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10250 SW GREENBURG ROAD STE 217-2 I f 7 P 10250 M (;rccnhn rg Rd 4217 CITY OF TIC ARD 24-Hour BUILDING Inspection Lins: '503)639-4175 MST - - - INSPECTION DIVISION Business Line: (503) 639-4171 BUP Received _ _ Date Requested 2-1 AM -_ PM BUP <� I - Location _. �' �� �-� —.SuiteMEG' _---- Contact Pers�� -- Ph( ) l / " PLM Contractor�' ! ;� A , 5-x� d' � Ph SW - - BUILDING _ Tenant/Owner _—__ _— ELC Footing ELC Foundation Flnspecti3n ess: ELR Ftg Drain Crawl Drain - "" SIT -- Slab Notes: - Post&Beam Shear Anchors Ext Sheath/Shear — Int Sheath/Shear Framing Insulation Drywall Nailing Firewall Fire Sarinkler Fire Alarm S,asp'd Ceiling Roof Other. Final g( .f PASS PART FAIL - - PLUM_OING_ Post& -� ►�-� Under Slab lab =--I`— 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 t a c �`�`1�' ` G.SGda �' �=--C-�-- F' Alarm �—+ ' Reinspection fee of$_—_- required before next Inspection. Pay at City Hall, 13125 SW Hall Blvd. PART _FAIL �1 SITE — Please call for reinspection RE: —.— D Unable to inspect-no access Fire Supply Line 'T� ADA Dawteri.�Z �� — Inspector ----- Approach/Sidewalk ) Other: Final DO NOT REMOVE this inspectlen record from the job site. PASS PART FAIL. CITY OF TIGARD 24-Hour _ WILDING Inspection Line: (503) 639-4175 1 MST INSPECTION DIVISION Business Line: (503) 635-4171 - - Received Date Request-ed__ �-"/--AM __ PM-______ -_ BUP Location —__�C ,� � -tyl.lC 2 .�.Luite. ` ��_-_- MEC Contact Person 9:3. G Ph PILM Contractor _ Ph/(_ ) __ _ SWR BUILDING - Tenant/Owner _- J4a-� �'o. EL.0 Footing ELC Foundation -- - - Ftg Drain ACC9S3: ELR Crawl Drain _ Slab inspection Notes: i�7 (.� SIT Post&Beam Shear Anchors Ext Sheath/Shear .t...� Int Sheath/Shear --- Framing Insulation - Drywall Nailing --- - -- -- - ------- ------ Firewall Fir©Sprinkler Fire Alarm 1 Susp'd Ceiling - - Roof - S PART FAIL. - Post& Beam Under Slab - --___ Rough-In Water Service Sanitary Sewer / Rain Drains — -----. —_ - ---- _ Catch Basin/Manhole Storm Drain ----------- -- -- -- -- ------- Shower Pan Other: _ ------ ----- - ---- -- — -- Final PASS _PART FAIL - -- ---- -- ---- _ _-- MECHANICAL ^cst& Beam Rough-In -- -_ - -- - Gas Line Smoke Dampers _-__ _--- -- Final PASS PART FAIL -- - --- —_ __— ELECTRICAL Service -- - Rough In UG/Slab Low Vol!age - — Fire Alarm Final Reinspection fee of$ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd, PASS PAF'T FAIL _ SITE Please call for reinspection RE: Unable to inspect -no access Fire Supply Line ADA Approach/SidewalkDate--VI Inlspector Other: Final DO N07 REMOVE this inspection record from the fob site. PASS DART FAIL CITY OF TIOARD 24-Hour BUILDING Inspection Line: (503)639-4175 MST INSPECTION DIVISION! B-isiness Line: (503) 639-' .71 -� BLIP Received ------Date Requested_- AM___ PM BLIP vocation _ S % �'�� Suite ��--- MEC Contact Persun - Ph(._f ) PLM -. fU/ � i SWR Contractor__�1• C- Ph( ) � � .��� '� _ BUILDING Tenant/Owner -_ _ _ 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 ---- - - InRllativrl Drywall Nailing --- ---- Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling - Roof Other- Final ther Final PASS PART FAIL PLUMBING Post&Beam — --- i- Under Slab - _ -— ----- -- Rough-In r r Water Service L- --- -� y ` — ---- ----- Sanitary ewer Rain Drains - - ----� - — Ca.ch Basin/Manhole _ r2_1'2 St,)rm Drain Shower Pan Other: -- -- ---- _,--"� - -----.-_.—.___ Final _ PASS PART FAIL � - �--- V--- ---� MECHANICAL _-- Post& Beam Rough-In — — ------- -- — -- Gas Line Smoke Dampers --- --- - Final PA5 RT FAIL — - -- .ErFCTBM.L Service -- ---- — Rough-In UG/Slab Low Voltage fii Alarm - _- ---- ---- -- - PARTFAIL - � Reinspection fee of$ required before next inspect on. Pay at City Hall, 13125 SW Hall Blvd Y IJ Please call for reinspection RE: -- _.__--_ Unable to inspect -no access ly Line 11sidewalk i Date .7 4 . 1,2,0_ pti Inspoctor f l Ext - ! DO NOT REMOVE this Inspection record from the Job %Ito. PART Fib ll. j CITY OF TIGARD 24-Hour BUILVING Inspection Line: (503)639-4175 MST INSPEC-HON DIVISION Business Ling:: (503) 539-417171 1 BUS Received ___._ —Date Requested_._ �b —AM PM__- BUP Location -�U _ Suites2 1 -7 MEC Contact Person __ Z-A _ Ph( � ) y PLM Contractor Ph(--) _. - SWR IL G _ TenantlOwner — _ _ ELC Footing ELC _ — Foundation Access: Ftg Drain ELR Crawl Drain Slab Inspection Notes: /�1 / SIT Post&Beam L -k ! -=-- Shear Anchors - Ext Sheath/Shear Int Sheath/Shear Framing - --- - -- —_ Insulation Drywall Nailing Firewall ire Sprinkler er - - Fire Alarm Susp'd Ceiling _ Roof Other: - _- S PART FAIL -_- PLUMBING Post& Beam - - ~ Under Slab - ------- I09 --- Rough-In Water Service --- - Sanitary Sewer Dain 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 -- E_L_ECTRICAL Service -- nough-In UG/Slab Low Voltage Fire Alarm Final Reinspection fee of$—__-_-_-required before next Inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PAR_T FAIL SITE _ Please call for reinspection RE: [] unable to inspect-no access Fire Supply Lino (J ADA �` / y�.�/ Approach/Sidewalk DMb--�-1 �`�"� hlf peetOr ut Other: Final DO NOT REMOVE this Inspection record from the Job site. PASS PART FAIL A CITY OF TIGARD CERTIFICATE OF OCCUPANCY DEVELOPMENT SERVICES PERMIT"#: BUP2002-00191 13125 SW Hall Blvd.,Tigard,OR 97223 (503)639-4171 DATE ISSUED: 5/16/2002 PARCEL: 1 S135AB-04500 ZONING: C-P jURISDICTiON: -!IG SITE, ADDRESS: 10250 SW VREENBURG RD 217 SUBDIVISION: LINCOLN BUILDING PP1991-055 BLOCK: LOT:001 CLASS OF WORK: ALT' TYKE OF USE: COM TYPE OF CONSTR: 2N OCCUPANCY GRP: B OCCUPANCY LOAD: 14 TENANT NAME.-rHF_ KINGSLAND COMPANY REMARKS: TI Owner: FOP LINCOLN , L!.0 10260 SW GREENBURG RG SUITE 100 P'AAeN"2p 6F'?' Contractor: C SCHIE1,11E +ASSOCIATES 1024 NE DAVIS PORTLAND, OR 97232 Phone: 211-6617 Reg#: I I( 5-I 105 This Certificate issued 8/20/2002 grants occupancy of the above referenced building or portion thereof and confirms that the building has been inspected for compliance wi�h the State of Or,?gon Specialty Codes for the grc,up, occupancy, and use under, hvl, ich the referenced permit was islued. BUILDING INSPE(`-711W DIN FICIAL POST IN CONSPICUOUS PLACE CITY O F T I G A R D - ---_ ELECTRICAL PERMIT- RESTRICTED ENERGY DEVELOPMENT SERVICESPERMIT#: ELR2000-00001 13125 SW Hall Blvd., Tinard, OR 97223 (503) 6 1/n, DATE ISSUED: -1/3/00 SITE ADDRESS: 10250 SVV GREENBURG RD 217 (� DATE 1S135AB-04500 SUBDIVISION: LINCOLN BUILDING PPI991-055 C ZONING: C-P BLOCK: LOT: 001 JURISDICTION: TIG Proiect Descriotion: Installation of data telecommunication system, Job No. 50-02018 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: ------J----_ Contractor: KNICKERBOCKER PROP, INC XXIV CHRISTENSON ELECTRIC INC BY NORRIS, BEGGS + SIMPSON 111 SW COLUMBIA 10300 SW GREENBURG RD STE 200 STE 480 PORTLAND, OR 97223 PORTLAND, OR 97201 Phone: Phooe- 241-4812 Reg #: LIC 000458 SUP 3289S PLM 2468S ELE 26-34r, FEES Required Inspections _ -Type By Date _ Amount Receipt Low Voltage Inspection PRMT DEB 1/3/00 $60.00 HAND Elect'I Final 5PCT DEB 1/3/00 $4.80 HAND Total $64.80 --- —J This Permit is issued subject to the regulations contained in the Tigard MunicipFil 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 952-0 4-00f thr%gh OAR 952-001-0080 You may obtain copies of these rules or direct questio s to OUNC at (S12l) 246- 987. Issu d by Permittee Signatures OWNER INSTALLATION ONLY The instailation is being made on property I own which is not intendzd for sale. ease, or rent. OWNER'S SIGNATURE: ---- — ----- -- — --__ ------- DATE:---_-._.T—_ — CONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR. ELEC'N _ _ DATE: _ LICENSE NO: Call 639-4175 by 7:00 P.M.for 3n inspection needed the next business day ,r lY OF TIGARD RUIF MAESTRICTED ENERGY ELECTRICAL APPLICATION Hec'd by' X 13125 SW HALL BLVD Date Rec'd: TIGAPD OR 97223'. I �t�r�C� PRINT OR TYPE 'J-503.639-1171 X3 Permit It: r F-503-598-1960GUMMUNIIY JtCOMPLETE OR ILLEGIBLE APPCATIONS CusLCall'd: r )011:"(1 O.,(�1 vlLUFMEQ LI WILL NOT BE ACCEPTED Name of Development Prosed TYPE OF WORK INVOLVED-RESIDENTIAL ONLY LINCOLN CENTER RestrictedEnsrgyFee.................................... $80.00 FOREST CITY TRADING GROUP (FOR ALL SYSTEMS) JOB Street Address Ste N ADDRESS 102`)() SW GREENBURG RD 17 Chcecic Type of Work involved, CINtyState Zoo Phone 0 �� Auoio and Stereo Systems Nc1RTLAND OR y722..3 +— Name L Burglar Alarm L] Garage Door Open,,,' OWNER Mailing Address CttylState Zip Phone aK L_� Healing.Venti;etson and Air Condkloning System' Q=TMT7— Name Vacuum Syst .ns' GENE ANDERSON CiliISTENSON ELECTRIC, INC. ❑ Other CONTRACTOR Mailing Address 111 SW COLUMBIA,SUITE 480 TYPE OF WORK INVOLVED-COMMFRCIAL ONLY (Prior to issuance a CItyJStateZt� P M Fos at each system.............................................. $60.00 ropy of sill licenses PORTI•AND OR 97 201 1.41-481 (SLE OAR 918-264-2.150) apo required if Orego�Contr.Brd Lia Nt.. ate expired ra C.O.T 4 r� Check Type of Work Involved: des j base). F?I I(;Conir.Uc—s 1F.><p.l to (�,1—� Audio and Stereo Systems C.pT�rpr Metro Uc.M Exp.Date 2 12 00 Boiler Controls Owner's Name —� �-- ❑ Clock Systems OWNER- Meiling Address — APPLICANT )� Dots Telecommunication Installation City/Stale ZiF� Phone 0 Fire Aiann Installation Phis pemill I•Issued under UAE 918-320.370.This applicant agrees to HVAC make only restricted energy installations(100 volt amps or less)under this permit and to do the following: ❑ Instrumentation 1. Only use electrical licensed persons!o do installations where required. Certain residential and other transactions are exempt from licensing. Intercom and Paging Systems These have astensks(*). All others need licensing; r--1 Lcndncaps Irrigation Carrtior 2. can for inspertlons when i istallatlon under this permit are ready for L J Inspection at 603-6394171; Medical 3. Purchase separate permits for all mstailations that Ors not r«ady tnr an Nurse Calls inspectlon when the inspector io out to inslxecl unrinr this pp,rmit; 4. Assume responsibility for asaurin4 Yrat all rgquirrad»y the Outdoor Landscape Lighting' In9pector ire done,and; Protective Signaling 5. Assume responsibility for calling for a flnel inspection when all of the ❑ corrections are completed. Other Permb are nori-transferable and non reNndable and explr, If work is not started within 180 days of Issuance or if work is suspended for 180 days. Number of Systems The person signing for this penni�ptu the applicant or a person ' No tkars-s aro required. Licenses are rsquWW Ibr as Whar irotalletla» authorized to b(c Othe applicant,/ ES. ENTER FEES $ 60.00— SI slurs 8/0 �9URCHAROE(X X TOTAL ABOVE) f 4.80- Authority if other then Applicant TOTAL : 64.80 kidstiNbrmsves"doe 348 nn EA��//' PIRFV CITY OF TIGARD DEVELOPMENT SERVICES ELE:CTRICi ; . PERMIT 13125 S V Nall Blvd., Tigard,OR 972,13 (503)639.4171 R E S T R I C-. �D ENERGY F'Ei'IOI T #-. FLR':97-0366 DATE ISSUED: 12/24/77 PARCEL.. : t S 135AB-O4500 SITE. ADDREGS. . . : 102 50 SW GRFEN13l_IRG RD #217 SUBDIVISION. . . . . ZONING:C-P BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . JURISDICTN: TIG Project De scr i pt ion: Installation of data telecommunications system. (1. RES I DENT I AL_--- - - -- B. COMME RC I AL- - -------- ----- - --AUDIO 3 GTFRFO. . . : AUDIO &• STEREO— : T NTFRCOM & PAGING. . : BURGI-AR AL.ARM. . . . : BOIL.ER. . . . . . . . . . : LANDSCAPE/TRRIGAT. . : GARAGE OPENER. . . . . C;LOCK. . . . . . . . . . . . MEDICAL . . . . . . . . . . . . . HVAC. . . . . . . . . . . . . . DATA/TELE COMM. . : X NURSE: CALLS. . . . . . . . . VACUUM SYSTEM. . . . : FIRE ALARM. . . . . . : OUTDGOR L_ANDSC LITE: OTHER: : : HVAC. . . . . . . . . . . . : PROTECT I VE S I GNAT_.. . INSTRLJMENTAT ION. : OTHER. . : . . TOTAL # OF' SYSTEMS: 1. Owner: ______.______.________.___.____.___.___.__.____...-.__.__._.._____.._ .._.. _ __ FEES ----- - - - - -- ---- - WESTERN TELEPHONE type amol.int by date rer_pt 7600 SW 8R' DGEPORT RD PRMT $ 40. 00 DRA 12/24/97 97-3O2OP9 � DURHAM OR 97224 EXPIRED 511CT $ 2. O0 DRA 12/24/97 97-302029 Phone #: 624-7600 / c-K- C:ont ract or e __---- WESTERN TELEPHONE CORPORATION $ 4;='. 00 TnTAL. 7600 SW BRIDGEPORT RD _....__.-- REOU I RED INSPECTIONS DURHAM OR 97224 Ceiling Cover Low Voltage Insp Phone #: 624--76O0 Wall Cover Elect' l Final Reg #., . : 000699 This permit is issued wbject to the regulations contained in the Tigard Municipal rode, '.;tate of Ore. Specialty Codes and all other applirable lawn. All work will be done in accordance with approved plan-. This permit will expire if work is not started within 188 days of issuance, or if work is suspended for more than 180 days. ATTFNTION- Oregon law requires you to follow rule adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-Net-8010 through OAR 952-001-0080. You may obtain copies of these r es ar direct 7ions to OLTIC at (503)216-1987. i IsSU d by �l(�r�. 171 ��-�_._.__.. Permittee Signati.rre % 1-�f`��i �r 1 l -----------OWNER INSTALLATION ONLY--- -------------------------- fl-ie -- ---------------------------Tile installation is being made on property I own which is not intended for Sale, lease, or rent. CIWNFR99 SIGNATURE: DATE: -----_-_--_-___-.___-___CONTRACTOR INSTALLATION ONLY- ------------- ------------ SIGNATURE OF SUPR. ELEC' N: DATE: LICENSE NO- A-++++++++4.........4-+4 O:A-++++++++•4•++++++++++4++++fi+++4 4-+4++++++++++•++++4++++++•+•4.+++++++++++++++++..4- Call 639-4175 by 7:00 P. M. for an insppccion needed the next bi-rsiness day +++++++ F++++++++++++++•1-+•F+++++++++++++++++a ;-+4•++++++++++++++++++++++++++++++++. COITlmunity Development RESTRICTED ENERGY ELECTRICA APPLICATION 13125 SW 1-1111 Blvd. Tigard, OR 97223 PERMIT# 1` +7 �� Phone(503) 639.4171 FAX(503)684.7297 0ATE ISSUED TDD No.(503168,1-2772 CITY OF TIGARD Inspection (503) 639-4175 155UED BY (Ive,4 o r s P,01`411 Co PLCASE COMPLETE ALL SECTIONS LOCATION OF INSTALLATION i 4• TYPE OF WORK as RE51DENTIAL—Restricted Ener Fee . . . . . . . . . Sao.00 G, (FOR ALL SYSTEMS) State lip /�� �hgs{�jy�^of 1Nork Involved; ERmITS ARE NON•TRANSPIPlAOIi AND NON-REFUNDABU AND WIRE IF WORKq Audio and Stereo 5 stems 'JOT STARTED WITHIN ttlo'pAYs OF ISSUANCE DR If WORK is SUSPE DED FOR/ y # t 10 DAMS. n�) ❑ Buri;lar Alarm ❑ Caragc?Door Opener' :. CONTRACTOR APPLICATION ❑ Heating,Ventilation and Air Conditioning System• :ontractorrsiea,nGType _ 13Vacuum Systems' ddress (c)C) MJ { �� - j{ �` ❑ Other '' �� )ate 1-22y 1 COMMERCIAL—Fee for each system . . . . . . . -F (SEE OAR 918.260.260) roperty Owner .� lu Check Tyne of Work Invoived: :ontractor'e Board Reg. No.�� YI;X ❑ Audio and Stereo Systeme ❑ Boiler Controls hone # ! 7 q �[j — ❑ Clock Systems Data Telecommunication installations i. OWNER APPLICATION ❑ Fire Alarm Installation ❑ HVAC rent Owner's Name ^rR)lone No ❑ Instrumentation address ❑ Intercom and Paging Systems ❑ Landscape Irrigation Control' :sty State ZIP ❑ Medical his p-mit It Issued tpidvr OAR 918•310.370.This sppllens agrees to meka only ❑ Nurse Galls •strtc.,i energy inwiladonr)100 vett ampt or leu)under this permit u,d w.do the ❑ Outdoor Landscape Lighting• Acwinil; Only use electrical licensed per-ens to do Installations where required.(Ceruln ❑ Protective Signaling residendal and other transacyons are exempt from licensing,Thw have ❑ Other attetisW*)•All others need licersingl. Call for an inspection when all of the lmollatlars under this permit are ready tar inspection at 303.639.4173. Number of Systems i. Furchase rparste permits for 0 installadom that are not mudy for Inspection whtn the imptctor it out to inspect under this permit •No Ikerntt are required. Ucsr sts are required(or all other insailauons. t. Assume respondbilily for assuring that all corrections requires by the inspector are done,+and 3. kuuma responsibility for ailing for a Anal inspection when all of the S. FEES corrections site completed, [he person signing for this permit must be the,applicAnt or a person a. Enter Fees $ iuthvr;zed to bind the applicant b. 5°16 Surcharge (OS x total above) 5_�0� C_sm'�U C2 C' Signa TOTAL 5 4 •L`U 'kuthority`ItIt other than appiicznt ErgERGAP.CHP CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 ------- Bi1P Date Requested --AM--.—PMII ��12� BL ID r' Location �2,(;o 6nf�411)0m-vY Suite MEC _ �— Contact Person —___— f)6 ) Ph 220 / 1 7 PI-M _- Contractor--_---���') c4ml5l?41-1 Ph — SWR BUILDING — Tenant/Owner ELC _ Retaining Wall ELR Footing Access: FPS Foundation - — Ftg Drain - — SGN Crawl Drain Inspection Notes: Slab — -- SIT Post&Beam - -- Ext Sheath/Shear - -- -.-.------ Int Sheath/Shear Framing --T—_ Insulation Drywall Nailing Firewall Fire Sprinkler _—_--- --_ ---_— �_---- - Fire Alarm Susp'd Ceiling - — ------- Roof Misc - -- - --- --- -- - - - _ _ — _. Final — v PASS PART FAIL -- __ - - ---- --.-_ — PLUMBING Post& Beam t --- Under Slab _ Top Out Water Service __- - Sanitary Sewer Rain Drains Final PASS PART FAIL ----. MECHANICAL.~ Post& Beam - -- --- - --------- — Rough In Gas Line - - - - — Smoke Dampers Final PASS PART FAIL - Service Rough In UG/Slab --- - ----- -- ---_— . -- - . _ ilzo�w VDra, Fire A arm _--- -------------Final- PART FAIL _,_ -- ---- _ --- ---- --- --- — Backfill/Grading - -- ---._. ._—..---------•-- -- _.. -- _ Sanitary Sewer Storm Drain [ j Reinspection fee of$—_ _required before next inspection. Pay at City Hall, 131E 5W Hall Blvd Catch Basin ( Please call for einspection RE:_ ( )Unable to inspect- no access Fire Supply Line -- ADA Approach/Sidewalk Date _�- Z�7/ _.. Inspector-- _ — Ext Other Final L_jPASS PART FAIL 00 NOT REMOVE Rids inspection renord from the job site. CITYOF TIGARD RESTRICTED EN RIGY DEVELOPMENT SERVICES PERMIT#: ELR1999-00208 13125 SW Hall Blvd„ Tiqard, OR 97223 (503) G39-4171 DATE ISSUED: 09/07/1999 SITE ADDRESS: 16250 SW GREENBURG RD 2.17 PARCEL: 1S135AB-04500 SUBDIVISION: LINCOLN BUILDING PP1991-055 ZONING: C-P BLOCK: LOT: 001 JURISDICTION: TIG Proiect Description: Data telecommunication ins!allation. A.RESIDENTIAL B.COMMERCIAL_ AUDIO & STEREO: AUDIO R STEREO: INTERCOM 8 PAGING: BURGL AR ALARM: BOILER: LANDSCAPE/IRRIGAT: GARAGE OPENER: CLOCK: MEDICAL: HVAC: DATA/TELE COMM: X NURSE CALLS: VACUUM SYSTEM: FIRE ALARM: OUTDOOR LANDSC LITE: OTHEW HVAC: PROTECTIVE SIGNAL: INSTRUMENTATION: OTHER: -- -- TOTAL#OF SYSTEMS:_ 1 Owner: Contractor: KNICKERBOCKER PROP, INC XXIV CHRISTENSON ELECTRIC INC BY NORRIS, BEGGS + SIMPSON 111 SW COLUMBIA 10300 SW GREENBURG RD STE 200 STE 480 PORTLAND, OR 97223 PORTLAND, OR 97201 Phone: Phone: 241-4812 Reg #: LIC 000458 SUP '2895 PLM 2468S ELE 26-34C FEES Required Inspections _ Type By Date _ Amount Receipt Low Voltage Inspection PRMT GEO 09/07/1995 $60.00 99-318126 Elect'I Final 5PCT GEO 09/07/1995 $4.20 99-318126 Total $84.20 ---- ORIGINAL This Permit is issued subject to the regulations contained in the Tigard Munidpal 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 dir,:ct questions OJNC at (503) 246-1987. Issued Permittee Signature OWNER INSTALLATION ONLY _ The installation is being made on property I own which Is not intended for sale. lei a, or rent. OWNER'S SIGNATURE: DATE: CONTRACTOR INSTALLATION ONLY _ SIGNATURE OF SUPR. ELEC'N '� DATE: — 77 LICENSE NO: 7 -- Call 639-4175 by 7:00 P.M. for an inspection needed the next business day ,.,L l I ll t' 114A1(U IA 002 .Y OF TIGARD RESTRICTED ENERGY S:LECTRICAL APPLICATION Rec'd by. 13125 SW HALL BLVD Date Recd. TIGARD OR 97223 PRINT OR Ti PE V-503-639-4171 X304 Permjt# L /�±f- F-503 598-1960 INCOMPLETE OR ILLEGIBLE APPLICATIONS Cust.Call'd __ JOB:50-01479 WILL.NOT BE ACCEPTED Name of Development Project TYPE OF WORK INVOLVED-RESIDENTIAL ONLY LINCOLN CENTER -- _ Restricted Energy Fee....................................... 180.00 FOREST CITY TRADING GROUP (FOR ALL SYSTEMS) JOB Street Address Ste ADDRESS CC10//250 SW GREENBURG RD 217 Check Type(if Work Involved: PI(7TM,AND OR '223 to Ph�MM Audio and Stereo Systems Name 3urglnr Alarm NORRTS BEGG,S STMPSON PROPERTY KNGNIT OWNER Mailing Address _ Garage Door Opener - OWNER Lip pie g ❑ Heating,Ventilation and Air Conditioning System' QUESTI N5. CONT wine ❑ Vacuum Systems- GENE ANDERSON CIIR�STENSON ELECTRIC INC. [] Other_ CONTRACTOR Mailing Address III SW COLUMBIA,SUITE. 480 TYPE OF WORK INVOLVED-COMMERCIAL ONLY (Prior to issuance a 91 /State IIp Phone N Fee for each system...... ................................ $60.00 copy of all licenses 1 (TR'I IAND OR 97201 241-481 (SEE OAR 918.260-260) are required If O wr Conlr Bird tic.N Date .T expired in C.O . 44 S5 T/03 03 Check Type of Work Involved data base). E rigqpplI ow.Uc.0 Exp Date -34 . 1099 Audio and Stereo Systems C�'�.�r Metro Lie.N Exm QBte 12/9y E] Boller Controls Owner's Name Clock Systems OWNER- Mailing Address APPLICANT Data Telecommunlation Installation City/State Zip Phone M ❑ Fire Alsnn installation This permit Is Issued under OAE 918-320.370.This applicant agrees to ❑ make only restricted energy Installations(100 volt amps or less)under this HVAC permit and to do the following instrumentation 1. Only use electrical licensed persons to do installations where required. Certain residential and other transactions are exempt from licensing. Intercom and Paying Systems These have asterisks('). All others need licensing, 2 Call for Inspections when installation under this permit are ready for Landscape Irrigation Control" Inspection at 503-6394178; Medical 3. Purchase separate permits for all Installations that are not ready for an Nurse Calls inspection when the inspert,•Is out to Inspect under this permit. 4. Assume responsibility for aeaudr;i th it all corrections required by the ❑ Outdoor Landscape Lighting' Insoador are done,and; Protective Signaling 5. Assume responsibility for calling for a firal inspection when all of the corrections am completed Other _._____ Permits are non-transferable and non•refundablo and expire 0 work Is not started within 180 days of issuance or If work is suspended for 180 days Number of Systems The person s fining for this permit must be the applicant or a person No uxnses are requtred Urpn"are raauBed for.,n other n3taiu+9ona authorized to bind the applicant FEES: ENTER FEES 60 �Slgneture '---yu3- I 9/1/-99 — f_ r1 1 M'SURCHARGE(."'X TOTAL ABOVE) 5_ 4.20 O � Authonly if other than Applicant TOTAL f 64.20 i*%tsVormsvesoie dor 1198 \ CITY O+fL, TIGARD — ELECTRICAL PERMIT - �!(J� RESTRICTED ENERGY DEVELOPMENT SERVICES PERMIT#: ELR2002-00107 13125 SW Hall Blvd., Tiqard, OR 97223 (503) 639-4171 DATE ISSUED: 6/11/02 PARCEL: 1 S 135AB-04500 SITE ADDRESS: 10250 SW GREENBURG RD 217 SUBDIVISION: LINCOLN BUILDING PP1991-055 ZONING: C-P BLOCK: LOT: 001 JURISDICTION: TIG Proiect Descrir)tion: Installation of Data Telecommunication. FA. RESIDEN TIAL B.COMMERCIAL_ AUDI(-) & STEREO: AUDIO & STEREO: INTERCOM & PAGING: BIJ'kGLAR ALARM: BOILER: L.ANDSCAPE/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 RHAMA NETWORK 10260 SW GREENBURG RD PO BOX 2Z2 SUITE. 100 OREGON CITY, OR 97045 PORTLAND, OR 97223 'hone: Phone: 503-631-2366 Reg #: LIC 123543 ELE 397,ILE _ SEES Required Inspections Type By — Date - Amount Receipt __ Low Voltage Inspection PRMT CTR 6/11/02 $- x.00 2720020000 Flect'i Final 5PCT CTR 6/11/02 $100 2720020000 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 C-rater. Those rules are ,et forth in OAR 952-001-0010 it r gh OAR 952-001-0080. You may obtain copies of these rules or direct quasfona to OUNC at (503) 246-1913'7. 11 Issued by �.L �{7,� Permittee Signature_} OWNER INSTALLATION ONLY — The histallation is being made on property I own which is not intended for sale. leaFe or rent. OWNER'S SIGNATURE: _ DATE:__ -- _ CONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR. ELEC'N _ DATE:__ LICENSE NO: ---- --.—_ 1�_-L�. ---- --- --- --- Call 639-4175 by 7:00 P.M. for an inspection needed the next business day IN Electrical Permit Application _ Date received" PermiInoaap . .C,U/n is City of 'rigard Project/appl.ra.: Expire date: Address: 13125 SW Hall Blvd,Tigard,OR 9 Date issued: City njTigard Phone: (503) 639-4171 � Case file no.: Payment type: Fax: (503)598-1960 Land use approval: ------ t U Multi family &'Tenant impr(wement rLJJNew family dwelling or accessory ❑Commercial/industrial i.. U Partial cons U Add ition/alteration/re plac•rmcnt J Other: Ii t Bldg.no.: Suite no.:1 7 Tax map/tax IoUaccount no.: Joh address: O Z 5LJ 63 (uz }-- Lot: Block: Subdivision: _ 4 to Project name: 0 5 4Alb_ Description and location of wort,on premises: -e D'f'c Estimated date ol'conlpletiom/in"I" u, n t ' 1 tee M11ut Job not Description l)q'. (ca.) total no.ins Business name: 0. i�G "� ^ 'K"' Ne"nwldrntiat-sin:*or multi-family Per Address: Ok Z &elliugunit.Inclullcsut6lcla•dRnrulr. Slate: Z.IP: d `ersiceincluded. 4 City: 2. C I 1(x)0 sq.ft.or less Phone:503'031' Fax: E-mail: -1?ach additional 500 s .tt.or portion thercuf Elec Z .bus,lic.no: 2 CCB no.: ��� Limited Limited non-ioiint 11 City/metro lic.no.: iich anufactured[ionic of uuxlulnr dwelling 2 Ihue Z Service and/or feeder Sihnnwre of su rvisin,electricinn Services or feeders-instal Oil ion. License no: alteration or relocation: Sup.elect.nunle(print) 2 t 200 nm s»r less 2 201 amps to 400 amps 2 Name(print): - 401 all to boo amps 2 Mailing nddress: _ 601 amps to 1000 amps 2 'Irate: ZIP: Over1000amps orvolts I City: Reconnectonly Phone: Pax: E-mail: Temporary servlcrw or feeder%- Owner installation:The installation is being made on property I own Installation,site ration,or relocation: ` which is not intended for sale,lease,rent,or exchange according to 200 amps or less - ORS 447,455.479,670,701. 2(1I amps to 400 amps - 2- Dale: 401 to 600 am s owner's SI mature: _ - - Branch circuits-neN.niteration, or extension per panel: Name: A. Fee for branch circuits with purchase(,i 2 service or feeder fee,each branch cit it Address: B. Fee for branch circuits without purchase Stale: ZIP: 2 City: of service or feeder fee,first branch circuit: E-mail: Each additional branch circuit Phone: Fax. . MIse.(Service or feeder not Included): 2 U Fietdth-care fa ilit) Fnch pump or imitation circle 2 U Service aver 225 amps-camnlereial F:ach sign or o•l'sine lighting U Service over 320 amps-rating of I R 2 U Hazardous location Si nal circuit(+)or a limited energy punel, ( 2 family dwellings •JBuilding overioox)square feet fourot Sigralion.orextensiun• U System over 61x1 vchs nominal more residential units in one structure U Building over three stories U Feeders.4(x1 amps or more 'Descri tion F77- F U(kcupant loan over')`)jxnons U Manufactured structures or RV pork FAIN additional inspection over the alloNAble Irl any of tlne shove: U ligress/lightingplan U Other. _- —. Per ins ecuon Submit-_ sets of plan%with any of the above. Investigation fee '1•11e above are not applicable to temporary construction%ervis•e. Other Nal all jurisdienitms accrpl ctedn enols,please volt judsdicutm fro mote inLvnsalion Notice: This permit ar•plieation plan review(at , %) $ U all U MasterCard expires it'a permit is not I s ained been wi.,in 1 Bo days ager it has been State surcharge(9%) ....$ ('rcdii cud number: - - •Fires Accepted as complete. TOTAL ..... .................$ None of cuallolTu s own on c n cu'c7-- S 410-0i 15 IMr1K'l)M I slgnstlrre Amouni -- ELECTRICAL PERMIT FEES: LIMITED ENERGY PERMIT FEES: -� TYPE OF WORK INVOLVED _RESIDENTIAL ONLY ...... .............. $75.00 Complete Fee Schedule Below: Restricted Energy Fee........— ..� Number of inspections Dor permit allowed Service incitided: Items Cost Total check Type of Work Involved. ------------- Residential-per unit $145 15 — 4 Pudio and Stereo Systen­�* 1000 sq.ft.or less l rr_1 Each additional 500 sq It or $33.40 I C] Burglar Alarm portion thereof $75.00 Limited Energy -Each Manurd Home or Modular $90 90 —� 2 Garage Door Opener' Dwelling Service or Feeder — --I Heating,Ventilation and Air Conditioning System' Services or Feeders Installation,alteration,or relocation $80.30 200 amps or lens m — L Vacuum Systes' 201 amps to 400 amps $106 85 7 $160.60 2 401 amps to 600 amps $440.60 _ 2 _� Other 601 amps to 1000 amps - $454.65_ _ 2 Over 1000 amps or volts $66.85 2 Reconnect only TYPE OF WORK INVOLVED -COMMERCIAL ONLY Temporary Services or Feeders $7'00 Fe-e for each system............................................. . hrstallalion,alteration,or relocation $66.85 2 (SEE OAR 918-260-260) 200 amps or less $100.30 2 201 amps to 400 amps — $133 75 2 Check Type of Work Involved: 401 amps to 600 amps -- Over 600 amps to 1000 volts, Audio and Stereo Systems see"b"above. IBranch Circuits �] Boller Controls _ New,alteration or extension per panel a)The foe for branch c'rcuils ClocKBystems with purchase of service or feeder fee. $6 65 Data Telecommunication Installation Each branch circuit b)The fee for branch circuits withouf purchase of service `—� Fire Alarm Installation or feeder fee. $48.85 First branch circuit HVAC Each additional branch circuit $6.65 — Miscellaneous Instrumentation (Service or feeder not included) Each pump or Irrigation circle $58,40 --- Intercom and Paging Systems Each sign or outline lighting $53.40 _ S circuits)or a limited energy $75 00 Landscape Irrigation Control' panel,alteration or extension 00 Minor Labels(10' $145. Medical Each additional Inspection over the allowable In any of the above $62.50 Nurse Calls Per insper_tion $62.50 Per hour $73.75 Outdoor Landscape Lighting' In Plant Fees: ❑ Protective Signaling Enter total of above fees $ _-- n Other_ 8%State Surcharge $ ,_— ___Number of Systems 25%Plan Review Fee $ ' Nn licenses are required Licenses are required for all other installations See"Plan Review"section on _ front nt application. Fees: Total Balance.i7ue $ ------- -- Enter total of above fees s --- ElTrust Accowit If - 8%State Surcharge :- _T_- Total Balance Cue -All New Commercial Buildings require 2 sets of plans. i:\dsts\fom s\cI1:-rees.doc 08/30/01 CITY OF TIGARD - BUILDING PERMIT PERMIT#: BUP2002-00191 DEVELOPMENT SERVICES DATE ISSUED: 5/16/02 13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 PARCEL: 1S135AB-04500 SITE ADDRESS: 10250 SW GREENBURG RD 217 SUBDIVISION: LINCOLN BUILDING PP1991-055 ZONING: C-P BLOCK: LO'r: 001 JURISDICTION: TIG REISSUE: FLOOR AREAS _ _ EXTERIOR WALL CONSTRUCTION___ GLASS OF WORK: (I t--T FIRST: sf N: S: E: W: TYPE OF USE: COM SECOND: sf __ PROJECT OPENINGS? TYPE OF CONST: 2N sf N: S: E: W: OCCUPANCY GRP: B TOTAL AREA: 0.00 sl ROOF CONST: FIRE RET? OCCUPANCY LOAD: 14 BASEMENT: sf AREA SEP. RATED: f STOR: HT: ft GARAGE: sf OCCU SEP. RATED: BSMT?: MEZZ?: RFQD SETBACKS REQUIRED FLOOR LOAD: psf LEFT ft RGHT: ft FIR SPKL: Y SMOK DET:Y DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : Y HNDICP ACC: BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING: VALUE: )( i , , I ' , G)O Remarks: TI Owner: Contractor. EOP LINCOLN , LLC C SCHIEWE + ASSOCIATES 10260 SW GREENBURG RD 1024 NE DAVIS SUITE 100 PORTLAND, OR 97232 Pq�,TLAND, OR 972.23 Phone: 234-6617 one: Rog#: LIC 54105 _ FEES _ REQUIRED INSPECTIONS f�^ Type By Date Amount Receipt Framing Insp PRMT CTR 5/16/02 $139.30 27200200000 Insulation Insp Gyp Board Insp 5PCT C rR 5/16/02 $11.14 27200200000 Final Inspection PLCK CTR 5/16/02 $90.55 27200200000 FIRE CTR 5/16/02 $55.72 27200200000 Total $296.71 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center Those rules are set forth in OAR 952-001-0010 through OAR 952-001-1987 You may obtain a copy of these rules or direct questions to OUNC by calling (503) 246-6699 or 1-800-332-2344. Permittee Signature: �' �► ) ��- _ Issued By: — Call 639-4175 by 7 p.m. for an inspection the next business day Building Permit Apt,lieation MM ( Date received:'> i b o2 Permit no.:- City of 'Tigard Project/appl.no.: Expire date: Address: 13125 SW Hall Blvd,Tigard,OR 97223 Ciry njTignrd Phone: (503) 639-4171 Date issued: By, Receipt no.: Fax: (503) 598-1960 Case file no,: Payment type: Land use approval: 1&2 family:Simple Complex: U 1 &2 family dwelling or accessory U Commercial/industrial U Al do lanuly U New construction U Demolition U Add ition/alteration/replaccment U Tenant improvement U 1-ire sprinkler/alarm U Other: JOB SITE INFORMATION Job address: 1025o SVJ Gretehbuocl Bldg.no.,C i10 Suite no.: ?-17 Lot: Block: Subdivision:_ Tax map/tax lot/account no.: Project name: h S Dorn 2n _ Description and location of work on premises/special conditions: Tekla * 1h, V-UveMf1-t- OWNFA F69 SPECIAL INFORMATION, USE dIECKLIS I Name: MUIT7 OFFI cE Pg-0PE1ii I6S (11"laodplain,w. plic capacity,solar,etc.) Mailing address: 10260 5W GP.EEN9LQF-0 P-D SOTE I Oo 1 &2 family dwelling: City: Pop-TLPOO State:01t ZIP: 97223 Valuation of work........................................ `h _ Phonc$o5 $92-25od Fax: E-mail: No.of bedrooms/baths................................. Owner's representative: P-. GLS(— GIST Ar4zteet-r Tne A Total number of floors................................. PhoncWB 224 9tb5Co Fax: E-mail: New dwelling area(sq.ft.) .......................... Garage/carport area(sq.ft.)......................... Name: G130 Arc-lt;tee-tjInc_ Covered porch area(sq.ft.) ......................... Mailing address: 120 SW 3-"d avehvr 5v i to 4-ca00 Deck area(sq.ft.) ........................................ City: POY't State:p 'LII': 972o Other structure.area(sq. ft.)......................... ---- -- Commervial/lndustrlalhnultl-family: PhoneDOS 22 -965 Fax: E-mail: of Valuation of work........................................ $10 000. Business name: G, S Existing bldg.area(sq.ft.) .......................... .`41 5F e"Aj e- Cor s't New bldg.area(sq.ft.) Address: p IJ DaV i s 5 rce--t (1, — Cit dr a State:0 ZIP: 97232 Number of stories........................................ �1 res Y' T of construction ..... 1I. __ Type Phone503 2'�4-- 1 Fax: E-mail: ........................... .... ---- E-mail: -- Occupancy group(s): Existing: 15 CCB no.: 5tics, — — __-- New: City/metro li:.no.: Notice:All contractors and subcontractors are required to he licensed with the Oregon Construction Contractors Boa,•d under Name: provisions of ORS 701 and may be required to be licensed in the Address: jurisdiction where work is being performed. If the applicant is Cit State: ZIP: exempt from licensing,the following reason applies: Contact person: -— Plan no.: - —_ i e: Fax: E-mail: — Name: _ Contact person: Fees due upon application ........................... $ Address: _ Date received: City: State: ZIP: Amount received ............................ ............ $ Phone: I E-mail: Please refer to fee schedule. hereby certify 1 have read and examined,his application and the Not all jurisdictions accept credit cards,please c%ll jurisdiction for mere information attached checklist. All provisions of laws and ordinances governing this U visa O MasterCard work will he complied with,whether specified herein or not. Credit card number: - LS ra n2 p Authorized signature:! ''A � Date: I Name of cardholder as on credit caul Print name: P-av 910,; Cardholder si`nature f Amount Notice:This permit application expires if a permit is not obtained% idiin 180 days atter it has been accepted as complete. 44OA613 WWCOM) Commercial Plan Submittal Requirement Matrix City of Tigiad 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 1* Fire Protection System 3** Mechanical 2 Plumbing - Building Fixtures 2 Electrical 2 Plan review is 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 NIGET level "3" technicians. I:\dsts\fofms\COM-malrix.doc 9/24/01 I ke �,I Jit 3� Colol do s.;-te 21 5*1.0Z Accessibility: Barrier Removal Improvement Plan City of Tigard REQUIREMENT: OREGON REVISED STATUTE (ORS) 447.241. (1) Every project for renovation,alteration or modification to affected buildings and related facilities shall be made to insure th&l the path of travel to the altered area and the restroom, telephones and drinking fountains are readily accessible to individuals with disabilities unless such alterations are disproportionate to the overall alterations in terms of cost and scope. (2) Alterations made to the path of travel to an altered area may be deemed disproportionate to the overall alteration when the cost exceeds twenty-five per-cent(25%). _VALUATION: of all renovation, alteration or modification being doneo0 excluding painting, wallpapering [1] $ 0 wo. _ multiply_ 25% Barrier removal requirement. .25 _ BUDGET FOR BARRIER REMOVAL [2] $27 1500.c)J_ In choosing which accessible elements 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: (a) Parking lot sty irinew �b �fs�[Pkr OU P , 'As va . e�Ya�cr ;b � �kisovtaye, 60d„, elltill —_ f . (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 restroom: (e) Accescible telephones: $ (f) Accessible drinking fountains: and $ (g) When possible, additional accessible elements such as storage and alarms $ TOTAL: Shall equal line 2 of Value Computation $ Iz Co.00 is\dsts\rortm\Accessibility.doc 09/24/01 CITY �� ���♦��� _ ELECTRICAL PERMIT PERMIT M ELC2002-00238 DEVELOPMENT SERVICES DATE ISSUED: 5/219!02 13125 SW Hall BNC..Ticlard, OR 97223 (503) 639-4171 PARCEL: 1S135AB-04500 SITE ADDRESS: 10250 SW GREENBURG RD 217 SUBDIVISION: LINCOLN BUILDING PP1991-055 ZONING: C-P BLOCK: LOT : 001 JURISDICTION: TIG Proiect Description: Install 2 branch circuits at new wall. RESIDENTIAL UNIT v TEMP SRVC/FEEDERS MISCELLANEOUS_ _ 1000 SF OR LESS: v 0 - 200 amr): PUMP/IRRIGATION: EACH ADD'L 500SF: 201 - 400 amp: SIGN/OUT LINE LTG: LIMITED ENERGY: 431 - 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 OI? FEEDER: PER INSPECTION: — 201 400 amp: 1st W/O SRVC OR FDR. 1 PER HOUR: 401 - 600 amp: EA ADD'L BRNCH CIRC: 1 IN PLANT: 601 1000 amp: _ ___PLAN REVIEW SECTION__ 10004" amp/volt: — —A RES UNITS: v �— > 600 VOLT NOMINAL: Reconnect only: SVC/FDR >= 225 AMPS: CLASS AREA,/SPEC OCC: Owner: Contractor: EOP LINCOLN , LLC CAPITOL ELECTRIC CO INC 10260 SW GREENBURG RD 12810 NE AIRPORT WAY SUITE 100 UNIT 'I PORTLAND, OR 97223 POR "LAND, OR 97230 Phone: Phone: 25`"4-9488 Reg #: LIC 048748 SUP 3132S EI_E 26-49()C: _T=EES I Y Required Inspections _ Type By Date Amount Receipt Rough-in PRMT CTR 5/29/02 $53.50 2720020000( Elect'I Final 5PCT CTR 5/29/02 $4 28 2720020000( -- -- Total $57.78 This Pe.mitis issL°d subject to the regulations contained in the Tigard Municipal Code,State of OR Specialty Codes and ali 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 1 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 ordirect questions to OUNC at(503) 246.64699 or 1-800.332-2344 Permit Signature: —� y �L' Issued By: _ OWNER INSTALLATION ONLY rhP installation is being made on property I own which is riot intended for sale, lease, or rent. OWNER'S SIGNATURE: DATE: — CONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR. ELEC'N: �_ ' t �` ��: ___ — DATE:----------- LICENSE ATE:--_-- _-LICENSE NO: ------ — --- —__ - — ----- -- --- Call 639-4175 by 7:OOpm for an inspection the next business day Electrical Permit Application Date rcceived�,OFFICE PCI,ititnt,:c4 -00 City of Tigard • I'nnjccUappl.no 1-•.hire date: `•�� f f, !.,r Date issued: Isv'( Itcceipl no.: CITY OF TIGARD Address: 13125 SW IIALI.I3LVD,TIG D,OIt ') 223 C'asc file no.: llaymcnt type: Phone: (503)639-4171 Fax(503)598-1960 Land use approval: ❑ 1 X 2 family dewlling or accessory Commercial/industrial ❑ Multi-family p 1'enant improvement Nett constmulion ❑ Addilinn/alleralionlre111arennenl ❑ Other: ❑ Partial Job address: SSW Greenbur Rd tut Tigard 1111ldg.No.: ISuile it 217 11 ax map/tux lot/account no,: Lot: ' Block: N/A ISthdivision. 11ro'ect name Suite 217 11 escription and location of'work on premises: 2nd floor suite 217 add power in new wall Islimated date oi'complc:ion/inspection: 6/15/02 Jill)fill: 22-736 Fer I tli•. Business Name: Capitol Electric Co.,Inc. Description Vb. (ea.) l,md no.insp Address: 12810 NE Airport Way New residential-sbrgle or multi-family per City: Portland State: OR 7111: 87230-1029 dwelling well. Includes attached garage. Phone: 503-255-9488 Pax 257-7121 F-1 ail: derrell ce dx com Service included: (VB no,: 48748 _ Flec.hus. •.n) 26-496C In00 sq,It,or less $ 145.5 I Cit /metro lic.nu N/A tach additional 011 sq it or portion thereof '.140-- 6/21/02 Limited energy r-sidential b 75 ext PIZ st urealsupcI Isingcleciricrmur,11111"(1 Date Limiledenergy,non-residential 4100 Sup.elect name(pi iul) Darrell McNeal I i.en,c no 3132-9 Each manufaclucd home or modular dwelling Sctvice and/or feeder _ _ b 90 90 Name(print): _ Services or feeders-installation, Mailing address: nllernlimn or relocation: City: Slate: •1.111: 200 amps or less v ti 8030 2 1111otte: Fax: Irlltoil. 201 amps to 400 amps b 106 85 Owner installation: I'hc installation is being made on property I own 401 amps to(100 amp, b_160 60 2 which is not intended f'or sale,lease,rent,or exchange according to (101 amps to tuna amps b 24"(10 2 ORS 447,455,479,670,701. ()%er loon amps on oln b ata ns 2 (hrner's sijs�nnlrne: 11;dc Reconnect only b no Mt I Temporary%cm Ice%,)r feeders- Name: inslNllxtlun,niterolions,or relocation: Address: 200 annps fir less S n(1x1 City: state: Y II': 201 amps to 400 amps b tan 2 Phone: htnx: I -puri l: 401 amps ut non amps b t 2 Iknneb rirruils-nese,alter:Minn, ❑Service over 225 naps-cmnmercird []Ilealth-cam Wilily or eslension per panel: Service over 320 nmpa-Inning or M2 ❑Iiaxadous locntion A Fee for branch cncauls t,wh ptnchase of ramlly dwellings 13 Building over 10,000 square a foot fir service or Icedcr Ice,cacti branch circuit _' ❑System over t100 vofls nowtfnal more residential units In one stricture 11 Fee for branch circuits I%ithout purchase ❑Ihtilding over three stories ❑Feeders,400 Amps of more of service at feeder fee,first broach circuit I t it,95 2 ❑Occupant load over"persona ❑Slanufacawes sttvcoues or RV Perk Each additional branch circuit �I n 115 ❑Fpi^sa4lghthtg plat O Other Ntisc.(Service or feeder not included I: Submit sell of plows wllh any or the above. tach pump fir irrigaOan circle b 51.40 2 I he above are not applicable to temporary construction service. Each sign ar outline lighting _ t 5340 2 Signal Circuit(s)fir it linnted energy panel alteration,or extension' b 75 On, 2 'Description I ach additional inspectim over th allownhic tit amp of the abut r Pcr Inspection b latcclu•alon fee t hhri ❑ Visa O MaslcrCard Pernik tic................ 1, _ 63.50 u,ht nod nuniLci Notice:this permit appllct:dlon Platt review ( ) $ expires If a permit is not obtained State Surcharge 8"1, ► 5 4.28 N,1nu•rf cmdhaldw as A—it on credo cad withing 180 days aftm it hen been ....,,,... _ b 'rfrrAl....... 57.78 couldholdet mignatum °i"""" accepted as compt)te. CITY OF T!CARD ---- BUILDING PERMIT PERMIT#: BUP2002-00237 DEVELOPMENT SERVICES DATE ISSUED: 6/14102 13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 PARCEL: 1S135AB-04500 SITE 4DDRESS- 10250 SW GREENBURG RD 217 SUBDIVISION: LINCOLN BUILDING PP1991-055 ZONING: C-P BLOCK: LOT: 001 JURISDICTION: TIG REISSUE: FLOOR ARRAS i EXTERIOR WAL l_ CONSTRUCTION CLASS OF WORK: FPS FIRST: sf N: S E: W: TYPE OF USE: COM SECOND: sf PROJECT OPENINGS?_ _ TYPE OF CONST: 2N sf N: S: E: W: OCCUPANCY GRP: B TOTAL AREA: 000 sf ROOF CONST: FIRE RET? OCCUPANCY LOAD: 14 BASEMENT: 5f AREA SEP. RATED: GARAGE: sf OCCU SEP. RATED: STOR: HT: tt BSMT?: MEZZ.?: REQD SETBACKS _ REQUIRED FLOOR LOAD: psf LEFT: ft RGHT: �ft FIR SPKL: Y SMOK DET: DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP ACC: BFDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING: VALUE: Remarks: Add 1 sprinkler head and add 1 head Owner: Contractor: EOP LINCOLN , LLC AFP SYSTEMS INC 10260 SW GREENBURG RD 19435 SW 129TH SUITE 100 rUALATIN, OR 97062 P9P0TnL:.ND, OR 97223 Phone: 503-692-9284 Reg #: LIC 67534 FEES REQUIRED INSPECTIONS_` Type By Date Amount Receipt Sprinkler Rough-In PRMT CTR 6114/02 $62.50 27200200000 Sprinkler FinalFinal Inspection 5PCT CTR 6/14/02 $5.00 27200200000 Total $67.50 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)246-6699 or 1-800-332-2344. Pe rm Rtee r' Signature: --- � c , Issued By: -- Call 639-44.75 by 7 p.m. for an Inspection the next business day Building Permit Application rlDatereceive(�- -0-2Permit no. -OD City of Tigard 4 VO- Project/appl.no.: E?xpiredate: CiryafTigard Address: 13125 SW Hull Blvd,JU90d,bR 97223 gly Receipt tno.: Phone: (503) 639-4171 �DrJ`� Date issued: Fax: (503) 598-1960 N '1 t Case file no.: Payment type: Land use approval: s ti�1r l o+ l&2 family:Simple Complex: •lin or accessol U Commercial/industrial U Multi-family U New construction U Demolition CJ 18c 2 family dwelling y _— U Add it U'I'enant improvement UrFire sprinkler/alarm U other: _ 1 Bldg.no.: Suitc no.: �� Lot:Joh address: I s _- - Tax map/tax lot/account no.: _ Block: loSubdivision: — Proicel name: Description and location of work on premises/special conditions:. Name: taa�.. Mailing address: D r �.l ,. " I 1 A 2 family dNellillg: h City: State:OP IP: Valuation of work........................................ Phone: 1 o U Fax: E-mail: No.of bedrooms/haths................................. Owner's representative: Total number of floors.............................. Phone: I ax: E-mail: New dwelling area(sq.ft.) .......................", APPIACANT Garage/carport area(sq. ft.)......................... Covered porch arca(sq. 11.) ......................... Name: -- Deck arca(s ft.) q. _ -- Mailing address: other structure area(s . It ).. ...................... 000 -- -- City: �Stale:,, TIP:mail Commerclallinchrstrialhnulli fandly: Phone: i ` Valuation of work 1 1 Existing bldg.area(sq.ft.) ..... .................... MMM Business name: \ k t ' r New bldg.area(sq. ft.) 1,.' ` ................ Address: 'c Number of stories........................................ — City: Slatcr)f ZIP:`1'70'1. Type of construction Phone:_ Fax:'.`?i E-mail: Mcupancy group(s): Fxisling: New: CCB no.: ^— City/lr etru JL Notice:All contractors and subcontractors are required lobe MjE7AW1 X.1 MM licensed with the Oregon Construction Contractors Board under provisions of ORS 701 and may he required to he licensed in the Namc: --- jurisdiction where work is being performed. If the applicant is Address: — — exempt from licensing,the following reason applies: Slatef' "l.II'' -- — Contact person: flan no.: Phone: Far: -/ E-mail: Name: Contact person: Fees due upon application ........................... $ --- ----- Date received: Address: --- Amount received ......................................... $ City: State: 'LIP: — Fax: E-mail: Please refer to fee schedule. Phone: NO dl}uriKactlon"accept credit cud+.plena roll iuHul+�•lon f+a marc mronnmion I hereby certify I have read and examined this application and the u attached checklist.All provisions of laws and ordinances governing,this Cr Visa sa cord nnrnher -MaamerCnrd rcard ------ work will be complied with,whether specifiM herein or rot. �`. I y Date: (� " Name of catERdet m awn on nada cud s Authorized signature: = —� _ ard � ` 1 A`+�,� ,_ Cholder alpurute Amount Print name: — gll(bOtVCOM) Notice:'Phis permit application expires if a permit is not obtained within 180 days afler it hes been accepted as complete. µ)-0b &;) �;t� 4 00 Fire Protection Permit Check List A. ❑ New ❑Addition ❑ Alteration _ ❑ 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 System Lpomplete A or B as applicable):_ A.) Sprinkler Wet fid _ Dry ❑ �- Stand i es Additional Hazard Group t. LK' Information Density p Design Area I bo K. Factor Sprinkler Proect Valuation: $ B. Fire Alarm Submittal shall _Battery CCalculations _ _ Yes ❑ include: Individual Component Yes ❑ Cut Sb Fire Alarm pct Valuation: $ Project Valuation Subtotal A 8 Permit fee based on valuationsee chart IN State Surcharge: $ - FLS Plan Review 40% of Permlt: $ --- -- �_ TOTAL:_ $ -- - - i\dstsltorm9TPScheck1ist doc 10/04/00