Permit I I
Alik
CITE „OF TIGARD
�4I� BUILDING PERMIT
PERMIT #: BUP1999 -00335
DEVELOPMENT SERVICES DATE ISSUED: 8/2/99
°- 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171
SITE ADDRESS: 10250 SW GREENBURG RD 200 PARCEL: 1S135A6 -04500
SUBDIVISION: LINCOLN BUILDING PP1991 -055 • ZONING: C -P
BLOCK: LOT: 001 JURISDICTION: TIG
REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION
CLASS OF WORK: ALT FIRST: sf N: S: E: W:
TYPE OF USE: COM SECOND: 12,433 sf PROJECT OPENINGS?
TYPE OF CONST: 2FR : sf N: S: E: W:
OCCUPANCY GRP: B TOTAL AREA: sf ROOF CONST: FIRE RET?
OCCUPANCY LOAD: 142 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: Y SMOK DET:
DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP ACC:Y
BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING:
VALUE: $ 36,700.00
Remarks: Tenant improvement - creating two (2) offices, training room, enlarging an office space and a new entry lobby. A
fire sprinkler, eleactric, and plubing permit is required.
Owner: Contractor:
KNICKERBOCKER PROPERTIES INC MALIBU PACIFIC
BY NORRIS BEGGS & SIMPSON 735 NE JACKSON SCHOOL ROAD
10300 SW GREENBURG RD STE 200 HILLSBORO, OR 97124
PPnone ND, OR 97223 Phone: 693 -9797
Reg #: LIC 059045
FEES REQUIRED INSPECTIONS
Type By Date Amount Receipt Framing Insp
PRMT GEO 8/2/99 $224.50 99- 317342 Gyp Board Insp
Susp Ceiing Insp
5PCT GEO 8/2/99 $15.72 99- 317342 Final Inspection
PLCK GEO 8/2/99 $145.93 99- 317342
FIRE GEO 8/2/99 $89.80 99- 317342 ORIGINAL
Total $475.95
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 -1987. You
may obtain a copy of these rules or direct questions to OUNC by calling (503) 246 -1987.
Permitee ?-2.-....e.4--%,--
Signature:
Issued By:
/ •
Call •39 -4175 by 7 p.m. for an inspection the next business day
CITY OF TIGARD Commercial Building Permit Application Plan Check#
13125 SW HALL BLVD. Tenant Improvement Rec'd By
TIGARD, OR 97223 Date Recd
Date to P.E.
(503) 639 -4171 O Date to DST (12-1 ff V
Print or Type - Permit # 6aP /rtfft - 6O 3 35"
Related SWR #
Incomplete or illegible applications will not be accepted Called
Name of Development/Project Existing Building z New Building ❑
Job Lincoln Cent- .
Address Street Address Suite Building L Ih col n C -- e,v -
102.50 SW Greernki R4 ZOD +,4 l A Data
Bldg # City /State Zip Existing Use -of Building or Property:
L 10 COu-.3
Dui LDING POY afrtot r OIZ . 9 7223 C>F G2 •
Name
Property r F n c err.ocv - I� e- Proper Inc - Proposed Use of Building or Property:
p��('��
Owner Mailing Address S uite V C 'rl Ce-
103Co ,SW t,�r , PVr9 �d ZOO No. Of �Storiie :
City/State Zip Phone 3 Three-
rortl ak ct Cp-. 9 7223 +9 2. -5900 Sq., Ft Of Project: r
Occupant Name �? �� C
Forest Ci . J Occupancy Class(es)
Name //
Contractor Mal i Y aci - Typet) of KiFtruction
Prior to permit Mailing Address Suite
issuance, a copy , Will thi pr oject have a Fire Suppression System?
of all licenses 3S Ne Jackson S oo Yes ` 1 No ❑
are required if City /State Zip Phone ..
expired in C.O.T. Americans with Isa (ADA)
database (I tI sboru. 0(z-, 97124- 053 -9797 Valuation X 25% = $�%1 Participation
Oregon Const. Cont. Board Lic.# Exp. Date Complete Accessibility Form
• 059045 2/1 0 Project $
Name Valuation t- j C o 0
Architect GRI' Arch ec , inc. Plans Required: See Matrix for number of sets to submit
Mailing Address Suite on back
920 SVJ 1141 i bkve nue 4
City /State Zip Phone I hereby acknowledge that I have read this application, that the information
p
`orttahc+ Op-, `372.04- 221--9(,S(,, given is correct, that I am the owner or authorized agent of the owner, and
Engineer
Name I that plans submitted are in compliance with Oregon State Laws.
Signature of Owner /Agent Date
Mailing Address Suite ,.-42.(..-- / 81'2 / ,,
Cont Person Name Phone LLL
City /State Zip Phone 1 y.i P-. Gf u r 2.24 -9 65G
• FOR OFFICE USE ONLY
Indicate type of work: New 0 Addition 0 Demolition O .. : _. ,
Accessory Structure 0 Foundation Only 0 Alteration /' 4 p +d t -_
Repair O Other 0
Notes: � r ' I , ! t,•: -� -;
Description of work: 4 , _
- r en aYl LYh prover►'ten� TIF
r d
4 i ux
-g -' -
Note: Site Work Permit Application must precede or accompany Building
•
Permit Application
I: \COMNEWTI.DOC (DST) 5/98
•
r'
COMMERCIAL PLAN SUBMITTAL
REQUIREMENT MATRIX
n.,Ra��a. !�.::�e .. �nd�nt �€ .. o�.: � u t�rr►��i t�� :��TH >:. ��ns ::A�.: a .:CC.��i.PLETE�.:::::..
ppitcat�an For an electrical' ul mtha1, the app1u atior rest contain #he::: >:: >::::.;::: »::.:::::
gnature bf the supervsr electrcan before plan review wi ll b condu
After plan review approval, Plans Examir er wd contact the applicant #o reques
add IOW fo >:
.. .................:: f�r. tltstriPutlsOr"u yes. fib . : .. fd�Cdintra0 t *r ::P ::::.::.;.;:::.:::::. <...
T�a latirr 11a.................. Fire & Reap�e)
EItITT Plan KEY:
utam�tted.. .
S (Private) 1 S = Site Work
B (New or Add) 1 B = Building
F (New or Add or Alt) 3 F = Fire Protection System
M (New or Add or Alt) 1 M = Mechanical
B & M (New or Add) 1 P = Plumbing
P (New, Add, or Alt) 2 E = Electrical
B & M & P (New or Add) 2 New = New Building
E (New, Add, or Alt) 2 Add = Addition
B & F & M & P & E 3 Alt = Alternation to Existing
(New , Add) Building
NOTES:
as.;d
I: \dsts \forms\matrxcom.doc 10/30/98
147 - se-) ; kie 200
� Fce3 T CITY)
SUBJECT: ACCESSIBILITY
BARRIER REMOVAL IMPROVEMENT PLAN
REQUIREMENT: OREGON REVISED STATUTE (ORS) 447.241.
(1) Every project for renovation, alteration or modification to affected buildings and related
facilities shall be made to insure that the path of travel to the altered area and the restroom,
telephones and drinking fountains are readily accessible to individuals with disabilities unless
such alterations are disproportionate to the overall alterations in terms of cost and scope.
(2) Alterations made to the path of travel to an altered area may be deemed disproportionate to
the overall alteration when the cost exceeds twenty -five per -cent (25 %).
VALUATION of all renovation, alteration or modification being done
excluding painting, wallpapering. [1 ] $ 3�p 700 o 0
multiply: 25% Barrier removal requirement. .25
BUDGET FOR BARRIER REMOVAL [2] $ 9,175g
In choosing which accessible elements to provide under this section, priority shall be given to those
elements that will provide the greatest access. Elements shall be provided in the following order:
(a) Parking [atresr'(rirri, new cu (AA c, sl 9,.I 75•°°
c-;) a a cce..rr;LJe rtal l.r'.
(b) An accessible entrance: $
(c) An accessible route to the altered area: $
(d) At least one accessible restroom for $
each sex or a single unisex restroom:
(e) Accessible telephones: $
(f) Accessible drinking fountains: and $
(g) When possible, additional accessible
elements such as storage and alarms: $
TOTAL: Shall equal line 2 of Value Computation $ ¶ 1 . 75 °D
i:\dsts\forms\access.doc
CITY OF TIGARD BUILDING INSPECTION DIVISION A
MST
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
// q BUP j cr �� 0 Date Re uested /,? (q / AM PM BLD
Location / ? -5-0 � R Suite 41 � `` - '' MEC
Contact Person (370.45 / AAPA ,L:L 1Cc.0 C-- Ph 1 S 4 7 1 aq PLM
Contractor Ph SWR
BUILDING Tenant/Owner FOY`2S"J L ELC
Retaining Wall ELR
Footing Access:
Foundation FPS
Ftg Drain SGN
Crawl Drain I s ection Not //,�,
Slab Gam_ � RS -�-U lf/►�t S r SIT
Post & Beam h�L Civ" / - t•
S 4-)A-4-e-/ C' jUK
Ext Sheath /Shear Q �Q�.
Int Sheath /Shear
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
S
ig
usp'd Ceiling
Roof
M •
Final
AS PART FAIL
PLUMBING
Post & Beam
Under Slab
Top Out
Water Service
Sanitary Sewer
Rain Drains
Final
PASS PART FAIL
MECHANICAL ,
Post & Beam
Rough In
Gas Line
Smoke Dampers
Final
PASS PART FAIL
ELECTRIC AL
Service
Rough In
UG /Slab
Low Voltage
Fire Alarm
Final
PASS PART FAIL
SITE
Backfill /Grading
Sanitary Sewer
Storm Drain [ ] Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin
Fire Supply Line [ ] Please call for reinspection RE: [ ] Unable to inspect - no access
ADA
Approach /Sidewalk
Inspector
Other Date / 2 - - 7-7 nspector E
Final -
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.