Permit (d' ■ 1.;111 r
CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT
v C Permit #: FPS2009 -00058
OMMUNITY DEVELOPMENT
T1GARD. 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 06/30/2009
Parcel: 1 S135AB03400
Jurisdiction: Tigard
Site address: 10260 SW GREENBURG RD 1165
Subdivision: LINCOLN TOWER Lot: 0
Project: Erik Bucher and Greenspan
Project Description: Add (1) head, relocate (1) head, and plug (1) head.
Owner: FEES
LINCOLN CENTER LLC Description Date Amount
BY SHORENSTEIN PROPERTIES LLC, 555 Permit Fee - COM 06/30/2009 $62.50
CALIFORNIA ST 49TH FL 12% State Surcharge - Building 06/30/2009 $7.50
PHONE:
Contractor:
MCKINSTRY COMPANY
12021 NE AIRPORT WAY SUITE G
PORTLAND, OR 97220
PHONE: 503 - 331 -2461
FAX: 503- 331 -6906
Type of Use: COM
Class of Work: ALT Type of Const:
Occupancy Grp: Height: ft
Stories:
Commercial Sprinkler System:
Sprinkler Required: Yes Sprinkler Type: Unknown
Standpipe Required: Hazard:
Density: 0 Design Area: 0
K Factor: 0
Commercial Fire Alarm System:
Fire Alarm Required: Alarm Type:
Pull Station Required: Smoke Detectors Req:
Battery Calcs Provided: Cut Sheets Required:
Total $70.00
Valuations: Required Items and Reports (Conditions)
Sprinkler Valuation: 800
Residential Square Footage: 0
Fire Alarm Valuation: 0
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 the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility Notification - - , .se rules : set forth in OAR 952- 001 -0010 through OAR 952 - 001 -0100. You may obtain a copy of the rules
or direct questi. . • C by`calli . 63.24; 6699 or 1.800.332.2344.
Issued By: A. , j Permittee Signature: 4- . Z 9 Ak.O'L
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.
Building Permit Application
>N ire Protection System RECEIVE FOR ,OFFICE USE ONLY .
Cl of Tigard Received ( O Permit No.: R ,
IN
b JUN
Date /By: V
13125 SW Hall Blvd., Tigard, OR 97 3 0 2009 Plan Review
C Phone: 503.639.4171 Fax: 503.598.1960 Date By: Other Permit:
TI GARD Inspection Line: 503 CITY OF TIGARD Date Ready /By: Juns: ® See Page 2 for
Internet: www.tigard- or.gov B UILDING DIVISIo Notified /Method: Supplemental Information
,', � a.F . , ';.. ^, i ,' , , .< „n,,,, -'. : � " k�z;� °. �: �. ;; 3 max, �' � .., (
�...... F . x <.,, , i'PE.OF ` WIt ,i0::?:;,:::, ,,.. ..... � . �ra- RE �UIRED '3DATA:1' °r1N FAR'IIL WELLING �»
h.
❑ 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
ate „ ? ?' rrUC s' ;;: ,:... work indicated on this a
11 `GAT GORY. application.
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2Fx... .�'.�".�:� w ' . ` .�::. . ' \: � F�: °'��,°e' "Dt33�^'Em`s. f '.,., ,y„ •.'. �i.•`..`�`����";,." ��,,' �-`H?; `\ ^�:i: ��•.A \�i
dwelling Valuation: $
❑ 1- and 2-family g ® Commercial /industrial
❑ Accessory building ❑ Multi- family Number of bedrooms:
•
❑ Master builder ❑ Other: Number of bathrooms:
x i ii ... t v JO " PI E "AND LOCATIOlY ,, Total number of floors:
Job site address: 10260 SW Greenburg, Suite 1165 New dwelling area: square feet
City/State /ZIP: Portland, OR Garage /carport area: square feet
Suite/bldg. /apt. no.: Project name: Bucher & Greenspan Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
McKinstry Project #70275 Other structure area: square feet
REQUIRED' DATA`^ COMMERCIAL- USWCIIECKLIST
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
O o %'°'-a'
'� %'� IiESCRIP'IT N E' WORK � s,;,.,; `' work indicated on this application.
Add (1) fire sprinkler head, Relocate (1) fire sprinkler head and plug (1) fire Valuation: $800.00
sprinkler head. Existing building area: 1,319 square feet
New building area: square feet
` " " Number of stories:
"`u :: ®; QPER`TY�z;OWNE .;�`i'; ";;'�;?� : � ;;; -; ®TENANT' ^
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Name: Bucher & Greenspan Type of construction:
Address: Occupancy groups:
City/State/ZIP: Existing:
Phone: ( ) Fax: ( ) . New:
APPLICAT,: ,' TACT PERSON
u
Business name: McKinstry Company, LLC All contractors and subcontractors are required to be
Contact name: Diane Parke, Project Coordinator licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address: 16790 NE Mason Street, Suite 100 jurisdiction in which work is being performed. If the
City/State /ZIP: Portland, OR 97230 applicant is exempt from licensing, the following reasons
apply:
Phone: (503) 331.2465 Fax: : (503) 331.6907
E -mail: dianep @mckinstry.com
:CONT , �.' �'�' : � ��e. ,> -� ; � � ._.�:
�a9 � �;�� \... ^. BIJII, DING�PERMT I' »FE
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Business name: McKinstry Company, LLCs ti> (1'iease refer oJeesohedute }a :,,» ;'
Permit fee:
Address: same as applicant
/ State surcharge (12% of permit fee):
City/State /ZIP: /' FLS plan review (40% of permit fee):
Phone: ( ) / F. • ( ) (Due upon application.)
CCB lie.: 17281 i Total permit fees:
Authorized si atur, - / I /a/de Amount received:
This permit application expires if a permit is not obtained
Print name: D ane ' , e Date: 6/30/09 within 180 days after it has been accepted as complete.
' * Fee methodology set by Tri-County Building Industry
Service Board.
I: \Buitding\Permits \FPS- PertnitApp.doc 03/23/06 440- 4613T(11/02 /COM/WEB)