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10260 SW GREENBURG ROAD STE 110-2 NU I E Sc q�c DATE ®E.XISTI^!C. 15;'o �J G ,&, CQNCCAItPENDENT r SPIES t R PROPERTIES ys : tV, 9 -15-a:) A0 HEAO AtJGCO FROM6x% ebT1Nv 14ep* ie. PLu � � � b SUITE 110 c e x l S'T" 1 N G !-i E ak O RE• L-O C A-c t IO2E0 X111 GREENI_ UkG RE eNb'AlEeA 541EIEr h HIL.-T1 SHOT s. 6. 16I<" "7 t rte......ALL PI PE SCH y0 P O P\ TL A IVC O R . LINCOLN D A ALL too R K F Ek N F A Loc�L A�rr*o&vTy TOWER l3 L O G , CITY F TIGAR .... �'. Approved...... . Pd ... ............. .� itionally Pprov For only the` vjork a5 described in: A ?' `1�57"FNIS, Y�VG l �� tet✓„p Ij,I�ti� ___ - -----------' A 170 MATIC F7jK �R071EL?ION KEY PLAN F-ER _____” P ........... ........ ( »435 SW 1-4 fhh Am See Letter to: Fo1ow.......... . .��*... 1 ��011 VVQ A>tac h• .,dell Jolo AddreSS�_� 0 ' �_ F�c O'2_1.jft By o Vep o , I - t....._ _ Ri R R O o E . o T,E__) 01 � � I � I � O - --•- - -- _ O -_ _� 1 ------ &T Or_ T 4 16 ,E) ! > > l NOTICE: IF THE PRINT OR TYPE ON ANY r� rT I I I i i ( I I I I I l l I I I I I I I I I I ) 11 1 III IIT 1 I l ff�1ITITI-! f-rf- 111- 11 11.1. 1 II 111 111 111 III 1 I I •.1.1-1 ,11 I I l i III III , I r1 r r11 r r 7ITITI'lil ' 1 j 1f i �. I I I C I IMAGE IS NOT AS CLEAR AS THIS NOTICE, J _ _— _—� 7 10 —IT IS Dl;c TO THE QUALITY OF THE No.36 ORIGINAL DOCUMENTE 6 Z 8 Z L Z !�Z 5 Z Z E? ZIZ T Z U Z 6 i 8 T L T 9 T g C Z E Z Z T i 1 T 6 8 L I 8 Q V 8 Z 1 I a�aiaw 1 IIII IIIIIIIIIIIIIIIIIIIII,IIIIIIII�IIIII1111 �I_l_I_ �1 111. 111 111 ��II111 Illlllllllllllllllll IIIiIIII IIIIiI�IIIIIIIII :IIIIIIII II1�,1111IIIIIIIIIIIIIIII1111111i � .11.11�ll .11ll1.1111.111LI11. 111.1 lel1.1_1 1.1.11�1.ullll��l 1 0 N O� O S C. rri1 �7 n V 10260 3W GREENBURG RU#110 CITYOF TIGARD PLUMBING ,'ERMIT DEVELOPMENT SERVICES PERMIT#: PLM2002-00375 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 9/20/02 SITEADDRESS: 10260 SW GREENBUP,G RD 110 PARCEL: 1S135AB-03400 SUBDIVISION: LINCOLN TOWER-TOWN OF MET7_GER ZONING: C-P BLOCK: LOT: 014 JURISDICTION: TIG CLASS OF WORK: ALT GARBAGE DISPOSALS: 1 MOBILE HOME SPACES: TYPE OF USE: COM WASHING MACH: BACKFLOW PREVNTRS: OCCUPANCY GRP: FLOOR DRAINS: TRAPS: STORIES: WATER HEATERS: 1 CATCH BASINS: FIXTURES LAUNDRY TRAYS: SF RAIN DRAINS: SINKS: 1 URINALS: GREASE TRAPS: LAVATORIES: OTHER FIXTURES: TUB/SHOWERS: SEWER LINE: ft WATER CLOSETS: WATER LINE: ft DISHWASHERS: RAIN DRAIN: ft Remarks: Tenant Improvement - replace fixtures FEES Owner: -- - — Type By Date Amount Receipt EOP LINCOLN, LLC PRMT CTR 9/20/02 $72.50 27200200000 10260 SW GREENBURG RD 5PCT CTR 9x20/02 $5.80 27200200000 SUITE # 100 _ - - PORTLAND, OR 97223 Total $78.30 Phone 1: 892-2500 Contractor: POWER PLUM3ING CO PO BOX 23144 TIGARD, OR 97281 REQUIRED INSPECTIONS Phone 1: 244-1900 Rough-in Insp Top-out Insp Reg #: LIC 52378 PLM 34-150PB Finallnsper,'ion This permit is issued subject to the regulations contained in the Tigard Mt:,ricipal Code, State of OR. Specialty Codes and all other applicable laws. All v,,ork will be done in accordance with approved plans. This permit w0 expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 day ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-0001-0010 through OAR 952-0001-0080 You may obtain copies of these rules or direct questions to OUNC by calling (503) 246-1987. Issued By: _ �� ,� �_ _ Permittee Signature:_ GGCLLtfYt Call (503 639-4175 by 7:00 P.M r nn inspection needed the next busi a day !;IV, IH 2002 10: 40RM HP LASERJET 3200 P 1 + l ._ rllumbrig•I'ermit A►pph• on .. ,t i c o$torecctva fi ' Ptairiit City of Tigard Scwrrpermltno tluildfngpamilno.: Address. 13125 SW Hall BIv�,;T��,,�vR 97 — City°�g°rd Phone: (503) 639-417L , c� ProjecV>tppl.no_ -_- ---- Brcpiredatc: - Fax: (503)598-1960 - +J h+ ! Daelssu'_d: - By: Rccelptno.: Land use approval: case file no.: _ Payment type: J 1 dt=familylling or accessary U Gmimemiallindustiial U Multi-family U Tenant improvement O NeU Add itionfaltr_atinn/rrplacct.rnenl U F<xx1 sr.rvic:e U Other. - _- 1 1EU=4l I I DIMMMMM ' Dmer{pt;on Qty. Fee eo. Total Job address: New 11-a.nd t-family dwellings only: Bldg.no.: Stucc no` s (includes IDOB.tureach mWit7 rtmuecliou) Taz tnap/tar.IoVaccount no.: �! __-- -- SFR(1)bath Lot; Block: Subdi�.ritiion: SFR(2)bath Project name - SIR(3 bath _ --- — Ci /stunt* /- ZTP:- _ C Each additional batl9kitchen _ tY Y:� Siteutilttiex Descriptio and lcx:alion 1 work on prtr ises: - � d Catch basinlarea drain — -"- Urywclls/Icach lincitrrmch drain Est.date of completion/inspection: F•outinz drain(no.lin.ft_) Mauufac urtxl barite utiliUca _ - ausiness nano; olcs Rain Fmin onnnuctor Sanitary sewer(no.lin.it) — — Cit : i Stare: QY'�Z1P: - Y — Fax: I3 rani!: toren Sew er(tx�. lin_ft-) °�: _Water service Din lin.IL) CCB no.: Plumb.bits.reg.no: FbttrQr.or Item: _City/metro lic.no.: �tAz Ahso on valve Contractor's tepresentative signa•ure: BPCk flow paeventerf Pont name— S Date: U e_' [lackwater valve Y_ Name: - _-- Name:_ s was es Address. brinki_t f°�untain(s)J -Address. _ State- ZIl' E ectots/swn� — Plionc: Fax: )email: Exvansiun tank — FixhnrJsewex cap �.-- - Hloor dmimmillcxn sinksthub Nam(print): ( -_ .L_Q.- Gazfi a di ►osal - - Mailing addrus. �&4 S 6 Nose bibb City: I late: -- --- Phone - U Fax: _ &mail: trite -� ase trap __ -- ---� Owner instFltalion/residential maintemnce only: 1'he actual installation Primer(s)will he made by me or the maintenance and repair made by my mgular Roof drain(commercial) employee on the properry I own as per ORS Chapter 447. Si (s),basin(s)_ays(s) Owner's signature: Dale: _ umTH _- 't'ubs/ wcr/shower an Urinal Name: - stet c oset Address: _ WaterTieater ,ti!r City: State: _ Other: ---- Phone: --P TFax: E-mail: o --- Minimum fee................ Na all jari+dictinaa.qt eedit earda.j4.eau Jmbdtctioo tar more trta<matioo Notice:'Ilcis penuit application Plan review(at _ %) $ - U vita t]MasterCard ext,ims if a putnit is not obtained State surcharge(8%) within 190 days after it bass been U acceptai nc complete. TOTAL ..................... $ /11L3 Nurse:ofiatd6o u a on t and $ �.adholdereiRouue ATOWt 4404616(601-C l� AI SLP 1H 2002 10: 40AM :lP LASERJET 3200 p. 2 4' 1. d. AZ• Sink _ 16.60 , r Lavatory — 18.60 One Ih _ " 124920 v Tub or Tub/Shower Cvmb. �--- 16.60 _ 2 tl1 -- 5350.00 ShovwrOnly �- 16.60 — Throe 3 bath 5399.00 Water Closet ..i 16.60 , 4 ,. . .SUBTOTAL r" F: T--- Urine �:• 8'/°STATE SURCHARGE ' Dishwasher 16.60 PLAN REVIEW 25%OF SUBTOTAL TOTAI fill GarbDisposal 18.60 _ �4 !' t 18.e0r .i ti n' Laundry Tray WashinyMaUlino � ?16.110- � •'" . A, f luorl ralNFk)ol Rink r 18'60 PLEASE COMPLETE '' 3- 16.60. 3 18.80 1h: Water Heater U Co-fl vnrslrxt iW kind �f, •, x;aa Piping requires a separate echani(;Al �rertth -- MFG40,11 e New'.Va1er Sorvico 46 40 Sink -46A0 --"--- _Lavator _ MFG Homo Now SaNStorm SewerTub or Tu,',Mower I foss Bibs _ - - 16.60 _ Combination _ Flout tains 16.60 — Shower Onlyh., 75jV D 16.M Nater Closet Fountain Urinal cb') Other Fbduros(SPO —^_ --16.80 Dishwasher _ Garbage Dls�osal -. - — t-aundry Room TMy _- -- --' Werhlnp Machina Floor Drain%Sirik Z' _ Sewer-1st 100' 66.00 - �' ler-each edditiorel 100' —T - 48.40 4' 77 56.00 Wator Heater Water Service-let 100' Other Fixtures Water Service-each 13ddhlonal 200', 46.40 S WYE 55.00..., Storm 4 Rain Drain-,1 st 100' Storm&Rnln Main•earh addhional 100' _- 46.40 Commercial BArk Flow Prove Devoe MAO - — Residentlal Baddiow Preverhtkxh[hwlce' 27.65 Catch Baslu J .� — 16.60 Inspr�etlon of Exir lap Plumbins)or Sperially 72.50 '` • 11t1f Ru�vettad las ions COMMENTS REGARrIIN(IABOVE Int alngleIamly,dwelling - G mase+Traps -- 16.60 --��--- — ---—-- -- - - QUANTITY TOTAL Isorrmtrtc orrlsar dlatlran is renulrnd M -- —_- --- .--•——-- - , Qy.ntky ToW lS r p SUBTOTAL P °'r112 5D _ — —. _�__ --- ------ ------ 8%STATE SURCHARGE C- - -" -'--- - - "PLAN REVIEW 259/6OF EFT—SU -Of ALOT Requlrod aNy tl Ilxwre rpt .RNa,Is e - TOTAL }Minimum permit Ice In$72.6)- 6`Y"t surchaW."C"I ReslaeMtal Kadtllw prEvlrrlla,Dnvloe,which It$3x).26+01%SWIR Wrdwrpe t "All Nov.Commerelel ouedlnpa mgjire pluu with istitnelric a rher diagram and plan review I ldstS"nTtalUlm-fees.d,x: 10/10/00 1 12/30/2003 15: 18 503-443-370ti TM RIPPEY PAGE 02 'TA4 RIPPEY 76.50 SW Beveland Street,Suitt 300 Tigard,OR 97223CONSLJLTJNG GNGINp.ERS Phone:(503)W-3900 / Fax• (503)443-??pp December 30, 2003 ` a O —A61� Jualn City of Tigard - Building Deparhnent Attention: Building Official 13125 SW Hall Blvd. Tigard.Oregon 97.223-8199 rILE COPY Rc: One Lincoln Center- Tower Link Project Number: 2S I I Permit Number: DUP2003-00297 Dear Sir or Madam: In accordance with the provisions of the State Building Code, Section 1701.2 and City Administrative 1% 'Ip structural observations for the following areas Of work were pri-vided byour office. 1• Gencral Steel Framing Observation. All work observed appeared to be in conformance with the project documents. Please reference the attached Field Report for the general steel framing observation, If ynu have any questions, please do not hesitate to call. Sincercly, Brent Cornelison, P,F. Project Managet M7931PR [:nc(osure ry 011=0111 13 7 cc: Vince Sheridan, Equity Office Properties Barbara Anderson, Collins Woerman Atc1litects _�-- Don Erickson, C. Schiewe &Associates CITYOF TIGARD PLUMBING PERMIT _ DEVELOPMENT SERVICES PERMIT#: PLM2000-00339 LM 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 9/12100 SITE ADDRESS: 10260 SW GREENBURG RD 110 PARCEL: 1 S 135AB-03400 SUBDIVISION: LINCOLN TOWER-TOWN OF METZGER ZONING: C-P BLOCK: LOT: 014 JURISDICTION: TIG CLASS OF WORK: ALT GARBAGE DISPOSALS: MOBILE HOME SPACES: TYPE OF USE: COM WASHING MACH: BACKFLOW PREV14TRS: OCCUPANCY GRP: FLOOR DRAINS: 1 TRAPS: STORIES: WATER HEATERS: I CATCH BASINS: _ F!XTURES LAUNDRY TRAYS: SF RAIN DRAINS: SINKS: 1 URINALS: GREASE TRAPS: LAVATORIES: OTHER FIXTURES: TUB/SHOWERS: SEWER I !NE: ft WATER CLOSETS: WATER LINE: ft DISHWASHERS: 1 RAIN DRAIN- ft Remarks: Tenant Improvement four fixtures added, one fixture capped off, no change in current EDU count FEES Owner: - - - Type By Date Amount Receipt KNICKERBOCKER PROP, INC XXIV PRMT CTR 9/12/00 $66.40 27200000000 BY NORRIS, BEGGS + SIMPSON 5PCT CTR 9/12/00 $5.31 27200000000 10300 SW GREENBURG RD STE 200 _ PORTLAND, OR 97223 Total $71.71 Phone 1: Contractor: ASSOCIATED PLUMBING CO P O BOX 301362 PORTLAND, OR 97230 REQUIRED INSPECTIONS Phone 1: 331-0582 Top-out Insp Reg #: LIC 00057890 Final InspectiCn PLM 26-412PB 1"his pennit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR `specialty Codes and al: other applicable laws. All work will be done in accordance with approved plans I'his 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 Idw requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-0001-0010 through OAR 952-0001-0080 You may obtain copies of these rules or direct questions to OUNC by calling (503) 246-1987. Issued By: ��, Permittee Signature: Call (43)639-4175 by 7:00 P.M. for an inspection needed the next busines4day CITY OF TIGARD Plumbing Permit Application Plan Check 13125 SW HALT_ BLVD. Commercial and Residential Recd BY--e TIGARD, OR 97223 Date Reed Date to P.E. (503) 639-4171 Date to DST Print or Type Permit#�C Incomplete or illegible applications will not be accepted Relater.SWR# Called_,,-----.-- Name of Developrnen Project ` FIXTURES (individual) - QTY PRICE AMT Job �rnco�„ �e� it, - L,. torr` Tow(r Sink _ s ` - Street Address Suite Lavatory 11.50 Address - -- — 4 ,� p Sw Grti_�b;•� l IQ Tub or Tub/Shower Comb 11,50 Bldg Water Closet Shower Only 11 50 ---- L-nol,1 Towt� . 4rJ p.Q W1111 — 1150 _ Name F —"— 1150 5 t t- Pr ti w T;is Urinal Marling Address n� Suite Dishwasher 11.50 L% Owner ,49, 1 SW fyltA�oaiJ, Pd. �`c Garbage Disposal 11 50 City/State Zip Phone Laundry Tray 11.50 La110)�V10 o(L `j jU)5 69q 51:- Washing Machine/Laundry Tray 11 50 Name �" 1 11 50 t lctr, P'u ff r �S Floor Drain/Floor Sink 2" Occupant Mailing Address ,�,1 f Suite 3" 11.50 401 sw Mcal?A 1J X6`' CitylState Zip Phone Water Heater O conversion O like kind 44~ I � _ -_ -- rias Pipin requires a sPparate_mechanical ermit. Name I MFG Home New Water Service 3200. S$O('ate �I�Yn�' N MFG Home New San/Storm Sewer 32.00 Contractor Mallin Address Suite _ -- (10 CA 30i 34A Hose Bibs 11.50 Prior to permit city/ t to / Zip P hone Roof Drains 11.50 issuance,a copy Po. Q 1UR �111.5d HJ6l 31 05e k 11 50 _ Drinking Fountain of all licenses are Oregon Const Cont Board Lic# Ex Date(l -o Other Fixtures(Specify) 15.00 required if 5 1 I W 0 ✓I expired in COT Plumbing)_ic # Exp.Date 14u b _----- database (, -418 Pd 10-31 - 2 0 Name 1 I Architect 68D Art`,.�ctf� Sewer-1s1100' J 3800 Or Mailing Address Suite Sewer each additional 100' 3200 50 3, Water Service-1 st 100' 38.00 Engineer Cit I t le 7i Pit Water Service-each additional 200' 3200. Po- �a� A_97?0 �� -951. Describe work to be done. Storm&Rain Drain-1st 100' 38.00 New O Repair O Replace with like kind Yes O No O Storm&Rain Drain-each additional 100' ,3200 Residential O Commercial _ (,OmmerClal Back Flow Prevention Device 32.00 Additional desclription of work1 Residential Backflow Prevention Device' 19.00 1 QnilM f .r/►� /��r r'YtL�I Catch Basin 11,50 Are you capping,moving or replacing any fixtures? Insp of Existing Plumbing or Specially Requested 50 00 Yes)4 No 0 Inspections -- perlhr If yes,see back of form to indicate work performed by Rain Drain,single family dwelling 4500 fixture. FAILURE TO ACCURATELY REPORT FIXTURE Grease Traps 11.50 WORK COULD RESULT IN INCREASED SEWER FEES. — QUANTITY TOTAL I hereby acknowledge that I have read this application,that the information Isometric or riser diagram is required if Quantity Total is >9 given is correct.that I am the owner or authorized agent of the owner,and "SUBTOTAL that Plans submitted are in compliance_with Oregon State Laws- _ r�� Signature of Owner/Agent Date 8% SURCHARGE r I Contact Person Name Phone *'LAN REVIEW 25%OF SUBTOTAL _ Re uired only H fixture qty total is__9 1 BATH HOUSE 5118.00 TOTAL 2 BATH HOUSE$250.00 3 BATH HOUSE$285.00 (This fee Includes all plumbing fixtures In the dwelling and the first 'Minimum permit fee is$50 r 8%surcharge,except Residential Backflow Prevention 100 feet of sanitary sewer storm sewer and water service) Dev1,6 surciricirge —All Now Commercial Buildings require plans%1h isometric or riser diagram and plan review I hdstslfonnshprumapp doc 11118/99 PLEASE COMPLETE: Fixture Type Quantity by Work Performed — New Moved Replaced Removed/Capped Sink ---------- — I -- --Lavatory__________ Tub or Tub/Shower Combination �~ _Shower Only Water Closet Urinal Dishwasher Garbaga Disposal Laundry Room 1-ray Washing_Machine — Floor Drain/Floor Sink 2" __ M 311 Water Heater I Other Fixtures (Specify) COMMENTS REGARDING ABOVE: I uIglsvormMplumapp tloc 1,1,&99 Accumulative Sewer Tally Q ) This SWR# Tenant Name: > L Address' (nD /, l i�_; This PLM#�!nnr Q J . /0= .I�,l r�'I' � �. r~�. _. N Fixture Value Previous Previous Credits Capped Fixtures Fixtures New total New # Value Capped off value added# added #s total Count off#s count value values Baptistry/Font 4 Bath - Tub/Shower 4 Jacuzzi/ Whirlpool 4 -- Car'Nash - Each Stall 6 -- Drive Through 16 _ _ -- CuspidorANater Aspirator 1 Dishwasher -Commercial 4 --- Domestic 2 — -- — Drinking Fountain 1 Eye Wash 1 Floor Drain/sink - 2 inch 2 3 inch 5 4 inch 6 — — -- -- -- . - Car`Nosh Drn 6 — Garbage Disposal^ 16 CGomestic(to 3/4 HP -- -- Commercial Ito 5 HP) 32 ---- Industrial (over 5 HP) 48 --- Ice Machine/Refrigerator Drains 1 — _ — --- — — — Oil Sep (Gas Station) 6 _Rec. Vehicle Dumb Station 16 — _Shower-Gang (Per Head) 1 _ — - - Stall 2 - — Sink - Bar/Lavatory 2 --- Bradley -----5 — --- Commercial 3 J — _ • Service -- Swimming P-)ol Filter — Washer - Clothes _ _ 6 — — — 'JVater Extractor 6 — --- Water Closet - Toilet __ 6 Urinal 6 --- — TOTALS i �/ . 2 Total fixture values — divided by 16 = L EDU TJ �'c� lzi1FN' HISTORY _ PLM#` EDU# SWR# �LM# I i I c� << ; EDU# y SWR# /r i- —OLZ i _ � OGS- -- PLM#�ac� EDU# SWR# I P_LM# ,meq-n(: r -EDU# y q SWR# 1rj c r_ , EDU# ( SWR#, r PLM# - nc,plrg EDU# , _SWR# 'd- -cc- y- rLNi,. 1891 ft .j L L� EDU# -) SWR#rl yL PLM# g_ opo 41 EDU# ,ia SWR# y,?- co0 1/ rWf-'L n,. t :,� ( ( r / —L� , �,_< t (U stsbwrtaly.daC CITYOF TI GA R D MECHANICAL PERMIT DEVELOPMENT SERVICES PERMIT#: MEC2000-00375 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 9/22/00 SITE ADDRESS: 10260 SW GREENBURG RD 110 PARCEL: 1 S135AB-03400 SUBDIVISION: LINCOLN TOWER-TOWN OF METZGER ZONING: C-P BLOCK: LOT: 014 JURISDICTION: TIG CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS: TYPE OF U:'.E: COM UNIT HEATERS: VENT FANS: OCCUPANCY GUP: B VENTS W/O ADPL: VENT SYSTEMS: STORIES: _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: GAS PRESSURE: 50 + Hp: WOODSTOVES: FURN < 100K BTU. AIR HANDLING_ UNITS CLO DRYERS: >- FURN 100K BTU: <= 10000 cfm OTHER UNITS: 3 > 10000 cfm: GAS OUTLETS: Remarks: Mechanical work associated with commercial 71. Owner: FEES KNICKERBOCKER PROP, INC; XXIV Type By Date Amount Receipt BY NORRIS, BEGGS + SIMPSON PRMT CTR 9/22/00 T $72.50 2.720000000 '0300 SW GREENBURG RD STE 200 PLCK CTR 9/22/00 $18.13 2720000000 PORTLAND, OR 97223 5PCT CTR 9/22/00 $5.80 272000000C Phone: - _ -- Total $96.43 Contractor: ---- AMERICAN HEATING 1339 SW GIDEON ST, PORTLAND, OR 97202 REQUIRED INSPECTIONS Mechanical Insp Phone:239-4600 Final Inspection Reg #:LIC 00033135 This permit is issued subject to the regulations contained in the Tigard Municipal Code, 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 180 days of issuance, or if work is -Suspended for more than 180 days. ATTENTION Oregon law requires you to follow rules adopted in the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0080. You may obtain copies of these rules or direct questions to OUNC by i;zalling3)246-9189. Issue By: _ Permittee Signature—Call (5 3) 639-4175 by 7:00 P.M. for inspections nee ne business day Roc'd CITY OF TIGARD Mechanil Plan C ck# _ 13125 SW HALL BLVD. Comm- Date Recd TIGARD, OR 97223 Date to P,E. 2-1k- (503) 639-4171, x304 Dale to DST Print or Type Permit# -e"o cto op�7S- Incomlete or illegible a plications will not be accepted_ Called ` k_) Na rpe of Develo�mrnUPiojed Description Table 1A Mechanical Code City Price _Amt Job Street Address suite# A) Permit Fee _ 16.00 Address 47,irrn �Gr'q i) Furnace to 100,000 BTU Bldg# Coy/State Zip including ducts&vents _ — _ 9.65 2) Furnace 100,000 BTU+ ,y _ j including ducts&vents —i 12.00 Name(pr name of business 3) Floor Furnace Owner ,� ice' �fC, L� , including vent9 65 Maill Address ! 4) Suspended heater,wall heater or floor mounted heater _ 9.65 _ City/State Zip Pr1efC 5) Vent not Included in appliance ermit 4.75 Check all that apply: 'Boiler Heat Air For Items 6-10,see or Pump Cond Qty Price Amt Name for name of business) footnotes 1,2 Com _ 6)Repair units Occupant Mailing Address 8.40 P — 7)<3HP;absorb unit to _ 100K BTU 9.65 City/Slate Zip Phone1. -- 0)3-15 HI ,absorb unit 100k to 500k BTU 17.65 Contractor Name 9)15-30 HP;absorb unit.5-1 mil BTU 24.15 Prior to permit Mailing Ad re s __-7 10)30-50 HP;absorb unit 1 1.75 mil BTU 36.00 issuance,a copy •L i �',y" — of all licenses /State Zlp Phone 11)>50HP;absorb unit>1.75 mil BTU ?/State required if !/ __ _ �_ 60.15 expired in COT Oregon Const.Cont Board Lic# Exp.Dale 12)Air handling unit to 10,000 CFM database -'& /?�� 7.00 _ Architect Name 13)Air handling unit 10,000 CFM+ 11.85 14)Non-portable evaporate cooler or Mailing Address 7(in 15)Vent fan connected to a single duct Engineer City/State Zip Phone 4.75 16)Ventilation system not included in �_�_ appliance permit 7.00 Describe work to be done: 17)Hood served by mechanical exhaust New O Repair O Replace with like kind: Yrs O No O 18)Domestic:Incinerators Residential O Commercial )/ Modification O _ 12.00 _ 19)Commercial or industrial type incinerator Additional information or description of work: 48.25 _ 20} Other units,including wood stoves ,.� 7.00 NOTE: For Commercial projects only;Units over 400 lbs.,located on the 21)Gas piping one to four outlets roof,require structural calcs.prepared by licensed engineer. _ 3.75 Type of fuel: oil O natural gas O LPG O electric O 22)More than 4-per outlet(each) .75 I hereby acknowledge that I have read this appiication,that the i,formation Minimum Permit Fee$50.00 SUBTOTAL -4� given is correct,that'am the owner or authorized agent of _ 8%SURCHARGE the owner,that plans submitted are in compliance with Orene,i State laws. PLAN REVIEW 25%OF SUBTOTAL Required for ALL commercial permits only Signature off Owner/Agent Date TOTAL '� Contact Pelson Name Phone Other Inspections and Fees / / 1 Inspections outside of normal business hours(minimum c yb("e.— harge-two hours) $50 00 per holo 2 Inspections for which no fee is specifically indicated (minimum charge-halt hour) Foonotes for commercial projects only: $50 00perhour 1 Provide full schematic of existing and proposed gas line and pressure 3 Additional plan review required by changes,additions or revisions to plans(minimum Provide dr2wings to scale showing existing and proposed merttanical charge-one-half hour)S50 00 per hour units. 'Stale Contractor Boiler Certification required "Residential A/C requires site plan showing placement of unit I Imechperrn doc. rev 11/1/99 CITYOF T I G A R D ELECTRICAL PERMIT PERMIT#: ELC2000-00530 DEVELOPMENT SERVICES DATE ISSUED: 9/6/00 13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 PARCEL: 1 S13 5AB-03400 SITE ADDRESS: 10260 SW GREENBURG RD 110 SUBDIVISION: LINCOLN TOWER-TOWN OF METZGER ZONING: C-P BLOCK: LOT : 014 JURISDICTION: TIG Proiect Description: Installation of 9 branch circuits. Job No. 864 RESIDENTIAL UNIT TEMP SRVC/FEEDERS MISCELLANEOUS_ 1000 S1= OR LESS: 48 0 - 200 amp: PUMP/IRRIGATION: EACH ADD'L 500SF: 201 - 400 amp: SIGN/OUT LINE LTG: LIMITED ENERGY: 401 - 600 amp: SIGNAL/PANEL. MANF HMI SVC/FDR: 601+amps - 1000 volts: MINOR LABEL (10): SERVICE/FEEDER _ BRANCH CIRCUITS AUD'L INSPECTIONS 0 - 200 amp: W/SERVICE OR FEEDER: PER INSPECTION: 201 - 400 amp: 1st W/O SRVC OR FDR: 1 PER HOUR: 401 - 600 amp: EA ADD'L BRNCH CIRC: 8 IN PLANT: 601 - 1000 amp: _ PLAN REVIEW SECTION 1000+amp/volt: >=4 RES UNITS: > 600 VOLT NOMINAL: L Reconnect only: _ SVC/FDR >= 225 AMPS: CLASS AREA/SPEC OCC: Owner: Contractor: KNICKERBOCKER PROP, INC XXIV WILLAMETTE ELECTRIC INC BY NORRIS, BEGGS + SIS/IPSON PO BOX 230547 10300 SW GREENBURG RD STE 200 TIGARD, OR 97281 PORTLAND, OR 9723 Phone: Phone: 624-3631 Reg#: LIC 000750 RIP 1gR5S ELE 34-283C FEES Required Inspections _ Type By Date Amount Receipt Elect'I Service PRMT CTR 9/6/00 $100.05 2720000000( Elect'I Final 5PCI CTR 9/6/00 $8.00 2720000000( Total $108.05 This Permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR Specialty Codes and all other applicable laws All work will be done in accordance with approved plans This permit will expire if work is not started within 180 days of issuance,or if work is suspended for more than 180 days ATTENTION Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0080. You may obtain copies of these rules ordirect questions to OUNC at(503) )46-1987 PERMITTEE'S SIGNATURE ;` '"` ISSUEb BY: OWNER INSTALLATION ONLY The installation is being made on property I own which is not intended for sale, lease, or rent. OWNER'S SIGNATURE: DATE----- CONTRACTOR ATE: _CONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR. ELEC'N: ;, � DATE: LICENSE NO: Call 639-4175 by 7:00pm for an inspection the next '3usiness day CITY OF TIGARDPlan C eck _ Electrical Permit Application Recd 17 ______ 13125 SW HALL BLVD. Date Recde. T'IGARD OR 97223 Date to P.E. Phone (503)639-4171, x304 Date to DST Inspection (503)6394175 Print of Type Permit# Fax(503) 598.1960 Incomplete or iller;We will net be accepted called 1. Job Address: 4. Complete Fee Schedule Below: Name of Development L 1 N 41 Iw' I✓•vt IL Number of Inspections per permit allowed Name(or name of business) S trT 1 Service included: Items Cost Sum Address !u Z Sv I 1 t' 4a. Residential-per unit a 1000 sq ff.or less $ 117 75 City/State/Zip ��n V A cf .� Each additional 500 sq.ft.or portion thereof $ 26 75 1 Commercial Residential ❑ Limited Energy $ 6000 Each Manufd Home or Modular Dwelling Service or Feeder $ 72.75 2a. Contractor installation only: (Prior to permit issuance,applicants must provide contractor license 4b.Services or Feeders information for COT data base). Installation,alteration,or relocation Cles 200 amps or s $ 6425 _ 2 Electrical Contractor_ �� )�+Mrhv hY Z�tc rn�c �� /C-- 201 amps to les amps $ 85.50 2 Address � 23C ? 401 amps to 600 amps $ 12850 2 City_ Ta v� State.�dZip�}?b t 601 amps to 1000 amps $ 192 50 2 Phone No -6 ty �_ Over 1000 amps or volts $ 36375 2 Job No _ Sb Reconnect only _ $ 5350 2 Elec. Cont. Lic�_ y ��Exp.Date /0 / ~n'✓ 4c.Temporary Services or Feeders OR State CCB Reg. No._'#$�� Exp.Date &-4 V/ Installation,alteration,or relocation COT Business Tax or Metro No �l� E Date d 200 amps or less $ 53.50 AAA 201 amps to 400 amps $ 80.25 401 amps to 600 amps _ $ 10000 2 Signature of Supr. Elec'n Over 600 amps to 1000 volts, see"b"above. License No. ��+ S _ _ -Exp.Date L�'_ !__ - 4d.Branch Circuits Phone No `a (v LY,'4_9 New,altoratinn or extension per panel I a)The fee for branch circulls 2b. For owner installations: with purchase or service or feeder fee. Each branch circuit _ $ 5.35 Print Owner's Name_. - b)The fee for branch circuits / Address - - without purchase of service city Stilts 7it� - __ or feeder fee. - $ Phone No. First branch circuit - -- Each additional branch circuit $ ` The installation is being made on property I own which is not 4e.Miscellaneous (0 k intended for sale,lease or rent. (Service or feeder not Included) 5ach pump or irrigation circle $ 42.75 Each sign or outline lighting $ 4275 _ Owner's Signature -_ — Signal circull(s)or a limited energy panel,alteration or extension $ 60.00 — - 3. Plan Review section (if required):* Minor Labels(10) $ 100.00 Please check appropriate item and enter fee in.%pcf cin 58. 4f.Each additional inspection o ter the allowable in any of the above 4 or more residential units In one structure Per inspection $ 50.00 _ Service end feeder 225 amps or more Per hour $ 50.00 System over 600 volts nominal In Plant _ $ 59.00 Classified area or structure containing special occupancy as 5. Fees: 0 described in N E.0 Chapter 5 0 . 5a.Enter total of above foes $ � G� v _ ' Submit 2 sets of plans with applicati(n where any of the above apply, 8%Surcharge(.08 X total fees) a e $ Subtotal D $ Not required for temporary construction services. 51).Enter 2514,of line 6a for NOTICE Plan Review if re uired(Sec 3) $ PERMITS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED Subtotal $ -_--- ---- IS NOT COMMENCED WITHIN 180 DAYS,OR IF CONSTRUCTION OR ❑ 1 rust Account# s WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS /C�r $ J ✓ AT ANY TIME AFTER WORK IS COMMENCED Total balance Due I 65) i.tdsts\litmts\cicctric.doc iJ CITYOF T I G A R DBUILDING PERMIT PERMIT#: BUP2000-00360 . A DEVELOPMENT SERVICES DATE ISSUED: 8/31/00 13125 SW Hall Blvd.,Tiqard, OR 97223 (503) 639-4171 PARCEL: 1S135AB-03400 SITE ADDRESS: 10260 SW GREENBURG RD 110 SUBDIVISION: 'INCOI_N TOWER-TOWN OF METZGER ZONING: C-P BLOCK: LOT: 014 JURISDICTION: TIG REISSUE: _ FLOOR AREAS EXTERIOR WALL CONSTRUCTION CLASS OF WORK: FIRST: sf N: S: E: W: TYPE OF USE: COM SECOND: sf PROJECT OPENINGS? TYPE OF CONST: 2FP sf N: S: E: W: OCCUPANCY GRP: B TOTAL AREA: 0.00 sf ROOF CONST: FIRE RET? OCCUPANCY LOAD: 31 BASEMENT: sf AREA SEP. RATED: STOR: HT: ft GARAGE: sf OCCU SEP. RATED: BSMT?: MEZZ?: REQD SETBACKS _ REQUIRED FLOOR LOAD: psf LEFT: ft RGHT: ft FIR SPKL: Y SMOK DET: DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP ACC: BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING: VALUE: $ 75,000.00 Remarks: Commercin.I TI - 3809 Square feet Owner: Contractor: KNICKERBOCKER PROP, INC XXIV C SCHIEWE i ASSOCIATES BY NORRIS, BEGGS + SIMPSON 1024 NE DAVIS 10003RR00 SW GREENBURG RD STF_ 200 PORTLAND, OR 97232 PPhone ND, OR 97223 Phone: 234-6617 Reg#: LIG 00054105 FEES u REQUIRED INSPECTIONS Type By Date Amount Receipt Mechanical Permit Require PLCK CTP 8/25/00 $356.04 27200000000 Electrical Permit Required FIRE CTR 8/25/00 $219.10 27200000000 Sprinkler Permit Required Framing Insp Pi?MT CTR 8/31/00 $547,75 27200000000 Susp Ceiing Insp 5PG I CTR 8/31/00 $43.82 27200000000 Fir;:,l Inspection Total $1,166.71 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 perrni',will expire it work is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-1987. You may obtain a copy of these rules or direct questions to OUNC by calling (503)246-1987. Permitee Signature: Af - Issued By: `j2�_„X Call 639-4175 by 7 p.m. for an inspection the next business day CITY OF TIGARD Commercial Building Permit Application Plank# 13125 SW HALL BLVD. Tenant Improvement Rec,iey. ��kDate Recd_ ,IGARD, OR 97223 Date to P.E G tJ5 X503) 639-4171 Date to D Print or Type Permit# ew_N _- __iv/v Related SWR# Incomplete or illegible applications will not be accepted called b ACC ra -- Name of Development/Project Existing Building New Building Job L Ihcai, Ce--tev j n C of n Tota evr �t Address Street Address Suite Ouilding ) Ce t e,r ;bZlbo SW Gree►�irg 110 — I Lata �-Ihco n H Bldg# -- CitylState Zip _ _ I Existing Use of Building or Property: LL.)N Cowj Cf-. _ 97223 Name Property Nicks o e Piro or [nc, XIV Proposed Use of Building or Property: Owner Mailing Address Suite 4-�Fi Ce 10 SW G✓reeN60T M, 200 No. Of Stories: City/State Zip Phone C12) TWeye' _ PortiaNd� -. 97223 14g2-59O� Sq. Ft. Of Project Occupant Name Spjekee proetY-��eS Occupancy Class(es) - Name 1, __� Con S�c�i�V) Type(s) of Construction Contractor G. Scat l et,ve _ , Prior to permit Mailing Address Suite IL ___ issuanc ---.issuance,a copy10'Z+ NE Davis St. Vtliil this project have a Fire Suppression System? of all licenses Yes Igy No ❑ _ _ are required if City/State Zip Pr.)ne Americans with Disabilities Act(ADA) expired In C O.Tp � database 1 Or��and)O�• 9722 234��C°17 Valuation X 25% = $�?5D Participation Oregon Const.Cont.Board Lic# Exp Date Complete Accessibility Form_ -54105 8/02,/'>1 Project $ — ,/ ao --- - Name �—-- Valuation 75)"• __ Archt,�ct Gad �re�'teAS, IrIc . Plans Required: � See Matrix for number of sets to submit Mailing Address Suite on back 920 SW 3 w enoe J-c)60 — --� CitylS1tate _ ZIp Phone I hereby acknowledge that I have read this application,that the ir,iormation `)720 22 _9(oSro given is correct,that I am the owner or authorized agent of the owner,and that plans submitted are in compliance with Oregon Stale Lav s Engineer Name _ — Y Signature of Owner/Agent Date Mailing Address Suite 2 Ccofart Person Name Phone CitylState Zip Phone �r'.a _P�,. Glor 2Z 4'9656 - ---� FOR OFFICE USE ONLY _ Indlcate type of work New G Addition O Demolition O MaprTL# r Land Use: — Accessory Structure U Foundation Orly O Alteration 10 �`��.5��-� ��e� s Repair O Other O Notes. Description of work: Tenant ly►,rrvVeMCvik TIF ----{I � ° Note Site Work Permit Application must precede or acccmpany Building ��s• Y Permit Application I q.'CrMNEVVTI DOC (DST) 5/98 r 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, Pians Examiner will contact the applicant to request additional plan sets for distribution purposes. (Copy for Contractor, City, Washington County, Tualatin Valley Fire & Rescue) r^ Total # of TYPE OF SUBMITTAL Plans KEY: Submitted S (Private) 1 S = Site Work B (New or Add) _ 1 B = Building (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, .odd, or Alt) � 2 E = Electrical B & M & P (New or Add) 2 i New = New Building E (New, Add, or Alt) 2 Add = Addition B & F & M & P & E �3 Alt = Alternation to Existing (New , Add) Building *B or B & M (Alt) 1 *B & M & P (Alt) 3 *B & M & P & E & F(Alt) � 3 NOTES: *Shaded areas designate ALT submittals only. I\dsts'.,ormsVnatrxcom doc 10/30/98 SPI�EfZ �I��PC-IQ-TIES (a Lips TM-E7L STE NO 8.25-bD SUBJECT: ACCESSIBILITY BARRIER REMOVAL IMPROVEMENT PLAN 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 path of travel to the altered area and the restroom, telephones and drinking fountains are readily accessible to individuals with disabilities unless such alterations are disproportionate to the overall alterations in te,ms of cost and scope. (2) A,terations made to the path o"travel to an altered area may be deemed disproportionate to the overall alteration when tho cost exceeds twe qty-five per-cent(25%). VALUATION of all renovation, alteration or modification being done dp excluding painting, wallpapering. $ multiply: 25% Ba,rier removal requirement. — .25 BUDGET FOR BARRIER REMOVAL [21 $1 Z50 In cnoosing which accessible ele,nents to provide under this section, priority shall be given to those elements that will provide the grr atest access. Elements shall be provided in the following order: CamLxs Wide (a) „P�rking impwve�en Crest►'ilOrirq -dor access;ble $ 18 ]5U �b '514ewalks , curb �J/{1 and fat►, t-j 3 s. (b) I 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 E ccessible elements such as storage a id alarms. $ TOTAL: Shall equal line 2 of Value Commutation $ �.� �o i\dsiriornWacccss doc CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Line: 639-4176 Business tine: 639-4171 BUP -Date Requested_ q 2 AM PM BLD — , 0 < —`—r` `. Suite �lUy MEC — Location Ph PLM Contact Person � Ph — __ SWR Contractor ELC _ BUILDING Tenant/o�^rror — ELR Retaining Wall - Footing Access. FPS Foundation SGN Ftg Drain Crawl Drain Inspection Notes — SIT Slab ---- ------ -- —._—- Post&Beam -- Ext Sheath/Shear , Int Sheath/Shear Framing Insulation - Drywall Nailing --------- Firewal wkie - - ire Fire Alarm - - - - Susp'd Ceiling _ - Roof - -. — Mis ART FAIL. — — -- - L fust& Beam Under Slab - Top Out — - - Water Service Sanitary Sewer Rain Drains - Final PASS PART FAIL - - - MEr HANICAL — Post&Beam - - Rough In — Gas Line -_w Smoke Dampers - Final _ PASS PART FAIL --- ELECTRICAL Service - Rough In ----- - - UG/Slab —�--- I_ow Voltage - Fire Alarm -- —.—_—.----_- ----- Final - - PASS PART FAIL -------- --TJ-- SITE Hackfill/Grading Sanitary Sewer required before next inspection Pay at City Hall, 13125 SW Hall Blvcl Storm Drain ( J Reinspection fee of$_ _— �—_ Unable to inspect no access Catch Basin ( ]Please call for reinspecm,n RE Fire Supply Line ADA a InspectorExt Approach/Sidewalk pate ` _ _ �"- ---- - Other --- Final D0 NOT REMOVE this inspection rec and from the job site. PASS PART FAIL CITY OF TIGARDBUILDING PERMIT PERMIT#: BUP2000-00389 DEVELOPMENT SERVICES DATE ISSUED: 9/21/00 13125 SW Hall Blvd., Tiaard, OR 97223 (503) 639-4171 PARCEL: 1 S135AB-03400 SITE ADDRESS: 10260 SW GREENBURG RD 110 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 OPEN!NGS? TYPE OF CONST: sf N: S: E: W: OCCUPANCY GRP: TOTAL AREA: 0.00 sf ROOF CONST: FIRE RET? OCCUPANCY LOAD: BASEMENT: sf AREA SEP. RATED: STOR: HT: ft GARAGE: sf OCCU SEP. RATED: BSMT?: MEZZ?: REQD SETBACKS _ REQUIRED FLOOR LOAD: psf LEFT: ft RGHT: �ft FIR SPKL: Y SMOK DET: DWELLING UNITS. FRNT: ft REAR: ft FIR ALRM : HNDICP ACC: BEDRMS: BATHS: iMP SURFACE: PRO CORR: PARKING: VALUE: $ 1,700.00 Remarks: Modification of fire protection system associated with commercial TI. Owne;: Contractor: KNICKERBOCKER PRCO INC XX!V AFP SYSTEMS INC BY NORRIS, BEGGS a `�IMPSON 19435 SW 129TH 10300 SWrrGREf_NBUR'3 RD STE 200 TUALATIN OR 97062 h a P� ne N51 987' 4 Phone: 503-692-9284 Reg#: uc 000675'34 FEES REQUIRED INSPECTIONS _ Type By Date Amount Receipt Sorinkler Rough-In ! PRMT CTR 9/1;,/00 $62.50 27200000000 Sprinkler Final 1 5PCT CTR 9/15100 $5.00 27200000000 FIRE CTR 9/15/00 $25.00 27200000000 Total $92.50 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other a;;plicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-1987. You may obtain a copy of these rules or direct questions to OUNC by calling (503) 246-1987. Pe rm!tee Signature: ��lucl- r_ � 7 Issood By: � /, ?� C Call 639-4175 by 7 p.m. for an inspection the next business day Fire Protection Permit Application Plan(hye ck CITY OF7IGARD Commercial or Residential Recd 13125 SW HALL BLVD. Date Rac'd - C� TIGARD, OR 97223 Print or Type Date to P.E. 5 �� (503) 639-4"71, x. 304Incomplete or illegible applications will not be accepted Date IoD Permit p Called 71v Job Name of Development/Project Type of System (Complete A or B as applicable) — Address Ares A.)Sprinkler Wet Dry —�� Name Standpipes 5rIC E le PROPEI F-ji, _. Owner Mailing Address 0501 ret Hazard Group It 7,1'1 S.I.J. Mt' Additional Li6NY ptz, City/State zip I Phone_ Information Density '10115-00 Name , sign Are Dea af'rF' I� ol° 6 T/tS It-Jb� Q PrQ 1 ---22- Occupant Mailing Address Sv,>•r- IID K Factor Rip City/State zip Phone A.1) Sprinkler Project Valuation $ � -,I _ _ 1700,°0 Contractor Name B.) Fire Alarm (Sprinkler or I J-11-1 T 1 S TN.)(. — Alarm Company) Mailing Address ,ta Submittal Shall Include Battery Calculations YES ❑ Prior to permit I),('7�" "� (.) I�'j rN V C, Individual Component YES ❑ — issuance,a City/State Zip Phone copy _ Cut Sheets of all licenses UP,L1,,t� OF I lt'" t 92" B.1) Fire Alarm Project Valuation $ are required if State Const.Cont Board Lic.# Exp. Date expired in COT j 3 l( r� ,.� Project Valuation Subtotal(A & or B) $ database _ Name r Permit fee based on valuation $ 7 U (see charts �) Architect Mailing ress 3�0 B% Surcharge $ ,c)U City/State zip I Phone— FLS Plan Review 40%of Permlt $ Q nU Describe work v A.)New O Addition O Alteration 0 Repair O TOT ALr� to be done $ B) Modification to sprinkler heads only -- 1 1-10 heads=No plans required Plans required Submit thrersets of plans,including a vicinity map and 2 11—Plar review required the location of the nearest hydrant. ----- I hereby acknowledge that I have read this application,that the Information given is _ Number of sprinkler heads: correct,that I am the owner or authorized agent of the owner,and that plans submitted are in compliance with Oregon State laws Additional Description of Work Slanature of Owner/Agent Date — A.)In Existing Building FZ New Building Jnr C� S C)o Building Contact PerrpA� PV Name Phone it V11 'tS Data B.) Commercial Residential ❑ -s _ FOR OFFIf3E USE ONLY: No of stories — Plat# MapfTL#: Notes Occupancy Class Type of Construction i:\dsts\forms\firesupr.doc 12/23/99 Valuation of Project Permit fee Tax 8% FLS 40% Total - 1 - 2,000 50.00 4.00 20.00 74.00 _ 2,001 - .i,000 59.25 4.74 23.70 87.69 3,001 - 4,000 68.50 5.48 27.40 101.38 4,001 -15,000 77.75 6.22 31.10 115.07 6,000 87.00 6.96 34.80 128.76 6,001 - 7,000 96.25 7.70 38.50 142.45 7,001 - 8,000 _ 105.50 8.44 42.20 156.14 _ -_8,001 - 4,000 114.75 9.18 45.9_0 169.83 9,001 - 10,000 124.00 9.92 49.60 _183.52 10,001 - 11,000 133.25 10.66 53.30 - 197.21 11,001 - 12,000 142.50 _11.40 57.00 210.90 12,001 - 13,000 151.75 12.14 60.70 224.59 13,001 - 14,000 161.00 12.88 64.40 238.28 14,06-1 -. -i5,000 17U.25 13.62 68.10 251.97 15,001 - 16,000 179.50 14.36 71.80 _265.66 16,001 - 17,000 _ 188.75 15.10 75.50 279.35 17,001 - 18,000 198.00 15.84 _ 79.20 293.04 _ 18,001 - 19,000 -207.2516.58 82.90 306.73- 19,001 - 20,000 216.50 _ 17.32 _86.60 320.42 20,001 - 21,000 225.75_ 18.06 90.30 334.11 _ _21,001 - 22,000 235 00 18.80 94.00 347.80 22,001 - 23,000 244.25 19.x.497.70 361.49 23,001 - 24,000 i 253.50_ 20.28 101.40 375.18 24,001 - 25,000 262.7_5 21.02 105.10 .388.87 25,001 - 26,000 269.50 21.56 107.60 398.86 26,001 - 27,000 _ 276.25 22.10 110.50 408.85 27,001 - 28,000 283.00 22.64 113.20 418.84 _ ~28,001 - 29,000 289.75 23.18 115.90 428.83` --279,0-01 - 30,000 296.50 23.72 118.60 438.82 30,001 - 31,000 1 303.25 24.26 121.,0 448.81 31,001 - 32,000 310.00 24.80 124.00 458.80 32,001 - 33,000 _ 316.75 25.34 126.70 468.79 33,001 - 34,000 323.50 25.88 129.40 478.78 - 34,001 - 35,000 330.25 26.42 132,10 r 488.77 _ 35,001 - 36,000 337.00 2.6.96 134.80 498.7F3 36,001 - 37,000 343.75 27.50 137.50 -, 508.75 37,001 - .38,000 350.50 28.04 140.20 518.74 _ 38,001 - 39,000 357.25 28.58 142.90 528.73 39,00_1 - 40,000 _ 364.00 29.12 145.60 _ 538.72 40,001 - 41,000 370.75 29.66 148.30 548.71 41,001 - 42,000 377.50 30.20 151.00 558.70 42,001 - 43,000 384.25 30.74 153.70 568.89 43,001 - 44,000 391.00 31.28 156.40----- ----44,001 56.40 ,____44,001 - 45,000 397.75 31.82 159.10 588.67_ 45,001 - 46,000 404.50 32."5 161.80 598.66 46,001 - 47,000 411.25 32.90 164.50 608.65 ' 47,001 - 48,000 418.00 33.44 167.20_ 618.64 _ 48,001 - 49,000 424.75 33.98 169.90 _628.63 49,00150,000 431.50 34.52 172.60 638.62 is\dsts\forms\firesup,.doc 12/23/99 SEE 35M- M ROLL# 23 FOR LARGE DOCUMENT