10260 SW GREENBURG ROAD STE 570-1 i
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102.60 SW GREENHURG ROAD
SUITE 570 �`
CITY OF TIGARD BUILDING INSPECTION DIVISION
24-Hour Inspection Line: 6394175 Business Phone: 6394171
Dnte Requested: ff�� //J �Off _ 4. P.M. MST:
Location: V lam' / _
Tenant:_ f--t C, 4 C d Suite: 570 Bldg: MEC: l
Contractor: Y / Phone: Z 2_7-21,4-' PLM: . - 01(
Owner- � �y� y� Phone: ELC:_ _
—.ju�g' �� A VUP1.4(_•+M ELR:�-- — —
_ SIT:
BUILDING BLDG(con't) C PLUMBING ) MECHANICAL ELECTRICAL SITE
Site Post/Beam Post./Beam Cover/Service Sewer/Storm
Footing Roof tDndFI/Slab Rough-In Ceiling Water Line
Slab Framing Top Out Gas Line Rough-In UG Sprinkler
Foundation Insulation Sewer Hood/Duct Reconnect Vault
Bsm►Damp Drywall Storm Furnace Temp Service MISC,
Masoury Ceiling Rain Thain A/C UG Slab
Shear/Sheath Fire Spklr/Alm Crawl/Found Dr Heat Pump Low Volt
Approved 1>�p_rtLLeci 1, Approved Approved Approved
Appr/Sdwlk No(Approved _1 Not Approved Not Approved Not Approved
FINAL FINAL FINAL FINAL
13 Call for reinspection 0 Reinspection fee.of 3 mquired beliir,!next inspection O Unable to inspect
Inspector: s Kr _� Date: - c�1 �_ Page of_ �_
CITY OF TIGARD BUILDING INSPECTION DIVISION
24-Hour Inspection Line: 639417:1 Business Phone: 6394171
Date Requested: c;2- _ ( O (q2 1�(I P.M. MST:
location: � ,2- )C Cij
BUP:
Tenant: _
Suite: Bldg-M1:C
8
Cantrnctor:_ Phone: 7 PLM:
Owner: Phon : G ELC:
ELR:
BUILDIN BLDG(con'() PLUMBINGMECHANICAL v ELECTRICA SITE
Site Post/Beam Post/Bcam Post/Beam Cover/Service Sewer/Storm
Footing Roof UndFI/Slah Rough-In Ceiling Water Line
Slab Framing Top Out C as Line Rough-hi U,j Sprinkler
Foundation Insulatian Sewer Hood/Duct Reconnect %atilt
Bs7n'Damp Drywall Storm Furnace Temp Service MISC.
Masonry Ceiling Rain Drain A/C UG Slab
Shear/Sheath Fire SpHr/Alin Crawl/Found Ili Heat Pump Low Volt
Approved Approved Approved Approved Approved
Appr/Sdwlk Not Approved Not Approved Not Approved Not A roved Not Approved
FINAL FINAI. FINAL F FINAL
I�-n7�
I -
O Call for reinspection Q Reinspection fee of s� required before next inspection 0 Unable to inspect
Inspector: _ Date:_ - Page — of
CITY OF TIGARD
CPEERMITEVELOPMENT SERVICES SEWER CONNECTION
MIT
13125 SW Nall Blvd„ Tigard,OR 97223 (503)639-4171 l='E.RM I'T #. . . . . . . : SWR98--000')
DATE ISSUED: O1/27/98
P(7,RCEL: 1S135AP-O3400
SITE ADDRr-SS, - . : 10 '60 SW GREENBURG RD #570
SUBDIVISION. . . . :TOWN OF MF-I 7_CiE R ZONING: C-P
BLOCK. . . . . . . LOT. . . . . . . . . . . . . :014 JURISDICTION: TIG
TENANT NAME. . . . . :KOCH CO
UFIXTURE UNITS. . . 7
SA NU. . . . . . . . . .
CLASS OF WORK. . . ,ALT DWELLING UNITS. . : 1
TYPE OF USE. . . . . :COM N0. OF BUILDINGS: 0
INSTALL TYPE. . . . :BUSWR IMF'ERV SURFACE: 0 sf
Remarks : RE: F'LM98-0013
Owner; ------_._____________.---__.----_______
FEES --__.__._______. _. _
NORRIS BEGGS & SIMPSON type---amoUnt by date rer_pt
121 SW MORRISON PRMT $ 2200. 00 B O1/27/98 98-302813
PORTLAND OR 97204
Phone #:
Contractor.: -------------------------------- I
OWNER
Phone #: --- $ 2200- 00 TOTAL.
Reg #. .
--------• REQUIRED INSPECTIONS
•----•--
This Applicant agrees to comply with all the rules and regulations ----•---- --of the Unified Sewage Agency. The permit expires 188 days fromthe date issued. The total amount paid will be forfeited if the
permit expires. The Agency does not guarantee the accu)acy of the -
side sewer laterals. If the sewer is not locateo at the measurement
given, the installer shat'. prospect 3 feet in all directions fromthe distance given. If not so located, the installer shall purchase
a "Tap and Side Sewer" Permit an6 the Agency will install a lateral.
ATTENTION: Oregon law requires you to follow rules adopted by the — -
Oregon Utility Notification Center. Those rules are set forth in OAR _ I
9S?-01-0010 through OAR 952-•0001-0888, You may obtain copies of ____ _ ---------------- - -
these rules or direct questions to OIJNC by calling (503)246-1967, - - —
Issued by : . Permittee Sinati_ire .._
+++++++f++++++•+++++++f-+++++-f4++++++++++++++++++++++++++++++++++++++++++++++++++
Call 639•-4175 by 7:00 p. m. for an insper_tion needed the next bi-isiness day
1 -1•+++++++*+++++++++++•#•+++++++-++++++++++++++ h+++++•F++++++++++++t+++++++++++-}-+++++
J
Accumulative Sewer Tally Tenant Name: CC This SWR#
Address: 1
,� d2 . ,,,,,1 TfCc"_.." ,��� �> fi� This PL.M#:
G Z
Fixture Value Previous Previous Credits Capped Fixtures Fixtures New total New
# Value Capped off value added# added #s total
_ Count off#s count value _values_
Baptist /Font _ 4
Bath-Tub/Shower 4 -
-Jacuzzi/Whirlpool 4
Car Wash- Each Stall 6 -
-Drive Through 16
CuspidorM/ater Aspirator 1 -
Dishwasher-Commercial 4 ,L
_
Domestic 2 -�
Drinking Fountain 1
Eye Wash 1
Floor Drain/sink-2 inch 2 _
3 inch 5 --
4 inch 6 —
_ -Car Wash Dan 6
Garbage Disposal f — 16
Domestic(to 3/4 HP)
Commercial(to 5 HP) r32�- �^
_Industrial(over 5 HP) 48 -
Ice Machine/Refrigerator Drains 1
Oil Sep(Gas Station_) 6 _
_Rec.Vehicle Dump Station 16 _
Showei .--Gang(Per head) 1 —Y
-Stall 2 -
Sink- Bar/Lavatory 2 -
- - Bradley
Commercial --^ _ 3 -` -- ---
Service 3
_Swimming Pool Filter 1 -
Washer-Clothes _ 6 —
Water Extractor _ 6
Water Closet-Tuilet 6
Urinal 6
TOTALS I — r/(p 6
Total fixture values.,-tl% divided by 16 = y'�"P cOEDU r
HISTORY
PLM# — C l/( - EDU# V'W- SWR# _PLP 1a '-?7-i7/q'7 EDU# c/� SWR#
PLM# -7 •�'33t' EDU# SWR# ci� v'356, PLMy EDU# SWR#
_PL_M# r?? 03`r - EDU# � SWR# PI_M# EDU# SWR#_--
PLM# Cl_(- 6'rc- EDU# c/ SWR# ? crL'zj' PLM_ # EDU# SWR#
i\dsts%wrtaly.doc ��
CITY OF TIGARD
DEVELOPMENT SERVdCES BUILDING PERMIT
A
1312.5 SW Nall Blvd., Tigard, OR 97223 (503)639.4171 DARE I TTE ISSUED:
1 BUP98-0001
D01/05/98
SITE ADDRESS. . . : 10260 SW GREENBURG RD #570 PARCEL: 15135AB--03400
SUBDIVISION. . . . : TOWN OF METZGER Z.ONING:C-P
BLOCK_y_-Y. i_ -__---LOT-__ .----------------..____-. ----DICTIONeT-C--_-_-----IS
REISSUE: FLOOR AREAS---------- EXTERIOR WALL CONSTRUCTION-
CLASS OF WORK. :A'-T FIRST. . . . : 0 sf N: S: E: W:
TYPE OF USE. . . :CUM SECOND. . . : 0 sf PROTECT OPENINGS'-----------
TYPE OF' CONST. :2FR FIFTH . . . 1938 sf N: S: E ; W:
OCCUPANCY GRP. :B TOTAL------: 1938 sf ROOF CONST: FIRE RET?:
OCCUPANCY LOAD: 19 BASEMENT. : 0 sf AREA SEP. RATED:
SrOR. : 0 HT: 0 ft GARAGE. . . : 0 sf OCCU SEP. RATED:
F1SM-I"': MEZ77: REOD SETBACKS----.---- REQUIRED-----------
FLOOR 1-DAD. . . . : 0 psf LEFT: 0 ft RGHT: 0 ft FIR SPKL: SMOK DET. . : __ _
DWELLING UNITS: 0 FRNT: 0 ft REAR: 0 ft FIR ALRM: HNDICP ACC:
BEDhMS: 0 BATHS: 0 IMP SURFACE: 0 PRO CORR: PARKING: 0
VALUE:. $: 16525
Remarks : Tenant improvement, a mechanical and sprinkler permit are required.
Owner: -------------------
MELVIN MARK, OWNER' S REP. -- ------------------------------ FEES --------------
type amount by date reept
10220 SW GREENBURG RD PRMT $ 122. 50 DRA 01/@"j/98 5
98-30226
C •J G
SUITE #150 5F'CT $ 6. 1.3 DRA 01/05/98 98-302265
TIGARD OR 67223 PLCK $ 79. 63 DRA 01/05/98 98-302265
Phone #: FIRE L 49. 00 DRA 01/05/98 98--302265
Contractor:
PIONEER CONSTRUCTION SERVICES
PO PDX 68304
M I LWAUK I E OR 97009...7268
'hone #: 652-1050 _--=---257. 26 TOTAL
Reg #. . : 001197
--- - REQUIRED INSPECTION5 - - - --
This permit is issued subject to the regulations contained in the Framing Insp
figard Municipal Code, State of Ore. Specialty Codes and all other Gyp Board Insp
app icable laws. All work will be done in accordance with Susp Ceiln Insp
approved plans. This permit will expire if work is not startedi
within 198 days of issuance, or if work is suspended for more
than 198 days. ATTENTION: Oregon law repuires you to follow the
rules adopted by the Oregon Utility Notification Center. Those -
rules are set forth in OAR 95e-01--011 through OAR 952-88181987. —You many obtain a copy of these rules or direct questions to OUNC
by calling (503)246-1987.
Permittee Signature: '),4 -
6C3D Issued By
+++++++++++++++++i++++++F•++++++++++++++++++++++++++++++++++++++++++++++F++++++
Call 639-4175 by 7:00 p. m. for an inspection needed the next business day
+++++++++++++++++4++++++++++++++.+++i+++++++++++++++++++++++++++�__++++++++++++
C(TAF TIGARD Commercial Building Permit ' RecA By- /J
13125 SW HALL BL4 D. Tenan; Improvement1 Date Recd Date to P E.
� —
l J�.
TIGARD, OR 97223 I Date to Ds
(503) 639-4171 Permit# _D_PF�/
Print or Type Related SWR#
Incomplete or illegible applications will not be accepted Caiied_v
_.— Nome of Development/Proiect — Existing Building New Building [] v�l
Job �.(YL�{h C'•P,� ;�PV•
Address Street Address _ Suite t Building
ltz�o Sw Glel& , P-4. 570 Data
Bldg x C5/s1 a Zip Existing Use of Building or Property:
Llr COL40
---- – _TowFrz I P— 0A. 97ZZ3 OF-6'ce
Name
Property r4A`C, et-6cker Pw e'tr�-f �'C• ((v Proposed Use of Building or Property:
Owner Mailing P 1dress Suite CE,
10310 SW C6reil Re( 200 No. qf Stories:
City/Slate —Z—ip�- Phone CI'L ('hr�LV6-
P. 1 4(L • 97223 Sq Ft. Of Projr:ct:
�?ccupant Nance —_�_— 0,38 Sf T —._
K,C)oh C'0 Occupancy Class(es)
Name
Contractor Tyke(s)oConstruction
Prior to permit Mailing Address Suite 'JL
ssuance,r,coo, Will this protect have a Fare Suppression System?
of all Ilcenses _ Yes n� NO n
are required if City/State Zip Phone
expired in C o 1 Ar iericans with Disabilities Act(ADA)
database Valuation X25% = $4 I Participation
Oregon Const.Cont.Board Lic.# Exp.Date Complete Accessibility Porm —
Project --T�$ 1I
Name Valuation v 5 OV
Architect GPD Pf-11- {tctf Ik"<-o.1 .4w Pians Required: See Matrix for number o`sets to sub-nit
Mailing Address Suite
on back
City/State Zip V Phone i hereby acknowledge that I have read this application,that the information
sr fes, ), 965(0 given is correct,that I am the owner or authorized agent of the owner,and
�— --�7
1
COMMERCIAL PL,kN SUBMITTAL
REQUIREMENT MATRIX
DISTRIBUTION TO PLANS OUT TO DST
EXAMINERS (Note a.)
TYPE OF SUBMITTAL TOTAL CPE PPE EPE CPE PPE EPE
SITE 1 1 -- -- 3 O,o.u) --
B (New or Add) 1 1 -- -- 3 O,o,w)
F (New or Add or Alt.) 3 3 -- __ 3 0,o,o
M (New or Add. or Alt) 1 1 -- -- 20,0)
B & M (New or Add) 1 1 -- -- 3 O,o,w) --
P (New, Add. or Alt) 2 -- 2 __ _,. 2(l,o)
B & M & P (New or Add.) 2 1 1 -- 3 O,o,w) 20,o) --
E (New, Add, or Alt) 2 -- -- 2 __ 20,o)
B & M & P & E (New. Add) 3 1 1 1 3
(I,o.vi) 2(j.o) 2 (J•o)
13 or B & M (Alt) 1 1 -- -- 20,0) w
B & M & P(Alt) 3 1 2 -- ? Cl,o) 20,o)
B & M & P& F (Alt) 3 L 1 - --1 2 (1,o)` 2{),("l '20,o)
NOTES;, F.�C:
a. Before returning to DST, Plans examiner gets appropriate j =Job B = BUP
number of revised plans from applicant, stamps and completes, o =Office M = MEC
updates and adds actions. f= Fire P =PLM
u = USA E = ELC
b. Shaded areas designate ALT submittals only. , = Wash. County F = FPS
c. FPS is a new permit category set aside for fire sprinklers and fire alarms.
d. Effective August 15, 1997,Tualatin Valley Fire and Rescue no longer requires a set of
approved plans to be forwarded to their office.
Exception, continue to forward a copy of approved fire sprinkler and fir -tlarm ply.Is with
calculations.
h Vnatne Ooc
01/05/98 MON 11:40 FAX 503 244 440U NORRIS R .'';Gs GBDARCII zoo]
Koch Industries
Lincoln Tower 44570
OYER TH cOUNIER OTC-)
(attachment to SuUmidal Criteria)
SUBJECT: ACCESSiBI1,M
BARRIER REMOVAL.IMPROVEMENT PIAN
FtgQUIREMENT: OREr30N REVISED STATUTE(ORS)447 241.
(1) Every protea hx renovation,alteration or moddlation to Affected b0ldktgs and related Iaollues shall be
made to Wum that the path of travel to the allarod area and the revrown,tslsphones and drinking
fountains ars readily accessible to individuals with disabdltias.unless such stlarstions aw disproportionate
to the overall alterstions In tomo of camit and scope
(2) Aftorations made to the path of travel to an skered area may be deemed disproportionate to the overall
alteration"on the cost exceeds twonty-live per-cent(251/.).
THEREFORE; Each stjbmltUI for a building permit shill Include this form providing the following
Infclmation. (Excluding re-roofing, mechanical and electrical permit applk-ations]
VALUATIQN of all renovation, alteration or modification being done
excluding painting,wallpapering. (
i) S 16 ,525
mutIlWY; 25% Barrier removal requirement_ .25,
BUDGET FOR BARRIER REMOVAL. 12) $ 4 ,I'1 .
The dollar amount of the IWQM established on tine (2) In the comouto ionabov shall tie spent
providing the accessible elements In the (ullowing order.
1- An acc:essib;e route connecting the building to accessible pedestrian
walkways, and the public way. $
rutduding but not UmUd to curb ramps,detectable wamMs,
marked crossings,ramps handmas art'landlnpal
2. Not less than one accessible parking space.
f1wd%Wing but not limited to adiscont scats slate,signs and curb ramp
eonnectin%;with the accassrole mute).
3. Accessible entry at entries. $ — _--
(l#-.dudkV but not Urntred to rarrlps,handmiLs,landings,
door%W height,door width end door haM*aml
4. An accessible Interior route to the ollered area. $
(including but not Nrnlled to doorways,manauverrng
clearances,door hardwara and slakwaysl
5. At least one e'xessible restroom for each sex.
E. At hast one accessible telephoner where public phones
are provided. s --- ----
7. When drinking fountains are required, fifty per.-cxnt but
not less than one shall be accessible. s
6 Additional accessible elements such as storage, reacts ranges:, 4,131
alarms, etc.. cabinerry,' hardware, entries S
LOYAL.: Iihl<IS 4.131
i:/otc4.doc(DS7)
CITY OF TIGARD '
DF."YELOPMENT SERVICES MECHANICAL
PERMIT
13125 SW Nall Blvd., Tigard,OR 97223 (503)639-4171 F'E RM I T #. . . . . . . : MEC98--OIZ151
DATE ISSUED: 02/12'/98
PARCEL: 1S135AB-O34O0
SITE: ADDRESS. . . : 1O260 SW GREENBURG RD #570
71.JBD I V I S I ON. . . . : L I NCOL.N TOWER-TOWN OF METZGER ZONING: C-F'
BLOCK. . . . . . . . . . . L'_. f. . . . . . . . . . . . . :O14 JURISDICTION: TT.G
CLASS 0' WORK. . :AL T FLOOR FURN. . . . : 0 EVAF' COOLERS: 0
TYPE OF USE. . . . :COM UNIT HEATERS. . : 0 VENT FANS„ . . : 0
OCCUPANCY GRP,. . -B VENTS W/O AF'PI_. : 0 VENT SYSTEMS: 0
STORIES. . . . . . . . : 0 BOIL...ERS/COMr,RE'SSORS HOODS. . . . . . . : 0
FUEL_ TYF'Ef_i- ------- -- 0-3 HF'. . . . : 0 DOMES. I NC I N: N
3-15 HF-' . . . : COMML.. I NC I N: 0
MAX I NF'UT: 0 STU 15-_30 HF'. . . : 0 RE"F'U I R UNITS: 0
F I RE DC-,MF'E RS?. . : 30-50 HP. . . . : 0 WOODSTOVES. . : 0
GAS PRESSURE. . . : 50+ HP. . . . : 0 CLO DRYERS. . : 0
NO. OF UNITS- ---_.______.- AIR HANDLING '..)Nil*,-:-, OTHER UNITS. : 1
FURN ( 1O0K F.ATLJ: 0 ( 1,0000 cfm : 0 GAS OLITI_..F'TS. : 0
FURN ) =1O0K BTU. 0 ) 10000 cfm: 0
Remarks: Relocate one Thar supply grille.
Owner; --- --._________.----___---__.-____.____.______._________ ___-_-- FEES
MELV IN MARK, OWNER' S REF'. type amorint by date rec:pt
10220 SW GREENBURG RD F'RMT $ 25. 00 DRA 02/12/98 98-303244
SUIT17- #150 5PC'r $ 1 . 25 DRA LZQ/Ii''/98 98-303=:44
TIGP%RD OR 97223
"hone #:
Contractor: -_....._._-.___---_.-------.-------------
NORTH PACIFIC HEATING
337O0 SE DOUS RD ______._.------------_-----__-------------
26. 25
--------_.--
26. 25 TOTAL..
ESTACADA OR 97023
Phone #:
Req #. . 00063-7
- --- REQUIRED I NSF'ECT I ONS
This permit is issued subject to the regulations contained in the Mechanical Insp
Tiyerd Municipal Code, State of Ore. Specialty Codes and all other Mi sc. Inspection
applicab;e laws. All work will be d-ap in accordance with Final Inspec+ ion _
approved plans. This permit will expire if work is not started
eithin 180 days r` issuance, or if work is suspeadeu for more _
thin 188 days. A(rENTION: Orpqon lau requires you to follow rules
adopted h', the Oregon Utility Notification Centpr. `hose rules are
-et forth 0 OAR 952-801-8818 through DAR 952--801-8088. You may
obtain copies of these rules or direct question- to (IANC by calling
15031246-918..
I ,s .. e , a--- ---- Permittee Signat+_ii•e:
i ++ti-+++++++++-'-*+++++++++-h+++++++t++ti++++++++++++++4-++++++++++f-++++++++++Y+++.++
Call 639-4175 by 7:00 p. m. for in- nections needed the next bllslness day
+++.+++-++++++++++f.+,l-+++++++++++++++++++++++-+++++ +++++++- ++++++++++-# 4 +++-+4--+
air
Flan Che #
CITY OF TIGARD Mechanical Permit Applicatica ( j Recd By
13 25 SW HALL BLVD. Commercial and Residential )� Date Recd —
•TIGARD, OR 97223 I t)` Date to P E.
(503) 339-4171, X304 4 Date to DST
Print or Tyke Permit#
Incomplete or illegible applications will not be accepted galled
Nn 1 DsvebontsruPro)95t Description
Table 1A Mechanical Code QTY PRICE AMT
Job Cireet Address Settee A) Permit Fee
Address r S�70
c 0' 0 X000
Baga �yrStn# zip B) Supplemental Permit 300
J 72 _
Name for name of business) 1 ) Furnace to 100,000 BTU
600
Owner A A incl.ducts&vents
Mailing Address f 2.) Furnace 100,000 BTU 1 7 50
incl ducts&vents
ryisuazw8hbno 3) Floor Fumace 6.00
3 'S lx incl,vent
Nama( mama a amass 4.) Suspended heater.wall heater 6,)D
or floor mounted heater
Occupant Mailing Address —` 5.) vent not incl.in "- 3 01
appliance permit
GhrStaM� ZIP, Pnone 6) Boder or comp,heat pump,air cond 6_0_0
ill y�i _ to 3 HP;atsorp unit to 1o0K BTU
N■0M ' 7) Boiler or ccmp,heat pump,air cond. 11.00
.�713••15 HP.absorp and to 500K BTU
Contractor Ma�irqdre PA 8) Boller or comp,heat pump,air cond. 15.00
c S/. _ t 15-30 HP;absorp unit 5-1 and BTU
(Prior to Cdyr5 ae Zip Phone 9) Boder or comp,heat pump,air cond. 22.50
issuance a copy ,1 30-50 HP;absorp unit 1-1.75 mil BTU _
i of aA licenses are 0-joinConst.Com Board bce E* Dato 10) Boder or comp,haat pump,air cond. 37.50
required ifJ_L 1 ' -.;2 -} 50 HP;absorp unit 1.75 mil BTU
ua _
expired in C.O T Ctl Bness T or Metro a - Exp.Date 11 ) Air handling unit to 450
data base) _ i_—2 / - 9 i. t0.000 CFM
Architect Name 12.) Air handling unit ;50 —`-
10.000 CTM+
or Mailing Address 13.) Non portable 4.50
evaporate cooler
Engineer Cayistete Zip Pnone 14.) Vent fan connected 3 00
_ _ _ to z single duct _
Descnbe work New O Addition O Alteration O Repair O 15.) Ventilation system not 450
to be done_ Residential O Non-residential O included in appliance permft
Additional Description of work 16.) Hood served by mechanical exhaust 4 50
!_.CX1 17) Domestic incinerators 7 50
Existing use of 16.) Commercial or iMustnaltype 3000
building or oroperty incinerator
19.) Repair units _ y_ 4 50
Proposed use of 20) Woodstove 450
building nr property
21) Clothes dryer,etc. 4,5
Tyne of fuel-oil O natural gas O LPG O electric 22) Cther units .4 50
I hereby acxnowledge that I have read this application,that the 23) Gas piping one to four outlets 2.00
information giver is correct.that I am the owner or authorized agent of
the owner,that plans submitted are in compliance wi'h Oregon State 24) More than 4-per outlet (each) ,p
laws
yC2
Siynature of Owner/Agent t Date ^� QTY.SUBTOTAL
1 i 'SUBTGTAL
Contact Person Name Phone 5%SURCHARGE
1J:,G,.:l r@. +t..� l�` �•t+ } �U PLAN REVIEW 25%OF SUBTO1f.L
TOTAL
,-lirmsct,pmt doc (rev 7196) - 'Minimum
permit fee is 525+5%surcharge
/\ CITY CF TIGARD ,
DEVELOPMENT SERVICES PLUMBING PERMIT
PERMIT
##.. .. , . . . . : F'LM98-001:��
J 13125 SW Hall Blvc'., Tigard,OR 97273 (503)639.4171 DATE ISSUED: 01/27/98
PARCEL.: 1 S 13,5AB-03,400
SI IE: ADDRESS. . . : 10260 SW GREE1VE3l.1RG RU #570
SUBDIVISION, . . . : TOWN OF METZGER ZONING: C--P1
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . :014 JURISDICTION: TIG
CLASS OF WORK. . :ALT GARBAGE DTSPOSAL.S. : 0 MOBILE HOME SPACES. : 0
i YPE OF' USE. . . . :COM WASHING MACH. . . . . . : 0 PACKFLOW F'REVNTRS. . : 0
OCCUPANCY GRP. . :B FL..00R "%RAINS. . . . . . . Qi TRAPS. . . . . . . . . . . . . . . 'A
S"rORIES. . . . . . . . : 0 WATER F.EATERS. . . . . : 1 CATCH BASINS. . . . . . . : 0
FIXTURES----.----------- LAUNDRY TRAYS. . . . . : 0 SF RAIN DRAINS. . . . . : 0
SINKS. . . . . . . . . . 1 URINALS. . . . . . . . . . . . 0 GREASE TROPF. . . . . . . 0
LAVATORIES. . . . : 0 OTHER FIXTURE'S. . . . : 0
TUB/SHOWERS. . . : 0 SEWER LINE (ft ) . . . : 0
WATER CLOSETS. : 0 WATER LINE (ft ) . . . : 0
DISHWASHE:RS. . . . : 1 RAIN DRAIN (ft ) . . . : 0
Remarks : Koch
Own er-: FEES
NORRIS BEGGS & SIMPSON type amoi_tnt by date r,ecpt
121 SW MORRISON PRMT $ 27. 00 GED 01/27/98 98-302845
PfORTI-AND OR 97204 5PCT $ 1.. 35 GEO 01/27/98 98-302845
Phone #:
DETEMF'LE" CO INC
1951 NW OVERTON S'r
PORTLAND OR 97209
227-2641 f 28. 35 TOTAL.
Reg #. . : 000025
- - --- -- REQUIRED INSPECTIONS -- - —
This permit is issued subject to the revulations contained in the R ot.ig h—i n I n s p _.
Tigard Municipal Code, State of Ore. Specialty Codes and all other PL.M/Llrider-f I oor-
applicable laws. All work will be done in accordance with Top—oLtt Insp
approved plans. This permit will expire if work is not started Final Inspection
within 188 days of issuance, or if work is suspended for more
than 188 days. ATTENTION: Oregon law requires you to follow rules
adopted b, the Gregor Utility Notification Center. Those rules are
set f,,rth it OAR 952-•@881-8818 through OAR 952-8881-8888. You may
obta;.n copies of these rules or direct questions to LNItlC by calling
(581)246•-1987. —
r/
I ssi.ted ByPer-mittee Si gnat1_ire :
+++++++++4+++++4++++++1+ +++++++++++++++++++++++++i-++-}-+++++.1 +i-+++{.i++i++++++f
Call 539-4175 by 7:00 p. m. for- an insper_tion needed the next bi_isines, day
4 4 +++i•++++++++•f+t-+++++++++++++++++++++++++f+++++++++-1+++++++++++++++++•+•+++., +
1
01-22.88 THU 10: 15 FAX 5032747888 DeTEMPLE COMPANY INC Z003
TY OF TIGARD plumbing Application [ Reed ey
( ' ("ey Dao Rota
125 SW HALL BLVD. Commercial and Residential C)1/1y
;:BARD, CR 972.2';
Daoio OST
)3) 639171 v���ctc�4�
PtmmnW ra r__ 17 cri O I
Print or Typt R*WnW SWR r� 3
Incomplete or illegible applications will not be accepted uNied t/L d� Y
�, cul N.,rtrLWM4 Dr.re Wrt
lopmle
�" o
_ •
---Job 1 ry 4 TEWEk, " rS U[TE 5'7C Sim 1 9.00
Address Street Addram SWI" lmmry 9.6
104(,p0 jH)Gltt"n 6U C5 To or TublShoww come. 9.00
Bldg i Grylstam .alp Shower" g.00
Wan r anal 900
Wansa OteM"holt
pr r i B C'9 9�- Sl my5 d�1 Garbage 01-omel &00
Owner M&WM Aaar.sa "
IZi suj Molt, _ Maw c.ao
CAVIStats ZIP Pltory - - Flow Oraim r 4.00
r 9.00
wnrt -
0 C 70
Occupant ma*v Add-- - sono Val / D0—
107
00
GY t
ryiSure p Prions Dry pp --
Oth 0000
ontractor Nw D 1
hve r`►'t�_ °t'
r to lMauanr� U fstaft �y� Tj Priori
vplk7am muni PCv1 Or- i?ZQ ?z� �? y1 1 .00
pry de all OMMW COML ConL 9oard lic I Fip.Date LOO
CJr 51 0 C� z q .!t, , �—'A jtT
Gem Non"Ur_S LXP.Oats Sig dA
B.Ro
mfonnarlon .243-h5 r'(33 0 9 sa 5.00
tax COT COT Eluwms Ta:or WkWo 0 ev.naris W O.oU
iantasal. 00 O G t r .I;___ 1.2- 1 -118
Name W
Architectst 10.00
w�rsQ Aoareaa SuMr Sr !s.—oo
or AbO�Marne.rigaa�i -- tS 00
Engineer C;ry/;tare 7p PhoneCattwner�al 3sdi Flow Preventfan OwNce rr Antl
Pakdon cert
cnD.'.ort New O Ad0ltiort ARM Mon 0 Repatr 0 Ras4mntW Bi�ow Plaver"don Down' � 15.00
In Ione: ResWetrtW O Non-;v-s+demtlal A Ar►tr trap or Waw Not C4nne ied to a Fwtura goo
'vilcrul drs rigoon of wa C'al>am flas4t -��Y 9.00
Insp.01 EMWq 13� 40.00
ane s�of �L UL'I(�� L){��+ „sp�W asqueslso Inspecriorw 40
000 - —
q ae of '�, a l�'r Ar 30'00
9 '�4
�'*D - 'Y_�, -,� Rain Oram,anglerart+iy awd0inq 70.00
xised usd of Grease Traps 9.00
+rnq or Property _ -- _. ----QUAMTTTY TOTAL
IR you®ppn9. RmovVq or rr_placvq any hriures7 ccs 0 No law,ree'Mar 4Mrr•7na rsgvi>,a r_Quanh fatal a r 9 �.�,.:• �
f�rp sea Sabi of forfnl_`__ - _-- __-- -SUBTOTAL
ribby adtnowMnlge that 1 nave read MA applkx0on.that the intbnnaeon -
Vr s r017wcZ MO I Urn dvo 0"TW Or arRhorued agate or trim owner.and 5%SURCHARGE
t.Mara sr�rfdand are n comphumco with Omgun State Laws. PLAN f dllElN 251,16 OF SUBTOTAL ;
`
yea or Or.�wrfAgerrt Dats
•j v�rww0 an n I ttrMe�, ial s>f
qb - _ _
TOTAL _ X35
nPhone
e(t,Person Kart' (� •1Mh .num portrdt fie is 325,S%voewW.axmv R*sAdm W 13"llow
5/t(Jil'l YI O✓1 c J�'1GU'r�' 2z 7 -Z(p I Priv enbM uevlae.wfrlch is$15•!1%umdw000
,. GG L\pltnapp.doc 12/96 (dn)
i
n l 9,rs TIii' 10: 15 FAX 5032 7 47686 DeTEMPLE COMPANY INC 14�0o..l
TY OF TIGARD Plumbing Application Reed ft ,
125 SW HALL BLVD. Commercial and Residential 0( � ��". D.to Rayed
.;ARO CR 97223 CJ I/rS Data top z
)3) 639-4171 tJ�:�ccc�� O+teloGST
Faint or Type #Wawa SWR• t
Incomplete or illegible applications will not be accepted cAmd /r_ y�'
Na"of r
.lob LIVOLN TDA61� - ,SUITE S-70 s'""f i 9.00
Address Se.etAddrass 5Wte L'rawy ,•�
10 4 5 W C1IMn 6)-9 r, rj i O TNA or Tub(rjhoww Comb. 000 -
Bldg a Grylstate tip Sfbw.r' fi 00 -
_�
12_2 3 waw l'Jae.t —
NWn. 9.010
prri} gc'99-5 - Sian SOholfllx+aaAer __ 9.00 9
Owner ►Aa&V Mora" �, Sum Garbage aQ` 't ! 0.00
1.2.1 IS-W A : +rr lTSe"i wtmehnp machrw -- 9.00
Glymurs Zip Ptlona -- Flow Orad 2'
► ts1?'�, GiR q"► 213• ?18 r 9.00
Karn.
Occupant tra"Ad&w- F? S 4 SurPa [7 Watttrmealw 9.010
1 O Z c &c ,) 6f f CA F? Q lauelry Roam Tray 6.00
cilyrstare p Phone urinal 900
71 6,,W-0 j'�7 2.?-3 I oawr Ft ,�,..csp.rurl 0.00
""T Te/y,P1 e Cz&up PALAow - 9.00jx -
untractor �' I NW Ove r`K9'1 s --- -- e.00
9.00
phal
p aka rn�m I�GIQ T C i!" a"
0mvde all 0re9run Curve Cont.9QaM Lica Exp.Dau
cortttarIon 0 (.0-2- '1 9 oo
Gc&me Peon"Lk-• Elp.data Syw-tat 10(r 70 00 -
nermatlorr Z -j S�� _ O' Sarver-aatn.tltlitraMl I - — 23.00
for COT GOT Uusi ess Ta:or Metra 0 Exp.Aau Water Semica_tat 100. --- 30.00
latahase). 04 D o I Ut�(p` z ).-98
_
Name water Servwa-each aftdornal 2010' 23.00
Architect Storm 6 Rin Drain.IN 101f —v F310.00
or MMW0 Asaveaa Sufpa Smrm 3 Rain Onion.ouch ada"o"100'Engineer Gryr5taat 2;01 Peon. Ceetrnsrwl Baca Fou PtererNc>n DrNrlce nr Ant►.PoRd.rl Device
�nlw wail Nen. Q Ado Alferaoon O Repair n PA"Jo.npal 9adtflow Pre'wdon Dere.'
w none. Resd.rrflal O Non resrlenda! ii Any Traprr wimm Not Cnnrreaed to a Ftvwra fi.00
,monal oraCipCon of vat LAMA Bash '- 9.00
� f/ Insp.of EldoWn Plum" Io.on Q UA irySpedaly Repr asled InspecOons —' 10.00
9 of 'c* -- - v�
!� -- RaM Drainb�
,uy9td ��9 f" 30.or)
Y1
wsad use of Grease Traps goo
lav or
QUANTITY TOTAL w
P you t:Apprnq. rnoviN or reptaanq any fhrrturnsi yes 0 No V-_ lemmata nr nary dW ra ata Tette a s 9 � s.�`.-:•
the a«MCA of form) _am a novena rt t]___SUBTOTAL _ ••.
w."by ac*rKxv ridge Mat 1►ave r-ad Crus appikmoon onat the informatan
en Ls mrrrxi MA I an i ft Amer or authorized agent of me owner.and 3%SURCHARGE
+f Many ubmilowd are n aornpli.nce.ride #A Blatta Laws. "-'� l• 5
'�/%A/(_1�r�/L)of Orn.AAg.nf Data PIAN REVIEW Z5%OF SURTO AL _
' /l—-- _ �_ _ paaun. it Flume ah,total is a I Y -
�� 1 ZZ-qb TAT�L x.35
"act person Martyr Phona
II_ •Wrilmw .n Pamdt fee n$26+.S%surdWgewm*n Rrtsidwoal fear*flow
Chi I Yl OVA cSy1Qr r _27-1 -7_(01 I Pfsm Sam Device.wt*:h it$11�•.5%AW&arge
I.\plmapp.doc I2,96 (dst)
/ CITY OF TIGARD ELECTRICAL PERMIT
DEVELOPMENT SERVICES PERMIT #: EI_C98-00 ,5
DATE ISSUED: 01/ 22/98
131:5 SW Hall Blvd., Tigard,OR 97223 (503)639.4171
SITE ADDRESS. . . : 10260 SW GREENBURG RD #570 PARCEL: 1 S1 3SAB-0?,400
SUBDIVISION. . . . :TOWN OF ME:TZGER ZONING:C—P
B1.._OCV. . . . . . . . . . .. LOT. . . . . . . . . . . . . :014 JURISDICTION: TIG
Pr••o.j ect De set ] rii; i on: Add six (6) branch circuits to an existing tenant with a
commercial bldg.
—RESTIDENTIAL_ 1..INIT---- ----TEMP SRVC/FEEDERS--•-- ----h1ISCEI_.L aNrOt_15-----
1000 SF OR LESS. . . . : 0 0 — 200 amp. . . . . . . : 0 PUMP/IRRIGATION). . . . : 0
r,'nrH APJ' L_ 5009)F. . . : 0 201 - 400 amp. . . . . .. . 0 SIGN/OUT LINIE LTG. . 0
L..TMITtD ENERGY. . . . . : 0 401 — 600 amp. . . . . . . : 0 SIGNAL/PANE)_. . . . . . . . 0
M►=,;vF. HM/ SVC/FDR. . : 0 601+amps-1000 volts. : 0 MINOR LABEL. ( 10) . . . ; 0
___.._SERVICE/FEEDER-- -- -----BRANCH CIRCLIITS -- - ----ADD' L INSPECTIONS——
0 — 200 amp. . . . . . : 0 W/SERVICE: OR FEEDER: 0 PER INSPECTION. . . . . : 0
201 — 400 amp. . . . . . : 0 1st W/O SP.VC OR FDR. : i PER HOUR. . . . „ 0
401 — 600 amp. . . . . . : 0 EA ADD' L BRNCH CIRC: 5 IN PLP)NIT. . . . „ . . . . . . 0
601 — 1000 amp. . . . . : 0 ------ - -- ---•_- -pL.AN REVTEW SECTION--1000+ amp/volt. . . . . : 0 > -4 RES UNITS. . . . . . . . : > 600 VOLT NOMINAL_ :
Reconnect only. . . . . : 0 SVC/FDR > = 225 AMPS. . : CLASS AREA/Sl--IEC OCC. .
Owner: ______-----_._._________.____-----.----.----------------___- - FEES
MELVIN MARK, OWNER' S REP. type amotrnt by date rec-c►t
102PO SW GREENBURG RD PRMT $ 60. 00 GEO 01 /22/3t3 98-302680
SUITE #150 5PCT $ 00 GF.O 01 /22/98 98-302680
TIGARD OR 972237
Phone #:
Contr actor:
CHRTSTENSON ELECTRIC INC $ 63. 00 TOTAL_
1 1 1 SW COLUMBIA
STF 480 — REQU I RED INSPECTIONS
PORTLAND OR 97201 Ceiling Cover Undergr-oi_rnd Cove
Phone #: '41--4BJ.2 Wall Cover Elect' 1 Service
Reg #. . : 000004
This permit is issued subject to the regulations contained in thT Tigard Municipal Code, State or Oregon 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 star►ed within 188
days of issuance, or if work is suspended for more than 188 days. ATTENTION: Oregon law requires you to folle the rults adopted by
the Oregon IltiA ty Notification Center. Those rules are set forth in OAR 952-881-8818 through OAR 952-d81-1987. You may obtain a copy
of these rules or direct questions to IRAVC by calling 1246-1987.
l't�r•mittee �ilyrlatlY"P : �.-�• � IsS _red B ^ats
INSTALLATION ONLY---------------------------------
The installation is being made on property I own which is not intended for
';ale, lease, or rent.
nWNER' S SIGNATURE: _ DATE:
- -CONTRACTOR INSTALLATION ONLY—_--- ---------
CsNATURF OF SUPR. ELEC' N: C4�r7r� DATE: _L
�}
l CENSE NO:
i+t++++++i++i•+++i•+++++++++++++++++++++++++++++++++++++++++++- +++•h++++++++++++++
Call 639- 4175 by 7;00 p. m. for- an inspection needec' the next barsiness day
'T ++ +•f++++++++++++
CITY OF TIGARD Electrical Permit Application Plan Check a
13125 SW HALL BLVD. Recd By
TIGARD OR 97223 Date Recd
Date to F.E. _
Phone(503)639-4171, x304 Pririt Or Type Date to DST
Inspection (503) 639-4175 Permit aGC1D -
Fax (503) 684-7'29? Incomplete or illegible will not be accepted Called
l 1. Job Address 4. Complete Fee Schedule Below
Name of Development LINCOLN CENTRE LINCOLN TOWER Number of Inspections per permit allowed
Name(or name of business)__ KOCH Service included: Items Cost Sum
Address. 10260 SW GREENBURG RD SUITE 570 4a. Residential-per unit
PORTLAND OR 1000 sq.IT or less $110.00 4
City/StatE'/Zip Each additional 500 sq.ft.or
Ci0m111erCIa �X Residential portion thereof $25.00 _ 1
Limited Energy $25.00 ^_
ROSS CRg.9BY MALIBU PACIFIC EachManut'dHome orModular
t)welling Service or Feeder ^_J $68.00 _. _ 2
2a. Contractor installation only:
(Attach copy of all current licenses) 4b.Services or Feeders
Electrical Contractor CHR ISTE'NSON ELECTRIC 114(, Installation,alteration,or relocation
Address 111 SW COLUMBIA SUITE 4801 _ 200 amps or less $60.00 2
201 amps to 400 amps $80.00 2
City POR--I-LAND-- State OR _Zip 97201-SRRFi_ 401 amps to 600 amps $120.00 2
Phone No. -4812 _ 601 amps to 1000 amps $180.00 2
Joh No. _222-0561 Over 1000 amps or volts $340.00 2
Reconnect only _.__ $50.00 2
Elec. Cont. Lice. No. _16-3yC Exp.Date-
OR State CCB Reg. No..1,Sp TExp.Date 4c.Temporary Services or Feeders
COT Business Tax or Metro No. Exp.Date__-__ installation,alteration,or relocation
-- r 200 amps or less $50.00
C ` (. 201 amps to 400 amps $75.00 -
Signature of Supr. E1fls<_n __�' �� # > 401 amps to 600 amps - $100.00 _ 2
8 73 S Over 600 amps to 1000 volts,
License Nr � SF,Xp.Date _ see"b"above.
Phone Nr Z
- -- '- 4d.Branch Circuits
1/14/98 New,alteration or extension per panel
2b. For owner installations: a)The tee for branch circuits with
purchase of service or
Print Owner's Name feeder fee.
Address � Each branch circuit $5.00 ,_.�_
---- b)The fee for branch circuits
State` Zip_ -___ without purchase of
Phone No.--__ i ___� __ service or feeder fee. 3
First branch circuit 1 $3500 2� 17
The installation is being made on property I own which is not Each additions!branch circuit_ $s.00 _
intended for sale, lease or rent. 4e.Miscellaneous
(Service or feeder not included)
Owner's Signature_�- _ _ Each pump or irrigation circle $40.00 2
Each sign or outline lighting $40.00 �- 2
3. Plan Review section (it required):' Signa!circuit(s)or a limited energy
panel,alteration or extension $40.00 2
� _
Please cheek appropriate item and enter fee In section 513. Minor Labels(10) $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 any of the above
System over 600 Molts nominal Per inspection _ $35.00
Classified area or structure containing special occupancy Per hour $55.00 -
as described in N E.C.Chapter 5 In Plant _ $55.00 _
'Submit 2 sets of plant with appllcabon where any of the above--pply. 5. Fees:
Not regerred for temporary construction services. Sa.Enter total of above fees $
5".Surcharge(05 X total tees) $
NOTIa Subtotal $ --0
5b.Enter 2510 of line 5a for
PFRMITS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED IS Plan Review if required(Sec l) $ 6 NOTCOMMENCEDCOMMENCED WITHIN 180 DAYS,OR IF CONSTRUCTION OR WORK Subtotal $ -- ---
IS SUSPENOED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY
TIME AFTER WORK IS COMMENCED. ❑ Trust Account
Total balance Due $ 63.00
r•,DSMELcn6 APP nev 4,116
CITY OF TIGARD
DEVELOPMENT SERVICES
13125 SW Hall Blvd., Tigard,OR 97223 (503)839.4171
CERTIFICATE OF
OCCUPANCY
PERMIT #. . . . . . . 3 HUP98-•0001
DATE ISSUED: 0'i/80/'?B
PARCEL: !t3135AS---03400
SITE, ADDRESS. . - C10260 S14 GREENBURG RD #7570
"UBDIVISION. . . . :LINCOUN TOWER-TOWN OF METZGER ZONIN04C;-P
01_OCK. . . . . . . . . . e LnT. . . . . . . . . . . . . :014 JURISDICTIUN: TIG
CLAc;S OF WORE!. i ALT
T'yPF OF USE. . . ICOM
TYPE: OF CONS' R.-2FR
OCCUPANCY GRP. :9
OCCUPANCY LOAD: 1!.)
TENANT NAME:. , . t KOCH CO
Rvmarkes : Tsn.nt improvement
KNICKERBOCKER PROPERTIF'.S
r /0 NORR I S, BE GGS & S I MPS-';ON
: V300 SW Cat?EENBURG RD #200
i 1 BARD OR 9'7Z!,23
Phone N:
f_.ontrac:tor: _._..,____.___..._.__..__._.__......... .._.._.. __.... . ..
PIONEER CONSTRUCTION SER1'''":ES
PO BOX 6E1304
MII_WAUKIE OR 97009-726E1
none M: 65E- 1050
-,y 0. . : 00119
itis Ca-rtifcc&te grants nUQUpanc•y of the athove rpfer•enred building or portion
t,nereof and confirms that the br.+i lding has been i nsper_t ed Par compliance wttl-.
, he 'itmte (if argon (Specialty Codes for the pro p, ano wip !_ruder•
rrich the referprrc_ec1 permit ►,ias issued. �
j
BU 11.`DI Nr Ca-f-I i1 A
POST IN CONSPICUOUS PL.ACE
i
121-114 11-ttS ANS
CITY OF TIGARD BUILDING INSPECTION DIVISION
24-Hour Inspection Line: 639-41175 Business Phone: 6394171
Date Requested: v� �t f7� ,AM P.M. :
Location: r c L "`CX1
Tenant: ff717 Suite: 7C J8'Bldg �I1GRiC: i_oos1
_ - -—
Contractor: aL Phone_ = � __ PLM: _
Owner: _Pho f ELC:
SPS _ t ELR: �-
BUILDING $LDC rn't) — PLUMBING MECHANICAL LECTRICAL SITE
Site -p-ovifficam Post/Beam Post/Beam Cover/Service Sewer/Stonn
Footing Roof UndPl/Slab Rough-In Ceiling Water Line
Slab framing Top Out Gas Linc Rough-In UG Sprinkler
Foundation Insulation Sewer Ilcxxl/Ihrct Reconnect Vault
Bsmt Damp L"all Storm furnace Tcmp Service MI5C.
Masonry laul.Drain A/C UG Slab
Shear/Sheath i"'� rawlff ouiid Dr I feat Nunp Low Volt
prove Approved Approved Approved Approved
Appr/Sdwlk moved Not Approval Not Approved Not Approved Not Approved
FINAL FINAL FINAL FINAL FINAL
--> —7 1 t�, rRAL aqqdt� ca-(-
.01
X C �
O Call for reinspection 13 _ -_..- 11CU uispection O Unable to inspect
lnspector: � J Date:-- .J "'C,e3— 9 Page------_of