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10300 SW GREENBURG ROAD STE 230-1 -10300 S`4 GREENBURG ROAD ONE LINCOLN, SUITS 230 CITY OF TIGA RD 24-Hour DUILDINr Inspection Line: (503) 639-4175 INSPECTION DIVISION Business Line: (503) 639-4171 MST Received ,5 c BUIP -_-Date Requested__-_._ � AM _PM BUP Location ____ /e ,�C11::�- Suite - MEC Contact Person Phi — ) PLM -- -- Contractor _______ � Ph(— ) �� -_ ��-3L SWR BUILDING —_� ?ena��UOwner ELC Footing '-� Foundation Access: ELC Ftg Drain Crawl Drain _ ELR Slab Inspection rJ�tes - - SIT ' Post& Beam — Shear Anchors Ext Sheath/Shear --- Int Sheath/Shear _ Framing _ Insulation Drywall Nailing --- Firewall - Fire Sprinkler -- Fire Alarm — Susp'd Ceiling _ Root ---" Other: - `I Final __----- — _.— PASS PART FAIL - PLUMBING - Post&Beam -- -- Under Slab _ Flough-In - Water Service Sanitary Sewer -- Rain Drains -- - _ Catch Basin/Manhole — Storm Drain - Shower Pan - - — Other: Final -_-.- PASS PART FAIL --- ---_ _— - MECHANICAL F;ost&Beam -- --- ------_—.� - - — Rough-In Gas Line ---------- ----- Smoke Dampers — Final PASS PART FAIL ELECTRICAL Service - - - — _- Rough-in UG/Slab Low Voltage Fire Alarm - --- -- -- -- ---- -- MaI Reinspection fee of$ PART FAIL Reins� p _required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. SI Please call for reinspection RE: _ _- Unable to inspect-no access Fire Supply Line ADA / _ Approach/Sidewalk Dates Q C�'�._ Insp�tot X7 7 —�"- -7`----_EM_----. Other: Final DO NOT REMOVE this Inspection record from the job site. PASS MART FAIL CITY L "'IGARD Inspection spection Line: (503) 639-4175 MST ---------- _ - INSPECTION DIVISION Business Line: (iO3)639-4171 BLIP —. . Received _ Date Requested ' — AM F'M -_~ BUP ��- -�� Location � � �G'G �-L�=�'�1-� 's�--Suite MEC — Contact Person — S7 �t-L�'` Ph( ) "72 f✓ 3L PLM — Contractor_— — Ph( ) -- SWR -- - BUILDING Tenant/Owner — ELC Footing ELC Foundation Access: Ftg Drain ELR - Crawl Drain SIT Slab Inspection Notes: - Post& Beam - ----- -_ Shear Anchors Ext Sheath/Shear - Int Sheath/Shear _ Framing -- - Insulation Drywall Nailing (� Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling --- -_-- Roof Other -- Final _ PASS PART _'AIL S PLUMBING_ Post-&Beam Under Slab -- - -- Rough-In Water Service ------ - - _--- -- Sanitary Sewer _ Rain Drains Catch Basin/Manhole Storm Drain -- -- -� Shower Pan - -- -- - Other: - Final _PASS PART FAIL - - - MECHANICAL --- - ---- - -- - ---------- - — Post&Beam Rough-in ------- - -- --- Gas Line Smoke Dampers - ---- -- - ---- - --- - Final PALso PART FAIL --- ------------ --- - --- ELECTRICAL Service Rough-In ------- ---- -- --------- - UG/Slab Low Voltage --__-- --_---- ---------- - Fire Alarm If 4@111L. n Reinspection fee of$_-- _required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PART FAIL SITE Please call for reinenection RE:--- -.- Unable to Inspect-no access Fire Supply Line ADA � '�" C) Incoector - Ext Approach/Sidewalk Dat -1`------ F- - Other:--_--_- - Final UO NOT REMOVE this Inspection record from the job site. PASS PARI FAIL CITY OF TIGARD BUILDING PERMIT �ES V,ERMIT #. . . . . . . : BLIV-98-000; DEVELOPMENT SERV: DATE ISSUED: 02/24/98 13125 SW Hall Blvd., Tigard,OR 97723 (.503)639.4171 PARCEL..: 1 S 135AB-01003 SITE ADDRESS. . . : 10300 SW GREE NBURG-1 RD #i30 ZONING:C-F' '3UHDIVISION. . . . : ONE LINC::OLN• LOT. JURISDICTION:TIG __ ----------------------- --------------------------- -------------------------------- AREAS----------- -- REISSUE: Ex1*ER:IOR WALL CONSTRUCTION- CLASS OF WORK. :ALT FIRST. . . . : 0 sf N: 5: E: W. TYPE OF USE. . . :COM SECOND. . . : 5 306 s f PROTECT OPEN I NGS'?--_.--W+__.__ TYPE OF CONST. :2FR 0 sf N: S OCCUPANCY GRP. :B TOTAL. -- -- -- ; 5306 s f ROOF CONST: FIRE RET? : OCCUPANCY LOAD: 69 BASEMENT. : 0 s AREA SFP. RATED: STOR. : 0 HT: 0 ft GARAGE:. . . : 01 s f OCCU SEP. RATED: -F BSMT?: MEZZ? SE"TBAL:K:i--_____.__ REQUIRED-- _--___..__:_.. F1..GOR LOAD. . . . : 0 ps f I..TEFT: 0 ft RGHT: 0 ft F I R SPKL._:Y SMOK DF_1 . . . DWELLING U".� i_ ; 0 FRNT: 0 ft REAR: 0 ft FIR ALRM: HNDICP ACC: PE:DRMS: 0 BATHS: 0 IMP SURF=WCE:: 0 r,RO CORR:Y PARKING: 0 VALUE. $ : 5.3060 Rpmarks : Tenant imvroverent-cosbin• two existing suites into one. Owner,: _____.__..._...._.._..__..._..._.._______._____.___. _.._____ .__ . MELVIN MARK type amount by date recpt 1.0220 SW GREENBURG RD PLCK $ 191. 75 13EO 12/c:9/97 97--30c063 T I GARD OR 97223 FIRE $ 118. 00 GEO 12/2'3/97 97-302083 PRMT $ 295. 00 GEO 'A2/2L%/98 98-:303,551. Phone t4 -. 452-5900 5PCT $ 14. 75 GEO 02124198 98-303551 Contrar_.tor: MAL_I PU PACIFIC 7:35 NE JACKSON SCHOOL ROAD H I LL.SBORO OR 9-/1.,'-,4 Ph nn e #: 693--9797 $ 619. 50 TOTAL.. Rpq #. . : 059045 --- --- -- REQUIRED 1 NSF'E:CT I ONS This permit is issued subject to the regulations contained in the Framing Insp Tigard Municipal Code, State of Ore. Specialty Codes and all other Gyp hoard Insp _ --- applicable laws, All work will be dane in accordance with Susp Ceiing Insp _--.- approved plans. This pernt will expire if work is not started . within 190 days of issuance, or if work is suspended for sore 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 952-181-1810 through OAR 952-0A181987. — - - You many obtain a copy of these rules or direct questions to Ol1NC -- 'v calling (513)246-1987. -ptSianatI.ire:; J_ut�� / - ++•+4_+++++++++4+ +++G}�+"++++++ +-4+++++++++++.+++++++++++++.-++++++^F•+1•++++++++.+++++-1 Call 6.39-4175 by 7:00 p. m. for an inspection needed the next business day 4 ++++-+++++++++++++•Fir++++++++++++++++++++�+++++++++++++.4-+++++++++++++++++++++++ mw• = CITY OF TIGARU Commercial Building Permit Recd By Rb, 7 13'125 SW HALL BLVD. Tenant Improvement Date Recd Daie to P E. ` TIGARD, OR 87223 Date to DST1 49 W (503) 639-417 Permit# &,P9�O0Xa Print or Type Related SWR Incomplete or illegible applications will not be accepted Called p� .,�.. Name of DevelopmenUProiect - Existing Building X New guilding Job L iwdA Civ' Address Street Address — — Sul Building L i ytcnf H Cewtvv- lowv SVJ Gre�- 1�dl Data Bldg* City/State zip Existing Use of Building or Property ----- one Fort, Cfg7�2-3 Name ,,11� Proposed Use of Building or Property. Property �rlit _r �r1UpPruef C.. V �� Owner Mailing Address`s Sui e vT T7 C C low so evr"Ar V', IV. ?C�� o. 4�1 ones City/State —� Lip Phone �— 5 ort Sq. Ft. Of Project: Occupant Name -�— - - :"2.4~ �,�w� $d, FT, cornsys _—_ Occupancy Class(es) Name (- t� _ Contractor �/;- Ty e(s)of Construction Prior to permit Melling Address Sude issurince,a copy Will this project have a ire Suppression System') of all licenses Yes C] NO are required if sty/State Zip Americans with Disabilities Act (ADA) expired in C.O.T. database Valuation X 25% _ $ .l p°Participation �� A J �„ Oregon Const.Cont.Board Lic.>r Exp.Date Complete Accessibility orm �!3 �• Project $ �p --- Name Valuation . Archlf-ct GPP )"i' ec-+S IKC , Plans Required: See Matrix for number of sets to subnu Mailing Address Suite on back 92e rw 13 I'd 400 - city/state Zip — Phone I hereby acknowledge that I have read this application,that the information POr.1 �Q 97 ZX) 2Zd �(�.- given is correct,that I am the owner or authorized agent of the owner and l t� I-._.. ( that plans submitted are in compliance with Oregon;;ate Laws I Engineer Name — Signature of Owner/Agent Date Mailing Address —�— Suite Con*t Person Name Phone City/Slate Zip Phone a 'Z24 C��lvr - 9(119J6I --- FOR OFFICE USE ONLY Indicate type of work: New O Addition O Demolition O MapITLO7�_ Land Use: — Accessory Slnmcture O Foundation Only O Alteration W 15135-/M'0/e,0-sI Repair O Other O Notes,— Description of work: �} Tena•. 1►'' � "" TIF: t•arks: Estimated 0 of Employees --— Nnte: Site Work Permit Appilcatlon mu!it precede nr accompany Building Permit Application I\COMNEWDOC (DST) 1397 q COMMERCIAL PLAN SUBMITTAL REQUIREMENT MATRIX DISTRIBUTION TO PLAINS OUT TO DST EXAMINERS (Note a.) TYPE OF SUBMITTAL fOTA1, CPE PPE ERF: -� CPE PPE EPE SITE 1 1 3 (j,o.u) -- -- B (New or Add) 1 1 - - 3 (j,o,w) -- -_ F (New or Add or Alt.) 3 3 -- -- 3 (j,o,f) M (New or Add. or Alt) 1 1 -- 20,o) -- -- B & M (New or Add) 1 1 - -- 3 (j,o,w) -- - P (New, Add. or Alt) 2 -- ? -- -- 20,o) -- B & M & P (New or Add.) 2 1 1 -- 3 (j,o,w) 2(j,o) -- E (New, Add, or Alt) 2 -- -- 2 -- -- 20,o) B & M & P & E (New, Add) 3 I 3 (j,o,w) 20,o) 20,o) B or B & M(Alt) l 1 -- -- 20,o) -- B& M& P(Alt) 3 1 2 -_ 20,o) 26,o) -- B & M & P&E (Alt) 3 1 1 1 2 (j,o) 2 (j,o) 2 (i,o) NOTES: a. Before returning to DST, Plans examiner gets appropriate j = Job B = BUP number of revised plans from applicant, stamps and completes, o = Office M = MEC updates and adds actions. f= Fire P = PLNI u = USA E = ELC b. Shaded areas designate ALT'submittals only. w= Wash. County F= FPS c. FPS is a new permit category set aside for fire sprinklers and fire alarms. d. Effective August 15, 1997, Tualatin Valley Fire and Rescue no longer requires a set of approved plans to be forwarded to their office. Exception, continue to forward a copy of approved F-e sprinkler and fire alarm plans with calculations. h Vnstnc Doc ;�� CITY OF TIGARD FiEVE'LOPMEwr SERVICES Tiqafc', OR 97223 (503)639-4171 Plan CITY OF TIGARD Mechanical Permit Application RecdSec'd " P� Rec'd 13125 SW HALL BLVD. Commercial and Residential ,�]� Date (� TIGARD, OR 97223 U� Date to P E._ (503) 639-4171, x3(14 I �� Date to DST Print or Type 1e ( Permrt# 4"UE-z'S -voV Incomplete or illegible applications will not be accepted Called Nerr>9 nr Develop enuranle% I Description Table to Mechanical Code Cry PRICE AMT Job Street Address SuAerY A) Permit Fee 0- Q 10.00 Address r 25 eagrr lutea 'e zipor 1.) Furnace to 100,000 BTU 6.00 including ducts&vents Name(or name or busing ) 2.) Fumace 100,000 BTU+ 7.50 Owner including ducts 8 vents Malffhg Address 3.) Flcor Furnace 6.00 inrwding vent (Statep Phone 4,) Suspended heater,wall heater 8,00 _ _ or floor mounted heater No e(or name of b slneaa) 5.) Vent not included in appliance permit 3,00 r OCCupam Mailing Aaaren 8.) Boiler or comp,heat pump,air cored. 8,00 d1l �� to 3 HP;absorb unit to 100K BUT" c /Slate zip ('Phone 7.) Boiler or comp,heat pump,air ccnd. 11.00 ✓ jj 2,9a 3 � 3-15 HP;absorb unit to 500K BTU" Contractor Name 8.) Boiler or comp,heat pump,air Gond. 15,00 15-30 HP;absorb unit.S-1 mil BTU" Prior to permit Mailing Adaress 9.) Boiler or comp,heat pump,air Gond. 22.50 issuance,a copy ' 30-50 HP;absorb unit 1.1.75mil BTU" of all licenses _ rfst to zip Phone 10.) Boiler or comp,heat pump,air cond. 37.50 are required it >50 HP;absorb unit 1.75 mil BTU" - expired in COT Oregon Conal.Com 1381rd ME# Exp.Date 11.) Air handling unit to 10,000 CFM 4.50 database 9 Architect Name 13.) Non-portable evaporate cooler 4.50 Of Mailing Ad se �� - 14.) Vent fan connected to a single dud 3.00 Engineer cityfstste 7.Ip Phone 15.) Ventilation system not included in 4.50 appliance permit Describe work New O Addition O Alteration,! Repair O 16.) Hood served by mechanical exhaust 450 to be done Residential O Non-residential O Additional Description of work: 17) Domestic incinerators 750 %l i _ 18.) Commerr 1 or industrial type 30.00 Incinerst. Existing use c 19.) Repair units 4.50 building or property 10.) Wood stove 4.50 Proposed use of building or property 21.) Clothes dryer,etc. 4 50 22.) Other units _ 4 50 Type of fuel-oil O natural gas O LPG O eledri 23.) Gas piping one to four outlets 200 1 hereby acknowledge that I have read this application,that the 24.) More than 4-per outlets(each) 50 information given is correct,that I am the owner or authorized agent of the owner,that plans submitted are in compliance with Oregon State CITY.SUBTOTAL laws. Signature of Owner/Agent Date 'SUBTOTAL ` 5%SURCHARGE s Contact Person Name Phone PLAN REVIEW 25%OF SUBTOTAL i a�� TOTAL 1 / I�niecm. hpdoc (rev 9 J • Inlmum pem.;t fee is$25+5%surcharge G-Residential A/C requires site plan showing placement of unit VV 1 CITY OF TPLUMBING PERMIT ., DEVELOPMENT SERVICES PERMIT #. . . . . . . : PLM98-0014 13125 SW Hall Blvd., Tigard, OR 97223 (501)639.4171 DATE ISSUED: 01 /27/98 PARCEL: 1S135AB-01003 SITE ADDRESS. . . : 10300 SW GREENBURG RL) #230 SUBDIVISION. . . . : ZONING: C-P BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . : JURISDICTION: TIG CLASSOFWORK. . :ALT GARBAGE. DISP0SAL_S. : v) MOBILE HOME SPACES. : 0 TYPE OF USE. . . . :COM WASHING MACH. . . . . . : 0 BACKFL0W PREVNTRS. . : 0 OCCUPANCY GRP. . :B FLOOR DRAINS. . . . . . : 0 TRAPS. . . . . . . . . . . . . . . 0 STORIES. . . . . . . . : 0 WATER HEATERS. . . . . : I CATCH BASINS. . . . . . . : 0 FIXTURt-_3------------- LAUNDRY TRAYS. . . . . : 0 SF RAIN DRAINS. . . . . : 0 SINKS. . . . . . . . . .. 1 URINALS. . . . . . . . . . . : 0 GREASE TRAPS. . . . . . . . 0 LAVATORIES. . . . : 0 OTHER FIXTURES. . . . : 0 TUB/SHOWERS. . . : 0 SEWER LINE (ft ) . . . : 0 WATER CLOSETS. : 0 WATER LINE (ft ) . . . : 0 DISHWASHERS. . . . : 1 RAIN GRAIN (ft) . . . : 0 Remarks : Comsys TI Owner: --------•----------------------------------------------- FEES - --_- --- ------ NORRIS BEGGS d• SIMPSON type amoi.int by date recpt 121 SW MORRISON PRMT $ 27. 00 GED 01/27/98 98-302847 PORTLAND OR 97204 SPCT $ 1.. 35 GEO 01/27/98 98-302847 Phone #: Contract DETEMPLE CO INC 1951 NW OVERTON ST PORTLAND OR 9720' _-- Phone #: 227-2641 $ 28. 35 TOTAL Req #. . : 00002 --- --- REQUIRED INSPECTIONS - - This permit is issded subject to the regulations contained in the Rough-in Insp r Tigard Municipal Code, State of Ore. Specialty Codes and all other PLM/Underfloor applicable laws. All work will be done in accordance with T o p--o l.tt I n s p approved pbins. This permit will expire if work is not started Final Inspection _ within 180 days of issuance, or if work is suspended for more than IN days. ATtrNTION; Dregdn law requires yo,i to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-MI-BNIO through DAR 952-SNNl-NNAN. You may _— obtain copies of these rules or direct questions to (XJK by calling _ (503)246-1987. l� —Permittee Si natlAre . e bus. 1.s s�_�e d B y: _—� 9 —.— ++++++++++++++++++++++ ++++++++++++•1++++++++++++++++++++++•++++++++++++++++41 Call. 639-4175 by 7:00 p. m. for an inspection needed the next business day ++++++++++++++++++++++++i +++++++++++++++++++++++++++++++++•I++++++++++++++++++ 1 o1.22•,98 THU 10:1:*, FAX 5032747686 DeTEMPLE COMPANY INC 004 N OF TIGARD Plumbing Application ROCA 01 I once Rech c.Lft 125 SW HA .L BLVD. Commercial and Residential Onto b p E GARD, OR 97223 oats to WT 13) 639-4171 venrvt• Print or Type wletlw SWR s c- ; Incomplete or illegible applications will not be accep-W CaW4 "- Cj6�.=r. ___ �r;,e of t�e�aloymenv�eopa - FIX RLEg.Qndhidwl) p Jab LN U i TE 30 Lam" — - Addf,9sa stfset Addrssa sone Lzveesry 9.00 to 300 2 A) Gr n bi Tub or TublShaver Comb. 9.00 Bt1g a Utpstate Op shower onry -- 0.00 -r1 -. D q ?Z 3 Weer Qotet 9.00 raartw �iYleraahar d1P�ri (3 i✓►� S 0 - -- - 000 Owner twang Adm.K 53.M C�afsa0e Ot.00t.l � 9.00 W Nl 4f r i SV yj Wtaf*V Mod** 9,00 I51atr DO pAnrn -� F:.•+w onr, r a o0 r I � Nan" C(DMS -S it.00 Occupant A1119NAedrtma sr, VvaorrQWW I 9.00 00 SwiC Lsur ry Racm rm 0.00 City hemp r 'ap PnoneK-11 _ 9.00 - Olf-Ftaftrttne(soe'ay) 0.00 Yte Contractor "algry "°"'"af swot 9.W 1951 NWOUE' ttY� — •t for to dasnnra q4v rStaa /ty� p FIN" '_ 0.00 -uplic+nt mtot 12-r., Of- 11 .09 - �,a YI aroMe all Oregon ConaL ConL Board Lic! Fxv Date- C� g U0 mrre'achrs Qa,5-1 — - / .U _-�__ 9.00 kerneF'UrttbWv Lfc.R Ego.oats �' S�__ S4WW-Y- tt 100`' 3o.tfo trtnnr.attflrt -(� _ O Smror-each addlf zvW 107 --- 25 a for Coo GOT Busumea Tax or Mow 8 Ev.Daae Q y,ty Sere--1n 100' _ 3000 da to has&1 - _.___ Wa �� ter:senna-each aadison.0i ear 23:00 A r c h itfa ct s rare,a Ralh van-ill 107 -^ _« 30.00 or Ma*v Ananw suim Slam►aHMn Dvn-.ecil aoeloenal 100• 25M - Mcbit Meme Space 25.00 Engineer Gtyrstate _op - vnons - c'mmwrWr aear rice.t•+erentiQ,O�or Awa• 2s o0 _ ptkldtn Drv" _ cscnuw.ora Now O Aadfdon A Aletroeon O Repar O Resrfer"aidt5ra.Pm~rbon Dance' 15.00 be done- ResidentW O - Man retwentlalA Any Trap or Waste Not C,ssmedad to a Fitcave� 900 camon0! .mrnplian M wort— Cwun Breit 900 Irup of �netlrej pRenbbv a0.fm Per .ul�MO sta�•-�h Aw�+t�Irtspectsona X0.0000 .&m"LLoA of !oa4 f/ h.cctn.. - ft 'WLqq or wry- Ran brani,s"le family comMig 30.00 rnpnvrd taw of yeast Traps 9.00 ,A'ding or 9mpoM_- - - -- - QUAAITTIY TOTAL •'-••• rw you c9Dpttq. movlrtg or rt±plat]ng arty 16cttues7 YM O Np Im n e a"ser aararrm a ra"W M QuarWV Teat ai H awe faeek Y 'SUBTOTAL of form) YR'Dy acknowledge that I have read U1ts appUotlon ft-it Me infonnarion c;�r vara is mnvw3.d%it I am T*owner or autnartzed ageM of the owner and 3%SURCHARGE 1.35 7 '3t at Owns submitted are in com0lisnce with Ortym State L ftm --- �— ry�p��/jjv►*1oAf�UrrrrfAgent /, Datan -PLAN RMEW 25`8,OF SUBTOTAL. L- -v t��1/'I �__�►i��%I CN" �.-�- ! 1 Awruee a+►r f terve ar�trnl is>_4 e t ; v TOTAL `�•. 1,,3� ,,nor:T Pamon Kama Phorw Mlnlmum •, S%evdtargw,rescapt Resiuenml Badlow �/aanYlorl VhUrrae- ?--7 Gr1 D=,AM".M. aS2bS3 L\ptmapp.doc 1196 (dst) Accumulative Sewer Taily Tenart dame: <; _ This SVVR# / (J Address /6-5Ke 77 Z _S L' This PLM#:� 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 _ l -Jacuzzi/Whidpool 4 Car Wash- Each Stall 6 Drive Through 16 Cuspidor/Water Aspirator 1 Dishwasher-Commercial 4 _ -Domestic 2 Drinking Fountain Eye Wash Floor Drain/sink- 2 inch 2 3 inch 5 _ -4 inch _ 6 _ Car Wash Drn 6 Garbage Disposal 16 Domestic(to 3/4 HP) Commercial(to 5 HP) _ _32 - Industrial(over.5 HP) 16 Ice Machine/Refrigerator Drains 1 Oil Sep(Gas Station) 6 Rec.Vehicle Dump Station 16 Shower-Gang(Per Nead)` 1 _- - Stall2 _ _Sink- Bar/Lavatory _Y 2 Brad!ey — 5 —- - - - �_Commercial 3 _ Service 3 Swimming Pool Filter _ 1 Washer-Clothes _ 6 Water Extractor _ 6 Water Closet Toilet_ 6 Urinal 6 i --7 TOTALS I Total fixture values:_, '/ _divided by 16 �4DU HISTORY _ PLM# -0 r 3 E'7U# -'N SWR# T e-c ? PLM# 1 -0t'4 C'_ EDU# /7, SWR# 7.5 O-VT 1 PL M# � oW/ -, L. V SWR_ PL_M i�� EDU# S1NR#c? PLM# EDU# SWR# PLM# EDU# SWR# PL_M# -O'YW EDU# e -� SWR# r7-o-T, PLM# EDU# SWR# i ldats\swrtaly.doc CITY OF TIGARD ELECTRICAL. PERMIT PERMIT #: ELC98-0036 DEVELOPMENT SERVICES DATE ISSUED: 01/22/98 13125 SW Hall Blvd., Tigard,OR 917 223 (50.3)639-4171 PARCEL : f.513SA8-0100 SITE ADDRESS. . . : 10300 SW GREENBURG RD tj�.,-0 SUBDIVISION. . . . : ZONING:C-P BL..00K.. . . . . . . . . . 1. C1T. . . . . . . . . . . . . . JURISDICTION: TIG Project Description : Add twenty-eight (28) branch circuits to an existing tenant within a couercial bldg. - -RESIDENTIAL. UNIT-- -- ---TEMP_SRVC/FE'EDERS---- -----MISCELI-.ANEOUS------- 1000 SF OR LESS. . . . : 0 0 — 200 amp. . . . . . . : 0 PUMP/IRRIGATION. . . . : 0 FACH ADD' L 50&7F. . . - 0 201 400 amp. . . . . . . : 0 SIGN/OUT LINE LTG. . 17, LIMITED ENERGY. . . . . : 0 401 — 604' amp. . . . . . . : 0 SIGNAL/PANEL. . . . . . . 0 MANF. HM/ EVC/FDR. .- 0 E-.O1+amps-1000 volts. : 0 MINOR LABEL. ( 10) . . . : 171 -.-----SERV---SERV ICE/FEEDER------ — -- BRANCH CIRCUITS----- --- ----ADD' L INSPECTIONS—- 0 NSPF_CTIONS—- 0 _ ;-,00 amp. . . . . . : 0 W/SEP,VICE OR FEEDER: 0 PER INSPECTION. . . . . : 0 201 400 amp. . . . . . : 0 1 st W/0 SRVC OR FDR. : 1 PIER HOUR. . . . . . . . . . . : 0 401 _ 600 amp. . . . . . : V1 EA ADD' L.. BRNGH CIRC: c17 IN PLANT. . . . . . . . . . . : 0 601 — 1000 amp. . . . . : 0 ------.----- -------PLAN REVIEW SECT I ON---__---_---_—__---_ 1000+ amp/, :• t. . . . . : 0 ) =4 RES UNITS. . . . . . . . : ) 600 VOLT NOMINAL_. . : Reconnect only. . . . . : 0 SVC/FDR )= 225 AMPS. - : CLASS AREA/SPEC OCC. : Owner: --------------------------------------------------------- FEES MEL.VIN MARKtype amount r date r•ecp+ 102r'-_,O SW GRE.ENBURG RD F'RMT $ 170. 00 GEO 11 /22,/98 98 302681 TIGARD OR 97223 SPCT $ 8. !0 GEO 01 /22/98 9F-3026,81 Phone #: GOTItr^actor: __.__.___._____—____--_.-----.___...._.___._..---- -------------------------------____ CHRISTENSON ELECTRIC INC $ 178. 50 TOTAL_ 111 SW COLUMBIA STE 480 ----_~---- RECJUIRFD INSPECTIONS -__.....__ PORTLAND OR 97201 Ceiling Coven Undergroi.tnd Cove phone #: 241--48liWall Cover Elect' ] Service Reg #. . : 000004 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Oregon 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: Oreqrn law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in CZAR 952-001-0010 threugh CZAR. 952-001-1987. You say obtain a copy of these rules or direct questions to (tlldl: by calling (503)?46-1981. P e r m i.t t e e yzf-L,x4`i'� I s s i.t e d OWNER INSTALLATION F)NL.Y-- ---------------_-.____--_--_--__ 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 SUFIR. ELEC' N: ___ _ BATE: LICENSE NO: +++++++++++++++++++++++ +++++++..++++++++++++f++++++++++++++++++++++++++++++a+4.4 Call 639-4175 by 7:00 p. m. for an inspection needed the next bi.isines 7 day J CITY CF TIGARD P'ectrical Permit Application Plan Check#_ 13125 SW HALL EILVD. Recd By TIGARD OR 97223 bate Rec'd Date to P.E. Phone (503)633-4171, x304 Print or Type date to DST�r Inspection (503)639-4175 Incomplete or illegible wiil not beaccepted Permit#�GC `1' i ' r3_ Fax(503)684-7297 Called 1. Job Address: 4. Complete Fee Schedule Below: Name of Development LINCOLN CENTRE LINCOLN I Number of Inspections per permit allowed Name(or name of business) COMSYS SUITE 225,230 Service included: Items Cost Sum ,address 10300 SW GREENBURG RD � 4a. Residential-per unit PORTLAND OR 1000 sq.ft.or less $110.00 City/State/Zip Each additional 500 sq.ft.or ❑ portion thereof $25.00 Commercial Residential Limited Energy $25.00 ROSS CROSBY MALIBU PACIFIC Each Manuf'd Home or Modular Dwelling Service or Feeder $68.00 2.a. Contractor installation only. �- (Attach copy of all current licenses) 4b.Services or Feeders Electrical Contractor CHRISTENSON ELECTRIC, INC Installation,alteration,or relocation AddfeSS. 111 SW (JOLUMBIA SU1E200 amps or les4 $60.00 201 amps to 400 amps $80.00 2 City PORTLAND State OR _ Zip 97201-_5886 401 amps to 600 amps $120.00 7 Phone No._ 241-4812 601 amps to 1000 amps $11,10.00 2 Job No. 222-0:56 Over 1000 amps or volts $340.00 2 Elec.Cont. Lice. No. 26-341,. Exp.Date Reconnect only $50.00` - OR State CCB Reg. No. 4.51 _Exp.Date 4c.Temporary Servicer.or Feeders COT Business Tax or Metro Nn.-__ Exp.Date Installation,alteration.or relocation 200 amps or less $50.00 Signature of Su r. ` `n L - ~� 201 amps to 400 amps $75.00 g p ----i-�t-=� 401 amps to 600 amps $100.00 8 7 3 S Over 600 amps to 1000 volts. License Nr' Exp.Date see"b"above. Phone N -- 1/14T-9-9-' 4d.Branch Circuits Now,alteration or extension per panel 2b. For owner installations: a)The fee for branch circuits with purchase of service or Print Owner's Name feeder fee. -- --- - �- Each branch circuit _ $5.00 Address b)The fee for branch circuits -- ---- - City State..___._. Zip __. without put chase of Phone No._ service or feeder fee. 35. First branch circuit 1 $35.00 ,. The Installation is being made on property I own which is not Each additional branch circuit.= $5.00 _ 135 intended for sale,lease or rent. 4e.Miscellaneous Owner's SI nature. (Service or leader not included) 9 - Each pump or irrigation circle $40 00 _ Each sign or outline lighting $4000 3. Plan Review section (if required):" Signal circult(s)or a limited energy panel,alteration or extension $40.00 -_ Minnr Labels(10) _ $100.00 Please check appropriate item and enter fee in section 5B. 4 or more residential units in one structure 4f.Each additional Inspection over Service and feeder 225 amps or more the allowable In any of the above System over 600 volts nominal Per Inspection _ $35.00 - _�Classified area or structure containing special occupancy Per hour $55.00 _ as described In N.E.C.Chapter 5 In Plant $55.00 _ *Submit 2 sets of plans with application where any of the above apply. 5. Fees: 170. Not required tot,temporary construction services. 5a.Enter total of above fees $ Surcharge(.05 X total fees) $ --�� NOTICE Subtotal $ 5b.Enter 25%of line 5s for PERMITS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED IS Plan Review It required(Sec.3) $ NOT COMMENCED WITHIN 180 DAYS,OR IF CONSTRUCTION OR WORK Subtotal $ - -� IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED. ❑ Trust Account#_ S total balance Due 178. -)0 11USTSTi CNG AN' nov 4'96 --� � CITY OF TIGARD DEVELOPMENT SERVICES ELECTRICAL PERMIT -- 13125 SW Ha!I Blvd„ Tigard,OR 97223 (503)639-4171 RESTRICTED ENERGY PFRMTT #: EL.R98-0022 DATE ISSUED: 02/03/98 PARCEL: 1S135AB-01003 SITE ADDRESS. . . : 10300 SW GREENBURG RD #230 SUBDIVISION. . . . : Z ON 1 NG:C--P BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . . JURISDICTN: TIG Project Description : Comsys Z- A. RESIDENTIAL--------- B. COMMERCIAL------------------------------------------ OMME_RCIAL—•_--•-----------------------•-------------_AUDIO & STE,'�EO. . . ! 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: JTHER: : : HVAC. . . . . . . . . . .. . : PROTECTIVE SIGNAL_. . : INSTRUMENTATION. : OTHER. . : TOTAL # OF SYSTEMS: 1 Owner: FEES -- --__------_..___ NORRIS BEGGS^& SIMPSON- _ --'-- type amoi_rnt by date recpt 10220 SW GREENBURG RD PRMT $ 40. 00 .TSD 02/03/98 98-302972 TIGARD OR 97223 SPCT $ c".'. 00 JSD 02/03/98 98-302972 I Phone #: 452-5900 Contrarctora ----•___. .___._..___..___._ _.._._.__.___._.___.____.___ GREENLINE INC S 42. 00 TOTAL F'0 BOX 230755 --•--•-••— REQUIRED INSPECTIONS --------- - TIGARD OR 97223 Ceiling Cover Low Voltage Insp Phone #: 968—ISIS Wall Cover Elect' l Final Reg #. . : 001030 Tnis 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 by done in accordance with approved plan- This permit will expire if work is not started within 160 days of issuance, or if work is suspended for more than 190 days. A TFNTION: Oreqnn law requires you to follow rule adopted by the Oregon Utility Notification Cente, . Ttn�p rules are set forth in OfiR 95F 001-0010 through OAR 952-001-0060. You say obtain copies of these rules or direct questions ` a _t6-1981. Permittee Si T s s�r.r e d by "--" �_.r__ ----..--OWNER INSTALLATION ONLY----------------------------- [tie installation is being made on property own which is not intended for sale, lease, or rent. OWNER' S SIGNATURE: DATE: ----CONTRACTOR INSTALLATION ONLY- --------- ---'--'— S IRNA"f 1_IRE OF SUL'R. EL.EC' N: — _ DATE: LICENSE NO +++++-1-+•f•+•• +++++++++++++++++++-f+4•++++++++++++++++++++++++++++++++++++++++++++++. � Call 639-4175 by 7:00 P. M. for an inspection needed the next business day ++++++++++•F++++•h++++++++++F++++++4-i•+++++++++++++++++•4F++++++++++++++++++++++++++ r CITY OFTIGARD Electrical Permit Application Plan Check# 13125 SW HALL BLVD. Recd By Date Recd r:71_G 3_ 11 TIGARD OR 9'7223 Date to P.E. Phone(503)639.4171, x304 Date to DST _ Print or Type .'.� Inspection (503)639-4175 Fax(503)684-7297 Incomplete or illegible will not be accepted Permit a C-; Called ae_Q73 � 3u 1. Job Address: 4. Complete Fee Schedule Below: Name of Development LI N C b LN l/E N I E Number of Inspections per permit allowed Name I/ ( r yrta of business) C O MSy `� Service Included: Items Cost Sum Addl't3s� 1D �' ShJ L KE EN l3(1 L- RI) 31 4a. Residential.per unit City/State/ F0P T 1-H►J D �ok 17223 Each adsq.Il.or less $110.00 Each additional 500 sq.ft.or / portion thereof $25.00 Commercial Residential ❑ Limited Energy Y $25.00 Each Menul'd Home or Modular Dwelling Service or Feeder $68.00 _ 2a. Contractor installation only: (Attr. .t ipy of all current lice 9b) 4b.Services or Feeders Llectrical Contractor C P,t f-ry L I NE N_(_ Installation,alteration,or relocation Address F0 f3U 7-3075 200 amps or less $60.00 2 201 amps to 400 amps $80.00 2 City ' K-_. State U ZIP 401 amps to 600 amps $120.00 2 Phone No. - 1`17 F 601 amps to 1000 amps $180.00 2 Job No. tijo _ Over 1000 amps or volts $340.00 2 Elec.Cunt. Lice. Nc 3E: 76 LExp.Date Reconnect only $50.00 2 `bR State CCB Reg. Nn.. ._.Exp.Date ________ 4c.Temporary Services or Feeders COT Business Tax or Metro No.-.-E xp.Date-- Installation,olteratlon,or relocation 200 amps or less $50.00 2 Signature of Su r. Ele''n _ 201 amps to 400 amps _„ $75.00 2 g P - 401 amps to 600 amps $100.00 r JL-C- L Over 600 amps to 1000 vo Is, License No. 14- __- _-Exp.Datesee"b"above. Phone No. to�"I r'1-7_�s4d.Brenzh Circuits New,alteration oI extenalon per panel 2b. For owner installations: a)The fee for branch circuits with purchase of service or Print Owner's Name _ feeder fef Address Each branch circuit $5.00 h)The lee 1^r branch circOts City State u _ without purchase of Phone No. _ _ _,___ service or feeder fee. First branch circuit $35.00 - 2 The Installation is being made on property I own which is not Each additional branch circuit_ $5.00 2 intended for sale,lease or rent. 4e.Miscellaneous (Service or feeder not Included) Owner's Signatur@ __ Each pump or irrigation circle $40.00 _ 2 Each sign or outline lighting $40.00 2 3. Plan Review secticn if required):' Signal circuits)or a limited energy pp panel,alteration or extension ( $40.00 2 Minor Labels(10) $1�� Please check appropriate Item and enter fee in section 5B. _4 or more residential units In one structure 4f.Each additional Inspection over /i Service and feeder 225 amps or more the allowable In any of the above System over 600 volts nominal Per Inspection _ $35.00 _ Classified area or structure containing special oc..upmnr.y Per hour $55.00 _ as described In N.E.C.Chapter 5 In Plant _ $55.00 _ "Submit 2 note of plans with application where any of the above nppl1 5. Fees: Not required for tempnrary construction services. 5a.Enter total of above fees $ 5%Surcharge(.05 X total fees) $ c O c N TICS. Subtotal $ 5b.Enter 250%of line be for PERMITS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED IS Plan Review If reguired(Sec.3) $ NOT COMMENCED WITHIN 180 DAYS,OR IF CONSTRUCTION OR WORK Subtotal $ IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED. ❑ Trust Account a $ Z VTotal balance Due 10STMELCM APP Rav W9C CITY OF TIGARD DEVELOPMENT SERVICES 13125 SW Hall Blvd., Tigard,OR 97223 (503)639.4171 CF..RTIFICATL OF OCCUrANCY PE RMIT #. . . . . . . 131t{�'c�f i1�0R�, DATI". U3SUE~Ds 04/034919 P(+F��`E.I..a 1�larA17•-0t��c'�::; ADDRLS9. . . ; 11331710 SW F;REP-NBLJRr3 RL) It 121;'0 .Wt 1U3DIVISION. . . . sRCD LOS9)TER / CAS -1 L.UPITA ZONINOsC-k 131-OCK. . . . . . . . . . e LUT. . . . . . . . . . . . . a JURISDICTIONS '1113 CI-ASS OF WORK. sALI' TYPE: OF USE'. . . s COM f'YVIE OF CONSTRs2F'R 0'-' UPANC:Y GRP. -8 UCCUPANCY LOAD: f,�� NAN7 NAME. . . c U' ti v ; omartcss Tenant impr•ovenjent -c,omt.-inp two F!•, istin,t suites into one. 4nerr __. .._...__ ._._-._ .. .... - _.. ._.._.. . - -.. ...__ +ICVLRSOCKER PROP, INC XXIV r HORR I S BE[.)GS & 5I MPGUN 1 o obo SW GRCENbURG FAD #200 I J';{ARD OR 97.::23 onR #c lt_1nU Pp.rIFIC ;5 NE JACKSON SCHOnL ROAD ,I t I.Sr3OR0 OF? 17124 14.)rrH Ne 693-9797 I�P'14 #. . : 2593145 Thais Ce'rtificaie grunts ccc-1.1paenc:y of the. +brave r,pfer^ended hcii '1d+ng ur pur-tau t-t)er•Ncjf asci r:,anfir•ms that the building hai3 been inspected far r.-umpliance with pie St ate at Oryon t3pec:ialt Cade• foi the yrcr y cac.cupanr.y, and c.tie 1.,ndrl vefc•!r enc,ed Kee► w s i ys�as!d. 'r i i I IC.; l ld!aPEl TOR E!U I 1_�LNd 0F'F'i C I r F'09-1 IN CONE P I CLIOL►S PLACE CITY OF TIGARD BUILDING INSPECTION DIVISION 24-Hour Inspection Lina 63,94175 Business Phone: 6394171 r Date Requested: — " 3 _ _ AM — M. MST: Location: imp. Tenant:_ C. Suite: .?. 0 Bldg: Contractor: (_- Phone j C' ( -C// PLM: Owner: Phone: / ELC: _Y�'Z( ELR: — _ kt�rn1 _�"Q t C /J SIT: BUILDING BLDG(con't) PLUMBINGECHANICAC ELECTRICAL SITE Site Post/Beam PostAicam J Cover/Service Se%-cr/Storm Footing Roof Undl l/Slab Rough-In Ceiling Water Lune Slab Fratning Top Out Gas Line Rough-In UG Sprinkler Foundation Insulation Sewer flood/Duct Reconnect Vault Bsmt Damp Drywall Stonn Furnace 'Temp Service MISC. Masonry Coiling Rain Dram A/C UG Slab Shear/Sheath Fire Spklr/Alm Crawl/Found Dr I ICat Pump Low Volt �1C)!pr07Approved A rrovcd_ Approved Approved Appr/Sdwlk "1Qf1 Hued Not Approved Not Affroved Not Approved Not Approved FINAL - FINAL—i FINAL FINAL >��- --= Stir Cl('at for L--.s Reinspection fee of S y ed before next inspection O Unable to inspect Ins{xxtor - -�—-- -- "at,.- > -- Pagc_-_--or--- _ _BUILDING PERMIT CITYOF TIGARD - PERMIT#: SUP2002-00.133 DEVELOPMENT SERVICES DATE ISSUED: 4/16/02 13125 SW Hall Blvd.,-f;aard, OR 97223 (503) 639-4171 PARCEL: 1 S135AB-01003 SITE ADDRESS: 10300 SW GREENBURG RD 230 ZONING: C-P SUBDIVISION: LINCOLN ONF/RED LOBSTER/CASA L JURISDICTION: TIG BLOCK: LOT: _ FLUOR AREAS EXTERIOR WALLCO__ NSTRUCTION_ REISSUE: — S: E:W: CLASS OF WORK: ALT FIkST-7 3,704 sf N. PROJECT OPENINGS? TYPE OF USE: COM SECOND: sf -•sf g; E: W:- TYPE OF CONST: 5N N, OCCUPANCY GRP: B TOTAL AREA: 3,704.00 sf ROOF CONST: FIRE RET? BASEMENT: sf AREA SEP. RATED: OCCUPANCY LOAD: 37 GARAGE: sf OCCU SEP. RATED: STOR: HT: ft REQUIRED BSMT?: MEZZ?: REQD SETBACKS_ �_ FLOOR LOAD: psf LEFT: ft RGHT-ft REAR: ft FIR ALRM : Y HNDICP ACC:Y DWELLING UNITS: FRNT: BEDRMS: BATHS: IMP SURFACE: PRO CORR: Y PARKING: VALUE: $ 7,500.00 Remarks: Tenant improvement, construct 25 feet of wall and relocate exit door. Contractor: Owner: EO? LINCOLN, LLC C SCHIEWE & ASSOCIATES INC 1024 NE DAVIS ST 10260 SW GREENBURG RD PORTLAND, OR 97232 SUITE 100 P�pTL AND, OR 97223 Phone: 503-234-6617 one. Reg #: LIC 54105 REQUIRED INSPECTIONS -, FEES - - �— Type By Date Amount Receipt Framing Ins I Gyp Board Insp PRMT CTP, 4/16/02 $120.10 27200200000 Final Inspection 5PCT CTR 4116/02 $9.61 27200200000 PLCK CTR 4/16/02 $78.07 27200200GOO FIRE CTR 4/16/02 $48.04 27200200000 Total $255.82 This permit r issued subject to the regulations ll be done inained in the Tigard Municipal Code,ac accordance with approved plans. This permit ild expire if work is and all other applicable law. All work not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon R requires you to follow the rules adopted( �b87 the Oregon Utility ain a Notification oCenthese er. Th se rules reons torOUth rNCO by 952-001-0010 through OAR 952-001-1987. calling (503)246-6699 or 1-800-332-2344. Pennittee - __— Signature: Issued By: — - Call 639.4175 by 7 p.m. for an inspection the next business day Building Permit Application Uatereceived: Permit n(, /33 City of Tigard Projecl/appl.no.: ire date: Cirygffigard Address: 13125 SW Hall Blvd,Tigard,OR 97223 Phone: (503) 639-4171 Date issued: no.: B Receipt Fax: (503) 598-1960 case file no.: Payment type: Land use approval- - 1&2 family:Simple Complex: 30 11 U I &2 family dwelling or accessory U Commercial/industml J Mult-lastly J New construction U Demolition U Additiott/alteration/replacemenl 41'enant improvenn•nt U fire sprinkler/alarm U Other:.109 SITE INVORMATION Gr ewLjr, ( d, Su( � Z 3U - - - Bldg.no.:uNc N Suite no.: VSd Job address: O 0 SW Lot: Block: Subdivision: IJ'ax map/tax lot/accountno,: Project n a m�e E mm eft r arc Description and location of work on premises/special conditions: TeNa��rt M ►tr/eMeH Name: C-6"? OFF(cF tvfwr,Iir4TuF tsolar, Mailing address: 102& SW C-+ree" v� A . Su; e b� I .Y 2 family duelling: t'ily: Pb►f ar,>{ State:a/-- ZIP:97221 Valuation of work...................................... Phone5o3 892-1 SC- Fax: E mail: No.of hedrooms/baths................................. Owner's representative: V GL`s Ar'A t�c� Total number of floors................................. Phone 2�4-9asc. I rix li nf:til: New dwelling area(sq.ft.) .......................... APPLICANT Garage/carport area(sq.ft.)......................... Covered porch area(sq.ft.) ......................... Name: G15P f'r ek�t•ec'� _ -�_ Deck area(sq.ft.) '� sw 3rd aVeMu� 5,�; •tom 4'Oo� ........................................ --- Mailing address: 92e _ Stale:CF- ZIP: 9'720_ k liner(y'mmtntcwre arca(sq. ft.)......................... . City: or't B- : mail. ereit+lllndustriallmulti-femlly: v lhone51 o3-z�Q 96e6 I t $ �SOO° Valuation of work........................................ Existing bldg.area(sq.ft.) ....... .................. Business name: C� se e• Cohn. -- New bldg.area(sq. ft.)................................ �O s F Address: (p'Z�_ NF Dater r `1'E • Number of stories ........................................ City: PVA State:0 type of construction.................................... Phone5o3 234-6617 Fax:_ E-mail Occupancy group(s): Existing: CCB no.: Sg 105 New: 6 City/metro lic. no. Notice:All contractors and subcontractors are required to he licensed with the Oregon Construction Contractors Board under Name: provisions of ORS 701 find may be required to he licensed in the jurisdiction where work is being:performed. If the applicant is Address: exempt from licensing,the following reason applies: - - -- City: - _ Stt ale: 711' _ Contact person: Plan no.: -- - _— Plwnc f;tr MM. ilia Name: ( )utact person: Fees duc upon application Address: -_ Date received: _ City; EState: 7.I P: Amount received ......................................... $ _-.-- Phone: Fax: E-mail: Please refer to fee schedule. hereby certify I have read and examined this application and the Not all jurisdictions accept credit crud+.pleax call jurisdiction for more Writ-matron attached checklist.All provisions of laws and ordinances governing this U Visa U MasterCard work will be complied with,whether specified herein or not. Credit card number _—_ - — — rxpir- Authorized signature: _ �-�'�^__ Date: G.OZ _ Name or cer older u shown on credit card S Print name:_ _ Cardholder signature Amount Notice:This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. 41t14f+11 f.spK'OMI Commercial flan Submittal Requirement Matrix 0A,of r,gal-d TYPE OF SUBMITTAL. # of Plans (Includes New, Additions or Alterations) Required at Submittal Site Work 4 (must include location of all accessible parking) Plumbing - Site Utilities 2 Building 1* Fire Protection System 3** 1 Mechanical 2 Plumbing - Building Fixtures 2 Electrical 2 I Plan review is dependent upon submittal of a completed application and plans. After plan review approval, the Plans Examiner will contact the applicant to request additional sets of plans for distribution purposes (for Contractor, City of Tigard, Washington County, and Tualatin Valley Fire & Rescue). *For over-the-counter commercial tenant improvements, submit 2 sets of plans. **"New" fire protection systems require that plans bear the original seal of an Oregon licensed fire suppression engineer, or NICET level "3" technicians. I•\dats\forrns\COM-matrlx.doc 9/24/01 CITY 4F TIGARD 24-Hour -- BUILDING Inspection Line: (503)639-4175 INSPECTION DIVISION Business Line: (503) 639-4171 MS'r C_r a BUP Received __ _ Date Requested _� AM_ pM BUP _ Location — -l Vit. L G' lac 'A--t, 'l Suited MEC _ Contact Person �►�� Ph( ) 6?<- 7 00 10 PLM Contractor -- Ph( ) . -- SWR BUILDING Tenant/Owner _- _ ------ -- - _—._ ELC Fooling --- Foundation ELC Ftg Drain Q 5e4�i� Z '� Crawl Drain ELF! _ Slab Inspection Notes: SIT Post&Beam ---- -_ Shear Anchors —- Ext Sheath/Shear — - - Int Sheath/Shear Framing Insulation - - — - ----- Drywall Nailing Firewall -- - Fire Sprinkler Fire Alarm Susp'd Ceiling - Roof - ---- Other: _ Final --- PASS PART FAIL _PLUBIN _MG - - Post&Beam Under Slab Rough-In - Water Service Sanitary Sewer Rain Drains Catch Basin/Manhole Storm Drain Shower Pan Other: ASS PART FAIL_ ICA os Fos A Beam-- Rough-In Gas Line Smoke Dampers Final PASS PART FAIL. —-- - - ELECTRICAL - Service _- Rough-In UG/Slab --- __ Low Voltage Fire Alarm --- Final PASS PART FAIL LJ Reinspection fee of$ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. SITE C� Please call for reinspection RE: Fire Supply Line - -- - Unable to inspect-no access ADA Approach/Sidewalk Date ._�^'-0 -LI= laa ecto� Other: - ` �C cZ c.A. Final DO NOT REMOVE this InRpection record from the job site. PASS PART FAIL CITY OF TIGARD ---- - � PLUMBING PERMIT DEVELOPMENT SERVICE'S PERMIT #: PLM2002-00129 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 4/19i02 SITE ADDRESS: 10300 SW GREENBURG RD 230 PARCEL: 1 S135AB-01003 SUBDIVISION: LINCOLN ONE/RED LOBSTER/CASA L ZONING: C-P BLOCK: LOT: JURISDICTION: TIG CLASS OF WORK: ALT GARBAGE DISPOSALS: MOBILE HOME SPACES: TYPE OF USE: COM WASHING MACH: BACKFLOV1i PREVNTRS: OCCUPANCY GRP: B FLOOR DRAINS: TRAPS: STORIES: WATER HEATERS: 1 CATCH BASINS: FIXTURES _ LAUNDRY TRAYS: SF PAIN DRAINS: �^ SINKS: 1 URINALS: GREASE TRAPS: LAVATORIES: OTHER FIXTURES: 1 TUB/SHOWERS: SEWER LINE: ft WATER CLOSETS: WATER LINE: ft DISHWASHERS: RAIN DRAIN: ft Remarks: TI Add (1) sink, cap 1 sink, water heater with hub drain. --- — FEES -- — Owner: � -- — Type By Date Amount Receipt FOP LINCOLN, LLC PRMT C1 R 4/19/02 $72.50 27200200000 10260 SW GREENBURG RD 5PCT CTR 4/19/02 $5.80 27200200000 SUITE 100 PORTLAND, OR 97223 Total $78.30 Phone 1: Contractor: KSM PLUMBING INC DBA SUNSET PLUMBING PO BOX 23263 REQUIRED INSPECTIONS TIGARD, OR 97281 --_---_- — —_— _--- Phone 1: 503-657-0010 Rough-in Insp Reg #: LIC 141154 Final Inspection PLM 34-366PB phis 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 952-0001-0010 through OAR 952-0001-0080. You may obtain copies of these rules or direct questions to OUNC by calling (503) 246-1987. �) Issued B Permittee Signature. /kz///z/Y�' Call (503) 639-4175 by 7:00 P.M. for an inspection needed the next business day Plumbing Pennit Application — Date received: I Q ) Permit no.: City of Tigard Sewer permit no.: fluilding permit no.: Address: 13125 SW liall Illvd,'figard,OR 97223 ecUa Ino.: Expire date: Ciryoffigard phone: (503) 639-4171 I'ra J PP P Fax: (503) 598-1960 Date issued: _ By: it Receipt no.: Land use approval: — u��C a "OG 13� Case file no.: Payment type: —_ U:NmAruction amily dvciting or accessory U Commercial/industrial 0 Multi-family U Tenant improvement U U Addition/alteration/repi.rccment U Food service INFORMATIONJOB SVFE Description Qty. Vee(ea.) Total Joh address: (0'300 3 W /^ U izC� New 1-and 2-family dwellings only: Bldg.no.:—OIZ 1414Co/P7 I Suite no,: L 30 (includes too it.fureachutility connec(ion) Tax map/tax lot/account no.: SFR(1)ball) _, _ Lot: _ Block: Subdivision: SFR(2)bath Project name: SFR(3)bath _. City/county: ZIP: Each additional bath kitchen Description and location ofwork on premises: !7el J 15f-41k Site utilities: Catch basin area drain _ -- Drywells/leach line/trench drain Estdate of completion/inspection: Footing drain(no,lin.ft.) WManufactured home utilities _ Business name: A( �-� .-f Hs. art r Manholes Address:�,v, rev ? 31 v 3 Rain drain connector City: �/ t' State:o ZIP: ?Z p2 / Sanitary sewer(no.lin. ft,) E-mail-: Storm sewer(no.lin.ft.) Plu►nb,hos.r no: Water service(no.lin. ft.) CCB no.: S g y" j r3 Fixture or Item: City/metro lie.no.: 3e,c( Absorption valve _Contractor's represent^.five signatur::: Back flow prcventcr Print name: cv _ l /'/I/ 1 ?,ilr: -/ Backwater valve > Imins/lavatory Clothes washer Name: Dishwasher Address: Drinking fountain(s) City: _ Ejpectors/sum Phone: —,Tax: I: ntuil. Expansion tank Fixture/sewer cap Floor drains/ or sinks/huh _ Name(print): _--------- —. Garbage disposal Mailing address: Bose.hibbCity: Stalia! ice makerPhone: Fax: Interceptorl reale trap _ Owner instal lation/residential maintenance only: The actual installation Primer(s)will be made by me or the maintenance and repair made by my regular Roof drain(commercial) employee on the property 1 own as per ORS Chapter 447. Sink(s),basin(s),lays(s) Owner's A nature: Date: Sum - Tubs/shower/shower pan Urinal Name: Water closet Address: — Water heater City: State: ZIP: Other. JI-11.1 c; t �l� Phone: Fax: E-mail: Total I Minimum fee................$ Not VI)urlrfictlona ttcap credo card+,pteaee cell jurisdiction iedlc(Inn rnr m� hdcxmtlan. Notice:This permit app ieation Plan review(at _ 76) $ _- O Visa ❑MtutlerCard expires if a permit is not obtained (reds cud numtm: / / within 180 days after it has been State surcharge(896) ,...$ -- Ea irc� ; _ � accepted as complete. TOTAL .......................$ Name or cerdlwlder asshown on credit tau s ----('udhdder�Iltnaturc A40-1616((�l(vCOM) Amount PLUMBING PERMIT FEES: PRICE TOTAL New 1 and 2-family dwellings only FIXTLh URES In, ,.L ual QTY eN AMOUNT (includes all plumbing fixtures In PRICE TOTA'. --- + 16.60 the dwelling and the first100 ft. QTY (ea) AMOUNT Sink for each utilit connection _ 1660 Oneg1L bath _ $249.20 Tub or Tub/Shower Comb 1660 Two(2 b) ath 5350.00 Shower Only --- - --- 16 60 Three 3 bath --- $399.00 Water Closet 1660 --- — SUBTOTAL - Urinal 16.60 - 8%STATE SURCHARGE Dishwasher 16.60 _PLAN REVIEW 250/6 OF SUBTOTAL Garbage Disposal 16.60 _-- _-___TOTAL _-- ---_ Laundry Tray 16.60 Washing Machine 16.60 Floor Drain/Floor Sink -z'- -� ,6.60 PLEASE COMPLETE: 3 - 16.60 q 16 60 Water Heater O conversion 0 like kind 1660 I(r to U _ Quantic b Work Performed Gas piping requires a separate mechanical Fixture Type: New Moved Replaced Removed/ Ca ed -Permit----- ._ MFG Home New Water Service 46.40 Sink MFG Homo New San!Storm Sewer 46.40 Lavatory__ — _ 1 ub or Tub/Shower Hose Bibs 1660 Combination _ -- Roof Drains 16.60 Shower Only _- Drinking Fountain 16.60 Water Closet 16 60 .� Urinal --- Other Fixtures(Specify) Dishwasher__ -.. Garbage Disposal Laundry Room Tray WashingMachine _ Floor Drain/Sink: 2" Sower-1st 100' 55.00 Sewer•each additionol 100' 46.40 4" Water Service- 1st 100' 55,00 Water Heater Other Fixtures Water Service-each additional 200' 4640 Storm&Rain Drain-1st 100' 55.00 Storm&Raln Drain-each additional 100' 46.40 - Commercial Back Flow Prevention Device 46.40 Residential Backflow Prevention Device' 2755 - -_ Catch Basin 16.60 Inspection of Tx1sting Plumbing or Specially 62.50 Requested Inspections erAU COMMENTS REGARDING ABOVE: Rnin Drain,single family dwelling 6525 Grease Traps 16.60 ---- --- QUANTITY TOTAL - Isonmtrlc or riser diagram Is required if t]uanllty Total Is >A _ ! __ -- "SUBTOTAL - - 8%STATE SURCHARGE - -- "PLAN REVIEW 25%OF SUBTOTAL Re aired onl II firlure t total Is r fI —_9 _U_ TOTAL TOTAI_ $: .Minlmum permit fee it E72 50-8%state surcharge,except Residential Backflow Prevrntion Device,which Is$36 zb+8%state surcharge **All New Commercial Buildings require 2 sets of plans with Isometric or riser 1 diagram for plan review. Of-100orms\plm-fees.doc 12/26/01 ELECTRICAL PERMIT CITY OF TIGARD PERMIT#: ELC2002-00177 DEVELOPMENT SERVICES DATE ISSUED: 4/19/02 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 PARCEL: 1S135AB-01003 SITE ADDRESS: 10300 SW GREENBURG RD 230 SUBDIVISION: LINCOLN UNE/RED LOBSTER/CASA L ZONING: C-P BLOCK: LOT : JURISDICTION: TIG Prosect Description: Tenant Improvement RESIDENTIAL UNIT _ TEMP SRVC/FEEDERS _ MISCELLANEOUS 1000 SF OR LESS: 0 - 200 amp: PUMP/IRRIGATION: EACH ADD'L 500SF: 201 - 400 amp: SIGN/OUT LINE LTG: LIMITED ENERGY: 401 - 600 amp: SIGNAL/PANEL: MANF HM/SVC/ FDR: 601+amps - 1000 volts: MINOR LABEL (10): SERVICE/FEEDER BRANCH CIRCUITS _ ADD'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: 2 IN PLANT: 601 - 1000 amp: _ PLAN REVIEW SECTION 1000+ amn/volt: >=4 RES UNITS: > 600 VOLT NOMINAL: Reconnect only: SVC/FDR >= 225 AMPS: _ CLASS AREA/SPEC OCC: Owner: Contractor: EOP LINCOLN, LLC WILLAMETTE ELECTRIC INC 10260 SW GREENBURG RD PO BOX 230547 SUITE 100 TIGARD, OR 97281 PORTLAND, OR 97223 Phone: Phone: 624-3631 [leg #: LIC: 75059 SUP 1965S ELF 34-283C FEES Required Inspections Type By Date Arneunt Receipt rElect'l lect's Service PRMT CTR 4/19i92 $60.15 2720020000( Final 5PCI- CTR 4/19/02 $4.82 27200201100( Total $64.97 This Permit is issued subject to the regulation,,,contained in the Tigard Municipal Code,State of OR. Specially 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 o`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 o 2-001-0080. You may obtain copies of these nudes or direct questions to 1 Permit Signature: Issued By: OWNER INSTALLATION ONLY 1 he installation is being made on property I own which is not intended for sale, lease, or rent. OWNER'S SIGNATURE: _. _ DATE. CONTRACTOR INSTALLATION ONLY SIGNA1 URE OF SUPR ELEC'N: �.� _ DATE----------- LICENSE ATE -_-_ __-- LICENSE NO --__--- Call 639-4175 by 7:00pm for an Inspection the next business day Electrical Pcr[nitApplication Daterecelved: q-1 ?-,OZ- Pcrtnit tlgl� _ 7 City of Tigard Project/appl.no.: — Expire date: coyo,Tigard Address: 13125 SIN IfallBlvd,Tigard.OR 91223 Dale issued: Ity: Receiptno.: Phone: (503) 639-4171 -- Fax: (503) 598-1960 Gsefileno.: 1'aymcnitypc: Lilltd USC Atli iOVAl: T- ®I OF U I c'.t.'l family dwelling ur accessory U Commercial/industrial U Will-family U Tenant improvement U Ncw construction U Addition/alicialioit/rcplaccntcnt U Other: _ U partial !ob address: /r 900 sw /C, ' 2I Bldg.no.: I ISui(e no.: 27C ITax map/lax lot/account no.: — LUI: f31a:k: Sul vision: Project nante: �'m r4Px I Description and location of work on premises: j� T I,. ,Q r.'n/ Estimated date of coinpletionhosliectinn: Job nos Z Z t< t vee nLx mc: Description �jt . (ea halal no.ln+ Business na W, p ) �`s' - Nen reshknlial-single 0r muld family per Address: 4) A 2 T O 4 7- _ dnellinp unlC h little,;attached garage. City: 11CArlto State:9-r& I Zip: 9;r ta- I — %erviceIncluded: Phone: p L m.t_3 - , 11-ax: 6? •2 ;?� E-mail: 1000 aq ft.or less -- 4 -- CCB no.: 7 fo �f� Elec.bus.tic.no; 3 [inch additional W)s .n.or portion thereof 7- ` Limited ener ,residential _ 2 Cilytippim Ilc.no.: /5-y L Unilledenergy,non-residential _ 2 di Z_ Each manufactured home or modular dwelling, Signature of su rvis eleculclen(required) Date L4UI and/or feeder 2 Sup.elect.name(print): C),N ,. f;, License no /qG t- or feeders-Installation, n or relocallon: f t a or leas 2 _ Name(print): s to 400 amps _ 2 s to 600 amps 2Mailing address: amps to 1000 amps _ __ 2 City: _ Stale: ZIP: Over 1000 snips at volts __ 2 mlone: ---Tr-ax, E-mail: Recnnneclon.1y �Y- _ I Owner installation:'11se installation is being made on property I own Temporary aervire+or feedris- which is not intended for sale,lease,rent,or exchange according to hndall20on,alteration,orrelocation: 200 amps or less 2 ORS 447,455,479,670,701 _ — 201 amps l0 400 amps 2 Owner's si nature: Dale: 401 to 600 ams 2 Branch circuits-nen,alteration, Naltte: or extension per panel: A. Fee for branch circuits Willi purchase of Address: service or feeder fee,each branch circuit 2 City: - Stale: ?,Ip: B. ree for branch circuits without purchase Fax: 1;-mail of L:� ph -- -- of service or feeder fee,first branch circuit: �_ 1� 2 one: "ch additional branchhiircuiC ITT Misc.(Serslce or feeder not Included): O Servloe over225 amps-commercial U Health-care facility Each pump or irrigation circle 2 •Service over 310 amps talingof 1&2 LI livAttdouslwation Eschsign oroutline liglding fandlydwellings U Iluilding over I0AX)square feet four or Signal circull(s)or a limited energy panel, O System over 600 votes nominal more residential units in one etruclure alleralion,or extension• 2 O Building over IN cc stories U Feeders,400 amps or more •DescriDon: O Occupant 10241 over 99 persons U Manufactured structures or RV park fish additional Inspection over life alloy►able In any of the show U Egress/hghlingplao U Otter' erinspection Submit_-_.Bels of pians with any of(he above. Investigation fee 'life al►ove are not applicable to temporary construction service. Other - -- — permit fee..................... Not all judedictims acrert rm!il roils,pleau call iuriuhction fa rrxxe Information Notice:11ris permit npplication ❑Vin U Mastercard expires if a permit is nol obtnined flan review(al %) 5 credit cod namhn: . _.. _ -L_. .__ widiin 180 days after it has Been Stale surcharge(8%) ....$ - tfrpbe' accepted as complete. TOTAI, .......................S Nims a7cu�rilder u nvn one it e l:rdhdJer sl`nature Amount 4Ir!JbIS(6I0f!IfOM) Electrical Permit Fees: Limited Energy Fees: TYPE OF WORK INVOLVED - RESIDENTIAL ONLY Complete Fee Schedule Below: R — — --_ lteslrlcted Energy Fee...................................................... X75.00 Number of inspections par Cermlt allowed (FOR ALL SYSTEMS) Service Included: Items Cost Total + Check Type of Work Involved. Residential•per unit 1000 sq.0 or less _--- $145.15 4 [__j Audio and Stereo Systems Each additional 500 sq.It or portion Iheroof - $33.40 1 ❑ Burglar Alarm I Imiled Energy $75.00 Each Manurd Ilume or 11IWular Garage Door Opener' Dwelling Service or reader _ _ $9090 , 2 Services or Feeders n Healing,Ventilation and Air Conditioning Syt III' Installation.allerallon,or relocation 200 amps or less _ 500.30 _ Vacuum Systems' 201 amps to 400 amps _ $10685_ 2 401 amps 10 600 all 9s $160.60 — 2 Other C� 60 amps l0 1000 am,u 1240.60� 2 over 1000 amps or volts $45465 2 ------ - - - ------ --- -Reconnect only $66.05 -- 2 Temporary Services or Feeders TYPE OF WORK INVOLVED -COMMERCIAL ONLY Installation,allera!k)n,or relocation 200 amps or less $66.05 2 Fee for each III.................................................... .... $15.00 701 amps to 400 amps $100.30 - 2 (SEE OAR 910-260-260) 4011 amps to 600 amps _-_ $13375_ l oChock Type of Work involved: over 600 amps to 1000 volts, see"b"above. nranch Circuits L� Audio adxl Stereo Systems IJew,alleralkm or exlonsioo per panel n Boller Controls n)l ler lee for branch circuils with purchase of service or feeder fee. Clock Systems tach branch circuit $6.66 2 Ill 1 he lee for brarxar circuils ---T yJ- - Dala Teleconununir:alion htslalla.:orl wffhouf purchase of service orfeeder fee. Fire Alnnn Installation I Irtrt branch circull - $4605 Caclr addllional branch circuil - $6,65 1IVAC Miscellaneous (Service or feeder not Included) Instrumentation Cecil pump or Irrigation circle $5340 Each sign or otilllne light1ty _ $5.340 — Ej Interconn and Paging Systems Signal eireull(s)or a HiOnd enor:v panel,alleratlun or extension __ $76.00— Minor Labels(10) _ $125.00 Landscape hrigallon Conliol' Each additional Inspection over L� Medical the allowable In any of the above Pur Inspection _ $62.50 -- Nurse Calls Per hrx•r _ $62.50 In Plaol `—_ $13.75 Outdoor Landscape Lighting' Fees: Protective Signaling Enter total of above fees $ 0%Slate Surcharge $ n Other---- ------ -- - --- _ Number of Systems 25%Plan Review Fee See'Plan Review"sectirnl of $ No Incenses are required. Licenses are required for all other InsLdlallons had d appli anon Total Balprice Due $ _ Fees: J — r Enter total of above fees - L� Trust Account q__- -_-- '---- '- I - J 9%State Surcharge Tofal Balance Due i:Mspilfunnskic-fees.duc IOfi9'00 CITY OF TIGARD ELECTRICAL PERMIT T PERMIT#: ELC2002-00192 DEVELOPMENT SERVICES DATE ISSUED: 5/1/02 13125 SW Hall Blvd., Tigard. OR 97223 (503) 639-4171 PARCEL: 1S135AB-01003 SITE ADDRESS: 10300 SW GREENBURG RD 230 SUBDIVISION: LINCOLN ONE/RED LOBSTER/CASA L ZONING: C-P BLOCK: LOT : JURISDICTION: TIG Proiect Description: Install 6 branch circuits and low voltage for Data Telecommunication. _ RESIDENTIAL UNIT _ TEMP SRVC/FEEDERS _ MISCELLANEOUS_ 1000 SF OR LESS: _ 0 - 200 amp: PUMP/IRRIGATION: EACH ADD'L 500SF: 201 - 400 amp: SIGN/OUT LINE LTG: LIMITED ENERGY: 491 600 amp: SIGNAL/PANEL: MANF HMI SVC/FDR: 601+amps - 1000 volts: MINOR LABEL (10): SERVICE/FEEDER __ BRANCH CIRCUITS_ ADD'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: 5 IN PLANT: 601 - 1000 amp: PLAN REVIEW SECTION 1000+ amp/volt: >=4 RES UNITS: > 600 VOLT NOMINAL: Reconnect only: SVC/FDR >= 225 AMPS: CLASS AREA/SPEC OCC:_ Owner: Contractor: EOP LINCOLN, LLC AMERICAN ELECTRICAL SERVICE 10260 SW GREENBURG RD PO BOX 1057 SUITE 100 SHERWOOD, OR 97140 PORTLAND, OR 97223 Phone: Phone: 204-9864 PAGE Reg #: LIC 00101587 SUP 4106S ELE 36-59C w FEES v� Required Inspections Type By Date Amount Receipt Ceiling Cover PRMT CTR 5/1/02 $155.10 2720020000( Wall Cover Rough-in 5PCT CTP, 5/1/02 $12.41 2720020000( Rough-in Total $167.51 Elect'I Final 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 pe,mit will expire If work is not started within 180 days of issuance, or if work Is suspended for mons 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 552-U01-0010 through OAR 952-001-0080. You may obtain copies of these rules or direct questions to Pormit Signature: Issued By: _., OWNER INSTALLATION ONLY The installation is being made on property I own whirl is not intended for sale, lease, or rent. OWNER'S SIGNATURE: ___ DATE: CONTRACTOR INSTALLATION ONLY SIGNA rURE OF SUPR. ELEC'N: _ _�_— DATE: LICENSE NO: r' C- — _ — Call 639-4175 by 7:00pm for an inspection the next business day Electrical Permit Application — — "Dateeceived: 6"2- Permit no.:7. .�G cit. of Tigard Project/appl.no.: Expire dale: 011 u/7igard Address: 13125 SW Hall Blvd,Tigard,OR 97223 Date issued: Byv Receipt no.: Phone: (503) 639-4171 7 Fax: (503) 598-1960 Case file no.: Payment type: Jt ' Land use approval: _-- 'FYPF OF PERMIT U I &2 family dwelling or accessory U Commercial/industrial J Multi-family Tenant improvement L!New construction U Addition/alterafton/rcpt arcnlcrll U Other: _ U Partial J01041-F. ��h address: /02000J Bldg.no.: Suite no.:dTax map/tax lot/accaunt no.: Lot: B1ocl: Subdivision: Project name: #?19/IJ6 f1 Description and location of work on premises: istitinmled dale of ronlplction/imprrtion: Pec %tax Job no: _ Description 0". (ea.) I(11al no.Imp BUSlne89 nAli1C: Ness rrsish•ntlal sinRkormulri-family Irr•r Address: 45; R d"elling unit.lot iu&%atiacheil Laragr. City: h y State:�r ZIP: Servicelnciuded: Phone: Fax:53d- E-mail: I INTO sy.ft.or Icss _ 4 Each additional-SIN1 sy.ft.or portion thereof CCB no.: u!5Elec.bus.lic.no: jG- Limited energy,residential 2 Limitedener y,00n-residential _ 2 City/metro tic.no.: — ,ry �• Each manufactured home or modular dwelling [)file service andtor feeder 2 Si nature n skirvi.' e1 tricion(re wired) Service sorfeedets–Installdlon, Sul, Ayer narnctpriit) C-7 Pi.'l ' License no: IIt-rationorrelocatlon: 200 amps or less 2 201 amps to 4110 amps _ 2 Name(print): 401 amps to 6(10 amps 2 Mailing address: 601 amps to Iow amps 2 City: _ Stale: l.il': over 1000 amps or volts 2 Phone: Fax: E-mail: Reconnect onl I Temporary services or feeder owner installation:The installation is being made on property I own Installation.alleraIon,orreiocation: which is not intended for sale,lease,rent,or exchange according to 20(1 Imps or less J _ 2 URS 447,455,479,670,701. 201 amps 0,100 amps -- _ 2 Owner's si nature: nate: 401 l•.,6110nm s 2 Branch clrcults-new,alteration, or extension per panel: Name: _ A. I'ce for hrnnch circuits with purchase of Address: service or feeder fee,each branch circuit 2 City: State: ZIP: B Fee for branch circuits without purchase � of service or feeder fee,first branch circuit: 2 Phone: Far- F.-nt:nil: Eachadditionnlbranch circuit . 1 Misc.(Service or feeder not Included): Fach pum or iT alion circle 2 U Service over 225 amps couunctr;; U Health-care facility F.ach signor outline lighting ::J=2 UService over 320amps-rating of 1&2 Ullazardoushxation Signalcircuit(s►orallmitedenergypancl. familydwellings U Building over 100111 square feet four or acircur(%)orextensi limited U system over 600 volts nominal more residential units in one structure O Building over three stories U Feeders,AM amps or more s 1 k scr t,tion: C1 occupant load over 99 persons U Manufactured structures or Rv park Each additional inspectloe over the allowable in any of the above U F.gress/lightingPlan U Other. _ Perinspection F _ submit sets of plane with any of the above. investigation fee _ The above are not applicable to temporary condruction service. Other F'etYtrit fee.....................$ S S. zy Not all)wtsdicuons weep,cfedit cards,please call Jurisdiction for more Information. Notice:This permit application Plan review(at _ %) $ U Visa U MasterCard expires il'a permit is not obtained _ __ within IRO days eller it has been Slate surcharge(89h) ... $ . Credit card aumher ---- Expires accepted as complete. 'TOTAL .......................$ Name of ca oder es shown on credit erd –— c'uslholder signature6�r10I mmOunl 440-461S( COM) ELECTRICAL PERMIT FEES: LIMITED ENERGY PERMIT Fl=- E-.;: -- TYPE OF WORK INVOLVED - RESIDENTIAL ONLY _ --- ..... $75.00 Complete Fee Schedule Below: Restricted Energy Fee................................................. Number of Inspections or ermit allowed (FOR ALL SYSTEMS) Service included: Items Cost Tota; I Check Type of Work Involved: Residential-per unit $145 15 4 Audio and Stereo Systems' 1000 sq.ft.or less -- - Fach additional 500 sq ft or 1 O portion thereof __� $33.40 __ 13urgiar Alarm Limited Energy _-__ $75.00 Each Manufd Home or Modular Garage Door Opener" Dwelling Service or Feeder _ $901 1 _ _ 2 Services or Feeders Heating,Ventilation and Air Conditioning System' Installation,alteration,or relocation $80.30 200 amps or less Vacuum Systems' 201 amps to 400 amps $106.85 401 amps U 600 amps $16060 2 Got amps to 1000 amps $240.60 2 Other f Over 1000 amps or volts $454.65 _. Reconnect only $66.85 2 --' TYPE OF WORK INVOLVED - COMMERCIAL ONLY Temporary Services or Feeders Fee for each system.......................... .................... .......... !75.00 Installation,alteration,or relocation $66.85 2 (SEE OAR 916-260 260) 200 amps or less 1000 201 amps to 400 amps $ 00.3 2 401 amps to 600 amps $133.75 2 Check Type of Work Involved: Ove,600 amps to 1000 volts, Audio and Stereo Systems see"b"above. Branch Circuit,; Boiler Controls New,alteration or extension per panel a),The fee for branch circuits Clock Systems with purchase of service or feeder fee. Each branch circuit $G 65 Data Telecommunication Installation Lly b)1 he fee for branch circuits without purchase of service Fire Alarm Installation or feeder lee. / G � First branch circuit $46.85 �fC' 0 5 HVAC Each additional branch circuit $6.65 Miscellaneous Instrumentation (Service or feeder not included) $53,40 Each pump or Irrigation circle $53.40 Intercom and Paging Systems Each sign or outline lighting _ — Signal circull(s)or a limited energy Landscape Irrigation Co itrol' panel,alteration or extension $75.00 _ - Minor Labels(10) _ $125.00 Medical Each additional inspection over the allowable In any of the above $6250 Nurse Calls Per inspection — - Per hour $02.50 $73.75 Outdoor Landscape Lighting' In Plant Fees: Protective Signaling Enter total of above fees $ % ,,�JJC)�� Other n%State Surcharge $_(/�L Number of Systems 25%Plan Review ree $ ' No licenses are required Licenses are required for all other installations See"Plan Review"section on front of application - - Fees: Total Balance Due $ - ,I Enter total of above fees Trust Account p _ _ 8°,'.State Surcharge -- ---- -_— — — Total Balance Due All New Commercial Buildings require 2 sets of plans. � i:\dsts\forms\e1c-fees.doc 08/30/01 CITYOF TIOARD CERTIFICATE OF OCCUPANCY DEVELOPMENT SERVICES PERMIT#: BUP2002-00133 13125 SW Hall Blvd., Tigard, OR 97223 (503)639-4171 DATE ISSUED: 416/201;2PARCEL: 1S135AB-01003 ZONING: C-P JURISDICTION: TIG SITE ADDRESS: 10300 SW GRF_ENBURG RD 230 SUBDIVISION: LINCOLN ONE/RED LOBSTER/CASA L BLOCK: LOT: CLASS OF WORK: ALT TYPE OF USE: COM TYPE OF CONSTR: 5N OCCUPANCY GRP: B OCCUPANCY LOAD: 37 TENANT NAME: EMMETT TRAVEL REMARKS: Tenant improvement, construct 25 feet of wall and relocate exit door Owner: EOP LINCOLN, LLC 10260 SW GR EENBURG RD SUITE 100 PORTLAND, OR 972.23 Phone: Contractor: _ C SCHIEWE & ASSOCIATES INC 1024 NE DAVIS ST PORTLAND, OR 97232 Phone: 503-2346617 Reg #: LIC 54105 This Certificate issued 51101211112 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 whirh the referenged,petmit was issue. .�7 BUILDI I ECTOR BUIL IN O IC A POs'r IN CONSPICUOUS PLACE CITY OF TIG. RD 24-Hour BUILDING inspection Line: (503) 639-4175 INSPECTION DIVISION Business Line: (503) 639-4171 MST �� 2 BUPA 43 Received __- _Da/te\Reques ed ✓�%' AM PM SUP 1-ocation --- �w P Suit— e �C� MEC --�.--- Contact Persor Ph ` ---- � � .— PLM Cont Ph( ) SWRgo---- TenanVOwner -- _- ELC Foundation ELC - -- Ftg Drain Access: ELR Crawl Drain _ Slab I Inspec!ion Notes; ,� 1` sJ SIT Post&Beam _ Shear Anchors - Ext Sheath/Shear lit-�D I-J Int Sheath/Shear - Framing Insulation Drywall Nailing - --------- _ Firewall g �— Fire SprinklAr Fire Alarm Susp'd Ceiling - -- - ----- -�� --- — Roof PART FAIL - PINAD Post&Beam - Under Slab Rough-In C— Water Service - -- --- Sanitary Sewer Rain Drains - ---- Catch Basin/Manhole Storm Drain -- — — Shower Pan Other: ----- — — Final PASS PART FAIL - —- - MECHANICAL Post 8 Beam -��- Rough-In -- --- — Gas Line Smoke Dampers Final PASS PART FAIL_ - - - - ELECTRICAL Service - Rough-In UG/Slab Low Voltage ---_ _ Fire Alarm Final Reinspection fee of$ _required before next Inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL SITE [-] Please call for reinspection RE: _ �� Unable to Inspect-no access Fire Supply Line ADA r Approach/Sidewalk Data I_ !.��- Inspector -Ext Other: Final DO NOT REMOVE this Inspoction record from the Job site. PASS PART FAIL