10260 SW GREENBURG ROAD STE 1180-1 10260 SW GREFNBURG ROAD. (1180
CITY OF TIGARD BUILDING INSPECTION DIVISION
24-Hour Inspection Line. 639-4175 Business Phone: 639-4171
Date Requested: 12- —' C( / _ I P.M. MST:
Location: �� �� S ! ✓� � BUR— -- —
Tenant: (✓ �---�' Suite:. J(1a, Bldg: TAk'1
1� MEC: —
Contractor: ' 1)` Phone- C-1.3 0 PLM: —
Chmer:_ Phone: ELC:V
ELR—�—f
51-0757- Slr:
BUILDING BLDG(con't) PLUMBING MECHANICAL _ ELECTRIC SITE
Site Post/Beam Post/I3cam Post/I'-.am Cover/Service Sewer/Storm
Footing Roof Undl l/Slab Rough-In er m Water Line
Slab Framing Top Out Gas line o -In UG Sprinkler
Foundation Insulation Sewer I food/Duct Reconnect Vault
Nsmt Darr,- Drywall Storm Furnace Temp Service MIBC.
Masonry Ceiling Rain Drain A/C UaA66=N
Shcar/Sheath Fire Spklr/Alm Crawl/Found Dr I feat Pump '51—w Vo _
Approved Approved Approved pproved Approved
Appr/Sdwlk Not Approved Not Approved Not Approved _ pproved Not Approved
FINAL FINAL FINAL FINAI,
— -- — -------- -
--- l VILL_ 0 .K --QIP/_ ' � � ------- -
-�
O Call for reinspection e' s ion fee of.Y _ aired pk 'i` ai 17 I Inable to inspect
Inspector: Page —of —
CITY OF TIGARD BUILDING INSPECTION DIVISION
24-Hour Insp-.ction Line: 639-4175 Business Phony 639-4171
Date Requested: "`_477 M. __ P.M. MST:
Location: za.)u2
BUP: -0�
Tenant: Suite:�(�y,�_Bldg:W� MEC:
Contractor: Vem, Phone: v CTPLM: _
Owner:_. ' _Phone:� r ELC:.__
�-- r� ELR:
SIT:
BUILDING(con�f), PLUMBING MECHANICAL ELECTRICAL SITE
Site FovV(iciun Post/Beam Post/Beam Cover/Service Sewer/Stotts
Footing Roof UndFUSlab Rough-In Ceiling Water Line
Slab Framing Top Out Gas Line Rouf,h-In UG Sprinkler
Foundation Insulation Sewer Hood/Duct Reconnect Vault
Bsmt Datnp Drywall Stonn F-amace Temp Service MISC.
Masonry Ceiling Rain Thain A/C UG Slab
Shear/Sheath Fire Spklr/Alm Crawl/Found Dr I lest Nunp Low Volt
Ap;roved Approved Approved Approved
Appr/Sdwlk Qproved Not Approved Not Approved Not Approved Not Approved
FINAL ` FINAL FINAL FINAL FINAL
Cl Call for reinspection O Reinspection fee of S_ _required before next inspection f3 Unable to inspex:t
/ /1 —
Inspector: `/�� v._. —_� Dole:Y/.l-' /.7_-_�Zy Palle —of
CITYO F TIG A R D ELECTRICAL PERMIT
02
DEVELOPMENT SERVICES PERMIT #.- EIDATE ISSUED: 12/C97-0806/97
13125 SW Hall Blvd., Tigard,OR 97223 (503)639.4171
PARCEL.: .19135AB-03400
SITE ADDRESS. . . -. 10260 SW GPIFNBURO RD #11.80
SUBDIVISION. . . . :TOWN OF MEILGER ZONING:C—P
BLOCK. . . . . . . . . . : LOT. . . . . . . . . . . . . :014 JURISDICTION: TIG
Project Description: Installation of four (4) branch circuits to commercial site.
----._---_-------------------------------.--
--RESIDENTIAL
--------------------------------------------RESIDENTIAL UNIT----- ---TEMP SRVC/FEEDERS---- ------MISCELLANEOUS-_ _
1000 SF OR LESS. . . . : 0 0 — 200 amp. . . . . . . : 0 PUMP/IRRIGATION. . . . : 0
EACH ADDIL 500SF. . . : 0 201 — 400 amp. . . . . . . : 0 SIGN/OUT LINE LTG. . : 0
LIMITED ENERGY. . . . . : 0 401 -- 600 amp. . . . . . . : 0 SIGNAL-/PANEL. . . . . . . : 0
MANF. HM/ SVC/FDR. . : 0 601+amps-1000 volts- : 0 MINOR LABEL ( 10) . . . : 0
-----SERVICE/rEEDER---- ----BRANCH CIRCUITS—— -----ADD' L INSPECTIONS—
0 200 amp. . . . . . : 0 W/SERVICE OR FEEDER: 0 PER INSPECTION. . . . . : 0
201 400 amp. . . . . . . 0 1st W/O SRVC OR FDR. : I PER HOUR. . . . . . . . . . . : 0
401 600 amp. . . . . . : 0 EA ADDIL BRNCH CIRC: 3 IN PLANT. . . . . . . . . . . : 0
601 1000 amp. . . . . : 0 --------_—_._—____—PLAN REVIEW SECTION------------------
1000+ amp/volt. . . . . : 0 > =4 RES UNITS. . . . . . . . : ) 600 VOLT NOMINAL. . :
Reconnect only. . . . . : 0 SVC/FDR ) = 225 AMPS. . ' CLASS AR-A/SPEC OCC. :
Owner: ---------------------------------------------------------- FEES
LINCOLN TOWER type amai.tnt by date recpc
CONTINENTAL MORTGAGE PRMT $ 50. 00 TJH 12/08/97 97-301499
10260 SW GREENBURG RD #1160 5PCT $ 2. 50 TJH 12/08/97 97-301499
TIGARD OR 972;F'3
Phone #.-
Contractor:
CHR ISTENSON ELECTRIC INC $ 52. 50 TOTnL
III SW COLUMBIA
GTE 480 REQUIRED INSPECTIONS
PORTLAND OR 97201 Ceiling Cover Elect' l Servic,
Phone #•t 241 -4812 Wall Cover Elert1l Final
Reg #. . : 000004
This permit is issued subject ts the regulations contained in the Tigard Municipal Code, State of Oregon Specialty Codes and all ether
applicable laws, All work will be done in accordance with approved plan!. This permit will expire if work is not started within 180
days of issuance, gr if work is suspended for more than 188 days. ATTENTION: Oregon law requires you to follow the rules adopted by
the Oregon Utility Notitication Center. Those rules are set forth to OAR 952-01I-0110 through OAR 952-181-1987. You may obtain a copy
of these rules or direct questions to OLPIC by calling (50246-1987.
Permihtep Siqnati-Irp : e- d B y
INSTALLATION nN1
The installation is—being made nii provPrtY I own which is not intended for
sale, lease, or rent. DATE:
OWNER' S SIGNATURE:
--
-----CONTRACTOR INSTALLATION ONLY----------------------------
! I GNATURE
NLY----------------------------
!iIGNATURE OF SUPR. ELECIN: DATE-
ICENSE NO- .........
.....................4........4-+4-++.l........4+++++-++ F +++++++++++-4.........
Call 639-4175 by 7:00 p. m. for an inspection needed the next bi.tsinps,-, day
14......1-...........................1.........................................f_+++++4
IlJ/A
CiTYOFTIGARD Electrical Permit Application Plan Check lf
Recd
13125 SW HALL BLVD.
Date Ree
cd
TIGARD OR 97223 Date to P.E.
Phone(503)639-4171, x304 Date to DST
Inspection (503)639-4175 Print or Type Permit a 1E I- , - d
Fax (503)684-7297 �--
Incomplete or illegible will not be accepted- called
1. Job Address: LINCOLN TOWER 4. Complete Fee Schedule Below:
Name of Development LINCOLN CENTER Number of Inspections per permit allowed
CAL-TABA'i4 PACIFIC 1 BAN Serviceincluded: Items Cost Sum
Name(or name of business)_ _
Address 10260 SW GREENBURG RL SUITE 1180_ 4a. Residential-per unit - +
1000 sq.ft.or less
Cify/State/Zip PORTLAND OR Each additional 500 sq.It.or
portion thereof $25.00 t
Commercial K.XI Residential❑ Lim;ted Enorgy $25.00
Each Manut'd Home or Modular
CEDAR LAKE CO Dwolling Service or Feeder $68.00
2a. Contractor Installation only: 4b.Services or Fenders
copy of Curr 1 ticPnaes) Installation,alteration,or relocation R CCical ih �{g{S F NEON ELECTRIC, :INC.
eCtflCal Contractor'_ 200 amps or less $60.00 2
Address 111 S.W. Z` A -�IICTI✓ 201 amps to 400 amps -� $60.r� _ 2
City PORTLAND _State-OR. _Zip_.97201-5886 401 amps to 600 amps $120.00 2
Phone No. 503-241-4812 601 amps to 1000 amps $160.00 _ 2
Job No._ 222-8416 Over amps or volts $340.00 _ 2
Reconnect
only $50.00
Elec.Cont.Lice.No. 26-34C Exp,Date_ __
OR State CCB Reg.No. 00458 Exp.Date 4c.Temporary Services or Feeders
COT Busineas Tax or Metro No.� 25 46 _Exp.DAte _ Installatior,alteration,or relocation
200 amps or loss $50.00 2
Signature of Su r. Eleo'tT - +,. 201 amps to 400 amps _� $100.0 z
g p ��?� ti. --- 401 amps to 600 amps $100.00 2
Over 600 amos to 1000 volts,
License No. 873S __ Exp.Date__ _ see"b"above.
Phone No._ 501-241-41112 .__ 4d.Branch Circuits
12/3/97 Now,alteration or extension per panel
2b. For owner installations: a)Thu fee fur branch circuits with
purchase of service or
Print Owner's Namel� feeder fee.
Each branch circuit $5.00 2
Address - b)The too for branch circuits
City _ State Zip _ without purchase of
service or feeder fee. 35.
Phone NO. First branch circuit 1 $35.00 2
The installation is being made on property I own which is not
Each additional branch circuit_3 $5,00 r�., •-
intended for sale, lease or rent. 4e.Miscellaneous
(Service or feeder not Included) $40.00
Owner's Signature Each pump or irrigation circle -- $q0 00
Ea-,h sign or outline lighting
3. Plan Review section (if required): Signs„circuits)or a limited energy- $40.00 _
panel,alteration or extension
Minor Labels(10) $100.00 -
Please check appropriate Item and enter fee In section 5B.
_4 or more residantiel units In one structure 4f.Each additional Inspection over
_SenAce and feeder 225 amps or more the allowable In any of the above
System over 600 volts nominal Per inspection $35.00 _
Classified area or structure containing special ocrupancy Per hour $55.00
-as descdbed In N.E.C.Chapter 5 I In Plant $55.00
Submit 2 sots of plans with application t.here tiny of the above apply. 5. Fees: 50.
Not required for temporary construction services. So.Enter total of above fees $ 7 SO
5%u Surcharge(.05 X total fees) $
NOTICE Subtotal $ -52-rJ�
Sb.Enter 15%of line So for
PERMITS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED IS Plan Review it reaufred(Sec-3) $
NOT COMMENCED WITHIN 160 DAYS.OR IF CONSTRUCTION OR WORK Subtotal $ - '
IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY Trust Account k
TIME AFTER WORK IS COMMENCED. $ -�-�-
Total balance Due
I%DSTa\ELC6B APP Rev IW x+
CITY OF TIGARD
DEVELOPMENT SERVICES ELECTRICAL PERMIT -
3125 SW Hall Blvd., Tigard,OR 977.23 (503)639-4171 RESTRICTED ENERGY
PERMIT #: ELR97-0349
DATE ISSUED: 1/08/97
1100 PARCEL: 1S135PB-03400
SITE ADDRESS. . . : 102'60 SW GREFNBURG RD #93-£5
SUBDIVISION. . . . :TOWN OF METZGER ZONING:C--P
BLOCK. . . . . . . . . . : LOT. . . . . . . . . . . . . :O14 JURISDICTN: TIG
Pro_i ect Description: Data Telecommunications installation to commercial site.
----------------------------------------------------------------------------------
A. RES I DENT I AL--------- B. COMMERCIAL-------------------------------------------
AUDIO
---------------------------------_-.-._---AUDIO & STEREO. . . : AUDIO & STEREO. . : INTERCOM A PAGING. . :
BURGLAR ALARM. . . . : BOILER. . . . . . . . . . : LANDSCAPE/I RRIGA-i. . :
GARAGE OPENER. . . . : CLOCK. . . . . . . . . . . : MEDICAL. . . . . . . . . . . .
HVAC. . . . . . . . . . . . . : DATA/TELE COMM. . : X NURSE CALLS. . , . . . . . .
VACUUM SYSTEM. . . . : FIRE ALARM. . . . . . : OUTDOOR LANDSC LITE:
OTHER: : : HVAC. . . . . . . . . . . . : PROTECTIVE SIGNAL. . :
INSTRUMENTATION. : OTHER. . : . .
TOTAL # OF SYSTEMS: 1
Owner: ----------------------------------------------------------- FEES ---------------- -
LINCOLN TOWER type amoi.int by date recpt
CONTINENTAL_ MORTGAGE PRMT s 40. 00 TJH 12/08/97 97-301497
1O260 SW GREENBURG RD #1160 SPCT $ 2. 00 TJH 12/08/97 97-301497
TIGARD OR 97223
Phone #:
Contractor:
CHRISENSON ELELCTRIC INC $ 42. 10 TOTAL
III SW COLUMBIA SUITE 480
------ REQUIRED INSPECTIONS
PORTLAND OR 97201 Low Voltage Insp
Phone #: 503-241--9812 Elect' 1 Final
Reg #. . : 458
Thi! permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes and all other
app icable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 188
days of issuance, or if work is suspended for mare than 188 days. ATTENTION: Oregon law requires you to follow rule adopted by the
Oregon Utility Notification Center. Those rules are set forth in OAR 952-N1-NIA through OAR 952-04M. You may obtain copies of
these rules or direct questions to OINK at 15831246-1987.
I s s rt e d by 1 yf d"''-- Permittee 5 i g n a t i.m e 0?"_�♦ f .-.� ��'�[�i8
.-._--__-_---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:
_..__-....-.._ _._.____CONTRACTOf1 INSTALLAT 1 CIN ONLY---------------- -------- -
SIGNATURE
--------_.--_—_ ------__ .SIGNATURE OF SUPR. ELEC' N: ._._.... DATE:
LICENSE NO:
++++++++++++++++4•++++++++•}++++++++++++•t+A ++++++f•+++++.+++++++++++++.++4-++++++++-1
Call 639-4175 by 7:00 P. M. for an inspection needed the next bi_isines s day
++++++++4..........................f.......4...................................++-# 4 4
++++++++++++++++++++++++++++++++.f•++++++f.++++++++++++++++++++++++++++++++++?-+1 + 4
Community Development RESTRICTED ENERGY ELECTRICAL APPLICATION
13125 SW Hall Blvd EL � + — 0/Jl 4th
Tigard,OR 97223 PERMIT# ELF,
..,a Phone(503)639-4171
FAX(503)684-7297 DATE ISSUED_ V J
TDD No. (503)684-2772
CITY OF TIGARD Inspection (503)639-4175 ISSUED BY � r SfPti"-
PLEASE COMPLETE ALL SECTIONS
1. LOCATION OF INSTALLATION 4. TYPE OF WORK
10260 SW GREENBURG RD SUITE 1165
Address RESIDENTIAL—Restricted Enerrggyy Fee. . . . . . . . .
_ TIGARD 97223 (FOR ALL SYSTCMS)
City State Zip Chuck Tyne of Work Invol
Yell:
PERMITS ARE NON-TRANSFERABLE AND NON-REFUNDABLE AND EXPIRE It WORK ❑ Audio and Stereo Systems
IS NOT STARTED WITHIN 180 DAYS OF ISSUANCE OR IF WORK IS SUSPENDED FOR
180 DAYS. ❑ Bt.-filar Alarm
2. CONTRACTOR APPLICATION ❑ Garage Door Opener*
❑ Heating,Ventilation and Air Conditioning System*
ContractclCHRISTENSON _- Fype_L►LC'I'RtCAT. ❑ Vacuum Systems'
❑ Other-��
Address .._____�——
..1.11--8.k[.--_--COLt12SHIA _SIJLTE-_4N0- _ .PQBTI.ADID OR.
Date_ 12— -97 JOB s 509-4977 COMMERCIAL—Fee for each system .
(SEE OAR 919-260-260)
Property Owner LINCOLN CENTRE CORVEL CORPORATION
Check Type of Work Involved:
Contractor's Board Rei;. No. __00458 ❑ Audio and Stereo Systems
❑ Boiler Controls
Phone# 503 241-4812 ❑ Clot k Systems
:3. OWNER APPLICATION Data Telecommunication Installations
❑ Fire Alarm Installation
-- Cl HVAC
Print Owner's Name Phone No
❑ Instrumentation
Address - `— ❑ Intercom and Paging Systems
❑ Landscape Irrigation Control'
City Slate zip — ❑ Medical
This Ix rmu Is issurd undrr O4k 918-320. 70 This applic.rnt agrees to makr only ❑ Nurse Calls
restricted energy installations orx)volt amps or less)undrr IN%permit,ind to rin 6, ❑ Outdoor Landscape Lighting'
(allowing.
1. unfy use rk drir.d lir Dowd persrms to do installations where required.t(erlain ❑ Protective Signaling
residential anti other r .,%actions are exempt iron licensing,Thrse have ❑ Other
asterisks(•).All others need licensing). --- _
2 Catl for an inspection when all of the installations under this permit are ready
for Inspection at 503.630-417
❑ Number of Systems
I Purchase separate Iwortits for all installations that are not reody(tit inslx-ction — "--,---'
when the Impertor is out to Inst,m I under this Permit. 'No[it Posr-s are required. Licenses err required for all other installations
4. Assume responsibility for assuring that all rorreruom required by the inspertor
Are done,and
5. Assume wsiwnsibllity for calling fora final inspection when all of the 5. FEES
corrections aie completed.
The person signing(or this permit must he the applicant ora person a. Enter Fees $ 40.
authorirm�to hind the applicant.
b. 5%Surcharge(.05 x total above) $ 2.
Signature ( f
TOTAL $ 42.00
Authority if other than applicant
ENERGARCHP
CITY OF TIGARD BUILDING INSPECTION DIVISION
24-Hour htspection Line: 6394175 Business Phone: 6394171
Date Requested: _ /// - �__� A.M. P.M• _ MST:
BUR
Location: i
fcnant:
V l Suite:
Bldg: MEC:
�.[: iu�:�Q� n d —5.d�— Phone: _ PLM: _r_
Contractor' _ -
Phone: Q x G] ?ELC:
-
%/ (L �r! 1. /�I' ( Z.( C `( C l� !_f l•1 ELR:
;��7,- „k,; SIT:
BUILDING BLDG(coni) PLUMING MECHANICAL ELECTRICAL SITE
Site Post/Beam Post/Bcam Post/Beam C^vcr/5ervicr Sewer/Storm
Footing Roof UndFI/Slah Rough-In Ceiling Water Line
Slab Framing 'Top out Gas Line Rough-In Vault
UG Sprinkler
Foundation insulation Sewer I iood/Duct Reconnect
Bsmt Damp Drywall Storm Furnace Temp Service MISS.
Masonry Ceiling Fain Drain A/C UG Slab
Shear/Sheath Fire Spklr/Alm Crawl/Found Dr Ifeat Pump Low Vo!t _
Approved Approved Approved CApprove Approved
Appr/Sdwlk Not Approved Not Approved Not Approved Mr7qWbved Not Approved
'SINAI. FINAL. FINAL AO&AL FINAL
C1 Call for reinspection Clnspection fee of$— required beffoore`next inspection O l)nahle to inspect
llate: ..r v�v
!!7
Page- of
CITY OF TIGARD BUILDING INSPECTION DIVISION
24-Hour inspection Linc•: 639-4175 Business Phone. 6394171
1-1(= ' - - A.M. P.M. __ MST: _
Date Requested: _ BUR
Location:
Suite: 31dg: MEC'
ne: PLM:
Cunlrfictor: .��.
.Sho ! —_---
f Phone: ELC:_
ELR: �7 t
SIT:
_ _ —
MECHANICAL F LCL RCI AL SITE
BUILDING BLDG(coni) PLUMBING Post/Beam Cover/Service Sewer/Storm
PostlHeam Post/Beam Water Line
Site Ceiling
Footing Roof UndFI/Slab Rough-[n tJG Sprinkler
ro Out Rough-in
Slab Framing p Gas Linc � Vault
Sewer Hood/Duct Reconnect
Foundation Insulation Furnace •temp Service MISC.
Bsmt Damp Drywall Storm UG Slab
Masonry Ceiling Rain Drain A/C
Low Volt
Shear/Sheath Fire Spklr/Alm Crawl/Found Ir I[eat Pump Approved
Approved Approved Approved Approv ved Not Approved
Appr/Sdwlk Not Approved Notrovcd Not Approved N FINAL
AL
FINAL FINAL
wired before next inspection O tJr.able to inspect
D Call for reinspection R•' spection lee of -7
�1 / o
"_ [� f � Page of----
hrspectot:_ _ - ------ ---'
Date: _
p1��
� n
CIT;'OF TIGARD BUILDING INSPECTION DIVISION J�
24-Hour Inspection Linc: 639-4175 Bu..iness Phone: 639-4171
Date Requested: �(! M. P.M. MST: _
A
Location: BUP:_
Tenant: Suite: Bldg:
Contractor:
p„7Q7"Yl/ -- Phone: )1 PI.M: _
Owner: _ Phone: ELC:
3 9?1d�z
_ �----- SIT:
BUILDING BLDG(con'tt PLUMBING MECHANICALLItCT14 CAL SITE
Site Post/Ilcam Post/Beam Post/Bearn Geyve mervice. Sewer/Storm
Footing Roof UndFI/Slab Rough-In Ceiling Water Line
Slab Framing Top Out Gas Line Rough-L. UG Sprinkler
Foundation Insulation Sewer Ifood/Duct Reconnect Vault
Bsmt Damp Drywall Storm Furnace Temp Service MISC.
Masonry Ceiling Rain Thain A/C UG Slab
Shear/Sheath Fire Spklr/Alm Crawl/Found Dr I feat Pumpow Volt
Approved Approved Approved Approved Approved
Appr/Sdwlk Not Approved Not Approved Not Approved Nol AjWrovcd Not Approved
FINAI. FINAL FINAL INA FINAL
0 Call for reinspcctiot C1 spection fee of S _ required before next inspection C]llnahle to inspect
Inspector Date: �— �p.ge__ of_-
r
CITY OF TIGARD BUILDING INSPECTION DIVISION
24-Hour Inspection Line: 6394175 Business Phone: 639-4171 �r
r A.M. P.M.
Date Requested: BUP:
Location: _ D C S- :_L/ Bldg: �FC.
Suite �''—
Tenant: PLM:
_ Phone: -------
Contractor:�tid� — FLC:
Phone: r
Owner:
MECII4NICAL Y 'RI CAL SIT: SIT-----
�1�1 BLDG(con PLUMBING Cove?/Service Sewe►/Storni
BUILDING PosUBcam
Site post,'I3cam PosUBeam Ceiling Water Line
ihtdFI/Slab Rough-In t1G Sprinkler
Footing Roof Gas Line Rough-
In
Slab Framing lop Out Furnace •ri
Reconnect Vault
Foundation
Insulation Sewer p Service MISC.
I1smStorm Furnt Damp t:
CITY OF TIGARD BUILDING PERMIT
n DEVELOPMENT SERVICES PERMIT #. . . . . . . .. BUP97-05 4
13125 S W Hall Blvd., Tigard, OR 97223 ('503)639-4171 DA_C ISSUED: 1(`/02/97
PNRCEL: 1S135AB-03400
SITE ADDRESS. . . : 10860 SW I3REENBURU RU #1180
SUBDIVISION. . . . : TOWN OF METZGER ZONING:C—P
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . :014 JURISDICTION:TIG
---------------------------------
REISSUE:— _.___—__.____—. ~'FLOnIt�pREAS�- _ -- -- EXTERIOR WALL CONSTRUCTION—
CLA36 OF WORK. :ALT FIRST. . . . : 840 sf N: S: E: W:
TYPE OF USE. . . :COM EF.COND. . . : 0 sf PROTECT OPENINGS?----__----
TYPE OF CONST. :2FR . . . . 0 sf N: S: E: W:
OCCUPANCY GRP. :B TOTAL--------: 840 sf ROOF CONST: FIRE RET?:
OCCI"`'nNCY LOAD: 8 BASEMENT. : 0 sf AREA SEP. RATED:
ST01• 11 HT: 0 ft GARAGE. . . : 41 sf OCCU SEP. RATED:
BSMT? : MEZZ'? : REOD SETBACKS--------
FLUOR LOAD. . . . : 0 psf LEFT: 0 ft RGHT: 0 ft FIR SPKL:Y SMOK DET. . :Y
DWELLING UNITS: 0 FP.NT: 0 ft REAR: 0 ft FIR ALRM:Y HNDICP ACC:Y
BEDRMS: 0 BPT'HS: 0 IMP SURFACE: 0 PRO CORR: PARKING: 0
VALUE. $ : 5000
Remarks : Minor tenant improvement within existing tenant area.
Owner: _..___._..._._.._._.._____._.__..____--•--____ _------._________--•--___-- FEES
NORRIS BEGGS Z SIMPSON type amoiint by date recpt
10300 SW GREENBURG PRMT $ 50. 50 DRA 1 1/26/`37 137-301287
SUITE 200 SPCT $ 2. 53 DRA 11/86/97 97-301287
TIGARD OR 97223 PLCK $ 32. 83 DRA 11/26/97 97-301287
Phone #: 452-5900 FIRE $ 20. 20 DRA 1. 1 /26/97 97-301287
Contractor;
rEDARLAKE CO
DONALD EUGENE BOYD
1331 WASHINGTON ST
VANCOUVER WA 98660
Phone #: 360-694-8000 $ 106. 06 TOTAL
Req #. . : 011441
--- --- REQUIRED INSPECTIONS - --
This permit is issued subject to the regulations caniained in the Framinq Insp _..... ......_...._..._.......
..._____._..._.....____
Tigard Municipal Code, State of Ore. Specialty Codes and all other Gyp Board Insp
applicable laws. All work will be done in accordance with Smsp Cei ing Insp
approved plans. This permit will expire if work is not started
within 160 days of issuance, or if work is suspended for sure
than 160 days. ATTENTION: Oregon lam requires you to follow the
rules adopted by the Oregon Utility Notification Center. Those �____ ._ _--__•�
rules are set forth in OAR 952-001-0010 through OAP,
You many Wain a copy of these rules or direct questions to OUNC
by calling 15031246-1967.
Permittee S i q n at l.r r e: _. �� � I s s t_r e d y:
++++•4•-P•++•f•+•+++++++..+++++++ +++•h+ +++++•4•+i++++++f•+++++1••++..+++t+++•t•++++•'-+++•F+
Call 639--4175 by 7:00 p. m. for an inspection needed the next business day
+++�i �i•....i••4•+•t•*+i•....-F+++++•++++++++4 {•+++•4•+++++••F•+++++++++++++•++++•F+++++++++++ 1
'ItY OF TIGARDCcrnixte "cial wilding Permit i1 Recd�y
rl Date Recd
13125 SW HALL BLVD. Tenant Improvement `�
,'IGARD, OR 97223 ��J/�' , Dste to DST
k503 639-4171 / ,'•
Permit# If A i
Print or Type Related SWR tr
Incomplete or illegible applications will not be accepted Called
Name of Development/Project �— EXIStIng BUllding VeW Building 0
F Job "N&LN CIE14`rFP—
Address Street Address Suite Building
/02(p65;t0Data
Bldg# cit i ate zip - Existing Use of Building or Pr pewvmtty:
Name ♦ — e— oU-4- _
Property Alefxl'S PPro osed Use of Bu� 9 rtY
ldin or Pro
� P-rtY _ ��1C _�_
Owner Mailing Addiess Suite
;94 ,)1' �
- �ALv ej� �'�a No. Of Stories
Cit /State Zip-- none —
^ :� Q Project:
Sq. Ft. Of ct:
�� ---=--�
Occupant Name
Fir,o 7G t&e
64,x Occu ancy Class(es)
/ / ---- - , --�-- �'
Contractor -� L � _ Types) of Construction.ry-` � 0
Prior to permit Mailing Address butte _�— �••1/•
issuance,a copy Will this project h ve a Fire Suppression System?
of all licenses I YesNo (]
are required if City/State Zip Phone A�nerlCa'IS Witi���i D'Irsab lities Act ADA
expired in C O.r (ADA)
database Valuation X 25% = $ .21-e t e articipation
Oregon Const.Cont.Board Lica Exp Date i [Complt?te Accessibili Form
Project -- $ L►.�D -
^' N e --„_ _- Valuation =1�
Plans Required See Matrix for number of sets to submit
� ftailing Address - suits --- on back
Qty/stale — 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
that plans submitted are in complianre with Oregon State Laws
Engineer Name
t
Dat
Matling Address �^ Suits
C act Person Name Phoneme
C-tylState ZipPhone
–_-- _ —_ FOR OFFICE USE FONLY
Indicate type of work: New O Addition O Demoli'lon O Map/TL# /] + Land Use:
Accessory Structure O Fuundation Only O Alteration
R!pair O Other O Notes
Descript on of work::
4 '///ITIF
,� �yI
Parke: Estimated 0 of Employees — -- ----�— ---
Note: Site Work Permit Application must precede or accompany Bollding
Permit Anplicatlon
I`COMNEW DOC (DST) 8197
COMMERCIAL PLAN SiiBMITTAL
REQUIREMEIrT MATRIX
DISTRIBUTION TO PLANS OUT TO DST
EXAMINERS _(Note a.)
TYPE OF SUBMITTAL 'TOTAL CPE PPF; EPE CPr. PPE EPE
SITE 1 1 -- - 3 (j,o,ui -- --
B (New or Add) 1 i -- - 3 (j,o,v,) - --
F (New or Add or Alt.) 3 3 -- -- 3 (j,o,f)
M (New or Add. or Alt) I l --
B & M (New or Add) 1 1 -- -- 3 O,o,w) -- --
P (New, Add. or Alt; ? -- 2 -- -- 20.0 --
B & M & P (New or Add.) 2 1 1 -- 3 (j,o,w) 2(j,o) --
E (Nein, Add, or Alt) 2 -- -- 2 -- -- 20.o)
11 & M & P & E ("New, Add) 1 1 1 3 (j,o,w) 20,o) 20.o)
B or B &M (Alt) 1 1 -- -- 2 6.0 -- --
B &M & P kAlt) 3 1 2 -- 2 j,n) 20,o) --
B & M & P&E (Alt) 3 1 1 1 2 orc,) 2(j,o) 20,o)
KEY.
a. Before r,2turning to DST, PlanF examiner gets appropriate j = Job B = BUP
number of revised plans from applicant, stamps and completes, o = Office M = MEC
updates and adds actions. f'= Fire P = PLM
u = USA E ELC
b. Shaded areas designate ALT bArnittals only. w = Wash. County F = FPS
c. FPS is a new permit category set aside for Fire sprinklers and fire alarms.
d. Effective August Is, V197, Tualatin Valley Fi*e and Rescue no longer requires a set of
approved plan: w be forvarded to their office.
Exception, continue to forward a ropy of approved fire sprinkler and fire ala,m plans with
calculations.
h trnatne Doc
OVER-THE-COUNTER (OTC) PERMIT
COMMERCIAL ( STRUCTURAL) BUILDING PERMIT CHECKLIST
DESCRIPTION OF PROJECT
1;*Ac7k- Lto*A"'/ /WV*9y&nV4 ;;4,�i� 104�_
CLASS Oc WORK: FLOOR AREAS EXTERIOR WALL CONSTRUCTION
I I
TYPE OF USE: 6G"1�J7ow FIRST —_ SO FT. i N. S: E: W:
TYPE OF �►y�
CONSTR: SECOND SO. FT PROTECT OPENINGS?
— I I
OCCUPANCY GRP: R THIRD SO. FT. N: S:____— E: W:
OCCUPANCY LOAf): 4�5 TOTAL SO. FT. i ROOF CONSTR: FIRE RET'.
I I
I �
FTOR:// HT:— FT i BSMNT SOFT. AREA SEP. RATED _
— I . I
BSMN r? MEZZ? i GARAGE: SO. FT. OCCU SEP RATED
FIRE V, FIRE SMOKE ✓" HANDICAP
SPRINKLER: _ ALARM: _ DETECTOR: __— ACCESS: _—
--COMMERCIAL INSPECTION ACTIONS -- _FEE MENU — —�
FooUFot id PosUBeam $ Permit Fee
— Masonry Framing
$ 1-`�' Plan Review
Insulation Shear Wall $ 5% State Surcharge
Firewall Gyp Board $_?�'' FLS Plan Review
Suspended Ceiling `—_ Sprinkler Rough-in $ Add'I Permit Fee
Sprinkler Final Fire Alarm $ Add'I FLS Pln
Smoke Detector Approach/Sidewalk $ Inspection
Miscellaneous �,�. Final $ _MIS Fee
106
FOR OFFICE USE ONLY:
'TYPE OS USE OPTIONS(COM=comrnercial; CMS=cornmercir,l manufactured structure)
CLASS OF WORK OPTIONS FOR ALL PERMITS(NEW=new Add=addition; ALI-alteration: ACS-accessory;FND-foundation.
O'TR=other: DEM=dernolition; REP=repair; FPS=fire protection system, NOTE: USE OTR FOR FENCES. RETAINING
WALLS. DETACHED DECKS. SIGNS, AWNINGS. CANOPIES)
I lovrcntr2 doc (DST) 4197
i
11/26/97 W'ED 1 1:-11 FAX 503 244 1400 NORRI S BEGGS BOB BECKER 001
- —— -— Pacific One Bank
Lincoln Tower #1180
FR 7F1E1 IN'IrER IIOY��
(attachment to Submittal Critesla)
SUBJECT: ACCESSIBILfrY
BARRIEK REMOVAL IMPROVEMENT PLAN
IREQUIREMENT: oftfwWN FtE EU for renoratlonE/Ip nlUon or`1.modNkaUon to at(er3ad tulldings and rarWed faciNlias SUN km
(1) (vary Prolect
made a bmum that the path u. tmver m Ute awith enta and Itte GS$to:h telephones and dlinkft_
fountains okra readily 4rxeasibio to i4tv4dusls with ALauGwStliel,unlelsa aNcf+/lleratuns an disprtapoNonats
to the overall afteratlons In urtns of cost end sac" V be deemed disproportionate to the overop
(Z) Aterwhons 01440 to Urs Path of t mrs a ar solf*a M's
altwadnn when Cis coat exceads twenty
NO?HEREFORE; Each submittal
6uhbuilding nshall ctlilAe s�o�ng
Infprnattan, lExcldng re-roo � m chanical and eletrical permit ppcation
e—f all renovation,alteration or modification befog done ill S ,UUO.00
excwding painting,wallpapering. .25^
fly; 25%Gamer removal requirement
BtlaGET FOR BARRIER REMOVAL. 121 3 _
The dollar amount of the gUD_QkI
established On Ilne (2) in the computation above shall be spent
providing the accessible elements in the following order:
An atxessibie route connecting the building to accessible pedestrian 3 450-00
walkways,
50.00walkways, end the public way. s i d(,w i l k
(including Nut not amited to curb rumps,dstsdsbis warns.
01erked crossings.ramps hondraA�sod tandingsl
s
2 Not less than one accessible parking space.rid curb ra�+a
[rndud'4,g out nrA&nN4td to adjacent access okiai&,stg
000neding with the svaurtbls mule).
$ 800.00 -
3. Accessible entry or entries.
liardwntr
(Inciall"but rW1 Ymked ka ramps,hsndrams,landkigs,
door sill heli^door Width and door hardware)
:
4 An accessible Interior route to the
er area.
produdiriq but not/milted to doorAweys,
riry
dearanon.door hardware and sisirwaysL
5, least one axesslble rastroorn for each sex.
6. At least one accessible telephone where public phones
are provlded-
7. When drinking fountatRs arm required. fifty per c�tt but ;
not less than one shall be accessible-
9 Additional accessible elements such as storage, mch ranges, s
Alarms,etc.
S 1 ,10.00 _
MAL.: llln4�LYaluI CsMAt
iJotc4.doc(DST)