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I E r' r—fir E i �� 1: T �—— ► RIGINATIM 5 I i u I MGR I `ttr ........i. ut I.tt til ' ...... .�11...........` .sy•y�•�y.. ............ .rfL.�.. ............ E EE BB �I � .. .......�,,.. ............ ............... -- 1 WORKST TI / - ! � I :u UF' f .... .I. .. .. .� ... .:11.......1. .. ............ .......... .1.. .�. ..... z o y L_r1L._J _ DRAWING TITLE: _ ;13� 0 0 3 �` AMERICANYAC �.�You.�- .......... AVZ -NEW-- -t-TuRt4....... ..... _ . � T I.1 A M C ILS % C Z4 'peR 1Mt E _ 12 HEATING, INC, .:OB TITLE: 0 FF0 ES1�PR/415ERa 1 1 1339 S.E. GIDEON STREET ©/1rt"' L/N� OLNt �� T �' '1" PORTLAND, OREGON 97202-2418 N N TELEPHONE (503) 239-4600 FAX (503) 239-7038 S'&Z7E - 360 ] I N PRAISA�. ��1 i T I ...... ..... MR B �� ;I 1 ,� .......... ...... ESE E 311 �E ............ .......... r .� ........ E IL_ E I tm i E I I l i I E...... . ... .�-r I.............. . ............ ...... ............. +.�.... .i s.............. • N � 11 1 ._ ._ .� . ----.-- � ._.:;_lig. .-•+---.- - - 1 FLOOR PLAN EOR SUITE 360 1/6 ' 1'-0' IBASE03.DUC NOTICE: IF THE PRINT OR TYPE ON ANY rl �-Iiir ' ilil � li � I � I � I � � iIIlI1 � I , I1-1.1 11111 r�T�r� �-1r � il � IIII1 � �R�.1.L.1.� IIII � ( I �.T• .�.� �..I �rfiil � 11l 111111I 111 rC� ter �� � � Lr � � I � 1L L 1 r_II ITT IfII1-11 , I � lili Ili Ili 1111111 1 IMAGE IS NOT AS GEAR AS THIS NOTICE I 7 10 11 12 ITIS DUE TO THE QUALITY OF THE —� _�-- .36 -- _ No.36 ORIGINAL DOCUMENT E 6Z 8Z LZ 9Z 5Z '111111"11111 EZ ZZ IZ OZ 6T 8T LI � IIII IIII ���� IIIIIiIIIIIIIIIIIIIIIIIIIIIl11111111111111111111IIIIIililllllllilllllllillllllllllllllllllllllllllll .IIIIIi1111111IIiiIIIIIIIII!!! Iliillli. 1111 lll I ll I .11 l III►I 111 l ll 11..11.11 11L1.11U1 .11 11J I I I I I1�11 ! 0 w 0 0 cn C) Q c cn CL w 0 0 10300 SW Greenburg Rd #360 CITY OF TIGARD 24-Hour BUILDING In$Kiectio i Line: (503) 639-4175 INSPECTION DIVISION Business; Line: (503) 639-4171 MST BLIP - — - Received _ _.....__ Date Requested _ _AM -__ PM BUP ----. Location / U -,' �'� �' _ Suite �3(oU MEC Contact Person —__ Ph( `) _ PLM QOa OUd Z-- 6cIIelet�__..--_ --- -- - h( -) 7 -00107- swR BUILDING Tenant/Owner rli� ELC -- ------ ------------- Footing �--� Foundation ELC — Access: Ftg Drain ELR Crawl Drain Slab inspection Notes: SIT _ Post& Beam �J 1�� r /vt 3 �_ Shear Anchors - - - - - Ext Sheath/Shear Int Sheath/Shear Framing - InRulation Drywall Nailing _.�--. ---- _.-- -- - - Firewall Fire Sprinkler ---- -- -- - Fire Alarm r Susp'd Ceiling Root Other: Final PASS PART FAIL --- --- — — PLUMBING Post&Beam Under Slab ----- _ _ Rough-In Water Service Sanitary Sewer Rain Drains — Catch Basin/Manhole Storm Drain --- - Shower Pan Other: — ASS PART FAIL ----- --- 'IWM ANICAL Post&Beam J Rough-In ------- Das Line — Smoke Dampers — ------ --— ------ Final PASS PART FAIL — — --- — --- -- ELECTRICAL Service Rough-In — _ _— t1G/Slab Low Voltage — Fire Alarm Final Reinspection fee of$ required before next Inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL 3iTE ❑ Please call for reinspection RE: v_.__— — Unable to inspect-no access Fire Supply Line ADA Approach/Sidewalk DatM� _ Inspodor—i- Ze 151V e Ext Other. F al DO NOT REMOVE this Inspection record from the Joh site. PASS PART FAIT_ CITYOF TIGARD _ CERTIFICATE OF OCCUPANCY DEVELOPMENT SERVICES PERMIT#: BUP2001-00438 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 1 001 PARCEL: 1S135 S135AB-01003 ZONING: C-P JURISDICTION: TIG SITE ADDRESS: 10300 SW GRELNBURG RD 360 SUBDIVISION: LINCOLN ONEiRED LOBSTER/CASA L BLOCK: LOT: CLASS OF WORK ALT TYPE OF USE: COM TYPE OF CONSTR: 2FR OCCUPANCY GRP: B OCCUPANCY LOAD: 42 TENANT NAME: k/ORLD SAVINGS REMARKS: Commercial teiant improvement Owner: EQUITY OFFI;;F PROPERTIES TRUST 10260 SW GliEENBURG RD#100 PORTLAND, OR 97?23 Phone: Contractor: C SCHIEWE & ASSOCIATES INC 1024 NE DAVIS ST PORTLAND, OR 97232 Phone: 50?-234-6617 Reg #: Lit; 54105 �2_-I> 1 n z This Certificate issued t4l/20414l' 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, o(:cupancy, and use under which the referenced permit was issued. / �L B IL_ NG INSPECTOR ff—Ull-DING)OFFICIAL POST IN CONSPICUOUS PLACE CITY OF TIGAPU 24-Hour BUILDING Inspection Line: (503) 639-4175 MST INSPECTION DIVISION Business Line: (503) 639-4171 BUP Received -.-. Dath Requested i---- AM -PM BUP ---- Location __ 10 >O .Suite MEC — Contact Person _ _- _. d Imo- 141(—) %LM Co clot _ - - Ph( —) SWR - ----- tlIN Tonant/Owner _— _ __-_ ELC -. - ELC on Access: Ftg Drain ELR — Crawl Drain - — SIT _— ,lab Inspection Notes: y ------ Post& Beam Shear Anchors ` Ext Sheath/Shear -- — I it Sheath/Shear Framing Insulation Drywall Nailing Firewall 56 v / Fire Sprinkler Fire Alarm _ Susp'd Ceiling -- Roof Other: SS ART FAIL_ -' Post&Beam Under Slab Rough-In Water Service —, Sanitary Sewer — Rain Drains Catch Basin/Manhole Storm Drain ----_-_— Shower Pan ( _ Other: ----------------- FinPl PASS PART FAIL MECHANICAL — —w ----- --- -- - ------ Post&Beam Rough-in - �- — Gas Line Smoke Dampers — - -- -- Final _ PASS PART FAIL -- ELECTRICAL ------ Service Rough-In _ --- -- -- UG/Slab Low Voltage ---�' Fire Alarm Final Reinspaction fee of$ _required before next Inspection. Pay at City Hall, 13125 SW Nall Blvd. PASS PART FAIL SITE l Please call for reinspection RE: Unable to inspect-no access Fire Supply Line ADA Approach/Sidewalk DabOther_ Final DO NOT (REMOVE this Inspection record from the job olte. pA88 PART FAIL Y OF TIGARD 24-Hour BUILDING Inspection Line: (503) 639-4175 MST INSPECTION DIVISION Business Line: (503)639-4171 _ BLIP - - — - Received —____ Date Requested_— _2`-S AM- PM—_ _ BJP Location _ ( G v'vULJ , w"n/1� - suite —!�— - MEC � ---- --- - Contact Person Ph(--) � PLM ---__-- Contractor __-_ Ph( ) _ SWA BUILDINGS Tenant/Owner _ _ ELC -_ Footing r Foundation FLC - -- - - -- Ftg Drain Access: ELR Crawl Drain Slab Inspection Notes: SIT _ Post&Beam - Shear Anchors Ext Sheath/Shear Int Sheath/Shear Fre ning Insulation _ Drywall Nailing - Firewall Fire Sprinkler - - Fire Alarm Susp'd Ceiling Roof Other:_ --- Final PASS _PART __FAIL PLUMBING 4 Post&Beam Under Slab -- Rough-In Water Service - Sanitary Sewer Rain Drains --- - Catch Basin/Manhole / Storm Drain Shower Pan Other: Final P FAIL ANIC Flough-In Gas Line Smoke Dampers PART FAIL ------ ------------ --- *ER dAL Service Rough-In UG/Slab - - - - - Low Voltage Fire Alarm Final [ Reinsty.:tion fee of$__— _required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL SITE Please call for reinspection RE:____ _ [� Unable to inspect -no access Fire Supply Line / ADA pate _� inspector Et Other: Find DO NOT REMOVE this Inspection record from the job site. PASS PART FAIL CITY OF TIG'iARD 24-Hour BUILDING Inspection Line: (503) 639-4175 MST INSPECTION DIVISION Business Line: (503) 639-4171 BUP Received -_ - - Date Requested AM____ PM -- BLIP Location — -- ---� _' '- _� ��4� Ph .Swte— --- MEC - - --- Contact Person - - ---- — (- -) - --- PLM Contractor __-- --- - - Ph(_ __ _) �2_ -- SWR -- ----- -BUILDING Tenant/Owner -_ -__ ELC Footing ELC Foundation Access: Ftg Drain ELF! Crawl Drain - — - SIT Slab Inspection Notes. - — Post& Beam - - - Shear Anchors Ext Sheath/Shear — ---- Int Sheath/Shear _ __— Framing -- - - Insulation Drywall Nailiny ---- - - --- — - -- -- Firewall � � Fire Sprinkler Fire Alarm - Susp'd Ceiling - Roof Other: Final _L-D W _� PASS PART FAIL Post& Beam _ Under Slab -------- --- — Rough-In _ _ ------ -- Water Service Sanitary Sewer Rain Drains Catch Basin/Manhole Storm Drain Shower Pan Other: Final — PASS PART FAIL J_- MECHANICAL -- Post& Beam Rough-In - .. Gas Line _ Smoke Dampers Final PASS PART FAIL ELEGTAICAL Service Rough-In -- -- -- ----- UG/Slab Low Voltage - ---. ------- Fire Alarm PART FAIL_ PASS L1 Reinspection fee of$__.___ _required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. SITE _ [] Please call for reinspection RE:--------.- - E:] Unable to inspect-no access Fire Supply Line- ADA Date/ �'' 0 Z Inspector - Ext _ Approach/Sidewalk - Other:_ Final DO NOT REMOVE this Inspection record from the I" site. PASS PART FAIL CITY OF TIGARD 24-Hour BUILDING Inspection Line: (503) 639-4175 MST INSPECTION DIVISION Business Lone: (503) 639-4171 BUP Received _ __Date Requested .( __. AM__— — PM-- P SU Location ZO Suite -�6U MEC - --- Contact Person h( ) 'KLI '73 q3_ PLM - Contractor.__ - - - Ph(_ ) SWR BUILDING TenanIJ0wner _ _- _ - ELC Footing ELC Foundation Access: Ftg Drain ELR Creuil Drain Slat, Inspection NoleFs SIT Post&Beam ---- - Shear Anchors Ext Sheath/Shear Int Sheath/Shear Framing - Insulation ��< C Drywall Nailing _ Firewall Fire Sprinkler -- ,�� -.. --- ---- -- - Fire Alarm Susp'd Ceiling Roof Other: Final PASS PART FAIL PLUMBING Post&Beam Under Slab - _ ------- -------- ----- -- - Rough-In Water Service ---------.---_ _ _ _ 02 - Sanitary Sewer Rain Drains - - --- -- --- - - - - --- Catch Basin/Manhole Storm Drain —� Shower Pan Other: - Final ----------__.._.__ _ PASS PANT FAIL r MECHANICAL Post&Beam --- Rough-In Lias Line Smoke Dampers Final PASS PART FAIL_ - -- ELECTR_I_CAL Service Rough-In UG/Slab kewl - r offl, . - — -- ---- - _�— re arm E u Reinspection fee of$_�.� required before next Inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS VPART FAIL I SI I PleAse rall totminspc rticm RF __ _ —__� Unable to inspect-no access Fire Supply Line ADA DRIP ,� � ; Inspecto tlO"L!s► Ext Approach/Sidewalk Other: Final DO NOT REMOVE this Inspection record from the Job site. PASS PART FAIL CITYOF T I G A R D ELECTRICAL PERMIT PERMIT M ELC2001-00634 DEVELOPMENT SERVICES DATE ISSUED: 12;17/01 13125 SW Hall Blvd., Tipard, OR 97223 (503) 639-4171 PARCEL: 1S135AB-01003 SITE ADDRESS: 10300 SW GREENBURG RD 360 SUBDIVISION: LINCOLN ONE/RED LOBSTER/CASA L ZONING: C-P BLOCK: LOT : JURISDICTION: TIG Proiect Description: Installation of 12 branch circuits. TI __ RESIDENTIAL_UNIT TEMP SRVC/FEEDERS _ MISCELLANEOUS 1000 SF OR LESS: 0 200 amp: PUMP/IRRIGATION: _ EACH ADD'L 500SF: 201 - 400 ar ,p: SIGN/OUT LINE LTG: LIMITED ENERGY: 401 - 600 amp: SIGNAL/PANEL: MANF HM/SVC/ FDR: 601*amps - 1000 volts: MINOR LABEL (10): _W SERVICE/FEEDER BRANCH CIRCUITS _ ADD'L INSPECTIONS _ 0 - 200 amp: W/SERVICE OR FEEDER: PER INSPECTION: 201 - 400 arnp: 1 st W/O SRVC OR FDR: 1 PER HOUR: 401 - 600 amp: EA ADD'L BRNCH CIRC: 11 IN PLANT: 601 - 1000 amp: _ PLAN REVIEW SECTION L 1000+ amp/volt: >=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: Phone: 624-3631 Reg #: LIC 75059 SUP 1965S ELE 34-283C FEES Required Inspections Type By Date Amount Receipt Ceiling C,-)ver PRMT CTR 12/17/01 $120.00 27200'()000( Wall Cover Elect'I Final 5PCT CTR 12/17/01 $9 60 27200 10000( Total $129.60 l his Permit is .: !ed subject to the regulations contained in the Tigard Municipal Code State of OR Speaalty Codes and all other applicable laws Ail work will be dune in accordance with approved plans This permit will expire if work is not started within 180 days of issuance,or if work is suspendec for more than 180 days ATTENTION Oregon law requires you to follow rules adopted by the Oregon Utility NoVication Center. Those rules are stat forth in OAR 952-001-0010 through OAR 952-001,0080 You may obtain copies of these rules or direct questions to OUNC at(503) 2466699 or 1.80-332-2344 Permit Signature: Issued By: 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 ATE: _CONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR. ELEC'N: LICENSE NO: Call 639-4175 by 7:00pm for an inspection the next business day Electrical Permit Application Date received: Permit no.: b-JCLW r (� N City of T lgarR EE I VProject/appl.no.: Expire date: Ciryof Tigard Address: 13125 SW Hall Blvd,Tigard,OR Date issued: ceipt no. Phone: (503) 639-4171 Fax: (503) 598-1960 [SEC r1 ?001 Case file no.: Payment type: Land use approva • CITY OF IR ARD isimis&I M Elm U I &2 family dwelling or accessory U Commercial/industrial U Multi-family Lyrenant improvement U New construction U '-'()(her: U Partial 1 Jot,address: t)uJ� �; ��,,�-,� � - 131i1�. n 1. /t,,, `,uu n t : ?(, Tax map/tax lol/account no.: Lot: Block: Subdivisi f: Project name: ` Description and location of work on premises: Estimated dale o1'cont lotion/ins ecti6n: Job no: ] is Fee Nlax —*' ti BUSIBusiness5 Waffle: M rf K Descri pon 1( ty. (CA.) X11/rAl no.insp �t - Nenrecidential singleormuld-fandh per Address: d &lt' { tiF _ 1111 c Ifing unit.Infludes attached gar age. City: 1 ti Slale().x ZIP: 1F;'zj / Serviceincluded: Phone: ' t - W1 JlFax ,Lq- 2ttgAE-mail: 1000 sq.k of ie, :�- CCB no.: 1 6Elee.bus. Ile.n0: C. Each additional 500)sq.ft.or portion thereof - `� �( -2k-7 Limited energy,residential _ 2 City/ etro lic,no.. Lindtedenergy,non-residential 2 .�' _ Z /U-e^ Each manufactured home or modular dwelling Sigffature of su ry g electrician(requited) _ Date Service and/or feeder Sup.elect.name(prim): r License no: _ Services or feeders-Installation. alteration or relocation: 200 amps of less 2 Name(print). 201 amps to 4I )amps —__ 2 Mailing address: — 401 amps to 600 strips 2 601 amps to 1000 amps 2 City: Stale: Z1 P: Over I1x10 amps or volt. - — 2 Phone: Fax: I E-mail: Reconnect only I Owner installation:The installation is being made on property I own Temporsn services or feeders- which is not intended for sale,lease,rent,or exchange according to Installation,alteration,orrelne.0on: ORS 447,455.479,670,701. 200 amps or less ____ 1 2 201 sults to 4(R)amps 2 OWWc•t's siPmiture; Date. _ 4011110 hails ---- 2 Branch circuits-new,alteration, or extension per panel: 1J•""`_----___ _ A Fee for branch circuits with purchase of Address: service or feeder fee,eo,.h branch circuit 2 City: State ZIP: B. Fe,Icr branch circuits without purchase Phone: ' y�F `�� of service or feeder fee.first branch circuit: I ,t� 1? mail: — --- finch atldflion•.l„ranch cinuit III %N RI'VIFIVI(I'lense check all lhal appI9Mlsc.(�crrlce oror feeder not Included): UService o-cr225amps-commercial 111r71ih-carefecility Iarit um or irrigation circle _ - U Service over 320amns-ralingof 1&2 U Huzardouslocation Each sign or outline lighting 2 familydwellings U Building over 10.000 square feet four of Signal circuits)or a limited energy panel, U System over600 volts nominal more residential units in one structure alteration,or extension* U Building over threestories U Feeders,4W amps or more •1)c•sc•n tion: U Occupant load over 99 persons U Manufactured structures or RV park torch additional Inspection over the allowable In any of the above: U Egress/lightingplat U tither per inspection %lutilt_.sets of plans with any of the al►ove. Investigation fee The above are Clot applicable to temporary construction service. Other -- - Permit fee.....................$ Not all Jutisdicti.ins accept credit cards,please call Jurisdiction for roam information. Notice:'Phis permit application U Visa U MasterCard expires if a permit is not obtained Plan rcn,iew(at _ %) $ — Credit card number: _ _—L—� within IRO days afler it has leen Slate surcharge(8%)....$ a"pire' accepted as complete. Nam!of C O V shown onCR t evil S cardholder alptature —Amorm! 440-4615(GtUfK'OM) ELECTRICAL PERMIT FEES: LIMITED ENERGY PERMIT FEES: - --------- TYPE OF WORK INVOLVED -RESIDENTIAL ONLY__ amp ete Fee Schedule Below: Restricted Energy Fee...................................................... $75.00 Number of Inspections pet permit allowed (FOR ALL SYSTEMS) Service included: Items Cost Total Check Type of Work Involved: Residential-per unit 1000 sq fl.or less $145.15 4 ❑ Audio and Stereo Systems' Each additional 500 sq ft or portion thereof $33.40 1 ❑ Burglar Alarm Limited Energy $75.00 Each Manurd Home or Modular _ Dwelling Service or feeder $9090 2 ❑ Garage Door Opener' Services or Feeders ❑ Heating,Ventilation and Air Conditioning System' Installation,alteration,or relocation 200 amps or less $80.30 2 201 amps to 400 amps $10685_ 2 ❑ Vacuum systems* 401 amps to 600 amps $160.60 2 601 amps to 1000 amps $240.60 2 ❑_ Other Over 1000 amps or volts $454.65 Reconnect only $66.85 2 Temporary Services or Feeders TYPE OF WORK INVOLVED -COMMERCIAL ONLY Installation,alleralion,or relocation Fee for each system...................... ...................._. .._..... $75.60 200 amps or less _ $88.85 2 (SEE OAR 918-260-260) 201 amps to 400 amps $100.30 2 401 amps to 600 amps $133.75 2 Check Type of Work Involved: Over 600 amps to 1000 volts, see"b' above. ❑ Audio and stereo Systems Branch Circuits New,alteration or extension per panel ❑ Boller Controls a)The fee for branch circuits with purchase of service or ❑ Clock Systems feeder fee. Each branch circuit $6,85_— 2 ❑ Data Telecommunication Installation b)The fee for branch circuits without purchase of service ❑ or feeder fee. Fire Alarm Installation First branch circuit _ _ $46.65 ❑ Each additional branch circuit $6 65 HVAC Miscellaneous ❑ (Service or feeder not Included) Instrumentation Each pump or Irrigation circle $5340 Each sign or outline lighting _ $5340 _ ❑ Intercom and Paging Systems Signal eircult(s)or a limited energy panel,alteration or extension $7500 _ ❑ Landscape irrigation Control' Minor Labels(10) $12500 Each additional Inspection over ❑ Medical the allowable in any of the above Per inspection – _ $62.50 ❑ Nurse Calls Per hour _ $62.50 In Plan' �— $7375 ❑ Outdoor Landscape Lighting' F ees: ❑ Protective Signaling Enter toth'of above fees $ ._ Other _ 8%State Surcharge $ `_Number of Systems 25%Plan Review Fee See"Plan Review"section on $ No licenses are required Licensee are required for all other installations front of application ---- -- Fees: Total Balance Due $ — Enter total of above lees $_ QTrust Account# ------- 8°/,State Surcharge $ Total Balance Due S i Asts\fom s\elc-fees.doc (W07/01 �\ CITY OF TIGARD PLUMBING PERMIT SERVICES PERMIT#: PLM2002.00012 DEVELOPMENT DATE ISSUED: 1/14/02 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 PARCEL: 1 S135AB-01003 SITE ADDRESS: 10300 SW GREENBURG RD 360 ZONING: C-P SUBDIVISION: LINCOLN ONE/RED LOBSTER/CASA L JURISDICTION: TIG _ BLOCK: LOT: -- CLASS OF WORK: OTR GARBAGE DISPOSALS: MOBILE HOME SPACES: TYPE OF USE: CUM WASHING MACH: BACKFLOW PREVNTRS: FLOOR DRAINS: 1 TRAPS: OCCUPANCY GRP: B CATCH BASINS: STORIES: WATER HEATERS: 1 ----,-.—FIXTURES------ LAUNDRY TRAYS: SF RAIN DRAINS: SINKS: 1 URINALS: GREASE TRAPS: LAVATORIES: OTHER FIXTURES: TUB/SHOWERS: SEWER LINE: ft WATER CLOSETS. WATER LINE: ft DISHWASHERS: RAIN DRAIN: ft Remarks: Moving (1)break room sink, (1) 2" hub drain and (1)water heater No change to EDU's. FEES _ Owner: Typo By _ Date Amount Receipt EOP LINCOLN, LLC PRMT CTR 1/14102 $72.50 27200200000 10260 SW GREENBURG RD 5PCT CTR 1/14/02 $5.80 27200200000 SUITE_ 100 _ _ Total $78.30 PORTLAND, OR 972.23 — ---- Phone 1: Contractor: _ KSM PLUMBING INC DPA SUNSET PLUMBING PO BOX 23263 REQUIRED INSPECTIONS — TIGARD. OR 97281 - -- Top-out Insp Phone 1: 503-657-0010 Final Inspection Reg #: LIC 141154 FLM 34-366PB This permit is issued subject to the regulations contained in the Tigard Municipal Code. State of OR. Specialty Codes and all other epplic-ble 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 ,80 days. ATTENTION: Oregon law requires you to follow rules adopted by/the Oregon Utility Notification Center. Those ruler are set forth in OAR 952-0001-0010 through OAR 952-0001-0080. You may obtain copies of these rules or direct questions to OUNC by calling (5p);2 -1987, 9 Permittee Signature: IsTmed By. — -;` Call (503)639-4175 by 7:00 P.M. for an inspection needed the next business Jay Plumbing Permit Application Date received: /4,1,- Permit no.: / / �.lt�' Of Tigard Sewer permit no.: Building permit no.: Address: 13125 SW Hall Blvd,Tigard,OR 97223 City of Tigard phone: (503) 639-4171 Project/appl.no.: Expire date: Fax: (503) 598-1960 Date issued: By: Receipt no.: Land use approval: Case file no.: — Payment type: ❑ I &2 family dwelling or accessory U t'onnnerdal/uulu trial U Multi-family ❑'tenant improvement U New construction U Addition/alteration/replacement U Fatd service U Other: .1011 S1 11-1 INFORMAtION FEE SCHED11 IF(for special Information use checklist) Joh address: j Description "y. Fee(ea.) Tolal ---- - - Ne++ I-and 2-family dwellings oni}: Bldg.no.: Suite no.: C i,_ — -----.--- -- -- (includes l001t.foreachuUli(pconnection) Tax map/tax lot/account no.; SFR(1)bath Lot: I Block: Subdivision: SFR(2)bath - - - — - Project name: } /[yCu/" - 0; Ie 3 SFR(3)bath - - --- - City/county: ZIP: Each additional bath/kitchen Description and location of work on premises: Siteutilitles: Catch basin/area drain Est.date of completion/inspection: Drywells/leach line/trench drain Footing drain(no. lin. ft.) Manufactured home utilities Business name: KS x, l.r _ ;,; V,;f 4 h4.441 I'' Manholes Add'-cgs: Rain drain connector City: ..4 r-6 Stater ZIP: I7LV/ Sanitary sewer(no.lin.ft.) Phone: Fax: ic7—%&-mail: Storm sewer(no.lin.ft.) — CCB no.: c Plumb.bus.reg.no: c . )��, /' Water service(no.lin. ft.) City/metre lic.no.: '- o! Fixture or Item: Contractor's re -� Absorption valve -- - --- Back flow preventer Print name: Date: - i Backwater valve _ -- Basins/lavatory Name: Clothes washer Address: - Dishwasher Dunking fountains) City: State: rr'I_II': - -- l� 7Ejectors)sump - Phone: — I,tt E-mail: Expansion tank Fixture/sewer cap Floor drains/floor sinks/hub Name(print): Mailing address: — -.- -- Garbage dis rsal -- -- ----- Hose bibb I City: State: ZIP: Ice maker Phone: Fax: E-mail: Interco tor/ reale trap _ Owner installation/residential maintenance only: The actual irstallation Primer(s) u _ will be made by nit,or the maintenance and repair made by my regular Roof drain(commercial) employee on the properly I own as per ORS Chapter 447. ,-in s ,basin(s),lays(s) -- Owner's si nature: Date: Sump 'Tubs/shower/shower pan Urinal - Name: -- ---- --- --� ,__� Water closet - Address: Water heater - City: - State: 17j IP:-- _ Other -- L-- - Phone: Fax: Email: Total -� Not all juriadicti.xu accep credit cartle,please call juri.diction rot nuxe inrornuuion. Minimum fee................ Notice. Ibis permit application Plan review(al — 9t�) $ ❑Visa U MasterCard expires if a pennit is not obtained Credit card number: State surcharge(8%)....$ - v!-ithin ISO do}s eller it has been Name of cardholder u shown on ZGGt cattd Up roe accepted as complete. T15TAL .......................$ 79, 30 S —�— Cardholder signature — -- Amount— 4141616(&MICOM) PLUMBING PERMIT FEES: PRICE TOTAL New 1 and 2-family dwellings only: FIXTURES (individual QTY_ ea _ AMOUNT (Includes all plumbing fixtures In PRICE TOTAL Sink 16.60 the dwelling and the first100 ft. QTY ,(ea) AMOUNT Lavatory16.60 for each utilityconnection _ One(1)65111 _ _- $249.20 _ - 7ub or Tub/Shower Comb. 16.60 Two(2)bath $350.00 Shower Only 16.60 Three 3e1 )bath .399.00 _ Water Closet 16.60 - 8UBTOTAL Urinal 16.60 8%STATE SURCHARGE Dishwasher 16.60 PLAN REVIEW 25%OF SUBTOTAL r'arbage Disposal 16.60 _ TOTAL Laundry Tray 16.60 Washing Machine 16.bu Floor Drain/Floor Sink 2" 16.60 PLEASE COMPLETE: 3~ 16.60 4" 16.60 -- - - ---- Water Healer O conversion O like kind 16.60 Quantic b Work Performed Gas piping requir4a a separate mP hanical Fixture Type: New Moved Ret.,iced Removed/ Capped permit. - - -- - MFG Home New Water Service 46.40 Sink MFG Home New San/Storm Sewer 46.40 Lavatory _ Tub or Tub/Shower Hose Bibs 16.60 Combination Roof Drains 16.60 Shuwer Only Drinking Fountain 16.60 Water Closet Urinal Other Fixtures(Specify) 16.60 Dishwasher Garbage Disposal Laundry Room Tray Washing Machine _ Floor Drain/Sink: 2" St,ver-1st 100' 55.00 3„ Suw,,r-each additional 100' 46.40 4- _ Water Service-1st 100' 55.00 Water Healer _ - Other Fixtures Water Service-each additional 200' 4640 (Specify) Storm 8 Rain Drain-tsl 100' 55.00 _ Storm 8 Rain Drain-each additional 100' 46.40 _ --- Commercial Back Flow Prevention Device 46.40 - - - Residential Backflow Prevention Device' 27.55 _ Catch Basin 16.60 -_ Inspection of Existing Plumbing or Specially 62.50 Requested Inspectionsper/hr COMMENTS REGAF DINU ABOVE: Rain Drain,single family dwelling 65.25 _ --------- Grease Traps 16,60 - - - - - QUANTITY TOTAL Isometric or riser diagram is required If Quantltv Total is >D - -- "SUBTOTAL --- - - ---- - - - - 8%STATE SURCHARGE - - - - "PLAN REVIEW 25%OF SUBTOTAL Required only if fixture qt toy cal Is>D -- TOTAL $ *Minimum permit fee is$72 50+B%stale surcharge,except Residential Backflnw Prevention Devlce,which Is$38 25+P%state surcharge "All New Commercial Buildings require 2 sets of plans with Isometric or riser diagram for plan review. 1!Wsts\forms\plm-fees.doc 12/26/01 BUILDING PERMIT CITY OF TIGARD PERMIT #: BUP2001 00438 DEVELOPMENT SERVICES DATE ISSUED: 11/29/01 13125 S1Y Hall Blvd., Tiqard, OR 97223 (503) 639-4171 PARCEL: 1S135AB-01003 SITE ADDRESS- 10300 SW GREENBURG RD 360 SUBDIVISION: LINCOLN ONE/RED LOBSTER/CASA L ZONING: C-P BLOCK: LOT: JURISDICTION: TIG 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: W: OCCUPANCY GRP: B TOTAL AREA: 0.00 sf ROOF CONST: FIRE RE r? OCCUPANCY LOAD: 42 BASEMENT: sf AREA SEP. RATED: STOR: 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: $ 55,000.00 Remarks: Commercial tenant improvement. Owner: Contractor: EOP LINCOLN, LLC C SCHIEWE & ASSOCIATES INC 10260 SW GRE ENBURG RD 1024 NE DAVIS ST SUITE 100 PORTLAND, OR 97232 P�Pone:TLAND, OR 97223 Phone: 503-234-661 t Reg #: sic 54105 FEESY REQUIRED INSPECTIONS Type By Date Amount Receipt Framing Insp PRMT CTR 11/29/01 $498.15 27200100000 Firewall Insp Gyp Board Insp 5PCT CTR 11/29/01 $39.85 27200100000 Susp Cei!^g !,asp PLCK CTR 11/29/01 $323.80 27200100000 Finan Inspection FIRE CTR 11/29/01 $199.26 27200100000 Total $1,061.06 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of GR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This per nit will expire if wori- is not started within 180 days of issuance, or if work is zuspended for more than 180 days. ATT_NTION 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 1 Issued By: Call 639-4175 by 7 p m for an inspection the next business day Building Permit Application "Datcfcceived:r/ ,� !lenniIno.: City of Tigard I'rojecUappl.no. Expircdate: Ciq�uJTigut,i Address: 13125 SW Hall Blvd,'Tigard,OR 97223 _ Phone: (503) 639-4171 Date issued: By: Rceeipt nn. Fax: (501) 598-1960 Case file no.: Payment type: Land use approval: 1&2 family:Simple Complex: TYPE OF PERMIT U I &2 family dwelling or accessory U ColmmerclalhndUsMJI J N1ulii-family U New construction U Demolition U Addition/alteration/replacement *1'enant improvement J I n sprinkler/alarni U Other:INFORMATION — JIM Sl I'll, Job address: 0300 SW Grtaevl J SUI 3roo Bldg.no.:L Ned. Suite no.: Lot; Block; Subdivision: Tax map/tax lot/account no.: Project name: r1A SaV t h Description and location of work on premiscs/special conditions: TEI�fAN7 ------ Name: MUITY DFFi e-E PfLoPERT Es Mailing address:10260 5W GreertbtnrXl Sul tc 100 1 &2 family dwelling: City: Forqa Staw:0[L ZIP: 97223 Valuation of work...................... ............... Phone50'5g92• P Fax: Email: No.of bedrooms/baths......•.......................... Owner's representative: Fl-Z Fl-.CIVrcw peak"tem Total number of floors................................. _. PhoneSo$2 fax: E-mail: New dwelling area(sq. ft.) .......................... Garage/carport area(sq. ft.).. ..................... Name: (3D P G ,�C,r Inc . Covered notch area(sq. It.i ......................... +r'clni . • Deck arca(sq.ft ) ..... _ ............ . .. .. — Mailing address: 920 SW _ avern>e Sul Ce l Other structure area( tt l City: p(r State:C) ZIP: 1)72X) Phone503 V, Pati E-mail: Commercial/industrfallmulri family: 00 Valuation of work...... - ....•. .•.................•.. $ Existing bldg.arca(sq. It.) .......................... Business name: C. Sckl ewe C0nStJ-uc 1Ch New bldg.area(sq.ft.) ................................ S Address: D2 E Dav's 5 Numlxr of stories 5)-F1Ve_ Cit State:D ZIP: 9 232 ...........................•......• City: Or �►'t Type.of construction. _Zt_� - Phone50323 -6617 Fax: E-mail: Occupancy group(s): Existing: -- CCB no.: 54105 New: b City/metro lic. no.: Notice:All contractors and subcontractors arc required to he licensed with the Oregon Construction Contractors Board under N.unr: `'sl+WlE AS aPP�(CAI` provisions of ORS 701 and may be required to be licensed in the _ jurisdiction where work is tieing performed.If the applicant is Address: _- State: 'LIP: -- exempt from licensing,the folio ing reason applies: I Cit Contact person: flan no.: Phone: Tax: E-mail: person:rson: Fees due upon application ........................... $ Nnnu•. Address: _ Date received: City: State: ZIP: Anuauut received ......... ........•.•...........•........ . _ phone. Fax: E-mail: Pleas, refer to `cc schedule. hereby certify I have read and examined this application and the Nd all Jur.%dictim acccfa credit cards,please cad+nrisdiction for more tnforrmlion attached checklist.All provisions of laws and ordinances governing this UVisa U Mastercard work will he complied with,whether specified c'tedit card number �d herein or not. pp Authorized signature: _ �—YZ /�-�/^"` Date: J_/19'01Name of cardhoidrr as shown on credit card $ Print name: �IJY — Cudholdet d`neturc Amnuot Notice:This permit application expires if a permit is not obtained within 180 days alter it has been accepted as complete. 4"13(6100+COM) I Commercial Plan Submittal Requirement Matrix ('il f,u/'1 iL:ard TYPE OF SUBMITTAL # of Plans (Includes New, Additions or Alterat ons) Required at Submittal S`te Work 4 (must include location of all accessible parking) Plumbing - Site Utilities 2 Building 1* Fire Protection System 3** I I Mechanical 2 I Plumbing - Building Fixtures 2 . 1 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\dsts\forms\C0M-matrix.doc 9/24/01 WorW .Sav'IN9 s 1 L -3(o0 JI 129.01 Accessibility: Barrier Removal Improvement Plan City of T igard REQUIREMENT: OREGON REVISED STATUTE (ORS) 447.241. (1) Every project for renovation,alteration or mo cclication to affected buildings and related facilities shall by made to insure that the path of travel to the altercd area and the restroom, telephones and drinking fountains are rear'ily 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 eyceeds twenty-five poi-cent(2Ti1.). VALUATION: of all renovation, alteration or modification being done I1I $ 5�- t�O00 excluding painting, wallpapering. 25 multiplT. 25% Barrier removal requirement. 00 BUDGET FOR BARRIER REMOVAL (21 $ 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 ea r;rP�►h , new carp CA-r'siaewalP' $ .�_'Jr150 co--- -- s�Ha�e builc(iw� e"?YA-'er 4 acce'w;ble 'sit llr. (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 $J —_ elements such as storage and alarms. „ 50 no TOTAL: Shall equal line 19f Value Co Wutation $ i:\dsls\forms\Accessibility.doc 09/24/01 ELECTRICAL PERMIT- CITY OF TI GA R D RESTRICTED ENERGY DEVELOPMENT SERVICES PERMIT#: ELR2002-00012 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 1/24/02 SITE ADDRESS- 10300 SW GREENBURG RU 360 PARCEL: 1 S135AB-01003 SUBDIVi,3;3N. I-INCOL14 ONE/RED LOBSTER/CASA L ZONING: C-P BLOCK: LOT: JURISDICTION: TIG Proiect Descrintion: Low voltage install for Date/Telecommunication. A._RESIDENTIAL B.COMMERCIAL AUDIO & STEREO: AUDIO & STEREO: INTERCOM & PAGING: BURGLAR ALARM: BOILER: LANDSCAPE/IRRIGAT: GARAGE OPENER: CLOCK: MEDICAL: HVAC: DATA/TELE COMM: X NURSE CALLS: VACUUM SYSTEM: FIRE ALARM: OUTDOOR LANDSC LITE: OTHER: i-IVAC: PROTECTIVE SIGNAL: INSTRUMENTATION: OTHER: TOTAL # OF SYSTEMS: 1 Owner: Contractor: EOP LINCOLN, LLC CHRISTENSON ELECTRIC INC 10260 SW GREENBURG RD 111 SW COLUMBIA SUITE 100 STE 480 PORTLAND, OR 97223 PORTLAND, OR 97201 Phone: Phone: 241-4812 Reg #: LIC 458 SUP 3289S ELE 26-34C FEES Required Inspections Type By Date Amount _Receipt Low Voltage Inspection PRMT CTR 1/24/02 $7500 2720020000 Elect'I Final 5PCT CTR 1124102 $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 v%ork will be done in accordance with approved plans This pei rnit will expire if work is not started within 180 days of issuance, or if worts 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 copses of these rules or direct questions to OUNC, at (503) 246-1987. Issued by ��u�f.C/�, L /��,Z 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 SIGNATI IRE OF SUPR. ELEC'N ,L ,� - DATE: LICENSE NO'. _-- Call 639-4175 by 7:00 P.M. for an inspection needed the next business day sent by: CHR18TENSON ELECTRIC 5032058721 ; 01 /23/02 12:02PM;]!j1`.;L#641 ;Pa9e 1 /1 E_�ectr�ical Pertem . Perrrutno-! a -0,1 [late recewrd: (;111}' of Tl�aTigardProjecUappl.no.' E.xpiredste: _Addtcss: 13125 SW Ifail IIIvd,'Figard,Ct1R 772'13,,, Date issued: By: Receipt no.: Payment t I'hone: i503) 639-4171 CHI OF"MARD Case file no.. Fax: ttit13) 599-1960 BUMDING DMSION Land use approval: — �ornmercial/industr,al U Multi-family U Tenant improvement U l 8r.2 family dwelling or accessory M Other: U Partial [JNrwconstnlcuon �l1 AJdiliot✓allet Ell on/tcplacerttent )ub address: 10300 SW GREENBURG RU SU ITE# 0 alrig�nr! �Suite n,t.; T:tz trap/true lot/account no..- -_ - - ictt: Rlocic; So Loc. 97223 _- _ _ - ..--- —" tton and location of work on pfemtses L �E � �OO ��A ION Ptojectname: N- QU1rSTI0NS?CONTACT DAN VANDENBOOM(503)806--9343 l'sstlrftat date of coni letirndnrslrsnon. Fee MAX JObt1AS ^(101;91 __ ---. DrSt't�+Lnti _Q'h• (�) luWl nA.lns llusiness name:CHRISTENSON ELECTRIC rINC. Newresidrrrdnl-sagtieorrrarNi faraih pe, AddreS_- s;I SW COLUMB!k sUITF. 480 drrcllin�wdclnclurserAtrarlydl�nraGr• State: OR Z1P: _ ycrnrxrncludeQ 4 City: TU T A 1000 aq.k of less phpn�3 414812 Fw603241051 Email E„ehodattional5(NI:'l t. r r p,rrtioa u,ereor 3 CCB no.;45g c Jbus.lie.no: 26-34C ___ Limited energy,restdcuual 3 l f tro 4mited energy,nun-resrdeoual Cit /file o.: 5 6 F.aeh rtsanufsettued home or modular dweL'inR 2 p�e Service Mdlor feeder _ Signs ofsupervisin ee Cl t uircl) _ g)3s Senicnnrfrtderi7nstnllAlI0n, Sup,elecl.narae( ring BRIAN CHRISTOPHER Llcerisene. alirratiortmrelocation. 200 snips of less 221P`w 400 AMPS - 2 Name( [Int): -- tutEsto600amps ----- 2- - Mailing address: 601 amps to I000 nmPt2-- -�T— State: Z1P: Over 1000&nips or vo1LS--- _ ---•- E-mail: Rrcnnnrtt onl --1 Phone Fes' Tertyrrrnty Serices or feeders- Owner installation:The installation is beim;made on pmpctty 1 own inat,sllatlar,alteration,ortrluation: 1 which is not intended lot sale,lease,rent,or exchange accordln9 to lar b,ps or ieu 2 (jRs 44-1.455,479,6711,701. 201 srrrps,c 400 asps -- 2 Date; -401 w 600 runs � - owners si nature; — Branch circuits nrw,■Itenllon, or eslemion per Palm)= Name: Fee fcr branch cirtmiu'with purchase Of 2 utviec or feeder i-ce.each branch circum_ Address: _ -.R �___ �. Fa for btnnch circuits without,wrchue Z $late: _ ZIPS of service or frrArr fee,lust breech circuit: — city:. 1 mail' Each addidonsl bench eitcvit: Phone: l'ax M1se.(service or(eider Mol Included 1: Each pump or trtil;nuon crrclr. _iT 2 U fervwe ova:,Is ampi-mininervial =1 Naalth ane facility �h sign or outline li5huna UServiotover320arnps-rating of 1&2 IJ II&WdOuslocAnon Si nalcircuit(SlorAltinitnleneryvpanel, family dwellurgs J Building Aver 10,(100 square frU four At R Mgt residential units in one straaurc dter�uon,or extension• __-__ ©,ys,m over 600 volts nominal y_ U Bu,ldinp nv :,tuec sloria ❑Foden,43tu amps ormote -•,kuript)on DATA, TELECUMMUN I CAT ION t luad over 99 Persons r]Manufactured structures or Rv padr F.ach additional Imp-lion over the allowsr6le Int try of the Alicia: U O'Cupan El Other Pet inspection - £gtess/l i KhtinR plan _^� Subtnit---sets of plana with busy of the above. tOthtr aatton ice — ,Ile atbve arc not sppUable to tearponry eoosnrocHoo aerrlce, j _ — _ Permit tee.....................� -- Na sll w6itietions accept VnOit cards.plew call jurivict fa"'crt"'i°nnan°n' NAtice:This permit application Plan review(at 0 VISA t]MsaterCard expires if s permit is not obtained State surcharge(6%) ....$ 6• —= within 180 days after it has been Cnodh card Mumbo. -- pares accepted ss a,nrpletc. TOTAL $ 8 TRUST ACCOUNT DEDUCT o�iirMotAer u�oWn oo em-Wt eNc` S 4"15(6M IoM) marts .. +FEES ON BACK OF FORM c�-`'r OCT.2000 t ,d CITYOF TIGARD MECHANICAL PERMIT DEVELOPMENT SERVICES PERMIT#: M00042 DATE ISSUED: 1/24/0224/02 13125 )W Hall Blvd.,Tigard, OR 97223 (503) 639-4171 PARCEL: 1S135AB-01003 SITE ADDRESS: 10300 SW GREENBURG RD 360 SUBDIVISION: LINCOLN UNE./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/COMPRESSOR S_ HOODS: FIIFI TYPES 0 3 HP: DOMES. INCIN: -- 3 15 HP: COMML. INCIN: MAX INFUT: BTU 15 - 30 HP: REPAIR UNITS: FIRE DAMPERS?: 30 - 50 HP: WOODSTOVES: GAS PRESSURE: 50 + HP: CLO DRYERS: FURN < 100K BTU: AIR HANDLING UNITS OTHER UNITS: FURN >=100K BTU: <= 10000 cfm: GAS OUTLETS: > 10000 cfm: Remarks: HVAC system : Thermostats, sensor for new VAV extention of duct work and return air grills. Owner: p FEES EOP LINCOLN, LLC Type By ^Date Amount Receipt 102(30 SW GRE ENBURG RD PRMT CTR 1/24/02 $72 50 2720020000 SUITE 100 5PCT CTR 1/24/02 $5.80 2720020000 PORTLAND, OR 97223 Total $78.30 Phone: Contractor: _ AMERICAN HEATING INC 1339 SE GIDEON 133I _ REQUIRED INSPECTIONS STEPORTLAND, OR 97202 Mechanical Insp Phone:239-4600 Final Inspection Reg #:LIC 33135 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted in the Oregon Utility Notification Center. Those rules are set forth in OAR 9.52-001-0010 through OAR 952-001-0080. You may obtain copies of these rules or direct que i6ns7JWoNC by calling Issue By: ✓rt { r• •. �' f{t Permittee Signature,,"Call (503) 639-4175 by 7:00 P.M. for inspections ne ed the peess day S Mechanical 111erinitApplicationlow[ N — Date rccci\c l 4 City of Tigard Project/appl. no.: Expire date: 01v,1/hgold Address: 13125 SW Hall Blvd,Tigard,OR 97223 Phone: (503) 639-4171 Dale issued: By' Receipt no.: Fax: (503) 598-1960 Case file no.: Payment type: Land use approval: _ Building permit tit, U I &2 family dwelling or accessory 43y'ununrrcial/induslrrrl U Multi-family kyenant improvement U New construction Addition/alteration/replacement U tither JOB SITE INFORMATION COMMERCIAL Job address: I QO0 5 eci,1.aL rn 'Pe,a.8 Ind;cute equipment quantities in boxes below.Indicate the dollar Bldg. no.: 1 -QW no.: 3 6 b value of all mechanical materials,equipment,labor,overhead, Tax map/tax lot/account bo.: profit.Value$ /o a Lot: Block: Subdivision: *See checklist for important application information and Project name: Wo r Id C a, jurisdiction's fee schedule for residential permit fee. City/county: `'r o -a la t -' ZIP: d? i7 Description and location of work on premises: 7c.,v ItY�lta.li ficial Est.date of completion/inspection: a Description VI-,. Res.ooh Iles.O1111 Tenant improvement or change of use: _ff VAT, Is existing space heated or conditionedlV'Yes J No Air handling unit CFM - Is existing space invilatcd?W Yc. J Nii Air conditioning(site plan required) lerat ono ex i sting I I k',1�wtrm CONTRACTOR Boiler/compressors State boiler pernit no.: Business name: r HP Tons BTU/H Address: 1339 SE Gideon St. ire/sino a dampers/duct stroke detectors City: Portland I State:OR ZIP:97202-2418 Heat pump(site plan require ) - Phone: 239-4600 1 Fax: 239--703 E-mail: nsta mp ace frurnacclburncr—_ CCB no.: — Including ductwork/vent liner U Yes U No '13135 nstn rep ace re ocate i- caters-su- spenTe City/metro lie.no.: ( 111 l ) wall,or floor mounted Nance lease tint I Fent forappliance other than furnace CONTACT PERSON e gerat nn: Absorption units BTU/" Name: .>..r�iE { Chillers -_ HP Address. « ,' C(.n1111esmirs HP ;nvironmenta exhaust an ventilation: City: State:��. ZIP: n2 Appliance vent Phone: I . E-mail: ryer exhaust - - OWNER I od s,Type /Iffteti. kitchen/hazmat hood fire suppression system Name: t-Q , _ Exhaust fan with single duct(bath fans) Mailing address: Exhaust sYslcni apart 1'rom heating or AC -� diel pipingand distribution(up to 4 outlets) City: StateZlr .- -- ---- Type I.Pc;_— NO Oil Phone: Fax: l: nlai� ,'ue -i un• each additional over out ets Plot 1`1101; rocess p p ng(sc erratic required) Numher of outlets Name: ) r.r a C Q t p f+P0.1 i„ .1 #,C et a app ance or equipment: -- Address: j e C. _ Decorative fireplace City: ` f• ..; ; i State: .) ZIP: 14';'y o 7 Insert-type -- Phone: '- tove ct sn;% Fax: t3 E-mail:E matt - p -- - -- - Applicant's signature: , Date: OR -- /- ' -01. Ot er: Name(print): It l - - — - - - -- - -Not all jurisdictions accept credit cards•please call jurisdiction for more infomwtion Permit Iec ._................. $ U Visa U MasterCard Notice: Iltis permit application oobin Minimum lee................ $ _1-� Credit card number expires if n permit is not obtained plan review(at __ %) $ l within 180 days n(ter it has been State surcharge(8%).... $ Name of cardholder as shown on credit-c&-@-- accepted as complete. W. Cardholder signature Amount 440 4611 1MUCOMI SEE 35MM ROLL #20 FOR OVERSIZED DOCUMENT