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9900 SW GREENBURG ROAD STE 170-1
co 0 0 0 7 m m z 00 7 J O :1900 SW GFIEENBURG RD #170 CITY ®F �'I G A R D -- BUILDING PERMIT PERMIT#: BUP2000-00252 DEVFL.OPMENT SERVICES DATE ISSUED: 8/29/00 13125 SW Hall Blvd., Tigard. OR 9722.3 (503) 639-4171 PARCEL: 1S126DC 03300 SITE ADDRESS: 09900 C N GREENBURG RD 170 SUBDIVISION:: LEHMANN ACRE TRACT ZONING: C-P BLOCK: LOT: 005 JURISDICTION: TIG — REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION CLASS OF WORK: ALT FIRST: sf N: S: E: T W: TYPE OF USE: CUM SECOND: sf _-- PROJECT OPENINGS? TYPE OF CONST: 3N sf N: S: E: —W: OCCUPANCY GRP: B TOTAL AREA: 000 sf ROOF CONST: FIRE RET? OCCUPANCY LOAD: BASEMENT: sf AREA SEP. RATED: STOR: HT: ft GARAGE: sf 0%,C.0 SEP. RATED: BSMT?: MEZZ?: REQD SE_T'3ACKS REQUIRED _ FLOOR LOAD: psf LEFT: P RGHT: �ft FIR SPKL: SMOK DET: DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP ACC: BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING: VALUE: $ 13,525.00 Remarks: Commercial 8/28/00 added approx 800 s.t Owner: Contractor: ATHERTON REALTY PARTNERSHIP INTFRWORKS LLC 2.100 S WOLF PCU BOX 147E4 DES PLAINES, IL 60018 PORTLAND, OR 97293 Phone: Phone: 233-?300 Reg#: tic 00098555 FEES REQUIRED INSPECTIONS Type By Date Amount Receipt Framing Insp PRMT KJP 6/27/00 $161.00 0003303 Framing Insp Gyp Board Insp PLCK KJP 6/27/00 $104.65 0003303 Gyp Board Insp 5PCT KJP 6/27/00 $22.88 0003303 Susp Ceiing Insp FIRE KJP 5/27/00 $64.40 0003303 Susp Ceiing Insp Final Inspection (additional fees not listed here) Total $518.54 This permit ;s issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notifir�tion Center. Those rules are set forth in OAR 952--001 -0010 through OAR 952-001-1987. ou may ootain a copy of these rules or direct questions to OUNC by calling (503) 246-1987. C� Pe nnitee Signature: Issued Sy: Call 639-4175 by 7 p.m. for an inspection the next business day CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 BUP Date Requested AM_ PM BLD Locnicion c�/"Grp S w 67e ee_,,_GW~i At� SUite l7 C)_____ MEC Cont-ct Person Gail Ph PLM �_w_c,y -Gu ;2_y Contractor Ph " wR 0 026 U BUILDING Tenant/OwnerELC _ Retaining Wall _ ELR Footing Access: ' Foundation �-"C' lti `' ..,.,oc_ Cn'G f°' L.- FPS — Ftg Drain N � 0,C-k' e/ i le i ._r� �c S� --- ---- --- Crawl Drain Inspection Notes: SGN Slab -- _--- —_-- SIT Post&Beam _ Ext St,eath/Shear Int Sheath/Shear Framing Insulation Drywall Nailing V lQ I?LH UQV , 00�/ _0 ,VZk/ e1 _Gl �_ �. �� Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Misc: — - Final PAU P.6 RT FAIL LU Post&Beam — Under Slab Top Out -- Water Service 1\ Sanitary Sewer 1 Rain Drains Fina VA_S _PART IL _ _ �__- MEC ANICAL ✓ wv Post&Beam -- - —� - Rough In Gas Line -- - - Smoke Dampers Final ---- - PASS PART FAIL ELECTRICAL —� - Service Rough In LIG/Slah A_ _ Low Voltage Fire Alarm Final PASS PART FAIL SITE Backfill/Grading — - Sanitary Sewer Storm Drain [ j Reinspection fee of$ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin [ )Please call for reinspection RE: [ J Unable to inspect-no access Fire Supply Line ADA Approach/Sidewalk Other Date .�''h--fact Inspector ; L _Ext Final PASS PART FAIL. I DO NOT IRF i1AOVE this inspection record from the job site. CITY OF TIGARD BUILDING INSPECTION DIVISION HAST 24-;-lour Inspection Line: 639-4175 Busyne-,s Line: 639-4171 ---- — -�--- BUP �--- -- -Date Requested —AM___PM BLD Location U .5 �, ��r`4 � � __ Suite !�7y MEC Contact Perso ` .< AP Ph Contractor Ph — — SWR �.---------__-- BUILDING Tenant/Owner ---_ ELCL'!,G"` Retaining Wali ELR _._-_--� Footing Access: Foundation FPS Ftg Drain SGN Crawl Drain Inspection Notes - Slab -------- -- --- ---- - - - SIT Post&Beam Ext Sheath/Shear I - Int Sheath/Shear Framing ----- -- -- - Insulation Drywall Nailing Firewall Fire Sprinkler -- -- A�°vt' --- Fire Alarm ��_� Susp'd Ceiling ----- `# — Roof Misc:_ I ----. _ ------- --- Final PASS PART FAIL PLUMBING CG Fost&Beam Under Slab Top Out — Water Service Sanitary Sewer Rain Drains _ __- Final PASS PART FAIL MECHANICAL Post& Ream — Rough In Gas Line Smoke Dampers Final ---`�— --- PASS PART FAIL 'LECTRIC Sol"ice Rough In UG/Slab - -- Low Voltage Fire Alarm in S 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 ( Please call for reinspection RE: ��__ ]Unable to inspect-no access Fire Supply Line ADA Q' Approach/Sidewalk Date !i AVIV Inspector _ Ext Other Final PA[ SS PART FAIL DO NOT REMOVE this Inspection record from the job site. \ CITY Y O F TI GAR D CERTIFICATE OF OCCUPANCY DEVELOPMENT SERVICES PERNiir#: BUP2000-00252 13125 SW Hall Blvd., Tigard, OR 97223 1,503) 639-4171 DATE ISSUED: 08/29/2000PARCEL: 1S126DC-03300 ZONING: C-P JURISDICTION: TIG SITE ADDRESS: 09900 SW GREENBURG RD 170 SUBDIVISION: LEHMANN ACRE TRACT BLOCK: LOT:005 CLASS OF WORK: ALT TYPE OF USE: COM TYPE OF CONSTR: 3N OCCUPANCY GRP: B OCCUPANCY LOAD: TENANT NAME: COLUMBIA BUSINESS CENTER REMARKS: Commercial TI 8/28/00 added approx 800 sJ Owncr: ATHERTON REALTY PARTNERSHIP 2100 S WOLF DES PLAINES, IL 60018 Phone: Contractor: INTERWORKS LLC PO BOX 14764 PORTLAND, OR 97293 Phone: 233-2300 Reg#: LIC 00098655 This Certificate issued 09/111/21100 grants orclipancy of the above referenced building or portion thereof and confirms that the building has been inspected for compliance with the State of Ore n Specialty Codes for the group, occupancy, and use under which the referenced mit was issued. ` f BUILDING INSPECTOR J B I DI O FICIAL PCST IN CONSPICUOUS PLACE CITY OF TIGARD BUILDING INSPECTION DIVISION j 24-hour Inspection Line: 639-4175 Busi�iess Line: 639-4171 �} MST\ r, CBUP)XagGc/-✓U ;z L Date Requested AMO �PM BI_D Location 9 f0c) Ac Suite /jam MEC Contact Person L _ Ph � 7 _ Pi-M __— Contractor Ph 3 Z 3> G u SWR DSUTC I � Tenant/Owner _ BLC Retaining Wall Wall ELR Footing Access: — Foundation FPS Ftg Drain — SGN Crawl Drain Inspection Notes: --- Slab SIT Post&Beam Ext Sheath/Shear Int Sheath/Shear -.-___-_- Framing Ins°°lation Drywall Nailing Firewall Fire Sprinkler Fire Alarm ° Susp'd Ceiling Roof Fina �� S 'SART FAIL --- ---- B JG 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 Alarm Final PASS PART FAIL SITE Backfill/GraJing '! Sanitary Sewer Storm Drain ( ]Reinspection fee of$ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line ( ]Please call or r 'nspectlen RE: [ ]Unable to inspect-no access ADA Approach/Sidewalk V Z 1 Date Inspector ter Ext! Other —• -- --- -- -• -- Final PASS PART FAIL 00 NOT REMOVE this inspection record from the job site. CITY OF TIGARD13UILDING PERMIT PERMIT#: BUP2000-00252 DEVELOPMENT SERVICES DATE ISSUED: 06/27/2000 13125 SW Hall Blvd., Tiqard, OR 97223 (503) 639-4171 PARCEL: 1S126DC-03300 SITE ADDRESS: 09900 SW GREENBURG RD 170 SUBDIVISION: LEHMANN ACRE TRACT ZONING: C-P BLOCK: LOT: 005 JURISDICTION: TIG REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION CLASS OF WORK: ALT FIRST: ^� sf N: S: E: W: TYPE OF USE: COM SECCND: sf PROJECT OPENINGS? TYPE OF CONST: 3N sf N: S: E: W: OCCUPANCY GRP: B TOTAL AREA: 000 sf ROOF CONST: FIRE RET? OCCUV'ANCY LOAD: BASEMENT: sf AREA SEP. RATED: STOR: HT: ft GARAGE: sf OCCU SEP. RATED: BSMT?: MEZZ": REQD SETBACKS _ REQUIRED FLOOR LOAD: psf LEFT ft RGHT: ft FIR SPKL: SMOK DET: DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP ACC: BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING: VALUE: $ 13,525.00 Remarks: Commercial TI Owner: Contractor: ATHERTON REALTY PARTNERSHIP INTERWORKS LLC 2100 S WOLF PO BOX 14764 I DES PLAINES, IL 60018 PORTLAND, OR 97293 ' L Phone: Phone: 233-2300 Reg#: LIC 00090655 _ FEES 1 REQUIRED INSPECTIONS Type By Date Amount Receipt Framing Insp PRMT KJP 06/27/200C $161.00 0003303 Gyp Board Insp ng PLCK KJP 06/27/200C $104.65 0003303 Final InsspecSusp Cpec Insp tion 5PC'f KJP 06127/200C $22.88 0003303 FIRE KJP 06/27/200( $64.40 0003303 Total $352.93 This permit is issued subject to the regulu,'ons contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days, ATTENTION. Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952 001-0010 through OAR 952-001-1987. You may obtain a copy of these rules or direct questions to OUNC by calling (503)246-1987. Pennitee Signature: � a Issued By: -�L „� - - ---- �- Call 639-4175 by 7 p.m. for an inspection the next business day '!TY Ot '1IGARD Commercial Building Permit Application Plan Check>x P.ec'd By 3125 SW HALL_ BLVD. Tenant Improvement Date Recd rIGA RD, OR 97223 Date to P.E._ 503) 639-41.71 Date to DST Print or Type Pemill a -2.0""x-oo-sem. Related SWR# Incomplete or illegible applicati,)ns will nc.t be accepted Called_ -- - Name of DevelopmenWroject -T Existing Building g-New Building []-� Job / �, r'it�'a Address street address Suite Building Data /70 Bldg Clty/State Zip Existing Use of Building or Property: J Name Proposed Use of Building or Property Property Owner Mailing Address Suite _ No. Of Stories: City/Slate Zip < Phone —--- /k Sq. Ft. Of Project: Occupant Name Occupancy Classes) Name Contractor Type(s)of Construction Prior to permit Mellingd�ressAan k suite Will this project have a Fire Suppression System? issuance,a copy of all licenses , , Yes No —____-__.__-- are required if CKy/Stale zip Phone Americans with Disabilities A ct(ADA) expired in C.O.T. J� n o 3�3/. Participation database r ""7 / S 1 �i 3-. ,00 Valuation X 25/o =$ Oregon Const.Cont.Board Lic.9 Exp.Date Complete Accessibili Form — r 0 Project $ Name Valuation Plans Required: See Matrix for number of sets to submit Architect on back Mailing Address Suite citylstate Zip Phone I hereby acknowledge that I have read this application,that the information given is correct,that I am the owner or authorized agent of the owner,arid that plans submitted are in compliance with Oregon Stale laws. Engineer Name ---- gCon f r/Agent 127teMelling Address Suite �ct Person Name one City/Stale Zip Phone lie HJk - FOR OFFICE USE ONLY _ Indicate type if work: New O Addition O Demolition V Map/TLp�—^ Land Use: — Accessory Structure O Foundation Only O Alterathti e) _ Repair O Other O Notes: Description of work: J f44;3/N- i t^i� --- — � TIF Note: Site Work permit Applicata')n must precede or accompany Building Permit Application ACOMNEWtI DOC (DST) 5198 Date Recd: CITY OF TIGARD Recd By: COMMERCIAL TENANT IMPROVEMENT APPLICATIONIPLANS SUF -, 41TTAL. REQUIREMENTS Applicants: Please complete APPLICANT 1 � � 1. AFfI.ICANT NAM - fir^ r�./�i.! aiCS PHONE #:E: 1�1 ..� 2. SITE ADDRESS: C- 'a �� , i ,�' ti1� . FAX It _ :z 3 1. SITZ= PLAN (Fully dimensional, drawn to scale) labeled with: ❑ map & tax lot#, EJ project name, ❑ site address, ❑ site number, ❑ zoning, ❑ applicant name, ❑ phone number. A. North ,grow U. Scale (any standard, architectural or engineering only) C. Street Names 2. See the matrix on back of application for number of plans required based on submittal type (no redlines or tapeons accepted). SIZE REQUIREMENT& 24" X 36" (ROLLED) ALL DET��ILS LISTED BELOW SHALLBE INCORPORATED INTO THE PLANS A. Floor plan(s) B. Wall details C. Reflective ceiling plan D. Seismic bracing detail for suspended ceiling E. Specifications & calculations F. ADA barrier removal worksheet G. Deposit - based on valuation of proje.t I.kfstsVorms\ccomtiapp doc I010 CI (Y OF TIGARD -- PLUMBiNG PERMIT DEVELOPMENT SERVICES ERMIT#: PLM2000-00260 13125 c,W Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 07/12/2000 SITE ADDRESS: 09900 SW GREENBURG RD 170 PARCEL: 1S126DC-03300 SUBDIVISION: LEHMA,NN ACRE TRACT ZONING: C-P BLOCK: -- LOT: 005 JURISDICTION: TIG_ CLASS OF WORK: GARBAGE DISPOSALS: MOBILE HOME SPACES: TYPE OF USE: WASHING MACH: BACKFLOW PREVNTRS: OCCUPANCY GRP: FLOOR DR"%INS: TRAPS: STORIES: WATER HEATERS: 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: Replace (1) sink Owner: — _ _ _FEES ATHERTON REALTY PARTNERSHIP _Type By Date Amount Receipt 2100 S WOLF PRMT DLH 07/12/200C $50.00 0003665 DES PLAINES, IL. 60018 5PCT DLH 07/12/2000 $4.00 0003665 Total $54.00 Phone 1: `— Contractor: OREGON Cl fY PLUMBING 611 7TH ST OREGON CITY, OR 97045 REQUIRED INSPECTIONS Phone 1: 656-8558 Rough-in Insp Reg #: LIC 0002132 Final Inspection PLM 3-20PB 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 (Iiiestions to OUNC by calling (503) 246-1987. . r 1 Issued By: Permittee Signature — ._ Call (503) 639-4175 by 7:t" P.M. for an inspection needed the next business day CITY OF T:GARD Plumbing Permit Application 11 Plan Check# 13125 SW HALL BLVD. Commercial and Residentia, �(� 0 Rec'd By i�ir f TIGARD, OR 97 223 �G2/ , JGF Date Recd _iA (503) 6394171O ®Date to P.E. Print or Type Date to DST Incomplete or °ilegibie applications will not be ac*ted Permit# eI-r1 zooc-No zbo �y Related SWR# Called Name of Development/Project FIXTURES (individual) QTY PRICE AMT 1 Sink 11.50 Job iii:,- ; �� E:�-1 _ - Address Street Address Suite Z� Lavatory 11.50 51,E ��f 4 /v Tub or Tub'Shower Comb. 11.50 Idg# City/State Zip11.50 Name O� -7x ,�ZShower Only -- Water Closet 11.50 t✓ J.- Cc I A (. ytft r !! Urinal s_ 11.50 Owner Mailing Address 'Suite Dishwasher _ 11.50 1 I>U 4.J Garbage Disposal 11.50 City/Slate Zip Phone I Laundry Tray 11.50 1- � i 6 t,-( ` cy j'v Washing Machine/Laundry Tray 11.50 Name Floor Drain/Floor Sink 2" 11.50 Occupant Mailing Address Suite 3" 11.50 _ q" 11.50 City/State Zlp Phone Water Heater O convert-ton O like kind 11.50 Gas piping requires a separate mechanical ermit. _ Name MFG Horne New Water Service 32.00 ve'AA Contractor Mailing Address Suite MFG Home New San/Storm Sewer 32.00 I ` 1-w- Hose Bibs 11.50 Prior to permit City/StateZIp p Phone Roof Drains 11.50 issuance,a copy ,,,L (- K 7 S Zo' Drinking Fountain 11.50 of all licenses are Oregon Const.Cont.Board Lic.# Exp.Date Other Fixtures(Specify) 15.00 required If / Z --Texpired in COT Plumbing Lic.# Fxp.Date database Name Architect Sewer-1st 100' 38.00 Or Mailing Address Suite Sewer-each additional 100' 32.00 Water Service-1 st 100' 38.00 Engineer Glty/state - Lip Phone - Water Service-each additional 200' 32.00 Describe work to be done. Storm&Rain Drain-1 st 100' 38.00 New O Repair i4 Replace with like kind: Yes O No O Storm&Rain Drain-each additional 100' 32.00 Residential O commercial A _ Commercial Back Flow Prevention Device 32.00 Additional descripb,m of work: Residential Backflow Prevention Device' 19.00 --- _- '� - Catch Basin 11.50 Are you capping,moving or replacing any fixtures? Insp.of Existing Plumbing or Specially Requested 50.00 YesJ� No O Inspections er/hr If yes,see back of orm to indicate work performed by Rain Drain,single family dwelling 45.00 fixture. FAILURE TO ACCURATELY REPORT FIXTURE Grease Traps 11.50 WORK COULD RESULT IN INCREASED SEWER FEES. QUANTITY TOTAL ,J heie�_gs)snawledQ!<thal I have rea policabo tttaUhe Isometn,ar riser diagram is required M Quantity Total is ,9 givenTsculIPut,that 13MI its owner or authorized agent o,the owner,and "SUBTOTAL that plans submitted are in compliance with re on Stale Laws Signature of Owner/Ag nt Date _ _ 8%SURCHARGE 6 r Con ct P rson Natt�g._. Ph ne "" e �.. �F' �y2-Lc lC.tl S PLAN REVIEW 25%OF SUBTOTAL 1 ATN HOUSE$1T8.00 Required onlyit fixture qty total Is>9 TOTAL 2 BATH HOUSE$250.00 3 BATH HOUSE$285.00 (This fee Includes All plumbing fixtures In the dwelling and the first 'Minimum permit its Is$50+8%surcharge.except Residential Backflow Prevention 100 feet of sanitary sewer stonn sewer and water service) Device,which Is$25+a%surcharge "All New Commerraat Buildings require plans with Isometric of riser diagram aril plan review 1 idelsllormliplumepp doc 11179/99 PLEASE COMPLETE: F Fixture Type __ Quantity by Work Performed New Moved Replaced Removed/Capped Sink — Lavatory Tub or Tub/Shower Combination _ Shower Only Water Closet Dishwasher — Garbage Disposal —_ Laundry Room Tray Washing Machine Floor Drain/Floor Sink 2" _ 311 Water , water Other Fixtures (Specify) COMMENTS REGARDING ABOVE: I VJ515\J0fTnS\t)1LJMN[11 GOC 1"18199 CITYOF T I GA R D PLUMBING PERMIT DEVELOPMENT SERVICES PERMIT#: PLM2000-00244 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 06/27/2000 SITE ADDRESS: 09900 SW GREENBURG RD '. '0 PARCEL: 1 S 126DC-03300 SUBDIVISION: LEHMANN ACRE TRACT ZONING: C-P BLOCK: LOT: 005 JURISDICTION: TIG CLASS OF WORK: ALT GARBAGE DISPOSALS: MOBILE HOME SPACES: TYPE OF USE: COM WASHING MACH: BACKFLOW PREVNTRS: OCCUPANCY GRP: FLOOR DRAINS: TRAPS: STORIES: WATER HEATERS. 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: Relocate sink as part of tenant improvement. No change in EDU. FEES Owner: -- Type By Date Amount Receipt ATHERTON REALTY PARTNERSHIP PRMT KJP 06/27/200C $50.00 0003304 2100 S WOLF RD 5PCT KJP 06/27/200C $4.00 0003304 DES PLAINES, IL 60018 — Total $54.00 Phone 1: Contractor: OREGON CITY PLUMBING 611 7TH ST OREGON CITY, OR 97045 REQUIRED INSPECTIONS Phone 1: 656-8558 Top-out Insp Reg #: LIC 0002132 Final Inspection PLM 3-20PB � L 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 ?"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 co of these rules or direct questions to OUNC by calling,(503) 246-1987. Issued By: �C� C� Permittee Signature: C.,II (503) 639-4175 by 7:00 P.M. for an inspection needeetth^ next business day OREGON CITY PLUMBING 503 656 1747 06-23-00 14,24 P.01 :ITY QF TIGARD Plumbing Permit Application Plan Check of 13175 SW HALL_ BLVD. Commercial and Residential Roc'd By rl(PARD, OR 97223 Date Rill 503) 639-4171 Date to P E Print or Type. Date to DST Iricompleto or illegible applications will net be accopted Permits Related SWR s� _ Called Natecfbevelopmenu lo(*ci t i I-IXTURE> (individual) QTY PRICE Job CCL&.. , 11.0 r�atcly Address Street Address 5uH9 11.50 ; _I -1 loot comb. 11.50 Idg 0 Ci /Siete zip - K Shower only 1159 Namr Water Closet 11.50 _ Urinal — 11.50 Owner Melling Address'�- Suite Dishwasher - 11 59 darbagu U sposal 11 50 clity1f4tato Zip Phone I.awidry'lay _-- --- ---- 11.5 Name — Washing Maehme/Laundry Tray 11.50 _ Floor DrrlNFloor Sink 2 11 50 Occupant MalingAdore.ss���-_� Suite 3" - -- 1110 - --- 4" 11.50 G,ryrAtate lip PhcTe vvaliHtralei o convanwn O like kind 11.60 - as .nn roe i,res a se Lorate mechank:al permit Nmtle r N . .— torr,Home New Water Service 32.00 Contractora'lllnp Ae1rosE Suite rnrc;Hem*New&arif51onn Sewer 32 C0 LCL\- 1 _ +_ Huse BIb9 11. Pilot lu permit Croy/State lip Phono Roof Drelns 1150 Issuance.a copy ( �' '�• - - of oil licenses ate Oregon Const,Cont Hoard tic as Fx ale Drinking rountaPt -- — 11 50 required It Z-13Z-_ �- of Other Fixtulns(Spee ) 1500 expired4n CCII Plumbing Lip a Fat P, dwabaee . 2'4:9 Uj ArchitectSewer-1ct 1D0' 38.66 or ailing Address_�.. uta Sewer-each additlwtal 100' - 3200 Eng1"neer City18ta10IN pt,11. - Water Seriice• tet 1 ' 3600 I Water Servioe•each addhlonal 200' .1200 usarAbs work to be done- 9f0rfn dRain Drain•tsl 100' 38.00 New 0 Repair A Replace with like kind Yes O No O Storm R Rain Drain•each additional 100' 3200 Residential O Commercial A-_ ----- -- - -- Additional description of well - Commercial Bank F- i'nw Prevanhnn 17evloe .1200 Resident si Backflow Prawntion uevice' 19.00 Catch Basin 11.50 Are you capping, moving or raplaolnB any fixtures? Insp of Existing Plumbing or Specially Requested 5000 Ysr, p No O inspections er/hr If yes,see back of form to Indicate,work performed by Rain Drain single family dwelling .560 fixture. FAII.t IRE TO ACCURATEt Y Rim PORI FIXIURE Urease Traps v � 11.00 WORK COULD RESULT IN INCREASED SEWER rus. •---------- - — - -- - -- --- - QUANTITY TOTAL 1 Here-by acknowledge that I have read th s applioatton.t)nt the Infonnallon Isometric o-neer Ci tam It,tui Jired a kiuenl ty Tota IU y 6 given Is co,tect,that t an•the owner or authorized ager!of the owner,erd s-g --- --that plans submitted are in com ial"KA witr 'ro on Stat*Laws "SUBTOTAL Ignatnre of Dwn*riA no - -• -- - 6 8�/.Sl1RCHARraF Qp ct rotor Na Ph ne 2U Ad "PLAN REVIEW 28%OF SUBTOTAL eJ ort n r„tLa qty tolal is+6 1 OTA 1. . G1 rela'i i 11" e1�, , Minimum pennll fee le 150•ex eutrhar9e ecceP1 RtaW/.nti8 aackfIaw Pr.ren8or �ar wti'fa .TV r ,'tr^"1')•. 1 l .t Oevlae Whkfi M 32,•ax e1.rEt•arpe "AO Nur Co.nmertlel auildhlys requiie plane w,th Iso+neVk.4"1 dla7wr and plor review .. ply- ,n�11i1t1M.• CITYOF T I G A R D ELECTRICAL PERMIT PERMIT#: ELC2000-00377 GcVELOPMENT SERVICES DATE ISSUED: 07/06/2000 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639.4171 PARCEL: 1S126DC-03300 SITE ADDRES;i: 09900 SW GREENBURG RD 170 SUBDIVISION. LEHMANN ACRE TRACT ZONING: C-P BLOCK: LOT : 005 JURISDICTION: TIG Project Description: Installation of(4) branch cirCrits w/o feeder _ RESIDENTIAL UNIT TEMP SRVC/FEEDERS _ MISCELLANEOUS 1000 SF OR LESS: 0 - 200 amp. PUMP/IRRIGATION: EACH ADD'L 500SF: 201 - 400 amp: SIGN/OUT LINE LTG: LIMITED ENERGY: 401 - 600 amp: SIGNAL/PANEL: MANF HM/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 W/O SRVC OR FDR: 1 PER HOER: 401 - 600 amp: EA ADD'L BRNCH CIRC: 2 IN PLANT: 601 - 1000 amp: PLAN REVIEW SECTION 1000+ amp/volt: >=4 RES UNITS: > 600 VOLT NOMINAL: Reconnect only: SVCiFDR >=225 AMPS: CLASS AREA/SPEC OCC: Owner: Contractor: RURAL ELECTRIC INC 5285 NE ELAM YOUNG PKWY SUITE A900 HILLSBORO, OR 97124 Phone: Phone: 503-648-6696 Reg #: LIC 00047478 SUP 4062S ELE 34-82C FEES _ Required Inspections _ Type By Date Amount R9ceipt Wall Cover PRMT GWL 07/06/2000 $48 20 0003491 Elect'I Final 5PCT GWL 07/06/2000 $3.86 0003491 Total $52.06 ORIGINAL This Permit is issued sub)ect 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 952-001-0010 through OAR 952-001-0080 You may obtain copies of these rules or direct questions to OUNC at(503) 246-1987 PERMITTEE'S SIGNATURE ISSUED BY: OWNER INSTALLATION ONLY _ The installation is being made on property I own which is not intended for sole_lease, or rent. OWNER'S SIGNATURE: _ DATE: _–__�__ CONTRACTOR INSTALLATION ONLY SIGNA'rURF- OF SUPR. ELEC'N: �_. DATE: LICENSE NO: Call 639-4175 by 7:00pm for an inspection the next business day CITY OF TIGARD Electrical Permit ApplIMMED Plan Check# 13125 SW HALL BLVD. Recd By TIGARD OR 97223 JUN 2 8 20M Date Recd � L ` t Date to P.E. Phone(503)639-4171, x304 I ` Date to DST Inspection (503) 6394175 COMMUNITY OFVFIOf'MFN7 Print of Type Permits i < e,W,, u_ ir-ax (503) 598-1960 Incomplete or illegible will not be accepted Called r— — 1. Job Address: 4. Complete Fee Schedule Below: Name of Development Columbia Business Center Number of Inspections,-Ar permit allowed Name(or name of business)_n.pt yetassicined _ Service included: Items Cost Sum Address 9900 SW GreenLurq Rd ;#170 _ 4a. Residential-per unit Portland, Or 97223 1OWsq It or less $ 1175 4 City/$tate/71p Each additional 5oo sq.ft or portion f $ 26.75 Commercial ® Limited E Residential ❑ nwgergyy _ , & 60.00 Each Manufd Home or Modular 2a. Contractor installation only: Dwelling Service or Feeder $ 72 75 2 (Prior to permit lssu•Ance,applicants must provide contractor license 4b.Services or Feeders Information for CC'Y data base). Installation.alteration or relocation Electrical Contactor RURAL ELECTRIC, INC. 200 amirm or less S FA.25 2 Address %165 NE Elam Young Pkwy #11900 201 amps to 400 amps J S 05.50 2 City_,'rillsboro State OR Zip 9712.4 401 amps to 600 amps S 128 50 2 Phone No. 503/648-0696 601 amps to 1000 amps $ 192 5,1 2 — Over 1000 amps or volts S 363.75 2 ,In)-.N0- 00-234 R"minnect only _ S 5350 2 Elec. Cont Lice. No._ 34-82C Exp.Date _ 4c.Temporary Services or Feeders OR State CCB Reg.No..47478 Exp.Date _ InstaNation,aiweretran.or reiocatmn CO f Business Tax or Metro No.5287 Exp.Date _ 200 amus or less _ S 5350 2 201 amps to 400 amps $ 80 25 2 401 amps to 600 amps $ 10000 _ 2 Signature of Supr Elec'n eoo an,p;to l000 volts. —� 4062-5 see"b'•above. License No Exp.Date. .__ � Phone No _503/648-6696 4d.©ranch Circuits— New,alteration or extension per panel a)The fee for branch circuits 2b. For owner installations: with purchase of service or feeder AW Pnnt Owners Name. _ Each branch circuit ` $ 5.'5 — 2 Address b)The fee for branch circuits w►Hl►out purrhese of Service City - State ___Zip� or feeder fee. Phone No First branch circuit S 37.50 Each additional branch cttcuit —�_ S 5 35 The Installation is being made on property I own which Is not 4e.Miscellaneous Intended for sale, lease or rent (Service or feeder not included) Each pump or irrigation circle _ $ 42,75 Owner's Signature i _ EArh sign or cuilli e u Uro _ $ 42.75 — Signal circuit(s)or a buried energy if re wire •# panel,aNeralion or extension _ 5 60.00 3. Flan Review section (if 4 �• fNtrmr t abets,oto) s 10000 Please check appropriate item and enter fee In section 59. 4f.Each addidonat inspection over _4 or more reslde+ma+un"in one"11MM Ither vw*te tmNrT ut"Matin Service and feeder 225 amps or more Per inspection — 5 50.00 -- Per how _ S 5000 System over 600 roils nom nal In Plant $ 59.00 Classified area or structure containing special occupancy as described in N E.0 Chapter 5 S. Fees: 5a.Enter total of above fees i Submit 2 sats of plans with application where any o}the above apply. 8°e Surcharge(08 X Intal fees) S _3 Not nrorriredfnrtemporary coria, ctlon services. Subtotal $SL.J,r� 6b.Enter 25%of line Ss for _NOTICE Plan Review i}requed(Sac.34 S PERMITS BECOME VUID IF WORK OR CONSTRUCTION AUTHORIZED Subtotal S i IS NOT COMMENCER WITHIN 180 DAYS OR IF CONSTRUCTION ORr WORK IS SUSPENDED OR ACANDONED FOR A PERIOD OF 180 DA'''S L.1 Trust Account# AT ANYTIME AFTER WORK' is COMMENCET Tote!balance Due 3 51.ll6 I'd,Wlrnrm�'eircuic dot: