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2 REELECTED CEILING PLAN FOP SUITE 1050
DRAWING TITLE:
- AMERICAN 4VAC LAYe)UL-r
� I NCGJQB TITLE: E& EDWARDS
MEATING,
IL)NC,n LN T'0 WE R
1339 S.E. GIDEON STREET
PORTLAND, OREGON 97202.2418 -%UXTE l 060
TELEPHONE (5U3) 239-4600 FAX (503) 239.7038
NOTICE: IF THEP�IPJTORTYFt7NANY ► ! ►-i ! ! � � ! III ! I I ! � � I ! I IIIIIII � ! III ! I I ! III �T � I1II I IIT17 IIIIIII IIIIIII IlI I i III III I � I III IIIII I IIIII � I III fIl � Ilf III III I 1111 III 1111111 III I � I IIIIIII ' III III IIII ' ! 11
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ORIGINAL DOCUMENT 6 8 L E Z II 31tli�w
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10260 9W GREENDURG RD 1050
ELECTRICAL PERMIT-
CITY OF T I G A R D
RESTRICTED ENERGY
DEVELOPMENT SERVICES PERMIT#: ELR2001-00135
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 5/7/01
SITE ADDRESS: 10260 SW GRFENBURG RD 1050 PARCEL: 1S135AB-03400
SUBDIVISION: LINCOLN TOWER-TOWN OF METZGER ZONING: C-P
BLOCK: LOT: 014 JURISDICTION: TIG
Proiect Description: Installation of low voltage for HVAC control.
A.RESIDENTIAL _ B.COMMERCIAL_ _
AUDIO & STEREO: AUDIO & STEREO: INTERCOM & PAGING:
BURGLAR ALARM: BOILER: LANDSCAPEiIRRIGAT:
GARAGE OPENER: CLOCK: MEDICAL:
HVAC: DATA/TELE COMM: NURSE CALLS:
VACUUM SYSTEM: FIRE ALARM: OUTDOOR LANDSC LITE:
OTHER: HVAC: X PROTECTIVE SIGNAL:
INSTRUMENTATION: OTHER:
TOTAL#OF SYSTEMS: _
Owner: — Contractor:
SFIEKER PROPERTIES AMERICAN HEATING
10260 SW GREENBURG RD 1339 SW GIDEON ST
SUITE # 100 PORTLAND, OR 97202
PORTLAND, OR 97223
Phone: 892-2500 Phone: 239-4600
Reg #: LK- 00033135
ELE 26-683CLE
FEES — _ Required Inspections
Type By Date Amount— Receipt --
PRMT CTR 5/7/01 $75.00 2720010000
5PCT CTR 5/7/01 $600 271"0010000
Total $81.00
This Permit is issued subject to the regulations contained in the Tigard Munidpal 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
riot started within 180 days of issuance, or if wnrk is suspended for mare than 180 days ATTENTION Oregon law
requjres you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
957-001-0010 through OAR 952001-0080. You may obtain copies of these rules or direrl,46estions to OUNC at (503)
246-1987 �\ ( _ '/ r _,-/ -,
IssWed by l.E� -- -'tet-- Permittee Signature
OW14ER INSTALLATION ONLY �Z
The installation is being made on property I own which is not intended for sale. lease, or rent.
OWNER'S SIGNATURES DATE:
CONTRACTOR INSTALLATION ONLY
SIGNATURE 01= SUPR. ELEC'N DATE
LICENSE NO:
Call 639-4175 by 7:00 P M. for an inspection needed the next business day
Electrical Permit Application
4creced: ) Permit�no.:ra' �,Ot
City of Tigard Projcct/appl.no.: Expire date:
Cin u(Ti;nr,1 Address: 131'5 SW I l fll Blvd,Tigard,OR 97223 Date issued: By. Receipt no.+
Phone: (5 03) 639-4171 - - --
Fax: (503) 598-1960 Case file no.: payment type.-
Land use approval:
JYPE OF PERMIT
O I &2 family dwelling or accessory ;�Commercialhndustrial U Multi-family *Tenant improvement
U New construction O Addition/alteration/replact:mcnt U Other: U Partial
/ 1 SITE INFORMATION
Job address: ,� Bldg. no.: Suitc nu.: /oTu Tax map/tax lot/account no.:
Lot: Qlock:� Subdivi l: A.r.+eu owCM
,
Projcct name: (� GdwartlS Description and location of work on premises: //yf,>v-=sem"v� --
Estimated date of completion/inspection:
CONTIUCTFORSCHEDULE
Job no: Fee Max
Business name: Descripflon Qty. (ea.) Total no.Insp
Jtv&'^�r n�=- Nese residential-single or multi-family per
Address: SE S _ _ doel ling unit.Inciudesattached gat•age.
te:
City: ` n StaX LIP: Q� QZ Seniceincluded:
Phone: 239-4404_ Fax:239.7r,381E-mail: ICOO sq.ft.OrlCss
�-CCB no.: Each additional 500 sq.ft.or portion thereof
33 1� Elcc.bus. lie.no: -- -
Limited energy,residential _ 2
City/metro lie.no.: 13/17_ - Limited energy,non-residential 2
Each manufactured home or modular dwelling
Signature of superg ele¢}tcian(required) A Uatr_ Ser,iceand/or feeder - 2
5
Sup.elect.name(pont): fe ve_ YGv,�.+ License no y C Srr rices or feeders-Instarlation,
PROPERTY OWNi
al(e ration or relocation:
200 amps or less 2
Name(print): a 201 amps to 400 amps --- _ - 2 _
w2 1'ry 1s Cr-1 CS 401 amps to 600 amps 2
Mailing address: _ ------
601 amps:0 1000 amps 2
City: --�~^ State: ZIP: Over 1000 amps or volts - 2
Phone: Fax: Email: Reconnect only i�
Owner installation:The installation is being made on property I own Temporary services or feeders•
which is not intended for sale,lease,rents or exchange according to i' "' '•�rret,,rt:,:a:
ORS 447,455,479,670,701. `00amps or less y 2
:01 amps to 400 amps 2
Owner's signature. _ Date: 401 to 600 amps �- 2
Bt-anch circuits-new,alteration•
or extension per panel:
Name: la ry,•r t rQ n ��A�s+�a Z�C A. Fee for brunch circuits with purchase of
/ 1 2
Address: 13�� S fi V i Q pAh >'� - service or(ceder fee,each B(anch circuit
City: �� -(q.,.t1 State:�1L ZIP• 7! B. Fee for branch circuits without purchase
of service or feeder fee,first branch circuit:
Phone: j,3t�_� 0 Fax: ,9 7d' Z Email: — --
Each addironal branch circuit
PLAN REVIEW(Plenie check all that apply) Misc.(Service or feeder not Included):
❑Service over 225 unps-cornrnercial U Health-care facility Each pump or irrigation circle _ 2
U Service over 320 anips-rating of 1&2 U Hazardous location F-ach sign or outline lighung _ 2
family dwellings U Buildingover 10.000 square feet four or Signal circwt(O or a limited energy panel i 2
•System over 600 volts nominal more residential units in one structure alterauon,or extension"
Q Building over three stories U Feeders.400 amps or more *Description:
O Occupant load over 99 persons U Manufactured structures or RV park F,2ch additional inspectlon over the allowable in any of the alcove:
1-1 Egress/fightingplan 0 Other i Per inspection _ [ —�—�j-
Submit!sets of plants with any of the above. Invcsngaucntee _
[lee above are not rppincable to temporary construction service. O her
tibr all jurisdictions xxM credit cards•please call jurisdiction for more information Notice:This permit application Permit fee.....................$ rULi
J visa U MasterCard expires if a permit is not oLiaincd Plan review(at _ %) S
Credit cud number: within 180 days ager it has been State surcharge(8%) ....S OO
r'"p1ef accepted as complete. TOTAL .......................S i5 f.00
None of cudholder L shown on credit cart
s
Cardholder uRnature flint+um
.i.ut u,"
I ITN'OF TIGARD BUILDING INSPECTION DIVISION
24-Hour Inspection Line: 639-4175 Business Line: 639-417 • MST
�,. BUP
-Date Requested �_�� AM PM gL
Location OZOO " CurtA.- I Suite _A:Czv sZ' ME l�.v/ -G
Contact Prsrsrn V6 u/ Ph L/ Y G' -G•J PLM —
Contractor _ Ph _ SWR
BUILDING 1-errant/Owner �' 61
f��,–z�� ELC
Retaining Wall _ ELR
Footing Access:
Foundation FPS -
Ftg Drain SGN
Crawl Drain Inspection Notes. -- -
Slab - ---- -- -- _- ------ SIT
Post& Beam ---_--
Ext Sheath/Shear
Int Sheath/Shear
Framing - - ----- ---------------
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling --
Roof ./
Misc: -- ------ - -� -- -----------
Final ---- �--�--- �..
PASS PART FAIL -------- - ----- -- -- 1---
PLUMBING
Post 8 Beam _-_---- -- ---- ------`'i--------�---
Under Slab
TopOut ___.__.__ ------------- ----- -----------------..___-___
Water Service --- ---- - - ---------------- - --
Sanitary Sewer
Rain Drains ___-_--
Final
PASS PART FAIL
C �
Post ,4leam ------------------
Rough
-Rough In
GasLine - - -- -- _.... _- - --------- -
Smoke t)aryipers
AS )PART FAIL
ITECTIRICAL
Service
Rough In
UG/Slab ---
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
Fire Supply Line ( ]Please call for reinspection RE: [ ]Unable to Inspect-no access
ADA
Approach/Sidewalk
Other Date Inspector�_ ` Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24-Hour Inspection Line: 639-4175 Bt+siness Line: 639-417-1 ,
/ BUP
_ _Date Requested �`// AM ___'_PM — BLD _
Location Suite 105-V MEC —
Contact Person _ Ph 0 G_ PLh7 -
Contractor Ph -- SWR __---
UILD Tenant/Owner — ELC. -
Retaining Wall ELR
Footing Access: FPS
Foundation - ------—
Ftg Drain SGN
Crawl Drain Inspection Notes: ------
Slap SIT
F & Beam -
I-xt Sheath/Shear _-
Int Sheath/Shear
Framing --
Insulation
DrywallNailing __-- -___-. ----__ -- ----_._-_-- _ _._---- -----..-__.__.-. _
Fire
-ire S ---
- - -----.-..._----
Erre larm �1
Susp'd Ceiling -------
Roof
----Roof
Fi � Y �l
ASS ,I PART FAIL. - ---- - ---- .1_
PLUMBING
Post8 Beam - ----_ _ ------ - - ----..__---- - ---- —�----�-- -
Under Slab
Top Out �----�
Water Service
Sanitary Sewer
Rain Drains
Final
PASS PART FAIL
MECHANICAL
Past& Beam - ... _... - ---- -- - ------ - - — - --
Rough In
GasLine _ ----- __— ---_------ -- -- ------ --------
Smoke Dampers
Final
PASS PART FAIL
ELECTRICAL --- -_ __ - --�.._ - _ ------- --_ -- ------
Service
Rough In
UG/Slab - ---- - - �.. --- ---- -
Low Voltage
Fire Alarm ---- ----. -- --- ---- �_ ---
Final
PASS PART FAIL --- ----- - - --- - ---- -
SITE ------
Backfill/Grading -
Sanitary Sewer
Storm Drain ( ] Reinspection fee of$_ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin ( ]Please call for reinspection RE: ( ]Unable to Inspect-no access
Fire Supply Line
ADA ----- -
Approach/Sidewalk Date ` ) Inspector Ext
Other _
Final
PASS PART FAIL 00 NOT REMOVE this inspection record from the job site.
CITY OF TIGARD BUILDiNG INSPECTION DIVISION
�/ MST
24-Hour Inspection Line: 639-4175 Business Line: 639-41 1
BLIP
Date Requested! BLD
Location �U at�io .Si.✓„ i-�'Lr� c�� '-eSuite /y���' MEC
Contact Person A k""• Ph qJe -0 S z> PLM _-__-_
Contractor Ph _ _ SWR
Tenant/Owner ELC
Retaining Wall ELR
Footing Access:
Foundation FPS
Fig Drain SGN
Crawl Drain Inspection Notes: — ---- —
Slab — - ...----..._..------- -- --... ------ —--- - --- SIT
Post& Beam -
Ext Sheath;Shear
Int Sheath/Shea
Framing
Insulation
Drywall Nailing -_-----.._-.-___ --
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling - - ----
Roof
Misc: - -....-- - - --
-in-aTj
S PART FAIL - -- ------ —
BING
Post& Beam - --- -- -
Under Slab
Top Out
Water Service
Sanitary Sewer ZZ-
Rain Drains
Final
PASS PART FAIL
MECHANICAL
Post& Beam -- —'
Rough In
Gas Line - - -- — -----
Smoke Dampers
Final ---- -- -- - -- ---- --
PASS PART FAIT_
ELECTRICAL_ -
Service
Rough In
UG/Slab —�.-
Low Voltage
Fire Alarm
Final
PASS PART FAIL
SITE
Backfill/Grading ---
Sanitary Sewer
Storm Drain [ ]Reinspection fee of$ _required before next Inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin [ )Please call for reinspection RE: [ J Unable to inspect-no access
Fire Supply Line
ADA l
Approach/Sidewalk �j \ 1./ 0 1 �i: _� Ext \
Other Date Inspector.___
Final
PASS PART FAIL DO NOT REMOVE this Inspection record from the job site.
y- 32 --
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24-Hour Inspection Line: 639-4175 Business Line: 63q-4171 _
BLIP
_ Date Requested_ ' 2- AM -PM _ BLD
Location 10Z-410 �w J��' _ _ Suite Z0 s _ MEC
Contact Person _ -__ Ph .6 �!3 PLM —_
Contractor _ _— Ph ----___ _ SWR _
BUILDING Tenant/Owner ` _ _
ELC Z 67
Retaining Wall ELi:
Footing Access
Foundation FPS _
Ftg Drain SGN
Crawl Drain Inspection Notes: -
Slab ---- -- --.. __._.___. SIT _
Post&Beam
Ext Sheath/Shear
Int Sheath/Shear
Framing — --
Insulation
Drywall Nailing -.._-
Firewall
Fire Sprinkler — - -
Fire Alarm
Susp'd Ceiling - — --- - --
Roof 112
Misc: _ ----- — ---- - -
Final -
PASS PART FAIL --- --- --- ----
PLUMBING
Post K 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
_ECTRI -
Service
Rough In
UG/Slab _
Low Voltage
Fire Alarm - --- -- ---
SS ART FAIL ------
Backfill/Grading -
Sanitary Sewer
Storm Drain [ J Reinspection fee of$-- _.equlred before next Inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin
Fire Supply line [ J Please call roc reinspection RE: [ )Unable to inspect-no access
ADA
Approach/Sidewalk �� 1f - Z�
Other Date11 Inspector _Ext
Final
PASS PART FAIL 00 NOT REMOVE this inspection record from the joh site.
CITY OF TIGARD BUILDING INSPECTION DIVISION
MST
24-Hour Inspection Line: 639-4175 Business Line: 639-4171
8UP _—
_—Date Requested AM —PM _—. BLD
Location ,Z v .��✓�I� �`Y't� �'`4_ /1� Suite _ �G JMEC
Contact Person �G/c� _ Ph 3 yj USG Pr M
Contractor Ph SWR
BUILDING Tenant/OwnerELC
Retaining Wali --_._�--_ ------ �--v ELR 2!JW/-*Jv a�
Footing Access:
Foundation FPS
Ftg Drain ----- SGS
Crawl Drain Inspertion Notes. -----
Slab ---- - ------------- --- SIT
Post&Beam --�
Ext Sheath/Shear
Int Sheath/Shear
Framing ✓ _ B;�'2 y"� _______�___
Insulation -
Drywall Nailing -----
Firewall
Fire Sprinkler ____ _L L11
Fire Alarm
Susp'd Ceili..9 -- - -- — - - -- -
Roof
Misc:Final
PASS PART FAIL_ ---
PLUMBING Q
Post& deam -
Under Slab
Top Out
Water Service
Sanitary Sewer
Rain Drains _
Final T
FASS PART FAIL_ _
MECHANICAL
Post& Beam --
Rough In -
Gas Line _ _ -- ----.---------_ _
Smoke Dampers
Final -- .. - --- -PASS PART PART FAIL.
Solvice.
Rough In ---------
lir/Slab I _--- ---__ -- -
Fire Alarm I - - - --- --- --
Final
PASS PART FAILSITE
Backfill/Grading - - ------— -
Sanitary Sewer
Storm Drain I I Reirlspechon foe of$ - required before n�nspectlon. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin Please call for reins pec h In RF Unable to inspect-no access
Fire Supply Line I I I "" ` --- I p
ADA
Approach/Sidewalk
Other Gate / - Inspector � ' � _ Ext
-�--•��- - - .-
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
BUILDING PERMIT
CITE OF TiGARD
PERMIT#: BUP2001-00165
DEVELOPMENT SERVICES DATE ISSUED: 5/14/01
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 PARCEL: 1S135AB-03400
SITE ADDRESS: 10260 SW GREENBURC; RE) 1050
SUBDIVISION: LINCOLN TOWER-TOWN OF METZGER ZONING: C-P
BLOCK: LOT: 014 JURISDICT;ON: TIG
REISSUE: FLOOR AREAS EXTERIOR WALT_ CONSTRUCTION
CLASS OF WORK: FPS FIRST: sf N: S: E: W:
TYPE OF USE: CCM SECOND: sf PROJECT OPENINGS?
TYPE OF CONST: 2FR sf N: S: E: W:
OCCUPANCY GRP: B TOTAL AREA: 0.00 sf ROOF CONST: FIRE RET?
OCCUPANCY LOAD: BASEMENT: sf AREA SEP. RATED:
S'r OR: 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: L1'5-0'(-)o
Remarks: Fire sprinkler modifications, relocate 5 heads, add 1 head and plug 1 head.
Owne-: Contractor:
SPIF_KER PROPERTIES AFP SYSTEMS INC
10260 SW GREENBURG RD 19435 SW 129TH
;UITE # 1000 g TUALATIN, OR 97062
PhRRone N89P25007223 Phone: 503-692-9284
Reg #: LIC 67534
FEES REQUIRED INSPECTIONS
Type By Date Amount Receipt V Sprinkler Rough-In
PRMT CTR 5/14/01 $62.50 27200100000 Sprinkler Final
5PCT CTR 5/14/01 $5.00 27200100000
Total $67.50
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 accr rdanoe 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) 246-8P, 9 or 1-80((i,3 2-2344
Pe rm rttee �^
Signatufe: X�--'��"T
i
Issu4l By:
Call 639-4175 by 7 p.m. for an Inspection the next business day
Building Permit Application
pDatereceived- /a/ Permitno.:k -eo/(t�
City of TigardProject/appl no.: Expire date:
('iry r�(Tigard Address: 13125 SW Hall Blvd,Tigard,OR 97223
Phone: (503) 639-4171 �I r'I Date issued: By: Receipt no.:
Fax: (503) 598-1960 oa vhf I 1 Case file no.: Payment type:
I .
Land use approval: _ 1&2 family:Simple Complex:
U I lite 2 family dwelling or accessory Ld nte,�j;llhnduslnal lJ Multi-lainfly U New construction U Demolition
19 Addition teratio" eplac'ement w Tenant improvement td 'irL- pIinkle larnl U Other:
Job address: I C,Z (rj sZL2 �l y-� ct. 1 C l __ �y� �wfA IJldg. no.: Suite no.:
IL
I.ot: Block: Subdivision: Tru map/tax lot/account no.:
Project name:(^ ___----
Descriptioird location of w rk on premises/special conditions:ILL.-S C_A Zl Rik a 2S. e-
( I►:,►�_1,x-2 --- —----- --
Name:
77L 171-'TZ i l
Mailing address: I Itts 1 & 2 family dwelling:
City: State:62 'ZIP: 9'122 Valuation of work........................................ $
Fax: E-mail: W.of bedrooms/baths.................................
Phone: —-- --
Owner's representative: Total number of floors.................................
Phone: Fax: IL-mail: New dwelling area(sq. ft.) .......................... --_— _ _--
Garage/carport area(sq.ft.).........................
Name: StL!-/I 11.►L Covered porch area(sq.ft.) ......................... _--�
13s 5,,,, 1 th v = Deck area(sq.ft.) ........................................
Mailing address: - _--
City:'y UALState�,a �l0l02 Other structure area(sq. fl.)..... ...................
Phone: Z_LiZ q Fax: it fi-mail Commercial/industrial/multi-family:
Valuationof work........................................ $
Existing bldg.area(sq.ft.) ..........................
Business name: W- "I...1� (,� L New bldg.area(sq.ft.)
Address: 1 N VI- Number of stories........................................ - ---
City: 1 A l. . State:plZ ZIP:91&a 2
Tylx�of construction.................................... - -
Phone: 6p A Z-CJ7.E4 ra : ia9xZ•I l I E-mail: Occupancy group(s). Existing:
CCB no.: C!JL(01 S New:
City/metro lic.no.: Notice:All contractors and subcontractors are required to be
licensed with(tic Oregon Construction Contractors Board under
Name: 10 F`iZC hl I r�ZTtj - provisions of ORS 701 and may he required to be licensed in the
—��— jurisdiction where work is being performed.If the applicant is
Address: Sc� Iv Z exempt from licensing.the following reason applies:
airy: — Stateai2 zit' ' -24$
Ci intact person: I Plan no.: - -
Fax:799.6,711 E-mail: —
Nanie: ('ontact person. Fees due upon application ........................... $
Address: —---- Date received: ---
City: .tate: ZIP: _ Amount received ......................................... $
Phone: rax: Email: Please refer to fee schedule.
I hereby certify I have read and examined this application and the Not all jurisdictions accept credit cards,please call jurisdkunn for more information.
attached checklist. All provisions of laws and ordinances governing this U visa U MasterCard
work will be complied ith, wl r specified herein or not. Credit card number: . — —
ritpires
Authorized..5. alure: _—_ Date: ��� C Name of cardholder ns shown on credit card _
Print name:_ l�lJ Q�-�11�I Cardholder slgnaiure s _Amount
Notice:phis permit application expires if a peroit is not obtained within 190 days after it has been accepted as complete a.ul 4611(4MCt's11'
Fire Protection Permit Check List
A.)_ ❑ New ❑ Addition__ _ Alteration ❑ ReLair —
B.) Modification to sprinkler heads only:
Describe work to 1. 1-10 heads: No plan review required.
be done: 2. 11+ heads: Flan review required.
Number of sprinkler heads:�
Additional description of work:
T e of System Com lets A or B as applicable):
A.) Sprinkler Wet ❑ _ D ry ❑__ _
Standpipes
Additional Hazard Group __—
Information Density
-Design Area
K. Factor
_Sprinkler Project Valuation:
B.) Fire Alarm
Submittal shall Batterjons Yes ❑
include: Individual Component Yes ❑
Cut Sheets
Fire Alarm Project Valuation: $
Project Valuation Subtotaj_j�k 8 $ _
Permit fee based on valuation .see chart):-. $
S_% State Siurcharge: $
FLS Plan Review 40'/oof Permit: $
TOTAL: $
lAdstaftmis\FPScheckBst.doc; 10/04/00
CITY O F T I G A R D - BU: DING Prt• MIT
PERMIT x: BUP2Gu1-00114
DEVELOPMENT SERVICES DATE ISSUED: '"7101
13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 PARCEL: 1S'i,,bAB-03400
SITE ADDRESS: 10260 SW GREENBURG RD 1050
SUBDIVISION: LINCOLN TOWER-TOWN OF METZGER ZONING: C-P
BLOCK. LOT: 014 JURISDICTION: TIG
REISSUE: FLOOR AREAS _ EXTERIOR WALL CONSTRUCTION
CLASS OF WORK: ALT FIRST: sf N: S: E: W:
TYPE OF USE: COM SECOND: sf PROJECT OPENINGS?
TYPE OF CONST: 2FR sf N: S: E: W:
OCCUPANCY GRP: B TOTAL AREA: 0.00 sf ROOF CONST: FIRE RET?
OCCUPANCY LOAD: 115 BASEMENT: sf AREA SEP. RATED:
STOR: HT: ft
GARAGE: sf OCCU SEP. RATED:
BSMT?: MEZZ?: _ REQD SETBACKSREQUIRED_
FLOOR LOAD: psf LEFT_ ft RGHT_ ft TR S,PKL: Y SMOK DET:
DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP ACC:Y
BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING:
VALUE: $ 34,000.On
Remarks: Tenant Improvement Existing 8007 s.f adding to existing 1535
Owner: Contractor:
SPIEKER PROPERTIES C SCHIEWE + ASSOCIATES
10260 SW GREENBURG RD 1024 NE DAVIS
SUITE # 100 PORTLAND, OR 97232
P��JnLe ND, OR 97223 Phone: 234-6617
one:
Reg#: LIC 54105
FEES REQUIRED INSPECTIO
Type By Date Amount Receipt Mechanical Permit Require
PLCK CTR 3/29/01 $228.02 27200100000 Electrical Permit Required
Sprinkler Permit Required
FIRE CTR 3/29/01 $14032 27200100000 Framing Insp
5PCT CTR 4/17/01 $28.06 27200100000 Gyp Board Insp
PRMT CTR 4/17/0' $350.80 27200100000 Susp Ceiing Insp
_ Final Inspection
Total — $747.20 _
This permit is issued subjCCt to the reyulat;ons contained in the Tigard Municipal Cade, State of OR Specialty Codes
and all other applicable Ia'N. 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 ruleq are set forth in OAR
952-001 0010 through OAR 952-001-1987. You may obtain a copy of these rules ur direct questions to OUNC by
calling (503) 246-6699 or 1-800-332-2344.
Pennittee
Signature-
Issued By: �'L/- ' �— ----- ---
Call 639-4175 by 7 p rn. for an inspection the next business day
Date Recd:
CITY OF TIGARD Recd B%/:
COMMERCIAL TENANT IMPROVEMENT
APPLICATION/PLANS SUBMITTAL REQUIREMENTS
Applicants: Please complete
APPLICANT
1. APPLICANT NAME: __ PHONE #:
2. SITE ADDRESS: FAX #
1. SITE PLAN (Fully dimensional, drawn to scale, showing existing parking, accessible route
to building) labeled with:
❑ map & tax lot 11, ❑ project name, ❑ site address, ❑ site number,
❑ coning, ❑ applicant name, ❑ phone number.
A. North Arrow
B. Scale (any standarr4, architectural or engineering only)
C. Street Names
2. See the "Commerical Plan Submittal Requirement Matrix" for number of plans required
based on submittal type (no redlines or tapeons accepted).
SIZE REQUIREMENTS: 24" X 36" (ROLL-ED)
ALL DETAILS LISTED BELOW SHALL BE INCORPORATED INTO THE PLANS
A. Floor plan(s)
B. Wall details
C. Reflective ceiling plan
D. Seismic bracing def ,,I for suspended ceiling
E. Specifications & calculations
F. ADA barrier removal worksheet
G. -Deposit - based on valuation of project
1:1WsNVomis%CWUap0.doc 10/4/00
LINCotN Tvw62_. —S'TF )oyo
SUBJECT: ACCESSIBILITY
BARRIER REMOVAL IMPROVEMENT PLAN
REQUIREMENT: OREGON REVISED STATUTE (ORS) 447.241.
(1) Every project for renovation, alteration or modification to affected buildings and related
facilities shall be made to insure that the path of travel to the altered area and the restroom,
telephones and drinking fountains ai readily accessible to individuals with disabilities unless
such alterations are disproportionate to the overall alterations in terms of cost and scope.
(2) Alterations made to the path of travel to an altered area may be deemed disproportionate to
the overall alteration when the cost exceeds twenty-five per-cent(25%).
VALUATION of all renovation, alteration or modification being done
excluding Fainting, wall narering. [11 $ 000 ��
multi•. 25% Barrier removal requirement. .25
BUDGETFOR BARRIER REMOVAL [21 $
In choosing which accessible elements to provide under this section, priority shall be given to those
elements that will provide the greatest access. Elements shall be provided in the following order
(a) Parking lot re5-t),'rFiN9 net, cwb c-li, sidewalk„t, $ 8.150c).00
si' 1,,4 b�ildi� e�{va-ceri t accc.r_rible st-411J,
(b) An accessible entrance. $ _
(c) An accessible route to the altered area: $
(d) At least one accessible restroom for $ _
each sex or a single unisex restroom
(e) Accessible telephones: $
(f) Accessible drinking fountains: and $
(g) When possible, additional accessible
elements such as storage and alarms $
TOTAL: Shall equal_line 2 of Value Computation $ 00_gr���.
I\dsts\fonns\access,doc
CITY O F T I G A R UELECTRICAL PERMIT
PERMIT#: ELC2001-00207
DEVELOPMENT SERVICES DATE ISSUED: 04/24/2001
13125 SW Hall Blvd.,Ticiard, OR 9722.3 (503) 639-4171 PARCEL: 1S135AB-03400
SITE ADDRESS: 10260 SW GREENBURG RD 1050
SUBDIVISION: LINCOLN TOWER-TOWN OF METZGER ZONING: C-P
BLOCK: LOT : 014 JURISDICTION: TIG
Preiect Description: Installation of(5) branch circuits. Tenant Improvement.
_ RESIDFNTIAL UNIT _ TEMP SRVC/FEEDERS _ MISCELLANEOUS
1000 SF OR LESS: 0 - 200 amp: PUMP/IRRIGATION:
EACH AnD'L 500SF: 201 - 400 amp: SIGN/OUT LINE LTG:
LIMITED ENERGY: 401 - 600 amp: SIGNAL/PANEL:
MANF HMI SVC/FDR: 601+amps - 1000 volts: MINOR LABEL (10):
SERVICE/FEEDER BRANCH CIRCUITS
_ _ ADD'L INSPECTIONS
0 - 200 amp: W/SERVICE OR FEEDER: PER INSPECTION:
201 - 400 amp: 1st W/O SRVC OR FDR: 1 PER HOUR:
401 - 600 amp: EA ADD'L BRNCH CIRC: 4 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:
SPIEKER PROPERTIES WILLAMETTE ELECTRIC INC
10260 SW GREENBURG RD PO BOX 230547
SUITE # 100 TIGARD, OR 97281
PORTLAND, OR 97223
Phone: 892-2500 Phone: 624-3631
Reg #: LIC 75059
SUP 1965S
ELE 34-283C
_ FEES Required Inspections
Type By Date Amount Receipt Wall Cover
PRMT CTR 04/24/2001 $73.41 2720010000( Elect'I Final
5PCT CTR 04/24/2001 $5 89 2720010000(
Total $79.33
This Permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR Specialty Codes and all other applicable laws
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 952-001-0060 You may obtain copies of these rules ordirect questions to OUNC at(503)
2.466699 or 1-800-332-2344
Permit Signature: Issued By: /I
OWNER INSTALLATION ONLY
1 he 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: , L)J.1_
LICENSE NO: I C,("5
Call 63.9-4175 by 7:00pm for an inspection the next business day
Electrical Permit Application
R G fuEG Date received: 1 Permit no.:h �_�U
r�.
City of 1 igard Project/appl.no.: Expire date:
City ofTigard Address: 13125 SW Hall Blvd,Ticard,OR 97223 Date issued: By: Receipt no.:
Phone: (503) 639-4171
Fax: (503) 598-1960 Case file no.: Payment type:
�OWAUNIIY VVF.LOV!, .
Land use approval: _-
tYPE OF PERMIT a
FU 1 &2 family dwelling or accessory U Commercial/industrial U N111111 family WITenant improvement
U New construction U Addition/alteration/replacement U Other: U Partial
11 SITUINFORMATION
Job address: 10j 4 Sw G t,.�1x�r _ - Bldg.no.: tiutir n /��U Tax map/lax lot/account no.: v�4
Lot: Block:
Project name: R b Fc( ule..t�A Description and location of work on premises: Tr�.a�7 �w�11;Ac./o, ,,,e,, I
Estimated date of camp'"itrrr/inspection
SCIIEDULE
.1A(`T0R APPLICATION
.lob no: 9 5 r'7 Max
BU510CSS name: 1 t All /w Description 011. (ea.) Total no.insp
New residential-single or multi-family per
Address: 3 -4i _ ___ dwelling unit.Include%attached garage.
City: I t Slate:C,'\ ZIP: cJ kpi Service included:
Phone: be -3te3t Fax:6e V--D38 I E-mail: lax)sq.ft.or less _.-- -- -- — n--
Each additional 5a)sq.It.or portion thereof
CCB no.: 9L r-o Elec.bus.lie:.no: -ZY3 C-. Limited energy,residential _ 2-
City/metro tic.no.: /S L.imitedenergy,non-residential _ _
4-
23-C,/ Each manufactured home or modular dwelling
SI nature of aupervis �ectrician(required) Date Service and/or feeder
Su .elect.nanu(printp Q�, F, `C' Licensena: f bS Services or feeders-installation, -
allemilon or relocation:
PROPERTV OW.N 11.1e 200 at.ps or less
Name(print): 201 amps to 400 amps
- -- ---- 401 amps to 600 amps
Mailing address: 601 amps to IOW amps 2
City: Stale: ZIP: Over I010 amps or volts 2 —
Phone: F-a I E-mail: Reconnectonly l
Owner installation:The installation is being made on property I own Temporary services or feeders-
which is not intended for sale,lease,rent,or exchange according to (nsta9ation,alteration,orrelocation:
200 amps or less 2
ORS 447,455,479,670,701.
201 amto to 4110 amps 2
Owner's signature: date: 401 to 600 ants 2
OLIN 10 1 Branch circuits-new,alteration,
or extension per panel:
Nance: _ A. Fee for branch circuits with purchase of
Address: service or feeder fee,each branch circuit
P: _d-r-A,h
B. Fee for branch circuits without purchase
City: Stale ZI
- - of service or feeder fee,first branch circuit: I yG 4 v
Phnnr Fax: 1'. mail: r
additional bran:t circuit:
Misc.(Service or feeder not Included):
U Service over 225 amps-commercial U Health-carr facility Rach 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 10,000 square feet four or Signal circuits)or a limited energy pnnel,
U system over 600 volts nominal more residential unit::in one structure alteration,or extension* -_ _ 2
U Building over three stories U Feeders.400 amps or more •Descrition:
U Occupant load aver 99 persons U Manufactured structures or RV park Earch additional Inspection over the allowable In any of rhe alcove:
U Egres0ightingplan U Other _ -_. Per inspection II—I-
Submit i sets of plans with any of the above. Investigation fee -
The above are not applicable to tempontry construction service. Other
Nor all jurisdiction,accept credit cards,please call jurisdiction rot mom information Notice:This permit applical ion Perttlit fee..................... _
U Visa U MasterCard expires if a permit is not obtained Plan review(at __ %) $
Credit card number1— within 180 days alter it has been Stale surcharge(8%) ....
Bxpiret accepted as complete. TOTAI. .......................
---Name of cardholder u shown on c h card
- Cardholder signature Amount 4404615(6MCOM)
Electrical Permit Fees: Limited Energy Fees:
TYPE OF WORK INVOLVED - RESIDENTIAL ONLY
Complete Fee Schedule Below: — ^—�—
Restricted Energy Fee..................................................... $75.00
Number of Inspections per permit allowed (FOR ALL SYSTEMS)
Service included: Items Cost To'al Check Type of Work Involved:
Residential-per unit
1000 sq It or less $145 15 _ 4 L� Audio and Stereo S;SI('PiS
Each additional 500 sq It or _
portion thereof $3340 _.._ 1 Burglar Alarm
Limited Energy $7500
Each Manufd Home or Modular Garage Door Opener'
Dwelling Service or Feeder $9090
Services or Feeders Heatiny,Ventilation and Air Conditioning System'
Installation,alteration,or relocation
200 amps or less $80.30 2 I Vacuum S Isms'
201 amps to 400 amps _ $106.85 y
401 amps to 600 amps $160.60
601 amps to 1000 amps $240.60 Olhor
Over 1000 amps or volts $454.65 2 --
Reconnect only $6685
Temporary Services or Feeders TYPE OF WORK INVOLVED -COMMERCIAL 01 It-Y
installation,alteration,or relocation
--- — Fee for each system.......................................................... $75.00
200 amps or less $66.85 2
201 amps to 400 amps _ $100.30 2 IS EE OAR 918-260-260)
401 amps to 600 amps $133 75
Over 600 amps to 1000 volts, Check Type of Work Involved:
see"b"above.
Audio and Stereo Systems
Branch Clrcults
New,alteration or extension per panel ❑ Boiler Controls
a)The fee for branch circuits
with purchase of service or ❑
feeder fee. Clock Systems
Each branch circuit $665
b)The fee for branch circuits Data Telecommunication Installation
without purchase o/service
or feeder fee. Fire Alarm Installation
First branch circuit $46.85
E ich additional branch circuit $6.65 -_ HVAC
Miscellaneous
(Service or feeder not Included) Instrumentation
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 El Landscape Irrigation Control'
Minor Labels(10) M $125.00 _
Each additional inspection over L� Medical
the allowable in any of the above
Per Inspection $62.50 _ _ Nurse Calls
Per hour $62.50 _
In Plant $73.75 ❑
Outdoor Landscape Lighting'
Fees:
[—j Protective Signaling
Enter total of above fees $
$ � F—] Other
6%Stale Surcharge
--_Number of Systems
25%Plan Review Fee
Bde"Plan Review"section on $ ' No licenses are required Licenses are required for all other installations
front of application.
Total Balance Due $ Fees:
Enter total of above fees S _
El Trust Account# __�
8%State Surcharge $____
Total Balance Due
i'.ldststfonnsklc-rccs.dec 10/09/00
CITYOF TIGARD MECHANICAL PERMiT
DEVELOPMENT SERVICES PERMIT#: 5/7/01 1 00150
13125 SW Hall Blvd.,Tigard, OR 9'7223 (503) 639-4171 DATE ISSUED: 1
PARCEL: 1 S13 S135AB-03400
SITE ADDRESS: 10260 SW GREENBURC= RD 1050
SUBDIVISION: LINCOLN TOWFR-TOWtI OF METZGER ZONING: C-P
BLOCK.: LOT: 014 JURISDICTION: TIG
CLASS OF WORK: OTR FLOOR FURN: EVAP COOLERS:
TYPE OF USE: COM UNIT HEATERS: VENT FANS:
OCCUPANCY GRP: B VENTS WIO APPL: VENT SYSTEMS:
STORIES _ BO_ILERS1COMPRESSORS HOODS:
FUEL TYPES _ 0 - 3 HP: DOMES. INCIN:
GAS A 3 15 HP: COMML. INCIN:
MAX INPUT: BTU 15 - 30 HF REPAIR UNITS:
FIRE DAMPERS?: 30 -50 HP: WOODSTOVES:
GAS PRESSURE: 504- HP: CLO DRYERS:
FURN < 100K BTU: 1 AIR HANDLING UNITS ` OTHER UNITS:
FURN —100K BTU: <= 10000 cfm:i GAS OUTLETS:
> 10000 cfm:
Remarks: Installation of HVAC system.
Owner: _ FEES
SPIEKER PROPERTIES Type By Date Amount Receipt
10260 SW GREENBURC RD PRMT CTR 5/7/01 $72.50 272004.000C
SUITE # 100 5PCT CTR 5/7/01 $5 80 272001000C
PORTLAND, OR 97223 —
�� Total $78.30
Phone:892-2500
Contractor_—
AMERICAN HEATING INC
1339 SE GIDEON
STE 1 _ _ REQUIRED INSPECTIONS _
PORTLAND, OR 9720^ Mechanical Insp
Phone:239-4600 Final Inspection
Reg #:LIC 33135
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore
Specialty .;odes and all other applicable laws. All work will be done in accordance with approved
plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended
for more than 180 days. ATTENTION: Ort.gon law requires you to follow rules adopted in the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0080.
Yomay obtain copies of theSr rules or direct questions to OUNC by fling (546-9189
Iss By: Y` Ll�C�">` '� Pear ittee SignatureW
Call (503) 639-4175 by 7:00 P.M. for inspections neq ed the ne usiness day
Mechanical Permit Application
-- Date received: Permit no.: ',"h7/
City of Tigard Project/appl.no.: Expire date:
City of Tigard Address: 13125 SW Hall Blvd,Tigard.OR 97223 Date issued: By: Receipt no.:
Phone: (503) 639-4171 t n
Fax: (503) 598-1960 Case file no.: Paymenttype:
Land use approval: _ Building permit no.: BUE J g2a I- 00 11 A4
U l &2 family dwelling or accessory )C'ommercial/industrial U Multi-family Tenant improvement
U New construction LI Addidon/alteradon/replace ment (]Other.
11 siru INFORMA-FION COMMERiCIAL VALUATION1
Job address: jw Indicate equipment quantities in boxes below. Indicate the dollar
Bldg.no.: Ii' As T em I Tuite no.: /p O value of all mechanical materials,equipment,labor,overhead,
Tax map/tax lut/account no.: profit.Value$ 0!.2 Z v .—
Lot: Block: I Subdivision: •See checklist for important application information and
Project name: E rot's jurisdiction's fee schedule for residential permit fee.
City/county: Ti hoar Zip: 97Z z 3 DWELLING PERmrr FEE SCMMULE
Description and location of work on premises: µVAC asaLyLal Am
Fee(m) Total
Est.date of completion/inspect.ion: DeKriptlou "y. Res.only Res.only
Tenant improvement or change of use: V AC:
Is existing space heated or conditioned?4Yes LJ No Air handling unit _ CFM —
Is existingsue insulated? Yes U No Air on_!uoning(site anrequ a )
P Alterationorexisting HVACsystem
t t Boiler/compressors
State boiler permit no.:
Rusiness name: fgti, ,' n HP Tons BTU/Il
Address: /� .�E �O� .S �Fire/smo-kedampersiductsmoke etectors
City: p j C/ State0e ZIP: ,?0L eat pump(site p en require )
Phone: ,� _ Q Pax _ E-mail: stal rep ace umace/burner BT !
Including ductwork/vent liner ❑Yes U No
CCB no.: nstal replac relocate heaters-suspend-
City/metro lic.no.: Q 77 wall,or floor mounted
Name(please print): f C yyr m Vent forappliance other than furnace
t t e geration:
Absorption units BTU/H
Chillers HP
Name: /�meY"T Compressors- HP
Address: a �" r'
knvtrotimental exhaust and vent at on:
City: ?—br State ZIP: oZ Appliance vent _
Phone: 23 _ V,,y p I Fax:,V y;V E-mail: Dryer exhaust
t Foods,Type U II/res.kitc en/hazmat
! hood fire suppression system
Name: '.nP le /4* �/-7 I e.: Exhaust fan with single duct(bath fLns)
Mailing addres haunt systema an from heating or AC
City: State: — ZIP: Fuel piping and distn ut on(op to 4 outlets)
Type: LPG NO Oil
Phone: Fax: E-mail: I Fuel piping each additional over 4 outlets
Process piping(schematicrequired)
Name: Number of outlets
Other"ed applIance or equipment:
Address: /3,5 S'L- lj eile-C.,,S _ Decorative fireplace
City n.L/"-n C.1 I State: ZIP: insert-type
Phone: -y'60D Fax• -70. [E-mail: oodstove/peIlet stove
Other:
LApplicant's signaturc� �� DatcS-/--/J/ Othcr
Name (print): (?�lG' /? ,,1_rf7'
Na all junsdlcuotu accept credit cant,piens-call junscilcuon for mor.-infcrmauoa Permit fee.....................$
Q visa 0!MasterCard Notice:This permit application Minimum fee................$
Credit card number _ �_L expires if a permit is not obtained plan review(at _S_ %) S
Eapira within 180 days ager it has been State surcharge(8%) ....S —
Name or cardholder as shown on credit-ard — accepted as complete.
Cardholder sitrratum Amount 440-4617 kW31C0M1
SEE 35MM
R.OLIiL# 23
FOR
LARGE
DOCUMENT