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10220 SW GREENBURG ROAD STE 600 i O ' N 1 N O G � a C�1 b Q x7 G x7 H O H > Cq d C� G _10220 SW GREENBURG ROAD � - -"-INT %I T T QnTv'"" SUITE 600 1999 SAVE - HISTORICAL INFORMATION BUILDINGS) NAME CHANGE PER KIT CHURCH, ENGINEER"L 1G 10220 GREENBURG RD, LINCOLN II NORTH CHANGED TO 10220 GREENBURG RD, LINCOLN III 10220 GREENBURG RD, LINCOLN II SOUTH CHANGED TO 10220 GREENBURG RD, LINCOLN II CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 — i I 6UP --- _-Date Requested I a 1 1 `;_ AM_ PM _ BLD A Location �b Suite U _ MEC Contact Person Ph t�Q # PLM Ccntractor _ �1�'�,�.�`"�,� .�-a_e.-�� Ph (e ' UCQC( ci SWR BUILDING Tenant/Owner (��NY�J- -�yl�� .c �c RELC C� Retaining Wail ELR Footing Access: Foundation � 9 ��Y� �,,, FPS F19 Drain (( 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 _- Misc: Final ---T — --- - -------- PASS PART FAIL ---- __ PLUMBING Post& Beam Lader Slab 1 op Out -- ---- ------ ----- Water Service Sanitary Sewer --- Rain Drains Final PASS PART FAIL. MECHANICAL - — Post&Beam Rough In Gas Line _...- ------ - ----- - ---— Smok.3 Dampers Final ------------------- __. FAIL LECTRICAI. --- ervice Po_ugF n ----- — ----- -- UG/Slab Low Voltage -- Fire m ----- ---- -- .—.. - -- ------- �° ESS PART FAIL -- --------- — ---.— Backfill/Grading — -- -- ----- --- — -- Sanitary Sewer Storm Drain ( J F,3inspection fee of 2 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 ADA Approach/Sidewalk Other Date —�� -- Inspector `_ _ Ext --_ Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. CITY OF TIGARD DEVELOPMENT SERVICES 13 f 25 SW Ha!l Blvd., Tigard,OR 97223(503)639.4171 ELECTRICAL PERMIT RESTRICTED ENERGY PERMIT #: ELR98-0301 DATE ISSUED: 11/04/96 PARCEL: ISI.35AB--01004 SITE ADDRESS. . . -. 10220 SW GREENBURC RD #56017.1 SUBDIVISION. . . . :TWO LINCOLN — TOWN OF METZGER ZONING:C—P BLOCK. . . . . . , . . . : LOT. . . . . . . . . . . . . .. 1URISDICTI\l: TIG Project Description : Data Telecomounication installation ------------------------------------------------------------ A. RES I DENT I B. COMMERCIAI_----------_.._—___-..—_—_--_--__--._-------__ AIADI0 I------------------------------------------- AIADIO & STEREO. . . - AUDIO & STEREO. . : INTERCOM & PAGING. . BURGLAR ALARM. . . . - BOILER. . . . . . . . . . : LANDSCAPE/I RR I GOT. . GARAGE OPENER— . : CLOCK. . . . . . . . . . . . MEDICAL. . . . . . . . . „ „ . z HVAC. . . . . . . . . . . . . . DATA/TELE COMM. - : X NURSE CALLS. . . . . . . . : VACUUM SYSTEM. . . . : FIRE ALARM. . . . . . : OUTDOOR LANDS(, LITE: OTHER: HVAC'. . . . . . . . . . . . : PROTECTIVE SIGNAL. . : INSTRIJMENT'A'TTON. : OTHER. . : TOTAL- # OF' SYSTEMS: I Oviner: --------- FFFS (",OMBINED INSURANCE CO OF AMERI type amount by date reept I0220 SW GREENBURG RD PRMT $ 40. 00 GEO 11 /04/98 98-310556 5(JITE 600 5PCT $ 2. 00 GEO 11/04/98 98-310556, 'TIGARD OR 9*72'2-3 Phonu #: (;ontractor: .HRISTENSON ELECTRIC INC $ 42. 00 TOTAL III SW COLUMBIA STE 480 REQUIRED INSPECTIONS PORTLAND OR 97201 LOW Voltage ITISP Phone 241-4812 Elect' l Final R e g #. 000458 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Cndes and all other applicable laws All work will be done in accordance with approved plans. This permit will empire if work is not started within lB@ days of issuance, or if work is suspended for sore than 180 days. ATTENTION: Oregon law requires you to follow rule adopted by the Oregon Utility Natification Center. Those rules are set forth in OAR through OAR 952-00I-W8R. You say obtain copies of these role r d: ,,s i t at IssUpd b e -mitee Signature WX INSTALLATION ONI...Y-------------------------------- The installation is being made on propert I own which is not intended for sale, lease, or rent. IOWNER' S SIGNATURE: DATE: RAE T(IP TNS iTAIL nTTON ciIGNATURE OF SUPR. ELECIN: DATE: LICENSE NO" ------- ..................4........................... r...... ..........4-+++-+-++++++-+++4 +4 1 Call 639-4175 by 7iOe P. M. for an inspection needed the next business day .............4..........4-++-1.....4.......................++++++++++++++...........4 4 R!7CF..I\/r�ommunity Development RESTRICTED ENERGY ELECTRICAL APPLICATION 13125 SW Hall Tigard,OR 97223223 PERMIT# (t 19g� Phone(503)639-4171 FAX(503)684-7297 DATE ISSUED LLUN,40D No. (503)684-2772 - CITY OF TIGARD Inspection (503)639.4175 ISSUED BY JOB: 50-00192 PLEASE COMPLETE ALL SECTIONS 1. LOCATION OF INSTALLATION 4. TYPE OF WORK 10220 SW GREENBURG RD S(JITE 600 Address RESIDENTIAL--Restricted Energy Fee. . . . . . . . . J40.00 PORTLAND OR 97223 (FOR ALL SYSTEMS) City COMBINED I-4JRANCE CO OF AMH§ACA Check Type of Work Involved: PERMITS ARE NON-TRANSrERABLE AND NON•REFUNDABI c AND EXPIRE IF WORK ❑ Audio and Stereo Systems IS NOT STARTED WITHIN 180 DAYS OF ISSI)ANCE OR IF WORK IS SUSPENDED FOR y 1W DAYS. ❑ Burglar Alarm 2. CONTRACTOR APPLICATION ❑ Garage Door Opener* ❑ Heating,Ventilation and Air Conditioning System' Contractor OggiSTENSO& _ _ rype__.Fj.yCTR7CA1. ❑ Vacuum Systems" ❑ Other Address- 111--S-W- --COLUMBIA--.--S11LTE 48 -_-PDRTLAND OR. Date 10-30-98 COMMERCIAL—Fee for each system . . . . . . . . . A40. (SEE OAR 918-260-260) Property OwnerNORRIS 8EGGS SIMPSON REALTORS _ Check Type of Work Involved: Contractor's Board Reg. No. _ 00458 _ ❑ Audio and Stereo Systems ❑ Boiler Controls Phone# 503 241-4812 ❑ Clock Systems 3. OWNER APPLICATION 0 Data Telecommunication Installations ❑ Fire Alarm Installation ❑ HVAC Print Owner's Name Phone No ❑ Instrument:.tion Address ❑ Intercom and Paging Systems ❑ Landscape Irrigation Control* City State Zip ❑ Medical chis Ixrmit is issued under OAR 918.320-370.This applicant agrees to make only ❑ Nurse Calls restricted energy Installations 000 vnit amps or less)under this permit and to do the ❑ Outdoor Landscape Lighting' fnllawitg ❑ protective Signaling 1. Only use electri al I-rased persons to do installations where required.wenain residential and other transactions are exempt from licensing.Thew have ❑ Other asterisks(').All others need licensing). 2. Call for an imirection when all of the installations und,r this permit a ready for inspectional 503-639-4175. ❑ Number of Systems 3 Purchase separate permits for all installations that are not ready lot inspection when the insperlor is out to inspect under this permit. •No licenses are required. Licenses are required for all other Installations. 4. Assume responsibility for assuring that all corrections required Ivy the inspector are done,and 5. Assume responsibility for calling fnr a final inspection when all of the 5. FEES cnrwrtions are completed. The person signing for this permit must he the applicant of a person a. Enter Fees $ 40. authorized to hind the applicant. ` b. 5%Surcharge(.05 x total above) $___ Signature <<2. TOTAL $ Authority if other than applicant fill"( Wt !if'