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10300 SW GREENBURG ROAD STE 220-1 t, r n • 7 W C r"L7 n N tJ C S r Z 10300 SNN' (:REENDURG RD 220 MIT' BUILDING PER C I TY OF T I GA R® ——��- R M I PERMIT #: 13U['2002-0023E3 DEVELOPMENT SERVICES DATE ISSUED: 6/13/02 13125 SW Hall Blvd.,Tiqard, OR 97223 (503) 639-4171 PARCEL: 15135AB 01003 SITE ADDRESS: 10300 SW GREENBURG RD 220 SUBDIVISION: !-INCOLN ONE/RED LOBSTER/CASA L 'ZONING: C-P BLOCK: LOT: JURISDICTION: TIG REISSUE: _ FLOOR AREAS _ EXTERIOR WALL C_ONSTRUC'rlON CLASS OF WORK: ALT FIRST sf N: S_ E: W: TYPE OF USE: COM SECOND: sf _ PROJECTOPENINGS?_ _ TYPE OF CONST: 2FR sf N: S: E: W: OCCUPANCY GRP: B TOTAL AREA: 0 00 sf ROOF CONST: FIRE RET? OCCUPANCY LOAD: BASEMENT: sf AREA SEP, RAI ED: STOR: HT: ft GARAGE: sf OCCU SEP. RATED: BSMT?: MEZZ?: REQD SETBACKS_ _ _ REQUIRED_ _ FLOOR LOAD: psf LEFT: ft RGHT_ ft FIR SPKL.: N S 6 DET:N DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : N HNDICP ACC:Y BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING. VALUE: $ 5,000.00 Remarks: Tenant Improvement Owner: Contractor: EOP LINCOLN, LLC C SCFIIEVVE + ASSOCIATES 10260 SW GREENBURG RD 1024 NL DAVIS SUITE 100 PORTLAND, OR 97232 Pgporie ND, OR 97223 Phone: 234-6617 Req #: LIC 54105 FEES REQUIRED INSPECTIONS Type By Date �– Amount Receipt Framing Insp PRMT CTR 6/13/02 $91.30 27200200000 Gyp Board Insp 5PCT CTR 6/13/02 $7.30 27200200000 Final Inspection PLCK CTR 6/13/02 $59.35 27200200000 FIRE CTR 6/13/02 $36.52 27200200000 Tote $194.47 This permit is issued subject to the regulations contained in the Tiqard 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 OLINC by calling (503)246-6699 or 1-800-332-2344. Pe mt ft tee Signature: Issued By: Call 639-4175 by 7 p.m. for an inspection the next business day Building Permit Application Date received: permit no.:_1 City of Tigard Project/appl.no.: Expire date: Cir of Tigard Address: 13125 SW Nall Blvd,Tigard,OR 97223 Phone: (503) 639-4171 Date;ssued: Bye'r- Receipt no.: Fax: (503) 598-1960 Case file no.: Payment type: Land use approval —_ - 1&2 family:Simple Compl.,x: TVPE OF rattail 0 I &2 family dwelling or accessory U CommerciaUindustrial U Multi-family U New construction U Demolition U Addition/alteration/replacement U Tenant improvement U !:nc sprinkler/alarm U Other: JOBSITEAN1941ATION Job address: 10300 SIJ Grete ,, oa� Bldg,no.:6iNeot.N Suite no.: 2YA Lot: Block: Subdivision: Tax map/tax IoUaccount no`: _ Project name: 3 - _ _--- • I Description and location of work on premises/special conditions:_Te►1aft't IVnipm,�veh►t�rt _ Name: UQUITY OFFICE PFLOPER_71Es orlidpllsln,sepflviiispacity.solar,etc.) Mailing address: 10260 W GPkEt"1100-0 F-0, SUITE I 00 1 &2 family d"ellhtg: City: pop-'TLPrrD State:01L ZIP: 9-7223 Valuation of work........................................ $ Phonc$V5 $92-25oo Fax: I Gmaih No.of bedrooms/baths................................. Owner's representative: "Y f1. GLOP•- Gay Arekitee', ITotal number of floors................................. Phonc5 1 22 -9(05(0 Fay. F nsul New dwelling area(sq. ft.) .......................... Garage/care)rt area(sq. ft.)......................... -- Name: G D Arch {e J,�,t�, Covered porch area(sq. ft.) ......................... Mailing address: 92o SW 2.% avenue Su i to moo Deck area(sq. ft.) ........................................ City��'ort19-4 � State:p ZIP: 9'7ZU Other structure area(sq. ft.)..... ................... Phtnx3 224 9th I ax: Email CommerciaUindustrial/multi-family: Valuation of work........................................ $J�OOo.e Existing bldg.area(sq.ft.) .......................... 2 Business name: C. SC i CL.C C o �e' o ff stli Yl New bldg.area(sq, ft.) Address: 102E D 4 Navies st ................................ - Number of stories........................................ � 'f lvt: City: 2r lah State,:1J ZIP- .: 9"j2'�2 Type of construction -FF— - -.... ne Phone50S-2'b fc,(o' Fax. E-mail Existin CCB no.: 5 D5 — Occupancy group(s): New: d — City/metro lic.no.: Notice:All contractors and subcontractors are required to be, licensed with the Oregon Construction Contractors Board under _Name: S'AN1l` A A('pL I CAr`a? ' 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: LIP: - - exempt from licensing,the following reason applies: Contact person: Plan no.: Phone: Fax: E-mail ----. -._-- — --- Name: _ Contact person: Ices due upon application ........................... $ _ — Address: Date received: City: State: _ ZIP: _.._ Amount received ...................... .................. $ - --- Phone: Fax: I E-mail- Please refer to fee schedule. hereby certify I have read and examined this application and the Na all)atisdicaona accept Lit c".pk+K tall jurisdiction fra more hdonnauon. alta.hed checklist. All provisions of laws and ordinances governing this U visa U MasterCard work will be complied with,whether specified herein or not. C1edil cwd number:— L r<pires Authorized signature: " _ Date: 613 02 Num d cardholder a drown on ccrtdil rand $ Print name:-Y (�. r -- — Cardholdet slttwum Amount— Notice:This perrnit application expires if a permit Is not obtained within 190 days atter it has been accepted as complete. 440.413(eavt'oM) Commercial flan Submittal � Requirement Matrix 01j,of Tigat r 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 !icensed fire suppression engineer, or NICET level "3" technicians. i.\dsts\foims\COM-matrix doc 9124/01 Accessibility: Barrier Removal Improvement Plan Cita,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 that the path of travel to the altered area and the restroom, telephones and drinking fountains are readily accessible to individuals with d'sabilities 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 done excluding painting, wallpapering. [11 $ 5+OOV•" multiply: 25% Barrier removal requirement. .25 BUDGET FOR BARRIER REMOVAL 121 $_1250 °* _ 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) Parkinglot re6lFF""lnev., curb cats, sidewa(�,s, $_ ZS •o sl ga.�e,lnv;[c(f�9eh'rraaq,cef � 2ecessi'6le stalls, A 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 anti alarms: $ _ TOTAL: Shall equal line 2 of Value Computation $ 1!10. vn i\dsts\fomiMccessib1Iiq•.doc 09/24/01 CITY OF TIGARD 24-Hour BUILDING I Inspection Line: (503) 639-4175 INSPECTION DIVISION Business Line: (503) 639-4171 BLIP Received -._ _-__.__ Date Requested____ Z"" AM—_______PM _._ BLIP 1U Location _ 1 U ��) D �P� '� SuiteZ' MEC --------- Contact Person . Ph( ) _ PLM Contractor_ �i//C? 2.1 1(-t''�� �C Ph( ) SWR t-fBUILDING Tenant/Owner _ — ELC Fo ting ELS -_-- Foundation Access: Ftg Drain EL.R Crawl Drain `+�►1 Slab Inspection Notes: SIT _ Post&Beam - - -- -- --- -- Shear Anchors I Ext Sheath/Shear Int Sheath/Shear Framing — Insulation Drywall Nailing --�f� ---- -- -- --Firewall fk Fire Sprinkler - -- ---- —�— Fire Alarm Susp'd Ceiling - - Roof Other: _ Final _PASS_PART FAIL fJ PLUMBING W��Ti:�l a? Post& Beam Under Slab Hough-In Water Service - Sanitary Sewer Rain Drains Catch Basir./Manhole Storm Drain Showar Pan Other: Final _ PASS PART FAIL MECHANICAL Post&Beam--—-- Rough-In ------ Gas Line Smoke Dampers Final PASS PART FAIL ELECTRICAL Service Rough-In UG/Slab Low Voltage -- Fire Alarm net` PART FAIL Reinspection lee(As_ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. Please call for reinspection RE: E] Unable to inspect-no access Fire Supply Line 1 /� ADA Inspector Ins Date _ �, - � ' 1_. pr. Y - -- A1_� ExtApproach/sidewalk p �� " -h Other: Final DO NOT REMOVE this Inspection record from the job site. PASS PART FAIL CITY OF TIGARD 24-Hour BUILDING Inspection Line: (503)639-4175 MST INSPECTION DIVISION Business Line: (503) 639-4171 C) BLIP. -- Received --___ __ _�_— Date Requested f4i 7- �'d 3MA______`-__ PM BLIP Location 4�_ v -_! - _Suite_- ME Contact Person __ __- ___ Ph PLMJ ��- oo2Zy Contractor -__-_ - Ph( ) - sWR -.- BUILDING TenantlO - ELC Footing _ wner ELC Foundation Access: Ftg Drain ELR -- - -- ---..� Crawl Drain Slab Inspection Notes: SIT -_- Post R Beam -_ Shear Anchors - Ext E ieath/Shear Int Sheath/Shear Framing _ Insulation Drywall Nailing - Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling -- Root Other ---- - -- - Final S ART_FAIL LUMBI _ ~eam Under Slab -- -- Rough-In Water Service - -_ ------._�-_._ _--_—__-- - Sanitary Sewer Rain Drains --- - - Catch Basin/Manhole Storm Drain Shower Pan er. Fina _ PART FAIL ME—CHANICAL Post&Beam ---- --- _—�. Rough-In Gas Line Smoke Dampers Final PASS PART FAIL -- ELECTRICAL - Service Rough-In UG/Slab Low Voltage Fire Alarm Final �.J Reinspection fee of$__. _ rr,luired before ri?x-: ,nspeation. Pay at City Hall, 13125 SW Hall Blvd. PASS nAPI FAR _ SITE _ Please call tpf reinspection HE:_r.._.__ —_._.._-.__ [ Unable to inspect--no access Fire Supply Line `�y 9�� Lf✓�� lo'� ADA v Approach/Sidewalk Dab 1 -l " Uo2. Inspector ___"� __--_ _ --_ Ext Other: Final DO NOT REW"'z V iiWA llr, ,�-ectlani record from the jab site, PASS PART FAIL CITY OF TIGARD 24-Hour BUILDING Inspection Line: (503)639-4175 MST INSPECTION DIVISION 'Business Line: (503)639-4171 BLIP Received _ Date Requested.— / �' AM__ PM BLIP Location .___ iJ �3�U Suite 21 SCJ MEG Contact Person — ( ) 3 Co Ph( ) — SWR ILD Tenant/Owner _ — FLC _ ELC Houndation Ftg Drain ACC r 'ELR Crawl Drain `` _ Slab Insp r, SIT Post& Beam Shear Anchors ` Ext Sheath/Shear --- -- Int Sheath/Shear Framing Insulation Drywall Nailing - -- — �_�—- - - -- - Firewall Fire Sprinkler -"��--- Fire Alarm - Susp'd Ceiling - --- Roof Other: - W68 PART FAILING_ -_ --- _ Post&Beam Under Slab -- --- -_- Rough-In Water Service ---- -_ Sanitary Sewer Rain Drains -- - Catch Basin/Manhole Storm Drain Shower Pan Other: 76 Final -.__---_ _ \ PASS PART FAIL MECHANICAL - Post& Beam Rough-In Gas Line Smoke DampersFinal PASS PASS PARTFAIL -- - - -___ .------ -_ - ELECTRICAL_� -_ Service - Rough-In -------------- ---- - - - - --- - UG/Slab Low Voltage -- ---------------- -- - Fire Alarm Final Reinspection fee of$ required before next Inspection. Pav at City Hall, 13125 SW Hall Blvd. PASS PART_ FAIL SITE [] Please call for reinspection RE: _ [] Unable to inspect-no access Fire Supply Line ADA Date Inapa�ctor -- Approach/Sidewalk Other:-- --- -- Final DO NOT REMOVE W4 I rwspection record from the job site. PASS PART FAIL CITYOF ' , AVARD CERTIFICATE OF OCCUPANCY DEVELOPMENT SL., .VICES PERMIT#: BUP2002-00236 DATE ISSUED: 6/13/2002 13125 SW{call Blvd., Tigard, OR 97223 (503) 639-4171 PARCEL: 1 S135AB-01003 ZONING: C-P JURISDICTION: TIG SITE ADDRESS: 10300 SW GREENBURG RD 220 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: HALL KINION REP;iARKS: Tenant Improvement. Owner: EOP LINCOLN, LLC 10260 SW GR EENBURG RD SUITE 100 PORTLAND, OR 97223 Phone: 503.224-9656 Contractor: C SCNIEWE +ASSOCIATES 1024 NE DAVIS PORTLAND, OR 97232 Phone: 234-6617 Reg #: LIC 54105 This Certificate issued 7/12/24102. grants occupancy of the abc,ve referenced building or portion thereof and confirms that the building has been inspected for compliance with the State of Oregon SpecialCodes for the group, occupancy, and use under which the referenced permit was i u 81JILAOING INSPECTORBUILDING OFFICIAL POST IN CONSPICUOUS PLACE CITY OF 1 I G A R D _--__PLUMBING PERMIT DEVELOPMENT SERVICES PERMIT#: PLM2002-00224 13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 6/25/02 SITE ADDRESS: 10300 SW GREENBURG RD 220 PARCEL: 1 S 135AB-01003 SUBDIVISION: LINCOLN ONE/RED LOBSTER/CASA L ZONING: C-P BLOCK: LOT: JURISDICTION: TIG CLASS OF WORK: ALT GARBAGE DISPOSALS: MOBILE HOME SPACES: TYPE OF USE: COM WASHING MACH: BACKFLOW PREVNTRS: OCCUPANCY GRP: 3 FLOOR DRAINS: 1 TRAPS: STORIES: WATER HEATERS: CATCH BASINS: FIXTURES_ LAUNDRY TRAYS: SF RAIN DRAINS: SINK`j: 1 URINALS: GREASE TRAPS: LAVATORIE 3: OTHER FIXTURES: TUB/SHOWERS- SEWER LINE. ft WATER CLOSETS: WATER LINE: ft DISHWASHFRS: 1 RAIN DRAIN: ft Remarks: Addition of plumbing fixtures for commercial TI: (1)sink, (1)2" hub drain, and (1)dishwasher. Owner: _- FEES - — Type By Date Amount Receipt 102 60 GREENBURG RD LINCOLN, LLC 100 PRMT CTR 6/25/02 $72.50 27200200000 SUITE 10 1025PCT CTR 6/2.5/02 $5.80 27200200000 PORTLAND,OR 97223 Total $78.30 Phone 1: 503-224-9656 Contractor: ASSOCIATED PLUMBING CO P 0 BOX 301362 PVRTLAND, OR 97230 REQUIRED INSPECTIONS Phone 1: 331-0582 Rough-in Insp ^� Reg#: LIC 57890 Final Inspection PLM 26-412PB 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. Yg rT5—yy bbts4n,copies of these rules or direct question�s to OUNC by calling (503)246-1987. 6 LssuedBy: Q At / Permittee Sidnah.ire: 17u{,� — Call (50 839-4175 by 7:00 P.M. for an Inspection needed the next business day SaJ� 2 Z0 Plumbing Fcrrnit Application — - � - Date received: ; /" '- Permit no.: Cit of Tigard eJ 2 Address: 13125 SW Hall Blvd,Tigard,OR 97223 Sewer permit no.: Building permit no.-. City of Tigard phone: (503) 639-4171 11roject/appl.no.: Expire da e: Fax: (503) 598-1960 Date issued: By b J Receipt no.: Land use approval: �ur'�-'DD ;7—pace 3G Case file no.: Payment type.: O. PERMIT U 1 &2 family dwelling or accessory O Commercial/industrial U Multi-family U Tenant improvement U New construction U Addition/alteration/replacement U Food service U Other: _ O; SITE INVORMAXION Job address: /d 1 no - i�16 ew oe 2d ___ Dewription (Xy. Fee(ea.) Total Bldg. no.: / 41,yeoe-_ / Suite no.: o?,s20 NeN I-and 2 Imnily drtcllingsonly: Tax ma /lax lot/account no.: (includes 11111111.Ioreachtit IIII yconnection) p SI.R(1)11.1111 Lot: Block: Subdivision: _ SFR(2)bath _ Project name: 11,4 e r A//,//D SFR(3)bath City/county: 7-/6''9114 ZIP: Each additional batlt/kitchen -- Description and location of work on premien-s: _ Siteulililies: _ Catch basin/area drain Est.date of completion/inspection: Drywells/leach line/trench drain Footing drain(no.lin. ft.) Manufactured home utilities Bush^ss name: /Js5 0 c'ilil j EU /11 111IA�16r2- Manholes Address: �u,�t,r .7p/ .734.2- Rain drain connector City: 119N,-1 r/L State: 4 ZIP: 97,?fy Sanitary sewer(no, lin.11.) Phone: .r';✓-/�_�a�. Fax:S.i-0 g&I I Email: Storm sewer(no. lin.ft.) CCB no.: ,-, 1��p Plumb.bus.reg.no: �24--Y1. pB Fater service(no. lin. 11.) City/metro lic.no.: _ Fixture or Item: Contractor's representative signatu e: - Absorption valve Back flow prcvcnter _ Printname: 1. v PR4 ate: Ba,.kwatervalve Basins/lavatory Name: 01114 elk /_,a 7711 Clothes washer -- Address: 1-2) (�D /)136� Dishwasher City: Drinking fountain(s) Y �*7-Z,/NG State: (le ZIP:41:19'/- Ejectors/sum Phnnc: ; (�S ,z. E-mail: Expansion tank Fixture/sewer cap _ hFj�/C?�' - i, �'/S� Floor drains/floor sin Name(print): F41,r17 �2 Mailing address: /02 Garbage disposal Hose bibb City: 10,4,V7Z4 State: 7.1 P: Ice maker Phone: Fax: E-mail: Interceptor/grease trap _ Owner installation/residential maintenance only: The actual installation Printers) will he made by me or the maintenance and repair made by my regulai Roof drain(commercial) employee on the property I own as per ORS Chapter 447. Sin (s),basin(s), ays(s) / Owner's signature: -��� G %� Date: Sump Tubs/shower/shower pan Urinal Name: _ - Water closet _ - Address:_ _ _ _ Water heater City: --- - �_titalc 7.IP: Other: Phone: l•Fux: �^ _�E-mai _ Tota Nal all juriedicuon,accept credit tarda,please call jurisdiction for more Information. Notice:This permi Minimum fee................$ t application U Visa U MasterCard expires if a permit is not obtained plan review(al _ 9F.) $ Credit card number _- within Igo days after it has been State surcharge(8%) ....$ xpires Name of c nlder u siwwn on c u card — accepted as complete. TOTAL $ 7 _ S — -- Cardholder aritinsture Amount 440-4616(6MUOM t 9,? :,�n PLUMBING PERMIT FEES: T PRICE TOTAL New 1 and 2-family dwellings only: FIXTURE_S__(individua.q_ QTY as AMOUNT_ (includes all plumbing fixtures in PRICE TOTAL Sink 16.80 the dwelling and the first100 ft. QTY (ea) AMOUNT - for each ut111_y connection) Lavatory 16.60 One 1 bath $249.20 Tub or Tub/Shower Comb 16.60 - Two(2)bath _ __ $350.00 Shower Only 16.60 Three 3 bath - $399.00 Water Closet 16.60 _ SUBTOTAL Urinal 16.60 8%STATE SURCHARGE _ Dishwasher - 16.60 PL AN REVIEW 25%OF SUBTOTAL Garbage Disposal 16.60 Y TOTAL -I.sundry Tray 16.60 Washing Machine 16.60 Floor Drain/Floor Sink 2" 16.60 3° 16.60 - PLEASE COMPLETE: 4" 16.60 V- Water Heater O conversion O like kind 16.60 uantity be Work Performed _ Gas piping requires a separate mechanical Fixture Type: Now Moved Replaced Removed/ -permit _ Capped MFG Home New Water Service 46.40 Sink__ MFG Home New San/Storm Sewer 46.40 Lavatory Hose Bibs 16.80 Tub or Tub/Shower Combination Roof Drains 16.60 Shower Only Drinking Fountain 16.80 Water Closet Other Fixtures(Specify) 16.60 UI final Dishwasher Garbage Disposal _ Laundry Room Tray Washing Machine Floor Drain/Sink: 2" -� Sewer-1st 100' 55.00 3" -�- - �- Sewer-each additional 100' 46.40 4^ - - - - Water Service-1st 100' 55.00 Water Heater Water Service-each additional 200' 46.40 Other Fixtures Storm 8 Rain Drain- 1st 100' 55.00 (Specify) Storm 8 Rsin Drain-each additional 100' 46.40 Commercial Back Flow Prevention Device 46.40 Residential Backflow Prevention Device' 27.55 - -Catch Basin 1660 --_--' -`- - Inspection of Existing Plumbing or Specially 62.50 Requested Inspectionsper/hr COMMENTS REGARDING ABOVE: Rain Drain,single family dwelling 65.25 Gresoe Traps 16.60 QUANTITY TOTAL - '----� - Isometric or riser diagram Is required if --- -" Quant ly Total Is >g -- --- -------- - --- *SUBTOTAL ---- -- --- --- -- 8",a STATE SURCHARGE _ "PLAN REVIEW 25%OF SUBTOTAL Required only If fixture qty.total Is>g TOTAL a "Minimum permit tee is$12 50•8%state surcharge,except Residential Backflow Prevention Device,which Is$3e 25+e%state surcharge "All New Commercial Buildings require 2 sets of plans with Isometric or riser diagram for pian review. I:\dsts\forms\plm-fees.doc 12/26/01 __,EWERCONNFCTIONPERMIT CITY OF TIGARD DEVELOPMENTDATE ISSUED: 6/17/02 SERVICES PERMIT#: S 17/02 -00207 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4' '1 PARCEL: 1 S135AB-01003 SITE ADDRESS; 10300 SW GPEENBURG RD 220 SUBDIVISION: LINCOLN ONE/RED LOBSTER/CASA L ZONING: C-P BLOCK: LOT. JURISDICTION: TIG _ TENANT NAME: USA NO: FIXTURE UNITS: 6 CLASS OF WORK: ALT DWELLIN UNITS: T;PE OF USE: COM NO. OF BUILDINGS: INS?;LL TYPE: BUSWR IMPERV SURFACE: Remarks: .4 EDU increase. Previous fixture count of 812.8, plus added fixture count of 6 for a new fixture total of 818.8, for a now total of 51.2 EDU. Owner: FEES EOP LINCOLN, LLC Type By Date Amount Receipt 10260 SW GREENBURG RD ---- SUITE 100 PRMT CTR 6/17/02 $920.00 27200200000 PORTLAND,OR 97223 Total $920.00 _ Phone: 503-224-9656 Contractor: Plicne. Req #: Required Inspections — 1 This Applicant agrees to comply with all the rules and regulations of the Unified Sewage Agency. The permit expires 180 days from the date issued. The total amount paid will be forfeited if the permit expires. The Agency does not guarantee the accuracy of the side sewer laterals. If the sewer is not located at the measurement given,the installer shall prospect 3 feet in all directions from the distance given. If not so located, the installer shall purchase a"Tap and Side Sewer' Permit and the Agency will install a lateral. ATTENTION: Oregon law requires you to follow rules adopted u the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0080. You may obtain conies of these rules or direct questions to OUNC by calling(503) 246-1987. Issued by: i v � �(_ r�'� � ,. Permittee Signature: Call (503) 639-4175 by 7.00 P.M. for an inspection needed the next business day s Accumulative Sewer Tally Tenant Name: Lincoln Vacant Space This SWR#AAO,) -DOoZ07 Site Address: 10300 SW Greenburg Rd., Ste. 22.0 This PLM#,RD0 02-da AjZ y_ Fixtur-� Value Previous Previous Credits Capped Fixture Fixture New New # value capped off value added added total total count off#s count # value #s values Baptise /Font 4 0 0 0 - Bath-Tub/Shower 4 0 _ 0 0 0 0-- Jacuzzi/Whirlpool 4 -0 0 - 0 0 0-- Car Wash- Each Stall 6 0 0 0 0 U - -_ Drive through 16 0 --- 0 - 0 -•- 0 0 - Cuspidor(Water Aspirator _ 1 —_ 0 0 - 0 - 0 0 - f)i shwnsher-Commercial 4 0 0 - 0 0 -Domestic -0 2 0 _ 0 1 2 1 2 Drinking Fountain 1 0 0 - 0 0 -0 _ _Eye Wash _1 _ 1 0 __O 0 0 Floor Drain/Sink -2 inch 2 0 0 1 2 3 inch 5 0 0 _ 0 -_ 0 0 4 inch _6 0 -- 0 0 0� 0 Car Wash Drn 6 0 0 0 0 0 Garbage Disposal _ _ - _ Domestic(to 314 HP) 16 0 0 _ 0 _13 0 _ Commercial(to 5 HP) 32 0 � 0 0 0 0 _ Industrial (over 5 HP) 48 0 0 0 0 0 -- Ice -_Ice Machine/Refrigerator Drain 1C 0 0 - 0_ 0 Oil Sep(Gar Station) 6 --- 0_ - -- 0 -- Rec.Vehicle Dump station -{ 16 _ 0 - 0 - - -0--- 0 1 _-0 - 1 0 - Shower-Gang (per head) _-- ___0�._ 0 0- ----- 0 - Stall 2 _ - 0 0 - 0 Sink- BarlLavatoa 2 0- 0 - 1 - 2 1 - ?- Bradley5 - 0 _ 0 0 0 0 _ 0 - 0 -- Commercial 3 0 0 0 _ _ _ _ - Service_ 3 0 _ 0 Swimming Pool Filter 1 0 0 0 _0 0 Washer-Clothes 6 0 0 0 0 0 Water Extractor 6 0 0 0 - Water Closet-Toilet 6 0 - 0 - 0 Urinal6 - 0 - _ 0 Previous EDU Count 50.8 812.8 812.8 0 Capped EDU Credit TO 1 ALS 0 812.8 0 1 0 3 1 6 3 818.8 Current Fixture Value 818.8_ divided by 16 = 51.2 Current EDU 1 EDU= $2,300.00 Previous Fixture Value_ 812.8 _ divided by 16 = _ 50.8 Previous EDU Cnange 6 _ divided by 16 = _ 0.4 over (under) $ 920.00 Enter EDU Change Here 0.4 HISTORY Notes: PI-M# 2002-00219 EDU# 50.8 SWR# 2002-00204 -- - _ PLM# 2002-00216 EDU# 50.5 SWR# 2002-002 _ PLM# 2001-00301 EDU# 50.3 -- SWR# 2-001-0021111 Name: �pe� that _ Date: sign ure oalculated this tally sheet and date pertromed Js required CITYITY O F T I GA R D ELECTRICAL PERMIT / PERMIT#: ELC2002-00286 DEVELOPMENT SERVICES DATE ISSUED: 6/26/02 13125 SW Hall Blvd., Tiqard, OR 97223 (503) 639-4171 PARCEL: 1 S135A6-U1 UU3 SITE ADDRESS: 10300 SW GREENBURG RD 220 SUBDIVISION: LINCOLN ONE/RED LOBSTER/CASA I_ ZONING: C-P BLOCK: LOT : JURISDIC-i ION: TIG Proiect Description: Installation of 6 branch circuits for TI. RESIDENTIAL UNIT _ _ TEMP_SRVC/FEEDERS MISCELLANEOUS 1000 SF OR LESS: �0 - 200 amp: PUMP/IRRIGATION: EACH ADD'L 500SF: 201 - 400 amp: 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 - 200 amp: W/SERVICE OR FEEDER: PER INSPECTION: 201 - 400 dmp. 1st W/0 SRVC OR FDR: 1 PER HOUR: 401 - 600 amp: EA ADD'L. BRNCH CIRC: 5 IN PLANT: 601 - 1000 amp: PLAN REVIEW SECTION 1000+ amplvolt: >=4 RES UNITS: > 600 VOLT NOMINAL: -- 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: 503-224-9656 Phone: 624-3631 Reg #: LIC 75059 SUP 1965S ELE 34-283C FEES Required Inspections Type By Date Amount Receipt Ceiling Cover PRMT CTR 6/26/02 $80.10 2720020000( Wall Cover Rough-in 5PCT CTR 6/26/02 $6.41 2720020000( Elect'I Final ^— Total $86.51 This Permit is issued subject to the regulations contained in the Tigard Munippal Code, :,tete of OR Specialty Codes and all other applicable laws All work will be done in accordance with ?pproved plans This permit will expire if work isnot started within 180 days of issuance,or d work is suspended for more than 180 days ATTENTION Oregon law requires you to tollow 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) 246.6699 or 1-800-332-2344 Permit Signature: Issued By: / — OWNER INSTALLATION ONLY^ The installation is being made on property I own which is not intended for sale, I ;ase, or rent. OWNER'S SIGNATURE: — DATE:__ CONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR. ELEC'N: �� f — — - — —a� DA1 E:-- LICENSE :_..-- LICENSE NO: ------- Call 639-4175 by 7:00pm for an inspection the next business day Ilectrical PermitApplication Date received , - _p Permit no.;0rzC ,Z S City of Tigard �e- ���� "` " ProjecVeppl.no.: Expired le: Cirynf7ignrd Addicss: 13125 SIN I lall 131vd,Tigtird,OR 97223 Date issued: Ily - Rcceiptno.: :� I'hone: (503) 639-4171 I Pax: (503) 598-1960 Case file no.: Payment type: Land use approval: 1 U 1 &2 family dwelling or accessory U CununctcinUind,aslrial U Multi-family )q'1'cnant intiuovcn,cnt U New k:ollonrctioll U Addition/al lei ation/le pinl'CIIle n1 U Other: — U Partial 1 1 lob address: �U SuG w kr Bldg,no.: Suite I.:110 I'ax mal,/lax lot/account no.: Lot: Block: Subdivisio . Pro act name:1 ( Ikscri tion and location of work on remises: ��_&.,, f i cti..,,T lry�� Estimated dale of con, fiction/ins cion: 1 re. Max Job no: 2- Business Business name..' W. Nen rrrlden"-trcl-dnRle Of mull)family per Address; 0 T V4 7- dae111nRwill.halude+allot tied Itarage. City: 11 , Slate:(Je ZIP: / 14ervicelncluded: 1000eq fl.(it less Mlonc: 6.t y.& r Wax.. (,? -2 7b' LEach addltiond 50U r%flOf Portion Ihaeuf CCU no.: 71-0 r`f I Flee,bus. lie.no: 3 q- ZS L.ImUedenergy.residential 2 City/m lro(ie..no.: /S'q L Limited energy.non residential 2 Poch mrnufractmed home or modular dwelling Si ndure of rvisln electrician(re abed Bats Service and/or feeder _ 2 License no: /9r; f benlcfserfeeden-Installation, Sup.eters name(prin,) O,N „ F, S dlerdlon or relocallon: off 1 200 amps or less 2 201 amps to 10s 2 Name(print): 401 amps to 60f1 ams 0imp — 2 Mailing address: 601 amps to I0f10 amps __ 2 fatty; Slate: ZIP: Over 1000 amps or veils 2 Fax: E-mail: Reconnectrinly _ _ 1 Owner installation:'11tc installation is tevv eing made on properly I own TemporaryaMsldldlon,offer silllerorredden oh,or relocation: which is not intended for sale,lease,rent,or exchange according to 21x1 amps of Icss _ _ _ _ _. 2 ORS 447,455, 411),670,701. _201 amps to 400 amps _2 _ _ Owner's si noisn1 e: Date: 4In 600 an,p+ 2 Branch circuits-nen,offer afion, or exlenslon per panel: Name: _ A. Fee for hunch chculls will,purchase of service of feeder fee,each branch circuit City: ^� _^ State:_ 71 n. Fee for bench elreups wi0,out purchase I yG� y`5 _ of service or feeder Ire,first Irranch circuit: Z__ F'Iinne: 1'nx: I:-marl: Each additional branch circuit: hike.(Service or feeder not Included): um nr i IiBalion circle 2 U Servitx ova 22.5 unps cvmnxrcial U l ledar th-cr facility Each PJ'___ —2-- U Service over 120 an+pr-rNinR of I a42 U I larmclous location Each sign or outline liglnlog __-_ fandly dwellings U nuildingover 10,000 square feet four rir Signal elreull(s)or a limited energy panel, (i System over 600 volts nominal more residential units In one structure dtention,or exlension• 2 U nuilding over Quer stories U redden,400 amps or mono aDescri tinn: — — — U tkco pant lorl river 99 persons U Manufactured atoll or RV park Fach additions'Inspection over rile sllunable In any of the door(: LI P;ressllighlingplao U Mier: --- Pet Impeclion I Submit___sets of plans with any of the abose. Investigation fee The above are not applicable to temporary construction seeks, t)ti,er ---------_�--�.----- I'ennil fee.....................$ Nor alt hvlWrNt+na aaepl reedit red,,plead call{aciulicnon la erose Irdarmrldx, NotlCe:'ILis pemlil apt+licall(,II flan review(III 9D) s - U Yue U MutetCard expires if a I,cm,i1 is not obtnincd b y 1 state surchat c(11%) ....$ rredu cardannhn _-__(_. / within 190 days eller it has been g TOTAI, I:cpirer nccepled as complete. ....................... Nirne d rami colder-�r r�iorn nn reedit cod s ('rdlrot rdgn�lure - -- Amount— 4W4611!ldtMV111) Electrical Permit Fees: l_irnited Ebel yy Fees: Complete Fee Schedule Below: TYPE OF WORK INVOLVED - RESIDENTIAL ONLY Restricted Energy rep...................................................... $75.00 Number of Inspections per permit allowed (FOR ALL SYST EMS) Service Included: Items Cost Total I Check Type of Wuik Involved: Residential•per unl( 1W0 sq.fl or less _ $145.15 4 L J Audio and Sleree Systems Each additional 500 sq ft or portion atered $33.40 1 ❑ Burglar Alarm 1 Invited Energy $75.00 Each Manurd Itome or Modular (hvelling Servico or feeder _ — $9090 2 ❑ Garage Door Opener' iervices or Feeders ❑ Iloafing,Ventilation and Air Gundrliuning Sysl­m' Installation,alleralkm,or relocation 200 amps of lers _ _ $80.308 _ 2 ❑ 201 amps to 400 mps N _ $106.85 — 2 Vacuum Systems' 401 amps to 600 amps _ $160.60 _ 2 601 amps 10 1000 amps $24060 _ 2 Other Over 1000 81.1ps or volls $454.65 2 Rerxrrxra orgy J $66.85 2 Temporary Services or Fenders Insiallalkri,alter"tbn,orrotocatiorl TYPE OF W0I3IC INVOLVED - COMMER„V\I_ ONLY 200 amps Of less $60.85 2 Fee for each system.................................................... ..... $75.00 201 amps to 400 amps5100.10 2 (SEE OAR 91n-260-260) 401 amps to 600 amps — $133.75 2 Over 600"nips to 100(1 volls, --� Check type of Woik Involved. see"b"above. r flranch Circuits l� Audio and Stereu,Systeni, Now,alleralkxr or exlensh i per panel G)Ilia fee IIx lrarxti cllculls Duller Controls Will purchase of lervlce or _ feeder lee. ❑ Clock Systems E acti twanch clrcult $6.65 2 b)Ilia fee for brarrh ckcutls --_— — LJ Data 1 eleconinwnicalion hislallaliun Without purchase of service or feeder fee. ❑ F1re A ann hislallallon Fksl branch cimull __ $46.85 Each addilkinal bninch circuit ^� $6.135 _ f—I HVAC Miscellaneous L J (.Service or leader not Inchided) ❑ Inslrun.enlaliun Each pump or Irlgation circle $5340_ Each Vgn or nelline Iighllig $53 40 r J� Slynal clrcull(s)ora Nml__ iled energy _ werc-n,and"aging Systems panel,alteration or extension _ $15.00 r , Minor Labels(10) u _ $125.00 _ Landsc=ape Initiation Conhul' Each additional Inspection over ❑ the allowable In any of Ilio above Medical Per Inspedlon _ _ $02.50 Per hour _ $62 50 Nurse Calls In Plant �--�_ $73.75 _— ❑ Outdoor Landscape lighting' Pees: Enter total of above fees $ ❑ Prolective Sign; , 8%State Surcharge $ _ 011ier 75%Plan Review Fee ___-___.-_Nund>er of Systems Sae"Plan Review'section of $ front of appikai;on ' No licenses are required Licenses me required to ell Offer In,rallallons Total Befence Due $ Fees ❑ Trust Account p Ener total of above tees 8%Slate Surcharue 5_ Total Flalance Due $ I:M%ts\rormsklc feet d1w 10/Ow(r) RMIT CITY OF TIGARD — ELECTRICALRESTRICTED ENERGY- RESTRICTED ENERGY DEVELOPMENT SERVICES PERMIT M EL.R2002-00126 13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 7/16/02 PARCEL: 1 S135AB-01003 SITE ADDRESS: 10300 SW GREENSURG RD 220 SUBDIVISION: LINCOLN ONE/RED LOBSTER/CASA L ZONING: C-P BLOCK: LOT: JURISDICTION: TIG Proiect Description: Data Communication Installation A. RESIDENTIAL B.COMMERCIAL AUDIO & STEREO: AUDIO & STEREO: INTERCOM & PAGING: BURGLAR ALARM: BOILER: LANDSCAPElIRRIGAT: 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: Owner: — Contractor: ^ EOP LINCOLN, LL.0 MATRIX COMMUNICATIONS 10260 SW GREENBURG RD 4243 SE INTERNATIONAL WY SUITE 100 STL C PORTLAND, OR 97223 PORTLAND, OR 97214 Phone: Phone: 654-3000 Reg #: LIC 00074332 ELE 26-594CLE FEES _ __ _Required Inspections Type By Date Amount Receipt Low Voltage Inspection PRMT CTR 7/16/02 $75.00 2720020000 Elect'I Final 5PCT CTR 7/16/02 $6.00 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 riot 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 Riese rules or direct questions to OUNC at (503) 246--1987. / / Issued by L� Permittee Signature /l ea 'ea.-7 -- 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 SLIPR. ELEC'N DATE: LICENSE NO: — —— ----_. — — ----- ------ -- - Call 639-4175 by 7:00 P.M. for an inspection needed the next business day 05/30/2002 15:17 513-5352 MATRIX PAGE 01 07/10/2002 1'1r' tri 5055P31060 CITY (IF TIGARU te.1uu` ElectricalPermitApplication Date reee(ved: Permit no,:F �o�-cam iz� _...�- ----- I)~ ire date: City of Tigard ProjoctAppl,no.: CW of 1Yga Address: 13125 SW Hall Blvd,Tigard,OR 97223 plj--'151111M: By: Receipt no,: Pliant: (503) 639-4171 Case t11c no.; Payment type' Fax: (503)598-1960 Land use approval' © 1 &2 f fly dwelling Or accessory autTnerciaVrnduatrial 0 Multi-family ❑Tenant taTmvatnent 17 New co stroction O AddihoEl/sltctatinn!reDlacelnenr C3 Other: _ - OPnttial s t 1 suite no' Tax trap/rax lot/acoouat no.; Job address Lot' q(„r.k: subdivision, Pro)ect na e: _ escriptloa and ioc►tion of work on remistu: Estimated ate of comp ction/inapectlon, I tC0111,1991Ct Fee Mac Job not _ _. d 7nh1 1111•Intp Business Tile. - N•ardodlluta!-s nelenrmttM tarr+lly per Addy 3 � � we11in6umltletludefrrserAedPy+r+ee �' Slat 1.1 � jg� I�KainlllMtriE: Ci _- •-{.��. IOtHI sift a ilii -- - d Phonc; 1' 1-trail' _-Fach eddldenel 500 19 ft of potion thenar CClt nU.: t Elec.bus,tic.t1Q - �� ��_ Llmltrd cncl�r t�iticntal City/Metr 11C. I M(W enc , t,ert residcnrisl Ear6 nunuteeNnd horse or modular Itwell(r+g 2 ..+ Dale Sauter,nndla feeder _ g{ a c or cvperriling eic,it"rim m aired - Servlcnnrteederr-Inshlletiva,� litctUc no th dter•sleoorrelecadon; Sup,slon •(/riot): 1 P in0 amps or 101 amps to 400 amps - 2' Name Print): _ - - -- 401 imps to d00 emit _ 2 601 imam to 1000 amps 2 Mailbags dress; 2 City: 7IP: Ovar 1000 turps ar wits Fax: E-mail. ReeeMeet and �. Phone: 1 ee+pnr+ry rorri•ae or reeler'! Owner ir! ladou: no instnilation s being talc!!i n property 1 awn unulla "a'altailtiaa,errelocill 2 which is t intended rot sale,!case,rent,of tyrchenyn nccardinp to 100+mpr or lou ORS 447,455,479,670,701. ?ai!1110 400 W Date. s01 600 2 ONIICI'S aCuie: er•uch circuits-new,alteration, or•trreedeo Per Penth Nanta: -- --- A• fat An la--h6-fir,wA purchW at -� -_--- Ad as trollied be feedach feeder roe,edemob circuit__ ate: 8. Fes far hrnclt otrcuitr wftlro+a Parches! 2 S of wrvix of fecal!:Cee,mist bratc6 cirtlnt: Phone' `rnx r mm,l. Erre viiz oo•1 bnl circuie '---- i•tbc,(&l lea orceed�r tut reduded): 2 l ach or ilrigetion circlo 2 ❑Service deer I25 amps.�ucrestrn�al U Etrnld+-�R fuillry V, puh sign a eutlioc IirhdaG_�____ ❑SerHte r 1i0 emps+edng or Idt2 tJ Hanrdaw loutlaa ' i f�,;(y d�lltrgs rl Building ever 111.000 equal Id't tour or Siptel elmtit(r)or a Itmitca nergy fusel, — 2 men:maidendel tants In arc stmemm' +It��O�?-r_! O Svnan er 600 volts nominal - V aodh+g over three sten.: O Fccdcrs,M)o"1 o+link •D•rtri tiJn: -6— We — oc-r-(load over 99 reasons U Manufe end ttmrtum tv RV pec Gtltaddit:otmlltapr<tt/mmcrthoeUeterbl•inanrorrheeborer ]Lerew4htuts plan O other. _-- - Por wp«uan - submit-- retv of plum with arty at the abose. above are not appiirJble to tealparary construction aetHtx. Other imrhPermit fee ' ( - .. ...S_ 7ewrdt.rleitaN111 et1niktianfsaweLlerRWM” Plan review(at_~OA) S O via, %Itbtxpite iS a pertmt!S it of tlen Stl surcharge(9%)_ _�. within Ia0 days•ties it hes E.cen 71 OXAL ....r„ {t peal n -'-' Beoihe l ..•••••'.....••-- seri M er II � e t aneWte MUM MIO-�6ts lR'eNCOr.tl