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10220 SW GREENBURG ROAD STE 615 iI rlli ;a a I O N 7° r � m m z w a 4t rn i f I i 10220 SW GREENBURG RD. #615 1999 SAVE - HISTORICAL INFORMATION BUILDINGS) NAME CHANGE PER KIT CHURCH, ENGINEERING 10220 GREENBURG RD, LINCOLN II NORTH CHANGED TO 10220 GREENBURG Rt), LllWCOLN III 10220 GREENBURG PD, LINCOLN II SOUTH CHANGED TO 10220 GREENBURG RD, LINCOLN II CITY ®F B I GA R D CERTIFICATE OF OCCUPANCY DEVELOPMENT SERVICES PERMIT# BUP1999-00410 13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-417,1 DATE ISSUED: 11/08/1999 PARCEL: 1 S133AB-01004 ZONING: C-P .JURISDICTION: TIG SITE ADDRESS: 10220 SW GREENBURG RD 615 SUBDIVISION: TWO LINCOLN - TOWN OF METZGFR BLOCK: LOV: FILE COPY CLASS OF WORK ALT TYPE OF USE: COM TYPE OF CONSTR: 2FR OCCUPANCY GRP: B OCCUPANCY LOAD: 60 TENANT NAME: FIRST FRANKLIN REMARKS: TI - Create an open office complex Final Building Inspection and Certificate of Occupancy Approved 1121/00 by Rick Bolen, Building Inspector Owner: KNICKERBOCKER PROP, INC XXIV BY NORRIS, BEGGS + SIMPSON 10300 SW GREENBURG RD STE 200 PORTLAND, OR 97223 Phone: Contractor: PIONEER CONSTRUCTION SERVICE PO BOX 68304 MILWAUKIE, OR 97268 Phone: 652-1050 Reg #: LIC 00128689 This Certificate grants Occupancy of the above referf..nced building or portion thereof and confirms that the building has been inspected for compliance with the State of Oregon Specialty Codes for the croup, Occupancy, and use u►poler will h the referenced permit was issued. BUILDING INSPECTOR B!11LDr OFFICIAL POST IN CONSPICUOUS PLACE CITYOF T I G,A►R D BUILDING PERMIT PERMIT#: BUP1999-00410 DEVELOPMENT SERVICFS DATE ISSUED: 11/08/1999 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 PARCEL: 1S135AB-01004 SITE ADDRESS: 10220 SW GREENBURG RD 615 SUBDIVISION: TWO LINCOLN -TOWN OF METZGER ZONING: C-P BLOCK: LOT: JURISDICTION: TIG r _ 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: ?-FR 6TH : 5,657 sf N: S: E: W: OCCUPANCY GRP: B TOTAL AREA: sf ROOF CONST: FIRE REI'! OCCUPANCY LOAD: 60 BASEMENT: sf AREA SEP. RATED: STOW FIT: ft GARAGE: sf OCCU SEP. RATED: BSMT?: MEZZ?: _ READ SETBACKS_ _ REQUIRED FLOOR LOAD: psf LEFT: ft RGHT: ft FIR SPKL: Y SMOK DET:YT DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : Y HNDICP ACC:Y BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING: VALUE: $ 47,000.00 Remarks: Create open office complex. A fire alarm permit is required. A plumbing permit is required if sink is r..moved replaced. Electrical, mechanical & fire sprinkler permits are required also. Owner: Contractor: KNICKERBOCKER PROP, INC XXIV PIONEER CONSTRUCTION SERVICE BY NORRIS, BEGGS + SIMPSON PO BOX 68304 100C))300 SW GREENBURG RD STE 200 MILWAIJKIE, OR 97268 PPl oneND, OR 97223 Phone: 652-1050 ORIGINAL Reg#: LiC 00128689 FEES REQUIRED INSPECTIONS Type By Date Amount Receipt Mechanical Permit Require Drywall nail/screw PRMT DEB 09/21/199 $418.00 99-318519 Electrical Permit Required 5PCT DEB 09/21/199E $29.26 99-318519 Sprinkler Permit Required Framing Insp PLCK DEB 09/21/199E $271.70 99-318519 Framing Insp FIRE DEB 09/21/199E $167.20 99-318519 GYP Board Insp (additional fees not listed here) Susp Ceil ig Insp _ Susp Ceiing Insp Total $1,189.69 Final Inspection Finallnspection This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. SpeUalty 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 roves 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. Pemiitee ))� Signature: / `B+ l - Issued By: ��,�E2 y�✓� Call 639-4175 by 7 p.m. for an inspection the next business, clay CITY OF TIGARD Commercial Building Permit Application Plan Check# 13125 SW HALL BLVD. Tenan, Improvement RecA By T,'GARD, OR 97223 Date Recd (503)'639-4171 Date to P.E.— y' l Date to DST Print or Type 1 / Permit# _ Related SWR# Incomplete or illegible applications will not be accepted called_-- ` _ Name of Development/Pro)eci Existing Building X New Bud []ding Job �.Irrcic,�h �h�' Address Street Address Suite Building L i v,c of n r-'4m'bev- 10220 SW Graem6u% P, # CD15 Data Bldg City/State Zip -- Existing Use-of Building or Proparty: THP-EE ,tib O , ---- LINCOLN Por AIp. 9'1223 ('. 'T �l CE Property #Wcker6ocker Pmper'tiw, Inc-.Mu Proposed Use of Building or Property: Owner Mailing Adiress Suite 10,600_ sw Gneer,bur p.d 442-00 No. OfStogies City/State Zip r'hcne C�� SIX port1SAd,,OP-, 97223 452-590o Sq. Ft. Of Project: — -- Occupant —Name � "— - , 51 First F raKW I M Occupancy Class(es) Name h --- Contractor pioneer ConStruc-..(Ic)v% Ty e(s) of Construction Prior to permit Mailing Address Suite FF, issuance,a copy of all licenses P O,pc'C G 93,04- Will this project have a Fire Suppression System? _ are required if Clty/State _,. Zip — Phone" Yes __ _NO [] expired it C o T Americans with Disabilities Act(ADA) database MrlWaukle , °11222 (052-1050 - $ �a� _ Participation —1 Valuation X 25/o - Oregon Const Cont.Board Lic.# Exp Dace �— Complete Accessibility Form 09- Ob Project $ —� Name Valuation +� l 000 Architect Gm P�-c�+; tec'ts t rna Plans Required: See Matrix for number of sets to submit Mailing Address Suite on back 920 S W Mrd 4000 -- --- _ City/State Zip Phone I hereby acknowledge that I have read this application,that the information given is correct,that I am the owner or authorized agent of the owner, and Engineer Name — that plans submitted are in compliance with Oregon State Laws Signature of Owner/Agent Date —� Malting Address � Suite Go. ct Person Name Phone City/State 711) Phone '2- — � R s� , GlUr ��21 _ Indicate type of work New n Addition O Demolition O FOR OFFICE USE ONLY Acc"sory Stricture O Foundation Only O Alteralimi fl( M� ;��_C�, t '•a U �` _Eepalr O _ Other O totes: Descrlption of cork: Teoakl t it-' r Vemeli-t /C?(P �n TIF ----- Note: Site Work Permit Application must precede or accompany Building Permit Application I\COMNFWTLDOC (DST) 5/98 COMMERCIAL FLAN 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, Plants Examiner will contact the applicant to request additional plan sets for distribution purposes. (Copy for Contractor, City, Washington County, Tualatin Valley Fire & Rescue) _.. ---- __..__......... .-. ---- -- - — Total # of TYPE OF SUBMITTAL- Plans KEY_:- _ Submitted S (Private) �� 1 S = Site Work B (New or Add) 1 B = Building F (New or Add or Alt) _ - 3^ F = Fire Protection System M (New or Add or Alt) 1 M = Mechanical 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 8 P (Alt) 3� *B & M & P & E(Alt) 3 *B3—& M & P &t—& F(Altj, NOTES: Shaded areas designate ALT submittals only. 1:%dsts%fcrmslmatrxcom.doc 10/30/98 First Fr�v,kiin �,L_ cols SUBJECT: ACCESSIBILITY BARRIER REMOVAL IMPROVEMENT PLAN REQUIREMENT: OREGON REVISED STATUTE (ORS) 447.241. (1) Every project fer renovation, alteration or modification to affected buildings and rela!ad 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 tc an altered area may be deemed disproportionate to the overall alteration when the cost exceeds twenty-five per-cent(25%). VALUATION of all renovation, alteration or modification being done ^^ excluding painting, wallpapering. [1] $ multjply_ 25% Barrier removal requirement. .25 BUDGET FOR BARRIER REMOVAL [2) $ - 3000 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 Jt t►es'trippi V1Nw c%,,r� c�"ts� $ _3 Com. _ �cceir,Lle .rt4,fr --- (b) An accessible entrance $ (c) An accessible route to the altered area: $ (d) At least one accessible restroom for $ each sex or a s,ngle unisex restroom (e) Accessible telephones: $ (f) Accessible drinking fountains: and $ (g) When possible, ad .,ticnal accessible elements such as storage and alarms $ TOTAL: Shall equal line 2 of Value Computation $ _?�©d• __ _ i.\dsts\rirrms\ncccss.doc CITY OF TIGARD BUILDING INSPECTION DIVISION S 2--1-Hour Inspection Line: 639-4175 Business Line- 639-4171 IZC uP 1q 99 co�g/o Date RequeshA L0 AM __ BLD Location Uc�-�>� ci Suite 61 /11-1 MEC Contact Person _ l Ph 7 /3-'L 3�p FILM Contractor Ph _ SWR LIRIQ IQ�- Tenant/Owner ELC _ Retaining Wall ELR Footing Access- Foundation FPS Ftg Drain SGN Crawl Drain Inspection Notes: Slab C� — /J� SIT Post Beam (J t�c l q � � Ext Sneath/Shear eath/Shear � �� _ Int Sheath/Shear Framing —.-- __- ---- --_ Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm us 'd Cei Roof Misc: — Ab PART FAIL --- BING Post& Beam Under Slab Top Out Water Service _ Sanitary Sewer Rain Drains Final PASS PART FAIL - - --_� — MECHANICAL Post&Beam — --- Rough In Gas Line -- ---------- ------- -- Smoke Dampers Final -- — �— PASS PART FAIL ELECTRICAL ---`-- Service ^— _ Rough In UG/Slab Low Voltage Fire Alarm Final PASS PART FAIL SITE Backfill/Grading Sanitary Sewer Storm Drain [ )Reinspection fee of$ - -�required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin [ )Please call for reinspection RE _ [ J Unable to inspect-no access Fire Supply Line ADA Approach/Sidewalk Other , Date r V Inspecto _ V �-� _ Ext --- — Final PASS PART FAIL DO OT REMOVE this inspection record from the job site. FILE COAD k r CITY OF TIGARD December 30, 1999 OREGON Knickerbocker Prop, INC XXIV By Norris, Beggs & Simpson 10300 SW Greenburg Rd #200 Portland OR 97223 RE: 10220 SW Greenburg Rd #615 First Franklin Tenant Improvement, BUP1999-00410 Certificate of Occupancy The Certificate of Occupancy, issued December 3, 1999, has been rescinded. Apparently, the tenant improvement is being done in two phases. The first phase was approved on December 3"'. The Certificate of Occupancv was issued in error. Occupancy of suite 615 should not occur until completion of phase Il. Please accept our apology for any inconvenience this may have caused you. If You have any questions, please contact me at ext. 310 or Hap Watkins, Inspection Supervisor at ext. 416. Sincerely, e. Jeanne, Temple Administrative Specialist II Building Division C Pioneer Construction 13125 SW Hall Blvd., Tigard, OR 97223 (503)639-4171 TDD (.503)684-2772 -- — - 12/30/99 15:44 $5032996273 GBD ARCHITECTS U001/,001 4-� �1�ou FAX i TO: Jin) Funk FROM: Dick Kirschbaum ' PROJECT: Gregon Education Association PROD. NO.: 9840.00 FAX NO: 684-7297 DATE: 12 - 30- 99 Total Number of Pages Including Cove;Sheet: 1 Re: Final Occupancy - Anticipated March I Per our phone conversation today regardir'- final inspections and occupancy certificates for the Oregon Education Association, it is my understanding that :n the event that the exterior access way currently being consitut.tcd is not totally complete at the point when OEA is scheduled to move in, that a temporary occupancy scenario would be acceptable to Tigard. All other conditions of the building would have to he approved. Temporary status would be for exterior access way only. The safety egress systems which existed before the work began are still in place. The temporary condition will not impose any greater hazard to lifrisafery than existed before work started. Pleasr. wview this issue with other members of your department. We will assume that this is an acceptable approach if we do not hear back ftom you. We will make every eftort to have all work complete at once if possible, this understanding is only in smooth the process if schedules can't be met. I (3'7oo6 Sincerely, —17-wp JD (t-tokk&f115 tolTvi GBD ARCHITECTS Incorporated -T-4,e, 0p CZ U*4T. A 0vW jTEw---f, LA.- Dick A-Dick Kirschbaum cc Mike Garrison AP Construction i 1 jTA - GFID ARCFHITE(I S tnmrMn3ted 1 920 SM.Third Ave.Smile M 1 Porrtnrd,OR 91AM-2483 1 (303)224-9656 1 FAX(503)299-6273 1 email:EhC1d®ghd-architects con 'i /G/� _ SEWER CONNECTION PERMIT CITY OF TIGARD DEVELOPMENT SERVICES ' PERMIT#: SWR1999 002: 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 12/17/09 PARCEL: 1 S135AB-01004 SITE ADDRESS; 10220 SW GRE=ENBURG RU 615 SUBDIVISION: 7 WO LINCOLN - TOWN OF METZGER ZONING: C-P BLOCK: LOT: _ JURISDICTION: TIG _ TENANT NAME: VACAN'f USA NO: FIXTURE UNITS: 0 CLASS OF WORK: DFM DWELLING UNITS: TYPE OF USE: CUM NO. OF BUILDINGS: INSTALL TYPE: BUSWR INIPERV SURFACE: Remarks: Dummy sewer permit, demo one sink. Fixture values were 141, credit 3 fixture values for new fixture value of 137. Remained at 9 EDU's, no change. Owner: FEES KNICKERBOCKER PROP, INC XXIV Type By Date Amount Receipt BY NORRIS, BEGGS + SIMPSON _- 10300 SW GREENBURG RD STE 200 PORTLAND,OR 97223 Totrd Phone: _ Contractor: Phone: Reg #: Required Inspections This Applicant agrees to c, iply with all the rules and regulations of the Unified Sewage Agency. The permit expires 180 days from the date issL.J. The total amount paid will be forfeited if the permit expires. The Agency does not guarantee the accuracy of the side sewer laterals. If the sewer is not located at the measurement given,the install ler shall prospect 3 feet in all directions from the distance given. If not so located, the installer shall purchase a"Tap and Side Sewer" Permit and the Agency will install a lateral. ATTENTION: Oregon law requires you to follow rules adoptee) by the Orag6h Utltity Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0080 You my�obtain copieb of these rules or direct questions to OUNC by calling(503) 246-1987. Issuetr: � `',- I (I� /I Permittee Signature: Call (503) 639-4175 by 7:00 P.M. for an inspectiun needed the next business day Tenant Name: �f C�' t r` # Accumulative Sewer Tally This SWR#: +�� -e-�aGZ Address: /U.2�./> v) ,L�F�I) , N! (' �/� This PLN7#: LJ`�, 1' -DD -� Mixture �( Valuc Previous # Previous Credits Capped Fixtures Fxtures New New Value Gapped off value added N added total #s total Count off#s count value, values Baptistry/Font 4 Bath- Tub/Shower 4 - Jac.•lz/Whpl a Car Waste - Each Stall 6 - - Drive Throuqh 16 Cuspidor/Water Aspirator 1 Dishwasher -Commer 4 Domest 2 Drinking Fountain Lye Wash Floor Drainkink 2 inch 2. 3 inch 5 _ ---- 4 i, c`t 6 Car Wash Drain 6 Garbage Disposal 16 Dom Ito 3/4 HP) Comm Ito 5 HP) 32 Ind lover 5 HP) 48 Ice Machine/Refrigerator Drains 1 -� Oil Sep IGas Station) 6 _ Recreational Vehicle Cump Station 16 Shower - Gang (Per Head) 1 Stall 2 Sink - Bar/La-atory 2 _— Bradley 5 Commercial 3 Service 3 Swimming Pool Filter ,1 -- Washer, Clothes 6 --- Water Extractor 6 Water Closet, Toilet 6 Urinal 6 TOTALS /� - Total fixture values:1 ` divided by 16 = �S',5(� EDU HISTORY _ PLM#/99 .,,e39A EDU# `? SWR# �/14- PLM#?,(-().gt3 EDU# SWR# ;G_ oc/ ? _ PLM#98^0;" EDU# a SWR# 0/y7 PLM#9`-0,'Pr 8 EDU# SWR# 7 PUA#4'7_p?9S EDU# SWR#`J7-tj�7PLM#9d-01S? EDU# F SWR# �lo-cOCoc1 PLM#97-0a EDU# SWR# 'i7-4;k6o PLM# EDU# SWR# CITY OF T I GA R D �� --- BUILDING PERMIT PERMIT#: BUP1999-00528 DEVELOPMENT SERVICES1DATE ISSUED: 12/20/99 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4 7 //� PARCEL: 1 S135AB-01004 SITE ADDRESS: 10220 SW GREENBURG Rn 615 04/ SUBDIVISION: TWO LINCOLN TOWN OF iMETZGER ZONING: C-P BLOCK: LOT: JURISDICTION: TIG REISSUE: _ FLOOR AREAS _ _ EXTERIOR WALL C'::NSTRUCT!ON CLASS OF WORK: FPS FIRST: sf N: S: E: W: TYPE OF USE: COM SECOND: sf PROJEC_T OPENINGS? TYPE OF CONST: 2FR sf N_ S_ E: W: OCCUPANCY GRP: B TOTAL AREA: sf ROOF CONST: FIRE RF.T? OCC0PANCY LOAD: BASEMENT: sf AREA SEP. RATED: STOR: HT: ft GARAGE: sf OCCU SEP. RATED: :3SMT?: MEZZ?: REQD SETBACKSREQUIRED_ _ FLOOR LOAD: psf LEFT- ft RCHT: ft FIR SPKL: SMOK DET: DWELLING UNITS: FRNT: ft REAR! ft FIR ALRM : HNDICP ACC: BEDRMS: BATHS: IMP SURFACE: PRO CORP: PARKING: VALUE: $ 585.00 Remarks: Removed so fits and recut drops for 9 sprinkler heads. Owner: contractor: KNICKERBOCKER PROPERTIES INC BASIC FIRE PROTECTION INC BY NORRIS BE:GGS & SIMPSON 940 NE LOMBARD ST 10300 SW GREENBURG RC) STE 200 PORTLAND, OR 97211 P�Pone: '23TLAND, OR 972Phone: 285••1855 Reg #: LIC 000486 FEES REQUIRED INSPECTIONS Type By Date Amount Receipt Sprinkler Rough-In PRMT DEB 12/20/99 $50.00 99-320557 Sprinkler Final 5PCT DEB 12/20/99 $4.00 99-320557 Total $54.00 This permit is issued subject to the regulations contained in the Tigard Municipal Code, Siate of OR. Speciaity 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 rides adopted by the Oregon Utility No+?`cation Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-1987. Y may obtain a copy of these rules or direct questions to OUNC by calling (503) 246-198 . — Pe mt Itee , Slgt�ture: Iss�/ , ZtJ` ied By: L� SII 639-4175 by 7 p.m.. for an inspection the next business day Fire Protection Permit Application Plan C�{ � CITY OF TIGARD Commercial or Residential Recd 13125 SW MALL BLVD. Date Rec'd -?f 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#fay �i � Called _ Job -Name of Development/Project �/ L Type of System (Complete A or 8 as applicable) Address A.)Sprinkler Wet Dry 0� Address Name St pipes . I Owner Mailing Address Hazard Group I Additional _ City/Slate Zip Phone Information Density Name Design Area Occupant Ma ing Address K. Factor •� 17 City/State Zip Phone A.1) Sprinkler Project Valuation Contractor tra 8.) Fire Alarm (Sprinkler or Alarm Company) MailingAddres Submittal Shall Include Battery Calculations YES ❑ Prior to permit LI /ill� ��+ / cL� -- Individual Component YE5 issuance,a vt tate Zip Phone uaO copy Cut Sheets of all licenses Zr'�/i' c"� Y129111 1/ _ — 8.1) Fire Alarm Project Valuation $ are r squired if State Const. ont. Board Lic.# Exp. Date _ expired in COT Proi�,ct Valuation Subtotal (A &or B) $ database _ Name _ Permit fee based on valuation $ (see chart on back) Architect Mailing drys — — / Surcharge'g o urarge -, $ E��) City/State �- Zip Phone FLS Plan Review 40% of Permit $ Describe work A.)New 0 Addition 0 AlteratioRepair 0 —^ TOTAL to be done: _ $ (�^t 0) to sprinkler heads only 1. 1.100 heads=No plans required Plans required Submit three sets of plans,including a vicinity map and 1. 1. he 2 11+-Plan review required the location of the nearest hydrant ` I hereby acknowledge that I have read this applica;ion,that the information given is Number of Sprinkler heads correct,that I am the owner or authorized agent of the owner,and that plans submitted are in compliance with Oregon Slaie laws. Additional Description of Work: X�u -p i3 // ill; 1�+e" 'S sl rgaof o ,It Date — -- A.)In Existing Building New Buildl•1 0 — BUIICIIng Contact Pe me Phons Data B.) Commercial Residential ❑ ` �� FOR OFFICE USE ONLY: No,of stories. - Plat# MaprrL#: �l Sq Ft-- Notes `_---- Occupancy Class — type of Construction l i,csupr.doc CITY OF TIGARD UILDING PERMIT FEES TOTAL STATE BUILDING VALUATION OF PERMIT F.L.S. TAX PERMIT PROJECT FEES (40%) (5%) FEES r 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 15.40 1.93 55.83 3,001-4,000 44.50 17.80 2.23 64.53 4,001-5,000 50.50 20.20 2.53 73.22 5,001-6,000 56.50 22.50 2.83 81.93 6,001-7,000 62.50 2500 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 44.20 5.53 160.23 15,001-16,000 116.50 46.60 5.83 168.93 16,001-17,000 122.50 49.00 6.13 177.63 17,001-18,000 128.50 51.40 6.43 186.33 18,001-19,000 134.50 53.80 6.73 195.73 19,001-2.0,000 140.50 56.20 7.03 203.73 20,001-21,000 146.50 58.60 7.33 212.43 21,001-22,000 152.50 61.00 7.63 221.13 22,001-23,000 158.50 63.40 7.93 229.83 23,001-24,000 164.5', 65.80 8.23 238.53 24,001-25,000 170.50 68.20 9.53 247.23 25,001-26,000 175.00 70.00 8.75 23.75 26,001-27,000 179.50 71.80 8.98 260.28 27,001-28,000 184.00 73.60 9.20 266.80 28,001 -29,000 188.50 75.40 9.43 273.33 29,001-30,000 193.00 77.20 965 279.85 30,0(-,1-31,000 197.50 79.00 9.88 286.38 31,001-32',000 202.00 80.80 10.10 292.90 32,001-33,000 20650 82 60 10.33 299.43 33,001-34,000 211.00 81.40 1055 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 36,001-37,000 2.24.50 8980 11.23 325.53 37,001-38,000 229.00 91.60 11. 15 332.05 CITYOF TIGARD PLUMBING PERMIY DEVELOPMENT SERVICE PERMIT#: P /17/99 00437 13125 SW Hall Blvd., Tigard, OR 91223 ( 0 71 DATE ISSUED: 12/17199 SITE ADDRESS: 10220 3W GREENBURG RD .15 fl PARCEL: 1 S135AB-0100 4 SUBDIVISION: TWO LINCOLN -TOWN OF METZ_GER "/� ZONING: C-P BLOCK: LOT: JURISDICTION: TIG CLASS OF WORK: DEM GARBAGE DISPOSALS: MOBILE HOME SPACES: TYPE OF USE: COM WASHING MACH: BACKFLOW PREVNTRS: OCCUPANCY GRP: B FLOOR DRAINS: TRAPS: STORIES: WATER HEATERS: CATCH BASINS: _ FIXTURES LAUNDRY TRAYS: SF RAIN DRAINS: SINKS: 1 URINALS: GREASE TRAPS: LAVATORIES: OTHER FIXTURES: F TUB/SHOWERS: SEWER LINE: ft WATER CLOSETS: WATER LINE: ft DISHWASHERS: RAIN DRAIN: ft Remarks: Removal/capping of one commercial sink. _ FEES Owner: _ Type By Date Amount Receipt KNICKERBOCKER PROP, INC XXIV 8Y NORRIS, BEGGS + SIMPSON PRMT DEB 12/17/99 $50.00 99320527 10300 SW GREENBURG RD STE 200 SPCT DEB 12/17/99 $4.00 99-320527 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 Insp existing/capped fixtures 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. t his permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. 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. Istued By: ,�, / / Permittee Signature:._f 7 Call (503) 630-4175 by 7:00 P.M. for an inspection needed the next bus ness day CiTY"UFTIGARD Plumbing Permit Application Plan Check# 13125 SW I TALL BLVD. r Commercial and Residential Rec'J By__/ /? P TIGAF S, OR 97223 RECEIVE© Date Recd "! (503) 639-4171 OEt� Date to P E. _ ---- Y 4 1999 Print or Type Date to DST / :.1/�'r 1 �. • • , . Cdlt Permit#WAW,PQMp9ible applications will not be accepted Related SWR#",..k ;,�' Called`_— _ - Name ofDevelopment/Project ---- _ FIxTTIRES'(indivldual).,�.---'e,} Ii OJ 'r9TKY .-R - Job AMT JI Address scree!Address Suite Lavatory 11 50 l G2 2 C, Tub or Tub/Shower Comb 11.50 -� Bldg# Citylstate Zip Shower Only 11.50 Gly C S Name Water Closet 11.50 Dishwasher -- - 11 50 Owner Mailing Address Suite garbage Disposal 11.50 r r, Washing Machine 11.50 --� City/State ZI k Phone f'Lhf'i l Floor DrairvFloor Sink 2' 11 50 ---J�-~ Name 3* -7-50- 4" 1504' 11.50 Occupant Mailing Address Suite Water Heater O conversion O like kind 1150 Gas piping requires a separate mechanical permit. Cit!/State Zip Phone _ Laundry Room Tray 11 50 - -- .— NemUnnai - 11 S0 1 1 rfo I Ell Il ?I " �� I Other Fixtures(Specify) 15.00 Contractor Mailing Address S�� ill' v . V('i 1C,1 . Prior to permit il;y/State ip Phonei Sewer 1st 100' - 3800 ssuance,acopy I( 1,1fJ,i -)[ /•)�'�� Sewer-each additional 100' 32.00 ;'t all licenses are Oregon Const.Cont.Board LicA Exp.Date required If S O .Z 6i t Water Service- 1 st 100' - 38.00', `' — expired in COT Plumbing UG 0 Exp.Date Water Service-each additional 200' 32.00 } _database r } Storm 8 Rain Drain-1 st 100' 38.00 Name --- Storm&Rain Drain-each additional 100' 32.00 Architect Mobile Home Space -- 32.00 Or Mailing Address SwteT Commercial Back Flow Prevention Device or Anti- 3200 _ Pollution Device _ Engineer City/Stale Zip Phone Residential Backflow Prevention Device' 19 00 (Irrigatlon timing devices require a separ-te Describe work to be done: restricted energy permit j New C Repair O Replace:rth like kind: Yes J No ! Any Trap or Waste Not�.onneded to a Fixture 11.50 Residential O Commercial Bt Catch Basin Y 11.50 Additional descnpllon of work. Ii 1 Insp.of Existing Plumbing 50.00 1G ,, C 1 1 t 4 y" �; t"', t 11 '" t ! r — ,. _ per/hr —�- --_-�- -- Specially Requested Inspections 50.00 Are you capping, moving or replacing any fixtures? _ Yes Q No O Rain Drain,single family dwelling 45errothr if yes,see back of form to indicate work performed by Grease Traps 11 50 fixture. FAILURE TO ACCURATELY REPORT FIXTURE WORK COULD RESULT IN INCREASED SEWER FEES. -- QUANTITY TOTAL ^may I hereby acknowledge that I have read this application,that the information Isometric or riser diagram is required n Quantity Total is •9 given,s coned,that I am the owner or authonzed agent of the owner,and 'SUBTOTAL J tha laps submitted are in c9nipliance with Oregon State Laws. SI atu'leiOf OwnerfAge t Date SURCHARGE ��--•- --.L ; -_v.r.�_— �� ."rte•. Contact Person Name Phone 'PLAN REVIEW 25%OF SUBTOTAL _ Req,nred onty d ri:lure t totals,9 s� I B U B TOTAL '(6 i tlUj h y 5 0 'Minimum permit fee is$50* 5%surcharge,except Residential Backflow e@ nC ug Qi!a qlunl nn re Prevention Device which is$25•5%surcharge „10o hietri,eanfarysewe ort ew an_;Wa ce)� -All New Commercial Buildings require plans with isometric or riser diagram and plan review I%diteUams%pWrnapp doc b1t699 PLEASE COMPLETE: � '� � .r dN.VY�[(j+ �j�V1♦ �(„`) -•;.,�L-1,MM !MW' MI+C 71MV '11wH ky �Aw., F�xttreType ��7e 5: :.k4iF ,(, , artitytiy�yVVorPer�f�orir�ed' r . . Me"'d' epla'c�ed a oiled/Cap e(�" + a IGw.►,. �, �7t�•:4;,I r.r.Na: < I++��ry �jg^.:1mh�h+ �dwtvWPf Sink �__-- -- -- - - --�-- Lavatory _Tub or Tub/Shower Combination Shower Only Water Closet Dishwasher — Garbage Disposal_ Wa-ching Machine Floor Drain/Floor Sink 2" - Water Heater Laundry Room Tray Urinal Other Fixtures (Specify) COMMENTS REGARDING ABOVE: I-,ij915\I(Yfi11Y�IURIAQQ dl)L SIIE`� CITYItY O F T'O A R D MECHANICAL PERMIT DEVELOPMENT SERVICES PERMIT#: MEC1999-00557 13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 12/16/1999 PARCEL: 1 S135AB-01004 SITE ADDRESS: 10220 SW GREENBURG RD 615 SUBDIVISION: TWO LINCOLN - TOWN OF METZGER ZONING: C-P BLOCK: LOT: JURISDICTION: TIG CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS: TYPE OF USE. COM UNIT HEATERS: VENT FANS: OCCUPANCY GRP: B VENTS W/O APPL: VENT SYSTEMS: STORIES: 6 BOILERS/COMPRESSORS HOODS: FUEL TYPES 0 - 3 HP: DOMES. INCIN: 3 - 15 HP: COMML. INCIN: MAX INPUT: BTU 15 -30 HP: REPAIR UNITS: FIRE DAMPERS?: 30 -50 HP: GAS PRESSURE: 50 + HP: CLO DRYERS: S: FURN < 100K BTU: AIR HANDLING UNITS C FURN >=100K BTU: <= 10000 cfm: OTHER TS: 1 > 10000 cfm: GAS OUTLETS: Remarks: Installation of duct and diffuser in new T-Bar. A building permit is required for dernolitic,n of hard ceiling and installation of T-Bar ceiling. An electrical permit is required for replace of drop-in fixtures. Owner: i _ FEES NORRIS BEGGS SIMPSON PROPERTY Type By ^^ Date Amount Receipt 10300 SW GREENBURG PRMT KJP 12/16/19 $50.00 99-320466 TIGARD, OR 97223 PLCK KJP 12/16/19 $12.50 99-320466 5PCT KJP 12/16/19E $4 00 99-320466 Phone: 503-452-5900 Total $66.50 Contractor: NORTH PACIFIC HEATING 33700 SE DUUS RD ESTACADA, OR 97023 REQUIRED INL'PECTIONS Mechanical Insp Phone: Final Inspection Reg#:LIC 00063746 ORIGINAL. This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted in the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0080. You may obtain copitf of these rules or direct questions to OUNC by call in (503)246-9189._ Issue By: Permittee Signature: ` Call (503) 639-4175 by 7:00 P.M. for inspections needed the next business d1 Plan Check# CITY OF TIGARD Mechanical Permit Application Recd By 13125 SW HALL BLVD. Commercial and Residential Date Recd TIGARD, OR 97223 /'L G Date to F.E. (503) 639-4171, x304 Date to DST Print or Type ^J P caned Permit# 1�_Oa i`�51 _ Incomplete or illegible applications will not be accepted - Nam .pf Developmef,t/Project Description ' ` 1 able 1A Mechanical Code Qt Price Amt 1 �." - ="f'-�� A) Permit Fee 16.00 Job Street Address sone# 1) Furnace to 100,000 BTU > Address .2i- .5q.;. Z( "" including ducts&vents 9.65_ Bldg# Cdy/Stale Zip 2) Furnace 100,000 BTL)+ r 7„x.2 j includingducts&vents 12 00 Name(or name of tusiness) 3) Floor Furnace Owner / including vent 9.65 el ng Ash 4) Suspended heater,wall heater or floor mounted heater 9.65 ��✓ 5) Vent not included in ap liance permit 4.75 C@yrState zip Phone Check all that apply: 'Boiler Neat Air II .� For Items 6-10,see or Pump Cond City Price Amt T Npmelor name of usinggs) footnotes 1,2 _ Com / 6)Repair units 8.40 Occupant Malling dress ) 7)QHP;absorb unit to t00K BTU — _ 9.65 Cny/state Zip- P ne _ 8)3-15 HP;absorb unit 100k to 500k BTU _ 17.65 c 71 9) 15-30 HP,absorb Contractor amn -__ unit 5-1 rnil BTU 24.15 10)30-50 HP;absorb Prior to permit J al ng Address J unit 1 1.75 mil BTU 36.00 issuance,a copy :L. '. u _ 11)>50HP;absorb unit>1 75 mil BTU of all licenses Py+State zip Phone 6015 are required if /6 Xda J ` t Air handling unit to 10,000 CFM expired in COT Oregon Const Cont Bo' TLIcF Exp Date _ —7.00 database 4&JS/( , -.� -C'( 13)Air handling unit 10,000 CFM+ Architect Name 11.85 14)Non-portable evaporate cooler Or Melling Address 7,00 15)Vent fan connected to a single duct 4.75 Engineer City/State Zip I Phone 16)Ventilation system not included in _appliance permit 7.00 Describe work to be done17)Hood served by mechanical exhaust New O Repair O Replace with like kind Yes O No O 18)Domestic incinerators 7.OG Residential O Commercial O Modification O 1-.00 19)Commercial or industrial type incinerator Ad tonal information or description of work _ 48.25 �. 20) Other units,including wood stoves jr,v-rL�Lir_Z' -<�'' 'tcY"J�c y'f�J, _L7.00 NOTE: For Commercial projects only;Units over 4 0 lbs, ed on the 21)Gas piping one to four outlets roof,require structural talcs prepared by licensed engineer. 3.75 Type of fuel oil O natural gas O LPG O electric O 22)More than 4-per outlet(each) I hereb acknowledge that I have read this application,that the information Minimum Permit Fee$50.00 SUBTOTAL 8%SURCHARGE given is correct,that I am the owner or authorized agent of PLAN REVIEW 25%OF SUBTOTAL S~ the owrer,that plans submitted are in compliance with Oregon State laws Required for ALL commercial permits only L Signature of Owner/Agent Date G�' _ TOTAL �.� /—Z _/�_ / Other Insp actions and Fees Contact Person Name Phone ir 1 Inspections outside of normal business hours(minimum charge-two hours) $50 00 per hour 2 Inspections for which no fee is specifically indicated (minimum charge-half hour) Foonotes for commercial putts only: f50 OOperhour ��ttt 9 Additional plan review required by changes,additions or revisions to plans(minimum 1, Provide full schematic of a ing and proposed gas line and pressure charge-one-half hour)S50 00 per hour 2 Provide drawings to scale showing existing and proposed mechanical *State Contractor Boiler Certification required units "Residential A/C requires site plan showing placement of unit I Vnechperm doc rev 11/1/99 OVER-THE-COUNTER (OTC) PERMIT COMMERCIAL MECHANICAL PERMIT CHECK LIST Description of Project- /0,rz roject:i0,r _-�_-� � - ��1 r_��!�e�1y1 l r !_► u�... o r �( � � of ��L-L,�i J i 1,V1� .� 1 1 0l' f - t13�r C'P► /, » f y ,� S'f�c�`rt'�c / >'y�r, �/7. raj Class of Work: _ L-� Floor Furnace: Evap Coolers: Type of Use: e'en _ Unit Heaters: Vent Fans: _._. Occupancy Grp: Vents w/o Appl: _ Vent Systems: Stories: _ 6 Boilers/Cornprsrs: _ Hoods: Fuel Types - 0 - 3 HP. W _ Repair Units: 3 - 15 HP. Wood Stoves: ._ Max Input: --------Btu: Air Handling Units CIO Dryer: Fire Dampers: 10000 cfm: _. Oth Units: ►- Gas Pressure: H / M / L > 10000 cfm: _ _v _ Gas Outlets: No. Of Units: Furn < 100k Btu: Furn > 100k Btu- NOTES: tu-NOTES: —_ ------ --__-- ---- - — COMMERCIAL INSPECTION ACTIONS FEE MENU Gas Line Inspection $ Permit Fee _ Mechanical Inspection $ r ��— Plan Review $ vV 8% State Surcharge Cooling Unit Inspection U Shalt Inspection $ _ _ Additional Permit Fee Hood Inspection $ Additional Plan Review Fee Fire Suppr Inspection $ _ Inspection Fee Duct Inspection _$ _ Miscellaneous Fee Fire Alarm Inspection —T Fire Damper Inspection REMARKS: _ Miscellaneous Inspection ___—____._.._. _ Fire Alarm Inspection _- Final Inspection FOR OFFICE USE ONLY: TYPE OF USE OPTIONS(COM=commercial;CMS=commercial manufactured structure) CLASS OF WORK OPTIONS FOR ALL PERMITS(NEW=new;ADD=addition;ALT=alteration;ACS=accessory; FND-foundation;OTH=other;DEM=demolition;REP=repair;FPS=fire protection system.NOTE=USE 0TH FOR FENCES,RETAINING WALL,DETACHED DECKS,SIGNS, AWNINGS,CANOPIES) I:/ds I,Virrns/otcmech.doc 9,99 i d,1s,fornis\olc-n1:ch doc9'99 W � J - clw � � � QQ aUo X � X Xo ✓� fY W� Ux UZ � lO� UJin -tZ W � u u) w � W © lu w — I r j roil 1 i) I u o U. � P `4 I I J t j' ' � •� i'� J 7 e it �� I - -- - a. _ I L rz j,o oui r `j ------ -'--- c CITY OF T I C A R DELECTRICAL PERIV'iT PERMIT#: ELC1999-00737 DEVELOPMENT SERVICES DATE ISSUED: 12/10/99 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 PARCEL: 1 S 135AB-01004 SITE ADDRESS: 10220 SW GREENBURG RD 615 RIGIN(JA� ZONING: SUBDIVISION: TWO LINCOLN - TOWN OF METZGER C-P BLOCK: RISDICTION: TIG Proiect Description: Installation of 5 branch circuits. Job No. 62-07608. 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): SERVICE/FEEDER 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 BRN-CH CIRC: 4 IN PLANT: 601 - 1000 amp: PLAN REVIEW SECTION 1000+ amp/volt: >=4 RES UNITS: > 600 VOLT NOMINAL: Reconnect only: SVC/FDR >=225 AMPS: _ CLASS AREA/SPEC OCC:__._ Owner: Contractor: KNICKERBOCKER PROPERTIES INC CHRISTENSON ELECTRIC INC 13Y NORRIS BEGGS & SIMPSON 11 SVV COLUMBIA 10300 SW GRE ENBURG RD STE 200 STE 480 PORTLAND, OR 97223 PORTLAND, OR 97 201 Phone: Phone: 241-4812 Reg#: LIC 000458 SUP 3289S PLM 24685 ELE 26-34C FEES Required Inspections Type By Date Amount Receipt Elect'I Service PRMT DEB 12/10/99 $58.90 99-320354 Elect'I Final SPCT DEB 12/10199 $4.71 99320354 Total $63.61 This Permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR Specialty Codes and all oth�:r applicable laws All work will be done in accordance with approved plans This permit will expire if work is not stared within 180 days of issuanr,a,or if work is suspended for more than 180 jays ATTENTION Oregon law requires you to follow ruleSidopted by tFe Oregon Utility No,dication Center Those rules are set forth in OAR 952-001-0010 through OAR 12-001.0080 You may obta6 copies of these rules ofdirect q iezrions to OUNC at(503) 246-1987 PERMITTEE'S SIGNATURE �/ S S U E D BY: OWNER INSTALLATION Dftilt�f I iun 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 7:00pm for an inspection the next business day CITY OF TIGARD electrical Permit Application PlanCheyk=* ---yL- 13125 SW HALL BLVD. RECEIVED PP tlOfl Recd By , /„cJ TIGARD OR 97223 Date Recd_/d Phone (503)539-4171, x304 DEC o `� 1999 I��q I Date to P E._ Inspection (503) 639-4175 �'P Date to DST_ COMMUNITY DEVELOPMENT Print of Type Permit# fLC 1-I,I Fax (503) 598-1960 Incomplete or illegible will not br: accepted Called I. JobAddrdss: NORRIS,BEGGS,SIMPSON PROPERT M ^� 6omp/ete Fee Schedule Below: Name of Development L INCOI.N CENTRE LINCOLN IIT Number of Inspections per permit allowed Name i.rr name of business) 1 ST FRANKLIN __ _ Service included: Items Cost Sum Address 10220 SW GREENBURG Rn SUITE 615 4a. Residential•per unit City/Slate/Zip PORTLAND OR 1000 sq ft or less $ 11775 4 — --- Each additional 500 sq h or i Commercial ^LhX Residential ❑ portion thereof -_ $ 26 25 1 Limited Energy $ 60.00 &( UEST1 ONS?CONTACT ROSS CROSBY 936-6409 Each Manufd Horne or Modular . Contractor installation only: Dwelling Service or Feeder _ $ 72 75 (Prior to permit issuance,applicants must provide contractor license 4b.Services or Feeders information for COT data bsse). Installation,alteration,or relocation Electrical ContractorCHRI_STENSON ELECTRIC, INC. 290 amps or less $ 6425 2 Address 111 SW COLUMBIA,SUITE 480 201 amps to 400 amps - - $ 85.50 '- 2 ,City PORTLAND State OR Zip 97201-5886 401 amps to 600 amps $ 12850 — 2 !! (Phone No 503 241-4812 - 601 amps to 1000 amps $ 19250 2 ___ Over 1000 amps or volts — $ 363 75 2 Job No. 62-07608 Reconnect only $ 5350 _ 2 Elec Cont Lice NoExp.--- xp. . 2b-34C Date _ ___ 10/00 _ 4c.Temporary Services or Feeders T �F OR State CCB Reg No. 458 Exp.Date_5103 Installation,alteration,or relocation COT Business Tax or Metro No. 5246 Exp.Date.12 99 200 amps or less _ $ 5350 2 201 amps to 400 amps $ 80.25 — 2 Signature of S 401 amps to 600 amps $ 10700 — 2 Over 600 amps to 1000 volts, — License No. 8135 Exp Date 10/01 see"b' above. Phone Ne 241-4812 I 4d.Branch Circuits `- New.alteration or extension per panel a)The fee.for branch circuits Zb. For owner installations: with purchase of service or feeder fee. Print Owner's Name _ Each branch circuit $ 535 1 . ...._--------------- Address b)The fee for branch circuits --�--_— — without purchase of service City._� State _zip� or feeder fee. Phone NO - _ First branch circuit 1 $ 37.50 37.50 Each additional branch circuit 4 $ 5 35 ?1 40 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 Signature Each sign or outline lighting �' $ 42 75 �-- Signal circuit(s)or a limited energy 3. Plan Review section (if required):* panel,alteration or extension $ 6000 —� Minor Labels(10) $ 10700 Please check appropriate item and enter fee in section 5B. 4f.Each additional Inspection over ' 4 or more residential units in one structure tl le allowable in any of the above _ Service and feeaer 225 amps or more Per inspection Per hour — $ 50 00$ 5000 - -- _System over 300 volts nominal In Plant $ 5900 — Classificd area or structure containing special occupancy as -- described in N E C Chapter 5 5. Fees: 5a.Enter total of above fees $ 58.90 Submit 2 sets of plans with application where any of the above apply. 5%Surcharge(05 X total fees) 87 $ —_ Not required for temporary construction services. Subtotal $ 63.61 NOTICE 5b.Enter 25%of line_a for - --- Plan Review if required(Sec 3) $ PERMITS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED Subtotal $ ,-6 1 61 IS NOT COMMENCED WITHIN 180 DAYS,OF IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS ❑ Trust Account# AT ANY TIME AFTER WORK!S COMMENCED Total balance Due g 63.61 t - I Wsls\li rms\ciccttic doc CITY OF TIGARD BUILDING INSPECTION DIVISION 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 ST _ _ Date Requested ^AM PM Lxaticn_ t' Suite _ MEC _ Contact Person h..� Phi�' 1 PLM Contractor Ph SWR 13UILDIN- Tenant/Owner ELC e ainz t ing Wall ; Footing ELR i F'o, ndation IM FPS Ftg Drain l P -- -- Crawl Drain Inspection Notes:�I �' � SGN Slab _— SIT Rosi 8 Bearn - , Ext Sheath/Shear 7 Int Sheath/Shear F=raming Qlri 7 nsulation Drywall Nailing Firewall FreSpnn- ' — rm Misc. "in S PART FAIL - - -- -- __ — Post&Ream Jnder Slab Top Out Water Service 'i Sanitary Sewer Rain Drains Final ---- -- ---— — ..— PASS PART FAIL `\ I U MECHANICAL - � - Post& Beam Rough ---------.. - ------- - - Rough In Gas Line Smoke Dampers Final - --- -- -- --- __ PASS PART FAIL ELECTRICAL ---__ _-_-_ ------ -_-- _. SP,rVIC@ Rough In _ — - UG/Slab Low Voltage -- - Fire Alarm Final — PASS PART FAIL SITE _----- _-- o Backfill/Grading Sanitary Sewer Storm Drain [ ]Reinspection fee of$ required before next inspection. Pay at City Hall, 13115 SW Hell Blvd Catch Basin Fire Supply Line ( )Please call for reinspection RE _ [ ]Unable to inspect-no access ADA Approach/Sidewalk Other Date k kZ1 '1� Inspector l_Jl Ext l Final PASS PART FAIL J DO NOT REMOVE this inspection revord from the job site. ELECTRICAL MIT CITY OF TIGARD RESTRICTEDE ERG — RESTRICTED ENERGY DEVELOPMENT SERVICES PERMIT#: ELR1999-00268 13125 SW Hall Blvd.,Tiqard. OR 97223 (503) 639-4171 DATE ISSUED: 11/16/1999 PARCEL: 1 S 135AB-01004 1 SITE ADDRESS: 10220 SW GREENBURG RD 615 I SUBDIVISION: TWO LINCOLN - TOWN OF METZGER ZONING: C-P BLOCK: LOT: JURISDICTION: TIG Proiect Oescrigtio-i: Data telecommunication installation. A.RESIDENTIAL_ _ B.COMMERCIAL AUDIO & STEREO: AUDIO & STEREO: INTERCOM & PAGING: BURGLAR ALARM: BOILER: LANDSCAPE/IRRIGAT: GARAGE OPENER: CLOCK: MEDICAL: HVAC: DATAfTELE COMM: X NURSE CALLS: VACUUM SYSTEM: FIRE ALARM: OUTDOOR LANDSC LITE: OTHER: HVAC: PROTECTIVE SIGNAL: INSTRUMENTATION: OTHER: TOTAL#OF SYSTEMS: 1 Owner: Contractor: KNICKERBOCKER PROPERTIES INC PRAIRIE ELECTRIC INC BY NORRIS BEGGS & SIMPSON 6000 NE 88TH STREET 10300 SW GREENBURG RD STE 200 VANCOUVER, WA 98665 PORTLAND, OR 972.23 Phone: Phone: 360-5.3-2750 Reg #: SUP 35625 LIC 000601 ELE 37-491C FEES Required Inspections _—_ Type By Date Amount Receipt Low Voltage Inspection PRMT DST 11/16/199 $60.00 99-319795 Elect'I Final 5PCT DST 11/16/199 $4.80 99-319795 Total 164.80 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 9,52-0Q,17o080. You may obtain copies of these rules or direct questions to OUNC at (: 03) 246-1987. ?� Issued by`�— Permittee Signature OWNER INSTALLATION ONLY I he 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 6394175 by 7:00 P.M. for an inspection needed the next business day CITY OF TIGARD RESTRICTED ENERGY ELECTRICAL APPLICATION Recd 13125 SSV HALL BLVD Gate Recd: TIGARD OR 97223 PRINT OR TYPE V- 503-639-4171 X304 Permit#:�Gl'l�/ f- Op;Z16 F 503-598-1960 INCOMPLE CE OR ILLEGIBLE APPLICATIONS Cust.Call'd: WILL NUT RE ACCEPTED Name of Development Project TYPE OF WORK INVOLVED-RESIDENTIAL ONLY LRestricted Energy Fee...... ................................ $60,00 n�C L�L,/L) -3 (FOR ALL SYSTEMS) ,JOB Street Address Ste# ADDRESS � _ Check Type of Work Involved 61Cit /State ip Phone# 1 L' '✓,� ❑ Audio ono Stereo Systems -C IDNUJ 6c;ior-'L~ E] BurglarAiarrn ,1,11JCetAJ Lt�/r-Lri� OWNER Mailing A dr€ss ❑ Garage Door Opener' d City/State Zip Phone# ❑ Heating,Ventilation and Air Conditioning System' Name / �" �� Vacuum Systems- /&/C e El Other---_—` — CONTRACTOR Mailing Address — o NE TYPE OF WORK INVOLVED -COMMERCIAL ONLY (Prior to issuance a C ty/State Zip Phone#_%i Fee for each system.............................................. $60.00 copy of all licenses ,.JL rt/ ( Wr} (, , > 17 .�� [J (SEE GAR 918-260-260) are required if Oregon ConGtr BrbLic # Exp. Date expired in C O Toz, Check Type of Work Involved data base) Electrical Contr Lic # Exp Date 7 ~ V � ❑ Audio and Stereo Systems C O T or Metro Lic # Ex Date — --------- _�__._._—_-- / % UQ ❑ Boiler Controls er's Name k _ 1.LL7�.�-�_—_ ❑ Clock Systems OWNER - Mailing Address APPLICANT "f ��fO N y Data Telecommunication Installation rtylstate qq Phone# b, ) i't r—7.- —T I, r -r- , ❑ Fire Alarm Installation Ihrs permit is issued under OAE 918-120-370 This applicant agrees to make only restricted energy installations(100 volt amps or less)under this ❑ HVAC hermit and to do the following ❑ Instrumentation I 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 asterisks(') All others need licensing, 2 Call for inspections when installation under this permit are ready for ❑ Landscape Irrigation Control' inspection at 603-639-4175; ❑ Medical 3 Purchase separate permits for all installations that are not ready for an inspection when the inspector is out to inspect under this permit, Nurse Calls 4 Assume responsibility for assuring that all corrections required by the ❑ Outdoor Landscape Lighting' inspector are done,and, E] Protective Signaling 5 Assume responsibility for calling fsr a final inspection when all of the corrections are completed ❑ Other_Permits are are non-transferable and non-refundable and expire if work is not started within 180 days of issuance or if work is suspended for 180 days Number of Systems The person signing for this permit must be the applicant or a nerson No licenses are required Licenses are required for all other nstallations authorized to bind the applicant? —FEES: _�—.— Slgnature t -- -----_ --- -- NTER FEES r SURCHARGE(,o:r X TOTAL ABOVE) Authority if othehthan Applicant TOTAL \dststfomisvesele doc 3198 _ CITYOF TIGARD _ BUILDING PERMIT DEVELOPMENT SERVICE DATPERMIT#: BUP1999 00410 �� E ISSUED: 9/?_1199 13125 SW Hall Blvd., Tigard, OR 97223 (5 SITE ADDRESS: 10220 SW GREENBURG RD 615 "/NC PARCEL: 1S135AB-01004 SUBLIVISION: 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 6TH 5.657 sf N: S: E: W: OCCUPANCY GRP: B TOTAL AREA: sf ROOF CONST: FIRE RET? OCCUPANCY LOAD: 60 BASE=MENT: 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: Y SMOK DET:Y DWELLING UNITS: FRNT: ft REAR: ft FIR ALRFA : Y HNDICP ACC:Y BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING: VALUE, $ 47,000.00 Remarks: Create open office complex. A fire alarm permit is required. A plumbing permit is required if sink is removed & replaced. Electrical, mech ;lical & fire sprinkler permits are required also. Owner: Contractor: WNICKERBOCKER PROP, INC XXiV PIONEER CONSTRUCTION SERVICE BY NORRIS, BEGGS + SIMPSON PO BOX 68304 10300 SW GREENBURG RD STE 200 MILWAUKIE, OR 97268 PQAND, OR 97223 lone: Phone: 652-1050 Reg#: uc 00128689 FEES REQUIRED INSPECTIONS 'type By � Date Amount Receipt Framing Insp F'RMT DEB9/21/99 �- $418.00 99 318519 Susp Ceiing Insp '—P(-T DEB 9/21/99 $2926 99-318519 Final Inspection PLCK DEB 9/21/99 $271.70 99-318519 FIRE DEB 9/21/99 $167.20 99-3185119 Total $886.16 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 viork is suspended for more Than 180 days ATTEN t ION: 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. Perm ftee Signat Issue By: Call 639-4175 by 7 p.m. for an inspection the next business day Pian Cheek CITY OF TIGARD Commercial Building Permit Application 13125 SW HALL BLVD. Tenant Improvement Recd By• TIGARD, OR 97223 Date Recd�— Date to P.E. _ (503) 639-4171 Date to DST Print or Type Pe Print i9 �siiD Related SWR# _� Incomplete or illegible applications will not be accepted called_ -- Name of Development/Pro' ct Y Existing Building' New Building F]Job 1,114r-01.-14 C-ENgrP- Address SlroetAddress i Suite Building Ltncdh Cs+,te�' 1o22o 3W Graer6rrq GTE) Data Bldg# I city/State Zip Existing Use-of Building or Property: -- I.,"CoL.N Pa^tland�c�. 9"j223 Of-�i ce Name i Property Kn► er6oc� r Pro ev'ti In C-P I! Proposed Use of Building or Property: Mailing Address Suite (-f Owner 9 OT'T j C2 Io3m SW Gr2�601-q �d 20C� _ No. Of Stories CltylState- Zip Phone �(p� s IX Qo+'l20'A () `-. 9722' "2 Sq. Ft. Of Project. G Name �- 5iS7 'Q- FT. Occupant First Framikk n Occupancy Class(es) -- -- Name _ P Contractor Pioywev Com1-S-1G-L)C'-i0n Type(s)of Construction Prior to peimit Mallinq Address Suite _--gip, Issuance,a copy P a'-X Will this project have a Fire Suppression System? _ of all licenses Yes - No ❑ ere required If City/Stele Zip Phone -- expired in C O TAmericans with Disabilities Act(ADA) database �lil�at��kie, �t�. 9j222. �o5�•`IUSo Valuation X 25% = $N 756.' Participation Oregon Const.Cont.Board Lic# Exp.Date Complete-Access'hili}y Form - 12e;r'g� 01- 00 Project $ ----- Name —� _Valuation 17,000 _ Architect 5pp kA.1 t'AGS, Ing Plans Required: See Matrix for number of sets to submi_t -71 Mailing Address - Suite on back 920 $W 3rd avenoc +Coo City/Stele Zip Phone I hereby acknowledge that I have read this application,that the information krtl 97Z 294-9c 56 given is correct,that I am the owner or authorized agent of the owner,and Engineer Name that plans submitted are in compliance with Oregon State Laws. Signature of Owner/Agenl Date Mailing Address Suite - )I _'4'Z4 �-.,-- 9121/99 C act Person Name Phone Gry/Slate Zip �- _ Phone �- �/ �' (jlUr 1271+ -9151115 FOR OFFICE USE ONLY Indicate type of work. New O Addition O Demolition O Map/TL# Land Use: - Accessory Structure O Foundation Only O Alleration)o i�- _ Repair O-- Other O __ Notes Description of work: Te h anTIF• '� T w1 veva trn er NotA Site Work permit Application must precede or accompany Building F,rtnit Application WTI DOC WST) 5✓g9 COMMERCIAL PLAN SUBMITTAL REQUIREMENT MATRIX Plan Review is dependent upon submittal of BOTH plans AND a COMPLETED application. For,an eiectrical submittal, the application must contain the signature of the supervising electrician before plan review will be conducted. After plan revl:ew approval, Flans Examiner will contact the applicant to request additional plan sets for distribution purposes. (Copy for Contractor, City, Washington County, Tualatin Valley Fire & Rescue) Total # of TYPE OF SUBMITTAL Flans 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 -.6--8t M (New or Add) 1 P = Plumbing P (New, Add, or Alt) 2 E == Electrical B & M & P (Nev) 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 *6-&—M—&—P (Alt) 3 -4—B &--10 & P & E(Alt) ....__ ---3 3 NOTES: *Shaded areas designate ALT submittals only. I\dst,\forms\mstrxcom doc 10130198 F i rst F ra_k W i H (F- 3L - SUBJECT: AG-ESSIBILITY BARRIER REMOVAL IMPROVEMENT PLAN REQUIREMENT: OREGON REVISED STATUTE (ORS) 447.241. (1) Every)roject 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 access;ble to individuals with disabilities unless such alterations are disproportionate to the overall alterations in terms of cost and scope. (2) Alterations made' .the path of travel to an altered area may be deemed disproportionate to the overall alteration whev the cost exceeds twenty-five per-cent(25%). VALUATION of all renovation, alteration or modification being done excluding painting, wallpapering. [1]$ 47 00C),M multiply: 2.5% 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) Par! inglot.res`k►-�r0 nes uorb cuts,sir - $ 11,7r-�p( '0walks, Si.9r,a9e bl�hoc accArfible A2L Is, AttR'iY ase ca eE►y at (b) An acc,sible entrance / $ (c) An accessible route to the altered area: $ (d) At least one accessible restroom for $ each sox 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\dstslforms\acccss.dnc 09/21/99 TUE 14:26 FAX 503 244 4400 Norris Beggs Simpson Z002 i ... .. . i. .. _. .. ... , ,t. . '............... ... ' I _ ... ..:.._ ,.:......,.,.....i......:......:....... ......�... _i.... ., ........... i.......i...... i._ ,i.... — .... .c ... .. .L .. .. .i. . _ .. ... in .... _ 03 625 __ .. R _ 1 i Roof access 6' nortr>, 20' LINCOLN_ CENTER Tt� rc�r Lincoln Sixth Floor August 9, 1999 09 21/99 TUE 14:23 FAX 503 244 4400 Norris BegKs Simpson plil w LINCOLN CENTER �)'q)temher 1, 1999 VIA FACSIMILE - 598-19611 1 City of Tigard Oregon �U 13125 SW Hall Blvd. t Tigard, OR 97223 Re: Lincoln Center ,, ) Attention: Debbie This letter is to notify you that Suite 4601 in Three Lincoln, 10220 SW Greenburg Road, has been divided Into two (2) separate suites: Suite #601 and #615 (see attached plan). Suite 4615 has been leased to First Franklin Financial Corp,, and our architectural firm, GDD Architects, will be obtaining a building permit for this new tenant. Suite 4601 is vacant. If yore have any questions, please do not hesitate to call me. Sincerely, Nt 1RRIS, BEGGS & SIMPSON "haron 1) Otness Property Management Assistant SDO leasing\sdo\letter\tigard.doc Attachment cc Beth .lohnstun i Management and Leasing Ah- low 5W Greenburg Road,Suite 200,t'nrtland,Oregon 97221 9Iwsm 503-41)2-5900/phone 503 244-4400/ftrx A01 nnu CITYO F T I G A R D MECHANICAL PERMIT DEVELOPMENT SERVICES PERMIT#: MEC1999-00449 DATE ISSUED: 999 1312.5 SW Hall Blvd., Tigard, OR 97223 (5C3) 639-4171 15135 PARCEL: 1 S135AB-01004 SITE ADDRESS: 10220 SW GREENBURG RD 615 SUBDIVISION: TWO LINCOLN - TOWN OF METZGER ZONING: C-P BLOCK: LOT: JURISDICTION: TIG CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS: TYPE OF USE: COM UNIT HEATERS: VENT FANS: OCCUPANCY GRP: B VENTS WIO APPL: VENT SYSTEMS: STORIES: 6 _ BOILERS!COMPRESSORS _ HOODS: _ FUEL TYPES 0 3 HP: DOMES. INCIN: 3 - 15 HP: COMML. ;NCIN: MAX INPUT: BTU 15 - 30 HP: REPAIR UNITS: FIRE DAMPERS?: 30 - 50 HP: WOODSTOVES: GAS PRESSURE: 50 + HP: CLO DRYERS: FURN < 100K BTU: AIR HANDLING_ UNITS _ OTHER UNITS: FURN >=100K BTU: <= 10000 c:fm: 2 GAS OUTLETS: > 10000 cfm: Remarks: VAV box and exhaust fans. Owner: FEES NOR;iiC BEGGS SIMPSON PROPERTY Type By Date Amount Receipt 10260 S%V GREENBURG PRMT KJP 10/20/19f $50.00 99-319203 TIGARD. OR 97223 PLCK KJP 10/20/19 $12.50 99-319203 5PCT KJP 10/20/19 $4.00 99--319203 Phone: Total $66.50 Contractor: NORTH PACIFIC HEATING 33700 SE DUUS RD ESTACADA, OR 97023 _ REQUIRED INSPECTIONS Mechanical Insp Phone: Duct Inspection Reg #: LIG 00063746 Final Inspection ORIGINAL This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes and all other applicable laws. All work will be done in accordance with approved pians. 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 OAR 952-001-0010 through OAR 952-001-0080 You may obtain co feg of these rules or direct questions to OUNC by calling (503)246-9189 ;j Issue By: z��t Permittee Signature: _ 1�1 yrs - — --- Call (503) 639-4173 by 7:00 P.M. for inspections needed the next business y Plan Check# fy CITY OF T;GARD Mechanical Permit Application Recd By ly--7_' 13125 SW HALL BLVD. Commercial and Residential Date Recd TIGARD, OR 97223Date to P.E r (503) 639-4171, x304 —^ Date to DST # (J Print or Type Permit d el- 114-awil Incomplete or illegible: applications will not be accepted Called Name of DevelopmenvProject _ Description -a Table 1A Mechanical Code _ Qty Price Amt .lob street Address v 2`� sunea A) Permit Fee ! '° 1600 Address �� ? c J 1) Furnace to 100,000 BTU Bldg# cn !state Zi including ducts&ven!s see footnote 1,2 9.65 �y p 2) Furnace 100,000 BTU+ C ' including ducts&vents see footnote 1,2 _ 1200_ ._ _ Name(or name of business) 3) Floor Furnace Owner / � 1 includingvent see footnote 1,2 9.65 M � ��l1.r 4) Suspended heater,wall heater ailing Address or floor mounted heater see footnote 1,2 9.65 '�_ 5) Vent not included in appliance permit _ 4.75 cnyrstaie Zip JPhone Check all that apply: 'Boiler Heat Air L c-�'"Co For items 6-10,see or Pump Cond Qty Price Amt by Name(or name of g nets) footnotes 1,2 Com - 7 6)<31IP,absorb unit to 100K BTU 965 Occupant Mailing Address --� - — P � 7)3-15 HP;absorb un't 100k to 500k BTU _ 1765 C rst Zip I 6hone 8) 15-30 HP,absorb ' uni!.5-1 mil BTU _ _ 24.15 Contractor ame 9)30-50 HP;absorb '— unit 1-1 75 rnil BTU _ _ 36.00 �` >1 >5absorb unit Prior to permit Maill Address >1.75 m_mil il BTU _ 60.15 issuance,a copy ,7 - 11 Air handling unit to 10,000 CFM of all licenses t, ylsta Zip Phone _ _ _7.00 are required if 12)Air handling unit 10,000 CFM+ expired in COT Oregon Const Cont.Bo Ic Exp.Date _ 11.85 database _ ,� .'� ZY 13)Non-portable evaporate cooler Architect NA T 7.00 14)Vent fan connected to a single duct�� Mailing Address v 4 75 Or 15)Ventilation system not Included in appliance permit 7.00 _ Engineer (rylstate Zip Phone 16)Hood served by mechanical exhaust _ 7.00 Describe work to be done: --^� 17)Domestic incinerators 1200, New O Repair O Replace with like kind: Yes O No O 18)Commercial or industrial type Incinerator Residential O Commercial� 19)Repair units 4825 Ad Rio all formation or desert tion of work: _ 8.40 /�` jWond stovelgas FP/other units/clothe dryerletc (f� 7.00 _ NOTE: For Commercial projects only,Units over 400 lbs requir 21)Gas piping one to four outlets structural gas talcs. See footnote 1 _ — 3 75 Type of fuel oil O natural gas O LPG O electric O 22)More than 4-per outlet(each) 75 _ Minimum Permit Fee$50.00 SUBTOTAL I hereby acknowledge that I have read this application,that the information 7%SURCHARGE - given is correct,that I am the owner or authorized agent of PLAN REVIEW 25%OF SUBTOTAL the owner,that plans submitted are in compliance with O.egon State laws Required for ALL commercial permlts onl TOTAL- Signature of Owner/Agent Date ----- �- —_ Other inspections and Fees: 1. Inspections outside of normal business hours(mininurn charge two Contact Person Name Phone -� --- hours) $50.00 per hour 110 2. Inspections for which no fee is specifically indicated (min!rnum -c;-- �_ (� � charge-half hour) $50.00 per hour Foono es or commercial pr cts only; 3. Additional plan review required by changes,additions or'revislont;to 1. Provide full schematic of exWing and proposed gas line and pressure plans(minimum charge-one-half hour)$50.00 per hour 2 Provide drawings to scale showing existing and proposed mechanical Unita. 'State Contractor Boiler Certification required ""Residential AIC requires site plan showing placement of unit I Vnechperm.doc rev 7/19/99 OVER-THE-COUNTER (OTC) PERMIT COMMERCIAL MECHANICAL PERMIT CHECK LIST Description of Project: �t1 � -A4VsT ��C Class of Work: �c. Floor Furnace: _ Evao Coolers: Type of Use: Ce M Unit Heaters: _ _ Vent Fans: _ Occupancy Grp: r3 Vents w/o Appl: Vent Systems: _ Stories: Boilers/Comprsrs: Hoods: _ Fuel Types - 0 .- 3 HP Repair Units: 3 - 15 HP. Wood Stoves: Max Input: Btu: _ _ Air Handling Units _ CIO Dryer: Fire Dampers: _ < 10000 Cfm: _�" _ Oth Units: Gas Pressure: H / M / L > 10000 Cfm: Gas Outlets: NO. Of Units: Furn < 100k Btu_ F Urn 100k Btu: Y NOTES: (-� COMMERCIAL INSPECTION ACTIONS_ FEE MENU _. Gas Line Inspection $ Permit Fee ch�Inspectlon $ /Q s' Plan Review Cooli $ 8% State Surcharge Shaft Inspection $ _ Additional Permit Fee Hood Inspection $ Additional Plan Review Fee Fire Suppr Inspection $ Inspection Fee pectio�n`1 $ Miscellaneous Fee Afar ft"Inspection _ Fire Damper Inspection REMARKS: Miscellaneous Inspection Fire Alarm Inspection m'F�1 spection FOR OFFICE USE ONLY: TYPE OF USE OPTIONS(COM=commercial;CMS=commercial manufactured structure) CLASS OF WORK OPTIONS FOR ALL PERMITS(NEW-new;ADD=addition;ALT=alteration;ACS=accessory; FND=foundation;OTH=other;DEM=demolition;REP=repair;FPS=fire protection system.NOTE=USE OTH FOR FENCES,RETAINING WALL,DETACHED DECKS,SIGNS, AWNINGS,CANOPIES) �:/dot/furmcntr'rrrcch,r}ue 199 Lldstslforms\o1c-mech.doc9/99 i I ' � I 1 I I -- ,77, m6c 1�961 - , I I , '51/1 W-4 J�- ...... ........... ..... ...i..... ... I , 4. 1 --- - .......... . I .... RAI IL -h-- S-- -- . t .i. 1 111 - _ .!. •'. _ 1 -�.. .j....;... kr -O - - i S Q ate' I � 1 I - - - .... - -' - . .. f I _ I - I �1a - -- — I 1 I I 1 ---- ---- ... ..--i. 1 i- - I , I I I • iii, I S I JJ I i 1 I ! 1 I I , CITYOF TIGARD BUILDING PERMIT DEVELOPMENT SERVICES Q PERMIT#: BUP1999-00448 /� DATE ISSUED: 10/14/99 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-41 1r �� SITE ADDRESS: 10220 SW GREENBURG RD 615 N 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: FPS FIRST: sf N: S: E: W: TYPE OF USE: COM SECOND: sf PROJECT OPENINGS? _ TYPE OF CONST: 2FR sf N: S: V E: W: E OCCUPANCY GRP: B TOTAL AREA: sf ROOF CONST: FIRE RET? OCCUPANCY LOAD: BASEMEN'r: sf AREA SEP. RATED: STOR: HT: ft GARAGE: sf OCCU SEP. RATED: BSMT?: MEZZ?: REQD SETBACKS _ REQUIRED FLOOR LOAD: psf LEFT ft RIGHT: ft FIR SPKL: SMOK DET: DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP ACC: BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING: VALUE: $ 675.00 Remarks: Relocate 7 sprinkler heads and plug 3. Owner: Contractor: KNICKERBOCKER PROPERTIES INC BASIC FIRE PROTECTION INC BY NORRIS BEGGS & SIMPSON 940 NE L.OMBARD ST 10300 SW GREENBURG RD STE 200 PORTLAND, OR 97211 P�Pone:TLAND, OR 97223 Phone: 285-1855 Reg #: LIC 000486 FEES RE"TIRED INSPECTIONS Type By Date Amount Receipt Sprinkler Rough-In PRMT DEB 10/14/99 $50.00 99-319084 Sprinkler Final 5PCT DEB 10/14199 $4.00 99-319084 Total $54.00 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 952-001-00 10 through OAR 952-001-1987. You may obtain a copy of these rules or direct questinns to OUNC by calling (503) 246-1987) � Permitee 1 SlgnaWre: ---- Iss�ued By: Call 639-4175 by 7 p.m. for an inspection the next business day i Fire Protection Permit Application Plan C CITY OF,TIGARD Commercial or Residential Ree'dky `_ Q. 131125 SW HALL BLVD. Date Recd TIGARD, OR 97223 Print or Type Date to P.E. --' (503) 639-4171, x. 304 Incomplete or illegible applications will not be accepted Date to DST Permit Called Job Name of Devek,Pment/Proiect - — Type of System (Complete A or B as applicable) Address/ -Address -406 `- -_ _ A.)Sprinkler Wet ❑ Dry ❑ _ j Name Standpipes Owner ' fling Address Hazard Greup Additional Cittate I ft 0Z/SZip Phone Information Density i 9 72 W — Name „ �ti FI li Design Area rQMi�c.L;_►S_ / Occupant Mailing Address "J K. Factor City/State zip Phone -- A.1) Sprinkler Project Valuation r�/ii�� Qct 97223 Contractor Name B.) Fire Alarm (Sprinkler or � �� 'tp/J Alarm Company) Mailing Address Submittal Shall Include Battery Calculations YES Q Prior to permit 940 4A!g7 -%A issuance,a City/State Zip Phone Individual Component YES❑— copy 1�,,� _ Cut Sheets of all licenses i _ 2 �- _s B.1) Fire Alarm project Valuation $ are required if Stale Const Con�Lic.# Exp Date _ _ expired in COT database -f / Project Valuation Subtotal i;A & or B) $_ _ ! T Name Permit fee based on valuation -- __ (see chart on back) ) _ Architect Mailing Address Q% Surcharge $ O o City/State zip Phone FLS Plan Review 40% of Permit $ Describe work A.)New O Addition O Alteratione Repair O �— --- TOTAL to be done $ B) Modification to sprinkler heads only. 1. 1-10 heads=No plans required Plans regltlred. Submit tree sets of plans,including a vicinity map and 2. 11+=Plan revi-w required the location he nearest hyiar>j/ _ --- --- I hereby an dge that I hwk ratethis application,that the birormation given is Number of sprinkler heads. correct'."let m the o er ' orized agent of the owner,and that plans submitted Additional Desccotion of Work: are InIia tate laws Sign ure of pent Date A.)In Existing Building;;e- New Building Building Contact Person Name v Phone J�s Data B•) Commercial Residential ❑ FOR OFFICE USE ONLY: No of stories -- — Plat# Map/TL#: Sq Ft __ Notes - Occupanry Ctass "type of Construction— —� �— — i:`dsts\forms\firesupr.doc 7/2/99 CITY OF T I G A R D ELECTRICAL PERMIT PERMIT#: ELC1999-00585 DEVELOPMENT SERVICES DATE ISSUED: 09/29/1999 13125 SW Hall Blvd.,Ticiard, rR 97223 (503) 639-4171 PARCEL: 1S135AB-01004 SITE ADDRESS: 10220 SW GREENBUR,; RD 615 SUBDIVISION: TWO LINCOLN - TOWN OF METZGER ZONING: C-P BLOCK: LOT : JURISDICTION: TIG Proiect Description: Add sixteen (16) branch circuits for a new TI. Job #62-06074 RESIDENTIAL UNIT TEMP SRVC/FEEDERS _ MISCELLANEOUS 1000 SF OR LESS: 0 - 200 amp: PUMP/IRRIGATION: w EACH ADD'L 500SF: 201 - 400 amp: SIGNIOUT LINE LTG: LIMITED ENERGY: 401 - 600 amp: SIGNAL/PANEL.: M.ANF HMI SVC/ FDR: 601+amps - 1000 volts: MINOR LABEL (10): — SERVICE/FEEDER _ _BRANCH CIRCUITS _ ADD'L INSPECTIONS _ 0 - 200 amp: W/SERVICE OR FEEDER: PER INSPECTION 201 - 490 amp: 1st W/O SRVC OR FDR: 1 PER HOUR: 401 - 600 amp: EA ADD'L BRNCH CIRC: 15 IN PLANT: 601 - 1000 amp: PLAN REVIEW_SECTION _ 1000+ arnlvoit: >=4 RES UNITS > 600 VOLT NOMINAL: Reconnect only: SVC/FDR >=225 AMPS: CLASS AREA/SPEC OCC: Owner: Contractor: NORRIS BEGGS SIMPSON PROPERTY CHRISTENSON ELECTRIC INC 10260 SW GREENBURG 111 SW COLUMBIA TIGARD, OR 972.23 STE 480 PORTLAND, OR 97201 Phone: Phone: 2.41-4812 Reg #: LIC 32895 ORIGINAL SUP 3289S PLM 2468S ELE 26.34C FEES _ Required Inspections Type By Date Amount Receipt Elect'I Service PRMT KJP 09/29/199E $117.75 99-318720 Elect'I Final 5PCT KJP 09/29/199 $8.2.4 29-318720 Total $125,99 chis Permit is issued subject to the regulations contained in the i igari Municipal Code State of OR Specialty Coins and all other applicable laws All work will be done in accordance with approved plans This permit will expire if work is not started within 18)days of issuance,or if work is suspended for more than 180 days ATTENTION Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center Those reties are set forth in OAR 952-001.0010 through OAR 952-)01-0080 You may obtain copies of these rules or direct questions to OUNC at(503) 246-1987 Pry RMITTEE'S SIGNATURE ISSUED BY: OWNER INSTALLATION ONLY i-he installali-)n is being made on property I own which is riot intended for sale, lease, or rent. OWNER'S SIGNATURE: _ ^� �— DATE: CONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR. ELEC'N: �'�L c.�1LZ.�r• �_� ��__ DATE: LICENSE NO: S Call 639-4175 by 7:00pm for an inspection the next business day CITY OF TIGARD RECENIEBlectrical Permit Application Plan Check# 13125 SW HALL BLVD. Recd By_ TIGARD OR 97223f Date Recd SEP 2 9 1999 Date to P E Phone(503)639-4171, x304 Date to DST _ Inspection (503)639A175 COMMUNITY DEVELOPMENT Print of Type Permit#fC 7� /" Fax (503) 598-1960 Incomplete or illegible will not be accepted Called 1. Job Address PORRIS,BEGGS,SIMPSON PROPERTY M C i$lete Fee Schedule Below PIONEER CONSTRUCTNumberCENTRE Number of Inspections per permit allowed Name of Development 11 _ Name(or name of business) FIRST FRANKLIN Service included: Items Cost Sum 41 Address 10220 SW GREENBURG RD SUITE 615 — 4a. Residential-per unit CI /State/Zr TIGARD OR 1000 sq it or less $ 11775 _- 4 City/State/Zip a_ — Each additional 500 sq ft.or � portion thereof $ 2625 1 x Commercial 1=r" Residential ❑ Limited Energy $ 60.00 QUESTIONS?CONTACT FOSS CROSBY 245-1965 JOB Each Manufd Home or Modular Za. Contractor instai-4ion only: 936-6409 CEI,L, Dwelling Service or Feeder $ 72 75 ` 2 (Prior to permit Issuance,applicants to ist provide contractor license 4b.Services or Feeders Information for COT data base). Installation,alteration,or relocation Electrical ContractorCHR I STEN SON ELECTRIC. INC. 200 amps or less $ 64.25 2 Address 111 SW COLUMBIA.SUITE 480 201 amps to 400 amps $ 85.50 2 401 amps to 600 amps $ 128.50 2 City PORTLAND State OR Zip L7201-5886 601 amps to 1000 amps $ 192.50 2 Phone No. 503 241-4812 Over 1000 amps or volts $ 363.75 2 Job No. 62-06074 Reconnect only _ $ 53.50 T 2 Elec. Cont. Lice. No. 26-34C __Exp Date 10/00 4c.Temporary services or Feeders OR State CCB Reg. No, 458 Exp Date 5/03 Installation.alteration,or relocation COT Business Tax or Metro No.5246 Exp.Date 12/99 200 amps or less $ 5350 2 201 amps to 400 amps _ $ 8025 _ 2 401 amps to 800 amps $ 10700 _v _ Z Signature of Supi.£lee's �3 +.--� - Over 600 amps to 1000 volts, License No. 873S —Exp.Date 10/01 see"b"above. Phone No 241-48124d.Branch Circuits ---- — -- - New,alrsratlon or extension per panel a)The fee for branch circuits 2b. For owner installations: with purchase of service or feeder fee. Print Owner's NameEach branch circuit $ 5.35 Address b)The fee for branch circuits -- without purchase of service City State,-_ Zip` or feeder fee. Phone No. First branch circuit 1 $ 37 50 ,37.3Q Each additional branch circuit _ $ 535 _ The installation is being made on property I own which is not 4e.Miscellaneous intende i for sale, lease or rent. (Serv,ce or feeder not Included) EL-c`pump or Irrigation circle $ 4275 _ Owners Signature _ _ _ Each sign or outline lighting $ 42 75 Signal circuit(s)or a limited energy Re-view section if required):* panel,alteration or extension $ 67.00 3. Plan R � Minor Labels(10) $ 107.00 Please check appropriate item and enter fee in section 5B. 4f.Each ddditior. :I inspection over 4 or more residential units in one structure the allowable In any of the above Service and feeder 225 amps or more Per inspection _ $ 5000 Per hour _ $ 5000 System over 600 volts nominal In Plant $ 5900 _ Classified area or structure containing special occupancy as described in N E C Chapter 5 5. Fees. 117.75 Ba.Enter total of above fees $ * Submit 2 sets of plana with application where any of the above apply. 5%Surcharge(05 X total fees) 7% $ 2 y j Not required for temporary construction services. Subtotal $ _ 2313tY$it 5b.Enter 25%of line 6e for 125.99 NOTICE Flan Review if required(Sec 3) $ PERMITS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED Subtotal $ 12 5.99 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 COMMENCED _ Total balance Due $ 125.99 — i:\dsts\fbrms\eIectrIc.doc: CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 --- — BLIP _ _ _nafc Requested AM— ' _PM BLD — I.ocation �L��- �'r"� Q �� Suite ( 1 s MEC Contact Person _ ✓1�' j Ph �L'" �� PLM --- Contractor Ph — _ SWR BUILDING Tenant/Owner _ CEL �� Retaining Wall ELR Footing Across' FPS Foundation 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 Alarm Susp'd Ceiling ------ Roof Mise ---- - -— -- __ — --- Final -- ----- PASS PART FAIL -- -- — - - -------- ------------ PLUMBING f'o:;t 8 Beam -- -- -- — Under Slab --------- - - -- - -- --- ---- Top Out - Water Service Sanitary Sewer - — Rain Drains -- ------ - -- Final PASS PART FAIL -__---_— --_-- - ------ --------- MECHANICAL ,'ost& Beam -- I,ough In Gas line ------ -- -- - Smoke Dampers Final -. __ . ----- - ----- - PASS PART FAIL service --------- --.�-—_ --— ------ Rough In UG/Slab ---- ---- -- ----- --- ----- ------- -- -- — Low Voltage Fire Alarm -- -- -- - _ -- - ---- --- _ - -- -- - - F PASS PART FAIL -- ----- -- - ------------ --- — f3ackfdl/Grading -- - --- ---- �---_ ---- -- ----�. Sanitary Sewer Storm Drain [ Reinspection fee of$--__-___required before next inspection Pay at City Nall, 13125 SW Hall Blvd Catch Basin Unable to inspect-no access Fire Supply Line ( )Please call for reinspection RE --, ___ I ) ADA Approach/Sidewalk -� /" Ins ector Other — Date _ Pi��____ . .. - —Ext Final PASS PART FAIL 00 NOT REMOVE this inspection record from the job site.