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10300 SW GREENBURG ROAD STE 240 ,Y trr r! 41 L�_yJ \�J W /1 N is O i IWO SW GREENBURG RD 240 CITYOF TIGARD CERTIFICATE OF OCCUPANCY DEVELOPMENT SERVICES PERMIT#: BUP2003-00113 13125 SW Hall Blvd., Tigard, OR 97223 (503) 539•4171 DATE ISSUED: 3/11/03 PARCEL: 1 S 135AB-01003 ZONING: C.-P JURISDICTION: TIG SITE. ADDRESS: 10300 SW GREENBURG RD 240 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: 12 TENANT NAME: MONY REMARKS: Commercial tenant improvement Owner: EOP LINCOLN, LLC 10260 SW GREENBURG RD SUITE 100 P$�JkOND22NW3 Contractor: 503-234-6617 C SCHIEWE & ASSOCIATES INC 1024 NF: OAVIS ST PORTLAND, OR 97232 Phone: 224-9656 503-234-6617 Reg#: LIC 54105 This Certificate issued 4,12/1)1 grants occupancy of the above referenced building or portion thereof and confirms that the building has been inspected for compliance ^�ith the State of Oregon Specialty Codes for the group, occupancy, and use unZ- which the referenced permit w tis ed. BUILDING INSPECTOR BUILDIN OFFICIAL POST IN CONSPICUOUS PLACE. CITY rJ F T IG A R D BUILDING PERMIT PERMIT#: BUP2003 00113 DEVELOPMENT SERVICES DATE ISSUED: 3/11/03 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 PARCEL: 1S135AB-01003 SITE ADDRESS: 10300 SW GREENBURG RD 240 SUBDIVISION: LINCOLN ONE/RED LOBSTER/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 CONST: 2FR sf N: -- S: -- -- E: –�--W: -- OCCUPANCY GRP: B TOTAL AREA: 0 sf ROOF CONST: FIRE RET? OCCUPANCY LOAD: 12 BASEMENT: sf AREA SEP. RATED: STOR: HT: ft GARAGE: sf OCCU SEP. RATED: BSM I ?: MELL'?: FCEwD SET BACKS REQUIRED _ T FLOOR LOAD: psf LEFT: ft RGHT: ift FIR SPKL: SMOK DET: DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP ACC: sEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING: VALUE: $ 5,000.00 Remarks: Commercial tenant improvement. Owner: Contractor: EOP LINCO_N, LLC C SCHIEWE & ASSOCIATES ;NG 10260 SW GREENBURG RD 1024 NE DAVIS ST SUITE 100 PORTLAND, OR 97232 PORTLAND, OR 97223 Phone: Phone: 224-9656 Reg #: 60-234-664TO5 FEES _ v REQUIRED INSPECTIONS Description Date Amount Mechanical Permit Require �I31'ILl)J Pennit Fee 3/11/03 $91.30 Electrical Permit Required ITAXj W/o State Tax 3/11/03 $730 Framing Insp Gyp Board Insp IBLIPPLNj Pin Rv 3/11/03 $59.35 Final Inspection 1I`I S1 I'I S Pin Rv 3/11/03 $3652 Total $194.47 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 , 80 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires yuu-To fet.ow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952- -0010 through t?A� 952-001-0100. You may obtain a copy of these rules or direct questions to OUNC by c Ing (503)246-6699 or -800- D0 ued By: \ Pe rm Its------- Signature: —� m l Call 639-4175 by 7 p.m. for an inspection the next business day RMIT CITY OF TIG�ARD BUILDING BLJ 2003- PEr2M1T#: BUP2003-00113 DEVELOPMENT SERVICES DATE ISSUED: 3/11/03 13125 SW Hall Blvd.,Ticiard, OR 97223 (503) 639-4171 PARCEL: 1S1 '3AB-01003 SITE ADDRESS: 10300 SW GREENBURG RD 240 SUBDIVISION: LINCOLN ONE/RED LOBSTER/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 CONST: ZFR sf W S: vE: W: OCCUPANCY GRP: I' TOTAL AREA: 0 sf ROOF CONST: FIFE RET? OCCUPANCY LOAD: 12 BASEMENT: sf AREA SEP. RATED: STOR. HT: ft GARAGE: sf OCCU SEP. RATED: BSM I'?: MEZZ?: REQIJ St I lJAL:KS _ i EQUiRED _ 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 CORR. PARKING: VALUE: $ 5,000.00 Remarks: Commercial tenant improvement. Owner: Contractor: EOP LINCOLN, LLC C SCHIEWE & ASSOCIATES INC 10260 SW GREENBURG RD 102.4 NE DAVIS ST SUITE 100 PORTLAND, OR 97232 PORTLAND, OR 97223 Phone: Phone: 224-9656 Reg #: 6(0-234-664''05 FEES u T� REQUIRED INSPECTIONS 'Description Date Amount Mechanical Permit Require 1 13LtILD] Permit Fee 3/11/03 $91.30 Electrical Permit Required TAX] 80/o State Tax 3/11/03 $7.30 Framing Insp Gyp Board Insp [BUPPLN] Phi Rv 3/11/03 $59.35 Final Inspection IFLS] FLS Pin Rv 3/11/03 $36.52 Total $194.47 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 requiresyour fotiwthe rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952- -0010 through OAR 952-001-0100. You may obtain a copy of these rules or direct questions to OUNC by c911 ng (503) 246-6699 or -800-3 - 4-\ rssued By: Pe nn it tea---- Signature: _ ^� Call 639-4175 by 7 p.m. for an Inspection the next business day Buildin Permit Application VOR ' ONILY + ---- Kcccived Ituiidmr I) 15 Permit No: u/.;Z003-(Z113 City of Tigard Planning Approval Other Date/By: Permit No.: 13125 SW Hall Blvd. Plan Review ---V-- Other -- Tigard,Oregon 97223 I)atc/B : Permit No.: Phone: 503-639-4171 Fax: 503-598-1960 Post-Review land Use ----- --"- Internet: www.ci.tigard.or.us oatero — case No. Contact lur�i See Page 2 for 1-hour Inspection Request 503-639-4175 Name/Method. - f , Supplemental Information Z1(!, io _ TYPE OF WORK— REQUIRED DATA: New construction Demolition 1 &2 FAMILY DWELLING Addition/alteration/re lacement Other: -- CATEGORY OF CONSTRUCTION Note: Permit fees*air based on the total value of the work perfonned. Indicate 7[T1 &2-Family dwelling Commercial/Industrial the value(rounded to the nearest dollar)ol'all equipment,materials,labor, - _-- — AccessoryBuilding _Q Multi-Family overhead and ofit for the work indicated on this application. _ Master Builder F� Other: Valuation,,..... .................... JOB SITE INFORMATION and LOCATION No.of bedrooms: No.of baths:__ — Job site address: 10$00 SW C-iree"burgi Faad Total number of floors..................................... �— - New dwelling area(sq. fl.)............................. -- -- Suite#: O _ Bld ./Apt.#One Lincoln Garage/carport arca(sq. (l.)............................ _ Project Name: Mo my Covered porch area(sq. R.)............................. — Cross street/Directi s to job site: Deck area(sq.n.)............................................ Ste, attac_w mar Other structure area(sq. ft.)............................ —� REQUIRED DATA: Subdivision: Lot#: COMMERCIAL-USE CHECKLIST - Tax map/parcel I#: Note: Pemiil Ices*are based on the total value ol'the work perfor cd. Indicate DESCRIPTION OF WORK the value(rounded to the nearest dollar)of all equipment,materials,labor, overhead and profit for the work indicated on this application. SeY►an't I►�► raveYhevlt valuatiun.................... .............. ..... ............ S 5 00Qe. Existing building area(sq.R.)....................... -- - . New building area(sq R.)............. Number of stories.............. ............ ............. VF. PROPERTY OWNER +j TENANT Type of construction.......... ............................ - Name: EQUITY Cfple F PROPE114TIES Occupancy group(s): Existing: Suto 1160 New: Address: (6260 QW Gr—�I,u� Kl --- Cit /Stat.e/Zip: ortlar%d Off- -- Phone:SO$ 692-N,00 Fax: NOTICE: All contractors and subcontractors arc required to be APPLICANT' CONTACT PERSON licensed with the Oregon Construction Contractors Board under -- provisions of ORS 701 and may be required to be licensed in the Business Name: G$P f1►- Iter r�hG, _ - jurisdiction where work is being performed. If the applicant is exempt Contact Name: (-6iy (L_,_Glur" from licensing.the following reason applies: Address: 112.0 NUJ' Couch St, sut"*te 300 ----- — City/state/zip: Portl2M Off, ------ — ---- Phone:501, -- E-mail: -- BUILDING PERMIT FEES* •Please refer to fee schedule. CONTRACTOR _ _-- ----.-.--�- _-- Business Name: C. Seta Iewe Const . Fees due upon application.............................. $ — —_ --------------- Address: _ 02 NE Davis 4t. Cit /State/Zi ort a 0 9 232 Amount received............................................. S —� a'--�---- ———- Phoneltio3 23'} (,4( _—Fax: Date received: ------ CCB Lic. #!: 5+05 Authorized Notice: This permit application expires If a permit Is not obtained within Signature: -� _—_ Date: 3' `03 Q ----- - -- -- 180 days after It has b,, rccepted as complete. -- i - R. (PI ecase se print name) *Fee methodology set by Tri-County Building Industry Service Board. 0l)-itsTermit Fortm\BldgPermitApp.doc 01/03 1 bony 1 L -240 Accessibility: Barrier Removal Improvement Plan City of 7iga►-d 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 fuunt*s are readily accessible to Individuals with disabilities unless such alterations are disproportionate to the overall alterations in terms of cost and scope. (2) Altcrations 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 or modification being done o0 excluding painting, wallpapering. [11 $ rJ�t�DO• multiply: 25% Bprrier removal requirement. 25 BUDGET FOR BARRIER REMOVAL (2j $ 25it0•oe 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 lot rertr;pp;.,gI8i+e L%w k relai:� $ 1'2Sp,a� accesr)61e ruler, arcerr$I@ Par4-i'' (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, additional accessible elements such as storage and alarms: $_ TOTAL: Shall Aqqal Iine 2 of Value Computation $ X1250 00 —� i:\dstsvomnWcce.isibility.doc 06/07/02 \ VITY OF TIGARD _-. ELECTRICAL PERMIT PERMIT#: ELC2003-00107 DEVELOPMENT SERVICES DATE ISSUED: 3/4/03 13125 SW Hall Blvd.. Tigard, OR 97223 (503) 639-4171 PARCEL: 1S135AB-01003 SITE ADDRESS: 10300 SW GREENBURG RD 240 ZONING: C-P SUBDIVISION: LINCOLN ONE/RED LOBSTER/CASA L BLOCK: LOT : JURISDICTION: TIG Project Description: Job#23-356 3 branch circuits. 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: SIGNALIPANEL: MANF HM/SVC/FDR: 601+amps • 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 OR FDR: 1 PER HOUR: 401 - 600 amp: EA ADD'L BRNCH CIRC: 2 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:-- _J Owner: Contractor: EOP LINCOLN, LLC CAPITOL ELECTRIC CO INC 10260 SW GREENBURG RD 11401 NE MARX ST SUITE 100 PORTLAND,OR 97220-1041 PORTLAND,OR 97223 Phone: Phone: 255-9488 Reg #: LIC 048748 __ --- -- -- SUP 3132S FEES _ 1.F. 26-4960 Description Date Amount Required Inspections JGI_PItMTJ ELC Permit iit $60.1`; (TAyJ 8°„State Tae t .I ut $4.81 F li�ct'I f m;al Total $64.96 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 than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center Those rules are set forth in OAR 952.001-0010 through OAR 952-001.0100. You may obtain copies of these rules ordirect questions to OLINC at(503) 246-6699 or 1.800-332-2344. Issued By: -� , l ',-� (� r. �, Permit Signature:— < r 42 (- �c 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: __--_ DATE: LICENSE NO: - -- 1 l ---- --- - - --- - --- -- Call 639-4175 by 7:00pm for an inspection the next business day Electrical Permit ApplicationDatcreceived,�- / I' iinun„ . L) Project/appl rn hire date: City of Tigard --- Date issued: fly Receipt no.: CITY OF TIGARD Address: 13125 SW HALT.BLVD,TIGAR13 Pll�l 97;� Case file no.: Payment type: Phone: (503)639-4171 Fax(503)598-1960 1f���.1 Lund use approval: i. l 1 Y Cj1 111 _ Irl i_ur,l� f7 1 &Z firmly dcwlling or accessory ❑ Commercial/industrial ❑ Multi-family ❑ 'I'enunt inter"`entcnt New construction ❑ Addition/alteratioti/replacement ❑ Other: ❑ Partial e Job address: 10300 SW GREENSURG RD City: TIGARD Bid .No.: Suite no.: -fax map/tax lot/account no.: Lot: I Block:N/A ISubdivision: 11roject name SUITE#240 IDescription and location of work on premises: TENANT IMPROVEMENT H:cunlated date of corn Ictiominspection. Joh no: 23.356 Fee Business Name: Capitol Electric Co.,Inc. Description !', (ea.) t 11.11 n1.insp Address: 11401 NE MARX New residential-%Ingle or multi-family per City: Portland Slate: OR 'ZIP: 97220-1041 dwelling unit. Include%attached garage, Phone: 503.255.9488 Pax: 257-7121 E-nail: darroh ce dx,com Service Included: CCB no.: 48748 JEIcc. us.lic.no: 26-496C 1000 sq,R.or less $ 145.15 Cit /netro lic.no j NI Each additional 500 sq Il.or portion thereof S 33.40 2126103 Limited energy residential $ 75.01 Signmtfre of super icing electrician Ircyuired) Dale Limited energy,non-residential S 4 11' Sun.elect.name(print): Darrell McNeel I iccnse no.: 3132.5 Each manufactured home or modular dwelling Service and/or feeder 1, Name(print): Equity Office Properties Services or feeders-Installation, Mailing address: 10260 SW Greenburg Rd alteration or relocation: Pity: Tigard Stair: OR ZIP: 97223 200 amps or less 5 90.31 Phone: 503.892.2500 Fax: JE-mail: 201 amps to 400 amps 5 16.95 Owner lnstallallon: The installation is being made on property I own 401 amps to 600 amps _ S Mobil _ which is not intended for sale.lease.rent,or exchange according to 601 amps to 1000 amps S 240.60 ORS 447,455,479,670,701. Over liNO amps or volts S 454.65 _ (boners signature: Dale: Reconnect only IS r,l xa 'I emporary services or feeder%- Nanre: Installation,alterallons,or relocation: Address: 200 amps or less S 66.85 l u� Slatc: ZIP: 201 amps to 400 amps I'honc Fax E-mail: 401 amps to 600 amps S Branch circuits-new,alteration, ❑Sen i, ct 225 amps-conunercial U licaldt-care f4ciiit) or extension per panel: Cl Service tocr 321 amps-rauhng of I&2 ❑1lazardous location A. fee for brunch circuits with purchase of family dwellings ❑Building it,er 10,000 square R.four or service or feeder fee,each branch circuit 5 "` ❑System over 600 volts nominal more residential units in one structure 13 Fee for branch circuits without purchase ❑Building over three storieb O Feeders,401 amps or more of service or feeder fee,first branch circuit: 1 S an xs 4o y5 ❑Occupant toad over 99 persons ❑Manufactures strictures or RV Park Each additional branch circuit: —7 ❑Fgresslighting plan ❑(thea Mlsc.(Service or feeder not included): Submit sell of pian%with ane of the above. Each pump or irrigation circle The above are not applicable to temporary con%lructlon service, Bach sign or outline lighting signal circuit(%)or a limited energy panel, alteration,or extension* 'Description: —_ Each additional inspectionover tit alto,dile in any of the above: I'cr inspectior, hoesligation(re nher p Visa ❑ MasterUard Permit fee.......... ..... $ _ 60.15_ redit cad number Notice:this permit application Plan review ( ) S Y expires If a permit Is not obtained Slate Surcharge 8% ) S 4.81 Naintorca,holder as shown,x,credit curd withing 180 days after It has been S TOTALL.................. S 64.96 t'urdhuldrr slittluture """'ln' accepted as complete ELECTRICAL PERMIT- CITY OF TI GAD RESTRICTED ENERGY DEVELOPMENT SERViuES PERMIT#: ELR2003-00086 13125 SW Hall Blvd.. Tiqard, OR 97223 (503) 639-1171 DATE ISSUED: 3/21/03 SITE ADDRESS: 10300 SW GREFNBURG RD 240 PARCEL: 1S135AB-01003 SUBDIVISION: LINCOLN ONE/RED LOBSTER/CASA L ZONING: C-P BLOCK: L01: JURISDICTION: TIG Proiect Description: Installation of limited energy for data telecommunications. A. RESIDENTIAL B.COMMERCIAL AUDIO & STEREO: AUDIO & STEREO: INTERCOM & PAGING: BURGLAR ALARM: BOILER: LANDSCAPE/IRRIGAT: GARAGE OPENER: CLOCK: MEDICAL: HVAC: DATA/TELE COMM: X NURSE CALLS: VACUUM SYSTEM: FIRE ALARM: OUTDOOR LANDSC LITE: OTHER: HVAC: PROTECTIVE SIGNAL: INSTRUMENTATION: OTHER: TOTAL#OF SYSTEMS: Owner: Contractor: FOP LINCOLN, LLC ALREADY TELEPHONE SYSTEMS 10260 SW GREENBURG RD 124 DEERBROOK DR SUITE 100 OREGON CITY, OR 97045 PORTLAND, OR 97223 Phone: Phone: 503-443-2178 Reg#: LIC 132697 ELE 34-578CEP FEES v Required Inspections Description _ Date Amount Low Voltago Inspection IFLPRMTj ELR Permit 3/21/G3 $75.00 Eleet'l Final [TAX] 8'!5)State Tar 3121/03 $6.00 Total $81.00 This Permit is issued subject to the regulation: poi :ained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable laws. All work will be done ii.accordance with approved plans, This permit,,vill expire if work is not started within 180 days of issuance,or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 throuc � / 1v Issued by _ r��i�,'�,! ) t ! �ic.►_�� _ - Permittee Signature 1 f-r -t..wil_ /' (.�"y: L&A 4 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 ATE:tICENSE N O: _--- Call 639-4175 by 7:00 P.M. for an inspection needed the next business day FFICE USE.ONLY Electrical Permit Application ication " Received ORp LlrmitNl iF�o3 _0 04 Date/l3 :9 � � 03 Dl7 Permit No.: O Planning Approvai Sign City of Tigard Date/By: Permit No.: 13125 SW Hall Blvd. Plan Review Other Tigard,Oregon 97223 Date/By: Permit No.: se Phone: 503-639-4171 Fax: 503-598-1960 Date/ y: Case o.: Date/By: _ Case No.: Internet: www•ci.tigard.or.us Contact See Page 2 for 24-hour inspection Request: 503-639-4175 Name/Method: �' Supplemental Information. _ TYPE OF WORK _ PLAN REVIEW Please check all that apply) _ New construction Demolition Service over 225 amps- Health-care facility commercial ❑Hazardous locatic., RAd_dition/altcratiolu're l�a�,eni!nt Other: ❑Service over 320 amps-rating of ❑Building over 10,000 square feet, CATEGORYt-) RUCTION I&2 family dwellings four or more residential units in 1 &2-Family dwelling T� Commercial/Industrial _ ❑system over 600 units nominal one structure -- ❑Building over three stones ❑Feeders,400 amps or more Accessory Build_� Multi-Famil ❑Occupant load ovet 99 persons ❑Manufactured structures or RV park Master BUilc'er f Other: [3 Egress lighting plan ❑Other: JO$SITE:INFOR�r1AT10N and LOCATION Submit_sets of plans with any of ilme above. The above are nit a livable to temporary construction service. Job site address:/0300 TW. 46= —4z FEE-SCHEDULE Bldg./A t# Number of ins ect ns per permit allowed Suite#: D p Description Qty Fee(ea.) Tout Project Name: -- New residential-single or multi-famlly per Cross Street/Directions to Jot- site: _ / dwelling unit.Includes st!ached garage. u � 17 0 �Q�� �� Sen_e included: — /] 1000 sq.ft.or less 145.15 4 Each additional 500 6q.a.or-portion thereof 33.40 1 Limited energy,residential 75.00 2 SubdlVisiorV _ Lot#: Limited energy,non residential 75.00 2 Tax ma areal #: Each manufactured home or modular dwelling DESCRIPTION OF WORK service and/or feeder 90.90 2 Services or feeders-Installalbn, alteration or relocation: -- ----" ���— 200 amps or less 80.30 2 -- 201 am to 400 amps 106.85 2 401 amps to 600 amps 160.60 2 PROPERTY OWNER —TENANT 601 amps to 1000 ams 240.60 2 _ -- Over 1000 amps or volts 454.65 2 Name: _ Reconnect only_ 66.85 2 Add_r3S: Temporary services or feeders-Installation, _ -- --- alteration,or relocation: City/State/Zip: i _ 200 amps or less 66.85 1 -— 201 amps to 400 amp 1011.30 2 Phone: Fax: 401 to 6111)amps — --- 133.75 2 APPLICANT CONTACT PERSON Branch circuits-new,alteration,or Name: extension per panel: A.Fee for branch circuits with purchase of Address: �_-__ service or feeder fee each branch circuit 6.65 2 Clt /State/ZI _ _ B.Fee for branch circuits without purchase of service or feeder fee,first branch circuit 46.85 2 Phone: Each additional branch circuit 6.65 2 E-mail: Misc.(Service or feeder n..:included): Each um or irrigation circle 51.411 2 _CONTRACTOR Each sin or outline lighting 53.40 2 Job No: _ Signal circuits)or a limited energy panel. , alteration,or extension Pa e 2 2 Business Name:fl L& CE11pY %�[�PirbNE S-yS%�►4j Description- � T Address: ZtBAaok T Encs additional Inspect on over the allowable In an of th�obov City/State/Zip: d k L!2�l / �y 0 ©� Per inspection r hour min. I hour 7 Fax: In vesti ation fee:Phone:j 0 $`�. Other:CCB Lie• #: / ,4 6 9 ) Lie, #:�yt J7 7r�� �� _ Electrical Permit Fees* Supervising electrici ��/ /a i e} Subtotal $ 'i 5 �� signature re wired: rv'' - _ w Plan Review(25%of Pettmit Fee $ Print Name: w w /qr Llc. #: iZ L L State Surcharge(8%of Permit Fee S _ TOTAL PERMIT FEE S — Authorized Notice: This permit application expires If a permit Is not obtained within Signature: �'r-u'�� Date: ^O 180 days after It has been accepted as complete. A 7 H11 *Fee methodology..et by Tri-County Building Industry Service Board. (Please print name) is\Dsts\Petmit Forma\ElcPermitApp.doc 01/03 Electrical Permit Application - Cits of"Figard Page 2 - Supplemental Information LIMITED ENERGY PERMIT FEES: RESIDENTIAL WORK ONLY: Fee for all systems............................................................ $75.00 Check'])pe of Work Invulved: Audio and Stereo Systems* Burglar Alarm Garage Door Opencr* C] Hcating,Ventilation and Air Conditioning System* Vacuum Systems* Other _ COMMERCIAL WORK ONLY: Fee for each system.......................................................... $75.00 (SBE OAR 918-260-260) Check Type of Work Involved: Audio and Stereo Systems Boiler Controls Clock Systems Dala'1'elecommunication Installation Firc Alarm Installation HVAC DInstrumentation ❑ Intercom and Paring Systems ❑ Landscape Irrigation Control* Medical Nurse Calls DOutdoar Landscape Lighting* Protective Signaling nOther -- --------- —_—. _–Number of Systems * No licenses are required. Licenses are required for all other installations iADsts\Permit F0rms\FIcPcrmitAppPg2.doc 01103 CITYOF TIGARD _ MECHANICAL PERMIT DEVELOPMENT SERVICES PERMIT#: MEC2003-00153 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 3/31/03 PARCEL: 1 S135AB-01003 SITE ADDRESS: 10300 SW GREENBURG RD 240 SUBDIVISION: LINCOLN ONE/RED LOBSTER/CASA L ZONING- C-P BLOCK: LOT: JURISDICTION: TIG CLASS OF WORK: ALT FLOOR FURW EVAP COOLERS: TYPE OF USE: COM UNIT HEATERS: VENT FANS: OCCUPANCY GRP: B VENTS vr'/O ADPL: VENT SYSTEMS: STORIES: _ 110ILERS/CO_MPRESSORS HOODS: FUEL TYPES0 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 + lip: CLO DRYERS: TURN < 100K BTU: AIR HANDLING UNITS OTHER UNITS: FURN >=100K BTU: <= 10000 cfm: > GAS OUTLETS: 10000 Lfm: Remarks: Pelocate(3)ducts& grilles for tenant impimcnxcnt Owner: _ _--_—Y FEES EOP LINCOLN, LLC Description Date Amount 10260 SW GREENBURG RD NII ('III Permit Fee 3/31/03 $72.50 SUITE 100 PORTLAND, OR 97223 I .; ) State'Tax 3/31/03 $5.80 Phone: Total _ $-6.30 Contractor: MCKINSTRY CO 5400 NE COLUMBIA BLVD PORTLAND,OR 97218 REQUIRED INSPECTIONS Phone: 331-0234 Mechanical Insp Final Inspection Reg #: LIC 40981 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of f)re. Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted in the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-00 I ued By: 1,w Permittee Signature: 020 Call (503) 639-4175 by 7:00 P.M. for Inspections needed the next business day Mechanical Permit Application ' Date received: ,$'0j k Permit no.: C t�� City gard 'rojectieppl.no.. ire date: Citi,of Tigard Address: 13125 SW hall Blvd,Tigard,OR 97223 Date issuers B Receipt no.: Phone: (503) 639-4171 Fax: (503) 598-1960 Case file no.: Payment type: Land use approval: Building permit no.: - J I &2 family dwelling or accessory J Commercial/industrial U Multi-family J 7en,ult 11111)l()\anent J New construction J Addition/atteration/replar•cment J Other _-- lob address: 1,_ Indicate equipment quantities in boxes below.Indicate the dollar Bldg.-no.: Uh�Ci:jL.t, Lie of all mechanical materials,equipment,labor,overhead, Tax map/tax lot/account no.: profit.Value S _— Lot:� I Block: Subdivision: *See checklist for important application inl'ormation and Project name: aR — jurisdiction's fee schedule firr residential permit fee. l City/county: t 2Z ,rV4I) ZIP: g �__-�- 72z-� - - Description and location ol'work on premises: `r3✓N AN T =Y((r e0 Q FU 1V-N C Fee(ea.) I otAl Est.date of completion/inspection: Description (1ty. Res.r:�rlr Res.only Tenant improvement or change of use: Air handling unit .CFM — Is existing space heated or conditi-mcd'N Ycr J No - - - - Air crn)ditioning(site plan required) Is existing spare insulated" 1'r, .I --Alteration of existing HVAC system _ "Boller/compressors State boiler permit no.: Business name: c_4�It�1 a"Ck� _ tip Tons RTU/H Address: 5-e4(),c) C,0L_.t SjA SLJD, Fire'smoke dampers,duct smoke detectors City:- -PC L pcJp State:QR ZiP: c;� ea►pump Isue_Tari required) Pilone: Fax: Email: nstu /repace urrtatcbumer --� 1 �K±� -- --- Including ductwork/vent liner U Yes U No C 'B no.: L#Q�{Q�( Instal ire_ace/re locate hcatcrq-suspended, City/metro tic.no.: 1 I.1 wall,or floor mounted Name()[caseprint): fl(1.{_ - Vent for appliance other than fumace e r gerttl on: Absorption units BTU/H Name: c(•.-.►r- Chillers ---____ HP Address: - - Compressorsm _-- _ HP fJ IT1 ( ♦1• .ntironente exhaust an rent A1011: City: �=>M-TL'A&. D Statc:CF(? ZFP: V Appliance �,•nt Phone: "x CjL 3 Far rli'{r- E-mail: Drycr exhaust --- Hoods,Type V II/res. itc ear)harms hood fire suppression system Name: Exhaust fan with single duct(bath fans) _ Mailing address: - - I xhau�;l,v�stcnl a ar from heating or At' Fuel piping and distribution lap to a Wallets) City: State: ZIP:— Type _ _ LPC; N6 __ Oil Phone: Fax: E-mail' ue -i iii eac a trona over 4 outlets Process piping Ise)ctttati:required) _ Number of outlets Name: - _—�-_ Other listea ap—pritnee of equTpment: Address: _ Decorative fireplace City: — State:"-- ZIP: -- Insert-tvpe - - - — Phone: Fax: E-mail: stavupe et stove Other: Applicant's signature' Date'' 3L©g — Name iprint) --41 SAlSC3CdTZ __ Not all lunsdudtnns accept credit cards,please call iumsdtctum tier more mtormatton Permit fee ..................... �� J t'isa J Meatcrl'urd Notice: This permit application Minimum lee.... ........... S t'rcud nt d umlur _....___ ___�___L.._ expires if a permit is not obtained plan review tat _ "b) S --- --- within 180 days alter n has been t' pica State surcharge(81/0).... S - --- — Name of car of er m shown on-credit card accepted as complete. s 7'O'P'AL........................ r— and older sljt turc Amount S4n.th1'inaAt'0�11 I CITY OF TIGARD 24-Hour BUILDING Inspection Line: (5031 5 MST INSPECTION DIVISION Business Lie: (503 3 1 —-- - BU P) Received -- Date Rr✓quested AM_._ PM BUP Location . _ -. 3C- - - - _ Suite--- 2-- MEC ----_ -_- _-� Contact P?►:,on _ ` _ �__ __-- -_ __ Ph(__ - ._.._ ) _��_-- PLM Contractor _ �_ - -- - Ph (— —) � �d� - SWR — -- ---- UILDI_ Tenant/Own - _ ELC Footing Foundation A ELC - /� Ftg Drain L �� / /'/!1� f�i\l r�0 ELR ---- -- -- ----.. Crawl Drain Slab Inspection PwI'llw.,, SIT Post&Beam - - - -'' --- -. e�_�L - - Shear Anchors Ext Sheath/Shear Int Sheath/Shear Framing / 1 -� _���k' -� _ _-`�Z7 �Ci �_ Insulation iMt�L��'3, V t � -•,�,p�] '(�� �b -S ��� Drywall Nailing �►11. Firewall Fire Sprinkler A 4 - - - 5,e Alarm Susp'd Ceiling -- — -- ---- - - Root Oth -- ---_ _ - ina S PART FAIL*64M — --�- --- INGt ---- - Post&Beam Under Slab Rough-In Water Service A ----- --- Sanitary Sewer Rain Drains -- -- 60010 --- - - Catch Basin/Manhole Storm Drain Shower Pan Other. Final PASS PART _FAIL _ MECHANICAL Post&Beam Rough-In Gas Line --------�._ — __----- ------- Smoke Dampers ----- ---- --- Final PASS PART FAIL _-- ELECTRICAL Service- Rough-In UG/Slab Low Voltage Fire Alarm -- --- --- -- .____ Final U Reinspection fee of$ required before next Inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL n SITE Please ca!l for reinspection RE:_ -__ - _- Unable to inspect-no access Fire Supply Line ADA $ �� Approach/Sidewalk Date _41 Insp*dor �— Other.,_ Fina! 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 BUP — Received - -- -__ Date Rec uested _- � ___-- AM__.-- -- PM ---__-_.-- BUP - Location ` 1 300 _..--Suites C/() - -- - we Contact Person ____ — h( ) PLM Contractor _ -_ _ _- Ph'( ) 3 3 1 — n 3 SWR - BUILDING Tenanb'Owner Iv —_- __- ELC --__ Footing ELC Foundation Access: _- Fig Drain �cr /u, cEL -- co U�� Crawl Drain Slab Inspection Notes Post&Beam Shear Anchors -— - - Ext Sheath/Shear Int Sheath/Shear - --- Framing Insulation Drywall Nailing __-_ _ - Firewall Fire Sprinkler - - - - — ---- — -- — Fire Alarm Susp'd C-''., g - - - - Roof Other: - - Final _P_ASS PART FAIL PLU_M_BING___ Post&Beam - Under Slab Rough-In Water Service --- - -- ---— - --- - -- Sanitary Sewer Rain Drains - ----- -- - -- Catch Basin/Manhole Storm Drain --- -- — — Shower pan Other: _ - --- - Final _AS __ IL M ` HANICAL Roug ---- Gas Line SmjQke Dampers -- - --- _ _- n S T FAIL — —�.---- ----- --— -- ern ---- Rough-In _— UG/Slab — --- Fi larm Q*_9T _:r u Reinspection fpsof$____—___.—_.required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. RT FAIL _ r Please call for remspectior,RE: Unable to Inspect-no access Fire Supply Line ADA `�I Approach/Sidewalk Ante `7f 1��E!'' � Inspector —� '7 Ext Other: Final DO NOT REMOVE this Inspection record from the job site. PASS PART FAIL CITY OF TIGARD 24-Hour BUILDING Inspection Line: {503)639-4175 MST INSPECTION DIVISION Business Line: (503) 639-4171 BUP Received __ Date Requested - -37 a?._- AM -_ PM ___.____ BUP a Location --_-_ Ito 3 00 _- �"!_- Suite_ �_-_-_ MEC ---------.-_- Contact Person Ph (_ ___) _-?�_1`� _ PLM Contractor Ph(---) ___ .._ �.-_.____. SWR BUILDING Tenant/Owner _ _._.—._ _-___ _____—__..__. ELC _0-0 167 Footing Foundation - ----�------ ELC Access: Ftg Drain ELR Crawl Drain _ Slab Inspection Notes: SIl Post&Beam Shear Anchors Ext Sheath/Shear _ Int Sheath/Shear Framing ---- _ -_ Insulation Drywall Nailing - - - - --- -- Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling _ --- — Roof Other: —- - —�-- - Final PASS PART FAIL -'— - — PLUMBING Post&Beam — - Under.31ab _ ----- Rough-In Water Service - - Sanitary Sewer Rain Drains - Catch Basin/Manhole Storm Drain -- - Shower Pan Other: - - - - — - Final ASS PART_ FAIL MECHANIG.,L Post& Beam Rough-In Gas Line ---- - _ - Smoke Dampers -- --- - _ _— - ---- -- - , Final PASS PART FAIL — --- --- ELECTRICAL Service Rough-In UG/Slab __ ------------_. _- - ------ -- Low Voltage ftin [� Reinspection fee of$__. - _ _. required before next Inspection. Pay at City Hall, 13125 SW Hall Blvd. AS PART FAIL Please cell for rinspecti RE:----_� U hi o inspect-no access Fire Supply Line ADA /f Approach/Sidewalk Dwto 1/-�✓ Inspector._ _ _ Ext Other: Final DO NOT REMOVE this Inspection record from the Job site. PASS PART FAIL