10250 SW GREENBURG ROAD STE 212 i
t
0
tJ
Ul
O
G2
G�
FI
C.
Hy
[T7
N
N
I
L 10250 SW GREENBUR, ROAD, SPITE U2
2 r,
L
MEN—
CITY
��� �� ������ ELECTRIC��L PERMIT
PERMIT#: EL01999-00506
DEVELOPMENT SERVICES DATE ISSUED: 8/17/99
13125 SW hall Blv6.,Tiqard, OR: 97223 (5f.13) 639-4171 PARCEL: 1S135AB 04500
SITE ADDRESS: 10250 SW CREENBURG RD 212
SUBDIVISION: LINCOLN BUILDING PP1991-055 n � W
I
NA
LRISDICTION:
ZONING: C-P
BLOCK: O TIG
Proiect Dea^ription: Installation of 8 branch ci�(;uits. Job no. 62-0605-
RESIDENTIAL
2-0605 'RESIDENTIAL UNIT —^ TEMP SRV_ CIF_EEDE_R_S_ MISCELLANEOUS___
1000 SF OR LESS: 0 - 2.00 amp: PUMP/IRRIGATION:
EACH ADD'L. 500SF: 20'. - 400 amp: SIGNIOUT LINE LTG:
LIMITED ENERGY: 401 - 600 amp: SIGNAL/PANEL:
MANE HMr SVC/ FDR: 6C1 r amps - 1000 volts: MINOR LABEL (10):
SERVICE/FEEDER_ _ BRANCH CIRCUITS _ADD'L INSPECTIONS
0 - 200 amp: W/SERVICE OR FEEDER: 0 PER INSPECTION:
:101 - 400 amp: 1st W/O SRVC OR FDR: 1 PER HOUR:
401 - 600 amp: EA ADD'L BRNCH CIRC: 7 IN PLANT:
601 - 1000 amp: _ _ PLAN REVIEW SECTION
1000+ amp/volt: >=4 RES UNIT-S: > 600 VOLT NOMIN,t,t :
Reconnect only: _ SVC/FDR >= 225 AMPS: CLASS AREA/SPEC OCC:
Owner: Cr ntractor:
KNICKERBOCKER PROPERTIES INC CHRISTENSON ELECTRIC INC
BY NORRIS BEGGS & SIMPSON 111 SW COLUMBIA
10300 SW GREENBURG RD STE 200 STE 480
PORTLANn, OR 97223 PORTLAND, OR 97201
Phone: Phone: 241-4812
RPg#: LIC 000458
SUP 3289S
PLM 246RS
ELE 26-34C
FEES Required Inspections
Type By Date Amount Receipt Elect'I Service
PRMT CEEB 8/16/99 $74.95 99-317695 Elect'I Ficial
5PCT DEB 8116/99 $5.25 99-317695
Total $80.20
This Permit is issued subject to the regulations contained in the Tigard Municipal Code, Slate of OR Specialty Codes ind all other applicable laws
All work will be done in accordance with approved plans. This permit will expire if work is^�,t^tsrted within 180 days of issuance,or I 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 o rales or direct questions to OUNC at(503)
2.46-1987,
Permit Sionature: r 1 r Issued y:
�-
_ WNER INSTALLATION ONLY _
The installation Is being made on property I ovvn which is not intended for sale, lease, or rent.
OWNER'S SIGNATURE: _ _ DATE:.--.--
CONTRACTOR
ATE:._ .—_CONTRACTOR INSTALLATION ONLY
CIGNATURE OF SUPR. ELEC'N: , -a DATF
LICENSE NO: -------
Call 639-4175 by 7:00pm for an Inspection the next business day
Plan Cl 9&t► _ _--
CITY OF TIGARD Electrical Permit Application Recd 4V t
13125 SPIV HALL BLVD. ATTENTION:DEBBIE 8/12/99 RECEIVEU DateFlec'd j_�
Date to P E
TIGARD OR 97223 --
,4 AUG 16 1999 Date to DST
Phone (503)639-4171, x304 1LPermit#
'1spectlon (503) 639-4175 Print of Type R MMUNIIY 0i.uELUVMENI
Called
ax (503) 598-1960 Incomplete or illegible will no's a accepted --
- d (2I`. BEGGS SI`4Ps PERTY ;4N M' 4. Complete Fee Schedule Below:
fa. Job Addre Number of Inspections per permit allowed
LI
Name LINCOLN BLDG of Development Service included-. Items Cost Sum
Name(or narne of business)FOREST CITY TRADING& 212 4a. Residential-per(:nit
Address 10250 SW GREENBURG RD SUITE 2P 1000 sq fl.or less $ 117 75 ,---,- 4
City/State0p TIGARD OR k' Each tion additional of 500 sq.fl.or _ $ 26.25 1
portion thereof $ 80.00
4ALIBU PA FLC:GENERAL Limited Energy
Comer ercla , Residential ❑
Each Manufd Home or Modular E 72.75 2
UJESTIOPIS?CONTACT ROSS CROSBY 245-1965 Dwelling Service or Feeder
2a. 'Contraetor installation only: 4b.Services or Feeders
(Pnur to permit issuence,applicants must provide contractor license installation,alteration,or relocation $ 64.25 2
information for COT data base). 200 amps or less $ 8550 _ 2
E,ectncal Gontraet.or CHRISTENSON EL1?CTRIC, INC. 201 amps to 400 amps $ 128.50 _ 2
Address l 11 SW C(ZUMBIA,SUITE 480 401 amps to 900 amps - S 192.50 _ 2
97201-5886 601 amps to 1o0 amps $ 363.75 2
City PORTLAND ,tate OR--Zip Over 1000 amps or volts _ 2
Phone No. 503 241-4812 Reconnect only $ 53.50
Job No 62-06057
p 26-34C Exp Date 10--- /99 -- 4c.Temporary Services or Feeders
Elec. Cont. Lire. No. Exp Date 5/03 Installation alteration.or relocation $ 53.50 2
OR _State Cuo Reg. No. 458 200 amps or less S 60.25 2
COT Business Tax or Metro No.__L246 _Exp.Date 12/99 201 amps to 400 amps $ 107 00 2
401 amps to 900 amps
r Over 600 amps to 1000 volts,
Signature of Stlp�F,J��: see"b"above.
=rise No
8735 Exp-Date 10/01 ad Branch Circuits
503 241-4812 New,alteration or extension per panel
jonp No _ ill The`^e for branch circuits
with purchase of service or
2b. For owner installations: feeder fee. $ 5.35 2
Each branch circuit -
Print Owner's Name -- b)The fee for branch circuits
Address ---- without purchase of service ?
State Zip or feeder fee. Erb-ITE-100 212 37.30 37 50
City First branch crrcwt ---�,.--y-/L S 37.50 7� 37 45
Phone No. , Each additional branch circuit 5.33 6�
The installMion is being made on property I own which is not 4e.Miscellaneous ----
(Service or feeder rot included) S 42,75
itaended for sale. lease or rent. Each pump or Irrigation circle S 42.75
Each sign nr outline lighting
QWner'S SlgnatUr9___ - - Signal circwtis)or a limited energy $ 80 QO
panel alteration or extension
3. Plan Review section (if required):* Minor Labels(10) -
S 107.00
4f.Each additional inspection over
Please(.heck appropriate item and enter fee in section 5B. the allowable in any of the above S 5000
,4 or more residential units in one structure Per inspection $ 5000 I
Service and feeder 225 amps or more Per hour S 5900
in Pla:l
System over 800 volts nominal I
Classified area or structure containing special occupancy as 5. Fees: C.85 74.95 $ nW
described m N E C Chapter 5 sa.En er oral of abov fees 5.25
S
ap .Urrhar e X total fees) ` T_�
Subtotal '�5 80.20 S
" Submit 2 sets of plans with application where any of the aha'. apply. 9
Not required for temporary construction services. yb.Enter 251x6 of line ea for S ,
NOTICE Plan Review d required(Sec 3) 80.20 S _, .
Subtotal
2MITS BECOME V-ID IF WORK OR CONSTRUCTION AUTHORIZED
w Total balance
COMMENCED WITHIN 180 DAYS,OR IF CONSTRUCTION OR" ❑ Trust Account*_ - -fir- - 80.20 $ 9� ` Z
WORK IS SUSPENDED OR A9ANDONED FOR A PERIOD OF 180 DAYo lance Due
AT ANY
MF.AFTER WORK IS COMMENCED BALANCE DUE r /
i'dsts form, -ciric dnc
CITY 1 OF
TIGARD
BUILUIIVGPERMIT
_-�
\� PERMIT#: BUP1999-00407
DEVELOPMENT SERVICES DATE ISSUED: -`'15/99
13125 SW Hall Blvd., Tiqard, OR 97223 (50:3) 639-4171 PARCEL: 1S135AP-045011
SITE ADDRESS: 10"50 SW GREENBURG RD 2'12
StjBDIVISION: LINCOI N BUILDING PP1991-055 ZONING: C P
BLOCK: LOT: 001 JURISDICTION: TiG
REISSUE: FLOOR AREASEXTERIOR WALL. CONSrRUCTI_ON _
CLASS OF WORK: FPS FIRST: sf N:� S: E: W:
TYPE OF USE: COPA SECOND: sf PROJECT OPENINGS? �^
TYPE OF CONST: 5N sf N: S: E: Y W:
OCCUPANCY GRP: B TOTAL AREA: sf ROOF CONST: FARE RET?
OCCUPANCY LOAn: BASEMENT: sf AREA SEP. RATED:
STOR: HT: ft GARAGE: sf OCCU SEP. RATED:
BSMT?: NIEZ7-?: _ REQD SETBACKS _ _ REQUIRED_ __
FT
FLOOR LOAD: psf LF : ft RGHT: ft uFIR SPKL: SMO:< DET:
DWELLING UWTS: 'RNT: It REAR: ft FIR ALRM : HNDICP ACC:
BEDRMS: BAl HS: IMP SURFACE: PRO CORR: PARKING:
VALUE:: $ 815.00
Remarks: Modification of 8 fire sprinkler heads.
- -- -- --- — —
Owner: Contractor:
KNICKERBOCKER PI=?OPERTIES INC FIRESTOP CO
BY NORRIS BEGGS & SIMPSON 9384 SSW TIGARD ST
10oo3RR00 SW GREENBURG RD STE 2.00 TIGARD, OR 97223
PPnorie ND, OR 972.23 Phone: 620-6144
Reg#: LIC 00063846
FEES REQUIRED INSPECTIONS`
Type By Cate Amount Receipt Sprinkler Rough-In
PRMT DEB 9115199 $25.00 99-318337 Sprinkler Final
5PCT DEB 9115199 $1.75 99-318337
Total $26.75
_ 1
This permit is issued subject to the regulations contained in the Tigard Municcpal 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. ATTENT ION; 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.
Permitee
Sign A777 i - --- -
Issue By: i,-
Call 639-4175 by 7 p.m. for an inspe�;tion the next business day
Fire Protect,*on Permit Application __-
CITY OF TIGARD PianC ck#
Commercial or Residential Recd y
13125 SW HALL BLVD.
Date Recd '7-1r—.
TIGARD, OR 97223 Print or Type Date to P E
(5031 639-4171, x. 304 Incomplete or illegible applications will not be accepted Date to Ds�_
Permit#
C211ed
r---'Yob Name of/of et,t pro ecty Type of System (Complete A or B as applicable)
Address Address -- -----
/oZ�b 5� �jlZllfRU�ira/ A.) Sprinkler Wet pry [�
1ame Standpipes
Owner Mailing Apreas --
� 1 >:u� ' r Hazard Group
Additional
/State Zip Phone Information Density
Name
C.t Y 7 54,rt Z Z Design Area
11ccupant Mailing Addr s _
/01
s /� K. Factor
City,st to zip Phone�u� A.1) Sprinkler Project Valuation
Contractor Name B.) Fire Alarm
(Sprinkler or 00
Alarm Companyl Mailing Addre s �� Submittal Shall Include Battery Calculations YES ❑
Prior to permit
issuance,a City/State Zip Phone Individual Component YES L] _
copy ,0.17U3 4li 14� Cut Sheets
of all licenses -41eU v 8.1) Fire Alarm Project Valuation $
are required if State Const Cont. Board Lic.# Exp Date
expired in COT e _
database Name 63�f tp - xUUp Pro j ct Valuation Subtotal (A & or B)
613 D a Permit fee based on valuation $ o0
y
Architect Mallin Address (see charton back) �
- S4- ep 5% Surcharge r
City/Statep Phone — FLS PI $ �D
_ ND Q,QE 4 an Review 40% of Permit $
—00
rscribe work A.)New O Addition O Alteration 1Rl Repair O
be done TOTAL $ — S —
B.) Modification to spnnkler heads only: _
1. 1-10 heads=No plans required Plans required Submit three sets of plans, including a vi,;in ty map and
2. 11-Plan review required the location of the nearest hydrant
~
___
hereby acknowledge that I have read ththisappl,cauon.that the information given,s
Number cf sprinkler heads � correct.that 1 em the owner or authorized agent of the owner,and that plans submitted
Additional Description of Work: are in compliance with Oregon State laws
�r�E > Signature cif w /Agent TDate
A.)In Existing Building llA New Building ❑ < �s T� '7S �q
Building '1 tact Pgrso Na a �U P1106
eData B.) Commercial Jk Residential ❑ —V---= _ 10
FOR OFFICE USE ONLY:
No.of stories: � '� Plat# Map/TI-0
Sq.Ft:
Notes _
Occupancy Class Type of Construction
is\firesupr.doc
ClTX-Q-F T CaARQ
5UjLD11 PERM T 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 1120 1.40 40.60
1,701-1,800 29.50 11.80 1.48 42.78
1,801-1,900 31.00 12.40 1.56 44.95
1,901-2,000 32.50 3.00 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 2.7.40 3.43 99.33
8,000-9,000 74.50 29.80 373 108.013
9,001-10,000 80.50 32.20 4.03 116.73
10,001-11,000 86.50 34.60 4.33 12543
11,001-12,000 92.50 37.00 4.63 134.13
12,001-13,000 98.50 39.40 4.9. 142.83
13,001-14,000 10450 41.80 5.2�, 151.53
14.001-15,000 110.50 44.20 553 160.23
15,001-16,000 116.50 46.60 5.83 168.93
16,001-17,000 122.50 4900 6.13 177.63
17,001-10,0(10 12850 51.40 GA3 186.33
18,001-19,000 134.50 53.80 6.73 195.73
19,001-2.0,000 140.50 56.20 7.03 20373
20,001-21,C00 146.50 58.60 7.33 212.43
2.1,001-22,000 152.50 61.00 7.63 221.13
22,001-23,000 15850 63.40 7.93 229.83
23,001-24,000 164.50 65.80 8.23 238.53
24,001-2-5,000 170.50 68.20 8.53 247.23
25,001-26,000 175.00 70.00 8.75 253.75
26,001-27,000 179.50 7180 8.98 260.28
27,001-28,000 184.00 73.60 9.20 2.66.80
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 7900 9.88 286.38
31,001-32,000 202.00 8080 10.10 292.90
32,001-33,000 206.50 R? 60 10.11 299.43
33.001-34,000 211 00 8440 10 55 305.95
34,001-35,000 215.50 86.20 10.78 31248
35,001-36,000 I 2.20.00 88.00 11.00 319.00
36,001-37,000 224 50 89.80 11.23 325.53
37,001-38,000 229 00 I 91 60 11.45 332.05
u csupr.doc
CITYOF TIGARD __ MECHANICAL PERMIT _
DEVELOPMENT SERVICES PERMIT#: MEC1999-00394
1 �5 SW Hall Blvd.,Tigard, OR '?7223 (503) 639-4171 DATE ISSUED: 09/21/15`99
PARCEL: 1 S135AB-04500
SITE ADDRESS: 10250 SW GREENBURG RD 212
SUBDIVISION: LINCOLN BUILDING PP1991-055 ZONING: C-P
BLOCK: LOT: 001 JURISDICTION: TIG
CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS: ~�
TYPE OF USE: COM UNIT HEATERS: VENT FANS:
OCCUPANCY GRP: B VENTS WPO APPL: VENT SYSTErAS:
STORIES: BOILERS/COMPRESSORS- HOODS:
FUEL'TYPES 0 3 HP: DOMES. INCIN:
3 - 15 HP: COIIAML. INCIN:
MAX INPUT: 9TU 15 - 30 HP: REPAIR UNITS:
FIRE DAMPERS?: N 30 - 50 HP: WOODSTOVES:
GAS PF >SURE: 50 + HP: CLO DF;YERti:
FURN < 100K BTU: AIR HANDLING UNITS OTHER UNITS:
FURN >=100K BTU: <= 10000 cfm: v 1 GAS OUTLETS:
> 10000 cfm:
Remarks: Add one VAV box plus duct work
Owner: FEES
NORRIS BEGGS & SIMPSON Type By Date Amount Receipt
10300 SW GREENBURG RD --
PRMT 30N 09/21/19 J $50 00 99-318495
PORTLAND, OR 977.23 5PCT BON 09/21/19E $3.50 99-318495
PLCK BON 09/21/19£ $12.50 99-318495
Phone:503-452-5900 Tota! $66.00
Contractor:
NORTH PACIFIC HEATING
33700 SE DUOS RD
ESTACADA, OR 97023 REQUIRED INSPECTIONS
Mec,ianical Insp
Phone: Final Inspection
Reg #: LIC 00063746
ORIGINAL
This permit is issued sub,ect 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 worts iF suspended for more than 180 days. ATTENTION Oregon law
requires you to follow rules adopted in the Oregon Utility Notification Center. Those rules are set forth in OAR
952-001-0010 through OAR 952-001-0080 You may obtain copies of these rules or direct questions to OUNC by
calling (503)2 1R9.
Issue Ay: 1,tt&�L4-r _ Permittee Signature. ,(y�c`Ll -- _
Call (503) 639-417 by 7:00 P.M. for inspections needed the next busine.s d
s� G�
heck# � 1
CITY OF TIGARD Mechanical Permit Application Redd Plan Che!
By
13125 Stat HALL BLVD. Commercial and Residential Date Reda 9'ZI-
i IGARD, OR 97223 Date to P.E.
(503) 639-4171, x304 Dom- Date to DST
Print or Type Per"tit 0=' ROY
Incomplete or illegible applications will not be accepted Called
_ -
Name M Develop ent/Proiect Description -
Table 1A Mechanical Code _ __ City Price Amt
rA Permit Fee 16 00
Jot) StreetRd-dress SuNe#
1) Furnace to 100,000 BTU
Address -� �• includingducts&vents see footnote 1,2 9.65
Bldg# Cny/State 1p 2) Furnace 100,000 BTU+
including ducts 6 vents see footnote 1,2 _ 12.00
Name(or name of business) 3) Floor Furnace
Ownerincluding vent see footnote 1,2 9.65
M°Illnq Ad rau 4) Suspended heater,wall heater
or floor mounted heater see footnote 1,2 9.65
-li t 5) Vent not included in appliance ermit 4.75 _
CRY 151111118 zip Phone Check all that apply: 'Boiler Heat Air
`j7.2a3 y _ For Items 6-10,see or Pump Cond Qty Priw Amt
Name(or name of s ress) footnotes 1,2 Com
-, 6)<3HP;absorb unit to
_ 100K BTU 9.65
Occupant Melling Address 7/3-15 HP;absorb unit
100k to 500k BTU 1765
CRY/State Zip Phone 8)15-30 HP;absorb
lo' j�� unit.5-1 mil BTU 24.15
Now Z! - - 9)30-50 HP;absorb
Contractor
Now"r unit 1-1.75 mil BTU _ 36.00
10)>50HP;absorb unit
Prior to permit a Ing Add sa >1.75 mil BTU 60.15
Issuance,a copy > 11 Air handling unit to 10,000 CFM
of all licenses Pny/st zip Phone 7.00 f�
are required if 401) 12)Air handling unit 10,000 CFM+
expired in COT Oregon Const.Cont ElosrdUc# Exp.Uste 11.85
database , - 13)Non-portable evaporate cooler
Architect Namo _ 7.00
14)Vent fen connected to a single duct
Or Melling Address 4.75
15)Ventilation system net included In
appliance permit 7.00
Engineer CMy/State _ ,`-zip Phone 16)Hood served by mechanlcal exhaust
7.00
Describe work to be done 17)Domestic Incinerators
12.00
New O Repair O Replace,vith like kind: Yes O No O 18)Commercial or Industrial type Incinerator
Residential Commercial 48.25
19)Repair units
Additional Information or description of wo 8.40 -
rflo
'/ 20)Wood stove/gas Mother units/clothe dryer/etc.
�� �" -_ 7.00 --
NOTE: For Commercial projects only;UnItiollover 400 lbs require 21)Gas piping one to four outlets
structural gas talcs _ See footnote 1 _-^ 3,75
Type of fuel oil O natural gas O LPG O electric O 22)More than 4-per outlet(each) 75
_ _
Minimum Permit Fee$60.00 SUBTOTAL S'p
I hereby acknowledge that I have read this application,that the information 7%SURCHARGE �-
given is correct.that I am the owner or authorized agent of PLAN REVIEW 25%OF SUBTOTAI
the owner,that plans submitted are in compliance with Oregon State laws _Required for ALL commercial permits only t3
TOTAL
Signature of Owner/Agent Date -- -- - --- - __
Other Inspections and Fees: ,
Llf -�� _ 9 1. Inspections outside of normal business hours(mininurn charge-two
Contact arson Name - f Phone 7 hours) $60.00 per hour
2. Inspections for which no fee is specifically Indicated (minimum
charge-half hour) $50.00 per hour
Foonotes for commercial proje y: 3. Ad,'Itional plan review required by changes,additions or revisions to
1. Provide full schematic of existW and proposed gas line and pressure plans(minimum charge-on--half hour)$50.00 per hour
2. Provide drawings to scale showing existing and proposed mechanical
units. 'Slate Contracto, Boiler Certification required
"Residential A/C requires site plan showing placement of unit
1:lmechpenn doc rev 7/19/99
OVER-THE-COUNTER (OTC) PERMIT
COMMERCIAL MECHANICAL_ PERMIT CHECK LIST
Description of Project: A olo _� t. _ )3 J +Ql u� _ 17,
Class of Work: L Floor Furnace: Evap Coolers: _
Type of Use: 4o r, Unit Heaters: Vent Fans:
Occupancy Grp: Vents "r/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 C;-) Dryer:
Fire Dampers: < = 10000 cfm:� IOth Units-
Gas Pressure: H / M / L > 10000 cfrn: —` Gas Outk4s:
No. Of Units: _
Furn < 100k Btu:
Furn >=100k Btu: �^
NOTES'— ------- ----. —
' COMMERCIAL INSPECTION ACTIONS _ FEE MENU
$ �'��� Permit Fee
Gas Line Inspection --$ 2=--�✓Plan Review
Mechanical inspection $$ 2 5= " 70, State Surcharge
Cooling Unit Inspection $—�-=- Additional Permit Fee
Shaft Inspection $ Additional Flan Review Fee
Hood Inspection $� y Inspection Fee
Fire Suppr Inspection $ `~ Miscellanec,ls Fee
— Duct Inspection
Fire Alarm Inspection G
Fire Damper Inspection REMARKS:
Miscellaneous Inspection
Fire Alarm Inspection _
— 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=afterntion;ACS=accessory;
FND=foundation;OTH=other;DEM=demo'ition;REP=repair,FPS-fire protection system.NOTE=USE.OTH FOR FENCES,
RETAINING WALL,DETACHED DECKS,SIGNS, AWNINGS,CANOPIES)
i\ovrcnlr doc(dst) 8197
I
(
)
rn
/ I1 .. .. .... ... �• �..... •
I I { • • �^,,,,.711,1 ....t.,
v ; .,...... .........
1 ;
iw 1 •
.............
,...Q • .. .r•..
�+ ��' � 1
BE!
/
1 �
I 1 1 Y
1
�.:>,1
/
/ :.... i•'--fir
/ Q :lisp
1:
/
a
' i
f•
�� 1rwawwwawsl�.��aiY1 •wwwawaaawawwowwawwwawwa
Approved...
Conditionally A,_woved. ... .... ( \\)
v For only the work as de%,ribed in
See Letter to* F'•:::
Job Addrm,
�\ I�� s� ELECTRICAL PERMIT-
OF TIARD
(yo RESTRICTED ENERGY
DEVELOPMENT SERVICES a PERMIT#: ELR1999-00224
13125 SW Hall Blvd.. Tiqard, OR 97223 (503) 9 ISIIVAEVATE ISSUED: 9/27/99
SITE ADDRESS: 10250 SW GREENBURG RD 212 PARCEL: 1S135AB-04500
SUBDIVISION: LINCOLN BUILDING PP1991-055 ZONING: C-P
BLOCK: LOT: 001 JURISDICTION: TIG
Proiect Description: Installation of data telecommunications system. ,lob No. 50-01569
A.RESIDENTIAL B.COMMFRCIAL
AUDIO & STEREO: AUC ) & STEREO: INTEk^OM & PAGING:
BURGLAR ALARM: BOII-ER: 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:
NORRIS BEGGS SIMPSON PROPERTY CHRISTENSON ELECTRIC INC
10260 SW GREENBURG ;11 SW COLUMBIA
TIGARD, OR 97223 STE 460
PORTLAND, OR 97201
Phone: Phone: 241-4812
Reg #: LIC 000458
SUP 326-IS
PLM 2468S
ELE 26-34C
_ FEES Required Inspections
_Type By _Date Amount Receipt Low Voltage Inspection
PRMT DEB 9/27/99 $60.00 99-318F35 Elect'I Final
5PCT DEB 9/27/99 $4.20 99-318635
Total $64.20
This Peimit 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 startedwithin_180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law
r vires you to follow rules adopted by the I'regon Utility Notification Center. Those rules are set forth in OAR
52-001-0010 through OAR 2-00 ;0080. You may obtain copies of these rules or direct questions to OUNC at (503)
246 1987 -1
sued by IA _ Permittee Signature wt
OWNER INSTALLATION ONLY
T,ie installation is being made on property I own which is not intended for sale. lease, or rent.
G—AER'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
iouv ..L Ll iJn i1r.Ahbi 193UO2
tY OF TIGARD RESTRICTED ENERGY ELECTRICAL APPLICATION Rec'd y:
13125 SW HALL BLVD Date Recd�Xy
TIGARD GR 97223 1013:50-01569 PRINT OR TYPE
V-503-639-1 X304 Permit#
F -503-592-',1i f INCOMPLETE OR ILLEGIBLE APPLICATIONS Cust Call'd: _
WILL NOT BE ACCEPTED
Name of Development Project TYPE OF WORK INVOLVED-RESiDENTIAL ONLY
LINCOLN CENTER Restricted Energy Fe It........................................ $60.
FORI?ST CITY TRADING GROUP (FOR ALL SYSTEMS) RE_ ED
JOB Street Address Ste# Check Type of Work Involved
ADORES") 10250 SW GREENBURRG RD 212 SEP 2 71999
I'I� Kll
0" 97223 Phone n Audio and Memo Systems
Name Burglar Aiarm COMMUNITY DEVELOPMENT
NORRIS BEGGS SIMPSON PROPERTY 4NGMT
C Garage Door Opener-
OWNER Mailing Address
n Healing,Ventilation and Air Conditioning System'
CitylStale � Zip Phone#
Nome El
Vacuum Systems'
CHRISTENSON ELECTRIC, INC. ❑ Other__ --
CONTRACTOR Mailing Address
I 1 SW COLUMBIA,SUTTE 480 TYPE OF WORK INVOLVED-COMMERCIAL ONLY
(Prior to issuance a Ci Stale ' I r, ire t1 H 1 Fee for each syste n............................................. $60.00
wpy of all licenses PO `I'I,AND OR ��201- A ire
SEE OAR 918-260-260)
are required if Orogorl tr.Brd Lic # 1�
expired in C.U.T. 4)W _ � Check Type of Work Involved:
data base). ElectriCA�MCgr��trCUe.# 11 Audic and Stereo Systems
C.O.T.jtlI jfro Uc.#
Boller Controls
'-- Owner's Name ❑
Clock Systems
OWNER- Mailing Address
Data Telecommunication Installation
APPLICANT
City/State ip Phone# O
Fire Alarm Installrtlon
This permit Is Issued under CAE 918-320.370.This applicant agrees to HVAC
make,only restarted energy Installations(100 volt amps or less)under this
penult and to do the followingInstrumentation
I. Only usu electrical licensed pemons to do installations where required
Certain residential and other transactions are exempt from licensing Intercom and Paging Systems
These have asterisks(''). All others need licensing,
Landscape Irrigetlon Control'
2 Call for inspections when installation under this permit are ready for
inspection at 803-639-4175; `:iedlcal
3. Prin•hese sapaime permits for all instsllatlons that are not ready far an G1 Nurse Calls
inspection when the inspector Is out to inspect under this permit:
4. Assume responsibility for ascudng that all corrections required by the
CJ Outdoor Landscape Lighting'
Inspector are done,and; U Protective Signaling
5. Assume responsibility for calling for a final inspection when all of the �--t
corrections are completed. L 1 Other
Permits are non-transferable and non-refundable and expire 0 work Is not
started within 180 days of issuance or if work Is suspended for 1GO days --..—Number of Systems
The person signing for Ihis permit must be the applicant or a person No licenses Ari, rogw•ed Lcenses are required for all other installations
authorirxt to bind the applicant ---- — --"— '—
__ _ FEES: 60.
ENTER FEES =
igneture 4.20
r)4� )RtSURCHAROE(,-X TOTAL ABOVE) $
�O 64.20
Authority if other than Applicant - TOTAL $_
idslsHormsvesele doc 3198
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24-Hour Inspection Line: 639-4175 Business Line: 639-4171 BUP
G P11A
_ Date Requested APJI .. _ --- BLD
Z�j(� Suite 1
Location —1 MEG—
Contact Person - frn I' _ PM -7 2-0-- `�C PLM _
Contractor.._;s ^�C._, .—�'��G . Ph _ _ _ SWR
BUILDING Tenant/Owner ELG f_
Retaining Wall ELR W z21,y
Footing Access: FPS
Foundation
Ft3 Drain SGN
Crawl Drain Inspection Notes:
Slab _— -- -- - - SIT
Post&Beam
Ext Sheath/Shear
Int Sheath/Shear
Framing --- —
Insulation
Drywall Nailing _ A zet G.�
Firewall
Fire Sprinkler --
Fire Alarm —
Susp'd Ceiling -- —
Roof —
Misc: ��Y�U
Final —
PASS PART FAIL — ------ -�
PLUMBING ---- ------- — - --
Post&Beam
Under Slab -- -- ---
Top Out
Water Service ----
Sanitary Sewer
Rain Drains --
Final
PASS PART FAIL _ --
MECHANICAL
Post&Beam
Rough In
Gas Line
Smoke Dampers
Final r--
PASS PART FAIL
Service — -
Rough In
UG/Slab -- ----
Low Voltage
Fire Alarm -
F
PART FAIL --`-
Backfill/Grading _.---__-
Sanitary Sewer
Storm Drain I ]Reinspection fee of$ required before next inspection. Pay at City Hall. 13125 SW Hall Blvd
Catch Basin [ ] Please call for reinspection RE: [ ]Unahle to inspect-no access
Fire Supply Line
ADA
Approach/Sidewalk Date �_.—Inspector
Other _
Final
PASS PART FAIL DO NOT REMOVE this Inspection record from the job site.
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
7.4-hlnur Inspection Line: 639-4175 Business Line: 639-4171
c� U BUP
Date Requested (p G� l PQM PM BLp �/
Location d ) l.u_��-� Suite 12 MEC I CIII-00 q 7
Contact Person _ G r Ph W -313 PLM
Contractor Ph SWR
BUILDING Pnar /Owner �`� � C-i�`�'� EI_C
Retaining Wall ELR
Footing ACce;s: - -
Foundation FPS
Ftg Drain - SGN
Crawl Drain Inspection Notes: -------
Slab
_.__..__._. ___._._. SIT
Post& beam �--�- ---
Ext Sheath/Shear
Int Sheath/Shear
Framing
Ins- ation
Drywall Naiiing
Firewall
Fire Sprinkler _
Fire Alarm
Susp'd Ceiling ---- - ---- --- --- - - -- -
Roof
Misc:- - - -
Final
PASS PART FAIL J -
PLUMBING
Post& Beam
Under Slab
TopOut --- --------.-_--------- ----- - _-------------
Water Service
Sanitary Sewer — - -
Rain Drains _
Final
PASS PART FAIL
Post& 13'arn — -- ------ --
Rough In
Gas Line
Smoke Dampers
�5� ART FAIL - - _---- ---
ELECTRICAL -- - - --
Service
Rough In
UG/Slab
Low Voltage
Fire Alarm
Final
PASS PART FAIL
SITE
j\Backfill/Grading �'"--
Sanitary Sewer
Storm Drain [ j Reinspection fee of$- required before next inspection. Pay at City Hall, 13125 SW Hell Blvd
Catch Basin [ ]Please call.or reinspection RIFE-
Fire
Supply Line - [ ]Unable to Inspect-no access
APA Q
Aoproach/Sidewalk Date -inspector Ext
Omer - ---
Final
PASS PART FAIL DO NOT REMOVE this Inspection record from the Job site.
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24-Hour Inspection Line: 639-4175 Business Line: 6394171
BUP
_— Date Requested�U ��� AM PM BLD _
I-ovation_ Suite MEC
Contact Person fis S 0,4 Ph i 3 �a-�0 4Y d PLM
Contractor Ph __ SWR
BUILDING Tenant/Owner — ELC
Retaining Wall ELR
Footing Access:
Foundation FPS
Ftq Drain �- SGN
Crawl Drain inspection Notes
Slab SIT _
Post& l3eam
Ext Sheath/Shear
Int Sheath/Shear
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling -- - — -- ------
Roof C�7 Gr
Misc - - - - --- --- - -
Final -_---
PASS PART FAIT_ --- - - -
PLUMBING
Post&Beam
I Inder Slab
Top Out
Water Service
Sanitary Sewer
Rain Drains
Final
PASS PART FAIL
MECHANICAL
Post&Beam - - --- --- -- - - - -- - —
Rough In
Gas Line - - ---_- --- --- -- -
Smoke Dampers
Final
SS PART FAIL_
LEC j21CAL --
..
ervice
Rough In
UG/Slab
Low Voltage
Fi arm
fi �
AS PART TAIL - - -- -- — - - -- -- ---- ._. _ . ------
(3arkfill/Grading
Sanitary Sewer
Storm Drain [ ]Reinspection fee of$_ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin j Please call for reinspection RE: _ ( j Unable to inspect• no access
Fire Supply Line - - —
AOA
Approach/Sidewall:
Other Date tw _ In _ Ext
—
__
Final
PASS PART FAIL DO NOT REMOVE this inspe0ion record from the job site.
CITY OF TIGARD
DEVELOPMENT SERVICES
13125 SW Hall Blvd.,Tigard,OR 97223 (503)639.4171 CEPTIFICATE OF
OCCUPANCY
pER111T #. . . . . . .
I)ATE ISGUE"Dt
PARCEL. 3
. jo 71 ZONINGcC-P
w (,PEENSURG RD
!3I TC ADOPESS. . . :
SUBI)IVISION. . . . s
LOT. . . . . . . . . . .
BLOCK. . . . . . . . . .
OF Wopj<. ALT
TYPP, OF USE. . . A COM
j,ypF. 13F CONSTR12FR
i.)c(,11PANCY GRP. 1B
OCCUPANCY LOAD: 37
E.1,4ANT NAME. . . :ARGONAUT INUIRANCE
Ttnant Impt ovemprIt
a
OIMPSON
F;W OPF-ENFAURG RD
OR 97223
con'tractor.1
_:" ' pAr'T F.I C .
�" IT IACKSON sCl400L ROAD
HILA-5DOR0 OR 97124
pl.,( L u #1 c,93--9797
_)TI
059045 building Ov- pol-t i on
of the above "fet-evic-eci LA With
Pii �F C',ertificate gra"ta occ-Apancy 1��jjijdjnq has beer, inspFcted for compliatic
that the y and 1.19P under
and c S"c'"'k Ity Codes for- the yroup, panc..
BtatP Of Ot"901
licl7 the t-Laferenced permit
t..--•- Buit..DING
p0ST IN CONST'ICUOU9 Pl.nLE
-------------
7
BUILDING PERMIT
6-019C.# . LIP9
CITY OF TIGARD DATEPERMIT ISSU" iD: * 0" 9' /lB2/96
COMMUNITY DEVELOPMENT DEPARTMENT
13125 SW Hall Blvd.Tigard,Oregon 97223*8190 (503)539-4171 PARCEL.: IS135AB-04500
SITE ADDRESS. . . : LOE50 SW GREENBURG RD #212 ZONING:C–P
iUBD I V I S I ON. . . . :
jiLOCK. . . . . . . . . . .* LOT.. . . . . . . . . . . . . ..
----------------------------------------------------------------------------
:iEISSUEt FL_OOR AREAS----------- EXTERIOR WALL CONSTRUCTION
t,.LASS OF WORK. :ALT FIRST. . . . : 0 sf Ns 5: E: W.
! YPE OF USE. . . :COM SECOND. . . : 0 S f PROTECT OPENINGS?-------__.
I iYFE OF CONST. :2FR 2ND . . . 1 3035 s N: S1 E: W:
jL:C,UPANCY GRP. *B TOTAL--,----: 3035 s ROOF CONST: FIRE RET? :
iiCCUPANCY LOADS 37 BASEMENT. : 0 �f AREA SEP. RATED:
,iTOR. : 5 HT: 0 ft GARAGE. . . 0 S-f OCCU SEP. RATED:
,kswr? , MEZZ? : REOD SETBACKS_----.----- REUUIRED---------------------
jLOOR LOAD. . . . : 0 psf LEFT: 0 ft PGHT : 0 ft FIR SPKL:Y SMOK DET. . -Y
I)WELLING UNITS: CA FRNT: 0 ft REAR: 0 ft FIR ALRM:Y HNDICP ACC:Y
1-iEDRMS- 0 BATHS: 0 IMP SURFACE: 0 PRO CORR:Y PARKING: 0
�,IALUE. $i 17508
Remarks : Tenant impr,eveopnt
":S
Ownev— FEE
:a
BEGGS & SIMPSON type AMOUnt by date recpt
SW GREENBURG RD PLCK $ 83. 53 00/09/96 96 28277
,35 FIRE $ 51. 40 08/09/96 96-28277
11(30RD OR 97223 PIRMT $ 128. 50 JDA 09/12/96 96--283891
Phone #c 51213-452-5900 5PCT $ 6. 43 JDA 09/1-2/96 96--283891
MALIBU PACIFIC
'•3'.5 3.5 NE JACKSON SCHOOL I-ROAD
OLLSBORO OR 97124
Ohone #: 693-9797 $ 269. 86 TOTAL
REQUIRED INSPECTIONS
This permit is issued subject to the regulations contained in the Pt-amintj Insp
Tigard Municipal Code, State of Dre. Specialty Codes and all other IrisLtlation Inrp
applicable laws. All work will be done in accordance with Firewall 1 n s p
approved plans. This permit will expire if work is not started Gyp Hoard Insp
within 180 days of issuance, or if work is suspended for more Si.tcip Ceilnq I n s p
than 180 days.
1."er,mittee 4:)iL
lssLied By :
Call for inspection – 639-4175
Commercial Building Permit Application.
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223
(503) 639-4171
Jobsite Address:
/ - Office Use Only �6 " 7? �
Tenant:��1 10161+�;'h Suite# 2 f
_-Y-4 Sao Planck/Rec # '" o'` ty c,
Valuatkon• ��
f,/�. Permit#
Owner: / `��+�� �h'„ Mao & TL
Address: /2� v` _ Approvals Req fired —
I.
C �� (� �- Planning
Phone./ 1 52 '_7"lee
T Engineering
AdlAlOtherContractor: ''', __`%�1 yes
Addl
+ � Q Type of const:
Occupancy class:
Phone: f �) �` %� / T' �-- i
i. Sprinklered? 'Yes No
Contractor's License # � 5
ach copX of current Oregon license) Sq. ft. of project: _
Contact narne & phon -� Story (1st, 2nd, etc.) =L
44w:
Proposed use:i l/
Previous use
Address: �/ /
Note: bing & mechanical plans
f'fjt must be submitted at time of
Phone: '^`•
2 building permit application.
JOB DESCRIPTION:
� moi. •.
A pl.ell 70 t
icant Ski nat-ure& Phone number
q
Received by: — Date Received:
� i
04/12/96 FRI 13:48 FAX 503 626 8039 Robert Bucker int. Des 0002
S jury 'r 1.Liu_
4' c, I
w
• ( I
Q f
Tv mA l
A g we
I
012' le
,!II III - Ed I
rArrVOWIT
F Ir_ c
• — r E U-4
Tr
UI l
C)
C:O F R 1 b
F _
' yT
TELE - -- ---
rc u
r�
Ry 151N
A Pqi r
_Key Plein PRELIMINARY SCHEME
Second Floor ARGONAUT INSURANCE CO- NORTHWEST DIVISION
FIVE LINCOLN - SUITE 212_
SCAT E . 3;'32^ -V- 0' �«.� �� APRIL 8. 1996
rnII„ NF:LV N MARK
NOFMI 0 :14 8 12 BROKERACf COWAW
r-'LiRill T
CITY OF TIGARD PERMIT C!_Cjs-
COMMUNITY DEVELOPMENT DEPARTMENT DATE ISSUED: !0103196
13125 SW Hell Blvd.Tigard,Oregon 97223.6199 (503)639-4171 PAPr_rL: 1G1::5AC04!3Qll0
SITE PDDRi-SC:. . . 10270 SW GREENDUPO RD #F::1 17.1
'3'UBDI VISION. . . . ZONING:C-r,
ILOCK. . . . . . . . . . : LOT. . . . . . . .. . . . . .
Project Description : Tenant Impt-civement:
--RESIDENTInL UNIT---- ---TEMP 8RVC/rEEDERZ
.000 Sr OR LESS. . . . 1 0 0 200 amp. . . . , . . : Q1 PUMP/IRRIGATIOV
ACH AWL WOOF— i 0 201 400 amp. . . . . . . : Qi SIGN/CIUT l_.INE '._TC;. .
IMITED ENERGY— _ : 0 401 600 amp. . . . . . . : @ WONALWAN(`L. . . . . . .
;ANE-'. HM/ SVC/FDR. . 601+amps-1000 volts. : 0 MINOR LABEL ' 10) . . .
ix
- --SnRVT=/rEEDCR- CT4CUXT7 - --ArI)IL INSP17CTIr711!-
.- 200 amp. . . . . . . 0 W/SERVICE OR WDER& 0
01. /+0121 amp. . . . . . : 0 PER INSPECTION. . . .
1st W-17) 17rvc OR rrr, Pr-,r, 14,1+lir.. . . . . . . .
01 amp. . . . . . .. 0 CA nrD' L.- Br4NrH CIRC. 7 IN PLANT. . . . .
01 1000 amp. . . . . : 0 REVIEW 7ECTION -- - -
0004 amp/Valt. . . . . ; 0 V -4 RES UNITS;. . . . . . . . 600 VOLT NOMINAL_
econlipct 0 svc/rDr,
Anor: ,c ncr.
71-VIN mnrlill type by date
0200 SW OREENSURG RD PRMT t, 70. 00 JDA
0 .10/03/9C,
0
TGARD OR JDA 10/03/16
tone R:
intrartun :
r- L.rCTr_.TC INC 73. 50 TOTnL
, I SW COLUMBIA
11TE 480 PCOU19E'n CNSPCCTIONS
70npr on 071_11"_1371306 Wall. act ' I r I na A,
1011112 0: c1put13set .
*- - : 0121401
Willit is issued subject to the regulations cortairwed in the
yard Runicipal Code, State cf Ort, Specialty Codes and Pil othei- pev-in if P r
OXWE laws. All krk mill be done in accordance pith
proved plays. This permit will expire if work is not started
'Hr 180 days cf iistuance, or if 0114 is S45,
!80 ended for more U-4 tt
eay.. p
Is
T!','7Tr41J_ATION (31
installatio" is being made an own
le,-�isoj 01` I-rent.
comrRACTOR TNSTi,._.
............
Community Development ELECTRICAL PERMIT APPLICATION
13125 SW Hall Blvd. ,J
Tigard, OR 97223 Permit #
Date Issued 1 013 06 _
Phone (503) 639-4171
FAX (503) 684-7297
CITY OF TIGARD TDD No. (503) 684-2772
Inspection (503) 639-4175
1. Job Address: 4. Complete Fee Schedule Below:
Name of Development
LINCOLN CENTER SUITE 21:' Number of Inspections per permit allowed
Address 10250 SW GREENBURG RD Service Included Items Cost(ea) Sum
City/State/Zip TIGARD OR 4a. Residential - per unit
1000 sq ft or less ''I I-'01)
ARGONOT
Name (or name of business) Each ion there)f sq ft or
------ - - portion thereof $2500
Limited Energy $25 u0
Commercial Residential I Each Menurd Home or Modular
Dwelling service or Feeder $6800 _
2a. Contractor installation only: 4h. Services or Feeders
ROSS CROSBY installation,alteration or relocation 2
Electrical COntractorCHRISTENSON ELECTRIC, INC 200 amps or lost $5000
Address 111 SW COLUMBIA,SUITE 480 201 amps to 400 amps $8000 2
401 amps to 800 amps $12000 _ 2
City PORTLAND State_ OR Zip9J201-588( 801 amps totlH)Oamps $180.00 2
Phone No. 241-4$12 ___ Over 1000 amps or volts $340.00 2
Reconnect only $5000 2
Job NO. 222-13733
contractor's license NO 2h-3417, ___ 4c. Temporary Services or Feeders
Contractor's Boa Reg No. 4 stanallon,alteration,or relocation 2
Signature of Sup 61*ac'. = 200 snipe Cr less 2
201 amps to 400 amps $50.00
License No 437-1S Phone No 241-48'V2 401 amps to 800 amps $75.00
Over 800 ampr to 1000 von. $100.00 _
2h. For owner installations: ser,°r°aSove
4d. Branah Circuits
Print Owners Name--- —� New,alteration or extension per pane
Addressa)The fee for branch circuits with 2
—-- - purchase of service or feeder fee
City State Zip - I Each branch circuit $500
Phone No. _ h)The fee for branch circults without
The installation is being made on property I own which is purchase of service or feeder too. 35.
First branch circuit �� 135 00
not intended for sale, lease or rent Each ad Iltlonal branch circuit 7 $5 or, _ *
Owner's Signature _ _ 4e. Miscellaneous T
(Service! or feeder not included) 2
3. Plan Review section (if required): Each pump or Irrigation circle s4nw
4 Each sign or outline lighting $40 00
signal clrcultis)or a limited energy
Please check appropriate Item and enter fee In section 6B. panel,alteration or extension $40.00
_4 or more residential units in one structure M nor Labels'10) 11100 00
Service and feeder 225 amps or more 4f. Each additional Inspection over
System over 600 volts nominal the allowable, in any of the above
Classified area or structure containing special occupancy Par inspection $35 00
as described In N E C Chapter 5 Per hour $5500
In Plant $5500 —_
Submit 2 sets of plans with application where any of the above
apply. Not required for temporary construction services. 5. Fees: 70.
5a. Enter total of above fees g --
NOTICE 5% Surcharge (05 X total fees) $ ----1-50
Subtotal g 7.1.50
PERMITS BECOME VOID IF WORK OR CONSTRUCTION 5b. Enter 25% of line A for
AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR IF Plan Review if required (Sec.3)
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR Subtotal $
A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS
COMMENCED. I Trust Account #
nim+nn
73.50
Balance Due S
C tA
0ITY OF TIGARD
DEVELOPMENT SERVICES BUILDING PERMIT
13125 SW Hall Blvd., Tigard,OR 97223 (503)639.4171 t''ERM I T #. . . . . . . : BUF'96-0571
LATE ISSUED: 11/E2/96
BARGEE: 1S1�5AB-04500
�i I TE ADDRESS. ., . : 10i-'50 SW GRE- E-NBURG RlJ #r'1 c'
,UBD I V I S I ON. . . . : ZON T NG:C-.P
HI.-OC K. . . . . . . . . . . L 0 T , . . . . . . . . . . .
RF_.I SSUE: [,�� FLOOR AREAS --_-------- EXTERIOR-WALL CONSTRUCTION-
OF WORK. .AJCI' �5 FIRST. . . . : 0 sf N: S: E: W.
V[-'F OF USE. . . :COM SECOND. . . : 0 S f PROTECT 0P1:N I NGS?.--.-----_.._._
'Y UE OF CONST. :2FR . . . : 0 sf N: S: E: W:
OCCUPANCY GRP. :B TOTAL- --- -: 0 st ROOF CONST: FIRE RETD:
OCCUPANCY LOAD: 0 BASEh1EN7. : 0 sf AREA SEP. RATED:
`)TOR. : 0 HT: 0 ft GARAGE:. . . : 0 Sf OCCU SEP. RATED:
BSMT?: ME Z Z?: REQD SETBACKS—---— REQUIRED---------------------
i I._OOR L.OAD. . . . : 0 psf LEFT: 0 ft RGH'I : 0 ft FIR SPKL: SMOK DE'T. . :
DWELLING UNITS: 0 FRNT: 0 ft REAR: 0 ft FIR ALRM: HNDICP ACC:
H DBMS: 0 BATT-IS r 0 IMP SURFACE: N PRO CORR: PARKING: 0
!.VALUE.. 4: 650
1�emarl4s : Relocate existing sp;,inklers
I
Owner: - - FEES -
�iL.C1HA FIRE-PRl'1TEC'TION-INC �_.____-_---.._____ type_--..-amo�.tnt-� by date- --__►•ecptr
I
1893!..' SW WRIGHT CT PRMT $ 25. 00 JD 11/04/96 96-2'8603':
FI RE $ 10. 00 JD I 1/04/96 `6-2860,39
il...OHA OR 97007 5PCT $ 1. 25 JD 1 i/04/90, 96-ESE039
III-)one #: r_-4t---4378
ALOHA F i RE PROTECTION
18935 SW WRIGHT CT
ALOHA OR 9700`7
PI-ione #: 50:3--6402-4378 $ 315. 25 'TOTAL
Rey +F. . : 65221
---_--- REQUIRED INSPECTIONS
This perait is issued subject to the regulations contained in the Stas p C e i l n g I n s p
Tigard Municipal Code, State of Ore. Specialty Codes and all other Sprinkler Rough-
applicable
ough -applicable laws. All work will be done in accordance with Sprinkler Final _......
approved plans. This perait will expire if work is not started
within 1&11 day, of issuance, or if work is suspended for vore
than 181 days.
Permittee S i g n a t i-t r e:
1 5 to ll e d
Call for insper..ti.on — 639-4175
Fire Protection Permit Application Plan Check 0
Commercial or Residential Recd By
;TY OF TIGARD r �'1
.14n� C1�I ISA• 1 • ^\�,\�
Date to P E.
Print or Type ]_
-!GARD, OR 97223
---{ncomplete or ill@gible applications will not be accepted PetrmioNlDST
503) 639-4171 Ext 304
Called
Type of System (Complete A or B as applicable)
Narts of Development/Prolect `-
Job �i-'L NAU i l ��=l�tly - 7 A.) Sprinkler I wet G"' Cry
Address Address ,Tri~ z i 7�
i c.,
r_tLhlr3,rc'L i�� Standpipes
Name Hazard Group
11(.>Fir
Owner Mailing Address Additional Density
Information i
` C,tylState Zip Phone - ---
Deslgn Area 1 S0L>
Name —
K.Favor b
Occupant
mailing Address
Sprinkler Protect Valuation $ r
CatyrState Zip Phone
ritl_c�i�udej
ire Alarm
COT Business Tax or Metro M Exp.Date gaffe Cakulatlors YES C7
al hahlnBattery -
• 1►�CYES puau tcontractor Nan°Alcl1 f1f ' �IL-11Indvdl
cut sheets _---
(Sprinkler or Marling Address �Ic r l T �. Fire Alamt Project Valuation $
Alarm t , ' 1i�,
Company) -ityrStatePhone 's
-1(,u�p �I z f+�' Y" project Valuation Subtotal (A or D) $ —
Attach Copy State Const.Cont.Board Llc.0 Exxp.z Oats�/ .' _ $
of ( , Z 1 permit fee based on valuation
Cuffent COT Business Tax or Metro a F_xp.Date ts"chart on back)
Licenses $
Name
Review 40% of Subtotal
Architect Mailing Addrsss — -- ------ --__-- TOTAL. —$----
C ty,State — :.1p I 'hone `
L w�nsnllAuon.
_ ---+► ' CLANS MUST BE SUBMITTED approva0 and A perrM issued pray
rescnb�(yore A.)New O Addition O �tteration C PePav C% ThreesetsctplwAniSrteDinlandvbn,tymA0)requ,(ed whrCn shows accanm Of
e done: _ nearesthVCr!nL - giver'is
---
g.) Basement c) Mtial 0 nt O Spray Booth O I nerM�I am��v w weed 3g�ot"owneand that Plans submtted
r-omplete O is 30�
Partial O Exttway O y.n,h rorim"rlce wrth Oregon_rare laws-
Additional Descnptaon of Work' Slynahrre of S�art+eCAyent Data
�. � l..e, e i"F� �.�L I'7 i I/J�+ '�h�Z 1 N��•�S r/ + /: r{)/ _ __ // `� (/ (-------'--.
j n)A^! t 1l/t�'�o/fit^ �___ --•— cat PName Phoria
on
A.)In Existing Budding New Building C --
7
. I , I , i, , I L
I Building - FOR OFFIOE: U5E ONLY:_
Data 0.) Commercial p�Residential
[! -
Ptat# M�IpfrL#.-
No.of stones. - _^—'—
Notes
SQ.Ft
Occupancy Class TYPe of Consln---ilio^ ^—_.,_-------
sts�firesupr doc
g
i ( ,
CITY c T 1GA.R0
.r-
PLAN STS;cc BUILDING
REAEN TAX PERMIT
�'.�i
ZCN PERtA1T FLS
CF ?gCJEC
�---- 10.00 t 5.25 . 1.25 52.50
25.00 , 53.66
1-1.500 10..50 iT.73 1:40
1 ,01-1,700 19.19 +?8,6o
1.5a'-1.300 25.50 19.20
29.00 1 1.10 1 48 (11.96
1.701-1,800 29.5'0 11.90 20.15 1.°� C5.-1 CJ
31.00 12.• 0 1 �3 68..26
1.901-1,900 c 13.00 21.13
1.501-?.CCO 32.50 25.03 1.93 -
_J 28.93 2.23 x}3.46
2.x01-3,�C0 8.c 11.90 �
3,CO1-4,000 '�'i -J 32.83 2.53 1Q6..O
4,001-5,000 50.50 20'`02 '3 118„-iia
36.73
5,rO1.6.CCO 6.c-J 22.50 3.'3 131.1.
52.50 25.00 40.53 143.86
6.CO1.7,00O 27.40 44. 3 3.43
.46
7,CG1-8."'=U 68--co 3.73 169.06
8,001.9,000 74.50 29.90 '�.� 4.03 169.GE�
c 32.20 52.33
9,CQ1-t0.CCO 80._0 4.33 181.6a
?6.50 34.50 50._3 c 194.25
10,001-11,000 37.00 00.13 4."3
11 .CQ1-12.000 92. 6.i.G3 4•c3 206.56
`8 :J 39•"Q 03 5.23 219.46
12.CQ1-�3,CCQ c 41.?0 61.__,
13,C1�1-'4,000 104...0 71.83 5.53 232.0E
110.50 44._0 a3 244.5a
75-73
15,001-;5,CC 0 110..0 ;9 53 6.13 2 =S
-.� 5,3 '0 23.:3
2fi9.QF
:.CC1-17.^C0 ' ' V 1 B.d3
7,C01-13,CCO1L9.5J 6.73 7..82.41,
53.90 87.43
19.i:Q1-19.'�CO 1'-4.=J --5..70 91.03 7.G^a 245.C6
140.50 7 -3 30,7.56
,001-zo.000 -3.50 5:..23 3:.0.2.6
•� '" '• '' S1.GQ 3:32 �6
."'Co 1�2.5'J -3.-0 103.03 ''G3 345 'S
5J 23 ..
--•=01-_3.CC� 1 - - ?U 106.9-3 8' CE
01•.a•^-0 �;i:.=J 63.=0 110.93 ?ci.:J
-:� 8.7
3.93
_ ^�3 •os _0
=?'' •as i 5.�0 123._ a - 405.30
_,.. 125.4-' .BG
--.CO• rr7 'c� ^7 r : ..7 28 414.6
-9.00 1�3• 0 424 0
•57.5'3 ' 'G.1
+ .Ccs 3
001-:2.CC0 ^ra0 a2.:'3
__•RC1-33.-` 3 --�•='O . _,0 137.15 ;�._� n
10.73
33, 01-?S.CCJ - -•='3 2c.
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line: 639-4175 Business Phone: 639-4171
Footing Rain Drain Cover/Service FINAL:
Foundation Water Line Coiling -Plumb.
PosUBeam I•Aech. Shear/Sheath Framing -Mach.
Plbg.Und/Flr/Slab Plbg.Top Out Insulation EI
Post/Beam StrL]f t. Mech. Rough-in Gyp. Bd. Bld
San. Sewer Gas Line Appr/Sdwlk Reins.
Other: `���� r
Date: _ A.M.�_P.M. Entry:_ _-
Address: _1 Z-15 -
Tenant: Ste. 2,MST:
BUP: PC-V-1_�—
Con/Own: MEC:
—--- -- - PLM: --
ELC: _--
THE FOLLOWING CORRECTIONS ARE REQUIRED ELR:
-- Date: /7_'S L
Inspector: _
CF i C0
—
PROVED —DISAPPROVED/CALL FOR REINSP.
AP