10300 SW GREENBURG ROAD STE 440-1 ,
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10300 SW GREENBURG RD. , Ste. 440
CITY OF
T I G A R D PLUMBING PERMIT
IT#: PLM2001-00093
DEVELOPMENT SERVICES DATE ISSUE]: 3/23/01
13125 SW Hall Blvd., Tryard, OR 97223 (503) 639-417
PARCEL: 1 S135A,B-01003
SITE. ADDRESS: 10300 SW GREENBURG RD 400
SUBDIVISION: LINCOLN ONE/RED LOBSTER/CASA L ZONING: C-P
_ BLOCK: LOT: _.1UF215DICTION�TIG _ _
CLASS OF WORK: ALT GARBAGE DISPOSALS: MOBILE HOME SPACES:
TYPE OF USE: COM WASHING MACH: BACKFLOW PREVNTRS:
OCCUPANCY GRP: FLOOR DRAINS: TRAPS:
STORIES: WATER HEATERS: 1 CATCH BASINS:
FIXTURES_ _ LAUNDRY TRAV3. SF RAIN DRAINS.
SINKS: ^1 URINAi_S: GREASE TRAPS:
LAVATORIES: OTHER FIXTURES: 2
TUB/SHOWERS: SEWER LINE: ft
WATER CLOSETS: WATER LINE: ft
DISHWASHERS: RAIN DRAIN: ft
Remarks: Replacement of: one hub, one primer, one sirk and one water heater
_ FEES
Owner: _ Type By Date Amount Receipt
KNICKERBOCKER PROP, INC XXIV PRM i CTR 3/23/01 $72.50 27200100000
BY NORRIS, BEGGS + SIMPSON 5PCT CTR 3/23/01 $5.80 27200100000
10300 SW GRE ENBURG RD STE 200 ----- —
PORTLAND, OR 972.23 Total $78.30
Phone 1:
Conn actor. --
ASSOCIATED PLUMBING CO
P O BOX 301362
PORTLAND, OR 97230 REQUIRED INSPECTIONS
Final Inspection
Pnone 1: 331-0582
Reg #: LIC 57890
PI.M 26-412PB
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 952-0001-0010 throunh OAR 952-0001-0080
You may obtain copies of these rules or direct questions to OUNC by calling (503) 246-1987.
issued By• ,�"� permittee Signature:
Call (503) 639-4175 by 7:00 P.M. for an inspection needed the next business day
1-29-1995 10:36PM FROM I%_ 2
I
Plumbing Permit Application ®
7j�
eived Hxmitnu.: ,C>wy of Tigard A -m: 13125 SW Ball Rlvd,Tigard,OR 97:73 1OrT°itno.: Huttdingpsami:nc,Crry�Tkard Phrlr_ (503) 639.4171 PC.'I
linpicedate:
bail. (50'i) s9g-199 Ehtais.ucd; -- Rv.-.. __n kccctprnn'�..
LALO(A use approval: _... ----- _ — - — Cue fLa m.: « Psyment ty)M _
Ll I &2 family d ll.inp ter accessory ACaxnmrteiaVLndmtriul C'Multi-family XTt-imnt huVroverricnt.
U New caorunurtiv,idtiition/alterauon/crptaeemcut '—I Food wince J Ot11c1.
Job address: 10 3 o SW (s r e c„ �,� op _ (N • Fee els_ 1'o1aJ
. --- l scot ttlht(L-Ia6l0xY►uYfiYtwrttdtteticpwc.tn.notarw
Bldg,rto,: O,tc Suiteno; DO
! ma tax loduc nr: iLrli
.•tsl
Lot: _ B k:- Subdivisions SFR(2)
prosect name: ;1 rn e o I4 S u t f 40° SFR( bath -'
City/county; ) r 2(P 91 k;t 3 Eu, addtt onal irath/Idtclten "
D"m on an l ran work on premises: l 4kcutilmbs:
S i 4 r t t/p to ,r N DOr Catrh hasW4ma dein
Es14 date of uomplc on/inspe,Item Dry w'e1L each linrltrvrwh drain
r Foottrtg drun(no.1 n.fl.)
M+uwfactu ed horse utilities
Ruwnesarennte Det EU IAC r1�L+LG MaAholos
Address: 0 3013tz Rain dralti co0goctor
(J,JIy: Qp Stdle:Q P: sanim newer(no. Jn,
Phone:So)33t e S l' ritcst.' 3 1 eSAI E•rrtail: Storm scuta(no,lin, - -
CCB no.: 1990-- Plumb.bus.reg.ne: ;��-411 p13Writer yt,ry r.r(no.lin.ft,) `-
City/mcmu lic.no., 1 Z g fixture ru-kem:
Coutraetnr's t>rprtse tadve ai n tutr Ab tio:t valve
__cx a% )teventet
Ptinl Dame: C u,l K t+t c: ae Ater valvC
Basins/himtor _
Nattte C{tu( w y!•�ytn es wes�fet
waw'
Addttss 0 Qc ol; Dtittkifitnnwn(s)
City: I State UP-47ZIl-1363 ectort/au
Phone:>i o)); o Fate AJ)310 f0E-mail:
Expansion tart --
Pixttrmisev.er� --
Name(print) 5 ker Pre per t(S Ptrtar�raitts/fltxtc si uiucna d
Mailln address: 4c r piar�q.,n Garbage. -
liosc ----
City. pr l� Stwe:Q/Q ZIP: q7d° lrxmaimr
Phone: Ka),114,nti;jl
n l=ate: &rtuii: Ltteaeplarr, tease tta
Owne, int:tallaliamaintrnancr only: The aortal i7, latitm Primers r ( 1
will b+,made by rkiell C2
the ru,rirrtenaact and repair made by rry rtgetlar luso am commemployee on thrtry I own as pet URS Chaptrr 447 �g(o),_S-&-,n s , ays(q) tUt, t t
Owner's s' Date: Sura
ulte/show,sd o�ww past
NRftIC;
Urinal
1 atCr Glt>w l
Addmss:
} atcrlteabv�lC( �
City_ � Stan:: Z13':
Phone: Fax: E-mail: Tt7Ti
.
Not All Juttu ttacatsumpsumcomb,t
t c ,DUttr call jrtm fur e.ne intattrtlon NnUoe:This permitappl uulioa Nlintmum fa;......,.........s _ tl
❑vin 0mastercitrd Plun review(at -_ %) $
expires if a petmit is nut obtained
"reatwdattrba _ Crate surttWr}tr(Ryhl
�rtthln 180 days alit,d hes been -' $ �J
mr .TOTAL _.................. ��')
.na.c nY• wl rhove,.n m�--' Jcrct�tCd as cnlnplQte. ....�
Le_1rl '11YN Atrwwtt•' Mn_a(llRlrytACuMI
I
CITY OF TICARD BUILDING INSPECTION DIVISION
2.4-1-four Inspection Linc: 639-4175 Business Phone: 6394171
Date Requested: I- A 3- � '� - A.M. --- P.M. MST:
n
Location:
Ienant:_ Suite: (Bldg: _� NEC:_ —
Contractor: _ _Phone: _ — PLM:
Owner: — - ---Phone: � �� _ -
ELC:
� l TW/'�--
SIT:
BUILDING BLD n't) PLUMBING MECHANICAL ELF,C CA SITE
Site ost/Beam Post/Beam PostP3eam Cover/Service Sewer/Storrs
Footing Roof UndFI/Slab Rough-In Ceiling Water Line
Slab Framing 'fop Out Gas line Rough-In UG Sprinkler
Foundation Insulation Sewer Hood/,7uct Reconnect Vault
B%mt Damp Drywall Storm Furnace 'Temp Service MISC.
Masonry Ceiling Rain Drain A/C UG Slab
Shear/Sheath Fire Spklr/Alm Crawl/Found Dr I feat Pimp Low Volt
A r Approved Approved Approved Approved
Appr/Sdwlk of Prov Not Approved Not Approved Not Approved Not Approved
FINAL FINAL FINAL FINAL
01
0 Call for reinspection 0 Reinspection fee of Srequired before next inspection 0 Unable to inspect
Inspector:----_._� Date: �- �� J ` 7 Page- -of—,---
CITY OF TIGARD BUILDING INSPECTION DIVISION
24-I lour Inspection Line: 6394175 Business Phone: 639-4171
DateRequeskxl: —/ O� / A.M. P.M. MST:
� CDC- � ,� �_..' �r� Vim. BUR
Tenant: _ Suite:_ Bldg: MEC:
Contractor _ Phone: _ PLM:
Phone: ELC: �77
ELR:
SrL
BUILDING BLDG(con't) PLUMBING MECHANICAL ELECTRICAL SITE
Site Post/13eam PostAkam Postilieam Cover/Service Sewer/Storm
Footing Roof ]Jndl�l/Slab Rough-In Ceiling Water Luce
Slab Framing Top out (las Lige Rough-In Uta Sprinkler
Foundation Insulation Sewer flood/Duct Reconnect Vault
Bsmt Damp Drywall Storm Furnace Temp Service MISC.
Masonry Ceiling Rain Drain A/C UG Slab
Shear/Sheath Fire Spklr/Alm Crawl/Found Dr Heal Pump w of
ApproNed Approved Approved Approved Approved
Appr/Sdwlk Not Appiuved Not Approved Not Approved 1 Not Approved
FINAL FINAL FINAL NAL FINAL
0-5
[7 Call for reinspection O Reinspcction fec of S_ required before next_:,spection O Unable to inspect
Inspector: e l y,=-t— �, __ Date:_ — _ �_ Page____ of _�
ELECTRIAL PERMIT
CITY O F TIG A R D PERMIT C#: ELC97-0551
DEVELOPMENT SERVICES DATE IM-SUED: 08/13/97
13125 SW Hall Blvd., Tigard,OR 97223 (503)639-4171 PARCEL: IS135AB-01003
SITE ADDRESS. . . : IV13OVI SW GREENBURG RC
SUBDIVISION. . . . : ZONINB:C—P
BLOCI-',. : LOT. . . . . . . . . . . . . JURISDICTION: 1IG
Pr'oJect De script ion : Add four (4) branch circuits.
--RESIDENTIAL IJNIT------- -------TEMP SRVC/FEEDERS---- ------MISCELLANEOUS------
1000 SF OR LESS. . . . - 0 0 200 amp. . . . . . . : 0 PUMP/IRRIGATION. . . . : 0
EACH ADDIL 500SF. . . : 0 201 400 amp. . . . . . . : 0 SIGN/OUT LINE LTG. . : 0
ITMITED ENERGY. . . . . : 0 401 600 amp). . . . . . . : 0 SIGNAL/PANEL. . . . . . . : 0
MANF. HM/ SVC/FDR. . : 0 601+amps-1000 volts. ; 0 MINOR LABEL ( 10) . . . : 0
-----SERVICE/F'EEDr-'R----- -----BRANCH CIRCUITS---------- ----ADD' L INSPECTIONS—-
0 200 amp. . . . . . : 0 W/SERVICE OR FEEDER: 0 PER INSPECTION. . . . . : 0
ii?ol 400 amp. . . . . . : 0 1st W/O SRVC OR FDR. : I PER HOUR. . . . . . . . . . . . 0
401 600 amp. . . . . . : 0 EA ADD' L- BRNCH CIRC: 3 IN PLANT.. . . . . . . . . . . : 0
601 1000 aMP. . . . . . 0 -------------------PLAN REVIEW SECTION-------------
1000+ amp/yolt. . . . . : 0 ) =4 RES UNITS. . . . . . . . : ) 600 VOLT NOMINAL. . :
Reconnect only. . . . . : 0 SVC/FDR > = 225 AMPS. . : CLASS AREA/SPEC OCC. :
Owner,: FEES
AMX (LINCOLN CENTER BLDG 1 ) type amoi.tnt by date recpt
10,300 SW GREENBURG ROAD PRMT $ 50. 00 GEO 08/13/97 97-298221
SUITE 440 SPOT s 2. 50 BEO 08/13/97 97-298221
TIBARD OR 97223
Phone #-.
Contractor-:
CHRISTENSON ELECTRIC INC 52. 50 TOTAL
III SW COLUMBIA
STE 460 REQUIRED INSPECTIONS ----
PORTIAND OR 97201 iling Covet- Undet-gt-OLtnd Cove
Phone 241-4812 Wall Covet- Elect' l Set-vice
Re q #. 000004
This pereit is issued subject to the regulations contained in the Tigard Municipal Code, State of Oregon Specialty Codes and all other
applicable )awi. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180
days of issuance, at, 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 952-001-00I0 through OAR 952-001-1967. You say obtain a copy
of these rules or direct questions to OIK by calling (503)246-1987.
Per-mittee Signati.tr,e , IssLted By -
------------OWNER INSTALLATION
The installation is being made an proper-ty I own which is riot intended for
sa'.e, lease, or rent.
OWNER' S SIGNATUREt DATE:
TN5TALLATION
SIGNATURE OF SUPR. ELECIN: DATE:
LICENSE NO:
— 2�_ -31, =
4..............A.........4..........*.............................................
Call 639--4175 by 6-.00 p. m. for an inspection needed the next bi-isiness day
a•++++++•++++++++++•+++++++++........++++++++4 4++•+++•+++++t++++++++++++-+++.+++++•t++-1
CIIYOFTIGARD Electrical Permit Application Plan Check If
13.125 SW HALL BLVD, Recd By
Date Rec'd
TIGARD OR 97223
Date to P.E.
Phone(503)639-4171, x304 Print Date to DST
Inspection Inspection (503)639-4175 Permit Hf4ev
Fax(503)684-7297 Incomplete or illegible will not be acceptedPermit
-
1. Joie Address: 4. Complete Fee Schedule Below:
Name of Development LINCOLN CENTER BLDG 1 Number of Inspections per dermlt allowed
Name(or name of business) AMX Service included: Items Cost Sum
Address 10.100 SW GREENBURG RD. SU1'1 is 440 4a. Residential-per unit
I(H)0 sq ft.or less $110.00
City/State/Zip TI ARD, OR 97223 Each additional 500 sq.It.or
Commercial® Residential ❑ I portion thereof $25.00
Rdl I
' Limited Energy $25.00
RUSS CROSBY Each Manut'd Home or Modular
2a. Contractor instollation only: Dwelling Service or Feeder $88.00
(Attach copy ofI current licenses) 4b.Services or Feeders
Electrical ContractorRIbTENS(IN ELECTRIC, INC. Installation,alteration,or relocation
Address 1 11 S.W_S_.--_Z`6XM, I , _SU - 200 amps or less $60.00
201 amps to 400 amps $x0.00
City PORTLAND State_t.)R. _-Zip_9_7201-_5_8_86_ 401 amps to 600 amps $120.00 _
Phone No. 503-2�i 1-4812 _ _ 601 amps,to 1000 amps - $160.00 r
.lob No. 222 58 4Over 1000 amps or volts __ $340.00 2
Elec.Cont. Lice. No, 26-34C Exp.Date ---_ Reconnect only _ $50.00 _ 2
OR State CCB Reg. No. 00458 Exp.Date_ __,_- 4c.Temporary Services or Feeders
COT Business Tax or Metro No._5246 _Exp.Date-__ Installation alteration,or relocation
200 amps or less $50.00
I
1201 amps to 400 amps $75.00
Signature of Supr. Elec'n 401 amps to 600 amps $100.00Over 600 amps to 1000 volts,
License No. 873S Exp.Date- see"b"Pbove.
Phone No.. 503-241-4812
8/11/97 4d.Branch Circuits
New,alteration or extension per panel
2b. For owner installations: a)The fee for branch circuits with
purchase of service or
Print Owner's NameT_ feeder fee.
- - -
Address Each branch circuit 5.00 ?
- --- - - ----- - b)The Inc for branch circuits
City -- - _ _ State Zip-_ __ without purchase of
Phone No. _ _- _- service or feeder Me.
First branch circuit $35.01) 35.
The installation is being made on property I own which is not Each additional branch circuit $5.00 15 __
intended for sale, lease or rent. 4e.Miscellaneous
(Service or feeder riot included)
Owner's Signature___ ._ Each pump or Irrigation circle $40.00 ?
Each sign or outline lighting _ $40.00 2
3. Plan Review section (if required):' Signal circult(s)or a limited energy-
panel,alteration cr extension -_ $40.00 2
Minor Labels(10) $100.00
Please check appropriate item and enter fee In section 5B.
_ 4 or more residential units in one structure 4f.Each additional Inspoctinn over
Service and feedat 225 amps or more the allowable In any of the abo:R
System over 600 volts nominal Per inspection $35.00
Classified area or structure containing special occupancy Per hour _- $55.00 --
.-
as described In N.E.C.Chapter 5 In Plant $55.00 _ _
"Submit 2 sets of plans with application where any of the above apply. 5. Fees:
Not required for temporary construction services. 5a.Enter!otal of above fees $ Sli
5°4 Surcharge(.05 X total fees) $ +Z57
NOTICE Subtotal $ -
5b.Enter 25%of line 5s,for
PERMITS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED IS Plan Review if reguli (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 Trust Account a
Total balance Due s �
I
10STMELCH APP ROYT96
CITY OF TIGARD
DEVELOPMENT SERVICES BLJII...DING PERMIT 1 '
!'FRMI'T #. . . . . . . . RLJP")
13125 SW Hall Blvd., Tigard,OR 97223 (503)639.4171 DATE ISSUED: 08/04,197
PARCEL: 1S135AB-01003
L nDDRESS. . . : 10300 Sri GR_EENI ILJRG RD # t
BDIVISION. . . . : ZO1\1IfJG:[', -P
OCK. . . . . . . . . . : LOT. . . . . . . . . . . . . . JI-JRI9DICTI r]N I-If�
ISSUE: FLOOR ARFAS.___ ._._._._.____ EXTERIOR WALL. C0NS7R1JC'TI01N1
nSS OF WORK. :ALT FIRST- -- w 1. 19 s f N: S. E:
'I"YPE: of LH-3E. . . :COM SECOND. . . : 0 f PROTECT OPEN I NGS''---- -
TYPE OF CONST. :LF R . . . . 0 s f N: S: E: W.
',CtJPANCY GRP. :S TOTAL..-_...._.._.._ _. . 1 19 S f ROOF CONI ST: F I RF RFT? :
CLIPANCY LOAD: 15 BASEMENT. -. 0 S f AREA SEP. RATED:
OR. : 0 1IT ; 0 Ft GARAGE'.. . . : 0 s f OCCU SEP. RATED:
;MT?: MEZZ? : RF_QD SETBACKS—____.__._—._ REC;UIRED••,._..__.___.__..._.._.
00IR I._OAD. . . . : 0 ps P LEFT: 0 f t; RGHT: VA ft F I R 9PK1L_:Y 5M01' DET. . :
AEL..I_ING LJNITS: 0 FRNT: 0 ft REAR: 0 Ft FIR AI..RM:Y HNDICP ACC:
Ar.:DRMS: 0 BATIAS: 0 IMF' G1JRFACE: 0 PRO CORR: PARKING: 0
AAIE. U : 8500
Tenant i•�rcyement
nwner•. : -_ _...____.____,_—__-._—___ -_____ __.__._.___.______.-.- --• -----.---_....__ FEES
,RRIS IAF:-rr3 7 A. SIII-1500 I type amo,_int by date recpt
1300 SW GREE_NBURG RD Pl_CI< f 48. 4-1 B 04/Q7/97 97-29285�'
r 200 FIRE $ O9. 80 P 04/07/"T7 970232851
10ARD OR 972,23 PRMT f '74. 50 JSD 08/04/97 97--P97A9:-.
cine #: 5PCT $ _',. 73 JGD 08/04/97 97
!nt r-ac,t ur
4LIBI.J rnCfF'IC
-5 NE: JACKSON'' SCHOOL_ ROAD
[I.-LOBono OR 971P4
nnv #: C,93- 979 $ IFW,. 4L TOT01 .
Ll N. O4'IQ�S':'3fb
REQ(JIRED INSPECTIOhJFt
s permit is issued subject to the regulations contained in the Framing InSp
yard Municipal Cade, State of Ore. Specialty Codes and all other Gyp Ilnard Insl.) �,__� __.__._•__.,.._,
,I,plicable laws. All worn will be dome in accordance with Si.;-,p Ceilny Insp
approved plans. This permit will expire if work is not started
-thin 190 days of issuance, or if worts is sispended for more �___��• ��_ ___ _._____-...__._..___.
3n 190 days. ATTENTION: Oregon iew requires you to follow the
es adopted by the Oregon utility notification Center. Those
As are set forth in OAA 95c--001-80W through OAR 9'K.,W101997.
u many obtain a copy of these rules or direct questions to ODIC
Balling (5031261997.
lr
�: ,.t c e r i y n�t .i r ca : (S_.�,�►G.� T s ri r.r r-d B Y' : _....._.__....` , ..._...�-._.._.____.r.__._..._
++i ++((++•+.4.+-t.-1 ++++++++++++++4F .i 4++++++•+ +i+4++ 4++++++++++++•++++++++++++++ F+4 1 ! 1
(
f',all (,39 - 417(5) by C:00 P. M. fnr an insper.tion needed the next hl.rsiness rJ:s
++++++++f 4+ + 4 ++++-F++++-I-+++•F+4+i+++++++++++-4-1-i-+-F++++++++++++++++++++++++++ t
Commercial Bu, "r� tie
pity of Tigard —, ,.. mit Aplication
IJI.26 SW' riall Blvd.
Tigard, OR 97223
(503) 639-4171
Jobsite Address:
Tenant: Am �' offtcs Use all
�. Suits M
Valuation: _ w goo C7� Planck/Rac
Owner. V&/?sit
�
Address: 00 yf 06- vals
approRequired
223 4 -.
4 1 � rSi
„r Planning
Phone:
Engineering"
Other
Contractor.
Address: ' I
Type of const tF k,
Phone: O xup.ancy class:
SFrinklered7 Yens r No
'ontractor's License if
(attach copy of current ^regon license) Sq. R of project
'ontact name 3 phone: Story (1st, 21,d. etc.) 4
—
Pro posed use: aZ22�n
�rchite r. �.
(nee
Address: �f (}(/V Previous use: —_�.i=� .Q
t.�
—� Note: Plumbing mechanical plans
must be submitted at tirne of
3hone: building permit application.
� �--.
,.)8 CESCRIPTION:
c
pli ret Sig tt!�8 8 Phone numoer
�ceived by: I `'r I'=�/ (/ "--- Date Received:
I
Account Descripticn Amoun•
1 - Amt Pd. Bit. Dpi• �y
Plumb. Permit (PLUMB)
-- Mach. Permit (MECH)
Stats Tax (TAX)
Bldg:
Plumb:
Mech:
Plan Check (PLANCK)
BikJg:
Plumb:
Mer_h:
Sewer Connectlon (SWUSA)
Siwer Inspection (SWINSP) – --
Parks Dev Cbarge (PKSDC)
Residential TIF (TIF-2)
Mass Transit IIF (i1F-WT) —
Commercial TIF MF-C)
Industrial TIF (I-IF-I)
Institutional TIF (TIF-IS)
Office TIF (TIF4))
Water Quality (VV' )UAL)
Water Quantity CNQUANT)
Fire Life Safety (FI-S)
Erosian Cntr1 Permit (ERPIRMG)
Erosion Planck/`USA (ERPLAN) —
Erosion Planckl,C01' (EROSN)
TOTALS:
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24-Hour Inspection Line: 639-4175 Business Line: 639-4171 - --� -
_
_ Date Requested_ BLIP�" AM_ PM _ BLD
L ocation O ov 5 .�-���__� Suite v —
�._ �- �--------- MEC
Contact Person _._ --.__ Ph ,��—L 0. �-'' .-_-- PLM
Contractor — _-- _ Ph —_---_—_-_— SWR
BUILDING v Tenant/Owner ELC
Retaining Wall ELR
Footing Access:
Foundation FPS
Ftg Drain SGN
Crawl Drain Inspection Notes: ------ - ------
Slab -__ __ -- SIT
Post& Beam
Ext Sheath/Shear
Int Sheath/Shear
Framing
Insulation
Drywall Nailing — _ . ----t---- ---- --
Firewall
Fire Sprinkler
Fire Alarm
5usp'd Ceiling -
Roof
Misc:
Final
PASS PART FAIL - -- ---
UMBING
Post& Beam
Under Slab
Top Out
Water Service
Sanitary Sewer
Rain Drains
a&.
PART FAIL
MMHANICAL
Post& Beam - - - - - - - —- -
Rough In
Gas Line -- -
Smoke Dampers
Final - - -- ------ - -- _... _- --------
PASS PART FAIL
ELECTRICAL ---.__.- -.------__----
Service —
Rough In
UG/Slab -- ----- �.. -- _ -------- -----
Low Voltage
Fire Alarm
Final
PASS PART FAIL -SITE
Backfill/Grading — -_--
Sanitani Sewer
Storm l;rain [ ]Reinspection fee of$ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin
Fire Supply Line ( ]Please call for reinspecti9n RE: _- ]Unable to Inspect-no access
A roach/Sidewalk
ADA 7 /
2 c %
Other Date _ �" L) Ext
G Inspector_ � C _
Final
PASS ART FAIL l70 NOT REMOVE this inspection record from the job site.
AELECTRICAL PERMIT
�\ �.ITY �� �o IGARD PERMIT#: ELC2002-00218
r DEVELOPMENT SERVICES DATE ISSUED: 5/15/02
13125 SW Hall Blvd.. Tigard, OR 97223 (503) 639-4171 PARCEL: 1S135AB-01003
SITE ADDRESS: 10300 SW GREENBURG RD 440
SUBD VISION: LINCOLN ONE/RED I.OBSTER/CASA L ZONING: C-P
BLOCK: LOT : JURISDICTION: TIG
Proiect Description: Installation 2 branch circuits.
RESIDENTIAL UNIT _ TEMP SRVC/FEEDERS_ MISCELLANEO_US _
1000 SF OR LESS: 0 - 200 amp: Y� PUMP/IRRIGATION:
EACH ADD'L 500SF: :201 - 400 amp: SIGN/OUT LINE LTG:
LIMITED ENERGY: 401 - 600 amp: SIGNAL/PANEL:
MANF HMI SVC/ FDR: 601+amps - 1000 volts: MINOR LABEL (10):
SERVICE/FEEDER _ _ BRANCH CIRCUITS ADDT. INSPECTIONS
0 200 amp: W/SERVICE OR FEEDER: PER INSPECTION:
201 - 400 amp: 1st WIO SRVC OR FDR: 1 PER HOUR:
401 600 amp: EA ADD'L BRNCH CIRC: 1 IN PLANT:
601 - 1000 amp: PLAN REVIEW SECTION
I 1000+ amp/volt: >=4 RES UNITS:— > 600 VOLT NOMINAL:
l_ _ Reconnect only: SVC/FDR >=225 AMPS: — CLASS AREA/SPEC OCC:_
Owner: Contractor:
EOP LINCOLN, 1-1_C WILLAMETTE ELECTRIC INC
10260 SW GREF_NBURG RD PO BOX 230547
SUITE 100 TIGARD, OR 97281
PORTLAND, OR 97223
Phone: Phone: 624-3631
Reg#: LIC 75059
SUP 1965S
ELE 34-283C
FEES Required Inspections
Type By Date Amount Receipt Ceiling Cover
PRMT CTR 5/15/02 $53.50 27200200001 Wall Cover
Elect'I Final
5PCT CTR 5/15/02 $4.28 27200200001
Total $57,78
This Permit is issued subject to the regulations contained in the Tigard Municipal Code,State of OR. Specialty Codes and all other applicable
laws. All work will be done in accordance with approved plans. This permit wi!I 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 thro h OAR 952-001-0080. You may obtain copies of these rules or direct questions to
Permit Signature: IL z- � Issued By:
OWNER INSTALLATION ONLY
The installation is being made on property I own which is riot intended for sale, lease, or rent.
OWNER'S SIGNATURE: _ DATE:_ _
CO TRACTOR IIN4STALLATION ONLY
SIGNATURE OF SUPR. ELEC"N: DATE:
LICENSE NO:
Call 639-4175 by 7:00pm for an inspection the next business day
Electrical Permit Application
r ,;,f ,.•� Uate received: Permit no.:
hj� City Of Tigard Project/appl.no.: Expiredate:
Cityuf•1•igarrl Address: 13125 SW Ifall Blvd,Tigard,UR 97223 Date issued: By:
Phone:Phone: (503) 639-4171 1.iQAYJl
Fax: (503) 595-1960 �
� �� '(��,� Case file no.: Payment type:
'
IN
Land use approval:
t
U I &2 family dwelling or accessory U Commercialnndki.n nJ ❑Multi-family vUenani improvement
U New construction U Addition/alteration/replacement U Other: _ U Partial
I SI FE INFORIVIATIl'ON
Joh address: ) S' Bldg.no.: Suite nu. yy Tttx map/tax IoUaccount no.:
Lut: Bhrr.:k: Subdivision: -�--
Project 11,
1(-ivv, SU 4 yU Description and location of work on premises: C
Estimated date of corn lesion/ins coon: -
Job no: `3 ( Fee NIno
Business name: (Z,L 114 IK 10 f TW Ir. D"cripilon _ — QIy. (ea.) joint no.inyr
--- New msiderrlLrl-single or multi-family per
Address: /�� 2. 3C' Sal T dwelling unit.lncludesannelrrlgarage.
City: Ft &fz VI State: C,, ZIP: I d 7 tie-siceinc•luded:
Phone: Ljq -96Sj IF= til -t5 E-mail: 100).q It.or less I 4
L;nch udduiunal 50O s .ft.or onion thereof
CCB no.: 35� y Elec,bus, lie.no: if - 7�s' Limited energy,residential 2
City/mct o lie.no.: / 'y Limited energy,non-residential 2
_� Each manufactured home or modular dwelling
Si_gnattirr of supervis. g rician(required) Date Service and/or feeder 2
Su elect name(print): �y41 Services or fceden-installation,
Sup. (p v License no: alteration or relocation:
It ICU Id 0 11 ILZUM
NK)am s or less 2
Name(print): 201 amps In 4X amps J� 2
— 401 amps Io 600 amps 2
Halling address: 601 amps to 1000 amps 2
City: State: ZIP: Over 1000 amps or volts 2
Phone: Fax: E-mail: Reconnect only - I
owner installation:The installation is being made on property I awn Temporary services or feeders-
which is not intended for sale,lease,rent,or exchange according to in.allation,altcralion,orrelocalion:
ORS 447,455,479,670, 101. 200 amps or less _ 2
201 amps to 400 amps 2
Utaner's si�nalure: Date: 401 to 600 ams 2
gm 101 as I= Branch circoits-new,alteration,
Name: or extension per panel:
---- —.--.- A. Fee for branch circuits with purchase of
Addr^_sn: _ service or feeder fee,each branch circwt 2
City:_ I `.i,ilr. ZIP: B. Fee for branch circuits without purchase
- 1 - 7 of service or feeder fee,first branch circuit 4 2
Pi one: tux: [:-mail:
Each additional branch circuit
Misc.(Seri lee or feeder not Included):
U Service over 225 amps-commercial U Health-care facility Each pump or Imgauon circle 2
U Service over 320 amps-rating of 1&2 Q Hazardous location Each signor outline lighting
familydwellings U Building over 10,X0 square feet four or Signal circuit(s)or a limited energy panel,
U System over 600 volts nominal more residential units in one structure alteration,or extension'
U Building over three stories U Feeders.40()amps or more 'Description:
U Occupant load aver 99 persons U Manufactured structures or RV park Eich additional Inspection over the allowable In any of the above:
•Egress/lightingplan U Other _�.-- Per inspection
Submit.-_sets of plans with any of the above. InveaO dtlon fee
LThe above are not applicable to temporary construction service. other
Na all jun+dicu,xw tcept credit cards,pksr acall)undiction fix nxxe inlosrnalian. Notice:This permit application Permit fee.....................$ --
_,.!&
Celinn
U Visa U MasterCardp permit is not obtained Plan review(at _ %) $ _
cx fires if a
within 190 days after it has leen State surcharge(8%) ....$ 4LL�-
Credit card number
---------
Name of cardholder u dhtwrn on credit c -
t.xpi�— accepted as complete. TOTAL .......................$ 8 S d
_ S
Cardholder sl rue —„mount
4�()-1613 t61CIe/C'OM)
r
ELECTRICAL PERMIT FEES: LIMITED ENERGY PERMIT F-EE
TYPE OF WORK INVOLVED -RESIDENTIAL ONLY
Complete Fee Schedule Below: — -- ---- --- --
P Restricted Energy Fee...................................................... S75.00
Number of Inspections Cer permit allowed
(FOR ALL SYSTEMS)
Cain oTEMS)
Service included: Iterns Cost Total
Check type of Work Involved:
Residential-per unit
11000 sq it or less $145 15 4 Audio and Stereo Systems'
Each additional 500 sq it or
portion thereof _ $33 40 , ,i 1 Burglar Alarm
Limited Fnergy _ $75.00 _
Each Manurd dome or Modular
Dwelling Service or Feeder _ $9090 2 Garage Door Opener'
Services or Feeders t I Heating,Ventilation and Air Condiliuning System'
Installation,alteration.er relocation
200 amps or less $8030 2
201 amps to 400 amps _ $106.65 2 Vacuum Systems'
401 amps to 600 amps _ $160.60_ _ 2 _
601 amps to 1000 amps $24060__ 2 Other
Over 1000 ainps,,r volts $45465 , `, 2
Reconne;,l my $66 85 _ 2
Temporary Services or Feeders _ TYPE OF WORK INVOLVED -COMMERCIAL ONLY
Installation,alteration,or relocation Fee for each system.......................................................... $7500
200 amps or less $66.85 _ 2 'SEE OAR 918-260-260)
201 amps to 400 amps $100.30 2
401 amps to 600 amps _ $13375 2 G. K Type of Work Involved:
Over 600 amps M 1000 volts,
see"b"above. Audio and Stereo Systems
Blanch circuiis
New,alteration or extension per panel U Boiler Controls
a)The fee for branch circuits
with purchase o/service or Clock Systems
feeder fee.
Each branch circuit $6 65 ` 2 Data Telecommunication Installation
b)The fee for branch u,cuits
without purchase of service ❑
or feeder fee. Fire Alarm installation
First branch circuit $46.85 _ ❑
Each additional branch circuit $6.65 _ HVAC
Miscellaneous
(Service or feeder not included) L J instrumentation
Each pump or irrigation circle $5340
Each sign or outline lighting $53.40 Intercom and Paging Systems
Signal circuit(s)or a limited energy
panel,allegation o,extension $75.00 Landscape Irrigation Control'
Minor Labels I W) _ $125.00
Each additional inspection over !` ❑ Medical
the allowable In any of the above r,
fuer inspection $6250 L� Nurse Calls
Per hour $62.50
In Plant $73 75— Outdoor Landscape Lighting'
Fees: Protective Signaling
Enter total of above fees $ Other _
O%State Surcharge $ _ _ J --` ----J_N_- —J -T-'-
_ Number of Systems
25%Plan Review Fee
See"Plan Review"section on $ No licenses are rerwred Licenses are required for all other installations
frort of application
-_^- Fees:
Total Balance Due $
Enter total of above too:
❑ Trust Account p _ 811.State Surcharge :
Total Balance Due S �_
i NdsL+\forma\elc-f'ees doc 06/07/01