The URL can be used to link to this page

10260 SW GREENBURG ROAD STE 1020-1 t GENERAL CEILING NOTES _ - - 4 GENERAL NOTES I. FIELD VERIFY CONDITIONS DEPICTED AS EX15TINli I ' � I. PROVIDE S.ATIN FINISH LATEX PAINT ON ALL NEW Imp o ° NOTIFY ARCHITECT OF ANY DISCREPENCIES. a a a TENANT WALLS. COLOR TO MATCH EXISTING. - 2. PATCH CARPET WHERE AFFECTED. 1. PROVIDE [�l!ILDING STANDARD LIGHT FIXTURES AND OFFICE OFFICE OFFICE OFFICE OFFICE OFFICE OFFICE e SPRINKLER HEADS AS NECESSARY. 1014 1011 ) I 1008 1001 ® C005� �� ARCHITECTS 3. ADJUST CEILING LIGHT FIXTURES AS NECESSARY TO COORDINATE WITH NEW WALL PLACEMENT(S). 515 \ 4. ADJUST CEILI`r6 HVAC GRILLES AS NECESSARY TO c } ) _ � ( 1120 NW Couch ,tree. C40RDTHE N ATE WITH NEW WALL HVAC DE+ICN-B�AND R 1012 J \ A PLAN REFERENCE NOTES $Ulte 300, Portland _ �_ u � � CONTRACTOR � ,.,� r7m E) I�m013E \\\ IQ DEMOLISH WALL3/DOOR/''RAME AND ASSC)CIATED 0 R 9 7 2 0 9 ?$( 5. SPRINKLER SYSTEM IS DESIGN BUILD. ADJUST POUJER/DATA :OMPONENTS SHOWN WTH A DASHED-----_ ----- LOCATIONS TO COMPLY WITH THE CITY OF TIGARD FIRE OPENLINE. Tel: (503) 2?.4.9656 <- ,<- ° OFFICE OFFICE OFFICE w -- a Fax: (503) 299.6273 MARSHAL AND AS APPROVED (FOR DESIGN)BY THE 0 PROVIDE BUILDING STANDARD TENANT INTERIOR ARCHITECT. 1013 010 ��---- 1001 / DOOR, FRAME AND HARDWARE TO MATCH EXISTING. www.gbdarchitects.com A NJHA6L4 � � OFFICE ><. j� 6. ADJUST LOCATIONS OF EXIT SIGNAGE AND/OR DD NEW N g� Q PROVIDE BUILDING STANDARD INTERIOR RELITE AND tJ SIGNAGE A5 REQUIRED BY THE CITY OF TIGARD FIRE N r42' 1001 FRAME r0 MATCH EXISTING. GQAsti P..... I I Yl <` ° �----+ ELECTRICAL SWITCHING FOR FIXTURES SHALL BE -! 7(_0" CENTRALLY CONTROLLED AT LOCATIONS AS -� 7 4 �� —��`- i 1 SELECTED UNLESS OTHERWISE SHOWN IN IND'VIDUAL `--_--- T IF ALA J. EARD a ROOMS. HALL 1016_ a ND, OREGO �— _ — -- -- - - I- 1184 0 „° t CEILING REFERENCE NOTES `E' - -- �� OF p� E, NOT USED N018 dOFFICE� _ tp 101__J REGP CHO QC) .JOA o o ^ — ° F M S - _ ^ Suite 1020 Lincoln Tower PLAN PLAN 10260 SW Greenburg Rd NORTH NORTH Portland, OR 97223 14 REFLECTED CEILING PLr'N N NORTH 6 FLOOR PLAN NOS I/3'■1'-0' BASE:ILDUJCs I/8'■I'-0' BASEUDWG Equity Offices Properties One Columbia, Ste 300 - _ USG Portlar•d, Oregon 97258 MODF:L.: DONN DX DUT` — MAIN TEE - HEAVY DUTY CROSS TEE - I-'EAVY DUTY MAX. DESIGN FIXTURE WEIGHT 15 LBS. CONNECTION DEVICES ACTUAL MAX.FIXTURE WEIGHT SEPERATELY SUPPORTED TO BE OF AN CONNECTOR AT TOP OF WIRE 3/16' SNOT ANCHOR W/ 1 1/8' EMBEDMENT APPROVED TfPE AND SEISMIC STRUT: 3/4' CONDUIT W/ POSITIVE CONNECTION TO GRID HAVE 100'CAPABILITY -- _,_____---- 3UILDINa STRUCTURE VERTICAL STRUTCOUNTERSLOPE HANGERS IF AT 12'-0' O.C. \ MORE THAN 1:6 OUT OF EACH WAY PLUMB- - TO OFFICE S1=cuRE ALL HANGERS COPY LATERAL BRACING BUILD,NG STRUCTURE TRAPEZE DUCTWORK AND OTHER LARCsE ®-�� — ADDITIONAL HANGER - DE S OftTRUCTIONS. ALL MEMBERS WITHIN 8' 0mWm Tm OF PERIMETER 45 DEG MAX Occupenry toed — ____ 1_____--__ ___ CROSS RUNNERS FIT con,urostion Type BETWEEN MAIN RUNNERS !fated Conidot 5/6TYPE X GYPSUM WALLBOARD OR GYPSUM VENEER I - _ I - ' PcceniCode ' Acceuibllitr BASE APPLIED PARALLEL TO EACH SIDE OF 2 1/2' STEEL STABILIZER BAR MAIRUNNERS AT 4 0 STUDS 24' O.C.WITH I' TYPE 'S' DRYWALL SCREWS 8' O.C. AT BETWEEN ALL 8' 4'-0' c?G. 4'-0' O.G. �L O.C.OG.SUPPORT WITH M2 EDGES AND 12' O.C. AT INTERMEDIATE STUDS. MEMBERS AT 'MAA' A l5'-0' O.G.) - (5'-0' O.G.) f WIRE AT 4'-0'OC.OR PERIMETER WITH X10 WIRE AT 5'-0' JOINTS STAGGERED 24' ON OPPOSITE SIDE. (NLB) r0'-0' MAX 12'-0' O.C. EACH WAY OC' {:F Y OF TIGARD LATERAI. BRACING AT 12'-0' O.C.EACH WAY.MAIN RUNNER TO STRUCTURE. Approved................ ............ BEGIN BRACING WITHIN 6'-0' OF PERIMETER AND T-0' FROM CROSS MEMBER ,,,ditio'leily Approved.................... ( , - �i unI the w NO k as des ribs i 0 r REVISIONS 15 GA FILE NO. WP 1340 16 LATERAL BRACING FOR SUSPENDED CEILINGS �r0 I dtzE.f to: Attach....................... I , Attach lob Address: LQr'!e o -4� i n,ee#i btun'I LGt 10-20 DATE NTSNTS THIS DETAIL APPLIES TO ALTERED CEILING AREAS OF MORE THAT 12'X12' :�v' _._.�_.Cp_L.. _..,_. rete :'�,? v � March 24, 2004 GENERAL (COTES PLAN LEGEND CEILING LEGEND KEY PLAN PROJECT NUMBER 1. ALL WORK SHALL CONFOIRM TO APPLICABLE BUILDNG CODES AND ORDINANCES. 10. REMOVE AND REPLACE DAMAGED CEILING TILES AS NEEDED. _____= EXISTING PARTITION TO BE REMOVEDI DETAIL REFERENCE NUMBER — N EXISTING CEILING HVAC DIFFUSER 994153 IN CASE OF ANY CC4fLICT WHERE THE METHODS OR STANDARDS OF INSTALLATION TI.I OR THE MATERIALS SPECIFIED DO NOT EQUAL OR EXCEED THE REQUIREMENTS OF II. ALL EXISTING INTERIOR SURFACES TO REMAIN SHALL RECEIVE A NEW PAINTED FINISH _�_�--.�- EXISTING PARTITION TO REMAIN THE LAWS OR ORDINANCES, THE LAW OR ORDINANCE SHALL GOVERN.NOTIFY UNLESS OTHERWISE NOTED. RE REPAIR AND/OR PATCH EXISTING SURFACES AS REQUIRED 0 EXISTING 2X4 CEILING LIGHT FIXTUR FOR NEW FINISH.OVERLAY NEW DRYWALL FINISH WHERE REQUIRED TO CORRECT NEW TENANT STANDARD PARTITION TI I I ELEVATION REFERENCE NUMBER ARCHITECT OF CONFLICTS. IRREPARABLE WALL CONDITIONS. EXISTING WALL WITH WALL COVERING i� NEW OR RELOCATED CEILING LIGHT FIXTURE 2. PERFORM ALL WORK IN ACCORDANCE WITH ESTABLISHED BUILDING STANDARDS 12• VERIFY ALL DIMENSIONS AND CONDITIONS,NOTIFY ARCHITECT OF ANY ;�-�■ NEW WALL WITH NEW WALL COVERING �— SOUND ATTENUATION BLANKET SHEET TITLE DISCREPANCIES. LIGHT FIXTURE TO BE REMOVED CR RELOCATED Floor Plan FOR TENANT IMPROVEMENTS, 13. WHERE POSSIBLE REUSE EXISTING INTERIOR TENANT DOOR AND FRAME ASSEMBLIES, IF -=_ — EXISTING WALL WITH NEW WALL COVERING �I\ REVISION NUMBER m 3. ALL DIMEN51ON6 ARE TAKEN TO FACE OF GYPSUM BOARD UNLESS OTHERWISE IN ACCEPTABLE CONDITION AS DEFINED BY OWNER'S REPRESENTATIVE- ® SPECIAL- OUTLET FOR _ Ref Ceiling Plan PLIED TENANT SUP NOTED. `D PLAN REFERENCE NOTE EXISTING 2X2 CEILING HVAC DIFFUSER e--_--. QA._ 4. VERIFY LOCATION OF LIGHTING AND I-IVAG PRIOR TO WORKELECTRIFIED FURN _ 14. NEW WALL CONSTRUCTION (TYPICAL 2 1/2' METAL STUDS a 24' O.C. WITH 5/8' TYPE 0-1 FLOOR MOUNTED VOICE/DATA 1 I_ LOCATE NEW WALLS ON VERTICAL WINDOW MULLIONS,FACE (OR CENTER)OF 'X'GYPBD EA SIDE, SUPPORT WALLS ABOVE CEILING THAT RUN MORE THAN W-0' PANELS. C� SPEAKER IN CEILING 1 SCALE -.,_-� TENANT STANDARD RELITE. PROVIDE TEMPERED `a COLUMNS OR EXISTING 'WAL'.. V-4rE. LF UNSUPPORTED. RE,CRA ALE NO Y1'W. FE. SURFACE MOUNTED 4 GLASS IF WITHIN 24' OF LATCH � FLOOR MOUNTED POWER OUTLET FIRE EXTINGUISHER ° EXISTING SPRINKLER HEAD LOCATION -- _ A$ SHOWN 0 6.CONTRACTOR SHALL VERIFY 51ZE AND LOCATION OF ALL MECHANICAL AND 15. EXISTING POWER/DATA OUTLET BOXES TO BE ABANDONEDNNUSED SHALL BE CLOSED ELECTRICAL EQUIPMENT. COORDINATE POWER,WATER AND DRAIN INSTALLATION UU UP AND THE WALL SURFACE PATCHED AND PAINTED,TYPICAL. 4): DUPLEX POWER OUTLET Q THERMOSTAT O NEW CR RELOCATED DOWN LIGHT EU 0 EQUIPMENT MANFACTURER PRIOR TO BEGINNING WORC- 16. PROVIDE ADA COMPLIANT COMPONANTS/HARDWARE (LEVER STYLE)AT DOORS,SINKS J' E -7, MECHANICAL, ELECTRICAL AND FIRE PROTECTION SYSTEMS ARE THE AND OTHER SIMILAR BUILDING ITEMS (PER BUILDING STANDARDS). QUAD FLEX POUTER C"JTLEr JUNCTION BOX C Q RESPONSiBIL.ITY OF THE DESCA/BUILD SUBCONTRACTORS)AND ARE TO BE - TENANT STANDARD DOOR �� EXISTING DOWN LIGHT r 'Ff E DENOTES EXISTING SWITCH o `•`' `�UBMI?IED UNDER SEPARATE PERMIT. CONTRACTOR TO PROVIDE AND INSTALL � ) EXISTING DOWN LIGHT t0 BE REMOVED/RELOCATED U WALL MOUNTED FIRE EXTINGUISHERS TO COMPLY WITH CODE. 9.1 --DOOR REFERENCE NUMBER N DENOTES NEW 3 r� THREE WAY 0 8. FILL,GRIND AND LEVEL CONCRETE SLAB AS REQUIRED TO RECEIVE NEW FLOOR ��, EXISTIM3 EXIT SIGN TO BE REMOVEDAMLOGATED B BLANK ELECTRICAL. BOX ° C'' FIN15H(ES). CONF ---ROOM NAME d VOICE DATA C) 9. CONFIRM WALLS THAT SEPARATE TENANT SPA;ES EXTEND UP TO STRUCTURE. IF No U00 --ROOM NUMBER D DEDICATED CIRCUIT d TELEPHONE )1( NEW OR RELOCATED EXIT SIGN o WALL. EXISTS, PROVIDE NECESSARY WALL ASSEMBLY. 0 Z GBDAR<HITECT.Slncorporated - I" I 11I11111111111111111IilltlfTTT111Ii111111111illllllllllllllllliillll ( Illllllllfllfllllllllll NOTICE: IF THE PRINT OR TYPE ON ANY J I III III I I f III I I 1 � 1 117. IMAGE IS NOT AS CLEAR AS THIS NOTICE, IT IS DUE TO THE QUALITY OF THE W 38 ORIGINAL DOCUMENT �S 6iZ NZ L"1111111911111" Z fZ E1Z z�Z TZ 0Z 6t SI L�T 9t 8t �6t ET �ZT tt [I t 6 �8 11L�I �9 I �9 � � E Z I t�tl„� (►I 1111111 IIIIIIIII�IIII illl�llI �►��III►III ►�►�� ►I�IiI�� lllllll�i��l �l��l II��I��II��IIII��111111 IIll I�1I11111I1 I11111i111��1►II Iil� 11l11 ►I��►11�1�i�llI � III► 11 11 �i ��IT��N�I i s� 1 I i 10260 SW CREENBURGi#1020 CITY OF TIGARD 24-Hour BUILDING Inspection Line: (503) 639-4175 INSPECTION DIVISION Business Line: (503)639-4171 MST --__ BJP _.-.--- ----___ ---- Received Date Requestedy 5 AM._------ PM BLIP Location � ,�� - — -------_-- - Ph —Suite �0 ZD MEC Contact Person ( ) PLM - Contractor — ph SWR -- BUILDING TenanUOwner _ _L ELC Footing -- -- Foundation Access: ELC Ftg Drain Crawl Drain ELR.4�� /l/ Slab Inspection Notes: SIT Post& Beam — Shear Anchors --- -- Ext Sheath/Shear Int Sheath/Shear Framing ----------- - - - ---. Insulation ------- - - Drywall Nailing Firewall -- - —------- Fire Sprinkler ----- ----__.----------._..------- Fire Alarm ---- Susp'd Ceiling - -- Root Other. - -- Final -- --- --- --_ -- PASS_ PART FAIL - - ------------------- PLUMBING__ --- - - ------ Post 8 Bearr, _-----_---- Under Slab — --- ----1-_—�—_� _— - -_ —� Rough-In --- -- ------- ---- - Water Service _—_-_- --------- — Sanitary Sewer Rain Drains Catch Basin!Manhole — --- — ----- Storm Grain Shower Pan -- Other. Final - -- ------ PASS_PART FAIL -- MECHANICAL - Rough-In _ Gas Line Smoke Dampers Final PASS PART FAIL ELECTRICAL - Service --- Rough-In - UG/Slab - -- Low Voltage Fkei AIa11 -- -- _ Fin L _ PASS RT FAIL Reinspection fee of$__ ___._-_____ _required before next inspection. Pay at City Hall, 13125 SW Hali Blvd. _ Please call for reinspection RF:__ — Fire Supply Line ---- --- --- n Unable to inspect--no access ADA Approach/Sidewalk Datie/ inspector Other: -- Exf Final -- DO NOT REMOVE this Inspection record from the lob site. PASS PART FAIL CITY OF T I GA R D CERTIFICATE OF OCCUPANCY DEVELOPMENT SERVICES PERMIT M BUP2004-00133 004 13125 SW Hall Blvd.,Tigard, OR 97223 (503)639-4171 DATE ISSUED: PARCEL: 1 1513 S135ABAB-03400 ZONING: C-P JURISDICTION: TIG SITE ADDRESS: 10260 SW GREENBURG RD 1020 SUBDIVISION: LINCOLN TOWER-TOWN OF METZGLR BLCCK: LOT:014 CLASS OF WORK: AIT TYPE OF USE: COM TYPE OF CONSTR: 2FR OCCUPANCY GRP: B OCCUPANCY LOAD: 25 TENANT NAME: A F 01 5 REMARKS: T I Owner: EOP LINCOLN, LLC 10260 SW GREENBURG RD SUUITE# 100 PPheNDHo,_on : 9' 2g 23 Contractor: 234-6617 C SCHIEWE + ASSOCIATES 1024 NE DAVIS PORTLAND. OR 97232 Phone: 234-6617 Reg#: 1 IC 54105 This Certificate issued 5/21/211113 grants occupancy of the above referenced building or portion thereof and confirms that the building has been inspected for compliance with the State of Oregon Specialty Codes for the group, occupancy, and u e under which the referenced permit w7/tIrM4, /6 � i il' , Y 'Ar/ 1 '1 --- --- - --- -- ILD NG INSPECTOR cl BUILDING FFICIAL POST IN CONSPICUOUS PLACE CITYOF T I G A R D _BUILDING PERMIT PERMIT#: BUP2004-00133 DEVELOPMENT SERVICES DATE ISSUED: 3/24/04 13,125 SW Hall Blvd., Tiqard, OR 97223 (503) 639-4171 PARCEL: 1S135AB 03400 SITE ADDRESS: 10260 SW GREENBURG RD 1020 SUBDIVISION: LINCOLN TOWER TOWN OF ME'IZGER ZONING: C-P BLOCK: LOT: 014 JURISDICTION: TIG REISSUE: FLOOR AREAS _ EXTERIOR WALL CONSTRUCTION__ CLASS OF WORK: ALT FIRST: sf N: S: E: V W: TYPE OF USE: COM SECOND: sf _PROJECT OPENINGS? TYPE OF CONST: 2FR sf N: S: E: W: OCCUPANCY GRP: B TOTAL AREA: 0 sf ROOF CONST: FIFE RET? OCCUPANCY LOAD: 25 BASEMENT: sf AREA SEP. RATED: STOR: HT: ft GARAGE: sf OCCU SEP. RATED: BSMT?: MEZZ?: REQD SETBACKS _REQUIRED _ FLOOR LOAD: psf LEFT: ft RGHT: ft ^ FIR SPKL: Y SMOK DET: DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : Y HND!CP 4CC: BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING: VALUE: $ 5,000,00 Rernarks: T.I. Owner: Contractor: EOP LINCOLN LLC C SCHIEWE + ASSOCIATES 10250 SW GREENBURG RD 1024 NE DAVIS SUITE # 100 PORTLAND, OR 97232 PORTLAND, OR 97223 Phone: 892-2500 Phone: 234-6617 Reg #: LIC 54105 FEES REQUIRED INSPECTIONS _ Description Date _ Amount Mechanical Permit Require �13lIILDI 1'rrmit Fee 3124104 $91.30 Electrical Permit Required I AX] 8%,State Surclrarl 3/24/04 $7.30 Sprinkler Permit Required lit 1'In Rv 3/24/04 $59.35 Framing Insp I j Gyp Board Insp F1.S] FLS I'In Rv 3/24/04 $36.52 Final Inspection i-- - Total $194.47 -- -i iris 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 rules .?re set forth in OAR 952-001-0010 through OAR 952-001-0100. You may obtain a copy of these rules or direct questions to OUNC by calling (503)246-6699 or 1-800-332-2344. Issued By: (-X Penn ittee Signature: Call 639-4175 by 7 p.rn for art inspection the next business day r FOR OFFICE USE ONLY Building Permit Application Receive) Building f op Zoog-1�111 ` Date/By: Permit No Planning Approval Other City of Tigard Date/By. Permit No.. 13125 SW Hall Blvd. Plan Review Other Tigard,Oregon 97223 Date/By: — _ Permit Nu. Phone: 503-639-4171 Fax: 503-598-1960 Post-Review Land Use Date/By: _ _ Case No. Internet: www.ei.tigard.or.us Contact — Juris.: See Page 2 for 24-hour Inspection Request: 503-639-4175 Name/Method — supplementul Information TYPE OF WORK REQUIRED DATA: New construction Demolition _ 1_&2 FAMILY DWELLING Addition/alteration/re)lacement I L1 Other: CATEGORY OF CONSTRUCTION Note Permit lees*are based on the total value of the work performed. Indicate 1 &2-Family dwelling Commercial/Industrial the value(rounded to the nearest dollar)of all equipment,materials,labor, Accessory Building overhead and nroftt for the work indicated on this application. [� Multi-Family Master Builder []Other:_ Valuation......................................................... JOB SITE INFORMATION and LOCATION No.of bedrooms: No.of baths: _ Job site address: ICYL60 3W Green6ur F-024 Total number of floors...............................•..... V — -- New dwelling area(sq.ft.).............................. _ Suite#: 020 Bld ./A t.#:l,jncoln Tutnlev" Garage/carport area(sq.ft. Pro•ect Name: ^EMS Covered porch area(sq.ft.)............................. Cross street/Directions to job site: Deck area(sq.ti.)............................................ Other structure area(sq.fi.)............................ REQUIREDDATA::t COMME1tCIAL-USE CHECKLIST Subdivision: Lot#: _ Tax map/parcel#: Note. Permit fees'are based on the total value of the work performed. Indicate DESCRIPTION OF WORK the value(rounded to the nearest dollar)of all equipment,materials,labor, eytan't Im ro-Jernpev1t overhead and profit for the work indicated on this application. bo Valuation......................................................... Existing building area(sq.ft.)......................... 2 S New building area(sq.ft.)............................... Number of stories............................................ 2 PROPERTY OWNER OWNER TENANT- Type of construction....................................... - Name: EGWITY OFFIc.6 fell-TIC-4% Occupancy group(s): Existing: Address: One SW— Columbia Su`itt- SOO—-_- --- New. Cit /State/Zi ora-� _�u8 NOTICE: All contractors and subcontractors are required to be -19 Phone:5o3 412-48C)o Fax: licensed with the Oregon Construction Contractors Board under APPLICANT' CONTACT PERSON provisions of ORS 701 and may be required to be licensed in the Business Name: GW)N-Ali �hG. - jurisdiction where work is being performed. If the applicant is exempt Contact Name: FL�Glo' from licensing,the following reason applies: _Address: I12.a NW Covek St,. Svitte WO ---- -- - City/StateZi : port 2KA OF , -- - — - -- Phone:503 2Z -ajt'o6tc• Fax: __ - - E-mail: teti,. �yym. .«CONTACTOR •,y;.` f, '` r.'i `�' ter `Ja�{{rtil t•__ Business Name: G , SCh I etkje Sso c, h C , Fees due upon application.............................. S Address: H 615 S W JJr- uenve - Amount received............................................. S City/State/Zi Phone5oS rel 6-b(O 17 1 F : _ Date received: CCB Lic. #: 5 t LO+ _ - _ --- ---- - - - -- Authorized �j + Notice: This permit application expires If a permit Is not obtained within Signature: / �►� � 'v� Date:�_ �._'_�7 180 days after It has been accepted as complete. *Fee methodology set by Tri-County Building InJustn Service Board. (Please print name) 01 stsTermit Forms\nldgPermjtApp.doc 01/03 /VMS LT-1020 3•'L�••O Accessibility: Barrier Removal Improvement Plan City of Tigard I REQUIREMENT: OREGON REVISED STATUTE (ORS) 447.241. (1) Every project for renovation, alteration or modification to affected buildings and related facilities shall be made to insure that the Fath of travel to the altered area and the restroom, telephones and drinking fountains are readily accessible to individuals with disabilities unless such alterations are disproportionate to the overall alterations in terms of cost and scope. (2) Alterations made to the path of travel to an altered area may be deemed disproportionate to the overall alteration when tha cost exceeds twenty-five pit-cent(25%). VALUATION: of all renovation, alteration or modification being done pp excluding painting, wallpapering. [1) $ r' _ multiply: 250% Barrier removal requirement. .25 BUDGET FOR BARRIER REMOVAL [2) $ V50.0 U In choosing which accessible element; to provide under this section, priority shall be given to those elements that will provide the greatest acress. Elements shall be provided in the following order: (a) -PftCamffj dro ite kv�r re�n��;�v"�7 $- +-----' — (�Y�JPJ�JlefWalkJ ,var�,r w49 a"'4 rah rej (b) An accessible entrance.: $ (c) An accessible route to the altered area: $_ (d) At least one accessible restroom for $ each sex or a single unisex restroom: (e) Accessible telephones: $_ (f) Accessible drinking fountains: and $ (g) When possible, additional accessible elements such as storage and alarms. $ TOTAL: Shall equal line 2 of Value Computation $ i ldsts\fomuVlccessibihty.doc 06/07/01 CITY OF TIGARD 24-Hour BUILDING Inspection Line: (503)639-4175 MST INSPECTION DIVISION Business Line: (503) 639-4171 P (� BU /��= Received ___ 1._ Date Requested 1 . 21-L)—Z AM -_ PM BUP Location __ 1�� a, o � Suite 16 20 MEC ,ll Y ��/.'}� J 6 -� PLM Contact Person ph( ) - S - - - - -- Contractor Ph(. ) SWR BUILDING Tenant/Owner L� �'l -s �' ELC Footing ELC Foundation Access: Fig Drain ELR ---_-__-_ Crawl Drain Slab Inspection Notes: - SIT - Post&Beam Shear Anchor- Ext Sheath/Shear Int Sheath/Shear Framing - - - _ - -- - Insulation Drywall Nailing - Firewnll Fire Sprinkler 9t"Ov T- -- - -- - Fire Alarm _--- Susp'd Ceiling Roof --------- --- F -- - -- -------- — ----- - S ART FAIL IND ---- -------- — — — ---- Post&Beam Under Slab -- -- --- - -- — -- ----- -- - - - Rough-In Water Service -- ------- --- -- -- Sanitary Sewer _ Rain Drains -- f- - -`----� Catch Basin/Manhole Storm Drain - -- ---- Shower Pan __-- Other:_ - - F'ial _ _ _-_— PASS PART FAIL MECHANI CAL _- — — - - - --— Post&Bearn Rough-In -- -" Gas Line Smoke Dampers -- - - - Final PASS PART FAIL - - --- ELECTRICAL Service Rough-In UG/Slab Low Voltage - - - -- — Firc Alarm Final Reinspection fee of$ iequirsd bc-f„,r, naxl inspection. Pay at City Hall, 13125 SW Hall Blvd PASS PART FAIL SITE H Please cell for reim3p etion RE:--_ -_ __ - Unable to nspeet- no access Fire Supply Line Data/ ADA / � _ Inspector Ext Approach/Sidewalk -- Other� A_ Final DO NOT REMOVE this Inspection record from he job site. PASS PART FAIL BUILDING PERMIT ary OF T I G A R D DEVELOPMENT SERVICES DATE ISSUIED: 428 /04 4-00191 13125 SW Hall Blvd., Tiqard, OR 9122.3 (503) 639-4171 SITE ADDRESS: 10260 SW GREENBURG RD 1020 PARCEL: 1S135AB-03400 SUBDIVISION: LINCOLN TOWER-TOWN OF METZGER ZONING: C-P BLOCK: —LOT: 014 - _JURISDICTION: TIG REISSUE: _ FLOOR AREAS _ EXTERIOR WALL CONSTRUCTION_ _ CLASS OF WORK: FPS FIRST: sf- N: S: E: W: ~ TYPE OF USE: COM SECOND: sf PROJECT OPENINGS? TYPE OF CONST: sf N: S: E: W: -- OCCUPANCY GRP: 13 TOTAL AREA: 0 sf ROOF CONST: FIRE RET? OCCUPANCY LOAD: BASEMENT: sf AREA SEP. RATED: STOR: HT: ft GARAGE: sf OCCU SEP. RATED: BSMT?: MEZZ?: REQD SETBACKS _ _ _REQUIRED FLOOR LOAD: psf LEFT: - ft RIGHT: ft FIR SPKL: SMOK DET': DWELLING UNITS: FRNT: ft REAR: P FIR ALRM : HNDICP ACC: BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING: VALUE: $ 250.00 Remarks: Add 1 and relocate 1 fire sprinkler. Owner: Contractor: F_OP LINCOLN, LLC MCKINSTRY COMPANY 10260 SW GREENBURG RD 5400 NE COLUMBIA BLVD SUITE # 100 PORTLAND, OR 97218 PORTLAND, OR 97223 Phone: 892-2500 Phone: 331-0234 Reg #: MET 000908011179 FEES LIC REQUIRED INSPECTIONS_ DescriptionDate Amount Sprinkler Rough-In lit!ILD] Pcrnut I rc 4/28/04 $62.5O Sprinkler Final I'AXI R"!,State Stiwhart 4/28/04 $5.00 Total $67.50 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is riot 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 O�R 952-001-0010 through OAR 952-001-0100. You may obtain a copy of these rules or direct questions to OUNC by calling 1503)246-6699 r 1-800-332-2344. Issued By:Permi Signature:e Call 639-4175 by 7 p.m. for an inspection the next business day Fire Protection System 11111 till]0 2 1 MET Mi, Building Permit Application Recerved Building u'+�, n Date/By: �� J Permit No.:W it avtfX-eo1(j1 �.It U>�TI r�ll'(� Planning pro I Other Y h Date/By: 11crnut No.: 13125 SW Itall Blvd, Plan Review Other Tigard,Oregon 97223 Date/By: Permit No.: Phone: 503-639-4171 hax: 503-598-1960 1 Post-Review land Use Date/FI Case No, _ Internet: www,Ci.tigard.or.us Contact Juris.: Sec I'aac 2 for y 24-hour Inspection Request: 503-639-4175 Name/Method: _ / Supplemental Information TYPE OWRK REQUIRED DATA: Ncw cons ruction Demolition 1 &2 FAMILY DWELLING i Addition/alteration/replacement Other: CATEGORY OF CONSTRUCTION Note: Permit tees*are based on the total value of the work performed. Indicate I &2-Fanlily dwelling ,�commercial/Industrial the value(rounded to the nearest dollar)of all equipment,materials,labor, overhead and profit for the work indicated on this application. Accesso $ui dirigMulti-Famil Master I3uilder Other: valuation......................................................... $ JOB SITE INFORMA'T'ION and LOCATION No.of bedrooms: No.of baths: Job site address: 102(eo 5 W Fri 13t/ p Total number of floors..................................... F-_-- New dwelling area(sq.R.).............•..•............. — - — Suite#: OZD $ld ./A t.#: I.1NCot�.f�'a Garage/carport area(sq. ft. _ Project Name: ArW6 Covered porch area(sq.ft.)............................. Cross street/Di rec I.ions to job site: Deck area(sq. ft.)............................................ Other structure area(sq. fl.)............................ REQUIRED DATA: - V-- _ _ COMMERCIAL-USETHECKLIST Subdivision: _ -- � Lot#: Tax ma n/ areel #: Note: Permit fees*are based on the total value of the work performed. Indicate DESCRIPTION OF WORK the value(rounded to the nearest dollar)of all equipment,materials,labor, overhead and profit for the work indicated on this application. Valuation......................................................... Existing building area(sq.ft.)......................... New building area(sq.ft.)............................... Number of stories............................................ WZA PROPERTY OV,NER I El TENANT Type of construction....................................... Name: Occupancy group(s): Existing: New. Address: _ _ City/State/Zip: ,—_ _ F NOTICE: All contractors and subcontractors are required to be Phone: ax: APPLICANT CONTACT PERSON - licensed with the Oregon Construction Contractors Board under 171 provisions of ORS 701 and may be required to be licensed in the Business Name: ,j-5-T ' � jurisdiction where work is being performed. If the applicant is exempt Contact Name: CW� p(l_ from licensing,the following reason applies: Address: 5 '5 AN—f0L,vM li0. _ -- — City/State/Zip:, ba;rZo4r-10 — Phone: , v!M I Fax: 41 BUILDING PERMIT FEES" E-mail: qq _ IrJ r, Grit" Please refer to fee schedule. TRACTOR - - - - - Business Namel.,�ly-T 1(�, Fees due upon application.............................. Address: _ _;45 4_L4*- ' Cit /State/Zi Amount received.....................................•....... Phone: Fax: � Date received:-------- CCB eceived:--`_CCB Lic. #: c R Authorized �_ Notice: This permit application expires If a permit Is not obtained%iiihin nature: — Date:O r�� / IRO days after It has been accepted as complete. -s-i -- y -- 'Fee methodology set by Tri-Coom.% nuilding Industry Service Board. (Pleasep rint name) is\Dsts\Permit Forms\BldgPermitApp.doc O1/03 Fire Protection Permit Check List ---- ----- --- -- TA.) ❑ New _❑_AdditionAlteration Re air B.) Modification 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: Ty pe of System Complete A, B or C as applicable__ - -- A.) Sprinkler W_et _ Dr Cll Standpipes _ Additional Hazard Group__ Information Design n AreaK. Factor __ , t.• Sprinkler Pro ect Valuation: $ 250. vo B.LT I - Hood Fire Suppression System Hood Project Valuation $ _ C.) Fire Alarm Submittal shall Battery Calculations Yes ❑ ___ include: Individual Component Yes _ Cut Sheets _ Fire Alarm Pr )*e_ct Valuation: $ Pro ect Valuation Subtotal A, B & C $Per It fee based on.valuation (see chart): $ _ 8% State Surcharge: 1 $ FLS Plan Review 40% of Permit: $ - - — — TOTAL: $ _ Plan review requires a completed application and 3 sets of plans at submittal. Plan review fees are required at submittal, "New" fire protection systems require that plans bear the original seal of an Oregon licensed fire suppression engineer, or NICET level "3" technicians. I:\ds1s\forms\FPScheck1ist.doc 11/21/01 ELECTRICAL PERMIT- CITY OF TIGA►RDRESTRICTED RESTRICTED ENERGY DEVELOPMENT SERVICES PERMIT#: ELR2004-00111 13125 SW Hall Blvd., Tigard, OR 97223 (5031639-4171 DATE ISSUED: 4/28/2004 SITE ADDRESS: 10260 SW GREENBURG RD 1020 PARCEL: 1S135A6.03400 SUBDIVISION: LINCOLN TOWER-TOWN OF METZGER ZONING: C-P BLOCK: LOT: 014 JURISDICTION: TIG Prolect Description: Data cabling. A.RESIDENTIAL B.COMMERCIAL _ AUDIO & STEREO: AUDIO& STEREO: INTERCOM & PAGING: BURGLAR ALARM: BOILER: LANDSCAPE/IRRIGAT: GARAGE OPENER: CLOCK: MEDICAL: HVAC: DATA/TELE COMM: X NURSE CALLS: VACUUM SYSTEM: FIRE ALARM: OUTDOOR LANDSC LITE: OTHER: HVAC: PROTECTIVE SIGNAL: INSTRUMENTATION: OTHER: TOTAL# OF SYSTEMS: 1 Owner: Contractor: EQUITY OFFICE PROPERTIES TRUST DYNALECTRIC 10260 SW GREENBURG RD#100 2904 SW FIRST AVE. TIGARD, OR 97223 PORTLAND, OR 97201 Phone: 992-2501) Phone: 503-226-6771 Reg M LIC 066793 SUP 48175 E,LE 20-59C FEES Required Inspections DescriptionDate Amouot Low Voltage Inspection I I I'I(M'l J EI-'R Permit — 4/28/2004 $7500 Elect'I Final I A\1 8"'.State suldwil 4/28/2004 $6.00 Total $81.00 This Permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for 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 952-001-0100. You may obtain copies of these rules or direct questions to OUNC at(503) 246-6699. Issued by f�( , (L i} _ 0, t( � c - Permittee Signature_ 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 NO: Call 639-4175 by 7:00 P.M. for an inspection needed the next business day lil'k '004 12: 54PM nYNALECTRIC 503 226 7720 L� Elect) teal Permit Application P Received PemdtNo.: � City of Tigard Datel6 : JA �` � _ 13125 SW 11311 Blvd.,Tigard,OR 97223 Plan Rn" Other Permit: Phone 503.6394171 Pas: 503.598.1960 Dae-M- _ _— Uit RsadyfHy: rv' 0 See Page 2 for Inspection Line: 503.639.4175 $upplernenlat laibrniatlon Internet www.ci tigard.or.us NotifiauMethod: 1 -- 1 7 , i +R1 AN Please check all that apply: ❑~New construction []Additiontalterationtreplaeermnit []service ova 225 attrps,eornrn'l ❑Hazarbous location ❑Detttohtton ❑Usher ❑Service over 320 amps-rating ❑Buildng over 10,000 sq,il., -d. of I•rind 2-farnily dwellings 4 or more new reaidenhal ❑System over 600 volts nominal units in one strucw,e l and 2-family dwelling Commercial/industrial ❑Accessory building ❑Building over three stories ❑Feeder&,400&nips or more ❑Multi-firrtil ❑Master builder n Other ❑Uccupoat load over 99 persons ❑Manufactured structures or �• ` � r'',i*k I ' " ❑E e&s/li htin plan RV park gr B S . ,,�/ ❑lleeltt,•care facility []0thet•: Job no. 7' rib site address:_ 1 Submit j_sets of plats with any of i.,c above The above are not applicable to temporary construction service City/State/Z[P: a _ . Suite/bldg/apt no.: I Ptoject name: ._,!�-�y��- - � / na,�,w„ �atr. rc trM. Cross street/directions to job site: _ New residential single or multi-family dwetling unit. _ Inelodes attached gars e 1,000 sq ft.or less 145.15 4 -TT--r Subdivision, FA.add']500&q ft,or portion 33.40 1 Lot no.; . _ ( � - Limited energy,residential 75 00 � 2 rax map/parcel no. - United encrgy,non-residential 75.00 2 Each manufactured or modular dwellir. ,service and/or feeder 9090 2 ' Servien or feeders installation,alteration,and/or relocation (�l y 2W amps or lass 8030 2 ,, ._ ;--�. / 101 amp,to 400 amps 106 9s 2 `��W', . r a El '.N: `,c- 401 amps to 600 amps 160.60 2 Name:1 601 amps to 1,000 amps 140.G0 �_ 1 -�—'-- ` — -- Over 1,000 amps or volts 454.65 2 AddTew: _ Recorurect only 66.95 2 City/State/Zip: Temporary services or feeders installation,alteration,and/or relocation_ _ Phone:( Fax:( ) ton amps or Ices 66.95 (tuner Installatloat'Phis tnstallation is being trade on property that 1 own which is unt 201 arms '50 strips 100.30 2 Intended for sale,lease,rent,or exchange,according to URS 44;,449,670,and 701. 4U1 amps . J amps, 133.75 2 Owner signature: __Date_ _ _Branch circuits-new,alteration,or extension,perpanel — T A Fee tot branch circuits with service or feeder fee.each 6.65 2 Business name branch circuit __ _ -- ---- -- -- i3.Fee for bra. circuits Contact name: _ withouf service or feeder fee, 46.95 2 — -- each braneb circuit_ Address _ _ _ P.arh ad_ I branch circuit 6 65 2 City/StatelZlP: _Miscellaneous(service or feeder not include Pumpor irrigation circle 53.40 2 u rax ( ) Si a outline li htin 53.40 2 Phone:( 1 p Iiihung Signal circuits)or limited- i � > energy panel,alteration,or 1.' r. - „ 4 extension.Describe• Page 2 2 Business natne: - -'— Each additional inspection over allowable In any of the above Address. Per inspection 62 50 City/State(ZIP: Investigation pa hour(1 Itr min) 61.50 _ �—_ Industrial Lnt per hour 71.75 Plane: Pax: CCD Lic.: L+lealxitxl Lic.: — Suprv.Lie. -1 g(7—� Subtotal Supty,Electrician signawre,req d: Plan review(25%of permit fee) _ State surcharge(B%of pemnt fee) � , Q� Print num; Dat�e�y''�� -- / �� _ TOTAL PFRM1T REE 1:b( Authorized sigrlaln This permit application expl,es If a pertru,Is not obtalaed within tan days after It hal bean accgrted as complete f rant name: _ DateFer nx4hodoiogy set by Tri-County Building industry Sena;r Board �_ ••NumF,�of Inspection per perruit allowed. 44o4615T(I4WR:0WWM CITY OF T I GA R d ELECTRICAL PERMIT \ PERMIT#: ELC2004-00164 DEVELOPMENT SERVICES DATE ISSUED: 3/31/04 13125 SW Hall Blvd.,Tiqard, OR 97223 (503) 639-4171 PARCEL: 1S135AB-03400 SITE ADDRESS: 10260 SW GREENBURG RD 1020 ZONING: C-P SUBDIVISION: LINCOLN TOWER-TOWN OF METZGER BLOCK: LOT: 014 JURISDICTION: TIG Project Description: install (2)branch circuits. RESIDENTIAL UNIT TEMP SRVC/FEEDERS _ MISCELLANEOUS 1000 SF OR LESS: 0 200 amp: PUMP/IRRIGATION: EACH ADD'L 500SF: 201 - 400 amp: SIGNIOUT LINE LTG: LIMITED ENERGY: 401 - 600 amp: SIGNAL/PANEL: MANF HMI SVC/ FDR: 601+amps - 1000 volts: MINOR LABEL (10). SERVICE/FEEDER BRANCH CIRCUITS ADD'L INSPECTIONS 0 200 arnp: W/SERVICE OR FEEDER: PER INSPECTION: 201 - 400 amp: 1st W/O SRVC OR FDR: PER HOUR 401 - 600 amp: EA ADD'L BRNCH CIRC: IN PLANT: 601 - 1000 amp: PLAN REVIEW SECTION 1000+ amp/volt —T > 4 RES UNITS_ > 600 VOLT NOMINAL: Reconnect only: SVC/FDR —225 AMPS: CLASS AREA/SPEC OCC: Owner: Contractor: EOP LINCOLN,LLC WILLAMETTE ELECTRIC INC 10260 SW GREENBURG RD PO BOX 230547 SUITE#100 TIGARD,OR 97281 PORTLAND,OR 97223 Phone: 892-2500 Phone: 503-624-3631 Reg #: I.IC 75059 --- — SUI' 196 SS FEES I t F 14-2s,( Description Date Amount P.equired Inspections (I.LPRM'Tj I:Lt Permit t 11 114 $53.50 -- -- --- 1I AX j Ron Stutc Surcharge t t 1 n-1 $4.28 Rough-in Elect'I Final Total $57.78 This Permit is issued subject to the regulations contained in the Tigard Municipal Code,State of OR.SpeciaNy Codes and all other applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance,or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set i- forth in OAR 95k-001.0010 through OAR 952-001-0100. You may obtain copies of these rules or direct question OUNC at(503)246.669 r 1-800.332-2344. Issued By. /� Permit Signature:x .4 r 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:--_ — i CONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR. ELEC'N: _ _— —._._. �.__.� _ DATE:----- LICENSE ATE:___—LICENSE NO: c /�- -=--- --- -- --------- ----------- - ----- --- Call 639-4175 by 7:00pm for an inspection the next business day Electrical I'Lrmit Application FOR OFFICE USE ONI,V City cif Tigard 3l PerrttitNo. 13125 SW Hall Blvd.,Tigard,OR 97223 Date/B Phone: 503.639.4171 Fax: 503.598.1960 Plan Revievt Other Pet-mit: DBtEB Inspection Line: 503.639.4175 Date ReadyBy lura r ® see Page 2 ror Internet: www.ci.tigatd.or.us Notifled/Method 'r(l_ Supplemental Information TYPE OF WORKPLAN REVIEW ❑'New construction Addition/alteration/replacement Please check all that,apply ❑Demolition ❑Other ❑Service over 225 amps,comm'( []Hazardous location El Service over 320 amps-rating ❑Buildng ovor 10,000 sq.R., CATEGORY OF CONSTRUCTION T of I-and 2-family dwellings 4 or more new residential ❑ I-and 2-family dwelling ,:ra�U ommercial/industrial ❑ Accessory building ❑Sistem over 600 volts nominal units in one structure ❑Multi-lamily ❑Mastet builder ❑Other []Building over three stories ❑Feeders,400 amps or more _ ❑Occupant load over 99 persons [ Manufactured structures or _ AND LOCATION ❑Egress/lighting plan RV park JOB SIT ., FOF.MATLON Job no.. t`fy�, Job site address: !U 2y� r.� �' - -- Health care facility ❑Other: Submit_Z.sets of plans with any of the above. City/State/ZIP: TI n d rL The above arc not applicable to temporary construction service. t. Suite/bldg./apt.no.: �U 7 U Project name: F,EE* SC41PULE �j 'C r1,� 1' .. '-Ddcrtptlon It2ty. I Fee. I ^'total Cross street/directions to job site: New residential single-or multi-family dwelling unit. Includes attacF.'garage. 1,000 sq.R.or less 145 15 4 Subdivision: Lot no.: Ea.add'I 500 sq.it.or portion 33.40 1 Tax map/parcel no - - Limited en.Kgy,residential 75.00 2 -- -------.------_ __-- --- -__-. _ 'imited energy,non-residential 75.00 2 DESCRIPTION OF , RI Each manufactured or modular dwelling,service ano'Eink—L 90.90 2 O L r 8 1 d w 1 ��' _ Services or feeders installation,alteration,and/or relocation 200 amps or less �- 80.30 2 - U MOPERTY � [� j1t 201 strips to 400 amps 106.85 2 - -- 401 strips to 600 amps 160.60 2 Name - -' -` ---^__ 601 amps to 1,000 amps 240,60 2 Address: Over 1,000 strips or volts 454.65 2 — ----- - ---- - Reconnect only 66.85 f 2 City/State/ZIP: Temporary services or feeders installation,alteration,and/or Phone:( ) i Fax:( ) _ relocation 200 amps or less 66.85 l Owner Installation:This installation is being made on property that I own which is not 201 amps to 400 amps _ 100.30 2 intender)for sale,lease,rent,or exchange,according to ORS 447,449,670,and 701. 401 amps to 600 amps _1 1 133.75 2 Owner signature: _ Date: _ Branch circuits-new,alteration,or extension,per panel OPLICANTi [] CONTACT kRS0N A Fee for branch circuits with - -- T - - service or feeder fee,each Business name: branch circuit 6.65 2 Contact name: B.Fee for branch circuits - without service or feeder fee, / 46.85 U` each branch circuit Address: Each add'(branch circuit 6.65 2 CitytState/Zr . Miscellaneous(service or feeder not Included) Phone:( ) Fflx: :( 1 Pump or irrigation circle 53.40 2 -- ---- -_ _ Sign or outline lighting _ 5340 2 E-mail: Signal circwt(s)or limited- CONTI>?A OE3 energy panel,alteration,or Business name: e" extension.Describe: Page 2 2 Address: - ` 3 - Each additional Inspection over allowable In any of the above Per inspection 62,50 City/State/ZIP- e3 �zn Investigation per hour(I hr min) _ 62.50 Phone: _ In lustral plant per hour "1's ( �� ) i5 t y �E ( Pax:(SC't) (.l 4 2�!s j' (CAL PERMIT I 'ES• CCB Lic.: �T Electrical Lic.: 3Y_ 7.4�t Suprv. Lic.: (ID _ Subtotal Su rv. Electrician signature.re p gn .required y `J ,F% Plan review(25%of permit fee) _1 State surcharge(8%of permit fee) CA Z_._ Print name: /+�, � � Date: J ��_ �,y �g_ TOTAL PERMIT FEE Authorized signature: This permit application expires If a permit is not obtained within 190 days afta,It has been accepted as complete Print name: Date: Fee methodology set by Tri-County Building Industry Service Board •'Number of inspections per permit allowed. itauiIdingUNrmnnetC-PemvtAppdoc 12/01 aro-4etSTI,toro2/COM/WEa Flectrical Permit Application - City of Tigard Page 2 - Supplemental Information LIMITED ENERGY PERMIT FEES: RESIDENTIAL WORK'JNI,Y: Fee for all residential systems combined........ $75.00 Check Type of Work Involved: ❑ Audio and Stereo Systems* ❑ Burglar Aiarm ❑ Garage Door Opener* ❑ Heating,Ventilation and Air Conditioning System* ❑ Vacuum Systems* ❑ Other: COMMER(UL WORK 0 Fee for each commercial system....................... $95.00 (SEE OAR 918-260-260) Check Type of Work involved: ❑ Audio and Stereo Systems ❑ Boiler Controls ❑ Clock Systems ❑ Data Telecommunication Installation ❑ Fire Alarm Installation ❑ HVAC ❑ Instrumentation ❑ Intercom and Paging Systems ❑ Landscape Irrigation Control* ❑ Medical ❑ Nurse Calls ❑ Outdoor Landscape Lighting* ❑ Protective Signaling ❑ Other Total number of commercial systems: *No licenses are required. Licenses are required for all other installations i t9wldinglermiu\F.LC-PemutApp doc 04103 CITY OF TIGARD 24-Hour BUILDING Inspection Line: (503)639-4175 MST - - INSPECTION DIVISION Business Line: (503) 639-4171 BUP __ -- Received ___- 2 Z Date Requested. --`��- AM_- PM -_ BUP Location ___ �S - Suite v __ MEC - Contact Per:on - �1-�-� - - Ph (-- ) ------ PLM ---_� ----- Contractor_- --- �5. --: __. Ph ( �) L2.z 6 3. SWR - BUILDING _ Tenant/0wner __. _ _.___----- -- L-- �-� - Footing ELC Foundation Access: Ftg Drain ELR — Crawl Drain SIT Slab Inspection Notes: -----_T_ Post&Beam - ----- - Shear Anchors Ext Sheath/Shear --- - ------- ---- — Int Sheath'Shear Framing -- Insulation Drrvvall Nailing --- --- - ------- Firewall Fire Sprinkler --- __--- ------ --------__._._.--_- Fire Alarm Susp'd Ceiling — --- Roof Other:--- _ --- Final -- PASS PART FAIL PLUMBING -- --- - Post&Beam !'b Under Slab ---- Rough-In Water Service Sanitary Sewer ,_ j Rain Drains Catch Basin/Manhole Storm Drain Shower Pan Other: Final -- P_ASS PART FAIL MECHANICAL — - --- - Post&Beam — Rough-In -- — ----- -- ---- Gas Line Smoke Dampers -- —�'-- - -- --- ---- Final PASS PART FAIL - — ELECTRICAL_ — El_P, _----- Service — Rough-In - ——-- --------- UG/Slab Low Voltage �Fire Alarm F I -- u Reinspection fee of$_— required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. P PART FAIL S_I Please call for reinspection RE:------: E:_— U Unable to inspect-no access Fire Supply Line ADA Data 1 � __ Ins.pee,or �" 0 Ext 4 Approach/Sidewalk -- - Other:_ Final DO NOT REMOVE this Inspection record rom the ob site. PASS PART FAIL CITY OF TIGARD 24-Hour BUILDiNG Inspection Line: ;503)639-4175 INSPECTION DIVISION Business Line: (503)639-4171 MST B UP Pr^eived ��_L�� Date Requested_� `US_ AIA---PM BUP Location _-�-. / lJL- z- L�yuite_ MEC -----___-_- Contact Person Ph PLM Contractor --__ __- Ph( ) SWR BUILDING Tenant/Owner ___Z-A .5 /L 5 _ IELC Footing Foundation ELC Ftg Drain Access: ELR Crawl Drain Slab Inspection Notes: j� SIT Post&Beam Shear Anchors - Ext Sheath/Shear _ Int Sheath/Shear Framing --- - -- - - Insulation Drywall Nailing Firewall -� "Fire Sprink� le ----- 're IITAPffi� Susp'd Ceiling --------- --------- Root t r: nal) — SS PART FAIL PLUM13IN_G = Post& Beam - Under Slab -- - -- --- - ----- --—-— ---- Rough-In Wator Service -- ---- - - - - --- -- - -- - --._ Sanitary Sewer Rain Drains - -- --- Catch Basin/Manhole Storm Drain - --- - Shower Pan Other: _ -- --- - - Final __PASS PART FALL_ MECHANICAL Post& Beam Rough-In Gas Line Smoke Dampers - - --- -- --. Final PASS PART FAIL. -- ELECTRICAL Service —�-- -- ---- ---__.--.----- --- - Rough-In UG/Slab -- ------- --- __ Low Voltage Fire Alarm ------ ----------_---- Final Reinspection fee of$ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL SITE F] Please call for reinspection RE:^ __. . _ _ ❑ Unable to inspect-no access Fire Supply Line ADA Approach/SidewalkData .- � Inspector Ext Other. l Final DO NOT REMOVE this Inspection recor from t e Job site. PASS PART FAIL I j SEE 35MM ROLL# 23 FOR LARGE DOCUMENT I � OCUS T s TF-EET 7�1 FIVE S aut-�� LINCOLN Cd,►eFry LIKUXK, DMDWG r TNRE1" -� LINCOLN 102,50 10220 Two LINCOLN 102 u I TE ONE LIN oLN LINca C) OWEP� Lioz a3"0 14260 CIO LINCOLN LAZA PLAzA TPL •__ __- ,JFK — --- lo500 LINCOLN cEfJElz - s<e PLM f 1 , 2�U sw Greenbvrq R� �V7