Permit '
CITY OF TIGARD BUILDING PERMIT
II
7
PERMIT #: BUP2006 -00549
COMMUNITY DEVELOPMENT DATE ISSUED: 11/14/2006
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 1 S 135AB -01003
SITE ADDRESS: 10300 SW GREENBURG RD ZONING: C -P
SUBDIVISION: LINCOLN CENTER /ONE LINCOLN LOT: JURISDICTION: TIG
Project Description: LINCOLN CENTER ONE. Structural improvements for setting fans on the roof.
REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION
CLASS OF WORK: ALT 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:
GARAGE: sf OCCU SEP. RATED:
STOR: HT: ft
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: $ 2,150.00
Owner: Contractor:
EQUITY OFFICE PROPERTIES TRUST AMERICAN HEATING INC
ONE SW COLUMBIA ST #300 1339 SE GIDEON ST
PORTLAND, OR 97258 PORTLAND, OR 97202
Phone: Contact #: PRI 503 - 239 - 4600
FAX 503 - 239 -7038
Reg #: LIC 33135
FEES
Description Date Amount REQUIRED ITEMS AND REPORTS
[BUILD] Permit Fee 11/14/200€ $72.10 Special inspection (see pla
[TAX] 8% State Surcharl 11/14/200€ $5.77
[BUPPLN] Pln Rv 11/14/200€ $46.87
Total $124.74
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 -0 01 -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 � � Cadc-
� if� Permittee Signature: y g (sir P-
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.
•.. rtr
I.
Comerhal Tenant Improvement j
Building Permit Application roR orrice USE ONLY
1 of Tigard • �,
�E�� Received E Date/By: /l _( i �� Pe N° �)lWJ()6 x,'59
13125 25 SW Hall Blvd., Tigard, OR 972 3 Plan Review ,../ Phone: 503.639.4171 Fax: 503.598 9 2006 Date/By // / Other Permit:
T IG A R 17 Inspection Line: 503.639.4175 NOV Da Read Juris. ® See Page 2 for
Internet: www.tigard- or.gov Notified/Me 4/ Q 'a1 j l Supplemental Information
CITY OF iGAAD , [f I1 1) 6
TYPE OF W WI LDI ,C D. I!,1
/ RE IRED DATA: 1- AND 2- FAMILY 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
. CATEGORY OF CONSTRUCTION work indicated on this application.
Valuation: $ /3 0 ,g d
El I- and 2 -family dwelling [Commercial /industrial 2
El Accessory building El Multi-family Number of bedrooms:
El Master builder ❑ Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: /03 O o S ()) Gle. C+ &ro /3 LA l9. q AA New dwelling area: square feet
City /State /ZIP: iIf I� OR 3 `J Garage /carport area: square feet
Suite/bldg. /apt. no.: v AI-�
Project name: 7 Covered porch area: square feet
Cross street /directions to job site: Deck area: square feet
Other structure area: square feet
REQUIRED DATA: COMMERCIAL -USE CHECKLIST
Subdivision: 1 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
DESCRIPTION OF WORK work indicated on this application.
C) SrA'ucr tot) L. -TAieet o Vgren 1I:rMITs -Pak Valuation: $
IN Existing building area: square feet
.\.' rare T t A,3 F.l ,nls 011 T PE' Ro o-P
0 J New building area: square feet
lit PROPERTY OWNER ❑ TENANT Number of stories:
I Type of construction:
N.3 Name: �f>t6a I P140p/e11.T I Gt� S
Address: 0AI a i4) Co- a m Ai a ST- 1r3 00 Occupancy groups:
City /State /ZIP: PD#Q rL2 Al _J 04 ern Z.3 Existing:
—1
�`
Q Phone: <//2- i/800 Fax: riots ) 4, / / 2.—' Ai X4IF New:
❑ APPLICANT ❑ CO PERSON NOTICE
Business name: All contractors and subcontractors are required to be
Contact name: r�0� r r licensed with the Oregon Construction Contractors Board
1 F/ 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:
;0 .••■DIr t ijAP1RANA SP • applicant is exempt from licensing, the following reasons
apply:
Phone: ( ) I Fax:: ( )
E -mail:
CONTRACTOR
Business name: _AY41017_1 cJ,sa*J 1 -Ja' -0 7 l elh Tlt c _ BUILDING PERMIT FEES*
Address: I (Please refer go fee schedule)
! 33 �1 S� t r t r � Structural plan review fee (or deposit): 72
City /State /ZIP: 10. c.,4 a od c a . °1, ail.-- �/ /J
FLS plan review fee (if applicable):
Phone: ,g) 2341 - 1!(a t9s'1 I Fax: (S-03) 23gi no �'���
• CCB lic.: 3 3 3 �J7 / y Total fees due upon application:
Amount received: '
Authorized signature: This permit application expires if a permit is n obtained
within 180 days after it has been accepted as complete.
Print name: j o/3ar p i , C..I .. �p* /':.j./ Date: / 0/ /4 /O ‘ * Fee methodology set by Tri -County Building Industry
Service Board.
I: \Building\Permits\BUP -TI- PermitApp.doc 03/23/06 440-4613T( I I /02/COM/WEB)
Building Division
Plan Submittal Requirement Matrix
T I G AR D Commercial & Multi- Family - New, Additions or Alterations
Type of Submittal • # of Plans
(Includes new, additions and alterations.) Required at
Submittal -
Demolition Permit 2
(site plan required showing location and square
footage of all buildings to be demolished)
•
{
Site Work 2
(must include location of all accessible parking)
Plumbing (site utilities) 2
Building 1*
Fire Protection System t • ; • 2 ** ; . , . -
2
,
Plumbing (building fixtures) 2 <
Electrical 2
.
Plan review is dependent upon submittal of a completed application and plans.
After plan review approval, the Plans Examiner will contact the applicant to request
additional sets of plans for distribution purposes (for contractor, City of Tigard, Washington
County, and Tualatin Valley Fire & Rescue)
For over -the- counter commercial tenant improvements, submit 2 sets of ,plans:
• ** "New" fire protection systems require that plans bear the original seal of an
.``_ z a •
- :� .'.'; Oregon licensed fire suppression engineer, or NICET level "3" technicians. ' ` '
m ' , 4
I: \Building \Permits \BUP -TI- PermitApp.doc 03/23/06 •
CITY OF TIGARD 13oP
BUILDING DIVISION PERMIT #: 6'..00`''�{s?
1
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED:
Phone: (503) 639 -4171 / /irzv �d��� r, °j
Inspection Requests (24 Hrs.): (503) 639 - 4175 '''f ..
INSPECTION WORKSHEET FOR DATE: i 2 /07 TIME: PAGE:
SITE ADDRESS: i+ `•m 4— CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: u jtjo�,(3 i
DESCRIPTION:
OWNER: PHONE #:
CONTRACTOR: PHONE #:
Inspection Request Scheduled For: Date: Pour Time:
Code # Inspection Description Confirm # Contact # Message
Z` rt f /11, )
Corrections /Comments /Instructions:
OS
FI
CCT)
PASS ❑ PARTIAL APPROVAL n CANCEL n NO ACCESS
❑ FAIL I I CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: � � Date: 1 7 /o 7 Phone #: (503) 718-