10260 SW GREENBURG ROAD STE 210-1 i
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10260 SW GREENBURG ROAD, SUITE 210 --
CITY OF TIGARD
.� DEVELOPMENT SERVICES
13125 SW Hall Blvd., Tigard,OR 97223 (503)639.4171
CERTIFICATE OF
OCCUPANCY
PERMIT #„ , . . . . . : BUP97—0403
DATE ISSUED: l:�iO3/97
PARCEL : 1 S 13 AS--0 5400
,ITE. SSW GREENBURG RD *210
;UNUIVISION. . . . %LINCOLN TOWC:'R-.TOWN OF METZGER ZC'NINGaC--P
13LOC:K. . . . . . . . . . s LOT. . . . . . . . . . . . . t014 ,7URISDICTIONs TIG
,*LASS CF WORK. s AL.T
fYps OF USF. . . sCUM
r'YV.:,E or., C ONGj1'R:2F P
OCCUPANCY CARP. s H
WCUPANCY LOADt 48
t WANf NAME. . . :HO PUSINE'SS' (:f:rJTC_R
n rM,es Tenant Impr -- Total remadel of existing 5, 2021 %4 ft Office %Pace.
IJwn 0Y'16
t\ORRIa BEGS R SIMPSON
10300 SW GREENBURG RP STE:
T I GARD OR 97Z'23
Phone #:
C,nnt tact or t
MALIBU F'taf1IF"IC
'/:35 NE JACKSON SC34001_ RUAI)
!ITi ; ,PORO OR 971L:4
1,it.-ne #t 693--9791
r?pg #. . . 00qj5r)0
1'F1ia Certificate qtr- ants occupancy of the above referenced b+tilding c►r^ Pnr-ti(
the,^eof and confirms that trip hvilding has been inspected far- compliance with
p �;t,stt� of Ur gan Specialty C;orie4 for the group, ar.cuPaaT►c:y, and use unc►er
� icFr the, reference►, permit waa is%ued.
R
i .
DING "ICIAL
rE RT HBUIL
Fist IN CONSPICUOUS PLACE
CITY OF TIGARD BUILDING INSPECTION DIVISION
24-Hour Inspection Line: 639-4175 Business Phone: 6394171
Date Requested: Z--(Y-:S- G A.M. P.M. MST:
I.ocation:_ (/��jBUR (5r7-0 p3
1~t /�
"Tenant:_ Suite:�y Bldg: � MEC: �7—
Contractu►: " Phone: /�, PLM:
(hurter: _
-- Phone: _._ ELC:
ELR:
C64,00 S SIT: _
BUILDING BLDG(coni) LU BIN (MECHANK j ELECTRICAL SITE
Site Post/Beam in Pos eam Cover/Service Sewer/Storm
Footing Roof UndF L) Rough-In Ceiling Water line
Slab Framing Top out Gas Line Rough-In UO Sprinkler
Foundation Insulation Sewer 7'' Hood/Duct Reconnect Vault
Ilsmt Damp Drywall Storm Furnace Temp Service MISC.
Masonry Ceiling Main Thain A/C UG Slab
Shear/Sheath Fire Spklr/Alm Crawl/Found Thr Heat Pump Low Volt
pprov Approved pprovNApproved Approved
Appr/Sdwlk �n�roved Not Approved ARrovcd Not Approved Not Approved
/'N`NV�Ri FINAL INAL FINAL FINA1,
D Call;or reinspection 0 Reinspection The of S� required before next inspection C71 Unable to inspect
lnspcx tor:_` - ----- -- Date: -- Page
i
CITY OF 1'ItGARD BUILDING INSPECTION DIVISION
IUB ' I 24-Hour Inspection Line: 639-4175 Business Phone. 6394171
Date Requested: 0AM, / 11.M. MST:
Location: 6C
Tenant: —_ SuiteBldg: --PAY-wC:
Contractor: — Phone: 16- 16 q PLM:
O _ /_ C�
Owner:_ Phone: _ ELC:� 0 6
- rC:
BUILDINGTC
on'q PLUMBING MECHANICAL ELF,CTRICAL SITE
Site i Post/Beam Post/Beam "� Sewer/Storm
Footing UndFl/Blah Rough-ln Ceiling Water Line
Slab Top Cn�t Chas Line Rough-ln (JCi Sprinkler
Foundation Sewer Hood/Uuct Recmnex Vault
lismt Damp Stonn Furnace Temp Servic MISC.Masonry Rain Drain A/C UG Slab Shear/Sheath /Alm Crawl/Found I it Heat Pump 1= /
roved Approved Approved Approve Approved
Appr/Sdwlk n A roved Not Approved Not Approved - -t*,t-Aj!p°�ved Not Approved !/
AZ FINAL FINAL -YrNAL l FINAL.
C1 Call for reinspection O Reinspectio f f$ required before next inspection 0 Unable to inspect
lnstxxtor. 1y__s`' 7 / Date: �` Q ___ Page of
j CITY OF TIGARD
DEVELOPMENT SERVICES
13125 SW Hall Blvd., Tigard,OR 97223 (503)639-4171
CITY Or TIGAPD Electrical Permit Ap lication Plan Check#
13125 SW HALL BLVD. �'7` Rec'd By 'f.'
1 I�
TIGARD OR 97223 bb Date Recd 4
Date to P.E.
Phone(503)639-4171, x304
Print Or Type Date to DST N
Inspection (503) 639-4175 Yp Permit#-f L
rax (503) 684-7297 incomplete or illegible will not be accep><ed Called-_ h
1. Job Address: ~� 4. Complete Fee Schedule Below:
Name of Development_-��7ykclq vie 9. Number of Inspe:tions per permit allowed
Name(or name of business) _ Service included: Items Cost Sum
Address ~ 4a. Residential-per unit
Cf /State/Zi __ r 1000 sq.n.or loss $110.00 4
ty p Each additional 500 sq.It,or
Commercica- Residential ❑ Limited Energy
portion l $25.00 _ _.._ t
_^ $25.00 _
Each Manut'd Home or Modular
2a. Contractor installation only: Dwelling Service or Feeder $68.00 _ 2
(Attacn copy of all c to t II;on _�� ' (l 4b.Services or Feeders
Electrical 'Qn a for 1 Q Ins►dliatioe,alteration,or relocation
200 amps or less $60.00 2
Addcityr� Jl ) State Zip_ 401 amps to 600 ams to 400 ps $e 0.00 _0.00 2
Phone o. _,(�_ �. 601 amps to 1000 amps $180.00 2
Job N0._ Over 1000 amps or volts i $340.00 2
Elec.Cont.Lice.No.' -xp.Dat -/� Reconnect only $50.00 2
E
OR State CCB Reg. No. L Exp.Date 4c.Temporary Services or Feeders
COT Business Tax or M o - �;Exp.Date _ Installation,alteration,or relocation
200 amps or less $50.00 2
Signature of Supr. Elec'n�' _�� _. 201 amps to 400 amps $75.00 2
401 amps to 600 amps $x100.00 2
� �7 b r Over 600 amps to 1000 volts,
License N�"r�r /...� xp.Date see"b"above.
Phone No.-
-_-- 4d.Branch Circuits
New,alteration or extension per panel
2b. For owner installations: a)The fee for branch circuits with
purchase of service or
Print Owner's Name _ feeder tae.
Address Each branch circuit 5.00 2
- b)The lee for branch circuits
CityJ StateZip without purchase of
Phone No. 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_ $5.00 2
intended for sale,lease or rent. 4e.Miscellaneous
(Service or feeder not included)
Owner's Signature _i Each pump or Irrigation circle _ $40.00 2
Each sign or outline lighting $40.00 2
3. Flan Review section (if required):* Signal clroult(s)or a limited energy~
panel,alteration or extension $40.00 _ _ 2
Please check appropriate Item and enter fee In section 5B. Minor Labels It 0) $100.00��
4 or more residential units in one structure 411.Each additional Inspection over
Service and feeder 225 amps or more the allowable In ary 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 $5500
'Submit 2 sets of plans with application where nny of the above apply. 5. Fees:
Not required for temporary construction services. 5a.Enter total of above fees $ �1
5%Surcharge(.05 X total fees) $ _
NOTICE Subtotal $
5b.Enter 25%of line 5a for
PERMITS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED IS Plan Review if reaulr (Sec.3) $ ---
NOT COMMENCED WI I-HIN 180 DAYS,OR IF CONSTRUCTION OR WORK I Subtotal $IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY
Trip 1 Account R
TIME AFTER WORK IS COMMENCED.
jTotal balartce Due d
I:\b51S\E1-C96A1T Rov9796
CITY OF TIGARD ELECTRICAL FF_RIhIT
DEVELOPMENT SERVICES V,ERNIT #: ELC97--0675
u 13125 5::'Hall Blvd., Tigard,OR 97223 (503)639-4171 DATE ISSUED: 10/14/97
F,ARCEL..: 1 S 135AB--03400
51TE ADDRESS 10260 SW GRF_ENBURG RD #210
SUBDIVISION. . . . :TOWN OF' METZGER ZONING:C .F,
BI.Orl,. . . . . , . . „ . . . . . . . . . . . . .. . :014 JURISDICTION TIG
Pro ject Dest-ription : Add twenty (20) branch circuits to an existing coeaercial
tenant ocepy.
-RESIDENTIAL. UNIT---- --•-TEMP�SRVf. /FEEDERS_ ----- ----_--MISCELL.ANE'OUS---.--
1000 EF OR LESS. . . . : o 0 ',00 amp. . . . . . . : 0 PIUMF,/IRRIGATION. . . . : 0
EACH ADD' !._ 500SF. . . : 0 201 - 400 amp. . . . . . . : 0 SIGN/OUT LINE LTG. . : 0
LIMITED ENERGY. . . . . : 0 401 - 600 amp. . . . . . . : 0 SIGNAL.,/PANEL. . . . . . . : 0
MANF. HM/ SVC/FDR. . : 0 601 +amps-1000 volts. : 0 MINOR LABEL ( 1.0) . . . : 0
-.._---.__.SERVICE/FEEDER-.•___.. - __-_._._..BRANCH CIRCI.IITS-._-- - -- AD1)' L INSF,ECTIONS--- ---
0 200 camp. . . . . . : 0 W/SC_RVICE OR FEEDER: 0 PIER INSPECTION. . . . . : 0
201 - 400 amp. . . . . . : 0 1st W/0 SRVC OR FDR. : 1 F,FR HOUR. . . . . . . . . . . :
401. - 600 amp. . . . . . : 0 EA ADD' L F3RNCH CIRC- 1.9 IN F,L.ANT. . . . . . . . . . . . 0
601. 1000 :imp. . . . . : 0 -----..-______._______F�Lr�N REVIEW SECT I
1000+ amp/volt. . . . . : 0 ) =4 RES L)NITS. . . . . . . . .. ) 600 VOLT NOMINAL. . :
Reconnect only. . . . . : 0 SVC/FDR ) = 22'5 AMPS. . : CLASS AREA/SPEC OCC. :
Owner: - -- - -_._____._.____..___.___ ____.__._______. rE'E:S
NORRIS BEGGS & SIMF'SON type amoi_int by date `- Wrecpt`-
10300 SW GREENBURG RD STE 200 PRMT + 130. 00 GEO 10/14/97 97--:x004?31
T I GFiRD OR 97223 5PC T $ 6. 50 GEO 10/14/97 97-3000'-:l
Phone #:
Contrar_tor:
CHR I STENSON ELECTRIC INC S 136. 50 TOTAL.
1 1 1 SW COLUMBIA
STE 480 _ ------ REOU I RED I NSF,ECT I ONE
F'ORTL.AND OR 97201 Ceiling Cover-, Undergrol.ind Cove
Phone #: 241- 4812 Wall Cover Elect' 1 Servicp
Reg #. . : 000004
This perait is issued subject to the regulations contained in the Tigard Municipal Code, State of Oregon Specialty Codes and all other J
applicable laws. All work will be done in accordance wiih approved plans. This persit will expire if work is not started within 130
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 though OAR 952-001-1987. You may obtain a copy
of these rules or direct questions to OLW, by calling (503)?46-1987.
PIP trmittee Sig nati.tre:
"c ISS,
.ied By
__._-• ---.____ _____-_______._OWNER INSTALL_OT I ON
The installation is being made on property I own which is not intended for
si-A1 e, lease, or, rent.
OWNER' S SIGNATURE: DATE :
INSTALLATION ONLY- ------------_____
SI(-�NATLJRE OF SL)F,R. ELEC' N:
.._._ DATE: ���'� -•
LICENSE IVO.
4•+++++4•+++++++++++++++++++++.4-+++++4_+++-h+++++4+++++++++++++++•++++++++•+Call }++++}}+++
- vQW o. m. for- an inso rt ; on nodded the next ht
+•++++++++++++++++++++-! r++++++++++++++++++++}+-4-+++++++++++++•I-+-F-F+++-F++++++++++++
CITY GF TIGARD Electrical Permit Application PlarCheck k
13125 SW HALL BLVD. Ree'd By
TIGARD OR 97223 Date Rec'd-
Date to P.E.
Phone (503) 639-4171, x304 Print or Type Date to DST
Inspection (503) 639-4175 Permit a�GJr
Fax (503)684-7297 Incomplete or illegible will not be accepted Called_
1. Job Address: 4, Complete Fee Schedule Below:
Name of DevelopmentL IN COLN TOWER Number of Inspections per permit allowed
Name(or name of business) HEADQUARTERS SUITE 210 Service included: Items Cost Sum
Address 10260 SW GREF.NBURG RD 2ND FL 4a. Realdentlal-per unit
City/State/Zip PORTLAND OR 1000 sq.ft.or less $110.00 4
Each ndditionai 500 sq.ft.or
❑ thereof $25.00
Commerciat❑C Residential Lltniied Energy
$25.00
Each Manut'd Home or Modular
ROSS CROSBY GE.N:MAL I BU PACIFIC Dwelling Servlce or Feeder $68.00
2a. Contractor Installation only: qb.Services or Feeders
(Attach copy of all current licenses)
Electrical Contractor CHRI STENSON ELECTRIC, INC. Installation,alteration,or relocation
111 S.W. COLUMBIA, SUITE Y� 200 Strips Or 1089 $60.00
s
Addres201 amps to 400 amps $80.00 2
Ciry PORTLAND -State OR. Zip 97201-5886 _ 401 amps to 600 amps $120.00
Phone No._,', -2 -1$ _ - 601 amps to 1000 amps $16aoo __� 2
,lob No. Over 1000 amps or volts $34000 _�^
Elec.Cont. Lice. No. 26-34C Exp.Date___ _ Reconnect only $50.00
OR State CCB Reg, No. 00,458 Exp.Date 4c.Tumporary Services or Feeders
COT Business Tax or Metro No. 5246 _Exp.Date_ Installation,alteration,or relocation
200 amps or less $5000
Signature of Supr. Elec'rl --�� ,� 201 amps to Soo amps $ 5.00 `
401 amps to 600 amps $100.00
Ove 600 amps to 1000 volts,
License No. 8735 Exp.Date - see"b"above.
Phone No. 5 1- -�$��_ 4d.Branch Circuits
New,alteration or extension per panel
2b. For owner installations: a)The fee for branch circuits with
purchase of:ervice or
Print Owner's Name feeder W.
Address 4� Each branch circuit $5.00 _
Cit StatZip b)The fee for branch circuits
Y e p - without purchase of 1
Phone No. service or feeder tee. 35.
First branch circuit $35.00
The installation is being made on property I own which Is not Edch additional branch circuit--4-;, $5.00 ___95_.__ 2
intended for sale,lease or rent. 4e.Miscellaneous
ce or
er not included)
Owner's Signature Eachrpump or Irrigation circle --
10.00
Each sign or outline lighting L40.00 _
3. Plan Review section (if required):* Signal circult(s)or a limited energy
panel,alterollon or extension $4000
Please check appropriate item and enter:ee In section 5B. Minor Labels(10) $100.00-'
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 $3500
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 of the above apply 5. Fees: 130.
Not required for temporary construction services. 5e.Enter total of above fees $
5%Surcharge(.05 X total fees) $
NUIICE Subtotal $ ----146 -SO
6b.Enter 25%cf line 5a for
PERMITS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED IS Plan Review it required(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
TIME AFTER WORK IS COMMENCED. ❑ Trust Account k_ _
$
Total belence Due 1� 1.6.50
I\e8TSTMOA.APP Rev 9W
CITY OF TIGARw.01.
DEVELOPMENT SERVICES BUILDING PERMIT
13125 SW Hall Blvd., ?ygard,OR 97223 (503)639-4171 PERMIT #. . . . . . . : PUP 97-0403
DATE ISSUED: 10/13/97
SITE ADDRESS. . . : 10260 SW GREENDURG RD #210 PARCEL: IS135JAB-023400
9UBDIVISION. . . . : TOWN OF METZGER ZONING:C P
JILO( K. . . . . . . . . . : __.___LOT. .._.-. . . ....
OT. . . . . . . . . . . .014 JURISDICTION:TIG
REYSSUE: .. FLOOR AREAS------------- EXTERIOR WALL CONSTRUCTION
CLASS OF WORK. :0L.T FIRST. . . . : 0 s N: 9: E: W:
-ryp"--- UF" :COM SECOND. . . : 0 sf PROTECT OPEN INGS )--
IYPE OF CONST. :2PR . . . : 5--102 sf N: S: E: W:
OCCUPANCY GRP. :B TOTAL-- -----: 5202 7i f ROOF CONST: FIRE RET? :
OCCUPANCY LOAD: 48 BASEMENT. : 0 sf AREA SEP. RATED:
STOR. : HT: 0 ft GARAGE. . . : 0 s OCCU SEP. RATED:
BSMT'? : MEZZ ` : RUDD SETBACKS----- REQUIRED-----
FLOOR LOAD. . . . 0 F)S-F LEFT : 0 ft RGH'r : 0 f t FIR SPKI-:Y 9MOK DET. . :N
DWELLING UNITS: VA FRNT: 0 f:t REAR: 0 ft FIR ALRM:N HNDICP ACC.-Y
PEDRMS: 0 BATHS: 0 IMF, SURFACE: 0 PRO CORR: PARKING: 0
VALUE. $ : 94500
Remark s - TenaA Impr - Total remodel of existing 5,M sq ft office spare.
FEES
NORRIS B17-S(3S & SIMPSON type amo�_int by date t,ecpt
10300, SW GREENBIJRG RD STE 200 PRMI $ 418. 017, DPA 1.0/13/97 97-299980
TIGARD OR 97223 5PCT $ 20- 90 DRA 10/13/97 97-299980
Phone V.: 452-5900 PLCV, $ 271. 70 DRA 10/ 13/':+'7 97-299980
FIPE $ 167. 20 DRA 10/i :3/97 97-299980
MAL IBU PAI IFIc
'735 NE JACKSON SCHOOL ROAD
HILLSBORO OR 97124
Phone #.* 693-9797
Reg #. Q005,-i0 $ 877. f30-TO TAL
REGUIRED TNSP7CTIONS
This permit is issued subject to the regulations contained in the Framing Insp
TigarJ Municipal Code, State of Ore. Specialty Codes and all other Gyp Soar,d Ins
applicablp laps. All wo-k will be done in accordance with SLISP Celln�, I n s p
approved plans. This Ferret will expire if work is not •tartpd
within 180 days o-1 issuance, or if work is suspended for more
than 190 day%. A"TFNTIDN: Oregon law requires you to fol',ast the
rulps adopted by the Oregon Otility Notification Cpnter. Those
rules are set forth in DAR 952101-010 through OAR 952-80191987.
You many obtain a copy of these rules or direct Questiors to OLK
by calling ( 43)246-1987.
P- n,i t t v P F;i gnat i.tt,e a
Y,
#-++++1 +++++•++++++++++++++1+++++ ++-++++++++++++.F++-i-++++++•1-++++++++++++++++++++j..............4-++4...............++++++++......
Call. 6,39-4175 by 7:00 p. m. for, all inspection needed the next business day
..++++++++++.............4-++4++4...++.+++++++.+++++.+++++++•'-++-+++++•+++++++++++...
Gommer'�ial Building Permit Aoliction
City of T19ard 13123 SW Mail 9tvd. TTQard,OR
SOJ16J9-1171 J /
Jobsite Address: bf.40 S, VJ �ns'��c6ct�► ,Qn OFFICE VS R
Tenant: IU any , Suite
Valuation: (moi 1 4
Owner: Ion,
Address: �( OG �W C11dLE[21L
Z � -722 _ ,
�
Telephone: _ � 5 19n CJ y.
•
Contractnr.M,A-t.►e,u ,I r-?eL �P;G
%ddress: 2)-S7 144:
" u ff:� ! ? Type of constr.
Telephone: &' 5 • 9 -7 Occupancy Class:
Contras+or's License # 5-9(n � Sprinkler? ('des Mo
(attach copy of curent Oregon license) =—�'
Sq. Ft. Of project �:-IC)Z--
:ontact name X telephone: l�l�.00,4 NO
C Story (I st, 2nd, etc.):
Architect & Engineer., aITN ;A-Ck- Q C.,
Proposed Use: Cask[ �,�-�_
Address: V
2 Previous use: I"'
Note: Plumbing & mechanical plans must
Telephone:- 7L be submitted at time of building permit
application.
.r-
lOB CESCRIPTION: ✓t,IF" t0 -!�Q. PIT
( pplicant Siqnat re & Telephone Number)
Received by: _ Data Received:
rCWTi COC (osn lass
PERMITS Account Description Amount Ant Pd. Balance Due
Budding Permit (BUILD)
Plurnoing Permit (PLUMB)
Mechanical Permit (MECH)
"State''ass +, (TAX)
Bldg.
Plumb.
Mach.
Plan Check (PLANCK)
Bldg.
Plumb. _
Me.h. _
—^` Sewer Connection (SWUSA)
Sewer Inspection (SWINSP)
Parks Dev Charge (PKSDC)
Residential 11F (TIF-R)
Mass Transit TIF (TIF-MT)
Commercial T1F (TIF-C)
Industrial iIF (TIF-i11
Institutional Tlr (TIF-!$)
Office TIF (TIF-0)
Water Quality (WQUAL)
Water Quanl'y (WQUANT)
Fire Life Safety (FLS)
Erosion Cntrl Permit (ERPRMT)
Erosion PlanckJUSA (ERPLAN)
Erosion Planck/COT (FROSIt!
TOTALS: "
ccrKn.Da
(CS-n iaV"
QYER THE C_Q NTER >(QTC�
(attachment to Submittal Criteria)
SUBJECT: ACCESSIBILITY
BARRIER REMOVAL IMPROVEMENT PLAN
REQUIRE 'IT. OREGON REVISEC STATUTE(ORS)447.24'i.
(1! Every protect for renovation,alteration or mcx;ification to affected buildings and related facilities shall be
made to msurn that the path of travel to the altar"area and the restroom,telephones and drinking
fountains are readily accessible to individuals with disabilities, unless such.iterations are d13proportionate
to the overall alterations in terms of ;nst 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%).
THEREFORE, Each submittal for a bulIJing permit shall include this forth providing the following
information. (Excluding re-roofing, mechanical and electrical permit applications)
YAWAMN of all renovation, alteration or modification being done 1
excluding painting, wallpapering. (1� $ .500
muitioly: 25% Barrier removal requirement. 25
BUDGET FOR BARRIER REMOVAL [2) $ G5
The dollar amount of the @MDS�F.� e:;tablirhed on line (2) in the computation above shall be spent
providing the accessible elements in the 011owing order.
1- An accessible route connecting th, gilding b accessible pedestrian
walkways, and the public way. $
(including but not limited to curb ramps,detectable warnings,
marked crossings,ramps handrails and landingsl.
2. Not less than one accessible parking space. $
(including but not dmited to adiaceot access aisle,signs and curb ramp �..�
connecting with the accessible route).
3. Accessible entry or entries. $
[including but not limited to ramps, handrails,(endings.
door sill height,door width and door hardware)
4. An accessible interior route to the altered area. $
(including but not limited to doorways,maneuvering
c:earances,door hardware and stairways).
At least one a:cessib;e restroom for each sex. $
6. At least one accessible telephone where public phones
are provided. $
7. When drinking fountains are required, fifty per-cent but
not less than one shall be accessible. $
8. Additional accessible elements such as storage, reach ranges,
alarms, etc. $
I01AL: sb�llQsuf�l_Li�1��Yalue Comdttiatlort� y
1.L I'1!'-r�f1 N J..f /l� r yr ► �. f'G��,� �, e, Y
is/otc=l.doc(DST)
.lc- tic-1 tc.' f�J'Y� e
I�
i
CITY OF TIGARD 13125 SW HALL BLVD TIGARD OR 97223
Agokkik YrAsHIhlGT ON ELECTRiCAL PERMIT
rf�J l U�470fo ' ndlso 8
iT
epapartMerl tlo
Electrical In 4 ,ttl
1kl~ First �3
rd Oregonplr
APPLICATiON
yo,
�. 4fPermit
. . Number �l-( �`'- t�?'nt Date
4. Complete Fee Schedule below
1. Location of installation _^ Number of Inspections per permit allowed
Address-_1 uwi sw wiFFNRiM' 111) Service included: Items Cost(ea.) Sum
Buildingg A. Residential- per unit
City TIGARD Suite No. UITE ,1100
' LINCOLN �' 1000 sq.n.or less $110.00 .__ a
Tenant Name CONTINENTAL INSURANCE Each additional 500 sq,it(it commercial) or portion thereof $25.00
Limited Energy $25.00 ?
Map No. Tax Lot Each Manuf'd Home or Modular
Thomas Map Book: Page:_ Section: Dwelling.Service or Feeder _ $6C.00 ?
Directions B. Services or Feeders
IN OFFICE CONTACT ROSS CROSBY 536-6409 MOBILE Installation,altorationsorrelocation
Commercial FX] Residential D to 200 amps less �- $60.00 - =- 2
201 amps to 400 amps $80.00 .. __ 2
401 amps to 600 amps $120.30 2
2a. Contractor installation only. 601 amps l 1000 amps $160.00 - 2
a
Y Over 1000 amps or volts $340.00 . 2
El(.ctiical Contractor CHRISTENSON ELEC'T'RIC, INC. neconnort only $50.0c
Address i i i vw cni.lrrtxTA, S iTTR 480
City PoR•ri.ANi) State,nR ZIP 97201- 886 C. Temporary Services or Feeders
Date- �j 17_f 9; Job Numi er )_ ry Installation,alteration or relocation
Property Owner _ 200 amps or less _- $50.00
__ __ 2
Contractor's License No. 26-345 201 amps to 400 amps $75.00_ --- 401 amps to 600 amps $10000
Contractor's Board Reg. No. 00458 Over 600 amps to 1000 volts see•a'above
Signature of Supr. Elec'n ..4 ,_ �. 1=s �� 1 i:�4'1.4 D. Branch Circuits
License No. 8735 _ Phone No. _.503-241-4812 Now,alteration or extension per panel
a) The fee for branch circuits with
2b. For owner Installations: purchase of service or feeder too.
•ach branch circuit $5.00 2
Print Own re a flame one o b) The fee for branch circuits without
purchase of servics or/seder lee.
First branch circuit 1 $35.00 35.00 __ 2
Each add'nl branch circuit 7 $5.00 '19-00 2
E. Miscellaneous (Service or Feeder not included)
Each pump or Irrigation circle $40.00 2
The installation is being made on property I own Each sign or outlIne lighting $40.00 2
which is not intended for sale lease or rent. Signal circuit(s)or a limited
' energy panel,alteration
Owner's Signature _____ or extension $40.00
F. Each additional inspection over the allowable
--- in any of the above
3. Plan Review section (if required) Per inspection $35.00
Per hour $55,00
Please check appropriate Item and enter fee In section 58. In Picini $55.00 � _____
or rnore residential units in one structure 5, Fees
__-__Service and feeder, 800 amps or mere 70.00
__System over 600 volts nominal A. Enter total of above fees $
_Classified area or structure containing special 5% Surcharge(.05 X total fees) $ 3_sn _
occupancy as described in N.E.C. Chapter 5 Subtotal $ 7-1-54-
B.
.1,EB. Enter 25% of line A for
Submit 2 sets of pla,-s with application where any of the Plan Review if required (Section 3) $
above apply. Not r_-qulred for temporary construction Subtotal $ 73.50
services. ❑ Tn st Account $
.-_- Balance Due $ 73.50 _
�`/�(�F�or Inspections/l (�( �c��aalld PIN 1110099 Thin permit becomN null and void"the work authorized by the permit Is not commenced
681-3699 640-3W or W3�-4415 681-1608 within leo day from date of Issue nee of such per mit or it the work authorized is
suspended or abandoned at any time after wore is commenced fw a perloa of 150 days.
24-hour roe-..der, one working day in advance of need Electrical Permits are nom refundable and non-banefereble.
8194
CITY OF TIGARD
DEVELOPMENT SERVICES PLUMBTNG PERMIT
rEr�mi'r #. . . . . . . : PLM97-0/i 1 ,-
13125 SW Hall Blvd., Tigard,OR 97.23 (503)639-4171 DATE ISSUED: 1.0/16/97
1.1nRCEL: 191.35AB-03400
IJE AT)DRFSS). . . 10P'60 73W GREENJAURG RD #210
:JPDIVISION. . . . TOWN OF MET ZGER ZONING: C---P
L.00K. . . . . . . . .. . LOT. . . . . . . . . . . . . .014 JURISDICTION: TIG
CLASS 01. WORT,. . -,ALT GARBAGE DTSPOSALS. 17.1 MOBILE 1-NOME SPACES. : 0
TYPE OF USE. . . . :COM, WASHING MACH. . . . . . : 0 BACKFLOW r,RFVNTRS. . : 0
OCCUPANCY GRP. . :B FLOOR DR('i!NS. . . . . . 1� TRAPS. . . . . . . . . . . . . . .. i�
r"ToRIES. . . . . . . . : 0 WATER HEATERS. . . . . : 0 CATCH BASINS. . . . . . . : 0
1 LAUNDRY TRAYS. — . . 0 qF RATN DPATNS. . . . . : 0
TNVIS. . . . . . . . . I URINALS. . . . . . . . . . . 0 GREASE TRAPS. . . . . . . : 0
LAVATORIES. . . . 0 GTHF7.R FIXTURE'S. . . . 0
TUB/SHOWERS. . . - 0 E-')FWER i..INE (ft ) . . . : 0
WATER CLOSETS. : 0 WATCR LINE (ft ) — : 13
DISHWASHERS. . . . : I RAIN DRAIN (ft) . . . : 0
REmat-ks : Pli.tmbiriq TI
Owner,: r-EFS
NORRIS BEGGS & sTmr,,30N t y P e amoUnt by r:At e I,ecpt
1.0300 SW GREENBURG RD STE 200 1-*IRMT $ 25. 00 CEO 10/16/9- 7 911-300148
TIGARD OR 5r,CT $ 1.. 125 GEO 17x/16/97 97-:3500146
Phone #:
DE','EMPLE CO INC
1.951. NW OVERTON ST
PORTLAND OR 97L,2,09
r'honp #: 227--2641 $ 26. 25 TOTn1--
Ren 000025
REQUI RFD INSPFCTIONr)
This permit is issued subject to the regulations contained in the Top----c)i.tt Insp
Tigard Municipal -,:dp, State of Ore. Specialty Codes and all other Final Inspection
appli-able laws. All work will be dint in accordance with
approved plans. This permit will expire if work is not started
within 180 days cf is,-,uancc, or if work is suspended for more
than 180 days, AT7W,3N.- DrPgon law requires you to follow rules
adopted by the Utilit-, Notification Center. Those rules are
set forth in OAR 952-000I-0010 through OAR 952-N8I-0080. 1'ou say
obtain copies of these rules or direct questions to "I by calling
1503)246-1987.
Pr i,"i i t t e e S i gnat 1.tr-e :�'�XLC at 1w,
Tsstted By,
++•+4•++++++++•++++++++++ +/++4...++++++++++++++++++++++++++++++++++++-++++++++++++
- - - -
Cal. 1 639-4175 by 7:00 p. m. for an inspection needed the next bt.ts iness day
+-4+4-4•....... ...4•F-+++++-++•++++....4-+4--++++4-+++++-+4-4-4-++++++++-+++-1-4--+-f-+++4++++++++++
d
ITY OF TIGARD Plumbing Applic..stion � � � Recd By
X125 SW HALL BLVD. Commercial and Residential oat.Recd
Dan to P E.
IGA,RD, OR 97223 Date to DST
03j 639-4171 Pemdts
Print or Type Related SWR s
Incomplete ov illegible applications will not be accepted Called
mom of DeveloprtNnvPropd . ;,(Indlv#drual) i1e + t w'&"K
FUCTURE3
Job ,LA ("jI o� " �`t V 900
9.00
Address b"tAdd" S el `I Tub or Ti WShowerComb. 9.00 -`
Bldg 0 GtyfStite zip shower Only 9.00
a✓� 0�� c� l ' water cioset 9.00
h �e Dlattwsaher9.00
1 Garbage Dlapasel 9.00
Owner Mailing Atfd1"' ' wabl"Mach" -
CdyrStata zJp Phone Floor Oran 2' 9.00
3• 9.00
Name 4- 9.00_ -
jj C` water Heater 9.00
Occupant A"id"es Suite 2 CC wry Room my 9.W
0 i $�% l,�.t w Il
GfylSten Zip Phone Urinal 9.00
k h ! �-✓ Other Fixtu es(Specify) 9.00
�� �f 1Y� A t t 9.00
It'(4 IL e
9.00
ontractor ma"m Address He ---
1��I N►U J'{'v IWN 9.00
to city/ftte Ph" - 9.00 -
�plican must �'1� �✓i l;�),�1 9.00 -
provide auor�on Const.Cam.Board Uc.t Ex oats _
moors )1 r, c' 4 ,:
'-LEASE COMPLETE A35 PP OP IATE TO PROJECT:
Fixtures to be capped, moved or replaced Qty
Sink
Lavatory
Tub or Tub/Shower Combination
Shower Only
_Water Closet
Dishwasher
Garbage Disposal
Washing Machine
Floor Drain 2" _
3"
4"
Water Heater
Laundry Room Tray
-Urinal
Other Fixtures (Specify)
COMMENTS REGARDING ABOVE:
Pplmapp.doc 12/96 (dst)
CITY OF TIGARD BUILDING INSPECTION NOTICE 1(e
Inspection
'Line (Rec•O-Phone): 639-4175 Business Phone: 639-4171
Inspection rte—
Sus 'ceiling Sprink. Rough in Appr/Sdwlk
Footing Fireplace
Foundation Plbg. nderslab Mech. Rough-in
P
FINAL:PostlBeam Struct. Plbg. Top Out Elec. Rough-inBldg
Post/Beam Mech. pan. Sewer Gas Line -Plumb.
lain Drain
Plbg. l�nderfloor Framing -Mech.
iter Line Insulation
Alarm - lect.
Shear Wall Underflr. Insul ll Gyp. Bd..� PM
Time* AM _—
Date Requested:_____
Address.
�-� � . /�- Permit
B'i iid eE:�'L V�1_�
THE FOLLOWING CORRECTIONS ARE REQUIRED:
-------------
__--�
t�
,►,� ,
Inspectr,r:
11- sem,
APPROVED ____DISAPPROVED _APPROVED SUBJECT TO ABOVE
Call For Reinsp.
CITY OF TIGARD MECHANTCAL.
DEVELOPMENT SERVICES PERMIT
13125 SW Hall Blvd., Tigard,OR 97223 (503)639.4171 PERMIT #. . . . . . . .. MEC97-0397
DATE ISSUED: 10/15/97
SITE ADDRES . . . : 10260 SW GREENBURG RD #210 PARCEL: IS135AS-03400
IS
SUBDIVISION. . . . : TOWN OF METZBEF ZONING: C—P
BLOCK. . . . . . . . . . : LOT. . . . . . . . . . . . . :014 JURISDICTION: TIG
----------------------------------------------------------------------------------- -
CLASS Or WORK. . :ALT FLOOR TURN. . . . : 0 EVAP COOLERS: 0
TYPE OF USE. . . . :COM UNI r HPATERS. . : VA VENT FANS. . . : 0
OCCUPANCY GRP. . :8 VENTS W/O APDL: 0 VENT SYSTEMS: 0
STORIES. . . . . . . . : 0 BOILERS/COMPRESSORS HOODS. . . . . . . : 0
FUEL TYPES--------------- 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
FIRE DAMPERS?_ : 30-50 HP. . . . : 0 WOUDSTOVES. . : 0
GAS PRESSURE_ : 50+. HP. . . . . 0 CLO DRYERS. . : 0
NO. OF AIR HANDLING UNITS OTHER UNITS. . I
PURN ( 100K BTU: 0 10000 cfm: 0 GAS OUTLETS. : 0
FURN ) =100K BTU: 0 > 10000 cfm : 0
Re mar,k s : Relocate mesc, gills and throo-stat. in an existing commercial tenant
occpyl
Owner,: FEES
NORRIS BEGGS & SIMPSON type amount by date t-ecpt
10300 SW GREENBURG RD STE 200 PRMT $ 25. 00 GEO 10/15/97 97-300089
TIGARD OR 97223 5PCT $ 1. 25 GEO 10/I5/97 97-3001-W1
Phone #:
Conti-actor:
NORTH PACIFIC HEATING
33700 SE DUUS RD
26. 25 TOTAL
ESTACADA OR 97023
Phone #:
Reg #. . : 000637
REQUIRED INSPECTIONS
This permit is issued subject to the regulations contained in the Fi.vial Inspection
Tigard Municipal Cede, State of Ore, Specialty Codes and all other
applicable laws. All work will be done N accordance with
,ipproyed plans. This permit will expire if work is tot started
within 180 day, of issuance, or if work is suspended for more
t5an 180 days. ATTENTION: Oregon law requires you to follow rules
adopted by the Oregon Utility Notification Center, Those rules are
set forth in OAR 952-01-0010 through OAR You may
obtain copies of these rules or direct questions to 0L1NC by calling
(503)246-9187.
ISSI.te By . Permittee Signatiit-p :
...........h++++++4•.......................F..........................................
Call 639-4175 by 7:00 p. m. for inspections needed the next bi.tsiness day
,++++t............. .............f..............................................
Pian Check it_
CITY OF TIGARD Mechanical Permit Application Recd By_, _
13125 SVV HALL BLVD. Commercial and Residential Date Recd
TIGARD, OR 97223 Date to P E _
(503) 639-4171, x304 Date to DST
Print or Type Permit N Affe"'
Incomplete or illegible applications will not be accepted Called
Name of DevetopmenvP,folect Description
Table 1A Mechanical Code aTY PRICE AMT
Job Street Address Suites A) Permit Fee -0- -0- 1000
Address ,
Bldg# fitsta zip B) Supplemental Permit 300
Name for name of business)) r, 1 ) Furnace to 100,000 BTU 600
Owner ,) incl.ducts&vents
Mailing Address it , 2.) Fumarx 100,000 BTU+ 7 50
i ,, :iPt.' incl ducts&vents
C. rtate ;r ip phone 3) Floor Furnace 600
$r - i inclvent
rm for nt+rne qt basins _ 4) Suspended heater,well heater 600
9Lai or floor mounted hoater
Occupant iin A dress 5) Vent not incl.in 3.00
•i appliance permit
CAyrstn z p Prion 6) Boiler or comp,heal pump,air Gond. 6.00
to 3 HP;absorp unit to 100K BTU
Contractor 7) Boiler or comp,heat pump,air Gond 11 00
(Prior to Ly�1,t —, t 3-15 HP;absorp unit to 500K BTU
issuance Mining Address 1 , 8) Boiler or comp,heat pump,air Gond 15 00
applicant -
_L.� _S� 15-30 HP;absorp amt 5.1 and BTU _
must provide ail c tyrsf s Zip Phone 9) Boder or comp,heat pump,air cond. 22.50
contractor YXs'k 30 50 HP,absorp unit 1-1.75 mil BTU
license Oregon Dost Com oars t is s Exp Date F 10) Boder or comp,heat pump,air cond 3750
information -`_7�[ `. _ >50 HP;absorp unit 1.75 mil BTU
for COT Co Bu er `r;'r, is Viii dF—Mew M Exp Owe 1'. ) Air handling unit to —T� 450
database) 77 ;1 _ 10.000 CFM _
Architect Name 12.1 Air handling unit 750
10.000 CTM+
or Mailing Addressi 13) Non,portable 450
evaporate cooler
Engineer +nsute Zr, Phone 14) Vent fan connected v 300
_ __to a sinsgle duct _
Describe work New 0 Addition O Alteration Repair O 15.) Ventilation system not 450
to be done Residential O Non-residential O included in appliance permit
Additional Description of work 16? Hood served by mechanical exhaust 450
17) Domr;stic incinerators 1 50
xisbng use of 18) Conrne(cial or industrialtype 3000
budding or property_ incinerator
19) Repair units _ 450
Proposed use of 20) Woodstove � 450
building or property
____ I 211 Clothes drier,etc 450
Type of fuel-oil O natural gas O LPGO electric 0 22) Other units 450
I hereby acknowledge that I have read this application,that the 23) Gas piping one to four outlets 200
information given is correct.that I am the owner or authorized agent of
the owner,that plans submitted are in compliance with Oregon State 24) More than 4-per outlet (each) 50
lawss. t
Signature of Ovvner/AgaD to i QTY.SUBTOTAL
n`7
'SUBTOTAL
~Contact Person Na,* (� PMone 5?/n SURCHARGE
PLAN REVIEW 25%OF SUBTOTAL
TOTAL � -7c�
i'Astirriechpmt doc ?rev 7,10-6) _ 'Minimum permit fee is 525+5%surcharge U`