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10220 SW GREENBURG RD 130
CITY OF TIGARD _CERTIFICATE OF OCCUPANCY
PERMIT#: BUP2003-00648
DEVELOPMENT SERVICES
DATE. ISSUED: 11/1212003
13125 SW Hall Blvd., 'Tigard, OR 97223 (503) 639-4171 PARCEL: 1 S 135AB-01004
ZONING: C-P
JURISDICTION: TIG
SITE ADDRESS: 10220 SW GREENBURG RD 130
SUBDIVISION: TWO LINCOLN - TOWN OF METZGER
BLOCK: LOT:
CLASS OF WORK: ALT
TYPE OF USE: COM
TYPE OF CONSTR: 2FR
OCCUPANCY GRP: B
OCCUPANCY LOAD: 6
1 ENANT NAME: CD FINANCIAL
REMARKS: Tenant improvement, new walls.
Owner:
EOP LINCOLN, LI-C
1 n260 SW GREENBURG RD
SUpIRTE 100 pR 9722
P Pho a ND503-234-6617
Contractor: -
C SCHIEWE & ASSOCIATE4 INC
1024 NE DAVIS ST
PORTLAND, OR 97232
Phone: 503-234-6617
Reg #: LIC `410-�
This Certificate issued 11/26/2003 grants occupancy of the above reference:,
building or portion thereof and confirms that the building has been inspected for
compliance with the State of Oregon Specialty Codes for the group, occupancy,
anA bunder i the referenced permit w,a� �ss�edn
BUILDING INSPECTOR BUILDItd OFFICIAL
POST IN CO^!SPICUOUS PLACE
CITY OF T IGARD Inspection Line: (503)639-4175
BUILDINGMMT
INSPECTION DIVISION Business Line: (503) 639-4171 rsIJF
Received I I. Zl�lay', Date Requested AM----- PM-- _--- BLIP
Location Suite MEC
Contact Person
Contractor Ph( ) ---------- SWR --- - ---.
DING Tenant/Owner ELC
ELC
Foun Access:
Ftg Drair, ELF! - - —_-
Crawl Drain SIT
Slab Inspection Notes' —
Post&Beam ------ - --
Shear Anchors
ext Sheath/3hear - --- --- -
Int Sheath/Shear
Framing - --------- -
Insulation
Drywall Nailing --- ---
Firewall
Fire Sprinkler - -- - - "
Fire Alarm - --
Susp'd Ceiling
Roof
in
ART FAIL �- _- -- ----- -
ING --- - --- --- - --- - -- -- -- .. --- --- -
Post& Beam -_-__-,�-
Under Slab -- - - - --
Hough-gin _
Water Service -- --� � --�- ---
Sat rtary Sewer
Rain Drains -- --
Catch Basin/Manhole
Storm Drain -
Shower Pan -
Other: --
Firal _
PASS PART FAIL
MIECHANICAL -
Post&Beam
Rough-In ---- -
Gas Line
Smoke Dampers -
Final
PASS PART FAIL -- -
LECTRICAL --
Sorvice -
Rough-In - - -- -- - _
UG/Slab _----
Low Voltage --
Fire Alarm
Final Reinspection fee of$_ - _-.required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
PASS PART FAIL
SITE Please call for einspection RE: Unable to inspect-no access
Fire Supply Line /
ADA Date -, Z_ {--'-�- Inspector -- — ---- -Ext
Approach/Sidewalk i -
O'her
Final DO NOT REMOVE this Inspection record from the job site.
PASS PARS FAIL
�\ CITY
ITY O F T I G A R D BUILDING PERMIT
PERMIT#: BUP2003-00648
DEVELOPMENT SERVICES DATE ISSUED: 11/12/03
13125 SW Hail Blvd., Tigard, OR 97223 (503) 639-4171 PARCEL: 1S135AB-01004
SITE ADDRESS: 10220 SW GREENBURG RD 130
SUBDIVISION: TWO LINCOLN - TOWN OF METZGER ZONING: C-P
BLOCK: LOT- JURISDICTION: TIG
REISSUE: _ FLOOR AREAS EXTERIOR WALL CONSTRUCTION
CLASS OF WORK: ALT FIRST: Sf N: S: E: W:
TYPE OF USE: COM SECOND: sf PROJECT OPENINGS?
TYPE OF CONST: 2FR 5f N: S: E: W:
OCCUPANCY GRP: B TOTAL AREA: 0 sf ROOF CONST: FIRE RET?
OCCUPANCY LOAD: 6 BASEMENT: Sf AREA SEP. RATED:
STOR: HT: ft GARAGE: sf OCCU SEP. RATED:
BSMT?: MEZZ?: _ REQD SETBACKS _ REQUIRED
FLOOR LOAD: psi LEFT: ft RGHT: ft FIR SPKL: SMOK DET:
DWELLING UNITS: FRNT: ft REAR: ft FIR AL.RM : HNDICP ACC:
BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING:
VALUE:
Remarks: Tenant improvement, new walls.
Owner: Contractor:
EOP LINCOLN, LLC C SCHIEWE & ASSOCIATES INC
10260 SW GREENBURG RD 1024 NE DAVIS ST
SUITE 100 PORTLAND,OR 97232
PORTLAND,OR 97223
Phone:
Phone: 503-234-6617
Reg #: LIC 54105
FEES e REQUIRED INSPECTIONS
Description Date Amount Mechanical Permit Require
I.\\I R Slam Surchar! 11/12/03 $8 84 Electrical Permit Required
1BUILD1 Pernut I-ce 11/12/03 $110.50 Framing Sprinkler Permit Required
II�UPPI.NI Pln It% 11/12/03 $71.83 Gyp Board Insp
III SI I.-LS Pln Its• 1 1/12/03 $44.20 Final Inspection
Total $235.37
This permit is Issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes
and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is
not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law
requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952-001-0010 through OAR 952-001-0100. You may obtain a copy of these rules or direct questions to OUNC by
calling (503 _246-6699 or 1-800-332-2344.
Issu d By:
Permittee � _--
Signature:
s
Call 639-4175 by 7 p.m. for an inspection the next business diy
Buildin Permit A lication FOROPFICEITSEOTILY
-- '„ `-� Received Building
Dale/By: 1W,"1&4 Permit
City (111 ;i igard Planning Approval Other
13125 SW Hall Blvd. Date/By: Permit No.: —
Plan Review Other
Tigard,Oregon 97223 Date/B : 1-11LO-11"Z-631APermit No.:
Phone: 503-639-4171 Fax: 503-598-1960 Post-ReviewLand Use —'
Internet: www.ci.tigard.or.us Datc/By- Case No.
24-hour Inspection Request: 503-639-4175 Contact Juris.: See Page 2 for --
Name/Method — Su PlementalInformation
v
TYPE OF WORK _�� REQUIRED DATA:
Jt w construction Demolition --I 1 &2 FAMILY DWELLIiYC.
Adttition/alteratio_n/re lacement Other: _ — --
CATEGORY OF CONSTRUCTION Note: Permit fees'arc based on the total value of the work performed. indicate
I &2-Family dwelling 19commercial/Industrial the value(rounded to the nearest dollar)of all quipment,materials,labor,
Accessory Buildin
overhead and profit for the work indicated on this application.
�] Multi-Family
Master Builder L]Other: Valuation........................................................ $_
JOB SITE INFORMATION and LOCATION _ No.of bedrooms: No.of baths:
Job site address: 1OZ20 3W GraC1 buv:s (ion Total number of floors...........................I.........
Suite#: 130- Bld ./A t.#:Two Lineol h New dwelling area(sq.fl.) ............................ _
Garage/carport arca(sq.ft.))............................
Project Name: GD F1yIjAc.1aJ Covered porch ar^:+(sq.ft.).............................
Cross street/Directions tc job site: Deck area(sq.ft.)............................................
Other structure area(sq.(l.)............................
REQUIRED DATA:
Subdivision: Lot
COMMERCIAL-USE CHECKLIST
_ #:
Tax map/parcel #: __� Note: Permit fees*arc based on the total value of the work performed. Indicate
TION
DESCRIPOF WORK the value(rounded to the nearest dollar)of all equipment,materials,labor,
ehah)'t I1�f ro�eYhGvl'� - - overhead and profit for the work indicated on this application.
Valuation.............. 00
Existing building area(sq.ft.).........................
— ---- New building area(sq. R.)............................... SF
Number of stories............................................ m g(X —
_PROPERTY OWNER 10 TENANT Type of construction....................................... -
Name: EAu1TY Cf FiG6 PR0FC-F-TIE-s Occupancy group(s): Existing:
Address: One SW t:olvm bi a SVi ie Soo New:
Cit /State,'Zi :_ prtla► 972Z8 --
Phone:s" 412--Pito i Fax: NOTICE: All contractors and subcontractors are required to be
PQ
APPLICANTrONTACTPERSON licensed with the Oregon Construction Contractors Board under
�---- provisions of ORS 701 and may be required to be licensed in the
Business Name: C7't AI' i tCG FGS jhG, jurisdiction where work is being performed. If the applicant is exempt
Contact Name: Ra (-. Glur from licensing,the following reason applies:
Address:
� 11_20 MW Couch► S't,• Sv 1 te 300 -
City/State/Zip: port aha(—01_X_. —
Phone:503 2Z -166& Fax: - ttuIt nu `o' RnuT rrls�•.E-mail: --
- - 1'Icasc refer 10 fcc schedule.
aCONT'iRACTOR i'., .. —_ ---------
.- . - - -
Business Name: C. Sebt iewe C.OnstVvc tlon Fees due upon application.................. ..........
Address: __ 10Z¢ N PWis St.
City/State/Zip: FOrtl?►%d . C)P-. 97232 Amount received..................................... ....... fi
Phone5o$ 2$+-GGJ7 I _ax' Date received:
CCB Lic. 105 ------ - - -- - _ I
Authorized -- -
Signature: M, �- Date: Z t�3 Notice: This r.rnmlt application expires if a permit is not obtained within
----- 180 days after It has been accepted as complctr.
�� R. Glur
-- - - - — -
*Fee methodology set by Tri-County Building Industry Service floard.
(I'lease print name)
is\Dsts\Permil Fornuv3ldgPermitApp.doc 01103
GF F41anci-1 l
2` - 130
Accessibility:
Barrier Removal huprovement Plan
City of Tigard
REQUIREMENT: OREGON REVISED STATUTE (ORS) 447,241.
(1) Every project for renovation, alteration or modification to affected buildings and related
facilities shall be made to insure that the path of travel to the altered area and the restroom,
telephones and drinking fountains are readily accessible to individuals with disabilities unless
such alterations are disproportionate to the overall alterations in terms of cost and scope.
(2) Alterations made to the path of travel to an altered area may be deemed dispropoirionate to
the overall alteration when the cost exceeds twenty-five per-cent(25%).
VALUATION: of all renovation, alteration or modification being done
excluding painting, wallpapering. [1] $_'7,000.00
multiply. 25% Barrier removal requirement. .25
BUDGET FOR BARRIER REMOVAL. [21 $ `00 _
In choosing which accessible elements to provide udder this section, priority shall be given to those
elements that will provide the greatest access. Elemer shall be provided in (fie following order:
(a) Parking lot res+Yirr4' , neuisite work �oII $ 1,75Uioo
rework Gircvl�tjon Q"d ,tccP,fri6leratL14Ay_f
(b) An accessible entrance: // $_
(c) An accessible route to the altered area: $
(d) At least one accessible restroom for $
each sex or a single unisex restroorn:
(e) Accessible telephones: $
(f) Accessible drinking fountains: and $
(g) When possible, additional accessible
elements such as storage and alarms: $
TOTAL: Shall equal line 2 of Value Computation $ .750 ,°p
i\dsts\forms\Accessibility.doc 06/07/02
CITY OF TIGARD 24-Hour
BUILDING InFpectiorr Liiw: (503)639-4175
MST - - -- ----- --
INSPECTION DIVISION Business Lone: (503) 639-4171
BUP
Received - -_.—Date Requested_. __ x,2'"1 AM4 PM.-__--- BLIP
Location Ad Suite_rl - -- MEC
Contact Person —._ wf ---- — Ph(--_—_) _ _~_1 �n - PLM J---
Contractor __-- ----__-_-- — Ph(--.__--) . ---__—___ - --- SWR
BUILDING Tenant/Owner �_ - -- ELC
Footing ELC
Foundation Access:
Fig Drain
Crawl Drain - ---
Slab Inspection Notes: SIT --_
Post 11, Beam
Shear Anchors
Ext Sheath/Shear
Int Sheath/Shear
Framing - ----- = --- -----
Insulation
Drywall Nailing ---
Firewall
Fire Sprinkler -- --` --
Fire Alarm
Susp'd Ceiling - -
Roof
Other.
Final _
PASS PART FAIL
PLUMBING_
Post&Beam
Under Slab -
Rough-In
\'rater Service -
Sanitary Sewer
Rain Drains
Catch Basin/Manhole
Storm Dram
Shower Pan
Other:
Final
PASS PART FAIL
_MECHANICAL -
Post&Beam
Rough in
Gas Line
Smoke Dampers
Final
ft
PART FAIL
CTRICAce
Rough-In
ffiGolta a � Jlarm
_ PART FAIL L] Reinspection fee of$�_ required before next Inspection. Pay at City Hall, 13125 SW Hall Blvd.
SITE F-1 Please call f rein action RE: __ _ nable to Inspect-no access
Fire Supply Line
ADA DaN
_� Inspsato �
Approach/Sidewalk
Other-
Final
ther Final DO NOT REMOVE this Inspection record Morn the fob site.
PASS PART FAIL
CITY OF TIGARD —� ELECTRICAL ENERGY-
(v" RESTRJCTED ENERGY
DEVELOPMENT SERVICES PERMIT#: ELR2003-00359
13125 SW Hall Blvd., Tiqard. OR 97223 (503) 639-4171 DATE ISSUED: 11/24/03
SITE ADDRESS: 10220 SW GREENBURG RD 130 PARCEL: 1S135AB-01064
SUBDIVISION: TWO LINCOLN - TOWN OF METZGER ZONING: ,-P
BLOCK: LOT: JURISDICTION: TIG
Proiect Description: Job No C-006
A.RESIDENTIAL B.!COMMERCIAL
AUDIO & STEREO: AUDIO & STEREO: INTERCOM & PACING:
BURGLAR ALARM: BOILER: LANDSCAPE/IRRIGAT:
GARAGE OPENER: CLOCK: MEDICAL:
HVAC: DATAITELE COMM: NURSE CALLS:
VACUUM SYSTEM: FIRE ALARM: OUTDOOR LANDSC LITE:
OTHER: HVAC: PROTECTIVE SIGNAL.: X
INSTRUMENTATION: OTHER:
TOTAL_# OF SYSTEMS: 1
Owner: Contractor: —
EOP LINCOLN, LLC COMMWORLD OF PORTLAND
10260 SW GREE1dBURG RD 5711 SW ARCTIC DRIVE
SUITE 100 PO BOX 3675
PORTLAND, OR 97223 BEAVERTON, OR 97005
Phone: Phone: 503-520-1220
Reg #: l-W6-023503916
ELE 26-890CLE
SUP 3541 LEP
_ FEES Required Inspections
_Description Date _ Amount Ceiling Cover
I1.LPRMT ELR Permit 11/24/03 $75.00 Wall Cover
Elect'I Final
TAXI K State Surcharl 11/24/03 $6.00
Total $81.00
This Permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and
all other applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not
started within 180 days of issuance, or if work is suspended for 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 OAJR 952-001-0010 throuc
�?
Issued by 1 _ Permittee Signature
OWNER INSI ALLATION ONLY
The installation Is being made on property I own which is not intended for sale, lease, or rent.
OWNER'S SIGNATURE: _ DATE.____ _
CONTRACTOR INSTALLATION ONLY
SIGNATURE OF SUPR. ELEC'N _ DATE
LICENSE N O: –___---
Call 639-4175 by 7:00 P.M. for an Inspection needed the next business day
1 1 A
• d Llcctricai
I�lectricll Permit A1) ci3t• — . Date/B Receive: I -03 ie Permit No,:
Planning Approval Sign
r y Permit No.:
City 0f Tigard rl est 1l Orm Plan
Other
°Ian Review
13125 SW Hall Blvd. Dat eA3 : permitNo.:
Tigard,Oregon 97223 Post-Review Land Use
Phone: 503-639-4171 Fax: 503-59S-:960 Dot c/By Case No.:
Contact 1uris.: See Page 2 for
Internet: www.ci.tigard.or.us Contact
Su lemenlalInformation.
24-hour Inspection Request: 503-639.4175 -----
TYPEDF WI�.Lk PLAN REVIEW Please checkall that apPl ')) ! _
_ ,_._----- Health-care facility
Lemolition Service over 225 amps (�I{azardous location
New construction __----- commercial
Additian/alteration/re lacemeint Other: C]Service eo ler 320 amps ratin of ffoour or more res denuilding over ntialunits in feet,
CATEGORYOF CONSTRUdwellings
CTION '� [I System over 600 volts nominal
one structure
1 &i-Famil dwellin Commercial/Industrial ❑Building over three stories El Feeders,400 amps or more
AceessorY ButldlTlg Multi-Family _ ❑Occupant load over 99 persons ❑Manufactured structures or RV park
❑i?gressAighting plan ❑Other:
_ Master Builder Other: Submit_-__sets of plans with any of the above.
JOB SITEYNFORMATION end LOCATION --'rhe above are not applicamble to teorary construction_ service._ ,
— ____ _.•
Job site address: 10220 SW Greenbura Rd 1 30 — FEC*SCNEllU_E.____
Number of Ins ectlons )er ermit allowed
Suite#: Ste. 130 Bid ./A t.#: - rlty Hee tea.► Total
Descrl tion
pro'ectName: CD Financial Services New residential-single ormulli-family per
Cross street/Directions to job site: dwelling unit.Includes attached garu^e.
Service Included: 4
1000 s .R.or less _145.15
]].40 1
Lincoln Building Each additional 500 s .ft,or rtion thereof 75,00 2
Limited ener residential 75.00 2
Subdivision: — Lot#: Limited ener non residential -
Each manufactured home or modular dwelling 90.90 2
P A Iris /p3rCCI #: cr service and/or feeder
DESCRIPTION OF WORK-_ 1++ - Services or feeders-Installation,
----" - -_"^ alteratlen00 or relocation: 80.30 2
_- -- 2am s or less 2
106.8
201 am s to 400 amps 160.60 2
-- - - 401 am s to 600 amps 240.60 2
_ 601 amps to 1000 amps 454.65 2
PROPERTY OMNI R TENANT''' ___-- 2
--"-_ _ _—•— Over 1000 am s or volts 66.85
Name: _ _ Reconnect only
Temporary services or feeders-Installation,
Address: alteration,or relocation: 66.85 1
200 amps or less _ 100.30 2
CA /State,/Zip: ------—" 201 am s to 400 ams --
_ Fax: 401 to 600 ams 133'5 2
Phone: _
t. CONTAC 'PERSON ON Branch circuits-new,alteration.or
APPLICAN extension per panel:
Name: A.Fee for branch circuits with purchase of 5.65 2
Address: service or feeder fee,each branch circuit
B.Fee for branch circuits without purchase of 46.85 2
City/State/Zip: service or feeder fee first branch circuit — 6.65 2
Phone: N ax: Each additional branch circuit
---- Misc,(Service or feeder not included): 53.40 2
E-mail: __ Each pump or irriastion circle 53.40 2
'? __CONTRA_CTOIt _ __ Each si not outline lighting
Job No:-c-O O 6 5 _� Signal circuits)or a limited energy panel, ` 1 75.00 2
_ --------"" alteration or extension*
Business Name' "Description:
Address: 5711 S.W. Arctic Drive Each additlonsl Inspection over-the all
Clt /State/Zit): Beaverowable In an of the above:
Beaverton, OR. 97005— Perins ction rhour-min. 62.50
—'— Investigation fee:
Phone: 520-1220 Fax: 646-025 Other
Lic. #: - L]ii r, ti . ,` le�f�lsil: i
CCB Lic. #:10 916 i » yY
subtotal a ??,
Supervising electricia
signature required: _ , Plan Review 25%of Pctmit
amLiState Surcharge(B%of Permit Fec) $
Print Ne:Bert�►1�, C. _ TOTAL PERMIT FEE $
r Notice: Thls permit application expires if a permit Is not obtained within
AuthorizedDate: P,t/ j 180 days after it has been accepted as complete.
Signature: �t�' - �,�4,ti�t�
•Fee methodology set by Tri-County Building Industry Service Board.
(Please pant name)
rte
CITY SOF TIGARD 24-Hour
BUILDING Inspection Line: (503)639-4175 MST —__ ---.
INSPECTION DIVISION Business Line: (5003)639-4171 BLIP
Received ��I--P —.`Date Requests _—__� Z �K/1 PM — BUP -----.--
MEC
Location _4 Suite
P ) X13--�J�—'_ PLM
Contact Person - --
Contractor ____ ——_ PhSWR
( _—) -- --
-_ - -
BUILDING Tenant/Owner ___ ELC
Footing ELC --
Foundation Access: ELR
Fig Drain -
Crawl Drain SIT
Slab Inspection Notes: -
Post&Beam
Shear Anchors I
Ext Sheath/Shear
Int Sheath/Shear i
Framing
Insulation
Drywall Nailing --
Firewall
Fire Sprinkler -- ------
Fire Alarm
Susp'd Ceiling
Roof -
Other:--------
Final — --
_PASS_PART FAIL
PL
_ UMBING
Post&Beam _
Under Slab — —
Rough-In _
'.Nater Service
Sanitary Sewer
Rain Drains -
Catch Basin/Manhole _ _ --
Storm Drain _
Shower Pan -
Other:- -_
Final
PASS PART FAIL_ --- ------- -f--- -—
MECHANICAL
Post&Beam
Rough-In
Gas Line
Ffnfn7ca Dopers _ - -
SS ART FAIL
Service
Rough-in ------- -
UG/Slab
LowVoltage -
Fire Alarm
Final F] Reinspection fee of$ —_ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
PASS PART FAIL
SITE J Please call for reinspection RE-_ Unable to inspect-no access
Fire Supply Line
ADA Date_—LIZ, tO_( 0 •� Inspector — J Ext _
Approach/Sidewalk
Other:
Final DO NOT REMOVE this Inspection record from the jub site.
PASS PART FAIL
CITY OF TIGARD 24-Hour
BUILDING Inspection Line: (503)639-4175 MST
INSPECTION DIVISION Business Linn: (r.03) 639-4171
BLIP
a.S _._ _ __
Received � Date Requested _ l � AM PM BLIP --- --- "—
Location ` a o� -� Suite l _—__ MEC — - --
Contact Person .__ _ _ Ph _ ) / _ PLM — -----
Contractor - - ----__— - -- Ph(--) _(Q_a5f�_�_,�L__ SWR
BUILDING
Tenant/Owner _l7 _ - ELC 3 TDO (.86
Footing -- "-� FLC —
Foundation Access:
ELF!Ftg Drain
Crawl Drain SIT --
Slab Inspection Notes: -
Post&Beam - - --
Shear Anchors
Ext Sheath/Shear - -- — -----^--- —
Int Sheath/Shear —
Framing ----- -------
Insulation
Drywall Nailing -
- - -Firewall -
Fire Sprinkler -
Fire Alarm
Susp'd Ceiling - - -
Roof -- —__
Other:
Final
PASS PART FAIL
PLUMBING --- --
Post&Beam
Under Slab
Rough-In
Water Service --
Sanitary Sewer
Rain Drains -
Catch Basin/Manhole
Storm Drain
Shower Pen _ — -
Other:
Final
PASS PART FAIL_
MECHANICAL —
Post—&Beam
Rough-In
Gas Line _
Smoke Dampers - -- -- y---—
Final h1 � r( — -
PASS PART__ FAIL
ELECTRICAL —
Service r
Rough-In _VFc, ---— --
Low Voltage --- _-�-—
Fire_Alarm r
Reinspection fee of$—_- - - required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
1 53 PART FAIL
�i SITE Please call f r reinspection RE: Fj Unable to inspect-no access
Fire Supply Line
ADA Date /, - — Inspect or -' ���, Ext_---
Approach/SidewalkT
Other:._
Final DO NOT REMOVE this Inspection record from the job Its.
PASS PART FAIL
CITY OF TIGARD ELECTRICAL PERMIT
PERMIT#. 1/131 L'3 00680
11/
DEVELOPMENT SERVICES DATE ISSUED: 113/03
13125 SW Hall Blvd., Ticiard, OR 97223 (503) 639-4171 PARCEL: 1S135A8-01004
SITE ADDRESS: 10220 SW GREENBURG RD 130
ZONING: C-P
SUBDIVISION: TWO LINCOLN-TOWN OF METZGER
BLOCK: LOT: JURISDICTION: TIG
Project Description: (2)branch circuits for tenant improvement. Job No.4140
RESIDENTIAL UNIT TEMP SRVC/FEEDERS ` MISCELLANEOUS
1000 SF OR LESS: 0 200 amp: PUMP/IRRIGATION:
EACH ADD'L 500SF: 201 400 amp: SIGN/OUT LINE LTG:
LIMITED ENERGY: 401 - 600 amp: SIGNAL/PANEL:
MANF HMI SVC/FDR: 601+amps - 1000 volts: MINOR LABEL (10):
SERVICE/FEEDER BRANCH CIRCUITS ADD'L INSPECTIONS
0 200 amp: W/SERVICE OR FEEDER: PER INSPECTION:
201 - 400 amp: 1st W/O SRVC OR FDR: I PER HOUR.
401 600 amp: EA ADD'L BRNCH CIRC I IN PLANT:
E01 - 1000 amp: PLAN REVIEW SECTION
1000+ amp/volt >=4 RES UNITS: > 600 VOLT NOMINAL:
Reconnect only: SVC/FDR>=22P,AMPS: CLASS AREA/SPEC OCC:
Owner: Contractor:
EOP LINCOLN,LLC WILLAMETTE ELECTRIC'NC
10260 SW GREENBURG RE PO BOX 230547 ;
SUITE 100 TIGARD.OR 97281
PORTLAND,OR 57223
Phone: Phone: 503-624-3631
Reg #: LIC 75059
— ----- I'1' 19655
FEES 1 i l'. 34-283C
Description Date Amount
—.— _ Required Inspections
11 1 I'lw-rl ILC 1'crnul 11 1 1 1!; $53 50 — ----�"
1 \.N l R'%State Surcharge 11 11 w $4.28 Rough-:r,
Elect'I Final
Total $57.78
L_
This Parmit is issued subject to the regulations contained in the Tigard Municipal Code,State of OR.Specialty Codes and all other applicable laws. All
work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance,or if work is suspended
for more tht n 180 days. Al T ENT ION Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set
forth inOA 001-0010 through OAR 952-001-0100. You may obtain copies of these rules or direct questions to OUNC at(503)246.6699 or
1-800-332- 344.
Issued Permit Signature: ,
OWNER INSTALLATION ONLY
The installation is being made on property I ,awn which is not intended for sale, lease, or rent.
OWNER'S SIGNATURE _ _ _. DATE%_
CONTRACTOR INSTALLATION ONLY
SIGNATURE OF SUPR. ELEC'N:
LICENSE NO: — --- -------- -
Call 639-4175 by 7:00pm for an inspection the next business day
Electrical Ptermit Application
Received L ectrical
Date/B �� / .d 5 Permit No.. G 'y 00
City of Tigard RECEIVED Planning Approval Sign
13125 SW Hall Blvd. Date/By: Permit No.: _
Plan Review Other -
Tigard,Oregon 97223ate/B : no's
NOVNSU 12 20 Permit No��i' ''
Phone: 503-639-4171 Fax: 503-598,1960 ost-Re ew Land Use – —
Internet: www.ci.tigard.or.us %."iTY OF TI( Dat e/a : case No.:
24-hour Inspection Request: 5033UNAW Contact Juris.: See Page 2[or
Name/Method: ISupplemental Informaelon.
tsite
ea ,struction tie t)(,ll101ttll)n ❑� rvice aver 22:i amps- Health-care facility
commercialalteration/re lacement Other: ❑Hazardous location
NSTIt ❑Service over 320 amps-rating of ❑Building over 10,000 square,feet,
"- »' 1&2 family dwellings tour or more residential ui�i's in
mily dwelling ConimercialMdustrial ❑System over 600 volts nominal one structure
Buildin Multi-Family ❑Building over three stories ❑Feeders,400 amps or more
1 1 Occupant load over 99 persons ❑Manufactured structures or•RV park
uilder Other: ❑Egress/lighting planOther:
3ubnUt sets of tlnns with any of the above.
BS 1NTtO.RlAtt1 — tThe above are not a lcable to tent orar construction service.
ess: �t. � z c <<•,, c�Bld ./g Apt,#: Number of inspect ons er eML allowed
Project Name: F, ti.R , ,�� �`�t e• Descrl tion Qty Fee(ea.) Total
Crow street/Directions to Job site: — New residential-single unit.Include or tache gamy per
dwelling unit.Includes attached garage.
L Service Included:
1000 sq ft.or Icss 145.15 4
Each additional 500 sq.ft.or rtion thereof 33.40 I
Subdivision: Lot#: Limited energy,residential 75,600 2
'- --- - -- ---- Limned energy,non residential 75.00
Tax ma arCCl #: Each manufactured home or modular dwelling
�1Ac D>?$C1tI1'11'X01,i,(3f 1VORI� :y ri, a ;i•vwe and/or feeder 90.90 2
. I Services or feeders-Installation,
alteration or relocation:
200 ams or less 80.30 2
�._... ---- -- - -- 201 amps to 400 amps _ (06.85 2
T-560-401 ams to 600 amps _ 16060 2
601 amps to Ileo ams .Name: 140.60 2
Over 1000 amps or volts 454.65 2
i Reconnect onl 66.85 _ 2
Address: Temporary services or feeders-Installation,
- --- - - alteration,or relocation:
Cit /State/Zi
-- -�-----p' 200 amps or less 66 95 1
Phone: Fax: 101 amps to aa_ )amps ion�() _ z
401 tc 600 amps 137 -:7f2
t'iI 5 GT PE Branch circuits-new,alteration,or
A,__ _ :.
Name: - extension per panel:
Address: A.Fee for branch circuits with purchase of
------.- - _-_____- service or feeder fee,each branch circuit 6.65 2
City/State/Zip: B.Fee for branch circuits without purchase of
- - --- —
Phone: Fax: service or feeder fee,rust branch circuit I 46.85 Y62
Each additional branch circuit 6.65 2
E-mail: Misc.(Service or feeder not included):
Each pump or irrigation circle _ _53.40 2
Each signor outline lighting53.40 2
Job NO: 1 Signal circuits)or a limited energy panel,
Business Name: alteration or extension
n Th t /" `. Description, Pae 2-- _ - 2
Address: - e,�, „ �� c- -�r _ _
Cit /State/Zi q } Z t__�� Each additional inspection over the allowable in an of the above:
Per inspection per hour(min. I hour) 62.50
Phone: l Fax: - 'Z ;S' Investigation fee: `–
CCB Lic. #: ZS�� i ci t.ic.#: _.�YOther:_ z � _ .�.. ` _� icx_ .
HEF
Supervising electrician LL - Subtotal I r 1.
signature required: v.. Plan Review 25%of Permit Fee) $
Print Name: I, ic. #: /q , 1 S State Surchar a S%of Permit Fee S 9
TOTAL PERMIT FEE I S S r f
H.ahorized Notice: This permit application expires if a permit is not obtained within
Signature _ Date: 180 days atter it has been accepted as complete.
`Fee methodology set by Tri-County Building Industry Service Board.
--�- (Please print name) —
i:\Dsts\Permit Forms\ElcPetmitApp.doc 01/03
Electrical Permit Application - City of Tigard
Page 2 - Supplemental Information
LUNUTiFll ENERGY PERMIT FEES:
RESIDENTIAL WORK ONLY:
Fee for all systems............................................................ $-75.00
Uhcck Type of Work Involved:
11 Audio and Stereo Systems*
L] Burglar Alarm
11 Garage Door Opener*
0 Heating,Ventilation and Air Conditioning System*
L, Vacuum Systems*
Other
COMMERCIAL WORK ONLY:
Feefor each system.......................................................... $75.00
(SEE OAR 918-260-260)
Check Type of Work Involved:
Audio and Stereo Systems
IRoiler Controls
Clock Systems
QData Telecommunication Installation
Fire Alarm Installation
HVAC
Instrumentation
Intercom and Paging Systems
Landscape Irrigation Control*
Medical
nNurse Calls
LJ Outdoor landscape Lighting*
Protective Signaling
Other-- --
Number„f ti%etrm�
*
No licenses are required. License.;are required for all
other installations
L)sts\Permit Fmms\ElcPrnrdtAppPg2.doc 0110.4
CITYOF TIGARD MECHANICAL PERMIT
DEVELOPMENT SERVICES PERMIT#: MEC2003-00654
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 11!13/03
PARCEL: 1 S 135AB-01004
SITE ADDRESS: 10220 SW GREEN3URG RD 130
SUBDIVISION: TWO LINCOLN - TOWN OF METZGER ZONING: C-P
BLOCK: LOT: JURISDICTION: 'FIG
CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS:
TYPE OF USE: COM UNIT HEATERS: VENT FANS:
OCCUPANCY GRP: B VENTS W/O APPL: VENT SYSTEMS:
STORIES: BOILERS/COMPRESSORS HOODS:
_ FUEL TYPES 0 - 3 HP: DOMES. INCIN:
3 - -15 HP: COMML. INCIN:
MAX INPUT: BTU 15 - 30 HP: REPAIR UNITS:
FIRE DAMPERS?: 30 - 50 HP:
OD
GAS PRESSURE: 50 + HP: C
FURN < 100K BTU: _ AIR HANDLING UNITS CLO DRYERS:
OTHER UNITS:
FURN >=100K BTU: <= 10000 cfm:
> GAS OUTLETS:
10000 cfm:
Remarks: Relocate grilles and Imeumatic tlicrnwstats.
Owner: ^FEES
EOP LINCOLN, LLC Description Date Y Amount
10260 SW GREENBURG RD
loll t llI I'ernut Fer 11/13/03 $72,50
SUITE 100
PORTLAND, OR 97223 �1 \\� titate Sul C11,11 11/13/03 $580
Phone: Total $78.30
Contractor:
MCKINSTRY CO
5400 NE COLUMBIA BLVD
PORTLAND, OR 97218 REQUIRED INSPECTIONS
Phone: 331-0234 Misc. !nspection
Final Inspection
Reg #: LIC 40981
This permit is issued subject to the regulations contained in the Tigard Municipal Code. State of Ore Specialty Codes
and all other applicable laws. All work will be done to accordance with approved plans. This permit will expire if work is
not started within 180 days of issuance, or if work is suspended for more than 180 days. .ATTENTION: Oregon law
requires you to follow rules adopted in the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-00
Issued By: .f!, r_ ;, �;� Permittee Signature:
Call (503) 639-4175 by 7:00 P.M for inspections needed the next business day
Mechanical P 't A lication
— —,./�� 71)ateieceivcd:r1 ,3 E-'3 Hermit no.:City of Tigard .n .: Expire date:
[5m o/Tigard Address: 13125 5W Hall Bl ►,I"R'igatd,OI7i!tT Date issued: By Receipt no.:
Phone: (503) 6304171
Fax: (503) 5919-1460 Case file no.: Payment type:
CITY OF TIGARD
Land use approval: BUILDI ":MPr n"__ Building permit no
IUr .
IN W-MRS-2
U 1 &2 family dwelling or accessory U Commercial/industrial J Multi-family J Tenant improvement
U New•constnlctiol, J Addition/alteration/replacement U Other:
1
Job address I p%Z 5 BF-RG RD • Indicate equipment quantities in boxes below. Indicate the dollar
Bldg.no.: (,,tNenuA -TWO Suite no.: — value of all mechanical materials,equipment,labor,overhead,
profit.Value$
Tax map/tax lot/account no.: 1 S23 Aq
Lot: Block: Subdivision: *See checklist for important application information and
.D. jurisdiction's fee schedule for residential permit fee.
Project name: GFINANC NI -
City/county: PoR-TLANo ZIP: a1-I2
Description and location of work on premises:
JI Total
f=►-!/'.rIT =MVlt011 ,1`'1�A1 �LOCA ,� Q.t lee(ea.►
Inst.date ofcompletion/inspection: Tµgyc.err� s Description Qq• Re%.only Res.only
Tenant improvement or change of use: Air handling unit—_ _CFM
Is existing space heated or conditioned9X Yes U No Air conditioning(site plan required) LL
Is exist;ng space insulated'?51 Yes J No Alteration of exis0,111 IN I 1VqMj1jj= ting
lioilcrcompressors
State boiler permit no.:
Business name: HrR (�O._ _ _ lip—_Tons BTU/II
Address: S400 tyl✓ CC)LLAVYIT3lA 15Wt) . _ Firc!smoke dampersiduct smo c detectors
City: PgLp, t A.h1D State:pR ZIP: l cal pump(site p an req^uir�l _
1� nsta Including
ace ornate Mine
Phone: Fax:!9j1 Co°k�6 E-mail: , Includin ductwork/vent liner 0 Yes:]No
CCB no,: 40171t ILI, _ nste ircp ece/re ocatc testers suspenc e
City/metro lie.no.: I`'� _ wall,or floor mounted
Narne(please print): nR.L. `,n LSf�,t It1` Vent for appliance other thun fu:cc
Retristeratlon:
ON Absorption units U HChillersName: C.LIF AAZV W CbmpressorAddress: 5AUO qF— COL1 trtE%lA t54Y(i nv ronmenta ex onat an veon:
City: NOTZ-'LAt4V State:Oli 7_I P: C 21 Appliance vent
Phone: 152 1 G`L3 Fax:nj(o`l U(o E-mail: Dryer exhaust
Hoods,Type I'lyres.kitchen.hamtat
hood fire suppression system
Name: Exhaust fan with single duct(bath fans)
Moiling address Exhausts stem a an lion,hea!,m�or Ar
ue piping an str ut on lop to 4 outlets)
Citv: — State: ZIP: � Type: _ LPG NO Oil
Phone: Fax: E-mail: Fueli me sac t additional over outlets
rneess pip nR(schematic required)
Number of outlets
Name: _ t er vte app ante or equ pment:
Address: Decurutivc fireplace
('itv: Stale: ZIP: Insert type—
-- ,oacstove,pe et stove
Phone: tine; E-mailOther
Applicant's signature: Date:
Name(print):
Permit fee .....................$ _
Not ell junsdtcaons accept credit cards pleat cell tunsdtcnnn far mare inturmatinn. Notice: This permit application Minimum fee.....•.......... $
U Visa U MasterCard expires if a permit is not obtained plan review(at ,__ %) $
Credit card number -- within 180 days after it has been
Expires State surcharge(11%).... $
N--- acne of ca—(rt holder a shown on credit card accepted as complete.
S TOTAL........................ $ - - -
Gr holder at`rtamre Amount 440-461?16 WICOM)
-' �Z'Zl.b X14 ' anru2�od I 77.
�� �r �� ' � al�� Qb�a � P►►S O'tZ�1 J i
3 ort 5ulbC, MD,)t4l l k t4
Id) ) dN13 Q7
L r .
Nj
IL
r-
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+.I
i
CITY OF TIGARD BUILDINGP
ERMIT
PERMIT #: BUP2003-
2003-00667_
DEVELOPMENT SERVICES DATE ISSUED: 11/24/03
13125 SW Hall Blvd.,Tigard, OR 97223 (5031639-4171 PARCEL: IS135AB-01004
SITE ADDRESS: 10220 SW GREENBURG RD 130
SUBDIVISION: TWO LINCOLN - TOWN OF METZGER ZONING: C-P
BLOCK: LOT: —_ JURISDICTION: TIG
REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION _
CLASS OF WORK: FPS FIP,ST: sf N: S: E: W:
TYPE OF USE: CUM SECOND: sf _ PROJECT OPENINGS?
TYPE OF CONST: 2FR sf N: S: E: W:
OCCUP I'dk4Y GRP: B TOTAL AREA: 0 sf ROOF CONST: FIRE RET?
OCCUPANCY LOAD: BASEMENT: sf AREA SEP. RATED:
GARAGE: s. OCCU SEP. RATED:
STOR: HT: ft REQUIRED
BSMT?: MEZZ?: R_EQD_SETBACKS _
FLOOR LOAD: psf LEFT: ft RGHT: ft FIR SPKL: SMOK DET:
DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP ACC:
BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING.
VALUE: $ 622.00
Remarks: Add (1)sprinkler head for tenant improvement.
Owner: Contractor:
EOP LINCOLN, LLC MCKINSTRY COMPANY
10260 SW GREENBURG RD 5400 NE COLUMBIA BLVD
SUITE 100 PORTLAND, OR 97218
PORTLAND, OR 97223
Phone:
Phone: 331-0234
Reg #: MET 00000001L179
_ _FEES LIQ REQUIRED INSPECTIONS
Description Date Amount Sprinkler Rough-In
Sprinkler Final
ITAXI 89/o State Surcimar 11/24/03 $500
i l0'l l DI Permit Fee 11/24/03 $62 50
Total $67.50
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes
and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is
not started within 190 days of issuance, or if work is suspended for more than 180 days. ATTENTION Oregon law
requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952-001-0010 through OAR 952-001-0100. You may obtain a copy of these rules or direct questions to OUNC by
calling (503)246-6699 or 1-800-332-2344.
Issued By:
Permittee
Signature: ----
Call 6j9-4175 by 7 p.m. for an inspection the next business day
Fire Protection System
all]Lim a am Kum
Building Permit Application Tatc/By:"11S Building
`� Pemitt No.:
Planning Apffroval Other
City of Tigard Date/By: Permit No: —
13125 SW I lall Blvd. Plan Review Other
Tigard,Oregon 97223 Date/By: Permit No.:
L
Phone: 503-639-4171 Fax: 503-595-1960 Post-Review and UseDate/t) : Case No.
Internet: www.ci.tigard.or.us Contact sec Pagr z for �-
24-hour Inspection Request: 503-639-4175 Name/Method: — Supplemental Information
TYPE OF WORK REQUIRED DATA:
New construction Demolition 1 &2 FAMILY DWELLING
Addition/alteration/replacement Other:
CATEGORY OF CONSTRUCTION Note: Permit fees$are based on the total value of the work performed. Indicate
I &2-Family dwelling Commercial/Industrial the value(rounded to the nearest dollar)of all equipment,materials,labor,
Y L _ overhead and profit for the work indicated on this application.
Accessory Building Multi-Family
Master Builder 4R1_ 1 Other: valuation......................................................... $�—-
JOB SITE INFORMATION and LOCATION No. bedrooms: No.of baths:
Total
number of floors.....................................
Job site W address: D - _5 tJ gUal VIOAP
_ .�_�_ New dwelling area(sq.ft.)..............................
Suite#: p Bld r./Apt.#:-rLW UN c-oI Garage/carport area(sq.ft)............................ —
Project Name: Cl? '1NntkJ Gam___ Covered porch area(sq.ft.).............................
Cross street/Directions to job site: Deck area(sq. ft.)............................................
Other structure area(sq.ft.)..... ......................
REQUIRED DATA:
COMMERCIAL-US TIIECKLIST
on:
Subdivisi � Lot#:
Sub map/parcel l #: Note Permit fees'are based on the total value of the work performed. Indicate
TaxDESCRIPTION OF WORK the value(rounded to the nearest dollar)of all equipment,materials,labor,
overhead and profit for the work indicated on this application.
U
)MP(h>>1)FMFn►T- valuation......................................................... S _2
Existing building area(sq.ft.)......................... PIA
-� New building area(sq.ft.)............................... _ —
Number of stories............................................
---
PROPERTY OWNER TENANT Type of construction...................................... _--
mutY'( PRVPE Occupancygroup(s); ExistNew: -
Nae: E4� _ .
Address:
Phonetate/Zip: _
NOTICE: All contractors and subcontractors are required to be
Phone: Fax: licensed with the Oregon Construction Contractors Boaml under
19
APPLICANT CONTACT PERSON provisions of ORS 701 and may be required to be licenseo in the
Business Name: kk r,6,3% Y UMVAP'Y'_ jurisdiction where work is being performed. If the applicant is exempt
from licensing,the following reason applies:
Contact Name:
Address: 5400 NC GoL,0m6_/A P)t–VI) -- _
Cit /State/Zi : Q'I ,Of-
Phone: e�Z_3� Fax: 33( . (��U __ BUILDING PERMIT FEES*
E-mail: .)C c 1L�II-)�,-r�Y , tGaM Please'refer to fee schedule.
CONTRACTOR ---`--�--
Business Name: Fees due upon application.............................
Address: 57400 pE Cvt.um61R LA)D
City/State/Zip: t� 10
Amount received............................... ............. $
Phone: -f- 1 2 Fax: I Date received:____-.-_-
CCB Lic. #: 77 '5 01 10 O tl o q 8 oR -- _ -
Authorized r- K-1-N- 37 ZN U Notice: Thi+permit appliention expires if a permit i+not ubtainrd++ithin
Signature: ��� Date: I Z a 180 da)'s ofU•r it ha+been accepted as complete.
JEFr- p L _ *Fee methodolop cel by Tri-County Building Industry Service Board.
(Please print name)
is\Dsts\Permit corms\BldgPermitApp.dcc 01/03
Fire Protection Permit Check List
A.) ❑ New ❑ AdditionAlteration ❑ Repair —
B.) Modification to sprinkler heads only:
Describe work to 1. 1-10 heads: No plan review required.
be done: 2. 11+ heads: Plan review raquired.
Number of sprinkler heads: �-
Additional description of work: App (1) / -7,v '1C--Jft1-;7
T pe of System Co_plete A, B_or C as applicable): _
A, Sprinkler _ Wet — ❑
Additional _Hazard Group------- 0rA7-- AA-17,10
Information
_Design Area.______K. Factor 7�• _ —_
Sprinkler Project Valuation:
B.? Type I - Hood Fire Su ression System
Hood Pro_._ect V,�
jlu $
_ _-ation
C, Fire Alarm
TA
Submittal shall Battery Calculations _ Yes ❑ /-/
include: Individual Component Yes ❑
Cut Sheets
Fire Alarm.Project Valuations $ _
_—_ Pro'ect Valuation Subtotal A B & C): $
Permit fee based on valuation(see chart): $
^ 8% State Surcharge:
_
FLS Plan Review 40% of Permit:
- TOTAL: $
Plan review requires a completed application and 3 sets of plans at submittal.
Plan review fees are required at submittal.
"New" fire protection systems require that plans bear the original seal of an Oregon
licensed fire surpression engineer, or NICET level "3" technicians.
f:\dsts\fortes\FPScheckllst doc 11121/01
NOU-24-2003 10:42 MCKINSTRY CO 503 331 6906 P.n--,
�\
Gem
TYCO FIRE PRODUCTS. 7071 S. 1:31h Street,Suite 103 Oak Creek, WI 50154—www•gemsprinkler,com
' Customer Servlca/Sales• Tel, (877)036-0926/Fax; (877)866-92SU
- Technical Services: Ter(600):381.9312/Fax'(800) 791.5500
CONCEALED PENDENT SPRINKLER with 1/2" ADJUSTMENT
MODEL F690 DESIGNER
QUICK RESPONSE, 3 mm BULB TYPE, K=5.6, 1/2" NPT
FACE OF
SPRINKLCR rITTING r --; TEMPERATURE RATINGS;
1/2" NFT ....__- 135°F/57`C
- -- •-- ____ 165°F/68°C
- -- --1 175°F/79°C
200'F/93°C
SPRINKLER/
MOUNTING CUP —,.�_ K-FACTOR(NOMINAL):
ASSEMBLY --_
5.6 ( (;PM
t/2" 02,7 mm) 80 6 ( [.PM. bar"2)
D THREADED — ADJUSTMENT:
I ADJUSTMENT
112 INCH (12 7 rnm)
FACE OF COVER PLATE FINISHES:
CEILING
CHHUML PLATED
WHITE PAINTED
SPECIAL COLOR PAINTFI)
- �..-- - - Dim. Inches MIM
I
3/32" GAP \ COVER PLATE .i A- 3-5/16 84,1
(2,4 mm) _ ASSEMBLY B. 3116 4,8
CLCARANCE HOLE C• 2-5/8 6618
DIMENS'ON C (DIA.) D-Min. 1-13/16 4810
COVER PLATE PLATECOVER D-Nom. 2-1/16 52,4
PROFILE DEPTH - -- DIMENSONA DIA.) - D-Max. 2-5/16 58,7
DIMENSION B
FIGURE A
MODEL F690(SIN G1690) QUICK RESPONSE CONCEALED PENDENT SPRINKLER
' painted white. Other factory applied can be temporarily left in place until
painted finishes for the Cover Plate are Installation of the ceiling is complete.
The 5 6 K•Factor (1/2 inch orifice) available on special order.
Model F690 Designer, Quick fie- 1 he separable two-piece design of the
sponse Concealed Pendent Sprinklers (;over Plate and Mounting Cup As-
(RPf. Figure A) are pendent automatic semblies allows installation of the .6 K Factor Model F690 (SIN
5
sprinklers of the frangible bulb type. sprinklers and pressure testing of the The e 5) Gulick. Response Concealed
They are "quick response . standard fire protection system prior to installa G16Pendent Sprinklers are listed by Un
orifice spray sprinklers" intended for tion of a suspended ceiling or applica- Pendent S Laborers are
Incand listed
use in fire sprinkler systems designed tion of the finish coating to a fixed
in accordance with the stand ,ard Instal- ceiling The separable design also per- by Underwriters Laboratories nc for
lation rules recognized by the applice, rnits removal of suspended ceiling use in Canada (i.e., C-UL Listed).
ble Listing or Approval agency(e g UL panels for access to building service The Mot.'-' 'v90 (SIN G1690) Sprin-
Listing is based on NFrPA 13 require• equipment,without having,to first shut klers are aF;roved by Factory Mutual
ments). The 1`090 produces a hemi- down the fire protection system and Research Corporation as standard re-
spherical water distribution pattvin be remove sprinklers sponse sprinklers for use in Hazard
low the deflector Each unit includes a Also, the separable two-piece design Occupancies up to and including Ordl-
Uover Plate Assembly which conceals pa p g nary, Group 11 The Ordinary Hazard
of the the F690 ConcQaled Sprinkler
the sprinkler operating components provides for 1'2 inch of vertical adjust- Occupancy approval is limited to use
above the ceiling. rnent.to reduce the accuracy to which in wet pipe systems and preaction sys
The small Cave: Plain is flat with a low the length of fixed pipe drops to the lems qualifying as wet pipe systems
profile which blends In with the ceiling sprinklers must be cut. The Model F69U (SIN G1690) Sprin-
for an aesthetically plea,;mg appear Each sprinkler is shipped with a dam• klers are approved by the Loss Pre-
ante Standard finishew for the Cover vention Council (LPC) in accorclAnce
Plate are satin chrome plated and a��e resistant Protective CAP, which with LPC Technical Bulletin TB20. As
Printed in U.S.A.3-01 TD5780
t
s
HOU-24-2003 10042 MCKINSTRY CO 503 71 6900, P.1-1-7
indicated in Table TI320.T3 of T020, SPRINKLER COVER PLATE MAXIMUM
the thermal sensitivity of concealed TEMPERATURE TEMPERATURE CEILING
sprinklers is unrated by the LPG.How- RATING RATING TEMPERATURE
ever,as recommended by Footnote(1)
to Table TH20.3.',the 3 mm bulb sprin- 135OF i 57'C 135"F/1571C 100°F/38°C
kler assembly used within the F690 1551F 1681C 135"F/57C 100"F/WC
Concealed"prinklers moets the Quick — --
Response th�;rmal sensitivity require- 175°F/79°C 1651F!741C 150°F/68=C
rner.is of ISO 618211. 200-F/93"0165'F/74°C 150°F/68`C
The laboratory listings a ply to the —" "
temperature ratings and 'aver Plate 'TABLE 1
finishes indicated in Figure A. SUMMARY OF MAXIMUM PERMITTED CEILING TEMPERATURE RATINGS
The Model Ft390 (SIN GtG90) Sprin-
klers are accepted by the City of New WRENHING _ - 2 NPT
York under MEA 39-92-M. AREA BOT /
AREA (BOTH -
SIDES)
WARNING
The Nlodel F690 Quiclz Response Cort- GASKETED
cealed Pendent Sprinklers described `� SPRING
herein, mist be installed and malrt- ARMS (2)--
tained i.n.compliance with this docu-
ment,
ocu rnent, as well as with the applicable -� �` ----- —BUTTON
standards of the National Fire Protec• MOUNTING - - �"'-` ASSEMBLY
tion Association, in addition to the CUP WITH
standards of any other authorities ROLL rORMED __
having jurisdiction. Failure to do so THREADS _
may impair the integrity of these de- -BULB
vices. _
The F690 Concealed Pendent Sprin- FRAME - --- `--_ _
-•COMPRESSION
klers inust not be usrd in applications SCREW
where the air pressure above the ceil-
ing is greater than that below. Down- DEFLECTOR
drafts through the Mounting Cup (DROPFEO DEFLECTOR
could
could delay sprinkler operation in a PC51710N1 I_L--_-
h.re situation. "
The owner is responsible for stain- SPRINKLER/MOUNTING CUP
tainting their fire protection system ASSEMBLY
and devices in proper operating con-
dition. The installing contractor or
manufacturer should be Contacted ENCLOSURE i-EJECTION
reluttve to arty ques.ione. WITH THREAD j SPRING
DIMPLES
MOUNTING SOLDIER
SURFACE TABS (3)
i
The 5.6 K Factor Muriel F890 on,
coaled Pendent Sprinklers are rated
for use at a maximum service pressure
of 175 psi (12,1 bar). The available _;,VFq
MANUFACTURER
temperature ratings and nominal in- PRESET GAP COVER PLATE PLATr
stallation dimensions are given in Fig- 3/32" (2,4 mm) ASSEMB�
Lire A Table 1 summarizes the maxi-
mum permissible ceiling temperatures FIGURE 6
for use with the F690 MODEL F690 QUICK RESPONSE
Standard finishes for the Cover Plate CONCEALED PFNDFNT SPRINKLER ASSEMRLY
are satin chromr, and painted white,
however,other factory painted finishes
for the Cover Plate are available on and the Cover Plate Assembly. is brass The Deflector Is bronze, and
special order. the Arms are phosphor bronze The
The flow "Q' in GPM (LPM) is meter SprinklerfMounling Cup Assembly Mounting Cup Is chrome plated low
rained by the following formula The Sprinkler Assembly uti izes a 3 carbon sheet steel.
mm Rulb and has a die-cast dezincifi- The Mounting Cup Assembly is pro-
n-KV p cation res+slant (DZrA) bronze alloy vided with a Protective Cap (Ref. Fig-
where the nomu nl sprinkIvr discharge Frame. The two pieces of the Rutton ure D),which helps prevent damage to
coefficient '•K" equals 5.6 ;ro.7) and Assembly `gym constructed from brass thR Deflector and Arms before the
"p" equals the residual flowing pres- and copper. ThP Gasketed Spring Cover Plate Assembly is installed The
sure in psi (bar). Plate coof an beryllium nickel p,otec;vve Cap is designed such that
disc sprint+ that is sealed on bath its the Cap can be opened to expose the
1fie F690 Sprinkler consists of two inside and outside edges with a TAf•
sub-assemblies.as shown in Figure 8' lone gasket The Compression Screw sprinkler for temporary fire protection,
the Sprinkler/Mounting Cup Assembly until the ceiling installation is Cour
t DuPont Registered Trademark
NOU-24-2003 10:42 MCKINSTRY CO 503 331 6906 P.04
plated and the Cover Plate can be in-
stalled. The Protective Cap is dis-
carded once the Cover Plate Assembly
ig 'n stalled.
Cover Piste Assembly
The Cover Plate Assembly, which
screws onto the Sprinkler/Mounting
Cup Assembly, consists of a Cover
Plaid which is soldered to an Endo-
sure At three equidistant locations
around their peripheries. The Cover
Plate and Enclosure are brass.A stain-
less Steel compression Spring is lo-
rated between the flange of the Fnclo- FIGURE C
,ore and the Cover (-'late, to ensure W-TYPE 14 SPRINKLER WRENCH
nwfmrration of the two pieces when the
solder rne11S
Snfrier having a temperature raring of Do not continue to screw-on the Cover
135"1/5TC is cued with Cover Plate Step 1. The pipe Connected to the Plate Assembly such that it lifts a cell•
Aaemblies for the 135°F/57°C and sprinkler fitting should be cut so that ing panel out of Its normal position,
I',b'F/68°C sprinklers,and solder with the bottom face of the fitting is between It the Cover Plate Assembly cannot be
a temperature rating of 165'1`/74'C is 1-15/16 and 2-3/16 inch(49,2 mm and engaged with the Mounting Cup or the
used with Cover Plate Assemblies for 55,6 mm) above the ceiling fine By Cover Plate Assembly cannot be en-
the 1750F/790C and 20WF/93'C sprin- using a 1/4 inch(6,4 mm)range for the gaged sufficiently to contact the ceil•
klers (Ref. Table 1). When the Cover •'D"dimension, the remaining 1/4 inch ing, the Sprinkler has been positioned
Plate Assembly is exposed to a tem- (6,4 rtirn)of adjustment can be used to incorrectly and must be repositioned
perature sufficient to fuse the solder, compensate for the possible manufac. according to Step No.t.
the Cover Plate will fall away from the turing variations in the mako•in of the
EncInsure which allows the Deflector sprinklers and the take-out of fittings
I -
to drop into position and,to expose the (as permitted by ANSI 81,20 i) 1 CARE AND MAINTFNAliCE
Sprinkler for operation. Step 2. Remove the Protective Cap,
AA label located on the side of the Cover The Model F690 Sprinklers must be
late Assembly Indicates the tempera- Step 3. With pipe thread sealant ap- maintained and serviced in accord-
Plat rating of the Cover Plate Aspera- pled to the pipe threads,and using the ance with the following Instructions'
to and the temperature late of the W-Type 14 Wrench positioned as
bly a Sprinkler with which it s to be shown in Figure C, Install and tighten NOTES
p the F690 Sprinkler/Mounting Cup As- Absence of the Cover Plate APsernbly
used. sembly into the fitting.The WType 14 may delay sprinkler operation in a
will accept a 1.1/16 Inch hex 9Zc et or fire situation.
INSTALLATION a 1/2 inch ratchet drive. When properly installed, there is a
Step 4. Refer to Figure D and replace nominal 3132 inch (3,4 min)air gap
NOTES wards
Protective Cap by pushing It up- bettueen the lip of the Cover Plate and
wards until it bottoms out against the the ceiling,as shown in Figure A. This
Do not install any bulb type sprinkler Mounting Cup. The Protective Cap air gap is necessary for proper opera-
if the bulb is cracked or there is a loss helps prevent damage to the Deflector tion of the sprinkler. If the ceiling is
of liquid from. the bulb. With the and Arms during ceiling Installation to be repainted after the installation
sprinkler held horizontalb, a small and/or during application of the finish of the F690, core must be exercised to
air bubble should be present. 77ie di• coating of the ceiling. It may also be erasure that the new paint does NOT
orneter of the air bubble viii from used to locate the center of the clear- seal off any of the air gap
approximately 1/16 inch(1,6iron)for ance hole by gently pushing the ceiling
the 188'F/87'C rating to 3132 inch material up against the center point of Factory pointed Cover Plates MUST
(2,4 mm)for the 200°F193'C ruting. the Cap. NOT be repainted. Vtey should be
Only use the WType 14 Sprinkler replaced, if necessary, by factory
Wrench for installation of life F690 Open the Protective Cap as shown in painted units.
Sprinkler. Do not wrench ort the Figure [1, the fire protection system Do not pull the Cover Plate relative to
Sprinkler other than as shown in.Fig- is to be inn service while the ceiling the Enclosure.Separation ingy result.
p g• installation is being completed
ore C. Before closirtra fireprotection si-stem
Do .
n.ot attempt to inake•u r insu . Step S.After the ceiling has been cora-
p p� f plated with the 2 5/8 Inch (66,7 mm) aloin control valve for mointenance
fieient adjustrittenf in the Sprinkler diameter clearance hole, remove and toork ori the fire protection system
Aasembly by under or over-tightert• discard the Protective Cap, and verify tallith it confr•ols, permission to shut
frig the Sprinkler/Mounting Cup As- that the DeflRctor moves up And down down the affected bre protection sys
sein.bly. Readjust the position of the freely' tern must be obtained front the proper
sprinkler fitting to suit. authorities and all personnel who
A leak tight 1/. inch NPT sprinkler If the F-690 Sprinkler has been dam- may be affected by this action must be
pint should 1 obtained with a torque agPd and the Deflector does not move ,notified.
1 q up and down freely, replace the entire
of 7 to 14 ft.lbs.(91to 19,0 Nni).Mort F690 Sprinkle, assembly. Do not at
moIngthe a28 k ertorif ee c rat tempt to modify or repair a damaged I Sprinklers exhibiting ing vis ble signs of coerao-
sprinkler.
with consequent teatrage. cion must be roplaeed.
Step S. Screw-on the Cover Plate As-
Proceed with the irstallatlon as fol- sembly until its flange just comes in Automatic sprinklers must never be
lows: contact with the telling shipped or stored where;heir lP.mpera-
111i',1-24-2003 10:43 MCK f NSTRY CO 503 331 6906 P.1:115
SPRINKLER PSN 5 1 - 6 9 0 - X - X X X
t MOUNTING
CUP
i
COVER PLATE
FINISH TEMPERATURE RATING
Chrome Plated —
135 135°F/57"C
L U Painted White 155 155°F/6810
TABI.E 2 175 1 5'Fi79°C
lib• PRODUCT SYD° OL NUMBER
(3,2mrni�. SELEC ION 200 200`F/93°C
REF. Cµ' IN -----
OPEN _
POSITION -�
SPRINKLER standards of the National Fire Protec- GARDLESS Ot- WHt=THER TYCO
UFFI-ECTOR �- tion Association (e,g.. NFPA 25), in FIRE PRODUCTS WAS INFORMED
I', osirION
POIOPP
t10N adortlon to the standards of any other ABOUT THE POSSIBILITY OF SUCH
- -
authurities having jurisdiction, The in- DAMAGES, AND IN NO EVENT
SLUE vl oy stalling contractor or sprinkler rnanu- SHALL TYCO FIRE PRODUCTS' LI-
facturershould becontacted relative to ABILITY EXCEED AN AMOUNT
CAP IN any questions. EQUAL TO THE SALES PRICE.
CLOSED
POSITION It is recommended that automatir. THE FORESaQLN BH9'VIL'
sprinkler systems be inspected. MADE 1N LIEU OFANT_ANC ALL
tested, and maintained by a qualified OTHER WARRANTIES-EXE'HES-5-013
�90 AP;. Inspection Service, or over-heated IMFL/ED.INCLUDfNGWAHHANTIC-b
sprinklers must be replaced. S?F MERCHAp(IB�1�IZY AND FIT-
Nh:ss FORA PARTlCy1ARPUR-
o� �h
1
Products manufactured by Tyco Fire
Products are warranted solely to the
original Buyer for ten (10) years Sprinkler Assemblies:
_P_;)TT0 I`0 against detects in material and work Specify. 5.6 K-Factor, (specify tem-
manship when paid for and properly perature rating), Model F640 Quick
FIGURE D installed and maintained under normal Response Concealed Pendent Sprin-
PROTECTIVE CAP use and service.This warranty will ex- kler with (specify type finish) Cover
plre ten (10) years from date of ship- Plate, PSN (specify from Table 2)
ment by Tyco Fire Products No war-
ture will exceed 100"1`2,38eC and they rarity is given for products or Contact your local distributor for avail
must never be painted, plated coated components manufactured by comps- ability
or otherwise altored after leaving the hies not affiliated by ownership with Product Symbol Numbers are not
factory.Modified sprinklers must be re- Tyco Fire PrOdUcts or for products and specified when ordering 1`690 Sprin-
placed. Sprinklers that have been ex- components which have been subject klers with a special painted finish for
posed to corrosive products of com- to misuse,improper installation,corro- the Cover P Ste It is suggested that a
busticn, but have not operated, should slon,or which have not been Installed, color chip bo provided when ordering
be replaced if they cannot be com- maintained,modified or repaired in ac- special painted finishes Otherwise,re-
pletely cleaned by wiping the sprinkler cordance with applicable Standards of sponsibility for duplication of the de-
with a cloth or by brushing it with a soft the National Fire Protection Assocla- sired finish cannot he accepted.
bristle brush, tion, and/or the standards of any other
Authorities Having Jurisdiction. Mate- Separately Ordered Parts:
Cdam rials Y
are must be exercised to avoid da
rials found by Tyco Fire Products to be Specify:W•T �e 14 Sprinkler Wrench.
age to the sprinklers - both before, detective shall be either repal red or p �' YI
PSN 56-000-2-111
during, arid after Installation, Sprin replaced, at Tyco Fire Products' sole
ll demaged by dropping, striking, option. Tyro t=ire Products neither as-
wrenc't twlst/slippage,or the like,mustsumes, nor authorizes any person to Replacement Parts:
be replaced, Also, replace any sprin- assume for it, any other obligation In Specify (descripton) far us® wilt,
lthat has a cracked bulb or that has connection with the sale of products or F690 Sprinklers. PSN (specify).
lost liquid from its bulb. (Rei Installa- parts of products. Tyco Fire Products Sprinkler/Mounting Cup Assemblies
Non Section) shall not be responsible for Sprinkler are not available as replacem ent parts
if a sprinkler must he removed for system design errors or inaccurate or
some reason, do not reinstall it or a Incomplete information supplied by Pa nte0 write 13$1557,Cover Place Assembly
re Iacoment without reinsfallln the Buyer or f-;uver�s re re9@ntatives, for ia9FrR7c Or 159Fi6BC SpSN S8s
p g y p PSN 5e-69C-0-155
Cover Plate Assembly.If a cover Plate IN NO EVENT SHALL TYCO FIRE Painted White 165F;7AC Cover Plate Assembly
Assembly becomes dislodged during PRODUCTS BE LIAHt-E, IN CON- for 175F/79C or 20oF/93C Oprinklers
service. replace it immediately. TRACT,TORT, STRICT LIABILI I Y 0H •• ••••. . ••• PSN S6 600-0-200
UNDER .ANY OTHER LE(3AL THE- chrome Plated 135F/57C Cover Plate 4ssembly
I-he owner is responsible for the in pRY, FOR INCIDENTAL, INDIREr,T, for 135^F 57C or 155'F/60C Sprinklers
spection, testing, and maintenance of SPECIAL OR COfISEQUEN-i IAL PSN ss-seo-s-155
their fire protection system and de bAMAGES. INCL IJDING BUT N07 Chrome P;ated 10sFt'er cover Pate Assembly
vices in compliance with this docu• LIMIT I'D I0 LABOR CHAROES. RF_ roe 176Fi 79C or 20oFt99C Sprinklerswent, as well as with the applicable PSN 50 880-9-2011
(�G`p Flow Cannot Tyro fire
f
• / Products
TOTAL P.05