Permit Ati, ®F T' GAR® BUILDING PERMIT
PERMIT #: BUP2004 -00417
DEVELOPMENT SERVICES DATE ISSUED: 9/13/2004
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 PARCEL: 1 S135AB -01002
SITE ADDRESS; 10220 SW GREENBURG RD 201
SUBDIVISION: THREE LINCOLN -TOWN OF METZGER ZONING: R -12
BLOCK: LOT: 009 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: $ 2,300.00
Remarks: Install ADA notification devices, relocate ext. smoke detectors.
Owner: Contractor:
EQUITY OFFICE PROPERTIES TRUST CAPITOL ELECTRIC CO, INC.
ONE W COLUMBIA #300 11401 NE MARX STREET
PORTLAND, OR 97202 PORTLAND, OR 97220
Phone: 503 - 412 -4800
Phone: 503 - 255 -9488
Reg #: LIC 48748
FEES REQUIRED INSPECTIONS
Description Date Amount Fire Alarm Insp
[TAX] 8% State Surchari 8/31/2004 $5.77 Final Inspection
[FLS] FLS Pin Rv 8/31/2004 $28.84
[BUILD] Permit Fee 8/31/2004 $72.10
Total $106.71
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 -01 -.110 thr• •, h OAR 952 - 001 -0100. You may obtain a copy of these rules or direct questions to OUNC by
ca 'rig (503) 246 -6699 or 1- 800 - 3344.
I sued By: �� i!�
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Call 639 -4175 by 7 p.m. for an inspection the next business day
10Z24 SP b,' JIPur10- ' �� N -n PA
A N it'll uil ding Permit Application OFFICE USE ONLY Date received: g�IY' Permit no.:1 ,, _/ ...& ... ...o wl
* - - / i� Oily of Tigard RECEIVED Project/a..l. no.: Ex.i date:
CITYg TIGARD Address: 13125 SW Hall Blvd., Tigard, OR 97223 Date issued: NI Recei .t no.:
F (503) 639 - 4171 AUG 31 Zpp t f Case file no.: ffe
Co" - O NAG v Fax : (503) 598 -1960 ELI Y o f � 'G � R® Comdex:
0 )1153\
BUILDIN TI GARD /3®FPtw /t5S /9 -/O -ay/
Land use approval: 9 /0 o e � ' �` � .-. a
. TYPE OF. PERMIT _
❑ 1 & 2 family dwelling or accessory • CommerciaUindustrial ❑ Multi- family ❑ New Construction ❑ Demolition
❑ Addition/alteration/replacement • Tenant improvement • Fire alarm ❑ Other
JOB SITE INFORMATION
Job address: THREE LINCOLN CENTER, 10220 SW GREENBURG ROAD Bldg. No.: Suite no.: 201
Lot: Block: N/A ISubdivision: ITax map /tax lot/account no.:
Project name: KNOWLEDGE POINTS TENANT IMPROVEMENT
Description and location of work on premises /special conditions: INSTALL ADA SYNCHRONIZED NOTIFICATION DEVICES.
RELOCATE EXISTING SMOKE DETECTORS FOR FLOOR PLAN CHANGES
OWNER FOR SPECIAL INFORMATION, USE CHECKLIST
Name: EQUITY OFFICE PROPERTIES (Floodplain, septic capacity, solar, etc.
Mailing address: 1 & 2 family dwelling:
Cam: State: OR Zi : Valuation of work $
Phone: Fax: E -mail: No. of bedrooms/baths
Owners representative: Total number of floors
Phone: Fax: E -mail New dwelling area (sq. ft.)
Garage /carport area (sq. ft.) •
•
' APPLICANT Covered Porch area (sq. ft.)
Name: DAN WILSON, CAPITOL ELECTRIC CO., INC. Deck area (sq. ft.)
Mailing address: SEE CONTRACTOR INF. BELOW Other structure area (sq. ft.)
City: State: Zip:
Phone: Fax: E -mail: Commercial/industrial/multi- family
Valuation of work $ 2,300.00
CONTRACTOR Existing bldg. Area (sq. ft.)
Business name: CAPITOL ELECTRIC CO., INC. New bldg. Area (sq. ft.)
Address 11401 NE MARX STREET Number of stories
City: PORTLAND IState: OR Zi : 97220 Type of construction
Phone: 503- 255 -9488 IFax: 503- 255 -1966 E -mail: Occupancy group(s): Existing:
CCB no.: 48748 'Oregon License No.: 26 -496C New:
City/metro lic. no.: 4542 (metro)
Notice: All contractors and subcontractors are required to be
ARCHITECT /DESIGNER licensed with the Oregon Construction Contractors Board under
Nam provisions of ORS 701 and may be required to be licensed in the
Mp fling address: jurisdiction where work is being performed. If the applicant is
..rty: ]State: I Zip: exempt from licensing, the following reason applies:
Contact person: IPlan no.:
Phone: IFax: IE-mail:
ENGINEER ,K OFFICE USE ONLY -
Name: Contact person: Fees due upon application $
Mailing address: Date received:
y: State: I Zip: Amount received
Phone: Fax: IE -mail:
I hereby certify I have read and examined this application and the
attached checklist. All provisions of laws and ordinances governing this Not all jurisdictions accept credit cards, please call jurisdiction for more information.
work will be complied with, whether sp cified herein or not. ❑ Visa ❑ MasterCard
Credit card number:
Authorized signature: ate: 8/27/2004 Expires
Print name: DAN WILSON Name of cardholder as shown on credit card
$
Cardholder signature Amount
Notice: This permit application expires if a permit is not obtained with 180 days after it has been accepted as complete.
CITY OF TIGARD 24 -Hour
BUILDING Inspection Line: (503) 639 -4175
INSPECTIOND_ IVISION Business Line: (503) 639 - 4171 7 MST
�. U . }-. /Y1 BU -;- .� -60 417
Received Date Requested AM — �PM - BUP
Location Z Z � 0-4 ! /L . t _ 1 Suite MEC
Contact Person Ph ( 970 3 2 )io — O 7 - PLM
Contractor Ph ( ) SWR
BUILDING Tenant/Owner ELC
Footing
Foundation ELC
Access:
Ftg Drain ELR
Crawl Drain __
Slab Inspection - test — �' SIT
Post & Beam _�_ — '
Shear Anchors C (�
Ext Sheath/Shear
Int Sheath/Shear
Framing
Insulation
Drywall Nailing
Firewall
Fire S. inkier
Susp'd Ceiling
Roof
Other:
in.
PART FAIL
di
BING
Post & Beam
Under Slab
Rough -In
Water Service
Sanitary Sewer F)/q L D / Rain Drains
Catch Basin I Manhole
Storm Drain
Shower Pan
Other:.
Final
PASS PART FAIL
MECHANICAL
Post & Beam
Rough -In l/
Gas Line
Smoke Dampers 1
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 for reinspection RE: Unable to inspect — no access
Fire Supply Line
ADA
Approach /Sidewalk Date / 21 - 0 Inspector 13 R I p L4 L ®Ge-- Ext `t3
Other:
Final DO NOT REMOVE this inspection record from the job site.
PASS PART FAIL