10300 SW GREENBURG ROAD STE 390-2 h�
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--10300 SW GREENBURG RD, ST5 390 _
CITY CrF TIGARD BUILDING INSPECTION NOTICE
Impact on Line: 639-4175 Business Phone:639-4171
Footing Rain Drain Cover/Service FINAL.
Foundation Water Line Ceiling -Plumb,
Post/Beain Mech. Shear/Sheath Framing -Much.
Plbg.Und/Fir/Slab Plbg.Top Out InsulationEle
Post/Beam Struct. Mech. Rough-in Gyp. Bd. -Bldg.
San. Sewer Gas Line Appr/Sdwik Reins.
Other: j (�
Date: _/ I �-�`__"_ A.M.._.—RM -- Entry:
Address: '
Tenant:. --- ---- Ste:— ST: -----
BUP: ._
Con/Own: –� �-- _._— MEC:---.
PLM.
ELC:
THE FOLLOWING CORRECTIONS ARE REQUIRED: ELR:
inspector: _ODate: �—L�
APPROVED __..DISAPPROVED/CALL FOR REINSP. OF CO
CITY OF TIGARD
BUILDTNG PERMIT
DEVELOPMENT SERVICES PERMI'F #. . . . . . . : BUP96-05"D
13125 SW Hall Blvd.,Tigard,OR 97223 (503)639.4171 DATE ISSUED: 10/18/96
PARCEL: IS135AB--01003
SITE ADDRESS. . . : 10-300 SW GREENBURG RD #3190
SUBDIVISION. . . . 1 Z(JNING:C—P
BLOCK. . . . . . . . . . LOT. . . . . . . . . . . . .
REISSUE: FLOOR AREAS-------------- EXTERIOR WAI L CONSTRUCTION—-
CLASS OF WORK. :A
',Pen FIRST. . . . : 54 s f N: S: E: W.
TYPE OF USE. . . :COM SECOND. . . : 0 s PROTECT
TYPE OF CONST. :2FR . . . . 0 sf N: S: E: W:
OCCUPANCY GRP. :B TO 1_AL—------ 54 s ROOF CONST: FIRE RET?:
OCCUPANCY LOAD" 0 BASEMENT, 0 S AREA SEP. RATE=D-.2HR
,TOR. . 0 IAT: 0 ft GARAGE. . . . 0 S f` OCCU SE*P. RATED:
B!')MT') : MEZZ? : REQD SETBACKS-------.— REQU I RED------
FLOOR LOAD. . . . : lb p,,f LEFT. 0 ft RGHT- 0 ft FIR SPKL: SMOK DET. .
DWELLINR UNITS: 0 FRNT: 0 ft REAR: 0 ft FIR ALRM- HNDICP ACC:
BEDRMS: 0 BATHS: 0 IMP, SURFACE 0 PRO CORIRz IDA RK ING 0
VALUE. $ : 5000
Remar-ks : BUILD A 54 Si. F7 SOUND PROOF INTERIOR ROOM WITHIN EX.16TING OFFICE SPACE
FPS NOT PROVIDED 'IN THIS AREA.
Ownet-,-. FEES
MELVIN MARK type amount by date t-ecpt
10220 SW GREENBURG RD 5U1TEF2zXV RED PRMT $ 50. 10 JMH 10/18/96 9G---2A5"j'jl
FIRE= $ r'-_'O. 2 0 JMH 1.0/ 18/96, 96-28'3351
TIGARD OR 97223y/1-7 /vo PLCK, $ 321. 83 JMH 10/18/96 96-2F5351
Phone 0:- 459-9200 5PCI $ F. 83 JMH 10/ 18/96 96-285351
Contr-actor:
GARY W. DEINES TR
PBA WORKING MAN' S CONSTRUCTION
7775 SE F--"C*'ND
PnRTL.AND OR 97202 ______..__.___._______._____..--_.____...—_--__.- .
Phone #: 230-211.2 $ 105. 96 TOTAL
Reg #. . : 01 1 - 2.3 REQUIRED INSPECTIONS
This persit is issued subjprt to the regulations contained in the Framing Insp
T,gars: Municipal Code, State of Ore, Specialty Codes and all other Ins,_tlation Insp
applicable laws, All work will be done in accordance with Fit,ewall. Insp
approved plans. chis persit will expire if work is not started Gyp Rnav,d Insp
within 180 days of issuance, or if work is suspended for core So.isp Ceilng Insp
th,,.r, 180 days. Misc. Tnspection
Permittee Si.yTiatm-P .
V
tje.
Call. fat- inspection 639--4175
City of Tigard 13125 SW Hall Blvd. Tigard, OR 97227 I
(503)639-d 171
Jobsite Address: MICE-U-5 QALY--
Suite#
Tenant: � � 3>Gr Planck/Rer,.
Valuation: _; Permit# �
Map &TL # _
Owner: -— --
ADRr-9YA15 Required
Address: �" /.�1 chi, ,�i�
Planning.
p ��� aci3 �,0
Tele hone: Engineering -
. Other
�
Contractor: �1 •'I
All
Zo?'5 T
Address: _ -777 S L v;,,'7
f 0' /`�`` /,!�>•l� ��C ��(/� Type of constr: �� l
Telephony
Occupancy Class:,_
Contracto, s License Sprinkler? Yes �No ,
(attach copy of current Oregon license)
`��q. Ft. Of Project:
m
Contact nee S telephone: Au �yV-
Architect & Engineer: Story (1st, 2nd, etc.):__
n Proposed Use:
Previous use:
Note: Plumbing $ mechanical plans must
Telephone: be submitted at time of building permit
application.
.JOEL DESCr-�'PTION: y1
(Applicant Signature R Telephone Number)
vPIC
Received by: �'� mate Received:
PERMIT* Account Description Amount Amt Pd. Balance Due
Building Permit (BUILD)
Plumbing Permit (PLUMB)
Mechanical Permit (MECH)
State Tax (TAX)
Bldg.
Plumb.
Mech.
Plan Check (PLANCK)
-- ---- — — 1 -- — --2 —
Bldg.
Plumb.
Mech.
Sewer '' nnectlon (SWUSAi
Sewer Inspection (SWINSP)
Parks Dev Charge (PKSDC)
Residential TIF (TIF•R)
Mass Transit TIF (TIF-MT)
Commercial TIF (TIF-C)
Industrial TIF (TIF-I)
Institutional TIF (TIF-IS)
Office TIF (TIF-O)
Water quality (WOUAL)
Water Quanity IWQUANT)
Fire Life Safety (FLS)
Erosion Cntrl Permit (ERPRMT)
Erosion Planck/USA (ERPI.A14)
Erosion Planck/COT (EROSN) J)
TOTALS:
_ It - . .
CITY OF ThAR D
..I................. .....MIYUII Y,IYIutu WIW Ij
Ajr
C ndltionally Approved ..........................................
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CITY OF TIGARD
DEVELOPMENT SERVICES ELECTRICAL. PERMIT
13125 SW Hall Blvd., Tigard, OR 97223 (503)639-4171 PERMIT #: El C96-0678
DATE 19SIJED: 10/23/9E
PARCEL-: IS135AB-01003
SITE ADDRES. . . : 1.03'00 SW GRE'ENBURG RD #3190
SUBDIVISION. . . . : Z ON ING:C, -P
BLOCK. . . LOT. . . . . . . . . . . . . ..
ProjectDescription : ADDING BRANCH CIRCUITS
----RES I DENT I AL UNIT------ ----TEMP ,ERVC/FEEDERS--------- -----t-'i I SCEL ..ANEOLJS-----
1.000 SF OR LESS. . , . : 0 0 I.-.w
, amr.3. . . . . . . : it PUMP/IRRIGATION. . . . : 0
EACH ADDL 500SF. . . : 0 201 400 amp. . . . . . . : 0 SIGN/OUT I INE [-TG. . -. 0
LIMITED ENERGY. . . . . : 0 401 600 amp. . . . . . . : 0 91 GNAL. 'PANEL. . . . . . . : 0
MANE. HM/ SVC/FDR. . : 0 601+amps-1000 vol.ts. : 0 MINOR LABEL ( 10) . . . ; 0
.- ------SERV ICE/FEEDER— CIRCUITS---------- I NSPECTI DNS.--.--
0 200 Amp. . . . . : 0 W/SERVICE OR FEEDER: 0 PER INSPECT TON. . . . . : 0
201 400 amp. . . . . . : 0 1st W/O SRVC OR FDR. .- 1, PER HOUR. . . . . . . . . . . • 0
401. 600 amp. . . . . . : 0 EA ADD' L. BRNCH CIRC: 0 IN PLANT. . . . . . . . . . . : 0
601. 1.000 amp. . . . . : 0 ---- _7VIEW SECT I
1000-1-- amp/vrilt. . . . . . 0 ) =4 RES UNITS. . . . . . . . : ) 600 VOLT NOMINAL. . :
Reconnect only. . . . . : 0 SVC/FDR > = 229 AMPS. . : CLASS AREA/SPEC OCC. :
Owner--. FEES
N051'ql.-GIC BROADCASTING type a.,a o ij n t by (late t-er-pt
10300 SW GREENBURG RD PRMT $ 35. 00 TAT 10/23/96 96--285555
STE 390 5PCT $ .1. 75 TAT 10/1*__13/915 96--2855`55
TIGARD OR 97223
Phone #.-
Cont Tact-
,IPC ELEEiRICA1 SERVICES INC R 36. *75 TOTAL.
4040 SE INTERNATIONAL WAY
REQUIRED T.NSPECTIONS
MILWAUKTF_- OR 97;7-:,22 Ceiling Covet- Undet-gt,o,_ind Cove
Phone #: 503-654-3325 Wall Cover Elect' 1 Set-vice
9_3774
This per4it is issued subject to the regulations contained in the
Tigard Municipal Code, State of th-e. Specialty Codes and all other Ppt-m i t_t e' gnat i.At-e
applicable laws. 1111 work will be done in accordance with
approved plans. This persit "ill expire if work is ;t -started
within 188 days of issuance, ar if work is suspended for sore J_
than IN days. I%s 1.t PrEd' B y
INISTAI-LATION ONLY- -_..._._._ _______.__.____... _.___.___
The
NLY-
The install-ation is being made on proper-ty I own which is not intended for-
sale, JiT,--ise. or rent.
(IWNERIS SIGNATURE: DATE:
-----------------__ ._ -------00NTRACTOR INSTALLATION ONLY
SIGNATURE OF SUPR, FLECIN! DAI 171
1-ICENSE NO:
Call for inspection — 639-4175
Community Development ELECTRICAL PERMIT APPLICATION
13125 SW Hall Blvd.
Tigard, OR 97223 Plarlck/Rec.
Perrrlit # Z---&e ;-
Phone (503) 639-4171 Date Issued
FAX (503) 684-7297 Issued b
CITY OF TIGARD TDD No. (503) 684 2772 y -- --- ------_-�_-_
Inspection (503) 639-4175
1. .lob Address: 4. Complete Fee Schedule. Below: �
Name of Develop nlent 1 "(Y—A N{111-<<'� C'�x� y Number of Inspections per permit allowod --
Address_ Service included Items Cost(ea) ':ofi
/�'- . .� .3.00 UIr*•r�L�_►'�j � r�
City/Stale/Zip _! 4a. Residential_ per unit "
1000 sq II or loos $11000
Each eddsi0neo 500 Aq It or
Name (or name of business)__ portion $25 JO _--- '
Commercial❑ Residential Each
Limited Mevln-Jd
ach 'd Home or Modular
Dwelling 3ervioe or Feeder woo
2a. Contractor installation only. 4b.Services or Feeders
T•1� f'-i 1 � InslAllahon,alteration or reloratlon
2
Electrical Contractor �i'��t'A 200 Ampn or fees $FO 00 2
Address_ Z � Amps mps to 400 amps SFO 00 i 2
401 amps to 600 Amps $12000 _
City 1 State 7i r Fol Amps t0 1000 amps --'- $18000 2
Phone N0. - Over 1000 amps or Vons -- $34000 2
Contractor's License No. — neje^nedonly s5000
Contractor's Board Reg. No. 1 4c. Temporary Services or Feeders
Installalion alteration,or relocalion '
Signature of Supr. Elec n //?" — 200 amps or loss $5000 `-
- -� 201 Amps to 400 Amps 575 00
License No. �.PlitSitf3 fV 3 2� 401 amps to 600 amps sloo tin _
Ovar 600 amps to 1000 vofls
2b. For owner installations: sae•h•atxwa
4d. Branch Circuits
Print Owners NameNew,a"aration or exlenmon par panel
Address n)The lee for branch arcud"with
City, _ fit ttP._ zip-- purchase of wake or border fee. t 2
Eacn branch caunf $5 00 _
Phone No. b)The lee lot branch circuits without
The installation is being made on property I own which is purchase of service or macer bow. �� 2
First brarx.h nrn,d
not Intended for sale, lease or rent. 1 S i OO J.UO 2
Each addilional branch circuil $500
Owner's Signature1e. Miscellaneous
(Service or feerier not included) 2
3. Plan Review section (if required): Fac''pump or irrigationnrcle -- $4000 2
Earh sign or outhrw lighting __ $4000
Signal cimud(s)or a limited energy 2
Please check appropriate item and enter fee In section EB. penal stotatton or extension $4000
4 or more residential units in one slnrrture Minor I abnls(10) _^ $10000
�—Servico and feeder 225 amps or more
System over 600 wilts nominal 41. Each additional inspection over
Classified area or stnicture containing special occupancy the allowable in any of the above
as described to N E C Chapter 5 par n:p w I nr $05 00 6_
Per $5500
In l $5500
Submit 2 sets of plans with application where any of the above —�
apply. Not required for temporary construction services. S. Fees: ��--
Sa. Enter total of at,ove fees $ n(�
NOTICE 5%Surcharge(05 X total fees) $
PERMITS BECOME ' .D IF WORK OR CONSTRUCTION Subtotal $
AUTHOR;ZED IS NOT COMMENCED WITHIN 180 DAYS,OR IF 5b. Enter 25%of line A for
CONSTRUCKION OR WORK IS SUSPENDED OR ABANDONED FOR Plan Revipw if required(Sec 3) $
A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS Subtotal $
COMMENCED ❑ Trust Accoun' M $
Balance Due $
�eaimrdNWt pm SPC