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10200 SW GREENBURG ROAD STE 360-1 O N O O (n E G) [TJ Cil z w c C) 0 H m co O I -10200 `'W (3REENBURu RD, STE 360 -- CITY OF T'IGARD DEVELOPMENT SERVICES BUILDIOG PERMIT 13125 SW Hall Blvd., Tigard,OR 97223 (503)639.4171 PERMIT #. . . . . . . : BUP96-056 DATE ISSUED: 11/13/96 PARCEL: IS135AB-00900 SITE ADDRESS. . . : 1.0200 SW GREENBURG RD #360 SUBDIVISION. . . . : ZONING:C—P SLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . : ----------------------------------------------------------------------------------------- REISSUE: FLOOR AREAS------------ EXTERIOR WALL CONSTRUCTION— CLASS OF WORK. :ALT FIRST. . . . : 0 sf NP, S: E: W: TYPE OF USE. . . :COM SECOND. . . : 0 sf PROTECT OPEN INGS?___ TYPE OF' CLINST. :2FR THIRD 4049 sf N: S1 E: W. OCCUPANLY GRP. :B TOTAL----- --: 4049 sf ROOF CONST: FIRE RET? : OCCUPANCY LOAD: 74 BASEMENT. : 0 sf AREA SEP. RnTED: STOR. : 3 HT: 0 ft GARAGE. . . : 0 sf OCCU SEP. RATED: BSMT?.- MEZZ?- REOD SETBACKS--------- REQUIRED- --------------------- FLOOR LOAD. . . . : 0 psf LEFT: 0 ft RGHT: 0 ft FIR SPKL:Y SMOK DET. . : DWELLING UNITS: 0 FRNT: 0 ft REAR: 0 ft FIR ALRM:Y HNDICP ACC: BEDRMS: 0 BATHS: 0 IMP SURFACE: 0 PRO CORR: PARKING: 0 VALUE. $: 234.94 Remat-ks. Tenant improvement; — Pt,ior to final occo.ipancy pet-mit, owner- shall apply and pr,ovide a spinklet- plan & ppr'mit, fi.t-e alarm plan & permit aid merhanic-al per-mit. — A G ELECTRONICS Prior to occiipancy pet-mit — provide sprinkler- plan + pet-mit, fire alarm plan -4 pet-mit and meharical pet-mit. Owner,: FEES NORRIS BEGGS & SIMPSON type amot.int by date t,erpt 10220 SW GREENBURG RD PL.CK $ 106. 93 JH 10/23/96 96-285588 FIRE $ 65. 80 JH 10/23/96 96--289588 TIGARD OR 97223 PRMT $ 164. 50 DRA 11/13/96 96-286436 Phone #: 452-5900 5PCT $ 8. 23 DRA 11/13/96 96-286436 Contractor-: MALIBU PACIFIC 735 NE JACKSON SCHOOL. ROAD HILLSBORO OR 971&?4 Phone #.- 693-9797 345. 46 TOTAL Reg #. . ,- 059045 REQUIRED INSPECTIONS This permit is issued subject to the regulations contained in the Framing Insp Tigard Municipal Code, State of Ore. Specialty Codes and all other GVp Board Insp aDpticablp laws. 011. work will be done in accordance with S .(sp Ceilng T n s p approved plans. This permit will expire if wurk is not started within 180 day; of issuance, or if work is suspended for more than 180 days. T ss i-i eA') &� Call for inspection 639-4175 10.23.1 Commercial Building Permit Application City of Tigard }qV 13125 SW Hall Blvd. Tigard, OR 97223 1 (503) 639-4171 L. - - -- Jobslte AdJress: _ O-/ Ofil Tenant: ce use only. .-s,.�s.w�s[3.[L�- -- Suite #-�' '- �Q��C� PlancklRec #_ Valuation: - -- Permit # r S -< INI�-�N Map R TL# Owner. I�.IDR .._ Address. ov-- -- ---- IO 2-� � Ll __. --- A prrals R_ eq_uired - �- Planning - --� -----_.- i i - ---- Engineering i__- ----- Other�,_-- ---- --- Amom Contractor: Address: Type of const: - f occupancy class: Phone: Sprinklered7 _ Contractor's License # _. -J u� Sq ft. of projcGl4 �------ (attach copy o:'Went Oregon license) pStory (I st, 2nd, etc.) --- ^� r -� Proposed user�ltt-�r� -- chltect/EngIneer: . ALa S1._. �-_ ,�_ Previous �'7 1 ) Note: Plumbing & mechanical plans G v►� � �` -� must be submitted at time of building permit application. Phone -- COMMENTS: _- _________ -zl�l r 5 , Applic nt Signature & Phone rw:nber Di.ite Received: �'---- jAeceived by: ____�- 1 Permit k Account Description Amount Amt. Pd. Bal. Oug + Bldg. Permit (BUILD) ��'`f / Plumb. Permit (PtJJMB) _ '• Mech Permit (MECH) State Tax (TAX) Bldg- _ Plumb: Mech: Plan Check (PLANCK) Bldg: Plumb: Mech: Sewer Connection (SWUSA) Sewer Inspection (SWINSP) r _ Parks Dev Charge (PKSDC) Storm Drainage Chg (SDSDC) Residential TIF (TIF-R) Mass Transit TIF (TIF-MT) Commercial TIF (TIF-C) Industrial TIF (TIF-I) _ Institutional TIF (TIF-IS) Office TIF (TIF-0) Water Quality (WOUAL) _ Water Ouantity (WOUANT) J Fire District (FIRE) TOTALS: 13 - CITY OF TIGARD BUILDING INSPECTION NOTICE Inspection Line: 639-4175 Business Phone: 639-4171 Footing RAin Drain Cover/Service FINAL: Foundation Water Line Coiling -Plurnb Post/Beam Mach. Shear/Sheath Framing -Mech. PIbg.Und/Flr/Slab Plbg. Top Out Insulation -Elect Post/Beam Struct, Mech. Rough-in Gyp. Bd. Bldg, San. Sewer Gas Line Appr/Sdwlk Reins. Other: — -- --- -- Date: . IT — A.M. P.M._T__ Entry. Address: ., l U -Z d Tenant: _ __— Ste:t3__�C)M� BUP Con/Own: _._ _— _ MEC _. PLM: ELC: THE FOLLOWING CORRECTIONS ARE REQUIRED: ELR: Of Inspector: �Y C=7t/ Date:- APPROVED —DISAPPROVED/CALL FOR REINSP. CF CO CITY OF TIGARD BUILDING INSPECTION NOTICE inspection Line: 639.4175 Business Phone: 639.4171 Footing Rain Drain Cover/Service FINAL: Foundation Water Line Ceiling -Plumb. Post/Beam Mach. Shear/Sheath Framing -Mach. PIbg.Und/Flr/Slab Plhg.Top Out Insulation -Elect. Post/Beam Struct. Mach Rough-in Gyp. Bd. -Bldg. San. Sewer Gas Line Appr/Sdwlk Reins. Other: _--_..------------ - — — Date: A.M. P.M. Entry: Address: � — 7/�.,� Tenant: �1ST BUP Con/Own: --- — ------ MEC: ---- PLM: ELC: _ THE FOLLOWING CORRECTIONS ARE REQUIRED: ELR: — In�speecct r: Date: "APPROVED —DISAPPROVED/CALL FOR REINSP. CF 0 CITY OF TIGARD BUILDING INSPECTION NOTICE Inspection Line: 639-4175 Bu:iness Phone: 639-4171 Footing Rain Drain Cover/Service FINA Foundation Water Line Ceiling Post/Beam Mech. Shear/Sheath Framing -Mech. Plbg.Und/Flr/Slab Plbg, Top Out Insulation -Elect. Post/Beam Struct. Mech Rough-In Gyp, Bd. -Bldg. San. Sewer Gas Line Appr/Sdwlk Reins. Other: _ Date: C � A.M. _---P.M. Entry.-- -_.. Address: Tenant: -_��— — --�--` Ste:3 60 MS Con/Own: -s-?��y BUP: �= - m MEC: THE FOLLOWING"CORRECTIONS ARE REQUIRED: ELR: Inspector: ..• Da �1_Z " i0 _RPPROVED —DISAPPROVED/CALL FOR REINSP. CF CO CITY O F TI GA R D BUILDING PERMIT DEVELOPMENT SERVICES PERM I T #. . . .. . . . : BUP197 100r-j 13125 SW Hall Blvd., Tigard, OR 972'23 (503)639.4171 DATE ISSUED: 02/18/97 PARCF1. r, 15135AD-00900 SITE ADDRESS. . . - 10, 00 SW GREF.'_1,,1D1JPG RD #360 SUBDIVISION. . . . , Z[JN TNG:C--P BL.00K. 1. . . . . . . . . LOT. . . . . . . . REISSUE: F1 onR AREAS EXTERIOR WALL COIN'STRUCTION-, 71 ,OqS OF WORN,. :FF' FIRST. . . . : 3200 s N: S: E: W. 101-- OF US)E. . . -COM G[.COND. . . : 0 s PROTEC r OPEN I NGS TYPE OF CONST. .2N . . . S 0 s N: S: E: W: 0(-r-IJPnN(.'Y GRP. -0 TOTPI, 3P00 -,f Rn(')F CONFT- FIRE RFT? - OCCUPANCY LOAD: 0 BOSEMENT. : 0 sf AREA SEP. PATED: I., G A(?n 03 F. . . 0 -, F OCCU SEP. RATED: .31'r1p, - 0 F 1; BSMT?: MEZZ?: REDD SETBACKS--------- REDUI RED- Fl. 00R Lflr)T)^ . . . . VI f 1..EFT: 0 ft RGHT: 17.1 ft F I P 9f)KI : Y SMO!' DE I DWELLING UNITS: ID FRNT: 0 ft REAR: 0 ft FIR ALRM- Y HNDICP ACC: -IRO C DARK I NG. 0 DFDPMS: 0 PAlHS- 0 tilliV, 0 1 rfllp: P VALUE. $ . 4781 ReMaV-J<G : t-ire sp.q.)ptession system FEES NIORPTC, J?r[.-;G!E & SIMPSON type a m(I$_I n t ti,� data t-ecpt I IAE12VI SW GREENDURG RD PRMT $ 50. 50 TA 02/18/97 97-290484 FIRE $ .:'0. 2.'111 8 02/18/97 97-P90484 116ARD OR 97223 5 P CT $ 2. `53 LA 02/18/97 97-;:-:190484 17'I #:: 4`°,.'-5-)01Z1 F I PF $ 0. 11 Trm o1 9,/ -a 39 01...01 IA FIRE r,RnTF(. TTON 18935 SW WRIGHT CT rALC)HA OR 97007 17jFinni? #: 503--[,4;24378 $ 73. "?3 1'01 Reg #. 65221 REOUIRED !NSPECTIONS This permit is issued subject to the regulations rontained in the Spt-inkler- Poo.tgh Tigard Municipal Code, State of Ore. Specialty Codes and all other Spt^inklet- Final 4pp)icable laws. Pll work will be done in accordance with approved plans. This pet-tit will expire if work is not started -- within 180 days of issuanrp, or if cork is suspended for sort then 18e days, Call for inspection 639-4175 Fire Protection Permit Application Plan Check N ;TY OF TIGARD Commercial or Residential Recd By J r• Srr,� rJ A• '1GARD, OR 97223 Print or Type Date to P E. r� 7 503) 639-4171 Ext. 304 Incomplete or illegible applications will not be accepted Cate to D r Permit M ' Called i�. 1-7 Name of oevelopmenuProlect Type of system (Complete A.or B as applicable) Job A, -PeIV41( Address Address A.) Sprinkler Wet (] Dry L I �" mow.% 4.t_lZiZ, E; `J'. ilZ (CStandpipes Name Hazard Group Owner Mailing Address 1, Additional j Gtyl di + zip Pho Infomtation Density �- - yy.3 Design Area I` Name /I L .�y __41� K. Factor Occupant Malling Address �. p Cr' Sprinkler Project Valuation itylstats' Zip Phone COT Business Tax or Metro N Exp Date B•) Fire Alarra Submittal Shall Include Bartery Calculations YES Contractor Name /\� t•i(r (-i «. ~'''_o;� i Ii;N Individual Component YES 0 (Sprinkler or Mailing Address Cut Sheets Alarm L Fire Alarm Project Valuation $ 0 Company) Citylstab zip Phone Vi-ir� �._1v.;I &4 Z 43 J i .� Attach Copy State Const,Cont. Board Lic# Exp. Date Project Valu,tion Subtotall ((A A o or B) $ or permit fe,a based on valuation $ Current (Ain T Busess Tax or Metro tit Exp.Date Licenses C I � �f.� "_� (see chart on back) Name 5% Surcharge $ Architect Madmg Address — FLS Plan Review 40% of Subtotal $ iri N� C.tyrState Zip Phone — TOTAL $ i]escnbe work A.)New O Addition O Alteration O Repair O PLANS MUST BE SUBMITTED apwovea and.1 pemmt slued prior to nsraitatan Three sets of pons and site pian land viaroty map)required wrich shows icratxx+or to be done _ nearest hear not _ B.) Aasement O MoodNent O Spray Booth O i net"Z:%owteage that I have read mn appiicawn."t the informatton given,s —JM Complete O Partial O Exitway C--- coned.that I am the owner or auttwnzed agent of the owner,and that pians subrmtted are in compliance with ontgon State:aws Slghaturs of or Agent Dab Additional Descnption of Woik: — Ovyn A.)In Existing Bwcing C1 New Building Contict Pwill Name Phone I Building _ - l t i'9;'1 j,,, . Jt r/,>'.� -'/ `/✓ �" -- Data B•) Commercal 2 Residential a FOR OFFICE USE ONLY: Map/TL#: No. of stones: Sq.W. Notes -� Occupancy Class Type of Construction 3cs',firesupr doc CfTY CF T1GARD ,rc) PIAN STA I C BUIL',U), VAL!�ATICN PERMIT FLS REVIEN TAX PE ,�)k41- CF PRCJE,. F==S (6S7'o) 5?'o Fc 1-1,500 25.00 lo.CO 16.25 . 1,25 52,50 1,5J'-1,3x0 ZS.___0 10.---� 17.:3 1.23 55.66 1,501-1,700 29.00 11._13 18.20 1,113 !-78.An 1.701-1.8CO 29.50 11.90 19.18 1.48 61.96 1,801-1,SCO II.00 12.40 20.;5 1.55 65, i0 1,901-27.-Ica32.50 13.00 21.13 1.63 F;a r?r, 2,C01-3,CCO 38.50 1S.40 25.03 1.93 8U,86 3,C01- .CCO 44.50 17.90 28.93 2.23 931.46 4,cC s-S,c SO.50 20.2.0 32.83 2.53 105.06 5,C01-6,CGU 56.50 2260 36.73 2.23 '118.66 6,001-7,CCO 62.50 25.CO 40.53 3.13 131.25 7,C01-S,C(. 1 EMO 27.40 4-1.53 3.43 143.86 8,001-9,CCO 74.50 2MO 48.43 3.73 156„46 9,001-10,CCO 80.50 32.20 52.33 4.03 169.06 10,101-11,CCO 86.!0 34.-0 56."3 4.33 181.6V3 11,CC1-12.000 92.5.) 37.CO 60.13 4.63 194.25 12,C01-13,CCO 98. 0 39.410 6A.C3 4.93 206.86 13,C01-,4,CCO 1C4,50 41.90 67.93 5.23 219.46 14,C01-•15,CC0 110.50 44.20 71.83 5.53 232.06 t5,C01-16,CC0 116.5.) 46.5.3 75.73 5.93 24. :C1-47,CCC . '9.:3 79.53 6.13 257.26 17,CO1-18,CCO 129.=.) .:1.110 83.53 6.43 269.99, 13,CO1-19,C'CO 134.El3 53.30 87.43 6.73 282.46 19.CU1-2.0,000 140.50 55.: 0 91.33 TO 295.r6 =0,o01-244.r•C0 7.-1 307.ES 1,001-?�.CCO 15...5.) _1.�0 99.13 7.E3 320.15 1E3.5J 9-3.-0 1C3.03 7.C-3 332 96 194.:3 =5.50 ,05.,3 8.23 3.45.,5 _1.101-:5.3 0 170.=:) M3 353.Ce 70.--0 t 1 ..7� r1.�3 3c 7..50 179.:•? 71.20 1 1:.53 9.93 37�3 .'Zs 19x._0 7;.E-3 115.9-0 9.20 3F'h0 _S.CO' _9,CC '°8.5.) 75.-' L.._.0 I =3 L.-3 395-,r_ 1- J I V 1 1 I 153.-10 7720 125.45 9.___ 405. ,r 157.50 79.00 1129.38 _.?8 414.766 1, 01-32, 80.�10 1__1.30 10.110 424.20 __.001-� '. J _�5..3 °2.�.) 13 .=3 ;3.33 433.; 137.1 13.E.. 11.13.10 +-O.C? 10.73 452.: ciory OF T'IGARD DEVELOPMENT SERVICES ELECTRICAL PERMIT - 13125 SW Hall Blvd., Tigard,OR 97223 (503)639-4171 RESTRICTED ENERGY PERMIT #: ELR96-0369 DATE ISSUED: 12/13/96 PARCEL: IS135AB.-00900 ""ITE CIDDRESS. . . 10200 SW GREENBUR(3 RD #360 SUBDIVISION. . . . : ZONING:C-P BLOCK. . . . . . . . . . : 1-01.. . . . . . . . . . . . . : Project Description: ADD DATA TELECOMMUNICATIONS WIRING A. RESIDENTIAL- B. COMMERCIAL---------------------------------------- AUDIO & STEREO. . . : AUDIO & STEREO. . : INTERCOM & PAGING. . : BURGLAR ALARM. . . . : BOILER. . . . . . . . . . : LANDSCAPE/TRRISAT. . ; GARAGE OPENER. . . . ! CLOCK. . . . . . . . . . . : MEDICAL. . . . . . . . . . . . . HVAC. . . . . . . . . . . . . : DATA/TELE COMM. . : X NURSE CALLS. . . . . . . . : VACUUM SYSTEM. . . . : FIRE ALARM. . . . . . . OUTDOOR. LANDSC LITEr. OTHER- HVAC. . . . . . . . . . . . : PROTECTIVE SIGNAL. . : INSTRUMENTATION. ,. OTHER. . - TOTAL # OF SYSTEMS: I FEES NORRIS, BEGGS & SIMPSON type amoi-tnt by date reept 10200 SW GREENBURG RD P R lyl T $ 40. 00 TAT t2/13/96 962i'87691 STE 360 5PCT $ 2. 00 TAT 12/13/96 96--287691, 'TIGARD OR 97223 Phone #-. Contractor: CHR IOTENSON ELECTRIC INC $ 42. 00 TOTAL. I. I. J. SW COLUMBIA SUITE 480 REQUIRED INSPECTIONS PORTLAND OR 972101 Ceiling Covet, Elect' I Service Phone #: 503---241--4812 Wall Cover Elect' l Final Reg #. 000004 This persit is issued subject to the regulations contained in the Kik Tigard Municipal Code, State of Ore. Specialty Codes and all other V:,P r 1111, signat i-it P applicable lapis. All work will be done in accordanci, with approved plans. This pereit will expire if work is not started within 180 days of issuance, or if work is suspended for sere than t8@ days. Issued By --OWNER INSTALLATION ONLY---- The installation is being made an property I own which is not intended for ,-al e, lease, ar rent. nWNERIS SIGNATURE: DATE: ------CONTRACTOR INSTALLATION ONLY-------- SIGNATURE OF SUPP. ELECIN: DATE: ICENSE NO: Call for inspection -- 6394175 Community Development RESTRICTED ENERGY ELECTRICAL AP P LICATION 13125 SW Hall Blvd. PERMIT# Tigard,OR 97223 - - ,,- Phone(503)639-4171 DATE ISSUED, FAX(503)684-7297 TDD No. (503)684-2772 CITY OF TIGARD Inspection (503)639-4175 ISSUED BY - AG ELrCTRON]CS, INC. PLEASE COMPLETE ALL SECTIONS JOB-509-9505 q, TYPE OF WORK 1. LOCATION OF INSTALLATION 10200 SW GREENBURG RD SUITE 360 RESIDENTIAL—Restricted Energy Fee . S40,OQ Address (I 0R ALL SYSTEMS) TIGARD 97223 City Stale Zip Chpck Type of Work Involved: PERMITS ARE NON•TRANSrERABLE AND NON-REFDNDARLE AND EXPIRE IF WORK ❑ Autho and Stereo Systems IS NOT STARTED WITHIN 181)DAYS OF ISSUANCE OR IF WORK IS SUSPENDED FOR ❑ Burglar Alarm 180 DAYS. ❑ Garage Door Opener* 2. CONTRACTOR APPLICATIONHeating,Ventilation and Air Conditioning System` CHRISTENSON ELECTRIC( INC ELECTRICAL CONTRACTOg Vacuum Systems` Contrdc or _ YPe - - 111 SW COLUMBIA,SUITE 480 ❑ Other __ Address _ 1�'PLA1�t�R�72@1-�88tr-J------ COMMERCIAL—Fee for each system . . . . . . . $49=00 Date 12-10-9I7 ----- -- (SEE OAR 918-260-260) Property Owner _-____ --- �b ik Lytic ref Work Involved: 00458 ❑ Audio and Stereo Systems Contractor's Board Reg. No. _ ❑ Boiler Controls Phone# 241-4812 ❑ Clock Systems X$$ Data Telecommunication Installations 3. OWNER APPLICATION ❑ Fire Alarm Installation ❑ HVAC Print Owner's Name Phone No ❑ Instrumentation ❑ Intercom and Paging Systems Address ❑ Landscape Irrigation Control` Medical City State Zip ❑ ❑ Nurse Calls This permit is Issued undri OAR 918-320-170.This applicant agrees to make only ❑ Outdoor Landscape Lighting` reslnoml energy installations(100 volt amps or less)under this Permit and to do the following ❑ Protective Signaling 1. Only use electrical licensed persons to do installations whore required.(certain ❑ Other _ residential and other transactions are exempt from licensing These have asterisks(`).All others nerd licensing). 2. Call for.tn i,spectimt when all of the installations under this permit are ready ❑ Numh2r of Systems For Inspection at 501.639-1175. 3. Purchase separate Permits for All installations that are not ready for inspection when the inspector is out to inspect under this Permit. •No licenses are required. Licenses am required for all other installations. 4. Assume resP o"siwlity for assuring that All corrections required by the inspector are dune,and 5. FEES 5. Assume responsibility for capping for a final inspection when all of the ronectinns are completed. 40. The person signing for this permit must he the applicant or a person a. Enter Fees $ authorized to hind the applicant. 2. ("-.-Jl 11 b. 5%Surcharge(.05 x total above) $ _ 42. Signature TOTAL $ Authority if other than applicant -- ENERGAP.CHP CITYOF DEVELOPMENT SERVICES ELECTRICAL PERMIT '3125 5W Hall Blvd., Tigard,OR 97223 (503)639.9171 PERMIT #: ELC96-075: DATE ISSUED: 11/26/96 PPki'El_: 1 S 135AB-00900 SITE ADDRESS. . . : 10200 SW GREENBURG RD #360 SUBDIVISION. . . . : ZONING:C-P BL . BLOCK . . . . . . . LOT. . . . . . . . ProJectDescriptinn: ADD 13 BRANCH CIRCUITS --------------------------------------------------------------------------------------- RESIDENTIAL UNIT---- ---TEMP SRVC/F'EEDERS----- -----MISCELLANEOUS------- 000 SF OR LESS. . . . : 0 0 - 200 amp. . . . . . . : 0 PUMP/IRRIGATION. . . . : 0 L 'ICH ADD' L 500SF. . . : 0 201 - 400 amp. . . . . . . : 0 SIGN/OUT LINE LTG. . : 0 LIMITED ENERGY. . . . . : 0 401 - 600 amp. . . . . . . : 0 SIGNAL-/PANEL. . . . . . . : 0 MANF. HM/ SVC/FAR. . : 0 601+amps-1000 volts-1 0 MINOR I.-ABEL ( 10) . . . s 0 -----SERVICE/FEEDER------ --------BRANCH CIRCUITS------- -----ADD' L INSPECTIONS-- 0 - 2:00 amp. . . . . . : 0 W/SERVICE OR FEEDER: 0 PER INSPECTION. . . . . : 0 201. - 400 amp. . . . . . : 0 1st W/O SRVC OR FDR. : 1 PER HOUR. . . . . . . . . . . : 0 401. - 600 amp. . . . . . : 0 Era ADD' L BRNCH CIRC: 1 1 IN PLANT. . . . . . . . . . . : 0 GO 1.000 amp. . . . . : 0 --- _.._.__.__.______.._..--PI_.AN REVIEW SECT ION-- 1000+ amp/volt. . . . . : 0 ) =4 RES UNI .'S. . . . . . . . : ) 600 VOLT NOMINAL. . : Reconnect only. . . . . : 0 SVC/FDR > _ 225 AMPS. . : CLASS AREA/SPEC OCC. : Owner: -•-______.___________.___.___________ __--•-----___._____-- FEES ADEM type amount by date recpt 10200 SW GREENBURG RD PRMT $ 90. 00 TAT 11/2:6/96 96-266974 ,TEE ;360 5PC'T t 4. 50 TAT 11/26/96 96--266974 TIGARD OR 97223 Phone #: Contt-ActorC CHRISTENSON ELECTRTC 1NC $ 94. 50 TOTAL Ill 5W COLUMBIA SUITE 460 ---_ --- REQUIRED INSPECTIONS - - -- PORTLAND OR 97201 Ceiling Cover, Undergr-oi.tnd Cove Phone #: 503-241-4612 Wall Cover• Elect' l Service Reg #. . : 000004 This nermit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes and all other Petmi tee S i gnat 1arel applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started —� -�— within IN days of issuance, or if work is suspended for more than 181 days. 1`51s 1-A e d B y TNSTAI_LATION ONLY-- - --•__.._.___________.__._._ _.__._ The instal : ati.an is being made on pr-oper-•ty I own which is not intended far ;ale, l.e,isny or rent. OWNER' S SIGNATURE: y DATE: _ ------------..---CIINTRACTDR INST^: L ATION SIGNATURE OF SI-IPR. ELEC' N: DATE_.: LICENSE NO: _ Call far inspection -- 639--•4175 Community Development ELECTRICAL PERMIT APPLICATION 13125 SW Hall Blvd Tigard, OR 97223 Permit # to - Date Issued Prlone (503) 639-4171 I CITY OF TIOARD FAX (503) 684-7297 TDD No. (503) 684-2772 Inspection (503) 639-4175 1. .Job Address: 4. Complete Fee Schedule Below: Name of Development LINCOLN CENTER —_ Number of Inspections per permit allowed Address 10200 SW GREENBURG RD SUITE 360 Service Included Items Cost(ea) Sum City/State/Zip__TIGARD 4a. Residential -per unit 1000 sq. ft or.ess T _ $110 00 Name (or name of business) AGEM v_ Each additional 500 eq If or $2600 �-7� portion thereof _---- Commercial IXIe Residential ❑ Limited Energy $2`-oo _ 1 Each Manurd Home or Modular Dwelling Service or Feeder - $68 00 _ 2 2a. Contiactor installation only: ROSS CROSI3Y 4b. Services or Feeders CHRI STENSON ELECTRIC, INC Installation,alteration,or relocation Electrical Contractor 200 amps or leu $a0 00 Address 111 SW C LUMBTA,SUITE 480 201 amps to 400 amps $8000 z PU _ OR 97201-588 401 amps to 600 amps $12000 2 City State Zip 601 snips to 1000 amps $160 CIO Phone N0. 241-4812 Over 1000 amps or von$ $340 00 Job NO 222-1.944Y Reconnect only $5000 --." contractor's license NO. _ 26-34C 4c. Temporary Services or seeders Contractor's E3opM Reg-1140 Installation,alteration,or relooan,^ Signature of Supp'r Elr3 ' 200 amps or lees License No.---8-71S---- PhNo 201 amps to 400 amps V-1000 one _241--__4812 - 401 amps to 600 amps $7500 Over 600 amps to 1000 von$ $10000 - 2b. For owner installations: see"b"above 4d. . anch Circuits Print Owner's Nan1P" New,aneraunn or extension per pane Address a)The fee for branch circults with - purchase or service or feeder lee City__ State Zip Each branch circus $500 Phone No. b)The fee for branch circuits without The installation is being made on property I own which is purchase of service or feeder fee First branch circuit _ ) $3500 35. not intended for sale, lease or rent Each additional branch circuit —Z $o,00 Owner's Signature____ _ —_ 4e. Miscellaneous (Service or feeder not included) 2 Each pump or irrigation circle $40.00 _ 7 3. Plan Review section (if required) Each sign or outline lighting $40.00 _ Signal circult(s)or a limned energy 2 Please check apprnr,late item and enter fee in section 5B. panel,alteration or extension $40 D0 _ 4 or more re�wential units in one structure Minor Labels(10) $10000 Seivir.-3 and feeder 225 amps or more 4f. Each additional inspection over System over 600 volts nominal the allowable in any of thn above Classified area or structure containing special occupancy —� Per inspection $3500 as desclihed in N.E C Chapter 5 r�er hr.ur $5500 In r'Iar,t _ $5500 _ Submit 2 gets of plans with application where any of the above apply Not required for temporary construction services. 5. Fees: Sa Enter total of above fees g _90' NOTICE 551,, Surcharge (.05 X total fees) S —4.30 PERMITS BECOME VOID IF WORK OR CONSTRUCTION Subtotal S _ 94.50 5b. Enter 25%of line A for AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS,OR IF Plan Review if required (Sec.3) S CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR Subtotal $ —9 50 A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED. n,emerr,�e ❑ Trust Account $ n,m ens 94.50 Balance Due S (CITY CSF TIGARD DEVELOPMENT SERVICES PLUMS TN(3 PERMIT 13125 SW Hall Blvd., Tigard, OR 97223 (503)639-4171 PERMIT #. . . . . . . : PLM96-03757 DATE ISSUED: 11/21 /96 PARCEL: IS135AB-00900 qirF- ADDRESS. . . : 1ID200 SW GREENBURG RD #360 SUBDIVISION. . . . : ZONING: C—P BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . . ----------------------------------------------------------- CLASS OF WORK :AI_ GARBAGE DISPOSALS. : 0 MOBILE HOME SPACES. : 0 -- TYPE OF USE. . . . :COM WASHING MACH. . . . . . : 0 BACKFLOW PREVNTRS. . : 0 OCCUPANCY GRP. . :B FLOOR DRkINS. . . . . . : 0 TRAPS. . . . . . . . . . . . 0 STORIES. . . . . . . . . 0 WATER HEATERS. . . . . : 0 CATCH BASINS. . . . . . . : 0 F I X LAUNDRY TRAYS. . . . . : 0 SF RAIN DRAINS. . . . . : 0 SINKS. . . . . . . . . . : I URINALS. . . . . . . . . . . :" 0 GREASE TRAPS. . . . . . . . 0 LAVATORIES. . . . . : 0 OTHER FIXTURES. . . . : 0 TUB/SHOWERS. . . . .- 0 SEWER LINE (ft ) . . . : 0 WATER CLOSETS'— : 0 WATER LINE (ft ) . . . : 0 DISHWASHERS. . . . : 0 RAIN DRAIN (ft) . . . -, 0 Remat,kiss. Tenant improvement Owner s FEES NORRIS BEGGS & SIMPSON type amol.int by date V'ecpt 1.0220 SW GREENBURG RD PRMT $ 25. 00 DST 11/21 /96 9E,-28684"-, SPIT $ 1. 25 DST 1. 1/21/96 96-28684, TIGARD OR 97223 Phone #: 452--5900 Coritt,actot— DETEMPLE CO INC 1951 NW OVERTOP 93T PORTLAND OR 97209 Phone #: 227-2641 $ 26. 25 TOTHL Reg #. . : 0025:10 REQUIRED INSPECTIONS This permit is issued subject to the regulations contained it, the Roi-tgh—in Insp Tigard Municipal Code, State of Ore. Specialty Codes and aH other Top—amt Insp applicable laws. All work will be done in accordance with Final Inspection approved plans. This permit will expire if work is not started within 169 days of issuance, or if work is suspended for more than 180 days. Permittee Signat'jit'e.. Issi.ted By: Call fot- inspection 639-4175 CITY OF TIGARD Plumbing Application ' -'d By_ Date 13125 SW HALL BLVD. Commercial and Residential Date R F E TIGARD, OR 97223 r> ~ �� pate to DST (503) 639-4171 p ytir� Permits��'yk- —7 Print or Type Related SWR s < < Incomplete or illegible applications will not be accepted Called tame of Dr. opme,Uprolect 4916 Family R r ea�c r u v Joh kif\C ' 1 UMTEA J3,11' TH r2 4OUSE$195oo.tt!=-_-r Address Street Address Suite 0, r a 3 BATH HOUSe OOsr�;ti vQ� 1.1�tLlnlUwt w• w tr x C� Fee't�dudei"id•� Ibdurei In ihs dwe�lilrq j�fhs I�rst 100 feat of Bldg 0 City/Slate Zip waW service.aanbry setivar and MortN1ilaC 8risises Delow. , Name FIXTURES(indivluual) QTY PRICE AMT r (� (+ <• Sink 900 Owner Mailing Addy ss �•, /- Suite z Lavatory 9.00 —� C ),� (.j 69-Gi/L V(" '� .3 Tub or Tub/Shower Comb. 900 City/Stat Zip Phone _ + cl C) G ' ��3 r-( j C rr Shower Only 900 Name Water Closet 9,70 L►.(, 6�a 4 C►�rt'_.S �/I 04(U tL(S �JA L Dishwater 9.00 Occupant Mailing Address Suite Garbage Disposal 9 00 � ')��C Washing Machine 9.00 City/State Zi Phone Floor Drain 2' l"��rl CIIc /�'la33 _ 900 _ am 3" 900 Wt Co, �t,'iix . 4' � 9.00 Contractor Mailing Address Suite Water Heater 900 <I)I A fit, Gl PV 't AN �'t Laundry Room Tay 9 o0 9tyBtrll�w i I ''v `I(�d Li t 1 Phone Urinal goo Oreg�P n Const.Cont.Board Lic.* Exp.Date Other Fixtures(Specify) 9.00 Attach Copy of V I L —� -- 900 Current P' mbing Lic.1K D Exp.Date 900 License V)'7 r,V — Sewer-1st t 00' 900 COT Business Tax or Metro A Exp Date Sewer-each additional 100' 30.01 Name Water Service 1stlo0' 2500 Water Service-each additional 200' 30.00 Architect Mailing Address Suite Storm&Rain Drain-1st 100' 2500 or _ Storm&Rain Drain•each additional 100' 3000 Engineer City/State Zip Phone -- Mobile Home Space 25 00 C g ommercial Back Flow Prevention Device or Anti- 25.00 Describe work New O Addition O Alteration Repair O Pollution Device to be done: Residential O Non-residential ISL Residential Backflow Prevention Device' 1500 Additional description of work Any Trap or Waste Not Connected to a Fixture 900 Catch Basin 900 Insp of Existing Plumbing 4000 — _ __ per hr Existing use of Specially Requested Inspections 40 00 budding or property—v per hr Rain Drain,single family dwelling 3000 Proposed use of budGrease Traps 9 00ding or property__ _—�— Are you capping any fixtures? Yes O No Q} QUANTITY_ _ TOTAL — Isometric or riser diagrams required d Ouandy Totals >9 •., =+: • I hereby acknowledge that I have read this application,that the information "SUBTOTAL - ) given is correct.that I am the owner or authorized agent of the owner and T that fans submitted are in compliance with Or= on State Laws -- is "" Si tura o 5%SURCHARGE Own rlA a Date F• t:' I• PLAN REVIEW 25%OF SUBTOTAL Required only if IMure qry total is,9 Contact Person Name Phone — C( 6t( II �� c !�f ( a� l�.�1r31 TOTAL Mfr — 'Minimum permit fees$25+5%surcharge.except Residential Backflow i:ldstsipimapp.doe Prevention Device,which is$15+5%surcharge Tenant Name: Accumulative Sewer Tally This SWR#: �3y Address 6 5 l.J V . 560 This PL.M#: Fixture Value Previous # Previous Credits Capped Fixtures Fixtures New Now Value Capped off value added # added total #s total Count off #s count value values Baptistry/Font 4 Bath- rub/Shower 4 -Jacuz/Whpl 4 Car Wash - Each Stall 6 _ Drive Through 16 Cuspidor/Water Aspirator 1 Dishwasher - Commer 4 Dourest 2 Drinking Fountain 1 Fye Wash 1 — - -- Floor Drain/sink 2 inch 2 — - - 3 inch 5 4 inch 6 Car Wash Drain 6 Garbage Disposal 16 Dom Ito 3/4 HPI Comrn Ito 5 HPI 32 Ind lover 5 HPI 4B Ice Machine/Refrigerator Drains 1 Oil Sep(Gas Station) 6 — Recreational Vehicle Durnp Station 16 Shower - C;ang (Per Head) 1 Stall 2 _ Sink- Bar/Lavatory - Bradley 5 -- Commercial 3 -- 1 Service 3 -- Swimming Pool Filter 1 Washer, Clothes 6 --� r Extractor 6Closet, Toilat 6 6ALS Total fixture values: 3 _ _ divided by 16 = 19 _ EDU PPv 115k HISTORY _ — --- I`LM#�� 03S% EDU# SWR#q�- 3�, PLM# _ EDU# SWR# Fl-M# EDU# SWR# PLM# MU# SWR" PLM# EDU# SWF1# -- PLM# EDU# SWR# _ -- PLM# EDU# SWR# I r LA1# EDU# SWR++ ---� CITY OF TIGARD DEVELOPMENT SERVICES 13125 SW Hall Blvd., Tigard,OR 97223 (503)639-4171 CERTIFICATE OF OCCUPANCY PERMIT #. . . . . . . : SUP96-05) DATE ISSUED: 03/06/14,, ITE ADDRESS. . . c 1-0200 SW GFHz'ENBURG PD #360 PARCEL USD I V 101 CIN. . . . BLOCK. . . . . . . . . . LOT. . . . . . . . . . . . . . ZONTNG:r-'- P (.A.A)3S OF WORK. SALT T YVIE OF USE. . . -COm T-PE OF CONGTRvRF"R ('JLCtJV,AN(.-,,Y GRP. jS 0(1(:1..jPA114cy LOAD: 74 1 f-r,1(:)N F NAME. . . i A G EL EC T RON I C (?L'Ifla'-'Psi Tenant improvement Owners 1',14ICKERBOCKER PROPERTIES INC ( /0 NORRIS, & MPSOfI 10300 SW GREENnURG RD #200 I 'UPTLAND OR 97c2,23 i 'hone are 450 -51)00 ILIDU PACIFIC -5 1\11' JACKSON SCHOOL ROAD ' Ll...5BORO Oil 97li?4 Erne #s 693-9797 #. . 1 000590 L1)-'i%r)tS orC:Ltpanuy of the above roferpnced b�ijjdjyjq ot., pori j�_, -evenf zind confirms that the building has been in5pectod for comp) iimnce t04-II 'e Stmte of O"90r) 5FIer--iAltY Codes for the yroup. oc:CkApancy' and u!qp under ich the v-efP)-encpd permit was issued. TAI I T I r)1. er 3�F-1 - F-1 POS,T IN CONSPICHOUS PLACE RICAL CITY OF TIGARD � ELECT RESTRICTED — CTED ENERGY DEVELOPMENT SERVICES PERMIT#: ELR2000 00018 13125 SW Hall Blvd..Tiqard, OR 97223 (503) 639-4171 DATE ISSUED: 01/20/2000 PARCEL: 1 S135AB-00900 SITE ADDRESS: 10200 SW GREENBLiRG RD 360 SUBDIVISION: FIVE LINCOLN ZONING: C (' BLOCK: LOT: JURISDICTION: TIC Proiect Description: Installation of a data telecommunication system. A. RESIDENTIAL _ B.COMMERCIAL_ -- AUDIO& STEREO: AUDIO& STEREO: INTERCOM & PAGING: BURGLAR ALARM: BOILER: LANDSCAPE/IRRIGAT: GARAGE OPENER: CLOCK: MEDIAL: HVAC: DATAITELE COMM: X NURSE CALLS: VACUUM SYSTEM: FIRE ALARM: OUTDOOR LANCSC LITE: OTHER: HVAC: PROTECTIVE SIGNAL: INSTRUMENTATION: OTHER: _ TOTAL#OF SYSTEMS: 1 Owner: Contractor: NORRIS BEGGS SIMPSON PROPERTY CHRISTENSON ELECTRIC INC 10300 SW GREENBURG 111 SW COLUMBIA TIGARD, OR 97223 STE 480 PORTLAND, OR 97201 Phone: 503-452-5900 Phone: 241-4812 Reg#: Lir 000458 SUP 3289S PLM 24685 ELE 26-340 _^ _FEES Required Inspections Type By Date Amount Receipt — Low Voltage Inspection PRMT GEO 01/20/200C $60.00 00-321257 Elect'I Final SPCT GEO 01/20/200C $4.80 00-321257 Total — $64.80 ORIGINAL This Permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable laws All work will be done in accordance with approved plans This permit will expire if work is not started within 180 days of issuance. or if work is Suspended for more than 180 days ATTENTION Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001 0010 through OAR 952-9()l..o080 You may obtain copies of these rules or direct questions to OUNC at (503) 246-1987. /%�+✓ �;" Permittee Signature �Issued by by OWNER INSTALLATION ONLY — The installation is being made on property I own which is not intended for sale. lease, or rent. OWNER'S SIGNATURE: DATE:---- CONTRACTOR ATE:___CONTRACTOR INSTALLATION ONLY -------------- -- -- — DATE: I _. � • . SIGNATURE OF SUPR. ELEC'N —�� LICENSE NO: --- --- --- ----- -- — _ — ------ — Call 639-4175 by 7:00 P.M. for an inspection needed the next business day IY OF TIGARD RESTRICTED ENERGY ELECTRICAL APPLICATION Recd by: 13125 SW HALL BLVD Date Recd: TIGARD OR 97223 PRINT OR TYPE V-503-639-4171 X304 Permit#; &/? 0610 —67/g F-503-598-1960 INCOMPLETE OR ILLEGIBLE APPLICATIONS CustCall'd: JOB: 50-02062 WILL NOT BE ACCEPTED Name of Development Project TYPE OF WORK INVOLVED-RESIDENTIAL ONLY LINCOLN CENTRE Restrlcited Energy Fee._..._....._. ... 11160.00 S I MUTECH (FOR ALL SYSTEMS) RECEIVED JOB Street Address Ste M ADDRESS 10200 SW GREENBURG KU X60 GheckTypeofWorklnvoNed: Clty/State Phone 0 ❑ Audio and Slerec Systema JAN 7(Ifl(i PORTLAND (1R yt�Mme iAMMUNITY DEVELOPMLNI NOilR!S fif?GGS S 1 MI'SUN PKOI'I;RTY NCMT ❑ Burglar Alarm OWNER Mailing Address ❑ Garage Door opener- Clty/State zip Phone$ Heating,Ventilation and Air Conditloning System* QUESTIONS? Nome ❑ Vacuum Systema• GENE ANDERSON 6HRISTENSON ELECTRIC, INC. , ❑ Otner _ :ONTRACTOR Mailing Address 1 1 SW COLUMBIA,SUITE 480 TYPE OF WORK INVOLVED-COMMErCIAL ONLY (Prior to issuance a City/State no 0 Fee for each system.............................................. =60.00 COPY of all Ilcenses PORTLAND OR 9 201 ?1—48 (SEE OAR 918-260.260) aro required If Oregon Conlr.t3rd Lic N Ern Ass expired A C.O.T. v ,ii Check Type of Work Involved: data bass). ElscYral,IZcciontr.Uc.0 p�t4 (�— / 1 ❑ Audio and Stereo Systems C.O.T.or'M�n Lick —_ __ _ ❑ Boiler Controls Owner's I'lame ❑ Clock Systems OWNER- Mailing Address APPLICANT )❑ Data Telecommunication Installation CltylState zip Phone M ❑ Fire Alar Installation This peril Is Issued under OAE 918-320.370.This applicant agrees to ❑ make only restricted energy installations(100 voR amps or less)under this HVAC permit and to do the following. ❑ Instrumentation 1. Only use etectncal licensed persons to do i istallations where required. Certain residential and other transactions are exempt from licensing. ❑ Intercom and Paging Systems These have asterisks('). All others need licensing; ❑ 2 Call for inspections when Installation under this permit are ready for Landscape Irrigation Control' Inspection at W3-639-1175; ❑ Medical 3. Purchase separate permits for all installations that are not ready for an ❑ Nurse Calks inspection when the Inspector is out to Inspect under this permit; a. Assume responsibility for assuring that all corrections required by the ❑ Outdoor Landscape Lighting' Inspector are done,and; Protective Signaling 5. Assume responsibility for calling for a final inspection when all of the corrections are completed. ❑ Other Permits are non-transferable and non-refundable and expire K work Is not started within 180 days of issuance or B work is suspended for 16o days _ Number of Systems The person signing for this perms us a the applicant or a person No ncenses art required. Licenses are required for all other mstallatkms authorized to b"the appilcan -- �` FEES: ENTER FEES f 60. SI nature / 1 /13/00 4.80 8�0 �SURCHARGE(�X TOTAL ABOVE) f Authority if other than Applicant TOTAL $ 64.80 ` vUtiVormsvesese doc'1198 CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 — BUP _ —__ Date Requested 1 J G U AM _PM BLD Location—_ Cl U~- ��r/(. _ Suite'YD p MEC _ Contact Person �� . C � Ph 7� S . _�L C PLM Contractor Ph SWR BUILDING Tenant/Owner — I V_N/l�-{�� , ELC Retaining Wall ELR ZU Footing Access: Foundation FPS _ Ftg Drain I SGN Crawl Drain Inspection Notes: Slab — - ---- _..----- --- SIT Post& Beam - Ext Sheath/Shear _ Int Sheath/Shear --- — Framing ----- ----------- Insulation Drywall Nailing Firewall ---------_.. _----- ----- —----- - - -._-- Fire Sprinkler Fire Alarm Susp'd Ceiling ------ Roof -_._Roof I - Final 1 - PASS PART FAM PLUMBING Post & beam Under Slab Top Out - - Water Service Sanitary Sewer Rain Drains Final - PASS PART FAIL MECHANICAL -- - --- Post& Beam Rough In Gas Line -- -- Smoke Dampers Final - - - PASS PART FAIL CAL __-- -- -- Selvice Rough In UG/Slab ow o to Fire A arm PASS PART FAIL — SIT ackfill/Grading - -- -------___ __.- ---_- Sanitary Sewer Storm Drain ( ]Reinspection fee of$ _required before next inspection Pay at City Hall, 13125 SW Hall Blvd Catch Basin ( ]Please call for reinspection RE. Unable to Inspect-no access Fire Supply Line ---—— ( ] p ADA / A/ Approach/Sidewalk Other h (nr pector f� _ Ext Date u Final PASS PART FAIL DO NO?' REMOVE this inspection record from the job site. CITYO F T I GA R D ELECTRICAL PERMIT , �)EVELOPMENT SERVICES DATEEIS ISSUED: 5/23/02 00229 ,_� 13125 SW Hall Blvd., Tiqard, OR 97223 (503) 639-4171 PARCEL: 1 S 135A6-00900 SITE ADDRESS: 10200 SW GREENBURG RD 360 SUBDIVISION: FIVE LINCOLN ZONING: C-P BLOCK: LOT : JURISDICTION: TIG Proiect Description: Misc. electrical demo for future 1 branch circuit. RESIDENTIAL UNIT TEMP SRVC/FEEDERS MISCELLANEOUS 1000 SF OR LESS: 0 - 200 amp: PUMP/IRRIGATION: EACH ADD'L 500SF: 201 - 400 amp: SIGN/OUT LINE LTG: LIMITED ENERGY: 401 - 600 amp: SIGNAL/PANEL: MANF HM/SVC/ FDR: 601+amps - 1000 volts: MINOR LABEL (10): SERVICE/FEEDER _ BRANCH CIRCUITS ADD'L INSPECTIONS 0 - 200 anip: W/SERVICE OR FEEDER: _ PER INSPECTION: 201 - 400 amp: 1st W/O SRVC OR FDR: 1 PER HOUR: 401 - 600 amp: EA ADD'L BRNCH CIRC: IN PLANT: 601 - 1000 amp: PLAN REVIEW SECTION _ 1000+amp/volt: >=4 RES UNITS: > 600 VOLT NOMINAL: Reconnect only: SVC/FDR >=225 AMPS: CLASS AREA/SPEC OCC: Owner: Contractor: FOP LINCOLN, LLC CAPITOL ELECTRIC CO INC 10260 SW GREENBURG RD 12810 ONE AIRRORI WAY SUITE 100 UNIT 1 PORTLAND. OR 97223 PORTLAND, OR 97230 Phone: Phone: 255-9488 Reg #: LIC 048748 SUP 3132S ELE 26-4960 FEES Required Inspections Type By Date Amount Receipt Ceiling Cover PRMT CTR 5/23/02 $46.85 2720020000( Wall Cover Elect'I Final 5PCT CTR 5/23/02 $3.75 2720020000( Total v $50.60 This Permit is issued subject to the regulations contained in the Tigard Municipal Code. State of OR Specialty Codes and all other applicable laws All work will be done in accordance with approved plans This permit will expire if work is not started within 180 days of issuance,or if work is suspended for more than 180 days ATTENTION Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center Those rules are set forth in OAR 952-001-0010 through OAR 952-001.0080 You may obtain copies of these rules or direct q,iestions to OUNC at(503) 246-6699 or 1-800-332-2344 Permit Signature: Issued®y'• OWNER INSTALLATION ONLY The installation is being made on property I own which is not intended for sale, lease, or rent. OWNER'S SIGNATURE: — --�— DATE: CONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR. ELEC'N: U F � L ZJ � DATE LICENSE NO: Call 639-4175 by 7:00pm for an inspection tho next husiness day Electrical Permit Application G Dale rcccivcd:� r,? Permit no.: ,I / City of Tigard r PrgjccUappl.n0.: Imire date: Dale issued: 11y:E Receipt no.: CITY OFTIGARD Address: 13125 SIV IIALL 111,VD,'11GARD,OR 97223 ('ase nils no.: I'aymcm type. Phone: (503)639-4171 Fax(503)598-1960 Land use approval: i A ❑ I &2 family cicwlling or accessory C'onimcrciai/in(lusirial ❑ Millii-family ❑ Tenant improvement New construction ❑ Additi n lernlionfAeplOcemcm ❑ Other. � ❑ Partial Inh address: 10200 SW GREENBURG RD City: TIGARD 1111LIg. No.: Suite no.: I fox map/lax I0l/nca,unl nu I r,l: Mock: tiuhdivisi0n: 2�1ep n —� Project name: DEMO#360 Description and location ol'work on remises: MI 11 DEMO IN SUITE 360 LINCOLN FIVE I'.stimated date ot'com lotion/ins ection: 6/1/02 L,h nr, _ 22-732 Fr•r sl.... litr.lnctis Nanie. Capitol Electric Co.,Inc. Desert lion U„ (r,.l heal no.insp Address: 12810 NE Airport Way New residential-single fir multi-ranilly per City: Portland State. OR /.111: 97230-1029 dwelling unit. Includes attached garage. I'Itone: 503-255-9488 fax 255-9488 E-niail: clarrall2cefidlicom Semlee Included: C'C'11 no.: 487481'.Icc.hos.lic.n0: 26.496C 1000 sq,IL or less $ 145.15 1 v/metro lic.no.: N/A Fach additional 500 sq Il or portion Ihereot b 31•u 6/16/02 11 incited energy residential It 7100 Signalurc of supervising electrician(requited) Urate Limited energy,non-residential s 4i00 Sup.elect 11111114(print) Darrell McNeal License no.. 3132-81 Lsch manuluctured home or modular dwelling Service and/or feeder '0Nanrc(print): _ Services err feeders-Intxllalinn, Mailing address: alteration fir relocntlon: City: Stat(:: III': 200 arnps lir less b MH 30 Phlillc: I'ilx: F-Illall: 201 anips to 400 ionps b rax,s5 Owner installation: 'Che installation is being Innde on property I own 401 amps fu 600 amps b 1606D 2 which is not intended f'or sale,lease,rent,or exchange according to f,01 mops to 1000 amps b ,,ler 2 ORS 447,455,479,670,701. Over 1000 amps or volts It 4540 Owner's si nature: Dale: Reconnect only — 5 668S Temporary services or reeders- Name: _ Installation,aiterntions,or reiocallon: Address: if_"'t anyis or less b 6e s5 City: tiLdc 711': 201 amps to 400 aritpv b ion,ill 2 Phone: l I -Ionil .101 amps to 600;11111'` b 111 75 2 Branch clrculis-nen,alterntian, (3 Service over 225 amps-commercial L-)I Icnhh_artc lnalnt, fir csienslon per panel: ❑Service over 320 nips-rating of 1&., ❑Ilarardous location A Pee fix branch circuits with purchase of Mortify dwellings ❑milling over 10,(x1(1%quare B four of sen ice or feeder Ice,each branch circuit 5 6 o,s ❑System over Eno valla ruminal more residential nuifs In one structure 11 Pee Iter branch circuits without purchase ❑Building over three stories ❑Perders,400 anis or hire of•service ar feeder Ice,first branch circuit 1 b dr,x5 If,115 ❑Occupant load over 99 persons [3 Montracarres solictracs or RV park Lai,11 additional blanch cucuit t r;os ❑Filress/lghling plan ❑Other: iMac.(Sen Ice or reeder not inrhaled): Snbmil sols ur plats with aa)'or the alias V. LiKh pump nr Irl i,;Miun click to 2 — I he nhot,e arc not applicable to temporary consfrucllon service. leach sign or outline lighting b 53 411 , Signal circun(s)0r it limited energy panel, alteration,of exlensionti b 75 as "Description I Bch additional ineprclinnmer Ih alltmahlc in ant, ol'tire abme Per inspection r 62 su Investigation fisc Other ❑ \i,a ❑ MasterCard Permit fee................ 46.85 —lit and nrtml,ct — _ i / Notice:this permit application Plan revic%% I 1 ere"" expires If a permit Is not obtained State Surcharge g% ) S 3.75 Nome of cnrtlhnlder n�%Iowa nn statin cord E withilrg 180 days after it has been TOTAL 60.60 l'nufhuld"myosin accepted as complete. CITY OF TIGARD 24-Hour BUILDING Inspection Line: (503)639-4175 MST INSPECTION DIVISION Business Line: (503)639-4171BUP Received Date Requested AM_ PM_1' BUP Location C-,) .Suite_s. MEC _ Contact Person � �� Ph ) 5��3 �- S7`�� PLM Contractor __- (C-7-7_ L-?L---_-A Ph(- ) SWR _- BUILDING Tenant/Owner - - -__ _ ELC e-, C', Footing ELC Foundation Access: - Fig Drain ELR Crawl Drain - Slab Inspection Notes: SIT _ �- Post& Beam ,hear Anchors Fxt Sheath/Shear Int Sheath/Shear Framing -- -_ Insulation Drywall Nailing Firewall Fire Sprinkler --- - Fire Alarm SuspA Ceiling --- t--- -�� Root Other: Final PASS_ PART FAIL PLUMBING- --- ---_- — -- �-- ------ Post 8 Beam Under Slab -- - -- — - Rough-In Water Service --- - - - ------ �, Sanitary Sewer Ram Drains - — Catch Basin/Manhole Storm Drain ------- _---- Shower Pan Other: _..- Final PASS PART FAIL ---- -- -- --- ----__.._ ---� --- _- -- T MECHANICAL_ Post& Beam Rough-In -- ----- -- — - -- ----- ---- Gas Line Smoke Dampers --- - - --- - Final -PASS PART FAIL —__- - - - - - - - ----- - -- ELECTRICAL Service - - - - - Rough-In UG/Slab Low Voltage Fire Alarm Reinspection fee of$ required before next inspection Pay a.City Hall. 13125 SW Hall Blvd. t-VASS PART FAIL - Please call for reinspection RE: Unable to inspect-no access Fire Supply Line ADA Anproach/Sidewalk pets �� >G� - Inspector >r� �' �cj Ext Fire�l DO NOT REMOVE this Inspection record from the ,job site. PASS PAR'; FAIL