10260 SW GREENBURG ROAD STE 1101 L
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_,t:NERAL NO US -- - -
1) . All const 1 b 'PORTLAND. ON
construction work shall e done in strict compliance with 14) . All substitutions shall be submitted to and a
the latest edition of the Uniform Building Code, as amended approved by 31) . Dispose of all paint materials off site. Do not pour down 44) . All HVAC ;Host be ducted roof units, not visible from building
by the State of Oregon and all other state and local codes and Owner/Tenant prior to implementation. drains, catch basins, or in landscaping.
exterior.
building requirements that apply . 15) . Any Subcontractor designed items to be submitted to and 32 ) . Provide labeled touch-upaint. Label
approved by Owner and Architect prior to construction. p all left over paint, 44) . Contractor properly patch all roof penetrations to assure
2 ) . The Contractor shall verify all dimensions and conditions Provide shop drawings on a:11 cabinetry items, including and store as directed by Owner. watertight seal .
shown on drawings and at the existing building notify reception desk.
architect of any discrepancies prior to starting of. work. 33) . All gypSLIM bo��zd surfaces to be painted shall be smooth. 45) . Mechanical units shall be set on curbs of. r.
pessure treated
16) . All Tenant walls to be full height; floor to roof structure, 2 X 8 with cant strips and Derbigum cap sheat.
3) . Bidding Contractors and Subcontractors shall carefully examine 34) . Application of materials by any Subcontractor to surfaces
insulated and sheet rocked with 5/8" type "X" gypsum board existing or provided under this contract, shall imply 46) . Provide sprinklers below suspended ceiling per code and
the site and the construction documents of the work. Errors each side . Do not tape bac}- side. g
and omissions in the plans of specifications shall be called acceptance and suitability of existing conditions . Such Tenant ' s floor
plan. Provide Tenant with replacement
o the attention of the Architect prior to submission of biaSubcontractor shall be held responsible for damage or sprinkler heads per Fire Marshall .
P 17 ) Al'. gypsum board to be minimum 5/8" 1611 and shall be screwed irregularities to his product as a result of previous
so that t-he a�denda may be issued. Failure to do so on the to 2 1./2" (minimum) metal studs at 16" o. c.
part of the Contractor does not relieve him of the conditions . 47) . Provide separate electric meter in meter room; electrical
responsibility to provide a ccrrect and finished product . 18) . Provide draft/fire stops as required by codes . panels to be located in Tenant space as directed by Owner.
35) . Telecommunication sys m by Tenant. Contractor to coordinate
4) . The Contractor shall obtain and pay for all permits and sewer19 work, verify with Tenant location of ail outlets prior to 48) . Contractor to furnish water heaters, sized for use as
hook-up lees. ) • Insulate int;rior side of all exterior concrete walls above installation.
suspended ceilings and/or windows with R-11 insulation, unless indicated on plan, to be mounted as diz-ec. ad by Owner.
5) . The Contractor shall keep the arE,a of work free of garbage and otherwise noted. 36) . Contractor to provide and mount 4 ' X 8 ' sheets of 3/4" thick 49) . Duct all e.,haust fans separately. Mount above suspended
debris on a daily basis . 20) • Attach 5/3" gypsum board to 2 1/2" metal studs at 16" o. c. plywood for phone system on wall , as directed or indicated ceiling to minimize motor noise.
over R-11 fiberglass batt insulation on interior side of and provide a plugmold for entire length immediately adjacent.
6) The Contractor ' s emplo!ee� and Subcontractors shall pick up concrete walls below storefront windows. 50) . Telephone installation by others . Contractor to provide 1
and 4i.�zDose of lunch debris on a daily basis . 37 ) . Contractor shall verify existing utilities such as : Sanitary ' /4" diaTneter conduit. Stub out above ceiling provide pul
21) . Fuout exterior concrete walls There no storefront exists and storm sewer, water, natural gas, and electrical lines . string and mudring.
7) . The Contractor shall keep roof free of debris ( i . e. nails with th 5/
Contractor shall verify existing electrical service and shall
screws) at all tfiberglass batt insulation.*times and shall be responsible for immediate as gypsum board over metal studs at 16 o. c. with R-11 provide additional service as required. 51) . All conduit to terminate in standard duplex box (unless
repair o1: any damaged roof membranes or surfaces . otherwise noted) .
22 ) . Door hardware to be building standard . Butts and closers to 38) . Owner is not responsible when Contractor must redrill to
8) . No storage outside of buildings shall- be allowed without locate utility. Contractor shall repair all such errors . 52) . Provide box with pull strings to all outlets in wall for
authorization by Owner. match. future connections.
39) • HVAC and electrical engineering and circuit layout to be
9) . No construction signs of any kind shall be allowed on the 23) Provide closers on all exit doors , demising wall doers , and provided by Contractor. Provide label for each circuit at 53) . All light switches to be placed and aligned as closely to door
premises .
where noted, panel and at outlet for identification purposes . Thermostat jams as possible, where applicable. Locate switch opposite
locations to be reviewed by Owner and verified by Tenant hinge side of door.
10) . Owner shall not be responsible for tools or material goods 24) . Provide a sign reading "This Door Shall Remain Open During before installation. Provide tamperproof, auto set-back or
stolen or damaged on site. Business Hours" as designated by codes per building officials. programmable thermostats throughout. 54) . General Contractor to supply all Subcontractors with full set
il) , if adjacent Tenants 2re1isturbed by noisy construction (i . e. , 25) . Bi-fold doors, finish to match solid core wood doors. 40) . HVAC to be balanced, design-build system, with economizers to of construction documents.
jackhammering or core drilling) , such activity shall be Tenant' s Engineer and Building Owner ' s satisfaction. lour 55) . Verify type of insulation to be used for sound insulation in
rescheduled for a`ter hours . Owner shall pay no overtime for 26) . Top of relites to match top of doors . existing conditions and contact Owner for questions prior to rooms indicated with Tenant. Sound insulation quality
after hour activities , and there will be no delay in the bid. required.
schedule . 27) . All overhead doors shall be bolted and caulked to prevent
water penetration when use is not required by Tenant. 41) . Submit mechanical and electrical drawings to Owner ' s and
12 ) . Upon completion of the work, the Contractor shall thoroughly Tenant ' s Engineer for approval to construction.
clean the premises, t-;,-,ch-up paint, znd wash the inside of 28) • Furr and paint ail existing columns in open plan to match
all windows , so that space is ready for occupancy by tenant. adjacent wall color. 42 ) . All additional drawings and specifications required for
13) . Contractor shall warrantee all parts, labor, equipment and 29) All finish materials to be per finish schedule. All finish permits to be supplied by Contractor and Subcontractor.
material provided under this Contract for a period of one ( 1) schedule colors to be selected by Tenant. 43) . Contractor to provide mechanical and electrical as built , all
year, upon completion of Contract. warranties , operating manuals and field training to Building
30) . Submit color draw-downs to Owner for approval prior to
application. Owner and Tenant within two (2) weeks of completion of work.
STANDARD MOUNTING HEIGHTS VICINITY MAP _ CODE INFORMATION I -
LOCUST ROAD S! 11.1 1 INDEX
1 � �_� PROTECT- 12 STORY FULLY SPRINKLERED
-4 I �J 1 / /
OFFICE BUILDING I I I 1 ( S1 ILLI
OCCUPANCY GROUP - B-2 OFFICE BUILDING I'AK 111 ION, POWER, SIGNAL PLAN
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TENANT SIGN OFF0 0
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OWNER SIGN OFF
--- PROJM
10260 SW Greenburg Road
DATE J !.
Suite 1101
1 of 3
Rrnmom
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If this notice 11)peal.s c•Iesu•er Than the
document, the document is of mar"incl gtIalify. 3/4/97
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INCN I MADE IN CHINAI I
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CUTLETS 0UAT IJI AFF
NOYL ALL mD HORIIM WR[TS SIm10 1[
roslnolEa HDR,'2GMALLy _�a x.vn'Ad to ..• - �= LIAi rCNf MILLS �
INPUT/OUTPUT ROOM EQUIPMENT SPECS COMMUNICATIONS ROOM EQUIPMENT SPECS
F.r a.0 un.. KEY EQUIPMENT /MME QTY VLr Pam �i ,E� ROIARKS xEY EQUIPMENT NAME VG IA% TW , �')Q'lnNZ% 7,i 1•
1-2• Conduit Lead sulldlnq 7-10PACAG QTT VLT PPpp
IINa, AM►i �AC10 R[11A0Ki �j fU
C:auc faturMa li• blew Gallop •t both fndal h <.�
�_ A 0 g __ _ O SIC#ER 1 Ito - _ _ O DISTRIWTION RNA
S 1 —o i-P couusc f:uw. In 11..1 O MASTER _ _
t 1 Ito ...
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TO 11 12 14 Oi PS^r70 TERMINAL - Ito 74 Itis - I1 TIM AT uefivl[n I Ito ams - l000
0 o .m.ad Cast. Trq rurni•n.d by CVA •nal [n.ul:M In
CIA . Co.-concnaer, v.r:-y •s.•.. . .ed sounc:
/ s.loec. 1x0 /t _
DOORS SHALL HAVE 1AND NEW / G OIIPLAY ro1NncR - _ 307 a rte cDNrRRLEA 1 lea IW v las
'MHODWS AND LOCKS �_- - «< > V SYS/ 36 TERMINAL
V ---� uril No....d sound Fru. O (IMI SItO> 1 Ito O1 - 430 u IM COMTROLIER 1
Il (\ Fua:dn.d •od :Nc,ll.d by GYA. O a MKN (31,11 ItQ .Bat Lal ItaO
Fd, T.l.Pbm. Sew. SRT 36 UNIT _ 17 MMINC"IMEl Ito - 1000
Of r OMI Byt/ 120 I.3 1100 MMIN TELEPHONE
i-;.
C." it :end btldln. Ll.pe.n.
.l...c ucdee.d us "Lou tolling .t S.cn lull PRINTG
VIII VI1T I) 0 OM 1230 1 LEO a9 - 100 11 TAPE
1 110 to 500
\ / CLLCTRICAL PWER nun mMnm
-o T.I,un. lwictn I/O ROOM NOTES: , We w.mo.n,v•r
►,VEL dwmwr.0
r,rn,.nw .nal :n.t•iiw by e:Lt Finishes shall consist of the following: Vinyl Tile Flooring,
�o r-o •e 34• Vinyl Base, VWC on walla dad Acoustical Tile Calling with Building CONNOTES TIOxs moDx xn'reR:
U
G Standard Lighting Fixtures.
VDT
contractor shall furnish and install t all physical con piping Finishes shall consist of co tical Til Vinyl Tile Floor,Building requirements, finishes and electrical piping g Baae, VWC on Halle and Acoustical Tile ceiling with Building
ip I' CONEVinyl
Opower and S Sn
2 requlramenes. Stnndnrtl Lighting Fixtures.
VI U D -- -- _ At Tenant's cost, contraceor shall furnish and install adequate 24 Contractor
shall furnish ono install all physical construction
houC cooling for print room loads with its own separate control. Contractorts, ,=1 Building Standards nishez and Loosed in 8lnish Notes.wer and piping
Loads will be as specified on schedule, requirements, p g
Contractor shall furnish and install adequate 24 hour cooling
All other equipment and by
sere he Communications Room shall be communications room loads with it own separate control. Loads will
fun-add and installed by CNA of their Com-Contractor, including be as specified on schedule at Tenants sole cost and expense.
��COMMUNICATION$ & I/O ROOM PLANS table, chairs and r-cmpuUr equipment.
All ocher andequipsta and furniture in their
room shall be
1/4' EQUALS I'-II` , �I"� furnished and installed by CNA or Gck., Com-Contractor, including
FA(�E OF V«'�LL distribution rocks, eonerel3eY raelu, telephone switch, tables,
flI_Gd d MR1UMF; LIT` R MULLJGr1J yM�LIL FTIT chairs and computer equipment.
ABBREVIATIONS: 1
AC ACCOUNTANT
AU AUMTOR r-I
A/V AUOIOMSUAL _ _ I I I ❑ I —❑ -- --
C CLERICAL
CCU CLAIMS CLERICAL UNIT ( I` URS`J I I h�'� ❑ n` ^\ ❑ 7
CF COFFEE ._. J -L I - le MANA�ER WE 72 WT I _.1 ^ => `� % r ? L
CHU CONTINUOUS HANDLING UNIT 17 -'T I P = __ _ /
tt :Lows ' wee 2I Tr - „ � r_ _ _ __ r r _ _ L __ , �/ �. �. Q
CS CUSTOMER SERVICES I_ __Ji CCU I I� l_W7 1 21 W'T J L_WT S2r WT 1 I WT , Ig FC
SPI Q <\ �� ,� '-J
L __ J
CR COAT RAO( 1 I j L< -y -T-T___ V -, r
OE DATA ENTRY IBM �U ___� I I I I I dl COII(ERENCL) < j
0/SP DIVISIONAL SUPERVISOR _ J- _ _ I I 3 .J
E% ESTATE B ) 21 4224 I w r IHU -'� +-_ __ -1 I__ _ y 1 1 11 v v
EBP ESTATE BUSINESS PLANNING �� 1:.CU 2. .-"�RT� J 1 ,1ER I _1 ■-1 4 - �/ II {�
4 _T_ _J LL LIHU2_ �s I WT J CHU 21 21 GNU / C44U 6 I 1LI2 CHU B I Z
LC LOSS INITIAL
CONTROLG UNIT ' I___, i-, ^` N Z
LSO LIFE SALES OFFICE I 1 I I I Q I I - { )
LSF LIFE SALES REPRESENTATIVE r---1r .d4I-I-L ---I I 1I I I I I Q 1050
MF MICRO-FICHE IV&A 1 i%2j CY.0 I I r-_--y_1_� _ _� 11_I___., I ' r- I >
Pe PERSONNEL _S_TT_L _ __J SHUT 14 WT /CHU 1 �2': CHU3 1 /CNU 5L A21CHU 71 (1) 111
PA PREMIUM AUDITA! r-� I L ___ -_ ___ J -J I__ - -I- _I- �-� L-_ _J_ 1_ _ J I 1_1, _ _ _1_I-_ I BASE CABINETS WITH
K ^� BREAK ROOM
PC PERSONAL COMPUTER OPEN OFFICE (� 6' L I- 1 OVERHEAD CABINETS PLASTIC t
PL PERSONAL LINES �G \ ICCUI I I 1 Q OPEN OFF/ - L LAMINATE FINISH AND PLASTIC
PRT PRINTER I ,,'p, MI hI_d1 1 1 ! 7 I ,10 L.IJ
i I SPI V ,1 —� _ _ rL ' O 4'I Mlf- 'I _..11 1 9 4j I I Ili i 4
R RATING �� _-} fI tr 'I�- - ,0 v LC Il - - LAMINATk COUNTERTOP
RE RECEPTIONIST VQ' r -� - b/5736/STrb/ST- ~ 6/ST ib/51 r - F- T -T-- F- - T--T -", -. - _ _� _ �-_ ___ I I—TFEq— O
7 -T
b/5 r' )6 4T 36/57 b/57 q2/5T •II/ST 42/47 Jb/573b/57736/$Tr -� L-J L_ J
5 SALES RL W n D I WT WT WT 16/qT 4.!/57 42/47 d)
Si SECRETARY /� iii F� UT 7111Li� 1 L.µLt-I IF- W 1 - c ROU A SHELF I I.SR �-
SP SUPERVISOR / L f-G L _ = 1 _ HS I WT _J I to -
% L_L== COMMUNICATIONS ROOM I LOW WA L ;1103
SV SURETY ,`1 ._ - tel__ L z 1 - 1
SV SERVICES i�LC 7 / LETTER ' 1 METER SCALE �D I
T TYPIST // OPENER ACT TLRM q fI N
--_ r a ,,, T ,D
1 11014 .
IN TECHNICIAN Vv ITT L PRINT ROTI F
TR TRAINEE F'-Y 11 F--1 - - - FAX F109a SEL 1/4 PLAN
C, ART i - r - - �t 't�=�� -r� � — ,0
CART C;TRI ART I I U II 6
R TRANSCRIBER � rt,
U UNOERMITING t y -T I I f � k:LPS 1 E-�
U/SP UNIT SUPERVISOR LJ I I I I I I i t I I I I� 174 1 I I SEE 1/4' PLAN
WT WORKiTABLE i_.'y h�J i F-tJ411I /I �, P 7
WP WORD PROCESSING
U '� I- T� I'I ELE TOR �R 916 S+HILFi n
� ��- �-.'�� �{.,•�'•� I--�•'i � i I 1 MfCli. ROOM
L_1 JI i t I j j I I CoCz
P t— I I ^e. iB 7 - — Q
iI ` d 'L`-T FINISH NOTES: ❑
I- T� E-"F-.1 f.-L-� I )--- ROU A /SHELF ) 3-fel__ _
CONSTRUCTION SYMBOLS I I I I I i i I IIW7 I/j/q,(( '"T'� �� qli valla shall receive Wall covering except for exterior knee
F �1� I J 1 I I / �S��JLT� LR.C"('IA F'�. ��I RECEPTION wells which Nall be painted. The walls shall all received the
EXISTING WAIL TO REMAIN t I / bate vin 1 color exce t those noted to receive an accent color.
� I I I I I I I I �� Jr�O SId CI SIDE LIGHT 10 r-� Tenant is responsible pfor es wallcovering coats above $1.50 per
SLOW PARTITION 3'-6' HIGH ' I I I I y� I J I L I\ O 0 CWIP/-?---'W"J ELI CI C• BO square foot: y
=NEW COUNG HIGH PARTITION i i j 1 I T I I I T yq y>�17`iCi PC1 - BABE VWe: Canon Sand Castle Type II S: 5 53 77 - Cloud
-WALL TO BE REAOVED I I I I I SIGN TO BE L1J FURNISHED ACCENT 111: Canon Chadwick Type I 11 72 XR - Plumross LLJ l_1J I t_LJ I'
ALL ELECTRICAL TO BE 110 VOLT is tYCNA. ACCENT 11: Canon Diagonal Linen Type II F 2 78 HT - Heath Q
UNLESS INDICATED OTHERWISE nehrr Finishes will ee As Follows: ❑ Z
Q DUPLEX ELECTRICAL FLOOR OUTLET DEMISING WALL V
O4 OUADRAPLEX FLOOR OUTLET MEN WOMEN ELE A ORJ •'INYL BASE: Armstrong E 14118 - Gray, 2-1/2", Straight
(?)a DEDICATED FLOOR OUTLET
..qq' DUPLEX ELECTRICAL WALL OUTLET PAINT: To Hatch Base Vinyl Color
-Cs+ QUADRAPLEX WALL OUTLET IIIF--IIII CARPET: Lena Faculty III 1L2746 3160 - Helium
DEDICATED WALL OUTLET `--' ❑ ❑ ❑
Tenant is responsible for carpet costa exceeding 51).95 per square yard.
Q TERMINAL FLOOR OUTLETE3.
VINYL TILE: Armstrong Future Tile 156817 - Mauve II
"Q TERMINAL WALL OUTLET y
4 TELEPHONE OUTLET , PLAITS tl
I••1 gl
LAMINA F,; Formica 0961 - Fag b07
10 TYPE 11 MOO WALL RECEPTACLE 1� 0
Furniture Finish Notes:
v2 WORKSTATION PEDESTAL - DUAL 1
to
WORKSTATION PEDESTAL - 7BRE. ROOM
CHAIRS: Color 8 - Gtaphlte Blue « m
BRE ROOM `rM\ eee90pp
' TABLES: FO-'Ce 4 961 - Fog qo
Ck r
T'IPE II MOD WALL RECEPTACLE RECEPTION ad
CONTAINS: c11ALRs: Architex - Victory - Woodhue
A. 00
(1) IBM TYPE I CONNECTOR0 Iso
I W L N
(7) RJ-11 DATA CONNECTOR
z u o � N �
w W 0 0 0
7 RJ-45 VOICE CONNECTOR U « m o
fl
WORKSTATION PEDESTAL - SINGLE CONFIGURATION
14-1 CONTAINS:
(1) DUPLEX CONVENIENCE RECE?TACLE PROJECT CNA
(1) DEDICATED DUPLEX RECEPTACLE ❑ ❑ ❑ ❑ I� i—f
(1) IBM TYPE 1 CONNECTOR -- -- - IJ LJ
— oAIT 11/26/89
(1) RJ-11 DATA CONNECTOR 10260 SW Oraenburg Rood
(1) RJ-45 VOICE CONNECTOR suite 1101
2 of 3 RISMON
If this notice appeal's clearer than the 3/4/97
document, m
the document is of marginal quality.
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4� BARTCA F
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DOOR SCHEDULE -------- - - --- ---- - __ _ -
41 11111
NO. SIZF TYPE HARDWIRE REMARKS --- -
1
:{ cosi 1t. Racad Lcc:kse� Rated Corzidnr :x;or - -- - - -
with 30 X cul'. Ht. _ - - - - ---
Re-Lite `.virec Glass
Lt 1 r.�t1i, ,lltd t 0 led r1u1 Ie ryF :, 1e �
Bldg. Standard -
110lb 6' X Ht. 3i .ild Pulls,'Lacc^ r — - - _ - '-_
I r �Ir alJ re a Ila t
_ - - _ ew uw -
1101c 50 X FuI1 Ht. 3i-Feld Pul:G/Catch
_ -o" X Ful_ Latchset Ve_::� ,tith :e::ant -- Vii' Ie I h _ T oca 0 itc to ri, a cd c ed e(I
1101d r wlu, t c 1,,. _ cin4 _ >ca ell 1
I105a :{ ._ ._ Ht. Sc .trod Lace-set
1106a 3° a ._._1 it. SC. :Jood Latcasec - -- _ ZZ - --
:{ ;:. Sc :Jccd Lccset 13" }{ t3Y, 'J1dJ alLdtw _ f C Ur u a Ld r LYl rSs�f1,. lei ul �, l ell f C Qd �iiY �'rlls: c:d� u� r:cam / /' OC lc,I :%.
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rc: I 1 re ed rc: , ud re cd re ed re . ted t�r .�{ t ed =771
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-. .._. Rated L,ockset Rased Corridcr Dce,Bg. Standard � Tnew d - -- r�� c,l r,: ,-1 1 e re! fir, - - Jr- -t -- - -i--
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10260 SW Greenburg Road
Suite 1101
3 of 3
R1CMON
If This nolicc appears clearer Ihan the 3/4/97
document, thumm
e docent is of arginal yllalily.
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INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone: 639-4175
Type of Iispection --� � --- - ----
ww Date Regw sted-- —c�� ` �y Time--_ A.M.
Address -_� ��__- uc Permit
Owner -- -- -- Lot
Builder _ /
The following Building Code deficiencies are required to be corrected:
.: .
a
a
..,
Presented to
Approved
Inspector _. ❑ Disapproved
.a
Gate 2— — 7_ 21-- 9C7
f; CALL FOR REINSPECTION
❑ YES ❑ NO
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�pcIN vq� TUALA'TIN VALLEY FIRM: & RESCUE `
AND
~ BEAVERTON FIRE DEPARTMENT _
—FIRE MARSHALS nFFI['F.
_ —
�ig Jw (503) 526-2(469 POSTED:
OCCUPAA'T'
j CONTRACTOR BLDG. PERKT it — —
PROJECT NAME J,v C D!/rJ PLAN REVIEW 0
LOCATION
r JURISDICTION: 1= Be. 2= Du. 3= I?.C. Tu. 6= Sh, 7= Wi, 8= CC 9= WC 0= PIC
COVER FtSPECIAL FOLLOW-UP/REINSPECTION ATTEMPTED FINAL
,l
Framing Separation Walls PJ Sprinkler SvctQm
z El Shaft Fire Dampers (Overhead/MidergrouGad)
LAlarm System H,od' Extug Systems Conference
� t
Ceiling s
Spray Booth g Cover � Other-
9,e-f)a I A
—T +
M1k h'' t `"v � ^ / +C�� + I vim •
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Date: c7 6YA ' Inspector:
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INSPECTION NOTICE i
City of Tigard Building Department {
P.O. Box 23397 O
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection tL �%cam a'�._. --�•_.
Date Requestcd_—'2 �� � _— Time A.M.--' P.M.
Add-sss 1�- /Z— Pei mit
Owner - - —C—/ --- l Lot # _
Builder --- -
1 he following Building Code deficiencies are renuired to be corrected:
M
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1
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Y
hE Presentad kAApproved
;
Inspeilor ❑ Disapproved
+. Date
CALL FOR REINSPECTION
❑ YEs Ll NO
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TUALATIN VALLEY FIRE & FESCUE
AND .
BEAVERTON FIRE DEPARTMENT
r" 4755 S.W. Griffith Drive• P.O. Box 4755 • Beaverton, OR 97076• (503) 526-2469• FAX 526-2.538
.y
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January 24, 1990
t
Ingri.m/Mills, P.C.
One Centerpointe Drive, Suite 300
Lake Oswego, Oregon 97035
RE: CNA
Lincoln Tower
1.0260 S.W. Greenburg Rd.
Gentlemen:
This is a Fire and Life Safety Plan Review and is based on the
1985 editions of the Fire and Life Safety Code (UBC) , Mechanical
Fire and Life Safety Code (UMC) , Uniform Fire Code (UFC), and
other local ordinances and regulations.
Plans are conditionally approved subject to the following items:
p 1. New Wall: New wall at door 01114b shall be run from
floor deck to floor deck. This wall shall be not less
than one hour fire resistive assembly preferably that
which was used in the building when i,- was built, UBC
Sec. 3305(g)
2. Door Assemblies: ors #1114b and 1101a shall be of not
less than twenty minute labeled door assemblies (door,
frame, and hardware) equipped with smoke gaskets. Door
r
and frame shall bear an approved testing laboratory
t label. UBC Sec. 3305(h)
3. Relite: Relite adjacent door. 01101a shall be not less
than one quarter inch wire glass set in steel frame.
UBC Sec. 3305(h)
4. Automatic Sprinkler Plans: Plans referred to and
examined by this office contain no provisions for the
4 , alteration or installation of automatic sprinkle•
system. Not less than three sets of plans for th,
installation shall be submitted to this office for
approval prior to installation. UBC 302(b)
F,
Smol.: Detectors Save Lives
6
77.
7
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Ingri.m/Mills, P.C.
January 24, 1990 s,
Page 2 ':',
;) 5. Fire Extinguisher Requirements: Not less than one (1)
approved fire extinguishers with rating of not less
than 2AIOB:C shall be provided for each 3,000 square
feet of floor area or fraction thereof. The travel
distance to an extinguisher from any portion of the •
building shall not exceed 75 feet. UFC Standard 10-1
,t 6. Approved Plans on Job Site: One set of
� PP approved plans
r " bearing the stamps of the building department issuing
the construction. permit and this office must be
maintained on the project site throughout all phases of
construction and must be made available to building and
fire inspectors for reference during required
construction inspections. UBC Sec. 303 c
7, Required Occupancy Certificate: Prior to the use and
n or.---upancy of the project (space) , a certificate of
occupancy or other vritten instrument of approval must
be obtained from the building department issuing the
.1 construction permit, UBC Sec. 307
e
SPECIAL NOTIC2:
' DEVIATIONS FROM THE SUBMITTED AND HEREBY CONDITIONALLY
K APPROVED PLANS DUPING THE COURSE OF CONSTRUCTION,
EXCLUSIVE OF THOSE NECESSARY TO COMPLY WITH FIRE SAFETY
REQUIREMENTS AS LISTED HEREIN, ARE PROHIBITED WITHOUT
THE WRITTEN AUTHORIZATION OF THE BUILDING DEPARTMENT
ISSUING THE CONSTRUCTION PERMIT AND THIS OFFICE.
, f
APPROVAL OF SUBMITTED PLANS IS NOT AN APPROVAL OF
OMISSIONS OR OVERSIGHTS BY THIS OFFICE OR OF NON-
COMPLIANCE WITH ANY APPLICABLE REGULATIONS OF LOCAL
GOVERNMENT.
r
If I can be of any further assistance to ,you, please feel free to
} contact me at 526-2502.
Sincerely,
Gene Birchill f
Deputy Fire Marshal
i
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cc: Tigard Building Department
Alan HotchkiaF
Trammell Crow Company
CITY OF TWA RD
TI
COREIGON
January 23, 1990
r
Lin0a Smith
Ingrim Mulls Architects
One Center Pointe Dr ve, Suite 300
Lake Oewego, OR 97035
Projects CNA Insurance, DUP89-2667
llth Fioor, Lincoln Tower
Dear Hs. Smi::h:
t
Durit,g further review of the plans for this project we have noted two
additional items which require charge to comply with code requirements.
p
1. The new wall Laing constructed at Duoi 1114b is required E
to be oris-hour fire-resistive construction from floor to
structure above. The wall forms a part of the corridor.
2. The sidelight at Door 1101a is required to Ye wire glass
sett in steel frames.
These items have been discussed with Alan Hotchkiss, Trammell Crjw, and
have been taken care of during construct.i,)n. We have made notes on the
plaits, and no revised plans are required. We are sending this updated
rev'._ew for your information at.d records.
i
If you have questions, or if wee may be of assi3tance, please contact us
at any time.
t
Sincerely,
Jim Jaqua V
Plans Examiner
FAX (503) 684--7297
i
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s
13125 SW[loll Blvd.,P.O.Box 23397, n
Tigard,Oregon 9723 (503)b39-4171 —
A , INSPECTION NOTICE
City of Tigard Building Department '
P.O. Box 23397
Tigard, Oregon 97223 r /
Phone: 639-4175
Type of Inspection _
Date rieSu_ated l — `7 U -rime A.M._�{ P.M.
Address �{�u_ _ — Permit #Y2 67
U
Owner, t�' Lot #
r '{b Builder -._—J --- — --- — -- -
f �
The following Building Code deficiencies are required to be corrected:
its.-�-+� n.C..-e--✓ _�__. -_ �
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Presented to P Approved
inspector Disapproved
o
1 Date
CALL FOR.REINSPh'CTION
YES L7 NO
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BUILDING PERMT..T �
CITY F TIGA5
RD 7, . PF.I?MJ:T NO. : BUf39i�66'7
COMMUNITY DEVFLOPi11 ENT DEPARTMERD
NT "Of1 AT •. 1_ IJF.. ).
13125 S.W.Hall Blvo..P.G.Box 23397,Tigard.Oragon 47223,(5031639-4175 � PRIM . PM"T'.NO 1392667 •
JOR ADDPEGG : 1.0260 SW S1 J.01
' 'T OX MAP/ 'T OWER Fl_EVF-:N'T'H F"LR L.'T' : L:K :
A LAND USE: 1
I-OT 5"1ZE: VALUATION: A 49,784 SETBACKS
FRONT: i2l:raR
WORK CLASS : ALTERATION DW'*--I-L.. .UN1 T,-:; : LEFT: 14 J:G,I I T'
USE TYPIC : : COMMERCIAL NO. BI;j G()M!:) : EXT .WALL (:',ONS'T' :
CONST.'TYPE:: I IFR NO . B(-'#THG : N: S: E : W
C)C(:l.JP.GPIP . : BE! PROI .OPENINGS :
OCCUP.LOAD 72 N: S : E: W :
'11.1•T•AL AREA : 6060
NO.STORIES : 12 IST : ROOF CONST . A FIRE RE:T'7 YE:!
HF IG.HT : 370 2ND: AREA 5I:;-,PAP'( NO RATED:
BASEMENT? NO 3RU: (JCCUP , SEPAR'7 NO RATED: r
ME:"1. ANINF? NO PAS['.'M' 'I
F"LOG!T LOAD: 50 (..ARAGE: F II:0_ SPIPKLI417 YES ALARM? YES"
F I..(IW(G,V. DE:'TEC:T7 Y1:5
HEAT TYPE:: GAS HDC P .A(,(::E 51.57 YF:!i CORR7 YES
PLAN RY ,1 '1 J
REMARKS :
TGrrllsrty. Mca(:l : C: .hI .A. Inmt.lr•H1.1)Cf.:) Pl:::J:5!A.)E OF: NO .
Fit
O
T'r et.nlmr,�1'I. C;r c3w 1:,E:I74MI'T' •£'E:13. OU
W PLAN RF::V JA;.W J.IF)13. 'i)!•:1
N FIRE DE'7T lt1.1.:3.2.
F
N STATE: 'T'AX $ 1.4 . 1.5
OTHEII
DEVF:.I_c.INME.N T C.HAI't(AE.S :
C HOTCHKISS ALAN SDC( STORM)
O T PAI1MLI.A.. CROW ("(3 . SDI'.:
' N
T 10260SW (,Pl-:.F.NBIJRG RD 5 . 750
PDC( ) f
A L.i.!:11itI,cl tar 5►% 'c!;'( PREPAID < !hi"J7 . :1.:'.i> t
C PHONE: (503)3) c AL5-"-9A00
L
O RFiG;IST'RA'T'7:C)N NO . 'Trrs.mmEel:l. "TO"T"AL.. ; 31"c'197 . 15
R
REC:E I P'T No q
This permit is issued subject to the regulations contained In Title 14
of the TMC. State of Oregon Specialty Codes,toning regulations REQUIRED INSNE1;'T'II:)N5
and all other applicable codes and ordiriances, and It is hereby 51 A13
agreed that the work will be done in accordance with the plans and FRAMING
specifications and In compliance with all applicable codes and 3:NSUL..A'T 'llON
+ ordinances. The issuance of this pormit does not waive restrictive GYP. BOARD
+ covenants Contractor and subcontractors shall have current city
business tax permits. This permit will expire and become null and SUSI�E:ND. C:E.J.I...:I:N(:.
void If work is not started within 180 days,or if work is suspended or F'I NAL
aba+ldoned for a period of 180 days •1ny time after work has
commenced. It shall be the responsibility of the permittee to assure
all required inspections ere requested and approved.
Permittee Signature
Issued By: � CALL FOR INSPE''IT"IUN 6;39 /11.7.5
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE '
WE
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigar f, Oregon 97223 j
Phone' 639-4175 i
•
Type of Inspection
Date Requested Time A.M._I* -
P.M.
/U�1"d ti 6� j -� Permit �
Address c J
b
Owner,/L t—�Tr✓ v��� Lot
�} 3 Builder
The following Building Code deficiencies are required to be corrected:
_ ..-
i
Presented to _. _ __ Approved
Inspector �ZY _ _ EI Disapproved
u Date
CALL FOR REINSPECTION
❑ YES NO
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INSPECTION NOTICE /
r City of Tigard Building Department r' I
!' P.O. BOX 23397 i
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection �iO�� -
Date Requested. ! -rime _ A.M. _— P.M.
y` '°��_
Address —� Q '_ f f1_'� Permit #
-„a�------ — i
Owner LZ f9� �f _^ Lot —
Builder
The following Building Code defic cies are required to be correc,ed:
i�
" w Presented to Approved
Disapproved
W Inspector pP
1s. Date
CALL FOR REINSPECTION
❑ YES ❑ NO
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TUALATIN VALLEY FIRE & RESCUE
AND
A. BEAVERTON FIRE DEPARTMENT
4755 S.W. Griffith Drive• P.O. Box 4755 • Beaverton, OR 97076• (503) 526-2469• FAX 526-2538
a
January 15, 1990 •
McKinstry Company
834 N.E. Couch
Portland, Oregon 97232
Re: CNA
Lincoln Tower
10260 S.W. Greenburg
,I
Gentlemen:
This is a Fire and Life Safety Plan Review and is based on the
1985 editions of the Fire and Life Safety Cade (URC) . Mechanical
Fire and Life Safety Code (UMC) , Uniform Fire Code (UFC) , and
other local ordinances arid regulations.
Plans are approved as submitted,
t
If I can be of any further assistance to you, please feel free to
contact me at 526-2502.
Sincerely,
Gene Birchill '�y
Deputy Fire Marshal
GB:kw
s.
cc: Tigard Building Department '``
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Smoke Detectors Save Lives
n !
CITY OF TIGARD
PLUMBING PERMIT - � 13125 sw HALL BLVD.
P. O. BOX 23397
Applicants must hold Oregon Registration to conduct a plumbing \ T I GARB r OR 97223
business or must be property owner/operator not hiring outside help.
N ofDevekxpment (503)639-4175 �/ .__,
Plumbing Permit No.���, 4S
Address n II Description
ORS 614-21-610 QUAN. PRICE AMT.
Job Tax Lot Map.No. - --
Addrnss Fix rkj"L-*tj
Lot Block Subdivision _--_--
SinA 7.50 • '�
ame or name
.`uta x l_ub/Stxiwr Comb. -----7.50
ar ass �7 Sl,ower Onl% 7.50
OwnerGty� is Zip WalerCkrsFl- --- ------ -- -7-50-
'�/�p�(� 7.50 - ---
Phor.3 Garbe sposel
a/S Garb-age-EN- --_— _ --- - -- -- -
Name -- Was:'rMg Machine-— - ---7.50 -
%
Fkw, Orain 7.50
mailing Address Phone ---� Water H_eatar / 7.50_ 7 ()
Laundry Hoorn Toty - --- - -,... s
7.50 -
Occupant to/ Zip -----—- -- - -. ----
IFT7I%Q�C�(� Urinal—------ ---- - ---- 7.50 -
-- am ' Phone_.-....___. OdwFixhires(Specify)v - - 7.50
7.50
et ng ress Phpnp -- -- - --- - ----%.5(1 -
Contractor �te , - - - i �. -- _—_ 7.50 --
. , ,f�,�,t,/L� (�� MItiCE1.IJ1NFOltS
City
-- --•-
City&ft Tsx No. Sever 1 st 100' +— _ 30.0U
tate dp. ar�F3o.-- tate - Hirt Bir.•.w o _�ievwx ea.Arfdit.100 `- - -?5.00 —
(Ressdential) Water Service 1 st 100' 20.00
I hereby acknowtedge that I have read this application,Heat!hs k)knhnation Water Service ea.Add-x X70' — - - 115.00 -
given is correct.thel I am registered with the State Builder s t4 8M.and also Sin 6 Rain Drhin I st.100' 11).00
have a State Pkrtnbkig license that the numbers given are oyw�"M that all --- --- -- - --
pkimbong worts will be dome in sarordance.with applicable provisions of oro- Stam 5!o!,jn Drain Addit.100_ -- 15.00 -
gon Revised Statutes Chaplers 447 and 6921 and opptidible codes and that Mobile"or"' 25.00
k!ss
no help will be employed unIkbnnod urxkx ORS 603.(It exrhi"from -__ . _-. _ ------- -- -
State registration,please give reason hslow). Hack f=low Prevention
HOMEOWNERS-I horeby oortify that I am the owner of the l�npFo;/do- m;reaMti PdlulionDevice 7.5n
scribed above,at which location 1 propose b rnafce a pkxy"nQ Inat.'rllar xh sur Arrt Trap or Wash Not
my own use aril this property Is not baN eonstruded for sale,lease or rww Ce-vheded b a Fixhxe 7.50
-------------------------- -- Cak41 Burin -
Msp-of Exist.Pkxnbing 40.00 Per Hr -J
----- --- --- -- Specialty Recluseted Inspedlons - 40.00 Per Hr. _-
Rain Drain,
Single Pam. Dwlg. 15.00
AIJ
ntR r D --
Describe new[] addition( ] aft.dtion O repair[1
19 be cone residential[-I
Existing too of x MINIMUM PERMIT FEF 25.00
NAk*V or aaorty- 1 , - roe-TOTAL
PPropmed U"of 5% SURCHARGE
.1Mtfktp of p"wty -
- - - - 25% PLAN REVIEW ~
NOTICE -- -
TMa gw,, b000nw»M41 and wW f1 wvk or oonatruction rKrBhorlrrsd is not axe -- TOTAL
I W 106d wltfiln 100 dames 0 oenalnu3bn or work r euepwxled a obrandowhed Ior
a period of 180 days tl any Wt»able wcxk is 00nwnarhaM 7 i
ttltatt�lAL 0004047MM �r(� 7
[)ate fAat wd lQ-- _- b ---.--
. K ai x
101jill 11
Receipt#-,�� -L
7TY of TIGARD MECHANICAL PERMIT1�,� ;�q .
Permit #
13125 SW HALL BLVD.
/
1
P. O. BOX 23397 Description —
TIGARD, OR 972123 :able
3A Mechanical Code QTY PRICE AMT(503)639-4175 1) Permit Fee - 0 _0- 10.00
i -
Name of Development�^ 2) Supplemental Permit 3.00
/'� ��� , --- Furnace to 100,000 BTU -
J Job Address ' 1 incl.ducts 8 vents .CO
j Address
r�Cdt� �.
Tax Map No. 2) Furnace 100,000 BTU + 7.50
incl.ducts&vents —
Lot Block Subdivision -
1 Nam! or name of business) 3) Floor Furnace 6.00
incl.Vent
Suspended heater,wall heater
j Mailing Address Pho 4) 6.00
Owner or floor mounted heater
City: ate Zip I J) Vent not incl.in 3.00
j ^ appliance permit
C�' — � Repair of heating,refrig., 6.00 ate►
I Name(or name of business) 6) 6 Oa
Goofing,absorption unit
-
— ��- Boiler or comp to 3 AP " 6.00
Mauling Address r'tL1Of1C 7) absorp.unit to 100,000 BTI.'
' Occupant /Ogre o
Boiler or comp to 3 HP-15 HP
11.00
Zip 8) absorp.unit to 500,000 BTU
•(�' Boiler or comp 15-30 HP 15.00
Name Js I ,r 9) absorp.unit'/z 1 million
S Mailin Address Phnne _ Boiler or comp to 30 50 HP 22.50
g � _ ` �- 10) absorp.unit 1 -1.75 million _-
Contractor �-� U Boiler or comp to 50 HP 31.50
I City/ tate 7ip 1 1)
! , �/��� ��J _ absorp.unit 1,750,000 BTU _
Slate Registration No. City Bus.Tax No. 12) Air handling unit to 4.5u
10,000 CFM -
Air handling unit 7.50
I hereby acknowledge that I have road this application that the information given is 13) 10,000CFM +
correct,that I em the owner or authorized agent of the owner,that plans submitted are in
compliance with State laws,that I am registered wish the State Builders'Board,that the 14) Non portable1 4.50
n
number given is coed.(If exempt from State registration please give reason below). evaporate cooter _— -
-.-_._-_ —_-...-_ ----- 15) Vent fart connected 3.00
Io a single duct
1 -— - --- ---
Ventilation system not
16) 4.50
- included in appliance permit
1.7) Hood served by 4.50
-!mechanical exhaust
Signature( ner or agent) __ Date18) Domestic type 7.50
describe roc Ll addition El alteration repair Elincinerator
to be dons residential U non-residential &Ar' — 19) Commercial or industrial 30.00
type incinerator _
Existing use of -`"—
(tip L� Other i.e.,woodstove,water 4.50
building or properly_ ><.� — 20) heater,solar,clothes dryers,etc. _
Proposed use of
building or property_—_L1�1 ---- 21) Gas piping one to four outlets 2.00
Type of fuel- oil ❑ natural gay ❑ LPG O electric U
--- -- 22) More than 4.per outlet
NOTICE __.-- - -- 2Jiao i
Sl 8 TOTAL
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CON
!
STRUCT ION AUTHORIZED IS NOT COMMENCED WITHIN 180 5:t. SURCHARGE
DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR PLAN REVIEW 25%OF SUB-TOTAL
ABANDONED FOR A PERIOD OF 180 DAYS Ai ANY TIME AFTER —-- !— TOTAL ,�U
WORK IS COMMENCED.
Special Conditions /
Date issued 1 /U f lV by
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CITY OF IIGARD RECEIPT OF PAYMENT FEC NO: 001068'7
CHECN:: AMOUNT : 68.71
P' 'E: LINCOLN TOWER CASH AMOUNT . .00 �
f-,-.,KESS: 102760 SW GREENBURG RCI PAYMENT DATE : 0t-10-90
TIGARD. O; 9727-7-1 BLOC[-:: NO/(
PURPOSE OF PAYMENT AMOUNT F'AID PURPOSE OF PAYMENT AMOUNT PAID
------------------------------ ---------c ------•---------------,------- -------•----
F'LUMBING PERMIT (1-223-C) -7.50 MECHA141CAL PERM (1-�3C) 19.00
STATE BUILD PERMIT TAX (5%) 2.87 PLAN CHECf' FEE (1-23C) 9.78
THANk: YOU �
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TOTAL AMOUNT PAID - - - 68.71
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CITY OF TIFA Ra
OREGON
December. 15, 1989
Linda Smith '`
Ingrica Mills :.rchitects
One .,enter Pointe Drive, Suite 300 F`
Lake Oswego, OR 97035 ,k
Project: CNA Insurance, BP 892667 ,
r
11th Floor, Lincoln Tower
Dear Me. Smith:
The plane for this project were reviewed .for conformity with applicable
codes, and are approved, subject to the fol, wing items.
1. Doors 1101a and 1114b are 20--minute rated self-closing or
automatic closing smoke and draft stop assemblies.
2. No walls except those forming the central core building
service area extend to the structure above.
3. Submit plane for any changes to the automatic sprinkler,
mechanical or pltunbing systems.
You may obtain the building permit for the project at your convenience.
If you have questions, or if we may be of assistance, please contact us
at any time.
SLpcerely,
/im Jaqu?miner
Plans Ex
FAX (503) 684-7297
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13125 SW I SII Blvd.,P.O.Box 23397,Tigard,Oregon 97223 (503)639-4171 - -------
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TUALATIN VALLEY FIRE & RESCUE `
+ AND
BEAVERTON FIRE DEPARTMENT
4755 S.W. Griffith Drive• P.O. Box 4755 • Beaverton, OR 97076• .
(503) 526-2469 FAX 526-2538
December 14, 1989
�-hy4
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Linda Smith
Ingrim/Mills r►
One Centerpointe Dr. , Suite 300
4;
Lake Oswego, Oregon 97035
Re: CNA Insurance
10260 S.W. Greenburg Rd.
Tigard, Oregon
Dear Linda:
This is a Fire and I.i.fe Safety Plan Review and is based on the 1985 editions
of the Eire and Life Safety Code (UBC) , Mechanical. Fire and Life Safety Code
(UMC) , Uniform Fire Code (UFC) , and other local ordinances and regulations.
I
Plans are conditionally approved subject to the following items:
1. Door 0111.4b: Door 01.114b shall be a twenty minute self or
automatic closing twenty minute fire resistive assembly (door,
i frame, hardware, etc. ). This door shall be equipped with smoke
1 gaskets. UBC Sec. 3305(8&h)
I
Please note: plans in the future should be explicit as to what the
dfire rating of the door is, as well as specify the additional
--quipment needed for the door to comply with code requirements.
2. Fire Extinguisher Requirements: Not less than one (1) approved
fire extinguisher's) with rating of not less than 2AlOB:C shall be
1 provided for. each 1,500 square feet of floor area or fraction
I thereof. The travel distance to an extinguisher from any portion
of the building shall not exceed 75 feet. 'JFC Standard 10-1.
3. Approved Plans on Job Site: One set of appravPrl plans bearing the
stamps of the building department issuing the construction permit
and this office must be maintained on the project site throughout
all phases of construction and must be made available to building
and fire inspectors for reference during required construction
inspections. UBC Sec. 303
Y
Smoke Detectors Save Lives
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Linda Smith
December 14, 1989
Page 2
4. Required Occupancy Certificate: Prior to the use and occupancy of
the project (space) , a certificate of occupancy or other written
instrument of approval must be obtained from the building
department issuing the construction permit. UBC Sec. 307 i
If I can be of any further assistance to you, please feel .:ree to contact me
at 526-2502.
Sincerely,
J� '•tH ''a
ene Birchill
Deputy Fire Marshal
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cc: Tigard Building Department
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CITY OF TWAPLAN CHE x APPI_.CATION
PLON CHECK b — I
COMMUNITY DEVELOPMENT DEPARTMENT PERMI'C N `�'�
13125 S.W.Hao ekc.P.O.Box= T.T4wd.Oo*W 97=.(503)639-4173 DATE_ ISSUED
{ JOB ADDRESS: �1:Z(o� �� �O/�/2�1�' i AMAP/LOT
' LANN D USE: ,
SUB: - LO1
VALUATION: 11
SPECIAL NO FES
OWNER
NAME: ---TLAMREISSUE OF
Gt�l�Y Grn�d.��nl< —
ADDRESS: LAST REISSUE:
l0 Z/s�S FLOOD PLAIN/
_ SENSITIVE LAND: _
! PHONE:
APPROVALS RE UIRED ,. (,
CONTRACTOR PLANNING: n
NAME: ENGINEERING:
AF'DxESS. _, FIRE DEPT — b
OTHER:
PHONE: ITEMS REQUIRED
LIST/SUBCONTRACTORS: _
1 ARCH/ENGINEER BUS TAX:
' NAME: CALCULATIONS:
ADDRESS: lokz � ' T1TRUSS DETAILS:
PARKING PLAN: _
LANDSCAPE PLAN: _
PHONE: _--(O � OTHER: _—
COMMENTS: _ /I4 /7�1�1 �� 6� -
PERMIT # ACCT # DESCRIPTION AMOUNT AMOUNT PD. BAL._DUE
_ 10-432 00 Building Permit Fees 100
10-431 00 Plumbing Permit Fees —
266 y 10-431 01 Mechanical Permit F-ees —7�-�-
10-230 01 State Buildina_ Tax (Sx) �1,Z.
Building
Plumbing
Mech
10-433 00 Plans Check Fee
Building
Plumbing _
Mech i
30-207. 00 Sewer Connection
30-444 00 Sewer Inspctiun
51-448 00 Street System Dev Charge
52-449 00 Parks System Oev Charge (PD(:)
31-450 00 Sr:.nn Drainage Syst Dev Chr•g (SSDC) _
f 10-230 09 TRFD [� ��� .L�c—_
10-230 06 Washington County Fire N1 (95X)
10-220 00 rkmart/Wodgewood
TOTAL c 15 `1�1�
APPI-ICANT SIG AT E
(.;rceived By : �VUU� De.Lo Received :
cn/3587P/ 1t:
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