10260 SW GREENBURG ROAD STE 860-2 0
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-- 10260 SW GREENBURG RU, STE 860--
CITY CIS TIGARD
DEVELOPMENT SERVICES
13125 SW Hall Blvd., Tirard,OR 97223 (523)639-4171
LI:RTIVILWE U1:
OCCU1=SANG Y
PERMIT #. . . . . . . : BUG96--06
DATE:. ISSUED: 04/29/97
P(4RC EL : 1 S 1350)3-.03400
SITE ADDRESL+. . . : 10260 SW GREENBURG RD #13611
CSUBD I V I c 1 ON. . . . ,-TOWN Of. ME,r Z GE R 1 ON I NS a f._'--F'
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . r14 JURI5DICTIUNo TIG
CLAf,9 OF WORK. :ALT
TYPE OF USE'. . . s COM
TYPL: OF C;ONS1-R,2F"R
UC:CLIPANCY GRP. :P
OCC:UPONC:Y LUAU: 46
TE:.NONT NWIF . . . :HALL KINTON
omerk!s : 1 enant improvement
ORRIS REGG S I SIMPSON
-300 SW GR ENSURG PD
i 1 T'1`E: r?:00
1 CARD OR 97r-23
''One #:
J41_T13U PACIFIC
tis NF JACKSON SCHOOL. ROHD
i l I_LcSDORO OR 97124
crane #1 (393-9797
g #. . a 00015101
lhi ,: C.ertificat:e grants oc•c-.dpancy of the above referenced building or portion
?iereof and confirms that the building has Z*nspected for rampl iance with
;re citate o Or�gon Specialty Codes for the urul.rpanr..y, and UVIV under.'11Ch the r for enced permit was is ued.
Ti rOW1 TNN'%PEC:T0R PUILF'ICIA..
POST IN! CnN9,P I CUOUS PL.AC;E.
1
CITY OF TIGARD
DEVELOPMENT SERVICES BUILDING PERMIT
13125 SW Hall Blvd., Tigard,OR 97223 (503)639-4171 PERM I T #. . . . . . . : 1:1UP97....0055
DATE IF,'SUED: 02/i8/97
r-"ARCEI... -. IS 135AB-032400
ITE ADDPESS. . . : 10C'60 5W GRE'ENBURG RD #160
)BDIVISION,, . . . , TOWN OF METZGER ZOr\1lNG:C--P
0 C V L OT. . . . . . . . . . . . . .. 14
FLOOR ARE,()G)-- EXTERIOR WALL CONSTRUCTTOW,
ASS OF WORK. :FPS F I RST. . . . : 1400 S f N: S: E. W:
TYPIE OF USE. . . -COM SECOND—, : 0 S f 1.-,f?()TEC,r OPENTNGS?-- ---.—
,'PF OF CONST. :2N . . . : 0 5f N: S: E: W:
'CUPANCY GRP. :8 : 1.400 S ROOF' CONST: FIRE RETI :
.CUPANCY LOAD: 0 BASEMENT. : 0 s AREA SEP. RAT71).
r.)R. 0. 11T- 0 ft GARAGE. 0 S OCCU 5F.-P. RATE):
MT? : MEZZ?: RECD PEOUIRED------.-
OOR I-OAD. . . . 0 psf I 1�.FT . 0 ft- PGHT- 0 ft F I P SPKL:Y I-'3MOK OrIT. . -N
,
1WEL-1
- -TNG UNITS: 0 FRNT: lb ft REAR: 0 ft FIR ALRM-Y HNDICP ACC:Y
0 BATHS: 0 IMP 131JRF7(-)(J: PRO CORP: PARK I NG: 0
YALUE. 2092
Remiavks : Fi.i,(* st.tppr,essiori s:y s f,t.-m
Owner. FEES
SaIMPGOIJ i v P v tate )-(Zcpt
1.0.300 13W GRrENBURG RD PRMT $ 38. 50 BON 02/16/97 97--290483
SUITE 200 FTRF $ 15. 40 13ON 0 18/97 97 290483
TIGARD OR 97223 SPCT $ 1. 93 BON 02/18/97 97- 29048
Pi o n p #- 452-5900
Callt t-act ora ----------------------._.__.--_-
ALOHA r- IRE= PROTECTION
18935 SW WRIGHT CT
ALOHA OR 97007
IDI-irjnr� #: 50:31' (142- 437A 55., 87, rOTA1.
Reg ft. 652'Pt
REDUIRED TNc,3Pr-.(7'f IONS
This pervit is issued subject to the regulations contained in the Sprinkler Roi.igh--
Tigard Municipal Code, State of Ore. Specialty Codes ars: all other Spr-inklet- Final
applicable laws. All wore will be don? in accordance with
approved plans. This pervit will expire if work is not startyd
withir 18Q, days of issuance, or if work is suspended for ver!
Char 180 days.
Call for inspection r-.,39-4175
Fire Protection Permit Application Plan Check# f
TY OF TIGARD � 1 -I cornmercial or Residential Recd By
1-^r 4%A! rJA� 1 !'^1 4r 1
. ». r . 1 C,la.,e,-, -r. C
'IGARD (lt: 97223 \ t Print or Type IJ a to P E.
i
503) 639.417'', Ext, 304 Incomplete or illegible applications will not be accepted Date to OST
Permit M elc
Called
Name of Dave to/pine nVProject --� Type of System (Complete A or B as applicable)
I�Job lift( l --
L Address Address
U-lot) `i, ,r�„�•;`.Nrv3 // A.) Sprinkler T�Wet I Cry ❑
Standpipes
Name •
i' rjj Hazard Group
Owner Mailing 4ddress Additional t.t,1,14T
City!Stalezip Phone - I Information nensty —
r� 1__— Design Area
Nzme
1 I f k C i t.•10 d- K. Factor
Occupant Mz ling Address , 40
1 ( 4` il'' ' '� f'� r Sprinkler Project Valuation $
CityiSlate Zip Phone !{ j
I ( ,e') 12 C .—�-T— _
COT Business Tax or Metro M Exp. [gate B.) Fire Alarm 1 AqA � � I.All
Submittal Shall Include l Battery Cakvlations cYES [:3Contractor Name ,
(Sprinkler or Mailing Address Cut
Individual Component YES
Cut Sheets
Alarm I r �j1, ,•�.' t�'�'I[ �I� —^ F
Company) CdyfvSlate Zip Phone ire Alarm Project Valuation $
Attach Copy Slate Const.Cont. Board L c i Exp.Daie - Project Valuation Subtotal (A or B) $ }
Exp.Date l”Business Tax or Metro 0 -Permit fee based on valuation $
Current CO
\1 ' � r l t' � _ _ (see chart on back)
Licenses �
Name 5% Surcharge $
Architect Mailing Address ____J -^FLS Plan Review 40% of Subtotal $
CltyfState - Z�c Phone TOTAL $
Descnbe work 4.)New O Addition O Alteration 4. Repair O PUNS MUST BE SI OMITTED approvea and a penrvi,med prior to'nsnila . �r
to be done: Three sn.a
sets cf pL1W sde pian(and vicinity map)req•.:W which stows location of
nearest hvarsnt.
B.) 7asement O HoodNent O Spray Booth 0 I hereoy ackncwie.tge that I nave read tnis aopi"oon.that the information given is
Complete O Partial O Exttway O correa that i am the-iwner or authonzea agent of the owner,afwl that plans submtted
alit ih t%LNIIt .sw w Lh 0Iey xi State is-..3.
�1dd lional Desc:nptwn of Work: _ ------
_ /sIgrilAwre ofrfAgent Date
r
A.)In Existing Building [n New Building ❑ Contact'ftroj Name Phone
Building
Data B.) commercial 17 Rrsidenbal ❑ FOR OFFICE USE ONLY: _
Plat# Map/('L#:
No.of stones:
Sq. Ft: Notes -- _-- -
I`�C(�
Cccupancy Class Type of Constructicn
I.
itsresupr doc
3
GrY CF 71G.aRQ
TOTAL
PLAN STAi c BUILDING
V,,L"A'i ICN PERM[T FLS REVIr:N TAX PEi•Mri'
`F PRC.JE FEES �.tQeo} (6�?'o} 5?a
1-1,x%0 2�.00 MCC 16.25 . 1.25
t.5a'-t,6C�J _ 52.50
2i. 0 t0. 17.23 t.JJ 55.66
1,.501-1,i C0 29.00 11.211 18.20 1.40 a•8.8CI
1.701-1,8C0 Z9.5t7 11 20 19.18 1.48 61.96
1,901-1,9C0 31.00 12.40 20.15 1.55 6x.10
1,S01-"wCo 32.50 13.00 21.13 f.63 68.26
2.001-3,CCo 78.!0 15.40 25.03 1.93 80.85
3,C01-4.CCC 44.50 17'.8r, 28.93 12 3 91�i�C;
4.C(11-5,CC0 50.50 20.20 32.83 2.53 106.n6
5,C01-6,CCo Ea.4-:0 2260 36.7 3 2.e3 118.56
6.001-7,000 52.50 2 S.Ca 40.53 3.13 131.15
7,C01-a.CC0 68.57 27.40 4.4.53 3.43 143.86
9.001-9,Cc0 74.50 29.!0 48.4;1 3.73 156.46
9,0,.,1-t0,CCo 80.50 32.20 52.33 4.03 169..06
10,Co 1-t 1.Cco 86.5 7 34.50 56.23 4.13 181.C5
11,001-12. ;0 92.510 37.00 60.13 4.63 124.25
12.0O3-13,CC0 58.50 39.40 64.03 4.43 2C6.86
+3.001-;4,CC0 1C4.50 41.80 67.93 5.23 219 46
1.1,04 i -15.000 110.!0 44.=0 71.83 5.53 232.06
15,Co1-16,CC] 116.=J 46. 0 75.73 S,g3 244.E6
.:.C1-Ii,CCC 1"?.5� =9.:0 ,79.53 a.13 25i.?5
;i,C01-18,000 129.=�] :t.=0 P3.53 o.a3 Z6MG
1?,G01-;9,0co 124.=O 510.�Q 87.43 6.73 282.46
1S.001-zo.cco 1-�C.5�7 Sa'.;a 91.33 7.03 255.06
2
_` .Z �- �
_ ,CCO 10.;.0 53.50 45 3 '3
:307.66
r`.
61..-0 49.IJ 7.53 :t"0.25
--..-01-_3.000 ;5V.:0 =3.-0 ;03.03 i._3 3?2,Qn
2 .-c1-.. 0 ..
'•� ..:10 �6-:.. Sj.?0 ;Ca.e3 8.23 345.46
17C).:J Sa._a ; ;0.93 c�.:3 358.0E
17.-.v10 7IC0 1 ;.-.7=
79.5 71._Q 1 ;3.53 3.43 376.96
=C' '2 ;0 1 386.40
-_3._..10 .0 , ,� 50 4.`10
001-2n,r"C10 2A , •-� ;3
_3 7 ._0 `. ._ -3 345.86
CC1-:O.CC'a ;S3.r_0 777 .'70 125.'S 405.30
3u,CC'-31,�C J 157.:0 79.00 ;29.38 :.AS 414.70'
=C2 0 100.=0 13 1.30 C.10 424.20
.. .Cr1-33.�r0 _ra _.J a2.z'J 1� '.2 i "3 432 =
_...
33,00;-_ ,�co 21;.CU 8».-a 1_7.;5 .ZIt3.10
;0.73 2.-
ME:ru'F-tAN I CAL.
CITY lad' TIGARD PFRMIT
DEVELOPMENT SERVICES PERMIT t#. . . . . . . : MEC97--000a
13125 SW Nall Blvd., Tigard, OR 9]223 (503)639.4171 DA's"E I SSIJED: 01/09/97
PARCEL : 1S135AP—•034017.1
SITE AUDPEF�S. . . : 1O26O r-.N GREF1\JS1..IRtj RD #860
SUBDIVISION. . . . : TOWN OF ME'f ZGER ZONING: C-•P
BL.00P.. . . . . . . . . . . LOT. . . . . . . . . . . . . : 14
(M.ASS�OF-�WORK. . »Al--'r FI-00P FURN. . . . ' 0 t=VAP ( OL71..ERi;: 0
TYPE OF USE. . . . :COM UNIT HEATERS. . : 0 VENT FANS). . . : 0
O':CUP'ANCY GRP. . :B VENT; W/O APP'I_: 1 YENT SY STEMS: V,
STORIE=S. . . . . . . . : 0 BOILERS/COMPRESSORS HOODS. . . . . . . : 0
FUEL. TYPE S-- - _........._.._._..__...- 0-;; HP. . . . : 0 DOME9. T Nr"I N: 0
3--1.5 HP. . . . : 0 COMML. T NC I N: 0
t :5--10 HP'. . . . 0 PEF'A T R UNITS:I TS: 0
T NP'I.JT: 0 laT1_I
11 RE DAMPERS% . : 3,e.-50 HP. . . . : 0 WOODSTOVES. . : 0
GfiF3 PRESSURE... . . . 50+ HP'. . . . N I"I..O fiRYl_RS. , 0
NO. OF UNITS- ---- AIR HANDLING LIN I TS OTHER UNITS. : 0
FuRN ( 1 O01-� B'TIJ: 0 <- .11"')000 cf m . 0 GAS OUTI—ETS. : 0
F IJRN ) =-100K NTLI: 0 ) 1.0000 r_�f m : la
Remail<s : Install fire dampF•r^ in new fire--t-ated pot-tion of sl.lite A60
using a two-haur or_c sep wall for hor•i:eontal e)citing creating two sep tenant
Space S.
rlwner-» _._.__._..._.____._____.._.__..__.___.__._..___.__._. ._----- - -------- -____-- FEES
NOPRIS BEI'.GS R S1:MF'anN type atnoi.lnt by date rel-pt_
1.03O0 SW GRFENRURG RD PRMT $ 25. 00 JMH 01 /09/97 97-2$9714
SUIT[- 2001 ,f_,E r s 1 . r'C TMH 01/0':1/9'7 97 -28F171 4
T I GARD OR 97223
Phone #: 452-5900
Cant:r-actor: - -
NORTH PACIFIC HEATING
3:,7001 5E: DLJUS RD
ESTACADA OR 97023
Phone #: $ 2F,. P= 5 'rr)T()t
Reg 1#. . 6374E,
REOU I RF=D INSPECTIONS
This permit is issued s.lbject to the regnlat)ons contained in the Fire Damper Insp
Tigard Municipal Code, State of Ore. Specialty Codes and all other F i nal Inspection
appl)rable laws. All work will be done in accordance with
approved plans, This permit will expire if worN is not started
with,n IN days of issuance, cr if work is suspended for more
rtipn 190 days.
I in i t t e r S i g n:a t 1'.11,e »
<-s1_ie,d Py
Call. for inspection - 639-4175
Plan Check#
CITY OF TIGARD Mechanical Permit Application RecdBy__-
13125 SW 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#
Incomplete or illegible applications will not be accepted Called
_ ed
N eat Detre. omenyp4u eci — Description — T,3� I PRIt E AMT
Table IA Mechanical Code _
Job lel Address U,
A) Permit Fee 0- U- 10.00
Address ,•y i YLL I
Bldg# dri5late Zip B) Supplemental Permit 300
�)
Name for name tit busine i 1 ) Furnace to 100.000 BTU 600
7incl duds&vents '
Owner A _
Mailing Addre ) Furnace 100.000 BTU+ j 7 50
c incl ducts&vents
Cityistat Zip hone 3 i Floor Furnace 600
q 7, ,tiKu- )c incl vent _
Name(11 name of bu rte , 4 1 Susaended heater,wall heater 600
or floor mounted heater
Occupant Mallihg AddrtillYs � 5) Vent not incl in 300
�i .. - _ appliance permit _ f
City/stale — ip Phone 6) Boder or comp,heat pump,air Gond 600
_ to 3 HP,absorp unit to 100K BTU
Nara r. 7.) Boder or comp,heat pump,air cond. 11.00
24 v 3-15 HP.absorp unit to 500K BTU
Contractor Madng Addias$ 8 1 Boiler or comp,heat pump,air cond 1500
_ c _ 15-30 HP absorp unit 5-1 and 8 U
(Prior to cityls ats Zip Shona 9) Boder or cornp,heat pump,air cond. 22 50
issuance a copy -> 30-50 HP,absorp unit 1-1 75 mil BTU _
of aN licenses are Oregon const ConT Bord Lic# Exp Date 10) Boder or comp,heat pump,air cond 3750
- �50 HP' absorp unit 1 75 mil BTU
required if � •' -- .--
expired in C O T COT Business Tafor Metro# Exo Dpte 11 ) Air handling unit to r• 450
data base) " ; : _ 10 000 CFM
Architect Name 12) Air handling unit 7 50
_ 10.000 CTM+_
or Meiling Address 131 Non portable 450
evaporate cooler _
Engineer atyistaie-- 2r Phone — 14) Vent fan connected — — 300
to a single dud
Desuibe work New O Addrhr.n O Alteration G Repair O 15) Ventilation system not 450
In be done Residentiel O Nonresidential O included in appliance permit
Additional scnption of
work 16) Hood served by mechanical exhaust 4 50 —
l O 17) Domestic incinerators 7 50 -_
Existing use of 18) Commeroal or indushtattype 3000
building of property-, �.L ^� incinerator_
19 i Repair units 4 50
Proposed use of 20) `Noodstove 4.50
building or property —
_ 21) clothes dryer etc. —_ 450
Type of fuel-oil O natural gas O LPG O electric O 22) Other units 4 50
I hereby acknowledge that I have read this applicaliun.that the 23) Gas niping 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 comp4nce with Oregon State 24) More than 4-per outlet (each) 50
laws
Signature ofrO%veer Agent Date QTY.SUBTOTAL
'SUBTOTAL .���
-- ����- •awl_�G� . ..� c�'
Con�ct Person tJ�alr+e Phone ----�5%SURCHARGE
PLAN REVIEW 25%OF SUBTOTAL
J ---- ---- TOTAL —
i klstVnechpmt.doc (rev 7196) —�— 'Minimum permit fee is S25+5%surcharge 1
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CITY QF TIGARD PLUMBING PERMIT
DEVELOPMENT SERVICES PERMIT #. . . . . . . : PLM97-000.-
13125 SW Hall Blvd., Tigard,OR 97223 (503)639.4171 DATE !SSUED: 01 /06/97
PARCE(_: 15135AB-03400
1V7!'.: ADDRESS. . . : 10260 SW F5REENB1JRG RD 4860
SUBUTVISION. . . . .. TOWN OF IIETZOER ZONING: C–P
FALOCV. . . . . . . . . . I. OT. . . . . . . . . . . . . : 14
,LASS OF' WORK. . :ALT GARBAGE DISPOSALS. : 0 MOBII...E HOME SPACES. 0
TYPE OF USE. . . . :COM WASHING MACH. . . . . . : 4) BACKFLOW PREYNTRS. . 0
OCCUPANCY GRP. . :P FLOOR DRAIN15. . . . . . : 0 'T RAP'S. . „ . . . . . . . . . — 0
9TORIES. . . . . . . . : 0 WATER HEATERS. . . . . : 0 CATCH BASINS. . . . . . . : 0
F I XTI.JRES-----.------ LAU1%,iDRY TRAYS. . . . . : 0 SF RAYN DRAINS. . . . . : 0
SINKS. . . . . . . . . . : I URINALS. . . . . . . . . . 1 0 GREASE TRAPS. . . . . . . . 0
1-AVA*F0PIES. . . . . . 0 (TTHFR FJ.XIIJPES. . . . : 0
TUB/SHOWERS....: 0 F)EWFR LINE (ft ) . . . : 0
WATER CL-n9FTS. 17, WATFR I-INE ( ft ) . . - : 171
1)1 SHWASHERS. . . . 17, RAIN DRAIN (ft ) — : 0
Remarks . Installing one commerrial sink
Ovinev-.. FEES
NOPRIS BEGGS & SIMP SON type -Amount 1:)y date rerpt
10300 SW GREENBUPG RD PRMT 25. 00 JH lal/03/97 97-288439
SUITE 200 5PCT b 1. i25 JH 01/03/937 97-288439
TIF--i'ARD OR 97223
Phono #; 1452-5900
Contractor: ----------------------------------
DFTEMPL.E CO INC
1951 1\1W OVERTON ST
171ORTI-AND OR 97c."'09-
Phone #-. 227-. 2C,41 26. 29 TOTAL
Rey #. . : 002510 REL-?UTRED INSPECTIONS
Thi� persit is issupd subject to the regu;ations contained in ane Top—out Insp
Tigard Municipal Code, State of Dre. Specialty Codes ano all other Final Inspection
applicable laws. All work will be done in acrordarre with
approved plans. This perwit will expire if wort, is not started
within 180 days of jS5qdnCe, or if work is suspea4d for vorp
than IN days.
1:1 P r m j.t t e gnXkture : ,'
Call for inspertion 639-4175
CITY OF TIGARD Plumbing Application Rec1By
13125 SW HALL_ BLVD. Commercial and Residential Dale Recd Imo' %�3, Date to P E.
TIGARD, OR 97223 / r Date to DST _
(503) 639-4171 Permits �'t M97-120112
Print or Type Related SWR r 17 o''
Incomplete or illegible applications will not be accepted called )-4-91
Name of Devlopment1prolect New Si Faf*tlhf Residences dC�`(y
J o k1 t r (v
(1� .% �� � C'�/.� FFee
C,USE5140 00 - p 2 BATH-HOUSE$196 00Address Street Address Suite a i
1�' i
(��
�./ ��
�i
,�
1 ,�
i
i
Tenant Name: Accumulative Sewer Tally This SWRu:
Pddress:•�1� This PLMJt: -Lr1'
Fixture Value P.evious# Previous Credits Capped Fixtures Fixtures New New
Value Capped off value added # added total #s total
Count elf#s count value values
Baptstry/Font 4
I Hath - Tub/Shower 4
- Jacuz/Whpi 4
Car Wash - Each Stall 6 — -
- Drive Through _ 16
Cuspidor/Water Aspirator 1 _
Dishwasher - Comrner d
Domest 2
Drinking FOUnlaln
Eye Wash 1 —
Floor Drain/sink 2 inch 2
3 inch 5
4 inch 6
Car Wash ' n 6
Garbage Disposal 16
Dorn Ito 314 HP)
Comm Ito 5 HPI 32
Ind lover 5 HPI 46 — —_
Ice Machine/Refrigerator Drains 1 � —
Oil Sep(Gas Station) 6
Recreational Vehicle Dump Station 16
Shower - Gang (Per Head) 1
Stall 2
Sink - Bar/Lavatory 2
Bradley —
Commercial 3
Service_ _ 3 _—
Swimming Poul Filter I 1
Washer. Clothes 6
Water Extractor 6
Water Closet, Toilet 6
Urinal 6
TOTALS � )q6
Total fixture values:_/ >V divided by 16 = -14 _ EDU
HISTORY
r / _
FLM#bio DOrIU EDU# L. ' SWR# ��" G� ---- PLMa EDU# SWR# _�—
PLM# EDU# SWR# PLM# EDU# SWR#
PI-Mr EDU# SWR# PLM# EDU# SWR#
PLM# ECU# SWR# PLM# EDU# SWR# Y
CITY OF TIGARD ELECTRICAL_ PERMIT
DEVELOPMENT SERVICES PERMIT #:
13125 SW Hall Blvd., Tigard.OR 97223 (503)639.4171 DATE ISSUED: 12'/30/96*
PARCEL: 1 .t SAB 0:s4OO
GTTF" ADDRESS. , . : 1O:'60 GW GFRE_LI�IBIJR() RD #06
SUBDIVISION. . . . : TOWN OF METZGER ZONING:C--P
Ri_ory. . . . . . . . . . . LOT. . . . . . . . . .. .. . . : 1.4
Project Description: ADO 4 BRANCH CIRCUITS
-
—REEJIDENTIAL. UNIT------- ------ TEMP SRVC/FEEDERS_..-__. -----MISCE.LLANEOUS--___
1000 SF Of? LESS. . . . : 0 0 - 200 .-mp. . . . . . . : 0 F':'LJMP/ IRRIGATT ON. . . . : 0
EACH ADD' L 500SF. . . : 0 201 - 4.00 amp. . . . . . . : 0 SIGN/OUT LINE L rG. . : 0
LIMITED ENERGY. . . . . : it 401 - E,OO amp. . . . . . . : 171 51[3NAl._/PANEL. . . . . . . : 0
MANE. HM/ SVC/FDR. . : 0 60J.+amps— i.00O volts. : 0 MINOR LABEL ( 10) . . . : 0
-SERV T CF/FEEDFP_._._._ __PRANL:,H C I RCU T Tr..__........__. -___.-ADD' L T NSPEC ION
0 200 amp. . . . . . : 0 W/SERVICE OR FEEDER: 0 PER INSPECTION. . . . . = 0
x='01 400 amp. . . . . . : 0 1st W/0 SRVC (:Jf' F=UR. : 1 PER HOUR. . . . . . . , . . .
401 — FOO Amp. . . . . . , 0 EA ADD' L BRNCH CIRC: 3 IN PLANT. . . . . . . . . . . . 0
f,O1 100,71 amp. . . . . : i __._____-___..__._.__..__._.._.--PL_AN REVIEW SFC'TTON—_-__
1.000+ amp/volt. . . . . : 0 ) =4 RES UNITS. . . . . . . . : ) 600 VOLT NOMINAL.. . :
Reconner.t, only. . . . . : 0 qVC/FDR > 225 AMENS. . : Cl- ASS AREA/;PEC OCC. :
Owner. ___ ________.----________._.._.__-----__—_-.-- ---__._____.._._.___.. FEES
NFIRRTS 1317GOG) R 93TMPSTIN type amoi.t.ni, by date r-ecpt
10300 SW GREFNBURS RD F'RMT $ 50. 00 TAT 12/30/96 %-2882c.,4
TE i=.00 SPCT $ 2:'. 50 "FAT 12/3O196 96--c.188;=11='4
TIGARD OR 9722
z'I-i o n e #: 45P9590121
95900
F,HPISTENSON ELECTRIC INC $ 5`. 50 TOTAL_
1 1 1 SW COLUMBIA
SUITE 480 __._____ RFCrU I RED INSPECTIONS -.------
IDORTLAND OR 97201. Ceiling C.:ever- Urldergrol_1nd Cove
PFione #: 503-241-461F Wall Cove'- Elect' 1. Service
Reg 0. , : 000004
This peru� is issued subject to the regulations contained in the
Tigard Munieip6l Code, State of Ore. Specialty Codes and all ether Pet,git4ee Signatl_ir�
applicable laws. 1111 work will be done in accordance with
approved plans. This persit will expire if work is not started _
within 100 days of issuance, cr if wort( is suspended for sore
than 180 days. I`ss1_ted R
.-OWNF'R ING'TAL.L.ATION ONLY----L
(tie in=_teAllation is being made on p�-oper•ty I own which is not intended for-
lease, or- rent.
OWNER'S S1f7,NA•FL.IRF- _. _..._—_ -_---__-.__---- -- DATE:
IN 3TAU_AFION ONLY
SIGNATURE OF SUPR. ELEC' N: DATE.-
LICENSE
ATE:LICENSE NO:
Call for, inspection — 639-41.75
f
Community Development ELECTRICAL PERMIT APPLICATION
13125 SV'J Icall Blvd
1igard, OR 97223 Permit # _ C� /� � � 'L,r /4�
Date Issued
Phone (503) 639-4171
FAX (503) 684-7297
CITY OF TIGARD TDD No (503) 684-2772
Inspection (503) 639-4175
7. Job Address: 4. Complete Fee Schedule Below:
Name of Development LINCOLN CENTER TOWER Number of Inspections per permit allowed
Address 10260 SW GREENBURG RD SUITE860 Service included Items Cost(ea) Sum
CitylState/Zip_ PORTLAND OR 97223 4a. Residential -per unit
1000 sq, ft or less —_ $11000
Name (or name of business)HAIL KIFTON Each additional 5013 sq ft.or
t -- portion thereof $25 00 _
Commercial P 1 Residential ❑ Limited Energy $z5 00
Each Manurd Home or Modular
Dwelling Service or Feeder $6800
2a. Contractor installation only:
ROSS CROSBY ab. Services or Feeders
Installation,alteration,or relocation 2
Electrical Contractor CHRI STENSON ELECTRIC INC 200 amps or less $6000
Address I I I SW T(I ,SUI E W— _ 201 amps to 400 amps -` $8000 2
Cit ORTLAND State OR Zi 7201-588ft 401 amps lo600Amps $12000
City. ---- 601 amps to 1000 amps $160 00 2
Phune No. 241-4812 over 1000 amps or volts $34000
z
Reconnect only $50 00
Job NO. _222-0347 _ -
Contractor's license NO. 26-34C — 4c. Temporary Services or Feeders
Contractors _ -`__'�ti Installation,alteration,or relocation
Signature Of SL �I_ T 200 amps or less
License No P1u1ne No 241— 12- 21311 amps to AIM amps _ $5000
_.�Z3 S__. _- 401 amps to 600 amps $7500
Over BW amps to 1000 volts $10000 -----
2b. For owner installations: see"b"above
4d. Branch Circuits
Print Owner's Name New,alteration or extension per pine
Addressa)The fee for branch circuits with
- - — - — -
purchase o/service or leader res.
City_ -- _ -_ _ _ `tate_...... Zip Each branchcIrcuit $500
Phone No._ _ __ _ _- __ b)The fee for branch circuits without
The installation is being made on property I own which is purehoseofservice orWater Fee.
First branch circuit 1 $3500 35.
not intended for sale, lease or rent Each additional branch circuit --3-_ $500
Owner's Signature__ _ 4e. Miscellaneous
(Service or feeder not included)
3. Plan Review section (,f required): Emch pump or irrigation circle $4000 _-
Each sign or outline lighting $4000 ^
Signal circuits)or a limited energy
Blease check appropriate Item and enter fee in section 5B panel,alteration or extension $4000
4 or more residential units in one structure Minor Labels(10) $10000
Service and feeder 225 amps or more 4f. Each additional inspectic.n o ler
System over 60u volts nominal
Classified area or structure containing special occupancy the allowable in any of the stove
oo
as described in N W
E C Chapter 5 Per Inspection
P Per hour _ Woo
In Plant $55 00
Submit 2 sets of plans with application where any of the above
apply. Not required for temporary construction services. 5. Fees: >i)
8a. Enter total of above fees S
NOTICE 5%Surcharge (.05 X total fees) 3 — 2•30
PERMITS BECOME VOID IF WORK OR CONSTRUCTION Subtotal g
6b. Enter 25°h of line A for
AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS,OR IF Plan Review li required (Sec 3) ; _
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR 2--, 50
Subtotal R 5
A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS —2
COMMENCED vexAaomM.sir 11 Trust.Account
Balance Due $ 52.50
CITY CSF TIGARD T
DEVELOPMENT SERVICES PLUMBING PERM?
PERMIT i#. . . . . . . : F'LM96--O387
MUEM 13125 SW Hal!Blvd.,Tigard,OR 972g.3 (503)639.4171 DATE ISSUED: 12/27/96
PARCEL: 1S135AB-03400
aIT'F_ ADDRESS. . . : 10260 SW GREE"NBURG RD #860
SUBDIVISION. . . . : TOWN OF ME'rZGER ZONING: C--P
13L_OCK. . . . . . . . . . . LOT. . . . . . . . . . . . . .. 14
------------------------------------------------------------------------
I,L.ASS OF WORK. . :ALT GARBAGE DISPOSAL_S. : r;h MOBILE HOME SPACES. : 0
TYPE OF USE. . . . ..COM WASHING MACH. . . . . . : 0 BACKFLOW PREVNTRS. . : 0
OCCUPANCY GRP. . :B FLOOR DRAINS. . . . . . : 0 TRAPS. . . . . . . . . . . . . . : 0
STORIES. . . . . . . . : 0 WATER HEATERS. . . . . : 0 CATCH 3ASINS. . . . . . . : 0
LAUNDRY TRAYS. . . . . 0 SF RAIN DRAINS. . . . . : 0
SINKS. . . . . . . . .. 1 URINALS. . . . . . . . . . . : 0 GREASE TRAPS. . . . . . . : 0
LAVATORIES. . . . . : 0 OTHER FIXTURES. . . . : 0
TUB/SHOWERS. . . . 9 0 SEWER LINE (ft) . . . : 0
WATER CLLISF_"f S. . : 0 WATER LINE (ft ) . . . -. 0
DISHWASHERS. . . . e 0 RAIN DRAIN (ft ) . . . : 0
Remarks : ADD 1 SINN
MAL.IFSU PACIFIC: HALT_ KINIO
Owner, -_..________.__.__.________.___________._________--__-_-____ FEES ______________
NORRIS BEGGS & SIMPSON type amol.:nt by date recpt
103OO SW GREENBURG RD PRMT $ 25. 00 TAT 12/27/96 96-288188
STE 200 SPCT $ .1. 25 TAT 12/27/96 96•-288188
TICARD OR 97223
Phone #: 452-5900
Contractors
DETEMPLE CO INC
1951 NW OVERTON ST
PORTLAND OR 97209 -__._-_-_----.-------___.___- ---------_-...
Phone #: 227-2641 $ 26. 25 TOTAL
Reg ##. . : 0O251O
REOU I RED INSPECTIONS ---This permit is issued subiect to the regulations contained in the Sewer Inspect ion
Tigard Municipal Code, State of Ore. Specialty Codes and all other Water Line Insp
applicable laws. W1, work will be done in accordance with Wafter Service In _ _--
approved plans. This permit will expire if work is not started Roo-igh•-in Insp
w;thin IN days of issuance, or if work is suspended for more PL_M/Underfloor
than 161 days. Top-out Insp
M i 5 c. Inspection
Insp existing/ra
Final Inspection
f='a r'm i t t e e S i �t,�r•e . i _._. _
I S S r.i e d B
Call for inspprtion -• 639-4175
CITY OF TIGARD Plumbing Application Recd By
13125 SWI HALL BLVD. Commercial and Residential Date RecdDate to P E.
TIGARD, OR 97223 Date to DST
(503) 639-4171 PPmrit# - •Lill
Print or Type Related SWP#
Incomplete or illegible applications will not be accepted Called_
J 1(Vame of Devlopme protect 6RS' air ,New Slra a FamIM
Job ,1), 6 f l l �(
(._ 7p ► w b aL
.(3,,.*BATH OUSE$140 00•; t-- 2 g(g7} HgUSE$195.00 -
Address e��`,prdd—gess Suite G/ r; ' 13th'3 BATH HOUSE 5225 0-t!_ 11 ` 1
(J (�, �1 t I k OII;C' Fee iricludes�id iV16 trip fbdures In the dwelling iirid ills Brat tOO�ee�of• "'"�W
Bldg 0 ty/Stat Zip water senrice,sanitary sewer and storm sewer See lees below.
�"t�CL ��Iy-�7 :i�...st:rrf.�r�:.� . '.... •-.moi{.. ♦ rYN�J1^.�; ♦-....• \'.i••r-...
meFIXTURES(individual) •� QTY PRICE AMT
a _ _ i
`,f a l S t.�C� C�`` )s(JV" S nk --- 9.00 C
Owner Mailing Address Suite Lavatory 900
_—
City/State Zip Phone Tub or Tub/Shower Comb. 9.00
Shower Only _ 900 ^�
Name Water Closet 9.00
l k � 1 I(,A&\ Dishwater ---- god,
Occupant Mailing Addregs II\ Suite Garbage Disposal 9 00
p t l(L V'� V lU 11, f rJ�( Washing Machine — 9.00
15t f l Phone Floor Drain 2' ?00
�-r7 3- 9 00 --1
-Name,.- _
4' 900
I Contractor M/8'ilg Ad res Suite Water Heater 9.00
)L1 ✓�t Laundry Room Tray 900
OjlyiSlate Zip Phone Unnal 9.00
i-Il�t`c _/ lit r .?-I-) L�`II -- _-1
Other Fixtures(Specify) 900
Viegon Const.Cont.Board Lic# p Ua _ _ _
Attach Copy of o (' C(' — 9.00
Current Plumbing Lic.# Fxc Datil 9.00
License e i I " ,l C(-7 — -- _-
Sewer•tst 100" 9.00
OT Business Tax or Metro# Exp.Date Sewer-each additional 100' 30.00
Name Water Service-1 st 100' 25.00
Water Service-each additional 20V 30.00
Architect Mailing Address Suite Storm&Rain Drain"1st 100' —_ 2500
or Storm&Rain Drain-each additional 100' 30.00
Mobile Home Space 25.00
Engineer CityrSlatat � Zip Phone _
Commercial Back Flaw Prevention Device or Anti- 25.00
Describe work New O Addition O Alteration Repair O Pollution Device _
to be done Residential O Non-residential O Residential Backflow Prevention Device' 1500 _
-additional description of work Any Trap or Waste Not Connected to a Fixture 9.00
'
Catch Basin —� 900
rw(Ja t c( l �� �S S,+11� _
i Insp of Existing Plumbing 40.00 i
per hr I _
Existing use ofI E Specially Requested Inspections 4000
building or property. _ per hr
Rain Drain,single family dwelling 3000
Proposed use of -- — --
budding or property _- Grease Traps 900
Are you capping any fixtures? Yes No QUANTITY TOTAL
I hereby acknowledge that I have read this application.that the infornation Isometric or riser diagram is required if Ouanrfy rolal is >9
given is correct.that I am the owner or authorized agent of the owner.and "SUBTOTAL i
that plans submitted are in compliance with Oregon State Laws -
Slgqature of OwnerlAgent Date 5% SURCHARGE
PIAN REVIEW 25%OF SUBTOTAL
Coptact Person Name Phone R--- only a f xtureqty orals>e_4_
TOTAL
�- f 6I 1, r l I-��'_ .��7• r�c� t I� _�_ _ _
'Minimum permit foo is 525+5%surcharge,except Residential Backflow
i\dsts\plmapp doc —
Prevendon Device,which is$15*5%surcharge
CITY OF TIGARD
DEVELOPMENT SERVICESBUILDING PERMIT'
PERMIT #. . . . . . . : BUP96-06371
13125 SW Hall Blvd., Tigard,OR 97223 (503)639.4171 DATE ISSUED: 1.2/26/96
PARCEL: IS135AB--03400
1'3TTE ADDRESS. . . : 10260 SW GRE ENRURG RD #860
9UBDIVISION. . . . : TOWN OF METZGER ZONING:C—P
RI.-OCK. . . . . . . . . . . LOT. . . . . . . . . . . . . .. 14
——-----------------
REISSUE: FLOOR AREAS--------— EXTERIOR WALL CONSTRUCTIC)N
CLASS OF WORK. :AL.T FTRST. . . . : 0 sf N: S: E: W-
TYPE OF USE. . . :COM SECOND. . . : 0 sf PRO'TE'CT OPENTNGS )---- -----
IYPE OF CONST. :2FR a . . . C 4236 sf N: S: E: W:
OCCUPANCY BRP. :B TOTAL---------.- 4236 sf ROOF CONST: FIRE RET'? :
OCCUPANCY LOAD: 46 BASEMENT. : 0 sf AREA SEP. RATED:
GTOR. : 8 HT.- 0 ft GARAGE. . . : 0 sf OCCU SEP. RATED:
PSMT? : ME7Z?-. PEOD SETBACKS----_--- REQUIRED-------------------
t-LOOR LOAD. . . . - 0 psf L.EF,r: o ft RGP.'T: 0 ft FIR SPKL-Y SMOK DET. . :Y
DWELLING UNITS: 0 FRNT: 0 ft REAR: 0 ft FIR ALRM:Y HNDTCP ACC:Y
BEDRMS: 0 BATHS: 0 IMP SURFACE: r,r,\,n rORR:N PARKING: 0
VAL.UE. $.- -115000
Remarks : Tenant improvement
using a two—hour cc.-c sep wall. for hori —cntal exiting c.,reating two sep tenant
s[1;4.re S.
Owner. FEES --.. ------......--
NORRIS SE13BS & SIMPSON type amol-int by date recpt
10-00 SW GREENBURG RD PLCK $ 110. 83 B 1.2/12/96 96--287641.
SUITE 200 r1RE $ 68. 20 B 12/12/96 96-28,11641
TIGARD OR 97223 PRMT ' 1.70. 50 DRA 12/26/96 96-2881.51
Phone #: 452-5900 5. PCT $ 8. 93 nRA 12/26/96 96-288t5I
Contractor. ---------------------------------
MALIBU PACTrTC
735 NE JACKSON SCHOOL. ROAD
HII-LSBORO OR 97124 -------------------
Phone #: 693-9797 $ 35/3. 06 TOTAI.-
Reg #. . .- 059045
--- REQUIRED INSPECTIONS
rhis permit is issued subject to the regulations contained in the, Framing Insp
..yard Municipal rude, State of Ore. Specialty Codes and all other Insulation Insp
applicable laws. All wore will be done in accordance with Gyp Board Insp
approved plans. This permit will expire if work is not started Si_tsp Ceilng In!;p
within 188 days of issuance, or if work is suspended for more
than 180 days.
I",e r m i.i;t
I 1 1. f o r inspection 639-4175
w
Cit} of Tigard
Corimercial Building_ _Permit A lication
�-
1J IN ria/I Slvd.
TigarTJ, CR 97223
(SO3) 639-4171 �l C
Jobsite Address; ('.J �J�J'f•( l'.. i Z� ^"'
Tenant; - _ Lh1�j'l� e,, Omcs'Use QnN
Suits �
Valuation: �S �� <1D00 PlanclvRec
Permit#
Owner.
/- L� Map & TL #
Address: ��:�� fJ�L>vr" �Uf ,11L� zn
ApprovaisyReQuined
22.3
� Ptarirnng
EngineeMg_
Other �a
Contractor
address:
Type of const --
~
Phone_ Occupancy class:
--
y T Spnnklered? �es)��
No
.ontmc,'or's License ; (
(attach cCpy of current Oregon license) Sq. R. of project
:ontact name & phone: Story (1st, 2nd, etc.)
posed use:
.� X-v
�� Pro
Previous use-
Address:
te: P'.umbing & mechanical plans
must be submitted at Mme cf
building permit applic abon.
B CESCRIPTION: _ . S" '� � y ���
ob
�a 2
can Signature & Phcne nurrmcer
III
=eived by: _ �' l. ��et 4 Date Received:
Perri; : Account Descripticn Amoun: AMU Pd. Bat. Ou4
_ Plumb, Permit (PLUMB)
Mach. Permit (MECH)
State Tax (TAX)
Bldg:
Plumb:
Mech:
Plan Check (PLANCK)
i
Bldg:
Plumb:
Mech:
Sewer Connection (SWUSA)
Sewer Inspection (SWINSP) �-
Parts Uev Charge (PKSDC)
Residential TIF ( IF-Ft)
Miss Transit TIF (TIF-V1j
Commercial TIF (rIF-C)
Industrial TIF (TIF-I)
Institutional TIF (TIF4S)
Office TIF (TIF-0)
Water Quality (WQUAL)
Water Quantity CNQUAN",-)
Fire Life Safety (FLS)
Erosion Cntt1 Permit (ERPR."
Erosion Planck[USA (ERPLAN)
Erosion PlanckfCOT (EROSN)
TOTALS: 7)r