10260 SW GREENBURG ROAD STE 600-1 0
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10260 SW GRRENBURG ROAD #600
_ ELECTRICAL PERMIT -
CITYOF T I GARD RESTRICTED ENF.RG1
DEVELOPMENT SERVICES PERMIT v: ELR2003-00008
13125 SW Hall Blvd.. Tiqard, OR 97223 (503) 635-4171 DATE ISSUPARCED: 1/13/03 0040C)
ADDRESS: 10260 -VV GREENBURG RD 600 ZONING: C P
` _UBDIVISION: LINCOLN TOWER-TOWN OF METZGER
BLOCK: LOT: 014 JURISDICTION: TIG
Project Description: Installation of voice/data limited energy system.A.RESIDENTIAL _ B.COMMERCIAL -------- — l
AUDIO & STEREO: AUDIO & STEREO: INTERCOM & PAGING:
BURGLAR AL-ARM: BOILER: LANDSCAPE/IRRIGAT:
GARAGE OPENER: CLOCK: MEDICAL:
HVAC DATA/TELE COMM: X NURSE CALLS:
VACUUM SYSTEM: FIRE ALARM: OUTDOOR LANDSC LITE:
I OTHER: HVAC- PROTECTIVE SIGNAL:
INSTRUMENTATION: OTHER:
_ TOTAL#OF SYSTEMS:�_—
����"-"--
Owner: Contractor:
EON LINCOLN,LLC Ac IMl1TH COMMUNICATIONS INC
P.O. BOX508
10260 SW GREENBURG RD
SUITE # 100 WILSONVILLLLE, OR 97070
PORTLAND,OR 97223
Phone: 892-2500 Phone: 503-639-0110
Reg#: ELE 36-94CLE
SUP 2312LEA
_ LIC 145828
FEES _ Required Inspections
Deseriptbn Date _ Amount — Low Voltage Inspection
[ELPRMT] ELR Permit 1/13/03 $75.00
Flort'I Final
(TAX]9%State Tax 1/13/03 $6.00
Total $81.00
This PErmit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and
all other applicable laws. 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 mora than 180 days. ATTENTION: Oregon law requires
you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 throuc
f i Q
Issued by �J'. q 11 i1 `. ! Permittee SighaWre^
_ OWNER INSTALLATION ONLY
The installation is being made on property I own which is not Intended fcr sale, lease, or rent.
OWNER'S SIGNATURE: .-- DATE:
CONTRACTOR INSTALLATION
SIGNATURE OF SI.JFR. ELEC'N — _ DATE: _
LICENSE NO: – — — ------_----
Call 639-4175 by 7:00 P.M. for an inspection needed the next business day
Electrical Permit Application
Datereceived: /y rj Permit no.- 1r�,1�c0�
City of Tigard Project/appl.no.. ' e date:
City of Tigard Address: 13125 SW Hall Blvd,Tigard,OR 97223 Date issued: Byk AReceipt no.:_
Phone: (503) 639-4171 -
Fax: (503) 598-1960 Case file no.: Payment type:
Land use approval:
t ,
U I & 2 lamily dwelling or accessory ad('unuu;tdal,Induslrjal U Multi-family Ll Tenar' rclprovemcnl
U New construction U Addition/alieration/replacement U Other:_ U Partial
, t
Job address: t^�. i 12 Bldg,no,: Suite no.: Tax map/tax lot/account no.:
Lot: _ Black: Subdivision:
Project name: q1CP('q1 Description and location of work on premises: uI�il*l se- LM 1.4E _
Estimated date of completion/inspection: 1 pp
1 / ' f
Job no: re alar
Business name: I ."ri] Description Qly. fee
ee Istat uo.(asp
New rrsidentini-single or multi-family per
Addl3ss: 2"3`.11. l . dwelihcgunit.Iurbrdmarracherlgarage.
City: Stale:00 ZIP: 10. Serciceincluded:
(&&c)1 E-mail: 1000 sq.ft.or less_ _ 4-
-CCB Ito.: glec.bus.lic.no: 34— Each additional 500 sq.it.cr portion thereof
Limited energy,residential 2
City/metrolic..no.: S Limited energy,non-residential 2
f Zp(7 Each manufactured home or modular dwelling
5i nahire oll'sdilervifing ele trician(rr a aired) Date Service and/or feeder 2
Sup,elect,name(prim). . : License no: �Q Services arfeeders—installation,
aheratlon or relocation:
PROPWIN OWNER 200 amps or less 2
Name(print): 201 amps to 400 amps __2
— -- 401 amps to 600 amps 2 _
'mailing address:
_ _601 amps to 1000 snips 2
City: $laic: ZIP: Over 1000 amps or volts 2
Phone Fax. E-mail: Rcr•onnectonly I
(Avner installation: The installation is being made vi property I own Temporary services or feeders-
which is not intended for sale,lease,rent,or exchange according to Installation.alteration,or relocation:
ORS 447,455,479,670,701. 200 amps or less _ 2
201 amps to 400 amps 2
()letter's si nature: Date:_ 401 to 600 amps 2
^,rnoch a rcuils m n,allerallon,
or extension per parcel:
Name: A. Fee for branch circuits with purchase of
Address: service or feeder fee,each branch circuit 2
City: State: ZIP. B. Fee for branch circuits without purchase
of service or feeder fee,first branch circuit: 2
Phone: Fax: F.-nail: Each additional branch circuit:
Misc.(Service or feeder not Included):
•Service over 125 amps-commercial U Health-care facility Each pump or irrigation circle 2
U Service over 320 amps-rating of 1 A2 U Hazardous location Each sign or outline lighting 2
family dwellings U Bui:ding over 10,(1(x)square feet four or Signal circuit(s)or a limited energy panel.
U System over 600 volts nominal more residential units in one structure alteration,orextension• i 2
U Building over three stories U Feeders,4tx)amps or more "fcscrition:
U occupant load over 99 persons U Mr.tufactured st uctures or RV park Foch additional Inspectlon over the allowable In any of the alcove:
U Isgmss/lightingplall U Other: _. Per inspection
Submit sets of plans with any of the above. Investigation fee _
The above are not applicable to temporary construction service. Other
Not all}mrs[Ilctlonx rccept credit crrrdi,please call jurisdiction for arm intbrmxtion Notice:This permit application Permit fee.....................$
U Visa U MasterCard expires il'a permit is not obtained Plan review(at ,_ %) $ _
Credit card nuothet within 180 days after it has been State surcharge(8%)....S
Expires accepted as complete.
-- -- - - TOTAL .......................$ '
Naar of c'7i emown rxr c h card
1
Cardhalder sipcatute Arnoani — 440-4615 16irKWOMI
ELECTRICAL PERMIT FEES: LIMITED ENERGY PERMIT FEES:
TYPE OF WORK INVOLVED -RESIDENTIAL ONLY
Complete Fee Schedule Below: Restrlcted Energy Fee..................................... ........... $75.00"
Number of Ins2ectio is per permit allowed (FOR ALL SYSTEMS)
Service included:
Items Cost Total Check Type of Work Involved:
Residential w per unit $145 15 4Audio and Stereo Systems'
1000.,q ft of less
Each additional 500 sqft.or $33.40 1
portion ti ereof — Burglar Alarm
$75.00
Limited Energy
Each Manufd IJorne or Modular $90 90 r Garage Door Opener"
Dwelling Service or Fonder --
Healing,Ventilation and Air Conditioning System'
Services or Feeders
Installation,alteration,or relocation $80.30 2 �1
200 amps or less _—_ 2 CJ Vacuum Systems'
201 amps to 400 amps $106.85
$160 50 2
401 amps to 600 am4.3 El
- —
601 amps to 1000 amps $'454.65 2
.60 2 — — —
Over 1000 amps or volts $454
Reconnect only $66.85 _ 2
_—• � TYPE OF WORK INVOLVED -COMMERCIAL ONLY
Temporary Services or Feeders Fee for each system......................................................... $75.00
Installation,alteration,or relocation $66.85 2 (SEE OAR 918-260-260)
200 amps or less
201 amps to 400 amps $100.30 —
$i 33.75 — ? Check Type ci Work Involved:
401 amps to 600 amps
Over 600 amps to 1000 volts, Audio and Stereo Systems
see"b"above.
Branch Circuits Boiler Controls
New,alteration or extension per panel
a)The fee for branch circuits L, Clock Systems
with p urchase of service or
feeder fee. r�1
Each branch circuit $6.65 LJ Data Telecommunication Installation
b)The fee for branch circulls
without purchase or service Fire Alarm Installation
or feeder fee. $46.85
First branch circuit HVAC
Each additional branch circuit $6.61,
Miscellaneous instrumentation
(Service or feeder not included) $c3 40
Each pump or Irrigation circle $53 40 Intercom and Paging Systems
Each sign or outline lighting --
Signal circuits)or a limited energv Lsndscape Irrigation Control'
panel,alteration or extension $75.00
Minor Labels(10) — $125.00 __— _ r�
Medical
Each additional Inspection over
LJ
the allowable in any of the above $62 50 ❑ Nurse Calls
Per Inspection Per hour $62.50 —_—__. r ,
In Plant Y $73 75 u Outdoor Landscape Lighting'
Fees Protective Signaling
Enter total of above fees $ Other --
8%State Surcharge $ __.�. -- .-_Number of Systems
25%Plan Review Fee $ ' No licenses are required Licenses are required for all other Installations
See"Plan Review"section on — ---
front of application —_.— Fees:
Total Balance Due $ ----- Enter Mal of above fees $---- —
LJ Trust Account# 8%State Surct-arge -
---- -- `— �- Total Balance Due $--All Now New Commercial Buildings require 2 sets of glans.
0dsts\forms\elc-fe,:s.doc 08/30/01
i
CITY OF TIGARD 24-Hour
BUILDING Inspection Line: (503)639- 175
MST -- - - ---
INSPECTION DIVISION Business Line: (503)639-4171
BLIP --- -
Received Date Requested—__ _a AM _PM_ BLIP
Location Lt% Zl� U _ - Suite ('00 MEC
Contact Person __ h( ) ?�l 3 -c7 DG PLM _ -___-
Contractor __ _ _ Ph( ) S`NR
BUILDING Tenant/Owner —` _ ELC
Footing � -
Foundation ELC
Access:
Ft
g Drain ELR
Crawl Drain
Slab Inspection Notes: SIT
Post&Beam
Shear Anchors ---
Ext Sheath/Shear
Int Sheath/Shear
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler ----_-
Fire Alarm
Susp'd Ceiling ---
Roof
Other: - — --- -
Final -----`_�
PASS _PART_ FAIL
PLUMBING
Post&Beam -
Under Slah
Rough-In
Water Service - - ---- _. ----
Saaltary Sewer
Rain Drains --
Catch Basin/Manhole
Storm Drain - -- - -
Shower Pan
Other: - ----- -----
Final -�—�--
PASS PART FAIL
MEC_HANICAL
Post 8 Beam �--- -- — —
Rough-In
Gas Line
Smoke Dampers -
Final
PASS PART FAIL -
ELECTRICAL
Service -----------.----
e _...—
UG/Slab
Low Voltage
Fire Alarm
me 1___I Reinspection fee of S required before next Inspection. Pay at City Hall, 13125 'Hall blvd.
PART FAIL
$ v [] Please call for reinspection RE:____ Unable to inspect -no access
Fire Supply Line
ADA
Approach/Sidewalk Date it 24
_. Inspectur .. - s1� Ext
Other:
Final DO NOT REMOVE this Inspection record from the Job site.
PASS PART FAIL
CITY OF TIGARD
DEVELOPMENT SERVICES BUILDING PERMIT
. .
13125 SVI%,4all Blvd., Tigara,OR 97213(503)639 4171 PERMIT #. . . . . : BUP99-00-11DATE ISSUED: 03/02/99
PARCE=L: 1S135AB-03400
SITE ADDRESS. . . . 1O260 SW GREENBURG RD #600
SUBDIVISION. . . . : LINCOLN TOWER—TOWN OF METZGER 7-ONING:C—P
BL.00K. . . . . . . . . . . LOT. . . . . . . . . . . . . :O1.4 JURISDICTION:TIG
REISSUE: FLOOR AREAS— EXTERIOR WALL CONSTRUCT I ON-
CLASS OF WORK. :ALT FIRST. . . . : 0 1:f N: S: E: W:
TYPE OF USE. . . :COM SECOND. . . : 0 Sf PROTECT OPENINGS''_—_.____.__._---.
TYPE=. OF' CONST. :2FR . . . . 0 sf N: S: E: W.
OCCUPANCY GRP. .B TOTAL-------: 0 sf ROOF CONST : FIRE RET?:
OCCUPANCY LOAD: (11 BASEMENT. : 0 s f AREA SEP. RATED:
STOR. : 0 HT: 1� ft GARAGE. . . : 0 S f OCCU SEP. RATED:
B:3MT? : MEl7.? : REOD SETBACKS---------- REQUI RE1)-__..-.___—______-_-.,_
FLOOR L_OAD. . . . : 0 ps f LEFT: 0 ft RGHT: 0 ft FIR SPKL:Y SMOK DET. . :Y
DWEL..LING UNITS: 0 FRNT: 0 ft REAR: 0 ft FIR ALRM:Y HNDICP ACC:
BEDRMS: 0 BATHS: 0 TMP, SURFACE: 0 PRO CORR: PARKING: 0
VALUE. $ : 2650
Remarks : Remove office walls, and construct walls for nest office.
___._.—_.-.__--.---..____.._..________.________-- FEES caner: ----.___________._._.__...____._._._._ �
KNICKERBOCKER PROPERTIES type amoi_int by date recpt
1,0300 SW GREENBURG RD PIRMT $ 38. 50 DLH 03/02/99 99-313385
STE 200 SPCT E 1. 93 DL.H 03/02/99 99-313385
F'ORTLr�)ND OR 97223 p'LCK $ 25. 0;?� DI...H 03/02/99 99—:313385
Phone #: 456-5900 VIRE $ 15. 40 DL_H 03/02/99 99.-313385
Contract ur:
PIONEER CONSTRUCTION SERVICE
PO BOX 68304
MIl_WAUKIE OR 97268
Phone #: 652--1050 f 80. 86 TOTAL
Reg #. . : 001286
- REQIJ I RED ACTIONS or INSPECTIONS-----
This permit is issued subject to the regulatinns contained in the Framing 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 91_tsp Cei log Insp
approved plans. This permit will expire if work is not stare-d
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-M-0010 through ORR 952-00101987.
You many obtain a copy of thtse rules or direct questions to OUNC
by calling (503)246-1987.
PFnrmittee Si. rnati_tre:ic�M.I Issued P • i I
++ F+++++++++++++++++++++++++++++++++i•++++++++•h++++++++•F++++++++++++++++++++•h++
Call 639•-4175 by 7:00 p. m. for an inspect ion needed the nPxt hitsineSs day
+++++++++++++ F++++i•+++++++++•F•++++++++++4++++++++•M++++++++t+++++++•f++++++++++•t+
CITY OF i IGARD Commercial Building Permit Application Recd By
13125 SW HALL BLVD. Tenant improvement Date Recd �j/z/99
TIGARD, OR 97223Date to P.E. _3 z - 2 _
(503) 639-4171 �6 ,)ate to DST 3(,Z_ S I t►f+=
Permit7/
Print or Type `/G Delated SWR#_
Incomplete or illegible applications will not be accept Called
Name of Development/Project ~1 — -Txis
Eting Building X New Building 0
Job __LI r) u�o �c',
Address Street Address SUwle Building
s'.►` C-Iv e e b'rL) 60 0 Data
Btdg# City/State Zip -- Existing Use �,f Building or Property.
L -T'lry j Q t' 0 E. C 1 l Z Z
-- -. - -
Name _
Property Proposed Use of Building or Property:
Owner Mailing Address Suite r!1 +
113 Sit �ras,,J�v �� No. Of tories.
City/State ZI Phone ►+� 'Z_.—
[� �Z"Z7, Sq. Ft. Of Pro t:
Occupant Name -
C cupancy Class(es)
Name l��1�AZ
P Z,Contractor ' , y� �.P I( Type(s)of Construction
Prior to permit Mailing Address Suite — Z �
issuance,a nopyWill this project have a Fire Suppression System?
ot all licenses �o, ��-u 4r IL
Yes No ❑
are required if City/Statezzip Phone —
expired in C.O T ^�Z-ts ti Americans with 0isabilities Act(ADA)
database Cw�1 n Z ) SZ7 Valuation X 25%, =$ `_ Participation
Oregon Const.Cont.Board Lic.# Exp.Date Complete Accessibility Form
Project $
�— N e -- Valuation ,
Architect (, Plans Required: See Matrix for number of sets to submit
Mailing Address Suite ort back
Ity/State Zip trrq�h Phone I hereby acknowledge that I have read this application,that the information
given is correct,that I am th9 owner or authorized agent of the owner, and
--- - —may — that plans submitted are In compliance with Oregon State Laws
Engineer Name
si na�tu�re�oQf Owner/Agept Date
Mailing Address _ Suite --�I^"'""--���Q �• (. ) 1
Contact Person Name Phone
CitylState Zip - Phone --- �-)(Ay e ,p _1��— :j"s-Z _ �!
FOR OFFICE USE ONLY _
Indicate ty w of work New O Addition O 133molition O Map/TL# Land Use: —
Accessory Structure O Foundation Only O Alteration1�(
Repair O Other O \ Notes'
Des riptlon of wo
rIF: --
Note: Site Work Permit Appllcatlon must precede or accompany Building
Permit Application
I,\COMNFWTI DOC (DST) 5/98
COMMERCIAL PLAN SUBMITTAL.
REQUIREMENT MATRIX
Plan Review is dependent upon submittal of BOTH plans AND ' COMPLETED
application. For an electrical submittal, the application must contain the
signature of the. supervising electrician before plan review will be conducted.
After plan review approval, Plans Examiner will contact the applicant to request
additional plan sets for distribution purposes. (Copy for Contractor, City,
Washington County, Tualatin Valley Fire & Fescue)
~-- --�
Total # of
TYPE OF SUBMITTAL Plans KEY:
Submitted_
S (Private) 1 S = Site Work
B (New or Add) 1 B = Building
F (New or Add or Alt) _ -- F = Fire Protection System
M (New or Add or Alt) 1 ! M - Mechanical
B & M (New or Add) 1 P = Plumbing
P (New, Add, or Alt) `2 E = Electrical
B & M & P (New or Add) 2 M New = New Building
E (New, Add, or Alt) 2 Add = Addition
6-&—F & M_& P & E 3 Alt = Alternation to Existing
(New , Add) �^ Building
"Bora & M (Alt)_ 1
_;_B_&WP& P tAlt) _ 3
'B & M & P & E(Alt) y� 3
'B & M & P & E & F(Alt) 3
NOTES:
Shaded areas designate ALT submittals only.
I\dstslformslmatrxcom doc 10/30/98
SUBJECT: ACCESSIBILITY
BARRIER REMOVAL IMPROVEMENT PLAN
REQUIREMENT: ORCGON REVI aED STA.UTE (CIRS) 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-cent(25%).
VALUATION_ of all renovation, alteration or modifi:;ation being dcna J
excluding painting, wallpapering. j1]$
muitiply_ 25% Barrier removal requiremert. .25
BUDGET FOR BARRIER REMOVAL [21$
In choosing which arc:ssible aiements to provide under,his scr,,tion, priority shall be given to those
elements that will provide thF. greatest access. Elements shall be provided in the following order:
(a) Parking $_ /'///�_
(b) An accessible entrance: $_ /A/ /)/T
(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 ind alarms. $
TOTAL: Shall equal fine 2 of Value Computation
lAdsts\farms\access doc
-'�, CITY Off' TIGARD
DEVELOPMENT SERVICES ELECTRICAL PERMIT
13125 SW Hall Blvd., Tigard,OR 97223(503)639-4171 RESTRICTED ENERG',
PERMIT #: El-R99-0049
DATE ISSUED: 03/17/99
PARCEL-: IS135AB-03400
51TE ADDRESS. . . : 10260 SW GREENDURG RD K600
I
SUBD I V 15 1 ON. . . . :LINCOLN TOWER—TOWN OF MET7Gr:-'R ZONING.-C-P
I-ALOCK. . . . . . . . . . : LOT. . . . . . . . . . . . . :014 JURISDICTN: TIG
Pro.jPc,t Description: Instal I data telecasounicat ion system.
A. RESIDENTIAL—_-- -___..__ D COMMERCIAL--- ________.__....___.______.._____._____.__._.__... ._
AL.JD I O
OMMERCIAL----
AL.JDIO & STEREO, . . : AUDIO X STEREO. INTERCOM & PAGTNG. - :
BURCLAR ALARM. . . . : BOILER. . . . . . . . . . . LANDSCAPE/I RR I(3AT. . :
93ARAGE OPENER. . . . . CLOCIJ. . . . . . . . . . . : MEDICAL_. . . . . . . . . . . . :
HVAC. . . . . . . . . . . . . . DATA/TELE COMM. . :X NURSE CALLS. . . . . . . . :
VACUUM SYSTEill. . . . FIRE ALARM. . . . . . : OUTDOOR LANDSC LITE
OTHER,. HVAC, . . . . . . . . . : PROTECTIVE SIGNAL. . :
INSTkUMENTATTON. : OTHER- - 1 :
TOTAL # OF SYSTEOS: I
---------------------- FEED
KNICKERBOCKER PROPERTIES type a M 0 kt n by date recpt
10300 SW 51REENBURG RD PRMT 40. 00 GEO 03/17/99 99--313763
STE 200 `,PCT 2. 00 GEO 03/17/99 99--313763
PORTLAND OR 97223
Phony #: 456-5900
Contractor:
0 PT EC I N C $ 42. 00 TOTAL
7324 SW DURHAM RD
------ REQUIRED INSPECTIONS
PORTLAND OR 97224 Low Voltage I n s p
Phone #: 639-2871 Elect' l Final
Reg #. . : 64137
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes and all otner
applicable laws. 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 160 days. ATTENTION: Oregon law requires you to follow rule adopted by the
Oregon Utility Notification Center. Those -ules are set forth in OAP 952-NI-001C. through OAR 952-001-MO, You may obtain copies of
thrsp rules or direct questions to. WA,(503)2461987,
Issr.ted by 45-9�6
Permittee Signati.tre
INSTALLATION
The installation is being made on property I own whic--h is not intended for-
sale,
orsale, lease, or- rent.
OWNER' S SIGNATURE: D(iTE
INSTALLOTTON ONLY------------------~---------.._--_
- 7
SIGNATI-IRE OF SUPR. ELECIN: DATE: 3 1.;
LICENSE NO:
+++++++++++++.+++++++-F++++++•+++++++++++++++++++++++1 1 4++++++-1-++++++++++t++ +•1-+++
Call 639-41'71oy 7:00 P. M. for an inspertion nLreded the next bIASiness day
++++++++++++++++++*......4.......I1-++++++i•1•......1•+++++++++-4_++ -+++++,1-+•1-+++++++++-}+
CITY OF TIGA.RD RU.STRICTED ENERGY ELECTRICAL APPLICATION Recd by
13125 SW HALL BLVD Date Recd
HGARD OR 97223 PRINT OR TYPE
V- 503-639-4171 X304 Permit#
F • 503-684-7297 INCOMPLETE OR ILLEGIBLE APPLICATIONS Cust.Call'd,
'WILL NOT BE ACCEPTED
Name of Development Project TYPE OF WORK INVOLVED -RESIDENTIAL ONLY
Restricted Energy Fee....................................... $40.00
�V�y2 (FOR ALL SYSTEMS)
SOB Street Address Ste
ADDRESS O GL��a' Check Type of Work Involved:
1
City/State Zip Phone# ❑ Audio and Stereo Systems
C,
Name _ ❑ Burglar Alarm
PAC- `;?_0_5 ❑ Garage Door Opener'
OWNER Mailing Address
City/StateZip - Phone# Heating,Ventilation and Air Conditioning System'
Name -- ❑ Vacuum Systems•
ORI Z.C_ ❑ Other—--- --
CONTRACTOR Mailin Address ��
�t, ; u M ,w TYPE OF WORK INVOLVED -COMMERC;AL ONLY
(Prior to Issuance a City/State Z Phone# Fee for each system.............................................. $40.00
copy of all licenses O(YL^�D CjZ70 Q� (v� >57� (SEF OAR 918-260-260)
are required if Oregon Contr. Brd Lic.# Exp Dale
expired in C.O.T Check Type of Work involved:
data base). Electrical Contr Lic.# _ Exp. Date
F-1L -�S t`Lt Audio and Stereo Systems
C O T.or Metro Lic.# Exp.Date ❑
Boiler Controls
Owner's Name
❑ Clock Systems
OWNER - Mailing Address
APPLICANT Data Telecommunication Installation
City/State Zip Phone# ❑
Fire Alarm Installation
This permit is Issued under OAE 918-320-370.This^,)plicant agrees to ❑
make only restricted energy Installations(100 volt amps or less)tinder this HVAC
permit and to do the following: ❑
Instrumentation
1. Only use electrical licensed persons tr do installations where required
Certain residential and other transactions are exempt from!Icensing. ❑ Intercom and P:ging Systems
These have asterisks(*). All others need licensing;
❑ Landscape Irrigation Control'
2 Call for inspections when installation under this permit are ready for
Inspection at 603-6394176; ❑ Medical
3. Purchase separate permits for all installations that are not ready for an ❑ Nurse Calls
Inspection when the inspector Is out to Inspect under this permit;
4. Assume responsibility for assuring that all corrections required by the ❑ Outdoor Landscape Lighting'
inspector are done,end; ❑
Protective Signaling
5 Assume responsibility for calling for a final inspection when all of the ❑
corrections are completed. Other
Permits are non-transferable and non-refundable and expire if work Is lot
started within 180 days of issuance or if work Is suspended for 180 days. Number of Systems
The person signing for this permit must be the applicant or a person No licenses are required Licenses are required for all other installations
authorized to hind the applicant.
S ENTER FEES $
Signature
5%SURCHARGE(.05 X TOTAL ABOVE) $
Authority if other than Applicant TOTAL $
I rdstsvesele doc 7197 '-
CITY CSF TIGARD ELECTRICAL PERMIT
DEVELOPMENT SERVICES PERMIT #: ELC99-01 6
�
21.11"Add"WAM
DATE ISSUED: 03/05;/9'3
13125 SW Nall 91vd., Tigard,OR 97223(503)639-4171
PARCEL: 1 S 135AB--03400
SITE ADDRESS. . . :: 102691 W GREENBURG RD #600
SUBDIVISION. . . . :LINCL,I 'I TOWER-TOWN OF ME'TZGEP 7ONING:C -P
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . .014 JURISDICTION: TIG
Pro J ect De scr i pt i on : Installation of 8 branch circuits. Job No. 62-02925.
.--RES I DENT I.)L LJh.I T----- ---TEMP SRVC/FEEDERS---- - - --M 1 SCEL.LANEOUS -- -
1000 SF OR LESS. . . . : 0 0 `00 amp. . . . . . . : 0 PUMP/I RRIGA•f ION. . . . 0
EACH ADD' L 50OBF. . . : 0 .7-01 _. 400 amp. . . . . . . : 0 SIGN/OUT LINE LTG. . : 0
LIMITED ENERGY. . . . . : 0 401 600 amp. . . . . . . : 0 SIGNAL/PPNEL. . . . . . . .. 0
MANE. HM/ SVC-/FDR. . : 0 601 +amps-1000 volts. : 1-1 MINOR LABEL- ( 10) . . . : Qi
..._--.__c;ERVICE/FE"EDER--.-- ------BRANCH CIRCUIT'S--..-_.._ ......._ UD' L INSPECTIONS--
0 ::'00 amp. . . . . . : 0 W/SERVICE OR I71-EDEFR: 0 FIER INSPECTION. . . . . ; 0
201. 400 amp. . . . . . . 0 1st W/O SRVC OR FDR. : 1 PER HOUR. . . . . . . . . . . 0
401 - GOO amp. . . . . . . N EA ADD' L BRNCH CIRC: -7 IN PLANT. . . . . . . . . . . 0
601 10091 amp. . . . . : 0 - --- -- -- - - - - -FLAN REVIEW SECT ION.--_-_.____._._.___._._... _.
1000+ amp/volt. . . . . : 0 ) =4 RES UNITS. . . . . . . . : ) 600 VOLT NOMINAL . .
Ret'onnect only. . . . . : 0 SVC/FDR ) _ 225 AMPS— : CLASS AREA/SPEC Of_(;.
KNICKERBOCKER PROPERTTES t amoLInt by date recpt
10300 SW GREENBURG RD Phrlf $ 70. 00 DES 03/05/99 99-3713466
STE 2..00 5PCT $ 3. 50 DEP 03/05/99 99-313466
PORTLAND OR 97223
Phone #:
CHRISTENSON Et.ECTRTC INC $ 73. 50 TOTAL
1 1 1 SW COLUMBIA
STE 480 _ - - - - REQUIRED INSPECTIONS
PORTLAND OR 97201 Ceiling Cover Eler.t' l Service
Phone #: -'7*41-4812 Wall Cover Elect' l Final
Peg r. , : 000438
Plis permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Oregon Specialty Codes and all other
applicable laws. 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 reyou to follow the rules adopted by
the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 ough DAR 001-1987. You may obtain a copy
of these rules or direct gvestior.s to Ol1NC by railing 1503)246-1987.
PPr-mitteP SignatclrP: Is51-1P11
-------------------------------OWNER INSTALLATION
The installation is being made on property I own which is not intended f
sale, lease, or-, r-ent.
914NER' S SIGNATURE: DATE
_--.--CONTRACTOR INSTALLATION
-A--TIION
SIGNATURE. OF SUPR. E'I_EC' N: j. 4A�'1p-►'�--� DATE:
LICENSE NO:
++++-+4++++4 +++++++++..F+++++++++-f++++++++++++++++++++++++++++++++++++++++++++++++
Call 639-4175 by 7.00 p. m. for• an inspection needed the next br_rriness day
.++++++++++++++++++++++++++++++++++++++++++++++++++++ +++++++
RE CF
CITY OP TIGARD Electrical Permit Application Plan Chaek*,
13125 SW HALL BLVD. Recd
TIGARD OR 972 Date FRec'd
2
t ",MUIVIIV UtVt lUrlhu�l C �( Date to P.E.
Phone(503)639-4171, x304
Pr., Date to DS
Inspection (503) 639-4175 I Incomplete or illegible will not be Permit#
Fax(503)684-7297 accepted tpd Called_"______
1. Job Address:NORRIS BEGGS SIMPSON PROPERTY N( 'f'4, Complete Fee Schedule Below:
Name of Development lincoln centre Number of Inspentions per permit allowed -
Name(or name of business)LINCOLN TOWER MICROSOFT Service Included: Items Cost Sum
Address 10260 SW GREENBURG RD SUITE 600 4s. Residential-per unit
sq.It.or less
City/State/Zip TIGARD OR Each additional 500 sq.ft.or - - $110.00 1
Commercial Li
Residential❑ portion thereof $25.00
Limited Energy $25.00 _
ROSS CROSBY 245-1965 PIONEER CONST Each Manuf'd Home or Modular
Dwelling Service or Feeder $68.00
2a. Contractor installation only: --- _
(Attach copy of all current licenses) 4b.Services or Feeders
Electrical Contractor-CHRISTENSON ELECTRIC, INC. Installation,alteration,or relocation
Address 111 SW COLUKBIA, SUITE 480 _ 200 amps or less $so.00
Ci PORTLAND -State _ 201 amps to 400 amps $80.00 _ 2
ty_ OR _Zip 401 amps to 800 amps -__ $120.00 _ 2
Phone No. 50"3 241-4812 601 amps to 1000 amps � $180.00 __- 2
Job No` 62-02925 Over 1000 amps or volts $340.00 2
Eleo,Cont. Lice. No. 26-34C �Exp.Da(e_ 1'0/99
Reconnect only $ao.ou _ 2
OR State CCB Reg. No. 00458 -Exp.Date_ 5/99 4c.Temporary Services or Feeders
COT Eusinsss Tax or Metro No. 5246 Exp.Date. 12199 Installation,alteration,or relocation
100 amps or less $50.00
Signature of Supr. Elec'n _ <_ 1 -t- 201 amps to 400 amps $100.0 _
"""�'-'- Ov amps to 600 amps $100.00
Over 800 amps to 1000 volts,
License No. 8735 .Exp.Date 10/20 see"b"above.
Phone No. 503 241-4812
- 4d.Branch Circuits
New alteration or extension per panel
2b. For owner installations: a) ft in fee for branch circuits with
purchase of service or
Print Owner's Name_ _ feeder In.
Address 'y Each branch circuit $5.00
-- b)The fee for branch circuits
City State _ Zip without purchase of
Phone Vo. service or feeder fee. 3
First branch circuit 1 $35.00
The installation is being made on property I own which is not Each additional branch circuit-� $5.00
intended for sale,lease or rent. 4o.Miscellaneous
(Service or feeder not included)
Owner's SlgnatUfe Each pump or Irrigation circle y $40.00 2
Each slgn or outline lighting $40.00
.3. Plan Review section(if required):' Signal cirmit(s)or a limited energy
panel,alteration or extension $40.00
� _
Please check appropriate Item and enter fee In section 5B. Minor Labels(tU) $1J0.00
4 or mare residont al units In one structure 41.Each additional Inspection over
Service 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 occupancy Per hour $5500
as described In N.E.C.Chapter 5 In Plant $55.60
'Submit 2 sets of plans with application where any of the above apply. S. Fees: 70
Not required for temporary construction services. 5A.Enter total of above fees $
b,.ucharge(.05 X total fees) $ .-I I.SA
NOTICE Subtotal
5b.Enter 25%of line 5a for
PERMITS BECOME VOID IF WORK OR CONL,rRL- 'NON AUTHORIZED IS Plan'Ieview If recurred(Ser.3)
NOT COMMENCED WITHIN 180 DAYS,OR IF CONSTRUCTION OR WORK Subtotal $ f
IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY
TIME AFTER WORK IS COMMENCED. ❑ Trust Account# $
Total balance Due
r�nSTS�ELCAf,APr' pev 4'3fi
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24-Hour Inspection Line: 639-4175 Business Line: 639-4171 --
BUP
— Date Requested C _AM_ _i'M BLD _
Location I 02,06 ��, _ Suite �,a l)� MEC
Contact Person i V S S Ph _J3( PLM
Contractor _ Ph SWR
BUILDING Tenant/Owner 11' L 0 4, _ ELC
Retaining Wall [LR _
Footing Access: -
Foundation FPS
Fig Drain SGN
Crawl Drain Inspection Notes --- - -
S.ab - ------- - --- —-- -- -- -__ -- SIT
Post& Beam -
Ext Sheath/Shear
Int Sheath/Shear
Framing
Insulation
Drywall Nailing _--__ -___— - ��-, -__
Firewall i
Fire Sprinkler
Fire Alarm
Susp'd Ceiling --- --- - -- --
Roof
Misc:_
Final - �)
PASS PART FAIL ---- -.----- __ .__-----------.--- _-•_--
PLUMBING
Post& Beam -- --- ------- - _-..- --—
Under Slab
TopOut ---_------------------ _ _____ _. _---
Water Service _
Sanitary Sewer —
Rain Drains
Final -- - -_
PASS PART FAIL
MECHANICAL
Post& Be am - -- --
Rough In
Gas Line - -- - - - - - - ------- ^----
Smoke Dampers
Final - ----- - - --
PAS _ PART FAIL
ftt-CIRICAj
-WEE --
Service
Rough In
UGlSlab
Low Voltage
Fire Aka --.�._- _ -----
ftsPART FAIL
Backfill/Grading I -- --- _- -
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/Sidewalk )ate
Other p
Ins actor N Ext
-- �-
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
CITYITY O F T I G A R Q __ ELECTRICAL PERMIT
PERMIT#: ELC2000.0014'i
DEVELOPMENT SERVICES DATE ISSUED: 03/28/2000
13125 SW Hall Blvd., Tiqard, OR 97223 (503) 639.4171 PARCEL: 1S135AB-03400
SITE ADDRESS: 10260 SW GREENBURG RD 600
SUBDIVISION: LINCOLN LOWER-TOWN OF METZGER ZONING: C-P
BLOCK: LOT : 014 JURISDICTION: TIG
Proiect Description: Electrical TI
RESIDENTIAL UNIT TEMP SRVC/FEEDERS — MISCELLANEOUS
1000 SF OR LESS: 0 - 200 amp: PUMPIIRRIGATION:
EACH ADD'L 500SF: 201 - 400 amp: SIGN/OUT LINE LTG:
LIMITED ENERGY: 401 - 600 amp: SIGNAL/PANEL:
PAANF HMI SVC/ FDR: 601+amps - 1000 volts: MINOR LABEL (10):
SERVICE/FEEDER _ BRANCH CIRCUITS ADD'L INSPECTIONS
0 - 200 amp: W/SERVICE OR FEEDER: PER INSPE..CTION:
201 - 400 amp: 1 st W/O SRVC OR FDR: P!-:R HOUR:
401 - 600 amp: EA ADD'L BRNCH CIRC: 3 IN PLANT:
601 - 1000 amp: PLAN REVIEW SECTION _
1000+amp/volt: _ >=4 RES UNITS: > 600 VOLT NOMINAL:
Reconnect onlV: __ SVC/FDR >= 225 AMPS: CLASS AREWSPEC OCC:
Owner: Contractor:
KNICKERBOCKER PROP INC XXIV CHRISTENSON ELECTRIC INC
HY NORRIS BEGGS SIMPSON 111 SW COLUMBIA
10300 SW GREENBURG RD STE 480
TIGARD, OR 97223 PORTLAND, OR 97201
Phone: Phone: 2.41-4812
Reg#: LIC 000458
SUP 3289S
PLM 2468S
ELE 26-34C
FEES Required Inspections
Type By Date Amount Receipt i
_—. Elect'I Service
PRMT BON 03/28/200C $53.55 0000995 Elect'I Final
SPCT BON 03/28/2000 $4.28 0000995
Total $57.83 ORIGINAL
This Permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR Specialty Codes and all other applicable laws
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 rules adopted by the Oregon Utility Notification Center Those
rules are set forth in OAR 952-001-0010 through OAR 952-001-0080 You may obtain copies of these rules or direct questions to OUNC at(503)
246-1987
PERMITTEE'S SIGNATURE ( -�,/�,� ISSUED BY: 2
IOWNER INSTALLATION ONLY _
The installation is being made on property I own which is not intended for sale, lease, or rent.
OWNER'S SIGNATURE: _ DATE:---
CONTRACTOR INSTALLATION CNLY
SIGNATURE OF SUPR. ELEC'N:
LICENSE NO: _� -- -- -- ---- -- --- —--- -- —
Call 639-4175 by 7:00pm for an Inspection the next business day
CITY OF TIGARD Electrical Permit Application Plan Check#T
13125 SW HALL @LVD. Recd Byi
RECEIVE[' Date Rec'd 2 b
TIGARD OR 97223
Date to P E P.�-- -
Phone (503)639-4171, x304 MAP 2 F 70'1 Date to DST
Inspection (503) 639-4175 Print of Type Permit#rl '
Fax (503) 598-1960 COMMUNITY QWMk M6 or illegible will not be accepted Called _-
- Iy 1M) - ,I ------- --- --
1. Job Address: 4. Complete Fee Schedule Below:
Name of Development LINCOLN TOWER Number of Inspections per permit allowed
Name(or name of business)M I CROSO FT Service included: Items Cost Sum
Address 102160 SW GREENBURG RI) _ SUITE 600 4a. Residential-per unit
1000 sq.fl or less _ $ 117 75 _ 4
City/State/Zip 'I'I GAltll OR —, Each additional 500 sq ft.or
portion thereof $ 26.25 —_ — 1
Commercial 19K Residential ❑ Limited Energy $ 60.00
PIONEER CONS'('. QUESTIONS?CONTACT ROSS CROSBY Each Manurd Home or Modular
2a. Contractor installation only: 245-1965 Dwelling Service or Feeder _ E 72 75 - 2
(Prior to permit issuance,applicants must provide contractor license 4b.Services or Feeders
information for COT data base). Installation,alteration,or relocation
Electrical Contractor CHRISTENSON ELECTRIC. INC. — 200 amps or less _ $ 64.25 2
Address
I I I SW COLIIMB 1 A,SU ITE 480 201 amps to 400 amps $ 85.50 2
401 amps l0 600 amps $ 128.50 2
City PORTI,ANI) State OR —Zip 972(11-5886_ 601 amps to 1000 amps $ 192 50 — 2
Phone No. 5O3 241--4812 Over 1000 amps or voltsS 363.75 _ — 2
Job No. 62-10944 _- - Reconnect only — $ 53 50 2
Elec. Cont Lice. No. 26-34C Exp.Date 111/00 _ 4c.Temporary Services or Faeders
OR State CC8 Reg NO _ 458 __Exp.Da 5/ 3 Installation,alteration,of relocation
COT Business Tax or Metro No 46 E D 12100 200 amps or less _ E 5350 — 2
-- 201 amps to 400 amps S 8025 - 2
401 amps to 600 amps $ 107 00 _ 2
Signature of fpr Elec'n Over 600 amps to 1000 volts,
�i see"b"above.
L_Icense No b? Exp.Da( 10/01 4d.Branch Circuits
Phone No 503 24 I-4 8 1 2 _ New,alteration or extension per panel
ai The fee for branch circuits
2b. For owner installations: with purchase of service or
feeder fee.
Print Owner's Name Each branch circuit —__ S 5 35 - 2
- �-T--� b)The fee for branch circuits
Address — without purchase of service
City_ State___ZIP or feeder fee.
Phone No First branch circuit I S 3750 37.50
— —"`—�— Each additional branch circuit 3 S 5 35 16.05
The installation is being made on property I own which is not 4e.Miscellaneous
intended for sale, lease or rent. (Service or feeder not included)
Each pump or irrigation circle S 42 75
Owner's Signature _____ _ Each sign or outline lighting ,—_ $ 42 75 _
Signal circuit(s)or a limited energy
panel,alteration or extension $ 6000
3. Plan Review section (if required):* Minor Labels(10) — $ 10700
Please check appropriate item and enter fee in section 5B. 4f.Each additional inspection over
4 or more residentia units in one structure the allowable in any of the above
--- Per inspection $ 5000 ��—
Service a,td feeder 225 amps or more Per hour _ $ 50 00
System over 600 volts nominal In Plant - S 5900
Classified area or structure containing special occupancy as
described in N E C Chapter 5 S. Fees:
5a.Enter total of above fees $ 53.55
` Submit 2 sets of plans with application where any of the above apply. 50%Surcharge(05 X total fees) 8? $ —Z.Not required for temporary construction services. Subtotal $
5b.Enter 25%of line ba for
NOTICE Pian Revev;if required iSec 3) S
PERMITS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED Subtotal S _ 57.83
IS NOT COMMENCED WITHIN 180 DAYS,OR IF CONSTRUCTION OR
WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS U Trust Account#
AT ANY TIME AFTER WORK IS COMMENCED Total balance Due _-- —�—�— $ �ri .8 3 -
i 1dsts,forms\eicctrir de:
BUIL9INGPERMlT
CITY OF TIGARD
PERMIT#: BUP2000-00089
DEVELOPMENT SERVICEF DATE ISSUED: 03/27/2000
13125 SW Hall Blvd.,Tigard, OR 97223 (5(,3) 639-4171 PARCEL: 13135AB-03400
SITE ADDRESS: 10260 SW VREENBURG RD 600
SUBDIVISION: LINCOLN TOWER-TOWN OF METZGER ZONING: C-P
BLOCK: LOT: 014 JURISDICIION: TIG
REISSUE: _FLOOR AREAS EXTERIOR W 4LL CONSTRUCTION
CLASS OF W' , 2K: ALT FIRST: sf N: �S: E: W:
TYPE OF 1,3E: COM SECOND: sf PROJECT UPENINGS?
TYPE OF CONST: 2FR sf N: S: E: W:
OCCUPANCY GRP: B TOTAL AREA: sf ROOF CONST: FIRE RET?
OCCUPANCY LOAD: BASEMENT: sf AREA SEP. RATED:
STOR: HT': ft GARAGE: sf OCCU SEP. RATED:
BSMT?: 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:
BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING:
VALUE: $ 3,250.00
Remarks: Commercial TI
Owner: Contractor:
KNICKERBOCKER PROP, INC XXIV PIONEER CONSTRUCTION SERVICES
BY NORRIS, BEGGS + SIMPSON PO BOX 68304
103800 SW GREREN7B�U�RgG RD STE 200 MILWAUKIE, OR 97009-7268
P9P0ne N�0 63993533 Phone: 652-1050 ORIGINAL
Reg #: LIC 128689
FEES P-QUIRED INSPECTIONS
Type By Date Amount Receipt Framing Insp
Gyp Board Insp
PRMT KJP 03/27/2000 $68.50 0000947 Susp Ceiing Insp
PLCK KJP 03!27/200C $44.53 0000947 Final Inspection
5PCT KJP 03/27/2000 $5.48 0000947
FIRE KJP 03/27/2000 $27.40 0000947
Total $145.91
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes
and all other applicable law. All work will be done in accordance with approved plans This permit will expire if work is
not started within 180 days of issuance, o•if work is suspended for more than 180 days. ATTENTION Oregon law
requires you to follow the rules adopted by the Oregon Utility Notification Center Those rules are set forth in OAR
952-001-0010 through OAR 952-001-1987. You may obtain a copy of these rules or direct questions to OUNC by
calling (503) 246-1987.
Permitee u
Signature: /
Issued By: �� /`�r'`�`-J ----— ----------- -
Call 639-4175 by 7 p.m. for an inspection the next business day
a
Received: 3/?3/00 10:55; 503 598 I OE30 - - P LONFER CONST SERV; Paye 2
03/23/00 'I'Ill! 11 :39 FAX 503 598 1960 CITY OF TIGARD Q002
CITY OF TIGARD Commercial Building Permit Application Plan Check*
131265W WALL BLVD. Tenant Improvement RecdBy
Date Recd
TIGARD, OR 97223 Datelo P.E.
(503) 639.4171Dale to DST?�l1�fr��
Print or Type 0-0/ Permit axr..ul�'oct-l j
Related SWR#
Incomplete or illegible applications will not be accepted Called—
Name of Development/Project, _ Existing Building ❑ New Building ❑
Job 11--lnCej1,-J L�
Address Street Address Suite
�� B(Hata 9
(X60 Sw�"Atri a'%,�U4 �^
P.Idg>le CltyISlale Zip V�Z23 Existing Use of Building or Property*
wa Deg
Name I Proposed Use of Building or Property:
Property SSL t.\0tL9L Q . �ttrp ► _y
Owner Mailing Address Suite Ve
Z 0 d No.
Of Stories:
City/Slate Zip Phone ` I Z-
Sq. Ft. OfP�roj ct:
Name �3 �� V t&b LY�1W :u--
Occupant r- Occupancy Class(es)
�
Contractor Cm�- 4' 01-3 'Q `rV—Z'4 Type(s)of Construction
Prior to permit Melling Address suite rzf�------- --
Issuance,a y � yy rr ^ ,l ' Will this project have a Fire Suppression System?
of an licenses UO `t *r Lt11f�r1�[ Q Yes M' NO
are requtred if C /State Zip Phone `ans _
expired h c.o T. � al'1Z1, � Americans with isabilffies Act(ADA)
database 11 { Valuation X 25% = $ Participation
Oregon Const.Cont.Board Lic.0 ExpW—'
t _J Complete Accessibili Form_ —
C - p Project $ _
1`Zg - 1 Valuation �Z-
Marne
Architect �PC. 1Y' Plans Required: See atrix for number of sets to submit
Malting Address Sulie or back
City/State Zip P ono 1 hereby acknowledge that I have reed this application,that the Information
D—1 �B��L `i z `� given is correct,that I am the owner or authorized agent of the owner,and
fes'O yn ; "^� � that plans submitted are in compliance with Oregon Stale Laws.
Engineer Name
Suture of Owper/Agent. Date
r•
MeiNng Address guile t( J- ^2^1 "�•�
Contact person Name Phone
Clty/State Zip
FOR OFFICE ME ONLY ,
indicate type of work New O Addition O Demolition O
Accessory Structure O Foundation Only O Alteration U
O Other b
Description of work: r,
TIF-
Note: SIM Wait Permit Application must precede or accompany Building
Permit Application
I%COMNFWTI.DOC (DST) 5/98
OVER-THE-COUNTER (OTC) PERMIT PLAN REVIEW
COMMERCIAL (STRUC 1 URAL) BUILDING PERMIT CHECKLIST
DESCRIPTION OF PROJECT:
CLASS OF WORK __ FLOOR AREAS: _ EXTERIOR WALL CONSTRUCTION
TYPE OF USE FIRST SQ. FT. N: S E: W
TYPE OF
CONSTR: ___ SECOND ^_ SQ FT. PROTECT OPENINGS?'
OCCUPANCY GRP: THIRD SQ FT. N: S E W.
OCCUPANCY LOA( : tip' ,fXkXr TOTAL SO. FT. ROOF CONSTR. FIRE RET
STOR. HT FT: 8SMNT SQ. FT. AREA SEP. RATED
BSMNT? MEZZ? GARAGE: SO. FT OCCU.SEP.RATED.
FIRE % FIRE SMOKE HANDICAP
SPRINKLER: >YC ALARM DETECTOR: ACCESS
E__COMMERCIAL INSPECTION ACTIONS ` _ _ FEE MENU
Foot/Found Post/Beam $ L,`' 'I Permit Fee
—_ Masonry Framing $�_Plan Review
Insulation Shear Wall $ "�4,� 811,10 State Surcharge
k.
Firewall QfI5 8oard ' $ .' FLS Plan Review
_ Suspended Ceiling Sprinkler Rough-in $ Add] Permit Fee
T— Sprinkler Final _ Fire Alarm $ Add'I FLS Pln
Smoke Detector Approach/Sidewalk $ Inspectio,
Miscellaneous Final $ MIS Fee
FOR OFFICE USE ONLY:
TYPE OS USE OPTIONS(COM=commercial; CMS=commercial manufactured structure)
CLASS OF WORK OPTIONS FOR ALL PERMITS(NEW=new;Add-addition; AIJT.alteration:ACS=accessory;FND-foundation;
OTR-other;DEM=demolition;REP=repair;IPS=fire protection system, NOTE: USE OTR FOR FENCES, RETAINING
WA1,LS,DETACHED DECKS, SIGNS, AWNINGS, CANOPIES)
1\ovrcntr2 doc (DST) 9199
CITY OF TIOARD _, CERTIFICATE OF OCCUPANCY
DEVELOPMENT SERVICES PERMIT#: BUP99-00071
13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 03/02/1999
PARCEL: 1 S135AB-03400
ZONING: C-P
JURISDICTION: TIG
SITE
SUBDID S ON: LINCOLN TOWER-TOWN OF METZGER FILE COPY
BLOCK: LOT:014
CLASS OF WORK: ALT
TYPE OF USE: COM
TYPE OF CONSTR: 2FR
OCCUPANCY GRP: B
OCCUPANCY LOAD: 0
TENANT NAME: MICROSOFT
REMARKS: Remove office walls, and construct walls for new office.
Final Building Inspection and Certificate of Occupancy Approved
8/31/99 by George Steele, Building Inspector
Owner:
Phone:
Contractor:
PIONEER CONSTRUCTION SERVICE
PO BOX 68304
MII_WA.UKIE, OR 97268
Phone: 652-1050
Reg#:
This Certificate grants occeapancy of the above referenced building or portion thereof and
confirms that the building has been inspected for compliance with the State of Oregon
Specialty Codes for the group, occupancy, and use,under which the referenced permit was
issued-1
SOILDING INOECf0ft BUILAG OFFICIAL
POST IN CONSPICUOUS PLACE
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24-Hour Inspection Line: 639-4175 3 I Business Line: 639-4171 BUP
_Date Requested_ _ AM _,PM BLD _
F
Location L Suite (1'2ry� MEC
� J
PLM
Contact Person — —
Contractor Ph SWR
UILDf— Tenant/Owner ELC _
Retaining Wall ELR _-
Footing Access:�,9 � �, /� FPS
Foundation JJ��
Ftg Drain SGN
Crawl Drain Inspection Notes. C
Slab - ----- -- >'f! i_ i t SIT ----
Post&Beam �{ 27-Yy
Ext Sheath/Shear - -- ---
Int Sheath/Shear
Framing ---- -- — ----�.--�----
Insulation
Drywall Nailing --_�_--__ -- - --- -- --
Firewall
Fire Sprinkler - --- - --- -. —�-.`_ ------ .
Fire Alarm
Susp'd Ceiling --______ �_ _____ --.---___ ---_ ---
Roof
M'
L' PART FAIL
PLUMBING _
Post& 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
ELECTRICAL T
Service ___ --- - ---- — ---- -
Rough In
UG/Slab _-
Low Voltage
Fire Alarm - — ---
Final
PASS PART FAIL
SITE
Backfill/Grading
Sanitary Sewer
Storm Drain ( J Reinspection fee of$ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin ( Please call for reinspection RE: ( j Unable to inspect-no access
Fire Supply Line
ADA
Approach/Sidewalk nate ^$' _� - 9 __ Inspector zej __ Ext
Other
Final
PASS PART FAIL DO NOT REMOVE this Inspection record from the job sits.
CERTIFICATE OF OCCUPANCY
CITY C�F T I iG A R D
DEVELOPMENT SERVICES DATE ISSUED:PERMIT#:PARCEL: 1 S 13B 1 /135AB-
B-27/2 0-00089
-� 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 S 03400
ZONING: C-P
JURISDICTION: TIG
SITE ADDRESS: 10260 SW GREENBURG RD 600
SUBDIVISION: LINCOLN TO " -TOWN OF METZGER FILE
BLOCK: LOT:014 L
CLASS OF WORK: ALT W
TYPE OF USE: COM
TYPE OF CONSTR: 2FR
OCCUPANCY GRP: B
OCCUPANCY LOAD:
TENANT NAME: MICROSOFT
REMARKS: Commercial TI
Owner:
KNICKERBOCKER PROP, INC XXiV
BY NORRIS, BEGGS + SIMPSON
10300 SW GREENBURG RD STE 2.00
PORTLAND, OR 97223
Phone:
Contractor:
PIONEER CONSTRUCTION SERVICES
PO BOX 68304
MILWAUKIE. OR 97009-7268
Phone: 652-1050
Reg #: LIC 128689
This Certificate issued 11610012111111 grants oc4.upancy of the above referenced building or
portion thereof and confirms that the building has been inspected for compliance with the
State of Ur gin Specialty Codes for the group, occupancy, and use under which the
referen permit was issued. /
BUILDING INSPECTOR BUILDING OFFICIAL
POST IN CONSPICUOUS PLACE
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24-Hour Inspection Line: 639-4175 Business Line- 639-4171
0�p d 1\BUP
_Date Requested_ AM PM BLD
Location,. Suits LQ�(� JMEC _
Contact Person Y/f Ph �c� ( PLM
Contractor _ _ Ph SWR
UILDIy Tenant/Owner �� 1 b(� EL.0
Retaining Wall ELR
Footing Access: FPS
Foundation -----
Ftq Drain SGN
Crawl Drain Inspection Notes.
Slab _ — ---__i_L� � —I S J SIT ---------
Post&Beam
Ext Sheath/Shear —---
Int Sheath/Shear
Framing -- -----
Insulation
Drywall Nailing — --.-_-- -_ ----_----_
Firewall
Fire Sprinkler - _ —__ - ----- -- - --- ----
Fire Alarm
Susp'd Ceiling -. ------ --- __
Roof
Misc: ---- - — —
in
SS PART FAILIT- ---
UMBING
Post& Ream
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 FAIT
ELECTRICAL =
Service ----------- — - -
Rough In
UG/Slab - ---- -_ - - -- -
Low Voltage
Fire Alarm --- - --------- — _
Final
PASS PART FAIL --_ --- ----SITE
Backfill/Grading —
Sanitary Sewer
Storm Drain ( Reinspection Fee of$—_—__--_required before next nspection. Pay at City Hall, 13125 SW Hall Blvd
Catch BasinUnable to inspect-no access
Fire Supply Line [ Please call for reinspection RE [ P
ADA I ,,
Approach/Sidewalk Date inspector i vuExt�M
Other -
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job situ
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,L �l''(� big.e-r 1A JA Suite _ MEC
Contact Person h( ��,C-'1 Ph -7'/f ��J "� PLM
Contractor Ph SWR
BUILDING 'Tenant/Owner ELC �a
Retaining Wall ELR
Footing Access:
Foundation FPS
Ftg Drain SGN
Crawl Drain Inspection Noes:— ,n^
Slab '/'` SIT
Post&Beam - ——
Ext Sheath/Shear
Int Sheath/Shear
Framing ---- _ -- ---
Insulation � G� � --- -- -------- --
Drywall Nailing �Z
Firewall ,
Fire Sprinkler ___--_--------__ ---_.-.----___-- -._�-----____ - 1A - - --�----
Fire Alarm DD
Susp'd Ceiling
Roof
Misc: - - -
Final
PASS PART FAIL -- - -- - ---- ------ -----
PLUMBING
Fust 8 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
LECT I --
Service
Rough In ---- --- --- -—`
UG/Slab
Low Voltage
Fire Alarm
PART FAIL
*79
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: J Unable to inspect-no access
ADA
Approach/Sidewalk Date Inspector ,—
Other - _ __._ Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site