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10220 SW GREENBURG ROAD STE 101 A � N N O C t � r ►r � O } �j i i 't i i f i I 10220 SW GREENNURC N 111) #1111 Ty"" ei�hP .'.'�F'y iih4j t Rlkt i� err woo". yr �}t,�C �V,�� .� �+Y�,,�d�b /��iY;,ey� `�p,•,l�iJ '!l' '., �pp�M.-;'d�j� '�,�.f,�y�lr.�,�.{.q h:. �,i;�Ne�l��i� �. ` sV 'r+ �,�1"i1r ++fjj�� .`'W.��. '•�a�� a'F-'�� IY9j�''T�I!'',y'�f,A�*A� `�'`jf!.,SIA rY�.��a I'j�1��N"1�1 J.�y� 4 y- k/j V MT Jo r co N S,4 ,i. p cv to cd H N E v w y ,i .-, rp t V a x w 0 rN 14 W o to c Cd MmU A ,�+ k alb +.p •a � ,;C•.d , rr� y PERMIT NO. t HU870-118 CITY OF T104 RDDATE ISSUEDt 12/ 2/87 CmoanTAN PRIM.PMT. NO. 871:1218 COMMUNITY DEVELOPMENT DEPARTMENT O.100N J UJt 12,1$Jit,kigllfllyd,`P.O�BoK233$7.TiVa p- rpqJ� �nF72?3IJI�A`�Q e39-J 175 _ TAX MAF'. LOT -- = - 'r fSUBI LTe Ek LANE) LISE t LOT '3I ZE.t VAL.UAT IONt 91938 SETBACKS FRONT# PEAR: WOPI: CL ASS t ALTERATION DWEiLL. UN I'TS t LEFT t P I GHT t USE TYPF-t COMMERCIAL NO. EIE:DROOMS t EXT.WALL CONST e CONSI . TYPEt NO. BATHSt Ne St EI Wt IJ I'1.JF'.(3RF. t Est PRO 1'. OPEN I NOS OF'.L0AP N Sit EI I'J: TOTAL AREAL NO. SI ORIEESt 1STI 751:1 POOF CONSI't F'IF'E PF I WETGH'ft :'NDt APE:A SEPAP" PATEDis BASEMENT ,RDI OCCUP. SE"F'AF" ' PATEC't MEZZANINE'' BASEM'T F L OOP L OACI t GARAGE t FIRE: SPRKLR'' AL ARM-. • FLOW(OPM J PETE:C T HEAT TYF'E o HDCP.ACCESS"' CORP" J •�qnf 1 tiIte of mr.wing an int, wip t i and REISSUE OF NO. rel oc at i nci sev"t-a l doclr!iii. LAST PE:ISSUE r�trlvmmwl l c-rnw r p - _ -1 _PERMIT $Br•I ` rrJ I I — PLAN Wi~1.'IFiW t t qar d r~r 9"7 a': ? FIkF DEPT N PHONE 1*r.1 w 1 -91403-9400 STATS. TAX R Ort HEP DEVELOPMENT CHARGES e SDC (STOF'M► C '3DCtSTREETi O r'DC (# ' N T PREPA I D i i R A YCITAL I . C T R RECcIPT NO. ------------- PEQ,'JIR !^ INSPECTIONS This permit is issued subject to the regulations contained in Title 14 FRAM I NG of the TMC. State of Oregon Specialty Codes,zoning regulations and all other applicable codes and ordinances. and It is hereby GYP. EIOARD agreed that the work will be done In accordance with the plans and SUSPEND.CE I L I NG specifications and in compliance with all applicable codes and OTHER* ordinances The issuance of this permit does not waive restrictive FINAL covenants Contractor and subcnntraclors shall have current city business tax permits This permit will expire and become null and void it wnrk Is not started within 180 days.or it work is suspended or abandoned for a period of 180 days any time after worl+ has commenced. It shall be the responsibility of the permittee to assure all required inspections are requested and approved Permittee S1ynalmV CALL. FLIP INSF'ECTION 634-41"5 Issued By -- SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE i I ,fid 13�Q INSPECTION NOTICE City of Tigard Building Department P.O. Box 23391 Tigard, Oregon 97223 Phone: 639-4175 a" Type of Inspection �''�� ------ Date Requested _ .,: Time -'"' A.M. P.M. Address ;_,�J� � r I , ;�Cc i , 1 Permit C..-X - _ _- Owner L�r! Yz�l_—� _ :� i (C�,' Lot # Builder ---- The following Building Code deficiencies are required to be corrected: I Presented to Approved Inspector - — ❑ Disapproved Date - —_ zl CALL FOR REINSPECTION YES ❑ ti10 C) (;iC •r 0 Z z U>cn w ihZa C t J LLp~'41 3 N 2 4 h �ry hd wml w Om Op0Z Cn LJ h [ Q Ow VazOU z w tvl Ll + cn 24o0z O Z q is w w p> z p>Q~¢ 7 muj m cat a I c rn a` m¢zwU o W Z R�1 p00+' O Wx-Uiz a V w N Q htnQ=-F: cnoof LL f_l m G 0cr 21LL 0 x h f l W I ml Cl C3 0 p wzwwrnz ❑ Utrrr a w o za.Orra ;, v_i rwwz a i z+ w Zvi Zoll Z ZQZDU— oa =zO J c7 iM 0Zd(am crZL� z r-,� g IL � UQN(brr� Z .Z r+ <UIC) wa h N Z Z — U Z 2 ' J Z--x W() LJ a r 3 JoZw=,w a �u a �, w <c zzF-UNu, C) a z a in .c' o w,n�_azccc h Y CC Zip O Q ��C,,JJ < o w a iu0 0ccLL 0 CJ a <t z0w¢00 a w z U crr. LL LL Yca rn rwr o Jzo�O o cc w 0 in LL z p 0 N maUaU la IIn a F > N c1 z w ` z v�iaa0v. a < cr d t Fa 0 w a aJzw0w aCL Ir 0 li �'a z :azmzui O 0 I +7 ++-i 0 000aw+' a U a +- C' 4r LL ao�om Z 0 U w I I > m ri NywaUd �_ L a w rz 0 2 r--ZmJaww U Z Q 0 �� Y 2 2-J f N O Q J r d < J f� 2 Q ul C-)vwi 2 U a z a w J �i m a�X r J a a t V) M,h w ac y a ❑ °� O z �., w zwo§wy c�CC aa I p �-• W 4 r-) al N 4 Q w :3lr < h LrI N Q ❑ Z I z i w� r LU - Czw 7 Z Z g ; o a� c CJ Z w 0 j v r, o I 0 O cn z w 4 h z J w d l w Z > C p - Z ¢ w z 6� cr Q J Y m O Q. w r 0 v w �� a a J _ t o , z D w D G A w U O Q Q U Q? C) E cry A iv '° a O m v~i L- C0i F' uwi� 0 a a cn <n � --m l a INSPECTION NOTICE City of Tigard Building Department P.O. Box 23397 Tigard, Oregon 97223 Phone'. 639-4175 Type of Inspection ------ --- --- Date Requested 7- Z`� — 8 -7 Time A.M. P-M. Address U Z C�b �.y -_— Permit Owner _ _�J lot # Builder The following Building Code deficiencies are required to be corrected: Presented to _ �rApproved Inspector — �_ Disapproved Date -- CALL FOR REINSPECTION YES NO NO 1 CITY OF TIGARD BUILDING INSPECTION NOTICE Inspertion Line: 639-4175 Business Phrne: 639-4171 Footing Rain Drain Cover/Service FINAL Foundation Water Line Cei0g -Plumb. Post/Beam Mech. Shear/Sheath Framing -Mach. Plbg.Und/Flr/Slab Plbg.Top Out Insulation -Elect. Post/Beam Struct. Mach. Rough-in Gyp. Bd. - Id San. Sewer Gas Line Appr/Sdwlk Reins. Other: �Q /_ ----- _----- Date: -? J_L_`�--- A.M. P.M. Entry: Address: �V — Tenant: , Ste: M BUP: -gyp Con/Own: Z �'J CIO MEC: PLM: ELC: THE FOLLOWING CORRECTIONS ARE REQUIRED: ELR: 16�.�. — I�_ZCP,SOVED oD Date:�'"� a-- - ------- __DISAPPROVED/CALL FOR REINSP. CF CO C :TY OF TIGARD DEVELOPMENT SERVICES ELECTRICAL PERMIT 13125 SW Hai;Blvd., Tigard,OR 97223 (503)639.4171 PERMIT #: ELC96--0747 DATE ISSUED: 11/22/96 PARCEL: 1.S 135AB-01002 SI i-E ADDRESS. . . : 10220 SW BRE:E=NBURG N RLQ 4101 SUBDIVISION. . . . : ZONING:R-12 BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . ..B Project Description: install 5 branch circr_tits -- RESIDENTIAL UNIT---- ---TEMP SRVC/FEEDERS-----•- -----MISCELLANEOUS•-- — 1000 SF OR LESS. . . . : 0 0 - 200 amd:'. . . . . . : 0 PUMP/IRRIGATION. . . . : 0 EACH ADD' L 500SF. . . : 0 201 - 400 amp. . . . . . . : 0 SIGN/OUT LINE LTG. . : 0 LIMITED ENERGY. . . . . .. 0 401 - 600 amp. . . . . . . : 0 SIGNI)L/PANEL. . . . . . . : 0 MANF. HM/ SVC;/FDR. . : 0 601.+amps-1000 volts. : 0 MINOR I-ABEL ( 10) . . . : 0 -----•-SERV I CE/FEEDER----- -----BRANCH CIRCUITS------- -•--ADD' I_ I NSPECT I ONS_--- - - 200 amp. . . . . . : 0 W/SERVICE OR FEEDER: 0 PER INSPECTION. . . . . : 0 201 -- 400 amp. . . . . . : 0 1st W/O SRVC OR FDR. : 1 PER HOUR. . . . . . . . . . . : 0 401 - 600 amp. . . . . . : 0 EA ADD' L BRNCH CIRC: 4 IN PLANT. . . . . . . . . . . : 0 601 --- 1000 amp. . . . . : 0 --------------------PLAN RFVTEW SECTION--________.._____.__ 1000+ amp/volt. . . . . : 0 ) =4 RES UNITS. : . . . . . . : ) 600 VOLT NOMINAL... . : Reconnect un l/. . . . . : 0 Sr'C/FDR ) = 225 AMPS. . : CLASS AREA/SPEC OCC. : Owners ---------------------------------------------------- FEES MORTGAGE ONE #4 LINCLN CENTER type amor.Ant by date reept 10220 SW GREENBURG RD PRMT $ 55. 00 TAT 11/22/96 96-286847 GTE 101 SPCT $ 2. 75 TAT 11/22/96 96-2868&7 T'IGARD OR 97223 Phone #: Contractor^: -- _---------_._----------------.-----------------_---------_-----.--------_. I.. OOPS $ 57. 75 TOTAL REQUIRED INSPECTIONS ------- - Cei l ing Cover Undergrocmd Cove Phone #: Wall. Cover Elect' l Servirr, Reg #. . . r 'his perait is issued subject to the regulations contained ip the Tigard Municipal Code, State of Ore. Specialty Codes and all other Permitt le Signattar� applicable laws. 011 work will be done in accordance with approved plans. This permit will expire if work is not started within 188 days of issuance, or if work ii suspended for aorr (, than 180 days. ISs,red By — _._ OWNF R INSTALLATION ONLY- --- The installation is being made on property I own which is not intended fur _ — sale, lease, or rent. OWNER' S SIGNATURE: DATE: -----------------.---_..-CONTRACTOR TNSTAI_.I_ATION SIGNATURE OF SUPR. ELEC' N: _ -� DATE: ICENSE NO: Call for inspection -- 639--4175 Community Development ELECTRICAL PERMIT APPLICATION 13125 SW Hall Blvd. Tigard, OR 97223 Permit # Date Issued Phone (503) 639-4171 CITY OF TIt3ARD FAX (503) 684-7297 TDD No. (503) 684-2772 Inspection (503) 639-4175 1. Job Address: [4. Complete Fec Schedule Below: Name of Development oR?9TT ONe..*,1♦ N� �� 7 Number of Inspections per permit allowed Address��r70� �f- f -- -*Ao Service included. Items Cost(ea) Sum City/StatelZipGT1---�� Z L 3�_ 4a. Residential -per unit 1000 sq. ft. or less _ $1.ono Each additional 500 sq h or Name (or name of business)_, porli(m thereof X25 Ott Residential ❑ LlmIted Energy $2500 Commercial Each Menufd Home or Modular ( Dwelling Service or Feeder _ $6800 2a. Contractor installation only: 4b. Services or Feeders Instillation,alteration,or relocation Electrical Contractor ISo►� C� ►G O 'Z- 200 amps or less _� $60 n0 Tf^ 2.01 amps to 400 amps $8U 0n 2 Address�C/ '/ 401 amps to 600 amps - $12000 2 City_ Stat Zip �Z 601 amps to 1000 amps $180 00 _ 2 Phone No.-_ � ��6—_ _ Over 1000 amps or volts $34000 -- _ ,lob NO. ��0//5 Reconnect only $50 00 2 contractor's license NO-7-4� 4c. Temporary Services or Feaders Contractor's Board Reg. NO Installation,alteration,or relocation Signature of Supr Elec'n �.-c_ 200 amps or less 201 amps to Ono amps $5000 — -�— License No.—J—Cde- __� Phone 401 amps to 600 amps $7500 Over 600 amps to 1000 Vohs $10000 2b. For owner installaiLions: see"b"above 4d. Branch Circuits Print Ownt3r's Name _—_ New,altera'lon or extension per pane Address— Y a)The fee for branch circuits with 2 State Zippurchase or service or feeder fee. ----_ Each branch circuit $5 OQ Phone No. b)The fee for branch circuits without The installation is being made on property I own which is purchase of service or feeder fee First branch circuit _1 $3500 not intended for sale, lease Or tent. Each a1ditlonal branch circu't � $500 = Owner's Signature_ _� 4e. Miscellaneous (Service or feeder not Included) Each pump or Irrigation circle $4000 _ 3. Plan Review section (if required): Each sign or outline lighting $4000 Signal circuit(&)or a limited energy Please check appropriate Item and enter fee in section 5B. M non Labels rato or extension $1400000 $40 0000 4 or more residential units i'1 one structure Service and feeder 225 amps or more 4f. Each additional inspection over System over 600 volts nominal the allowable in Any of the above Classified area or structure containing special occupancy Per inspection $3500 as described in N.E C Chapter 5 Per hour $5500 In Plant __ $5500 Sobmlt 2 sets of plans with application where any of the above apply. Not required for temporary construction services. 5. Fees: 5a. Enter total of above fees $ NOTICE 5%Surcharge (05 X total fees) $ Subtotal E 5% 71_ PERMITS BECOME VOID IF WORK OR CONSTRUCTION 5b. Enter 2E% of line A for AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR IF Plan Review if required (Sec.3) CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR Subtotal $ A PERIOD Or 180 DAYS AT ANY TIME AFTER WORK IS 1 COMMENCED �u,r<^^,�..,.w, LJ Trust Account# $ T_ Balance Due $ SIMS INSPECTION _ ICE City of Tigard Building Department P.O. Box 23397 Tigard, Oregon 97223 Phone: 639-4175 Type of In-'pection --- Time e -- P.M. A.M.- — Date Requested__.__�__�+` _____._ Permit # �� 0iy� Address Lot #_ Owner .__. Builder The following Building Code deficiencies Fre required to he corrected: W CAL 11 N I � )v to u r1 S.rr�C I�CZ�cr L z e� -- - - � Approved -- - Presented to Disapproved Inspector - -- Date -- CAL:: FOR REINSPhCTION ❑ YES I_] NO CITYOF TIOARD _CERTIFICATE OF OCCUPANC DEVELOPMENT SERVICES PERMIT#: BUP2001-00160 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 05/14/2.001 PARCEL- 1 S 135AB-01002 ZONING: R-12 JURISDICTION: TIG SITE ADDRESS: 10220 SW GREENBURG R') 101 SUBDIVISION: THREE LINCOLN-TOWN OF METZGER BLOCK: LOT:009 CLASS OF WORK: ALT" TYPE OF USE: COM TYPE OF CONSTR: 2FR OCCUPANCY GRP: B OCCUPANCY LOAD: 36 TENANT NAME: REMARKS: C;onimercial tenant in,provement Owner: SPIEKER PROPERTIES L.P. 10260 SW GREENBURG RD SUITE 100 PORTLAND, OR 97223 Phone: Contractor: C SCHI EWE +ASSOCIA-i ES 1024 NE DAMS PORTLAND, OR 97232 Phone: 234-6617 Reg #: LIC 54105 This Certificate issued 07/02/211111 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, occuNa vy, and use under which the referenced rmit was issued. / J V - ---------------- ----- BUILDING INSPECTOR BUILDIN FFICIAL POST IN CONSPICUOUS PLACE CITY OF TIGARD BUILDING INSPECTION DIVISION 24-Hour Inspection Line: 639-4176 Business Line: 639-4171 ZUIP � —d0�(?D -(0- Date Re uested q AM PM BLD Location0-7,L/ r' - Suite lC�/ MEC Contact Person Ph 15 i*. -3 PLM Contractor Ph SWR _ BUI G Tenant/Owner �r,0 i`L�L�! ELC Retaining Wall Footing ELR Foundation Access: — FPS Ftg Drain _. Crawl Drain Inspection Notes: SGN Slab -- Post&Beam SIT Ext Sheath/Shear Int Sheath/Shear Framing Insulation Drywall Nailing Firewall - Fire Sprinkler _ Fire Alarm Susp'd Ceiling Roof -- -- f — A3 PART FAIL PI&MBING Post&Beam Under Slab Top Out Water Service Sanitary Sewer Rain Drains Final PASS PART FAIL MECHANICAL - -- -- Post&Beam Rough In - Gas Line Smoke Dampers --- Final PASS PART FAIL — ELECTRICAL Service Rough In UG/Slab Low Voltage Fire Alarm Final - - PASS PART ,GAIL BITE Backfill/Grading -- Sanitary Sewer Storm Drain I J Reinspection fee of$— required before next Inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line ( J Please cah for reinspection RE: l ADA [ J Unable to Inspect-no access Approach/Sidewalk 7 (Othe _ Date 'hspecto� r �' ___-- t! Final _Ext PASS PART FAIL 00 NOT REMOVE this Insp"tion record from the job site. � w CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-1-10ff InGpection Une: 639-4175 Business Line: 639-4171 l/ up) � �— �V- __� Date Requested w. G AM PM BLD G G fi r i-ovation / os _- (�2 r''.�L.�' �� Suite MEC Contact Person _ Ph PLM -- Contractor —� Ph — SWR IL[11N'L+�— Tenant/Owner ELIC Retaining Wall ELIR Footing Access-. Foundation FPS Ftg Drain - ---- SGN Crawl Drain Inspection Notes. --- ---- Slab -___._-_-__._-------__-_-- --------- SIT Post&Beam ------ Ext Sheath/Shear Int Sheath/Shear Framing Insulation Drywall Nailing Firewall .ire Sprinkl -- - -- --- - ----- ------- FiriAlarm Susp'd Ceiling Roof Misc' --- -------- -- - ----------- Fina PAW PART FAIL ---- - --- ---- ------- --- -- [ BING I Post Beam - --- --- - -- Under Slab 1 op Out Water Service -- ------ - - -- -- � ,-- Sanitary Sewer Rain Drains -- — _-_ -_--- -- --- _--- �- Final PASS PART FAIL MECHANICAL Post&Beam M - ---- --- -- - - _ --- ----._--_ _..-- - - - Rough In Gas Line --- -__ ----- ---- - - - -- -- --- - --- Smoke Dampers Final ---- ----- ----_-------- ---------_--- --------- PASS PART FAIL ELECTRICAL —__._—_ ---- -------- ---- ------------------ ---- --___ __.._ Service --- -- Rough In UG/Blah ---._.--. - ----••--- - - -- -- - Low Voltage Fire Alarm --- --�..- -- --------..-.--- Final PASS PART FAIL ----------------- ---- __- ------- SITE Backfill/Grading ---- ------.-. ---• --------..-.-------- -------.- — -- Sanitary Sewer Storm Drain [ ) Reinspection fee of$ required before next inspection Pay at City Hall, 13125 SW Hall Blvd Catch Basin [ )Please call for reinspection RE [ ) Unable to inspect-no access Fire Supply Line ---- ADA ! •� Approach/Sidewalk pate Inspector J L� Ext 1 Other - --� <• - - Final PASS PART FAIL DO NOT REMOVE. this inspection record from the job site. ��.'^�y yr %r" 'kl�„ �� ^;� ++ M' °pp+`'- i�O,p,.,,o•`'�� NZ�p9 _� �r°�""- ��^� 't� i 6�I,IQ�T�,.1 "J• p bp+�,�y �r in. �lti�+ p co it N •�� 1 / N t ao -'a aQili; l w 64 bo u Xw :I 4a Q•a k+ � � a e a �. H 0 H d V N C� cn N o .� ., dN N ~ tj to N C d+ ✓` a a � A i T10S110lYAbYG$11S�f/i5111oS1�n��UiJi1.1Y+�.�Y�.M(�A�-'may'-Y• T- CITYOF TIOARD OREGON January 27, 1989 Alan Hotchkiss Trammell-Crow Company 10260 SW Greenburg Rd. Tigard, OR 97223 Project: Western Temporary secs, BP 690148 Lincoln Center Two North, S. 101 Dear Alan: Plans for this project have been re� i.ewed for conformity with applicable codes, and are approved. If any changes will. be made to the sprinkler system or the mechanical system, please submit plana showing the changes. you may get the building permit for the project at your convenience. If you have any questions, or if we may be of assistance, please contact us at any time. Sincerely, Jim Ja Planp Examiner 13125 SW Hall Blvd ,P.O.Box 23397,Tigard,Oregon 97223 (503)539-4171 CONSOLIDATED FIRE AND RESCUE logoWashington County Fire District No. 1 City of Beaverton Fire Department Tualatin Fire District FIRE MARSHALS OFFICE (503) 526--2469 POSTEf : OCC;JF'ANT CONTRACTOR BLDG. PERMIT 11 PROJECT NAME _ PLAN REVIE44 �k LOCATION JURISDICTION; 1= Be. 2= Du. 3= C. 4= Ti, S= Tu. 6= Sh, 7= Wi, 8= CC 9= WC 0= MC COVER FINAL SPECIjiL FOLLOW-UP/REINSPECTION ATTEMPTED FINAL FJ Framing Separation Walls Sprinkler SN-stem ElShaft ❑ Fire Damper:, (Overhead/Underground) Alarm System 0 Hood Extug Systems El Conference ❑ Spray Booth F1 Ceiling Cover El Other 10 11F. i -fr ,�, ,,,,,,, r 1 l_.. _1 t� 41,/ Date: Inspector: :k Psi® CONSOLIDi uFIRE AND RESCUE Washington CCounnty Fire District No. i City of Beaverton Fire Department v Tualatin Fire Distrfet FIRE MARSHALS OFFICE _ (503) 526-2469 ( POSTED: OCCUPANT �i'�rS / i�i✓ I E .r 1,1 �r ., it c�i i. s CONTRACTOR BLDG, PERPIIT 4 PROJECT NAME PLAN REVIEW 0 LOCATION L '-' (•/��i,'��,✓�� rj JURISDICTION: 1= Be. 2= Du, 3= K,C.1 4= Ti. 5= Tu. 6= Sh. 7= Wi. 8= CC 9= WC 0= MC COVER KNAL SPECIAL FOLLOW-UP/REINSPECTION ATTEMPTED FINAL Framing Separation Walls Sprinkler S�-stem El Shaft ❑ Fire Dampers (OverheadlUndergrotuid) El Alarm System ❑ Hood Extag Systems El Conference Spray Broth El Ceiling Cover � Other Date: _ ��_ Inspect-o,: ® CONSOLIDATED FIRE AND RESCUE Washington County Fire District No.1 City of Beaverton Fire Department Tualatin Fire District �*�'� FIRE MARSHALS OFFICE .,t (503) 526-2469 POSTED: OCCUPANT 1,�1�s/fin , CONTRACTOR _BLDG. PERMIT i} PROJECT NAME PLAN REVIEW it n LOCATION % (�2.G� S �,�' (r-�f ��✓i - `� JURISDICTION: 1= Be. 2= Du, 3= K.C. TT 5= Tu. 6= Sh. 7= Wi. 8= CC 9= WC 0= MC COVER +FINAL SPECIAL FOLLOW-UP/REINSPECTION ATTEMPTED FINAL Framing Separation Walls Sprinkler System Shaft Fire Dampers (Ovelhead(Undergrouad) Alarm System Hood Extng Systems Conference Spray Booth Ceil'ng Cover Other Date: - '� inspector: _ T CI°TY OF TIGA RD "t"k,9. BUILDIN113 FIE-PMAJ CITY OF WARD 1'1::AMTA' NO . -. 8t.18901.40 COMMUNITY DEVELOPMENT DEPARTMENT 011004 13125 S W Hall Blvd P 0 Box 23397 Tigard,Oregon 97223.(503)639-4175 OATE i'R/ I/E19 PPTm7RTT—, -9(T— R901.413. 1111 SHE) L 3:NC,0L.N GENTEEP TWC) I (IND !i;J-if:: : i*)I..LJA 1-1:ON J. ,x:',00 S E,I HAL,K t-i F'l40N'T* : PF-AW : fITWAVION DWE L I., . Ift.-JA 5 : L-EF 1 wit 11 1,( :IAL NO HL.DPOUM5 , X I WOLA COW-i'll' : 1 1 .4 NO F1 Al I IS . N : !i : F.:, : W : PH01' 0P1;.AJ-N(.*-,lii : I. HAD !15�.2 N: 177 W 111111 All- AP :0) .541'r.'30 NO 44 T : I i.13 6 R(XA:-' A 1:41i"'T"? Y L fe 'rMw APEI-A SE-J-)AP? NO NPI V'I:1:.N*T*7 NO :j1!A;:'AR? NO PATEN.,): NO N A L,E M I I 1*A..C)Ol:*.1 1. OAD . 50 YF.::!..i ALARM? N(.' [AK1*11-A.11-1 ..? 1"o PIAN RY : jhj 'Tc.-Illarl-L Willi : A0Cl:1, I,;i,(:)I-1 I'l.) Tc.>'D)F) )Noc. OF NO . 0 II W N y 1 L.NMIT 41 kl 0 115 0 E r,I.nhJ r4EV:1:I.,:-W $11.3 . *3*3 O(:"T"T, 148 .20 ill I AX 1 0:3 CIAL 1:! 0 1)1:..Vl:::i FIPME.N s' k.A--1A14(*.-',E.S : N T AL.o N "it)( i f'OPM R 1114AMMEA -I.- CPOW (A:1 . A -1.0pid)(P514 7t.K.) C T 1A.J;j iii I•0 (:)1.. 91;.*-�P*3 0 1::,1.40NI;:: ( 503) PW5 9XI00 R kJ11 Y This permit is Issued subject to the regulations contained in Title 14 VIIFECVAA::r7- NO of the TMC. State of Oregon Specialty Codes.zoning regulations ............................................. and all other applicable codes and ordinances, and it is hereby agreed that the work will be done in accordance with the plans and INSPECTIONS specifications and in compliance with all applicable codes and F r, A M 1:N(3, ordinances. The issuance of this permit does not waive restrictive :1 W111, A 1 .1 UN covenants Contractor and subcontractors shall have current city (.;YL' E",0 A N() business tax permits This permit will expire and become null and IA91W!:+'N0 CEMA:Nu void If work is not Riarted within 180 days.or if work is Suspended or abandoned for a period of 180 days any time after work has F 1 NAL commenced It shall be the responsibility of the permittee to assure all required inspections are requested And approved Pe kttee Signature issued By SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE 1-7. 1 T It L C 0 G (1,�2 CIIY OF TIGARD W47 'A SloUED. 03/223/96 COMMUNITY DEVELOPMENT DEPARTMENT 13125 SW Hall Blvd.Tigard,Oregon 97223*6199 (503)639-4171 r-A".EL: 1'1211A13. 0 141 0'- �. V -ww 1";1. . . . . Z ON ING. . P -1_" LOT. . . . . . . . ;a je't Desc,'iptiori- Install nc;ie niijjTial c.,ircil.A ot- a, lixitecl enet'rjj -r*1DCNT1A!_. UNIT j F4 I G C E L L :100 amp. Pump/lnrlor4_1 TON. . �o �lr or t_rst . . 12� e '_"ri:J-1 ADD• L. 500SF. . . 0 201 .11 400 amp.. , . . . . . . 0 SIGN/DUT LINE LTG. _:!'11TEC ENr-_rC,%,.. . . . . 0 4.011 Wo amp. . . . . . . . 0 STr3Nt)L/rANr1 ,in;-ir. tim/ nvc./rrp. o 601 "Imps- 1000 volts . 0 MINOR LP" f-IrZCUIT73 ADD' L -pvIcc on rc-ncp PER INercCTION. . . . . : 0 '200 amp. . . . . . 0 W/s�L. L... 0 /400 MOP. . . . . . 0 1st W/o SOK OR roR. 0 PrErz 1 lour. . . . . . . . . . . 0 Wo amp. . . . . . .. 0 EA AWL SrYNCII CIPCL 0 IN PLANT. . . . . . . . . . . 11711 100e' amp. ID PLAN REV I EW OCCTION 1000+- amp/volt. . . . . 0 > =4 RES LJP41TS. . . . . . . . t > C,$70 V'-',LT Nf7'NnT_. . t1e,-ciinpct rC EC type? 'Amo 1.knt I-- (I LA t Lz _,ae cw cmrzh-jtiuz; Pr P RMT 1 40. 00 CJS 03/ 18/0L" ')6 -2`771'01 1j I "�-' 771` P C 1 0 Z C�Tr' 1 77 1 j 0,") - "Ar 42. 00 TOTAL 1C,11 ZE 7TH PVC nLQUIRED INSO'CCTTONS Or r i 1"'!lune PL.t' I TLet-v ice T .1h is peelit is issued sibjeLt t. rained in the Tijard Muni-liplii! CAde, State of _?c: and all athc ittee applicable laws. All work will -dzir:e with approved plans, This porsit wil' is not starttil within 1U days i9s"n:ej or if a for gore thar, lop days. TI,L+ iTtistal latioli i cu it16 Je Ctl pt- 013e—ty W[11LI) klr, CtOt f ea V,e I ON nlk'L y 73''1!r'.T".JRE OF 0A Opp 4 17 1 f Community Development ELECTRICAL PERMIT APPLICATION 13125 SW Hall Blvd. Tigard, OR 97223 Planck/Rec. # Permit # __ZL-96 -6IG„z ' Phone (503) 6394171 ,-?(ate Issued -5-,�y- 9� CITY OF Tlt. FAX (503) 684-7297 Issued b �' TDD No. (503) 684-2772 y —=��-� �- Z,- Inspection `Inspection (503) 639-4175 1. Job Address: 4. Complete Fee Schedule Below: r. f Name of Development Number of Inspections per permit allowed Address ' , (p 1' Service Included Items Cost(ea) Sum City/State/Zir'-)ty . 4a. Residential-per unit 4 11 1000 aq It or lens $11000 Name (or name of business)_`'' _C Vel �(� Each Additional 500 sa 11 or —' Portion thereof $2500 1 Commercial Reside lel Limited Energy $2500 - r Each Manufd Home or Modulen 2 Dwelling Service or Feadar SfiB 00 2a. Contractor installation only: A3, --` 4b.Services or Feeders ' Intitallntion,alteration or relocation 2 Electrical Contractor (A. M.hK l e` 200 Amps or less AdOeqs l L 201 amps!o 400 amps —' $80 00 2 Ci r 1 Sfate�Zi r1 401 amps to 600 amps $120 00 2 Phone No. LiL - 801 ampa to 1000 amps _ $18000 2 - k: J Over 1000 amps or vo"R $34000 2 Contractor's License No, f r ( - Reconnect only $5000 �`— Contractor's Board Reg. No. — 4c. Temporary Services or Feeders _ lnsfallAhon,alteration or relocation 2 Signature of Supr. Elec_'n 200 Amps or leas $50 00 License No.-11236 ILE _ Phone No. 201 Amps to 400 Pimps $7500 4n1 Amps to 600 ampa $10000 Over 800 amps to low volts 2b. For owner installations: sea•b*Above Print Owner's Name 4d. Branch Circuits �_ New alteration or extension per panel Address _r A) The Ise for branch nrctiids with City----- State Zlp� Purchase of prvice or kwftr OW* 2 Phone N0. - Each branch circuit _ $5 on _ b)Th?fee lot branch circuits wifhouf rhe installation is being made on property I own which Is Purchase of sarvks or Aredrr Ars. 2 not intended for sale, lease or rent. First branch circuit $15 00 2 Each add4ronal branch circuit $500 Owner's Signature ______`_ ` 4e. Miscellaneous q Plan or feeder not included) 2 .l. Plan Review Section (if required): Each pump or vngalion circle $4000 2 FAch sign or outline lighting _ _ $4000 2 please check appropriate item and enter Ise in section 5B. Signal ciminl(s)or A limited energy panel Alteration rnezfene,on v $4000 d or more residential units in one siructu,e Mmol labels(10) $10000 Service and fawner 225 amps or more System over 600 volts nominal 41. Each additional Inspection over Classified area or structure containing special occupancy the alfowabie in any of the above as described in N E C Chapter 5 pet Impaction $11,100 Per hour $11,100 submit 2 sets of plans with application where any of the above In plant -- $`,)on —— — apply. Not required for temporary construction services. S. Fees: NOTICE Still Enter total of above fees $ rJ 5`1-Surcharge(05 X total fees) $ Ir PERMITS BECOME VOID IF WORK OR CONSTRUCTION subtolol $ - AUTHORIZEn IS NOT COMMENCED WITHIN 180 DAYS,OR IF 5b. Enter 25%of line A for CONSTnIJCTION OR WORK IS SUSPENDED OR ABANDONED FOR Plan Review if required(Sec 3) $ A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS Subtohl $ COMMENCED ❑ Trust Account k $ Balance Due $ .wmsta.wrr�.ra em �— _• .1�.f_L1. — I C'-EC7RICAL PERIM111- PERMIT CLC060137 CITY OF TIGARD DATE I,3)CUL'D: 03/04/96 COMMUNITY DEVELOPMENT DEPARTMENT 13125 SW Hall Blvd.Tigard,Oregon 97223*8109 (603)839-4171 A R CIE.L; 11!')13 5 A P I I 1,)0 12 it I I JBL)l V I r3 I ON. . . . .. ZONING.P I:' : LOT. . . . .. . . . . . . . . .a pt irn Install one CIO iAMP Set-vice or' feeder and 16 bi anch zii-c%ti-t "C`ID17!4TIAL UNIT----- - ----TEMP rSRVr/F`EEDEPS __MI SCCI-. ' Oe.0 Sr- OR LEGS. . . . 0 2,00 amp. . . . . . . PUMV'/IRRIGOTION. 0 ACH r0)' L '2700Sr. . . t 0 2101 400 amp. . . . . . . .. 0 SIGN/OUT LINE LTO. . . it IMITED CNERGY. . . . . 401 600 amp. . . . . . . : 0 SIGNAL./PIANCL. . . . . : 0 1I)N11r,. HM/ ,,Vf_/rDR. 1000 volts. : 0 MINOR L nrlr_L ( 10) . . 0 CERvIcr/rEEDEP CIRCUIT13 TNISPECTIONS- L:00 amp.. W/GERVICE OR FECDER: 16 PER INCPECTION. . . . . t 0 400 amp. . . . . . z 0 1st W/O SRVC OR FDR. : 0 PER HOUR. . . . . . . . . . . .. 0 COO amp. . . . . . . 0 EA ADD' L BRNCH CIRC: 0 IN PLANT. . . . . . . . . . . ; 0 amp. . . . . ; 0 LAN REVIEW ZOO+ -.A m P/v a I t. . . . . : C PC" UNIT';. . . . . . . . . 600 !)OLT NOMINAL. . eCOnnECt only. . . . . . 0 SvC/rDR =S AMPS. . . CLASS AREA/SPEL OCC. - �,qn 1ELVIN MARK BROKERAGE type amo,.IT)t by date I-ecpt 1022`0 `W ORCENSURO RI) PRMT It 1417- 1711b CJS 031/04/9C, 9F,-.-2-766.,0, T 0 0 Q D 0 R 1)72,21 3 5P C T $ 7. 00 CJS 03/04/9C, 96-276604 1',tall v #: 503--4'-2-59004 ontrActov,z ' IPICTENSON ELL—_CTRT'2, INC. 14"7. 210, TOTAL I S. W. COLUMBIA -)UITE #400 REOUIRED 1140r'CCTIONS -1PTLANt OR 17201 Ceiling Cov#r -,onre #'. 503 L41 481Z. Wall Cc,vev- Elect' 1 rinal persit is issued subject to the relilations contained in the Municipal Code, State cf Ire. 'Specialty 'wades and all other 79T-mittpe 'jianat,..:v-p -li=able laws. All work will to I:-- i- accordance with Flans, 71-is F£,1 — - If work is rct started thin IN days :f if jq,,-k is suspended for sort *1P days. TNCTnLLATION ONLY U ,. r-lstallation is bring made on pi,app-,-ty I own whi,_ti 15 riot intended fL 1pasov Jr- t-ent, SIGNATURE.: DATE. INSTnLLAT'TON ONLY . IGNOTUVE OF' SUPP. ELLCIN. Y__ if N1 Call for inspection 7 Community Development ELECTRICAL PERMIT APPLICATION 13125 SW Hall Blvd Tigard, OR 97223 Permit # -ELc 9 �?Z _ Date issued Phone (503) 639-4171 ----� CITY OF TIGARD FAX (503) 684-7297 TDD No. (503) 684-2772 Inspection (503) 639-4175 1. Job Address: 4. Complete Fee Schedule Below: Name of Development LINCOLN TIN SUITE 101 Number of Inspections per permit allowed Address 10220 SW CREENBERG RD _ Service included Items Cost(ea) Sum City/State/Zip TIGARD OR _ — -- 4a. Residential -per unit 1000 sq ft or les,. $11000 4 Name (or name of business)E UITY GROUP Each additional 500 sq it or i ,—__— Commercial Residential � piled Energy thereof $25 oo Limited Ener � Each Manurd Horne or Modular 2a. Contractor installation only: Dwelling Service ur Feeder $6000 -- 4b Services or Feeders Electrical Contractor CHRISTENSON ELECTRIC, INC. Installation,alteration,or relocation 200 amps or less 60A 1 __ $6000 60 Address 111 SW COLUMBIA,SUITE 480 201 amps to 400 amps $6000 City PORTLAND State OR ZIp97201_588 401 amps to 6W amps $12000 _ Phone No. 241-481 2 — 601 amps to 1000 amps $18000 —__ 0 or 1000 amps or vuhs $34000 Job NO 222_4208 Reconnect only $5000 contractor's !icense NO 1( 340 4c. Temporary Services or Feeders Contractor's Board- +5 nstallation,altefatinn.or relocation Signature of Supr.'El � 200 amps or less --- License No. 873S Phone No, 74 2011 amps to 400 amps $5000 --- 1=4 R 1`r 401 amps to 600 amps _ 375 00 s, Over 600 amps to 1000 volts 3100 00 ------- 2b. For owner installations: see"b'•above 4d. Branch Circuits Print Owner's Name _..,_ New,alteration or extension per pane Address— -_ —_ a)The tee for branch circuds with City State_ Zip purchase of service or feeder fee - Each branch circuit 16 _ $500 80 Phone No. bi The fee for branch circuits without ----` The Installation is being made on property I own which is purchase of service or feeder fee. not intended for sale, lease or rent First branch circuit -- 33500 _ Each additional branch clrcup 11b 00 Owner's Signature _ 4e. Miscellaneous ;Service or feeder not Included) 3. Plan Review section (if rewired): Each pump or Irrigation circle $4000 Each sign or outiinn lighting $4000 31gnal circup(s)or a limped energy -- Please check appropriate Item and enter fee in section 5B panel,alteration or extension $4000 4 or more residential units In one structure Minor Labels(1m +" $focr oe Service and feeder 225 amps or more System over 600 volts nominal 4f Each additional inspection over Classified area or structure containing special occupancy the allowable In any of the above as described in N E C Chapter 5 Per inspection _ 335 ixt Per hour $115 10 In plant $55 b `--- Submit 2 Lets of plans with application where any of the above ----- apply. Not required for temporary construction services. 5. Fees: NO110E 5a. Enter total of above feesS. 140. 5%Surcharge (05 X total fees) $ - PERMITS BECOME VOID IF WORK OR CONSTRUCTION Subtotal AUTHORIZED IS NOT&-)MMENCED WITHIN 180 DAYS OR IF Sto. Enter 25%of line A for CONSTRUCTION OR WC RK IS SUSPENDED ORABANDONED FOR Plan Review if required (Sec 3) A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS Subtotal COMMENCED w x nrome. w• ❑ Trust Account ak ¢� n'm Min `� -- ---.. Aalance Due 147. CSF TIGARDCITY IJJ VrD: 03,100j, COMMUN;TY DEVELOPMENT DEPARTMENT -01clre' 13125 SW Nall Blvd,Tigard,Oropon 97223.8199 (503)639,071 WOO.: .. , T'LN FIRST. . . .RST. . . . . 349 + �f N c D: CGp^lCr • • 4' sf PrCTCCI` Or"UNII,.1C`",, ••, . . , CON'"T. 0 sf N: w: Y . .Rr. z3_.` TOTAL _ �; '1 Cr 3r poor C'.,N"T: ry?C f'i_T t1 ZY LOAD: L:s t3ACCMENT. : 0 sf ARCA SE.r'. RATED: rt GAr;AGC. . . ;, <<, f OCCU ' Cr'. PATEV: MEZZ^t REDD 9CTSnC11G . _ . . REQU I RED - _r.:,ar' Lr�faD• . . • : 0 p : F LCrT: 0 ft RCHT: 0 ft FIrt r^KL•.Y UNITS: 0 rRNT: 0 fir REAR: 0 ft Flr, f1Lf2M-%" l'IryDICI" t3ATlIGc iM{" uft� r-;ctr:92 1000 0 rRC C^^r' , Y ~r;i�,;lr.-' : emarks : Teriant impr'civement must hit c fire .,prinkler and mrc:haniceal 1CLVIN MARK r1P.OrZRr)C-r tyke i.tr.t. by date �t^1 ORC ENDUP0 RD f�l_CI'. '' 9'S.. ,-'.1 L(]N 01/'21;�f, "�[• 71 RE 58• GO PON 011'::M5i J , r'Or1TLJ cMr, OF r RMT 1 146. Ca 001'1 .::,;s'G'"3 C, 7r 5.7;.'7 SO1 Z3/�+fi,'9C 3G C7C,7 _ rit.�.v i.r� itiFllti� CCI TN::r i riu�^.fTi�U{J r 4_�..'r .yi. �J r,r••-'L:r44IJ 1\4J "►J GUITE 41C0 CARD ."R c,n f�eyy TC11^L_ (,, .1'r • : x,4741 REOU I FtCD I N :r'ECT I CNS .s per'eit is issued subject to the rejulatiorrc contained i•1 the r"r�Amir,g .'.nsk, ,Ari "eni::pal Code, State of Ore. _pecialty :odes and al i other I n s i.�'.at c,n t n 1 itable laws. All Nat k wili be done it accot-dance with r y p P'- '-J ,rovid plans. 'els pereit will expire if work is not started a.k: p Ccailny tnsN �_.__... 'hie .88 days of issuance, or if work �spended for sore liprintcler• Filial n :P# da)s. Misc. Inspection 1 / Final —I ll,;p e c,t i o r, i for inspectlori 77 i i Commerci 1 Build in-9 Permit Application City of Tigard 13125 SW Hall Blvd. ��0��, M -/ I �e Tigard, OR 97223 1 (503) 639-4171 Jobsite Address:.��1�%fin �jC�C'y: %20 ' Office Use Only Tenan _ Suite _i L , � 7 r� Planck/Rec Valuation: �- Permit /�i Y1/ 1 �� ) C- -()1 cz>c Owner: / Q' Map & TI_ #_��' Address: /`� f &RproyLals Re. uired — Planning %3 Phone. ��`. .—_-.— Engineering - Other Contractor: 42 Address -^ -1.- Type of const: GOccupancy class _ Phone: " 1� -�7 ,Z/-T a Tzo-1 67 Sprinkip red? Yes) No Contractor's License # ---- atta(, copy of current Oregon license) Sq. ft. of project. Contact name & phon Story (1st,)nd, etc.) Proposed use: — /� Previous use: —� C_--=-- Address: — Note: Plumbing & mechanical clans must be submitted at tame of building permit application. G�h o n e �-----' _ JOB DESCRIPTION: / — `(// �nZZ�`b k��kz&h_A,045�1 1Z o (pplicant Signature & Phone number Received by w_-��f Iva _ Date Received: _ I ' , tr Permit 0 Account Description Amount Amt. Pd. Bal. Due Bldg. Penni! (BUILD) l• . Plumb. Permit (PLUMB) Mech. Permit (MECN) �. i j , � f• State Tax (TAX) Bldg: Plumb: Mech: z, Plan Check (PLANCK) qc� Bldg: Plumb: Mech: Sewer Connection (SWUSA) Sewer Inspection (SWINSP) — Parks Dev Charge (PKSDC) Residential TIF (TIF-R) _ Mass Transit TIF (TIF-MT) _ Commercial TIF (TIF-C) oIndustrial TIF I i Institutional TIF (TIF-IS) s} Office TIF (TIF-0) ` Water Quality (WQUAL) Water Quantity (WQUANT) Fire Life Safety (FLS) Erosion Cntrl Permit (ERPRMT) _ - Erosion Planck/USA (ERPLAN) Erosion Planck/COT (EROSN) -- 1 G C tr7 . TOTALS: �� CITYOF TIGARD PLUMBING PERMIT DEVELOPMENT SERVICES PERMIT#: P2101 00203 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 5i2210122/01 SITE ADDRESS: 1022.0 SW GREENBURG RD 101 PARCEL: 1S135AB-01002 SUBDIVISION: THREE LINCOLN-TOWN OF METZGER ZONING: R-12 BLOCK: LOT: 009 JURISDICTION: TIG CLASS OF WORK: ALT GARBAGE DISPOSALS: MOBILE HOME SPACES: TYPE OF USE: CUM WASHING MACH: BACKFLOW PREVNTRS: OCCUPANCY GRP: B FLOOR DRAINS: 1 TRAPS: STORIES: WATER HEATERS: CATCH BASINS: FIXTURES LAUNDRY TRAYS: SF RAIN DRAINS: SINKS: 1 URINALS: GREASE TRAPS: LAVATORIES: OTHER FIXTURES: 1 TUBISHOWERS: SEWER LINE: ft WATER CLOSETS: WATER LINE: ft DISHWASHERS: 1 RAIN DRAIN: ft Remarks: Sink replacement, add dishwasher, provide 2"floor hub with primer for existing water heater relief line. FEES Owner: -— -- Type By Date Amount Receipt SPIEKER PROPERTIES L.P.100 PRMT CTR 5/22/01 $72.50 27200100000 SUITE 10 10260 GREENBURG RD 5PCT GTR 5/22/01 $5.80 27200100000 PORTLAND, OR 97223 Total $78.30 Phone 1: Contractor: ASSOCIATED PLUMBING CO r; O BOX 301362 PORTLAND, OR 97230 REQUIRED INSPECTIONS Phone 1: 331-0582 Rough-in Insp Reg #: LIC 57890 Final Inspection PLM 26-412PB 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 952-0001-0080. You may obtain copies of these rules or direct questions to OUNC by calling (503) 246-1987. Issued By: _ �' AZ�'�� Permittee Signature: C '1 (503) 639-4175 by 7:00 P.M. for an inspection needed the next business day CITYOF TIGARD SEWER CONNECTION PERMIT DEVELOPMENT SERVICES PERMIT#: SWR2001-00175 1:125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 5/22/01 SITE ADDRESS, 107.20 SW GREENBURG RU 101 PARCEL: 1 S135AB-01002 SUBDIVISION: T HREE LINCOLN-TOWN 01`7 METZGER ZONING: R-12 BLOCK: LOT: 009 JURISDICTION: TIG TENANT NAME: OPEGON TITLE USA NO: FIXTURE UNITS: 6 CLASS OF WORK: ALT DWELLING UNITS: TYPE OF USE: COM NO. OF BUILDINGS: INSTALL TYPE: BUSWR, IMPERV SURFACE: Remarks: .4 EDU increase: Previous fixture value was 141, plus 9 new fixture, less credit for 3 fixture values, for 9 total of 147 fixture values, or 3.2 EDUs, for a total EDU increase of .4. Owner: ---- _ FEES SPIEKER PROPERTIES L.P. 10260 SW GREENBURG RD Type By _ Date Amount Receipt SUITE 100 PRMT CTR 5/22/01 $920.00 27200100000 PORTLAND, OR 97223 Total $920.00 Phone: Contractor: Phone: Reg #: Required Inspections This Applicant agrees to comply with all the rules and regulations of the Unified Sewage Agency The permit expires 180 days from the date issued. The total amount paid will be forfeited if the permit expires. The Agency does not guarantee the accuracy of the side sewer laterals If the sewer is not located at the measurement given the installer shall prospect 3 feet in all directions from the distance given If not so located, the installer shall purchase a"Tap and Side Sewer' Permit and the Agency will install a lateral. 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 or direct questions to OUNC by calling (503) 246-1987. l ' 1 Issued by: > l — Permittee Signature: - —, Call (503) 639-4175 by 7:00 P.M. for an inspection needed the next business day 3--e-c•,-1995 11 :37PM FROM P. 2 Plumbing Permit Application City of 71gard ��rt xivod: r a'crutit no.; ' '-fir' •f r.;. J Addreaa: 13125 SW Hall Blvd,Tigard OR 97223 Stwalierntirne,; Building penuitno,, Ciryo�Tigan! Phone: (503)639.4171 fYo'acl'e I.no,: PP Axpitc date: Nax:(503)598-I9fiO bagise.uee By Rarript nig. Land use approval cx.r.n e,,,,. Pryrnaattype. will Ido 2 family dwcLtitg or r1cce5sory CJ Cotnmareial/,ndusnial 7 Ncw consnurtion LI Mule-family 0 Tc,rant irvc enc 1 1dd,non/elulation/rel,l:_erment stproLi Food smvire Q Other: lobaddruss: iV;110 SW trrem Jro &I rUi � /0/1 _fl)tcrTl�` i T P1111 0 re �w F,into C r Suitono_: 101'MWNctxlot/&;caa(no.: -"^ i�- (brbdaYllse_tare�atitl(yawuieclloa) Lot: >llock; Subdivisiwi: SER(1)bath SFR(2)hat - ----'— - name SFR(3)bath -- City/county. 7� Fach ad tonal bath/kitc}ten ---- {- D�ctiption d location of a tttl _ Slte uAlitir s; -- F tm pro i ses: �fi ur� _ S l n r t d 1 PM e� ^�,�F i; Catch hasin/aMit drain Fstdate of rnmpleUm':nTection: '-- Dryvvell ;a 1r�-t�c/�r E'ootiag dean no, in.ft) - -- Rumness name• SOt-rr f -Flom ManuCacru�cl h�- ome uti '- Acldtsas: aa 3011 ` - Ratn aln CoanacltK City: p,- n - Stwo eO 1z i'F>,oc:spj �jl OS Z Aar:50/��ioS4i E read Stvrrn Jcp+,T(no:tin.ft) CCN no.*. 516111t; Plumb.bus.its.no:A4- atcr SM ce(no.liti ft CJry/metro lir.no.: j .� p•owle &ew, Contractor's tepresentadve sill Ab co on valve Print Dame: � VLie1-1441 /v+Ani Data;alas Z-1 �20a Bac ow �revcntcr - Basins/lavtcory Name: C aC u rswastu�r ---- Address:PCj3L 1 76 City: e- 4nStarr O,F- ZLP �a jRib Dnrtki Phate:5o3 3jl 05P.�1 Fax: ,e�T3105° E-rnwl: E ectnrs/attmp 1_z 31011 - F•ut acv cr cap _ Name(print) Floor drain t%oor sinkr u Mailing address: 4 M--- -'_-- G di+pats�r City: E Sate: ZIP: Hose bi Pfionc Fa )limit --•-_ Ico tnaiter t7Nmer instaliat]on/rt�idential ma inteaance only: The acttral installauon ��r� will it made.by rno or the rnai»tenanoe and repair made by my regular enrpluyec on ttiin proporty I own as per ORS tempter 447. Foof dt� glink( ,b&.iP(s), (�tvnefs twlurr !Joie' m __ 'I�ttti/s ew�:dshower r"--' Name: enol - " Pjtn - atcr heilry�_�. -�L- LSty: _ Stow: 7.CP: - -�.- Phone: - _ Other. - -- �ax: &,nail. «a • Na,U ix"".neett "Alit-dc.PkW cw)daArom for,"W vfnsHm, - -� otice:This parnrit appl cntiva Mhdrnunt fee... f �VIA �t�.ic,c.re Nat lPlan review _ aeati u,d muds __ _ L1._ expires if a pennit is no,nbtalned S ,rnu within 180 daNs atale review after it has bmn ger --Nemrot- c VW,k`, ,ir►r�. j acrcfg J ucamptctt. TOTAL .......................f - 3 "e��k rw► _:�eam Mn.ki R fMallCOA1� PLUMBING PERMIT FEES: PRICE TOTAL- New 1 and 2-family dwellings only: FIXTURES (individuals-____ QTY AMOUNT (includes all plumbing fixtures In PRICETOTAL i Sink 16.60 the dwelling and the first100 ft. QTY (ea) LMOUNT --- for each utility connection Lavatory �-�- - �� - One 1 bath _ $249.20 - - Tub or Tub/Shower Comb 16. 0 Two(2)bath _ _ $350.00 Shower Only 16.60 Three(3)bath $399.00 -- Water Closet ~ 16.60 _ SUBTOTAL Urinal 16.60 8%STATE SURCHARGE_ _ Dishwasher __- 16.60 PLAN REVIEW 25%OF SUBTOTAL Garbage Disposal 6_0 TOTAL Laundry Tray 16.60 Washing Machine 16.60 Floor Drain/Floor Sink 2" 16.60 3• 6.60 PLEASE COMPLETE: 4" 16 60 Water Healer 0 conversion O like kind16.60 QuantitLr b Work Performed ~_ Gas piping requires a separate mechanical Fixture Type: New Moved Replaced Removed/ permit. MFG Home New Water Service -�T - 46.40 Sink MFG Home New cart/Storm Sewer 46.40 Lavatory _- Hose Bibs 16.60 Tub or Tub/Shower Combination Root Drains 16.60 Shower Only Drinking Fountain 16.60 Water Closet Other Fixtures(Specify) 16.60 Urinal -.. _ Dishwasher Garbage Disposal Laundry Room Tray - Washing Machine -- -- Sewer-1st 100' 55.00 Floor Drain/Sinka2j _-- -� - -- - Sewer-each additional 100' 46.40 - 4" - Water Service-1st 100' 55.00 _ Water Healer J Water Service-each additional 200' 46.40 _- Othei Fixtures _ Storm 6 Rain Drain-1s1 100' 55.00 -- - Storm 8 Rain Drain-each additional 100' 46.40 Commercial Back Flow Prevention Device 46.40 - -_-_ Residential Backflow Prevention Device' 2755 -~--- -- --- Catch Basin 16.60 - - - Inspection of Existing Plumbing or Specially 72.50 �^ Requested Inspections per1hr COMMENTS REGARDING ABOVE: Rain Drain,single family dwelling 65.25 Grease Traps ---�- 16.60 QUANTITY TOTAL. - -----_-" -- Isometric or riser diagram Is required N --` - - --- _ Quantity total Is >g _ ------------ --- 'SUBTOTAL 8%STATE SURCHARGE "PLAN REVIEW 25%OF SUBTOTAL Required only if fixture qty total is>9 - TOTAL E __- - J "Minimum permit fee is$72 50•8%state surcharge.except Residential Backftow Prevention Device.which is$36 25•8%state surcharge ..All New Commercial Buildings require plans with isometric or riser diagram and plan rwiew i\dsts\forms',plm-fees doc 10/10/00 CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 --- — BUP —_Date Requested_ Am PM _ _-_—` BLD _— Location lol'z � , C 4 _ _ Suite -Ay MEC Contact PF,-son Ph .� - 7/'� PLM Conti :tor _ _ — -- Ph — SWR BUILDING `- Tenant/Owner —� ELC Retaining Wall ELR l'ooting Access. FPS Foundation Ftg Grain -- SGN Crawl Drain Inspection Notes: - - Slab _- —__--_ _. SIT Post& Beam - -- -- Ext Sheath/Shear Int Sheath/Shear Framing - Insulation Drywall Nailing -----_____ _-- ------- �- __----- ----- Firewall Fire Sprinkler ----- _._-- �_-,-- --- Fire Alarm Susp'd Ceiling ---------- -_-_ -----------___ -.----- --- Roof Misc: ---- - ------ - _-_-_ --- - ------- ---�_-_-�_- Final ---�- ---- PASS P T FAIL -----------_.._`^-_ -- ----- `_._-----ITIV-MMIN I t(3 Seam Under Slab TopOut _ -- ---__�__.------ --------- ------ -__.._----------- --------- Water Service Fanitary Sewer R in ., inal ; S PART FAIL �. NICAL — ------ --.-- Post& Beam Rough In Gas Line Smoke Dampers Final - "- - - FASS PART FAIL ELECTRICAL _.. —_--_.-- -- ------ - e._—.—_ Service -- Rough In UG/Slab - Low Voltage Fire Alarm _------_.-- -_--_-- -_� --_- Final PASS PART FAILSITE BackfilllGiading -- --------.------ ---_. - �__----.----`__�_. Sanitary Sewer Storm Drain ( )Reinspection fee of$ _ required before next inspection Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line I ) Please call for reinspection rtE -_ -- _ - }Unable to inspect ns ADA Approach/SidewalY. �� /�� Other Date -+ !nsper or ' 1 -— __Ext Final — PASS PART FAIL DO NOI REMOVE this inspection record from the job site. 1999 SAVE - HISTORICAL INFORMATION BUILDINGS) NAME CHANGE PER KIT CHURCH, ENGINEERING 10220 GREENBURG RD, LINCOLN II NORTH CHANGED TO 10220 GREENBURG RD, LINCOLN III 10220 GREENBURG RD, LINCOLN II SOUTH CHANGED TO 10220 GREENBURG Ra, LINCOLN II ��•.sa� FIRE MARSHALS OFFICE Washington County Fire District No. 1 City of Beaverton Fire Department Tualatin Rural Fire Protection District �„s r 4755$,W, Griffith Drive • P.O. Box 4755 Beaverton, Oregon 97076 Phone (503)5262469 January 24 , I')89 Alan Hotchkiss Trammell Crow Company 10260 S.W. Greenburg Rd. Tigard, Oregon 97223 RE: Western Temporary - Suite 101 10220 S.W. Greenburg Rd. Lincoln Center 2 North Dear Alan: A fire and life safety plan review was conducted on the above captioned project for compliance with the 1985 editions of. the Uniform Building Code (UBC) , Uniform Mechanical Code (UMC), and the Uniform Fire Code (UFC) , as amended by Washington County Fire District No. I 's Ordinance 86-1, Plans are conditionally approved subject to the following: 1. Exit Door Hardware: All doors shown on the drawings must be openable from the inside for immediate exit at all times without the use of a key, special knowledge, or effort. (UBC Sec. 3304) 2, Automatic Sprinkler Plans: Plans referred to and examined by this c,ffice contain no provisions for the alteration or installation of automatic sprinkler system. Not less than three sets of plans for the installation shall be. submitted to this office for approval prior to installation, (UBC 302(b)) Note: If this building is not sprinklered, please disregard the above Item. 3. Approved Plans on Job Site: One set of approved plans bearing the stamps of the Tigard Building Department and this office must be maintained on the project site throughout all phases of construction and must he made available to building and fire inspectors for reference during required construction inspections. (UBC Ser. 303) 4, Inspections Required: Inspection and approval of construction by a representative of this office is required: (a) prior to the cover of any new framing elements following the installation of all utility runs which will be concealed within wall and partition cavities; (b) upon completion of construction and prior to occupancy of the tenant space. (UAC Sec. 305) Alan Hotchkiss January 24. 1989 Page 2 5, Certificate of. Occupancy Required: Prior to the use and occupancy of the project (space) , a certificate of occupancy or other written instrument of approval must be obtained from the City of Tigard Building Department. (UBC Sec, 307) SPECIAL NOTICE: DEVIATIONS FROM THE SUBMITTED AND HEREBY CONDITIONALLY APPROVED PLANS DURING THE COURSE OF CONSTRUCTION, EXCLUSIVE OF THOSE NECESSARY TO COMPLY WITH FIRE SAFETY REQUIREMENT'S AS LISTED HEREIN, ARL PROHIBITED WITHOUT THE WRITTEN AUTHORIZATION OF THE WASHINGTON COUNTY BUILDING DEPARTMENT AND THIS OFFICE, APPROVAI, OF SUBMITTED PLANS IS NOT AN APPROVAL OF OMISSIONS OR OVERSIGHTS BY THIS OFFICE OR OF NON-COMPLIANCE WITH ANY APPLICABLE REGULATIONS OF LOCAL GOVERNMENT, If I can be of any further assistance to you, please feel free to contact me at 526-2502. Sincerely, _� J<- ,V Gene Rirchill. Deputy Fire Marshal GB:kw cc: Tigard Building Department `/ (OREGON TI ARD November 30, 1987 Mr. Alan Hotchkiss Trammell Crow Co. 10300 SW Greenburg Rd. TiRard, OR 9723.3 Project: Western Tempora_y Expansion Dear Mr. Hotchkiss: The plans for this project have been reviewed for conformity with applicable codes. The work proposed appears to comply with code requirements. A bullAino permit for this project may be obtained at any time. Please contact us at any time if you have an;, questions or would like further information. Sincerely, Q41 ;1- C � aim Jai Plans amin;r cn/2033D 13125 SW Hail Blvd.,P.U.Box 23397,Tigard,Oregon 97223 (,503)639-4171 — WASHINGTON COUNTY FIRE DISTRICT NO. 1 20665 S.W. Blanton St. • Aloha, Oregon 97007 • 5031649.8577 41 2 4 e in t)mel mrmm Mr. Allan Hot.Ckiss Trammel]. Crow Company 10300 S.W. G reetibu rt; Road Portland, OR 97223 Dc,dr Allen, RE: Tenant. Improvement Expclrryiun Western Temporary Services Lincoln I11, 44249-S.W. Greenburg 1az.-40 A f i te, ,ml life safety plan review was c•,tndm-teed on the ahove- c:aptitmed project for ecmp.liance with the 1985 editions t:tf the Uniform Building Code (URC) , Unifurm Mr.chanictal. Curie (UM(;) , and the Uniform Fire C;cIde (UF(,) as amended by Wash i ligt on Courcy Fire District No, 1 's Ordinance 86-1 . TltF! plans rare :approved subject to the following conditions. A, discussed with you during our phone c ottversr,rt ion, rhe rejar exit cic,or will swing In the direction of egress. it. was not determine, through this conversation whether or not the u,liipcant. load of this f f ire spact- would be t i f t y or mote, I1owvvr-r', 1 hcough deduction, I he occup:int load could he netir 50 ur :t 1 i t I l e 'dove due t.o 1.Ile -,i t u:rt ion I hM conference rcoanrs may exist in the exist int; e u(Alpe]tlCy. llrer,lw:ect. ,ne this door Shall be. easily opellable ft,nn rhe, letside ctiiIlvml the ue.e of a Spoula.l ke.N , knowlVdml—, or e-ffort. , This door ,,liAl lees ra 20-minute door and shall ei I I:, : hr Seel t- .,t ncicutnat is , 14,t;1118 lry sm,tke detection and equipper] tai t it miiokt It I may he of atey further service to you, p 1, . ,,c f c-o I f r t— to give me :1 t•rrll at 649-8577. ;ittcereIy, WASHINGTON COUNTY FIRE DISTRICT NO. 1 Gem! Bitchill Plans Examiner sw Tigard Bldg, bept Inspectu, Ray STOP FIRES -- SAVES LIVES CITY �F TICARD ELECTRICAL PERMIT PERMIT#: ELC2001-00225 s. DEVELOPMENT SERVICES DATE ISSUED: 05/02/2001 13125 SW Hall Blvd..Tigard. OR 97223 (503) 639•4171 PARCEL: 1S135AB-01002 SITE ADDRESS: 10220 SW GREENBURG RD 101 SUBDIVISION: THREE LINCOLN-TOWN OF METZGER ZONING:LOT : 009 JURISDICTION: TIG BLOCK: TIG Prosect Dc�icription: Instaliation of branch circuits (2)to copy room and d:•mo. Job#950 RESIDENTIAL UNIT _ TEMP SRVC/F_E.EDERS MISCELLANEOUS_ — 1000 SF UR LESS: 0 - 200 aInp: PUMP/IRRIGATrON: EACH ADD'L 500SF: 201 - 400 amp: SIGN/OUT LINE LTG: LIMITED ENERGY: 401 - 600 amp: SIGNALWANEL: MANF IiM/SVC/ FDR: 601+amps - 1000 volts: MINOR LABEL (10): SERVICE/F'EEDER BRANCH CIRCUITS ADD'L INSPECTIONS _ 0 200 amp: W/SERVICE OR FEEDER: U PER INSPECTION: 201 - 400 amp: 1st W/O SRVC OR FDR: 1 PER HOUR: 401 - 600 amp: EA ADD'L BRNCH CIRC: 1 IN PLANT: 601 - 1000 amp' _ PLAN REVIEW SECTION 1000+ amp/Molt: >=4 RES UNITS: > 600 VOLT NOMINAL: ,Reconnect only; -_ — SVC/FDR >=225 AMPS: CLASS AREA/SPEC OCC: Owner: Contractor: SPIEKER PROPERTIES I. P. WILLAMETTE ELECTRIC INC 10260 SW GREENBURG RD PO BOX 230547 SUITE 100 TIGARD, OR 97281 PORTLAND, OR 972.23 Phone: Phone: 624-3631 Reg#: LIC 75059 SUP 1965S ELE 34-283C FEES — Required Inspections Type By Date — Amount Receipt Wall Cover PRMT CTR 05/02/2001 $53.50 2720010000( Elect'I Final SPCT CTR 05/02/2001 $4.28 2720010000( Total $57.78 This Permit is issued subject to the regulations r otained 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 w.;rk is suspended for more than 180 days ATTENTION Oregon law requires yo i to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952001-0010 through OAP 952-001.0080 You may obtain copies of these rules ordrrect questions to 0UNC at(503) 246-6699 or 1-800-332-2344 Permit Signature: IssuQd By: �tv l A - _._ 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: 1�� -— - — —-- -.--__ Call 639-4175 by 7:00prra for an inspection the next busioess day 1 7 , Electrical Permit Application — 41)alereceived:"rPerff�to.:t-ZOO1 -6024J City of Tigard Projcct/appl.no.: Expire date: CiryojTigar,l Address: 13125 SW Ilall Hlvd,Tipard,f0("(711 Date issued: By: I Receipt no.: Phone: (503) 639-4171 Fax: (503) 5()N-1960 11�, Case rile no.: Payment type: Land use approval: ❑ 1 &2 family dwelling or accessory U CommerciaUindusttial ❑Multi-family Wl chant impto%rnu•nl ❑New construction ❑Additiolt/alteralion/replacement ❑Other: U Partial job SITE INVOI�MATION Job address: u L7c Sc. U� 1.�•,c /�c l Bldg.no.: Suite no.: Tax map/lax lot/account no.: Lot: Block: Subdivision: �� W i L k-AVV IOT6 Project name: 0 r� Tr Y 1� Description and location of work on premises 7 N,T..1 to 1 Ca on H Ph Estimated(Hie of co tplelion/inspection: (. / C 1 Pee Mat 70 � —— UescHplion Qly. (ea.) wat no.ins(� ��/1,r t e 7fC L��[ T^r C �" t----- New rrsitkrdid-single or malts Ismily per ✓3i' 2�O `- dwelllnGunit.Inclutksalla:lrsrlgaroge. Stale: G,t.. ZIP: 61 2 J,/ Service included: I 4 City: r n r - 1000 sq .o ft. less Phone: /a ;t E'ax:lo?y-2935" t mail: Each additional 500 sq.ft or portion thereuf CCB no.: 9•n,tom— Elec.bus.lic.no: 74- t-3 Limned energy,residential 2 City/metro lic.no.: / Y Limitedenergy,non-residential 2 7 -c)/ Each manufactured home or modular dwelling R - Dete Service and/or feeder _ Si nature of eu e�rvI in -e eclrician teguired) _ Ser rlcns or feeders-(nstallellon, Sup.ehxt.nurre(prinq: fin/ f, License no: /945--s alteration or relocation: 1 200 amps or less 2 201 amps to 4W amps Nemo(print): _ 401 amps to 600 amps — Mailing address: — 601 amps to 1000 amps Oily: - StalC: ZIP: Over 1000 unsex or volts _ 2 I ax; E-mail:ail: Reconnect only Phone: 1 Temporary services or fredets- - Owner installation:The installation is being made on property 11 own Installation,alteration,or relocation: which is not intended for sale,lease,rent,or exchange according to 200 amps or less _ _ _2 ORS 447,455,479,670,701. 201 amps to 400 amps Owner's signature: Dale: I 401 io 600 nm s 2 Branch circuits-new,slieratlon, or extension p•_r panel: Name: _ A. Fee lot branch circuits with purchase of Address: service or feeder fee,each branch circuit ?_._ '--� B. Fee for branch circuits without purchase City: Stale STIP: � � y(1� 2 _ of service or feeder fee,firs)branch circuli Phone: l-ax - G mail: Fact,additional branch circuit: e _ Misc.(Service Air feeder not Included): Each pump or irrigation circle 2 U Servi.c o, r 225 snips-commercini O Health-care facility Each signor outline lighting 2 O Service over 320,nips-rating o!1&2 U lla.,ardous location Signal circuit(s)or a limited energy panel, familydwelhngs Uliuildingoverl0,00okluarefeetfourof g O System over 6110 volts norninal nnote residential units in nne structure alteration,of extension* _ 2 U Building over three sarries U Feeders,41x)amps or prone *Description: —__ --- -- U Occupant load over 99 persons U Manufactured structures or RV pink I1nch additional inspection over the allowable In any of the above: U FgressAnghlingplait U 1 nhen __ _— _--- per inspection ��— Submit sets sets of plans with any of the above. Investigation fre The above are not applicable to temporary consttvction service. other -- Not all judatacuorrr eccep credit cards,please call jurisdiction for more Infarnwdcm Notice:Ibis permit application Plan revir,W(at __ %) E 'en U Visa U MasterCard expires if a permit is no!obtained 25 _ __I- ss(Hn 180 days after it Iran been Slate surcharge(8%) .... ._� t'redit card numbs _— -- - Expires accepted ac complete. T'OT'AL ... ...................E — �-- --None d urdlrol r u drown ob emdit cord s Crdholtki tlNrelute _ titt�t^n 1.toJ61S 1MIUr('OMl Electrical Permit Fees: Limited Energy Fees: Complete Fee Schedule Below: _TYPE OF WORK INVOLVED -RESIDENI IAL ONLY _ p Restricted Energy Fee...................................................... $75.00 _ Number of inspections per permit allowed (FOR ALL SYSTEMS) Service included: Items Cost Total Check Type of Work Involved: Residential•per unit �--7 1000 sq,fl or less $145 15 _ 4 E] Audio and Stereo Systems Each additional 500 sq ft or portion thereof $33.40 _ 1 C purglar Alarm Limited Energy _ $75.00 — Lach Manufd I lome or Modular Garage Door Open^r" Dwelling Service a Fender _ $9090 2 Services or Feeders LJ Heating,Ventilation and Air Conditioning tem' Installation,alteration,or relocation 200 amps or less __ $80 30 2 6.85 � % CITY OF T I OA R D BUILDING PERMIT PERMIT#: BUP2001-00160 DEVELOPMENT SERVICES DATE ISSUED: 5/14/01 13125 SW Hall Blvd., Tiqard, OR 97223 (503) 639-4171 PARCEL: 1 S135AB-01002 SITE ADDRESS: 10220 SW GREENBIJPG RD 101 SUBDIVISION: THREE LINCOLN-TOWN OF METZGER ZONING: R-12 BLOCK: LOT: 009 JURISDICTION: WIG REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION _ CLASS OF WORK: ALT FIRST: sf N: S: E: W: 'TYPE OF USE: CUM SECOND: sf PROJECT OPENINGS? TYPE OF COIJST: 2FR 5i' N: S: E: W: OCCUPANCY GRP: B TOTAL AREA: 0.00 sf ROOF CONST: FIRE RET? OCCUPANCY LOAD: 36 BASEMENT: sf AREA SEP. RATED: STOR: HT: ft GARAGE: sf OCCU SEP. RATED: BSMT?• MEZZ7: REQD SETBACKS _ REQUIRED FLOOR LOAD: psf LEFT: ft RGHT: ft FIR SPKL: SMOK DET: DWELLING UNITS: FRNT: ft REAR: ft FIR ALPM : HNDICP ACC: BEDRMS: BA-rHS: IMP SURFACE- PRO CCRR- PARKING: VALUE: $ 20,000.00 Remarks: Commercial tenant improvement Owner: Contractor: ' SPIEKER PROPERTIES L.P. C SCHIEWE + ASSOCIATES 10260 SW GREENBURG RD 1024 NE DAVIS SUITE 100 PORTLAND, OR 97232 P Phone ND, OR 97223 P;1one: 234-6617 deg #: LIC 54105 _ - FEES REQUIRED INSPECTIONS Type By Date Amount Receipt Mechanical Permit Require PLCK CTR 5/8/01 $152.95 27200100000 Electrical Permit Required Sprinkler Permit Required FIRE CTR 5/8/01 $94.12 27200100000 Plumbing Perrnit Required PFMT CTR 5/14/01 $235.30 27200100000 Framing Insp 5PCT CTR 5/14/01 $18.82 272001000GO ryp Board Insp Susp Ceiing Insp Total $501.19 Final Inspection This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law All work will be done in accordance with approved plans. This hermit 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 fallow 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 yuc�stions to OUNC by calling (503) 246-6699 or 1-800-332-2344. Permittee Signature: ��%<•—i ' ��-- Issued By: � Call 639-4175 by 7 p m. for an inspection the next business day Buil 7 - r _ Dateremived: Permit no.: ( � city , Nojoct/appl.no.: Upire date- CityofTigard Address: IJlc.rar. .... • ---Date issued: Icy: - Phone: (503) 6394171 Receipt no.: Fax: (503) 598-1960 Case file no.: Payment type: --- I&2 family:Simple ('on-,plcx: Land use approval: _ — TYPE OF PERMIT U 1 &.2 fancily dwelling or accessory U Commercial/industrial U Multi-family U New construction U Demolition T U Addinion/alteration/replacemcnt U Tcnant itnpmvetncnt U Fire sprinkler/alarm U Ower: -_ � � 1 r r �t.vl O►� 9722�� Bldg.no.:I tnt fJ Suits no.:101 _ _Dob address: I0'220 SW Greek R� � t Tax map/tax IoUaccouut no. Lot: Block: Subdivision: ----- - Project name: Ot-ec}on Ti e Description and location of work nn premises/special conditions: Te --- _ 1 1 r Name: E _Mailing address: 102(,0 .3'W Gree ( S" e 100 1 &2 famlly dwelling: City: Por�. at..d State:b ZIP:9711S Valuz�lon of work.. ..................................... $_--_- Phone: Fax: E-mail: No.of lmdmoms/Baths................................. _ ----- Ownet's representative: _ Total number of dors................................. — --_-- E-mail New dwelling area(sq. ft.) .......................... Phones 3 892-2.5m Fax: .111101M Garage/carport arra(sq. ft.)......................... Covered porch area(sq.ft.) ......................... -- Narne: G$R 4ck't•-vct4 n� 5,.; e ��-- Drck arra(sq.ft.) .............. ......................... Mailing address: 920 S'v' i ` oo 011ier structure area(sq.ft.)........... ............. Cit e'r t a Stater ZIP: 9720 Y� � -_ - CommcrciaUindustrlaUmulti-famlly: Fax: F-mail: 2U Cno plioneSo3 2Z -9rn5�: Valuation of work....................................... - 1 1 3q�a SF Existing bldg.area(ul,ft.) .......................... � Business name: C- . .Sc j et"e Cn„J New bldg.area(sq.ft.) ................................ - Address: [07, E DIV I-r -- Number of stories........................................ -- City: pr t. ziw Slate:(�� ZIP:972'-�'Z TYkc of construction................................... F�--- Phone5o$ VJ-607 Fax: E-mail: (k-cupancy gmup(s): Existing: — CCB no.: 5 05 New: p - City/metro lie.no.: — Notice:All contractors and subcontractors arc required to be, 1 licensed with die otrgon Construction Contractors Board under r e t tcA�? Provisions of ORS 701 and may be required to be licensed in(lie Name: - BPMF A_ p' P jurisdiction where work is being performed.If the applicant is Address: _ _ - exempt fror.,licensing,(lie following reason applies: state: ZIP: _ ----- -----_--- ----- Contact person: Plan no.: _-- Phone: Fax &mall: IN 0 4 111111111 Contact person: - Fees due upon application ........................... $ _ -- Name: _ - - - Date received: _ Address: . $ State. Z.ip: Amount received ....................... ................ --- Crty: _ �- Please refer to fee schedule. Phone: Fax: [ mail:_-_--- ---- __ -- Na dl liuirticti ms rcepr credit cods,r4e&w can iurisdisilan fl;-,-;re infatttwioa I hereby certify I have read and examined this application and clic U Vise U MsterCud attached checklist. All provisions of laws and ordinances governing th;s caths cue eUro 4 -._—__ - --1--1- work will be complied with,whether specified herein or not. o - r..rlrc. y� )'Z. .�L+., Date: 5_p_C I—- N.me d caralatea chow„oa csoair Ana Authorized signature: _ _ ��Y C'� tl 4 CndLotder el�ruttae �p1OY0f Print name: —---- Notice This pernit application expires if a permit is trot obtained widiin 180 days after it has been accepted as complete. 4et)I613(~'OM) �� v Date Recd: CITY OF TIGARD Recd By: COMMERCIAL TENANT IMPROVEMENT APPLICATION/PLANS SUBMITTAL REQUIREMENTS Applicants: Please complete APPLICANT 1. APPLICANT NAME:-------------- _ PHONE ll:_ __ v 2. SITE ADDRESS. .---- FAX -- 1. SITE PLAN (f=ully dimensional, drawn to scale, showing existing parking, accessible route to building) labeled with: ❑ map & tax lot ll, ❑ project name, ❑ site address, ❑ site number, ❑ zoning, ❑ applicant name, ❑ phone number. A. North Arrow B. Seale (any standard, architectural or engineering only) C. Street Names 2. See the "Commerical Plan Submittal Requirement Matrix" for number of plans required based on submittal type (no redlines or tapeons accepted). SIZE REQUIREMENTS: 24" X 36" (ROLLED) ALL DETAILSLISTED BELOW SHALL BE INCORPORATED INTO THE PLANS A. Floor plan(s) R. Wall details C. Reflective ceiling plan D. Seismic bracing detail for suspended ceiling E. Specifications & calculations F. ADA barrier removal worksheet G. Deposit - based on valuation of project i kfstslformslwmflapp.doc 1014100 CITY OF TIGARD BUILDING INSPECTION (DIVISION 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 MST BUP _ ---____ Date Requested_ AMI'M —_-- BLD _ Location 11. Z _ `jam Suite _�y MEC Contact Person Ph PLM Contractor _ _ — Ph SWR -- �BUILC1lNG Tenant/Owner ELC Retaining Wall '- ELR ooting Access' --- — I-oundation FPS Ftg Drain - -_--- Crawl Drain Inspection Notes: SGN —_ Slab - Post&Beam -- ----- -_ —_-- ___ SIT --_--- Ext Sheath/Shear Int Sheath/Shear --- - ------ ------ Framing Insulation ---- ------- - --- Drywall Nailing _ �- `- ----- -firewall / --- --------- -- - --- Fire Sprinkler ---------------- ire Alarm ---_.--- - Susp'd Ceiling - Roof Mise ----- ---- ----------------- - I inal PASS PART FAIL _�- PLUMBING — �— - ------- ------ Post& Beam Under Slab lop Out --__ ---- ---- _ - Water Service -Sanitary Sewer Rain Drains Final PASS PART FAIL MECHANICAL Post& Bram Rough In -- --�-----------._-_- Gas Line --- - - ---—- - - - ----- - - Smoke Dampers ---- -�---- - - - -- - Fina! ---- _ -- - -- -- --._. P T FAIL ServIC --- ------------------------ Rough In -- -- UG/Slab of e - F'Ire ATair-i� Firja,�, ------ - - ----- SS -`PART FAIL SITE -- - Backfill/Grading ---- ---- -- --------------- Sanitary Sewer Storm Drain ( )Reinspection fee of$i -required befo a next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line ( )Please call for reinspection RE -- _T _ ( J Unable to inspect- no access ADA Approach/Sidewalk Other Date Inspector -,Ext Final -- PASS PART FAIL DO NOT REMOVE this inspection record from the job site. Electrical Permit Application Dalereceived: -CIPermit no. -3 city of 'Tigard Project/appl.no: Expiredate: Address: 13125 SW I tall Blvd,Tigard,OR 97223 Date issued: By: Receipt no.: City of Tigard Phone: (SI;S) 639-41"', Case file no.: Payment type: Fax: (503) 598-1960 Land use approval: _ J LITenant improvement 7LUJ 2 family dwelling or at. ('ummerci:illnulu,u i.tl J Othrr U Partial w construe J Addition/altcra(tun/lui)laccntctlt Job address: C tE: b6 131dg.no.: Suitenu.: it? lax snap/ta> tut/arcuunt n ,L.ot: Hloc:k; ivision:Project name: 01R 'T 1 Description and location of work on premises: Tt e t DATA----- Project �A'4rA -__ Estimated date of completion/ins V4 ction: S-,L/ v / Fee Max Job not _ Description folal no.insp Business name: 1T /Wd trig /N�N Newressidenlial-single ormulti-famllyper Address: 10 21 Sir 215T- dwelling unit.Includes stlachedgaiage. City: a Tt+r-i-Arvif'' Statc:o it ZIP: `D-17 0'7.-- ser�vY�w'� -_ I(xy)sq.ft,or less __ 4 Phone:Sd + 7 7/-Vo Fax: Email: Each additional 5110 sq.ft.or portion thereof 2 CCB o: $ y >t~_ Elec.bus.lic.no: ('ll I U.1i0.: Limited energy,non-residential 2 _ e s _ 7- Fa:h manufactured home or modular dwelling �r aired) Dale ---L- Service and/or feeder i r of supervising electrician(req �7 servlcesorfeeden-Inatallallon, Sup leer namelPrut): ' fit f7 sitJ License no: alteration or relocaliow utgoluml W110 Is 1 2W amps or less 201 amps to 40U amps — 2 Name(print): 401 amps k,600 amps 2 601 amps w IOOII amps -- 2 Mailing address: _ — 2 City: Slate: ZIP: Over 1000 amps or volts _ _ I E-mail: Reconnect onl Phone- Fax: Temporary Remises or feeders- Owner installation:The installatwn is being made on property I own installation,alteration,or relocation: which is not intended for sale,lease,rent.or exchange according to 2(x1 amps or less 2 ORS W.455,479,67Q 701. 2n1 amps t.0 4W amps _ 2 2 Owner's si mature: _ _ _ Date: 401 to 600 all s —' Branch circuits-new,altennon, or extension per panel: Nagle: _ - A. Fee for branch circuits wrh purchase of service or feeder fee,each branch circuit Address: -_�� B. Fee for branch circuits without purchase City: 1'"ale. 71F: - '- I - of service or feeder fee,first branch circuit: PI1011C. i ax: I{ mail: Each additional branch circuit: Mlsc.(service or feeder now included): 2 finch pump or irrigation circle 2 U Service over 225 amps•comnnercial U tb'alit,ca a lacdoy Each sign or outline ion i circle U Servire over 320 amps-rating of 1&2 U Ilaaartlous location Signal circuit(s)m aim limited energy panel. fantily dwellings U Budding over ioo)o square feet four or g - more residential units in one structure alteration,or extension* U Systel a over 6(10 volts nominal — U Building over three stories U Feeders.4110 amps or more •It,•scn tion .-- •(kcuppnt load over 99 persons U Manufactured structures or RV park Each additional Inspection over the allowable in any of the above: U F:gress/lightingPlan 11 Other __ Per inspection Submit_sets of plans with any of the above. Investigation fee The above are not applicable to temporary construction service. Other Permit fee.....................$ _-- Not ail jorisdietiom accera credit cent+.(rare call jurisdiction for,axe int,xmetior, Notice:This permit application plan review(at — %) $ _-------- U visa U MasterCard expires if a permit not obtained State surcharge(8%) ....$ _ Credit card numbr within 180 days alter it has been ----- — xpher TOTAL .......................$ _ accepted As complete. '-- Name of cardholder a shown on credit said s 4"I5(MOQK'OM) Cddhol r slpurure — Artrrwal Electrical Permit Fees: Limited Energy Fees: --- _ TYt-E OF WORK INVOLVED -RESIDENTIAL ONLY Complete Fee Schedule Below: Restricted Energy Fee..................................................... $75.00 Number of Inspections E2r permit allowed ' (FOR AI 1.SYSTEMS) Service included: Items Cost Total Check Type of Work Involved: Residential-per unit 1000 sq It or lest. $145.15 _ 4 Audio and Stereo Systems I ach additional 500 sq it or portion thereof _ $33.40 _ _ 1 �] Burglar Alarm I invited Energy — _ $75.00 I ach Manufd Home or Modular Garage Door Opener' Dwelling Service or Feeder $90 90 _ _ 2 Services or Feeders Heating,Ventilation and Air Conditioning System' Installation,alterrlion,or relocation 200 amps or less $60.30 2 ❑ Vacuum Systems' 201 arnps to 400 amps $106852 2 401 amps to 600 amps 8160 60 2 Other 601 amps to 1000 amps $240 60 2 Over 1000 amps or volts $45465 2 i . r Reconnect only $6685 2_ _ TYPE OF WORK INVOLVED -COMMERCIAL ONLY Temporary Services or Feeders � Fee for each system......................................................... $75.00 Installation,alteration,or relocation (SEE OA,t 918-260-260) 200 amps or less _ $66.65 _ 2 201 amps to 400 amps _ $100.30 2 401 amps to 600 amps $133.75 2 Check Type of Work Involved: Over 600 amps to 1000 volts, � Audio and Stereo Systems see"b"above. R Branch Circuits ❑ Boiler Controls New,alteration or extension per panel a)1 he tee for branch circuits Clock Systems with purchase of service or i feeder fee. Each branch circuit $6 65 2 Data Telecommunication Installation b)The fee for branch circuits without purchase of service Fire Alarm Installation or leader fee. First branch circuit _ $46.85 _ HVAC Each additional branch circuit $6.65 Miscellaneous Instrumentation (Service or feeder not included) Each pump or Irrigation circle — $5340 _ _ ❑ Intercom and Paging Systems Each sign or outline lighting $5340 Signal circuit(s)or a limited energy Landscape Irrigation Control' panel,alteration or extension $75.00 Minor Labels(10) _ $125.00 �J J Medical Each additional Inspection over the allowable in any of tire above Nurs6 Calls Per inspection _ $62.50 Per hour $62.50I— In Plant $73.75 u Outdoor Landscape L?ghting' Fees: 9 Protective Signaling Enter total of above fees $ _/ __ �� Other 9%State Surcharge $ __. Number cf Systems 25%Plan Review Fee No licenses are required Licenses are required for all other installations See"Flan Review"section on $ from of application ,_ _ Fees: Total Balance Due $ ._ 7 - Enter total of above fees $_ ❑ Trust Account# 8%State Surcharge =_ _ — — - Total Balance Due i 41sts\fonnc\r lc-fees doc 10/09,100 ELECTRICAL - CITY OF TIGARD RES 71RIC EDENERIGY DEVELOPMENT SERVICES PERMIT#: ELR2001-00131 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 5/7/01 SITE ADDRESS: 10220 SW GREENBURG RD 101 PARCEL: 1S135AB-01002 SUBDIVISION: THREE LINCOLN-TOWN OF METZGER ZONING: R-12 BLOCK: LOT: 009 JURISDICTION: TIG Proiect Description: Dela/Telecommunications 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: — SPIEKER PROPERTIES L.P. LJ MATTISON COMMUNICATIONS 10260 SW GRE ENBURG RD 7021 SE 31 ST SUITE 100 PORTLAND, OR 97202 PORTLAND, OR 97223 Phone: Phone: 503-771-5708 Reg#: ELE 26-849CL.E LIC 95742 FEES _ Required Inspections` Type By Date^ ___ Amount Receipt Ceiling Cover PRMT CTR 5/7/01 $75.00 2720010000 Wall Cover 5PC2 CTR 5/7/01 $6.00 2720010000 Elect'I Final Total $81.00 This Permit is issued sub;ect 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 80 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to fo low rules aaopted by the Ore jon Utility Notificaticn Center Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0080 Yuu may obtain copies of these rules or direct questions to OUNC at (503) 246-1987. Issued by —L`v'—__ :.�2_- Perm'aee Signature —_`_-��_` OWNER INSTALLATION ONLY The installation is being made on property Ipwtil which is not intended for sale. lease, or rent. OWNER'S SIGNATURE: DATE: C ACTOR INSTALLATION ONLY _ SIGNATURE OF SUPR. Eli[ C. c- _ DATE: G'S S LICENSE NO: �— Call 639-4175 by 7:00 P.M. for an inspection needed the next business day CITY OF TIGARI� BUILDING PERMIT_ PERMIT#: BUP200 i-00164 DEVELOPMENT SERVICES DATE ISSUED: 5/14/01 13125 SW Hall Blvd..Tigard, OR 97223 (503) 639-4171 PARCEL: 1S135AB-01002 SITE ADDRESS: 1,1220 SW GREENBURG RD 101 SUBDIVISION: THREE LINCOLN-TOWN OF METZGER ZONING: R-12 BLOCK: LOT: 009 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: 2FR sf N: S: E: W: OCCUPANCY GRP: B TOTAL AREA: 0.00 sf ROOF CONST: FIRE RET? OCCUPANCY LOAD: BASEMENT: sf AREA SEP. RATED: GARAGE: sf OCCU SEP. RATED: STOR: HT: ft REQUIRED _ BSMT?: MEZZ?: READ SETBACKS FLOOR LOAD: psf LEFT: ft RGHT: Tft —FIR SPKL: SMOK DET: DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP ACC: BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING: VALUE: Remarks: Fire sprinkler modification, 3 relocated, 1 added. Owner: Contractor: SPIEKER PROPERTIES L.P. AFP SYSTEMS INC 10260 SW GREF_1`!BURG RD 19435 SW 129TH SUITE 100 1IJAL.ATIN, OR 97062 PqpTLA.N� O$7223 Phone: 503-692-9284 one. Reg #: sic 67534 FEES _REQUIRED INSPECTIONS Type By Date Amourt Receipt Sprinkler Rough-In _ Sprinkler Final PRMT CTR 5/14/01 $62.50 27200100000 5PCT CTR 5/14/01 $5.00 27200100000 Total $67.50 This permit is issued subject to the regulations contained in the Tigard Municipal :ode, 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 AT-T CNTION Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those runs 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) 2.4 - 9 or 1-8 - 32 2344 Permittee Slgn re: - — �C-'may -- Issu�d By: — Call 639-4175 by 7 p.m. for an inspection the next business day 1 Building Permit Application —r (;icy of Tigard Uatereceived: 511+'1,-i _Permit no.:, 44)�pW -oo/ Address: 13125 SW Ilail 131vd,'I'igard,OR 97223 Project/appl.no.: Expire date: Cityu/7'igurd Phone: (503) 639-4171 (1 D I� Uate issued: By: Receipt no.: Fax: (503) 598-1960 �i�U Pr,,,n jj Case file no.: Payment type: Land use approval: O`" _ 1&2 family:Simple Complex: U I &2 family dwelling or ae.cesSrtry industrial 'J Multi-family U New construction U Ucnutlititm *Add ition451[ tli cplaccmem Al Tenant improvement hd7`irt {uitrk a alarm U Other: Job address: al 5-W%M IN Bldg.no.:3 U t.lt: uite no.: Lot: Block: Subdivision: Tax map/tax lot/account no.: Project name: _ J "� e -77z: I Description and location of work on premises/special conditions:T� - 3��1�CA(11-10odplain.septic capi.icily,solar.etc.) � 1�1t�L1dCZ r (�Ot�.La,O t la Name: T Maili address: Zb U I do 2 family dwelling: City: Islatew. ZIP: j L2 Valuation of work........................................ $ Phone: Fax: E-mail: Nc,of bedrooms/haths................................ ,-- Owner's representative: Total number of floors........ ........................ Phone: Fax: E mail: New dwelling area(sq. ft.) .......................... UUW Garage/carport area(sq. ft.)......................... Name: Tl'�P4{ —%T.!—df, (t.1 L Covered porch area(sq.fl.) ......................... l'o �— Deck area(sq.ft.) Mailing address: CL�.S,.—�_� ........................................ Cit ( state:pl2 ZIP;9'10(oZ Other stnicture area(sq.ft.)......................... -- y OA 1_. - Phone: Flex: 87. 11 E-mail: t'ommcrclal/indnchiallmultl-family: Valuation of work........................................ $. Existing bldg.area(sq.ft.) .......................... —_-_ Business name: 14 C . • New bldg.arca(sq.ft.) ................................ Address: Vl_ Number of stories........................................ City V State: L ZIP: Z -`- -._ 'type of construction.................................... _ Phone: �. Fax: .11 E-mail: Occupancy group(s): Existing: CCB no.: New: City/metro lie.no.: Notice:All contractors and subcontractors are required to be licensed with the Oregon Construction Contractors Board under Name: ou%A1 n---TS —-__ provisions of ORS 701 and may be required to be licensed in the Address: Zj jurisdiction where work is being performed.if the applicant is City: - State: 1 7.1 P, Z4 exempt from licensing,the following reason applies: Contact person: Plan no.: _ - -- - Phone:7Z c- Fax: IoZI E-trail: Name: Contact person: Fens due upon application ........................... $_ Address: Date received: City: State: ZIP: Amount received ......................................... $ Phone: Fax: E-mail: Please refer to fee schedule. hereby certify I have read and examined this application and the Not as jurisdictions aceept crerht eerlc,please call jurisdiction for more information. attached checklist.All provisions of laws and ordinances governing this U Visa U MasterCard work will he complied th,w r specified herein or Pot. credit cud number: — -_ _ r/ i / res Authorized s' lure: �—_ Date: Nene of cardtml r as+Hawn on create cad S Print name:__ Cadholder signature -- Amount Notice:'17ris permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. aao.at;l a(traWOM) Fire Protection Permit Check List Ate_ ❑ New ❑ Addition Alteration ❑ Repair---- B.) _B.) Modification to sprinkler heads only: Describe work to 1. 1-10 head-j: No plan review required. be done: 2. 11+ heads- Plan review required. Number of sprinkler heads:.- �? Additional description of work: T�pr a of System�Co_mplete A or B_as applicably — — A. S rinkler Wet ❑� D —p _ ----- — Standpipes,__-_ — - --- Additional Hazard Groin_ Information - D_esign Area K. Factor _ _ -� _ Sprinkler Protect Valuation: $ _ B. Fire Alarm_ - --__ _- -- -- Submittal shall Battery_CalculationsYes ❑ include: Individual Component Yes ❑ Cut _ Fire Alarm Project Valuation: $—�— Project Valuation Subtotal (A & B Perm_it fee based on valuation (see chaff $ _ 8% State Surchar e. $ -- _FLS Plan Review 40% of Permit: $ ►_—__� __.—_-- TOTAL: $ i\dsts\formsTPSchecklist doc 10/04/00 CITYOF T I G A R D _CERTIFICATE OF OCCUPANCY DEVELOPMENT SERVICES PERMIT#: BUP96-00058 13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 DATE ISSUED: PARCEL: 1 S 1513 135AB-U 1002 ZONING: R-12 JURISDICTION: 'TIG SITE ADDRESS: 10220 SW GREENBURG N RD 101 SUBDIVISION: THREE LINCOLN-TOWN OF METZGER FILE BLOCK: LOT:009 CLASS OF WORK.: TEN TYPE OF USE: COM TYPE OF CONSTR: 2FR OCCUPANCY GRP: B2 OCCUPANCY LOAD. 53 TENANT NAME: REMARKS: Tenant Improvement Final Building Inspection and C irtificate of Occupancy Approved 5114/96 by George Steele, Building Inspector Owner: Phone: Contractor: MELVIN MARK CONSTRUCTION 10220 SW GREFNBURG RD SUITE#150 i I : 9§2 W.3 Reg#: This Certificate 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 use under which the referenced permit was issued. BUILDING_NS EVf 0V r BUILDING OFFICIAL POST IN CONSPICUOUS PLACE lam' .0� - `/ v '^ham~ � �J�� '•.`�I \_ M�t�;r•�;"��#�, ��•�ee��.F��d�{ j��..deaf �.; -�". ��;` � ,F I Ow -w Ilk ,'` ti !Ai a) 00 4 I c) to b H m 14 ci to 0 0 x u � U 'U ,J o� v .. N a S U a ai rG + o y IJ FA d. H bD Fi r` bD 2p 49 al _ +�avv, j � 0,Aw- fYy � AN ,s. y "'iA .,ti',�,,