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10300 SW GREENBURG ROAD STE 100-2 r O CW 1 F7 z n S I r 10300 SW C11tEVNgt11 G RD 100 CITYOF T I G A R D CERTIFICATE OF OCCUPANCY DEVELOPMENT SERVICES PERMIT#: BUP2003-00008 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 1/7/03 PARCEL: 1 S135AB-01003 ZONING: C-P JURISDICTION: TIG SITE ADDRESS: 10300 SW GREENBURG RD 100 SUBDIVISION: LINCOLN ONE/RED LOBSTER/CASA L BLOCK: LOT: CLASS OF WORK: ALT --------------_____ TYPE OF USE: COM TYPE OF CONSTR: 2FR OCCUPANCY GRP: B OCCUPANCY LOAD: 17 TENANT NAME: TRIAD TECHNOLOGIES REMARKS: TI Owner: EOP LINCOLN, I.1 C 10260 SW GREENBURG RD SUITE 100 P%16 ND59f-A42-IR17 Contractor: C SCHIEWE& ASSOCIATES INC 1024 NE DAVIS ST PORTLAND, OR 97232 Phone: 503-234-6617 Reg#: LIC 54105 This Certificate issued 2/28/03 grants occupancy of the above referenced building or portion thereof and confirms that the building has been inspected for compliance with the State of Oregon Sper.ialty Codes for the group, occupancy, and use under which the referenced permit wa L BUILDING IIJSPECTOR E3111LD1 G FICIAL POST IN CONSPICUOUS PLACE CITY OF T I GA R D -- BUILDING PERMIT PERMIT#: 13UP2003-00008 DEVELOPMENT SERVICES DATE ISSUED: 1/7/03 13125 SW Hal! Blvd., Tigard, OR 97223 (503) 639-4171 PARCEL: 1S135A1301003 SITE ADDRESS: 10300 SW GREENBURG RD 100 SUBDIVISION: LINCOLN ONE/RED '.OBSTER/CASA L ZONING: C-P BLOCK: LOT: JURISDICTION: TIG REISSUE: FLOOR AREAS _ EXTERIOR WALL. CONSTRUCTION CLASS OF WORK: ALT FIRST: sf N: S: E: W: TYPE OF USE: COM SECOND: sf _ PROJECT OPENINGS? TYPE OF CORST: 2FR sf N: S: E: W: OCCUPANCY GRP: 6 TOTAL AREA: 0 sf ROOF CONST: FIRE RET? OCCUPANCN 'LOAD: 17 BASEMENT: sf AREA SEP. RATED: STOR: 5 HT: ft GARAGE: sf OCCU SEP. RATED: BSMT?: MEZ-Z?: REQD SETBACKS REQUIRED FLOOR LOAD: psf LEFT: ft RGHT: ft FIR SPKL: SMOK DET: DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP ACC: BEDRMS: BATHS: IMP SURFACE: PRO CORK: PARKING! VALUE: 4 of V, Dxj, 00 Remarks: 11 Owner: Contractor: EOP LINCOLN, LLC C SCHIEWF & ASSOCIATES INC 10260 SW GREENBURG RD 1024 NE DAVIS ST SUITE 100 PORTLAND, OR 97232 PORT'.AND, OR 97223 Phone: Phone: 503-234-6617 Reg#: LIC 54105 FEES _ REQUIRED INSPECTIONS Description Date Amount Mechanical Permit Require I BUILD] Permit Fee 1/7/03 $235.30 Electrical Permit Required ITAX]89r6 State"Tax 1/7/03 $18.82 Framing Insp 13UPP1.N Pin IRv 1/7/03 $152.95 Gyp Board tion nsp I 1 Final Inspection I FLS] FLS Phi Rv 1/7/03 $94.12 Total $501.19 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0100. You may obtain a copy of these rules or direct questions to OUNC by calling (503) 246-6699 or 1-800-332-2344. Issued By: �],j.(.!_ ! [_ _ 7 L _— Permittee Signature: -- ZCall 639-4175 by 7 p.m. for an inspection the next business day Building Permit Application Date received: ---] -O Permit no.: ?-U(Jc City of Tigard - Address: 13125 SW Hall Blvd,Tigard,OR 97223 Project/appl.no.: Expire date: City of Tigard Phone: (503) 639-4171 Date issued: By: G Receipt no.: Fax: (503) 598-1960 Case file no.: Payment type: Land use approval: I&2famjly:Simple Complex: U I &2 family dwelling or accessory U Commercial/industrial U Multi-family U New construction U Demolition U Addition/alteration/replacement ATenant improvement U Fire sprinkler/alarm U Other: 11 SITE INFORMATION Job address: c)?00 SW Greehbu►� va bldg.no.UNOo&N Suite no.: 5i� R d Lot: __ Block; Subdivision: _ _�x map/tax lot/account no.: Project name: 'rri ati I t.,C�Ytti(oal tom___ —__--- Description and location of work on premiscs/special conditions; Tenant I»tnn vemeAt(I loodphin,septic capsell v,%olai,etc.) Name: Lei�IT`{ oFFtcE PRvPER7tEs Mailing address: 10260 5W Gp. t-31114.0 Ft-0 SUITE 100 1&2 family dwelling: City: FoRTLP+JD State:Op. ZIP; 97223 Valuation of work........................................ $ Phone5o1l $92-25oo Fax; E-mail: No.of bedrooms/baths................................. _ Owner's representative: I'�7 N. GLu/r- t3pD k�rcbtitectr Tnc Total number of flours................................. Phone5o3 224-065f6 Fax fi-mail: New dwet,ing area(sq.ft.) .......................... Garage/tarpon area(sq. ft.)......................... Name: &BD A-rckitec'tl, Inc Covered porch area(sq.ft.) ......................... s ft. Mailing address: 1)20 SW 3� avenue st�j tt 4-000�o� Deck area( ) .......................•.............•.. City: Porta State:n 'LIP: 9720 Uther structure area(sq. ft.)......................... Phone5O3 22�} 9tr; , Fax E-mail: Commercial/industrial/multi-family: 00 Valuation of work........................................ $ 'LOFUOo, Existing bldg.area(sq.ft.) .......................... 0 Business name: G Sr j e•W e h 5 New bldg.area(sq.ft.). Address: S S Number of stories........................................ Cit �—'r State: ZIP °) Z''.�2 y_—.�2 �� 'Type of construction.................................... _---- PhoneSot, 2 Fax: I E-mail: -- Occupancy group(s): Existing: CCB no.: S41oC' _-. New: D' City/metro lic.no 7Noflee: contractors and subcontractors arc required to be h the Oregon Construction Contractors Board under Name: P%MIE APF jI( rf ORS 701 and may be required to be licensed in the Address: jurisdiction where work is being performed. If the applicant is City: State: ZIP: exempt from licensing,the following reason applies: Contact person: Plan no.: Phone Name: lContact IM-sun: Fees due upon application ........................... $ Address: Date received: City: State: ZIP; Amount received ......................................... $ Phone: Fax; E-mail: _ Please refer to fee schedule. I hereby certify I have read and examined this application and the Not alt jurisdictions wcepr credit cods,please call junsdiction for more inf"ation. attached checklist.All provisions of laws and ordinances governing this U viae U MasterCard work will be complied with,whether specified herein or not. cmtu cold"amtxr._-- Expires Authorized signature:_— l2..lfi`�___ Da'e: 1 ?•02 --iaame cardholder a drown on credit card p�� ar $ Print name:-`-1L VY — Cdholder ntur alpe Amount Notice:This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. 40013(6MCOM) Trlad �ecv�vtU(u JieS 703 Accessibility: By •rier Removal Improvement Plan City of Tigard REQUIREMENT: OREGON REVISED STATUTE (ORS) 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 exceeds twenty-five per-cent(25%). VALUATION: of all renovation, alteration ur modification being done 00 excluding painting, wallpapering. Ill $ 2 �•— MulgplV: 25% Barrier removal requirement. 25 BUDGET FOR BARRIER REMOVAL (2l $ 157, a.�00 In choosing which accessible elements to provide under this section, priority shall be given to those elements that will provide the greatest access. Elements shall be provided in the following order: . t7U (a) Parking lett res�iFpi ,a'tt.e b„ork rel8+1n 'ti $�•_ :.Ccec-r 616_ ,-Met,ac�PSriW,Far4-i�^9 + =i,JN�p. (b) An accessible entrance: 1 J $ (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 i\dsts%fomus Accessibility.doc 09/24/01 CITY OF TIGARD BUILDING INSPECTION (DIVISION MS'T 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 BUP Date Requested_ 5 I AM_ PM BLD ~ Location— Suite lU0 MEC _ Contact Person rDPh _ PLM Contractor, l,V(I ��IC/ Ph G, 2 ?� 3 SWR BUILDING Tenant/Owner �1'��Q/-►',J t���`-�t=_� ELC � ' OU — Retaining Wall ELR Footing Access: Foundation FPS Ftg Drain 1IL�X �L C l/ `�� — SGN Crawl Drain nspection Notes: rt -- Slab 'r S��f' SIT Post&Beam -------- --- Ext Sheath/Shear Int Sheath/Shear Framing Insulation Drywall Nailing - —� ___ 411 — Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling — Roof Q , Misc: --- / Final -^ PASS PART FAIL - ------ -- -- PLUMBING Post & Beam Under Slab I uh chit Water Setvicee Sanitary Sewer --- — Pain C>rar�s Fincl --------__ -__ PASS PART FAIL_ MECHANICAL _ Post& Beam -- Rough In Gas Line - -- - - - - -- ----- -— Smoke Dampers Final -- _ -- -- -- PASS PART FAIL keffTRIC Service ------ --- _—_ Rough In UG/Slab ------- Low Voltage Fire Alarm in PART FAIL IT Backfill/Grading — - Sanitary Sewer Storm Drain [ ]Reinspection fee of$ _required before next inspection Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line [ ]Please call for reinspection RE [ ]Unable to inspect no access ADA Approach/Sidewalk Date -yg�--1 ._(51&f - -_ Inspector Ext Other -- Final PASS PART FAIL DO NOT REMOVE this irispectiori record from the joh site. n, IPERMITCITY OF TIGARD ELECTRC: ELC99-017 DEVELOPMENT SERVICES DATE ISSUED: 03/05/99 13125 SW Hall Blvd., Tigard,OR 97223(503)639-4171 PARCEL: 1S135AP--01003 SITE ADDRESS. . . : 1O3O0 SW GREENBURG RD #100 SUBDIVISION. . . . !L.INCOLN ONE/RED LOBSTER/CASA L 7.ONING:C—P BLOCK. . . . LOT. . . . . . • . . . . JURISDICTION: TIG Project Description: Installation of 6branchcircuits. Job No. 50. ---RESIDENTIAL UNIT---- -----TEMP SRVC/FEEDERS---- -----MISCEL.LANEOUS---- 1000 SF OR LESS. . . . : 0 0 — 200 amp. . . . . . . : 0 PUMP/IRRIGATION. . . . : 0 EACH ADD' L 5O0SF. . . : 0 201 — 400 amp. . . . . . . : 0 SIGN/OUT LINE LTG. . : 0 LIMITED ENERGY. . . . . : 0 40.1 — 600 amp. . . . . . . : 0 SIGNAL./PANEL. . . . . . . : 0 MANF. HM/ SVC/FDR. . : 0 6O14-amps-1000 volts. : 0 MINOR LABEL ( 10) . . . : 0 ----SERVICE/FEEDER----- ---BRANCH CIRCUITS------- ---ADD' L INSPECTIONS--- 0 — 200 amp. . . . . . : 0 W/SERVICE OR FEEDER: 0 PER INSPECTION. . . . . : 0 201 — 400 amp. . . . . . : 0 1st W/O SRVC OR FDR. : 1 PER HOUR. . . . . . . . . . . : 0 401 •- 500 amp. . . . . . : 0 EA ADD' L BRNCH CIRC: 5 IN PLANT. . . . . . . . . . . : 0 601 — 1000 amp. . . . . : 0 ------------------PLAN REVIEW SECTION-------------_____ 1000+ amp/volt. . . . . : 0 ) =4 RES UNITS. . . . . . . . : ) 600 VOLT NOMINAL. . : Reconnect only. . . . . : 0 SVC/FDR > = 225 AMPS. . : CLASS AREA/SPEC OCC. : Owner,: __-_________.____—__.__________.__.____—____.__.-..___._.___._. FEES KNICKERBOCKER PROP, INC XXIV type aMOIAnt by date recpt BY NORRIS BEGGS 8 SIMPSON PRMT $ 60. 00 DEB 03/05/99 99-313465 10300 SW GREENBURG RD STE 200 SPCT $ 3. 00 DEP 03/05/99 99-313465 PORTLAND OR 97223 Phone #: Contractor: WILLAMETTE ELECTRIC INC $ 63. 00 TOTAL PO BOX 230547 -- - REQUIRED INSPECTIONS -- TIGARD OR 97281 Ceiling Cover Elect' l Service Phone #: 624-3631 Wall Cover- Eler_t' l Final Reg #. . : 000750 This permit is issued subject to the regulations contained ir. the Tigard Municipal Code, State of Oregon Specialty Codes and all other applicable laws. All work will be done in acrardance with approved plans. This permit will eM ire if work is not started within 188 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon requires to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAP, 952-901-80 through OAR 952 1-1987. You may obtain a copy of these rules or direct questions to Ol1NC by calling (503)246-1987, Flermittee Si gnat .rr,e: Iss�.red By: 6 6z __. INSTALLATION ONLY----------------- The installation is being made on proper-ty I own which is not intended for- sale, lease, or^ rent. OWNER' S SIGNATURE - _Y _ _ DATE: INSTALLATIO ONLY ^IGNATURE O 5UPR. CLEC' N: �,��'�:.. Df1TE: LICENSE NO: 1 9p�� +++++++++f++++++++++++++++++++++++++++++++++.f-+++++++++++a-++++++++++++++++++++-�+ Call 639-4175 by 7:00 p. m. for- an inspection needed the next bi.rsiness day ++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++i-++++++++++++++++++ r RECEIVED CITY OF TIGARD Electrical Permit Application Plan eck# _ 13125 SW HALL BLVD. MAR I ��)`.l ReA By TIGARD OR 97223 r�^' Date Recd COuiFfiUC'(ITY DfVELO.+.,.�'' Date to P.E. -��- Phone (503)639-4171, x304 Print or Type Date to DST T- Inspection (503) .;39-4175 Incomplete or illegible will not be accepted Permit# £ =o/cri7 Fax (503)684-7297 Called- 1. Job Address: 4. Complete Fee Schedule Beloli Name of Development Oat (_,A c i 1- _ Number of Inspections per permit allowed -- Name(or name of business) F,'I . Ce-,i a Service Included: Items Cost Sum Address C • t- 1 4a. Residential•per unit 1000 sq.ft.or less $110.00 _ City/State/Zip 1,Sj.A_�_ UA } I-L � (� Each additional 500 sq.It.or Commercial® Residential ❑ portion thereof $25.00 1 Limited Energy $25.00 Each Manut'd Home or Modular Dwelling Service or Fender $66.00 , 2a. Contractor installation only (Attach copy of all current licenses) 4b.Services or Feeders r' Installation,alteration,or relocation Electrical Contractor_ f I .u� ti, Pc��r •� 200 amps or lase $60.00 Address, 2 7o ;-q 7- 201 amps to 400 amps $80.00 _ 2 City_ /a •�Y1_State Zip 401 amps to 600 amps $120.00 2 Phone N0._ 4 Z - 3 L S/ � 601 amps to 1000 amps $180.00 2 Job No._ 1t^ D Over 1000 amps or volts $340.00 2 Elec. Cont. Lice. No. 711- 7 S 3 Exp.Date /U/, let 5 Reconnect only - $50.00 2 OR State CCB Reg. No. ?5-C Exp.Date &/_`a� 4c.Temporary Services or Feeders CAT Business Tax or Metro No. /)'5 c Exp.Dat �� Installation,alteration,or relocation '00 amps or leas $50.00 201 amps to 400 amps $75.00 Signature of Supr. Elec'n 401 amps to 600 amps $10000 Over 600 amps to 1000 volts, License Nr- /�1G S=� Exp.Date ,0 1 c see"b"above. Phone N, 4d.Branch Circuits New,alteration or extension per panel 2b. For owner installations: a)The fee for branch circults with purchase of service or Print Owner's Name feeder tee. Address Each branch circuit $5.00 2 b)The fee for branch circuits City__ State Zip without purchase of Phone N0._ _ service or feeder lee. 7 C' First branch circuit t $3500 1^_ _2 The ins!allation is being made on property I own which Is not. Each additional branch circuit $5.00 ? 2 intended for sale, lease or rent. 4s.Miscellaneous (Service or feeder nr ick:dod) Owner's SignatureEach pump or irrigation circle �- $40.00 p Each sign or outline lighting $40.00 2 3. Plan Review section (if required):" Signal circult(s)or a limited energy - panel,alteration or extension $40.00 2 - Please check appropriate Itern and enter fee In section 5B. Minor Labels(10) $100.00 _ 4 or more residential units In one structure 4f.Each additional Inspection over Servile and feeder 225 amps or more the allowable in any of the above System over 600 volts nominal Per inspection $35.00 _ Classified area or structure containing special occupancy Per hour $55.00 as described In N.E.C.Chapter 5 In Plant $55.00 `Submit 2 setts of plans with application where any of the above apply. 5, Fees: / r Not required for temporary construction services. 5a.Enter total of above fees $ (o 5%Surcharge(.05 X total fees) $ -NQILQE Subtotal $ ----- Sb.Enter Review of line ie q for PERMITS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED IS Plan Review Iflf ie un fired(Sec 3) $ NOT COMMENCED WITHIN 180 DAYS,OR IF CONSTRUCTION OR WORK Subtotal $ IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY r-I TIME AFTER WORK IS COMMENCED. LJ Trust Account# S J Total balance Due I%DS 1ELC%. APP Rev WN CITYnF TILARD — ELECTRICAL PERMIT ll'�� PERMIT#: ELC2003-00617 DEVELOPMENT SERVICES DATE ISSUED- 10/8/03 Ilk 13125 SW Hall Blvd., Tictard. OR 97223 (503) 639-4171 PARCEL: 1S135AB-01003 SITE ADDRESS: 10300 SW GRt -NBURG RD 100 ZONING: C-P SUBDIVISION: LINCOLN ONEIRED LOBSTER/CASA I_ BLOCK: LOT: JURISDICTION: TIG Project Description. Relocate(2)contractors. Job No.6599 RESIDENTIAL UNIT TEMP SRVC/FEEDERS _ MISCELLANEOUS 1000 SF OR LESS: 0 200 arnp: PUMPIIRRIGATION: EACH ADD'L 500SF: 201 - 400 amp: SIGNIOUT LINE LTG: LIMITED ENERGY: 401 - 600 amp: SIGNAL/PANEL: MANF HMI SVC/FDR: 601+arnps - 1000 volts: MINOR LABEL (10): _ SERVICE/FEEDER ` _ _` BRANCH CIRCUITS ADD'L INSPECTIONS 0 200 amp- WISERVICE OR FEEDER: PER INSPECTION: 201 - 400 amp: 1st W/O SRVC OF: FDR: 1 PER HOUR: 401 - 600 amp: EA ADD'L BRNCH CIRC: I IN PLANT: 601 - 1000 amp: PLAN REVIEW SECTION-------- —�_—....— -- 1000+ amp/volt- -4 RES UNITS: > 600 VOLT NOMINAL: Reconnect only: SVC/FDR >= 225 AMPS: CLASS AREA/SPEC OCC: Owner: Contractor: EOP LINCOLN,LLC NEW TECH ELECTRIC 10260 SW GREENBURG RD 1400 NE 48TH AVE. SUITE 100 HILLSBORO,OR 97124 PORTLAND,OR 97223 Phone: Phone: 503-648-1900 -, Reg #: LIC 41868 SUP 2113s FEES_ ELE 26-41S, Description Date Amount _ _ Required Inspections I I_PRIvIT) ELC•Pemrit Io 8 of $53.50 - -----_ -- I I AX I X"s State'rax 10 S u t $4.28 Rough Elect'I Final nal Total $57.78 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 not started within 180 days of Issuance,or if work is suspended for more 18b daya ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth i AR 952-001-0010 through OAR 952-001-0100. You may obtain copies of these rules or direct questions to OUNC at(503)246.6699 or 1-80 332-2344. Isau d By: ( c� i` ' I t� JI C t1�e i Permit Signature: � � t _ OWNER INSTALLATION ONLY The installation is being made on property I own which is not intended far sale, lease, or rent. OWNER'S SIGNATURF- DATE:__ CONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR. ELEC'N: _ 1' .. -- �e—_ DATE: -- LICENSE NO: -- Call 639-4175 by 7:00pm for an inspection the next business day 10/06/03 MON 19:50 FAX 503 648 31.31. NEW TECH ELEC 001 Electrical Permit Apnlieation Rrocivea �� � Electrical Pcr ttNol•- L` *X � -c'Cel 2 Plo,mtng Aptxnvt+ Sign City of Tigard M + w.i �' - "�--- _ __ _ Permit No. 13125 Cw Hail Bled. Plan Review otII lot—amY ._-- Pamrit No._ Tigard,Oiegon 97223 Post-Review --- Umd Use Phonr.: 503-639-4171 Fax: 503-598-1960 OatrJH _-.-- Case No. Internet: www,ci.tigard.or.us Coir-actIuri . T�,Sea Page 2 for 24•l,ntlr ITlspectinn R,-qutst. 502-6394175 _Nan,rJMethod„ �,_ l_SJrplemental lolormation.— MEN New eonstmetion Demolition Service over 225 amps [j Nea`�tl 1:a,r tar.,hty comrr,ernial location Addition/alteration/17 lacement Service over 320 amps-ruins of ❑building ever 10,000 squart feet, I &2 family dwellings four or more residential units to ❑system over 600 volts nominal onr.stntcture 1 &2-Famil dwellin Commereia iduftttriixl Building over three atones LI Feeders,4DO amps of roore Aec�uildingL_ Multi-Family 0 ocr.upant load over 99 peril” []Manufactured struc:nrrs or RV park Other: ❑Egress/lightingplan C](lthrr__ -- Matstef Builder Submit_.seta of Plans with any of the above, y { Then are not a IIca I I to Ism,eroY COnskruCtlOn service- .0", `1 job site address: z v ScJ ,ccnlour�`_ '�' Suite#: Bld ./� Apt.#: _ __ __� ____._Number of inN CCti2 er ertnit allowed --- — - - � Description city Pee(n.) 'tool Project Name: -- New rrsidendal etnEle ur multi famlly per �;r(Iss Streetroirecihons to job site: dwe,liog unit.Includes sheered earaye. Sera;^.i Included: 4 1006 .ft or leas 141.15 _ Foch additional 500 sq.IL or ion • ------ .- - Limited seer r residMtla) 75.00 Z SubdiVl6ion: I tit • Limited energy non tiaidenda� ___ • --Z — 'Tax ma ltercel#: Each rnanufsctu"A home or modular dwelling 2 .•--� � service arid/ xdc� �.� Srrvkca er feeders-la,ttdlutbn, r � alteration or ralurattua: 9(10 2 200 armor less , 201 an, s a AM nm j4454.65 .a5 2 ---- -- - -.- . 2 601 MUL11 w 1000 a --� .60 2 �► *� 2 Over loon a npc or valta •-- Name: s es 2 - Temporary servicesor feeders•InstdlaUoer Address: — - - alteratiou,or reloratlon: ci ►/State/7.i : — _ 200La less 201 simps to AM s_rr __.- .30 2 Phone: 13'03 G 2 0y99 Fax: 401 to 600 amla 13 ,75 2 111111111lit grim 171VIRtmilY u� � _ - Branch cirrolte-new,alteration,or e t » ah Name: - --._ A-Fee per,ta circuits _. - A.Fee for branch eirruits with pwchne of 6,65 2 Ad&es9: __. -- Service m feeder-each branch cimuit — _ .. -._ CIt /Sta�te; T- — A.Fe-,for bench circulta without purohasc of 46.85 ��L `e13 2 �_ �- .__ _..._ _. s,rrvice or feeder f � t branch circuit t 11'ax; 13achadlitionallrrytchcircuit 6,65 a 1<honey_ . --ax �_ _. - Mi z.(Servir*or teeAtt not included) 53.40 1 E-mail: t'` e Euh rump r irritation circle _ ' :, _ Foch ai or euuh,c li bun 340 2 Job No; e{roiifs)or ua limited energy pawl. Pa 2 - 2 -- ■Iteration of ertenaion Business NaI11e: �(y_�(L�[ - Addrr,+:_Q01_II2Each additional Ins_Lection ever the allowable In a_n of the above: Ci �t% i , j,Q 2 Per im_ �ion�ar tour�in.I hourL 62,50 - y k Fax: other._33_1 CCB Lic.#: y/8 8 Lic.#: .e - y/06 _.5,�- Supervising electrician subtotal s Si nature re Uil ed: _-__ Plat Revlr:ty 25%of Penn it Pee S 1?rint Neme: Lic. #_ 'y2 fs' S sotto surclwge(ee�of Pt tn�it Ftse _s __�'' - TOTAL PERMIT FEE Autherired Nottee; This permit applleation er<pir•es If a permit b not ehtalneo cruoa Aut Date: -- I!0 days agar it has been accepted an romplete ^Fee methodology set by Tri-County Building Industry Service Board. (Please print namr.) - i.\r)sa\Permit Fomu\BlcPerrnitApp,doe 01103 A LC-dV r -- CITY OF TIGARD 24-Hour BUILDING Inspection Line: (503)639-4175 MST INSPECTION DIVISION Business Line: 03)639-4171 Reecelved _3`�L r�Da ,Requested �Q ¢ — AM___ PM BUP Location —suite., MEC _ �.�. �% Contact Person �. �� __ Ph (__ _} PLM Contractor_ - h; ) __ SWR BUILDING Tenant/Owner C ELC d3 ^/��7/y' Footing L -00 2 / Foundation Access: Ftg Drain ELR Crawl Drain Slab Inspection Notes: } SIT Post&Beam -� _- Shear Anchors -- � Ext Sheath/Shear Int Sheath/Shear Framing - - --------- - - --- insulation c. Drywall Na!ling - - --- - Firewall Fire Sprinkler — - ------ -- - — -- Fire Alarm Susp'd Ceiling Roof Other: --------- -.._—.�--------- - Final PASS PART FAIL PL --�----�-- ---- _-----_ _.._ ,� UMBING _ - ----f- --_-�_- __T ,__-- 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 1 , � Rough-In �' -- ---- Gas Line Smoke Dampers - -- - - - Final P RT FAIL --- EC L Service _�•r - � U � Rough-In UG/Slab Low Voltage F' arm 15b- I 1leinspection fee of$ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd, S g_ Please call for inspeption RE: - Unable to Inspect-no access Fire Supply! 1 ( ADA dab !c� '� Iy Ins r �-'� fFatt Approv - - Ot� I DO NOT REMOVE this Inspection record fr the job Ite. rMh� CITY OF TIGARD 24-Hour BUILDING Inspection Line; (503)639-4175 MST INSPECTION DIVISION usiness Line: (503) 639-4171 _— BUP — Received _._ __�r _Date Requestedp �� _. _ AM- _. __ PM BUP Location L� �.f� I�'��� -- - -- Suite _ MEC -.. - ------ ��. Contact Person — Ph( ) __ PLM --___- Contractor__. — Ph —) ____ SWR BUILDING_ Tenant/Owner .___ v ELC Footing ELC Foundation Access: Fig Drain EL.R — - Crawl Drain Slab Inspection Notes: \ FrLSIT Post&Beam Shear Anchors �- Ext Sheath/Shear Int Sheath/Shear Framing - - - Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm �� C, 1�� �' �� Susp'd Ceiling '�h� Root \J ` Other: Final PASS PART FAIL PLUMBING _ — Post&BeamYVI I \ Under Slab ---- ---- Rough-In Water Service -- --- ---� Sanitary Sewer Rain Drains — — -- — Catch Basin/Manhole 1 Storm Drain - Shower Pan —_ -- �j y, / I A A cL4,av Other: �— Final PASS PART FAIL MECHANICAL Post&Beam Rough-In ----- Gas Line Smoke Dampers --- - — Final PASS PASR TRICA FAIL Service Rough-In UG/Slab Low Voltage L —__— __ -- ---••—- Fire Alarm Final �_� Reinspection fae of$— —required before next inspection. Pay at City Hall, 13125 SW Hall Biva. PASS PART FAIL SITE [� Please call f9r reinspe ion RE: Unable to Inspect-no access Fire Supply Line �, 1 ADA f Approach/Sidewalk Date ��L - - Inure ^—��� "c d--,- _ KXt Other: Final DEQ NOT REMOVE this Inspection record trom th ob site. PASS PART FAIL