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10220 SW GREENBURG ROAD STE 450-1 10220 S`.II GREENBURG ROAD #450 1999 SAVE - HISTORICAL INFORMATION BUILDING(5) NAME CHANGE PER KIT CHURCH, 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 CITY OF TIGARD DEVELOPMENT SERVICES BUIL-DING PERMIT FIERMIT #. . . . . . . : BUB-99-007E' 13125 SNI Hall Blvd- Tigard,OR 97223(503)639.4171 DATE. ISSUED: 03/09/99 PARCEL: 1.S 135(AB--01004 SITE: ADDRESS. . . : 1212120 SW GREE..NBURG RD #400 SL.IBDTVISION. . . . : -rWO LINCOLN --- TOWN OF METZGER ZONING:C—F, BLOCK. . . . . . . . . . - LOT. . . . . . . . . . . . . . JURT.SDICTTON:TIG REISSUE: FLOOR AREAS------•---- EXTERIOR WALL CONSTRUCTION- CLASS OF WORK. :ALT FIRST. . . . : 0 9f N: S: E: W: TYF,E OF' USE. . . ;.,COM SECOND. . . : 0 sf P,ROTECT OPENINGS"--.----_-_.--._. TYr'E OF' CONST. :2 F R FOURTH. . . : 2203 s f N: S: E: W: OCCUPANCY GRP'. :B 2207, s f ROOF CONST: F=IRE RET?: OCCUPIANCY LOAD: 28 BASEMENT. : 0 sf AREA SUP'. RATED: STOR. : 0 HT: 0 ft GARAGE_. . . : 0 s f OCCU SEP. RATED: BSMT?: MEZ Z? : REDD SETBACKS---- -- - - - RECU I RED _--__-_---__-- FLOOR L_OAD. . . . : 0 ps f LEFT: 0 ft RGHT: 0 ft FIR SPKL.:Y SMOK DET. . :Y DWELLING UNITS: 0 FRNT: 0 ft REAR: 0 ft FIR AL.RM:Y HNDICF-' ACC:Y BEDR.MS: 0 BATHS: N IMF, SURF OC'E: 0 F,RO CORR: P,ARK T NG: 0 VALUE. $ : 15420 Remarks : 11 - add walls and coffee break room. A plumbing, electrical, fire sprinkler and mechanical permit is required. Also, fire alarm and smoke detector system is required. Owner: ------------------------------------------ --------------- FEES _....-----_--._--__ KNTCKERSOCKER PROPERTIES INC type ramor.int by dAte recpt 10300 SW GREENBURG ROAD F,RMT 8 116. 50 DLH 03/09/99 99-313539 SUITE E:'OO `,PCT $ `:,. 83 Dl_H 0+3/09/99 99-313539 F,ORTI_AND OR 97223 V,L.CK L 75. -'3 DLH 03/09/99 99-313539 Rhone #: 45 —5900 FIRE. E 46. E 0 DLH '0,.3/09/99 r39- 313539 Contractor: -------------------------.—.-..- MAL I BU FIAC I F I L 735 NF.= JACVGON SCHOOL ROAD HILLF)BORO OR 97124 F-'li o n o #: 693- 9797 $ 244. 66 TOTAL. Rey #. . O59O45 -REQUIRED ACTIONS o r 1 N9F'EC•f I ONS•-•-- --- This permit is issued subject to the regulations contained in the Gyp Board Insp Tigard Municipal Code, State of Ore. Specialty Codes and all other Susp Ceiing Insp applicable laws. All work mill be done in accordance with C1AML in/SI° 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 952-00101987. You many obtain a copy of these rules or direct questions to OLMC by calling 15031246-1987. F=permittee Signati_ire : _- ,1 l.sso_ted Py : +++++++++++i++++++++++++•+++++•+++++++++++++++++++.4•++++++++•++•++++•++++++++-+--+ ++++f Cal , 639-4175 by 7:00 p. m. for- an inspection needed ttie next bl.isiness day +444.++++++++++++++4+++++ 1+1 ++++++.4+++f-+i-+++•#-++++++i•i•++•f•++++++++++++++++++++-I- 1- CITY OF TIGARD Commercial Building Permit Application Rtc'd By - -tt Date Recd It 3125 SW HALL BLVD. Tenant Improvement Date to P E. TIGARD, OR 97223 r' / Date to DST i,e/_-7�t► (503) 539-4171 0-' - )l c c, I Permit# /.1 iP99-,6A178 Print or Type j �'j Related SWR# Incomplete or illegible applications will not be acctpted called_ -_--- Name of Development/Project — - 1 Existing Building �, New — 6U7ilding ❑—� Job Linroln Gen-ter Address Street Address suilP '- Building L Data ;r►ccl n Cer)'F.;er 1022D SW Gfttn6Uroi � —__-- alae* c+ty/stote - zip Existing Use of Bui'ding or Property' Two _ ff i c-C t.tNcat.N 0 Qor U �R'-. 972?,.� Name T" kek- c er P ties U►c Proposed Use of Buil"ing or Property: Property I�n►c rapei- Owner Mailing Address Sulte [O? � sw Greenb��r _ wo No. Of Stories' City/State 7.1p Phone ((O) six — _ _ Por ,�1a 9722 4g2 5`'ran Sy. Ft. Of Project: sQ FT Occupant Name Occupancy Class(es) Name — _ -- ---� Contractor Malj6Li �2ct'Ft� Type(s)o�f�Construction Prior to permit Mailing Address Suite - =-c------ --- issuance,a copy _ 1- I Will this project have a Fire Suppression System? ^T of all licenses (35 NE J,'1J.3on Scko,l F-A . Yes g No [J are required if City/Sate Zip Phone Americans with Disabilities Act(ADA) expired In C.O T a o 3 ? s0 Participation database NI�1S�rO �•, 9. 129- �9�-9797 Valuation X 25/� - $��'_— P Oregon const.Cont.Board Llc.# Exp.Date Complete Accessibility Form 059045 1218/ob Project $ 15 420 " --- Name --- - _Valuation _ Architect hrr'� In c-, Plans Required: See Matrix for number of sets to submit Mailing Address Suite On back 920 SW 3"{ �rcnuc 4-000 City//State — Zip Phone I hereby acknowledge that I have read this application,that the information 1pOr}`1 "�l 972_ 224_rj�r,�� given is correct,that I am the owner or authorized agent of the owner,and 1 that plans submitted are in comoliance with Oregon State Laws Engineer Name __— Signature of Owner/Agent Date Mailing Address Suite laerson Cooly/ Name Phone City/State Zip Phone �-�_P-'G_+,r ---- -�— --"— --- FOR OFFICE USE ONLY Indicate type of work: New O Addition O Demolition O Map/TL# Land Use: — Accessory Structure O Foundation Only O Alteration V _—__-- �— Repair _ Other ONotes: Description of work: Te.nav►t Tm�rbve►reh'f. TIF: Note: Site Work Permlt Application must precede or accompany Building Permit Application 11COMNEWTI.130C (DST) 5/98 COMMERCIAL PLAN SUBMITTAL_ REQUIREMENT MATRIX Plan Review is dependent upon submittal of BOTH plans AND a COMP'L.ETEU application. For an electrical submittal, the application must contain the signature of the supervising electrician before plan review will be conducted. After plan review approval, Plans Examiner will contact the applicant to request additiona,' pian sets for distribution purposes. (Copy for Contractor, City, Washington County, Tualatin Valley Fire & Rescue) Total # of TYPE OF SUBMITTAL Plans KEY- Submitted S (Private) 1 S = Sit- 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 1-1 = Plumbing P (New, Add, or Alt) 2 E = Electrical B & M & P (New or Add) 2 New = New Building E (New, Add, or Alt) 2 Add = Addition B & F & M & P & E 3 Alt = Alternation to Existing (New , Add) Building *6 or B & M (Alt) I *B &�ll4 & P (Alt) 3 & E(Alt) 3 *E3 , M & P & E & F(Alt) 3 NOTES: *Shaded area,,: designate ALT submittals only. I Wslr;\maOix 1 dnc 07/06/08 CITY OF TIGARU BUILDING INSPECTION DIVISION MS �24-,;our Inspection Line: 639-4175 Business Line: 639-4171 BU —_ Date Requested1�1 V!' I AM PM _ g� Location I LIZ � Co --" -�► 0AA-e — Suite C MEC c.' Contact Persont - Ph 7C) PLM Contractor Ph SWR — — UIL INSs ens wner ELC - -- -- - ------ Retaining Wall ELR Footing __ ------ ---- - Access. Foundation d r� y FPS Ftg Drain G�l�I-1q1� � "�J ------ -- ._.. SIGN Crawl Drain Inspection Notes: T/1 77 `i. - -------- --- Slab ��- ------- --- - SIT Post& Beam -` -- - Ext Sheath/Shear Int Sheath/Shear - -- Framing Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Misc. - ---- -._ S PART FAIL PLUMBING Post& Beam - - ------ --------- -- —_-___ Under Slat, - ----(�� " �i." Lrti': '�- - Top Out Water Service Sanitary Sewer Rain Drains �L�r Final PASS PART FAIT_ MECHANICAL _ - - -`---- --------� - --- Pest& Beam --___--__-- _ - -- -- - -- Rough In Gas Line - -- - - Smoke Dampers Final _ _ ------- ---- -- PASS PART FAIL ELECTRICAL Service Rough In UG/Slat, Low Voltage Fire Alarm - Final PASS PART FAILSITE Backfill/Grading -- - --------- -------- --_- - - Sanitary Sewer Storm Drain i ]Reinspection fee of$ required before next inspec:ion. Pay at City Hall, 13125 SW Hall Blvd Catch Basin I )Please call for reinspection RE: ___ _- __ ( )Unable to inspect no access Fire Supply Line - ADA .� Approach/Sidewalk Date 0/11// Inspector-Inspector,- Fxt Other -- -- - ---- -- Final PASS PART FAIL j DO NOT REMOVE this inspection record from the job site. CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24 'lour inspection Line: 639-4175 CBusiness Line: 6394171 -- --- – __. B Date Requested "yry I _AM PM -- — BLD Location_ Suite v/ S MEC G_ Contact Person Ph 27� Zt P N r - PLM Contractor_— Ph SWR BUILDING ---:� Tenant/Owner _ ELC �T_ Retaining Wall ELR Footing Access --- —� Foundation FPS Ftg Drain ---- Crawl Drain Inspaction Notes ~ SGIJ Slab SIT Po8t&Beam -- Ext Sheath/Shear Int Sheath/Shear - ----- Framing Insulation - - - - - - Drywall Nailing Firewall ------ -- }--- --- Fire Sprinkler - - ---- _ .. -- - - -- --- --- - - ---..._ --- -- - Fire Alarm Susp'd Cei;ing - - ---- - -- - -- - - - - - - Roof Misc: Final _ ----- PASS PART FAIL ------ --- - - --- ---- iPLtfM -- Post$ Beam --- ----- - - .._. - ------ --- Under Slab Top Out --- - Water Service Sanitary Sewer ----- -- -- - --- - Rain_Drains Fi MAII> PART FAIL CHANICAL � -- --- ^�_- Post& Beam Rough In Gas Line -- _ Smoke Dampers Final - - ----—— - - - PASS PART FAIL ELECTRICAL – – - Service Rough In UG/Slab Low Voltage Fire Alarm _Final PASS PASS PART FAIL SITE Backfill/Grading - - — Sanitary Sewer Storm Drain [ ]Reinspection fee of$_ — required before next inspection Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line [ ]Please call for reinspection RE —�_ [ ]Unable to inspect-no access ADA a�•pproachiSidew-ilk L other __ Oate ' Inspector Ext __ Final PASS P,4RT FAIL– O NbT REMOVE this inspection record from the job site. �I TY ®F' TIGARD ELECTRICAL PERMIT PERMIT#: ELC1999-00340 DEVELOPMENT SERVICES DATE ISSUED: 6/9/99 13125 SW Hall Blvd., Tiqard, OR 97223 (503) 639-4171 PARCEL: 1S1.'15AB-01004 SITE ADDRESS: 10220 SW GREENBURG RD 450 SUBDIVISION: TWO LINCOLN - TOWN OF METZGER ZON!;.0: C-P BLOCK: LOT : JURISLjiCTION: TIG Proiect Description: Electrical TI - restricted energy for data telecommunications system RESIDENTIAL. UNITTEMP S_R_VC/FEEDERS MISCELLANEOUS _ 1000 SF OR LESS: 0 200 amp: PUMP/IRRIGATION: EACH ADD'L 500SF: 201 400 amp: SIGN/OUT LINE LTG: LIMIT ED ENERGY: 401 - 600 amp: SIGNAL/PANEL: 1 MANF HM/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: PER HOUR: 401 - 600 amp: EA ADD'L BRNCH CIRC: IN PLANT: 601 - 1000 amp: _ __ PLAN REVIEW SECTION 1000+ amolvolt: >=4 RES UNITS: > 600 VOLT NOMINAL: Reconnect ono ly: _ SVC/FDR >= 225 AMPS- Cl 11,SS AREA/SPEC OCC: Owner: Contractor: KNICKERBOCKER PROPERTIES INC DYNALECTRIC 10300 SW GREENBURG RD STE 200 2904 SW FIRST AVE. TIGARD, OR 97223 PORTLAND, OR 97201 Phone: Phone: 503-226-6771 Reg #: LIC 066793 SUP 2950S ELE 00026-59 _ FEES _ Required Inspections Type By Date Amount Receipt Wail Cover PRMT BON 6/9/99 $60.00 99-316017 Elect'I Service Elect'I Final 5PCT BON 6/9/99 $3.00 99-316017 Total $63.00 f1 f 1 r` N A L 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 through OAR 952-001-0080 You may obtain copies of these rules or direct questions to OUNC at(503) 246-1987 Permit Signature: Issued By: 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: __— CONTRACTt3R IN TALLATION ONLY _ SIGNATURE_ OF SUPR. ELEC'N: —alb rG �_ -- DATE: LICENSE NO: -__.__---------__--- ---.. — -- — -- Call 639-4175 by 7:00pm for an Inspection the next business day CITY OF TIGARD Electrical Permit Application Plan Che ..3125 SW HALL BLVD. Recd LHy� TIGARD OR 97223 Date Recd I - Date to P E Phone(503)839171,x304 Date to OS Inspection(503)639-4175 Print of Type Permit.�I Fox(503)598-1960 Incomplete or illegible will not he accepted Caned 1. Job Address: 4. "omplete Fee Schedule Below: Name of Development Number of Inspections per permit allowed Name(or name of business) Service Included: Items Cost Sum Address Qy-, 11,121 rQ PeL __ 4a. Residential-per unit 1000 sq ft OF 10153 $ 117.75 _ _ 4 City/State/Zip / Each additional 500 aq.R.or —� Commercial 1 Residenhal❑ portion thereof $ 26.25 1 Limited Energy $ 6000 Each Manufd Horne or Modular 2a. Contractor installation only: Owethng Service or Feeder S 72.75 7 (Prior to permit issuance,applicanh must provide contractor license 4b.Services or Feeders information fix COT data base). 1 Installation,alteration,or relocation .Ul. Electrical Contractor lt Y.4 1C1^'f 1,�,_ - 200 amps or less $ 6425 — 2 Address 0 1,51 Ck l r-V . 201 amps to 400 amps —$ 85.50 T 2 City _j is i.((t r lct Stale L Zi 1.1 -7)0( 401 amps to 600 amps $ 12850 2 p— 601 amps to 1000 amps S 192.50 2 Phone No._c)J L., (40 1'1 Over 1000 amps or volts S 38375 2 Joh No. Reconnect only S 53.50 2 Elec.Cont.lice.No. rJ(e S c j C Exp Date,101 4c.Temporary Services or Feeders OR Slate CGB Reg.No. Ct4e I`f%3 _Exp.Date S Jr er i-etanation,alteration,or relocation COT Business Tax or Metro No. Exp Date •10 amps or less $ 53 50 2 20 amps to 400 amps _ S 8025 2 ' 401:tips to 600 amps S 10700 2 Signature of Supr.Elec'n _ Over 6 30 amps to 1000 volts, _-- License No. -Zg __Exp Date �1�_�l�G�I see°b^above. Phone No. 4d.f3m,.ch Circuits _'� II -_ _._. New alteration or extension per panel a The tee for branch circuits 2b. For owner installations: with purchase of service or feeder lee. Print Owner's Name _ _ Each branch circuit S 5 35 2 Addressb)The fee for branch circuits - without purchase of service City State ._ TZIp_ or feeder It". Phone No. _ First branch circuit $ 3750 Each additional branch circuit S 5 35 The installation is being made an property I own which is not 4a.Miscellaneous intended for sale,lease or rent. (Service or feeder not included) Each pump or mgahon circle _ S 42.15 Oii ner's Signature -M Fach sign or outline lighting S 4275 ^r Signal crncult(s)or a limited energy ('Cyyn panel,alteration or extension $. 60 00 3. Plan Review Sect/an (if ref�UlrCClt): Minor Labels(10) S 10700 Please check appropriate item and enter fen In section SR. 4f.Each additional inspection over 4 or more residential units in tine structure the allowable in any of the above Service and feeder 225 amps or more Per inspection _ $ 50 0o Per hour S 5000 _ —System over 600 volts nominal In Plant "- S 5900 i_ Classified area or structure containing special occupancy as described in N E C Chapter 5 5. Fees: 6a.Enter total of above fees S Submit 2 sets of plans with application where any of the above apply. 5%Surcharqe(05 x Iota fees) $ _ 0� Not required for temporary constrrtction services. Subtotal 5 6b.Enter 25%of%iv da lot NOTICE Plan Review 0 required(Sec 3) S PERMITS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED Subtotal S IS NOT COMMENCED WI THIN 180 DAYS,OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS ❑ Trust Account>Y AT ANY TIME AFTER WORK IS COMMENCED Total balance Due $ 00 900 Ua11911 do Ulf 09b i stir cos Xta _s 5 i 3.11 66"90;'90 CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24--Hour Inspection Line: 639-4175 Business Line: 639-4171 -�-- c� B1JP _Date RequestedS- q l AM '' PM 13LD G Location ��r � bL.1/1 Suite 95(D MEC Contact Person Ph to 3D— PLM Contractor _ _ Ph SWR BUILDING Tenant/Owner ELC Retaining Wall ELR _ Footing Access: Foundation FPS — Ftg Drain SGN Crawl Drain Inspection Nutes - Slab ---- ------- - SIT Post& Beam ---- Ext Sheath/Shear Int Sheath/Shear Framing ---------------------- Insulation Drywall Nailing _ Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Misc. Final PASS _PART FAIL PLUMBING Post R Beam ---- - - - - --- - - ----------- Under Slab TopOut __ _-- -_---------- - - -- - -- Water Service Sanitary Sewer Rain Drains Final PASS PART_ FAIL 1CA_L Pos eam — h ir;> Gas Line --- --— Smoke Dampers jmnal. - 5 PART FAIL - Service Rough In UG/Slab --- - Low Voltage Fire Alarm Final PASS PART FAIL SITE Backfill/Grading - - - - - -— ------ _��- --- - ---- - Sanitary Sewer Storm Drain I I Reinspection fee of$ required before next inspection Pay at (;ity Hall, 13125 S1N ball H;vrl Catch Basin I I Please call for reinspection RE ( ]Unable to inspect-no ac,-f,,,,; Fire Supply Line ADA Approach/Sidewalk Other Date Inspector_ Ext Final - PASS PART FAIL DO NOT REMOVE this inspection reco d from the job site. �� O� ��D SEWER CONNECTION PERMIT - DEVELOPMENT SERVICES PERMIT#: SWR19 8,199 0011 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 5/118!99 SITE ADDRESS; 10220 SW GREENBURG RD 450 PARCEL: 1S135AB-01004 SUBDIVISION: TWO LINCOLN - TOWN OF METZGER ZONING: C-P _- BLOCK:_ LOT:_ JURISDICTION: TIG TENANT NAME: STORAGE TEK USA NO: FIXTURE UNITS: 5 CLASS OF WORK: ALT DWELLING UNITS: 0 TYPE OF USE: CONI NO. OF BUILDINGS: INSTALL TYPE: BUSWR IMPERV SURFACE: /I I 1,T� -I c, — U v / 5,cam, Remarks: Dummy sewer permit. No increase in DU's. Owner: —_ FEES KNICKERBOCKER PROPERTIES INC Type By bate Amount Receipt BY NORRIS BEGGS & SIMPSON - ------ -- -- 10300 SW GRE ENBURG RD STE 200 PORTLAND, OR 97223 Total + Phone: - -�-� Contractor: DETEMPLE CO INC 1951 NW OVERTON ST PORTLAND, OR 97209 Phone: 227-2641 Reg #: LIC 00002510 PLM 2.6-25PB -- Required Inspections - This Appiicant agrees to comply with all the rules and regulations of the Unified Sewage Agency The permit expires 180 days from the date issued. The total amount paid will be forfeited if the permit expires. The Agency does not guarantee the accuracy of the side sewer laterals If the sewer is not located at the measurement given, the installer shall prospect 3 feet in all directions from the distance given. If not so located. the installer shall purchase a"Tap and Side Sewer" Permit and the Agency will install a lateral ATTENTION Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in CSAR 952-001-0010 through OAR 952-001-0080 You may obtain copies of these rules or direct questions to OUNC by calling (503) 246-1987 Issued by: ^- ,^ Permittee Signature: r Call (503) 639-4175 by 7:00 P.M. for an inspection needed the next business day Tenant Name,: r,r) r� — Accumulative Sewer Tally This SWR#: 1998-Doll Address: low rkf£r This PLN1#: 1g99"CJa Fa(ture Value Previous it Previous Credits ffped Futttaes Fixtures Now, New Value Capped aluadded total Os total Count off#s t value values Baptistry/Fant 4 Bath-Tub/Shower 4 _ JacurtWhpl 4 Car Wash-Each Stall 6 -Drive Through 16 Gispidor/Water Aspirator 1 Dishwasher .Commer _ 4 Dornest 2 --_ --{-- Drinking Fountain Eye Wash Floor Drain/sink 2 inch 2 �— -- 3 inch - 5 4 inrh 6 Car Wash Drain Garbage Disposal 16 Dom Ito 3/4 11P) --- -- --- — Comm Ito 5 HP) 32 _ Ind (over 5 HP) 48 Ice Machine/Refrigerator Drains 1 --- Oil Sep(Gas Station) 6 Recreational Vehicle Dump Station 16 Shower-Gang(Per Head) 1 _ -- Stall 2 — — - ink • Bar/Lavatory 2 _ -- --- -- — -' Bradley —5 Commercial 3 Service 3 Swimming Pool Filter 1 Washer, Clothes 6 - --- Water Extractor 6 -- Water Closet. Toilet 6_ Urinal 6 —� p TOTALS Total fixture values:_/ 15q divided by 16 = _/ ) ,IJ- FDII HISTORY PLMa58 /></UI EDu# /da swRa��-o3�o PLM# i7-A)^ 7EDua /Al SWRa F7--e-e&? _ PLM#�� 00/9 EDU# /d 7- SWRa ��- DD/</ PLM# /��"OjS7EDUa /,A/ SWRa filo-c-5-3,9— P c-53,9' PLM# 9 D�LrJ EOl1# ,/d swlla 97' °a7 5 ---- PLM# EDU# SWRa _ CITYOF TIGARD PLUMBING PERMIT _ DEVELOPMENT SERVICES PERMIT#: PLM1999-001.58 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 5/19/99 SITE ADDRESS: 10220 SW GREENBURG RD 450 PARCEL: 1 S135AB-01004 SUBDIVISION: TWO LINCOLN - TOWN OF METZGER ZONING: C-P BLOCK: LOT: JURIST ;.'TION: TIG CLASS OF WORK: ALT GARBAGE DISPOSALS: MOBIL;,_ tik ME SPACES: TYPE OF USE: COM WASHING MACH: BACKFLOW f 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. TUB/SHOWERS: SEWER LINE: ft WATER CLOSETS: WATER LINE: ft DISHWASHERS: RAIN DRAIN: ft Remarks: Installation of one sink one water heater and one 2"floor drain. All new fixtures, nothing capped or moved. Owner: FEES -- --- Type By Date Amount Receipt KNICKERDOCKER PROPERTIES INC — --BY NORRIS BEGGS & SIMPSON PRMT D3T 51,19/99 $27.00 99-315516 10300 SW GREENBURG RD STE 200 MISC DST 5/19/99 $1.35 99315516 PORTLAND, OR 97223 Total $28.35 Phone 1: Contractor: DETEMPLE CO INC 1951 NW OVERTON ST PORTLAND, OR 97209 REQUIRED INSPECTIONS Phone 1: 227-2641 Top-out Insp Reg #: LIC 00002510 Misc. Inspection PL.M 26-25PB Final Inspection This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and ail other applicable laws All work will be done in accordance with approved plans. This permit will expii e 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 t0ow rules Idonted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-0001-0010 through OAR 952-0001-0080. You may obtain copies of these rules or direct questions to OUNC by calling (503) 246--1987. Issu0d By: / d(Xl` Permittee Signature:. Call (503) 639-4175 by 7:00 P.M. for an inspection needed the next business day CITY OF TIGARD Plumbing Permit Application Plan Check _ 13125 SW HALL BLVD. Commercial and Residential Recd B, TIGARD, OR 97223 Date Recd (503) 639-4171 Date to P.E. -- Print or Type Date to DS Incomplete or illegible applications will not be accepted Fermlle �U A ;C_�6 Related SWR*(9 �c(/y Called Name)f Development/Project — FIXTURES (individual) QTY,l PRICE AMT Job 'WG LINCOLN Sink, 900 Address Street Address Su to Lavatory — 9.00 ()Lee SO itz 1 e(,"I 4!!r t?( Tub or Tub/S.iower Comb. 9,00 Bldg* City/State Zip .7 Shower Only 900 -- F' 'r I'S-1 1 c.1 ) Name Water Closet 9.00 -1%I( ko rI K e r � 9 7r vo Dishwashor 900 Owner Meiling Address Suit Garbage Disposal 9.00 IU;Or)SW�'! "�� 31e 1;0 Waahinn Machine — q 00 City/'tale Zi Phone —— — _ t �� Floor Drain/Floor Sink z" — 9,00 Name� / I1A 3" 9 00 �a (/( — — 4" 9.00 Occupant Mailing Additiess Suite Water Heater O conversion O like kind 9 00 Gas pipiin2 squires a separate mechanical Perm t City/State ✓� Zip Phore Laundry Room Tray 9.00 1'�i(.>� ' L [)_!J ) — Urinal 9 00 Name .1 — ------ — -'��,�'•„ O{'�') `,1 Other Fixtures(Specify) __— 9 00 Contractor Mailing Address [� Suite 900 —� c1`� IV v� ✓�'f iG'1 —� �— - 9.00 Prior to permit City/State pia, Phone Sewer-1 st 100' 30.00 issuance,a copy 1�,('1 (u o/1 0r� (�1 I2 c' 1q Z2 7 ('9( Sewer-each additional 100' 2500 of all licenses are Oregon Const.Cont.Board Lic.tt Exp.Date req tired it r . �)( �, U,4Zq c Water Service-1st 100' 3000 expired In COT Plumbing Llc.* Exp. ate Water Service.each additional 200' 2500 --- database t /S �(, _ Storm 8 Rain Drain-1st 100' 3000 Name Storm R Rain Drain-each additional 100'— 25.00 Architect _ Mobile Horne Space 2500 Or Mailing Address Suite Commercial Back Flow Prevention Device or Anti- 2500 Pollution Device Engineer City/Slate ZIP Phone Residential Backflow Prevention Device' 1500 (Irrigation liming devices require a separate rpermit.) Describe work to be done: restricted energy _ New a) Repair O Replace with like kind: Yes O No O Any Trap or Waste Not Connected to a Fixture 9.00 _Residential O Commercial m Catch Basin 9.00 Additional description of work -- -- \ Insp.01 Existing Plumbing 4000 i U4 4 1 /1.lc; ( J( `/c �/11.5/et CZ ) er/hr / Specially Requested Inspections 4000 -- perthi Rain Drain,single family dwelling Are you capping, moving or replacing any fixtures? -- — 30 00 Yes O r(No U Grease Traps 900 If yes, see back of form to ir'Mfcate work performer]by QUANTITY TOTAL fixture. FAILURE TO ACCURATELY REPORT FIXTURE Isomeinc or riser diagram is required if Quantity Total is >9 WORK COULD RESULT IN INCREASED SEWER FEES. — •SUBTOIAL I hereby acknowledge that I have read this application,that the information given is correct,that I am the ownci or authorized agent of the owner,and 6%SURCHARGE that plans submitted are in compliance with Oregon Slate Laws. Signature of Owner/Agent jf - Data ••PLAN REVIEW 26%OF SUBTOTAL Required only M fixture yty total Is>9 _ TOTAL Contact Person Name phone _ l � 1 7 7. ��y� 'Minimum permit fee is$25+ 5%surcharge,except Residential Backflow Phi r rel t Prevention Device,which is$15+5%surcharge —All New Commercial Buildings require plans with isometric or riser diagram and plan review I ldstslplumapp doc IMM PLEASE COMPLETE: Fixture Type —_ Quantity by Work Performed New Moved Replaced , Removed/Capped — Lavatory Tub or Tub/Shower Combination Shower Only --- W_at_er Closet --- Dishwasher _ _! Garbage Disposal _ _ — Washing Machine Floor Drain/Floor Sink 2" Water Heater Laundry Room Tray ---- Urinal __— Other Fixtures (Specify) COMMENTS REGARDING ABOVE: I ViStMplunispp dm 70198 Tenant Name:5,-& 'l Accumulative Sewer Tally This swRu: /999-00// Address: loaeo dro (o(e6E� ouR4, `�$a This PLM#: q- O Fixture Value Previous 0 Previous Credits Capped Fixtures Fixtures Now New Value Capped off value added t added total Is total Count off#s count value values Baptiste.-/Font 4 Bath - Tub/Shower 4 -Jacuz/Whpl 4 Car Wash-Each Stall 6 Drive Through 16 Cuspidor/Water Aspirator 1 Dishwasher-Commer 4 -Domest 7. Drinkinq Fountain 1 Eye Wash _ 1 Floor Drain/sink 2 inch 2 3 inch 5 4 inch 6 Car Wash Drain 6 Garbage Disposal 16 Dorn (to 3/4 HP) Comm (to 5 HPI 32 Ind (over 5 VIP) 48 Ire Machine/Refrigerator Drains 1 Oil Sep(Gas Station) 6 _ Recreational Vehicle Dump Station 16 Shower-Gang (Per Head) 1 _ -Stall 2 Sink- Bar/Lavatory 2 _ Bradfey c I Commercial 3 > _ — Service 3 Swimming Poul Filter i Washer, Clothes 6 Water Extractor 6 Water Closet. Toilet 6 I Urinal F9 TOTALS Total fixture values:_ / (15q divided by 16 = /X V-9-_ EDU HISTORY /✓� L'/!A� % /� f?au 5 PLFA#gg-0g4,1 EDO# /dk SWR#Vf-035 0 --- 11 Ma 17-X`47 EDU# IAI SWRI yG; �2z EDU# /d?- SWR# jf - CO/// PLM# 5�-D.;j7EDU# /,A/ SWRI yU��s✓�' F'LM# 97-C�64 EDU# /P�- SWR# 97- nal 5 PLM# EDU# SWfi# PLM# y 7-0/3/EDU# /,A/ SWH# 7 �/ PLM# EDU# SWR# RMIT CITY OF TIGARW BUILDING BP 1999- �� PERMIT#: BUP1999 00194 DEVELOPMENT SERVICES DATE ISSUED: 5114199 ,,�N�� 13125 SW Hall Blvd.,Tigard, OR 97223 (503) 6394111 PARCEL: 1 S135AB-01004 SITE ADDRESS: 10220 SW GREENBURG RD 4.50 SUBDIVISION: TWO LINCOLN - TOWN OF METZGER ZONING: C-P BLOCK: LOT: JURISDICTION: TIG REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION CLASS OF WORK: FPS FIRST: sf N: S: E: W: TYPE OF USE: CUM SECOND: sf PROJECT OPENINGS? TYPE OF CONST: 2FR sf N: S: U: W: OCCUPANCY GRP: B TOTAL AREA: sf ROOF CONST: FIRE RET? OCCUPANCY LOAD: BASEMENT: sf AREA SEP RATEL': STOR: HT: ft GARAGE: sf OCCU SEP. RATED: BSMT?: MEZZ?• READ SETBACKS REQUIRED _ FLOOR LOAD: psf LEFT: ft RGHT: ft FIR SPKL: SMOK DET: DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP ACC: BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING: VALUE: Remarks: Modification of 7 sprinkler heads. Owner: Contractor: KNICKERBOCKER PROPERTIES INC FIRESTOP CO BY NORRIS BEGGS & SIMPSON 9384 SW TIGARD ST 10300 SW GREENBURG RD STE 200 TIGARD, OR 97223 P'� TLAND, OR 97223 one: Phone; 620-6140 Reg#: LIC 00063840 FEES REQUIRED INSPECTIONS _4 Type By Date Amount Receipt Sprinkler Final PRMT DRA 5114199 $25.00 99-315402 'Ipk)i ►J kLZ 12 l J&P- 5PCT DRA 5114199 $1.25 99-315402 Total $26.25 This permit is issued subje:,t to the regulations contained in Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-1987. You may obtain a copy of these rules or direct questions to OUNC by calling (503) 246-1987. he nn ilea � Si ature: Is. ed By: Call 639-4175 by 7 p.m. for an inspection the next business day Fire Protection Permit Application Plan Ch # iTY OF TIGARD Commercial or Residential Recd B tije�], 3125 SW HALL BLVD. Date Recd 5---1414Z AGARD, OR 97223 Print or Type Date to P E 503) 639-4171, x. 304 Incomplete or illegible applications will not be accept'e/d Date to DST �I'b Called Permit� /�� Job Name of Development/Pro)ect Type of System (Complete A or B as applicable) Wv �roC Address Address c �j A.)Sprinkler Wet 1$ Dry Name Standpipes Owner Mailing Address Additional Hazard Croup City/State Zip Phone Information Density Name Design Area STo[�A4� T'�'K_._ Occupant Mailing Address K.Factor 0220 Sal- 6A'EC, 113ooe(, City state T_ip Phone A.1) Sprinkler Project Valuation $ _ �okF. CTE 7723 `�'lsoc ;ontractor Name B.) Fire Alarm (sprinkler or - %1 me l) 00 - Ismr company) Mailing Addres f Submittal Shall Inrlude Battery Calculations YES[] anor to permit __J397s �- // 0*,n 'f ' Individual Component YES C3issuance,a City/State Zip Phone _ Cut Sieets COPY of all licenses / /j 914 /�F 17173 �"ZU-(�/ 8.1) Fire Alarm Projent Valuation $ are required it State Const.Cont.Board Lic.0 Exp.Date expired in COT nnProject Valuation Subtotal (A &or B) $ ase databj�` rX�li _T-- Name Permit fee based on valuation $ , C/ (see chart on back) Architect Mailing Address �/R� 5% Surcharge $ Z,__� -�— C /state Zip Phone — FLS Plan Review 40%of Permit �or'. >lr. � 2v 2.14 - 1G5(1 $ escribe work A.)New O Addition O Alteration Repair O TOTAL $ o 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 of the nearest hydrant. I hereby acknowledge that I have read this application,that the mforrnatron given is Number of sprinkler heed3�� correct,that I am the owner or authorized agent of the owner,and that plans submitted are in compliance with Oregon State laws 11ditional Description of Work: ( � Signature of erlAgent Date )1WIlvK�rle 11A A.)In Existing Building �k New Building C] Building Cor ct Person Name Phone rF Data B.) Commercial Residential [ /!u r n' ,4i1 FOR OFFICE USE ONLY: No of stories: Plat# Map/TL#: Sq.Ft: Notes: ....�` Occupancy Class Type of Construction ,firesupr doc CITY OF TIGARD BUILDING PERMIT FEES TOTAL STATE BUILDING VALUATION OF PERMIT F.L.S. TAX PERMIT PROJECT FEES (40%) (5%) FEES 1-1500 25.00 10.00 1.25 36.25 1,501-1600 26.50 10.60 1.33 38.43 1,601-1,700 28.00 11.20 1.40 40.60 1,701-1,800 29.50 11.80 1.48 42.78 1,801-1,900 31.00 12.40 1.55 44.95 1,901-2,000 32.50 13.00 1.63 47.13 2,001-3,000 38.50 15.40 1.93 55.83 3,001-4,000 44.50 17.80 2.23 64.53 4,001-5,000 50.50 20.20 2.53 73.23 5,001-6,000 56.50 22.60 2.83 81.93 6,001-7,000 62.50 25.00 3.13 90.63 7,001-8,000 68.50 27.40 3.43 99.33 8,001-9,000 74.50 29.80 3.73 108.03 9,001-10,000 80.50 32.20 4.03 116.73 10,001-11,000 86.50 34.60 4.33 125.43 11,001-12,000 92.50 37.00 4.63 134.13 12,001-13,000 98.50 39.40 4.93 142.83 13,001-14,000 104.50 41.80 5.23 151.53 14,001-15,000 110.50 44.20 5.53 160.23 15,001-16,000 116.50 45.60 5.83 168.93 16,001-17,000 122.50 49.00 6.13 177.63 17,001-18,000 128.50 51.40 6.43 186.33 18,001-19,000 134.50 53.80 6.73 195.73 19,001-20,000 140.50 56.20 7.03 203.73 20,001-21,000 146.50 58.60 7.33 212.43 21,001-22,000 152.50 61.00 7.63 221.13 22,001-23,000 158.50 63.40 7.93 229.83 23,001-24,000 164.50 65.80 8.23 238.53 24,001-25,000 170.50 68.20 8.53 247.23 25,001-26,000 175.00 70.00 8.75 253.75 26,001-27,000 179.50 71.80 8.98 260.28 27,001-28,000 184.00 73.60 9.20 266.80 28,001-29,000 188.50 75.40 9.43 273.33 29,001-30,000 193.00 77.20 9.65 279.85 30,001-31,000 197.50 79.00 9.88 286.38 31,001-32,000 202.00 80.80 10.10 292.90 32,001-33,000 206.50 82.60 10.33 299.43 33,001-34,000 211.00 84.40 10.55 305.95 34,001-35 000 215.50 86.20 1078 312.48 35,001-36,000 220.00 88.00 11.00 319.00 36.001-37,000 224.50 89.80 11.23 325.53 37,001-38,000 22.9.00 91.50 11.45 332.05 i tiresurr.doc. CITYOF TIGARD MECHANICAL PERMIT - DEVELOPMENT SERVICES PERMIT#: MEC1999 00212 13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 PARCEL: 1S13ATE ISSUED: 9 'IS13 � 5AB-01004 SITE ADDRESS: 10220 SW GREENBURG RD 450 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: 1 OCCUPANCY GRP: B VENTS W/O APPL: VENT SYSTEMS: STORIES: _ BOILERS/COMPRESSORS HOODS: _ FUEL TYPES 0 - 3 1-1 P: DOMES. INCIN: LLE 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 OTHER UNITS: FURN >=100K BTU: <= 10000 cfm: 2 GAS OUTLETS: > 10000 cfm: Remarks: Installation of(2)VAV boxes and (1)exhaust fan. Owner: FEES _ KNICKERBOCKER PROPERTIES INC Type By Date Amount Receipt BY NORRIS BEGGS & SIMPSON PRMT DRA 5/17/99 $2.5.00 99-315432 10300 SW GREENBURG RD STE 200 PLCK DRA 5/17/99 $6.25 99-315432 PORTLAND, OR 97223 5PCT DRA 5/17/99 $1.25 99-315432 Phone: Total $32.50 Contractor: NORTH PACIFIC HEATING 33700 SE DUUS RD ESTACADA, OR 97023 REQUIRED INSPECTIONS Mechanical Insp Phone: Final Inspection Reg#:LIC 00063746 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes and all other applicable laws. All work will be done 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 rales adopted in the Oregon Utility f4otific8tiQn Center. Those riles are set forth in OAR 952-001-0010 through OAR 952-001-0080 Yoh(may obtain copies of these rules or direct questions to OUNC by calling (503)246-918 Issue By: u_��. _� , 4� Permittee Signature: Call (503) 639-4175 by 7:00 P.M. for inspections needed the next busines( y Plan Ch �. CITY OF TIGARD Mechanical Permit: Application Recd a 13125 SW HALL BLVD. Commercial and ResidentialDate Recd TIGARD, OR 97223 i' Date to P.E. (503) 639-4171, x304 Q9 -TaV� Date to DST Print or Type �' `r Pet-mit# rJe L y Incomplete or illegible applications will not be accepted Called Name of Devel pment/Prokri, Description Table 1A Mechanical Code at Price Amt Job Street Address SuneN A) Permit Fee _ 10.00 Address �l 1) Furnace to 100,000 BTU including ducts&vents 6.00 Bldg# cnylstate <Lf zip 2) Furnace 100,000 BTU+ __ f 27including ducts&vents _ 7.50 Name(or name of bustnass) !J 3) Floor Furnace Owner Including vent 6.00 z' 4) Suspended heater,wall heater Melling Addres � or floor mounted healer _ 6.00 U.,/ 5) Vent not included in appliance permit C" /state Zip one 3.00 �, CHECK ALL 'Boiler Heat Air N e(or name of business) THAT APPLY: or Pump Cono Qty Price Amt Comp _ 6)<3HP;absorb unit to Occupant Mailing Addr i 100K BTU _ 600 , j 7)3-15 HP;absorb unit CRylStale zip Pone 100k to 500k BTU _ 11 00 8)15-30 HP;absorb = unit.5-1 mil BTU _ 15.00 Contractor Name, 9)30-50 HP,absorb _ unit 1-1.75 mil BTU 2250 Prior to pemiit Mailing Address ,/ 10)>50HP:absorb unit issuance,a copy �` - "(, c >1.75 mil BTU 37.50 of all licenses CRyJSt a Zip Phone 11)Air handling unit to 10,000 CFM are required if ,w..�,�1 ' _ 4.50 expired in COT regon Const.Cont Board Lk.N Exp,Date 17.)Air handling unit 10,000 CFM+ database 7.50 Architect Name 13)Non-portable evaporate cooler 4.50 14)Vent fan connected to a single duct Melling Address 7 or _ 3.00 T / 15)Ventilation system not included in Engineer CRy/State — ZipPhone appliance permit _ _ _ 4.50 16)Hood served by mechanical exhaust Describe work to be done: __ __�_� 4.50 17)Domestic incinerators New O Repair O Replace with like kindYes O No O __- _ y `_ 7.50_ Residential O Commercial O 18)Commercial or industrial type incinerator 30.0.0 _ Additional information or description of work: 19)Repair units 450 20)Wood stove _ --- -- f'' ,r _ 450 %— _;rot)e 14; — - 21)Clothes dryer,etc. _ 4.50 _ Type of fuel oil O natural gas O LPG O electric. 22)Other units 50 4.50 I hereby acknowledge that I have read this application,that the information 23)Gas piping one to four outlets given is correct,that I am the owner or authorized agent of _ ___ _ _^ 2.00 the owner,that plans submitted are in compliance with Oregon State laws 24)More than 4-per outlet(each) Signature of OwnerlAgent Date �y Minimum Permit Fee$25.00 _SUB_TO_TAL z� 5%SURCHARGE j Contact Person Name Phone PLAN REVIEW 25%OF SUBTOTAL L Required for ALL commercial permits ont l % --- TOTAL 'State Contractor Boiler Certification required Residential A/C requires site plan showing placement of unit I Unechperm doc rev 071201c8 OVER-THE-COUNTER (OTC) PERMIT COMMERCIAL MECHANICAL PERMIT CHECK LIST Description of Project: 1-tisk _ _ lfA V Lo z e i Class of Work: A L:- Floor Furnace: Evap Coolers: Type of Use: L-°0 r\—_ Unit Heaters: Vent Fans: / Occupancy Grp: _ Vents w/o Appl: — _ Vent Systems: Stories: Boilers/Comprsrs: — Hoods: Fuel Types - 0 - 3 HP. Repair Units: 3 - 15 HP. Wood Stoves: Max Input: Btu: Air Handling Units CIO Dryer: — Fire Dampers: < = 10000 cfm: 2 Oth Units: Gas Pressure: H / M / L > 10000 cfm: _ Gas Outlets: No. Of Units: Furn < 100k Btu: Furn >=100k Btu: NOTES: COMMERCIAL INSPECTION ACTIONS__ FEE MENU $ � Permit Fee Gas line Inspection $ + I Plan Review L Mechanical Inspection $ _ )' 5% State Surcharge Cooling Unit Inspection $—�-� Additional Permit Fee Shaft Inspection $ Additional Plan Review Fee Hood Inspection $ Inspection Fee Fire Suppr Inspection $ Miscellaneous Fee Duct Inspection y �' Fire Alarm Inspection 7 , Fire Damper Inspection REMARKS: Miscellaneous Inspection �^ Fire Alarm Inspection J— Final Inspection FOR OFFICE USE ONLY. TYPE OF USE OPTIONS(COM=commercial,CMS=commercial manufactured structure) CLASS OF WORK OPTIONS FOR ALL PERMITS(NEW=new;ADD=addition;ALT=alteration:ACS=accessory; FND=foundation;OTH-other;DEM=demolition;REP=repair;FPS=fire protection system.NOTE=USE ON.FOR FENCES, RETAINING WALL,DETACHED DECKS,SIGNS, AWNINGS,CANOPIES) i\,ovrcntr.doc(dst) 8/97 1 1/4' •I'-0' ' LIMIT OF TENANT I h� O � � I I� � I i I rw� � w:r r,......'.......... ...:.......:. _. : I • • SIC I I I f I I I 1 1- , • �,�y... ® I I n • � _ � r �ww www I ; I .... ........:.. LZ 0OP4. wel■ wwwww wwww � wl� w{�� I . REFLECTED CEILING PLAN FOR SUITE 450 54SF-04 / // I JCUpO.0 e. (v ��e Y CELECTRICAL PERMIT CITY O� T I G A R D PERMIT#: ELC1999-00285 DEVELOPMENT SERVICES DATE ISSUED: 5/13/99 13125 SW Hall Blvd.,Tigard, OR 971.23 (503) 639-4171 PARCEL: 1S135AB-01004 SITE ADDRESS: 10220 SW GREENBURG RD 450 SUBDIVISION: TWO LINCOLN - TOWN OF METZGER ZONING: C-P BLOCK: LOT : JURISDICTION: TIG Proiect Description: Electrical TI _ RESIDENTIAL UNIT TEMP SR%C/FEEDERS MISCELLANEOUS 1000 SF OR LESS: 0 - 200 amp: PUMP/IRRIGATION: EACH Ar')'L 500SF: 201 - 400 amp: SIrN/OUT LINE LTG: LIMITED ENERGY: 401 - 600 amp: SIGNAL/PANEL: MANF HM/ 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: 9 IN PLANT: 601 - 1000 amp: PLAN REVIEW SECTION 1000+ amp/volt: >=4 RES UNITS: > 600 VOLT NOMINAL: Reconnect only: SVC/FDR >=225 AMPS: — CLASS AREA/SPEC OCC: Owner: Contractor: KNICKERBOCKER PROP INC CHRISTENSON ELECTRIC INC BY NORRIS BEGGS SIMPSON 111 SW COLUMBIA 10300 SW GREENBURG RD STE 480 TIGARD, OR 97223 PORTLAND, OR 97201 Phone: Phone: 241-4812 Reg #: LIC 000458 SUP 3289S PLM 2468S ELE 26-34C _ FEES Required Inspections Type By Date Amount Receipt Elect'I Service PRMT BON 5/13199 i $80.00 99-315354 Elect'I Final SPOT—BON 5/13199 $4.00 99-315354 ORIGINAL Total $84.00 1 his Permit is issued subject to the regulations contained in the Tigard Muniapal 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 through OAR 952-001-0080 You may obtain copies of these rules or direct questions to OUNC at(503) 246-1987 i7 1 /, Permit Signature, 1Issued By: Vli g ! �� n'12�. — 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 SIGNATURL OF SUPD R. ELEC'N: _ LICENSE NO: — --- Call 639-4175 by 7:00pm for an inspection the next business day CITY OF TIGARD RECEIVE-1 Electrical Permit Application Plan Check# 13125 SW HALL BLVD.MAY 1 Rec'd By _ TIGARD OR 97223 Date Reck; Phone (503)639-4171, x(&MUNITY DEVELUNNI01 Date to P.E. Print or Type Date to DST_ Inspection (503) 639-4175 Permit#� CL +_ ' 'C.Yy` Fax (503)684-7297 Incomplete or illegible will not be accepted called 1. Job Address: NORRIS,BEGGS,SIMPSON PROPERTY G 14. Complete Fee Schedule Below: Name of Development LINCOLN CENTRE LINCOLN 11 _ Number of Inspections per permit allowed Name(or name of business) STORAGE TEK Service Included: Items Cost Sum Address 10220 SW GREENBURG RD SUITE 450 _ 4a. Residential-per unit City/State/Zip PORTLAND OR I000sq.h.orless $110.00 4 -- ----_ Each additional 500 sq.ft.or Commerciab X� Residential ❑ portion thereof $25.00 1 Limited Energy $25.00 _ Each Manuf'd Home or Modular Dwelling Service or Feeder $68.00 2 2a. Contractor installation only: -- --- (Attach copy of all current licenses) 4b.Services or Fwd re Electrical Contractor_ CHRISTENSON ELECTRIC, INC, installation,alteration,or relocation Address 111 SW_COLUMBIA, SUITE 480 - 200 amps or loss $60,00 2 201 amps to 400 amps $80.00 City 1'OR'PI�AND State OR T_ip-97201-5886_ 401 amps to 600 amps $120.00 - 2 Phone No.5� �+ - - 4812 _ _ 601 amps to 1000 amps $180.00 2 2 Job No.6,2-0'292$ j_,�4 Over 1000 amps or volts $340.00 Eler,. Cont. Lice. No. 26-34C Exp.Date tj Reconnect only $50.00 2 OR State CCB Reg, No.^_ Exp.Dater _ 11 r Of 0 4c.Temporary Services or Feeders COT Business Tax or Metro No. 5246 Exp.Date 12 99 installation,alteration,or relocation 200 amps or less $50.00 Signature of Supr. Eleo'n�-_ f_ 1 I L.1) c--- _ 201 amps to 400 amps $75.00 __ 2 t 401 amps to 600 amps $100.0 2 Over 600 amps to 100 volts, License No. 873S Exp.Date_ 10/01 OlAq see"b"above. Phone No._ 0_2_41--4812 4d.Branch Circuits New,alteration or extension per panel 2b. For owner installations: a)The fro for branch circuits with Print Owner's Name purchase of service or Address Each branch circuit $5.00 City Statp _ Zip b)The tee for branch circuits without purchase of Phone No. _ service or feeder fee. First branch circuit 1 $35.00 _35, __ The installation is bring made on property I own which is not Each additional branch circuit-_q_ $5.00 45 _ 2 intended for sale,lease or rent. 4e.Miscellaneous Owner's Signature _ Y (Service or feeder not included) Each pump or Irrigation circle $40.00 2 Each sign or outline lighting $40.00 _ 3. Plan Review section (if required):' Signal clrcuit(s)or a limited energy+ panel,alteration or extension $40.00 _. 2 Please check appropriate item and enter tap in section 58. Minor Labels(10) $100.00-- - - 4 or more residential units m one structure 4f.Each additional Inspection over Service and feeder 225 amps or more the allowable In any of the above _ System over 600 volts nominal Per inspection $3500 Classified area or structure containing special occupancy Per hour $55.00 _ as described In N.E.C.Chapter 5 In Plant $55.00 Submit 2 sets of plans with application where any of the above.apply. 5. Fees: 80. _ Not required for temporary construction services. 5a.Enter total of above fees $ 5 Surcharge(.05 X total fees) $ __4- N`Q_E Subtotal $ -84-- 5b.Enter 25%of line Be for PERMITS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED IS Plan Review If reaulred(Sec.3) $ NOT COMMENCED WITHIN 180 DAYS.OR IF CONSTRUCTION OR WORK Subtotal $ -44- IS 8h.IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED. ❑ Trust Account# Total balance Due s 84.00 1 0SMELC9B.APP Flev 9!(FN -