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10220 SW GREENBURG ROAD STE 150-2 O 0 cl, 10 m m C: F-1 w F-3 0 CTJ ;LY ul O 10220 SW GREENBURG ROAD SUITE 150 CITYOF T I G A R D CERTIFICATE OF OCCUPANCY DEVELOPMENT SERVICES PERMIT#: BUP2000-•00343 1312 SWHall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 08/22/2000PARCEL: 1S135AB-01004 ZONING: C-P JURISDICTION: TIG SITE .ADDRESS: 10220 SW GREENBURG RD 150 SUBDIVISION: TWO LI14COI-N -TOWN OF METZGER BLOCK: LOT: CLASS OF WORK: ALT iTvPE OF USE: COM TYPE OF CONSTR: 217R OCCUPANCY GRP: B OCCUPANCY LOAD: 43 TENANT NAME: REMARKS: 4600 Square foot tenant improvement Owner: — KNICKERBOCKER PROP, INC XXIV BY NORRIS, BEGGS + SIMPSON 10300 SW GREENBURG RD STE 200 PORTLAND, OR 97223 Phone: Contractor: WAL.SHCONS FRUCTION INS: 3015 SW 1 ST AVF-NUE PORTLAND, OR 97201 Phone: 222-4375 Req #. LIC 00101398 3 i This Certificate issued III/12/20011 grants occupancy of the abov -eferenced building or portion thereof and confirms that the building has been inspected for compliance with the State of Oregon Specialty Codes for the group, occupamcy, and use under which the refe,enc9d perm' as issued. ' BUILDING INSPECTOR BUILDING.OPFICIAL POST IN CONSPICUOUS PLACE CITY OF TIGARD BUILDING INSPECTION DIVISION MST _ _ 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 - - �. 0� C �8�'2'��u = —Date Requested l D ' AM PM _ BLD Location U Z U � - Suite /,5"V MEC _— Contact Person _ _ __ Ph 5-- - Gey~PLM __— Contractor —__ _ — _— Ph —�� SWR _ UILDING Tenant/Owner ELC __- --- etaiping Wall ��.. — - — ELR ----------- Footing Access Foundation FPS Ftg Drain SGN Crawl Drain Inspection Notes: - -- ----------- Slab( SIT Post 8 Beam _-- Ext Sheath/Shear _— Int Sheath/Shear Framing Insulation Drywall Nailing Firewall Fire Sprinkler — -- -- Fire Alarm Susp'd Ceiling Roof MiUL rSS PART FAIL -- -- — —__ Pk MBING Pcst& Beam --------- - - Under Slab _ Top Out — Water Service Sanitary Sewer — Pain Drains Final —PASS PASS PART FAIL 1 MECHANICAL Post & Beam - ----. ... .--------- - --- ---- --...-- - -- Rough In GasLine ------ — ----- - - - --- ---— --.._— — --- - -- -- Smoke Dampers Final --- - ---- ---- - -- --.__. ------- - -----_.---- --_ -- PASS PART FAIL ELECTRICAL Service Rough In -- UG/Slab —_-- -- - -- ---- Low Voltage _ Fire AlarmFinal PASS PASS PART FAIL -- - _—_-- ----- _- -- --- -----SITE Backfill/Grading —_—.-- _ - -------- --__.- - - ----- Sanitary Sewer Storm Drain i ]Reinspection fee of$ required before next inspection Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line I ] Please call for reinspection RE.. ] ]Unable to inspect no access ADA Approach/Sidewalk Other Date - Inspector _ Ext —_ Final PASS PART FAIL UO NOT REMOVE this inspection re,:ord from the job site. CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-scour Inspection Line: 639-4175 Business Line: 639-4171 -J-- BLIP Date Requested _y`( r� I AM PM _ _ BLD Location ��-�_ - � _ Suite f, MEC — Contact Person — Ph --- PL �bU-3?-1 Contractor Ph SWR BUILDING - Tenant/Owner ELC _- Retaining Wall ELR Footing Access. FPS Foundation ---- Ftg Drain SGN Crawl Drain Inspection Notes: -- -T Slab - -- -_ ----— ----- -------- SIT Post&Beam Ext Sheath/Shear --- Int Sheath/Shear Framing - Insulation Drywall Nailing Firewall Fire Sprinkler - - - Fire Alarm SLisp'd Ceiling Roof G Misc: Final PASS PART FAIL. --- - PLUMBING �- Post&Beam Under Slab01 Top Out ___-- -------- W,; r Service Sanitary Sewer -.- R Drains A S PART FAIL, CNANICAL Post& Beane Rough In Gas Line - Smoke Dampers Final PASS PART FAIL ELECTRICAL Service _ Rough In UG/Slab - ------- ---- - - - Low Voltage Fire Alarm Final PASS PART FAIL SITE Backfill/Grading Sanitary Sewer Storm Drain ( ]Reinspection fee of$ required before next inspection. Pay at City Hell, 13125 SW Hall Blvd Catch Basin ( Please call for reinspection RE [ j Unable to inspect-no access Fire Supply Line ADA / _ Approach/Sidewalk Date �+ Inspector_ �� i i? Ext Other - �- Final PASS PART FAIL DO NOT REMOVE this Inspection record frorn the job site. CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-.Hour Inspection Line: '43S-4175 Business Line: 639-4171 BUP ? AM --Date Requested_4L=.� ----PM 13LD l Suite J MECLocation _ Contact Person `-_. __ Ph _`11 J61 I PLM LWR Contractor Ph r ELC BUILDING Tenant/Owner __— -----"�— ELRicier -G 6) 3_ Retaining Wall Footing Access. FPS Foundation Ftg Drain -- SGN — Crawl Drain Inspection Notes SIT Slab ------ ------ -- ----- -- - -- Post&Beam Ext Sheath/Shear ------ Int Sheath/Shear Framing -" -- Insulation Drywall Nailing —�-"- Firewall Fire Sprinkler -- --- -- Fire Alarm Susp'd Gelling — ---�- - Roof ��_r� c -- ------ Misc:—_—� --- — -- - Final -- PASS PAR?' FAIL -- -------- --- - -- PLUMBING Post&Beam Under Slab a Top Out - Water Service _— -- — Sanitary Sewer _- Rain Drains Final _ -- PASS PART FAIL ---- -- — rGa ECHANICALst&Bearnughins LinemokeDampers _��--------..-------- ------ —_. _-- Final PASS PART FAIL ( E.LFCI RI ' _— _ -------- Service - ----- - ---- --- __ --- — Ro ugh In lJGl"ab -----.. ------- __---- Low Voltage , / --- arm - ASS PART FAIL — SIT -— -- --- — packfill/Grading Sanitary Sewer rP uired before next inspection Pay at City Hall, 13125 SW Hall Blvd Storm Drain ( J Reinspection fee of$— q Catch Basin _ _ _ [ J Unable to inspect -no access ( J Please call for reir . fiction RF: Fire Supply Line ADA Ext Approach/Sidewalk Date , - 0 3—0 !� Inspector ---- Other - — Final PASS—PART FAIL DO NOT REMOVE this inspection record from the job site. CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 BUP — -- — — __Date Requested_ �U ' AM• PMi BLD Location/0 L 2-0S6,' Suite �J� MEC F't. _ Contact Person — PLM Contractor — r Ph SWR BUILDING _ Tenant/Owner ELC _ Retaining Wall ELR vv - Gul Footing ACcew FPS --_ Foundation Ftg Drain I GGN Crawl Drain Inspection Notes: Slab --- - _..�_T----- - SIT _ - Post&Beam Ext Sheath/Shear --- _--- �— Int Sheath/Shear Framing ------ -- --------- ----------- -- -- Insulation Drywall Nailing --_----- ---------.--��--.— Firewall Fire Sprinkler - —— - Fire Alarm Susp'd Ceiling _---- - Roof - -- --- - -- - MiSc Final --- PASS PART FAIL PLUMBING _ ----- -- Post& Beam Under Slah - --- — - Top Out Water Service - Sanitary Sewer - --------^—.__---� Rain Drains ---� - - Final --- -— -- PASS PART FAIL -- - MECHANICAL _ Post& Beam Rough Ir - Gas line Smoke Dampers ---- F inal --�-- — PASS PART FAIL - � 1ervice _ --`- Rough In --_ - - SASS ART FAIL � SiTf Backfill/Grading ---- r� Sanitary Sewer Storm Drain ( Reinspection fee of$_- 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/Sidewalk /D- 3 �y Inspector Other __-- Date L— _ ( P — _ Final PASS PART FAIL DO NOT REMOVE this inspection record from the jcob site. CI' BUILDING PERMIT �� OF ��" – a PERMIT #: BUP2000-00349 DEVELOPMENT SERVICES DATE ISSUED: 8/25/00 13125 SW Hall Blvd., Tigard. OR 9'223 (503) 639-4171 PARCEL: 1S135AB-00900 SITE ADDRESS: 102-00 SW GREENBURG RD 150 SUBDIVISION: FIVE LINCOLN ZONING: C-P BLOCK: LOT: JURISDICTION: TIG REISSUE: _ FLOOR AREAS _ EXTERIOR WALL CONSTRUCTION _ CLASS OF WORK: ALT _ FIRST_ sf N: S: E: W TYPE OF USE: COM SECOND: sf PROJECT OPENINGS? TYPE OF CONST: 2FR sf N: S: E: W: OCCUPANCY GRP: B TOTAL AREA: 0.00 sf ROOF CONST: FIRE RET? OCCUPANCY LOAD: BASEMEN'i: sf AREA SEP. RATED: STOR: HT: ft GARAGE: sf OCCU SER. RATED: BSM'f?: MEZZ?: _ READ SETBACKS _REQUIREn FLOOR LOAD: rsf LEFT: ft RGH I': ft FIR__SPKL: Y— —SMOK DET: DWELLING t1NITS: FRNT: ft REAR: f FIR ALRM : HNDICP ACC: BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING: VALUE: $ 1,680.00 Remarks: Retro Fit of fire sprinkler system. Owner: Contractor: KNICKERBOCKER PROF', INC XXIV JND FIRE SPRINKLER INC UY NORRiS, BEGGS + SIMPSON 12155 SW GRANT 10300 SV. GREENBURG RD STE 200 STE D Pgh'o e ND, OR 97223 TIRA e'. 9 8 bZG�3 Reg#: LIC 64395 FEES REQUIRED INSPECTIONS _ Type By Date Amount Receipt Sprinkler Rough-In PRMT CTR 8/23/00 $50.00 27200000000 Sprinkler Final .5PCT CTP 8/23/00 $4.00 2.7200000000 FIRE CTR 8/23/00 $20.00 27200000000 — Total $74.00 — This permit is issued subiect to the regulations contained in the Tigard Municipal Cote, 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 952-001-1987. You may obtain a c)py of these rules or direct questions to OUNC by calling (503) 246-1987. Pe rm It ee Signature: X Call 639-4175 by 7 p.mfor an Inspection the next business day Fire Protection Permit Application Plan Check# CITY OF TIGARD commercial or Residential Rec'd ey �tf 13125 SW HALL BLVD. 'J& Date Recd 4,V..2 31t7 TIGARD, OR 97223 Print or 1 ype =-�� Date to P.E. 4zz-- te-Z (503) 639-4171, x. 304 Incomplete or illegible applications wiil not be accepted Date to DST p Permit# -42Ui—1000 0035/9 667.-I q CalledC t Job Name of Development/PruiecK Type of System (Complete A or B as applicable) Address Address A.) Sprinkler Wet Dry ❑ r -- Name Standpipes Owner Mailing Address Additional Hazard Gruup --- -- City/State Zip Phone Information Density Name Design Area Occupant Mailing Address K. Factor 'L City/State �--- zip Pnone � - YA.1) Sprinkler Project Valuation $ Uo Col tractor Name B.j Fire Alarm (Sprinkler or FiteNt Alarm Company) Mailing AddressJ Submittal Shall Include Battery Calculations YES❑ Prior to permit isrjw Go r Sv 1XV issuance,a City/State Zip Phone Individual Component YES[j COpy _ Cut Sheets _— of all licenses 'D(*l4+ 9 g 7 z2 3 95i r-5Z B.1) Fire Alarm Project Valuation $ are required if State Const.Cont. Board Lic.# Exp. at expired in COT --— Project Valurtion Subtotal (A & or database (0 1_.>R_L — 1 (�I — Nam6 Permit fee based on valuation $ a (see SOC . _ Architect Mailing Address _ chart on back) 11`{ AVIEWE- 9 SP/6 Surcharge $ yre l� City/Ste- -tg_ zip Phone --- FLS Plan Review 40% of Permit rr__ o, o Describe work A.)New O Addition O Alteratiory�,Repair n —� -�--- TOTAL to be done $ B) Modification to sprinkler Heads only: -- -- - =-- 1. 1-10 heads-No plans required Plans required Submit three sets of plans,including a vicinity map and 2. 11+=Plan review required the location(iY f the nearest hydrant, _ _ 1 hereby acknowledge the-1 I have read this application,that the information given is Number of sprinkler heads correct,that I am the owner or authorized agent of the owner,and that plans submitted -- - --------- Additional Description of Work, are in compliance with Oregun State laws R6&<ArWfv %imPeos, ILISPCW 10116 Arm - — --- ---- ROf 1 T1EN�lr s P�E (Snature of Owne /Agent' — Date l A.)In Existing Bui!ding New Building E] �i f Z v`© Building Cgntact Person Name Phone B.) Commercial Residential ��'��t'Q� Data _.�-- ----------_.._ _--------s FOR_O_OFFICE USE ONLY: No,of stories: _ -`-- "let# MapfTL#: _ Sq.Ft' ySo Z-? Notes --_--~ Occupancy Class Type of Construction— OcE uc�fr — _. -- - --- — - -- - is\dsts\forms\ftresupr.doc i'/2/99 CITYOF TIGARD BUILDING PERMIT PERMIT P.: BUP2000-00343 ^ DEVELOPMENT SERVICES DA.U ISSUED: 08/22/2000 13125 SW HH 11 Blvd., Tiqard, OR 97223 (503) 639-4171 0ARCEL: 1S135AB-00900 SITE ADDRESS. I? SW GREENBIJRG Rp 150 SUBDIVISION: rIVE LINCOLN ZONING: C-P BLOCK: LOT: JURISDICTION: TiG REISSUF FLOOR AREAS _ EXTERIOR WALL CONSTRUCTION CLASS r1 ,WORK: ALT FIRST: sf _ N: S: E: W: TYPE OF USE: CUM SECOND: sf PROJECT OPENINGS_? _ TYPE OF CONST: 2FR sf 14: _ S: E: _ W: OCCUPANCY GRP: B 1 OTAL AREA: 0.00 sf ROOF CONST: FIRE RET? OCCUPANCY LOAD: 43 EASEMENT: sf AREA SEP. RATED: STOR: HT: ft GARAGE: sf OCCU SEP. RATED: BSMT?: MEZZ?: _ REQD SETBACKS REQUIRED FLOOR LOAD: psf LEFT: ft RGHT: ft —FIR SPKL: Y SMOK DET: �^ DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HN')ICP ACC: BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING: VALUE: ' , 1 4, Remarks: 4600 Square foot tenant improvement Owner: Contractor: KNICKERBOCKER PROP, INC XXIV WAL.SH CONSTRUCTION INC BY NORRIS, BEGGS + SIMPSON 3J15 SW 1ST AVENUE 1038R00 SW GREENBURG RD STE 200 PORTLAND, OR 97201 Phone N�� 7223 Phone: 222-4375 Reg#: i is 00101398 FEES REQUIRED INSPECTIONS Type By Date Amount Receipt Mechanical Permit Require PRMT DLH 08/22/2000 $1,151.50 0004661 Electrical Permit Required Sprinkler Permit Required 5PCT DLH 08/22/200C $92.12 0004661 Plumbing Ne-i-nit Required PLCK DLH 08/22;200( $748.48 0004661 Framing Insp FIRE DLH 08/22/2000 $460.60 0004661 Gyp Board Insp Susp Ceiing Insp Total $2,452,70 Final Inspection 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 ii work is not started within 180 days of issuance, or J work is suspended for more than 180 days. ATTENTION: Oregon law requ'res you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through CSAR 952-001 -1987. You may obtain a copy of these rules or direct questions to OUNC by calling (503) 246-1987. Pe Signature,ee SicJnae, Issued By: ��- --- — - ---- Call 639.4175 by 7 p.m. for an inspection the next business day t.. :;ITY OF 11GARD Commercial Building Permit application PlanChccki y-3 5C'_ Rr;c'd By I 3125 SW HALL BLVD. Tenant Improvement Date Rec'dP////d HGARD, OR 97223 Date to P.E. 4 f 503) 63`J-4171 Date to DST Print or Type Permit Related SWR# Incomplete or illegible applications will not be accepted Called :,,1 X71 vD -- - Na,ne of Devetopment/Prtiect _ Existing Building New Building [� JobCen�'C- Address Street Address Suite Building 102 .SW Gt-ea%6_rg --- Data w Bhfg#9 city/state zip Existing Use of Building or Property. TW - - I N i p 4 raPorti a►�dr �722'a I t"}�-F"Z c e Name — --- - — Property Knicic"6oc,ker f iree�erg,r, ;r►C. Proposed Use of Building or Property: Owner Mailing Address Suite o 441 Ce 10300 3W Gve&nw F-A 200 No,Of Stories: City/State Zip Phone 6, 'S ix _ Povtate! t nfX. 9?z .� `2r-2,5900 Sq. Ft. Of Project: Name _— -- ---- 4 hon OCCUpant Na _ GvaAr1.6s S c'k.w. (es) ___ ,j, Occupancy Class Name ?'? _ Contractor VJalS�, l act'41,c (.o0'6 v e-0 ort TvDWs)ofConstruction _ _ 1 r SuR _ Prior to permit Mallirg AAdiess e ___ 11 � —� issuance,a copy Will this project have a Fire Suppression System?_ of all licenses �''4 Hac-acyl a Drive Z.10 Yes _ No [j- are required K City/State Zip Phone Cc�.Lg) Americans with Disab?titles Act(ADA) T expired �e lsak tPm C-A • 7 t5gg 847 14'0 4 I r, database � �o D Valuation X 25/r, _ $ Participation �Orerion ConsL Cont.Board Lic.# Exp.Date Complete Accessibility Forrn✓ 916SS1 3 Project $ r- '--�0 Name Valuation _ Architect CoYnws-bPne �Y-d x_ Gmvp Plans Required: See Matrix for number of sets to submit Mailing Address Suite on back (9N- Y-4ave►we soo - --___ --_ Clty/State Zip Phone I hereby acknowir-Age that I have read this application,that the information 1 _ given is correct,that I am the owner or authorized agent of the owner,and Sea' 1e,V�A. 98101 r.'6?.-yam — that plans submitted are in compliance with Oregon State laws. Engineer Name Signature of Owner/Agent Date Mailing Address Suite �>%�,�. '11 Cc tct Person Name Phone CitylStale ZIP Phone rtia,/ �., t=`V y —_— 2'L r� -9650, - - FOR OFFICE USE ONLY Indicate type of work: New O Addition O Demolition O MaprrL# 'and Use: Accessory Structure O Foundation Only O Alteration" ,--—� Repair O Othc.r O _ Notes: Description of work: Tev►a� �V►��1C�V�IkAr+�Vi TIF -------- -- Note: Site Work Permit Application must precede or accompany Building Permit Application C LVA '-Jr7 Q Lir' � n v 7A I\COMNEWTI DOC (DST) 5/98 4�� ....... — COMMERCIAL FLAN SUBMITTAL REQUIREMENT MATRIX r-lan Review is dependent upon submittal of BOTH plans AND a COMPLETED application. For .--; electrical submif,ai, tl ie application must contain the signature of the supervising electrician before pkn review will be conducted. After plan review approval, Planr :_=xaminer will contact the applicant to requ,;sl additional plan sets fo,,- distribution purposes. (Copy fo: Contractor, City, Washington County, Tualatin Valley Fire & Rescue) 1-Total # of TYPE OF SUBMITTAL_ Plans KEY: ___ S_tibmitted_ �� S (Private) S = Site Work B (New or Add) 1 B = Building F (New or Add or Alt) 3 F = Fire Protection System M (New or Add or Alt) 1 M = Mechanical B & M (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 V_ 3 Alt = Altrrnation to Existing (New , Add) _ Building *B or B & M (Alt) _ 1� 'B & M & P & E(PJt) *B & M ~P &E x F(Aft) 3 NOTES. "Shaded areas designate ALT submittals only. I%dstsWormslmatrxcom doc 10/30/98 CITY OF TIGARD PLUMBING PERMIT DEVELOPMENT SERVICES PERMIT#: PLM2000-00321 13125 SW Hall Elvd., Tigard, OR 97223 (503) 639.4171 DATE ISSUED: 8/31/00 SITE ADDRESS: 10220 SW GREENBURG RD 150 PARCEL: 1S135AB-01004 SUBDIVISION. TWO l INCOLN - TOWN OF METZGF_R ZONING: C-P BLOCK: _LOT: JURISDICTION: TIG CLASS OF WORK: ALT GARBAGE DISPOSALS: MOBiLE HOME SPACES: TYPE OF USE: COM WASHING MACH: BACKFLOW PREVNTRS: OCCUPANCY GRP: B FLOOR DRAINS; TRAPS: ST.7RIES: WATER HEATERS: 1 CATCH BASINS: FIXTURESLAUNDRY TRAYS: SF RAIN DRAINS: SINKS_ i URINALS: GREASE TRAPS: LAVATORIES: OTHER FIXTURES: 'TIJB/SHOWERS: SEWER LINE: ft WATER CLOSETS: WATER LINE: ft DISHWASHERS: RAIN DRAIN: ft Remarks: Move existing sink and water heater to new location. No change to sewer usage. Owner: - FEES --- KNICKERBOC CER PROP, INC XXIV Type By _ Date Amount Receipt BY NORRIS, BEGGS + SIMPSON PRMT CTR 8/29/00 $50.00 27200000000 10300 SW GREENBURG RD STE 200 5PCT CTR 8/29/00 $4.00 27200000000 PORTLAND, OR 97223 l� Total $54.00 Phone 1: Contractor: BEAVERTON PLUMBING INC 13980 SW TUALATIN VALLEY HWY BEAVERTON, OR 97005 REQUIRED INSPECTIONS Phone 1: `343-7619 PLM/Underfloor'^ Reg #: LIC 00012889 TOP-out Insp PLM 34-4PR Final Inspection 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 dole 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 yaw requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-0001-0010 through OAR 052-0001-0080. YOU may obtain copies of these rules or direct questions to OUNC by calling (503) 246-1987 1. Issued By: Oermittee Signature: Call (503) 639-4175 by 7:00 P.M. for an inspection needed the next business: day CITY OF TIC '\RD Plumbing Permit Application Plan check# 13125 SW H ,LL BLVD. Commercial and Residential Re 'd By TIGARD, OF 97223 Date Recd Date to P E. -- (503) 639-41 1 Date to D T --�_ Print or Type permit Incomplete or illegible applications will not be accepted Related SWR# Called - -- Namc of Development/Project FIXTURES (individual) QTY PRICE AMT Sink 11'50 J Job a — 11.50 Address Street-d-dress Suite u; Lavatory tBI e e�� ) Tub or Tub/Shower Comb. 11.50 # City/State Zip Shower Only 11.50 Water Closet 11.50 Name11.50 Urinal Mailing Address Suite Dishwasher 11.50 Owner 11.50 Garbage Disposal City/Stale Zip Phone Laundry Tray 11.50 _ — Washing Machine/Laundry Tray 11.50 Name11.50 I Floor Drain/Floor Sink 2" _ Mailing Address Suite 3" 11.50 Occupant a" 11.50 City/Stale Zip Phone Water Heater O conversion O like kind 11.50 Gas piping requires a se orate mechanical ermlL J me 1 MFG Home New Water Service 32.00 f.: fir^U e- J^ P L.-i r MFG Home New Sen/Starm Sewer 32.00 Contractor MaiW Mailing Address Suite . V, w Hose Bibs 11.50 Prior to Henn r ty/Stale Zip Phan Root Drains 11.50 Issuance,a cot �, 6 -7 b� Drinking Fountain 11.50 of all licenses Fil Oregon Con L Cont.B'ggrd Llc.# E �tpy U Other Fixtures(Specify) 15.00 required if O� expired In CO I Plumbin Lie #� f) E Dato'O t database r ICJ Name Architect Sewer-1s1 100' 38.00 =Mallingyr ddress Suite Sewer-each additional 100' 32A0 i —__- Water Service- list 100' 38.00 Engineer City/State Zip Phone Water Service-each additional 200' 3200. Storm 8 Rain Drain-1st 100' 38.00 Dest"rlbe work 1, fin done: 32.00 New O Repo O Replace with like kind: Yes O No O Storm 8,Rain Drain each additional 100' Residential O uommerciel O Comm11 ercial Back Flow Prevention Device 32.00 Additional desc, Iron or work Residential Backflow Prevention Device' 18.00 _ Catch Basin 11.50 000 Are you caps rig,moving or replacing any fixtures? Insp of Existing Plumbing or Specially Requested 5erth Yes 45.000 No O Ins actions er0 Rall Draln,single family dwelling If yes,see b: k of form to Indicate work performed by --- 11 50 fixture. FAII IRE TO ACCURATELY REPORT FIXTURE Grease Traps WORK COUI )RESULT IN INCREASED SEWER FEES. QUANTITY TOTAL I hereby acknrn -age that I have esd this application,that the Information Isometric or riser diagram is required M Quanta Total u �fl given Is correct ,,,It I am the owner or authorized agent of the owner,and — •SUBTOTAL 471,00 r Ihal Ions subs led are In com Ilan with re on Slate Laws. SI tura f nor/Agent D t 8%SURCHARGE Cof)ta�t Per�y�p ma 1 I u^ rh0"j ��PLAN REVIEW 26%OF SUBTOTAL r // I Yl l7 76 Re ulred oat 11 flzture qty total Is>B OUST 5178 ` TOTAL u bUSI $2611 r dQSt $26li. ' Ir I h a rl�lu •84 0111h Ifst •Mlnlmur parmtl fee a$50+8%surcharge,except ResidentialFackfbw Prevention 1100 `�an fry a1er fie 'Ic l t Y! Device.which Is$25+8%surcharge .. .. **All New commercial Bulldings require plans with isometric or riser diagram and plan review IbgaUamalph.xnappr IU1sm PLEASE COMPLETE: :ixture TVb6 Quantity by Work Performed New Move Replaced Removed/Gapped ,--Sink Lavatoi Tub or I ub/Shower Combination Showei Only Water c Io_set Urinal Dishwa,;-her Garbap Disposal-.-_- ndry-Roo rn Tray Washing Ma3hine Floor Dlahl/i_-lour Sink 2" 3" 4" Water I leater ___-- Other l ixtures (Specify) COIAMEN I'S REGARDING ABOVE: CITYOF TIGARD MECHANICAL PERMIT DEVELOPMENT SERVICES PERMIT#: MEC2000-00357 13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 1 0 PARCEL.: 1 S13 S135AB-01004 SITE ADDRESS: 10220 SW GREENBURG RD 150 SUBDIVISION: TWO LINCOLN -TOWN OF METZGER ZONING: C-P BLOCK: LOT: JURISDICTION: TIG 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: WOODSTOVES: GAS PRESSURE: 50 + HP: CLO DRYERS: FURN < 100K BTU: AIR HANDLING UNITS FURN >=100K BTU: <= 10000 cfm: OTHER TS: 1 > 10000 cfm: GAS OUTLETS: Remarks: Mechanical work associated with commercial TI. Installation of VAV box and duct work. Owner: _ FEES KNICKERBOCKER PROF, INC XXIV Type By B Date Amount Receipt _ _ BY NORRIS, BEGGS + SIMPSON PRMT CTR 6/30/00 $50.00 2720000000 10300 SW GREENBURG RD STE 200 5PCT CTR 8/30/00 $4.00 2720000000 PORTLAND, OR 97223 PLCK CTR 8/30/00 $12.50 272000000C Phone: Total $66.50 Contractor: I-IUN1 ER UAVISSON INC 3410 SE 20TH PORTLAND, CR 97202 REQUIRED INSPECTIONS Duct Inspection Phone:503-234-0477 Duct Inspection Reg#:LIC 01612 Final Inspection This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes a-id all other applicable laws. All work will be done in accordance with approved pians This permit will expire if wo!k 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 952-001-001C through OAR 952-001-0080. You ma;/ obtain copies of these rules or direct qqe tions to OUNC by calling (503246-9189. �z., �z.��' �E• A-� (��-%'S� �.L"��-�.�- Issue By: ! PermIttee Signature: Call (503) 639-41','5 by 7:00 P.M. for inspections needed the next business day Plan Chc ~' CITY OF TIGARD Mech.aniZal Permit Application Rec'dBy 13125 SW HALL BLVD. Commercial and Residential DateRec'd TIGARD, OR 97223 Date to P.E. (503) 639-4171, x304 Date to DST Print or Type Permit# llfyrOfI022-io`' 7 _ rete or illegible pp P Incomp able a lications will not be accepted Called --• �--- - — Name of DevelopmenVPro)ect Descriptio,i Table 1A Mechanical Code Qt Price Amt Job Street Address Sude# A) Permit Fee _ Address ) 0 63,e1S� 11 Furnace to 100.000 BTU including ducts&vents_ see footnote_ 1,2 9.65 Bldg# Crty/State zip 2) Furnace 100,000 BTU+ + �(TiV,.() Q2,-- including ducts&vents see footnote 1,2 12.00 Name(or name of business) 3) Floor Furnace Owner including vent see footnote 1,2 9.65 Mailing Address - 4) Suspended heater,wall heater or floor mounted heater see footnote 1,2 965 _ 5) Vent not included in a opliance ermit - 4.75 _ cayiCtate Zip Phone Check all that apply 'Boiler Heat Air - For items 6-10,see or Pump Cond Qty Pi Ice I Amt '- Name(or name of business) ��/�� footnotes 1,2 Comp — _f- — 1 6)<3HP,absoro unit tc t00K BTU _ _ _ 9.65 — Occupant Wiling Ac dress 7)3-15 HP;absorb unit z-zU _ )4 60xu J�� 100k to 500k BTU _- _ _ 17.65 Cly/state --� zip tions 8) 15-30 HP;absorb unit.5-1 mil BTU24.15 9)30-50 HP;absorb Contractor Name unit 1-1.75 mil BTU _ -_ 2500_HV _ /J1qyt 0 10)>50HP,absorb unit Prior to permit Mailing AddressS r >1.75 mil BTU __J 60.15 issuance,a copy �-A P U L -0 11 Air handlinq unit to 10,000 CFM of all licenses c yisute — r�y�r,P,�1 Phone _ __ - 7.00 are required if _ �I !/�Gt_- �y U`(7 12)Air handling unit 10,000 CFM+ expired in COT Dre9st Cont Board Lic# - Exp ii,ile - -_ 11,85 database 0 13)Non-portable evaporate cooler — Architect Name _ -_ 7.00 - 4)Vent fan connected to a single duct 4.75 or 443111ng Address -- -- — 15)Ventilation system not included in - _ appliance permit 7.00 Engineer Clty/State zip Phona. 16)Hood served by me-hanical e•(haust 7.00 _ Describe work to be done _ 17)Domestic incinerators 12.00 New O Repair 0 Replace with like kind Yes O No O 18)Commercial or industrial type incinerator 48 25 Residential 0 CommerciatX _- _- 19)Repair units Aoditional information of description of work _ 8.40 20)Wood stove/gas FP/other units/clothe dryerletc 7.00 NOTE: For Commercial projct;ts only,Units over 400 lbs require Ti-)Gas piping one to four outlets — _ structural as r�alcs _See footnote 1 _ - - 3.75 Type of fuel nil V natural gas O LPG O Plectn O -22)More than 4-per outlet(each) 75 Minimum Permit Fee$50.00 SUBTOTAL I hicteby acknowledge that I have read this application,that the information 8R%SURCHARGE r1 given is correct.that I am the owner or authorized agent of �- PLAN REVIEW 25%OF SUBTOTAL the owner,that plans submitted an Required for ALL comme•clal permits onlTOTAL Si ire eflQ r/Agent Date - - -- `' Other Inspections and Fees: .- 7 lJ� 1. Inspections outside of normal business hours(mininum charge two howl) $50.00 per hour Contact Person Name - Phone 2. 2. Inspections for which no fee is silecifically Indicated (minimum L1h v to charge-half hour) $50.00 per hour L ---SL3. Additional plan review required by changes,additions or revisions to Foonotes for commercial projects only: plans(minimum charge-one-half hour)$50.00 per hour 1 Provide 1`0schematic of existing and proposed gas line and presswe 2 Provide drawings to scale showing existing and proposed mechanical 'State Contractor Boiler Certification required units.-- nits.- ---------------- ---- - "Residential A/C requires site plan showing placement of unit I Vnechperm doc rev 7119/99 CITY OF TIGARD ELECTRICAL ENER - RESTRICTED ENERGY DEVELOPMENT SERVICES � PERMIT#: ELR2000-00200 13125 SW Hall Blvd., Tigard, OR 97233 (503) 639-4171 DATE ISSUED: 8/24/00 SITE ADDRESS: 10220 SW GREENBURG RD 150 PARCEL: 1S135AB-01004 SUBDIVISION: TWO LINCOLN - TOWN OF METZGER ZONING: C-P BLOCK: LOT: JURISDICTION: TIG Proiect Description: Installation of restricted energy system for data telecommunication system. A.RESIDENTIAL B.COMMERCIAL _ AUDIO& :STEREO: AUDrO & STEREO: INTERCOM & PAGING: BURGLAR ALARM: BOILER: LANDSCAPEiIRRIGAT: GAR4GF_ OPENER: CLOCK: MEDICAL: HVAC: DATA/TELE COMM: X NURSE CALLS: VACUUM SYSTEM: FIRE ALARM: OUTDOOR LANDSC LITE: OTPER: HVAC: PROTECTIVE SIGNAL: INSTRUMENTATION: OTHER: TOTAL.#OF SYSTEMS: 1 Owner: Contractor: KNICKERBOCKER PROP, INC XXIV SMALL BUSINESS COMMUNICATIONS BY NORRIS, BEGGS + SIMPSON 15000 SW FtiRMINGTON #23 10300 SW GREENBIJRG RD STE 2.00 BEAVERTON, OR 97007 PORTLAND, OR 97223 Phone: Phone: 626-8857 Reg* ELE 34-519CLE LIC 136739 FEES Required InspecJons Type By Date _ A_m_oun! Receipt Low Voltage Inspection PRMT CTR 8/24/00 $60.00 2720000000 Elect'I Final 5PCT CTR 8/24/00 $4.80 2720000000 Total $64.80 This Permit is issrled subject to the regulations contained in 'he 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 d,3ys of issuance, or if v�ork is tzuspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001--0010 through OAR 952-001-0080 You may obtain copies of these rules or direct questions to OUNC at (603) 246-1087, issued by /' 1 ,i k44-c4 Permittee Signature — ✓Cj. iere6��d,! �f'u f� OWNER INSTALLATION ONLY The installation Is being made on property t own which Is not intended for sale. lease, or rent. OWNER'S SIGNATURE: DATE: CONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR. ELEC'N DATE: LICENSE NO: - ---------- ---- --- --- �_..�.—__--- ----- Call 639•4175 by 7:00 P.M. for an inspection neuded the next business clay CITY OF Tl('-ARD RESTRICTED ENERGY ELECTRICAL APPLICATION Recd 13125 _ y 1312b SW 1-�ALL BLVD Date Rec_d �a1 -� : , TIGARD OR 9722;, PRINT OR rYPE V- 503-639-4171 X304 Permit#: F - 503-598-1960 INCOMPLETE OR ILLEGIBLE APPLICATIONS Cust Cali'd _ WILL NOT BE ACCEPTED Nan a of Development Project TYPE OF WORK INVOLVED - RESIDENTIAL ONLY Restricted Energy Fee.................................. .. .. $60.00 (FOR ALL SYSTEMS) JOB Street Address Ste tt ADDRESS l� :(� sl !'Ia'.✓J�ll `�`i Check Type o`Work Involved C / tate Zi Phone# Audri and Stereo Systems Name Burgla Alarm OWNER Marking Aidress T..- ---- ❑ Garage Uoor Opener- City/State — Zip Phone# ❑ Heating,Vf.ntilatron and Air Conditioning System' Name --- ❑ Vacuum Systnms• /7 S�iG(Gr5 SWye //4)/ �j'7/�l,-f� Other - ------ - CONTRACTOR Mailing Address v 10 A. �_5 TYPE OF WORK INVOLVED -COMMERCIAL ONLY (Prior to issuance a _9ty/State Zi Phone# Fee for each system............................................. $60.00 copy of ail licenses Lrr/P�� .0 /s �L� ��' 5'� (SEE OAR 918-260.290) are required if Oregon Contr Brd rc # Egg Date expired in C O.T _�.3� 73�� 1-17.0 Check Type of Work Involved: datfj base) Flectri I Contr Lic # Exp Date - ? - /0-/-C b F-1Audioand Stereo Systems C.O.T.or Metro Lic # Exp Date __ _ _ ____ - ❑ Boiler Controls Owner's Name _ ❑ Clock Systems OWNER - Marling Address APPLICAN-i - Date Telecommunication Installation — City/State Zip Phone# ❑ Fire Alarm Installation This permit is Issued under CAE 918-320-370 This applicant agrees to make only restricted energy installations(100 volt amps or less)under this ❑ HVAC permit and to do the following ❑ Instrumentation s 1 Only use electrical licensed persons to do installations where required l Certain residential and other transactions are exempt from licensing. ❑ Intercom and Paging Systems These have asterisks(') All others need licensing. ❑ 2 Call for inspections when installation under this permit are ready for Landscape Irrigation Control' inspection at 503-639-4175: ❑ Medical 3 Purchase separate permits for all installations that are net ready for an ❑ Nurse Calls Inspection when the inspector is out to inspect under this permit, 4 Assume responsibility for assuring that all corrections required by the ❑ Outdoor Landscape Lighting' Inspector are done,and: ❑ Protective Signaling 5 Assume responsibility for calling for a final Inspection when all of the corrections are completed ❑ Other Permits are non-transferable and non-refundable and expire If work is not started within 180 days of Issuance or if work is suspended for 180 days __Number of Systems The person si Ing for this permit mustpe the applicant or a person No licenses are required Licenses are required for all other installations authorize ind the applicant' / FEES: Ig —' ENTER FEES 8%SURCHARGE(.08X TOTAL ABOVE) $ Authority if other than Applicant - TOTAL $ q WstslformsVesele doc 3198 ELECTRICAL PERMIT- C I o'Y OF T I G A R D RESTRICTED ENERGY DEVELOPMENT SERVICES PERMIT M ELR2000-00203 13125 SW Hall Blvd..Tiqard, OR 97223 (503) 639-4171 DATE ISSUED: 8/30/00 SITE ADDRESS: 10220 SW GREENBURG RD 150 PARCEL: 1S135AB-01004 SUBDIVISION: TWO LINCOLN - TOWN OF METZGER ZONING: C-P BLOCK: LOT: JURISDICTION: TIG Proiect Description: Restricted energy system for HVAC system. A.RESIDENTIAL B.COMMERCIAL AUDIO & STEREO: AUDIO & STEREO'. 'NTERCOM & PAGING: BURGLAR ALARM: BOILER: LANDSCAPEIIRRIGAT: GARAGE OPENER: CLOCK: MEDICAL: HVAC: DATAITELE COMM: NURSE CALLS: VACUUM SYSTEM: FIRE ALARM: OUTDOOR LANDSC LITE: OTHER: HVAC: X PROTECTIVE SIGNAL: INSTRUMENTATION: OTHER: TOTAL#OF SYSTEMS: Owner: Contractor: KNICKERBOCKER PROP, INC XXIV HUNTER DAVISSON RY NORRIS. BEGGS + SIMPSON 3410 SE 20TH 10300 SW GREENBURG RD STE 200 PORTLAND, OR 97202 PORTLAND, OR 97223 Phone: Phone: 234-0477 Reg#: ELE 26-682CLE LIC 1612 FEES Required Inspections __Type By _Date Amount Receipt Low Voltage Inspection PRMT CTR 8/30/00 $60.00 2720000000 Elect'I Final a 5PCT CTR 8/30/00 $4.80 2720000000 Total $64.80 This Permit Is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes .:nd 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 -equires you to follow rules adopted 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 OUNC at (503) 246-19 f Issued by �� c3ci�!�t_9 �J / Permittee Signature � C�.j('�1 /r" t'1 C- OWNER INSTALLATION ONLY The installation Is being ►rade 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 CITY CF TIGARD RESTRICTED ENERGY ELECTRICAL APPLICATION Recd bFt'-1- _ 13125 tW HALL BLVD Date Recd: TIGARD OR 97223 PRINT OR TYPE V-503-639.4171 X304 Permit#: &_,0,ka0-✓6'2C3 F -503-598-1960 INCOMPLETE OR ILLEGIBLE APPLICATIONS Cust.Call'd. WILL NOT BE ACCEPTED Name o1 Development Project TYPE OF WORK INVOLVED -RESIDENTIAL ONLY Restricted Energy Fee...... .................... ............. $60.00 4trept (FOR ALL SYSTEMS) ,JOB Address Ste# ADDRESS (� S(� f C Check Type of Work Involved Ci y/State 62 Zip Phone# E] Audio and Stereo Systems _ Name ❑ Burglar Alarm OWNER Mailing Address ❑ Garage Door Opener' City/State Zip Phone# ❑ Heating,Ventilation and Air Conditioning System' — ❑ NamVacuum Systems- Other_� -- --- --- CONTRACTOR Mai ing Address Sr- TYPE OF WORK INVOLVED -COMMERCIAL ONLY (Prior to issuance a City/State / Phone# Fee for each system.............................................. $60.00 copy of all licenses `T�d-Uvn 234-01(71) (SFE OAR 918-260-260) are required if Oregon Contr Brd Lic.# x Dat� expired in C.O T 1 -O/ Check Type of Work Involved data base). Electrical Contr.Lic.# Exp.Date CL6' ❑ Audio and Stereo Systems C O.T.or Metro Lic # Exp.Date C�/SG a �❑ Boiler Controls Owner's Name ❑ Clock Systems OWNER - Mailing Address APPLICANT �_� Data Telecommunication Installation City/State Zip Phone# Fire Alarm installation This permit is issued under OAE 918-320-370.This applicant agrees to make only restricted energy installations(100 volt amps or less)under this HVAC permit and to do the following ❑ Instrumentation 1 Only use electrical licensed persons to do installations where required. Certain residential and other transactions are exempt from licensing Intercom and Paging Systems These have asterisks(') All others need licensing, ❑ 2 hall for inspections when installation under this permit are ready for Landscape Irrigation Control' inspection at 603-639-4176; ❑ Medical 3 Purchase separate permits for all installations that are not ready for an Nurse Calls inspection when the inspector is out to inspect under this permit, 4 Assume responsibility for assuring that all corrections required by the ❑ Outdoor Landscape I_ightino' Inspector are done,and, �❑ Protective Signaling 5 Assume responsibility for calling for a final inspection when all of the corrections are completed ❑ Other_ _ _— Permits are non-transfe-able and non-refundable and expire if work is not started within 180 days of issuance or if work is suspended for 180 days Number of Systems The person signing for this permit must be the applicant or a person No licenses are required Ucenses are required for all other installations authorize d the applicant FEES: �Slgnat ENTER FEES 5 �� 8%SURCHARGE(.08X TOTAL ABOVE) 5 Authority if other than Applicant - TOTAL i Wststformsvesele doc 3198 J ELECTRICAL PERMIT CITY OF T'G ARD _ PERMIT it ELC2000-00492 DEVELOPMENT SERVICES DATE ISSUED: 8/18/00 13125 SW Hall Blvd., Tioard, OR 97223 (503) 639-4171 PARCEL: 1S135AB-01004 SITE ADDRESS: 10220 SW GR=ENBURG RE) 150 SUBDIVISION: TWO LINCOLN -TOWN OF METZGER ZONING. C-P BLOCK: LOT : JURISDICTION: TIG Proiect Description: Installation of 14 branch circu ts. Job No. 62-14374. 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 I_TG: 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:Y PER INSPECTION: 201 - 400 amp: 1st W/O SRVC OR FDR: 1 PER HOUR: 401 - 600 amp: EA ADD'L BRNCH CIRC: 1? IN PLANT: 601 - 1000 amp: PLAN REVIEW SEC'T'ION 1000+amp/volt: >:=4 RES UNITS: >600 VOLT NOMINAL: Reconnect only: _ _ SVC/FDR >=225 AMPS: CLASS AREA/SPEC OCC: Owner: Contractor: KNICKERBOCKER PROP, INC XXIV CHRISTENSON ELECTRIC INC BY NORRIS, BEGGS + SIMPSON 111 SW COLUMBIA 10300 SW GREENBURG RD STE 200 STE 480 PORTLAND, OR 97223 PORTLAND, OR 97201 Phone: Phone: 241-4812 Reg ft: UC 000458 SUP 3289S PLM 2468S EI.E 26-34C ^� FEES Required Inspections _ Type By Date Amount Receipt Ceiling Cover +PRMT DEB 8/18/00 $107.05 0004580 Wall Cover 51PCT DEB 8/18/00 $8.56 0004580 Elect'I Service Elect'l Final Total $115.61 This Permit is issued subject to the regulations contained in the Tigard Municipal Code State of OP Specialty Codes and all other applicable laws. All work will be done in 3coordance with approved plans. This permit will expire if work is not started within 180 days of issuance,or if work i� suspended for more than 180 days ATTENTION Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center Those rules are set forth in OAR 952-0u1-0010 through OAR 952-001-0080 You may obtair, copies of these rules or direct questions to OUNC at(503) 246-1987 PERMITTEE'S SIGNATURE ISSUED �Y: j y OWNER INSTALLATION ONLY Ac -Fhe installation is being made on property I own which is not intended for sale, lease, dr rent. c ' OWNER'S SIGNATIJRE: _. ��— DATE:_ CONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR. ELEC'N: ,. __ ��`_i DATE:_-_.______ LICENSE NO: -�_- Call 619-4175 by 7:00pm for an Inspection the next business day ELECTRICAL PERMIT- CITY OF TIGARD RESTRICTED ENERGY DEVELOPMENT SERVICES _ PERMIT#: ELR2000-00256 13125 SW Hall Blvd.,Tinard,OR 97223 (503) 639-4171 DATE ISSUED: 11/01/2000 SITE ADDRESS: 10220 SW GREENBURG RD 150 PARCEL: 1 S135AB-0100.1 SUBDIVISION: FWO LINCOLN - TOWN OF METZGER ZONING: C-P BLOCK: LOT: JURISDICTION: TIG Proiect Description: Protective signaling. A. RESIDENTIAL. _ _ B.COMMERCIAL AUDIO & S`rEREO: AUDIO & STEREO: _ INTERCOM & PAGING: BURGLAR ALARM: BOILER: LANDSCAPE/IRRIGAT: GARAGE OPENER: CLOCK: MEDICAL: HVAC: DATA/TELE COMM. NURSE CALLS: VACUUM SYSTEM: FIRE ALARM: OUTDOOR LANDSC LITE: OTHER: HVAC: PROTECTIVE SIGNAL: X INSTRUMENTATION: OTHER: TOTAL #OF SYSTEMS: 1 Owner: Contractor: KNICKERBOCKER PROP. INC XXIV SONITROL PACIFIC BY NORRIS, BEGGS + SIMPSON 1975 SW 6TH AVE 10300 SW GRE ENBURG RD S1 .200 POR11-AND, 013 97201 PORTLAND, OR 97223 Phone: Phone: 223-5822 Reg #: LIC 00053535 ELE 263 0CLE FEES _ Required Inspections Type By Date Arnount _Receipt ^ _ Low Voltage Inspection TPRMT CTR 11/01/200C $75.00 2720000000 Elect'I Final 5PCT CTR 11/01/200C $6.00 2720000000 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 OAR 952-001-00'10 thrg-ugh OAR 952-001-0080 You may obtain copies of these rules or direct questions to OUNC at (.503) 2.46-1987 i �i Issuedby�t'� Perm itteeSig nature .0 / t- OWNER INSTALLATION ONLY The installation is being made on property I own which is not intended for sale. lease, or rent. OWNER'S SIGNATURE: DATE: CONTRACTOR INSTALLATION ONLY�_ SIGNATURE OF SUPR. ELEC'N DATE: LICENSE NO: ----- — -- - -�—�_. Call 639-4175 by 7:00 P.M. for an inspection needed the next business Jay CITY OF TIGARD Restricted Energy Electrical Application Recd by: ��- 13125 SW HALL 61-VD Date Redd:_!o TIGARD OR 97223Permit 1t, le "") — X C V.503-639-4171 X.304 Incomplete or Illegible applications Cust.Call'd:/ will not be accepted F-503-5984960 Name W Develppment Froittl TYPE OF WORK INVOLVED-RESMENTIAL ONLY �C-4} J Reatrlcled Energy Fee........................................ $76.00 JOB Straet Address /_- Ste (FOR ALL SYSTEMS) ADDRESS 1U')- c� ��nb ( � Check Type of Work Involved City/ tete f Phone M *-�as 3 0 Audio and Stereo Sys"ems RECEiVEQ Name Burglar Alami OCT 'i 2000 OWNER Mailing Addrese� �! [� Or' LAIC!erage Uoor Opener City/State—� 7ip Phone N r � COMMUNITY DEVF.LUYMENI I looting,Ventilation and Air Conditioning Sys am' Nmmn1r Vacuum systems. CONTRACTOR Malvin rllddteeeee �(` r� ( l Q � eve (Prior to lesuanne aty/ t to ftp one NE• TYPE OF WORK INVOLVED-COMMFRCIAL ONLY crrpy Mall licenses Y �r X are required if Ore oft Conti,Br�Llc A Fxp r)RIa Fee for each system.......................... ................... $78.M exDirod In C.U.T. .I (SEE CZAR 918.260 .^u) database) Clectrtoel Ctr Leo.N Exp.Onto 1O C Q Check Type of Work Involved. C O T or Metro Lic N Exp.Date Audio and 6lereo SyAcme '— Owner's Nettle soler controlsOWNER- Meili_ng Addross APPLICANT [� Clock SyAtams city/Stale�^ 7(p Phone k t f_7 Data 7clecrxnmunlcgUon InstaBa'am This permit In issued under OAF gi8.320_110 Thic applicant agrees to Aske only restricted energy Installations(11 CO volt amps.or less)under this Fire Alarm Installation permit and to do the followinq HVAC I only use ebcti"I licensed persons to de Installations where iequirod. certain tesldentlal and other frartsectious are exempt from U;arvsing. Inetrurnenfation TtPce have natrrlskP('). All others need licensing Ir,letcnln end Poginq Systems 1 Call for insprcticns when inatallatlmn under PAS permit art-re�dy for inxpection at 603-639-4175; Landscape Irrigation Contrc I' ? Purchase separate permits tot all Installations that are nor ready for an Inspection when the inspector Is our to Inspect under this permit, Medica! d. Assume responsibility lot assuring that all corredlons required by the Nurse Cnlls inspeclor are done,and, C.I Outdoor L�,•.;s,;epe LlghUnN. 5 Assume responsibOlty tot calling lot a final insoeciion when all of the corrections am rnmpintrd Protective Signaling Part-nits are nun-Ire-inferable end non refundable and expire If work Is not Other slertnd within 180 days of Issuance or it work 14 suspended lot 1 t10 days Number of Systema Thr person signing for Phis pemtit must be the applicant or a persoo authorized to bind the applicant No Ikansaa ro mqui,nd Lk"iess ora redrllred br all other In%tellallcns FEES' (�l —-- -- --— -- — FNTFP FEES Signatufe ----_ II--- 84:SURCHARGE(,05 X TOTAL ABOVE) TOTAL Authority if other than Applicant i VhluVrrnm4easM dna ab0 (i?iF''li,L :I(i 11,117 0961 qF? 1:04 IYA SO: I1 :1.11 On 61 Fla 1599 SAVE - HISTORICAL INFORMATION BUI!IDING(S) NAME CHANGE PER KIT CHURCH, ENGINEERING 10220 GREENBURG Rd, LINCOLN II NORTH CHANGEb TO 10220 GREENBURG RD, LINCOLN III 10220 GREENBURG RD, LINCOLN II MOUTH CHANGED TO ]0220 GREENBURG RD, LINCOLN II r� GELECTRICAL PERMIT IT'Y OF TIGARD - - PERMIT#: ELC2003-00332 DEVELOPMENT SERVICES DATE ISSUED: 6!9103 13125 SW Hall Blvd.,Tiqard, OR 97223 1503) 639-4171 PARCEL: 1S135AB-01004 SITE ADDRESS: 10220 SW GREENBURG RD 150 ZONING: C P SUBDIVISION: TWO LINCOLN - TOWN :)F METZGER BLOCK: LOT: JURISDICTION: TIG Project Description: Tenant improvernent, (4)branch circuits. ,Job No. 424 RESIDEN i IAL UNIT I kivIP SWiCiFEE'DERS MISCELLANEOUS 1000 SF OR LESS: 0 200 ampi PUMPIIRRIGATION: — EACH ADDT 500SF: 201 - 400 rnp: SIGN/OUT LINE LTG: LIMITED ENFHGY. 401 - 600 snip: SIGNAL/PANEL: MA% HMt SVC/FUR: 601+amps- 1000 volts MINOR LABEL (10): SERVICEIFEEDER BRANCH CIRCUIT:.; ADD'L INSPECTIONS 0 200 amp: WISERVICE OR FEEDER: PER INSPECTION: 201 - 400 amp: list WJO SRVC OR FDR: 1 PER HOUR: 401 - 600 amp: EA ADD'L BRNCH CIRC: ? IN PLANT. 601 - 1000 amp: — — _ PLAN REVIEW SECTION 1000+ amp/volt- >=4 RES UNIT;: >600 VOLT NOMINAL: —^Reconnect only —_— _ SVC/FDk-.>= 225 AMPS: CLASS AREAISPEC OCC: -_ Owner: Contractor: EOP LINCOLN,LLC WILLAM ET rE EL EC rRIC INC 10260 SW GREENBURG RD PO BOX 230547 SUITE 100 TIGARD,OR 97281 PORTLAND,OR 97223 Phone: Phone: 503-624-3631 Reg #: LIC 75059 ---- ---- --- SUP 19655 FEES LLF 34-283(' Description L ato �— Amount Required In (ELPRNIT) ELC I'ermil n v n t $66.80 -"-----s — -- ITAXI 814 State Tax n n t $5.34 Rough-in Elect'I Final Total $72.14 This Permit is issued subject to the regulations contained in the Tigard Munidpal Code,State of OP.Specialty Cod9s and all other applicable laws. All work will be done in accordance with approved plans. This permit will expire if wort,is not star', within 180 days of issuance,or d work is suspended for more titan 184 days. ATTENTION: Oregon law requires you to follow rules adopted by the Jregun Utility •Jotification Center. Those rules are set forth goAR 952-001-OGIO through OAR 952.001-0100. You may obtain copies of these rules or direct questions to OUNC at(503)246-6699 or 1-800 332-2344. Ise ed By: �- `�`��`f Permit Signature: OWNER INSTALLATION ONLY The installation is being made on property I own which is not intended for sale, lease, or rent. OWNER'S SIGNATURE: DATE:_ CONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR. ELEC'N: DATE:-- I ATE:—t I C E N S E NO: —.-- ---- - ------- ----- - — Call 639-4175 by 7:00pm for an inspection the next business dal �Llcctrical Permit Application Delerecelved: Pei no.:F,Al� Tigard '�1 tf,,,1 11 ti. City of 1 igard frnjerva,,p1. -_^ lylric dale: Address: 13125 SW Ifall Blvd,Tigard,OR 972.23 -�- Ci:yo/27sard g bele Issued: Ily;�> Iteceipl no.: Phone: (50.1) 619-4171 - Fax: (303) 598-1960 Case file no.: 1 Paynlcnl lypr Land use approval: 1 U I k 2 family dwelling or Accessory ❑Commelcial/irtdusidal U Mull family 04 Tenant inymlvement U New conslruclion U Add leion/alletallon/Ie lei RCelllefit U()The(r. - _ U Pallial "mul Job address: 10 Zt0 St~. C ,, � icy, t TI1dg.no.: Z Suile no.:;ie: Fax nl;yl/lax lol/account no.: -�— I,ot: — --j�lock: tIhdivisIVH: Project name: �e P ��t) 0((,: c �INcctiplion and loralion of work on premise_.:-- I , } ,•�.,�[.—�rye-y',,- �., w ro nlaled(late of romplelionfins seclion: Job no:_ 'I Z tt fee Mat huslness name: lO ) .,� ra. T01■1 ne.lne �-�I .Mp_(i-e- 4 1 r r t �t L C- -- Nen rreldrnllal-dnRk nv rmdn fumlly Ire - Address: 7 2 T U VLt T arvetlingrw it.In•ludes ro1larlydRarste. City: 11+p It Il �IRIC:C/,1, 1l P.— c'.4 , _ ;SPr.ltAnd"ded: I'llone: t IWO eq ft.or lets - -- - - --- 4 - b t 1'3F';r I'Ax: G 7rL�b�1s mail: Each additional t00 eli ft.ur InnUon Ihercuf C_CII no.: 7fu ii`f �Islcc.bus. lie.no: 3y- Zs3 �. I.1111hedener resiJendal 2 aro— ---- - Cit /r1 Ito lie.no.: /5-cr G _1.Imliedener`y,nnn redd_eulinl Y , usch mmuracnnrd home at modular dwelling '"� -- Service and/ter feeder - 2 — SI .mere o�1rb n� eclrielan(re aired) One _ Sop.�l�rt.nxme(prinll f),� . f f.Ieenerno: /9G f j Services or feederle—lnslydlallon, allerallen or relorallon: 20(i amps or less __ 2 - — -- Name(print): bol ampps 10 ItN)amp. - _ - -- - - 2 - ------ Mailing address: --- -- --- ---- 601 em s to 1000 anmv 2 City: Over Zlr: --- - Over IOOO snips or Vohs — 2 -- Phone: ..a X.. 1 -mail; Reconnect only - — -v-- -- Owner installnlion:'Ihe installation is(icing made on properly I own lemporaryaetvteev or feeders- which is not intended for sale,lease,rent,or exchange according to Installation,dletallnn,atveltereellun: ORS 447,455,479,670,701. 200 amps or less_-_ 201imps to 400 amps 2� owner's signature: I1atr' 401 to 600 un l - `- --- _ —•- 2 !ranch circuits-nen,rBerallon, Name: or extension per panel: ___------------_---- •-- - _-__ A. fee fm bane h chcuns wldl pnlcla•r r+! Address: _ _ service m feeder fee,each branch circuit 2 Stale:-_ ZIP: - Cl. fee for bench circuits wiUlnut purchase ---- --- - of srrvlce or fcrder fee,flIRl11rR11rh chcnit. v4 2 I l Phone: — hRx r-mail: --- - f -- -- -- -- liauhul,lftionall+la-nnc�ilrult — - ---- -�- � _. Mbe.(Service or freder not Incladed): U Seivice over 223 lira s-colnnrn-isl U Health-erre facility pxh um or hrigellon circle --- - 2 — U Servimever 1)0urlps•tolingof IAt U Ilrrnrkwsloratienl (?achsl�noroutlinellghling ____ _ -- - familydwellings U Building over IO,Ofx)square feet fnul to Signal circuit(s)or a Ihniled energy panel, 09yskmover 6VUvolisramrinal "wintmddendalunits inmlestructure after alinn,mexteminn• _ - 2 U Bailding ora Ovee snnira U feeders,400 amps or tonne sL4ecri+lion: U Orcupam load over 99 persons U Manufactured stroclura or RV park fish addlllonal Impec lon over the allonable Ite any of dw afpove: U Ilras/lightingplan U t.hhn: — —. forf Inspection Subtnit_--sets of plans S+lth any of fhe Ilbove. Invesli`alion fee _-- _ 711e above are 1101 applicable to temporary conometlon Service. Other — — —— - -- Nd on Jtrrlearllnm Terre creat end+,phew coil)*$WWII"fa rnae Inren+rdon. Notice:•Illis permll ropplicRlinn 1lcrnlit fee..................... U Visa U MvterCsrd expires if a permit is not 0i,lained flan review(al %) S —_ -(� within 190 days roller It I,ac 'sen State lis froacceptedILI complete. '1101 All A ....................... `��-i�Foi+ki.—s s�o�a o��redii Mrd--- f lsrllhrrdtler dgntturev�_ nmceri 410.4615(WIRA 1) Electrical Permit Fees: Limited Dbetgy Fees: —' TYPE OF WORK INVOLVED -RESIDENTIAL ONLY Complete Fee Schedule Below: Re _ Restricted Energy Fee..................................................... $T5.00.00 Numbor of Inspecllonsler permit allowed (FOR ALL 5 Y S I EMS) Service Included: 1101115 cost Total Check 1 ype of Work Involved: Residential•per Will 1000 sq.It or bei 11145.115_ - 4 E] Audio and Stereo Sy51ems Each additional 500 sq it or Portion,thened $33.40 _ 1 ❑ uuiular Alarm Lknhed Energy _ $76.00--- Each 16.00",_,____Each Monurd Ilene or Ivkrlular Garage Door Uimool Dwellkq Service or reeuef $90.00 2 Services or F'oders [J Fleatinu,Venlilation and Air Coodilioning Syst nr' Installation,alteration,or telocallon 200 atexos or Ness $no.JO 2 Vacrtum Sy;lems, 201 amps to 400 amps — , _ $106.85 _ 2 El 401 amps 10 NXI amps $160.60 2 ( 1 601 amps W IOW segos $240.60 7 J Olber Over 1000 armil or volts _ 3454.65 2 ------ ----------_ - -- _-.-- _ ___�_. Remnnecl only $66.05 2 Temporary Services or rewlma TYPE or WORK INVOLVED -COMMERCIAL ONLY Inetaffallan.aNnratkrt,or rebcallcxe 200 straps a lees Sn0.05 2 nee for each eyslern.................................................... ..... $15.00 701 arryos to 400 amps f f00.J0 2 (SNE OAR 9 f 0 2GU•2G0) 401 @aloe 10 600 anlPe ^_J - $13.1 15 � 2 Chuck Type of Wu+k Involved: Wer 600 amps to 1000 volts, see"b"above. 1 1 lJ Audio and Slereu Syslerns Branch Circuits New,powallon or extenskxe rm panol Q Buller Conlrols al the in@ lo,branch chculln wfih purchase of service or feeder fee. Clock Syslones Each trench ckcuil $6.65 2 bl The Inn for LxancJe circuli% -` LJ Data 1 efecornneunication Inslallallun wtfhoed purchase of service or feeder/ee. Fire Aram%Ins tall alion rill trarxio dn:uN a___` 348.05 _- Earle oddillonal branch circuit -__ $0.05 _, I IVAC Miscellaneous _ (Servlo@ or feeder not Mochrled) �] heshwnenlaUun Each pump or krivallm tkle %53.40 Erich sign or minlne Nghlkrp $53.40 - Inleircrrn and Paging Syslerns Slpreal ckwN(s)or a"o9d anergy parrot,anernllon or exlenslon $15.00- Mho►Labels(10) _ $125.00— Landscape litigation Contrast' Each additional Inspection over Medical the allowable In any of Ili"above Per Inspection $07.fw LJ Nurse Galls Per hour �_--- $07.50 In Pleal $13.16 L7 Outdoor Landscape Llyleung' Fe t?s: • U Prole+;true SlgnaUng Enter total of above Ives t%Slate Surcharge $ __ I m mer of Syslerns 2s%Plan Rev70w Fee See"Plan Revlon sectico oil $ ' Ho kenses are rehired. Licenses era requlred for all 00011r k318110llons front of appkallon. -- Total Balance Due $ w Fees: r-� Eisler total of above tees f lJ Trust Account A _ _r��. 8%Slate Surcharge Total Balance due {:ysu\�onns4le•las.dcec 10/09IW CITY Oti �TIGARD 24-Hour Inspection Llne: (503)639-4175 BUILDING MST __..— INSPECTION DIVISION Business Line: (503),339-4171 BUP — Received ____ ._- _bote Requested -7 --� —AM r_—__PM BUP r Z !U - � CrZ�-u� Suite. /5-U MEC Location ____—_t 4 Corit3d Person _-____ _ Ph PLM Contractor Ph(. -) _�_- L/' 1- SWR BUILDING Tenant/Owner _ .__--- —_ ELC e 3 3 L� Footing J ELC _- Foundatio' Access: ELR Ftg Drain --- Crawl Drain - SIS! Slab Inspection No Ps: –�--- Post&Beam Shear Anchors Ext Sheath:Shear -- ---------- Int Sheaih/Shear Framing - ----- —---- -_----_ Insulation Drywall Nailing -- -- -_ - Firewall Fire Sprinkler -- _-- - -- Fire Alarm j Susp'd Coiling -------- ------- ---------_ _ -- _ --- --- Root ► -- ---- --- Other:.-- _ Final -- PASS PART FAIL -- ---- - -- ' PLUMBING I'ost& Beam Under Slab -- - - ---- -- - Rough-In Water Service -- - -- -- ---- - Sanitar;Se,•;er _ [lain Drains - -- -- - - — Catch Basi,i/Manhole Storm Drain ----" Shower Pan - Othar: Final PASS PART FAIL -_-_�---- -�� ----- L MECHANIG_AL -- - Post&Beam Rough-In - Gas Line Smuko Dampers - -- - - -- - -- Final .. .ABs PAAT,, FAIL ----- -- - ---- ---- — Service -_-�-- ----- -- Rough-In ---- - - ---- - — UGiSlab Low Voltage - - -- - -- Fire A,arm FT� Reinspection fee of$_- -_-�_ required before next inspection. Pay at City Hall, 13125 SW Nall Blvd. PART FAIL ------ - Unable to inspect- nn access SITE Please call for reinspection RE:_ - —�- Fire Supply Line ADA h [^---- Approach/Sidewalk Date � __ - �� Pr �� f - Ext _-.-.- Other: --_- Final DO NOT REMOVE th'is inspection recofd from the job site. PASS PART FAIL CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 BUP '?A-V.) _Date Requested AM PM BLD r _ Location I v L ,() � ��"�.��—_ Suite z<'Z MEC Contact Person Ph _— PLM Contractor _ _ Ph —�_. SWR BUILDING Tenant/Owner _� ELC _ Retaining Wall ELR Footing Access: FPS Foundation Ftg Drain -- SGN Crawl Drain Inspection Notes Slab --- --- -.�— --- - _ _ -31T — Post&Beam Ext Sheath/Shear -- Int Sheath/Shear Framing ------- ----- - - — --_-------- — --- Insulation Drywall Nailing ------------ .---- -- ------._.------ _-_--. Firewall Fire Sprinkler ----- " -- - Fire Alarm .t Susp'd Ceiling ---"" Root Final - PASS PART FAIL ----- -- --- - - - — - -- - PLUMBING Post 8 Beam ------ --- ----- - __— Under Slab Top Out Water Service _ --- Sanitary Sewer Y Rain Drains — Final PASS PART FAIL --- MECHANICAL Post& beam Rough In Gas One ke Daripers Fin A. PART FAIL 4 It, EL CTRICAL Service Ruugh In U(3/1lab Low Voltage Fire Alarm ----- I f, Final ,ASS PART FAIL - -SITE Backfill/Grading ---- — - Sanitary Sewer Storm Drain I 1 Reinspection fee(if$ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin. )please call for reinspection RE: -__ __� I 1 Unable to Inspect "no access Fire Supply Line ADA Approach/Sidewalk Date 6111-1 --- Inspector J1e, Fxt Other - Final LPASS PARI FAIL 00 NOT REMOVE this inspection record from the job site.