10260 SW GREENBURG ROAD STE 1000-4 4
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10260 SNN (;IIFFNI;HIG IZI) 1000
CITY CSF TIGARD
1?1111...D:LNG PERMIT
An DEVELOPMENT SERVICES PERMIT #. . . . . . . : BuF'97 �3E.
13125 SIM Hall Blvd., Tigard,OR 97223 (503)639.4171 DATE I SCLJFD a 0712'9197
r,nRC'EL. : 181,:,5(=P-03400
T TE ADDRr SS. . . s 102,60 SW GREF'NBI.JRG RD #100171
'.JBI)I Y 153 1 ON. . . . : TOWN OF METZGER ZQN I NG:C P
i -OCK. . . . . . . . . . . LOT. . . . . . . . . . . . . : 14 JIJIRI DICTIQPI:TIG
PFI aSUF_: F'L.OnP AREA ..__.__..._._._...-. FXTCRIOR WALL_ CONSTRUCTTOI,
CI.._AC5 OF WORK. :ALT FIRST. . . . : r,58 s,f N: S: E: W:
TYPE (71 UGC". . . :COM SECOND. . . : 0 t;f F'RorECT CJI"'EN I N(;r n..... _ . .......-_
TYPE OF CC)NST. :*:FR 0 sf N: S: E: W.
0CCIJF1ANCY GRP. :P TOTAL.. - -- G'S .' ,f ROOF CONST: FIRE RE't?:
OCCLIP',ANCY LOAD: 1.85 BASEMENT. : 0 s f AREA SEP. RATED:
':';TOP. : 10 I IT: 0 ft GnRAG . . . - 0 s f QCCLJ SEP. RATED:
DGMT? : MEZ711 : REOD SETB()CK.5-._- PEG►UIRED-.._._._._._..__...._.______.__
FLOOR LOAD. . . . : 0 f L.FF"T: 0 ft; RGH7: 0 f l; F I R SPKL.-:Y SMQI! DET. . :Y
DWELLING UNITS: 0 FRNT: 0 ft RC'AR: 0 ft FIR ALRM:Y HNDICP ACC:Y
BEDRMCI: 0 BnTI IS: 0 IMF' SIJRFACEi. 1,� PRO C CRR: FDAWING:: 0
VALUE. $ : 8O767
Rem{s,,k s : Infotec - tenant improv,ments - Permits required: Elec, Plbg, Mech,
Sprklr, Fire Alarm. Note: Mech plans not o.t.c. need to address plenum.
FEE _.-_...__..__..---...__..._____...
P.IOPPII: !)EGGS AND TlIMF'SON typr� amol.rnt by date r'ecpt
10300 SW GPEENBLJRG RD STE 200 r.,PMT $ 376. 00 DRA 07/22:/97 97-.297451
r"OPTI._AND OR 97,L212,7 PI CK $ 244. 40 DRA 07/2J197 97 -0=97431
FIRE $ 150, 40 DPA O7/cc/37 97--297451
`7,F'CT 1 18. 80 DRA 07/2;7'/97 97-2_'77451
I"(OMMERCTAI._ C,ONTPnCTOPS INC
,':561.0 SW 41ST AVE
RIDGEr IELD WA 923040
�'hnrre #: c:c'7- 444N •789„ GO TOTAL...
RE.DIL.JIRED INSr',ECTIONS
is permit is issued subject to the regulations contained in the Framing Insp __.,_,•___._____
igard Muricipal Code, State of Ore. Specioity Codes and all other Ir.si_rlat inti Insp
pplicable laws. All work will be done in accordance with Gyp Soar cJ Insp
approved plans. This permit will expire if work is not started Skr5p Cei ing IT-ISI,
•,-thin 180 days of issuance, or if work is suspended `or more
`ian 180 days. ATTENTION: Oregon law requires you to follow the
rles adopted by the 01-egon Utility Notification Center. Those
vies are set forth in OAR 952 P01 0010 through OAR 452-00101981, ---
,iu many obtain a copy or these ruins or direct questions to OUNC _ __•,__,____.___�__._ _ __ _ _.�_
y calling (503)246-1987.
n r•m i t i;e e S i g n�i ��*•e __...���� --•'�- 1 s c,�_r ca d n y : � _. _..�. ,(C��� ..
1 -F•++{•-+++-F++++•l 4.444 4 4 -1 ++++.++•+++{-4++++++4+++4-+{•+444+fa -+++�+++f•++•t++•k-+++++� +-h
Ca11 639--4175 by 6:O0 p. m. for- �Ar, i.r,1pec_ti.or, needed the ii ext 61.1 ine's5 day
+++++#+++i+4.+i•+{•+•+--F++1+•-F•++++-F•+++++•+•++
�i
CgmmercialQuilding Pprmit Appligation _/vz
City of 71garC 13125 SW Mail OIrA. T19wL OR 97123
(503)"2-4111
Jobsite Address: OFFFICE S@ONLY
7'r
Tenant: Suite #/APlanck/Et •' c� �°�w �• G.r:c
Valuation: _ ermiMLQ ?,� tVIVO
Telephone: 13� y�'�• - Af x :3� `4g, a
_ t _ .�Gtber.• .s?�
Contractor.
Address: _,
Type of cons:r: -../1." FR_
elephone: .21ZDM7 -- 7 Occupancy Class:
Contractor's License # _ Sprinkler? 'I'Yes ' No
(attach copy of current Cfvgon license) /,,
Sq. Ft. Of Project- � 7
Con ct name & telephone:
Story (1st, 2nd, etc.):
Root nnine-e- r ` /
� A!=--- Proposed Use:1dress: Of
Previous use:
Note: Plumbing & mechanical plans must
Telephone' (� `14(C� 2' __ be submitted at time of building permit
1, application.
,.8 DESCRIPTION:
(Apptteant Signature & Telephone Number)
Received I:y: _ Date Received:
i 'CCIu1T1 DOC (DST) IG196
PERMITX Account Doscnption Amount Amt Pd. Baiance Due
l}',
Building Permit (BUILD)
Plumbing Permit (PLUMB)
Mechanical Permit (MECH)
State Tax (TAX)
Bldg.
Plumb. .______
Mach.
Plan Cweck (PLANCK)
Bldg. _
Plumb. a ,_
Mech. �.
Sewer Connection (SWUSA)
Sewer Inspection (SWINSP)
Parks Uev Charge (PKSDC)
Residential TIF (TIF-R)
Mass Transit TIF (TIF-Mn
Commercial TIF (TIF-C) -
Industrial TIF (TIF-J)
Institutional TIF (TIF4S)
Office TIF (TIFO)
Water Quality (WQUAL)
Water Quanity (WQUANT)
Fire Life Safety (FI-3) i
Erosion Cntrl Permit (ERPRMT)
Erosion Planck/USA (F_RPLAN)
Erosion Planck/COT (EROSN) _
TOTALS;
i.zcnm coc (csT) lam
CITYOF T I G A R D CERTIFICATE OF OCCUPANCY
DEVELOPMENT SERVICES PERMIT#: BUP97-OG363
'13125 SW Hall Blvd..Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 07/29/1997
PARCEL: 1 S135AB-03400
ZONING: C-P
JURISDICTION: TiG
SITE ADDRESS: 10260 SW GREENBURG RD 1000 " U P Y
SUBDIVISION: LINCOLN TOWER-TOWN OF METZ GER
C*"*
BLOCK: LOT:014
CLASS OF WORK: ALT
TYPE OF USE: COM
TYPE OF CONSTR: 2FR
OCCUPANCY GRP: B
OCCUPANCY LOAD: 185
TENANT NAME:
REMARKS: Intolec- Tenant Improvement
Owner:
Phone:
Contractor:
COMMERCIAL CONTRACTORS INC
25610 SW 41 ST AVE
RIDGEFIELD, WA 98642
Phone: 227-4440
Reg #:
This Certificate issued 11/00/I9N►7 grants occupancy of the above referenced building or
portion thereof and confirms that the huilding has been inspected for compliance with the
State of Oregon Specialty Codes for the group, occ cy, and)Use under which the
refer)phc:ed perrnitwa$ jS, ued.
BUILD"NG INSPECTOR LIILIDIRb OFFICIAL
POST IN CONSPICUOUS PLACE
CITY OF TIGARD BUILDING INSPECTION DIVISION
/ 24-Hour Inspection Linc: 639-4175 Business Phone. 6394171
Date Requested: q I A.M. P.M. MST:
Location: �.�/^/1J� BUR 9 7_If'3
Tenant: /1 j Fo C_ 'uite:�_Bllddg: /�� 'MEC:
(:ont=kf: one: — ! PLM: —
Owner:_ Ce ( hoELC:
e:
ELR• —
_ -CA SIT: -�
BUILDING LDG n'Q PLICING MECHANICAL EL CTRICAL SITE
Site vo—sMarn Pos Post/13eam Cover/Sery cc Sewer/Storm
Footing Ronf UndFI/Slab Rough-In Ceiling Water Line
Slab Framing Top Out Gas Line Rough-In UG Sprinkler
Foundation Insulation Sewer Hood/Duct Reconnect Vault
Bsmt Dmnp Drywall Storm Furnace Temp,Service MISC.
Masonry Ceiling Rain Drain A/C UG Slab
Shear/Sheath Fire Spklr/Alai Crawl/Found Ir Heat Pump Low Volt
pprov IApproved Approved Approved Approved
Appr/Sdwlk tuved Not Approved Not Approved Nnt Approved Not Approved
FINAL. ' FINAL FINAL, FINAL. FINAL
C3 Call for reinspection 0 Reinspection fee of$ required before next inspection Cl I Inable to inspect
Inspector:__ _ _ Dale:_ ,/ T �� 4 _ Page ___of
CITV OF TIGARD BUILDING INSPECTION DIVISION
24-Hour Inspection Line: 639-4175 lousiness Phonc: 639-4171
Date Requested: C- A.M. ____ P.M. MST:
Location: n c
—�o BUR
Tenant: INFO TE04 Suite: /00 Bldg: � MEC:
Contractor:____ Phone: g C.2-- (I PLM: a. ,V'
Owner: _ Phone: ELC:
ELR:
BUILDING BLDG(con't) LUM$1D[Gf MECHANICAL ELECTRICAL SITE
Site Post/Beam Post/ficam Post/Beam Cover/Service Sewer/Storni
Footing Roof UndFl/Slab Rough-in (veiling Water Line
Slab Framing Top()nt Gas Line Rough-In IJG Sprinkler
Foundation Insulation Sewer Hood/Duct Reconnect Vault
Bsmt Damp Drywall Storm Furnace Temp Service MISC.
Masonry Ceiling Rain Drain A/C UG Slab
Shear/Sheath Fire Spklr/AJm Crawl/Found Dr i feat Pump Low Volt
Approvedovc App.oved Approved Approved
Appr/Sdwlk Not Approved roved Not Approved Not Approved Not Approved
FINAL "FINAL FINAL FINAL. FINAL
0 Call for re�in�stwtion 0 Reinspection fee of S rrmicyir�ed before next inspection 1711nable to inspect
in
Inspector:!' ___� Date uL �/ Page__of__
CITY OF T IGARD BUILDING INSPECT ON DIVISION
24-Hour Inspection Line: 639-4175 Busess Phone: 639-4171
Date Requested: 1 f A.M. /W P.M. MST: _
Location: f� — BUP.
Tenant: 11V FO T"Et f-f Suite:av—Bldg MEC:
`.� �` ?
Contractor: l//lt ;�_;,�1�� Phone: � PLM-
Owner: 6 7 Phone: ELC: -
Q lti�1�-et-ems Pit' � g ELR:
0 �= SIT:
BUILDING BLDG(con't) PLUMBING MECHANIC ELECTRICAL SITE
Site Post/Beam Post/Bemn m Cover/Service Sewer/Storm
Footing Roof 1lndFl/Slab Rough-In Ceiling Watcr Line
Slab Framing 'fop Out Gas Line Rough-In UG Sprinkler
Foundation Insulation Sewer Hood/Duct Reconnect Vault
iigrnt:)amp Drywall Storm Furnace Temp Service MISC.
Masonry Ceiling Rain Drain A/C UG Slab
Shear/Sheath Fire Spklr/Alm Crawl/Found Dr Heat Pun Low Volt
Approved Approvedproved Approved Approved — --
Appr/Sdwlk Not Approved Not Approved roved Not Approved Not Approved
FINAL FINAL FINAL FINAL FINAL
— T
C1 Call for reinspection Cl Reinspection tcc of 5.. requiree before next inspection O Unable to inspect
Inspector: Irate /, Page of
CITY OF TIGARD BUILDING INSPECTION DIVISION
_I-Hour Inspection Line: 639-4175 Business Phone: 639-4171
Date Requested: c� — !0 " q I � A.M. _ P.M.—�, MST: _
t
Location: _ Q�� 0 — BUP:
Tenant: _ _ Suite: 1000 Bldg: NEC: _
Contractor:— -Phon3 �, PI M:
Pl i ine: ELC:
-- — _ ELR:
__` SIT: _
BUILDING BLDG(con't) PLUMBING^ MECHANICAL LECTRIC.4L SITE
Site PosUl3eanu I'usUlluun PosUlleam Coverl3LRvtC. S.:wer/Storm
Footing Roof UndFUSlab Rough-In Meiling- Water Line
Slab Framing Top C ut Gas bine `Rmrgb In UG Sprinkler
Foundation in:;ulation Sewer IioodlDuct Reconnect Vault
Bsmt Damp Nywall Storm Furnace Temp Service MISC.
Masonry Cailing Rein Drain A/C UG Slab
Shear/Sheath Fire Spkir/Altn CrawVF,.)und IX Heat Pump
Approved Approved Approved Approved Approved
Appr/Sdwlk Not Approved Not Approved Not Approved ��- roved Not Approved
FINAL FINAL FINAL N1NAL FINAL
t
14
L7 Call for reinspection D Reinspection fke of S` required before next inspection O Unable to inspect
Inspector: �' Datc:_ Page _t— of —_
,A R� -. BUILDING PERMIT
CITY OF T I G
PERMIT#: BUP97-00363
DEVELOPMENT SERVICES DATE ISSUED: 7/29/97
13125 SW Hall Blvd..Tigerd, OR 97223 (503) 639-4171 PARCEL: 1S135AB-03400
SITE ADDRESS: 10260 S`N GREENBURG RD 1000
SUBDIVISION: LINCOLN TOWER-TOWN OF METZGER ZONING: C-P
BLOCK: LOT: 014 JURISDICTION: TIG
REISSUE. FLOOR AREAS _ EXl ERIOR WALL_CONSTRUCTION
CLASS OF WORK. ALT v FIRST: 6,582 sf N: S: E: W:
TYPE OF USE: COM SECOND: 0 sf _ PROJECT OPENINGS?
TYPE OF CONST: 2FR 0 sf N: S: E: W:
OCCUPANCY GRP: B TOTAL.AREA: 6,582.00 sf ROOF CONST: FIRE RET?
OCCUPANCY LOAD: 185 BASEMENT: 0 sf AREA SEP. RATED:
STOR: 10 HT: 0 ft GARAGE: 0 st OCCU SEP. RATED:
BSMT?: MF_Z.Z?: REQD SETBACKS REQUIRED _
FLOOR LOAD: 0 psf LEFT: 0 ft RGHT: 0 ft FIR SPKL: Y SMOK DET:Y
DWELLING UNITS: 0 FRN'r: 0 ft. REAR: 0 ft FIR ALRM : Y HNDICP ACC:Y
BEDRMS:0 BATHS: 0 IMP SURFACE: 0 PRO CORR: PARKING: 0
VALUE: $ 80,767.00
Remarks: Infotec - tenant improvements - Permits reduw-�d: Elec, Plug, Mech, Sprklr, Fire Alarm. Note: Mech plans riot o.t.c
need to address plenum.
Owner: Contractor:
COMMERCIAI._ CONTRACTORS INC
25610 SW 41 ST AVE
RIDGEFIELD, WA 98642
Phone: Phone: 646-2202.
Reg #:
_ FEES REQUIRED INSPECTIONS
Type By Date Amount Receipt` Framing Insp
PRMT JD 712.8!97 $376.00 97 297451 e Gyp Board Insp
Sosp Ceiing Insp
PLCK JD 7/28/97 $244.40 97-297451 Final Inspection
FIRE: JD 7/28/97 $150.40 97-297451 Finai Inspection
5PCr ,JD 7/28/97 $18.80 97-297451
Total $789.60
This permit is issued :subject to the regulations contained in the Tigard Municipal Code, State of OR.
Specialty Codes and a!I 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 fol- 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.
Pe nn It ee
Signature:
Issued By: _ if( `ll:'l
Call 639-4175 by 7 p.m. for an '.:�spection the next business day
CITY OF TIGARD
DEVELOPMENT SERVICES BUILDING PERMIT
13125 SW Hall Blvd., Tigard,DR 97223 (503)639 4171 PERMIT #. . . . . . . : BLJP97-IZ13 5
DATE ISSUED: 08/ 5/97
PARCEL.: 1S135AB-03400
SITE. ADDRESS. . . : 10260 SW GREENBURG RD #10,710
SUBDIVISION. . . . : TOWN OF METZGER ZONING:C-P
BL.00K. . . . . . . . . . . LOi. . . .. . . . . . . . . . : 14 JURISDICTION:TIG '
REISSUE: FLOOR AREAS----•------- EXTERIOR WALL- CONSTRUCTION-
CL-ASS OF WORK. :FPS FIRST. . . . : 0 s f N: S: E: W.
TYPE OF' USE. . . :COM SECOND. . . : 0 sf PROTECT OPENINGS?-------------
TYPE OF CONST. -2FR . . . . 0 sf N: S: E: W:
OCCUPANCY GRP. :B TOTAL----------: 0 s f ROnF CONST: FIRE RET? :
OCCUPANCY l_.OAD: 0 BASEMENT. : 0 s f AREA SEP. RATED:
STOR. : 0 HT- 0 ft GARAGE. . . : 0 s f OCCU SEP. RATED:
BSMT? : MCLZ? : REOD SETBACKS-------.--._
FLOOR LOAD. . . . : 0 ps f LEFT: 0 ft RGHT: 0 Ft FIR SPKi-:Y SMOK DET. . :
DWELLING UNITS: 0 FRNT: 0 ft REAR: 0 ft FIR ALRM: HNDICF' ACC:
BEDRMS: 0 BATHS: 0 IMP SURFACE: 0 PRO CORR: PARKING: 0
VALUE. t : 2084
Ren ar-•k s : Infotec - Fire spr'.nkler system
-----------------------------------------------
Owner -----_____-- FEES
NORRIS BEGGS AND SIMPSON type amount by date r^ecpt
10300 SW GREENBURG RD STE 200 PRMT s 38. 50 JSD 08/ 11 /97 97-298145
PORTLAND OR 97x23 `iPCT f 1. 93 JSD 08/11/97 97-298145
FIRE f 15. 40 JSD 08/ 11/97 97-298145
Phone #: 452-5900
Contractor-: ----------------------------
FIRE SYSTEMS WEST INC
600 SE MARITIME AVE
STE 300
VANCOUVER. WA 98661 --------------------- ------------______._
Phone #: 360-693-9906 f 55. 83 TOTAL
Reg #. . : 000497
------- REQUIRED INSPECTIONS ------ -
This permit is issued subject to the regulafiors contained in the Sprinkler Rough-
Tigard Municipal Code, State of Ore. Specialty Codes and all other Spr i nk 1 er Final
applicable law% All mark will be done in accordance with
apprnved plans. This permit will expire if work is not started
within IEA days of issuance, or if Mork is suspended for mor-
than 180 days. ATTENTION: Ch•egon law requires you to follow the
rales adopted by the Oregon Utility Notification Center. Those
rules are set for`h in OAR 952-881-8818 through OAR 952-88181987.
You many obtain a copy of these rules or direct questions to OUNC
by calling 1583!246-1987.
)Permittee 5i gnature�,..�,� � — Issued
++++++++++++++++++++i•++++++++++++++++•+i++4++++++++++++++++++++++++++t+++++++++
Call 639-4175 by 6:00 p. m. for- an inspection needed the next business day
++++++ L+++A-++++++++++++++-h++++++++++++•t+++++++4-++++i+++++++++++++t ++++++++++++
Fire Protection Permit Application Plan Check
:ITY OF TIGARD Commercial or Residential Recd By
'125 SW HALL BLVD. Date Recd
IGARD, OR 97223 Print or Type Date to P E
,,J3) 639-4171 Ext. 304; Incomplete or illegible applications will not be accepted Date to DST bulb`a"t
Permit# rS�
6t.u p� Called,',
l �p
Name of Developmef t/Prolect Type of System (Cornplete A or B as applicable)
.I
Job r,F t7}PC ll-, T
Address Address - i,,,i. A.) Sprinkler Wet I Dry []
�" �: <�r•ex!v�h�r 12e1
r qq,, J Sta ",,spas
Nam
T - 1 ' C- 1 . ; �i� C, r �C._ Hazard Group - -
Owner Mailing Address I Additional a
I �t cmay' ��` Information Densit —y
City/Statq zip Phone
Design Area
Name
►`�= r-.- t\ _ K. Factor
Occupant Mailing Address
A
I C
City/State Zip Phone Sprinkler Project Valuation $
U 8
COT Business Tax or Pietro# Exp. Date B•) Fire Al arm
Name - Submittal St att
all Include Bery Calculations YES
Contra-.J1
❑
(Sprinklerur /c '�''`t V Individual Component YES Q
Alarm Company) Mniiiny addressl Cut Sheets
(Prior to permit ,r. ^� t'Y 1 y I R• 4L —
Fire .Alarm Project Valuation $
sauanceappicant City/State Zip Phone
must provide all r It�04 1/.. i 6'{7.-I 0 to —_
Project Valuation Subtotal (A or B) $
contractors liconsa State Const.Cont.Board Lie.# Exp Date
mforroation for �� 7 ----- -- —
Permit fee based an valuation
COT database). COT Business Tax or Metro# Exp.Date �l
$
(see chart on back) c^
_
Name
I 1r4 9 t -- 5% Surcharge $ 1 f
r
Architect Mating Address _ FLS Plan Review 40% of Permit $ I a j Ors
Clty/Stata Zip Picone T TOTAL $ .�
PIANS MUST BE SUBMITTED,approved and d perms slued prior to installation
Describe work A.)New O Addition O Alteration ID Repair O Three sets of olans and site pian(and vicinity map)required which shows location of
.ri be done _ nearest hyd^a•t
B.) Basement O HoodNent O Spray Booth O i hereby acKr'medge that I have n.aa this application that the nformation given is
Complete 30 Partial O Exitway O conoci,that I arri the owner or authorized agent of the owner.and thal plans submitted
are,n compliance w-th Oregon State laws
Additional Description of Work: Signature of OwrterlAgent Date ~�
A.)In Existing Building New Budding (] Contact Pers ame Phone
Building 7 I V, �'` �`` c c (3 bc)
Data A•) Commercial GJ Residential FOR OFFICE.USE ONLY:
Plat# Map/TL#: 1
No of stories:
Sq. Ft _- Notes —`^J
Occupancy Class Type of Construction
IRESUPR DOG (DST) 8/96
MY QE 1GARQ
BUILDING PERMIT._ ES
TOTAL
PLAN STATE BUILDING
VALUATION OF PERMIT Q.L.S. REVIEW TAX PERMIT
PROJECT FEES (40%) (65%) ;5%) FEES
1-1500 25.00 10.00 16.25 '1.25 52.50
1,501 -1600 26.50 10.60 17.2 3 1 33 55.66
1,601-1,700 28.00 11.20 18.20 1.40 58.80
1,701-1,800 29.50 11.83 19.18 1.48 61.96
1,801-1,900 31.00 12.40 20.15 1.55 65.10
1,901-2,000 32.50 13.00 21.13 1.63 68.26
2,001-3,000 38.50 15.40 25.03 1.93 80.86
3,001-4,000 44.50 17.80 28.93 2.23 93.46
4,601-5,000 50.50 20.20 32.83 2.53 10606
5,001-6,000 56.50 22.60 36.73) 2.83 118.66
6,001-7,000 62.50 25.00 40.63 3.13 131.25
7.001-8,000 68.50 27.40 44.53 3.43 143.86
11,)01-9,000 74.50 29.80 48.43 3.73 156.46
9,001-10,000 80.50 32.20 52.33 4.03 169.06
10,001-11,000 86.F0 34.60 56.23 4.33 181.66
11,001-12,000 92.50 37.00 60.13 4.63 194.26
12,001-13,000 98.50 39.40 64.03 4.93 206.86
13,001-14,000 103.50 4180 57.93 5.23 219.463
14,001-15,000 110.50 44. 0 71.83 5.53 232.06
15,001-16,000 116.50 46.60 75 73 5.83 244.66
16,001-17,000 122.50 49.00 79.63 6.13 257.26
17,001-18,000' 128.50 51.40 83.53 6.43 269 66
18,001-19,000 134.50 53.80 87.43 6.73 2.82.46
19,001-20,000 140.50 56.20 91.33 7.03 295.06
20,001-21,000 146.50 58.60 95.23 7.33 307.66
21,001-22,000 152..50 61.00 99.13 7.63 320.26
22,001-23,000 158.50 63.40 10303 7.93 332-.86
23,001-24,000 164.50 65.80 106.93 8.23 345.46
24,001-25,000 170.50 68.20 11083 8.53 35806
25,001-26,000 175.00 70.00 113.75 8.75 367.53
26,001-27,000 179.50 71.80 116.68 8.98 376.96
27,001-28,000 184.00 73.60 119.60 9.20 386.40
28,001-29,000 188.50 75.40 122.53 9.43 395.86
29,001-30,0G0 193.00 17.20 125.45 9.65 405.30
30,001-31,000 197.50 79.00 128.38 9.88 414.76
1,;)01-32,000 202.00 80.80 131.30 10.10 424.20
32,001-33,000 206.50 82.60 134.23 10.33 433.66
33,001-34,006 211.00 84.40 137.15 10.55 443.10
34,001-35,000 215.50 86.20 140.08 10.78 452.56
; 5,001-36,000 22000 88.00 143.00 11.00 462.00
36,001-37,000 224.50 89.80 144 93 11.23 471.46
37,001-38,000 229.00 91.60 148.85 11.45 480 90
is\bldhrmfe.doc (dsts) 1
CITY OF TIGARD ELECTRICAL PERMTT
DEVELOPMENT SERVICES PERMTT #: EL.C97 -0525
DATE ISSUED: 08/05/97
13125 SW Hall Blvd., Tigard,OR 97223 (503)639-4171
PnRCE'L: 1c,-i ;Afl 0x400
i T.TL" ADnr?( ^, . ,. : .10260 SW GRE'F..NPUR( RD #1000
JIIDIVISION. . . . :T01,4N OF MET7_ ER 7 ONTNI'I:C P
II.- OCK. . . . . . . . . . . L.O1". . . . . . . . . . — . 14 JURISDICTION: TIG
"'rn je(_t1)e<��r'ipt, rr.h :
RESII)f r�ITI:AL_ UNIT __.. TFMI' SRWC.!1'F"i'IJERS _ _ -MT rEI_J_nI4E0US--
1000 7F OR LESS. . . . : 0 0 - 200 amp. , . . . . , 0 PIUMP✓IPRIGATION. . . .
:;f1Cl! ALU' L. 50 1^F. , . : 0 C.
i. 46:O am1.7. . . . , . ,. : 0 7IGN/OU.1T I..INE I.-TG. .
_.IMITED ENERGY. . . . . : 0 401 - 600 amp. . . . . . . : 0 SIGNAL_/PANEL. . . . . . . : 0
,iow'. I-IM/ SVC/r np, . o GO J. I amps •-10011 vI.)I t S. : 0 MTNOR LABEL ( 10) . . . . 0
..___..-SERVICE/FEE:DE'R--_..___ -...--. RANCH L'JRGL.IITS-._----- ---ADD' L INSPE.CTIONS--
1`00 ainp, . . . . . : 0 1.1;_.,rPVTCF r.il rr-ODER: 0 FLIER INGPECTION. . . . . : 1'
400 amp. . . . . . : 0 1st W/O SRVs: OR FDR. : 1 PER HOUR. . . . . . . . . . . : 0
:101, (Soo .:t lol.;. . . . . . . 0 EA ADD' I... 11RNCH CIRC: J of IN PL-ANT. . . . V
X01 - 1000 amp. . . . . : 0 _.___..__._._,__._____.._..._._MILAN REVIEW SECTION---------
I I
ECTION-----.._______._.__....__tr7�0Q)4 amli'. 1 11. ,. . . . . : 0 ) -4 13"I:i UNT.TS. . . . . . . . . > 6,00 VOLT NOMINAL—
Reconnect. r}rr 1 y. . . . . : 0 SVC/FDR ) - EE'`] AMPS. . : CLASS AREA/SPEC or-
lwner. -_ . . I _ _ _ . FEEC, _ , ._ ...... ...
INFCITEC COMMERCIAL SYSTEMS type amol(nt by dame recpt
1.0260 rW GJRrr.J4n11Rrl RoAT) F'PMT 4 1.}x`:. 00
IF 08/05/97 rJ7 '4�J79f
3tJITE'. #1000 5PCT $ S. 25 GFO 08/03/97 77- :9-.—
rTr3ARr) OR 97;77'173
'='Irons tk:
;,!TL..! AMETTr I-I r f-TrllC; INC 9> 1. Iv). ,',� TOTAI_
-,n 1ir7X 7107)4 7
REDU T RCD INSPECTION'
'f f'RD Or, Ceil ing Cover Linder-Ut-,-,I r„a '"r
(, -ie #. E,i 4-36."11. W01 I Flel:t "
#. . 000750
T`is pewit is issued subject to the regulations contained in the Tigard municipal Code, State of Oregon Specialty Codes and all other
ip�l:c:able Idws. All work will be done in accordance with approved plans. This persit will expire if work is not started within 18('
lays of issiance, or if work is suspended for sore than 188 days. ATTENTION: Oregon law requires you to follow the rules adopted by
the Oregon Utility Notification Center, Those rules are set forth in CAR 952-ml-mig throliy` -.I say obtain a ccr;
these rules or direct questions to rrFkr h; ai'i.\; '90 45-1987
.
I i o c1
Uvd1'4t. tJiY 6fIi l-.
insi:;at lot inn is ter ACIP nn 1.rr01.) � ty I Own 010_:11 i , T10i, intprided fu
le, lease, err rent.
111.)KIr-PI c OT f-t,1nTUP :
C.CINTRACTOR INET, 1T TON ONL .
y�.`5
,..}. 1..1 i .1. 1 .1..111. 4J .1. 1 .I. : 1II4 -1. 1 .IL.1.. ! .4..1._14. 4.4. 4.44.4_4. 41. 44.-S-444 4 .11. 4. c..14 .1-4-44.1..1 .144..4.L
CITY OF TIGARD Electrical Permit Application Plan Chock N
13125 SW HALL BLVD. Recd By
TIGARD OR 97223 Date Recd
Date to P.E. _
Phone (503) 639-4171, x204 Date to DST _
Print or Type
Inspection (503) 639-4175 Permit#_��2__�L+?
Fax (503)684-7297 Incomplete or illeg bla will not be accepted Called _
1. Job Address: / 4. Complete Fee Schedule Below:
Name of Development L t ry L.C.j, _ l P w t P,'L Number of Inspections per permit allowed -
Name(or name of business) f N':0T-E C- (c 14 d �n�Seri(, Service included: Items Cost Sum
Address 1(jZ40 6 -.ee,A• _>�to lo(X► 4a. Residential-per unit
10W sq.ft.or loss
City/State/Zip T i r f!An_�t _ z Z Each additional 500 sq.ft.or - -y
Commercial �-_Residential ID Limitedportion thereof $25.00 __ 1
Energy $25.00
Each Manul'd Home or Modular
2a. Contractor installation only: Dwelling Service or Feeder $88.00 2
(Attach copy of all current licenses) 4b.Services or Feeders
Electrical Contractor_�i. r! H.�� Ht l/r�, /.�. c- Listallation,alteration,or relocation
Address P) /5,0j, 3'c sLr )- 200 amps or less $60.00 2
201 amps to 400 amps $60.00 2
City (-If rttib State 0,4- Zip '172!r f 401 amps to 600 amps $120.00 2
Phone No, jjL4 -3t 3 i - 601 amps to 1000 amps $180,00 2
Job N0. Z Z-?- Over 1000 amps or volts i $340.00 2
Elec.Cont. Lice. No. 314 z fs 3t Exp Date, /c _e y Reconnect only $50.00 2
OR State CCB Reg. No. 7)-0')-c/ Exp.Date 5 c 4c.Temporary Services or Feeder a
COT Business Tax or Metro No. t,>,/ E.xp.Date, I i `i Installation,alteration,or relocation
200 amps or less $50.00 2
Signature of Su r. Elec'n %` ,�._ �" 201 amps to 400 amps $100.0 ;
g p �'--" TTT 401 amps to 60o amps $100.00
Over 600 amps to 1000 volts,
License No. !`/G 5--5 Exp.Date /o f - 9�S' see"b"above.
Phone No.---r. r r 34 T l
- - 4d.Branch Circuits
New,alteration or extension per panel
2b. For owner installations: a)The tea for branch circuits with
purchase of service or
Print Owner's Name_! feeder fee.
Address_ Each Lranch circuit $5.00 2
-- h)The fee.ror branch circuits
City _ StateZlp _-_ without purchase of
Phone N0. _ service or feeder fee.
First branch circuit / $35.00 _ ._. 2
The Installation is being made on property I own which is not Each additional branch circuit r Y $5.00 2
intended for sale,lease or rent. 4e.Miscellaneous
(Service or feeder not Included)
Owner's Signature Each pump or irrigation circle $40.00 ____�
Each sign or outline lighting $40.00 2
3. Plan Review section (if required):' Signal circuit(s)or a limited energy -�
panel,alteration or extension $
100000 ?
_ ----
Please check appropriate Item and enter fee in section 5B. Minor Labels(10)
4 or more residential units in one structure 4f.Each additional Inspection over
Service and feeder 225 amps or more the allowable In any of the above
System over 600 volts nominal Per Inspection $35.00
Classified area or structure containing special occupancy Per hour $55.00
as described In N.E.C.Chapter 5 In Plant _` $55.00
Submit 2 sets of plans with application where any cf the above apply. 5. Fees:
Not required for tempurnry construction services. 5a.Enter total of above fees $
5%Surcharge(.05 X total fees) $ _2
NOTICE subtotal $
5b.Enter 25%of line 5a for
PERMITS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED IS Plan Review it reguired(Sec.3) $ --NOT COMMENCED WITHIN 180 DAYS,OR IF CONSTRUCTION OR WORK Subtotal $ ----
IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY t-1 ,
LJ Trust Account k__
TIME AFTER WORK IS COMMENCED. $ /
Total balance Due
I kDSMELC%AM' nav 9/96
RECEIVED
AUG 0 4 1991
COMMUNITY DEVELOPMENT
CITY OF TIGARD
DEVELOPMENT SERVICES ELECTRICAL. PERMIT
13125 SW Hall Blvd., Tigard,OR 97223 (503)639-4171 RESTRICTED ENERGY
PERMIT #: ELR97--0253
DATE ISSUED: 09/03/97
PARCEL: IS135AB03400
SITE ADDRESS. . . : 10260 SW GREENBURG RD #1000
SUBDIVISION. . . . :TOWN OF' METZGER ZONING:C—P
BLOCK.. . . . . . . . . . . LOT. . . . . . . . . . . . . : 14 JURISDICTN: TIG
Pro j ect De scr,i pt i o n : Add data telecommunication installations.
(i. RESIDENTIAL_--__.___._-- B. COMMERC I
AUDIO & STEREO.]. . . : AUDIC, & STEREO. . : INTERCOM & PAGING. . :
BURGLAR ALARM. . . . : BOILER. . . . . . . . . . : LANDSCAPE/ I RRIGAT. . :
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: I
Owner-: FEES
KNICKERBOCKER PROPERTIES, INC. type amotint by date r-erpt
10260 3W GREENBURG RD PRMT $ 40. 00 GEO 09/03/97 97-298864
SUITE ; 000 5FICT $ 2. 00 GEO 09/03/97 97-298864
,rIGARD OR 97223
Phone #:
Contractor.:
GREENLINE INC $ 42. 00 TOTAL
FIO BOX 1230755
------- REOUIRED INSPECTIONS
TIGARD OR 97223 Ceiling Cover-, Low Voltage Insp
Phone #: 968-1978 Wall Cover- Elect' ] Final
Reg #. . : 001030
This permit is 'ued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes and all other
applicable lawt, All work will be done in accordance with approved plans. This permit will expire if work is not star'td within 180
days of issuance, or if work is suspended for more than 198 days, ATTENTION: Oregon late requires you to follow rule opted by the
Oregon Utility Notification Center. Those rules are set forth in BAR 952-NI-98I8 through OAR 952-88I-8888. You may obtain copies of
these rules or directt 50 )246-1987.
s i gm t a)� 3
Isstied by Permittee Si gnat
7_71
—
_.__--------------------------OWNER INSTALLATION
The installation is being made on proper-ty I own which is not intended for,
sale, lease, or rent.
OWNER' S SIGNATURE: DATE-
INSTALI_ATION ONLY----------------------------
SIGNATLIRF
NLY-----------------------------
SIGNATURF OF SUPR. ELECIN, DATE: �,
IICENSE NO:
+ V 4.....4......44++++++++4...........4......... .........................4 4-+-+4-+++++-+
Call 639-4175 by 6:00 P. M. for• an inspection needed the next btisiness day
4.++++4.......4....................4++4-+++4-+++4,++-4..............I.....................
Community Development RESTRICTED ENERGY ELECTRICAL APPLICATION
13125 SW Hall Blvd. PERMIT# £G/(,F'7 '•0�
Tigard,OR 97223
Phone(503)639-4171
FAX(503)684-7297 DATE ISSUED _
TDD No. (503)684-2772
CITY OF TIOARD Inspection (503)639-4175 ISSUED BY _
PLEASE COMPLETE ALL SECTIONS
1. LOCATION OF INSTALLATION 4. TYPE OF WORK
102(,o0 1Z FRD 5u17-l; 1000
Address RESIDENTIAL—Restricted Eno
rgy Fee. . . . . . . . . 140,00
TIraA�1� CUI� 617Z-Z,3 (FOR ALL SYSTEMS)
City State Zip Check Type of Work Involved:
PERMITS ARE NON-TRANSFERABLE AND NON-REFUNDABLE AND EXPIRE IF WORK ❑ Audio and Stereo Systems
IS NOT STARTED WITHIN 180 DAYS OF ISSUANCE OR If WORK IS SUSPENDED FOR
1110 DAYS. ❑ Burglar Alarm
l,)Ct UDE ❑ Garage Door Opener'
2. CONTRACTOR APPLICATION Copy pp 1L E ❑ Heating,Ventilation and Air Conditioning System*
Coninctor&Q-ENLINE, INC TypeLW VOLTAKk fL F(711CAL ❑ Vacuum Systems*
Address PV BUX 2.3095 TIL-H P-D i U12 `?. Z, 1
❑ Other— _
Date 1 �3' 7 COMMERCIAL—Fee for each system . . . . . . . 140,00
(SEE OAR 918-260-260)
Property Owner 11-0 k,VF-'tea K-EC PKt)f'F-9 TI&SJ I W. XX I Check Tyne of Work Involved:
*Contractor's Board Reg. No. I 3c)3-3 � ❑ Audio and Stereo Systems
❑ Boilei Controls
Phone# _—��ts 8-19-7 b _ _ .e❑3 Clock S)stems
3. OWNER APPLICATION Data Telec.1mmunication Installations
❑ Fire Alarm Ins,illation
❑ HVAC
Print Owner's Name PhonO No ❑ Instrumentation
Address -- ❑ Intercom and Paging Systems
❑ Landscape Irrigation Control'
City State Zip ❑ Medical
This pormit is Issued under OAR 918.320-370.This applicant agrees to make only ❑ Nurse Calls
restricted energy installations(1 CK)volt amps or less)under this permit and to do the ❑ Outdoor Landscape Lighting'
following:
1. ()nly use electrical licensed persons to do installations where required.(Certain ❑ Protective Signaling
residential and other transactions are exempt from licensing.These have ❑ Other
asterisks(*).All others need licensing).
2 call for an inspection when all of the installations uncle,this permit are ready
for inspection at 101-631q-41175. ❑ _ `--Number of Systems
I Purchase wparate permits for all installations that are not ready for inspection
when the inspector is out to inspect under this permit. •No licenses are required. Licenses are required for all other installations.
4 Assume responsihility for assuring that all corrections required by the inspector
are done,and
Assume responsibility for calling for a final inspection when all of the 5. FEES
corrections ire completm! /
The person signing for this permit must be the applicant or a person a. Enter Fees $ `SCJ, Uo
authorized to hind the applicant.
b. 5% Surcharge(.05 x total above) $
Signature TOTAL $ 4`' '
Authority if other than applicant
ENERGAP.CHP
CITY OF TIGARD MECHON I CAL
DEVELOPMENT SERVICES PERMIT
13125 SW Hall Blvd.,Tigard,OR 91223 (503)639.4171 PERMIT #. . . . . . . : MEC97-0305
DATF. ISSUED: 08/13/97
PARCEL: 15135AB-03400
SITE ADDRESS. . . : 10260 SW GREENBURG RD #1000
SUBDIVISION. . . . : TOWN OF METZGER ZONING: C-P
131-OCK. . . . . . . . . . : Lo*r. . . . . . . . . . . . . : 14 JURISDICTION: TIG
CLASS OF WORK. . :AI-T FLOOR FURN. . . . : 0 EVAP COOLERS: 0
TYPE OF USE. . . . .COM UNIT HEATER S. . : 0 VENT FANS. . . : 0
0 CC U P A N(,-,,Y G R P. . :B VENTS W/O APPIL: 0 VENT SYSTEMS: 0
STORIES. . . . . . . . : 0 BOILERS/COMPRESSORS HOODS. . . . . . . . 0
FUEL 0-3 HP. . . . : 0 DOMES. INCIN: 0
3-15 HP. . . . : 0 COMML. INCIN: 0
MAX INPUT: 0 BTU 15-30 HP. . . . : 0 REPAIR UNITS- 0
EIRE DAMPERS?. . .- 30-50 HP. . . . : 0 WOODSTOVFS. . : 0
GAS PRESSURE. . . 50+ HP. . . . - 0 CLO DRYERS. . : 0
NO. OF UNITS--------------- A I R HANDL I NG UN I TS OTHER UNITS. : 5
FURN ( 100K SIU: 0 10000 rfm : 0 GAS OUTLETS. : 0
FURN ) =100K BTU: 0 > 10000 cfm : 2
Remar-l(s .- Installing two Y,a.y. boxes and relocating existing grills
nwnet— FEES
NORRIS BEGGS AND SIMPSON type amot.tnt by date t-eept
10300 SW GREENSURG RD STE 200 PRMT $ 37. 50 B 08/ 13/97 97--298252
PORTLAND OR 972L---,3 PLCK $ 9. 38 B 08/13/97 97-298252
5PCT $ 1. 88 13 08/13/97 97-2198252
Phone #:
contr-actor :
Hl..JNTER-DAVISSON INC
3410 SE 20TH AVE
48. 76 TOTAL
PnRTL.AND OR 97201 '
Phone #: . '34--047'7
Reg #. . : 000016 REDUIRED INSPECTIONS
This permit is issued subject to the regulations contained in the Mechanical Insp
Tiqard Municipal Code, State of Ore. Specialty Codes and all other 1-ire Damper, Insp
applicable laws. All work will be done in accordance with Final Inspection
approved plans. This permit will expire if work is not startrd
within 180 days of issuance, or if work is suspended for, sore
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-MIO through OAR 952-01-030. You may
obtain copies of these rules or direct questions to OUNC by calling
I S s I-le By - Permittee Siqnati.ir-e :
4......................4+++...4•.......I............... .........................4 +
Call 639-4175 by 6:00 p. m. for- inspections needed the next bi.tsiness day
............4•......++++..........f.................4..............................
Plan Check if
CITY OF TIGARD Mechanical Permit Application Recd By
13125 SW HALL BLVD. Commercial and Residentiall Date Recd 'I , -
TIGARD,'OR 97223 t'/! / Date to P E.
(503) 639-4171, x334 l I� Date to DST
� �•/ ,>I
Print or Type Permit
called
Incomplete or illegible applications will not be accepted
Name of OaveiopmenvProfsa Description
I'j F-'-) t 1�. Table 1A Mechanical Code CITY PRICE AMT
Job Street Addren - Sudse A) Pemmit Fee -0- -0- 10.00
Address `.r ,U '-k-j (Alb A b- \
9idga CnyrState Zip 1.) Furnace to 100,000 BTU 6.00
including ducts&vents _
Name to name of busneu) 2.) Furnace 100,000 BTU+ _ 750
Owner [_�j�,O j fit/ � including duds&vents
Mailing Addrou 3) Floor Furnace 6,00
including vent _
CiryrStno Zip Phone 4) Suspended heater,wall heater V 6.00
or floor mounted heater
Narne for name of buslmu) 5.) Vent not included in appliance permit 3.00
Occupant Mailing Address 6.) Boder or comp,heat pump,air coed. 600
u 'i' , (ti, rhr.ec /".., to 3 HP;absorb unit to 100K BUT" _
Cdylt3fre i zip Phone 7) Boder or comp,heat pump,air Gond. 11.00
_ /-421 % }� 5 3-15 HP absorb unit to 500K BTU" 1_I
^ Contractor N&M 8J Boder or comp,heat pump,air Gond. 1500
(Prior to >/I"V727'. L� /)3 -7AC 15-30 HP;absorb und,5-1 mil BTU'"
issuance Mailing Addiees 9) Boder or comp,heat pump,air Gond 22 50
applicant 3" `) s�tJ 30-50 HP:absorb and 1-1.75md BTU"
must provide all Cay/State zip Phone 10) Boiler or comp,heat pump,air cond 3750
contractor i r+!I n L� r! �',': ` Alt vi 7 7 >50 HP;absorb unit 1.75 mil BTU"
license Oregon Const cunt canardLic x Exp.Data 11.) Air hsndling unit to 10,000 CFM 450
information - I/-y s'
for COT COT 9uaeieta Tar or Metro a Exp.Dare 12.) Air handling unit 10,000 CFM ,� 7 50
_ database) f .L
Architect Name 13) Non-portable evaporate cooler 450
j tuan'r` ' SSS O 1 i.
or -�t wing Addfau fN 14.) Vent fan connected to a single duct _ 3.00
\ _
Engineer C4yrstate -, ?j Phone 15) Ventilation system not included in 450
^- 1 "'A appliance permit_
Descnbe work New O Addition O AlterationO Repair O 16) Howl served by mechanical exhaust I 456-
L!_..)
t..)bee done Residential O Non-residential>9t --IL--
Additional Descnpbon of work o SFO 17) Domestic incinerators 7.50
(�(_x rtt y JAv >�3 �► c�t2t11
TWO
_
C1l)t(Y(� 1 Sn Cst21��� 18) Commercial or industrial type 3000
Inanerator
Existing use of 19) Repair units 450
building or property_ (,1GLrL_r
20) Wood stove — '— 450 �-
Proposed use of 21 ) Clothes dryer,etc. 4 50
budd:rg or property
22 1 Other units 450
AL
Type of fuel-oil O natural gas O LPG O electric O 23) Gas piping one to four outlets 210
I hereby acknowledge that I have read this application,that the 24) More than 4-per outlets(each) 50
information given is correct,that I am the owner or authorized agent of
the owner,that plans submitted are in compliance with Oregon State CITY SURTO r4L
laws
Signature of rlAgent Date 'SUBTOTAL
r,— S 7 5'6 SURChIARGE i r^
Cd Na+m/e Phone PLAN REVIEW 2591.OF SUBTOTAL �V
�— m r
rN� �1y-aY7TOIL AL x.71
I klst4nechpmtdoc (rev 9 'Minimum permit fee is S25+5°46 surcharge
"Residential A/C requires site plan showing placement of unit.
(�'
I � [~�
r��
Q
� G �
� �
CITY CSF TIGARD
DEVELOPMENT SERVICES PLUMBING PERMIT
13125 SW Hall Blvd., Tigard,OR 97223 (503)639.4171 PERMIT #. . . . . . . . PLM9 7-034-7
DATE ISSUED: 08/22/97
PARCEL: 1 S 135AB--03400
SITE ADDRESS. . . : 10260 SW GREF-.NBURG RD #1000
SUBDIVISION. . . . : TOWN OF METZGER ZONING: C•-FI
BLOCK.. . . . . . . . . . . LOT. . . . . . . . . . . . . : 14 JURISDICTION: TIG
CLASS-OF-WORK. . :ALT- -- GARBAGE DISPOSALS. : 0 MOBILE HOME SPACES. : 0
TYPE OF USE. � . . :COM WASHING MACH. 0 BACKFLOW PREVNTRS. . : 0
OCCUPANCY GRP. . :B FLOOR DRAINS. . . . . . : 0 TRAPS. . . . . . . . . . . . . . : 0
STOR I F_.S. . . . . . . . : 0 WATER HEATERS. . . . . : 1 CATCH BASINS. . . . . . . : 0
FIXTURES------------- LAUNDRY TRAYS. . . . . : V1 SF RAIN DRAINS. . . . . : 0
SINKS. . . . . . . . . . 1 URINALS. . . . . . . . . . . . 0 GREASE TRPPS. . . . . . . . 0
LAVATORIES. . . . : 0 OTHER FIXTURES. . . . : 0
TUB/SHOWERS. . . : 0 SEWER LINE (ft ) . . . : 0
WATER CLOSETS. : 0 WATER LINE (ft ) . . . : 0
DISHW.ISHERS. . . . : 0RAIN DRAIN (ft ) . . . : 0
Remarks : Infotee - tenant improvements
Owner: --_._.________--------- ----.__._____.____ ____.___..__.._____--.__-- FEES - -- - - --- --
NORRIS BEGGS AND SIMPSON tyre amol.tnt by date r,ecpt
10300 SW GREENBURG RD STE 200 FIRMT $ 25. 00 JSD 08/22/97 97-298548
PORTLAND OR 97223 5PCT $ 1. 25 JSD 08/=2/97 97-2-'98548
Phone #:
Cont Tact or---------------------------------
RAYBORNIS
r--------------------------------
RAYBORN' S PLUMBING INC
19990 SW CIPOLE RD
TUALAT IN OR 9706d, ---------------____._----___---------____-
Phone #: 503-692-41.39 $ 26. 25 TOTAL
Reg #. . : 000878
------- REQUIRED INSPECTIONS
--------
This permit is issued subject to the regulations contained in the Rol..igh--in Insp
Tigard Municipal Code, State of Ore. Specialty Codes and all other FILM/Underf 1.oor
applicable laws. All worth will he done in accordance with Top-oo-tt Insp
approved plans. This permit will expire if work is not started Misc. Inspection
within 180 days of issuance, or if worts is suspended for more Final Inspection
than 189 days. ATTENTION: Oregon law requires yoo to follow rules
adopted by the Oregon Utility Notification Center. Those rules areset forth forth in OAR 952-X81-PIO through OAR 952-001-988N. You may _ - ----
obtain copies of these rules or direct questions to OUr' by calling
(5@3)246-1987. --.-- — --
I ssued BY -` _ ____ Pittee Signati-ices
� Pet -
++++++ ++++++++.*++++++++++.*++++++++++++++++++++++a-+++++.++++++++++++++++++++++++
Call 639-4175 by 6:00 p. m. for an inspection ded the next bi_isiness day
++++++++•++++++++++++++++++++++++++++++++*.*++++++++++++++++++++++++++++++++++++
City of Tigard PLUMBING PERMIT APPLICATION Planck/Rec. #
13125 SW Hall Blvd. Permit #
Tigard, OR 97223
(503) 639-4171 l
/)4 5�1, MINIMUM $25.00 PERMIT FEE + ST.� _URCHARGA E
Me..of D•^•'op-t New Sinale Family RealdeWces Only
JjT t,LC_)1.td i o w IE:�
❑ 1 BATH HOUSE$140 00
""••• f7 2 BATH HOUSE$195.00
Job b'�6Q ❑ 3 BATH HOUSE$225.00
Address cftim.l• za Fee includes all plumbing fixtures in the dwelling and the first 100 feet
A 2.0 4 09_, 9 7 2 Z3 of water service, sanitary sewer and storm sewer. See fees below.
N.m.dor nam•.1 @Dans., FIXTURES QTY PRICE AMT
1:N ( Sink 900
Ms.na ft... _ f ( Lavatory _ 9.00
Owner Tub or Tub/Shower Comb, 9.00
Anne„,,
Zip Shower Only 9.00
Water Closet 9.00
Nam^Iw nems of b......I Dishwasher 900
_��TE- Garbage Disposal 9.00
Occupant M^ia,a^,• - pn«n• Washing Machine 9.00
Floor Drain 9.00
cdyi9t■�• �p I Water Heater 9.00
Laundry Room Tray 9.00
"•m• Urinal 9.00
QQ S pLL1 M �_ lC. Other Fixtures (Specify) 9.00
M.09 Adds. oPhoone 9.00
Contractor ' U. bOk / 6l?Il� _ _ 9.00
uNls.,. b ze 9.00
4pcf�}-rrn(1 Q�� 9 766 2- Sewer 1st 100' _ 30.00
Sul.Repuh.1"No cer H.. T.■No. Sewer -ea. Addit. 100' 25.00
Water Service 1st 100' 3000
1 hereby acknowledge that I have read this application, that the Water Service ea. Addit. 200' 2500
information given is correct, that I am the owner or authorized agent of --
the owner that plans submitted are in compliance with State laws, that Storm 8 Rain Drain +°' 100' 30 00
I am registered with the Construction Contractor's Board, that the Storm &Rain Drain Addit. 100' 2500
number given is r•r rrect. (If exempt from State registration, please
gjvq reason below) Mobile Home Space 25.00
Back Flow Prevention
13//S/?7 Device or Anti-Pollution Device 9.00
.,ate«�•o«n ■^ Any Trap or Waste Not
Connected to a Fixture 9.00
Describe work new Q addition Q alteration X repair 0 Catch Basin 9.00 _
to be done residential O non-residential Insp. of Exist. Plumbing 40.00/hr
Specially Requested Inspections 40.00/hr
Ex ng use of � "-
building or property . Crmmysp.0-14 L Rain Dru r1, single family dwelling _ 3000
Residential backflow prevention
devices 1500
Proposed use of
building or property J�1�'�
'(Except residential backflow
prevention deices)
NOTICE "Minimum Fee $25.00 SUBTOTAL
PERMITS BECOME VOID IF WORK OR CONSTRUCTION
AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR IF 5% SURCHARGE
CONSTRUCTION' OR WORK IS SUSPENDED OR ABANDONED
FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS
COMMENCED PLAN REVIEW 25% OF SUBTOTAL
TOTAL - - - -_
Special Conditions L f��J4"�>✓_ I S_C K Y' -
-tcz_F{5_4-Z'� _ Date issued -- --by---- -- ---
CITYOF TIOARD _ SEWER CONNECTION PERMIT
DEVELOPMENT SERVICES PERMIT#: SWR97-00336
13125 SW Hall Elvd.,Tigard, OR 97223 (503) 639-4171 DATE ISSUED:
SITE ADDRESS; 10260 SW GREENBURG RD 1000 PARCEL: IS135AB-03400
SUBDIVISION: LINCOLN TOWER-TOWN OF METZGER ZONING: C-P
BLOCK: LOT: 014 JURISDICTION: TIG
TENANT NAME: INFOTEC
USA, NO: FIXTURE UNITS: 3
CLASS OF WORK: ALT DWELLING UNITS: 0
TYPE OF USE: COM NO. OF BUILDINGS: 0
INSTALL TYPE: BUSWR IMPERV SURFACE: 0
Remarks: RE: PLM97-0347
Owner: FEES _
Type By Date Amount Receipt
To+al
(Phone: --- ----
Contractor:
Phone:
Reg#:
Required Inspections
This Applicant agrees to comply with all the rules and regulatic ns 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
Issued by: (.ti,C,c.(f Q1 CIA I �IL Permittee Signature:
Call (501) 639-4175 by 7:00 P.M. for an inspection needed the next business day