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10220 SW GREENBURG ROAD-6 o N N � a y � 0 7C! �7 C1 d { i ! i i I 10220 SW GREENBURG RD r" FLOOR C!TY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 — BUP _ _ Cate Requested ;;V/SIM AM� PM _ BLD Location 0 Z_2 Suite MEC Contact Person �!_{1�S Ph �3 l� -l��t�� _ PLM Contractor _ Ph SWR _ BUILDING 1 snanUOwner EL 1 RetRining Wall ELR Footing Access. Foundation FPS Ftg Drain SGN Crawl Drain Inspection Notes: Slab L 0) Post&Beam SIT IExt Sheath/Shear — Int Sheath/Shear raming insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Root Misc Final — — �-- --� PASS PART FAIL PLUMBING r Post 8 Beam Under Slab if Top Out Water Service Sanitary Sewer Rain,nrains Final -- PASS PART FAIL _— MECHANICAL Pcst& Beam - --- ---—--- -.. —— _ Rough In Gas Line ---- - _ — Smoke Dampers Final — — PASS PART FAIL Service _ Rough In — ` — UG/Slab Low Vollege Fie Alalm —_ — &PAOS5SPART FAIL Backfill/Grading -- — —-- —— Sanitary Sewer Storm Drain I ]Reinspection fee of$ required before next inspection. Pay at City Hall, 13.4 28,;SW Halt Blvd Catch Basin Fare Supply Line C )Please call for reinspection RE: C I Unable to Inspect-no access ADA Approach/Sidewalk • a A Other Date Inspector_ Ola-9 Ext Final PASS PART FAIL DO NOT REMOVE this Inspection record from the job site. CITY OF TIG.ARD SUiLDING INSPECTION DIVISION MST G 24-Hour Inspection Line: 639- 175 Business Lin639- ::�J71 ,�5B&i U _ __Date Requested �- n AM_��PM '�.00D'y00 I 3 F�` Location U .� Suui�te/ MEC -- V + l�CN La ' Ph _°�1..�' C � PLM Contact Person Contractor _ ^ Ph SWR UILDI Tenant/Ownerk. 'r'I,�1 'Jr EL.0 _ Retaining Wall _ Footing Access: FPS Foundation Fig Drain SGN Crawl Drain Inspection Notes: J- Slab -_— -- —- SIT --_7 Post&Beam Ext Sheath/Shear -- -' Int Sheath/Shear Framing ------ - - Int,ulation Drywall Nailing _ _._. — ---- --- -- - --� Firewall_ Firms Susp'd Ceiling ---------- --- — -- - -- Roof mis ASS' PART FAIL -- ___---- PLUMBING -----_-.-__ Post&Beam Under Slab ._..- Top Out Water Service - --- ---- Sanitary Sewer - Rain Drains --- — - -- Final PASS PART FAIL - MECHANICAL Post&Beam - - - ---- - -- - Rough In Ras Line I - ---- � r Smoke Dampers - Final --- PASS PART-FAIL ELECTRICAL �- Service _ -- - --- - Rough In UG/Slab - Low Voltage Fire Alarm - - -- - - Final PASS PART FAIL -- --SITE _ Backfill/Grading - — Sanitary Sewer Storm Drain [ I Reinspection fee of$ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Calt;h Basin [ Please call for reinspection RE:_. [ ]Unable to Inspect-no arrass Fire Supply Line ADAz "� Y Approach/Sidewalk Date � D Inspector f /� Ext Other -- Final PASS PART FAIL 00 NOT REMOVE this Inspection record from the job site. w CITYOF 'TIGARD � BUILDING PERMIT _ PERMIT#: BUP1999-00531 DEVELOPMENT SERVICES DATE ISSUED: 12/21/1999 13125 SW Hall Blvd., Tiqard, OR 97223 (503) 639-4171 SITE ADDRESS: 10220 SW GREENBURG RD 5TH FLOOR PARCEL: 1S135Ag-01004 SUBDIV1.3ION: MRRlM0R)LN TOWN OF METZGER ZONING: C-P BLOCK: LOT: JURISDICTION: I1G REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTiO_N CLASS OF WORK: ALT FIRST: _ A sf N: S: E: W: TYPE OF USE: COM SECOND: sf _ PROJECT OPENINGS? TYPE OF CONST: 2FR 42 i sf N: S: E: W: OCCUPANCY GRP: B TOTAL AREA: sf ROOF CONST FIRE RET? OCCUPANCY LOAD: BASEMENT: sf AREA SEP. RATED: STOR: HT. ft GARAGE: sf OCCU SEP, RATED: BSMT?: MEZZ?: REQD SETBACKS_ _ _ REQUIRE=D FLOOR LOAD: psi LEFT: tt RGHT: T ft FIR SPKL: Y SMOK DET: DWELLING UNITS: FRNT: ft REAR: ft FIP .LRM : HNDICP ACC: BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKir-..G: VALUE: $ 20,000.00 Remarks: TI Looped Corridor. No change in occupant load. Owner: Contractor: KNICKERBOCKER PROP, INC XXIV PIONEER CONSTRIJUTION SERVICE BY NORRIS, BEGGS + SIMPSON PO BOX 68304 10300 SW GREENBURG RD STE 200 MILWAUKIE,OR 972.68 P9PTI.AND, OR 97223 Phone: 652-1050 Q ` i one: ORIGINAL.. Reg#: uc oo�zesor� FEES REQUIRED INSPECTIONS Type By Date Amount Receipt Framing Insp PRMT KJP 12/21/1995 $216.50 99-320573 Gyp Board Insn Susp Coiing Insp P1_CK. KJP 12!21/1995 $140.73 99.320573 Final Inspection 5PCT KJP 12/21/199 $17.32 99-320573 FIRE KJP 12/21/1995 $86.60 99-320573 Total $461.15 - - This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specia;ty Codes and all other applicable law. All work will be done in accordance with approved plans. This pei :iit 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 riles adopted by the Oregon Utility Notificatior Center. Those rules are set forth in OAR 952-001-0010 through OAF; 952-001-1987. You may obtain a copy of these rules or direct questions to OUNC by calling (503) 246 1987. Pem;itee )j' ZA, Signati.rre: Is:;ued By: ��L 7�r1-.•�� Call 639-4175 by 7 p m. for an Inspection the next business day r r OF TIGARD Commercial Building Permit Application Recd By_ 13125 GW HALL BLVD. Tenant Improvement Date Date to TIGARD, OR 97223 Dale to DST r (503) 639-4171 �V -L AW Permit# .�t 1 k� 0053 Print or Type Related SWR# Incomplete or illegible applications will not be accepted Called_.__, ----- Name of Development/Project - Existing Building New Building Job Linrolh Center �^ ------ Address Street Address Suite --- Building 7�i ee L j co�►, �. (02?lD SW G✓eenburo )Zd. F f+-)1 CUrr f c, Data 1 o o v eldy# - clty/state Ziy Existing Use of Building or Property: THPt E LINCOLN PG Iand,G�✓r?�on "i�2'L�-� Name �I Property Kvtickev6oc.ker fr'oFerties,In g.= Proposed Use of Building or Property: � Owner Mailing Address Suite CST CE� (o3or) ,;N!Greenb�i9 N . ?e f? No. Of Stories: - City/State Zip Phone (is) S ('or`fland Sq Ft. Of Project: ^----'' Occupant Name -- '�n•c' ____ i Occupancy Class(es) Name r Contractor Con-EUu0�ic*i Type(s)of Construction _ f Prior to permit Mailing Address Suite issuance,a copy nX �g3c�`iWil this project have a Fire Suppression System? of all licenses NO are required it City/Seale Zip Phone YeS [) [� expired In C o T Americans with Disabilities Act(ADA) database M�Iv`la��k�e ,O� 9�?.'L'L � �Z �� _ Valuation X 25% = $ Participation Oregon Const.Cont Board Lic.# Exp.Date Complete Ac_c_essibilit Form Z �' �fo89 0900 Project � $ - - -^ Name Valuation 2'�i _ Architect G(S[� Arcl,, c'ts, In,. Pians Required: See Matrix for number of sets to submit / Mailing Address Suite on back 'j 2G' SW Jr k le n u e g-OOC- City/State zip Phone I hereby acknowledge that I have read this application,that the information )crtIamd ,C-'-. �)72r),i X24 c) 5G given Is correct,that I am the owner or authorized agent of the owner,and Engineer Name -- — that plans submitted are in compliance with Oregon S!?mte Laws Signature of Owner/Agent Date Mailing Addressy TSuite t YL ,�C-L l Z,/2//99 CgnMct Person Name Phone Gity/State Zip Phone -� FOR OFFICE USE ONLY Indicate type of work: New O Addition O Demolition O Map/TL# Land Use: Struryure O Foundation Only O Alteration 19 Repair O _ Other O Notes: Description of work: �rt+°thsror, of exist," Corr„ACv +0 -�rh, TIF Loop CrorriJc rrr Note: Site Nork Permit Application must precede or accompany Hulldln7 Permit Application 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 suhrnittpl, the application must contain the signature of the supervising electrician Wore plan review will be conducted. After plain review approval, Plans Examiner will contact the applicant to request additional plan sets for distribution purposes. (Copy For Contractor, 0,ity, Washington County, Tualatin Valley Fire & Rescue) �- Total # of TYPE OF SUBMI1-TAL Plans KEY: Sub_mitt_ed S (Private) 1 S = Site Work B (New or Add) 1 B = Building F (New or Add or Alt) _ 3 F = Fire Protection System -a-(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 & ki & P & E 3 Alt = Alternation to Existing (New_, Add) _ Building *B or B &._M {Alt) 1 (Alt) 3 .�. *B & M & P & E(Alt) � 3 *B & M & P & E & F(Alt)— NOTES: *Shaded areas designate ALT submittals only. I tdstslforrnskmatrxcom doc 10/30/98 OVER-THE-COUNTER (OTC) PERMIT PLAN REVIEW COMMERCIAL (STRUCTURAL_) BUILDING PERMIT CHECKLIST DESCRIPTION OF PROJECT: i :ne4 �_.0022A 1�21 _ CLASS OF WORK: FLOOR AREAS. Z� EXTERIOR WALL CONSTRUCTION TfPE OF USE: FIRST SQ. FT. N. S:_ E: W. f +',,E OF CONSTR: l� F t SECOND SQ. FT. PROTECT OPENINGS?: OCCUPANCY GRP: ( T,HIRD SQ. FT. N: S: E: W: OCCUPANCY LOAD: TOTAL SQ, FT. ROOF CONSTR: FIRE RET: STOR: HT: FT: BSMNT: SQ. FT. AREA SEP. RATED: BSMNT?: MEZZ?: GARAGE: SQ. FT. OCCU.SEP.RATED: FIRE I IRE SMOKE HANDICAP SPRINKLER: ALARM: DETECTOR: ACCESS: COMMERCIAL INSPECTION ACTIONS FEE MENU Foot/Found Post/Beam $ ,' Permit Fee _ Masonry Framing' $ Plan Review 1 ' Insulation Shear Wall $ 1~� 8% State Surcharge Firewall Gyp Board ' $ L FLS Plan Review Suspended Ceiling _ Sprinkler Rough-in $ Add] Permit Fee Sprinkler Final Fire Alarm $ Add'I FLS Pin Smoke Detector _ Approach/Sidewalk $ Inspection Miscellaneous Finel $ MIS Fee FOR OFFICE USE O1 LY: TYPE OS USE OPTIONS(COM=commercial; CMS=commercial manufactured structure) CLASS OF WORK OPTIONS FOR ALL PERMITS(NEW=new;Add=addition;ALT=alteration;ACS=accessory;FND-foundation; OrR=other;DEM=demolition;REP--repair;FPS=fire protection system,NOTE: USE OTR FOR FENCES, RETAINING WALLS, DETACHED DECKS, SIGNS, AWNINGS,CANOPIES) I:\ovrcntr2 doc (DST) 9/99 ELECTRICAL PERMIT CITY OF TIGARD . PERMIT#: ELC1999-00758 DEVELOPMENT SERVICES DATE ISSUED: 12/27/199L, 13125 SW Hall Blvd., Tiqard, OR 97223 (503) 639-4.71 PARCEL: 1S135AB-01004 ADDRESS: 10220 SW GREENBURG RU 5TH FLOOR SUBDIVISION: W®R1l39RLN - TOWN C17 METZGER ZONING: C-P BI-(';(;K: LOT : JUI: SDICTION: TIG Piu:ect Description: First branch circuit RESIDENTIAL UNIT_ __ TEMP SRVC!FEEDFR_S _ MISCELLANEOUS 1000 SF OR LESS: 0 - 200 amp: PUMP/IRRIGATION: EACH ADD'L 500SF: 201 400 amp: SIC NICUT LINE LTG: LIMITED ENERGY. 4.71 600 amp: SIrjNAI_/PANEL: MANF HMI SVC/ FQ�i: 601+amps - 1000 volt!-: MINOR LABEL (10): SFRVICEiFEEDER BRANCH CIRCUITS _ ADD'L INSPECTIONS 200 amp: W/SERVICE OR FEEDER: PER INSPECTION: 400 amp: Ist W/O SRVC OR FDR: 1 PER HOUR: 401 - 600 amp: EA ADD'L BRNCH CIRC: IN PLANT: 601 - 1000 amp. _ PLAN REVIEW SECTION _ 1000+ amp/volt: >=4 RES UNITS: i > 600 VOLT NOMINAL: Reconnect only: 225 AMPS: CLASS AREA/SPEC OCC: Owner: Contractor: KNICKERBOCKER I ROP, INC XXIV CHRISTENSON ELECTRIC INC BY NORRIS, BEGGS + SIMPSON 111 SW COLUMBIA 103u0 SW GREF_NPURC, RD SLE 200 STE 480 PORTLAND, OR 97223 PORI-LAND. OR 97201 Phone: Phone: 241-4812 Reg#: LIC 000458 SUP 3289S PL.M 2468S ELE 26-34C FEES v_ _ Required Inspections Type By Date Alnount Receipt v_ Elect'I Service PRMT BON 12/ 1, '99r $37.50 99-320663 Elect'I Final 5PCT BON 12/27/199 $3.00 99-120663 Total — $40.50 ORIGINAL This Permit is issued subject to the regulations contained in the Tigard Municipal Code. State or OR Specialty Codes and all other applicable laws All work will be done in accordance with approved plans Thi.;permit will expire if work is not started within 180 days of issuance,or if work is suspended for more than 180 days ATTENTION Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0080 You may obtain copies of these rules ordirect questions to OUNC at(503) 2,16.1987 PERMITTEE'S SIGNATURE L,., l �'t /d(o� ___ ISSUED BY: —Ic1— _ON_NER INSTALLATION ONLY The installation is being made on property I owr) which is riot intended for sale, lease, or rent. OWNER'S SIGNiaTURE: _- DATE: CONTRACTOR INSTALLATION ONLY _ SIGNATURE OF SUPR. ELEC'N: _ �[11LC>(x. �L' h I��t L DATE: LICENSE NO: _ — _— Call 639-4175 5y 7:00pm for an inspection the next business day CITY OF TIGARD }..a-`"EI lectricai Permit Application Plan Check# _ 13125 SW HALL EIL.VD. Recd By ►�- TIGARD OR 97222 DEC 2 7 1999 Date Recd Date to P.E. Phone(503)639-4171, x304 r`)MMUNITII DEVELOI'MENI Date to DST Inspection (503)639-4175 Print of Type Permit# e7z I Fax(503)598-1960 Incomplete or illegible will not be accepted Called _ 1. .lob Addres3FURRIS,BEGC,S,SIMPSON PROPERTY M C> T Complete Fee Schedule Below: Name of Development LINCOLN CENTRE Number of Inspections per permit allowed Name(or name of business) LINCOLN 11I Service included: Items Cost Sunt Address10220 SW GREENBURG RD 5TH FL LOOP CORR IA Ida. Residential-per nit City/State/Zip PORTLAND OR1000 sq.ft.Each additional less $ 117.75 sq.N or Commercial[3KResidential ❑ Limited thereof $ 26.25 l mited Energy $ 80.00 QUESTIONS?CONTACT ROSS CROSBY 245-1965 Each Manufd dome or Modular —�- 29. Contractor installation only: Dwelling 5 irvlce or Feeder $ 72.75 z (Prior to permit issuance,applicants must provide contractor license 4b.Services or Feeders Information for COT data base). installation,alteration,or relocation Electrical Contractor ChR1STENSON ELECTRIC, INC 200 amps or less $ 64.25 2 Address 11 1 SW COLUMBIA,SUITE4R0 201 amps to 400 amps $ 85.502. Cit PORTLAND State OR Zi 97201-5886 401 amps to 600 amps $ 128.50 2 Y --- p 601 amps to 1000 amps $ 192.50 2 Phone No. 503 241-4812 — ` _ over 1000 amps or volts _ $ 363.75 2 Job No. 62-09450 Reconnect only $ 53.50 2 Elec. Cont. Lice.No. 26-34C Exp,Date 10/00 4c.Temporary Services or Feeders OR State CCB Reg.No. 458 Exp.Date 5/03 Installation,alteration,or relocation COT Business Tax or Metro No. 5246 Exp.Date 12tf10 200 amps or less $ 53.50 2 -- —' 201 amps to 400 amps $ 80.25 2 401 amps to 600 amps T 107.00 2 Signature of SupfOver 600 amps to 1000 volts, see•'b"above. License No. _8 7 3 S Exp.Date 10/01 Phone No. 241-4812 4d.Branch Circuits --- -- -- New,alteration or extension per panel a)The fee for branch cirruits 2b. For owner installations: with purchase of service or feeder lee. Print Owner's Name Each branch circuit $ 5.35 -- - b)The fee for branch circuits Address without purchase of service City - State -Zip__ or feeder fee. Phone NoFirst branch circuit 1 $ 37.50 37.50 — Each additional branch circuit __ $ 5 35 _ The installation is being made on property I own which is not 4e.Miscellaneous _ intended for sale,lease or rent. (Service or feeder not incl ided) Each pump or irrigation circle $ 42 75 _ Owner's Signature _ - F.ach sign or outline lighting _ _ $ 4275 Signal circuit(s)or a limited energy if required):* panel,alteels(1Uen or extension $ 6000 3. Plan Review section Minor labels(10) $ 10700 Please check appropriate Item and enter fee In section 5B. 0.Each additional Inspection over _4 or more residential units in one structure the allowable In any of the above Service and feeder 225 amps or more Per inspectinn _-_- $ 5000 ` Per hour T 5000 System over 600 volts nominal In Plant — $ 5900 Classified area or structure containing 3peaial occupancy as described in N E C Chapter 5 JF. Fees: Sa Enter total of above fees $ 37,50 + Submit 2 sets of plans with application where any of the above apply. 5%Surcharge(05 x tots;fees) q $ _ Not required for temporary construction s)tvices. Subtotal 8° $ I n-Sn 5b.Enter 25%of line am for NOTICE Plan Review if requir+d(Sec 3) $ _ PERMITS BECOME VOID IF WORK CcR rONSTRUCTION AUTHORIZED Subtotal $ 40 SO IS NOT COMMENCED WITHIN 180 DAYS,OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS ❑ Trust Account# AT ANY TIME AFTER WORK IS COMMENCED. Total balance Due $ 40.50 i ,d%IrNIbrms\cIectrIc.doc CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 � �� C &(BUP�IO�C?'_� j Date Requested 2 AM _ PM Location Contact Person t `�� Ph 9 �� PLM -- -a- 11 k Contractor _ t _Ph � SWR ]LDIF• a�— Tenant/Owner �_ "� _ + \ELC Retaining V`!all �� R - Footing Access: �r .:--n jt -ef N �-4u E � FPS (4 Foundation Ftg Drain --- SGN Cravtl Drain Inspection Notes: Slab _�.------- ---- _— ---- ------- SIT —-- Post&Beam Ext Sheath/Shear --- — i Int Sheath/Shear v� Framing Insulation fly—aTi Nattht� 1_/G� �5t' 0 dFirewall Fire Sprinkler FireAlarmCIC?�� (J�.� �� Susp'd Ceiling Roof Misc: -1/—�n —J Fin V ►� \�%e— ` cict" V U -- A S PART FAIL 1 RING Post&Beam Under Slab Top Out Water Service I - - Sanitary Sewer Rain Drains Final PA PARI FAIL _CHANI L l - - - Rough In Cas Line 4Smo e Dampers in A PART FAIL - ELECTRICAL Service -- --- __-- Rough In UGISIab Low Volt.. e Fire Alarm Final PASS PART FAIL SITE – Backfill/Grading Sanitary Sewer Storm Drain [ J Reinspection fee of$ require( bQfore next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin [ ]Please call for reinspection RE: _ [ ]Unable to inspect-no arcesp. Fire Supply Line ADA ,� Z' Cj Approach/Sidewalk Date k/\-1'/60 6v Inspector -. �EX '" ' L Other _ Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. ' CITY �� 3UILUIt•IG PERMIT PERMIT #: BUP2000-00023 DEVELOPMENT SERVICES DATE ISSUED: 01/26/2000 13125 SV4 Hall Blvd.,Tigard, OR 97223 (503) 611-4171 PARCEL: 1S135AB-01004 SITE ADDRESS: 10220 SW GREENBURG RD 5TH FLOOR SUBDIVISION: CQ9'MMMLN - TOWN OF METZGER ZONING: C-P BLOCK: LOT: JULISDICTION: TIG REISSUE: _ FLOOR AREAS EXTERIOR WALL 'CONSTRUCTION _ CLASS OF WORK: FPS !— FIRST: sf — N: —S: —E: W: TYPE OF USE: COM SECOND: sf _ _ _PROJECT OPENINGS?_ TYPE OF CONST: sf N: - S: E: W: OCCUPANCY GRP: TOTAL AREA: sf ROOF CONST: FIRE RFT? OCCUPANCY LOAD: BASEMENT: sf AREA SEP. RATED: STOR: HT: ft GARAGE: sf OCCU SEP. RATED: BSMT'?: MEZZ?: REQD SETBACKS _ _ REQUIRED_ FLOOR LOAD: psf LEFT: ft RGHT: ft FIR SPKL: SMOK GET: DWELLING UNITS: FRN r: ft REAR: ft FIR ALRM : HNDICP ACC: BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING: VALUE: $ 425.00 Remarks: Relocating six sprinkler heads in corridor Owner: Contractor: KNICKERBOCKER PROP, INC XXIV BASIC FIRE PROTECTION INC BY NORRIS, BEGGS + SIMPSON 940 NE LOMBARD ST 10300 SW GREENBURG RD STE 200 PORTLAND, OR 97211 P�Pone:TLAND, OR 97223 Phone: 085-1855 Reg #: LIC 000486 �— FEES REQUIRED INSPECTIONS Type By Date Amount ReceiptSprinkler Rough-In PRMT� BON 01/26/200( $50.00 00-321400 Sprinkler Final 5PCT BON 01/2.6/2000 $4.00 00-321400 Total $54.00 ORIGINAL This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will exrire if work is not started within 180 days of issuance, or if work is suspended for more the n '180 days. AT FENTION. 7regon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rulk are set forth in OAR 952--001-00'10 through OAR 952-001 -1987. YOU may obtain a copy of these rules or direct questions to OUNC by calling (503) 246-1987. Penritee Signature: Issued B y: —._— Call 639-4115 by J p.m. for an inspection the next business day Fire Protection Permit Application Plan checs;# _ CITY OF TIGARD Commercial or Residential Recd By (�_ 1: 125 SW WALL BLVD. Date Recd TIGARD, OR 97223 Print or Type Date to P.E. (503) 639-4171, x. 304 Incomplete or illegible applications will not be accepted Date to DST Pemiit# '7 Called— I—�—Job Name of Developm9nuProject — Type of System (Complete A or B as applicable) — Address Address r f ��'' `.t A.)Sprinkler Wet Dry - -- Nome/ IoYtrl'� '��' '�" - ---- Standpipes Owner Mailing Address Additional Hazard Group City/State Zip Phone Information Densit; -- -- — Name ~ Design Area SiZc�2'rs _ Occupant r+failing Address s� K.Factor ay��3i/�✓C�l'lt�i�xLtGXP City/state Zip Phone A.1) Sprinkler Project Valuation $ err -- a`C.. C i• — -- �c 5 Contractor B.) Fire Alarm Nam (Sprinkler or / Alarm Company) Mail' ddres Submittal Shall Include Battery Calculations YES(] Prior to permit ` ?A Issuance,a City/`''ate Zip Phone Individual Component YES❑ COPY _ Cut Sheets of all dcenses '> Sys-_ i B 1) Fire Alarm Project Valuation $ — are required if State Const.Cont.Board Lic.# Exp.Date expired it)COT Poje rct Va _luation Subtotal database _ Name.;�*l Permit fee based on valuation $ 50.Y) Architect Mailing address — (see c art on back) UJI/6 Surcharge $ city/stato — Zip I P` ne FLS Plan Review 40% of Permit $ Describe work A.)New O Addition O Afteratio Repair O L - to be done: I TOTAL $ `x 1 B) Modification to sprinkler heeds only: Plans re aired Submit three sets of plans,including a vicinity map and 1. 1"10 heads=No plans required q p g y 2. 11—Plan review required the location of the nearest hydrant. ---__ 1 hereby acknowledge that I hdve read this application,that the Informs,tion given is Number of sprinkler heads correct,that I am the owner of authorized agent of the owner,and that plans submitted — Additional Description of Work: are In compliance with Oregon State laws ' -IM r� c � -� Slgns�yrs of Owner/Agent Date / — A.)In Existing Building New Building Building Contact PersomNaa Phone _ B.) Commercial Residential ❑ �~� `'/��`, 2-$S'/85 Data FOR OFFICE USE ONLY: _ No.of stories: �+ Plat# Map/TL.#: Sq. Ft: --- Notes Occupancy Class Type of Construction is\dsts\forrns\ftresupr.doc 712/99 CITYOF w`IGARD MECHANICAL PERMIT DEVELOPMENT SERVICES PERMIT#: MEC1999-00558 2/16/1999 13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 DATE ISSUED: PARCEL: IS135AB- 01004 SITE ADDRESS: 10220 SW GREENBURG RD 5TH FLGJR SUBDIVISION: V0FnIbMLN TOWN OF METZGER ZONING: C-P BLOCK: LOT: JURISDICTION: TIG CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS: TYPE OF USE: C(-".S UNIT HEATERS: VENT FANS: OCCUPANCY GRP: B VENTS W/O APPL: VENT SYSTEMS: STORIES: 6 BOILERS/COMPRESSORS HOODS: _ FUEL_TYPES _ _ 0 3 HP: DOMES. INCIN: 3 15 HP: COMML. INCIN: MAX INPUT: BTU 15 - 30 HP: FIRE DAMPERS'?: 30 - 50 HP: REPAIR UNITS: WOQDSTOVES: GAS PRESSURE: 50 + HP: FURN -. 100K BTU: AIR HANDLING UNITS CLU DRYERS: FURN >=100K BTU: <= 10000 cfm: OTHER UNITS: 1 > 10000 cfm: GAS OUTLETS: Remarks: Extending return air duct through corridor A building permit for the corridor wall is required. Owner`M _ FEES _ KNICKERBOCKER PROP, INC XXIV Type By Date Amount Receipt BY NORPIS, BEGGS + SIMPSON PRMT KJP 12/16/19f $50.00 99-320468 10300 SW GREENBURG RD STE 200 PLCK KJP 12/16/19 $12.50 99-320468 PORTLAND, OR 9722.3 5PCT KJP 12/16,19 .$4.00 99-320468 Phone: Total $66.50 Contractor: - NORTH PACIFIC HEATING 33700 SE DUUS RD ESTACADA, OR 97023 REQUIRED INSPECTIONS Mechanical Insp Phone: Final Inspection Reg #:I IC 00063746 N In IGINAL This permit is issued subject !o the regulations contained in the Tigard Municipal Code, State of Ore. Speci�lty C odes and all other applicable laws. All work will be done in accordance with approved This his -)errr0t will expire if work is not started within '80 days of issuance, or if work is suspended for more thar 180 days ATTENTION: Oregon law requires yuu to follow rules adopted in the Oregon Utility Nntific,tion Center Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0080. You may oblain co 1e of these rules or direct questions to DUNG by calling (503)246-9109. Issue By, -r t .. - Permittee Signature: + / Call (503) 639-4175 by 7:00 P.M. for inspections needed the next business Plan Check# CITY OF TIGARD McChanical Permit Application Recd By 13125 SW HALL BLVD. Commercial and Residential Date Recd TIGARD, OR 97223 \ Date to P.E. (503) 639-4171, x304 \ { �"I�C Date to DST / �_ Print or Type Permit#��q-0055r, Incomplete or illegible applications will not be accepted Called Nam9 of DevelopmenUProject Description —_ _ Table 1A Mechanical Code _ Qt Price Amt Street ass - � 1 sunup A) Permit Fee 16 00 Job dr ✓ 1) Furnace to 1"000 61 U Address L �r .5:. i �� including ducts R vents 9.65 eldgtr Cny/state Baa S llll 2) Furnace 100,000 BTU+ including ducts&vents 12.00 Name I(or name of businiss) 3) Floor Furnace Owner 1 _ includirin vent - 9.65 Arai rng Addres 4) Suspended heater,wall heater or floor mounted haater _ 9.65 11. I JFAr� _-I5) Vent not included in a ppliance ermit_ 4.75 C'y/State ZIP Phone Check all that apply 'Boiler Heat Air Ot f!A.'• For Items 6-10,see or Pump Cond Qty Price Amt Name(or name of business) footnotes 1,2 Com / _ 6)Repair units C _�'�S�IL>� _ _ _ 8.40 Occupant Mailing Aidress 7)<3HP,absrj,b unit to C;k 100K BTU _ 9.55 ClIpSlate Zip hone8)3-15 HP,absorb unit 100k to 5001k BTU_ _ 1765 - -+£1'3'Z y) 15-30 HP,absorb - Contractor ame f _ - unit.5.1 mi!BTU 24.15 _. _ 10)30-50 HP,absorb Prior to permit Ma+ g Addressunit 1-1.75 rail BTU _ 3600 issuance,a copy -, , L.. : +1)>60HP,absorb unit>1.75 mil_BTU of all licenses cny1stale z p Phone _ _ _ 60.15 are required ifr. 12)Air handling unit to 10,000 CFAt _ — expired in COT Oregon Const on o L c p Exp Date ' _ 7.00 database ?3)Air handling unit 10,000 CFM r Architect Nem' _ _ 11,85 )4)Non-portable evaporate cooler Or Mailing Address — 7.00 15)Vent fan connected to a single duct 4.75 -CftvfSlate— zip Phone Engineer 16)Ventilation system not included in appliance permit -_ 7.00 _ Describe work to be done. 17)Hood served by mechanical exhaust 7.00 New O Repair O Replace with like kino Yes O No O 18)Domestic incinerators Residential O Commercial O Modification O _ _ _ 1200 19)Commercial or industrial type incinerator Additional information or description of work 48 25 �/ /� ��- ��' J 70) Other units, including wood stoves �,► /G//'�DZiC{,. 4111 Q� !f,� L f ----- 7.00 !r.' N E: For Commercial projects only,Units over 400 Ib6f, oca!ed on the 21)Gas piping one to four outlets roof,require structural talcs prepared�ylic;ensed engineer _ 3.75 Type of fuel oil O natural gas O LPG O electric O 22)More than 4-per outlet(each) 75 1 hereby acknowledge that!have read this application,that the information Minimum Permit Fee$50.00 SUBTOTAL o given is correct,that I am the owner or authorized agent of _,_ ____ 8%SURCHARGE PLAN REVIEW 25%OF SUBTOTAL the owner,tha,plans submitted are in compliance with Oregon State laws Required for ALL commercial permits only Signature of Owner/Agent Date ^^ TOTAL o Z' C 6Y V _ Other Inspections and Fees- Contat:t arson Name Phone 1 Inspections outside of normal busutess hours(minimum charge-two hours) $50 00 per hour 2 Inspeclions to-which no fen Is specifically indicated (minimum charge-half hour) ' $50 00perhoui Foonotes for commercial pr only: 3 Additional plan review required by changes additions or revisions to plans(minimum 1. Provide full schematic of a ittg and proposed gas line and pressure charge-one-half Dour)$50 00 per hour 2 Provide drawings to scale showing existing and proposed mechanical 'State Cootrectr.Boiler Certification requited units "Residential AX requires site plan showing placement of unit I\rnechperm doc rev 1111199 OVER-THE-COUNTER (OTC) PERMIT COMMERCIAL MECHANICAL PERMIT CHECK LIST Desoription of Project: V 11 Class of Work- ^,�� Floor Furnace: Evap Coolers: Type of Use: __ oil- _ _ Unit Heaters: _-_ Vent Fans: Occupancy Grp Vents w/o Appi: Vent Systems: Stories: _ X Boilers/Cornprsrs: Hoods: Fuel Types - 0 - 3 HP. Repair Units: 3 - 15 HP, Wood Stoves: Max Input: _ Btu: Air Handling Units CIO Dryer: Fire Dampers: _<_ 10000 cfm: _ Oth Units: Gas Pressure: H / M / L > 10000 cfm: , Gas Outlets: No. Of Units: Furn < 100k Btu: Furn > 100k Btu: NOTES: _ _—_� —---------- -----��- -- — - - COMMERCIAL INSPECTION ACTIONS FEE MENU _ Gas Line Inspection $ tz'"d Permit Fee Mechanical Inspection _$ / Z �� Plan Review Cooling Unit Inspection $ L4 '�V 8% State Surcharge Shaft Inspection $ �— Additional Permit Fee Hood Inspection $ _ Additional Plan Review Fee Firs Suppr Inspection $ Inspection Fee Duct Inspectio i _$ Miscellaneous Fee Fire Alarm Inspection REMARKS: Fire Damper Inspection Miscellaneous Inspection Fire Alarm Inspection Final Inspection FOR OFFICE USE ONLY: 1 YPE OF USE OPTIONS(COM=commercial;CMS=commcrcial manufactured structure) i IHSS OF WORK OPTIO14S FOR ALL PERMITS(NEW=new;ADD=addition;ALT=alteration;ACS=acoessory; FND=foundation;OTH=other,DEM=demolitlon;REP=repJr:FPS=fire protection system.NOTE=USE OTH FOR FENCES,RETAINING WALL,DETACHED DECKS,SIGNS, W74INGS,CANOPIES) y 1:410/furms/otcrnech.doc 9/99 i WsWfiirms\otc-mcch doc9/99 I \� +s li as r w r aw nw r r r w w w r r r wr ,w w r rr w w w w I e ' t 1 1 I ' �-- 1 77L L i -7T 1 , Y Y/Lk V41 �t�J ; '/1, r o�ay aJadd 1��