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10220 SW GREENBURG ROAD STE 625-1 0 N N 0 0 E� c H Fj N I f I I 10220 SW GREENBURG ROAD, SUITE 625 _ 1 1999 ,SAVE - HISTORICAL INFORMATION BUILDING(S) NAME CHANGE PER KIT CHURCH, ENGINEERING 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 ®F T[G,A,a R® ELECTRICAL PERMIT- RESTRICTED ENERGY DEVELOPMENT SERVICES � PERMIT#: ELR2002-00302' 13125 SW Hall Blvd., Ticlard, k.R 97223 (503) 639-417, DATE ISSUED: 12/18/02 SITE. ADDRESS: 10220 SW GREENBURG RD 625 PARCEL: 1S135AB-01002 SUBDIVISION: THREE LINCOLN-TOWN OF METZGER ZONING: R-12 BLOCK: LOT: 009 JURISDICTION: TIG Proie(;t Description: Low voltage for DatL.. 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 AI-ARM: OUTDOOR LANDSC LITE: 7THER: HVAr.: PROTECTIVE SIGNAL: INSTRLIMENTATION: OTHER: 1 u i AL*t7F bY8TEMS: 1 Owner: Contractor: EQUITY OFFICE PROPERTIES PROGRESSIVE TELEPHONE SYST-MS 10260 SW GREENBURG RD STE 100 PO BOX 1950 PORI LAND, OR 97223 GRESHAM, OR 97030 Phone: 503-224-9656 Phone: 503-665-4900 Reg#: ELE 26-1 1 17CEP LIC IS0175 til I' 3290LEA FEES Required Inspections Description Date Amount Low'voltage Insper—)n [ELPRMT]ELR Permit 12/18/02 $75.00 Eleet'I Final 11 AX)R%State Tax 12/18/02 $6.00 Total $81.00 _ This Permit is issued subject to the regulations contained in tine Tigard Municipal Code, State of OP. Specialty Codes ani! 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 9,52-001-0010 throuc Issued by ��'t G�cc�� �L��c, L� Permittee signature OWNER INSTALLATION ONLY "'he installation is being made on property I own which is not Intended for sale, ;c���, or rent. OWNFR'S SIGNATURE: DATE: _ — CONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR. ELEC'N DATE: LICENSE NO: r L,-- ------_._�.___ Call 639-4175 by 7:00 P.M. for an inspection needed the next business day Electrical Permit Application Date received: /�- _O�— Permit no.: _rl City Of Tigard - Projec/appl.no.: Expire date: Civ of Tigurrl Address: 13125 SW Hall Blvd,Tigard,OR 97223 Date issued: By:E Receipt no.: Phone: p03) 639-4171 Fax: (503) 598-1960 �( G Case file no.: Payment type: 1 1. Land use approval: L] I &2 family dwelling or accessory UCommercial/industrial U Multi-family U Tenant improvement U New construction U Addition/alteration/replacement U Other: U Partial Job address: Bldg. no.: Suite no,: " Tax map/tax lot/account no.: I.ot: Block: Subdivision: -- Projectname: HAQf2c,vue Description and location of work on premises: Estimated dote ofcompletion/inspection: 1 -- Job no: e Fre Max Bushics i frame I}�T S�, / Ikscrlptluu Qty. (eaJ 7b1a1 no.lns New residential drigle or mull I-family per — - Address: 71v i C e vG --� _ dwelllrn;s„i�.1 Inc lodes dlachrd Iprnge. City: =r~ State:Q/1- ZIP_?jaZC, ServkeImhrled: Phone:"5- c,c FavJ*_T. s nI E-mail:_._ ,i�) /-r, 1000 u1,0 or less _ 4 Each additional 500 sq.it.or porion thorcof CCB no.: p 1 7 Ekc,bus.I' no: 210- Limited ane 2 rgy, residential City/metro lie.no.; j 1 -ry 4 °'r Limited energy, nun-residential 2 .•ai.y _-_ f -�,•L Lach manufactured home or tnodular dwelling Signature of supervising elecoiciae (requircdl Date i _I-U-r. Service and'or feeder Supelect.name(print): s)5 License na:_4L9ViZA Senkesorfeeden-Instalut'an, alteration or relocation: tanwazmlklmtm 2110 amps or less 2 Name(print): 201 amps to 400 amps 2 d01 amps to 600 amps 2 Mailing address: not am s to 1000 amps __ 2 City - �State: ZIP_—_ Over I(Io0 amps or volts 2 Phone: Fax: E-mail: R IronnerI only — —- I Owner installation: The installation is being made on property I own Temporary servlcei or feeders- which is not intended for sale,lease,rent,or exchange according to installation,altention,orrelocation: ORS 447,455,479,670, 701. 200 amps of less 2 201 ams to 400 amps, 2 Ow'ner's si maluic: Dale: Al to 601 amps 2 Ranch rircults-new,alteration, Name: or eatenslon per panel: --- A, Fee far branch circ.....with purchase of Address: __ _ _ service or feeder fce each brunch circuit_ 2 a City: — State: 71 P_ B Fee for hranch circuits vinhout purchase of service or feeder fee,first branch circuit: 2 Phone: Fcv, I n.til Each addiuolwl branch circuit. Misc.(Saralee or feeder not Incladed►: U Service over 225 amps-commercial J Health-care lacthry F.ach pump or irrigation circle U Service over 320 amps-rating of w, U Hazardous location Each stn or outline lighting family dwellingsU Building over 1(1,001 square feet four or Signal ctrcuinsl or a hinted energy panel. U System over W)volts nominal mote residential units to one structure alteration,or eaensron• _ ( �j' U Building over Ihrce stones U Feeden,401 amps or more 'Description U Occupa,d load over IN persons U Manufactured structures or RV park F.aehadditional Inspect loss overthe dh,wableInAny ofthe above: -- — U Egresslighung plan U Other per mspccnon Submit sets of plans wflh sm of the shove. Imrsugahon f e The above are not applicable to temporan constrmlion service. Other i -- Not all junadicuons accept credit earls,piece e.-II:--diction for more rormair,”. Notice: This permit application Permit fee................o U Visa U Master'r d expires if a permit is not obtained Plan review(at -__ /o) S - " ! -- fredu cant numb:r _- � _—L� within 180 days after it has been State surcharge _ f`p,res accepted as comp .lete 'FO7'ALa `=' �.__.._.__�—__ ....................... 4, Name of ca holder a shown an credit cant ,. s 444-615(MowcomI I, �1:�. ELECTRICAL PERMIT FEES: LIMITED ENERGY PERMIT FEES: Complete Fee TYPE OF WORK INVOLVED-RESIDENTIAL ONLY Schedule Below: — —.— -- P Restricted Energy.-ee.................... .... $75.00 Number of Inspections r rm"allowed ,-r Pe � Pe (FOR ALL SYSTEMS) Service included: Items Cost Yotal I Check Type of work Involved: Residential-per unit _ 1000 sq R.or less �^ $145.15 4 U Audio and Stereo Systems' Each additional 500 sq.R.or portion thereof _____ $33.40 1 p Burglar Alarm Limited Energy _ $75.00 Each Manufd Home or Mrxlular Dwelling Service or Feeder $00.90_ 2 �] Garage Door Gponer' Services or Feeders E] Heating.Ventilation and Air Conditioning System' Installation,alteration,or relocation 200 amps or less $80.30 -_ 2 201 amps to 400 amps $106.85 _ 2 Vacuum Systems 401 amps to 600 amps $150.60 2 601 amps to 1000 amps $240.60 2 Other Over 1000 amps or volts $454.65 _ 2 Reconnect only _ $66.85 Y 2 Temporary Services or Feedms TYPE OF WORK.IN�'OLVEL%- COMMERCIAL ONLY Installation,alteration,or mkxatfon Fee for each system......................................................... $75.00 200 amps or less $66.65 2 (SEE OAR 918-280.260, 201 amps to 400 amps $100.30 _ _ 2 401 amps to 600 amps ii $133.75--___ 2 Check Type of W:o k InvolVt d: Uvor 600 amps to 1000 volts, see"b"above. Audio and Stereo Systems Branch Circuits ❑ New,r,Nemtion or extension per panel Boller Controls a)The fee for branch circuits with purchase of service or Clock Systems feeder fee, �-I Each branch circuit $6.65 2 LJ Data Telecommunication Installation b)The fee for branch circuits Wthout purchase of service or feeder fee. Fire Alarm installation First branch circuit $46 85 ❑ Each additional branch circuit v $6.65 HVAC Miscellaneous Instrumentation (Service or feeder not Included) Each pump or Irrigation clyde _ $53.40 _ a Each sign or outline fighting $53.40 Intercom and Paging Systems Signal circufl(s)or a limited energy c panel,alteration or extension �� $75.00 J�._.. Landscape Irrigation Control' Minor Labels(10) $125.00 Each additional Inspection over ❑ Medical tha allowable In any of the above Per inspection $62.50 Nurse Calls Per hour _ $62.50 in Plant _ $73.75 Outdoor Landscape Lightiny' Fees: Ej Prolective Signaling Enter total of ahove fees $ -7 Other— 0 State Surcharge $ n Number of oystems 25%Plan Review Fes See'Plan rlevlew'section on $ ! No Ilcsnses are required Licenses jus required for all other installations hent of applk'Wion --- ,� FE as: Total Balance Due $ U v — Enter total of ahave fees $-___2`J Trust Account 11 _- '___l r 8M.State Surcharbe $ ,_ -- 'r., All Now Commercial Buildings require 2 sets of plans. Total Balance Due f._ ( i:\dsu1fonroklc-fm.doc 02105/02 CITY OF TIGARD ELECTRICAL PERMIT PERMIT#: ELC2002-00408 DEVELOPMENT SERVICES DATE ISSUED: 8/23/02 13125 SW Hall Blvd., Tiqard, OR 97223 (503) 639-4171 PARCEL: 1S135AB-01002 SITE ADDRESS: 10220 SW GREENBURG RD 625 SUBDIVISION: THREE= LINCOLN-TOWN OF METZGER ZONING: R-12 BLOCK: LOT : 009 JURISDICTION: TIG Proiect Description: Demolition and clean up of suite. _ RESIDENTIAL UNITTEMP SRVC/FEEDERS _ _MISCELLANEOUS 1000 SF OR LETS: _ r 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 A_DD'L INSPECTIONS 0 - 200 amp: 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: 3 IN PLANT: 601 - 1000 amp: _ _ IN PLAN REVIEW_SECTION _ 1000+ amp/volt: >=4 RES ('NITS: > 600 VOLT NOMAL: Reconnect ons—__ SVC/FDR >=225 AMPS: _ CLASS AREA/SPEC OCC` Owner: Contractor: SPIEKER PROPF_-RTIES L.F. WILLAMETTE ELECTRIC INC 10260 SW GREENBURG RD PO BOX 230547 SUITE 100 TIGARD, OR 97281 PORTLAND, OR 97223 Phone: Phone: 624-3631 Reg#: LIC 75059 SUP 1965S ELE 34-283C FEES Required inspections Type By — Date Amount Receipt Rough-in PRMT CTR 8/23/02 $66.80 2720020000( Elect'/ Final 5PCT CTR 8123/02 $5.34 2720020000( Total $72.14 This Permit is issued subject to the regulations contained in the Tigard Municipal Code,Stale 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 questions to Permit Signature: -�' �; �'C �''y 7/o Issued By: _Th _ OWNER INSTALLATION ONLY e 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: _—__ —__ — DATE: LICENSE NO: -- Call 639.4175 by 7:00pm for an inspection the next husiness day Electrical PermitApplication Dare received: .I�<<: Permit no.:&(!Zoo z_e7 ,c� City of Tigard Projecl/appl.no.: tixpiredate: CiryojTiga►d Address: 1312)SW Hall Blvd.Tigard,OR 97223 Date issued: Illy; Keceipl no.: i phone: (503) 639-4171 —- Fax: (503) 598-1960 Case file no.: _ — Payment type: Land use approval: _ 1 LI I &2 family dwellin);or accessory U Commercini/industrial U Mulli-family JO Trnanl implovrrllent U New cons(mclion U U Other. _ U Vailial JOBSITE INFORMAirioN, Job addirss: /oL d S c..: G �, bldg. no.: Suilc nr:.: �. I ax maphas lot/account no.: IAA: Ulock: Subdivisl'ort: ' _ _ _— Project name: s U �Uescription anti local ion of worst on ilferniscs: iistirnxlcd dale 1+f ctnnplrlilnJinal+r,lh.n Job no- Z L Z!� I" Mac Business rinme: (,0 lie V1 /w 1lrscr4+non 411 tea.) no.Ins New rr4irrltial-sbrt;k or rmdli family per Address: tA 0 O r dive111ngunit.includesattactedg•rage. City: State:(U ZIP: zj-/ &Hcelncluded: h'Lel/-3 t i'nx: G? -Z i?a- Ir10Ur It.or lest 4 i'futnc: Lt-mail• Q:_—_—,_ Each additional SW sy n.or portion thereof CCU no.: .7 ��r lilcc,hus.Hc.no: 77 - ZT ` Limited enctg ,residential -- 2 City/enc ro tic.no.: /5 er L Limhedenergy,nmt residential 2 /Lypach manufaclured home or modular dwellinx Sl nature of au— Iain Irician(required) Dare Service and/or feeder 2 Sup.elect.name(print): r),t /—/ I i+rn•�nn (16 V-1, Servicesorfeeders-Installation, alteration or relocation: Will] ! 200 amps or less _ 2 Name(print): _201 amps to 400 amps —_ 2 Mailing address: — 401 amps to 600 snips _ 2 601 amps to 1000 amps 2 City: Slate: ZIP: Over 1000 amps or volts 2 Phone: I E-mail: Reconnecloaly Owner installation:'llic installation is tieing made on property I own Temporary"shin'pr feeders- which ic not intended for sale,lease,rent,or exchange according to Installellon,mile,alion,orrelocation: ORS 447,455,479,670,701. 200 amps or less 2 201 amps to 400 snips 2 Owner's si nnlurr: Date: 401 to 600 ams 2 nronch circuits-new,alteration, Name: or extension per panel: A. Pee for branch circuits will,purchase or Address: _ __ service at feeder fee,each branch circuit 1 City: Slate: ZIP: n. Pee for branch circuits without purchase ;ti Phone: 1'nx: ii-mail: `- of service or feeder fee,fit it branch circuit: I 4l y�- 2 Each additional branch circuit: j Move.(Service or reeder not Included): U Service ovci 225 amps-commercial Ll I lralth-care facility Each rump or dirigation circle 2_ UService over 120anms-taring(vtI&2 IJHuardouslocation fachsign oroutlinelighling hndlydwellings U nuilding over 10,000 square feel four or Signal circull(s)or a limited energy panel, U System ovei 4,00 volts olamine) more residenlial units in one structure alleralion,atexlensimt• 2 U nuilding over Uvee emirs U Feeders.400 amps oc mare "Description: _ U Occupant load over 99 persons U Manufactured structures of RV park Eich additional Impeclion over the allotrable M any of the abate; LI Pilressnighdngplan U(Alter: ----- Per Inspection -�1�— Submit—sets o:plan with any or the above. Inve,Ugallon fee 71te above are not applicable to temporary cornirvctlon serrlr•. either w Net on)Wisd'icden accept credit cards.Meese call iurladhrrrn rar mai h/ormaden. Notice:this permit application i'Cttltil fee.....................$ U visa U MuletCard expires if a permit is not obtained flan review(at -_ %) $ Cirdn card sr robes: _ / within 180 days after it has been State surcharge(11%) ....$ accepted as complete. TOTAi. ....................... v—REM a(ccrr�Tdn u�i own on ciWil rn•t cardholdel 111nalure �_ AmomN 4 to 4615(M W) Electrical Permit Fees: Limited Energy Fees: TYPE OF WORK INVOLVED.- r?E3IDFNTIAL ONLY Com lele Fee Schedule Below: - -- --- — --_w f2estrlclod Energy Foe..................................................... 575.00 Number of Ins heclions her pernilt allowed (FOR ALL SYSTEMS) Service Included: Items Cost Total Chock Typo of Work Involved: Residential-iwr unit 1000 sq.n a less 514Fi.15 _ 4 Audio and;ilcrcu Systems Each addilk)nal 500 sq 11 of portion thereof -_ $33.40_ 1 ❑ Durglw Alarm Limited Energy ---_-- $75.00 Fach Manurd Ikxne of%xfular Garage Uoor Opener' Dwelling Service of Feeder $90.90 7 Services or Feeders Heating,Ventilation and Air Conditioning Sysl-:m' Installation,alteration,or relocation 700 amps o1 less _ $00.30 7. 201 amps to 400 amps !` $106.85 - 2 Vacuum Systenns' 401 rmps to 600 amps $160.60 2 -_-- - Other ('01 anhps to 1000 amps $240.60 2 Over 1000 amps of volts $454.65 __ 2Reconnect only only $66.85 2 Temporary Services cr Feeders -TYPE: OF WORK INVOLVED -COMMERCIAL ONLY Inr•tallallrm,alleration,or relocation 290 amps ex less $66.85 _ 2 Fee for each system................................... 201 amps to 400 amps $100.30 2 (SEE OAR 918 260.2GO, 401 011111%to 600 0111ps $133.15 2 Over 600 mans to 1000 volts, --_ —- � - Check Type of Work involved. see"b"above. Audio and Stereo Syslents Branch Cirrulls New,allerallon or extension per panel a)71m(eo for branch cir(uils Boller COnlrols with purrhose of service or _ feeder fee. L Cluck Systems Cade Ixnneh circuit $6.65 2 G)the fee for brr:,clh chcuils _- - ❑ Data 1 elecon)[nunication Inslallalio'h wf(hof4 purchase of service or(**der fee. Fitt brands arc:nil $' Fire Alann Insl;dl;hllcnh F_aclh additional bmi0i circuit - Mlscellanious (Snrvk:e or fewier r"Included) U Instrumentation Each pump or I rignlion cirrlo -_ $53.40 - Fach sign or online lighting _ - $53.40 , Signal cicxu0(s)or a 01111100 enetuy Intercom amt f aghrp Syslrnhs panel,site afixn of exlenslon $7500 _ Mirrx Labels(10) $125.00 _ Landscape hrigallon Control' Fach addillonsl Inspection over Medical the allowable In any of the nbove Per Inspectlon 562.50 Per hour _ $62 50 IJurse Calls M Plant $73.75��- - ❑ Ouklcx,r Landscape Lighting' Fees: ' C f'rolecllvo Signaling Enter total of above fees $ 8%Shia Surcharge $ -- ❑ Other-`-- ---------��_-`- --_-,_ 25%Plan Review Fee _-Ninnber of Systems See'Man Revkrv"seclkxh on $ front of application. --�}- ' No licenses ere tmqulred. Licenses ate inquired for all ullxhr Installellons To(al Balance Due 5 Fees: ❑ Trust Account p Enter total of above fees ----- - -- -�_ 8%Slate Surcharge Total Balance Due 0dsu\forna\cic-r"s.doc IOW%) CITYOF T1 "ARD _PLUMBING PERMIT _ DEVELOPMENT SERVICES PERMIT#: PLM2002-00340 13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 DATE fSSUF,J: 8/30/02 SITE ADDRESS: 10220 SW GREENB'URG RD 625 PARCEL: 1S135AP-01002 SUBDIVISION: THREE LINCOLN -)WN OF METZGER ZONING: R-12 BLOCK- LOT: 009 JURISDICTION: TIG CLASS OF WORK: ALT GARBAGE DISPOSALS: MOBILE HOME SPACES: TYPE OF USE: COM {,HASHING MACH: BACKFLOW PREVNTRS: OCCUPANCY GRP: B FLOOR DRAINS: TRAPS. STORIES: WATER HEATERS: 1 CATCH BASINS: FIXTURES _ _ LAUNDRY TRAYS: SF RAIN DRAINS: '^ SINKS: 1 URINALS: GREASE TRAPS: LAVATOR:ES: OTHER FIXTURES: 2 TUB/SHOWERS: SEWER LINE: ft WATER CLOSETS: 0 WATER LINE: ft DISHWASHERS: RAIN DRAIN: ft Remarks: Replace plunihing fixltire only. 1 sink ;end 1 water heater. Other fixtures: 1 primer and 1 hub drain. r FEES Owner: Type By Date Amount Receipt SPIEKER PROPERTIES L.P. PRMT CTR 8/30102 $72.50 27200200000 10260 SW GREENBURG RD 5PCT CTR 8/30/02 $5.80 27200200000 SUITE 100 PORTLAND, OR 97223 Total $78.30 Phone 1: Contractor: _ POWER PLUMBING CO P O BOX 231 end TIGARD, OR 972.81 REQUIRED INSPECTIONS � Phone 1: 244-1900 inal In nsp Final set,-tion Reg #: LIC 52378 PLM 34-150PB This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all Oher 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 adc,pted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-0001-0010 through OAR 952-0001-0080. You may obtain copies of these rules or direct questions to OUNC by calling (503) 236-1987. ssued By: Permittee Signature: ti�/i , ' _ Call (503) 639-4175 by 7:00 r,v for in inspection needed the next business day HUG 27 2002 8: 24AM HN LASERJET 3200 ,���� p- 1 " rat yfk i{i.`4• t. ,` �. r^.':TI •... 'c 116 Paa - ]PIu>�nb'� erairutApplicaon- City 6lr '�sib '� i Sewerpermitno: Duildingperaulno.: Address: 13125 SW Hap Blvd'.Tigard,Olt 97223 4 uy of!Tigard Phone: (503) 6394171 Prniect/appl.no.. Expire date: Fax: (503)598-1960 Date issued: lty.{ Receiptno.: Land uee approval: Case file no.: Payinenitype: --_ t U 1 &2 family dwelling or accessory CI Cnminritrial/industrial. U Multi-family Want improvement 0 Now construction -<Addition/alteratioiLimplm ement U I oxx! service U Other To Job address: '�U �,( t > Nsw�-and 2-faily dlwellings ordy: - Dmelly ri tea Fee(ea.) tal Bldg.no.: Suite no.: Cd2�'�.--- (Int:ludes100 ft.forescitetltttymmetllon) 'rax nuvtax lot/account no.: SFR(1)bath I,ot: Block: Subdivision: _ Spit(2 bath Project name: SIR(3)bath __ L5l /COunt . ZIP: Misch additional bath/kitchen Description and lorxiion of ork on p ises: 'c.= Site aLliNea: Ca�c l basin/arca drain Est.date of completio�nspecbon Ut�wells/lea t line/trench drain L~<�o',drain(no.Lit-ft.) —- - Mara fA:uvea home utilities Business ntunc:-� )(,��,�' C .�' arho;es Addtess: .41 �drain connector City. Stale /- ZIP: ZZ SanMq sewer(no.lin ft.) _ F'bone Z _ 14 U 0 Fax: F25 fy mail: Storm sewer(no. im fQ _ - CCB no.: 5_3"7 __ Plumb_bus.reg.n.�: ater umorrce(no.lin _ City/metro lic.no.: 1 , IFl�ttu�e or ltetn: Contractors representative signature^ A on valve - B owrenter- Print name: -O;L Backwater valve _ _ -- Basindlsvat g -- --- Name: O Clothes washer Address: shwas ar _ Drinking fountains) city: . State: /� Z_IF: _-- Phone: Fax: Ii mail at a_nclon tank __ vixturelsewef ca _ Name not): Y' Moor drainslfloor s ub_-- _ Z - - go disposal Mailing address: -- _ #- L--0 Hose bibb city: C } stare: Z[1'_!� _. cemaker F7tone: rtx - - Email: nterceptor/grease trap Owner installatiort/rcsidential maintenance only: 71te rcttud installation 'rirnet s_) will be made by me,or the maintenance and repair mate by my rrgular -Root drain(commercial) —i employee on the property I own as per ORS Chapter 447. Si (s), a9in(�va(i) 9A GO tl«�trr'� signature: bate: ._._ .um11_ _ 1 Tubs/shower/shower pan Urinal _ Name: _ Wa' t�er closet -- Address: iter eater - fle - City: 1'ltone: Fax: Small: otal _. Not atl)caWllctloo� cttdlc rant pkan ear Juindk w tar tum beo mm an Minimum fee............... Notice:Tlri.1 pem:tit application Plan review(al 4h) 5 ra visa U MateWArd expiry if a permit is not obtained (9 -— Cmdu cm namecr.---- -- -- -��- within 180 dnys after it has been - State surcharge(896)....$ Y� accepted 6s complete. TOTAL. .......................$ Name of ach m on - _ $ —l-- CY�da s ace Anaoaa'�� 4411616 MMM-Oh' /\ CITY OF TIGA►RD _ BUILDING PERMIT PERMIT#: BLIP2002-00495 y DEVELOPMENT SERVICES DATE ISSUED: 11/13/02 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 PARCEL: 1S135AB-01002 SITE ADDRESS: 10220 SW GREFNBURG RD 625 SUBDIVISION: THREE LINCOLN-TOWN OF METZGER ZONING: R-12 BLOCK: LOT: 009 JURISDICTION: TIG REISSUE: FLOOR AREAS_ _EXTERrOR WALL CONSTRUCTION CLASS OF WORK: ALT FIRST: �V 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: 0.00 sf ROOF CONST: FIRE RET? OCCUPANCY LOAD: 12 BASEMENT: sf AREA SEP. RATED. STOR: HT: ft GARAGE: sf OCCU SEP. RATED: BSMT?: MEZZ?: R_E:QD SETBACKS REQUIRED FLOOR LOAD: Psf LEFT: ft RGHT: ft FIR SPKL: _ SMOK DET: DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM FINDICP ACC: BEDRMS: BATHS: IMP SURFACE: PRO CORP: PARKING: VALUE: $ 15,000.00 Remarks: Create(3)private offices. Owner: Contractor: EQUITY OFFICE PROPERTIES C SCHIF_WE & ASSOCIATES INC 10260 SW GRE ENBURG RD STE 100 1024 NE DAVIS ST PORTLAND, OR 97223 PORTLAND, OR 97232 Phone: 224-9656 503-224-9656 Phone: 224-9656 503-234-6617 Reg#: 50-234-664T05 FEES REQUIRED INSPECTIONS Description Date Amount Electrical Permit Required BUILil Pen-nit Fee 11/13/02 $187.30 Framing Insp [TAX 8%State Tax 11/13/02 $14.98 Insulation Insp [TAX] Gyp Board Insp [BUPPI.N] Pin Rv 11/13/02 $121.75 Susp Ceiing Insp [FLS] FLS Pln Rv 11/13/02 $74.92 Final Inspection Total $3911.95 J This permit is issued subject to the regulations contained ;n the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started withi. 180 days of issuance, or if work is suspended for more than 180 days. A17ENTION: Oregon law requires you to follow the rules i lopted by the Oregon Utility Notification Center. Those ales are set forth in OAR 952-001 Wir6UQh-OAR 952-001-0100. Y� may obtain a copy of these rules or direct questions to OUNC by callin 503)246-6699 or 1-800-33 - 34A. Issued By: I --- — Pe rm it tee Signature: y2_ A1!'-0 Call 639.4175 by 7 p.m. for art inspection the next business day Building Permit Application "Dateeived: // /3 O a- Permit no.:/':k4r q c' t'ity of Tigard Address: 13125 SW full Blvd,Tigard,OR 97223 Project/appl.no.: xpirCdate: CiryujTigurd phone: (503) 639-0171 Date issued: 13yy d Receipt no.: Fax: (503) 598-1960 Case file no,: Payment type: d Land use approval: 1&2 family:Simple Complex.: TIVE OF PERMIT U 1 &2 family dwelling or accessory U Commercial/industrial U Multi-family U New construction U Demolition U Addition/alteration/replacement ATenant improvement 0 Fire sprinkler/alarm U Other:_ It Job address: 02,?,V SIJ GrretibvvA P oa�. I Bldg. no.LJff0tN I Suite no.: rpt$ Lot: Clock:—Subdivision: Tax map/tax lot/account no.: Project nrare: tryptW�tr inztcial Xervjcex Description and location of work on premises/special conditions: Tenant Iwrp►twe►nenrt _-____ ____ - ___ TION, USI: CIlL'CK1,ISI' Name: MUIT7 OFFICE PX0P6f T1Es ' Mailing address: 10260 JAN GP-E tJ11UP-0 P-01 SUITE I Of-) I &2 family drrellinp;: City: popaTLPrto State:0fL 'LIP: 97223 Valuation of work........................................ Phone*D5 $92-115 Fa E-mail: No,of bedrooms/baths................................. Owner's representative: ("fa7 f.. GLL111- GISD ,Arelel;teet7 Inc Total number of floors................................. Phone543 22 -9fc5Co Fax: E-mail: New dwelling area(sq.ft.) .......................... Garage/carport area(sq.ft.)......................... Name: G6D ArcLi tectl nc-� Covered porch area(sq.fl.) ......................... Mailing address: 520 SW 3f� aVenuc Suite 4000 Deck area(sq. ft.) ........................................ City: POY'tIa State:0F, ZIP: 9720 Other structure area(sq.ft.)......................... Commercialline••-trlal/multi-family: Phone503 2.2 -9r�H Fax: E-mail: a.�•oo Valuation of work........................................ $ Existing bldg.area(sq.ft.) .......................... 7nee: v, �Sr�� P(,re ('criA vetfoil Z - (7 ',Pt Ncw bldg.arca(sq..n.).................................►- State ZIP: 9 •� 2 Number of storiesS Type of construction Phone 3 Qb�-�bJA Fax E-mail: Occupancy group(s): Existing: CCB no.: 5 0 New: (5 City/metro lic.na.: Notice:All contractors and subcontractors are required to be licensed with the Oregon Construction Contractors Board under Name: `i'/� 4F A'1 Ar['�/t_, t U provisions of ORS 701 and may be required to be licensed in the Address: �-~ jurisdiction where work is being performed. If the applicant is Cil State: FLIP: exempt from licensing,the followir?reason applies: Contact person: Plan no.: - Phone: I':ix E-mail: - - Name: lContact person: Fees due upon application ........................... $ Address: Date received: City: State: ZIP: _ Amount received ......................................... $ Phone: ! Fax: E-mail: Please refer to fee schedule. J I hereby certify I have read and examined this application and the No all Juds&dom steep credit cards,plear call Jurisdiction lot nxxe InfomUkvt attached checklist. All provisions of laws and ordinances governing this U visa U Mmiercard work.will be complied with,whether specified herein or not. t'tedit card mtmber:- — Fs irn � _ r Authorized signature: /-'i' _ . `� Date: �'0Z Nsme of c. Idef u shown on cfedit cud S Print name CardWdef O rmwe -- Atno - Notice:Ibis permit application expires if a permit is not obtained within 190 days ager it has been accepted as complete. 4404613 tumroM) H2xyvwe►r F ancj'al 4VVfW"r Access'hili:y: Barrier- Removal Improvement Plan CitY u/ 7'i,t,:urr1 REQUIREMENT: OREGON REVISED STATUTE (JRS) 447.241. (1) Every 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) Alterations made to the path of travel to an altered area may be deemed disproportionate to the overall alteration when the cost exceods twenty-five per-cent(25%). VALUATION: of all renovation, alteration or modification being done ao excluding painting,wallpapering. [t 1 $ 11340CC- rmultiply: 25% Barrier removal requirement. •25 BUDGET FOR BARRIER REMOVAL [2) $3-750-Gal _ 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 !oC rPA'i-TPr; Pile LJ064 relat 'Cis $ Do , see*-r.. ;ble rovIeri acce��ible �ar r� �46;1.3e e (b) An accessible entrance: $ j I (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 fountains: and $ (g) When possible, additional accessible elements such as storage and alarms $ TOTAL: Shall equal line 2 of Value Computation ildsU\brttnWccessibility.doc 09/24/01 �- --'`� ---- �-=--J'------" �----------- LO ------`LO JL- LJ I I I I I I w I I 1 I I I I I Lo I I CITYOF T'IGARD CEPTIFICATE OF OCCUPANCY PERMIT#: BUP2o02 ooa95 DEVELOPMENT SERVICES DATE ISSUED: 11113/02 13125 SW Flall Blvd., Tigard, OR 97223 (503)639-4171 PARCEL: 1S135AB-01002 ZONING: R-12 JURISDICTION: TIG SITE ADDRESS: 10220 SW GREENBURG RD 625 SUBDIVISION: THREE LINCOLN-TOWN OF METZGER BLOCK: LOT:009 CLAS;: OF WORK: ALT TYPE OF USE: COM TYPE OF ':ONSTR: ?FR OCCUPANCY GHP: B OCCUPANCY LOAD: 12. TENANT NAME: HARROWER FINANCIAL SFRVICES RFMARKS• CrQate (3) private offices. Owner: EQUITY OFFICE PROPERTIES 10260 SW GREENBURG RD STE 100 PORTLAND, OR 97223 3 K Phone: 224-9656 503-224-9656 8 Con.raL:nr. C SCHIEWE & ASSOCIATES INC 1024 NE DAVIS ST 1 PORTLAND, UR 07232 Phone: 224-9656 503-234-6617 Reg #: LIC 54105 This Certificate issued 3/7/111 grants occupancy of the above referenced building or portion thereof and confirms that the building has been inspected for cemplianc¢-with the State of Oregon Specialty Codes for the group, occupancy, anduse er which th er�nced permit wa �issu d. BUILDIN I E TOR i UIL FIC AL POS-r IN CONSPICUOUS PLACE CITY OF TIGARD 24-Hour BUILDING Inspection Line: (503)639-4175 INSPECTION DIVISION Business Line: (503)639-4171 MST BUP 4;2_ � �v Received --__ _ - Date Requested _ _- _��_ AM-__-._ /PM BUP Location ,__ `z- � -- �- _ Suite MEC Contact Person _ __— _ - h( ) 3 �75P PLM 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/Shoat Framing - - - - - - Insulation _ IJ Drywall Nailing - - - — - -------- - Firewall Piro Sprinkler - -- - - Fire Alarm Susp'd Ceiling -- - - Root Ot er. FTMIL ,_ PART FAIL -- -- - - - dBING - - Po-,t 8 Beam �.---- -- - - -- ----- ____ Under Slab Rough-In Water Service - ------ --- — ---- Sanitary Sewer Rain Drains -- -- Catch Basin/Manhole Storm Drain — — -- Shower Pan Other: ---- -- —- Final -- - --- PASS PART FAIL -Post&Beam Rough-in -- -__ Gas Line Smoke Dampers - — -- Final PASS PART FAIL --- - -- ELECTRICAL Service — — Rough-In — -- _-�- UG/Slab Low Voltage Fire Alarm Final Relnspectinn fee of$ required before next int�oection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL SITE _ Please call for reinspection RE: __._____ .__._—_�. �� Unable to inspect - no�ccess Fire Supply Line ADA Approach/Sidewalk Date - 7 / U Inspector Ext Other: Final DO NOT REMOVE this 'Inspection record from the Job site. PASS PART FAIL CITY OF TIGARD 24-Hour BUILUING Inspection Line: (503)639-4175 MST -.-- INSPECTION v.IVISION Business Line: (503)639-4171 BUp Received — —�Dateequested— 3 / G AM ___ PM_ _ BUPU - d � •, iP_ ,+ ✓" Suite— Z S_ MEC Location — LM ) -20C/2 M3W Contact Person _ -_ Ph( ) - - Contractor _- ----- -- Ph(-) SWR BUILDING Tenant/Owner __ ELC Footing ----_ - - ELC Foundation AccasS: ELR Ftg Drain Crawl Drain SIT Slab Inspection Notes: Post&Bearri _^-- - Shear Anchors Ext Sheath/Sherr - ----- Int Sheath/Shear Framing - ---- -- - -- Insulation Drywall Nailing - -- - Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling — Roof Other: Final - - PA RT FAIL -- UMBING ---- - - - Under Slab - Rough-In Water Service - - -- - Sanitary Sewer Rain Drains - - Gatch Basin/Manhole - Storm Drain - - -- Shower Pan --- ----- Other: Other: PART FAIL - --- - MECHANICAL -- ----- - Post&Beam -_�-_--- Rougn-In .. ---- --- - Gas Line _ >moke Dampers - Final PASS PART FAIL ELECTRICAL ---� Service --_--- _ - Rough-In - --..�---- — - -- - - I1G/Slab Low Voltage - Fire Alarm Final I Reinspection fee of$ _ r(-quired before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL Please call for reinspection RE: F-1 Unable to inspect-no arcess Fire Supply Line ADA Date ' Inspector Ext - --- Approach/Sidewalk - Other: Final DO NOT REMOVE this Inspection (record from the Job site. PASS PART FAIL CITY OF TIOQRD 24-Hour BUILDING Inspection Line: (503)639-4175 MST INSPECTION DIVISION Business Line: (503)639-4171 BUP Received Date Request d �°ly AM____ PM BLIP Location _____-J,0 2 Z' Suite __ MEC Contact Person r'_ Ph( ) PLM //// Contractor _ �'f•^ ___ Ph( ) 331 SWR BUILDING Tenant/Owner _ ELC `d O Footing - Foundation ELC Access: Ftg Drain ELR Crawl Drain Slab Inspection Notes: SIT Pust&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 ---- - - - - -- - -- T-- -- PLUMBING _ Post& a Bem ' 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 PART FAIL F1 R®Inspection fee of$ required before next inspection. Pay at City Hall, 13125 SW Hail Blvd. —RT $ _ n Please call for reinspection RE: -_ _ ( Unable to inspect nc across Fire Supply Line ADA Date C� Approach/Sidewalk ba -��- Inspector ,�--L..Y.�1� -�c-��c<, Ext Other: Final DO NOT REMOVE this inspection record from the Job site. PASS PART FAIL CITY OF TIGARD 24-Hcur BUILDING Inspection Line: (503)639-4175 MST INSP CTION DIVISION Business Line: (503)639-4171 BLIP ----------- Received _ __--__ Date RequestedAM— _PM BUP Location _ __—quite !_—__.._. MEC Contact Per Fn __� ,� Ph (_—_—) __ �_ __ PLM Contractor - -- -Lr �.tt�--�-cs� 4c1Ph?�,_.i_-fp���J� ���.�f-rc'�-1_� SWR —_ —_-----. BUILDING 1 Tenant/Owner �.�� ==` e�C�' —`_- ELC Footing Foundation ELC ----- __-----.______-_ 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 --- --��•-[•�-�`L-- 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 PASS PART FAIL MECHANICAL_ Post&Beam Rough-In -- - - Gas Line Smoke Dampers - - -- - - ---- ------- --- Final PASS PART FAIT- - ELECTRICAL Service - _ ----- -- --- - Rough-In UG/Slab - - - --- -- -- --- ow Volta Fire Alarm - -- - - Heinspection fee 0$$ - _-required before next inspection Pay at City Hall, 13125 SW Hall Blvd. _ITE em PART _FAIL_ L Please call for reinspection RF _._-._ - ___--.__-_-__._ [j Unable to inspect--no access Fire Supply Line ADA Approach/Sidewalk Date < Inspector = -_- Ext -- Other: Final - _ DO 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 Hoc.eived Date Requested /�"",�'% ~C%2 AMPM .-_- BUP I ocation G__ �L �J a1> _�.Suite. MEC t_;untact Person Ph(---) - -_------.-- _-__- PLM _�------_._-- 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 Root Other - - - - - -- Final PASS PART FAIL -- - _ - -- -- --------- --- - -- --- - - PLU_MBIN_G_ Post&Beam Under Slab [Iough-In Water Service -- Sanitary Sewer Rain Drains - -- - ---- -- --- - C:atoh Basin/Manhole Storm Drain - - - Shower Pan Other: - --- Final PASS PART FAIL - ASS F - MECHANICAL Post&Beam Rough-In - -- - --- - GPs Line Smoke Dampers -- - ------ - - --- ---- ---- Final PASS PART FAIL ---- - _ — ELECTRICAL Service ------- - -- _- _ ------ iough-In - - UC;/Slab Low Voltage Fire Alarm Reinspection fee of$_- ___ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. ASS PART_FAIL $ - ( 1 Please call for reinspection RE __ L] unable to inspect-no acr`ess Fire Supply Line ADA Approach/Sidewalk Date `___,a�.'�.�_�_ inspector - ' / East -_L -- - - Other:_ Final DO NOT REMOVE this Inspection record from the job site. PASS PART FAIL CITY OF TIGARD 24-Hour BUILDING Inspection Line: (503)639-4175 INSPECTION DIVISION Business Line: (503)639-4171 MST Received _ --___ _Date Requested_._�. . AM_____._._._ __ PM__..___.__ BUP Location uite__kl -s_ MEC ----- _— Contact Person __- ---_-_.--- _ -�-- Ph(— —) _-- PLM —_._---�- Contractor ... Ph (_ ) 4 5U� SWR BUILDING Tenant/Owner _._- _ ELC Footing ------�-- ELC Foundation Access: Ftg Drain ELR ` QLQ n� 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 Suep'd Ceiling - - ---- - - --- -- Roof Other: -- - - --_� Final PASS PART FAIL - - -- - -- - -- - -- - __ PLUMBING -- Post&Beam --- - -- -- Under Slab Rough-In Water Service Sanitary Sewer Hain 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 l?C`s7, lab ---------- .__—_—.-._.----- Low Voltage Fire Alarm ri_ [� Roinspectior,let of$ _ __ required before next inspection. Pay at City Hall. 13125 SW Hall Blvd. PART FAIL SITE Please call for reinspection RE: ._ F] Unable to inspect-no access Fire Supply Line ADA - ll Approach/Sidewalk Date ��v� Inspector - -_ 1 Ext --— Other: - �`- � - Final DO NOT REMOVE this inspection record from the Job site. PASS PART FAIL CITY OF TIGARD ELECTRICAL PERMIT PERMIT#: ELC2002-00618 DEVELOPMENT SERVICES DATE ISSUED: 11/26/02 4" 13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 PARCEL: 1S135AB 01002 SITE ALtDRESS: 10220 SW GREENBURG RD 625 ZONING: R-12 SUBDIVISION: BLOCK: LOT : 009 JURISDICTION: TIG Project Description: ,lob No. 336 Tenant Improvement _ RESIDENTIAL UNIT_ TEMP SRVCIFEEDERS 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 amp: 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: 3 IN PLANT: 601 - 1000 amp: _ _ _ _ PLAN REVIEW SECTION 1000+ amp/volt: —4 RES UNITS: >600 VOLT NOMINAL: Reconnect only: SVC/FDR>=225 AMPS: CLASS AREAISPEC OCC: Owner: Contractor: FOUITY OFFICE PROPERTIES WILLAMETTE ELECTRIC INC 10260 SW GREE NBURG RD STE 1^') PO BOX 230547 PORTLAND,OR 97223 TIGARD,OR 97281 Phone: 503-224-9656 Phone: 624-2938 FAX Rey#: 161211-3631 34 28 1(' FEES _ Description Date Amount Required Inspections IEf.v m I(t:L('Pcrnlir 1112011112 --� $66.80 (TAXI 8 Suite la\ I I 'r.u' $5.34 Elect'I Final Total $72.14 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 riot started wdhin 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 952-001-0100 You may obtain copies of these rules urdirect questions to OUNC at(503) 46-6699 or 1-800-332-2344. Issued By: ' Permit Signature: OWNFr INSTALLATION ONLY 1 he installation is being made on property I own vw,liich is riot intended for sale, lease, or rent. OWNER'S SIGNATURE: __ _.. DATE: CONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR. ELEC'N: �— DATE: /� ` F' �• _ LICENSE NO: Call 639-4175 by 7:00pm for an inspection the next brjsiness day 3 I � i Electrical Permit Application Ualcreceiveil: 1�( � Permit `� no City of Tigard Project/appl.no.: 4 Expire date: City ofTigard Address: 13125 SW Hall Blvd,Tigard,OR 97223 Date issued: By: Receipt no.: Phone: (503) 639-4171 Fax: (503) 598-1960 Case file no.: Payment type: Land use approval: U 1 &2 family dwelling or accessory U Commercial/industrial U Multi-family 119 Tenant improvement U New construction U Addition/alteration/replacement U f)cher: U Partial JOB SITE INI'ORMAI'llON joh address: SL- �.,,�... t r ti ti f•' ( 131t.1g. num; Soar no.: 4 e ; Tax map/tax lot/account no.: Lot: Block: Subdivision: — Project name: 0,,f ,K.1 r c,r / IDescription and location of work on premises: Gstimaled date of completion/inspection: FEE SUIEMILE Job not Fee Max — ----- - --- Businessname: l �AMtrM[ (r� r'va�c Descrip(ion _ Qty. (ca.) io(al na.inst - Nen reshlentlal-shtgk or multi-fainh�per Address: ) Z } dwellinguith.Includesattached garage. City: t' , ServiceYrcmrled: Phone:(r!q' 16-t f Fax: 4 r4 71 Email: N)sq.It or less t I:uch additional 5W sq.R.or portion thereof CCB no:: ;� Elec.bus. lie,no: �x(�zS ;L ),jtnitedenergy,residential 2 City/metro lic.no.: i- I Limi(edcnergy,non-residential Fach manufactured home or modular dwelling Sign ure of supervIling electrician(required) Date Service and/or feeder 2 Sup.elect.nantc(print): F License nn: /jP jWall WEI= , - Services orfeeders-Installation, _- alteration or relocation: 200 amps or Icss 2 Name(print): 201 amps to 4W amps 2 - 401 amps to 600 amps 2 Mailing address: 601 amps to 1000 amps J ily: Stale: Zi 1' —_ Over IOW amps or volts 2 Phone; Fax: E-mail: Reconnecton1y owner in;tallation:The installation is being made on property 1 own temporary services or feeder.- — —` which is not intended for sale,lease.rent,or exchange according to Usi■llatfon,auera(lon,fir relocation: ORS 447,455,479,670,701. 200 amps or Icss__^ _—,---- 201 amps to 4(x)amps 2 Owner's si nature: Date: 401 to 600 ant acs 2 an 101 Branch circuits-new,alteration, Name: or extension per panel: -- - - -- - --- __ A Fee for hranch circuits with purchase of Address: service or feeder fee,each branch circuit 2 City: State: _ zip: B. Fee for branch circuits without purchase y ( - of service or feeder fee,firs,braoch circuit y( 4/ 2 Phone: I:ix. I, nuul: Each additional branch circuit: Misc.(Service or feeder not Included): U Service over 225 amps-run mricwl U Henhh carr facl)n Tach pump or irrigation circle 2 U Service over'20 amps-ruling of I&2 U Hazardous location Each sign or outline lighting family dwellings U Building over 10,(1(x)square feet four or Signal circuits)or it limited energy panel, J System over 600:nits nominal more residential units in one structure alteration,or extension"' U Building over three stuacs U Feeders,400 amps ur more "Description: _ U Occupant load over 99 persons U Manufactured structures or RV park FAch additional hupection over the allowable In any of the above: U Egress/ligh(ingplan U Other: -- _._ Per inspection _ rTT--T _ Submit_sets of plans with any of the shove. Investigation fee The above are not applicabic to lempomry construction service. Other w` New all jurisdictions accept credit cards,plcaw call judsdictiat for more information. Noticc:This pennit application Permit fee.....................$ 1, S G U visa U MnsterCard expires if a permit is not obtained Plan review(at _ 9h) $ a,edit card number / / within 180 days after it has been State surcharge(8%) . ..$ S" a _ — _on _ Expires accepted as complete. TOTAL . $ 2. — 14 Name d caar�roLkr u shorn credit cert -- Cardholder sipta(arre Amount 440-1615(6OWOM) ELECTRICAL PERMIT FEES: LIMITED ENERGY PERMIT FEES: Complete Fee Schedule Below: TYPE OF WORK INVOLVED -RESIDENTIAL ONLY Restricted Energy Fee...................................................... $75.00 Number of Inspections per permit allowed (FOR ALL SvSTEMS) Service included: Items Cost Total Check Type of Work Involved: Residential-per unit 1000 sq ft or less $11+5 15 _ 4 ❑ Audio and Stereo Systems' Fach additional 500 sq ft or portion thereof $33.40 _ 1 I imlted Energy 75.00 ❑� Burglar Alarm ' ach Manufd Home or Modular Dwelling Service or Feeder $90.90 2 ❑ Garage Door Opener' Services or Feeders ❑ Heating,Ventilation a 1d Air Conditioning System' Installation,alteration,or relocation 200 amps or less $8030 _ 2 201 amps to 400 amps $10685 ? ❑ Vacuum Systems' 401 amps to 600 amps $16060 2 601 amps to 1000 amps $24060 2 Other Over 1000 amps or volts _ $454,65 2 Reconnect only $66.85 2 Temporary Services or Feeders TYPE OF WORK INVOLVED -COMMERCIAL ONLY 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 $10030 2 401 amps 10 60C drops $133 75 2 Chrick Type of Work Involved: Over firm amps fn 1000 volts, see"b"above. Audio and Stereo Systems Branch Circuits New,alteration or extension per panel ❑ Boller Controls a)The fee for branch circuits with purchase of service or Clock Systems feeder fee. Each branch circuit $6 65 _ 2 ❑ Data Telecommunication Installation b)The fee for branch circuits without purchase of service ❑ or feeder lee. Fire Alarm Installation First branch circuit _ $46 85 ❑ Each additional branch circuit _ $6.65 HVAC Miscellaneous (Service or feeder not included) ❑ Instrumentation Each pump or irrigation circle $5340 Fa in Each sign or outline lighting $53.40 Intercom and_ _ ❑ 9 A Systems Signal circuil(s)or a limited energy panel,alteration or extension $15.00 ❑ Landscape Irrigation Control' Minor labels(10) $12500 Each additional Inspection over ❑ Medical the allowable In any of the above Per inspection $62 50 _ _ ❑ Nurse Calls Per hour _ $62.50 In Plant _ $73.75�� _ ❑ Outdoor Landscape Lighting' Fees: ❑ Protective 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 $ -- — Trust Account tY Enter total of abcve fees $ ❑ _ _ 8%State Surcharge $ All New Commercial Buildings require 2 sets of pians Total Balance Due $ r 4fsts\f6mv\elc-fees doc 08/10/01 I CITY OF TIGARD DEVELOPMENT SERVICES 13125 SW Hall Blvd.,Tigard,OR 97223 (503)639.4171 CERTIFICATE= OF OCCUPANC Y PERMT.T 4t. . . . . . . s BUP96--0460 DATE'` ISSUED: 12/05/96 PARCEE_s 1 S 13`55ACA-01000 ITE ADDRESS. . . s 102i?0 3W GREErNBURG RD C#623 -AJBDIVI61ON. . . . s ZONINO:R•-lc' BI-OCK. . . . . . . . . . s LOT- -— . . . . . . . s0 CLASS OF WORK. :AL.T TYPE OF USE. . . s CUM TYPE OF CONSTRs2FR OCCUPANCY CRF'. :B UCCUPANCY LOADS 9 TENANT NAMF. . . :GOURCE SERVICES Remarks : Tenant Improvement Owner: NORR I S BEGG5 a I MPSON 10220 LW GREENBURG RD PORTLAND OR 97221 Phone *t 452--5900 Contractors IhALIBU PACIFIC 735 NE JACRSON SCHOOL ROAD HILLSBORO OR 97124 Phone Ibs 693-9797 Reg 1►. . : 059045 this Certificate grants accupenc•y of the oboe referenced bUildiny ut vle i ioli thereof anti confirms that the br�ilding has aeon inspected for romplian,:e wil-1, the State of Orgon Specialty Codes; for the oup, ocr..upancy, and Use Under which the referenced permit wms issued. Vim/i SUIC_I)ING I .CTOR BUILDING OF- ICIAL POST IN CONSPICUOUS PLACE CITY OF TIGARD COMMUNITY DEVELOPMENT DEPARTMENT CERTIFICATE OF' 13125 SW Hall Blvd Tigard,Oregon 972234199 (503)$304171 OCCUPANCY PERMIT #. . . . . . . i DATE ISSUED: 05/07/9G (PARCELs 1S135AB-01002 ITE ADDRESS. . . s 10220 GW URLENSURU RE) #6:`3 UBDIVISION. . . . b Z ON 1 NG.R 1,' BLOCK. . . . . . . . . . s LOT. . . . . . . . . . . . . tO (1-ASc, OF WORK. :AL1 YPE OF USE. . . c CO%;. 1GICUPANCY GRP. M ,(.CUPANCY LOAD: 42 I'LNANT NAML. . . sSUURCE SERVICES omarkst reliant Mud: HAMMELL GROW 00000 -0000 Phone #1 000--000-0000 "ont rac t or i 11JELVIN MARK CONSTRUCTION 10220 SW UREENDURG RD QUITE #150 1* 10ARD OR '3 e2 Phune #s 452--5900 Reg #. . t 64721 Chis Certificate gt-antis occupancy of the above i,efev,enued building or portion thereof and confit-ms that the building has been inspected for compliance with the 5tate of Orgon Specialty Codes for, the yj-ot.tV% oCcup&n -y, end use under- which the refer-encei permit was issued. 01-114-1" NG ;Z-�EC,TOR BUILDI � BUILDING OFFICIAL POST IN CONSPICUOUS PLACE BUILDING PERMIT T #. . . . . . . CITY OF TIGARD DATPERMIE ISSUE'D: • 09, 04/96 COMMUNITY DEVELCPMENT DEPARTMENT 13126 SW Hall Blvd.Tigard,Oregon 97223*6199 (503)639.4171 11&21"0 SW URLENPURG RD #b 121 3 SUBDIVISION. . . . : ZONING: R-12 BLOCK. . . . . . . . . . . 1-01.. . . . . . . . . . . . . :8 RE I SSUE: FLOOR AREASEXTERIOR WALL CONST RUCT1011 CLASS OF WORK. :ALT FIRST. .. .. . : 0 S f N: 6: E- W: TYPE OF USE. . . .-COM SECOND. . . ; 0 5 f PROTECT OPENINGS?-------- ---- TYKE OF CONST. s2FR L, FH . . . : 964 sf N: S: E- W: OCCUPANCY GRP. .-B TOTAL--------t 964 s f ROOF FONST: FIRE RE*r? . OCCUPANCY LOAD: 9 BASEMENT. : 0 Sf AREA SEP. RATED: GTOR. : 0 HT: 0 ft GARAGE. . . 0 Sf OCCU SEP. RATED: BSMT?: MEZZ-1: REOD SETBACKS----------- REQUIRED________________ FLOOR ED---------------- FLOOR LOAD. . . . : 0 psf LEFT: 0 ft RGHT: 0 ft FIR SPKL:Y SMOK DET. . :Y DWELLING UNITS: 0 FRNT: 0 ft REAR: 0 ft FIR ALRM:Y HNDICP ACC:Y B17—DRMS: 0 BATHS: 0 IMP SURFACE: 0 PRO CORR:N PARKING: 0 VALUE. $ : 11399 Remarks : Tenant Mod: Owner: FEES NORRIS BEGGS SIMP,,—',)I\l type amoi-tnt by date recpt 10220 SW GREENSUPG PD PLCK $ 60. 13 JH 07/31/96 96-282-261 FIRE $ 37. 00 JH 07/31/96 96--238: ,3 6 1 PURTLAND OR 97223 PRMT $ 92. 50 J*H 09/04/96 96-283539 �_;ione #.- 452-5900 5PCT $ 4. 63 J*H 09/04/96 96-283589 Contractor: MALIBU PACIFIC 735 NE JACKSON SCHOOL ROAD HILLSBORO OR 97124 Phone #: 693--979*7 $ 194. 26 TOTAI_ Reg #. . c 059045 REQU1REO INSPFCTIONS This permit is issued subject to the regulations contained in the Fraini.nq Insp Tigard Municipal Code, State of Ore. Specialty Codes and all other Firewall Insp applicable la%s. All work will be done in accordance with Gyp Board Insp approved plans. This permit will expire if work is not startti SLissp Geilng Insp ;.ithin 180 days of issuance, or if work is suspended for more Final Inspect i )n than 180 days. ,(?rmittpe Signature ; BY: Call for inspection 639--4175 _Commercial Budding Permit Application City of Tigard 13125 SW Hdll Blvd. Tgard, OR 97223 (503) 639-4171 Jobsite Address: /�22'� r</ '1�=''1• �� Tenant. ��� Suite( ' ((/M (_ Office Use Oni 3P Valuation: lvllkk- 1 permit # �I/1/� 60 4cOwner: c �rn � / Map & TI_ # (51 "55 IC)UZ Address: (© y 7 ,� Approvals Required Planning Phone: Engineering Other Contractor. _ -" ` _L-Z' � �� Gam„ ^' ,Address ! ✓ ���.• - /��/,� �i�/ Type of const: 0Occupancy class: )6— L. Phone. ------- C� ,� l �+ �prinklered^ fes No Coniractor's License # J Z 7 61�; I �, (attach cop) of current Oregon licensR) Sq. ft. of project: ntact name & phone: Story (1st, 2nd, etc.) Proposed use: -Arc ih tec�E , A;±dresb ��'h (J��r_. — Previous use: AW : � Note. PI ing & mechanical pians must be submitted at time of Phone.-- build'.ng permit application. � " ���� �Z-• -1ON: � Cant Signature Phone number v�� /��� Received by: �' �/R--- _ Date Received: 73 1 `' Permit tt Account Description Amount Amt. Pd. Bal. U'us_19 . Bldg. Permit (BUILD) X71 Z �� Plumb. Permit (PLUMB) Mach. Permit (MECN) State Tax (TAX) U Bldg: Plumb:Plumb: Mach: Plan Check (PLANCK) – Bldg: _ Plumb: Mach: Sewer Connection (SWUSA) Sewer Inspection (SWINSP) Parks Dev Charge (PKSDC) Residential TIF (TIF-R) Mass Transit TIF (TIF-MT) Commercial TIF (TIF-C) Industrial TIF (TIF-1) Institutional TIF (TIF-IS) Office TIF (TIF-O) Water Quality (WQUAL) Water Quantity (WQUANT) Fire Life Safety (FLS) Erosion Cntrl Permit (ERPRMT) ---- — Erosion Planck/USA (ERPLAN) ----- Erosion Plan.-klCOT (EROSN) --_---- TOTALS: _� � �_- ##. . . .. .PERMITM9G—v�4=E. :"s CITYOF TIGARD PERMPI . COMMUNITY DEVELOPMENT DEPARTMENT DATE ISSUED: 09/06/96 13125 SW Hall Blvd.Tigard,Oregon 9722396199 (503)839-4171 PARCEL: IS1;35AB.-D100,_ -.[ ]'E ADDRESS. . . 10220 SW GREENBURG RD #65 ,UBD I V IS ION. . . . s ZONING: R­1c: Bl—('.)CK. . . . . . . . . . LOT. . . . . . . . . . . . . :8 (,LPSS OF WORK. . .'ALT GARBAGE DISPOSALS. : 0 MOBILE HOME SPACFS. -. 0 TYVIE OF USE. . . . :COM WASHING MACH. . . . . . : 0 3ACKFL.OW PREVNTRS. . : 0 OCCUPANCY GRP. . :B FLOOR DRAINS. . . . . . . lb TRAPS. . . . . . . . . . . . . . 0 E3TORIES. . . . . . . . : 0 WATER FiEA*r*FRS. . . . . .. 0 CATCH BASINS. . . . . . . : 0 FIXTURES-------- LAUNDRY TRAYS. . . . . : 0 SF RAIN DRAINS. . . . . : 0 fe`)I NKS. . . . . . . . . . : I URINALS. . . . . . . . . . . : 0 GREASE TRAPS. . . . . . . . 0 LAVATORIES. . . . . : 0 01-HER FIXTURES. . . . .* 0 TUB/SHOWERS. . . . : 0 SEWER LINE (ft ) . . . 0 WATER CLOSETS- : 0 WATER LINE (ft) . . . 0 DISHWASHERS. . . . : 0 RAIN DRAIN (ft) . . . : 0 Remarks : Addition of one sink Owner: NORRIS BEGGS & SIMPSON type aMOIAnt by date recpt 106-'20 SW GREENBURG RD F IRMT $ 25. 01171 JDA 09/06/96 96-263(,87 5 P Cr s I. 2:,5 JDA 09/06/96 96-283667 1 IGARD OR 972213 11-ione #, 452-5900 Contractor: DE'TEMPLE CO INC 1951 NW OVERTON ST PORTLAND OR 9709 Ptione #: 227--2641 26. 2 TOTAL. Reg 002510 -------- REQUIRED INSPECTIONS This permit is issued s!lbject to the regulations contimed in the Top--or-1t Insp Tigard Municipal Code, State of Ore. Specialty Codes and all other Final Inspertion applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 189 days of issuance, or if work is suspended for more than 180 days. Permittee Signaturet. Issued By : Call for, inspection 639-4175 CITY OF TIGARD Plumbing Application Recd By 044ittR4L Dale Recd 1� '13125 SW HALL BLVD. Commercial and Residential Date to P E. TIGARD, OR 97223 Date:o DST (503) 639-4171 p c(� Permit# Print or Type vU Related SWR S_ Inccmp!ete or illegible applications will not be accepted Called_ Nam of Devlopmer.t/p%qct V,r 'r `,NNW Shale Family Residrt►n�ce�,�a.Only ia4ax*c-:c s.t L Job (7� r / c. _ f '��r loftlt�14ort�f Mb�b CkrtRATH HOUSE$14000; T�❑-2 BATy •USE$1�5 00 fw;- Address street address / Surto ..��; ,- ty lirolBATHHOUSE$Y2bb0 `r Fee kic"s�e(1 ptuinb�rt016ti„rss(n a,.dwellltq.rid ifid mst:.. bet o �+ rt Bldg* (w/��)/Sta/te� fz�lp y J water service,sanitary fewer and t toren sewer..See Hess .:.w'a•.<...,...+,wr ......M. :v+flwiw..rv+M..iwlS ! wts.'F,. �! :.._- Name FIXTURES(individual) QTY PRICE AMT NQr f I [) S)i Sink Owner Mailing AddressSuo Lavatory 9.00 C),'IV /' (� I/ J l u` Tub or TublShower Comb. 9.00 City/State 21p J ne \� �/� Shower Only 9.00 Name n Water Closet 9.00 Dishwater 9.00 Occupant Mailing Address Suite Garbage Disposal _ 9.00 Washing Machine 900 City/State Zip Phone Floor Drain 2" 9.00 Name 3" 9.00 /)i" I E'I"M1 t'.' > / r.t r 4„ 9.00 Contractor Mailing Address 1CkSuite Water Healer 9.00 l /kn ��r frL Laundry Room Tray 9.00 ty/stAte Zip Phone unnal 9.00 o i, , o Oma' 9 ?o Z 7 z Gr// Oregon Const.Cont.Board Uc.# Exp.Date Other Fixtures(Specify) 9.00 Attach Copy of J / , , f 9.00 Current Plumbing Lic.# Exp.Date 9.00 License (,, J > Sewer-iii-1-00-- 9.00 COT Business Tax or Metro# Exp.Date -- / ���• /� �� Sewer-each additional 100' 30.00 Name Water Service• 1st 100' 25.00 Water Service-each additional 200' 30.00 Architect Mailing Address Suite Storm&Rain Drain- 1st 100' 25.00 Or Storm&Rain Drain-each additional 100' 30.00 Engineer CitylState Zip Phone Mobile Home Space 25.00_ Commercial Back Flow Prevcrlion Device or Anti- 25.00 Describe work New O Addition O Alteration©-- repair O Pollution Device to be done: Residential O Non-residential 0­--­____ Residential Backflow Prevention Device' 15.00 Additional description of work Any Trap or Waste Not Connected'o a Fixture 9.00 Catch Basin 9.00 7 Insp.of Existing Plumbing 40 OC _ per hr _ Existing use of fl, Specially Requested Inspections 4000 huilding or property L!/1 X-rn�t� � �! per hr Pain Drain,single family dwelling 3000 Proposed use of -- budding or property Grease Traps 900 QUANTITY TOTAL ":fir r ti. w'! Are you capping any fixtures? Yes C1_ No _ +nr � .n.,w.• Isametne or riser diagram is required d Ouandy Total is >9 I hereby acknowledge that I have read this application.that the information UBTOTAL given is correct.that I am the owner or authonzed agent of the owner,and � ;U that plans submitted are in compliance with Oregon State Laws. SI n r of OwnerlA nt Date 5°'e SURCHARGE -ux� s 9 3 git _ _ z /�(dZ PLAN REVIEW 25%OF SUBTOTAL t l� �m - Renulred only I fixture qty total n+_9 •"0 '�. Contact Person am' Phone '— – TOTAL $ .: �ZL •Minimum permit tee is S25+5%surcharge,except Residential�Backflow i ldststplmapp.doc Prevention Device.which is$15+ 50/4 surcharge Tenant Name: !,ogrce-6 c lI r'^ Accumulative Sewer Tally This SWR#: Address: IC),kc "IA) t�I•r-(fl bUI This PLM#: 1Ih'9k' '-ixture Value Prnvioua A Provinus Credits Capped Fixtures, Fixtures New New Value Capped off value added# added total #s total Count off#s count value values Rantistry/Font 4 Bath - Tub/Shovser 4 Iacuz/:A/hpl 4 Car Wash - Each Stall 6 - Drive Thro,,ah 16 Cuspidor/Water Aspirator 1 r_ Dishwasher - Commer 4 - Dourest 2 Drinking Fountain 1 Eye Wash 1 Floor Drain/sink 2 inch 2 I j. 3 inch 5 4 inch 6 Car Wash Drain 6 Garbage Dispozal 16 Dom Ito 3/4 HPI Comm Ito 5 HPI 32 Ind lover 5 HPI 46 Ice MachinerRefrigerator Drains 1 Gil Sep(Gos Station) 6 Recrear,.na-i Vehicle Dump Station 16 — Shower - Gang (Per Head) 1 _ Stall 2 1 ',ink BauLavatory 2 , Bradley 5 _ Cornmercial 3 Service 3 _ -- Swimming Pool Filter 1 Jgsher, Clothes 6 _— `Vater Extractor_ 6 Water Closet. Toilet 6 I Urinal 6 IT TOTALS Total fixture values:??3 divided by 15 = R. 3 1�EDU ' HI�-T0We PLN'# CI -v EDU# SWR# `1� - (� I.f PLM# EDU# SWR# PLM# ( i -()()�,� EDL'# SWR# ���; I fj PLM# EDU# SWR# PLM# EDU# SWR# PLf.1# EDU# SWR# PLM# EDU# SWR# Plf,tx FDU# SWR# I i CITY SOF TIGARD PERM I ELECTR I#ALELC96 .0`.;90 COMMUNITY DEVELOPMENT DEPARTMENT LATE ISSUED: 09/10/96 13126 SW Hall Blvd.Tigard,Oregon 97223.6199 (603)639-4171 PARCEL: 1 S 135AB-0 104'x2 SITE ADDRESS 1�2.?0 SW GRCENBURG RD #625 SUBDIVISION. . . . : ZONING: R-12 BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . .8 Project Description: Installing two branch circuits. ----------------------- --.-K.'--SIDENTIAL UNIT--•---- ---TEMP SRVC/FEEDERS--___ ____-MISCELLANEOUS--___ 1000 c3; OR LESS. . . . : 0 0 - 2,00 amp. . . . . . . t 0 PUMP/1 RRIGAT ION. . . . 0 EACH AUD' L 500SF. . . t 0 201 - 400 amp. . . . . . . : 0 SIGN/OUT LINE LTG. . : El I_*MITED ENERGY. . . . . : 0 401 - 600 amp. . . . . . . 1 0 SIGNAL/PANEL... . . . . . . : 0 MANE HM/ SVC/FDR. . : 0 601+amps-•1000 volts. : N MINOR LABEL ( 10) . . . : 0 _.__.__._SE.RVICE/FEEDER---•-•- ------BRANCH CIRCUITf;._._.._._ ---ADD' L IN:-3PECTIONS---_- 0 - 200 amp. . . . . . : 0 W/SERVICE OR FEEDERC 0 PER INSPECTION. . . . . : 0 terAl - 40VI amp. . . . . . : 0 1st W/O SRVC OR FDR. t 1 PER HOUR. . . . . . . . . . . : N 401 - 600 amp. . . . . . : 0 EA ADD' L BRNCH CIRC: 1 IN PLANT. . . . . . . . . . . : 0 601 - 1.000 amp. . . . . : 0 _.__._.__.__..__._ __-.-_-PLAN REVIEW SECTION------ - 1000+ amp/volt. . . . . : 0 ) -4 RES UNITS. . . . . . . . : > 600 VOLT NOMINAL. . - Reconnect only. . . . . : 0 SVC/FUR > = 225 AMPS. . : CLASS AREA/SPEC OC('-" Owner: ___._.________-------._--_____-- FEES SOURCES SERVICES type amol..rnt by date recpt 10220 SW GREENBURG RD PRMT f 40. 00 CJS 09/10/96 96-283749 SUITE_ 625 5PCT $ 2. 00 CJS 09/ 10/96 96-283745 TIGARD OR 972,-,3 Phone #: Contractor: CHRISTLNSON ELECTRIC INC ib 42. 00 TOTAL 111 SW COLUMBIA SUITE 480 -- ---- - REQUIRED INSPECTIONS -------- TIGARD OR 97223--5886 Wall Cover- Elect' 1 Service 'hone #: 503-241-4812 Undet'gr^oUnd Love Elect' 1 Finan Rey #. . : 00458 Tnrs oerent is issued sub)ect to the regulations conta .ed in the __ iigard Municipal Code, State of Ore, Specialty Codes and all other Permittee S�ignatcrre applicable laws. All work will be done in accordance with aporoved plans. This perllrt will expire if work is not s}arted within. 18e days of issuance, or if work is suspended for Pore than 188 days. I s s i.r e d By INSTALLATION The installation is being made on property I own which is not intended for sale, lease, or- r-ent. OWNER' S SIGNATURE: DATE- -----------------------CONTRACTOR ATE-_--__-_.---------------CONTRACTOR INSTALLATIOEV ONLY--__.____.___._______.__.____._._____.•_. Fi I GNATURE OF SUFIR. EL.E=C;' N: 1�]f�i���L_. _ DATE: _q LICENSE NO: Call for inspection - 639--4175 3 Community Development ELECTRICAL PERMIT APPLICATION 13125 SW Hall Blvd, Tigard, OR 97223 Permit # _ Datc Issued 9 - lo-c(6, Phone (503) 639-4171 CITY OF TIGARPr FAX (503) 684-7297 TDD No. (503) 684-2772 Inspection (503) 639-4175 1. Job ,Address: 4. Complete Fee Schedule Below: LINCOLN CENTER - Name of Development Number of Inspections per permit allowed Address 10220 SW GREENBURG RD Service included Items Cost(ea) Sum City/State/Zip___TIGARD 4a. Residential •per unit 1000 sq. R. or less $11000 4 Name (or name of business) SOURCES SERVICES SUITE 625 Each additional 500 sq ft.or _ portion thereof $2500 CommerciON] Residential ❑ limited Energy $2500 Each Manurd Home or Modular Dwelling Service or Feeder $6800 2a. Contractor installation only: 4b. Services or Feeders ' ROSS CROSBY CHRISTENSON ELECTRIC, INC Installation.alteration,or relocation 1 Electrical Contractor 200 amps or less $6000 Address III SW COLUMBIA,SUITE 480 201 amps to 400 amps $9000 _ 2 City -_PORTLAND State OR Zip 97201-55 36 401 amps to 900 amps $12000 _ Phone No. 241-4812 501 amps to 1000 amps $18000 Over 1000 amps or volts $340 00 Job NO. 222-8398 Reconnect only $5000 contractor's license NO. 26-34(;_ 4c. Temporary Services or Feeders Contractors 4owd reg. 0—. 00 r a Installation,alteration,or relocation Signature of S'upr. EI _ 200 amps or less 201 amps to 400 amps $5000 2 License No.__..g73S_..__._ Phone No2G L-t al _— 401 amps to 900 amps $7500 - Over 600 amps to 1000 volts $100.00 — 2b. For owner installations: see"b"above Print Owner's Name 4d. Branch Circuits New,alteration or extension per pane Address a)The fee for branch circuits with City Sidle Zip purchase of service or feedor fee. -- Each branch circuit $5.00 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 —L.— 335 00 r not intended for sale, lease or rent. Each additional branch circuli $500 Owner's Signature 4e. Miscellaneous (Service or feeder not included) 3. Plan Review section (it required): Each pump or Irrigation circle $4000 Each sign or oulline lighting S4000 Signal circult(s)or a limited energy Please check appropriate Item and enter fee in section 5B. panel,alteration or extension $4000 _4 or more residential units in one structure Minor labels(101 $10000 Service and feeder 225 amps or more System over 600 volts nominal 4f. Each additional inspection over Classified area or structure containing special occupancy the allowable In any of the above as described in N.E C Chapter 5 Per Inspection $1500 Per hour $55 00 In Plant --- 1;55 00 Submit 2 sets :)f plans with application where any of the above --— apply. Not required for temporary construction services. 5. Fees: 5a. Enter total of above fees $ 40. NOTICE 5%Surcharge (05 X total fees) $ 2. PERMITS .PERMITS BECOME VOID IF WORK OR CONSTRUCTION Subtotal $ AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR IF 5b. Enter 25% of line A for CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR Plan Review if required (Sec 3) _ A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS Subtotal g _ 42._ COMMENCED. �^^m.^^^^�^^ ❑ Trust Account p Balance Due $ 42 CITY `JF TIGARDpFfTIMIBUILDING PERMITT #. . . . . . . . BUP4)5--VJ31-_-- I COMMUNITY DEVELOPMENT DEPARTMENT DATE ISSUED: 08/15/95 13126 SW Hall Blvd.Tigard,Oregon 97223*8199 (503)630-4171 I T E A D 1)R E S' 5114 016-LILi-iL+Lil'�Li RD #115_41a3 PARCEL: 1S1K:AP---0100.2 IJBD I V I S I ON. . . . : ZONING.- R-1.2 . . . . . . . . . . .I LCJI.. . . . . . . . . . . . . . yy — ,_IS5UE.BUP FLOOR AREAS----- EXTERIOR WALL CONSTRUCTTON ,LASS OF WORK. :ALT FIRST. . . . sr' N: S: E: W: ePE (IF U31E. . . .COM 511COND. . . Sf PROTECT OPENINGS'?---- 4-'1. OF CONST. :3N THIRD. . . . :2600 u f N: S. Ea W. ;::CUPANCY GRP. «BZ_' TOTAL--_---- : 2600 sf ROOF CONST:A FIRE RET? . ,:CUPIANCY LOAD i42 BASEMENT. : 5f AREA SIP. RATED: F 0 FR. 53 HT. ft 5f 01:1,U SEP. FRATED1. 3M1 N MEZZ?:N REOD SETBACKS----- RE UL11 :-OUR I-DAD. . . . : 30 P'.; LEFT' - ft RIGHT. f-t !-IR SPKLcY SMOK DET. . -Y 4ELLING UNITS: FRNT: ft REnfi: t F"IR ALRM-.Y HNDICP ACC:Y ..D141VIS: SATIAG. IMP SURFI71C.L- PRO CORR; PARK INC : 24000 Tenant Mod : FEES ?A11,1JELL CROW type amul.int I.j y d=ate v-ecpt P RMT $ 164. 150 JHF 08/08/95 PLCK $ 10G. 93 JI IF 08/03/13t5 00000-0000 FIRE* $ 65. 30 JHF 08/08/95 io' le 0 : 000-000-0000 5PCT $ 0. ::3 JHF 108/08/95 jntr,actor: L')IN MARK CONSI'RUCT I ON :)2a0 SW GREE NBURG RD JITL 44150 CARD OR 97223 L•1 T1 #. 45,2-5')00 a '34�j. 46 TOTAL 64721 REQUIRED INSPECrIONS peri4t is issued sub;ect to the i'llulations contained in the ["t-aming Ins dart Municipal Code, State of Ore. Specialty Codes and all other Irisulatiuri Intip .1icable laws. All work will be done in accordance with Gyp Buat d Irish .rc.ed plans. This persit will expire if work is not started Susp Ceilrill Inski -hin IN days of issuance, or if work is suspended for ­: e Mitic. Inspection ;i 189 days. Final Tnsper_,tiun Call for- intsr_ 639-4175 ------------ Commercial Building Permit Aaalicatio City of Tigard 13125 SW Hall Blvol. ' kc 1; Tigard, OR 97223 (503) 639-4171 yId r4 1 Jobsite Address: tenant: suite# � Office Use Onlv Valuation: (, Planck/Rec # _� `/ (�(; — Permit # 1AP 9T- Cr3/5` Owner: r, . f — Map & TL # �A Address: 111,x;11 S,l.i (X',<a,, �; � Approvals Required ���..f 23 S /7,1J�i. [l,�,d Planning Phone: Engineering — Other Contractor: Contractor: /�rl,_,, i/�_./ry Cp.rl��, f,o11 1 �y Address: //� „� !v Co/, �✓ ct S. r / �y�c5` ' J Type of const: t k? / Occupancy c,ass: l�l� Phone. 22J - `/ 1L_— Sprinklered? Yes No Contractor's License # V/ (attach copy of current Oregon license) Sq. ft. of project: .,2/(')U Contact name & phone — _ Story 1st, 2nd, etc.) tl, / 1 p Proposed use: Ld/h/►7�/'C.a �� f`r�,c i ArchitectlEngineer: ���jr; T J�c•[�([,- � _ Previous use: Address. �/F,� .5 �✓" �'q..c,�j� L / Jn� �C� ~ Note Plumbing & mechanical plans LJi'�►, e. Ic�� /_rr. /��%! must be submitted at time of / building permit application. Phone JOB DESCRIPTION: Ve t,✓ let 1 SSS r'.� /. ": iL=,/,/ti A f I � Applicant Signa re & Phone number Received by: _ Date Received. r Permit # Account Description Amount Amt. Pd. Bal. Due Bldg. Permit (BUILD) A Plumb. Permit (PLUMB) Mech. Permit (MECH) State Tax (TAX) �� 3 Bldg: Plumb: Mech: Plan Check (PLANCK) /uL, y )0 ('5 y Bldg: Plumb: Mech: Sewer Connection (SWUSA) Sewer Inspection (SWINSP) Parks Dev Charge (PKSDCN Residential TIF (TIF-R) Mass Transit TIF (TIF-MT) Commercial TIF (TIF-C) Industrial TIF (TIF-1) Institutional TIF (TIF-IS) Office TIF (TIF-0) Water Quality (WQUAL) Water Quantity (WQUANT) Fire Life Safety (FLS) V(';, _ S Erosion Cntri Permit (ERPRMT) Erosion Planck/USA (ERPLAN) Erosion Planck;COT (EROSN) TOTALS: 7 yr. 1 CITY OF TIGARD 13125 SW HAIL BLVD TIGARD OR 97223 {1NA GTo ELECTRICAL PERMIT spect 8� d`Clse &� f, Fr1e 7r� saclibu t APPLICATION In _Fa PermitPLEASE 1 PRINT Number )= t G)�->�y _- Date Please complete all sections, I through 5. 4. Complete Fee .Schedule below Number of Inspections per permit allowed 1. Location of ►,'Ilstallatinn — Address 10'2'20 SW GKFENBURG RD Service included: Items Cost(ea.) Sum �Sililding =SUITE 625 A. Residential-per unit City TIGARD _ Supe i!�-j-WORTH --_ 1000 sq.h,or leas $1 10.00 4 Tenant Name SOURCES SERVICE Each additional 500 sq.ft (if commercial) —__--.__ . or portion thereof $2500 -- Limited Energy $25.00 Map No. Tax Lot — --- -- --- Each Manuf'd Home or Modular Dwelling Service or Feeder _— $68.00 -- .---- 2 Thomas Map Book: Page: Section: — _ Directions B. Set vices or Feedere JOB SITE CONTACT ROSS OSBY 936-br40 BI1'1° Instal�aticn,altcrali,nsorrelocation CR 200 amps or less $60.00 -- 2 CornmerciqAResidential❑ 201 amps to 400 amps _— $80.0 2 401 amps to 600 amps $120.00 — 2 601 amps to 1000 amps $180.00 ---- 2 2a. Contractor installation only: Over 1000 amps or volts $340.00 _ 2 Electrical Contractor_CHR 1"SELECTRIC, INC. Reconnect only --- ¢50.00 --- -- 2 Address III SW COl.11 BIA_Sl17TF. 480 __ City PORT!. la Slate-, OR ZIP 97201-5886 C. Temporary Services or Feeders Date_ Job Number --..222-8976 Installation,alteration or relocation T7zf - 200 amps or less $50.0 — 2 Property Owner -_ ----—- 201 dmps to 40 amps $75.0 � __— 2 Contractor's License No. _—�_��____—. __--_ -----. 401 amps to 600 amps $10.0 ---- 2 Contractor's Board Reg. No. QQ458 �T_._____ - Over 600 amps 100 vols see'B•above Signature of Supr. Elec'n 1 4-1 L D. Branch Circuits License No._87 jj_.___ Phone No. X03-241-_4_L4 waw,alteration or extension per panel a) The too for branch circuits with 2b. For owner installations: Each baa of service or leader lss. - Each branch cir�uil $5.00 b) The fee for branch circuits without Vint caner s eme one 4o purchase of service or feeder fee. First branch circuit _1 _ $3500 15-00 2 _cress Each adci'nl branch circuit_ $5.0 — 2 - - -- E. Miscellaneous (Service or Feeder not included)-- tale �o Each pump or Irrigation circle $40.0 2 The installation is being made on property / own Each sign or outline lighting $4000 2 which is not intended for sale, lease or rent. Signal aircu°(s)or a limited energy panel,alteration Owner's Signature __-_- - or extension $40,00 - -- F. Each additional Inspection over the allowable --- in any of the above Per inspection $3500 3. Plan Review section (it required) Per hour -- _ $5500 Please check appropriate hem and enter fee In section 5B. In Plant __ .__ $55.00 __4 or more residentia; units in one Structure 5. Fees _Service and feeder, 800 amps or mora 70.00 S stem over 600 volts nominal A. Enter total of above fees $ —System 5% Surcharge (.05 X total fees) $ 3.50 —Classified area or structure containing special Subtotal $ --73.50 occupancy as described in N.E.C. Chapter 5 B. Enter 25% of tine A for Submit 2 sets of plans with application where any of the Plan Review if required (Section 3) $ -- above apply. Not required for temporary construction Subtotal $ 71-50 sprvices. F1 Tnmt Arrnrmf MECHAN I CAL ► CITY OF TIGARD PERMIT #. PERMIT. MEC9�- COMMUNITY DEVELOPMENT DEPARTMENT DATE ISSUED: 09/26/95 13125 SW Hall Blvd.Tigard,Oregon 9"22396199 (503)639-4171 PARCEL: IS135AB-01002 SITE ADDRESS. 10220 SO GREENDURG R1) #5 -0215 SUBDIVISION„ . . . ; ZONING: R-12 11LOCI.<. . . . . . . . . . .. LOT. . . . . . . . . :8 0_ASS OF WORK. ALT FLOOR FURN. . . . ., EVAP COOLERS: TYPE OF USE. . . . :COM UNIT HEATERS. . : VENT FANS. . . : 0(.'C1jF'AN(-,Y GRP. . :B2 VENTS W/O ADPL; VENT SYSTEMS: 1 !3 T 0 R I E a. . . . . . . . : 5 BOILERS/COMPRESSORE�-., HOODS. . . . . , : FUEL 0-3 HP. . . . : DOMES. INCIN: 3-15 HP. : COMML. INCIN: MAX INIDUT: BTU 15-30 HP. . . . : REPAIR UNITS.-. F IRE DAMPERS?. 30-50 HPI. WOODSTOVES. . : GAS PRESSURE. . . 50+ HP. CLO DRYERS. . - NO. OF AIR HANDLING UNITS OTHER UNITS. : FURI-1 ( 100K BTU- 10000 cfm : GAS OUTLETS. TURN ) =100K BTU: > 10000 cfm : Remarks : Tenant Mod : Owner: FEES Mf.-I__VIN MARKS type amcil.tnt by date r-e c-,p t P,F,MT $ 25. 00 JDA 09/26/95 95-2:'7121986 PLCK $ 6. =.5 JDA 09/26/95 95-270986 0000171--001710 5PCI 6 1. 25 JDA 09/26/95 95--270986 Pflone #: 000-.-000-00017.1 Contv-Ec,tot-: D. L. HOWARD CO. , INC 5340 SW DOVER LN PORTLAND OR 97225 r1tione #: X46-6764 32. 50 TOTAL Rep #. . : 82769 REQU I PED INSPECTIONS This permit is issued subyect to the regulations contained in the Mechanical Insp Tigard Municipal Code, State of Ort. Specialty Codes and all other Misc. Inspection applicable Lims. PH work will be done in accordance with Final Inspection approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for torp than 180 days. F-ei-m i t t P Sit n a t 1.1 r�t ft.;�71_te(j By : Call for inspection 639-4175 City of Tigard MECHANICAL PERMIT Planck/Rec. # q '-V7C 13125 SW Hall Blvd. APPLICATIONPermit # t,)IC C %5-- 6 FriTigard, OR 9722.3 (503) (339-4171 4I Description ►.': rr�r �� FJ&I-t4 � ' ��� ti. Table 3A Mechanical Code QTY PRICE AMT Job ( ^ AddreS ve;ZZ`s �g�u Tl6 1-1. Ol 1) Permit Fee -0- -0- 1000 C'%1 1, 2) Supplemental Permit 3.0(, �.. _ , M"•m`° urnace 10 100,000 BTU 1) incl ducts & vents 6.00 Owner 2) incl. ducts &veits 7.50 Floor rurnance — - 3) incl. vent 6.00 ,uspen a eater wa eater 1 'L • Sl_►>`vttt s n,,��iJ 4) or floor mounted heater 600 _7ert no inc. in Occupant 5) appliance permit 3.00 R pair o eating, i ng 6) cooling, absorption unit / 600 / of e: or comp, eat pump, air eon L . �+OwAwiD �` 7) to 3 HP; absorp unit to 100K BTU 6001. _ ° 7 of e,or comp, eat pump, air con Contractor 3 Sw p LN /Y'O'--,-Alf 8) 3-15 HP, absorp unit to 500K BTU 11 00 "' 'Boiler or comp, heat pump, air c n j� 4•11-T`[ t 7; 11 9) 15-30-HP, absorp unit .5-1 mil BTU 15.00 offer or comp, ea nump, ait con 1 /(•tt t J 1 l c 10) 30-50 HP; absorp unit 1-1.75 mil BTU 22.50 -7Ne-r-eTy--aCk-n—O-WFe('gC--tTTa7 I have read is application, that the Boiler or comp, heat pump, air con information given is correct, that I am the owner or authonr.: 11) > 50 HP; absorp unit 1.75 mil BTU 37.50 agent of the owner, that plans submitted are in compliance wit;l Tir han371T un-it-to State laws, that i am registered with the Construction Contractor's 12) 10,000 CFPA 450 Board, that the number given is correct (If exempt from State fir Handling unit registration, please give reason below.) 13) 10,000 CTM + 7.50 Non po a e 14) evaporate cooler 450 en an Gonne e - 15) to a single duct 3.00 en i ation system not 16) included in appliance permit 4.50 Hood serve y -- a 4a 1 �j cf N 17) mechanical exhaust 450 Describe work new addition a-Ttcra,on repair ( .ommercra or industrial to be dons residential Q non-residential (P--' 16) type incinerator 30m) is infix' ng—us`e of Other i.e., woodstove, water building or property v _— _— 19) heater, solar, clothes dryers, etc 4.50 Proposed use of 20) Gas piping one to four outlets 2 00 building or prope ty Type of fuel -off! Q natural gas n LPG O 21; More than 4-per outlet electric (l _ NOTICE s PERMITS BECOME VOID IF WORK OR CONSTRUCTI714 Minimum Fee $25.00 SUBTOTAL AUTIAORIZED IS NOT COMMENCED WITHIN 180 DAYS,OR 5`/°SURCHARGE S IF CONSTPUCT10N OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 1130 DAYS AT ANY TIME PLAN REVIEW 25%OF SUBTOTAL �, ? AFTER WORK IS COMMENCED. Special Conditions _v _ TOTAL Date issued V by ..,kvMry