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T/F 11-0011 PLAN [�JOB No. 7059 1111-1 yI oil M� r _ _ _w ... w-� .. .<. .. r. .Nr....wy.r 7.� -._,.,- .. ..« .. .r......r.,.er�.,.w .. �:,�,�'� P t�s�il�. � L=��l�Fy r�:,'S ra>•� r,'�,r i i�4Y6 �y�tro �w a k ��< NOTICE: IF THE PRINT OR TYPE ON ANY T�-� Ilr SII 111 111 111 � I1 1 � 1 111 111 111 rf -IT 1Trl_11 11 111 I 1 � 1 1 � 1 I � 1 111 111 111 r l 1II II1 r� r 1l � 111 111 Ilt I 1 1 ( 1 IIl I � II111 If1T�I II1IIll 111 ilI 11111 1 I � � I IMAGE s NOTICE,I c E,IS NOT AS CLEAR AS T I N T i 2 � 4 __ __ IT' IS DUE TO THE QUALITY OF THE No,36 ORIGINAL DOCUMENT E 6Z 8Z LZ bZ 5Z " Z EZ Z TZ UZ 61 8I LT 9T ST fiT ET ZT TT T 6 fill 8 II L B�S� �' E i IIII IIII IIII fill Illi �� II!I illllllll�llll !lll 1111 X11 IIII III l ll DLill (IlIC��1 .-. ._...+rew.�•Irw mw.,.rr+r.srr•.xwx+r�T�•Yw.ww..,..�.:w a•war•L.mr..urn'.M«•x.rMw:r�•+nw.r.V.�wlww++w+.w..�•..4a�.+•Wwwu..�x.ww...w•.wr.aw4wMr�hrrMww�arWrx•.sa�urW rFkwgHYww�r➢�lVWdwYLMLr1rr+4uW.•.:..+:w..:w1....ywlvn:unYcrwY+. r H z r z 10220 SW GREENBURG ROAD LINCOLN II SUITE 200 SOUTH 1999 SAVE - HISTORICAL INFORMATION BUIL.DING(S) NAME CHANGE PER KIT CHURCH. ENGINEERING 10220 GREENBURG RD, LINCOLN II NORTH CHANGED TO 10220 GREENBURG RD, LINCOLN TII 10220 GREENBURG RD, LINCOLN II SOUTH CHANGED TO 10220 GREENBURG RD, LINCOLN II CITYOF TIGARD iCERTIFICATE OFOCCUPANCY DEVELOPMENT SERVICES PERMIT#: BUP2003-00016 13125 SW Hall Blvd.,Tigard, OR 97223 (503)639-4171 DATE ISSUED: 1/9/03 PARCEL: 1 S135AB-01004 ZONING: C-P JURISDICTION: TIG SITE ADDRESS: 10220 SW GREENBURG RD 200 SUBDIVISION: TWO LINCOLN -TOWN OF MET-GER BLOCK: LOT: CLASS OF WORK: ALT TYPE OF USE: COM TYPE OF CONSTR: 2FR OCCUPANCY GRP: B OCCUPANCY LOAD: 21 TENANT NAME: CAE NORTHVVEST REMARKS: Tenant Improvement Owner: EOP LINCOLN, LLC 10260 SW GREENBURG RD SUITE 100 P�QeND5RY2S4?M17 Contractor: C SCHIEWE & ASSOCIATES INC 1024 NE DAVIS ST PORTLAND, OR 97232 Phone: 101-234-6617 Reg#: HC 54105 This Certificate issued 2/29/03 grants occupancy of the above referenced building or portion thereof and confirms that the building has been inspected for compliance with the State of Oregon Specialty Codes for the group, occupancy, and use under which the referenced permit was Sw BUILDING INSPECTOR BUILDING ICIAL POST !N CONSPICUOUS PLACE CITY L GIo►F�D Hour BUILDING Ins NG Inspection Line: (503)639-4175 INSPECTION DIVISION Business Line: (503)639-4171 T BU --- Received — __ Date Reque d AM—_ PM Z BUP -- Location / v Z Z O ,S�RaV __._Suite_ Z MEC _ Contact Person _.-____---_ __ Ph(_- ) Lf a U S—� PLM — _-- Contractor - __� �--,-- -- Ph(—fi—_) ---- --- _ SWR --- --- - - -- LD Tenant/Owner �i i[:--- /�J OYZT+-f __S _— ELC —--- ----- Footing ELC Foundation Access: �,•� �- �vJl _,�� ; Ftg Drain ELR Crawl Drain Slab Inspection Notes: SIT __- ._-_.__-- Post& Beam Shear Anchors - - Fxt Sheath/Shear Int Sheath/Shear Framing - -- - Inoulatiun Drywall NailingFirewall Fire SF ri-Wer --- ------ - -- -- — Fire Alarm Susp'd Ceiling -- - — - Roof ASS PART FAIL ---- - - - -_ __. • - P BIND AA --- ----- ---- Post& Beam - Under Slab - Rough-In Water Service -- --- - -- - — —�_- — Sanitary Sewer Rain Drains ------- - ----- — --- -- ------- Catch Basin/Manhole Storm Drain - -- - --- - - ---- - -- Shower Pan Other: -- -- - _ - - - -------- ---- Final PASS PART FAIL — MECHANICAL - - - ------- ---- ---- -- _ — --- Post& Beam Rough-In - - --- - - --- - - --- - -- - ---- Gas Line Smoke Dampers ------ Final PASS PART FAIL - -- -- ---- - - _ -- -- ----- ELECTRICAL ---- -- _--- -----_----_-.-- Service Rough-In UG/Slab Low Voltage --- -._... - --- .. ------- ------ Fare Alarm Final Reinspection fee of$__- required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL -- Unable to[- Please call for reinspection RE inspect -no access SITE __ _�_ -- Fire Supply Line ADA App oath/Sidewalk Date __ICL ZO �. InspectaExt �r -_ - Other Final DO NOT REMOVE this Inspection record from the job ,Rite. PASS PART FAIL CITY OF TIGARD 24-Hour BUILDING Inspection Line: (503)639-4175 MST INSPECTION DIVISION Business Line: (503)639-4171 BUP ...... Received Date Requested IBUP Location I- _L10 MEC Contact Person Ph PLM Contractor Ph SWR BUILDING Tenant/Owner ELC Footing ELC Foundation Access: Fig Drain ELR Crawl Drain Slab Inspection Notes, SIT Post& Beam Shear Anchors Ext Sheath/Shear Int Sheath/Shear Framing Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm SLIsp'd Ceiling Roof Other: Final PASS PART FAIL PLUMBING Post& Beam Under Slab Rough-In Water Service Sanitary Sewer Rain Drains Catch Basin/Manhole Storm Drain Shov:or Pan Other: Final PASS PART FAIL MECHANICAL Post& Beam Flough-In Gas Line SmG!,c Dampers Final PASS PART FAIL ACEd_T_A_1CAL_ Service Rough-In UG/Slab Low Voltage I Fire Alarm :--i ASS) PART FAIL Reinspection fee of$_ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. 9Pfft_SP Please call for reinspection RE:---.. Unable to inspect-no access Fire Supply Line ADA Approach/Sidewalk Date^ InspectorW-144- Ext Other- Final DO NOT REMOVE this Inspection record tom the job site. L_PASS PART FAIL j CITY OF TIGARD 24-Hour BUILDING Inspection Line: (503) 639-4175 INSPECTION DIVISION Business Line: (503)639-41711.0-MST _ BUIP Received Date Requested __ AM-// PPI BUP —_ _ Location -10_22�`� � �� - _--suite-2140---- EC r U �_Z� Contact Person _-_ Ph( ) � �_- US� PLM �. Contractor Ph SWR BUILDING Tenant/Owner —AJOA T7 44,Ji s_-I ELC Foundation Access: ELC — Ftg Drain ELR Crawl Drain --- Slab Inspection Notes: ` „ , S SIT Post&Beam - ---- ----- _ -_...._ - Shear Anchors (( __ ---- ------.-_._ ------ -._, Ext Sheath/Shear Int Sheath/Shear -------_—" Framing ------- -- - -- - - -- - - -- ----- Insulation Drywall Nailing -- Firewall Fire Sprinkler --- - - -- - ----- Fire Alarm Susp'd Ceiling -- Roof Other: - Final - • PASS _PART FAIL -- --- - - ----------- --- - -- - - -_ - PLUMBING Post&Beam -- - Under Slab ---_ -- _ Rough-In - --- - Water Service -------.- Sanitary Sewer Rain Drains - — __---- _ ___ Catch Basin/Manhole - Storm Drain - -- -- --- Shower Pan Other: --- - --- -- ---- - _------ ------ - --- Final PA _ T FAIL - -- - ------ �. --- ----- --- - ECHA y L Post& Beam-------- - -- ---- _-_.___-____-- Rough-In Gas Line - S o e Dampers _ _. --------- - ---- -- - --- ------ Fina PART FAIL »-..-- -- -- -- - --- - TRICAL -- ------ -- Sery ce - ---- - -- Rough-In Low Voltage Fire Alarm Final n Reinspection fen of$ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL SITE [] Please call for reinspec ticm HF -_. -_ �� Unable to inspect-no access Fire Supply Line ADA Approach/Sidewalk Dote C� Other: Inspector \:-_ 1 L. Ext r Final O NOT REMOVE this Inspection record from the job site. PASS PART FAIL CITY OF TIGARD 24-Hour BUILDING Inspection Line: (503)639-4175 MST INSPECTION DIVISION Business Line: (503)639-4171 BUP Received ___— _ Date Requested '� - �___— AMPM BUP Location .__- /U l'2'V %y Suite CGU MEC ---`,- Contact Person _____ __—_—. Ph( ) -3 2`3q PLMT�-- Contractor _ _ __—_ _. Ph(—) SWR BUILDING Tenant/Owner _-___-__--__ __-___ _________- ELC Footing ELC Foundation Access: Ftg Drain ELR Crawl Drain _ Slab Inspection Notes: SIT Post&Beam Shear Anchors - Ext Sheath/Shear Int Sheath/Shear Framing ----- -- -- Insulation Drywall Nailing Firewall Fire Sprinkler -- - ,�- -- Fire Alarm Susp'd Ceiling -_ -- Roof Other: - - - , Final PASS PART FAIL PLUMBING -__-- Post 6Beam --------- - ---- --- ------------ Under Slab ------ --- _ - Rough-In Water Service - - -- - --- - Sanitary Sewer Rain Drains ------ - Catch Basin/Manhole Storm Drain -- -- Shower Pan Other: -- -_ - - PART FAIL _ ECHAN_ICAL Post& Beam - -_.... Rough-In - - - - - Gas Line Smoke Dampers Final PASS PART FAIL -- --- - - ELECTRICAL Service Rough-In UG/Slab - ---- Low Voltage Fire Alarm Final j Reinspection fee of$__.._ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL SITE [ Please call for reinspection RE:_ ---___..-___._ Unable to inspFct-no access Fire Supply Line ADA Approach/Sidewalk Date-2-j— y1' Inspector - Ext Other- Final therFinal DO NOT REMOVE this Inspection record from the job site. PASS PART FAIL CITY OF TIGARD 24-Hour CUILDING Inspection Line: (503)639-4175 MST --_---- INSPECTION DIVISION Cusiness Line: (503)639-4171 BUP Received Date Requested _2 7? AM AM-._- - PM BUP - ---- -- __ _ — q 2 Z O tet 1n --- - —._Suite_20 U MEC - - -- -- - Location .-_-_—L--------- Contact Person —._ P - - PLM Ph SWR ---— - - -- - Contractor ------_---.. -- ----- - - 4/ BUILDING Tenant/Owner ___ ELG Footing E - ---- - - Foundation Access: ELR _.--.--- - Ftg Drain Crawl Dain - Slab Inspection Notes: S - -- Post&Beam Shear Anchors _ Ext Sheath/Shear Int Sheath/Shear - Framing --------- Insulation - - Drywall Nailing - -_--- ----- -- ..._ Firewall - Fire Sprinkler ----- -- - Fire Alarm - - ---------- Susp'd Ceiling Hoot --- -Other- Final therFinal --- PASS PART FAIL PLUMBING -- - - �-- Post& Beam Under Slab - ----------------.--._- Rough-In - Water Service - Sanitary Sewer --- ---- - Rain Drains _ Catch Basin!Manhole - Storm Drain Shower Pan Other: Final - - PASS PART FAIL ---CHA MEANICAL_ _ ---------- ------ - - Post&9eam Rough-In - Gas Line - - Smoke Dampers - -- "-- Final - - PASS PART FAIL ---"_. -------- -' --.--- ELECTRICAL _------------ -- ------------- — Service - Rough-In - ----------.. - UG/Slab -- Low Voltage - -"--�--------_--J Fire Alarm Reinspection fee of$.____-.-- required before next inspection. Pay at City Hall, 1312.5 SW Hall Blvd. AS� PART FAIL rr II Unable to inspect-no access SITE Please call for reinspection RF: -- - - u Fire Supply Line .q ADA ate �- ' vZ F UJ inspector /%��4�+` rrom ---- — ExtApproach/SidewalkID - Otner. DO NOT REMOVE this Inspection recordhe job alto. Final PASS PART FAIL CITY OF T I GA►R DBUILDING PERMIT PERMIT#: BUP2003-00016 DEVELOPMENT SERVICES DATE ISSUED: 1/9/03 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 PARCEL: 1S135AB-01004 SITE ADDRESS: 10220 SW GREENBURG RD 200 SUBDIVISION: TWO LINCOLN - TOWN OF METZGER ZONING: C-P BLOCK: LOT: JURISDICTION: TIG REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION CLASS OF WORK: AL.T FIRST: sf N: S: E: W: TYPE OF USE: COM SECOND: sf PROJECT OPENINGS? TYPE OF CONST: 2FR sf N: S: E: W: OCCUPANCY GRP: B TOTAL AREA: 0 sf ROOF CONST: FIRE RET? OCCUPANCY LOAD: 21 BASEMENT: sf AREA SEP. RATED: STOR: HT: ft GARAGE: sf OCCU SEP. RATED: BSMT?: MEZZ?: _ REQD SETBACKS _ _ REQUIRED FLOOR LOAD: psf LEFT: ft RGHT: ft FIR SPKL: Y SMOK DET: DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP ACC: BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING: VALUE: Remarks: TI Owner: Contractor: EOP LINCOLN, LLC C SCHIEWE & ASSOCIATES INC 10260 SW GREENBURG RD 1024 NE DAVIS ST SUITE 100 PORTLAND, OR 97232 PORTLAND, OR 97223 Phone: Phone: 503-234-6617 Reg #: LIC 54105 FEES REQUIRED INSPECTIONS Description Date Amount Mechanical Permit Require IItl 11 1)1 I'ernut FCC 1/9/03 $235.30 Electrical Permit Required I �X 1 8'!(,Stare"I'ax 1/9/03 $18.82 Sprinkler Permit Required Plumbing Permit Required IIWI'I'LNj I'In Its 1/9/03 $152.95 Framing Insp IFLSJ FLS I'In It\ 1/9/03 $94.12 Gyp Board Insp Total $501.19 Final Inspection This permit is Issued Subject to the regulations contained in the Tigard Municipal Code, State of OR Specialty Codes and all other applicable law All work will be done in accordance with approved plans This permit will expire if work is riot started within 180 days of issuance, or if work is suspended for more than 180 days ATTENTION Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0100. You may obtain a copy of these riles or direct questions to OUNC by calling (503) 246-6699 or 1-800-332-2344 Issued BY « �. Pe nn ittee Signature: �1tit �2 Call 639-4175 by 7 p.m. for an inspection the next business day Building Permit AlmlicationFOR OFFICE USEONLV -- — -- Received ;C, J ISuild;ng Date/By: I �} C i, Pcnnu No City of Tigard Planning Approval Other Date/By: Permit No.: 13125 SW Hall Blvd. Plan Review Other - Tigard,Oregon 97223 Date/By: Permit No Phone: 503-639-4171 Fax: 503-598-1960 Post-Review Land Use '— Internet: www.ci.tigard.or.us Date/By: Case No. 24-hour Inspection Request: 503-639-4175 Contact Juris.: See Page�intim Nanta/Method — Su Iemcntollnformatlon TYPE OF WORK _ REM TIRED DATA: New construction Demolition I &2 FAMILY DWELLING �iAddition/alteration/replacement I LJ Other: — CATEGORV OF CONSTRUCTION Note: Permit fees*are based on the total value of the work performed. Indicate 1 &2-Family dwelling Commercial/Industrial the value(rounded to the nearest dollar)of all equipment,materials,labor, Accessory Building Multi-Tamil overheaj and profit for the work indicated on this application. Master Builder Other: Valuation..... .................. ......................... g JOB SITE INFORMATION and LOCATION No.of bedrooms: No.of baths: Job site address: 10220 9W Green6ur Total number of floors................................. ... Suite#: SCO --,3 New dwelling area(sq. ft.). .. ............ ...... . Idg./Apt.#: — Garage/tarpon area(sq. ft.)... . . ........ ..........Project Name: GAS Covered porch area(sq. R.)........ .. ............. .. . ---- Cross street/Directions to job site: Deck area(sq.fl.).................. ........ ................ Other structure area(sq.ft.).. ..... ....... .. ........ REQUIRED DATA: COMMERCIAL-USE CHECKLIST Subdivision: T I.ot#: - — Tax ma /parcel #: Note: Permit fees•are based on the total value of the work performed Indicate DESCRIPTION OF WORK the value(rounded to the nearest dollar)of all equipment,materials,labor, e I lrn ro�eh+�eh overhead and profit for the work indicated on this application. Valuation.................. ...................................... $ ` Existing building area(sq.ft.)......................... —� — New building area(sq. fl.)............................... -- Number of stories............................................ SIS— Name: E001TY oFFI�E _ PROPERTY OWNER TENANT Type of construction..,................................... -� PRoPH�'i IES Occupancy group(s) Existing: Address: 0260 SW _Greem6jr P-4 . Sul'te I16o New —p City/State/Zip: fortlav OP- 9 Zzs _ — ---— Phone:503 692-Z900 Fax: NOTICE: All contractors and subcontractors are required to be APPLICANT _ Q CONTACT PERSON licensed with the Oregon Construction Contractors Board under provisions of ORS 701 and may be required to be licensed in the Business Name: C7aD A►' i �hG• — jurisdiction where work is being perfonned. If the applicant is exempt Contact Name: P-ay (L. Glor from licensing,the following reason applies Address: 92v s '3-d aQe#we Su;te 4poo ---------__-------- . Cit /State/Zi Port -0P.. 9720 Phone:503 224-%vry v I Fax: - — --- ------ -- -- — E-mail: BUILDING PERMIT FEES* CONTRACTOR _ — Please refer to fee schedule. Business Name: G, S��ie-Je Fees due upon application..... _... Address: 102 NE Davis s Cit/State/Zip: Porta OR,, 9?232 Amount received................................ ........... Phone:503 'LS4 (06 ax: Date received CCB Lic. #: Authorized "— Signature: Date. Notice: This permit application expires Ifit permit Is not obtained within Glu -- -- -- 180 days after It has been accepted as complete. fray R. r — (Please pont name) *Fee methodology set by Tri-County Building tndustn Serslce Board. r\Usts\Permit ForntsTlIdgPermitApp.doc 01103 GAE No r�'t ue>;'t 21< -200 1.9.03 Accessibility: Barrier Removal lrnprovement Plan Citi,of Tigard REQUIREMENT: OREGON REVISED STATUTE (ORS) 447.241. (1) Evr ry project for renovation,alteration or modification to affected buildings and related facilities shall be made to insure that the path of travel to the altered area and the restroom, telephones and drinking fountains are readily accessible to individuals with disabilities unless such alterations are disproportionate to the overall alterations in terms of cost and scope. (2) ^!!dations made to the path of travel to an altered area may be deemed disproportionate to the overall alteration when the cost exceeds twenty-five per-cent(25%). VALUATION: of all renovation, alteration or modification beii:g Mone excluding painting, wallpapering. 20f00000 multiply_ 25% Barrier removal requirement. _ . .25_ BUDGET FOR BARRIER REMOVAL [2] $ S 000.00 In choosing which accessible elements to provide under this section, priority shall be given to those elements that will provide the greatest access. Elements shall be provided in the following order: (a) Parking lot res4,r,ftl.,1,3ite work rely+," +.. $ 6 oOo., eccesfib[F r,ou'ter � accessible P°'"l`i� ! f;'..a,t (b) An accessible entrance $ (c) An accessible route to the altered area: $ (d) At least one accessible restroom for $ each sex or a single unisex restroom (e) Accessible telephones: $ (f) Accessible drinking fountainsand $ (g) When possible, additional accessible elements such as storage and alarms: a TOTAL: Shall equal Zine 2 of Yalue_Computation $ cldsN\fonns\Acccsstbth1y doc 06/07/02 �yy r � 9iS Z6 UITE j 200 � SUITE 220 CITY OF TIGARD 24-Hour BUILDING Inspection Line: (503)639-4175 INSPECTION DIVISION Business Line: (503)639-4171 MST BUP .SLS` Ovy5Y Received ____-. __ Date Requested AM PIA BUP _. Location ._ L ��_ -= Suite. v�O-Z-) MEC Contact Person _ �� — Ph S 7(.ey PLM _ Contractor Ph 1 -_ SWR - BUILDING Tenant/Owner CLC _ Footing Foundation Access: ELC - Ftg Drain Crawl Drain ELR _ Slab Inspection Notes. SIT _ Post&Beam Shear Anchors Ext Sheath/Shear IntSheath/Shear - --_ -- Framing - - Insulation --- _-- - --- Drywall Nailing -- --__ Firewall - - - ------ - --_._ pnn r_ — ---..------ - — - Fire Alarm Susp'd Ceiling Roof �. O - - - Other: _PAS PART FAIL - ING �1�1(1 Post r Beam Under Slab Rough-In Water Service Sanitary Sewer Rain Drains - — -- —__ Catch Basin/Manhole Storm Drain - ---------- Shower Pan Other: - Final PASS _PART FAIL -� -`- — MECHANICAL Post&Beam -� _ -----_-�- — - - Rough-In Gas Line -- Smoke Dampers Final PASS PART FAIL ELECTRICAL Service Rough-In UG/Slab - - - Low Voltage _ Fire Alarm - -� Final El Reinspection fee of s req red before next inspection. Pay at City Hall, 13125 SW Hall Blvd. _PASS PART FAIL SITE —_ F Please call for reinspection RE: -_ _ _ Unable to inspect-no access Fire Supply Line 2 'r ADA —D j Approach/Sidewalk � � fnsp�ctorDateIlxt Other Final DO NOT REMOVE this inspection record from the Job site. PASS PART FAIL ELECTRICAL PERMIT- CITY OF TI GARD RESTRICTED ENERGY DEVELOPMENT SERVICES PERMIT#: F_LR2003-00040 13125 SW Hall Blvd., Tiqard, OR 97223 (503) 639-4171 DATE ISSUED: 2/11/03 PARCEL: 1 S135AB-01004 SITE ADDRESS: 10220 SW GREENBURG RD 200 SUBDIVISION: TWO LINCOLN -TOWN OF METZGER ZONING: C-P BLOCK: LOT: JURISDICTION: TIG Proiect Description: Jo� �C') i 1 u..�� ,; � �(ii f I(t► �1. � / �� A.RESIDENTIAL _ _ B.COMMERCIAL AUDIO & STEREO: AUDIO & STEREO: INTERCOM & PAGING: BURGLAR ALARM: BOILER: LANDSCAPE/IRRIGAT: GARAGE OPENER: CLOCK: MEDICAL: HVAC: DATA/TELE COMM: X NURSE CALLS: VACUUM SYSTEM: FIRE ALARM: OUTDOOR LANDSC LITE: OTHER: HVAC: PROTECTIVE SIGNAL: INSTRUMENTATION: OTHER: TOTAL#OF SYSTEMS: 1 Owner: Contractor: EOP LINCOLN, LLC CAPITOL DATA& COMMUNICATIONS 10260 SW GREENBURG RD 11401 NE MARX ST. SUITE 100 PORTLAND, OR 97220 PORTLAND, OR 97223 Phone: Phone: 503-255-9488 Reg#: LIC 142457 ELE 26-1054C'LE SUP 31325 FEES Required Inspections Description Date Amount _ Low Voltage Inspection �I I I It I'rrn,ir 2/11/03 $7J.00 Elect'I Final 2/11/03 $6.00 Total $81.00 This Permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable I iws. All work will be done in accordance with approved plans. This pen-nit will expire if work is riot 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 throuc Issued by 1: ! c c�c J_�G cL Permittee Signature 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 L ,f'1l _ _ DATE:`____ ___ LICENSE N O: -------------- Call 639-4175 by 7:00 P.M.for an inEpiction needed the next business day Electrical Permit Application 7issucd: - -o Perini(nn no.: I:x tire date: City of Tigard liv: Itecei t no.: CITY Of TIGARD Address: 13125 SW HALL 111,VU,'11GAItU,Oil 97223 I'avntent�te: Phone: (503)639-4171 Fax(503)598-19150 Land use approval: ❑ 1 A 2 family dewllutg or accessory ('unu trrcial nulustri,ll ❑ Multi-tantily Q Tenant impr,,.enicnt Nr'% cnm.tructi,tlt 1di60 alterUion/replacement ❑ Other: ❑ II%rliul Job address: SSW GREENBERG RD City: TIGARD Ilildg. No.: ISkote no 200 -fax ora t%lax lot/account no.: Lot: kiluck:N/A Subdivision: Pro ect name:('Ali N( neseri lit Ion and location o1'%N ork on premises: VOICE/DATA NETWORK CABLING STE 200 I ,lintalyd dale of Completion Ins ection: 2/14/03 Joh 11w C23.37 liusincs'`anti CAPITOL DATA/COMMUNICATIONS Uescrifillon VV. na,l t,od no./nap Address: 11401 NE MARX ST. New residential-%Ingle or multi-famiFv ill,,- City erCit : Portland ~late: OR /11):_9_7220-1041 dwelling unit. Includes attached garage. Phone: 503 ,56-9488 1,n 257-7121 h: mail: ray&cepdxcom Ser%lee Included: (UB no.: 142457 It.iec.bus.lic.no: 28-1054CLE 1000-,q,ft,or less $ 14515 4 ('it /metro/(cion.: 4542 Each additional 500 sq.It.of turumn thereof 2/11/03 Limited energy residential ` a" Si tuuurc ol'su,cr%isin g el c rrciatt(rc,uoc,l) [)tile Linuted cncr %,non-residential c 45 nu Su t.elect.nnnte 1 rami: Richard Martin License no.: 2885.8 Bach manufactured homy:or modular dwelling Service and/or feeder N;une(print►: FQ111'1 Y1'1201'1;RIII Seri Ice%or leaden-insunllntinn, Mailing address: alteration or relocation: (it; Slate: IIP: 200 a111 t%or less S till 111 Phone: fax: E-mail: 201 anifis to 400 mus 5 uu,xs Olt•ner•in.vul/ulion: 'I he installation is being made on property I own 401 limps to 600 ants s 16o 60 which is not intended for sale,lease,rent,or exchange according to bol ant is to 1000 amts — s 240.60 ORS 447.455,479,G70,701. Over loon tun s or%ells _ $ 454155 ' Owners.cixaantrer Date: Re nntccf onl) S 6h KS emporary%er%lee%or feeder%- Name: Installation,alteration%,or relocation: dress: 200 amps or less s s 2 Ad Ad stale: YII' 201 ant s to 400 nm is _ 5 lino n 2 I'hnnc: fax: /'•-mail: 401 mops ru6on:mq,s Branch circuits-new,aheration. [7 tiro u c o•cr 225 amps,ununcirrd ❑1leallh erre l3cilit) or extension per panel: ❑Service.aver 320 amp%-raring of 1&2 ❑1laxardous location A. fee for branc't circuits with purchase of family dwellings []Ruildhtg over 10,000 square IL litur ur service or feeder fee,each haunch circuit g r,,,s ❑system over 60o volt%nominal more residential units in one structure B. fee fur branch circuits without purchase of service or Iccder fee,first branch circuit: 41 s` ❑Building over three%anile% ❑feeders,400 amps tit more — Cl Occunanl load over 99 penro,s []Mnrwfnclures structures or RV Park Iiach additional branch circuit: S 6 is ❑t°grra.Aighting plan ❑Other 111%c.(Seri Ice or feeder not included): Submit set%of plans with any of the aho%e. Loch unt or irrigation circle 5�40 File aho%e are not applicable to tentiun•at•%construction sen Ice. Bach sign or outline fighting $ 51.40 Signal coctut(s)ora limited cncrg)panel. Aeration,or extension• 1 S 75 On 5 uu 2 *Descnplorl Each additional nt:pectiono%er tit allo%%able nt:un of the all, e Per inspection In%csti gation fee —_ Other ❑Visa ❑ MasterCard Permit fee............... 75 ou r l dil card,nnnhcr Notice:this permit application Plan review ( i ,r ex,.ires If a permit is not obtained Stale Surcharge( 90,4 1 6.00 Nurse nl canrhnldcr o.rh„wn nn crcaa r'nl withing 180 days after it has been TOTAI.............. ••••• 81.00 S Aunt accepted as complete C'ardla,ldcr uatuturc C..I1'Y OF TIGARD ELECTRICAL PERMIT PERMIT#: ELC2003-00034 DEVELOPMENT SERVICES DATE ISSUED: 1/28103 13125 SW Hall Blvd..Tigard, OR 97223 (503) 639-4171 PARCEL: 1S135AB-01004 SITE ADDRESS: 10220 SW GREE:NBURG RD 200 ZONING: C-P SUBDIVISION: TWO LINCOLN -TOWN OF METZGFP BLOCK: LOT : JURISDICTION: TIG Project Description: Installation of 6 branch circuits. RESIDENTIAL UNIT TEMP SRVCIFEEDERS ":IiSCELLANEOUS 1000 SF OR LESS: 0 - 200 amp: PUMP/IRRIGATION: EACH ADD'L 500SF: 201 - 400 amp: SIGN/OUT LINE LTG: LIM'rED ENERGY: 401 - 600 amp: SIGNAL/PANEL: MANF HMI SVC/FDR. 601+amps -1000 volts: MINOR LABEL (10) SERVICE/FEEDER BRANCH CIRCUITS ADD'L INSPECTIONS 0 200 amp: WISERVICE OR FEEDER: PER INSPECTION: 201 - 400 amp: 1st W/O SRVC OR FDR: 1 PER HOUR: 401 - 600 amp: EA ADD'L BRNCH CIRC: 5 IN PLANT: 601 - 1000 arnp: _ - PLAID REVIEW SECTION 1000+amp/volt: >=4 RES UNITS: >600 VOLT NOMINAL: Reconnect only: i JC/FDR>=225 AMPS: CLASS AREA/SPEC OCC: Owner: Contractor: EOP LINCOLN, LLC WILLAMETTE ELECTRIC INC 10260 SW GREENBURG RD PO BOX 230547 SUITE 100 TIGARD,OR 97281 PORTLAND,OR 97223 Phone: Phone: 624-2938 FAX Reg #: 15114-3631 75059 --- SUP 19655 _ FEES _ _ E1,F. 34-283(- Description Date Amount —_— Required Inspections � I .%\] 8" titan• tat I ?� nt $6 1 --- --- 11I'It�1 I Ill c I'crnnr 1 2811, $80.10 Rough-in F Elect'l Final Total $86.51 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 exp,re if orork is not started within 180 days of issuar ce or if work is suspended for more than 180 days ATTENTION Oregon!aw requires you to follow rules Aopted by the Oregon Utility Notification Center Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0100 You may obtain copies of these rules or direct questions to OUNC at(503) 246-6699 or 1-800-y 2-:LOL- r Issued By: L Permit Signature: Tl G( l 6t OWNER INSTALLATION ONLY _ I he installation is being made on property I nwn which is not intended for sale, lease, or rent. OWNER'S SIGNATURE: —_ DATE:-- CONTRACTOR ATE:-CONTRACTOR INSTALLATION ONLY _— SIGNATURE OF SUPR. ELEC'N: LICENSE NO: __ -- -- -- _— ---------- -- -------- - -- Call 639-4175 by 7:00pm for an inspection the next business day Electrical Permit Application �' Date received:/ ' 7 7 Permit no.: 4 ('ity of Tigard'-JECF Project/appl.no.: Expire date: / Ci! a Tigard Address: 13125 SW Ifall Blvd,Tig tard�0, Phone: (503) 639-4171 (t 3 y l" 1~ N 4 Date issued: B Receipt no.: Fax: (503) 598-1960 OF Tic Case file no.: Payment type: Land use approval: QWI D1\11SION t ❑ I &2 family dwelling lit accessory U('umnmcrrial/uulu,(ri:tl U Mul(i I:unily 4Tenant improvement U New construction U Add itiom/al lei aliunhcpla(cim-nl U Otlwr: U Parlial JOB SITE INMRMATION Joh address: lozz C) t„Ua—yam ix map/tax lot/account no.: Lot: Y Block: Subdivision: Project name: C n C it✓w Description and location of work on premises: Estimated date of corn Ietion/ins ction: Job not 7- Fee nla. Business nartte: ij, ( Description Qty. (ea.) lolnl no.Insp Nr"residential-single or mum family per Address: 3 dnelling unit.Inclmirr allaclwd garage. City: State: . ZIP: C }I( i Servinelncludcd: Phone: 6 Z H ;t,r, Fax:61 y 2,11S E-mail E 1000 sq ft.or less !!'B no.: 7 sd eZj Elrc.bus,tic.no: '?Y ach additional 500 sq.it,or portion thereof Limited energy,residential ' City/B1C t DIC.no,; � '� Limited energy,non-residential 2 _ m r/L /v; Fach manufacuored home or modular dwelling Signa of supetfisft electrician(requited) Dale Service and/or feeder 2 Sup.elect.name(priot): ,, Licenseno: 06') S Services or feeders-Installation, alteration or relocation: 2W amps or less 2 Name(print): 201 amps to 400 amps 2 Mailing address: 401 amps to 600 amps 2 601 amps to IW)amps 2 City: State: Zi P: Over IOW amps lir volts - -- 2 Phone: Fax: E-mail: Reconnectonly - — -- - I Owner installation:"I'he installation is being made on property I own I entporary serilcei or feeders- which is not intended for sale,lease,rent.or exchange according to Installation,allerallon,orrelocalIon: ORS 447,455,479,670,701. 200 amps or less _ _ 2 201 amps to 41)(1 amps _ _ _ 2 Owner's si mature. Date: 401 to 6W anins 2 ENGINEER Branch circuits-new,alteration, or extension per panel: Name: or Fee for branch circuits with purchase of Address: service or feeder fee,each branch circuit City: Slate: 11 P: B. Fee for branch circuits without purchase y of service or feeder fee,first branch circuit: f Phone: Fax: is-Mall Each additional branch citcuit. �l Mise.(Service or feeder not Included): U Service over 225 amps-commercial U Henldt-care fanliia Each pump or irrigation circle 2 U Service over 320 wraps-rating of 1&2 U 1)nzardous location Each sign or outline lighting 2 family dwellings UBuilding over MAX)squarofeet four or Sign,dcircuit(s)oralimited enetgvranel, U System over 600 volts nominal more residential units in one structure alterr tion,or extension• 2 U Building overthreeslorics U Feeders.4(x)amps ormore •lksen lion: U Occupant loam over 99 persons U Manufactured structures or RV park tach ad,lillonal Inspection over the allowable In any of the aldose: U Egress/lighlingplai U Other. - Perinspection Submit___sets of plan%with any of the above. Investigatipn fee The above are not applicable to temporary construction service. Other Not all junsdictiotu accept credit cards,please call jurisdiction for morr information Notice:'This permit application Prnnil fee.....................$ rr V m U Visa U MasterCard expires il'a permit is not obtained Plan review(at _ %) $ Credit cud number:_ ___ within 180 days after it has been State surcharge(8%)....$ LG 1 : - xp Ircs accepted as complete. TO"1'A1. .......................$ `' Name of cardholder u shown on c It card S Cardholder mijnature Amouni 440.4615(&MCOM) ELECTRICAL PERMIT FEES: LIMITED ENERGY PERMIT FEk-5: Complete Fee Schedule Below: TYPE OF WORK INVOLVED -RESIDENTIAL ,,. Y :ll_ F7 Restricted Energy Fee...................................................... $75.00 Number of Inspections per permit allowed (FOR ALL SYSTEMS) Service Included: Items Cost Total Check Type of Work Involved: Residential•per unit 1000 sq ft.or less $145 15 _ 4 Audio and Stereo Systems' Each additional 500 sq ft of portion thereof __ $33.40 — '1 Burglar Alarm Limited Energy $7500 Each DwMi'ng Service orrFe Feeder —^� $90.90 � 2 � Garage Door Opener" Services or Feeders Heating.Ventilation and Air Conditioning System' Installation,alteration,or relocation 200 amps or less _ _ $80.30 2 r, 201 amps to 400 amps $10685 2 LJ Vacuum Systems' 401 amps to 600 amps $16060 2 ❑ 601 amps to 1000 r'TIPS J $240.60 v 2 Other Over 1000 amps or� Ills $45465 _ 2 Reconnect only _ $56,85 2 _ T TYPE OF WORK INVOLVED -COMMERCIAL ONLY Temporary Services or Feeder3 Installation,alteration,or relocation Fee for each system.......................................................... $75.00 200 amps or less _—_ $66.85 2 (SEE OAR 918-260-260) 201 amps to 400 amps $100.30 _ 2 401 amps to 600 amps $133.75 2 Check Type of Work Involved: Over 600 amps to 1000 volts, �I see"b"above. E] Audio and Stereo systems Branch Circuits C� t3oiler Controls Now,alteration or extension per panel a)The fee for branch circuits with purchase of service or Clock Systems feeder fee. Each branch circuit $665 2 Data Telecommunication Installation b)The foe for branch circuits without purchase of service Fire Alarm Installation or feeder fee. First branch circuit _ $4685 Each additional branch circuit $6.65 `^ HVAC Miscellaneous Instrumentation (Service or feeder not included) Each pump or irrigation circle $5340 _ Intercom and Paging Systems Each sign or outline lighting _— $5340 Signal circuit(s)or a limited energy pane!,alteration or extension $7500_ Landscape Irrigation Control' Minor Labels(10) $125 OC Medical Each additional Inspection over ❑ the allowable In any of the above Per Inspection $62.50 _ ❑ Nurse Calls Per hou, _ _ $6250 r1 In Plant $7375 u _ Outdoor Landscape Lighting' Fees: Prot 3ctive Signaling Enter total of above fees $ Other 8%State Surcharge $ Number of Systems 25%Plan Review Fee See"Plan Review'Section on $ ' No licenses are required Licenses are_required for all other installations front of application ---- Fees: Total Balance Due $ — Enter total of above fees $ ❑ Trust Accoarnt# 6%State Surcharge = _ Total Balance Due $ All New Commercial Buildings require 2 sets of plans. i-AdstsUfomu\elc-feesdoc 08/30/01 C I.TY O F T I GA R DBUILDING PERMIT PERMIT #: BUP2003-00058 DEVELOPMENT SERVICES DATE ISSUED: 2/6/03 13125 SW Hall Blvd.,Ticiard, OR 97223 (503) 639-4171 PARCEL: 1S135AB-01004 SITE ADDRESS: 10220 SW GREENBURG RD 200 SUPDIVISION: TWO LINCOLN - TOWN OF METZGER ZONING: C-P BLOCK: LOT: JURISDICTION: TIG REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION CLASS OF WORK: FPS FIRST: sf N: S: E: W: TYPE OF USE: COM SECOND: sf PROJECT OPENINGS? TYPE OF CONS'i: 2FR sf N: S: E: W: OCCUPANCY GRP: B TOTAL AREA: 0 sf ROOF CONST: FIRE RET? OCCUPANCY LOAD: BASEMENT: sf AREA SEP. RATED: STOR: HT: ft GARAGE: sf OCCU SEP. RATED BSMT?: MEZZ?: _ REQD SETBACKS _ _ REQUIRED FLOOR LOAD: psf LEFT: ft RGHT: ft FIR SPKL: SMOK DET: DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP ACC: BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING: VALUE: $ 500.00 / Remarks: RE-<< N ,_' fg,.(,7) PR�rrJi<,LE['. f1fA1>%. ----- — -- _�r Owner: Contractor: EOP LINCOLN, LLC MCKINSTRY COMPANY 10260 SW GRE ENBURG RD 5400 NE COLUMBIA BLVD SUITE 100 PORTLAND, OR 97218 PORTLAND, OR 97223 Phone: Phone: 331-0234 Reg #: MET 000p0040pp11gg79 FEES Y LIC REQUIRED9INSPECTIONS _ Description Date Amount Sprinkler Rough-In 113UILUj 1'crnur I cc 2/6/03 $62.50 Sprinkler Final [TAXJ 8°,,Stith- lax 2/6/03 $500 Total $67.50 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire ii 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 the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0100. You may obtain a copy of these rules or direct questions to OUNC by calling (503)246-6699 or 1-800-332-2344. i Issued By: Permittee = �. Signature: xf . � �" lCall 639-4175 by 7 p.m. for an inspection the next business day Building Permit Application City of Tigard "Datereceived: �d Permitno.: U 6vv Address: 13125 SW Nall Blvd,Tigard,OR 97223 Project/appl.no.: Expire date: CityajTigard Phone: (503) 639-4171 Date issued_ By: Receipt rn'. Fax: (503) 598-1960 Case file no.: Payment type: Land use approval r 1&2 family:Simple Complex: U 1 &2 family dwelling or accessory XComrnercial/hndustnal U Mu ti-family U New construction U Demolition X Add i tion/al teration/replacement XTenant improvement Fire sprinkle #ry U Other. .108 SITE INFORMATION Job address: -71> Bldg. i o.: 0 I Suite no.: 'jtXl, Lot: Blcxk: Subdivision: 'fax map/tax loduccount no.: Project name: CAE k11C)0T-AW(2,rYr Description and location of work-o_nQ premises/special conditions: RE��_ (7) — Name: e(pu l-T"y Pk0t/LT7kr7,� g_ST_ Mailing address: T-OX Wti-TA i<�t lh F'(�k 7� 1 & 2family dwelling: City: cf4ce;O State: I t._l ZIP: (G1U(a�w Valuation of work........................................ $ Phone: Fax: Email: No.of bedrooms/baths................................. Owner's representative: );'AVL- C IS `� I ilii WE Cvr��c f Totui number of floors................................. Phone: 7�`- Fax: E-mail: New dwelling area(sq. ft.) ._...................... Garage/carport area(sq.ft.)......................... Name: <��14= /1�1C�1t�(1- l o M t-�Lrr►5T(Ly (c�• Covered porch area(sq. ft.) ......................... � Mailing_ address: e- p - l,J �JQ Deck area(sq.ft.)........................................ City: State:e f, ZIP: )77_l Other structure arca(sq. ft.).......... .............. Commercia111ndustriaUmult i-fact Phone:• 3 Fax: 3(,( 0 y tluation of work........................................ $_500 _ Existing bldg.area(sq. ft.) ......................... __VIA _ Business name: its ji --f �UM f At'i -d1� ---- New bldg.area(sq.ft.) ................................ N/A Address: :40v /JE CVt d►"►il!A f5L-VD Number of stories J�A City: 6 p State:rA ZIPI 7't.t il. oN-Ccw+(�, i..�� Ty of construction lU ... Vii /!..... Phone: reel c-1,3,4 Fax: E-maiI:,3FffrA& CCB no.: ZZ3 p p� t�ccupancy group(s): Existing: --- — WIRT j)4 0r1(t- New: t/ _ City/metro lic.no.: K( /J ) Z N U Notice: All contractors and subcontractors are required to he licensed with the Oregon Construction Contractors Board under Name: 666 /V"011(15 _ _ — provisions of ORS 701 and may be required to be. lic.:nsed in the Address: jurisdiction where work is being performed. If the applicant is 9Cc' ��c� ?rt f 11C _-- exempt from licensing,the following reason applies: City: T State:C_I ZIP:IIT 05 Contact person: _ Plan no.: --- v_-- Phone: �I(�`�ri Fax: E-mail: ft �IN11111 Name: Contact person: Fees due upon application ........................... $ _ Address: Date received: _ City: State: ZIP: Amount received ......................................... $ _Phone: Flix: E-mail. Please refer to tee schedule. hereby certify 1 have read and examined this application and the Not all ju iklictiom accept credit cards,please call jurisdiction for trxxe in(cwtnauon attached checklist. All provisions of s and ordinances governing this U Visa l]MasterCard work will he complic4With,whetyr sfiecifled herein or not. ('redit card number_ - --- -- Expires-1—� Authorized sig _ tet" _ Date:eL�� Name of mdhold,,as shown on credit card �� _ S _ Print name: _ o177fj''4 — Cardholder signature —_ — Amount Notice:This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete_ 40)_u,13 trst00rt'OM' Fire Protection Permit Check List A.) ❑ New ❑ Addition Iteration ❑ Repair B.) Modification to s rinkler heads ons__ Describe work to 1. 1-10 heads,, foplan review w rE. uir d be done: 2. 11+ heads: Plan review required. Number of sprinkler heads:_� Additional description of work: ;�ELtx�*TE `1) -5 lM-JK-Lk-fe- _Type of System (Complete A, B or C as applicable): A� Sprinkler Wet A — Dry L] Standpipes Additional Hazard Group Information Densityo Desi n Area I fix K. Factor Sprinkler Project Valuation: $ , o0 B. Type I - Hood Fire Suppression System --_ Hood Project Valuation C. Fire Alarm_---- Submittal shall Battery CalculationsYes L _— include: Individual Component Yes ❑ Cut Sheets _ Fire Alarm Project Valuation: $ _&JA Project Valuation Subtotal A, B 8 C or Permit fee based on valuation see chart): $ 8% State Surcharg_e: $ _— FLS Plan Review 40% of Permit: $ ------- - -- TOTAL: $ --_— Plan review requires a completed application and 3 sets of plans at submittal. Plan review lees are required at submittal. "New" fire protection systems require that plans bear the original seal of an Oregon licensed fire suppression engineer, or NICET level "3" technicians. iAdsts\fortes\FPScheckiist.doc 11/21/01 CITYOF TIGARD MECHANICAL PERMIT ` DEVELOPMENT SERVICES PERMIT#: MEC2003-00044 13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 2/4/03 PARCEL: 1 S135AB-01004 SITE ADDRESS: 10220 SW GREENBURG RD 200 SUBDIVISION: TWO LINCOLN - TOWN OF METZGER ZONING: C-P BLOCK: LOT: JURISDICTION: TIG CLASS OF WORK: ALI' FLOOR FURN: EVAP COOLERS: TYPE OF USE: COM UNIT HEATERS: VENT FANS: OCCUPANCY GRP: B VENTS W/O APPL: VENT SYSTEMS: 1 STORIES: _ BOILERS/COMPRESSORS HOODS: FUEL TYPES 0 - 3 HP: DOMES. INCIN: 3 - 15 HP: COMML. INCIN: MAX INPUT: BTU 15 - 30 HP: REPAIR UNITS: FIRE DAMPERS?: 30 - 50 HP: GAS PRESSURE: 50+ HP: CLO DRYERS: S: FURN < 100K BTU: AIR HANDLING UNITS C FURN >=100K BTU: <= 10000 cfm: — OTHER UNITS: > 10000 ctm: GAS OUTLETS: Remarks: ft��.r�c�u�. C -� ��- -- Owner: _ _ FEES EOP LINCOLN, LLC Description Date Amount 10260 SW GREENBURG RD -- SUITE 100 IMF(]II I'mml I rr 2/4/03 $72.50 PORTLAND, OR 97223 11 AX 18",, Slate I a\ 214/03 $5.80 Phone: Total $78.30 _ _ Contractor: MCKINSTRY CO 5400 NE COLUMBIA BLVD PORTLAND, OR 97218 REQUIRED INSPECTIONS Phone: 331-0234 Mechanical Insp Misc. Inspection Reg#: LIC 40981 J(•,<Lk This permit is issued subject to :ne regulations contained in the Tigard Municipal Code. State of Ore. Specialty Codes ,n4 c!' ^'h-, applicable laws All work will be done in accordance with approved plans. TI.:-, r--rmit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION Oregon law requires you to follow rules adopted in the Oregon Utility Notification Center Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0100. You may obtain copies of these rules or direct questions to OUNC by calling (503)246-6699.' Issued By: F ✓d 4 Z �, l Permittee Siynature�/: Call (503) 639-4175 by 7:00 P.M. for inspections needed tate next liusiness day Mechanical Permit Application -- Date rccetved:�,- iPermit no.: rn�� .a City Of Tigard Project/appl. no.: Expire date: 0tv of'Tigard Address: 13125 SW I full Blvd,Tigard,OR 97223 - - -- Phone: (503) 639-4171 pate issued: By: t Receipt no.: Fax: (503) 598-1960 Case file no.: Payment type: Land use approval: Building permit no.: U I &2 family dwelling or accessoryUCommercial/industrial J Multi-family )II"f rnant nnprnvcmr.nt U New construction UAddition/alteration/replacement J Other: Ill]110 11 E 11101 ITINKSimm Job address: Ur Z(�- � � � � Indicate equipment quantities in boxes below. Indicate the dollar Bldg. no.: Suite no.: �� value of all mechanical materials,equipment,labor,overhead. Tax map/tax lot/account no.: profit.Value$ J�„�•C)O Lot: Block: Subdivision: 'Sec checklist for important application information and Project name: CAE jurisdiction's fee schedule for residential pentlit Ice City/c•,unty: TIC fast:( ZIP: Description and location of work on premises: _ HN r �1�1F'( frr(ca.) loin) st.date ofcompletion/inspection:K-0-V r)r'M i rDescription_ Qty. Ree.onls Res.ilinly Tenant improvement or change of use:I- 'v V FIVAC: Is existing space heated or conditioned?,id Yes J Air handling unit - -- — -- - Is existing s ice insulated?,d Yes J No Air con itioning bite plan requireTF) t p` t rrauon o exisimg-TTVA-C I IN 11110 KIM111811TW, Hoi et compressor Business name. State boiler permit no.: ��-�'LLQ �=��L I4P Tons wrt)/H Address: t - ;- -rQQ 1� _ y�� Fire/smo a ampers/ uct smoke detectors city: } il�_ AfJ�� State:OK�/I I' L eat pump(site plan required) Phone:�l �j Fox:" " c O E-mail: Install/replace umacr urner - �4 �� - Including ductwork/vent liner U Yes U No CCB no.: G nsta /rep ace re ocatet� eters-suspended, City/metro lic.n(,.: it -1 C wall.or floor mounted _ Name( lease rint): Vent for apgliance other than furnace e r gerat on: Ahsotption amts _ BTU H Name: t fl.-4 Chillers __ _ HP -Addresses 00 NfL _ Compressors------._— — HP Environmental er nust an •tent at on: City: ��, rY State:�>ti_ /I I': _� � Appliance vent Phone: '1 02")4 Fax: Icrr_ F-inti) ryerex aust— - - -- --- 0o s.Type 4/4- s.kitcheni�zmat - — hood fire suppression system Name: _ Iahaust fan with single duct(bath fans) Ll.n Mailing add c. l"xhaust systcm a art from hicating or AC City Slate: ZIP:_ nel piping an stn ut on(up to 4 outlets) 'rvpc LPG NO Oil Photic tic tpung cca_cTi7ad ntiona over 4 outlets WIN 10 Process piping(schematic required) Nmuc Number of outlets --- __ er s app aoce oror equipmenF - -- - lthllr.�. --- __ Decorative fireplace t its: State: ZIP: nsert-type �--- ----- -- oo stove,pellet ssovc I hone: Fax: E-mail: Other: - applictitl's signaunrc Date: Other: Name Ihrint): -- Not dl iunsdtctions accept credit cords.please call jurisdiction rot more information Permit lee ..................... E _jk"a _j Mustetf'anl Notice: This permit application Minimum lee................ $ h ldn card number -- _ / / expires if a permit is not oMainrd Plan review(at _ "n) $ - Expires within 180 days after it has been State surcharge(8°,'o).... $ — Name of cord older as shown on credit card accepted as complete. _ _ $ t'ardholder stpnamre Amount 44114A 1'f h Il0 C OSt 1 MECHANICAL PERMIT FEES COMMERCIAL FEE SCHEDULE: 1 & 2 FAMILY DWELLING FEE SCHEDULE: TOTAL VALUATION: PERMIT FEE: Description: - Price Total $1.00 to$5,0.00 00 Minimum fee$72.50TeMe 1A Mvchanlcal Code Qty (Ea) Amt $5,001.00 to$10,000.00 $72.50 for the first$5,000.00 and 1) Furnace L)100.000 BTU $1.52 for each additional$100.00 or Indudin dads&vents _ -- 1400 fraction thereof,to and including 2) Furnace 100,000 BTU- _ _ $10_,000.00. Including ducts&vents-- - — —�- -- 17 40 — $10,001.00 to$25,000.00 $148.50 for the first$10,000.00 and 3) Floor Furnace $1.54 for each additional$100.00 or Including vent 1400 fraction thereof,to and Including 4) Suspended heatttt,wall heater $25,000.00. or floor mounted heater _ 1400 $25,001.00 to$50,000.00 $379.50 for the first$25,000 00 and 5) Vent not Included in appliance permit $1.45 for each additional$100 00 or _ 680 fraction thereof,to and including 6) Repair units $60,000.00. 12 15 $50,001.110 and up $742.00 for the first$50,006.00 and Check all that apply: Boiler Host Air $1.20 for each additional$100.00 or For Items 7.11,see c. Pump Cond fraction thereof. footnotes below. Con o Minimum Permit Fee$72.80 SUBTOTAL: 7)<3HP,absorb unit a to t00K BTU 14.00 — 8%Stab Surcharge 8)3-15 HP;absorb unit 100k to 500k BTU 2560 — -- ---- 25%Plan Review FN(of subtotal) :— ----- 9)15-30 HP;absorb _Required for ALL commercial permits onl — unit.5.1 mil BTU 35.00 TOTAL COMMERCIAL PERMIT FEE: a 10) 10-50 ml absorb unit 1-1.75 mil BTU 5220 11)>50Hh;absorb unit>1 Y5(.dl BrU 87.20 LIMED VALUATION8 PER_APPLIANCE: 12)Air h�,dling unit to 10,000 CFM — - -. _--- 10.00 Value Total 13)Air handling unit 10,000 CFM+ Description: Qt Ea Amount 17.20 Furnace to 100,000 BTU,including 955 14)Non-portable evaporate coder ducts&vents 10,00 Furnace> 100,000 BTU Including 1,170 15)Vent fan connected to a single dud ducts 8 vents -__ 6 80 Floor Fumace Indudlhg gent_ 956 --_ 16)Ventilation system not Included in Suspended heater,wall I rester or 955 appliance permit _ 10.00 floor mounted heater 17)Hood served by mechanical exhaust Vent not Included in applicance 446 1000 -eermit 18)Domestic incinerators Repair units---- — _ _ -- — 805 17.40 It 3 hp;absorb.unit, q55 to 100k BTU 19)Commercial or Industrial type incinerator 3-15 hp;absorb.unit, 1,700 69.95 101 k to 500k BTU 20)Other units,including wood stoves 10.00 15-30 hp;absorb.unit,501k to 1 2,310 mil.BTU 21)Gas piping one to four outlets 5.40 30-50 hp;absorb.unit, 3,400 22)More then 4-per outlet(each) 1-1.75 mil.BTU _ _ 1.00 >50 hp;absorb.unit, 5,725 >1.75 mil.BTU Minimum Permit Fee$72.50 SUBTOTAL: f Air handling unit to 10,000 dm 658 _— — -- - - Alr handling unit>10,000 cfm 1,170 8%State Surcharge s Non-portable eve orate coder 656 TOTAL RESIDENTIAL PERMIT FEE: S Vent tan connected to a single duct 446 Vent system not Included In (358 appliance permit _ Hood served b mechanical exhaust 656 Other InspectionInspectios sand Fob. T----�--_- -- -- -- -.- ---�-------- 1 Inspections oulsKfe of inrmsl business hours(minimum charge-two hours) Domestic Incinerator 1,170 $62 50 per hour Commercial or industrial Incinerator 4,590 2 Inspections for which no fee is specifically indicated (minimum charge half hour) Other unit.Including wood stoves, 656 $62 50 per hour Inserts,etc. 3 Additional plan review required by changesadditions or revisions to plans(minimum 13as In 1-4 outlets 360 charge-one na0 hour)S62 50 per hour Each additional outlet 63 �_— -- 'State Contractor Boiler Certification required for units>2111011;BTU TOTAL COMMERCIAL $ "Residential AIC requires site pian showing plac+ment of unit VALUATION: All Now Commercial Buildings require 2 sats of plans. I:\dsfs\forms\meth-fees.doc 02/65/02 SEE 35MM ROLL # 20 FOR OVERSIZED DOCUMENT 'A CITY OF TIGARD SEWER CONNECTION PERMIT DEVELOPMENT SERVICES PERMIT#: SWR2003-00048 13125 SW Hall Blvd., Tigard, OR 97223 (:'03) 639-4171 DATE ISSUED: 2/4/03 SITE ADDRESS; 10220 SW GREENBURG RD 200 PARCEL: 1S135AB-01004 SUBDIVISION: I WO 1.1NUOI N - 1OWN OF M1:"IG,Elk ZONING: ('-I, BLOCK: _ LOT: JURISDICTION: 116 TENANT NAME: CAE USA NO: FIXTURE UNITS: 3 CLASS OF WORK: ALT DWELLING UNITS: TYPE OF USE: COM NO. OF BUILDINGS: INSTALL TYPE: BUSWR IMPERV SURFACE: Remarks: r l%Y.�R,JJ�— �l��a �� A r)D Owner: ___ FEES EOP LINCOLN, LLC Descri tion Date Amount 10260 SW GREENBURG RD p SUITE '100 [SWUSAI SwrC'onnect 2/4/03 $460.00 PORTLAND, OR 97223 [SWUSAI Stir Connect 2/4/03 $0.00 Phone: -- Total $460.00 Contractor: Phone: Reg #: Required Inspections This Applicant agrees to comply with all the rules and regulations of the Clean Water Services The permit expires 180 days from the date issued The total amount paid will be forfeited if the permit expires The Agency does not guarantee the accuracy of the side sewer laterals If the sewer is riot located at the measurement given, the installer shall prospect 3 feet in all directions from the distance given If not so located, the installer shall purchase a"Tap and Side Sewer' Pen-nit and the Agency will install a lateral ATI ENTION 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 952-001-0100. You may obtain copies of these rules or direct questions to OUNC by calling (503) 246-6699 Issued by: ' t/.sl t� �/ _ Permittee Signature( Call (503) 639-4175 by 7:00 P.M. for an inspection needed the nest businIss day Accumulative Sewer Tal'y Tenant Name: CAF 'northwest _ phis SWRA 2003-00041: Addrw,g� 10220 SW Greenburg Rd. Ste.#2.00 This PLM# 2003-00042 Fixture Value Previous Previous Credits Capped Fixture Fixture New New # value capped off value added added total total count off#s count # value; Its values ---- 4 U 0 0 0 0 lFont Baptisery Bath-Tub/Shower 4 0 0 0 0 0 - --• p 0 0 -Jacuzzi/Whirlpool 4 0 p Car Wash-Each Stall 6 0 0,------ -0 0 0 - Dtive through 16 0 0 0 p 00 - 0 - Cuspidor/Water Aspirator 1 -- --'0 0 0 0 0 --- Dishwasher-Commercial 4 -- - 0 - Domestic 2 p 0 0 -- -1_ U 0 0 p Drinking Fountain 0 - -- - 0 0 0 0 0 _. Eye Wash -_ - -- 0 0 0 0 -0 rainl Floor DSink-2 inch 2 - — 3inch 0 _ 0 - 0 - 0 0 - 4 inch 6 _ 0 0 0 0 - 0 Cat Wash Dr 0 6 - — Garbage Disposal -- -- 0 0 Domestic(to 3l4 HP-) 16 _ p U p - -_ 0 0 0 Commercial(lo 5 HP) 32 00 0 � Industrial (over 5 HP) 46._ _ 0 p - _ 0 0 Ice Machine/Refrigerator Drain 1 0 - 0 6 0 0 0 0 _--_.- Oil Gep(Gas Station) - - 0 0 0 0 - -••0 ----- Rec.Vehicle Dum station 16 - -- 0 � 0 0 -0 Sh)wer-Gang (per head) 1_ - 0 Stall 2 r; 0 - 0 0 2 -- 0 0 0 0 0-- Sink- BarlLavator� 0 Bradley 5 0-- -- 0 0 --- 3 E0 0 0 0 0 Commercial 0 0 1 3 1 3 _ - Service 3 _ - 0 1 0 0 -� 0 Swimming Pool Filter p 0 Washer-Clothes S p 0 _ - -.� 6 0 U 0 p 0 Water Extractor 0 0_ - - 0 U 0 -- - Water Closet-Toilet 6 - _Urinal 6 0 - U - --- - - 147.2 Previous EDU Count 9.2 147.2 0 TOTALS Capped EDU Credit 1 150 2 p 147.2 0 0 1 3 Current Fixture Value 150.2 divided by 16 = 9.4 Current EDU 1 EDU= $2,300.00 Previous Fixture Value 147.2 divided by 16 = 9.2 Previous EDU Change 3 d0ided by 16 = 02 over (under) $ -460.00 Enter EDU Change Here 0.2 HISTORY - EUIJ#PLM# SWR# _ _ - 9.2EDU f-ori water. -- EDU# SWR# - PLM# SWR# --- P�M# EDU# / - Name: :' fi/I _ Date- 7 Signature of person that calculated this tally sheet and date pe►lromed Is required I CITYOF TIGARD _ PLUMBING PERMIT__ DEVELOPMENT SERVICES PERMIT#: FILM2003-00042 DATE ISSUED: 2/4/03 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 PARCEL: 1 S135AB-01004 SITE ADDRESS: 10220 SW GREENBURG RD 200 SUBDIVISION: TWO LINCOLN - TOWN OF METZGER ZONING: C-P BLOCK: LOT: — JURISDICTION: TIG _ v_ CLASS OF WORK: ALT GARBAGE DIFPOSALS: MOBILE HOME SPACES: TYPE OF USE: COM '.1 SHIN G MACH: BACKFLOW PREVNTRS: OCCUPANCY GRP: B FLOOR DRAINS: TRAPS: STORIES: WATER HEATERS: CATCH BASINS: FIXTURES LAUNDRY TRAYS: SF RAIN DRAINS: SINKS: 1 URINALS: GREASE TRAPS: LAVATORIES: OTHER FIXTURES: TUB/SHOWERS: SEWER LINE: ft WATER CLOSETS: WATER LINE: ft DISHWASHERS: [ , f RAIN DRAIN: ft Remarks: A QA ( 1� o o+� .c. A`M VL- ---- — - — FEES _ Owner: --- Description Date Amount EOP LINCOLN, LLC 10260 SW GREENB(1RG RU il'I I \ilii I'r1,C111111 I rr 2/4/03 $72,50 SUITE 100 I:\\� ,� tiiai lug 2/4/03 $5.80 PORTLAND, OR 97223 Total $78.30 Phone : Contractor. _ MCKINSTRY CO 5400 NE COLUMBIA BLVD PORTLAND, OR 97218 REQUIRED INSPECTIONS Rough-in Insp Phone : 331-0234 Top-out In-)p Reg #: MET' 00001179 Final Inspection LIC' 40981 PLM 37.22PB This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR Specialty Codes and all oto,: ,:oplicable laws. All work will be done in accordance with approved plans. This permit will expire if work is nct starter; within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law req .tires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-0001-0010 through OAR 952-0001-0100. You may obtain copies of these rules or direct questions t(.) OUNC. by calling (503) 246-6699. Issued By: _ _ Permittee Signature Call ,503) 639-4175 by 7:00 P.M. for an inspection needed the next business day Plumbing Permit Application , Dalc ceivcd:c.�-4 -c Permit no.: City of Tigard Sewer permit no.: Building permit no Address: 13125 SW Ilall Blvd,Tigard,OR 97223 — ('tn phone: (503) 639-4171 Project/appl.no.: Expire date: Fax: (503) 598-1960 Date issued: By Receipt nu: _ Land use approval: _. Case file no.: Payment type: J I &2 family dwelling or accessory J I omnu•n i•II mi'l'l l I'll J Multi-ramily J Tenant improvement J New construction J UdIluut Illrtnli,m Irl+l•nrinrnl J I ood .er%itc J(llher _ Job address: 1 Q,lZU "�w C7R.€F-tJl tAt2,C� Decrripfiou -- Ijl�_ Fee(eaj Iola) `+its I-and 2-family dwelling%ooh: Bldg. no.: Suite no.: 2ttc� { '/I �, Fa (includes Illlllt.li+rcnchutilih cunnectionl Tax map/tax lot/account no.: SI k(1) bath _ Lot: Black: Subdivision: SFR(2)bath Project name: C A C t l(rzrN SFR 113) I,.I I h City/county: --T%C jg Lp FZ P 7 CA ' '�:>) _- Fach adthuonal hath krtchcn Description and location of work on premises _ Site utilities: tirr'v,. (EINT r ` t r'_ -------- C'atchbasin/area drain I .I tlulr rl , tnl+I Il nl ni.t+ Inns ill-.NelIs/eachline/trench drain I twi tl6 drain(no.lin. Il.) PLUMBING CONTRAU'll OR Manufactured home utilities Businc PrIll, ►.�� k-t(�l �Il� tc:t Manholes — Addr, t��t tyh �� , �t Rain drain connector l ll-\ t Ls, -r, Stute:C;•0_ ZIP: rlr Sanitary sewer(no.lin. n.) Phone:.?jFax: 3;31 o b E-mail: Storm sewer(no. lin. Il.) CCB no.: -�_ g Plumb.bus, re no: " Water service(no.lin. fl.) c�- 1 Fixture or item: City/metro lie,no Contractor's rep_rc,t I,ttivesien;lttnr t Absu tion valve _ Back (low preventer Print name ( 't Date: Backwater valve ERSON Basins/lavatory Clothes washer Name: C:U { 1.10 znl Dishwasher i Address: 4cC,-(4L CC , Drinking fountains) City: j:1Cy_=V�Vjp State: (2 ZIP: c �t ' Ejectors/sump Phone: Fax:351 E-mail: Expansion tank Fixture/sewer cup _ Name(print): Floor drains/floor sinks/hub Mailing address: Garbage disposal Ilose bibb City: Estate Ice maker Phone: Fax: E-mail Interceptor/Ntease trap Owner installation/residential maintenance only: The actual installation Primer(s) will be made by me or the maintenance and repair made by my regular Roofrain(commercial) _ employee on the property I own as per ORS Chapter 447. Sin (sh basin(s).lays(s) Owner's si nature: Date: Sump I >ht+tr_shower pan Urinal Natne: Water closet Address: _ Water heater C;Vv — — _ State: 7_II': Other -- Phone: - Fax: E-i ota Not all luntdtctions accept credit cards.please call nmsdicuon rot more inlonnan,nNonce: This permit application Minimum fee................ S _ J visa -1 MailetUard expires if a permit is not obtained Platt review tat a t"") S _ Credit card numher within IRO days alter it has been State surcharge 18.o).... S -.. .I-.spire.. _ --T_� ---- ---- ------- accepted as complete. TOTAL........................ Neme al cardholder ns chmsn on c+edn card _ S Cantholder.ignalure-- — AreOlmt — 440.461h 16011:('(1\11 Existing VARITRANE TU 2-11 `F'� .• VFEC 0807 a LEGEND 3 KW Heat ,r77"IT E > Fr=- FizS ® supply Diffuser I Return Grille O I .. .. T � 4:444...,.. .. 1444 4444,. Existing New GRD and or Ductwork • • . . . VARITRANE Existing To Remain � TU 2-12 ° goo t� J FEC 1211 w Connection `�'" Point of New 0 cr-MI CIE)��-� 3 KW Heat _ — — Q Demo / CAf-:- _j� Reloc;ate ExistingLL .. ; 4444 .. ..;. •.. ..:��i � ,� Z Thermostat .� _ M 1... .. .... ` y J N N V rn - ^ ^ c T, -New 75f? AFM �C r m o 00 Exhaust Fan a W 2 w0 W w c T l70 Q v . .. r . .. �` 4444. • 4444 C ' '• �M KEY F)LM (� Z � � J LL 04 r- �;;.;;��. '�2 ........ .. . T 170 `• -• M.V.A.C. P""WC, PLLWIMG ENERGY 1iMAGEM04T G O ° ° At FIRE PROTECTION .,....�..... .:. .... .. C� • � � i<� ... •. . • 4444 .. �� l Y [.r. o �... . PROMMN 170 7 :C) l �� a MECHANICAL f?ldN r �r✓ . ... AND CONTRACTORS CFM 5400 N.E. CINLUMBIA E10D .... PORn-AX0. OREGON i j8E O O — (503) 331-0234 ......:.... . ....... - — 4 414 — �......... .... - FAX (5W) 331-8WX -j-' te Existing ........:...... .. ,..;...... •' -+ _-_ 0~ aM �, VARITRANE �. 0. aj; C, TU 2-13 �;, -�, ...... I VCC 0807 ��Q =AM ar: ~---1. .... .... ; .... �. .... ;� 4444 �0 - DATL' Existing Fin VARITRANE war. mm=r ,* TU 2- VFEC 2011 T —1 HVAC Tenant Improvement7 KW Heat HVAC T.I. Plan PLAN 1/811 = 11_00.1 [—JOB No. 7059 : M=1 I oona _ ,.,. 4414. ... .. �. .. _. ... ..,...� - 4444 _,._......_.�.....444_1..-.....w..�.»...::a.a..-, _' NOTICE: IF THE PRINT OR TYPE ON ANY _r�l� i 1 r I I I III III III { I I 1.11 111 11 11 111 1 l I I i 1,� .� l.r HITT 1T 111 .1 I I I j l_.j,p lIIl11 111III 1111111jII 1II I I-T -TI_ -I1� I ! I 1 II II I I I I 1� [T4 I CJ�rj_j.:j I I I 1 I I I II IMAG iI I I IMAGE .IS NOT AS CLEAR AS THIS NOTICE, _ 1 2 3 5 6 7 $ g 10 1 IT IS DUE TO THE QUALITY OF THE _ No,38 ORIGINAL DOCUMENT E 6Z SZ LZ { 9Z 5Z � Z EZ Z TZ OZ 6T 8I LT 8T J'11I611III I I I I I I I I I l l I I I I I I I I I I I I I I I I I I I I I I LI I l l l l l l l l ll l I l LI Lll l 11 I l J1.1.1 �! 111 l I I I I �