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10300 SW GREENBURG ROAD STE 190-2 w a 75 a ..... ... .. . ... .. .. ... :GYM:® � Igo � ! ' AT.D- Fl RE,SMO k- JAM tol VV . ... . _ . .. .. .. �. �.' .! `�`.�:_. S �` . X)sTJ N Cr . .. ._ : .. .. • Fa'R Rod�T ESS- WALL y. u. A n _ ... ...�p c,�,M _. ..;l. .. .. .... . .. ... : ..... : .. ... r �. ,..� v � v R x. . ....— . 1.. . .. .. .. . . .... . .. . . .... : ..... : . ... . ... . 100 ;. .. ... .. .. . M ; .... . ; .. .. . : .. .. : . .... : . . . : . .. . : .. . . . ;...... : ... . .. . ;. .... ;.... ...; ;�,.��J;... ... ;. .. ... ..... .... .. .' ...................... ... � LIT r ' DRAWING TITLE: ° AMERICAN HVAC LAYOUT 9' H EAT' 'G I NCO JOB TITLE: 1339 S.E. GIDEON STREE � � 19 T PORTLAND, OREGON 97202.2418 ONE LINCOLN TELEPHONE (503) 239-4600 FAX (503) 239-7038 • Jim- NOTICE: IF THE PRINT OR r I I I I I I I I I I I i I I I ' I I I I T I"74 ' r ► 1 1 < < I I I fi r T 1T1 I r 7 1 r TYPE ON ANY ( I � i ISI ISI I � � ISI �� �..�..�..�� II ] Ill I I I 7 1 � 1T C C 111 ! I III IMAGE IS NOT AS CLEAR ASTI I I HIS NONCE, 1 2 3 � � 1.Y-L--- 6 -- 7 8 I 1 �_ 12o o IT ! DUE TO THE QUALITY OF THE _ _ No.36 ORIGINAL DOCUMENT E s Z 8 Z L Z 9 Z ZZ L I 9 I 4 TIL Z l t E I I T „I 6 8 G 9 Si E Z T a�ai�w Illi IIII Illi IIII IIII IIII IIII IIII IIII IIII IIII 1111111! �1_�111 U lel J!! IIU. IIII 1�1I ILII IIII ILII IIII IIII IIII !IiI�i�IIIIIiI IIII IIIIII IIII IIII IIII IIIc IIII L!Ill IllL .11l illi ilii I I� l.11l l 11.1 �Ii111��1I l �� 0 w 0 0 r n r� 7 C n n e w a 10300 SW GREENBURG RD#190 t CITE' OF TIGARD BUILDING PERMIT DEVELOPMENT SERVICES PERMIT #. . . . . .. . : BUP98-0556, 13125 SW Hall Blvr., Tigard,OR 97223(503)639.4171 DATE ISSUED. 12/17/98 PARCEL: IS135AB-01003 1-11TE ADDRESS. . . : 1.0300 SW GPEENBURG RD #190 SUBDIVISION. . . . : RED LOBSTER / CASA LUPTTA ZONING:C-P BLOCK. . . . . . . . . . I LOT. . . . . . . . . . . . . : JURISDICTION:TIG ­------------------------------------------------------------------------------------ REISSUE: FLOOR EXTERIOR WALL CONSTRUCTION- CLASS OF WORK. :ALT FIR 93T. . . . i 980 sf N: S.- E: W: TYPE OF USE. . . .-COM SECOND. . . 0 -)f PROTECT OPENINGS?-.._.._.._....__..__-. TYPE OF' CONST. :2FR 0 S f N- S: E: W: OCCUPANCY GRP. :B TOTAI_ 980 sf ROOF CONST: F"IRE RET 71 : OCCUPANCY LOAD: 9 BASEMENT. : 0 sf AREA SEP. RATED: STOR. : 0 HT: 0 ft GARAGE. . . : 0 sf OCCU SEP. RATED: BSMT? : MEI.V) . REDD SETBACKS------------- FLOOR LOAD. . . . : 0 ps f LEFT- 0 ft RGHT: 0 ft F I R SPI"I Y SMOK DET. DWELLING UN7T!'.), 0 FRNT: 0 ft REAR: 0 ft FIR ALRM- HNDICP ACC:Y BEDRMS: 0 BATHS: 0 IMP SURFACE: 0 PRO CORR: PARKT1\1n: 121 VAL.UE. $ : 7840 Remarks : Tenant loprovement - division of space to create suite #190. Owner: FEES -------------- V*,NOCKERBOCKER PROPERTIES INC type amount by date recpt 10300 SW GREENBURG RD #200 PRMT $ 68. 50 DEB 12/17/98 98-311626 'TIGARD OR 97223 5PCT $ 3. 43 DEB 12/17/98 98-31162:6 PLCK $ 44. 53 DEB 12/17/98 98-311626 Phone #: E45-5900 FIRE $ 27. 40 DEB 12/17/98 98-311626, Contractor: ------------._______________ MALIBU PACIFIC 735 NE JACKSON SCHOOL ROAD HILLSBORO OR 971.24 Phone #.- 693 -9797 $ 143. 86 TOTAL, Rpq #. . : 059045 --REQUIRED ACTIONS or INSPECTIONS-- This NSPECTIONS—This peroit is issued subject to the regulations contained in the Framing Insp TiandMunicipal Code, State of Ore. Specialty Codes and all other Gyp Board InsP applicat,IF laws. All work will be done in accordance with approved plans. This persit will expire if work is not started kj within 190 days of issuance, or if work is suspended for sore 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 DAR 952A*1-0010 through BAR 952-00101967. You wary obtain a copy of these rules or direct questions to OUNC by calling (503)246-1987. _L�_tx M/ Permittee Signature, Issued +4....... +++++++++r•+++++"+ ++++++++++++++++-+++++++++++++++++++++++++++++++++++++ Call 639--4175 by 7:00 p. m. for an inspection needed the next business day ...................................................................4-4 CITY OF TIGARD Commercial Building Permit Application c'd By� 13125 SW HALL BLVD. Tenant Improvement Date Recd-�r3 -7, ` TIGARD, OR 97223 Date to P.E. _ Date to DS 1 2 w '(503) 639-4171 ' ©�' ermit* 1 Print or TypeRelated SWR# _ Incomplete or illegible applications will not be accepted Called _ Name of Development/Project _ Existing Building)K New Building ❑ Job L i ncc 1k, cch ' Address Street Address Suite Building Glncc r% Cen'�-r - One Lincoln low SW G►e"6v P'd 1 (90 Data Bldg N T City/State Zip Existing Use of Building or Property: LinQVIO coln port�a►tc� 0� 9� 23 o�f�lce, Name Propertytckerboc p"ev-�e-r 112)C" Proposed Use of Building or Property: � Owner Mailing Address Suite 04:ri ce, 101CO Sial Greenbgr '-CC) No. Of Stories ^-----� —^-- j City/State 2`0Phone — _(S) five - N- lid 9'i?25 52-59 . Sq. Ft. Of Project: Occupant Name 9 t.QW MGC--al` J�„ c%PA Occupancy Class(es) --- Name -- I✓ Contractor MAI jII u F`36-rr l r- —Type(i)of Construction ` Prior to permit Mailing Address - - sr' -- _ -U- fP- - _ issuance,a copyI p Will this project have a Fire Suopression System? �7 of all licenses {� w Vcr�Il SC I Rqa _ Yes ❑ are rd in C.d it city/state up` Phone — Americans with Disabilities Act ADA expired In C.O T II II II ��11rr�� ( database h i`ISIGbPo �I' Z ("n-9797 Valuation X 25% = $ Participation Oregon Const Cont.Board Llc.# Exp.Date Complete Accessibili Form UE,30+-C, 02./00---_ _ Project — $ 7j� �p Name Valuation I'`J�. Architect GM -&J t'6e'(14 IrIG Plans Required: See Matrix for number of sets to submit Mailing A tdress Suite on back 920 SW 3r4 avenue tc0c) L----- - -- City/aSla'a Zip Phone I hereby acknowledge that I have read this application,the*the information 972 Engineer Name given is correct,that I am the owner or authorized agent of the owner,and that plans submitted are in compliance with Oregon State Laws —� Signature of Owner/Agent _ Date Mailing Address suite �Z —„L! (?_ (7 9r, —_ __ Co • Person Name Phone Cit y/state __ Z _ip Phone r'a r', Glur, ,+* 9r,66 FOR OFFICE USE ONLY _ Indicate type of work: flew O Addition O Demolition O Map/TL# Land Use. Accessory Structure O roundation Only O Alteration —_L_ Repair O - Other O — Notes: Description of work: TC0C41t-- JMf►�Icw e;r TIF N,te Site Work Permit Application must precede or accompany ,'Iding r'ormit Application I\( )MNEWTI DOC (DST) 5198 i COMMERCIAL PLAN SUBMITTAL REQUIREMENT MATRIX Plan Review is dependent upon submittal of BOTH plans AND a COMPLETED application. For an electrical submittal, the application must contain the signature of the supervising electrician before plan review will be conducted. After plan review approval, Plans Examiner will'contact the applicant to request additional plan set., for distribution purposes. (Copy for Contractor, City, Washington County, Tualatin Valley Fite & Rescue) Total # of TYPE OF SUBMITTAL Plans KEY: _ Submitted S (Private) 1 S = Site Work B (New or Add) 1 B = Building F (New or Add or Alt)! 3 F = Fire Protection System M (New or Add or Alt) 1 M = Mechanical B & M (New or Add) _ 1 P = Plw gibing P (New, Add, or Alt) � 2 E = Electrical B & M & P (New or Add) 2 New = New Building E (New, Add, or Alt) 2 Add = Addition B & F & M & P & E e 3 Alt = Alternation to Existing (New , Add) _ Building 'Borg & M (Alt) 1 `B & M.& P (Alt) _ 3 �R & M & P & E(A1t) 3 .B & M & P & E & F(Alt) 3 NOTES: Shaded areas designate ALT submittals only. I\dsts\maxtrix t doc 07106196 SUBJECT: ACCESSIBILITY BARRIER REMOVAL IMPROVEMENT PLAN 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 alte•ations 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 percent (25%). l�gljQ� of all renovation, alteration or modification being done o0 excluding painting, wallpapering. mji tioly: 25% Barrier removal requirement. _ .25 BUDGET FOR BARRIER REMOVAL [2] $ �1 o _ 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 upgr-cdes : r�rb ���t�i > ,P�l� $ I �� �l s�ha�G (b) An accessible entrance: $ (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, ad jitional accessible elements such as storage and alarms: 17�s.Q� TOTAL: "Ehall equal line 2. of value computation _ ELECTRICAL PERMIT CITY OF TIGARD DEVELOPMENT SERVICES DATE ISSPERMIT #:UED: 10ELC98-0608 /09/98 13125 SW Hall Blvd., Tigard,OR 97223(503)639.4171 PIARCEL: 1St 35AS-0117103 S T I E ADDRES!:3. . . : 10300 SW GREENBURG PREVIOUS RD #190 SURD I V 1 S 1 ON. . . . :RED LOBSTER / CASA LUP'ITA ZONING:C—P' BLOCK. . . . . . . . . . : LOT. . ` JURTSDICTION: TIG Project Description : Installation of 2 branch circuits. ---------- —._—RESIDENTIAL. UNIT-.------- ----TEMPI SRVC/FEEDERS------ —.----MlSCELL.ANEOUS----- 1000 BE OR LESS. . . . . 0 0 200 anip. . . . . . . : 0 PI-IMP,/IRRIGA'TION. . . . 0 FACH ADD' L. 500SF. . . : 0 201 400 amp. . . . . , . .. 0 SIGN/OUT LINE 1-3G. - 0 1 .1111TED ENERGY. . . . . : 0 401 600 amp. . . , • �. : 11) SIGNAL/P,ANEL.. . . . . . . 0 MANF. HM/ SVC/FDR., . : 0 60t+amps-- l.000 volt . : 171 MINOR LABEL ( tO) . . . 0 .-----BRANCH CIRCUITS--------- .---.--AI)DIL INSPIECTIONG—­ 0 200 amp. . . . . . : 0 W/SERVICE OR FEEDER: 0 E'ER INSPECTION. . . . . : 0 201 1400 amp. . . . . . : 0 I.s;t W/O SRVC OR FDR. - I PIER HOUR. . . . . . . . . . . :: 0 401 600 amp. . . . . . : 0 EA ADDIL BRNCH CIRC: 1. .1\1 PILANT. . . . . . . . . . . : 0 AN REVIEW SECTION------------------ 601. t000 amp. . . . . .. 0 ) (-_,00 VOLT NOM I NAL. 1000+ amp/volt. . . . . : 0 ) =4 FES UNITS. . . • • • • • : Reconnect only. . . . . : 0 SVC/FDR ) = 225 AMP'S. - CLASS AREA/SPIEC OCC. FEES Owner- type by date reept KNICKERBOCKER PIROF- PRMT $ 40- 00 DEB t0/09/98 98-309860 NORRIS BEGGS & SIMP,SON C— jo3oo SW GREENBURG RD STE 0_'00 50C'r It 00 DEB 10/09/98 98-30'3860 FIGARD OR 9-7223 r1hone #: (1(-,)ntrArt;nr: CHRISTENSON ELECTRIC INC $ 42'.. 00 TOTAL 11. 1 SW COLUMBIA REDUIRED INSPECTIONS 9TE 480 Elect' I Set-vice F,ORTLAND OR 97201 Flert' l Final Vlhonp #- c."41-4812 Reg #. . : 000458 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Oregon 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 the rules adopted by the Oregon utility Notification '-enter. Those rules are set forth in OAR through OAR 952-01-1987. You may obtain a copy of these rules or direct questions to OONC by calling (503)246-1987. r,ot-mittee signat i-ire : et s s I.te INSTALLATION The installation—is being made on property I own which is not intended foi- 1 Ile, lease, or rent. DATE: f.)WNER" S SIGNATURE- -----------------CONTRACTOR INSTALLATION DATE: SIGNATURE OF SUPIR. EL.EC' N: 9 - LICENSE NO: C�_WA F, ++4-+44-+4+•+++++•+•++...4-++4•.......................f......4-++++.+++++++++.+++++++++++++++4 Call 639-4175 by 7:00 p. m. for an inspection n,-eded the next bl-tsiness day +++++•++..{.+.+.+++++++++++++++......`+..............4++++++.............. 10/08/98 Iii 09 CITY OF TIGARD IM 002 CITY OF TIGARD Electrical Permit Application Plan Checc 13125 3W HALL BLVD. Rac'd 13 Date Recd rGARD OR 97223 Data to P.E. Phone (503)639-4171, x304 Date to DST Inspection (503) 639-4175 Print or Type Permit a ��� '6"<<'� Fax (503) 684-7297 Incomplete or illegible will not be accepted Called F 1. Job Address: N omplete Fee Schedule Below. Name of Development LINCOLN CENTER Number of Inspections per permit allowed Name(or name of business)RESOURCE TECHNICAL Service Included: Items Cost Sum Address 10300 SW GREENBURC RD SUITE 190 4a. Residential-per unit YOR'i'I.,ANU OR 1000 sq.it.or less $110.00 _ _ _� 4 City/State/Zip-_ _ Each additional 500 9y.n.or portion thereof $25.00 1 Commercial Residential ❑ Umiled Energy $?5.00 --_ ROSS CROSBY Each Manuf'd Home or Modular Dwelling Service or Feeder $68.00 2 2a, Contractor installation only: (AMich copy of all current licenses) 4b.Services or Feeders Electrical Contractor CHRISTIK-NSON ELECTR-TC, IPC. Installation,alteration,or relocation I 1 I SW COL.1��, 200 amps nr loss $60.00 2 Address, 201 amps to 400 amps $80.00 _ 2 City PORTLAND State OR _lip_ 97201_5 6 401 amps to 600 amps $120.00 2 Phone No. 5p- 3-?1�1-4812 601 amps to 1000 amps $180.00 z Job NO. 1-6415 i Over 1000 amps or volts $340.00 2 rF-24C - - 1UTT VT -- Rurunnoct only _- $50.00 __ 2 Elec.Cant.Lice. N t.-!_ _Exp.Date �+�'r�� __ OR State CCB Reg. No. 458 Exp.Date_57-179-SF 4c.Temporary Services or Feeders COT Business Tax or Me 98-5245 Erp.Date, MPJR Installation,elteratiun,or relornlion J _ 2.00 amps or loss $50.00 2 Si nature of Su r. [leen 201 amps to 400 amps $75.00 __ 2 9 p ML 401 amps to 600 amps $100.00 2 ' OF OR TO CONFIRM Over 600 amps to 1000 volts, License?No I41�CiCilyL3289S `Exp.Date 101 IAW see"b"above. Phone No503-241-"17--- � _ - - - 4d.Branch Circuits New,al:cratlon or extansien per panel 2b. For owner installations: a)The fee for branch circuits with purchase of service or Print Owner's Name feeder fee. Address Each branch circuli $5.00 --. 2 h)The foe for branch circuits City _ _ -__ State- Zip _ without purchase of Phone No. �_ service or feeder fee. 7 First branch circuit The installation is being made on property I own which is not Earh additional branch clrcult-i $5.0o _5_�__ _ 2 intended for sale,lease or rent. 4e.Miscellaneous (Service or feeder not Included) Owner's Signature __ _ Each pump or Irrlgatlnn circle $40.00 Each sign or outllnn lighting $40.00 2 3. Plan Review section (if required):' Signal clrcult(s)or a limited energy panel,alteration or extanslon $40.1X) ? Minor Labels(10) _ $100.00 Please check appropriate item and ranter fee In sectlon 5B. 4 or more residential units In one structure 4f.Each additional Inspection over Service and teeder 225 amps or mora the allowable In any of the above - _System over 600 vdts norninal Per Inspection $35.00 ------ Classified area or structum containing special occupancy Per hour $55.00 as described In N.EC.Chapter 5 In Plant ^- $5.5.00 _ -- Submit 2 sets of plans with application where any of the above apply. Jam. Fees: Not required for temporary constructi„.cervices ca.Enter total of above fees $ 40- 5%Surcharge(.05 X total fee!;) $ ?-- WTI" Subtotal $ -11,4 5b.En'or 25%of lire Be for 1't RMITS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED IS Plan Review If-reaulred(Sec.3) $ ---- NOI COMMENCED WITHIN 180 DAYS,On IF CONSTRUCTION OR WORK Subtotal $ 17.SUSPENDED SUSPENDED On ABANDONED FOR A PERIOD OF 180 DAYS AT ANY _ Trust Acco\mt k 1IML AFTER WORK IS COMMENCED. u Tota/balance Due $ 42.00 I_WST 9\hLrr10.AVY HN 9IBP CITU OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Line. 639-4173 Business Line: 639-4171 — - `/ BUP _ _ Date Requested ��� � ��� ` d MAM_ PM . _ BLD —� Location__� )� � ��/�r� is _� Suite If MEC Contact Person ry°: _ P 3 d _ PLM Contractor n Ph _ SWR . BUILDING Tenant/Owner �C �5 7Z� ELC — Retaining Wall ELR Footing Access: FPS Foundation -----"" -" Ftg Drain SGN --.---,__- Crawl Drain Inspection Notes: Slab SIT ------ Post&Bean - Lx!Sheath/Shear ----- - - Int Sheath/Shear Framing - - ---- --- ----=---------- _._. _ Insulation Drywall Nailing -�ft� -- --------- -- - Firewall Fire Sprinkler - - -- ------------- ----- Fire Alarm Susp'd Ceiling ----- --- - -- - --- --- - -- Roof Misc: - -- - - - -- - -- ----- - - --- _--- Final PASS PART FAI'_ ._--_--- ------------ --------- PLUMBING ---- ----- --- --- Post& Beam -�-- --- - -Under Slab ---- Top Out - Water Service - Sanitary Sewer Rain Drains ----- _-- ------ ------ Final PASS PART FAIL _ - ------- - MECHANICAL Post& Beam _-__- Rough In Gas Line - Smoke Dampers - -_-_- - Final -- PASS PART FAIL —- - --__.___ _ -------- ---._-_ --- RI - ---- Servi e r7 -- -- - --- _--_- -- ougb_JA e-V- �!1 UG/Slab _ ---- ----- ----- -- -- ------- - t_ow Voltage Fire Alarm PASS ART FAIL -- - -- Backfill/Grading ---- --------- --_-----_-�- --- Sanitary Sewer Storm Drain f 1 Reinspection fee of$_-__--.required before next inspection Pay at City Hall, 13125 SW Hall Blvd Catch BasinUnable to inspect-no access Fire Supply Line ( )Please call for reinspection RE_ --_^.- I 1 p ADA Approach/Sidewalk Date O Inspector--__ _ __Ext Other Final PASS PART FAIL 00 NOT REMOVE this inspection record from the job site, CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Line: 639-4175 Business Linz: 639-4971 -- BUPA Date Requested _ ��" �O AM PM BLD -:-W1 -- Location / Suite MEC — — Contact Person Ph0 -42PLM ContractorVAL Ph SWR -- _ � BUILDIN Tenant/Owner L/!y//`nI ELC e rng Wall ELR Footing Access:Foundation FPS FPS Ftg[)rain --------��--_ SGN Crawl Drain Inspection Notes SlabSIT Post& Beam -- -- Ext Sheath/Shear Int Sheath/Shear — Framing Insulation Drywall Nailing -- -- _ --- — -- — -- ----------- - Firewall Fire Sprinkler -_----_�-�--- Fire Alarm - Susp'd Ceil ng _._---_--_-_-_----_._-- Roof - - fmaLL ASS ART FAIL - --- - -- — ----- ----_- PLUMBING Under Slab TopOut -- ----- - - -- -----------__._ ._._�—_------------------__—�—_—_ Water Service Sanitary Sewer ------------- - ---- -------------- Rain Drains Final PASS PART FAIL. MECHANICAL Post& Beam ------- -- - --- --- - -- _ Rough In Gas Line - - - ---- ---- --- - - Smoke Dampers PASS PART FAIL ELECTRICAL - — - -- Service Rough In - - — UG/Slab Low Voltage Fire Alarm Final _-- ----------- -- -- PASS PART FAIL SITE Backfill/Grading --�-- Sanitary Sewer Storni Drain [ ]Reinspection fee of$ reauired 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 / s - �� Inspector _�_ «i Ext Other _ - --- -----.._.— Final PASS PART FAIL DO NOT REMOVE 'this inspection record from the job site. CITY OF TIGARD DEVE00 MENT SERVICES 13125 SW Half Blvd., Tigard,OR 97223(503)639.4171 CF.RT I F~I cwrE or OCCUPANCY PCRMi t #1. . . . . . . a SUPI). 8-055f DAVE 1SSUEDz Pi.4RCF (. : i S 13FJAB 0 1003 I.TF. A r)t)R r---.ss. `1 . a 10 3 0 0 `.iW 0PE:E:N13UP(37 R1) #f 110 t.113I.J I V I)I ON. . . . :FiE;D-t::(`tE�.+TF +' ; GA5;t._.1 E-!!Tf_ ZCIhJ 1 NG a CP <.. . . . . . . . . . : LOT. . . . . . . . . . . . . . JURISDICT10N: I lig LASS, OF WOW. :ALT YPF OF USF . . . :CUM ✓PE OF CONSTP: :FR t_IPANClY G R V a B i 1..NHN`1' NOW.:. . . a !ltX� CPA emarks : Tenant Imrtr•ovement divre: jon of space to C�r^eate gi.trt:e #(90. owner _. _ ._._...._. HICKERFIO KE R F'FtOPERTI.L9 INC /0 NORRIS, BEGGS dt 1.1300 SW GREENBURG RCS #200 i IGARB OR 97223 .hone #: i ontrar_.tor- s _._.__..._._ ._..�_.__ .__..--...._......_ . .._...._ .. !-100 I OU PACIFIC 35 NE: JACKSON f''CWOOL_ ROACH M_1-SBOR0 OR 97124 t,nne #ia 693 .9797 0 7)9049 hi !s Cert ificatR grants occuWancy of then Atiove rvfet,enced bui .Iding or portion i iier•eof and conf it-ms that the bl.ii Iding has been inspected For- compl a. snce wits t �)a E>tarte uf' (lr{�ori Sper.. ialty Cocieg for the gra�_�p, ocr_upanc. v, and �.�se �_indet-, i�niich the r�eFnrenc.erd permit was is5l.4ed. titl.L7TN(; Irl': "T(JF� BUILDING OF rIL;:Al_ v-0ST IN CONST IGI!OU Pt..AUF LATY OF TIGARD 24-Hour Bll;i_DING Inspection Line: (503) 639-4175 MST INSPECTION DIVISION Business Line: (503)639-4171 BLIP --_-- Received ___ Date Requested F�( - J D1 __ AM___PGM , BUP -- -- - Location I,/ v s�v g r.2P-+^ ? Suite—lL"-- MEG _ Contact Person Ph( ) �� PLM Contractor Z " �r// Ph( ) -----_- -- SWR BUILDING Tenant/Owner __ - FLC 24 -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 --- -- --- ---- -- - - - - 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 - Post&Beam Rough-In - -----_....---- -- Gas Line Smoke Dampers --- ---- Final P PART FAIL --_ ELECTR Rough-In UG/Slab Low Voltage Fire Alarm n [ Reinspection fee of$ _ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PART FAIL Please call for reinspection RE Unable to inspect-no access Fire Supply Line ADA Inspector � Ext Approach/Sidewalk Date / Other: Final DO NOT REMOVE this Inspection record from the job site. PASS PART FAIL CITY OF TIGARD 24-Hour �MST BUILDING Inspection Line: (503)639-4175 INSPECTION DIVISION Business Line: (503)639-4171 (hup Received __— Date Requested / Ar_/.— AM __.PM_ — BUP Location 3v t~�� Suite---) f MEC Contact Person PLM Contractor_- _ _ _ Ph SWR _ BUILDING Tenant/Owner - _ _` _ - ELC _ Footing ELC Foundation Access: -^ - Ftg Drain ELH ---------- 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 - - Roof Otl r: - -- - -- - - -- S PART FAIL UMBING 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 F, - ELECTRICAL Service - -- Rough-In UG/Slab __- Low Voltage Fire Alarm Final L� Reinspection fee of$____._ -_ _required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL SITE �_� Please call for reinspection RE _ _ [ Unable to inspect-no access Fire Supply Line ADA �� "� ,�� -Z_� ---- 7 Date, -_ miss oetoir__ ./C` c. -- Approach/Sidewalk P �t Other: Final DO NOT REMOVE this inspection record from the Job site. PASS PART FAIL CITY OF TIGARD 24-Hour BUILDING Inspection Line: (503)639-4175 MST INSPECTION DIVISION Business Line: (503)639-4171 _`. BLIP � Received Date RequeFted �.� / _ -____ AM PM BLIP Location 103,00 S w t9r!n_ 4..W _Suite�C__- --- MEC 2d, Z4 v Contact Person - __ — Ph(_____) 3 __. .–_ PLM Contractor_ Ph( ) _ SWR BUILDING Tenant/Owner -_— ELC Footing --� ELC - Foundation Access: Ftg Drain ELR -- Crawl Drain Slab Inspection Notes: SIT Post&Beam - ---- _ Shear Anchors - Ext Sheath/Shear Int Sheath/Shear Framing - Insulation Drywall Nailing -- - - -- - - Firewall Fire Sprinkler -- -- - -- - -- ------ - - i Fire Alarm Susp'd Ceiling --- -- - - - - j Roof Other. ---- _.._ — ------- -- -- Final — PASS PART FAIL --- — — --- - - - - - PLUMBING _ -- -------- - - Post&Beam Under Slab - - - - -- ----- ---- Rough-In Water Service ----- - -- --- - — - --- - Sanitary Sewer Rain Drains --- --- -- Catch Basin/Manhole Storm Drain ,-- Shower Pan Other: -- Final PASS ART FAIL - - - ----�--- t'o. beam - - Hough In C,Pl1i r - —---- -- - — -- GasUne Srnoke Dampers _ --- - _-.-._ -- -- - ----- LS PART FAIL - - - ---- ICAI Service Rough-In UG/Slab Low Voltage Fire Alarm Final F_� Reinspection fee of$ required before next Inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL SITE _ Please call for reinspection RE: - __ - ----__ [:] Unable to inspect-no access Fire Supply Line ADA Approach/Sidewalk Date Inspector �� � _- _ East 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 BLIP Heceived _ Date Requested V'� AM_.._� PM BUP Location � � -S W ��r-r-►��iwS 2� --- - --- --- - -- Suite_� MEC Contact Person Ph( ) �_..=��G V PLM Contractor -_ --- -- — - Ph( ) --_ ----- SWR - BUILDING — Tenant/Owner --_._--` — ELC _ ---------------_—_--- Foundation Access: ELC Ftg Drain - Crawl Drain ELR --__- - Slab Inspection Notes: �oSIT.. � - --- -- -------- Post&Beam Shear Anchors Ext Sheath/Shear I - - --- - - Int Sheath/Shear --- -- Framing Insulation - - - --- - Drywall Nailing ----- -- - ---------- Firewall ---�--- -- Fire Sprinkler - -- _ Fire Alarm Susp'd Ceiling - r Roof 7- Other: - Final PASS PART FAIL ---- -�- PLUMEIING PO t&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 ISS PART FAIL TRICAL Service Rough-In - - UG/Slab --`— - Low Voltage -------------- ire Alarm - ---- Final U PASS PART FAIL Reinspection fee of$ required before next inspection Pay at City Hail, 13125 SW Hall Blvd. [Final TE [] Please call for reinspection RE - _ Unable to inspect-no access re Supply Line 1 A l �/Z �- �_. proach/sidewalk Date-- inspector -- Itexft he;: - -� DO NOT REMOVE this inspection record from the job site. ASS PART FAIL BUILDING PERMIT CITY OF T I GA R D PERMIT#: BUP2002-00410 DEVELOPMENT SERVICES DATE ISSUED: 9/24/02 13125 SW Hall Blvd., Tiqard, OR 97223 (503) 639-4171 PARCEL: 1 S135AB-01003 SITE ADDRESS: 10300 SW GREENBURG RD 190 SUBDIVISION: LINCOLN ONE/RED LOBSTER/CASA I_ ZONING: C-P BLOCK: LOT: JURISDICTION: TIG iREISSUE: FLUOR AREAS _ EXTERIOR WALL CONSTRUCTION CLASS OF WORK: AL'- FIRST: sf N: S: E: W: TYPE OF USE: COM SECOND: sf PROJECT OPENINGS? TYPE OF CONST: 217R sf N: S: E:— _ W: OCCUPANCY GRP: B TOTAL AREA: 000 sf ROOF CONST: FIRE RET? OCCUPANCY LOAD: BASEMENT: sf AREA SEP. RATED: STOR: HT: ft GARAGE: sf OCCU SEP. RATED: BSMT'?: MEZZ?: _ REQD SETBACKS _ _ REQUIRED FLOOR LOAD: psf LEFT: ft RGHT: ^ft FIR SPKL: SMOK DET: DWELLING UNITS: FRNT: ft REAR: ft FIR AI_RM : HNDICP ACC: BF:DRMS: BATHS: IMP SURFACE: PRO CORR: PARKING: VALUE: $ 15,000.00 Remarks: Tenant Improvement Owner: Contractor: EOP LINCOLN, LLC C SCHIEWE + ASSOCIATES '10260 SW GRE ENBURG RD 1024 NE DAVIS SUITE 100 PORTLAND, OR 97232 P�PZone:TLAND, OR 97223 Phone: 234-6617 Reg #: LIC 54105 FEES REQUIRED INSPECTIONS — Type By Date Amount Receipt Framing Insp PLCK CTR 9/17/02 $121.75 27200200000 Insulation Insp Gyp Board Insp PRMT CTR 9/17/02 $187.30 27200200000 Susp Ceilna Insp 5PCT CTR 9/17/02 $14.98 27200200000 Final Inspection FIRE CTR 9/17/02 $74.92 272.00200000 Total $398.95 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 952-001-1987 You may obtain a copy of these rules or direct questions to OUNC by calling (503) 246-6699 or 1-800-332-2344. Permittee / Signature: Issued By: Call 639-4175 by 7 p.m. for an inspection the next business day Building Permit Application City of Tigard Date received: 2 "it no .m, Address: 13125 SW Hall Blvd,Tigard,OR 97223 Project/appl.no._ Expin date: City olligard Phone: (503) 639-4171 Date issued: By: I Receipt no.: _- Fax: (503)598-1960 Case file no.: Payment type: Land use approval - _ 1&2 family:Simple Complex: 61 W 1 U I & 2 family dwelling or accessory U Cunun(•rciiil/industrial U Mule-Family U New constnlction U Demolition U Addition/alteration/renlacemcnt )(Tenanl lw nmwcmrnl U Fire sprinkler/alairm U Other: JOIN 1 1 Job aderess: 103p0 SW Grt%ft6uvta p caT -_ Bldg.no.L Co�N Suite no.:_ Lot: Block: �Subdivision: Tax map/tax lot/account no.: L n M`Ca�(ister - -- Pro1'ect name: tJ Description and location of work on premises/special conditions: 'rC►1aft* 1►►tnwVe/►tet'trt __ _ _.� Name: ��ITY oFFI eE PRoPER`I Ids ' p!alo,%eptic capacity.solar,etc.) Mailing address: 10260 tW P-0suITE 1001 &2 family dwelling: City: pop-TLP00 Stalc:o� LIP: 97223 Valuation of work........................................ $_ Phonck;!, $92-25oo Fax: I: mail: No.of hedrooms/baths................................ -- -- Owner's representative- P'PY fx.. GLO12- GQD ,Areas;tectr,inc Total number of Moors................................. -— Phone501)3 22 -965to Fax: E-mail: New dwelling area(sq.ft.) .......................... Garage/carport area(sq.ft.)......................... Name: C7BD Pr+-eh�tee'�t nc�- Covered porch area(sq.ft.) ......................... _ Mailing address: 92o SW 3 avenue Svi to 4 CIO Deck arca(sq.ft.) ........................................ _ -- City: POytI -- State:CIE zip: 97ZO Other structure area(sq.ft.)......................... _ Phoneaso3 22 -gam Fax: E-mail: ('ommerciaUlodustrld/multi-family: Oe Valuation of work........................................ $0Ot70. Existing bldg.area(sq.ft.) .......................... 9" us Businessname,: G. New bldg.area(sq.ft.) . Address: p 2 NE Pavi — 5 'fir vie —_ �-- Number of stories........................................ City: aVF ah4 slate:0(L '2 32 Type of construction F Phone503 23 4 4417 Fnx E-mail: Occupancy group(s): Existing: - CCB no.: 6q-1D 5 __ —_ New: D City/metro lic.no.: Notice:All contractors and subcontractors are required to he licensed with the Oregon Construction Contractors Board under Name: s/'W1C A s APPL I c�+�T provisions of ORS 701 and may he requited to be licensed in the Address: jurisdiction where work is being performed. If the applicant is City: State: 7,1P: exempt from licensing,the following reason applies: Contact person: Plan no.: _— — — Phone: Fax: E-mail: Name: _ Contact person: Fees due upon application ........................... $ Address: Date received: -------- -- City: Smote: ZIP: Amount received ......................................... $ Phone: Fax: E-mail; Please refer to fee schedule. I hereby certify I have read and examined this application and the Na all jurisdictions accept credit cards,please call jurisdiction for mar information attached checklist. All provisions of laws and ordinances governing this U visa U Mastercard work will he complied with,whether specified herein or not. credit card number p pe Expires Authorized signature:= ✓Z--�� Date: 9.1 v Z — Nartse d eii der as shown on credit card $ Print name: P-ay �. Gt -- _Cardholder dRnuare Amount Notice:This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. 440-4613(eoarcoM) PLIQ I aI-" 4y Commercial Plan Submittal Requirement Matrix City of Tigard TYPE OF SUBMITTAL. # of Plans (Includes New, Additions or Alterations) Required at Submittal Site Work 4 (must include location of all accessible parking) Plumbing - Site Utilities 2 Building 1* Fire Protect'-)n System 3** Mechanical 2 Plumbing - Building Fixtures 2 Electrical 2 Plan review is dependent upon submittal of a completed application and plans. After plan review approval, the Plans Examiner will contact the applicant to request additional sets of plans for distribution purposes (for Contractor, City of Tigard, Washington County, and Tualatin Valley Fire & Rescue). *For over-the-counter commercial tenant improvements, submit 2 sets of plans. **"New" fire protection systems require that plans bear the original seal of an Oregon licensed fire suppression engineer, or NICET level "3" technicians. i\dsts\forrtns\COM-matrix.doc 9/24t01 1Zc>h N�`Call�s�� 1L�190 91�•c�2 Accessibility: r, Barrier Removal Improvement Plan CitY of Tigard REQUIREMENT: OREGON REVISED STATUTE (ORS) 447.241. (1) Every project for renovation,alteration or modification to affected buildings an i 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 (251;6). VALUATION: of all renovation, alteration or modification being done 00 excluding painting, wallpapering. (1] $ multiply: 25% Barrier removal requirement. _ 425 BUDGET FOR BARRIER REMOVAL 121 $ 3750.00 In choosing which accessible elements to provide ender this section, priority shall be given to those elements that will provide the greatest access. Elements shall be provided in the following order: (a) harking lot S�virr;o j �n*w curb r"Ar,r;dewalk-r' $ Z), O0 signage,6149 ew6a..cea acc�rrible Pork�..y ,rtallJ, (b) An accessible entrance: $ _ (c) An accessible route to the altered area: $ (d) Al 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 Ilne 2 of Value Cpmputation $�'_i75.� �• i\dsls\fornis\Hccessibility.doc 09/24/01 �� �� �I���� FI F(;TRI[;AI- PFRMI f PERMIT#: ELC2002-00514 DEVELOPMENT SERVICES DATE ISSUED: 10/4/02 13125 SW Hall Blvd.. Tigard, OR 97223 (503) 639-4171 PARCEL: 1S135AB-01003 SITE ADDRESS: 103005W GREENBURG RD 190 SUBDIVISION: LINCOLN ONE/RED LOBSTER/CASA L ZONING: C-P BLOCK: LOT : JURISDICTION: TIG Proiect Description: Job No. 306 _ 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: i MANF HM/SVC/FDR: E01+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: 10 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: J Owner: Contractor: EOP LINCOLN, LLC WILLAMETTE ELECTRIC INC 10260 SW GREENBURG RD PO BOX 230547 SUITE 100 TIGARD, OR 97281 PORTLAND, OR 97223 Phone: Phone: 624-2938 FAX G2z4-3631 Reg#: f.l. 34-283C FEES Required Inspections Description Date Amount Wall Cover Elect'I Final ELPRMT) ELC Permit 10/4/02 $113.35 It,LPRMT] ELC Permit 1014/02 $0.00 I TAX I K"b State'Tax 10/4/02 $9.07 (additional fees not listed here) Total $122.42 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 pern-iit will expire if work is not started within 180 days of issuance,or if work is suspended for m.) a 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 ihrough OAR 952-001-0100 You may obtain copies of these rules or direct questions to OUNC at(503)246-6699 or 1-800-332-2344. Issued By: `/ - Permit Signature: �� Electrical Permit Application —' Date received: Permit n *o A - eb / City of Tigard }�,17 Project/appl.no.: Expire date: C'ityof'Tigard Address: 13125 SW Hall BWcit—Ad ji WDale issued: - By: I Receiptno.: Phone: (503) 63S 471 Fax: (503) 598-1960 SFP " ,7 7001 Case file no.: Payment type: Land use approval: U U I &2 family dwelling or accessory U Commercial/industrial U Multi-family Jd Tenant improvement U New construction U Addition/alteratiorJreplacement U Other: U Partial INFORMATION Joh address: jBldg.no.: I Suite no.:/SG Tax map/lax lot/account no.: LAA: I Black: Subdivision: _ Project name: t C t I Description and location of work on premises: 1 t V%�j_ ,�r AAu!M r C Estimated date of cum letionhns ction: T SCHEDULE nee nutx Job no: Ihscriptiou Qty. (ea.) 'total no.Insp Business flame: !trr 1111 GL --- Neo residentlal-singleornudd-faralh per Address: A, n 0 S ti >' duelling melt.Includes attached garage. City: 1", 0 1 State:0 ZIP: b Service Included: Phone: 6 ( Fax: 1 e E-mail: 1000 sq.ft.or less __ _ 4 Bach additional 500 sq.ft.or portion thereof CCB no.: app Elec.bus.lic.no: 14• 75 C Limited energy,residential 2 City/m tro Ilc.no.: Limited energy,non-residential 2 r)- Z� e'[ Each manufacmrect home or modular dwelling Sign ore of su rvi g electrician(required) pate Service and/or feeder 2 _ License no: Serilces or feeders-Installation, Sup.elect.name(print): / ,, i S 1 alteration or relocation: 2(x0 amps or less _ 2 Name(print): E 201 amps to 400 amps 2 401 amps to 600 amps Mailing address: _ 601 amps w 1000 amps 2 ('jty; Stale: ZIP: over 10(x1 amps or volts 2 Phone: Fax: E-mail: Reconneclonly 1 Owner insta0ation:The installation is being made on properly I oWft Temporaryservicesorfeeders- lusta flat ion,allerat ion,or relocat loll: which is not intended for sale,lease,rent,or exchange according to 21x)amps or less 2 ORS 447,455,479,670,701 201 amps to 4W amps _ — _ 2 Owner's si nature: Date: _ 401 to 6(x0 ams - Branch circuits-nese,alteration, or extension per panel: Name: A. Fee for branch circuits with purchase of Address: service or feeder fee,each branch circuit 2 City; Stele: !I1': - B. Fee for branch circuits without purchase of service or feeder fee,first branch circuit: 2 I'luute: Fax: F trtail: Fach additional branch circuit PLAN RI'VIEW(Pleate check all that R11111110 Misr.(Service or feeder not Included): Tach pump or irrigation circle U Service over 225 amps-commercial U Health care facility U Service over 320 amps-rating of 18r2 U Hazardous location Each sign or outline lighting family dwellings U Building over 100)0square feet four or Signal circuit(s)or a limited energy panel, U System over 6(X0 volts nominal more residential units in ane structure alteration,or extension* -' U Building overthreestorics U Feeders.400 amps or more •rkscri tion: _— _--- ---- -- U Occupant load over 99 persons U Manufactured structures or RV park Foch additional Inspection over the allossable In any of the ahroe: U Egress/lightingplan U Other: ------ Per inspection %btnll setts of plans with any of the above. Investigation fee The above are not applicable to temporary cowstructlon service. other __j NM all}urixticliana accept credit canon,please call jutsrticnon for moR inftxmrliat, NOIICC: I1tIS penult application Permit fee.....................$ —1L--, U Visa U MasterCard expires if a permit is not obtained Plan review(al _ %) $ Credit card number._ _ L within 180 days atter it has been Stale surcharge(8%)....$ y - Expires accepted as complete. TOTAL .......................$ ( 2 Name dholder u shown on c t c _ $ Cardholder sipature Amount _ 440-4615(6MCOM) ELECTRICAL PERMIT FEES: LIMITED ENERGY PERMIT FEES: - ----- ---- TYPE OF WORK INVOLVED -RESIDENTIAL ONLY Complete Fee Schedule Below: Restricted Energy—Fee......-.-..-..•.•••••••••••••••••• ------•• $75.00 Number of Inspections per oermit allowed (FOR ALL SYSTEMS) Service included: Items Cost Total Check Type of Work Involved: Residential-per unit $145,15 _ 4 ❑ Audio and Stereo Systems' 1000 sq ft or less Each additional 500 sq fl or $3340 1 E]portion thereof Burglar Alarm Limited Energy $75.00 Each Manufd Home or Modular $90,90 2 ❑ Garage Door Opener' Dwelling Service or Feeder - Services or Feeders ❑ Heating,Ventilation and Air Conditioning Systern' Installation,alteration,or relocation 200 amps or less $80.30 _ 2 ❑ Vacuum Systems' 201 amps to 400 amps _ $106.85 2 401 amps to 600 amps _ $160.60 2 ❑ Other $240.601 - -- ---- _ _ — 601 amps to 1000 amps 2 - -' Over 1000 amps or volts _ $454.65 Reconnect only $66 85 2 TYPE OF WORK INVOLVED -COMMERCIAL ONLY Temporary Services or Feeders Fee for each system.. ....................................................... $75.00 Installation,alteration,or relocation $66.85 2 (SEE OAR 918-260-260) 200 amps or less — $100.30 2 201 amps to 400 amps _ 2 Check Type of Work Involved: 401 amps to 600 amps $133.75 ---_-- Over 600 amps 10 1000 volts, ❑ Audio and Stereo Systems see"b"above. Branch Circuits ❑ Boiler Controls New,alteration or extension per panel a)The fee for branch circuits ❑ Clack Systems with purchase of service or feeder lee. $6 65 ❑ Each branch circuit _ �`� Data Telecommunication Installation b)The fee for branch circuits ❑ without purchase of service Fire Alam Installation or feeder fee. $46,85 First branch circuit ❑ HVAC Each additional branch circuit — $6.65 Miscellaneous Cj Instrumentation (Service 01 feeder not included) 851 40 _ Each pump or Irrigation circle - $53.40 — ❑ Intercom and Paging SystemS Each sign or outline lighting _ - Signal circuit(s)or a limited energy $75.00 ❑ Landscape Irrigation Control' panel,alteration or extension $125 00 Minor Labels(10) _ -- - ❑ Medical Each additional Inspection over the allowable in any of the above $62,50 ❑ Nurse Calls Per Inspection $62 50 Per hour _-- - ❑ Outdoor Landscape Lighting' In Rant $73.75_--__- Fees: ❑ Protective Signaling Enter total of above fees $ ___ ❑ Other --- 8"i,State Surcharge $ ---- --Number of Systems 25%Plan Review Fee $ ' No licenses are required Licenses are required for all other installations See"Plan Review"section on _ fronl of application --- Fees: Total Balance Due $ — 9 - Enter total of above fees ElTrust Account#_____ 8%State Surcharge =- -� Total Balance Due $ All New Commercial Buildings require 2 sets of plans. +1sts\fomts\cic-fccs.doc 09/30/01 I CITYOF TIGARD _- MECHANICAL PERMIT DEVELOPMENT SERVICES PERMIT#: MEC2002-00443 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE E 1 PAARR CELL:: 1S135 135AB-01003 SITE ADDRESS: 10300 SW GREENBURG RD 190 SUBDIVISION: LINCOLN ONE/RED LOBSTER/CASA L ZONING: C-P BLOCK: LOT: JURISDICTION: TIG CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS: TYPE OF USE COM UNIT HEATERS: VENT FANS: OCCUPANCY GRP: B VENTS W/O APPL: VENT SYSTEMS: STORIES: _ BOILERS/COM_PRESSOR_S HOODS: FUEL TYPES 0 - 3 HP: DOMES. INCIN: 3 - 15 HP: COMML. INCIN: MAX INPUT: BTU 15 - 30 HP: REPAIR UNITS: FIRE DAMPERS?: 30 -50 HP: WOODSTOVES: GAS PRESSURE: 50 + HP: CLO DRYERS: FURN < 100K BTU: AIR HANDLING UNITS OTHER UNITS: FURN >=100K BTU: <= 10000 cfm: GAS OUTLETS: > 10000 cfm: Remarks: Relocation of ducts and grilles for tenant ifriprovemenl. Project value: $1,725 Owner: FEES_ _ EOP LINCOLN, LLC Description Date Amount 10260 SW GREENBURG RD X11'.('111 I'rrnut Fee 10/9/02 $72.50 SUITE 100 PORTLAND, OR 97223 �N1I:('llI Pernul I-er 10/9/02 $0.00 I AX 8'Y,StateTax 10/9/02 $5.80 Phone: I IA X 8 5ta11'1 a\ 1�1yi02 $0.00 Contractor: Total $78.30 AMERICAN HEATING INC 1339 SE GIDEON STE 1 REQUIRED INSPECTIONS _ PORTLAND, OR 97202 � -� Phone: ?3')-4600 Mechanicallnsp Duct Inspection Reg#: 33135 Final Inspection This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans This permit will expire if work is riot started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENI-ION: Oregon law requires you to follow rules adopted in the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0100. You may obtain copies of these rules or direct questions to OUNC by calling (503)246-6699 / Issued B C ' Permittee Signature: Call (503) 639-4175 by 7:00 P.M. for inspections needed the next business day Mechanical Permit Applicat:gn OFFICE Date received: Q� Pet-11111 no.: City Of Tigard Projectlappl,no.: date: fytt,,,�/tKald Address; 13125 SW Hall Blvd,Tigard,OR n7.'�1 Phone: (503) 639 4171 Date issued; B Receipt no.: Fax: (503)598.1960 Case file no.: Payment type: Land use approval: _ Building permit no.: TYPF'OF U I & 2 family dwelling or accessory Commercial/industrial U Multi-family fcrrntl imhruvctncnl U New construction U Addition/alteration/renlacement U Other COON SCIIEDUCIR J(ib address: Indicate equipment quantities in boxes below. Indicate the dolls, Bldg. no.: Suite no.: 9c2 value of all mechypical materials,equipment,labor,overhead. Tax map/tax lot/account no.: profit.Value$ / 7-R Lot: Block: I Subdivision: *See checklist for important application information and Project name: k , !> ar, jurisdiction's fee schedule for residential permit fee. City/county: ;7-,rot i ZIP; 7.?.t Description and to ation of work on premises: 7Cr0et'Fd t 1 ' ► 1 �r.,//rayr�..r.I'� •- N4�/4C �i,uc+l,./,t'�e i-M, � Fee(ea.) ?'nisi Est.date of completion/inspection: Uescri tion Qty. Res.only Res.only Tenant improvement or change of use: Air handling unit CFM Is existing space heated or conditioned?®Yes U No Air conditioning(site plan required) _ Is existing space insulated?Q>)<'Yes U No Iteration o ex stingrTVW system - _ 1CT011 Boiler/compressors Business name: American State boiler permit no.: NP Tons BTU/H _ Address: 1339 SE Gideon St. Fire/smoke dampers/duct smoke detectors City: Portland I State:OR I ZIP;97202-2418 Heat pump(site plan required) Phone: 239-4600 1 Fax: 239-703 E-mail nsta rep ace furnace/burner IJTIJIH CCB no.: including ductwork/vent liner U Yes U No 33135 nsta rep ace re ocatc heater— ssuspen-fe City/metro Ilc,no.: 60114 wall,or floor mounted Name(please print): C �f�,, Vent for appliance other than furnace 1 1 efr{gcratlon: Absorption units BTUAI Name: .L/a �fu c:�' Chillers Fll' Address: ' Com ressors Environmental exhaust and vent latiow. City: //�, - State Zlr: y2 �?' Appliance vent Phone:, Fax: 1.,; >� x,� E-mail: Dryer exhaust _ 1 floods,Type I/11/res.kitcheathaimat hood fire suppression system Name: Exhaust fan with single duct(bath fans) _^ Mailing ad—dd ess: Exhaust systema art from heating or AC _City: _ State: ZIP: Fuel piping and distribution(up to 4 outlets) -- - Type: LPG NG Oil Phone: Fax: C-mail: vc t nog each additional over 4 outlets Process piping(schematic required) Name; Number of outlets ter listed appliance or equipment,. Address:: Decorative fireplace City State;-*,-' ZIP: insert-type Phone: r v Fax ,.1t E-mail: �iodstove pc et stove Other: Applicant's signature: _ e: D l t"1 1t er: Name(print): - r Not all jurisdictions accept credit cards,please call jurisdiction fur more infonnation Permit fee ..................... $ 1 S c U visa U MastetCarJ Notice: This permit application Minimum fee................ $ Credit card number __ expires if a permit is not obtained plan review(at _ %) $ t:xpires within Igo day's aflef it has been State surcharge(8%).... $ Name of cantholder as shown on credit card accepted as complete. Cardholder signature Amount 440 4617(60WOM) SEE 35MM Ro L# 23 FOR LARGE DOCUMENIO., T CITY OF TIGARD CERTIFICATE OF OrCUPANCY DEVELOPMENT SERVICES PERMIT#: BUP2002-00410 13125 SW Hall Blvd., Tigard, OR 97223 (503)639-4171 DATE ISSUED: 9/24/2002 PARCEL: 1 S135AB-01003 ZONING: C-N JURISDICTION: TIG SITE ADDRESS: 10300 SW GREENBURG RD 190 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: TENANT NAME: AON MCCALLISTER REMARKS: Tenant Improvement Owner: EOP LINCOLN, LLC 10260 SW GREENCURG RD SUITE 100 P, QND2W69W' Contractor: C SCHIEWE +ASSOCIATES 1024 NE DAMS PORTLAND, OR 97232 Phone: 234-6617 Reg#: LIC 54105 This Certificate issued 10/3 1/2002 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 Specialty des for the group, occupancy, and under which a referenced permit w d� BUILDING INSP TO BUILt1tNG/0yF1 ONE POST IN CONSPICUOUS PLACE