fire Supply Line ADA Approach/Sidewalk Date Inspector Ext Other: Final DO NOT REMOVE this inspection record from the Job site. PASS PART FAIL