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9900 SW GREENBURG ROAD STE 130-1 Ul �D r �o H O ►3 O C�] ul W O Q m m z aj C: 71 Cl I i 1� 9900 SW GREENBURG RD. SUITE 130 _ CITY OF TiGARD ._----BUiLI]INGPERMIT _ PERMIT#: BUP2001-00380 DEVELOPMENT SERVICES DATE ISSUED: 10/23/01 13,125 SW Hall Blvd., Tiqard, OR 97223 (503) 639-4171 PARCEL: 1S126DC-03300 SITE ADDRESS: 09900 SW GREENBURG RD 130 SUBDIV13ION: LEHMANN ACRE TRACT ZONING: C-P BLOCK: IAT: 005 JURISDICTION: TIG REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION CLASS OF WORK: ALT FIRST: sf N: S: E: —W: TYPE OF USE: COM SECOND: sf _ PROJEC f OPENINGS-, _ TYPE OF CONST: 5N sf N_ S: E: W: OCCUPANCY GRP: B TOTAL AREA: 00 sf ROOF CONST: FIRE RET? OCCUPANCY LOAD: BASEMENT: sf AREA SEP. RATED: STOR: HT: ft GARAGE: sf OCCU SEP. RATED: BSMT?: MEZZ?: READ Sr'.TBACKS _ _____ 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: $ 8,500.00 Remarks: Remove( ; and install (2)n;.w wall in existing space. Owner: Contractor: ATHERTON REALTY PARTNERSHIP INTERWORKS LLC MARTHA ATHERTON PO BOX 14764 2100 S WOLF PORTLAND,OR 97293 D�R PLAINES, IL 60018 one: phone; 233-2300 Reg #: LIC 98655 FEES REQUIRED INSPECTIONS Type By Date Amount Receipt Framing Insp PLCK CTR 10/15/01 $84.31 2720011710000 Gyp Board Insp Final Inspection FIRE CTR 10/15/01 $51.88 27200100000 5PCT CTR 10/23/01 $10.38 27200100000 PRM'1- CTR 10/23/01 $129.70 27200100000 Total $276.27 This permit is issued subject to the regulations contained in the Tigarc' Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow the rules adopted b�, the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-19f.7. You may obtain a copy of these rules or direct questions •JUNC by calling (503)246-6699 or 1-800-332-2344. Pennittee Signature: G Issued By: ti_, -- Call 639-4175 by 7 p.m. for an Inspection the next business day Building Permit Ap ' ation /� "Datereceiv"edl ,55 1 Permit nc.: (�� City of Tigpxd2 Address: 13125 SW Hall Blvd,Ti u Project/appl.no.: Expiredate: C'iiyof hgurrl g ra.4B- 223 Phone: (503) 639-4171 Date issued: By: R--ceipt no.: _ Fax: (503) 598-1960 Case file no.: Payment type: Land use approval: 1&2 family:Simple Complex: G U/t &2 family dwelling or accessory UC ,n,rtL!;tt/tndu:,tnal J Mullt-t:un,ly m New construction Demolition 14 Addition/alteration/replacement crani improvement U Fire sprinkler/alarm U Other:_ INFORMATION _ Job address: Bldg.no.: I Suite no.: Lot: (•�• Block: Subdivision: H H A N tcAL�i 712tf=K Tax map/tax lot/account no.: Project name: S 3 ,, Description and location of work on premises/special conditions: OWNER F011 Name:A l (1.'Itiodplaiil,.qipticempgclty,War,etc.) (r-kzwl U&_.k:T`t -w"y T Wra S N I MEW Mailing address: -Z 1 a u l.0 c. I &2 foully dwelling: City: �� ' '( f M State: L ZIP: fbLJ'�� Valuation of work........................................ Phone: I Fax: I E-mail: No.of bedrooms/baths................................ _ Owner's representative: Njp '}( t1tr2` Total number of floors................................. Phone: Fax: E-mail: New dwelling area(sq.ft.) .......................... Garage/carport area(sq.ft.) Name: t'Irl Covered porch area(sq.ft.) ......................... _ Mailing address: �,-x 14 Deck area(sq. ft.) ........................................ City: O r rn r` State: ZIP: c Other structure area(s .ft.)..... ................... MAO,. ; 1 . Fax: E-mail: ('omrnerciaUlndrutriallmulti-family: Valuation of work............ ........................... $ 'v` Business name: Existing bldg.area(sq.ft.) .......................... I N IL„� v 1l S �. L New bldg.area(sq.ft.) — Address: C � � State:�l, •LIP: - •Z � Number of stories.................... (,t,. .................... � Type of construction.................................... Phone:S4 j 1. 3 Fax: 2!S t ` E-mail: (`-upancy group(s): Existing: CCB no.: 2 .4. _> INew: City/metro lie.no.: Notice:Ali contractors and subcontractors are required to be licensed with the Oregon Construction Contractors Board under Name: 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: I State: lzlvq exempt from licensing,the following reason applies: Contact person: I Plan nc.: Phone: Fay E-mail: Name: Contact person: Fees due upon application ...................... .... $ Address: Date received: City: State: IZII' Amount received ......................................... $ Phone: I E-mail: Please refer to fee schedule. 1 hereby certify 1 have read and examined this application and the NM all Jurisdictions accept credo cards,please call Jurisdiction for more infonnaar. attached checklist.Al�rovisirmll of law sand ordinances governing this U visa U Mastercard work will h complied Wi he r s cified herein or not. / Credit card number _ — Expires -1 � -1 ( S o - p Authorized signatti DidC: I._ — Namr or cardlrohrer as shown em credit card name: U �L��!� —_-- -- Cudholder signature _ — $ Amount Notice:This permit application expires if a permit is not obtained within 180 days after it has i,een accepted as complete. 141.1611(lwtlatcoM) ear -I r, .E / � O Li L� L I co r I O - O T I • • LL .. ,. � IWC cotocc Q G7 = = M LL n i U Ow � Ow — � I aE�+I RT -I / II I ADJACENT I ANT -4am - i (4 H T7 Ln CK � ra .�•s •.a r ar DOR LEGEND ^^--- Z EXISTING PARTITION OR ATRICTURE TO REMAIN EXISTING PARTITION TO BE REMOVED NEW TENANT STANDARD PARTITION NEW TENANT PARTITION WITH BOUND INSULATION �w NEW TENANT DEMISING PARTITION W/SOUND INSULATION ....4..�. RE-LITE DETAIL REF°ERENC,12 n� DETAIL NLI M5ER A-1 SWEET"DER DOOR REFERENCE I0I• DOOR mr-IDER DOOR HARDWARE -DOOR TYPE I04 ROOM NUMBER t2 PLAN REFERENCE NOTE ELECTRICAL OUTLET W/ SPECIAL RECEPTACLE I DUPLEX ELECTRICAL OUTLET FCOJR-PLEX ELECTRICAL OUTLET - EXISTINC �. MOUNTED OUTLET TO BE REMOVED �! SPECI 7 AS NOTED 7 VOICE (i L HONE)RECEPTACLE 0 DATA (FAX/MODEM)RECEPTACLE V COMBINED SERVICES RECEPTACLE FLUSH MOUNT FLOOR MCNVENT WITH SERVICES NDICATFP D DEDICATED OUTLET , „ t3 BLANK COVER PLA"E E EXISTING SERVICE OR FIXTURE TO REMAIN N NEW FIXTURE OR SERVICE (� JUNCTION BOX M THERtMOSTAT \x BF-ZAC:ING TO STRUCTURE 10' INTERVALS, MIN. 7-EXISTING ACCIL15TICAL TILL= CEILIW3 ASSEMBLY 2 i/2" METAL 5TUDS o 24"a.c. UJ/ 5/0" GYP. BD. EA. SIDE ~4" RiJBBER BASE L��CARPET OR SKEET VINYL PER PLAN l TYP. TENANT PARTITION SCALL: 1 1/2" 1LQIP-: DO NOT SUPPORT MALL BY T-BAR CEILING. + + lot + CITY OF TIGARD BUILDING INSPECTION DIVISION 24-;lour inspection Line: 639-4175 Business Line: 639-4171 MST BUP Date Requested / - 1-3 AM PM BLD Location-_ 1 &/ ! A'n Suite / 30 MEC Contact Person fro Ph 7D.Z l L{ to ( PLM Contractor_ Ph SWR —T_ �- BUILDING � Tenant/Owner ELC Retaining Wall ELR cr Footing Access. —� Foundation FPS Fig Drain Crawl Drain Inspection Notes: SGN Slab Post&Beam — ----`-- SIT _ Ext Sheath/Fhear Int Sheath/Smear --- - Framing Insulation ------ Drywall Nailing - Firewall - Fire Sprinkler Fire Alarm Susp'd Ceiling --_ Roof - -- Misc Final PASS FART FAIL PLUMBING Post&Beam --- _ ----- ---- Under Slab Top Out - -- Water Service Sanitary Sever -"- Rain Drains Final PASS PART FAIL I MECHANICAL Post& Beam Rough In _ / Gas Line ----- - _ Smoke Dampers Final ------- - - - - ---- _- - -- -- PASS FAIL_ kEffTRICAL re,77e Rough In - UG/S.ab Low Voltage Fire Alarm PASS PART FAIL SITE Backfill/Grading Sanitary Sewer Storm Drain [ J Reinspection fee of$ _ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line I )Please call for reinsp?ction RE _ ( J Unable to inspect-no access ADA Approach/Sidewalk Date / Other _ L.r�'_ .- inspector e2 �� ,,�, Ext Final , - PASS PART FAIL DO NOT REMOVE this inspection record from the job site. CITY OF TIGARD WILDING INSPECTION DIVISION MST 24-Hour L.1spFction Line: 63ti-4175 Business Line: 639-4171 6UP Date Requested _ /� AM PM BLD Location ��< y+� ry'�•rj ��1-� Suite MEC Contact Person Ph ��,5� y ?J PLM _ Contractor — — Ph SWR BUILDING _ Tenant/Owner _- ELC Retaining Wall ELR Footing Access: FPS Foundation <-rte Ftg Drain SGN Crawl Drain Ins pe tion Notes. SlabSIT _ Post&Beam '- / 7�� C2471 �. Ext Sheath/Shear Int Sheath/Shear Insulatio<;A — all Nailin _- Fire Sprinkler Fire Alarm Susp'd Ceiling -- --- - Roof Misc: - ---- -- - - Fin ASS PART FAIL -- "' VELMA NG Post& Beam Under Slab Top Out Water Service ---_-------------- Sanitary Sewer Rain Drains - Final PASS PART FAIL - --- MECHANICAL. Post&Beam - Rough In Gas Line --_- - ------- - Smoke Dampers Final - -_ ----- ------- -- PASS PART FAIL ELECTRICAL Service ------- Rough In UG/Slab - - - ----- ----- Low Voltage Fire AI3rm -- Final PASS PART FAIL - -----"SITE Backfill/Grading Sanitary Sewer Storm Drain ( j Reinspection fee of$ _required before next Inspection. Pay at City Hall, 13125 SW Hal:Blvd Catch Basin I )Please call for reinspection RE: __ —_- _ I j Unable to Inspect-no access Fire Supply Line ADA Approach/Sidewalk Date -a�- �� Inspector ______Ext Other Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. CITY OF TIGARD BUILDING INSPECTION DIVISION X24-Hour Inspection Line: 639-4175 Business Line: 639-4171 MST BLIP Date ^ Requested / I '� ` AMPM BLD _ Location � �LI� �� / _-; �� ,t_�,� _ Suite / 3 U MEC Contact Person yJ(�-/ „ (� / I Ph _ `I 3�i- 9l�G PLM Contractor Ph , _ SWR _ BUILDING Tenant/Owner Ei_C 00 S~ 3 Retaining Wall "V i-- ELR _ Footing Access: Foundation FPS Ftg Drain Crawl Drain Inspection Notes SGN _ SlabSIT Post&Beam --- _- - _ Ext Sheath/Shear Int Sheath/Shear — - -� Framing _ Insulation — Drywall Nailing Firewall Fire Sprinkler Fire Alarm --- ---- ----- Susp'd Ceiling Root Mise ____ —___ - �-•�-y+.r.1 � � -- -'op----�� `^ - Final PASS PART r-All_ ------_--- �-"' `�Y PLUMBING Post&Beam ---- — Under Slab Top Out - ------- Water Service Sanitary Sewer --_- Rain Drains Final PASS PART FAIL MECHANICAL Post&. beam Rough In Gas Line - --- -------- Smoke Dampers Final - ---- ---- PASS PART FAIL ELECTRICAL -- --�" Service Rough In UG/Slab _ Loy '!oltage Fi rm n PART FAIL SITE Backfill/Grading Sanitary Sewer Storm Drain [ J Reinspection fee of$ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin ll Please cafor reinspection RE: Fire Supply Line [ ] p _ ( ]Unable to Inspect no acc,�ss ADA Approac;i/Sidewalk Date C-- --�� Other . L7� Inspector_,!!:--' idExt Final PA88 PART FAIL 00 NOT REMOVE this inspection record from the job site. CITYOF TIGARD BUILDING PERMIT PERMIT#: BUP1999-00527 DEVELOPMENT SERVICES DATE ISSUED: 12/23/1999 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 PARCEL: 1S126DC-03300 SITE ADDRESS: 09900 SW GREENBURG RD 130 SUBDIVISION: LEHMANN ACRE TRACT ZONING: C-P BLOCK: LOT: 005 JURISDICTION: TIG REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION CLASS OF WORK: FPS FIRST: sf N: S: E: W: TYPE Or USE: COM SECOND: sf _ PROJECT OPENINGS? TYPE OF CONST: 5N sf N: S: E: W: OCCUPANCY GRP: B TOTAL. AREA: sf ROOF CONST: FIRE RET? OCCUPANCY LOAD: BASEMENT: sf AREA SEP. RATED: STOR: HT: ft GARAGE: sf OCCU SEP. RATED: BSMT?: MEZZ?: ___REQD SETBACKS ____ REQUIRED I FLOOR LOAD: psf LEFT: it RGHT: ft FIR SPKL: Y SMOK DET: DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDI-P ACC: BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING: VALUE: $ 1,285.00 Remarks: Installation or modification of 15 sprinkler heads. Owner: Contractor: ATHERTON REALTY PARTNERS FIRESTOP CO 2100 S WOLF 9384 SW TIGARD ST DES PLAINES, IL 60018 TIGARD, OR 97223 Phone: Phone: 620-6140 Reg #: LIC 00063846 FEES REQUIRED INSPECTIONS Type By Date Amount Receipt Sprinkler Rough-In PRMT^ DEB 12/09/199 $50.00 99-320292 Sprinkler Final 5PCT DEB 12/09/199 $4.00 99-320292 FIRE DEB 12/09/199E $20.00 99-320292 n ' Total $74.00 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 he done in accordance with approved plans This permit will expire if work is riot started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION Oregon law requires you tr follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through CAR ()52-001-1987. You may obtain a copy of these rules or direct questions to OUNC by calling (503) 246-1987. Pe mi itee Signature: l Lit41n, Issued By: Call 639-4175 by 7 p.m. for an inspection the next business day Fire protection Permit Application Plan CITY OF TIGARD Commercial or Residential Recd dly 13125 SW HALL BLVD. Gate Recd-, A TIGARD, OR 97223 Print or Type Date to P.E. %P•-�`95' (503) 639-4171, x. 304 Incomplete or illegible applications will not be accepted Date to DST 1 tc 44� Permit# /3utolfTV-005.17 Called Job eUL of Development/Project Type of System (Complete A or B as applicable) Address Address A.) Sprinkler Wet ❑ Dry ) _ Name Standpipes Owner Mailing Address Hazard Group Flo Additional Wstate/]A �! // Zip Phpnne Information Density -- _ ( C& Name Design Area r1kT_1r)tJ Pn LJ. Occupant rAailingAddressiT I K. Factor City/State Zip I Pi.� :e A.1) Sprinkler Project Valuation $ Contractor Name B.) Fire Alarm (Sprinkler or I'` 1.' -- Alarm Company) Mailing Address Submittal Shall Include Battery Calculations YES ❑ Prior to permit f ( �'-", issuance,a City/State Zip Phone Individual Component YES ❑ copyCul Sheets of all licenses "T(( fY(�� (2_.�^ Z Y B 1) sire Alarm Project Valuation $ are requir State Const.Cont.Board Lic.# Exp.Date _____ _ _ expired in r 5 qq �� UGt Project Valuation Subtotal (A & or B) $ database l� 7 Name Permit fee based on valuation $ Architect MailingAddress _ _ (see chart on back) si, � 4% Surcharge $ City/State ZIp Phone - ° 4 + FLS Plan Review 40% of Permit $ Describe work A.)New O Addition O Alteration O Repair O TOTAL $ to be done: _ B.) Modification to sprinkler heads only: Plans required Submit three sets of plans,includin a vicinity map and 1, 1-10 heads=No plans required Q p g y the location of the nearest hydrant. 2. 11+=Play review required _ - ---_----------- I hereby acknowledge that I have read this application,that the information given is Number Ot sprinkler heads: correct,that I am the owner or authorized agent of the owner,and that plans submitted are in compliance with Oregon State laws Additional Cescription of Work: Signature o nerlAgent Date A.)In Existing Building New Building ❑ Z 9 Building Co tact Person Na ft —+ Phone Data B.) Commercial Residential 1715'ev(E _JJ� FOR OFFICE USE ONLY: No of stories: Plat# MapITL#: Sq Ft �y -- Notes Occupancy Class Type of Construction iv-- i:\dsts4onns4iresupr.doc 7/2/99 • ' i � •� -f� O�Oni tD N • i-OW' N m cr CDs cqow I ) I • I a v c � z O + N • �� U D = p.. O o Qcr 4 U O W CD 0 m Z kA 'Ile zi w a w �w � I o 5 o . , l ,■, g ( g I I I Q. CITY OF TIGARDBUILDING PERMIT PERMIT#: BUP1999-00468 DEVELOPMENT SERVICES DATE ISSUED: 11/02/1999 13125 SW Hall Blvd., Iigard, OR 97223 (503) 633• ` PARCEL: 1S126DC-03300 SITE ADDRESS: 09900 SW GREENBURG RD 130 SUBDIVISION: LEHMANN ACRE TRACT 6�,!O ZONING: C-P BLOCK: LOT: 005 JURISDICTION: TIG REISSUE: V FLOOR AREAS EXTERIOR WALL CONSTRUCTION CLASS OF WORK: ALI' FIRST: 2,748 sf N: S: E: W: TYPE OF USE: COM SECOND: sf PROJECT OPENINGS?_ TYPE OF CONST: 5N sf N: S: E: W: OCCUPANCY GRP: B TOTAL APFA: sf ROOF CONST: FIRE RET? OCCUPANCY LOAD: 22 BASEMENT: sf AREA SEN. RATED: STOR: HT: ft GARAGE: sf OCCU SEP. RATED: BSMT?: MEZZ?: REQD SETBACKS _ REQUIRED FLOOR LOAD: psf LEFT: ft FR0HT: ft FIR SPKL: Y SMOK DET: DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP ACC: BEDRMS: BATHS: IMP SURF-'ACE: PRO CORR: PARKING: VALUE: $ 28,000.00 Remarks: Tenant improvement Owner: Contractor: ATHERTON REALTY PARTNERSHIP INTERWORKS LLC 2100 S WOLF PO BOX 14764 DES PLAINES. IL. 60018 PORTLAND, OR 9-7293 Phone: Phone: 233-2300 Reg #: uc 000()8s55 FEES REQUIRED INSPECTIONS Type By Date Amount Receipt Framing Insp PRMT BON 11/02/199 $283.00 99-319498 rYP Board Insp Susp CPiing Insp 5PCT BON 11/02/1995 $22.64 99-319498 Finallnspecton PLCK BON 11/02/1995 $183.95 99-319498 FIRE BON 11/02/199E $113.20 99-319498 Total $602.79 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law All work will be done in accordance with approved plans This permit will expire it work is not started within 180 days of issuance, or if work is suspended for more than 1.80 days ATTENTION. Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-1987. You may obtain a copy of th6se,IulCS eS direct questions to OUNC by calling (503) 246-1987. Pe rm fte Slg�ature: Is4ed B� 4L _ �, Call 639-417 by 7 p.m.for an Inspection the next business day CITY OF TlGARD Commercial Building Permit Application Pian Check, 1 — C Rec'd By _ 13125 SW HALL BLVD. Tenant Improvement DateRec'd JI-Z- TIGARD, OR 97223 Date to P.E. (503) 639-4171 D Date to DST - Print or Type ........ Permit f[ Related SWR# Incomplete or ;Ilegible applications will not be accepted Called - Name of Development/Project u Existing Building Ll New Building ❑ Job V A 5.5 ` Address Street Address Suite Building �'�co S4J�'R'Fi J3.it' /3 Data Bldg# City/State ZIP Existing Use of Building or Property: IA&VzItAy'.0 ZIP Name '-0A ko(4i,Yt';{i/w-so ixxy Proposed Use of Building or Property: Property 4buiwr &USf! N Owner Mailing Address Suite SJt�/1 oZ/D o S, 4on F No. Of Stories: City/State ZIP Phone AFS Rrygs Sq. Ft. Of Project: Occupant Name �2 -- Occupancy Class(es) Name Contractor A pu&'bz- I Type(s) of Construction Prior to permit Mailing Address Suite - issuance,a copy I Will this project have a Fire Suppression System? Of cell licenses ,D x 7� Yes No ❑ are required If CI /State Zip Phone expired in C.O.T. Americans with abilities Act(ADA) i database /A, , OA, q 7dq 3 ,�.�_�3,► o Valuation X 25% = $ 7, 6f'0 Participation Oregon Const.Cont.Board Lic.# Exp.Date Complete Accessibi1i!y Form Project $ -- Na Valuation �. ,�o �' Architect n Plans Required. See Matrix for number of sets to submit r� - on back Mailing Address Suite City/State Zip Phone I hereby acknowledge that I have read this application,that the information 700 given is correct,that I am the owner or authorized agent of the owner,and of ��' z that plans submitted are in compliance with Oregon State Laws. Engineer Name _ Si toyof ed ent Date 9 � fly' Malting Address Suite one Person/Name Phone City/State ZIP Phone 7/ [/ ./ //\( — - P _3.�OcD -�— FOR OFFICE USE_ONLY Indicate type of work New O Addition O Demolition O Map/TL# and Use: Accessory Structure O Foundation Only O Alteration 0;--- Repair ;---Re air O Other O _ Notes: Description of work: TIF j / Note: Site Work Permit Application must precede or accompany Building Permit Application I\COMNFWTI DOC (DST) 5198 CELECTRICAL PERMIT CITY O F T I G A R D PERMIT#: ELC1999-00666 DEVELOPMENT SERVICES DATE ISSUED: 11/08/1999 13125 SW Hall Blvd.,Tigard, CR 97223 (503) 639-4171 PARCEL: 1S126DC-03300 SITE ADDRESS: 09900 SW GREENBURG RD 130 SUBDIVISION: LEHMANN ACRE TRACT ZONING: C-P BLOCK: LOT : 005 JURISDICTION: TIG Proiect Description: Install 8 branch circuits to existing commercial building. RESIDENTIAL UNIT Tori^ SRVC/FEEDERS MISCELLANEOUS 1000 SF OR LESS: 0 200 amp: PUMP/IRRIGATION:i EACH ADD'L 500SF: 201 400 amp: SIGN/OUT LINE LTG: LIMITED ENERGY: 401 600 amp: SIGNAL/PANEL: MANF HMI SVC/ FOR: 601+amps - 1000 volts: MINOR LABEL (10): SERVICE/FEEDER BRANCH CIRCUITS ADD'L INSPECTIONS _ 0 - 200 amp: W/SERVICE OR FEEDER: PER INSPECTION: 201 - 400 rmp: 1st W/O SRVC OR FOR: 1 PER HOUR: 401 - 600 amp: EA ADD'L BRNCH CIRC: 7 IN PLANT: 601 - 1000 amp: _ _ PLAN REVIEW SECTION _ 1000+ amplvolt: >=4 RES UNITS: — > 600 VOLT NOMINAL: Reconnect only: SVC/FDR >=225 AMPS: CLASS AREA/SPEC OCC_ Owner: Contractor: RURAL ELEC-r RIC INC 5285 NE ELAM YOUNG PKWY HILLSBORO, OR 97124 Phone: Phone: 648-6696 Reg M LIC 00047478 ORI C SUP 4062S EI.E 34-82C FEES ,_____ Required Inspections –� Type By Date Amount Receipt Elect'I Service PRMT KJP 11/013/199� $74.95 99-319604 F_lect'I Final 5PCT KJP 11/08/199 $6.00 99-319604 Total $80.95 This Permit is issued subject to the regulations contained in the Tigard Municipal Code. State of OR Specialty Codes and all oth-r 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 I 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 ordirect questions to OUNC at(503) 246-1987 PERMITTEE'S SIGNATURE j. � ISSUED BY: r _ 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 SIGNAL URE OF SUPR. ELEC'N: 1 - iL- t�'`� _ DATE: LICENSE NO: – Call 639-4175 by 7:00pm for an inspection the next business day CITY OF TIGARD Electrical Permit Application Plan Check#_ 13125 SW HAIL BLVD. Recd By TIGARD OR 97223 RECEIVED Date Recd Phoria(503)639-1111711,x304 Date to P.E. Inspection (503)639-4175 NOV 4 1999Dats to DST_ Print of Type Permit 0�Lc- I�Y`I- caU Fax (503)598-1960 COMMUNITY v4jKq pARte or Illegible will not be accepted called — 'l. Job Address: 4. Complete Fee Schedule Below: Name of Development Columbia Business Center Number of Inspections per permit allowed Name(or name of business) Relationships NW Service Included, Items Cost Sum Address 9900 SW Greenburg Rd #130 4a., Residential•per unit City/State/Zip Portland, Or 97223 1000 sq.ft.or less $ 117.75 4 " — Each additional 500 sq.It.or Commercial ® Residential ❑ LimitedE $ poo thereof _ $ 26.75 1 Energy , 60.00 Each Manufd Home or Modular 2a. Contractor installation only: Dwelling Service or Feeder E 72.75 2 (Prior to permit Issuance,applicants must provide contractor license ;b.Services or Feeders information for COT data base). Installation.alteration.or relocation Elpctneat Contractor RURAL ELEC'17RIC, INC. 200 amps o,less ! 6425 2 Address 5285 NE Elam Younq Pkwy #A900 201 amps to 400 amps _ S 85.50 2 City Hillsboro State OR Zip 97124 401 amps to 600 amps S 12850 2 Phone No. 503/648-6696 - 601 amps to 1000 amps $ 10250 2 Over 1000 amps or volts $ 363.75 2 Job No_ M9072PE _. Reconnect only a 53.50 2 Flec. Cont Lice. No. 344-820 _Exp.Date 4c.Temporary Services or Feeders OR State CCB Reg. No 474'78 �_Exp,Date tnstaltauon,alteration.or reiocanon COT Business Tax or Metro No. 5287 Exp,Date 200 amps or less S 5350 _ 2 201 amps to 400 amps S 8025 2 Signature of Supr Elec'n P&wf � 401 amps to ri00 amps $ 10000 — 2 Over 600 amps to 1000 volts, License Nu. 62"S —Exp.Date� _ see~b"above. 4d.Branch Circuits Phone No. 503/648-6696 Nevi,alteration or extension per panel a)The fee for branch circuits 2b. For owner installations: with purchase of service or feeder res. Print Owners Name Each branch circuit S 5.35 — 2 Address b)The fee for branch c rcuils rrifftur purehese of serrrfce, City Stale Zip _ _ or feeder fee. Phone No _ First branch rirruit 1_ s 37.50 37.50 Each additional branch circuit S 535 IZ,4_ The installation is being made on property I own which is not 4e.Miscellaneous Intended for sale, lease Or reryl. (Service or feeder not included) Each pump or irngation drele S 42.75 Owner's SignatureEach swi of tudline lighting S 42.75 _ y _ Slgnal circuit(s)or a limited enorgy 3, Plan Review section if required):* panel,akerabon or extension 5 60 00 Minor tabu"ttm S 10000 Please check appropriate item and enter fee In section 5B. 4f.Each additional inspection over 4 ormatr_residenno on"in one structure ttwn1k s z*i*irrary atlltrabove _ Service and leader 225 amps or more Per inspection S 5000 hour $ 5000 — _ System over 600 volts nornirW Ir•Plant $ 59.00 — _W,Classified area or structure containing speaal occupancy as i rla:cubed in N E.0 Chapter 5 Fees: sae Enter total of above fees S 74.95 mbrnit 2 sett of plans with zpplication where any of the above apply. 8%Surcharge(08 X total fees) s 6.00 Nut regtrtredfor tempornry consr, eflon services. Subtotal S 80.95 -- sb.Enter 25%of line Sa for NOTICE Plein Revww d raguued(Sec.31 S "ERMITS BECOME VOID IF WORK OR CONS1 RUCTION AUTHORIZED Subtotal E U. -5 IS NOT COMMENCED WITHIN 180 DAYS.OR IF CONSTRUCTION OR �ry WORK IS SUSnENDt�UR ABANDONED FOR A PERIOD OF 180 DAYS ler Trust Arcount AT ANY TIME AFTER WORK IS COMMENCED Total halance Due g8U•`� r'd.lti'fnrm%^I[L'trlC duc CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 BUP _ _Date Requested— /e-7/ —__AM PM BLD Location `7� &--u til- C4,/ Suite / 3 U _ MEC Contact Person PC A V1k-C, f��1ra-� Cif L_- Ph (f`�� U' f PLM _ Contractor L Ph 1 ) SWR BUILDING Tenant/Owner /�t•� �i tGL�.S�t.< L� /�w _ ELC Relaining Wall ELR Footing Access: FPS Foundation Ftg Drain SGN Crawl Drain Inspection Notes Slab ------ ----- --- ------ SIT Post& Beam Ext Sheath/;hear ---- Int Sheath/S sear Framing - Insulation Drywall Nailing - --- -— -_-- ------ -- Firewall Fire Sprinkler ^- ___c►-_.--, ---.__--_-------__-_ -- Fire Alarm �� 4 _ �- Susp'd Ceiling - Roof Final PASS PART I-AIL _. ---- - .- -- -- ----- - - PLUMBING —__. -- -- -- - - ---.T--- Post& Beam Under Slab ---- ----- ---- ------- --__-- - Top Out Water Service ------ -----.-------_- __.__ Sanitary Sewer Rain Drains -- - Final PASS PART FAIL -- �`± -- - MECHANICAL Post&Beam - -- Rough In Gas Line - _- - - Smoke Dampers _ Final PASS PART FAIL LECTRICAL Service - Rough In UG/Slab - - -- --- - Low Voltage Fire Alarm --- - --- --- ------------ --- rPASS )PART FAIL ------ --- r Backfill/Grading ------ -__.-_ ------- -- ----- Sanitary Sewer Storm Drain [ ]Rernspection fee of$ _.required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin [ ]Please call for reinspection RE: _ _ _� ( ]Unable to inspect-no access Fire Supply Line j ADA Approach/Sidewalk Date Inspector ��_�1 Ext Other Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. CITYOF TIGARD CERTIFICATE OF OCCUPANCY DEVELOPMENT SERVICES PERMIT#: BUP1999-00468 13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 11/02/1999 PARCEL: 1 S 126DC-03300 ZONING: C-P JURISDICTION: TIG SITE ADDRESS: 09900 SW GREENBURG RD 130 COP " SUBDIVISION: LEHMANN ACRE TRACTFILE 1 BLOCK: LOT:005 CLASS OF WORK: ALT TYPE OF USE: COM TYPE OF CONSTR: 5N OCCUPANCY GRP: B OCCUPANCY LOAD: 22 TENANT NAME: RELATIONSHIPS NW REMARKS: Tenant improvement Final Building Inspection and Certificate of Occupancy Approved 12/14/99 by George Steele, Building Inspector Owner: ATHERTON REALTY PARTNERSHIP 2100 S WOE-F DES PLA.INES, IL 60018 Phone: Contractor: INTERWORKS LLC PO BOX 14764 PORTLAND, OR 97293 Phone: 233-2300 Reg #: LIC 00098655 This Certificate grants occupancy of the above referenced building or portion there .f and confirms that the building has been inspected for compliance with the State of Oregon Specialty Codes for the group, occupancy, and use u der which the referenced p-armit was issued. BUILDING INSPECTOR BUILDING OFFICI POS1 IN CONSPICUOUS PLACE CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Line: 639-4175 Business Line: 639-4171BUP 1 tci-CS7 Date Requested //k4 Iq AIA PM _ BLD _ Location_ L� � `J �' � ��.(-XVr '��c�-- Suite 130 MEG Contact Person Ph �G.) y 3 7 PLM _ Contractor _ r Ph SWR B-WLDINGJ� Tenant/Owner nl Cts /- 0-- S ' ELC Retaining Wall ELR ------ -_----__-_-- Footing Access: FPS Foundation �- Ftg Drain SGN — Crawl Drain Inspection Notes: Slab - - --_----- -- - SIT ------ Post&Beam Ext Sheath/Shear - -------- Int Sheath/Shear Framing -- - ---------- Insulation -Insulation Drywall Nailing - _.._------ ---___ _ _- -- ---- - - Firewall Fire Sprinkler - -- -- -- - Fire Alarm Susp'd Ceiling --- - - -- -- - - . Roof Mi F'Jw# c. --- ASS PART M, - --- ---- PLUMBING Post 8 Beam - Under Slab i Top Out ------ -- Water Service Sanitary Sewer Rain Drains _--- - 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 -- Fir�Alarm - ---- - f ural PASS PART FAIL ----- ------SITE Backfill/Grading Sanitary Sewer Storm Drain [ ]Reinspection fee of$ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin ( ]Please call for reinspection RE [ ]Unable to inspect-no access Fire Supply Line ADA ^ Approach/Sidewalk [lite ?_ L/_ � _inspector _ Ext Other Final PASS PART FAIL. DO NOT REMOVE this inspection record from the job site. CITY OF TIGARD ELtC:IKlC:ALF'tKMll PERMIT#: ELC2.001-00523 DEVELOPMENT SERVICES DATE ISSUED: 10/24/01 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 PARCEL: 1S126DC-03300 SITE ADDRESS: 09900 SW GREENBURG RD 130 SUBDIVISION: LEHMANN ACRE TRACT ZONING: C-P BLOCK: LOT : 005 JURISDICTION: TIG Project Description: Installation of branch circuit. Job#0581 RESIDENTIAL UNIT TEMP SRVC/FEEDERS MISCEt-LANEOUS_ 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: SIGNALWANEL: MANF HMI SVC/ FDR: 601+amps - 1000 volts: MINOR LABEL. (10): SERVICE/FEEDER BRANCH CIRCUITS _ ADD'L INSPECTIONS 0 - 200 amp: W/SERVICE OR FEEDER: PER INSPECTION: 201 - 400 amp: 1st WIO SRVC OR FDR: 1 PER HOUR: 401 - 600 amp: EA ADD'L BRNCH CIRC: IN PLANT: 601 - 1000 amp: PLAN REVIEW SECTION 1000+ amp/volt: _ >=4 RES UNITS: > 600 VOLT NOMINAL: Reconnect only: SVC/FDR >=225 AMPS: CLASS AREA/SPEC OCC: Owner: Contractor: ATHERTON REALTY PARTNERSHIP HILLSBORO ELECTRIC MARTHA ATHERTON 21885 NW EVERGREEN PARKWAY 2100 S WOLF HILLSBORO, OR 97124 DES PLAINES, IL 60018 Phone: 847-298-8600 Phone: 503-439-9666 Reg #: ELE 34-433C LIC 134481 SUP 4240S FEES Required Inspections _ Type By Date Amount Receipt Ceiling Cover PRMT BLD 10/25/01 $46.85 2001-4236 Wall Cover Elect'I Final 5PCT BLD 10/25/01 $3.75 2001-42.36 Total $50.60 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 952-00'-0010 through OAR 952-001-0080. You may obtain copies of these rules or direct questions to ' 1 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 INSTALLATION ONLY SIGNATURE OF SUPR. ELEC'N: eAl I�IV4 AIr DATE__ LICENSE NO: 5" ' yll 5 Call 639-4175 by 7:00pm for an inspection the next business day Electrical Permit Applicati p 7D�ole,,e,eived: /p Pelmitno.:City of Tigard P appl.no. Expire date: Ciro Ti and Address: 13125 SW Hall Blvd,T' bhp97223/ R Phone: (503) 639-4171 lG� r��,� ued. By: Receiptno: Fax: (503) 598-19 , d �- Pne no.: Payment type: Land use approval: 0 �` IJV i:J 1 &2 family dwelling or accessary U Comial/industrial Multi•rawdly JM Tenant improvement rJ Nrw construction Q Addition/alteration/replacement C.Other: Q Partial o � em= o Sddress /' Bldg. uit:no.:13o Tax map/tax lot/account no.: Lot: Block: Subdivision: Project dame: j t Descnpuon and location of work on pre rises: a , tBusirncss CONIRAU'011 APPLICATION f' Feet Marname: I Lnesrnplion Qty. (ea.) Tota) no.artsNew resident at-simple or multtramily per '-I-Ij_ K4N Of divelgrr6nrdl.IncludnatMrhedgaruge. City: ftek p 1 State:eA, ZIP: ] Serviceincluiled: Phone: Fax: C thc 1000 sq.ft.o less _ t 3 y q Each additim at 500 sq.ft.or portion thereof ^! CC 8 no.; pq Elec,bus.lic.no: Linutedener y,residenteal �'1 hndtrO lie. Limitedeneq y,non•residenual .— 2 y 4 Fach manufs,lured borne or modular dwellingS1gn ur n`4 smg clectri requited)_ _ atI Service and/c r feeder 2 Sup elect.nartjg(pnn.): NWI C-s Licensenu: (f 7erocesorl:etkn—imet"alloo, alteration or relocation: PROPERTY200 amps or ass Name(print): JAI 201 amps to:00 amps 2 "00 amps 2 vlailing address: 601 amps to 000 amps 2 City: State: ZIP; Over 10(x1 at ips or volts 2 Phone: Fax: I E-mail: Reconnec(cit ly I Owner installation:'Ibe installation is being made on property I own emponryservicesorfeeders- which is not intended fur sale,lease,rent,or ex:hange according to InslaUation,.dterntion,arrelocntion: ORS 447.455,479,670, 701. 200 amps or r" _ _ 2 .01 amps co •oo imps 2 Owner's ARuaturc: _ bale: 401to600attps 2 Braacb circt As•new,alteration, iJattle', or extension per panelt A. Fee for be anch circuits with purchase of Address: _ service at feeder fee,each branch circuit 2 City. i State: ZIP: H. Fee for branch circuits witnoutpurchase 2 of service or feeder fee, branch circuit: Phone l a�, F.-mail fins Eachaddidoialbranch circuit: PLAN REVIYIV(Please citeck all that apply) Misr.(Seryl re or feeder not included): Q Service over 225 amps cummercrnl .1 llealth catetactluy Each pump u:irrigation circle 2 0Service over 320amps-rating of1&2 JHarardouslocorion Fachsignor amlinelighting 2 family dwellings Q Building over 10,000 square fees four or Signal circui(s)or a limned energy panel, 7 System over 600 volts nominal more residential units in one structure alteration,or extension* 2 7 Building over three stories Q Feeders,40x1 amps ur mare 'Descri Tian 7 Oecopant load over QQ persnnr Q Manufactured structuress or RV park Each additic nal Inspection over the allowable In any of the above: 7 Egtcsdlighungplan Q Other: . Periuspecd.e i Submit-__sets orpiaes with asy orthe above. Investlgatint fee Phe above are not applicable to temporary construdlesn service. Other Not all Jurisdictions accept credit cords,pleas call jurisdiction for more infexm lion. Notice:TI as permit application Permit fee...................% S U Visa U MasterCud expires i a permit is not obtained PlM review(at _ 96 S Credit card aumber' / / within Igo days after it Ims been State surcharge(8%) ....S accepted as complete. TOTAL .......................$ r 4 None o—ft-w-dolderm r own on--ee�cud S crud der signature Amount 444461516WICOM) 100 in QilV011 d0 A113 0961 969 1:115 SF'J b I :0 1 .X0111 to 11 90 CITY OF TIGARD ELECTRICAL - ENER RESTRICTED ENERGY DEVELOPMENT SERVICES PERMIT#: ELR2001-00287 13125 SW Hail Blvd.,Tiqard, OR 97223 (503) 639-4171 DATE ISSUED: 11/9/01 SITE ADDRESS: 09900 SW GREENBURG RD 130 PARCEL: 1S126DC-03300 SUBDIVISION: LEHMANN ACRE TRACT ZONING: C-P BLOCK: LOT: 005 JURISDICTION: TIG Proiect Description: Installation of Data 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: HVAC: PROTECTIVE SIGNAL: INSTRUMENTATION: OTHER: TOTAL#OF SYSTEMS: 1 Owner: Contractor: ATHERTON REALTY PARTNERSHIP A-REBS COMMUNICATIONS INC MARTHA ATHERTON 5855 SW TARALYNN AVE 2100 S WOLF BEAVERTON, OR 970005 DES PLAINES, IL 60018 Phone: 847-298-8600 Phone: 520-0625 Reg #: ELE 2430RET LIC 86096 SUP 2340RET _FEES Required Inspections Type By _Date Amount Receipt Low Voltage Inspection PRMT CTR 11/9/01 $75.00 2720010000 Elect'I Final .5PCT CTR 11/9/01 $6.00 2720010000 Total $81.00 This Permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is 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 copies of these rules or direct gyestions to OUNC at (503) 246-1987. 1 Issued by �'A A Alt .�.rLv �-� _ 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 SIGNATURE OF SUPR. ELEC'N DATE:----- LICENSE ATE:LICENSE N O: –-----------– a'4 I E-S – ----- – —---- ------- Call 639-4175 by 7:00 P.M. for an inspection riEeded the next business day Electrical Permit Applicatign Ikue received`( "I 1 Permit no.: City Of Tigard T� Project/app-1.no.: Expire dale: t trrnfTigu�d Address: I j125 SW Hall Blvd,Tigard, 97223 Datcissucd: B Receipt no.: Phone: (503) 639-4171 Fax: (503) 598-1960 Case file no.: Payment type: Land use approval: _ TYPE OF PERMIT U I &2 family dwelling or accessory 4(',mnnri,iiii/industrial U Multi-family U Tenant improvement U New construction J .A(Imaria,/.ilirration/replacement U Other: U Partial Joh address: 'J d Bldg. no.: Suite n-133 Tax ntap/tax lot/account no.: Lot: Bltxk: Subdivision: Project name: N-T*,A-tiXDew iption and location of work on premises; 13stidnated date of conyrlrli,m/in�lx•cUnn. - CONTRAUFOR APPLICATION FEE SCHEDULE Job no: rte Max Business nark: C — — DescHittion Qly. (ea.) 'hotal no.lnsp - New re sidenlhtl-single or multi-fandly per Address: �� lt) 'Q t. NN A�� dwellingunicInclude%attached garage. City: JSlater I 2111: 700,5 Seri ice included: Pnttne: j3 r Ls Fax: E-mail: 1000 sy.It.„t less - a CCB no.: 0� �!- �. Glee.has.lie.no:j .Scigi CLE Hoch oddilional 500 sq.ft.or portion thereof I imited energy,residential _ 2 City/ritetf.)lic.no. Z.1 non-residential Each mmnufnctured home or modular dwelling Signature of su rvisin el trician(required) Date Service and/or feeder _ 2 Sup.elect.name(print): Iicell-n 2`{ T Services orfeeden-Installation, alteration or relocation: 200 amps or less 2 Name(print): 201 amps to 400 amps 2 401 amps to 600 amps 2 Mailing address: 601 amps to 1(00 amps 2 City: Slate: 'LIP: Over IW)anrpsorvolts_ 2 Phone: I ax: f. trail; Recounecl onlyI Owncx installation:The installation is heing made on property I own Temporaryserriceaorfeeders- which t;not intended for sale,lease,rent,or exchange according to Installation,alteration,or relocation: 200 amps or less 2 ORS 447,455,479,670,701. 201 amps to 4(x)amps 2 Owner's signature: pate: 401 to 000 ams 2 Branch circuits-new,alteration, or extension per panel: Name: _ A. Fee for branch circuits with purchase of Address: service or feeder fee,each branch circuit 2 City: State: ZIP: it. Fee for branch circuits without purchase Phone: 'ax: of service or feeder fee,first branch circuit 2 IEmail: Fauch additional branch circuit: Misc.(service or feeder not Included): U Service over 225 amps-Wo nterctal U I lealth-caro facilny i:ach pump or irrigation circle 2 U Service over 320 amps-rating of 1&2 U Hazardous location Each sign or outline lighting family dwellings U Building over 10.11(x1 square feet foul tit Signal circuit(s)or a limited energy panel, U System over600 volts nominal more residential units in one structure alteration,or extension• 2 U Building over three stories U Feeders,400 amps or more *Ikscri,tion: U Occupant load over 99 persons U Manufactured structures or RV park Eich additional Inspection over the allowable in any of the above: U Egressnightingplan U tither w -- Per inipection Submit %ctx of plans wbth am of the shove. Investigation fee I ire above are not applicable to temporary construction service. Other a LV, iUff (' Not all jurisdictions accept credit cards,please call jurisdiction lot more infomwtion. Nonce:This permit application Perini(fee................... .t U visa U MasterCard expires if a permit is not obtained Plan review(at %) $ Credit card number ` - / / within 180 days alter it has been State surcharge(8%)....$ Name of car alder as shown on credit cud F.xplms accepted as complete. TOTAL .......................$ .--- s Cardholder signature -- Amount 44o-4615(6WCOM) ELECTRICAL PERMIT FEES: LIMITED ENERGY PERMIT FEES: Complete Fee Schedule Below: TYPE OF WORK INVOLVED -RESIDENTIAL_ONLY p Restricted Energy Fee............. .. ................................. $75.00 . Number of Inspections per permit allowed (FOR ALL SYSTEMS) Service included: Items Cost Total Checn Type of Work Involved: Residential-per unit 1000 sq ft.or less _ $145 15 —— 4 ❑ Audio and Stereo Systems' Each additional 500 sq ft or portion thereof $33.40 1 ❑� Burglar Alarm Limited Energy $7500 Each Manut'd Home or Modular Dwelling Service or Feeder — $90.90 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 $106.85 _ 2 ❑ Vacuum Systems' 401 amps to 600 amps $16060 _ 2 601 amps to 1000 amps $40 60 2 ❑ Other Over 1000 amps or volts — $45465 _ _ 2 Reconnect only $6685_— 2 Temporary Services or Feeders TYPE OF WORK INVOLVED -^COMMERCIAL ONLY Installation,alteration,or relocation Fee for each system............................ $75.00 200 amps or less $6685 _ 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 Boiler Controls a)The fee for branch circuits with purchase of service or ❑ Clock Systems feeder fee. Each branch circuit _ $6.65 _! 17 b)The fee for branch circuits ,Y� Data 1 eler ommunicalion Installation without purchase of service / orfeederfeeder fee. Fire Alarm Installation First branch circuit _ $46.85 ❑ I`ach additional branch circuit $6,65 HVAC Miscellaneous ❑ Instrumentation (Service or feeder not included) Each pump or irrigation circle _ $5340 Each sign or outline lighting — $5340 ❑ Intercom and Paging Systems Signal circuit(s)or a limited energy _ panel,alteration or extension _ $7500 _ �� Landscape Irrigation Control' Minor Labels(10) _ $125 00 _ _ Each additional Inspection over Medical the allowable in any of the above ❑ Per inspection $6250 Nurse Calls Per hour $62.50 In Plant $73 75 ❑ Outdoor LandsC3pe Lighting" Fees: ❑ Protective Signaling Enter total of above fees $ ❑ Other 8%State Surcharge $ --- __._,Number of Systems 25%Plan Review Fee See"Plan Review"section on $ No licenses are required Licenses are required for all other installations front of application --_ Fees: Total Balance Dur. $ Enter total of above fees = 0 Trust Account#_ ^ 8%State Surcharge s (D z Total Balance Due $ � � i;4lsts\fomts\elr-fees doc 06/07/01 1 I CITYOF TIGAko CERTIFICATE OF OCCUPANCY_ DEVELOPMENT SERVICES PERMIT#; BUP2001-00380 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 10/23/2001 PARCEL: 1 S126DC-03300 ZONING: C-P .JURISDICTION: TIG SITE ADDRESS: 09900 SW GREENBURG RD 130 SUBDIVISION: LEHMANN ACRE TRACT BLOCK: LOT:005 CLASS OF WORK: ALT TYPE OF USE: COM TYPE OF CONSTR: 5N OCCUPANCY GRP: B OCCUPANCYLOAD: i TENANT NAME: REMARKS: Remove (3) and install (2) new wall in existing space. Owner: ATHERTON REALTY PARTNERSHIP MARTHA ATHERTON 2100 S WOLF DES PL.AINES. IL 60018 Phone: 847-298-8600 Contractor: INTERWORKS LLC PO BOX 14764 PORTLAND, OR 9'7293 Phone: 503-233-3500 Reg #: LIC 98655 This Certificate issued 11/19/2001 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 CcIdes for the group, occupancy, and use under which the referenced permit was r BUIL. ING INSPECTOR BUIL G OFF C( IAI_ POST IN CONSPICUOUS PLACE CITY Or: TIGARD BUILDING INSr' ,J DIVISION MST 24-Hou- ispertion Line: 639-4175 L„zoness Line: 639-4171 / BUP ,��G( U.3 D _— —Date Requested_ 6 - G� AM PM BLD _ Location— �7��_— +��'1�'y1 1, Suite 3C — MEC Contact Person PLM — Contra_ctor Ph SWR U DI Tenant/Owner EI-C — 44A&w0fQg Wall ELR Footing Access: ; Foundation � ;� -(?Zj �' l FPS — x.� �� "� Ftg Drain SGN Crawl Drain Inspection Notes: /� — ----- Slab ----- - _-._.....—_1_. �� SIT Post&Beam — — Ext Sheath/Shear Int Sheath/Shear -- - FrEming ------- --- -- - -- - - - Insulation Drywall Nailing --.--- -- __-- _ _ Firewall i^ Fire Sprinkler ----------.-------_- -- _ Fire Alarm �_� - ---- - --- ------___.. Susp'd Ceiling Roof Misc: --- ---�— - ------ ---- -- -- -- 4S . PART FAIL -- - - -- -� -- -- --- - — - MBING Post& Beane --- -- - ---�_ --- -- - --- - Under Slab Top Out — Water Service Sanitary Sewer -- - ----- ---------- -- -------------------- Rain Drains ------------ ----- -- Final --------- - - -------------- ----- - PASS PART FAIL _ MECHANICALA- Post& Beam -- ----- ---- ---- Rough In Gas Line ---- Smoke Dampers Final -- — ------ - ---- --.---------- PASS PART FAIL ELECTRICAL -- - ----- ------ --- — Service Roilgh In UG/Slab Low Voltag•• - -- -- Fire Alarm _ Final _PASS PART FAIL -�-- ._--- _ -- ------.- - -_- - S,TE liackfill/Grading _— -- ---- Sanitary Sewer Storm Drain ( J Reinspection fee of$- required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line ( ]Please call for reinspection RE: . _--___- _--_-. [ ]Unable to inspect-no access ADA Approach/Sidewalk i _ f Other Date _-�_--_- Inspector yFxt First PASS PART FAIL 00 NOT REMOVE this Inspection record from the job site.