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CONTRACT WITH
MANGER LEGEND SPRINKLERS USED
GENERAL NOTES DESIGN CRITERIA
E A AND N01ES FireEystems0-
"U" NOOK M MACWINE THREADED ROD SYM TYRE MFS/MODEL SIZE TEMF�, fINfSF'� CAhd(JPY �',�AN West
E3 COACH S1;REW ROD N TOGGLE NUT �' ' !�' 4.� Fx'�7Cv rel! j� .li. - <-� 1 AL1_ MATERIAL ANIS EC.�UIF'MENT TO ®E NEIN AND UNDEFiW�t1TERS ART iOVED 60'0 S. �IT�ME AVE., #300
Ci #,C" CLAMP P POWDER DRIVEN STUD _ 2 PIPING
DIMENSIONS
MENS ONS ARE CENTER TO CENTER EXCEPT RISER & DIMENSIONS (' ' �'�'{`��� I �i = .._..ss.T�
1 -6) WHICH ARE END TO END VANCOUVER, IN�1 ��i6'I
r_ �0
._.,__,_._.___.._._.__ _ ____ a EARTHQUAKE BRACING SHAI.I, BE PROVIDED IN ACCORDANCE WITH NFPA � 6� 9�6
D TOP BEAM CLAMP R WEDGE ANCHOR ----•____ .__._._ ._ ._... .._._ .—.. -- -_---_- ...._...__ _
EY �_ _ PAMPHLET,NO 11 � �t. �� ' i�1�--i-�a � -
E E ROD T 4 PIPE HANGERS AND METHOD OF HANGING TO BE IN ACCORDANCE WITH C
F FLUSH SHELL U — _ ______ _�___.. _______._— NFPA PAMPHLET NO 13 _.._______._____�.____
5 PIPING SHALL BE IN ACCORDANCE WITH NFPA PAMPHLET NO 13 4 X11- SIC--�.! �
G CEtIINc�.....FLIItNGE V _____._____. _____�.._ __._._________...._.___ _ ._ -� 8 JOINING F PIP � � jb .'�''�•�"' '�"'' ST c� t� '""° FIRE SWI T4QB1
— - – T��r, A O E AND FITTINGS. THREADED AND WELDED SHALL BE IN /�'
ACCORDANCE WITH N�"PA PAMPHLET NO 13
1 � '�' QUALITY CONTROL BY DATE
N SIDE BEAM BRACKEN W -------- -- _---r--'�• ----- r OWNEP' TO PROVIDE ADEQUATE HEAT TO PREVENT WATER IN PIPES FROM --
yf -- - ---- - F'REE.ZIW+3 IN AREAS PROTECTED BY A WET PIPE SPRINKLER SYSTEM APPROVED FOR FADRICATION BY DATE
fl. � "J" BOLT X
. .�._�_________. _____--______._... __. _____ ___..� . ______._._...__._.-_ _.. _ _._ _�___�__�_ S STRUCTURAL ADEflUACY OF THE BUILDING TO SEJPPOAT THE SPRINKLER APPROVED FOR INSTALL/ITOON 8Y DATE
K SNORT CLIP _
_._—___._._..__._.... ,. PIPING I i'►-OE RESPONSIBILITY OF THE OWNER AND/OA HIS STRUCTURAL M wLw ._ _ _.__ _ __ ____-__ _� REPRV1FNTATIVE DESIGNER SATE �' "�..
JOB NO. MEET
[? TOTAL THIS SHEET I ( � t�. -
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NOTICE: IF THE PRINT OR TYPE ON ANY �1 � C I � III � � I � Ill � llll � � lll I � III � I Ill � lll IIIIIIIIIIIIIIIiIIIIIII Illllll 111 1111 111 III III Ill III III 111 IPI III f ► I ' I � I 111 III I + I III III ( � ( Illl III III IIIIIII III III VIII
IMAGE IS NOT AS GLEE �R AS THIS1 I � I � I � I I
NOTICE, 1 � 2 �� �.
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IT IS DUE TO THE QUALITY OF THE No.36 ,���•�W��• . �,,,�, ,
ORIGINAL DOCUMENT � _. . -- -- – — -- -- >- ----
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10220 SW GREENBURG ROAD
r t*••,,•' •, �' - t-SUITE 250 +-
1999
SAVE - HISTORICAL INFORMATION
BUILDINGS) NAME CHANGE
PER KIT CHURCH, ENGINEERT,NG
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
_ CERTIFICATE OF OCCUP/S,�r_CY
CITY OF TIOARD
DEVELOPMENT SERVICES PERMIT#: B
DATE ISSUED: 10/0511/05/1 9-00438
999
13125 SW Hall Blvd.,Tigard, OR 97223 (5031639-4171 PARCEL: 1S135AB-01004
ZONING: C-P
JURISDICTION: TIG
SITE ADDRESS: 10220 SW GREENBURG RD 250 FILE
COPY
SUBDIVISION: TWO LINCOLN - TOWN OF METZGER
BLOCK: LOT:
CLASS OF WORK: ALT
TYPE OF USE: COM
TYPE OF CONSTR: 2FR
OCCUPANCY GRP: B
OCCUPANCY LOAD: 51
1ENANT NAME: RAPIDIGM
REMARKS: TI
Final Building Inspection and Certificate of Occupancy Approved
10/29/99 by George Steele, Building Inspector
Owner: —
KNICKERBOCKER PROR !NC XXIV
BY NORRIS, BEGGS + SIMPSON
10300 SW GREENBURG RD STE 200
PORTLAND, OR 97223
Phone:
Contractor:
PIONEER CONSTRUCTION SERVICE
PO BOX 68304
MILWAUKIE,OR 97268
Phone: 652.-1050
Reg#: LIC 00128689
This Certificate grants occupancy of the above referenced building or portion thereof and
confirms that & , 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 INSP OR BUILDING OFFICIAL
POST IN CONSPICUOUS PLACE
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24-Hour Inspection Line: 639-4175 Business Line: 639-4171
C BUP
Date Requested /1) ( AM PM BLD
Location- c ' c �Ov �d'(✓� Suite S C' MEC
Contact Person �Gl'� �C r l�J�'l�' ' Ph — _ PLM _
Contractor Ph SWR
BUILDING Tenant/Owner c ,yr ELC
R �`'�
Retaining Wall EL '
Footing Access: FPS
Foundation
Fig Drain SGN
Crawl Drain Inspection Notes:
Slab _._ — SIT
Post& BeF rn
Ext Sheath/Shear - --
Int Sheath/Shear
Framing - ---- - - ----- - --
Insulation
Drywall Nailing
Firewall
Fire Sprinkler - ---
Fire Alarm
Susp'd Ceiling -- - V-`'�-�- � �--�`-- --------- - - ----_._
Roof
Misc: ___ ------- -------- ___.-----_..__----- ---
Final
PASS PART FAIL -- -
PLUMBING -------- _---_____-_
Post& Beam - __ ------ -— -
Under Slab -----
Top Out
Water Service - --- --
Sanitary Sewer
Rain Drains ------ ---- ---- -- - - - -
Final
PASS PART FAIL --
MECHANICAL
Post 8 Beam -- - ------ ------- -_—__ —
Rough In ---__--- -- --- - — - -
Gas Line - -
Smoke Dampers
Final --- ---- -
p FAIL
,71
_Je
I-ireAlairn — __ --- - -- —--------- _
ASS ART FAIL --.-------- ----- -- - --
IF -— - — '
Sanitary Sewer
Storm Drain [ Reinspection fee of$ required before inspection y at City Hall, 13125 SW Hall Blvd
Catch Basin able to inspect- no access
Fire Supply Line
[ ]Please call for reinspection RE---_ -_ _ I 1 P
ADA
Approach/Sidewalk Date _ ' �_ Inspector _ xt _
Other -
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
CITY OF TIGARD BUILDING INSPECTION DIVISION MST _
24-Hour Inspection Line: 639-4175 Business Line: 639-4171 BUP _
Date Requested / /�� AM - PM — BLD
Location /G>����' ' N �xerC _ Suite - SU _ MEC _
'• ) ti(' �iIti�N.SG1c.� (OAC; l�US.�.S� PLM
Contact Person � �� -� U�OI .� Ph —
Contractor Ph SWR
n� , ELc t
BUILDING Tenant/Owner << I
ELR
Retaining Wall
Footing Access: FPS
Foundation
Fig Drain SGN
Crawl Drain Inspection Notes: SIT
Slab -- ---
Post& Beam _
Ext Sheath/Shear
Int Sheath/Shear
Framing -
Insulation — ------ —__--� _--
Drywall Nailing ------ - ---_ - --
Firewall __-
Fire Sprinkler
Fire Alarm — — ---
Susp'd Ceiling - ---—
Roof
Misc. -
Final
PASS PART FAIL -
PLUMBING —
Post&Beam
Under Slab
Top Out - — —
Water Service - — ----- — -- _
Sanitary Sewer
Rain Drains - --- - - --
Final _
PASS PART FAIL -
MECHANICAL --
Post&Beam
Rough In -- - —
Gas Line --— - _
Smoke Dampers - - --
Final -- -- ------- _
PASS At3T FAIL ----
� ECTRICAt.,
- ----
Service -----
Rough In
UG/Slab -
Low Voltage _ ---
Fire Alarm - ---
S ART FAIL -- --- -- —— —
SITE
Backfill/Grading - -
Sanitary Sewer required before ne inspection. Pay at City Nall, 13125 SW Nall Blvd
Storm Drain I ]Reinspection fee of$ q
Catch Basin I ] Please call for reinspection RE I ]Unable to inspect-no access
Fire Supply Line
ADA %/
Approach/Sidewalk [tate 4 ` -�. ff
_ Inspector —____ Ext —_—
Other I
Final
PASS PART FAIL 00 NOT REMOVE this inspection record from the job site.
CITY OF TIGARD BUILDING INSPECTION DIVISION
/ , MST _ —
24-Hour Inspection Line: 639-4175 Business Line: 639-4171 _` BUP
Date Requested (6 � % -AM--' PM BLD _
Location 1043 Q (p/e l 6U 464--- Suite pMEC
-
Contact Person j0vm/ A ��✓ � ��� Ph � ^ 3 PLM
Co SWR
Contractor _ Ph -
ELC
B 11_DING Tenant/Owner r - -�
ELR _
Retaining Wall
Footing Access FPS
Foundation
Fig Drain SGN _
Crawl Drain Inspection Notes: — SIT —�
Slab -- —
Post&Beam
Ext Sheath/Shear
Int Sheath/Shear
Framing -------
Insulation -
Drywall Nailing ---- —
Firewall
5 ri
Fire larm
Susp'd Ceiling -- --------
Roof
to
SS PART FAIL — -
FP-LUWING -
Post 8 Beam Nool
Under Slab
Top Out --
Water Service
Sanitary Sewer
Rain Drains -_ --_
Final
PASS PART FAIT_ —
MECHANICAL —
Post&Beam - - --
Rough In
Gas Line
Smoke Dampers
Finel
PASS PART FAIL_
ELECTRICAL
Service ---- -- —
Rough In
UG/Slab
Low Voltage
Fire Alarm —_ - -------— --___
Final
PASS PART FAIL -__ --- —SITE ------ -- - --
Backfill/Grading
Sanitary Sewer i Reins ection fee of$ _.required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Storm Drain ( P
Catch Basin please call for reinspection RE: _. I Unable to inspect-no access
Fire Supply Line
ADA
Approach/Sidewalk Detc q-- Z ` _q_? _ Inspector -_ Ext
Other
Final
PASS PART FAIL. , DO NOT REMOVE this inspection record from the job site.
�\ BUILDING PERMIT
CITY OF TIGARD
PERMIT#: BUP1999-00456
DEVELOPMENT SERVICES DATE ISSUED: 10/20/1999
13125 SW Hall Blvd..Tiqard, OR 97223 (503) 639-4171 PARCEL: 1S135AB-01004
SITE ADDRESS: 10220 SW GREENBURG RD 250
SUBDIVISION: TWO LINCOLN - TOWN OF METZGER ZONING: C-P
BLOCK: LOT: JURISDICTION: TIG
REISSUE: _FLOOR AREAS _—_ _ EXTERIOR WALL CONSTRUCTION
CLASS OF WORK: FPS FIRST: sf N: S: E: W:
TYPE OF USE: COM SECOND: sf PROJECT OPENINGS?
TYPE OF CONST: sf N: S: E: W:
OCCUPANCY GRP: TQ'I'AL AREA: sf ROOF CONST: FIRE rET?
OCCUPANCY LOAD: BASEMENT: sf AREA SEP. RATED:
STOR: HT: ft GARAGE: sf OCCU SEP. RATED:
BSMT?: MEZZ?: REQD SETBACKS REQUIRED_ _
FLOOR LOAD: psf LEFT: ft RGHT: ft FIR SPKL: SMOK DET.
DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP ACC:
BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING:
VALUE: $ 500.00
Remarks: Relocate four (4)sprinkler heads.
Owner: Contractor:
KNICKERBOCKER PROPERTIES INC BASIC FIRE PROTECTION INC
BY NORRIS BEGGS & SIMPSON 940 NE LOMBARD ST
10300 SW GREENBURG RD STE 200 PORTLAND, OR 97211
Pgpone:TLAND, OR 97223 Phone: 285-1855
Reg#: LIC 000486
FEES REQUIRED INSPECTIONS _–
'Type By v Date Amount Receipt Sprinkler inspection
PRMT GEO 10/20/199 — $50 00 99-319225 Final Inspection
5PCT GEO 10/20/199 $4.00 99-319225
Total $54.00
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR.
Specialty Codes and ail 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 isEuance, 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 ales or direct questions to OUNC by calling (503) 246-1987
Pennitee
Signature:
Issuers By: —��-----
Call 639-4175 by 7 p.m. for an inspection, the next business day
Fire Protection Permit Application Plan Check#
CITY OF TIOARD Commercial or Residential Rev'd By___
13125 SW HALL B'I_VD. Date Recd _
TIGARD, OR 97223 Print or Type Date to P.E.
(503) 639-4171, x. 304 Incomplete or illegible applications will not be accepted Date to DST _
Permit
Called
Job N cf Development/Project Type of System (Complete A or B as applicable)
Address Add-e s —
- D rte,f A.) Sprinkler Wet ❑ Dry ❑
N me Standpipes —
Owner Pailing Address Hazard Group
67 '� �cc/ 5rz-Zoo Additional
ate
Cit /StZi r'hone --- --
� P I — Information Density
7aflin,)
Design Area
Occupant Address --W Factor
/O?OCA fX10 Gact' _ __ ___
cilyrsiate Zip Phon A 1) Sprinkler Project Valuation $
� /W? _
Contractor N " B.) Fire Alarm _y --
(Sprinkler or rel�i� I� _
Alarm Company) MAidrp Address Submittal Shall Include Battery Calculations YES❑
Prior to permit4!/Q/"!' C'i^yr�PvZ�7
I3sUance,a CityrState Zip Phone Individual Component YES
copy ,�((el Z/ Cut Sheets
of all licenses P[?�(/Lr�IN��C G aj�QS /Y�5-57 — �-
B. 1) Fire Alarm Project Valuation
are required If SatpConsr Cont Board l-ic.# Exp. Date _
expired in COT
Database Project Valuation Subtotal(A & or B) $
Ilam — — ---
Permit fee based on valuation $ �•�
Architect Mailing Address see chart on back)
— 6% Surcharge $ o0
City/State -- Zip Phone FLG Plan Review 40%of Permlt $
Describe work A.)New O Addition G Alteration Repair O TOTAL •
to be done: $ _
B) Modification to sprinkler heads only —— --------.— _
1. 1-10 heads=No plans required Plans required Submit three sets of plans, including a vicinity map and
2 11—Plan review required the location of the nearest hydrant.
r_—
__—_—---_---------------___--------_ -------_----_-------- I hereby acknowledge that I have read this application,that the information given is
_ Number of sprinkler heads: correct•that I am the owner or authorized agent of the owner,and that plans submitted
Additional Description of Work
are In com thence with Oregon on State laws
5 SI Pre of O Agent Date — —
A.)In Existing Buildin New Building ❑ Ci �, AC7
----
Building Con ,r�Name Phone
Data B.) Commercial Residential (] CEtil�t
FOR OFFICE USE Ot
No of stories -- Plat# — Wap/T L#:
Sq Ft _
Notes
Occupancy Class Type of Construction
_CieY 3r�
i \dsts\fotms\firesupr.doc 10/14/99
\ CITY OF TIGARD ELECTRICAL -
ENER
RESTRICTED ENERGY
DEVELOPMENT SERVICES PERMIT M ELR1999-00242
13125 SW Hall Blvd.,Tiqard, OR 97223 (503) 639-4171 DOTE ISSUED: 10/15/99
SITE ADDRESS: 10220 SW GREENBURG RD 250PARCEL: 1S135AB-01004
SUBDIVISION: TWO LINCOLN - TOWN OF il1ETZGER -RI GIN•••• 1111 ZONING: C-P
BLOCK: LOT: ISDICTION: TIG
Proiect Description: Installation of data telecommunication system.
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:HER: HVAC: PROTECTIVE SIGNAL:
INSTRUMENTATION: OTHER:
TOTAL#OF SYSTEMS: 1
Owner: Contractor:
KNICKERBOCKER PROPERTIES INC PAVELCOMM INC
BY NORRIS BEGGS & SIMPSON 1640 NW 14TH AVE
10300 SW GREENBURG RD STE 200 PORTLAND, OR 97209
PORTLAND, OR 97223
Phone: Phone:
Reg#: ELE 26-559CLE
LIC 00063863
FEES Required Inspections
Type By Date Amount Receipt Low voltage Inspection
PRMT DEB 10/15/99 $60.00 99-319115 Elect'I Service
5PCT DEB 10/15/99 $480 99-319115
Total $64.80
L
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 witfvrt 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION Oregon law
rerfres you to follow rules adonte by the Oregon Utility Notification Center. Those rules are set forth in OAR
9,82 001 0010 through rJ R P5? 0 1 00,W/ You may obtain copies of these rules or d7-
l4sped
questions to OIJNC at (503)
�46-19�'i7.
by Permittee SignatureI, � , -
OWNER INSTALLATION ONLY
The installation is being made on property I own which is not intended for sale. lease, or rent.
OWNER'S SIGNATURE: DATE:
CONTRACTOR INSTALLATION ONLY _
SIGNATURE OF SUPR. EI_EC'N DATE.
LICENSE NO:
Call 639-4175 by 7:00 P.M. for an inspection needed the next bush,cgs day
CITY OF TIGARD RESTRICTED ENERGY ELECTRICAL APPLICATION Recd by(-- '
13125 SW HALL_ BLVD Date Rec'd
TIGARD OR 9722.3 PRINT OR TYPE
V- 503-639-4171 X.304 Permit#:
F -503-684-7297 INCOMPLETE OR ILLEGIBLE APPLICATIONS Cust.Call'd:
WILL NOT BE ACCEPTED
e of Develo ment Project TYPE OF WORK INVOLVED -RESIDENTIAL _
I Restricted Energy Fee........................................ $40.00
r 0 (FOR ALL SYSTEMS)
JGB St r t dyes St # Check Type of Work Involved
ADDRESS 2161 S(,Jj. f ep_obuTC � 5o yp
-`
'Mr-
D Phone# ❑ Audio and Stereo Systems
Name J ❑ Burglar Alarm
OWNER Mailing Address ❑ Garage Door Opener'
— —'
City/State— Zip Phone# ❑ Heating,Ventilation and Air Conditioning System'
-- ee/ \�/ / n f� ❑ Vacuum Systems'
lel_V l�l.�_ � � _L. ❑ Other -- -- - -
CONTRACTOR ai ddr s
�.� TYPE OF WORK INVOLVED -COMMERCIAL
— — — — ---
(Prior to issuance a t�l�tptf/ # Fee for each system.............................................. yta.00
copy of all licenses L t"j(k �72D9 4 1V (SEE OAR 918-260-260)
are required if O on C9 tr. rd Li Exp. Date l
expired in C Q T n �'L Check Type of Work Involved
data base) ^ C c Exp Date ❑
Audio and Stereo Systems
C T r o # Exp Date
__ ❑ Boiler Controls
Owner's Namc
"_ ❑ Clock Systems
OWNER - Mailing Address
APPLICANT Data Telecommunication Installation
City/State Zip Phone# ❑
Fire Alarm Installation
Thiss perrnit is issued under OAE 918-320-370 This applicant agrees to
make only restricted energy installations(100 volt amps or less)under this ❑ HVAC
permit and to do the following
❑ Instrumentation
1 Only use electrical licensed persons to do installations where required
Certain residential and other transactions are a-empt from licensing ❑ Intercom anti Paging Systems
These have asterisks(') All others need licensing,
❑ Landscape Irrigation Control'
2 Call for inspections when installation under th-s permit are ready for
inspection at 503-6394175; L:] Medical
3 Purchase separate permits for all installations that are not ready for an ❑ Nurse Calls
inspection when the inspector is out to inspect under this permit,
4 Assume �,sponsibility for assuring that all corrections required by the ❑ Outdoor Landscape Lighting'
inspector are done,and,
❑ Protective Signaling
5 Assume responsibility for calling for a final inspection when all of the
corrections are completed ❑ Other _
Permits are non-transferable and non-refundable and expire if work is not
started within 180 days of issuance or if work is suspended for 180 days R----Number of Systems
1 he person signing for this permit must be the applicant or a person No licenses are required Licenses are required for all other Installations
authorized:, bind the applicant
n A/ J '
ENTERFEES $
Signat r _
5%SURCHARGE(.05 X TOTAL ABOVE) $ to—
Authority
if other than Applicant TOTAL $
vesele.doc 12196 —
CELECTRICAL PERMIT
CITY O F T(GA R D
PERMIT#: ELC1999-00611
4 DEVELOPMENT SERVICES DATE ISSUED: 10/15/1999
1312.5 SW Hall B'vd., Tiqard, OR 97223 (50311639-4171 PARCEL: 1 S 135AB-01004
SITE ADDRESS: 10220 SW GREENBURG RD 250
SUBDIVISION: TWO LINCOLN -TOWN OF METZGER ZONING: C-P
BLOCK: LOT : JUR!SDICTION: TIG
Proiect Description: Install 3 branch circuits.
RESIDENTIAL UNIT TEMP SRVC/FEEDERS _ MISCELLANEOUS
1000 SF OR LESS: 0 - 200 amp PUMP/IRRIGATION:
EACH ADD'L 500SF: 201 - 400 amp: SIGN/OUT LINE LTG:
LIMITED ENERGY: 401 - 600 amp: SIGNAL/PANEL:
MANE HM/SVC/FDR: 601+amps - 1000 volts: MINOR LABEL (10):
SERVICEIFEEDER BRANCH CIRCUITS
" — ADD'L INSPECTIONS _
0 - 200 amp: W/SERVICE OR FEEDER: PER INSPECTION:
201 - 400 amp: Ist W/O SRVC OR FDR: 1 PER HOUR:
401 - 600 amp: EA ADD'(_ BRNCH CIRC: 2 IN PLANT:
601 - 1000 amp: _ PLAN REVIEW SECTION
1000+ amp/volt: >=4 RES UNITS: > 600 VOLT NOMINAL:
— Reconnect only: SVC/FDR >-226 AMPS: _ CLASS ARE. /SPEC OCC:_
Owner: Contractor:
KNICKERBOCKER PROP, INC XXIV CHRISTENSON ELECTRIC: INC
BY NORRIS, BEGGS + SIMPSON 111 SW COLUMBIA
10300 SV11 GREENBURG RD STE 200 STE 480
PORTLAND, OR 97223 PORTLAND, OR 972.01
Phone: Phone: 241-4812
I
Reg #: LIC 000456
32895
SUP 3289S 'v O R I G I N A L
Pl_M 2468S
EL E 26-34C
F FEES Required Inspections _
Type By Date Amount Receipt —
Elect'( Service
PRMT KJP 10/15/1990 $48.20 99-319108 Elect'( Final
5PCT KJP 10/15/1990 $3.86 99-319108
Total $52.06
"rhes Permit is issued subject to the regulations contained in the Tigard Municipal Code,State of OR Specialty Codes and all other applicable laws
All wort~will be gone 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 Oregon 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 OUNC at(L03)
246-1987
PERMITTEE'S SIGNATURE ISSUED BY:
OWNER INSTALLATION ONLY
The installation is being made on property I own which is not intended for sale, lease, or rent.
OWNER'S SIG'JATURE: _ DATE:
_CONTRACTOR INSTALLATION ONLY
SIGNATURE OF SUPR. ELEC'N: DATE:
CJ 7-3
LICENSE NO: -------
Call 639-4175 by 7:05pm for an inspection the next business day
CITY OF TIGARD RE IVf 4'. Plan Check rt _
13125 Ski HALL BLVD. 1ed1 ICal Permit Application Recd by
TIGARD OR 97223 lel%� ') I����� Date Recd _
Phone (503)639-4171, x304 Dale to P F
COMMUNITY DEVELO MENM Date to DS
Inspection (503) 639-4175 Print of Type Permit# G_L C /q99- ovlri
Fax (503) 596-1960 Incomplete or illegible will not be accepted r:alled
STMPSOILNT
1. Job Address: 4. Complete Fee Schedule Below:
Name of Development LINCOLN II Number of Inspections per permit allowed
Name(or name of business)RAPIDIGM _ Service included: Items Cost Sum 11
Address 10220 SW GREENBURG RD SUITE 250 4a. Residential-per unit
City/State/Zip PORTLAND OR 1000 sq.ft.or less $ 117.75 4
- Each additional 500 sq.ft.or _
portion thereof $ 2625 t
Commercial QX Residential ❑ Limited Energy _ $ 60.00
Each Manufd Home or Modular
2a. Contractor installation only: Dwelling Service or Feeder $ 72 75 2
(Prior to permit issuance,applicants must provide contractor license 4b.Services or Feeders
information for COT data base). Installation,alteration,or relocation
Electrical Contractor-CHRISTENSON ELECTRIC. INC. 200 amps or less $ 64.25 2
Address Ill SW COLUMBIA SUITE 480 201 amps to 400 amps $ 85.50 - 2
City PORTLAND State OR Zip 97201-5886 401 amps to 600 amps $ 128.50 - 2
801 amps to 1000 amps $ 192.50 2
Phone No, 503 241-4812 _ Over 1000 amps or volts $ 363.75 2
Job No. 62-07590 Reconnect only $ 53.50 2
Elec. Cont. Lice No. 26-34C Exp.Date 10/00 4c.Temporary Services or Feeders
OR State CCB Reg. No. 458 Exp.Date 5/03 Installation,alteration,or relocation
COT Business Tax or Metro No. 5246 Exp.Date l 2J99 200 amps or less $ 53.50 2
( 201 amps to 400 amps $ 8025 2
Signature of Sitpr,_,61r_7F-, p
6- 401 amps to 800 amps _ $ 10700 == z
'= Over 600 amps to 1000 volts,
License Nu. 8 7 3 S Exp Date_ 10/,01 see"b"above.
Phone No. (503) 241-4812 4d.Branch Circuits
- -- ---- New,alteration or extension per panel
a)The fee for branch circuits
2b. For owner installations: with purchase of service or
feeder lee.
Print Owner's Name_ Each branch circuit $ 535 _ 1
Address bl the fee for branch circuits
City State Zip
without purchase oI service
_ or feeder fee.
Phone No. First branch circuit 1 _ $ 37 50 37.50
Each additional branch circuit Z $ 5 35 �0_-ZO-.-
The installation is being made on property I oli-i which is not 4e.Miscellaneous
intended for sale,lease or rent. (Service or feeder riot Included)
Each pump or irrigation circle $ 42 75
Owner's SignatureEach sign or outline lighting $ 42 75
-- - - Signal circuit(s)or a limited energy ---
3. Plan Review section (if required):* panel,alteration or extension - _ $ 6000
Minor Labels(10) $ 10700 _
Please check appropriate item and enter fee In section 5B. 4f.Each additional Inspection over
_ 4 or more residential units In one structure the allowable in any of the above
_ Service and feeder 225 amps or more Per inspection $ 5000
Per hour $ 5000 _
System over 600 volts nominal in Plant $ 5900
Classified area or structure containing special occupancy as -
described In N E C Chapter 5 5. Fees:
5a.Enter total of above fees $ 48.20
" Submit 2 sets of plans with application where any of the above apply. 5%Surcharge(05 x total fees) 8y $
Not required for temporary construction services. Subtotal $ 5 9 n6
5b.Enter 25%o!firm Ila for
NOTICE Plan Review If required(Sec 3) $
PERMITS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED Subtotal $ --s2-46
IS NOT COMMENCED WITHIN 180 DAYS,OR IF CONSTRUCTION OR
WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS ❑ Trust Account# 52.0(�
AT ANY TIME AFTER WORK IS COMMENCED Total balance Dile $
i ldsls\forms\c IcctrIC.doc
CITY OF TIGARDBUILDING PERMIT
PERMIT#: BUP1999-00438
DEVELOPMENT SERVICES DATE ISSUED: 10/05/1999
13125 SW Hall Blvd., Tiqard, OR 97223 (503) 639-4171 PARCEL: 1S135AB-01004
SITE ADDRESS: 10220 SW GREENBURG RD 250
SUBDIVISION: TWO LINCOLN - TOWN OF METZGER 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: 5.111 sf PROJECT OPENINGS?
TYPE OF CONST: 2FR St N: S: E: W:
OCCUPANCY GRP: B TOTAL AREA: sf ROOF CONST: FIRE RET?
OCCUPANCY LOAD: 51 BASEMENT: sf AREA SEP. RATED:
STOR: HT: ft GARAGE: sf OCCU SEP. RATED:
BSMT?: MEZZ?: READ SETBACKS REQUIRED
FLOOR LOAD: psf LEFT: ft RGHT: ft FIR SPKL: SMOK DET:
DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP ACC:
BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING:
VALUE: $ 20,685.00
Remarks: Construct walls to ceiling. Fire sprinkler, electrical, and mechancial permits are required.
Owner: Contractor:
KNICKERBOCKER PROP, INC XXIV PIONEER CONSTRUCTION SERVICE
BY NORRIS, BEGGS + SIMPSON PO BOX 68304
10300 SW GREENBURG RD STE 200 MILWAUKIE,OR 97268
P Phone ND, OR 97223 Phone: 6521-1050
Reg #: uc 00128689
FEES REQUIRED INSPECTIONS
Type By Date Amount Receipt Framing Insp
PRMT KJP 10/05/199 $22.5.75 99-318860 Gyp Board Insp
PLCK KJP 10/05/199 $146.74 99-318860 Susp Cpeg Insp
Final Insspection
5PC T KJP 10/05/1991: $18.06 99-318860 ORIGINAL
FIRE_ KJP 10/05/199E $90.30 99-318860
Total $480.85
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR.
Specialty Codes and all other applicable law All work will be done in accordance with approved plans
This permit will expire if work is not started within '180 days of issuance, or if work is suspended for more
than 180 days. ATTENTION. Oregon law requires you to follow the rules adopted by the Oregon Utility
Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-1987. You
may obtain a copy of these rules or direct questions to OUNC by calling (503) 246-1987.
Pennitee y� y�
Signature: /�x
Issued BY:
Call 639-4175 by 7 p.m. for an inspection the next business day
CITY OF TIGARD Commercial Building Permit Application Plan Check
13125 SW HALL BLVD. Tenant Improvement Recd By
Date Recd
TIGARD, OR 97.23 Date to P.E.
(503) 639-4171 ��—�� �: fL Date to DS JNI"
Print or Type Permit
/'✓cul (7 Related SWR# _
Incomplete or Illegible applications w1Tf n—o1Ge accepted Called
Name of DevelopmenCProiect Existing Building New Building pl
Job L;n<c-,1►1 Ceyl' K
Address 5rreet Address Suite -- Building L irtcc ly) Gevi(�-'l
10221:>SW Gr"borg 50 Data _--
Bldg# CityfSlate Zip Existing Use-of Building of Property
L-INca M �ovt�2KG'� Y-. 972Z1 t'� �-f ice
Name 1 Proposed Use of Building or Property:
Property Kn'c{�ev Yl�► Pro r'leS Inc.
Owner Mailing Address Suite —
`0 No. Of Stories:
City/State Zip Phone SIX
�Y'�ia► - 97227 �2- 900 Sq. Ft. Of Project:
5
Occupant Name Occupsancy Class(es)
i1ir) r
_T Name F'
CurtractcrType(s)of Construction
PbCtms't ruc"t IUVI
Prior to permit Mailing Address sults Will this project have a Fire Suppression System?
of all licenses I 'SCJ
issuance,a copy ").�X !b�� _ Yesn No 0
are required It City/State Zip Phone Americans with Disabilities Act(ADA)
expired In C O T
database M i l vvao ie CF-, 97222- 0524-1C)"50 Valuation X 25% = $0.17125 Participation
__
Oregon Conal ont.Board Lic# Exp.Date Complete Accessibili Form
Ze-C:, Project $ ()C) vl
-- — Name -- - Valuation / _—
Architect CCK) Arrti i ter-GS, Inc, Plans Required: See Matrix for number of sets to submit 1
Mailing Address Suite On back — ---I
)20 W 3 ,Wen,,)e
City/State ,+� Zip Phone I hereby acknowledge that I have read this appl, ion,that the information
Vbr�aN I (: � 9724 2.2 ��F(�� given is correct,that I am the owner or authorizea agent of the owner,and
— that plans submitted are in compliance with Oregon State Laws
Engineer Name
Signature of Owner/Agent Date
Mailing Address Suite /'hL(- >2 . 0 J 99 _
COt Person Name Phone
CdylState J Zip — Phone — 1 •c� P-, G l o r 224 --9 W
- — --- �- FOR OFFICE USE ONLY _
Indicate type of work New O Addition O Demolition O Map/TL# I-and Use:
Accessory Structure O Foundation Only O Alteration�i(
Repair O _ Other O _ _ Notes:
Description of work:
TIF
Noto: Site Work Perinit Application must precede or accompany Building
Perrnit Application
1 1COMNEWTI DOC (DST) 5198
COMMERCIAL PLAN SUBMITTAL
REQUIREMENT MATRIX
Plan Review is dependent upon submittal of BOTH plans AND a CkOMPLETED
application. For an electrical submittal, the application must contain the
signature of the supervising electrician before plan review will be conducted.
After plan review approval, Plans Examiner will contact the applicant to request
additional plan sets for distribution purposes. (Copy for Contractor, City,
Washington County, Tualatin Valley Fire & Rescue)
—�
Total # of
TYPE OF SUBMITTAL Plans KEY:
_ Submitted
S (Private) 1 S = Site Work
B (New or Add) 1 B = Building
F (New or Add or Alt) 3 F = Fire Protection System
M (New or Add or Alt) 1 M = Mechanical
B & M (New or Add) 1 P = Plumbing
P (New, Add, or Altl!
2--
E = Electrical
B & M & P (New or Add) i 2 � New = New Building
--c—New, Add, or r".lt)^ 2 Add = Addition
B & F & M & P & F 3 Alt = Alternation to Existing
(New , Add) Building
*B or B & M (Alt) 1
*B & M & P (Alt) w 3
*B & M & P & E(Alt) 3
_WB—& M 3
NOTES:
:'.:y: ;ri::;':"•:"p:;i`!"ii`;r;.ii'i ;i�•��2iii;ii> <,t F:;ti ktii;>;;;yx,'t�sSY
*Shaded areas designate ALT submitfals only, yR§�
I\dstslformsVnatrxcom doc 10/30198
OZ L S+t-- 1Z50 1��5 fq9
SUBJECT: ACCESSIBILITY
BARRIER REMOVAL IMPROVEMENT PLAN
REQUIREMENT: OREGON REVISED STATUTE (ORS) 447.241.
(1) Every project for renovation,alteration or modification to affected buildings and related
facilities shall be made to insure that the path of travel to the altered area and the restroom,
telephones and drinking fountains are readily accessible to individuals with disabilities unless
such alterations are disproportionate to the overall alterations in terms of cost and scope.
(2) Alterations made to the path of travel to an altered area may be deemed disproportionate to
the overall alteration when the copt exceeds twenty-five per-cent(25%).
VALUATION of all renovation, alteration or modification being done _
excluding painting, wallpapering. (1] $ 2-010
multiples 25% Barrier removal requirement. 25
BUDGET FOR BARRIER REMOVAL 2, $
In choosing which accessible Nements to provide under this section, priority shall be given to those
elements that will provide the greatest access. Elements Ghall be provided in the following order:
(a) Parking (otre-Itt-i p i rq ,hew cuv40 c uts , $ `�� 1-71 ,2s
sidewa.lks,sake( accessible stalls,
(b) An e_cessible entrance: $
(c) An accessible route to the altered area: $
(d) At least one accessible restroom for $_
each sex or a single unisex restroom:
(e) Accessible telephones: $
(f) Accessible drinking fountains: and $
(g) When possible, additional accessible
elements such as storage and alarms: $
TOTAL: Shall equal line 2 of Value Computation $
i Ad�iq\fim s\acc"s do,
OVER-THE-COUNTER (OTC) PERMIT PLAN REVIEW
COMMERCIAL (STRUCTURAL.) BUILDING PERMIT CHECKLIST
DESCRIPTION OF PROJECT: <<' h s' f , 4
CLASS OF WORK: 1 t FLOOR AREAS: EXTERIOR WALL CONSTRUCTION
TYPE F USE: FIRST SQ. FT. N: S: E: W
TYPE OF
CONSTR. r IL _ SECOND J:L SQ. FT PROTECT OPENINGS?
OCCUPANCY GRP:__ `� THIRD SQ FT. N S: _ E: W:
__—
OCCUPANCY LOAD: TOTAL SQ FT ROOF CONSTR: ^ FIRE RET
STOR:` HT:__ FT: BSMNT: SQ. FT AREA SEP, RATED.
BSMNT? MEZZ?: GARAGE SQ. FT OCCU.SEP.RATED
FIRE FIRE SMOKE HANDICAP
SPRINKLER: ALARM.—_ DETECTOR: _ ACCESS _
COMMERCIAL INSPECTION ACTIONS FEE MENU
Foot/Found Post/Beam rl 1 t �� $ 7 S__Permit Fee
Masonry _.�_ Framing $�`l 6 l Plan Review
Insulation Shear Wall 8% State Surcharc
'-J J
Firewall Gyp Board
L� ` D ;' FLS Plan Review
�` $ —
Suspended Ceiling _ Sprinkler Rough-in $ —Add] Permit Fee
Sprinkler Final _ Fire Alarm $ _Add'I FLS Pin
Smoke Detector Approach!Sidewalk $ _Inspection
Miscelianeous Final $ MIS Fee
FOR OFFICE USE ONLY:
TYPE OS USE OPTIONS(COM-commercial; CMS-commercial manufactured structure)
CLASS OF WORK OPTIONS FOR ALL PERMITS(NEW-new;Add addition;ALT=alteraw-,ti.ACS=accessory;FND-foundatioil
OTR=other;DEM=demolition;REP=repair;FPS=fire protection system, NOTE: I.JSE OTR FOR FENCES, RE I'AINING
WALLS, DETACHED DECKS, SIGNS,AWNINGS. CANOPIES)
I\ovrcnlr2 doc (DST) 9199
��
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I
I
J`�.
_.�.
�--
CITY OF TIGARD BUILDING :NSPECTION DIVISION MST
24-Hoer Inspecti,,i Line: 639-4175 Business Line: 639-4171 -------
I BLIP _
Date Requested 1�� 1 t CA -AM— PMr _Cer= B, �-
Location�fL���; Suitv�SCJ MEC
Contact Person ,,�1,.�► _� J Ph i -(�, -1-c 9 PLM
Contractor` Ph _ �� ) SWR
BUILDING_ Tenant/Ownet ELC
Retaining Wall
Footing rELR
Foundation Access
Fig Drain
Crawl Drain Inspection Notes:Slcb -_ - - -----Pcst& BeamIExt Sheath/ShearInt Sheath/ShearFraming
Insulation
Drywall Nailing _-
Firewall
IF. .Sprinkler
Fire Alarm ---
Susp'd Ceiling --
Roof
Misc:
Final
PASS PART FAIL ----.. _---- ---._____�_--__-_------------------__�.
PLUMBING
Fost& Beam
Under Slab
Top Out
Water Service
Sanitary SewerRain Drains
Drains
Final ------- ---- -------------------._-_---
PASS PART FAIL
MECHANICAL
Post&Beam - ------------ --.__.A�,
Rough In -- -------------
Gas Line - - --- -- _----
Smoke Dampers
final _�- - ----—--- —-----
PASS PART FAIL
ELECTRICAL -------------------- ._..
Service
Rough In
UG/Slah
Low Voltage ---------------
Fire Alarm
PASS PART FAIL
Wff
Backfill/Grading _--- - — ---- ---
Sanitary Sewer
Storm Drain [ ] Reinspection fee of g required before next Inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin
Fire Supply Line ( ]Please call f reinspection RF A ( ]Unable to inspect-no access
ADA
Approach/Sidewalk
Other Date -7 Inspector ( :�='"'�� Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
CITY OF TIGARD ELECTRICAL.. PER
DEVELOPMENT SERVICES PERMIT #: ELC98-0748
13125 SW Hall Blvd., Tigard,OR 97413(503)639-4171 DATE ISSUED: 12/28/98
SITE ADDRESS. . . : 10220 SW GREENBURG RD #S250 PARCEL: 1.6135AD-01004
S 12B D I V I S I ON. . . . iTWO LINCOLN — TOWN OF METZGER ZON ING:C—P
BLOCK. . . . . . . . . : LOT. . . . . . . . . . . . .. JURISDICTION: TIG
ProJect Description: Nerdoc - job #62-01677
UNIT------- -.--- .--TEMP SRVC/FEEDERS----- -------MISCELLANEOUS—
1000 SF OR LESS- -- 0 0 — 200 amp. . . . . . . : 0 PUMP/IRRIGATION....: 0
EACH ADDIL 500SF. . . : 0 201 — 400 amp. . . . . . . : o SIGN/OUT LINE LTG. . : 0
LIMITED ENERGY. . . . . .. 0 401 — 600 amp. . . . . . . : 0 SIGNAL/PANEL. . . . . . . : 0
MANF. HM/ SVC/FDR. . : 0 601-vamps-1.000 volts. : 0 MINOR LABEL 00) . . . .- 0
...........--SERVICE/FEEDER----- -----BRANCH CIRCUITS------ ---ADD' L. INSPECTIONS-----
0 — 200 amp. . . . . . : 0 W/!3ERVICE OR FEEDER: 0 PIER INSPECTION. . . . . : 0
201 — 400 amp. . . . . . : 0 l9t W/O SRVC OR FDR. : I PER HOUR. . . . . . . . . . . : 0
401 — 600 amp. . . . . . : 0 EA ADDIL BRNCH CTRC: 7 I1\1 PLANT. . . . . . . . . . .
601 — 1000 amp. . . . . . Q! ------------------F-11 AN REVIEW
10004- amp/volt. . . . . : 0 ) =4 RES UNITS. . . . . . . . : ) 600 VOLT NOMINAL. . :
Reconnect only. . . . . : 0 SVC/FDR )- 225 AMPS. . : CLASS AREA/SPEC OCC. :
Owner: FEES
NORRIS BEGGS & SIMPSON type amount by date reept
KNICKERBOCKER PROP r,F7 m-T, s 70- 00 JSD 12/28/98 98-31176C2
10300 SW GREENBURG RD STE' 200 5PCT # 3. 50 JSD 12/28/93 98-311762
PORTLAND OR 97223
Phone #:
Contract or-: ------------------------------
CHR ISTENSON ELECTRIC INC $ 73. !50 TOTAL
III SW COLUMBIA
STE 480 REQUIRED INSPECTIONS
PORTLAND OR 97201 Ceiling Cover Electll Service
Phone #: 241-4812 Wall Cover Elect' l Final
Reg #. . - 000458
This pervit i, issued subject tp the regulations cont ined in the Tigard Municipal Code, State of Oregon Specialty Codes and all other
applicable laws. All work will be done in aceni-danre with approved plans. This permit will empire if work is not started within 20
days tf issuance, or if work i� 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 DAR 752-001 0010 through OAR 952 71987. You may obtain-a-copy
of thtse rules or direct questions to OM by calling 15p X1987.
F-1.1ermittee E.gnati_irei-
Issued
INSTALL ATION ONI-Y----------------------------
The installation is being made on property I own which is not intended for
sale, lease, or rent.
OWNER' S SIGNATUREs DATE:
--__----_---__-_--__—_--_._CONTRACTOR INSTALLATION
SIGNATURE OF SUPIR. ELECIN: DATE:
LICENSE NO:
................4....................................4•....................4.+++4r 4
Call 639-4175 by 7:00 p. m. for an inspection needed the next business day
........................4..............4..........................................
CITY OF TIGARD Electrical Permit App',lication Plan Check#��
13125 SW HALL BLVD. Recd By__;
'TIGARD OR 97223 Date Redd
Date to P.E.
Phone (503)639-4171, x304 Date to DST
Paint or Type �-
Inspection (503) 539-4175 Incomplete or illegible will not be accepted Permit#1 L �
Fax (503) 684-7297 Called '
1. Job Address: 4. Complete Fee Schedule Below:
Name of Development .LINCOLN CENTER __ Number of Inspections per permit allowed
LH
Name(or name of business) MERDOC _ Service included: Items Cost sum
Address 10220 SW GREENBURG RD SUITE 2.50 4a. Residential-per unit
PORTLAND OR 1G00 sq.ft.or loss $110.00 ___ _ 4
City/State/Zip_ T_ Each additional 500 sq.ft.or
Commercial UX Residential ❑ Limitedportion thereof $25.00 1
Energy - $25.00 _
ROSS CROSBY Dwelling
CONSTRUCTION Each Manuf'd Home or Modular
Dwelling Service or Feeder $68.00 _ 2
2a. Contractor installation only:
(Attach copy of all current licenses) 4b.Services or Feeders
Electrical Contractor CHRISTEN50 . I?Li.CTRIC, INC. Installation alteration.or relocation
Address__ 11 SW 'Ot.UMBIA SIITTE 480 201 amps or loss _�. $60.00 _ 2
j � - 201 amps to 400 amps $80.00 _ _ 2
CitygORTLAND State-Dg_ Zip 97201-5886 _ 401 amps to 600 amps __ $120.00 2
Phone No. 5(l'1_ 41 4fl1 7 601 amps to 1000 amps $180.00 _ - 2
Over 1000 amps or volts $340.00 _ 2
Job No. h 7 1,11 677 - Reconnect only $50.00 _____ 2
Elec. Cont. Lice, No. 76_344 Exp.Date 101J.Lq_cZ___
OR State GCB Reg. No. nn458 __Exp.Datn_ 5_/ _ga- 4c.Temporary Services or Feeders
COT Business Tax or Metro No. 5746 Exp.Date Installation,alteration,or relocation
200 amps or Inss $50.00 _ 2
Signature of SU r�FI +_'- 201 amps to 400 amps $75.00 _ 2
y P 401 amps to 600 amps $100.00 _ 2
10/01/01 Over 600 amps to 1000 volts,
License No.. 8735 _ _Exp.Date__ see"b"above.
Phone No._50j_2[1:_4812 -� 4d. Branch Circuits
New,alteration or extension per panel
2b. For owner installations: a)The lee for branch circuits with
purchase of service or
Print Owner's Namefeeder fee
Address - Each branch circuit $5.00
h)The fee for branch circuits
City State Zip___ without purchase of
Phone No. _ _ _ service or feeder fee. 1. 35.
No-
First branch circuit $35.00 _ 2
The installation is being made on property I own which is not Eacn additional branch circuit_7 $5.00 34 -- 2
intended for sale, lease or rent. 4e.Ml icalloneous
(Service or feeder not included)
Owner's Signature T,- Each pump or irrigation circle - $4C.0U ___ 2
Each sign or outline lighting -_ $40.00 2
3. Plan Review section (if required):' I Signal circuit(s)or a Ilmlted energy-- ----�-
panel,alteration or extension $40.00 2
Minor Labels(10) $10000
Please check appropriate Item and enter fee In section 5B.
4 or more residential units in one structure 41.Each additional Inspection over
_ Service and feeder 2.25 amps or more the allowable In any of the 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.F.C.Chapter 5 In Plant $55.00
"Submit 2 sets of plans with application where any of the aoove apply. 5. Fees:
Not required for temporary construction services. 5e.Enter total of above fees $ 70• -
5%Surcharge(.05 X total fees) $ 3,�n
NQTIC[ Subtotal $ 1 j. r--
5b.Enter 25%of line 5s 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 !1
TIME AFTER WORK IS COMMENCED. Trust Account#-
$
Total balance Due 71 5()
I InSTSTLCM,APP 11M W96
CITY OF TIGARD
DEVELOPMENT SERVICES
13125 SW Hall fflvd., Tigard,OR 97223(503)639-4171
CERT0 1(,Al*F:. OF
OCCUPANCY
PERMIT #. . . . . . . I BuP98_-0&,j3:,;
DATE ISSUED: 01 /29/99
"i I I'E ADDRC-GS. 101220 SW GREENBURG RD #N250 PARCEL3 IS135AS-0100Z,
"IJBDIVISION. . . . rTHREE LINCOLN-TOWN OF METZGER ZONING-C-P
. . . . . .. LOI.. . . . . . . . . . . . . :009 JURISDICTION: TIG
Ci-OSS OF WORD.. :ALT"
TYPE JF USE. . . s COM
TYPE OF CON STRv2FR
OC rUPANCY GRP. tEl
OCCUPANCY LOAD: 48
TENANT NAME. . . :THE MURDOCK GROUP
Remarks : The Murdock Group Tl add walls/realign I hour corridor
Ownert
RNICKEIRSOCKER PROPERTIES INC
C/O NORRIS, BEGGS & SIMP,5ON
10300 SW GREENBURG RD 02017,
TICARD OR 97223
Phone *t
Contractork
MALIBU PACIFIC
1,33 NE JACI(SON SCHOOL ROAD
HILLSBORO OR 97124
Phone #: 693-9797
Reg #. . j 051045
This Certificate grants OCCLIPSncy Of {he above referenced building or, portion
thereof and confirms that the building has been inspected for compliance with
the State of Orpon Specialty Cotivfriv the qrmfp, occopency, and rase tinder
which the refpvenasid permit was
iLTT B U I'(.D I N(3 �
POST IN CONSPICUOUS PLACE
1999
SAVE - HISTORICAL INFORMATION
BUILDINGS) NAME CHANGE
PER KIT CHURCH, ENGINEERING
10220 GREENPURG Rb, LINCOLN II NORTH
CHANGED TO 10220 GREENBURG RD, LINCOLN III
10220 GREENBURG RD, LINCOLN II SOUTH
CHANGED TO 10220 GREENBURG RD, LINCtOLN II
t
CITY QF TIGARD
DEVELOPMENT SERVICES
13125 SW Hall Blvd., rigard,OR97223(503)639.4171 ELECTRICAL PERMIT -
RF5TRTC:1-ED ENERGY
PERM T T #-. FL.R99-0012
DATE ISSUED: 01 /227/99
SITE AI1nRE ss,. . . : 10 ;-zo SW C1RE:'r.Nn1_1PG RD #N250
UBrTVT SIGN. . . . :THREE LINCOLN-'T'OWN OF METZG R ZONING:C-4
131.rCl'. . . . . . . . . . . 1_0T. . . . . . .. .. . . . . . :00`3 JURI DICTN TIGr, n.j PC-t. ne scrl i trt: i.nn : Installation of data tel ecoeounitcations sys►ea. Job No,
nrq�
1,.
REM DFNTIAI_ _ .. _.. B. COMMERCIAL...--.--. _�. _._._. ..__._.... _ __. __... ..
AUDIO & f'iTF.RF O. . . : AI.In I n R. ST!<RFO. . : INTERCOM & PAl3I NG. .
BURr1_AR ALARM . . . : BOIL.ER. . . . .. . . . . . : 1_ANDSrAPI~/IRRIGAT. H :
GARAGE OPENER. . . . CL.MY. . . . . . . . . , . : MCD I CAI_. . . . . . . . . . . .
HVAC. . . . . . . . . . . : DATA/T1'1 F C'OW1. . : X NURGE C�AI_L.E;. . . . . .. .
VACUUM f3Yf1TFM. . . , : P T RF ALARM. . . . . . , OUTDOOR L ANDOr LITE:
OTHER: . . I/VAC. . . . „ . . . . . . r-'PnTCr 1'I VE S I G11,01.. .
T NSTRUME=.NTAT I nN. : OTHER— : 2 :
ti or." aYSTFMP3—
OwnPei- z _ ._..._. _ -._.- --...... _-._ ...... _. _. _..._ CTFES _ ._........._,_.._..._...
I•.NICKERSOC CER PRC]P RTTES INC tyrie arnolAn ; by date r^ecpt:
1.0 300 aW C31ZE=FWAURt; RD r:TE x'00 F'r'MT f 40, 01b DEB 01/ 'J/'?7 139 -.31245,15
1='ORTL.ANn OR 974:23 !fit"'f.'T t "'. 00 DER 01,/27/99 99--311'4`53
Oti on e f*: 452'-5'300
r:HRISTFNSON r"I_.EM41'r. Thar 41'', tv `rnTAt.
1 1 1 rW COL.UMP T.A
3TE 480 -_ _ __ RE DUI RF...D I N(BPEC,T I ONT;
DORTI_AND OR 97201 C'ei 1 i11 C':0P"Pv' l.ow V o I t,age Tri=1:+
"'tione # : ;241 -481.2 W,411 Cover Elnr•t' 1 Filial
'?e g #. . : 0004'SA
This peroit 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 per-ait will expire if word is not started within 180
lays of issuance, or if work is suspended for sore than 180 days. MENTION: Oregon law requires you to follow rule adopted by the
)regon Utility f ation Center. Those rules are set forth in OAR 3`? Qi01 0010 through OAR 9`2- 1 WN. Yru eay rhtain copies of
these '' i� direct4 esti ns CNiNC at 3)246.1987.
' � 1='wr•mittFraignaturr'��.f'� ,(_ CF ,�
_.._. ___,..... _�..-. ._ _ ... OWNER I NaTnl_1 ATT ON OHI '?
Thr: in,4.,j11ation i a being made on property I own whichi it not intended foi
Ale, lease, or rerit.
'11JN R' S S I PNATURF: DATF:
_._.._._.___..__..d.__.__.._......__ _._.. . CONTRACTOR TN5TAi I ATION ONI Y.
I L-JAAT11RE OF SUr"'R. F! F C" N: DATE=:
T Cr-_W3r NO:
-+..}+.4+ + I-4 1 + -I.+4+ +-h4-1--f.+..}4++4.1.4-44.++++•+.++++4 ++4-++ +4-++4++ 1 1 .r .1 L1.;.++++++++++++.4 1
r 1 , .,,_ ,r_ by 7 i""I P M, foi- an =Per_`t; i o i i rieeiIPd ' r
I , i.+_.+.}1- +..+ , 1 11-44-4-4-+.+4-4 1 14-44.+++4 ++.4 ++44--l- ,' r ,. t4-44L4+4-4-4 ; 4 , ,
CITY OF TIGARD RESTRICTED ENERGY ELECTRICAL APPLICATION Recd
1312.1 SW HALL BLVD Date Recd: �-
TIGARD OR 97223 PRINT OR TYPE
`V-50-639-4171 X304 Permit#:
F-503-684-7297 INCOMPLETE OR ILLEGIBLE APPLICATIONS Cust.Call'd:
JOB:50-00508 WILL NOT BE ACCEPTED
Name of Development Project TYPE OF WORK INVOLVED-RESIDENTIAL ONLY
LINCOLN CENTER Restricted Energy Fee $40.00
MURDOCK GROUP (FOIA ALL. SYSTEMS)
JOB Street Address Ste#
e 10220 SW GRL'ENBURG RD 250 Check Type of Work Involved
AQDRE:i., �
City/State Zip Phone N1-1 Audio and Stereo Systems �y
PORTLAND 197223
Name ❑ Burglar Alarm a
NORRIS BEGGS SIMPSON PROPERTY M GT
OWNER Mailing Address ❑ Garage Door Opener'
_iQ260 SW GREENB RD
City/State Zr. ❑ Heatinrt,Ventilation and Air Conditioning System'
ip phone#
PORTLAND __ 9 i 223
Name ❑ Vacuum Systems'
CHRISTENSON ELEC'T'RIC, INC. [❑ Other__i
CONTRACTOR Mailing Address
III SW COLUMBI.iSUITE 480TYPE OF WORK INVOLVED -COMMERCIAL ONLY
(Prior to issuance a City/State Zip Pho # Fee for each system.............................................. $40.00
copy of all licenses PORTLAND OR 7 ZO 1 241-481'' (SEE OAR 918-260-260)
are required if Oregon Conti.Brd Lic # E�p/pate
expired in C,O.T. 458 9 Check Type of Work Involved
date base) Electrical Coni.. Lic # Exp Date
26-34C IiLu_ Audio ands tereo Systems
C O.T.or Metro Lic # Exp Date
9q" 12/99 ❑ Boiler Controls
Owner's Name
❑
OWNER - Mailing Address Clock Systems
APPLICANT ® Data Telecommunication Installation
City/State Zip Phone# ❑
Fire Alarm Installation
I his permit is issued under OAE 918-320-370.This applicant agrees to
make only restricted energy irstallations(100 volt amps or less)under this HVAC
permit and to do the following.
❑ Instrumentation
1. Only use electrical licensed persons to do installations where required.
Certain residential and other transactions are exempt from licensing El intercom and Paging Systems
These ha,e asterisk;(') All others need licensing;
❑
2 Call for Inspections when installation under this permit are ready for Landscape Irrigation Control*
inspection at 503-6394175; ❑ Medical
3 Purchase separate permits for all installations that are not rerdy for an J
inspection when the inspector is out to inspect under this permit; Nurse Calls
4 Assume responsibility for assuring that all corrections required by the ❑ Outdoor Landscape Lighting'
inspector are done,and:
F]] Protective Signaling
5 Assume responsibility for calling for a final inspection when all of the
corrections are completed ❑ Other
I :,,rmits are non-transferable and non-refundable and expire if work is not
starin, dhin 180 days of issuance or if work is suspended for ISO days --Number of Systems
The Terson signing for this permit must hr rhe applicant of a person No licenses are required Licenses are required for all other installations
authorized to bind the applicant
_ FM:
40.
Signature ENTER FEES S_— _
1/15/99
5%SURCHARGE(.05 X TOTAL ABOVE) $
Authority if other than Applicant TOTAL.
I Wslsvesele doe 7197 � 9 � 4
, -____-
CITY OF TIGARD
DEVELOPMENT SERVICES 131JILDING PERMIT
13125 SW Hall Blvd., Tigard,OR 97223(503)6394171 P-f'IRMIT #. . . . . . . : MJP9901712`6
DATE ISSLIED: Ot/26/99
PARCEL: 15135AP01002
7 5 0
'Tr ADDRET)S. to-lei SW GREENT31JR0 RD 04E,
'1I3DTVI0InN. . . . THPCr-' LTI\ICOLN--TOWN OF MET7C]17.17 " ONMG,.C- r.,
L
OCI N. . . . . . . . . . LOT. . . . .. . .. . . . . . . .009 JlJRTSDICTCIN:TIG
-)r-I Ssur rt_oor rYTERTOR WALL rON!:'3TRIJCTTr1NI
"LASS OF WORK. :P/T </ FT R93T. . . . 91 sf N S: E: W
"YPE- Of- IiGE. . . -COM SECO1,11). 5090 s-F PMTECT nPEN1NIG30?'-----
YPE OF rONST. F R . . . 0 Sf N- E: W-
imnF CONST: FTRr.' PET? -.
')(:CUPANr,Y ORP. S TOTAL. 512190 AREA SEP. RATED:
`)=PnNrY L DOD: PnSEMFNT. : 0 Sf
or,( O SEP. RATED:
"TOR. : 0 I-IT 0 ft GARAG[... . . : 0 S f PEOU I RED---------------------
BSMT'�- MEZZ'�: RFOD
I-LOO R LOAD. - . . : 0 [:�r F 1_-FT. 0 ft RGHT. 0 rt r'TP SPKL :y SMOV, OFT. .
r)WELLINIG LJNTTS: 17A FRNT: Q., ft RE
.nR: 0 ft- FIR 11L.13M., HNDTCP ACM
!)EDPMS: 0 nA"ms: L� IMP 0 PrP. cnpR: PPIRKMO: 0
VALIJE. $ .- '269B
rZr�mavks - Add/relocate I remove/pleb pendent heads.
W 11 e r.
mORRTS DEr,00 STMPf-_')OI`-I 11r 'AM011111; by flAt e r e C.I)t
1.0220 SW ORrENSLIRG RD PRMT 3A. 50 (;En o i / 1 /99 99-312"336
1.TGnPD OR 97223 $ 1. 93 Gun 01 /21/99
17 9 1 7.1 F, Rt::, 15. 40 sEn ot /2i /99
' Ipr qyr!TrM1 WEST INC
i,,00 SE MARITIME 1Vr 4300
ouvrm wn gasc. I
83 To mt-
r�'L-q 49732
-REDL1TR!-n nrTmNS ov- TNSr'FrTTnN'
permit is issued subject to the regulations contained in the Spv-jnkler- Rni..igh
ard Mui,icipal led@, State of Ore. Specialty Codes and all other
icahip laws. All work will be done in accordance with
oved plans, This permit will expire if work is not stated
'hin IN day! of issuance, or if work is suspended for more
., IN days. ATTENTION: Oregon law requires you to follow the
—
'es adopted by the Oregon Utility Nctification Center. Those
,is arf set forth in DAR, through OAR 91,2-0@191987.
many obtain a copy of these rules or direct questions to OLNC
calling (93)246-1987.
1.+4.+++.+++++++4--4-++-4+4-+++++4-4-+4............4-+++++4......
by 7:00 j-), in, for IT) in3pr,(7Hon needed the Y)e>(t b,+,s i T iess dAy
a-++++++ +4+4 14-4 4 f ++4 4 +`1- 1 + F+'1`4-+-f
Fire Protection Permit Application Plan Check# ("—
CITY OF 7 IGARD Commercial or Res;dential Recd By '
13125 SW HALL BLNID. Date Recd
TIGARD, OR 97223 F rint or Type Date to P.E.
(503) 639-4171, x. 304 Incomplete or illegible applications will not be accepted Date to DST
Permit# /" ` • _ V
1 Called
Job ame o�Develop art/proje
�J � r� 9t -� k Type of System (Complete A or B as applicable)
Address Add,es A.)Sprinkler Wet Dry L7
I c- _
-
Name Standpipes
Owner Mailing Address Hazard Group
l, Additional
City/State Lip Phone — Information Density
I
Name M Design Area
�-��
Occupant Mailing Address K.Factor
—
Ci %state Zip Phum A.1) Sprinkler Project Valua'i, in $
Contractor Name B.) Fire Alarm
(Sprinkler or � _ � -
Alarm company) Mailing Address Submittal Shall Include Battery Calculations YES L�
Prior to permit dX-Z- �2� t t?ttVAG AI :�}�'? _
issuance,a City/State Zip Phone Individual Component YES❑
' Cut Sheets
copy
1<
r c a(v
I of all licenses j
v '- 6.1) Fire Alarm Project Valuation $
are required if State Const.Cont.Board L c.# Exp. Date
expired i,i COT � 7�`,y_ Project Valuation Subtotal(A &or B)
�_-database
Name -- Permit fee based on valuation $
(see chart on back) '
Architect Mailing Address —_--__. 5% Surcharge $
City/State Zip Phone — FLS Plan Review 40% of Permit
$
Deacrlbe work A.)New O Addition O Alteration 0 Repair O i TOTAL
to be done. _ $
1 I-t0 heads=No pla
8) Modification to sp o plans required n heads only- Plans required. Submit three sets of plans,including a vicinity map and
2. 11—Plan review required the location of the nearest hydrant. —_
I hereby acknowledge that I have read this application.that the information given is
correct,that i am rhe owner or authorized agent of the owner,and that plana submitted
Number of sprinkler heads._—� are in compliance with Oregon State laws
Additional Descr; tion of Work.
J.
r x.11- --til f 1ljt=-ter Signature of Own r/Agent Date
A.)In Existing Building New Building [] \~`
Building I contqct Person Name Phoneme �i^ � �
Data B.) Commercial _ Residential E3
FOR OFFICE USE ONLY: _
Plat# MapfrL#:
5q. Fl: ----- --
Notes
Occupancy Class Type of Construction—
I— ——�—_ - - -------— --- -- -- ---
1ju
1s Jiresuhr doc
CIT-O TIGARD
BUILDI,NSz.PERIVM T FUS
TOTAL
STATE BUILDING
VALUATION OF PERMIT F.L.S. TAX PERMIT
PROJECT FEES (40%) (5%) FEES
1-1500 25.00 10.00 1 1.2.5 36.25
1,501-1600 26.50 10.60 1.33 3843
1,601-1,700 28.00 11.20 1.40 40.60
1,701-1,800 29.50 11.80 1.48 42.78
1,501-1,900 31.00 12.40 1 Fi 44.95
1,901-2,000 32.50 13.00 1.63 47.13
2,001-3,000 38.50 15,_40 1.93 55.83
3,001-4,000 44.50 17.80 2.23 64.53
4,001-5,000 50.50 20.20 2.53 73.23
5,001-6,000 56.50 22.60 2.83 81.93
6,001-7,000 62.50 25.00 3.13 90.63
7,001-8,000 68.50 27.40 3.43 99.3
8,001-9,01;) 74.50 29.80 3.73 108.03
9,001-10 000 80.50 32.20 4.03 116.73
10,001-11,000 86.50 34.60 4.33 125.43
11,001-11,000 92.50 37 00 4.63 134.13
12,001-13,000 98.50 39.40 4.93 142.83
13,001-14,000 104.50 4180 5.23 151.53
14,001-15,000 110.50 44.20 5.53 160.23
15,001-16,000 116.50 46.60 5.83 168.93
16,001-17,000 122.50 49.00 6.13 177.63
17,001-18,000 128.50 51.40 6.43 186.33
18,001-19,000 134.50 53.80 6.73 195.73
19,001-20,000 140.50 56.20 7.03 203.73
20,001-21,000 146.50 58.60 7.33 212.43
21001-22,000 152.50 61.00 7.63 221.13
22,001-23,000 158.50 63.40 7.93 229.83
23,001-24,000 164.50 65.80 8.23 2.28.53
24,001-25,000 170.50 68.20 8.53 247.23
25,001-26,000 175.00 70.00 8.75 253.75
26,001-27,000 179.50 71.80 8.98 260.28
27,001-28,000 184.00 73.60 9.20 266.80
28,001-2.9,000 188.50 75.40 5.43 273.33
29,001-30,000 193.00 77.20 9.65 279.85
30,001-31,000 197.50 79.00 9.88 286.38
31,001-32,000 202.00 80.80 10.10 292.90
32,001-33,000 206.50 82.60 10.33 299.43
33,001-34,000 211.00 84.40 10.55 305.95
'4,001 35,000 215.50 86.20 10.78 312.48
35,001-36,000 220.00 88.00 1100 319.00
36,001-37,000 224.50 8980 11.23 325.53
37 001-38,000 229.00 91.60 11.45 332.05
i �liresupr.doc
SEE 35MM
ROLL# 23
FOR
LARGE
DOCUMENT
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24-Hour Inspection Line: 639-4175 Business Line- 639-4171 ,
iBUP
Date Requested t + 1 AM ISM L� BLD
Location——C '2--? C_], 'E'er Suite �� �c�' MEC
Contact Person C 2 E -'1G Ph -:2� 7j Gam_ PLM --_ --
_
Contractor Ph SWR — ----
BUILDING Tenant/Owner / r�.�L \ � � ELC
Retaining Wall ELR
Footing ,M� Access;
Foundation \ FPS
F tg DrainSGN
Crawl Drain �� Inspection Notes: - —
Slab LA,/ --_ _—_ - SIT
Post& Beam
Fxt Sheath/Shear(44 { --.--
Int Sheath/Shear 1. /
Framing ir-+' ��YI�c.� ��[d,��
1_� _ --._-----
Insulation -- - { —�r
Drywall Nailing -- /^.,Cr �, ^�+� �i�=-- -'n -4 'm i--- - -
Firewall r
Fire Sprinkler --
Fire Alarm
Susp'd Ceiling _ _---_----- -- -___-_ —_
Roof
Miss _ \ -- ----------- - - -..-—
ASS PART FAIL --- - -------- -- --- ---
PL GING —
Post& Beans
Under Slab -
Top Out
Water Service --— ----------- ----_ _ -----
f3anitary Sewer
Rain Drains _..._—_--- ------- ----._ — ---
Final
IPASS PART FAIL
I�MECHANICAL __--- ----__ -_.— - --
II'ust& Beam _.. ------- --- ------- --- - -- - --
Rough In
GasLine ------------------- - ------------------------- -------------- -_.-_ -
Smuke Dampers
�f'ine]' ---- -—- -- - ----- -- -- -- -...-
1! PART _FAIL
SPrvicP. - --- -- __._. ------ ------ – —
Rough In
UG/Slab - --- ---- --- ------ ----
Low Voltage
Fire Alarm --- _- - ------- - -- ---
Final
PASS PART FAIL --- - --- --SITE —_ — ------- --
backfill/Grading
Sanitary Sewer
Storm Drain ( ]Reinspection fee of$_ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch BasinUnable to
Fire Supply Line [ ]Please call for reinspection RF inspect no access
__--_--- _ ( ]
ADA
Approach/SidewalkDate - �- InspectorExt
Other _ —-
Final
PASS PART FAIL r 00 NOT REMOVE this inspection record from the joky site.
CITY OF TIGARD MECHANICAL
DEVELOPMENT SERVICES PERMIT
13125 SW Hall Blvd., Tigard,OR 97223(503)6394171 PERMIT #. . . . . . . : MFC 99-0004
DOTE ISSUED: 01 /05/99
PARCEL: 1S135AP0100 �'
SITE ADDRESS. . . : 10220 SW GREENBURG RD #N250
SUBDIVISION. . . . : THREE LINCOLN—TOWN OF METZGER ZONING: C-- P
BLOCK. . . . . . . . . . : LOT. . . . . . . . . . . . . :009 JURISDICTION: TIG
CLASS OF WORK. ALT FLOOR FURN. . . . r 0 EVPP COOLERS: 0
'TYPE OF USE. . . . :cnm UNIT HEATERS. 0 VENT FANS. . . : 0
Y5TEMS: 0
OCCUPANCY rjRr-,. . :B VENTS W/O APPLz 0 VENT —D
STORIES. . . . . . . . : 0 BOILERS/COMPRESSORS HOODS. . . . . . . : 0
FUEL TYPES-------------- 0-3 HP. . . . : 0 DOMES. I NC I N: 0
:ELE 3-1.!5 !c'. . . . : 0 COMML. INCIN: 0
MAX INPUT: 0 BT IJ 15-30 1 1P. . - .. - 0 REP A I R UNITS: 0
FIRE DAMPERS'.'. . : 30-50 HVI. . . . : 0 WOODS TOVES. - 0
GAS PRESSURE. . . .- 50 4 1 IP. . . . : 0 CL.0 DRYERS. . : 0
NO. OF UNITS—----- AIR HOND! IN("j UN I TS OTHER L.JNTTS. I
FURN ( 100K PTU: 0 1171000 cf1fl : Q, GAS OUTLETS. : 0
FURN )=10OV, BTU- 0 > 10000 rfm : 0
Pemarks : Extend return air duct thruigh 1-hour wall, seal through penetration
and move registers.
Owner: FEES
NORRIS BEGGS & SIMPSON type amount by date reept
10300 SW GREENBURC-i RD STF PRMT it 25. 2710 DL.H 01/OF/99 99-311922
PnPTLAND OR 97223 FILCK $ 6. 25 DLH 01 /05/99 99-311922
5PCT $ 1. 25 DLH 01/05/99 99-311922
Phone
Contractor:
NORTH PACIFIC HEATING
33700 SE DULIS RD $ 32. 50 TOTAL.
ESTACADO OR 97212-1
Phone 0:
Reg #. .. : REOUIRED INSPECTIONS
This permit is issued subject to the regulations contained in the Mechanical Insp
Tigard Municipal Code, 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 188 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 NofificAtion Center. Those rule; are
set forth in OAR 952-OOIAMI0 through OAR 952-001-WB0, You may
at,tain copies of these rules or direct questions to OUNr by calling
Tssue By :Z
_a-4�' Permittee Signature :_
................................. I........... ............................4......
Call 639-4175 by 7M p. m. for inspections needed the next business day
.................f............4............... +++++++++++++++++++++f++•f--4.........4+
-- Plan Check
CITY OF TIGARD Mechanical Permit Application L Recd By _.-Z-
13125
.13125 SW HALL BLVD. Commercial and Residential Date Rec'd__� -s _
TIGARD, OR 97223 Date to P E. s �y
503 639-4171 x304 •�4 F _�Date to DST_Y
'
Print or Type Permit# /'>'c,^' Ee"OCl y
.. - --
Incomplete ur illegible applications will not be accepted Called
Name of DevelopmenJPro)ect Description
� Table 1A Mechanical Code Qty Price Amt
T1.0e:4U- A) Permit Fee 10.00
Job Street Address SOO
1) Furnace to 100,000 BTU
Addresss2J includingducts&vents 6.00
_
Bldgll cllylState Zip 2) Furnace 100,000 BTU+
aZ inc uding ducts&vers 7.50
Nor name o1 business) 3) Floor Furnace
eme
including vent 6.00
Owner --`--
� ,Lzik_
Addrcss 1 4) Suspended heater,wall heater
Melling Addreor floor mounter'heater 6.00
1�11.1.X1.(L �Ft-
5) Vent not include i in appliance permit
ClitllStete ZIP hone 3.00
i, CHECK ALL 'Boiler Heat Air
THAT t PPLY: or Pump Gond Qty Price Amt
ame for name of 1 ess Com •• _
<3HP;absorb unit to
Occupant Mailing Address 100K BTU _ _ ______._6.00
J 7)3.15 HP;absorb unit
�1 100k to 500k BT'1 11.('0
cloylstate Zip P ne
_ 8)15-30 HP;absorb
_ unit.5-1 mil BTU _ 15.00 _
Contractor amQ 9)30-50 HP;absorb - —
J unit 1-1.75 mil BTU 22.50
Prior to permit
�Ing Ad res 10)>50HP;absorb unit
issuance,a copy ��{ S C >1.75 mil BTU 37 50
of all licenses 4reyxgon
Zip Phone 11)Air handling unit to 10,000 CFM
are required it j `- L44_50
expired in COT onst cant.Bo rd Lk tl exp.Dale ?7 12)Air handling unit 10,000 CFM4
_ database __ - 7.50
Architect Narne 13)Non-portable evaporate cooler
— 4.50
-- 14)Vent fan connected to a single duct
Or Melling Address 3.00
au S W �� _ 15)Ventilation system not included in
50
Engineer city/state Zip Phone appliancepermit 4.city/state _
J _ , )Hood served by mechanical exhaust
_ _� 4.50
escribe work to I done. 17)Domestic incinerators
7.50
New 0 Repair O Replace with like kind Yes 0 No O 18)Commercial or industrial type incinerator
Residential0 Commercial 30.00
�__--. - Y
Aoiditio�nal informat.on or descri19)Repair units ptionyof�ork 4.50
��j��iG�"C Gi CC�K"YL �!l L�.� 20)Wood stove
� ` ��,� 4.50
C101Z �e4_LL, �C RJ.�'Clt-C Q �� 21)clothes dryer•etc �
4.50
as O LPG O electricQf 22)Other units
Type of fuel oil O natural J y
9 _ uc �t} 4.50
1 hereby acknowledge that I have read this application,that the information 23)Gas piping one to four outlets
2.00
given is coned,that I am the c vner or authorized agent of _
the owner,that plans submitted are In compliance with Oregon State laws 24)More than 4-per outlet(each) �5U
t Signature of OwnerlAgent a Date
Minimum_ Permit Fee$25.00 _SUBTOTAL 2,'
t v 2i
j' / 7 �� - __ 5'%SURCHARGE
Contact rerson Name/ <— 1 Phone PLAN REVIEW 25%OF SUBTOTAL a
Requlred__for ALL commercial permits onl
TOTAL
—�5 , ' - 'State Contractor Boiler Certification required /
"Residential A/C requires site plan showing pla-ement of unit
I vnechperm dor, rev 0720/98
OVER-THE-COUNTER (OTC) PERMIT
COMMERCIAL MECHANICAL PERMIT CHECK LIST
Description of Project: oc _( )-< )-4 y- Y\fnoi
err v v
Class of Work: ,4 L Floor Furnace: Evap Coolers:
Type of Use: _, a/yi _ Unit Heaters: Vent Fans:
Occupancy Grp: Vents W/o Appl: _ Vent Systems: _
Stories: Bc'!_,s/Comprsrs: Hoods:
Fuel Types - 0 - 3 HP. Repair Units:
3 - 15 HP. Wood Stoves:
Max Input: ` Btu: Air Handling Units CIO Dryer:
Fire Dampers: < = 10000 cfm: Oth Units:
Gas Pressure: H / M / L > 10000 cfm:_ Gas Outlets:
No. Of Units: _
Furn < 100k Btu:
Furn >=100k Btu:
NOTES:
COMMERCIAL INSPECTION ACTIONS �— FEE MENU - 1
$ y t Permit Fee J
Gas Line Inspection $ - ti�
_ Plan Review
�( Mechanical Inspection $ 7y 5% State Surcharge
Cooling Unit Inspection $ Additional Permit Fee
Shaft Inspection $ Additional Plan Review Fee
Hood Inspection $ Inspection Fee
Fire Suppr Inspection $ Miscellaneous Fee
Duct Inspection S ✓
Fire Alarm Inspectior
Fire Damper Inspection REMARKS:
Miscellaneous Inspection - 1< ��'t 1
Fire Alarm Inspection �—
___� Final Inspection — '-
FOR OFFICE USE ONLY:
TYPE OF USE OPTIONS(COM=commercial,CMS=commercial manufactured structure;
CLASS OF WORK OPTIONS FOR ALL PERMITS(NEW=new;ADD=addition;ALT=afteration:ACS=accessory;
FND=foundatiun:OTH=other,DEM=demolition:REP=repair,FPS=fire protection system.NOTE=USE OTH FOR FENCES,
RETAINING WALL, DETACHED DECKS, SIGNS, AWNINGS,CANOPIESI
rkovrcntr doc(dsO 8/97 ""�'
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TENANT IMPROVEMENT PL A'rl PQ R SUITE 26,0 ,�>>c,x-- �� �;z,
CITY OF TIGARD
DEVELOPMENT SERVICES BUILDING PERMIT
13125 SW liall Blvd., Tigard,OR 97223(503)639-4171 PERMIT 4. . . . . . . : BUr-198-0533
DATE ISSUED: 12/07/98
PARCEL: IS135AB-01002
SITE ADDRESS. . . : 1.0220 SW GREENBURG RD #N250
SUBDIVISIOhi. . . . : THREE L INCOI_N--TOWN OF METZGER ZONING:C-P
BLOCK. . . . . . . . . . . LOT. . . . . . ,. . . . . . . :009 .',uRi3DICTI0N:T1G
REISSUE: FLOOR AREAG3----------------- EXTERIOR WALT_ CONSTRUCTION-
CLASS OF' WORK. -AL...T FIRST. . . . 0 s N: 9: E: W:
TYPE OF USE. . . :COM ECOND. 1.1 s PROTECT OPEN INGS'l—
'fYPE OF CONST. :2FR 5090 s N: S r E: W:
OCCUPANCY GRP. -B TOTAL--____: 5090 s ROOF CONfi'T: FIRE PET" :
OCCUPANCY LOAD: 48 BASEMENT. : 0 5f ANFA SEP. RATED:
STOR. : 0 HT: 0 ft GARAGE. . . : 0 sf OCCU SEP. RATED:
SSMT": MEZZ ? : RE CJD SETBACKS--------- REPO I
FLOOR LOAD. . . . : 0 psf LEFT, 0 ft RGHT: 0 ft FIR SPKL:Y SMOK DET. . :
DWELLING UNITS: 0 FRNT: 0 ft REAR: 0 ft FIR ALRM: HNDICP ACC:Y
BEDRMS: 0 BATHS: 0 IMP SURFACE: 0 PRO CORR: PARKING: 0
VALUE. $ : .;5640
Remarks : The Murdock Group TI - add walls/realign I hour corridor (note)
sprinkler system for cor.-idor shall be independent from tenant space.
Owner: FEES
KNICKERBOCiIEP PROPERTIES INC type Amount by date reept
10300 SW GREENBURG RD STE 200 PRMT $ 220- 00 JSD 12/07/98 98-311339
PORTLAND OR 97223 FJPCT $ tt.. 00 JSD 1121/07/98
98-311339
PLCK $ 143. 00 JSD 12/07/98 98--311339
Phone #: 452-5900 FIRE $ 88. 00 JSD 12/07/98 98-311339
Contractor:
MALIBU PACIFIC
735 NE JACKSON SCHOOL ROAD
HILLSBORO OR 97124
---------------------------------------
Phone #: 693-9797 $ 462. 00 TOTAL
Reg #. . : 059045
--REOUIRED ACTIONS or- INSPECTIONS—
This permit is issued subject to the regulations contained in the FrAnii-,ig Insp
Tigard Municipal Code, State of Ore. Specialty Codes and all other Gyp '3oard Insp
applicable laws, All work will be dnn� in accordance with
approved plan. This permit will expire if work is not started c- C',
within 188 days of issuanrp, or if work is suspended for more
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 952-801-0810 through OAR 952-*101987.
You oany obtain a copy of these rules or direct questions to Ow
by calling 1583)246-1987.
Sign.ti-tre .
Permittee 7 Issl..ied By., G•
++-4-++++4-+++4......... .........................4-+++4-++++4-+C+++++++++++++.+++++
Call 639-4175 by 7:00 p. m. for an inspection needed the next business day
. ........++++++++++ .+++++++++++•+•+++i++++++++++++++++++++++.+++++++++++++++++++++.
r OF TIGARD Commercial Building Permit Application ��� Re.•'d By
3125 SW HALL BLVD. Tenant Improvement Date Recd G•
TIGARD, OR 97223 Date to P.E.
(503) 639-4171 � , DatetoDST_/ye
Peril It, l "
Print or Type Related SWR i(r
Incomplete or illegible applications will not be accepted Called
Name of Development/Project — Existing Building New Building
Jot, LincAn (-,bn't:+er LINcouo cC=.tTE12-
Address Street Address Suite Building
lot,-o SW Green 250 Data
�-i n col n Two
bldg* city/state zip—` Existing Use of Building or Property:
- TWO -
GINCoi.NJ porfland �R, 9�7.2� c4f
Name
Property P�r'tle ]n��
ProP a Proposed Use of Building or Property:
Kniak-Cry^:ker_ � XXIV
Owner Mailing Address Suite Or��'r p
LINOoLN ONE t `
103oo sw Gre")r-q P-d 2cUo No. Of Stories: �~
City/State Yip Phone (a,) S 1 x
fdr-1.-Ad,GP,• 9-722'!, +52-590o Sq. Ft. Of Project:
Occupant Name 5yC9D S
`the Murdock Group Occupancy Class(es)
Name F� J
Contractor Type(s)of Construction
Prior to permit Mailing Address Suitp _ 1 11 F r- _
issuance,a copy 1 Will this project have a Fire Suppression System?
of all licenses 7�J5 ,jkt -Wn school ;..A. Ye• `..,r SIO
are required If City/State zip Phone Americans with Disabilities Act ADA
expired in C O.T. (ADA)
database N I l�sw 9712`} (�93�9797 Valuation X25% = $_P,''la,00 Participation
Oregon Const Cont.Board I(c. ' Exp.Date Complete Accessibility Form _
059o1-5 02/1r,/0o Project $
y F Name Valuation zJ J�tO �+C) Coca
Architect GSD "IeLtsInc. , Plans Requ;red: See M,--trix for number of sets to submit
Mailing Address Suite on back
920 SW "i'davenue 4-MID ---—
City/Slate' Zip Phone I hereby acknowledge that I hava read this application,that the information
_ Port tar_d OI4 , 97204 G2.4 9ro5E given is correct,that I am the owner of authorized agent of the owner,and
— that plans submitted are in compliance with Oregon State Laws.
Engineer Name
Signature
�of Owner/Agent Date
Mailing Address Suite r4 • �C 7, 199
o act Person Name Phone
City/State 7ipip--�-- Phone Gl0r.
FOR OFFICE USE ONLY
Indicate type of work: New O Addition O Demolition O Map/TL# LAnd Use:
Accessory Structure O Foundation Only O Alteration M
---Repair O Other O
Notes:
Description of work: - -
Tehant Imprevemeht TIF --__
Note: Site Worm Permit Application must precede or accompany Building
Permit Application
I\rOMNEWTI DOC (D51) 5!98
COMMERCIAL PLAN SUBMITTAL
REQUIREMENT MATRIX
Plan Review is dependent upon submittal of BOTH plans AND a dOMPLE7Eb
application. For ars electrical submittal, the application must contain the
,signature of the supervising electrician before plan review will be conducted.
After plan review approval, Plans Examiner will contact the applicant to request
additional plan sets for distribution purposes. (Copy for Contractor, City,
Washington County, Tualatin Valley Fire & Rescue)
Tota! # of
TYPE OF SUBMITTAL Plans KEY:
_Submitted
S (Private) 1 S = Site Work
B (New or Add) 1 B = Building
F (New or Add or Alt) 3 F = Fire Protection System
M (New or Add or Alt) _ 1 M = Mechanical
B VM (Nero or Add) 1 P = Plumbing
P (New Add, or Alt) 2 E = Electrical
B & M & P (New or Add) 2 New = New Building
E !New, Add, or Alt) 2 Add = Addition
B & F & M & P & E 3 Aft = Alternation to Existing
(New , Add) Building
*B or B & M (Alt) 1
*BKM &F' (Alt) 3�
F(Alt) 3
'B & M & P & E & F=(Alt) 3�
NOTES:
'Shaded areas designate ALT submittals only.
I`dsts\maxtrlhI doc 07/06/98
SUBJECT: ACCESSIBILITY
BARRIER REMOVAL IMPROVEMENT PLAN
REQUIREMENT: OREGON REVISED STATUTE (0.5-,5) J47,241.
(1)Every project for renovation,all..i,dtion or modi kation to affected buildings and related
facilities shaii be made to insure that the path of travel to the altered area and the
restroom,telephones and ddnki%fountains are readily accessible to Individuals with
disabilities,unless such alterations are disproportionate to the overall alterations in
terms of cost and scope.
(2)Alterations made to the path of travel to an altered area may be deemed
disproportionate to the overall alteration when the cost exceeds twenty-five percent
(25%).
VALUATION of all renovation, alteration or modification being done
excluding painting, wallpapering. [1] $ ';,5.,
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 lot res'tri f I c,-orb ct-Itz, $_'_1%9 °°
►valk/a6,C'P z le fa{�s �S�H� )e
(b) An accessible entrance:
(c) An accessible route to the altered area:
(d) At least one accessible restroom for
each sex or a single unisex restroom:
(e) Accessible telephones: $
(f)Accessible drinking fountains: and $
(g) When possible, additional accessible
elements such as storage and alarms:
TOTAL: Shall equal line 2 of value computation9
r
I