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10300 SW GREENBURG ROAD STE 130-2 n z oa c, n w 0 a 10301) SW GREENBURG RD 130 CITY OF T I G A R D CERTIFICATE OF OCCUPANCY DEVELOPMENT SERVICES PERMIT#: BUP1999-00477 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 11/09/ 1999 PARCEL: 1 S135AB- AB-01003 ZONING: C-P JURISDICTION: TIG SITE ADDRESS: 10300 SW GREENBURG RD 130 FILE SUBDIVISION: LINCOLN ONE/RED LOBSTER/CASA L BLOCK: LOT: CLASS OF WORK: ALT TYPE OF USE: COM TYPE OF CONSTR: 2FR OCCUPANCY GRP: B OCCUPANCY LOAD: 9 TENANT NAME: ALERT STAFFING REMARKS: Tenant Improvement Final Building Inspection and Certificate of Occupancy Approved 1/3/00 by the City of Tigard, Building Division Owner: KNICKERBOCKER PROP, INC XXIV BY NORRIS, BEGGS + SIMPSON 10300 SW GREENBURG RD STE 200 PORTLAND, OR 97223 Phone: Contractor: PIONEER CONSTRUCTION SERVICE, PO BOX 68304 MII_WAUKIE, OR 97009-7268 Phone: 652-1050 Reg #: LIC .28689 This Certificate grants occupancy of the above referenced Uuilding or portion thereof and confirms that the building has been inspected for compliance with the State of Oregon Spai�ialty Codes for the group, occupancy, and use under whI h the referenced permit was is �uiI6d, / `C ti B IL )ING RSPECTbhBUILDWb OFFICIAL POS1 IN CONSPICUOUS PLACE o. CITY OF TIGARD BUILDING INSPECTION DIVISION MS1 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 BUP Y7 --.,-----Date Requested � AM PM �� BLD Location (-)1n� ubvt A Suite / ' MEC Contact Person _ — PLM — Contractor _ Ph _ SWR - UILDI enan Owner ___ �' � Y1 ELC Re'aining Wall '`" Footing ELR Foundation Access: FPS Ftg Drain Crawl Drain Inspection Notes: SGN Slab ------- --_-----...._..��------- ----- SIT Post&Beam _�---- -------- - Ext Sheath/Shear Int Sheath/Shear ---- Framing Insulation ------ -- -�- --- - ---- Drywall Nailing Firewall Fire Sprinkler Fire Alarm - - - - - Susp'd Ceiling Roof - - Misr,: - - __ _ --------- --- TLAI-S-')PART FAIL ING Post& Beam __-- Under Slab Top Out - - -,/--- --------- Water Service Sanitary Sewer Rain Drains Final - - - PASS PART FAIL MECHANICAL Post& Beam _ - -- ---- _ Rough In Gat Line Smoke Dampers Final ---------- --- - — PASS PART FAIL ELECTRICAL �_ Service Rough In - - UG/Slab Low Voltage -- Fire Alarm -- -- - ------_--------- --- Final PASS PART FAIL SITE -------- Backfill/Grading -.- Sanitary Sewer Storm Drain [ j Reinspection fee of$ _ —required before next inspection Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line ( I Please call for reinspection RE._ _ _ [ j Unable to Inspect..-no access ADA Approach/Sidewalk Other _ _ Date _�" - C?�_ Inspector Ext Final PASS PART FAIL- DO NOT REMOVE this inspection record from the job site. cm ? c c c c c c c z c c > j \ ) ) ) ) / ) j 7 / ID / -4 w ¥ o e 2 8 R § G k k § "J M % \ / f ± ƒ ® i � ® ¥ o a \ ■ ( \ E \ 3 « ] § \ s 7 \ \ / M 9 } § q ( 2 \ o / 2 f \ A A / \ a ) /. R - § Q \ k M 2 J [ j 3 3 2 K § ) ) ) { D \ k ) k 0 � § k \ Ll � — k � a 4 c \ z-- / ( ■ � T n m 0 $ $3 % \ $ %» 3 3 » 2� « a : M � to / 2 / > >/ 2 § / $ z m zE m « m z z o # m « m m m cn m m c � ƒ f i ƒ o K F i F o E r- ± M a a $ a a a ± i ƒ m & 3 & E a E a a E a a s _ \ § ( § \ \ § ( T { 2 f [ \ L Cl K¢�J� E _\ a 7 a ƒE E } } \ &$ � m mm M m m m m D n 0 n 0 n n 00 u v 8 -4 -4 o o N O 0 0 0 CD to 0 ww a oC) m T m m m ' O A ED o (D o O T < m 2 q o a Cl. (D 7 ro a D to t r) �-� N y� to to to to m to co c8c0 N W tG tD (D (v -'h O cQ m w n D u� UD V c� c(C)0 D m CD 0t O a m ;0 T, m x M m o r O D D O D O y D m m m V C7 4 W 0 0 0 0 0 0 0 cici r x to 0 Cl a `a a a a a s C OW� W co co m m N 4 N N C fV N i f3 O Q y (4) !D cs tl c0 W T M (p rL c.n c z � � n o v to ES s ° � s t, CITY OF TIGARD 0 ELECTRICAL ENER - ' RESTRICTED ENERGY DEVELOPMENT SERVICES /9r� PERMIT#: ELR2000-00003 13125 SW Hall Blvd.,Tiqard, OR 9722.3 (503) 639-4171 /`/f� DATE ISSUED: 1/3/00 SITE ADDRESS: 10300 SW GREENBURG RD 130 PARCEL: 1S135AB-01003 SUBDIVISION: LINCOLN ONE/RED LOBSTER/CASA L ZONING: C-P BLOCK: LOT: JURISDICTION: TIG Proiect Descrintion: Installation of data telecommunication system. A. RESIDENTIAL B.COMMERCIAL AUDIO & STEREO: AUDIO & STEREO: INTERCOM & PAGING: BURGLAR ALARM: BOILER: LANDSCAPE/IRRIGAT: GARAGE OPENER: CLOCK: MEDICAL: HVAC: DATA/TELE COMM: NURSE CALLS: VACUUM SYSTEM: FIRE ALARM: OUTDOOR LANDSC LITE: OTHER: HVAC: PROTECTIVE SIGNAL: INSTRUMENTATION: OTHER. TOTAL#_OF SYSTEMS: 1 _ Owner: — Contractor: KNICKERBOCKER PROPERTIES INC OPTEC INC BY NORRIS BEGGS & F!MPSON FIRSTWORLD COMMUNICATIONS 10300 SW GREENBURG RD STE 200 7324 SW DURHAM RD PORTLAND, OR 97223 PORTLAND, OR 9'72.24 Phone: Phone: 639.2871 Reg #: LIC 64137 ELE 34286CLE _ FEES Required Inspections -Type By Date Amount Receipt Low Voltage Inspection �PRMT DEB 1/3/00 $610.00 00-320828 Elect'I Final 5PCT DEB 1/3/0() $4.80 00-320828 Total $64.80 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 yab io-follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-901-0010 through OAR 952- 01-0080 You may obtain copies of these rules or direct questions to 01 INC at (503) 24 1987. �� ` ^ Iss�ed by L 'a" . Permittee Signature OWNER INSTALLATION ONLY The installation is being made on property I own which is not Intended for sale. lease. or rent. OWNER'S SIGNATURE: DATE: CONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR. ELEC'N DATE: Call 639-4175 by 7:00 P.M. for an inspection needed the next business day CITY OF TIGARD RESTRICTED ENERGY ELECTRICAL APPLICATION Recd b�, 13125 SSM HALL BLVD Date Rec'd: I-S D10 TIGARD OR 97223 PRINT OR TYPE — V- 503-639-4171 X304 Permit# (564"Slf2"An!V-3 F - 503-598-1960 INCOMPLETE OR ILLEGIBLE APPLICATIONS Cust Call'd WILL NOT BE ACCEPTED Name of Development Project TYPE OF WORK INVOLVED -RESIDENTIAL ONLY RestrictedEnergy Fee........................................ $60.00 04, ;FOR ALL SYSTEMS) JOB Street Address ! Check"Type of Work Involved ADDRESS IC ) C /Sta a Z' Ph one# ❑ Audio and Stereo Systems r _ w v Name ❑ Burglar Alarm KotitLk - 4 ❑ Garage Door opener• OWNER ailing ddress City/State Zip Phone# ❑ Heating,Ventilation and Air Conditioning System* Name f� ❑ Vacuum Systems' 1 S t.J J r v ❑ Other CONTRACTOR Mailing A dress TYPE OF WORK INVOLVED -COMMERCIAL ONLY (Prior to issuance a 1ty/Sta e AA Zi ry 7 81 Phone# Fee for each system.... ......................................... $60.00 copy of all licenses r 6►Y}'1 U3 7 (SEE OAR 918-260-260) are required if Ore on F nV. Lic # E D to expired In C.O.T Check Type of Work Involved. data base) EleicPI Fopt Li .# �5e-Qatg ((�� / C� ❑ Audio and Stereo Systems C.O.T,or Metro Lic.# Exp.Date ❑ Boiler Controls Owner's Name ❑ Clock Systems OWNER - Mailing Address APPLICANT �] Data Telecommunication Installation City/State Zip Phone# ❑ Fire Alarm Installation This permit is issued under OAE 918-320-370 This applicant agrees to make only restricted energy installations(100 volt amps or less)under this ❑ HVAC permit and to do the following ❑ Instrumentation 1 Only use electrical licensed persons to do installations where required Certain residential and other transactions are exempt from licensing. ❑ Intercom and Paging Systems These have asterisks(') All others need licensing, ❑2 Call for Inspections when installation under this permit are ready for Landscape Irrigation Control' inspection at 503-639.4176; ❑ Medical 3 Purchase separate permits for all Installations that are not ready for an ❑ Nurse Calls inspection when the inspector is out to inspect under this permit, A. Assume responsibility for assuring that all corrections required by the ❑ Outdoor Landscape Lighting' Inspector are done,and; ❑ Prolective Signaling 5 Assume responsibility for calling for a final inspection when all of the corrections are completed ❑ Other Permits are non-transferable and non-refundable ane expire if work is not stai red within 180 days of issuance or it work is suspended for 180 days. Number of Systems The person signing for this permit must be the applicant or a person No licenses are required Licenses are required for all other installations authorized to bind the applicant. ? FEES: Signature a TER FEES : /D W SURCHARGE(.66 TOTAL ABOVE) _ Authority if other than Applicant 'TOTAL I\dstskformsvesele doc 3198 CITY O� �� w(vim�� ELECTRICAL PERMIT PERMIT #: ELC1999-00739 DEVELOPMENT SERVICES DATE ISSUED: 12/10/99 13125 SW Hall Blvd., Tigard. OR 97223 (503) 639-07 PARCEL: 1S135A8-01003 SITE ADDRESS: 10300 SW GREENBURG RD 130 SUBDIVISION: LINCOLN ONE/RED LOBSTER/CASA L '/�"� ZONING: C-P BLOCK: LOT : u� JURISDICTION: TIG Proiect Description: Installation of 3 branch circuits. Job No. 710. RESIDENTIAL UNIT_ _ TEMP SRVC/FEEDERRS MISCELLANEOUS_ 1000 SF OR LESS: — 0 200 amp: PUMP/IRRIGATION: EACH ADD'L 500SF: 201 400 arnp: SIGN/OUT LINE LTG: LIMITED ENERGY: 401 600 amp: SIGNAL/PANEL: MANF HMI SVC/ FDR: 601+amps - 1000 volts: MINOR LABEL (10): _SERVICE/FEEDER _ BRANCH CIRCUITS------- _ADD'L INSPECTIONS _ 0 20 amp: WISERVICE OR FEEDER: PER INSPECTION: 201 400 amp: 1st W/O SRVC OR FDR: 1 PER HOUR: 401 600 amp: EA ADD'L BRNCH CIRC: 2 !N PLANT: 601 - 1000 arrp: _ PLAN REVIEW SECTION 1000+ amp/volt: >=4 RES UNITS: > 600 VOLT NOMINAL: Reconnect only: SVCiFDR >= 225 AMPS: — CLASS AREA/SPEC OCC;_______ Owner: Contractor: KNICKERBOCKER PROPERTIES INC WILLAMETTE ELECTRIC INC BY NORRIS BEGGS & SIMPSON PO BOX 230547 10300 SW GREENBURG RD STE 2.00 TIGARD, OR 97281 PORTLAND, OR 97223 Phone: Phone: 624-3631 Reg #: LIC 000750 SUP 1965S ELE 34-283C FEES _ Required Inspections A __ Type By Date Amount Receipt Elect'I Service PRMT DEB 12/10/99 $48.20 99-320344 Elect'I Final 5PCT DEB 12110199 $3.86 99-320344 Total $52.06 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 adppW 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 rule ordirect questions to OUNC at(503) 246-1987 PE10 Lcz 6 RMITTEE'S SIGNATURE ISSkD BY: �, ^ TT OWNER INSTALLATION ONLY -- The installafion is being Made on property I own which is riot intended for sale, lease, or rent. OWNER'S SIGNATURE: — — DATE: _ CO?QTRACTOR INSTALL Tt� ON ONLY �.-...� ..._-._.., ,/ SIGNATURF. OF SUPR. ELEC N: _ - 1z L DATE:.--_ '' -- -- --- L I C r:N S E NO: -----—— ---------------------— Call 639-4175 by 7.00prn for an inspection the next business day CITY OF TIGARD RECEI C^ Plan Ch •trical Permit Application 1r� 13125 SW HALL BLVD. Recd By TIGARD OR 97223 DEC, ii `:; 1999 DateRec'd Phone(503)639-4171, x304r'7 Date to P.E Inspection (503)639-4175 COMMUNITY DEVELOPMENT Print of Type (la��, i Permit a Date to ST GC/Q -CXR 9 Fax(503) 598-1960 Incomplete or illegible will not be accepted Called 1. Job Address: 4. Complete Fee Schedule Below: Number of Inspections r rmit allowed Name of Development (��►o Z r ,�a cr �"' .__ � Name(or name of business) A I e T- S�AQ,..I Service included: Items Cost Sum Address I b Ste_ S::w G,t cee ri,c 4a. Residential-per unit City/State/Zip_ T1111144a n_ Uti- 1000 sq.fl.or less $ 117.75 4 - Each additional 500 sq.ft,or portion thereof $ 2675 1 Commercial R Residential ❑ Limited Energy $ 60.00 Each Manufd Home or Modular 2a. Contt a-;tor installation only,/: Dwelling Service or Feeder $ 72.75 2 (Prior to permit Issuance,applicants must provide contractor license 4b.Services or Feeders Information for COT data base). Installation,alteration,or relocation Electrical Contractor— &11 A,K e H r L 200 amps or less $ 64.25 2 AddressQ� ��ir L�� S'`f }' 201 amps to 400 amps $ 85.50 2 City State (/r. _Zipa 1 401 amps to 800 amps $ 126.50 2 -��`j$,1v, c Z-� Z 601 amps to 1000 amps $ 192.50 2 l Phone N0. f+ Z y -3 L �7_ Over 1000 amps or volts $ 363.75 2 Job No. 9-111 Reconnect only $ 53.50 2 Elec. Cont. Lice. No. S4- Z d:KC_ Exp.Date /U- i -UC! 4c.Temporary services or Feeders OR State CCB Reg. No. :f Z Yfj Exp.Date 8- •or/ Installation,alteration,or relocation COT Business Tax or Metro No. /5 --Ex .Date 9-4 -c c! 200 amps or less $ 53.50 2 . 201 amps to 400 amps $ 80.2.5 _ _ 2 Signature of Supr. Elec'n_�_711, 401 amps to 600 amps $ 100.00 2 Over 600 amps to 1000 volts, License No �c/6 y ' S Exp,Date I[) - /-C i sae�b�above. 4d.Branch Circuits Phone No. New,alteration or extension per panel a)The fee for branch circuits 2b. For owner installations: with purchase of service or feeder lee. Print Owner's Name Each branch circuit $ 5.35 2 Address b)The fee for branch circuits without purchase of service City ,i State- Zip or feeder fee. Phor a Na. _ First branch circwl f $ 37.50 Fach additional branch circuit - $ 5 35 _Ll7.57 The installation is being made on property I own which is not 4a.Miscellaneous Intended for sale, lease or rent. (Service or feeder not included) Each pump or Irrigation circle $ 4275 Owner's SignatUre _ - Each sign or outline lighting $ 42 75 Signal circult(s)or a limited energy panel, S 60.00 3. Plan Review section (if required):* Minor Label3(10)alteration or extension ' $ 100.00 -- Please check appropriate item and enter fee In section 5P. 4f.Each additional Inspection over 4 or n•ore residential units in one structure the allowable in any of the above Service and feeder 225 amps or more Per inspection $ 5000 -- Per hour $ 5000 _System over 600 volts nominal In Plant _ $ 5900 Classified area or structure containing special occupancy as - described in N E C Chapter 5 5. Fees: Ba.Enter total of above fees $ y _ + Submit 2 sets of plans with application where any of the above apply. 8%Surcharge 108 X total fees) $ _ Not required for temporary construction services. Subtotal $ 6b.Enter 25°x6 of line bs for NOTICE Plan Review H Tguired(Sec 3) $ PERMITS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED Subtotal $ IS NOT COMMENCED WITHIN 180 DAYS,OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS ❑ Trust Account d_ AT ANY TIME AFTER WORK IS COMMENCED Total balance Due $ j Z4 I•r• Irnr.rlrurrdui BUILDING CITY OF TIGARD PERMIT#: BUP1999-00477 DEVELOPMENT SERVICES DATE ISSUED: 11/09/1999 13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 PARCEL: 1S'135AB-01003 SITE ADDRESS: 10300 SW GREENBURG RD 130 SUBDIVISION: LINCOLN UNE/RED LOBSTER/CASA L ZONING: C-P BLOCK: LOT: JURISDICTION: TIG REISSUE: FLOOR AREAS EXTERIOR WALL CCNSTRUt TION _ CLASS OF WORK: ALT �FIRST: sf N: � S: E: — W: TYPE OF USE COM SECOND: sf PROJECT OPENINGS? TYPE OF CONST 21FR 1,135 sf N: S: E: W: OCCUPANCY GRj: B TOTAL AREA: sf ROOF CONST: FIRE RET? OCCUPANCY LOAD: 9 BASEMENT: sf AREA SEP. RATED: STOR: HT: ft GARAGE: 5f OCCU SEP, RATED: BSMT?: MEZ7_?: REQD SETBACKS REQUIRED FLOGR LOAD: psf LEFT: ft RGHT: ft FIR SPKL: Y SMOK DET: DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP ACC: BEDRMS: PATHS: IMP SURFACE: PRO CORR: PARKING: VALUE: $ 10.100.00 Remarks: Tenant Improvement Owner: Contractor: KNICKERF�OCKER PROP, INC XXIV PIONEER CONSTRUCTION SERVICES BY NOFRIS, BEGGS + SIMPSON PO BOX 68304 10p3�00 SW GREENBURG RD STE 200 MILWAUKIE, OR 97009-7268 P PF,one NU, OR 972.23 Phone: 652-1050 ORIGINAL Reg #: LIC 128689 FEES REQUIRED INSPECTIONS Type By Date Amount Rcceipt Framing Insp PRMT KJP 11/09/199E $133.25 99-319668 Gyp Board Insp Susp Ceiing Insp PICK KJP 11/09/199 $86.61 99-319668 Final Inspection 5PC1 KJP 1 1/09/199 $10.66 99-319668 FIRE KJP 11/09/199 $53.30 99-319668 Totai $283.82 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 permi` will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-1987. You may obtain a copy of these rules or direct questions to OUNC by calling (503) 246-1987. Pe ,e Signature: -,� Issued By: VK Call 639-4175 by , i.m. for an inspection the next business day C17 Y OF TIGARD Commercial Building Permit Application Recd By _ 13125 SUN HALL BLVD. Tenant Improvement Date Recd Date to P.E. TIGARD, OR 97223 Date to DST 1! °l (503) 6394171 1 Permit# 1 el -Oo 77 Print or Type Related SWR# Incomplete or illegible applications will not be accepted c3llPd-- Name of Development/Project Existing Building 9 New Building ❑ Job Llhcd), CeK-L- Address Street Address -- Suite Building IOWC>SW Grar„I.0- fid. 130 Data -- Bid # — City/State Zip Existing Use of Building or Property: D�E -rracoLl� Por'tla�c( C 972.2.3 Name TProposed -- ----- Property f+'4e--1 o4 Pro ev'�� iNG� Prop0osred, Use of Building or Property Owner Mailing Address Suite OT V 1 CQ- liO3pp SW &ree„burl (`-4 Z00 Ng. To res: City/State Zip Phone ( r 0e, f or`tl a"J 012-, 9')2.23 J52-S 9()o Sq. Ft. Of Project: Occupant Name I i�- N-e 5't� ; Occupancy Class(es) Name F"1 _ Contractor F(1Dh0e4-- CoOS4wcrUA-)o Typ�e'(s-)CofConstruction - Prior to permit Meiling Address Sulte E issuance,a copy Will this project have a Fire Suppression System? of all licenses V _�-', wX �j3o Yes Li No are required If Clty/State ZIP Phone ----- expired In C T. I� Americans with Disabilities Act�ADA) database I W air K i e ��,g 22 Z-(p5o Valuation X 25%= $2x525, Participation Oregon Const.Cont.Board Llc,# Exp.Date Complete,Accessibility Form ?8�6 9 Project $ Name T Valuation 101100,00 Architect G1� tNrcki tads 1 i^C. Plans Required: See Matrix for number of sets to submit Mailing Address Suite - on back City/State Zip Phone I hereby acknowledge that I have read this application,that the information QfL 977, M6r 9C-5(I given Is correct,that I am the owner or authorized agent of the owner,and `� that plans sub nitted are in compliance with Oregon State Laws Engineer Name __— Signature r Owner/Agent— Date Mailing Address Suite Co ct Person Name Phone City/Slate Zip Phone -Lc1 C IUr — — FO_OFFICE USE ONLY nd Use Indicate type of work: New O Addition O Demolition O MaprTL# La Accessory Structure O Foundation Only O Alteration�C Repair O Other O _ Notes. Description of work: TeKati-� Sr1,pr-vernPy,L ------- ------- TIF— - ----- .�_------- -------� Note: Site Work Permit Application must precede or accompany Building Permit Application I\C:OMNEWTI DOC (UST) 5198 COMMERCIAL PLAN SUBMITTAL REQUIREMENT MATRIX Plan Review is dependent upon submittal of BOTH plans AND a COMPLETED application. For an electrical submittal, the application must contain the signature of the supervising electrician before plan review will be conducted. After plan review approval, Plans Examiner will contact the applicant to request additional plan sets for distribution purposes. (Copy for Contractor, City, Washington County, Tualatin Valley Fire & Rescue) JTotal# of TYPE OF SUBMITTAL Plans KEY: Submitted Site Work B = Building F (New or Add or Alt) 3 F = Fire Protection System M (New or—Add—or—Alt) _ 1 M = Mechan,^al B & M (New or Add) i 1 - P = Plumbing P (New, Add, or Alt) 2 E = Electrical —6—& M & P (New or Add) _- - 2 New = New Bl,rlding E (New, Add, or Alt) 2 Add = Additic,n B & F & M & P & E 3 Alt = Alternation to Existing (New , Add) Building "B —or—B &-W(Alt) 1 •B & M & P & E(Alt) 3 'B & M & �3–.-__-- NOTES: 'Shaded areas designate ALT submittals only. hdst9\forrn9 netrxcom.doc 10/30/88 t Alwt c 1 x`130 _ i f�9�99 SUBJECT: ACCESSIBILITY BARRIER REMOVAL IMPROVEMENT PLAN REQUIREMENT: OREGON REVISED STATUTE (ORS) 447.241. (1) E=very project for renova!iun, allera+ion or modification to affected buildings and related facilities shall be made to insure that 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 mod;`ication being done T excluding painting, wallpapering [1] $�n a' multiply:. 25% Barrier removal requirement. .25 BUDGET FOR BARRIER REMOVAL [2] W 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 S Z cam, o0 (a) Parking IA resrb-irr i ) , hew cvvb cAs, $ Z Sldew�l) 9e Awd acceaJi6le jt.allr. (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) Accessibie 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 $ i Adsts\forms\access.doc CERTIFICATE OF OCCUPANCY CITY OF arI CARD DEVELOPMENT SERVICES PERMIT#: BUP2003-00622 13125 SW Hall Blvd., Tigard OR 97223 (503) 639-4171 DATE ISSUED: 10/22/2003 PARCEL: 1 S 135AB-01003 ZONING: C-P JURISDICTION: TIG SITE ADDRESS: 10300 SW GREENBURG RD 130 SUBDIVISION: LINCOLN ONE/RED LOBSTER/CASA L BLOCK: LOT: CLASS OF WORK: ALT _ TYPE OF USE: COM TYPE OF CONSTR: 2FR OCCUPANCY GRP: B OCCUPANCY LOAD: 11 TENANT NAME: ADECCO REMARKS: Tenant improvement, create new offices. Owner: EOP LINCOLN, LLC 10260 SW GREENBURG RD SUITE 100 PPhe NDon5p2 7 Contactor: C SCHIEWE & ASSOCIATES INC 1024 NE DAVIS ST PORTLAND, OR 97232 Phone: 503-234-6617 Reg #: LIC 54105 This Certificate issued 11121120113 grants occupancy of the above referenced building or portion thereof and confirms that the building has been inspected for compliance with the,,State of Oregon Specialty Codes for the group, occupancy, andel under whiA t16 referenced perm?c wagued. , BUILDING INSPECTOR _ BUILDIN FFICjA' t:L POST IN CONSPICUOUS PLACE CITY OF TIGARD 24-Hour BUILDING Inspection Line: (503)639-4175 MST INSPECTION DIVISION Business Line: (:03)639-4171 ( BLIP Received ---------Date RNquested__�� — AM _r__ PM_ p� Locationsuite /3D �ME/ Contact Person L'Ot.+�� _._. __ ___ _— Ph(_ __) _ " � _ PLM Contractor ___-- _ __. P//h��( __ ____ ) _—.___ SWR BUILDING > Tenant/Owner ._— _ — �1.� _ ELC ng ELC Foundation Access: Ftg Drain ELR -_�----------__ Crawl Drain Slab Inspection Notes: SIT _ _ .— Post R Beam ----_-- --__--------�_ Shear Anchors -�- Ext Sheath/Shear A Int Sheath/ShearVNVI - Framing C' Insulation Drywall Nailing -- - Firewall Fire Sprinkler ----- — -- ---- -- Fire Alarm Susp'd Ceiling - - i--- Hoot r: Fin _ S PART FAIL r ,PEUMBING Post& Beam Under Slab -- - Rough-In Water Service - -- -- Sanitary Sewer Rain Drains - ---- Catch Basin/Manhole Storm Drain - - -- - Shower Pan Other: Final / PASS PART FAIL tillE HANI m Hough-In Gas Line Smo,CaDa,^vers -- - - --- _ ---- - ---- - - - F`in.. A PART FAIL - -- - - --- --- TRiCAL Service Rough-In UG/Slab Low Voltage Fire Alarm Final Reinspection fee of$ required before next inspection. Pay at City Hall. 13125 SW Hall Blvd. PASS PART FAIL SITE n Please call for reinspection RE:------ -._._.._. _. Unable to inspect-no access Fire Supply Line ADA Date- � _�� Inspector - Ext Approach/Sidewalk - _ Other: Final DO NOT REMOVE this Inspection record from the Job site. PASS PART FAIL CITY OF TIGARD ELECTRICAL - ENER RESTRICTED ENERGY DEVELOPMENT SERVICES PERMIT#: EI_R2003-00346 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639.4171 DATE ISSUED: 11/12/03 SITE ADDRESS: 10300 SW GREENBURG RD 130 PARCEL: 1S135AB-0100:3 SUBDIVISION: LINCOLN ONE/RFL) LOBSTER/CASA 1_ ZONING: C-P BLOCK: LOT: JURISDICTION: TIG Proiect Description: Data telecommunications, Job No. 34174 A.RESIDENTIAL _ E.COMMERCIAL AUDIO & STEREO: AUDIO & STEREO: INTERCOM & PAGING: BURGLAR ALARM: BOILER: LANDSCAPEIIRRIGAT: 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 RICHARDSON COMMUNICA 1 IONS 10260 SW GREENBURG RD 151375 SF 114TH SUITE 100 CLACKAMAS, OR 97015 PORTLAND,OR 97223 Phone: Phone: 503-650-2814 Reg #: LIC 137396 EL 3-390CLE SUP 1977LEA FEES _ Required Inspections _ _i Description _ Date Amount Low Voltage Inspection 1ELPRMT1 I:I.R Pcrmit 11/12/03 $75.00 Elect'/ Final [TAX] R" State Surcharl 11/12/03 $6.00 Total $81.00 This Permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specially Codes and all other applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance,or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 throuc Issu ,d by Permittee Signaturd OWNER INSTALLATION ONLY l'he installation is being made on property I own which is not intended for sale. lease, or rent. OWNER'S SIGNATURE: - DATE:--- CONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR ELEC'N DATE:-.--- LICENSE ATE:_ +LICENSE NO: Call 639-4175 by 7:00 P.M. for an inspection needed the next business day FOR 60�ICEL�TSE ONLY Electrical Permit Application Received >aeC7iCEL; DatelB : // /'� 0-3 PertnitNo,:fe C� Of Tigard Planning Approval Sipa Date/Fi • PermitNo.: 13125 SW Hall Blvd, Plan Review Other Tigard,Oregon 9'223 Date/By: PcmdtNo.: Phone: 503-639-4171 Fax: 503-598-1960 Pnst•Review Und Use Dale/By: Case No.: Internet: WWw.ci.tigaId.or.11S Contact Juri ' See Page 2 for 24-hour Inspection Request: 503-6394175 Name/Motbod: l Supplemental Information. Z� A vn Ciiitaal ttCt10AU lletnolition L Service over 225 amp, LJ Ilaaltt, •ate ta-,htycommercial U Hazardous location ddit orl/alteration/re lacement ❑Other: ❑Service over 3?0 amps rating of ❑Building over 10,000 square trot, 1&2 family dwellings four or marc residential emits in _1 &2-Fauvly dw_ e111ng - .ommerciaU dustrial ❑System over 600 vola nominal one structure ❑Building over three stones ❑Feeders,400 amps or more �] Accessory H>lilding �f Multi-Family Q Occupant load over 99 persons ❑Manufac:Wd e'ichors or RV park Master Builder Other: ❑Egress/IighNnq plan (�Other:_ - Submit_seta of plans with any c f the above. MIN The above are notapplicable to tem orae to 5struetloo service. Job site address: ' V o S.LII,C�,gperlogdR� IEIU I ��a Suite#; /3O Blld./A to Number of inspections per permit allowed Project Name: eec-c `�Y D e-_may C' &.'A2C 1DPseri tion Fee(#a.) local IVew resideorlat-siul l�or multi-tardily per Cross stteettt0irections to job site- dweiling anit.Incladra attached garage. Service Included: 1000 eq.R ur lees 145.15 4 Each additional 500 sa R or portion thereof 33.40 I Lot#: Limited energy,residential 75.00 _ 2 St1bd1V1SlOri: Unwedener nonresidential 75.00 Tax irla p/Jd3 Cel 0: Each manufacaued home or riI dwelling r I pliyri —m service and/or feeder Services or(eeden-installation, alteration or relocation: -- LUU aim sot less 80.30 2 201 amps to 400 smps 106.85 2 401_ s m 6UU ata a 150.60 2 to ► l ► t - -- 901 amps to 1000 s ---- 0,60 - 1 Over 1000 ams or volts 454.65 Name: Recntmert nal 66,8 Address Temporary services or ceders-Gotallatloe, - - ------' - alteration,or relncatlont City/State/Lip: -- 200 a,n a or leas 66.85 1 Phone: FIX. 201 ar k!to 400 amts 100 30 2 301 to 601 amps _ 133.75 2 - - Branch circuits-new,alte.rstion,or Name: - — --- --_--� e:rtension per panel: - \-Fee ti it branch circuits with pvtchme of Address: _ _ service or fender Fee,each branch circuit 6.65 2 Cl /$tate/Zl : B.Fee for b much circuits without ptnchase of - -- --- service of feeder fee.Bter hmnch ciI 46.85 2 Phone: Fax: _— Each 3da;ti��ual tRanch cir 6.65 _2 E-mail: Mlsc_(Servirr at feeder am included): Each Putup or itri tion ctrclo 53.40 2 Each siaa or uridine lighting 53.A0 1 2 Job No_ 7417 Zilll C1 ` �;14 ..Z sipuil cucuit(s)or a limited energy panel, alteration.or eotaension Page 2 2 Business Name: ir� U.VA) Zb- GibZ1UDZL!7S_ D-clipti,n Address: oo c' it, A dx 4Q Each additional Impeetien o!!er the allowable to ally of the above: Ci /State/Zip: e- per ipgection pet bola(pain,fhour - 62.50 ---- Phone: ;i- ��T h'S0 Q. Fax V 1—7- F 1�_ iavwh too — CCB Lic.#�7-.3`/Ga— t_ o'er. Supervising electrician _ /; Subtotal $ 5 c t si atur_e a uiredt _ Plan Review(25%of Permit Fee) S Print Nam K,L I,ic.#: 3CLS3t Lt'A _ State Surchlirae(Vin 0f Permit Fee S OU TOTAL PER)VIIT FEE S Authoti'ed � -- Notice: This permit application snpires if a permit Is not obtained within Sika Date-&/Wl 180 days after it has been accepted as complete. `Fee methodology set by Tri-County Building Industry Service Board. (Please print na i:\bets\remutFormt\HlePernutApp.doe 01/03 CITYOF TIGARD MECHANICAL PERMIT DEVELOPMENT SERVICES PERMIT #: MEC2003-00624 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 10/30/03 PARCEL: 1 S135AB-01003 SITE ADDRESS: 10300 SW GREENBURG RD 130 SUBDIVISION: LINCOLN ONE=/RED LOBSTER/CASA L. ZONING: C-P BLOCK: LOT: JURISDICTION: TIG CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS: TYPE OF USE: COM UNIT HEATERS: VENT FANS: OCCUPANCY GRP: B VENTS W/O APPL: VENT SYSTEMS: STORIES: BOILERS/COMPRESSORS HOODS: FUEL TYPES _ 0 3 HP: DOMES. INCIN: 3 15 HP: COMML. INCIN: MAX INPUT: BTU 15 - 30 HP: REPAIR UNITS: FIRE DAMPERS?: 30 - 50 HP: WOODSTOVES: GAS PRESSURE: 50 + HP: CLO DRYER;: FURN < 100K BTU: AIR HANDLING UNITS OTHER UNITS: FURN >=100K BTU: <= 10000 cfm: GAS OUTLETS: > 10000 cfm: Remarks: I'rojecr \;slur: �800.00 Owner: ---- FEES ---- EOP LINCOLN, LLC Description Date Amount 10260 :;W GREENBURG RD �Il r l l j I'crmir FCC 10/30103 — $72.50 SUITE 100 PORTLAND, OR 97223 I �� ti�,irr tiurrh;irl 1Q/30103 $5.80 ^_ Phone: Total $78.30 ---- -- Contractor: MCKINSTRY CO 5400 NE COLUMBIA BLVD PORTLAND, OR 97218 REQUIRED INSPECTIONS Mechanical Insp Phone: Final Inspection Reg #: LIC 40981 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days ATTENTION: Oregon law requires you to follow rules adopted in the Oregon Utility Notification Center. Those rules are set forth in OAR 952.-001.00 1 IssrAd By: 5l Permittee Signature: (C( _ 1 Call (503) 639-4175 by 7:00 P.M. for inspections needed the next business day Mechanical Permit Application City of Tigard Date received: /c" B.7 c J PCr mit no.:NF0 -00 V � RrojecUappl.no.: Expire date: _ Clo,ofTlgard Address: 13125 SW Hall Blvd,Tigard,OR 97223 - Phone: (503) 6394171 Date issued: By: I Receipt no.: Fax: (503) 598-1960 Case file no.: Payment type: Land use approval: Building permit no.: U DOJ-(x'�(p a ol• U I &2 family dwelling or accessory XCommercial/industrial U Multi-family U Tenant improvement U New construction UAddition/alteration/replacement U Other. Job address: 10S00 !:)CO C^, E/V Indicate equipment quantities in boxes below.Indicate the dollar Bldg. no.: OVC LIV(:44iV - I Suite no.: 13C) value of all mechanical materials,equipment,labor.overhead, Tax map/tax lot/account no.: profit. Value S i!1�00 Lot: Block: I Subdivision: *See checklist for important application information and Project name: Adece_p jurisdiction's fee schedule for residential permit fee. City/county: -10AE-0 I ZIP: Description and location of work on premises: RE11�C ATB all (!)2E'rr(_rw(.SIL/e L.r A00 (Z) eC-rogAl &gjUS Fee(ea.) Total Est.date of completion/inspection: //-16-e-0 j Dem-fl ion (Py. Res.oni Res.onl Tenant improvement or change of use: 7Arh..dlungunil_._____CFM _ Is existing space heated or conditioned?U Yes U No Air conditioning(site plan required) Is existing space insulated'?U Yes ❑No tcmuon of existing I MAT system -- -- But edeompressors Businessname: MCLINSTKState boiler permit no.: .y ��), HP Tons BTU/Il Address: l 1 _ Fire/smo a a�mpers/Fuc smote detectors _ - City: �I I d _ State:(J2 7.IP: 71_! !Test pump srte p an require Phone:sq. 3f.t?2, Fax: 31( p6 E-mail: —_ nets reparep cesumac umer Including ductworlu'vent liner U Yes U No CCB no.: nsta rep ace re ovate eaters suspen e , - City/metro lic.no.: W //7 _ wall,or floor mounted Name(please print): r-/VA?�/V - Vent for liance other than furnace Refrigeration: Absorption units B'fU/II Name: CL/P N042eA/ Chillers -__- IIP - ------�---- C'ornpressors _ __ IIP Address: NO & J A1&(4 !3l�o r_ nr roetsrceta ez- oat• vent lip on: ('ity�j�rf State: LIP: �- Applianre vent _ Phone:5()3,3:51.0 73 y Fax:3N.e,.e li E-mail: Dryer exhaust Ifoods,Type I/Wres.kitchen/hazmat hood fire suppression system Name: -_ A-_--_` - _ Exhaust fan with single duct(bath fans) Mailing address: Exhaust system a art from heating or AC City: State 7.IP: ^ ! w `an p p ndistribution(up to 4 outlets) - ---- - Ty vc _ 1 116 NG Oil Phone: Fax: E-mail: - ue t m euc a uto-nTover�ouT- ---- � -� roresa piping(sc ematic regw ) Name: Number of outlets --------------- 1 er slTapplrcc o�eqT-rent: - - -��- Address: _ Decorative fireplace City: _- -- _ Ste te: IIP: Insert type Phone: Fax: E-mail:: Woodslove/pellet stove Applicant's signature:t t C - t Date: IC-27-c A, -- Name(print): C L/f `(/ 7611/ N(A all Vha�d ct M�acce t credit da earth. tease call urisdkann for nx,n tnfi,nna im Permit fee ..................... S - i ev v 1 � Notice: This permit application ofobin Minimum fee................ S -��- CraW cad number 1 L expires if a permit is not obtained plan review(at _-_. %) S --- —'—i �-Zs-irei_- within IAO days slier it has been _ _ p State surcharge(8%).... S --7- or — -mint canlhol�u sTio—wn on�� accepted a8 complete. -�, S TOTAL........................ S 1 _ _ tiidfiallder Tanerotc-_-'-- -mowT 4404617(Maa/COM) A CITY OF TIGARD ELECTRICAL PERMIT PERMIT#: ELC2003-00649 DEVELOPMENT SERVICES DATE ISSUED: 10/23/03 13125 SW Hall Blvd.. Tiqard, OR 97223 (503) 639-4171 PARCEL: 1S135AB-01003 SITE ADDRESS: 10300 SW GREENBLIRG RD 130 SUBDIVISION: LINCOLN ONE/RED LOBSTER/CASA L ZONING: C-P BLOCK: LOT : JURISDICTION: TIG Project Description: JOB NO, 504 Tenant Improvement RESIDENTIAL UNIT TEMP SRVC/FEEDERS_ MISCELLANEOUS 1000 SF OR LESS 0 200 arnp: PUMP/IRRIGATION: EACH ADD'L 500SF: 201 - 400 amp: SIGN/OUT LINE LTG: LIMITED ENERGY: 401 - 600 amp: SIGNAL/PANEL: MANE HM/SVC/FDR: 601+amps - 1000 volts: MINOR LABEL (10): —__ SERVICE/FEEDER BRANCH CIRCUITS ADD'L INSPECTIONS 0 200 amp: W/SERVICE OR FEEDER- PER INSPECTION: 201 •• 400 amp: 1st W/O SRVC OR F!>H: 1 PER HOUR: 401 - 600 arnp: EA ADD'L BRNCH CIRC: 2 IN PLANT: 601 - 1000 arnp: _ __ __PL_AN REVIEW SECTION_ 1000+ amp/volt: > 4 RES UNITS: >600 VOLT NOMINAL: Reconnect only: SVC/FDR—225 AMPS: CLASS AREA/SPEC OCG: Owner: Contractor: EOP LINCOLN, LLC WILLAMETTE ELECTRIC INC 10260 SW GREENBURG RD PO BOX 230547 SUITE 100 1IGARD•OR 97281 PORTLAND,OR 97 223 Phone: Phone: 503-624-3631 Reg #: LIC 75059 -- ----- SUP 1965S _ FEES _ ELE 34-283C Dc,tcription Date Amount Required Inspections GIPRMT1 GLC Permit grn 1 , j 1'A N j R"i State Surcharg.c l u't n k Elect'I Service Elect'I Final Total $64.96 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'rf work is suspended for more than 180 days ATTENTION Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center Those rulas are set forth in OAR 952-001-0010 through OAR 952-001-0100 You may obtain copies of these rules ordirect questions to OUNC at(503) :.46.6699 or 1-800-332-2_344 Issued By: c�- t _ Permit Signature: _ '1t' NER INSTALLATION ONLY _ flux installation is being made on property I own which is not intended for sale, lease, or rent. OWNER'S SIGNATURE: DATE: CONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR. ELEC'N: _—_-- - — _ - DATE:. _ ---_-- -- __--_ — LICENSE NO: Call 639-4175 by 7:00pm for an inspection the next business day V leytrical Permit A a tion Received electrical -- - � baiclB : Permit No.. City Or Tigard Planning Appr al sign �r Uate/Dy: Permit No.: 13125 SW (fall Blvd. OCT 2 3 2003 Plot Review Other Tigard,Oregon 9'1223 Uate/D : Permit No.: Phone: 503-639-4171 Irar'1(1"Of"D Post-Review Lend Use Date/By: Case No.: Internet: www.ci.tigaid. �yF WING,QIVIV) Contact Jurie.: _see Page 2 far -639-4175 Name/Method: _ n Su rlemenlal Information. 24-hour Inspection ReqURP TYPE ON WORK_` 4:' ','0 �,'' "" ''rt; PLAN REVIEW Please check all th tap New construction Demolition Service over 223 amps- Q licalth-care facility commercial ❑1la>•ardous location Addition/alteratiocment Other: Q service over 320 amps-rating or p Building o-ver I0000 square feet, CATEGORY OF CONST 1'10 'I pry�___tell Ido 2 family dwellings four titnwrc residential units in I &2-Family dwelling _C_ommercial/Industrial ❑system over 600 volts nominal one etructur,- ❑Building over Ihree stories ❑Feeders,MY)amps or more Accessory Building Multi-I'ar11flY _ ❑Occupant load over 99 persons ❑Manurnomed structu+es or RV park Master BuilderOthef: t7 Bsress/lighting plan ❑Uthcr:,____ - T- submit__sets or pians will,any of the above. JOB SITE INFOItb1AT10N lin OCATION ' +, 'the above are not o r Ilceble to temporary construction service. Job site address: ,. I:EE"SCIIEUULE: Y•1�IL1_aJ'... _ _ __ Suite#: Bld ./A 1.#: L) , r i Number of It rectlons er ermit allowed Project Name:`/ , r + - I)escron 41r Fee(ea.) lana`T l N CfOSS StiCCt/DIreCTIUt1S IO job site: New residential-single or mull!-(anally per J dwelling unit.Includes attached garage. Service Included: I(IOOsq.n_or tees _n _ _ 145.15 Fe4 ch additional 500 aq .or purtio_n thct_eof 33.40 1 Subdivision: Lot#: Limited amen y�residentisl _ 73.00 __ 2 - Limited energy,nonresidential 75.00 2 Tax ma / arccl N: Far-h manufactured hone or modular dwelling ry UESC1IlPTlN; F r r service and/or feeder 90.90 2 WO ',yr . i1 ' Services or feeders-Installation, L* a,- alteration or relocation: 200 ernes or less __. __. 80.30 2 ----- - — ----- 2ol amps to 400 amLs---.-------------_- _ 106.85 2 4o I amps to 600 amps _ _ _ 160.60 2 V It'Y WIvFk N 'r '` 601 amps to IMO amps 240.60 2 Over 1000 amps or vc,lt_s__ _ -- 434.65 2 Name: _ _ _Reconnect only �T 66.85 2 Address: Temporary services or feeders-Installation, alteration,or relocation: city/state/zip: _ - v� 2W amen or kgs— -�--- 66.85 1 Phone: Iax: _201 am lu 4W amps __� _ 100.30 _ _2 401 to 600 am 133.75 2 T _y CON Aly$' A .;'wr c, Branch circuits-new,alteration,or Name: extension per panel: _Address: A.Fee rot branch circuits with purchase of service or feederfeee.each branch circuit 6.65 2 City - B.Fee rot lii�nch cir_cuits without purchase of 4 5' — — service or feeder fee first branch circuit / 46.85 yi, 2 Phone: Fax: Each additional branch circuit 6,63 2 E-mail: Misc.(Service or feeder not included): Each M or ini ,tion circle _ 53.40 2 Each sign or outline 11240% 53.40 2- Job NO: ) Signal circu0(s)or-i limited energy panel, `- - _ alteration,or extension Pa e 2 2 BUSIIIe33 Name: W , 1, �L Description: - Address: PO_19& z 3c) sy ?- o — Each additional Inspection over the allowable Ind of the above: City/State/Zip: -t 0A /}�E Per inspection per hour min. I hour 62.50 Phone: 4 z ;r,3 Pax: 42 4 - Zy;ear Investi�atttm ke - _r�__.---- CCB Lic. #: Lic. #: SL - 2 C_ A a 'n'v EI CtrIcMI,Pli' Feb. , T Supervising electrician , i / _ Subtotal S 1.u signature required: ._ Plan Revie, (Z5 of Permit fee) S Print_Namc: 04 r UC.#: __– State Surcharge(81/e of hermit Fee) S — _ TOTAL PERMIT FEE S_^lr�, E_ Authorized Notice: This permit applleation etpll es If a permit Is not obtained within Signature: bate: 180 days after 11 hes been accepted as romplele. *Fee methmloing-v set by It I-founts•Building Industry Service Board. (Please print name) - i:\L%U\Permit Fornu\Glchem;utApp.doc 01103 Electrical Permit Apt)licatiun - City if Tigard Page 2 - Supplententrll Information LIMITED ENERGY PERMIT FEES: I(ESIUENTIAL WORK ONLY: ___ Fee for jlll systems....... ................................................... $75.00 Check Type of Work Involved: DAudio and Slcrcu SyslcITIO C, Burglar Alatlll lJ Garage 1)Irlr Upenet* C7I leating,Ventilation and Air Conditioning System* V-1cuum syslenLt* C] Other (oNINIERCIAL WORK ONLY: _ Feefor each systerll.......................................................... $75.00 (SGL OAR 918-260 260) Check Type of Work Involved: Audio and Sleleo Systclls C] Boiler Controls UClock Systems C� Nta Telecommluncalion Installation Fite Alarm Inslallalion IIVAC UInslnmxntanun Intercom Ind Paging`ystellLs Landscape Irrigation Corlrol* i ❑ Medical Nurse Calls Outdoor I andscape I ighting* C, Prolective Signaling El Other --- Nmnbet of Syste,ns " No licenses are required. Licenses are required for all other installations i"U\permil Frnns\l?Icl`c mutAppPg2.doc 01103 Ue Dof CITY OF TIGARD 24-Hour BUILDING Inspection Line: (503)639-4175 MST INSPECTION DIVISION Business Line: (503)639-4171 - BUP -- --- -----_._.— Received P _Date Requested_- .. � �� AM— PM BUP - L.ocation ._ _. 00, __ _.w—�1�y={'/-��}---Suite--[. - Suite_-[. _-- MEC Y ti Contact Person _1& - -p �1[--- Ph PLM -- ------ Contractor------------- _-- -- Ph( ) __---• SWR — BUILDING Tenant/Owner ELC _- F noting ELC Fowidation Access: � - �� Ftg Drain ELI��.3 Crawl Drain - Slab Inspection Noter: SIT - - Post& Beam ��Y�S _-- Shear Anchors I"� j ( (� '*-o Vri Le e_l " Ext Sheath/Shear - - ----- Int Sheath/Shear Framing -- --- -- Insulation Drywall Nailing -- — - --- - ----- - --- Firewall Fire Sprinkler --- --- -- —�� --- Fire Alarm Susp'd Ceiling --- - � - ----- Roof Other: - --- - - - Final PASS PART_ FAIL - -- ��--- ---- ----- --- P_LUMBING_�_____ -- - — -- - ------ --- ------- -----.__ .. Post&Beam - Ur der Slab ----- - - -- -- - _--------- ------ -_ — Hough-In Water Service -- ----- _. - -- - �- ---__-_.-__-- sanitary Sewer Rain Drains - ------ _ _ --__ --------------- Catch Basin/Manhole StormDrain --- ----- - - _ _---_-------_- ------- ------------------- Shower Pan Other: -- ---------- ---- ------------------- Final PASS PART FAIL ME_CHANICA_L_ -- Post&Beam Rouah-In ---- - -- - - ---- --- - ---- Gas Line Smoke Dampers -- Final PASS PART FAIL --- - ------------------------------..._-_ ---- ---- Service Rough-In — ---- --- - -- ----- -- --_------- UG/Slab c._� CowVbTC Q? C - -- ---.---- - --- --- - --- � rm ----- l '-RA��ART FAIL � Reinspection fee of$_—__. required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. SITE_ - Please call or reins action RE _ -_ ____- n Unable to inspb:t- no access Fire Supply Llne ADA Approach/Sidewalk Date Inspector - Other: Final 60 NOT REMOVE this Inspection record tom the Job site. PASS PART FAIL CITY OF TIGARD 24-Hour BUILDING Inspection Line: (503)639-4175 INSPECTION DIVISION Business Line: (503) 639-4171 MST BLIP -- -- -- Receivod _ Date Requested l l'��' AM —__.-- PM ----___-- BLIP -------_-__.-- Location _-_- 1 D�n� —_^ Suite_ 23 i�--___. MEC Contact Person Person _ ._ Ph( ___ PILM Contractor --- -------- -- ----- Ph(--- ) --! '-'•� /— SWR ----.— __--BUILDING Tenant/Owner Tenant/Owner ELC Footing ELC Foundation Access: Ftg Drain ELR Crawl Drain Slab Inspection Notes: SIT W.._ Post&Beam Shear Anct ors - -- - --- Ext Sheath/Shear Int Sheath/Shear Framing Insulation Drywall Nailing ---- --------__ ------_-_-- Firewall Fire Sprinkler ------- — - -- Fire Alarm Susp'd Ceiling ------- Roof Other- Final ther Final PASS_ PART FAIL PLUMBING Post& Eleam Under Slab - -- - - - -- ------ -- Rough-In Water Service -- - _ Sanitary Sewer Rain Drains -- - - �- Catch Basin/Manhole Storm Drain -- Shower Pan Other: _ _ - Final PASS PARTFAIL MECHANICA_L Post ABeam — - ------'— Rough-In Gas Line Smoke Dampers - -- Final PASS PART FAIL ---- -- ELECTRICAL Service -- _---- ------------- Rough-In - IJG/Slab - — -- I ow Voltage Fi larm iris [�PART FAIL Reinspection fee of$ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. _ _ t] Please call for reinspection RE: _ Unable to inspect-no access Fire Supply Line ADA '' `' Approach/Sidewalk Date Azv- / Ca__ Inspector _��_ Ext --- Other: _ Final DO NOT REMOVE this; inspection record from the Job site. PASS PART FAIL ---- BUILDING PERMIT CITY OF TIGARD — PERMIT#: BUP2003-00622 DEVELOPMENT SERVICES DATE ISSUED: 10/22/03 13125 SW Hall Blvd.,Tiqard. OR 97223 (503) 639-4171 PARCEL: 1S135AB-01003 SITE ADDRESS: 10300 SW GREENBURG RD 130 SUBDIVISION: LINCOLN ONE/RED LOBSTER/CASA L ZONING: C-P BLOCK: LOT: JURISDICTION: TIG REISSUE: FLOOR AREAS EXTERIOR WALL CONS('RUCTION_ CLASS OF YVORK: ALT FIRST: 1,135 sf N: S: E: W: TYPE OF USE: COM SECOND: sf _ PROJECT OPENINGS? TYPE OF CONST: 2FR sf N: S: E: W OCCUPANCY GRP: B TOTAL AREA: 1,135 sf ROOF CONST: FIRE RET? OCCUPANCY LOAD: 11 BASEMENT: sf AREA SEP. RATED: STOR: 5 HT: ft GARAGE: sf OCCU SEP. RATED: BSMT?: MEZZ?: REQD SETBACKS REQUIRED _ FLOOR LOAD: psf LEFT: ft RGHT: ft FIR SPKL: SMOK DET: DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP ACC: BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING: VALUE: $ 7,500.00 Remarks: Tenant improvement, create new offices. Owner: Contractor: EOP LINCOLN, LLC C SCHIEWE & ASSOCIATES INC 10260 SW GREENBURG RD 1024 NE DAVIS ST SUITE 100 PORTLAND, OR 97232 PORTLAND, OR 97223 Phone: Phone: 503-234.6617 Reg #: LIC 54105 FEES— — —_ REQUIRED INSPECTIONS Description Date Amount Mechanical Permit Require IWILUj I'ermir I rr 10/22/03 $120.10 Electrical Permit Required I'AX 8%Slaw I a� 10/22/03 $9 61 Framing Insp I l Gyp Boerd Insp II I.SI 1:1.s 1'In Its 10/22/03 $48.04 Final Inspection IBtII'PLNI I'In k\ 10/22/03 $78.06 Total $255.81 This per 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 riot 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 952-00'1-0010 through OAR 952-001-0100. You may obtain a copy of these rules or direct questions to OUNC by calling (5 0,19 or 1-800-332-2344. Issue By: Permittee —�- � Signature: �' Call 639-4175 by 7 p.m. for an inspection the next business day Building Permit Application Received Building Dale/13 : Pernut No. rp City of Tigard Planningi1Z val Other -�w3'_4Qloa� 13125 SW hall Blvd. Date/By: Permit No. Tigard,Oregon 97223 flan RevOther Phone: 503-639-4171 Fax: 503-598-1960 Datc/B : 2.0J f3f� Permit No. A k Post-Review land Use -- Internet: www.ci.tigard.or.us Dale/1) : _ Case No. 24-hour Inspection Request: 503-639-4175 Name/Namc/Method: Juris.: see Page 2 for — _ Sar Irmental Information TYPE OF WORK New construction Demolition REQUIRED DATA: Addition/alteration/re lacement 1 &2 FAMILY DWELLING !�_r ❑OhCATEGORY OF CONote. Permit fees•are based on the total value of the work performed. Indicate❑ I &2-Famil dwellin ommercial/Industrial the value(rounded to the nearest dollar)of all equipment,materials,labor, ACCCSSOry Building _ Multi-Family overhead and profit far the work indicated on this application. Master Builder Other: _ Valuation......................................................... g JOB SITE INFORMATION and LOCA'I'lON No.of bedrooms: No.of baths: — - Job site address: L 500 9W Gr ur � Total number of floors..,... `—�—- Suite #: 50 fib: New dwelling area(sq. R.).. --` - Bld ./A-pt.#:� i�rp n Garage/carport area(s III.)..............� ...�......., - Pro'ect Name: q )............................ -- _ Covered porch area(sq. R.)............................. - - Cross street/Uirections to job site: Deck area(sq. t).)................ — Other structure arca(sq. ft.)........................... REQUIRED DATA: Subdivision: _ __ —Lot#_ COMMERCIAL-USE CIIF.Mi;;T , Tax map/parcel #: Note: Permit fees*are based on the total value of thework performed. Indicate DESCRIPTION OF WORK the value(rounded to the nearest dollar)of all equipment,materials,labor, e Y)t_I mproylemem_ - overhead and profit for the work indicated on this application. valuation.......................... s7500pO - _ - Existing building area(sq.ft.)......................... , .. -- New building area(sq. ft.)............................... _FE3X -rf PROPERTY OWNER Number of stories.................. .............. ��== TENANT """"' S p�T- -- �— TYPc of construction............................ ....... . Name: EOWITY CFF(aE F11,0PC11TIE40. Occupancy group(s): Existing: -- Address: Ong SW Corm bi a SO le- New: 3no City/State/Zip: Portland e) 0)72Z8 Phone:503 12-�j0 Fax: NOTICE: All contractors and subcontractors arc required to be APPLICANT'' CONTACT_ PERSON — licensed with the Oregon Construction Contractors Board under Business Name: GSD _r F provisions of ORS 701 and may be required to be licensed in the �, jurisdiction where work is being performed. If the applicant is exempt Contact Name: fk (L. GIor from licensing,the following reason applies: Address: ( 2-o NW Couch S,- Svi+,e 300 Cit /State/Zin- Porta Op.,, - -- - -- - Phone:50, 2Z -9wro6� Fax: - - — -- E-mail: --- BWLDI�G rERritlT�l t;s• T�tACTOR -_��._— 'lease i8i" ��d.fee thidule., his Business Na,---- CCoit-GVC'6'0n Address: 1OZ NE Davis s - Fees due upon application Cit /State/Zi : :: Jv� 0k . 97Z 3'Z Amount received.................... .. ... .... .... ..... S Phone501, 23 -- -- - Jf Z----` ax Uatc received: CCB Lie. #: 5 105 Date - — - ---- - Authorized ---.�_ --- ------�� -- ----) Signature: Date: Notice: This pet oill application expires if a perinit is not obtained nithin IRO days after it has heeu accepted as eantplele. (Please print name) 'fee methodology set by Tri-County Building Industry Service Board. i:U),ts\Pamit Form\BldgPermiL4pp.doc 01/03