10220 SW GREENBURG ROAD STE 441 r
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10220 SW GREENBURG ROAD
LINCOLN TI NORTH, SUITE 441
1999
SAVE - HISTORICAL INFORMATION
B JILbTNU(S) NAME CHANGE
PER PUT CHURCH, ENGINEERING
10220 GR�FEENBURG RD, LINCOLN II NORTH
CHANGED TO 10220 GREENBURG RD, LINCOLN III
10220 GkEENBURG RU, LINCOLN Il SOUTH
CHANGEb TO 10220 GREENBURG RD, LINCOLN II
CITY OF TIGARD
DEVELOPMENT SERVICES BUILDING Fl.RMz r
F--'E.RMIT' #. . . . . . . : BUF'98-0437
13125 SW Hall Blvd., Tigard,OR97223(503)639.1171 DATE ISSUED: 10/07/98
PARCEL: IS1.35AB-01002
_31TE: ADDRESS. . . : 1 :' 0 SW GREENBURG RD #N441
FUBD T V I S I ON. . . . : THREE L I NC01._N—TOWIA OF MET ZGER ZON I IUG:C--F-'
BLOCK . . . . . . . 1_07. . . . . . . . . . . . . :009 JURISDT.CrION TIG
—__.------------._------ .
REISSUE:.: FLOOR AREAS-- -- - - - -- EXTERIOR WALL CONSTRUCTION-
CL-ASS OF WORK. :AL..T F I Rt"T. . . . : 0 s f N: S: E: W:
'rYF'F OF USE. . . :!'OM SECOND. . . : 0 sf PROTECT OF,ENINGS?---------__.
TYPE OF CONST. : . . . : 0 s.0 N: 5: E: W:
OCCUPANCY GRF'. :B 1 f]TAL_. - -_..-_-.__...: (_, s f ROOF CONST: FIRE RET? :
OCCUPANCY LOAD: 0 BASEMENT, : %' �f AREA SEP. RATED:
STOR. : 0 HT: 0 f t ,fARAGF. . I. ri ST OCCU SEF'. RATED:
ASMI ? : MF Z Z?: REQ!) SLTRAt"KS---- --- REGIUI
FI._OOR LOAD. . , . : 0 f)s f LEFT: 0 ft RGHT: 0 ft FIR SF'KL: SMOK DET. . :
DWELLING UNITS. 0 F RNT: 0 ft REAR: 0 ft FIR AL RM: HND I CF' ACC:
BEDRMS: 0 BATHS: 0 IMF' SURFACE: 0 F'RO CnRR: PARKING: 0
VALUE. $ : 700
R e m a rI<s : Alteration of an existing system.
Owner: --__. _______________.___.__..__.__-___.________._--•-------_-.._ FEES — -_--.--__--_--
KNICKERBOCKER PROPERTIES I14C type amoi..rnt by date recpt
10300 SW GRF_..ENBURG RD STE 200 F'RMT $ 25. 00 GEO 10/07/98 98-309775
FIORTI-AND OR 97323 5PCT L 1. 25 GEO 10/07/98
'38-30977 EXPIRED
FIRE $ 1Vi. 00 GEO 10/07%98 98--3171977�;
I'17one #: 452--590" K'
Contractor
t=TRE SYSTEMS WEST INC
SOO SE MARITIME AVE #300
r!ANCOUVE.R WA 98661.
Phone #: 360--693-9906 $ 36. 25 TOTAL.
Reg #• . • 49732
--REQUIRED ACTIONS or INSPECTIONS-----
This permit is issued subject to the regulations contained in the Sprinkler Final
Tigard Municipal Cede, State of Ore. 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 HO days of issuance, or if work is suspended for more �_-
than 190 days. ATTENTION: Oregon law requires you to follow the
rules adoptrd by the Oregon Iffility Notification Center, Those
riles are set forth in OAR 952-001-0010 through OAR 952-00101987.
You mann obtain a copy of these rules or direct questions to OLRk _
by calling (503)246-1987,
Permittee Signatr_rre — -- Issl_red By .
++++4tii +Ft+44+++++4.......4.4 . ....+4+++++F+++++.+................ -t+++-F....+t+t
Call. 639--4115 by 7:00 p. m. for an inspect ion needed the next br.re iness day
++1 4... -+t+++.+t+.ttt++.-M........t+.t+.+#++....t++tt+.++..+++.+-++++i....++t.+-F+�
Fire Protection Permit Application Plan Check#
CITY OF TIGARD Commercial or Residential Recd Ey
13125 SW HALL BLVD. Date Recd
TIGARD, OR 97223 Print or hype Date to P E.
(503) 639-4171, x. 304 Incomplete or illegible applications will not be accepted Date to DST
permitM6J<l/�Q� y
Called
,)6b Name of DevelopmentJProject Type of System (Col nplete A or B as applicable)
--
Address Address- A.) Sprinkler Wet Dry
Name - Standpipes
Ic=--.--� Gac_.A.+'�.v+.1...s�✓J- PfipP lit.t,�-. --> --- '-�--_-'--
Owner Mailing Address Hazard Group
-,,e Additional
City/State Zlp Phone Information Density
.F;;-W I-
i
lameDesign Area
_,O-,► ✓ __ _
Occupant Mailing Address K Factor
City/State Zip Phone A.1) Sprinkler Project Valuation
F'_6_r,fr—a Jt 6-11Name I B.) Fire Alarm
*=i �
(Sprinkler or Submittal Shall Include Battery Calculations YES O
Alarm Company) Mailing Address Q,rte
Prior to permit &d:C2 _
Individual Compon-- —
issuanre,a City/State Zip Phone ent YFS F-1
Sheets
COPY � ✓� ��_) _-- ---of all I:censes 1 _ 2i)!?-D!:-:,( B.1) Fire Alarm Project Valuation $
are required if State Const.Cont.Board ic.# Exp Date �_1 -_=!-
expired in COT q`7-7 -z�� Project Valuation Subtotal (A & or B) $
database
Name Permit fee based on valuation $ S- _
(see chmt on bark) _ ---
Architect Mailing Address — -�--- - 5% 5urchafge $ tj
City/State Zipr
one FLS Plan Review 40°/. of Permit $ t o,
Describe work A. New O Addition O AReration Repair O ---'- - J TOTAL
to be done: __ ________-_ ____ `�•�
B) Modification to sprinkler heads only I Plans required Submit three sets of plans, inr,uding a vicinity map and
2
1 t+=plan review required wheads=No plans required -the location of the newest hydrant. _
. 1+ -
I hereby acknowledge tha!I have read this application she information given is
correct,that I am the owner or aulhonzed ayent of the a and Oiat plans submitted
N ember o of sprinkler
ler heads' _ are in compliance with Oregon State laws
Additional Description of Viork ---
8lgq If of arl ant Date
A.)In Existing E3udding New Building [] _
\ _ Contact Parson Name Phone
Building
t-�icx-� �' �*) C .9 990
Data 8.) Commercial Resident,al p — --
FOR OFFICE USE ONLY:
-. Plat# MoplTLtf:
No.of stories
Sq. Ft� Notes
Orcupancy Class Type of Construction
E X P I ED
is\ftresupr.doc
CITKOF TIG R-0
%"MtW PeEWjf F,E5
TOTAL
STATE BUILDING
VALUATION OF PERMIT F.L.S. TAX PERMIT
PROJECT FEES (40%) (5%) FEES
1-1500 25.00 1 0.00 1.25 36.25
1,501-1600 26.50 10.60 1.33 38.43
1,601-1,700 28.00 11.2.0 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
1,90'-2,000 32.50 13.00 1.63 47.13
2,001-3,000 38.50 15.40 1.93 55.83
3,001-4,000 44.50 17.80 2.23 64.53
4,00'; 5,000 50.50 20.20 2.53 73.23
5,001-6,000 5650 22.60 2.83 81.93
6,001-7,000 62.50 25.00 3.13 90.63
7,001-8,000 68.50 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.,',3
11,001-12,000 92.50 37.00 4.63 134.13
12,001-13,000 98.50 39.40 4.93 112.83
13,001-14,000 104.50 41.80 5.2.3 151.53
14,001-15,000 110.50 44.20 5.53 150.23
15,001-16,000 116.50 46.60 5.83 168.93
16,001-17,000 122.50 49.00 6.13 177.63
17,001-18,000 128.50 51.40 F3.43 186.33
18,001-19,000 134.50 53.80 6,73 195.73
19,001-20,000 140.50 5620 7.03 203.73
20,001-21,000 146.50 58.60 7.33
212.43
21,001-22,000 152.50 61.00 7.63 221.13
22,001-23,000 158.50 6340 7.93 2.29.83
23,001-24,000 I 164.50 65.80 823 238.53
24,001-25,000 170.50 68.20 8.53 247.23
25,001-26,000 175.00 7 0.00
8.75 253.75
26,001-27,000 179.50 71.80 8.98 260.28
27,001-28,000 184.00 73.60 9.20 266.80
28,001-29,000 198.50 7540 943 273.33
23,011-30,000 193.00 77.20 9.65 279.85
30,001-31,000 197.50 79.00 i 9.88 2.86.38
31,001-32,000 202.0080.80 10.10 292.90
32,001-33,000 206.50 82.60 I 10.33 299.43
33,001-314 000 211.00 84.40 10.55 305.95
34,001-35,000 215.50 86.20 10.78 312.48
35,001 36,000 220.00 88.00 11.00 319.00
36.001-37,000 22.4.50 89.80 11.23 325.53
37,001-38,000 22900 91.60 11.45 332.05
iMiiresupr.doc
CITY OF TIGARD ELECTRICAL r"'F.RMTT
DEVELOPMENT SERVICES PF_RMTT u: ELC9B--0564
13125 SW Nall Blvd., Tigard,OR 97223(503)639.4171 DATE T SSL1ED: 09/1B/98
P(IRC:EL.: 1 91�,5AB-O t 002
ST'TE ADDRE19S.• . . : ]Q1t?'20 SW ORE LiNBURG RD #N 4 A 1.
c IJBD I V I S I ON. „ . . ;I-'HREF I I NC1]1_N- 1'0W ,I Or MET Z GEF' ZONING.-C-17,
BLOCK. . . . . . 1_0I . . . . . . . . . . . . .. :rD17r9 .TURISDIC;TT1:111: C:l
Pro.j ect De scr,i pt i urr: Add six (6) branch circuits.
IHL IJI'dl f._..-...__ __.._ fk"fril 81Vi:fhk:ll) Fi:3- _.f4:f:rL"t: LF1flEC)l�
1000 SF OR ��LL�S3. . . . : y0 0 - 200 gimp. . . . . . . : o 1:101P/IRRIGPTI(IN. . •.
�q�"l�E Ei1VEY 7.7. Qr `74 11 - Wo 10 armp...... . . Qr GiIGNALt%C'ANFIIE L.1ti.,
MANF. FIN/ SV(:/f LiF2. . : 0 601-1-amps-1000 volts. : 0 MINOR Lf'aIALL , 10) . . . : !'
_.__..__.SE:RV ICE:/FEEDER- -_ --•----•RRANI:,ri ["1 RC:l.li1'Ca- - -- -_-_Ai7D+ 1._ TNSPEC1'IC3N5-
1=�00 ramp. . . . . . . 0 W/SERV1LL OR FL:EDLR: 0 1='Erl ItuSf=F'i
r]. - 4O0 Qamp. . . . . . s 0 1st W/O SRVC OR FDR. : t PER HOJR. . . . . . . . . . . s 0
•11 600 .amp. . . . . : : Q1 En nI1D+ r.. PI-INCH CIIRC. :*3 JN PL.01V'f. . . . . . . . . . . . 0
1 - 1000 amp. . . . . a 0 RF.V TFW
"iOO+- amp/volt. . . , . : 0 ) --4 Ri:%, L.I!%IITS. . . . . . . . . > 6O0 VOLT NOMINAL. „
cannvct only. . . . . : 0 SVC/FDR > 225P AMPS— s CLASS AREA/SPEC CCC.
IR15TFNSUTN EI.ECTRTC INC +, ypv rtmcrr.irt by datr: I-eept
1 SW CC1f..1.1MR T A fit?MT t r.0. 00 13FO 019/11"198 X38 Q'
I I TF # 480 `_F'(7'C '1; 3. 00 C3170
-IR'rl_..ANn nr- 97201 -5886 EXPIRE
one #:
IRI4_11•ENSON 1":1._CC'T'R1.0 INC 7 f,::„ 00 T'.:JTF11-
, j, 5W C[]L_LIMBin
•_F 48P1 ._.__..__..._... R1yC?LlI RE'I:r i hJCil-,F'r'C 1 CJNS -- - _
'RTI_AND OR ':77."'0? C;e i 1. i urs f;r1v@t f::'1 r,; k' 1 901—vi c-
arta It: 241 -liF!1 ;-_, Wall Cover-, Elrc s ' 1 Fina
ag it. . : 0110451A
:s pervit is issued subiact to the regulations contained in the Tigard Municipal Code, State of Oregon Specialty Codes and all oche,
alicable laws. All work will be done in accordance with approved plans. This pe,ait will expire if wore is not started within 180
Sys of issuance, or if work is sas;.ended for wore than 180 days. ATTENTION: Oregon law requires you to follow the ales adopted by
e Oregon Utility Notification C,nter, Those rules are set forth in 0OR 952-001-0010 through OAR 952-001-1987. You way obtain a copy
these rules or direct gvestioni to OUNC by call"', "503)246-1987,
T',,I r L'
i t t. o gnLtt•..ir'e : 1111
-OWNFF T NS T P1 1 (-)-Tl C'1N ONLY—-----
le
to ir15'tallc9tion i!; bping made on pr,ninev T cri,,ri wrhich i noi; irr+ r=nrir-.d fr�r
tip, loas;e, or, rent.
;JNt~R+ r, 5I C;NATI-IRE: _ _._.- ____ _ e ._____ Dnl'F:
_..CON'T'RAf'rop Trlr"T'/1I IJITION ONl-.Y
f CdNATURE" OF C;IJI f?. FI_Fr+ N: _-._.._ O'�-� T)Fa1E:: -_ __--
f CENSE Nil:
F4•+++++++ h+++++ {+7•+ }+ F } { f.. } } S+{...} ++ F+.� , .}. }..+ {.�..{.{-tiF+++•f++••h+++•++� F-r. .+a.-1 -F•+..�,.+..+..{..}..c r
_ail 639-•-4175 by 7-,00 p. m, fo,, ITI i ri -po t i ov rree^lnci th.e
++i,}-r -ti .r.. , r i.1. 4. ! 4 + 1 + 1+ 1- Ff {++++{.*.+4.4.+4. 44.4•+.+.+.4.i...+•- 4.4-+4+++4-+++ +.+ii ++ ++++ ♦ i i
CITY OF TIGARD Electrical Permit Application Plan Check#
13125 SW HALL BLVD. Recd By
TIGARD OR 97223 Date Recd_
Phone (503)639.4171, x304 Date to P.E.
Print or Type Date to DST
Inspection (503) 639-4175 Incomplete or illegible will not be accepted Permit# F -d
Fax (503) 684-7297 Called
NORRIS,BEGGS,SIMPSON PROPERTY
1. Job Address:'LIIICOLN III 4. Complete Fee Schedule Below:
Name of Development CREDIT EXPANSION I Number of Inspections per permit allowed
Name(or name of business)CREDIT EXPANSION Service included: Items Cost Sum
Address 10220 SW GREENBURG RD SUITE 441 _ 4a. Residential-per unit
Ci /State/ZI PORTLAND OR 1000 sq.ft•or less _ $110.00 4
p - Each additional 500 sq.ft.or
Commercial® Residential ❑ portion thereof $25.00Energy
_ 1
ROSS CROSBY E cih Ma ofd Home or Modular $25.00
D
2a. Contractor installation only: welling Service or Feeder $68.00
(Attach copy of all current licenses) 4b.Services or Feeders
Electrical ,)ntra(-,tc,.r_CtiR IST_ENSON ELECTRIC,- INC. installation,alteration,or relocation
Address_-L11 SW LDI=lALSUI'TE 480 200 amps or less $60.00 2
201 amps to 400 amps $60.00 2
City PORTLAND Mate OR Zip 97201-5886 401 amps to 600 amps $12000 2
Phone No.�3-241-4812 _ _ 601 amps to 1000 amps $160.00
z
Job No. 222-6472 Over 1000 amps or volts -'40.00 2
Elec.Cont. Lice. No. 96-1,&r- Exp.Date neconne(.l only 050.00 2
OR State CCB Rog. No. nn458 Exp.Date _ 4c.Temporary Services or Feeders
COT Business Tax of Metro No, 5246 Exp.Date _. Installation,alteration,or relocation
200 amps or less $50.00 2
Signature of Supr. 201 amps to 400 amps $75.00 _ 1
401 amps to 600 amps $100.00 2
Over 600 amps to 1000 volts,
License No. 873S Exp.Date see"b"above.
Phone No._503,-24-4812 4d Branch Circuits
. . �,w Now,alteration or extension per panel
2b. For owner installations: �, �t - ,, a)The fee for branch circuits with
purchase of service or
Print Owner's Name _ feeder fee.
Address - Each branch circuit $5.00 _
b)The fee for branch circuits
City State Zip without purchase of
Phone No. _ _. _ _ service or►seder fee.
First branch circuit 1 $35.00 35,
_
The installation is being made on property I own which is not Fnch additional branch circuit 5_ $5.00 2�
intended for sale,lease or rent. 4e.Miscellaneous
Owner's Signature (Service or feeder not Included)
9 __ Each pump or irrigation circle $40.00 --
Each sign or outline I'ghting $40.00
3. Plan Review section (if required):* Signal circuit(s)or a limited energy-
panel,alteration or extension $40.00 _
� _
Please check appropriate item and enter fee in section 5B. Minor Labels(10) $100.00
4 or more residential units in one structure 4f.Each additional Inspection over
Service and feeder 225 amps or more the allowable in any of the above
System over 600 volts nominal Per Inspection $35.00
Classified area or structure containing special occupancy Per hour $55.00
as described In N.E.C.Chapter 5 In Plant -- $55.00
*Submit 2 sets of plans with appiicatmn where any of the above apply. 5. Fees:
Not required for temporary construction services. 6s.Enter total of above fees $ 60
5%Surcharge(.05 X total fees) $ 3.
NOTICE Subtotal $ 44---
5b.Enter 25%of line 5a for
PERMITS BECOME VOID IF WORK.OR CONSTRUCTION AUTHORIZED IS Plan Review if r uir[d(Sec.31 $
NOT COMMENCED WITHIN 180 DAYS,OR IF CONSTRUCTION OR WORK Subtotal $
IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY
TIME AFTER WORK IS COMMENCED. 0 Trust Account# 63.
Total balance Due
11b��a\ELC9ti.Aro neer Dl9fi - -- -•---
CITY GF TIGARD
DEVELOPMENT SERVICES AUII NTNG PERMIT
frERMIT #. . . . . . . : E{lJF'98- 387
..ilo:o'mum 13125 SW Hal!Blvd., Tigard,OR 97223(503)639-4171 DATE ISSUED:
i TC ADDRESS. . . : I 02C 0 C W GRF:EI\104J LCJ l�iia #N441
yURI)TVISION. . . . ; THREE LINCOLN—TOWN O]- MET"IGER ZONING:C--P
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . .. . .009 TURISI)ICTTON:T16
RE I SOUS: FLOOR AREAS EX'T'E:I-11012 WWI- ::ONSTRUC'T I CIN
CI_.fnC,f3 CIF WORK. :nl__T FIRST. . . . 0 ;f Ni S: E: W:
TYPE OF USE. . . :C:OM SECOND. . . : 0 s f PROTECT Of-DF-KIT NC-lS?-_.... ----
TYPE
___.__.._....
TYPE: CIF CONST, :2FR F•OURTH. . . : c:146 sf N: S: E: W:
OC(7LJFj(.INCY C;RF'. : F TOTAL.-.- --_ : f'14 6 s f E?C11.IF' t:'(:)IJf:>T : F'I RF; IIE'T ? ;
ocriJP11h.{CY I__DA17: 0 SnSEMFNT. : 0 f AREA SEP. R-ITED:
STOP. : 0 HT: rh ft GAROGE". . . : 0 sf OCCIJ GEP. W)"IED:
B MT" : MEZ7.''; RF0D SETHACK,r,—._..-__.....-...._ - REOUI RED----._
FLOOR LOAD. . . . : 0 psf LEFT: 0 ft R(301 : 0 f`t. F IR SPI'l. : :,M("lE' OCT. .
DWE'Ll...T.N(':; I_INTTS: 7! FRN'( : 0 ft; RFnR: FIr ft FIR ALRM: HND ICP nCC. :
EIEDRMr3• 0 11()fl n; 0 Cm{:" ":1.11?' I .!"c G PRO ("OIRR: f='ARV I NG V+
VALUE. $ : 1.8500
m +r l• r, : Ford Motor Credit Corp TI - demolition combine space to Ford Credit A
q spkl-•, mech, E.ec, fire alar•e permit rpq'd
;net.. _....._ ......_..____._____._.......__... ... ._ ..-.__ __—____..__.__.._ . . ..__.......... _ _. r __...._ .. _.__._._...__.
- .F '
TCI'.k: R130C;1'C R PR17PUF?TIE=': IM(.', t'y pr amcrl.rnt by rl;ate r (ticpt
:7,00 SW CIREENSI-IRG RD 5TF -'rn"" f''RMT $ 134. 50 .JSD i7:91r E/98 98--..309354
RTI._nh1V nR 97�--.'P3 !S'0 T $ E:,. 7:; .f5D 09/22/98
EXPIRED 1 '1"(3 K $ 87. JFi) 01:4/c'.'198 148 .^.09135,4
orlr� FIRE 1. `,"., 80 ,.CSD 09/22/90 98-.-309.354
1 11311 Pof, CI:... r
5 NE: JACK90N SCH001— RnnV
C..L_ iI'`]F2CI
Or
un e3 it : ;:.7 ) ' r I�) ' $ '.I3P. 46 TOT(-l1
--RF0U I RrT) ACTIONS or, T NSPCCT I nni
5 permit is issued subject to the regulations contained in the 5r.tsp Ce InsFr ......
;ard Municipal Coder State of Rre, Specialty Codes and a',1 other _ _
licable laws. All work will be done in accordance with
� oyed plans. This permit will expire if work 0 not started
'rin lap days of issuance, or if work is suspended for more
a IN days. ATTENTION: Oregon law requires you to follow the
es adopted by the. Oregon Utility Notification Center, Those
es are set forth in CZAR C.62-X01-A81I through OAR 952-81101981.
many obtain a cop} of these rules or direct questions to OLMC
^allirg V3)246-1987.
r m i t t e c !7 i n lam' ,�'CE'-w I
++4 A. W4-++-++•4.-4,+.r._I r , , i {.}.1.4- +4.4.4 I +-++ 4.4- ++++++f-+++-+++++4 ♦ r .+}..}, y4.+}a
Call G?'9-41.'" by 7;ks'._ in. for a+n inspection needed tt•rr tif: ».t bu_ -' iM? 15 r
-1-+ c • t ,..j ,. r -1-.4..G_e r. r_,..A r.4 1 4 J..4..J.4-t 4.-n r..4 4,4 4.A r r 1 1 0 4 1_4..a•4 +-++ ,
CITY OF TIGAP,D Commercial Building Permit Application�f Re`'d By
11125 SW HALL BLVD. l errant Improvement Dale Recd n
Date to P.E.
TIGARD, OR 97223 , Date to DS 2L �1 tr
(503) 639-4171 Permit# WIN-0-5
Print or Type Related SWR# __—
Incorril or illegible applications will not be accepted called_ ._�
Name of oevelopmendPro(ect Existing Building g( New Building []
Job LINCoGN CENIt-p-
Address Street Address FSuite Building LINC0WJ eEN'MP-
1D220 3W c�r�� p �'� Data
Bldg X City/State lip _-- Existing Use of Building or Property.
°J fbtiT °Lo/�. 9"122. oFFI cE
Name
Property Proposed Use of Building or Property:
p y KNtc��� pf�PE TIS INc�y
Owner Mailing Address Suite OFF( cg
IO300 SW C-11`10142100 No. Of Stories —�
City/Stale lip _ Phone six
'b(MP4. ,O vR, 97223 "2-5900 Sq Ft. OProject:
Occupant Name Idta
Z•
-0 M070F, cf-C-91T CIW Occupancy Class(es)
..._.—. Name
--i
Contractor KNI.11W PikCIFI C Type(s)of Construction
Prior to permit Ma,ling Address Suite -J
issuance,a copyJ��"~u en.l "4CF100 � Will this project have a Fire Suppression System^
of all licenses 735 N� • Yes NO
are required If City/State Zip _ Phone Americans with Disabilities Act(ADA)
expired In C O T
database HILLSeoRo 01, 97124 15.93-9797 Valuatizin X 25% = $ Participation
Oregon Const Cont Board Lic.# I Exp Date Complete Accessibili Form_ _
059045 102 f8�60 Project $1�` o0
-- Name �_--— Valuation_ , _
Architect 01W N-CHI7ECT-s INC, qu red: See Matrix for number of sets to submi—tom,
Mailing Address rA Suite on back
920 sW 'b p4vtouf 4bOo - --
City/State Zip Phone I hereby acknowledge that I have read this application,that the informatir'n
Pop-TLt600, OR 97" 221-965& given is correct,that I am the owner or authorized agent of the owner,a Id
--- - that plans submitted are in compliance with Oregon State Laws.
Engineer Name
Signature of Owner/Agent Date/ Q
Mailing Address Suite w. 9(
Con V,
Person Name Phone
City/State Zip Phone f-ay P-. Clur — 2.'I - 9tfi5ro
FOR OFFICE USE ONLY _
Indicate type of work. New O Addition O Demolition O Map/TL# Land Use.
Accessory Structure O Foundation Only O Alterallong, _`--_--
Repair O Other O Notes
Description of work:
� •�lPrl'T IMpI�VEMENT TIF
Note: Site Work Permit Application must precede or accompany Fluilding
Permit Application y "'"E
I\COMNEWTI DOC (DST) 5/98
COMMERCIAL PLAN SUBMITTAL
REQUIREMENT MATRIX
Plan Review is dependent upon submittal of BOTH plans AND a COMPLETED
application. For an electrical submittal, the application must contain the
signature of the supervising electrician before plan review will be conducted.
After plan review approval, Plans Examiner will contact the applicant to request
additional plan sets for distribution purposes. (Copy for Contractor, City,
Washington County, Tualatin Valley Fire & Rescue)
_�_ --- ental # of
TYPE OF SUBMITTAL Plans KEY:
Submitted_
S (Private) 1 S = Site Work
B (New or Add) T 1 B = Building
F (New or Add or Alt) 3 F = Fire Protection System
M (New or Add or Alt) 1 M = Mechanical
B & M (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 A!t = Alternation to Existing
(New , Add) Building
`B or B & M (Alt) 1
*B & M & P (A1-0 3
*B & M & P & E & F(Alt) 3
NOTES:
'Shaded areas designate ALT submittals only.
I\dsts\maxtnx I doc 07/06/98
CITY OF TIGARD BUILDING INSPECTION DIVISION MST _
24-Hour Inspection Line: 639-4175 Business Line: 639-4171
�/ BUP
— �� Date Requested O _� AM /� PM �__ gLp —
Location—_ s,� Suite `T`-t' MEC
Contact Person � x 1 h PLM
ct✓� - C
Contractor 'Si ,�Pf1 _�J L� SWR -- -
1�BUILfJ G� — Tenant/O ner _�I�LJ h�� IC Ci� ELG —
Retaining Wal ELIR
Fouting Access 1
Foundation ]/ ? FPS
Ftg Drain /
Crawl DN5GN
Dain Inspection otes. �� F � ---
Slab — SIT
Post 3 Beam —�— —
Ext Sheath/Shear _
Int S Beath/Shear
Framing .��..—
Insulation
Drywail Nailing -----_ _.-- —_-- --. _ -- ---
Firewall
Fire Alarm
Susp'd Ceiling - - - - --- - - - --- - ___------- — ---
Roof
tsc ---— ---- —-------
OASS�I,,) PART FAIL
PrdING
Post& Beam
Under Slab
Top Out
Water Service
Sanitary Sewer
Rain Drains
Final
PASS PART FAIL
MECHANICAL
Post R Ream - - - - -- -- - -- - _
Rough in
Gas Line — --- _--- ——
Smoke Dampers
Final -- - — —
PASS PART _ FAIL
ELECTRICAL - -
Service
Rough In
UG/Slab ----
Low Voltage
Fire Alarm --- — --- -- �_ �-
Final
PASS PART FAILSITE
Backfill/Grading ------- -- _ --- �_._--- -- -----•- — ------- -----
Sanitary Sewer
Storm Drain ( I Reinspection fee of$______-_required before next inspection. Pay at City Hall, 13125 SW Hal!Blvd
Catch Basin
Fire Supply Line ( ]Please call for reinspection RE - _ -_-. ( ]Unable to inspect-no access
ADA
Approach/Sidewalk
Dataery 9 Ins �° '�� �� ' Ext
Other p '� ---'�----
Final
PASS PART FAIL DO NOT REMOVE this Inspection record from the job site.
CITY OF iTIGARD BUILDING INSPECTION DIVISION MST
24-Hour Insptmtion Line: 639-4175 BLiviness Line: 639-4171 -
BLIP
Date Requested 5r L� rAA j ll'-.—FM --� BLD ____-----------
Location 10 Z Z.J suite � MEC -
Contact Person �/-- ii Phd( PLM
Contractor .- Ph Ll 1 SWR
BUILDING Tenant/Owner
-
Retaining Wall EL.R
Footing Access FPS
Ftg Drain SGN
Crawl Drain Inspection Notes:
Slab --- -- ---- _ —_--- -- ------- SIT
Post&Beam
Ext Sheath/Shear -
Int Sheath/Shear
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler , -�� - ��
Fire Alarm
Susp'd Ceiling -— -- -- - - — — ----
Roof
Misc: ---�---
Final
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 —_— -- -- -- -- -- --
PASS PART FAIL
' ELECTRICAL
Serv_i- -
ou h In'
UG/ lab
Low Voltage
Fire Alarm _---
I.
PART FAIL -------- -- -
alit
Backfill/Grading --- - -
Sanitary Sewer
Storm Drain [ ]Reinspection fee of$ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin
Fire Supply Line [ ]Please call for reinspection RE: _.._— ( ]Unable to inspect no access
ADA n G�
Approach/Sidewalk Date 61 —L'S—( inspector � Q� _ Ext`to—
Other — ---
Final
PASS PART FAIL DO NOT REMOVE O'his Inspection record from the job site.
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