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10300 SW GREENBURG ROAD STE 195 0 w 0 0 G7 m tr c 1 U3 O D) CL cc 10300 SW Greenburg Road #195 0 CITYO F T I GA R D ` CERTIFICATE OF OCCUPANCY DEVELOPMENT SERVICES PERMIT#: BUP2002-00196 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 5/21/2002 PARCEL: 1 S135AB-01003 ZONING: C-P JUP.ISDICTION: TIG SITE ADDRESS: 10300 SW GREENBURG RD 195 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: TENANT NAME: SPEC SPACE REMARKS: Ruild new wall for existing lunch room, install new Counter Owner: EOP LINCOLN, L.LC 10260 SW GREENBURG RD SUITE100 pR g7v P P11Lr1eND�34=661T3 Contractor: C SCHIEWE + ASSOCIATES 1024 NE DAVIS PORTLAND, OR 97232 Phone: 234-6617 Reg #: LIC .54105 This Certificate issued 7/25/211112 grants occupancy of the above referenced building or ortion thereof and confirms that the building has been inspected for compliance with,the State of Oregon Specialty Codes for the group, occupancy, and use un er Which the referenced permit was uJed. ----� .. �- � J/ �ccLr, BUILDING INSPECTOR_._...___. ..___. BUIL CIAL POST IN CONS911CUOUS PLACE CITY OF TIGARD 24-Hour BUILUNG Inspection Line: (503) 639-4175 INSPECTION DIVISION Business Line: (503) 639,4171 MST 1. , DUP Received — __Date Reque�ed oZ . AM — _PM. _—___ _ BUP Location Suite MEC _ t Contact Person _.-- _ -_-- Ph 3 4�J PLM ' Contractor -- _ Ph( ) _ SWR BUILDING —_ _ Tenant/Owner _ _ ELC V _ Footing Foundation Access: ELC Ftg Drain ELR Crawl Drain Slab Inspection NotF;. �-, SIT PosShe Beam She arr Anchors Y ---- Ext Sheath/Shear Int /Shear Framingming ((fi1�� /r O .? �- 7 t _ V Insulation Drywall Nailing A -- —_—_ Firewall �� Fire Sprinkler Fire Alarm -�� c�—_� � � Susp'd Ceiling — --- Root Other PART AS MBING Post& Beam --- -- Under Slab Rough-In Water Service Sanitary Sewer Rain Drains - — Catch Basin/Manhole Storm Drain Shower Pan Other: Final PASS PART FAIL - --r "— --- -- — ---� MECHANICAL Posy&Beam __ - - __ ..-- — -----.._.—_--- -- -- ----- Rough-In -- - --- - — --_..__.--�-- -- --------- Gas Line Smoke Dampers —_— Final PASS PART FAIL_ - -- -- - -- - ---_ __.-----------__-- ELECTRICAL 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 Please call for reinspection RE: --._ Unable to inspect-no access Fire Supply LineADA Approach/Sldewalk Dates �'� Inspector Other: Final DO NOT REMOVE this Inspection record from the Job site. PASS PART FAIT_ � CITY I T` ' O F T I G A R D BUILDING PERMIT `� PERMIT #: BUP2002-00196 DEVELOPMENT SIcRVICES DATE ISSUED: 5/21/02 13125 SW Hall Blvd.. Tigard. OR 97223 (503) 639-4171 PARCEL: 1S135AB-01003 SITE ADDRESS: 10300 SW GREENBURG RD 195 SUBDIVISION: LINCOLN ONE/RED LOBSTER/CASA L ZONING: C-P BLOCK: LOT: JURISDICTION: TIG W REISSUE: FLOOR AREAS _ _ EXTERIOR WALL CONSTRUCTION CLASS OF WORK: ALT FIRST: sf N: S: E: W: TYPE: OF USE: COM SECOND: sf _ _ PROJECT OPENINGS? TYPE OF CONST: 2FR sf N: S:—�� E: i W: OCCUPANCY GRP: B TOTAL AREA: () (10 Sf ROOF CONST: FIRE RET? OCCUPANCY LOAD: BASEMENT: sf AREA SEP. RATED: STOR: HT: ft GARAGE: sf OCCU SEP. RATED: BSMT?: MEZZ?: _ _ R_E_QD SETBACKS _ _ REQUIRED__ _ FLOOR LOAD: psf LEFT: ft RGH r: ft FIR SPKL: SMOK DET: DWELLING UNITS: FR . : ft REAR: ft FIR ALRM : HNDICP ACC: BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING. VALUE: $ 5,000.00 J k . -ks: Build new wall for existing lunch room, install new counter. Owner: Contractor: EOP LINCOLN, LLC C SCHIEWE + ASSOCIATES 10260 SW GREENBURG RD 1024 NE DAVIS SUITE 100 PORTLAND, OR 97232 P�pTI_AND, OR 97223 Phone- 234-6617 U'le: Reg #: LIC 54105 _ FEES REQUIRED INSPECTIONS — Type By Date Amount Receipt Mechanical Permit Require PRMT CTP, 5121/02 $91.30 27200200000 Electrical Permit Required Plumbing Permit Required 5PCT CTR 5/21/02 $7.30 27200200000 Framing Insp PLCK CTR 5/21/02 $59.35 27200200000 Gyp Board Insp FIRE CTR 5121/02 $36.52 27200200000 Final Inspection Total $194.47 ^ This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire If work is not started within 180 days of Issuance, or if work Is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-1987. You may obtain a copy of these rules or direct questions to OUNC by calling (503)246-6699 or 1-800-332-2344, Permittee Signature: Issued BY' c Call 639-4175 by 7 p.m. for an inspection the next business day Building Permit Application City of Tigard I)atcreceived: t j �' 'L Permit no.: k1 �J •(C// (O Address: 11125 SW Ilall Blvd,Tigard,OR 97223 Project/appl.no.. Expiredate: CirynfTignrd phone: (503) 639.4171 1 tutc issued: _L11-L, Receipt no.: Fax: (503) 598-1960 Case file no.: Payment type: Land use approval: 1&2 family:Simple Complex: U I &2 family dwelling or accessory U Cummcicuu/indusuutl J Mull lanuly U New construction U Demolition U Addition/alteration/replacemettt ATenant improvement U Fire sprinkler/alarm U Other: _ JOB SITE INFORMATION Job address: 16 * i95 Bldg,no.: Suite no.: )q5 Lot: Bic I Tax map/tax lot/account no.: Prc iect name: �(0.(`�y�Tn0.1r1 — &W}c m5 — Description and location of work on premisrs/special conditions: VaCAn4 Suae,- yM0d t 6Mj0 fM %ink%A C�bix�f Name: � 11-tf OFf1C1: YLQ- T16S (I loo4pialn.septlecapaclil,solar,ifir.) Mailing;address: d. 100 1 & 2 family d"elling: CI ity; �r Starr: ZIP: 2;L-6 Valuation of work........................................ $ ---- Phone: 3, ,a Fax: E-mail: No.of hedrooms/baths................................. —� Owner's representative: PrpptjhjA6WTotal number of floors................................. �— Phone: Fax: E-mail: I New dwelling area(sq. ft.) .......................... Garage/carport arca(sq,ft.)......................... Name: E,(�U�—U1FF1(.1� VfjU?V-T1 F.,iS Covered porch area(sq.fl.) ......................... Mailing address: S Deck area(sq.ft,) ................ ....................... City: �- y State: ZIP: 2 Other structure area(sq. h.)......................... Phone: Gnutil: Commercial/industrial/multi-family: Valuation of work... $ Business name: Existing bldg.area(sq.ft.) .......................... je,al 1 ar _ S �.}1C1.�)� '�_ �SS(iC Address: 1Oaq N — 5 New bldg.arca(sq. ft.)...............I................ City: Stated ZIP: -- Number of stories........................................ (15 A UL Phone: .l0 1} Fax: E-mail: Type of construction.................................... _�L= F9— CCB no.: Occufancy group(s): Existing: 8 "}-1105 - --- Nrw: B City/metro lic.no. 7Notice:All contractors and subcontractors are required to be with the Oregon Construction Contractors Board under Name: ns of ORS 701 and may be required to be licensed in the Address: icn where work is being performed. If the applicant is Cit State: I►P u� exempt from licensing,the following reason applies: Contact person: Plan no.: Phone:MWEENNil -- ae�s Name: Contact person: Fees due upon application ..............I............ Address: Date received: City: State: ZIP: Amount received ......................................... $ —,-- Phone: Fax: TE-mail: Please refer to lee schedule. I hereby certify I have read and examined this application and the Not all jurisdictions accept credit code,please call jurisdiction for nude infatuation attached checklist. All provisions of laws and ordinances governing this U Visa U MasterCard work will be complied with.whether s:enci✓fled h�in or not. credit card numberAuthorized signature*signature:" YI(-_��y �jl °](�y��' Date: Name or cardholdet as shown on credit card Print name:_ �7"�_Sdt`_�s` L1 l — — Cardholder sianeture $ Amount — Notice:This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. 4"l1(crnx>,'r0M) i Columercial Plain Submittal Requirement Nlatrix City of Tigard TYPE OF SUBMITTAL # of Plans (Includes New, Additions or Alterations) Required at Submittal Site Work 4 (must include location of all accessible parking) Plumbing - Site Utilities 2 Building 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 NICET level "3" technicians. I:WstsUormslCOM-malrix.doc 9/24/01 Accessibility: Harrier Removal Improvement Plan Cil)'of Tigard REQUIREMENT: OREGON REVISED STATUTE (ORS) 447.241. (1) Every project for renovation,alteration or modification to affected bt.tildings 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 oath 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 done excluding painting, wallpapering. [1] $ 5'�OC� multiply- 25% Barrier removal requirement. .25 BUDGET FOR BARRIER REMOVAL [2] $ _1 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 [0} Ks['rippiK5, KW twbeu�K r sidpwei.Q,tS 1 $ _ Q�r bw ld r o_� erg A}^ces ;< bLe. ;po�rl P43 stuff 5 (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) Accessible telephones: $ (f) Accessible drinking fountains: and $ (g) When possible, additional accessible elements such as storage and alarms: $ QAL: Shall a LjAI line 2 of Value Computation $ iAdsts\formAAccessibility,doc 09/24/01 04/05/02 19:09 FAX 5008922510 EQUITY ITY OFFICE LINCOLN CE ► CSA QJ UO2 fir". .GAG �;laxrrl N0.1318 F .2 r is .'r I U 1 1 I IL --- QA i � f i PY f7 TIG A proved.- ---------- --- ' l .. �L rove _ r only the WG►klaq p RMIT N . S e I_etter 1): Follow. ro (� Job Andress'. C Date:�L--.�- �1 .. '...wrrw__ IX --------I -- 1 .--.,wr_ -____rr �/ CY J�GV1/d A10iL 1 i ---'------- f I1 I CO0�i ��` - fyct/ 1 �ff. u-Zoo I ,T Hero- 1ca.Lt. CQy�i�� r VI/ t�l,:� (vJ) si n�> • bu i Edi� s�at�.dw� Qa rpe�f-I kaa st s �n'�- r CITY OF TIGARD ___ ELECTRICAL PERMIT \ PERMIT#: ELC2002-00289 DEVELOPMENT SERVICES DATE ISSUED. 6/27/02 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 PARCEL: 1S135AB-01003 Si I t AI DDRESS: 10300 5W GREENBURG RD 195 SUBDIVISION: LINCOLN ONE/RED LOBSTER/CASA L ZONING: C-P BLOCK: LOT : JURISDICTION: TIG Pi"'d,;t Description: 4 branch circuits for TI demo. RESIDENTIAL_UNIT TEMP ERVC/FEEDERS _ _ A MISCELLANEOUS 1000 SF OR LESS: 0 - 200 amp: PUMP/IRRIGATION: EACH ADD L 503SF: 201 - 400 amp: SIGN/OUT LINE LTG: LIMITED ENERGY: 401 - 600 amp: SIGNAL/PANEL. MANF HM/SVC/ FDR: 601+amps - 1000 volts: MINOR LABEL (10): _ _SERVICE/FEEDER BRANCH CIRCUITS _ _— ADD'L INSPECTIONS_ _ 0 200 amp: W/SERVICE: OR FEEDER: PER INSPECTION: 201 - 400 amp: 1st Wl0 SRVC OR FDR: 1 PER HOUR: 401 - 600 amp: EA ADD'L BRNCH CIRC: 3 IN PLANT: 601 - 1000 amp: _ _ __ _ PLAN REVIEW SECTION _ _ 1000+ amp/volt. > 4 RES UNIrS: > 600 VOLT__NOMIN,4L: Reconnect only:,_. --___ SVC/FDR >=225 AMPS: CLASS AREA/SPEC OCC: Owner: Contractor: EOP LINCOLN, LLC WILLAMETTE ELECTRIC INC 10260 SW GREENBURG RD PO BOX 230547 SUITE 100 TIGARD, OR 97281 PORTLAND, OR 97223 Phone: Phone: 624-3631 Reg #: LIC 75059 SUP 1965S ELE 34-283C FEES- Required Inspections Ir Type k2 rete Amount Receipt I Wall Cover 5PCT CTR 6127/02 $5.34 2720020000( Rough-in PRMT CTR 6/27/02 $66.80 -'t-7020000( Elect'1 Final Total $72.14 This Permit is issued subject to the regulations contained in the Tigard Municipal Code,State of OR. Specialty Codes and all other applicable laws Al!woik 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 morn 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 952.00'-0080. You may obtain copies of these rules or direct questions to OUNC at(503) 248-6899 or 1.800.332-2344, Permit Signat.ire: Issued B > OWNER INSTALLATION ONLY The installation is being made on property I owr, which is not intended for sale, lease, or ren}. OWNER'S SIGNATURE: GATE:___ CONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR. ELEC'N: (I IL)-AL, DATE:__ P ------ . .--- --- LICENSE N O: — /---�=, ---------- --- --- Call 639-4175 by 7:00pm for an inspection the next business day n Electrical1'crmitAppi ication a Dsleraeived:�- "• —C2. Permilno.:��,?(;i�,� b L. Projecl/eppl.nn.: Gtxpire disc: City of Tigard Clryofrigard Address: 13125 SW Hall Blvd,Tigard,OR 97223 Date Issued: tlyEP) I Receipino.: _ Phone: (503) 639-4171 j t)N Fax: (503) 599-1960 G s file nu.; Payment type: Land use appruval:.;O;;; U I do 2 family dwelling or accessory U Commercial/indusltial U Multi-farnily wreriant improvement U New construction U Addition/alleratiuti/trill ice meIII U Other: _ _ U I'altial INFORMATION Job address: I yew b nldg. no.: Suite nv.: /ynx map/lax lot/account no.: Lot: 11115ck: r SulKhvision: Pmjecl name: 5'U J 9 5L I(/w•..i.i i escriptinn and location of work on premises: rstirnnted dale of completion/inslret•tithn: CON-11-11ACI-011 APPLU'All ION 1111111" SUI 1111-1011 I'll" Job no: Fee Ma Ile+cripllnn (fl , (ea. 'fold ne.ln+ Business name: Lk), • 11 a V1'r,14. r �w� New reeldential-dnRk or mold family per Address: 0 /& ,, 2 T V ' T dwe111nRnnh.Include+allaclKdRstage. Cil : SIAIC.-C 7,1P: J Servlcelncluded: y t I(100 i ft.or less 4 Phone: 6 ty-S r I nx: L? •2 ? L-mail: --� --- -- -- Bach iddltionil SW sel.fl.or portion thereof CCB no.: 7S-o S— I 13Icc.Inge•lie,no: 3 - Zl 3 ` Limited enetgy,residentlal 2 Cil /nig ro Iic.no.: /5'y L Llmlteu eneigy,non residential 2 Z , t`` Foch manufactured home or modular dwelling SI nnure of su tutees el tieisn ret ulred) Date — Service and/or reciter 2 I.Icemeno• 06 1` S Se"Iceaorfeede-n-installation, Sup.gleet.name(prim) I), . (, alteration at relocation: 200 snips or less 2 Name(print): 201 imps in 400 snips 2 401 amps to 600 snips _ _ 2 Mailing address: 601 imps to IO00 imps _ 2 CII S1a1C: Z1 P: Over IOW snips or vt,hs 2 Phone: Fax; E-mail: Reconnect only _ I Owner installation:The installation is being made on property I own Temporary alteratiice%on, or fenders- Indallatlon,■Ileratlon,or t eloeallon: which is not intended for-ale,lease,tall,or exchange according to 200 amps at less ORS 447,455,479,670,-101. 201 amps to 400 snips 2 Owners it nalure: Dale: 401 to 600 ams 2 Branch circulh-new,alteration, at extension per panel: Name: A Fee for branch citcults with purchase of Address: service or feeder fee,each btartch circuit2 City: Stale: ZIP _ D. Fee for branch circuits without purchase _y`� 2 of service or feeder fee,feel branch circuit: _ ('hone: Fax: E••inail: Poch iddillonslbranch circuit: ILS 1111+e.(Service or feeder nol Included): O Service over 225 amps-commercial U Itealth are facility Each um or Int allon thele 2 O Service over 320 unps•rsling of 1 k2 U I luudous location Poch alga or oudine Iighling _2 limilydwellings U Duilding over 10,000 square feel tour or Signal circull(s)or a limited energy panel, U System over 600 volts nominal more residential units In one structure alteration,or extension* 2 d Building oven three stories t Feeders,400 amps at more *Description: U Occupant lose over 99 persons U Manufsehtred structures or RV peek Vach additional In+pecllon over the allowable In any of the above! U$grasAightingplow U(Aber. — Per Inspection Submit____rets of plans vfUh any of the above. Investi`ation fee _ The above are applicable to temporary construction service. (],her --- I'criltil fee T• _ Not ON prisdkdens accept twdil cads,Meese call pnisdktlon rot mtxe Idcmulla.t Notice:this permit application flan review(at U Visa U Mulercmd expires if a permit is not obtained Credit cad iamb". within ISO days aver it has been State surcharge(8%) .... y Fa`drci earl accepted as complete. i o,m. .................. .... - — � 1 u -rn nil cralil s — Ci" t s gnslute r Amouni) 411)4615IWWOK1h Electrical Permit Fees: Limited L=nel gy F=ees: '--- --� - TYPE OF WORK INVOLVED - RESWEN11/ki-0141_Y Complete Fee Schedule Below: —�` "— Rostrlcled EnergyFee...................................................... 575.00 Number of Inspections per f'"I'IIt 011OWetl (FOR ALL SYS I EMS) Service Included: Monis Cost To(al Check Type of Wolk Involved: Residential-per unit 1000 sq.it or less 5145 15 4 ❑ Audio and Stereo Systems Earll nddltkxlni fioo s'T 11 or portion Mereof $33.40 _ 1 Uurglal Alain lknlled Energy ___--- $1. 00 Each Manurd Norio or MaI11a1 Garage floor Opener' Dwelling Servk,.e or Feeder $9090 2 Services or Feeders U I looting,Ventilation and Air Conditioning Sysb;nl' Installation,allernikxl,or relocaliorl 200 amps nr less _ sa0.30 2 Vacuum Systems' 201 amps to 400 amps $106.a5 2 4o 1 amps to 600 amps $160,60 2 601 alrips 10 1000 0lilps --+_ $240.60 �- r Other Over 1000 amps or volls _ $454 65 Recontmul only — -- $66.05-- Temporary 66.95_Temporary lqervices or Feeders TYPE OF WORK INVOLVED -COMMERCIAL ONLY Inslatlallon.allnrellon,or relocation 200 strips or less $66.95 2 Fee for each systern.......................................................... $75.00 201 amps to 400 ernps $100.30_ 2 (SEE OAR WO-260.260) 401 mops t0 6101 011111% $133.75 ;1 Oyer 600 nmps In 1000 volts, Check Type of Wcnk Involved. see•'h"strove. a Audio and Stereo Sysloms Lunch Circuits Now,ollerankrn or extension per panel Buller Co111rols a)Tile Inn for branch ckcuils El W101 purchass of service or feeder fee. Clock Systems Fsri1 Wench ckcot -- - -------- b)The fee lux branch cllUllts Dana-1 eloconllnunicalion Installation without purchaes of service or feeder fee Fire Alain Installation First Ixarxll circuit $46.65 Foch oddillonel brunch Or L1111 $6.65 HVAC Miscellaneous (.Service Of leelor not Included) Insbumenlallon Each pUfM or Irigalkln cllcle $53 40 — Fach sign or outline llghling _ _ $53.40 Ej Intercom and Paging Systems Signal elreult(s)or a Nnllled energy panel,al!eralion or extension _ $75 J ❑ Mhor Labels(10) _— $125.00 Landscape Irrigallon Control' Each additional Inspection over Medical the allowable In any of ihn above Per Inspection $62.50 Nurse Calls Per fxxu --_ $62.50 _--_-- In Plant _— $73.76 ❑ Outdoor Landscape Lighting' • -ees: r' l.J Pr01aC11Ve Filgllalillg r_nler total of above fors $ _.. E] Other S'/:State Surcharge Number of Systems 2s%Plan Review ree ^'---See"Man Review'seclknl on $ ' No licenses are required. Licenses ate requirbd for all other Inslallatlons front of nprl"Iicxl. Total Balallce Due S Fees: Enter total of above fees Tru,:r Account p_--- -- 8%Slate Surchalge $� Total Balance Due =_ - i:4lsls�fomn4lc reel dot 10/0'!';Nl CITY OF TICARD 24-dour BUILDING Inspection Line: (503) 639-4175 INSPECTION DIVISION Business Line: (503)639-4171 MST BUP --_ Received _ _- Date Requested_.�_. AM --PM_-_ BLIP Location O U l. -Ju be-t. I -suits cls MEC Coniart Person — Ph(Ph(� ) PLM Contractor_L�C�/c�/�'L��7�r { �C� Ph(_ ) 1 SWR - BUILDING Tenant/Owner ___ _ _ ELC — Footing Foundation ELL Ftg Drain Access: ELF! Crawl Drain _ A Slab Inspection Notes: SIT Post& Beam Shear Anchors Ext Sheath/Shear Int Sheath/Shear Fra -- -ig Ini =, an Drywall Nailing Firewall Fire Sprinkler -- -- - - Fire Alarm Susp'd Ceiling ------ --— — — — — Roof Other: -- r -- -- ---- Final PASS PART FAIL PLUMBING Post&Beam — Under Slab Rough-In Water Service Sanitary Sewer Rain Drains Catch Basin/Manhole Storm Drain Shower Pan Other: Final PASS PART FAIL MECHANICAL _ Post&Beam Rough-In -- - --- ----- — Gas Lime -— --------- Smoke Dampers Final PASS PART FAIL ELECTRICAL_ _ Service Rough-In UG/Slab Low Voltage Fk&Alarm ina_� 1:1 Reinspection fee of$ -.required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PART_ FAIL SITE �- Please call for reinspection RE: — ❑ Unable to inspect-no access Fire Supply Line >� ADA Q p� pe0or C EXt Approach/Sidewalk Date Ins or � `G _ Other:_ _ _ l Final DO NOT REMOVE this Inspection record from the)c b site. PASS PART FAIL. CITYOF T I G A R D PLUMBING PERMIT DEVELOPMENT SERVICES PERMIT#: PLM2002-00273 13125 SW Hall Blvd., Tigard, OR 91223 (503) 639-4171 DATE ISSUED: 7/9/02 SITE ADDRESS: 10300 SW GREENBURG RD 195 PARCEL: 1 S135AB-01003 SUBDIVISION: LINCOLN ONE/RED LOBSTF_R/CAIQ.L ZONING: C-P BLOCK: LOT: JURISDICTION: TIG CLASS OF WORK: ALT GARBAGE DISPOSALS: MOBILE HOME SPACEC, TYPE OF USE- COM WASHING MACH: BACKFLOW PREVNTRS: OCCUPANCY GRP: B FLOOR DRAINS: TRAPS: STORIES: WATER HEATERS: 1 CATCH BASINS: FIXTURES LAUNDRY TRAYS: SF RAIN DRAINS: SINKS: 1 URINALS: GREASE TRAPS: LAVATORIES: OTHER FIXTURES: 2 TUB/SHOWERS: SEWER LINE: ft WATER CLOSETS: U WATER LINE: ft DISHWASHERS: RAIN DRAIN: ft Remarks: P.splace plumbing fixtures. Sink, water heater, hub drain and primer. Owner: — FEES _ --..__-__ Type F,y Date Amount Receipt 102 LINCOLN, LLC PRMT CTR 7/9/02 $72.50 27200200000 10260 SW GREENBURG RD 5PCT CTR 7/9/02 $5.80 27200200000 SUITE 100 PORTLAND, OR 97223 Total $78.30 Phone 1: �^ Contractor: ASSOCIATED PLUMBING CO P O BOX 301362 PORTLAND, OR 97230 REQUIRED INSPECTIONS Phone 1: 331-0582 Rough-in Insp Reg #: LIC 57890 Top-out Insp PLM 26-412P8 Final Inspection This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days, ATTENTION Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-0001-0010 through OAR 952-0001-0080. You may obtain copies of these ules or direct questions to OUNC by calling (503) 246-1987. Issued By: ��_ �� Permittee Signature: Call (503) 639-4175 by 7:00 P.M. for an inspection needed the next business day 07/02/2002 10:20 5033310581 ASSOC PLBG PAGE 02 ,.,,� L�D 40 Plumbing Permit Application _. 7rr,,,�, 74ivod: _G� 7,3,p ) - City of Tigard .: it no. Addrer<a: 13125 SW Hell Rivd,TigaW.OR 97223 ('Irynf'Ti6ard PttonE: (503)h39�171 kppl•nc: Pax: (503)5MI960 Dstals,ued; Hy:v .,Ptno.: Lend utse approval _- Csae ll.a ap.7 Payawot type; O 1 dt 2 family dwelUnS or ac"ssory AC4)MHxMiAjAn(l11srn;)) CI Multi-family itnlxrrvemcnt U New oonRhuctirxt U Addition/gltrraryoNrc{,lnccmcnt CI Food vmrc U(bleu r lob addmss: io300 SW 6rren6ur 17csctt�rtloa For r� TOW Bldg,uo.: intra n Site no. 5 Nrn 1-*ix L6smily dwelliapa only: "�" 9 (irrltalrs 10 f A.Ira r9r It m1 cc,ewec(H+n1 Tax ntapltax IoUacronet no. - --'-" � SFR(1)beth I,ot: Block: Subdivision: SV ( )bath - Rtt)cct rxatnc: t )� 4 Sil1L(3) _eth City/�iuntY•ir�1 _YY� ZIP; 7" 3 --- - atlt_MAit(malbarfyktr�h�n lraacription and location of work on pfolmses. Sue Ulfliffid%; Ys M 1111LIMM;.3 oo --� Catch baailVaren drain Iasi 4114 nl C4C1r7) .ti�VM ti(n 'w�rrk --.__ _— wrll LA indimnc diroln Faxing dnun-�(n-oo.--Hm ft.) liusmesanarl:, A'SoCta t'd' anufactu*adTctiti"eu!i rtes Address: Q -�-- -- �'S---�I�� in-�raln ceont:etor City' or - State: 7TP:q -9d 6; fewer(nn. in, rhooc:oj n i OM , 3i1 os F•ntail:' Stotts ww"r no.fin r_) Plumb.bus.mg,no , - '41.1 Q Iter ecry cc Cl if tro Hc.no.: ► flxh►re er{tem: Contntetot's rt:pm4enuove ignatUM-; ►mow Absorption valve -- Plintname w Hkn� lhrc /-2 el -._ Bac naw lrev�enter y ltackwaler t•e r essin9/x-w torte_ Name, Vkack Lg4 mm n Clot-ui s was er Addmiv po (y:1K 3030,City', rAn Stare;AQ 2IF q1�9}-9)Ls t�nt'�t "tntit'n'(e) Phone: 3 3 0592 IPM-3114-0) F•tnall. - fi rMornlsu •x lnston I art+ sewer cap Name(print): EOp LC F1onr—draw+lr si`n crs/ u Malliug address: 10�1;o f� t s (t. 1160 Garbage dilpossl tate:Off 7_P: 473,913 lee tnaltcr -- phoac;503 Alf %0Rom bibb F"as: nterce mase trap Owncr Instailatittn/rexirirntial maintenance only: 'flee actual In. lation er(s) will be made try me rx Ute rnxint.mance and repair made by my rt:guiar -odrain�mm�en employrx rm rhe!wr>i,rrty 1 own as per ORS Chapter 447. Sin f d ia.n(s)i lavf(s) OwncYa a) nature: Date Sutra - ubal ow grower-P �- Nrmc; Addt! City — _ Iter trrab:r 1 '_— Rnx`� 51siL;E-mail — icr :n - fiaaT _ Na ra hrusettntr ectf r"Cal orb,{,leas ewl l,VIdSef"1st nae Intftffft6M ..^. Minimum fee ... _ U 'Ata MastrrCrnt Natkr Wit t ern it appi caticm blas tiview(al i ) $ c",ew�.mbr _ — cxplres 1f n peril is not nbWnetl 11"rim--L- within I 110 MN s nRcr it I.n%been `late surcharge(R%) �nnia w r utJr�a�o tm¢.ra'-1Fcu,1- — acrgdcd .............. i �Mt CITY OF TIGARD 24-Hour BUILDING Inspecticn Line: (503)639-4175 INSPECTION DIVISION Business Line: (503)639-4171 MST BLIP LAM-- Received Date R quested_ -7 _AM _ PM_r-_' _ BUP L.ocation _ ) O�d f_ Suite_��J MEC Contact Person Ph( ) � U _ LAS Q0�"7-3 Contractor Ph( ) SWR BUILDING Tenant/Owner _ __ ELC Footing ELC Foundation — - --- -------- Ftg Drain Access' ELR - - Crawl Drain o � -_--- Slab Inspection Notes: '�f PIT T --- -- - -- Post& Beam _ ___ Shear Anchors Ext Sheath/Shear Int Sheath/Shear Framing Insulation Drywall Nailing - ---- —_ —�_� Firewall Fire Sprinkler - Fire Alarm Susp'd Ceiling - -- -— --- Roof Other:_ - ---- Final PASSPART FAIL - —` Post!i Beam -- -- -- -- �— Under Slab Rough In Water Service --- - - _ Sanitary Sewer Rain Drains - -- - -- Catch Basin/Manhole Storm Drain - ------ -- Shower Pan Other. -- -- I � z ART FAIL A_ ICAL Post& Beam Rough-In _ Gas Line Smoke Dampers -- Final PASS PART _FAIL LE - - -- ECTRICA►L Service - -- - - Rough-In UG/Slab Low Voltage Fire Alarm Final Reins ction fee of$ _ r _PASS PART FAIL � � - eq uired before next Ins pection. Pay at City Hall, 13125 SW Hall Blvd. SITE — Please catl for reinspection HE: _ Unable to inspect--no access Fire Supply Line ADA Approach/Sidewalk Date _ Insper.-her Ext Other: Final — DO NOT REMOVE this Inspection record from the Job site. PASS PART FAIL