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10200 SW GREENBURG ROAD STE 300 i 0 IN 0 1 W o 10200 SW GREENBURG RD #300 I I 1 4 t CITY OF TIGARD RESTRICTED ENERGY ELECTRICAL_APPLICATION Recd by:_ t-� 113125 SW HALL BLVD Date Recd: TIGARD OR 97223 PRINT OR TYPE Permit -503-639-4171 X304 Permit#: (;.� 11;1 �C� ICATIONS Cust.Call F - 503-684-7297 INCOMPLETE OR ILLEGIBLE APPL 'd: J!;B!! SO-00413 WILL NOT BE ACCEPTED ^ ' Name of Development Project TYPE OF WORK INVOLVEQ - RESIDENTIAL ONLY _ THE MA'T'RIX COMPANIES _ Restricted Energy Fee........................................ $40.00 LINCOLN CENTER LINCOLN V (FOR ALL SYSTEMS) iOB Street Address Ste# Check Type of Work Involved. ADDRESS 10200 SW GREENBURG RD 300 City/State Zip Phone# ❑ Audio and Stereo Systems _ 1'ORTLAtdD 97223 Name ❑ Burglar Alarm NORRIS BEGGS SIMPSON PROPE*, TY ❑ Garage Door Opener' OWNER Mailing Address MANA EMENT MATR I X 1.0200 SW GREIENBURG RD #300 ❑ Heating,Ventilation and Air Conditioning System' City/State Zipp Phone# A� T1 GARD – OR 972 ❑ Vacuum Systems' —V Name CHRTS'TENSON ELECTRIC INC i ❑ Other__ CONTRACTOR Mailing Address TYPE OF WORK INVOLVED -COMMERCIAL ONLY 111 SW COLUMBIA SUITE 480 -- 1140.00 (Prior to Issuance a City/State Zip Phone# Fee far Hach syst0-26....................................... copy of all licenses PORTLAND) 197201-5g86 241-4312 (SEE OAR 91&250-280) are required if Oregon Conir Bird Lic.# Exp.Llate Check Type of Work Involved: expired in C.O T XRK 399 458 5/1/99 data base). Electrical Cpr_LiC. 10 1 1e ❑ Audio and Stereo Systems COT orMetro l.iiic44.# 12/31%^ ❑ 5246 Boller Controls Owner's Name r.l LJ Clock Systems OWNER - Mailing Address � Data Telecommunication Installation APPLICANT City/State Zip Phone# ❑ Fire Alarm Installation This permit is issued under OAE 94.8-320-370 This applicant agrees to ❑ HVAC make only restricted energy installations(100 volt amps or less)under this permit and to do the following ❑ Instrumentation 1 Only use electrical licensed persons to do installations where required. Certain residential and other transactions are exempt from licensing. ❑ Intercom and Paging Systems These have asterisks('). All others need licensing: ❑ Landscape Irrigation Control' 2 Call for inspections when installation under this permit are ready for inspection at 503.639.4175; ❑ Medical 3. PurchaF.0 separate permits for all installations that are not ready for an ❑ Nurse Calls inspection when the inspector Is out to inspect under this permit: 4. Assume responsibility for assuring that all corrections required by the ❑ Outdoor Landscape Lighting' inspector are done,and; ❑ Protective Signaling 5 Assume responsibility for calling for a final inspection when all of the r— Other _ corrections are completed. L — — Permits are non-transferable and non-refundable and expire if work is not Number of Systems started wdnin 180 days of issuance or if work is suspended for 180 days — y The person signing for this permit must be the applicant or a person No licenses are required Licenses are required for all other installations authorized to bind the applicant. Inc — ENTER FEES s 40. Signature 12/22/98 2468S 2. 5%SURCHARGE(.05 X TOTAL ABOVE) s _ Authority if other than Applicant — t�1( �/y/ JX �Tot1kL tdst,Ireseie doc 7/97 'A CITY OFTIGARD )PMENT SERVICES DEVEL I L --u, Tigard.OR 97223(503)639-4 l,'l ELECTRICAL. PERMIT 13 125 S W Ha"'F!, RESTRICTED ENERGY PERMIT #v EL.R98-0336 DATE ISSUED: 12/28/98 PARCEL: 19135AB-00900 SITE ADDRESS. . . : 102000 SW GREENBURG RD #300 SUBDIVISION. . . . :FIVE LINCOLN ZONING-.C:-r' BLOCK,. . . . . . . . . . . LOT. . . . . . . . . . . . . .. JURISDTICTN: TIG Project De script ion: Matrix TI JOB 450-00413 ----------------------- A. RESIDENTIAL------ AUDIO & STEREO. . . -, AUDIO & STEREO. INTERCOM & PAGING. . : BURGLAR ALARM. . . . : BOILER. . . . . . .. . . . : LANDSCAPE/IR131GAT. . : GARAGE OPENER. . . . : CLOCK. . . . . . . . . . . . MEDICAL... . . . . . . . . . . . : HVAC. . . . . . . . . . . . . : DATA/TELE COMM. - : X NURSE CALLS. . . . . . . . A VACUUM SYSTEM. . . . : FIRE ALARM. . . . . . : OUTDOOR LANDSC LITE: THER: HVAC. . . . . . . . . . . . . PROTEC'f1VE SIGNAL. . : INSTRUMENTATION. : OTHER. . : : 1 TOTAL # OF SYSTEMS: I Owner: FEES K14ICKERB0CKFR PROPERTIEB INC type AMOUnt by date recpt 11.1300 SW ORE*FN3U1r3 RD #200 PRMT $ 40. 00 JSD 12/28/98 98-311.763 PORTLAND OR 5PCT $ 00 JSD 12/28/98 98-311763 Phone #a 452-5900 Contractor,: CHRISTENSON ELECTRIC INC $ 42. 00 TOTAL 1. 11 SW COLUMS I A REDUIRED INSPECTIONS STE 480 VIORTLAND OR 97201 Ceiling Cover Low Voltage Inst:) Phone #: 241-4812 Wall Cover Elect' l Final Reg #. . : 000458 This peroit is issuer', subject to the regulations contained in the Tigand Municipal Code, State of Ore. Specialty Cudes and al� ther applicable laws. All work will bp done in acrordanci with approved plans. This pervit will expire if work is rot started wivir 180 days of issustK*, or if work is %usppnded for sore than 180 days. ATlENTIMI: Oregon law requi-e- you to follow rI adoptSO/by the Oregon Utility No+ificatibn Center, "hose rules are set forth in OAR 0,92-01-0010 through LIAR 952-MI-0080You ay 13bVn co �s Cf these rules or direct qu!#i#fff1kOVL C at (563)241rt98t--- C:v 6� Permitter, Si nature -OWNER INSTALLATION I A—t inn is being made on property I +)wn which � s not intended for , ,alp, lease, at rent. FAMER' S SIGNATURE: DATE: INSTALLA'TTON ONLY-------__--_-.______________._ IGNATURE NLY------------------------------ IGNATURE Or SUPR. ELFC' Ns Dr-ITE: L 1(7 '.NSE NO; +•+++++.+++{.+++++++++++++++++++++++++++++++++++•a•+4•++a........4++++-r+-#+++++++......4 Call 639--4175 by 7:00 P. M. for an inspection needed the next business day .......*.......................4-4......................................�+++`+++4 CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Lina: 639-4175 Business Line: 6394171 BUP / r Date Requested �1 ---AM----PM BLD Location ��GC� �G�i � �i'1 _iL�r sem- Suite � �� MEC Contact Person U ��S Ph cPLM Contractor_ / '� /R�t_Sr=n- f �c'� _ Ph SWR _ BUILDING Tenant/Owner — ELC _ ';�-Q7 )7 Retaining Wall ELR Footing Access: Foundation FPS Ftg Drain SIGN Crawl Drain Inspection Notes' --- - Slab __-_-- -- ---____-- SIT Post&Beam Ext Sheath/Shear Int Sheath/Shear Framing Insulatini. Drywall Nailing A ec:E 40k-, PD —/VI 11Q 1 Id s U nino S —_— Firewall / Fire Sprinkler C -� /�t !4 F D Q _1_ — Fire Alarm Susp'd Ceiling — --- R oof Misc. --- Final PASS PART FAIL - — --- — PLUMBING - i i✓A —._�.--_— Post&Beam - - -- Under Slab Top Out ^— — Water Service Sanitary Sewer - __ Rain Drains Final PASS PART FAIL ME=CHANICAL Post&Beam ------1 ------ ---- — -- Rough in Gas Line - ------ __ —. Smoke Dampers Final --- ------ — PASS PART FAIL ELECTRICAL ----- -- — ------— Service Rough In UG/Slab Low'ooltage Elarm PART FAIL ----_---- SITE Backfill/Grading - Sanitary Sewer Storm Drain [ ]Rein;action fee of$_ —_required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin [ Please call for reinspection RE: —�-_....___ _ [ ]Unable to inspect-no access Fire Supply LineADA j) Approach/Sidewalk Date v�^ }^� Inspector r Hyl��—' Ext��` Other --_—_ p L —__ Final PASS PART FAIL j DO NOT REMOVE this hispection record from the job site. CITY OF TIGARD BUILDING INSPECTION CVIS'ON MST 24-1-Iour Inspection Line: 639-4175 Busi^ess Line: 639-4171 -- - - - - -i BUP _----Date Requested_— I �l c _-AP __--_Pnn BLIP -----_ Location �(-' 2- Cl)<� — .q Suite .''�00 — MEC Contact Person V Ph PLM Contractor _ _ _ _ Ph _ _ O-WR _ c IBUILDINGi Tenant/Owner Retaining Wall 01 c;L7 Footing Access. 4 Foundation � ��-6� Ftg Drain - SGN Crawl Drain -InSr-action Notes: Slab ��_ SIT Post& Beam — Ext Sheath/Shear Int Sheath/Shear - Framing Insulation Drywall Nailing 4-r, �-" _lam_� �_�------ a-ei Firewall Fire Sprinkler Fire Alarm / Susp'd Ceiling - Roof P Si__ / - - }- ---�-/-� S PART FAIL ---- --- -- -�L. /� 7 (� _ ,/;� PLUMBING ��' Post 8 Beam - Under Slab Top Out Water Service I � Sanitary Sewer Rain Drains Final PASS PART FAIL. ----- -- ----- --- -- ---- MECHANICAL. Post& Beam ---- - ---- - ------------- Rough In Gas Line ------ Smoke - - --Smoke Dampers Final PASS PART FAIL LECTRtc'ltt ------- -- - —— —-- — Rough In IIG/Slab --------- Low Voltage �Fire Alarm -__— r Ir S .' PART FAIT. --._ -- --- - - - Elm Backfill/Grading �- ---- - — --- Sanitary Sewer Storm Drain [ ]Reinspection fee, i_ _ _ required 60r, next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line ( )Please call for reinspection RE. _ -_•_-_ -- ] ]Unable to inspect no access ADA '�� /� i, Approach/Sidew,i'k - / ��—"r - - // / --C� Other Date �/ Inspector :�� -t i" Ext _ Fina; PASS PARS' FAIL U NOT REMOVE this inspection record from the job site. _� P I i / Accumulative Sewer Tally o e 'o3 Tenant Name: zie/X -� ` -/�� This PLM#: # ( CSG / >ddress: 0' T :57e,) i �'G$ l�✓ T __ This LM =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 3a fist /Font 4 3ath-Tub/E'tower 4 - -Jacuzzi/Whirl ool 4 Gar Wash-Each Stall 6 - Drive Throu h 16 Cuspid r/Water Aspirator 1 — Dishwasher-Commercial 4 I -Domestic _ 2 Drinkin Fountain 1 _ - Eye Wash _t F!.or 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) 49 Ice Machine/Refrigerator Drains _1 - Oil Se (p Gas Station) 6 Rec,Vehicle Dump Station 16 _ — '-'- _Shower-Gang(Per Head) - -Stall - Sink-Bar/Lavatory — 2 -- Bradley 5 ---• -- Commercial 3 _-- Service 3 -- Swimming Pool Filter 1 -- — Washer-Clothes 6 _ _ —• _Water Extractor 6 — — water Closet-Toilet 6 Urinal 6 — TOTALS Ry Total fixture values:_/ rf'/ y divided by 16 =/ / ' EDU /-7 E Pi"' HISTORY PLM#�-��/��-,--EDU# / 7 ;z SWR! - O i� PLM ^- - EDU# /� SWR# 196aS3-� F'LM#c, �-� __ EDU# i SWR#e7? c J71 PLM# EDU# SW_R# PLM#cj � -6/3 / - EDU# j;. I SVVR#, of 3 PLM# _ EUU# SWR_#____ _ p� EDU#/,Z/ SWR#g-7 - C06-3 PLM# -EDU# SWR# i kfslsVwrtaly doc ITY OF i IGARD Plumbing Application Recd By � .v 125 SW HALL BLVD. Commercial and Residential Date Recd /:'XL; GARD, OR 97223 Date io P E. �_- 13) 639-4171 Date to DST Permit s - Print or Type Related SM r -U Incomplete or illegible applications will not be accepted calledL� b� 13 UIQ d 979 Name of DevelopmentfProct )• .F,IXrURES�Qndiyidual}`+�' 1!x :1 1"�1 xQ iAMTi Job �- 1 ►'►Cala �; Sk* 9.00 f _ ,----- Address StraetAddress Lavatory —9.070 I Q' V S K) Ct (w but IC T 3017 Tub or 1•ub1Shnwer Como., creno 81d9 a L' puatyf t to (� Zt� 7 ZZ shower Only ,_�-- V 9.00 -- Water Closet y 0 r car i eS Dishwasher _ ---N" --2-0 9.00 Owner9 Garbage Disposal .00 Addraaa Shab 60 .5 fcvt bui waahirq Machine 9.00 CMylSbb P Phone Floor[Min r - -- � - NWM i 3,. 9.00 tl� 4- A.00 -- Water Prater — Occupant MahlYgAdO1�rs � suds � 9.00 — 1 LaundryRo«n Tray 9:00 Gty/Sob Zip Phone Unna' - 9.00 Other Fixtures(SpwJN) 9.00 11'1 'VI /1c ✓) �— 9 CIO ontractor Maherw Addmn Suhte - >L00 'rine to isawrta, rAsPhone - appllcarit must �jr-� 0,VI :ZI� 2Li 1 -- _ neon provide all Oregon Const Cont.Board Uc 0Dab 9.00- - contrscas )1 U � -6 — 9.00 kw" Pknn"Ur.0 - � Exp.Date Sewer-1st too' "- 30.00 ..__ hfomhatic n Z j (s' C r{ Sewer-each adreltionol 100 _ 25.00 for COT COT B Tax or Maim s Exp.Date database). Watx Service-121 170'— 30.00 -' Name Water Service-each and itknal 200, - 25.OU Architect Storm 6 Ran Drain-tst 101' or MaArhg Amu— Surto Strum d Rain Can-*ah additional f 00'� 25.00 Mobdo Horne Space -- --- 25.00 t;.nglneer Gtyrstate Zip` Phone Conmrretal Back fbw,Pra,rentlon Farce or Mq 75.00 _ Polkstlon Devita It•scnbe wore NewO Addition O Alteration a Repan O Residential Backfto w Prove itlon Device' — 15.00 De done: Residential O Non-residential a Any Trap or Waste Not Cornecred to a fixti.,re c�.Op .Jddionahl description of rt`wa catch'taw Insp.of Existng Plumbing 40.00 __ peirlhr ue -- Specatly Reqsted rz-p tons -- 40.00 ;ting use of __ penhr ding or property Rain Dram. single faintly rnrelling — 30.00 noosed use of Grease Traps 9.00 utldUq or property, QUANTITY TOTAL s you capping, moving or replacing any fixtures? 'fes No❑ Isomrarc or near aipam is re>t,.ed it oumry rani n >9 J a see back of fours) -SUB TOTAL ner.tty acknowkage that i have read the appkation,that the Information _ ,.ai is correct.that I am the owner or authortzed agent of the owner.and 5%SURCHARGE rat plans submitted ane in compliance wrth Oregon State Laws. igrra m of Own irfAgell Date -- PLAN REVIEW 25%OF SUBTOTAL. .a , ��ll.��titi�►,��t 10(,��-- �z- I o �� rR.a. an~�t�.,�y �re_>9 -- - I TOTAL antact Pere son NamPhone •MinNnum permit fee cs$25*5%surcharge,except Resident), Backkiw )4u U H /1 U - (ti�r�f 'a(f�+ Prevention Device.whKh is Sts•5%surcharge I:`,p4napp.doc 12196 (dst) ��,.�MPL.�,:j'E AS AP'PRUPR9ta,TE TO PROJECT: Fixtures to be capped, moved or replaced - Qiy Sink_ _ Lavatory Tub or Tub/Shower Combination Shower Only Water Closet Dishwasher Garbage Disposal Washing Machine Floor Drain'_____ r- 4"_ Water Heater Laundry Room Tray__,____. Un'nal� _ other Fixtures (Specify) -- ::OMMENTS REGARDING ABOVE: 1:`ptmapp.doc 12/96 (dst) �s 'CITY OF TIGARD DEVELOPMENT SERVICES PLUMBING PERMIT 13125 SW Hail Blvd.. Tigard, OR 9722.7(503)639.4171 PERMIT #. . . . . . . : PLM98-04F,I DATE ISSUED: 12/15/98 PARCEL..: IS135ATA-00900 SITE ()DDRESS. . . : 10200 SW 93REENBURG RD #300 9UBDIVISION. . . . : FIVE LINCOLN ZONING: C-P BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . JURISDICTION: TIS -------------------------------------------------------------------------------------- CLASS OF WORK. . :ALT GARBAGE DISPOSALS. : 0 MOBILE HOME SPACES. : 0 TYPE OF USE. . . ,, :COM WASHING MACH. . . . . . . 0 BACKFLOW PREVNTRS. . : 0 OCCUPANCY r7RP. . :B FLOOR DRAINS. . . . . . : 0 TRAPS. . . . . . . . . . . . . . : 0 �3TORIES. . . . . . . . 0 WATLR HEATERS— . : I CATCH BASINS. . . . . . . : 0 11:1 LOUNDRY TRAYS. . . . . : 0 SF RAIN DRAINS. . . . . : 0 c STNKS. . . . . . . . . .. I URINALS. . . . . . . . . . . : 0 GREASE TRAPS. . . . . . . . 0 I.. AVATORTES. . . . - 0 OTHER FIXTUREE, . . . : 0 IUB/SHOWERS. . ,, -. 0 SEWER LINE (ft) . . . ,- 0 WATER CLOSETS. : 0 WATER LINE (ft) . . . : 0 DISHWASHERS. . . . 0 RAIN DRAIN (ft) . . . : 0 Remarks : Relocate existing sink and water heatev. Owner: FEES K.NICKERBOCKER PROPERTIES INC type amot.int by date recpt 10300 SW GREENBURG RD #200 PRMT b 25. 00 GEO 12/15/98 98-311524 PORTLAND OR 9'7.'!,,-,3 `,PCT 1 . 25 GEO 12/15/98 98-311524 Phone #: DETEMPLE CO INC i qr,1 NW nVrRTON S'T' PORTLAND OF? 97c:09 Phone #: 2c"7--2641 $ 26. 25 TOTAL Reg #. . :: 000025 ------- REOUIRED INSPECTIONS This permit is issued subiprf to the regulations contained in the Water Line Insp Tigard Municipal Cede, State of Ore, Specialty Codes and all stnpr Misr. Inspection lapplicable lass. All work PHI be JDnp in accordance with Insp existing/ca approved plan,,, this permit will ►ipirp if work is not started Final Inspection within IN days of: issuance, or if work is suspended for more than 180 days. A"TENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR '352-900I-0010 through DAR You may obtain renes if these rules or direct questions to OX by calling (5031246-1987. _ _ _ _ ISSLIed By* � WWwl, 4tw r A�i PerMittee SignAtUre - ,/�02 epo 4 +-+++++++++++++++++++++<+++++++++++++++++.++++++++++++++++++++•+-+++++4++ ....... Call 639-4175 by 7:00 p. m. for an inspection needed the next bLisiness day -+-+++4-+++........................+++++4......................................... CITY OF TIGARD Electrical Permit Application Plan Check# 13125 SW HALL BLVD. Recd By 'TIGARD OR 97223 Date Rec'd Phone(503)639-4171, x304 Date to P.E. Inspection (503)639-4175 Print or Type Date to DST Fax (503)684-7297 Incomplete or illegible will not be accepted Permit# C cr�� Callad 1. Job Address: ' ' ' MPSON � ti` czr w� - . l%Mplete Fee Schedule Below: Name of Development LINCOLN V Number of Inspections per permit allowed Name(or name of business) MATRIX Service included Items Cost Sum Address 10200 SW GREENBURG RD SUITE 300 4a, Residential-per unit City/State/tip TT .ARIL_ 1000 sq.ft.or less $1 to on -- Each additional 500 sq.ft.or -- — 4 Commercial)X] Residential❑ portion thereof oo i Limited Energy nn - Each Manuf'd Home or Modular -- 2a. Contractor installation only: ROSS CROSBY Dwelling Service or Feeder $68.00 (Attach copy of all current licenses) 4b.Services or Feeders Electrical Contractor CHRISTENSON ELECTRIC, INC. Installation,alteration,or relocation Address 111 SW COLUMBIA, SUI'T'E Wk 200 amps or less $60.00 CityPORTLAND _State OR Zip '— 201 amps to 400 amps $60.00 2 }721-5886 401 amps to 600 amps $120.00 2 Phalle, lo. 5U3--241-4812 601 amps to 1000 amps —" 2 Job No. — $160.00 2 --�+=' _ Over 1000 amps or volts $340.00 2 Elec. Cont. Lice. No. — C _Exp.Datee ` Reconnect only _` $54.00 _ 2 OR State CCB Reg. No.• 458 Exp.vate5 1 99 4c.Temporary Ser-Ices or Feedela COT Business Tax or Metro No.`%i5246 Exp.Datd2 31 98 Installation,alteratior,or relocation 200 amps or less $50.00 Signature of Supr. Elec'nIf) U-1,1� 201 amps to 400 amps -- $75,00 401 amps to 600 amps $100.00 License No. X= 246GS lU/1/99 OverB00ampsto1000volts. —` — Exp.Date see"b'above. Phone No.-------.—..— — 4d.Branch Circuits 2b. For owner installations. New,alteration or extension per panel a) I'he fee for branch circuits with Print Owner's Namepurchase of service or - feeder fee. Address Each branch circuit $5 Op City State Zip -- b)The fee for branch circuits -— Phone No. without purchase of servlcR or feeder fee. 1 The installation is being made on property I own which is not First branch circuit i35,00 _ 35, Each additional branch circuit $S.OU intended for sale,lease or rent. 4e.Miscellaneous Owner's Signature______-___ (service or feeder not Included) -- Each pump or irrigation circle $40.00 2 3. Plan Review section (if required):* Each al ciirruit(s)lolr a limitedne fighting energy` $an 00 — — 2 panel,alteration or extension $40.0U , Please check appropriate Item and enter fee in section 5B. Minor Labels(10) $100.00 __4 or more residential wilts in one structure 4f Fnrh Additional Inspection over _____Service and feeder 225 amps or more the allowable In any of the above System over 600 vr,fts 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. S. Fees: ' Not required for temporary construction services. 5a.Enter total of above fees 80 TI E 5°'o Surcharge(.05 X total fees) $ _�4. Subtotal $ _ 4_____ PERMI rS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED IS 5b Platn Reer view itlre uir i rir (Sac3 $ NOT COMMENCED WITHIN 16U 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# Total balance Due— $ 84. 190STMELCSB.APP Rev UWI CITY MJF TIGARD ELECTRICAL_ PERMIT DEVELOPMENT SERVICES PERMIT #: ELC98--0727 13125 SW Hall Blvd., Tigard,OR 97223(503)639.4171 DATE ISSUED: 1 /1. 1 /98 PARCEL: 1 r 135AB-00900 SITE ADDRESS. . . : 10200 SW GREENBURG RD #:300 SUBDIVISION. . . . :FIVE LINCOLN ZONING:C--P BLOCK. . . . . . . . . . : LOT. . . . . . . . . . . . . . JURISDICTION: TIG Project Description: Add ten 119) branch circuits. - - --_--_r- I ._.._-..-RESIDENTIAL. UNIT---.- ---TEMP SRVC/FEEDERS--.-- -----MISCELL.ANEOUS----. 1000 SF OR LESS. . . . : 0 0 - 200 amp. . . . . . . : 0 PUMP/IRRIGATION. . . . : 0 EACH ADD" L- 500SF". . . : 0 201 - 400 amp. . . . . . . : 0 SIGN/OUT LINE LTG. . : 0 LIMITED ENERGY. . , . . : 0 401 - 600 amp. . . . . . . : 0 SIGNAL/PANEL. . . . . . . : 0 MANF. HM/ SVC/FDR. . : 0 601+amps-1000 volts. : 0 MINOR LABEL (10) . . . : 0 ------SERVICE/FEEDER----- --__BRANCH CIRCUITS----.- ---.--ADD' L INSPECTIONS-.-._ 0 - 200 amp. . . . . . : 0 W/SERVICE OR FEEDER: r� PIER INSPECTION. . . . . : 0 201 - 400 amp. . . . . . . 0 1st W/O SRVC OR FDR. : 1 PER HOUR. . . . . . . . . . . : 0 401 - 600 amp. . . . . . 0 EA ADD' L BRNCH CIRC: 9 IN PLANT. . . . . . . . . . . : 0 601 - 1000 amp. . . . . : 0 -------------------PLAN REVIEW SECTION----------------- 10004- ECTION----------------- 1000+- amp/volt. . . . . : 0 ) -4 RES UNITS. . . . . . . . : ) 600 VOLT NOMINAL. . : Reconnect only. . . . . ; 0 SVC/FDR ) = 225 AMPS. . : CLASS AREA/SPEC OCC. : Owner: __.._.___._____._.____.__._____._____._._.....__-----.____...-----___..._.__ FEES -__._----- ---_-___- MATRIX type amount by date recpt 10200 SW GREENBURG RD PRMT $ 80. 00 GEO 12/11/98 98-311471 SUITE 300 `:,PCT t 4. 00 OEO 12/11/98 98-311471 TIGARD OR 97223 Phone #: Contractor: ---------------.--__-------.--- CHR I STENSON ELECTRIC INC $ 34. 00 TOTAL_. 1. 1 1 SW COLUMBIA STE 430 ---- --- REOU I RE...D INSPECTIONS - PORTLAND OR 97201 Elect' I Fier-vice Phone #: 241-4812 Elect' l Final Reg #. . : 000458 This permit is issued subject to the regulations contained in thr Tigard Municipal Code, State of Oregon Specialty Co, !s and all othir applicable laws. All work will be done in accordance with appro,ped plans. This permit will expire if work is not started within 181 days of issuance, or if work is suspended for sore than 180 days. ATTENTION., Oregon law req"'res you to follow the rules adopted by the Oregon LRility Notification Center. Those rules are set forth in OAR 95?_-P01-P1010 through JAR 952-001-1987. You say obtain a cosy of these rules or direct questions to MINC by calling (503)246-1987. P e r m i t t e to S i g n a t i.t r e : � �fl� t�' I s s i.i e d E y: INSTALLATION ONLY------------------------------ The installation is being made on property I own which is not intended for sale, lease, or rent. OWNi-".R' S SIGNATURE: DATE: INSTALLATION SIGNATURE OF SUPR. ELEC' N: DATE: 11P L_I CENSE NO: A!&c'` _!F 1 i-++•+•+++++++++++++++1-+++++++++++++++++++ -+++++++++++++•f-++++++++•+++++++++++++++t Call 639-4175 by 7:00 p. m. for an in-spection needed the next bmsi.ness day ++++++++++++++++++++++++++++++++++++++++++•+++++++++++++++++..+++++++ +1-+ ++ ++f+i CITE'OF TIGARD Mechanical Permit Application Plan Cn 1312-5 SW ;-TALL BLVD. Commercial and residential Date Re 'r TIGARD, OR 97223 Date to P.E. (503) 639-4171, x304 ��' Date to DST .G,t T— Print or Type Pe mlt#ice/' /e'-�✓Jy a Incomplete or illegible_applications will not be accepted Called _ No Me of DeveiopgienWroled Description --�W y Table to Mechanical Code Qr Price Amt Jot) 11r.111Addre SuneM A Permit Fee_ - _ 10.00 Address .> 1) Furnace fo 100,000 BTU inoludinjducts&vents 6.00 Bldg# coy; CITY O F T I G A R D MECHAN I CAL.. DEVELOPMENTDE RM I T SERVICES PERMIJ # MEC98--0554 2 13125 SW Hall Blvd., Tigard,OR 97223(503)639-4171 DATE 11339,UED: 1 /1- 1/98 PARCEL.: IS135AB-009QIO SITE ADDRESS. . : 10200 SW 3REENBURG PREVIOUS RD #300 SUBDIVISION. . . . : FIVE LINCOI. N ZONING: C-P BL.00K. . . . . . . . . . : LOT. . . . . . . . . . . . . ....J . UPISDICTION: TIG ............. ........ CLASS OF WORK. . .ALT FLOOR FURN. . . . : 0 EVAP COOLr, .-: 0 TYPE OF USE, . . . :C,'OM UNIT HEATERS. . : 0 VENT FAW,.— s 0 OCCUPANCY GRP. . :B VENTS W/O ADPL: 0 VENT SYSTEMS: 0 OTORIES. . . . . . . . : 0 BOILERS/COMPRESSORS HOUDS. . . . . . . : 0 FULL TYPES-------------- 0-3 HP. . . . : 0 DOMES. INCINt 0 3-15 HVI. . . . : 0 COMML. INCINi 0 El.-C 0 BTU 15-30 PP,, . - - : 0 REPAIR UNITS: 0 MAX INPUT: 30--50 HP. . . . : 0 WOODSTOVES. . : 0 FIRE DAMPERS?. . : CLO DRYERS. . : 0 GAS PRESSURE. . . : 50+ HP. : 0 NO. OF UNITS----------- AIR HANDL.INO UNITS OTHER UNITS. : I FURN ( 100K BTUs 0 (= 10000 cfm: 0 GAS OUTLETS. : 0 FURN ) =1C.0K BTU: 0 > 10000 efri: 0 Remark s - Relocate misc grilles for new new wall layout. Owner: FEES MATRIX type amount by date recpt 10200 SW GREENBUR13 RD PRMT $ 25. 00 DEB 12/11/98 9831141,i SUITE 30051'1.:? 1. 25 DEB 12/11/98 98-311466 PORTI-AND OR 97223 Phone #! Contractors NORTH PACIFIC HEATING ------------ -- 33700 SE DUU5 RD $ 26. 25 TOTAL ESTACADA OR 971323 Phone #i Reg #. . : 000637 ------- REQUIRED INSPECTIONS This permit is issued subject to the reql.lations contained in the Misc. Inspection Tigard Municipal Code, State of Ore specialty 2odes and all other Final Inspection applicable 1�ws- All w2rk 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 IN days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-611-NIO through BAR 952-4,ol-9880, you may obtain copies of these rules or direr' questions to OUNC by calling (503)246--918't 3 i g n a t ur e Iss By- Permittee +++4...................................... Call 639-4179 by 7:00 P. M. for- inspertions needed the next bus iss day ...........................4............I..................... ............4 Fire Protection Permit Application Plan Check# CITY OF TIGARD Commercial or Residential Recd By -444*7'� 131?5 SW HALL BLVD. DateRec'd 1&'Et _ TIGARD, OR 97223 Print or Type Date to P E. (503) 639-4171, x. 304 Incomplete or illegible applications will not be accepted Date to DST Permit Called Job Name of DEG�,��Proiect Yype of System (Complete A or B as applicable) Address Address _� /t zoo Sc� G/ztr�J 6c�/1r' p A.) Sprinkler - Net dry ❑ Name Standpipes Owner Mailing Address Additional Hazard Group _ City/Slate Zip Phone Information Density ---- --- "—� Design Area Name Mrs rn� x Occupant Mailing Address tlf} K. Factor /a A.1) Sprinkler of r .7-2 r ul- City/State 'Lip Phone Project Valuation $ Contractor Name Sys B.) Fire Alarm v- (Sprinkler or /� 1`?/Q Co '— alarm Company) Mailing Address – (7 Submittal Shall Include Battery Calculations YES Prior to permit 5W - r/44 Xip J r' - issuance,a City/State Zip Phone Individual Component YES[1 Cut Sheets cpy of all liqcenses T G�91PD 773 670- -,140 B.1) Fire Alarm Project Valuation $ are required if State Co,ist.Cont.Board Lic.# Exp. Date expired in COT3 94 ,, Project Valualtion Subtotal (A & or B) $ database _ r-" NameQ nn Permit fee based on valuation $ U L ll-(1Fll�/ s I _ (see chart on back) -�2 67 Architect Mailing AddressQ� 5% Surcharge $ q20 �ti3 _ /. .2.� Ci /Stateq zi Ph FLS Plan Review 40% of Permit $ _ mr. 0kE 2v z z �6 r� _ iDescribe work A.)New O Addition O Alteration X Repair O TOTAL $ to be done: 2 B.) Modification to sprinkler heads only: Pians required: Submit three sets of plans.including a vicinity map and 1 1-10 heads=No plans required ?he location of the nearest hydrant 2. 11+-plan review required I hereby a,.knowledye that I have read this application,that the information given is Number Of sprinkler heads:— — _^— WV correct,that'am the owner or ruthonzed agerl of the owner,and that plans submitted P are in crnnoliance with Oregon State laws Additional Description of Work. _— //1 G'(�//L/r�/ Glu Signature of rlAgent Date A.)In Existing Building U New Building < kcorifact Perno'Name. Phone Building _ _ _ Z� t�Zo- (��' Data B.) Commercial Residential ❑ FOR OFFICE USE ONLY: -- — -- Plat# Map/TL#: No of stories Sq Ft -- _ Notes Occupancy Class Type of Construction i tiresupcdoc /�r C(TY OF TIGARD BUILUING PERMIT FEES TOTAL STATE BUILDING VALUATION OF PERMIT F.L.S. TAX PERMIT PROJECT FEES (40%) (5%) FEES 1..1500 25.00 10.00 1.25 36.25 1,501-1600 26.50 10.60 1.33 38.43 1,601-1,700 28.00 11.20 1.40 40.60 1,701--1,800 29.50 11.80 1.48 42.78 1,801-1,900 31.00 12.40 1.55 44.95 1,901-2,000 32.50 13.00 1.63 47. 13 2,001-3,000 38.50 15.40 1.93 55.83 3,001-4,000 44.50 17.80 2.2.3 64.53 4,001-5,000 50.50 20.20 2..53 73.23 5,001-6,000 56.50 22.60 2.83 81.93 6,001-7,000 62.50 25.00 3.13 90.63 7,001-8,000 68.50 27.40 3.43 99.33 8,001-9,000 74.50 7-J.80 3.73 108.03 9,001-10,000 80.50 32.20 4.03 11 .73 10,001-11,000 86.50 34.60 4.33 125.43 11,001-12,000 92.50 37.00 4.63 134.13 12,001-13,000 98.50 39.40 493 142.83 13,001-14,000 104.50 41.80 5.23 151.53 14,001-15,000 110.50 44.20 5.53 160.23 15,001-16,000 116.50 46.60 5.83 168.93 16,001-17,000 122.50 49.00 6.13 177.63 17,001-18,000 128.50 51.40 6.43 186.33 18,001-19,000 134.50 53.80 6.73 195.73 19,001-20,000 140.50 56.20 7.03 203.73 20,001-21,000 146.50 58.60 7.33 2412.43 21,001-22,000 152.50 61.00 7.63 221.13 22,001-23,000 158.50 63.40 7.92 229.83 23,001-24,000 164.50 65.80 3.23 23853 24,001-25,000 170.50 68.20 8.53 247.23 25,001-26,000 175.00 70.00 8.75 253.75 26,001-27,000 179.50 71.80 8.98 260.28 27,001-28,000 184.00 73.60 9.20 266.80 28,001-29,000 188.50 75.40 9.43 273.33 29,001-30,000 193.00 7i'.20 9.65 279.85 30,001-31,000 197 50 79.00 9.88 286.38 31,001 -32,000 202.00 80.80 10.10 292.90 32,001-33,000 206.50 32.60 10.33 299.43 33,001-34,000 211.00 34.40 1055 305.95 34,001-35,000 215.50 86.20 10.78 312.48 35.001-36,000 220.00 88.00 11.00 319.00 36,001-37,000 224.50 89.80 11.23 32.5.53 37.001-38,000 22900 I 91.60 11.45 332.05 f iresupr.doc CITY CF TIGARD DEVELOPMENT SERVICES BUILDING PERMIT 13'25 SW Hall Blvd., Tigard,OR 97223(503)639.4171 PERMIT #. . . . . . . : BUP98--0541 Df-1-fF ISSUED: 12/09i�iH PARCEL-: i 5135AB--00900 SITE ADDRESS. . . : 10200 SW GREENBURG PRL=VIOUG RP #300 SUBDIVISION. . . . : FIVE LINCOLN ZONING:C P BLOC K. . . . . . . . . . . LOT. . . . . . . . . . . . . . JURISDICTION:TTG ------------------------- REISSUE: FLOOR AREAS--- _---.....--------. EXTERIOR WALL._ CONSTRUCTION- CLASS OF WORK. -FF+S F I RST. . . ., 0 c>f N: rl: r : W: TYPE OF USE. . . :CO1 1 3F=COND. . . : 0 ss f PROTECT OPEN T NGS! _.... ..--..___ TYPE OF CONST. :2 w R . . . . 0 s f N: 5: F: W. OCCUPANCY GRE'. •B TOTAL.- _- 0 sf ROOF CONST: FIRE RET' - OCCUPANCY ET :OCCUPANCY LOAD: 0 BASc.MENT. : 0 S AREA [3EP. RATED: STOR. : 0 HT: 0 ft GARAGE. . . : 0 sf OCCU SEP. RnTFD: BSMT? : ME:Z7'' : REOD SETBACKS--_.__._ FLOOR LOAD. . . . : 0 rrs f LEFT: 0 `t RGH T' : 0 ft F I R SF'KL.:Y 9100, DET. . : DWEI.'.ING UNITS: 0 FRN9 : 0 ,`t REAR- 0 ft FIS? AI_.RM: HNDICP ACC: BEDRMS: 0 BATH!-3: 0 IMF, SURFACE: 0 PRO CnRR: PORKING: 0 VALUE. $: 680 Remarks: Alteratiun to fire system to add A sprinkler heads for commercial tenant. Owner: - --- _.____.______ ---__..___________._____..____________.___ FEES MATRIX type amount by data reept 10200 SW GRE=ENBURG RD PRMT $ 25. 00 DI-H IE.'/09/98 98-311417 SUITE 300 SPCT $ 1. 25 DLH 12/09/98 98-311417 PORTLAND OR 91223 Phone #: Contractor: -----------___�. FIRESTOP CO 9384 SW _r I CARD ST TIGARD OR 97223 Phone #. 620--6140 4 5, TOTAi. Reg #. . : 000638 - RFF CI)H I RED ACT I ONC; a r I NSPECT I ONS This permit is issued subject to the regulations contained in the Sprinkler Rough— Tigard Municipal Code, State of Orr. Specialty Codas and all other Sprinkler Final applicable laws. All work will be done in accerdinct, with approved plan,. This permit will expire if word, ',s nr,l started within 180 days of issuance, or if work is suspended for more than 100 days. ATTENTION: Oregon law requires you kD follow the pules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-Mil through OAR 95210181987. you many obtain a copy of these rules or direct questions to 11K by calling (503)246-1987. Permittee Signature: _'Issued Ely: ++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++ Call 639-4175 by 7:00 p. m. for, an inspection needed the next business day ++++++++++++++++++++++++++++++++-Ft•+++++++++++++++++++++++++++++++++t++4•++++t- 4 CITY OF TIGARD BUILDING INSPECTION DIVISION 24-Hour Inspection Line: 639-41'15 Business Line: 639-4171 DIST - ., BUP ' Dat07 e Requested AM k PM q� ii Or �r-'"-__� 5) Location_��C7G) JGZ) c��L�!?=�r � Suite .3aeli MEC _ —�— Contact Person o 'e Ph PLM Contractor ----- —,''�� /'6cc l��' _/ Ph SWR --- -- BUILDING Fenant/Owner _ /��>_.7J'/�C ELC -- Retaining Wall ELR Footing AccPess: Foundation FPS Ftg Drain SGN Crawl Drain Inspection Notes: ) — - Slab ------ YYl .5_ SIT —.— — Post&Beam dX ll-L Ext Sheath/Shear ------ Int Sheath/Shear F-aming -- — ------ ----- - Insulation Drywall Nailing Firewall •L � - ---- Firewall _.-� { � • �1,AA Fire Sprinkler -- Fire Alarm Susp'd Ceiling --- Roof Misc: _ ---- ------ Final PART FAIL ----- -- PLUMBING Post&Hearn - - - Under Slab Top Out Water Service Sanitary Sewer — Rain Drains --. Final --_-- --- PASS PART FAIL MECHANICAL Post&Beam Rough In Gas Line —_---_— ___-- — Smoke Dampers Fina{ PASS PART FAIL ,ELECTRICAL - i. Service Pough In UG/Slab Low Voltage Fire Alarm Final PASS PART FAIL SITE Backfill/Grading —- - --_-- —- - --- a San tary Storim Drain I I Reinspection fee of 3."-___- __ _required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin I i Please call"or reinspection RE. _ [ ) P Fire Supply Line _- Unable to inspect-no access ADA Approach/Sidewalk Other Date Ext - - _ Inspector — Final PASS FART FAIL J DO NOT (REMOVE this inspectior record from the job site. CITYOF T I G A R D CERTIFICATE OF OCCUPANCY DEVELOPMENT SERVICES PERMIT#: BUP2004-00036 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 2/42004 PARCEL: 1 S135AB-00900 ZONING: C-P JURISDICTION: TIG SITE ADDRESS: 10200 SW GREENBURG RD 300 SUBDIVISION: FIVE LINCOLN BLOCK: LOT: CLASS OF WORK: ALT TYPE OF USE: COM TYPE OF CONSTR: 2FR OCCUPANCY GRP: B OCCUPANCY LOAD: 2.4 TENANT NAME: MATRIX REMARKS: T;, new walls for offices Owner: — EOP LINCOLN, LLC 10260 SW GREENBURG RD SUITE 100 PPhoeNDn : 5FR 29 -2 7 Contractor: C SCHIEWE & ASSOCIATES INC 1024 NE DAVIS ST PORTLAND, OR 97232. Phone: 503-234-6617 Reg #: LIC 54105 This Certificate issued 3/5/2004 grants occupancy of the above referenced budding or portion thereof and cLnfirms that the building has been inspected for compliance with he State of Oregon Specialty � des for the oup, occupancy, and use under hich the referencEd permit wa . s C . 21 BUILDING INSPECTOR BUILDINd OF ICIAL POST IN CONSPICUOUS PLACE CITY OF TIGA,RD 24-Hou, BUILDING Inspecti 0>03) 4175 MST INSPECTION DIVISION Business Line: (50 6 �N71 B P -9,6v-Qj- Received*,2`Oq-Date Requested .-_ AM----_ PM-_-- BUP Location -- 1L� D _Suite- MEC --- --------- _____ Contact Person -- -< /Ll�� - Ph&-- ) L.3 — SRJ-3 PLMContractor PhSWR ------- --- - -- - ---_- Tenant/Owner __ -'1 — ELC - - BUILDING — -- -- Footing EL --- - -- - ---- Foundation Access: ELR -- Ftg Drain Crawl Drain SIT Slab Inspection Notes: Post&deam Shear Anchors Ext Sheath!Shear Int Sheath/Shear Framing - Insulation Drywall Nailing - ---" Firewall Fire Sprinkler --_ -- Fire Alarm - -- -- -- - - Susp'd Ceiling ---- Roof Fina -- ---- ---- ------ _ SS PART FAIL. --- - �\ _GING - -- ----- - -- - -- - Poat ..--- Under Slab --- - Rough-In _ --- --- —- -- _ Water Service Sanitary Sewer -- Rain Drains --- - Catch Rasin 'Manhole - Storm Dmin Shower Pan — Other: Final - PASS PART FAIL MECHANICAL — - - - - - - --- - Post«beam Rough-In Gas Line - -------- Smoke Dampers ----- -- - Final —__---- PASS PART FAIL -�--r -- — -- iELECTRICAL ---- Service Rough-In -------- -- ----- ---- — - - UG/Slab Low V.,Itage -----—-- -- — ---- ----— -- Firo Alarm Finial L] Reinspection fee of$ required before next inspection. Pay at City Hall. 13125 RW Hall Blvd. PASS PARI' FAIL SITE C� Please call for reinspection RE' - L, Unable to inspect--nn access Fire supply Line - Ext ---- --- ADA Dstg e'L Inspector Approech/Sidewalk Other Final DO NOT REMOVE this Inspection record from the job site. PASS PART FAIL -i 'd CITY OF TIGARD - PERMRMIIT #:T #: BPERMIT BUP20(14-00036 DEVELOPMENT SERVICES DATE ISSUED: 2/4/04 13125 SW Hall Blvd., Tiqard, OR 97223 (503) 639-4171 PARCEL: 1 S 1 35AB-00900 SITE ADDRESS: 10200 SW GREF_NBURG RD 300 SUBDIVISION: FIVE LINCOLN 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: 2FR sf N: S: E: — W: OCCUPANCY GRP: B TOTAL AREA: 0 sf ROOF CONST: FIRE RET? OCCUPANCY LOAD: 24 BASEMENT: sf AREA SEP. RATED: STOR: HT: ft GARAGE: sf OCCU SEP. RATED: BSMT?: MEZZ?: REG_11jSETBA_C_KS _R_E_QUI'2ED _ FLOOR LOAD: p.sf LEFT: ft RGHT: ft FIR SPKL_ Y SMOK DET: DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP ACC: BFDRMS: BATHS- IMP SURFACE: PRO CORR: PARKING: VALUE: $ 5,000.00 Remarks: TI, new walls for offices. Owner: Contractor: EOP LINCOLN, LLC C SCHIEWE & ASSOCIATES INC 10260 SW GREENBURG RD 1024 NE DAVIS S t SUITE 100 PORTLAND, OR 97232 PORTLAND, OR 97223 Phone: Phone: 503-234-6617 Reg #: LIC 54105 _ FEES _ REOUIRED INSPECTIONS_ _ ----]Description Date Amount Mechanical Permit Require P1I[Lb1 Permit Fee ee 2I4I04 $91.30 L-lectrical Permit Require+ I \\1 8%,State Surchart 2/4/04 $730 Sprinkler Permit Required Framing Insp III(11,111,N] I'In Rc 2/4/04 $59.35 Gyp Board Insp �I LSA F1's 1'111 Its 2/4/04 $36.52 Final Inspection --�------ Total $194.47 -- This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is riot started within 180 days of issuance, or if work is Suspended for more than 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set lortt in OAR 952-00J70010 thmugh OAR 952-001-0100. You may obtain a copy of these rules or direct questions to O JNC by ca" (503)246.6699 or '1-800-332-2344. Led By: Permittee v Signature: �?- Call 639-4175 by 7 p.m. for an inspection the next business day Building Permit Application FOR OFFICE — -- Received / Building Date/By: 'y OY Pemut No: r City of Tigard Planning Approval Othcr Datc/H : Permit No. 13125 SW Hall Blvd. Plan Revie Other -- Tigard,Oregon 97223 Date/By: 0q13-!� Permit No.: Phone: 503-6394171 Fax: 503-598-1960 Post-Review Land Use — Date/By: Case No. _ Internet: wwW.CLtiga[d.00.US Contact Juris.: I MSee Page 2 for 24-hour Inspection Request: 503-639-4175 Name/Method: �rlememal Information o ' _ TYPE OF —RK REQUIRED DATA: New con itruction_ emolitiun I&2 FAMILY DWELLING Addition/aheration/replacement Other: _ _ CATEGORY OF CONSTRUCTION Nate: Perot fees'are based on the total value of the work perforined. Indicate 1 & 2- amily dwellin Commercial/Industrial the value(rounded to the nearest dollar)of all equipment,materials,labor, Accessory Building Multi-Family overhead and profit for the work indicated on this application —fl� Master Builder Other: Valuation........................... ..................... ...... JOB SITE INFORMATION and LOCATION No.of bedrooms: _ No.of baths: Job site site address: 0'2,00 3W Gr yr (to Total number of floors......... .. .... _........... .. New dwelling area(sq.ft )..... . .. .. _ .. Suite#: Bldg./A tAF1'VE LIN«t-N ----�- - Garage/carport arca(sq. ft.).. ... . .. ... . ..... . Project Name: MATNX, . Covered porch area(sq. ft.)........................... Cross slreet/Dircetions to jot, site: Deck area(sq.ft.)............................ ............... ---------- Other structure area(sq.11.)........ . . ........... REQUIRED DATA: SubdiN ision: COMMERCIAL.-USE CHECKLIST Lot#: _� ---- — Tax map/parcel #: Note: Permit tees'are based on The tu:al value of the work performed Indicate DESCRIPTION OF—WORK----- the value(rounded to the nearest dollar)of all equipment,materials,labor, - overhead and profit for the work indicated on this application. eYtan"t Ir►'t Tro�er'+,evt't _ Valuation......................................................... $ J UOp. Existing building area(sq fl.)........................ 2 SCp S — -- _ - --- New building area(sq.ft.)............................... _ Number of stories............................................ 7�-5 -- — -- PROPERTY OWNER - --Q TENANT— Type of construction....................................... -- Naine: EWITY OFF(bE F"TIES Occupancy group(s): Existing: _- ---" � Address: OAC SIN t 011 Gia,su-iii 3 New: - — Cit/State/Zip: fortf2p4, O fL,, 972 B l - --- Phone:503 12- F1X: NOTICE: All contractors and subcontractors are required to be APPLICANT"'r' - ,C)n r CONTAC --J1ERSON� "censed with the Oregon Construction Contractors Board under _ffprovisions of ORS 101 and may be required to he licensed in the Business Name: GSD iiia t�; _ iunsdiction where work is being performed. If the applicant is exempt Contact Name: Fl-a . G�y�' from licensing,the following reason applies: Address: 117-d t4 W cli St.. Suite 300 — -------- /State/Zip:__Port 2M, Op-. --. --- _--. Phone:503 21 - Fax: -- ----- E-mail: BUILDINc PEAM11T,Ai§11- _Please rifer to fee schedule. — Business Name: C.. ScH1EWF_�As.troe 1MG, Fecs due upon application.............................. $ Address: (oto 15 -s w—l i ri V, Avenv e - - -- :;ity/State/Zip: aeaveri- OP- . 97008 Amount received............................................. $ Phone5C3-VK--C-C-(7 Fax: _ Date received: _ CCB Lic. #: 54-10c7 —1 ---- - — I I oriZed _�e n CNotice: This permit application expires Ira permit Is not ohrnlned within .,t tature: ✓'�''�m _ bate:� CA IAO days after it has been accepted as complete. "Fee rnethodolog_r set b.s Tri-!'aunty Building industry Service Board. (Please print name) i:\Mts\PerrnitFonris\131dgPertWtApp.doc 01/03 C) Llnrc�h you Accessibility: Barrier Removal Improvement Plan City of Tigard REQUIREMENT: OREGON REVISED STATUTE (ORS) 447.241. (1) Every project for renovation,alteration ur modification to affected buildings and related facilities shall be made to insure that the path of travel to the altered area and the restroom, telephones and drinking fountains are readily accessible to individuals with disabilities unless such alterations are disproportionate to the overall alterations in 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%). VALUATION: of all renovation, alteration or modification being done uxciuding painting, wallpapering. $ my,31 IY_ 25% Barrier removal requirement. •25 BUDGET FOR BARRIER REMOVAL [2] $ J FZ�O.UJ 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. rive r, J;AeWitI krr rRM�rJ A tntv,4r1 t`•JJ. (b) An accessible entrance: $ (c) An accessible route to the altered area: $ (d) At least one accessible restroom for $ _ each sex or a single unisex restroom: (e) Accessible telephones: $ (f) Accessible drinking fountains: and $ (g) When possible, additional accessible elements such as storage and alarms: $ TOTAL: Shall equal line 2 of Value Computation $ Odsts%orniMccessibility.doc 06/07/02 F CITY OT'IGARD _ ELECTRICAL PERMIT \ CITY r V PERMIT#: ELC201J4-00064 DEVELOPMENT SERVICES DATE ISSUED: 2/10/04 13125 SW Hall Blvd., Tiqard. OR 97223 (5031, 639-4171 PARCEL: 1S135A13-00900 SITE ADDRESS: 10200 SW GREENBURG RD 300 SUBDIVISION: FIVE LINCOLN ZONING: C-P BLOCK: LOT: JURISDICTION: TIG Projoct Description: Electrical TI, (1)branch circuit. Job No.4451 RESIDENTIAL UNIT TEMP SRVCIFEEDERS _ MISCELLANEOUS 1000 SF OR LESS: 0 - 200 amp: PUMPII,RRIGATION: EACH ADD'L 500SF• 201 - 400 amp: SIGN/OUT LINE LTG: LIMITED ENERGY: 401 - 600 amp: SIGNAL/PANEL: MANF HMI SVC/FDR: 601+amps - 1000 volts: MINOR LABEL (10): SERVICE/FEEDER BRANCH CIRCUITS ADD'L INSPECTIONS 0 200 amp: WISERVICE OR FEEDER- PER INSPECTION: 201 - 400 amp: 'ist W/O SRVC OR FDR: 1 PER HOUR: 401 - 600 amp: EA ADD i- BRNCH CIRC: IN PLANT: 601 - 1000 amp: _ PLAN_REVIEW SECTION 1000+ amp/volt: -4 RES UNITS: > 600 VOLT NOMINAL: T_Reconnect off: SVC/FDR>_= 225 AMPS: CLASS AREA/SPEC OCC: Owner: Contractor: r_UP LINCOLN,LLC WILLAMETTE ELECTRIC INC 10260 SW GREENBURG RD PO BOX 230547 SUITE 100 TIGARD,OR 97281 PORTLAND,OR 97223 Phone: Phone: 503-624-3631 Reg #: LIC 75059 SUP 19655 _ FEES LLF .14-28 Description Date � Amount Required Insoections CEIAIRM-1 I GLC 11crnin --- ?,lu o4 $46.85 [TAX]$'90 State Surcharge 2/10/04 $,3.75 Rough-in -- _ Elect'I Final Total $50.60 This Permit is issued subject to the regulations contained in the Tigard Municipal Code,State of OR.Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of Issuance,or if work is suspended for mor ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set fn OAR 952.001-0 hrough OAR 952-001-0100. You may obtain copies of these rules or direct questions to OUNC at(503)246.6699 or -800-3;32.2344. �, ,�� Issued By: >� ' `. (�-"` Permit Signature: OWNER INSTALLATION ONLY The installation is being made on property I own which is not intended for sale, lease, or rent. OWNER'S SIGNATURE: DATE: CONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR. ELEC'N: -F,C-� L `i� ce DATE: LICENSE NO: Call 639-4175 by 7:00pm for an Inspection the next business day Elef-trical Permit Amnlli=don rved Electrical R�(1 B : Permit No City of Tigard Planning Ap rov 1 Sign DateB : Permit No.: 13125 SW Hall Blvd. FE� �� Plan Review Other Tigard,Oregon 97223 Date/By: _ Pe mit No.: Phone: 503-639-4171 Fax:(JAJ 3p.%)F T9f H(I Post-Review Land Use Date/By: _ _ ;'asp No.: Internet: www.ci.tigard.or. [�ING p1V1S1 Contact J See Page 2 for 24-hour Inspection RequesNQ3'9-4175 Name/Method: -_ _ ) Sunrileinental Information. E VCA- E: 1'Iease i; au�.ba New construction _ Demolition Service over 225 amps- Health-care facility Addition/alteration/re lacemP.TiL Other: A commercial ❑Hazardous location ❑Service over 320 amps-rating of ❑Building over 10,000 square feet, r UC ,f,. ; 1&2 family dwellings four or more residential units in 1 & 2-FaTj!LA�!elling COmmercciiaUTndustrial ❑System over 600 volts nominal one structure El ❑Building over three stories El Feeders,400 amps or more Accessory Building Multi-Family ` - []Occupant load over 99 persons I ❑Manufactured structures or RV park Master Builder Other: ❑Egress/lighting plan ❑Other: - Submit___sets of plans with any of the above. ----• ?i ''� d The above are not a t livable to temporary construction service. Job site address: rUeL.z; ,Kr,_lul _ �� 1;01)11 Suite#: ".(r,(_) Bldg.'Apt.#: Number of ins ections per permit allowed Project Name: Mal dDescrf tion I Qty Fee(ex.) Total` t i New residential-single or multi fatr.11y per Cross street/Directions to job site: dwelling unit.Include,attached garage. C 1J COO Service Included: ( �tv C t�N , 1000 scl.ft.or less _ 145.15 4 Each additional 500 s .ft.or rtion thereof 33.40 1 SUbdiV13i0n: LOt#: Limited energy,residential 75.00 2 __ -- Limited energy,non residential 75.00 2 Tax m.i / -1 cc] #: Each manufactured home or modular dwelling A . 11 service and/or feeder 90.90 2 -- Srrvlres ar feeders-Installation, alter albn or relocation: 200 amps or less 80.30 2 201 ams to 400 amps 106.85 2 401 amps to 600 amps 160.60 2 601 amps to 1000 ams 240.60 2 ----- Over 1000 amps or volts 454.65 2 Name: _ Reconnect only 66.85 2 Address: 4 Temporary services or feeders-Installation, -- - --- alteration,or relocation: City/State/Zip: 200 ams or less 66.85 1 Phone: _ Fax: 201 amps to 400 amps _ 100.30 2 401 to 600 amps _ 133.75 2 APPLIC T-_- - -- -- new,alteration,orBiit _ Name: ---_--- — - _- ._ - -- extension per panel: A.Fee for branch circuits with purchase of Address: _ _ __ _ sen ice or feeder fee.each branch circuit 6.65 2 City/State/Zip: - B Fee for branch circuits without purchase of S S stivice or feeder fee,fust branch circuit r 46.85 2 Phone: Fax: Each additional branch circuit 6.65 2 E-mail: Misc.(Service or feeder not included): mma MOM Each pump or irrigation circle 53.40 - 2 Each si or outline liahting 53.40 2 Job No: y u S I Signal circoit(s)or a limited energy panel, alteration,of extension Pae 2 2 Business Name: W Ilaw..s�l! �r„�1 nerrr;pt;on: — .-. _ .-- Address:�o ;ter x 3c,� T Each additionalinspection over the allowable In_anv of the abuse. Cit /State/Zi : T tG IRAyJ It / Per in62.50 Phone: Z y - ;6 T!'/ Fax: 4 Z'I- 2IiS15 lavesti anon fee CCB Lic. #: Lic.#: - 16_? (_ Other: Supervising electrician _ _Subtotal Sg�, b sl ature required: _Plan Review 25%of Permit Fee S Print Name!Jt,t, ie. #: 66 N State Surcharge 8%of Permit Fee $ TOTAL PERMIT FEE S Authorized Notice. This permit application expires if it permit is not obtained within Signat v.c.: Date: .-_ 180 days after it has been accepted as complete. .Fee methodology set by Tri-C'o-. tiding Industry Service Board. (Please print name) i^,Dsts\Permit Fotms\ElcPettmtApp.doc 01/03 Electrical Permit Application - City of Tigard Page 2 - Supplemental Information ' LIMITED ENERGY PERMIT FEES: RESIDENTIAL WORK ONLY: Fee for all systems..............................................I............. $75.00 Check Type of Work Involved: 0 Audio and Stereo Systeme* Burglar Alarm Garage Door Opener* Heating,Ventilation and Air Conditioning System* L_.l Vacuum Systems* 0 Other COMMERCIAL WORK ONLY: _ Fee for each system.......................................................... $75.00 (SEF.OAR 918-260-260) Check Type of Work Involved: Audio and Stereo Systems E] Boiler Controls n Clock Systems Data Telecommunication Installation Fire Alarm Installation HVAC instrumentation Intercom and Paging Systems Landscape Irrigation Control* Medical Nurse Calls F] Outdoor Landscape Lighting* Protective Signaling Other__ -- Number of Systems * No livenses are required. I Icenses are required for all other Instalh(loris i Usts`Pemut Forms'�ElcPcrrruWppl'gl.doc 01101 CITY OF TIGARD 24-Hour BUILDING Inspection line: (303)639-4175 INSPECTION DIVISION Business Line: (503)639-4'171 MST _ >�J � SUP Received � — ate Requested44 PM.�—__ BLIP Location _ .._ 2 __- - _Suite 3/1a _ MEC _��----.-- Contact Person h ( ) PLM Contractor.� �� -- -_ Ph(<0'2—q A 62.3 Z SWR _ BUILDING _ Tenant/Owner ,._ . �s��->� —._—_ _ E C� _ �� r� � Footing Foundation Access: 42!.C --`-`- Fog Drain DLR Crawl Drain ------ Slab Inspection Notes: SIT Post&Beam Shear Anchors -- " --- -- Ext Sheath/Shear Int Sheath/Shear Framing -- -- - - -- - ----- ----- - - — Insulation Drywall Nailing ----- -- ---- Firewell Fire Sprinkler --. - - -- �-L- --- -- _------ - -- - — Fire Alarm `---- Susp'd Ceiling - - - - - , - --------- ---------- Hoot Other: Final PASS PART _ FAIL - PLUMBING _-__-- Post& Beam - - — - Under Slab ---- - - --- _. -------- ------- -__ - - -- ---- — _ Rough-In Water Service _. . .- -- ---- - --- -- ---._ _..- --------- ------ ---- - --- Sanitary Sewer Rain Drains ---- ----- - - ----------- --- -- - _ Catch Basin/Manhole Storm Drain --- - - - Shower Pan '-------------__ Other. -- - - Final PASS PART FAIL - - -- - - --- ----- ----._ -------�—. _ ---- MECHANICAL Post& Beam --i- Rough-In --- - --- - --- - -- - - -----------.-..-- ----_- Gas Line Smoke Dampers Final PASS PART _FAIL _._�.-- -- --_. — - - -- - - -- ----------- _ - --`.,_ ELECTRICAL Service - --- -. -- --- - - -- - -- -- Rough-in UG/Slab - Low\ioltage Fi RT FAIL C-� Reinspection fee of$ _- required beforr,next inspection. Pay at City HRII, 13125 SW Hall Bled. S $ _ - PleaFe call fol reinspection RF_ - nable to inspect-no access Fire Supply Line ADA Dat �ApproachSidewalk rB � • . C t EFInal LSO NOT REMOVE this inspection records from/ the job alta. PART FAIL CITY OF TIGARD DEVELOPMENT SERVICES BUILDIKIG PE.RMTT 13125 SW Hall Blvd., Tigard,OR 9797V5(503)639-4171 PERMIT #. . . . . . . : BUP98•-0479DATE: ISSUED: 11/0'3/98 PARCEL: 1S135AB-•00900 SITE ADDRESS. . . : 109_00 SW GREENBURG PREVIOUS RD #300 SUBDIVISION. . . . : FTVF l_ INCOL_N ZONING:C• P BLOCK. . . . . . . . . . . LINT. . . . . . . . . . . . . . JURISDICTION:TIG ----------------------------------------------------------------------------------------- REISSUE: FLOOR AREAS- - - - ---- - EXTERIOR WALL CONSTRUCTTON-- Cl_ASS OF WORK. :Al-T FIRST. . . . : er s f N: S: E: W TYPE OF USE. . . :COM SECOND. . . : 0 sf PROTEC'T UE'ENT.NGS?- -..__.._..._... __.._. TYPE OF CONST. :2FR THIRD . . . . 2460 sf N: 5: E: W: OCCUPANCY GRP. :B TOTAL---------: '440 s f ROOF CONST: FIRE RET'-1: OCCUPANCY l_.OAL 'E, BASEMENT. 0 sf AREA SEP. RATED: STOR. s 0 HT: 0 f=t GARAGE. . . - 0 s f OCCU SEP. RATED: BSMT?: ME77_'' : RE:DD FLOOR LOAD. . . . . 0 Fns f LEFT: 0 rt RGHT•: 0 ft FIR Sf IKL_: SMOK DET. . DWELLINGS UNITS: 0 FRNT: 0 ft REAR: 0 ft F1 AL..RM: HNDICP ACC: BEDRMS: 0 BATHS: 0 IMP URFACE.: 0 PRO CORR: r_'ARK I NG: 0 VALUE. x ,. ?4000 Remarks : Matrix TI •• Construct corridor, interior Mall, and bream room with sink. A elec, plbg and fire sprklr permit is req+:ired Owner: F -----------•---- KNICKERBOCKER PROPERTIES INC' type amor_rnt by date recpt 10300 SW GREENBURfi RD #200 PRMT• $ 164. 50 JSD 11/09/98 98-310677 PORTLAND OR ";72;*.--"-' 5:PC T $ 8. 23 JSD 11/09/98 98-310677 PLCK, $ 106. 9-3, JSD 11 /09/98 98-31 0677 Phone #: 452-5900 FIRE $ 65. 80 JSD 11/09/98 98. 310677 Contractor: ----___.._____________.____-•-- MALIBU PACIFIC 735 NE JACKSON SCHOOL_ ROAD HILLSBORO OR 97124 ----------------------------------------- Phone #: 693--9797 49. 46 TOTAL Reg #. . : 05'3045, ---REOUI RED ACTIONS or t NSPECT I ON9---_ This permit is issued subject to the regulations contained in the Framing Insp Tigard Municipal Code, State of Ore. Specia:ty Codes and all other F i.rewa l 1 Insp applicable laws. all work will be done in accordance with Gyp Board Insp apprnved plans. This permit will expire if work is not started Sr_rsp Cei ing Insp within 180 days of issuancF, or if work is suspended for more than 180 days. ATTENTION: Oregon law requirr� you to follow the a? s adopted by the Oregon Utility Notificrtian Center. Those rules are set fnr0 in OAR 952--P1-9410 thrtl!gh OAR 952-RIO1987. You many obtain a copy of these rules or direct to (01C by calling (593)246-1987. v2 Permittee Signati_rre: Issi_led By: F+++++++++•*+++++++♦++ ++++�•++++++++•t+++++++•.-F+++++++++++ +Q ....4........... all 639-4175 by 7:00 p. m. for an i.nspect i on needed the next br_isiness day ++++++++++++++++++++++++++++++++++++++++++++.4 + ;-+++4.++++++t+++++++++++++•*++++...