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10220 SW GREENBURG ROAD STE 501-4 1 � e s I ! I 10220 SW GREENBURG RD #501 1999 SAVE - HISTORICAL INFORMATION BUILDINGS) NAME CHANGE PER KIT CHURCH, ENGINEEPING 10220 GREENBURG RD, LINCOLN II NORTH CHANGED 1"0 1022.0 GREENBURG RD, LINCOLN III 10220 GREENBURG RD, LINCOLN II SOUTH CHANGED TO 10220 GREENBURG RD, LINCOLN TI CITYOF TI GA R D CERTIFICATE OF OCCUPANCY DEVELOPMENT SERVICES PERMIT#: BUP2003-00491 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 8/14/2003 PARCEL: 1 S135AB-01004 ZONING: C-P JURISDICTION: TIG SITE ADDRESS: 10220 SW GREENBURG RD 501 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: 70 TENANT NAME: WELLS FARGO REMARKS: Tenant improvement, extend corridor and add walls for offices. Owner: EOP LINCOLN, LLC 10260 SW GREENBURG RD SUITE 100 POoeNDR 9422 1 5U3-267 Contractor: C SCHIEWE& ASSOCIATES INC 1024 NE DAVIS ST PORTLAND, OR 97232 Phone: 503-234-6617 Reg #: I.I(' 54105 This Certificate issued III/16/2003 grants occupancy of the above referenced building or portion thereof and confirms that the building has been inspected for t compliance with the State of Orego,i Specialty Codes for the group, occupancy, and.use under whit h ferencr-,d permit wd, BUILDING INSPECTOR BUILDING FFICIAL POST IN CONSPICUOUS PLACE r CITY OF TIGARD 34-Hour BUILDING Inspection Line- (503)639-4175 MST INSPECTION DIVISIUN Business Ling:: (503) 639-4171 Received -----_—_-- Date Requested_ d"< <1`_ AM_____—_ PM __ BUP �ee�n� y --Suite�'D I MEC__ ---- — Location _ .�02;L'0—„��_-.._—_��_ Contact Person ____ POLU _- -_-_ Ph(_ ) _.3`+ 510 3 PLM Contractor-- - --_-- Ph(—__ -) —._ _ SWR --- _-- -_---__- BUILDING Tenant/Owner __- ELC Foo i ELC Foundation Access: Ftg L`rain EL.R Crawl Drain Slab Inspection Notes: SIT Post&Beam _._ Ca �4 ee , "�; �-o�/ Shear Anchors �►t , -- Ext Sheath/Shear Int Sheath/Shear Framing ----- Insulation Drywall Nailing -- Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Other: - PASS I PART FAIL. ING - Post&Beam Under Slab --- ----- --- Rough-in - — Water Service ------ Sanitary Sewer Rain Drainc - Catch Basin/Manhole Storm Drain ---�— - Shower Pan Other: -- Final - PASS _PART FAIL MECHANICAL _ Post&Beam Rough-In --------- --- Gas Line Smoke Dampers - -- ---- --------- — Final PASS PART FAIL - ELECTRICAL Sc ice Rough-In UG/Slab Low Voltage Fire Alarm Final Rebispection fee of$___—_ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd, PASS PART FAIL SITE — — _ r] Please call for reinspection RE:_. _,--__._ Unable to InsWd-no access Fire Supply Line ADA Approach/Sidewalk Date '/_t__)/A0 A01- Inspector _—�Ext Other:_ Find DO NOT REMOVE this Inspection record from the job site. PASS PART FAIL CITYOF T I GA©D CERTIFICATE OF OCCUPANCY DEVELOPMENT SERVICES PERMIT#: BUP2000-00028 13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 01'31/2000 PARCEL: 1 S135AB-01004 ZONING: C-P JURISDICTION: TIG SITE ADDRESS: 10220 SW GREENBURG RD 501 SUBDIVISION: TWO LINCOLN - TOWN OF METZGER », —� BLOCK: LOT: copy CLASS OF WORK: ALT TYPE OF USE: COM TYPE OF CONSTR: 2FR OCCUPANCY GRP: B OCCUPANCY LOAD: 110 TENANT NAME: PRISM REMARKS: Commercial TI Owner: KNICKERBOCKER PROP. INC XXIV BY NORRIS, BEGGS + SIMPSON 10300 SW GREENBIIRG RD STE 200 PORTLAND, OR 972.23 Phone: Contractor: PIONEER CONSTRUCTION SERVICE PG BOX 68304 MILWAUKIE, OR 97268 Phone: 652-1050 Reg #: LIC 0012.8689 This Certificate grants occupancy of the above referenced building or portion thereof and confirms that the building has been inspected for compliance with the State of Oregon Specialty Code.for the group, occupancy, and use under which the referenced permit was issued. BUILDING INSPECTOR BLIILD!NG OFICIAL POST IN CONSPICUOUS PLACE CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 q Date Requested 7,/ &&0 AM / / O PM g l�l00-00061? 'Ts Location 1 Z C.� ��'��i /�; U•�'G Suite 1 'MEC Contact Person Ph PLM Contractor _ _ Ph SWR _ UILDI �v `�` Tenant/OwnerG 1�t"� ELC Retaining Wall ELR Footing Access: �jw GAT ��-� Foundation i FPS Ftg Drain 1.1bA 0 T•-i e- s yz czc t:►�► p SGN Crawl Drain Inspection Notes: - -- — Slab -----.--_ ____------_-----..._ SIT Post&Beam - - Ext Sheath/Shear Int Sheath/Shear Framing _ Insulation Drywall Nailing Firewall •1`�tg�Acinklb� -_ _-_ � �� Fire Alarm_ op C - - - - 00 1 �f-- Misc: ----- __ __— ASS PART FAIL — ING Post&Beam Under Slab TopOut --- -----_--�__---.._ �.___---- -- Water Service Sanitary Sewer -- -- -----.____-- Rain Drains Final ___--___.._------- PA: PART FAIL MECHANICAL Post& Beane -----_-- Rough In Gas Line ------ Smoke Dampers Final - PASS PART FAIL ELECTRICAL — Service Rough In -_-----_._..-- UG/Slab Low Voltage Fire Alarm -----___--- -- ._ __-- — Final PASS PART FAIL SITE Backfill/Grading -- ----_ -- -�_— ------ Sanitary Sewer Storm Drain ( I Reinspection fee of$ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line ( j Please call for reinspection RE:_ — __ [ J Unable to inspect-no access ADA 7_ — Aplprroach/Sidewalk er pate �6 _ _ Inspector----__-��_ E ,� -� Final PASS PART _FAIL DO NOT REMOVE this inspectiort record from the job site. CITY OF TIGARD BUILDING INSPECTION DIVISION 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 MST ------ -- BUP _Date Requested.----- J _AM_ —PM -- BLD -� Location 022 � _ Suite O MEC Contact Person ` f ' Ph ' ' PLM Contractcr Ph SWR IN BUILDG Cenat Owner -- '��5 -- — ELC Retaining Wall ELR Footing Access: Foundation FPS Ftg Drain Crawl Drain Inspection Notes: SGN _ -_- Slab SIT -------------- -- --_--___._._--------- Post&Deam -- _ Ext Sheath/Shear Int Sheath/Shear --�--- Framing Insulation -`---- - - - _ Drywall Nailing Firewall --- ---_Fire Sprinkler Sprinkler ---- -- - --- ------- Fire Alarm - - - - Susp'd Ceiling Roof Final PASS PART FAIL --_- - -- PLUMBI_NG Post&Bearn ----- - - - - -- - - - Under Slab Top OutI -- L _ �L__.� �� P=--'-� e, °�✓1 -- Water Service - Sanitary Sewer Rain Drains /J ^ FinalPASS PART PART FAIL — MECHANICAL ------- -____.--.__--- ----___-- Post& Bearn -- Rough In Gas Line — - ----—-----.._ Smoke Dampers ------`-----�----- - -- ---. Final -- — - -- -- - . . PAS ART FAIL Serv„i_e UG/Slab Low Voltage -- -- Fire Alarm PASS ART FAIL Backfill/Grading - — -- Sanitary Sewer Storm Drain [ ]Reinspection fee of$ _required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line ) J Please call for reinspection RE: — ( )Unable to Inspect-no access ADA Approach/Sc !w,lk Date v -/ 9-0 Inspector _ Ext Other Final PASS PART FAIL 00 NO1 REMOVE this inspection record from the job site. CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Line: 639-4 75 Business Line: 639-4171 — - -- / BUP Date Requested -1,, _(�y AM _—PM ` gLp Location Suite Jam' t`-_ MEC Cont i Person _ J.� a? -411, .,Y � Ph zo PLM W Contractor PhSWR BUILDING ^� Tenant/Owner _ j — 4 - ELC Retaining Wall EI-R Footing Access: --- Foundation FPS Ftg Drain - SGN Crawl Drain Inspection Notes: - ---- - - - Slab Post&Beam -------- ----------- SI(' - - ---..- Ext Sheath/Shear Int Sheath/Shear Framing Insulation Drywall Nailing _^— ---Firewall Fire Fire Sprinkler Fire Alarm Susp'd Ceiling -_ Roof Mise -_---- .. ------- . Final PASS PART FAIL - -- -UMBI Post Beam Under Slab TopOut ------ �____.---- - -_ ._---.-- _ - Water Service Sanitary Sewer F Drains, Fina S PART FAIL RIMHANICAL Post& Beam - - ---- - ---- — Rowh In Gas 1_inP _-�-- Smoke Dampers Final --__— PASS PART FAIL ELECTRICAL Service Rough In UG/Slab Low Voltage Fire Alarm --.-- Final PA:a PART FAIL -_ -- SITE Backfill/Grading - --� —Sanitary Sewer Sewer Storm Drain [ ]Reinspection fee of$ _required before next inspection Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line [ ]Please call for reinspection RE: ___ - _ _ [ j Unable to inspect..no access ADA Approach/Sidewalk Other Date _ Inspector Ex Final PASS PART—FAIL 60 NOT REMOVE this inspection record from the job site. CITY OF TIGARD BUILDING INSPECTION DIVISION *AST 24-Hour IrraNiectiun Line: G39-4175 Business Line, 639-417 BUP - -___v�Date Requested / G U ---AM PM _ BLD Location__ c'` G' `fit J CZ--e-e, -- Suite __5�— LMEC Contact Person —_ Ph _ PLM Contractor Ph ^_— y_ SWR BUILDING; Tenant/Owner ELC —� Retaining Wall LO) Footing Foundation Access: FPS _ v_ Fig Drain -- SGN Crawl Drain Inspection Notes: — --- Slab SIT Post&Beam Ext Sheath/Shear Int Sheath/Shear Framing Insulation Drywall Nailing - Firewall Fire Sprinkler _ -- --- -----,_----.-^ --- Fire Alarm Susp'd Coiling —_—___-- -------- --v..— Roof Misc: - Final PASS PART FAIL -- - ---.--------_ .--______�- -- PLUMBING_ Nos!8 9earn --- — -----------.. - Undor Slab Top Out Water Service Sanitary Sewer Rain Drains Fina! PASS PART FAIL MECHANICAL Post&Beam - ------ -- --- _ Rough In Gas Line - - ---- Smoke Dampers Final P T FAIL LECTRICAILV- Rough In ! y - UG/Slab I _. Low Voltage F ire Alarm�11 -- SSS ART FAIL _ ( TE- Backfill/Grading Sanitary Sewer Storm Drain ( J Reinspection fee of$_ required before next Inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line J J Please call for reinspection RE: — [ j Unable to inspect-no access ADA Approach/Sidewalk / Other Date �7 ' Inspector— _ Z��-t�L.^ ,,._ Ext _ Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. CITY OF TIGARD _ BUILDING PERMIT PERMIT#: BUP2000-00069 DEVELOPMENT SERVICES DATE 13SUED: 0/02/2000 13125 SW Hall Blvd.. Tigard, OR 97223 (503) 639-4171 PARCEL: 1S135AB 01004 SITE ADDRESS: 10220 SW GREENBURG RD 501 SUBDIVISION: TWO LINCOLN - TOWN OF METZGER ZONING: C-P BLOCK: LOT: JURISDICTION: TIG REISSUE:: FLOOR AREAS _ EXTERIOR WALL CONSTRUCTION F" CLASS OF WORK: PS FIRST: sf ^ N: S: E: W: TYPE OF USE- COM SECOND: s.f PROJECT OPENINGS? TYPE OF CONST: sf N: S: E: W OCCUPt,NCY GRP: TOTAL 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 J FIR SPKL: SMOK DET: DWELLING UNITS: FRNT: ft PEAR: ft FIP ALRM : HNDICP ACC: BEDRMS: BATHS: IMP SURFACE: PRO CORR PARKING: VALUE: $ 785.00 Remarks: Relocating nine sprinkler heads and plugging one sprinkler head. Owner: Contractor: KNICKERBOCKER PROPERTY INC XXI BASIC FIRE PROTECTION INC BY NORRIS BEGGS SIMPSON 940 NE LOMBARD ST 10300 SW GREENBURG RD PORTLAND, OR 97211 TIAAonD, OR 972.23 Phone: 285-1855 Reg#: LIC 000486 F___ FEES REQUIRED INSPECTIONS Type By Date Amoun; Receipt — Sprinkler Rough-In PRMT BON 03/02/200C $50.00 0000396 Sprinkler Final 5PCT BON 03/02/2000 $4.00 0000396 Total $54.00 ORIGINAL 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 worts is suspended fcr 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. Pe im it ee ( _ Signature: Issued By: Call 639-4175 by 7 p.m. for an inspection the next business -Ady Fire Protection* Permit Application Plan Check# CITY OF TIGARD Commercial or Residential Recd By CYJ 13125 SW HALL BLVD. Date Recd -"- 7 Ze7Y� 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#r„ '2Qb - �C7afv� Called Job Na- of Uevelopment/Pro)ect — Type of System (Complete A or B as applicable) Address Address sem, A.) Sprinkler Wet Dry Na e — Standpipes o" _ Owner Mailing Address Additicnal Hazard Group _ City/State Zip Phone Information Density -�--� Name ,, Design,area —4 if,'5,/'1 Occupant Mailing Address K.Factor City/State Zip I Phone _ A.1) Sprinkler Project Valuation $ r-, - Contractor Name / B.)Fire Alarm (Sprinkler or Ifl;4le Alarm Company) Mailing Address Submittal Shall Include Battery Calculations YES O Prior to permit Alb A,✓� ,{f~ issuance,a City/State Zip Phone Individual Component YES 0 COPY Cut Sheets of all licenses £'�*�l�I.CrC 1.1// .c B,1) Fire Alarm Project Valuation $ are required if State Const.Cont Board Lic.# Exp.Date expired in COT Project Valuation Subtotal (A & or B) $ > �' _ database_ Name,} — Permit fee basest on valuation $ — Mallin Address (see chart on back) Architect 5% Surcharge $ City/State Zlp Phone FLS Plan Review 40% of Permit $ I Describe work A.)New O Addition O Alteration , Repair O TOTAL $ �' to be done __ _ , . B.) Modification heads=No plans required to sprinkler heads onlred —plan—S,1 1 1-10 plans required: Submit three sets of ns,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 Number of sprinkler head4Y correct,that I am the owner or authorized agent of the owner,and that plans submitted dre m compliance with Oregon State laws Additional Description of Work: <y) /4#101 f�s� re 3 ure O Agent— Dab r, ~ A.)In Existing Building New Budding ❑ Building Conta n Name Phon!—,j15 Data B.) mmercial Res dential O __ �7J kr Co FOR OFFICE USE ONLY: No of stories Plat# Mapn'L#: Sq. Fr. _ _ _ -- -----— Notes Occupancy Class Type of Construction� i:\riresupr.aoc CITY-OF DGARD $GILDING PERMAT FESS TOTAL STATE BUILDING VALIDATION OF PERMIT F.L.S. TAX PERMIT PROJECT FEES (40%) (5(/,,,) rEES 1-1500 25.00 10.00 1.25 36.25 1,501-1600 26.50 10.60 1.33 38.43 1,601-1,700 28.00 11.20 1.40 40.60 1,701-1,800 29.50 11.80 1.48 42.78 1,801-1,900 31.00 12.40 1.55 44.95 1.901-2,000 32.50 13.00 1.63 47.13 2,001-3,000 38.50 1540 1.93 55.83 3,001-4,000 44.50 '17.80 2.23 64.53 4,001-5,000 50.50 20.2.0 2.53 73.23 5,001-6,000 56.50 22.60 2.83 91.93 6,001-7,000 62.50 25.00 3.13 90.63 7,001-8,000 68.50 27.40 3.43 99.33 8,001-9,000 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 11,001-12,000 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 41.80 5.23 151.53 14,001-15,000 110.50 44.2.0 5.53 160.23 15,001-16,000 116.50 46.60 5.83 16893 16,001-17,000 122.50 49.00 6.13 177.63 17,001-18,000 I 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 2.03.73 20,001-21,000 146.50 5860 7.33 212.43 21,001-22,000 152.50 51.00 7.63 221.13 22,001-23,000 158.50 63.40 7.93 229.83 23,001-24,000 164.50 65.80 8.23 238.53 24,001-25,000 170.50 68.20 8.53 247.23 25,0.)1-26,000 175.00 70.00 8.1-5 253.75 26,001-27,000 179.50 71.80 8.98 260.28 27,0("-28,000 184.00 73.60 9.20 266.80 28,001-.29,000 188.50 75.40 9.43 273.33 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 82.50 10.33 299.43 33,001-34,000 211.00 84.40 10.55 305.95 34,001-35,000 215.50 86.20 10.78 312.48 35,001-36,000 220.00 88.00 11.00 319.00 36,001-3-7,000 224.50 89.80 11 2.3 325.53 37,001-38,000 229.00 91.60 11.45 332.05 is firesupr.doc CITY OF f IGARD - - ELECT PER - — RESTRICTED ENERGY DEVELOPMENT SERVICES PERMIT#: ELR2000-00045 13125 SW Hall Blvd., Tiqard. OR 97223 (503) 639-4171 DATE ISSUED: 02/29/2000 PARCEL: 1 S 135AB-01004 SITE r,DDRESS: 10220 SW GREENBURG RD 501 SUBDIVISION: TWO LINCOLN - TOWN OF METZ_GER ZONING: C-P BLOCK: LOT: JURISDICTION: TIG Proiect Description: Data telecommunication installation. A. RESIDENT IAL _ B.COMMERCIAL AUDIO & STEREO: _ AUDIO & STEREO: INTERCOM & PAGING: BURGLAR ALARM: BOILER: LANDSCAPEIIRRIGAT: GARAGE OPENER: CLOCK: MEDICAL: HVAC. DATAITELE COMM: X NURSE CALLS: VACUUM SYSTEM: FIRE ALARM: OUTDOOR LANDSC LITE: OTHER: HVAC: PROTECTIVE SIGNAL: INSTRUMENTATION- OTHER. TOTAL#OF_, STEMS:11 Owner: - Contractor: KNICKERBOCKER PROPERTIES INC COMMUNICATIONS INSTALLA-i ION BY NORRIS BEGGS & SIMPSON 8142 SE DURHAM RD 10300 SW GREENBURG RD STE 200 TIGARD. OR 97224 PORTLAND, OR 97223 Phone: PhonQ: 503-670-7721 Reg #: LIC 0111596 ELE 37 586CLE ��— FEES Required Inspections 1 Type By Date Amount Receipt Low Voltage Inspection PRMT GEO 02/29/2000 $60.00 00.321887 Elect'I Final 5PCT GEO 02/29/200C $4.80 00-321887 Total $134.80 ORIGINAL This Permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable laws All work will be done in accordance with approved plans This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center Those rules are set forth in OAR 952-001-0010 through OAR 952-0010080. You may obtain copies of these rules or direct questions to OUNC at (503) 246 1987 !� --� Issued by Permittee Signature _- - _ OWNER INSTALLATION ONLY The installation is being made on property I own which Is not intended for sS)e. lease, or rent. OWNER'S SIGNATURE: _— _ -- _—®- DATE:— _ CONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR. ELEC'N --____ DATE LICENSE NO: -------_----------___-_ Call 639-4175 by 7:00 P.M. for an inspection needed the next business day CITY OF TIGARD RESTRICTED ENERGY ELECTRICAL APPLICATION Recd by: — 13125 SW HALL BLVD Date Recd: _ fIGARD OR 97223 PRINT OR TYPE — V - 503-639-4171 X304 Permit#:SGrlea?Ocr.'-eo0g3_ d: F - 503-598-1960 INCOMPLETE OR ILLEGIBLE APPLICATIONS Cust.Call' _ _ WILL NOT BE ACCEPTED Name of Development Project TYPE or WORK INVOLVED -RESIDENTIAL ONLY (� Restricted Energy Fee........................................ $60.00 I Y l 'jt yX (FOR ALL. SYSTEMS) JOB Street Aodressle 21p SUE?506 Ste# G� Check Type of Work Involved ADDRESS ' CitylState _ Zip Phone# ❑ Audio and Stereo Systems IF I Name--'I/ ❑ Burglar Alarm ktt!cker'6vGkEy— IMe- Garage Door Opener- OWNER Mailing Address g SW car b"c s-race ❑ Heating,Ventilation and Air Conditioning System' City/StateZi Phone# - U, S Vacuum Systems' Other CONTRACTOR M ingAddr 55 -- 1 TYPE OF WORK INVOLVED -COMMERCIAL ONLY I rior to issuance a Qity/Stalei Phone# Fee for each system.............................................. $60.00 copy of cll I censer J''L�1c� G'/.' �Z��`� 0 7 (SEE OAR 918-260 260) are required if Orbgon Contr B—rd Lic # Exp Date expired In C O T 1-iir, ?LZ 0J, 3 Check Type of Work Involved data base) Electrical Conlr Lic Ex Date �� f I') ❑ Audio and Stereo Systems O T or Metro Lic # Exp ate ❑ Boiler Controls Owner's Name —_ ❑ Clock Systems OWNER - Mailing Address APPLICANT Data Telecommunication Installation CG.y/State — TZip Phone# ❑ — 1 Fire Alarm Installation T his permit is iz ued under OAE 918.320-370 This applicant agrees to make only restricted energy installations(100 volt amps or less)under this F] 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. ❑ Intercom and Paging Systems These have osterisks(') All others need licensing, ❑ Landscape Irrigation Control' 7 Call for inspections when installation under this permit are ready for inspection at 503.639-4175; ❑ Medical r 3 Purchase separate permits for all insiallations that are not ready for an ❑ Nurse Calls inspection when the inspector is out to inspect under this permit, 4 Assume responsibility 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 r.orrections are completed ❑ Other Permits are non-transferable and non-refundable and expire if work is not I started within 180 days of issuance or if work is suspended for 180 days 1 _—Number of Systems The person signing for this permit must be the applicant or a person No licenses are required Licenses are required for all other installations i authorized to bind the applicant FEES /h (f'v ER FEES $ (OfJ ,00 /thori tela Of, �JJ SURCHARGE(.M X TOTAL ABOVE) : 0 other than ApplicantT°TAE 9 sele doc 3r98 CITY OF TIGARbR I G I NA L PLUMBING PERMIT DEVELOPMENT SERVICES PERMIT#: PLM2000-00035 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 2/11/00 SITE ADDRESS: 10220 SW GI',EENBURG RD 501 PARCEL: 1S'135AB-01004 SUBDIVISION: TWO LINCOLN - TOWN OF METZGE R ZONING: C-P BLOCK: LOT: JURISDICTION: TIG CLASS OF WORK: ALT GARBAGE DISPOSALS: MOBILE HOME SPACES: TYPE OF USE: COM WASHING MACH: BACKFLOW PREVNTRS: OCCUPANCY GRP: FLOOR DRAINS: TRAPS: STORIES: WATER HEATERS: 1 CATCH BASINS: FIXTURES LAUNDRY TRAYS: SF RAIN DRAINS: SINKS: 1 URINALS: GREASE TRAPS: LAVATORIES: OTHER FIXTURES: TUB/SHOWERS: SEWER LINE: ft WATER CLOSETS: WATER LINE: It DISHWASHERS: RAIN DRAIN: ft Remarks: Remove and replace existing sink and water heater. _ Owner: FEES ` KNICKERBOCKER PROPERTIES INC Type By Date _ Amount Receipt BY NORRIS BEGGS & SIMPSON PRMT DEB 2/11/00 $50.00 00-321669 10300 SW GRF_ENBURG RD STE 2.00 5PCT DEB 2111/00 $4.00 00-321669 PORTLAND, OR 97223 Total $54.00 Phone 1: Contractor: DETEMPLE CO INC 1951 NW OVERTON ST PORTLAND, OR 97209 REQUIRED INSPECTIONS Phone 1: 227-2641 Misc. Inspection Reg #: LIC 00002510 Final Inspection PLM 26-25PB This permit is issued subject to the regulations contained in the Tigard Municipal Code. State of OR. Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center Thcse rules are set forth in OAR 952-0001-0010 through OAR 952-0001-0080. You may obtain Copies of these rules or direct questions to OUNC by calling (503) 246-1987. , Iss�i (J� ed By: GQ. Permittee Signature: Call(503) §3R-4175 by 7:00 P.M.for an inspection needed th next business day t:ITY OF TIGARD Plumbing Permit Applic-ation PlanC�e: 13125 SW HALL BLVD. Commercial and Residential Recd By TIGARD, OR 97223 Date Recd (503) 639-4171 Date to P.E. 1Drint or Type Date to DST`- Incomplete or illegible applications will not be accepted Permit'r&ygow-000 Related SWR vro•d06,RR Called it-9-O c) Name of Development/Project FIXTURES (individual) -- QTY rPRICE AMT Job �.7 ��.J��I Sink 1150 5 Address Street Address Suite Lavatory 11.50 1.10 W C)r 0 t~q� C_; Tub or Tub/Shower Comb 11.50 Bldg 0 Clty/State Zip Shower Only 11.50 1)r / 1)193 Name Water Closet - --- - 11.50 Imo (, 1 C)�_ Dishwasher 11.50 Owner Mailing Address Suite Garbage Disposal 11.50 !b ' J �11 , l",/ Washing Machine -- 11.50 City/State Zip Phone - 11.50 t 1b ; n ."ar1� Floor DralNFloor Sink 2' Name 3' ---- 11.50 )' or Q 4' 11.50 Occupant Mailln?Address Suite Water Heater O conversion O like kind 11.50 Gas piping requires a separate mechanical permit, City/State Zip Phone Laundry Room Tray 11.50 r i Urinal 11.50 Name r�w 1P a) ti Other Fixtures(Specify) 15.00 Contractor MailingAddress Suit-eL_ Prior to permit ity/S to Z Phone Sewer-1 at 100' 38.00 issuance,a copy 1464 T"(8,I�( �iIC ( � ��� ) `,�/, i ,- Sewer-each additional 100' of all licenses are Orego Const.Cont.Board Lic.9 Exp.D to 32.00 required if 1 C,l ( t, Water Service-1 at 100' 38.00 expired In COT Plumbing Lic.0 Exp.D830 Water Service-each additional 200' 32.00 database _ - Storm&Rain Drain-1 st 100' 38.00 Name Storm&Rain Drain-each additional 100' _ 32.00 Architect _ Mobile Home Space 34.00 Dr Mailing Address Suite Commercial Back Flow Prevention Device or Anti- 32.00 Pollution Device E=ngineer City/State Zip Phone Residential Backflow Prevention Device" 19.00 (Irrigation timing devices require a separate Describe-work to be done, restricted energypermit.) New,,M' Repair O Replace with like kind: Yes 19 No O Any Trap or Waste Not Connected to a Fixture 11 50 ReSldential O Commercial,A _ - Catch Basin 11.50 Additional description of work: Insp.of Existing Plumbing 50.00 per/hr Are you capping, moving or replacing any fixtures? Specially Requested Inspections 5000 ermr Yes O No O Rain Drain,single family dwelling 45.00 If yes,see back of form to indicate work performed by Grease Traps fixture. FAILURE 10 ACCURATELY I!EPORT FIXTURE P 11.50 WORK COULD RESULT IN INCREASED SEWER FEES. QUANTITY TOTAL I tiereb acknowledge that I have read this application,that the information Y 9 PP Isnmetnr.rx Msec diegram is required A Quantity total is >9 ) given is correct,that I am the owner or authorized agent of the owner,and •SUBTOTAL that plans submitted are In com rlrance with Or on State Laws. I� Slgnahttc o�Owner/Agent - Delp %:iURCHARGE Contact Person Name Phone "PLAN REVIEW 25%OF SUBTOTAL L Required on M fi rium qty total is>9 _ 1 BATH HOUSE$178.00;x�»»' TOTAL Ci 2 BATH HOUSE$250.b0`(r 3 13ATH HOUSE$285 OOy' 'Minimum permit fee 13$50+5%surcharge,except Residential Backflow } (Thla 1190 Includes ill p!,M ng Preventicn Dunce,which is$25+ 5%surcharge 1 no fMet of eanhery sew-a w a; n "All New Commercial Buildings require plans with isometric or riser diagram and plan review 14".I•.11.Hni5�ln,„,, J,K til lr Jy9 PLEASE COMPLETE_ Fixture Type — — Quantity by Work Performed New Moved Re-pplla _eddRRemovedlCapped ---- _Lavatory_ -- -- Tub or Tub/Shower Combination --- _Shower Only ------ - -------- Water Closet Urinal _ --- Dishwasher ____ _ — -- -- _Garbage_ Disposal Laundry_Room_Tray — — -- Washing Machine __ ---- Floor Drair./Floor 2" 4„--- - _ — Water Other Fixtures (Spe�_ify) _ _.— - COMMENTS REGARDING ABOVE: tl�� -------- -- I ktstsloms¢lumnptdix 1;it%^)`) Accumulative Sewer Tally Tenant Namt !✓`M This SWR# o? t\ddrpSS:/0d.;1l` Si dy� �19�/ _ This PLM#: anon- OCA&;. f=iature Value Previous Previous Credits Capped Fixtures Fixtures New total New # Value Capped off value added# added #s total _ Count off#s count value values Baptistry/Font _ 4 Bath -Tub/Shower 4 i_ -J acuzziMhirl pool 4 Car Wash - Each Stall 6 .� - Drive Through 16 CuspidorNVater Aspirator 1 - Dishwasher- Commercial 4 - Domestic _ 2 Drinking Fountain 1 EYe Wash —1 Fluor Drain/sink-2 inch 2 - 3 inch 5 4 inch -Car Wash Drn 6 Garbage-Disposal — — 16 - Domestic(to 3/4 HP) Commercial(lo 5 HP) 32 _ Industrial (over 5 HP) 48 _ Ic-e Machine/Refrigerator Drains 1 Oil Sep(Gas Station) __ 6 Rec,Vehicle Dump :station 16 _ Shcwer-Gang (Per Head) 1 Sink -Bar/Lavatory 2 Y -Bradley �— -- 5 — •^—_- - -^- - _ _ -- Commercial 3 ✓� / -Service _ -- J Swimming Pool Filter 1 Washer-Clothes 6 Water Extractor — 6 Water Closet - Toilet 6 Urinal i 6 TOTALS Total fixture values f' divided by 16 = `z��, �G _EDU fit`vA!7- HISTORY PLM#lKq-ee ny _EDU#- SWR# g -00a6F PLM#q? fin, r / EDU# �' _SWR#97 PLM#jj K- EDU# SWR# ,tom _ PLM# sb- ese a co EDU# SWR# PLM# EDU# SWR#�� oU l 9? _PLM#-/,# - Ana P EDU# SWR# _ PLM# EDU# SWR# EDU# 9� SWR#yG -0406? I\dsWswrtaly doc CITY OF TIGARDELECTRICAL PERMIT PERMIT#: ELC2000-00048 DEVELOPMENT SERVICES DATE ISSUED: 02/07/2000 13125 SW Hail Blvd.,Tiqard, OR 97223 (503) 639-4171 PARCEL. 1 S 135AB-01004 SITE ADDRESS: 10220 SW GREENBURG RD 501 SUBDIVISION: TWO LINCOLN - TOWN OF METZGER ZONING: C-P BLOCK: LOT : JURISDICTION: TIG Proiect Description: Add eleven (11) branch circuits for tenant Improvements. _ 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: MANF HMI SVC/ FDR: 601+amps - 1000 volts: MINOR LABEL (10): SERVICEWEEDER_ BRANCH CIRCUITS ADD'L INSPECTIONS 0 - 200 amp: W/SERVICE OR FEEDER: PER INSPECTION: 201 - 400 amp: 1st W/O SRVC OR FDR: 1 PER HOUR: 401 - 600 amp: EA ADD'L BRNCH CIRC: 10 IN PLANT: 601 - 1000 amp: PLAN REVIEW SECTION 1000.1- amp/volt: >=4 RES UNITS: > 600 VOLT NOMINAL: Reconnect only: SVC/FDR >=225 AMPS: CLASS AREA/SPEC OCC: _ Owner: Contractor: KNICKERBOCKER PROPERTIES INC WILLAMETTE ELECTRIC INC BY NORRIS BEGGS & SIMPSON PO BOX 230547 10300 jW GREENBURG RD STE 200 TIGARD, OR 97281 PORTLAND, OR 97223 Phone: Phone: 624-3631 Reg#: LIC 000750 SUP 1965S ELE 34-2830 FEES Required Inspections Type By Date Amount Receipt _ _. Ceiling Cover �PRMT GEO 02/07/200( $91.00 00-321608 Wall Cover 5PCT GEO 02/07/200( $7 28 00-321608 Elect'I Service -- _ Gert'I Final ORIGINAL Total $9$,2$ This Permit is issued subject to the regulations contained in the Tigard Municipal Code. State of OR Specialty Codes and all other applicable laws All work will be done in accordance with approved plans This permit will expire if work is not started within 180 days of issuance,or if work is suspended for more than 180 days ATTENTION Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center Those rules are set forth in OAR 95L 001-0010 through OAR 952-001-0080 You may obtain copies of these rules ordirect questions to OUNC at(503) 246-1987 h 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 SIGNATURE: r DATE:--- CONTRACTOR ATE:_ _CONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR. ELFC'N: `� DATE:.---,-' r=�d LICENSE NO: - Call 639-4175 by 7:00pm for an Inspection the next business day CITY O-- i IGARG Plan Check# 13125 SW HALL BLVD. ��pl��3al Permit Application Recd ByDate Recd -^�-__- _ TIGARD OR 97223 4 ?TIM Date to P E Phone (503)639-417 1, x304 Date to DST Inspection (503)639-4175 M M4IJNIIY DUFLOPM"Orint of Type Permit#EcC�20oo-oaoyg` Fax (503) 598-1960 Incomplete or illegible will not be accepted Called— — 1. Job Address: r4. Complete Fee Schedule Below: Name of Development--?—L A,c Ll-,►''� Y` Number of Inspections per permit allowed Name(or name of business)_ i r Service included: Items Cost Sum Address ( d_� Z C�_ S� ' C,� ti'Y"v�L /U 4a. Residential-per unit � 1000 sq ft.or less $ 117.75 _ 4 Crit /State/Zi i _ 1 "-- Y p—� ,T —-- Each additional 500 sq h or portion thereof $ 26.75 _ 1 Commercial ® 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). v Installation,alteration,or relocation E �+lectrical Contractor �a.J �1 f r to L It t ��t 200 amps or less $ 64 25 2 Address 1 p 201 amps to 400 amps - $ 8550 _ 2 Irl' /t,.r Z :3 C �f ? � 401 amps to 600 amps $ 128 50 2 City —d'TAill! —_State�lp_ 601 amps to 1000 amps $ 192 50 2 I N4 �_3F.�/ - Over 1000 amps or volts _ $ 363.75 2 Job No �_ _ Reconnect only $ 53.50 2 E=lec. Cont. Lice. No. -� _111C _Exp.Date % i e1C_ 4c.Temporary Services or Feeders OR State CCB Reg I40 z,5-,� Exp.Date c'r Installation,alteration,or relocation COT Business lax or Metro No. // `/ _Exp. ate 6 - i -tc 200 amps or less $ 53.50 _ 2 201 amps to 400 amps _ $ 8025 _ 2 Signature of Supr. Elec'n_ _..,_ 401 amps to 600 amps ` $ 10000 2 Over 600 amps to 1000 volts. License No ���� Exp..Date /L'- / 'G'i sea"b"above. _--_� _ Phone No. [ ; t 4d.Branch Circuits `-1c-.-� -- New,alteration or extension per panel a)The fee for branch circuits 2b. For owner Installations: with purchase of service or feeder fee. Print Owner's Name Each branch urcuit $ 535 -- 2 -- --` "- --- Lill The fee for branch circuits Address_ without purchase of service City _ State Zip or feeder fee. kv Phone No. First branch circuit f $ 37.50 4 "— Each additional branch circuit _ ,; 5 5.35 The installation is being made on property I own which is not 4e.Miscellaneous intended for sale, lease or rent (Service or feeder not Included) Each pump or irrigation circle $ 42 75 Owner's SignatureEach sign or outline lighting $ 42 75 - - -- - - Signal circuit(s)or a limited energy if required):* panel,alteration or extension $ 6000 3. Plan Review sectionMi nor Labels(10) $ 10000 Please check appropriate item and enter fee in section 58. 4f.Each additional inspection over 4 or more residential units in one structure the allowable in any of the above y Service and feeder 225 anmps or more Per inspection ^— $ 5000 —Per hour $ 5000 System over 500 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 S ` Submit 2 sets of plans with application where any of the above apply. 8%Surcharge(08 X total fees) Not required for temporary construction services. Subtotal $ - - 6b.Enter 25%of line 6a for NOTICE Plan Review if required(Sec 3) $ PERMITS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED Subtotal $ IS NOT COMMENCED WITHIN 180 DAYS,OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD Of' 180 DAYS ❑ Trust Account# _ AT ANY TIME AFTER WORK IS COMMENCEDGl Totaf balance Due $ i:ldsts\forms\clrctr ic.duc CITYOF T I GA R D BUILDING PERMIT DEVELOPMENT SERVICES PERMIT#: 0-00028 DATE ISSUED: Q11/31/2/31/2 000 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 SITE ADDREi,S: 10220 SW GREENBURG RD 501 PARCEL: 1S135AB-01004 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: sf PROJECT OPENINGS? TYPE OF CONST: 2FR 7,031 sf N: _ S: E: W: OCCUPANCY GRP: B TOTAL AREA: sf ROOF CONST: FIRE RET? OCCUPANCY LOAD: 110 BASEMENT: sf AREA SEP. RATED: STOR: HT: ft GARAGE: sf OCCU SEP. RATED: BSN'T?: MEZZ?: REQD SETBACKS REQUIRED _ FLOOR LOAD: psf LEFT: ft RGHT: ft FIR SPKL: Y SMOK DET: DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP ACC: BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING: VALUE: $ 42,500.00 Remarks: Commercial TI Owner: Contractor: KNICKERBOCKER PROP, INC XXIV PIONEER CONSTRUCTION SERVICE 13Y NORRIS. BEGGS + SIMPSON PO BOX 68304 10300 SW GREENBURG RD STE 200 MILWAUKIE, OR 97268 I'9�T ND, OR 97223 Phone. 652-1050 ORIGINAL lone: Reg #: tic 00128689 FEES y _ _ REQUIRED INSPECTIONS Type By Date Amount Receipt Framing Insp PRMT KJP 01/31/2000 $348.25 00-321532 GYP Board Insp Susp Ceiing Insp PLCK KJF' 01/31/2000 $249.76 00-321532 Final Inspection 5PCT KJP 01/31/200( $30.74 00-321532 FIRE KJP 01/31/2000 $15370 00-321532 - Total $782.45 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 952-00 1-0010 through OAR 952-001-1987. You may obtain a copy of these rules or direct questions to OUNC by calling (503) 246-1987. Flo rmItee y� Signature: Issued By: fe_,�i`— Call 639-4175 by 7 p.m. for an inspection the next business day CITY OF TIGARD Commercial Building Permit Recd By — 13125 SW HALL BLVD. New Construction and Additions Date Recd -- TIGARD, CR 97223 Date to P E. I Uate to�T 1 l3 t 1 D o i� (503) 63P-4171 1/^ Permit st `J_gQ, (JCC L Print or Type `� yp Related SWR# Incomplete or illegible applications will not be accepted Called—� — -- Name of DeveiopmenuPro)ect� — Existing Bullding)4 New Building D Job L VIC01n C.e►ftJev Address Street Address Suite Building to cet Itnw SW 6reei+6­3 PLA, 501 Data Bldg# cayst Ile LLL Zip Existing Use of Building or Property.TNH I L1►CoLErt �ort� �0�'. �72Z. `'TTI CP_ Name Property Yt ickerlvo er �Yo gr ►eJ, Inc Propossed Use of Building or Hoperty: Owner Mailing Address Suite O'�TICe 10300 .ryJ 6reenbk.•rJ , 2,Q0 _ No/. Of Stories: City/State Zip Phone 1.6 S I X Fprtla4, 01Z. 9722.3 15Z-59VO Sq. Ft. Of Project: Name 1 O 3 / Occupant Prism Occupancy Class(es) Name Contractor Type s of Construction Prior to permit Mailing Address Suite issuance,a copy p fox E�5 3 L)+ Will this project have a Fire Suppression System? of all licenses are required if City/State Zip Phone Yew NO ❑ — expired in C O T 1,l , Americans with iD sabilities Act (ADA) database '"` �WAJI<rG , CDP,. 97722' 6=2• (0 Sr Valuation X 25% = $ Participatto Oregon Const.Cont.Board Lic# Exp,Date Complete Accessibility Form ---il.7­ 17 9669 C)t(oo Project —^� $ ir,7 ^` Name Valuation Architect ODD Acct i+r-ci Marling Address / Suite _ Plans Required: See Matrix for number of sets to submit 92o SW 3"dp��„JP +00 C.) on back Gty/state n Zip Phone -- -- Fvr-tl � I hereby acknowledge that I have read this application,that the information ,,,m„ — given is correct,that I am the owner or authorized agent of the owner,and Enyltteer that p!:ns cnhmitted are in compliance with Oregon State Laws Mailing Address -- Suite Signature of Owner/Agent Date �K" /•3/ •Dry CitylSlate Zip Phnne CoriAct Person Name Phone Indicate type of work New O Addition O Demolition o FOR OFFICE USE ONLY Accessory Structure O Foundation Only O Alteralion)li4 Map— R — — Land use Repair O Other O — ` Description of work: Notes teNdH�. 1•f"r'r9UC►a�en�� TIF `----•--- — Parks; Estimated#of Employees i Note- Site Work Permit Application must precede or accompany Building Permit Application I\COMNEW DOC (DST) 8197 COMMERCIAL PLAN SUBMITTAL REQUIREMENT MATRIX DIS*.'RIBUTION TO PIANS OUT TO DST EXAMINERS (Note a.) TYPE OF SUBMITTAL TOTAL CPE PPF, EPE CPE PPE EPE SITE I 1 -- -- 3 (j,o,u) -- -- B (New or Add) 1 l -- -- 3 (i,o,w) -- -- F (New or Add or Alt.) 3 3 -- 30,0,0 M (New or Add. or Alt) 1 1 -- -- 20,o) -- -- B & M (New or Add) 1 1 -- -- 3 O,o.w) -- -- P (New, Add. or Alt) 2 -- 2 -- -- 2(j.o) -- t 13 & M & P (New or Add.) 2 1 1 -- 3 (j,o,w) 2(j,o) -- E (New, Add, or Alt) 2 -- -- ? -- _ 20,o) B & M & P & E (New, Add) 3 1 l 1 3 (j,o,w) 2(j,o) 2 (j,o) B or B & M (Alt) 1 1 -- - 20,0) -- �• B & M& P(Alt) 3 1 2 -- 20,o) 26,o) B & M & P& E (Alt) 3 1 1 I 2 0,o) 20,o) 2(i,o) NOTES: K Y; a. Before returning to DST. Plans examiner gets appropriate i = Job B = BUP number of revised plans from applicant, stamps and completes, o = Office Ni = iVIEC updates and adds actions. f= Fire P = PLM u — USA E = ELC b. Shaded areas designate ALT'sijbM,ift*'ls oniy w = Wash. County F = FPS c. FPS is a new permit category set aside for fire sprinklers and fire alarms. d. Effective August 15, 1997, Tualatin Valley Fire and Rescue no longer requires a set of approved plans to be forwarded to their office. Exception, continue to forward a copy of approved fire sprinkler and fire alarm plans with calculations h�matnc Doc t�risrn T. I e 3 L.- sal SUBJECT: ACCESSIBILITy BARRIER REMOVAL IMPROVEMENT PIAN REQUIREMENT: OREWN REVISED STATUTE(ORS)"T.241. (1) Every protea;for renovation,alteration or modirlr=bori to aAtacted buildings and q�faolitiea shag be made to insure that the path of trawl to the altered area and the restroom,telePnones and drinking fountains aro resdlly accsssibte to individuals wart disatiddles,unless such alterations ars dispro to the overall alterations in tarns of cost and scope parnonate (2) Alteramns made to the path of travel to an altered area may be deemed dfsoroportionate to the overall alteration when the=W extaeeds twenty-Ave per-cant(25%). YAL.U,A-MN of all renovation, alteration or modiftcaition being done exeluding painting,wallpapering. (1) 111i111MY, 25% Barrier removal requirement BUDGET FOR BARRIER REMOVAL, (21 101 The dollar amount of the 2=9ET, established on line (2) in the camputadon above shall be spent providing the accessible elements in the following order, �- An accessible route connecting the building to accessible pedestrian walkways, and the public way. S 2• (including but not timded to curb ramps.dote= in wamirip, — merited rxost"s,amps handrails and landings(. 2, Not less than one accessible parking spam. S CL+CtUmng but not tkrnted to ad(acem atxxss anile,signs and curb ramp connecting with the accessible"route). 3. Accessible entry or entries. S [inctudinq but nett limded to ramps.handrails,findings. door siU height.door width and door harmwarel. a. An accessible interior route to the altered area. (inc:uding but not limned to door-ways.maneuvenng c:earanw,door harlware and stairwaysl. 5. At least one accessible restroom fcr each sex. S n At'east are accessible telephone where public phones are provided. 5 %. `Ahen drinking fountains are required. fifty per-cent but not less than one shall be accessit le. S 9. Additional ac—cessible elements such as storage, reach ranges, alarms, etc.. Arrt�'llltt.E CAa^�DIr•ET /plv -1l"Ll'" S 000 00l TC1TA pu t <_.� a li f Value Ccmouta ion 5 C) is otcl duct DST) 11/UO/HH INUIN 11.14 t'lin JUO LYY YYU . .... . .. ... ...� • •• • z, ... . LINCOLN CENTER November R, 1999 VIA FACSIMILE —598-1960 City of"Tigard Oregon 13125 SW Ball Blvd. Tigard, OR 9722:3 Re: Lincoln Center To whom it may concern: This letter is to notify you that in November, 1999, Suite 4551 in Three Lincoln, 10220 SW Greenburg Road, will he divided into two (2) separate suites: Suite #501 and 1551 (see attached plan). Ifyou have any questions, please do not hesitate to call. Sincerely, NORRIS, BEGGS & gIMPSON Sharon D. Otness Property Management Assistant SDO leasing\sdo\letter\tigard.doc Attachment cc: General Correspondence Management and Leasing ee ca��i 10100 SW G'reenhurg Ruled,Sulte 100,Portland,Oregon 97223 sl�rdcNy 11041 HxN• 501.451-5900/rhonr 501.144.4400/fox w�•a..,•rrn.�,.r �! I� r � I,` , ► % it I � ���� ��!► ! i IIIII Iql 1� ;; .r Z: iii CITYOF T I G A R D CERTIFICATE OF OCCUPANCY DEVELOPMENT SERVICES PERMIT#: BUP2004-00127 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 3/18/2004PARCEL: 1S135AB-01002 ZONING: R-12 ,JURISDICTION: TIG SITE ADDRESS: 10220 SW DREENBURG RD 501 SUBDIVISION: THREE LINCOLN-TOWN OF METZGER BLOCK: LOT:009 CLASS OF WORK: ALT TYPE OF USE: COM TYPE OF CONSTR: 2FR ' OCCUPANCY GRP: B s OCCUPANCY LOAD: TENANT NAME: WELLS FARGO HOME MORTGAGE REMARKS: TI. ;:ow wal for office Owner: EQUITY OFFICE PROPERTIES ONE SW COLUMBIA SUITE 300 PORTLAND, OR 97258 Phone: 503-412-4800 503-234-6617 Contractor: _ C SCHIEV�E& ASSOCIATES INC 1024 NE DAVIS ST PORTLAND, OR 97232 Phone: >n3-214-6017 Reg#: 1.1C' S111�S This Certificate issued 5/4/21104 grants occupancy of the above referenced building or portion thereof and confirms that the building has been inspected for complianc,466, with the State of Oregon Specialty Codes for the group, occupancy, and use Under Which the referenced permit wa;'ssLAed. BUILDING INSPECTOR T BUILD--- IN(OFF-!CIAL POST IN CONSPICUOUS PLACE CITY OF TIGARD 24-Hour BUILDING Inspection Line: (503)639-4175 MST INSPECTION DIVISION Business Line: (503) 639-4171 'J BUP Heceived 7 r Date Requested "all . �_. AM - PM.__ BLIP location Z 0 Z Z-� Suite �� MEC Contact Person ---- P (_ ) — PLM ___-_-- —_-- Contractor ���!' - - - Ph v6 3 SWR BUILDING _ Tenant'Owner ��' ✓_ _ __ ELG-W_.. Footing _ ELC Foundation Access: _ Fig Drain ELR —r---_— 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 Other.-- _ ---------- - ________ ---- ------_ _.....------------------- Final PASS PART FAIL PLUMBING Post& Beam - Under Slab AAA- -- - Rough-In Water Service -- - - ---- -- Sanitary Sewer Rain Drains --- - ---- Catch Basin/Manhole Storm Drain --� `-- Shower Pan Other: -- Final _ MASS PART _ FAIL MECHANICAL Post&Beam Rough-In -- — --- - Gas Line Smoke Dampers - —--- - --- --- - Final PASS PART FAIL — ELEC-f ICAL — Service Rough-In UG/Slab Low Voltage - -- _ F Reinspection fee of required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. _4MSL,.PART _FAIL Please call for reinsl,ech.on RE F] Unable to Inspect-no access Fire Supply Line 11D� Date t o Inspoctor _ t`)tlier_ Final DO NOT REMOVE this Inspection record firl the job Its. PASS PART FAIL 1 CITY OF TIGARD 24-Hour BUILDING Inspection Line: (503) 639-4175 INSPECTION DIVISION Business Line: (503)639-4171 MST BUP Received __.-.__ �.� -� /__Date Reque ted .Z� _ AM 1. PM _ BUP _ Location _-- �2-�7 --_Suite ��—/- MEC _ Contact Person __._____ __._ ��L _ Fh (_ _ 5U _. .�S�Q� PLM _ Contractor_.__ _ -__ Ph (_ ) --- - SWR LD Tenant/Owner —_-(L/ � ELC -- -- Footing ------___ �— � G ��T_ ��---- ---- ELC Foundation Access: Fig Drain ELR Crawl Drain Slab Inspection Notes: l SIT Post& Beam --- --_ __---- -- /--_ Shaar Anchors -- Ext Sheath/Shear Int Sheath/Shear —^— -�-`- Framing Insulation - Drywall Nailing -- Fir -------- --_— -- ire Sprinkle --- - arm Susp'd Ceiling - - --- -- -- -- - - - Hoof Other: ---- -___ ---`-- - - - Fin l S PART FAIL B_I_NG Post&Beam - — Under Slab Rough.-In 171— Water Servhe Sanitary Sower - Rain Drains - --- - - - Gatch Basin/Manhole ` Storm Drain -- ----- Shower Pan Other: Final PASS PART FAIL _MECHANICAL Post& 6eamRough-In Gas Line Smoke Dampers Final -- PASS PART FAIL. -- - — - --- ------ ----- ELECTRICAL Service Rough-In Low Voltage Fire Alarm Final Reinspection fee of$- required hifore next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL SITE — Please call for reinspection RF.:--^ -_�__- �� Unable to inspect -no access Fire Supply Line ADA Z f ( /t �.�<_..._ Approach/Sidewalk Date Inspector Ext Other: _ Final DO NOT REMOVE this Inspection record from the job site, PASS PART FAIL CITY OF TIGARD 24-Hour BUILDING Inspection Line: (503)639-4175 MST — INSPECTION DIVISION Business Line: (503)639-4171 Received --L '2 tJ_ Date Req u sted � _'�-AM _-. Pte ]_ BLIP -- _-- Location i Z _Suite_ - MEC Contact Person ( _) � �'- J b--3 PLM Contractor _ _ Ph(_—) —. SWR _. ._- BUILDING Tenant/Owner _ l ; ELC --_ _ Footing ELC Foundation Access: Ftg Drain ELR -- Crawl Drain Slab Inspection Notes: SIT Post&Beam Shear Anchors Ext Sheath/Shear '^ Int Sheath/Shear Framing - -- - - Insulation Drywall ailing - - -- --- --- Firewall Fire Sprinkler - - - - - Fire Alarm Susp'd Ceiling - - - - Roof Other, - - -- - ----- inal —___- PART FAIL Post&Beam Under Slab - - - Rough-In Water Service - Sanitary Sewer Rain Drains - Catch Resin/Manhole Storm Drain Shower Pan -- Other: - -- -- Final PASS PART FAIL --- - MECHANICAL - -- - - -- - - _— - - -- Post&Beam Rough-In -- - -- -------- - - ------ - -- Gas Line Smoke Dampers - - -- -- _ -- --- --- Final PASS PART FAIL - - �. - - --- --- - ELECTRICAL__ Service Rough-In UG/Slab Low Voltage -- -- - - - -- - Fire Nairn Final Reinspection tee of$� required before next inspection. Pay at City Hall, 131.25 SW Hall Blvd. PASS PART FAIL_ Please call for reinspection RE: - F-1 Unable to inspect-no access Fire Supply Line ADA G Approach/Sidewnik Do. Inspector ; '�� Est Other: Final DO NOT REMOVE this Inspectiolilt record from the job site. PASS PART FAIL. CITYOF TIGARD BUILDING PERMIT PERMIT#: BUP2004-00179 DEVELOPMENT SERVICES DATE ISSUED: 4/21/04 13125 SW Hall Blvd., Tipard, OR 97223 (503) 639-4171 PARCEL: 1S135AB-01002 SITE ADDRESS: 10220 SW GREENBURG RD 501 SUBDIVISION: THRFE 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: TYPE OF USE: CUM SECOND: sf PROJECT OPENPNGS? TYPE OF CONST: sf N: S: E: W: OCCUPANCY GRP: B TOTAL AREA: 0 sf ROOF CONST: FIRE RET? OCCUPANCY LOAD: BASEMENT: sf AREA SEP. RATED: STOR: HT: ft GARAGE: sf OCCU SEP. RATED: BSMT?: MEZZ?: REQD SETBACKS REQUIRED FLOOR LOAD: psf LEFT: ft RGHT: ft FIR SPKL: SMOK DET: DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP ACC: BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING: VALUE: _$ /V.n U Remarks: Adding (1)sprinkler Tread & relocate (1)sprinkler head. Owner: Contractor: EQUITY OFFICE PROPERTIES MCKINSTRY COMPANY ONE SW COLUMBIA SUITE 300 5400 NE COLUMBIA BLVD PORTLAND, OR 97258 PORTLAND, OR 97218 Phone: 503412-4800 Phone: 331-0234 Reg #: MET 44R0p0g0g01179 FEES — LIC REQUIb INSPECTIONS Description Date Amount Sprinkler Ruugh-In 1l3UU..[)J Pernut ITL' 4121104 $62.50 Sprinkler Final 1 I'AN1 9".4 Sate tiurehari 4/21/04 $5.00 'Total $67.50 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center Those rules are set forth in OAR 952-001-4010 through OAR 952-001-0100. You may obtain a copy of these piles or direct questions to OUNC by call in 1503)246-6699 or 1-800-332-2344. Iss ed By: Lk I Pe rmittee Signature: __` -�Call 639-4175 by 7 p.m. for an inspection the next business day Fire Protection System Building — ing Permit Application Kccr.iveJ Q Building Daic/B : 8 Permit No.: City of Tigard Planning App val Other — — Date/By: Permit No.: 13125 SW Hall Blvd. Plan Review Other Tigard,Oregon 97223 Datc/t3 : --__ Pcmtit No.: Phone: 503-639-4171 Fax: 503-598-1960 Post-Review land Use Date/Hy: _ Case No. _ Internet: www.ci.tigard.or.us Contact _ Juri See Page 2 for 24-hour Inspection Request: 503-639-4175 Name/Method: _ Su Icnrental Information TYPE OF WORK _ — REQUIRED DATA: New construction Demolition I &2 FAMILY DWELLING Addition/alteration/re lacement 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 Building Multi-Family, overhead and profit for the work indicated on this application. Master 13uilder _ Other: valuation.......................... $ JOB SITE INFORMATION and LOCATION No,of bedrooms _ N i.of baths: _ Job site address: VzW' �. S Total number of floors..................................... — —� New dwelling area(sq.R.).............................. Suite#: n 1 Bld r./A t.#:"B}PEE L AJ Garage/carport area(sq. ft.)............................ Project Name: JVC7 A,.S o _/VJ Covered porch area(sq. ft.)............................. Cross street/Directions to job site: Deck area(sq. ft.).......... ................................. 7--Other structure area(sq,ft.)............................ REQUIRED DATA: _ — COMMERCIAL-USE CHECKLIST Subdivision: ��Lot#: Tax map/parcel#:� Note: Permit fees'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 prnfit for the work indicated on this application. 1t PD cc r L�'C�k'I'� (/1 -Fi�7 tzU1 A) valuation.................. S �--- Existing building area(sq.fl.)......................... New building area(sq.ft.)... ........................... _ Number of stories .......................................... _ PROPERTY OWNER TENANT Type of construction................ .............. ....... Name: EQV I-f1 — 'J�� - _ Occupancy group(s): Existing: . _ New: .�-�--- Address: eilyic 5�i1 Ce,c ►�mB-. sUI'To City/State/Zip: Yds tor�• �l'7 25' — NOTICE: All contractors and subcontractors are required to be Phone: Fax: licensed with the Oregon Construction Contractors Hoard under APPLICANTI F] CONTACT PERSON provisions of ORS 701 and may be required to be licensed in the Business Nam t eft _& PAr1`(_ jurisdiction where work is being performed. If the applicant is exempt Contact Name:� r-F. �_o� from licensing,the following reason applies: Address: S`-{b0 yV ��t,Vr►^�IA_ 1�11D -- __ —_ _ ------ CitY/State/Zi : 1109T- !� C.�Q- G1�Z1 S -- -- — ----- Phone:So3, 1, 0 ;9 Fax: 5-c ,-3-)J. &I BUILDING PERr11T FEES* E-mail:-IC Cik &A t,�4rrjrrW• C01% Please refer to fee schedule. _ CONTRACTOR ------ ----- Business Name: C �� � _� C�}►t� _ Fees due upon application.............................. $ Address: City/State/Zi Amount received............................................. -- -- Phone: Fax: Date received: CCB Lic. #: ST-5-d v¢Ogb) Authorized ��1--f Notice: This permit application expires If a permit Is not obtained,lithin Signal re _ _ Date:� �' 180 days after It has been accepted as complete. *Fee methodology set by Tri-County Building Industry Service Board. (Please print name) is\Dsts\permit Fomts\BldgPermitApp die 01/03 Fire Protection Permit Check List A.) ❑ New _❑Addition _Alteration ❑ Repair B.) Modification to sprinkler heads only: Describe work to 1. 1-10 heads: No plan review required. be done: 2. 11+ heads: Plan review required. Number of sprinkler heads: 2 Additional description of work: /k-DD KCL4�7<,Ap Type of 5Ystem Complete A, B or C as applicable): — A. S rip nkler - Wet --P-ry ❑Standpipes AJIA Additional Hazard Grou _ _ j _ g_ Information Density . Design Area K. Factor Sprinkler Project Valuation: 1 $ v z:�, B.) Tyne I - Hood Fire Suppression Sstem _ Hood Project Valuation C. Fire Alarm _ Submittal shafl— T—a—ftery Calculations Yes ❑ Include: Individual Component Yes ❑ Cut Sheets Fire Alarm Project Valuation: $ Project Valuation Subtotal A, B & C): $ 1 — Permit fee based on valuationsee chart): $ 8% State Surcharge: $ —� FLS Plan Review 40% of Permit: $ --- --------- — ... TOTAL: $ Plan review requires a completed application and 3 sets of plans at submittal. Flan review fees are required at suomittal. "New" fire protection systems require that plans bear the original seal of an Oregon licensed fire suppression engineer, or NICET level "3" technicians. i�dstsNorms�FPSct,ecklist do t v2 tr0 t CITYOF T I G A R D BUILDING PERMIT PERMIT #: BUP2004-00127 DEVELOPMENT SERVICES DATE ISSUED: 3/18/04 13125 SW Hall Blvd., Tiqard, OR 97223 (503) 639-4171 PARCEL: 1S135AB-01002 SITE ADDRESS: 10220 SW GREENBURG RD 501 SUBDIVISION: THREE LINCOLN-TOWN OF METZGER ZONING: R-12 BLOCK: LOT: 009 JURISDICTION: TIG REISSUE: FLOOR AREAS _ EXTERIOR WALL CONSTRUCTION CLASS OF WORK: ALT FIRST: sf N: S: E: W: TYPE OF USE: COM SECOND: sf PROJECT OPENINGS? TYPE OF CONST: 2FR sf N- S: E: W: OCCUPANCY GRP: B TOTAL AREA: 0 sf ROOF CONST: FIRE RET? OCCUPANCY LOAD: BASEMENT: sf AREA SEP. RATED: STOR: HT: ft GARAGE: sf OCCU SEP. RATED: BSMT?: MEZZ?: REQD SETBACKS REQUIRED FLOOR LOAD: psf LEFT: ft RGHT: ft FIR SPKL: Y SMOK DET: DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP ACC: BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING: VALUE: $ 3,000.00 Remarks: TI, new wall for office Owner: Contractor: FOUITY OFFICE PROPERTIES C SCHIEWE & ASSOCIATES INC ONE SW COLUMBIA SUITE 300 1024 NE DAVIS ST PORTLAND, OR 97258 PORTLAND, OR 97232 Phone: 503-412-4800 Phone: 503-2346617 R,iq #: LIC 54105 FEES ~� REQUIRED INSPECTIONS Description Date Amount Mechanical Permit Require X hl 11.01 I'Cnnll I-ee 3/18104 $72 10 Electrical Permit Required I AXJ 8'%0 State Surchar} 3/18/04 $5.77 Sprinkler Permit Required Framing Insp I13UPPLNj 11h) Rv 3/18!04 $46.87 Gyp Board Insp IrLs1 I I s Pln Its 3/18/04 $2884 Final Inspection Total $153.58 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 (5 246-8ti99or 1-800-3'T-2/44. Issued�y: lit Uf�7'k � Permittee Signature: Call 639-4175 by 7 p.m. for an inspection the next business day Buildi.n a Ap licatiorl • V.A .r J Received ��/O�/ Building �p 200'•-cO/� Date/Bv: jf _T Permit No.: _ City of Tigard llknningApproval Other 13125 SW hall Blvd �. t) L DatrJBv: PermitNo._ I-y Plan Review Other -- Tigard,Oregon 97223 ;�' Date/By: -0`f Permit No.: Phone: 503-6394171 1,4x: 503.598.1960 Post-Rcview Land Use -- Internet: www.ei.tlg�ttl:or.us DatdpY:_ `_ Case No. Contact Juris.: Sec Page 24-hour Inspection Request: 503-639-4175 for Narne/Method. —--- Su Iemcutal Infonnalion TYPE OF WORK - REQUIRED DATA: New construction Demolition I &2 FAMILY DWELLING Addition/alteration/relacement _Other: CATEGORY OF CONSTRUCTION Note: Permit fees*are based on the total value of the work performed. Indicaic I &2-Family dwelling Commercial/Industrial the value(rounded to the nearest dollar)of all equipment,metenals,labor, ACcesso Buildingoverhead and profit for the work indicated on this application.' Multi-Tamil Master Builder ❑Other: _ Valuation......................................................... JOB SITE INFORMATION and LOCATION No.of bedrooms: No.of baths: Job site address: 1o22 0 SW_Greetibur (koad Total number of floors. Suite#: 501 Bld ./A to 3 Lj t New dwelling arca(sq. R.).. ........................... Garage/carport area(sq,ft.)............................ Pro ect Name: Wells 0 1-(oMe Mo�Jg�� Covered porch arca(sq. R.)................... ......... Cross street/Directions to job,ite: �- Deck area(sq. R.)............................................ -- Other structure area(sq.R.)............................ -� REQUIRED DATA: -- —• COMMERCIAL-USE CHECKLIST Subdivision: Tax map/parcel#: _ Note: Permit fees*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, TelrlAm t IwlproVeVnP_vJt overhead and profit for the work indicated on this application. _ a, Valuation......................................................... S . Existing building area(sq.ft.)......................... U� —- --- New building area(sq. R. Number of stories........................................... -� PROPERTY OWNER TENANT Type of construction....................................... Name: EG WITY CFFIGE PRoPE?-TIES Occupancy group(s): Existing: Address: One SW Colu►n bi a Suite— 3� New: �B Cit /State/Zi prtfaP�c( O27 ug -`-- -- Phone:SO$ 412-4PtJo J Faxes NOTICE: All contractors and subcontractors are required to be APPLICANT' .CONTACTPERSON licensed with the Oregon Construction Contractors Board under provisions of ORS 701 and may be required to be licensed in the Business Name: GaD 1 CtCGs rhG, jurisdiction where work is being performed. If the applicant is exempt Contact Name: a (,. Glo r from licensing,the following reason applies: Address: 112.0 NW Cock St.- S� app - ---------- -- Cit /State/Zi porta OP'. Phone:501 ?.2 -9�6� E-mail: � ��� --- - � �• • OVA.`C(.NTRACTO ---- lb 8usiness Name: G. Sc-Al Ck� Twp pees due upon application................ . ..... Address: C,&15 SW t ^Jexue Cit /State/Zl aVer m Pg.. 970CA9 A,nount received............................................ S Phone SOI) *-G(eT ; Date received: CCB Lic. 1095, ------ ----- - Authorized p - gn - � �. -��G Y� Date: 21Jy'U� Notice: This permit application expires if a permit Is not obtilned AIthln Signature: 180 days aflrr It has been screptcd as complete. �a R. Glur -- (Please print name) 'Fee methodology set by TrWounty Building Industry Service Board. is\Dsts\Permit FommsUlldgPermitApp.doc 01/03 Welk, T-,*AT, Rome Oc�v�`a�q� Accessibility: Barrier Removal Improvement Plan City of Tigard REQUIREMENT: OREGON REVISED STATUTE (ORS) 447.241. (1) Every project for renovation,alteration or modification to affected buildings and related facilities shall bt: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 cost exceeds twenty-five per-cent(25%). VALUATION. of all renovation, alteration or modification being done excluding painting,wallpapering. f1J $ 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) -Pw4ing C.arr,pus s(+r wor�l v&_ca n ric�y► $ — driieil s"Aewe'IkJ ' vary, (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 Computation $ i\dsts\fnmLtWccessibitily.doc 06/07/02