The URL can be used to link to this page

10300 SW GREENBURG ROAD STE 180-1 k 1 i i 41 z n 0 1 10300 SW GREENBURG RD l80 �1 CITY OF T I GA R D CER NFICATE OF OCCUPANCY DEVELOPMENT SERVICES PERMIT#: BUP2002-00400 13125 SW Hall Blvd., Tigard, OR 97223 (503)639-4171 DATE ISSUED: 9/12/2002 PARCEL: 1 S135AB-01003 ZONING: C-P JURISDICTION: TIG SITE ADDRESS: 10300 SW GREENBURG RD 180 SUBDIVISION: LINCOLN ONE/RED LOBSTER/CASA L BLOCK: LOT: CLASS OF WORK: ALT TYPE OF USE: COM TYPE OF CONSTR: 2N OCCUPANCY GRP: B OCCUPANCY LOAD: 61 TENANT NAME: FZ CONSERVE REMARKS: TI Demising walls Owner: EOP LINCOLN, LLC 10260 SW GREENBURG RD SUITE 100 RR 2� P�Qb ND294=6G971?r23 Contractor: C SCHIEVIlE + ASSOCIATES 1024 NE DAVIS PORTLAND, OR 97232 Phone: 234-6617 Reg #: LIC 54105 This Certificate issued 9/24/2002 grants occupancy of the above references' building or pqrflon thereof and confirms that the building has been inspected r compliance ith the State of Oregon Specialty C des For the group, occupancy, and se uich tinder uy. the referenced permit v>,a s ed. BUILDING INSPECTOR 8 WILD-114 WFFICIAL POS1 IN CONSPICUOUS PLACE CITY 017 TIGARD 24-Hoar BUILDING Inspection Line: (503)639-4175 INSPECTION DIVISION Business Line: (503) 639-4171 A MST BLIP Received - _ Date Requested AM_ PM ___ - BLIP Location _ ____ �11�. UU �<rJ _Suite _ n EC Contact Person -�-P - Ph (_' ) �. � _ PLM -- Contractor Ph SWR BUILDING Tenant/Owner _. o�--_ N;L: r _ ELC 1 Fooling Four dationELC Ft [)rain Access: Crawl Drain Slab Inspection Notes: SIT Post&Beam - _ _-_-- Shear Anchors - _�- Ext Sheath/Shear Int Sheath/Shear Framing � a.Z sulatfon D Drywall Nailing - - — Firewall Fire Sprinkler - -- -- Fire Alarm Sushd Ceiling Root Other: -- A S PART FAIL, PLUMBING Post&Beam Under Slab Rough-In Water Service ---- — - --- Sanitary Sewer Rain Drains ---- - ------- Catch Basin!Manhole Storm Drain -- - - - - Shower Pan Other: Final --- ----- ------ PASS FART FAIL --�- MtCHANICAL Post& Beam Rough-In --------_------..� _- Gas Line Smoke Dampers ------- -._._�_-- -_.-__-- --- -- Final PASS PART FAIL -- ----- --- - - - ELECI'RICAL Service - Rough-in UG/Slab Low Voltage Fire Alarm Final Reinspection fee of$ required before next inspection. Pay at City Hell, 13125 SW Hall Blvd. PASS PART FAIL SITE _ [] Please call for reinspection RE:. _ F-1 Unable to inspect-no access Fire Supply Line ADA Date-_ 7 Z ��"-inspector --_ V�` v `� Ext Approach/Sidewalk -- Other: Final DO NOT REMOVE this Inspection record from the job site. PASS PART FAIL CITY OF TIGA K D _____ ELECTRICAL PERMIT PERMIT#: ELC2002-00473 DEVELOPMENT SERVICES DATE ISSUED: 9'13/02 13125 SW Hall Blvd., 'Tigard, OR 97223 (503) 639-4171 PARCEL: 1S135AB-01003 SITE ADDRESS: 10300 SW GREENBURG RU 180 SUBDIVISION: LINCOLN ONE/RED LOBSTER/CASA L Z� NING: C-P BLOCK: LOT : JURISDICTION: TIG Proiect Description: Installation of(6) branch circuits. RESIDENTIAL UNIT TEMP SRVC/FEEDF_RSMISCELLANEOUS 1000 SF OR LESS: 0 - 200 amp: — PUMP/IRRIGATION: EACH ADD'L 500SF: 201 - 400 amp: SIGN/CUT LINE LTG: LIMITED ENERGY: 401 - 600 amp: SIGNAL/PANEL: MANF FIM/SVC/FUR: 601+amps - 1000 volts: MINOR LABEL (10): SERVICE/FEEDERBRANCH CIRCUITS ---- --- —_ _ _ ADD'L INSPECTIONS _ 0 200 amp: W/SERVICE OR FEEDER: _ PER INSPECTION: 201 400 amp: 1,t W/O SRVC OR FDR: 1 PER HOUR. 401 - 600 amp: EA ADD'L BRNCH CIRC: `i 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 Wil LAME I TE. ELECTRIC INC 10260 SW GREENBURG RD PO BOX 230547 SUITE 100 TIGARD, OR 97281 PORTLAND, OR 97223 Phone: Phone: 624-3631 Reg#: LIC 75059 SUP 1965S ELE 34-283C FEES Required Inspections Type Gy Date Amount Receipt Rough-in PRMT CTR 9!13/02 $80.10 272.0020000( Flecl'I Final 5PCT CTR 9/13/02 $6.41 2720020000( Total $86.51 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 dyne 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 thro h OAR 952-001-0080. You may obtain copies of these rules or direct questions to Permit Signature: 1 Issued By: r" f.r' OWNER INSTALLATION ONLY The installation is being made on property I own which is not intended for sale, lease, or rent. OWNER'S SIGNATURE: _.—�__ _____ __ DATE: CONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR. ELEC'N: _—__.. ___._--__—_— _ DATE: LICENSE NO: Call 639-4175 by 7:00pm for an inspection the next business day 1 llcctrical Permit Application ived: 9 / Q Z permit no.:t L4.7.00Z,OQJ/7g Cit of "Figard RE oecUappi.no.: -- Uxpiredate: Address: 13125 SW I lall Blvd,Tigard,OR 972 a Issued: Ily:v Receipt no.: Ciryo/Tignrrf �� Phone: (503) 639.4171 Case file r+o.: I'aylllrol lylly; Fu: (503) 598-1960 Ci I y UV. I 1C TAMLJ Land use Ipploval: cit �r�rt�r�r/CNGIh� FRING �111 11 I]MM Ito I FE ;ILLI I k 2 faruily dwelling or accessory U CommercinUilahusuial U Mulli•farnily l4!•11711,111? inrprovenlent Ncw consUuctiunU Addllll111/Hl leIatltlrl/IcIllnl'elllcIIICJ f)rht•r, __- U 1'atti7l Illdg, nu.: Suilc nu•: /,,t Tax mal+/tax Iol/accolnll no.: address: /030c, yk. G �!c, _-- ----- -- �t; �Jlllock�: �Sulxliv�hqiofl:Lmtect name: excriptictn and location of work on rremises: I?stin,aled dale of rtnupleliun/insltet Linn 1 ere alas Job nol �r%�' Isevrrlplln„ tjt (ra) Intal no.Invr Business nanrc: W, t(rr 1 r G �w�— Mrv're+lrkn141 dnake►maltl lamllyper — .. Address: t? /S TV T dnrlllnx mill In(iurks allot lied Rat age. City: 1 •i a r] 5tnte:C/rZIP: 97 ej 1 "Arvincluded: Illtq s ft.or les% _ IMtonc: tit 1 t I ax: G7 •t 7�B mai1; !-. - l - ------ 1, -- -- Gsch addithnul 5012 sq fl,of purUon Utrrcof _ CCU no.: 7TU �'t lace.fins,tic.no: 3 - Z.F � Limitedenetg ,residential 2 Cil /metro lie.no.: Lintliedenet{y,nnn re%IdenHel 9`/G v t Fach mmufaetmed hnnre or rnodulsr dwelling Service antUn►feeder 511noture of su ryr eleculclan(tet uhed) _bole Servive,e►teedrr.-hnlallatlo.�, Sap.ekrl.narrm(print) r), , tr, Llceneerlo: /9G 1-S. rnerallonor►elorallon: 200 on or less _ 2 2o amps to 4911 Will's — 2 Name(print): 401 450I to Gilt?gimps — 2 Mailing address: _- 60I omits In low)!M 2 Clly: ` Stat�, 8117 ll': Over 1000 limps or volls_ 2 "lone: I'ax: ncconnecl onl t 7 empmar7 srr►Ires or Ieeden- Owner Installalion:'lllc illatalletiun is being made on property I own Invlallallon,miter otlon,orreiocatlon: which is not intended for sale,lease,rent,or exchange according to 200a or ie%% _ 2 ORS 447,455,479,670,701, tot amps ro 400 amps 2_ Owner's si nnlure I)Me: 40110 600 Arant•hcl►cdH nen,alteratlen, or extension per panel: Name: A. Fee for btantIs circuits will+purchsseIII Address: service or feeder fee,each blanch circuit 2 B. Fee for branch circuits without purehase City: Stale; ZIP: of set vice or feeder fee,Ills?Manch circuit: 1'Ittnte; FRx; 1:-tltnil: P.aci;WitlonelHowl circuit: Ulm 11.ee.(5enlee or feeder nal Incladed): each puns or Inigaliun circle 2 O Service over 721$111111 mrnnlerciat U lleelth ease faclllly ._. 2 U Service over 1211 smpr ntin j of 1&2 U Ilerardous location finch sign or outline lighting family dwellinxt U Ithrilding over 10,000 square feel four or Signal c cuh(s)or a Ihnited enetgy pens?, Usystemover6l')volanondl md nauterasidenliunitsinonestructure slier at loll,orexlen%l0na _ 2— U nulldintiover duct stories U Feeders,400 amps of more "Description! U(h cupanl Incl over 99 persons U Manufactured structures or RV park F'>tch oddillona!hrvpeellon o'er live allowable In any of the shore: _ U F{msllishtingplsn U odder: -- Pet Inspection Subtall Fels of plant nllh any of the above. Investigatlon fee The above are not applltable 10lempnrary convtnrctionservice, 'other -- - — L swept tredit cards.please can)WIldkdoe for magi hien Ion. Notice:111is permit nppllc"6011 flan review(al — %)%terCud expires if a permit is not ohlnined r{rwithin 180 days alter it fins beenStale sulcl►arge(896) ....--- .orf, TOTA 1,accepted elsco•+! ele. .......................$asual r As afwira en a ll gird : A moan? 4104615(Mldt.'oM) Electrical Permit Fees: United LI pet Uy Fees: - TYPE OF WORK INVOLVED - RESIDENTIAL UNLY Complete Fee Schedule Below: ------ .- -----� � --' l� Resirlcled( nergy reo...................................................... $15.66 Number of Ins peel! lon+s tier permll allowed (FOR ALL SysI1--MS) Ser-Aco Includod: Items Cosi Total Chock Type of Wutk Involved: ResldenUal-per mill� 1000 sq.11,or Mss _ _ $145.15 4 Audio and Slmeu Systems Each oddlYonal 500 sq 0 or portion11moo( $11.40 — 1 Lj Burular Alarm IInhodEnergy $15.00_ Each Manurd Ikons or Modular Garage Door Upenel' Dwelling Service rx feeder _ $90.90 2 Services or Feoders Healing,Ventilallun and Alt CoMilluNtig Sysb!m' basial alion,apmalloo,or lelmallon 200 snips or less $90.10 2 0 Vacuum Syslems' 201 snips to 40U snips $106.95 1. 401 amps to 600 amps S 160.60 2 - --- �� 011ier fi01 amW amps lu 10 ant's _ 5240.60 7 over 1000 ornps or volts $454.65 _ 2 — --- ---- - - - - --- Reconmecl only $66.65_ 2 Temporary Servicer or f ender.4 TYPE OF WORK INVOLVED - COMMERCIAL ONLY Inslssalksp,olleralkro,or rokxalion 20U srryrf or faes _ S66.A5_ 9 roe for each system.................................................... ..... $15.00 201*trips to 4M amps $100.10 2 (SCE OAR 910-760.260) 401 snips le 600 nrnps $111 15- - 2 Over 600 amps to 1(mm)volts, -- --_ Cipeck Type of Work Involved: see"b"shove, r 1 Branch Circuits LJ Audio and Slerco Syslanrs New,alleralbn nr exlertrion per pnnet r' a)The fee lox bratrr.h clrculle t_J troller Controls Willi purchase of service ov leader fee. Clock Syslems [alp broncit ckcull $6.65 2 b)TIM lea Im lrrandp cllcullS Y-�—-- a Uela 1 elecunenunlcallon Insiallallon Without prrrelmse of:•ervfce or feeder lee. rkal branrlp dreull $40.95 Flre N prnr Inslnllnllon Earp addllional brmpch chrull ,-� $6.65 I IVAr Mlscellanoous (Service or feeder not Inch Wed) Insbumcnlation Foch pump or krlgallon r trle $51.40 Fadi sign or oritlkpo lipldkpg $51.40 — _ Slgnal ckrarN;s)or a Inplled onmgy -� ^ hderr unl rant f aging Syslems panel,sllerstlorr o►orlensivn _ 55.00 Minor Labels(10) _ $125.00 Landscape!lrignllun Conlrol' Each addillonal Inspection over Medical file allowable In any of fire above f,pr Inspoclknp $02.50 Per tpoar -� $62.50 Ej flurse Calls In Plard S1115 --------- --- -- Outdoor Landscape Liyltlinu' Fees: ' L7 rrolecNvo Signaling Enter total of above fees S 8%Stale Surcharge 25%Plan Review res Soo Ilan RovIeW se0lon ort $ License (lord of applicalbn. - - f ho Ik erpsee ere requhepl. e ate n qubed for all other hpsrstlalkxps Tota!Natan(,•e Duo $ /=PCS: �------------ . ----y---- ❑ Filler total of above lees __._._ __-.—_ ---– ----- ---- -- - 8%Slate Surchartle Taal Balance 0111 s� . I,\dsts\rorneklc fees drx IO.hw/W CITY OF �'IG1-�,R® - BUILDING PERMIT, _ PERMIT #: BUP2.002-00400 DEVELOPMENT SERVICES DAZE ISSUED: 9/12/02 1312.5 SW Hall Blvd.. Tigard, OR 97223 (503) 639-4171 PARCEL: 1S135AB 01003 SITE ADDRESS: 10300 SW GREENBURG RD 180 SUBDIVISION: LINCOLN ONE/RED LOBSTER/CASA L ZONING: C-P BLOCK: LOT: JURISDICTION: TIG REISSUE: FLOOR AREAS_ _ EXTERIOR WALL CONSTRUCTION CLASS OF WORK: ALT FIRST: sf N: S: E: W:~� TYPE OF USE: COM SECOND: sf PROJECT OPENINGS? _ TYPE OF CONST: 2N sf N: _ S: E: W: OCCUPANCY GRP: B TOTAL AREA: 000 sf ROOF CONST: FIRE RET? OCCUPANCY LOAD: 61 BASEMENT: sf AREA SEP. RATED: STOR: HT: ft GARAGE: sf OCCU SEP. RATED: BSMT?: MEZZ?: REQD SETBACKS REQUIRED FLOOR LOAD: psf LEFT: `t RGHT: ft FIR SPKL: � SMOK DET: DWELLING UNITS: FRNT- ft REAR: ft FIR ALRM : HNDICP ACC: BEDRMS: )BATHS: IMP SURFACE: PRO CORR: PARKING: VALUE: Remarks: TI: Demising walls Owner: Contractor: EOP LINCOLN, LLC C SCHIEWE + ASSOCIATES 10260 SW GREENBURG RD 1024 NE DAVIS SUITE 100p c� PORTLAND, OR 97232 Pqnone N503 �2Phone: 234-6617 Reg#: LIC 54105 _ FEES REQUIRED INSPECTIONS Type By Date Amount Receipt Framing Insp PRMT CTR 9/12/02 $187.30 27200200000 Insulation Insp Gyp Board Insp 5PC1' CTR 9/12/02 $14.98 27200200000 Susp Ceiing Insp PLCK CTR 9/12/02 $121.75 27200200000 Final Inspection FIRE CTR 9/12/02 $74.92 27200200000 Total $398.95 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow the rul— adopted by the Oregon Utility Notification Center. Those rubs are set forth in OAR 952-001-0010 through OAR 952-001-1987. You may obtain a copy of these rules or direct questions to OUNC by calling (503) 246-6699 or 1-800-332-2344. Pe rm it tee Signature: Issued By: <. Call 639-4175 by 7 p.m. for an inspection the next business day Building Permit Application_ City of Tigard -Date received: :) Permit no.: Address: 13125 SW Hall Blvd,Tigard,OR 97223 ProjecUappl.no.: Expire date: ('rtvrrJ7r��arrf g Phone: (503)639-4171 Date issued: By:-1, Receipt no.: Fax; (503) 598-1960 Case file no.: Payment type: Land use approval: 1&2 family:Simple Complex: 1 U 1 &2 family dwelling or accessory U C-linicrc!al/indusinal U Multi-family U New construction U Demolition U Addition/altera(ion/mplacement )KTen;,nt improvement U Fire sprinkle r/alarm U Other: _ JOB SITE 1 1 Joh address: �1 Greta (lode( Bldg.no.:WN Suite. o.. 18Q t rn: Block: Subdivision: 'fax map/tax lot/account no.: Project name: E,Z- GvM serve Description and location of work on premises/special conditions:�T4!vta11*fill lc� �►►a o�rt2y_eYn�rt __ _ 1 Name: EINUITY GFFIcE PRoPEA- lr:S t r Mailing address: Io2Go tOi Gp FC-*J1 upG p-p Su17E 100 1 & 2 family duelling: City: PoRTI&Jp Statc:OFL ZIP: 9.7 MS Valuation of work........................................ . Phune5o^. $92-2500 Fax: E-mail: No.of bedrooms/baths................................. Owner's representative: 12-AY IZ. GLufR- GlW At,, tectY Inc Total numberof n,tors................................. Phone 5 22 -,troUp. Fax: Email: New dwelling arca(sq. ft.) .................... ..... Garage/catporl area(sq. ft.)......................... Name:_ 'a f�►ch sec'sj 'n C_ Covered porch area(sq.ft.) ......................... Mailin address: Deck arca s ft. g 920 SW 3� avenue Su i to 4c�oa (s q ) ........................................ City: PC)Yt� State:p ZIP: `J"12o Other structure arca(sy. ft.)....... ............... _ Phonef*S 22 4 tax: E-mail: Commercial/industrial/multi-family: t Valuation of work........................................ Business name: C:. Existing bldg.area(sq. ft.) ......................... _r 64,1j USF GI I wp C�—�iYtV c �o Address: New bldg.area(sq. ft.) ................ .. 02S �'� City: State;C) Number of stories........................................ 6 Ve Phone$02, E-mail: Tyle of construction.......... ......................... CCB no.: Occupancy group(s): I;xisiing: City/metro lie,no.: New; D Notice:All contractors and subcontractors are required to Uk licensed with(It. )rtigon Construction Contractors Board under Mune: SAMIEr APPLI C provisions of OkS 701 and may be required to be licensed in the Address: _ jurisdiction where work is being performed. If the applicant is City: State: Zip; exempt from licensing,the following reason applies: Contact person: Plan no.: — Phone: Fax: E-mail: ----- -- Name: Contact person: Fees due upon application ........................... $ _ Address: Date received: City: _ State: ZIP: _ Amount received ......................................... $ E Phone: ^ Fax: mail: _ Please refer to fee schedule. I hereby certify 1 have Lead and examined this application and the Na W jurisdictions accep credit cards,please call Juridicilrm for mar information 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 Authorized signature r— d-, "'^ Date: 9•�2 O2 -- -`_ ---- Expires Name of cardholder a shown on credit card Print name:�P` G�U — _ cu*XAder siptaiure f Amount Notice:This permit application expires if a permit is not obta're I within 180 days after it has been asci:M as complete. 4404613(~-OM) t Connnercial Man Submittal Requirement Matrix ('rlt of "Tigard TYPE OF SUBMITTAL I # 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** Mechanical 2 Plumbing - Building Fixtures 2 Electrical 2 Plan review is dependent upon submittal of a completed application and plans. After plan review approval, the Plans F.;:aminer 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\dslsVoms\COM-matrix doc 9124/01 E 1 L_ ego 9'1 2.02 Accessibility: Barrier Removal Improvement Plan Cit.),of Tigard REQUIREMENT: OREGON REVISED STATUTE (ORS) 447.241. (1) Every project for renovation,alteration or me dification to affected buildings and related facilities shall be made to insure that the path of travel to the altered area and the restroom, telephones and drinking fountains are readily accessible to individuals with disabilities unless such alterations are disproportionate to the overall alterations in terms of cost and scope. (2) Alterations made to the path of travel to an altered area may be deemed disproportionate to the overall alteration when the cost exceeds twenty-five per-cent(25%). VALUATION: of all renovation, alteration or modification being done 5 Ob0 c excluding painting,wallpapering. [1] $ M multiply: 25% Barrier removal requirement. 25 OP BUDGET FOR BARRIER REMOVAL [2] $ In choosing which accessible elements to provide under this rection, priority shall Ue given to those elements that will provide the greatest access. Elements shall be provided in the following order. 3 iso (a) Parking lota+A;l1T;")ine1 ei:rb o.tlr.t4zwolks $— w s rwJ� 141AU e c.acer acc•rr,b(� pdv�l� r'M( r (b) An accessible entrance: $ (c) An accessible route to the altered area: $ (d) At least one accessible restroom for $ each sex or a single unisex restroom: (e) Accessible telephones: $ (f) Accessible drinking fountains: and $ (g) When possible, additional accessible elements such as storage and alarms: $ TOTAL: 6hall..equMl line 2 f Value Coetion $ 1"t i\dsts\forms\Accessibilily.doc 09/24/01 `\ MECHANICAL PERMIT CITY OF T I G A R D _ DEVELOPMENT SERVICES PERMIT#: MEC2002-00410 13125 SVV Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 9/16/02 PARCEL: 1 S135AB-01003 SITE ADDRESS: 10300 SW GREENBURG RD '180 SUBDIVISION: LINCOLN ONE/RED LOBSTER/CASA L ZONING: C-P BLOCK: LOT: JURISDICTION: TIG CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS: TYPE OF USE: COM UNIT HEATERS: VENT FANS: OCCUPANCY GRP: B VENTS W/O APPL: VENT SYSTEMS: STORIES: BOILE_RS_/COMPRESSORS HOODS: FUEL TYPES _ 0 - 3 HP: DOMES. INCIN: 3 15 HP: COMML. INCIN: MAX INPUT: BTU 15 - 30 HP: REPAIR UNITS: FIRE DAMPERS?: 30 - 50 HP: WOODSTOVES: GAS PRESSURE: 50 + HP: CLO DRYERS: FURN < 100K BTU: AIR HANDLING UNITS FURN >=100K BTU: <- 10000 cfm: OTHER UNITS: 1 > GAS OUTLETS: 10000 cfm: Remarks: Alteration of existing system: Add (3)T-bar supply grills. Owner_ _ FEES EOP LINCOLN, LLC Type By Date Amount Receipt 10260 SW GREENBURG RD PRMT CTR 9/16/02 $72.50 272002000C SUITE 100 5PCT CTR 9/16/02 $5,80 272002000C PORILAND, OR 97223 Phone: -- Total $78.30 Contractor: NORTH PACIFIC HEATING 33700 SE DUUS RD ES'rACADA, OR 97023 REQUIRED INSPECTIONS Misc. Inspection Phone: Final Inspection Reg #:LIC 63746 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans. This permit will expire ',f work is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION. Oregon law requires you to follow rules adopted in the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0080. You may obtain-,copies of these rules or direct questions to OUNC by calling (503)246-9189. Issue By: � , � _=--" _ Permittee Signature: Call (503) 639-4175 by 7:00 P.M. for inspections needed the next busines day - - Mechanical Permit Application rDatereceived:911t, / Permit no. E LC i��1/49 City Of Tigard Project/appl.no.: I Expire date: City of Tigard Address: 13125 SW Hall Blvd,Tigard,OR 97223 Dale issued By Receipt no.: Phone: (503)639-4171 Fax: (503) 598-1960 Case file no.: Payment type: Land use approval: Building permit no.: u/oa�o 00 z =New mily Dwelling or accessory U Commercial/industrial U Multi-family jTenant improvement struction ❑Addition/alteration/replacement U Other `` _ Job address: Indicate equipment quantities in boxes below. Indicate the dollar Bldg.no.: ' 56&e no.: fa' value of all mechanical materials,equipment,labor,overhead, Tax map/tax lot/account no.: profit. Value$ /SU A . Lot: Block: Subdivision: *See checklist for important application inlbrmation and Project name: jurisdiction's fee schedule for residential permit fee, City/county: "LIP: - Descrip'on an I ion of work on p mises: _ 10111 Fee(ea.) Total Est.date of completion/inspectioa: l DeKrlpdon Oly. Res.only,Rm.only Tenant improvement 1 'ange of use: QH wC Q_ ' Is existing spac.:,dated or conditioned?f i�Yes U No Air handling unit CFM Is existingspace insulated? Yes U No Air erat conditioning anreyu�trt )� •p` terauon o exlsting A systemMKIA31im K1, Boller/compressors '—'— Business name: / State boiler permit no.: HP Tons I'TUPI Addtuss: dFir smo a dampers/duct smoke delec ori City Stat . ; _ ZIP: �Z 3 eat pump(site p an regtnre ) --_ Phonex- -. 'ax: E-mail: nsta rep ace timac urner CCB no.: Including ductwork/vent liner O Yes U No Install/replace/relocate tZTTrep ace r1�locatehc-ters-suspend suspended, City/metro lie.no.: -"q-2 wall,or floor mounted Name(please rint): �2Vent U appliance other than furnace Refrigeration: Absorption units„ BTU/H Name: % �je Chillers_ HP Address: Com ressors- __ UP n rommenta exgust rodvent at on: City: Slat ZIP. Appliancevent Phone: I E-mail: )rycrexhaust ---- 0o s,Type res. itc a azmat hood fire suppression system Name: '� r Exhaust fan with single duct(bath fans) Mailing a fess: • << x)oust s stoma art rote heating or AC —�- uel p p nr an sir p ut oe u to outlets) City: => Stal 7.I P1 �Type: LPG NO Oil Plxme: Fax: I P-mail: •vel i�in�each aVitiona over 4 outlets roc ms piping nTg(schematic require ) _ Name: Number of outlets --- — Other Mted appll-nace or Address: Uecorativpfireplacc _ City: I ZIP: Insert-type 4 Phone: Pax: E-mail Woodslovelpellet stove _ Applicant's signature: /, Date: - - ter: Name (print): Na all jurisdictions aceetN credit cards,pkat ca juriafiction f x more InformationPermit fee.....................$ U Visa U MasterCard Notice:•this permit application Minimum fee................$ 7� So expires if a permit is not obtained Credit card number plan review(at ` %) $ _.- ______._ _� Expires within ISO days after it had been State surcharge(11%) ....$ _ Nome or cacao i t ass own on credit crdaccepted as complete. $ TOTAL .......................$ _ '7,f 30 Card' rider si`nature Amount 410-4617(6MCOM) MECHANICAL PERMIT FEES " COMMERCIAL FEE SCHEDULE: 1 & 2 FAMILY DWELLING FEE SCHEDULE: TOTAL VALUATI N: FEE: Description: -- �- Price Total $1.00 to$5,000.00 Minimum fee$72.50 Tahle 1A Mechanical Code __ Qty rEa) Amt $5,001.00 to$10,000.01 $72.50 for the first$5,003.00 and 1) Furnace to 100,000 BTU $1.5*2 for each additional$100.00 or Includingducts&vent-; _ 14.00 fraction thereof,to and Including 2) Furnace 100,000 BTU+ $10,000.00, including ducts&vents 17.40 $10,001.00 to$25,000.00 $148.50 for the first$10,000.00 and 3) Floor Furnace $1.54 for each additional$100.00 ur Including vent 14.00 fraction thereof,to and including d) Suspended heater,wall heater _ $25,000.00. or floor mnunlbd heater _ 14.00 $25,001.00 to$50,000.00 $379.50 for the first$25,000.00 and 5) Vent not included in appliance permit 1.45 for each additional$100.00 or _ 6.80 fraction thereof,to and including 6) Repair units _ $50,000.00. 12.15 $50,001.00 and up $742.00 for the first$30,000.00 and Check all that apply: Boiler Heat Air $1.20 for each additional$100.00 or For Items 7.11,see or Pump Cond fraction thereof. _ _ footnotes below. Com • _ '• 7)<3HP;abnorb unit ASSUMED VALUATIONS PER APPLIANCE: to 100K BTU 14.00 V 8)3-15 HP;absorb Value Total Description: al Amount unit 100k to 500k BTU 25.60 9)15-30 HP;absorb Furnace to 100,000 BTU,including 955 ducts 8 vents unit.5.1 mil BTU _ 35.00 Furnace, 100,000 BTU Including 1,170 -- nunit 301.7 mil absorb ducts 8 vents unit 1-1.75 mil BTU 52.20 Floor furnace Includbi vent 955 unit >11.75 absorb Suspended heater,wall heater or 955 - unft X1.75 mit BTU 87.?.0 floor mounted heater 12)Air ht ndling unit to 10,000 CFM Vent not Included in applirence 445 , -- 10.00 permit 13)Air handing unit 10,000 „FM+ 17.20 Repair units 805 _ 14)Non-portable evaporate :ooler <3 hp;absorb.unit, 955 10.00 to 100k BTU 15)Vent fan 3-15 hp;absorb.unit, 1,700 connected to a single duct 6.80 101k to 500k BTU 15-30 hp;absorb.unit,501k to 1 2,310 `- 18)Ventilation system not Included in mil.BTU appilance permit 10.00 30-50 hp;absorb.unit, 3,x00 17)Hood served by mechanical exhaust 1-1.75 mil.BTU _ 10.00 5,725 18)Domestic Incinerators >50 hp;absorb.unit, 17.40 _ ll.BTU Air ha 19)Commercial or industrial type incinerator Air handdling unit to 10,000 cim 858 69.95 _ Air handling unit>10,000 cfm 1,170 20)Other units,including wood stoves Non-portable evaporate cooler 656 10.00 Vent fan connected to a single duct 446 21)Gas piping one to four outlets Vent system not Included In 656 5.40 appliance permit Hood served b m_echanicai exhaust 656 22)More than 4-per outlet(each) 1.00 Domestic incinerator 1 170 V Minimum Permit Fee$72.50 SUBTOTAL: a Commercial or Industrial incinerator 4,590 _ Other unit,including wood stoves, 656 - inserts,etc. 8/.State Surcharge $ Gas piping 1.4 outlets 360 25%Plan Review Fee(of subtotal) a Each additional outlet _ 63 4 Require'for ALL commercial permits only TOTAL COMMERCIAL $ TOTAL RESIDENTIAL PERMIT FEE: E VALUATION: Other Inspections and Fees: 1 Inspections outside of normal business hours(minimum charge-two hours) $72,50 per hour 2 Inspections for which no fee is specifically indicated (minimum charge-half hour) $72 50 per hour 3 Additional plan review required by changes,additions or revisions to plans(minimum charge-one-halt hour)$72 50 per hour 'State Contractor Boller Certification required for units>200k BTU. "Residential A/C requires site plan showing placement of unit. I:\dsts\formslmech-fees.doc 10/11/00 CITY OF TIGiARD 24-Hour BUILDING Inspection Line: (503)639-4175 INSPECTION DIVISION Business Line: (503)639-4171 MST BUP Nereived .� - - Date Requested AM —._— PM -------- SUP - ---- -- Location _,40326C 2L,ZYt Suite MEC _ Contact Person _ -- Ph(--) PLM Contractor__ � JM Ph SWR -— BUILDING _ Tenant/Owner ELC Footing ELC Foundation Access: — Ftg Drain ELR Crawl Drain V Slab Inspection Notes: SIT Post& Beam --__---- —• - Sheai Anchors Ext Sheath/Shear Int Sheath/Shear Framing Insulation __._----- 17rywall Nailing Li/S4rjE4 '2' _- Firewall 7 Fire Sprinkler - F=ire Alarm I Susp'd Ceiling - - -� -- -- Roof Other: ----- --�� ,r--- - Final _PASS PART FAIL - -�� --- ---- ---- - - -------- P_L_U_MBING3_ ..Post&Boam -_. _-----__-- --..�------...--- -- Under Slab Rough-In Water Service Sanitary Sewer Rain Drains -- --- -- - - '�----�_�- ....- Catch Basin/Manhole Storm Drain ----- -- --- - --- ---- Shower Pan Other: - ---- - - ------- - ---- - Final _PASS PART FAIL MECHANICAL ...Post 8 Beam---- - ------ — -------- Rough-In Gas Line Smoke Dampers Final PASS PARI' FAIL - -- - ELECTRiCAL Service Rough-In UG/Slab � -- Low Voltage Fire Alarm _PART FAIL L--1 Reinspection fee of$ —required before next Inspection. Pay at City Hall, 13125 SW Hall Blvd. SI_E Please call for reinspection RE: F-1 Unable to inspect-no access Fire Supply Line ADA / Approach/Sidewalk Date Inspector ?L_L7 Ext - Other: Final [)0 NOT REMOVE this Inspection record from the Job site, PASS PART FAIL CITY Off' TIGARD DEVELOPMENT SERVICES 13125 S W Hall Blvd., Tigard,OR 97223(503)639-4171 i..'X'RT1F1CATF OF' OCCUPANCY PE 81111 #. . . . . . . 2 BUr98--04Z'0 D(--JU ISGUErip 01/29/9 ) vrf.z ADORF-_'55. . 10300 SW GREENTIORG RD 44:11.130 1313140 1 V T G T ON. . . . ntANCOLN ONE/RED L.OAS TER, F01.`.;A I. 7 ON I NG:r 4, BLOCK. . . . . . . . 1 C71.. . . . . . . . . . . JuP1qrjjc1,IONc I J.G CLAESS OF WORK, :ALT TYP(-.' OF USE. . . -CO111 TYPh'. OF CONSTR.,;-'F'R OCCUPANCY GPP. -B OCCUPIANCY LOAD: 15 U-NANT NAME. -NW FEMPORARY 1,T)I1 off ic.lp space. '1wiler KNIC.FEFRDOC'K["R PROPERTIES INC 1.0 30 0 SW (3REENVIRG ROAD SUrnz-, ,-,00 P(JRTLAND OR 97823 101-19 #: ! Otq(.:,FR CONS 1'RUC'T I 01A SERVICrIS BOX 68304 1_A4()Uk I V. nil 1)71,109- 7c."68 #.. lobo #. . .., 00119 ? Cert 'ificatc- qt-ZAnt % uccupancy of I'l-le Abo...'e, refrwenue.d E:of or, portior, ,et-eof w,Tlcj (-_-oof0mq that the bi.tildiiiq 1,a4 been insper-cod fol- CoMPI -iAl'ice W, ,e ;tate of Orgor, Specialtv Codes rot the yv,oup. occupancy, and wie undt-r- Ach i-!Ie 1^efev,erlc.k-d per-mit wall ii5iled. BUILDING Or"F IC.Iflf VIOST (N [01NICPICUOLIS F-11JACT CITY OF TIGARD DEVELOPMENT SERVICES 13125 5W Hall Blvd., Tigard,OR 97223(503)639-4171 CERTIFICATE OF OCCUPANCY F''Epm r T #. . . . . . . : SUP96 -05,57 DAt E. 151,"AJED: 01 /2'9/19 F'Iaf7f.'F'L a 1 S 135A} -•0100 3 14DDRE;393. . . z10300 5W GRE ENBURG PD #180 a J1'iJ)IV1t31(1N. . . . -RED LOBSTER / CASA LUPITA ZONING:C--F' SI_oc`K. . . . . . . . . . : L.07. . . . . . . . . . . . . : JURISDICTION: l'IG C::I,.A`ig OF WORK. :ALT I YF'1: OF LISE". . . 2 COM F`r'FM; OF rIJNGrFr:�.Frt OCCUPANCY GRP. :R n(,CI-JP,ANC'Y LOAD. 14e T!7.1\10Nr NAME. . .. : LRVER LOGIC F:e.mar t4sr : 11 Gadd pairtlt: ion walls. KN I t;14ERDOCKER 1,ROPERT I C''S I NC 10300 SW GPE rNSURG', ROALI GU I TE 200 V UPTL AND OR Phur7e #: C o n t r as c t a r~; _... . _. _ .... ._ _.... ...... ._.._ _ .__ __. MAC. 1 SU PACIFIC 73t) NU JACK(jON ti-+C:HOOL ROAD 1-ill..L_SE?ORU OR 97r �'4 C:,hcrnp 0: 693_.14.797 Req 11 . . 039043 This Certificate nr•aant s oc:cmppir cy of the above refer e~nce d building ar, portion thpreuf and uarrfirm3 tthaart: the building has heerr inspected for complimnr_a wish the t,tat a Elf [:Organ Speriaa.lty C.'odpL, far the yr aup, oa rufratn, y, And r.r9F rmder which the refer onued permit was issued. LSU I L_1✓'I C3 ]: f='E:C.; CI Ft E�,U I L_G I NC3 qI�f`i C I tial_ f-'CIST .I N C"CN GF-1 C..'I.JJOUS PC_AC.T A CITY OF TIGARD DEVELOPMENT SERVICES BUILDING PERMIT 13125 SW Hall Blvd., Tigard,OR 97223(503)639-4171 PERMIT #. . . . . . . : BUP98--0420 DATE ISSUED: 09/29/98 PARCEL: IS135AB.-01003 SITE ADDRESS. . . : 1.0300 SW GREENBURG RD #180 SUBDIVISION. . . . : RED LOBSTER / CASA LUPITA ZONING:C-P BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . . JURISDICTION:TIG ------------- REISSUE: FLOOR EXTERIOR WALL CONSTRUCTION- CLASS OF WORK. :ALT FIRST. . . . : 0 sf N: S: E: W: TYPE OF USE. . . :COM SECOND. . . : 0 !;f PROTECT OPENINGS?----------- TYPE OF CONST. :2FR FIFTH . . . : 1451 sf N: S: E: W: OCCUPANCY GRP. :B TOTAL----.---: 1.451 !-,f ROOF CONST: FIRE RET? : OCCUPANCY LOAD: 15 BASEMENT. : 0 sf AREA SEP. RATED: STOR. : 0 HT: 0 ft GARAGE. .. . - 0 SF OCCU SEP. RATED: BSMT'.) : MEZZI : REDD SETBACKS----- REOUI RED---.--- FLOOR LOAD. . . . : 0 psf LEFT: 0 ft RGHT- 0 ft FIR SPKL:N SMOR DET. . : DWELLING UNITS: 0 FRNT: 0 ft REAR: 0 ft FIR ALRM:N HNDICP ACC:Y BEDRMS: 0 BATHS: 0 IMP SURFACE: 0 PRO CORR: PARKING: 0 VALUE. $ : 121109 Remarks : TI reducing office space. Owner- FEES KNICKERBOCKER PROPERTIES INC type AMOIAnt by date reept 1030.0 SW GREENBURG ROAD PRMT $ 98. 50 DLH 09/29/98 98--309591 SUITE LROO 5PCT $ 4. 93 DLH 09/29/98 98-309591 PORTLAND OR 97223 PLCK $ 64. 03 DLH 09/29/98 98-30959;. Phone #: 452-3900 FIRE $ 39. 40 DLH 09/2'9/98 98-309591 Contractor: PIONEER CONSTRUCTION SERVICES PO BOX 68304 MTLWAUKIE OR 97009-7268 Phone #: 652-1050 $ 206. 86 TOTAL._ Reg #. . : 001197 --REDUIRED ACTIONS or INSPECTIONS This permit is issued subject to the regulations contained in the Framing Ins Tigard Municipal Code, State of Ore. Specialty Codes and all other Gyp Board Insp applicable laws. All worth will be cone in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended fe.- more than 189 days. ATTENTION: Oregon law requires you to ow the rules adopted by the Oregon Utility Notification Center. Those rules are sit forth in DAR 952-80I-8@I8 through OAR 952-@01@1987. You many obtain a copy of these rules or direct questions to DUNG by calling (503)246-1987. Permittee SignatlAre: )/41A Tssi-ted By: T 4+++++++++-+-4.......................1--++++44++++•.+++f•++++++++.+++++++++++++++-#•1-++ Call 639-4175 by 7:00 p. m. for an inspection napdPd the next bi.1siness day 4.........................+++++++++++++4,4+-1................................4- CITY OF TIGARD Commercial Building Permit Application Recd By 3125 SW HALL BLVD. 'Tenant Improvement Date Recd ` TIGARD, OR 97223 Date to P.E. i Date to DST - (503) 639-4171 Permit# ' Print or Type ( � Related SWR#--� Incomplete or illegible applications will not be accepted Called Name of Development/Project ----Existing Building XT New Building E) Job Linco�h Cente Address street Address Suite Building Iosco SW Grea•tl n PrdJF'o Data Bldg# City/State Zip Existing Use of Building or Property: I FWU31,d, P- . 97223 C4. 'Ce Name Property wicler�c ePrcposed Use of Buildif_-lg_or Propert_y: ",Inc..XXIV Owner Mailing Address^� Suite C+fi*C'l-, 101M sw r ee,,b,, PA 2.00 No O Sto 'es: City/State Zip Phone �� -- ___ %r'tJQJAA, O_� . 97223 4'52-59br� Sq. Ft. Of Project—:—: -- Occupant Name I'T N W Te'WircrQwy — -- Occupancy Class(es) Name Contractor P�ot1,ee r Lon a v,,c`t-�o- Type(S)off Construction Prior to permit Mailing Address Suite ' Ft� issuance,a copypo 1 6B3n4 Will this project have a Fire Suppression System? — — of all licenses __ Yes E] No _ are required If Clty/Stale Zip -- Phone Americans with Disabilities Act ADA expired In C.O T ( ) database ► ll�W2U�ie ,9 726 �`?._ (Oyo Valuation X 25% = $"5c�2 .75_Participa Ion Oregon Const tont Board LIa# Exp Dale Complete Accessibility Form 19-70- Project -- $ 10 Name — Valuationf�_ Lei ng Architect G_ ) 74rkiiii, I.nc Plans Required: See Matrix for number of sete;to submit Mailing Address y Suite on back 20 City/Slate Zip PhoneI hereby acknowledge that I have read this application,that the information 97?jj- Z24.9b561 given is correct,that I am the owner or authorized agent of the owner,and Engineer Name } — that plans submitted are in compliance with Oregon State Lrws Signature of Owner/Agent y Date — Mailing Address Suite l �Z , ti , ?12-91,91E, _ Co ct Person Name — r'hone - City/State — Zip Phone R P-. _96CzC— FOR OFFICE USE ONLY _ Indicate type of work: New O Addition O Demolition O`- Map/TL# _ — Lancl Use: — Accessory Structure O Foundation Only O Alteration B _ Repair O Other U `_— Notes: Description of work: } TIF -- �— ----------- Tf'V1 aV1 \ 1 N'tp wve rpt Note: Site Work Permit Application must precoda or accompany Building Permit Application I\COMNEWTLDOC (DST) 5198 COMMERCIAL PLAN SUBMITTAL REQUIREMENT MATRIX Plan Review is dependent upon submittal of BOTH plans AND a COMPLETED application. For an electrical submittal, the application must contain the signature of the supervising electrician before plan review will be conducted. After plan review approval, Plans Examiner will contact the applicant to request additional pian sets for distribution purposes. (Copy for Contractor, City, Washington County, Tualatin Valley Fire & Rescue) Total#of -TYPE OF SUBMITTAL Plans KEY: Submitted_ 1 S = Site Work -b--(New or Add)-�-�- -- -- 1 --- B = Building F (4e-%W-6r Add or Alt) 3 F = Fire protection System M (New or Add or Alt) 1 M = Mer,,ianical B & M (New or Add) 1 P = Plumbing P (New, Add, or Alt) 2 E Eleubival --a-& M & P (New or Add) 2 New = New Building E (New, Add, or Alt) 2 Add = Addition B & F & A/1 & P & E 3 Alt = Alternation to Existing (New , Add) Building *B or B & M (Alt) 1 *B & M & P (Alt) 3 *f3 & M & P & E(Alt) 3�r *B & M & P &. E & F(Alt)� 3 NOTES: *Shaded areas designate ALT submittals only. I Wstslmaxtrixl doc 07/06/98 SUBJECT: ACCESSIBILITY BARRIER REMOVAL IMPROVEMENT PLAN REQUIREMENT: OREGON REVISED STATUTE (ORS) 447.241. (1)Every project for renovation,alteration or modification to affected buildings and related facilities shall be made to insure that the path t avel to the altered area and the restroom,telephones and dunking fountains are readily accessible to individuals with disabilities,unless such alterations are disproportionate to the overall alterations in terms of cost and scope. (2)Alterations made to the path of travel to an altered area may be deemed disproportionate to the overall alteration when the cost exceeds twenty-five percent (25%). yALUATION of all renovation, alteration or modification being done o 00 excluding painting, wallpapering. I1� $�2•�l multiply: 25% Barrier removal requirement. .25 BUDGET FOR BARRIER REMOVAL [21 $ In choosing which accessible elements to provide under this section, priority shall be given to those elements that will provide the greatest access. Elements shall be provided in the following order: ApjAC6r1T slnEwALKsDZ S (a) Parking/sit,e Wp�k- Ar,10 cuX5 CATs --�--1 (b) An accessible entrance: — (c) An accessible route to the altered area: $—__ — (d) At least one accessible restroom for each sex or a single unisex restroom: � (e) Accessible telephones: — – -- (f) Accessible drinking fountains: and $_ (g) When possible, additional accessible elements such as storage and alarms: j TOTAL: Shall equal line 2 of value computation �►�?�l . `25 CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Line: 633-417' Business Line: 635-4171 v - BUP �CL SS y' _ __ -_ Dato Requested — / -�� _AM i PM ?, ) q 5?_ 0 11 � a�� T""* �- 0 I.ocation_ 1 _ Suite c ?r�_ MFC _ Contact Person �,vV�,r _ Ph Sc'[; e.1 -Q PLM Contractor _ `� Ph SWR .__ __— BUILDING V — Tenant/Owner .�$-��,�_; ELC Retaining Will ELR _ F ooting Access: Foundation FPS Ftg Drain SGN Crawl Drain Inspection Notes: — Slab -----—_---- -- — -- SIT Post 8 Beam _ Ext Sheath/Shear Int Sheath/Shear Framing Insulation Drywall Nailing Firewall ---- ---------- -----.- -- --- Fire Sprinkler --_____---__ _-----_ ------__—_------- Fire _.Fire Alarm Susp'd Ceiling - _-- -- -- --- - ------ --- — --- Roof Misq:_ - ---- - -------- - --------- --------- _ in SS PART FAIL -- - - - -- ------ P_1UWNG Post& Beam --- Under Slab Top Out Water Service Sanitary Sewer Rain Drains -- ------ - - --_ _ - _--------- Final T ----- - PASS PART FAIL MECHANICAL Post& Beam ------- ---- Rough In GasLine -- - - ------ ----- ------- --------— Smoke Dampers Final _... -- — —--- ----- -- ----------------- -- PASS PART FAIL ELECTRICAL ----- - - _.-_---___----- Service Rough In — UG/Slab Low Voltage Fire Alarm —�.. - -- ------- --- --- - -- ----Final PASS PART FAILSITE Backfill/Grading -- --- ----- -- Sanitary Sewer Storm Drain ( )Reinspection fee of$_ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line ( )Please call for reinsnaction RE: _ [ ) Unable to inspect no access ADA Approach/Sidewalk Date P Inspector" '? _ Ext Other - _ _..� ---- Final PASS PART FAIL DO NOT REMOVE this inspection 'record from the job Mte. CITY OF TIGARD ELECTRICAL PERMIT DEVELOPMENT SERVICES PERMIT #: ELC99-0011. 13125 SW Hall Blvd.,Tigard,OR 97223(503)639.4171 DATE [SbJED: 01/08/99 PARCEL: IS135AB-01003 t]ITE ADDRESS. . . : 10300 SW GREENBURG RD #180 '3UBDIVISION. . . . :RED LOBSTER / CASA LUPITA ZONING:C---P BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . : JURISDICTION: TIG Fir oJ ect De scr i pt ion: Alteration to electrical service. RESIDENTIAL UNIT---- -----TEMP' SRVC/FEEDERS——— ---.---.MISCELLANEOIJS--------- 1000 3F OR LESS. . . . : 0 0 200 amp. . . . . . . : 0 PUMP/IRRIGATION. . . . : 0 if EACH ADDIL 500SF. . . : 0 201 400 amp. . . . . . . : 0 SIGN/OUT LINE LTG. . : 0 LIMITED ENERGY. . . . . : 0 401 600 amp. . . . . . . : 0 SIGNAL/PANEL.........: 0 MANF. HM/ SVC/FDR. . ., 0 601+amps---1000 volts. : 0 MINOR L-ABEL ( 10) . . . : 0 Ir —F3FRV ICE/FEEDER---- ------BRANCH CIRCUITS----- ---ADD' L. TNSPECTIONS--- 0 --- 200 amp. . . . . . : 0 W/GERVICE OR FEEDER: 0 PER INSPECTION. . . . . : 0 1201. — 400 amp. . . . . . : 0 1st W/O SRVC OR FDR. : I PER HOUR. . . . . . . . . . . : 0 4,01 — 600 amp. . . . . . : 0 EA ADDIL BRNCH CIRC: 5 IN PLANT. . . . . . . . . . . . 0 601. — 1000 amp. . . . . : 0 -----------_.____—_PLAN REVIEW SECTION---________..__.._..._ 10004- aitip/Volt. . . . . : 0 )=4 RES UNITS. . . . . . . . : ) 600 VOLT NOMINAL. . - Reconnect only. . . . . : 0 SVC/FDR )= 225 AMPS. . s CLASS AREA/SPEC OCC. : Owner: FEES KNICKERBOCKER PROPERTIES INC type amoi.tnt by date recpt 10300 SW GREENBURG ROAD PRMT $ 60. 00 DLH 01 /08/99 99-312026 SUITE 200 5PCT $ 3. 00 DLH 01/08/99 99-314026 PORTLAND OR 97223 Phone *: Contractor: Cilk ISTENSON ELECTRIC INC $ 63. 00 TOTAL ' ' il SW COLUMBIA -,Tr- 480 -------- REQUIRED INSPECTIONS PnRTLAND OR 97201 Ceiling Cover Elect' l Service Phone #: 241-4612 Wall Cover, Elect' l Final Rey #. . : 000458 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 All expire if work is not started within 180 days of issuance, or if work is suspended for sort than 180 days. ATTENTION: Oregon low requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in DAR 952-001-00I0 through OAR 952-08I-1987. You may obtain a copy of these rules or direct questions to OUNC by calling (583)246-1987. Permittee SignAtitre : - -------- .. ...... __._____.—_______._.________._.___._.__._--OWNER INSTALLATION The installation is being made on property I own which is not intended for sale, lease, or rent. nWNER' S SIGNn'TURE: __._^�/'` DATE i INSTALLATION SIGNATIARE OF SUPR. ELECIN: Al &M(_fJ 1-70V DATE: LICENSE NO- ++•i-+++++++++++++++++++++++++++++++++•F-++++-i-+++++++++.}+++++++++++++++++++++++++^++ Call 639-4175 by 7:00 p. m. for an inspection needed the next biisiness day -1-+++-+-+-f 4+•++++++++•++++++++++•+++++•+++++++++++++++++++++++•+++-+•++4-4 +++++4++ CITY OFTIGARD Electrical Perm!. Application Plan Check#`� 13125 SW HAI 1666. Recd By TIGARD OR 97223G' r -77 Date Recd 1r�t)C# u/ �� -� Date to P.E. Phone(503) 639144Y1,'x?04 Print or Type Date to DST - Inspection(50, '631 ��,7�i10PMENT Incomplete or illegible will not be accepted Permit q ,<"� Fax (503)6f�'4� 17 Called 1. Job Address:NORRIS BEGGS SIMPSON PROPERTY NCT4. Complete Fee Schedule Below: Name of Development LINCOLN CENTER LINCOLN 1 Number of Inspections per permr,allowed Name(or name of business) SERVER LOGIC Service included: Items Cost Sum Address 10300 SW GREENBURG RD SUITE 180 4a. Residential•per unit 1000 sq.ft.or less $1 1 o w) City/State/Zip PORTLAND OR Each additional 500 sq.ft.or Commercial Residential❑ portion thereof $z s 011 Limited Energy $:",01) ROSS CROSBY MALIBU PACIFIC Each Manul'd Home or Modular Dwelling Service or Feeder $60.00 _ 2a. Contractor installation only: - ' (Attach copy of all current licenses) 41).Services or Feeders Electrical Contractor CHRISTENSON ELECTRICs_INC. Installation,alteration,or relocation Address 111 SW COLUMBIA, SUITE_480 200 amps or less $60.00 __ _ City PORTL )�1 A , Stave- _`Zip_Q7201 amps to 400 amps $80.00 _= $� 401 amps to 600 amps $120.00 1 Phone No.50) 241-4812 _ 601 amps to 1000 amps $180.00 _ Job No. fie-n t 684 -- Over 1000 amps or volts $340.00 Elec.Cont. Lice. No._2.6-34C __Exp.Date 10 99___ Reconnect only $50.00-- OR State CCB Reg. No. 00458 ___Exp.Date___5�g9_ 4c.Temporary Services or Feeders COT Business Tax or Metro No. 5246 Exp.Date_l"(L___ Installation.alteration,or relocation 200 amps or less $50.00 2 Signature of Supr. Elec'ri�� ,� rl�, �► Ti'�� 201 amps to 400 amps $75.00 2 -'�--c'�- 401 amps to 600 amps $100.00 Over 600 amps to 1000 volts, License No. 873S _____Exp.Date 1 n/ol _ see"b"above. Phone No. 503 ?41_4$lt - _- ----- 4d.Branch Circuits New,aiteraWn of extension per panel 2b. For owner installations: a)The fee for branch circuits with purchase of service or Print Owner's Name--_ feeder fee. Address Each branch atcuit $5.00 _. b)The fon for branch circuits City. State Zip without purchase of Phone No_ service or feeder lee. First branch circuit 1 $35.00 35. 7 The Installation is being made on property I own which is not Each additional branch circuit $5.00 21. intended for sale,lease or rent. 4e.Miscellaneous Owner's Signature __._ _-_ Eachlpump oror rIrrigation er riot cl cle) $40.00 Each sign or outline lighting $40.00 3. Plan Review sectign (if required):' Signal circui!(s)or a limited energy` panel,alteration or extension $40.00 -_ Please check appropriate Item and enter fee In section 5B. Minor Labels(10) $100.00-- 4 or more residential units in one structure 411.Each additional Inspection over Service and feeder 225 amps or more the allowable in any of the above System over 600 volts nominal Per rnspecti„n $,3s cm Classified area or structure containing special occupancy Per hour $,�s oo -- --_ 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: 00. Not required for temporary construction services. 5a.Enter total of above fees $ 5%Surcharge(.05 X total fees) $ NOTICE Subfotal $ -63 5b.Enter 25%of line Be for PERMITS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED IS Plar,review if reaulrad(Sec.3) $ NOT COMMENCED WITHIN 100 DAYS,OR IF CONSTRUCTION OR WORK Subtotal $ ---b-i-,---- IS SUSPENDED OR ABANDONED FOR A PERIOD OF 100 DAYS AT ANY TIME AFTER WOr1K IS COMMENCED. ❑ Trust Account N Total balance Due $ 61.00 I.OSTs1ELC9s APP Rev W96