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10260 SW GREENBURG ROAD STE 160-1 0 �J O` O i 1 J n v p i 0 i i I II 1S P i 10260 SW GREENBURG RD#160 CITYOF TIGARD _CERTIFIC'kTEOFOCCUPANCY DEVELOPMENT SERVICES_ PERM1 #: BUP2003-00288 13125 SW Hall Blvd., Tigard. OR 97223 (503) 639-4171 DATE ISSUED: 5/22/03 PARCEL: 'IS135AB 03400 ZONING: C-P JURISDICTION: TIG SITE ADDRESS- 10260 SW GREENBURG RD 160 SUBDIVISION: LINCOLN TOWER-TOWN OF METZGER BLOCK: LOT:014 CLASS OF WORK: ALT TYPE OF USE: COM TYPE OF CONSTR: 2FR OCCUPANCY GRP: B OCCUPANCY LOAD: 29 TENANT NAME:'rICOR TITLE REMARKS: TI New Office spaces and conference room Owner: FOP LINCOLN, LLC 10260 SW GREENBURG RD SUITE 100 P�1�16eNDAN712T'23 Contractor: C SCHIEWE +ASSOCIATES 1024 NE DAVIS PORTLAND, OR 97232 Phone: 21A-6617 Reg#: LIC S4 105 This Certificate issued 6/13/03 grants occupancy of the above referenced building or portion thereof and confirms that the building has been inspected for c41pliance with the State of Oregon Specialty Co es for the t-oup, occupancy, and use Und k hic the referenced permit was 7# B I DING I' SP_C R BUII_DIN M O CIAL POST IN CONSPICUOUS PLACE CITY OFTIGARD 24-Hour BUILDING Inspection Line: (503)639-4175 MST INSPE=CTION DIVISION Business Line: (503) 631-4171 BJP _--._-- -- Received _ Date Requested_. -_ AM - PM BLIP Location �_ _ ___— Suite MEC Contact Person _ _— Ph( ) —_ _-- -__ PLM Contractor _ Ph( ) 33 ( --O t_aH- Sw'R BUILDING Tenant/Owner _...-. ELC -_- -----_---_-_-- Footing -- ELC Foundation Access. +—_ Ftg Drain ` r �,y.1 S �-2 ELIl - - - - - -- - Crawl Drain �_— Slab Inspection N-lies: SIT ---------_--------_-__._. Post&Beam - ---- -----------___._--- -- Shear Anchors Ext Sheath/Shear Int Sheath/Shear Framing - - - - - ---- --- - -- - -- Insulation Drywall Nailing --- - - Firewall Fire Sprinkler ------ -- -- -- -- - Fire Alarm Susp'd Ceiling - -- --- - - --- - ---- Roof Other: - - --- - -- — --- Final PASS PART FAIL _PLUMBING Post&Beam Under Slab -- ----- -- Rough-In Water Service - --- Sanitary Sewer Rain Drains - ---- Catch Basin/Manhole Storm Drain ------- _�_-. Shower Pan Other:-- - --- - --�-- - -- :-- -- - Final 4tBgr�___ FAIL ---- --- --- ---- ----�- — —a Rough-In --- -- --- - - Gas Line Smoke Dampers - -- -- -- - - na PART FAIL --- -- - _- ---- L C1 RICAL Service - --- -- - --- — — — Rough-Ire --- -- ------ -- —--- -- UG/Slab Low Voltage ---- ----- -- --- -- ---Fire?Alarm Alarm Final [� Reinspection fee of$__ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS P-ART FAIL SITE — _ ❑ Please call for reinspection RE:_____-___- ___-__. r] Unable to inspect-no access Fire Supply Lina - li 316 '71-T-2-3 Inspector ADA Dnts '?�-� Approach/Sidewalk -_ Ext Other: Final 30 NOT REMU►VE this inspection record frown the job site. PASS PART FAIL CITY Uiip TWARD 24-Hour BUILDING Inspection Line: (503)639-4175 MST INSPECTION DIVISION Eusiness Line: (503) 639-4171 8..7P 3 20(9-3S-S- Received —..--Date Requested �3 AM _--- PM— - BUP Location — a O(�--- --- Suite I MEC Contact Person _ Ph (_ ) d �p, PLM --- Contractor --- Ph( ) — LY>SWR BUILDING Tenant/Owner ELC Footing ELC - --- Foundation Access: ELR Ftg Drain , -- _ Crawl Drain SIT Slab Inspection Nates: Post& Beam Shear Anchors Ext Sheath/Shear Int Sheath/Shear __— Framing ----- - - — - --_ Insulation Drywall Nailing - Firewall �fre"_�pf''Pnl�l --- Fire A arm - Susp'd CeiCng - Roof _ Other:__---.- _-- _PART FAIL — -- --�------ — �—� - BING —. - ------- ___ -- Post& Beam Under Slab --- ---—- — Rough-In Water Service --- `— Sanitary Sewer __ —.— Rain Drains Catch Basin/Manhole _ Storm Drain Shower Pan — Other: Final PASS PART FAIL MECHANICAL ---" Post&Peam Rough-,n - Gas Lite Smok,a Dampers Final PASS PART FAIL - Service Rough-In - - UG/Slab U-)w Voltage —- Fii S Alarm Final Reinspection fee of$—_ - required before next Inspection. Far sf City Hall, 13125 SW Hall Blvd _PASS PART FAIL SITE Please call for reinspection RE Unable to inspect-no access Fire Supply Line ADA Data ' //`3 Inspector �- - - ut— Approach/Sidewalk - Other I Infill DO NOT REMOVE this Inspection record from the Job site. PASS PART FAIL CITY OF TIGARD 24-Hour BUILDING Inspection Line: (503)639-4175 MST INSPECTION DIVISION Business Line: (503)639-4171 - BUP � _- D D Received _- .—_ Dale Requested _.__—_ I,'� r AM— PM___--. BLIP 3> C2 U 52C7Location __--_ v _ 6 ��1_Y —suite 3 d Z Contact Person Ph( ) -0PLM _ Contract _ _ -.- ----- ---- - _ — Ph( , —) _ SWR __-- UILDI Tenant/Owner _ -_ _- ��'�'C�t _— ELC - Q ELC _ -- Foundation Access: Ftg Drain ELR Crawl Drain Slab Inspection Notes: SIT --- Post&Beam Shear Anchors Ext Sheath/Shear Int Sheath/Shear Framing - - -- Insulation Drywall Nailing - — Firewall V1t! Fire Sprinkler --- - T Fire Alarm s/lLAI Susp'd Ceiling -" -- - �- Roof -� O, -- _... -- --- - - ' PART FAIL PLUMBING _— --- -- -------- ---- - Post&Beam Undar Slab Rough-In Water Service --- ---------- - -- --"-- Sanitary Sewer Rain Drains - --- T Catch Basin/Manhole _ Storm Drain �� ---- - - Shower Pan Other: Final _PASS PART FALL MECHANICAL -- Post&Beam Rough-In - ---- - --- --- -- Gas Line Smoke Dampers - - ----—""-- Final PASS PART FAIL -- -- --- —�-- ELECTRICAL -�- Service Rough-In _- - - -- --— ---------- UG/Slab Low Voltage - Fire Alarm Final Reinspection fee of$_ required before n-xt inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL SITE Please call for reinspection RE:_ __r__- _.___ Unable to inspect-no access Fire Supply LineADA / Approach/Sidewalk Date. / — Inspector Fxt l � �- - - - Other Final DO NOT REMOVE this Inspection record from the Job site. PASS PART FAIL CITY OF TIGARD 24-Hour BUILDING (,�� Inspection Line: (503) 639-4175 INSPECTION DIVISION `� Business Line: (503)639-4171 MST -__--_-- - BLIP -- Received -_ Date Requested__ �O _ AM __ PM 9UP Location D _�� ? 'LG_ SuiteMEC l U ` -------------- _.-------- Contact Person ( ) PLM ContractorPh( _) (o e-2 q-3 6F 3 SWR BUILDING r� Tenant/Owner ELC 3 _6—'�3/ 3 Footing Foundation Access: ELC Fig Drain Crawl Drain ELR Slab inspection M1lotes. -� �� SIT Post&Beam Shear Anchors - Ext Sheath/Shear Int Sheath/Shear Framing insulation Drywall Nailing _- Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Other: Final _PAS_S_PART FAIL - - - -- PLUMBING Post&Beam Under Slab Rough-In I Water Service -- i Sanitary Sewor Rain Drains -- Catch Basin!Manhole Storm Drain ---- Shower Pan Other: - Final PASS PART FAIL MECHANICAL Post&Beam Rough-In - Gas Line Smoke Dampers Final PASS PART FAIL ELECTRICAL _ Service --`f- --`- Rough-In _ UG/Slab — Low Voltage Fire Alarm `--- --- FinbS 1�-PASSART FAIL E] Reinspection fee of$__,__`_-required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. SITE E] Please call for r inspectio'pNF_:—____—__ Unable to Inspect-no access Fire Supply Line ADA —, � Approach/Sidewalk Date Inspeclor d" —�— - Other. Final DO NOT 'EMOVE this Inspection record fro.n 019)0b,site. PASS PART FAIL I A CITY OF T I G A R D REST ELECTRICAL PERMIT � ESTRI„TED ENERGY DEVELOPMENT SERVICES PERMIT#: ELR2003-00152 1 - 13125 SW Hall Blvd., Tipard, OR 97223 (503) 639-4171 DATE ISSUED: 6/4/03 SITE ADDRESS: 10260 SW GREENBURG RD 160 PARCEL: 1S135AB-03400 SUBDIVISION: LINCOLN TOWER-TOWN OF METZGER ZONING: C-P BLOCK: LOT: 014 JURISDICTION: TIG Proiect Description: Installation of limited energy for data telecornmunicatic,is. A. RESIDENTIAL B.COMMERCIAL AUDIO & STEREO: AUDIO& STEREO: INTERCOM & PAGING: P'IRGLAR ALARM: BOILER: I_ANDSCAPEIIRRIGAT: c,ARAGE 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: Contractor: EOP LINCOLN, LLC OMNI WIRE INC. 10260 SW GREENBURG RD 15621 SE MORRISON SUITE 100 PORTLAND, OR 97233 PORTLAND, OR 97223 Phone: Phone: 503-261-8714.9 Reg#: LIC 151222 ELE 26-1132('l I., SUP 3525.11.1 ;SEES Requ'red Inspections _Description Date _ Amount Low Voltage Inspection IELPRMTj ELR Permit 6/4/03 $75.00 Elect'I Final [TAX]81%,State Tax 6/4/03 $6.00 Total $81.00 This Permit is issued subjec'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 yo 0 ow adopted by the Oregon Utility Notification Center. Those rules are set forth In OAR 952-001-0010 throuc ( .� I ueci by 't � Permittee Signature OWNER INSTALLATION ONLY The installation 'C being made on pi iperty I own which is not Intended for sale, lease, or rent. OWNER'S SIGNATURE: DATE: CONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR. ELEC'N DATE: LICENSE NO: Call 639-4175 by 7:00 P.M. for an inspection needed the next business day Electrical Permit Application Received / Electrical �+' Date/B : Loy �_ Permit No.: GZtCD AaiD City of Tigard Planning Ap roval 13125 SW Hall Blvd. Date/By: Permit No.: Plan Review Other ` Tigard,Oregon 97223 Date/By: Permit No.: Phone: 503-639-4171 Fax: 503-598-1960 Post-Review Land Use Internet: www.ci.tigard.or.us Date/B ; Case No.: 24-hour Inspection Request: 503-639-4175 Contact Juris.: See Page 2 for Name/Method: Supplemental information. TYPE OF WORK PLAN REVIEW Please check all that a Iv New construction Demolition Service over 225 amps- LJ health-care facility Addition/alteration/re lacement [j Other: commercial ❑Hazardous location CATEGORY OF CONSTRUCTION Il Service over 320 amps-rating of ❑Building over 10,000 square feel, I&2 family dwellings four or more residential units in 1 &2-Family dwelling- ®Commercial/Industrial ❑System over 600 volts nominal one structure AccessoryBuilding, I]Building outs three stories ❑Fecders,400 amps or more _ Multi-Tamil ❑Occupant load over 99 persons ❑Manufactured structures or RV park Master Builder Other: ❑rgressdighting plan 1 Q other: _ JOB SITE INFORMATION and LOCA ON Submit sets of plans will,any of the above. Job site address: gyp'(,p� (q/�y �L The above are not applicable to temporary construction service. �1--�'��R� FEE"SCHEDULE Suite#: 131d _ _ _ Number of ins ecllons er ermit allowed - � Project Name: j r Ucscription t2ry Fee(n.) Total Cross street/Dircetions t0 job site: New residemlal-single or mum-randly per dwelling unit.Includes attached garage. I W)'a,Il.or less 14.115 4 _ _ __ Each additional 500 sq.fl.or pion thereof 33.40 1 Subdivision: ( #; '- Limited energy,residential 75-00 2 Limited energy,non residential 75,00 Tax ma / arced #: ` Fact,manufactured home or mr.dular dwelling DESCRIPTION OF WORK sen ice andlor feeder 90.90 2 ,erTces or feeders-h,stallatlon, Q alteration or relocation: 4 2011 amps or less _�_- 80.30 2 201 ams to 400 ams 106.85 2 _ 4C I am s to 600 am 160.60 1 PROPERTY OWNER ENANT 601 ams to 1000 Amps 240.60 2 - C 't, J — Over 1000 amps or volts 454.65 2 -t- Name: 1 � _ Reconnect onl Address: 10260 %cj �,I10 P 66.85 Tem 2 � 'G 1/ -�� 1 ora, services or feeders-installation, Cit /State/Zlp-e-ri {r ) 9 alteration,or relocation: ?3 2(>n amps or les; 66 i5 1 Phone: _ Fax: 201 amps to 400 Imps-- 100.30 2 401 to 6(x1 amps APPLICANT CONTACT PERSON 133.75 2 Branch circuits-new,alteration,or _Name: i_ extension per panel: Address: A.Fee for branch circuits with purchase of --- service or feeder fee,each branch circuit 6.65 2 �lty/State/Zip: B.Fee for branch circuits without porch .of Pho 1e: service or feeder fee,first branch circuit 46,65 2 Lach addlZ.onnt branch c rcuit 6.65 2 Misc.(Service or feeder riot included): CONTRACTOR Each um or irrigation circle 53.40 2 Job No: - Each signor outline li htinY --_,_ 53.40 2 _ Signal circui;(s)or a limited energy panel, - Busitiess Name:, 1 rte ./ati alteration,or extension Pae 2 2 _- Inscription: Address: 67I moa City/State/Zip: c� -o re Each additional Inspection over the allowable In an of the above: —_ Per ins ction per hour min. I hour 62.50 Phone:503 ?(i -t"'M Fax: Investigation fee: CCB Llc. #: 145 Llc. #: 26-113Z- Other: - Supervisingelectrics �3 _ Electrical Permit Fees _ �� ; a75. signature re aired. ubtotnl Plan Review 52540 of Permit tot S Print Name: _ Lie, #: C State Surchar a 8%of P,rmit Fee S TOTAL PERMIT FEE S 06 Authorized Notice: This permit application expires if a permit is not obtained within Signature: Dale: 180 days after It has been accepicd as complete. _u Date:---- *Fee methodology set Iry 71I-(bunts Building Industry Scrvfcc Beard -� (Please print name) -- ODsts\Permit Fornts\ElcPermitApp.doc 01/03 1 Electrical Permit Application - City of Tigard Page 2 - Supplemcutal Information LIMITED ENERGY PERMIT FEES: RESIDENTIAL.WORK ONLY: Feefor all systems............................................................ $75.00 Cher:;Type of Work Involved: 11 Audio and Stereo S,Isiemsk Burglar Alarni I _I Garage Door Opener* Beating,Ventilahnn and Air Conditioning System* ElVacuum Systems El Olhcr COMMERCIAL WORK ONLY: Fee for each system.......................................................... $75.00 (SH;OAR 916.260-260) Check Type of Work Involved: P.udio and Stereo Systems Boiler Controls Clock Systems ❑ Data Telecommunication Installation Fire Alarm Installation IIVAC 0 Instrumentation Intercom and Paging Systems Landscape Irrigation Control* E] Medica; Nurse Calls Outdoor Landscape Lighting* Protective Signaling Other_ ._Number of Systems * No licenses are required. Licenses are required for all other lustallatious i\Dsts\Permit Formr\ElcPermitAppPg2.doc 01/07 BUILDING PERMIT CITY OF T I G A R® ^PERMIT #: BUI'2003-00288 DEVELOPMENT" SERVICES DATE ISSUED: 5/22/03 13125 SVS Hall Blvd., Tigard, OR 97223 (503) 639-4171 PARCEL: 1S135AB-00900 SITE ADDRESS: 10260 SW GRFENBURG RD 160 ZONING: C-P SUBDIVISION: FIVE LINCOLN JURISDICTION: TIG BLOCK: _ LOT: — r REISSUE: —_ FLOOR AREASEXTERIOR WALL CONSTRUCTION CLASS OF WORK: ALT FIRST: 2,044 sf IN: 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: 2,044 sf ROOF CONST: FIRE RET? OCCUPANCY LOAD: 29 BASEMENT: sf AREA SEP. RATED: GARAGE: sf OCCU SEP. RATED: STOR: IiT: ft _REQUIRED_ BSMT?. MEZZ?: REQD SETBACKS -- — -_ _ -- — ---- FLOOR LOAD: DO LEFT: ft RGHT: Aft FIR SPKL: Y SMOK DET: DWELLING UNITS: FRNT: ft REAR: ft PRO CORR: HN PICP ACC: BEDRMS: BATHS: IMP SURFACE: VALUE: $ 15,000.00 Remarks: TI New Office spaces and conference room. Owner: Contractor: EOP LINCOLN, LLC C SCHIEWE + ASSOCIATES 10260 SW GREENBURG RD 1024 NE DAVIS SUITE 100 PORTLAND, OR 97232 PORTLAND,OR 97223 Phone: Phone: 234-6617 Reg #: LIC 54105 FEES REQUIRED INSPECTIONS �v Description Date Amount -- Mechanical Permit Require Electrical Permit Required [BUILD] Permit Fee 5/22/03 $187.30 Fire Alarm Permit Requirec I FAX]8%State Tax 5/22/03 $14.98 Framing Insp 1I3UPPI.N1 Pin Rv 5/22/03 $121.75 Gyp Board Insp II I SI FI.S 11111 RV 5/22_/03 $74.(2 Susp Ceiing Insp _ — Final Inspection Total $398.95 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicdole 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 Gregor Utility Notification Center. Those rules are set forth in OAR 952-001-0010 throdgh OAR 952-001-0100. You may obtain a copy of these rules or direct questions to OUNC by calling (503)246-6699 or 1-800-332-2344. Issued By: .' l it Lo, Per.nittee Signature: ��'• ��` - Call 639-4175 by 7 p.m. for an inspection the next business day Ruildin Permit A lication _ ' __ }�__--___—_ _. Received � Building �" Date/By: Permit 140.V 1 h�C)C:>3—C)r Planning Approval Other City of Tigard Date/Bv: Permit 14o.: 13125 SW Hall Blvd. Plan Review Other Tigard,Oregon 97223 Date/By: I^ZZ-67 Petmit'go Phone: 503-639-4171 Fax: 503-598-1960 Post-Review land Use Date/By: Case No. _ Internet: ww v.ci,tigard.or.usContact 1uris.: See fake 2 for 24-hour Inspection Request: 503-639-4175 Name/Method: Supplemental Information TYPE OF WORK — REQUIRED DATA: New construction a Demo litio n 1 &2 FAMILY DWELLING _Addition/alteration/replacement ❑Other: CATEGORY OF CONSTRUCTION Note Permit fees•arc based on the total value of the work performed. Indicate I &2-Family dwelling Commercial/Industrial the value(rounded to the nearest dollar)of'all cqui ment,materials,labui, — overhead and profit for the work indicated on this .ppltcalion Accessory Building Multi-Family Master Builder Other: Valuation.,.. _...................................... ...... JOB SITE INFORMATION and LOCATION No.of bedrooms: _ No.of baths:_ Job site address a SW GraerikiyrA_11,024 Total number of floors................... _--- -- _ )'��- New dwelling area(sq.ft.).. ........................ . SUt(e Bldg./A t.#:I,1 a Garage/carport arca(sq. ft.).......... Project Name: ' Ce)r• I It 14e Covered porch area(sq. R.)............................. Cross street/street/Directions to fob site: Deck area(sq. R.)................ .......... — ---� Other structure area(sq. fl.)....... . REQUIRED DATA: COMMERCIAL-USE CHECKLIST Subdivision: — -- _ Lot#: -_ - ax map/parcel#: Note: Permit Ices•are based on the total value ol't is work performed. Indicate DESCRIPTION OF WORK the value(rounded to the nearest dollar)of all equi,ment,materials,labor, ev---� ted on this..pplicebon. ven Ir+, ro er,e _ ...... Valuattonnd profit for the woe indicated $I5 Q� t--- - Existing building area(sq.ft.)...... .................. N — —.— New building area(sq.ft.)............................... 244 -T _ Number of stories.. . ................................. 2 tWP e PROPERTY OWNER TENANT Type of construction....._................................ V--lap, Name: En+ VITY OFFICE fFDFe?.TIE-S Occupancy group(s): Existing: New: �3 Address: 16260 sW Grettbt.rrr, SV;to 1160 _City/State/Zip: ort ald, Of-. 97223 Phone:WS 892-2500 Fax: NOTICE: All contractors and subcontractors are required to be � APPLICANT CONTACT PERSON licensed with the Oegon Construction Contractors Board under provisions of ORS 101 and may be required to be licensed in the Business Name: GSD itoet.S JhG, jurisdiction where work is being performed. If the applicant is exempt Contact Name: 12�? (L. Glor — from licensing,the following reason applies: Address: 120 MW Cwek St. Sus WO — — Cit !State/Zi002KA Off. _ Phone:503 2Z� 9(o6t'o Fax_— BUH,DING PERMIT FEES" t` E-mail: Please refer to fee schedule. r . CONTRACTOR ------ — Business Name: G. iii iewe (OnArtiefion Fees due upon application......................... Address: Int N E I>a�i's •S t p 97 2,2 Amount received,.................................. City/State/Zi! -_--- Phone_1;0'-!� 2 3 �+rC'1 Fax: _ Date received: CCB Lic. Authorized , Notice, This permit application expires If a permit Is not obtained within Signature: ��y• "^ _ Date:J 1 L L 3 180 dans after It has been accepted as complete. GIu r *Fee methodolo set by Trl-('ot.nty Building Industry Service Board. (Please print name) i-\Dsls\Permit Forms\BldgPermitApp.doc 01/03 , CITY OF TI GA R D ELECTRICAL PERMIT DEVELOPMENT SERVICES PERMIT#: ELC2003-00313 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 5/30/03 SITE ADDRESS: 10260 SW GREENBURG RD 160 PARCEL: 1 S 135AB-03400 SUBDIVISION: LINCOLN TOWER-TOWN OF METZGER ZONING: C-P BLOCK: LOT : 014 JURISDICTION: TIG Project Description- Installation of(3)branch circuits. _ 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 HMI SVC/FDR: 601+amps - 1000 volts: MINOR LABEL (10): SERVICE/FEEDER _ BRANCH CIRCUITS _ ADD'L INSPECTIONS 0 - 200 amro: W/SERVICE OR FEEDER: PER INSPECTION: 201 - 400 amp: 1st W/O SRVC OR FDR: 1 PER HOUR: 401 - 600 amp: EA ADD't_ BRNCH CIRC: 2 IN PLANT: 601 - 1000 amp: _ ____PLAN REVIEW SECTION _ 1000+ amp/volt: >=4 RES UNITS: >600 VOLT NOMINAL: — L Reconnect only: SVC/FDR>=225 AMPS: _CLASS AREA/SPEC OCC. Owner: Contractor: ^ EOP LINCOLN,LLC WILLAMETTE ELECTRIC INC 10260 SW GREENBURG RD F-- BOX 230547 SUITE 100 iGARD,OR 97281 PORTLAND,OR 97223 Phone: Phone: 503-624-3631 Reg #: LIC 75059 FEES SLIP 19655 ELE 34-283( Description Date Amount �- Required Inspections [ELI'RN,frJ ELC Pcrmit - iu n1 $60.15 - -----.— [TAX'8%State Tux 11 t $4.81 Rough-in -- Elect'I Final Total $64.96 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 052-001-0010 through OAR 952-001-0100. You may obtain copies of these rules or direct questions to OUNC at(503)246-6699 or 1-800-332-2344. Issued BY: Permit Signature: e9tl A 77c,%-1 OWNER INSTALLATION ONLY _ The installation is being made on property I own which is not intended for se,e, lease, or rent. OWNER'S SIGNATURE: _ DATE: CONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR. ELEC'N LICENSE NO: Call 639-4175 by 7:00pm for an Inspection the next business day Electrical Pert»it Applicafioll resit -- Date receivci:14�7 City of Tigard 0 2OU Project/r.pill.no.: Expire date; Address: 13125 SW I tall Blvd,Tigard,OR 97223 Hale issued: Ity tcceipt"°.: City of Tigard i jr (IGAt I Iwnc: (503) 639-4171 l Y c Case file no.: I'aynrcrrl type: Fax: (503) 598-1960 iIl ) .nl��l� UIVI Land use apprOvaL f U Multi-family M,I'enant improvement U 1 &2 family dwelling or accessory U commercial/industrial U partial U New construction U Add ition/alieratioli/replacemenl U Other: ^____—_ U 1 r C> ldg.no.: Suite no.: I 'fax ntalw(ax lot/account no., Job address: [OL — �I; Block: SuIxlivisi n: Procel name: T-1 t'U�1c1L� I Description end location of work on premises: rslintatrd dale(if r+,mnlclitmlinslx clirm 1111111r#11-10ii d!4111 rev Max Job no: '1 Z Ile,cri,Ilon 111 . ea Total nu.In* Uusinesa name: W, or"'IIIfamily Per Address: CI A TO T dnellinRwrN.Includes attached garage. SInIe:C/ ZIP: Zd J Service included: 4 Cil 1(x)0 cq ft.or less _ Phone: b'u -3 r I'ax: 6 7 -t ? E ltlail: Each additlonal Sly sq fl.o- r pu�lion llrercuf _ __ FIce.bus.lie.no: 3y- Z� _un,itedenergy,res'.-enlist 2 CCU no.: 7su ti-11 - 2 Limited enegy,non rrsidentld _ Cit /Mello tic.no.: /5--rr L �- z� U; Each murofeclwed home or mmrular dwelling Service and/or freder 2 51 nature oaf su� ilatriclan(re uhed) Date Sersleaorfeedera-Installation, - - - Snp.elect.nerne(prinl) r),N . �. IJcensena /9G 1""S alteration orrelocallon: 200 un 2 s or less 2 s 201 amps 10 4011 amps - 2 Name(prinl): _- 601 amps to 6(Xt amps 2 Meiling address: _ 601 amps to IOM enrps 2 City: _ _ Stale: Zl p: _ Over 1000 snips or volts _ _ _ 1 -ax: Ii-mail: Reconnect only Phone: Temporary servlet+or feeders- Owner installation:'Dlie installation is being made on property I own Installation,alteration,or relocation: which is not intended for sale,lease,ren2t,or exchange according to 200 amps or less -, 2 ORS 447,455,4/9,6 W, W I- 201 am sp to 400 snips _ 2 Owner's id nature: Dale: 401 10 600 sin ,_- Stanch circults-new,al(erallon, or extension per panel: Narnet A. ree for branch clrcuils will,purchase of 2 - service or feeder fee,each branch circuli Address: H. vee fm branch circults without purchase Y S City: _ _slate: zIP: of service or feeder fee,rust branch circuli: 2 - 1'. mail: Phone: rax: Each additional branch clrull: Mbe.(Sertlee or feeder not Included): _ 2 Pachl+ump or litigation thele 2 UService over225srnpm s•contrrciat Ullealth-carefscillty Each sign of outl;ne lighting _ U Serviceover:120 nnps•rating of M2 U Ra dousv1 location000 tgnare feel four u► 3lgnsl citcuH(s)or s limited energy psnei. family dwellings g sltersllon,orextensfrnr• 2 - cture U System over 600 volts nominal rrrore residential imils in one slruI U Building over diva stories U seeders,400 amps or Moro •UesLdPOon: U Occupant load over 99 persons U Manufactured swclures or RV pink fart addlilonal iospeclIon over flit allowable In any o_ f� The above.- O C{resdllgh0ngplan U Usher; f erinapeclion --L--- Submit M eels of plans vilI(h any a(the above. Invesllpstion fee consttlrcllon tenlce. Other _ Ile above are not applicable to temporary I'cntlil ice.............. S _ Nd YI)+I�dO11 s�rep eredlt cards,pleaet cell 1u'icdkdon fol mole Irrfarrrsd� Notice:lltis permit application airs plait review(at — %) UVisa UMaterCsrd expires if a pertnit is not obtained within Ido•lays after it hill')Cell Slalc.surcharge(84F+) ••••S _ ^rcdn card wml+n: r 1'O'1'AL — Ea rca accepted as Complete. s - rne c i u sen on" it et t3 t�, 410 4615(6+ooR.'C1M) Electrical Permit Fees: Limited Energy Fees: -- — TYPE OF WORK INVOLVED - RESIDENTIAL ONLY COnrplele Fee Schedule Below: --- -- ...................... $75.00 Rostrictad Energy Fee................................ Number of Ins eclions,per permit allowed (FOR ALL SYST LMS) service Included: Items Cost Total Chock Type of Work Involved: Residential-per unit $145A5 -- 4 Audio and Slerco Syslcros 1000 sq.11 or lees --- Each addllbr iI 50o sq 9 or $33.40 1 Utilglar Alarm portion thereof ----- $75.00 -_ Limited Energy - r�7 Each Menufd Ilene or MAW," 2 1_.J Garage Door Upener' Dwelling Service or I eeder _ ____ 590 90 � Healing,Ventilation and Nr Gundiliunfng Sysb-111' Services or Feeders Installation,alleratkxn,or relocaliun $80.30 2 Vacuum Systems' 200 amps or less _- _- 7 201 amps to 400 arnps $106.85 _ --- 5140.60 2 (�l Other 401 amps l0 400 proms --'- U . ._.___-- $740.40 - ? G01 amps to 1000.1114)q _ _ -- --- -- - _-- over 1000 amps cx volts __�_ $464 65 -_—,- 2 -� f- ---- $60.85 2 Reoorxcl only __� __ +e Temporary Services or Feeders TYPE OF WORK INVOLVED -COMMERCIAL.. ... ONLY Installation.31181`8110",or reloc:Nia1 $0t'.85 -_ 2 Fee for each system.................................................... ..... $75.00 M 700 amps or ss -- $100.30 - 2 (SEE OAR 910-26U-260) 101 amps Io 400 Amps - --- $133 75 2 . 401 amps to 600 props -_-- --- Chrtck Type()I Work Involved. oyer 600 amps to 1000 v(>fls, see"b°'above. Audis and Stereo Syslerns Branch Circuits ❑ New,alteration a 0►lensirxl per panel Uoller conlroln a)T11a tae fix branch clrcuils wllh purchase of service or L� clock Systenns feeder tee. $6.65 2 Each branch ckcur; _ -- - Data T elecammunicalion Inslallallon b)The foe for bxpncll clrcuils without purchess of service Fire Alarm InslaBallon or feeder tee' $40 8Ci Ir kit brorxll do ult Each additional branch circuit —.- $6.65 _— 1 IVAC Miscellaneous �l (Service rx leedo,nol Included) l- Instrumenlauorl Each pump or InKx+lkxn drule $53, u _ Each sign or o"Iline lighting _— $53.40 __-- l__J Intercom and Paging Syslenrs Signal clrcull(s)Of a Nmlled nnOrSif panel,alteration or exlensiw $14.00 _-- U Landscave Irrigation Conhul' Minot labels(10) _ $125.00 Each ai',dillonal Inspection over ❑ Medical the allowable In any of 1110 above $07.50 Per Inspectlpn - - u Nurse Galls $6750 Per hour $13 In Plant 513.75 ___ 0 Ouldom Landscape Lighting' Fres: El Prolective 519naling S Enter total of above fees 0 Olhar .____-_-- --------- -- p%Stais Surcharge $ ---- Nunlher of 5yslems 2 plan Review Fee $ .ado"an Rcvkwd'section ort IlO IICetnSAl1 are feQnl+ed. Licenses AIA IAQUIred(er all Ullrof IuSrallAtlrxls pont of application. Total Balance Duo $ Fees: r--� Enter total of above fees 3-- L J Trust Account N_--_,____..-- 8%Stale Surcharge 3� -- Total Balance Due 5-- - i kd%is\fonrokic-fees doe 1 0 419 3011 CI�T'Y OF i IOARD ._ MECHANICALPERMI" DEVELI PMENT SERVICES DATE ISSUED: 6 6/6/03 PERMIT#: 3-00302 /6/C3 13121.. SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 PARCEL: 1S135AB-03400 SITE ADDRESS: 10260 SW GREFNBURG RD 160 SUBDIVISION: LINCOLN TOWER-TOWN OF METZGER ZONING: C-P BLOCK: LOT: 014 JURISDICTION: TIG CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS: TYPE OF USE: COM UNIT HEATERS: VENT FANS: OCCUPANCY GRP: B VENTS W/O APPL: VENT SYSTEMS: STORIES: BOILERS/COMPRESSORS HOODS: FUEL TYPES 0 - 3 HP: DOMES. INCIN: ----- 3 - 15 HP: COMML. INCIN: MAX INPUT: BTU 15 -30 HP: REPAIR UNITS: FIRE DAMPERS?: 30 - 50 HP: WOODSTOVES: GAS PRESSURE: 50 + HP: CLO DRYERS: FURN < 100K BTU: AIR HANDLING UNITS OTHER UNITS: FURN >=100K BTLI: <= 10000 cfm: GAS OUTLETS: > 10000 cfm: Remarks: \(I 1 new VAV box and relocate diffusers as necessary. Floor plan attached. \,ilue: $2300.00 _ Owner: _ _ FEES EOP LINCOLN, LI-C Description _ _ Date Amount 10260 SW GREENBURG RD IMECHI I'crniil I cc 6/6/03 $72.10 SUITE 100 TAXI S Slatcki\ 6/6/03 $5.77 PORTLAND, OR 97223 — Total $77.87 Phone: Contractor: MCKINSTRY CO 5400 NE COLUMBIA BLVD PORTLAND, OR 97218 _ REQUIRED INSPECTIONS Mechanical Insp Phone: 331-0234 Final Inspection Reg#: LIC 40991 This permit i, issued subject to the regulations contained in the Tigard Municipal Code. State of Ore. Specialty Codes and all other applicable laws. All worm will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted in the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0O Issued B ' Permittee Signature: Call (503) 639-4175 by 7:00 P.M. for inspections needed th4dxt business day Mechanical Permit Application " .. Date received(._,,, Permit no. City of Tigard' and �- Projecdappl.no.: Expire date: Citta o. Tigard Address 13125 SW Ilull Blvd,Tigard,OR ,i,„I Date issued: By: Receipt no.: Phone: (503) 639-4171 Fax: (503) 598-1960 Case cite no.: Payment type: Land use approval: — Building permit no.: 7.11-1) ._ low U I &t 2 family dwelling or accessory U Commercial/industrial U Multi-family )(Tenant improvement U New construction LJ Addition/alterationneplacement _1 t ith•t Joh address. QZ(p V W Cit -Nf;U1�Cy 1,15 Indicate c4uipmc•:t Lluanttucs in boxes below. Indicate the dollar value of all mechanical materials,equipment,labor,overhead, Bldg. no.: TU V��e— Suite no.: 1(00 Tax map/tax lot/account no.: profit. Value$ — Lot: Block: Subdivision: _ *See checklist for important application information and Project name: R TlT L-� _ jurisdiction's fee schedule for residential permit fee. City/county: i Ic i(-\,kV ZIP: ct ' Description anti location of work on premises: Est.date of completion/inspection- Tenant ompletion/inspection _ Descriptiont<Dty. Nes.onh Res.only Tenant improvement or change of use: Air handling Unit CFM Is existing space heated or romlitioned?l f Ye', U No Air conditioning(site plan' require 1 Is existing,space insulaled' J'Yes U No terauon n existingHVAC system I _ of eticompressors State boiler permit no.: Business name: HP Tons BTU/H Address: Fire/smoke dampers/ uct smo a detectors City: '(2” AtJG State: ZIP: eat pump(site p an require ) _ Phone: Fax: E-mail: rep ace umace urner—_ 1311 U,H L Including ductwork/vent liner U Yes U No CCB no.: nsla rep ace rc ocate eaters-s—uspen3et. City/melto lit, no.: well,or floor mounted Name(please print): F� Z Vent ora iance other than furnace e r gent on: Absorption units _.— BTU'H Name: AGI�U�I Chillers _ _ His _ Compressors __ _— HP Address: 4CjC) li✓ ot.i.r.t-ItSIVN 131-.1P nr ronmenta exhaust and rent at om City: `Ir'CJX=TLA, [Stale: OR ZIP: Appliance vent Phone: I E-mail: ryer e' aunt Hoods,Type—f%�/res.kite en/harmat hood fire suppression system Name: Exhaust fan with single duct(bath fans) Mailing address: x gust s stens apart from heating or AC ue p p ng and distribution(up to 4 outlets) City: State: !II' ry e: _ LPti_ NGOil Phone: —�i i I ni,ul _Ful t iT n each itiona overout eTis rncess p p ng(sc erratic required) Number of outlets _ Name: Wilierstlf-ed eppf once o—ur eqin�nt Address: _ Decorative fireplace City tis ser /I I' nsert-type — oo q—tove.pellet stove Pltintc I .t� -- I mmi: Ot er. Applicant's signature: Date:to � t,j ter: —_ N rnelprint): �pRl Sgti_'SESLII~ _ Permit fee ..................... $ Not all lunsdictions accept credit cards.please call tunuticnon roe mme mrunnauon Notice: This permit application �visa J MasterCard expires fee................ $ --�--.-- expires if a permit is not obtained Plan review(at -- "hl Credit card numhet._ _— — s within 190 days atter it has been a• - t xpites State surcharge(8 a).... $ — TOTAI......................... $Name o —credit caM accepted as complete ! _ S _ Cardholder signature Amount .40.4617 1611000Mi > m L C, t11 J f l LM N _ do 0 �• `i r ; r m J oil 11 I 71mR TITI-E 195UR-. h-+ 1� a LIKu�W TaWER -- surr> 1wr^ � 10 Z(vd h IN Gitt�rl'E�uR Cs RD.� y � Ills PORTLAND, 0JZF _ tJ � 7Xj116 d o CITYOF T I G A R D - BUILDING PERMIT PERMIT#: BUP2003-00355 DEVELOPMENT SERVICES DATE ISSUED: 6/12/03 13125 SW Hall Blvd.,Tiqard, OR 97223 (503) 639-4171 PARCEL: 1S135AB-03400 SITE ADDRESS: 10260 SW GREENBURG RD 160 SUBDIVISION: LINCOLN TOWER-TOWN OF METZGER ZONING: C-P BLOCK: LOT: 014 JURISDICTION: TIG REISSUE: _ FLOOR AREAS _ _ EXTERIOR WALL CONSTRUCTION CLASS OF WORK: FPS FIRST: sf N: S: E: W: TYPE OF USE: COM SECOND: sf PROJECT OPENINGS? TYPE OF CONST: sf N: S: E: W: OCCUPANCY GRP: B TOTAL AREA: 0 sf ROOF CONST: FIRE RET? OCCUPANCY LOAD. BASEMENT: sf AREA SEP. RATED: STOR: HT: ft GARAGE: sf OCCU SEP. RATED: BSMT?: MEZZ?: _REQD SETBACKS REQUIRED LE _ FLOOR LOAD: psf FT: 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: 0O (—,C) Remarks: Add (1)fire sprinkler head and relocate (4). Owner: Contractor: EOP LINCOLN, LLC MCKINSTRY COMPANY 10260 SW GREENBURG RD 5400 NE COLUMBIA BLVD SUITE 100 PORTLAND, OR 97218 PORTLAND, OR 97223 Phone: Phone: 531-0234 Reg #: MET 44 & 0po0001179 FEES ~y _ LIC REQU INSPECTIONS Description Date Amount Sprinkler Rough-In 1131.11 DJ Pernni I cc 6112iO3 $62.50 Sprinkler Final TAXI 8',%)Stag I JS 6/12/03 $5.00 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 accordance with approved plans. This permit will expire it work is not started within 180 days of issuance, or if worm 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 952-001-0100. You may obtain a copy of these rules or direct questions to OUNC by calling (503)246-6699 or 1-800-332-2344. 1 � _ Issued By: LCL-C Permittee Signature _ _ i 411 63 -4 5 by p.m.for an Inspection the next business day Building Permit Application City of Tigard Gatereccived: (� /� C� Formica'.: _,ta :'�'��<,, Address: 13125 SW Hall Blvd,Tigard,gaud,OR 972:!1 froject/appl.no: Expire date: CiN n/'Tigard b� -- Phone: (503) 639-4171 Gate issued. BY: Receipt ria.: Fax: (503) 598-1960 -- — Case file no.: Payment type: Land use approval: — 1&2 family:Simple Complex: J I & ' lamily dwelling or accessory V Commercial/industrial U Multi-fancily 0 New construction U Demolition Add ieon/alteration/replacetticnt Tenant improvement 6a(> rc s rink er larm U Other: J09 SITE IINFORMAJ ION Job address: Bldg.no.: Suite no.: Lot: Bloc971ax map/tax lot/account j l ! no.: Il Project name: ' LU(v 1` S, IWE.'` - Description and location of work on premisesispecial conditions: l.vcM L yl c�yv Ar✓f� (-�flD e l) e,-XP. T IName: t (11 4-"\2l1 Mailing address: 1 & 2 family dwelling: City: State: 7.1 P: Valuation of work........................................ $ Phone: Fax: E-mail: No.of bedrooms/baths................................. Owner's representative: Total number of floors................................. Phone: Fax: l-mail: New dwelling area(sq. ft.) .......................... _W W LIMON 111111111 Garage/carport arca(sq. ft.)......................... Name- — Z /L I t�4 rt YT9 Lf Ccs,7Deckaiea(sc,.f1.) Covered porch area(sq. ft.) ......................... Mailing address: (X) (: C V L_U,rt(f)A /tjt_►1(� ...................................City. i l �(� State:C ZIP: Z Other N(rucu•re area(sq. ft.)......................... Phone: _�7.1,r p Lei Fax:iJ 1.(,,,ivCommercluUlnductrial/multhfamlly:, . Valuation of work $ �'X.— ORM Existing bldg.area(sq. ft.) .......................... Buvness name: --- N1t_krN•�it � t:v, Address: SddL) E New bldg.area(sq.ft.) ................................ oc�llsRiA (�vJD City: , c•.i , i Number of stories........................................ _ �/A Phone: Type of construction....................................State: � E-mail: Occupancy group(s): Existing: �i CCB no.: 2221 -v 1 of �`!o�►t3 I New: A^ City/metro lie.no.: Notice: All contractors and subcontractors are required to be licensed with the Oregon Construction Contractors Board under 'game: provisions of ORS 701 and may be required to he licensed in the Add*css: jurisdiction where work is being performed. If the applicant is State: J,IP: exempt from licensing,the following reason applies: r:c�etact person: Plan no.: - ------ Phane I Fax: E-mail: - ----- Name: Contact person: Fees due upon application ....... ................... $ _ kddress: Date rcceivcd: r�rt) State: [ZIP: Amount received ........ ................................ $ Ph(" Fax: E-mail : -_ Please refer to fee schedule. _ I hembpy certify I have read and examined this application and the Not all jurisdictions weep"credit cnMf,plena call jurisdiction for tttnre information aaactied checklist. All provisions of4it�s and ordinances goveming this ❑visa UMasteiCard work will be complied with, who er ipecified herein or not. Credit card number: [i r.p:res A AW-irizod Sio'u :;�- m Date; 0(d-1t-0'5 � Name o<cardhnlder as shown nn credit card Prat name - �k W A7U01Z _ -- —-- _ Cardhol&,signature Amount N,xm 7bia permit application expires if a permit is not obtained within 180 days after it has b n accepted as complete, "0461.1(6mcom) ), so Fire Protection Permit Check List A.) ❑ New ❑ Addition ❑ Alteration ❑ Repair B.) Modification to sprinkler heads on_I�__ Descriue work to 1. 1-10 heads: plan review ew requlredp be done: 2. 11+ heads: Plan review required Number of sprinkler heads: Additional description of work: }} 5��t N K4- Type of System Complete A, B_or C as apIp icable A.) Sprinkler Wet 1�~ D ry ❑ Stand Additional Hazard Group` Information Density _ _ — �►v _ Desi n Area__ K. Factor—Sprinkler Project Valuation: $ -�- v B.) Type I - Hood Fire Suppression System _ Hood Pro ect Valuation $ C.) Fire Alarm -----.____. ------ -___ — Submittal shall Battery Calculations _Yes ❑ Include: Individual Component Yes ❑ Cut Sheets Fire Alarm Project Valuation: $ Project Valuation Subtotal (A, B & C): $ Permit fee based on valuation see chart : $ ~8% State Surchar e: $ TFLS Plan Review 40% of Permit: $ TOTAL: $ Plan review requires a completed application and 3 sets of plans at submittal. Plan review fees are required at submittal. "New" fire protection systems require that plans bear the original seal of an Oregon licensed fire suppression engineer, or NICET level "3" technicians. OdstsVorms\FPSchecklist.doc 11/21/01