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10260 SW GREENBURG ROAD STE 540-3 0 fJ a) 0 U) t CD (D 7 07 C (:2 a. A 0 l I 10260 SW Gree•-,ourg Rd #540 PERMITS ELC98-0690 CITY OF TIGARD ELECTRICAL PERMIT' DEVELOPMENT SERVICES DATE ISSUED: 11/19/98 13125 SIN tiall Blvd., Tigard,OR 97223(5031)639-4171 PARCEL: IS135AB-03400 SITE ADDRESS. . . : 10260 SW GREFNBURG RD #540 SUBDIVISION. . . . :LINCOLN TOWER--TOWN OF METZGER ZONING:C—P BLOCK. . . . . . . . . : LOT. . . . . . :014 JURISDICTION: 'ri(; Pro Ject Description: Mutual of Omaha TI work Job 162-00497 UNIT---- ---TF-MP SRVC/FEE-DERS----. -- ------MISCELLANEOUS----- 1.000 9F OR LESS. . . . : 0 0 — 200 amp. . . . . . . : 0 PUMP/IRRIGATION. . . . : 0 EACH ADDIL 0 201 — 400 amp. . . . . . . : 0 SIGN/OUT LINE LTG. . : 0 LIMITED ENERGY. . . . . : 0 401 -- 600 amp. . . . . . . : 41 SIGNAL/PANEL. . . . . . . : 0 MANF. HM/ SVC/FDR. . : 0 6014-amps—:1000 volts. .- 0 MINOR LAPr:L ( 10) . . . : 0 RV I CE/FEEDER—— ----BRANCH CIRCUITS----- -----ADDIL INSPECT IONS—— 0 200 amp. . . . . . : 0 W/SERVICE OR FEEDER; 0 FIER INSPECTION. . . . . : 0 201 400 amp. . . . . . : 0 1st W/O SRVC OR FDR. : I PER HOUR. . . . . . . . . . . : 0 401 600 amp. . . . . . : 0 EP ADDIL BRNCH CIRC: 2 IN PLANT. . . . . . . . . . . : 0 601 1000 amp. . . . . : 0 -----------------PLAN REVIEW SECTION-----_...___-.------. 1000+ ECTION----------------- 10004 amp/volt. . . . . 1 0 )=4 RE9 UNITS� . . . . . . . .. ) 600 VOLT NOMINAL. . : Reconnect only. . . . . : LA SVC/FDR 225 AMPS. . : CLASS AREA/SPEC OCC. . Owner: --------------------------------- FEES [INNICKERBOCKER PROPERTIES INC type amount by date reept 10300 SW GREENBURG RD. PRMT $ 45. 00 JSD 11/18/98 98-310898 TIGARD OR 97223 5PCT $ 2. 25 JSD 11/18/98 98-310898 PRMT $ 47. 25 DEB 11/19/9E 98-310942 Phone #: lContractor: CHR ISTENS Ohs ELECTRIC INC $ 94. 50 TOTAL 1. 11 SW CCLUMBIA STE 480 ------- REQUIRED INSPECTIONS PORTLnND OR 97201 Ceiling Cover Elect' l Service Phone #t 241-41312. Wall Cover Elect' l Final Reg #. . . 000458 This riervit is issued subject to the regulAtions contained in the Tigard Municipal Code, Stat? of Dregoo Specialty Codes and all other applicable laws. All work will Ot done in accordance wifh approved plans. This permit will expire if work is not sta.-ted within 180 days of issuanp, or il work is suspended for more than 180 days. ATTENTION: DrEgon law req!iires you to follow the rules adopted by the Oregon M i W y Notification Center. Those rules are set forth in OAR 952-001-4010 through 952-0101-1987. You may obtain a copy of these rules or direct questions to 0X by 7111'n 31246-1987. r Y, Permittee Signature: Issued A, L1. Z. INSTALLATION ONLY--------------------------------- IThe installation is being made an property I own which is not intended for- sale, or,,ale, lease, or rent, OWNER' S SIGNATURE: DATE: )CTOR INSTALLATION ONLY___._--_---------_..___..__._..---..__.. S)IGNATURE OF' SUPR. ELECI N: - &L DATEs I-ICENSE NO: s .................................4-++++-4-+4•............................ . ++4....... Call 639--4175 by 7-00 p. m. for an inspection needed the next business day 4-+-4.......................................................................... KCI.Gtvr_. f P!n11 1 7 lq` CITY OF TIGARD Electrical Perm,.t Application Plan Check RRec' _ 13125 SW HALL BLVD. / Date Re d " Date r,'d ll��--.��f��12( "<• >Sj�i TIGARD OR 97223 Date to P.E.- Phone (503)639-4171, x304 Date to DST Print or Type Permit11 � � Inspection (503) 639-4175 Incomplete or illegible will not be accepted Fax (503)684-7297 __ Callod_ 1. Joh Address:NORRIS, E,T 4. Complete Fee Schedule Below: _ Name of Development LINCOLN TOWER `_ Number of Inspections per permit allowed - Name(or name of business) MUTUAL OF OMAHA Service included: Items Cost Sum Address 10260 SW GREENBURG RD SUITE 540 4a. Residential-per unit 1000 sq.ft.or less __ $1 moo oo a City/State/Zip TIGARD Each additional 500 sq.ft.or �i� portion thereof $25.00 1 Commercial 11,X Residential❑ Limited Energy $25.00 Each Manut'd Home or Modular ROSS CROSBY Dwelling Service or Feeder $68.00 2a. Contractor Installation only: 4b.Services or Feeders (Attach copy of all current licenses) Installation,alteration,or relocation Electrical Contractor CHRISTENSON ELECTRIC INC. _ 200 amps or leas ____. $60.00 - 7 Address_ 111 SW C0L_UMBIA, SHITE 480 201 amps to 400 amps $8000 - City POMAND State OR _Zip- 97201-5886 401 amps to 600 amps $120.00 _ Phone No.-303-24-1--4812 601 amps to 1000 amps __ $180.00 - Over 1000 amps or volts ___ $340.00 Job No. 62-00497 Reconnect only $50.00 Elec.Cont. Lice. No.=_;C Exp.Date /99 OR State CCB Reg. No. 4 SS Exp.Date 5 1 99 _ 4c.Temporary Services or Feeders COT Business Tax or Meth No. 91815N-6 xp.Date12 31 98 installation, mpa less alteration,or relocation $50.00 -_ ? 201 amps to 400 amps $75.0 - 2 Signature of Supr. Elec'n -- 401 amps to 600 amps $100.00 _ 2 l� '14685 10/1/ 0 I Over 600 amps to 1000 volts, License No. Exp.Date_ see"b"above. Fhono No. - � -- 4d.Branch Circuits New,alteration or extension per panel 2b. For owner Installations: bl The Ise for branch circuits with purchase of service or feeder fee. Print Owner's Name Each branch circuit $5.00 Address b)The fee for branch circuits City State Zip without purchase of Phone No. service or feeder fee. First branch circuit _l $35.0 .� . 7 Each additional branch circuit $5.00 I The installation is being made or.property I own which is not t intended for sale,lease or rent. 4e.Miscellaneous (Service or feeder not Included) $40.0 2 Owner's Signature_ Each pump or irrigation circle --- $40.0 Each sign or outline lighting _ Signal circuit(s)or a limited energy $40.0 3. Plan Review section (if required): panel,alteration or extension - Minor Labels(10) $10.0 Please check appropriate item and enter fee In section 5B. 41.Each additional Inspection over 4 or more residential units in one structure the allowable in any of the above Service and feeder 225 amps or more per inspection $35.0 _ System over Goo volts nominal Per hour $55.0 �, -- IT Classified area or structure containing special occupancy In Plant $55.00 as described in N,E.C.Chapter 5 ( -- "Submit 2 sets of plans wlth application where any of the above apply. S. Fees: ' ( s Sz Not required for temporary r sr,;truction serrlces. 5a.Enter total of above es r$. S 5%Surcharge(.05 X total fees) N�TIC Subtotal $ 5b.Enter 25%of line 6a for III ` S a FEPlan Review if reoutred(Sec.3) 47_RMI fS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS,OR IF CONSTRUCTION OR WORK Subtotal IS SUSPENDED OR ABANDONED FOR A PERIOD OF 18n DAYS AT ANY El Trust Account N� TIME AFTER WORK IS COMMENCED $ 11 (; Total balance Due 47. ' I\osTs\Ercoe APP nw acs A� CITY O F T I G A R D MECHANICAL DEVELOPMENT SERVICES PERMIT 13125 SW Hall Blvd,, Tigard,OR 97223(503,16;:9.4171 PERMIT fk. . . . . . . : MEC98-0513 DATE ISSUED: 11/13/98 PARCEL: 1SI35AB-03400 SITE ADDRESS. . . : 10260 SW GREENBURG RD #540 SUBI)TVISIGN. . . . : LINCOLN TOWER-TOWN OF METZGER ZONING: C-P BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . :014 JURISDICTION: TIG --------•--------_._. CLASS OF WORK. . :ALT FLOOR (=URN. . . . : 0 EVAP COOLERS: 0 TYPE OF USE. . . . :COM UNIT HEATERS. . : 0 VENT FANS. . . : 0 OCCUPANCY GRP,. . :B VENTS W/O APPL: 0 VENT SYSTEMS: 0 STORIES. . . . . . . . 0 BOILERS/COMPRESSORS HOODS. . . . . . . : 0 FUEL TYPES----------.-.-- 0-3 HP. . . . : 0 DOMES. TNCIN: 0 :ELE 3-15 HP. . . . : 0 COMML. INCIN: 0 MAX INPUT: 0 BTU 15--30 HP. . . . - 0 REPAIR UNITS: 0 FIRE DAMPERS?. . .- 30-50 HP. . . . : 0 WOODSTOVES. . : 0 GAS PRESSURE. . . : 50.4- HP. . . . : 0 CLO DRYERS. . : 0 NO. OF' UNITS--.----- ----- AIR HANDLING UNITS OTHER UNITS. : 0 TURN ( 100K BTU: 0 10000 VfM: 1 GAS OUTLETS. : 0 TURN ) =100K BTU: 0 > 10000 cfm: 0 Remark s : Alteration to add one 80 YAV box. Owner,: --------------------------------------------------*----- FEES -------------- NORRIS, BEGGS, & SIMPSON INC type amount by date reept 10.300 SW GREENBURG RD. PRMT $ 25. 0e, DLH 11/13/98 98-310791 TIGARD OR 97223 5PCT $ 1. 25 DLH 11/13/98 98-310791. Phone #: Contractor: NORTH PACIFIC HEATING 33700 SE DUUS RD __---_.----------------.----------.___._..... f 26. 25 TOTAL ESTACADA OR 97023 Phone #: Reg #. . : 000637 REQUIRED INSPECTIONS This permit is issued subject to the regulations contained in the Mechanical Insp ......... Tigard Municipal Code, State of Ore. Specialty Codes and a)1 other Final Inspection applicable laws. All work wail be done in accordance with approved plans. This permit will expire if work ;s not started within 181 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. These rules are set forth in DAR 952-01-18I1 through OAR 952-*I-0080. You may obtain copies of these rules or direct --pstions to IXINC by calling (583)246-9187. -2 Tssi-te By : Permittee Signati.ir-e : ......................++++4-4 ............................. Call 639-4175 by 7:00 p. m. for inspections needed the next bi.isiness day r..........#.........................................4..................4-4 Plan Check# CITY OF TiGAiRD Mechanical Permit Application Rec'dBy_ 13125 SW HALL, BLVD. Commercial and Residential Date Recd TIGARD, OR 97 223 [late to P E J (503) 639-4171, x304 Date to DST 11 I) ~~y�T Print or Type � Permt(a Incomplete or illegible applications will not be accepted called Tr 7 of Dem velopppt'nuP%Lea -- - Descnptton l.T T3ble 1A li,lechanical Cade otY PRICE AMT Job .,treel Address 5unea A) Permit Fee 0- 0- 10 00 Addrass I eld9a C. tete 8) Supplemental Permit300 —' •lame for name of business) 1 I Furnace to 100,000 8711 r 600 Owner incl.ducts 8 vents Meiling Address ,; ) . 2) Furnace 100,000 BTU+ 7 50 4— dig_i inti ducts R vents_ C iStaf Zip hono 3) Floor Furnace 600 ------ --- `�~� !i ''r LAG mcl.vent Name(ix name f usin eat 4.) Suspended heater,wall heater 6 00 or floor mounted heater Occupant A4aningAddress ) 5) Vent not incl.in --- 3.00 ' appliance penmf dp tate Zip ons 6) Boder or comp,heat pump, air Gond. 6 00 to 3 HP:absorp unit to 100K BTU 7.) Boder or comp,heat pump,air Gond. 11.00 3-15 HP;absorp v A to 500K BTU Contractor Mailing Address 8.) Boiler or comp,heat pump,air Gond. V 15.70 15-30 HP, absorp and 5"1 and BTU (Prior to Zip Phone 9) Boder or comp,heat pump,air cord. 22 50 issuance a copy :w.- �. 3G-50 HP,absorp unit 1-1.75 mil BTU of all licenses are Oregon Const Coni Board Lic Exp.Date 10) Boder or comp,heat pump,air Gond. 37 50 _ requi, ' I _ -,,7 - y >50 HP,absorp unit 1.75 mil BTU expired m C O T COT Business ax or Metro M _ Exp Date I ) Air handling unit to / 450 data base) 1 _41_1_Y 10,000 CFM y/s Architect Name12) Air handling and 750 10.000 CTM+ _ or Mailu,q Address 13) Non portable -- 4.50 evaporate cooler Engineer City/State _ bp Phone 14.) Vent fan connected~ 3.00 to a single duct Descnbe work New O Addition Alteration O Repair O 15) Ventilation system not 4 50 to be done Residential O Non-residential O included In appliance permit Adddional Description of work � 16.) Hood served by mechanical exhaust 450 L ' � 4 k/i)L) f�-e-aC ___ 17) Do:nis-Ucmcbtera;ors Existing use of �T — v 18.) Commercial or lndustnaltype 30.00 budding or p,operty incinerator I 19) Repair units ----1�4�50 Froposed use of 20) Woodstove 4 50 budding or property 21) Ciothes dryer.etc _ 4 50 Type of fuel-of O natural gas O LPG O electric ► — 22) Other units — 450 I hereby acknowledge that I have read this application, that the 23) Gas piping one to four outlets 200 information givens correct.that I am the owner or authorized agent of the owf ger.that plans submitted are in compliance with Oregon State 24) More than 4-per outlet (each) 50 laws ) / Signature of'Owner/Agent Dace QTY.SUBTOTAL 'SUBTOTAL Contact Person Name _ Phone �5%SURCHARGE J PLAN REVIEW I OF SUBTOTAL _ J TOTAL ' l kdstlmechpmt doc (rev 7196) 'Minimum permit fees S25+5%surcharge !^ CITY OF TIGARD DEVELOPMENT SERVICES BUILDING PERMIT 13125 SW Nall Blvd., Tigard,OR 97223(503)639.4171 PERMIT #. . . . . . . : BUP98-043ii DATE ISSAJED: 10/06/98 PARCEL: SITE ADDRESS. . . : 10260 SW GREENBURG RD #540 SUBDIVISION. . . . : LINCOLN TOWER—TOWN OF METZGER ZONII\IG:C--P BLOCK. . . . . . . . . . : LOT. . . . . . . . . . . . . :014 JURISDICTION:TIG ---------------------------I---------------- ------------------------------------------- REISSUE: FLOOR EXTERIOR WALL CONSTRUCTION- CLASS OF WORK. -ALT FIRST. . . . - 0 sf N.- S: E: W: TYPE OF USE. . . :COM SECOND. . . : 0 sf PROTECT OPENINGS?--------­--- TYPE OF CONST. .-2FR FIFTH 2452 sf N: S: E: W: OCCUPANCY GRP. :B TOTAL------_-- 2452 sf ROOF CONST: FIRE RET? : OCCLIPANCV LOAD: 24 BASEMENT. : 0 sF AREA SEP. RATED: STOP. : 0 HT: 0 ft GARAGE. . . : 0 sf OCCU SEP. RATED: BSMI*?- MEZZ?: REOD SETBACKS-------- REQUIRED---------------------- FLOOR LOAD. . . . r 0 psf LEFT: 0 ft RGHT: 0 ft FIR SV,Kt-:Y SMOK DET. . : DWELLING UNITS: 0 FRNT: 0 ft REAR: 0 ft FIR AL.RM4Y HNDICP ACC: BEDRMS: 0 BATHS: 0 IMP SURFACE: 0 PRO CORR: PARKING: 0 VALUE. $ : 19500 Remarks: TI - reducing tenant size by moving partition wall. Add one office space within interior core of this space. Owner: -------------------------------------------------------- cEES KNICKERBOCKER PROPERTIES INC type amount by date recpt 10300 SW GREENSURG RD. PRMT $ 140. 50 DLH 10/06/98 98-3097t- , TIGARD OR 97223 PLCK $ 91. 33 DLH 10/06/98 98-309757 5PCT $ 7. 03 DLH 10/06/98 98-309757 Phone #: 452-5900 FIRE $ 56. 20 DLH 10/06/98 98­309757 Contractor: ------------------------------- MALIBU PACIFIC 735 NE JACKSON SCHOOL ROAD HILLSBORO OR 97124 Phone #: 693-9797 $ 299. 06 TOTAL. Req #. . .- 059045 --REQUIRED ACTIONS or INSPECTIONS This permit is issued subject to the regulations contained in the Framing Insp Tigard Municipal Code, State of Ore. Specialty Codes and all other Gyp Board I n s p applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within IN days of issuance, or if work is suspended for more than 180 bays. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in DAR 952-00I-1010 through DAR 952-0101987. You many obtain a copy of these rules or direct questions to 0 UNC by calling (563)246-1987. Permittee Signature: Issued By: 1-t .......................V...............4A........ 6....... Call 639-4175 by 7:00 p. m. for an inspertion needed the next business day ...........................4++4 4........................r..........1-+4............ C-ff .ot• CIT( OF TIGARD Commercial Building Permit Application Recd By l> 13125 SW HALL BLVD. Tenant Improvement 'date Recd n TIGARD, OR 97223 �C/ Date to DST I (503) 639-4171 Permit Print or Type Ked Relat-3d SwR e Incomplete or illegit le applications will not be accepcalled--____ - - �`- Name of Development/Project -� Existing Building Pq New Building Job LincoIr, Ge_r,-tr-r Address Street Address — Suite Building L i n cc'LV) 102foo SW Gre"VvRd. D Data Bldgg* city/ to Zip --- Existing Use of Building or Property: W Ncot_N TowEF- t c vt�aid 9222 dp i c� Name -- H — — R ro i' r tY k it-�er6c clw" p►z7 v'�j�as The-, M)U Proposed Use of Building or Property: - Owner Mailing Address _ Suite I,t)Zco _SW Gte&, R 2-00 No. Of Stories: CitylSlate Z$7 Phone L-� __ _ Occupancy Fort " i^I2, 9 7'2.2 �2.-59t�o Sq.`t. Of_Project. --- Occupant Name _ '�}_y T �I Class(es) M, Name Contractor �I zA iL Crn,'� Typpe s)opf Construction Prior to permit Mailing Address Suite _ __SLC- FE- issuance,a copy r IF \�� II Will this project have a Fire Suppression System? of all licenses t.t , �Cf^ Y8S NO [)— are required If City/State zip Phone exphed in C.O.T. ( Americans with Disabilities Act ADA I ra � database ��I I_� I c, Ohm '9 j1' - 7� Valuation X 25% = $ Participation Oregon const.Cdnt.Board t.Ic.# Exp.Date Complete Accessi bili Form 3 9 E� !Oo Project � $ -- - Name _Valuation Architect Gil-,-[) �rc.�i Plans Required: See Matrix for number of sets to submit Mailing Address Suite On back 9�[7 SW arc) % City/State Zip Phone I hereby acknowledge that 1 have read this application,that the information 9656 given is cor ect,that I am the owner or authorized agent of the owner,and that plans submitted are in compliance with Oregon State Laws. tniineer Name Signature of Owner/Agent Date/ Mailing Addresa Suite Co act Person Name Ph6r e City/State ZipPhone �^. U r ? 2�' -'2)�a C' FOR OFFICE USE ONLY I _ Indicate type of work. New O Addition O Demolition O Ma /TL# Larid Use, Accessory Structure O Foundation Only O AlterationXf ��` •�j� --� �/�`� I �.� `�^' Repan O Other 0_______ Notes: 1 L Description of work: TeTIF: � n�w`t 1 r+ u.�v�rne�L Note Site Work Permit Application must precede or accompany Building Permit Appll-atlon I\COMNEWTI DOC (DS r) 5/98 COMMERCIAL PLAN SUBMITTAL REQUIREMENT MATRIX Flan 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 pian review will be conducted. After plan review approval, Plans Examiner will contact the applicant to regrrast additional plan sets for distribution purposes. (Copy for Contractor, City, Washington County, Tualatin Valley Fire & rescue) Total # of T TYPE OF SUBMITTAL Plans KEY: Submitted__ ___ S (Pnvate) —~ 1 S = Site Work B (New or Add) 1 B = Building F (New Ur Add or Alt) 3 F = Fire Protection System M (New or Add or Alt) 1 M = Mechanical B & M (New or Add) P = Plumbing P (New, Add, or Alt) 2 E = Electrical B & M & P (New or Add) �T2 New = New Building E (New, Add, or Alt) 1 2 _ Add = Addition B & F & M & P & E 3 Alt = Alternation to Existing (New , Add) Building (Alt) 1 #B & M & P & E & F(Alt) 3 NOTES: 'Shaded areas designate ALT submittals only. 1 klstslmaxtrixt doc 07/06/99 SUBJECT: ACCESSIBILI'l BARRIER REMOVAL IMPROVEMENT PLAN REQUIREMENT: OREGO14 REVISED STATUTE (ORS) 447.241. (1)Every proi~rt for renovation,alteration or modification to affected buildings and related facilities shall be made to insure that the path of bavel to the altered area and the restroom,telephones and drinking fountains are readily accessible to individuals with disabilities, unless such alterations ire disproportionate to the overall alterations ire terms of cost and scope. (2)Alterations made to the path of travel to an altered area may be deemed disproportionate to the overall alteratio t when the cost exceeds twenty-five percent (25%). )l6LslAU91�! of all renovation, alteration or modification being done excluding painting, wallpapering. multiply; 25% Barrier removal requirement. _ ,25 BUDGET FOR BARRIER REMOVAL [21 $-1 7 In choosing which accessible elements to provide under this section, priority shall be given to those elements that W1 provide the greatest access. Elements shall be provided in the follo-.ving order: a Parkin ON SITE WALM.'A S Cu f�PMP_�) s TtiiwPir o � (lELATC-0 :.epi (b)An accessible entrance: __ (c) An accessible route to the altered area: (d) At least one accessible restroom for each sex or a single unisex restroom: $ (e) Accessible telephones: (f) Accessible drinking fountains: and (g) When possible, additional accessible elements such as storage and alarms: TOTAL: Shall equal line 2 of value computation Falb+<�a�pec CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Line: 639-4176 Business Line: 639-417116 -- ---- ---- BUP 5 Z-Date Requested- I _��� -AM PM --- BLP Location c tL - Slrta �_ i M� J Contact Person - --- Ph /_g,r� - J M Contractor k)(}�Q�-( Ill�(C- M`�-, Ph _ Sw„ — BUILDING Tenant/Owner _ M()nAA1- CE ELC Retaining Wall ELR Footing Access: gr � /,�� /)/��1 — Foundation / .�X G(N l ,X�G E' �� -0 C SG -- �w.--- --_ Ftg Drain Crawl Drain Inspection Notes: n r / S3N Slah _- t�Q.' X� AV SIT Post&Beam {.�� !L Ext Sheath/Shear Int Sheath/Shear - -- -- - - Framing Insulation - Drywall Nailing Firewall ------------ -..----- ----- ---_ - _ ___-- - Fire Sprinkler Fire Alarm - Susp'd Ceiling --.__.._._ - ---- - --------- _ -- -------- - -- Roof Misc: ----- ------ -----. —.---- --------- _ Final _--- -------- �.__ PASS PART FAIL PLUMBING - - - Post& Bean, - ---- ----- --- --.,`--- ----- - ------ —_ Under Slab Top Out Water Service Sanitary Sewer - ----- -- -----—------....------ Rain Drains --- --------- Finpl IPA-�.:� FAIL. ---- �_..---- - --- ECHANICAL Post& eall -- --- _ Rough In Gas Line — _�- -e Dampers I - PASS PART FAIL 'RICAL - ------ ----- ----- -- Service Rough In -- ------------------- _ .- —. _ UG/31Ab Low Voltage ---- ---------- -------- -- ----- Fire Alarm Final ------ - ---- - PASS PART FAIt..SITE Backfill/Grading --- — -- - - ------- Sanitary Sewer Storm Drain ( )Reinspection fee of$_ required before next inspection. Pay at City Hail, 13125 SW Hall Blvd Catch Basin Fire Supply Line ! 'please call for reinspection RE: - _ ( ]Unabie to inspect-no access ADA Approach/Sidewalk `1 .� Other Date \ _ Inspector �,�1-�{1 �- `" Ext _ Final PASS PART FAIL DC NOT REMOVE this Inspection record from the job site. CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-dour Inspection Line: 639-4175 Business Line: 639-4171 ---- BUP —Date Requested _( G ---AM ---PM Location_ [_)t� (y U Suite _j _ MEC _ ---- - ---— Contact Person _-LI,) Ph 3, (,° —(f, QC{ PL.M -----_ Contractor .� , 1 A�`tr° •�-a_� Ph ) SWR _— --- BUIING Teant/Owner � � l ELC LDn Retaining Wail ELR Footing Access. Foundation FPS Ftg Drain —- --� - Crawl Drain Inspection Notes: SGN Slab Post& Beam ---- -- _--- -- -- SIT -------- _ Ext Sheath/Shear Int Sheath/Shear -' - ------_.�T Framing Insulation - Drywall Nailing Firewall ----- -- Fire Sprinkler Fire Alarm Susp'd Csiling Roof —-- --- - Misc: — Final - �--- PASS PART FAIL PLUMBING Post& Beam - --e-__----------- Under Slab Top Out -- --� Water Service Sanitary Sewer '— -'--`- — —� Rain Drainc Final -+— — -- PASS PART FAIL _ MECHANICAL — Post&Beam - --..- ---- -- Rough In J -- Gas Line ----.--- Smoke Dampers — Final PASO PART FAIL_ ELECTRICAL _ ._.-- -----.____.-__..------.-_-- Service Rough In —�— --`—` UG/Slab Low Voltage — — — -- _----_._--- ---- ------------ --_ Fire AJanm ASS)PART FAIL 3 Backfill/Grading - - ---------- — Sanitary Sewer Storm Drain [ ]Reinspection fee of$ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line [ 1 Please call for reinspection RF ( j Unable to inspect-no access ADAi� 77 Approach/Sidewalk Other Datekiw—i` Inspector�_ Ext Final _PASS— PART FAIL DO NOT REMOVE this inspection record from tate job site. CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Line: 6394175 Business Line: 639-4171 ^— BUP `Date Requested _ ----AM PM BLD ,t �caticnA) ZG'D SGL/ T,�'LC�r�Xc� Suite !<VC C,intact Person _ Ph _ PLM Contractor —_ Ph .�C7 '� SWR BUILDING �^ Tenant/Owner ELC __ » Retaining Wall ELR Footing Access, Foundation FPS Ftg Drain SGN Crawl Drain Inspection Notes. ---- - Slab — ------ -.. —� --- ---- -- - SIT Post&Beam --- Ext Sheath/Shear Int Sheath/Shear �~ Framing Insulation Drywall Nailing —_ . — --_ ----_-_.— Firewall \\ / Fire Sprinkler = -Ljy,j V AV ��� J C �a !! � /t Fire Alarm l ' Susp'd Ceiling ✓t CO,Z ,. cH 2 ._ --__ _ _-- —_-- Roof Misc: — Final PASS PART FAIL - -- -- --------- PL.UMBING Post RBeam Under Slab Top Out - ---- - ---- -----.._._ Water Service Sanitary Sewer Rain Drains _ Final P FAIL 11%ECHA Rough In Gas Line - -- - - - ---- --- Smoke Dampers ASS ART FAIL_ ELECTRICAL ____._� - ----- ---- --- --- ___- -- — Service Rough In UG/Slab Low Voltage — Fire Alarm Finol PASS PART FAIL SITE Backfill/Grading Sanitary Sewer Storm Drain [ ]Reinspection fee of$ required before next inspection Pay at City Hall, 13125 SW Hall Blvd Catch Barin ( j please call for reinspection RE: -_ [ j Unable to inspect-no an,;ess Fire Supply Line ADA Approach/Sidewalk Other bate . 7- �� _Inspector Ext Finn' PASS PART FAIL 00 NOT REMOVE this inspection record from the job site. CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-H,. +r Inspection Line: 639-4175 Business Line: 639-4171 Date Requested �� ` / _— AM PM BLD Location-2-o'-2 LU� �✓ �GY-6� _ _ - Suite _ �l v _ MEC Contact Person _ _� — PLM — - Contractur Ph _ SWR BUILD-_ Tenan'L/Owner ELC Retaining Wali I ELR Footing Access Foundation FPS Ftg Drain SGN Crawl Grain Inspection Notes. ----- -- Slab - --- — SIT _------ Post&Beam Ext Pheath/Sh;-ar -- - Int 5heathiShear / �- Framingl-- insulation ---7` I)rywall Nailing _ ---- - Firewall Fire Sprinkler - Fire Alarm Susp'd Ceiling - -- -- Roof Mise -- -- - - ina PART FAIL UMBING F'nst& Seam — Under Slab Top Out Water Service Sanitary Sewer Rain Drains Final PASS PART FAIL — ----- .--- -- - —..—_ MECHANICAL Dust& 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 — Back fill/Grad ing -- ----' —y ----.�-�-- Sanitary Sewer S :-m Drain ( )Reinspection fee of$_ required before next inspection. Pay at City Nall, 13125 SW Hall Blvd Ca'cn P-,sin [ ]Please call for reinspection RE' — _ _ [ )Unable :o inspect-no access Fire Supply Line ADA Approach/S+-iewalk Date ���/� t eb_ Iii7.pfrtnr .i Ext Other - -- Final PASS PART FAIL DO NOT REMOVE this inspection record from then job site. CITY OF TIGARD -- BUILDING PERMIT PERMIT M BUP2000-00400 DEVELOPMENT SERVICES DATE ISSUED: 9/22./00 1312i SW Hali Blvd., Tigard, OR 97223 (503) 639-4171 PARCEL: 1S135AB-03400 SITE ADDRESS: 10260 SW GREENBURG RD 540 SUBDIVISION: LINCOLN TOWER-TOWN OF METZGER ZONING: C-P BLOCK: LOT: 014 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: sf N: S: E: W: — OCCUPANCY GRP: TOTPL AREA: 0.00 sf ROOF CONST: FIRE RET? OCCUPANCY LOAD: BASEMENT: sf AREA SEP. RATED: STOR: HT: ft GARAGE: sf OCCU SEP. RATED: BSMT?: ME-:ZZ?: _ _REQD SETBACKS REQUIRED _ FLOOR L "'AD: psf LEFT ft RGHT: ft FIR SPKL: SMOK DET: DWELLING Ut.iTS: FRNT: ft REAR: ft FIR ALRM : HNOI'.;P ACC: BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING: VALUE: $ 925.00 Remarks: Relocate 6 sprinklers Owner: Contractor: KNICKERBOCKER PROP, INC XXIV FIRESTOP CO BY NORRIS, BEGGS + SIMPSON 9384 SVV TIGARD ST 10003RR00 SW GREENBURG RD STE 200 TIGARD, OR 97223 PPhnne ND , ,�R 97223 Phone: 620-6140 Reg #: uc v0003346 FEES REQUIRED INSPECTIONS `Type By Daae Amount Receipt Sprinkler Rough-In 5PCT CTR 9/22/00 $5.00 27200000000 SF,inkler Final PRMT CTR 9/22/00 $57.50 27200000000 -----Total $62.50---This permit is issued subject `.o 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 perrnit 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 t-y the Oregon Utility Notification Center. Those rules are set forth in OAR ' 9,92.001-0010 through OAR 952-001-1987. You may obtain a copy of these rules or direct questions to OUNC by calling (503)245-19!87. Pennitee Signature: ` Q/ �- �- Issued By: , Call 639-4175 by 7 p.m. for an Inspection the next business day Fire Protection Permit Application Plan Check# CI1 Y OF TIGARD Commercial or Residential Recd By 22—a:T 13125 SW HALL BLVD. Ddta Recd 71;4L-- TIGARD, OR 97223 Print or Type Date to P.E�— (503) 639-4171, x. 304 Incomplete or illegible applications will not be accepted Date to DST Permit# Called Name of DevelopmenuProject Type of System (Complete A or B as applicable) Address Address 41S Sprinkler Wet D p _ L� ry ❑ — Name Standpipes I _ Owner Meiling Address Additional Hazard Group City/State — Zip Phone Y Information Density — Name uA� D J �M #y�U Design Area Occupant Mailing Abdress K Factor /oz� ScJ- I city/{State Zip Phone A.1) Sprinkler Project Valuation I $ pZs oc Contractor NameB.) Fire Alarm (Sprinkler or -,/Rr,� �vf-V ' Alarm Company) Mailing ddrevs �f (� Submittal Shall Include Battery Calculations YES E]Prior to permit C1 q' S ij" riwb d f' issuance,a City/State Zip Phone Individual Component YES❑ ' copy ry� � q Cut Sheets of all licenses / (cZC�-� �Q0 B 1) Fire Alarm Project Valuation $ are required if State Const.Cont. Board L is# Exp Date expired in COT / R4/- Project Valuation Subtotal (A &or B) $ Clive database �5 L'y V Name Permit Permit fee based on valuation G b b _ tsee chart on back Architect M 'lingAddress RQ 8% Surcharge $ A1 �yZ11 g Sit) - __ _ _ J- - cc, _ C, /St Tt Zip Phon , 9�s� FLS Plan Review 40%of Permit $ Dw escribe work A.)New O Addition O Alteration)X Repair O TOTAL $�— n to be done. B) Modification to sprinkler heads only 1 1-10 heads=No plans required Plans required Submit three sets of plans,including a vicinity map and 2 11+=Plan review required I the location of the nearest hydrant. _ — —-- - --- I hereby acknowledge that I have read this application,that the Information given is -------- ------- rorrect,That I am the owner or authorized agent of the owner,and that plans submitted Number of!�rinkler heads. �' s are in compliance with Oregon State laws Additional Description of Work �0064ft 7 k'- SIAIIIIJtltz,S Signature of 0 .'Agent Date -- A.)In Existing Building PQ New Building EJ C ct Person N me i Phone / Building -- mue �E 'I;V Q�2C` r4C' Data D.) Commercial Residential ❑ — 1� --�-- FOR OFFICE USE ONLY: _ No of stories — Plat# Map/TL#: Notes Occupancy Class lype of Construction iMsts\forms\firesupr.doc 10/14/99 VAUdtion of Project Permit fee T Tax 8% 1 FLS 40% Total 11-12,000 50.00 4.00 20.00 74.00 2,001 3,000 59.25 4.74 23.70 87.69 3,001 4,000 68.50 5.48 27.40 101.38 4,001 5,000 77.75 6.22 _31.10 115.07 _ 5,0011- 6,000 87.00 6.96 34.80 128.78 6,0011- 7,000 96.25 7.70 38.50 142.45 7,001 - 8,000 105.50 8.44 42.20 156.14 8,001 - 9,000 114.75 9.18 45.90 169.81 9,001 - 10,000 124.00 9.92 49.60 183.52 10,001 - 11,000 133.25 10.86 53.30 197.21 11,001 - 12,000 142.50 11.40 57.00 210.90 12,001 - 13,000 151.75 12.14 60.70 224.59 13,001 - 14,000 161.00 12.88 _64.40_ 238.28 14,001 - 15,000 _ 170.25 13.62 68.10 251.97 15,001 - 16,0_00 179.50 14.36 71.80 265.68 16,001 - 17,000 188.75 15.10 75.50 279.35 17,001 - 18,000 198.00 15.84 79.20 293.04 _ 181001 - 19,000 207.25 16.58 82.90 306.73 19,001 - 20,000 216.50 17.32 86.60 320.42 20,001 - 21,000 225.75 18.06 90.30 334.11 21,001 - 22,000 235.00 18.80 94.00 347.80 22,001 - 13-,000 244.25 19.54_ 97.70 361.49 23,001 - 24,000 253.50 20.28 101.40 375.18 _ 24,001 - 25,000 282.75_ 21.02 105.10 _ 388.87 25,001 - 26,000 269.50 21.56 107.80 398.86_ 26,001 - 27,000 276.25 22.10 110.50 _ 408.85 27,001 - 28,000 - -- 283.00 22.64 113.20 418.84 28,001 - 29,000 289.75 23.18 115.90 428.83 29,001 - 30,000 296.50 23.72 118.60 438.82 _ 30,001 - 31,000 303.25 24.26 121.30 448.81 _ 31,001 -. 32,000 310.00 24.80 124.00 458.80 32,001 - 33,000 316.75 25.34 126.70 468.79 33,001 - 34,000 _ 323.50 25.88 129.40_ 478.78 34,001 - 35,000 _ 330.25 _ 26.42 132.10 488.7_7_` 35,001 - 36,000 337.00 26.96 134.80 498.76 36,001 - 37,000 _ 343.75 27.50 _137.50 _ 508.75 37,001 - 38,000 350_.50 28.04 140.20 518.74 38,001 - 39,000 357.25 28.58 142.90 528.73 39,001 - 40,000 e---364.00- 29.12 145.60 538.72 _ 40,001 - 41,000 _370.75 29.66 148.30 548.71 41,001 - 42,000_ 377.50 30.20 151. 00 558.70 42,001 - 43,000 _ 384.25 30.74 153.70 568.69 43,001 - 44,000 391.00 31.28 156.40 578.68 _ 44,001 - 45,000 _ 397.75 31.82 159.10 588.67 45,001 - 46,000 404.5032.36 161.80 598.66 48,001 - 47,000 411.25 __ 32.90 164.50 608.85 , 47,001 - 48,000 418.00 33.44 187.20 618.64 48,001 1-149,000 424.75 33.98 169.90 628.63 49,001 50,000 431.50 34.52 , 172.60 638.82 i �dq sAorms\firesupr.doc 12/23/99 CITY OF TIGARD BUILDING iNSPECTION DIVISION MST 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 BUP ^_ Date Requested -- --AM PM _ BLD Location l U 2 �'� .>w �r S2y""� �'�-4' Suite _��U _ MEC _�— Contact Person �_ Ph Cz V PLM Contractor �!,�1}v1. �f r Ph SWR 6UILDING �_ Tenant/Owner ELC Retaining Wall ELR Footing Access: Foundation FPS Ftg Drain SGN Crawl Drain Inspection Notes- Slab otes Slab - ----.-- -.�_ ZL.eL /'-L� SIT Post&Beam Ext Sheath/Shear Int Sheath/Shear Framing Insulation -- ----------�—___ Drywall Nailing --- — ------ - - . -- ---- -— -- -_.... --- - - Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling - Roof Misc: _ - --- -- ---- -.------- - Final PASS PART FAIL - - - ----- --_�__—._ _— __--------- — ,� PLUMBING I'ost& Beam Under Slab Top Out Water Service _ Sanitary Sewer Rain Drains Final PASS PART FAIL MECHANICAL -- - ----- -- Post&Beam - — --- --- --- - - - - Rough In Gas Line Smoke Dampers Final --- - -- --- PASS PART FAIL_ E(;TRICAL � tVrce Rough In UG/Slab Low Voltage Fire Alarm -- --- -- 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 Fire Supply Line [ j Please call for reinspection RE: __- [ ]Unable to inspect-no access ADA Approach/SidewalkDate ��_l� _ �y Inspector_ / Ext Other --- R --v Final PASS PART FAIL 00 NOT REMOVE this inspection record from the job site. CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 BUP _ ---_—Date Requested A)-/ U AM PM BLD _ Location /U.z i2U j w tr&e,. &!2n� __ Suite .Tq 9 MEC — Contact Person _— Ph SZ3- (1-�G- G�o PLM Contractor _ _ Ph SWR �BUILDING� Tenant/Owner ELC r 'UUy 5f 3 Retaining Wall ELR _ Footing Access: Foundation FPS _ Ftg Drain SGN Crawl Drain Inspection Notes: - Slab ----------- ------- SIT Post&Beam Ext Sheath/Shear Int Sheath/Shear Framing Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Misc, -- -- Final -------------- BASS PART FAIL -- --- --- ---- - -- - - .- --- PI:UMBiNG Post& Beam - -----.._ . - ------ - Under Slab Top Out - - --- Water Service Sanitary Sewer -- -- ------ -__ --___. Rain Drains Final PASS PART FAIL MECHANICAL Post& Hearn -------- Rough ----Rough In Gas Line - -- - -- --- - -- ----- ----- Smoke Dampers Final - - - - --- PART FAIL. <_ EL RIC - ---.-- i4-rvice Rough In U(;/Slab -- ------------ -- _ _ - ---- I ow Voltage F ire Alarm ----- _--------- AS PART FAIL 13 trE- 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 r inspec ion RF _—_ J Unable to inspect-no acces!- Fire Supply Line ADA Approach/Si -walk Date Other _ _.. _._ Inspector_ __- _ Ext Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. CITY OF TIGARD BUILDING INSPECTION DIVISION MS 24-Hour Inspection line: 639-4175 Business Line: 639-4171tl �. - BUP ..�v--�a </c � ._Date Requested /0- /U AM _PM BLD _ I-ocatiao Z o A01 Suite -54 U MEC Contact Person PhGZ•G U PLM Contractor Ph SWR BUILDING Tenant/Owner ( �! OF 0 ('1 A—t+Ac ELC ng Wall ELR Footing Access: SZz— Foundation / ,� FPS Ftg Drain N G v,_C `n. v f Q_ �,� t� Crawl Drain Inspection Notes: SGN Slab _ __ _— _ _—� SIT Post& Beam --- -- Ext Sheath/Shear Int Sheath/Shear Framing Insulation , Drywall Nailing (� Flrewa!I / irerink a f' - - - --- — --- ----- re Alarm Susp'd Ceiling - - - . -- --- - -- --------- ---- ---- - - - Roof Final , PART FAIT_ BING Pest& Beam - - Under Slab Top Out Water Service Sanitary Sewer Rain 'ns ASSART FAIL MECHANICAL rust& 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 [ Relnspection fee of$ required before next inspection Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line ( ]Please call for reinspect,on RE: Unable to inspect-no access ADA 'lpproach/Sidewalk /O/�0 d U � the, _ Date Inspector _ Ext Final i PASS_PART FAIL 00 NOT REMOVE this inspection record from the job site, CITY CF TIGARD d iDEVELOPMENT Z ERVICES k 13125 SCJ Hall Blvd., Tigard,OR 97223(503)639-4171 RTIF 1t:AIL r_rf UWL 1 1SUEU: ►Zr.l.+r11i3I`i�? PARCEL. 1 S 1:3SA6 0340Q) 91TF.: ADDREISS. . . 41K.,60 13W GFRPHENBUNG RD #540 GUHDI V I S I UN. . . . :L I NC_::OL.N 'rOWE R --TOWN Or.* vIL T Z GE:.R Z ON I NG A C.--p BL.00K. . . . . . . . . . I_OT. . . . . . . . . . . . . .014 JURISDIC:TIUN: li , CLASS OF 610118. :ALT TYPE OF' USE. . . -COM TYPE OV CONS'TRt:1FR OCCUPANCY URF'. a I:s inI'C:UPANCY LOAD. L4 +_14IN'T NAME. . „ t Mt1TUAL OF 011C-HP Pem�ixks . TI - reducing tenant size by moving partition wA_ 11. Add one off► c:, , 11e.r7W within intbirior core cif thits Space. Uwiter _.._...._......._..._ ._.__..._.. ._.._...._._..._._. ._..__.___ .__---...... MUCKEFdSUCKE:R PROPEPTIE:S INC /0 NORR15, E1fr•((96 A. SIMFSON 1.0300 aW GRCCNBURG ND #2010 ('1GART) OR 9720,'3 (3nd 8 = MALIBU PACIFIC 735 NE' JACKSON SCHOOL ROAD 1 I L_I_SBOR0 C.lR 9712'4 Phone #t 6c;43_-W97 Reg 1#. . s 059045 This Cert i f irate grant s occ k.rpanc:y of the Above ref orenc ed bui lding or pot-t i of thereof alknd confirms that the b--rilding has been inspected for complianre with the State of Orgon Spec_ia1t-*, Codes for the nroup, oc:c:l.�paricyt and 1_rse under which the referenced permit wAs issued. FaUTLE)1NGIIBV, 'E.CT' R BUILDING OFFICIAL F.'r'S'7 IN CONSP I CUCIUS PLACE CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 i, --- Date Requested ` I / BUP c 2' AM_ PM BLD Lo,:ation Suite ,Y:6 _ MEC — C(ntact Person _ ��� _ Ph �C) PLM —_ Contractor Ph SWR _ BUILDING Tenant/Owner J c- 1 ELC - Retaining Wall ELR Fooling - Foundation Access: FPS Fig Drain - - Crawl Drain Inspection Notes SGN — Slab Post& Beam — -- - - - SIT _-- Ext Sheath/Shear Int Sheath/Shear — -`----� Framing _-- -- ----�.., insulation --- !--'— ----- Drywall Nailing Firewall —'-- �----- Fire Sprinkler Fire Alarm Susp'd Ceiling --- - — -------- -- - — — ------- --- --- Roof Fin ASS ART FAIL ---_-. --- -- ------ -- - --- PLUMBING Post& Beam - -�—--- __ ._--------- - - - ------------ Under Slab TopOut __.____----_____.---------------------------_.____-- Water Service Sanitary Sewer Rain Drains Final PASS PART FAIL MECHANICAL — I'ost&Beam --. - --- - ----------- ----.--- ---------- Rough In GasLine -- --.. --- -------- --------- -----__ Smoke Dampers Final -----------------_— PhSS PART F L ELECTRICAL --------- --------- --- --- - — — ---- Service RoughIn ----------------------- --------------- --- - ----------- UG/Slab - ----- ------ _...--- __-.— -- - Low Voltage Fire Alarm Final ---------------___..�_----- ------- ---- — ---- PASS PART FAIL --__._--------- -------_— ----_---._ -_ _.-.__. _ SITE Backfill/Grading --- - — -----_.. ---------- -- Sanitary Sewer Storm Drain ( j Reinspecticn 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 Approach/Sidewalk ��� Other ,-- -� Date f' A Inspector -- Ext Final PAS- PART FAIL_J DO NOT REMOVE this inspe+:cion record from the job site. CITY OF T I `r1 R D BUILDING PERMIT PERMIT#: BUP2000-00358 DEVELOPMENT SERVICES DATE ISSUED: 8/31/00 13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 PARCEL: 1 S135AB-01004 SITE ADDRESS: ,113220 SW GREENBURG RD 540 SUBDIVISION: TWO LINCOLN - TOWN OF METZ.GER ZONING: C-P BLOCK: ' ,^t /�,r^ LOT: JURISDICTION: TIG REISSUE: FLOOR AREAS _ _ EXTERIOR WALL CONSTRUCTION CLASS OF WORK: ALT FIRST: sf N: S: E: W: TYPE OF USE: COM SECOND: sf _ PROJECT OPENINGS? TAPE OF CONST: 2FR sf N: S: E: W: OCCUPANCY GRP: B TOTAL.AREA: 000 sf ROOF CONST: FIRE RET? OCCUPANCY LOAD: 30 BASEMENT: sf AREA SEP. RATED: STOR: HT: ft GARAGE: sf OCCU SEP. RATED: BSPIT?: MEZZ?: REQD SETBACKS REQUIRED FLOOR LOAD: psf LEFT: ft RGHT: ^ft FIR SPKL: Y SMOK DET: DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP ACC: BEGRMS: BATHS: IMP SURFACE: PRO CORR: PARKING: VALUE: $ 20,000.00 Remarks: Tenant Improvement- 3672 square feel Owner: Contractor: KNICKERBOCKER PROP, INC XXIV MALIBU PACIFIC( SEE OTHER) BY NORRIS, BEGGS + SIMPSON 735 NE JACKSON SCHOOL ROAD 10300 SW GREENBURG RD STE 200 HILLSBORO, OR 97124 Pq� nL ND, OR 97223 one: Phone: Reg #: FEES _ REQUIRED INSPECTIONS Type By Date Amount Receipt Mechanical Permit Require PRMT CTR 8/31/00 $216.50 27200000000 Electrical Permit Required Sprinkler Permit Required 5PCT CTR 8/31/00 $17.32 27200000000 Framing Insp PLCK RDP 8/30100 $140.72 Gyp Board Insp PLCK CTR 8/31/00 $0.01 27200000000 Susp Ceilnn Insp (additional fees not listed here) Final Inspection Total $461.15 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and ali 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 o' Iain a copy of these rules or direct questions to OILING by calling (503) 245-1987. Permitee / - Signature: fL4�Jv1 - Issued By: Call 639-4175 by 7 p.m. for an inspection the next business day ACITY OF TIGARD Commercial Building Permit Application Plan Check V., 13125 SW HALL BLVD. Tenant Improvement Recd By Date Recd 7"IGARD, OR 9722's Date to P.E. (503) 639-4171 Date to DST Print or Type 1 Permit Related SWR _ Incomplete or illegible applications will not be accepted Called—'Ne Name of Development/Project Existing BuildingX New Building ❑ Job Lineoln Ce-ter ( iv1ColN Tower./@ Address Street Address Suite Building I , {d>W SW Gretn+bt�rJ, S�C7 Data ttncv h Bid — city/:late Zip Existing Use of Building or Property: Ll,pCO LN -- ---- 'CowFP- Po �llo, 9-1223 _ ©'F�-�iCE Name T Property K_►1 ickerpoc�tr rry &-.tes'1M C'. ,XIV Proposed Use of Building or Property: Owner Mailing Address _1_ Suite l T t Le 10300 sW Gree•'tlovrg IL4. WO 7�� O Sto iPs City/State Zip Phone J.1 el V e- fort)ate,Op-. n%223 492-59o0 Sq. Ft. Of Project Occupant Name MAV A l of Occupancy Class(es) Name �rr,, — Contractor tA�-( 'y pa ci is Type(s)of{{Construction Prior to permit Mailing Addresa -� Suite �L=- - issuance,a copy ?3. N Jac'c=e►+ Will this Project have a Fire Suppression System? of all licenses Will are required if City/Stale Zip Phone - Yes _ NO --- vxpired in C O TAmericans with bisabilities Act(ADA) W46-r-, CP- 9712 t 693-9797 /� 00 database — Valuation X 25 = $tj�G'pC�. Participation Oregon Cons(.Cont.Board Lic.# Exp.Date Complete Accessibility Form 059095 Project i- $ vo ----^ Name r Valuation Zo,OO_�' Architect GW 1e'►r-1`t��G�s, Inc Plansum Required: See Matrix for nber of sets to submit Melting Addrerss� sults or) back 920 so 3 s%MVse tcxoo _-- city/State _ Zip Phone I hereby acknowledge that I have read this application,that the infr rmation Po,'tl awII XX-4, 972o t 27 t 96E316 given k;correct,that I am the owner or authorized agent of the ow er,and - that plans submitted are in compliance with Oregon State Laws. Engineer _ Name Signature of Owner/Agent Date Mailing Address _-- Suite s- �'1 g' C)c) C act Person Name Phone City/Slale-- Zip "— Phone _ �a P- , No-- FOR urFOR OFFICE_USE ONLY indicate type of work New O Addition O Demolition0 Map/Ti-#� -� -�Land Use — - Accessory Structure O Foundation Only O Alteration A Repair O Other O Notes: Description of work: bc�aw.r10�• o'f TIF'. `-- -� —�------- -------� YE•a�a�"� r�"f w"pn+e'" r`rcl RECEIVED Note: Site Work Permit Application mu-1 precede or accompany Building Pormlt Application 40 AUG :f U �,r,r1ry 1 1GOMNEW11 DOC (DST) 5198 �j _ _-�""~-"� �r� 1XIMMUMITY 11kvkL%.. COMMERCIAL PLAN SUBMITTAL REQUIREMENT MATRIX Plan Review is dependent upon submittal of BOTH plans AND a COMPLETED abplication. 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 Ex iminer 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 SUBMI'CTAL Plans _KEY: _ Submitted ^ S (Private) 1 S = Site Work B (New or Add) 1 B = Building F (New or Add or Alt) 3 F = Fire Protection System M (New or Add or Alt) 1 M = Mechanical B & M (Naw or Add) 1 P = Plumbing P (New, Add, ur Alt) 2 E = Electrical B & M & P (New or Add)! 2 New = New Building E (New, Add, or Alt) s 2 Add = Addition B & F & M & P & E 3 A1,. = Alternation to Existing (New , Add) Building *BorB & M (Alt) 1 *B & M& P (Alt) 3 *B & M & P & E(—It) 3 *B & M & P & E & F(Alt) 3 NOTES: \'Y ,, " ala.'.' . ," q "vw>+Z.1 Shaded areas designate ALT submittals only. " 1\dsts\forms\matrxcom doc 10/30/98 LT - 540 T. 1 . LiNC. (0L,'eV' �� 8 Ig•00 SUBJECT: ACCESSIBILITY BARRIER REMOVAL IMPROVEMIENT PLAN REQUIREMENT: OREGON REVISED STATUTE (ORS) 447.241. (1) Every project for renovation,alteration or modification to affected buildings and related facilities shall be made to insure that the path of travel to the altered area and the restroom, telephones and drinking fountains are readily accessible to individuals with disabilities unless such alterations are disproportionate to the overall alterations in terms of cost and scope. (2) Alterations made to the path of travel to an altered area may be deemed disproportionate to the overall alteration when the cost exceeds twenty-five per-cant(25%). VALUATION of all renovation, alteration or modification being done excluding painting, wallpapering. [1]$ coo. multiply: 25% Barrier removal requirement. _ .25 _ BUDGET FOR BARRIER REMOVAL (2] $ 5,000 o" In choosing which accessible elements to provide under this section, priority shall be given to those elements that will provide the greatest access. Elements shall be provided in the following order: (a) Parking lot restrirp;" , new curb cots, $ 5,CTOp uo _— SideualkS, (b) An accessible entrance: $ (c) An accessible route to the altered area: $ (d) At least one accessible restroom for $ each sex or a single unisex restroom: (e) Accessible telephones $ (f) Accessible drinking fountains: and $ (g) When possible, additional accessible elements such as storage and alarms: $ TOTAL: Shall equal line 2 of Value Computation_ $ 5�CC) i\dsts\forms\access.doc