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10200 SW GREENBURG ROAD STE 205 r 0 r� 0 0 C7 CEJ z c z n c c 10200 SW GREENBURG RD #205 CITY OF T I G A R D — BUILDING PERMIT PERMIT M BUP2002-00185 DEVELOPMENT SERVICES DATE ISSUED: 5/14/02 13125 SW Hall Blvd.. Ti-card, OR 97223 (503) 639-4171 PARCEL: 1S135AB-00900 SITE ADDRESS: 10200 SW GREENBURG RD 20.5 SUBDIVISION: FIVE LINCOLN ZONING: C-P BLOCK: LOT: JURISDICTION: TIG REISSUE FLOOR AREAS _ _ EXTERIOR WALL CONS_TRUCi ION 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: 000 sf ROOF CONST: FIRE RET? OCCUPANCY LOAD: 13 BASEMENT: sf AREA SEP. RATED: STOR: HT: ft GARAGE: sf OCCU SEP. RATED: BSMT?: MEZZ?: REOD SETBACKS - _ PEQUIRED _ _! FLOOR LOAD- psf LEFT: ft RGHT: fR SPKL: Y t FISMOK DET:Y DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : Y HNDICP ACC: BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING: VALUE: $ 7,500.00 Remarks: Tenant improvement. Creat a private office in an existing office. Owner: Contractor: EOP LINCOLN, LLC C SCHIEWE & ASSOCIATES INC 10260 SW GREENBURG RD 1024 NE. DAVIS ST SUITE 100 R 7�?� PORTLAND, OR 97232 PPhone N�P94492T5U Phone: 503-234-6617 Reg #: LIC 54105 _ FEES REQUIRED INSPECTIONS — Type By Date Amount Receipt Framing Insp FIRE CTR 5/14/02 $48.04 27200200000 Insulation Insp Gyp Board Insp PLCK CTR 5/14/02 $78.07 27200200000 Susp Ceiing Insp PRMT CTR 5114/02 $120.10 27200200000 Final Inspection 5PCT CTR 5/14/02 $9.61 27200200000 -- Total $255.82 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 niles are set forth in OAR 952-001-0010 through OAR 952.-00'1-1987. You may obtain a copy of these rules or direct questions to OUNC by calling (503) 246-6699 or 1-800-332-2344. Permittee Signature: f.. Issued By: _ Cell 639$175 by 7 p.m. for an inspection the next business day Building Permit Applicatiaa .. Datereceived: /6/09 Permit no' 1�O,��Gt�� City of Tigard N, -- Address: 13125 SW Hall Blv , rd,OR 97223 P'oject/appl.no.: E ' date. City q(Tigard Phone: 503) 639-4171 Date issued: ( y' Receipt no.: Fax: (503) 598-1960 e h'Q ��p \ Case file no.: Payment type: .4i Land use approval �!` _ l&2 family:Simple Complex: ❑ 1 &2 family dwelling or accessory ❑Commercial/industrial ❑Multi-family U New construction U Demolition U Addition/alteration/repincemeni ❑Tennnt improvement ❑Fire sprinkler/alarm U 0(her: JOBSIT.EINFORMATION Job address: 1oZC0 SVJ Gre;e„bu o Bldg,—no.1. 1 Suite no.: 205 Lot: I Block: Subdivision: Tax map/tax lot/account no.: Project name: pLl.M61E Description and location of work an premises/special conditions: TenaK't Iwtbt�Vehh_�rt Name: MUITY OFFI cE FiltOF(EXTIE.s Mailing address: 101(vo 5W Gp.C+t-JMuX0 P-0 SUITE Ion 1 & 2 farnlly dwelling: City: po(tTLPvJ0 _ State:OJ= ZIP: 9?223 Valuation of work...................................... Phone5os $92-2.5ao Fax: E-mail: No.of bedrooms/baths................................. -- Owner's representative: P-AY P,. :;,L(Q/r-- GILD ArrJ4ztectr Inc Total number of floors................................. Phone503 224-%%, Pax: C-malf: New dwelling areas ft. g ( q. ) .......................... Garage/carport area(sq.ft.)......................... Name: &2,D Aw-cl,;tec-tJ Inc Covered porch area(sq.ft)......................... —_ Mailing address: 920 SW wenare Su i to +:)07 Deck area(sq. ft.) .............. _ City: Porti _ State:p ZIP: -j7gpR . Other structure area(sq.ft).............•.......•.. _ Phoneft?s ZZ -D& Fax: E-mail: Commercial/indestriii/multi-family: Valuation of work........................................ $ 7 0 Business name: G. Soh i ewe c.cvts"�, Existing bldg.area(sq.ft.) .......................... Address: 10 21- N W Da l s St New bldg.area(sq.ft.) ............................... _ Number of stories........................................ City: Por. State: ZIP: 9 Z'�2 Type of construction.................................... :- FR PhoneSo^� 2^�4-'6Gl Fa;c: E-marl: CCB no,: 5 p5 — Occupancy group(s): Existing: b [!) City/metro tic.no.: Notice:All contractors atd subcontractors aic required to be licensed with the Oregon Construction Contrartors Boar!under Name: provisions of ORS 701 and may be required to be licensed in the Address: jurisdiction where work is being performed. If the applicant is Cit State: Z exempt from licensir_,the following reason applies: Contact person: Plan no.: — --- — - Phone: Fax: E-mail: -- — Name: Contact person: Fees due upon application ......I........ ........... $ Address: Date received: City: State: ZIP: Amount received ......................................... $ Phone: Fax: E-mail: Please refer to fee schedule. hereby certify I have read and examined this application and the Na all Juri"cdons accept credit cards.please call jurisdiction for more infocmadon attached che,klist.All provisions of laws and ordinances governing this U Visa o Ms i work will be complied with,whether specified herein or not. credit card number: dd. __ Expires signatu-e:_ �--.� _ Date: S'�_r 'CZ Nerve of cardholder as shown on credit card Print name: Rai I'. Glu _ $ Cardholder slpsiure Amount Notice:This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. 440.4613(ISWCOM) a r Commercial Plan Submittal Requirement Matrix 0 1,of'Tig and TYPE OF SUBMITTAL # of Plans (Includes New, Additions or Alterations) Required at Submittal Site Work 4 (must include location of all accessible parking) Plumbing - Site Utilities 2 Building 1 Fire Protection System 3** Mechanical 2 Plumbing - Building Fixtures 2 Electrical 2 Plan review is dependent upon submittal of a completed application and pans. After plan review approval, the Plans Examiner will contact the applicant to request additional scats 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 protectiin systems require that plans bear the original seal of an Oregon licensed fire suppression engineer. or NICET level "3" technicians. i\dsts\1orms\C0M-matrix.doc 9/24101 �� O� �I w(v'�� ELECTRICAL PERMIT PERMIT#: ELC2002-00233 DEVELOPMENT SERVICES DATE ISSUED: 5/23/02 -- 13125 SW hail Blvd.. Tictard, OR 97223 (50�, 639-4171 PARCEL: 1S135AB-00900 SITE ADDRESS: 102.00 SW GREFNBURG RD 205 SUBDIVISION: FIVE LINCOLN ZONING: C P h BLOCK: LOT : JURISDICTION: TIG Prosect Description: Add ti hranch circuits for tenant imps avement. _ RESIDENTIAL UNIT _ _TEMP SRVCIFEEDERS _ _MISCLLLANEOUS —,1000 SF CR LESS: — —0 200 amp: PUN'P/IRRIGATION: EACH ADD'L 500SF: 201 - 400 amp: SIGN/OUT LINE LTG: LIMITED ENERGY: 4G1 - 600 amp: SIGNAL/PANEL: MANF HMI SVC/ FDR: 601+amps - 1000 volts: MINOR LABEL (10): — ^ SERVICE/FEEDER J _ BRANCH CIRCUIT_ S _ ADD'L INSPECTIONS 0 - 200 amp: W/SERVICE OR FEEDER- PER INSPECTION: 201 - 400 amp: 1st W/O SRVC OR FDR: 1 PER HOUR: 401 - 600 amp: EA ADD'L BRNCH CIRC: 5 IN PLANT: 601 - 1000 amp: _ PLAN REVIEW SECTION 1000+ amp/volt: >=4 FEES UNITS: _ > 600 VOLT NOMINAL: Reconnect only SVC/FDR >= 225 AMPS: _ CLASS AREA/SPEC OCC: Owner: Contractor: EOP LINCOLN, LLC CAPITOL ELECTRIC CO INC 10260 SW GREENBURG RD 12810 NE AIRPORT WAY SUITE 100 UNIT 1 PORTLAND,OR 97223 PORTLAND, OR 97230 Phone: Phone: 255-9488 Reg #: LIC 048748 SUP 3132S ELE 26-496C FEES Required Inspections - Type By Date Amount Receipt Ceiling Cover Wall Cover PWAT CTR 5/23/02 $80.10 2720020000( Elect'I Final 5PCT CTR 5/23/02 $6.41 2720020000( Total $86.51 This Permit is issued subject to the regulations contained In the Tigard Municipal Code,State of OR. Specialty Codes and all other applicable laws. 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 rules adopted by the O--egon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0080. You may obtain copies of these rules or direct questions to _ / Issued By: Permit Signature: �N �/X�6/�.a r %"Z' _OWNER INSTALLATION ONLY The installation is being made on property I awn which is not intended for sale, lease, or rent. OWNER'S SIGNATURE: DATE: COI ' 4ACTOR INSTALLAT:00 (INLY SIGNATURE OF SUPR. ELEC'N: _ _ —_—.. __ DATE:-- LICENSE ATE:_—LICENSE NO: — ------ - ---- ----- Call 639-4175 by 7:00pm for an inspection the next business day �! iectrilcal Permit f�ppficsi01QY1 .+�_T� 'y. 74-cl'.-Ile , Pet mitu,r. x(90 H Ex ire date: Cit of Ti ►arc!Y k+ By: Receipt no.: ,IfY OF TIGARD Address: 13125 SWILU1 III X t),'1'IGAI2D,012 9723 Payment type: Phone: (503)6394171 fan(503)598-1960 a 1 )i U1, 1 IUM- Land use approval: 'r»r -- C�uP a,�oa ❑ 1 &2 fancily dewiling or accessory Q (onunercial/industf ial p Multi-family ❑ Tenant improvement C3 New construction ❑ Additionialteration/replacenu•nt ❑ Other: ❑ Partial �lf]MEN E&I 111111M Rill Joh address: 10200 SW GREENBURG City: TIGARD I Illdg.No.: Suite no.: _ I ax map/tax lot/acc tufa if,) Lol: Block:N/A Sul division: Project name SUITE 205 LINCOLN 6 Description and Iocalion oh work on premises ADD FURNITURE WALL FEEDS Estimated date ol'c( Ietion/inspection: 6/11/02 - Will ME= Juh no: 22-733 Fee Dlay. Business Nome: Capitol Electric Co.,Inc. Description Qfy. I (ea.) 7'mo1 no,Imp Address: 12810 NE Airport Way New resocniiul-single or nudii-Gunil).per City: Portland State: OR 'LIP: 87230-1028 dwelling unit. Inclodes allachetl g"rage. Phonc: 503-255-9488 fax 257-7121IF-Mail: derrell ce dx.com Service Included: U'll no.: 48748 11cc,bus.lic.no: 26.496C 1000 sq,Il,or less $ 145.15 f Cil hretro lic.no.: N/A Bach additional Star sq It of portion thereof S n 40 6/17/02 I.imited energy residential f 75 00 Signaurre of supervising electrician(require(i) Date Limited energy,non-residential $ 411 0o Sup.elect name(print) Darrell McNeal License no,: 3132-S I-:ach manufactured home or modular dwelling Service and/or feeder S 'woo Nara(print): Services or feeders-installation, Mailing address: alteration or relocation: ly: State: ZIP: 200 amps or less S 11".30 2 Phone: 1'ax: E-mail; 201 amps to 400 amps — - s 10685 2 Owner installation: The installation is being made vn property I own ant amps to 600 amps _ S 16060 _ which is not intended for sale,lease,rent,or exchange according to 601 neaps to 1000 amps $ 24060 2 ORS 447,455.479,670,701. I000 amps or volts S 454 65 !Otw, is slgnaturr I late: Reconnect only S (6 85 I .r. _ fernparary"crvlccs or Aeden- Name: Inslallallon,alterations,or relocation: j Address 2111)atnps of less S 66851 2 city: Sti10. /II': 201 amps to 400 amps S Ira 30 2 Phone: fax: _ I nrui�; 401 amps to 600 amps —_ - - - S 133.75 2 Branch rlrcuils-new,alteration, O Service over 225 amps-commetcfal C IIcnIW-care facility or ettension per panel: ❑Service over)2o amps-rsting of 1&2 p oa..rdom loatirm A fee for branch circuits with purchase tit family dwellings (3 Building over It,,,IM),quare 6 four or service or feeder fee,each branch circuit s o es _ Q 5ystBn over('00 volts nominal more residential un is In one structure 14 fee for branch circuits without purchase O Building over three stories O Feeders,400 amps at sore of service or feeder lire,I irsl branch circuit 1 t l('85 85 p fkcupant load over m)persons Ll Manufactures vrrcnues or RV park Lach additional branch circuit Ci 5 t.6S 1125 ❑Fgress/Ilghting plan ❑Other Misc.(Service"r feeder not Included): Submit sets or plans with any of the above. Each pump m irrigation circle The above are net applicable to temporary construction service. LACK sign of outline lighting 5 53 40 Signal circuit(s)or n limited cnerm panel. alteration,or extension* 5 711 *Description each additional inspectionover fir allovvaldr in;tin of rbc,bin c [let inspection t estigalion tic --_� other 13 Visa O MasterCard Permit Ice........ ....... S 60.10 t nail card mmnher / _ Notice:this permit application Plan review ( ) g r expires it a permit is not obtained State Surcharge 8% ) 4 Y� 6.41 Naar of ca,dhM&,*-I un,rcdrt rnnf withing 180 days atter It has been s '101. 1................... b 66.51 cardholder signature accepted as complete. CITY OF TIGARD 24-Hour BUILDING Inspection Line: (503)639-4175 INSPECTION DIVISION Business Line; (503)639-4171 MST BLIP - -- Received — Date Reque ted _ AM- _ -.---. PM BLIP Location .-_10 Z. 06, suite-s 0 MEC Contact Person _ /�_/ _ Ph( r j J t 4 _� 7 PLM _ Contractor. Cc Ph j 3 � � SWR BUILDING Tenant/Owner ►Xi >hCvlz2_ -_ ELC a3.2 Footing ELC Foundation Access: .r .'1 C-e ZAJ Ftg Drain ELR Crawl Drain Slab Inspection Notes: SIT Post&Beam Shear Anchors - _-- Ext Sheath/Shear Int Sheath/Shear Framing - - - - — Insulation Drywall Nailing - - -- Firewall I 1 Fire Sprinkler - .- Fire Alarm usp Ceiling -- . - -- Root _ Other: — Final — PASS PART FAIL - -- — - -- -"— PLUMBING Post&Beam Under Slab _ Rough-In Water Service -- -- --- -— --- _- Sanitary Sewer Rain Drains - --- - - -- ` Catcn Basin/Manhole Storm Drain - Shower Pan Other: - - -- - -+— _— - — Final PA3S PART FAIL MECHANICAL Post& Beam - Rough-In Gas Line Smoke Dampers Final PASS PART FAIL — ELECTRICAL Service Rough-In UG/Slab ' ow Voltage Fke Alarm inaReins ion fee of$ PART FAIL � � required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. $ Please call fnr reinspection RE: _ Unable to inspect-no access Fire Supply Line ADA 7 Approach/Sidewalk DNtw _� ' �vZ - Inspector / � 7;�_' q� Rxt Other: Final -- DO NOT REMOVE this Inspection record from the job site. PASS PART FAIL , CITYOF T I G A R D CERTIFICATE OF OCCUPANCY DEVELOPMENT SERVICES PERMIT #: BUP2002-00185 13125 SW Hall Blvd., Tigard, OR 97223 (303) 639-4171 DATE ISSUED: 5/14/2002 PA RCL L: 1 S 135AB-00900 ZONING: C-P JURISDICTION: TIG SITE ADDRESS: '10200 SW GREENBtJRG RD 205 SUBDIVISION: FIVE LINCOLN BLOCK: LOT: CLASS OF WORK: ALT�� TYPL OF USE: COM TYPE OF CONSTR: 2FR OCCUPANCY GRP: B OCCUPANCY LOAD: 13 TENANT NAME: POLLMEIEP REMARKS: Tenant improvement. Creat a private office in an existing office. Owner: ECP LINCOLN, LLC _ Y� 10260 SW GREENBURG i'D SUITE 100 PORTLAND, OR 97223 Phone: Contractor: C SCHIEWE & ASSOCIATES INC 1024 NE DAMS ST PORTLAND. OR 97232 Phone: 503-234-6617 Reg#: LIC 54105 This Certificate issued 5/31/21111 grants occupancy of the above referenced building or portion thereof and confirms that the building has been inspected for Compliance with the State of Oregon Specialty Codes for the group, occupancy, and use under which the referenced permit was issued. BUILDING IN C OR -�-- B UTL I POST IN CONSPICUOUS PLACE CITY OF TIGARD 24-Hour BUILDING Inspection Line: (503)639-4175 INSPECTION DIVISION Business Line: (503) 639-4171 MST BLIP L-�) Received , Date Requested. __�- 1_3�____ AM�___7 PM BUP Location 'c ' .2 G( -_�-C Suite MEC - --- Contact Person _ /" Q—� _ ph PLM Contractor__ _ Ph( ) _ SWR BUILDING_ _ TenanUOviner ELC - Foundation Access: ELC Ftg Drain Crawl Drain ELR Slab Inspection Notes: �J / / l , SIT ''oat&Bsam _ ------ �'�" l L' .i��i wyl.._-- Shear Anchors - -_ Ext Sheath/Shear Int Sheath/Shear Framing Insulation Drywall Nailing - Firewall Fire Sprinkler -- - _ Fire Alarm Susp'd Ceiling - Roof Ober: -- AS PART FAIL --- -- - -- PLUMBING Post&Beam _ t Under Slab ------- - - -- �- _--- Rough-In Water Service Sanitary Sewer Rain Drains -- ---- Catch Basin/Manhole Storm Drain ---- —- -- Shower Nan - Other:Final PASS — 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 Reinspectlon fee of$ r uired before next Ins PASS PART FAIL — �) pection. Pay at City Hell, 13125 SW Hall Blvd. SITE - [-] Please for reinspection RE:__ —_ Unable to inspect-no access Fire Supply Line ADA 6 r Approach/SidewalkDaft---` Z inspector _- -__ Ext Other: _ Final DO NOT REMOVE this Inspection record from the,fob site., PASS PART FAIL CITY OF TIGARD MECHANICAL DEVELOPMENT SERVICES PERMIT 13125 SW Hall 8lvd., Tlprd,OR97223 (503)6394171 PERMIT #. . . . . . . . MEC98-003ADATE ISSUED: 02/04/98 PARCEL: 1 S 1 35AB--00900 SITE ADDRESS. . . : 10200 SW GREENBURG RD #205 SUBDIVISION. . . . : -I..ONTNG: C—P BL.00H%. . . . . . . . . . : LOT. . . . . . . . . . . . . : JURISDICTION: TIG CLASS OF WORM. . :ALT FLOOR FURN. . . . : 0 EVAP COOL-RS: 0 TYPE OF USE. . . . :COM UNIT ''EATERS. . : 0 VENT FANS. . . : 0 OCCUPANCY GRP. . :13 VENTS W/O APPI._ : 0 VENT SYSTEMS: 0 c,TORIES. . . . . . . . : 2 AOIL_E:R5/COMPRESSORS HOOPS. . . . . . . : 0 FUEL_ TYPES----------- 0-3 HP. . . . : 0 DOMES. I NC T N: 0 3-15 HF'. . . . : 0 COMML. INCIN: 0 MAX INPUT: 0 BTU 15-30 HP. . . , 0 REPA T R UNITS: 0 F IRE DAMPERS?. . : 30.-50 HP. . . . : 0 WOODSTOVES. . : 0 GAS PRESSURE. . . : 50+ HP. . . . : 0 CLO DRYERS. . : 0 NO, OF LIN.ITS--------------- - AIR HANDLING UNITS OTHER UNITS. : 0 FURN ( 1 OOK BTU: 0 (- 1000171 (-,fm : 1 GAS nuTL.ETS. : 0 FURN ) =::1 017W HTU: 0 > 10000 c f m : 0 R e m a:-•k s : Add vac box d duct work tc a0 cxibtiny tenant uccpy. Owner: ----- _._..._.__._.._..__---._..__ FEES NORIS BFGGS 1t SIMPSON type amol.int by date recpt 10 300 SW GREENBUR6 RD PRMT $ 25. 00 GEO 02/04/98 98-3030,.x1 PORTLNND OR 97223 PL_CK $ 6. 25 GEO 02/04/98 98-303031 5PCT $ 1. 25 GEO 02/04/98 98-303031 f''hnne #: NORTH PACIFIC HEATINU 33700 SE DUUS RD -------------------------------------- $ 32. 50 TOTAL ESTACADA GR 97023 Phone #: Reg #. . : 0006:37 ------- REOU I RED INSPECTIONS - ---This permit is issued subject to the requlations contained in the Mechanical Tnsp ligard Municipal Cnde, State of Ore. Specialty Codes and all other Misc. Inspection applicable laws. All work will be done in accordance with Final Inspection — ^� approved plans. This permit will expire if work is not started within 198 days of issuance, or if work is suspended for more than 180 days. ATTFNT?ON: Oregnn law requires you to follow rules aeopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-NN1-PN10 through OAR 952-001-0088. You may obtain copies of these rules or direct questions to OLW by calling ��- (503)246-9187. IssLte By.. ?�� !z �-- Pe-mittee Signati-ire: ✓mac___. _..___. C +•++4.++++++++•t+++++++}+ F++++++++++++•+++++++++++++++++++t+++++-F++++++i +++++++i + Call 639--4175 by 7:00 p. m. for inspections needed the next bLisiness day +++++++++•+++++++•h+++++++++++...++++++++++++++++++++++*+++4 4+++1+++++++++i-++-+++++-f. �f ,.� Plan Check# -e CITY OF TIGARD Mechanical Permit Application Recd By 13125 S.W HALL BLVD. Commercial and Residential Date Recd TKGARD, OR 97223 / Date to P.E. _ (503) 639-4171, x304 r Date to DST Print or Type Permit# Iiicornplate or illegible applications will not be accepted Called � - Ys of Oe at pmenUProiect Descriptio y� Table 1A Mechanical Code OTY PRICE AMT Job Street ddross ,udes , y' y A) Permit Fee -`! -0- --0- 100' Address > I, � eiagp C�tyrataq Zip t 1.) Furnace to 10000 BTU 8.00 -- J ,2 including ducts&vents Name(pr name or business) 2.) Furnace 100.000 BTLI+ 7.50 Owner x including duds&vents Mailing Address 3.) Floor Fwnare 6.00 �(�:3UC•' $(�J including vent _ 'JtyrSts, Zlp ne 4.) Suspended heater,wall heater 6.00 or floor mounted heater _ Name(or name of s ss f 5.) Vent not included in appliance permit 3.00 Z14ac-Z Occupant Mailing dress F) Boiler or cornp,heat pump,air Gond. 6.00 _Si4_1 ltz�l to 3 HP,absorb unit to 100K BUT- Istat I Zip aria 7.) Eoiler or comp,heat pump,air Gond 11.00 r 3.15 HP;absorb unit to 500K BTU" COntraCtorj 8.) Boder or Amp,heat pump,air cond. 15.00 ✓ 15-30 HP;absorb und.5-1 mil BTU- 22 ,Prior to pf.rmd Mailing Address 9.) Boder or comp,heat pump,air Gond., 22.50 issuance,a Dopy 7 30-50 HP;absorb unit 1-1.75mil BTU** of all licenses cRY/Slyte Zlp PR-one 10.) Boiler or comp,heat pump,air Gond. 37.50 are required if > >50 HP;absorb unit 1.75 mil BTU" expired in COT Oregon Const.Cont oaro 1.�. xp.Dats 11.) Air handling unit to 10,000 CFM 450 database •Z _y `1 / Architect Ns ns 13.) Ncn-portable evaporate cooler 4.50 or Mailing Address 14.) Vent fan connected to a single dud 3.00 Engineer CRY/State ZioPhone 15) Ventilation system not included in 450 _� appliance prnmit Describe work New O Addition O Alteration Repair,D 16) Hood served by mechanical exhaust 450 to be done Residential O Non-residential O aa�dition9l De, ption of work: / 17.) Domestic incinerators v� 7.50 18.) Commercial or industrial type 00.00 Incinerator Existing use of 19.) Repair units _ 4.50 building or property 20.) Wu od stove 450 Proposed use of 21.) Clothes drye„etc. 4 50 building or property 22.) Other units 450 Type of fuel-oil O natu,al gas O LPG O t:ledric O 23.) Gas piping one to four outlets 2.00 I hereby acknowledge that I have read this application,that the 24) More than 4-per outlets(each) 5U information given is correct,that I am the owner or authorized agent of the owner,thetylans b9nittedprS in compliance with Oregon State QTY.SUBTOTAL laws. + Signature o er/Agent Date v 'SUBTOTAL r^ 5%SURCHARGE Contac' "arson Name Phone PLAN REVIEW 25%OF SUBTOTAL ! TOTAL n I Vnechpmt doc (rev 9 'Minimum permit fee is$25+5%surcharge '( "Residential A/C squires site plan showing placement of unit. OVER-THE-COUNTER (OTC) PERMIT COMMERCIAL MECHANICAL PERMIT CHECK LIST Description of Project: _;4-191-9 14 V Class of Work: —A L Floor Furnace: " _ Evap Coolers: Type of Use rc1 '1�11 Unit. Heaters: _ Vent Fans: _ Occupancy Grp: d5 Vents w/o Appl: Vent Systems: Stories: _ 2, Boilers/Comprsrs: _ _ Hoods: Fuel Types - 0 - 3 HP. Repair Units: l 1 P, / l l 3 - 15 HP. _ _ Wood Stoves Max Input: Btu: Air Handling Units CIO Dryer: _4_ Fire Dampers:_— < = 10000 Cfm: _ _ Oth Units: _ Gas Pressure: H / M / L > 10000 cfm Gas Outlets:, i No. Of Units: Furn < 100k Btu: Furn >=100k Btu: NOT FS: TCOMMERCtAL INSPECTION ACTIONS FEE MENU �� $ 5— , Permit Fee Gas Line Inspection $ 6Z 5 Plan Review Mechanical Inspection $ 5% State Surcharge Cooling Unit Inspection $ Additional Permit Fee Shaft Inspection $ Additional Plan Review Fee Hood Inspection $ Inspection Fee Fire Suppr Inspection S _ Miscel;aneous Fee Duct Inspection Fire Alarm Inspection Fire Damper Ir.spection REMARKS: Miscellaneous Inspection Fire Alavn Inspection Final inspection -- FOR OFFICE USE ONLY: TYPE OF USE OPTIONS(COM=commercial,CMS=commercial manufactured strtchn a) CLASS OF WORK OPTIONS FOR ALL PERMITS(VEW=new,ADD addrhon:ALT=akeration:ACS=accec:ory; FND=foundation;OTH=other, DEM-demolition:REP=repair FPS=flre protection system.NOTE-USE OTH FOR FENCES, DETAINING WALL,DETACHED DECKS, SIGNS, AWNINGS.CANOPIES) t\ovrcnlr doc(dst) 8197 �. "gyp ""— i v� J- r 11 r I� I r I ;III,i i • wwwwwwwli1 L -JL -�.- / 0 / - ^ e e e /• II +wwww�ww� / CI OF TIGi..RD ~ •t�wwwwww wwwt�swwar# Approved......................•....................... .6�! .� Conditionally Approved........,...••,•„ For only the work.as described in: [ PERMIT NO, C__ See Letter to: Follow.:........... .. .... I Attach..... ..:. 1 Job Address••11r,� _ ....- [ Bv: rU, CITY CF TIGARD PLUMBING PERMIT DEVELOPMENT SERVICES PERMIT #. . . . . . . : PLl'198-001' 13125 SW Hall Blvd., Tigard,OR 97223 (503)639.4171 DATE ISSUED: 01/28/96 P(-iRCFL.: 1 S 1.35A6-00900 9 i TE ADDRESS. . . : 10200 SW GREENBURG RD #205 SUBDIVISION. . . . : ZONING: C -P' BLOCI1. . . . . . . . . . : LOT. . JURISDICTI0N: TIG CLASS OF WORK. . :ALT GARBAGE DISPOSAL.... 0 MOBILE HOME SP'ACES. : 0 TYPE OF USE. . . . :COM WASHING MACH. . . . . . : 0 BACKFLOW P'REVNTRS. . : 0 OCCUPANCY GRP'. . :B FLOOR DRAINS. . . . . . : 0 TRAPS. . . . . . . . . . . . . . . 0 STORIES. . . . . . . . : 0 WATER HEATERS. . . . . : 0 CATCH BASINS. . . . . . . : 0 FIXTURES---- ---------- LAUNDRY TRAYS. . . . . : 0 SF RAIN DRAINS. . . . . : 0 SINKS. . . . . . . . . . 1 URINALS. . . . . . . . . . . . 0 GREASE TRAP'S. . . . . . . . 0 LAVATORIES. . . . : 0 OTHER FIXTURES. . . . : 0 TUE,/3ROWERS. . . : 0 SEWER l._INE ( ft ) . . . : 0 WATER CLOSETS. : 0 WATER LINE (ft ) . . . : 0 DISHWASHERS. . . . : 0 RAIN DRAIN (ft ) . . . : 0 Remarks : P1i_imbing TI FFER KNICKERBOCKER PROPERTIES INC type amco.tnt by date rerpt 1o300 SW GREENBURG RD PRM-' 25. 00 DRA 01/28/98 98-302851 91 200 5P'CT $ 1. 25 DRA 01/i28/98 9P-302851 PORTLAND OR 9722.3 PlIone #: MYERS & SONS PLUMBING G0 '4 SW JEAN RD, BLDG F I_F1KE 09WEG0 OR 97035 Phone #: 684-6602 $ 26. 25 TOTAL Reg #. . : 000403 — -------- REQUIRED INSPECTIONS — This permit is issued subject to the regulations contained in the Top—out Insp Tigard Municipal Code, State of Ore. Specialty Codes and all other Final Inspection ......_...... _.___.____.. ._ applicable laws. All Mork will he Bone in accordpnce with -- approved plans. This permit will expire if Mork is not started - within 180 days of +ssua,cc, .r if work is suspended for more _ __ �� _� -----•than 18P days, ATTENTION: Oregon law requires you to follow rules -- adopted by the Oregon Utility Notification Center. Those rules are set forf;i in DAR IMI-0801-0010 through OAR 452-MI-0M. You may -- obtai:j Copies of these rules or direct questions to OLINC by calling(50'046-1987. 4/,41 Issued F'ermii;tee Signat�_ire: e. �� a� vflJC7_f1E_ ++++++++4-++++++++++++++++++++++-++++++.+++++++a-+++++++++++++++++++-F+++++.4-++++++ Call 6.39-4175 by 7:00 p. m. for an inspection needed the next business day +++++++i-+++++++++++++4+++ ++++++++++++1-++++++++++..1-4++-1-++++++++++++++++++++++-f+ ITY OF TIGARD Plumbing Application Rec'd By_�21� 3125 SW HALL BLVD. Commercial and Residential Dau Race IGARD, OR 97223 Dan to P E. A ' -M) 639-4171 Dat•to DST Permit• Print or Type Related SYM s Incomplete or illegible applications will not be accepted canes Z Name of D•velopmemtfPropet .F1XTURE�M1g9MduaQ p s Jab �� . ,.t ��ivrE� ivy sw+k 9.00 :0 Address -Ti-"I Address Sun• t.avetory 9.00 I J l cti/ ,Z 05 Tub or Tub/Shower Comb. 9.00 sw9 p Qty/state ZIP Shower Only k 711' 900 Name .. Wrier Closet 9.00 � ', Dh1*raehet t r ', Jrx�riF s A/c, _ 0.00 Owner Mankmp Addr•w, Stria WAge Disposal 9.00 /state p 0. A00 Flow Drain 2' 0.00 3' 0.00 4- 9.00 Occupant Mawrmg Address sun• `Nam mater _ Laundry Room Tray - 9.00 GtylState lip Phone Ureal 11.00 -- lkher Fixtures(Sp") 0.00 r. F,t'_s f Jews p/ax'(6/"t, - - 9.00 Contractor Ma+�v as sura 9.00 (P',W to Issuance CMylsaa ZIP Phone/ --- _. 9.00 APPitial)f rMla! Cr�rtlCC, 014 (71ciS (rF`/-�Gt?'C _- 9.00 provide an Oregon Crnat Cont#Ucs Date 9.00 cnnuedors /? 0 9.00 r,ro , �iii°I"�uea oa sew«-tar,00- �o.00 Sewer•each additional larfor COT IMT Btniasa Tax or Date 23.00 database). ii r^ wear servmce-1st,00, -�-- 30.00 Narro -- water Service-each addltlonal 200 ^� 25.00 Architect storm&Ran Drain 1u tar - 30.00 or Maft9 Address Storm&Rain Drain-each additional 1W 23.00 25.00 Engineer CitYrStato _ Zip Phone Commercial Back Flow Prevention Device or Amb- 25.00 _ Polkow Device besrnbe work New 0 Addtbon O Alteration 9 Repair O Rea+denbal Backflow Prevention Devrw 15.00 :o be done: Residential O Non-residential A Any Trap or waste Not Connetxed to a Fmwm g.00 Addibonal descftption or worx/2.S J`/aC %aia+Basin 9.00 Insp.of E=*V Plumbing 40.00- permr Soecmally Requested Inspectlons ,tiny rse of 40.00 nlding :,r property (6 C_1Ct�C� � '_ _ _ pnf -- Rain Dram.swnle fa"dwelihmy 30.00 "Oposeo use of _ A Grease Traps 9.00 inkling property L�/��L E" .� )/��_ _ QUANTITY TOTAL ;y j At$you tapping. mowng or replacing any ftxtures? Yes❑ No jW lrorrwWx or rim dliqu, u rerri+nd d Ousnty Tool is >9 (Ifs+ae beck of form) __ _ 'SUBTOTAL • I hereby adhnowkdge that I have read this application,that the infn-matron given's Correia.Mat I am the owner Or authorized agent of the owner,and 5%SURCHARGE Tlat clans submitted arm m '•=_::-�. j`= compliance with Orryon State laws. - I ilgnaturs of OwnerlAgent - Date PLAN REVIEW 23% OF SUBTOTAL , •y Ruew airy l IhA,ra Fdtal y s 9 Lt�b eoTOTAL antaet Parson Name 11hone 'Minimum permit few is S25• S%s,xcharge,except Residential Bac"aw PrP~bon Device,which is S IS•S%surcharge l:`plmapp.doc I2i96 (dst) LEASE CQUIPLETE AS APPROPRIATE 1'OPROJECT: Fixtures to be capped, moved or replaced Oty . Sink _ Lavatory Tub or Tub/Shower Ccmbination Shower Only Water Closet Dishwasher Garbage Disposal Washing Machine Floor Drain _ 3" -- 4" Water Heater Laundry Room Tray _ Urinal _ Other Fixtures (Specify) .OMIMIENTS REGARDING ABOVE: Uplmapp.doc 13;96 (dst) CITY OF TIGARD ELECTRICAL PERMIT DEVELOPMENT SERVICES PERMIT At: ELC98-0050 DATE ISSUED: 01/30/98 mlimum 13125 SW Hall Blvd., Tigard,OR 97223 (503)6394171 PARCEL: 1 S 1,35AB-00'300 S T TE- ADDRESS. . . : 10200 SW GREENBURG RD #17105 SUBDIVISION. . . . : ZOIVING:C—P BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . . JURISDICTION: TIG Pro.j Pct: Description : Add six (6) branch circuits to of existing commercial tenant occpy. - --RESIDENTIAL UNIT----- ----TEMP SRVC!FEEDERS---•— --------MISCELLANEOUS------ 1000 SF OR LESS. . . . : 0 0 - 200 amp. . . . . . . : 0 PUMP/IRRIGATION. . . . : 0 EACH ADD' L 5005F. . . : 0 201 — 400 amp. . . . . . . : 0 SIGN/OUT LINE LTG. . : 0 LIMITED ENER�3Y. . . . . : 0 401 — 600 amp. . . . . . . : 0 SIGNAL/PANEL. . . . . . . : 0 MANE. HM/ SVC/FDR. . : 0 601 +-amps-1000 volts. : 0 MINOR LABEL ( 10) . . . : 0 ---SERVICE/FEEDER------ -.---BRANCH CIRCUITS_-----,— ---.-nDD' L INSP'ECT'IONS--.-- - — 200 amp. . . . . . : 0 W/SERVICE OR FEEDER: 0 r='ER INSPECTION. . . . . : 0 201 — 400 amp. . . . . . : 0 1st W/O SRVC OR FOR. : 1 PER HOUR. . . . . . . . . . . : 0 401 — 600 amp. . . . . . : 0 EA ADD' L_ BRNCH C I W7: 5 I til P'L.ANT. . . . . . . . . . . . 0 6(81 -- 1000 amp. . . . . . (rRE"VIEW SECTFON------------------ 1000+ amp/volt. . . . . : 0 ) =4 RES UNITS. . . . . . . . : > c100 VOLT NOMINAL. . : Reconnect only. . . . . : 0 St)C/FDR > _ 225 AMPS. . : CLASS AREA/SF'EC OCC. : Owner: -- -- - ___-.—.________________________—.------.._-.---_____ FEE COMPUTER ASOCIATES type amo�.Int by date recpt 10200 SW GREENBURG RD PRMT $ E0. 00 GEO 01/30/98 SUITE: 205 5PCr $ 3. 00 GEO 01/30/98 98-30290.2 TIGARD OR 97223 Phone #: Contrac,tor: 7HRISTE:NSON ELECTRIC INC $ 63. 00 TOTAL. ! 11 SW COLUMBIA STE 480 ------- REQUIRED INSPECTIONS G'nRTI AND OR 97201 Ceiling Cover Lind ergro1.rnd Cove Phone #: 241-481.E Wal .L Lover Eleut' l Service Reg N. . : 000004 This perrit is issued subject to the regulations contained in the Tigard Municipal Code, State of Oregon Specialty Codes and all other applicable laws. All Mork will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of i.�suance, or if work is suspended for lore than 188 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 S52-X91-1987.E You say obtain a copy of these rules or direct questions to OK by calling (50.P2#6-1987. IIPrmittee 5ignatr.fre: ! %�t�{_ Issr.red E!y • J �el�..__. I 'L__ —---—_--_--------------_---_—OWNER INSTALLATION the installation is being made on property I own which is not intended fol <a1e, lease, or rent. OWNER' S SIGNATURE: DATE: - -_ -- ----- -- --- -------CONTRACTOR INSTALLATION ONLY------- ._—_--__------_----__. w SIGNATURE OF SLJPR. ELEC' N: fi�`J G� DATE: LICENSE NO: + h+++++++++..6+i•+++4+++4 ++++4•++++++++++.4+t+++++f.++++++i-++++-f`++++ F++++++++++++++ Call 639- 175 by 7:00 p. m. for an inspection needed the next br_isi.ness dray n. CITY OF TIGARD Electrical Permit Application Plan Check# 13125 SW HALL BLVD. Recd By TIGARD OR 97223 Date Rec'd Date to P.E. Phone(503)639-4171, x304 Date to DST Inspection (503)639-4175 Print or Type Permit# Fax (503)684-7297 Incomplete or illegible will not be accepted Called__ 1. Job Address: 4. Complete Fee Schedule Below: Name of Development LINCOLN CENTRE. LINCOLN V Number of Inspections per permit allowed - Name(or name of business) COMPUTER ASSOCIATES Service included: Items Cost Sum 10200 SW GREENBURG RD SUITE 205 Address _ 4a. Residential-per unit TIGARD OR 1000 sq.It.of loss $110.00 4 City/State/Zip Fach additl,)nal 500 sq.ft.or Commercial Residential ❑ Limitedportion thereof $25.00 1 Energy $25.00 ROSS CROSBY FIONEER CONST. Each Manurd Home or Modular Dwelling Service or Feeder __- $68.00 2a. Contractor installation only: (Attach copy of all current licenses - I 4b.Services or Feeders Electrical Contractor CHRISTENSON ELECTRIC, INC. Installation,alteration,or relocation 111 SW �ITSUITE 200 amps or less $60.00 2 Address 201 amps to 400 amps $80.00 2 City PORTLAND State OR Zip c-_101-5886 401 amps to 600 amps $120.00 - 2 Phone No. 241-4812 601 amps to 1000 amps $180.00 __ _ 2 Job No.222-0967 - Over 1000 amps or volts $34000 21 Reconnect only $50.00 2 Elec.Cont. Li;e. No. 26-34C Reconnect_- -� - OR State CCB Reg. No�� Exp.Date__ _ 4c.Temporary Services or Feeders COT Business Tax or Metro No. E)p.Date ___ Installation,alteration,or relocation 200 amps or less _ $50.00 Sinature of bu -G�,y4 �1 Z h]r 201 amps to 400 amps $75.00 g _ 401 amps to 600 amps $100.00 _ 873S_ Over 600 amps to 1000 volts, License Nr Exp. see"b"above. Phone N, 24 1-4JUIL-^ ------ 4d.Branch Circuits Now,alteration or extension per panel 2b. For owner installations: a)The fee for branch circuits with purchase of service or Print Owner'r,Name feeder fee. Address_ - - P� t,h-i i h rirr,,rlt $5.00 2 b)The fee for branch circuits City_ State Zip_ I without purchase of a Phone No. _ _ service or feeder fee. First branch c rcult 1 $35.00 35• 2 The insta;!lation is being made on property I own which is not Each additional branch circuit_5 $5.00 5 2 intended for sale, lease or rent. 4e.Miscellaneous (Servlco or feeder net Included) Owner's Signature Each pump or Irrigation circle $40.00 2 Each sign or outline lighting $40.00 _ _ 2 3. Win Review section (if required):* Signal circuit(s)or a limited energy $40.00 panel,alteration or extension -e ---- 2 Minor Labels(10) $100.00 - Please check appropriate item and enter fee in section 5B. _ 4 or more residential units in one structure 4f.Each=441flonal inspection over Service and feeder 225 amps or more the allowable In any e,:'he above System over 600 volts nominal Per Inspection $35.00 _ Classified area or structure containing special occupancy Per hour $55.00 as described in N.E.C.Chapter 5 In Plant $55.00 e- *Submit 2 sets of plans with application where any of the above apply. Jr'. Fees: 60. Not rrrquaed for temporary construction services. 5a.Enter total of above fees $ 5%Surcharge(.05 X total fees) $ =--- fyQTiGE Subtotal $ 63 5b.Enter 25%of line 5a for PERMITS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED IS Plan Review if reguir (Sec.3) $ NOT COMMENCED WITHIN 180 DAYS,OR IF CONSTRUCTION OR WORK Subtotal $ -IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED. Trust Account# Total balance Due $ I 11n MELC96 APP Rev W96 CITY OF TIGARD DEVELOPMENT SERVICES BUILDING PERMIT 13125 SW Hall Blvd., Tigard,OR 97223 (603)639-4171 PERMIT # BUP98-0044 DATE ISSUED: 01/29/98 PARCEL: IS135AB-00900 SITE ADDRESS. . . ! 10200 SW GREENBURG RD #205 SUBDIVISION. . . . : ZONING:C-P BLOCK. . . . . . . . . . , LOT. . . . . . . . . . . . . JURISDICTION:TIG REISSUE: FLOOR AREAS------- EXT'ERIOR WALL CONSTRUCTION- CLASS OF WORK. :FPS FIRST. . . . : 0 sf N: 6: E: W.. TYPE OF USE. . . :COM SECOND. . . : 0 5f PROTECT OPEN TNGS )--------- TYPE OF' CONST. : ? . . . . 0 sf N: S: E: W: OCCUPANCY GRP. :B TOTAL-.--------: 0 sf ROOF CONST: FIRE RLA ') : OCCUPANCY LOAD: 0 BASEMENT. : 0 sf AREA SEP. RATED: STOR. t 0 HT: 0 ft GARAGE. . . : 0 sf OCCU SEP. RATED: BSMT? : MEZZ?: REOD SETBACKS------ REQU I FLOOR LOAD. . . . 0 r)sf 1_.-FFT- 0 ft RGHT: 0 ft FIR SPKL:Y SMOK DET. . - DWELLING UNITS: 0 FRNT: 0 ft REAR: 0 ft FIR ALRM: HNDICP1 ACC: BEDRMS: 0 BATHS: 0 IMP SURFACE- 0 PRO CORR: BARKING: 0 VALUE. $ : 455 Remarkq : Computer Associates - fire protection norvit. Under 10 sprinklers, so no plan review required Owner-: FEES ---- NORRIS BEGGS & SIMPSON ,ype amount by eate r,er-pt 10300 SW GREENBURG RD STF 200 r SMT $ 25. 00 JSD ei/29/98 98--302894 TIGARD OR 97222 5PCT $ 1. 25 JSD 01 /29/98 rj8-302894 Phone #: 452--5906 Contractor: SOUND FIRE PROTECTION INC' 10756 SL HWY 212 CLACKAMAS OR 97015 Phone #: 655-3775 $ 2L. 25 TOTAL Reg #. . : 000700 RE1?1JJRFD INSPECTIONS This permit is issued subject to the regulations contained in the Sprinkler, Final Tigard Municipal Code, State of Ore. Specialty Codes and all other applicable laws. 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 IN days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-00t-N1@ through OAR 952- 0101987. You many obtain a copy of these rules or direct questions to OUNC by calling (503)24fi-1987. Permittee Si gnature: C Issued Byt +++++++++++++++++++++++++++++++++++++++++++++++++++++++!1 +�+++71 ............. Call 639-4175 by 7:00 p. m. for an inspection needed the next Lsiness day ...............................4•........................................... _J Fire ''rotection Permit Application Plan Cheu a I Q��'I�GARD .c�d By 2 S `ii;W. HAIL BLVD. Commercial or Residential RDate Recd T'i ri r4 K0, Pfd 97223 Date to P.E. Dau 43q.4,171 Ext. 304 Print or Type to T Incomplete or Illegible applications will not be accepted Pe"";Z� c.11.d , r Name of Development/Prolect rType of System (Complete A or B as.applicable) sp h L iNc,4,N/ r,v g r, Jdres5 Address .> A.)Sprinkler wet a Dry p �, �0 ZOD S• 11 (r v 73 Standpipas �— Name S f_?VSo N Huard Oroup i.. OWI r Mailinii Address - Additional L,� (; SFU e Sw 6Br,R I2� Informatlor Density Ci Stale Zip Phone t*R►RD 0 q 7�-? y r I- S G -- — Ussipn Area Name 1('NA►,,f C. n D u f,C Sie G - K.Factor orcapawl McInQAddress S. 6 rF_ .toe S"-GRE& ,v RD ----- - cityfStateZip Phone Sprinkler Project Valuation $ -r•'I 1!7-00 2 8722 i B.) Fire Alarm �T COExp.Date T Business Tax or Metro M I,- Name N1me Submittal Shall Include Battery Calculations YEy U o 0 4 t o TF GTrfl '' ,,Z-TI G Cut Sheets spl~�twR Mailing Address CIndividualComponent YES Q �a.�lw•+ 0 7 � S .E. �.�w y v z l: l ..t, -ri?N09 City/State Zip Phone F?re Alarm ProJtact Valualian �� UAuc -A►n as aR 9701 ` 5-.177 rarrAC,t4corl State Const ont. Board l.ic.M p.Date Project Valuation Subtotal(A or B) $ P 0 0 0 v) 1tr �� f, D y >sX Surcharge urt,:n: COT Business Tax r Metro Exp.Date �, 4 � a Z� G.tUniu -- Name $ "—'"' _ Y'-- FLS Plan Review 40% of Subtotal $ �� p ' � • MF�t-' �r -- AYE I ri l�G t Mailing Address TOTAL / �WV ?J7 g 4 GryfSta(s ip Phone PLANS MUST BE SUBMITTED,approved and a permit issued prior 97.r L r-1 C M A J o - GSS X775 to Installation Three este of plena and site plan(and vicinity map) vEjG W7af( ! A.)New O Addition o Alteration Sr' Repair O required which shows location of nearest�ydrant. -10 f)j P0046.1 1 hereby aCkncwledge that I haw read this application, that the mtormstion 13.) Basement O HoodlVenl O Spray Booth O given Is correct,tial I am the owner or authorized agenr or the owner,and 4 j 'omplete(Y Partial O Exitway O that plans submitted an In compliance w►ih Oregon State lawn. f�dd�tialrhC s'11 Sip ure of OwnerMgent Data ' �ESzKKIpTi..� �F eJe�K G,t-4 1 z 4 s rr i'z Al -PA 13 Y r /ton ct Perron Name Phone A.)in Existing Building V' New Building ❑ M. ui g APO 9 1,flrl= M<Dr,� ID .).1t I B.) Commercial Residential E) FOR OFFICE USE ONLY: Nu.of slones�i Plat d Map/TLN: Sq. Ft .h Notes ��• Occupancy Class Type of Construction - -- �TFf'�- CvN SRS --- ---- --- CITY OF TIGARD DEVELOPMENT SERVICES BUILDING PERMIT 13125 SW Hall Blvd,,Tigard,OR 97223 (503)6394171 PERMIT #. . . . . . . : BUP198-0025 DATE ISEUED: 01 /15/98 PAPCEL- IS135AB-00900 SITE ADDRESS. . . : 101200 SW GREENBURG RD #205 SUBD I V I S I ON. . . . : ZU'4 I NG:C--P BLOCK. . . . . . . . . . : LOT. . . . . . . . . . . . . JUISDICTION:TIG REISSUE: FLOOR AREAS----------- EXTERIOR WALL CONSTRUCTION— CLASS OF WORK. :ALT FIRST. . . . . 0 sf N: S: E: W: TYPE OF USE. . . :COM SECOND. . . : 0 sf PROTECT OPENINGS7--.____.._-__.__-._ TYPE OF CONST. :2FR . . . . 0 sf N: S: E: W: OCCUPANCY GRP. :B TOTAL--------: 0 sf ROOF CONST : FIRE RET? i OCCUPANCY LOAD: 25 BASEMENT. : 0 sf AREA SEP. RATED: STOP. .- 0 HF: 0 ft GARAGE. . . : 0 s f OCCU SEP. RATED: BEMT? c MEZZI: READ SETBACKS-----.----- REQUIRED--------__—___---_--_ FLOOR EQUIRED--------------------- FLOOR LOAD. . . . : 0 p-,f LEFT: 0 ft RGHT- 0 ft FIR SPIKL: SMOK DET. . : DWELLING UNITS: 0 FRNT: 0 ft REAR: 0 ft FIR ALRM: HNDICP ACC: BEDRMS: Q; BATHS: 0 IMP, SURFACE: 0 PRO CORR: PARKING: 0 VALUE. $ : 1,_,400 Remarks : Tenant improvement. A fire sprinkler, mechancical, and electrical permit is also required. Owner: FEES KNICKERBOCKER PROPERTIES INC type amoo-int by date rerpt 10300 SW GREENBURG RD PRMT it 104. 50 B 01/3.5/98 98--302530 GTE 200 5PCT $ 5. 23 0 01/ 15/98 98-302530 PORTLAND OR 97223 PLCK $ 67. 93 B 01/15/98 98-302530 Phone #: 452-5900 FIRE $ 41. 80 B 01/ 1.5/98 98-302530 Contractor-,.- PIONEER CONSTRUCTION SERVICF5 PO BOX 0,8304 MILWAUKIF- OR 97009-7268 ----------------------------------- Ptione #: 651::,--1050 $ 219. 46 TOTAL_ [)Pcl #. . : 001197 REQUIRED INsPEc,rIONS This permit is issued subject to the regulations contained in the Framing Insp Tigard Municipal Code, State of Ore. Specialty Codes and all other Insi.ilation Insp applicable iaws. All work will be done in accordance with Gyp Board Insp approved plars. This permit will expire if work is not started Susp Ce'. Ing Insp 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. These rules are set forth in OAR through OAR 952-00191987. You many obtain a copy of these rules or direct questions to 01—W by calling (503)246-1987. Pri mi ttpp 9iqnatUre: —Zell Issi-ted By : ++4--+4.......f... .......... ++++4-++++.......1-4................................... Call. 639-4175 by 7:00 p. m. for ar inspection needed the next bl-tsiness day ++++++++++++++++1•+-1-++++++;-+-4 .......#-+4..............4-+++++.................... 1- z� CITY OF TIGARD Commercial Building Permit Redd By �A'*' 13125 SMI HALL BLVD. Tenant Improvement DateRec7d� 1-5-?1 _ TIGARD, OR 97223 y y Date to P.E. I 1� - i (503) 639-4171Date to D T ( I I Permit• r Print or Type Related SWR 9 Incomplete or illegible applications will not be accepted Called r-- Name of Development/Project — Existing Building New Building M Job Llnca�n Cen'�t�v� Address sheet Address Suite Building +t1 CeKter 10200 3W Greenbur') N. Data Bldg pCity/S(ate Zip F ivE Existing Use of Building or Property: - Name ce, Property Krtic�er�o�er P es Inc. AR Proposed Use of Building of Property: Owner Mailing Address Suite C+TfCQ 10'S00 SW GrAembvr�o pd 200 fyo. Of Stories: Citylstate Zip Phone '7 -5EV Port.,Of-, ')7223 ?_-5900 Sq. Ft, Of Project: Occupant Name `— — 1, }t� 5Q FT _ Com U-(rY' 6,-zc)c I a4.es Occupancy Class(es) Name Contractor ` )r' t"'�j I,� Ty e(s) of Construction Prior to permit Mailing Address Suite issuance,a copy of all licenses Will this project have a Fire Suppression System's are requited if City/State Zip Phone Yes g No expired in C 0 T Americans v,ith Disabilities Act(ADA) database Valuation X 25% = $3 355'0 0 Participation Oregon Const.Cunt.Board Lic.t Exp.DateComplete Acc_essibilityity o AA t US�V _ Project �$ Name Valuation Architect Gip Architects J✓ cr araW Plans Required: See Matrix, for number of sets to submit Marling Address Suite on back 92e slnl '�"4 Avehue 4-Goo city/State Zip Phone I hereby anknowledge that I have read this application,that the information Port f Oh, 57Zd� 224-9 aFP given is correct,that I am the owner or authorized agent of the owner, and Engineer Name -- --- that plans submitted are in compliance with Oregon State Laws. Signature of OwneriAgent_ _ Date ' Mailing Address Suite C n act Person Narne -----Phone City/Stale Zip Phone t2 (�;/ur 224- FOR OFFICE USE ONLY _ indicate typo of work. New O Addition O Demolition O Ma /T LO -- -- Accessory Structure O Foundation Only O Alteration(!i p land Use: y `1 _ REoair O Other C _ Notes, Desr,rlptlon of work: — , _Tenant Imrrovemf,,t _ i Parks: EstlmatNn a of Employees Note: site Work Permit Application must precade or accompany Building Permit Application I tCOMNEW DOC (DST-) 8/9. COMMERCIAL PLAN SUBMITTAL REQUIREMENT MATRIX DISTRIBUTION TO PLANS OUT TO DST EXAMINERS (Note a.) TYPE OF SUBMITTAL TOTAL, CPE PPE EPE CPE PPE EPE SITE 1 1 - -- 3 (j,o,u) -- -- B (New or Add) 1 1 -- -- 3 (j,o,w) -- -- F (New or Add or Alt.) 3 3 -- -- 3 (j,o,f) M (New or Add. or Alt) 1 1 -- -- 2 (j,o) -- -- B & M (New or Add) 1 1 -- -- 3 (j,o,w) P (New, Add. or Alt) 2 -- 2 I B & M & P (New or Add.) 2 1 1 -- 3 6,o,w) 2(j,o) -- E (-New, Add, or Alt) 2 -- -- ' -- I -- 20,o) B & M & P & E (New, Add) 3 1 1 1 3 (j,o,w) 20,o) 20,o) B or B & M (Alt) 1 1 -_ - 2 (l,o) -- -- B & M&P(Alt) 3 1 2 -- 20,o) 20,o) -- B & M & P &E (Alt) 3 1 1 1 2 (j,o) T-20,o) 20,o) NOTESO KEY: a. Before returning to DST, Plans examiner gets appropr+ to j = Job B = BUP number of revised plans from applicant, stamps and completes, o = Office M = MEC updates and adds actions. f= Fire P = PLM u = USA E = F.LC b. Shaded areas designate ALT submittals only. w = Wash. County F = FPS c. FPS is a new permit category set aside for fire sprinklers and fire alarms. d. Effective August 15, 1997, Tualatin Valley Fire and Rescue no longer requires a set of approved plans to be forwarded to their office. Exception, continue to forward a copy of approved fire sprinkler and fire alarm plans with calculations. h matric Doc 12/17/97 WhD 12:33 FAX 503 244 4400 NORRIS BEGGS CBI)ARC11 Qoo0 ) COMPUTER ASSOC. Five Lincoln X1205 THF�OUNTER (OTC (attachment to Submittal Criteria) SUBJECT: ACCESSIBILITY BARRIER REMOVAL IMPROVEMENT FLAN REQUIREMENT: OREGON REVISED STAN►:DORS)447,241. (1) Every pnn)"t Mr fencvatrar,ARMUorr ar modfflcatlon to affected bufWtngs and related fadUtNs strap be made to insure that the pati-,of travel to the aderad area and the restroom,telephones and drinking fountains are readily accessible to individuals With disabilities,unless such altarakrw are disproportionate to the overall alteration in terms of Cost and scope (2) Alterations made to the path of ksrvsl to an altered area may tw deemed dlaproponionale to the overall alteration when the cost exceads twontyfiw par-cant(2S%). THEREFORE; Each submittal for a building permit shall Include this form providing the following Information. (Excluding(e-roofing, mechanical and electrical permit applications) VAL Tu lA 9N of all renovation, alteration or modification being done +cvn.t,r' excluding painting,wallpapering. (1) a444Z; 4�-O� Q7UR[Rha 25% Baffler removal requlre.,lent 25 �"i5^.[•cam BUDGET FOR BARRIER REMOVAL (2) S _ The dollar amount of the =_QjU established on Hne (2) M the computation above shall be spent providing the accessible elements In the following order. 1- An accessible route connecting the building to accessible pedestrian walkways, and the public way. _ (trlcluding but not Wnited to sub ramps,delegable warnings. — merited crossings,ramps handralis and landingsl. 2. Not less than one accessible parking(space. S_ (including but not endted to adisaant ar4ass title,elgrm and curb ramp Connedling with the ac=sslble rrrcrle). 3. Accessible entry or entries. S pneluding but not 1knNed to snips,handrsjs,tand4t. r door all tw.lght.door width and door hardware). 4. An accessible Interior route U#the a;tered area. $ pndudlrq ten not/Mad to doorlesp.mantuve" Clearances.door hardware end slatrwayst S. At least one atxesslbie restroom for"-` 4ex. 6. At bar,/c>w;w arm tssible telephone where pubrir,phones aro provided. S 7. When drinking fountains ere mquiseed, fifty percent but rot less than one shall be accessible. ; a. Additional accessible elements such as storage, reach ranpesc, a alanns, etc. hardware. signage �\ \ 34IAL: ahltlLeaual line Z of value Computation S17 Y llAtc4.dcm4DS7) CITY OF TIGARD DEVELOPMENT SERVICES 13125 SW Nell Blvd., Tigard,OR 97223 (503)839.4171 CERTIF ICATF OF' OCCUPAN17 Y PERMIT *. . . . . . . c 9Ur•98--00, `, DOTE I S3C1F'D t 02/11/98 PA1,CEL_i M135AE1._00900 I Q:.. AnDRESS. . , c 10,201A SW GREENSURB RD #203 t,F>IVISION. . . . WIVE: LINCOLN ZOIINGiC-G i. OcK. 0 . . . . . . . . o LOT. . . . . . . . . . . . . a l IC' tAIS5 OF WORK. c ALT ePE OF USE. . . :COM 7 IPE OF C('lhl.'il'R c 2F R 0,C:UPONCY GRP. tS )L,C.,IJF1i4NCY LnAD c 2 F-NANI NfrME. . . -COMPUTER A13SOCIATES 1�ojnarkv c Tenant improvement Owner; __.__.____.___..___..._..._.._ ..._...___.._....._..._ ..._.. __ 1-41ICKERPOCKER PROPERTIE'O IIV(: 10300 SW GREENDURG Rb rr:_ 2oo 1'UtiTL.ANC) OR 970'23 -'rlone #t t;ontractof-I _....._-____._._...__.___.____.......__..__._._ 1. 1174E1E'Ci CONST'NJCTION SERVICES ,O .%OX 68304 AILOALIKIE OR c)7009 -7268 '-,menet 1t: 652--.1050 e 4#. . : 00 1. 197 Ihie Cer•tificat a grants occupency of the above refpre viced bi.iiIding nr portion rhvreof and i_onfirms that thar bi.rilding has& beam inspoct.ed for compliance with the :;tate of Orgon 63ppcielt Cocies for the gro'_lp, rrr_cup r.y, and Live oncler t-)hic^h ti-e r-eferenced permit was is�ittpd. i r 1".1TL IN1, IN 1EC'TC3p I30I1_DTNG OFFICIAL P(JST IN CONE'I'IGUOUS PLACE CITY OF TIGARD BUILDING INSPECTION DIVISION 24-Hour Inspection Linc: 6394175 business Phone: 6394171 7 r Date Requested: A.M. _ P.M NIST: I,ocatiou: Tenant: 4� 2 _ Suitetl3ldB: _ MI;(E1}C': :_ Contractor, Phone: `�~J -- — _ PLM: Owner: _ Phone ELC: BUILDING BLDG coni C 4-�U�' G(� '— SIT: ( ) BING MEC UNICAL ELECTRICAL SITE Site Post/13ea n Post/Beam Post/Beam Cover/Service Sewer/Stonn Footing Roof Ilnd)l/b:rab Rough-In 8141) Framing Ceiling Water Line Sle framing Top tra Gas Line Rough-In UG Sprinkler Foundation Insulation Sewer Hood/Duct Rer,)nnect Vault 138111t Damp Drywall Storm Furnace 'Temp Service MISC. Masonry C Rain Drain A/C UG Slab Shear/Sheath ire Spkl Alru Crawl/l,ound Dr Heat Pump I,ow Volt A� c. > Approved Approved Approved Approved Appr/Sdwlk ved Not Approved Not Approved Not Approved Not Approved FINAL FINAL FINA1, FINAL FINAL r]Call for reinspection O Reinspection fee of S_ _ ,required befnre next in.spection l7 l lnable to inspect lnspectoc —�— _ — - -- Date: Page of