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10220 SW GREENBURG ROAD STE 120 0 N h) O N G) w m m z W c G) X 0 �a KJ- 10220 10220 SW GREENBURG ROAD Sao 199Y SAVE - HISTORICAL INFORMATION BUILDINGS) NAME CHANGE PER KIT CHURCH, ENGINEERING 10220 GREENBURG RD, LINCOLN II NORTH CHANGED TO 10220 GREENBURG RD, LINCOLN III 10220 GREENBURG RD, LINCOLN II SOUTH CHANGED TO 10220 GREENBURG RD, LINCOLN II i I f y] 1 i crry OFTIGARD 24,Hour BUILDING Inspection Line: (503)639-4175 y MST INSPECTION DIVISION Business Line: (503) 639-4171 BUP 'dv Receivpd _ Rate Requested___ , °2 AM __PM.__ BUP _— Location _. ~ Z Suite /-.;Z MEC _ Contact Person Ph PLM - ------_------------- Contracto, - - ------ --_-- -- Ph(— ) SWR BUILDING Tenant/Owner _ �L 1� ELC Footing ELC Foundation --------. _ Access: /�/f Ftg Drain ��.-�(' Q ELR -- Crawl Drain Slab Inspection Notes: SIT Pest& Beam -- Shear Anchors - Ext Sheath/Shear Int Sheath/Shear C"� t1 — /�1� J Framing j ----- - Insulation Drywall Nailing --- ------- - - _ Firewall _ Fire Sprinkler Fire Alarm Susp'd Ceiling .00 Rcnf _ Other: 1'. AR FAIL —T — �-�L/vim Post&Beam Under Slab --- -- Rough-In Water Service -- Sanitary Sewer Rain Drains -- Catch Basin/Manho;e Storm Drain -- -- — Shower Pan Other: --- -- -- -.- -------- Final PASS PART FAIL MECHANICAL -_— Post&Beam Rough-In - --- --------.- _ _ -- Ras Line Smoke Dampers - ^-- --- ---- --- Final PASS PART FAIL - EILECTRICAL Service Rough-In - UG/Slab Low Voltage _ Fire Alarm A Final Reinspec.�tion fee of$_ ---_required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL SITE n Please call for reinspection RE: UnL ble to inspect-no access Fire Supply Line [iL ADA 7-4 -- Inspector Ext-2 4? Approach/Sidewalk Other: Final DO NOT REMOVE this Inspection record from the Job site. PASS PART FAIL CITY OF IFIGARD 24-Hour BUILDING Inspection Line: (503)639-4175 MST ------- INSPECTION DIVISION Business Line: (503) 639-4171 Received Date Requested a a DUP Location __�_ 2'0 -- Suite���d MEC ------.----- -_-- Contact Person ___ ��_ Ph(____) _ �os"�,3 PLM Contractor C7'�/ �_t -„,,•,� err.,' ” SWR BUILDING Teiidid0 ; nr _ ELC Footing ELC Foundation Access: Ftg Drain ELR -d d 1 Crawl Drain Slab Inspection Notes: �D SIT Post&Beam Shear Anchors Ext Sheath/Shear Int Sheath/Shear Framing Insulation Drywall Nailing - _ Firewall Fire Sprinkler ------ -- _r Fire Alarm Susp'd Ceiling ------ _- _.. Roo} Other: 7� - Final PASS PART FAIL -- PLUMBINta---�-- - Post&Beam Under Slab - - - -- - -� -- — -- Rough-In Water Service Sanitary Sewer Rain Drains Catch Basin/Manhole Storm Drain - - Shower Pan Other: - Final ---�.. PASS PART FAIL - MECF!^.4ICA1. Post d,Beam _--- -- - --- Rough-In Gas Line Smoke Dampers Final PASS PART FAIL -�__- .- --- -- - -- - - ELECTRICAL Service _-- Rough-In _ UG/Slab Low Voltage Fire Alarm ---_ -- -�_ ina PART FAIL Reinspection fee of$_ _�__-_required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. $ _ �� Please call for reinspection RE. r_ n Unable to Inspect-no access Fire Supply Line ADA ,./ -' Approach/Sidewalk Date s!- -�-- s'�4 Inspscta � 1- - -=- � j-- --Ut Other - J Final DO NOT REMOVE this inspection record from the job site., PASS PART FAIL ELECTRICAL PERMIT- CITY OF TIGARD --__—_ RESTRICTED ENERGY DEVELOPMENT SERVICES PERMIT#: EL1�200200156 13125 SW Hall Blvd.,Tiqard, OR 97223 (503) 639-4171 DATE23/02 ISSUE : ED: 8/2 35AB 01004 SITE ADDRESS: 10220 SW GREENBURG RD 120 ZONING: C P SUBDIVISION: TWO LINCOLN - TOWN OF METZGER JURISDICTION: TIG BLOCK: LOT: Proiect Description: Low voltage for Voice/Data. A. RESIDENTIAL_ _ _ B.COMMERCIAL — -- AUDIO & STEREO: AUDIO & STEREO: INTERCOM & PAGING: BURGLAR ALARM: BOILER: LANDSCAPE/IRRIGAT: GARAGE OPENER: CLOCK: MEDICAL: HVAC: DATA/TELE COMM: X NURSE CALLS: VACUUM SYSTEM: FIRE ALARM: OUTDOOR LANDSC LITE: OTHER. HVAC: PROTECTIVE SIGNAL. INSTRUMENTATION: OTHER: _ TOTAL#OF SYSTEMS__ 1 Owner: Y� Contractor: MOORE COMMUNICATIO14S INC COP LINCOLN, LLC 10260 SW GREENBURG RD 20811 NW CORNELL RD SUITE 100 STE 700 PORTLAND, OR 97223 HILLSBORO, OR 97124 Phone: Phone: 617-9800 Reg#: LIC 00076364 ELE 34-356x1-E FEES Required Inspections Type By —Date Amount Receipt Low Voltage Inspection l PRMT CTR 8123102 $75.00 2720020000 Elect'I Final 5PCT CTR 8/23/02 $6.00 2720020000 Total a$81.00 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 worts 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 Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0980. You may obtain copies of these rules or direct questions to OUNC at (503) 246-1987. Permi , Issued by ttee Signature j1 _ OWNER INSTALLATION ONLY____ _ The installation is being made on property I ,iwn which is not intended for sale. lease, or rent. OWNER'S SIGNATURE: _ ______..T�_ _ DATE: CONTRACTOR INSTALLATION -,ALY --- SIGNATURE OF SUPR. ELEC'N �________ _____— DATE:_—__-_ — LICENSE NO: — Call 639-4175 by 7:00 P.M.for an inspection needed the next business day F 08/12/02 MON 15:03 FAX 503 6179898 Hoorn, Copmunications IM 001 11/01/2001 10:05 FAX 5035981960 CITY OF TIrpRD r Q002/003 Electrical Permit Application M I" - Datercc, ed. l -'vy-D 2- Perutit no.:, dot t3-c'oi City of Tigard Projec lappl,no,: FApire date: CityofTigard Address: 13125 5W Hall Blvd,Tigard,OR 97223 Date issued: 13Y'l 'i' Rccenytoo Phone: (503) 639171 - Fax: (503) 598.1950 Case file no.: pnymenttypec Land use approval: (:1 1 &2 faintly dwelling or armtssory ;!9 Cotnmercialluidusuial J N111111.1min : J Tenant iuiptr,vemeut. *New construction ❑Addition/alrrintion/replacement _J tlulcr — C7 Partial [1111S I 1111101711 Jobaddre�C2,.2 G "t✓ t, Bld .no.: 9une no.;/oJ0 ITax may/tax lot/account no.: Loc: Block: 5nhdivision: Ptnjet:t ntme: n and locadon of work on premises: )l vr•, Estimated date of completion/ins ecdon: e Job no: Met BALa usiness nude: ; Dacrl�cu Qty. (ea.) Total no.(usp e-�T ci:Mdu�a., c.�v ln-� Addttras: , .- •� New a+�tlal-einp}currrraa-hm0ypa dnel6ssRunk Includes tttlsrched garar- City: state VF: 1.9 fturvitaIncluded: mttil: 1000 sq.ft of leas s CCB Fitch additional 500 sq.ft.or itlon thereof CCB no.: c Flea bus.lic.nu c/—3s G� Wmited enerfty,rcatdcntltd 2 City/metroTao,: G/,_/Q _ llmhedmtergy,non•residential 7 E&A manufactured home or modular dwelling I to of supervIsln le riclarh to tad pet'; , / 0 Service and/or feeder 1 Sup elecLnamc(print); f„q,, �.' 7 �' LlcQnscno: SC )r'd sameaorfaviets--imstalladon, alteration orreloeafioat 20n amps or less 2 n I crnps to 400 amps_ 2 Name(print): -._—_-- - . -— - — 401 amps l0 600 amt s Mailing address: --- 2 601 amps to 1000 amps _ _ 2 City: _ Stain: ZIP: Over 1000 amps or vults 2 Phone: Fait: Entail: -- Ytronnectonly -— - — - ) Owner installation:The installation is being Tnadrc on propefty 1 own a' Trmpotury scr�iees or which is not intended for sale,lease,rent.or exchange according to irufailntion,altentlan,orreloeetlon: ORS 447,455.479,670.701. 200anrpso►IOUs 2 201 amits to 400 amps 1 Owner's sigriaturr: _ Dale 401 to 600 ams 2 Branch ch coats-net,alirratlon, nr extension per panel: Ntu11C: A. Fee for branch circuits with purchase of Address: service at feeder fee,each branch circuit 2 City: ^”I Slott' ZIP; N. Fee for branch circuits without purchase --- Phone: Fax: E-mail' or service or tecdcr fee,first branch circuit: 2.. Each additional blanch circuit Mime.(Service nrfeedeenot ine aded): JserviceoverIIIamps-enmmetnal 'J1tasWrL=r.1061ity Each pump orimettoonmrcle I O Service over 320 amps-ratuag of 1 d!2 J flarurdous location Each sign of outline h;hdn j _— 2 family dwellings 0 Building aver 10.000 square fen fouror Signal circuit(-)of a limited energy panel. U Symemoverarto volts nominal mare residcridW units in one stucaum ahenlinn,arestension• h null ding over three stories U Feeders.400 amps of Moro -Descd don. �- O Qrupunt lead over 99 persona ❑Manufactured atruetwra or RV porkEach add4lu►atl irnpeetrnn over the alt;;-;U- rat the alrovet :1 Frteunighdngpina ❑Other. Fermspeer.un Submit_am of pian+.with any of the above. Invmtl)laton fee _ The above are not spliUeablrrosrrapmraryconstntedaoe.rice, Other -- �Nor all jwONcavm acecM atilt tarda,pleae.ill jaiaNcUoe}Dr mom•ietnon+Uae Notice. This permit application Permit far......................$ (Wise J Mas explicit if a permit is not obtained Plan review(at ^ %) 3 XC r cam tau ,bf. within IN days after it tine been State stttrharge(R%)....S "I .a accepted at complete. TO'T'AL i' FTattrrn ca ria crura on et meed ••.......••••...... .•. ©�O�h _�._ t holder 11011" _ nmouot s4ta4A15 m"Wcom) CITY OF TIGARD 24-Hour BUILDING inspection '_ine: (503) 639-4175 MST INSPECTION DIVISION Business Line: (503)639-417-1 BLIP -- Received _- Date Request AM --PM --- HUP - - f Location __ _ � C> ",� `-' Suite- - MEC - -- PLM Contact Person - Ph( ) -- SWH Contractor.— --- - - — Ph( ) - ELG `�_,� BUILDING TenanVOwner --- Footing ELC _--- Foundation ACCeS3: ELR -- Ftg Drain --" Crawl Drain - SIT 'Jab Inspection Notes: _ Post&BeamShear Anchors Anchors Ext Sheath/Shear Int Sheath/Shear Framing --- - - Insulation Dry.vall Nailing Firewall Fire Sprinkler L-" Fire Alarm _ -- Susli d Ceiling Roof Other: Final _—r -- ---- -- — PASS PART FAIL PLUMBING Post&Beam Under Slab — Rough-In Water Service ---- Sanitary Sewer Rain Diains Catch Basin/Mani ole Storm Drain Shower Pan Other: FinalPASS PART FAIL MECHANICAL Pcst&Beam -- Rough-In --- Gas Line Smoke Dampers Final - — PASS - PART FAIL r NOS id Service Rough-In - UO/Slab _ Low Voltage ----- - -- Fire Alarm Reinspection fee of$__ - ____ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PART FAIL SITE [] Please call for reinspection RE _ Unable to inspect-no access Fire Supply line ADA d c lln4pectw ( �,�[ Ext Approach/Sidewalk Osb Other. Final DO NOT REMOVE this Inspection record rorn the I b site. PASS PART FAIL ®sem CITY OF T I G A R D ELECTRICAL PERMIT �t'r*r PERMIT#: ELC2002-OU367 DEVELOPMENT SERVICES DATE ISSUED: 8/5/02 13125 SW Hall Blvd.. Tigard, OR 97223 (503) 639-4171 PARCEL: 1S135AB-010()4 SiTE ADDRESS: 10220 ',)W GREENBURG RD 120 SUBDIVISION: TWO LINCOLN -TOWN OF METZGER ZONING: C-P BLOCK: LOT : JURISDICTION: TIG Proiect Description: Installation of 2 branch circuits. RESIDENTIAL UNIT _ TEMP SRVC/FEEDERS _ MISCELLANEOUS ` 1 1000 SF OR LESS: 0 - 200 amp: PUMPIIRRIGATION: EACH ADD'L 500SF: 201 - 400 amp: SIGNIOUT LINE LTG: LIMITED ENERGY: 401 - 600 amp: SIGNAL/PANEL: MANF HM/ SVC/ FDR: 601+amps - 1900 volts' MINOR LABEL (10): SERVICE/F-EEDER BRANCH CIRCUITS _ ADD'L INSPECTIONS--- 0 NSPECTIONS __0 - 200 amp: W/SERVICE OR FEEDER: PER INSPECTION: 201 - 400 amp: list W/O SRVC OR FDR: 1 PER HOUR: 401 - 600 amp: EA ADD'L BRNCH CIRC: 1 IN PLANT: 601 - 1000 amp: _PL_AN REVIEW SECTION_ _ 1000+ amp/volt: >=4 RES UNITS:_ > 600 VOLT NOMINAL: -� Reconnect 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 9722.3 PORTLAND, OR 97230 Phone: Phone: 2.55-9488 Reg#: LIC 048748 SUP 31325 ELE 26 496C --- - — FEES _-' Required Inspections Type By Date Amount Receipt Elect'I Final PRMT CTR 8/5/02 $53.50 2720020000( 5PCT CTR 8/5/02 $4.28 2720020000( Total $57.78 I 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 issuanoe,or if work is suspended for more than 180 days ATTENTION Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center l hose 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 OUNC at(503) 2466699 or 1-800-332-2344 Kermit Signature: Issued By: ���� OWNER INSTALLATIQj ONLY The installation is being made on property I own which is not intended fur sale, lease, or rent. OWNER'S SIGNATURE: __. DATE:— CONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR. ELEC'N: (�� Q � DATE:-- LICENSE NO: -- Call 639-4175 by 7:00pm for an inspection the next business day Electrical Permii tipplication Date rccel%cd: � Permit no.: � -Cr-rJ_�% PmiccUappl.no.: Expire dale: Cit of Tigard City g� Date slued: By. Receipt na: CITY OF TIGARD Address: 13125 SSV HALL 11LVIVHGARU.Olt 97223 Case lite no. Payment type: Phone: (503)6394171 _x(503)5913-1960 Land use approval: 7❑ 1 &2 family dewlling or accessory ffE� Commercial/industry i ❑ Multi-family C] Tenant improvement New construction (❑" .Addition/alteration/replacement ❑ Other: ❑ Partial lob address: 10220 SW GREENBURG RD City: JBIdg No IStitte no.: ITax map/tax lot/account no.: Lot 14lock N/A Suhdivision: _ Project namc SUITE#120 Q LINCOLN TWO I Description and location of'work on premises: TENANT IMPROVEMENT 6iiiiiifiii� Job no. 22-949 fee stat Business Name: Capitol Electric Co.,Inc. Description Qt) (ea t total no.Insp Address: 12810 NE Airport Way New reside,rllal-single or multi-famil% per City: Portland Slate: OR 111'. 97230-1029 dwelling unit. Includes attvched garage. Phone: 503.255-9488 Fax: 257.712'1E-ruail: darre1l(gcr, dx com Service Included: CCB no.: 48748 Glc:.byq.lit.no: 26-496C 1000 sq,ft,or less $ 145.16 a Cit / telro lic.no.: N/A it Tach additional 300 sq.R.or portion thereof S 33.40 _ 7/29/02 Limited energy residential S 75.00 (mature of supervising electrician(required) Ualc Limited energy,non-residential _ S 45.01 2 Sup elect namc(pant): Darrell McNerl icense no 3132-S Each manufactured home or modular dwelling VIUMAMML Service and/or feeder S _ Natne(print):EQUITY OFFIC'F PRI)PI?R I'IGS Services or feeders-Installation, Mailing address: 10260 SW GREENBURG RD#100 alteration or relocation: I — cily: TIGARD State OR 'LIP: 200 snips or less s 80.30 Phone: 503 892-2FU0 Fax: E-mail: 201 amps to 400 amps S 106,85 Owner Installation: lite installation is being made on property I own 401 amps to 600 amps S 160.60 which is not intended for sale,lease,rent,or exchange according to 601 drops to 1000 snips S 240.60 2 ORS 447,455,479,670,701. Over 1000 amps or volts f 454.65 2 owner's signature: Date: Reconnect only S 66.85 1 Temporary writes or feeder%- Name: Installation,alterations,or relocarlon: Address: _ 2011 amps of less 1 6r.85 City: I State: ZIP: 201 amps to 400 amps $ 100.30 '_ Phone: Fax: E-mf.i1: 401 amps l0 000 amps $ 133 75 2 Branch circuits-new,alteration, Cl Service ever 225 amps-commercial ❑Ilealth-care lacilft) or extenslon per panel: ❑Service over 320 amps-rating of 1&2 ❑Hazardous location A Fee For branch circuits with purchase of family dwellings ❑Building over 10,000 square R.four or service or feeder tee,each branch circuit S 665 ❑system over 600 volts nominal more residential units in one structure Ii Fee for hranch circuits without purchase ❑Building over three stories ❑feeders,400 snips 0r more of service or feeder fee,first branch circuit: I S 46 a5 46 95 2 ❑(kcupant load over 9v person% ❑MsncOctares stmctures or RV Park I ach additional branch circuil, 1 S 6 0 6 65 I❑Bgresidighting plan ❑Other: %IF%c.(Service or feeder not Included): Submit set%of plans with any of the above. Lach pump or irrigation circle S 5140 I he abo%e are not applicable to temporary construction service. Each sign or outline lighting I S sr 4i- Signal circuit(s)car a limited energy pan-1, aheration,of extension* S xl 2 I rewription: I:rch additional inspectionnver th allowable in any of the ahme: Pct inspection r�f 6:513 h,:estigation fee �! Other I ❑Visa �❑ MasterCard e(taut fee..... .......... S 03.50 l tedlt card number. / / Noticethis permit application Plan review ( expires if a permit is not obtained State Surcharge 8% 4.28_ Nuns of ra,ft,lC r U 0—n„n rttdn.ad weenithing 180 days after It has b _ s TOTALL................ . S 57.78 Curdhnldn upnalwt __ ^n1O1'm accepted as complete. CITYOF TI CSA R D __ BUILDING PERMIT — PERMIT#: BUP2002-00327 DEVELOPMENT SERVICES DATE ISSUED: 7/30/02 13125 SW Hall Blvd., Tiqard, OR 97223 (503) 639-4171 PARCEL: 13135AB-01004 SITE ADDRESS: 10220 SW GREENBURG RD 120 SUBDIVISION: TWO LINCOLN - DOWN OF METZ GER ZONING: C-P BLOCK: LOT: JURISDICTION: TIG REISSUE: FLOOR AREAS _EXTERIOR WALL CONSTRUCTION CLASS OF WORK: ALT FIRST: sf^ N: S:— E: W: TYPE OF USE: COM SECOND: sf _ PROJECT OPENINGS? TYPE OF CONST: 2 F R sf N_ S: �E: W: v OCCUPANCY GRP: B TOTAL AREA: 0.00 sf ROOF CONST: FIRE RET? OCCUPANCY LOAD: 10 BASEMENT: sf AREA SEP. RATED: STOR: HT: ft GARAGE: sf OCCU SEP. RATED: BSMT?: MEZZ?: REQDSETr3ACIF _KS _ REQUIRD _ FLOOR LOAD: psf LEFT: _ ft RGHT: �ft FIR SPKL: SMOK DET: v DWELLING UNITS: F RNT: ft REAR: ft FIR ALRM : HNDICP ACC: BEDRMS: BA'T'HS: IMP SURFACE: PRC) CORR: PARKING: VALUE: 45-000, 00 Remarks: Relocation of interior non-bearing walls. Owner: Contractor: EOP LINCOLN, LLC C SCHIEWE & ASSOCIATES INC 10260 SW GREENBURG RD 1024 NE DAVIS S1 SUITE 100R 7 23 PORTLAND, OR 97232 P Pho a N5a 0P(%4?6?1U Phone: 503-234-6617 Refs #: Llr_. 51100 FEES REQUIRED INSPECTIONS Type By Datev Amount Receipt Framing Insp PRMT CTR 7/30/02. $91.30 27200200000 GYP Board Insp 5PCT CTR 7/30/02 $7.30 27200200000 Final Inspection PLCK CTR 7/30/02 $59.35 27200200000 FIRE CTR 7/30/02 $36.52 27200200000 — Total $194.47 This permit!s issued subject to the regulations contained in the Tigard MUnicipai Code, State of OR. Specialty Codes and all other apH.:cable 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 rulers or direct questions to OUNC by calling (503)246-6699 or 1-800-332-2344. Permittee i2` Signature "- �-- las ed By: Call 639-4175 by 7 p.m. for an inspection the next business day Building Permit Application City of Tigard IDatereceived: J d� Permit no.:_ � '- Z Address: 13125 SW Hall Blvd,Tigard,OR 97223 ProjecUappl.no.: Expire ate: City a(Tigard 6 Phone: (503) 639-4171 Date issued: Receipt no.: Fax: (503) 598-1960 Case file not.: Payment type: Land use approval: 1&2 family:simple Complex: U 1 &2 family dwelling or accessory U Commercial/industrial U Multi-family U New construction U Demolition 0 Addition/alteration/replacementTenant improvement U Fire sprinkler/alarm U Other: INFORMATIONJOB Sl I'L Job address: 02219 SW Gres Klan oa Bld .no.: — —_ R t. N o Suite no.: 20 Lot: Block: Subdivision: _ Tax map/tax lot/account no.: Project name: 5 N C, -- Description and location of work on premises/special conditions: Tena,1* li ilevoy ?heti Name: SRUIT7 OFFICE PR-opeRTtEs Mailing address: W117 oo 5N Gls@ iJl:wp t3 p v SUITE f oO 1 do l family dwelling: City: poRTL/200 State:0P. ZIP: 97 223 Valuation of work........................................ $ PhoncSc�l X92-ISoo Fax: E-mail: No.of bedrooms/baths................................. Owners representative: P'A7 N. GlL#fi- GIpD Arcbttteetr Tnc Total number of floors................................. Phone503 22,--9fcstsr Fax: E-mail: New dwelling area(sq. ft.) .......................... 7t. arage/carport area(sq.ft.) Name: 6130 A -c4;tectj Inc overed porch area(sq. ft.) ............ .... ....... Mailing address; 920 31N 3� Avenue Iu i toeck area(sq.ft.) ........................................ _ City: Flog tI� State:p ZIP; 9ther structure area(sq.ft.)......................... Phone5o3 27 -346 Fax: E-mail: ommerciallinduatrialimulti-famlly: Valuation of work........................................ $ 15,000.00 Business name: G ��� C G COrO s ru j p to Existing bldg.area(sq. ft.) .......................... 90 -1�- Address: N E Dm's St New bldg.area(sq.ft.)................................ City: State:t:/Z I ZIP: 9'72,32 Number of stories........................................ ro 5IX Phone5v$ Fax: E-mail: Type of construction.................................... 1[ -FP' CCB no.: -5±10e, Occupancy group(s): Existing: J3 City/metro tic.no.: New: D, Notice:All contractors and subcontractors are required to be licensed with the Oregon Construction Contractors Board under Name: - NW AS AePLI CAOT.-r. provisions of ORS 701 and may be required to he licensed in the Address: — jurisdiction where work is being performed.If the applicant is Cit : State: Z[P: exempt from licensing,the following reason applies: Contact person: Plan no.: Phone: Fax: E-mail: — _Name: Contact_ person: Fces due upon application ........................... $ Address: Date received: Ctty: State: ZIP: Amount received......................................... $ Phone: E-mail: Please refer to fee schedule, _ I hereby certify 1 have read and examined this application and the root all jurisdictions accept credit cede,pleoe call jurisdiction for mare infornm,tion attached checklist.All provisions e.f laws and ordinances goveming this ovtaa OMaateCard work will be complied with,whether specified herein or not. Credit card number: pirel Authorized signature: i"-r- Date: x'30 'C�2 Nater c ushownoncreditced Print name: $ C r slanarure Ansount Notice:This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. 440.4613(t MCOM) Commercial Plan Submittal Requirement Matrix City of Tigard TYPE OF SUBMITTAL # of Plans (Includes New, f,dditions or Alterations) Required at Submittal Site Work 4 (must include location of all accessible parking) I iribing - Site Utilities 2 Building �* Fire Protection System 3** Mechanical 2 Plumbing - Building Fixtures 2 Electrical 2 Plan review is dependent upon submittal of a completed application and plans. After plan review approval, the Plans Examiner wili contact the applicant to request additional sets of plans for distribution purposes (for Contractor, City of Tigard, Washington County, and Tuaiatin Valley Fire & Rescue). *For over-the-counter commercial tenant improvements, submit 2 sets of plans. **"New" fire protection systems require that plans briar the original seal of an Oregon licensed fire suppression engineer, or NICET level "3" technicians. 1:ldsts\forms\COM-matrix,doc 9/24/01 2 L - 120 7.30.02 AccesshAlity; - Barrier Removal Improvement Plan Cita of Tigard 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'n 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] $ 51 000", En ultiples 25% Barrier removal requirement .25 BUDGET FOR BARRIER REMOVAL (2] $ rL7 po 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 oder: (a) Parking lot rest irrin9, nck� r0rb c�ki, siclewalkJ, $_1 S1941'�9e bUi(dl� C'�t\v2wr,J f accer-r;6le rtall r. (b) An accessible entrance: $ (c) An accessible route to the altered area $ (d) At least one accessible restroom fcr $ 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 Computatlop-, i\dsts\fortnsWccessibility doe 09/24/01