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10220 SW GREENBURG ROAD-8 c� N O O N 0 c ' m C . a K 10220 GW GREENBURG RD 6T" FLOOR 1999 SAVE - HISTORICAL INFORMATION BUILDINGS) NAME CHANGE PEP KIT CHURCH, ENGINEERING 10220 GREENBURG RD,1,LINCOLN II NORTH T CHANGED TO 10220 GREENBURG J 111 E�.NBI RG RD,I LINCOL!�J III 10220 GREENSURG RD, LINCOLN II SOUTH CHANGED TO 10220 GREENBURG .2D, 1_1NCO .N II CITYOF TIG ARD CERTIFICATE OF OCCUPANCY DEVELOPMENT SERVICES PERMIT#: BUP1999 00463 DATE ISSUED: 10/28/1999 13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 PARCEL: 1S135AB-01004 ZONING: C-P JURISDICTION: 'FIG SITE ADDRESS: 10220 SW GREENBURG RD 6TH FLOOR CO FILE SUBDIVISION: TWO LINCOLN - TOWN OF METZGER BLOCK. LOT: CLASS OF WORK: AL( TYPE OF USE: COM TYPE. OF CONSTR: 2FR OCCUPANCY GRP: UNK OCCUPANCY LOAD: TFNANT NAME: REMARKS: Providing a looped floor to ceiling 1-hour corridor 6th floor Final Building Inspection and Certificate of Occupancy Approved .2/16/99 by George Steele, Building Inspector Owner: -- --- KNICKERBOCKER PROP, INC X' IV BY NO RRIS, 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 00128609 This Certificate grants occupancy of the above referenced building or portion thereof Ind confirms that the building has been inspecteO for compliance. with the State of Oregon Specialty Codes for the group, occupancy. and use under which the referenced permit was issued. BUILDING .TOR BUILDIN OFFI:.IAL POST IN CONSPICUOUS PLACE CITY OF TIGARD BUILDING INSPECTION DIVISIONf! MST 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 � BUP Q 9�rlT7�4�3 _ Date Requested /� i!(� �' AM PM �� g /F7 — Pa '19e Location-/y� � :c;f-e e-xL L4��; __ Suite (�� F�OZN MEC. Contact Person tr�✓l"�� I P 6Y>`E'C..� Ph 1% 3 �� PLM Contractor Ph SAAR BUILDING �� Tenant/Owner ELC Retaining Wall ELR —_ Footing Access: FPS Foundation Ftg Drain SGN Crawl Drain Inspection Notes. Slab -- r. !NV --- SIT Post&Beam Ext Sheath/Shear — Int Sheath/Shear Framing -- ----- ----._----- Insulation Drywall Nailing -- — Hiewall i r P.Spr Win k er>fv— ___.- _ Susp'd C@935> RooT_ (Final SS- ART FAIL PL IMG -- Post& Beam --- -- ` C .�, / , 9- o• y e 9 Under Slab Top Out Water Service - Sanitary Sewer Rain Drains - Final PASS PART FAIL - - --- MECHANICAL F'ost& Beam Rough In _ - - ------ - - Gas Line Smoke Dampers - Final - - PASS PARI FAIL --- — ELECTRICAL Service - -- Rough In - - — ---- — UG/Slab --__._.--- -— ----- --- --- Low Voltage -- - - Fire Alarm -- ----- '--- Final —_ PASS PART FAIL. -- -SITE Backfill/Grading -- Sanitary Sewer Storm Drain I ]Rainspection fee of$ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin I ]Please call for reinspection,RE:_ _—_ _ _ [ ]Unable to+nspect- no access Fire Supply Line ADA Approach/Sidewalk date Inspector _ Ext Other _ __ ----- -- Final PASS PART FAIL 00 NOT REMOVE this inspection record from the job site. OF TlGARD __ BUILDING PERMIT CITY PERMIT#- BUP1999-0049` DEVELOPMENT SERVICES DATE ISSUED: 12/09/1999 13125 SW Hall Blvd.,Ticlard, OR 97223 (503) 639-4171 PARCEL: 1 S135AB-01004 SITE ADDRESS: 10220 SW GREENBURG RD 6TH FLOOR SUBDIVISION: CODR OR)LN - 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: 2FF sf N: S: E: W: OCCUPANCY GRP: LINK TOTAL AREA: sf ROOF CONST: FIRE RET') OCCUPANCY LOAD: BASEMENT: sf AREA SEP. RATED: STOP: HT: ft GARAGE: st OCCU SEP. RATED: BSMT?: MEZZ?: REQD SETBACKS _ REQUIRED FLOOR LOAD: psf LEFT: ft RGHT: ft FIR SPKL: SMOK DET: DWELL-ING UNITS: FRNT. ft REAR: ft FIR ALRM : HNDICP ACC: BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING: VALhti: —I U�>� C-0 Remarks: Relocate 6 sprinkler heads in corridor. - --- -- -- - - - -------1 Owner: Contra(.tor: KNICKERBOCKER PROP, INC XXIV BASIC FIRE PROTECTION INC BY NORRIS, BEGGS + SIMPSON 940 NE LOMBARD ST 10300 SW GREENBURG RD STE 2.00 PORTLAND, OR 97211 PgpTLAND. OR 97223 Phone: 285-1855 one: Reg #: uc 000486 —� FEES I REQUIRED INSPECTIONS Type By Date Amount Receipt Sprinkler Rough-In PRMT BON 12/09/1995 $50 00 99-320271 Sprinkler Final 5PCT BON 12/09/1995 $4.00 99-320277 —�_- Total $54.00 ORIGINAL I This permit is issued Subiect to the regulatit,ns 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 18C' 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 io OAR 952-001 -0010 through Ot\R 952-001-1987 You may obtain a copy of these rules or direct questions to OUNC by calling (503) 246-1987 Penil itee Signatur /f 4e Issued By: Call 639-4175 by 7 p.m. for an inspection the next business day Fire Protection Perinit Application PlanCpeck# CITY OF TIGARD Commercial or Residential Recd ey 13125 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 bu accepted Date to DS --""' Permit# Called Job — Name of Development/Project Type of System (Complete A or B as applicable) Address Address --I ^ A.) SprinklerV � Wet [] Dry Na Standpipes Standpipes Owner Mailing Address Hazard Group — �, : %,f-.*.�::� < < Additional I CitylState Zip Phone Information Density No — Design Area — Occupant Mallig Address K Factor — City/State — s Zip Phone A.1) Sprinkler Project Valuation $ Contractor Name , B.) Fire Alarm (Sprinkler or T?/ /C / 'f /(C• t ' l - Alarm company) Marlin Address Submittal Shall Inelu Tdattery Calculations YES F] Prior to permit G'.< F AWA' -7 issuance,a City/State Zip Phone Individual Component YES Ci copyCut Sheets —_ of all licenses n Ck- -M-11 'S-��a55- B.1) Fire Alarm Project Valuation $ are required if State Const.Cont Board Lic.# Exp.Date expired in COT , 6/ n lk� Project Valuation Subtotal IA 8. or B) database Name Permit fee based on valuation $ a� v=,cY� —_�- _____ __ (see chart on back) _ ��• _ Architect Mailing Address -- 5% Surcharge $ w C y/�late zip sone FLS Plan Review 40% of Permit $ — Describe,work A.)New O Addition O Alteration Repair Q TOTAL to he done B.) Modification to sprinkler heads only. 1 1-10 heads=Noo plans required plans required Submit three sets of plans, Including a vicinity map and 2. 11—Plan review required the location of the nearest hydrant 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 that plans submitted Number of sprinkler heads: ? _ ___ are in compliance with Or n Slpte laws Additional Descri Dtion off Work: SI *of w z/Agent Date A.)In Existing Building New Building ❑ / }" z/Liv-77 Building -co t. y �� t Pho�q,5�/DS _ Data 6.? Commercial Residential CJ4 t iLt �3Cd Q FOR OFFICE USE ONLY: _ No of stories Plat# — Map/TL#Sq. Ft — Notes Occupancy Class Type of Conshuction is,tiresupr.doc CITY OF TIG RDARD BUILDINC P�$MIT FE1=5 TOTAL STATE BUILDING VALUATION OF PcRM1T F.L.S. TAX PERMIT PROJECT FEES (40%) (5%) FEES 1-1500 7268.00 .00 10.00 1.25 36.25 1,501-1600 .50 10.60 1.33 38.43 1,601-1,700 11.20 1 40 40.60 1,701-1,800 29.50 11.80 148 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 2.0.20 2.53 7323 5,001-6,000 56.50 22.60 2.83 81.93 6,001-7,000 62.50 25.00 313 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 32.2.0 4.03 116.73 10,001-11,000 8650 34.60 4.33 125.43 11,001-12,000 92..50 37.00 4.63 134.13 12,001-13,000 98.50 3940 4.93 142.83 13,OC1-14,000 104.50 41.80 5.23 151.53 14,001-15,000 110.50 44.20 5 53 160.23 15,001-16,000 11650 46.60 593 168.93 16,001-17,000 122.50 49.00 6.13 177.63 17,001-18,000 12850 51.40 6.43 186.33 18,001-19,000 134.50 53.80 6.73 195.73 19,001-20,000 140.50 56.20 7.03 203.73 20,001-21,000 146.50 58.60 7.33 212.43 21,001-2.2,000 '152.50 6100 7.63 22.1.13 22,001-23,000 158.50 6340 7.93 22983 23,001-24,000 164.50 65.80 8.23 238 53 24,001-25,000 170.50 68.20 853 2.47.23 25,001-2.6,000 175.00 7000 8 75 253.75 26,001-27,000 179.50 71.80 8.98 260.28 27,001-28,000 184.00 %3 60 9.20 26680 28,001-29,000 188.50 75.40 9.43 273.33 29,001-30,000 193.00 77.20 9.65 279.85 30,001-31,000 197.50 79.00 9.88 286.38 31,001-32,000 202.00 8080 10. 10 292.90 32,001-33,000 206.50 82.60 10.33 29943 33,001-34,000 I 211.00 84.40 10.55 30595 34,001-35,000 215.50 86.20 10.73 312.40 35,001-36,000 220.00 88.00 11.00 319.00 36,001-37,000 224.50 89.80 11.23 325.53 37,001-38,000 229.00 91.60 11.45 332.05 liresurrAoc CITY OF TIGARD BUILDING INSPECTION DIVISION 24-Hour Inspection t.ine: 639-4175 Business Line: 639-4171 ��` MST _ lY BUP _ Date Requested 3��l � AM PM PLD Location k. Suite > :i r74-0".,L MEC ------------ Contact Person _�_/�a: -u� e e_ Ph _�G f 5G.3/ PLM �_— Contractor _ Ph SWR BUILDING — - Tenant/Owner — ELC 770��-- Retaining Wall ELR Footing —( Access: Foundation FPS Ftg Drain Crawl Drain Inspection Notes: /� SGN Slab f'f Post& Beam -- --- SIT Ext Sheath/Shear Int Sheath/Shear Framing Insulation f �, Drywall Nailing �~- ----�� .0- Firewall "— — Fire Sprinkler Fire Alarm --- Susp'd Ceiling Roof Mise — --- — _ Final PASS PART FAIL PLUMBING ei Post&Beam — --_--� Under Slab IV T op Out — -- - Water Service Sanitary Sewer Rain Drains Final ----- i - PASS PART FAIL. - _ -- MECHANICAL - - -- Post& Beam - - Rough In Y---- — Gas Line -- — —• _ _ Smoke Dampers — — Final PASS PART FAIL ELECTRICAL — Service 'Rough in •lk_, — UG/Slab C!XjP,1f Low Voltage ---- Fire Alarm tfA3S� ART FAIL 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 j llpproach/Sidewalkp. Other Date ��-=r2- 3 _ ( 17 Inspector � `�.,_-- _ -- ----_-Ext Finel PASS _PART FAIL DO NOT REMOVE this Inspection renord from the job site. CITYOF TIGARD ELECTRICAL PERMIT DEVELOPMENT SERVICES O PERMIT#: ELC1999 00702 �� ! l ?ATE ISSUED: 11119199 13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-41 /A r� PARCEL: 1S135AB-01004 SITE ADDRESS: 10220 SW GREENBURG RD 6TH FLOOR s SUBDIVISION: MMMXeLN - TOWN OF METZGER ZONING: C-P BLOCK: LOT : JURISDICTION: -rIG Proiect Description: Instailaiicr, of 3 branch circuits for hall lighting. Job No. 697 F__ _ RESIDENTIAL UNIT TEMP SRVCIFEEDERS — _MI_SCELLANEOUS 1000 SF OR LESS: 0 - 200 amp- PUMP/IRRIGATION: EACH ADD'L 500SF: 201 - 400 amp: SIGN/OU'r LINE LTG: LIMrrED ENERGY: 401 - R00 amp: SIGNAL/PANEL: MANE' HMI SVC/ FDR: 601+amps - 1C ) volts: MINOR LABEL (10): _____SERVICE/FEEDER RRA„,!CH CIRCUITS _ _ ADD'L INSPECTIONS _ 0 200 amp: W/SF-RVICE OR FEEDER: PER INSPECTION: — — 201 400 amp: 1st W/O SR.VC OR FDR: 1 PER HOUR: 401 600 amp: EA ADD'L BRNCH CIRC: 2 IN PLANT: 601 - 1000 amp: _PLAN REVIEW SECTION _ 1000+ amp/volt: >=4 R[S UNITS: > 600 VOLT NOMINAI_� Reconnect only: SVC/FaR >= 225 AMPS. CLASS AREArSPEC OCC: Owner: Contractor: KNICKERBOCKER PROP, INC XXIV WILLAMETTE ELECTRIC INC BY NORRIS, BEGGS + SIMPSON PO BOX 230547 10300 SW GREENBURG RD STE 200 l IGARD, OR 97281 PORTLAND, OR 97223 Phone: Phone: 624-3631 Reg #: LIC 000750 SUP 1965S ELE 34-2.830 FEES — Required Irspections _ Type^ By Date Amount Receipt Elect'I Service PRMT DEB 1 i 119/99 $48.20 99-319915 Elect'I Final 5PC r D''C B $3.86 99-319915 _ V Total $52.06 !� This Permit is issued subject to the regula''ons contained in the Tigard Municipal Code. S?ale of OR Specia;ty Codes and all other applicable laws All work will be done in accordance with approved plans This permit wi'l expire it 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 Nobf ration 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) 246-1987 PERMITTEE'S SIGNATURE — _ _ ISSUED OWNER INSTALLATION ONLY _ — The installation is being made on property I own which is not intended for sale, lease, or rent. OWNER'S SIGNATURE —_.__—_—__— — DATE: CONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR. ELEC'N: - DATE: LrrENSE NO - Call 639-4175 by 7:00pm for an inspection the next business day Plan Ch N CITY OF TIGARD EIec"?fmit Application Recd B 13125 SW HALL BLVD. razz� Date Recd _ TIGARD OR 97223 NOV Date to P.E. Phone (503)639-4171, x304 .1 8 1999 n l/ Date to DST Inspection (503)639-4175 COMMUNITY 0EV1?6pWEW#Type �UI'� 7 Permits C/�C/�99�dO7ol Fax(503) 598-1960 Incomplete or illegible will not be accepted Called 1. Job Address: 140- i-1611rl.Ai2p 4. Complete Fee Schedule Below: Name of Development L . , ('&.-)t e,- Number of Inspections per permit allowed Name(or name of business) _ F700'e Ci,-,-.410" Service included: Items Cost Sum t! Address /0 Z Z S w Cir a en 6 ,,.y Rc/ 4a. Residential-per unit r City/State/Zip1,yai✓ �� `� 2 Z 7 1000 sq ft or less $ 117 75 4 Each additional 500 sq.ft.or portion thereof $ 26 75 1 Commercial D& Residential ❑ Limited Energy $ 6000 Each Manufd Home or Modular 2a. Contractor installation only: Dwelling Service or Feeder $ 72.75 2 (Prior to permit Issuance,applicants must provide contractor license 4b.Services or Feeders Information for COT data base). _ Installation,alteration,or relocation Electrical Contractor CIJ, /laC/rr f r c ZVIc. 200 amps or less _ S 64.25 2 f Address_P 0 ,r, 2 3 C; 5-'/ 7__ 201 amps to 400 amps $ 85.50 — 2 401 amp.,to 800 amps $ 128.50 2 1. City. T� "J State o/ Zlp `l 601 amps to 1000 amps $ 192.50 _ 2 I Phone Nu. _LOQ 6 e y- .3431 Over 1000 amps or volts $ 363.75 _ 2 Job No. , Reconnect only $ 53.50 — 2 Elec. Cont. Lice. No. 3V- 2?3 t Exp.Date� j UD 4c.Temporary Services or Feeders OR State CCB Rey. No, 75052 Exp.Dare,_a%G/U/ Installation,alteration,or relocation COT Business Tax or Metro No. S7 b_Exn, ate!F/L 200 amps or less $ 53.60 2 201 amps to 400 amps $ 80.26 _ z Signature of Su r. Elec'n 401 amps to 600 amps — $ 100.00 g P ' Over 600 amps to 1000 volts. see"b"above. License No._1.16 5` s Exp.Date 10 -vl 4d.Branch Circuits Phone No.C s o3J b e`f- 71 I New,aderation or extension per panel a)The fee for branch circuits 2b. For owner installations: with purchase of service or feeder fee. Print Owner's Name Each branch circuit $ 5 35 Address b)The fee for branch circuits without purchase of service City ,State Zip or feeder fee. 37 Phone No. __ First branch circuit $ 3750 _ J Each additional branch circuit $ 535 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 _ $ .12.75 Owner's Signature _ _ _ Each sign or outline lighting $ 4.:.75 Signal circuit(s)or a limited energy panel,alteration or extension $ 60.00 3. Plan Revivw section (if required):" Minor Labels(10) - $ 10000 Please check appropriate item and enter fee in section 5B. 4f.Each additional Inspection over 4 or more residential units in one structure the allowable in any of the above Per Inspection $ 5000 _ Service and feeder 225 amps or more 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: Sa.inter total of above fees $ ` Submit 2 sets of plans with application where any of the above apply 8%S,:rcharge(08 X total fees) $ Not required for temporary construction services. Subtotal $ . 6b.Enter 25%of line 6a for NOTICE Plan Review i re ug ired(Sec.3) $ _ PERMITS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED Subtotal $ IS NOT COMMENCED WITHIN 180 DAYS,OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS ❑ Trust Account#_ 5z AT ANY TIME AFTER WORK IS COMMENCED Total balance Due $ i�dsisli+rm�\ciccltic.do: CITYO F T I GA R D MECHANICAL PERMIT DEVELOPMENT SERVICES PERMIT#: MEC1999-00469 13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 11/04/1999 / PARCEL: I S135AB-01004 N SITE ADDRESS: 10220 S' GRELNBURG RD GTH FLOOR (Cr r �uw(2— SUBDIVISION: C'slA'E#1:1ITOR)LN - T-OWN OF METZGER ZONING: C-P BLOCK: LOT: JURISDICTION: T iG 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 POODS: FUEL TYPES_ _ �0 3 HP: DONIFS INCIN: 3 15 HP: COMML. INCIN: MAX INPUT: BTU 15 - 30 HP- REPAIR UNITS: FIRE DAMPERS?: 30 - 50 HP: WOODSTOVES: GAS PRESSURE: 50 + HP: CLO DRYERS: FURN < 100K BTO: _AIR HANDLING UNITS OTHER UNITS: 1 FURN >=100K BTU: <= 10000 cfm: GAS OUTLETS: > 10000 01TE Remarks: Extend metal duct across corridor Fire caulk both sides of penetration. Owner: FEES KNICKERBOCKER PROP, INC XXIV Type By Date Amount Receipt BY NORRIS, BEGGS + SIMPSON PRMT KJP 11/04/19 $50 00 99-319532 10300 SW GREENBIIRG RD STE 200 PLCK KJP 11/04/19f :$12.50 99-319532 PORTLAND, OR 97223 5PCf KJP 11/04/19 $4 00 99-319532 Phone: Total $66.50 Contractor: NORTH PACIFIC HEATING 33700 SE DUUS RD FSTACADA, OR 9/023 REQUIRED INSPECTIONS Final Inspection Phone: 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 ex,iire 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 G of these ruler or direct questions to OUNC by calling (503)246-9189. Issue :)y: , _2s2_.k, Permittee Signature: z. - � —� Call (503) 639-4175 by 7:00 P.M. for inspections needed the next business d �X ;TY OF TIGARD ; pp Rec'dMechanical Permit Application Plan y Jk C �- 13125 SW HALL BLVD. Commercial and Residential Date Recd _ TIGARD, OR 97223 Date to P E '(503) 639-4171, x304u 7 Date to DST Print or Type Permit a m e�15 5-o�yc,Y Incomplete or illegible applications will not be accepted callea Na a of Development/Project Description TaDle 1A Mechanical Code _ _ City Price Amt Joh street Address sude7l z. Fermit Fee ____ 1600 ,Furnace to 100,000 BTU Address �a o including ducts&vents _ see footnote 1,2 9.65 Bldgrt rny;,;mte 2) Furnace 100,000 BTU+ I including ducts&vents see footnote 1,2 12.00 Name for name of business) 3) Floor Furnace r including vent see fo note 1,2 9.65 Owner Suspended heater,wall heater -- Milling Address I ) or floor mounted heater see footnote 1,2 9.65 5) Vent not included in appliance ermit 4.75 cnyrstate ziphone Check all that apply: 'Boiler Heat Air j' _5 For Items 6-10,see or Pump Conu Qty Price Amt ame(or name of business) footnotes 1,2 Com i 6)<3HP;absorb unit to Zd 1.6-IL 100K u rU _ 9.665 Occupant Mailing Address 7)3-15 HP;absorb unit 100k to 500k BTU 17.65 _ cnyrstate zip shone 8) 15-30 HP;absorb unit.5-1 mil BTU 24.15 9)30-50 HP;absorb Contractor Nam) /1 unit'r-1.75 mil BTU _ _ 36.00 f l 10)>50HP;absorb unit Prior to permitaHing Address A7 >175 mil BTU 60.15 issuance,a copyW.,Z11 Air handling unit to 10,000 CFM of all licenses ^cdy/stale zip Phone 7.00 are required if 0:2__3 12)Air handling unit 10,000 CFM+ expired In COT region Const Cont Board Lic p Exp Date _ 11.85 database _L 7y _., _ 'moo 13)Non-portable evaporate cooler Architect Name 7.00 14)Vent fan connected to a single duct 4.75 or Mailing Address 15)Ventilation system not Included in appliance permit 7.00 _ Engineer CRY/State -_� zip Phone 16)Hood served by mechanical exhaust 7.00 Describe work to be done 17)Domestic incinerators 12.00 New O Repair 0 Replace with like king Yes O No O 18)Commercial or industrial type incinerator 48.25 Residential Commercial 19)Repair units Additional information or d cription of work: 8 40 /( �L 20)Wood�st %FP/other units/clothe dryer/etc. I {- 7.00 7 NOt�ommercial projects only;Units over 400 lbs.require 21)Gas piping one to four outlets structural gas cdlcs 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$50.90 SUBTOTAL ledge that I have read this application,that the information _ -� I hereby acknow /o SURCHARGE given is correct,that I am the owner or authorized agent of PLAN REVIEW?5%OF SUBTOTAL S the owner,that plans submitted are in compliance with Oregon State laws Required for ALL commercial permitsonly 2" TOTAL Signature of Owner/Agent Date Other Inspections and Fees: - G 1. Inspections outside of normal business hours(mininum charge two Contact Person Name _Phone hours) $50.00 per hour 2. Inspections for which n)fee is specifically indicated (minimum i charge-half hour) $50.00 per hour 'A'_ "�----� _-....- 3. Additional plan review required by changes,additions or revisions to Foonotes for commercial proje only: plans(minimum charge-one-half hour)$50.00 per hour 1. Provide full schematic of exis and proposed gas line and pressure 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 7/19/99 OVER-THE-COUNTER (OTC) PERMIT COMMERCIAL MECHANICAL PERMIT CHECK LIST Description of Project: Class of Work: Floor Furnace: Evap Coolers: Type of Use: �d Unit Heaters: Vent Fans: Occupancy Grp: /ents w/o Appl: Vent Systems. Stories: �1y Boilers/Comprsrs: Hoods: FuelTypes - 0 - 3 HP. Repair Units: 3 - 15 HP. Wood Stoves: Max Input: Btu: Air Handling Units Qlo Dryer: Fire Dampers: 1 '10000 cfm- Oth Units-. Gas Pressure: H / M L > 10000 cfm: Gas Outlets: No. Of Units: Furn < 100k Btu: Furn > 100k Btu: NOTES: COMMERCIAL INSPECTION ACTIONS E FEE MENU Gas Line Inspection $ Permit Fee Mechanical Inspection $ Plan Review 'tooling Unit Inspection $ 8% state surcharge Shaft Inspection $ Additional Permit Fee Hood Inspection $ Additional Plan Review Fee Fire Suppr Inspection $ Inspection Fee Duct Inspection $ Miscellaneous Fee Fire Maim Inspection 6 Z, r/REIVIARKS: Fire Damper Inspection Miscellaneous Inspection Fire Alarm Inspection Final Inspection FOR OFFICE USE ONLY: TYPE OF USE OPTIONS(COM=commercial;civis=commercial manufactured structure) CLASS OF WORK OPTIONS FOR ALL PERMITS(NEW=new,ADD=addition;ALT=alteiatioin;ACS=accessory; FND=foundation;OTH=other;DEM=demolition;REP=repair;Fps fire piatection system.NOTE=USE OTH FOR FENCES,RETAINING WALL,DETACHED DECKS,SIGNS, AWNINGS,rANOPIES) 1:40/forms/o(cmech.doc Q/()() i\dsts\fom0otc-tvicch doco,"M I ' _44 _Tl r LJ 1 f fi `"min 1 1 I - -MALIGN W 1 L 1 Ll w w w w w w w w w a w 1 I 1 1 I v I � . O O O O O Zy, n III n T�►1 t) --- CITYOF T I G A R D BUILDING PERMIT PERMIT#: BUP1999-00463 DEVELOPMENT SERVICES DATE ISSUED: 10/28/1999 13125 SW Hall Blvd.,Tiqard, OR 97223 (503) 639-4171 PARCEL: 1S135AB-01004 SITE ADDRESS: 10220 SW GREENBURG RD 6TH FLOOR, SUBDIVISION: COE R1DMLN - TOWN OF METZGER ZONING: C-P BLOCK: LOT: JURISDICTIO14: 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 420 sf N: S: E: W: OCCUPANCY GRP: UNK 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: Y SMOK DET DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP ACC: BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING: VALUE: $ 9,000.00 Remarks: Prn0ding a looped floor to ceiling 1-hour corridor 6th floor Owner: Contractor: KNICKERBOCKER PROP, INC XXIV PIONEER CONSTRUCTION SERVICE BY NORRIS, BEGGS + SIMPSON PO BOX 68304 10300 SW GREENBURG RD STE 200 MILWAUKIE, OR 97268 ORIGINAL PPhone ND, OR 97223 Phone: 652-1050 Reg#: LIC 00128689 FEES REQUIRED INSPECTIONS Type By Date Amount Receipt Framing Insp PRMT KJP 10/28/199E $114.75 99-319413 Gyp Board Insp Susp Ceiing Insp PLCK KJP 10/28/199 $74.59 99-319413 Final Inspection 5PCT KJP 10/28/199 $9.18 99-319413 FIRE KJP 10/28/199 $45.90 99-319413 Total $244.42 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 OLINC by calling (503) 246-1987. Pe rm itee Signature: Issued Hy: / Call 639-4175 by 7 p.m. for an inspection► the next business day OF TIGARD Commercial Building Permit Application Plan Check# .,1 25 SW HALL BLVD. Tenant Improvement Recd By TIGARD, OR 97223 Date RecdDate to P.E._ (503) 639-4171 Date to DST A9/Z-1l4I Print or Type P�Z , Permit# 6 4 P 194 c yk3 Related SWR# Incomplefe or illegible applications will not be accepted Name of Development/Project — Existing Building)K"New Building p Job Lincoln Ge*%ter, Address Street Addresssite Building 10220 SW Cvlx,5dot' -Floor Data Lincoln Cep;ter Bldg# 1 City/State Zip Exi�tir, Jse-of Building or Property: THP•EC- p --- L I N oo Uy Y !or�-I aY► C`�. 972'2.45 O { cc Name Property rtY • . Proposed Use of Building or Property. Owner Mailing Address Suite 0-f4 ce 1o3c�D SyV C�yeptb.�v� (lob 2.00 _ No. Of Stories City/State Zip Phone C r" S I X _ __- _ ` POrt�Ud U -. 97223 ��59b0 Sq. Ft. Of Project: Occupant Name 420 sc;�, FL Occupancy Class(es) Name Contractor pioneer Gcwf 9-thJ Aion Type(s)of Construction Prior to permit Mailing Address Suite 1 issuance,a copyP ao>< �� Will this project have a Fire Suppression System? of all licenses Yes X No are required If City/State Zip Phone -- expired In C.O T Americans with Disabilities Act(ADA) database iIWauk.ie11 OF,. 97222 652-1050 Valuation X 25% = $2,ZSd Participation Oregon Const.Cont Board Lic* Exp.Date Complete Accessibility Form I?E) &9 O`i'�pp t� Project $ Name Valuation 91 Architect GbD Ar--h',-(R �nc , _ Plans Required: See Matrix for number of sets to submit Mailing Addresssous on back WO SW City/State Zip Phone I hereby acknowledge that I have read this application,that the information Por' a 9720 _22 �96�6 given is correct,that I am the owner or authorized agent of the owner,and Name f that plans submitted are in compliance with Oregon State Laws Engineer Signature of Owner/Agent Date Mailing Address Suite C tact Person Name Phone �T City/Stale Zip -- Phone Fay R. Glur 22 dr•-9C,5<,:, - --- - — FOR OFFICE USE ONLY Indicate type of work New O Addition O Demolition O Mapr rL# Land Accessory Structure O Foundation Only O Alteration)K `�- _ Repair O Other O Notes: Descrlptlon of work: r (:'or)St-"uc'�ir, Cc r. t4 C, TIF - - -- — aro,�r,c( �I,.,G►" Note Site Work Permit Application must precede or accompany Building Permit Application IICOMNEWTLDOC (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, Tualatin Valley Fire & Rescue) Total # of TYPE OF SUBMITTAL Plans _KEY_ Submitted 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 a 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) "I *B & M & P (Alt) 3 �B & M & P & E & F(Alt) 3 NOTES: "Shaded areas designate ALT submittals 0111\/. I\dsts\lorms\ma"corn doc 10!30198