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10220 SW GREENBURG ROAD STE 551-4 r ... 3a- r 514 A A i a-13 I S TOR I ALL WALLS 514 ICFFICE 00 A TO CP ' 00 (4) 5T10 �g 14'_4°' .._ ( 1P'-0" __ _ ooo Of 0 10 Y —110 11 AA - ��` ` oo AJ01 I " 51b CFPEN P-13 � •/ 1 I u � I I -- cPT ALL WALLS _ �.oo i 513 OFFICE P-1lo A NEW c:F'T-! ALL WALLS \ I �j I t _ 1 1 0 'iu� TO PMER c { (4) STATIONS II a � I TS3 , ___ 4' �' 1"I>�E �Nc,-• x 512 A 501 TI-LEC-01RA1 I TREATED I r,Q i P-13 T-IyC -2 R �L7WOGD I r "I � _ I A � =ANEL�° ALL WALLS I P-1 -�- I .. _ ALL WALLS PANTED TO 512 OFFICE - I TO ALIGN I A I MATCH WALL A 9 507 23 -611 / \ ; - - _ W/COLUMN _ _ I - - - - - - - - - ` '�A X511 CLOS€ - A -_ ... _ _ • • _ _ ` � V-7 1..' I 51x1 • -° - 502 INTERv :.. ,c� -'P'12 I , r-- P-12 a 64 1 e e A ALLLA aLL U1AL S r53 L)AY P-3 A_ CPT-I 3 .q 75 A 1 8'-I1" ALL WALLS P-13 '• s �I � ,06 k ff I 3 •., ,a' I � �i% � 1 Cf'T-1 I bA ALL WALLS TSA 01 REC51© C# ICE T {=T T53 `— EEE2 ' .1 (NTERvIEGEN. II 5Q�9 814E n GP1',:.I I NOTE % ._ NEW P-1'r • .. ; ..... ,..«. .,.. ..-R ,.... 5�d2 A ALL WALLS o Y T':t- �� , ' A I SURFACE r I TO POWER 51 A A I A ALIT WALLS I MOUNT.-- IV j- M A { C2) STATIONS ) ( 2 ( I 0 '� FE f A 0 T53 / 0 �� IZ E U 36 W. J�" T53 A A 503 CONF• TT1 CPT-1 P-13 ,� P-13 N i I A ALL WALLS , ALL WALLS N 505 OPEN ul A .r.��.�. is J 504 !L 1 �\ TO POWERTO POWER TO POWER TO POWER CPT-1 4 2" � 5 / A (Z _//,mow �}•.•I /� _ Q . '- --- --- C 6 i STATI O S ((o) STAT IONS (6) STATIONS Y TIGA• • •�.w Approved. .. . . . . . .. .., .,.►s ,s.°►: . 23'-5" 11 For only the w a. -_— - _ _ MR P-R M 1 r 110. See Letter to. Follow......... rr ••rl° a1 Attach•. •••• ••►r rrr rr r•• �� r %6,.-J-0 _ Job Add -- e07- / - U STARMCK'S ... I I .. °.■� �.. � ..� �.. � � .�.� ■.�.�. �. ..� .... ..� � .�. � � -- 00..23 NOTICE: IF THE PRINT OR TYPE ON ANY C "1 11 1 1 1 11 1 111 1 1 1 r 1 l� I I 1 I r -1 I i IIT. r� r� r� r _ T„� r 1 I I I I t r1 _r I.1 .I I I I I I l I I l I I I I l I- r� r r[� T I r� r� I I r1 t f I I I III 11 T-1• I I V 1111111 111 11 ! 1111111 T I I I I I �I I '� I l I I J-T*4[i �1 I '� I I 6 oo IMAGE IS NOT AS CLEAR AS THIS NOTICE, _ _ 2 3 _-_.-___ 4 ___ _ __ _6 _.__ 43 9 _ 10 -_ 11 _ 12 ,i IT IS DUE TO THE QUALITY OF THE No.38 - E 6Z SZ LZ 9Z 5Z � Z EZ Z � Z ( 'JZ 61 8i LI 91 5T fiT � T ZT iI 1 S 8 L 9 4 fi E Z T1 :)� a13w ORIGINAL DOCUMENT i IIII IIII ILII IIII IIIIIIIII IIII IIII IIIIIIIII 1111 �l_l 11111�.1i ll� 1111. 1111 1111. III�I�1111111111I1 lllllllll 1111 Illi 1111 1111 1111 :Illi 1111 illl 1111 Ilii 1111 lill 1111 1111 11111 lll 1111111 IIII ILII III 1111 I Ill fi,lll 1 DEMOLISH EXISTING SINK, CAP PLUMBING. 7 2 3 4 7 g g L O C0DC r -- - - - - - - --_- _ — - - - ----- - - - - - - - -- — - - --- -- - - - — o LL. N L I I I I I I I ( O N /4' � O DEM LITIL SHOUN WITH -� m �- /� DASHED LINES, TYP CAL. o III X11 , I I 111 L II �' I Lv L� I i `> I I I �a 01I o I I � 1 Lio En = -- _ I O Q a — - - — - - -- - - _ - --- - - -- - — - - - - r — ��-___ — - -- - - • U E II I Iin II I "— I O 0'F — C— •� I zi F--• z —alfa. --lgr- a Title Project GBD kzd I ''; ARCHITECTS \ II Incorporated _ I II 920 SW THIRD I I ! 4k) I PORTLAND, OR AT 97204-2483 11IEJ (503) 224-9656 — FAX 299-6273 I ♦ I ♦ � SINK AND CABINET O REM IN, CUT WALL AGK I I I I I TO IATCH WALL AT (OTHER I �� GBD © 1999 END CABINET '0`' Revisions ��`' I I SALVAGE EXISTING CABINETS c� 0 911x225 n Project Number A — - - - - - - - Nov 8 g99 - - - - - - -- I , l w { Date o U Z Scale J Z J O U TI-1 3 n .r r NOTICE: IF THE PRINT OR TYPE ON ANY �►� ► t I I I I I I I I 1 I III III I { I 11 Ill 111 I I1 1IT r(� r(�T"1 T'(' I I-1 111 -7,1- �11 1 III Ill 1 111 11 I I C..I f -f 11 I III I-I f�l ( I I I f T (r.-C1 I- •rl-1 �.r Y f � I 1 I � I I I I 1 111 I I-Ifi1 I { 1 1 I ; III I I 1 I 1 111 I I I I T � 1 1111 I I C I I I I �' I � � 00 IMAGE IS NOT AS CLEAR AS THIS NOTICE, _ _ _ 2 3 4 5 6 _ __8 _ �_� 11 12 IT IS DUE TO THE QUALITY OF THE _ No.36 ORIGINAL DOCUMENT r - E 6Z SZ LZ 9Z 15Z � Z FZ Z IZ OZ 16T 8I LT 91 � T � T ET ZT iT I 6 8 L 9 fi E Z T �Idl�w IIIIIIIIIIII �� IIIIIIIIIIIIIIIIIIIIIIII►IIII (lllllil�illllI711llll-111111 {1111111{ 111Ill11111111 (III (III (III (III (III {III1111 (III1111 (IIIIll1111IILIIIIIIIIIIIIIII IlllllllllllLllllll llll �UI161 1 . iIII� k1I w 0 N N O i n z �o z ' C 10220 s1N' (:RF:F.NBL'R(; RD #551 CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspectior°.ine: 639-4175 Business Line: 639-4171 BUIP --- --- _Date Requested -Z— AM PM BLD Location /u Z -L' �,. �,cc-,^ GU^^s �i r c/�N 3 — Suite �� MEC Contact Person 51-f-,✓ C1"Ch _— Ph S03 -5 9' PLM Contractor _ _ Ph _ _ SWR ----- --- BUILDING' Tenant/Owner _— ELCwv Retaining Wall ELR _-___--_ - Footing Access: FPS Foundation -- -- Fog Drain SGN Crawl Drain Inspection Notes: _—_--_----- - Slab - ---- ----- -- — — - SIT _ - -- Post&Beam Ext Sheath/Shear Int Sheath/Shear Framing _______-_---_-- -�-- -- -- -- ---- - Insulation Drywall Nailing ______._--__ ,L - - - - Firewall Fire Sprinkler _--- -- - - _-- -- - Firo Alarm ,usp'd Ceiling - ------ - - - -- Roof Misc: -� ---- -- --- - ------------ Final PASS PART FAIL -------- ----- -__--. -- - PLUMBING -_--- Post& Beam --�_- ---- ----- Under Slab ---- - - - _ -- _ --------- 1 op Out Water Service --- _------- -- -- - -- Saritary Sewer Rain Drains ---- Final PASS PART FAIL _ -- -- ---_- -- - - - MECHANICAL Post&Beam Rough In Gas Line ----- ----- - Smoke Dampers _ Final _.. -- -------- - ---- PRRS---PART FAIL _ Service - --- -----_ -- - - ------- -- Rough In UG/Slab - ----- ---- --- -- --- ----- - ----- - Low Voltage Fire Alarm ---- -----__— --- --- ------ ------- -- ASS PART FAIL -.-------- -- --- ---- Rackfill/Grading --- -` -- - �- Sanitary Sewer Strrm Drain [ )Reinspection fee of$ required before next inspection Pay at City Hall, 1312!', SW Hall Blvd Catch Basin [ )Please call for reinspection RE. Unable to insuec:-no access '-ire Supply Line ADA / (Approach/Sidewalk Date Inspector Cdr ��C�-� �� _.Ext —_ Other Final PASS -PART FAIL DO NOT REMOVE this irispectiion record from the job site. TEMPORARY CERTIFICATE CITY OF TIGARD OCCUPANCY DEVELOPMENT SERVICES PERMIT#: BUP2000-00377 13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 DATE ISSUED: + WWOO, I ..' PARCEL: 1 S 135AB-01002 ZONING: R-12 JURISDICTION: TIG SITE ADDRESS: 10220 SW GREF_NBURG RD 551 SUBDIVISION: THREE LINCOLN-TOWN OF METZGER BLOCK: LOT:009 CLASS OF WORK: ALT TYPE OF 'JSE: COM OCCUPANCY GRP: B OCCUPANCY LOAD: 67 TENANT NAME: REMARKS: TEMPORARY OCCUPANCY FOR �_ DAYS FROM DATE OF ISSUANCE. Commercial TI -6460 Square feet Owner: — KNICKERBOCKER PROP, INC XXIV BY NORRIS, BEGGS + SIMPSON 10300 SW GREENBURG RD STE 200 PORTLAND, OR 97223 Phone: Contractor: ---- LEASE —LEASE CRUTCHER LEWIS 1201 3RD AVENUEO ST�Eq 320 wp, gp p1 SPhoneE'7Q6-62Z 1866 Reg #: LIC 92919 It is understood by the ownerltenant that the issuance of this Temporary Occupancy Permit by the City of Tigard for the use and/or occupancy of the structure located at the site address listed above(hereinafter"structure"), does not grant or convey to the owner or tenant any property right or other protectible property interest in the use and/or occupancy of the structure for any purpose. It is further understood that this Temporary Occupancy Permit shall only be valid for the number of days from date of issuance listed above and that the owner/tenant will no longer be authorized to occupy the structure after the period specified, unless and until all the conditions of approval imposed under the City's or County's Notice of Decision for the project's land use case(s)issued by the City's Development Services Department or the County's Department of Lard Use and Transporta ion and/or the Unified Sewerage Agency and all building a (elated code requirements and any other applicable requireme be n co letely fulfilled and complied with to the City's or C ur�y'r, a/tisf ion. 'L N INSPECTOR INS N SUPERVISOR BUILDINC7 OFFICIAL POST IN CONSPICUOUS PLACE CITY OF TIGAR.D ELECTRICAL ENER - RESTRICTED ENERGY DEVELOPMENT SERVICES PERMIT#: ELR2001 00003 ML 13125 SW Hall Blvd., Tiqard. OR 97223 (503) 639-4171 DATE ISSUED: 1/8/01 PARCEL: 1 S135AL1-01002 SITE ADDRESS: 10220 SW GREENBURG RD 551 SUBDIVISION: THREE LINCOLN-TOWN OF METZGER ZONING: R-12 BLOCK: LOT: 009 JURISDICTION: TIG Project Description: Installation of 2 limited energy panels, one for card reader and one for CCTV. A.RESIDENTIAL _ _ B.COMMERCIAL _ _ — AUDIO & STEREO: AUDIO & STEREO: INTERCOM & PAGING: BURGLAR ALARM: BOILER: LANDSCAPE/IRRIGAT: GARAGE OPENER: CLOCK: MEDICAL: HVAC: DATA/TELE COMM: NURSE CALLS: VACUUM SYSTEM: FIRE ALARM: OUTDOOR LANDSC LITE: OTHER: HVAC: PROTECTIVE SIGNAL: INSTRUMENTATION: OTHER: X TOTAL#OF SYSTEMS: 2 Owner: J — Contractor: KNICKERBOCKER PROP, INC XXIV MOSLER INC BY NORRIS, BEGGS + SIMPSON 4252 SE INTERNATIONAL WY 10300 SW GRE ENBURG RD STE 200 STE F PORTLAND, OR 972.23 MILWAUKIE, OR 97222-8822 Phone: Phone: 800-667-5371 Reg #: ELE 26-215CLE LIC 71309 FEES Required Inspections — Type By Date — Amount Receipt — Low Voltage Inspection PRMT CTR 1/8/01 $150.00 2720010000 Elect] Final 5PCT CTR 1/8/01 $12.00 2720010000 Total $162.00 This Permit is issued subject to the regulations contained In the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable laws. A!I 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 requirt-9 you to follow rules adopted by the Oregon Utilitv Notification Center Those rules are set forth In OAR 952-001-0010 through OAR 952 001-0080 You r-ay obtain copies of these rules or direct questions to,OUNC at (503) 246-1987 Issued by Permittee Signature_ !� OWNER INS T ALLATION ONLY _ The installation is being rnade on property I own which is not intended for sale. lease, or rent. OWNER'S SIGNATURE: _, LATE:--- CONTRACTOR ATE:_ -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 Electrical Permit Applications Date received: / f"C'/ Permit no.: City of Tigard Project/appl.no.: Expire date: City nfTigard Address: 13125 SW Hall Blvd,Tigard,OR 97223 Date issued: g Phone: (503) 639-4171 y Receipt no.: Fax: (503) 598-1960 Case file no.: Payment type: Land use approval: U I &2 family dwelling or accessory Commercial/industrial U Multi-family U Tenant improvement U Net":onstruction Addition/alteration/replacement U Uther:, _ U Parlial Job address: > 7 C c _ 1 Bldg.no,; Suite no.: Tax map/tax lot/account no.: Iwd: Block: Subdivision: --- Project name: 4 r c.,c- Description _and location of work on premises: -- Estintaled(late of complelion/inspection: -- Ffl=kymKlltiLi IAN Job no: nee Max Business name: lit is Z_ -,e(F Description QtY. (ea.) Total no.ins Address. P J t New residential-single or multi-ramlly Icor Z l fjt Ue7R a r - dwelling unit.Includesanschedgarage. City: ,A State r ZIP: l x. 7 Service included: Phone: L71 Fax: I E-mail: 1000 sq ft,or less S CCB no.: / e v c Elec.bus, lie.no: Each additional 500 sq.A.or portion thereof Limited energy,residers lar 2 City/metro lie.no.: _ Li mi ted energy,non-residential 2 Fach manufactured home or modular dwelling Siloature of su rvising electrician(required) Date Service and/or feeder 2 Sup.elect.name(Print): "17'1"41::-:e [, Licenseno:y�/ �r� krvlcesorfeeders-installation, III Ito]III alteration or relocation: 2W amps or less 2 Name(print): 201 amps to 400 amps — 2 Mailing address: 401 amps to 6(x)amps 2 601 amps to Ifx)0 amps 2 City , Stale: ZIP: _ Over 1000 amps of volts 2 Phone: Fax: E-mail: Reconnect on') I Owner installation:The installation is being made on property I own Temporary service.or feeders- which is not intended for sale,lease,rent,or exchange according to Installation.alteration,orrelocation- ORS 447,455,479,670,701. 2lx)strips or less_ 2 201 amps to 41x1 amps -- - 2 Owner's sl nature: Date: 401 to(0 an= branch cirruils-new,alteration, Name: orextendon per panel: - A. Fee for branch circuits with purchase of Address: _ service or feeder fee,each branch circuit 2 City: FaStale: 7.IP: R B. Fre for branch circuits without purchase Phone: x: I? mail of service or feeder fee,first branch circuit: 2 Each additional branch circuit: Mtsc.(Service or feeder not Included): U Service over 225 amps conunetctal U Health aur facility Each Puntp or irrigation circle 2 U Service over 120 snips-rating of 142 U idarntdous location Each signor outline fighting 2 familydwellings U Building over I00X)Square feet four or Signal circuit(s)or a limited energy panel, U System over600 volts nominal more residential units in one structure alteration,or extension° 2 [ U Building over three stories U Feeders,400 amps or more . 2 - escrition: L', i' U Occupant load over 99 persons U Manufactured structures or R V park parch additional Inspection over the allowable In any of the above: U Egress/lighlingplan U Other: --� Per inspection Snbltnh—;els of planar with any of the above. — - Investigation fee The above are not applicable to temporary construction service. Other Not all jurisdictions accept credit cards,please call jurisdiction fa more infnmnmwmafi Notice:1•his permit application Permit fee.....................$ /7� U visa U MasterCard expires if a permit is not obtained Plan review(at ` %) $ Credit card number.- within ISO days after it has been State surcharge(8%)....$ Expires accepted as complete. TOTAL $ r^' Name of cardholder o shown on cndn card ---- $ —Cardholder signature'—— - Amount � -- - 110.4615(6n0aK'OM) Electrical Permit Fees: Limited Energy Fees: Complete Fee Schedule Below: TYPE OF WORK INVOLVED -RESIDENTIAL ONLY p Restricted Energy Fee...................................................... $75.00 Number of Ins ectiorls per permit allowed (FOR ALL SYSTEMS) Service included: Items Cost Total Check Type of Work Involved: Residential-per unit r---� 1000 sq It or less $145.15 _ 4 I 1 Audio and Stereo Systems Each additional 500 sq It or r� portion thereof ` $33.40 1 Lj Burglar Alarm Limited Energy $75,00 Each Manufd Home or Modular Garage hour Opener' Dwelling Service or Feeder $9090 2 El Services or Feeders Heating,Ventilation and Air Conditioning System' I-,stallalion,alteration,or relocation 200 amps or less $8030 2 Vacuum Systems' 201 amps to 400 amps _ $106.85 2 401 amps to 600 amps $160.60 2 O 601 amps to 1000 amps $240,60 2 Other Over 1000 amps or volts $454.65_ 2 Reconnect only _ _ $6685 2 TYPE OF WORK INVOLVED -COMMERCIAL ONLY Temporary Services or Feeders installation,alteration,or relocation Fee for each system.......................................................... $75.00 200 amps or less $66.85 2 (SEE OAR 918-260-260) 201 amps to 400 amps $100.30 2 401 amps to 600 amps _ $133.75 2 Check Type of Work Involved: Over 600 amps to 1000 volts, ❑ see"b"above. Audio and Stereo Systems Branch Circuits ❑ Boiler Controls New,alteration or extension per panel a)the fee for branch circuits with purchase of service or ❑ Clock Systems feeder fee. J r� Each branch circuit $6.65_V ^_ 2 L_ Data Telecommunication Installation b)The fee for branch circuits without purchase of service Fire Alarm Installation or feeder fee. First branch circuit 104681, .Each additional branch circuit $6.65 HVAC Miscellaneous Instrumentation (Service or feeder not included) Each pump or Irrigation circle _ _ $53.40Intercom and Paging Systems Each sign or outline lighting __ $5340 _ _V Signal circuit(s)or a limited energy ❑ panel,alteration or extsnsion $75.00 _` Landscape Irrigation Control' Minor Labels(10) _ $125.00 Medical Each additional Inspection over ❑ the allowable In any of the above Nurse Calls For inspection — _ $62 50 I'or flour _ $62 50 In Plant ,_ _ $73 75 Outdoor Landscape Lighting' Fees: Protective Signaling Enter total of above fees $ Other R%State Surcharge $ __ _Number of Systems 25%Plan Review Fee Nn licenses are required Licenses are required for all other installations See"Plan Review"seclio•i on $ front of application -- Fees: Total Balance Due $ ----�- Enter total of above fees Trust Account p _ _ 8%State Surcharge $ Total Balance Due $ 14ts15\fernis\cic4ces doc 1010100 CITY OF TIGARD BUILDING INSPECTION DIVISION 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 MST BUP Date RequestedAM PM ,_ BLD _ Location Suite -3S( —�--- MEC Contact Person 5 , f t s - _ Ph PLM Contractor., Ph _ SWR BUILDING 1 enant/Owner _ _ ELC Retaining Wall — Footing ELR. Foundation Access FPS Ftg Drain ---- Crawl Drain Inspection Notes: SGN Slab Post&seem SIT Ext Sheath/Shear Int Sheath/Shear — -- Framing Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm i — Susp'd Ceding Roof Misc _ Final PASS PART FAIL ----_— PLUMBING Dost& (learn ---- ---__—�.-- Under Slab Top Out -- - --- - — Water Service Sanitary Sewer Rain Drains Final PASS PART FAIL MECHANICAL Post&Beam - Rough In Gas Lin --------------_ — --- --- Smoke Dampers F anal -- ---- --- -- -— --— PAS RT FAIL ECTRICA `--�----- ----- -- — Service _ Rough In - - - - -` UG/Slab Fire Alarm ; SS PART 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 f )Please call for reinspection RE: - [ ]Unable to inspect-no access ADA Approach/Sidewalk / Other _ Date �"_ l'i� fnspector _ / Ext Final -- PASS PART FAIL_ 00 NOT REMOVE this Inspection record from the job site. CITY OF 'i IGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 - —~— BUP —_ Date Requested _ AM PM BLD Location Z U -5 1',"- (S;r &/1 ' —'^ Suite MEQ Contact Person Ph 5-05 7f y�/� PLM 4'0 Contractor Ph SWR BUILDING Tenant/Owner ELC: Retaining Wall ELR Footing Access: Foundation FPS Fig Drain SGN Crawl Drain Inspection Notes: - ------ Slab _. SIT Post&Beam Ext Sheath/Shear Int Sheath/Shear I —` Framing —__- Insulation Drywall Nailing Firewall ----- - ----- ___�_.�—_. Fire SprinklerFire Alarm Alarm Susp'd Ceiling Roof Misc ___ ------- — ----- — — -- Final PASS PART FAIL ---- ---- -- -- - — Post&Beam — - _F Under Slab Top Out — -- V Water Se-vice _ Sanitary Sewer - jJain rams ---- -- off, - —� PART FAIL - -------.. — -- _ WEGHANICAL Post&Beam Rough In Gas Line --— -- Smoke Dampers Final ------�__ _—�_-- PASS PART FAIL ELECTRICAL - -` — Service - --_------_-- — Rough UG/Slab ----.-_ --__-- — Low Voltage Fire Alarm --- Final PASS PART FAIL — SATE Backfill/Grading - Sanitary Sewer Storm Drain [ ] Reinspection fee of$,_ required before next inspection Pay at City Hall, 13125 SW Hall Blvd Catch Basin [ j Please call for reinspection RE'__,__-_ [ j Unable to inspect- no access Fire Supply Line ADA Approach/Sidewalk Other Date 1 '_ Inspector Ext Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. CITY OF TIGAF D BUILDING INSPECTION DIVISION MST 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 BUP _ Requested_[!��_ AM_ PM BLD Location /0 2 Z U Suite ' '� MEC Contact Person Sr(u cl r _ Ph > PLM Contractor _ Ph —�� SWR BUILDING -f Tenant/Uwner _ ELC _ Retaining Wall ~ - -� ELR _ Footing Access: Foundation FPS _ Ftg Drain SGN -- Crawl Drain Inspection Notes. - - Slab _ _ SIT Post& Beam Ext Sheath/Shear Int Sheath/Shear - - Framing --- ---- -------- -- ---- -- - - Insulation Drywall Nailing ------------.._---_---,- -- -_-- _ _.__---_-- Firewall Fire Sprinkler Fire Alarrn -- -------- - ------------ Susp'd Ceiling Roof Misc -- ----.__-_�.------- - -- Final --- ----- PASSPART FAIL ---. _- __ _ -_. _-------------------.__ _ .-_------_----.___.--_-_._- PLUMBING Flost&Beam -------_�_--_.--__ _-- Under Slab TopOut ---------------------------------___.-_-_-` _ Water Service Sanitary Sewer ---------i------ -- R rains al -- P T FAIL E Post& Beam -- ----- - --- ------------.__� - -� --------- - Rough In Gas Line Smoke Dampers Final ------- --------------- -- ------------ PASS PART FAIL ELECTRICAL — _ ._-- - -_--------------- - --- --_ ------- Service Rough In ------- --- ---� .- -- UG/Slab -. ----- _ - _ -- --- ------------ --- Low Voltage Firr Alarm Final PASS PART FAIL ------ - ---- -------- ----- --�- SITE Backfill/Grading --_----- - --` -- -- `- `-` Sanitary Sewe, Storm Drain ( j Reinspection fee of$ required before next inspection Pay at City Hall, 13125 SW Hall Blvd Catch Basin ] ] Please call for reinspection RE. _ -__ — [ J Unable to inspect- no access Fire Supply Line , -�- ADA Approach/Sidewalk !! 1 ��1'`I '- Other Date �v Inspector ��CJ Ext Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. ELECTRICAL - CITY OF TIGARD RE TRIC EDPEN ENERGY DEVELOPMENT` DEVELOPMENT SERVICES PERMIT#: ELR2000-00257 13125 SW Hall Blvd.,Tiqard, OR 97223 (503) 639-4171 DATE ISSUED: 11/3100 SITE ADDRESS: 10220 SW GREENBURG RD 551 PARCEL: 1S135AB-01002 SUBDIVISION: THREE LINCOLN-TOWN OF METZGER ZONING: R-12 BLOCK: LOT: 009 JURISDICTION: TIG Proiect Description: Installation of date telecommunications system. A._RESIDENTIAL B.COMMERCIAL _ AUDIO&STEREO: AUDIO& STEREO: INTERCOM & PAGING: BURGLAR ALARM: BOILER: LANDSCAPE/IRRIGAT: GARAGE OPENER: CLOCK: MEDICAL: HVAC: DATAITELE COMM: X NURSE CALLS: VACUUM SYSTEM: FIRE ALARM: OUTDOOR LANDSC LITE: OTHER: HVAC: PROTECTIVE SIGNAL: INSTRUMENTATION: OTHER: _i TOTAL#OF SYSTEMS: 1 Owner: Contractor: KNICKERBOCKER PROP, INC XXIV BETTS TELCOM INC BY NORRIS, BEGGS + SIMPSON 6815 N RICHMOND AVE 10300 SW GREENBURG RD STE 200 PORTLAND, OR 97203 PORTLAND, OR 97223 Phone: Phone: 735-4123 Reg#: LIC 125312 ELE 26-969CL FEES Required Inspections Type By Date _ Amount Receipt _ Low Voltage Inspection PRMT CTR 11/3/00 $75.00 2720000000 Elect'I Final 5PCT CTR '11/3/00 $6.00 2720000000 Total $81.00 This Permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans. This permit will expire if 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 (503) �46-1987 r. � � Iksued by —may r. 7 0.4X4j7 permittee Signature — _f "- - 6 OWNER INSTALLATION ONLY __ 3 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. ELEC'N _ _ DATE: LICENSE NO: -- --- Call 639-4175 by 7:00 P.M. for an inspection needed the next business day Electrical Permit Application PDalcreceived: Permitno.: L0-M ' (pity of Tigard Project/app).no.: E4 iredate: City(;f"l igard Address: 13125 SW Hall Blvd,Tigard,OR 97223 Uate issued: eyr .f) Receipt no.: Phone: (503) 639-4171 Fax: (503) 598-1960 U Case file no.: Payment type: Land use approval: Ids PXXJ ' oo�7`7 LI I &2 family dwelling or accessory A Conunercutl/indu"tnal U Multi-family U Tenant improvement U New construction U Addition/alteration/replacement U Other: U Partial JOR SITE INFORMATION Joh address: Q �j tlJ �/� kej 07Bldg.no.: Suite no,:5 Tax map/tax lot/account no.: Lot: Block: Subdivision: _ Project name: Description and location of work on premises: / Estimated date of otnnpletion/inspection: CON"1111WfOR APPLICATION Job not 1'ee Max - _Description Qty. (ea.) Total no.insp Business name: Ne"residential-single or multi-family per Address: dj!/g- A), XAU1MoAd. dwellingunit.Inciudesaltachedgarage. City: dFQState: Zip: 7CV 3 Serviceincludcsl. 1000 sq.ft.or less 4 ,f Phonc: 7 - /,Z f y Fax: D�' E-mail• — - — — Each additional 500 sq,ft.or portion thereof CCB no,: / 1 2 Elec.bus.tic.no; - Limited energy,residential �'- City/metro lic.no.; Limited energy non-residential 2 — �_� 6_ Einch manufactured home or modular dwelling ig su crvising electr clan(required bate service snd/or feeder Servlres or feeders-installation. Sop.elect.name(prni0- C.! g License no: alteration or relocation: 200 amps or less _ 2 (P ) S1�2 L / C. 201 amps to 4W sumps Name sunt �. -: �� {� 401 amps to 0(x)amps 2_ Mailing address: 001 amps to IWO strips` City: Slide: ZIP: over IOW amps or volts 2 Phone: Fax: I E-mail: Reconnect only I Owner installation:The installation is being made on property I own 1'emporary services or feeders- which is not intended for sale,lease,rent,or exchange according to Installation,alteration,or relocation:200 snips or less 2 oRS 447,455,479,670,701. 201 amps to 400 amps 2� Owner's signature: Date: 401 to 000 anis 2 Branch ctrculls-new,alteration, or extension per panel: ;Addrmcs�.' A. Fee for branch circuits with purchase of service or(cooter fee,each branch circuit 2 Stale: ZIP: B. Fee for branch circuits without purchase of service or(ceder fee,first hranch circuit: _ 2-- h, Fax: E-mail: Each additional branch circuit. Misc.(Service or feeder not Included): over 225 amps rnmmercial U Healthcare facilityEach pump or irrigation circle over 320amps-ratingof 1&2 U Hazardous location Erich sign or outline lighting 22dwellings U Building over 10,000 square feet four or Signal circuit(s)or a limited energy panel. / U`.ystem over600 volts nominal more residential units in one stnrcture alteration,or extension* '- U Building over three stories U Feeders,400 amps or more *Drscri tion. U Occupant load over 99 persons U Manufactured structures or RV park Fach additional Inspecti m over the allowable in any of tate alcove: U Egress/lightingplan U odtet. pe,utspecnon h� _ 5lubmlt,sets of plans with any of the above. Investigation fee The above are not applicable to temporary construction service. Other $ 71 Not all Jurisdictions cept credit cauds,plena call ludsdictlor for mom informmiim Notice: IDIS pernul applicationacPermit fee..................... _ Plan review(at U Visa U MasterCard expires if a permit is not obtained Credit card number:_ —-��— within IRO days after it has been State surcharge(8%) ....$ Expire' accepted as complete. TOTAL ...............I.......$ Name c o rus noncredit c s Cardholder signature Amount 440-4615(6MCOM) Electrical Permit Fees: Limited Energy Fees: Complete Fee Schedule Below: TYPE OF WORK INVOLVED -RESIDENTIAL ONLY � Restricted Energy Fee............. .............. .............. ...... $75.00 Number of Inspections per l2ermit allowed (FOR ALL S-STEMS) Service included: Items Cost Total Check Type of Work Involved. Residential-per unit 1000 sq It or less `_ $145'15 _ 4 Audio and Stereo Systems Each additional 500 sq It or portion thereof _ $33.40 1 LJ Burglar Alarm Limited Energy $75.00 Each Manufd Home or Modular F]r',welling Service or Feeder $9090 2 Garage Door Opener Services or Feeders Heating,Ventilation and Air Conditioning System' Installation,alteration,or relocation 200 amps or less $80.30_ 2 ❑ 201 amps to 400 amps $106.85 2 Vacuum Systems' 401 amps to 600 amps _ $16060 2 ❑ 601 amps to 1000 amps $240.60 2 Other Over 1000 amps or volts _ $454.65 _ — 2 Reconnect only _ $69.85 2 Temporary Services or Feeders TYPE OF WORK INVOLVED -COMMERCIAL ONLY Installation, m s or Ietson,or relocation Fee for each system.......................................................... $75.00 p s $66.85 2 (SEE OAR 918-260-260) 201 amps to,100 araps $10030 2 401 amps to 600 amps $133.75 _Y 2 Check Type of Work Involved, Over 600 amps to 1000 volts, see"b"above. E] Audio and Stereo Systems Branch Circuits New,alteration or extension per panel C� Boiler Controls a)The fee for branch circuits with purchase o/service or Clock Systems feeder fee. Each branch circuit _ $665 2 Data Telecommunication Installation b)The fee for branch circuits withmrt purchase of service F-] Firo Alarm Installation or feeder fee. First branch circuit $4685 - ❑ Each additional branch circuit $6.65 HVAC Miscellaneous Instrumentation (Service or feeder not included) Each pump or irrigation circle $5340 U Intercom and Paging Systems Each sign or outline fighting $5340 — Signal circuit(s)or a limited energy panel,alteration or extension _ $75.00 _ F] Landscape Irnga,,on Control' Minor Labels(10) _ $125.00 Medical inspection over Each additional ins ❑ the allowable In any of the above Nurse Calls Per inspection $62.50 Per hour $62.50 In Plant _ $73 75^� _ Outdoor Landscape Lighting" Fees: rj Protective Signaling Enter total of above fees $ ^-_ _ F� Other 8%State Surcharge $ ----..----.Number of Systems 25%Plan Review Fee See'Plan Review"section on $ No licenses are required Licenses are required for all other installations front of application —_ -- --- Fees: Total Balance Due $ F1 ---�-- Enter total of above tees LJ Trust Account p _ _–_ 8%State Surcharge $ ----- -------------- __-. _. _.____ ._ Total Balance Due t i:ldstslfomLslcfc-Iecs doc 10/09/00 M �5 it • 1 •: ELECTRICAL PERMI_ T CITYOF T I G A R D PERMIT#: ELC2000-00599 DEVELOPMENT SERVICES DATE ISSUED: 10/24/00 13125 SW Hall Blvd.,Tigard. OR 97223 (503) 639-4171 PARCEL: 1S135AB-01002 SITE ADDRESS: 10220 SW GREENBURG RD 551 ZONING: R-12 SUBDIVISION: THREE. LINCOLN-TOWN OF METZGER LOT : 009 JURISDICTION: 'FIG BLOCK: Proiect Description: Installation of 16 branch circuits. �— TEMP SRVC/FEEDERS MISCELLANEOUS ____j_6_0_ 0 RESIDENTIAL UNIT — 0 _ 200 amp: PUMP/IRRIGATION: 1000 SF OR LESS: 201 . 400 amp: SIGN/OUT LINE LTG: EACH ADD'L 500SF: 401 - 600 amp: SIGNAL/PANEL: LIMITED ENERGY: MINOR LABEL (10): MANF HMI SVC/ FDR: 601+amps - 1000 volts: SERVICE/FEEDER BRANCH CIRCUITS _ ADD'L INSPECTIONS _ W/SERVICE OR FEEDER: PER INSPECTION: 0 - 200 amp: PER HOUR: 201 - 400 amp: 1st W/O SRVC OR FDR: 1 EA ADD'L BRNCH CIRC: 15 IN PLANT: 401 - 600 amp: _ PLAN REVIEW SECTIO 6 601 - 1000 amp: 00 VOLT NOMINAL: >_4 RES UNITS: 1000+ amp/volt: CLASS AREA/SPEC OCC: _, Reconnect only: - SVCIFDR > 225 AMPS: — ' Contractor: Owner: CHRISTENSON ELECTRIC INC KNICKERBOCKER PROP, INC XXIV 111 Sl14 COLUMBIA BY NORRIS, BEGGS + SIMPSON STE 480 10300 SW GREENBURG RD STE 200 PORTLAND, OR 97201 PORTLAND, OR 97223 Phone: 241-4812 Phone: Reg#: LIC 000458 SUP 3289S PLM 2468S ELE 26-34C FEES Required Inspections Typver e By ate Amount Receipt Ceiling Cover PRMT CTR 10/24/00 $146.60 2720000000( Wall Service 5PCT CTR 10/24/00 $11.73 2720000000( Elect'I Final Total $158.33 r LThis Permit is issued subject to the regulations con in the Th s permit�f illuexPipe if work is al Code, State slarted within 180 df OR Specialty o yssof fssula�cePo�dpwlo;blle!aws All worts will be done in accordance with pp P suspended for more in than 180-001 ATTENT0010 through OAR 952-001-0080n law �you may obtains you tn follow ucopes oftthese rhirleoord Utility questions tolon OUNCter at(5031so rules are set forth in OAR 952 00 9 246-1987 i PERMITTEE'S SIGNATURE �� , �,� -� �f�11,,i�.,\ ISSUED BY ---__ OWNERINSTALLATION_ONI-v The installation is being made on property I own which is riot intended for sale, lease, or rent. DATE: -- OWNER'S SIGNATURE: — -'—� CONTRACTOR INSTALLATION ONLY DATE: SIGNATURE OF SUPR. ELEC'N: ----' LICENSE NO: ---- Call 639-4175 by 7:00pm for an inspection the next business day CITY OF TIGARD Electrical Permit Applica l Plan Check 0 13125 SW HALL BLVD. Recd By TIGARD OR 97223 �' `��(\ Date Recd 0 Pflflt Of Type '1 �' ` Date to P.E. Phone(503)639-4171, x304 Incomplete or illegible will ba`�cce t E�oQM�N Date to DST Inspection (503)639 4175 P 9 pv� l Penrit# ' "�^' 005'?9 Fax (503) 598-19600- 4 M��`a\\ Called F11. Job Address: 4. Complete Fee Schedule Below: Number of Inspections per permit allowed Name of Development LINCOLN CENTER Name(or name of business)STARBUCKS Service included: Items Cost Total Address 10220 SW GREENBURG RD 5TH FL SUITE551 4a.1000 sft.sq.ft.Residrllal-perunit aless $147.15 4 City/State/Zip 'OMQ9 MX)M TIGARD OR Each additional 500 sq.ft.or portion thereof $33.40 1 Commercial ® Residential ❑ Limited Energy _ $75.00 (QUESTIONS? CON I'A ;Pch Manuf d Home or Modular 11'ASI•: cKIITCHER LEWIS C pggy Dwelling Service or Feeder $90.90 2 2a. Contractor installation only:KOS545-1965 4b.Services or Feeders (Prior to permit Issuance,applicants must provide contractor license Installation alteration,or relocation information for COT data base). 200 an.ps or less $8030_ 2 Electrical ContractorCHRISTENSON ELECTRIC, INC. 101 amps to 400 amps _ $106.85 2 Address 111 SW 1;OLITMB IA,SUI_TE 480 401 amps to 600 amps $160.60 - 2 City PORTLAND State OR _Zip 97201-5886 601 amps to 1000 amps $240.60 2 Phone No�3 24 1-4812 $66 Over 1000 amps or volts _ $45465 -_ 2 4 -- Reconnect only ---_- sGG 85 _ 2 Job No. 62-1 382. Elec. Cont. Lice. No. 26-34C Exp Date 10/1/01 4c Temporary Services or Feeders Installation,alteration,or relocation OR State CCB Reg. N _Exp.Date 5 0 200 amps or less $66 85 2 COT Business Tax or Metro No.5246 Exp. t 2f0 1 201 amps to 400 amps $10030 - 2 ` 401 amps to 600 amps $133 75 _ 2 Signature of Supr. Elec'n Over 600 amps to 1700 volts, see"b"above. License No.8 7 3 S Exp.Date--LOLIJ 01 4d.Branch Circuits Phone No5 _ New,alteration or extension pet panel -�� -- ---- a)The fee for branch circuits 10/16/00 with purchase-.tf service or 2b. For owner installations: feeder fee. Each branch circuit $6 65 __ 2 Fri' q Owners Name _-_ - b)The fee for branch circuits Address _ _ without purchase of service Citv State Zip or feeder fee. 1 --. First branch circuit $46.85 46.85 Phone No _ - -_ Each additional branch circuit 15 $G 65 --99.75 The installation is being made on property I own which is not 4e.Miscellaneous r or feeder not included) intended for sale, lease or rent. Each Epump or irrigation circle _ $53,40 __ Each sign or outline lighting _ $5340 Owner's Signature_ -__ �_- Signal dreuit(s)or a limited energy panel,alteration or extension $7500 3. Flan Review section (if required):* Minor Labels(10) 112500 4f.Each additional inspection over Please check appropriate item and enter fee in section 5B. the allowable in any of the above 4 or more residential units in one structure Pei inspection $62.50 ` Service and feeder 225 amps or more Per hour $E2.50 _- -System over 600 volts nominal In Plan! - _ $7:s t5 Classified area or structure containing special occupancy as 5. Fees: described in N E C Chapter 5 Sa.Enter total of above fees s 146.60 8%Surdiarge(08 X total fees) $ 1 1.73 Subunit 2 sets of plans with application where any of the above apply. Subtotal $ __158.3 Not required for temporary construction services. 5b.Enter 25%of line 5a.for NOTICE Pian Review if re uired(Sec 3) $ __- Subtotal $ 158.33 PERMITS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS,OR IF CONSTRUCTION OR ❑ Trust Account# WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS Total balance Due _- $ AT ANY TIME AFTER WORK IS COMMENCED --_ i\dsts\fonmsklectric_rev doc-RoW RECEIVED 9/12/00 CITYOF TIGARD _ PLUMBING PERMIT PERMIT#: P1/3/00 00392 DEVELOPMENT SERVICES DATE ISSUED: 1113/00 13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 PARCEL: 1 S135AB-01002 SITE ADDRESS: 10220 SW GREENBURG RD 551 G: R 12 SUBDIVISION: THREE LINCOLN-TOWN OF METZ_GER JURISDICTION:N: TIG _BLOCK: LOT: 009 — CLASS OF WORK: ALT GARB W TYPE OF USE: COM ASHING MACH: BACKFLOW PREVNTRS: OCCUPANCY GRP: B FLOOR DRAINS: 2 TRAPS: STORIES: WATER HEATERS: 2 CATCH BASINS: FIXTURES LAUNDRY TRAYS: SF RAIN DRAINS: SINKS: 2 URINALS: GREASE TRAPS: L•WATORIES: OTHER FIXTURES: 4 TI;B/SHOWERS: SEWER LINE: ft WAT,ER CLOSETS: WATER LINE: ft DIS4WASHERS: 1 RAIN DRAIN: ft Remarks: Plumbing work associated with commercial TI. Demo one sink, install two new sinks, two water heaters, one dishwasher, one ice maker, water sources for one expresso machine, and two coffee machines. FEES_ Owner: _ Type By Date Amount Receipt KNICKERBOCKER PROP, INC XXIV PRMT CTR 11/3/00 $182.60 27200000000 BY NORRIS, BEGGS + SIMPSON PLCK CTR 11/3/00 $45.65 27200000000 10300 SW GREENBURG RD STE 200 5PCT CTR 11/3/00 $14.61 27200000000 PORTLAND, OR 97223 -- Total $242.86 Phone 1: Contractor: -- TEMP CONTROL MECHANICAL PO BOX 11065 4800 NORTH CHANNEL_ AVE REQUIRED INSPECTIONS PORTLAND, OR 97211 Rough-in Insp Phone 1: 503-285-9851 Top-out Insp Reg #: LIC 4944 Final Inspection PLM 26-110pb 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 renter. Those 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. Issued B1 _ Permittee Signature: Call (503) 639-4175 by 7:00 P.M. fcr an inspection needed the next business day 4, Plumbing Pennit. Application M ' Date received: Permit no.: �`4ilcSlxaJ no JYc2 Sewer permit no.: Building permit no.: Project/appl.no.: —� Exp'redate: _ r PAMit5-oo37-) Date issued: _— ley Receipt no.: Land use approval: Case file no.: Payment type: 0 I &2 family dwelling or accessory Cornmercial/industrial ❑Multi family El Tenant improvement7 U New construction Additioti/alteration/replacement O Food service ❑Other. Description Qty. Fee(ea.) Total Job address: 10220 SW GREENBURG ROAD New 1-and 2-family dwellhip only: Bldg. no.: 7 'THREE LINCOLN Suite no.: —1 1' I _ (includes 100 R.for each utility connection) I Tax map/tax lot/account no.: SFR(1)bath _ 274.90 Lot: —rBlock: Subdivision: SFR(2)bath _ 316.00 Project name:-., g II ,1SFR(3)bath 35 .00 City/cainty: TIGARDNA_ CTY pp: Each additional bathikitchen 32.00 Description and location of work on premises: Site utilities: Catch basin/area drain Drywallline/trench drain 1.00 Est date of completion/inspection: — s/leach Footing drain(no. tin. ft.) _ PLI-IN[BtNG CONTIUMOR Manufactured borne utilities 46. Business name: TEMP CON'T'ROL M1 C1IANi 'ALC71A -) ManholesAddress: 4800 NORTH CHANNEL AVENUE Rain drain connectorCity: PORTLAND State: OR ZIP217 Sanitary sewer(nolin. Phone503-285-9851_28 8 Fax: '735- E-mail: Storm sewer(no.lin.ft.) * _ CCB no.: 4 44Plumb.bus.reg.no: 26-110PB Water service(no.lin. ft.) Fixture or item: City/metro lic. no.: 2999 /7'1GAHD Absorption valve 1 L'00 _- Contractor's representative signature: Back flow preventer_ .W _ Printname: fail" ,Y Date: J _ _ 8 LJ Backwater valve -1.0-0 CONTAC Basins/lavatory _ 11.00 Name: CHUCK BILLINGSLEY Clothes washer — �'�� ^� Dishwasher _ / L _ 1 00 77 Address: 4800 NORTH CHANNEL AVENUE Drinking fountain(s) I1 City: PORTLAND State: OR ZIP: 9721 Ejectors/sump 11.00 Fhonet _ Fax: 5_ E-mail: Expansion tank 1.00 i Fixture/sewer cap 1.00 Floor drains/floor sinks/hub _ I.00 Name(print): LEASE CRUTCHER LEKS Garbage disposal 11. Mailingaddress: 921 S.W. WASINGTON STREET nose bibb tl. City: PORILAND State: Ice maker / 11. Phone: -)p Fax: E-mail: Interceptor/grease trap ? 1.1.00 Owner installation/residential maintenance only:The actual installation Primers) " will be made by me or the maintenance and repair made by my regular Roof drain(commercial) • employee on the property I own as per ORS Chapter 447. Si-lk(s),basin(s_),lays(s) i t 11. Owner's signature: Date: Sump -1 i 1 Tubs/shower/shower pan 11.00 ENGINEEM- S�.i3O Urinal _ �„ Name: _ Water closet_ — _ 1 100 Address: Water heater 1 City: _ -_ State: ZIP: Other: Phone: Fax: E-mail: Total —__ Minimum fee............... $ Na all Jurisdictions aczpt credit cards,please call jurisdiction for more inforrnatioa ]Notice: This permit application .'^ E3 Visa U MasterCard expires if a permit is n::t obtained Plan review(atm_%) $ Credit card number: --�1_— within 180 days after it has been State surcharge(896).....$ /,V, & -- - Expires accepted as complete. TOTAL........................$ '`�!ig�G Name of cardholder u shown on credit card f *See back of form for schedule Cardholder signmure Amaanl CCP•Pwl(Rev.9,00) Accumulative Sewer Tally Tenant Name Gs�\ !�� «e � �, This SWR# N 4ddress: 102 apetilJFu� '* �� This PLM#: PIJI Awo -00 3 Fixture Value Previous Previous Credits Capped Fixtures Fixtures New total New # Value Capped of value added# added #s total Count oft#s count value values Baptis"/Font 4 Bath-Tub/Shower 4 -Jacuzzi/Whirlpool 4 _ _Car Wash -Each Stall 6 - Drive Through 16 Cuspidor/Water Aspirator 1 Dishwasher -Commercial 4 - Domestic 2 _ Drinking Fountain Eye Wash —.__ -- Floor Drain/sink -2 inch — 2 _ 3 inch 4 inch 6 _ Car Wash Urn 6 Garbage Disposal 16 Domestic(to 3/4 HP) JCommercial (to 5 HP) 32— Industrial (over 5 HP) 48 ice Machine/Refrigerator Drains Oil Sep(Gas Station) _ 6 _ Rec. Vehicle Dump Station 16 Shower- Gang (Per Head) 1 _ - Stall _ 2 _� ---- Sink Bar/Lavatory 2 — Bradley 5 — Commercial _ 3 —.— Service ---- Swimming Pool Fiiter 1 Washer- Clothes _ 6 Water Extractor 6 — Water Closet- Toilet 6 ------- Urinal TOTALS Z�zi Total fixture values `L� divided by 16 = 7',_O 7 EDU _HISTORY _ PLM# Aeer-eec55 E D U# i SWR# A-e(' PLM#_>> �e.'y�" EDU# SW_R# ,F7-"e37 PL.M# 994Doy37 EDU# i SWR# i9 --e'Cxi7 PLM# m,;59 EDU# q S_VVR#:7.�c' _ P L M# 9s'9--'3f=) EDU# yF _SW_R# AJM- PLM# f,G-tv}U 3- EDU#` W SWR_# y(-eM,9 3 PLM#?F-e.%L5e� EDU# SWR# fi-ev X97 EGU# rldsts\swnaly doc TCM TEMP-CONTROL MECFIANICAL CORPORATION Keith Young's Permit Worksheet So He Doesn't Forget Any Information Jurisdiction: C_ ry, (County / City) umbin� Mechanical TCM Project Project Name: ��✓ �'�� S _�_ Prefect Address: /6)Z zo THS' c' e 1,veeew Su ATE .S 5 Corresponding Building Permit #:_/ 20c,+-)- 00 ? Owners Name: CGS t` Owners Address: 2 / S-0) ��i�6 Ti9XJ Owners Phone Project Description: ?,E< G" 70,.y 7-,0 -14'G!S', Gv4 Tet / i Irl Ste_/_��s ly o Number of Fixtures (Plumbing Only): ___ Project Valuation (Mechanical Only):.._._ Please forward this information to Krissy with the appropriate number of plans required. If there are any questions, please see Krissy as well SEE 35MM ROLL# 23 FSR LARGE DOCUMENT CITYOF T I GA R D BUILDING PERMIT PERMIT M BUP2000-00450 DEVELOPMENT SERVICES DATE ISSUED: 11/14/00 13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639.4171 PARCEL: 1S135AB-01002 SITE ADDRESS: 10220 SW GREE:NBURG RD 551 SUBDIVISION: THREE LINCOLN-TOWN OF METZGER ZONING: R-12 BLOCK: LOT: 009 JURISDICTION: TIG REISSUE: FLOOR AREAS _ _ EXTERIOR WALL CONSTRUCTION _ CLASS OF WORK: FPS FIRST: sf N: S: E: W: TYPE OF USE: COM SECOND: sf PROJECT OPENINGS? TYPE OF CONST: 2FR sf N: S: E: W: OCCUPANCY GRP: B TOTAL AREA: 0.00 sf ROOF CONST: FIRE RET? OCCUPANCY LOAD: BASEMENT: sf AREA SEP. RATED: STOR: HT: ft GARAGE: sf OCCU SEP. RATED: BSM'f?: MEZZ?: _ REQD SETBACKS _ REQUIRED_ _ FLOOP LOAD: nsf LEFT: ft RGHT: It FIR-SP KL: SMOK DET: DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP ACC: BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING: VALUE: $ 1,800.00 Remarks: Add 7 new sprinkler heads and relocate 12 sprinkler heads. Owner: Contractor: KNICKERBOCKER PROP, INC XXIV A PROFESSIONAL FIRE SYSTEMS BY NORRIS, BEGGS + SIMPSON 17273 S STEINER ROAD 103800 SW GREENBURG RD STE 200 BEAVERCREEK, OR 97004 P�Pone ND, OR 97223 Phone: 632-4353 Reg #: uC 41650 FEES REQUIRED INSPECTIONS Type By Date Amount Receipt Sprinkler Rough-In PRMT CTR 11/2100 $62.50 27200000000^ Sprinkler Final 5PCT CTR 1112100 $5.00 2720000000') FIRE CTR 1112/00 $25.00 2.7200000000 PLCK CTR 11/2/00 $4063 27200000000 Total $133.13 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 - j Signature: Issued y: Call 6139-4175 by 7 p.m. for an inspection the next business day Ncsv-02-00 02 : 11P A Professional Fire Sys - 503-632-4635 P.02 Building Permit Application Due received: %/i� 1'0 Permit no.' G 6�CVO-6t)y"So City of Tigard f4nJea/appLrMt C1t dace. CW nJTig.rd Addtzss 11125 SW Hnll Hlvd,'1 igatd.OR 97271 — --` Phone: (507) 639.4171 llareissueJ: .�-- y Receipt no.: Nae: (503) 598-1960 rsce rite no t`nyment type. Land use approval IAt2 family:Simple ---� Complrz; -- 1 7U(-j I dr 2 family dwrlling or ;accrssnty O Commcrcialfindustrial O MyJ*'ranuly U New construc'tt n U Oemol.uon Add it loNalrerad0n/r<plscement O-renant imptovemcnt 01 ire sprinkle 1ala m O Othu: JOB SITE INFOIMATION Job address; 172 2 r-. '�..�r. CSP-E'F N 13+r r,. F.p..-.•r-�+i/ _ _bldg._no: Suite no Ld: — Blok� ivision: �. ----- Tax m-aMt-ax lotlaccount,n1—.: _POlecname .—.-----.-- •*•. t�r�urrs t- r �•.r� ..� ._. Description and!oration of wort:on preaWcs/spteetal condirinru _,A p s' _f!r1'r- r' •'t! t e-:, MIA Name. '_s'(.{p.(?.�rr rc-'`• -^- Mailing addreat 1 ec 2 fawily dwclllnF: --- - City: titetr.; LIP: V rluauon of work. S phone: Ti az. E rtu11: Nu.of bee toomslhaths- ................... .__ _ - Owtrer s rcptesentativr: 'Total number of!loots................. — - - Phone. Fa:. E-mail, Now dwel Ing arca(sq ft.) ......... .. ...... Garage/cayon area(gq.ft-) Ntrrttr _ Citvcred parch arty(sq.(l.l ... .......... f�ti�i...AA l_ - - neck arca(sq.ft-) ..,.................................... Mulilr address: •" D - —� -- B I T Z !_ Other str_u-tore area(sq.ft, Ciry: r .✓c a r c k Stitc:car ZTP`>7o v S' )......................... -. -- -. r ..•., i Commercial/'rndtimial/mniri farnlly: _ Phaae:ia'3: �/ry 's. Fazl.,sT..VW aT �: r+er�. 4zt �• Valuation of work....................... I isting bldg,area Oq. fL) --- Business name: [-��r. C r'. r.rt t 4=c.-u i Nr.w bldg area(sq,ft.) -- Number o.stories.. .......................,.. ......... ,r- I k- . 1 ZIf' cJ 7%n s' Ciry: _ r State:_c>rt rype of ctnrstruction......... ... ..... Phone: F-E-'b ..,To e, Fait: i'a, is F--mail: Occupanc e group(s): Exulting: CC9_no. `J /y - ----- — New: Cityhnrtru Ile.no.: ldoticc All rontraetora and subcontractors arc rcgml d to he 11611113 Nil U I"ol licensed a uh the Oregon Construction Comractols Hoard under Name: _ ptovisioru of UI(S 701 and may(x rrquired to be Ilccntictl ill theC --- --- -- Jurisdiction whcru wurk is bang performed 10u.Tpplicaut is Address: rxcmpt from licensing,the Iolluwiug reason applirs: City: --..-_. — Su►te: - 7..1F' contact •rsort Plan no.: phone Fax G mai! Naaue: Contact perum: Fees due trpexr afrplieatlon ....................... s . Address: _ Due rrcrrved: Cit --- v�uatr: ZIP ——--... Ple Amount rtieived ............ .......................... S _r' _ ase refti!- fze sehedo'e. Phone: I hereby certify I have read and a garner d this application and the Mo&II ru trtictloa.war•Uedtf ca.d..0101W c.n)unallCuM r« tnran11"Im stsarhrd checklist. All pmvisions of laws and ordinances governing this U Visa 0 Maaearr'ard work will be compliaf with,whetllcr specifteul herein Or our jj tM�e� Authoriar.d si¢naturu:_�� _ [sarc: //' •_r —naTe�i, cu� ri u clout n ar�u co it print narno: Nnticz-11cis permit sppliealion etpitts if a permit is not oUainad within 111111 days sfler it hs_t ren screpted as complete 440 4611(&nakyW) .nn LT (12I�'J 1.1. Ao U'UL 0!181 9t19 i:oC CN':1 L•0'^T 011.1. r1.0/Fm'fT CITY OF TIGARD EXPENDITURE REQUEST This form is a nru'ti-use firm. Appropriate receipts and documentation must be attached to this firm. Approved request due Monday 5:00 PM to A/P for checks by Friday(week opposite payroll only). V I:N D(W NO.: DATE: November 3, 2000 PAYABLE TO : A Professional Fire Svstems Co REQUESTED BY: Debbie Adamski 17273 S Steiner Rd Beavercreek OR 97045 MISCELLANEOUS EXPENDITURES: Date Description, Invoice No.,etc. AccotIdo Amount 11/03/00 Refund of overpayment of fees BUP2000-00450, Starbuck's _ 10220 SW Greenbur g Rd #551 Receipt#2000-1162 Building Plan Review Fee 245-0000-433000 $40.63 TOTAL $40.63 Mileage 32.5( AI'PROPItIATION BALANCE: AS OF: PURCHASING: _ APPROVALS: (IF UNDER$50) Section Manager/Professional Staff (IF UNDER$2500) Division Manager (IF UNDER$7500) Department Mauaver (IF UNDER$25000) City Manager (IF OV AtO00) Local Contract Review Board LINCOLN CENTER November 8, 1999 VIA FACSIMIi,t, — 598-1960 City of•Tigard Oregon 13125 SW Ilall Blvd. Tigard, OR 97223 Re: Lincoln Center TO whom it may concern: phis letter is to notify you that in November, 1999, Suite #1551 in "three Lincoln, 10220 SW Greenburg Road, will be divided into two (2) separate suites: Suite 0501 send #551 (see attached plan). If'you have any questions, please do not hesitate to call. Sincerely, NOR`RIS, B13GGS & SIMPSON Sharon D. Otness Properly Management Assistant SDO leasing\sdo\letter\tigard.doc Attachment cc: General Correspondence 1 Manat;cnirnc antj i easing + t 10300 SW Gtecnhmg Road,Suite 200,Portland,Oregon 97223 R III-AI 503-452-5900/phlmr 501.244.4400/Fnx w,.M.4 k i I i 1 �r,,�� IIS � I►, I f Illllilfli ,; r. r ;� 1 CITYOF TIGARD PLUMBING PERMIT DEVELOPMENT SERVICES /Q� PERMIT#: PLM1999-00392 q4DATE ISSUED: 11/24/99 13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 PARCEL: iS135AB-01002 SITE ADDRESS: 10220 SW GREENBURG RD 551 ` SUBDIVISION: THREE LINCOLN-TOWN OF METZGER ` ZONING: R-12 BLOCK: LOT: 009 JURISDICTION: TIG CLASS OF WORK: DEM GARBAGE DISPOSALS: MOBILE HOME SPACES: TYPE OF USE: COM WASHING MACH: BACKFLOW PREVNTRS: FLOOR DRAINS: TRAPS: OCCUPANCY GRP: STORIES: WATER HEATERS: 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: ft DISHWASHERS: RAIN DRAIN: ft Remarks: Removal of one sink. - -- FEES Owner: Type By Date Amount Receipt KNICKERBOCKER PROP, INC XXIV PRMT DEB 11/15/99 $50.00 99-319776 BY NORRIS, BEGGS + SIMPSON 5PCT DEB 11/15/99 $4.00 99-319776 10300 SW GREENBURG RD STE 200 Total $54.00 PORTLAND, OR 97223 — —W Phone 1: Contractor: — DETEMPLE CO INC 1951 NW OVERTON ST PORTLAND, OR 97209 REQUIRED INSPECTIONS Insp existing/capped fixtures Phone 1: 227-2641 Final Inspection Reg #: LIC 00002510 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 ')tility Notification Center. Those rules are set forth in OAR 952-0001-0010 through OAR 952.-000'-0080. You may obtain copies of these rules or direct questions to OUNC by calling (503) 246-1987. L Issued By: - Permittee Signature: Call (503) 639-11175 by 7:00 P.M. for an inspection needed the next bu iness day CITY OF TIGARD Plumbing Permit Application Plan Chick# 13125 SVV HALL BLVD. Commercial and Residential Recd BY\ TIGARD, OR 97223 Date Recd (503) 639-4171 Dale to P.E. '— Print or Type b"elgq�-a'�17� Date to DST --- Incomplete or illegible applications will not be accepted Permit#GLH 1499-0`. . Related S�1WR 0: Called r Name of Development/Project FIXTURES (individual) QTY PRICE AMT 3c' Lincoln Center sink _D2ry,v f I 11 50 Address Street Address Suite Lavatory 11.50 _10220 SW Greenbur 551_`-- Tub or Tub/Shower Comb ___11 5-0 v- Bldg# City/State Zip Shower Only 11.50 -.--- Portland. OR 97273 Water Close[Wrinal (Specify) 11 50 Wfekerbocker Properties Inc. KXIV Dishwasher 1150 Owner MailinAddress Suite Urinal 11.50 103160 SW Greenburg 200 Garbage Disposal 11.50 City/State Zip Phone Laundry Tray 1150 _ Portland, OR 97223 _452-5900 Name Washing Machine/Laundry Tray (Specify) 11,50 Not Occupied - No Tenant Floor Drain/Floor Sink 2" 11.50 Ocuupant Mailing Address Suite -- 3" 11 50 CitylState Zip Phone 11 so Water Heater O conversion O like kind 11.50 -- Name G_as piping requires a separate mechanical permit. _ MFG Home New Water Service 28.00 Contractor Mailing Address;y I gwoJ krb sr+We gr- — MFG Home New San/Storm Sewer 28.00 - 1 fad_ RD Hose Bibs 11.50 Prior to permit CitylSlate Zip Phone `"- Doe �� iL�7".fG�l/ Roof Drains 11.50 issuance.a copy H�2 >[IS Drinking Fountain 11.50 of all licenses are Oregon Const Cont Board Lic.# Exp.Date _ required if CA's/C 6-A-60 Other Fixtures(Specify) 1500 expired in COT Plumbing[Ic # Exp.Date database ;I& _a,.PO Name --- _— Architect GBD ARchi tett Sewer- 1st 100' -- 3800 Or MailiAddress Suite Sewer-each additional 100' 3200 20 SN Third 400 _ Engineer CitylState Zip Phone --- Water Service• 1st 100' 38.00 Portland OR 97204 Water Service-each additional 200' 3200 Describe work to be done. Storm 8 Rain Drain-1st 1003800 New O Repair & Replace with like kind: Yes O No O Storm G Rain Drain-each additionai 100' 3200. Residential C Commercial • — Additional description of work —`" Commercial Back Flow Prevention Device 32..00 o poPRCl Residential Backflow Prevention Device' 1900 rno f��t�On W o4 G�I I5 ar d 5r' � nk -ID f?r s , _ Catch Basin 11.50 Are you capping, moving or replacing any fixtures? Insp of Existing Plumbing or Specially Requested 50.00 Yes • No O Inspections per/hr If yes, see back of form to indicate work performed by Rain Drain,single family dwelling 45.00 fixture. FAILURE TO ACCURATELY REPORT FIXTURE Grease Traps i1.50 WORK COULD RESULT IN INCREASED SEWER FEES. _ — — I he-eby acknowledge that I have read this application,that the information A QUANTITY TOTAL Isometric or riser diagram is required it Quantity Total is >9 _ given is correct.that I am the owner or authorized agent of the owner,and -� 'SUBTOTAL �5 that plans submiLed or,in compliance with Oregon State Laws I�at Owgor/ Dateg '19 8% SURCHARGE C// U Contact Pe on Name Phone %TH p)}N$ N 451 5100 "PLAN REVIEW 25% OF SUBTOTAL �"— Required 1 BATH HOUSE$178.00 -- only f fixture total is>9 2 BATH HOUSE$250.00 TOTAL O 3 BATH HOUSE$285.00 �zc (This foo Includes all plumbing fixtures In the dwelling and the first *Minimum permit lee is$50.8%surcharge,except Residential Backflow orevenlion 100 feet of sanitary seworstorm sewer and K.tter service) Device which is$25*8%surcharge "All New-.ommerclal Bulldlnp require plans with isometric or riser diagram and plan review I tdslslloimsblumapp dot 1011199 1 - � PLEASE COMPLETE: F Fixture Type _ Quantity by Work Performed New Moved Replaced Removed/Capped Lavatory_- Tub or Tub/Shower Combination Shower Only Wa;er Closet Disl�washe_r_ Urinal Garbage Disposal Laundry Room Tray Washing Machine Floor Drain/Floor Sink 2" 3„ 411 Water Heater Other Fixtures (Specify) COMMENTS REGARDING ABOVE: r Tenant Name. Uf t--+r 1 4 t.�1�t,)7- /11 Accumulative Sewer Tally rnis SWR#: It H Address: '� c�`p-{_ oc,: (`ff r ti L G -r�� This PUA# 17 -GO I ixttire Value Previous # Previous Credits Capped Fixtures Fixtures New Now Value Capped off value added # added total Its total Count off#s count value values Haptistry/Font 4 Rath - Tub/Shower 4 Jacur/Whpl 4 Czar Wash -Each Stall 6 - Drive Through 16 Cuspidor/Water Aspirator 1 Dishwasher - Commer 4 Dourest 2 Drinking Fountain 1 l.yo Wash 1 Iluoi Dram/sink 2 ifich 2 3 inch 5 4 inch 6 Car Wash Drain 6 Garbage Disposal 16 Dom (to 3/4 IIP) Comm (to 5 HPI 32 Ind (over 5 HPI 48 Ice Machine/Refrigerator Drains 1 Oil Sep(Gas Station) 6 Recreational Vehicle Dump Station 16 _ Shower-Gang (Per Head) 1 Stall _ 2 i Sink - Bar/Lavatory 2 Bradley 5 Commercial 3 1 .2, Service 3 Swimming Pool Filter 1 Washer. Clothes 6 Water Extractor 6 Water Closet, Toilet 6 Urinal 6 TOTALS Total fixture values: �� divided by 16 EDU HISTORY PLM#YJ-P,�5�- EDU# SWR# IX-_<,!`� ) PLM# 9&-6,t�/FEDUa SWR# 7 PLM# 97.03y5 ED()# SWR# %7' be7t5- PLM# ?�-d/5?EDU# SWR# �l/ CC(�'y r PLM# y 7-O,�5y CDU# ($ SWR# �i" D:(fC� PLM# [v1 EDrI# SWR# PLM# EDU# C S W R# /'G' - 1 � FII-M# EDU# SWR# CITYOF TIGARD BUILDING PERMIT PERMIT#: BUP1999-00474 DEVELOPMENT SERVICES DATE ISSUED: 11/15/99 13125 SW Hall Blvd., Tigard, OR 97223 (503) 61 PARCEL: 1S135AB-01002 SITE ADDRESS: 10220 SW GREENBURG RD 551 "' SUBDIVISION: THREE LINCOLN-TOWN OF METZGER 1G11V� � ZONING: R-12 BLOCK: LOT: 009 �.�JRISDICTION: TIG REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION CLASS OF WORK: DEM FIRST: sf N: S: E: W: TYPE OF USE: COM SECOND: sf PROJECT OPENINGS? TYPE OF CONST: sf N: S: E: W: OCCUPANCY 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?: 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: $ 5,000.00 Remarks: Demo existinq non-bearing walls on the fifth (5)floor. (suite 551 will be divided into two separate suites/adding suite 501) Owner: Contractor: KNICKERBOCKER PROP, INC XXIV PIONEER CONSTRUCTION SERVICE BY NORRIS, BEGGS + SIMPSON PO BOX 68304 10300 SWGREENgBURG RD STE 200 MILWALIKIE, OR 97268 P� PoTne Np nA397223 Phone: 652-1050 Reg#: LIC 00128689 FEES REQUIRED INSPECTIONS Type By Date Amount Receipt Final Inspection PRMT DEB 11/15/99 $77.75 99-319775 .5PCT DEB 11/15/99 $6.22 99-319775 -- Total $83.97 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. Permitee Signature: 19sued By: Call 639-4175 by 7 p.m,for an Inspection the next business day CITY OF TIGARD Commercial p Permit Application Plan Check 0 13125 SW HALL BLVD. 4"Wnrmmmr Recd By 6;l _ T!GARD, OR 97223 DE M G �t�� o ac v pp,,)ay Tto .Date P (503) 639-4171 VNOC-9 TMI-5 PPRM I � Date to P.E. Date to DST Print or Type Permitx �l��r Related SWR Incomplete or illegible applications will not be accepted Called &-2:-F9 —` `- Narne of Development/Project-- "�'v/T Existing Building 9New Building E] JobL(hco h Ce"*ev- / Address Street Address I Suite Building L_jrc6LL— Cella'✓' 1()220 svo 5t�'-Moor Data Bldg# City/State Zip -- Existing Use of Building or Property: ------ —Name ------ Property �t i GKE��C�ev �►'o r )C-r i XXi Proposed Use of Building or Property Owner Mailing Address Suite C , Ce— b'31�v xv) Gree.,�� Po Z,op _ No. O�Stories: City/State Zip Phone — �Q Z I X port-1 r Oh _ 97223 I-S2 -990o Sq. Ft. Of Project: Occupant Name (G 15©b — N/^ Occupancy Class(es) Name �1 — F' Contractor Pro►, Co�^A�"G,Uo" Type(s)of Construction Prior to permit Mailing Address Suite f Issuance,a copyacx 6 3 b 1 Will this project have a Fire Suppression System? cif all licenses _ _ Yes t _ No I] are required If City/State Zip — Phone expired in C O T Americans with Disabilities Act(ADA) database t i W,3 u t e OR-; 97222 (,97 Valuation X 25% = $ Participation Oregon Const.Co t.Beard Lic rY Exp.Dale Complete Accessibility Form -- I`ZGg9 0 0C) Project $ 5 C)C> ----- Name Valuation Architect G(3D ^r-C;'tc�'�1 r �t�L Plans Required: See Matrix for number of sets to submit Mailing Address Suite on hack --- City/State Zip Phone I hereby acknowledge that I have read this application,that the information P„t 972. 21.1-`7 65 E given is correct,that I Fm the owner or authorized agent of the owner,and Engineer Name 1. _ -- that plans submitted are in compliance with Oregon State Laws. Signature of Owner/Agent Date Mailing Address —� Suite YZ . +�`� I�g/ 9� Co t Person Name Phone city/state Zip Phone �L� -, (,=5�ur 27. -9b5 b -- _—� -- FOR OFFICE USE ONLY Indicate type of work New O Addition O Deroolition/>< MapfTL# Land Use Acressory Structure O Foundation Only O Alteration O __ Flair O— _ Other O _- Notes. — Description of work: TIF Note: Site Work Permit Applicatlon must precede or accompany Building ��Z Permit Application 1 1C0MNEWTI DOC (DST) 5/98 COMMERCIAL PLAN SUBMITTAL REQUIREMENT MATRIX Pian Review is dependent upon submittal of BOTH plans AND a COMPLETED 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 Exar Liner will contact the applicant to request additional plan sets for distribution pr-,puses. (Copy for Contractor, City, Washington County, Tualatin Valley Fire & Rescue) Total # of 'T'YPE 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 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 Alt = Alternation to Existing (New , Add) _ Building *13 or B & M (Alt) P (Alt) 3 *B & M & P & E(Alt) 3 *B & M & P & E & F(Alt) 3 NOTES: "Shaded areas designate ALT submittals only. I 1dstsVormslmatrxcom doc 10/30/98 _ i SEE 35MM ROLL# 23 FOR LARGE DOCUMENT CITY OF TIGARD BUILDING PERMIT PERMIT#: BUP2000-00377 DEVELOPMENT SERVICES DATE ISSUED: 10/9/00 13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 PARCEL: 1S135AB-01002 SITE ADDRESS: 10220 SW GREENBURG RD 551 SUBDIVISION: THREE LINCOLN-TOWN OF METZGER ZONING: R-12 BLOCK: LOT: 009 JURISDICTION: TIG REISSUE: _ FLOOR AREASEXTERIOR WALL CONSTRUCTION CLASS OF WORK: ALT FIRST: T� sf N: S: E: i W: TYPE OF USE: COM SECOND: sf _ PROJECT OPENINGS? TYPE OF CONST: 2FR sf N:� S: Ei W; OCCUPANCY GRP: B TOTAL AREA: 0.00 sf ROOF CONST: FIRE RET? OCCUPANCY LOAD: 67 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: $ 130,000.00 Remarks: Commercial TI -6460 Square feet Owner: Contractor: KNICKERBOCKER PROP, INC XXIV LEASE CRUTCHER LEWIS BY NORRIS, BEGGS + SIMPSON 1201 3RD AVENUEO 10cc)3RR00 SW GREENBURG RD STE 200 STTEE 320 wq g nt l�Phone ND, OR 97223 SPho eE'2II6 69Z�1B66 Reg#: uc 92119 _ FEES REQUIRED INSPECTIONS Type By Date Amount Receipt Mechanical Permit Require PLCK CTR 9/8/00 $630.88 27200000000 Electrical Permit Required Sprinkler Permit Required FIRE CTR 9/8/00 $388.23 27200000000 Framing Insp PRMT CTR 10/9/00 $970.50 27200000090 Gyp Board Insp 5PCT CTR 10/9/00 $77.65 27200000000 Susp Ceiing Insp Final Inspection L —' Total $2,067.26 – 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 riot 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. Pe nn itee / Signature: Issued By:( Call 639.4175 by 7 p.m. for an inspection the next business day r'ITY OF TIGARD Commercial Building Permit Application Plan Ch7c9-9-\ 3125 SW HALL BLVD. Tenant Improvement Recd TIGARD, OR 97223 Date Recd (503) 639-4171 Date to P.E. 9'�•c� Date to DST Print or Type Permit#r � �7 Related SWR# Incomplete or illegible applications will not be accepted Called C1/2e/OD Name of Development/Project — - Existing Building New Building Job Lincoln C--ePftjev- L, Address Street Address _ Suite Building �hY IN�oI•r sW G"ag�cxa►� M. 551 Data LI►�coa.►J cE0►TE-0- _ &'0`6 City/State Zip -- Existing Use of Building or Property: TH --— - -- Lip cowo P"a,4.OF. ".47Z22, Name _ Property t4ilcker4aockev PvoPe,.t ies�Inc.• XXIV Proposed Use of Building or Property Owner Mailing Address Suite OETfce_ 1o5M SW CG►tere urn Rol• 2.C�O No. Of Stories: City/State , — Zip Phone C 607 S I Y( orija"A r OR-. 3"727-', 452 --5900 Sq. Ft. Of Project: Occupant Name S4,2Ar60r�sr Occupancy Class(es) ---- Name Y Contractor Loam- Crotckev Leis Ty pis) of Construction Priof to permit Mailing Address Suite issuance,a copy 921SW W1S�ti dor Will this project have a Fire Suppression System? of all licenses Yes EJ No [] are required if City/State Zip Phone -- ---- expired in C.O.T Q Americans with Disabilities Act(ADA) database 1ort�a'`d r_ ZZ'✓" Valuation X 25% = $2-5,750PO Participation Oregon Const.Cont.Board Lic# Exp Date Complete Accessibility Form ------- 9 2919 l.___ _ Project $ _— 00 Name V�/aY Gj dao g�Co�«,�any Valuation 1�,0� Architect / Plans Required: See Matrix for number of sets to submit Mailing Address Suite on back 4525 syU Co►,c�,or f�1e - -- —---�_ City/State Zip Phone -- I hereby acknowledge that I have read this application,that the information Tort)z"'Al t-• 972o f 1-11.1156 given is correct,that I am the owner or authorized agent of the owner,and I Engineer Name that plans submitt--d are in compliance'Kith Oregon State Laws Signature oftO/wnerlAgeft Mailing Address Suite — _` C act Person_Name Phone City/State Zip, Phone ' 7-7 FOR R_FFICE USE ONLY Indicate type of work: New O Addition O Demolition 0 Map/TL# — Lend USB: Accessory Structure O Foundation Only O Alteration W, Repair O Other O _ Notes: Description of work: IE'Vt�l�"�. �M�pro�iCYnGK� TIF ---- --- Note: Site Work Permit Application must precede or accompany Building Permit Application 40 11(;OMNEWTI DOC (DST) 5/98 •~ COMMERCIAL PLAN SUBMITTAL REQUIREMENT MATRIX Plan Review is dependent upon submittal of BOTH plans AND a COMPLETED 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, Tuaiatin 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—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 Alt = Alternation to Existing (New , Add) Building *B or B &M (Alt) 1 *B & M &�P (Alt) 3 *B & M & P & E(Alt) 3 *B & M & P & E & F(Alt) �✓ 3 NOTES: *Shaded areas designate ALT submittals only. I\dsts\formsxmatrxcom doc 10/30198 - 55 SUBJECT: ACCESSIBILITY BARRIER REMOVAL IMPROVEMENT PLAN REQUIREMENT: OREGON REVISED STATUTE (ORS) 447.2.41. (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 cost exceeds twenty-five per-cent(25%). VALUATION of all renovation, alteration or modification being done 1 1C�3 n00.� excluding painting, wallpapering. multiply; 25% Barrier removal requirement. .25 BUDGET f'OR 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'�( 1w9 neu er"6 '54ew?tka, $ 251750.00 s i9vnaoje a_d, 21cces.r'ikble stall). (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 arid alarms: $ TOTAL: Shall equal line 2 of Value Computatioo $ 1 tdsts\fimns\access doc �72 CITY OF TIGARD BUILDING INSPECTION DIVISION M 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 Date Requested_ AM PM BLD Location�U Z 7-U3 �✓ C9 �,/ Suite f-5— — MEC Contact Person Ph J`U -- SZ y7uJr PLM Contractor _ Ph SWR BUILDING Tenant/Owner Ce-rd- 4 rc-c-) ELC Retaining Wall ELR —e-"'''3 Footing Access Foundation FPS Ftg Drain Crawl Drain Inspection Notes. SIGN Slab — —------- --- — -_-- SIT Post& Ream — -- Ext Sheath/Shear Int Sheath/Shear `-- Framing _y `--`�-- Insulation — Drywall Nailing Firewall —�-- —�`-- Fire Sprinkler Fire Alarm Susp'd Ceiling ✓'C Ci C C C�S S'y_S j�F' ►�— _ _ Roof / ? -- Misr.: _— Final PASS PART FAIL PLUMBING Post& Beam —� —-- -- Under Slab — cam, 4 'sem1'" n /4P; � Y Top Out - Water Service Sanitary Sewer �--- — Rain Drains Final � — — PASS PART FAIL MECHANICAL Post&Beam Rough In -4 Gas Line _�-- Smoke Dampers Final ------�--- — — P _PART FAIL / ELECTRICAL �- ---- J -- — Service Rough In — UG/Slab Low Voltage — - Fire Alarm ASS P RT FAIL ITE Backfill/Grading -- -- — —— -- --- -- Sanitary Sewer Storm Drain ( j Reinspection fee of$ a required before next inspection Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line [ ] Please call for reinspection RE. [ ] Unable to inspect-no access ADA Approach/Sidewalk Inspector Date 4L Other _ 4L-1"" Ext �,Qv_—Ext __— Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. CITYOF T I G A R D _CERTIFICATE OF OCCUPANCY DEVELOPMENT SERVICES PERMIT#: BUP2000.00377 101 13125 SW Hall Blvd.,Tigard, OR 97223 (503)639-4171 DATE ISSUED: PARCEL,: 1 S135AB 0 35A6-01 002 ZONING: R-12 JURISDICTION: TIG SITE ADDRESS: 10220 SW GREENBURG RD 551 SUBDIVISION: THREE LINCOLN-TOWN OF METZGER BLOCK: LOT:009 CLASS OF WORK: ALT TYPE OF USE: COM TYPE OF CONSTR: 2FR OCCUPANCY GRP: B OCCUPANCY LOAD: 67 TENANT NAME: REMARKS: Commercial TI 6460 Square feet Owner: KNICKERBOCKER PROP, INC XXIV BY NORRIS, BEGGS + SIMPSON 10300 SW GREENBURG RD STE 200 PORTLAND, OR 97223 Phone: Contractor: LEASE CRUTCHER LEWIS 1201 3RD AVENUE0 STE 320 SEATTLE, WA 98101 Phone: 206-622-1666 Reg#: LIC 92919 This Certificate issued I4/16/2001 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 Speeliued.Codes for the group, occup4ncy, and use under which the referenced permit wa (/ BUILDING�INSPECTOR BUII_DIN OF ICIAL POST IN CONSPICUOUS PLACE CITY OF TIGARD BUILDING INSPECTION DIVISION M3T 24-Hour Inspet tion line: 639-4175 Business Line: 639-4171 BLIP Date Requested PM — BLD Location /& 21 ?mac _5�✓ �,-�e+�ti� Suite MEG Contact Person 5AAG 61k�4 Lin C/e,^ Ph 1�� 17�� _ PL_M Contractor Ph — SWR Tenant/Owner ELC Retaining Wall ELR _--- ----_-___-- Fcoting Access: FPS Fu,indation --- -----._.----__-_ . Ftg Drain ---------- SGN Crawl Drain Inspection Notes: Slab -----------— — --- ------- — SIT -- --- - --------- Post&Beam Ext Sheath/Shear ----- - — Int Sheath/Shear Framing -- -- �-- -- Insulation Drywall Nailing ---- - --- - -- -- -- Firewall Susp'd Ceiling - --- --�, - Roof PASS PART FAIL "�-` PLUMBING 0e, Post&Beam Under Slab Top Out Water Service Sanitary Sewer FT Rain Drains _ — Final PASS PART FAIL MECHANICAL Post&Beam - -- -- Rough In _ Gas Line -�- - Smoks Dampers Final PASS PART FAIL ELECTRICAL ------_-_ --__------....------- Service _ ------ -— ---------- - — Rough it UG/Slab ------- _.. _�--_.. ----------- - Low Voltage Fire Alarm r -------- -- ------ Final PASS PART FAIL —__ -- -- -- S'PTE Backfill/Grading ---- - ---- - ------� -- Sanitary Sewer Storm Drain [ ] Reinspection fee of$ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin [ ] Please call for reinspection RE: [ ]Unable to inspect-no access Fire Supply Line ADP, I Approach/Sldewelk Date [ [�I'(v�Imo_ . inspector Ext Other Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. �w r CITY OF TIGARD MECHANICAL PERMIT PERMIT#: MEC2000-00415 DEVELOPMENT �ERV'ICES DATE ISSUED: 10/27/00 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4'171 PARCEL: 1S135AB-01002 S!rE ADPRESS: 10220 SW GREENBURG RD 551 SUBDIVISION: THREE LINCOLN-TOWN OF METZGER ZONING: R-12 BLOCK. LOT:009 JURISDICTION: TIG CLASS OF WORK: AL.I FLOOR FURN: EVAP COOLERS: TYPE OF USE: COM UNIT HEATERS: 1 VENT FANS: OCCUPANCY GRP: I VENTS W/O APDL: VENT SYSTEMS: STORIES: BOIL.ERS/COMPRESSOF?S _ HOODS: FUEL TYPES _ 0 3 HP: DOMES. INCIN: -- 3 - 15 HP: COMML. INCIN: MAX INPUT: BTU 15 - 30 HP: REPAIR UNITS: FIRE DAMPERS?: 30 - 50 HP: VVOOnSTOVES: GAS PRES SURF: 50 + HP: CLO DRYERS: FURN < 100K BTU: AIR HANDLING UNITSOTHER UNITS: 1 FURN >-100K BTU: <= 10000 cfm GAS OUTLETS: > 10000 cfin: Remarks: Mechanical work associated with commercial TI Owner: FEES _— KNICKERBOCKER PROP, INC XXIV Type By Date Amount Receipt BY NORRIS, BEGGS + SIMPSON PRMT CTR 10/27/00 $72.50 272000600C 10300 SW GREENBURG RD STE 200 PLCK CTR 10/27/00 $18.13 2720000000 PORTLAND, OR 9723 5PCT CTR 10/27/00 $5.80 2720000000 Phone: Total _ $96.43 Contractor: – TEMP CONTROL MECHANICAL SERVIC 4800 N CHANNEL AVE PO BOX 11065 REQUIRED INSPECTIONS PORTLAND„ OR 97211 Mechanical Insp Phone:285-085' Duct Inspection [Reg #:LIC 4944 Final Inspection 1 his permit is issued subject to the reg;.lations contained in the Tigard Municipol Code, State of Ore. SpEcialty Cordes and all other applicable laws. All w)rk will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance. or if work is suspended for more than 180 days. ATTENTION Oregon law requires you to follow rules adopted in the Oregon Utility Notification Center. Those rules are set forth in OAK 952-001-0010 through OAR 952-001-0080 You may obtain copies of these rules or direct questions to OUNC by calling (503)241r Issue By: Permittee Signature: ��[l:F�-- --- --M lay Call (503) 6,39-4175 key 7:00 P.M. for inspections needed the nex business !� (7 echa '; Penni= Appiication -- Date received: /0-9-00 Permit no.: HE E C2Aane5-OO j Projecdappl.no : Expire date: �:j_�' Receit no: p . �P�o—CX�S7 Dace issued - — Case file no.: Payment type: Land use approval: p ..� ❑ 1 8c 2 family dwelling or accessory Commercial/industrial U Multi-family 0 Tenant improvement U New construction 0 Addition/alteration/replacement 0 Other: 40K SI)WANFORNIATIOK COMMEW7,JM Job address: 10220 SW GREENBURG ROAD Indicate equipment quantities in boxes below.Indicate the dollar Bldg.no.: THREE LINCOLN Suite no.: 551 value of all mechanical materials�ygpiprnent,labor,overhead, Tax map/tax lot/account no.: profit.Value$ 169. 006 Lot: Block: Subdivision: _ *Sec checklis for important application information and Project name: STARBUCKS Jurisdiction's ie schedule for residential permit fee. City/county: D WA ZIP: t i Description and location work on premises: Ox i" a t 1 w,mat Fee(ea.) Toed Est.date of completion/inspection: HVA.CC: Description Qty. Res.only Res.roily —� Tenant improvement or change of use: . Is existing space heated or conditioned?m Yes 0 No Air Handling unit �(.f_i CFM Air conditioning _ 6.00 Is existing space insulated?Q Yes O Ne Alteration of existing g HVAC.system 00 of er Comore.•n?TR State boiler permit no.: Business name: TEMP CONTROL MECHANICAL CORPORATION _ HP Tons ATU/H ■ Address: 4800 NORTH CHANNEL AVENUE ,Fir sinok�ampets/ uct smoke detectors _ 4-50 City: PORTLAND State: OR I ZIP: 97217 Heat pump 6.00 — Phone 503-285_9851 I Fax: E-mail: insta-1 replKe furnac Inner_—BTU7rffr— Including ductwork/vent liner U Yes 0 No CCB no.: 4944 -- _ asta TTreplac relocate heaters-suspeen ed, City/metro lic.no.: 2999 TIGARD wail,c. floor mounted _ 6.00 Name(please print): wr -Vent fora ti,mce other than17macc —430 QUA Refrigeration: Abso,ption units — BT(J/H * _ Name: JIM RODOCKER Chillers I1P Address: 4800 NORTH C1i4NNEL, ENUE Compressors :71P • Environmental exhaust and ventilation: City: PORTLAND State: OR ZIP: 97217—.--LA-Ap�Bance vent 4.50 Phone Fax: 7 (j E-mail: r Drye exhaust -- 3.00 �Touds, y— !T/�.I/res.kitchenlhazmaF hood fire suppression system _Name: LEASE CRUTCHER LEWIS _ Exhaust fan with single duct(bath fans) H 3.00 Mailing address: 921 -S.W. _WASHINGTON STREET _ x aunt sys_temm�aJ�art from- eatin oar c 0 _ Cit State: Z1P: ue pipi,.d and distribtion(up to•f outlets) Y: PORTLAND -� OR Typ,; LPG; NO_ Oil 2.00 _ Phone: Fax: E-mail: l uel—i ineac tcaa( itionn over 4 outlets • Process piping(schematic required) Name: Number of outlets terterl-a PP Wince—oee qtil P ment: Address: J Decorative fireplace 6.00 _City: I State: ZIP: Insert-ty e 6.00 Phone Fax: E-mail _ oo stov a let stave Other: )• �� r Applicant's signature_ Date_ er: _ Name(print): Not aa ca all jurisdictions accept credit cords,please jurisdiction for more infartnetlon. Notice: This permit aPPFcation Permit fee......................$ Q Visa O MasterCard e.rfires if a permit is not obtained Minimum fee ................$ 10(?0 Credit cord number: within 140 days after it has been Plan review(at — Expires accepted as complete. State surcharge(8961.....$ _ Name of cardholder a shown on credit card s TOTAL ........................ Cardholder denature Amount *,See btick of form for schedide CCP-Pweo(Rev.11M CITY OF TIGARDBUILDING PERMIT PERMIT#: BUP200000377 DEVELOPMENT SERVICES DATE ISSUED: 10/9/00 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 PARCEL: 1S135AB-01002 SITE ADDRESS: 10220 SW GREENBURG RD 551 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: 0.00 sf ROOF CONST: FIRE RET? OCCUPANCY LOAD: 67 BASEMENT: sf AREA SEP. RATED: STOR: HT: ft GARAGE: sf OCCU SEP. RATED: BSMT?: MEZ_Z?: _ READ SETBACKS _ _ _REQUIRED _ FLOOR LOAD: psf I EFT: It RGHT: ft FIR SPKL:—Y SMOK DE r: DWELLING UNITS: FRNT. ft REAR: ft FIR ALRM : HNDICP ACC: BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING: VALUE: $ 130,000.00 Remarks: Commercial TI - 6,150 Square feet Owner, Contractor: KNICKERBOCKER PROP, INC XXIV LEASE CRUTCHER LEWIS BY NORRIS, BEGGS + SIMPSON 1201 3RD AVENUEO 100C300 SW GREENBURG RD STE 200 STEEERq 320 W�/�/qq gggg QQ1 PPhone ND, OR 97223 �'Pfione:2U6=62Z11Lio6 Reg #: UC 92919 FEES REQUIRED INSPECTIONS�i_� Type By Date Amount Receipt Mechanical Permit Require PACK CTR 9/8/00 $630.88 27200000000 Electrical Permit. Required Sprinkler Permit Required FIRE GTR 9/8/00 $388.23 27200000000 Framing Insp PRMT CTR 10/9/00 $970.50 27200000000 Gyp Board Insp 5PCT CTR 10/9/00 $77.65 27200000000 Susp Ceiing Insp Final Inspaction —^ Total _—$2,067.26' � — - •-------`-•J This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. J Specialty Codes and all other applicable law. All wor. will be done in accordance with approved plans. This permit will expire if work is not started within '180 days of issuance, or if work is suspended for more than 180 days. ATTENTION Oregon law requires you to follow the rules adopted by the Or--,on Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR X32-001-1937. You may obtain a copy of these rules or direct questions to OUNC by calling (503) 2146-1987. Pe nn itee Signature: r Issued By: Call 539-4175 by 7 p.m. for an inspection the next business day CITY OF T'IGARD BUILDING INSPECTION DIVISION 24-hour Inspection Line: 639-4175 Business Line: 639-4171 MST BUP Date Requested __ AM --PM A—.._ BLD Location Suite MEC Contact Person _ Ph _ PLM Contractor Ph _ _ SWR BUILDING - Tenant/owner EL ^w— Retaining Wall - — -- -- - ----- Footing LR Foundation I S Fig Drain '_S Crawl Drain 711spection MNotes: SGN Slab i Post&Beam - --- - SIT - Ext Sheath/Shear Int Sheath/Shear Framing - Insulation Drywall Nailing Firewall - --- Fire Sprinkler Fire Alarm -- - ----- - �- - ..-- _ Susp'd Ceiling Roof -- - Final PAbo PART FAIL _ PLUMBING � -- -- --- ------__._ Post&Beam Under Slab Top Out -- Water Service Sanitary Sewer -- " Rain Drains -- Final -- PASS PART FAIL MECHANICAL Post&Beam ------_ Hough In Gas Line Smoke Dampers Final ------- _ PASS PART FAIL ELECTRICAL -- - --- - - Service i Rough In - UG/Slab Low Voltage - Fire Alarm Final ---- -------- f PASS PART FAIL_ SITE -_- -- ------ Backfill/Grading -- - -- Sanitary Sewer Storm Drain [ J Reinspection fee of$ required before next inspection Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line [ )Please call for reinspection RE: _- ( J Unable to inspect-no access ADA Approach/Sidewalk Date ' Other ' -Inspector Ext Final -- - PASS PART FAIL DO NOT REIVIOViE this inspection record from the job site,