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10220 SW GREENBURG ROAD STE 140 10220 SW GREENBURG ROAD, SUITE !�� 1999 SAVE - HISTORICAL INFORMATION BUILDING(S) NAME CHANGE PEP. KIT CHURCH, ENGINEERING 10220 GREENBURG RD, LINCOLN II NORTH CHAT IGED TO 10220 GREENBURG RD, LINCOLN III 10220 GREENBURG RD, LINCOLN II SOUTH CHANGED TO 10220 GREENBURG RD, LINCOLN II CITY OF TIGARD DE. -VELOPMENT SERVICES BUILDING PERMIT 13125 SW Hall Blvd., Tigard,OR 972231603)639-4171 ERMIT #. . . . . . . : BUP98-1001 DATE ISSUED: 09/02/98 SITE ADDRESS. . . : 102i'"'O SW GREENBURG RD #5140 PARCEL: 16135AB-01004 SUBDIVISION. . . . :JTWO LINCOLN - TOWN OF METZGER BLOCK,. . . . . . . . . . :. . . . . . . . . . ZONING:C.-P - - _--___-_____ _____LOT_. . . . . . . . . . . . : JURISDICTION:TIG - ----- -_-- ------------- - - - -------- ------------------- REISSUE: FLOOR AREAS-- --,--_-----`EXTERIOR-WALL -- - - -_- CONSTRUCTION- CLASS OF WORK. :ALT FTRST. . . . .. 771 sf N: S: E: W: 'TYPE OF USE. . . :COM SECOND. . . : 0 sf PROTECT OPENINGS'?-------- . - TYPE OF CONST. :2FR . . . : 0 5f N: OCCUPANCY Gqp. :,A S: E: W: OCCUPANCY LOAD: 7 TOTAL------: 771 sf ROOF CONST: FIRE RET?: BASEMENT. ., 0 sf AREA SEP. RATED: ! GTOR. : 0 HT: 0 ft GARAGE. . . : 0 sf OCCU SEP. RATED: IBSMT'): MEZZ ).- REOD SETBACKS---..------ REQUIRED FLOOR LOAD. . . . . 0 psf LEFT: 0 ft RGHT: 0 ft FIR SPKL.:Y SMOK DET. . : IDWELLING UNITS: 0 FRNT: 0 ft REAR: 0 ft FIR ALRM: HNDICP ACC: BEDRMS: o BATHS: 0 IMP SURFACE: 0 PRO CORR: PARKING: VALUE. $: 9000 0 Remar-ks : Tenant improvement: (reducing area) Construct walls, repair t-bar ceiling. No Plumbing, sprinkler, electrical or mechanical permit required. Owner-.- FEES KNICKERBOCKER PROPERTIE5 INC type aMOLtnt by clat e V-ec:pt 10300 SW GREENBURG ROAD PRMT $ 74. 50 DI-H 08/19/98 98-308700 SUIrE 200 5PCT $ 3. 73 DLH 08/19/98 98-308300 TIGARD nR 97223 PLCK $ 48. 43 DLH 08/19/98 98-308"Oo Phone #: 452-5900 FIRE 8 29- 80 DLH 08/19/98 98-308300 Cnntt-ac-tor" PIONEER CONSTRUCTION SERVIUF IEXPIREFn PO BOX 68304 MILWAUKIE OR 97268 1--1hone #: 652_1050 -------------------------------------- Reg #. . s 001286 $ 156. 46 TOTAL —REQUIRED ACTIONS or INSPECTIONS— This permit is issued subject to the regulations contained in the Fr,,Fming Insp Tigard Municipal Code, State of Ore. Specialty Codes and all other Gyp Board Insp applicable laws. All work will be done in accordance with SLISP Ceilng Insp approved plans. This permit will expire if work is not started --- W hin IN days of issuance, or if work is Suspended for more than 180 days. ATTENTION: Oregon law requires YOU to follow the 1:11ps ;% 'opted by the Oregon Utility Notification Center. Those rules are sit forth in DAR 952-001-08t8 through OAR 952-*181987. foo P;,.iy obtain i. c,.,oy of these rules or direct questions to OuNC by calling (593, ?4' -,987. r,p,- i f:t e Si gnat ttr,e Issl-ied By: i +++++++++++++++++++ +++++++++++ ............*.......4-+++-+++ ..........++ Call 639--4175 by 7:00 p. m. fnr an inspection needed the Tle)<t b�.tsiness clay 4....................................4.1.++++'4+++}++ ++++++++++•+++++++++++++++++++ CITY Ot: TIGARD Commercial Building Permit Applicati-)n Recd By 14/ 13125 SW HALL BLVD. Tenant Improvement DateRec'd ' Date to P.E. 7 l TIGARD, OR 97223 1J (503) 639-4171 �Zc---'Date to DST Permit a IduP 9X-16)U/ Print or Type Related SWR Incomplete or illegible applications will not be accepted Called6- Name of Development/Project — I cxibting Building tK New Building ❑ Job Lirucln CayTter Address Street Address Suite Building 10220 sW sre"Ulo �q lop DataC�k•'��v- Bldg* City/State Zip - Existing Use of Building or Property. 2 Por2nd f�F�. 97223_ Name Proposed Use of Building or Property: Property 14tic�cd-�oG�er'�ies c. , XXIV ce Owner Mailing Address Suite --� 10360 SW Greemix,rqjtd 200 _ No. Of Stories: Cly/Stale Zip Phone S�Dri e Por-63KA, OR, 97221 g-r,2-59oc_ Sq. Ft. Of Project: J Occupant Name — 77 _ - OYe oh Title Occupancy Class(es) Name I✓ Contractor bv Faci-ftc T( pe(s)of Construction F'nor to permit Mailing Address 1 Suite - FP-- issuance, r'Issuance,a copy S`t'OO WII this project have a Fire Suppression System? of all licenses 735 NE Jecksov,r R�. Yes 21 No ❑ are rd in ce T±d if City/State Zip Phone Americans with Disabilities Act(ADA) expldratab seHilla"I Cf-. 9712 Co91-,. 979'7 0 2.5 4 Valuation X 25/o -$2,I�� . Participation Oregon Const.Cont.Board I.ic.rt Exp.Date Complete Access ility Form c"5 90 45 6Z/19/oo Project $ -� Name Valuation 9, Architect e,P,I) o4rcki�rpc s , I"�• Plans Required: See Matrix for number of sets to submit Mailing Address Site on back City/State Zip Phone I hereby acknowledge that I have read this application,that the information fortla'4 (!F,. 97 209- 'V-4_9650, given is correct,that I am the owner or authorized agent of the owner, and -- ----- that plans submitted are in compliance with Oregon State Laws Engineer Name Si ure 9f O� gent Date Mailing Address Suite i" �jfiY 1-7. 7 ?8 o act ersbn Name Phone City/State zip Pnone —__ FOR OFFICE USE ONLY _ Indicate type of work: New O Addition O Demolition O Map/TL# Land Use Accessory Structure O Foundation Only O Alteration j---- Repair O Other O Notes: I Description of work: ff Tcni an`t I►�p �"� . `� _ TIL _.rJ Note: Site Work Permit Application rust precede or accompany Building Permit Application E X P M E D 11COMNEWTI DOC (DST) 5/48 COMMERCIAL FLAN SUBS !IITTAL RFQUIREMENT MATRIX Pi,,n Review is dependent upon submittal of BOTH plans AND a COMPLETED application. For an electrical submittal, the application must contain she signature of the supervising electrician before plan review will 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 Valley Fire & Rescue) Total # of TYPE OF SUBMITTAL Plans KEY--- Submitted S (Private) — 1 — S = Site Work 3 (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 = Mechai -, ,I B & M (New or Add) 1 P = Plumbing P (New, Add, or Alt) 2 E = Electrical B & M & P (New or Add) 2 New = New Building --------------- -------------- E (New, Add, or Alt) 2 Add = Addition B & F & M & P & E 3 Alt = Alteina?ion to Existing (New , Add) Building *E3 or B & M (Alt) -- *B & M & P (Alt) 3 *B & M & P & E(Alt) 3 *H & M & P & E & E(AIQ W 3 NOTES: *Shaded areas designate ALT submittals only. I ldsls\maxtrix 1 doc 07106M CITY CF TIGARD DEVELOPMENT SERVICES BUILDING PERMIT 13125 SW Wall Blvd., Tigard,OR 6722.3(503)639.4171 PERMIT #. . . . . . . : BUP9©-O41 r DATE ISSUED: 09/28/98 FIARCEL: 1 S 13,5AS--01004 ' rr ADDRESS_ -- 1.0220 SW GREE:NBURG RD "140 !:3 UBD.l'viSiON. . . . : -FWO LINCOLN - TOWN OF ME:TZGER Z_ONING:C-P 5L.00K. . . . . . . . . . . L_OT. . . . . . . . . . . . . . JURISDICTION:TIG ------------------------------------------------------- REISSUE: FLOOR AREAS---------- EXTERIOR WALL.- CCINSTRUCTION-- CLA SS OF WnRK. :FRS F I RST. . . . . 0 s f N: S: E: W: TYRE OF USE. . . :COM SECOND. . . : 0 r'f PROTECT OPENINGS!-— TYRE OF CONST. :2FR . . . 0 sf N: S: E: W: nc,C_UPANCY GRP,. :b TOTAL-..-._.__.._..: 0 sf ROOF CONST: FIRE RET?: OCCUPANCY LOAD: 0 BASEMENT. : O sf. AREA SEP. RATED: ST'OR. : 0 HT: 0 ft GARAGE. . . : 0 yf OCf.;U SEP. RATED: BSMT'' : MEZZ?: REDD SETDACKS_-__---.._._._...._. REQUIRED.--.__._-_-____.____-._ _ FLOOR LOAD_ . :. . : 0 ps f LEFT: 0 ft RGHT: 0 ft FIR SF'KL: SMOK DET. . : DWEI...I_ :ING UNITS: 0 FRNT: O ft REAR: 0 ft FIR ALRM: HNDICP ACC: SEDRMS: 0 BATHS: 0 IMFI SURFACE: 0 PRO CORR: PARKING: VALIJE. $ : 400 Remarks : Relocating one sprinkler in wall and adding two window sprinklers Owner _.-._ .. __._.._..._..._._._..__. _____..____-___.----______- FEES KNICKERBOCKER PROPERTIES INC type amoUnt by date recpt 10300 SW GREENBURG ROAD PRMT $ 25. 00 B O9/28/98 98-3O9516 FiUITE 200 5PICT f 1. 25 B 09/28/98 98-309516 TIGARD OR 9721 '33 FIRE $ 1.0. 00 B 09/28/98 98-309`=,11 Phone #: 45 .: 5900 Contractor: ----------------.--__.._-_--- SOLIND FIRE PROTECTION INC 10756 SE HWY 212 CL_ACKAMAS OR 97015 Phone #: 659-377") f 36. 25 TOTAL Reg #. . 000700 --REQUIRED ACTIONS or INSPECTIONS---- -- This permit is is.ued subject to the regulations contained in the Sprinkler Rough- Tigard Municipal Cale, State of Ore. Specialty Codes and all other Sprinkler Final applicable laws. All work will be done in accordance with approved plans. This persit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days. nTTE.NTION: Oregon taw requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 95c-A01-0010 through OAR 952-00101987. You many obtain a copy of these rules or direct questions to OUK by calling (503)246-1981. !Pr~mittee Si nature : �I" ' �f�"C TC>5r.red By - 4 -i + + +-++4.4.+++++++++A-+++4 ++ -F.++++++++1-+-1-+++++++++.1-+++4-+++++.i.+++++++f+++++4+++++ + Call 639-4.175 by 7:00 p. m. for• an inspection needed the next br.rsines" day ++++++++++++++++++++++++++,Fi++-1 ++++++i-++++-+-F-++f++++++++++++++++++++++4++4+++++ Fire Protection Permit Application Plan Check# CITY OF TIGARD Commercial or Residential Recd By 13125 SW HALL BLVD. Date Recd _- TIGARD, OR 97223 Print or Type Date to P E. X503) 639-4171, x. 304 Incomplete or illegible applications will not be accepted Date to DST Permit# l= Called JobTNf Development/Proiect Type of System (Complete A or B as applicable) CpL fV w b_.__ -- Addres ( L{7Zlg A.) Sprinkler Wet [0' Dly C7 ----- r_' -oROFNIoR���fl�ttK oR — Standpipes C. lAe Address Hazard Group Own �n _�Z Additional 0 �'lrl•l7Ff�of r1 (r G 5 7 �� —4con ate Lip Phone Information Dens ty _rlgD_OR g7179 X1 ' -S co l7esign Area , Q OR G O rITLif-_ �T F / — Mailing Address K Factor Occupant o t.w GRK -_ S City/State Zip Phone A.1) Sprinkler Project Va °�f 4,D/Q �7z Contractor Name _ — B.) Fire Alarm (Sprinkler or Submittal Shall Include Battery Calculations YES ❑ Alarm Company) Mailing Address I Prior to permit O S .`F . ���W( 7-- Individual Component YES ❑ issuance, a City/state l Zip Phone Cut Sheets copy r ) r ' 7 �- B.1) Fire Alarm Project ValuationY $ of all licenses C A A�lq � � X are required if State Const Cont. Board Lic ff Exp Dale ec u _ - -- — — expired in COT -- q pp Project Valuation Subtotal (A 8 or B) $ database DUf I I n —_ -- — ' -- -` rName Permit fee based on valuation $ e c M me)r> . _1,.,!e chart on back) L A rchitect Mailing Addless 5% Surcharge $ s. (,�_j l,,t I- City/-t to zip Phone FLS Plan Review 40% of Permit $ 70 Descnbe work A.) ew O Addition (a Alteration D' Repair TOTAL $ to be done _ __ - B) Modification to sprinkler heads only. Plans required Submit three sets of plans, including a vicinity map and C 1.10 heads=No plans required the location of the nearest hydrant. 2, 11—Plan review required I hereby acknowledge that I have read this application.that the information given s I correct,that I am the owner or authorized agent of the owner and that plans submitted Number of sprinkler heads _�_ __ are m compliance with Oregon State laws Additional Descnpt•nn of Work RE /I 7F oNr- sere{ ,N -- Sign t re of Owner) gent Date G I r�1 <C ►!= N F 15 I U � Z s Cf b A.)In Existing Budd!ng ,F New New Building L1 Y _ ontact ers n Name Phone Building __ _ �,�� M"In w f> r r" T 7 75 Data B•) Commercial �' Residential o FOR OFFICE USE ONLY: Flat# MapfTL#: No of stories. Occupancy Class Type of Co�.structmn --------- U CE _ ��-G CON C firesupr.doc CITY OF TIGARD UUMNC-P MIT_FEE5. 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 1120 1.40 40.60 1,701-1,800 29.50 11.80 148 42.78 1,801-1,900 31.00 12.40 1.55 44.9.5 1,901-2,000 32.50 13.00 1.63 47.13 2,001-3,000 38.50 15.40 1.93 55.83 3,001-4,000 44.50 17.80 2.23 64.53 4,001-5,000 50.50 20.2.0 2.53 73.23 5,001-6,000 56.50 22.60 2.83 81.93 6,001-7,000 62.50 25 00 3.13 90.63 7,001-8,000 68.50 2.7.40 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 4.33 125.43 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 5.53 160.2.3 15,001-16,000 116.50 46.60 5.83 168.93 16,001-17,000 122.50 49.00 6.13 177.63 17,001-18,000 128.50 51.40 6.4,' 186.33 '18,001-19,000 134.50 53.80 6.73 195.73 19,001-2.0,000 140 5l 56.20 7.03 203.11 2.0,001-21,000 146.50 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 22983 23,001-24,000 164.51 65.80 8.23 238.53 24,001-25,000 170.50 60.20 8.53 247.23 25,001-26,000 175.00 70.00 8.75 253.75 2.6,001-27,000 179.50 71.80 8.98 26028 27,001-28,000 184.00 73.60 9.20 266.80 28,001-29,000 188.50 7540 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 28638 31.001-32.000 202.00 80.80 10.10 292.90 32,001-33,000 206.50 82.60 1033 299.43 33,001-34,000 211.00 84.40 1055 305.95 34,001-35,000 215.50 86.20 10.78 312.49 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 9160 11.45 332.05 is fire.supr roc CITY OF TELECTRICAL PERMIT DEVELOPMENT SERVICES PERMIT #: D: 08/31/ "�--, DATE ISSUED: 08/31/98 13125 SVI Hall Blvd.,Tigard,OR 97223(503)639-4171 PARCEL: 18135AB-01004 SITE ADDRESS. . . : 10220 SW GREENBURG RD #5141D SUBDIVISION. . . . -.TWO LINCOLN - TOWN OF METZGER ZON i NG:C-P BLOCK. . . . . . . . . . : LOT. . . . . . . . . . . . . . JURISDICTION: TIG Pro,j ect De scr i pt i on: ElectriLal TI --RESIDENTIAL-UNIT-- _----TEMP SRVC/FEEDERS- --- -----MISCELLANEOUS---•--- 1000 SF OR LESS. . . . : 0 0 - 200 amp. . . . . . . : 0 PUMP/IRRIGATION. . . . : 0 EACH ADD' L 5O0SF. . . : 0 201 - 400 amp. . . . . . . : 0 SIGN/OUT LINE LTG. . : 0 LIMITED ENERGY. . . . . : 0 401 - 600 amp. . . . . . . : 0 SIGNAL/PANEL. . . . . . . : 0 MANF. HM/ SVC/FDR. . : 0 601+amps-1000 volts. : 0 MINOR LAPEL ( 10) . . . : 0 --SERVICE/FEEDER---- ----BRANCH CIRCUITS----- ---ADD' L INSPECTIONS•-.- 0 - 200 amp. . . . . . : 0 W/SERVICE OR FEEDER: 0 PER INSPECTION. . . . . : 201. - 400 amp. . . . . . : 0 1st W/O SRVC OR FDR. : 1 PER HOUR. . . . . . . . . . . : 0 401 - 600 amp. . . . . . . 0 EA ADD' L BRNCH CIRC: 2 IN PLANT. . . . . . . . . . . : 601 - 1000 amp. . . . . : 4 -_- --- ---__.__._- ._ PLAN REVIEW SECTION------------ 1000+ amp/volt. . . . . . 0 ) =4 RES UNITS. . . . . . . . : ) 600 VOLT NOMINAL. . : Reconnect only. . . . . : 0 SVC/FDR )= 225 LAMPS. . : CLASS AREA/SPEC OCC. I.., -------------- -.__.._ FEES Owner: __ KNICKERBOCKER PROPERTIES INC type amount by date recPt 10300 SW GREENBURG RD F'RMT $ 45. 00 B 08/31/98 98-308714 STE 200 SPCT $ 2. 25 B 08/31/98 98-308714 TIGARD OR 97223 Phone #: Contractor: ---------------__-_-.--_-------- CHRISTENSON ELECTRIC INC', $ 47. E,5 TOTAL 111 SW COLUMBIA yTE 480REG?l1IRE!) INSPECTIONS - PORTLAND OR 97:'01 Ceiling Cover E1ect' l Service Phone #: 241-481 : Wall Cover Elect' 1 Final Reg #. . : OOO458 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Oregon Specialty Codes and all ether applicable laws. All Mork will be done in accordance with approved plans. This permit will expire if work is not started within .8@ 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 952-001-1987. You lay obtain a copy of these rules or direct questions to OUNC by calling (503)246-19817. ��(�I�}�- / F'e r m i.t t e e 5i gnat 1.i r e : �� �titiG�_ Issued By: l __ ��....._.___....._..__._. _. --- --OWNER INSTALLATION ONLY--------------------------------- The installation is being made on property I own which is not intended for sale, lease, or rent. DATE: OWNER' S SIGNATURE: CONTRACTOR INSTALLATION ONl_ - -- ---- ---�_-- �(C�(U � _ SIGNATURE OF SUF'R. EI..EC' N: DATE:_�_L� _ - LICENSE NO: ++++++++a ++++++++++++++++++++++++++++++++++++++•+•+++++++++-+•+•+++.++++++++++++++•+-++ Call 639-4175 by 7:00 p. m. for an inspection needed the next business day ++++++++++++++++-F•+++++++++•1+•H+++++++++++++++++++++++++++�-++++++++++++.++++++++ + CITY OF TIGARD Electrical Pern4it'Application Plan Cher. 4 13125 SW HALL BLVD. Recd By D,Y;`lM-� - TIGARD OR 97223 AUG 31 1 Date Recd Date to F.E._ Phone (503)639-4171, x304 PrifiV6V1r*(PEyLLIJ1I-- .: Date to DST Inspection (503) 639-4175 Incomplete or illegible will not be accepted Permit# r !�1z(- Fax (503) 684-7297 Called 1. Job Address;PIONEER CONST. (GEN.CTR) ` NORRIS,BEGGS,SIMPSON(PROPERTY :,N(',j. Complete Fee Schedule Below: Name of Development. LINCOLN II Number of Inspections per permit allowed - Name (or narne of business)OREGON TITLE SUITE 140 Service included: Items Cost Sum Address 10220 SW GREENBURG RD 4a. Residential-per unit City/State/Zip TIGARD OR E 00 q.ft.or l ss sq.ft.or $110.00 a Commercial ® Residential ❑ portion thereof !_ $25.00 1 Umited Energy $25.00 ROSS CROSBY Each Manul'd Home or Modular D 2a, Contractor installation only: welling Service or Feeder $68.00 (Attach copy of all current licenses) 4b.Services or Feeders Electrical Cnntractor CHRISTENSON ELECTRIC, INC. Installation,alteration,or relocation Address 111 SW CULlfM131A. SUITE 480 200 amps or less $60 00 2 201 amps to 400 amps $80,00 2 City PORTLAND _--State OR Zip 97201-5886401 amps to 600 amps -- $120,00 Phone No.5.03-241-48 17 601 amps to 1000 amps $180.00 p Job No.. 222-6459 -- over1000 only or volts $500.0 _--` 2 Elec .Cont. Lice, No. 76-34r Exp.Date__ Reconnect_ OR State CCB Reg. No O045R Exp.Date 4c.Temporary Services or Feeders COT Business Tax or Metro No. 5246 -_Exp.Date Installation,alteration,or relocation v 200 amps or less $50.00 Signature o I' 201 amps to,100 amps _ $75.00 401 amps to 1100 amps $10000 Over 600 amps to 1000 volts, License No. 873S __Exp.Date -" see"b"above. Phone No.--503-241-4812_ 4d.Branch Circuits New,alteration or extension per panel 2b. For owner installations: a)'rhe fee for branch circuits with purchase Vf service or Print Owner's Name feeder tee. AddressEach branch circuit $5.00 -- - b)The fee for branch circuits City _ State_ Zile-_ __ without purchase of Phone No. service or feeder fee. First branch circuit 1 $35,00 _ 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) Owner's Signature - Each pump or irrigation circle $40.00 _ Each sigr or outline lighting $411.00 3. Plan Review section (i/required):" Signal circuit(s)or a limited energy panel,alteration or exterci.,n _ $40.00 � Please check appropriate Item and enter fee in section 5B. Minor Labels(10) $100.00 4 or more residential units In one structure 4f.Each additional Inspection over Service and feeder 225 amps or more the allowable in any of the above System over 600 volts nominal Per Inspection $3500 Classified area or structure containing special occupancy Per hour -- $5500 as described in N.E.C.Chapter 5 In Plant = $5500 *Submit 2 sets of plans with application where any of the above apply. 5. F-es: Not required for temporary construction services. 5a.Ente total of above fees $ 5%Surcharge(.05 X total fees) $ - NOTIQL Subtotal $ 4 5b.Enter 25%of line 5s for PERMITS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED IS Plan Review If r it (Sec.3) $ -- -NOT COMMENCED WITHIN 180 DAYS,OR IF CONSTRUCTION OR WORK Subtotal $ f �- IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED. ❑ 'trust Account#_ s Total balance Due 4; I 1DSTS�ELC915 APP nm•9 49 R CITY C F T I G A R D ME CHAN I CAL DEVELOPMENT SERVICES rE.RMT,r P E MIT. . 13 i25 SW Hall Blvd., Tigard,OR 97223(503)639-4171 DATE ISSUED: 09/09/98 PARCEL-: IS135AB-01.004 SITE ADDRESS. . . SW GREENDURG RD #S 140 SUBDIVISION. . . . : TWO 1__INCOl_N -- TOWN OF METZGER ZONING: C—P BLOCK. . . . . . . . . . . I-OT. . . . . . . . . . . . . JURISDICTION: TIG ------------- CL.ASS OF WORK. . :AL-.T FLOOR FURN. . . . - it EYAP COOLERS: 0 TYPE OF' USE. . . . :COM UNIT HEATERS. . - 0 VENT FANS. . . : 0 OCC(.JP,(.INCY GRP., . :B VENTS) W/0 APPL.: 0 VENT SYSTEMS.- 0 S TOr I E S. . . . . . . . : 0 BOIL.ERc3/C,'OMPREq9ORS HOODS. . . . . . . : 0 F!jEL TYPEG­­-- ­-­­--- 0­3 HP. . . . - 0 DOMES. INCIN: 0 3-1.5 HFA. . . . : Vf COMML.. INCIN: 0 MAX INPUT: 0 B T IJ 1,5)—:30 HP. . . . : 0 REPAIR UNITS: 0 F'I RE DAMPERS?. 30 So 1-i[:,. . . . - LA WOODSTOVES. . : 0 GAS PRESSURE. . . 50-f 11P. . . . - 0 C1_0 DRYERS. . : 0 NO. OF UNITS------- AIR HANDLING Ll N IT F3 OTHER UNITS. : I FURN ( 100K BTU- 0 (7= 10000 CfM : I oAs nu-n-ETS. : 0 FURN ) =100K BTIJ: 0 ) t0000 cfml 0 Remarks . Install one (1) 6"0 VAU box and relocate one (1) grill. Owner-. FEES KNICKFRBOC'XER PROPERTIES INC type amol-li-It by date r-eept; 10-71110 SW GREENDURG ROAD PRMT $ ,.25. 00 GEO 09/09/98 98-3089C.--, 13L11TE 200 5PCT 1. 25 BED 09/09/98 98--308963 'TIBARD OR 97223 Phnrie #: NORT1.1 F,ACIFIr. HEATING 33700 SE DUIJS RD 26. 25 TOTAL. ESTACADA OR Phone #: Rpg if. 00067,7 REQUIRED INSI-JECTIONS This permit is issued subject to the regulations contained in the Final Inr;i,,,,tinn Tigard Municipal Code, Ftafe of Ore. Specialty Codes aid all other applicable laws. All o k mill 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 IBO days. ATTENTION: 'began law requires you to follow rules ajapted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0080, You may obtain copies of these rules or direct questions to DUNG by calling (903)246-9187, I Issue By : Permi tt ee n a t .............. ++*+++4-4............4-+,t........... F.....4........44....+.++......4.fi.............4-+4 Call E;:,9--4175 by 7:00 p. m. far inspF.-at i nns nPoded the next business day ....................4­4......... .............................I.................... Plan Check 0 CITY OF TIGARD Mechani--al Permit Application Recd By_ 13125 SW HALL BLVD. Com;nercial and Residential Date Recd TIGARD,OR 97223 Date to P E _ (503) 639-4171, x304 Date to DST Print or Type Permit 04i-(T -Q3 galled Incomplete or illegible applications will not be accepted Narne of DeveI enVPi-i�ctDBSCIiphon- -- — Table 1A Mechanical Code OTy PRICE All Job Street Address �_ iuxee A) Permit Fee -0- 70• 10.00 Address Bldgs (lYlst t* Zip B) Supplemertal Permit 300 ^tamp:or name Of businrssi 1 i Furnace to 100 000 BTU��— 6 00 Owner '/ incl �;cts R vents +dadinq Addregs AI ) 2) Furnace 100.000 BTU 7 50 1 /icy' incl ducts&vents _ CrtyrStats t PhnneV'--,�7 t 3) Floor Furnace 600 — / incl.vent _ home(or name ofbusiness 4) Suspended heater wall heater 600 ,. or floor mounted heater _ Occupant atinq tilass 5) Vent not incl in 300 appliance permit _ C t�Isl II �— Zip Phone 6) Boiler or comp,heat pump,air Gond 600 s to 3 HIP absorp unit to 100K BTU_ Name J , 7) Boder or comp,heat pump,air Gond. 11 00 3-15 HIP absorp unit to 500K BTU Contractor Walling Address _ 8) Boder or comp,heat pump,air Gond 1500 3z4 2LC 15.30 HP,absom unit 5-1 and BTU_ _ (Prior to 'state .ip Phone 9) Boder or comp,heat pump,air cond 22.50 issuance a copy c / 30-50 HP,absorp unit 1-1 75 and BTU _ of all licenses are Oregon const conte a u.a xp Date 10) Boder or comp,heat pump,air Gond — V 37 50 required if - — '` >50 HP;absorp unit 1.75 and PT!) expired in C Ct T CO usnesa Metro as Exp Dat 11 ) Air handling unit to 4 5C data baser :5 __ `T�•5 -- Name l-;W9 2 10.000 CFM 12) Air handling unit J 750 Architect g _ _10,000 CTM+ _ or Meiling Address 13) Non portable v 450 evaporate cooler Engineer cMrstate Zip Phone--^ 14) Vent fan connected 300 _ to a single duct Describe work New O Addition O Alteration Repair n 15) Ventilation system not 450 to be done Residential O Non-residential O included in appliance permit Ad,/tionall Uescn ton of work �r1 / / 16) Hood served by mechanical exhaust 450 1 Domestic incinerators _^ 7 50 Existing use of 1 B) Commercial or industrialtype 3000 budding or property _ incinerator tt!; Repair units I a 50 Proposed us,,!of 20) V;oodstove 4 50 building or property 21) Clothes dryer,etch — 450 Type of fuel oil O natural gas O LPG O electnc O 22) Other units 4 50 SZi I hereby acknowledge that I have read this applicaticn that the 23) Gas oimng one to four outlets 200 information givens correct that I am the owner or authorized agent of the owner.that plans submitted are in compliance with Oregon State 24) More than 4-per outlet (each) 50 laws s1��(t_ / Signature of OwnerlAgent I�Date —� aIY.SUBTOTAL !�. 'SUBTO FAL Contac arson NJRrtr �� Phone r 5%SURCHARGE �..y PLAN REVIEW 25%OF SUBTOTAL i`dstVltechpmt doc (rev 7196) 'Minimum permit fee is S25+5%surcharge CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection line: 639-4175 Business Line: 639-4171 B Ute'? �� iL5� ate Requested_ y —AM------PM Location_ _ Suite 14C _— MEC Contact Person Ph �� _. PLM _ Contractor ph SWR_ __�__—�._ ----- --- ---- ELC BUILDI Tenant/Owner Retaining Wall —� EL.R Footing Access FPS FOL idation ----- - Ftg , rain SGN Crawl Drain Inspection Nates: -- - Slab -- _--- - -- - -- ---- - -------- - ---- SIT Post& Beam Ext Sheath/Sheaf ----- ------ - Int Sheath/Shear Frariing ---_____..--_---- Insuic'ion Drywan nailing Firewall prinkler - Susp'd Ceiling -- Roof PS /PART FAIL PLUMBING Post& Beam Under Slab Top Out Water Service Sanitary Sewer Rain Drains Final PASS PARI FAIL -- MECHANICAL, Post& Beam - Dough In Gas Line Smoke Dampers Final - PASS PART FAIL, ELECTRICAL Service ~� Rough In UG/blab Low Voltage Fire Alarm Final PASS PART FAIL SITE Backfill/Grading -- Sanitary Sewer Storm Dain ( )Reinspection fee of$ _-required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin ( )Please call for reinspection RE __- ( ]Unable to inspect- no access Fire Supply Line ADA Approach/SidewalkDate 9- �-' P h Inspector Ext Other Final PASS PART FAIL. DO NOT REMOVE this inspection record from the )o►.e site. CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 Date RequestedT `7 -e2 Ll I j AM__ PM BLD Location-_1C' ���C,J SLG'- ll• It J Suite 14 MEC _— Contact Pel bar, 14/1- Ph _ C �C' _ IG L? ry PLM Contractor— �_./1JU�!) Ph ��_ SWR BUILDING Tenant/Owner Retaining Wall ELR Footing Access / Foundation l' fjln/�_/f// / - �� FPS Ftg Drain /J'Vl `1-K� ` SGN Crawl Drain Inspection Notes: Slab SIT Post 6 Beam —M) z welel- /i � Ext Sheath/Shear Int Sheath/Shear — Framing Insulation Drywall NailingAA '.ii ewall ------- Fire Sprinkler — -- -- ..--- ---- ---T_�__.---- — - — Fire Alarm Susp'd Ceiling _--_—__--- -- _--- --- - — Roof Misc:_ — - —-------- — Final PASS PART FAIL PLUMBING Post&Beam -- -- ----- Under Slab Top Out — Water Service Sanitary Sewer - --- Rain Drains Final PASS PART FAIL MECHANICAL Post&Beam -- - --- Rough In Gas Line ---- - - - --- Smoke Dampers Final - --- - .. PASS PART FAIL ELECTRICAL ; - S Rough In - - UG/Slab _ Low Voltags lra arm ` al PA' PART FAIL NKtr- Backfill/Grading -- ---- - ------ --------- ---- Sanitary Sewer Storm Drain ( ] Reinspection fee of$ _ required before n---xt inspection Pay at City Hall. 13125 SW Hall Blvd Catch Basin Fire Supply Line ( J Please call for reinspection PF [ ] Unable to inspect no access ADA -� Apprnach/Sidewalk Other Date ,.Z Inspector Ext Final PASS PART FAIL DO NOT REMOVE this inspection record from the Job site. CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 ---- BUP Date Requested _q/.T A,M_ _PM —�_ BLD _ Location�� ,/► ? fSuite rM -.1� Contact Person / ''' Ph PLM Contractor ` �1.�Yl Ct� Ph 6-W J SWR BUILDING Tenant/Owner LIC Retaining Wall ELR Footing Access: //l A ��� 2- — Foundation 1- rt-e 10 FPS Ftg Drain SGN Crawl Drain Inspection Notes: ----- --- Slab SIT Post Beam / / ,L,:J A v Ext Sheath/Shear '�.1�-G, G t1,41 /�T Int Sheath/Shear Framing _ G CI da d-*,,ae - --- - -- -- Insulaf.m Dryw:ill Nailing - Firewall Fire Sprinkler -- Fire Alarm Susp'd Ceiling - ---- — ----------- ----- Roof Misr. — innl PASS PART PART FAIL -- PLUMBING Post&Beam --------- - ---------------____------- Under Slab Top Out Water Service _ Sanitary Sewer Rain Drains Final PAS FAIL ECHA Gas Line ------ - ------ Dampers Final -.. - ----- -- ------- --- .------______. - ------- -- PAS PART FAIL ELECTRICAL _ ---- - ------ --_._..---- - _.___----------- �,ervice —_..— - ---- — ---- -- - -- -- Rough In UG/Slab Low Voltage Fire Alarm Final PASS PART FAILSITE Backfill/Grading --.----------.----__--------_—_— Sanitary Sewer Storm Drain I ] Reinspection fee of$ _ A —required before next inspection Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line [ ] Please call for reinspection RF: _ [ J Jnable to inspect no access ADA Approach/Sidewalk Date cR. Inspector - Ext Other _ — Final PASS PART FAIL DO NOT REMOVE this Inspection record from the job site.