10300 SW GREENBURG ROAD STE 115-1 Cl)
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CITYOF TIGARD CERTIFICAT E OF OCCUPANCY
DEVELOPMENT SERVICES PERMIT#: BUP2000-00148
13125 SW Hall Blvd., Tigard, OR 97223 (503) 6' -x:171 DATE ISSUED: 05/03/2000
9
PARCEL: 1 S135AB-01003
ZONING: C-P
JURISDICTION: TIG
SITE ADDRESS: 10300 SW GREENBURG RD 115
SUBDIVISION: LINCOLN ONE/RED LOBSTER/CASA L
BLOCK- LOT:
CLASS OF WORK: OTR
TYPE OF USE: COM
TYPE OF CONSTR: 2FR
OCCUPANCY GRP: B
OCCUPANCY LOAD:
TENANT NAME: SPEC SP,,,CE
REMARKS: Corridor alteration
Owner:
KNICKERBOCKER PROP, INC XXIV
BY NORRIS, BEGGS + SIMPSON
10300 SW GREENBURG RD STE 200
PORTLAND, OR 97223
Phone:
Contractor:
PIONEER CONSTRUCTION SERVICES
PO BOX 68304
MILWAUKIE, OR 97009-7268
Phone: 652-1050
Reg #: LIC 128689
This Certificate issued 11,/2'1/211110 grants occupancy of the above referenced building or
portion thereof and confirms that the building has been inspected for compliance with the
State of Oregon Special bodes for the group, occupancy, and use under which the
referenced permit Sued.
BUILIJING INSPECTOR BUILDING OFFICIAL
POST IN CONSPICUOUS PLACE
CITY OF TIGARD BUILDING INSPECTION DIVISION MST � �...-
24-Hour Inspection Line: 639-4175 Business Line: 639-4171 BUP
�
� ---Date Requested - �y AM x PM BLD
Location / V l�,I zow� G� suite Sr MEC
Contact Person nA4C--1' Ph -:!5z9 3 PLM
Contractor _ _ Ph SWR
/�
�I�DIWG Tenant/Owner l Gy ->r c'>os? z�i� ELC
Retaining Wall ELR
Footing Access.
FPS
Fig Drain SGN
Crawl Drain Inspection Notes:
Slab _— - - -- ------ — SIT
Post&Beam '—
Ext Sheath/Shear
Int Sheath/Shear
Framing
Insulation ---
Drywall Nailing
Firewall -
Fire Sprinkler - --- ------.... -
Fire Alarm
Susp'd Ceiling
Roof I -
Mi
" -
SS ART FAIL
NG
Post&Beam
Under Slab
Top Out —'
Water Service
Sanitary Sewer
Pain Drains _
Final
PASS PART FAIL
MECHANICAL.
Pest& 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 [ j Reinspection fee of$— required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin ( )Please call for reinspection RE: ( j Unable to Inspect-no access
Fire Supply Line
ADA '1
Approach!Sidewalk Date V Inspector_ � � Ext
Other —
Final
PASS PART FAIL DO NOT REMOVE this inspection rec(yrd frern the job site.
CITY OF TIGARD BUILDSNGPERMIT
PERMIT#: BUP2000-00148
DEVELOPMENT SERVICES DATE ISSUED: 05/03/2000
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 PARCEL: 1S135AB-01003
SITE ADDRESS: 10300 SW GREENBURG RD 115
SUBDIVISION: LINCOLN ONE/RED LOBSTER/CASA L ZONING: C-P
BLOCK: LOT: JURISDICTION: TIG
REISSUE: _ FLOOR AREAS _ EXTERIOR WALL CONSTRUCTION
CLASS OF WORK: OTR _ FIRST: _ sf� N: S: E: W:
TYPE OF USE: CUM SECOND: sf PROJECT OPENINGS?
TYPE OF CONST: 2FR sf N: S: E: W:
OCCUPANCY GRP: B TOTAL AREA: 000 sf ROOF CONST: FIRE RET?
OCCUPANCY LOAD: BASEMENT: sf AREA SEP. RATED:
STOR: HT: ff GARAGE: sf OCCU SEP. RATED:
BSMT?: MEZZ?: __REQD SETBACKS _ _REQUIRED
FLOOR LGAD: psf LEFT: ft RGHT: ft FIR SPKL_Y SMOK DET:
DWELLING UNITS: FRNT: ft REAR: ft FIR, ALRM : HNDICP ACC:
BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING:
VALUE: $ 3,500.00
Remarks: Corridor alteration
Owner: Contractor:
KNICKERBOCKER PROP, INC XXIV PIONEER CONSTRUCTION SERVICES
13Y NORRIS, BEGGS + SIMPSON PO BOX 68304
10300 SW GREENBURG RD STE 200 MILWAUKIE, OR 97009-7268
PPhonP ND, OR 972.23 Phone: 652-1050
Reg #: LIC 128689
FEES REQUIRED INSPECTIONS
Type By Date Amount Receipt Framing Insp
Gyp Board Insp
PRMT BON 05/03/200C ��$68.50 0001893 Final Inspection
5PCT BON 05/03/2000 $5.48 0001893
PLCK BON 05/03/2000 , $44.53 0001893 ORIGINAL FIRE BON 05/03/200C $27.40 0001893
Total $145.91
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 a e set forth in OAR
952-001-0010 thror1011 OAR 952-001-1987. You may obtain a copy of these rules or direct questions to OUNC by
calling (503) 246-1987.
Pennitee a
Signature:
Issued By:
Call 639-4175 by 7 p.m. for an inspection the next Business day
(,i i N- :,f*TiGARD Commercial Building Permit Application Plan Check# Is Ac-
13i25 SW BALL BLVD. New Construction and Additions Recd By
TIGARD, OR 97223 Date RecdDale to P.E. i
(503) 639-4171 - r
Date to DST <
Print or Type Permit# {
Incomplete or illegible applications will not be accepted Related SWR#
Called
Name of Development/Project
Job L-irlcc In Gev,�r'
i� _ Existing Building New Building ❑
Address Stree!Address Suite
lovo gW Greenb Mfg (Ld. Near 115
Building -lY1Cc�vt
Bldg E cuylstate ZIP Data one (..(n ce.,I til
t_INCOL.N Portland Ore oat 97223 —
� 9 Existing Use of Building or Property:
Name AFF(CE
Property ►relay' oCk.er Properties,Inc. XXIV _ __
Owner Mailing Address suite Proposed Use of Building or Property
(63o, SW ereeobu'-J Rd 2oD C FF-( c C
City/State ZIP Phone --- - ----
�or I2►�r( ,I on 9722 5900 No O Stories:
�- 4`'2 N) FIVE
Occupant Nae /P Sq. Ft. Of Project: �\
tj r./A (t" s 1
Name - Occupancy Class(es)
Contractor P I oneetr CoviS v c'�i o►� �,
Prior to,.;rmit Mailing Address Suite -
cxp els)of�Construction
i<,suan ,a copy 1.O.�p)C Ty F
of all licenses _I
are required If City/State ZIP Phone Will this project have a Fire Suppression System? 11
expired in c.o T. M 1 IWaL,k I e,0P-; 97222 65 2- -l 0 5 o _ Yes [I _No
database Americans with Disabilities Act ADA _W
Oregon Const Cont Board Llc.# Exp.Dale ( )
I ZFj 6&9 4/02 Valuation X 25% =$ _Participation
_ __ Complete Accessibili Form
Name Project $
Architect GI3D iiNrckltteAlj the _ Valuation �j�ljrJ
Mailing Address Suite —
920 so 3 9'bUa Plans Required: See Matrix for number of sets to submit
City/State ZIP Phone on back
Por'la-,( r C( , 9Tza 224 -96S _ —
Engineer Name 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
Mailing Address Suite that plans submitted are in compliance with Oregon State Laws
Signature of Owner/Agent Date p�
City/Stale �'lip Phone �✓�, n �(-w� r.�• �S .O� -- -.—
Co t cttPte�rson Name Phone
Indicate type of work: New O Addition O Demolition O
Accessory Structure O Foundation Only O Alteration
Repair o Other o �— FOR OFFICE USE ONLY _
Description of work: Map/TL# Land Use'
CI'�f�TINC ►J&LJ .501Tk� IIS
At-TE`�,ING CC(14L IboR. - i STAID- aooR- Notes:
Parks: Estimated#of Employees TIF.
If the above figure Is not supplied at the time Lf application,the city will
calculate the fee based upon the number of parking spaces.
Note: Site Work Permit Application must prncedo or accompany Building
Permit Application
i;ldsts\forms\comnew doc 5110/99
COMMERCIAL PLAN SUBMITTAL
REQUIREMENT MATRIX
Plan Review is dependent upon a submittal of BOTH plans AND a t CSM L 01'
,application. For nn eie�;tricat submittal, the application must contain the;>j
signature of the supervising electrician before plan review will be conductp77,
After pian 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) `
"Dotal# 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) i 1 P = Plumbing
P (New, Add, or Alt) 2 E = Electrical
B & M & P (New or Add) 2 New = New Building
E (New, Add, or Alt) _ 2 Add = Addition
B & F & M & P & E A3 Alt = Alternation to Existing
(New , Add) Building
.B or B & M (Alt) --- 1 --
..*8 & M & P (Alt) .......a.�............... ............3....�..
'B & M & P & E & F(Ait) 3
NOTES:
'Shaded areas designate ALT s-.ibmiftals only.
1idsts\forms4natrxcom doc 10/:30198