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10300 SW GREENBURG ROAD STE 300-3 l z v� c z w 0 0 f 10300 ,jW GREENBURC RD 300 CITYOF TIGp►RD - BUILDING PERMIT — PERMIT #: 1-00282 DEVELOPMENT SERVICES DATE ISSUED: 8/7/01 8/7/01 13125 SW Hall Blvd., Tigard, OR 57223 (503) 639-4171 PARCEL: 1S135AB-01003 SITE ADDRESS: 10300 SW GREENBURG RD 300 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: CUM SECOND: sf PROJECT_OPENIN_GS? 1 YPF. OF CONST: 2FR sf N: S: E: W: OCCUPANCY GRP: B TOTAL AREA: 000 sf ROOF CONST: FIRE RET? OCCUPANCY LOAD: 88 BASEMENT: sf AREA SEP. RATED: STOR: HT: ft GARAGE: si OCCU SEP. RATED: BSMT?: MEZZ?: REQD SETBACKS _ REQUIRED_ FLOOR LOAD. psf LEFT: ft RGHT: ~�ft FIR SPY.L: SMOK DET:— DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP '\CC: BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING: VALUE: $ 15,000.00 Remarks: Commercial TI Adding 3 office spaces Owner: Contractor: EOP LINCOLN, LI-C C SCHIEWE + ASSOCIATES 10260 SW GREENBURG RD 1024 NE DAViS SUITE 100 PORTLAND, OR 97232 P Phone ND, OR 97223 Phone: 234-6617 Reg#: LIC 54105 FEES REQUIRED INSPECTIONS _ Type By� v Date Amount Receipt Mechanical Permit Require PLCK CTR 8/2/01 _ $121.75 27200100000 Electrical Permit Required Sprinkler Permit Required FIRE CTR 8/2/01 $74.92. 27200100000 Framing Insp PRMT CTR 8/7/01 $187.30 27200100000 Gyp Board Insp 5PCT CTR 8/7/01 $14 98 27200100000 Susp Ceiing Insp Final Inspection 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 ATTENTIONOregon 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 M calling (503) 2.46-6699 or 1-800-332-2.344 Pc rnittee Signature: r --- Issued B%': �- Call 639-4175 by 7 p.m. for an inspection the next business day Building Permit Application City of Tigard Date received: v'CO/ Permit no.: Address: 13125 SW Hall mv(I,Tigard,OR 97223 ProjecUappl.no.: Expire date: City of Tigard Phone: (503) 639-4171 Date issued: By: Receipt no. -.0 Fax: (503) 598-1960 Case file no.: Payment type: Land use approval: I&2famlly:Simple Complex: U I &2 family dwelling or accessory U Commercialtindustrial U MU.L family U New constructit a U Demolition U Additiott/alteratiott/replacement U Tenant improvement U fire �,prinklcrhlann U(Ahen. J NU Joh address: OS" bt�r � � � 'W .�re�ev� ! (�t�+ "t'oite 3(`e Bldf,no.:t,l tol. Suite no.:� Lot: I Block: Subdivision: Tax map/tax lot/account no.: Project name: Cc, 5 S fl-em.ode Description and location of work on premises/special conditions: in Of�f1 ceS -1- Name: L)'Ltv Mail inN ad lress. (oS - p W GreEnburq C.,C I &2 family dwelling: 7 — C'it--y: �r t.( , I State:C5 , ZIP:9 221 Valuation of work........................................ $. Phone5n3 8192.2500 Fax: t:-mail: No.of bedrooms/baths................................ Owner's representative: a' (Z,G(uv- _ GBD Arc k;te A3 Total number of Mors................................. _ i onu5CS ?,2 -9(0 x: IF-mail: New dwelling area(sq.ft.) .......................... IUMINg Garage/carport area(sq.ft.)......................... — Name: GaDck'is Inc. Covered porch area(sq.ft.) ......................... -- _ Mailing address: 920 avt-rine Sl�i OOb Deck area(sq.ft.) ........................................ City: a ah State:Q[L ZIP:9�20�_ OInCr structure area(sq.ft.)............. ........... Phone5o3 7.2 Valuation of work•9(,56 Fax: E-mail ('ommerclaUlnduetrlaUmulti-femNy: 1C.; ......................... _Busness name: C, $ch' Existing bldg.area(sq.f.) .......................... IeWe D V�S 5't �-d New bldg.arca(sq.ft.) Address: City: ort an F- a State:C?R ZIP: 2?, Number of stories........................................ ive Phone 50-L, 2 Cdo Fax: Email Type of construction.................................... Z-FA, Occupancy group(s): Existing: CCB no.: S4- 05 1—. New: City/metro lie.no.: Notice:All contractors and subcontractors are required to be — licensed with the Oregon Construction Contractors Board under Name- SkMC Ps tNPP LtCA0T-- provisions of ORS 701 and may be required to he licensed in the Addret s: jurisdiction where work is being performed. If the applicant is Cit : ate: 7'IP: exempt from licensing.the following reason applies: Contact person. Plan no.: — Phone: Name: l'lmtaet person: Fees due upon application ........................... $ _ A Idress: —��_--- —_ _ 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 Nol dl Jurisdictions wcepl ctedil cath,please call iurisdiriion tm mmr infumuntlon attached checklist.All provisions of laws and ordinances governing this U Visa t_t Ma.,terCard work will be complied with,whether specified herein or not. Cmul card numAer^_ _ ._-L__J___. Expires Authorized signature: y -Yl-✓'�' Date: 8''2 n l -- Name of caranolder a snowt�on cmtTt cud — - Print name: t` V v vlr --- C'ndhalder eI6nalure -- —u s Amount Notice:This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. mu)asl a('"oM) COMMERCIAL. FLAN SUBMITTAL REQUIREMENT MATRIX Plan review is dependent upon submittal of a completed application and plans. After pian review approval, the Plans Examiner will contact the applicant to request additional plan sets for distribution purposes (for Contractor, City of Tigard, Washington County, and Tualatin Valley Fire & Rescue). _ w___—___-- -------_ Total # of TYPE OF SUBMITTAL- Plans KEY: Submitted S = Site Work (must include S (New, Add or Alt) 4 location of all accessible parking) B (New, Add or Alt) 1* B = Building F (New, Add or Alt) 3** F = Fire Protection System M (New, Add or Alt) 2 M = Mechanical P (New, Add or Alt) 2 P = Plumbing E (New, Add, or Alt) 2 E = Electrical _ New = New Building Add = Addition Alt = Alteration to existing building *For over-the-counter commercial tenant improvements, submit 2 sets of plans. "t leer" requires that plans bear the original seal of an Oregon licensed fire suppression engineer, or NICET level "3" technicians. L\dsts\forms\mafrxcom.doc 10/27/00 Goms s ftemc'de I 1L-3 c &Z2 c SUBJECT: ACCESSIBILITY FARRIER REMOVAL IMPROVEMENT PLAN REQLIIREMENT, OREGON REVISED STATUTE (ORS) 447.2.41. (1) Every pooject 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 aye disproportionare 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 I he overall alteration when the cost exceeds twenty-five per-cent(25%). VALUATION. of all renovation, alteration or modification being done _ excluding painting, wallpapering 111 $ 15i p00 cv multiply; 25% Barrier removal requirement. .25 BUDGE=T FOR BARRIER REMOVAL [2] $ +7r�C'.C° _ 'n choosirg 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 rest iF?In ,hew curb cvt9l sjdarr.��<r $ J150'ao et4,4 Acer { 2cce.rrib1e AA (b) An ac7clessible entrance: $ (c) An access:'ole route to the altered area $ (d) At least one accessible restroom for $ each sex or a single unisex reatroom- (e) Accessible telephones $ (f) Accessible drinking fountains: and $ (g) When possible, additional accessible elements such as storage and alarms: $ '� �n TOTAL: Shall equal line 2 of Value Computation $ 75D. • i,\dsts\forms\occess do: 41, /7,P CITY OF TIGARD BUILDING INSPECTION DIVISION MST _--2gr 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 BtIP Z -Z-- Requested.-_- / .---AM- ___PM BLD --_-- - l-ocation U C>�> ,3 �•/_t�r/�r- C? -3_ �_._ Suited _ MEG ---,--- - 1�_--. _ 0 GSG j PLM Contact Person - _L'r C y- Z_._ Ph 7 ---- ---.-__- Ph SWR -- ----- C;ontractor -_• - _----�-- - ELC 7Footing Tenant/Owner -_-- - ELR l Access. FPS SGN --- - Crawl Drain Inspection Notes. 771 SIT - Slab - -------------- - --- - _ Post&Beam Ext Sheath/Shear Int Sheath/Shear --_- Framing Insulation Drywall Nailing - - ---- -- -- Firewall — -------- -- - Fire Sprinkler -- ------- - - "----- Fire Alarm — Susp'd Ceiling _---. -- -- -------- __ -- Roof -------.----- _ Misc:_ ___ - ------ - -- --�_ S PART FAIL ---~-– BIND ------- ----- -- -- Post 8 Beam _ --------------- __ _ Under Slab — – -- - Top Out -----— – Water Service –-- — Sanitary Sewer Rain Drains - -- -------- - ---- --- - Final --_ PASS PAR•r_ FAIL --- MECHANICAL Post& Ream Rough In -- -- ----- ------ _ Gas Line Smoke Dampers Final - PASS PART FAIL ----- ELECTRICAL Service ------ -------_-- -----------------_-- Rough In UGISIab -- -- ------ — - ------ - Low Voltage Fire Alarm --- - - - --- Final -- PASS PART FAIL ---"----- -SITE ---- Backfill/Grading - Sanitary Sewer required before next inspection. Pay at City Hall, •13125 SW Hall Blvd Storm Drain ] J Reinspection fee of$- 4 � J Unable to inspec'-no access Catch Basin Fire Supply Line pate I ]Please call for reinspection RE: ADA Ext Approach/Sidewalk ��__ - lnsprctnr - - - Other - - Final PASS PART FAIL DO NOT REMOVE this '.inspection record from the job site. CITYOF T I G A RD _ CERTIFICATE OF OCCUPANCY DEVELOPMENT SERVICES PERMIT#: BUP2001-00282 DATE ISSUED: 20 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 S13 I - PARCEL: S135A6-01003 ZONING: C-P JURISDICTION: TIG SITE ADDRESS: 10300 SW GREENBURG RD 300 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: 88 TENANT NAME: REMARKS: Commercial TI Adding 3 office spaces Owner: EOP LINCOLN, LLC 102.60 SW GRF.ENBURG RD SUITE 100 PORTLAND, OR 97223 Phone: Contractor: C SCHIEWE +ASSOCIATES 1024 NE DAVIS PORTLAND, OR 97232 Phone: 2.34-6317 Reg #: LIC 54105 This Certificate issued 09/24/2001 grant!; occupancy of the above referenced building or portion thereof and confirms that the build ng has been inspected for compliance with the State of Oregon Specialty Codes for the group, occupancy, and use under which the reference)permit was ifsued. BUILD--INS INSP :CTOR —BU—IL-5—TINUONFICIAL POST IN CONSPICUOUS PLACE CITY OF TIGARD BUILDING INSPECTION DIVISION 14--Hour Inspection Line: 639-4175 Business Line: 639-4171 MST ------- - — -- - BUP —Date Requested aZ-� AM PM ` BLD —_`-- Location kAuite 3C?L ) _ MEG _ Contact Person Ph _ PLM ContractorPh S1`7 -6,3 7 SWR QUILDING Tenant/Owner EI-C Retaining Wall EL.R Footing Access: — - Foundation FPS Ftg Drain -- crawl Drain Inspection Notes: SGN _ Slab _ Post& Beam SIT Ext Sheath/Shear Int Sheath/Shear -- Framing Insulation Drywall Nailing Firewall — - --- Fire Sprinkler �� k17 ,S ' Fire Alarm Susp'd Ceiling Roof Misc:- --- -- -- Final PASS PART FAIL 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 -- - FAIL ECTRICAL ---._ Rough In UG/Slab Low Voltage Fir term S PART FAIL _ Backfill/Grading -- -- - — ----- Sanitary Sewer Storm Drain [ j Reinspection fee of$ _required before next inspection. y at City Halt, 13125 SW Hall Blvd Catch Basin Fire Supply Line [ )Please call for reinspection RE:— [ J Unable to Inspect-no access ADA Approach/Sidewalk Date Li; � Other — �� _Inspector_ Ext Final — - - - PASS PART FAIL_ DO INIOT REMOVE this inspection record from the job site. A \ ELECTRICAL PERMIT- CITY OF T I G A R D f RESTRICTED ENERGY DEVELOPMENT SERVICES PERMIT#: Et_R2001-00207 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 08/09/2001 SITE ADDRESS: 10300 SW GREENBIJRG RC) 300 PARCEL: 1 S 135AB-01003 SUBDIVISION: LINCOLN ONE/RED LOBSTER/CASA L. ZONING: C-P BLOCK: LOT: JURISDICTION: TIG Proiect Description: Installation of limited energy access panel. A. RESIDENTIAL B.COMMERCIAL AUDIO & STEkr_O: AUDIO & STEREO: INTERCOM & PAGING: BURGLAR ALARM: BOILER: LANDSCAPE/IRRIGAT- GARAGE OPENER: CLOCK: MEDICAL: HVAC: DATA/TELE COMM: NURSE CALLS: VACUUM SYSTEM: FIRE ALARM: OUTDOOR LANDSC LITE: OTHER: HVAC: PROTECTIVE SIGNAL: INSTRUMENTATION: OTHER: BURG.ALARM X TOTAL.#OF SYSTEMS: 1 _ Owner: Contractor: EOP LINCOLN, LLC ADT SECURITY SERVICES, INC 10260 SW GREENBURG RD 2815 SW 153RD DR SUITE 100 BEAVERTON, OR 97006 PORTLAND, OR 97223 Phone: Phone: 503-469-7244 Reg #: LIC 59944 E:LE 26-209CLr.. _ FEES Required Inspections Type By Date Amount Receipt Low Voltage Inspection PRMT CTR 08/09/2001 $75.00 2720010000 Elect'I Final 5PCT CTR 08/09/2001 $6.00 2720010000 Total $81.00 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 swill be done in accordance with approver. 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. ATTEN"TION Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 t ugh DAR 952-001-0080. You may obtain copies of these rules or direct questions to OUNC at (503) 246-1987. Issued by w Per:nittee Signature_ � �, �-�' -o>L 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: CONTRAC fOR INSTALLATION ONLY SIGNATURE OF SUPR. ELEC'N LICENSE NO: J C "i i'L L- Ca!1 6394175 by 7:00 P.M. for an inspection needed the next business day 08/07/2001 09:45 FAX 5034697110 AUT SECURITY 2001 Electrical PermitApplication —�--1-" Datereceived: 9 � Permit no.: Ion ' ,� City of Tigard l69 / Project/appl.no.: Expiredate: CitvofTigard Address: 13125 SW Hall Blvd,Tig� -97223' - - Phone: (503) 639-4171 Date issued: By: Recce it no.: Fax: (503) 598 1960 Case file no.: Payment type: Land use approval: — 1 U I &2 family dwelling or accessory 8 Commercial/industrial U Multi-family 0 Tt rant imprc ement O Nnw ronstruction U Addition/alleration/replaceincnt ❑Other U Pial JOR SITE]INFORMATION NJ Job address: 'Q S�1'aae« Qldg. no.: Suite no.:%gip Tex map/tax Int/account nt Black: -__ 5ubdivision:_ - Ptojrct Hunte: Description and location of work on premises: Fslintaled date of completwith sp,,ction: 1 / FEE SCHIELE t tub rats For Max Business name: ✓� cri ,,on Qt, (ea Total no.inep CIO 110 Address; 1, t Newresidential-singl+�ortnur''-familyper KW) ` ^ dwellingunkIncludesulairwJ,-arage. City: $Lite I IIP: 9? Q6 Serrireincludcd Phone: -' 0Fax50SAJMJJ --mail: 1000 . .or Icss 4 CCI3 ria.-. 5994 4LI Elec.bus,lic.nn: 24 201 Each additional 500 sq.ft.or portion thereof CLE Limited energy,residential 2 City/met lie,no.: — Urnhedenergy,non-residentid 2 Poch manufactured home or modular dwelling — Signature of sit ervising electrician(roquircd) Dice Servim and/or(ceder SUP,elect.name(print): Services or feeders-Installation, (P ) License no: alteration or relocation: 5Raff200 am s or lessName(print): 3 812• 201 amps to 400 amps — 2 401 amps to 600 amps _ 2 Mailing cddr ss: 601 amps to 1000 amps 2 City: -- -- State: ZIP: Over 1000 amps or volts 2 Phone; Fax: I E-mail: Reconnectunl Owner installation:The installation is being made on property I own Temporary servlresorfeeders- wlrich is not intended for sale,lease,rent,or exchange according to Instillation,allentlon,orrelocatlon: ORS 447,455,479,670,701. 200 ams or lean 2 201 amps to 400 amps 2 Owner's signature. Date: 401 Io 600 am a 2 ��rj 101 mmBranch cimalh-new,alteratina, Nemo: or extension per panel: -- - A dee for hranch circuits w;th purchase of Address: _ __ _ service or feeder fee,each brunch circuit 2 City: ilalr 1!-)1': B. Fee for branch circuits without purchase of service or feeder fee,first branch circuit: 2 phone: i Fax: Ii snail Each additional branch cimui 1:latfu IRITI MUM 111711 Ki -- Misc.(Seryice or feeder not Included): O Service over 225 amps-commerr.iat U Health-carefaeility Each pump at irrigation circle 2 U Service over 320 nmps-rating of 1&" U Hazardous lobation Each sign or outline lighting 2 family dwelling+ U Building over 10,000 square feel four or Signal circuil(s)or a limited energy panel, E3 ' System over 600 volts nominal moreresidentialunitsw inonescture alteration,or extension* 2 U Building over three stories U Feeders.400 amps or mom •Deacri tion:~ U Mcuparu load over 99 persons O Manufactured structures or RV park Each additional Impeellon over the allowable Many ortbe ab a U Figteas/Irghungplm U 011ier _ — puinapeclion Submit i seta of plans with any of the above. Investigation tee The above are not applicable to temporary condmetlo r service. Other — —�-- Not all jrrrirdictlons swept credo cwd+,please call jiatadlcaon for more Inrormarlm Notice:This permit appli^'.sten Permit tee.....................$ - U visa ❑MasterCard expires if a permit is not obtained Plan review(at _ %) $ _ Credit cud numbermapTRt'__ within 190 days after It has been State surcharge(8%) ....$ _ Native o cardhe u on own e r e accepted as complete. TOTAL .............I.,.......$ � $ —CwdtWder signature Amount / 1J61S(r�RxYCUM) �� I��D ELECTRICAL PERMIT PERMIT#: ELC2001-00413 DEVELOPMENT SERVICES DATE ISSUED: 08/09/2001 13125 SW Hall Blvd., Ticiard, OR 97223 (503) 639-4171 PARCEL: 1S135AB-01003 SITE ADDRESS: 10300 SW GREENBURG RD 300 SUBDIVISION: LINCOLN ONE/RED LOBSTER/CASA l_ ZONING: C-P BLOCK: LOT : JURISDICTION: TIG Proiect Description: Installation of(2) branch circuits. TI RESIDENTIAL UNIT _ _ TEMP SRVC/FEEDERS _ MISCELLANEOUS 1000 SF OR LESS: 0 - 200 amp: PUMP/IRRIGATION: J— EACH ADD'L 500SF: 201 400 amp: SIGN/OUT LINE LTG: LIMITED ENERGY: 401 600 amp: SIGNAL/PANEL: MANF HM/SVC/ FDR: 601+amps - 1000 volts: MINOR LABEL (10): SERVICE/FEEDER BRANCHCIRCUITS � _ ADD'L INSPECTIONS _ 0 200 amp: W/SERVICE OR FEEDER: PER INSPECTICN: 201 - 400 amp: 1 st W/O SRVC OR FDR: 1 PER HOUR: 401 600 amp: EA ADD'I_ BRNCH CIRC: 1 IN PLANT': 601 - 1000 amp: _ _ _PLAN REVIEW SECTION _ __ 1000+ amp/volt: >-4 RES UNITS: > 600 VOLT NOMINAL Reconnect ons_ ___—____SVC/FDR >= 225 AMPS_,--_ CLASS AREA/SPEC OCC: Owner: Contractor: EOP LINCOLN, LLC CAPITOL ELECTRIC CO INC 10260 SW GREENBURG RD 12810 NE AIRPORT WAY SUITE 100 UNIT 1 PORTLAND, OR 97223 PORTLAND, OR 97230 Phone: Phone: 255-9488 Reg #: LIC 048748 SUP 31325 ELE 26-496C FEES Required Inspections Type By Date Amount Receipt Ceiling Cover PRMT C1 R 08/09/2001 $53.50 2720010000( Wall Cover Elect'I Final 5PCT CTR 08/09/2001 $4.28 2720010000( — �-- Total $57.78 -- This Permit is issued subject to the regulations contained in the Tgard Municipal Code,State of OR Specialty Codes and 3!1 other applicable laws. All work will be done in accordance with approved plans This permit will expire if work is not started within 180 dcys 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 Notdication Center Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0080 You may obtain copies of these rules or direct questions to OUNC at(503) 246.11699 or 1-800-332-2344 Permit Signature: G / _ Issued By: 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: _� y «r c'cu��, , �. �._ ._ DATE:.-- LICENSE NO: / �✓ —�� - -- ----- ---------._ . Call 639-4175 by 7:00prn for an inspection the next business day Electrical Permit ApOcation Date received: Permitno.: City of Tigard -r—i�, ��NE� I'rojecUappl,nu.: li"pirc duce: RE Date issued: By, I Receipt no.: CITY OF TIGARD Address: 13125 SN HALL BLVD,111GARD,OR 97223 � �� Case file no.: Payment type: 1'bone: (503)639.4171 Fax(503)598-1960 ,(:1 Q- Land use approvrl: Y pFUF.LO)'�EN ❑ 1 &2 family dcwllina(I accessory ❑ Commercial/industrial ❑ Multi-tamil> ❑ 1 marl 11)1"m"iucnl New construction ❑ Add ition/alteration/repiacement ❑ Other: ❑ Partial ,lob address: 10300 SW Greenbur Rd City: Tigard 111dg.No.: Suite no.:;(10 1,1\ nr,g0u.x IotlacuanBu no.: Lot: i1flocki N/A Subdivision: Project ttnntc: Responsys.00 Descrilidon and location ol'work on premise Suite 300 Remo-del I{slinuNrd dote of cnnlidt. n/inspection 8/31/01 24,-1311b .Iob Ilusiness Name: Capitol Eloctroc Co.,Inc Ucscri lion rn I t,d no Insp Address: 12810 NE Airport Way New residentiol-single or muitl-family per City: Portland tilde. OR 711': 97230-1029 dwelling unit. Includes attached garage. Phone: 503-255-9488 Fav 255-9488 U-mail: darrell ce dx corn SMIce Included: CCD no.: 48748 Plec. s,lic.no: 26-496C 1000 sq,Il,or less $ 145.15 .I (' / ctro lic.no.: N/A Each additional 500 sq it or portion thcreol S 3.1 1 - 8/7101 Limited energy residential _ s 73.01 Signulure otsupervising ciecnfcian(required) Date Limiled energy,non-residential S 43 00 -- Sup elect name(print) Darroll Mc Neel License no.. 3132-8 Each munufnctured home or modular dwelling Service and/or(ceder S ')ow Name(print): Services or feeders-Installation, ^� Mailing address: alteration or reloci tian: Pity: Stale: ill': 200 amps or less S 80.10 2 Phone: Fax: I`.-trail: 201 amps to 400 amps _ S 10685 2 Owner installation: The installation Is being made on property I own 401 amps to 600 amps S 16060 2 which is not intended for sale,lease,rent,or exchange according to 601 mops to 1000 t 2471fit) 2 ORS 447,455.479,670,701, river 1000 amps or volts _ $ 454 t,s _ _ 2 (hrner'.v signallin", Date: Recom,rct only S 6685 I I'enrporary services or revilers- Mu t. Installollon,oiterntions,or relocation: Afldl'Css'. 21a1 amps or Iess S 0e 85 City Stare: 71 P 201 ama ps ,400 wraps 1, 100 w I'lone: Pas Email: 401 amps n,t,rnI amps S I,i 75 Branch circuits-new,alteration, O Service over 225 amps-commercial (J I I,alaruur Incility or extension per panel: 0 Service over 721 amps-raing of 1R, O l lnzardous location A Fee lot branch circuits with purchase of fnnrily d%%ening% ❑Building over 11.000 square it four or ser%Ice or feeder Ice,each brunch circuit S 6 05 ❑System over 600 VON nondnat more residentiof units ul one aumcture It Fee tot branch circuits„ithout purchase ❑01111ding over fluee storles ❑Feeders,414)amps nr mare of'service or feeder lir.fust bratich circuit 1 S 40 Rs b,s< occupant load over,rI persons ❑A4nnurncturev smlctutc%or RV Pink Fach additional hrnnch ctit tot 1 S 0 05 Cl hgtessrllghting plan ❑other 11'.Ise.(Service or feeder not included): Subndt sets of pians with any of the nbove. I ach pump o1 litigation circle S 55 do The above ore not applicable In temporary construction sets ice. I ado sign or oulila•lighting t$ � 40Signal circuit(s)1r a limited energypnnel. alteration,or extension• nu *Description Foch additional mspct imnuvc•1 III n00nable in am of Nae abm e Per inspection S 02 su Investigation lee -- Other Q Visit ❑ MasterCard Permit Ice................ $ 83.80 Credit card ournber ! Notice:this permit application Plan review ( ) 5 expires If a permit Is not obtained State Surcharge 8% ) 1 4.28 Nan—4 md)n,lalt ns Amw un oe411 card S withing 180 days after it has been1•��'11 ^ 8 ' ...... ............ a 87.78 c ludholder vg„amie A'OOnn` accepted as complete. CITY OF TIGARD - -- MECHANICAL PERMIT DEVELOPMENT SERVICES PERMIT#: MEC2001-00287 13125 SW Hall Blvd., Tigard, OR 972.23 (503) 639-4171 DATE ISSUED- 8/13/01 PARCEL: 1 S 135AB-01003 SITE ADDRESS: 10300 SW GREENBURG RD 300 SUBDIVISION: LINCOLN ONE/RED LOBSTER/CA:-3A l_ ZONING: C-P BLOCK: LOT: JURISDICTION: TIG CLAba 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/COMPRESSORS _ 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 UNIT- OTHER UNITS: 1 FURN >=100K BTU: <= 10000 cfm: GAS OUTLETS: > 10000 cfm: Remarks: HVAC modifications. Owner: ---- _ FEES — EOP LINCOLN, LLC Type By Date Amount Receipt 10260 SW GREENBURG RD PRMT CTR 8/13/01 _ $72.50 272.0010000 SUITE 100 5PCT CTR 8/13/01 $5.80 272001000C PORTLAND, OR 97223 --_ — -- Phone: — Total ",79.30 ----- Contractor: AMERICAN HEATING INC 1339 SE GIDEON STE 1 REQUIRED INSPECTIONS PORTLAND, OR 97202 Duct Inspection Phone:239-4600 Final Inspection Reg #:LIC 33135 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans. This permit will expire if worts is not started within 180 days of issuance, or if work is s,rspended for more than 180 days. ATTENTION Oregon law requires you to follow rules adopted in the Oregon Utility NotifiLation Center. Those rules are set forth in OAR 952-001-00 10 through OAR 952-001-0080 You may obtain copies of these rules or direct questions to OUNC by calling (53)246-9189. Issue By: Permittee Signature: Call (503) 639-4175 by 7.00 P.M. for inspections needed the next business day Mechanical Permit ApplicationwonWNNNW�� _ Date received7 �, Permitno.: OG1 j City Of Tigard l )( � Project/appl,no.: Expire dale: Ci o Ti and Adaress: 13125 SW Hall Blvd, QR-A7223 i --- rY f X Phone: (503) .39-4171 Date issued: Hy:�r, Receipt no,: -- Fax: (503) 598-1960 Case file no.: Payment type: t,and use approval: Building permit no.: U I &2 family dwelling or accessory 41'Commercial/indus(rial U Multi-family 4renam improvement U New construction U Addilirni/alteration/rcplacrntent U Other: Joh address: /03 or' ,,f&i ; ,, _ Indicate equipment quantities in boxes below. Indic•ale the dollar Bldg,no.: suite no.: '300 value of all inechaI materials,equipment,labor.overhead, Tax map/tax lot/account no.: profit. Value$ or 2� Lot: Block: Subdivision: 'Sec checklist for important application information and Projectname: ' i-isdiction's fee scchedulC for residential permit fee. J �ci , e 300 �2r n ht City/county: 7-/ ZIP: ;i3 Description and loc.tion of work on premises: I9C �/. c Fer•(ea.) total Est.date of completion/inspection: Uescri ion "y. Res.o:dy Res.only Tenant improvement or change of use: Is existing space heated or conditioned?�es U No Airhandlingunci , CFMIs existicig space insulated?t,Yes U No Aite conditioning oning(site p V required) Alteration of existing C system _ of er/compressors Stale boiler permit no.: Business name: ��''" �'' ✓r�� /�'' - — HP Tons IVfU/H _ Address: ,e,, r-ice smo c am�pe�slduct smoke ectois _ City: f nr Stale; ZIP: 'i�W Heat pump(sitep an require ) - Phone: , ^f 'ter^ Fax: E-mail: ins ta replace furnace nirner__131' 1/ 11 --- Including ductwork/vent liner U Yes U No _ CCB no.: : J - Ino l/replace/re ocateheaters-suspended, City/ntctm lie.no: c'7-7 wall,or floor mounted Name(please print): Z ,f ti Von(fora Ece ootTicr lean furnace e gerat on: Ahsorp(i(muni(s__.____._` HTU/H Namc: ��+ ('hitters _--_----- HP ---- -- Address: Env ronmenla ex ust an vent Pat on: City: _ Slate ZIP: Appliance vent —_ Phone r Fax: 'I mail: )ryerex ausl _ Hoods ype res.kilcFen imat hood fire suppression system Name: Exhaust fan with single duct(hath(ans) Mailing adder ,• Ex uuist s stem apart Tom heating or�A(' —- Fuel piping an,dildr'lbaUoa(up to 4 outlets) City; - - 1Slntc: ZIP: TYIk ----LPG - NCS _. Cbl Phone: Fax: f: mail: !ucl i itieach ad i�tional overIoul cts LLIrocesspiping OwIicmaIicrequcrec,') N:unr: �� ' �� Number of outlets _ 1 er xl appliance or eqr-Tmei,l: Address .� rrj a — Decorative III eplace — City: - r Stat ZIP. nserT t—we Phone: Fa L' mail: Woo stov•pe el stove Ot cr. Applicant's, signature: ;}pr arc: '/D O ter: Name (print): '%/c' X 1') /.nc:� -- — Not all tutisdicbons accept credit cards,ptew call Jutisdicdou Gx inure infmnaacxr Permit fee... .................$ U Visa U Mastrevarcl Notice: 111is permit application Minimum fee................$ Credit cud number .__��— expires if a permit is not obtained Platt review(at q %) $ within ISO day:,oiler it has been - p Slate surcharge(84b)....$ -� - _— accepted as complete.Name of cudholder as shown on cre�ll card p p � ♦ C S TOTAL .......................$ g Cudholder signature _ Amount 440.4617(61 WOM) MECHANICAL PERMIT FEES COMMERCIAL FEE SCHEDULE: 1 & 2 FAMILY DWELLING FEE SCHEDULE: TOTAL VALUATION: FEE: Description: Price Total $1.00 to$5,000.00 Minimum fee$72.50 Table 1A Mechanical Code -__ Qty (Ea) Amt $5,001.00 to$10,000.00 $72.50 for the first$5,000.00 and 1) i -pace to ducts &v BTU $1.52 for each additional$100.00 or including ducts& vents _ 14 00 fraction thereof,to and including 2) Furnace 100,000 BTU+ _ $10,000.00. including ducts&vents v 17.40 $10,001.00 to_$25,000.00 $148.50 for the first$10,000.00 and 3) Floor Furnace $1.54 for each additional$100.00 or including vent f 14.00 fraction thereof,to and Including 4) Suspended heater,wall heater $25,000.00. or floor mounted healer _ 14 00 $2_5,001.00 to$50,000 00 $379.50 for the first$25,000.00 and 1 5) Vent riot included in appliance permit $1.45 for each additional$100.00 or _ x_80 fraction thereof,to and including 6) Repair units __ _ $50,000.00. _ _ 12.15 $50,001.00 Arid up T $742.00 for the first$50,000,00 and Check all that apply: Boiler Heat Air $1.20 for each additional$100.00 or For Items 7-11,see or Pump Cond fraction thereof. footnotes below._ Comp* - 7)<3HP;absorb unit AS_S_UMED 3-15 VALUATIONS PER APPLIANCE: to BTU 14 00 V Value Total 8)3-15 HP;absorb unit 100k to 500k BTU 25 60 Description: Cat (ES) Amount 9)15.30 HP;absorb Fumace to 100,n 13TU,Including 955 unit.5-1 mil BTU 35 OU ducts&vents 10)30-50 HP;absorb A Furnace>100,000 BTU including 1,170 unit 1.1.75 mil BTU _ 5220 ducts&vents --- 11)>50HP:absorb Floor furnace including vent 955 unit>1.75 mil BTU 87.20 Suspended heater,wall heater or 955 12)Air handling unit to 10,000 CFM floor mounted heater -- 10.00 Vent not included In applicarce 445 --1-3)Air handling unit 10,000 CFM+ - ermit F Repair units 805 14)Non-portable evaporate cooler 17_20 <3 hp;absorb.unit, 955 1000 to 100k BTU -- 15)Vent fan connected to a single duct 3-15 hp;absorb.unit, 1,700 6.80 101k lo_500k BTU --- 16)Ventilation system not included In 15-30 hp;absorb.unit,501k to 1 2,310 a Mance permit 10.00 mil.BTU _ --appliance 30-50 hp;absorb.unit, 3,400 17)Hood served by mechanical exhaust 1000 1-1.75 mil.BTU >50 hp;absorb.unit, 5,725 18)Domestic incinerators _ _ 17.40 >1.75 mil.BTU 19)Commercial or industrial type incinerator Air handling unit to 10,000 cfm 656 _-_ 69.95 Air handling unit>10,000 cfrn 1,170 - Non-portable evaporate cooler 856 20)Other units,Including wood sto•,es 10.00 _ Vent fan connected to a single duct 448 21)Gas piping one to four oullets� Vent system not included in 656 5.40 _ a_pliancepermit --- 22)More than 4-per outlet(each) Hood served by mechanical exhaust 656 1.00 Domestic incinerator 1,170 Minimum Permit Fee$72.50! SUBTOTAL: $ Commercial or industrial Incinerator 4,590 Other unit,including wood stoves, 656 ---- 8%State Surcharge $ Inserts,etc. _ Gas plijing 1-4 outlets _360_ 25%Plan Review Fee of subtotal) $ Each additional outle! _ 63 Required for ALL commercial permits only TOTAL COMMERCIAL S TOTAL RESIDENTIAL PERMIT FEE: $ VALUATION: Other Insaectlons and Fees: 1 InspecPons outside of nomral business hours(minimum charUe-two hours) $72 50 per hour Inspections for which no fee is sdecilically indicated (minimum charge-half hour) $72 50 per hour 3 Additional plan review required by changes,additions or revisions to plans(minimum charge-one-half hour)$72 50 per hour 'Stale Contracto,Boller Certification required for units>200k BTU. "Residential A/C requires site plan showing placement of unit. I:\dstsUormsbnech-fees doc. 10/11/00 caw' CITY OF TIGARD BUILDING INSPECTION DIVISION Q24-Hour Inspection Line: 639-4175 Business Phone: 6394171 Date Requested: 2/ -I M� A.M. _✓ P.M. MST: Location: v C� I��Q/{�1 _ _ 131JP:_ Tenant — — Sui C _Bldg: MEC Contractor: n`�— Phone: _ P1,m. � _X/�� 0%mcr: N �l'GG Phone: ELC: - -- -- -- -- - — -- ELR: ---' SIT: BUILDING BLDG(cm:'rl PLUMBING MECHANICAL+ ELECTRICAL SITE Site Post/13cam ' s Post/Ream Cover/S rvice Sewer/Storm Footing Roof I JndFl/Slab Rough-In Ceiling Water Line Slab Framing Top Chet Gas line Rough-In UG Sprinkler Foundation Insulation Sewer I food/Ihlct Reconnect Vault Bsmt Damp Drywall Storm Furnace Temp Service M15C. Masonry Ceiling Rain Thain A/C 1K;Slab Shcar/Sheath Fire Spklr/Alm Crawl/Found Di I leaf Pump 100 Voll Approvedroved Approved Approved Approved Appr/Sdwlk Not ApprovedNot ecd Not Approved Not Approved Not Approved FINAL FINAL FINAL, FINAL. FINAL O Call for rci;rs Ll Reinspection fee of S ] equired Ixf, c next inspection M 1 i„dhIC 10 nrq� 1 Inspector: la _ Page oI 1 CITY OF TIGARD ._ BUILDING PERMIT PERMIT#: IBUP2000-00324 DEVELOPMENT SERVICES DATE ISSUED: 8/18/00 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 PARCEL: 1S135AB-01003 SITE ADDRESS: 10300 SW GREENBURG RD '"' 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: 000 sf ROOF CONST: FIRE RET? OCCUPANCY LOAD: 17 BASEMENT: sf AREA SEP. RATED: STOR: HT: ft GARAGE. sf OCCU SEP. RATED: BSMT?: MEZZ?: READ SETBACKS _ REQUIRED _ FLOOR LOAD: psf LEFT: ft RGHT: ft FIR SPK.L: Y SMOK DET: DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP ACC: BEDRMS: BATHS: IMP SURFACE-: PRO CORR: PARKING: VALUE: $ 50,000.00 Remarks: Tenant Improverment- Adding space to existing Dental Office- Will require mechanical and plumbing permit for medical gas. Ow ner: Contractor: KNICKERBOCKER PROP, INC XXIV MARKET CONT( ACTORS LTD BY NORRIS, BEGGS + SIMPSON 10250 NE MARX ST 10300 SW GREENBURG RD STE 20n PORTLAND, OR 97220 P Phorie ND, OR 97223 Phone: 255-0977 Reg #: uc 0062833 FEES REQUIRED INSPECTIONS Type By Date Amount Receipt Mechanical Permit Require PRMT DEB — 8/18100 $431.50 0004597 Electrical Permit Required Sprinkler Permit Required 5PCT DEB 8/18/00 $22.64 0004597 Plumbing Permit Required PLCK RDP 8/11/00 $280.48 004162 Framing Insp FIRE RDP 8/11/00 $172.60 001162 Shear Wall Insp Gyp Board Insp Total $907.22 Susp Ceiing Insp F nal Inspection 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 ropy of these rules or direct questions to OUNC by calling (503) 246-1987. Pe rm Itee Signature: Issued`By: it1 --- ------- — Call 639-4175 by 7 p.:n. for an inspection the next business day CITU 07 TIGARD Commercial Building Permit Application Planchet 1 11 13125 SW HALL BLVD. Tenant Improvement Recd Date Rec' ! q-00 TIGARD, OR 97223 Dale to P.E._- (503) 6394.171 Date to DST Print or Type Permit 0 Related SWR Ov Incomplete or illegible applications will not be accepted Called ----- Narne of Development/Project Existing Building New Building o Job Lincoln Cen l.jhc4 plaza_ Address Sre ddress` suite Building at L•Ir�c�lM �p��er t3reenbvvJ C 3r`o Data — Bldg# Cit/ISlate zip Existing Use of Building or Property: LINCo1J4 !' !`ICe F l_AzA Po+r tl a►1d , o� 0T '. �72z3 't Name Property Khic-kerbocker pvorc►--bier y In c,q��(jV Proposed Use of Building or Property , Owner Mailing Address Suite - d 41 ce - 1030o SW rreeol', ZOa No, Of Stories: — Qortla-d r OR_ 15722.3 I-52-G93o _ o Sq. Ft. Of Project Occupant Name p DENT/+l_ OFF(cE Occupancy Class(es' sakl-f s Name Contractor Market- Con�Yacr-'' Type(s)of Construction nrinr to permit Mailing Address- - Suite ---- Issuance,a copy 1o25D NE Marx S'\ 1Nill this project have a Fire Suppression System? of all licen<.es Yes _NO are required if rityrstale Zip Phone Americans with Disabilities Act(ADA) expired In C.O T �6r d c) 255-c�9' = $ 2 Se�C�.°A Participation database ��` 7�2Q 17 Valuation X 25% — Oregon Const Cont Board Licl+ Exp.Date Complete Accessibility Form E,2833 Project $ --- Name Valuationr � Architect Plans Required:— See Matrix for number of sets to suhmit Mailing Address Sulte on back City/State Zip Phone I hereby acknowledge that I have read this aoplication,that the tnfonnation 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 Engineer Name —_—— _— ---__-_- ``Signature of�Oww�ner/Agent Date Mailing Address Suita - I y2- r^~` a 1 0r) C tact Person Name -- Phone - CitylState Zip Phone - Too i V fn ZIMF - -- -- -- FOR OFFICE USE ONLY Indicate type of work: New O Addition O Demolition O MaplTL# -- — Land lJse - - Accessory Structure O Foundation Only O Alteration)K __ re air O Other O �— - - Notes: Description of work: TIF �ENA►aT (MPS-0�'fMFl�f - - - --- - - - --��r -- z� � —_ Note: Site Work Permit Application must precede or accompany Building ,� f & (] `L,S Perrnit Application _--- I \COMNEWTI DOC (DST) 5/913 COMMERCIAL_ PLAN SUBMITTAL REQUIREMENT MATRIX clan 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 a::ditional plan sets for distribution purposes. (Copy for Contractor, City, Washington County, Tualatin Valley Fire & Rescue) Total # of_. TYPE OF SUBMITTAL Plans KEY-._ Submitted ) S (Private) — _ 1� _ S = Site Work B (Nei. or Add) 1 B = Building F (New or Add or Alt) 3� F = Fire Protection System M (New or Add or Alt) 1 M = M ichanical B & M (New or Add) 1 P = Plumbing P (New, Add, or Alt) 2 E = Electrical B & M & P (New or Add) i 2 New = New Buildina E (New, Add, or Alt) 2� Add = Addition B & F & M & P & E 3 Alt = Alternation to Existing (New , Add) _ Building *B or B & M (Alt) 1 *B & M & P (Alt) � 3 "B & h4 & P & E(Alt) 3 *B & M & P & E & F(Alt)- _ 3 NOTES: *Shaded areas designate ALT submittals only. I\fists\forrns\matrxcom doc 10/30/99 o�. s�ki�-�•�r r. r (J, L,10C, FLAZ - STC 3vo A 0 c3 U s T i , o 0 0 SUBJECT': ACCESSIBILITY BPRRIER REMOVAL IMPROVEMENT PLAN REQUIREMENT: OREGON REVISED STATUTE (ORS) 447.241. (1) Every project for renovation,alteration or modification to affecteri huildings 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 or modification being done p excluding painting, wallpapering. (�1$ �'OFOoC7 0 multipjy_ 25% [carrier removal requirement. .225� BUDGET FOR BARRIER REMOVAL [2)$_L,�p_oo 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. rPs'�Yipp hq ,hew curb cuks,si�t��kr, $ s��haJe a"A accesJ ,ble etall�. –�–+_— (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) mccessible drinking fountains: and $_ (g) When possible, additional accessible elements such as storage and alarms: $ TOTAL: Shall e_dual line 2 of Value Computation $ ?_.Soo, -- is\dsts\fbnns\access.doc CITY OF TIGARD BUILDING INSPECTION DIVISION MST 2.4-Hour Inspection Line: 639-4175 Business Line: 639-4171 - BUP Date Requested ,�� 5 AM___ PM ___ BLD _ Location �G .� G � ' LCA Suite -30 MEC '2 Contact Person ?'� Ph N _ _ ?1- �( ��_ PLM _ Contractor w Ph _--� SWR — BUILDING Tenant/&.,r ELC Retaining Wall y ELIR _ Fooling Access: Foundation FPS _ Fig Drain ------ SGN — Crawl Drain Inspection Notes ----- - Slab SIT Post&Beam �— Ext Sheath/Shear Int Sheath/Shear Framing Insulation - Drywall Nailing - - - -------------- ------ Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling ---- --------- ----- ----- -- - R oof Misc: - ------- - _..-.__.T------- - --- ---_.______-..... .--- Final PASS PART FAIL - _---_--�-- PLUMBING Post 8 Beam Under Slab TopOut -------------- - ----- ------ -..__..--._.__--------- Water Service Sanitary Sewer Rain Drains Final __ -------- ---------- --- --•— PASS PART FAIL MECHANICAL Post& Bean, ------ -- Rough In Gas Line Sm ampers '� ASS PART FAIL VIRCTRICAL - -- Service Rough In - -- UG/Slab Low Voltage Fire Alarm Final - ----- -- -------- ------ Final -- -- -- PASS PART FAIL SITE , Backfill/Grading - - --- —------- Sanitary Sewer Storm Drain [ J Reinspection fee of$ _-recidired before next inspection Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line [ Please call for reinspection RE: ____ _. _.- I J Unable to inspect - no access ADA Q Approach/Sidewalk Date tD/ Inspector ��- Ext Final PASS PART FAIL J DO NOT REMOVE this inEpection record from the job site. 02/03/98 I I ;07 $5032996273 GI3U ARCHITECTS (4002,002 02/01/98 MOti 12:02 FAX 503 244 4400 NORRIS BEGGS GBUAfZGH �vuz a ' � I EVA ?ice Do FrJp WA(-L. NEIN PH'DNC r UTL-C-T. J Z�J I �I II I 1 • 1 I • III , - I o u I • A►� CITY OF Tl(-, J '^ ► • Approved........................ -r I Conditionally Approved -- � PERMIT rlouPqg -caUo • See Letter to: Follow ...... .... ... - Attach........... . ... Job Addr s,ll o m 5,a) E "& _ _ • fly:_ _ '? .a r CITY OF TIGARD P!__',.1MBING PERMIT DEVELOPMENT SERVICES PERMIT #. . . . . . . : Pl. M98-001C, 13125 SW Hall Blvd., Tigard,OR 97223 (503)639-4171 DATE lc--)SUED: 01/27/98 PAR(-,F1, -, 1,53135AB-01003 si'l-F ADDRE=SS. . . : 10300 raW GRFFNBUR(3 RD #:7100 SUBDIVISION. . . . : ZONING. C-P BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . JURISDICTION: TIG CLASS OF WORV,. . :AI-T GARBAGE DISPOSALS. 0 MOBILE HOME SPACES. : 0 TYPE OF USE. . . . :COM WASHING MACH. . . . . . : 0 BACKFLuW PREVNTRS. . : 0 OCCUPANCY GRF,. . :B FLOOR DRAING. . . . . . 0 TRAPS. . . . . . . . . . . . . . : 121 STORIES. . . . . . . . : 0 WATER HEATERS. . . . . : I CATCH BASINS. . . . . . . . 0 F I XTU RES I AUNDRY TRAYS. . . . . 0 SF RAIN DRAINS. . . . . : 0 SINKS. . . . . . . . . . I URINALS. . . . . . . . . . . . 0 GREASE TRAPS. . . . . . . . 0 LAVATORIES. . . . : 0 OTHER FIXTURES. . . . : 0 TUB/SHOWERS. . . : 0 SEWER LINE (ft ) . . . 0 WATER CLOSETS. : 0 WATER LINE (ft ) . . . : 0 DISHWASHERS. . . . : I RAIN DRAIN (ft ) . . . 0 Remarks : Comsys TI Owner: FEES NORRIS BEGGS & SIMPSON type amount by date V-Pept 121 SW MORRIsnN PRMT $ 27. 00 GEO 01/27/98 98-302846 PORTLAND OR 97204 FjPCT $ 1. 35 GEO 01/27/98 98---302846 Phone #: Cori t r-act DETEMPLE CO INC 1951 NW OVERTON ST PORTLAND OR 97209 Phone #: 227-2641 $ 28. 35 TOTAL_ Reg #. . : 000025 REQHIRED INSPECTIONS This permit is issued subjPct to the regulations contained in the Rough—in I n s p Tigard Municipal Code, State of Ore. Specialty Codes and all other P I-M/1-1 n d e r-f I a o t- applicable laws. All work will be done in accordance with Top—out I n s p appi-m-ed plans. This permit will expire if work is not started Final Inspec.,tion within 188 days of issuance, or if work is suspended for sure than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in DAR 9.92-MI-88I8 throtih CAR 952-888I-0088. You may obtain copies of these rules or direct questions to O1JNC by calling Issued B -tE T-4 4 461 ea Permittee Si gnat � +....................04��...... ............................................. Ca 11 639--4175 by 7:00 p. m. for an insper:t ion needed the iie)(t business day ........4.++++-f.......++++4++4...........4•........4........4.......... .........i +++ 01%22.98 THU 10: 16 FAX 501274768'3 DeTEMPLE COMPANY INC IM005 �---�� Y OF TIGARD Plumbing Application ROCA 125 SW !"TALL BLVD. Commercial and Residential oat*Reed rt Date M PAL ^� :,ARG, OR 97223 Den to DST 13) 639-4171 Permit! d(r Print or Type Retold SWR! r Incomplete or illegible applications will not be accepted cared �-' 3„',I - Name of DewebgrnentJF>tqu IBgalfdMdW1� _gMj Iowa Wm • .lob LIN(C)LA) - S U I rE Soo- SIN, 9.00 Lavetety I 9.00 ,,ud ress Saer bA idmis Srate Tue w ruNSHower Comb. 10 3� w rhe•-� tab 9.00 Bldg! ary/State Zip Sftpwet Only 9.00 T-t tJe q- �3 wear ctmat 9.00 Name Q.W Owner MO&V Aoatsas sue. '� r .� T r 15�1i1 w..rwno a+•�r,: 9.00 _ cowfStaw zip phone Floor[)rain T 9.00 - U 3 I r 9.00 WR1° i' 9.00 Jccupant 'r'a&vAwr'*e suit WahrHeaw 9.00 t 03uo kw 6r e.�b � D t�r.wp neem Tray 9.00 owstate ap Phone 1j" - - e9 149q OW—FbMrA(Spedff) 9.40 e�� a►� _.� 900 _ -onttraetor t +gAoar.e. � 9.00 1 151 I)1I nU ff IDA i - Mor to eeldnCb Z1 Pmone - —' •poiie2nt"taut �-`. 1.30 aa-']•�1- I -- 9.00 provide aA Oregon l3asrd Lic! Elm.Date 9.07 rnroaava 5� - 2 9.00 _ Ice"" ftim"Ue a Exp.Def Swrr-tat 10T 30.00 i llm I a�" S �� U Srewer-each adrLW«w 1 W ------ 25.00 fix COT GOT fkravvsa Tax or Move! kap.DateWtstel sasvine-1,113100, 30 00 da w) Q Z • ) �. Winer Senrre•7ad addMwW 200' 25.00 Name Architect StWM 4 Pain Orain-I 101r - 30.00- - or Mailing Addnxae %A" Sham 3�Raln Orr+t-e0M adr9tlrnal 100' 25.00 Mobile l Nur Scam 25.00 Engineer GryrStare Zap Phone Caernerael Bad Fbw P w vorwn Dews ur Ar*- 25.00 PaMiMn Davies 'sorb"-W% New O AddnionX ARaraoon O Raper O Rasoentlol Qaettbw Ptewnd n Deulas 15.00 st no ResWartdat O Nomeirsiden" Ab Arty Trap or W'esm Not CAmeeted to a Fam" 9.00 •di briar 0wLvipOt7n of WOM Lout$Benin 9.00 fnsp.of E:skt9rtq Pkimbing _ T A0.00 still el 1 Sir]k .l d��ku�a�'hQr `'" )�y h �� Specit9y Retiumsted lrnpectlone •O.t><, ruing or of �_L1LfCLL `�" t bing or� - Rant Orcin,single farrtdy awertrq JO.W •- :Dod tate of Grtasw Traps ^— 900 se QUANTITY TO?AL you capp+g, mnvxq or ntptrdrq arty Rm/nzs7Yes] No p Irrrwie w ms Mm an s reprwva f oumft Tcor• a 9 ?'•��r RF Bee beck of formes / `SUBTOTAL .-.re.ey srytnawtongo that 1 have read tnts appicaoon,that the infewmation -- wn is acrreti that i am the+caner x authorized agent of 7*owxn.and S%SURCM.�;.'2GE ;r_•, t at plans s itmiapd are m mmDUrica wnn on Stam ar or QwrorfAPont pet. PLAN REVIEW 2S%OF SUBTOTAL , Mefursk!"f Mara cry,total to r_9 _ L i TOTAL e SS erswt Marne Phone Q n N L��G1 f ra 'Mlnum rn permit hi a 525.5%urtthupe.eu74t Flasdermal ESacMaw S2 Z 7 �G(r Pmvendon Dek4m.which is$15.5X etrtAerge -- — — Y. l:\platupp doc I7J96 (dst) `7(6- `�% CITY ® F TIGARD MECHAN I CAL DEVELOPMENT SERVICES PERMIT 13125 SW Hall Blvd.,Tigard,OR 97223 (503)639.4171 F'E RM I T #. . . . . . .'/04/989B-0037 /044/98/988 0037 I)A'TF ISSUED: 0;- PARCEL: 15135AB-01003 SITE' ADDRESS. . . : 1.0300 SW GRLENBURG RD #300 SUBDIVISION. . . . : ZONING: C-P BLOCK. . . . . . . . . . LOT. . . . . . . . . . . . . . JURISDICTION: TIG f;l_.AS`_? OF WORK. . :ALT FLOOR FURN. . . . 0 FVAP COOLERS: 0 TYPE OF USE. . . . :COM l_1NIT HEATERS. . : 0 VENT FANS. . . : 0 OCCUPANCY GRP'. . :B VENTS W/O ADPL: 0 VENT SYSTEMS: 0 STORIES. . . . . . . . : 0 DOIL.ERS/COMP'RESSORS ROODS. . . . . . . : 0 FUEL TYPES_._____----__.__-_ 0 HF''. . . . : 1 DOMES. T NC I N: 0 3-15 HP. . . . : 0 COMML.. I NC I N: 0 MAX INPUT: 0 BTU 15-30 HP. . . . : 0 REPAIR UNITS- 0 FIRE DAMPERS?. . : 30-50 HP. . . , : 0 WOODSTOVFS. . : 0 GAS PRESSURE. . . : 50+ HP. . . . : 0 CLO DRYERS. . : 0 NO. OF LIN I TS---- - -- -- AIR HANDLING UNITS OTHER UNITS. : 0 FURN < 100K BTU: 0 <- 10000 cfm : 0 GAS OUTLETS. : 0 FURN >-100K BTU: Qt > 10000 c:•fm : 0 Remarks : Wd 36MV BTU AC, ceiling mounted with drip pan and drain to an approved drain system for an existing tenant or_cpy. Owner: _..._ .___....__.__.._______.__._ FEES NORRIS BEGG & SIMPSON type 8n101.1nt by dat a r-er_,pt 10300 SW GREENBURG ROAD PRMT $ 25. 00 GEO 02/04/98 98--3030:30 TIGARD OR 97223 PLCK f 6. 25 GEO 02/04/98 98-3013030 5P'CT $ 1. 25 GEO 02/04/98 98--303030 Rhone #: Contractor; NORTI-1 PACIFIC HEATING 33'700 SF Dl_11JS RD $ 32. 50 TOTAL. ESTACADA OR 97023 Phone #: Reg #. . REQUIRED INSPECTIONS ----- This permit is Issued subject to the regulations contained in the Mechanical Insp Tigard Municipal Code, Stale of Ore. Specialty Cortes and all other Cooling Unt Insp applicable laws. All work will be dnne in accordance with Misr_. Inspection approved plans. This permit will expire if work is not started Final Inspection within 180 days of issuance, or if work is suspended for morf than 180 days. ATTFNTION: Oregon law requires you to follow roles adopted by the Oregon Utility Notification Center, Those rule! are -•__- set forth in OAR 952-001-8010 through OAA 952-001-0080. You mai _ -- obtain copies of these rules or direct questions to OUNC by calling 15031246-9187. lsst.te By : _. '- .G _�'_�..—:______..___ P'er•mittee Signat 1.tre . J! / +++++++++++++++++.1•+++++++++++++++++++i-+++++++++++++++t+4++++++..4++.+++++++++++ Cal 639--4175 by 7:00 p. m. for inspertitins needed the next bt.tsiness day t +'+++++++++-h+-F++-F+++++++++++++++++++++++++4-4-+++++++4-+4-+!.........4............... Plan Chec CITY OF TIGARD �lJ Mechanical Permit Application ? , Recd By �• 13125 SW HALL BLVD. Commercial and Residential / �' Date Recd - TIGARD, OR 97223 y (503) 639-4171, X304 Date to P.E. Date to DST Print or Type Permit* /1'I�C [ —OC^ _ N Incomplete or illegible applications will not be accepted Called of Devel envPmlect Description bt Table 1A Mec.haniral code CITY PRICE AMT Job Street Address Sudse A) Permit Fee -- Address 4� � 4, 0 1000 Bldg# �Iyistatat. ZIP 1.1 Furnace to 100,000 BTU 7' including duds&vents 6.00 mr Nefor name or husut ssl 2.) Furnace 100000 BTU+ Owner including ducts&vents 7.50 _ C Mr,iling Addree "fir" r 3.) Floor Furnace --- C 6.00 yist�¢ ZIPPhone including vent 4.) Suspended heater,wall heater 6.00 or floor mounted heater ore for�an,e o,bugn s) 5.) Vent not Included in appliance permit 3.00 OCCUPant tM.,lIngA dreg � "',.� - r �� _ Boiler or comp,heat pump,air Gond. &00 '�LA u" to 3 HP;absorb unit to 100K BUT- 'Ala zi Phone 7.) Boiler or comp,heat pump,air cond. -" 3 15 HP;absorb unQ to SOOK BTU" 11 00 Contractor im 8.) Buller or comp,heat pump,air cond. 1 p 15-30 HP;absorb unit.5-1 mil BTU- 15,00 Pnor to permit Mailing A or ss Issuance,a copyr - ';J Boiler or comp,heat pump,air cond 22.50 �s�s'S^ 30-50 HP;absorb unit 1-1.75mil B-!•' of all licenses ctylt ate 1p Phone 10.) Boiler or corn heat um air cond. F are required if " _ P, P R 37_0 BTU— expired in COT Oregon Const.Cont. oar ic,e >50 HP;absorb unit 1.75 mil BTU•' Exp.Dote database ;> 11.) Air handling Fund 10,000 CFM4 50 Architect '^ 13,)-Non-portable evaporate Cnnle 4..0 or Melling Addresr _ 14.) Vent fan connected to a single dud g 00 Engineer _ lip Phone 15) Ventilation system not included—in '----- 4.50 - appliance permit bescribe work New O Addition O Alteration Repair O 16.) Hood served by mechanical exhaust to be done Residential O Non-residential O 4,50 Add' onat esgrt tion ofork: r 17) Domestic incinerators i.��ls-�� .,�L �'vCr! ..4/Lj.U�-yy,�. /f,.. 7.50 -Ti) Commercial or industrial type - g0 00 r Existing use of — Incinerator building property or19) Repair units 450 20.) Wood stove 4.50 Proposed use of building or property 21.) Clothes dryer,etc 4 50 —' P nY_ 22.! Other unds _ Type of fuel-oil U natural gag O LPG U electric 23) Gas piping one to four outlets - _ 2.00 I hereby acknowledge that I have read this application,that the Information given's correct,that I am the owner or authorized agent of 24) More than 4-per outlets(each) 50 the owner,that plans submitted are in compliance with Oregon State --- lawsQTY SUBTOTAL Signature of Owner/Agent Date 'SUBTOTAL '' ♦ c! ,.� --s_�----``i%SURCHARGE Contac;Pen n Name -^ Phone PLAN REVIP7j 7.5°b OF SUBTC1TAl. TOTAL Unechpm oc Irev 9 -�`-- _ _ r r� Minimum pernit fee is 525 5%surcharge - **Residential A!C requires site plan showing placement of unrt ,i rl dTII I � I � .� LL- 1 I I I/I6 : 4liJ 1 rte ' ' I QJUL- �' � C' LL s �� I ISI `• 0 Li AL ' .,Cal - I - I IL rc r► r _ h 1 I T ` 11._ till - - - -- - - --- - -- - -' I 0� r CITY CF TIGARD DEVELOPMENT SERVICES 13125 SW h'.,!I Blvd., Tigard,OR 97213 (503)639.4171 C17RT 1 F1 C",A-11- OF OCCUPIANC'r PERM'l T 0. . . . . . . : BUF8-000^; DATE 1 tiSl_IEf 04/ 0!93 PARCEL.I 1 S 13 5AB--01 rZ 0° ADDRESS— 110 ',1710 SW GRJ`ENEUP11 PD #"300 G)UD1)1VIrICiN. . . . IONEi LINCOLN ZONIN(isi -P BL.OLK. . . . . . . . . . a I_flT. . . . . . . .. . . . . . I JUP I SD I C"T I ON I I IG (::LASS OF WORK, :ALT T YPE OF USF. . . e COM TYf"F:: OF GONSTR.2F R 01111','UPHNC Y GRP. I P Of C:LIPANCY I.-Mil)- 1 1'5 TENANT NAME. , . : 1.011SYS, .:i Qefolark5 ; Tenant improv.ament Ow n e r'a I�NIC:J;Ef'9UL':F'EC2 PROPERTIES, INC: HYa NORRI!�, BEGGS & SIMPSON 10300 5W UREFNBI.RG RD, ST'[' i200 T I GARD UR 97223 -110ne #s 10L.I BU P AI-I C_.I C Zi NE: JACr11g0N SC:NUCIL. ROAD I L.L5BoRn (in 717124 ''orre #a 693 -9797 q N. . a 051045 IJ►ss Certificate pr':Ant% occupmnry (ifthe Abc).-m referenced building or portion t+r-e0f Af4d confirms thrit the building has been imspected for compl. i<anr_a wAti, e ,stat. a of Orgo►► Gper. j atl ty Codes fav the gr^ �.tp, nc"t UF►r+*►c-y, and Lti 1. ttndr c hich the referer�t_ ed I,rt-mi.t wai i.ssolat1. (�'l e' CL I'`11.i i K 11)P C f:"1'[ pull. r4u, OF .1 _ POST IN COW'-�P I CUOI.IS P'L A(.'F_ CITY OF TIGARD DEVELOPMENT SERVICES FLFCTRICAL PERMIT — 13125 SW Hall Blvd.,Tigard,OR 97223 (503)639-4171 RESTRICTED ENERGY PERMIT #: ELR98-0023 DATE. ISSUED: It12/03/98 PARCEL: 1 S 135AB--01003 SITE ADDRESS. . . : 10700 SW GREENBURG RD #3300 SUBDIVISION. . . . : 7.ON I NG:C--P BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . JURISDICTN: TIG Pr^o,j ert Description.- Co@sys� ------------ A. RES I DENT I Al._- — - ---- - B. COMMERC I AL AUDIO & STEREO. . . : AUDIO & STEREO. . : INTERCOM & PAGING. . : BL.IRGL.AR AI_..ARM. . . . : SOIL-.FR. . . . .. . _ ., „ . : I ANDOCAPF/IRRIGAT. . : GARAGE OPENER. . . . - CLOCK. . . . . . . . . . . MEDICAL. . . . . . . . . . . . . HVAC. . . . . . . . . . . . . . DATA/TEI-F COMM. . : X NURSE CALLS. . . . . . . . . VACUUM SYSTEM. . . . : F T RE' Al ARM. . . . . . : OUTDOOR LANDSC LITE: OTHER: . . HVAC. . . . . . . . . . . . . PROTECTIVE SIGNAL. . . INSTRUMENTATION. : OTHER. . : . . TOTAL # OF SYSTEMS: 1 Owner.: _.________------_ _-----_.__...-----_._.._ _._._.._---__... .._____-- FEES NORRIS 8FGGS & SIMPSON type atmol_tnt by date recpt 1.0220 SW GREENBURG RD PRMT E 40. 00 JSD 0.'/03/98 98-302971 TIGARD OR 97223 5PCT $ 2. 00 JSD 02/03/98 98-30.'971 Phone #: Contractor-: ._. .___._------------------- G REENL I NE INC $ 42. 00 TOTAL. PO BOX 2.30755 REQUIRED INSPECTIONS - - - TIGARD LIR 972213 Ceiling Cover- I_ ow Voltage Insp Phone #: 968-1978 Wall. Cover Flect' l Final Reg #. . : 001030 This per@it is issued subject to the regulation, contained in the ligand Municipal Code, State of Ore. Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans. This pewit will expire if work is not started within 180 days of issuance, or if work is suspended fur @ore than 180 days. ATTENTION: Oregon law requires yon to follow rule adopted by the Oregon Utility Notification Centert4 Jhose rules are set forth in OAR 9922-001 .0010 through OAR 952--001-W. You @ay obtain copies of tne3e rules or direct questions to at ('503)246-1987. I s s I.t e d by ' __._._ OWNFR INSTALL.AI TON ONLY___.___._-----------.-----------__ The installation is being made on Froperty 1 own which is not intended for sale, lease, or rent. OWNER' S SIGNATURE:: DATE: ------------- INSTALLATION r;T I,NATURE. OF SUF'R. ELEC' N: DATE: II;ENSF NO: 1 -F++++++++++++++++++++++++++-F+++++i-++++++++++.1-+++++++++++++4-f-+-f-+++++++++++++++++ Call 639-4175 by 7:00 P. M. for an inspection needed the next business day +++++++++++++++++++++++f+++++++-I-+++++++++++++++++-+4-4+++-1-+++++++4++++++++-r•++++++.1 CITY OF TIGARD Electrical Permit Application Plan Check p 13125 Slid HALL BLVD. Rec'd By TIGARD OR 97223 Date Recd_ Date to P E. Phone (503) 639-4171, x304 Date to DST_ _ Inspection 503 639-4175 Print or Type Z � , P ( ) Incomplete or illegible will not be accepted Permit a L_ Fax (503)684-7297 Called_ c-,-c 3 t (?e 1. Job Address: rt' 4. Complete Fee Schedule Below: `J a Name of Development_LINCOLN `/E NIC_ Number of Inspections per permit allowed Name (or narpe of business) (0 M�.�� `� Service Included: Items Cost Sum U C Address C Z2;-cr ._N C r-E I-N 3U s.L f?b 'i_1 4a. Residential-per unit City/State/Z' FD 110,rt L R NJ n D 12 912-2.3 Each q ft. ion less sq.It al -- - $110.00 u___ 4 portion theruuf $25.00 _ 1 Commercial Residential ❑ Limitod Energy $25.00 Eac' Manul'd Home or Modular Dwelling Service or Feeder �_ $68.00 _ 2 2a. Contractor installation only: (Attach copy of all current Iicenfias) G 4b.Services or Feeders Electrical Contractor_CQ.t E 1-INE � - Installation,alteration,or relocation Address FO Box Z=3 G 7f 200 amps or loss $60.00 2 - 201 amps to 400 amps _ $80.00 2 City T-Ib Iq State a Zip-CIL7_ _ 401 amps to 600 amps $120.00 2 Phone No.. tz, 9 9 7 F _ _ 601 amps to 1000 amps �,. $180.10 2 Job No. ) Over 1000 amps or volts $340.00 _ Elec.Cont. Lice. No. 3 ' 7L L. Ex Date Reconnect only __- $50.00 2 fJR State CCB Rer, No._LC C C 3�3 Exp.Date_ 4c.Temporary Services or Feeders COT Business Tax or Metro No. _Exp.Date installation,alteration,or relocation 200 amps or less $5000 2 Signature of Supr. Elec'n201 amps to 400 amps $75.00 2 401 amps to 600 amps $100.00 _ 2 I -TL G Over 600 amps to 1000 volts, License No. J C Exp.Datease"b^above. Phone No._11Ly 9 -I nl -7 h' _ 4d.Branch Circuits Now,alteration or extension per panel 2b. For owner installations: a)The lee for branch circuits with purchase of service or r- int Owner's Name feeder lee. Address Each branch circuit $5.00 2 ------ b)The fee for branch circuits City-_ State_ - Zip without purchase of Phone No. _ _ service or feeder foe. First branch circuit $35.00 2 The In;tallation is being made on property I own which is riot Each additional branch circuit $5.00 2 mended for sale, lease or rent. 4e.Miscellaneous (Service or feeder not included) Owner's Signature Each pump or Irrigation circle _ $40.00 2 Each sign or outline lighting -� X40.00 2 3. Plan Review section (if required):* Signal circuit(s)or a limited energyI $40 00 _ 1' "0 2 panel,alteration or extension _ Minor Labels(10) $1()1.00 - Please check appropriate iters and enter fee In section 5B. 4 or more residential units in one structure 4f.Each additional Inspection over Service 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 555,00 as described in N.E.0 Chapter 5 In Plant $55.00 Submit 2 sets of plans with application where any of the above apply. 5. Fees: 14-). 0 U Not required for temporary construction services. 5a.Enter total of above fees $ 5%Surcharge(.05 X total fees) $ NOSE Subtotal $ 5b.Enter 2591G of line 5a for PERMITS BECOME VOID IF WORK OR CONSTRUC1ION AUTHORIZED IS Plan Review if r uir (Sec.3) $ NOT COMMEN :ED WITHIN 180 DAYS.OR IF CONSTRUCTION OR WORK Subtotal $ -- IS SUSFFNn' OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AF1' WORK IS COMMENCED. ❑ Trust Account a. _ 67 Total balance Due $ rJ ' _IO ,pgtr,.ElCaR.Anp �rav!79F --- _ -�- CITY OF TIGARD DEVELOPMENT SERVICES BUILDING PERMIT PERMIT #. . . . . . . : BUF198--0003 13125 SW Hall Blvd., Tigard,OR 97223 (503)639.4171 [TATE ISSUED: 01 /13/98 PARCEL: 15135AB--01003 SITE ADDRE'SS. . . : 10300 SW GRE:=ENBURG RD #300 SUBDIVISION. . . . : ZONING:C—P BLOCK. . . . . . . . . . s LOT. . . . . . . JURISDICTION:TIG ------------------------------------------------------------- REISSUE: FLOOR AREAS—---------- EXTERIOR WAL_L.. CONSTRUCTION—- CLASS ONSTRUCTION--CLASS OF WORK. :AL_T FIRST. . . . 0 sf N: S: E: W: TYPE OF USE., . . :COM SECOND. . . : 0 s f PROTECT OPE NI NGS'?----___.___.__ TYPE: OF CONST. :2FP THIRD . . . . 8736 sf N: S: E: W: OCCUrinIVCY GRFI. :B TOTAL. -------: 8736 sf ROOF CONST: FIRE RET?: OCCUPANCY LOAD: 115 BASEMENT. : 0 sf AREA SEP. RATED: STOR. : 3 HT: 0 ft GARAGE. . . : 0 s f OCCU SEI"'. RATED: BSMT?: MEZ71 : RFn?D SETBACKS- --- - REQUIRED------------------__.—_ FLOOR L_OAD. . . . : 0 ps f LEFT: 0 ft RGH1 : 0 -ft F I R SPKL__:Y SMOK DET. . : DWELLING UNITS: 0 FRNT: 0 ft REAR: 0 ft FIR ALRM:Y HNDICFI ACC: BEDRMS: 0 BATHS: 0 TMP SURFACE: 0 F'RO CORP,: PARKING: 0 VAL..UE. $ : 87360 Remarks : Tenant improvement Owner: —__...___—_--------._____.___.____.._------.____.______------•- --.-.__.--- FEES MELVTN MARK type amolrnt by date recpt 1O220 SW GREE:NBURG RD PLCV $ 156. 33 GEO 12/29/97 97--302083 TIGARD OR 97223 FIRE $ '96. 20 GEO 12/29/97 97-302083 F'RMT E 397. 00 JSD 01 /13/98 98-302442 Phone #: 452-5900 SPCT f 19. 85 JSD 01 /13/98 98-302442 PL_CK $ 101. 7.E. JSD 01 /13/98 98-302442 Contractnr: —__.__._._.__._._______._ ____..___.____. FIRE f 6;x. 60 .TSD Ot /l x/`38 98-302442 MALIBU PACIFTC 735 NE JACKSnN SCHOOL ROnn H I L.L_SBORO OR 97124 Phone #: 693--9797 f 8:?:s. 70 T 0 T A L Req #. . .- 000590 - -- -- RELTU I RED I NSPECT I ONS This permit is issued subject to the regulations contained in the Framing Insp —_ __._-��__. Tigard Municipal Code, State of Ore. Specialty Codes and all other Gyp Board Insp appl irable laws. Al l North wi 11 be done in accordance with S 1_r s p C e i 1.n g In-,p approved plans. This permit will expire if woo 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 ru 6s adopted by ti,� Oregon Utility Notification Center. Those rules are set forth in OAR 952-#01-0010 through OAR 952-(10101987. yna many obtain a copy of these rule; or direct questions to RJNCby calling (5031246-1987. A r Permittee Signat�rre: Isstred By �J +++++++++ f+++++++++++++++++.. + -++++++++ •+-+++++++++++++++++++++++++++++++++++++ Call 639-4175 by 7:00 p. m. Fo,- an inspection needed the next bit Siness day +++++++++++++++++++++++++++++.i +++++++++.++++++++++++++++++++++++++++-h++++++++++ ttta� C11 Y OF TtGARDCommercial Building Permit Recd By s� 13125 SWHALL BLVD. New Construction and Additions - �, /�, Date Recd TIGARQ, OR 97223 Date to P.E.Date to DST �( ' (503) 639-4171 Permit#12,L,P q$ - COG 3 Print or Type Related SWR# Incomplete ur illegible applications will not be accepted Calledrn/(,' ?99 Name of Development/Project Existing Building Jew Building 0 Job ;.linC� L�&Ji y% Address Street Address suite Building �a 6111')/w4' lk�()U Data Bldg# City'state Zip Existing Use of Building or Property. — one _ Port OP-. 9-�2z3 off,ce_ Name Property Vre�erU _ I� 1 r In�._ Proposed Use of Building or Property. �i�pksG`c�r � 1/ Owner Mailing Address -I Suite C)-Ki CQ losm syJ Gree-6vm P41 wo No. Of Stories: City/State Zip Phone (IS-) 4-i vC, Pori, CR-• 9722'5 +5Z-5900 Sq. Ft. Of Project: Occupant Name 8,7 ° sn` FT — Gm ISI Occupancy Class(es) Name V Contractor M p Type(s) of Construction Prior to permit Mailing Address Suite Jr-- t F--- issuance, " _ ssuance,a copy Will this project have a Fire Suppression System? of all licenses _ are required f City/State Zip Phone Yes C] NO -- expired in C.O T Americans with Disabilities Act(ADA) database _ Valuation X 25% _ $ "-'Yoloc Participation i Oregon Const Cunt.Board Lie cep Date Complete Accessibility orni Project -- $ ----- ------__.—I -- -�--- Name ---�— -- Valuation 67'i4lo.00 Architect GOD Arcki'(cct.r ZtiG Mailing Address Suite —� Plans Required. See Matrix for number of sets to submit 920 Sh1 '�'A Doo on back City/State Zip Phone - ------ — Por"t'f UR 972_D_4. 224- 9(,66 1 hereby acknowledge that I have Lead this application,that the information �- given is correct.that I am the owner or authorized agent of the owner, and Name Engineer that plans submitted are in compliance with Oregon State Laws. Marling Address - - Suite Signature of Owner/Agent Date — ___ _ Y2.�� _ Jam,S oll 199_6_ C .;tate Zip Phone CoAtact Person Name Phone G/ur Indicate type of work. New O Addition O Demolition O FOR OFFICE USE ONLY Accessory Struc,.we O Foundation Only O Alteration 0- MapfTL#, Land Use. __ nrr iir O Other O -_,- /,%/-Y i, 913-Cn'le'' 5 nescrlptlon of«ork: Notes. -- --- - � -—-� �lelta�i� �1IT1.1vFM1B1;t— _-l- TIF Parks: Estirrrat, .i A of Employees Note: Site Work f ti m t Application must precede or accompany Building 'ertnit Appllcatiou C OMNEW DOC !DST) 8/97 COMMERCIAL PLAN SUBMITTAL REQUIREMENT MATRIX DISTRIBUTION TO PLANS OUT TO DST EXAMINERS (Note a.) TYPE OF SUBMITTAL TOTAL CPG PPE EPI: CPE PPE EPE SITE 1 I -- -�-3 O,o,u) -- -- B (New or Add) 1 1 -- -- 3 (j,o,w) -- _ F New or Add or Alt.) 3 3 -- -- 3 O,o,t) — M (New or Add, or Alt) 1 1 -- -- 20.o) B & M (New or Add) 1 1 -- - 3 (j,o,w) -- -- i' (New. Add. or Alt) B & M & 1' (New or Add.) 2 1 1 -- 3 (j,o,w) 20,o) -- E (New, Add, or Alt) B & M & P &. E (New, Add) 3 1 1 1 3 (j,o,w) 2(j o) - 20,o) B or B & M (Alt) 1 l -- -- 20.o) -- . B & M&P (Alt) 3 1 2 -- 2 (j,o) 26,o) - B & M & P & E (Alt) 3 1 1 I 20,o) I 20,o) 20,o) N�15- a. Before returning to DST, Plans examiner gets appropriate i = Job B = BUP number of revised plans from applicant, stamps and completes. o - Office M = MEC updates and adds actions. f= Fire P = PLN1 u = USA E = ELC b. Shaded areas designate ALT' submittals only. I w= Wash. County F = FPS c. FPS is a new permit category set aside for fire sprinklers and fire alarms. d. Effective August 15, 1997, Tualatin Valley Fire and Rescue no longer requires a set of approved plans to be forwarded to their office. Exception, continue to forward a copy of approved fire sprinkler and ire alarm plans with calculations. h I.matric Dor r— CITY OF TIGARD ELECTRICAL PERMIT DEVELOPMENT SERVICES PERMIT #: D: 01/22/9 DATE ISSUED: 01/"/98 13125 SW Hall Blvd., Tigard,OR 97223 (503)639.4171 PARCEL: 1 S 135AB-01003 �3ITE (4)DRESS. . . : 10:.300 SW GREENBURG RD #300 SUED I V-S I ON. . . . : ZONING:C-P BLOL.I; . . . . . . . . . . . LOT. . . . . . . . . . . . . JURISDICTION: TIG pro jer-.i; Descr-iption : Add thirty-eight branch circuits to a tenant ocepy within a commercial bldg. -- i ES I DF..NT I AL.'UNIT-- ----- -�- ---TEMP SRVC/FEEDE'tS------- ------M I SCELLANE:CTUS---- 1 x.00 SF OR LESS. . . . : 0 0 -- 2200 amp. . . . . . : 0 PUMP/I RR I GAT ION. . . . : 0 EACH ADD' I._ 5OO5F. . . : 0 201 - 400 amp. . . . . . . : 0 SIGN/OUT LINE L'T'G. . : 0 LIMITED ENERGY. . . . . : 0 401 -- 600 amp. . . . . . . : 0 SIGNAL/PANEL... . . . . . . : 0 MANF. HM/ SVC/FDR. . : 0 601+amps- 1000 volts. : 0 MINOR LABEL. ( 10) . . . : 0 SFRV ICE/FEEDER- ----ADD' L INSPECTIONS---. 0 NSPECTIONS--- 0 - 200 amp. . . . . . : 0 W/SERVICE OR FEEDER: 0 PER INSPECTION. . . . . : 0 2.201 ... 400 amp. . . . . . : 0 1st W/O SRVC OR FDR. : 1 F'ER HOUR. . . . . . . . . . . : 0 401 - 600 amp. . . . . . : 0 EA ADD' L BRNCH CIRC: 37 IN PLANT. . . . . . . . . . . ; 0 601 - 1000 amp. . . . . : 0 -..---..________._.____.PLAN REVIEW SECT ION--------__.__.._.-___.._. 1000+ amp/volt. . . . . : 0 ) =4 RES UNITS. . . . . . . . : ) 600 JOLT NOMINAL. . : Reconnect only. . . . . : 0 SVC/FDR > _ 225 AMPS. . : CLASS AREA/SPEC OCC. : Owner-: __-._._____._____._._______._______________._._____---•-----.____._._ FEES COMSYS type amoi.tnt by date recpt 1.0300 SW GREENBURG RD F'RMT $ 220. 00 GEO 0I /2C:'/98 98-302678 SUITE 300 5PCT $ 11. 00 GEO 01/22/98 98-302678 TIGARD OR 97223 Phone #: Contractor : --._..__.________.____.._..___. ----••---________.__-_-_-------•--•-----__.._____----_-.__ CHR I STENSON ELECTRIC INC f 231. 00 TOTAL_ 111 SW COLUMBIA STE. 480 ------- REOIJ I RF_.D INSPECTIONS - - PORTLAND OR 97201 Ceiling Cover Undergroi.md Cove Phone #- '41--481P Wall Cover Flect' L Service Reg #. . : 000004 This nereit 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 188 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-01-x810 through OAR 9522-N1-1987. You say obtain a copy of these rules or direct questions to Ol1NC by calling (503)246-IN. /J I s m m e d By ---- ..-----------------------OWNER INSTALLATION The installation is being made on property I own which is not intended for, sal p, ) ease, or rent. OWNER' S SIGNATURE: DATE: ---------------CONTRACTOR INSTALLATION ONLY-------------------__ -----` SIGNATURE OF SUPR. ELEC' N: DATE: �_ _ LICENSE_ NO: l4•++++++++++++++•F++++++++++++++++++++++4•+++++++++++++4++++++++++++++++++++++++4Call 639-4175 by 7:00 p. m. for an i.rispection needed the next: bl.tsiness day CITY OF TIGARD Electrical Permit Application Plan Check# 13125 SW HALL BLVD. Recd By Date Recd TIGARD OR 97223 Date to P.E. Phone (503) 639-4171, x304 Date to DST Print or Type ---�� Inspection(503)639-4175 f° Fax (503)684-7297 Incomplete or illegible will not be accepted Permit#1 Called_ _ 1. Job Address: 4. Complete Fee Schedule Below: Name of Development LINCOLN CENTRE LINCOLN I Number of Inspections per permit allowed Name(or name of business)_ COMSYS SUITE 300 Service included: Items Cost Sum Address 10300 SW GREENBURG RD _ 4a. Residential-per unit PORTLAND OR 1000 sq n.or less $110.00 4 City/State/Zip___ Each additional 500 sq ft r,1 Commercial Residential ❑ portion thereof $25.00 1 Limited Energy 325.00 ROSS CROSBY rIAIJ BU PACIFIC Fach Manuf'd Home or Modular 2a. Contractor installation only: Dwelling Service or Feeder � $G0.00 � (At' :h copy of all current licenses) 4b.Services or Feodors Electrical 011tr to b 'l yN ELL :Till :_J NC-_ Installation,alteration,or relocation 141 )! �t �Nl�[I 200 amps or less _ $60.00 ? Addrnss 201 amps to 41x1 amps $60.00 2 AND City�� _State Zl f?� -�_I _ , 401 amps to 600 amps _ $120.00 �_ 2 Phone NOS 12601 amps to 1000 amps $180.00 Job N0. 222-0556 - T Over 1000 amps or volts $340.00 Elec.Cont. Lice. No. 26-34C Exo.Date _ Reconnect only $50.00 OR State CCB Reg. No._._._4_gA__Exp.Date 4c.Temporary Services or Feeders COT Business Tax or Metro No.-� Exp.Date _-__ Installation,alteration,or relocation 200 amps or less $50.00 201 amps to 400 amps $75.00 __ 2 Signature of Supr. EteefT-a.,._� 401 amps to 600 '-' amps $100.00 Over 600 amps to 1000 volts, License Nr - 73�___-._-_ --Exp Datesee"b"above. Phone N 141-48.11------- - --- - ---- 4d.Branch Circuits New,alteration or extension per panel 2b. For owner installations: a)The fee for hranch circuits with purchase of service or Print Owner's Name` feeder fee. Address Each branch circuit $5.00 2 - - --- b)The fee for branch circuits City State Zipwithout purchase nf Phone No.- service or feeder lee. First branch circuit 1 $35.00 ____- 2 The Installation is being made on property I own which is not Each additional branch circuit 37 $5.00 2 intended for sale,lease or rent. 4e.Miscellaneous (Service or feeder riot included) Owner's Signature__ -_-____- Each pump or Irrigation circle $40.00 _ 2 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 Minor Labels(te) _ _ $100.00 Please check appropriate item and enter fee in section 5B, 4 or more residential units in one structure 4f.Each additional inspection over _ Service and feeder 225 amps o:more the allowable In any of the above System over 600 volts nominal Per Inspection $3'no -- Classified area or structure containing special occupancy Per hour $55 00 _ as described In N.E.C.Chapter 5 In Plant $55.00 "Subnllt 2 sets of plans with application wher a any of Nle above apply. Jam. Fees: 220. Not required for temporary construction services. 5a.Enter total of above fees g 5%Surcharge(A5 X total fees) $ - TT=--- NOTICE Subtotal $ - 5b.Enter 25%of line Be for PERMITS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED IS Plan Review It renuired(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' TIME AFTER WORK IS COMMENCED. El Tn1.t Amount# $ Total balance Due 11e81STLM APP Rev 4/96 CITY OF TIGARD DEVELOPMENT SERVICES SEWER CONNECTION PERMIT 13125 SW Hall Blvd., Tigard,OR 97223 (503)639.4171 PERMIT #. . . . . . . .. SWR96-001 1 DATE ISSUED: 01/07/98 PARCEL: 1 S 1 35AP--01003 SITE ADDRESS. . . : 10300 SW GREENBURG RD #300 SUBDIVISION. . . . : ZONING: C-P BL.00K. . . . . . . . . . LOT. . . . . . . . . . . . . . JURISDICTION: TIG ----------------------------------------- TENANT NOME. . . . . :COMSYS USA NO. . . . . . . . . . . FIXTURE UNITS. . . . 7 CLASS OF WORK. . . :ALT DWELL_I NG UNITS. . : t TYPE OF USE. . . . . :COM NO. OF BUILDINGS: 0 1 NS I NL1_ 1 YPE. . . . :BUSWR I MPERV SURFACE : 0 s f Remarks : RE: F'LM98-0016 Otmer: ----------------------------------------------------- FEES ----------------.. NORRIS BEGGS & SIMPSON type amount by date recpt 121 SW MORRISON PRMT s 2 '00. 00 B 01/07/98 98-30=812 PORTLAND OR 97204 Phone #: Contractors --- ________..-..-----•-------.----..____-.- OWNER Phone #: E 2200. 00 TOTAL Reg #. . : _ REOUIRED INSPECTIONS -This Applicant agrees to comply with all the rules and regulations of the Unified Sewagr Agency. The permit expires 189 days from the dat: issued. The total amount paid will he forfeited if the permit expires. The Agency does not guarantee t;ie accuracy of the side sewer laterals. if the sewer is not located at the measurement given, the ir;staller shall prospect 3 feet in. all directions from the distance given. If not so lorated, the iistaller shall purchase a "Tap and Side Sewer" Permit and the Agenr-y will install a lateral. ATTENTION: Oregon law requires you to fnl!jw rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR _ WI-MI-9919 through OAR 952-9991--N80. You may obtain copies of these rules or direct question to (AW by calling 15931246-1987. s-.;ed by :'J, 1V�'1,( Ill,�-�tia11V Permittee Signature +A ++++++++++++4•+.++++4+++++++++++++++++++++++++++++++++++++++++++++++-h++++++++4•++ Ca l. 1 639-4175 by 7:00 p. m, for an inspection needed the next bi_isi.ness day +++++f+++-F++++++++++++++++++++++++++++++++++++++++++++i+++++++++++++++++++++++++ Accumulative Sewer Tally 6�'�a cro Tenant Name: ? S > This SWR# Address: /n 3��' U :rte•< < -, � 3��U This PLM# C m q - C 0 /( Fixture Value Previous Previous Credits Capped Fixtures Fixtures New total New # Value Capped off value added# added #s total Count off#s count value values Baptist r Font 4 Bath-'rub/Shower 4 -JacuzzMirlpool 4 Car Wash- Each Stall 6 _ Drive Through 16 CuspidorMater Aspirator 1 — f Dishwasher-Commercial 4 _ `7 _ _ Domestic 2 DrinkinFountain _— 1 — Eye Wash _ 1 Floor Drain/sink- 2 inch 2 _ 3 inch 5 _ 4 inch 6 Car Wash Drn 6 Garbage Disposal 16 ~~ - Domestic(to 3/4 HP) _ Commercial(to 5 HP) 32 Industrial(over 5 HP) 48 Ice Machine/Refrigerator Drains 1 _ -- _Oil Sep(Gas Station) 6 Rec.Vehicle Dump Station 16 Shower- Gang (Per Head) 1 - -Stall 2 _ Sink- Bar/Lavatory 2 =3radley -- 5 -- Commercial 3 Service 3 Swimmu;2 Pool Filter 1 Washer -Clothes 6 Water Extractor 6 — _Water Closet- Toilet _6 _ Urinal 6 TOTALS T Total fixture values 12 _divided by 16 - �� ' JEDIJ HISTORY PLM# b / EDU# LU-n- C- PLM## C!C' EDU# Ll SWR# 7 _� -0 G� PLM# 3 EDU# cI SWR# PLM# `�(L' 0ty6 6 EDU# SWR#— e PLM# EDU# SWR# `�'' c'3 �� PLM#� Uie/_? ED U# SWR# P L M# y % v 3 ?(=EDU# V 7 SWR# I v S PLM# EDU# SWR# %dsts�swrtaly doc