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GIUEON STREET 3 c1.1 TC 750I,INCnLN Tc7WeR PORTLAND, OREGON 97202-2418 TELEPHONE (503) 239-4600 FAX (503) 239-7038 ..-r...a..,- .'.•�.�.��... �+n1`?iF"w'-�1•�.14Y.j'1nP�Fa',fiw.,...r.. -n_ .::.`.,g:,-...,�. w,y n y NOTICE: IF THE PRINT OR TYPE ON ANY �Yi�Ilr fll ( ► 11 ► 11111111111111111111111111111'T � � f T11 f �TrTl1 � T III III III IIIII � I ' Ili III I � IIII f � I I iflli 1II fl1 III 11f f11 11 ; 111 ( � T T� 11111 11_r- Trl- .1�_r11II III III Ili1 � fi IMAGE IS NOTA I I I /1 S CLEAR AS THIS NOTICE, �. � 3 4 7• od IT IS DUE TO THE QUALITY OF THENo.36_ � �';�: �«�•� }a. J ORIGINAL DOCUMENT E 6Z 8Z L7 9Z � Z fiZ EZ Z TZ� OZ 6t 8I LT 9T 9I � T ET ZT iT OT 6 8 L 8 Si fi E Z T ��ai�w IIII IIII�IIII IIII Illl IIII I� il IIII IIII IIII IIII IIII IIII 1111 Illllllli IIII IIIL Illi IIII IIII IIII illl,llll IIII IIII IIII IIII IIII :IIII IIII IIII IIII Illl,illl IIII IIII Illi Illi ILII Ll Lill IIII IIII ll i l� 1111�1�11 ! 4 l� <:d 1' �4. 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GIOEON STREET -SUITE 660 dORTLANC, OREGON 97202-2418 UN WLN -MW E R TF1 FPHONE (503) 239.4600 FAX (503) 239.7038 NOTICE: IF THE PRINT OR TYPE ON ANY rl_I� I I r I I I I 1 l l 11 1 III i I I I I I ► III III III Ill III ► � � IIT �T .�rTT1 a l IIII III I ( I III III III III III ( I I I I I ( I III III I ( I III III I I ( I ( ( l I I I I I I I I III I I I I I ! i I I � I � I I I I � � 1 1 1 1 Ill I l III I I III IMAGE IS NOT AS CLEAR AS THIS r I I I S NOTICE, 1 2 3 4 � _ --- -- - _- - _- -_ ----- _ _ --6 _------ - 8 9 1 -------__ _----_ - - J T' IS DUE TO THE QUALITY OF THE No.36 ORIGINAL DOCUMENT i L— b 67, gZ � Z 8Z 57 fiZ EZ I ZZ 1 TZ OZ 6T ST LT 9I 9T fii ET ZT TT rlll[�[IIF llIIIIlll�I�� u I�u ��ll��f �►I 4 �.y+�.�wr+rr.r.►uwr..mawiWMain:Nrw..�w«� r+Mr+r.rw..., I N N 6� c i� Ch C�] 7. a C A G1 ;tl C7 to H C l I 10260 SW ISE'.EENBURG RD. STE 650 ELECTRICAL PERMIT- CITY OF T I GA R D RESTRICTED ENERGY DEVELOPMENT SERVICES PERMIT* EI_R20C1-00132 13125 SW Hall Blvd., Tiqard, OR 97223 (503) 639-4171 DATE ISSUED: 5/7/01 SITE ADDRESS: 10260 SW GREENBURG RD 650 PARCEL: 1 S 1 35AB-03400 SUBDIVISION: LINCOLN TOWER-TOWN OF METZGER ZONING: C-P BLOCK: LOT: 014 JURISDICTION: TIG Proiect Description: Installation of low voltage for HVAC control. A.RFSIDENTIA_L_ _ — B.COMMERCIAL ___-- AUDIO & STEREO: AUDIO 8: STEREO: INTERCOM & PAGING BURGLAR ALARM: BOILER: LANDSCAPE/IRRIGAT: GARAGE OPENER: CLOCK: MEDICAL: HVAC: DATA/TELE COMM: NURSE CALLS: VACUUM SYSTEM: FIRE ALARM: OUTDOOR LANDSC LITE: OTHER: HVAC: X PROTECTIVE SIGNAL: INSTRUMENTATION: OTHER- TOTAL # OF SYSTEMS_ 1_.__-_____J Uwner: Contractor: _ SPIEKER PROPERTIES AMERICAN HEATING 10260 SW GREENBURG RD 1339 SW GiDEON ST SUITE # 100 PORTLAND, OR 97202 PORTLAND, OR 97223 Phone: 892-2500 Phone: 239-4600 Reg #: LIC 00033135 ELE 26.683CLE _ FEES _ Required Inspections Type By Date Amount Receipt Low Voltage Inspection PRMT CTR 5/7/01 $75.00 2720010000 Elect'I Fina! 5PCT CTR 5/7/01 $6.00 2720010000 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 accoruance with approved plans This permit will expire if work is riot started within 180 days of issuance, or if work is suspended for more than 160 days. ATTENTION: Oregon law requires you to follow rules adopted by the Greg..n I Itility Notification Center. Those rules ave set forth in OAR 95 X001-0010 through OAR 95 O0 0080. You may obtain copies of these rules or dir questions to OUNC at (503) 24 -1987. \ -� Iss ed by P`, Permittee Signature -- /'y" , ry OWNER INSTALLATION ONLY The installation is being made on property I own which is not Intended for sale. lease, or rent. OWNER'S SIGNATURE. DATE: CONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR. ELEC'N DATE: LICENSE N O: -------- —---- —-------- - --- — — - -- --- Call 639-4175 by 7:00 P.M. for an Inspection needed the nrxt business day Aectrical Permit Application Datereceived: f Perrnkno.:,!,12s,&yl- al!;� City Of 'Tigard Project/appl.no.: Expire date: C:r,of Tigard Address: 13125 SW Flsll Blvd,Tigard,OR 9723 Date issued: dy: Receipt no_: Phone: (503) 639-41.11 Fax: (503) 598-1960 Case file,no.: Payment type: -- Land use approval: _ 31t ~1 Grm� # B kP 2 o0l- 00 IOL TYPE OF PERMIT U I & 2 family dwelling or accessory Commercial/industrial U Multi-family Tenant improvement U New construction C)Addi tion/alteration/re placement U (`thee. U Partial t : OlDIATION. Job address: J00R 0 12.w &red"s 6" Rai Bldg. no.: Suite I a: Tax map/tax IoUaccount no.: — Lot: Block: —7 Subdivision: Aft 7Vwfr o �— Project name. Neuf Ynrk hit znS. Description and location of work on premi Estirrated date of completion/ins coon: t 1 ' Fee Max Job no: _ Description I Qty. (ea.) Total no.Insp Business name: Znr" 7—r,, ntial-swglrnrmuhi-larnilyper Address: SEF dwelungunit lncludmattached ofAgr- Cit State:Oe ZIP: 2_QZ Senixtincluded y' t coo sq.ft.or less _ a Phone: Z _ Fax:2 j 9'7C3S E-mail: Eat.,"additional 500 sq.ft.or portion thereof _ CCB no.: Elec.bus.lic.no: Limited energy,residential 2 City/metro lie.no.: Limited energy,non-residential 2 IU77 - Each manufactured home or modular dwelling s" Service and/or feeder 2 Signature of supervising ele¢ ician(required) Date — Services or feeder-Installation, Sup.elect.name(print): Sfe m YO t^ct License no ::- alteration or relocation: ' ' 1 200 amps or less — 2 201 amps to 400 amps _ 2 Name(print): S-pi C kCR�r� r''p!S --- 4(t I amps to 600 amps Mailing address: 6U1 amps to 1000 amps 2 State: ZIP: over 1000 amps or volts Fax: E-mail: 2 City: only -- t Phone: Reconnect _ Temporary services or feeder- Owner installation:The installation is being made on property I own h; t,t':aims aRe,.r n,arrc:.:ytL:a: vouch is not intended for sale,lease,rent,or exchange uccording to 200 amps or less _ 2 ORS 447,455,479,670,701. 201 amps to 400 amps _ 2 Owners signahlre: _ Date: 401 to 600 amps 2 i Branch circuits•new,alteration, or extension per panel: Nft�4, T�,c . A. Fee for branch circuits with purchase of 2 Address: 133g g E (fit d eon S�- service or feeder fee,each$Panch circuit B. Fee for branch circuits without purchase Cil r�10.��a Slafe:Qtt' ZIP: 272104— e or feeder fee,first branch circuit'- Phone: ircuit 2 City: �o _ � of service Phone: a3pQ 4600 I Fax: 2q- F. Mail: Each additional branch circuit 111 Lac.(Service or feeder not included): 2 Foch pump or irrigation circle a Service over 2'1.5 amt s•comnurcial ❑ Heahh care facility Each signor outline lighting 2 l7 Service over 320 amps-rating of 1&2 0 Hazardous location Si nal circuits)or a limited energy panel, farnilyAwellings OBuilding over 10,000square feet fournr B 2 0 System over 600 volts nominal more residential units in one structure alteration,or extension* 0 Building over three stories 0 Feeder,400 amps or more 'Description: .l Occupant load over 99 persons 0 Manufactured structures or RV park Bich additlonal irupeetion over the allowable fn any of the above: 0 F.gress/lightingplan 0 Other. -- Per inspection Submit^sets of plans with any of the above. Investigation fee the above are not applicable to temporary construction service. Other Permit fee..................... N,.4 all junsdicriom accept credit cards.please call Jurisdiction for more information Notice:This permit application Plan review(at — %) 0 visa 0 MasterCard expires if a permit is not obtained — Csslil card number. — within ISO days after it has been State surcharge(8%)....S _ accepted as complete. TOTAL .......................S � mune of cardhnl&t as shown on credit card S t'ardholder npnmu�e Amount_ CITY OF TIGARD BUILDING INSPECTION DIVISION 24-Hour Inspection Line: 639-4175Business Line: 639-4171 MST --Date VeguestedBLIP 5 —_AM__pM Location bC,) BLD Suite Contact Person MEC Ph Contractor PLM Ph SWR BUILDING Retaining Wall Tenant/Owner ELC Fooling Foundation A7c-Ce s s ELR s Fig Drain FPS Crawl Drain [111specTio—n—No—te`s�-------] Slab SGN Post& Beam SIT Ext Sheath/Shear Int Sheath/Shear Framing Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Misc. Final PASS PART FAW PLUMBING TI-oE-1-CE—lea�m Under Slab Top Out Water Service Sanitary Sewer Rain Drains Final PASS PART FAIL — MECHANICAL ----- Post& Beam Rough In Gas Line Smoke Dampers Final SS FAIL ELECTRICAL 40 Serwr,- 0 UG/Slab Low Voltage Fire Alarm SS PART FAIL SITE Backfill/Grading Sanitary Sewer Storm Drain Reinspectlon fee of S Catch Basin required before next Inspection. P y at City Hall, 13125 SW Hall Blvd Fire Supply Line Ple�"Il for reinspection RE: ADA Unable to inspect-no access Approach/Sidewalk Other Date TInspector Final Ext PASS PART FAIL DO NOT REMOVE this inspection record frorn the job site. �.,i � Y OF T I OA R D _-- BUILDING PERMIT PERMIT M BUP2001-00317 DEVELOPMENT SERVICES DAZE ISSUED: 9/4/01 -• 13125 SW Full Blvd., Tigard. OR 97223 (503) 539-4171 PARCEL: 1 S135AB-03400 SITE ADDRESS: 10260 SW GREENBURG RD 750 (9 ) SUBDIVISION: LINCOLN TOWER-TOWN OF METZGER, ZONING. C-P BLOCK: LOT: 014 JURISDICTION: TIG REISSUE: FLOOR AREAS _ _ EXTERIOR WALL C_GNSTRUCTION ___ CLASS OF WORK: OTR JFIRST: sf N: S: E: W: TYPE OF USE: COM SECOND: sf PROJECT OPENINGS? TYPE OF CONST: UNK sf N: S: E: W: OCCUPANCY GRP: B 1 OTAL AREA: it 0() sf ROOF CONST: FIRE RET? OCCUPANCY LOAD: BASEMENT: sf AREA SEP, RATED: GARAGE: sf OCCU SEP, RATED: STnR: HT: ft BSMT?: MEZZ?: REQD SETBACKS _ REQUIRED__ FLOOR L-OAD: psf LEFT: ft RGHT. Jft FIR SPKL: _ SMOK DET: DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP ACC: BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING: VALUE: 1l Remarks: Modification of 4 sprinkler heads. Owner: Contractor: SPIEKER PROPERTIES AFP SYSTEMS INC 10260 SW GREENBURG RD 19435 SW 129TH SUUQIRRoneTE# 10001� g TUALATIN, OR 97062 PPh- N89PA0D7223 Phone: 503-692-9284 Reg#: LIC 67534 FEES REQUIRED INSPECTIONS Typo By Date Amount Rorelpt _ Sprinkler Fauagh-In PRMT CTR 9/4/01 $62.50 27200100000 i 5PCT CTR 9/4/01 $5.00 27200100000 Total $67.50 This permit is issued subjec'to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-00 10 thro h OAR g 2 01-1987. You may obtain a copy of these rules or direct questions to OUNC by calling (503) 216 6 9 or 1-8 0 2-2344. Permittee Sig a�: _ is ued By: ~^ - day -- C39-4175 by 7 p.m. for an inspection the next business 7i Building Permit Application 110)atcre�covd �/ Pcrmitno.: y 2/ City of Tigard -- Address: 13125 SW Hall Blvd,Tigard,OR 97223 Projech/appl.no.: Expire date: o uv„(Tixnrd Phone: (503) 639-4171 Date issued: By: Receipt no.: Fax: (503) 598-1960 Case file no.: Payment type: Land use approval: 1&2 family:simple Complex: J U I &2 familLgwelling or accessory tQIG&tlllnaijijindustrial U MuIL-family U New construction U Demolition W Add iiionfifjsraltuats'eplacement OT—ant improvement 0 :ires rinkler larm U Other: __— Job address: 1 2 d WbI Suite no.: -156 IAA j Block: Subdivision: Tux map/lax to account no.: Project nolttc: L LIt=l7 �Wb 1RA4. -T=�cad � C iJ�l� - Lt►,tCO Description and location of work on premises/specinl conditions:... OWNER. FOR SPECIAL.11NI-ORMATIDN, USE CHECKLIST Namc:ljc V,t btu.-.R-r1 E` _ (Floodplain.septic cap acit y,solar, Mailing address: IbZ(oG S,,t Q. rF-10ts 1&2 family dwelling: City: TZT Statc:GZ ZIP:9'1722) Valuation of work.. ............................. .__ Phonc: I ax: E-mail: No.of bedrooms/baths................................. -- Owner's representative: Total number of floors................................ Phone: I ax: E-mail: New dwelling area(sq. ft.) .......................... _ C,arage/carport area(sq.ft.)......................... Name: S-I- , oc. Covered porch area(sq. ft.) ......................... Mailing address: 1c:�Aq'� !� /J - . Deck arca(5q. ft.) ........................................ State:t'_`l? ZIP: - UDZ Other structure arca(sq. ft.)......................... — Phone: (ped' .cj 1'ax: -I 1&GIi-mail ('ommereinUinduetriallmulti-family: Valuation of work........................................ $ � -- Pxisting bldg.arca(sq. ft.) . Businessname: ` YST til�a �t�tC New bldg.area(sq. ft.) dress 'rN w ............................... — Ad1_A3S .I 1 A J t= Numb:r of stories........................................ - City:' Statc6D Z ZIP 9 ! 2 Type of construction.................................... Phone: L„,�'-` 7Bq Fax:(�yZ, tl�(� Email: - -------- Occupancy group(s): 'g Existing: _ CCB no.: c�(�1 9 —_ New: City/metro,lic.no.: Notice:All contractors and subcontractors are required to M, licensed with the Oregon Construction Contractors Board under Name: V��1L(I 1 h.j✓=�T`� It��. provisions of ORS 701 and may he required to be licensed in the Address: 92%� �j�,r _TF1,[ Jurisdiction where work is being performed. If the applicant is Cit State: nlZ ziP:�7 Zq exempt from licensing,the following reason applies: Contact person: I Plan no.: - — Phone: ZZQ- OA 5G, Fax:' - (,Zl3 F-mail: — — - ---- Name: Contact person: Fees due upon application ........................... $ Address: - Date received: City: State: ZIP: Amount received ......................................... $ Phone: Fax: Email: Please refer to fee schedule. hereby certify I have read and examined this application and the Not all Jurisdictions accept credit cards,plea”con jurisdiction for m(ae information attached checklist. All envision of laws and ordinances governing this O Visa U MasterCard work will he complied ith,whe r specified hen in or not. credo,card""miter' ---- -------� Expires es ,{ Authorized sllure: l __._.._ Oate: 9 4-u 1 -Name of cardholder as shown on credit cant - Print name: i _ — cardholder alpsture Amount Notice:7lris permit application expires if u permit is not obtained within 180 days after i(His is been accepted as complete. 4404611(&WKoM) Fire Protection Permit Check List ?\�. Lj New U Addition Alteration ❑ Repair B.) Modification to ,sprinkler heads only: Describe work to 1. 1-10 heads: No plan review required----C----- be done: 2. 11+ heads: Plan review required. Number of sprinkler heads: Additional description of work:-- - -7 Type of S stem (Complete A_, B or C as applicable P�.)-Sprinkler_ Wet _-- Dry ❑ — --- _ -- Standpipes�. ----- --------- - - Additional Hazard Groin Information Density____ Design Area K. Factor _ Sprinkler Project Valuation_ B. T e_I-_Hood Fire Suppression System Hood Protect ValuationL_- -- C. Flre {alarm Submittal shallBattery Calculations Yes ❑ include: T ndividL'al Component YesCut Sheets_ Fire Alarm Pro ect Valuation: $ — Pro ect Valuation Subtotal A, B & C): $_� �— Permit fee based on valuation (see charts $ 8% State Surcharge_ $ FLS Plan Review 40% of Permit: $ ------------ TOTAL: 1AdstslformsTPScheddl9t.doc 06/07/01 _s�•�ER CONNECTION PERMIT CITY 0... F TIGARD DEVELOPMENT SERVICES PERMIT': SWR2001-00211 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 7/19/01 SITE ADDRESS; 10260 SW GREENBURG RD 650 PARCEL 1S135AB-03400 SUBDIVISION: LINCOLN TOWERJOWN OF METZGER ZONING: C-P BLOCK: LOT: 014 JURISDICTION: TIG TENANT NAME: NEW YORK LIFE USA NO: FIXTURE UNITS: 7 CLASS OF WORK: ALT DWELLING UNITS: 1 TYPE OF USE: COM NO. OF BUILDINGS: INSTALL TYPE: BUSVJR IMPERV SURFACE: Remarks: EDU increase of .3 Previous EDU count was 49.9, this work increased EDU count to 50.3, there was a .1 EDU credit for a net total increase of .3 EDU. Owner: --- FEES _ SPIEKER PROPERTIES Type By Date V Amount Receipt — 10260 SW GREENBURG RD — — SUITE # 100 PRMT CTR 7/19/01 $690.00 27200100000 PORTLAND, OR 97223 Total $690.00 — _J Phone: 892-2500 -- - -- Contractor: Phone: Reg #: Required Inspections This Applicant agrees to comply with all the rules and regulations of the Unified Sewage Agency. The permit exoires 180 days from the date issued. The total amount paid will be folie ted if the permit expires The Agency does riot guarantee the accuracy of the side sewer laterals. If the sewer is riot located at the measurement given, the installer shall prospect 3 feet in all directions from the distance given. If not so located, the installer shall purchase a"'rap and Side Sewer" Permit and the Agency will install a lateral. ATTENTION Oregon law requires you to follow rules adop'ed 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 dirf-ct questions to OUNC by calling (503) 2.46-1987 Issued by: _ Permittee Signature: Call (503)639.4175 by T:00 P.M. for an inspection needed the next business day Accumulative Sewer Tally Tenant Name "r_c G. ,�.:�s'� This SWR# -2'0'1- ec-2 / Address._j{, '�w rZf f_►)N u !'o ,Q 'This PLM# 00 "'Q1 — Fi,lure Value Previous Previous Credits Capped Fixtures Fixtures New total New # Value Capped off value added# added #s total Count off#s count -—� value value s i 8apltstry/ ont 4 -- -- Both-Tub/Shower 4 -Jacuzzi/Whirlpool 4 Car Wash-Each Stall 6 -Drive Through 16 Cuspidor/Water Aspirator 1 Dishwasher-Commercial 4 -Domestic 2 Drinking Fountain _ 1 Eye Wash 1 Floor Drain/sink-2 inch — 2 /- 3 inch 5 4 inch 6 _ -Car Wash Drn 6 Garbage Disposal 16 Domestic(to 3/4 HP) Commercial(to 5 HP) 32 -Industrial(over 5 HP) 48 Ice Machine/Refri erator Drains 1 Oil Se GaS, Station 6 Rec. Vehicle.Dump Station 16 Shower-Gam(Per Head) 1 -Stall 2 Sink --Bar/Lavatory 2 — Brady 5 - --- --- _ Commercial 3 — _ - Service_ _ _ _ _ 3 -- Swimming Poo'Filter - 1 ^ Washer-Clothes 6 Water Extractor 6 _ Water Closet-Toilet 6 Urinal — 6 - � -- ---- — TOTALS ou Total fixture values: Od di ided by 16 = —:)D.a'� EDU I`� A �• J rL�7 LA HISTORY . -- ,I �:�'►.�L��L Q1r'D�i> c a�'�� tr��..►ua.u� CJ ,SGC' oma.- SWR# PJIA- PLM#1949.Oe.7g EDU# ?0 SWR#1809-0oi9� PLNUAeoc -00_3.''-7 EDU# 5t) SWR# Pi M_# 199 -ee 5=DU# _q SWR#-- I7y Ltil# , . cadp� EDU# 5-0_SWR# /V _PLM# J9 - Gz'/ EDU# J11Y SWR#_ 1eMle F'l-M# 1999-Cr A;L `SEDIV � SWR# 1199 -a�� PL.M# EUl1# �� SWR# d t�105/ -i klStslsw 1ary doc� --'� ( / CITYOF T I G A R D ,__PLUMBING PERMIT _ DEVELOPMENT SERVICES PERMIT#: PLf�12001 00301 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 7/19/01 SITE ADDRESS: 10260 SW GREENSURG RD 650 PARCEL: 1S135AB-03400 SUBDIVISION: LINCOLN TOWER-TOWN OF METZGER ZONING: C-P — _ BLOCK: V LOT: 014 JURISDICTION: TIG CLASS OF WORK: ALT GARBAGE DISPOSALS: MOBILE HOME SPACES: TYPE OF USE: CUM WASHING MACH: BACKFLOW PREVNTRS: OCCUPANCY GRP: B FLOOR DRAINS: 1 TRAPS: STORIES: WATER HEATERS: 1 CATCH BASINS: FIXTURES _ LAUNDRY TRAYS: SF RAIN DRAINS: SINKS: 1 URINALS: GREASE TRAPS: LAVATORIES: OTHER FIXTURES: 1 TUB/SHOWERS: SEWER LINE: ft WATER CLOSETS: WATER LINE: ft DISHWASHER: RAIN DRAIN: ft Remarks: Plumbing tenant improvement. Installation of additional fixtures: (1)sink, (1)2"floor drain, (1)water heater and (1)primer. Owner: FEES _ v — ---- SPIEKER PROPERTIES Type By Date Amount Receipt — 10260 SIN GREENBURG RD PRMT CTR 7/16/01 $72.50 27200100000 SUITE # 100 5PCT CTR 7/18/01 $5 80 27200100000 PORTLAND, OR 97223 Totcl $78.30 Phone 1: 892-2500 Contractor: ASSOCIATED PLUMBING CO P O BOX 301362 PORTLAND, OR 97230 REQUIRED INSPECTIONS Phone 1: 3:11 05841 Rough-in Insp Top-out Insp Reg #: LIC 57890 Pl M 26-412PB Final Inspection 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 i,sl_iance, 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 952-0001-0010 thrnuah OAR 952-0001-0180. You may obtain copies of these rules or direct questions to OUNC by calling (503) 246-1987. JL Issued By: _ — :'_ L 6_':_,`� ----- Permittee Signature: -,�- Call (503) 639-4175 by 7:00 P.M. for an inspection needed the next b0siness diy 5-16-1995 4:56AM F'RD1 i P. 2 Plumbing Permit Application , pato re zivod ,, City of Tigard Scw"Iuiratt no.. _- Building portrait no Addmas: 13125 SW Hall Blvd,Tigard.OR 97223 Prnlact'eppl.no.: 6r< it.daft: City n/Tigard phme. (5031 639-4111 Fax: (503) S9R•1960 Deteis und' ny Receipt no - Cese B.00 Payeneat type: : Land use apprOVR � — O I +4 2 famlly dweWng or accessary )Qruuu urr.taVindu.uiul Multi-family )(Tenant Improvement O 00=!U Nt-w crkutruclion j Addinlm/altr-wionhr.plecrmenr U Food -- s pr,cr(JAno � If" tw I Total Job address. loJ.4 r` 5w G1 r.t rt — �- '� r7 hr t. 1 aw 2-t�i1F dwelt+•:�,v Bldg.ao.: �.,�t�n- IOwer 5wbeno.. 5 p�ajnae�tetn.tarMhMitttl�'.,>�(nNO Tax tnap/rax lot/account no,: SFR(1)both _ L.ot; Blak: Subdivuion: SYK(2)bar— Pinjert Manic: tut or L, a -- _ tiFR(3)bath -_ City/county:-Elwaano ZIP: Eaete addit rxyt(ba[hllatct.ea Dcs t><tpa+ (� -.(w aneternises; �irte uftlkl�Fj }y �Ttoo- � Catrl)baaudarradein - wells/4yc 11n0trcnc drain Eat.date of corn lrtio A11%poedon: Footing dmtn(no.lin.ft,) Manufww ad home uta es. — Business name OCio t r Int M olot Aatlms$- c aG talo connectgr State:g4 LIP:91ty Q3(>,Z �►se act(nn It ) City: o.� 4.n intm acwl,r tuti.tin fL) f'Monr 503 331 V 82 Fax: 3�f Q59T E-mail' -- p Plumb.bus•rn no: 6 -4 f PB atrt se"ee(no.lln c) CCH nt�.: 7 9 - Fixture or item: _ i clry/meml lit no.- Iffl Absor tion valve _ I C� tractor's ttpttsenldtive slk a rrr - ask oav vjrveAtcr Pda1 name. u N�Q Date: 7- -0 Backwater vaI v asina/lavt fury 1 clot tomes washer Name; C I tl c k L i Y.1`AfLrJ__-. shwarhe Addre s: i; ci( i0�}6� _ __ rinkln fceatttd_ n(s rCtty p� — �star, ek ZIP97A1936 Eec�rrsleu• `� ._— t—ho Fax: ;31 059 E�nal1: Et •nsirnl conk ifioor So333 05Q� --- ctutdsc��t cap Floor eyiUt�r+or sink Name(forint): — _ — (; agc disposal -- Mailing address: -_ iio•bibs City. --TSt�c 7.�: x ar i'hnac; FaL-�1 EtneiL [sirr grrase trap CNmcr insralhdionh.:aidentW wakifteru only; The m oral innall'Mim PYflner(R) will be.made by me or the muntenwic and repair made by my rtgular -Root drain(eomrt MM) - employee on the rift ty I own es p„t oRr,nuptrr W. Utvncr's si tae: Date.. "M n uk3s oww;dshawer pmt final Name: _— _-- t _ atercloyt _ Fhov'Ec; 0 �Fsu: 13•rnail 4 Minimum(M............... r!Im eu)urisAlatlnr Rseq eras au,o►ur edt mi'&COM for orae Arw"Ktlr NoOw:This emit appl rntioa u vie. ❑�tuu,c+ra flan review(at __ %) J S cxpites if a pern+it isnot obtaintxJ r t low Ord nu ebw J evilhin IAO dove afla it 1"13 trxv Mate xurthaMe(R�) •••`• r•..,t�► TOTAL .... ............ v;vrn del +.hurl nn 41.111 ai( - aceL3drd as complete. CITY OFTIGARD BUILDING PERMIT PERMIT#: BUP2001-00102 DEVELOPMENT SERVICES DATE ISSUED: 4/17/(11 13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 PARCEL: 1S135AB 03400 SITE ADDRESS: 10260 SW CREENBURG RD 650 SUBDIVISION: LINCOLN TOWER-TOWN OF MFTZGER ZONING: G-P BLOCK: LOT: 014 JURISDICTION: TIG REISSUE: _ FLOOR ARE_AS__ � EXTERIOR WALL CONSTRUCTION CLASS OF WORK: ALT FIRST: — _ sf N: S: E: W: TYPE OF USE: COM SECOND: sf PROJECT OPENINGS? __ TYPE OF CONST: 2FR sf N: S: E: W: OCCUPANCY GRP: B TOTAL AREA: 000 sf ROOF CONST: FIRE RET? OCCUPANCY LOAD: 58 BASEMENT: sf AREA SEP. RATED: STOR: HT: ft GARAGE: 5f OCCU SEP, RATED: F3SMT?: MEZZ?: __ REQD SETBACKS REQUIRED _ FLOOR LOAD: psf LEFT: ft HGHT: ft FIR SPKL: Y — SMOK DET: DWELLING UNITS- FRNT: ft REAR: ft FIR ALRM : HNDICP ACC: EEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING: VALUE: $ 83,000.00 Remarks: I enant Improvement - Space#650 - Area 6988 -- Owner: Contractor: SPIEKER PROPERTIES C SCHIEWE + ASSOCIATES 10260 SW GREENBURG RD 1024 NE DAVIS SUITE # 100 PORTLAND, OR 97232 P9PonTLAND, OR 9722.3 e: Phone: 234-6617 Reg#: LIC 54105 FEES REQUIRED INSPEC, _ IS Type By Date Amount Receipt Mechanical Permit Require I PICK CTR 3/22/01 $423.00 27200100000 Electrical Perrnit Required Sprinkler Perrnit Required FIRE CTR 3/22/01 $260.52 27200100000 Framing Insp PLC2 CTR 4/17/01 $0.35 27200100000 Gyp Board Insp PRMT CTR 4/17/01 $651 31 27200100000 Susp Ceiing Insp Final Inspection (additional fees not listed here) —Tota! $1,387.28 Thi-, permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR Specialty Codes and all other applicable law All work will be done in accordancE with approved plans This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon, Utility Notification Center Those riles are set forth in OAR 952-001-0010 through OAR 952-001-1987 )'oil may obtain a copy of these rules or direct questions to OUNC by calling (503) 246-6699 or 1-800-332-2344. Pe rm Ittee Signature: �� --- -- Issued By: —_- Call 639-4175 by 7 p.m. for an inspection the next business day Buildin, City of I creceived: ?�l?� Ut hermit ClryojTigard Address: 13125 SW IlHI Blvd,Tigard,OR 97223 Project/eppl.no.: Expire date: Phone: (503)639-4171 Date issued: By: Receipt no.: Pax: (503) 598-1960 Case rile no.: Payment type: Land use approval: I&2 family:Simple Complex: 7AdditioWalterationlreplaccmc-I ly dwelling or accessory U Commercial/industrial U Multi-family U New construction U Demolition V'fenant impim-cmc•nt U Firy sprinkler/alarru U Other: INFORmATION Job address: OZ(vO SNN reentovr t-APUY suet U12 , `9'7'Z27� 131dg.no�170W Suite no.: 50 Lot: Block: Subdivision: Tax map/tax lot/account no.: Project name: Ne+� Yo► _ L'14' JAzuva4�re C- , Description and location of work on premises/speci I conditions: [Levov ati►� a He r/`F "�'�-i ah a ce ��.,_t t e.. Name: iekev pi,-r'- ie.r t 1arl Cie.) Mailing ad ress:IU20D W G(rer fkr1. Sr.; f- loo i do 2 family dwelling: City: ov ah r( State:Ofz ZIP: y 722', Valuation of work........................................ $_ Phone-C-05 8L)2-?_5t)t) 1'ax: IE-mail: No.of bedrooms/baths................................. _ Owner's representative: p (�-.(31vr ( ',UD P*rh i t t;'A s 'T'otal number of floors...........I.........I........... Phone5e 1 'L2 •9(,r,i'• IF 11 tn;til New dwelling area(sq. ft.) .......... Garage/carport area(sq.ft.)......................... Name: (j�G Av lF r'l- n e Covered porch area(sq.ft.) ......................... _ Mailing address: `�?.0 J W 2,"( .3v;te peck area(sq.ft.)........................................ _ - -- Othei structure arca(sq ft.)......................... City: Piaa�cl Statc:C> ZIP: y'j2o l — — Phonerr'o?, 274 I a E-mail: Commercial/indistrial/multi-family: o0 Valuati o w,1k........................................ $ 83 OOc� .,., Existing Wd ,arca(sq.ft.) ............. Business name: G. ._ i h i L•a.,e Cc.,, ,'t ............. --- New bldg.area(sq.fl.) hi Address: 10`� Nf Pdvir '*sae-t ....................•.. 12 Twct_vE City: pr'r t{ q State:t�'; ?.IP: y'�'r 3; Number of stories........................................ _ — - Type of construction 11-r� PhoneFo3 'L1 •66 M rax: E-mail: (?-cupanc, gmup(q). Existing: CCB no.: S+1051 New: City/metre+lice.no.: Notice:All contractors and subcontractors are required to be licensed with die Oregon Construction Contractors Board under Nance: ^ SAw.is A-t' P%f F t CAr'-YT provisions of ORS 701 and may be required to be licensed in the Address: jurisdiction where work is being performed. if the applicant Is City: State: ZIP: r exempt from licensing,the following reason applies: Contact person: Plan no.: _ — --- Plhone b ax li-trail: - —�- - Nance: �c 'eta'i l�� nolo Fees due upon application ................. ......... $ _ Address: Date received: City: State: Ill': Amount received ......................................... $ Phone: I'a) _ E-mail: Please refer to fee schedule. i hereby certify i have read and examined this application and the No all juridictiam accept credit cards,please coil jurisdiction form.infrxtnation attached checklist.All provisions of laws and ordinances governing this U visa U MasterCard work will be complied with,whether specified herein or not. credit card number N7,. ✓z ,d 3 .22•o Authorized signature:_._.�.__��_ Date: ` Name of cardholder as shown on credit cad _ Print name:. (s`A7 tcg t_ — � adai=naturc Amuuni Notice:This permit application expires if a permit is not obtained within 1130 days after it has been accepted as complete. "104613(6A)W UM) AF t\)e'J Yo, k- �•T m (.!N c. Trow Ems- 5,.;{c Ccso//.'.sem• 3.22 o I SUBJECT: ACCESSIBILITY BARRIER REMOVAL IMPROVEMENT PLAN REQUIREMENT: OREGON REVISED STATUTE (URS) 447.241. (1) Every project for renovation, alteration or modification to affected buildings and related facilities shall ba made to insure that the path of travel to the altered area and the restroom, telephones and drinking fountains; e 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 he path of travel to an altered area may be deemed disproportionate to the overall alteration wher,the cost exceeds twenty-five per-cent(25%). VALUATION of all renovation, alteration or modification being done excluding painting, wallpapering. [1]$ �'2x,000 u� multiply: 25% Barrier removal requirement. .25 BUDGET FOR BARRIER REMOVAL [2] $ '�0 750 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 o� (a) Parking ]at- ►est lirri,, new curb ca(x, &Ike- $ zo 75t). wall rj Sl?{Nige�(ovt[A r✓vl Pv�v� ,cCJ �[CGSSjbIP (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 alarr-s: $ TOTAL: Shail equal line 2 of Value Computation g is\dsts\forms\access.doc _ __ELECTRICAL PERMIT CITYO F 11 T I G A R D PERMIT#: ELC2001-00204 DEVELOPMENT SERVICES DATE ISSUED: 0412312001 134.25 SW Hall B!vd.,Tiaard, OR 97223 (503) 639-4171 PARCEL: 1S135AB-03400 SITE ADDRESS: 10260 SW GREENBURG RD 650 ZONING: C-P SUBDIVISION: LINCOLN TOWER-TOWN OF METZGER LOT : 01A JURISDICTION: TIG BLOCK: Proiect Description: Installation of(9) branch circuits in TI. Job#21-631 — TEMP SRVCIFEEDERS MISCELLANEOUS _ RESIDENTIAL UNIT — —�—�— PUMP/IRRIGATION: 1000 SF OR LESS: 0 - 200 amp: SIGN/OUT LINE LTG: 201 - 400 amp. EACH ADD'L 500SF: 401 - 600 amp: SIGNALIPANEL: LIMITED ENERGY: MINOR LABEL (10i: MANF HMI SVC/ FDR: 601+amps 1000 volts: _ SERVICE/FEEDER _ BRANCH CIRCUITS ADD'L INSPECTIONS WISERVICE OR FEEDER: PER INSPECTION: 0 200 amp: PER HOUR: 201 - 400 amp: 1st W/O SRVC OR FDR: 1 IN PLANT: 401 600 amp: EA ADD'L BRNCH CIRC: 8 601 1600 amp: ____ __ PLAN REVIEW SECTION >=4 RES UNITS >600 VOLT NOMINAL: ;000+ amp/volt: rLASS AREA/SPEC OCC:__.,_ SVC/FDR�-225 AMPS: _ _ Contractor: Owner. CAPITOL ELECTRIC CO INC SPIEKER PROPE=RTIES 12810 NE AIRPORT WAY 10260 SW GREENBURG RD UNIT 1 SUITE# 100 PORTLAND OR 97230 PORTLAND, OR 972.23 Phone: 255-9488 Phone: 892-2500 keg#: LIC 048748 SUP 3132S LLE 26-496C FEES _ Required Inspections Date Amount Receipt Wall Cover Type By _ _ — Elect'I Final PRMT CTR 04123/2001 $100.05 7-720010000( 5PCT CTR 04/23/2001 $8.00 27.0010000( Total $108.05 This Permit is issued subject to the regulations contained in the T'igerd 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 it not started within 180 days of issuance,or 6 work is lcw les ed by suspended for more 9AR 952-001-0010 h 80 days ATTENTION OAR 952-001-0080mYou may os vou to lbtainucopes ofttl these to rules or diirecthe Oregon trlity q questions toon OUNCter at(503)se rues are set forth i 246-6699 or 1-800-332.2344 Issued BY: !, - Permit Signature: OWNER INSTAL-LATION ONLY The installation is bong made on property I own whi-h is not int nded for sale, lease, or rent _ DATE: OWNER'S SIGNATURE: — — CONTRACTOR INSTALLATION ONLY -------------------- ,, ��C�t,�!, DATE: SIGNATURE OF SUPR. ELEC'N: � L� LICENSE NO: Call 639-4175 by 7:00pm for an inspection the next business day won Electrical Permit Application 1)jIt, Ie reeeived� ; I`cnnit `1 r jecVa pi.nu. I{spire date: City of Tigard c`� issued: lise lite no.; Payment type. CITY OF TIGARD address: 13125 SW HALL Uj,VI),'I'IGARI),O�+r1Z23 r Phalle: (5113)639-4171 hal(5113)59t(-1960 1 Irnd Ilse appioval: p I !i(2 fancily dewllinp,or accessory Commercial/ islrial C] Multi-family ❑ 'fewint innprovenunt New consttvctioll ❑ Addition/alteration/replacement [3 (tther: C3 Ni-Gil ri Inh address: 10260 SW Greenburg Rd (�itv' Tigard Hldg.Nn.: Suite no 650 . 'I'n�map/tax lul/acco(ntt n.).. Lul: Itllrc :N/:1N/:1 tinb In l inn `k�. — Ihojecl nnnte; New York L.Ita I)v Lription and location of tvnrk on premises: Remodel Qf existln tenant 811101 Isunuucd dale of ctnnhlrliun/ins)echo I: Fee luh Ito: 21-631 _ )ty, en.l tnhd no.lnsp tol ectric Go.,Ins.. Description Iluslttess Naltic'. Ca ___ _ New re0deolhd-single err twtlli-6unih per Address: 12810 NE Airport_Way _ ___ ( Its: Portla'ttl `tate OR %II'' 97230-1029 dwelling unll, lucludes xllprherl garage. 255-9488 I`-ntnil derrell a dx corn tier,iec IucludrrL I'lanlc: 50J 255 f14HN I � S 14515 -- 1 l I Ice ha I_Is II264960 I.n h;ulJlual,ltl I tolll,, 48748 Sno sy Il Ill passion thcrcol b n I IIN^nelrtt 11CIlNIA uiv 4120101 I �� rd energy residenunl b nu ' Sgtnahlrc I supe[ i,Ing electrician(requiled) r _, I united energy,nun-iesidenttal tiu1 'Iccl name(Ill lilt) Darroll McNnel I ,..m• 3132•$ Inch mm�uthclu(ed home or nu,dulnr dtcclling s 01t Flo Service and/or feeder ieker Pro ertlett tirrvler+or feeders-inst1111t1on, Nunte(print): S P p -- alteration or relocation: Mailing address 4949 SW Meadows Rd b all a. 2 Sime Or /II': tun mops or less 2 CIty: Leke Oswego_ — 201 am v to 400;oaks 2 S Ino R5 I`honc: 603-897.8700 f.-nutil: b urunu (honer 1►tcfnlldljoir: 'I he instillation is heing 111.1 a an property I own 401 amps to bun amps b (u 60 '- which is mol intended for sale,lease,rent,or exchange according Ill (,ol maps to Inns amps b .1st n5 2 1)ecr 10(1 1 amps III colts — (IRS 447.455,479.670.701. kcconncct onlh r b (,n RS (hrnrr'.c sixnafurc: lkuc: -- femporxry serv9rry or frr(Irt;- hrshrllelion,alleratilmv,or relocation Nance: s 66 RS -- ton amps or less ., S 110 70 Address: %II'. 'tl I amps to 4oU amps _ City State: III amps to('00 ul the f 111 75 Phone: Fax: I'-mail. I)rxnrh circuits ora,nllrrnli0n. o Ilcnith-cmc I'pci'dt r rstenvinn per p'aoel: ❑tiervice aver 225 amps-convnetcinl U , sec tor branch cucurls allh pmchnse of ❑ticrvicr noes 320 mnps-rnlinµof Ik' ❑I Inzaninus location family dwellings E3Huilding o xr 10,0(0 square 0 four or service or Icedet lee,each Manch circuit more residential units ht one trrucune H I'ee fat hr;utch circuits a'thnut pure air CI System over 6110,.as norninal 1 S 4615 ar RS Freda. 4lNn Amps m room Ill,en Ice ur Feder Ice.fust Manch citeuil ❑Hullding over I nee atoriea ❑ 8 S 6 6s t NI 17 Occupant load over 99 prrsnns ❑hlnuufecnues stnrchrrea or RN Park I ash adduuutal hl;uuh rncult !b11sc.(Service or feeder not Included): ❑(0drrr S 53Al ❑FgrnaAightlng plan P.uch .an rn irrigation circle Submit sets of plans atth any tit the nbmr. i p S 57.40 - I'he above are not nppllcahle l0 winpornry construction sem Le. [inch sign or outl;nr lighting — Signal circuiIM or a limited energt panel t 75(NI ailetation.or extension* •10r,.r Irtmn I ach additiounl impectionovet tit allownble in ant of the Per inspection Investigation fix --- — — ()cher _ -- Permit fee. . 100.05 ❑Visa ❑ M1iastcr('nrd Ilan review Notice this permit application ) 8.00 ('rcdi,rani number I State Surcharge 9`6 expires 1f a p,:•ntlt is not obtained withing 180 days after It has been 1 U fAl,. S 108.05 Name of rarlhnlde n,shown nn cmdirruA ......'•"•••"" --- f +n• .ni accepted as complete CudlwLJm., anus - - MECHANICAL PERMIT CITY OF TIGARD -- -- - DEVELOPMENT SERVICES PERMIT#: MEC2001 00140, 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 5/7/01 PARCEL: 1 S 135AB-034G0 SITE ADDRESS: 10260 SW GREENBURG RD 650 SUBDIVISION: LINCOLN TOWER-TOWN OF METZGER ZONING: C-P BLOCK: LOT: 014 JURISDICT,'ON: TIG CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS: TYPE OF USE: COM UNIT HEATERS: VENT FANS: OCCUPANCY GRP: B VENTS W/O APPL: VENT SYSTEMS: STORIES: _ BOILERS/COMPRESSORS _ HOODS: FUEL TYPES 0 3 HP: V DOMES. INCIN: 3 15 HP: COMML. INCIN: MAX INPUT: BTU 15 - 30 HP: REPAIR UNITS: FIRE DAMPERS?: 30 - 50 HP: WOODSTOVES: GAS PRESSURE: 50 + lip: CLO DRYERS: FURN < 100K BTtI: AIR HANDLING UNITS _ OTHER UNITS: 1 FURN >=100K BTU: <= 10000 cfm: _ GAS OUTLETS: > 10000 cfm. Remarks: Mechanic TI for'✓AV, grills and ducts. Owner: YSPIEKER PROPERTIES Type By Date Amount Receipt 10260 SW GREENBURG RD PRMT CTR ^ 5///01 $72.50 2720010000 SUITE # 100 5PCT CTR 5/7/0 $5.80 272001000C PORTLAND, OR 97223 — --- Total $78.30 Phone:892-2500 -- — - —� contractor: AMERICAN HEATING INC 1339 SE GIDEON STE 1 — _ REQUIRED INSPECTIONS PORTLAND, OR 97202 "Mechanical Insp ' Phone:239-4600 Duct Inspection Reg#:LIC 33135 Final Inspection Tigard Municipal Code, State of Ore. subject to the regulations contained in the Ti This permit is issued � g 9 Specialty Codes and all other applicable laws. All work will be done in accordar ce with approved pians. 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 in the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 trough OAR 952-001-0080. You-fnay obtain copies of these rules or direct questions to OUNC by }ng (50 46-9189. Issue By: J'A' f tf Permittee Signature: Call (503) 39-4175 by 7:00 P.M. for inspections needi a next bu Ina ss day Mechanical Permit ApplicationMMM Date received:' Permit no.:/ji� ''�/�p0� City of 1 bard Project/appl.no.: Expiredate: City of Tigard Address: 13125 SW Hall Blvd,Tigard,OR 97:23 Phone: (503) 639-4171 Date issued: By: J Receipt no.: Fax: (503) 598-1960 Case file no.: IPayment type: Land use approval: Building permit no.: -2001 -001 u-1, TYPE OF PER311T WTI &2 family dwelling or accessory Atommercial/industaal U Multi-family Tenant improvement U New construction U Addition/alteratiordreplacement U Other. r ' 5—o"INFORIVIATIONfy SCHIEDULE lob address: (O 260 3.wree b � - __ indicate equipment quantities in boxes below.Indicate the dollar Bldg.no.: l.b+�ol r Tp tNer Suite no. SV 7 value of all mechanical materials,equipment,labor,overhead, Tax map/tax lot/account no.: profit.Value S _2.36 1 , aw Lot: Block: Subdivision: *See checklist for important application Information and Project nam : Ne,w York L,!�r_ TMS jurisdiction's fee schedule for residential permit fee. city/county_*Tj oko rtl ,ZIP: MUS MES Uescnption and loc tion of work on premises: y III - 1'ee(em) Total Est date of co_mpletion/inspecdon: DescHpition Qly. Rm.only Rm.only Tenant Improvement or change of use: ACc Air handling unit CFM Is existing space heated or:onditioned?OtYes 0 No Air condiuoning(site plan require ) - -- -- fs existing space insulated?U Yes LIN,, Alteration of existing HVAC system t ' t Bol er compressors --" Business name: gni"!'an �Cu li lrx^ State boiler permit no.: HP Tons BTUM Address: / JiC e04 51 J_ __ _ _ -ire/smo edampers/ductsmo a detectors City: p� f Stateoe ZIP: 0Mi zfest pump(sue plan required) Phone: Faz13q_70- E-mail: I nstal6replace fumacREumer / Ct:B no.: 3�,/3 j Including ductwork/vent liner 0 Yes O No nstal replacelrelocate eaters-suspen ed, City/metro lic.no.: la 77 wall,or floor mounted Name(p lease print): /r1#11m P ent for ao n: -e other than furnace CONTACT O ReC geraUo /1i Absorptionunits ` BTUM - Name: /ri m to1� Chillers HP Ad iress: r r F' Compressors_ - HP City: 0 �- ,� State- ZIP: a Environmental exhaust an rent' tion: Al.oliance vent Phone: 239- '/ 0 rat ' ,� E-mail: Dryerexhaust J- t Hoods, 111tes. tchen/hazinat hood fire suppression system Name: S� eeExhaust fan with single duct jliath fans) _ Mailing addre s: TExhaust system apart from heating or AC City:_ I State: ZIP: Fuel piping 2nd dist on art (up to 4 outlets) Type: 1,116 NO Oil Phone: Fie: E mail: ue—piping each additional over 4 outlets f rocimipiping(schematicrequired) NaNumber of outlets _ ^ Other listed 2pplisince or equipment:r Address: j�3,j .S��i ' n S Decorativefircplace City: A/dState:/J,Q Z1P: 7a?7 lnsen-tvpe _ Phonc: . V4ed Fax -7a-5 E-mail: oodstoveipellet stove Applicant's signature` IJl Date:S/—>/ pt �r Name (printf: 1 v „-,�►� Nor ill junsdlctions accept cro tt cards,pkase call jurisdiction for more information Permit fee.....................$ O visa Q MasterCard Notice:This permit application Minimum fee................$ Credit carr.number _ / expires if a permit is net obtained plan review(at , moo) $ Expires within 180 days after it has been State surcharge(8%)....S Nome of cudholder is shown on credit card accepted as complete. TOTAL Cardholder venstury Amount 1J0--rill?lG/OQR:O\1) SEE 3. 5MM- R- OLL #20 F �R_ oil- —i —,—,Mr R A7 D C (,..../, UMEN.. T CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Line: 639-4175 Business Line 639-4171 -- -- ------ 13UP --- -_..—Date Requeste,.;---�Zr -- —AM-.-----PM ------ BLD -- -- Location_ ✓ �r✓�,--Vr•^ suite _ S�U MEC Contact Person _ — _ Ph 2 ) > PLM — ----- Contractor n4 .4) it; J E/e r-)r— _-_ Ph SWR BUE—DI NG Tenant/Owner �s'c� _ — ELC e,7u0/-6 02 0 ,3 Retalnina Wall ELR Footing Access- — Foundation FPS Ftg Drain SIGN Drain Inspection Notes ---- Slab ---- ------ -- - - ----- SIT Post&Beam / --- Ext Sheath/Shear ►"4r�.-h r!- ✓ , _ __ _ - Int SheathrShear Framing Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling — Roof Misc:__ -- - - - -- - - - - -- ------ Final PASS PART FAIL_ --------- --- - -- PLUMBING Post& Hearn - ---- -- - — Under Slab Top Out Water Service Sanitary Sewer Rain Drains Final ----- PASS PART FAIL ---- - -`�� — --- — MECHANICAL_ Post& Beam - — - Rough In Gas Line ----- --- - ------ - Smoke Dampers Final - -- - - -- - - - �FAS3`PART FAIT_ LEC - - - 3epolee — - --- Rough In UG/Slab Low Voltage Fire Alarm 4jS3�'P A,R T FAIL --- --- -- - ------ --- - Backfill/Grading Sanitary Sewer Storm Drain ( j Reinspection fee of$ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Gatch Basin Fire Supply Une ( ]Please call for reinspection RE: •—__—_ ( {Unable to inspect-no access ADA Approach/Sidewalk Date 7 -112- L'/ Inspector Other - _ — ,j1_ i_Ext Final PASS PART FAIL. DO NOT REMO%E this Inspection record from the joie site.. CITY OF TIGARD BUILDING INSPECTION DIVISION 24-Hour Inspection Line: 639-4175 Business Line: 639-4".11 MST — __-- �J BUP _ -_____-Date Requester /' �' AAA _ PM —---•----- BLD I ocation Suite - �7J— MEC — Contact Person ru.. v`r�`- ,—f-.,• -'''Ci�c� t/Ph -�� OS"� _ -_-�-__ PLM Contractor _ _ Ph SWR — r • Tenant/Owner ELC -etainUiy Wall -i - ---• - ---_. ELR -_- •--•- __ Footing - ----------__- Access: Foundation FPS Ftg Drain --...---- -----_ Crawl Drain Inspection Notes SGN - Slab Post& Beam ------- ----------- - Frt Sheath/Shear Int Sheath/Shear ----- Framing Insulation - Drywall Nailing - - �=AMUI1 Firewa _ --- Fir prinkle -__-- - Fire ---- - -- Sush'd Ceiling __-- AS5 PART FAIL)DW MBING -- --- !lost&Beam - - ------- --- I lnder Slab - Top Out - Water Service Sanitary Sewer - - - -- - Rain Drains Final - PASS PART FAIL_ MECHANICAL --` Pust& Beam — Rough In --- - - Gas Line I -- - - ------------- Smoke Dampers Final - - _-- -- -- - PASS PARI FAIL — ELECTRICAL �- - ___ ------ Service Rough In -- -- ---- — UG/Slab Low Voltage - - Fire Alarm Fincl --- --- ------ -- _ PASS PART FAIL SITE _. .- ----- --- - _—__ - — Backfill/Grading - --- Sanitary Sewer ---------------------_- Storm Drain I !Reinspection fee of$—_ -_required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line f J Please call for reinspection RE. [ J Unable to Inspect-no access ADA / Approach/Sidewalk Other _ Date _ ' i 'I Inspector— Ext Final -- PASS PART FAIL DO NOT REMOVE this Inspection record from thA job site. CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection l_irvv: 639-4175 Business Line: 639-4171 ---- - --- BUP _ _----,---Date _Date Requeste(J / --_-_AM —PM BLD --_-----_�- Location �� Z GD �w r/�r� Cv� ��'� _ Suite �� _ MEC 2,---/ - Contact Person/7 y�l( / _ G�`�� -- Ph ,��f�_y �'3 PLM ------ -- -- -- Contractor 77�� T Ph SWR BUILDING _—` Tenant/Owner ELC Retaining Wall v_---- �---__— _---`— EL.Ft Footing ._.. - - _------ - _ .._ Access Foundation FPS Fig Drain _ SGN Crawl Drain Inspection Notes Slab - - SIT Post& Beam - -- --- . Ext Sheath/Shear Int Sheath/Shear Framing Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Misc: Final PASS PART FAIL -- --- -- --- -- -- --- - - - PLUMBING Post& Bearn Under Slab Top Out Water Service Sanitary Sewer Rain Drains - ---------------------- ------ Final PASS PART FAIL - i'r,st& Beam Rough In Gas Line - - -- --- Smoke )ampers y SS PART FAIL KofTRICAL -- Service Rough In - - UG/Slab Low Voltage Fire Alarm Final PASS PART FAIL, —__.._.. SITE Backfill/Grading --- Sanitary Sewer Storm Drain ( J Reinspection fee of$_ required before next inspection Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line ( )Please call for reinspection RE �� ( )Unable to inspect no access ADA Approach/Sidewalk ether Date I I� Inspector - �` �-- — ---Ext Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. CITY CF TIGARD BUILDING INSPECTION DIVISION MST __- 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 BUP —_ _Date Requested.__ -5'—1 7 ----AM----.—PM -------- BLD -------- _�. L oration U 2- G �_ S w r <<•r_��o. Suite MEC �j�Z—_ ---------------- I i,ontact Person -- A/ -- Pt.I -� U G _ PLMContractor ---_.--___--- F'h SWR ELt; BUILDING Tenant/Owner -_._.----- - --- -------- --- _.. _— - --- Retaining Wall ELR - ---_"�' Footing Access FPS Foundation Fig Drain -- -- SGN - --___--.-- Crawl Drain Inspection Notes: Slab -- - --- -- ----- _ SIT _ -.�-- Post& Boom Ext Sheath/Shear - ----- - Int Sheath/Shear Framing -- ---------- _ v - Insulation _ Drywall Nailing - - �.- Firewall10 J Fire Sprinkler Fire Alarm Susp'd Ceiling Roof J; � -''�y ? ✓'r---� c: _. Mis _ - ' 17 Final PASS PART FAIL. --- ---- PLUMBING Post 8 Beam _ Under Slab -- Top Out - Water Service - ----- - Sanitary Sewer ____r Rain Drains - _---- -- - -- Final _ PASS PART FAIL - --- — MECHANICAL --- Post R Ream -_�_ --- ----- ---- Rough In ----- Gas Line Smoke Dampers -- — — ----- 1-inai PASS PART FAIL — <_ c-rtctt --- - --Service ----- -- --- - `- --- Rough In - UG/Sleb ----- - w- '�3 _. lair;} — �,------_ — ASS PART FAIL -- -- -- - --------------- --- HackfilllGradinq - ------- ------------_ Sanitary Sewer Storm Drain f )Reinspection tee of$ _-required before nex nspection. Pay a'City Hall, 13125 SW Hall Blvd Catch Basin ]Please call for reinspection RE: ___ / -- ( ]Unable to inspect-no access Fire Supply Line �.�" ADA Ext Approach/Sidewalk Inspector / �� / - t)att3 .� p . F final PASS PAR"' FAIL DO NOT REMOVE this inspection record from the job site. Z ',yi' CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Line: 639-4175 Business Line: 539-4171 — -- --- _/ BLIP _ _ Date R,quested—�� r� —�– AM-._----PM BLD _------- -_ _- Location 6 < U G S� C rte'✓' _ Suite Zjt�p 4 MEC Contact Person _! — Pit _ Z s � �� PLM Contractor _ _ Ph _ SWR ____-_ BUILDING --- TenantlOwnet — — – ELC C) ;U 3 �eto iningg Wall F_!R Footing ___-_-------.._-- Foundation Access FPS Fig Drain � -- SGN ---------CrawlDrainInspection Noias Slate ------------- _ _ - ------- - SIT' Post R. Beam _-_- Ext Sheath/Shear _— Int Sheath/Shear Framing Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling - Roof Misc --------- - __ .`.y`- -- ` ------- -- I final PASS _PART FAIL PLUMBING__ Iasi&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 --------- -- ---- PART FAIL ;!E RICn UG/Slab ---_-�_----- low Voltage. Fire Alarm - ----- - --_ - -- -- PASSPART FAIL _ _- --- ----- -_—_ S _ Barkrll/Grading ------ `�--' - - -- -- Sanitary Sewer Storm Drain [ j Reinsper�.on fee of$- _-_-required before n inspection Pay at G'ity Hall, 13125 SVV Hall Filvd Catch Basin Fire Supply Line ( ]Please call for reinspection RE ( j Unable to inspect no access ADA App roach/Sidewalk -� r /- �- �i ODate l ,nspectorExt Other �� \.�,'�r�� •�— _ - _ I —t— Final PASS_ PART FAIL Do NQ'T REMOVE this inspection record from the job site. CITY OF TIGARD --BUILDING PERMIT . PERMIT#: BUP2001-00166 DEVELOPMENT SERVICES DATE ISSUED: 5114/01 ,1.4m13125 SW Hall Blvd..Tiqard. OR 9723 (503) 639-4171 PARCEL: 15135AB 03400 SITE ADDRESS: 10260 SW GREENBURG RD 756 SUBDIVISION: LINCOLN TOWER-TOWN OF METZGER ZONING: C-P BLOCK: LOT: 014 JURISDICTION: TIG - — REISSUE: — _FLOUR AREAS _ EXTERIOR WALL CONSTRUCTION _ CLASS OF WORK: FPS FIRST: sf N: S: E: W: TYPE OF USE: COM SECOND: sf � PROJECT OPENINGS? _ TYPE OFF CONST: 2FR sf N: S: E: W: OCCUPANCY GRP: B TOTAL AREA: 0.00 sf ROOF CONST: FIP.E PET? OCCUPANCY LOAD. BASEMENT: sf AREA SEP. RATED: GARAGE: sf UCCU SEP. RATED: STOR: HT: ft REQUIRED BSMT?: MEZZ?: READ SETBACKS _ ---- FLOOR LOAD: psf LEFT ft RGHT: ft FIR SPKL: Y SMOK DET: DWELLING UNITS: FRNT: ft REAR: ft FIR AI_RM : HNDICP ACC: BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING: VALUE: (y C�C)- 00 Remarks: Audition of 5 sprinklers and re'.:ication of 3 sprinklers Owner: Contractor: KNICKERBOCKER PROP, INC XXiV AFP SYSTEMS INC BY NORRIS, BEGGS + SIMPSON 19435 SW 129TH 10300 SW GREENc'URG RD S1 ;:00 TUALATIN, OR 97062 P9pOTIL D, OR 97223 Phone: 503-692-9284 one. Reg#: uc 67534 FF_E:i REQUIRED INSPECTION Type By Y Date Amount Receipt Sprinkler Rough-In _ Sprinkler Final PRIN4I CTR 3/14/01 $62.50 27200100000 5PCT CTP, 5/14/01 $5.00 27200100000 Total $67.50 This r?rrr it is issued subject to the regulations contained in tha Tigard Municipal Code, State of OR Specialty Codes and all other applicable law All work will be done in accordance with approved plans This permit will expire if work is not started within 180 days of issuance, or if work is suspended fc r more than 18() days ATTENTION Oregon law requires you to follow the -ules adopted by the Oregon Utility Notification Cente• Those rules are se: forth in OAR 952-001-0010 through OAR 52-001-1987. You may obtain a copy of these rules or direct questions to OUNC by calling (5031 246 699 or �\8 0-332-2344 Pe rm it tc a Signature: _-- --- Issued By: ---------.._.-�.-- Call 339-4175 by 7 p.m. for an inspection the next business day Building Permit Application Uate received: < /y 6 Pcnn+t no,��/,'.pp -� / Cit of 'fi and y � I'roject/appl.no.: Expire date: City of Tigard Address: 13125 SW'Hall Blvd.Tigard,OR 97223 Date issued: Y B Receiptno.: Phone: (503) 639-4111 Fax: (503) 598-1960 Case file no.. Payment type: Land otic approval: - — I&2 family:Simple komplex: 7WAddil 2 faradd Iling or accessory mercinZdndustrial U h4u t' � til U New construction U Demolition iu alteration/ placement !l Tenant improvena•nt W ' rc sorir,kIe alarn, U Other: _ BIJ nu.: Suite no.: -)� Joh address: 16Z(e�_ S�.I_ ►J3t1c11_ �V - Ltt•1Cc ,t1 �T, +t• C��i! T _k Lut �lock: Subdivision: fax map/tax IoUncanult no.: —_ _.Project natnc�1 a tL L►F rc 111'yaKlAa•tCta -- Description and location of work on premises/special conditions: Name! �, _ R�►�t= r► Mailin address: �j Q t �I & Z family work City: ; __ sti,tc:Otz 7'P: ` 17'7 Valuation of workrk........................................ $_ Phone: Fax: E mail: No,of bedroom,s/haths................................. Owner's-representative: Total number of floors................................. t,tK--- It: n,a:l New dwelling arca(sq. t.) ................... ...... nn Garage carport area(sq.ft.)......................... +'1 ��jSTCt- I Covered porch area(sq.ft.) . ........................................ Name: i1 G•l _ � Deck area(sq.ft.) . Mailing address: Other- r— Other structure arca(.sq. ft.)........... .. .. . . ........ City: Statc:Q� 1.IP:�l7 tel - --�_- ('ommerciailindustrial/multi-family: Phone: Fax:659 Z-IIP f? ,nail: $ (� Valuation of work........................................ Existing bldg.area(sq.ft.) .......................... _-- Business name: /j�( j �l' t.1C. -- New bldg.area(sq. ft.) ................................ $ -- Address: I �S s _wl_ r'""= Number of stories........................................ _ ZIP: 1�(cZ ---- City: � _ State: Type of construction.... . Phone: c Fax_:(o9Zs 118(' E-mail: Z$� _ _ Occupancy group(s): GG�t Existing: CCB no.: CC)(b-1J-A_ _A7 , Ncw: City/metro lic.no.: Notice:All contractors and subcontractors are required to he liCCltSL'i with the Oregon Construction Contractors Board under f provisions of ORS 701 and may he required to be licensed in the Name: ZCt-11�(;L"T _.— jurisdiction where work is being performed. If the applicant is Address: Z(\ wl TH+ t — exempt from licensing,the following reason applies: City: State: Contact person: Plan no.: Phone: -`1(05 Fax:[ j (p Name: f"untaPelson:ct Fees due upon application ................ $--- _ � • Address: _ Date received: --- --- — City: _ State: ZIP: Amount received ......................................... _ -- Phone: Fax: E-mail: Please refer to fee schedule. jurisdictions accept credit cards,please call jurisdiction fox me information hereby certify I have read and examined this application and the Nrt all j ot attached checklist.All provisions of laws and ordinances governing this U Visa U Mastercard ' , t'rrdit cord number _.� -"---- �� work will be complied 'th,wit er specified herein or nut. _ T Authorized si nture: Date: s' -d Nerne of canlholddr es shown on credit card $ Print name: J —_--- Crdholder siputure i Amount en accepted as complete. Mf0.461 A(~'()MNotice:This permit application expires if a permit is not obtained within 180 days after it has beI Fire Protection Permit Check List A.) 0 New ❑Additiun W Alteration ❑ Repair B.) Modificat;un to sprinkler heads only: Describe work to 1. 1-10 heads: No plan review required. be done: 2. 11+ heads: Plan review required. Number of sprinkler heads. ' Additional description of work: Type of System Complete A or B as applicabl . S rinkle : D ❑ _ Aer _ tHZia, W - dpi Additional rd CroupL',:W-1 — Information Density _ -- Do3 n Area -- __ JK. Factor --- S�rinkler Project Valuation: $ (vW.Cs B.)Fire A arm ---- -- Submittal shall Battery Calculations __ Yes ❑ -- —_. include: Individual Component Yes ❑ _ Cut Sheets ___ Fire Alarm Project Valuation:A $ Pro ect Valuation Subtotal A & B):_ $_ Permit fee based on valuation see chart : $ — - -- 8% State_Surcharge: $ _ FLS Plan Review 40% of Permit: $ _- TOTAL: $ 1\dstsUorm9TPScheck119t.doc 1010AI00 CITY OF T I GA R D BUILDING PERMIT _ PERMIT#: BUP2001-00168 DEVELOPMENT SERVICES DATE ISSUED: 5/15/01 13125 SW Hall Blvd., Tiqard. OR 97223 (503) 639-4171 PARCEL: 1 S135.46 03400 SITE ADDRE=SS: 10280 SW GREENBURG RD 7,50 �7) SUBDIVISION: LINCOLN TOWER-TOWN OF METZGER ZONING: C-P BLOCK: LOT: 014 JURISDICTION: TIG REISSUE: _ FLOOR AREAS_ _ _ _ EXTERIOR WALL CONSTRUCTION : � CLASS Or WORK: ALT FIRSTsf N: —� S: — E: W: TYPE OF USE: COM SECOND: sf _ PROJECT OPENINGS? TYPE OF CONST: 2FR sf N: S: E: W: OCCUPANCY GRP: B TO'_AL AREA: 000 sf ROOF CONST: FIRE RET? OCCUPANCY LOAD: BASEMENT: sf AREA SEP. RA rED: ST OR: HT: ft GARAGE: sf OCCU SEP. RATED: BSMT?: MEZZ?: REQDSETBACKS REQUIRED FLOOR LOAD: psf LEFT:— ft RGHT: ft FIR SPKL: Y SMOH TET:—' DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HNUICf ACC: BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING: VALUE: S'O u • 0 u Remarks: Commercial TI. Owner: Contractor: SPIEKER PROPERTIES C SCHIF_WE + ASSOCIATES 10260 S'fi GRI_ENBURG RD 1024 FSE DAVIS SUIITE # 100 PORTLAND, OR 97232 P�horie PID OR 97223 Phone: 234-6617 Reg #: LIC 54105 FEES REQUIRED INSPECTIONS— Type By Date Amount Receipt Mechanical Permit Require PRMT CTR 5/15/01 $82.50 27200100000 I Electrical Permit Required Sprinkler Permit Required 15PCT CTR 5/15/01 $5.00 27200100000 I Framing Insp PLCK CTR 5/15/01 $40.63 272001n0000 Gyp Board Insp -'IRE CTR 5!15/01 $25.00 27200100000 Susp Ceiing Insp _ Fina !nspection Total $133.13 I This permit is issued subject to tiie regulations contained in the Tigard Municipal Code. State of OR. Specialty Codes and at:other applicatle 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 it work is suspended for more than 180 days. ATTENTION Oregon law requires you tc follow the rules adopted by the Oregon LRility Notification Centei i hose 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--6699 or 1-800-332-2344 Pe nn Ittee Signature: —_-- I - v Issued By: Call 639-4175 by 7 p.m. for an inspection the next business day Building Permit Appli c• tioij _ City of Dateraceivod: ;./e!� Permit no.:/ 'Tigard ----- Address: 13125 SW hall Ulvd,"Tigard,OR 97223 ProjecUappl.no.: Expi►odate: r'lry of l lr, r,r Date issued: I Recei l no. Phone: (503) G39-4171 P Fax: (503) 598-1960 � Cue file no.: ---�-- Payment type: Land use approval: 1&.2family:Simple Complex: TVPE OF U I K, 2 Tamil),dwelling or accessory O Commercial/industrial U Multi-family O New construction 0 Demolition U Addition/alteration/replacement Td Tenant impiovernent U Fire spr r/alarm ❑Other: JOB SITE INFORNIAT�_, Job address:1C>JGc SW Gree.nk"rq F(t CW avkd 0P_ 5TZ2bBldg.no.: o suite no.:?50 Lot: block: _ Subdivision: Tax maprtax lot/account no.: Projectname: New 'York Lie Insurance Co. Description and location of work on premises/special conditions: Name: 'veker Prov eA-e-r Mailing address: .5.1 tt (OL, 1 &2 family dwelling: City: ,—,—t F.A,C1 State: ZIP: 9111 Valuation of Werk......................... .............. _ Phonc505 892-2500 Fax: E-mall: No.of I dromi1baths................................. Owner's r^presentative: P,2V P,. Cur GPD Arckitec r Total number floors................................. _ Phone o3 2` 9co5rr INX: 11--mail: New dwelling area(sq. ft.) ........ ................. Garage/carport area(sq.ft.)......................... _ — Name: G51) p.►C tt c , 111C . Coveted porch area(sq.ft.) ......................... - - Mailing address: 920 5 VW 5" 361te 4th Deck area(sq.ft.)................................. ..... City: uVrA, .1KA Istatc:DFLZIP: 9720 Otit:,r structure area(sq.ft.)................. Phone-5o'3Z •9(056 1'ax: E-mail: CommerciaWnduslrial/multi-family: 15 '` t "IFIN 9611Valuation of work........................................ _ Ob Business name: G. Sch ewe Carl s't. Exlyting bldg.area(sq.ft.) .......................... New bldg.area(sq.ft.). A,'Jmss: 102 NE Davis =;". 2 1WELVE �._ Number of stones........................................ t!I City: Fr rt 1,AKA C ZIP: 9 T of construction 11.'EF- Pltonc5C�3 2: - '7 Fax: E-mail: � Type . .................................. � Occupancy group(s): Existing: CCB no.: I o5 _ ----- ._ _...------ _ New: a City/metro lic.no.: Notice:All contractors and sul,-•.cntractors are required to be _ r _ licensed with tha Oregon ConstnAction rontractars Board under Nar e: SAME As RPf'Li cM'7 provisions of ORS 701 and may be required to be licensed in the • Ada ass: jurisdiction where work is being petfonned.If the applicant is City; State ZIP: - exempt from licensing,the following reason applies: Contact person:--_ ---..__.___ Plan no.: - Phone: fax: Email: —�_ -- Name: Contact person: Fees due upon application ........................... $_ 2 Addmss: Date received: City: _ State: ZIP: Amount received ......................................... S.. Phone: Tr"ax: I E-mail: Please refer to fee schedule. 1 hereby certify 1 have read and examined this application and the No all Msdicdons anoeM aedir cards,&"call jurisdiction f«mare infamrton attached checklist. Ali provisions of laws and ordinances governing this U visa U MuterCard work will be complioxr with,whether specified herein or not. I t•n•eif card nurntwr. Authorized signature: Y2—�1� Date: 5'15'n Name or rwdbotder u dawn ou credo cod— Print name }t`AY (�. Gl.uf� —_. _ c..dhmea sit"are —�__ — Amount - Notice:This permit application expires if a permit is not obtained within I Bo nays after it has been accepted as txrmnlete. 4404613 WMA'I'M) Date Rec'd: CITY OF TIGARD fie-.'d By: COMMERCIAL TENANT IMPROVEMENT APPLICATION/PLANS SUBMITTAL REQUIREh.cNTS Applicants: Please complete APPLICANT 1 . APPLICANT NAME: ______. _ PHONE #: 2. SITE ADDRESS: _ FAX # 1. SITE PLAN (Fully dimensional, drawn to scale, showing existing parking, accessible route to building) labeled with: ❑ map & tax lot #, ❑ project name, ❑ site ar'dress, ❑ site: sur 1ber, ❑ zoning, ❑ applicant name, ❑ phone number. A. North Arrow B. Scale (any standard, architectural or engineering only) C. Street Names 2. See the "Commerical Plan ' ubmittai R;yuirement Matrix" for number of Flans required based on submittal type (no redlines or tapeons accepted). SIZE REQUIREMENTS: 24" X 36" (RO-LED) ALL DETAILS LISTED BELOW SHALL.BE INCORPORATED INTO THE PLANS A. Floor plan(s) B. Wall details C. Reflective ceiling plan D. Seismic, bracing de`ail for suspended ceiling E. Specifications & calculations F. ADA barrier removal worksheet G. Deposit - based on valuation of project 1`fists\/ormskx,mUapp.do:10/4/00 CITYU c TI GA R D ELECTRICAL PERMIT DEVELOPEL NT SERVICESPERMIT•#: ELC2001-00203 13125 SW Hall Blvd.. Tiqard. OR 97223 (503)638.4171 DATE ISSUED: 04/23/:,01)1 SITE ADDRESS: 10260 SW GREENBURG RD 7.8(f iF 55 PARCEL: 1S135AB-03400 SUBDIVISION: LINCOLN TOVVER-TOWN OF METZGER BLOCK: ZONINc;: C-P Proiect Description: Installation of(4) branch circuits in existing to ant014 space. Job #21-6 ISDIGTION: TIG RESIDENTIAL UNIT TEMP SRVC/FEEDERS 1000 SF 6W LESS: --�" --- _MISCEiLk.ANcEOUS EACH ADD'L 500SF: 0 - 20� amp: PUMPNRRIGATION- 201 - 400 amp: SIGN/OUT LANE LTG: LIMITED ENERGY- 401 - 600 amp; SIGNAL/PANEL: MANF HM/SVC/ FDR. 601+amps - 1000 volts: MINOR LABEL 1101: SERVICE/FEEDER BRANCH CIRCUITS _ 0 200 amp: WISI=RVICE OR FEEDER: -- ADD L INSPECTIONS PER IN:,PECTInIJ: 201 - 400 amp- 1st W/O SRVC OR FDR: 1 PER H,JIIR: 401 - 600 amp: EA ADD'L BRNCH CIRC: 5 601 - 1000 amp: IN PLANT: SECTION >=4 amp/volt: PLAN REVIEW RES UNITS: Reconnect only: > 600 VOLT NOMINAL: _ SVc:/FDR >=225 AMPS: CLASS Owner: '-EA/SPEC UCC:_ - SPIEKER PROPERTIES Contractor: # 1CAPITOL ELECTRIC Co INC SUITE # 10260 1 00 GREENBURG RD 12810 NE AIRPORT WAY PORTLAND, OR 97223 UNIT 1PORTLAND, OR 97230 Phone: 892 2500 Phone: 255-9488 Reg #: UC 048748 SUP 3132S ELE 26-496C FEES Required Inspections Type By Date Amount Receipt Wall Cover — �u PRMT CTR 04/23/2001 $66.80 2720010000( Elect'I Final 5PCT CTR 04!23/2001 $5.34 2720010000( i Total $72.14 �— _J This Permit is issued subject to the regulations contained in the Tigard Municipal Code. S+ate of OR Specialty Codes and all other applicable laws All work will be done in accordance with approver plans This permit will expire if work is not starters within 180 days of issuance,or d work is suspended for more than 180 days. ATTENTION Oregon law requires you to follow rules adapted by the Oregon Utility Notification Center Those rules are set forth in OAR 952-001-0010 through OAR 952001-0080 You may obtain cnp,es of these nilPs or direct questions to OUNC at(503) 246-6699 or 1-bJ0-332-2344 Permit Signature: Issued By: _ OWNER INSTALLATION ONLY The installation is being made on property I own which is not intended for sale, lease, or rent OWNER'S SIGNATURE -� - — DATE:___ _ ---- _ __ CONTRACTOR INSTALLATION ONLY SIGN,%PURE OF SUPR. ELEC'N: � 1 1 L-- ra y__ ) �1 / A------ _ DATE:____ LICENSE NO: — Call 639-4175 by 7:00pm for an inspection the next business day l � ji'lectrical Permit !�plAiCilt1(111 1 / 77,,1.y1,r.d,,,,1y cr,ritno.:rr `1� ix ire dale; ! '�ty (1�� 1 1(141r�l /��.`� II ltl'CCI t 110.: l1 (� 1 CITY OF TIGARDAddress: 13125tiWIIAL1.HI,VI), IICAItA,Olt 9722�q� Priyment type 1'lluld l IN1prb39 a171 Fax(5113)598 \� Land uvc approval: r Muhi-fnntily p I enont improvement ❑ I & 2 1'011lily devilling or neer^ .,r\ * ('ommcrciul/int ustrin ❑ ❑ Partial ri New construction ❑ Atlditlnn/nitcrationlrcp laccmenl ❑ Other: 1uh address: 10260 SVv r;reenburc�Rd City: Tl erd Illdg.Nn Suite nd't 750 fix map/tdx lot/account nu.: ____ —_ - Illnck N/A suLdivision: - — :)escri Ilion and locution of work tori prcnuscti Remodel at existing tenant I'ro,jcd name: New York Life I 611101 Pslinlaled dale otcomplclirin 111,lwctiun Inh no: 21-631 Nusimas Nunte: apitol Electric Co.,Inc. Iksrrl,tlott Address: 12810 NE Airport Way New revlilt•nUnl-vbl{!le or nluitI-fam'I% 11`1 Cit).. Portland stile: OR /II' 97230.1029 dwcllinl t+nit. Inrludrr nitnrhrd w:+rnl r, Phone: `,(13 2:5 9488 I'ns 255 9488 1-maul darrell ce dx com Seri ice included: c•c•1128i111 I Itnl Ir E, 14515 ,n. as7ac ICL- . . ,tori 1{ach;uld1u01c11 ion sq I! 01 putunn Ihctcul ('llyhnctro tic no NIA / 4120101 I.imitrd rnrtgv resnlclttml 15 no signalule o1 supra Is11,p,clectncitut(rcyuucd) _ _ IMI" Uwy!cdeticrgp 'nn-trsolrnUnl - Darrell McNeal Licrnsr 4)u 3132-5 finch t1lanurnctilled home 111 ua,duh,r duelling Stip rlcct r uric Ilnr 3 ,rn,m will 'clvicc and/or Ircdct Services or feeders-I-110II'll lon, Nrintc LprinI I — Spieker Properties _.._ alteration or relucallon: Mnilin addles; 4949 SW Meadows Rd s a„11 ('it\ LaktOswego 5,lnl Or /II' 21al:unpsotlrs _^_--- -- 5 Ino k5 50;;697-8700 I:t —IL In til. 201 amps l0 4t!n turps boric: ___ _ s u,1 Wu OlvnPr lrfslnllnlinrr: 1 he installalion is being made on pru,lcrly I own 401 amps!t,amu amps t t.lo Wn which is fill(inlemdcd It,r .::!. I:asc,roll(,fir exchal,gc according to nut uulps oI 10001tn,pv I)%ct 1111111 tanks fit volts t Gatos , ORS 447,455,471).6-10,711 as Uuvu is si mnlur, I)ulc: Reconnect ank Temporary srnices or(ceders- hlvinllntion,aiterntinim or releetitHic Nang - — - 0aa - 21111 nntps of Icss --- Addi, - -_'-.-- ,,,It _ Lilt, 2111 :unps In 400 ('ity: all/ ❑It1p5it)1,1111,unps Pit l I Branch circulls-new,nitrraUnn. .0 r %t,•n5ion prr panel: []'—l',e nvrr 225❑11�, ,,n,mrrclel !maul,-ra,e fndldv i..iJ1 t ItI IIIc 50111 putrhasc.,' •„„• � „cr 1111nu11 -Iuuagof IM ❑Ilnm,duaslocnoan ', oannl�dwrllinFs 17 Duildiutt ova, 10,1104)aqumc n lino o, srtvlce m Irrdrl Ira.each branch cut Int It bre t-fit branch rn�oils 5enhoul ptnchase ❑tic5W111 01 VI Will volts nominal umrr tesidnttlal U110%in it-Ire,•nclure 1 s to 0 b ` PCCdprS,'11111 NIII.Sm none I 01 SICIVIC'C(if ad,linonnl I tu:nn tre,lel tar test branch,lr,ml IP.nl.iuw�„,th,rc Jolles 3 % 01,5 I° [�r,ccurem load o%VI v9 pc,snl,5 [:.1 Alnnutactutcs 5 m ulcer m RV Ilml, ach t.nuh CI tglel \1155 1,rr5 ict•4)r(cederh 1101 ,elnrlydl•. 1 c,,—ijightiiig pini, 1 it to _ Submit sets of Ill it with it I)of the tlhove. Loch pump 4)t ung,p0ut cuclr I Ile al,ll%.e tire flat gglftenhie to b•mporari cullcll urtinn ser c i__ 811”!r`nNO,e b(• n:d encunlsl4)1 it limited encle% panel ,a,111 :d0.•tllUnn,4)l rvtensit ll• •I les%:I pl tun Inch atidu,ul;al,opt unnmet Ih;d'„5551.1;in am „t the Ihmc t n'tin Per inspection Investigation PCC _ — - Permit ter 4 88.80 C] Visa d hlnslrlt and / Notice this perm:application Plan rc5 lass I -- t g I ledit cord numlcl _ 1(;11 lurch 11 c x”„ 1 � 534 expires If a permit is not obtained Na.„c 5.15,.,m„Idr1 a551,o,5n,•n �.,r� , 1 -- withing 130 days after It has been TOTAL 5 72.14 accepted as complete. C aulholAr,511t1111U1iv ELECTRICAL CITY OF TIGARD RESTRICTEDE ERG RESTRICTED ENERGY DEVELOPME14T SERVICES PERMIT#: EL132G01-0(,133 13125 SW Hall Blvd., Tigard, OR 97223 (503) 638-4171 DATE ISSUED: 5/7/01 SITE ADDRESS: 10260 SW GREENBURG RD 70 ,, b PARCEL: 1S135!1B-03400 SUBDIVISION: LINCOLN TOWER-TOWN OF METZGER ZONING: C-'' BLOCK: LOT: 014 JURISDICTION: TSG Prosect Description: Installation of low voltage to HVAC. A.RESIs3ENTIAL B.CO_ MMERCIAL AUDIO & STEREO: AUDKJ & STEREO: INTERCOM & PAGING: PURGLAR ALARM: BOILER: LANDSCAPE/IRRIGAT: GARAGE OPENER: CLOCK: MEDICAL: iVAC: DATAITELE COMM: NURSE CALLS: VACUUM SYSTEM: FIRE ALARM: OUTDOOR LANDSC LITE: OT =R: HVAC: X PROTECTIVE SIGNAL: INSTRUMENTATION: OTHER: TOTAL# OF SYSTEMS: _1 Owner: Contractor: SPIEKER PROPERTIES AMERICAN HEATING 10260 SW GREENBURG RD 1339 SW GIDEON ST SUITE # 100 PORTLAND, OR 97202 PORTLAND, OR 97223 Phone: 892-2500 Phone: 239-4600 Reg #: LIC 00033135 ELE 26-6E'.3CLE FEES _ Required Inspections Type By Date — Arnount Receipt Low Voltage Inspection 5PCT CTR 5/7/01 $6.00 2720010000 Elect'I Final pRMT CTR 5/7/01 $7500 2720010000 Total $81.00 This Permit is issued subject to the regulations contained in the l igard Municipal Cude, 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 reyuim you to follow rules adopted by the Oregon Utility Notification Center Those rules are set forth in OAR 952-(-0010 through OAR 952- 01 0080 You may obtain copes of these rules vd/equesbonsle)OUNC at (503) 246- 9t37. 1� Issu4by 1 �-- Permittee Signature � kr- — OWNER INSTALLATION-ONLY— L, The installation is being made on property I own which is not intended for sale. lease, or rent. OW JER'S SIGNATURE: ----- — —, - DATE:-------- CONTRACTOR ATE:----- --CONTRACTOR INSTALLATION ONLY SIGNATURE OF SAPR. ELEC'N DATF: LICENSE NO: - Cali 639-4175 by 7:00 R M. for an inspection needed the next business day Electrical Permit Application, Date received: < 0/ Pit no,S .2 ! City of Tigard Project/appl.no,: Expire date: ;�Tiarrr,f Address: 131 ?SW Hall Blvd,Tigard,OR 97223 Date issued: Phone: (503) 639-4171 BY Receipt no.: Fax: (503) 598-1960 1 Case file no.: payment type: Land use approval; _- _ '31e� �errr„� # Bkp. 2001- 00 102 'TYPE OF PERMIT Z) I & 2 family dwelling or accessory *ommercial1industrial O Multi-family �Ten,uu improvement J New construction Ll Addition/alteration/replacement v Other: O partial JOB t ' Job address: /pa 0 s.w Grew►r b Rd Bldg. ria.: Suite no.: fix map/tax lat/account no.: Lot: Block: Subdivision; me h 7srrvf/ -- Project name: New rk )4'e, :ons Description and location of work on premises: // Estimated date of completion/inspection: t f SCHEDULE Job no: FK �` Business name: -� Zn Descriprton I Qty. (ea.) Tota' nn.Imp Address: VC alemo Ne W trstdential singleor nmild-family per threlling unit.Includes attached gangr. City: h StatC:QQ ZIP:�J��Z Seniceinclutkd: Phone: g'4'`��iQ�2 Fax, 9 7038 G•mai l: 1 caro sq.ft.or less 4 CCB no.: u3 l Elec,bus.lie.no: Each additional 5C0 sq.ft.or portion thereof _ Limited energy,residential 2 City/metro lie.no.: Limited energy,nun-residential 2 �•/-p/ Each manufactured home or modular dwelling S.gnature of supervising tic cion(required) Date Service and/or feeder 2 Sup.elect.nanne(pnnU $fi►vC Yp, C Ucenseno 5errlcdorfeeden-irtstallatlon, alteration or relocation: tmo� t 4 200 amps or less _ 2 Name(print): ,C kCrZ�ru ACr"�l�S 201 amps to 400 amps 2 - \iailing address. — 401 amps to 6W amps 2 601 amps to 1000 amps 2 City: State: ZIP: _ _ Over t'10_0 amps or volts 2 Phone: Fax•. E-ma l: Reconnevonly I Owncr installation:The installation is being made un property I own Temporary services orfeeders- '.,hich is not intended for sale,lease,rent,or ca-.irange ucoording to i' `''"`' '•.tl"•.: '•'•'r,c ; '""" ORS 447,455,479,670,701. 200 amps or less 2 201 amps to 400 amps 2 Owner's si nadtro: Date: 401 to 600 amps - 2 _ I 71' Branch circuits-new,alteration, �r�+ _ or extensior.per panel: Addie `�^----�_ A. Fee for branch circuits with purchuc of Address: ? �� ,geeo S} st,vice or feeder fee,each Beanch circuit 2 City: _IPb r•i-1ct"M State:Qp- ZIP: q72,0-�_ B Fee for branch circuits without purchase Phone: 'sGs Fax: E-Mail: of service or feeder fee,first branch circuit: 2 �� /i00 'q-70" WifEach additional branch circuit:PLAN R EW(Please check all,that apply) -�— Misc.(Ser rice or feeder not Included): J Service over 225 amps-commercial U Healtfr care facility Each pump or irrigation circle _ 2 0 Service over 320 amps-rating of 1&2 0 Hazardous location Each signor outline lighting 2 family dwellings U Beilding over 10,000 square feet four or Signal circuit(s)or a limited energy panel, 0 System over 600 volts nominal mere residential units in one structure alteration,or extension' 0 Building over three stories 0 Feeders,400 amps or morn 'Description: 0 Occupant load over 99 persons 0 Manufactured structures or RV park Fach additional impaction over the allowable in any of The above. 7 Egmss/lightingplan 0 Other. _ — Per inspection Submit_sets orplans with any of the above. Investigation fee The above are not applicable to temporary construction service. Other 0 Sar jurisdictions Cart�it cards, Ieax call jurisdiction fa more i�fomu,wn Notice.This permit application Permit fee.....................$ `7 S U •� l P' P expires if a permit is not obtained Plan review(at __ %) $ C.r.:u cud number: �1�_. within 180 daps atler it has been State surcharge(8%)....S -- G�ptres accepted as complete. TOTAL S U None of cudhelder as shown an credit cud Cardholder ntinature , amount atn•a613 l6OCICOSI) CITY OF T I G A R D _ MECHANICAL PERMIT DEVELOPMENT SERVICES PERMIT#: MEC2001-00148 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 5/7/01 PARCEL: 1 S135AB-03400 SITE ADDRESS: 10260 SW GREENBURG RD 730 (� SUBDIVISION: LINCOLN TOWER-TOWN OF METZGER ZONING: C-P BLOCK: LOT: 014 JURISDICTION: TIG CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS: TYPE OF USE: COM UNIT HEATERS: VENT FANS: OCCUPANCY GRP: Fi VENTS W/O APPL: VENT SYSTEMS: STORIES: BOILERS/COMPRESSORS HOODS: _ FUEL TYPES_ 0 3 HP: DOMES. INCIN: GAS _ 3 15 HP. COMML. INCIN: MAX INPUT: BTU 15 - 30 HP: REPAIR UNITS. FIRE DAMPFRS7: 30 - 50 HP: OnSTOVES: GAS PRESSURE: 50 + HP: C FURN < 100K BTU: 1 AIR HANDLING UNITS OTHER UNITS: CLO DRYERS: FURN >=100K B1 U: <= 10000 cfm > GAS OUTLETS: 10000 cfm: Remarks: Mechanic TI for VAV,grills and ducts. Owner: _ ------ ---_ FEES-------- — SPIEKER PROPERTIES Type By Date Amount Receil t 10260 SW GREENBURG RD PRMT CTF2 _ 5/7/01 $72.50 2720010000 SUITE # 100 5PCT CTR 5/7/01 $5.80 272001000C PORTLAND, OR 97223 -- —.— Phone:892-2500 Total Contractor: AMERICAN HEATING INC 1339 SE GIDEON STE 1 REQUIRED INSPECTIONS PORTLAND, OR 97202 — --- - - ---- ivlechanical Ins, Phone:239-4600 Duct Insper;tion Reg#:LIC 33135 Final Inspection This tr rmit is issued subject to the regularions contjined in the Tigard Municipal Code, State of Care Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if wor k is suspended for more than 180 days. ATTENTION Oregon 'aw requires you to follow rules adopted in the Oregon Utiliry Notification Center. Those rules are set forth in OAR 952-001-0010 hrough OAR 952-001-0080. YoI may obtain copies of th�-,re,r les or direct quest!ons to OILING by c,� i9 (50 46-9189 Iss a By: ' � ti ;Permittee Signature: Call (503) 6A-4175 by 7:00 P.M. for inspections neede the nex: business day Mechanical Permit Application Datereceived: _ Permftno.: 101 -Oo . W,2 City of Tigard Project/appl.no.: Bxpiredate: Ciryof Tigard Address: 13125 SW Hall 13lvd,Tigard,OR 97221 Phone: (503) 6374171 Date issued: By: Receipt no.: ,lax: (503) 598-1950 Case file no.: ~ Payment type: _ Land use approval: Building permit no. on — TYPE OF,PERMIT U I & 2 family dwelling or accessory �'ComrtrerciaUindustrial U Multi-fa.t.i!j Tenant improvement U New construction U t,dditior>/alteratiun/replacenient U Other. li 1 1N--' COMMERCIAL VALIVATION1 Job address: I p 2 60 3,W, e. �i r t0a _ Indici to equipment quantifies In boxes below.Indicate the dollar Bldg.no.: Ltt, I T war- Suite no.: -6.T� ,J 7S-0 value of all mechal:ical materials,equipment,labor,overhead, Tax map/tax lot/account no.: profit.Value$ x,36 1 . w Lot: Block: Subdivision: •See checklist for irrportant application information and Project name: N.,uj YUrk L e 7n S jurisdiction's fee scfedule for residential permit fee. City/county: Ticjo�rd ZIP: Description and iocation of work on premises: HVAC i s III W61111s a 13111 Pee(ea.) Total Est.date of complefion/inspection: DesrAption Qty. RT.only Res.only Tenant imprrvement or change of use: ha: Air handling unit --CFM--- Is existing space heated or conditioned?N(Yes 0 No Air condiuon ng(site fan rem gLired) Is exisfing space insulated?W Yes O No Alte,atioi, existing HVAC system Boiiei/comooressors AM n 11Cj2v<i z/� State boiler permit no.: Business name: _ Ht' --Tons__BTU/H Address: /� J f ,d�p� S ire/smoZ=Tar ipers/duct smoke&Fectors City: p States' I ZIP: ,720Z catpump(sit.-plan iequlr—ej _ Phone: _ Fat;jj _, E-mail: nsta replace urnac urner__ ! - Including ductwork/vent liner O Yes U No _ CCB no.: ,3v/3 S lnstalocate heaters-suspen e , — City/metrolic.no.: 16777 wall,or floor mounted Name(please print): Ieo aVent for aopliance other than furnace CONTACT Refrigeration: Absorpfionunits BTU/H Name: Chillers_ tip _ Address: S'.�-- Com ressors_ lip onmenta exhaust a0 v"tilafron. City: p State ZIP: oZ Appliancevent Phone: t/ 0 Faz:Z91Vi 1: mail: Dryerexhaust _ 1 �, Hoods,Type U II/res.kite a azmar / hood fire suppression system Name: S? .��PjyZ.►ryj�� Exhaust fan with single duct(bath fans) Mailing addres: Exhaust system a art remltcatin or AC _ City: State: Zip; •uel piping an t tiutTon(up to 4 outlets) Type: _.._LPG NG Oil Phone: Fat: E-mail: uel piping each additional over / rncempiping(schematrcrequired) Name: Nrur,ber of outlets of eFi rtie spplbnce or equipment: Address: j�.3 ' e n-S' Decorative fireplace City: 7� an,./ State:Q„o ZIP' 7v?D�. Irsert-t)•pe _ Y Phone y400 Fac -JO— I E-mail: oocistovelpelletstove Other: Applicant's signabrre Dar :s-/�C// Uther Name (print): Na all jurfsdktions accept reedit cards,pit"can tuosdiction for more informauart Permit fee.....................$ U Visa Q MasterCard Notice:This permit application Minimum fee................S Credit card number —L�- expires if a permit is not obtained plan review(at __ %) S _ within ISO days a1er it has been Expires y Start surcharge(8�6)""$ Name of ardholdrr v shovrn as credit card accepted as comple'e. TOTAL .S ' C rdholdttupwrrtrt — Amount ,w-r6t�(boa'cOM) . ...... .-.. L....l.., �. .. t .. .. ...... I 1 ON : O "N' - ' .. _ . _ .. .. l .. ' ... .. 3 .. i _ . .. _ _... _ ...R ice.•••.-••. _ — .. .. .i.. . . ... I i �i ....� . . I( I y� ..... a.... 1 ir 225eFM-TYP'3 REFLECTED CEILING PLAN FOR SUITE _ ORAWING nn E: c � AMERICAN w = INC. It O N �' o H�AT`� NG, NEW YORK LIEF INS. S i1S T[ 750 l�4 1339 S.E. GIOEON srREEI LINCGLN TQWER PORTLAND.OREGON 97202.2418 TELEPHONE (503) 23?-4500 FAX(503) 239.7038 SEE 35MM R- OLL # 20 FOR O �v'ERSIZED DOCUMENT CITY OF TIGARD CERTIFICATE OF OCCUPANCY PERMIT #: BUP98-00526 DEVELOPMENT SERVICES DATE, ISSUED: 1212198 13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639 4171 PARCEL: 1S135AB.03400 ZONING: C-P JURISDICTION: TIG SITE ADDRESS: 102.60 SW GREENBURG RD 650 FILE � SUBDIVISION LINCO:-N TOWER-TOWN OF METZGER BLOCK: LOT.014 CLASS OF WORK: ALT TYPE OF USE: COM TYPE OF CONSTR: 1 FR OCCUPANCY GRP: B OCCUPANCY LOAD: 0 TENANT NAME: NEW YORK LIFE INSURANCE REMARKS: Dividing area into two offices. roved Final Building Inspection and Certificate of Occupancy App 9126199 by George Steelc, Building Inspector Owner: _ _ — KNICKFf:BOCKER PROPERTIES XXIV 10300 SW GREENBURG ROAD SUITE 200 PORTLAND OR 91223 Phone: 45?-5900 Contractor: _ -- PIONEER CGNSTRUCTION SERVICE PO BOX 68304 MIL.WAUKIE,OR 97268 Phone: 652-100 Reg#: , ortion thereof This Certificate grants occupancy of th' above referenced compliancebuilding ith th`e�tate of Oregon and confirms that the building has been inspected for Specialty Coca's for the group, occupancy, and use under which the refewnced permit was issued. /� —>= _ _ BUILDIN OFFICIAL BUILDING INSP CTO POST IN ZONSPICUOUS PLAr:F_ MATCO 1- I N E ---► ... .... ... ....... .:..... .4-1..... .;.......:..... .... ... .:..... ..........:.......f..... .... .... i .. ....... .......:....... : ...... .... .;...... ..... .... ..... 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" ••• E I I ............ ..... ... ............. .... , ... .... .;..... j.... ♦ ......�1�.... .... .... ... ....... ..... ............. .... ......� _ —�_ c .. .�.......�..... .�.......�..... ;.... .... .. N .... .... ..... .... ... .... I...:... I�. .I..,. .. 1°( .. ... ..I. .... ;. .... ; ................. .;.... - ... ..... .... ..... ..... ... .,.. .... .... .... . I . ... : ... .:....... ...... ;.... ... N`..... I .... ..... .............cj .... ... I j. .... 2 REFLECTED CEILING.J2 PLA FOR SUI f 650 I i $ v LggWINCi TITLE: o �� - , .� AMERICAN � YT �� I NCm JUB TITLE: H HATI , I��IN`�ORL� LI FE 3=N5. C©. '• (� 1339 S.E. GIDEON STREET SLATE PORTLAND, OREGON 97202-2418 L.11�I COL.N 'TUWE R ` TELEPHONE (503) 239-4600 FAX (503) 239-7038 NOTICE: IF THE PRINT OR TYPE ON ANY � rlr� � lr ililili ili ` ili Ililr � � ilili � i i � ili � r � rT-I � � � ! � r�� lr � � �-� ! ii � lllllit � � � ! � ! ! � ! 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' .••• .••• ••.• ••.• ••.• •••. •••••.... W.i�W • •..• •r.• •.•• .•.. r••• •.• a •� o o I �, ... .... 1 /1I1 •• .O .......••.•• • a......•«.•••••A.• ••• •....Vw WYbyyW ••• •.• ..•• .. ..• .... ...... 1 ` � ••.• •r r/ .01 I • . ' I ;� I .i. .... .. ... .i. .... .i•..... ... ... .... \ � �xi .. i I - � ... PLAN ... .i• . . .i. ... ... .... ..... NORTH _ Z 2 5 C FM AbD NEW SUPPLY al F VUSER TCE 2oti6 . 725 CFM : . • �:.:. `i -' t 1, I I i. �� - w• :w••'.,MSP,••�•Y J•�.•..., . .. .�..ao rFr+�`w�` i a DRAWING TITLE: o ' �T AMERICAN WVAC LAY00-1 JOB TITLE. LA HEATING I NCO NEW YCRI? LIFE SNS . CD. 1339 S.E. GIDEON STREET SurrE 650 C r T r R .J 418 OREGON 97202-2 I ;:PHONF ( 239-7038 POR . LA � 'MWER •� TF r r5031 239.4600 FAX 503 NOTICE: IF THE PRINT OR TYPE ON ANY Tj� iir iii i1i i � i � i � � i1i 111 iii r! i iii lir 1 ! i rii r1•rT _r� tLt ! � i1t i ! i SII 111 i11 t1i i1i i ( t t ! iJill i ! i t ! t t ! t t ! i i ! � t ! t t11 ► II tit I ! t IJi ! I ( i ( t ! I t �I 11 ' 11 ! 1 ► ! I Iii � � tl ! I ! t i 1 I � � � � � I I I I I I I 1 z 3 6 IMAGE S NOT AS CLEAR AS THIS NOTICE, 11 ITIS DUE TO THE QUALITY OF THE No-36 ORIGINAL DOCUMENT E 6Z 8Z LZ 9Z 5Z fiZ � Z ZZ I �, UZ 6i ST LT UT 9i �' T EX ZT IT UI 6 8 L 9 9 fi E Z T� 111 Tr�3w IIII (!!► IIII �!!� IIII IIII IIII !III III! '1111 11111 lli-! 1111 �!!! IIII IIII 111! I!!1 Illi 111! 1!!I Illi IIII III! IIII III! IIlI IIII IIII !Ill IIII !III IIII IIII IIlI !III IIII IIII Illl _llll 1111111110 Llll L1111.11111.11 �1111111i lII�f�l11 • I CITY OF TIGARD BUILDING INSPECTION DIVIS!QN 24-Hour Inspection Line: 639-4175 Business Line: 639-4171061 MSS _ l3UP Date Requested_ d -Z, - / / AM -PM _ ,$p Location 102,&0 �� Y) Ok1�_ Suite LSD MEI. Contact Person _ _ /1 _,� Ph _[1_ PLM -- Contractor Ph SWR ILD � Tenant/OwnerELG Retaining Wall — — ELR Footing Access: Foundation FPS Fly Drain — a— Crawl Drain Inspection Notes: SGN _ — — Slab ---- F:C.0 r(TZ�7 -f `� C(.f�1 -- SIT Post&Beam ---- Ext Sheath/Shear _ Int Sheath/Shear ——- — Framing Insulation Drywall Nailing _ Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof PAS PART FAIL — -- ---------------- —• ---- PL ING Post& Bean. Under Slab Top Out --------- Water Service Sanitary Sewer ---- --_.---___._—__-------- Rain Drains Final PASS PAPT FAIL MECHANICAL F Por,l& Beam _ -- -- ---- - -- _ Rough In Gas Line -- ---- --- Smoke Dampers Final -- - - ---- ---- ------ PASS PART FAIL ELECTRICAL ------ Service Rough In - JG/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 Approa,.h/Sldewalk _ v q Other Date LLInspector -- _Ext _ Flnai + PASS PART FAIL DO NOT REMOVE this inspection renord from the jot? site. I CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Line: 639.4175 Business Line: 539-4171 --- —! oo►► BLIP _ -- ----Date Requested �Z�� AMPM BLD ---_-- Location_— 1 az(J) � ,e� _ _ Suite n _._ MEC Ph ?i--_I �. PLM Contact Person1/Vl f/ _ Cont,actor Ph _ SWRELC BUILDING Tenant/Owner Retaining Wall ELR _ Footing Access FPS Foundation Ftg Drain SGN Crawl Drain Inspection Notes: Q �� • " I Slab -------- r.u._ I L — - SIT Post&Beam - Ext Sheath/Shear Int Sheath/Shear Framing Insulation Dr ywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling ----- - - Roof Misc. ___ ----------- - ---- Final PASS 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__ ART FAIL EL&ECWWAL CT lli ry ce Rough to UG/Slab Low Voltage Fire 6Larrn \ ; PART FAIL SITE - Backfill/Grading -- Sanitary Sewer Storm Drain [ j Reinspection fee of$_ required before next inspection Fay at City Ball, 13125 tial Flan Rivd Catch Basin [ Please call for reinspection RE. i ] F Fire Supply Line - _ Unable to inspect no access ADA / Approach/Sidewalk Date . Inspector_____ ` 4'`_ _rje, EXt Other Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. CITY OF TIGARD BUILDING F DEVELOPMENT SERVICES FFRMTT #. .. ., . . , . - BIJ F99-Q!0►3 131 5 SW Hall Blvd., Tinard,OR 97223(503)639.4171 DATi. I S9)1.JED: 01 12 1/99 !='f�RC:r-"�_ : 1 a 1.a'.SAT�•�O,�.+4Q��1! 3IT'E ADDPEl35., . . : 1.O2'6O SM G9EENDIJRG RD #65 )-IBDIV%5?C]N. . . . : L_INCOL_N TOWER-•TnWN OF MF'"r'l.(,C,R ZONT.NG:C_p -01.4 REISSRJE: r'I-_OOR AREAr -- FY1'FRT0R WAIA rnN.9TRI.1rTTr' (7-1-nSS OF W00"I. :FF'I r I RSA'. . . : O r f N: S: F a W TYPE OF (r SE„ . COM 0 s f `"'RnTECT nr'EN I NI S?, .... _......__.... TYPE OF C")"rST. : "' . , . : 0 f N: S: E: W: nr,M.JF'ANr..Y GM". :P Tn rAL - 0 S f ROOF CONST; FIRE: RE'r'' . OCCLIPANCY 1.OW.): 0 BnSFMFN-r. : 0 s f AREA SEF'. RATED: !3T13R. . 0 FIT: 0 ft GARAGE. . , : 0 'sf OCCO SEP. RATED: PS11T^: MF.Z7" : REOD FI._nnR I._oAD. . . . : N p-, r L FF"T: 0 ft RGhIT: 0 ft FT F7 f3F'I:.I _„ ,MOO DET. . DWrL.L..I(\ICI MITE): 0 F.WJT: 0 ft: REAR: 0 ft FIR AL_RM: HNDICF' ACC: BEDRMS: 0 EaA-rla,: i1i IMG SURFACE: 0 r'Ro TORR: F'ARRTNr: 0 VAI.-.lir. $ - 70O F,lem<iarl<s : New York t ;',e Insurance - relocate one head due to new and/or coved walls or ceilings FEES .._... _...._._.._._.. TrKEPn_1rI,,rR F'RCIr'ERTIEG Xy' TV t:y))e' ,,u!c 1 nt: Iry d(.lte ',00 SW GREENSHM-3 Rnnn r'RI'IT 00 !,,T) 0+ /r'1 /99 99--31271336 '11147 200 "at='I'T ,? 1 /2 1 ;".1':1 9 9 3 122,:;F. 'RTL..AND OR 97223 Ifiane #1 49,2--590171 Rr. FIYSTr_•'MS WF_`ST T.NC !?� u., MARITIME' nVF #23,1710 T1gr.O1-JVFR Wry 'WF F,1 (. '1'14'!F TzITAL_ rI #. . : 497,.2' -._.RFf?I.IIRL-I? ACTTIr1NEi or TNSF'E"rT7t1"' .s pereit is issued subject to the regulations contained in the ".-pr~;nE+Ier Rr-)r.tgti-- Bard Municipal Code, State of Ore. Specialty Codes and all other SI11 til" I r Aicable laws. All work will be done in accordance with approyed plans, This pereit will Pxpirc if work is not started _..__._._._.__.........._...... �____.. _.__._... __.....__...._.___ .';}hin 180 days of issuance, or if work is suspended for enre __ ___W,� _._.__-___ __ _ _.._ _ -----•-_-.--. --.. in 180 days. ATTENTION: Oregon law requires you to follow the les adopted by the Oregon Utility Notification Center. Those „�_•___ __,_______ � __� . _______.___..__ ': are set forth in OAR 952-001-0010 through OAR W-00101987. _._. ____._.___..._.__ _._._-_-__.. —.._. Fany obtain a copy of these rules or direct questions to Ol1NC by calling (503)246-1987. F'Fr•mittae Si.rJlr .i(, _!r �, Ts�!iect aY + + t.++++4•4•+4•+4+4 4-.+ i-{+•+-t 1. 1. .t + + t+++++++ ! + +--1•-1•+1.++++++++++++ ++i ++++{+++4.++f+-►•+++ CgI1 63;9•-4171 by 7.171 G" 1,. ,a.. fnr• ,gin i.nsFecti.nn needed the next bi-tsiness rday -i. + 4 .4•++-++++++•+++++ t +-4 +.+-1 4 1 1 4 t-+.++-t,a..+ H-1 ++++++++•t-+ 4+4-++++•+.t..+•.1.++.+.++.+-+-++++•I 4++++i 4 ' Fire Protection Permit Application Plan Check CITY OF TIGARD Commercial or Residential Recd 8y -�- 13125 SW HALL BLVD. DateRec'd TIGARD. OR 9722.3 Print or Type Date to P.E. (503) 639-4171, x. 304 Incomplete or illegible applications will not be accepted Date to DST Permit# %C 7/77– G' Called C C_ Job Nitme of j DYevce�lopme.nyLPrio�ject Type of System (Complete A or B as applicable) Address dd' � F A.)Sprinkler Wet Dry n N me Standpipes -1 ti!r_ c �-1 �i�1 tae- Owner Mailing Address Hazard Group Ie'3'!rAdditional City/State Zip I Phone _ Information Density 1,71E r Design Area Occupant MallltDg Address K Factor 1404e-- Zp Ci /State Zip Phone A.1) Sprinkler Project Valuation $ 7ur c� Contractor Name B.) Fire Alarm (Sprinkler nr INI inn .� Alarm Company) Maili g Address Submittal Shall Include Battery Calculations YES❑ Prior to permit issuance,a City/State r_^ Zip Phone Individual Component YES E]copy V',r„k",�Vti:F WA K."'I 11�'"f'� Cut Sheets of all licenses I ', -1"I e--C,- B.1) Fire Alarm Project Valuation $ are required 11 State Const.Cont.Board Lia# Exp. Date _ _ expired In COT Glc Project Valuation Subtotal A &or B database — Name Permlt fee based on valuation $ Mailing Address ___ ;see chart on back) _;"�•c�� Architect g - 5%Surcharge $ C!ty/State— Zip Phone --FLS Plan Review 40%of Permit $ __ Describe work A.)New O Addition O Alteratlon Fepalr O TOTAL $ to be done. B.) Modification to sprinkler heads only (4. 1-10 heads=No plans required Plans required: Submit throe sets of plans,including a vicinity map and 2. 11+=Plan review required the location of the nearest hydrant –--------__—_.. I hereby acknowledge that I have read this application,that the Information given Is Number of sprinkler heads: 1 correct,that I am the owner or authorized agent of the owner,and that plans submitted Additlo al Description of Work' are In compliance with Oregon State laws rte" t4as j �I'.�`F= r''�' ra`i`l"�'' eT Signature ofeirIA;ent Date --- A.)in Existing Building t, New Building ❑ `� — Building _ — C tact Perso ame Phone 't Data B•) Commercial Residential p l FOR OF ICE USE ONLY: No.of stories -- — Plat# Map/TL#: Sq FL �— —�— Nntes � ✓'_ Ji �� Occupancy Class Type of Construction iAffresupr.doc CITY OF TIGARD BUILDING PERNIIT_FeE-$ TOTAL ST.ATE BUILDING, VALUATION OF PERMIT F.L..S. TAX PERMIT PROJECT FEES (40%) (5°i') FEES 1-1500 25.00 10.00 1.2.5 36.25 1,501-1600 26.50 10.60 1.33 38.43 1,601-1,700 28.00 11.20 1.40 40.60 1,701-1,800 29.50 '11.80 1.48 42.78 1 801-1,900 31.00 12.40 1.55 44.95 1,901-2.,,,nn 32.50 13.00 1.63 47.13 2,001-3,000 3 .50 15.40 1.93 55.83 3,001-4,000 44.50 '17.80 2.23 64.53 4,001-5,000 50.50 20.20 2.53 73.23 5,001-6,000 56.50 22.60 2.83 81.93 6,001-7,000 62.50 25.00 313 90.63 7,001.8,000 6850 27.40 3.43 99.33 8,001-9,000 74.50 29.80 3.73 108.03 9,001-10,000 80.50 32.20 4.03 116.73 10,001-11,000 86.50 34.60 4.33 125.43 11,001-12.0oO 92.50 37.00 4.63 134.13 12,001-13,000 98.50 39.40 4.93 142.83 13,001-14,000 104.50 41.80 5.23 151.53 14,001-15,000 110.50 44.20 5.53 160.23 15,001-16,000 116.50 46.60 5.83 168.93 16,001-17,000 122.50 4900 6.13 177.63 17,001-18,000 128.50 51.40 6.43 186.33 18,001-19,000 134.50 53.80 6.73 195.73 19,001-20,000 140.50 56.20 7.03 203.73 20,001-21,000 14650 58.60 7.33 2.12.43 21,001-22,000 15250 61.00 7.63 221.13 22.001-23,000 158.50 63.40 7.93 229.83 23,00!-24,000 164.50 65.80 8.23 238.53 2.4,001-2.5,000 170.50 68.20 8.53 247.23 2,001-26,000 175.U0 70.00 8.75 253.75 26,001-27,000 '79.50 I 71.80 8.98 260.28 27,001-28,000 18 4.00 113.60 9.20 266.80 2.8,001-29,000 188.50 75.40 9.43 273.33 29,001-30,000 193. ' 1 I 77 20 9.65 279.85 30,001-31,000 19750 79.00 9.88 286.38 31,001-32,000 202.00 80.80 10.10 292.90 32,001-33,000 206.50 8260 10.33 299.4: 33,001-34,000 211.00 84.40 10.55 305.95 34,001-35,000 215.50 86.20 10.78 31248 35,001-36,000 22.0.00 8800 11 00 31900 36,001-37,000 2/24.50 8980 11.23 325.53 37,001-38,000 229.00 91.60 11.45 332.05 is\firesuhr.doc CITY OF 'TIGARD Electrical Permit Application Plan Check 4 Rec'd By �-��- 13125 SW HALL BLVD. Date Rac'd tZ /.Z2� TIGARD OR 97223 Date to P.E. Phone(5J3)638-4171,x304 u D'S 2Date to DST= Print or Type Permit q Inspection (503)639-4175 Incomplete car illegible will not be accepted Called Fax(503)6134-7297 -�-� 1. Job Address: 4. Complete Fee Schedule Below: LINCOLN TOWER Number of Inspections per permit allowed Name of Development NEW YORK LIFE Service Included: Items Cost Sum Name(or name of business) Address 10260 SW GREENBURG RD SUITE 650 4a. eside1000 sq.It.ontiall-per unit $110.00 ICIGS City/State/Zip_ PORTLAND OR SXX Each additional 500 sq.It.or $25.00 - portion thereof I Residential❑ Limited Energy $25.00 COt1'InlerEach Manut'd Home of Modular PIONEER CROSSRCROSBY Dwelling Service or Feeder $88.00 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 less $80.00 Address111 SW COLUMBIA SUITE 480 201 amps to 400 amps - $80.00 ` _PORT State-OR -ZIP�2L, 41-�-�-- 401 amps to 800 amps = $120.00 city 4812 801 amps to 1000 amps $180.00 Phone NO. Over 1000 amps or volts _ $340.00 Job No. 62-00506 0 Reconnect only $50.00 Elec.Cont. Lice. No 16-�4G Exp.Date_ 4c.Temporary Services or Feeders OR State CCB Reg. No, 0' Exp.Date J� !, P y Installation,alteration,or relocation $50.00 COT Business lax or Metro No. 5' 4�_Exp.Date 200 amps or less - �' r 201 amps to 400 amps $7'.00 Signature of Supt.EoLl" = - �_�_- 401 amps to 800 amps $100.00 over 800 amps to 1000 volts, Ex Date_L0 P/ �r7� see"b"shove. License Na. 8?35 P� Phone No. 503 241 _4812 _ 4d.Branch Circuits Now,alteration or extension per penal 2b. For owner installations: a)The foe for branch circuits with purchase of service or leader fee. Print Owner's Name_ Eacl!branch circuit $5.00 - ? Address b)The fee for branch circuits City State . Zlp_ without purchase of service or feedor tee. 1 $35.00 j J. - Phone NO._ First branch circuit -_ Fisch ar,ditonal branch circuit_ $5.00 The installation is being made on property I own which is not Intended for sale,lease Or rent. 4e.Miscellaneous (Service or leader not included) $40.00 Owner's Signature_.. Each pump cr Irrigation circle Each sign or oulline lighting $40.00 2 Signal circult(s)or a limited energy $40 00 ' 3. Plan Review section (if required):' panel,alteration or extension $100.00 Minor Labels(10) --- Please check appropriate Item and enter fee in section,5B. 4f.Each additional Inspection over _ 4 or more residential units in one structure the allowable In any of the above Service ar.d feeder 225 amps or more Per inspection $35.00 _-- System over 800 volts nominal Per hour $55.00 - - Classified area or structure containing special occupancy In Plant $55.00 as described in N.E.0 Chnptnr 5 "Submit 2 sets of plans with application where any of the above apply. 5. Fees: 35.5a.Enter total of above tees $ 1.75 Not required for temporary construction services. s%Surcharge(.05 X total fees) $ NQTIGE Subotal 5b.Enter 25%of line Be for $ PERMITS BECOME V' '�)IF WORK OR CONSTRUCTION AUTHORIZED IS reaulrad Plan Review if (Sec.3) $ NOT COMMENCED WITHIN 180 DAYS,OR IF CONSTRUCTION OR WORK subtotal IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY El Trust Account N__- S TIME AFTER WORK IS COMMENCED. Total balance Due 36.7 5, L--�- I L---- I\DST ,\E_CBA APP nev 4'96 CITY CSF T'ICa4R ® 1 L DEVELOPMENT SERVICES BUILDING PERMIT PERMIT #. . . . . . . : SUp,98_0526 13125 SW Hall Blvd., Tigard,OFf 97223(503)639-4171 DATE ISSUED: 12/02/98 !31Tr_ ADDRESE . . -. 1@260 SW GREENBURO RD #650 PARCEL: IS135AB-03400 SUBDIVISTON— . : LINCOLN TOWER-- 'OWN OF METZGER ZONING:C—P BLOCV. . . . . . . . . . LOT. . . . . . . . . . . . . ..014 JURISDICTION.-TIG REISSUE: FLOOR AREAS---------- EXTERIOR WALL CONSTRUCTION— r,t p!:,)F OF WORK. Al. T FIRST. . . . r 0 sf N: S: E: W: L YPE OF USE. . . :COM SECOND_ : 0 S f PROTECT OPENINGS' 'YPIE OF' CONST. : I FIR 6TH . . . : 6982 S f N S.- OCCUIPANCY GRP. :B TOTAL—-....-- 6982 s f E: W ROOF CONST: FTRE RET?: ()(_,'r,UPANrY LOAD: 0 BASEMENT. : 0 sf AREA SEP. RATED: 5TOR. : 0 HT: 0 ft GARAGE. . . 0 sf OCCU SEP. RATED: BSIVIT?: MEZZ?: REUD F-LOOR LOAD. . . . : 0 risf LEFT: 0 ft RGHT: 0 ft FIR SPKL:Y SMOK DET. . iY DWELLING UNITS: 0 FRNT: 0 ft REAR: 0 ft FIR ALRM:Y HNDICP ACC:y 13EDRMS: 0 BATHS: 0 IMP' SURFACE: 0 PRO COIR: PARKING: 0 VAIAJE. $ - 2600 Remat-lis : Dividing area into two offices. FEES KNICKERSOCKER PROPr'1.'p'rIE9 XXIV type amoiint by date rer.,pt SUITE 2 10300 SW GREENSIJRG ROAD type $ 38. 50 DLH 12/02/96 98-311235 00 !23PCT $ 1. 93 VLH PORT'[.AND OR 9722%";11 12/02/98 98-3311239 25- 03 E,LH 1210219a 98-311 171hone 452-5900 PLCK $ '35 F I RE. $ 15. 40 DLH 12/02/98 98-311235 Contracto.* PIONEER CONSTRUCTION SERVICE PO BOX 68304 MILWAUKIE OR 97268 C:)hone 6521--1050 --------------------------------------- Ran #. . ,-. 001286 $ 80- 86 TOTAL -----REQI This permit is issued subject to the regulations contained in the Fr-aminUgRED InspACTIONS or INSPECT TONS.----- Tigard Municipal Code, State of Ore. Specialty Codes and all other GY1.1 Board Insp aWicabl taws. All Nzr, :.ill be. done in accordance with approved plans. This permit will PxPil-P if work is not started within 180 days of issuance, or if work is sutpsnded for more than 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon (Itility Notification Center. Those rules are set forth in DAR 952-001-001e through OqP 952-00101987. You many obtain a cup), of these rales or direct questions to OUNC by calling (503)246-1987. Permittee Si gnat ISSLted By: ......4.......•+++++++++++•f•+}++++f•4-++4-+++}+++++++.++++++++i......f++++++++4+ Call 639--4175 by 7:00 p. ,%. for- an inspectioTi needed the next business day .....................4..........4-++-+-++++4......... CITY OF TIGARD Commercial Building Permit Application Recd By ?il 13125 SW HALL BLVD. Tenant Improvement Date Redd" 2 TIGARD, OR 97223 `� - �,u ' Dale to P.E. /L r 'f`� 0 .)-r Date to DST/L (503) 639-4171 3 `f Permit# L .;4/0t Y- DS�a6 Print or Type Related SWR# Incomplete or illegible applications will riot be accepted Called Name of Development/Project Existing Building 0 New Building p Job Lincoln Center Address Street Address Suite - - Building Lincoln Center 10260 SW Greenburg 650 Data _ Bldg# L, city/State zip Existing Use of Building or Property: Tower Portland, OR 97223Office Name Proposed Use of Building or Property. Property Knickerbocker Pro 'es XIV Office Owner te i�I�80d SWsGreenburg 5200 --NoRoad . Of Sti City/State Zip Phone (503) PY11, Twelve _ Portland, OR 97223 452-5900 Sq. Ft. Of Project: c� Occupant Name same Wall infill Occupancy Class(es) _ iVew York Life Insurance B Name Contractor Pioneer Construction, Dave Riede Type(s) Prior to permit Mailing Address Suite Issuance,a copy PO Box 68304 Will this project have a Fire Suppression System? of all licenses Yes 1J No are required If City/State Zip Phone 503) Americans with Disabilities Act(ADA) expired InC.O.T ililwaukie, OR 97222 652-1050 a .� database Valuation X 25/e =$k f'y Participation Oregon Const Cont.Board LIc.# Exp.Date Complete Access!bili Form _ -1+97f& 44 CO p Project Name Valuation Architect Plans Req sired: See Matrix for number of sets to submit Mailing Address Still on back City/Stale Zip Phon: I hereby acknowledge that I have read this application,that the Information givPn Is correct,that I am the owner or authorized agent of the owner,and Engineer Name that plans submitted are in compliance with Oregon State Laws. Insture of Owner/Aygnt Date Mailing Address Suite `� aJ I a,—�I�j►� t , L t., C�ontect'39rson No a Phone City/State Zip Phone p -- -- -- FOR OFFICE USE ONLY Indicate type of work. New O Addition O Demolition O Map/TL# Land Use: Accessory Structure O Foundation Only O A!Ior,lion O Repair O Other O _ Notes: Description of work: Tenant Improvement: Add wall and door. Note: Site Work Permit Application must precede or accompany Building Permit Application 1 1COMNEwTI DOC (DST) 5198 COMMERCIAL PLAN SUBMITTAL REQUIREMENT MATRIX Plan Review is dependent upon submittal of BOTH plane AND a 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 additi-;.,nal 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) , 3 F = F;rE.- 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 New = New Building E (New. Add, or Alt) 2 Add = Addition B & F & M & P & E 3 Alt = Alternation to Existing (New , Arid) _�-- _ Building *BorB & M (Alt) 1 * -& VkP & f & F(Ah) 3 NOTES: *Shaded areas designate ALT submittals only !Adstslmaxtrixt.doc 07/06/98 SUBJECT: ACCESSIBILIT`( BARRIER REMOVAL IMPROVEMENT PLAN RFQUIREMEN'T: OREGON REVISED STATUTE (URS) 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 individu,.!s with disabilities,unless such alterations are disproportionate to the overall all sratiovs in terms of cost and r,,:ope. (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 percent (25%). YALVATIQN of all renovation, alteration or modification being done J J excluding painting, wallpapering. miajUpty; 25% Barrier removal requirement. --.25--- BUDGET FOR BARRIER REMOVAL (21 In choosing which accessible elerr.,ants to provide under this section, priority shall be given to those elements that will prcvide thf greatest access Elements shall be provided in the following order'. (a) Parking — ---- — (b) An accessible entrance: --------- / �D/� l d t/i.•� (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 d:.;nking fountains: and _ _ _---- (g) When possible, additional accessible elements su::h as storage and alarms: TOTAL: Shay! equal line 2 of value computation �_ CITYOF T I G A R D CERTIFICATE OF OCCUPANCY DEVELOPMENT SERVICES PERMIT#: BUP2001-00102 13125 SW Wall Blvd.,Tigard, OR 97223 (503) 6394171 DATE ISSUED. 4/17/2001 PARCEL: 1 S135AB-03400 ZONING: C-P JURISDICTION: TIG SITE ADDRESS: 10260 SW GREEhIBURG RD 650 SUBDIVISION: LINC'7LN i'OWER-TOWN O- METZGER BLOCK: LOT:014 CLASS OF WORK: ALT TYPE OF USE. COM TYPE OF CON:. ,2: 2FR OCCUPANCY GRP: B OCCXPANCY LOAD: 53 TENANT NAME: N EW YORK LIFE INSURANCE REMARKS: Tenant Improvement- Area 6988 Owner: EQUITY OFFICE PROPERTIES TRUST 102.60 SW GREENBURG RD#100 PORTLAND, OR 97223 Phone: Contractor: C SCHIEyNE +ASSOCIATES 1024 NF DAVIS PORTLAND. OR 97232 Phone: 2346617 Reg#: LIC 54105 This Certificate issued 2/12/2002 grants occupancy of the above referenced building or portion thereof and confirm that the building has been inspected for compliance with the State of OregonSpecial nes for the group, occupancy, and use under which the refetenO d permit was I ' BAL-NNG INSPECTOR BUILD FIC POST IN CONSPICUOUS PLACE CITY OF TIGARID 24-Hour BUILDING Inspection Line: (503) 539-4175 MST IN`:;PECTIO14 DIVISION Business Lige: (503) 639.4171 BLIP ;(OU Received _ —Date Requested `�'� '+- _. AM__ PM SUP Lucation __LU 2—(,o L.) —Suite � �� MEC _ -- Contact Person r�±c� Ph —) —�Z �' PLM Contractor _ Ph -.) _ , ----- ---_ SWR LDING _ ena Owner —x1!•C�'---- ELS: o_ V ELC Foundation AcceS8; Ftg Drain ELR - Crawl Drain - SIT Slab Inspection Notes: Post&Beam — Shear Anchors Ext Sheath/Shear Int Sheath/Shear Framing - Irsulation Drywall Nailing -` Firewall _ Fire Sprinkler - Alarm _ Suopd Calling Roof Other:__- ---- ASS ,)ART FAIL_ v - t cst&Beam _ Under Slab - — — -`- Rough-In - Water Service — — Sanitary Sewer _ Rain Drains — Catch Basin/Manhole Storm Drain —�------�-- - -- - ---- Shower Pan _ Other:- Final --___ -- -- PASS PART FAIL MECHANICAL - --- - --- - — —__—_-_ Post&Beam Rough-In ---- — _ --.----------- --_—___---- Gas Line Smoke Dampers ------- -'----- — -- Fina! - - PASS PART FAIL ---- --`- -- — - tLeCTRICAL Service Rough-In - UG/Slab Low Voltage —_ --- --- -- - -_ — -- Fire Alarm LinRl Reinspection fei of$_— required before next inspection. Pay at City Hall, 13125'SW Hall 91 Id. PASS PART FAIL__ SITE - - n Please call for reinspection RE:___ _ Unable to inspect--no acres - —.ly Fire Supply Line ADA Dow- Z �_ Irrspe-.tExt or t � Approach/Sidewalk Other: Final DO NOT REMOVE tt:ls inspection record from the jab SRO. PASS FART. FAIL_J