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10220 SW GREENBURG ROAD-7 a t~ z n 0 r z H H z 0 H I n z Ell r a, H Cn 102.20 SW GREENBURG ROAD L LINCOLN II NORTH—GENERAL —MISC. 1''r�)9 SAVE - HISTORICAL INFORMATION BUILDINGS) NAME CHANGE PER KIT CHURCH, ENGINEERING i02?0 GREENBURG RD, LINCOLN II NORTH CHANGED TO 10220 GREENBURG RD, LINCOLN III 10-20 GREENBURG RD, LINCOLN II SOUTH CHANGED TO 10220 GREENBURG RD, LINCOLN II ZzzMammoth Inc, 9/20/01 Lincoln Center .ima�d OR a + Mammoth Order No,: 44213 C*jstomer: Encompass Mechanics; Purchase Order No.: 2312029-7056 CITY OF TIGARD Approved.......................................................... Conditionally Approved..................................... ) For only the worlige described in: PF, _ / O0"Y9 Se Lalter t :Follow.........................................( ): Attach........................................( ): Job A re O ZZW1 G1- f4 By: �.— --Date: Respectfully submitted on the above listed job for the purpose of: Record Dwe Consulting Engineer: Mammnth Representative: Oregon Air Reps 101 West 82nd Stecft, r'haska,Min„recta P)5318 9663 (952)361-2711 RECEIVED rlEC 1 1 ?001 CITY UE MARL AUILWNG MVISION ' CITY OF T I G A R D ELECTRICAL PERMIT PERMIT#: ELC2001-00652 DEVELOPMENT SERVICES DATE ISSUED: 12/24/01 13125 SW Hall Blvd., Tiqard, OR 97223 (503) 639-4171 PARCEL: 1 S135A6-01004 SITE ADDRESS: 10220 SW GREENBURG RD SUBDIVISION: TWO LINCOLN - TOWN OF METZGER Z014ING: C-P BLOCK: LOT • JURISDICTION: TIG Proiect Description: Two service/feeders for new HVAC units. RESIDENTIAL UNIT _ TEMP_SRVC/FEEDERS _ MISCELLANEOUS _ 1000 SF OR LESS: i0 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: 6014•ari - 1000 volts: MINOR LABEL (10): SERVICE/FEEDER BRANCH CIRCUITS _ -- _ ADD'L INSPECTIONS 0 200 amp: W/SERVICE OR FEEDER: i PER INSPECTION: 201 - 400 amp: 2 1st W/O SRVC OR FDR: PER HOUR: 401 - 600 arnp: EA ADD'L BRNCH CIRC: IN PLANT: 601 - 1000 amp: _ _PLAN REVIEW SECTION _ 1000+ amp/volt: >=4 RES UNITS: > 600 VOLT NOMINAL__: __ _ _Reconnect onlv.: SVC/FDR >_=225 AMPS: _ CLASS AREA/SPEC OCC: Owner: Contractor: _ EOP LINCOLN, LLC STONER ELECTRIC 10260 SW GREENBURG RD 1904 SE OCHOCO STREET SUITE 100 MII_WAUKIE, OR 97222 PORTLAND, OR 97223 Phone: Phone: Reg #: W-413*33 SUP 4025S ELF 26-122C FEES — 1 Required Inspections—-- Type Type By Date y Amount Receipt I Elect'I Service – PRM T CTR 12/24/01 $213.70 2720010000( Elect'I Final 5PCT CTR 12/24/01 $17.09 2720010000( Total — $230.79 EXPIRET4 This Permit is issuers 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 acrbrdance with approved plans This permit will expire if work is not started within 180 days of issuance,or if work is suspended rar 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 952001.0080 You may obtain copies of these rules or direct questions to OUNC at(503) 246-6699 or 1-800-332.2344 Permit Signature: , �L,. Issued By: ! C _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: �` ' JCC ti LICENSE NO: Call 639-4115 by 7.00pm for an inspection the next business day Elech ical Permit A 'c�_ ion �L/ f1at'ePre,eived: /,2Z_i i N/. ,1P Flt j� City of Tigard ni6 t20roject/appl.no.: Expire date: Ctryq%%igard Address: 1{125 SW (Fall filvd,'i'11G2W pate issued: llyZ&)I Receipt no.: Phone: (503) 6394171 — -- rax: (503) 598-1960 Cj'rY (}- TIG 'Wfilc no.: Payment type: Land use approval: i,4ZCz"_Z�p_1-QQ_yJ ��i�TLOo TWE OF PERM IT U I &2 family dwelling or accessory Commercial/mdw trial U Mult, . .nily U Tenant improvement U New construction gAddition/,iltet;iiit)ti/roplicenit-lit U Other:_ U 11.1rtial JOB SITE INFORMATION Job address: /0ZZ ois,,J Gie'e•Ew 1 �,QE �� X11 l), no.:Z Suite,no.: Tax map/tax lot/account no.: Lot: I Block: I&bdivision: _ Project name:,(,,,,t�,,�• ,�,�,t�;Q +�Z Description and location of work on premises: 4�iY►�e uN•TS F?stiniated date of completion/ins ction: - - - a fJob no: 04 77! Fee MaxBusiness nam - Ueticriptinn (Jty. (ra.) Total nAddress: — New rnideolial-sarKle or multi-famny per Ooe O _ _ drellinf;tmit.Includes attached garage l.lty:/i�rlWrtl dK/E Stale:Q� ZIP: ,'2 7 2 Set vice Phonesc -S/6z-6Sou rax:404Y E-mail• 1000 sq.ft or leas a CCB no.: g4W23 Elec.bus.lic.no: Z&-t_2 Each additional SW sy.ft.lir pomon thcrrof _ — Limited energy,residential 2 City/rgetroli .no.: Limited energy,non-residential 2 _/Z�jCo o Each manufactured home or modular dwelling Signature of supervising electrician(required) bate Service and/or feeder 2 Su elect.name(print) License Services or Feeder-Installation, Sup tp ) MIKE r7luc.v�� µ (05 alterallon or relocation: 1 200 amps or less 2 Name(print): 201 amps to 400 at OS 2 2/3.10 2 Mailing address: _-- 401 amps to 600 amps 2 601 amps to 1000 amps _ 2 Cityity:: state: ZIP:tale: ZIP: -_� Over I WO amps or volts _ 2 Phone: rax: I E-mail: Reconnectonly I owner installation:The installation is being made on propctt. I Aldi Temporarysrrvicesorfeeders- which is not intended for sale,lease, rent,or exchange acuoi Inti to Installation,alteration,orrelocation: ORS 447,455,479,670.701. 200 amps or less 2 201 amps to 400 amps 2 Owner's si nature. _ bate: 401 to 600 ams 2 Branch circuits-new,alteration, or extension per panel: Name' A F•ae for branch circuits with purchase of Address: service or feeder fee,each branch circuit 2 Citv: Stale: LIP: H Fee for branch circuits without purchase of ,ervice,tt Ireder fee,first branch circuit. 2 Phrint• rax' F-mail' Each additional branch circuli PI,AN RIEVIM(Pinse-ebeck oil that apply) Misc.(Service or feeder not Included): U Service over 221 amps commercial U Health-cam facilo, FAch pump or rugamnn circle — 2 U Service over 320 amps rating of I R2 U Huardnus location Fach sign or outline IIghting _ 2 fartulydwellings U Building over 10.0fx)square:c, tour lir Signal circuits)or a limited energy panel. O System ,ver6(N)volts nominal more residenlis:units in one.:n:ct•re alteration,arextension• _ 2 Ll Building overthreestories UFeeders.4t10amps ormot, *Description O(Vupant load over 99 persons U Manufactured structures c+r RV park Each additional Inspection over the allowable In any of IM above: U f:gress/lightingplan U(Aher perinspecuon Submit--sets of plans with any of the above. Investication fee The above are not applicable to temporary construction service. Other -- — 2/3• �� - Na all Jurisdictions credit cants,please eau jurisdiction more Infomuuoa Notice: this permit application Permit fee.....................$ U Visa U MasterCard rvpires if a permit is not obtained Plan review(at _ %) $Credit cud number --- L_L_.- �sithin I BO days after it has been State surcharge(RyG) ...$ O V Expires EXacne of cardholder as shown on cit card-_— accepted as c, tP I R E _ __OTAL ........ . . .. .$ 79 -- _. - `Cardholder signature - ; Amount "x.4615(~-Ohl Electrical Permit Fees: Limited Energy Fees: -- -- — TYPE OF WORK INVOLVED-RESIDENTIAL ONLY Complete Fee Schedule Below: Restricted Energy Fee...................................................... $75.6-0 Numbe. of Inspections per perrnit allowed (FOR ALL SYSTEMS) Service it :uded: Items Cost Total Check Type of Work Involved: Residential-per unit 1000 sq ft.or less $149 1 f, Audio and Stereo Systems Each additional SUO sq It or r portion thereof $3340 1 l� Burglar Alarm UmfledEnergy ^_v $75.00_ Earl Manufd Home or Modular ❑ Garage Door Opener' Dwelling Service or Feeder _ $90.90 Scrvicos or Feeders ❑ Healing,Ventilation and Air Conditioning System' Installation,alteration,or relocation 200 gimps or less $80.30 2 ❑ Vacuum Systems' 201 amps to 400 amps v $106.85 2 401 amp:, to 600 amps _ $160.60 2 ❑ 601 amps!,)1000 amps _ $240.60 7 tither Ovc(1000 area.or volls _ $454.65 2 Reconnect only $66.85 _ 2 TYPE OF WORK INVOLVED -COMMERC14L ONLY Temporary Services or Feeders Installation,alteration,or relocation Fee for each system............................................. ... ......_ S75.ou 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, see"b"above. L_J Audio and Stereo Systems Branch Circuits ❑ Boiler Controls New,atteratlon or extension per panel a)The foe for branch circuits ❑ with purchase of service or Clock systems feeder fee. I_ach branch circuli $665 7 ❑ Data Telecommunication Installation b)The fee for branch circuits without ,irchase of service ❑ Fire Alarm Installation or feeder fee. I ir.:r branch circuit $46.85 ` ❑ Fath additional branch circuit $6.65 HVAC Miscellanenus ❑ Instrumentation (Service or feeder not included) Each pump or"31ion circle $5340 ❑ Intercom and Paging Systems Each sign or otrtline lighting $5340 Signal circull(s)or a limited energy ❑ Landscape Irrigation Control' panel,alteration or extension _ _ $7500 Mirwr Labels(10) $125.00 _ ❑ Medical Each additional Inspection over the allowable In any of the above ❑ Nurse Calls Per inspertinn $6250 _ Per hour $62.50 ❑ In Plant $7375 Ojtdoor Landscape Lighting Fees: ❑ Protective Signaling Enter total of above fees $ ❑ Other ---- 0%State Surcharge $ .--Number of Systems 25%Plan Review Fee ' No licenses are required Licenses are requtred for all otter installations See"Plan Review"section on $ front of application. _ Fees: Total Balance Due - Enter total of above fees ❑ Trust Account q 8%State Surcharge $ Total Balance Due i\dsts\fomuklcdcc:,doc 10/09/00 CITYOF TIGARD MECHANICAL PERMIT DEVELOPMENT SERVICES PERMIT#: MEC2001-00449 13125 SW (tall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 12/19/01 SITE ADDRESS: 10220 SW GREENBIJRG RD PARCEL: 1 S 135AB-01004 SUBDIVISION: TWO LINCOLN - TOWN OF METZGER ZONING: C-P BLOCK: LOT: JURISDICTION: TIG CLASS OF WORK: AL1 FLOOR FURN: EVAP COOLERS: TYPE OF USE: COM UNIT HEAL ERS: VENT FANS: OCCUPANCY GRP: B VENTS W/O APPL: VENT SYSTEMS: STORIES: BOILER_SICOMPRESSCRS HOODS: FUEL TYPES T �V0 - 3 HP: DOMES. INCIN: 3 - 15 HP: COMML. INCIN: MAX INPUT: BTU 15 - 30 HP: FIRE DAMPERS?: 30 . 110 Hp; REPAIR UNITS: GAS PRESSURE: 50 + HP: WOODSTOVES: FURN < 100K BTU: AIR HANDLING UNITS CLO DRYERS: FURN >=100K BTU: <= 10000 cfm: OTHER UNITS: > 10000 cfm: GAS OUTLETS: Remarks: Rooftop HVAC replacernent. Owner: FEES EOP LINCOLN, LLC Type By Date Amount Receipt 10260 SW GREENBURG RD PRM2 CTR A 12/19/01 $102.43 2720010000 SUITE PICK CTR 12/19/01 $248.50 272001000C PORTLAND OR P7223 5PCT CTR 12/19/01 $79.52 272001000C Phone: PRMT DWJ 12/11/01 $891 57 2001-4828 Contractor: _ Total $1,322.02 MACDONALD MILLER DBA: ENCOMPAS 5711 SW HOOD PORTL AND, OR 97201 REQUIRED INSPECI IONS Gas Line Insp Phone: 503-230-8991 Mechanical Insp Reg #:LIC 137340 Final Inspection This permit is issued subject to the regulations containers in the Tigard Municipal Code, State of Ore. Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans. T his 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 rules adopted in the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-091"-0080.-'yqu may obt in copies of these rules or direct questions to OUNC by calling rtin� ��aF_q�R4 � �-, � Iss a By: r /' r Permittee Signature: Call (503)- 39-4175 by 7:00 P.M. for inspections needed the next business day Mechanical Permit Application Date recrived: .- _U Permit no.pl City of Tigard Project/appl.no.: Expiredate: Address: 13125 SW Hall Blvd,Tigard,OR 97223 Phone: (503) 639-4171 Date issued: By' Receipt no.: Fax: (503) 598-1960 Case file no.: Payment type: ), Land use approval: wilding permit no. TYPE OF PERMIT LI 1 &2 family dwelling or accessory C�Commercialhndustrial J `lulu lanul� 0 Tenant improvement U New construction U Addition/alteration/replaceinent J t Wwr.1011 SITF,1INFORINIA I[ON COMMFIWIIAL VALUATION SCHIEDULF Job address: Indicate cyulpntcnt quantities In boxes b=low. Indicate the dollar Bldg. no.: L j Suite no.: value of all mechanical materials,equipment,labor,overhead, N Tax map/tax lot/account no.: profit. Value R �1 "nuc) 1 Lot: Block: Subdivision: $See checklist for important application information and Project name: r\ Z <-/ \ t juri,aliclrr,n's fee schedule for residential permit fee City/county: pv� \! ZIP: Description gnd location of work on premises: IL PkkLL %-Z - t 1 I 1I I wo I Nei vill 114t Est.date of completion/inspection: l Z lz,%tot Ih•u•ription try. Res.orrly,Res.onit Tenant improvement or change of use: All handling unit CFM Is existing space heated or conditioned?0 Yes U No All conditioning(site plan require ) _ Is existing space insulated?U Yes U No A teration o existing system MECIIIIANICAL CONTRAVII Oil boiler/compressors Business name: n State boiler permit no.: � ` �\�r �� HP Tons BTU/14Address: yelp ireismo a NampersMuctsmo a detectors City: n T Stale: P` ZIP: el-71 L eat pump(site plan required) Phone:St , 73e ,,; t. Fax:71 E-mail: Install/replace lumacethurner 13TUM Including d•,rtwork/vent liner U Yes U No CCB no.: 7 1 y nsta replace/re ovate eaters-suspen c City/metro lic.no.: L5 wall,or floor mounted Name(please print): enc or appliance other than furnace Refrigeration: C �. Absorption units BTU/11 Name: Z1_�e_r"�` t�.r1�— Chillers__.___ HP _ Address: Com ressors HI` -S v —- nv ronmenta ex atust and ventilation: City: Slate: ZIP: Appliance vent Phone' - Fmail )ryerexhaust -- 0o s,Type / res. its a azmat _ hood fire suppression system Nance: Lr(?C Exhaust fan with single duct(bath fans) Mailing address: tL,' L. Sw C I P- U tl .,)f-g lu x aust system a an m sating or AC Fuelp p nR andistribution(up to out ets) City: r_;t ;, State: fP_ LIP: 61-7 t.z ripe _ L.1>t) -- NC __ Oil Phone: i I :n -- — - F-mail: u i in each additional oseI outlets -- 1110 Ijl A PI rocespipng(schernatierequire ) Nuinberof outlets Name: t ee listed appliance or equipment: — Address: Drcorauve fireplace City: ";i,u, II' nscrt-type - Phone: Ian li mall: Wooclstovelpcl letstrn•e Other: � -- Applicant's signature: .� Date:fI �t�a ter: Name (print): , p ra t- Not all jurisdictions accept credit cards,please call jurisdiction for mote information. NnPermit fee.....................$� ticc:This permit application --___--_--- O Visa LlMasierCard Minimum fee................$ Credit,card namtwr �� expires if a permit is not obtained Plan review(at _ %) $ __ spE ime within 180 Jays after it has been State surcharge(8%) ....$ — Name of cardholder as shown on credit card accepted as complete. -- - Cardholder signaturt Amount W4617(MICOM) MECHANICAL PERMIT FEES COMMERCIAL FEE SCHEDULE: 1 & 2 FAMILY DWELLING FEE SCHEDULE: TOTAL VALUATION: FEE: Description: --- �- Price Total 1.00 to$5,000.00 Minimum fee$72,50 Table 1A Mechanical Code atY (Ea) Amt 5,001.00 to$10,000.00 $72.50 for the first$5,000.00 and 1) Furnace to 100,000 BTU $1.52 for each additio,al$100.00 or InCILding ducts&vents 14 00 i fraction thereof,to and including 2) Furnace 100,000 BTU+ $10,000.00. Including ducts 8 vents _ 17 40 $10,001.00 to$25,000.00 $148.50 for the first$10,000.00 and 3) Floor Furnace $1.53 for each additional$100.00 or _ Includirg vent 14.00 fraction thereof,to and Including 4) Suspended heater,wall heater $25,000,00. or floor mounted heater _ 14 00 $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 _ $50,000.00. 12 115 $50,001.00 and up $742.00 for the first$50,000.00 and Check all that apply: Boiler Heat Air $1.20 for each additional$100.00 or For Items 7-11,see or Pump Ccnd l fraction thereof, footnotes below. Comp* _ 7)<3HP;absorb unit ASSUMED VALUATIONS PER APPLIANCE: to look BTU _ 14.00 Value Total 8)3-15 HP;absorb VAmount unit 100k to 500k BTU _ 25.60 Description: D al 9)15Habsorb Furnace to 100,000 BTU,Including 955 l unit.55-1-1 mill BTU _ 35.00 ducts&vents 10)30-50 HP;absorb Furnace> 100,000 BTU including 1,170 unit 1-1.75 mil BTU _ 52.20 ducts&vents - 11)>50HP:absorb Floor furnace Including vent 955 unit>1.75 mil BTU 87.20 _ Suspended heater,wall heater or 955 12)Air handling unit to 10,000 CFM floor mounted heater _ _ 10.00 Vent not Included in applicance 445 13)Air handling unit 10,000 CFM+ per it 1720 Repair units 805 14)Non-portable evaporate cooler <3 hp;absorb.unit, 955 10.00 to 100k BTU 15)Vent fan connected to a single duct 3-15 hp;absorb.unit, 1,700 6.80 101k to 500k BTU 16)Ventilation system not Included In 15-30 hp;absorb.unit,501k to 1 2,310 a liance permit 10.00 mil.BTU 17)Hood served by mechanical exhaust 30-50 hp;absorb.unit, 3,400 10.00 1-1.75 mil.BTU 18)Domestic incinerators >50 hp;absorb.unit, 5,725 17.40 >1.75 mill.BTU 19)Commercial or industrial type Incinerator Air handling unit tc 10,000 ofm 656 69.95 Air handling1 unit> 0,000 cfm 1 170 20)Other unitsd stoves Non-portable evaporate cooler 656 ,Including wood 10.00 Vent fan connected to a sing a duct 448 Vent system not Included in 658 21)Gas piping one to tour outlets 5.40 a liance permit 22)More than 4-per outlet(each) Hood served by mechanical exhaust 656 1.00 _ Domestic Incinerator I 1 170 Minimum Permit Fee$72.50 SUBTOTAL: $ Commercial or Industrial incinerator 4,590 Other unit,including wood stoves, 656 8%State Surcharge $ Inserts,etc. Gas-pipin 1.4 outlets 360 '25%Plan Review Fee(of subtotal) $ Each additional outlet 63 Required for ALL commercial permits only TOTAL COMMERCIAL $ TOTAL RESIDENTIAL PERMIT FEE: 5 VALUATION: Other Insper ffons and Fees: I Inspections outside of normal business hours(minimum charge-two hours) $72 50 per hour 2 Inspections for which no fees specifically indicated (minimum charge-half hour) $72 50 per hour 3 Additional plan review required by changes,additions or revisions to plans(minimum charge-one-half hour)$72 50 per hour State Contractor Boiler Certification required for units>200M BTU 'Residential AIC requires site plan showing placement of unit- Ods ts\forms Vne ch-fees nit.Odsts\formsVnech-fees doc 10/11100 DEC-13-01 THU 08: 11 AM MACDONALD MILLER AX PAGE Numberofpa�es inrludrrx,�ciovgr sheet > TO: Darryl Jones FROM: Brian Schain Encompass Mechanical City of Tigard Services, Portland. 5711 SW Hood RF_ Lincoln 2. RTU Portland, OR 97201 Replacement Phone 503 639-4171 Phone (503) 736-052: Fax Phone 503 624-3681 Fax Phone .503736-0523 CC: REMARKS: ❑ Urgent M For your review [) Reply ASAP [ ) Please Comment Darryl, The following are the weights of the current Mammoth Units and new Mammoth Units. Our scope is to replace both Rooftop Units with the same equipment There are no adaptor curt;s required Existing Equipment.AC-1 16:600 lbs. AC-2 18,000 lbs New Equipment: AC-1 17,024.00 lbs. AC-2 18,230.00 If you have any q uastions, please call. Thanks, Brien 1 ' ELECTRICAL PERMIT CITY OF TIGARD - --- PERMIT#: ELC 1999-00665 DEVELOPMENT SERVICES DATE ISSUED: 11/08/1999 13125 SW Hall Blvd., Tioard. OR 97223 (503) 639-4171 PARCEL: 1S135AB-01004 SITE ADDRESS: 10220 SW GREENBURG RD SUBDIVISION: TWO LINCOLN -TOWN OF METZGER ZONING: C-P BLOCK: LOT : JURISDICTION: TIG Proiect Description: Install 8 branch circuits in existing commerical building Had lighting for G floors. RESIDENTIAL UNIT TEMP SRVC/FEEDERS _ MISCELLANEOUS 1000 SF OR LESS: 0 200 amp: PUMP/IRRIGATION: EACH ADD'L 500SF: 201 400 amp: SIGN/OUT LINE LTG: LIMITED ENERGY: 401 - 600 amp: SIGNAL/PANEL: MANE HM/SVC/ FDR: 6014 amps - 1000 volts: MINOR LABEL (10): SERVICE/FEEDER �v- - 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 HOJR: 40'I 600 amp: EA ADD'L BRNCH CIRC: ! IN PLANT: 601 - 1000 amp: ^_ PLAN REVIEW SECTION __- 1000+ amp/volt: >=4 RES UNITS: > 600 VOLT NOMINAL L Reconnect only: SVC/FDR >= 225 AMPS: CLASS AREAISPEC OCC:._________ C vner: Contractor: K14ICKERBOCKER PROP, INC X;IV HASK.IN ELECTRIC INC Bv NORRIS, BEGGS + SIMPSON 6307-B NE ST JOHNS RD 10300 SW GREENBURG RD STE 200 VANCOUVER, WA 98661 PORTLAND, OR 97223 Phone: Phone: 360-735-0898 Reg #: LIC 31785 12 ORIGINAL SUP 3178S ELF 37-400C – FEES Y— _ Required Inspections Type _By _Date _ Amount Receipt Elect'l Service PRMT KJP 11/08/199 $74.95 99-319603 Elect'I Final 5PCT KJP 11/08/199 $6.00 99-319603 Total $80.95 This Permit is issued subject to the regulations contained in the Tigard Municipal Code L'tate of OR Specialty Codes and all other applicable laws All work.will be done in accordance with approved plans This permit will expire if work is not started within 180 days of issuance or rf work is suspended for more the.r 180 days ATTENTION Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0080 You may obtain copies of thF-se rules or direct questions to OLINC at(5031 246-1987 PERMITTEE'S SIGNATURE �� ISSUED BY. e(Z.�� > OWNER INSTALLATION ONLY -_ The installation is being made on property I oven which is not intended for sale, lease, or rent. OWNER'S SIGNATURE: ._-_ _ DATE:_- CONTRACTOR INSTALLATION ONLY _ SIGNATURE OF SUPR. E_ FC'N: -= 'A �`vJ�LC 6 e'Llt"�J __ � _-_ DATE: LICENSE NO: _ ____—__ _ 3L_T -fi Cali 639-4175 by 7:00pm for an inspection the next business day C111 Y OF TIGARD Plan Check#_ Electricai Permit Application Recd By 13125 SW HALL BLVD. RECEIVFP Dale Recd TIGARD OR 97223 Date to P.E. Phone(503)639-4171, x304Date to DST Inspection (503)639-41,75 Print of 1 ype NOV ' 4 1999 Permit#L L L �tiY y a2� 5 Fax (503) 598-1960 1 omplete or illegible will not 40FARWOEVEIOPM01 Called—� 1. Job Address _ 4. Complete Fee Schedule Below: I � Numtrer of Inspections per permit allowed Name of Development �r Service included: Items Cost Sum y Name(or name of business) --� Address Q a C S W 4a. Residential-per unit -$ 11 7 75 4 1001 sq ft or less _ City/State/ZipJ ranr;a(/� Each additional 500 sq.f1 or 1 7-T portion thereof E 26.75 Commercial Residential El Limited Energy $ 80.00 Each Manurd Home or Modular l Dwelling Service or Feeder S 72.75 _ 2a. Contractor Installation only: (Prior to permit issuance,applicants must provide contractor license 4b.Services or Feeders information for COT data b Installation,alteration,or relocation z / 200 amps or less $ 64.25 Electrical Contractor (�a/ !7 �it / �t 201 am s to 400 amps $ 85.60 2 Address' ��,y� � 401 amps to 600 amps _ $ 128.50 2 City! I �+� - State ' Zip�1�-- 601 amps to 1000 amps S 192.53 2 �- g�'S Over 1000 amps or volts $ 383.75 2 Phone No.+� — Reconnect only S 53.50 2 Job No. -- Elec Cont. Lice. No 7. d-Exp.Date_ ,J" / 4c.Temporary Services or Feeders �. Exp Date Iy Installation,alteration,or relo"t on OR State CCB Reg No 200 amps or less S 53.50 _ z COT Business Tax of Metro No.�2 _Exp.Date 201 amps to 400 amps S 80.25 z 401 amps to 600 amps $ 100.00 2 Signature of Supr Elecn�y�;; '' ��' Gc" --- over 600 amps to 1000 volts, I see"b"above. License No. ►�� Exp.Dateef 4d.Branch Circuits Phone No. New,alteration or extension per panel a)The fee for branch circuits with purchase of service or 2b. For owner installations: feeder fee. Each branch circuit $ 5 35 - Print Owner's Name —_T._ --- h)The fee for branch circuits Address without purchase of service City— State. ZiP or feeder fee. 7 50 7 SU First branch circuit 9 1 Phone No — - _ Each additional branch circuit $ 5.35 7.The installation is being made on property I own which is not 4e.Mis(Service ellaoder not Included) eous intended for sale,lease or rent. Each pump or Irrigation circle $ 42 7s _ Each sign or outline lighting $ 4275 Owner's Signature_ ------- -- Signal circuits)or a limited energy panel,alteration or extension _ $ 6100 _ 3. Plan Review section (if required):" Minor Labels(10) $ 100.00 4f.Each additional insperHon over Please check appropriate item and enter fee in section 5B. the allowable In any of the aLuve _4 or more residential units in one structure Per inspect on $ 5000 Service ano feeder 225 amps or more Per hour $ 5000 System over 600 volts nominal In Plant �_ _ $ 5900 _ Classified area or structure containing special occupancy as 5. Fees: dpscrlbed in N E C Chapter 5 Be.Enter total of above fees $ $ ' Submit 2 sets of plans with application where any of the above all ply. 896 Surcharge(.OB X total fees) $._ Subtotal Not required for temporary construction services. 5b.Enter 25%of line 6a for NOTICE Plan Review if require (Sec 3) $ Subtotal $ PERMITS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS,OR IF CONSTRUCTION OR C� Trust Account# _ WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED Total balance Due 1:\dsts\forms\electric.doc ELECTRICAL.PERMIT- CITYOF TIGARD RESTRICTED ENERGY DEVELOPMENT SERVICES PERMIT M ELR2000-00265 13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 11/6/00 PARCEL: 1 S135AB-010x12 SITE ADDRESS: 10220 SW GREENBURG PD SUBDIVISION: THREE LINCOLN-TOWN OF METZGER ZONING: R-12 BLOCK: LOT: 009 JUr;;r,DICTION: TIG Proiect Description: Installation of telco equipment in telco closets on each floor. Loc (-. n building - Three Linco' A._RESIDENTIAL_ _ _ B.COMMERCIAL __— AUDIO & STEREO: AUDIO & STEREO: IN i ERCOM & PAGING: BURGLAR ALARM: BOILER: LANDSCAPE/IRRIGAT: GARAGE OPENER: CLOCK: MEDICAL: HVA(;: 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: KNICKERBOCKER PROP, INC XXIV DAY WIRELESS SYSTEMS H NORRIS, BEGGS + SIMPSON 234 NW 14TH 10300 SW GREENBURG RD STE 200 rJORTLAND, OR 97209 PORTLAND, OR 97223 Phone: Phone: 503-228-9292 Reg #: ELE 3-356CLE LIC 64950 FEES Required Inspections_ Type By Date_ Amount Receipt — Low Voltage Inspection PRMT CTR 11/6/00 $75.00 2720000000 Elecfl Final 5PCT CTR 11/6/00 $6.00 2720000000 Total $81.00 This Permit is issued subject to the regulations ^ontained in the Tigard Municipal Code, State of OR Specialti 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 OAF' 952-001 -0 10 through OAR /952_-001-008/0 You may obtain copies of these rules or Cirect questions to OUNC nt (503) XJ Issued �V -C CLQ l a_f Issued � yi �-G —_ Permittee Signature �_-- OINNER INSTALLATION ONLY The installation ir- neing 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 7:00 P M. for an inspection needed the next business day BUP - Bjilding Permit ELC - Electrical_Permit Inspection Description Date PassId B _Inspection Description Date Passed B Footing/Setback - -_ Underground cover _ Foundation walls _Wall cover Footing drain ---------- Ceiling cover -_ _ Wate roof bsmt walls Electrical rough-in Slab Electrical service Crawl drain Electrical final Underfloor insulation �- ---- ---------- _ --_---- -_ Post beam structural -_-_--- _ - — - - -f�---_ Shea; walls/anchors ELR - Restricted Ener Roof nailing_____-_-_ _ -v Inspection Description --� P� - Firewall_ Low voltage - Tilt-uppanel - --v- �--- --�--- � P __. Electrical final Mason ry/Reinforcement Tranang MFG-Structure set-u MEC - Mechanical Permit _ Insulation 4 Inspection Des cri tion Date Passed B Drywall nailing__ Post/beam mechanical nded ceiling _ - Gas line _ Engineered soils _ Mechanical rough-in Welding Lab Final _ Fire damper Concrete Lab Final Duct work _ Bolting Lab Final Smoke detector Fireproofing Lab Final Mechanical final - Structural observation —� --- -- Final ins ection - ---- -- PLM - Plumbing Permit _ 4 Inspection Description- T Date Passed By BUP - Fire Protection Sstem__Per_mit Pluc.ibin underslab _ Ins ction Description Date Passed B - �-- - � -_ �' Crawl drain Sprinkle r underfloor/slab _ _ Post/beam plurnbir. — S)rinkler rough-in _ _ Piurr,. ,ng t9 -out --Sprinkler final _ RP/backflow preventer Fire alarm final _ _ Rain drain Storm drain_ Water service _ SIT_ •• Site Permit _ -Sanitary sewer Inspection Description Date Passed By Culverticatch basin _ Foots —� _.-- _ Yump/till septic tank - ----..__---- Foundation walls Plumbing_final _SEinkler suppl liges ----- S rinkler underfl,.nor/slab Ca[ch basiniManhole _ SWR Sewer Permit _ Engineered soils __- - _Ins ection Description Date Passed B Engineering acceptance Sanitary sewer - Final inspection Final inspection INSPECTION RECORD - BUP, PLM, SWR, ELC, ELR, MEC, SIT PERMITS ELECTRICAL PERMIT- CITY OF TIGARD — RESTRICTED ENERGY DEVELOPMENT SERVICES PERMIT M ELR2000-00264 13125 SW Hall Blvd.,Tiqard OR 97223 (503) 639-4171 DATE ISSUED: 11/6/00 PARCEL: 1 S135AB-01004 SITE ADDRESS: 10220 SW GREENBURG RD SUBDIVISION: TWO LINCOLN -TOWN OF METZGER ZONING: C-P BLOCK: IAT: JURISDICTION: TIG Proiect Descrintion: Installation of telco equ pment in telco closets on each floor. Located in building -TWO LINCOLN. A.RESIDE14TIAL 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: KNICKERBOCKER PROP, INC XXIV DAY WIRELESS SYSTEMS BY NORRIS, BEGGS 4 SIMPSON 234 NW 14TH 10300 SW GREENBURG RD STE 200 PORTLAND, OR 97209 PORTLAND,OR 97223 Phone: Phone: 503-228-9292 Reg #: FILE 3-356CLE UC 64950 FEES Required Inspections Type By DateAmount Receipt _ Low Voltage Inspection Elect] Final -PRMT CTR 11/13/00 $75.00 2720000000 5PCT CTR 11/6/00 $6.00 272.0000000 Total $81.00 �R This Permit is issued subject to the regulations contained in the Tigarc Municipal Code. State of OR. Specially 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 "enter. Those rifles are set forth in OAR 952-001-0 0through OAR 952-001-0080. You may obtain copies of these rules or direct questions to OUNC at (503) 246-198 \\ - - Issued f l G Permittee Signature _ �- G�9 (--� �' _-- � - __ 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 _—_� DATE:_-`_ LICENSE NO: -- Call 639-4175 by 7:00 P.M. for an inspection needed the next business day BUP - Building Permit ELC - Electrical Permit Inspection Description Date PassedInaction Descri tion Date Passed B Footing/Setback — Underground cover Foundation walls _ Wall cover _— Footing drain Ceiling cover Wate roof bsmt walls Electrical rough-in Slab__ __ _ Electrical service Crawl drain _ _ Electrical final Underfloor insulation Post/beam structural — Shear walls/anchors —� ELR - Restricted_Ener Y Permit _ _ Roof naili� Description Date ' ed _ Firewall __ Low voltage Tilt-u panel _ _ -- _ -- - ' _—P� Electrical final 46 Masons/Reinforcement — L L Framing— MFG-Structure setup ME_C_-_Mechan.,al Permit __ Insulation — Ins ection Description Date Passed _ y Drywall nailin�__V_ Post/beam mechanical Suspended ceiling Gas line Engineered soils Mechanical rough-in - Welding Lai) Final _- . _._ Fire dam ear —_ --- Concrete Lab Final _ Duct work Bolting Lab Final _.- Smoke detector Fireproofing Lab Final Mechanical final Structural observation Final inspection_ -- _ ----"--- _— - - ------ - --- -- PLM - Plumbin Permit Inspection De,cription Date Passed By BUP - Fire Protection System Permit Plumbing underslab Inspection Description Date Passed B __ Crawl drain Sprinkler underfloor/slab _— _ Post/beam plumbing____ Sprinkler rough-in —_ ^_ _-_ Plumbing top-out _ Sprinkler final_ —__ RP/backflow preventer _ Fire alarm final Rain. drain — — ------ -------- 1 — — Storm drain -- --_ Water service_ _ SIT - Site Permit _ Sanitar sewer _ _ - ----- Inspection Description Date Passed By— Culvert/catch basin Footings — —_ _ _ Pump/fill septic tank __— Foundation walls Plumbing final _ Sprinkler supply lines_ -- -- ---_ _ .--�__------ --------Sprinkler underfloor/slab _ Catch basin/Manhole _ — _ SWR - Sewer Permit Engineered soils _ _ Inspection Description Date Passed By Engineeri� acce Lance _ Sanitary sewer Final infection _—_— _ Final inspection INSPECTION RECORD - BUP, PLM, SWR, ELC, ELR, MEC, SIT PERMITS