10250 SW GREENBURG ROAD STE 111 0
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10250 SW CREPNBURG RD, STE ll•1-
CITY OF TIGARD
DEVELOPMENT SERVICES
is SW Hall Sivd., Tigard,0P97223 (503,1639-4171
CERTIVICATE OF
OCCUPANCY
PERMIT 0. . . . . . . . SUP9 6
DATE iS!-;UED: 01/21/97
PARCEL: 18135AB-045-00
--jiTE ADDREMS. 10250 SW URVENBUK] VID #111
CUVDTVISION. . . . r ZONINGaC--Xl
.. . . . . . . . . . a LOT. . . . . . . . . . — 11
CLASS (IF WORD,. iALT
TYPE OF USE. . . ICOM
TYPE' OF CONS)TP:21"R
OCCUPANCY Gr4'. 2B
OCCUPANCY LOf4D% 5?
'rUNPNT 14AW. . . trORNFORT I ENG INEER�7,
Remarkat Tionint improvempnt - CORNFOR- 141 ENCINFERING
TV-N(4,N'T IMPROVEMENT
KNICKERSOCKER PROPERTIES INC
C/O NORRIS, 3EGnS & SIMPSON
t0;300 SW GREENBURG RD #200
PORT LAND OR 97`23
I-1hone #, 45i:-51)00
Tcs' INC.
TENANT CONSTRUCTION GERVICEB INC
1L111141 NE ERIN WAY
f:'OR*rl..ANf) OR 97220
Phone *1 254-3008
Pari #. . w '5S16
Itia Certificate grgmt-.5 oci...,upmnay of thc-' abok�v referenced buildiny or, portion
-.hervef and confirms that the bt.tildinq hat been inspected for compliance with
the State of Orgon Fpecialty Godea fnr the group, occupan ,y, and under
which the referenced Draw-mit was issi.ted.
LSU -A5;,f��r,ri4 i i�i i�L6 SUILD OFF I C I Al--
POST IN COW-J' 1CLIOUG PLAUE
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line: 639-4175 Business Phone. 639-4171
Footing Rain Drain Cover/Servire FINAL:
Foundation Water Line Ceiling -Plumb.
Post/Beam Mech. Shear/Sheath Framing -Mech.
Plbg.Und/Fir/Slab Plbg.Top Out Insulation Jac„,
Post/Beam Struct. Mech. Rough-in Gyp. Bd. Bldg
San. Sewer Gas Line Appr/Sdwlk Reins.
Other: _ G � - --- —-- --—
Date: a' 1_1 _— A.M. _-P.M. Entrv:__---
Address:
Tenant: _— Ste: "MST.:. --- –
) BLIP:
Con/Own:_�lJd �'� ""r''{yo MEC:-- —
PLM:
ELC: ,�
THE FOLLOWING CORRECTIONS ARE REOUIRED: ELR- -
Ins ectar: � -�e--- ---
Date: '`
APPROVED —DISAPPROVED/CALL FOR REINSP. n
CO
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line: 639-4175 Business Phone: 639-4171
Footing Rain Drain Cover/Service FINAL
Foundation Water Line Ceiling -Plumb.
Post/Beam Mach. Shear/Sheath Fiaminq -Mech.
Plbg.Und/Flr/Slab Plbg.Top Out Insulation -Elect.
Post/Beam Struct. Mech, Rough-in Gyp. Bd.
San. Sewer Gas Line Appr/Sdwlk Heins.
Other: q —,
Date: L —�[_- A.M. P.M.—_ Entry:--- ---.
Address: —
Tenant: .1 Ste:U_ MST:
Con/Own: '= U U BLIP:
PLM: _
THE FOLLOWING CORRECTIONS ARE REC�UIRED: El R : �—
Inspector: Date:
ROVED
_DISAPPROVE D/CALL FOR REINSP. CFCO i
}
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CITY OF TIGARD
DEVELOPMENT SERVICES ELECTR"lCAL PERMIT
'k 13125 SW Hall Blvd., Tigard,OR 97223 (503)6.J-4171 P,ERM'rl' #. ELC96--0769
DATE I!;SUED: 12/06/96
PARCEL.: IS135PB04500
STTE ADDRESS. .. . : 1.0250 SW GREENBUP(:3 RD #Iii
IStISDIVISIOW . . . .- ZONING:C.-P
BLOCV. . . . . . . . . . : LOT. . . . . . .
P)r-oject Descr,iption: ADD 6 BRANCH CIRCUITS
-RES IDI=NT IAL UNIT---- ----r*EMP SRVC/FEEDERS------- -M I SCEI-LANEOLJS-----
11000 SF 13R. LESS. . . . - 0 0 - 1:_.*!00 'Aftip. . . .. . . . 0 PUMP/IRRIGATION. . . . 0
EACH ADDIL 500SF. . . -. 0 201 400 amp. . _ . . . . 0 SIGN/OUT LINE LTC. . : 0
LIMITED ENERGY. . . . . . 1,) 40 J. F,00 amp. . 0 SIGNA1_./PPNEl.. . . . . . . 0
MANF. HM/ SVC/FDR. . : 0 601+Amps-.1000 volts,. : 0 MINOR LABEL. ( 101 . . . : tit
---SERV ICE/FEEDER-.--..-., ------PRANCH CIRCUITS----....- -- -AtD' L f.NSf'ECTfONF-
0
IRCUTTS-....- INSIJECTfONS-0 200 amp. . . . . . : 0 W/SERVTCE OR FEEDERs it PER INSPECTION. . . . . : 0
201. 400 amp. . . . . . . 0 1st W/O ERVC OP FDR. : I PER HOUR. . . . . . . . . ., . : 0
401. 600 amp. . . . . . : 0 FA ADDIL BRNCH CIRC: 5 IN PLANT. . . . . . . . . . 0
C-01 1000 amp. . . . . : 0 REVIEW
1000+ amp/volt.....: 0 ) =4 RES UNITS. . . . . . . . : ) 600 VOLT NOMINAL. . :
Recor—ect, only. . . . . : 0 SVC/FDP 2,25 AMPS. . : CLASS AREWSPEC OCC. :
Cjwnet-: FEES
NORRIS, BEGGS R. SIMPSON type amoi.tnt by date I.-ecpt
10220 SW GREENBURG RD PRMT $ 60. 00 TAT 112/06/96 96-28736e
71PC-1, $ 7, 00 1A 12/06/96 9(.-,-,287360
11GARD OR 97223
Phone #. 452-59OL71
contr-actor,:
WTLA-AMETTE7 ELECTRIC INC r G3. 00 T 0 TA I_
PO BOX 230547
REQUIRED INSPECTIONS
'TIGARD OR 137,2,81 Ceiling Cover- 1Jndet,gv-ui_tnd Cave
Phone #- 503---624-3631 Wall Cover- Elect' I Service
Peg #. . : 75059
This pewit is issued subjert to the regulations contained in the
a
Tigard Winicipa) Code, State of Ore. Specialty Fades and all, other et,mitt e SjgnA4z
applicable laws, All work will be done in accordance with
approved plans. This pervit will expire if work is not sta-ted
within 180 day- of issuance, at, if work is iuspend@d for sare
than 180 days. I s ,.red By
INSTALL.ATION ONI-Y------
rhe installation is being made on property I own whirh is not intended fur
lyase, or- rent.
1WNFRIS c3lGNA,rLJRE- DATE:
INSTOLLAI ION ONLY-
ITGNATURE OF SUPR. ELECINs DATE:
TCENSE NO:
Call for- inspection - 639-4175
Alt
G.-timmunlity Development F' C-CTRICAL. PERMIT APPLICATION
13125 SW Hall Blvd.
�
Tigard, OR 97223 Permit #g Date Issued
°hone (503) 639-4171
-- ��—_—-
FAX (503) 684-7297
CIrl OF TIGARD TDD No. (503) 684-2772.
Inspection (503) 639-4175 -
1.—Job Address: 4. Complete Fee Schedule Below:
Name of Development L t .v c,-k J <<f.. A e rL Number of Inspections per permit allowed
brL5
Address 424 q w1 -J L L,;;1L1u Service .ncluded Items Cost(ea) Suri
City/StatelZip..__tA+Ad-0—_ OA� q I z 1 4a. Residential -per unit a110 00
1000 sq ft or less
�r t�` Each additional 500 sq ft nr I
Nan1e (or name of business)_S; c. ��`r.ti �5 $2500
---•--�- portion thereof __—_—
Commert.'al Residential ❑ Limited Energy $2500
Each Manufd Home or Modular
Dwelling Service or Feeder $6800
2a. Contractor installation only:
4b. Services or Feedsrs
1 inslallntion alteration.or relocation
E!ectrical Contractor O e:i i j� n <. $60 00 _.—_— 2
200 amps or less
Address PLl Is..; Ziff S`i201 amps to 400 amps —_ $1$8000 2000 2
—� —_ Li Z 401 amps to 600 amps —
State__, p V� j 1 601 dmpsto 1000 amps $18000 _
Phone NG._. L 1 r _ t.'S 1 _ over 1000 amps or volts $34000
Job NO. 1 3 t _ r econnect only A- $5000
contractor's license NO-1`t 2's 4c. Temporary Services or Feeders
Contractor's Board Reg. No._�1e5�•�j� installation,alteration.or relocalior
200 amps or less `
Signature of Supr. Ele-,'n /,f;',,,.,. ,� -- ---_..-- z
—'�-�"— > 201 amps to 460 amps $50 u0
License No /il S - Phone Nd"" l• L4 -.)'6 s L 401 amps to 600 amps $7500
--- 2
Over 600 amp! 1000 volts $t On n� -- --
2b. For owner installations: see'b"abovr
4d. Branch Circuitu
Print Ownef'5 Name —�— _ New,alteration orextenslonper pane
a)The fee for branch circuits with
City —_ State, _ _ p---
ZI p purchase of service or feeder'90.
-- Each branch circuit $5.00
Phone No. _ -_ ____ h)The fee for branch cirruita without
The installation is being made on property I own whicri is purchase of service or feeder fee.
not intended for sale, lease or rent. First Eaacbrand circuit _ $3500 ~
h artditlnnal brand•circuli —� $500
Owner's Signature _ 4e. Miscelianeous
(Service or feeder not included)
3. Plan Review section (if required). Each pump or'"'gallou circle $40 DO -- -- `
Each sign or outline lighting S4000
Signal circuits)or a limited energy
Please che.k appropriate itanr arid enter fee In section 58. panel,alteration or extension $4000
4 or more residential units in one Structure Miror Labels(10) $10000
Service and feeder 225 amps or more
_ 4f. Each additional Inspection over
System over 600 volts nominal
Classified area or structure containing special occupancy the allowable In any of the above
------ PerinspeWion 53500
as described in N E C Chapter 5 ver hour $5500
In Plant _—_ $5500
Submit 2 sets of plans with application where any of the above
apply. Not required for temporary construction services. 5. Fees:
rc
NOTICE 5a. Enter total of above fees $ -
5% Surcharge (05 X total fees) $ --
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 PCRIOD OF 180 DAYS AT ANY TIME AFTER WORK IS Sut/vtal g
COMMENCED L1 Trust Account # It
Ba►ance Due $ `_ —
CITY OF TIGARD
DEVELOPMENT SERVICES BUILDING PERMIT
13125 SW Hall Blvd., Tigard,OR 97223 (503)639.4171 PERMIT #. . . . . . . : NUP9E,• 0559
DATE ISSUED: 12/O2/96
SITE ADDRESS. . . 10a5171 SW GREENBURG RD #111. PARCEL: 1 S 135AN-O4COO
SUBDIVISION. . . . : ZONING:C-P
NLOCK. . . . ,. . „ . . . LOT. . . . . . . . . . . . .
RF_:I SSUE: FLOOR AIRE_AS-------_...__.__ EXTERIOR WAL..L_ CONSTRUCTION-
CLASS OF WOR;-.. :ALT FIRST. . . . : x;1.90 s f N: S: E: W:
TYPE OF USE. . . :COM SECOND. . . : 0 sf PROTECT OPENInIGS?---_______..
TYPE OF CONST. :2FR . . . . 0 sf N: S: E: W:
OCCUPANCY GRP. :B 1-0TAL.----•----: 51 90 s f ROOF CONST: F=IRE RET? :
OCCUPANCY LOAD: 5L: BASEMENT. : 0 s f PREA SEP. RATED:
'3TOR. : 0 HT: 0 f t GARfIGE. . . : 0 s f OC('!J SEP, RATED:
BSMT? : HE'Z.Z?: REQD SETBACK S-___--------• REQUIRED-------- -..
I=I_-OOR LOAD. . . . : 0 Ips f LEFT- 0 ft RGH 1-: 0 ft F=I R SPKL:Y SMOK, DET. . :
DWELLING UNITS: 0 FRNT: 0 ft REAR.: 0 ft FIR ALRM:Y HNDICP ACC:
BEDRMS: 0 BAIH5: 0 IMI ' SURFACE: 0 PPO CORP. PARK II\I(y: 0
VAI_uE. 3 : 13597
Pemai^ks : Tenant: impr,nvempnt _ CORNFORTH ENGINEERING
IE'NANT TMF•'ROVEMENT -
Owner: ___.._._____._._________._____----_ _______.__...__-----------......__..___. FEES
NORRIS BECGS & STMPSON type amor.int by date r�ecpt
10220 SW GFi
Commercial BuildincPerm_it Application 11173
73
City of Tigard — )
13125 SW Hall Blvd.
Tigard, OR 97223 W1��
(503) 639-4171
�, I�
Jobsite Address: 5,�1rr16 •
� � t� fffce Use Only, Al
Tenant: b
� �Zl��.!'�ec�s.Sulte #�� l�nd�� !
X17 .I
Valuation: Planck/Rec#1—___—___� — --
Permit #
Owner: �-SM#040tj -- Map & TL# � `:%
,address. S-t, J.
U�--� Approvals Require
Z Planning--�_.—_.—_
Phone: �/ Q(J Engineering _
Other
Contractor.
i
Address:
Type of const.
Occupancy class:
Phone: � �
•� � p p aI° I Yes
Contractor's I.Icens # I �I oZ ,r,�u �'FI_ gprinklered? No
�(o✓� I2.-+-9L., attach copy of currant Oregon license) Sq ft. of project:
V✓l�-c� ��7�
0C.��.lC CbW iC7• Q Story (tst, 2nd, etc.)
`� --
/ Architect/Englneer:_JMI-Y'N Proposed use:(.,QW
} rr -
�`�J' Previous use: �?.l�—j- `---
_ rid ► "_._ 1 2� ___- Note: Plumbing & mechanical plans
must be submitted at time of
Phone �D �l U _—_ — building permit aoplir.ation.
GUMMENTIQ. _ '•
AppIic "ignatule 8 Phone numbs
� Received by:._ APO Date Received:
Permit # Account Description Amount Amt. Pd. Bal. Due
G
Bldg. Permit
Plumb. Permit (PLUMB)
Mech. Permit (MECH)
State Tax (TAX)
Bldg: T_
Plumb:
Mech:
Plan Check (PLANCK)
Bldg:
Plumb:
Mech:
Sewer Connection (SWUSA)
Sewer Inspection (SWINSP)
Parks Dev Charge (PKSDC)
Storm Di ainage Chg (SDSDC)
Residential TIF (TIF-R)
Mass Transit TIF (TIF-MT)
Commercial TIF (rlF-C) �_ r
Industrial TIF (TIF-1)
Institutional TIF (TIF-IS)
Office TIF (-TIF-0)
Water Quality (WQUAL) —
Water Quantity (WQUANT)
Fire Uis'rict (FIRE)
TOTALS: 22-
�-
CITY OF TIGARD DUII_DING ;NSPECTION DIVISION
24-Hour Inspection Line: 639-417.5 Business Line: 639-4171 MST _— —
BUP
_—_ .Date Requested _ —� AM PM BLD —
--- ---------- ----
Location �L� �'G% y �_� v —_ Suite !j j__-- MEC
Contact Person --// _ Ph —_-- _ PLM _
Contractors �� l K /c�l�r /C _ Ph - ----_ - SWR — — -
IBBUILDING— Tenant/Owner ELC _
[Retaining Wall ®._._,.�__.. ---------- - ELR
Footing Access: _Q�----
Foundation FPS
Ftg Drain _ -
crawl Drain Inspection Notes: //ll�_ ����'��- SIGN
Slab �L'�!�t- .U/y-�� _/rL�/V71� SIT t
Post& Beam
Ext Sheath/Shear
Int Sheath/Shear
Framing ------- --- -
Insulation - ---
drywall Nailing - -
Irrewall ---'� - -
Fire Sprinkler - off - -- 6 --_-- - -
Fire Alarm
Susti'd Ceiling -------
Roof -------------- --------
Misc.
-- ------- -_ - ------ -------- -- ----
Final ---
PASS PART FAIL -- -.--- __---- -----_—_--- _ _ _
PLUMBING
Post 8 Beam ---- ---------- -- -- - -
Under Slab
Top Out —.
Water Service
Sanitary Sewer - --
Rain Drains
Final --- -
PASS PART FAIL.
MECHANICAL
Frost& Beam - -_ - -- - ---------- -- --- - -- -----
Rough In -
Gas Line
Smoke Dampers - ---_--- -------._.------------------_-._----- -----_____
Final - ---- - ------ --------- -_- -------------
5...- RT FAIT_
ELECTRICAL --- ---------- -- — --- --- - —�— ------------- —
e_
Rough In ------ - - -- ---- ----- - - -- --- ----_- —.--_
UG/Slab
ow Voltages --- -.____-------- ----- -------------_-_------- ---- ------.-
T PARTFAIL -- ------- - ---------- ---- ------- —�._-
Backfill/Gradirrg -- -------- -- ----- -.- -.__-- -----
Sanitary Sewer
Storm Drain ( )Reinspection fee of$--- -required befow next inspection Pay at City Hall, 13125 SW Fall 31vd
Catch fiasin
Fire SUpply Line [ ]Please ca;'for reinspection RE: _ _-_-- _ ( )Unable to inspect-no access
ADA -
Approach/Sidewalk /1
Other -- Uate � _Inspector Ext
Final ---` - -
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
ELECTRICAL PERMIT-
CITY OF T!GA R D
/ RESTRICTED ENERGY
DEVELOPMENT SERVICES — PERMIT#: ELR1999-00243
13125 SW Hall Blvd., Tiqard, OR 97223 (603) 639-4171 DATE ISSUED: 10/18/99
SITE ADDRESS: 10250 SW GREENBURG RD 111 PARCEL: 1S135AB-04500
SUBDIVISION: LINCOLN BUILDING PP1991-055 ZONING: C--P
BLOCK: LOT: 001 JURISDICTION: TIG
Proiect Description: Installation of data telecommunication system.
A.RESIDENTIAL. B.COMMERCIAL __�--�-----'_--�
AUDIO & STEREO: _ AUDIO& STEREO: INTERCOM & PAGING:
BURGLAR ALARM: BOILER: LANDSCAPE/IRP.IGAI:
GARAGE OPENER: CLOCK: MEDICAL:
HVAC: DATA/TELE COMM: X NURSE CALLS:
VACUUM SYSTEM: FIRE ALARM: OUTDOOR L.ANDSC LITE:
OTHER: HVAC: PROTECTIVE SIGNAL:
INSIRUMEI TAl'ION: OTHER:
TOTAL#OF SYSTEMS: 1
Owner: Contractor:
KNICKERBOCKER PROP, INC XXIV ALLEN/TALK INC
BY NORRIS', BEGGS + SIMPSON 9020 SW GEMINI
10300 SW GREENBURG RD STE 200 BE=AVERTON, OR 97008
PORTLAND,OR 97223
Phone: Phone: 646-0533
Reg #: LIC 47238
SUP 181JLE
ELE 34258CLE
FEES Required Inspections
_Type By Date Amount Receipt _ Low Voltage Inspection
PRMT DEB 10/18/99 11060.00 99-319146 Elect'I Final
5PCT DEB 13/18/99 $4.80 99-319146
Total $64.80
This Permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes J
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
requi you to Wpw rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952 01-0010 through OAR 952-001-0080. You may obtain copies of these rules or direct questions to OUNC at (503)
246 1987.
Issu d by a�-�ItO Permittee Signature �.-
OWNER INSTALLATION ONLY
The installation is being made on property I own which is not intended for sale. lease, or rent.
OWNER'3 SIGNATURE: DATE:
CONTRACTOR INSTALLATION ONLY
SIGNATURE OF SUPR. ELEC'N DATE:
LICENSE N O: --------------- ----- -- ——
Call 639-4175 by 7:n0 P.M. for an inspection needed the next business day
IVED
CITY OF TIGARD RICTED ENERGY ELECTRICAL APPLICATION Recd I _ 1
nate Recd:/tl-
13125 SW MALL BLVD
TIGARD OR 97223 OM �9�g PRINT OR TYPE /
V - 503 639.4171 X304 Permit
F - 503-598-1960 C0MMUNI'fyIWC6W9&E OR ILLEGIBLE APPLICATIONS Cust.Call'd:__
WILL NOT BE ACCEPTED -
Name of Development Project _TYPE OF WORK INVOLVED -RESIDENTIAL ONLY
Restricted Energy Fee........................................ $60.00
cooJoy+k
(FOR ALL SYSTEMS)
.JOB Street Address Ste# Check Type of Work Involved.
ADDRESS 10'ar
Cit (state 71'
Phone# ❑ Audio and Stereo Systems
Name ❑ Burglar Alarm
_ — ❑ Garage Door Opener'
OWNER Mailing Address
=Phone# Fleating,Ventilation and Air Condition ng System'
City/StaterZip
�i — ❑ Vacuum Systems'
Name
Aw o ❑ )ther
CONTRACTOR Mailing Address Y TYPE OF WORK INVOLVED-COMMERCIAL ONLY
(Prior to issuance a ity/State Zip Phone# Fee for each system.......................
$60.00 —'
copy of all licenses C °I lobs (SEE OAR 918-260-260)
are required If Oregon C tr. rd is # ate
x
expired in C.O.T. _ IV0_ Check Type of Work Involved,
data base) Electrical Contr Ic # Exp. pate Audio and Stereo Systems
C O T or Metro Llc.# Exp. ate
3�CJrJS —_ fj Boiler Controls
Owner's Name
—, Clock Systems
OWNER . Mailing Address
Data Telecommunication InstallationAPPLICANT
City/State Zip Phone# ❑ Fire Alarm Installation
This permit is issued under CAE 918-320-370 This applicant agrees to n HVAC
make only restricted energy installations(100 volt amps or less)under this
permit and to do the following ❑ Instrumentation
1 Only use electrical licensed persons to do installations where required
Certain residential and other tra -ions are exempt from licensing ❑ Intercom and Paging Systems
These have asterisks(') All oth, •d licensing,
❑ Landscape In,gation Controi'
2. Call for inspections when installatic n under this permit are ready for
inspection at 603-6394175; ❑ Medical
3 Purchase separate permits for all installations that are riot ready for an Nurse Calls
inspection when the inspector is out to inspect under this permit;
4 Assume responsibil4y for assuring that all corrections renuired by the Outdoor Landscape Lighting'
inspector are done,and. ❑
r'rotective Signaling
5 Assume responsibility for calling for a final inspection when all of the
corrections are completed ❑ Other
Permits are non-transferable and non-refundable and expire if work is not
started within 180 days of issuance or if work is suspended for 180 days _ Number of Systems
The erson signing for this permit must be the applicant or a person No licenses are requited Licenses are equired for all other installations
I
to bind the applicant -- -- -- -----
_ _ FEES:
E TER FEES
Signature Q3 s�o eO
�,Ar SURCHARGE(A5 X'rOTP,L ABOVE) S—_A. _
Authority f other than Applica.it TOTAL f _ _=O
dslsUormsUeitek deo 3198
7`/J( r