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-- BUILDING PERMIT
CITY OF TIGARD
PERMIT#: BUP2004-00269
DEVELOPMENT SERVICES DATE ISSUED: 6/9/2004
13125 SW Nall Blvd., Tiqard, OR 97223 (503) 639-4171 PARCEL: IS135AB-01002
SITE ADDRESS: 10220 SW GREENBURG RD 245
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:
Tl'PE OF USE: COM SECOND: sf PROJECT OPENINGS?_
TYPE OF CONST: sf N: S: E: W:
OCCUPANCY GRP: B TOTAL AREA: 0 sf ROOF CONST: FIRE RE'r?
C-CUPANCY 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 S"JKL: SMOK DET:
DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP ACC:
BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING:
VALUE: $ 669.00
Remarks: fire protection
Owner: Contractor:
SPIEKER PROPERTIES L.P. MCKINSTRY COMPANY
10260 SW GREENBURG RD 5400 NE COLUMBIA BLVD
SUITE 100 PORTLAND, OR 97218
P��rLAND, OR 97223
on(%:
Phone: 331-0234
Reg#: MET 40�0g0p01179
FEES LIC REQUIRE INSPECTIONS
Desc ription Date Amount Sprinkler inspection
M 1II. )l I'crnlil I cc 6/9/2004 $62.50 Final Inspection
slatc tiurrlrarl 6/9/2004 $5.00
Total $67.50
This permit is issued subject to the regulations contained in the Tigard Municipal Code, Stale of OR. Specialty Codes
and all other applicable law. All work will be done in accordance with approved plan;. 'i his permit will expire if work is
not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law
requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952-00'1-0010 through OAR 952-001-0100 You may obtain a copy of these rules or direct questions to OUNC by
calling (503)246-6699 or 1-900-332-2344
9 �
?-,sued By
Permittee
Signature: -
Call 639-4175 by 7 p.m.Jor an inspection the next business day
'-,iroj PvAcction System
Building Permit Aj)plication
<c:ei ed
Cit' OT Tigard Penn❑No
�r rN.,.r,.d
13125 SW Hall Blvd.,Tigard,OR 9'7223 an Revie Phone: 503.639.4171 Fux: 503.59$.1960 -"I. tcBOther Penn t
Inspection Line: 503.639.4175 feReady Ry luneL^ tier Paas 2 far
Internet: www.cLligard.ucus Method I6v 1 S..pplementai Information
TYPE OF WORK REQUIRED DATA:1-AND 2-FAMILY DWELLING
❑New construction ❑Demolition Permit fees*are based on the value of the work performed.
-- Indicate the value(rounded to the nearest dollar)of all
.Additinn,alteration/replacement ❑Other: equipment,materials,labor,overhead,anti the prof i for the
CATEGORY OF CONSTRUCTION work indicated on this application.
— - -
❑ I-and 2-family dwelling ®Commercial/industrial Valuation: $ --
❑Accessory building ❑Multi-family Number of bedrooms: _ —
❑Master builder ❑Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: 10220 SH'Greenhurg Rd./Lincoln Three. New dwelling area: square feet
City/State/ZIP:Portland,Oregon 97223 Garage/tarpon area: square feet
Suite/bldg./apt.no.:Suite-245 Project name:American Home Mortgage C overed porch area: square feet
Cross street/directions to job site: Deck area: square feet
Other structure area: square feet
REQUIRED DATA:COMMERCIAL,USE CHECKLIST
Subdivision: Lot no.: Permit fees'are based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
Tax map parcel no.: equipment,materials,labor,overhead,and the profit for the
DESCRIPTION OF WORK work indicated on this application.
Relocate(2)relight heads and relocate(1)head in Hallway Valuation: $669.00 -
Existing building arca: square feet
New building area: square feet
❑ PROPERTY OWNER TENANT Number of stories: —
Name:American Home Mortgage Type of construction:
Address: 10220 SN'Greenburg Rd.Suite-245!Lincoln Three Occupancy groups:
City/State/ZIP:Portland Oregon 97223 _ Existing:
Phone:( ) Fax:( 1 New: —[3 APPLICANT APPLICANT ® CONTACT PERSON NOTICE
Business name:McK(nstry Co. All contractors and subcontractors are required to be
Contact name:Earl Salsbury licensed with the Oregon Construction Contractors Board
-- -- under ORS 701 and may be required to be licensed in the
Address:5400 NE Columbia Blvd. jurisdiction in which work is being performed.If the
City/State/ZIP:Portland,Oregon 97218 applicant is exempt from licensing,the following reasons
Phone:(503)331-2465 Fax::(503)331-6906 apply
E-mail:earls(a mckinstry.com �—
CONTRACTOR
Business name:McKinstry Co.
-- BUILDING PERMTT FEES'
Address:5400 NE Columbia Blvd.
Please reJtr to jet schedule
City/State,ZIP:Portland,Oregon 97218
Fees due upon application
Phone:(503)331-0234 TFax..(503)331 6906 ve
— — Amount received
CCB tic.:40981 — --
7n .— — -- — _j Date received:
Authorised signaturer ,nC I - This permit application expires If a permit is nnto fined
(G within iR0 days after it has been accepted as complete.
Print name Earl Sxlshury _ ate:06!09/04 j Fre m-•thodology qct M Tri-County Building Industry
Serge Heard.
A"
0
i auileLng Pmntu FPs•PenmtApp doe 12 m "0461!1(110:COM WEB) G'7-50
CITY OF T I G A R D MECHANICAL PERMIT
DEVELOPMENT SERVICES PERMIT#: MEC2004-00358
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 6/9/2004
PARCEL: 1 S 135AB-01002
SITE ADDRESS: 10220 SW GREENBURG RD 245
SUBDIVISION: THREE LINCOLN-TOWN OF METZGER ZONING: R-12
BLOCK: LOT: 009 JURISDICTION: TIG
CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS:
TYPE OF USE: SF UNIT HEATERS: VENT FANS:
OCCUPANCY GRP: R3 VENTS W/O APPL: VENT SYSTEMS:
STORIES: BOILERS/COMPRESSORS HOODS:
FUEL TYPES - _ 0 - 3 HP: DOMES. INCIN:
3 - 15 HP: COMML. INCIN:
MAX INPUT: BTU 15 -30 HP: REPAIR UNITS:
FIRE DAMPERS?: 30 - 50 HP:
GAS PRESSURE: 50 + HP: WOODSTOVES:
FURN < 100K BTU: _ AIR HANDLING UNITS CLO DRYERS:
FURN >=100K BTU: <= 10000 cfm: OTHER UNITS: 1
> 10000 cfm: GAS OUTLETS:
Remarks: IZchicnte(I)siq)lily diffuser.
Owne•: _ _ FEES___
SPIEKER PROPERTIES L.P. Description Data Amount
10260 SW GREENBURG RD ��tl e'lII Permit Fee 6/9/2004 $72.50
SUITE 100 1.1\� 8 sulk.5nrchvt 6/9/2004 $5.80
PORTLAND, OR 97223
Phone: Total $78.30
Contractor:
MCKINSTRY CO
5400 NE COLUMBIA BLVD
PORTLAND, OR 97218 REQUIRED INSPECTIONS
Phone: ;31 0234 Misc. Inspection
Final Inspection
Reg#: LIQ; 40981
This permit is issued subject to the regulations contained in the 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 180 days. ATTENTIONOregon law
requires you to follow rules adopted in the Oregon Utility Notification Center. Those rules are set forth in OAR
952-001-0010 through OAR 952-001-0100. You may obtain copies of these rules or direct questions to OUNC by calling
(503)246-6699.
Issued By: t „_ , ,,� Permittee Signature(. ��_��`
Call (503) 639-4175 by 7:00 P M. for inspections needed the next business day
Mechanical PermittAlication
CIh'of Tigard Received 4 Permit No.
Date I). ,
13125 SW Hall Blvd.,Tigard.OR 97223 antDat Revie
Phone: 503.639.4171 Fax: $03.598.1960 I)atc By Other Permit.
Inspection Line: 503.639.4175 Date Ready By Jun, ® tier Page 2 for
Intentet: www.ci.tigard.or.us I Notified Method rl-" I Supplemental Information
TYPE OF WORK COMMERCIAL FEE* SCHEDULE - USE CHECKLIST
❑New construction ® Addition/ulteretiowreplacement Mechanical permit fees*are based on the value of the work
performed.Indicate the value(rounded to the nearest dollar)of all
❑ Demolition ❑Other: �y 5 mechanical materials,equipment labor,overhead.and profit.
CATEGORY OF CONSTRUCTION Value:5 215.00
❑ I-and 2-family dwelling 9 CununerciaUindustrial ❑ RESIDENTIAL EQUIPMENT/SYSTEMS FEES*
For building -
Fnr speriu/information usc,eltec•Alis1.
❑Multi-family ❑ Master builder ❑Other: Description
Qty. I F. Total
JOB SITE INFORMATION AND LOCATION Heating/cooling
Joh site address: 10220 SW Greenhur Rd. Air conditioning or heat pump
g _ re uires snc plan showing placement) 14.00
City/State/ZIP:Portland,Oregon 97223 Furnace I( .OW BTU(ducts vents) 14,00
Fumace 100.0(X)+BTU(duct. vents) 17.90 _
-Suite/bldg./apt.no.:Sults 245/Llnclon Three Protect name:American Home Mortgage Gas heal pump 14.00
Cross street/directions to job site- Duct work 14.00
H dronic hot water system 14.00 {
-__ Residential boiler(radiator or
h dronic) 14.00
- Unit heaters(fuel-tvpe,not electric).
in-wall.in-duct,suspended.etc 10.00
Subdivision: �ot no.: Fluervent for any of above _ _ 10.00
Other: 10.00 _
Tax map/parcel no.: Other fuel appliances
DESCRIPTION OF WORK Water heater 10.00
Gas fir lace 10.00
Relocate(1)Supply Diffuser. _ Flue vent for water heater or gas
fireplace 10.00
-- - —
Log lighter(gas) 10.00
Woodpellet stove 10.(X)
-- --- - ---- Wood fireplace insert 10.(X)
❑ PROPERTY OWNER ® TENANT ^- Chimney liner flue vent IR X1
-� Other: - 10.00
Name:American Home Mortgage Environmental exhaust and ventilation
Address: 10220 SW Greenhur Rd. Range hood other kitchen
g !` equipment _ 10 W
City/Statc'ZIP:Portland,Oregon 97223 Clothes dryer exhaust 10.0)
--- --- --- Single-duct exhaust(bathrooms.
Phone.( 1 Fax:( ) toilet compartments.utility moms) 6.80
❑ APPLICANT ® CONTACT PERSON Attic cmwls ace fans 10.00
Other 10.00Business name:Mckinstry Co.
-__ Fuel piping
Contact name:Earl Salsbury $5.40 for first four;$1.00 for each additional
Address:5400 NE Columbia Blvd. Furnace,etc. Y_
Gas heat pump
City/State/ZIP: Portland,Oregon 97218 Wall suspendect,unit heater _
Phone:(503)331-2465 Fax: :(503)331-6906 Water heater v-,
-- Fireplace
E-mail:earls(d mckinstry.com Range
CONTRACTOR Barbecue
Business name:McKinstry Co. Clothes dryer(gas)
-----.--_ ---__�_ Other.
Address:5400 NE Columbia Blvd. _ _ _ MECHANICAL PERMIT FEES*
City/State/ZIP:Portland,Oregon 97218 Subtotal
Phone:(503)331-0134Fax:(503)331-6906 -�- _ _ Minimum permit fee($72.50)
--__ Plan review(25%ofpermit fee)
CCB lic.:40981 State surcharge Ili%of permit fee) S".
TOTAL PERMIT FEE 3v
i This permit application expires If a permit Is not obtained within 180
Authorized signature: 't.� days after It h«been accepted as complete.
Print name:Earl Salsbury Date:06/09/94— � tee methodology set h• In-County Building Industry Semi a Board
Building PnmiUMFC-PermaArpd,e 12 01 440.41-1-(11021-0MwGa)
CITY OF TIOARD 24-Hour
BUILDING Inspection Line: (5011539-4 5
INSPECTION. DIVISION Business Line: (503)6 4 71 MST _
-4 .0BLIP
Received _ ( Cf __— Date Requested.—l_�� AM_ PM —_ BUP
Location 5�J (---4 /1" 6k Suites AES C;Lft �1_64e3sg
Contact Person __ CLeatPh( '3 - �2 f- PLM
Contrartor ___-_ _ Ph( ) SWR
BUILDING _ Tenant/Owner kqule. il!'� 40-� ELC ---___---
Footing
Foundation Access: V ELC
Ftg Drain Ll
ELR
Crawl Drain
Slab Inspection Notes: / SIT
Post&Beam [/V
Shear Anchors -- -- - —
Ext Shuath/Shear
Int Sheath/Shoar —
Framing —"`~
Insulation ---
Drywall Nailing
Firewall F.
Fire Sprinkler - 1 —
Fire Alarm
Susp'd Ceiling --
Roof
Other: _— --
Final
PASS _PART FAIL --- —�
PLUMBING
Post& Beam -- --
Under Slab —
Rough-In
Water Service ------- - - -- —
Sanitary Sewer
Rain Drains ---- -- -- --_.____
Catch Basin/Manhole
Storm Drain ---- --- - -- —
Shower Pan
Other:
Final
PASS PARj FAIL -�— -- - — --
ECHANICAL
o-ssM13-earn
Rough-In
Gas Line
Smoke Dampers41F, -- — —
PART FAIL —
_ TRIGAL
Service --- _ _.------ —— -
Rough-In
UG/Slab -_-- -- -- —
Low Voltage
Fite Alarm
Final Reinspection fee of$ squired before next inspection Pay at City Hall, 131251 SW I lall R:,(l
PASS PART FAIL
SITE __— [-] Please call for reinspection RE:_. _.— L] Unable to inspect no access
Fire Supply Line
ADA b 'A �(
Approach/Sidewalk Date_ Inspectorv
_ ------------- -._.__ --Ext
Other: _
Final DO NOT REMOVE this Inspection record from the job site.
PASS PART FAIL
CITY OF TIGARD 24-Hour
BUILDING Inspection Lint.. 1503)Z3;-
1,75
OBUINSPECTYON DIVISION Business Line: (503) .4 M �- - -
Received �( �1 Date Requested_�' U AM---___ PM ____—_.__ BUP
Location <� r Suite - MEC
Contact Person (- - _ Ph 32) 3'" Qd3 PLM
Contractor _.—_- -. _-- . - Ph( ) --- SWR _....____......--------_--
BUILDING Tenant/Owner — �'�'� �7i�- `.
�-s'�� - - - ELC - --- - - ---
ELC
Foundation -_------._.__ - -_-_--
Access:
Fig Drain G' �Lt ELR
Crawl Drain
Slab Inspection Notes: SIT _-
Post& Beam
Shear Anchors `-
Ext Sheath/Shear _
Int Sheath/Shear
Framing -
Insulation �C
Drywall Nailing L'Z ` CJS
FlaowaU---.. J
ire Sprink�r - - - - -- - ----------------
-ttf�rm
Susp'd Ceiling - - -_ ----- — -
Root
t iec:-
i
ASS PART FAIL — -
_ BING
Post&Beam +
Under Slab -- - - —
Rough-In
Water Service - - - - --
Sanitary Sewer /
Rain Drains ----- — -- -
Catch Basin/Manhole i
Storm Drain --- -
Shower Pan
Other:
Final
PASS PART FAIL --- --7ZI-Z
-
MECHANICAL
Post& Beam
Rough-In -
Gas Line
Smoke Dampers ---- -
Final
PASS PART F_A_IL ---
ELECTRICAL
Service ----- - - -
Rough-In
UG/Slab --------._.----
Low Voltage
Fire Alarm
Final u Reinspection foo of 5 - _ _ _ 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 f
J�Z__
Approach/Sidewalk Date ` ' Inspector Ext
Other:
Final - DO NOT REMOVE this Inspection record from the Job site.
FASS PART FAIL
CITY OF T I GARD CERTIFICATE OF
COMMUNITY DEVELOPMENT DEPARTMENT OCCUPANCY
13125 SW Hall Blvd,Tigard,Oregon 97223*8199 (503)639.4171 PERMITM. . . . . . . s SUP96-0041
DATE ISGUEDs 05/15/96
VIORCELi I11-35AB-01002
`31 T E ADDRESS. 10220 SW GREENBURG N RD #245
SUBDIVISION. . . . i ZONING0-12
BLOCK. . . . . . . . . . LOT. . . . . . . .. . . . . .
CLASS OF WORK. SALT
TYPE OF UGE. . . sCCIM
TYPE OF CONSTRo2N
OCCUPANCY GRP. tB2
OCCUPANCY LOADS 22
T-F..'NAN1 NAME. . . :PR I NC I PAL MURTGAUF
1'oomai-ks : Tenant mud ification
Owllet-K
MELVIN MARK
10220 SW GREENSURG RD
TAGARD OR 97223
Phone #: 452-5900
Contractors
MELVIN MARK CONSTRUCTION
W20 SW GREENBURG RD
SUITE #150
TIGAPD OR 97223
Phone #t 452-5900
Reg #t . s 64721
Hii % C.ertifirmte gr-ante occupancy of the abuvr referenced bLli ,1d0)U or portion
iliereof and (.:•onFirm% that the building has been inspected for compliance with
the State of Organ Specialty Codes for the group, orcupancy, and use ondev,
which the referenced permit was issued. fi
Ik I j I r-1)I PECTOR kTi --ING OrFICIA1
POST IN CONSPICUOUS PLACE
1999
SAVE -- HISTORICAL INFORMATION
BUILDING(5) NAME CHANGE
PER KIT CHURCH, ENGINEERING
10220 GREENBURG RD, LINCOLN II NORTH
CHANGED TO 10220 GPEENBURG RD, LINCOLN III
10220 GREENBURG RD, LINCOLN II SOUTH
CHANGED TO 10220 GREENBURG RD, LINCOLN II
LkU I L D I N6 PLHM I
CITY OF T I GARD PLRMIT #. . . . . . . . 6UP96 1.
DATE ISSUED; 02/26/96
COMMUNITY DEVELOPMENT DEPARTMENT
13126 SW Hall Blvd.Tigard,Oregon 97223*8199 (503)639-4171 PARCEL. I S I 35AB0 1 00c'
JI11. 4 u,:.;,i.;.." .. .... , ., . L 1,1, ,- —k,; _i..i ll, , ...1 N R D #r_'4`:!
E3LJBD I V 16 1 ON. . . . : ZONING: R--12
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . :8
RE I S'SUE FLOGR AREAS------- EXTERIOR WALL CON GiTRUCTION -
OF" WUkK. I ALT FI RST. 141 ';f N: 51 E: W.
i y PE OF UbL. . . :LOM GECOND. . . :31`=,5 sr- PROTELT OPENINGS'?-.---
IYPE OF WhOST. : N . . . k 5f N: E. W1
G RP. .B2 TOT()L----------- 37 155 s f ROOF CONST: FIRE RET? :
CUPANCY LOAD: 22 BASEMENT. : 0 sf AREA SEP. RATED:
OR. : 5 PT 0 t t 6 A R 0 G C. . OCCU GEP. RATED:
MT'?.- MEZZ'? . REQD REUUI
.00R LOPU). . . . . 0 Ws F LLFT : lb ft RGHI 1 14) f t F I R SPKL:'e SMOK DET. . :Y
L)WELLING UNITS: 0 FRNr: o ft REAR: IZI ft FIR f4LRMsY HNDICP ACC:Y
BnT HS 0 .3
.Drims: ID IMP IURFACE: 0 PRO CORRIN PPRKING: 0
1LUE. $ - 8000
Remarks : Teziant modification
Owner,: rEE15
i._.LVIW MART-/\ type amo,.mt by dAte r-eept
1220 SW CiRLENBURG RD PLCK $ 44. 53 B 01/22/96 96-275164
F IRE_ $ .. 1. 40 B 01/cam/9C, 96 CL,7 5 16 If
.CORD OR 972a3 PRMT $ 68. 50 JSD 02/26/96 96-276316
ione #- 455 5y00 43 J S D 02/L6/96 96
%LLUN MARK CONCTRUCTION
' 1-
V20 SW GREENBURG RD
Jillr. #15@
. GARD OR 97223
,ume #-. 14, . 66 1*0TAL
REQUIRED INSPECTIONS
persit is issued subject to the re,julations cotitainic in the Ft L
yaril Municipal Code, state of Ore. Sp*Tialty Codes and all othelr)cil.t.lation lnsp
,,plicabie laws. Ail work p6l be done n accoraarice with byp BoLAr,d Itisp
oroyed plans. Th;s posit will expire if wVk i rted GLmp Ceiing Insp
- 'f work is R.,-e V,irlaql Irispectioll
.hin 180 days of issuance, at ......
,in 180 days.
r r
ted
'd
e
e
rt
I
s k.A e d
6.39-4175
.111 for Ins;k , �..tion
F
,A
Commercial Building Permit Application
City of Tigard �.
13125 SW Hall Blvd. \�
Tigard, OR 97223
(503) 639-4171 \�
�I
Jobsite Address: hL926,
/LINC1,r,,�4- �,�- OMce Use Onl
Tenant:�G/L7L-�:�4C.E� T� Suite# �--f �-'
PlancklRec #_L=�
Valuation:
Permit #
Owner: I'�jr 11,i1�� r �A+2,� 1 .YJIGC�M6E x7. ? (�
- _ Map & TL #
Address: 1� � ��� �7fU/�1�1 /1261 Approvals RegLuired
-116- &L� `17Z2,3 Plannin
Phone: 4-,52- 15 qor Engineering
..� Other
Contractor. IVInI /kt+-�' ��L IT2aL2UQ —^i� --
Address: �(_ -z LLQ d ,
Type of const: _
Occupancy class:
Phone:
Sprinklered? Yes No
Contractors L cense
(attach copy of current Oregon license) Sq. ft. of project _ ; =T
Contact name & phone: .CSL .N Story (1st, 2nd, etc ) 1d
Proposed use: t.�CUK!'1/k
Architect/Engineer: �;,_I WA •JLy-fr. 4 f)61El(,AJ
Previous use: ����s�G .'F F i��'
Address: �G�s,j[�(. i�dvt(��C 4,e ���"
Note Plumbing & mechanical plans
must be submitted at time of
building permit application
Phone: (� �•��'(�
JOB DESCRIPTION 7.!:rjAti,7 I &dP1teVL-.L10 /7
Applicant Signature & Phone number
, 1
Received by: Date Received
Permit ;$ Account Description Amount Amt. Pd. Bal. Erui
Bldg. Permit (BUILD) (=�'
Plumb. Permit (PLUMB)
Mech. Permit (MECH)
State Tax (TAX)
Bldg:
Plumb:
Mech:
Plan Check (PLANCK) -I 1 5'Y ��� �1 j
Bldg:
Plumb:
Mech:
Sewer Connection (SWUSA) _
Sewer Inspection (SWINSP)
Parks Dev Charge (PKSDC)
Residential TIF (TIF-R)
Mass Transit TIF (TIF-MT1
Commercial TIF -C)
Industrial TIF (TIF-1)
Institutional TIF (TIS"-IS)
OfTicP TIF (TIF-O)
Water Quality (WQUAL)
Water Quantity (WQUANT)
Fire Life Safety (FLS)
Erosion Cntrl Permit (ERPRMT) _
Erosion Planck/USA (ERPLAN)
Erosion Planck/COT (EROSN)
l
TOTALS:
SEE 35MM
ROLL 23
FOR-
LARGE
DOCUMENT
CITY OF TIGARD
OREGON
December 21, 1992
Linda Smith
Smith Design Company
P.O. Box 6
Beaverton, OR 97075
project: Northwest• Hardwoods, Suite 500, BUP92-0358
Principal Financial, Suite 245, BUP9_2-0359
1022 g Road
Dear Ma. Smithi
The plans fort hese projects were reviewed for conformity with applicable
codes and are conditionally approved. Please have plane for changes to the
automatic sprinkler and mechanical systems submitted for review.
You may get the required permits for these projecto at your convenience.
If you have questions, or if we may be of assistance, please contact »s.
Sincerely,
Jiro Ja.qua
Plans Examiner
FAX (503)684-7297
13125 SW Hall Blvd., Tigard, OR 97223 (5031 6K-4171 TDD (503) 684-2712 ----- ---- -----
TUALATIN VALLEY FIRE & RESCUE
AND
BEAVERTON FIRE DEPARTMENT
• 4755 SM. Griffith Drive• P.O. Sox 4755 • Beaverton, OR 97076• (503) 526-2469• FAX 526-2538
December. 22 , 1992
Linda Smith
P.O. Box 6
Beaverton, Oregon 97075
Re: Principal Financial
10220 S.W. Greenburg Rd. , Suite ?45
5989B-328-018
Dear Ms. Smith:
This is a Fire and Life Safety Plan Peview and is based on the
1988 editions of the Uniform Fire Cole (UFC) and those sections
of the Uniform Buildi.nq Code (i1Rr) and Jniform Mlechanical Code
(UMC) specifically referencing the fire department, and other
local ordinances and regulations.
This review covers the tenant modification to the above noted
occupancy. The plans as submitted are approved for
construction.
Approval of submitted plans is not an approval of omissions or
oversights by this office or of non-compliance with any
applicable regulation,,, of local government .
If. you desire a conference regarding this (flan review or if you
have questions, please feel free to contact me at (503) 526-
2469.
i
Sincerely,
Be??r?
rk�r
F! rshal
BP:kw
cc: Tigard Building Department t, '
"Worklnt"Smoke Defetfors Save Liles
� BUILDING PERMIT
CITYOFTIGARD
PERMIT #. . . . . . . : BUP59
CITYOFTIi O
COMMUNITY DEVELOPMENT DEPARTMENT 'i osstooes DATE ISSUED: 12/22/92
13125 SW Hell Blvd._. P.O.Box 23397,TW",Oregon 97223(b03)M4175
..
SWADIVISION. . . . : ZONING: R--la-
IAL IOCK. . . . . . . . . . :
--la-HLIOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . :8
REISSUE: FLOOR AREA;--•------ EXTERIOR WAL'_ CONSTRUCTION—
CLASS OF WORK. :AL1 FIRST. . . . : s f N: S: E: W:
TYRE OF USE. . . :COM SECOND. . . :3110 sf PROTECT OPENINGS?
TYPE OF CONST. s2FR THIRD. . . . : sf N: S: E: W:
OCCUPANCY GRP. :B2 TOT'AL------: 311O sf ROOF CONSTs FIRE RET ? :
OCCUPANCY LOAD: 12 BASE:'ML_IVT. : sf AREA GER. RA i ED:
STOR. :5 HT. :72 f t GARAGE. . . : w f OCCU SER. RATED:
SSMT?:N MEZZ?:N READ SETBACKS--•------ — REQUIRED-------------------
FLOOR LOAD. . . . :50 Oaf LEFT: ft; RGHT: ft FIR SPKL:Y SMOK DET. . :N
DWELLING UNITS: FRNT: ft REAR: ft FIR ALRMsN HNDICP ACC:Y
BEDRMS: BATHS: IMP SURFACE: PRO CORR:Y PARKING:
VALUE. $ : 5000
Remarks : Tenant Remod: Principal Financial. Adci int partitions to form new offi
e.
Owner: - — -- --- __... ___________.______._..___.....____..___._-.—.-----_.._.___...----•---____._ FEES
MELVIN MARK type amoo_1nt by date rerpt
102 ii-V SW UREE:NBURU RD RRMT 1 50. 50 ,TF 12/22/92 92-0234
PLCK f 32. 83 RLL 12/16/92 92-234757
TIGARD OR 97223 rPCT $ 2. 53 JF' 12/22/92 92-023-':
Rhone #: 452-5900
Contrar_tor:
MELVIN MARK CONSTRUCTION
1O22O SW GREENBURG RD
5UI'TE #150
T I BARD OR 97 :23
Rhone #: $ 85. 86 TOTAL
Reg #. . : 64721
REQUIRED INSPECTIONS --_---__
this permit is issued subject to the regulations contained in the F'raminq Insp _�.—..
Tigard Municipal Code, State of Ore. Specialty Codes and all other Insi.rlation Insp
applicable laws. Al! work will be done in accordance with Gyp Board Insp
approved plans. This permit will expire if work is not started S u s p C e i l n g Insp
within 188 days of issuance, or if work is suspended for more Final Inspection
than 180 days.
1,ermittee rr,:1t ire :
I s s i.r e d B y:
Call for inspection — 639-4175
II
CITY `!1' T I CARD "'CIO Box23397vd PLNCK/RECT # A�— 7(�
COMMUNITY DI VGLOI'MF,NT DEI'ARTRIF.NT Tigard,Oregon 91M PERMI I #
(503)639-°»r DATE ISSUED _
JOB ADDRESS: -� SGt/ hr�,C%�bGL L � TAX ------ _
SUB: LOT: � LAND Pp � � � ��_ �
——
VALUATION:
UWNER SPECIAL NOTES
NAME: MGGREISSUE OF: ----
ADDRESS: f 0 d LAST REISSUE:
/p�i� 4- FLOOD PLAIN/
PHONE: _ 7` Z ' ADO _ SENSITIVE LAND:
CONTRACTOR APPROVALS REQUIRED
NAME: Al G/�1/� `fTG� �/`�-_ PLANNING: Oe-_X�
ADDRESS: ENGINEERING:
FIRE DEPT:
PHONE: OTHER: /vv Ab,
CONTR. BOARD #: EXP DATE:
ITEMS REQUIRED
SUBCONTRACTORS: PLUMB: LIST/SUBCONTRACTORS:
MECH: BUS TAX:
ARQUENGINEER CALCULATIONS:
NAME: _ L' ( YI/ � TRUSS DETAILS:
ADDRESS: OTHER: _
PHONE: q az !t- 7
PROPOSED BLDG. USE: E�� /,[ � /�Y/��
COMMENTS:
�0 C"hGi9� /h Orr. load 00- EXrii,019, ---
APPLICANT SIGNATURE
Received By: AZZ — Date Received: ��7 �- A2__
PERM II N ACCT # DLSCRIPTJIN AMOUNT AMOUNT PD. BAL. DUE
10-432 00 Building Perrnit Fees
10-431 00 Plumbing Perrfit Fees
10-431 01 Mechanical Permit Fees
10-230 01 State Build rig Tax (5%)
Building
Plumbing
Mechanical
10-433 00 Plans Check Fee
Building
Plumbing
Mechanical
10-230 06 Fire
30-202 00 Sewer Connection
30-444 00 Sewer Inspection
25-448-02 Commercial TIF Dees
25-448-04 Industrial TIF Fees
25-448-06 Institutional TIF Fees
25-448-03 Office TIF Fees
25-448-01 Residential Traffic Fees
25--448--05 Mass Transit TIF Fees
52-449 00 Parks System Dev Charge (POC)
31-450 00 Storm Drainage Syst Dev Chrg
(SSDC) -- --- -- — ---..A
24-445-01 Water Quality (Fee in lieu of)
24-445-02 Water Quantity (Fee in lieu of)
TOTAL s,
nm/3587P.WPf
w
r
xa � �
- 4 N
t-A
�� �-,
IYL
J L J I
IZIN
,7r-
ploiry ;-�a �.orr+ri�
AL
calla+
CIVIC-
r-,P�,
r�
CA r/,r2H WVI N`(I.,/
- V4
rjz-Tl Tj 0 H W ral,, l...
CRY OF T'GA RD .I.I.-I)INC; PF'PMT*T
F11-11:4MIT NO, : 1:3(.1(3511'7401:3(.1(3511'740
COMMUNITY DEVELOPMENT DEPARTMENT oMooa ISSLJIED: G/17/89
13125 S.W.Hall Blvd.,P.O.Box 23397,Tigard,Oregon 97223.1503)63941175 • VIM T .NO. (3911.740
"JG
1013 ADDES
PGS : 1.0220 W GREEN 0 RI) 2 Su
'I"-%X MAID/L.01, SUB: L.114C.OLN TWO 1-4 1-1 BK :
I
I AND USE
I-01, SIZE: V(-*4LLJIA1J0N:
pr-**AR
:
WORK CL.06S : At T'EV1A1'T(.)N UNT.I'S : 1GHT
NO . OEUPOOMS : EX"I' .WALL CONII*T :
USE (`()MMk.P(-','.I:AI--
CC)NS'1* .*T*YPF: : 1111-11A NO. BA'T'HS : N
OCCUP . C-1PIP. : 13E2 V)W('.)T .OPEN'LNGS :
UCC JF1 .I OAD e9 N W
'TO'T'AL AREA . :311.0
NO .S'TUPJ:ES : 6 P(:)(:)F (.',0N51* : F3 F,xr4i-x Pp-r? YES
FIE11GH'I' : 65 2ND: 3:1.1.0 APk-'A SEPAR7 NO RATED:
I '? NO 3RD : C)(11(`,k.JP . SI;:.PAA? YES PATE D.
I1l'!*7..ZANTNE'7 NO BA51;KM 1 1
F 1-001-4 I._(:AU 15 C*;A 1:4 A G E I-IRE 5PPI(L.P-? NO ALARM ? NO
F-LOW(GPM) DEJEC*T? NO
I-JUKA'I' 'I'YPE: C;AS HDLIP.ACCESS, Ii::!;l (:r.1F21g7 YES_
V-11 AN CHE CK BY : jhj
14ic, Principal VJ n GIV PF%J55(JE OF' NO.
I A!:il* PF.-J5SLJE
0 rclW PEPM11 $11.6 .50
W
N PI AN PF:VIEW $75.73
E IV1RIS: DEP*T 11111146.60
R
(XT*HF'.A
C DEVE1.0111MEN'T CHAWC.,ES :
0 1-10'TCA-41KISS 61 AN 5 IXI It 43 0 1.1 M I
N 50c,
T 141AMMI;--:11-1— GROW CCI-
R J()P.0.)0!-.;W (411-11'Nminu riD li , 750 PDC I*
A *23 PPEPAID < $8-141 66>
C t 1:1 i:.t I CI 1:t r 97c
TO NP (503) 2143-9400 R NO. 'TrUMM9111-:1. TO I At
IAFX.r--JP'T NO .
This permit is issued subject to the regulations contained in Tile 14
of the TIVIG, State of Oregon Specialty Codes, zoning regulations
and all other applicable codes and ordinances. and It is hereby
agreed that the work will be done in accordance with the plans and 51—An
specifications and in compliance with all applicable codes and ITW AM 1.N
ordinances The issuance of this permit does not waive restrictive T.N S L)L Al ION
covenants. Contractor and subcontractors shall have current city Ca Y P
business tax permits This permit will expire and become mull and
void it work is not started within 180 days.or If work Is suspendedr SUSPEND • CEILING
abandoned for a period of 180 days any time after work has
commenced It shall be the responsibility of the permittee to assure
all required inspections are requested and approved
natLIrr .1 014 &,jy--.q1 75
issued By lfqt4pr- -,
ee siq SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
®� TUALATIN VALLEY
FIRE and RESCUE
FIRE MARSHALS OFFICE
(503) 526-2469 POSTED:
OCCUPANT
CONTRACTOR _BLDG. PERMIT it
PROJECT NAME PLAN REVIEW it
LOCATION t
JURISDICTION: 1= Be. 2= Du. 3= n.C. (4= Ti. 5= Tu. 6= Sh. 7= Wi. 8= CC 9= WC 0= MC
COVER FINAL SPECIAL FOLLOW-UP/REINSPECTION ATTEMPTED FINAL
❑ Framing ❑ Separation Walls ❑ Sprinkler System
❑ Shaft 0 Fire Dampers (Overhead/Underground)
❑ Alarm System ❑ Hood' Extug Systems ❑ Conference
❑ Spray Booth ❑ Ceiling Cover ❑ Other_
Ile
Date: Inspector:
CITYOF T I GA R D BUILDING PERMIT
PERMIT#: BUP2004-00040
DEVELOPMENT SERVICES DATE ISSUED: 2/5/04
13125 SW Hall Blvd., Tiqard, OR 97223 (503) 639-4171 PARCEL: 1S135AB-01002
SITE ADDRESS: 10220 SW GREENBURG RD 245
SUBDIVISION: THREE LINCOLN-TOWN OF METZGER ZONING: R-12
BLOCK: LOT: 009 JURISDICTION: TIG
REISSUE: FLOOR AREAS _ _ EXTERIOR WALL CONGTRUC_TION__
CLASS OF WORK: ALT- FIRST: Sf N: —S: E: W:
TYNE OF USE ( OM 02COND: S PROJECT OPENINGS?
TYPE OF CONST: 2FR sf N: SE: W:
OCCUPANCY GRP: B TOTAL AREA: 0 sf ROOF CONST: FIRE RET?
OCCUPANCY LOAD: 15 BASEMENT: 5f AREA SEP. RATED:
STOR: HT: ft GARAGE: sf OCCU SEP. RATED:
B SMT?: MEZZ?: REQD SETBACKS _ REQUIRED
FLOOR LOAD: psf LEFT: ft RGHT: ft FIR SPKL: Y SF10K DET:
DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP ACC:
BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING:
VALUE: $ 10,000.00
Remarks: TI, new walls for existing tenant.
Owner: Contractor:
SPIEKER PROPERTIES L.P. C SCHIEWE & ASSOCIATES INC
10260 SW GREENBURG RD 1024 NE DAVIS ST
SUITE 100 PORTLAND, OR 97232
PORTLAND, OR 97223
Phone:
Phone: 503-234-6617
Reg #: LIC 54105
FEES REQUIRED INSPECTIONS
Description Date Amount Mechanical Permit Require
IBUILD) Permit Fee 2/5/04 $139.30 Electrical Permit Required
ITA X 1 R Slate Surcharl 2/5/04 $11.14 Sprinkler Permit Required
lil!PPI N Pln Its 2/5/On Framing Insp
I
$90.55 Gyp Board Insp
JI-I.SI 1-1 S Pln Its 2/5/04 $55.72 Final Inspection
Total $296.71
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
952-001-0010 through OAR 952-001-0100. You may obtain a copy of these rules or direct questions to OUNC by
calling ;933-}-24"699 or 1-800.332-2344.
Issue By:
Permittee � 7,1
Signature.
/ Call 639-4175 by 7 p.m for an inspection the next business day
Building Permit Application FOR OFFICE 17SE ONLY
Received Building
Date/By: Permit No
City of Tigard Planning Approval Other
y g Date/By: _ Permit No.:
13125 SW Hall Blvd. Plan Review / Other
Tigard,Oregon 97223 Date/By:2 '> Permit No.:
Phone: 503-639-4171 Fax: 503-598-1960 Post-Review Land Use
Date/By: Case No.
Internet: www.ci.tigard.or.us Contact Juris.: 0 see Pape 2 for
24-hour Inspection Request: 503-639-4175 Nerne/Method: Supplemental information
TYPE OF WORK REQUIRED DATA:
New construction ❑ Demolition 1 &2 FAMILY DWELLING
Addition/alteration/replacementILl Other: —-
CATEGORY OF CONSTRUCTION Note: Permit fees*are based on the total value of the work performed Indicate
1 & 2-Family dwelling Commercial/Industrial the value(rounded to the nearest dollar)of all equipment,materials,labor',
Accessory BuildinMulti-Family overhead and profit for the work indicated on this application.
g—
Master Builder PrIllier: valuation......................................................... $
JOB SITE INFORMATION and LOCATION No.of bedrooms: _ No.of baths:
Job site address: 10220 3W Gre i6ur fto Total number of floors.....................................
New dwelling area(sq.ft.)....................... ......
Suite #: S Bld ./A .#: Ik uf"h Garage/catport area(sq.fl.)...........................
Project Name: C#1Cgm b" pvyj"e_ Covered torch area(sq.R.).............................
Cross street/Directions to job site: Deck area(sq. fl.)............................................ _ !–
Other:structure area(sq.ft.)........................ ...
REQUIRED DATA::
_.__.--._ COMMERCIAL-`USE CHECKLIST
Subdivision: _ Lot#:
Tax map/parcel#: Note: Permit Iecs•are based on the total value of the work performed. Indicate
DESCRIPTION OF WORK the value(rounded to the nearest dollar)of all equipment,materials,labor,
overhead and profit for the work indicated on this application.
el,on't Im roveynevlt
-- ------ Valuation......................................................... $ �t7.
-----— --- —
Existing building arca ft. sF
- --------- New building area(sq.ft.)............................... --
Number of stories............................................ �--
--- -------- _
PROPERTY OWNER l�TENANT Type of construction......................................
Name: EQUITY nfFIC-C FR0FEPLTIeS Occupancygroup(s): Existing:
(3
Address: One SW Colum bi a Suite Soo New:
Cit /StateiZip�Qrt a O �725g _
Phone:W$ 4 1Z' -48iUO I Fax: NOTICE: All contractors and subcontractors arc required to be
APPLICANT - CONTACT PERSON licensed with the Oregon Construction Contractors Board under
provisions of ORS 701 and may be required to be licensed in the
Business Name: GSD/�'aitJectsYhc.,— jurisdiction where work is being performed. If the applicant is exempt
Contact Name: (-ay P-. Glur from licensing,the following reason applies:
Address: 1120 NW C.oveli St,. S„ r-te 300 — --
Cit /State/Zip: Fortl2K op-. - - - -- -
Phone:5o3 2Z -9Cro6Co Fax: — --- -
hV,�yy
E-mail: It1e�t¢ti ; '
Business Name: C . SCk if2.4
- _ Pces circ oplication............. ................ $� -
Address: G(O(S SW RVt✓
City/StatC/Zip: _ Amount received.............................................
PhoneGO3 64b 66(7 Fax: Date received:
CCB Lic. #: 59-las ----- -- - - -- ---
Authorized
N �.'F”U 1 Nonce: This permit application expires If a permit Is not obtained within
Signature: —_ — Date: 1 IRO days after It has been accepted as complete.
lea Glur 'Fee methodology set by Tri-('aunty Building Industry Service board.
(Please print name)
i:\MtsV'ermit Fomu\BldgPermitApp.doc 01/03
• �,� � J P
2.5-U9—
Accessibility:
Barrier Removal Improvement Plan
City of Tigard
REQUIREMENT: OREGON REVISED STATUTE (ORS) •147.2,41.
(1) Every project for renovation, alteration or modification to atfected 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 reaoily accessible to individuals with disabilities unless
s,ich 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 renovatio, , alteration or modification being done
excluding painting, wallpapering. ['I) $ ��-�
multiply; 25% Barrier removal requirement. .25
BUDGET FOR BARRIER REMOVAL [2] $
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 1A jc.. �,ve_/„ow� r ��\ l��J $ CJV.
�bL v
(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, dddittonal accessible
elements such as storage and alarms: $
TOTAL: Shall equal line 2 of Value Computation $ SCTU,CAD
i:\dsts\forms\Ncccssibility.doc 06/07/02
CITYOF T I G A R D _ CERTIFICATE OF OCCUPANCY
DEVELOPMENT SERVICES PERMIT#: BUP2004-00040
13125 SW Hall Blvd., Tigard, OR 97223 (503)639-4171 DATE ISSUED: 2/5/2004
PARCEL: 1 S135AB-01002
ZONING: R-12
JURISDICTION: TIG
SITE ADDRESS: 10220 SW GREENBURG RD 245
SUBDIVISION: THREE LINCOLN-TOWN OF METZGER
BLOCK: LOT:009
CLASS OF WORK: ALT
TYPE OF USE: COM
TYPE OF CONSTR: 2FR
OCCUPANCY GRP: B
OCCUPANCY LOAD: 15
TENANT NAME: AMERICAN HOME MORTGAGE
REMARKS: TI, new walls for existing tenant.
Owner:
SPIEKER PROPERTIES L.P. �{-� _ -�-�
10260 SW GREENBURG RDS`i� 3U U
SUITE 100
PphoeND9'7
n : 5p29 -67 a s
Contractor.
C SCHIEWE& ASSOCIATES INC
1024 NE DAVIS ST
PORTLAND, OR 97232
Phone: 503-234-6617
Reg#: LIC 54105
"This Certificate issued (022/201114 grants occupancy of the above ref9renced
building or portion thereot and confirms that the building has bup.n inspected for
compliance with the StatQsf Oregon Specialty Codes fort a group, occupancy,
nd usle un r whh h erenced permitw s i79-1
A L1�
BUILD{ , INSPE&0k BuiLib C3 FFICIAL
POST IN CONSPICUOUS PLACE
CITY OF TIGARD 24-Hour
BUILDING Inspection l.line: (503)639-4175
MST
INSPECTION DIVISION Business Line: (503)639-4171 — `
_ BUP
Received Date Requested _Z L AM---.,PM — BLIP _—
c1 c�
Location Suites MEC
Contact Person ._--_ ___ � --� �— Ph( PLM
Contractor __ Ph( _) - - SWR _.
BUILDING TenanVOwner YQ/!� l )'12 �� ELC
Footing ELC
Foundation Access: —
Fig Drain ELR
Crawl Drain
Slab Inspection Notes: SIT
Post&Beam
Shear Anchors
Ext Sheath/Shear
Int Sheath/Shear
Framing ---
Insulation
Drywall Nailing ------ -- - -- --� -
Firewall
Fire Sprinkler - --- - —--
Fire Alarm
Susp'd CSiiinq --
Roof
Other. -- - --- —
SS ART FAIL -- - - -- - _— -_ --
--------IL -
--
Po§ Beam —
Under Slab --
Rough-In
Water Service ---
Sanitary Sewer
Rain Drains -- - ---J "�
Catch Basin/Manhole
Storm Drain --- - — --- --- - ---- -- --
Shower Pen
Other. -_ - --_ - _ — ------.—�
Final
PASS PART FAIL - —'— -- —
MECHANICAL
Post&Beam
Rough-In - _ _ - -- — ---— --.— --
Gas Line
Smoke Dampers - -- -- - --
Final
PASS PANT FAIL — - ---- __.-----_ — — ---
ELECTRICAL
Service
Rough-In EP
—- -- --
UG/Slab
Low Voltage --
Fire Alarm
Final
lPART FAIL Reinspection fee of$_ required before next Inspection. Pay at City Hall, 13125 SW HL!I BlvdPASS .
SITE Please call for reinspection RE:--.. Unable to Inspect-no access
Fire Supply Line
ADA
Appruach/Si,+awalk pate Inspector Ext
Other:
Final - — 00 NOT REMOVE.this Inspection record from the job site.
PASS PART FAIT.
CPTY OF TIGARD 24-Hour
BUILDING Inspection Line: (5C3)639-4175
MST
INSPECTION DIVISION Business Line: (503) 639-4171
BUP
Received _. -. ____ _Date Requested �%� -2 :Z _ AM_ PM BUP
Location �'1�. ' �.C�1 —, Suite MEC
Contact Person _-- _ Ph( ) 3 `�� 3 PLM
Contractor _ —`_�_,_—_ Ph( ) SWR
BUILDING Tenant/Owner �� ,,,p_ r'`� ELC f 00 a
Footing
Foundation ------- ELC _
Access:
Fig Drain ELR _
Crawl Drain
Slab Inspection Notes: SIT
Post& Beam �—
Shear Anchors
Ext:Sheath/Shear
Int Sheath/Shear
Framing - - -
Insulation
Drywall Nailing
Firewall
Fire Sprinkler --
Fire Alarm
Susp'd Ceiling -
Roof
Otner. --- — - --
Final ------_._ - -
PASS PART FAIL ---
PLUM_BINa_ - - - - --- -----
Post&Beam ��-
Under Slab -- --- --- -
Rough-In
Wat,,r So,-vice - - - -
Sanita:;Sewer
Rain Drains - - - -- - --._.. -- - -
Catch Basin/Manhole
Storm Drain - - - --
Shower Pan
Other: - - -- - - - --
Final
PASS PART FAIL -- -- --
"AECHANICAL -
Post& Beam
F•-ough-In
Gas Line
Smoke Dampers
F na'
PASS PART FAIL -- _ _ -- - --- ----- -
ELECTRICAL _
Servir'
Ro-jn-In -
UG/Slab
L ow Voltage -
Fire Alarm
rl Reinspection fee of$_-_ —__..__required before next inspection, pay at City Flail, 13125 SW Hall Blvd
SS PA RT FAIL
E Please call for reinspectior RE:.____ _. ___—_ �_ Unable to inspect-no access
Fire Supply Line
ADA L M� 1/"'�'�' Ext
Approach/Sidewalk Date__- J Inspoctur - _-- f
Other:
r-inal DO NOT REMOVE this Inspection record from the job site.
PASS PART FAIL