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10220 SW GREENBURG ROAD STE 100-1 N O c� z o� c c� Cl H O [tl l7 O 0 I / r t i 10220 SW GREENBURG RD. '�� STE 100 """ CITY OF TIGARD BUILDING INSPECTION DIVISION! 24-Hour Inspection Line: 639,4175 Business Line: 639-4171 MST BLIP Date Requested _ —AM—__ PM --_ BLD Location— G Z Z L 6 (� `1 _ Suite ���' MEC Contact Person _ PhPLM Contractor _— ����� � Ph Z — SWR BUILDING Tenant!Owi ier ELC Retaining Wall - ELR Footing Access: Foundation FPS Ftg Drain C cL -'I ' -- - Crawl Drain inspection Notes: _ -- SDN _ Slab __- -------._.__� — SIT' Post&Beam ---- ------ IExt Sheath/Shear -- ---_-- - Int Sheath/Shear Framing Insulation - Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling - - Roof Misc: Final PASS PART FA!L PLUM91NG Post&Beam - - Under Slab Top Out ----- — Water Service Sanitary Sewer ""-`- Rain Drains Final - PASS PART FAIL — - - MECHANICAL Post& Beam ----------— - - - _ Rough In Gas Line —------ ----- --- ------- T_/ Smoke Dampers Final - ----- -- - PASS PART FAIL _ I A ECTR --- --- ----- - Serv- Rough In -- -- ---- - UG/Slah ' Low Voltage Fire Alarm r OA*5 ART FAIL -------..----- ---- - - -- - -- - 8 Backfill/Grading --- ---- - - - — Sanitary Sewer Storm Drain [ I Reinspection fee of$ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line i I Please call for reinspection RF _ _--_ j Unable to Inspect-no access ADA Approach/Sidewalk Other Date S- //�— 7 In:;pector Ext Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. CITY OF TIGARD DEVELOPMENT SERVICES ELECTRICAL. PERMIT PERMIT #: ELC97-0316 13125 SW Hall Blvd., Tigard,OR 97233 (503)639.4171 DATE ISSUED: 05/2:'r3/97 PARCEL: 1 S1?,5AB-01004 SITE ADDRESS. . . . 10220 SW GRE.=ENBU413 S RD #100 SUBDIVISION. . . . : 7_CINING:C-P' BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . . JURISDICTION: TIG Project Desr-r•iption : -------------------------------- ---RESIDENTIAL UNIT---- ----TEMP SRVC/FEEDERS---- ------MISCELLANEOUS--•---- 1000 SF OR LESS. . . . : 0 0 200 amp. . . . . . . : 0 PUMP/IRRIGATION. . . . : 0 EACH ADD' l_ 5i00SF. . . : 0 201 400 amp. . . . . . . : 0 SIGN/OUT LINE LTG. . : 0 L. TMITFD ENERGY. . . . . : 0 401 — 600 amp. . . . . . . : 0 SIGNAL/F'ANEI.. . . . . . . : 0 MANF. HM/ SVC/FDR. . : 0 601+amps-1.000 volts. : 0 MINOR LABEL ( 10) . . . : 0 ----•--SERV ICE/FEEDE"R-------- ------BRANCH CIRCUITS-._-----.. ------ADD' L INSPECTIONS—— 0 - 200 amp. . . . . . : 0 W/SERVICE OR FEEDER: 0 PER INSPECTION. . . . . : 0 400 amp. . . . . . : 0 1st W '0 SRVC OR FDR. : 1 PER HOUR. . . . . . . . . . . : 0 600 amp. . . . . . . 0 EA ADD' L BRNCH CIRC: 3 IN PLANT. . . . . . . . . . . : 0 501 1000 amp. . . . . : 0 -------------------PLAN REVIEW SECTION—­­­­­­ 1000-4- amp/volt. . . . . : 0 ) =4 RES UNITS. . . . . . . . : ) 600 VOLT NOMINAL. . Reconnect only. . . . . : 0 SVC/FDR > _ 225 AMP'S. . . CLASS AREA/SPEC OCC. - Owner-: FEES MEL.VIN MARK type amount by date r^ecpt PRMT $ 50. 00 TAT 05/29/97 97-295207 5P'CT $ 2. 50 TAT 05/29/97 97-295207 Phone #: C:HRISTENSON ELECTRIC INC $ 52. 50 TOTAL 111 SW COLUMBIA STE 480 --------- REQUIRED INSPECTIONS ---- PORTLAND OR 97201 Ceiling Lover Undergrol_ind Covf Phone #: 241-4412 Wall Cover Eler_t' 1 Ser-vi(.-,p Reg #. . : 000004 This pewit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes and all other Per.nitft e Si gnatur,e applicable laws. All work will be done in accordance with approved plans. This pet-sit will expire if work is not started within 1841 days of issuance, or if work is suspended for @ore '( L {than 1841 days. 1 s stied By17 -1 INSTALLATION O!NL-Y----- --- The installation is being made on property I own which is not intended for- sale, orsale, lease, or, rent. OWNER' S SIGNATURE: DATE: _---.---------------------CONTRACTOR INSTALLATION ONLY------------------ -------- SIGNATURE ------------------ --------SIGNATURE OF SUPR. EL.EC' N: _��LADATE: Yz I l f"FINSF NO: _ O 1�C Call for- inspection — 639-4175 CIO Y OF TIGARD Electrical Permit Application 'Ian Check# _ 13125 SW HALL BLVD. Recd By__ TIGARD OR 97223 Date Recd. _ Data to P.E. Phone (503)639-4171, x304 Print or Type Date to DST__ Inspection (503) 639-4175 Parmit# Fax (503) 684-7297 Incomplete or illegible will not be .accepted Called_ 1. glob Address: 4. Complete Fee Schedule Below: Name of Development_ LINCOLN 11 Number of Inspections per permit allowed Name(or name of business)NOVELL _ Service incluc°ed: Items Cost Sum 10220 SW GREENBURG RD SUITE 100 Address 4a. Residential-per unit City/State/Zip_ PORTLAND OR 1000 sq.ft.or less $110.00 Each additional 500 sq.ft.or Commercial® Residential ❑ Limitedportion thereof $2500 Energy $25.00 ROSS CROSBY Each Manut'd Home or Modular Dwelling Service or Feeder $68.00 2a. Contractor installation only: - ' (Attach copy of all current licenses) 4b.Services or Feeders Electrical Contractor CHRISTENSON ELECTRIC, INC. Installation,alteration,or relocation o .I l S.W._COLUMti_LA,_SUI_TE 480 - 200 amps or less $60.00 Address I t 201 amps to 400 amps $80.00 2 City_,PORTLAND __State OR. Zip 97201-5886 401 amps to 600 amps $120.00 _ 2 Phone No. 503-241-4812 _ 801 amps to 1000 amps $180.00 2 Job No.222-4620 Over 1000 amps or volts $3411.00 _ 2 Elec.Cont. Lire. No.26_3AC_ Exp.Date_ Reconnect only $5000 2_ -- - OR State CCB Reg. No.,_0045H _Exp.Date 4c.Temporary Services or Feeders COT Business 30or Metro No. 5246 Exp.Date _.._ Installation,alteration,or relocation t -- 200 amps or less $50.00 Signature of Su r•�ef _ 201 amps to 400 amps $75.00 g pr-� 401 amps to 600 amps $100.00 Over 600 amps to 1000 volts, License No. 8735 __Exp.Date _ ass°b"above. Phone No.-50J-241-4812 4d.Branch Circuits Now,alteration or extension per panel 2b. For owner installations: a)The fee for branch circuits with purchase of service or Print Owner's Name_ _ feeder;ee. Address �^ Each branch circuit $5.00 - - ---- - ---- -- b)The foe for branch circuits State_____ Zip____�_ without purchase of Phone No. ___ __ I service or feeder res. 3 - First branch circuit 1 $35.00 The installation is being made on property I own which is not ' Loch additional branch circuit�_ $5.0o __15 __ intended for sale, lease or rent. 4e.Miscellaneous (Service or feeder not Included) Owner's Signature Each pump or Irrigation circle $40.00 _ Each sign or outline lighting $4000 _-_ 3. Flan Review section (if required):* Signal circult(s)or a limited energy- panel,alteration or extension $40.00 ___ 2 - Please check appropriate item and enter fee In section 5B. Minor Labels(10) $100.00 _4 or more resicential units in one structure 4f.Each additional Inspertlon over Service and feeder 225 amps or more the allowable In any of the above System over 630 volts nominal Per inspection $35.00 Classified area or stricture containing special occupancy Per hour $55.00 as described in N.E.C.Chapter 5 In Plant $55.00 _--- *Submit 2 sets of plans with application where any of the above apply. J. Fees: 50. Not required for temporary construction services. So.Enter total of above fees $ 51�Surcharge(.05 X total fees) $ NOTICE Subtotal $ 5b.Enter 25%of line 5a for PERMITS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED IS Pian Review if reuuired(Sec.3) $ - � NOT COMMENCED WITHIN 180 DAYS,OR IF CONSTRUCTION OR WORK Subtotal $ - IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED. 11Trust Account# 52. 50 Total balance Due s 1 NDSTSIELC96.APP Rw WN CITYOF TIGARD PLUMBING PERMIT DEVELOPMENT SERVICES PERMIT#: P -00221 DATE ISSUED: 6/19/0019/00 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 PARCEL: 1 S135A6-01004 SITE ADDRESS: 10220 SW GREENBURG RD 100 SUBDIVISION: TWO LINCOLN - TOWN OF METZGER ZONING: C-P BLOCK: LOT: JURISDICTION: TIG — CLASS OF WORK: ALT GARBAGE DISPOSAL':: MOBILE HOME SPACES: 'TYPE OF USE: COM WASHING MACH: BACKFLOW PREVNTRS: OCCUPANCY GRP: FLOOR DRAINS,; TRAPS: STORIES: WATER HEATERS: 1 CATCH BASINS: FIXTURES LAUNDRY TRAYS: SF RAIN DRAINS: SINKS: URINALS: GREASE TRAPS: LAVATORIES: OTHER FIXTURES: TUBISHOWERS: SEWER LINE: ft WATER CLOSETS: WATER LINE: ft DISHWASHERS: RAIN DRAIN: ft Remarks: Replace existing water heater with like kind. ---- FEES Owner: - Type By Date Amount Receipt KNICKERBOCKER PROP, INC XXIVPRMT DEB 6!19/00 $50.00 0003082 B' NORRIS, BEGGS + SIMPSON 5PCT DEB 6/19/00 $4.00 0003082 10300 SW GRE ENBURG RD :TE 200 -- — - PORTLAND, OR 972.23 _ Total $54.00 Phone 1: Contractor: GEORGE MORLAN PLUMBING + APPLIANCES 9806 SW TIGARD STREET CCB (FXP 6/2002) REQUIRED INSPECTIONS I IGARD, OR 97223 -- --- Final Inspection Phone 1: 624-6895 Reg #: LIC 000027 PLM 026-60PB f1?,\ 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 OAFS 952-0001-OL ' , through OAR 952-0001-0080. You may obtain copies of these rules or direct questions to OUNC by calling (503) 246-1987. Issued Bi; /� r . �s %� Permittee Signature: � � day Call (503) 639-4175 by 7:00 P.M. for an inspection needed the next businciss MAY-29-2000 12:22 P.01 i I ur IIVNrVJ r aulsrunjy I =9 1111•r► r%VFua.uatv•• Plan Chocks 125 !;W HALL BLVD. RE�mircial and Residential Recd By`__ GARD, OR 97223 DateRee'd 13) 639-4171 n Date to P.E. nnt or Type Dale to DST a� � Permitf>! 0a� lncomplc i`yr,�g1t>gllaiaAplications will not be accepted Related SWR 9 n. 5 -784,5 Called_ Name of DevelopmenUProject .1 rd`.4 QTY :?RICE :AMT Job Sink — - — 11.50 11.50 Address Street Address Lavatory Tub or Tub/Shower Comb. 11.50 CitylS to Zip Shower Only 11.50 rHWWater Closet 11.50 Name ' /✓! ��� 3 Unnal 1lwrter allm�qAddress ¢ Suite 1 Dishwasher 11 50 �y� iwil K/'A c7/ ,��oT Garbage Disposal 11.50 OtyLstale r _ i�i�7' noy,!Z" Y Laundry Tray 11.50 JO 00 Gro - �+�''�� Washing Machine/Laundry Tray 11.50 Name Floor DrainlFloor Sink 2' 11.50 g Occupant Mallin Address Suite 3- — 11.50 4• 11.50 Clry/State Zip Phone 1150 50 Water Heater O conversion Flike kind Gas piping requires a separate mechanical permit. me / MFG Home New Water Service 32.00 a Ing Add. _ r Suite MFG Home New San/Storm Sewer 3200. ContractorHose Bibs 11.50 Prior to permit11.50 C !Slate PhonaReal Drains _ issuance,a copy ) -7,;?-P-3- 6,214 O Orinking Fountain 11.50 )(all licensee are Cit n co-'st Can' Board Lias x Oat , 15.00 required H ry �� io �Olher Factures(.,Dscltyl 1s.1_=_-_ expired m COT Plumbing Lie.* d 0 database1 " t 54- SCJ K�� Name Architect Sewer•1st ,co 38.00 Or Mailing Address Suite Sewer•each additional 100 32.00 water Se,,Ace-1 st 100 39.00 Enqineer Ciry/State Zip Phone Water service•each additional 200' 32.00 )ascribe work to be done: Storm&Rain Drain-1s1 100' _ 39.00 lew O Repair O Replace with like kind. YWq No O Storm 6 Rain Drain-each additional 100' 32.00 �esidentlal O Commercial - kdd4lonal description of work: Commercial Back Flow Prevention Device 32.00 Residential Backflow Prevention Device' 19.00 irl)07ur 1 fok Y tr e��C1C�l�'LQ-►'t t • Catch Basin 11.50 — tire you capping,moving or replacing any fixtures? Insp.of Existing Plumbing or Specially Requested 50.00 Yet; O No O Inspections _ erihr yes,see back of form to indicate work performed by Rain Uraln,&Ingle family dwelling 4',no xture. FAILURE TO ACCURATELY REPORT FIXTURE Girese Traps tt 50 4ORK COULD RESULT IN INCREASED SEWER FEES. QUANTITY TOTAL hereby acknowledge that I have read Ns appllratlon,that the Information Isometric a•neer deg am is rcquhed M Guentlp TdDI Is >e c ' wen Is comrd,that I am the owner or authorized agent of the owner,and f , plans submMed aro In com hence with Oregon State Laws. 'SUBTOTAL arI p[ Ignert ofp er/Agent '7 I Data - - -A aoe`� 8%SURCHARGE /1 et P on Name Phon l / "PLAN REVIEW 26.4 OF SUBTOTAL Regored only y Rittro gly.taut is s g _ I TOTAL L� — — -- •Minlmum permit 1N Is W•8%suni,atge,e:erpt Reslderbal BarJe!bw Prnvanunn Devlca.whkh to US•ex surtiiupe "Ali New Commsrclal Buildings mquire plena wm Isometrk or riser dlegrem end DIL•Mrle•r �Onne�(IRlre•pD Oo• • •.Rn•. TOTAL P.©1 CITY OF TICARD 24-Hour BUILDING Inspection Line: (503)639-4175 IN';PECTION DIVISION Business Line: (503)639-4171 MST BUP - - ---- Received —� Date Requested —_�_�' AM_ PM -_ -_-___ BUP Location U -Z Z 0 a • v _6`.*-e r 1, %C' 1 =- SLite -- - 'C - MEC —_ Contact Person .._ Ph( - ) - PLM U 00 - 00 2 -11 ContractorS _ h( WR) - BUILDING Tenant/Owner % _J ELC Footing -- - - ------- - Foundation ELC Access: - - Ftg Drain ------ Crawl Dain ELR Slab Inspection Notes: SIT Post& Beam Shear Anchors Ext Sheath/Shear Int Sheath/Shear Framing InsuWion Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Other: — - ---------- Final PA_S_S PART FAIL - PLUMBING -- - - -- Post 8 Beam Under Slab _ Hough-In Water Service Snnitary Sewer — Rain Drains - Catch Basin/Manhole Stnrm Drain Shower Pan Other r -- A Sig PA P T FAIL. -` CHANICAL Post&Beam Rough-in __— Gas Line --------- --- ---------- -- Smoke Dampers --- - -- Final - PASS PART FAIL --- - -- - —_—_ ELECTRICAL — Service -- Rough-In UG/Slab -� Low Voltage - -- -- Fire Alarm Final Reinspection fee of s required before next _PASS PART FAIL q Inspection. Pay at City Hall, 13125 SW Hall Blva. SITE [] Plpase call for reinspection RE: _ Unable to inspect-no access I-ire Supply Line ADA ?r Approach/Sidewalk -�� — Ilespoctor-���► , fist Other: Final DO INr37 REMOVE this Inspection record from the fob she. PASS PART FAIL