The URL can be used to link to this page

10220 SW GREENBURG ROAD STE 220 I r r H O Z N C) N r� o r 21 E H H L: v 7 m 0ro w Z rJ a7 x � PU � O c HO t7 d N N O I 10220 SW GREENRORG ROAD —f,INCOL,N II SUITE 220 NORTH 1999 SAVE - HISTORICAL INFORMATION BUILDINGS) NAME CHANGE PER KIT CHJRCH, ENGINEERING 10220 GREENBURG RD, LINCOLN II NORTH CHANGED TO 10220 GREENBURG RD, LINCOLN III 10220 GREENBURG RD, LINCOLN II SOUTH CHANGED TO 10220 GREENBURG RD, LINCOLN II 1 / CITY OF TIGARD CERTIFICATE OF OCCUPANCY_ DE'V'ELOPMENT SERVICES PERMIT#: BUP2002-00444 DATE ISSUED: 1 131?1 SW Hall Blvd.,Tigard, OR 97223 (503)639-4171 PARCEL: 1 5135 S135A6-01004 ZONING: C-P JURISCICTION: TIG SITE ADDRESS: 10220 SW GREENBURG RD 220 SUBDIVISION: TWO ;.INCOLN -TOWN OF METZGER BLOCK: LOT: CLASS JF WORK: ALT INPE OF USE: COM TYPE OF CONS TR: 2 F R OCCUPANCY GRP: B OCCUPANCY LOAD: 29 TENANT NAME: I1NANSNATION TITLE REMARKS: C Re FITS D OF1 G 65 Owner: EOP LINCUI-N, LLC 9260 SW GREENBURG RD SUITE 100 ��33 P%jkeND5U-244W- 17 Contractor: C SCHIEWE& ASSOCIATES INC 1024 NE GAMS S'I PORTLAND, OR 97232 Phone: 503-234-6617 Reg #: 1 :1' 54105 This Certificate issued 12/11/02 grants occupancy of the above referenced 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, and e ,der which, kef nced permit w i sue �ie , ING INSPECTOR B ILDING OFF Ci POST IN CONSPICUOUS PLACE CITY O►F T I G A R D -- BUILDING PERMIT PERMIT#: BUP2002-00345 -s DEVELOPMENT SERVICES DATE ISSUED: 818/02 13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 PARCEL: 1S135AB-01004 SITE ADDRESS: 10220 SW GREENBURG RD 220 SUBDIVISION: TWO LINCOLN - TOWN OF METZGER ZONING: C-P BLOCK. LOT: JURISDICTION: T G REISSUE: _ _ FLOOR AREAS RI WALL CONSTRUCTION CLASS OF WORK: ALT FIRST: sf N: S: E: W: TYPE OF USE: CONI SECOND: sf _ PROJECT OPENINGS? TYPE OF CONST: 2N sf N: _ S. E. W. OCCUPANCY GRP: B TOTAL AREA: 0 ('0 sf ROOF CONST: ►:IRE RET? OCCUPANCY LOAD: BASEMENT: sf AREA. SEP. RATED- GARAGE: sf OCCU SEP. RATED: STOR: HT: ft REQUIRED BSMT?: MEZZ?: _REG1D SETBACKS _ _ _ _ - FLOOR LOAD: psf LEFT: ft RGHT: ft FIR SPKL: SMC`' DET: DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDI(„- ACC- I BEURMS: BATHS: IMP SURFACE- PRO CORR: PARKING: VALUE: $ 5,000.00 Remarks: Demising walls. Owner: Contractor: EOP LINCOLN, LL( C SCHIEWE + ASSOCIATES 10260 SW GREENBURG RD 1024 NE DAVIS SUITE 100 PORTLAND, OR 97232 � RR 77 PpOPFFh,'ore NRR 5(I�38797:�. Phone: 234-6617 Reg #: LIC 54105 FEE _REQUIRED INSPECTIONS Type By Date Amount Recelpt Framing Insp _ Gyp Board Insp PRMI CTR 8/8/02 $91.30 2.7200200000 Susp Ceiing Insp 5PCT CTR 8/8/02 $7.30 27200200000 Final Inspection PLCK CTR 8/8/02 $59.35 272002.00000 FIRE CTR 8/8/02 $36.52 27200200000 -- Total $194.47 — 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 952-001-1987 You may obtain a copy of these rules or direct questions to OUNC by calling (503) 246-66�1t. or 1-800-332-2344. Pe nn ittee Signature: -�-�' — -- - Issued By: — Call 639-4175 by 7 p.m. for an inspection the next business day Building Permit Application "Datecived 7/ Permitno.: )�� _p03� City of Tigard Project/appl.no.: L"•xpiredate: cin of Tigard Address. 13125 SW Hall Blvd,Tigard,OR 97223 Phone: (503) 639-4171 Date is 03) t(1 I(eccipt no.: Fax: (503) 598-1960 Case illeno.: Paymenttype: Land use approval: _ 1&2 ramify:simple Complex: t 7LJ 1 8c 2 family dwelling or accessory U Commercial/industrial U Multi-family U New construction U Demolition Additiart/altcration/replacement >•1'enant improvement G Fire sprinkler/alarm U Other: o Job address: 102.2.0 SW eta.�►'r�Ge ��ac� - lildg.no.L co Suite no.: 7-2.0 Lot: Block: Subdivision: J Tax map/tax lot/account no., - o Project name: eviari STell Jvviior_,-)91%C — Description and location of work on premiscs/special conditions: TC"aK'f VeMevt't NC ("'c,GUI'r'arv� ON k116 r'(r I Name: ENUITY OFFICE FR-a_PE_P-TIES Mailing address: 10740 JAN GP-EC-0P-Q LG P-D SUITE 100 1 &2 family d"elling: City: popt.TLPOV I State:Op-izIP: 97223 Valuation of work................................. .... . 'r Phone5o3 S92-15ov FaxIF-mail• No.of bedrooms/baths _.............................. Owner's representative: ('-A7_fi GLup (G-1!,P Areblitecl-r Tne Total number of floors................................. Phone5DI 22 -%S(p Fax: Email: Nrw dwellingarca(s L q. ) .......................... C rage/carport area(sq.ft.)......................... _--- Covered porch area(sq.ft.) ......................... Name: GMD /�'ebtltec'EIInc-, at'ca(sq. fL) ..Su i to �U7Deck (,"ailing afidress: 920 SW 31� aVe w-e city: Port _ state:o zip: 9720 L. Uthcr structure arca(sq. li l .......... ............ jkhone6OS Fltx: E-mail: Commercial/industrial/multi-farnili': Valuation of work $ SODO op Existing bldg.area(sq.ft.) .......................... 2 Z USF Business name: (i, Se I�wG Cor+s`tw e`E�O� Mew bldg.area(sq.ft.).........I...................... Address: LO'Lq.�_W E aV6J - Number of stories........................................ f� six City: o State:OfL ZIP: `) 32 Type of constriction —-- ........... Phone563 23 / Fax: I mail: Existing: ',--�_1.__.._ Occupancy group(s): g: New: M' — City/metro lie.no.: Notice:All contractors and subcontractors are required to be licensed with the Oregon Construction Contractors Board under Name: '" drAME AJ' Af 110 cAt J'T provisions of ORS 701 and may be required to be licensed in the jurisdiction where work is being performed. If the applicant is Address: _ exempt from licensing,the following reason applies: City: _ State: ZIP: Contact person: Plan no.: — Phone: Fax: E mail: Name: icontact person: Fees due upon application ........................... $ Address: - Date received: _. State: 'LIP: Amount received ......................................... _ City' Please refer to fee schedule. Phone: Fax: E-mail: _��_ Nd VI juridkUdu weep credit cards.Measee call jurisdiction for mitre info matlm I hereby certify 1 have read and examined this application and the terCard attached checklist. All provisions of laws and ordinances governing this U Viae U Ma Mss - work will he complied with,whether specified herein or not. Credit Bard nn/ el - uoon_c�edit�card Authorised signature: Date: adoder S Pent name: cadholder liyunWe Amount —-- mplete. 4144617(69YCOM) Notice:This permit application expires if a permit is not obtained within I go days after it tins been accepted as co Commercial Plan Submittal Requirement Matrix City of Tigard TYPE OF SUBMITTAL # of Plans (Includes New, Additions or Alterations) Required at Submittal Site Work 4 (must include location of all accessible parking) Plumbing - Site Utilities 2 Building Fire Protection System ;** - 1 Mechanical 2 Plumbing - Building Fixtures 2 Electrical 2 Plan review iq dependent upon submittal of a completed application and plans. After plan review approval, the Plans Examiner will contact the applicant to request additional sets of plans for distribution purposes (for Contractor, City of Tigard, Washington County, and Tualatin Valley Fire & Rescue). *For over-the-counter commercial tenant improvements, submit 2 sets of plans **"New" fire protection systems require that plans bear the original seal of an Oregon licensed fire suppression engineer, or NICET level `3" technicians. i%dstslforms\COM-matrix dor.. 9124!01 IIV l CITY OF I"IGARD 24-Hour BUILt:w Inspection Line: (503)639-4175 MST INSPECTION DI iN Business Line: (503)639-4171 __— �— BLIP tEg -DD�— Received Date Requested_ __ =� AM_ __ PM BLIP _— Location 10 �' Z Suite ,�_ZU Contact Person c4c - _ __--- Ph( ) ��`� 40 _- PLM Contractor Ph( —) — --- SWR -- ILDING Tenant/Owner . — —______--.. ELC Y ELC - - Foundation Access: Ftg Drain F.LR -- - - Crawl Drain V Slat, Inspection Notes: SIT - _ --- Post& Beam 1-- - -- -- --- Shear Anchors Ext Sheath/Sheer Int Sheath/Shear Framing _. Insulation Drywall Nailing -- - FirJ Sprin - -u eilin -- —_ Roo Other'. F - -- _ _ FAIL Post& Beam Under Slab - - Rough-In Water Service — Sanitary Sewer Rain Drains - - Catch Basin/Manhole Storm Drain "- Shower Pan Other:- ------- — Final ^-- ------� - PASS PART FAIL MECHANICAL. Post& Beam Rough-In Gas Line Smoke Dampers ---- Final PASS PART FAIL ®- EL_ECTRICAL Service ---^ ---- — — Rough-In UG/Slab Low Voltage Fire Alarm Final I 1 Reinspection fee of$__— required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PAR'r FAIL SITE Please call for reinspection RE _ _— — _ Unable to inspect-no access Fire Supply Line ADAoach/Sidewalk pate 1-1-1/b `) > Inspector ExtAppi Other: Final DO NOT REMOVE this Inspection record from the Job site. PASS PART FAIL BUILDING PERMIT CITYOF TIGARD PERMIT#: BUP2002-00441 DEVELOPMENT' SERVICES DATE ISSUED: 1()/9102 13125 SW Hall Blvd ,Tigard. OR 97223 (503) 639-4171 PARCEL' 1 S135AB-01004 SITE ADDRESS: 10220 SW GREENBURG RD 220 ZONING: C-P SUE:AVISION: TWO LINCOLN - TOWN OF METZGER JURISDICTION: TIG BLOCK: LOT: — REISSUE: FLOOR AREAS — _ EXTERIOR WALL CONST RUCTION _ IIRST: sf' N: -----5. E.CON-Sl CLASS OF WORK: ALT TYPE OF USE: COM SECOND: sf PROJECT OPENINGS?_M _ sf N: S. W: TYF._ OF CONST: 2FR F: OCCUPANCY GRP: B TOTAL AREA: 000 sf ROOF CONST: FIRS RET? OCCUPANCY LOAD: 29 BASEMENT: sf AREA SEP. RATED: GARAGE: sf OCCU SEP. RATED: STOR: HT: ft REQUIRED BSMT?: MEZZ?: _ _ READ SETBACKS-_ -- FLOOR LOAD: psf LEFT: ft RGHT: ft FIR SPKL.: SMOK DET: DWELLING UNITS: FRNT: ft REAR: ft PRO PRO HN PARKING- VALUE: BEDRMS: BATHS: IMP SURFACE: VALUE: $ 15,000.00 Remarks: Create offices in an existing space. Owner: Contractor: EOP LINCOLN, LLC C SCHIEWE &ASSOCIATES INC 10260 S'.'V GREENBURG RD 1024 NE DAVIS ST SUITE 100 PORTLAND, OR 97232 PORTLAND,OR 97223 Phone: 503-234-6617 Ph-lne: 503-234-6617 Re6 #: LIC 54105 _FEES REQUIRED INSPECTIONS Description Date Amount _- Framing Insp Insulation Insp I tt I ILD]Permit Fee 10/9/02 $1 H 7 30 Gyp Board Insp rrAX] 8%State Tax 10/9/02 $14.98 Susp Ceiing Insp [BUPPLN] Pln Rv 13/9/02 $121.75 Final Inspection [PLS] FLS Pin Itv 10/9/02 $74.92 Total $398.95 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. Issued By: ------- Pe nn ittee Signature: 1 Call 639-4175 by 7 p.m. for an inspection the next business day Building Permit Application tereceived:� Permitno.. City of Tigard I!D!!aat�c ject/appl.no.* Expire date: (',r „�lipaid Address: 13125 SW Nall Blvd,Tigard,OR 97223 --- _ Phone: (503) 639-4171 issued: — Y By: Receipt no.: Fax: (503)598-1960 N&: se file no.: Payment type: - Land use approval: 2 family:simple Complex: U I Fc 2 family dwelling or accessory U Commercial/industrial U Multi-family U New construction U Demolition U Add itionYalleratunvleplacetnelit X'fcnant improvement U fire sprinkler/alarm U Other. I1 SITE INFORMATION Job address: 1O7. •O SW Greeh� �a�_ 131,11, n,,.UNc0_ Suite no.: ZQQ _Lot; Block: ISubdivision. _ Tax map/tax Iot/account no.: Project name: Trawihatt on Rte -- Description and location of work on premises/special conditions: — _ , t Name: FQUITY OFFICE PRuPERTIEs Mailing address: I026C SVi Gp-eENr_vF_0 P-0 SUITE loo 1 & 1 fatniiy dwelling: City: poRTLP+JO _ State:0fL ZIP: 97223 Valuation of work.. ..................................... _— Phonetio'S 892-250o Pax: E-mail: No.of bedroorns/baths................................. _ -- Owner's representative: P-AY (L. GLWL. G_pD Arcllt�ceet-r Inc Total number of floors................................. _ aPhonc5o3 ?24-%S(* Fax: E-mail: New dwelling area(sq.ft.) .......................... Oarage/carport area(sq.ft.)......................... — Name: GoBD Arelil teet1 nc Covered porch area(sqft) — Mailing address: 920 SW 3 avenue Sv i to 1}0017 Deck area(sq. ft.) ........................................ _ Cit State:p 7.[P: 9720 Other structure area(s .ft.)......................... _ y: Purtla+.d -T� Commerciavindustrial/multi-family: PhoncDOS Z'2 -4) Fax: E-mail: 15000.0c, Valuation :1f work.............................I.......... $� - Existing bldg.area(sq.ft.) .......................... C. Business name: Sekiewe Const New bldg.area(sq. ft.) ................................ Address: p2. E DaVP sem— Number of stories rO sl City: o i 9-6 7TStatc:ONZIP:272AZ Type of construction S=F-�-- Phone50'S,234% l Fax: E-mail:_ Occupancy group(s): Existing: TL__ CCB no.: Ncw: d City/mctio lic.no.: Notice:All contractors and subcontractors are required to tie ARCHITECTMESIGNER licensed with the Oregon Construction Conuactors Board under Name: SAME tit's- PPPL(CANT "' provisions of ORS 701 and may be required to be licensed in the jurisdiction where work is being performed.If the applicant is Address: - exempt from licuraing,the following reason applies: Cit Statc: ?.IP: Contact person: - .__Flan no.: — --— Phone: lax F. limil. y MW Name: lContaLl.lwr.,un: Fees d1,•.upon application ........................... $ Address: Date received: City: __ ZIP: Amount received ......................................... $ _-- Phone �ax: E-mail__— Please refer to Ice schedule. I hereby certify I have read and a.amined this application and the Na all juri+dkOons acce(+1 credit card+.pkw call iurtdktlan for more inromutian attached checklist. All provisions of laws and ordinances governing this UVisa ❑MuterCard work will be-complied with,whether specified herein or not. c"d1'"te nOtAtet Authorized signature:_— K'��"^ Date: lD•°1'O2 — Nurse d cardwldcr u Jwwn on credit crd s Print name: �� fL. Glv - -- —-- c.dndda demure 440-4611(W01COM) Notice:This permit application expires if a permit is not obtained within 190 days alter it has been accepted as complete. Ih � � � � ' � �� 11 Iwo. � �h ��`�. r I ,�,, ,�,� I TYarnsnai-iton Title 21- 22C '9.0'2 Accessibility: Barrier Removal Imhrovement Plan City of Tigard REQUIREMENT: OREGON REVISED STATUTE (ORS) 447.241. (1) Every project for renovation,alteration or modification to aftted buildings and related facilities shall be made to insure that the path of travel to the altered area and the restroom, telephones and drinking fountair:,are readily accessible to individuals with disabilities unless such alterations are disproportionate to the overall alterations in terms of cost and scope. (2) Alterations alteration whenthe the path f cost exceeds altered twenty five per-ca may entdeemed disproportionate to he VALUATION: of all renovation, alteration or modification being done 5 SOD o0 excluding painting, wailpaperi��o. (11 $ multi piv: 25% Barrier removes requirement. —.- 25 BUDGET FOR BARRIER REMOVAL 121 $_ 750,on In choosing which accessible element.;to provide under this section, priority shall be given to those elements that will provide the greatest access. Elements shall be provided in the following order: PP' 9 $ 3,.1r✓o 00 t recti-i it new cur>;+ c�{s, sic�e�..,�lkf, (a) Parkni�i o si0►�a�ce�bld� e,,r-. cer 2c•cos-6i61e 19a4,Y.t (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 i Qstroom: (e) Accessible telephones: $ (f) Accessible drinking fountains: and $ -- —- (g) When possible,additional accessible elements such as storage and alarms- $ -- ---- -- TOTAL: $hafl equal Ifne 2 of Value Computation $ \dstWornuWccessibility doc 09/24/01 CITYOF T I G A R DBUILDING PERMIT PERMIT#: BUP2002-00512 DEVELOPMENT SERVICES DATE ISSUED: 12/9/02 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 PARCEL: 1S135AB•01004 SITE ADDRESS: 10220 SW GREENBURG RD 220 SUBDIVISION: TWO LINCOLN - TOWN OF METZGER 7 '•!ING: C-P BLOCK: LOT: JURISL I.r0N: TIG REISSUE: _ _FLOOR AREAS _ EXTERIOR WAIL CONSTRUCTION _ CLASS OF WORK: FPS FIRST: sf N: S. E: W: TYPE OF USE: COM SECOND: sf PROJECT OPENINGS? TYPE OF CONST: sf N: S: E:— W: OCCUPANCY GRP: 'TOTAL AREA: 0 sf ROOF CONST: FIRE RET? OCC, PANCY LOAD: BASEMENT: sf AREA SEP. RATED: STOR: HT: ft GARAGE: sf OCCU SEP. RATED: BSMT?: MEZZ?: RE_Q_D_SETB_ACKS _ REQUIRED _ F=LOOR 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: $ 1,198.00 Remarks: Tenant Improvement Owner: Contractor: EOP LINCOLN, LLC DELTA FIRE INC 10260 SW GREENBURG RD 14795 SW 72ND AVE SUITE 100 PORTLAND, OR 97224 PORTLAND, OR 97223 Phone: Phone: 620-4020 Reg#: MET 00g007011934 FEES LIC REOiJ& INSPECTIONS Description Date Amount Sprinkler Rough-In �13litl.i�1 1,C11101I cc 12/9/02 $62.50 Sprinkler Final AX I It Slatc•lax 12/9/02 $5.00 �FI.ti) FLS 11111 16 12/9/02 $25.00 Total $92.50 _..0 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicahle 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 thro mh JAR 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: Pe nn ittee Signature: Call 639-4175 by 7 p.m. for an inspec"ion the next business day Fire Protection system Building Permit Application City of 'Tigard (" re�e'�er' /, '/<<_ Permit no.: 1cr :ep s r z. Address: 13125 SW Hall Blvd,Tigard,OR 97223 Prolcct/appl.no.: Expire date: t'u .11�rin� — Phone: (503) 639-4171 Date issued: By: Receipt no.: Fax: (503) 598-1960 Case file no.: Payment type: Land use approval 1&2 family:Simple Complex: TYPE OF PEdr*IIT U. I &2 f,-i,ly dwelling or accessory ommerc�ndustrial U Multi fa ill_ U New construction U Demolition 4ddition/alteration/n!placement J Tenant improvement �Firc f pnnkler larm U Other. — 30B SITE INFORMATION Job address: ) ,A �- ,. ,Y.- 1 Bldg.no.: Suite no.: rl Lot: Block: Subdivision: Tau map/tax lot/account no.: Project name: Vc + (- - — - -- Description and location of work on premises/special conditions: OWNER FOR SPECIAL INFORNIA-1 10N, USE.('IIL(-KI,IS'I' Namc: (Floodpinlil,sep!1c capacity,solar,etc.) Mailing address: --- 1 do 2 finally dwelling: City: _I State: ZIP: Valuation of work............................ ........... $ Phone: Fax: E-mail: No.of bedrooms/baths................................. - - — Owner's representative: Total number of floors................................. -- Phone: Fax: I n);ul: New dwelling area(sq. ft.) ..........................9 APPLICANT - Garagc/carport area(sq. ft.)......................... _ Name: r Covered porch area(sq. ft.) ......................... __-- Mailing address: � ' ' 'L.J Deck area(sq. ft.) ........................................ ---- -- City: State ZIP: Other structure area(sq. ft.)......................... Phone: ,?. ' ; Fax: E-snail: CommerciaUindustrial/multi-fatnily: CONTRACTOR Valuation of work.. ...... ......................... . . g 1 Business name: Existing bldg.area(sq, ft.) .......................... _ New bldg.area(sq.ft.) Address: C - r _.JLqJ � ............... City: gay State: Z1P: 7 Number of stories........................................ - — Phone < ) Fax: 11 -mail: Type of construction.................................... _ — Occupancy group(s): Existing: _ CCB no.: -- New: City/metro lic. no.: f ")( Notice:All contractors and subcontractors are rcywrrd to 0-e licensed with the Oregon Construction Contractors Board under Namc: provisions of ORS 701 and may be required to he licensed in the Address: jurisdiction where work is being performed. if the applicant is CitF- State:c ) . exempt from licensing,the following reason applies: J _' ZIP: (_ Contact person: -- Phone t ,Fax: -- E-mail: -- -- -- Name: (Contact person: _ Fees due upon application ........................... $ Address: Date received: City: State: JZIP: Amount received ......................................... $ Phone: Fax__: I E-mail: Please refer to fee schedule. I hereby certify 1 have read and examined this application and the Not alt ptisdicuons arxept credit earls.p)eme call Junadktlon for more information attached checklist. All provisions of laws and ordinances governing this ❑visa U MasterCard work will be complied wi t, wheth' specifieherein or not. credit card number- _1�_ I Etpirct Authorized silknaturrr t {I Date: _ - ,Z -- Name or cardholder as shown on credit card s Print name: - —_-- - -- Cwdhdder itanatr.-e — Amort Notice:This permit application expires if a permit is not obtained within 190 days afler it has been accepted as compleie. 440-4611 trW'OM) Fire Protection Permit Check List _ .)-J New [ Addition ---Alterationn a 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 required. Number of sprinkler heads: Additional description of work: - Type of S stem Com tete A, t3 or C as applicable A.) Sprinkler Wet ❑ _ D� Standpipes Additional Hazard Group_______ Information Density Desi n Area ---- K�Factor SprinklerProject Valuation_ $ , B.) Type I - Hood Fire Suppression System ` Hood Project Valuation C.) Fire Alarm - --- ------ --- ------....------- Submittal shall Battery Calculations _ Yes LJ include: Individual Component Yes ❑� Cut Sheets Fire Alarm Project Valuation: T Project Valuation Subtotal_(A, B_& C : $J Permit fee based on valuation see char: $ -157 — _--- 8% State Surcharge: $ FLS Plan Review 40% of Permit: $ `_5, --- -- —_^ TOTAL: $ J Plan review requires a completed application and 3 sets of plans at submittal. Plan review fees are required at submittal. "New" fire motection systems require that plans bear the original seal of an Oregon licensed fire suppression engineer, or NICET level "3" technicians. OdstsVormsTOScheckllst.doc 11/21/01 CITYOF T I G A R D PLUMBING PERMIT DEVELOPMENT SERVICES PERMIT#: PLM2002-00441 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 11/20/02 SITE ADDRESS: 10220 SW GREENBURG RD 220 PARCEL: 1S135AB-01004 SUBDIVISION: ZONING: BLOCK: LOT: JURISDICTION: CLASS OF WORK: ADD GARBAGE DISPOSALS: MOBILE HOME SPACES: TYPE OF USE: COM WASHING MACH: BACKFLOW PREVNTRS: OCCUPANCY GRP: B FLOOR DRAINS; 1 TRAPS: STORIES: WATER HEATERS: 1 CATCH BASINS: _ FIXTURES LAUNDRY TRAYS: SF RAIN DRAINS: SINKS: 1 URINALS: GREASE TRAPS: LAVATORIES: OTHER FIXTURES: 1 TUB/SHOWERS: SEWER LINE: ft WATER CLOSETS: WATER LINE: ft DISHWASHERS: 1 RAIN DRAIN: ft Remarks: Replace plumbing fixtures. Other fixture=primer. FEES Owner: Description Date Amount EOP LINCOLN, LLC _ 10260 SW GREENBURG RD �I'I.Uh11il I'crnur Lrr 11/20lU2 $83.00 SUITE 100 1I1I.lJMl31 I'crnn( I cc 11/20/02 $0.00 PORTLAND, OR 97223 11 AXE 8';4)Stale I,u 11/20/02 $6.64 I,� 189/ S181C I d 11120102 $000 Phone 1: Total $89.64Contractor: ---"--- ASSOCIATED PLUMBING CO P O BOX 301362 PORTLAND, OR 97230 REQUIRED INSPECTIONS Phone 1. 331-0582 Top-out Insp Final Inspection Reg #: MET 00001881 LIC 57890 111LM 26-4121114 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. 1 his 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 rifles adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-0001-0010 through OAR 952-0001-0100 You may obtain copies of these rules or direct questions to OUNC by calling (503) 246-6699. Issued By: f/l ; Permittee Signature: Call (503) 639-4175 by 7:00 P.M. for an inspection needed the next business day 11/11/2002 09:33 5033310581 ASSOC PLBG PAGE C1:' Plumbing Permit Application * �— Date re strived;//. /��--! Z [tCrinit nn� I "l City of i igaiZT3 E G Sewer Krrnit no Rulldjn 1 Addmas: 13125 5W Hell Blvd,Tigard,OR 97223 1 g permit no.: CrrvnfTlg�.cl punt.: 503 63911171 Pro ac(' Lno Fxpiredetc. Naas 2.503) 398-1960 NOV � � 2��2 , �' - --.•� Date it uo4. By: er- Recciptno. Land use approval- _.GITY OF -1 IGARG rwr-itetul t4ytneat typo: eil III r) U t tk 2 family dwelling cx accessory V CctntmemiaUindustrial U M Iri-famtiv Tenant Improvement U New txtneuudion U Additiou/eltcmdon/repLm-ement U F"I srrnce U 01hrr, Job eddrees 10;�.10 Sint Free u�_R�.�_ Df"imoa Fee 1'otatll U 1r BMS no.: Two ��r,�L4� Suite nr,,: 3�0 7Lh LWtatyydneiHrtRsMir -' "- P ft.for a ath mil tit?trw wtioo) 'fax map/twt IoVaccount no.: - _ Lot 61ock. Subdrvullon: 5FR(Z)beth--- -------- Nm�a siT(3)beth City/rrntnc�•, T'" _1 vV A. Z[P: t 7�� Each eddit txia!hatJ✓kitrltcn � - Dcscri�aoa and, tion Murk on prerniees: 'NitestNlWtsle ftnK rtolrl(tmM 9gA Ioe� �- t'atch hashr/e.ra drain Est,date of compleliotl/intpc d-on - -_---__ t�ryaells/1 uxt�lindtrcnrh drain -- Footing nunn(n In.F) _ -- - -- Rusine"name; [ManuraC01'ed home utilitiesO C R l ot9iltl - --- -- - 1ManhTs Addreoc: 0 1�k2 Rain ram connector (` City Or �1 Stat ZiP: � �6 Mary sewer(ea.lin.ft 1 Phone: 0 -,LOS d Rax'3 v501 E-mail: - Storm acevr--r(eo.un CCH no.: jr7 V t7 Plumb.bus,reg.no: �(,_ 41Z Q eter aory cc(no Hit.rt.) - Clty/metre Ilc.no.: 1'lxture-Wdnr ke:m: COt1ti>aetor's mpttgenUtivc si azure _ - Ahwrrtivn vale Print narri, ( Chic;ll_ ^02 - Elacic Ilcta )Mventer ll;.ku•ater_T llwun.s/lavl Tory _- Nrmc: r'_In-Tt a wilawr Addtms;Pp —- shweehe -- Clty, ZIP:�'/�`=936 r!nklrtg frw,rr.ln(s) F'�1On•- D 3 3 O f e Fax IEmail: ectorsL n _ tpansion rank ANERIscv V cap Malinaddress:nt) .0%� 0 i Floor drain✓Onut sinks/hu�-- - - tposnt - -- - �a).c,v Sur &rem Garbagel r O __ � 22j F e bibbCirAZF: S o ?9>nue; o ce ranker -- -- -- _ --- 'irrtrrcxptoc`tiase trap - (7wncr installxtinn trrrdentla) maintalancx rx11y: 'lite actual iaatallntiotr primer(s) - -- will lx mock by me or the maintmantr enol reV i,m,*&hr my rrFitdar hoof drain(on mmetcial) empinvrr rxl the miwxty i own as pet ORS Clteptr"r 447. CDate. Sum lays(s) 1 hvner's signahrrc: _ --- in Tubslshow -- - Nntnc; Arinal Address ,__ --- literclosra City--- state: 7JP: arcrltubs —� phone _ rVot.0 hultdle.ce.r vrep rrtd'i�cue4,tkrn nil)uri.dicMn rd ova WnmNri� II )v.. G Dpet" If Notice:This p ►t eppl cation Mittlmum fix. .... �' r7ndM cud ttnattr Qzpccy if a pennit is not obtained M.In review(at within 1I0 rims titter II Ilan been Rtate surcharge(R%) -J t W—y� accctncd to complc e TOTAL ,. ....... S "MI CC CITY OTIGARD � ELECTRICAL PERMIT ,,► I r V PERMIT#: ELC2002-00607 DEVELOPMENT SERVICES DATE ISSUED: 11/18/02 13125 SW Hall Blvd.,Tigard. OR 97223 (503) 63J-4171 PARCEL: 1S135AB-01004 SITE ADDRESS: 10220 SW GRF_ENBURG RD 220 SUBDIVISION: ZONING: C-P BLOCK: LOT: JURISDICTION: TIG Project Description: Job#328 Install 6 branch circuits. RESIDENTIAL UNIT TEMP SRVCIFEEDERS 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: 1 PER HOUR: 401 - 600 amp: EA ADD'L BRNCH CIRC: .5 IN PLANT: 601 - 1000 amp: PLAN REVIEW SECTION 1000+ amp/volt: >=4 RES UNITS: >600 VOLT NOMINAL_ L_ Reconnect only: _ SVC/FDR>=225 AMPS: CLASS AREA/SPEC OCC: Owner: Contractor: EOP LINCOLN LLC WILLAMETTE ELECTRIC INC 10260 SW GREENBURG RD PO BOX 230547 SUITE 100 1IGARD,OR. 97281 PORTLAND,OR 97223 Phone: Phone: 624-2938 FAX Reg#: 624-3631 34-283(' FEES �--_�_-- Description Date Amount Required Inspections 1 I I.I'R�1"1 1 I:I t 11C111111 11/18/02 '1;8(1 10` --- ---" - '-- 1 A X 18'a Stmu I�1\ 11 18/02 $6.41 Rough-in ^_. Elect'I Final Total $86.51 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 9 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 torth in OAR 952-001-0010 through OAR 952-001-0100 You may obtain copies of these rules or direct questions to OUNC at(503) 246-6699 or 1-800-332-2344 Issued By: , A- Permit Signature: i4' 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: L 3 ( _ 1�1_C.L (� �:f T-�� _ DATE: LICENSE NO: Call 639-4175 by 7:00pm for an inspection the next business day Electrical PerujitApplication Tigard Ualerecelved: /- In.c 1 permit Cil of T� and �' �, Projecl/appl.no.: Expired/le: CiryoJTigard Address: 13125( Wk#VED W I{all Blvd,TDate issued: lPhone: (504) 631-4171 --__ya Receipt no.: Fax: (503) 598.1960 NOVCase file no.: I'aynnrnl type: Land use appruwal: 3 z�02 U I &2 fancily dwelling or accrssory U CunttnerciAl/industrial U Multi-landly 101'enanl improvement U New cooshuction U A(I(Iltioii/Rilelati(iit/irnlacertietil U Otho. _ LI I'aitial INFORMAT ION fah address: I v 11cr �� 4c _ l(r� Illdg. no,: Suite no.:2e I'ax rnRp/lax IoUaccounl no.: Lal: block: SubJivis' 1r2 n: — -- frm'ecl name: I N, 1, -ye � Description and location of work on premises: F.alimaleJ dAlr of(•on plction/inspection: _Job no: 31,} rK MaX Business nnnte: ft F, + Ilescrlpllon VI , ra Told no.Ins — New rnMen141-dnak or rtndli family per — dnellingorrll.Int lodes allaclied flat age. _('fly: l i SIAIe:L/, 7,Ip: 9�/ %ervictincluded: I'In,nc: 6 tq - SG' iFax: 47Y. ?b Ii-mail laxlaq ft cobs% Each additional SOU eq h.nr portion Ihncnf �-- -Mono.: Islee.bus.lic.no: '3 q- Z&3 Unthed energy,residrotial 2 City/ret Iru lic, no.: /5'y L Limlled energy,nun rrsidrnllAl _ 2 �2"//-U L lath mmuf.eturrd homeor nroduludwrllin� Signature of.upery0i eteeuiclan(required) dale Service amUor feeder 2 .Slip elect.narnr(ptinl) f). , f, - Llcenaeno• /9i t Serile�sorfeedens-Installation, — — ----- S after or relocation: 20x1 crop%or Ices 2 Name(print): 201 of to 4(x1 amps 2 - -----— — 401 amps l0 60(1 Arnps __ _ ' Mailing address: —_� 6olimislo Ifx)(iemps 2 City: SIRIr: 711': Over I(xx)amps or volls 2 Mune: ax: li-mail: ~— ReconneclonlL —1 Owner installnlion:'Ihe ills(aaIIaIion is being made on properly I own 7empora►7aet'Icworfeedns• which is not intended for sale, (rase,icol,or exchange accotding to Msldlallon,alterallon,orrelocallon QRS 447,455,479,670,701. 200 amps or less 2 201 amps to T51 Amps 2` Owner's signature: Dale: _ 401 to 6110 ams -- — 2— flranchelrcalts-nen,allerallon, Nance: or eatenrlon per panel: ---- -- - —.— A I're for branch circuits with putchnsr of Addlrss: Rei vlce or feeder fee,each brunch circuit 2 City: -_ = Stale: 710: n. Pee for branch circuils without purchase Phone: FAX: G-mail: of service or terdrl fen,first branch circuit 2 °.ach additional lnsnch circuil. S- Z7 sof I flee.(Ser'Ice or feeder not ImItided): ru 223 amps-commercial U I ledth care facility Fach pump or litigation circle 2 ervlee ovn 120 limps rating of I ti 2 U IWAI(Inlra location Each sign or outline liglning --- — — 2 flintily dwellings U Iluilding over lo,(XX)ryuarefret four mr Signal circuil(s)of a lindletl energy panel,i U System over 6011 voles nominal nota residential units In one suuchne alteralion,nr extension• 2 U Building over lhrre stories U Feeders,400 amps or mr,ro •nescri tions:_-- U fkcupanl load over 91{coons U Manufactured structures or RV park Loch additional Inspection o'er the allonahlr In any of the alcove: U F;millighlingplun U(hirer. Perinspeclion Submll__gels of plans"Hillany of the abate. Investigation fee —��—""'-- llhe aMtre Ire not applicable to temporary constructlon serrlce. �(llhrr - -- I'cunit fee.....................$ ) Id Her all Jrrlsdictlans accept rmat ends,please call jurlulicuon for more MftamMlon Notice:'Ibis permit application — UVua U MuterCsid expires if a permit is not ohtninr(I Ilan review(at _ %) $ Credit card namlxr: within 180 days after it lots heel, Slate suicharge (9%)....$ ( .4 l _ a rec accepted em complete. 'I OTA I. .........I .,.......... N�mr-o7trA,oldre n sirovn on rrertii card _ f -- Crdhol`deislgnsiurr - __ �— s u)4613(SVYC'OMI Electrical Permit Fees: Limited Lnet yy I=ces: C00111 tete Fee Schedule Qelow: TYPE OF W,-)RK INVOLVED - RESIUtyj!,AL ONLY ompRestricted Energy Fee..................................................... $75.00 Number of Inspections per irermit allowed (FOR ALL SYSTEMS) service Included: Items Cost Total Chock Type of Work Involved. Residential.per unit 1000 sq.II or less $145.15 4 ❑ Audio and Stereo Syslerns Each additional 500 sq it of portion 0rofad $33.40 1 nutglar Alarm Limited l-'nergy $75.00 Each Manul'd Borne or Modular r]t,welling Service or feeder _ $9090 __- 2 Garagn.Door Opener Services or Feeders Flealiou,Venlilalion and An Cunddluning System' Installation,alleration,or relocation 200 amps or less $80.30 2 201 snips to 400 amps —_— S 106.85 2 Vacuum Systems' 401 amps to 600 amps $160.602 C� 601 amps to 1000 amps $24060 __- 2 Ill Other Over 1000 snip(or volls $454 65 2 -- ---- ---------------- -- - _. .-_ Reconnect only $60.85 2 - -- Temporary Services or Feeders Inslallallon,alleralion,ofrelorzliorr TYPE OF WORK INVOLVED -COMMERCIAL ONLY 200 emps OF les! $66.85 2 Fee for each system.......................................................... $75.00 201 amps to 400 amps $100.30 --- _- 2 (SEE OAR 910 2G0.260) 401 amps 10 600 amps $133.75 2 Over 600 mnps to 10111 vrdls, -� - - Check Type of Work Invulvod. see"b"above. Cl-1 Audio and Stereo Systems Branch Circuits New,alteration or exiensl0n per panel r- a)The Into fa branch circuits L-1 nolle_(Conlfols with purchase of service or _ feeder lee. U Clock'tymnifir Each branch circull $6.65 2 b)the lee for Marxh circuli$ Data 1 elernnnnuniUAh0n Inslallallun without purchase of service or feeder fee. Fksl branchdrcull f4fi,85 Flrr,Alarm Inslrrll(lion Each addllki nal branch circuit , - T $6.65 r L 11VAC Miscellaneous (Service or feeder not Included) Inslrumenlation Each pump or irfigallon circle _, $53.40_ Each sign or otilline ItghlMnu $53.40 ❑ Signal circuB(s)or a Imlled enefuy Int�rccml and Pauinu Systems panel,alteration rx extension _ $1500_ Mkior Labels(10) -! _ 5125.00 E-1 Landscape,Irrigalion Cunlrol' Fach additional Inspection over Medic:it the allowable in any of Ilia above Per Inspection _ $112.50 _ Per hour $62.50 ❑ Nurse(;ills M Plant � $73.75 ----- - - Outdoor Landscapo Llyhling' Fees: Enter total of above fees $ Prolective Slunaling 8%Stale Surcharge $ Fj Other 25%Plan Review Fee _—__ Number of Systems See'Plan Review'seclion on $ front of application. - ' No licenses are required Lk amass am required for all Over Insratlalldn! Total Balance Due $ Fees: — ❑ Trust Account 0 Enter total of above fees $,_ 8%Stale Surcharge $_ Total Balance Due i:ldru\formslelc-fees doc I0100l0() CITY OF TIGARD ELECTRICAL - ENER RESTRICTED ENERGY DEVELOPMENT SERVICES PERMIT#: ELR2002-00268 13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 11127/02 SITE ADDRESS: 10220 SW GREENBURG RD 220 PARCEL: 1S135AB-01004 SUBDIVISION: TWO LINCOLN - TOWN OF METZGER ZONING: C-P BLOCK: LOT: ..JURISDICTION: TIG Prosect Description: Tenant Improvement A.RESIDENTIAL B.COMMERCIAL AUDIO & STEREO: AUDIO & STEREO: INTERCOM & PAGING- BURGLAR ALARM: BOILER: LANDSCAPE/IRRIGAT: GARAGE OPENER: CLOCK: MEDICAL: HVAC: DATA/TELE COMM: X NURSE CALLS: VACUUM SYSTEM: FIRE ALARM: OUTDOOR LANDSC LITE: OTHER: HVAC: PROTECTIVE SIGNAL: INSTRUMENTATION: OTHER: TOTAL#OF SYSTEMS: _1 Owner:! Contractor: EOP LINCOLN, LLC LJ MATTISON COMMUNICATIONS 10260 SW GREENBURG RD 7021 SE 31ST SUITE 100 PORTLAND, OR 97202 PORTLAND, OR 9727.3 Phone: Phone: 503-771-5708 Reg #: ELE 20-849CLE LIC 95742 _ FEES Required Inspections-- Description Date _ Amount Ceiling Cover I I I'kMl"f I:[_R 1'ernut 11/27/02 $75.00 Wall Cover Elect'I Final 1A N 1 8",,State"fax 11/27/02 $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 phis 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 riles are set forth in OAR 952-001-0010 through OAR 952-001-0100 You may obtain copies of these rules or direct questions to OUNC at (503) 246-6699. r' Issued by �, E /ILS _ Permittee 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: LICENSE NO: ---- Call 639-4175 by 7:00 P.M. for an inspection needed the next business day Electrical Permit Application Dalereceived: Permitno. g& -� City of Tigard Project/appl.no.: Expiredate: City of Tigard Address: 13125 SW Ifall Itivd,Tigard,O1? ')7221 Date issued: By: Receipt no,: Phone: (503) 639-4171 Fax: (503) 598-1960 Case file no.: Payment type: Land use approval: 7Newly dwelling or accessory 'onunercial/industrial U Multi-family U Tenant improvement ruction U A(Icfitioti/:ilteration/replacetnent U Other: U Partial JOB SITE INFORMATION Job address: �'�,ZQ $.GU. Bldg,no.: LZjSuite no.: Tax map/tax lot/accouni no,: _ Lot: IBlock: Subdivision: 0 Project name:' a_j'If E T %;5, 1 Description and location of work on premises: • r t. .17)Aq-M Estimated date of completion/inspection: — /- U ' CONTRACYOR APPLICATION FEE SCIILDULE Job no: _ Pee orae Business name: �)�f J rYl ,C Au O __Kell Description Qty. (ea.) 'total no.hos t dress: T Nrrsidential-single or multi-famlly per Ad U r I 5 t _ d"ellingunit.Includesattadwdgarage. City: Q State: n ZIP: L Sirvi(eincluded: Phone:3u3-77f-5701 Fax:-1 7/. I E-mail: 1000 sq,ft.or fess a Each additionni 500 aq.ft.or portion thereof CCB n .: Elec.bus. Iic,no: - Y q L L Limited energy,residential 2 City/ C.no.: 5s J Limited energy,non-residential 2 Each manufactured home or modular dwelling oat supervising electrician(required) Dale Service aroVor fader 2 ct . Services or feeders–Installation. Sap. •leer.name(prinU�/J IZ '. I01 ;• c tLicenseo' alleraon or rclocalion: 2011 amps or less 2 Nante(prinp: 201 amps to 400 ampsMailing address: 01ampsIo600ainps 2 601 amps to 1000 amps 2 Clly: lc: : over IW)amps ur volts -- 2 Phone: l'aX: E-mail: Reconnect onl l owner installation:The installation is being made on property I own Temporary services orreeders- which is not intended for sale,lease,rent,or exchange according to Installation,alteration,orrelocation: ORS 447,455,479,670,701. 200 amps or less 201 amps to 400 arnps -- Owiler's signature: _ Dale: 401 it)600am s Branch circuits-new,allerallon• or extension per panel: Name: A. Fee for branch circuits with purchase of Address: _ _ service or feeder fee,each branch circuit City: Stale: ZIP: B. Fee for branch circuits without purchase "` —--- _-- ----–– of service or feeder fee•first branch circuit: 2 Phone: Each additional branch circuit: PLAN REVILAVI(I'lease check all flint nppli Mise.(Service or feeder no!Included): U Service over 225 amps-commercial U I Ienith-care facility Each pump or irrigation circle 2 U Service over 320 maps-rating of 18x2 U Ilarnrdouslo ation Each sign or outline lighting _ 2 family dwellings U Building over 10,(1(10 square feet fouror Signal circuits)or a limited energy p;nel. O System over 61x)volts nominal more residential units in one structure alteration,or extension* / / 2 U Building over three stories U Feeders.400 omps or more *Description: U occupant load over 99 persons U Manufactured structures or RV park FAch additional Inspection over the allowable In any of the aloes U Egtess/lighlingplan U(hhcc --- Petinspection L T-- Submit_sets of plans with any of the above. Investigation fee _ The above are not applicable to temporary construction service. (ether Not all jurisdictions accept credit canh,please call Jurisdiction for more infomurtion. Notice: This permit application Permit fee.....................$ –L= U Visa U MasterCard expires ifit permit is riot obtained Plan review(al _ %) $ _ Credit card number. L-_L within 180 days afler it has been State surcharge(8%)....$ Name o t°.spires accepted as complete. TOTAL ......................$ 5�I, C-1,, w c alderr as shown an credit cid S Cardholder sig siure Amount 4404615(60WOM) ELECTRICAL PERMIT FEES: LIMITED ENERGY PERMIT FEES: TYPE OF WORK INVOLVED -RESIDENTIAL ONLY Complete Fee Schedule Below: Restricted Energy Fee...................................................... $75.00 Number of Inspections r permit allowed) (FOR ALL SYSTEMS) Service Included: Items Cost Total ► Check Type of Work Invnl,,r4- Residential-per unit 1000 sq ft.or less $145 15 4 ❑ Audio and Stereo Systems' Each additional 500 sqft or portion thereof $33.40 1 F—] Burglar Alarm Limited Energy _ $75.00 Each Manufd Home or Modular n Garage Door Opener' Dwelling Service or Feeder $90.90 2 Services or Feeders Heating,Ventilation and Air Conditioning System" Installation,alteration,or relocation 2 200 amps or less $80.30 _ — Vacuum Systems' 201 amps to 400 amps $106.85 _ 2 401 amps to 600 amps _ $160.60 2 601 amps to 1000 amps $240.60 2 Other ---- -----._—_—._----.--------- Over 1000 amps or volts $45465 2 ne Rec:oncl only $66.85 _ 2 Temporary Services or Feeders TYPE OF WORK INVOLVED -COMMERCIAL ONLY Fee for each system........................................... ............. $75.00 Installation,alteration,or reluc ttion $66 85 2 (SEE OAR 918-260-260) 200 amps or less -- 201 amps to 400 amps $100.30 2 401 amps to 600 amps $133.75 _ 2 Check Type of Work Involved: Over 600 amps to 1000 volts, Audio and Stereo Systems see"b"above. Branch Circuits Boiler Controls New,alteration or extension per panel a)The fee for branch circuits ❑ Clock Systems with purchase o/service or --1 feeder lee. 2 I L_I Each branch circuit $6.65 Data Telecommunication Installation b)The fee for branch circuits without purchase of service n Fire Alarm Installation or feeder fee. First branch circuit _ _ $4685 — HVAC Each additional branch circuit $0,65 �— Miscellaneous Instrumentation (Service or feeder not included) Each pump or Irrigation circle — $53.40 _ _ Intercom and Paging Systems Each sign jr outline lighting — $53.40 Signal circuit(s)or a limited energy C� Landscape Irrigation Control' panel,alteration or extension $75.00 _ Minor Labels(10) —____ $125,00 -- ❑ Medical Each additional Inspection over tine allowable in any of the above E-] NurseCalls Per inspection _ $6?_50 Per hour _---- $6250 �--- In Plant ____ $73.75 El Outdoor Landscape Lighting' Fees: ❑ Protective Signaling Enter total of above fees $ . — �� Other ---- 8%State Surcharge $ -------Number of Systems 25%Plan Review Fee $ Nu licenses are required brenses are required for all other Installations See"Plan Review"section on front of application _— Fees: Total Balance Due $ _ _ Enter total of above fees $ ❑ Trust Account if —_ 80/,State Surcharge -- Total Balance Due All New Commercial Buildings require 2 sets of plans. i.\dsts\forns\elc-fees doc 08/30/01 CITU' OF TIGARD 24-Hour BUILDING Inspection Line: (503)639-4175 MST --- INSPECTION DIVISION Business Line: (503)639-4171 BLIP - -- ------ Received _Date Requested AM---- PM - _-__-- BUP - ----- // r Location 8Uite _ MEC ___I.cJ-�'��- -�- -b -----___.- __—.- Contact Person — Ph PLM 431 Contractor_— - - - - - - ph(_ ) v2 .1 - SWR ..- -- --.. - — BUILDING Tenant/Owner ELC - Footing ELC -- ---- - - - --- Founda. in Access: ELR _ --- _----_--- Ftg Drain -� Crawl Drain Slab Inspection Notes: SIT ---_--. ---_ _._ Post&Beam _ - - - --- Shear Anchors _ Ext Sheath/Shear Int Sheath/Shear Framing Insulation Drywail Nailing - -- --- - Firewal - Fire Sprinkler -- Fire Alarm - Susp'd Ceiling Roof — - Other: Final PASS PART FAIL PLUlIABING --- 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 Final -- PASS PART FAIL ELECTRICAL-. --- Service Rough-In — UG/Slab _ Low Voltage 11]aR AIsrm _ V F] Reinspection fee of$ _required before next inspection. Pay at City Ha!I, Q'i its 3W Hall Blvd. PART FAIL SITE R Please call for reinspection RE:_- [J Unable to inspect-no access Fire Supoly Line ./ � ADA Dots-� 1 �� inspector __�� l Lfr r]�� Ext Approach/Sidewalk t Other:.__ Final DO NOT REMOVE this Inspection record from the job site. PASS PART FAIL CITY OF TIGARD MECHANICAL PERMIT PERMIT#: M10/03 00515 DEVELOPMENT SERVICES DATE ISSUED: 1110103 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 PARCEL: 1S135AB-01004 SITE ADDRESS: 10220 SW GREENBURG RD 220 ZONING: C-P SUBDIVISION: TWO LINCOLN -TOWN OF METZGER JURISDICTION: TIG BLOCK: LOT: P COOLERS: CLASS OF WORK: ALT FLOOR FURN: EVAVENT FANS: TYPE OF USE: COM UNIT HEATERS: VENT SYSTEMS: OCCUPANCY GRP: VENTS W/O APPL: STORIES: BOILERS/COMPRESSORS HOODS: —. FUE!_TYPES 0 - 3 HP: DOMES. lNCIN: 3 - 15 HP: COMML. INCIN: MAX INPUT: BTU 15 -30 HP: REPAIR UNITS: FIRE DAMPERS?: 30 - 50 HP: WOODSTOVES: GAS PRESSURE: 50 + HP: CLO DR`' RS: HANDLING UNITS AIR H FURN < 100K BTU: OTHER ll::.fS: FURN >=100K BTU: <= 10000 cfm: GAS OUTLETS: > 10000 cfm: Remarks: HVAC — FEES Owner: — — Description Date Amount EOP LINCOLN, LLC — 10260 SIN GREENBURG RD ��11 �'ll� Prrmit I rr 1/10103 $94.47 SUITE 100 titan l ax 1110103 $7.56 PORTLAND, OR 97223 NII c I'LNI Plan RC\ 1/10103 $23.62 Phone: r —' Total $125.65 Contractor: AMERICAN HEATING INC 1339 SE GIDEON REQUIRED INSPECTIONS STE 1 PORTLAND, OR 97202 Mechanical Insp Phone: 239-4600 Duct Inspection Reg#: LIC 33135 Final Inspection This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes and all other applicabkq laws. All work will be done in accordance with approved plans. This permit will expire if work is uance, or if work is suspended for more than 180 days. ATTENTION: Oregon law not started within 180 days of iss on Utility Notification Center. Those rifles are set forth in OAR 952-001-00 requires you to follow rules adopted in the OregIssued By: Permittee Signature: ` — Call (503)639-4175 by 7:00 P.M. for inspections needed the next business day CITY OF TIGARD MECHANICAL PERMIT PERMIT#: MEC2002-00555 DEVELOPMENT SERVICES DATk ISSUED: 1/10/03 13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 PARCEL: 1S135AB--01004 SITE ADDRESS: 10220 SW GREENBURG RD 220 ZONING: C-P SUBDIVISION: TWO LINCOLN -TOWN OF METZGER JURISDICTION: TIG BLOCK: LOT: EV COOLERS: CLASS OF WORK: AL F FLOOR FURN: VFNT FANS: TYPE OF USE: COM UNIT HEATERS: VENT SYSTEMS: OCCUPANCY GRP: VENTS W/O APPL: STORIES: EOILERS/COMPRESSORS HOODS: r FUEL TYPES 0 - 3 HP: DOMES. INCIN: 3 - 15 HP: COMML. INCIW 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 OTHER UNITS: FURN >=100K BTU: <= 10000 cfm: GAS OUTLETS: > 10000 cfm: Remarks: HVAC —I FEES Owner____--- _ - Description — Date Amount EOP LINCOLN, LLC --_ 10260 SW GREENBURG RD �Mf,('ll� l :nnit I rc 1/10103 $94.47 SUITE 100 ITAXIX Staich". 1/10/03 $7.56 PORTLAND, OR 97223 �^11 (11I.N1 Nali Rt 1/10/03 $+23.62 Phone: Total $125.65 Contractor: - — AMERICAN HEATING INC 1339 SE GIDEON REQUIRED INSPECTIONS STE 1 — PORTLAND,OR 97202 Mechanical Insp Phone: 219-4600 Duct Inspection Reg#: LIC 33135 Fina! Inspection This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes and all other applicable laws. All work will he done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted in the Oregon Utility Notification Center Those riles are set forth in OAR 952-001-00 JPermittee Signature- Issued ignature Issued By: l �_• Call (503) 639-4175 by 7:00 P.M.for inspections needed the next business day Mechanical Permit Application ' NLY Date received:, t ! 11crnut no.: - City of Tigard Project/appl. no.: Expire date: City Of Tigard Address: 13125 SW Hall�3�dCE1'VE23 Recci t no. - Phone: (503) 639-4171 - X11 Date issued: gY p Fax: (503) 598-1960 Case file no.: Payment type: Land use approval: (aeC� -____ Building permit no,: — ' ,ar 1 U I &2 family dwelling or accessory Commcrcial/industrial U Multi-family Tenant imp roven)cnt U New construction U Addition/alteration/replacement U Other: - -- ------ 1 1 1 1 1 Job address: ; 2_L--,; L,. Indicate eq,upntcnt quantljicti in boxes below. Indicate the dollar Bldg. no.: Suite It - value of all mechanical materials,equipment,lahor,overhead, profit. Value$ Tax map/tax lot/account no.. _ __ Lot: Block: Subdi•,ision: __ 'See checklist for important application information and Projectname: ��{�� , 1— jurisdiction's fee schedule for residential permit fee. City/county: ri` r r ZIP: Description and ation of wot•k on premises: �Y�t 7�iru�� 1 1 ' EM Fee(ea.) Total Fe! date of completioidinspection: _— Desai Uon _ Qty. Res.only Res.only '1 errant improvement et change of use: Air handling unit L() CFM _ Is existing space heated or conditioned?("Yes U No Air conditioning(site plan required) Is existing space i.,isulated?®Ye. ❑No terenon o cxisungTiVAC..systern 1 Boiler/compressors State boiler permit no.: Business name: Inc. HP Tons BTU/H Address: 1339 S>; Gideon St. dampers/duct—smoke ire/smoke detectors City: Portland State:OR ZIP:97202 cat pump(site pTn regw'rc ) Phone: 239-4600 Fax: 239-703 G mail: nsta rep ace urnac urner Including duclwork/vent finer U Yes,U No _ CCB no.: Knta ac relocate eaters -suspended, City/metro lic.na: X01 1 tl _ ___•__ _________ oor nktunted eName(please print): O :e liance other than lurnacc 1 PERSON Refrigeration: Absorption units -�—_ BTU/II -- Chillers -- III' Nat,ie: l,A�c 1= __ Compressors —_ III' Address: rivironmental exhaust an rent at on: City: lip: Appliance vent -------- Phone: 1-ax I mail Dryer exhaust _-•-- 1 Hoods,Type I/ 1/res.kitchcn/hatfnat hood fire suppression system Nanic Fxhaust fan with single duct(bath fans) f dlausl ryst til apart from hcalin or AC Mailing addresss:s: r,. • :., ti ;`� t.; �! rt% C�� ZIP: �ucl Piping and distribution(up to 4 outlets) City: -_._ titatc Type: LPG __ NO Oil _ Phone`( I'ax li nrtil: uc iinn-cacTa�hTiiiona over 4 outle Process piping(schematic required) Number of outlets Name: _•r ?r� -�licrl sic app once or equipment: - Address: /� >` �t ►'" — -- Ih�orti�r hr , - -.�—_— City: State. ZIP: ,>: Insert-type--- -W ' - - stove pe et stove Phone: i: ,� �! Fax-- C nail: Other: Applicant's gignature: J)(-,_Q. ate:/ • e'.c' _ t er:� _ Name(print): s /, /y, , •,.r �_,--- — Permit fee ..................... $ Not all junsdictions accept credit cards,pieax call jurisdiction for niore infom,atim Notice: This permit applicati)n Minimum fee................ $ U Visa U MasterCard expires if a pennit is not obviined Plan review(at 0 %) $ Credo card number. — L—1- within 180 days after it has oten accepted ' 5 bspires > State surcharge(8941..- $ as complete. Name of ca holder as t own nn credit card $ p I n j 1{......................... $ CaNhnlder signature Amount440-4617 16ACUM) rlut ,k xVI4*.x CITY OF TIGARD RECEIVED Approved........... •� .....e ................................... Conditionally Approvod.... .....d In: ...... ... ( j DEC 0 9 2001 For unly the work as described In: PERMIT NO.-A4( p�„tr ,�� CITY OF TIGARD A WD NEW g" See Letter to:Follow,.,.,.,,,,•„ BUILDING DIVISION FAN PS WER-tow pu��u Attach .....................•....»( 46rJYI3jtf -3kv^J )N ,r3� r !� 3al.�rv�1' Job A ess: 1 r rty ,i c� 70o cF H M,�>' By: I7 Cl Jll�l) Date: - Zlo c_FM I!W, i'E 5G ..� •. . .. W IG:CfM rTj .rLT7r 10 , -75 e , , STING. VA �N. . ..•,) SU?P W LYjE •75 1 L N �1/ �4 T n 15 1 .. T , ••-. �. 'a , n .... .., �� nom_ ,l C -- — —.. ► • /1� — 170 tFM 170 C Fn t �- Iuo�FA�` Z — --- — --- �CkM IUUC.iA� IOUC*ANNOp' • Q ' h AMERICAN HIVA1CLE- A H EATI IVG INC. JOTITLE: lA�� N ! ,B RANS NAT ION 13 19 S E. GIDEON STREET TSTLL' PORTLAND OREGON 97202.2418 110220 S W[;�ec°,�(,u r.e T?�J IELEPHONL(503)2394600 ♦ �( r tl[STC 220 (.,03)239 7038 716641i!.D, 012 CITY OF TIGARD ELECTRICAL - ENER RESTRICTED ENERGY DEVELOPMENT SERVICES PERMIT#: ELR2002-00284 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 1/10/03 IIARCEL: 1 S135A8-01004 SITE ADDRESS: 10220 SW GREENBURG RD 220 SUBDIVISION: TWO LINCOLN - TOWN OF METZGER ZONING: C-P BLOCK: LOT: JURISDICTION: TIG Proiect Description: Thermostat for HVAC A.RESIDENTIAL _ B.COMMERCIAL AUDIO& STEREO: 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: X PROTECTIVE SIGNAL: INSTRUMENTATION: OTHER: TOTAL#OF SYSTEMS: 1 —_ Owner: Contractor: EOP LINCOLN, LLC AMERICAN HEATING 10260 SW GREENBURG RD 1339 SW GIDEON ST' SUITE 100 PORTLAND, OR 97202 PORTLAND, OR 97223 Phone: Phone: 239-4600 Reg#: MET 00001077 I.It' 33135 111,11. 26-993C1t I- _ — FEES SHI OtWIOA inspections _Description Date _ Amount -ow Voltage Inspection I I'ItM"I I I I It I'rrniii 1/10!03 $75.00 lect'I Final AX] 80/n Sialc"I i\ 1/10/03 $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 OAR 952-001-0010 throuc J moi_ Issued by ( ;��;.cz c�_ �_ ( , _ Permittee Signatur 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 day Electrical Permit Application y -../ Date received: (0-1-U J. Permit no, Cit J B of Tigar -� Address: 13125 SW Nall Blvd ig• d O 223 Pro.ject/appl. no.: Expire date: CUy of Tigard � a� �r,�7 Phone: (503) 639-4171 `� 1 ! CITY OF TIGARD 24-Hour BUILDING Inspection Line: (503)639-4175 MST INSPECTION DIVISION Business Line: (503)639-4171 BUP Received --- Date Requested__ _ �� AM___ _ PM _____e_- BUP Location _ 1 U Z Zy J�2�� Suite 2 �'--_-_-- MEC Contact Person Ph( ) PLM Contractor ------ ph( ) 2-3`1_ �DG SWR BUILDIH3 Tenant/Owner -__-�` i1'C� -! �� ELC — Footing ELC Foundation Access: Ftg Drain ELR — Crawl Drain _ Slab Inspection Notes: SIT ...... 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 Pan Other: Final ----- --PASS PART FAIL ---- - - - - - - --- -------.__.._ --- -- _- -_ MECHANICAL�- - Post& Beam Haugh-in - - - - - Gas Line Smoke Dampers ---- Final PASS. PART FAIL -- - - --- - - - - -- - Service Hough-in ___-_ -- UG/Slab _ -t-ew Valta" _> Fire Alarm I*W PART FAIL L] Reinspection fee of$ _ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd SITE Please call for reinspection HE: _- __ Unable to inspect- no access Fire Supply Line ADA � � Approach/Sidewalk Date �� Inspector ��C'✓ �1 Ext Other: Final DO NOT REMOVE this Inspection record from the Job site. PASS PART FAIL CITY OF TIGARD 24-Hour BUILDING Inspection Line: (503)639-4175 INSPECTION DIVISION Business Line: (503)639-4171 MST BUP Received __ — Date Requested_ ✓ /S –_ AM__ --. PM _.______.___.__ -0t < Location __... _ C' L Z ) _Suite._-__—.,__` MEC Contact Per,;on - Ph - - ) ------ - PLM Contractor—_ Ph( ) —.._ SWR BUILDING — _ Tenant/Owner _.��,�y��1y-� �..� ELC Footing Foundation Access: ELC — – Ftg Drain ELR Crawl Dain ---- �" Slab Inspection Notes: SIT Post&Beam Shear Anchors Ext Sheath/Shear Int Sheath/Shear Framing - - ---- �.. Insulation Drywall Nailing - ----- - - --� - -- —_ I irewall Fire Sprinkler --- Fire Alarm Susp'd Ceiling Root Other: - --- - - --�---- - — Final -�L�ASS P T_ FAIL MBIN Post earn ------- _ _---. -- - - -t --- Under Slab Rough-In Water Service Sanitary Sewer Rain Drains - - -- Catch Basin!Manhole Storm Drain - Shower Pan Other. ------- ---- -- �. - ---- -.in S PART FAIL MECHANICAL Post Post& Beam - -- - ---- -- Rough-In — Gas Line Smoke Dampers -- Final - --- - --- --- -_.�� PASS PART FAIL - ----- - _. —__ -----------. ELECTRICAL Service ---- - — Rough-In Low Voltage Fire Alarm — --- -- - — Final 1 Reinspection fee of$__ required before next inspection. Pay at City Hall. 13125 SW Hall Blvd. PASS PART FAIL SITE __ - Please call for reinspection RE: __ ___ -] Unable to inspect-no access Fire Supply Line ADA 'r� Approach/Sidewalk Date— � --`-' IASpoder--- ------ --_ Ext - Other Final DO NOT REMOVE this Inspection record from the Job site. PASS PART FAIL CITY OF TIGARD 24-Hour BUILDING Inspection Line: (503)639-4175 MST INSPECTION DIVISION Business Line: (503) 639-4171 BLIP Received Date Requested AM.------ PM BLIP Location Suite— MEC Contact Person Ph(-----) PLM ------ Contractor Ph SWR BUILDING Tenant/Owner ELC Footing Foundation Access: ELC Ftg Drain ELR 20;2 -0j,_zV� Crawl Drain Slab Inspection Notes: SIT Post&Beam Shear Anchors Ext Sheath/Shear Int Sheath/Shear Framing Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling C2 Roof Other: Final PASS PART FAIL Post&Beam Under Slab Hough-In Water Service Sanitary Sewer Rain Drains Catch Basin/ManCh Storm Drain Shower Pan Other Final -PASS --_PART FAIL_ MECHANICAL Post&Beam Rough-In Gas Line Smoke Dampers Final PASS PART FAIL ELECTRICAL Service Rough-In UG/Slab Low Voltage Fire Alarm <EEL)ffi A ❑ Reinspection fee of$ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.-S- PART FAIL Please call for reinspection RE:.-- Unable to inspf.ct-no access Fire Supply"Line ADA Approach/Sidewalk Date _L.Z_3r0 Inspector 4 -Z_coC-4 cdl �.7ffjrr, Ext Other� 77 Final DO NOT REMOVE this Inspection record from the job site. PASS PART FAIL J