Permit 1
BUILDING PERMIT
CITY OF TIGARD
PERMIT #: BUP2003 -00692
11 DEVE 639 - 4171 DATE ISSUED: 12/22/03
- 13125 SITE ADDRESS: 10260 SW GREENBURG RD * " PARCEL: 1 S135A6 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: 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: $ 800.00
Remarks: Fire alarm
Owner: Contractor:
EOP LINCOLN, LLC CAPITOL ELECTRIC CO, INC.
10260 SW GREENBURG RD 11401 NE MARX STREET
SUITE # 100 PORTLAND, OR 97220
PORTLAND, OR 97223
Phone: 892 - 2500
Phone: 503 - 255 -9488
Reg #: LIC 48748
FEES REQUIRED INSPECTIONS
Description Date Amount Smoke detector insp
[BUILD] Permit Fee 12/17/03 $62.50 Misc. Inspection
[TAX] 8% State Surchart 12/17/03 $5.00
[FLS] FLS Pln Rv 12/17/03 $25.00
Total $92.50
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: 6 ) l'ItIA
Pe rm ittee .
Signature: &I Air / r c /--, � w-1
Call 639 -4175 by 7 p.m. for an inspection the next business day
Building Permit Application OFFICE USE ONLY
• Date received: 69//7 03 Permit no.:.! . 0
-t".`,.. I � ; City of Tigard ��
� p� Project/appl. no.: Expire date:
CITY OF TIGARD Address: 13125 SW Hall Blvd., Tigat�, ;01.3 97223 Date issued: By: Receipt no.:
Phone: (503) 639 - 4171 V �� ® ®� Case file no.: Payment type:
Fax : (503) 598 - 1960 ®� 0 1 & 2 family: Simple Complex:
GN IA
Land use approval: (^ \(v O r , n \v�S10 —70(,(,P /l , _,s, — 00 F7
TYPE OF PERMIT •
❑ 1 & 2 family dwelling or accessory • Commercial/industrial ❑ Multi family ❑ New Construction ❑ Demolition
• Addition /alteration /replacement ❑ Tenant improvement • Fire alarm ❑ Other
JOB SITE INFORMATION
Job address: 10260 SW GREENBURG RD Bldg. No.: Suite no.:
Lot: 'Block: N/A ISubdivision: 'Tax map /tax lot/account no.:
Project name: LINCOLN CENTER SITE IMPROVEMENTS, PHASE II
Description and location of work on premises /special conditions: PROVIDE SMOKE DETECTORS FOR COILING FIRE DOOR
RELEASE AT EACH END OF THE ENCLOSED BUILDING LINK
OWNER' FOR SPECIAL INFORMATION, USE CHECKLIST
Name: EQUITY OFFICE (Floodplain, septic capacity, solar, etc.
Mailing address: ONE SW COLUMBIA, SUITE 300 1 & 2 family dwelling:
City: PORTLAND . OR Zi : 97258 Valuation of work $
Phone: 503.412.4800 Fax: E -mail: No. of bedrooms/baths
Owners representative: Total number of floors
Phone: IFax: IE -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: IState: I Zip:
Phone: IFax: IE - mail: Commercial /industrial /multi - family
Valuation of work $ 800.00
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
Eit PORTLAND . OR Zi : 97220 Type of construction
Phone: 503 - 255 -9488 Fax: 503- 255 -1966 E -mail: Occupancy group(s): Existing:
CCB no.: 48748 'Oregon License No.: 26 -496C New:
City /metro lie. no.: 4542 (metro)
Notice: All contractors and subcontractors are required to be
_ ARCHITECT /DESIGNER licensed with the Oregon Construction Contractors Board under
Name: provisions of ORS 701 and may be required to be licensed in the
Mailing address: jurisdiction where work is being performed. If the applicant is
City: IState: I Zip: exempt from licensing, the following reason applies:
Contact person: 'Plan no.:
Phone: 'Fax: IE-mail:
ENGINEER OFFICE USE ONLY
Name: Contact person: Fees due upon application $
Mailing address: Date received:
City: 'State: I Zip: Amount received
Phone: IFax: E-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 s ecified herein or not. ❑ Visa ❑ MasterCard
Credit card number:
Authorized signature: Date: 12/16/03 Expires
Name of cardholder as shown on credit card
Print name: DAN WILSON
$
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
INSPECTION DIVISION 4 Business Line: (503) 639 -4171 MST
BUP
Received Date Requested if 4- -- A / 1200 PM ` ; 2 - DO &J
Location 0 a - d 40 - Suite No NL= MEC
Contact Person • Ph ( / ) S 3131.1 PLM
Contractor Ph ( ) SWR
BUILDING Tenant/Owner ePP L ELC
Footing
Foundation Access: ELC
Ftg Drain ELR
Crawl Drain
Slab Inspection Notes: SIT
Post & Beam
Shear Anchors
Ext Sheath /Shear
Int Sheath /Shear
Framing
Insulation
Drywall Nailing
Fi rewal l
Fire • 'Ikler
7.15199 e ... .
Susp • Ceiling
Roof
0 • -
ei PART FAIL
- ING
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
E LECTRICAL
Service
Rough -In
UG /Slab
Low Voltage -
Fire Ala_ rm
Anal 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 . 'Ya Inspect ���� Ext
Other:
Final _ DO NOT REMOVE this inspection record from the job site.
PASS PART =.FAIL