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10300 SW GREENBURG ROAD STE 465
0 w C1 z - o0 c n v ,h 1 10300 SW GREENBURG RD 465 CITY O F T I GA R® __ ELECTRICAL PERMIT PERMIT#: ELC2002-00219 DEVELOPMENT SERVI10ES DATE ISSUED: 5/15/02 13125 SW Hall Blvd., TicIard• OR 97223 (503) 639-4171 PARCEL: 1S135AB-01003 SITE ADDRESS: 10300 SW GREENBURG Rte 455 SUBDIVISION: LINCOLN ONE/RED LOBSTER/CASA L ZONING: C-P BL OCK: LOT : JURISDICTiON TIG Prof -ct Deszription: Installation of 5 branch circuits to empily tenant space. RFSIDEN i IAL 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 HM/ SVC/ FDR: 601+amps - 1000 volts: MINOR LABEL (10): _ SERVICE/FEEDER — BRANCH CIRCUIT:, ADD'L INSPECTIONS___ 0 - 200 amp: W/SEP?VICE OR FEEDER. PER INSPECTION: 201 - 400 amp: 1st WK) SRI/C OR FDR: 1 PER HOUR: 401 - 600 imp: EA ADD'L BRNCH CIRC: 4 IN PLANT: 601 - 1000 amp. _ _ _ PLAN REVIEW SECTION 1000+ amp/volt: >=4 RES UNITS: > 600 VOLT NOMINAL: Reconnect oniy: 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 PORI LAND, OR 97223 Phone: Phone: 624-3631 Reg #: LIC 75059 SUP 1965S ELE 34-283C FEES Required Inspections ` Typp By Date V Amount Receipi Ceiling Cover PRMT CTR 5/15/02 $73.45 272.002000C( Null Cover Elect'I Final 5PCT CTR 5/15/02 $5.88 2720020000( Total $79.33 This Permit is issued subject to the regulations contained in the Tigard Municipal Code,State of OR. Specialty Codes and all other applicable laws. Ali 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 �n OAR 952-001.0010 through OAR 952-001-0080. You may obtain copies of these rules or direct questions to Permit Signature: / Issued B 41 ,r _ OWNER INSTALLATION ONLY The installation is being made on property I own which is not intended for sale, lease, or rent. O'NNER'S SIGNATURE: s _.._..�_ nATE: CU TRACTOR INSTALLATION ONLY SIGNATURE OF SUPR. ELEC'N: DATE--- LICENSE NO: —�— Call 639-4175 by 7:00pm for an inspection the next business day Electrical Permit Application Dalereceived: Permitno.:,��4c' ' ;l_D4 I City of Tigard Project/appl.no.: Expire date: A_ CaynjTlgard Address: 13125 SW Ilall nivd,'rigard,OR 97223 Dateissued: By.. Receipt no.: _ Phone: (503) 639-4171 rax: (503) 598-1960 Case lite no.: Payment type: Land use approval: U 1 &2 family dwelling or accessory U Commercial/industrial U Multi-family 14renaw improvement U New constntction U Add ition/alteration/rcplaccmctit U Other: U f aitial 1 Job address: �� SOr ;,,- c . ,..�1.a< 4 ., nldg. no.: Suite no.:yfj ITax mal0ax lift/account net.: Lot _-- I31cx k; Subdivisi t: Pmjcct name: !:r w h./„• ��, 9s— 1 Description and location of work on premises: A1.1-1--7 f A, / I'atimated dnir orf,rrtnl,lrtirtrt/inslprctirnt COOWRAirr6n Job no: 2 _ Fee Ma. Descripllorr (Py. (es.) Total no.111111 Business name: W, II lje 4'Irf) c-- `'e-- NewrrsidtntialAnpleornndN-famllyPer Address: /t CI A( N 2 TO S L 4T dnellingunll.Inclutimattached garage. City: T r r• A Z r] Slale:Ur ZIP: 7 Z3-•/ Servlceincluded: Phone: 6 t y.• t t hex: (,2q.t 76E-mail: 1000 sq ft.or less —� Each additional 500 all fl.or portion thereof _ CCU no.: ?Sb y el I Elec.bus.lic.no: '3y- Limited energy,resideu0s: 2 City/1 clro lie.no.: /5-y L Limited energy,non-residential _ 2 E _( � ( � Each manufactured home or modular dwelling Si nam lure of au ery sin electrician(r uired) Date) Service and/or fender _ 2 t.lcenseno: /9G 1 ( Services or feeders-In.lallatlon, Sup elect.name(print) C),�. f, alteration or relocation: 1 1 200 amps or less 2 Name(print): — 201 amps:n 400 amps _ — _ -,_ 2 401 amps to 600 amps _ _ 2 _Mailing:ddress: 601 omps to ION amt s 2 City: Stale: ZIP: Over 1(100 amps or volts_-- - — 2 Plume: Fax: I E-mail: Reconnectonl I Owner installation:ilia installation is being made on property I own Temporary services or Ieeden- which is not intended for sale,lease,rent,or exchange according to hsslalfn`Ion,allerallon,orrelocrtion: 200 amps or less 2 ORS 447,455,479,670,701. _ _- 201 am s l0 400 amps 2 Owner's si nature: Date: 401 to 600 ams 2 Branch clreairs-new,alteration, or extension per panel: Name: A. Fee for branch circuits with purchue of Address: service o,feeder fec,each branch circuit _ 2 City: State: ZIP: B. Fee for branch circuits without purchme 61 - -- — of service or feeder fee,first branch circuit: 2 Plionr Fnx —E-mail: Each additional branch circuit: 14 (..) +1- be.(Service or feeder not Included): Each utn of irrigation circic_ 2 O Servieeover 225amps-o;nmmerciel U Health-are facility _�' ..�_ - U Service over 320 anrp,-rating of 1&2 U Ilatudous location Each sign or outline lighting + 2 fanuly dwellings U Building over 10,000 squuc feet four or Signal circuit(s)or a limited energy panel, USystemover6WvoltsnonJnal nroreresidentialunitsinonestru.lure dtelation,oreetensions U Building over threestories U Feeders,400 amps or more "Description:_— U Occupant load over 99 persons U Manufactured sttuclures or RV park Each additional Inspection over the ollosvahle In any of the above. U Egremllightingplan U Other. Perin-pectin —�—I Submit ___ arts of plans with any of the above. Investigation fee Ille■l»»e ar a nol applicable to temporary construction service. Neer all)adWkthan sccrpl crtdit earth,pleats telt)urlsdictlon nor i ae Idarmritar. Notice:This permit appllcalian PCr'tttil fee...................) $ _ s `�1_. U Visa U MuteK:ard expites if a permit is not obtained flan rurch (al _ 96) $ _ Credit cold number:_-_ �_, � -1_ within I g0 days eller it Las been State surcharge(896)....S S . res accepted as complete. I'U I AL .......................$ St Name of cse�io� r u tura on c it ewJ = Cardholder slgnature Amouni� 410-4615 l(AdCUlA) Electrical Ps—mit Fees: Limited Energy Fees: TYPE OF WORK INVOLVED -RESIDENTIAL ONL`1 Cor,plete Fee Schedule Below: Restricted Energy Fee.................................`............... $75.00 Number of InsL)octlons Per permit allowed (FOR ALL SYSTEMS) Service Included: Items Cost Total I Check Type of Work Involved: 1000 agn a loss Residential•per unit ltwo _ 4 Audio and Stereo Systems sq --.__--__ $145 15 _—_ Each additkval 500 sq.it or 1 portion thereof $33.40 --- Burglar Alarm Limited Energy $75.00 Fach Manurd Hone of Modular LJ Garage Door Opener' Dwelling Service or Feeder $90,90 Services or Feeders Healing,Ventilation and Air Conditioning Syst,!m' Installation,alteration,or relocation 30 200 amps or less $80. -- 2 Vacuum Systems, 201 amps to 400 amps _ $106.155 401 amps lu 600 amps $160.60 2 $240.60 2 Other 601 amps to 1000 amps —. 2 Over 1000 amps or volts $454.65 Reconnect only $88.85 2 Temporary Services or Feeders TYPE OF WORK INVOLVED -COMMERCIAL ONLY Installation,alteration,or rolocatton $88.85 7 Fee for each system.......................................................... $7G.00 200 amps or less $100.30 2 (SEE OAR 918-260-260) 201 anpps to 400 amps 401 amps to 600 Willis s $133 75 ` -- Check Type of Work Involved: Over 600 amps to 1000 volts, see"b"above. ❑ Audio and Stereo Systems Branch Circulls Now,alle(alicn or extension per panel [__j Boller Controls a)7 he fee for branch circuits with purchase of service or Clock Systems feeder fee. K ach branch",cull _ $6.65 _ -- b)the fee for branch circuits — U Data Telecommunication Inslalletion without purchase of service r--+ or feedor fee. LJ Fire Alarm Installation First branch dreuit $46.85 Each additional branch circuit _ —_-_ $6.65 ' _ HVAC Miscellaneous ❑ (Service or feeder not Include0) Instrumentation Each pump or Irrigation circle $5340 Each sign or airline I:glding _ $53.40 Intercotn and Paging Syslems Signal c"t(s)or a linrlted energy panel,alteration or extension $7500 --- Landscape Irrigation Control" Minor Lroels(10) $125.00 Each additional Inspection over 0 Medical the-iIlowabie by any of the above Per inspection $62.50 0 Nurse Calls Per hour $82.50_ In Plant $73.75_ _ ❑ Outdoor Landscape Lighting" Fees: U Prolective Signaling Enter total of above fees $ _- OIIter e%Slate Surcharge $ Number of Systems 25%Plan Review Fee See-Plan Review'seclkio on $ No licenses are required. Licenses are required for all other hpstrtlallone front of application. _ Total Balance Due $ gees: Enter total of ah 1,.0!ccs $ u TIU51 ACCOUnt p_�___._. r @':Slate Surcharge $ Total Balance Due =-- iAdsts\fomuklc-fee s.doc 10/09AK1 i A� CITY OF T I GA R® BUILDING PERMIT DEVELOPMENT SERVICES DATE ES UIED: 5/21/02 00195 13125 SW Hall Blvd., Tiqard, Oh 97223 (503) 639-4171 SITE ADDRESS: 10300 SW GREENBURG RD 465 PARCEL: 1S135AB-01003 SUBDIVISION: LINCOLN ONE/REG LOBSTER/CASA L ZONING: C-P BLOCK: LOT: JURISDICTION: TIG REISSUE: FLOOR AREAS -- EXTERIOR WALL CONSTRUCTION CLASS OF WORK: ALT FIRST: st 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: n 00 sf ROOF CONST: FIRE RET? OCCUPANCY LOAD: BASEMENT: sf AREA SEP. RATED: STOR: HT: ft GARAGE: sf OCCU SEP. RATED: BSMT?: MEZZ?: _ REQ_D SETBACKS __ REQUIRED _ FLOOR LOAD: psf LEFT_ ft RGHT: `fl FIR_SPKL: SMOK_DET: — DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP ACC: BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING: VALUE: $ 5,000.00 Remarks: Relocate wall for existing office, install new counter. Owner: Contractor: -�--- EOP LINCOL' LLC C SCHIEWE + ASSOCIATES 10260 SW GREENBURG RD 1024 NE DAVIS SUITE 100 PORTLAND, OR 9-11232 P�PtTt-AND, OR 97223 one: Phone: 234-6617 Reg #: LSC 54105 _ FEESREQUIRED INSPECTIONS Type ^ By Date Amount Receipt Mechanical Permit Require PRMT CTR 5/21/02 .30 27200200000 Electrical Permit Required Plumbing Permit Required 5PCT CTR 5/21/02 $7.30 27200200000 Framing Insp P L C K CTR 5/21/02 $59.35 272.00200000 Gyp Board Insp FIRE CTR 5/21/02 $36.52 21200200000 Final Inspection Total $194.47 _ This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR Specialty Codes and all other applicable law All work will be done in accordance with approved plars. 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. ,hose 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 Pe nn ittee Signature: i / f Issued By: _'LIJLLt–. is L(.C_ -- Call 639.4175 by 7 p.m. for an Inspection the next business day Building Permit Application Date received., Permitno..:P-k City of TigardProjecVappl.no.: Expire date: Cm of Tigard Address: 13125 SW Hall Blvd,,rigard,OR 9722:1 Phone: (503) 639-4171 Date issued: _ By Receipt no.: Fax: (503) 598-1960 Case file no.: Payment type: Land use approval: I&2 family Simt,l r Complex: U 1 &;family dwelling or accessory U Commercial/inuustrial U Multi-family U New construction U Demolition U Addteration/replaccnu•nl 'W•Tenant improvement U Fire sprinkler/alarm U Other:Joh add - (3 blJ bVUnbtkt-[, Rat cru, _ Bldg.no.: �;^` Suite no.: 4 2j Lot: I Block: Subdivision: I Tax map/tax lot/account nt..: Project name: �CQyt+ SOoLej- - Sui k 41.05 —r Description and location of work on premises/special conditions: UCaM r,T¢2__� ill cam» —. Name: l OFF tCE ?"ItK11E.S Mailing address: �� SW(ZK LD_6 W 100 1 &2 family dwelling: City: Y.}-� State:pX. ZIP: 23 Valuation of work........................................ $ --- Phone: Fax: E-mail: No,of K-drooms/baths................................. Owner's representative: eljI&MA4C Total number of floors................................. Phone: Fax: E-maul: New dwelling area(sq. ft.) .......................... Garage/carport area(sq. ft.)......................... - Name: �kcz i'my— cTl�S Covered porch area(sq. ft.) ......................... O17Ry Deck area(sq.ft.) ......... Mailing address: 2(vo 1D 4- VA W City: Stater ZIP: Z 2 Other structure area(sq. ft.).........................Phone::: Fax: E-mail Comntercialllndustriallmul(t-family: Valuation of work........................................ $_ rj�0co Existing bldg ,•ea(sq.ft.) .......................... __1,14U - Business name: (t,. j�l�� S.-_QrSSOC' New bldg.are• . i.ft.) .. _?a' - Address: i S Number of stories........................................ ............. ................ 5� Cit r State:Of- ZIP: Y' } Type:of construction.................................... F� Phone: -p .Z3 t Fax: -- E-mail: Occupancy group(s): Existing: -- - CCB no.: ", I G 5 --- New: City/metro lir.no. Notice:All contractors and subcontractors are required to hr t licensed with the Oregon Construction Contractors Board under Name: provisions of ORS 701 and may be required to be licensed in the Address: jurisdiction where work is being performed.if the applicant is City: State; 7.1P: exempt from licensing,the following reason applies: --- .� Contac) r cr•,��„ Plan no.: Nance: (untact person: Fees due upon application ....I...................... $ -- Address Date received: _. City: State: ZIP: Amount received ......................................... $ Phone: Fax: E-mail: _ Please refer to fee schedule. I hereby certify I have read and examined this application and the Not alt jurisdictions accept credit cords,pleax call jurisdiction for more information attached checklist. All provisions of laws and ordinances governing this U visa U Masterctud work will he complied with,whether specified herein or not. Ctedtt card number___ _ _ r/— Authorized signature y / 1 Date: Name of cardholder u shown on credit cad — — S Print name: KlLi°,rA e• CnK(C-SES -__ Cardholder alpalure Amount Notice:phis permit application expires if a permit is not obtained within IF. Jays after it has been accepted as complete. e40-460(tyoarcoH) T - Commercial Plan Submittal Requirement Matrix City of Tigard m TYPE OF SUBMITTAL I # 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 _j Plan review is dependent upon submittal of a completed applicatio,-i 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). *Fr,r over-the-counter commercial tenant improvements, submit 2 sets of plans **"New" fire protection systems require that pians bear the original seal of an Oregon licensed fire suppression engineer, or NICET level "3" technicians. i\dsts\forms\COM-matrix.doc 9/24101 Accessibility: Barriei, Removal Improvement Plan City 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 disabilities unless such alterations are disproportionate to the overall alterations in terms of cost and scope. (2) Alterations made to the path of travel to an altered area may be deemed disproportionate to the overall alteration when the cost exceeds twenty-five per-cent(25%). VALUATION: of-ll renovation, alteration or modification being done excluding painting, wallpapering. [1] $ %om- multiply: 25% Barrier removal requirement. .25 BUDGET FOR BARRIER REMOVAL [2] $ J1.Qn- _ 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 Ib� rrs�r,Ppin91 ru.uJ GurbW+11 $ 11,25D. si&t t S r d(r1 hl u W i K�t vr4WK CPQ S' a.cee ss.bla. �� (b) An accessible entrance: $_ (c) An accessible route to the altered area: $ _ (d) At least one accessible restroom for $_ each sex or a single unisex restroom: (e) Accessible telephones: $ (f) Accessible drinking fountains: and $ (g) When possible, additional accessible elements such as storage and alarms: $_ TOTAL: Shall equal line 2 of Valu eeom gta Ion $_ hasd OdstsVorna\Accessibility.doc 09/24/01 v •� a 1.... � • • r• • EJr • • • J •, • • • =1 1 • C:rY OF TIG RD p r,)Ifed. Go ditionally Approved........ 1 �1 Pr only the w rk a, describ n._.•._•... i tl (/ MIT N(7. ...rllow... - i�01C� ? ( �r,.See Letter to: Follow......... .-,•,•._ Attach... . I I Job Address;/ , _ � �y• � JLGaC �l i L f 1 f• 1 t • • 'SUITE , r 465 'i_ fv,�+r L �1•l "1f . n • r , r (E) ►AQT r(� )0( 4, d d t fe vcx CITYO F T I G A R D SEWER CONNECTION PERMIT DEVELOPMENT SERVICES PERMIT#: SWR2002-00203 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 6/17/02 SITE ADDRFSS-, 10300 SW GREENBURG RD 465 PARCEL: 1S135AB-01003 SUBDIVISION: LINCOLN ONE/RED LOBSTER/CASA L. ZONING: C-P BLOCK: LOT: JURISDICTION: TIG TENANT NAME: USA NO: FIXTURE UNITS: 4 CLASS OF WORK: ALT DWELLING UNITS: TYPE OF USE: COM NO. OF BUILDINGS: INSTALL TYPE: BUSWR IMPERV SURFACE: Remarks: .3 EDU increase. Previous fixture count of 804, plus added fixtur, count of 4 for a new fixture total of 608,for a new total of 50.5 EDU. Owner: FEES EOP LINCOLN, LLC Type By Date Amount ReceiptT 10260 SW GREENBURG RD ---- Sul I E 100 PRMT CTR 6/17/02 $650.00 PORTLAND, OR 97223 Total $690.00 - Phone: 503-892-x:500 --— -----_..--_.- Contractor: Phone: Reg #: Required Inspections 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 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 or direct questions to OUNC by calling (503) 246-1987. I4Sued by: Permittee Signature: Call (503) 639-4175 by 7:00 P.M. for an inspection needed the next business day Accumulative Sewer Tally Tona•it Name: 1 Lincoln-Vacant Space _ This SWRA 2002-00203 " Site Address: 10300 SW Greenburg Rd., Ste.465 T hi- 2002-00216 Fixture Value evious Previous Credits r Fixture Fixture New New # value capped added added total total count off#s count # value #s values Baptisery/Font 4 0 0 _ 0 0 0 Bath-Tub/Shower 4 0 0 0 0 1 0 _ -Jacuzzi/Whirlpool 4 0 0 0 0 0 Car Wash-Each Stall 6 __ _ 0 0 0 ' 0 0 - Drive throw h 16 0 0 0 0 0 Cuspidor/Water Aspirator 1 0 0 0 0 0 Dishwasher-Commercial 4 0 0 0 0 0 -Domestic 2 0 0 0 0 0 Drinking Fountain 1 0 0 _ 0 0 0 Eye Wash 1 0 0 0 0 0 Floor Drain/Sink-2 inch 2 _ 0 0 1 2 1 2 -3 Irch 5 0 0 0 0 0 -4 Inch 6 0 0 1 0 0 0 -Car Wash Drn 6 0 0 0 0 0 Garbage Disposal -Domestic to 3/4 HP) 16 0 0 _ 0 0 0 -Commercial to 5 HP) 12 0 0 0 0 0 -Industrial (over 5 HP) 48 0 0 0 0 0 Ice Machine/Refrigerator Drain 1 0 0 0 0 0 Oil Sep( as Station) 6 0 _ _ 0 0 0 0 Rec.Vehicle Dump station 16 0 0 _ 0 1 0 0 Shower-Gan (per head 1 0 0 0 0 0 -Stall 2 _ 0 0 0 0_ 0 Sink- Bar/Lavatory 2 0 0 1 2 1 2 _ Fradley 5 0 0 0 0 0 Commercial 3 0 0 _ 0 0 _ 0 -Service 3 0 0 _ 0 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 0 0 Water Closet-Toilet 6 0 0 0 0 0 Urinal 6 0 0 0 0 0 Previous EDU Count 50.25 804 804 Capped EDU Credit 0 TOTALS 0 804 0 0 2 4 2 808 Current Fixture Value 808 divided by 16= 50.5 Current EDU 1 EDU = $2,300.00 Previous Fixture Value 804 divided by 16= 50.3 Previous EDU Change 4 divided by 16= 0.3 over (under) $ 690.00 Enter EDU Change Here 0.3 I TORY Notes PLM# 2001-00301 EDU# 50.3 SWR# 2001-00211_ _ PLM# 2001-00050 EDU# 49.9 SWR# N/A PLM# 2000-00339 EDU# 50 SWR# N/A Name: r 1 � Date: Signature of erson that calculated this tally sheet and date perfromed Is required PLUMBING PERMIT OF TIGARD ___�__ _.__ DEVELOPMENT SERVICES PERMIT #: PLM2002 00216 rX 13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 6118/02 PARCEL: 1 S135AB-01003 SITE ADDRESS: 10300 SW GREENBUR6 RD 465 SUBDIVISION: LINCOLN ONE/RED LOBSTER/CASA I._ ZONING: C-P BLOCK LOTS _ _ _ JURISDICTION: TIG CLASS OF WORK: ALT GARBAGE DISPOSALS. MOBILE HOME SPACES: TYPE OF USE: CUM WASHING MACH: BACKFLOW PREVNTRS: OCCUPANCY GRP: B FLOOR DRAINS; 1 TRAPS: STORIES: WATER HEATERS: I CATCH BASINS: _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: Addition of plumbing fixtures for commercial TI: (1)sink, (1)2" hub drain, and (1)water heater. _ FEES Owner: Type By Date Amount Receipt EOP LINCOLN, LLC PRMT CTR 6/18/02 $72.50 27200200000 10260 SW GREENBURG RD 5PC1 CTR 6/18/02 $5.80 27200200000 SUITE 100 PORTLAND, OR 97223 Total $78.30 Phone 1: 503-892-2500 Contractor: ASSOCIATED PLUMBING CO P O BOX 301362 PORTLAND, OR 97230 REQUIRED INSPECTIONS lnsp Phone 1: 331-0582 Rnal In n Inspection Final Inspection Reg#: LIC 57890 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. You may obtain copies of these rules or direct questions to OUNC by calling (503) 246-1987. Z. Issued By: r �i <: � Permittee Signatrne� — Call (503) 639-4175 by 7:00 P.M. for an Inspection needed the next business day 06/11/2002 10:10 5033310581 ASSOC PLBG PAGE 02 Plumbing Permit Application - —�-_ rhtte re xi vod. City of TigardPctnulno.>�NlpO« a/ ,�� Sawa Ietxtnir no.: Addtres: 13175 SW Hell Blvd,TiRurf,t)R 4'/?.?3 building permit no.: C'.rynjTign�r! Phone: (503) 6391171 Projecta�l_no •` 6x ire date: Date pax: (503) 598-1960 r Date i>,ued: bY+L'JJ I Rercipt no Land use sppmval' ------ ---- -- caee rt e so.: payment type. .`t ❑ Ido 2 family dwclliu;or ncressory ,�Cununt:rr.IN/mdusrrial 0 Muld-family (Tenant IrrMvement �. J New vonsttuction L)Addi6on/alteraHon/rcpUecrmenr Li Food eetvirr p rhher. � l lobaddress: 10360 W 6-reenhu V—.,h.a,ro FW,(M-) Iotal New 1-ant Bldg.on. -- /IL q Suiten , - - Z lamilydwdlittpgotilr `+ Tax rnaplta:tlodaccountno.: _ - oncbdes161R.fortadeuttttt�a,wtttAction) --- --- Lot. BlSFR(1)hathack: Subdivision: "W name: Suc t U5 One tncoln _ SER(3)bath �'-- Ci /count;•. i~Lr Zm: X7 7 �-acTi'ed�lit onal batt tc n kscririton and location of.Work on pternises: SitettMlftitst: S44"i 7,, yt"I n 1 - f7sa- Catch hasi,J�-tr-a drvin Bstdate o(cnmpletlrwfmtrl.•ction D we -*Cn l(ndtroncll drain r axle dr.dn(no.lip,tL T3usinees name Sso r n. i,, (� , , II Manuractu-ed home utwttes �- �r 1t1 1�.__`_ Manhnle,3 Addre.a; Q n 013 talo ri�ain cot ector ---- City: er Art _ Stsle:pR 77:97.1 �13t 4 NAAMN scwar(no, [7tone:5a3 331 eSBx f : 331 o5e) E•nulJ; Storm scw:r(no, Un.FL) CCH W.- 57f190 PlWnb,bus.reg.no: -4I A p v-.ter sery a(uo,Iln�-'-- I CI /menu lic.Ila.: )p L-) Picture or item: I Cotttractor's Mpresentarive signa[uro -""- Abiorption valve Print nertto; •--�-- ae ow �revpnter ` __ ut7 Date: 6 )-off ackwater vc 11 W A asi law to Name: ,1 Ck " Lm rilothes wether Addrtms pt) l3ox 3e 13(.z _ �" shwas — Clt : State. 21P; 1)d1 nlrfiluttain(s) . Phone i nY E-mail;I -" •Je ,uts/aumP pension I of I rturt:lsev ar cap Name(print): c Floor Pfloor ED u Mailing akiress: o d_��Rirposel �T 1 (� �W tin Su, t leo dose R Clty: por an Statc;84 ZIP: Q7221 - -- Phone. _503,___P11Z ZSoo Fax ercc �trasc itap (J+yncr inatallnon/rmidcnual maintenanoc only: 'M- actual installaticm Primer(t) will be made by me or the rnalntrnarxc Dort repair made by my rogulai Roof In(commtrci ) empieytx on the prnprrty f own ao per()RR(Imptcr 447 w t Ell ) Osvnp'e a tatttrr: Date: aro r Tu s wor/. yw' ,�`et��mi- Naine: N _ nnal '.ddrents; -- at►' Fir-M-,:i atcr tr 1 City: State: ZIP: Other-. -� pfiono: FAV: P..rtail eh ra ru •.w,,a,,.,�q�,�,urc.a`..a�w dt�.tweeM. ,xnrn�Nromr,ueA Minirmrm fee.......,.. . 7 . Sc, vim G„}aFrarC�d Nnuoe:Tb,�pnrmft appl cellon "- — CreAu cwt e.r.ew.• expRes if a permit is WM nbtaired Plan neviea(at — %) x `— --' -1- whhhr 180 dens after it his becyr Sate surcharge(111%) ... 3 S t?rperor � va,��"NTnTda:,.rCo�riM e r crd — eeerptecl tae ermpkt: TOM ...................._.$ - --e _J—,2-- wit CITY OF TIGARD 24-hour BUILDING Inspection Line: (503)619-4175 MST INSPECTION DIVISION Business Line: (503)6314-4171 BUP Received _.__ --- __Date Requested__ Z-AtA PM BUP Location Suite— ��--- MEC --- — Contact Person Ph(--) _-- PLM - --- _ Contractor Ph I(—) 6A,; -q �� �( SWR BUILDINGTE!nant]Owner o ':— �, ' f ELC r�DU 2 OC7� l�- Footing ELC Foundation A:;cess: Fig Drain �� \J ELR Crawl Drain Slab Inspection Notes: SIT _ — Post& Beam Shear Anchors Ext Sheath!Shear Int Sheath/Shear Framing — —_-�-�-- Insulation � Drywall Nailing Sp _ ,\<u `' - --- Fire -( C �� Fire Sprinkler Fire Alarm Susp'd Ceiling Roof 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: _ _- -- - ------- -- _ Final PASS PART FAIL - — MECHANICAL _ - ------- -- Post& Beam Rough-In __ -- - ---- — Gas Line Smoke Dampers - - -- _—-- — Final PASS PART FAIL _. --- --- --- - ELECTRICAL UG/Slab Low Voltage Alarm r 1 PART FAIL U Reinspection fee of$__ required before next inspection. Pay at City Hall, 131[o SW Hall Blvd. SITE Please call for reinspection RE:._ . - -___ Unable to inspect-no access Fire Supply Line Approach/Sidewalk inspector __ _ - - Ext Other- Final DO NOT REMOVE this Inspection recorliftrom ..�JJob site. PASS PART FAIL CITY OF TOGARD 24-Hour BUILDING Inspection Line: (503) 639-4175 MST INSPECTION DIVISION Business Line: (503)639-4171 BUP -_.-- Received - - Date Requested �711-2- - AM__--_____ PM . BLIP Location ___-_ <� �(aL MEC Contact Person _- -_- __ _ _ P )(�>� �3h 3 PLM Contractor_ Ph( _) _ SWR BUILDING Tenant/Owner _ - ------- -_ _ _-- --�_ ELC Footing Foundation ELC Acces Ftg Drain ELR Crawl Drain _ Slab Inspection Notes: SIT Post&Baam Shear Anchors -- —-- Ext Sheath/Shear Int Sheath/Shear - Framing _. _. _ Insulation I TLvt Drywall Nailing --1----------- -_� —_ �_ " "Firewall Fire Sprinkler -- um Alarm ----� _ up'd Ceiling Roof Other:_ --- ----- - — Final _PASS PART -f-AIL PLUMBING Post& Beam Under Slab Rough-In n Water Service - ---- - --- ------ Sanitary Sewer Rain Drains - -- Catci, Basin/Manhole Storm Drain - Shower Pon Other: Final PASS PART FAIL -- MECHANICAL Post& Beam Rough-In - Gas Line Smoke Dampers -Final PASS PART FAIL - ELECTRICAL Service Rough-In UG/Slab Low Voltage I - Fire Alarm Reinspection fee of$`_ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PA S PART FAIL Please call for reinspection RE: Unable to Inspect-no access Fire Supply Line ADA Approach/Sidewalk Data .. Inspector _ - Ext Other Final ICU NOT REMOVE this inspection record from the job site. PASS PARI FAIL- CITY OF TIGARD 24-Hour BUILDING Inspection Line: (503)639-4175 MST INSPECTION DIVISION Business Line: (503)639-4171 / BLIP ---_-.-- Recel:ed - Date Requested- :`�l - ?�� AM— _ PM BLIP _ Location Suite_- G� ---- MEC Contact Person -_-_ _--. Ph( —) _ 331-G y�Y Z✓ PLM Contractor _ Ph SWR ---_ BUILDING Tenant/Ow,ier - _—_ __ ELC _ Footing ELC _ Foundation Access. Ftg Drain ELR ------- - - ---- Crawl Drain _-_ Slab Inspection Notes: SIT ----- - Post& Ream — --- - — ---------- --- - Shear Anchors Ext Sheath/Shear --- --- - - Int Sheath/Shear Framing ------- -- — -- - - - - _ _ ---- Insulation Drywall Nailing - - — -- - Firewall Fire Sprinkler -- -- ------ --- _— Fire Alarm Susp'd Ceiling -- Roof Other. Final _ f PASS_ ART FAIL-.I,GWHBeam --- Unn,rr Slah - -- -- - ---- — Rougii-In Water Sar:ice - Sanitary Sewer Rain Drains - - - -- -- - -- Catch Basin/Manhole Storm Drain --- _ - - Shower Pan Off : - - Fi aHANICAL PART FAIL_ - -- Post 3 Beam Rough-In - - Gas line Smoke Damrjers -- I incl PASS PART FAIL ELECTRICAL ----- - Servic,3 Rough-In - UG/Slab Low Voltage --- -- -- Fins Alarm P inal PASS PART FAIL [� Reinspection fee of$ required before i.ext inspection. Pay at City Hall, 13125 !"At Hail Blvd. PA _ SITE Please call for reinspection RE: Unable to inspect - no access Fire Supply line ACOA IZ/ �./ ApproachiSidewalk Gats Inspector -- Ext Other Final DO NOT REMOVE this Inspection record from the job site. PASS PART FAIL CITY OF TIGARD ELECTRICAL PERMIT PERMIT#: ELC2002-00474 DEVELOPMENT SERVICES DATE ISSUED: 9/13/02 13125 SW Hall Blvd., Tiqard. OR 97223 (.503) 639-4171 PARCEL: S135AB-01003 SITE ADDRESS: 10300 SW GREENBURG RD 465 SUBDIVISION: LINCOLN ONE/RED LOBSTER/CASA L ZONING: C-P BLOCK: LOT : JURISDICTION: TIG Froiect Description: Installation of(3)branch circuits. RESIDENTIAL UNIT TEMP SRVCIFEEDERS _ 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: 2.01 - 400 amp: 1st W/O SRVC OR FDR: 1 PER HOUR: 401 - 600 amp: EA ADD'L BRNCH CIRC: 2 IN PLANT: 601 - 1000 amp: _ PLAN REVIEW SECTION 1000+ amp/volt: >=4 RES UNITS: > 60 VOLT NOMINAL: Reconnect onl J: - SVC/FDR >= 225 AMPS: _ CLASS AREA/SPEC OCC: Owner: Contractor: EOP LINCOLN, LLC WILLAMETTE ELECTRIC INC 10260 1W GREENBURG RD PO BOX 230547 SUITI- 100 TIGARD, OR 97281 PORI LAND, OR 97223 Phone: 503-892-2500 Phone: 624-3ell Reg#: LIC 1.4059 SUP 1965S ELE 34-283C �! FEES Required Inspections Type By Date Amount Receipt Rough-in PRMT CTR 9/13/02 $60.55 27200200001 Elect'I Final 5PCT CTR 9113/02 $4.84 272002000(); Total $65.33 Tois Permit is issued subject to the regulations contained in the Tigard Municipal Code,State of OR. Specialty Codes and all other applicable laws. ,",II work will be done in accordance with approved plans. This perrnit will expire if work is not started within 180 days of issuance. or it 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 these rules or direct questions to 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: DATE:_ LICENSE NO: – Call 639-4175 by 7:00pm for an inspection the next business day Electrical Permit:Application -- Uale recelvcd: 9 Permit no.: A�5m\ T city of Tigan Prxjecl/appl_no: f3upiredole: Address; 13125 SW l call Illvd,Tigard,OR 9722.1 Dole lssucd: By:G' Receipt no.: riryn/ligard Phone: (503) 639.4171 --..--- 1_'asefile no 1'aynrrm type: Fax: (503)598-1960 -- Land use approval: _ -- Tenant iniprovenlent ❑ I &2 family dwellhig or Rceessory C]Cummen:iRUindusUial U Multi•flunil y U Pallial U New consilucliull U M(lition/alicration/icIll acemeIll U 0111c l: ____ Job address: /u;OG Stu bldg, no. 5uile rto.. ice.Tax tllall/lax lot/account no.: Litt: Ilhyck: Sulxlivisiun: _ Pro"cel name: Usl�eL'I.e., I(s�l_i_ 1lkecd i0on and location of work on premises: P-mimRted(laic(if cilli IcUon/ins,cclirrn: MWIMILM"if err hes Job no- i fvef -- Ile+trlpllon rte, frit. lord ntr.ln+ flusiness name: W e Jl��p�(L_ 4tl c t) A ty y�- ---- Nen re+Menlbtl-41;;t, "'edit rsmlly 11441' 2 Xu 117- ('fly- T dnellingrmlt.hrtlatk+arlathrdgaragr. _�SIRIC:(,/r Illi: �ij / tierdrelnchrtlyd: Clly: t r 1000 tq A or Ica+_ -_ ---_ -- - -- ^-- -'hone: I,-L-.i- % 1 Fax: G?y•tQ fib- .-111Ril: 1?ach additional St10 sq f. ,�P-olion Ihrtcxf _ _ CCB no.: iia S-11 Plec,bus.lie.no: 3y- I-S3 1.11olledenergy,tesidemi.l 2 Llndedencr non residential _ 2 Cil /m iro lie.no.: 9'�i L __ sY — / Bitch msnuftrwrrd home nr moduly dwtlling .� Service and/or feeder ? Sl�nalurc of s rvisin_ Mcinn(rel died) Date 044 ceserfeeAen-Imi■ii■lie Srip.elect.nem((Print) f),1 f-, I.Irrn+r nry /96 Ir- allentlon or relocallon: 200 ant,+or less — 2-- 201 amps to 400 snips -- Name Win'): 401 amps to 600 am rs —-- -_- 2 Mailing�ddtcss: —`! _ 7��A—01 sm r to IUIN►empf: _— —2 J City: — - S1a1C: ZIP: - Ove 1(NN)anpsorvolts I'ttonc; --�hns: f: ('tail: Reconneclnnl� 7�mporrtry serrlce+or((edits- Owner Installntiow'llic installation is being made on prrpeily I own Mosllsilen,Slier ollon,orreiocolion: which is not imrnded for sale,lease,lent,or exchart;e according Io 2t)0 ampr or 1rs+ ORS 447,455,474,670,701. 1�►I armprio4tN►amps _ 2_-- Oale: -401 to 600 so 2 Owrtrr s +i ,nnlurr — eranch tlrcdh-nen,dlerallon, at eslen+lon n•:relief: Name: A. Pee for Irrurth circuits will)purchs+e of 2 Address: - - - service or(ceder fee,each lnanch tircull _ ZIP: B. f'ee for btsnclr circuits wltlmut purcilese `/(t 2 -- �_..— Clly, of service or feeder fee,(list blanch enroll: l:-mail: f?achaddlllor,alhrsncl,c{,ruff -2.- � /c Fill C. I-.Irded)1 each pump or inigalinn circle ___ __ 2 OSesrioeova 225smils-commercial LIliedlh-earefacllhy �1- hAgno_roullineliglrlhtg _ 2 U Service over 120 urq,s sling of 1&2 U I latadtnu location al citeuN(s)or s lixriled energy panel, tamilyriwelhngs U Ihrildingover 10.(NN)sgnare;rrl fnuror fillet 2---- p System over 600 volts noodnal mine residential units In one situ,hire U Building over Ririe rlorie+ U r're'tlers,400 amps or more •Ikecripllon -__— - U(kxvpanl Io ml mer 99 Pers('"' U Manufactured structures or KV pink Bath■ddhlonal Insprtllon oxer the allowable In any of the alrovr: U r{rdr/hghtingplan U oilurt: -__—_.__ Per Inspection _ Subml(-___Itis of planet Ivilh any of the above. Inveetlgstlon kr — 111hrr The above are sol applicable 10lempor*ry conslructlon aervlce. ��__._— Petillit fec.... ................ Nor sit),rivac117 aaq etedn(wits.Pease can ruisdkNnn la nitre ijol expires'Ibis permit aline obtain flan review(at .__ 91) S U Viu U MasterCnd expires if a IKnnip is sol obtained Stale sntclrergc(F4'llr) ....4 - --Lwithin Igo days atter it bite been Lr „L?OCr dit ted writhe+. — t I 0 AI, 41t1161S(61t10i(.Y)M) C'rtW+� r dgnelureA Electrical Permit Fees: Limited Lnel gy I=ees: TYPE OF WORK INVOLVED - RESIUENI IAL ONLY _ complete Fee Schedule Below: —� _ Roslrlcled Frpe►tly Fee.................................•.•..............,.,. 375.00 Number of Ins ectlons per e-init allowed (FUR ALL SYS 1 PMS) Service Included: Items Cost Total Check Type of Work lnvulved. Resldenllol-per unit 1000 sq.11 or Ins- — $145 15 4 J�j Audio and Slelou Syslenlr Each additional 500 sq.It of 1 LJr_, portion themol $33.40 Uuiylar Alain L"ed Energy 575.00 _ F_ach Mpnufd Ikrne of Materia' Garage Door Upener� Dwelling Service a Feeder T_ $9090 2 El Services or Feeders I lealing,Veililallun and Ali Cumfillunlotl Syst•m' Installation,alletoWn,or relocallon 200 amps of less _ Sfl0.J0 2 Vacuum Systems' 201 smlps 10100 amps __ $101±.65 _ 2 401 amyls In 600 amps _ $160 f,0 2 r� Ulher 601 amps to 1000 any,s _ S210.60 2 lJ Over 1000 amps Of volts _ $45465 2 --- Recorined only 368.85` 2 Temporary Services or Feeders TYPE OF WORK INVOLVED - COMMERCIAL ONLY Inslollallon,allerollon,or rnkr:altirn Fa _ S6A.f15 2 e for each sys(em............... ............................•....... ..... 75.00 200 amps Of bas (SEE OAR 910260-1G0) 201 amps to 400 amps f 100:10 —^ 2 401 Snips to 600 amps _ $133 75 2 Gbeck Type of Wuik Iivulvr l Over 600 anyrs to 10011 volts, Sea"b"above. C, Audlo and Slerou%galena Branch Circuits New,aaeralkrn or exleosloi prr pail CJ Holler Coilnuls a)Il,e fee for branch ckculls wlrh purchase of service or r--1 Cluck Systems feeder too. Systems Fad,branclp ckrull $6.65 2 b)the fee for brand,cbcullc EJ Dola 1 eleconnnunic alion huslallAllun wfthouf purchase of service or feeder fee. Fire Alain hpslallallon rksl Manch drrok _ $46.85 Each additional branch ckrull — $6.65 I IVAC Miscellaneous (Service or leader not loclo ed) D Inslrumenlalioi Each pump or krlpallwt chcle $5340 Each sign or oollkle Ilphlk,g $53.40 — Intent crn and 1'aylny Syslems Signal circulus)of a Amllnd anergy panel,aft rafon or exleosloi _ $75.00 Mina labels l01 — — $125.00 _ El I_Andscape Il(lyallun Conlrul' Each addilic„al Intpecllon over ❑ Medical the allowable In any of 1110 above Per Inspeclk)n -- - -- $02.50 _ C� Nurse l;alls Per hour $62.50 In Plant - $71.75 El Outdoor LAndscApe Llyldiny' Fees: Prolecllvo Signaling I Enter total of above fees l--1 1 I Other - 1%State Surcharge 3 ------_.-Number of Syslems 25%Plan Review rep Sea Flan novinW seclkrn an S ' 1401k eases are requhed I-icenses are requked for all oll,er I-1011allals honl of DMAcallon. Total Balance Due $ _ Fees � I Account MEviler local of above fees 3_,_ _❑ � ��-- -- B'h Slate Surchanle 5_ lafal Balance Due 5_---------- I:Id%U\fo eiNeIc-feet doc IOAIQA)O CITY OF TIGARD BUILDING PERMIT PERMIT#: BUP2002-00408 DEVELOPMENT SERVICES DATE ISSUED: 9/17/02 13125 SW Hall Blvd.,Tigard. OR 97223 (503) 639-4171 PARCEL: IS135AB-01003 SITE ADDRESS: 10300 SW GREENBLIRG RD 465 SUBDIVISION: LINCOLN UNE/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: sf N: S: E: W: OCCUPANCY GRP: B TOTAL AREA: 0,00 sf ROOF CONST: FIRE RET? OCCUPANCY LOAD: 18 BASEMENT: sf AREA SEP. RATED: STOR: HT: ft GARAGE: sf OCCU SEP. RATED: BSMT?: MEZZ?: READ SETBACKS _ _ REQUIRED i Fl OOR 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. $ 12,000.00 Remarks: Tenant Improvement - Create (3) Offices Within This TI Separate Plumbing and Electrical Permits Required Owner: Contractor: FOP LINCOLN, LLC C SCHIEWE + ASSOCIATES 10260 SW GREENBURG RD 1024 NE DAVIS SUITE 100 PORTLAND, OR 97232 l'(��TLAND, OR 97223 Phone: 234-6617 one: Reg A: LIC 54105 FEES !V REQUIRED INSPECTIONS Type By Date Amount Receipt Framing lisp PRMT CTR 9/17/02 $158.50 27200200000 Insulation I Gyp Board Ins Insp PICK CTR 9/17/02 $103.03 2.7200200000 Misc. Inspection 5PCT CTR 9/17/02 $1268 27200200000 Final Inspection FIRE CTR 9/17/02 $63.40 27200200000 Total $337.61 This permit is issued subject to the rer•�1ation- contained in the Tigard Municipal Code. State of OR. Specialty Codes and all other applicable law All work 2 dont, in acce,canoe with approved plans. This permit will expire if work is not started within 180 days of issuance, )r if work i!, ,spend�d for more than 180 days. ATTENTION Oregon law requires you to follow the rules adopted by the Oregon Utility I lotification Center Those rules are set forth in OAR 952-001-0010 through OAR 952-001-1987 You may obtain a (,,)py of these rules or direct questions to OUNC by calling (503) 246-6699 or 1-800-332-2344. Permittee Signature: Issued By Call 639-4175 by 7 p.m. for an inspection the next business day Building Permit Application City of Tigard � 11�)ateeceived: 17 �]_ Pern,ttnoa7Dy�-nv �'(>� Address: 13125 SW Hall Blvd,llgard,OR 97223 Pr�JecD'appl.no.: Expire date: City of Tigard Phone: (503) 639-4171 Date issued: By: Receipt no.: Fax: (503) 598-1960 Case file no.: Payment type: Land use approval: — [T&72 family:Simple Complex: 61 U OKt U 1 &2 family dwelling or accesso y U Commercial/industrial U Multi-family U New construction U Demolition U Addition/alteratioii/repiacement Wrenant improvement U fire sprinkler/alarm U Other: .1011 Sl 11.INFORMATION .lob address: 0t,4>0 SW Gr,-,e*%6uvA (Zoo. 131dg. no.Lt tot.N Suite no.: 465 L.ot: I Black: Subdivision: Tax map/tax lot/account no Project name: Cas t oh V*j(j'jajej Description and location of work on premises special conditions:_Tehan_ ►�,yehtt ___,_ _Name: E ul oFFIeF PFopERTIEs ' Mailing address: IOSGr__5W GSI=ENt3�� f�pL SUITE Iod 1 &2 family dwelling: City: QoRTLPrt(7 Statc:Op. IZIP: 97223 Valuation of work........................................ Phoneros $92-2500 1 Fax: E-mail: No.of bedrooms/baths................................. — Owner's representative: "Y N. GLuIL GlbD Arr..h;'Ce.*' Inell Total number of floors................................. Plunm�U3 224 965r< I ac Grail;,.,i New dwelling area(sq. ft.) .......................... _ ---- Garage/carpon area(sq.ft.)......................... Name: GI_',D Arum;tec- nr- Covered porch area(sq.ft.) ......................... Mailing adds ••s: 920 SW 3'' ave ivee,Swjtae 4c7oo Deck arca(sq.ft.) ........................................ City: FrY-t I i•e_ I State:OF, ZIP: '372A f, 011ier structure area(sq. t.)......................... Fax: - mmerclal/Industrial/multi-famil . Phonc5t�?, 224-965 Fax: E-mail:F. ilY� 00 �fixjt Valuation of work... $ 2 00h. Existing bldg.area(sq.ft.) .......................... _Jt7f VSF Business name: G , cr.�c j CW e C�r - ft.). �'- Address: C)'L VpaNIS New bldg.arca(sq. ............................... — City: rott I a6K4 State:CE 'LIP 1.5 Number of stories........................................ _ 5 tVP Phone803 23 Fa:c: E-mail: Type of construction.................................. . --- --- Occupancy grou„rs): Existing: _ CCB no.8t 04105; __ New: D City/metro lie.no.: Notice:All contractors and subcontractors are required to be t licensed with the Oregon Construction Contractors Board under Name: "Pl`1 �ti APQ t t cN_ ' r provisions of ORS 701 and may he required to be licensed in the Address: jurisdiction where work is being performed. If the applicant is City: _ State: 7.11' exempt from licensing,the following reason applies: Contact person: Plan no.: Name: Contact person: Fees due upon application ........................... $ Address: Dr.te rec, • d: City: _ State: ZIP: Amount received ......................................... $ Phone: Fax: E-mail: Please refer to fee schedule. hereby certify I have read and examined this application and the Na all iuriubcdoru iccepi credit cards.please call)unsdiction for more information.' attached checklist. All provisions of laws and ordinances goveming this ❑Visa ❑MasterCard work will be complied with,whether specified herein or not. Credit card number Expires Authorized signature: j2..dy''`^- Date: 9.17 '0 Z Name of cardholder u shown on credit card Print name:-fly IL. G _�_.. _ s — t ►' Crdlaldn alpatrue Amount Notice:This permit application expires if a permit is not obtained within 190 days after it has been accepted as complete. 440-4613 tdoat'oM) Commercial Plan Submittal Requirement Matrix City of Tigard TYPE OF SUBMITTAL # of Plans (Includes New, Additions or Alterations) Required at Submittal Site Work 4 (mus!include location of all accessible parking) Plumbing - Site Utilities 2 Building Fire Protection System 3`}* Mechanical 2 Plumbing - Building Fixtures 2 Electrical 2 Plan review is dependent upon subrYtittal of a completed app!ication and plans. After plan review approval, the !Tans Examiner will contact the applicant to request additional sets of plans for distribution purposes (for Contractor, City of Tigard, Washington G-)unty, 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 NICFT level "3" technicians. i\dsts\forms\COM-rnatdx.doc 9124101 OJ-17-0 Accessibility: Barrier Removal Improvement Plan Cily of Tigard REQUIREMEN f: 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 disabilities unless such alterations are disproportionate to the overall alterations in terms of coc.:and scope. (�} 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 of modification being done o0 excluding pail ting, wallpapering. I1) _L2fC '-` --_-- mult�y_. H '/o Barrier removal requirement. �.._-2:5-_ - BUDGET FOR BARRIER REMOVAL 12) $ 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 1ol;.3-viff,�tq,ne,,, cve6 As,SldeWAlks, $ ---- Si9r�9Qt b)al� *n�� cel# acceJ�,'I.le p.)r�4-:j A-AI(f (b) An accessible entrance: I $ --- (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 posr.ble, additional accessible elements such as stnrage and alarms $ TOTAL: Shall a ual II 2.of Value Com utatlon_ $ L� o° 1 41stsVomu\Accessibihty Aoc 09/24/01 CITYOF TIGARD CERTIFICATE OF OCCUPANCY DEVELOPMENT SERVICES PERMIT#: BUP2002-00195 13125 SW Hall Blvd., Tigard, OR 97223 (503)639 4171 DATE ISSUED: 5/21/02 PARCEL: 1 S135AB-01003 ZONING: C-P JURISDICTION: TIG SITE ADDRESS: 10300 SW GREENBURG RD 465 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: REMARKS: Relocate walk (.)r existing office, install new counter Owner: EOP LINCOLN, LLC 10260 SW GREENBURG RD SUITE 100 P�QONDMdi1?3 Contractor: 503-892-2500 C SCHIEWE +ASSOCIATES 1024 NE DAVIS PORTLAND, OR 97232 Phone: X34-6617 Reg#: LIC 54105 This Certificate issued 7/18/112 grants occupancy of the above referenced building or portion thereof and confirms that the building has been inspected for compliance with the S 0)of Oregon Specialty Codes for the gr up, occupancy, anti se nder wh ch ferenced permit was is BUILDING INSPECTOR BUILDING U ICA POST IN CONSPICUOUS PLACE CITY OF TIGARE 24-Hour BUILD - G Inspection Line: (503) 639-4175 MST INSPECTION DIVIS:7N Business Line: (503)639-4171 BUP Received __- - -_—Date Requested AM - PM 8UP _....___,___ Location _.__ _--- CJ -������ U Suite 44( -___ MEC Contact Person Ph(— ) -yam% PLn,1 -- ---- ---— Contrac SWR �11G Tenant/Owner _—_ -- ELC ------- ELC Foundation Access: Fig Drain ELR Crawl Drain Slab Inspection Notes: SIT --__- ---- Post&Beam Shear Anchors Ext Sheath/Shear --- Int Sheath/Shear Framing - Sulation Drywall Nailing - - - - - - -- - - - -- — Firewall Fire Sprinkler ---- - ----- - -- Fire Alarm Susp'd Ceiling �_ -__---- Roof Other: . i - � S PART FAIT_ P-MING ---- - t'ost& Beam 'Inder Slab - - Rough-In Water Service _ - — Sanitary Sewer Rain Drains --- - _ - --- - ----- Catch Basin/Manhole Storm Drain --- —�. -- Shower Pan Other: --- Final — PASS PARI' FAIL � MECHANICAL--- - ------ - --- - Post&Beam Rough-In -- -- — - - Gas Line Smoke Dampers - - -- Final PASS PART FAIL -- --- -- _ELECTRICAL - Service Rough-In UG'Slab Low Voltage --- -- — - - -- - ------ Fire Alarm Final Reinspection tee of$ required before next inspection. Pay at City Hai!, t;a 1;"1 `,W I;a i PIVC1 PASS PART —FAIL - - inspect SITE � � Please call for reinspection RE: Unable to- _— __ -no access Fire Supply Line ADA A roach/Sidewalk Date _ �_�. 9spectoir ___—- Ext PP Other: Final DO NOT REMOVE this Inspection record from the job site. PASS PART FAIL CITYO F T I C A R D CERTIFICATE OF OCCUPANCY DEVELOPMENT SERVICES PERMIT#: BUP2002-00408 13125 SW Hall Blvd.,Tigard, OR 97223 (503)639-4171 DATE ISSUED: 9/1'/2002 PARCEL: 1 S135AB-01003 ZONING: C-P j*JRISDICTiON: TIG SITE ADDRESS: 10300 SW GREENBURG RD 465 SUBDIVISION: LINCOLN ONE/RED LOBSTER/CASA L BLOCK: LOT: CLASS OF WORK: ALT TYPE OF USE: COM TYPE OF CONSTR: OCCUPANCY GRP: B OCCUPANCY LOAD: 18 TENANT NAME: VACATION VILLAGES REMARKS: Tenant Improvement -Create (3) Offices Within This TI Separate Plumbing and Electrical Permits Required Owner: EOP LINCOLN, LLC 10260 SW GREENBURG RD SUITE 100 P��JkeND2W-69W' Contractor: C SCHIEWE +ASSOCIATES 1024 NE DAVIS PORTLAND, OR 97232 Phone: 234-6017 Reg#: LK 54105 This Certificate issued 10;1/21102 grants occupancy of the above referenced building or portion thereof and confirms that the building has been inspected for compliance with the State Oregon Specialty Codes for the group, occupancy, and use u r which thd9yeferenced permit was ikilillell. 1 HUII-DING I SPErTOR^ BUILDING POST IN CONSPICUOUS PLACE ELECTRWAL PERMIT- ciary OF TIGARD RESTRICTED ENERGY DEVELOPMENT SERVICES PERMIT#: ELR2002-002.25 13125 SW Hall E;vd.,Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 10/23/02 SITE ,ADDRESS: 10300 SW GREENBJRG RD 495 PARCEL: 1S135/1,B-01003 SUBDIVISION: LINCOLN ONE/RED LOBSTER/CASA L ZONING: C-P BLOCK: LOT: JURISDICTION: TIG Proiect Description: Low voltage for data network installation. A.RESIDENTIAL B.COMMERCIAL_ AUDIO & STEREO: AUDIO & STEREO: INTERCOM & PAGING: BURGLAR ALARM: BOILER: LANDSCAPE/IRRIGAT: GARAGE CPENER: CLOCK: MEDICAL: HVAC: DATA/TELE COMM: NURSE CALLS: VACUUM SYSTEM: FIRE ALARM: OUTDOOR LANDSC LITE: OTHER: HVAC: PROTECTIVE SIGNAL: INSTRUMENTATION: OTHER: DATA NETWK X TOTAL # Or SYSTEMS: 1 Owner: Contractor: i EGP LINCOLN, LLC Al LOCKTRONICS 102.60 SW GREENBURG RD DANIELL JAMES SUITE 100 533 NE KILLINGSWORTI-I PORTLAND, OR 97223 PORTLAND, OR 97211 Phone: 503-892-2500 Phonv: 2114-3197 284-3197 Reg#: I W 96086 ELE 26-867CEP FEES _^� Required Inspections _ Description _ Date Amount�) Low Voltage Inspection [ELP1tM]I L:LR Permit '10/23102 $75.00 Elect'I Final TAXI 801,State Tax 10123102 $600 Total $81.00 This Permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR, Specialty Codes and all other applt^able laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 11,10 days ATTENTION Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0100. You may obtain copies of these rules or direct questions to OLINC at (503) 246-6699. Issued by 1FL1�f Q LLQ �1 -� Permittee Signature OWNER INSTALLATION ONLY The installation is being made on property I own which is not intended for Cale, lease, or rent. OWNER'S SIGNATURE: CAYE: CONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR. ELEC'N _ �•i �_ � L DATE: LICENSE NO: ' Call 639-4175 by 7:00 P.M. for an Inspection needed the next business day (Oct-" -2 ] 1 : 10A Cyclone Computer Systems 3617 S34 -4254 P.01 Electrical Permit Application —- �— Datc receltcd: O Permit nu.: ^, City of i igar l Pruject/uppl. Capile dare (In'rl TiKctil Address' 13115 SW I lall Blvd,Tigard,OR PJJ2:3 Date i6stied: Ay: 1✓ Racuipl no Phunc; (503) 639.4171 - Fax; (503) 5411-1960 i Case Me no.: I Payment typo: Land use applilwal., _ O 1 &2 family dwelling or uccessoty XComrnercial/Industrial Umulti-family ❑'icnanl improvement U Ncw a-n••trucrirll O Addition laltera tion/replaccnuflt U Other: O Partial PM sttAbVC5 -Yapo,6 Clldg. no. Suilc nu._t{�� Tax map/tax IuUaccow-t no.: - Lot- Project name: VIA Ucscnptiun Lind location of wurk on premises: ' CAIa14 Estlml+feddalenfrumplcfilxtiinspar.tion: p Job nu: 1•t. Max Business nomc,� �.- -- - — nletcripllun _ (raj hold "im.laa lis y -_ - yr n,n sirlenllul..irrglrnrsaultl-6x1111 per Address: ';s _ 3 0 __ _ dr.nlllnr vnlLlnrludr.etlechedaanQe, 7V;r Z 9ctviceincluJedt �. Phnnr.� rt... '.-mall�� —~—^ IixiU w.ft.of 1040 - _ 4 1 Each adduional It$)albfl III nuLon 111croof _ CCA nn,: © Glee. bus lie 1(a, -- I lmltud unrxgy, iesldential 7_. Cityinletro lic.no. _ 2 _ /- �J� � Ltm11eJ unurxy, Lion-lusidemiel tin rt,jmp r 9��'Q i Iwch rnmlurktumd home or modtdnr dM. 1111K l[tnsturc of super'' ulu�lricturl (ic uucd) pate Scr'lec nntuor feeder _ Sllp.uluct. nsnlc(N ml License no yervlces 1(r landeia-Instrllalion. alteratlun Lir rahreu Inns 141(1 still"or less r Name( rine Zul nm "141x)wttps _ 2 � ) 1._ dF"YI�4 r(s n�_ t 401smP10GWnmps 1 Mal ling addfCSS, Q {ZO$d M �6 G01 allips lu 1000 limp% City, state: OJE I ZIP: 9 7LS liver.IIIIx)will-,or volts Phone. Z_200 Fax E-mail: Reconnect only Owrim installation'. The Install-ition is he(ng made on property 1 two n 1erpnraryupvlceanrferdrr%- which N not intended for sale,lease,rent.or exchange according to irittoltallon,olIteration,orrelocofion: OltS 447,455, 479,6110,701. Null lmils or leis _ 1 201 cir,.s 111 4111)nmt,s 2 Owner'% Sl nature: Dale' 401 it,hlXl:nrrp, 2 Branch circuits-new,alienation, Lir esltltainnper Parish Now; _ _ . . 4 FCC I(,r brilMh L—.111. „id ^urchnsc of Addrraa i _ P__ bervicu Lir feeder fcc,cuh bnncb eimull 7 Slate:^ ZIP,----, ..._ ii, Irue fur lnwlrh circuits wnlwul purchil- Pho11C' Pas 1 -rtlafF ill'..von cc lx feeder fcc,first bmnah orcwr N Pwh add,Gonsl branch circlul: Pj Misr.(Mrry Ice file feeder not inchi ded)t U Scrvke over:!,ti IIInl„-cneuncrelal U NcnllrwFe I;rcd,ty Porch pwnp or Irrigation ulrcic_. _ 1 W 9crylcu uvur.11t)maps-raring Lit'NO U Ih,.,udocs locultor, Lach llp Ir aullmc hylrtiug� I'arndy dwcllifigs U qufldfnu lr vur l(j.;xnl square feet four kir 9rgnjI ahvOrya)or it IimdvJ m,.•rdy psncl, J SYSIem uvur MIO volts nonnnal mnru n:.rdcmial tutitt In ono slnlrnln: allefahon, of catcnstu_n.- odll,nlJrr41 I've, tlu'oc sloncs .J Frcdcfa,400 umm Lir mmc 'lic"Ji. U6)) __ U flecuputt load over 44 Nrtom U Manufacturud etluenurs of PV park '�— trach addinunal lu+pectloe over life anueuble In say of tM abovcl C]Eglcssllighting pian u 011it Per tnspa;non - Subrnil WA wets of plans"Itik any or the above, lave,lidatinn fcc 1 he above .t t not applicable to tensporary construction service, Other — _ PCCmIt foe.....................� 7 S B. IWM711)urisdlctlwls+NCV-cinlit cardt,plcaac cell iuufdlrhr,n fnr m,uc 1114,1111nllae1. Nnticc: 'Ph1% permit application a vire U fwaticfcarl,,, expires if a pern-it ix not oblainctl Plan review(at _, u/u) S Credit carr)nurriM•r r• VOV t7Qa'� �91 ( sYZ �� y Sidle surchar a(8%),,,.,S - " ('Iv�.— — _— wrthtn 18Q du s nftCr It Iles txen R ����i r-r�i t ; uccrptnJ Iu ennipletc. ..... --�=1 v ill esull` s n ono crcJii -J A, 440-46 14(b.MItt.QMI CITY 4F TICIQRD 24•-Hour BUILDING Inspection Line: (503) 639-4175 MST Ir.CPECTION DIVISION Business Line: (503)639-4171 _ O D � BUP Received //-- - Date Requested---.` 6 --_ AM— -----PM- _ BLIP Location __ -_-_L _ _ -- - —_.--Suite---- --__-- MEC ,contact Person — ---- %G . -- - C---) � � �1 PLM Con Ph (----- ) —--- SWR -- ------ UILD C Tenant/owner ------ ELC -- - - ELC _ Foundation Access: Ftg Drain ELR Crawl Drain9 - SIT Slab Inspection Notes: L:4�-tel v2� fX24iYl - Post& Beam - Shear Anchors Ext Sheath/She;a -- - - Int Sheath/Shear Framing -- Insulation Drywall Nailing Firewall Fire Sprinkler - Fire Alarm -_ Susp'd Ceiling --- Roof Othai r PA Sk6C ART 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 ------ - MECHANIC_A_i, __ _ - ----- --- - ------- Post& Beam Rough-In Gas Line ----_.._-- Smoke Dampers - Final PASS PART_ FAIL ----- ----- - - ELECTRICAL Service Rough-In - - - ---- UGi:ilab Low Voltage - - -- Fme Alarm Final Reinspection fee of$_- required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL SITE — L� Please call for reinspection RE _ Unable to inspect-no access Fire Supply line ADA Dote �U`Z Inspector\'-- Ext Approach/Sidewalk - Other: Final DO NOT RERIOVE this Inspection record from the Job site. PASS PART FAIL CITY OF TIGARD 24-Hour BUILDING Inspection Line: (503) 635-4175 INSPECTION DIVISION Business Line: (503)639-4171 MST B U P --------- -- Received . _ -_/ Date Requested._� Z�—. AM _ PM BUP41 Location Suite5'___ MEC Contact Person _ _ _ Ph ( ___) PLM _- Contractor ?,��1�� � . Ph( —) �' y- 3 _. SWR BUILDING _ - Tenant/Owner _ —.._ ELC �v Footing ELC Foundation - -- -- Access: Ftg Drain ELR Crawl Drain Slab Inspection Notes: SIT Post& Beam _ Shear Anchors - Ext Sheath/Shear Int Sheath/Shear Framing Insulation - Drywall Nailing --- Firewall vire Sprinkler -- - - -- -- - - Fire Alarm Susp'd Ceiling -- - — --- --- Roof Other- -�— Final SS_ PART FAIL PLUMBING Post&Beam — — Under Slab Rough-In Water Service Sanitary Sewer Rain Drains - -- -- -- Catch Basin/Manhole Storm Drain -- -- ---- - Shower Pan Other: - Final PASS PART_ FAIL — MECHANICAL Post& Beam - Rough-In Gas Line -J-- --- A Smoke Dampers Final -- - ----------- PASS PART FAIL_ - ELECTRICAL Service _ Rough-In UG/Slab - - - —---- Low Voltage _ Fir.o.Alarm -- ------ -_ ulbw PAS PART FAIL ❑ Reinspection fee of$_-_ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd _ F'� Please cell for reinspection RF: _ -_�-- -__ _ Unable to inspect-no access Fire Supply Line ADA Approach/Sidewalk Data ��'-'�="��- InspoCtor Ext _- Other: Final DO NOT REMOVE this inspection record from the job site, PASS PART FAIL CITY OF TICAPD Inspection Line: (503)639-4175 BUILDING MST INSPECTION DIVISION Business Line: (503)639-4171 BLIP Received _Date Requested - AM _- PM—�_ __ BLIP Location u Suite �t �o s MEC — Contact Person ---------__- r 4 1• h( ) - PLM -------- -. Contractor � Ph SWR ---- _BUILDINr TenarlUOwn r " ' ELC Footing - - ELC _ Foun,.ation Access: Fig Drain ELRd� Crawl Drain — - Slab Inspection Nates: SIT _ Post&Beam ----- -- Shear Anchors Ext Sheath/Shear - -- ---- Int Sheath/Shear Framing ---- - -- Insulation Drywall Nailing Firewall Fire Sprinkler _- --- -_ -- - -.-----_..____-�- Fire Alarm Susp'd Ceiling - - --- ---- -- - Root _ Other: - Final __PASS PART FAIL -- - I UM_BIN(3 Post&Beam Under Slab --- - -- Rough-In Water Service - - -- -- Sanitary Sewer _ Rain Drains Catch Basin/Manhole Storm Drain - - - Shower Pan Other. - Final PASS PART FAIL. MECHANICAL _ - - ---- Post& Beam Rough-In - -- ----- -._. Gas L ine Smoke Daropers - - - --- - - Final _PASS PART FAIL -- ELECTRICAL Service - - _ ---------- Rough-In USG/Slab ow Volta e - - - - Fire Alarm 1Fi _ -- Reinspection fee of$ _ required before next Inspection. Pay at City Hall, 13125 SW Hail Blvd. PART FAIL. Unable to inspect-no arcess SITE I - I Please call for reinspection RE. _ w Fire Supply Line ADA Ext X11' Approach/Sidewalk Date �._ -. in+aperto ld�✓` — Other:_- Final DO NOT REMOVE this Inspection record from the job site. PASS PART FAIL_ CITY GF TIGARD DEVELOPMENT SERVICES PLUMPING PERMIT 13125 SW Hall Blvd., Tigard,OR 97223 (503)639-4111 PERMIT #. . . . . . . : PLM97-0147 DATE ISSUED: 04/29/97 PARCEL_: 1S135AB-01003 17I.TF ADDRE=SS. . . : 10300 SW GREENBURG RD #469 SUBDIVISION. . . . : ZONING: C_.F PLUCK. . . . . . . . . . . LOT. . . . . . . . . . . . . . JURISDICTION: TIG CLASS :ADD GARBAGE DISPOSALS. : 0 MOBILE HOME SPACES. : 0 TYPE OF USE. . . . :COM WASHING MACH. . . . . . : 0 BACKFLOW PREVNTRS. . : 0 OCCUPANCY GRI='. . :H2 FLOOR DRAINS. . . . . . : 0 TRAVIS. . . . . . . . . . . . . . : 0 STORIES. . . . . . . . : 0 WATER HEATERS. . . . . : 0 CATCH BASINq. . . . . . . : 0 FIXTURES--------------- LAUNDRY TRAYS. . . . . : 0 SF RAIN DRAINS. . . . . : 0 STMKS. . . . . . . . . .. 1. URINALS. . . . . . . . . . . . 0 GREASE TRAPS. . . . . . . . 0 LAVATORIES. . . . : 0 OTHER FIXTURES. . . . : 0 TUB/SHOWERS. . . : 0 SEWER LINE (ft ) . . . : 0 WATER CLOSETS. : 0 WATER LINE_ (ft ) . . . : 0 DISHWASHERS. . . . : 0 RAIN DRAIN (ft ) . . . : 0 Remarks : instal. ]. 1. sink Owner: -----.____________._----___._._____ ____--.______ -----� _-- FEES .--------------. VNICKERBOCKER PROPERTIES INC type amount by date recpt NORRIS BIGGS R SIMPSON PRMT $ 25. 00 TAT 04/2:9/97 97-29:3976 10300 SW GRF_ENBURG RD STE 2:00 5PCT $ 1 . ?r TAT 04/29/97 97-293876 TIGARD OR 9722'3 Phone #: NORTH' S PLUMBING 17120 SW SHAW SF'AVF:RTON OR 97007 Phone #: 649-5544 $ x:6. 2:5 TOTAL.. Req #. . : 00000:? _..___._..._..- REQUIRED INSPECTIONS ------- _ This permit is issued subject to the regulations contain}ea it the Water Line Insp ligard Municipal Code, State of bre. Specialty Codes and all other Water Set-vice In applicable laws. All work will he done in accordance with Ror.rgh-in Insp approved plans. This permit will expire if work is not started FILM/Unc'erf l oor within 198 days of issuance, or if work is suspended for more Misc. Inspection than 198 days. Final Inspection permittee Sign itur ; l s s i.a e d By: _-.- alI for inspection - 639-4175 :7W Hall Blvd. t-crtrrrt �* ()R 97223 s9-4171 - '" MINIMUM $25.00 PERMIT FEE + ST. SURCHARGE u..o.om•� - New Sinale Family Reslden�as OniX �LV O 1 BATH HOUSE$140.00 ❑ 2 BATH HOUSE$195.00 tab J �� .i•» !!2i ❑ 3 BATH HOUSE$225,00 S. Fee Includes all plumbing PoAures In the dwelling and this first 100 feet of water service, sanitary sewer and storm sewer. See fees below. Nrn. a-.014 FIXTURES CITY PRICE AMr �4!.i[�4��/!p/• �-- � �c� •►r� Sink 9.00 �:a O Flo' ,�. +�... ter• Lavatory 9,00 Cj G QN Tub or Tub/Shower Comb. 9.00 ,weer t - pry�rn,» Shower Only 9.00 Water Closet 9.00 w .,.�q...rn.+..l Dishwasher 9.00 / Garbage Disposal 9.00 want ,.�,,rd,9,,1 - ' pM, Washing Machine 9.00 --- Floor Drain 9.00 _ -• fJl/�l, ro Water Heater 9.00 Laundry Room Tray 9.00 'L _`'•'_ Urinal 9.00 4 !G ��• rNher Fixtures (Specify) N _ 9.00 9.00 Ictor �.��.xs.., o y9A,rSyd ti . �1',�ur� _ 9,00 an ry 9,00 1_0U% Sewer 1 st 100' 30.00 nn,.rr.►... . aq M. r'^N. Sewer-ee. Addd• 100' ^ 25.00 I1 oWater Service 1s1 100 M 30.00 Pfly 9rkriowledgn IhAt I h9vn read IN% epplientlon, that this Water Service ea, Addlt. 200' 75.00 ,anotion given Is correct, that I am the owner or authorized agent of Storm 8 Rain Drain tat 100 MOO nwrier, that pians submitted are In compliance with State laws, that -I registered with ",a Construction Contractor's Board, that the Storm A Rein Drain Addlt, 100' 25.00 9�ven is correc jif.aiempt frorlL registration, please -- �- yae�n below Moblle Home Spec@ 25M Back Flow Preventlon r� Device or Anil-Pollution Device 9,00 Any Trep or Waste Not Connected to a Fixture Q 00 o-:rlhe work new eddlt on C alteration ( mpair Catch Basin _ 9.00 Bonn residential Q non-reeldentle, '� Insp. of Exist. Plumbing 40.00/hr _ Specially Requested Inspections 40 OORrr ting use of `` Reln Oraln, single family dwelling 70.00 ,i9 or property --�--•� -- Resldentlal backflow prevention devises 15.00 „•este,i use of _ _ ling or piopeRY - --- -- - •(Ercepf resldenNe► back fow f prevention devices)NOT _ 14� "Minimum Fee $25.00 SUBTOTAL 00' f FRMITS Br-COME VOID IF WORK OR CONSTRUCTION 01.1 AUTHORIZED IS NOT COMMENCF() WITHIN 180 DAYS, OR IF 5%SURCHARGE 1 5 CONSTRIICTION OR WORK IS SUSPENDED OR ARkANDONFO L FOR A PFRIOt] Or 180 GAYS AT ANY TIMF AF TER WORK IS PLAN REVIEW 161,4 OF SUBTOTAL 'f c OMMENCED —� TOTAL .r�J �_I l�• %I Conditlnnq nate Issued _by t rl. %'ra !;t014^ f�,t-14 Sins •SNI `_tNIawn-id SeHIMON � A Z � m � ra C7 oco m La m � v 3 � z LLLCTRICAL PERMIT CITY OF TIGARD PERMIT #: ELC96--0559 COMMUNITY DEVELOPMENT DEPARTMENT DATE ISSUED: 08/28/96 13125 SW Hall Blvd.Tigard,Oregon 97223*8199 (503)839-4171 PARCEL: IS135AB-01003 1-31 FE ADDRESS. . . : 10300 SW GREENBURG RD 1#4.6`a ZONINGsC—P SUBDIVISION. . . . : bLOCK. . . . . . . . . . LOT. . . . . . . . . . . . . .. Project Description: Installing six branch cirucits. UNIT---- ---TEMP SRVC/FEEDERS---- -----MISCELI.ANEOUS------ 1000 GF OR LESS. . . . 0 IZI .200 amp. . . . . . . : 0 F=UME'/IRRIGATION....: 0 ADD' L °5005F. . . : 0 201 400 amp. . . . . . . : 0 SIGN/OUT LINE LTV. . : 0 1111 TED ENERGY. . . . - 0 401 600 amp. . .. . . . . : 0 SIGNAL/PANEL. . . . . . . lt4NF. HM/ SVC/FDR. . : 0 601+amps---1000 volts. : 0 MINOR LABEL ( 10) . . . 1; 0 ---SL-RVICE/FEEDER------ -BRANCH (: IRCUI INSPECT IONS---- - LOO amp. . . . . . : 0 Wl;)Er-oVlCE' OR FEEDER: 0 PER INSP'E'CTION. . . . . : 0 01 — 41PO amp. . . . . . : 0 Ist W/O SRVC OR FDR. : I PER HOUR. . . . . . . . . . . : 0 ili I — C,00 anip. . . . . . .. Q) LA ADDIL BRNCH CIRC: 5 IN PLANT. . . . . . . . . . . 3 0 601. — 1014QI amp. . . . . : 0 REVIEW SECTION..------. _—.____..__. 1.1/111104 E('TION-,------ 1.1/111104 amp/volt. . . . . : 0 ) =4 RES UNITS. . . . . . . . : 600 VOLT NOMINAL. . : ,onnect only. . . . . 1 0 SVC/FDR 225 AMPS. . CLASS AREA/SPEC UCC. : ... FEES PANEL PRODUCTS type amol.tnt by date reept IiP300 SW GREENDURG RD PRMT $ 60. 00 CJS 08/2,8/96 96-283346 SUITE 465 SPOT $ 3. 00 CJS 013/28, 9-6 96--eG3346 TIGARD OR 97i. 23 V,h o ri e #: ELECTRIC INC $ 63. 00 TOTAL III SW COLUMBIA SUITE 480 REOUIRED INSPECTIONS -- TIGARD OR 971-71"23-5886 Wall Cover Elect' l Final Phone #: Elect' l Servi -ze Req 0.- . - 00458 This piroit is issued subject to the regulations contained in the ........ Tigard Municipal Code, State of Dre, Specialty Codes and all other Permittee Signatttre applicable laws. All work will be done in accordance with aiwayed plans. This per@it will expire if worl, is not started within 180 days of issuance, or if work is suspended for sore -C/?p-r-- kz I.-.1i i LC than !88 days. IssLied By INSTALLATION -! he installation is being made on property I own which is not intended for- I .-.le, orIOkle, lease, or rent. DATE.- OWNER' S SIGNATURE: INSTALLATION fiNATUPP CF SUPR. ELELIN- PATE: i. ICENSE. NO: ........ Call for inspection — 639-4175 Community Development ELECTRICAL PERMIT APPLICATION 13125 SW Hall Blvd. Tigard, OR 97223 Permit # FJ-(-q, Date Issued Pilo W '503) 639-4171 FAX (,03) 684-7297 CITY OF TIGARD TDD No. (503) 684-2772 Inspection (503) 639-4175 1. Job Address: 4. Complete Fee Schedule Below: Name of Development LINCOLN CENTER Number of Ins r permit allowed _ Inspections � r Address10300 SW GR_EENBURG RD SUITE ,465_ Service included Items Cost(ea) sum TIGARD City/State/Zip _ 4a. Residential -per unit 1000 sq. ft or less – $1100o Name (or name of business) PANEL PRODUCTS Each additional 500 sq it or $25 cc portion thereof ^_ Commercial� Residential F1Each Energy $z5 00 QUESTIONS?CONTACT SCOTT CARLSON Each Menurd Home or Modular Dwelling Service or Feeder $6800 2a. Contractor installation only: 4b. Services or Feeders ROSS CROSBY CHRISTENSON ELECTRIC, INC installation,alteration,Or relocation Electrical Contractor _._ zoo amps or less $6000 Address 111 SW COLUMBIA SHITE 480 201 amps to 400 amps $8000 Cit PORTLAND State OR ZIr97201-5886 401 amps to 600 amps s12000 City — Zip91201-5886 amps to 1000 amps $18000 Phone No, 503 241-4812 Over 1000 amps or vofle -- $34000 Job NO. 222-7736 Reconnect only -- $5000 contractor's license NO. 26-34C __ 4c. Temporary Services or Feeders Contractor's Board Rqg- o._ _ Installation,alteration or relocation Signature of Supr(Iff-lec' 200 amps or less CA License No hone No. 201 amps to 400 amps �. $50 00 —Z Z 401 amps to 600 amps $7500 Over 600 amps to 1000 volts $10000 -- -- 2b. For owner installations: sea"b"above 4d. Branch Circuits Print Owner's Name'.` ___ - New,alteration or extension per pane Address i _ a)The fee for branch circults with City - _ State...__ Zip purchase of service or reader tier. –�W Each branch circuit $5.00 Phone No. b)The toe for branch circuits without The Installation is beinc made on property I own which is purch.se of service or reader he. Fire!branch circuit _1 f not intended for sale, loase or rent. Each $500 35 additional branch circuit 35 00 Owner's Signature _ __ _. _. .._.__ 4e. Miscellaneous (Service or feeder not included) 3. Plan Review section (if required): Each pump or Irrigation circle $4000 Each sign or outline lighting $4000 —_ Signal circuit(s)or a limited energy Please check appropriate Item and enter fee in set don 5B panel,alteration or extension $4000 4 or more residential units in one structure Minor Labels 110! $10000 _ Service and feeder 225 amps or more _ 4f. Each additional Inspection over System over 600 volts nominal Classifiad area or structure containing special occupancy the allowable in any of the above as described in N E C Chapter 5 Per Inspection 500 55 Per hour _ 555.00 In Plant $5500 _ l Qrrbmit 2 sets of plans with application where any of the above dppiy. Not required for temporary construction services. 5. Fees: 60. 5a. Enter total of above fees NOTICE 5%Surcharge (05 X total fees) $ ��T. �-- PERMITS BECOME VOID IF WORK OR CONSTRUCTION Subtotal $5b. Enter 25°/p of line A for AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR IF Plan Review if required (Sec.3) $ __ CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR Subtotal $ — . A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED. ....... F] Trust Account # Wm App Balance Due CITY OF TIGARD BUILDING INSPECTION DIVISION Msr 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 - f----" Date Requested_ AM_ PM BUP BLD Location l' SCY� `�l Q �'x_ - eyc , — Suite "<<' MEC Contact Person — Ph — PLM - y 7 Contractor Ph SWR FWILDING TenantKSwner tfi// [I '��r f i�rG • ELIC _— Retaining Wall ELR Footing Foundation Ac NOT REQUESTED FPS Ftg Drain FOUND DURING RESEARCH SGN Crawl Drain In' Slab NO INSPECTION(S) IN FILE SIT — Post& Beam Ext Sheath/Shear Int Sheath/Shear Framing ----- - — - - - - -- --.". -- Insulation Drywall Nailing -- Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling --- -_-- Roof Misc: _ -- -- — - Final PASS PARI FAIL - - --- ---------- UMBING / -- ----- --- -- --- Under Slab Top Out Water Service Sanitary Sewer \ R agb Drains - --� - --- -------._�._ -- PART FAIL. ANICAL Post&Beam — Rough In Gas Line Smoke Dampers Final -- PASS PART FAIL ELECTRICAL Service - -- - --- ----- Rough In UG/Slab - - - —_— Low Voltage Fire Alarm ------ - - -- — Final PASS PART FA;! -- - - ---SITE Backfill/Gradinq Sanitary Sewer Storm Drain ( ! Reinspection fee or$ " required before next Inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Unable to inspect-no access Fire Supply Line ( ( Please call for rc nspection RE: _ I 1 ADA Approach/Sidewalk Date ^/ Inspector— _-_ Ext Other Final PASS PART FAIL 00 NOT REMOVE this inspection record from the job site.