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10200 SW GREENBURG ROAD STE 365 0 N O O I ;rl r w a 10200 SW CREENBURG RD#365 ib CITY CSF TIGARD ELECTRICAL. PERMIT DEVELOPMENT SERVICES PERMIT #: ELC97-0764 13125 SW Hal!Blvd., Tigard,OR 97223 (503)639-4171 HATE_ ISSUED: 11/19/97 V,ARCEL: 1 S 135AB–OO900 SITE ADDRESS. . . : 101200.1 SW GREENBURG RD #365 SUBDIVISION. . . . : ZONING:C–P BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . . JURISDICTION: TIG Pr-oject Desr_r-iptior): Installation of ten 118,1 branch circuits in existing suite in Lincoln Center. ---RF:S I DENT I AL_ UNIT---- ----TEMP SRVC i FEEDERS---._. -----M i SCELLANEOUS------ 1000 SF OR LESS. . . . : 0 0 -- 200 amp. . . . . . . : 0 PUMP,/IRRIGAT ION. . . . : 0 EACH ADD' I.._ 500SF. . . : 0 201 -- 4001 amp. . . . . . . : 0 SIGN/OUT LINE LTG. . : 0 LIMITED ENFRG`y.. . . . . : 0 401 – 600 amp. . . . . . . : 0 SIGNAL/PANEL. . . . . . . : 0 MANF. HM/ SUC/FDR. . : 0 601+amps- 1000 volts. . 0 MINOR LABEL ( 10) . . . : 0 -----SERVICE/FEEDE:R----- ----BRANCH CIRCL)ITS-- -- -•------ADD' L INSPECTIONS--- 0 — 200 amp. . . . . . : 0 W/SERVICE. OR FEEDER: 0 PER INSPECTTON. . . . .. : N 201 - 4Q1Z amp. . . . . . : 0 1 st W/O SRVC OR FDR. : 1 FUER HOUR. . . . . . . . . . . : 0 401 — 600 amp. . . . . . : 0 EA ADD' L. BRNCH C.1RC:: 9 IN PLANT. . . . . . . . . . . : 0 601. — 1000 amp , , , . 1j1 ___.--_-_-___.—_.______._._F,LAN REVIEW SECT IQlti1--_----•------____._.._ 1000+ amp/volt. . . . . : 0 ) -4 RES UNITS. . . . . . . . : ) 1500 VOLT NOMINAL. . : Reconnect on 1 y. . . . . : 0 SVC/FDR > - 225 AMPS— : CLASS AREA/SPEC OCC. : Owner,: _.______________.________-._______---------------_.____.__.. FEES AMERICAN EXPRESS E;XPRE.SS type amol.int by date recpt 10200 SW GREENBURG RD PRMT E 80. 00 TJH 11/19/97 97-301073 SUITE 365 5PCT $ 4. 00 7,114 11 / 19/37 97-31711073 T I GARD OR 97223 Phone #: Contcartor : CHR 1 STEIN SON ELECTRIC INC $ 84. 00 TOTAL- III SW COLUMBIA STE: 480 ---- - - REDUIRED INSPECTIONS PORTLAND OR 972011 11.eiling Cover Elect' 1 Service Phone #: 241-4812 Wall Cover Elect' l Final Reg #. . : 000004 This permit is issued subjict to the regulations contained in the Tigard Municipal Code, State of Oregon Specialty Codes and 31' other applicable laps. All work Kill he done in accordance with approved plans. This permit will expire if work is not started within 188 days of issuance, or if work is suspended for more than 188 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 95i' 881 6810 through OAR 9.52-881•-1987. You may obtain a copy of these rules or direct questions to OMC by calling (583)246-1967. [,(,I mitt:t-a 9 i g n a k 1.1 r e : fLllt_�l:f/ B L�I� UU s s i_1 e d By : L 7� -_–_-_OWNER INSTALLATION DNLV---- ----_ ___–_-----_•--_----_._-__ The installation is being made on property I own which is not intended for^ sale, lease, or rent. 9WNEP' S SIGNATURE:: -- -------.—.___-- ATE INSTALLATION ( SIGNATURE OF' SUPR. ELEC' N: _Q 1ajVk o DATE : -- LICENSE NO: +++++++i++++++++++++++++++++++++i++++1111++4.+++++•h+++++4++++f++•F+++++++-F++++++-I Call 639--4175 by 7:049 p. m. 'or• an inspection heeded the next bf.lsiness dar +++++++++++++.!-++i 1-4+4++.+++4+++++4+++4-f +4++++i--f+++1 +++++ F+++++++ F++1111++i +++1-+F cnYOFTIGARD Electrical Permit Application Plan CheckNILJJA -T•L 13125 SW HALL BLVD. Recd By '% ' - TIGARD OR 97223 Date Rec'd�( / 1131017 _ Date to P.E. I1 I - Phone (503)639-4171, x304 Dato to DST Inspection (503) 639-4175 Print or Tvpe Per .it#- - Incomplete or illegible will not be accepted Fax (503)684-7297 Creed 1. Job Address: LINCOLN V �. Complete Fee Schedule Below: Name of Development LINCOLN CENTRE SUITE 365 Number of Inspections pee permit allowed - Name(or name of business) AMERICAN EXPRESS I Service included: Items Cost Sum Address 10200 SW GREENBURG RD 4a. Resldantial-per unit 1000 sq.ft.or loss �.� $110.00 ---- __-- 4 f City/State/Zip TIGARD OR _ Each additional 500 sq.tt.or Commercial Residential ❑ Limited thereof __ $25.00 1 mited Energy $25.00 _ ROSS CKOSNY Each Manul'd Home or Modular Dwelling Service or Feeder $68.00 2a. Contractor installation only: (Attach copy of all current licenses) 4b.Services or Feeders Electrical Contractor CHRISTENSON ELECTRIC, INC. Installation,alteration,or relocation Address 111 S.W_COLUMBIA, SUITE 480 200 amps or less $60.00 2 201 amps to 400 amps $80.00 - 2 CityPQRTLAND State OR, Zip 97201-5886 401 amps to 600 amps $120.00 2 Phone No. - 601 amps to 1000 amps $180.00 - 2 Job No. 122-8 11 Over 1000 amps or volts $340.00 Elec.Cont. Lice. No. 26-34C Exp.Dabi Reconnect only yi3O..30 2 OR State CCB Reg. No. ()n4%8 _Exp.Date _ I 4c.Temporary Servires or Feeders COT Business Tax or Metro No. 5246 Exp.Date_ nstallation,alteration,or relocation - 200 amps or less $50.00 201 amps to 400 amps $/5.00 Signature of Supt. Ekilili 401 arnos to 600 amps $100.00 `- 2 Over 600 amps to 1000 volts, License No. 873S Exp.Dates __- see"b"above. Phone No. 501--241.-AA 12 4d.Branch Circuits 11/17/97 New,alteration or extension per panel 2b. For owner installations: a)The fee for branch circuits with purchase of service or Print Owner's Name,- feeder fee. Address Each branch circuit $5.00 b)The fee for branch circuits City State _ Zip without purchase of Phone No. - _ service or feeder fee. 1 3 5 First branch circuit The Installation is being made on property I own which is not Each additional branch circuit $5.00 -�+�- intended for sale, lease or rent. 4e.Miscellaneous (Service or feeder not Included) Own@r'S Signature Each pump or irrigation circle $40.00 _ 2 Each sign or outline lighting $40.00 --- - 2 3. Plan Review section if required):* Signal circuit(s)or a limited energy - - panel,alteration or extension $40.00 2 Minor Labels(10) .�- $100.00 Please check appropriate item and enter fee In sertion 58. 4 or more residential units in one structure 4f.Each additional Inspection over ^_ u Service and feeder 225 amps or more the allowable In any of the above System over 600 volts nominal I Per inspection $35,00 Classified area or structure containing special occupancy Per hour __ $55.00 as described In N.E.C.Chapter 5 In Plant -� $55.00 "Submit 2 sets of plans with application where any of the above apply. 5. Fees: 80. Not required for temporary construction services. Se.Enter!otal of above fees $ ---�-- 5%Surcharge(.05 X vital fees) $ - NOTICE Subtotal $ AG_ 5b.Enter 25%of line 5s for PFRMITS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED IS Plan Review if required(:,ec.3) $ --�- NOT COMMENCED WITHIN 180 DAYS,OR IF CONSTRUCTION OR WORK Subtotal $ IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED. Trust Account M_ _ Total balance Due b ��.a0 1 M5Ts\ELcs6 AVP nrw sass 1 CITY OF TIGARD DEVELOPMENT SERVICES 13125 SW Hell Blvd.,Tigard,OR 97223 (503)639.4171 i �, CITY OF T{GA�20 Plan Check# Mechanical Permit Application Recd By 13125 SW HALL RIND. CommerciF' ,nd Residential Date Recd , 3ARD, OR 97223 Date to P E. (503) 639-4171,, x304 Date to DST Pont or Type Permit# Incomplete or illegible applications will nut be accopted Called N C of Develpryment/Pr ecI — —Description -- able 1A Mechanical Code OTy PRICE AMT Job Street A ddress Sutlep A)Permit Fes -0- 0 1000 Address -- ildgA! Cjt�rSta e.. Zlp 1 ) Fur^loo to 100,000 BTU 6.00 y 7.tT inr• og du..ts&vents Naim?four name of business) 2) Furn,ce 100,000 BTUs• 7.50 Owner ad including ducts&vents Madg Addr °ln 0 3) Floor Furnace 600 Adll mcludincg vent CStem Phone 4) Suspended heater,wall heater 6.00 — -- 4ki -51( or floor mounted heater name Cor name of ustnes 5) Vent not included in appliance permit 3.00 Occupant Mailing Address6) Boiler or comp,heat pump,air cond. 6.00 to 3 HP;absorb unit to 100K BUT" f; ISlate +` Zip Phnne —' -- i= ) Boiler or comp,heat pump,air cond. 11 00 97.0 _ 3-15 HP;absorb unit to 500K BTU G(]nV3CtOr _ Name � i` 8.) Boiler or comp,heat pump,air cond 15,D0 15-30 HP;absorb und.5-1 inil BTU" Prior to permit Mailing Address ( i 9) Boiler or comp heat pump,air cond 22.50 issuance,a copy ;-�-)u� _ 30-50 HP:absorb unit 1-1.75mil BTU** of all license-- Cityist e p hone 10.) Bailer or comp,heat pump,air cond. 37.50 are required it A/, ,- > - >50 HP;absorb unit 1 i 5 mil BTU" expired in COT Oregon Const.Cont.Boo'e c Exp n-!:, it.) Air handling unit to 10,'J00 CFM — 4.50 _databaseArchitect Name 13) Non-portable evaporab!cooler — 450 I1 or Man+ng Address_ _ 14) Vent fan connected to a stngie duct 300 Engineer Cdyrstate Zip Phone 15) Ventilation system not included in 4 50 appliance permit Describe work New O Addition O Alteration Repair Cj 16.) Hood served by mechanical exhaust 450 to be done Residential O Non-mr.sidential O Additional Description of work 17) Domestic incinerators 750 �? 7 18.1 Commercial or ndustnal type iM 30.00 Incinerator Existing use of 19) Repair units �— 'T 4 1/1 bwldiny or property - 20) Wood stove 450 Proposed use of 21 ) Clothes dryer,etc 4.50 huilding or property 22.) Other units 4.50 Type of fuel-oil O natural gas O LPG O electric O 23.) Gas piping one to four outlets �\} 200 I hereby acknowledge that I have read this application,that the 24) More than 4-per outlets(earh) _ 50 information given is correct,that I am the owner or authorized agent of the owner,that plans submitted are in compliance with Oregon state QTY SUBTOTAL laws _ &-/-4 - Z n Signature of Ower/Agent _ Date { ~'SUBTOTAL. _ �5%SURCHARGE Contact Person Name f W no 'LAN REVIEW 25%OF SUBTOTAL LrFTOTAL -- umechprr;�'oc (revnim im 7 'Mipermit fee is S25+5% rch sua'ge "Res denhal AIC requires ade plan showing placement of unit. ( I l � CITY OF TIG1ARD DEVELOPMENT SERVICES ELECTRICAL PERMIT 13125 SW Hall Blvd., Tigard,OR 97223 (50)639-4171 RESTRICTED ENERGY PERMIT #: EL-R97--0354 DATE ISSUED: 1 /15/97 PARCEL..- IS135AB-00900 91TE ADDRESS. . . : 10200 SW GREENBURG RD #,XF C' Z ON I NG:L",—G' UBDIVISION VISION. . . . : BLOCK. . . . . . . . . . .. LO-C. . . . . . . . . . . . . JLJRISDICTN: TIG Proj ect De scr i pt i on: Data Telecommunication installations, -------------------------------------------------------- A. RESIDENTIAL--------- B. COMMERCIAL------------------------------------------- AUDIO & STEREO. . . : AUDIO & STEREO. . : INTERCOM & PAGING. . : BURGLAR ALARM. . . . : BOILER. . . . . . . . . . : LAND9CAr1F/IRRJ.GAT. . : GAPASE OPENER. . . . . CLOCK. . . . . . . . . . . : MEDICAL. . . . . - . . . . , . : HVAC. . . . . . . . . . . . . : DATA/TELE COMM. - : X NURSE CALLS. . . . . . . . : VACUUM SYSTEM. . . . : FIRE ALARM. . . . . . : OUTDOOR LANDSC LITE* OTHER: HVAC. . . . . . . . . . . . : PROTECTIVE SIGNAL. . : INSTRUMENTATION. : OTHER. . : TOTAL # OF SYSTEMS: I Owner: ------------------------------------------------------- FEES AMERICAN EXPRESS FINANCIAL ADV type amount by date recpt 1,0200 SW GREENBURG RD PRMT $ 40. 00 TJH 12/15/97 97-301751 STE 340 5PCT 4 2. 00 TJH 12/15/97 97-301751 TIGARD OR 97223 Phone #: Contractor: CHRISTENSON ELECTRIC INC 42. 00 TOTAL- 1 1 1 OTALIII SW COLUMBIA REDUIRED INSPECTIONS STE 480 PORTLAND OR 97201 Ceiling Cover Law Voltage Insp Phone #: 241-481L Wall Cover Elec-,t' l Final Reg #. . : 000004 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 worN will he done in accordance with approved plans. This permit will expire if w0 is not started within 180 riays of issuance, or if wor4 is suspenripd for more than 180 days. ATTENT!ON- Oregon law requires you to follow rule adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-86I-8818 through OAR 952-NI-ON. You say obtain ccoies of these rules or direct questions to OUR� at (503)246-1987. Issued by,_._ Permittee Signature -Aitlq -"�'a&a- -----.-------OWNER INSTALLATION ONLY— ThP installation is being made on property I own which is not intended for s P, or rent. DATE: OWNFR' -c; SIGNATURE: INSTALLATION ONLY-----•------------ . ELECIN: 0// DATE: SIGNATURE OF SUPR. LICENSE Nn: +tt..................#-+.!..........4....................*........................4 Call 6313--4175 by 7:00 P. M. for an inspection needed ttip next business day ++++++++++++-F+++++++++++++++ ...........f............6-+4......4.................4-+4--4 Community Development RESTRICTED ENERGY ELECTRICAL APPLICATION 13125 SW Hall Blvd. 1 Tigard,OR 97223 PERMIT# Phone(503)639-4171tA i'S 9r FAX(503)684-7297 DATE ISSUED TDD No. (503)684-2772 CITY OF TIGARD Inspection (503)639-4175 ISSUED BY JOB:509-5001 PLEASE COMPLETE ALL SECTIONS 1. LOCATION OF INSTALLATION SUITE #340 4. TYPE OF WORK 10200 SW GREENBURG RD AMERICAN EXPRESS _ Address RESIDENTIAL—Restricted Energy Fee. . . . . . . . . 540.(19 TIGARD OR (FOR ALL SYSTEMS) City —: State Zip Check Type of 4york Iny9Jved: IFRMITS ARL NON-1RAN5FERANLE AND NUN-REFUNDABLE AND EXPIRE IF WORK ED Audi t and Stereo Systems IS NOT STARTED WITHIN 180 DAYS OF ISSUANCE OR IF WORK IS SUSPENDED FOR y' 180 DAYS ❑ Burglar Alarm 2. CONTRACTOR APPLICATION ❑ Garage Door Opener* ❑ Heating,Ventilation.and Air Conditioning System' Contractot11MISTENSON Type_ELECTRICAL ❑ Vacuum Systems' Address 111 S.W. COLUMBIA SUITE 480 PORTLAND OR. ❑ Other Date_ 12-9-97_ COMMERCIAL—Fee for each system . . . . . . . . 4.40.00 (SEE OAR 918-260-260) Property Owner_LINCOLN CENTRE Check Type of Work Involved: Contractor's Board Reg. No.__ 00458 ❑ Audio and Stereo Systems 503 241-4812 ❑ Boiler Controls Phone # _� __ __ ❑ Clock Systems 3. OWNER APPLICATION l� Data Telecommunication Installations ❑ Fire Alarm Installation __ _ C1 HVAC Fr—intOwner's Name Phone No ❑ Instrumentation Address — --- ❑ Intercom and Paging Systems ❑ Landscape Irrigation Control* City State Zip ❑ Medical This permit Is issued under OAR 918.320.170 This applicant agrees to make only ❑ Nurse Calls restricted energy installations I IM volt amps or less'under this pwrmit and to do the ❑ Outdoor Landscape Lighting' lollnwinq: 1. Only use electrical licensed persons to do installatinns where required.(Certain ❑ Protective Signaling residential and other transactions are exempt from licensing 1 hese have -1 Other asterisks(•).All others need hrensing) 2. (all for an instxdfon when all of the installations under thi;permit are ready for inspection at 503-639-4175 ❑ ___-_� Number of Systems V Purchase separate permits Inc all installations that are not ready for inspection when the inspector is out to inspect under this hermit. •No licenses arc mriuinvl I i i•n.r.,u•m piin•r1 let all nlhnr indallati�nc 4. Aswme responsibility for assuring that all corrections required by the inspector are done,and 5. Assume responsibility for calling for a final inspection when all of the 5. FEES corrections are completed. The person signing fr>r this permit must he the applicant or a person a. Enter Fees $ 40. aUthutizRA-to hind the applicant. b. 5%Surcharge(.05 x total above) $ TOTAL $ 42. Authority I other than applicant ENERGARCHP CITY GF TIGARD DEVELOPMENT SERVICES EL..ECTRICAL. PERMIT 13125 SW Hall Blvd., Tigard, OR 97223 (503)639-4171 RESTRICTED E'gERGY 1:1ERMIT #: EL..RS)7--0,.'06 DATE ISSUED: O7/24/97 PARCEL: 1S135JA6-009O0 i TE' ADDRESS. . . : 10=.00 SW GREENDURG RD #3F.`a 1BDIVTSION. . . . : ZONING:r._F, BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . .. JURISDICTN: TIG F'roject; Description : Fidelity National Title Data Teleccut,rication Installation �. RESIDENTIAL-_.___._._-._ B. AUDIO & STEREO. . . : AUDIO t; STEREO. . : INTERCOM & PAGING. . BURGLAR ALARM. . . . : BOILER. . . . . . . . . . : LANDSCAPE/IRRIGAT. . : f3APPgF OPENER. . . . . CLOCI'.. . . . . . . . . . . . MED ICAL. . . . .. . . . . . . . HVAC. . . . . . . . . . . . a DATA/TELE COMM. . : X NURSE CALLS. . . . . . . . . VACUUM SYSTEM. . . . FIRE OLARM. . . . . . : OUTDOOR I..ANDSC LITE: OTHER: : : HVAC. . . . . . . . . . . . : PROTECTIVE SIGNAL. . : INSTRUMENTAL ION. : OTHER. . : TOTAL 4 O1= SYSTEMS: 1 ownev': __.._____-._____._______.__.__.___-____.__.__...____________..______.__.— FEES NORRIS, BEGGS R STMF'SON type amol.!nt by cyte recpt 10300 SW GREENI-IURG RD PRMT $ 40. 00 J D 07/24/97 97 -21.3751 , SUITIF x'00 5PCT' $ x='. 00 JSD 07/24/97 97--'97512 TIf:rARID OR 97223 Phone #: 452-59OO CASCADE TELECOM SYSTEMS $ 41-.. 00 TOTAL JERRY F DIL.L.ON IT 6120 SW OL..ESON RD - - REDU I RED INSPECTIONS - - - BEAVERTON OR 97223 Ceiling Cover El ect' 1 FinaI Ph ene #: 35O-1472 Wall Cover R, g #. . : 081072 This permit is issued subject fo the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work i suspended for more t',an 180 days, ATTFNTION: Oregon law requires you to follow rule adopted by the Oregon Utility Notr cation Center. Tbde rules are set forth to OAR 952401-0010 through OAA 952.001-0080. You may obtain copies of th^se rules or direct questions to L09 at (503)246-1587, L s s i.r e d b y wrr~<✓ _tet ------ - ._ P e r-m i t t e e S i g n a t 1-r.^e r _--.-----.-OWNER INSTALLATION ONt..Y The installation is being made on proper-ty I own which is not intended f;.,:- �sale, lease, at- rent. 9WNER' S SICINATUP.E:: __- DATE: _ �- _..... ._ .._. ._._._--•--.--.....___ _. ......_.--CONTRAr:T0R INSTALLATION ONLY----.--- 516 NLY--..--5163 ,ATURE OF SUPR. E'LEC' N: DATE: L l'_:E'NSE NO: -' +++4+-+-+4...............4+4•+++++++4-4-+4•++4+4+++++++++++ F+++4+++-!--1.......4+++++•++ Ca 11 639-•4175 by 6:470 P. 'I. for an inspection needed the next bl.rsirip ss day i ++++++++++++++++•1--++++4,+4-+4-++++44..... . +++++-r.++++++++++++++ +-+4++-1-+++++++4-+++++++-F , CITY OF l.r. . , ;D RESTRICTED ENERGY ELECTRICAL APPLICATION Recd by. 13120 SW HALL BLVD Date Rec'd: � TIGARD OR 97223 PRINT OR TYPE V-503-639-4171 X304 Permit#: ''� F - 503 P94-7297 INCOMPLETE OR ILLEGIBLE APPLICATIONS Cust Call'i WILL NOT BE ACCEPTED Name of Deveior.merit Project TYPE OF WORK INVOLVED -RESIDEN TIAL /CZ / / / Restricted Energy Fee........................................ $40.00 L T "TLS' (FOR ALL SYSTEMS) JOB Street Address /G,.Z 67057 Zile# r. t Check Type of Work involved: ADDRESS A/ (r �t eI City/State Phone# ❑ Audio and Stereo Systems 23 Name �r -0�-�!T� �� Burglar Alarm OWNER Mailing ALJ Garage Door Operer, dd�ca rCI�O cl —+�-- � �'L `�� ❑ Heating,Ventilation and Air Conditioning System' Cit (Slate Zlp Phone o- — - 3 ❑ Vacuum Systems* Name ❑ Other — - — --- CONTRACTOR M�i � s ---` -- TYPE OF WORK INVOLVED-COM(1ERGIAL (Prior to issuance a City/State Zip Phone# Feeor each fsysicm.............................................. E40.OU copy of all licenses f. ,�/"�� `72 (SEE OAR 91B-260-260) are required if Oregon Contr. Brd Lic # Exp Date expired in C O T �1' ? ; y /- Check Type of Work Involved: data base) Electric I Contr Lic # Exp Date lj- ❑ Audio and Stereo Systems i C O T or Metro Lic,#+ ( Exp Date r, L ' lJ F'oiler Controls Owner's Name L� Clock Systems OWNER Mailing Address APPLIChNT /,L7-��' Data Telecommunication Installation City/State Zip Phone# ❑ Fire Alarm installation This permit is issued under CAE 918-320-370 This applicant agrees to make only restri,;ted energy installations(100 volt amps or less)under this ❑ HVAC 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 Sgstems these have asterisks(') All others need licensing, ❑ Landscape Irrigation Control' 2 Cell for inspections when installation under this permit are reedy for inspection at 503-6394175; ❑ Medical 3 Purchase separate permits for all installations that are not ready for an ❑ Nursc Falls 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 corrections are completed ❑ Other Pe,mits are non-traiefetabie and non-refundable and expire if work is not started within 180 days of issuance or if work is suspended for 180 days _—__Number of Systems 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. /.! FEES: --'`--�+`- — ---- -- ENTER FEES 19n a 5%SURCHARGE((15 X TOTAL ABOVE) Authority if other than Applicant TOTAL i vesele doc 12196 — CITY GF TIGARD DEVELOPMENT SERVICES F�[A)MBING PERMIT PERMIT #. . . . . . . . PL.r.97--02C 13125 SW Hall Blvd., Tigard, OR 57223 (503)639-4171 DATE 1'SSIJED: 07/,-:,L':'/)7 PARCEL a 1S1?,SAB- ��@� TC-- ADDRESS. . „ : 1.0.7'00 SW GREENBI.IRG RD if71r.; ODT.VTSION. . . . : 7.ONTNG: C. F, . . . . . . . . . . I.OT. . . . . . . . . . . . . . JURISDICTION: TIL-; CI.ASa 0r W0 PK. „ :fil._T (I)ARBAOF DI.SPO IAI.9. : 17 MOBILE !-TOME 7h,PACF_S. : 0 TYPO, OF USE. . . . COM WASHING MACH. . . . . . : 0 SACKFLOW PRFVNTRS. . : 0 '_1CCUF'AI'4CY CiRC=' , P I`1..0013 DRAINS. . . . , . vj TRAPS. . , . . . . . , . . . . „ r/'I ST0RIES. . . . . . . . : 0 WATFR HEATERS. . . . . : 0 CATCH BASINS. . . . . . . : 0 f"IXTURES-------.__. _.._____..--_._ i. AIJNDRY TRAYS. . , . . -. 0 SF RAIN DRAINS. . . . . ; 0 r,I NKS. . . . . . . . . . 1 URINALS. . . . . . . . . . . . 0 GREASE_ TRAPS. . . . . . . . 0 1...AVr�T0r?JE S. . . . . 0 0THE R FIXTURE S„ . . . . 0 'r'UB/SHOWERS. . . : 0 SEWER I...INF (ft ) . . . : 0 W n T E R CI n3CTS. : 0 WATER I...INE ( ft: ) .. . . : 0 DtSHWASHr-RS. . . . : 0 RATN DRAIN (ft ) . . . : 0 Remark-i - Fidelity Miati.ral FEES .._...._...____ ....._....__ -_- -... !'4rIRRTS BEGGS R ST11P ON t ype amoUri(; by date T-er-pt 10300 SW GREENSURG RD PRMT 4 25. 00 TAT 07/22/97 97-297460 3TE '0� ) ''CT L 1 . 25 TAT 07/x'';:'!'77 '37.--1='97460 TiGARD OR O7223 r='Drone i#: (.'atit:ac tot-, DE:TEMPL_E (.'0 TN(-_ 1951 NW OVERTON 5T ,ORTL.AND OR 97,"::09 _ 27-2641 4 7_E.. 45 TOTAL. r• y #. . „ 00001?5 -- REQUIRED I NSPFCT T ONS -_-----_.._. hii pereit is issued sub;ecl to the regulations contained in the Ro+.ryh—i.n Insp Tigard Municipal Cide, State of Ore, Specialty Codes and all other PLM/Underfloor _ applicable laws. All wnrk will be dove in accordance with Top-o�it Insp approted plans. This persit will expire if work is not started Final Inspection within 180 days of issuance, or if work is suspended for Bare than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center, Those ruias are set forth in OAA 952-0001-0@10 through OAR 952-0001-0080. You say obtain copies of these rules or direct questions to OUNC by calling _ (503)246-1987. ' -s!_red By � Permittee Sig nati_rre : 044kell 1-4-++++.+++++++++•F+-1 ++.+4++++++++++++++++-1++•4.4+++-++-'-++++•�-+++4+4•+++-h-1-4.4- +++++-}.++-f Call 6374175 by 6:00 p. m. far all inspection needed the next bt.r .iness I t-+.+4,++4++++++++++-4--1-4++++++++-1++++++++++++-I +++4 ++++++++++++++++.+++++4-4 `:ITY OF TIGARD Plumbing Application Recd By 13125 3W HALL BLVC. Commercial and Residential CateRec'd -- TIGARD, OR 91-223 Cate to P E (5031639-4171 Cate to CST Permit a !'pint or Type Yp- Relared SWR s Incomplete or illegible applications will not be accepted called i `Jame of Co/velooment/Prorect FIXTURES (Indlvidualr QTY PRIC, MT� lob }��C;+ (ct1 r11, ✓ #lj Sink , _� 900 Addrers ]�tr�et Address suite LavafOry I 9 90 I � Cit S r'j GV(,e,w� I '�(y S Tub or ru01Shuwer Cornu 900 Bldg t CityrSta�a 'ip,. Shower only— v me waver.aoset 9.00 C ` -J J -�� DI$hwdShRf —� 4 Oc I Ovmsr Mading Address Sude Garbage Disposal ! 9 00 v� v�(�LJV) JVasnmg Mar i ne — — ISyqt• ZIP Phone FloorUrain Z" 9.00 I 9.UO Y 1 9 Ou 9.00 _ Occupent t0 Address 4 Suite watRt Heater _ 90 &Ut'q U(A1 Laundry Room Tray 90 Z p� Phone — --- !� Other pe 9.00 t� _ Nalii• Other Fixfurr3(Specify) ~— 9.00 9.00 GOntfd,".tzar adw+9 A4dress Swta I VVj 64(� �.� 9 G,tyrsta a Zi Phone — — �__ 9 C0 i )) ()6( '- cid 9u0 Ortsgon Const.Cont.Board Lie t Exp.Date 900 A�atA Copy of S 1[ _ 900 Cl1wiraletnit Pltrnotrry Lie.• n r Exp.Data Sewer- 1st 100- 30.00 I l{ttsa•ts b,, r�,, f 6 ——__—— :ewer-each additioral 100' C.JT Business�JT-/�x�or Metro p I Exp.Date_ i!� tS W water Service- 1st_100 — I 30130 ame Vater Seance-each additional 200' Architect St1rm S Ram pram- ist 100' __ 30A0 ! __ __ 10 0r or I Mailing Address St ,e Sit: B Rain Crain Tach adddiona 100' ! J0 I i l Mobile Home Space 15 00 i--+ Engineer I C.ryiSlate cip Phone Commerc°l Back Flow Prevention Cevice ifj� Podubon Ce%--e 1 Dttacrrh•wort New Addition C Alteration 0 Repair J Residential 8, xflow Prevention Cev ce' I I 5,J3 b>Je dare :Residential O Von-residential O Any 7'ra,r°r Waste Not Connected to a Fixture Ad^ttlonst"scrip t,on of work n I- _ _ 1 5-0-0 Basin 19.00 rcD of Extsung Plumbing 40 9(, 1 Derrhir ?xssa p use of �/_ ---� Speaady Requested Inscec;lons 40,0 -11dirrq a property t t ( LIC Gir,hr I f Ram gain. single fam!ly dwelling I 30 30 °r000sed use of /')�f-�� Gre tse Traps �0,0 Suilding a proderty ( 1 7 — — _ QUANTITY TOTAL Are ydc tipping, moving or reclauno any ti.<tures� les C1 No Iscrretni x nser.7iagnm s reewrea if Cu rIf yes sN back of form) --- an rty'ota' s >9 'SUBTOTAL I hereby arxnowlec3e that I ha.e read thiS acphcalion.that the information ---�L--_ 3iven s lowed.treat t am the;,caner or authonZed agent of the owner.and —� — � 5',e SURCHARGE �> _Drat clans submitted are n comoliance with Cregon State Sig tuna of Owner/Age _ pit PLAN REVIEW 25% OF SUVOTAL / / �` r /�� /?�/ �J q 16 � �7ecureQ 3-nN A'ff,re aty Ictal Contact Person Nam• L "_— LT Phone �G. 'Minimum permit fee is S25 • 5'e surcharge.except Resia ntial Backflow 1 n I + t —— �l �1 Pre%entlon Cevicr_.whlc^ s S, • 5°b surcharge 'dsts0mapp dor,9196 ?[SASE CQ�.�11 PETE A-$- APPE-QPRI TE TO PROD CT: Fixtures to be capped, moved or replaced Qt Sink ^' � - Lavatory _ - Tub or Tub/Shower Combination Shower Only Wates Closet Dishwasher varbage Disposal - - —� Washing Machine _ w Floor Drain Water Heater_ Laundry Room Tray ~- — Uri naI Other Fixtures (Specify) COMMENTS REGARDING ABOVE: N CITY OF TIGARD ELECT- If. '.L PERMI-I DEVELOPMENT SERVICES PER'''T #: 07/ 11.-/J;7 7- 04� DATE ISSUED: V17/ 1 1./97 13125 SW Hall Blvd., TMard.OR 97223 (503)639.4171 PARCEL: 1S135AB-00900 SITE ADDRESS. . . : 10200 SW 3REENBURb RD #:";65 SULD I V I S I ON. . . . : ZON I NIG:C-P BLOCK. . . . . . . . . . : LOT. . . . . . . . . . . . . . .JURISDICTION: TIG Project Descr^ipt ion: Add 12 branch circuits. --RESIDENTIAL_ UNIT------ _N----TEMP SR.VC/FEEDERS---- -----MISCELLANEOUS-------- 1000 SF OR LESS. . . . : 0 0 - 200. amp. . . . . . . : 0 PU' "IRRIGATION. . . . : 0 IEACH ADF�' L 500SF. . . : 0 201 - 400 amp. . . . . . . : 11 SIGN/OUY LINE LTG_ 0 ! LIMITED ENERGY. . . . . : b 401 - 600 amp. . . . . . . : 0 SIGNAL/PANEL.. . . . . . . 0 MANF. HM/ SVC/FDR. . : 0 601+amps--1000 volts. : 0 '"IINOR LABEL ( 10) . . . . rah --_-SERVICE/FEEDER- -- ----BRANCH CIRCUITS--- ---ADD' L INSPECTIONS— 0 - 200 .imp. . . . . . : 0 W/SERVICE OR FEEDER: 0 PER INSPECTION. . . . . : 0 201 - 400 amp. . . . . . : 0 1st W/O SRVC OR FDR. : 1 PER HOUR. . . . . . . . . . . : 0 +01. _ 600 amp. . . . . . : 0 EA ADD' L. BRNCH CIRC: 11 IN PL.ANT. . . . . . . . . . . .. 0 601. - 1000 amp. . . . . : 0 -------------------FLAN REVIEW SECTION- -- 1000+ amp/volt. . . . . : 0 > =4 RES UNITS. . . . . . . . : > 600 VOLT NOMINAL. . : Recon sect only.. . . . . : 0 SVC/FDR ) = 225 AMP13. . : CLASS AREA/SPEC OCC. : Ownei., ____---__.---._._-------_..---__.________________.________._-.__ FEES IDELITY NATIONAL, type amount by date recpt 10200 SW GREENBURG RD PRMT ! 90. 00 GEO 07/11/97 97-297026 SUITE 365 5PCT !► 4. !50 GE'0 07/11/9-/ 97-297026 'TIGARD OR 9722.3 Phone #: Contractor. - ______________.--__--_—_—_____--_______--._. CHRISTENSON ELECTRIC INC $ 94. :,,h 'TOTAL. 111 SW COLUMBIA STE 480 -- ----- REQUIRED INSPECTIONS ----- PORTLAND OR 97201 Ceiling Cover Underground Cove Phone #: 241--481 ' Wall, Cover Elect' l Service Reg 0. . : 000004 This perait it, issded subject to the regulations contain'd in the Tigard Municipal Code, State of Oregon Specialty Codes and all other applicable laws. All work will be done in accordancp with approved plans. This permit will expire if work is not started within 180 days of issuancr, or if work is susp!-nded for acre than 188 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in DAR 952-NI-OPIO through DAR 952-081-1987. You eay obtain a copy of these rules or direct questions to Ol1NC by calling l` 46-1587. Flermittee Signature: / r _ lss+.ted B Y ' ----____._--------------- ---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: INSTALLAT1ON SIGNATURE OF SUPP. ELEC.' N: _�'ft� _ -�-- _ DATE: ^' ` LICENSE NO: S +++++t++++++•}1 ++++++++++++++-4.+++++++++++ r-++++++++++++++++++++A ' +++++++++++++++++ Call 639-4175 by 6:00 p. m. for an in,. pection needed the n t business day +++,++++++++++++++++++++++++++++++++++++++++++4•+++++++-F+f+++.++f.++++++++4•++++++ CITY OF TIGARD Electrical Permit Application Plan Check# Recd fay 13125 SW HALL BLVD. Date Recd _ TIGARD OR 97223 Date to P.E - Phone (503)639-1171, X304 ry Date to DST 'Print or Type Permit#f Inspection (503) 639-4175 Incomplete or illegible will not be accepted Called__ _ Fax(503) 684-7297 _ 1. Job Address: 4. Complete Fee Schedule Below: Name of Development LINCOLN V Number of Inspections per permit allowed --- Name(or name of bueiness) FIDELITY NATIONAL Service included: Items Gogt Sum 10200 SW GREENBURG RD SUIT.. 365 4a. Residential-per unit a Address 1000 sq.ft.or less $110.00 4 City/State/Zip TIGARD OR Each additional 500 sq.ft.or ^- $25.00 1 portion thereof Commercial Residential Limited Energy $25.00 Each Manuf'd Hume or Modular ROSS CROSBY GENERAL:MALIBU PACIFIC Dwelling Service or Feeder $68.00 2 2a. Contractor installation only: 4b.Services or Feeders (Attach copy of q!I current lie sea) Installation,alteration,or relocation E;ectrIC3IContinclor_HRISTEN50N ELECTRIC, INC. __ 200 amps It leas $60.00 1 Address 11 S•W• COLUH-B1. ,-SUTfTE 201 amps to 400 amps $60.00 - 2 City PORTLAND State OR. Zip 97201-5886 401 amps to 600 amps $120.00 2 Phone No. 503 241-�at 601 amps to toxo amps $160.00 2 Over 1000 amps or volts $340.00 Job No. 222-5802 Reconnect only ,- $50.00 2 Elec.Cont.Lice.No._16-34C _�Exp.Date OR State CCB Reg. No. 00458 Exp.Date_ _ 4c.Temporary Services or Feeders 6 Ex .Date Installation,alteration,or relocation COT Business Tax or Metro Na �i2_4_ _- P 200 amps or less $5000 -__- 2 � 201 amps to 400 amps $75.00 �_--_- 1 Signature of 5t�r „1•�•z/ ' ' 401 amps to 600 amps $100.00 -__- z Over 600 amps to 1000 volts, License No. 8735 _Exp.Date see"b"above. Phone No.___5_Q3- �__.____-__ 4d.Branch Circuits New,alteration or extension per panel 2b. For owner installations: a)The fee for branch circuits with purchase or service or feeder fee. Print Owner's Name------ ---- Each branch circuit $5.00 Address - b)The fee for branch circuits CityState __ Zip without purchase of Phone No. - _ -.__ service or feeder leo. 1 35. First branch circuit $35.00 2 *rhe installation is being made on property I own which is riot Each additional branch circuit 1]_ $5.00 �---- interiHAd for sale,lease or rent. 4e.Miscellaneous (Service or feeder not included) $40,00 2 O Nner's Signature Each pump or irrigation circle $40.00 - Sach sign or outline lighting 2 $. ?lar. Review section (if required):* Signal circuit(s)or a limited energy $40.00 panel,alteration or extension -_ $100.00 - Minor Labels(10) Please check appropriate item and enter fee in section 5B. 41.Each additional Inspection over 4 or more residential units in one structure the allowable in any of the above _Service and feeder 225 amps or more Per inspection -T $35.00 System over 600 volts nominal $55.00 Per hour Classified area or,tructure containing special occupancy 1n Plant $55.00 :is described In N.E.C.Chapter 5 " Submit 2 sets of r`.ans with application where any of the above apply.I 5. Fees:Enter total of above fees $ 90 5a. Not required for temporary construction services. 5%Surcharge(.05 X total tees) $ Subtotal $ - NOTICE 5b.Enter 25%of line 5a for d Sec 3) $ PEFIMITS BECOME VOID IF WORK OR CONSTRUCTION Plan Review It r iAUTHORIZED IS �t-Q-(� $ oi..,�cn, NOT COMMENCED WITHIN 180 DAYS,OR IF CONSTRUCTION OR WORK Subtotal IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY L J Trust Account# �_ TIME AFTER WORK IS COMMENCED. $ Total balance Due 94. 510 hOSTSIEI C86 APP Rey 9'96 CITY OF TIGARD DEVELOPMENT SERVICES 13125 SW Hall Blvd., Tigard,OR 97223 (503)639.4171 I CERTIFICATE OF OCCUPANCY PERMIT #. . . . . . . s BUR97--0227 DATE IGSUEDs 08/05/97 F 4RCEL s 15135AB--0090 0 I TE ADDRESS. . . s 102 00 SW GRFC_NBURG RD #365 11BDI V ISION. . . . : 2ONI NG s C•-P i__OCK. . . . . . . . . . s LOT. . . . . . . . . . . . . c JURISDICT10Ns TIr5 CLASS OF WORK. s AL."i I 'TYRE OF USE:. . . s COM TYPE OF CON5TRsaN OLCLIPANCY OPP. s B OCCUPANCY LOAD- 0 TENANT NAME. . . :F I DEL I TY NAT I nNAL T I TL-ir Remarks : demo Partitions R construct new partitions to create 5 new r�fficeis «unci reci0_►ce Size of Open off►cer area,. Formerly part of #300 Owner ; NORRly, BEGGS R SIMPSON 10:3001, SW GREE.NBURG RD C,LI I TE 200 T I FARD OR 9 7a2 3 Phone #; Contractor: MAI. I SU RAC I F I L 7,'!;5 NE. JAC.KTION SC:HOOk. ROAD H.[1..t_SBORU Oft 971,24 Flhor►e #: 693-9797 Reg #. , s 000590 Thix C:er'tifiUate grarntS or_c:c.►pancy of thc0 above referenced building or- portion hereof and confit ms that the building has been ingE„tuted for complidnr_e with lie State of Or gon Specialty Codes for the gro►.rp, Occupancy. and UIP under r ,:h the refer enc_e0d permit was is%upd. P r� CIN[3 iffy ''E.('T��R B0U11_.DINL3 AFFICIAL. POST IN CONSPIC:LIOUS PLACE CITY CSF TIGARD SEWER CONNECTION DEVELOPMENT SERVICES PERMIT 13125 SW Hall Blvd.,Tigard,OR 97223 (503)639-4171 PERMIT #. . . . . . . : SWR97-0017' DATF ISSUED: 07/22/97 PARCEL- 1S135AB-00900 "JTF ADDRESS. . . : 10200 SW GREENBURG RD #33,5 znNTNG: C--p'' . . . . : JURIODICTION: TIG SLGCV. . . . . . . . . . LOT. . . . . . . . . . . . . TENANT NAME F I DFI.I TY MUTUAI.- �n NO. . . . . . . . . FIXTURE UNITS. . . : i IDWELL I NG [.JN I TS. . : I-ASS OF WORK.- :ALT NO. OF BUILDINGS: TYPE OF USE. . . . . :COW I HG)TALI_. TYPE. . . . :LUSWR IIAPFRV SURI"ACE: ki s I RE: PLM97-0264 nwner-: FEES FTDELTTY MUTUAL type amoi..knt by date 1,e C-pt PRMT $ 2200. 00 TIT O7/.2-_c/97 97-297458 10200 SW GREFINPHRG RD "ITE 365 TIGARD OR 972�2:'3j Ffione #: ,1NER lione 2200. 00 TOTAL REQUIRED I NSPECT I ONS This Applicant agrees to comply with all the rules and regulations of the Unified Sewage Agency. The permit expires 180 days from the date issued. The total amount paid will be forfeited if the permit expires. The Agency does not guarantee the accuracy of the side sewer laterals. If the sewer is not located at the measurement ]iven, the installer shall prospect 3 feet in all directions from +he distance given. If not so located, the installer shall purchase a „Tap and Side Sewer” Permit and the Agency will install a latVal- ATTENTION; Oregon 'law requires you to follow rules adopted by the Oregon Utility Notification 'enter. Those rules are set forth in OAR 952-981-N18 thl-o-Igh OAR 952-8Nj-@WYo-.r may obtain copies of —ose rules or "ireit 7 tiont •10 OUNC catling (503)P46-11987. I.Wd by Pet-mittee 4+•1•+-F++++++++. •++++++-i ++++++++++•4•+++++•1•++++++ Call 639-4175 by 6:00 P. m. fol- an inspection needed the next bi.(sitless day ►+4+4-4++++-4-+++4.......:-+4-++4.........................f....................... ... CITY OF TIOARD DEVELOPMENT SERVICES r U T LE T ray, P r:-R,r, , ' 1 , 13125 SW Hall Blvd.,Tlgnrd,OR 97223 (503)6394171 r.P M T� if. 0'L'64� 7 7 i0OW c;W URELNISURG RD 4"165 J,.!r TrY)"1'CTTk ON;T T"I _j F_L.0 rl ry EYTERICIR WALL C0J,-E-TPU 0F WORV_ AL T or USE. .. . !,U1.J3N0. 0 r r'ROT!' (IPCIN T Nf.' or COW-33T. 0 f Pq 15 F 'r,ANr,Y OU'. V 0"" 1'. - 4000 f ROOF CONT-jT,, FIRE r) F M F".N,1 0 f AREA SEP. RATED: 0 0(:CU 3EP. RAT2D; MF7 7 - REOUT r." R 0'P 1<L smoy, Dr 1: I-Ev 0 f!; PflWrl 0 7T 0 F W T, P Ft REAR s 21 f t F I R AL AM: HND I C'r-p r,' Wr 1-1'] 0 TK , It PRO C;00n- F*,1n0k T Nrl affict reconfiguration .1-sLAOUCVXR NV-,•'`ERTrEfr INC t 0 I.t I I 1, 13-/ t_!F4-t 0 IFFNnUPO RD 7,r?P1 t 31.;.1. 00 DRA 1 1/07/97 ',1 3,0,0 7 1'5 M,in 1 1- /07!"3j AND -L .'DR rPl .f7K % 2103. 445 DR() ; 1./071"7;; 3,1 W, 45;21 1010 �70 DRA 1 1.1107/'Y' 7 IM4001_. ROAD 11R '17124 ;erait is imiefl sjt4e-t to the rejvativns -ortained in the murit.ival Cade, State of 1hre. Specialty Codes and all other 1'y F,Li i,,t (I Tri ;Ke laws. P:' work will mill be ein accordance with, A, plans. TI-Is perait will expire J work is -ot started 100 dais of ;;sua%-F, tr if work is suippiided f. tore ' days. PIT?ENTION. Dregon law requires you to fel 01* t4 ;,15P c' by the Oregon utility Notification Certiv. Tli^v aF t set forth i MR 7i -01-Mil tht oalfi DIP 7'2 ,,r) ,Main a cagy of these rules or direct questions to DIX, OVER-THE-COUNTER (OTC) PERMIT COMMERCIAL ( STRUCTURAL) BUILDING PERMIT CHECKLIST DESCRIPTION OF PROJECT: f CLASS OF WORK. FLOOR AREAS. 0" EXTERIOR WALL CONSTRUCTI TYPE OF USE: (o FIRST SQ. FT. N: _ E: W: TYPE OF CONSTR: �'i l' SECOND SQ. FT. PRO 'ECT O,PE�NINGS?: OCCUPANCY GRP: t� THIRD SQ. FT. N:—_� & E: W OCCUPANCY LOAD: TOTAL SQ. FT. i ROOF CONSTR: FIRE RET: I I STOR HT: FT i BSPANT SQ. FT. i AREA SEP. RATED. BS'v1NT?: MEZZ?: GARAGE. SQ. FT. OCCU.SEP.RATED: FIRS= FIRE_ SMOKE HANDICAP SPRINKLER. ALARM: DE7 ECTOR: _ ACCESS. COMMERCIAL INSI✓tC I ION ACTIONS FEE MENU Foot/Found Post/Bearn $ I Permit Fee Masonry Framing �_ Plan Review Insulation Shear Wall $ �� 5% State Surcharge Firewall Y� Gyp Board $ FL.S Plan Review Suspended Ceiling _ Sprinkler Rough in $_^ Add] Permit Fee Sprinkler Final Fire Alarm $— Add] FLS P!n Smoke Detector Approach/Sidewalk 3_ Inspection Miscellaneous F nal ,r) $ MIS Fee FOR OFFICE USE ONLY: TYf L OS USE OPTIONS(CONI=commercial: CHAS=commercial manufactured structure) CLASS OF WORK OPTION;: FOR ALL PERMI FS(NEW=new; Add-addition:A:.T=alteration: ACS=accessc,r},:FN D-foundation: OTR=other: DEM demolition; REP=repair: FPS=fire protection system. NOTE: USE OTR FOR FENCES. RETAINING WALLS. DETACHED DECKS. SIGNS. AWNINGS. CANOPIES) I lovrcntr2.doc (DS r) 4197 CITY OF TIGARD 11F.CHnN I CAL. PFRM IT DEVELOPMENT SERVICES PFRMIT #. . . . . . . : MEC97-025c-.' 13125 SW Hall Blvd., Tigard,OR 97223 (503)639.4171 DATE ISSUED: 07/113/97 PARCEL: 1511"'5AB-00900 SITE ADDRESS. . . : 102-200 SW (-jRFFNB(JRG RD #377 5 SUBDIVISION. . . . .1.1(31\1INCS: C-P TILOCK. . . . . . . . . . LO-1.. . .. .. . . . . . . . . . JURISDICTION: TIG ------------------------------ rLASS OF WORK. . :ALT FLOOR FURN. . . . : 0 EVAP COOLERS: 0 TYPE OF USE. . . . :COM UNIT HEATERS. . : 0 VENT FANS. . . : 0 OCCUPANCY GRP. . :B VENTS W/O APPL: 0 VENT SYSTEMS: 0 STORIES. . . . . . . . : 0 BOILERS/COMPRESSORS HOODS. . . . . . . : 0 FUEL TYPES-------------- 0 "'1 HP. . . . : 0 DOMES. INCIN: 0 15 Hp. . . . : 0 COMML. INCIN: 0 MAX INPUT : 0 DTU 15-30 1AF : 0 REPAIR UNITS: III FIRE DAMPERS% . : 30-50 HP. . . . : 0 WOODSTOVES. . : 0 GAS PRESSURE. . . : 50+ HP. . . . : 0 CLO DRYERS. . : 10 NO. OF UNITS-- --- AIR HANDLING UNITS OTHER UNITS. I FURN ( 1.001' STU: 0 10000 cfni : 0 1-,07) OUTLETS). 0 T=URN >=100 c BTU: lb 10000 fM : 0 Remarks: Relocating miscellaneous grills and two thermostats Owner: FEES NORRIS, BEGGS & SIMPSON type amoi.tnt by date t-ecpt 10300 SW GRE ENBURG RD PRMT $ 25. 00 B 07/1B/97 97- 2977'0(- �,(JITE 200 5PCT $ 1. 25 B 07/18/97 97-297306 -FTGARD OR 97223 Ohone #* Contractor- 11OPTH P'ACIF'IC HEATING SE DUUS RD -------------------------------------- $ 26. 25 TOTAL F.STACPDA OR 97023 [71hone #: Reg #. . : 000637 REQUIRED INSPECTIONS This permit is isco-1 ;11bJect to the regulations contained in the Misc. Inspection Tigard Municipal Code, State of Ore. Specialty Codes and all ulther Final TT1-,peCtiGn applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-00I-00I0 through 04R 952-0e1-0080. You may obtain copies of these rules or direct questions to OUNC by calling (503)246-9187. T-,p t-m i t t e e S i g n ..A t -t V,e I S s 1-t e B V &ilmlz� - f-4++++++-4-#-+++-1-++'++4•.+++++++•++++++4..............................4-+4 + Call 639-4173 by 6:00 p. m. for inspections needed the next bt-tsiness day .........44-++4......4-+4....................I..................................... PlanChec CITY OF TIGARD Mechanical Permit Application Redd Byj�EE 13125 SW HALL BLVD. Commercial and Residential Date Recd TIGARD, OR 97223 Date to P E (503) 6.39-4171, X304 Permitate oDST tt Print or Type Incomp!ete or illegible applicationsCalled_will not be accepted _ .— Nameiot Deveiopmempir eFt'. QOSCfIpflOn � r Table 1A Mechanical Code ori PRICE: AMT Job Street Address Sulam A) Permit Fee -0- 0. 1000 Address r ; c (�,S 9ldga 7,yistatelip B) Supplemental Permit 300 41`7.22 Name(Of name or bumps) 1.) Furnace to 100.000 BTU 600 Owner I ? incl ducts&vents Mailing Address 2 1 Furnace 100,000 BTU+ — 750 c incl ducts&vents City,state zip one 3) Floor Furnace 600 _ 1 l �. . •, incl.vent Nanani Mof bus es � r a) Suspended heater.wall heater 600 j or floor mounted heater Occupant Mailing Add-ess f 5) Veit not Incl in 30C .I e 2 6"-& V appliance permit Cdyystete Lp P e 6.) Boder or comp,heat pump,air Gond. 600 g _ to 3 HP;absorp unit to 100K BTU Contractor Name 7 7) Boiler or comp,heat pump,air Gond. 11 00 (Pnor toZ,14m_ 3-15 HP:absorp unit to 500K BTU issuance Mut q Address 8) Boiler or comp,heat pump,air Gond. 1500 applicant A 15-30 HP,absorp unit 5-1 and BTU must provide all tato 71Phone 9.j Boder or comp,heat pump,al Gond 22.50 contractor ,. ) ; G' SC , "' ` 30-50 HP;absorp unit 1-1 75 mil BTU license Oregon Const Cont SoaM L,c 0 Exp Date t0.) Boiler or comp,heat pump,air Gond. 37 50 information / i -"�y— >50 HP,absorp unit 1.75 and BTU for COT COT KrItiness rilit or Metro a EXP Date 11 ) Air handling unit to 4 50 database) i,/ , 10 000 CFM Architect Name f=— 12) Air handling unit 750 _ _ 10.000 CTM+ or Mailing Address —� 13) Non portable 4 50 evaporate cooler Engineer Gty,State zip Phone 14) Vent fan connected 3 00 to a single duct Describe work New O Addition O Alteration O Repair O 15) Ventilation system not 4 50 to be done Residential O Non-residential O included in appliance permit Additional Description of work 16) Hood served by mechanical exhaust 450 171 Domestic incinerators 7 50 _ Existing use of 18) Commercial or industrialtype 3000 building or property _ incinerator 19) Repair units 450 Proposed use of 20) Woodstove 450 building or property 21) Clothes cryer.etc �� 4 50 Type of fuel-oil O natural gas O LPG O electric O 22) Other units 450 1 hereby acknowledge that I have read this application,that the 23) Gas piping one to four outlets A 200 information given s correct.that I am the owner or authorized agent of the owner that plans submitted are in compliance wdh Oregon State 24) More than 4-par outlet (each) 50 laws / Signature of 4wner/Agent Gi OTY.SUBTOTAL jd�x ?,i1.1a� —_ _ SUBTOTAL Conti Person Na hong + 5%SURCHARGE � rPLAN REVIEW 25%OF SUBTOTAL TOTAL A 6 i'dsrmechpmt doc (rev ,.96) 'Minimum permit fee is S25+5%surcharge CITY OF TIGARD DEVELOPMENT SERVICES BUILDING PERMIT 13125 SW Hall Blvd., Tigard,OR 97223 (503)639.4171 PERMIT #. . . . . . . : BUID97-01n,27 DATE ISSUED: 03/06/97 PARCEL: IS135AB-00900 SITE ADDRESS. . . : 10POO SW GREENBIJRG RD #365 S1.JBDTVT.9ION. . . . -. ZONINS:C-P BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . .I JURISDICTTON:TTG RETESUE: FLOOR AREAS---------- EXTERIOR WALL cm\iqTRU('TION- Cl...ASS OF WORK. :ALT FIRST. . . . . 0 s N; S: E: W! TYPE OF USE. . . :COM SECOND. . . : 0 sif PNOTECT OPENINGS?---------- ---- TYPE OF CONST. :2N OFFICE. . . .- 2698 sf N: S: E: W." OCCUPANCY GRP. :B TOTAL--------: 2698 sf ROOF CONST: FIRE PET?: OCCUPANCY LOAD: 0 BASEMFNT. : 0 sf AREA SEP. RATED: STOR. - 0 HT: 0 ft GARAGE— : 0 sf OCCU SEP. RATED: BSMT?-. ME77? : REDD SETBACKE REQUIRED------------------ F:'I.-OOR LOAD— . - 0 rsf I-EF T- 0 ft RSHT: 0 ft FIR SPKI-.-Y SMOK DET. . : DWELLING UNITS: 0 FRNT: 0 ft REAR: 0 ft FIR ALRM: HNDICP ACC: BEDRIIS: 0 BATHS: 0 TMP SURFACE: 0 PRO CORR: PARKING% 0 VALUE. $ 1.8500 Rem air kst demo partition% & construct new partitions to create 5 new if f ices and reduce size of open offirp area. Note: subvit a mechanical and fire suppression (sprinkler) pernit MlIrAtiOfl w/ 3 sets of glans for each orreit. Ownet—. FEES NORRIS, BEGGS & RIMPSON tyr)p amokint by date recpt 10300 SW GREENBURO RD PRMT $ 134. 50 JMH 05/06/97 97--294169 SUITE 200 PI..CK $ 87. 43 JMH 05/06/97 97-294169 TIGARD OR 97223 FIRE $ 53. 80 JMH 05/06/97 97-294169 Phone #: 452-5900 5PCT $ 6. 73 JMH 09/06/97 97-294169 ('nntt-ac!tar-- MALIBU PACIFIC 735 NE JACKSON SCHOOL ROAD HTLL.SBORO OR 97124 I-Aflorie #: 693-9797 $ 2132. 46 TOTAL Reg #. . 1 000590 REOUIRED INSPECTIONS This pewit is issued subJect to the requlation; contained in the Framing Insp Tigard Nuric,nal Code, State of Ore. Specialty Codes and all other Ins0ation Insp applirAble laws. All work will be done in acrordancr with Fit-ewall Insp approved flans. This permit will expire if work is not started Gyp Board Insp within 1W day; of issuance, or if work is suspe"oed S,Asp Ceilnq Insp than IPA days. / .,_�-_��_� � �`_�^�_— ,"led Tsrsi.tecl Bye Call for- inspection 639-4175 6� m�11� rcial Building Permit Agolicataon 1 city of Tigard 13125 SW Mal Blvd npard„OR 97223 003)63"144 obsite Address: L0200 �k6",j&A & 120 Q„ FFICE USF.ONLY I r• -� rPlanCMSCe ;r en,ant: L�'Y /V�4TC 117Lr�Suite # /� .J CJ ► �� u F, t lie w Valuation: �em9it�- •. 3, f : . � . Owner: 0441115 ds ", Address: SW Z S7. Z/ at, -BEng Telephone: Otter M&1,6urZ- —") CContractor. /V 1 SG��g7•G� Address: G - g7--,-�-57 Y c% -r / L�SrSo,E,a q7�2 Type of constr. Telephone: Occupancy Class: Contractor's License #. �D�J'r Sprinkler? Yes No (attach copy of r.urrent Oregon license) Sq. Ft. Of Project: _ Contact name b telephone: �IM.G1Rt la�2y/(� �2 Story (1st, 2nd, etc.): _ ,rchitect & Engineer:,�MiZN S�,4GEs f tp-�rv� Gl Address: //� Proposed Use:(�.�Kn-ft6nncg _ , ).��C(/� Previous use: a:� Note: Plumbing & mechanical plans must elerhone: fu be submitted at time of building permit application. .OS DESCRIPTION: ,j 1�Q , 7 ,u CAD,u SZtil v� iL7f 1 plicant I nature 8 Teliaphone Number) Received by: J1- Date Received: 'CCMT1.000 >0.4M 1 PERMITS Account Oescriptlon Amount Amt Pd. Balance Ous O Building Permit 13(l S7J (BUILD) �1 Plumbing Permit (PLUMB) Mechanical Permit (MECH) State Tax ' (TAX) G .l Bldg. Plumb. Mach. _ Plan Check (PLANCK) Bldg. Plumb. Mech. Sewer Connection (SWUSA) Sewer Inspection (SWINSP) Parks Oev Charge. (Pi-CSOC) Residential TIF (TIF-R) Mass Transit TIF (TIF-UT) Commercia;TIF (TIF-C) Industrial TIF (TIF4) Institutional TIF (TIF-IS) Office TIF (TIF-0) Water Quality (WQUAL) Nater Quanity (WQUANT) U Fire Life Safety (FLS) ��- Erosion Cntrl Permit (ERPRMT) Erosion Planck/USA (ERPLAN) Erosion Planck/COT (EROSN) TOTALS: 24 y 4_ I'C.CMn DOC (CST) 10M CITY OF TIGARD DEVELOPMENT SERVICES 13125 SW Hall Blvd.,Tigard,OR 97223 (503)639.4171 CERTIFICATE or OCCUPANCY PERMIT M. . . . . . . : SUP9 7-•051 a DATE ISSUED: 02/ 13/98 PPRCGE_: 1 S1:3SFaB-00 3Q�0 ITE ADDRESS. . . : 10k-00 ':;W E3REENDURG RU #365' I.1BD I V I,I ON. . . . a F I VE ►_,I NCOLN Z ON I NC3:C. -P LOCK. a L.O'T. . . . . . . . . . . . . a JURISDICTIONS TICS 1_AS� OF WORK. SALT YPF OF USE. . . a CL1M I YPE OF CONSTA e 2F R iCCLIPANCY CRP. 01x )Ci:.l)PANCY LOAD: if(a LNANT NAME:.. . . :AME RICAN FXPRE'=S 1?emigrks: TI _. uff.ice reconfiqurat � yin lwner : IICN.ERBOCKER PROPERTIES INC 20 SW GREE-NBURG RD TF_' 200 URTL.AND OR 97223 Phone M: MAL I BU PACIFIC —35 NE. JACKr-,C1N SCHOOL ROAD HILLSBORO OR 97184 r'Mane iFa 69.3--9-197 Reg #. . : 059045 This Cer•tific,ate gr,Ants OCCLIPAncY of the above refer-,enter} buildinq or pol i thereof and r..onfirms that the bl.iilding has peen inspected for- compliance wi + 1_, tree State of Clrgon 5pe.rialty Cacles for the pr,. 1a, oc upenr-Y, and use urlde which the efe►-enced permit w" "S"%ed. CflJILDINC3 r SLfI1.D I N0 OFP T C 1 AL YN�pEC7 Et POST IN CONSPICUOUS PLACE CITY CF TIGARD DEVELOPMENT SERVICES FUILDING P'E.RMIT PERMIT #.. . . . . . . : BUP98-0524 13125 SW Hall Blvd., Tigard,OR 97223(503)639-4171 DATE ISSUED: 11/25/98 r-'ARC:EL-: 1 S 13`iAB-00900 SITE ADDRESS. . . : 10200 SW GREENBURG RD #365 SUBDIVISION. . . . : FIVE LINCOLN 'ZON1NG:C-p BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . : JURISDICTION:TIG -------------------------------------------- REIt3SUE: 1-1_OOR AREAS------ ---- EXTERIOR WALL CONSTRUCTION— CLASS OF WORK. :ALT FIRST. . . . : 0 sf N: S: E: W: TYPE OF USE. ., . :COIN SECOND. . . : 0 sf PROTECT TYPE OF CONST. :2FR THIRD . . . : 1278 sf N: S: E.: W: OCCUPANCY GRP. :B TOTAL-_.--__.__: 1278 sf ROOF CONST: FIRE RET": OCCUPANCY LOAD: 26 BASEMENT. : 0 sf AREA SEP,. RATED: STOR. : 0 HT: 0 ft; GARAGE. . . : 0 sf OCCU SEP. RATED: BSMT?: MEZ.7_" : REDD SETBACKS---------- REQUIRED--------------- FLOOR LOAD. . ., . : 0 psf LEFT: 0 ft RGHT: 0 ft FIR SPKL:Y SMOK DET. . : DWELLING UNITS: 0 FRNT : 0 ft REAR: 0 ft FIR ALRM: HNDICP ACC:Y BEDRMS: 0 BATHS: 0 IMP SURFACE: 0 PRO CORR: F'ARK.ING: 0 VALUE. $ : 5975 Remarks : Tenant improvement - nets office space. Owner: FEES --_------------ AMF:RICAN EXPRESS FINANCIAL. ADV type amount; by date recpt IOL-00 SW GREENSURG RD PRMT $ 56. 50 GEO 11/25/98 98-311111 S'EE 365 5PCT $ 2. 83 GEO 11/25/98 98-3111. 1. 1 TIGARD OR 97223 PLCK $ 36. 73 CEO 11/25/98 98--311111 Phone #: FIRE $ 22. 60 GEO 11/25/98 98-;3111. 1. 1 Contractor: -- ----___-...._ _.--------------.— MALIBU F'ACIF-IC 735 NE JAC:RSON SCHOOL... ROAD HILLSBORO OR 9711224 --------------------------------------- Ph o n e #: $ 118. 66 TOTAL. Req #. „ : 059045 --REQUIRED ACTIONS or INSPECTIONS--- ?his permit is issued subjert to the regulations contained in the Ft-a m i n g T n s p Tigard Municipal Code, State of Ore. Specialty Codes and all r'her Gyri Board Insp 1 applicable laws. All work will be done in arrordance with approver} plans. This permit will expire if -.rk is not started within 180 days of issuan_e, or if work uspended for more than 180 days. ATTENTION: Oregon law requires you to follow the rules adapted by the Oregon Utility Notification Center, those rules are set forth in OAR 952-0@1-8@10 through ORP 9°,2-0@191987. You veny obtain a copy of these ,ui:- nr direct questions to OUNC _ by calling (593)246-1987. I,,,, mittee Si. nature : Issued By: �-- 1 + +++•++++++++++++++++i++++++++++++++++.+++++++++++++++++++4.+++++ +++++++++++++ Call. 639-4175 by 7:00 p. m. for an inspection needed the next business day +++++++•}++++++++++++++++++++++++++++++++++++++a++t++++++++++++i-+++++++++++++•F+ CITY OF TIGARD Commercial Buildii'ig permit Application Recd By_ Date Recd 1-,Wg449� 13125 SW HALL BLVD. Tenant Irrlprovement Date to P.E. c TIGARD, OR 97223 Date to D`: Z- e1x " (563) 639-4171 ( (_ Permit* t �F Print or Type Related SWR d _ Inca-nplete or illegible appi�cations will not be accepted Called_— __ — _ _.-___. ----- r__ __ Name of Development/Project Existing Buildingy New Buildina ❑ Job bmr—C)C C1F NTE-k Address Street Addresssure Building 7l •ce.i;o+ Data _ -Bldg 0 CitylState Zip Existing Use of Building or Property: In ! — - t{VF L11U14PJ Lfif�, r�72-23 (. J�C^�-1A�► Name — Proposed Use of Building or Property: Property Kki I C: KE.'P-6It-,c_kF- Owner Mailing Address Suite J035OrD %:.tQ (I-/Jzn ucl- Z� No. Of Stories: CitylState Zip Phone 0 72Z 4-SZ,X90 Sq FL Of Project: 713 - -- I Z Occupant Name - Occupancy Class(es) j Name — _ _ Contractor (,(g �) ��C' 1 F-1-C- Type(s) of Construction Prior to permit Mailing Address — _ Suite — _ — c.suance,a copy -, �. Will this project have a Fire Suppres3ion System? of all licenses S E -ztti Yes ❑ No ❑ are required If City/State Zip Phone Americans with Disat::'ities Act(ADA) expired In C O T i ' prS ? Valuation X 25/ $ Participation�L n h= / — Oregon Const CON and Llc.* Exp.Dale — Complete AccessibilityFol m47' — _ -) '?0 4- e- _1�'j... Project $S 7:5- Name — Valuation Architect r Ae(, b rF-C-m TMf.. Plans Required: See atria for number of sets to submit Mailing Address Suite on back City/State Zip Phone I hereby acknowledge that I have read this application,(hat the information n c given is correct,that I am the owner of authorized agent of the owner,and __ ►� �c"�fdC 1JCr7 (_AC, 4+ -4 7 tis _ that plaos submitted are in compliance with Oregon State Laws. Engineer Name --— tgnature of O�rwner/Ag nt Dale Mailinq Address Sate ��'� F o V_ 7 I Conte rson Name r Phone CirylSlate Zip Phone j I - A0 A0b116 �, -- - - - - FOR OFFICE USE ONLY _ Indicate type of work New O Addition O Demolition O MaprrL# Land Use: — Accessory Structure O Foundation Only O Afteratlo y D_ Repair O_— Other O Notes. escription of work: TIF: ---- ------- — Note: Site Work Permit Application must precede or accompany Bullding Permit Application I ,(-)MNEWTI DOC (DST) 5/98 y 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 wi;l be conducted. After plan review approval, Plans Examiner will contact the applicant to request additional plan sets for distribution purposes. (Copy for Contractor, City, Washington County, Tualatin V2illey Fire & Rescue) Total # of TYPE OF SUBMITTAL Plans KEY: Submitted S (Private) 1 S = Site Work B (New or Add) 1 B = Building F (New or Add or Alt) 3 F = Fire Protection System M (New or Add or Alt) 1 M = Mechanical B & -m—Kew—or Add) _ 1 P = Plumbing P (New, Add, or Alt) 2 E = Electrical B & M & P (New of Add) 2 New = New Building E (New, Add, or Alt) 2_ Add = Addition B & F & M & P & E Y 3 Alt = Alt,:rnation to Existing (New , Add) _ Rtiildinq *BorB & M (Alt)� 1 *B & M & P (Alt) 3 'B & M & P & E(Alt) 3 *Ei&M & P & E & F(Alt) 3 NOTES: *Shaded areas designate AL1" submittals only. I kdstsVnaxtrixt.doc 07/06/98 CITY OF TIGARD ELTRICAL. PERMIT DEVELOPMENT SERVICES PERMIT #: ELC98-0700 IDATE TSSLIED: 11 /25/98 13125 SW Hall Blvd., Tigard,OR 9722;1(503)639-4171 FARCE:I..: i S l 3t5)AB--0090Qi SITE ADDRESS. „ . : 101:-:100 SW GRE--ENB..JRG RD #365 SIJRDIVISION. . . . :FIVE I_.INCOI...N 7ONIN13:C-P BLOCK. . . . . . . . . . . LOT. . . . . . . .. . . . . . . JURISDICT'ION: TIG Gro j ect Description : Alteration to electri._al service. -------------------------------------------------------------------------------- IJN I T----•- ---TEMP SRVC/FEEDERS---- -----M I SCEiI-LArdEOIJS- - - 1000 SF OR I-ESS. . . . : 0 0 - *='00 amp. . . . . . . : 0 PUMP/IRRIGAT ION. . . . : 0 EACH ADD' L 500SF. . . : 0 201 - 400 amp. . . . . . . : 0 SIGN/OLJT LINE LTG. . : 0 LIMITED ENERGY. . . . . . 0 401 600 amp. . . . . . . . 0 SIGNAL/PANEL.. . . . . . . : 0 MANF. HM/ SVC/FDR. . : 0 6014amps--1000 valtS. : 0 MTNOR I_.ABEL ( 10) . . . : kti -_--SERV T rE/FEEDER-_.__- -----BRANC:H C I RCIJ I TS-------- ----.ADD' L T NSPE.CT I ONS - 0 - 200 amp. . . . . . : 0 W/SERVICE OR FEE=DER: 0 PIER TN0_3PECTION. . . .. . : 0 201 400 amp. . . . . . : 0 1st W/O SRVC OR FDR. : 1 PIER HOIJR. . . . . . . . . . . • 0 401 - 600 a m o. . . . . . : 0 EA ADD' L BRNCH CIRC: IN PLANT. . . . . . . . . . . : 0 ()01 - 1.000 amp. . . . . : 0 ------------------PLAN REVIEW SECTION---_._____..__.______.--_.. 1000+ amp/volt. . . . . : 0 ) =-4 RES UNITS. . . . . . . . : ) 600 VOLT NOMINAL— Reconnect only, . . . „ : 0 SVC/FDR ) = 225 AMPS. , : CLASS AREA/SPEC OCC. : Owner. : __------___..._..____....._.__._.____.___________..____---------._____.__ FEES AMERICAN EXPRESS F11AANCIAL ADV type amol_int by date recpt 10200 SW OREENl IPIG RD PRMT # 5O. 00 DLH 11 /25/98 98-311102 S"fE 365 5PCT $ 2. 50 DLH 11/ 5/98 98-311102 TIGARD OR 97223 Phone #: CHRISTENGON ELECTRIC INC 52. 50 TOTAL. 111 SW COLUMBIA STE 480 -- ---- REPUIREP INS ,ECTIONS ----- PORTLAND OR 97201. Ceiling Cover~ Elect' 1 Service Phone #: 241--481;=' Wall Cover Eler_t' l Final Reg #. . : 000453 This pi-reit is issued subject to the regulations contained in the Tigard Municipal Lode, State of Oregon Specialty Codes and all othPr appliiible laws. All work will be dune in accordance Mith approved plans This permit will expire if work is not started within 180 days r' issuance, or if work is suspended for Bore than 186 days. ATTENTION: Oregon law requires you t,, follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 452-001-0010 through DAR 952101-1987. You Bay obtain a r2opy of these rules or direct questions to Ol1NC by calling 1583)246--1987. Permittee 5ignat'-n-P . t- I ��.ed By : _ _-_------------------- -----OWNER 1N5TAL.L.AT•TO1\1 ONLY---- --- -- ----- The inst.-,llat '.nn is being made an property I own whir-Ji is not intended for sale, lease, or rent. /� OWNER' S S I(3AATtjRE : — %^ DATE: _CONTRACTOR INSTALLATION ONLY--- ---------__-_.--------. SIONATLJRF OF SLIF'R. i l_EC:' N: d7V f'L/Ci TJO DATE: LICE..NSE NC': ++++++++++++++++++++ ..+•a+++-r+++++++i.+++++-+++•+•+++++++++++++++++++++++++++++r + +++ Call 639--4175 by 7:00 p. m. for an inspection needed the next bi-tsiness day ++++++++++++++++++++++•+++++++++++++.L++++++++++++++++++++++++++++++++++.t++++++ RECEIVED a„S CITY OF TIGARD NOV 199f; Electrical Permit Application Plan Check p 13125 SW HALL �/p Recd By L M,y DEVELONMEN1 Dr..;s Rec'd�[ Z 9 TIGARD OR 97223 Date to P.E. Phone (503)639-4171, x304 JC f Date to DST ` Inspection (503) 639-4175 Pant or Type permit a �"�Fax (503) 684-7297 Incomplete or illegible will not be acc pted Called ,_ 1. Job Address 4. Complete Fee Schedule Below: Name of Development___.___.____--__ __ Number of Inspections per permit allowed - Name(or name of bUsineSS)AMER]CAN EXPRESS -__ Service included: Items Cost Sum Address LINCOLN BLDG 5 STE 365 _ 4a. tiesllential-per unit OKSW 8§ElNgi Rq ROAD 1000 sq.It,or less --- $110.00 - _ 4 City/State/ZipA D K y!Z L __ Each additional 500 sq.ft.or portion thereof $25.00 1 Commercial ® Residential ❑ Limited Energy $25.06 IF (QUESTIONS CONTACT: ROSS CROSK Each ManutdHome(it Modular - Dwelling Service or Feeder $68.00 2 2a. Contractor installation only: (Attach copy of all current licenses) Services or Feeders Ins Flectrical Contractor CHRISTENSON ELECTRIC, INC. Installation,alteration,or relocation $60.00 2 Address 1 11 SW COLUMBIA, SUITE;_W _ - 201 amps or less _ _ 201 amps to 400 amps $80.00 2 City_PORTLAND State OR _._Zip__97201.-5886 401 amps to 600 amps $120.00 2 Phone No.__503-7.41-4812. 601 amps to 1000 amps $160.00 - 2 Job No.._� 62-00503 - Over 1000 amps or vows $34000 �. _ 2 --s' Reconnect only $50.01 2 Elec.Cont. Lice. No. - C Exp.Date I D/1-/9 _ OR State CCB Reg. No. 458 ^ Exp.Date 5 1-99 V 4c.Temporary Services or Feeder s COT Business Tax or Metro No. 985246 Exp.Datel2 -3 1/7 98 Installation,alteration,or relocation 200 amps or less $50.00 2 201 amps to 400 amps $75.00 _ 2 Signature of Supr. Elec'n - 401 amps to 6C6 amps $100.00 2 Over 600 amps to 1000 volts, License No. 9XU2468S Exp.Date_10/1/91 ("1 see"b"above. Phone No. 50-241-4812^_- 4d.Branch circuits �r � New,alteration or extensial per panel 2b. For owner installations: a)The fee for branch circuits with purchase of service or Print Owner's Name feeder fee. Each branch circuit $500 Address b)The fee for branch circuits City _ State Zip__ _-._- without purchase of Phone N0.___ _ _ service or feeder fee. 1 35.00 First branch circuit $35.00 2 The Installation is being made on property I own which is not Each additions]branch chcuit 3' $5.00 2 intended for sale,lease or rent. 4e.Miscellaneous (Service or feeder not included) Owner's Signature__ -- _.- -__ Each rump or Irrigation circle $40.00 Each sign or outline lighting __ $40.00 _ ? • Signal circuit(s)or a limited energy 3. Plan Revie u1�section (if require:•u): panel,alteration or extension _- $40.00 - - Minor Labels(10) $100.00 ---- Please check appropris+te Item and enter fee in section 5B. _4 or more residential units In one structure 4f.Each additional Inspecticn over _Service and feeder 225 amps or more the allowable in any of trie above _System over 600 volts nominal P $55.er Inspection � $35.00 00 -_ Classified area or structure containing special occupancy Per hour as describwl in N F C Chaplm 5 In Plant $55 00 Submit 2 sets of plans with iipplicatlon where any of the above apply. Jam. Fees: 50.00 Not required for temporary construction services. 5a.Enter total of above fees $ 5%Surcharge(.05 X total fees) $ NOTICE Subtotal $ 5b.Enter 25%of line Ss for PERMITS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED IS Plan Revlew if r uir (Sec.'I) $ --_ NOT COMMENCED WITHIN 180 DAYS,OR IF CONSTRUCTION OR WORK Subtotal IS SUSPENDED OR ABANDONED FOR A PERIOD OF 190 DAYS AT ANY El Trust Account r 52.50 TIME AFTER WORK IS COMMENCED. $ IITotal balance Due 11DSTSTLC96.APP Rev 9195 CITY OF TIGARD DEVELOPMENT SERVICES TRICAL PERMIT — 13125 SW.'Iall Blvd., Tigard,OR 97223(503)639-4171 ELEkC� RESTRICTED ENERGY PERMIT #: ELR98-0332 DATE ISSUED: 12/15/98 PARCEL: IS135AB-00900 SITE ADDRESS. . . : 10200 SW GREENBURG RD #365 SUBD I V I S I ON. . . . :FIVE L..INCOLN ZONING:C—P BLOCK. . . . . . . . . . : LOT. . . . . . . . . . . . . JURISDICTN: TIG Protect Description- American Express TI ----------------------- ----------------------------------------- -------------------- B. AUDIO & STEREO. . . : AUDIO & STEREO. . . INTERCOM & PAGING. . : BURGLAR ALARM. . . . , BOILER. . . . . . . . . . : I...ANDSCAPE/TRRIGAT. . - GARAGE OPENER. . . . . CLOCK. . . . . . . . . . . . MEDICAL.. . . . . . . . . . . . • HVAC. . . . . . . . . . . . . : DATA/TELE COMM. . :X NURSE CALLS. . . . . . . . : VACUUM SYSTEM. . . . : FIRE ALARM. . . . . . : OUTDOOR LANDSC LITE: OTHER: HVAC. . . . . . . . . . . . : PROTECTIVE SIGNAL. . : INSTRUMENTATION. : OTHER. . -. TOTAL # OF SYSTEMS: I Owner: FEES - KNICKERBOCKER PROPERTIES type amoo.int by date recpt 10300 SW GREENBURG RD PRMT $ 40. 00 JSD 12/15/98 98-311535 TIGARD OR 97223 5PCT $ 2. 00 JSD 12/15/98 98-311.535 Phone #: Contractor: I .AN TEL SERVICES INC $ 42. 00 TOTAL 1900 IRVING RD BLDG C REDUIRED INSPECTIONS F`UGENE OR 97402 Ceiling Covet- Low Voltage Insp =hone #: 541-688-1427 Wall Cover Elect' ] Final Reg #. . : 90461 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 ii: wnrk is net started within 18@ days of issuance, or if work is suspended for more than 18@ days. ATTENTION: Oregon law requires you to follow rule adopted by the Oregon Utility Notification Cent r. Those rules are set forth in OAR 952-001-9810 through OAR 952-08!-0080, You may obtain copes of these rules or direct questibi a OUNC at (9031�b—t9B7�, -e Issi-ted Permittee Signati-ir 5 ------------- INSTALLATION ONLY---------- -------___...___._ The installation is being made on property I own which is not intended for a I e, ].ease, or rent. r1WNERIS SIGNATURE.- DATE: INSTALLATION 'ITGNATURE OF SUPR. ELECIN: DATE: LICENSE NO ............................................................................4+ Call 639-4175 by 7:00 P. M. fat- an inspection needed the next business day ....................4.....4..............4..... ...........................4-++++4-+4+ i 4 9 NIM Ili: 11) 1'.\\ ;-)03 .-life 11160 CIT)l III' 11(.01) CITY OF TIGARD RESTRICTFn FNFRGY ELECTRICAL ADPLICATION Recd by,----Crl 13125 SW HALL BLVD Date Recd, i TlfARD OR 97223 PRINT OR TYPE V- 503-639-4171 X304 Permit#.L S� .0- F - 503-684-7297 INCOMPLETE OR 11 _EGIRLE APPLICATIONS Cust.Call'd — WILL 140T BE ACCEPTED _ Name of Develop'nenl—707 1 TYPF OF WORT( INVOLVED - RESIDENTIAL O—NLY -- — ------- -- -- Restricted Energy Fee........................................ $40.00 l�1 Z J J (FOR ALL SYSTEMS) J013 Slreet Address ^te Check Type of Work Involved ADDRESS �W- - Cilyf;;� 2rp � �la�N ` � Auden»nd Stereo Systom5 pr Name L � �� Burglar Alarm r { Ciarago DuCr Opener' OWNER Mailing Address / p•' IJ Hr_aling,Vcr!,ra.Ion and Air Conditioning System' City/Slat Zen Phone# Name �— .? Vacuum Systems' LH'NI TEL SLUILES ❑ Other CONTRACTOR " Ad r s " r1 TYPE OF WORK INVOLVED - COMMERCIAL ONLY (Pilot to Issuance a :.rtyrState- 'r� Phone# 7.1 Fco for each system . ...................... .. ............. ... $40.00 copy of all licenses �tU )bAL t CL 'Al-b&g• 4l T i ;F.F OAR 918.250.2rr, are required if Ore on C r r U 4 EType e>spne,l in C n t Check t e of Work hrvolr ed data Basel [jP,c icalo11j,4iy�# ��p �q ❑ ��, "� Audio and Stereo Systems C.O T.or Metro Lic # Exp Dale Boder Controls Owner's no LJ Clock Systems OWNER - Mailing Address APPLICANLiCity/Slate ,�' Data Telecomm.:nicahon Inslatlillon ne Zip PhoM 0 Fire Alarm InstTllal on This permit ssued under DAF-918.320.370 1 his appl cant agrees to lr l HVAC make only n3sinrled energy inslallntions(100 volt amps or less)undor this permit and to do the following Instrumentation 1 Only use electrical licensed persons to do installations where req,nred. Certain residential and other transactions are.exempt from licens ng Intercom and Paging Systems These have asterisks('). All others need licensing, Landscape litigation Control' 2 Call for inspections when installation under this permit are ready for inspectiol at 503-6394175; � Medical 3 Purchase:separate permits for all installations that are not ready for an Nurse Calls inspectic i when the inspector is out to inspect under this permlL 4 Assume responsibility for assuring that all corrections reeubed by the l_J Outdoor Landscare Lighting' inspector are done,and, U Protective Signaling 5 Assumr!responsibility for calling for a final Inspection when all of the corrections are ccmpteted. ] Other Permits are non•tramlferable and nonrefundable and expire if work not started within 180 days of issuance or if work is suspended for 180 days. Number of Systems I he person signing for this permit must be the aeplrranl or a person i4o licenses nre rea:ir!d I .►nses are recurred lint a11 nllte ;n•,Lu':Iret aulhoriZed to bind the applieAM� - - �� EEEgFEES S ENTER EE Signature 5%SURCHARGE(.05 X TOTAL ABOVE) S i Authority if other than Applicant TOTAL IWslsv,:sele,doc 7197 'C'7( I ,�/� � �� f � � l�n�" . � CITY OF TIGARD DEVELOPMENT SERVICES BUILDING PE=RMIT 13125 SW Hall Blvd„ Tigard,OR 97223(503)639.4171 PERMIT #. . . . . . . . B U P 9 8—0 51 DATE= ISSUED: 12/09/98 PARCEL.: 1 S 135AB-00900 SITE ADL'KESS. . . : 1.02''00 SW GREENSURG RD #365 SUHDIVIr3TON. . . . : FIVC LINCOLN ZONING:CP BLOCK. . . . . . . . . . . L.OT. . . . . . . . .. . . . . . JURISDICTION:TIG REISSUE: f-LOOR AREAS-,- - - EXTERIOR WALL. 1ONSTRUCTION- CL_ASS OF WORK. :FPC F I RST. . . . : 0 s f• N: S: E: W TYPE OF 11Sr. . . :CCM SECOND. . . : 0 sf PROTECT OPEN INOS?__.__.._____.__._..__. TYPE OF CONIST'. : 'F'R . . . . 0 SN: S: E: W. OCCUPANCY GRP. :B TOTAL-- --: 0 S ROOF CONST: F-IRE RET? : OCCUPANCY LOAD: 0 BASEMENT. : 0 s f AREA SEP. Rf-1TE'D: STOR. : 0 HT: 0 ft GARAGE. . . : 0 s f OCCU SEP. RATED: BSMT?: MEZ7" : RE DD SE:TPACKS-•-------__--- RI-QUI RED--•------ FLOOR LOAD. . . . : 0 ps f I_EF-T: 0 ft RGHT: 0 ft F I R SPI'L:Y SMOK DET. . : DWELLING UNITS: 0 FRNT: 0 ft PEAR: 0 ft FIR AL.RM: HNDICP ACC: BEDRMS: 0 BATHS: 0 IMF, SURFACE: 0 PRO CORR: PARKING: 0 VALUE. $o 6�:'rih Remarks i Alteration of fire system to add 8 sprinkler heads for commercial tenant. Owner: --.____.____._._________._____________.....___...________-. FEES AMERICAN E:XPRES5 FINANCIAL. ADV type amottnt; by date recpt 10200 SW GREF:NRI..IRG RD PRMT $ .'5. 00 DLH 12/09/98 98--311415 STE 365 51''CT $ 1. 25 DLH 12/09/98 TIGARD OR 97=';-'3 Phone #: Contrar-tor: FIRESTOP CO 9384 SW TIGARD CT TIGARD OR 97;7,23 ---------------------------------- Rhona #: 6210-6140 $ 26. 25 TOTAL_ Reg #. . : 0006318 ACTIONS or- I NSF''ECT I ONS - This permit is issued subject to the regulations contained in the Sprinlcl er Rol.tgh-- Tigard Municipal Code, State of Ore. Specialty Codes and all other Sprint 1pr F ina1. applicable laws. All work will be done in accordance with approved pians. This permit will expire if work is not started within 190 days of issuance, or if work is suspendet! fnr more than 186 days. ATTENTION: Oregnn law requires ynu ti follow the rules adopted by the Oregon Utility Notifitation Center. T pose rules are set forth in OAR 952-661-6016 through OAR 752, 40161987. You many obtain a copy of these rules or direct questions tp Ol1NC by calling ►56312246-1987. Permittes 910natUr~P< _ Iss'_►pd fly : - t 4++i•+4-++...... •++++++++++i•-r+++-++•F+ f+.+++++++++++++++++++++++ .t++++•t+++t+++ -t++F Call 639-4175 by 7:00 p. m. for an inspection needed the next business day ++++•++++++++++++++++++++++++++++f+++++++++++++++++++++++++++...Ff++++++{•++++++++ Fire Protection Permit Application Plan Check# _ Cl(Y OF TIGARD Commercial or Residential Recd By_ )i 13125 SW HALL BLVD. I Date Recd /Z — TIGARD, OR 97223 Print or Type I j Date to P.E _ (503) 639-4171, x. 304 Incomplete or illegible applications will not be accep ed Date to DST Permit# Qgj�9�`D53� Called Job Name o�� lopm nt/11ioleci Type of System (Complete A or B as applicable) Address Address / V —�—` /O ZOO �'G� c��N 0a4 A.)Sprinkler Wet pry Name �/ Standpipes � NcnC/tl L�Pa'� Owner Mailing Address Hazard Group _ Additional CitylState Zip Phone Information Density Design Area AMEkl.4 k.oQE5S _ Occupant Mailing Address # K. Factor ozaa S f, - I—erq sae6 Jo _,__!3&V _ City/State Zip Phone A.1) Sprinkler Project Valuation $�— I _ 012r1gnIG ZU- C.,2p•� r Contractor Name /I B.) Fire Alarm F - (Sprinkler or s_TV� (.D _ 0arm company) Martin Addrers n Submittal Shall Include. Battery Calculations YES Prior to permit ''�¢ i�- r�4yrf�(J� 1�.___ _ issuance,a City/Slate Zi') Phone Individual Component YES copy - [Cut Sheets of all licenses 716".4 �QE 9223 620 -ro/QD B.1) Fire Alarm Project Valuation $ are required if Slate Const Cont Board Lic.# Exp Date expired atabaseOT ' '�( 'project Valuation Subtotal (A & or B) $ i _ (o��_ ,lno�J 1.co _ _ Name _ _ — _ IN-�/��C�CT•�� Pennit fee based on valuation $ Mailing A dress -- __ (see chart on back) L� Architect g 5% Surcharge city/ to zip I Phone ---FLS Plan Review 40%of Permit ___ S,�I��co,�A.94ro4 4t5• ��s $ Describe work A.)New O Addition O Alteration IPL Repair B l ModificaO TOTAL to he done: $ tion sprinkler heads only: _ �_ _ 1 1-10 heads= =No plans required Plans required submit three sets of plans, including a vicinity map and 2 11+-Plan review required the location of the nearest hydrant. _______ ________ I hereby acknowledge that I have read this application.that the information given is _dddional Description of Work:Number of sprinkler heads. Cj correct.that I am the owner or authorized agent of the owner,and that plans submitted — are in compliance with Oregon State laws A Signature of r/Agent Date — q I A.)In Existing Budding K New Building r] - _ � BUild;ng Co ct Person Name PhondZ j Data B.►�Commercial� Residential E) LQ( J?E4 1J`O� _ 6z d-& 14 D \\ FOR OFFICE USE ONLY:----- No NLY:_ _No of stories --— Plat# MaprTL#: Sq Ft � -- ---- __ Notes Occupancy Class Type of Co struction O iresurr.doc CITY OF TSCA tRD BUILDING FERMI 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 11.210 1.40 40.60 1,701-1,800 29.50 1180 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 '.zj3 55.83 3,001-4,000 44.50 17.80 2.23 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,OC1-7,000 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 29.80 3.73 108.03 9,001-10,000 80.50 32.20 4.03 116.73 10,001-11,000 86.50 34.60 433 125.43 11,001-12,000 92.50 37.00 4.63 134.13 12,001-13,000 98.50 39.40 4.93 142.83 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 17,00118,000 128.50 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 7.33 212.43 21,001-22,000 152.50 61.00 7.63 221.13 22,001-23,000 158.50 63.40 7.93 229.83 23,001-24,000 164.50 65.80 8.23 238.53 24,001-25 000 170.50 6820 8.53 247.23 25.001-26,000 175.00 7000 875 253.75 2.6,001-27,000 179.50 71.80 898 260.28 27,001-28,000 184.00 73.60 9.20 266.80 28,001-2.9,000 188.50 75 40 9.43 273.33 29,001-30,000 193.00 77.20 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 82.60 10.33 299,43 33,001-34,000 211.00 84.40 10.55 305.95 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 11.23 325.53 37,001-38,000 229.00 91.60 11.45 33.05 1 hirxiEn.doc CITY OF TI(J"I'ARD DEVELOPMENT SERVICES k 13125 SW Hall Blvd., Tigard,OR 97223(503)6.'1'9-4171 CE.RTIFIcArE OF, OCCUPANCY PEIRMI T 0 DATE fSG6E" D" *: ' 12/: 18/98 PARCEL : O(A%)o E Abr,I R E S G. . . : 102011 SW GREENDURO RD #,335 ;Mj 6D I V I G ION. . . . tF- IVE. LINCOLN ZONIWGe(" - r- VALOCK. . . . . . . . . . o LOT. . . . . . . . . . . . . JlffRIGDICI 101'41 i If-, t'LAS�3 OF WORK. :ALT Tyf-"E Of- LIGE. . . r C(.')M rYPE OF CONSTRv,?FP GRP. S OCCUPANCY LOAD P6 I'l-WINT NAME. . . sAML.RICAN EXPRESS r,'umartAs % Tan;ant impt- ovemerit new affj(-e lip,-Are. Owner: ?!NZKERBOC'k.ER r."130PERTtES, INC (1/L1 NORRIS, BEGGS It SIMPSON 10300 SW GREENDUPD RD *1200 T'IGARI) OR 9722-., fl:,hone #. Cont ractor: MALIBU PACIFIC '735 NE JACKSON SCHOOL ROOD HJLLI)BOR0 OR 97124 Phone #t 693--r13'797 q #. . 1 059045 Certificate grants OCCUpancy of the above referenc..,erf bUildiny Or portio?) f,hereof and r-wifirms that the building has been insperted for compliance with the State Of Or-90" S'Pectalty Codes for t.h P group, occ:.ipancy, ;Nnd use under, whir-•h the reforenced per-it wx43 issue1.1. NO 1 N BUTLr)INd IAL.IN 1'..0NF,,P1CUOtj'S PL_PLT CITY OF TIGARD BUILDING INSPECTION DIVISION MST -24-Hour Inspection Line: 639-4175 Business Line: 639-4171 BLIP Date Requested_ '/ AM X PM — _ BLD Loca ion �Qn Suite ��C`� MEC _ Contact Person Ph PLM — Contractor /�� l,f.c�q,C �rG�Z'� ,{ ; Ph SWR — — _ BUILDING Tenant/Owner �C�� EX PlC'L:S�S ELC Re arnrng Wall ELR _ Footing Access- Foundation FPS Fig Drain Crawl Drain Inspection Notes: SGN Slab ---_--- --� _ -- SIT Post&Beam Ext - Ext Sheath/Shear _ Int Sheath/Shear Framing --- Insulation Drywall Nailing --,� .; --(-J ----- - -- --- - Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling - --- -.. -._.- - -- -- ---- - Roof Fire SAS+ )_PART FAIL -- BING Post 8 Beam Under ---- --__-- ._ ----------------- ------- -_— Under Slab Top Out - ------ -- .- -- --- - .. Water Service Sanitary Sewer Rain DmIns _ Final PASS PART FAIL MECHANICAL —� Post R Ream -- _ ---- --- ---- - ---- Rough In Gas Line ---- --- _ --- ---------- Smoke Dampers iFinii -- -------- --- -_ -- --_..— ----- - - -� PASS PART FAIL ELECTRICAL - - - ----- --- -- --- ____-�.__------ Service Rough In - - ------ - --_ UG/Slab Low Voltage - - - Fire Alarm Final PASS PART FAIL. SITE Backfill/Grading — - -- ------ _�- --._-- �._-- _-� sanitary Sewer Storm Drain [ ]Reinspection fee of$_ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd ^.etch Basin Fi a Supply Line ( ]Please call for reinspection RE: [ ]Unable to Inspect-no access ADA Other Date q� �- ' Ext Date �'L �k - Inspector— Final PASS PART FAIL j 00 NOT REMOVE this inspection record from the job site. 1 / 1 CITY OF TIGARD BUILDING INSPECTICN DIVISION j 1° 24-HOVe Inspection Line: 639•4175 c Al Line: 639-4171 y l �J 1 l ! BLD Date Re Rested \M _PM Location Suite J.♦�i�� — MEC Contact Person , _ Ph ;�lj , ya `l1 PLM Contractor Ph SWIt ` BUIL�G ---- Tenant/Owner r ) Uee-e-Gam- -�' ELC — Retaining Wall ELR _ Footing Access: Foundation FPS Ftg Drain Crawl Drain Inspection Notes: SGN — -- Slab SIT Post& Beam ---- Ext Sheath/Shear _ Int Sheath/Shear - - Framing - insulation Drywall Nailing Firewall Pfre Sprinkler Fire Alarm -- Susp'd Ceiling Roof Fina PART FAIL - -- --- - - --- P ING Post& Bean _.-^---_---------- Under Slab 1 op Out Water Service Sanitary Sewer - --- Pain Drains Final PASS PART FAIL. MECHANICAL Post& Beam --- --- ------ Rough In GasLine --- — - ----- --------- -.-- _ _-__.-- --- - --------- Smoke Dampers Final ------ —------- PASS PART FAIL ELECTRICAL Service RoughIn - --------- ---�_�.--_._--- -- --.___---_-.__.. - UG/Slab Low Voltage --------- — ----------�--___._ .____..--- -,- Fire Alarm ____.-------____-- Final PASS PART FAIL ---— - - - --- -------- --- — —SITE Hackrill/Grading - - --.------___-�_-------__-_,--____--_---- _ Sanitary Sewer Storm Drain [ ) Reinspection fee of$ required before next inspection Pay at City Hall, 13125 SW Hall Blvd Gatch Basin [ )Please call for reinspection RE: -^ - - [ )Unable to inspect no access Fire Supply Line --- -- -- ADA Approach/Sidewalk Other Date /�.5� .�' Inspector _ Ext Final PASSTPART FAIL j DO NOT REMOVE this inspection record from the job site. CITY r-)r TIGARD Commercial Building Permit Recd By 13125 SW HALL BLVD. Tenant Improvement Date Recd TIG'ARD, OR 97223 Date w P E. (503) 639-4171 Dare to D, r Permit#6(77 S Print or Type Related SWR# Incomplete or illegible applications will not be accepted Called Names of Develo ument/Proiecl r'< <, �� , Existing Building New building El - I Job � -- . Address Street Address —TScit� �-3Q5Building } g Data 1'.Iwow C 1 yS1 W m� Bldg* GdylState— Zit, Existing L' :of Bulldl-ng or�roperiy. Name Property L?c Proposec Use of Building or F, .�pelty. Owner Mailing Aadress it IY - bzm sYJ Gj2f s�t0.. G Zon I No. Of Stories. City/State Zia Phone 7 ='M Lt d -_ _ F�'hL,�►�o 04q�1.S �,qf,�, Sq. Ft. Of Project: Occupant Nam o S F Occupancy Class(es) j _-- ME'f't� 1✓ltcQ►+�al ADS Name Contractor MA'l-leu ,115,)G Type(s) of Construction - Prior to permit Mailing Address Suite issuance.a ccoy Will this project ha v Fire Suppression System? of all licenses -1 -,.1�1( Y2S No (] are required if City/State Zip Phone erpned in C.O T Americans with Disabilities Act(ADA) database f TI 3 ( aluation X 2a% = $id,Z Participation Oregon Conet Cont. Boerd Lia* Exp Date Complete Accessibility Form v !_�, Project $ ---- Name e� - � Valuation -- Architect �� Plans Required: See trix for number of sets to submit -----"--- M arling Address Suite on back City/Slate Zip Phone I hereby acknowledge that I have rend this apps -ation. that the information l/ given is correct.that I am the owner or authori: agent of the owner, and `GJ Z) that plans submitted are in compliance with Ore -n State Laws. Engineer Name Sig re of Owner/Agent Date _ r Mailing Address — Suite _—� - ont Ply rson Name Phone City/Stale Zip Phone FGR_OFFICE USE ONLY Indicatn type of work New O Addition O Demolition O tdap/TL# y — —rand Use Acressory Structure O Foundation Only O Alteration 0 Rerair O-- Other O — L- - -----J Description of work: Notes: TIF �—. ---- ------ Parks: Est mated*of Employees ------ �.�-__ Note- Site Work Permit Application must pnicede or accompany Building �J(. PermitApplfcition :OMNILWD �")- f'L G� T7•L1� OC (DST) 8 �UP fV tr 1 0 COMMERCIAL PLAN SUBMITTi�L REQUIREMENT MATRIX DISTRIBUTION TO PLANS OUT TO DST EXAMINERS (Note a.) TYPE OF SUBMITTAL TOTAL CPE PPE EPE PE PPE EPE SITE 1 1 -- -- 3 (j,o.u) -- -- B (New or Add) 1 1 -- -- 3 0,o,w) -- -- F (New or Add or Alt.) 3 3 740,0 M (New or Add. or Alt) i 1 -- -- 20,o) -- -- B & M (New or Add) 1 1 -- 3 (j,o,w) -- -- P (New, Add. or Alt) 2 -- B & M & P (New or Add.) 2 1 l - J (j,o,w) 20,o) -- E (New, Add, or Alt) 2 -- -- 2 -- - 20,o) B & M & P & E (New, Add) 3 1 1 1 3 O,o,w) 2(j,o) 2 (j,o) B or B & Ni (Alt) 1 1 -- -- 2 010) -- -- B & M&P(Alt) 3 1 2 -- 2 0o) 2 (j,n) - I B &M & P& E (Alt) 3 1 1 -` 1 2 OM 2 (j,o) 2(j,o)� -NOTES: a. Before returning to DST, Plans examiner gets appropriate j Job B = BUP number of revised plans from applicant. stamps and completes, o - Office M = MEC updates and adds actions. f= Fi.e P PLM L1 = USA E = EL.0 b. Shaded ergs designafe AL's submittals only: '.v = Wash. County F = FPS c. FOS is a new permit category set aside for fire sprinklers and fire alarms. d. Effective August 15, 1997, Tualatin Valley Fire. and Rescue no longer requires a set of approved plans to be forwarded to their office. Exception, continue to forward a copy of approved fire sprinkler and fere alarm plans with calculations. h Vmatnc Doc