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10220 SW G REER$U O IW#ROOP
-'� CITY OF TIGARD
MECHANICAL
DEVELOPMENT SElRViL,ES PERMIT
PERMIT #. . . . . . . : MEC97-0453
13125 SW Hall Bivd., Tigard,OR 97223 (503)639.4171 DATE ISSUED: 12"/16/97
— PARCEL: 1S135AB-01004
SITE ADDRESS. . . : 10;_L:0 SW GREENBURG RI) #ROOT_
SUBDIVISION. . . . : ZONING: C--P
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . . JURISDICTION: TIG
CLASS OF WORK. . :ALT FLOOR FURN. . . . : 0 EVAP COOL_ERS: 0
TYPE OF USE. . . . :COM UNIT HEATEF3. . : 0 VENT F'ANS. . . : 0
OCCUPANCY GRP. . :B::_ VENTS W/O ADPL: 0 VENT SYSTEMS: 0
STORIES. . . . . . . . : 0 BOILERS/COMPRESSORS HOODS. . . . . . . : 0
FUEL ',-3 HP. . . . : 0 DOMES. I NC I N: 0
3-15 HI'D. . . . : 0 COMML. I NC I N: 0
MAX T NPI JT: 0 BTU 15--30 HP. . . . : 0 REPAIR UNITS- 0
FIRE DAMPERS?. . : 30-50 HF'. . . . : 0 WOOOSTOVES. . : 0
GAE PRESSURE. . . : 50+ HP. . . . : N CLO Di�YER S. . : 0
NO. OF LIN i TS ----- - - --— AIR HANDL I NCi UN I TS OTHER UNITS. :
F'URN ( 100IJ1 BTU: 0 (= 1.O000 cf,m: 0 GAS OUTLETS. : 0
FURN ) =1O0K BTU: 0 > 10000 cfm: 1
Remarks : Install new cooling tower and 2 new pumps on roof
Owner: _._....____.______________________.______.__._._--------_-- -__-_-- FEES
L..INCOLN CENTER type amokint by date recpt
1022'0 W (aREENBURO
r1 RMT $ 26. 5r0 GEO 12/16/97 97-30181`:)
TIGARD OR 97223 PLCK t 6. 63 GEO 12/16/97 97-301819
5PCT $ 1. 33 GEO 12/16/97 97-301819
Phone #:
Contractor: ---____________.____.____--•-___-.__
HUNTER—DAV I SSUN
3410 SE 20TH AVE
$ 34, A-6 TOTAL_
F'ORTL_AND OR 97202
Phone #: 234-0477
Reg #. . : 00001.6
-- -- -- - REQUIRED I NSPE C-I I ONS --This permit is issued subject to the regulations contained in the Cooling Unt Insp
Tigard Municipal Code, State of Ore. Specialty Colles and all other Misc. Inspection
applicable laws. All work will be done in accordance with Final Inspection
approved plans. This permit will expire if worA is not started
within 188 days of issuArce, or if work is suspended for more
than 180 days. ATTEWIOI1 : Dregon law requires you to follow rules
adopted by the Oregon Utility Notification Center. Those rules are
set forth in DAR 952-801-0010 through OAR 952-001-0080. You say
obtain copies of these rules or direct questions to OUW, by calling
(503)246-9187.
Issr_ra 13 y Permit tee Signati.rre :
++++++++++++++++++++++++++-F++++++++++++++*++++•+++++++++++++++++++++++•t+++++-++++-
Call 639-4175 by 7:00 p. m. for inspections needed the next business day
+++++++++•+++++++++1•++++++++++++++++++++++++4++++++++++++++++++++++++++++++++++.
Ptan Check '3'?�
CITY OF TIGARD Mechan'cal Permit Application Recd By
13125 SM' HALL BLVD. Commercial and Residential Date Recd
TIGARD, OR 97223 Date to P E.— /
(503) 639-4171, x304 Date to DST
Print or Type Perrnit#
Incomplete or illegible applications will not be accepted called^-
Name of DeveiopmenVProleo I DescnpJOn --:::
Fl jji,F-I LN c-&/,r c Table 1A Mechanical Code CITY PRICE AMT
Job StrW Aadresa 8140 N) Permit Fee 10 Q0
Address /r,z.zv SW fQ0 o =-
Bidq/ ICey/Btrq IJP 1.) Furnace to 100,000 BTU 6,pO
including ducts&vents
Nerve to nems of 6U*- as) 2) Furnace 100,000 BTU+!~� 7.50
Owner h_i li k!; 'tom-6-S d� S/m p4 e,s..? including ducts&vents
Mailing Address
13.) Floor Furnace 6,00
including vent
CnyrSmie`� P Phone ~4) Suspended heater,wall heater 6.00
or floor mounted heater
Name(or nwrw of buxunsW 5) Vent not included in appiiawice permit 300
Occupant Madhq Addrose 6.) Boiler or comp,heat pump,air Gond. 600
to 3 HP;absorb unit to OOK BUT"
cnpsfne Zip Phone 7) Boilerm
or comp,heat pup,air cond 11 00
3-15 HP.absorb unit to 500K BTU"
Contractor Narna 8) Boder or comp,heat pump,air cond. 15.00
(Poor to -/-/U k7, ZX- DAV&Stl U (, . 15-30 HP,absorb und.5-1 and BTU—
issuance Mailing Address B) Boder or comp,meat pump,air cond. 2250
applicant �'r /i} S �} �VlG_ 30-50 HP;absorb unit 1-1 75mil BTU" _
must provide all Cifyrstare Zip Phone 10) Boiler or romp,heat pump,air cond. 37.50
contractor 4 of, 1 =,lfvi7) r7 r] 7&Y �3 ( ( >50 HP.absorb and 1.75 and BTU"
license Oregon Conn.Cont.Board UC,$ Exp Date11 j Air handling unit to 10,000 CFM a.50 _
information 0
for COT COT BUWWM Tax or Metro itExp Daae 12) At,,handling unit 10,000 CFM 7.50
database; _ /Yj r
e TTt
Architect Norm 13.) Non-potable evaporate cooler V 450
Or Mailing Address 14.) Vent fan connected to a single dud 3.00
En Indalr cnyrskatr. LP Phcne "- '— �--
g 15.) Ventilation system not included in 4.50
z ZTY-dN77 _ avuliancepermd
[Describe worts New O Adddion AMemlion• Repair O r 16) Hood served by mechanical exhaust 4.50
to trs done_ Residential O Non-residential m
Additional Description of work 17.) Domestic incinerators 7.50
ti n i f i{/ c-i,)t-1N6--MW��e. _
o 7 N ow P L)(K Ps 18) Commercial or industrial type :0.00
Incinerator
Existing use of 191 Repair unrts� 450
building or property
- 20) Wood stove �W 450
Proposed use of r2l Clothes dryer,etc 4.50
building or property r�
22 1 Other units _ s 450 i �,wi_
Type of fuel-oil O natural gas O LPG O electric O 23) Gas piping one to four outlet2 00
I hereby acknowledge that I have read this application,that the 24.) More than 4-per outlets(each) .50
information given is correct,that I am the owner or authonzed agent of
the owner,that olans submitted are in compliance with Oregon State — OTY SUBTOTAL
laws I
Signature of Owner/Agent Date 'SUBTOTAL
5%SURCHARGE 1
Contact Persen Name V Phone PLAN REVIEW 25%OF SUBTOTAL �
• l
�rrz•c.�r. J`H G+�L t.� Z 73V—OV 77 i I TOTAL
tdsttrnechpmt.doc trey 9 'Minimum ponmit lee i 525•5%surcharge _
"Residential A/C requirAs sue plan showing placement of u`iL I��
1999
SAVE - HISTORICAL INFORMATION
BUILDINGS) NAME CHANGE
PER KIT CHURCH, ENGINEERING
10220 GREENBURG RD, LINCOLN II NORTH
CHANGED TO 10220 GREENBURG RD, LINCO!_,N III
10220 GREENBURG RD, f.JNCOLN II SOUTH
CHANGED TO 10220 GREENBURG RD, LINCOLN II
l
CITY OF TiGARD BUILDING INSPECTION DIVISION MST
24-Hour Inspection Line: 639-4175 Business Line: 639-4171 ---
BLIP
Date Requested / ----AM._____ V PM , BLD -
I_.ocation i CMZ L-�, `a ��"1��J,. -L(n Suite _—_--- MEC _ –7
Contact Person Ph PLM
--
Contractor % ti /2,w�.�-0 Ph 7 SWR --
BUILDING 1-enant/Owner ELC _—
Retaining Wall ELR
Footing -
Foundation Access: �t �-- /' FPS
Ftg Drain -__—..—
Crawl Drain Irspecoon Notes: SGN ----- -- —
Slab --- -------- ---- SiT
Post&Beam -- - - —
Ext Sheath/Shear
Int Sheath/Shear —
Framing
Insulation. -- -------- -------_. --- --- -
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm _.---
Susp'd Ceiling
Roof — -- ___-,�----- _.-- —
Misc: _ - -------
Final __--._---- . ----------- _ __
PASS PART FAIL
PLUMBING
Post& Beam - - -- -- -------
Under
----Under Slab
Top Out -- ---
Water Service
Sanitary Sewer ------ -----
Rain Drains
Final —
PASS PART FAIL
NIC
Post 8 eam -- -- ---
Rough In +t�
Gasamine _.-. _.--- ---- ..-.—
Smoke Dampers
SS PART FAIL
ELIECTRICAL "- --- -^
Service
Rough In _- - ------ -_---- --- -�
UG/Slab
Low Voltage
Fire Alarm
Fina( _�.-
PASS PART FAIL
SITE -
BarkfilllGrading R - --- - — -- — — --
Sanitary Sewer
Storm Drain I J Reinspection tee of$ _ required before next in^pection Pav at City Hall. 13125 SW Hall Blvd
Catch Basin
Fire Supply Line [ )Please call for reinspection RE:_._ _ [ )Unable to inspect-no access
ADA
Approarh,'Sidewalk
Other Date i Inspector_ Ext
Final
PASS PART FAIL DO NOT REMOVE: this inspection record from the job site.
(J
CITY OF TIGARD BUILDING 1 INC INSPECTION DIVISION
24-Hour Inspection Linc: 6394175 Business Phone: 6394171
tate Requested: ' ' 1 3 - 7j" eJ, , - A.M. P.M. LIST:
Location. —__L0 2 2 0_ S�/�, W t --�/� BUP:. _ --
Tenant:_ — Smtc: Bldg: 3 MEC:
Contractor:_ Phone: � PLM:
Owner: rJ��� • Phone: ELC: 9(?-
ELR: --
1 ,0�iC'-?�4.9 J srr: _
BUILDING BLDG(con't) PLUP MECHANICAL LIXTRICA SITE
Site Post/Beam Post/liemn Post/Bearn ove ,ervtc Sewer/Storm
Footing Roof UndFI/Slab Rough-In Ceilin Water Line
Slab Framing Top Out Gas Line Rough-In UG Sprinkler
Foundation Insulation Sewer Ilood/Duct Reconnect Vault
Bsmt Damp Drywall Storm Furnace Temp Service MISC.
Masonry Ceiling Rain Thain A/C UG Slab
Shear/Sheath Fire Spklr/Alm Crawl/Found Ih ILeal Pump Low Volt
Approved Approval Approvedpprovc Approved
Appr/Sdwlk Not Approved Not Approved Not Approved o roved Not Approved
FINAL FINAL FINAL lIVA , FINAL
O Call for reinspection nspection fee of Srequires before next inspection O Unable to inspect
Inspector:_---- _.//! --- Date ! �_ image_ of
CITY OF TIGARD E'LEC:TRICAL PERMIT
DEVELOPMENT SERVICES PERMIT #: ELC96 -0052
13125 SW Na11 Blvd., Tlgard,OR 97223 (503)639-4171
DATE ISSUED: 02/03!96
PARCEL : 15135AP-01004
SITE ADDRESS. . . : 117220 SW GREENBURG RD #RC10F
SUBDIVISION. . . . . ZONTNG.0-P
BLOCK. . . . . . . . . . . LO1.. . . . . . . . . . . . . JURISDIC:T"JN: TIC;
Pro,_j er^t DF scar^i pt i.on : Installation, alteration, or relocation of a 200 AMP or less
service/feeder and eighteen (18) branch circuits to the cooling tower.
--RESIDENTIAL UNIT----- ---TEMP' SRVC/FEEDERS------- ------MISCELLANEOUS----
1000 SF OR LESS. . . . : 0 0 200 amp. . . . , . . : U PUMP/IRRIGATION. . . . : 6'_,
EACH ADD' L_ 500SF7. . . 0 =:0 i - 400 amp. . . . . . . : 0 SIGN/OUT LINE L..TG. . : 0
LIMITED ENERGY. . . . . 0 401 - 600 amp. . . . . . . : 0 SIGNAL_/PANFL. „ . . . : 0
MANF. HM/ SVC/FUR. . : 0 601+amps-1000 volts. : 0 MINOR LAPEL. ( 10) . . . : 0
--_--SERVI(',E/FEEDER----.__ _..__.__BRANCH CIRCUITS----__ AT)D' L_ TN9PFCTTnNS---
0 - 200 amp. . . . . . : 1 W/SERVICE OR FEEDER: 18 PER INSPECTTON. . . . . : 0
201 - 400 amp. . . . . . : N 1st W/O SRVC OR FOR. : 0 PER HOUR. . . . . . . . . . . : 0
401. - 600 am p. . . . . . : 0 EA ADD' L BRNCH CIRC: 0 IN PLANT. . . . . . .
601. - 1000 amp. . . . . : 0 -_.._________________-F'LAIV REVIEW SECTION--_._-------_.-_-_ _. -.- _
1(A004- amp/volt. . . . . : 0 ) =4 RES UNITS. . . . . . . . : ) 600 VOLT NOM:INAL. .
Reconnect only. . . . . : 0 SVC/FDR ) = 225 AMPS. . : CLASS AREA/SPEC OCC. :
Owner: ________.__.----- ------__.__ _________________._._..--.__.____.____.._..___ FEES
LINCOLN CENTER type amo�lnt by date t-ecpt
10220 SW GREENBURG PRMT 150, 00 GEO 02/03/98 98-302980 �
TIGARI) OR 97223 SI,CC 7. 50 GEO 02/03198 98-302980
Rhone #:
Contr-actor ;
CHRISTENSON ELECTRIC INC .'.57. 50 TOTAL
lit SW COLUMSIA
STE 480 ------- REQUIRED INSPECTIONS -
PORTLAND OR 97201 Ceiling Cover Under^grol_tnd Cove
Phone #: 241--4812 Wall Cover E' eit' l tiervice
Rig #. . : OOOCA04
This pertit is issued subject to the regulations contained in the Tigard Municipal Code, State of Oreqon Specidlty Codes and all other
applicable laws. All work will be done in accordance with approved plans. This pertit will expire if work is not started within 180
days of issuance, or if work is suspended for tore than 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by
the Oregon 11tility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 452-001-1987. You tay obtain a copy
of these rules or direct questions to OLINC by calling i 146-1987.
/
r'
e r m i t t e e S i g n e t�_�r e: I s s i.t e d B�. —.._ _.._ _...—_.._... G��_ ____...-------- ----- --,�
-----------------------------OWNER INSTALLATION ONLY-
The
NLY 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---------_-------._. _- _ _
L,TGNATURE OF 5UPR. ELEC' N: (,9-�lJ d' DATE
LICENSE NO:
4-++4.+++++-h+++++++++++++++•+++t-P-++++++++++++•f•+++++..-+++++++++++++++++++++++++++++y
Call 639-4175 by 7:00 p. m. for an inspection needed the next bi.isiness day
CITY OF TIGARD Electrical Permit Application Plan Check#
1125 SW HALL BLVD. Recd By _
TIGARD OR 97223 Date Rec'd
('hone (503)639-4171, x304 Dat)to P.E.
Data to DST
:nspection (503) 639-4175 Print or' Type Permit# S L[°r
Fax (503)684-7297 Incomplete or illegible will not be accepted Called
1. ,fob Address: i 4. Cotriplcte Fee Schedule Below:
Name of Development LINCOLN CENTRE LINCOLN III I Number of Inspections per permit permit allowed -
Name(or name of business) ROOF TOP COOLING TOWER, Service included: Items Cost Sum
Address 10220 SW GREENBURG RD 4a. Nesidential-per unit
1000 sq.It.or less $110.00
City/State/Zip TIGARD OR Each additional 500 sq.ft.or --
Commercial Residential ❑ portion thereof $25,00 t
Limited Energy $25,00
ROSS CROSBY Each Manuf'd Home or Modular
2a. Contractor installation only: Dwelling Service or Feeder $68.00---- - '
(Attach copy of all current licenses) 4b.Services or Feeders
Electrical Contractor CHRISTENSON ELECTRIC, INC. Installation,alteration,or reicycalipn 1
Addross 11 I SW COLUMBIA SUITE 480 _- 200 amps or less 0U�{ $60.00 (,U -
201 amps to 400 amps $80.00
City PORTLAND State OR Zip 97201-9RR6- . 401 amps to 600 amps $120.00 1
Phone No. 241-4812 _ 601 amps to 1000 amps $180.00 2
Job No. 222-0571 Over 1000 amps or vults $340.00 2
Elec.Cont. Lice. No. 26-34C Exp.Date Reconnect only $50.00 _ 2
OR State CCB Reg. No.^458 Exp.Date 4e.Temporary Services or Feeders
COT Business Tax or Metro No. Exp.Date Installation,alteration,or relocation
200 amps or less $50.00 2
Signature of raupr` C'r5 201 amps to 400 amps $75,00 2
_ 401 amps to 600 amps $100.00 _ 2
8735 Over 600 amps to 1000 volts,
License ._ _Exp.Date see•'b"above.
Phone Nrf 2 1-4812
4d.Branch Circuits
Now,alteration or extension per panel
2b. For owner installations: a)The fee for branch circuits with
Purchase of service or
Print O tuner's Name feeder tee.
Address Each branch circuit `- $5,00 90• 2
-"- b)The feo for branch circuits
City -_ Stat@ Zlp without purchase of
Phone No. -_ service or feeder fee.
First branch circuit $35.Uo
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
Own.Ws Signature (Service or feeder not included)
9 -__ _ _. Each pump or r n circle __ $40.00 2
Each sign or o ..jhring $40.00 ?
3. Plan Review section (it required):' Signal circult(s)a a limited energy
panel,alteration or extension $40.00 - 2
Minor Labels Of n) T $100.00
Please check appropriate item and enter fee In section 5B.
4 or more residential unit: in one stucture 4f.Each additional Inspection over
Service and feeder 225 amps or more the allowable In any c the above
System over 600 volts nominal Per inspection $3500
Classified area or structure containing special occupancy Per hou, $55.00
as described in N.E.C.Chapter 5 In Plant $55.00
`Submit 2 sets of plana with application where any of the above apply. 5. Fees:
Not required for temporary construction servicer►. 5e.Enter total of above fees $ 150.
_
5%Surcharge(.05 X total fees) $ _ .- ..
NOTICE Subtotal $
5b.Enter 25%of line 6a for
PERMITS BECOME VOID F WORK OR CONISTRUC71ON AUTHORIZED IS Plan Review if required(Sec.3) $
NOT COMMENCED WITHIN 180 DAYS,OR IF CONS I RUCTION OR WORK Subtotal $ 511-
IS SUSPENDED OR ABANDONED FOR A PERIOD Or 180 DAYS AT ANY rr-�
TIME AFTER WORK IS COMMENCED, LJ Trust Accountif
Total balance Due $ -�
157.50
1 MSTMELC99 Axl' RN 9199