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Permit ' CITY O TI GARD BUILDING PERMIT PERMIT #: BUP2004 -00536 +' I DEVELOPMENT SERVICES DATE ISSUED: 11/12/2004 11 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 SITE ADDRESS: 10260 SW GREENBURG RD 960 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: : 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: $ 1,000.00 Remarks: Add or relocate 9 heads. Owner: Contractor: EQUITY OFFICE PROPERTIES TRUST MCKINSTRY COMPANY ONE SW COLUMBIA ST #300 5400 NE COLUMBIA BLVD PORTLAND, OR 97258 PORTLAND, OR 97218 Phone: Phone: 331 -0234 Reg #: MET 8 0 0 00 0 0 81 1179 FEES LIC REQUIRED INSPECTIONS Description Date Amount Sprinkler Final [BUILD] Permit Fee 11/12/2004 $62.50 [TAX] 8% State Surcharl 11/12/2004 $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: , _ Alb Permittee Signature: Call 639 -417 ti p. . for : n inspection - . next business day _ ; Pro `' System tection i , Permit A placation FOR OFFICE USE ONLY Received /a O Building ,.... Date /By: f� 66 v r d W —06,613(0, City of Tiga Per No.: rd ��� ( Planning A proval Other �� Date/By: ning Pem�il No.: 13125 SW Hall Blvirtl Plan Review Other Tigard, Oregon 97223 1 `) 9(}4t Date/By: Permit No.: � j Post- Review Land Use Phone: 503- 639 -4171 a . 5035 960 �� �Vi �j Vv :: , � '67- ( Date /By. Case No. n� TI Internet: www.ci.tigard.or.us Ar® --A ® See Page 2 for , i i Contact Juris.: 24 -hour Inspection Request: ; 3 t 4 dI7t5ON Name /Method: S Information TYPEOF WORKS t ' ,:4, o ,._ , ., ,: »,�:, ::, . � ��' ' .: - = R EQ II IRED.1 DA'TA ii � New construction ❑ Demolition 14.L zFAMILY DWELLING e Addition /alteration/replacement ❑ Other: . ... :':_. CATEGORYOF H; . Note: Permit fees* are based on the total value of the work performed. In icate ❑ 1 & 2- Family dwelling ,® Conunercial/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 7 El Master Master Builder Other: Valuation F .. F � , - -. 1 .. . , • , �::: , = ' ":E: =;�JOB;SITEI'INFORMATIQN; and'; IiO; GATION ,= �;`::�,;,:,,,�: ,:.,: No of bedrooms: No of baths: ,( 64 L, �� Gig-c, j� Total number of floors Job site address: 10 New dwelling area (sq. ft.) Suite #: q (4. 0 Bldg. /Apt. #: UAGat,sJ T?, Al . Garage /carport area (sq. ft. Project Name: CL .Art 2©c►P • Covered porch area (se ' . Cross street/Directions to job site: Deck area (sq. ft.). Other structu .rea (sq. ft.) 4; tr REQIJ y A - ` CODImike ' IUSETHECKLI 2 ..-a. .. ,.,, , , ...� ....,.. _,F .a _F.- - .. . , Subdivision: Lot #: Tax map /parcel #: Note: Permit fees* are based on the total value of the work performed. Indicate ' "`" '1 ` "'` �" .` "' WORK .. ,! Y; ... ; ; 'q'` • the value (rounded to the nearest dollar) of all equipment, materials, labor, overhead and profit for the work indicated on this application. o CPere (0 s , PrOD ( )557 PIRA d () 1P ,r/ .1 r-n1 - /p Valuation $ )o00 "v�`-' /" 1 �" Existing building area (sq. ft.) 1 n11c,I S New building area (sq. ft.) Number of stories at ° Type of construction �[ / —>�∎ PRQPERTl!_�OW1VERrM�.��" EA TEN °ALV�T�`-;;?���<?- �;;`�?�x;�:s ._;;;�,a YP Name: E Pu l � ,�� - ppe p , Occupancy group(s): Existing: 5 New: vi t' Address: City /State /Zip: NOTICE: All contractors and subcontractors are required to be Phone: Fax: licensed with the Oregon Construction Contractors Board under .rAPli. ICANTttS= ' ;:' ;., *, "'._ : ,ia 4;, :/! WONTACT "P,ERSOK'4„: provisions of ORS 701 and may be required to be licensed in the Business Name: /Y1 c,/Gi,J511.-i Cotr PA" Y jurisdiction where work is being performed. If the applicant is exempt Contact Name: Ierr- /)/ from licensing, the following reason applies: Address: 540o pi% 60,14,7e 4A 61)1D City /State /Zip: jtD , a p.,g7 .iS Fax: ,,. .!, �- t -- } .�k,. r Phone: So` . 3 � �X�.7`� /Sj'. D�� ��° :r_��S�-�c;. _�:. :�� - ;r ���.. y��,� a,�w =?�,;�y� =`aa) `> �, , .:s` '''B UIING I ';:µM • z. ". . YYS = . ' yf: k�« x ? w', f�� , ' ..y v �E;p.,' � 1 .c � y - " r � t.:f � :;< � ;x:,, ����; ...3in;`: =�a' ^ ".w'L�„�, (i�./ < i a = , t r :fi ` �M� : 9 r `u s. P >X :''.�;; ��y E -mail: M A%t /rt5T 'f , Cvr�+ ,r; ,, . i P1W, refer'�to f =< :4 -1 pr ,°,,,; . _ ,t. ;zt'. - ' ; 5° ,.. - ="k',. `w:.i;, N - , , � -,..o0 3 .V, ° r': , N 3 -,.-, . - R '� " �C.t. t . i'y .' s' : ' =r� € .,� ; COIV,TRACT,OR" €:..ii °.h . . ��.� °.��;<<I�. ,.,i'�' ��t... -.z �_ ; ,��..+i:.,:� h. �� =�: Business Name: 11 J 5-1 C" Fees due upon application $ ( - v Address: SV o ie e2)w,r6)A Aar) 5-00 City /State /Zip: Ptz'+-A/JDI pg- i e triii 2 Amount received $ Phone: 6 33i. a234 Fax: S "03 ," j/, (f1b(e Date received: 73t :all '767. CCB Lie. @ 4-o j (a 2,2-3- 0 1 Authorize hh Notice: This permit application expires if a permit is not obtained within Signature: ------ Date: V . D � 180 days after it has been accepted as complete. - -...E'tf'1'" NI . *Fee methodology set by Tri -County Building Industry Service Board. (Please print name) is \Dsts \Permit Forms\B1dgPermitApp.doc 01/03 F I X Fire Protection Permit Check List A.) ❑ New ❑ Addition )4 Alteration ❑ 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: q Additional description of work: f&-Loo ---E- (L;) , -5-P 1 f-oO CS , , S s4Pn ilia) 0) ¶ 5 P, IL A i -a of (°l) )! )5 PER NEJ -1 /iviNet J1 i Nr T. ype 'of'System :(Complete.A;: :B.or C as` applicable):' : A.) Sprinkler Wet ■ Dry ❑ Standpipes A/A Additional Hazard Group L14 " ?-) -Prf Information Density 6 / 0 Design Area t roa K. Factor 57 t , Sprinkler Project Valuation: $ I Ooo B.) Type I - Hood Fire Suppression System Hood Project Valuation $ lJ /A- C.) Fire Alarm Submittal shall Battery Calculations Yes ❑ include: Individual Component Yes ❑ Cut Sheets Fire Alarm Project Valuation: $ MA Project Valuation Subtotal (A, B & C): $ Ivor) °`= Permit fee based on valuation (see chart): $ &A .6 8% State Surcharge: $ 5.0 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 Itit.t ( ��( AVOW INSPECTION DIVISION Business Line: (503) 639 -4171 BUP Received Date Requested ` AM PM BUP Location 7i _41 Suite 7 e MEC I Contact Person Ph ( ) 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 C2=1;; 1 Alarm F Fire Susp'd Ceiling �� �. � Roof 4. Vali MIL in PASS PART FAIL PLUMBING AM Post Beam 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 $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL SITE Please call r reinspz- tion RE: Li Unable to inspect — no access Fire Supply Line _ / ADA Approach/Sidewalk Date Ext Other: Final DO NOT REMOVE this inspectio record from the job site. PASS PART FAIL