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10300 SW GREENBURG ROAD STE 470-3 0 w 0 a E x W C d ; H J o f 10300 SW GRBBNBURG RD ST #470 CITYOF TIGAsRD CERTIFICATE OF OCCUPANCY DEVELOPMENT SERVk3ES �FRMIT#: BUP2002-00181 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 D^.TE ISSUED: 5/9/2002 PARCEL: 1 S 135AB-01003 ZONING: C-P JURISDICTION: TIG SITE ADDRESS: 10300 SW GREENBURG RD 470 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: 32 TENANT NAME: 13USINESS TRANSITIONS REMARKS: Tenant Improvement Owner: EOP LINCOLN, LLC 10260 SW GREENBURG RD SUITE 100 PORTLAND, OR 9722.3 Phone: Contractor: C SCFIIE7WE +ASSOCIATES 1024 NE DAVIS PORTLAND, OR 97232 Phone: 234-6617 Reg #: LIC 54105 This Certificate issued 5/311/2002 grants occupancy of the above referenced building a portion thereof and corfirms that the building has been inspected for compliance with the State of Oregon Specialty Codes for the group, occupancy, and use under which the referenced perpif, was issued. BU—UJING INSPECTOR uu6.IILDING FICIAL POST IN CONSPICUOUS PLACE CITY OF TICARD 24-Hour BUILDING ; Inspection Line: (503)639-4175 INSPECTION DIVISION Business Line: (503)639-4171 MST BLIP Received ___ _Date Requested T ' AM PM BLIP Location G - �'C' Suite 2 0, MEC Contact Person _ Y'LL.k_ Ph _) �-z S7 PLM Contractor_ _ __ Ph SWR _ BUILDING Tenant/Owner _ ELC _ Footing ELC Foundation Access: Ftg Drain ELP Crawl Drain Slab Inspection Notes: �� SIT Post&Beam ___.�_ - '�C� �L _ Shear Anchors Ext Sheath/Shear Int Sheath/Shear Framing I Insulation Drywall Nailing — - -- Firewall Fire Sprinkler ---- --- - --- - ——. Fire Alarm Susp'd Ceiling Root Other: -- - - - ZPARTFAIL MBIWG----- Post&Beam Under Slab — Rough-In -- Water Service --- - - - --— ---- ---- -- Sanitary Sewer % Rain Drainr, -- -- - Catch Basin/Manhole Storm Drain Shower Pan Other. _ - -- - - - - Final PASS PART FAIL MECHANICAL _ Post&Beam Rough-In Gas Line Smoke Dampers — Final PASS PART FAIL ---- ---—_ _ ELECTRICAL Service Rough-In _ UG/Slab ------ - Low Voltage Fire Alarm Final Reinspection fee of$--_ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd PASS PART FAIL SITE Please call for reinspection RE: L] Unable to inspect-no access Fire Supply Line / r r7 ADA Approach/Sidewalk Data ' 5_G� Inspector -_- Ext Other: __ _ Final DO 'NGT REMOVE this Inspection record Brom the job site. PASS PART FAIL CITY OF TIGARD 24-Hour BUILDING Inspection Line: (503)639-4175 INSPECTION DIVISION Business Line: (503)639-4171 �� MST I -31 SUP �. Received Date Re nested � 1 3 i AM PM BLIP _ Location I uite__ d MEC Contact Person c``J'1A�L Ph `LL' 7 116/0 P! P1 _— Contractor__ __ _ Ph( ) --_ SWR BUILDING Tenant/Owner _ _—__ _ _ _ ELC -- Footing ELC Foundation Access: Ftg Drain ELR �- Crawl Drain Slab Inspection Notes: SIT Post&Beam Shear Anchors - - --- Ext Sheath/Shear _ Int Sheath/Shear Framing - -- -- -- Insulation `. Drywall Nailing -- — Firewall , Fire Sprinkler - Fire Alarm Susp'd Ceiling - Roof Other: _ _ ---- ------ ------ -------- Final / PASS PART FAIL — 7�j ' � 447l PLUMBING - " Post& Beam -- �- --- --- - - UndPr Slab Rough-In Water Service - — Sanitary Sewer R Rainin Drains - - Catch Basin/Manhole Storm Drain ------�`� -�- --- - Shower Pan Other: - - - -- Final _ ------ - Low — I k&w � _PASS_ PART FAIL �- U -- --��--� MECHANICAL Post&Beam --^-- Rough-In �----{r --- Gas Line Smoke Dampers - -- - - - - —----- - ----- . Final PASS PART FAIL ----- ------- ------- ELECTRICAL Service - �� - --- --_-- ---_---- - - ough-In UG lab Low Voltage FiSgAllarm ina, Reinspection fee of$ required before PART next inspection. Pay at City Hell, 13125 SW Hall Blvd Sp [] Please call for reinspection RE: - [_] Unable to inspect-no access Fire Supply Line aaa -� � Approach/Sidewalk Date _f�� Inspector____ '' � _ Ext - _-.-- Other: -- Final - DO NOT REMOVE this Inspection record from the job site. PASS PART FAIL CITY OF TIGARD 24-Hour BUILDING Inspection Line: (503)639-4175 INSPECTION DIVISION Business Line, (503)639-4171 MST BUP Received __ — Date Requested_� � AM __P SUP — Location __,C_�� (, �r"c't<'n Swte_ hIEC _ Contact Person Ph( ) c7 3�--L7_,�3 PLM Contractor11�i�t� { ��.Lr1� Ph( -) - SWR BUILDING - Tenant/Owner - ELC �c Footing Foundation Access: -- ELC Ftg Drain ELR _- Crawl Drain Slab Inspection Notes: SIT Post& Beam Shear Anchors --- - Ext Sheath/Shear Int Sheath/Shear -- - -' Framing Insulation Drywall Nailing _- Firewall Fire Sprinkler - -------- ----_ __ Fire Alarm fCfr�c�� Susp'd Ceiling - Roof - 44 Z;. Other:---- ----- -�-� -- Final PASS PART FAIL _-------- -- PLUM_BING Post&Beam Under Slab Rough-In , Water Service -- - Sanitary Sewer Rain Drains - -- Catch Basin/Manhole - Storm Drain - --- Shower Pan Other: --� --- Final - PASS PART FAIL MECHANICAL Post& Beam Rough-In Gas Line Smoke Dampers -------- -- - ---- Final PASS PART FAIL ELECTRICAL Service ------ - -----" --- - --- Ruugh-In __- UG/Slab / Low Voltage '�t4d Fire Alarm GO PART FAIL L_.J Reinspectior,fee of$ requireo; fore next Inspection. Pay at City Hall, 13125 SW Hall Blvd. SITE F_� Please call for reinspection RE:_ _ Unable to inspect-no access Fire Supply Line ADA Approach/Sidewalk Onto� � Inspeetor_ 4 -1� _ -.-Ext Other: _ _ Final - DO NOT REMOVE this Inspection record from the fob she. PASS PART FAIL n CITY I TY o f T I A A R D -- ELECTRICAL P - 1 \ (�.I_ (`� RESTRICTED ENERGY DEVELOPMENT SERVICES PERMIT#: ELR2002-00097 13125 SW Hall Blvd., Tiqard. OR 97223 (503) 639-4171 DATE ISSUED: 5/24/02 PARCEL: 1 S135AB-01003 SITE ADDRESS: 10300 SW GREENBURG RD 470 SUBDIVISION: LINCOLN ONE/RED LOBSTER/CASA L ZONING: C-P BLOCK: LOT: JURISDICTION: TIG Proiect Description: Installation of Data/Telecommunication cabling. A. RESIDENTIAL _ B.COMMERCIAL AUDIO & STEREO: AUDIO & STEREO: INTERCOM & PAGING: BURGLAR ALARM: BOILER: LANDSCAPE/IRRIGAT: GARAGE OPENER: CLOCK: MEDICAL: FIVAC: DATA/TELE COMM: X NURSE CALLS: VACUUM SYSTEM: FIRr ALARM: OUTDOOR LANDSC LITE: OTHER: HVAC: PROTECTIVE SIGNAL: INSTRUMENTATION: OTHER: TOTAL # OF SYSTEMS: 1 Owner: Contractor: EOP LINCOLN, LLC ALLNHIN COMMUNICATIONS INC 10260 SW GREENBURG RD 23220 SW BOSKY !SELL LANE SUITE 100 WEST LINN, OR 97068 PORTLAND, OR 97223 Phone: Phone: 503-698-9000 Reg #: ELE 3-406CLE 1.R, 107548 FEESu� !' — Required Inspections _Type By Date - Amount Receipt — Law Voltage Inspection PRMT CTR 5/24/02 $75.00 2.720020000 Elect'I Final 5PCT CTR 5/24/02 $6.00 272002 'D Total $81.00 This Permit is issued subject to the regulations contained in the Tigard Munidpal Code, State of OR. Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans. 'This permit will expiry'if work is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law regUires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0080. You may obtain copies of these rules or direct questions to OUNC at (503) 246-187. Issued by t_ q Le L, / Permittee Signature OWNER INSTALLATION ONLY The Installation is being made on property I own which is not intended for sale. lease, or rent. OWNER'S SIGNATURE: DATE: CONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR. ELEC'N _ DATE: LICENSE NO: --- Call 639-4175 by 7:00 P.M. for an inspection needed the next business day Electrical Perri tApplication Pe=t no - -cr pDaterew"Gived. L-V- clty Of xl�,aCtfl Rojecusppi.no.: f'xpirodate __ CtryofTigard Address. 13115 SW Mall Blvd,Tigard,OR `11223 pale issued: Hy 1',,/ llcccipteo__� Phone: (503) 639-41'1 Cue file no,. Payment type: Fax: (503)598-1960 Land use approval: MIME Multi-famil enant improvement C' MM dwelling or aec:ssory U CornmcrtraVmdustnal y O New c.nsw, ❑Addiuor✓alteration/replacement O Othct O Facial A 1 1 1 Job address: U"3 DO 1. t +' Bldg.no.: Suite no.'t 7L, T x map/tau lot/account no Lot: Block: Subdivision: Project `�,t 1 -_-�OCscripGon and location of work on premises: VO l I! 4A l�L� Uf1 Eatimated date of compleuortl 11511 :tion: (, u 1 1 Foe f•S.0 JOtr 001 ��_� polripciom (try. (ce) 'foul no.uisp BuaiBesattiame: ,, o _ �`'n ,^ - 'cwr,�rnal amekormdu•�a`ut>-P� hddress' c OS � (�- L�/Ui% d«cillorunN.lnNudeerrtt>•crwd►,ures.' ,w Ci L AW State:D ZIP G - servicrincluded: 4 E-mail: 1000 sq.n.or lees Phone: - U0 U Fax: Epyh addiuond 500 14 tt or poltion thereof CCB no..d U r'2/` Elec.bus.lie.no: ) t" (Jrry�Ellefjy,nr�e�ra.l City/metro llc no.. lima onergy,non.resioesuai 2 ; Z p- ErAct,manufactured home or modular dwelling 2 - - - Due Service and/or reNJn Si nature a siipervulne eiectrlciYi p aired) Serviceeorf n-iasis alion, Supclot.twoc(pant) �t' Litt no;3') Z+TLC alteralion or relocation: 1 ' 200 amps or lass 201 sm ►to 400 amps 2 Name(pant): -- 401 amps to 600 amps 2 601 to 1000 amps 2 Marling address: _ - 2 City; ..ate: I ZIP; — Over 1000 un s or vote 1 Fax: E-mail: ftcoonnnclunl Phone; Temporary services or teeUM- Owner installation•The installation is being made on property I own trlabii„tlon,duration,orreloeetion: which is not iateaded for sale,lease,ron6 or exchange according to 200 Ynpa or)eat z OILS 447,455,479,670,701. 201 amps w 400 amps iT Ownu's Si namm: Date: 401 w trio Amps z llranch circular-eon,1110111111 Ntent on, or eatmloa per pruteb Name A Fee for brunch cin.uirs with purchase of 2 ---- Service or feeder fee,each branch circuit Addrrsa B. fW or nu+r b ch dreuiu widaut purchase S Cittate 21J', of service or feeder fes,first branch circuit: 2 City: PhOnc. TE-mall! Pachadditlon brarlchcircuit. lse,(Servlteor cW*rnot Ine u e4): 2 U Heahhtare[Acdny Fsrhpumporirtigationcircle _� Z C)Service over 123 amps eomniucid Earh sign or nuilint lighting __ Pservice over 120unoS-nungoflkl OHsaArdowlocadon ( ri0 farruly dwelling► C7 Building over 10,000 aquae feel four or Signal circuits)or a limited energy panel. �"� 2 O system over 600 vola nominal more realdenuAl units m one rwaure Lit erauon,or extension• O Builders over ttutee trona ❑Fcederu.400 Yaps or more •po4�7== mon -- *(kcuparil load ovet 99 persons O Manufactured structures or RV pods FApt<yioo ave.she Alio�aLle rh any off the Alrovt� - p isgrp✓hghunapiN O other �_ _-_ pero,, — Suberlt.___arts of plain ovtrh any of the above. Inv _-----�- m above tyre aor applicable to tem nary coo_stsuctioo service, Ower _ _.----_..— Po �- - application Permit fee..,.... S Na YI wnld,�7am eueF sed,i card+,pita call iuritdwyon res rrwn,rifarSnsees Noll This permit app plan review(at _ ' 1 S -- Q V N U MuterCud expires if a permit Is not obtained State surcharge(1190 •.•$ �- within ISO days after 1t has been TOTAL $ `� Ueda cud numbs ...... .- /lrcs accepted at complete. -rudlw r as s Wn on a r e s MpA1 S(6100rCON Car Was IrPliv� Amount 400 aMY911 JO (.11) 09e1994C05 %Vd 44 91 zootn,411 CITY OF T I GQ R D ELECTRICAL PERMIT PERMIT#: EI_C2002-00214 DEVELOPMENT SERVICES DATE ISSUED: 5/13/02 '13125 S'n Hall Blvd.. Tigard, OR 97223 (503) 639-4171 PARCEL: 1S135AE3-01000, SITE ADDRESS: '.0300 SW GREENBURG RD 470 SUBDIVISION: LINCOLN 01�'E/RED LOBSTER/CASA L ZONING: C-P BLOCK: LOT : JURISDICTION: TIG Proiect Description: Tenant Imr.,ovement RESIDENTIAL UNIT TEMP S_RVC/FEEDERS _ MISCELLANEOUS 1000 SF OR LESS: 0 - 200 amp: �— PUMPIIRRIGATION: 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 I-ABEL (10): _ SERVICE/FEEDER BRANCH CIRCUITS — ADD'L INSPECTIONS 0 200 amp: W/SERVICE OR FEEDER: PER INSPECTION: 201 400 arnp: 1st W/O SRVC OR FDR: 1 PER HOUR: 401 600 amp: EA ADD'L BRNCH CIRC: 3 IN PLANT: 601 - 1000 amu: _ PLAN REVIEW SECTION _ 1000+ amplvolt: >=4 RES UNITS: > 600 VOLT NOMINAL: Reconnect only: _—_ SVC/FDR >= 225 AMPS: CLASS AREA/SPEC OCC: _) Owner: Contractor: EOP LINCOLN, LLC WILLAMETTE ELECTRIC INC 10260 SW GREF..NBURG RD PO BOX 230547 SUI"EE 100 TIGARD, OR 97281 PORTLAND,OR 97223 Phone: Phone: 624-3631 Reg #: LIC 75059 SUP 1965S ELE 34-2830 FEES — Required Inspections Type By Date_ �! Amount ReceiptWall Cover PRMT CTR 5/13/02 $66.80 2720020000( Elect'I Final 5PCT CTR 5/13/02 $5.35 2720020000( Total $72.15 This Permit is issued subject to the regulations contained In the Tigard Municipal Code,State -i OR. Specialty Codes and all other applicable laws. All work will be dons in accordance with approved plans. This permit will expire N work is not started within 180 days of Issuance,or If work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0080. You may obtain copies of these rules or direct questions to Permit Signature: - Issued By: OWNER INSTALLATION ONLY The installation is being made on properly I own which is not intended for sale, lease, or rent. OWNER'S SIGNATURE' _._ _ DATE:�r CONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR. ELEC'N: DATE: LICENSE N O — _ ----- ----- --------- ------- Call 639-4175 by 7:OOpm for an inspection the next business day Electrical Permit Application IDatercceived: permit ,Z�,,Z City of Tigard Project/appl.no.: Expire date: Citt ofligurd Address: 13125 SW hall Blvd,Tigard,OR 97223 Date issued: — By: Receiitnu.: Phone: (503) 639-4171 Fax: (503) 598-1960 Case file no.: Payment type: Land use approval: 7U I &.2 family dwelling or accessory .Commercial/industrial U Multi-family LI Tenant improvement U New construction U Addition/alteratiun/replacement i_)t Ilher _ U Partial 1 Job address: 10 3 U t) SLI 6 Od LOA- Bldg. no.: tiuitc nu J Tax map/tax lot/account no.: �I Lot: I Block: Subdivision: J Project name: I Liv SC '-1 O Description and location of%vork on premises: jI i+s [ritrMc Estimated date of coniplrti,nt/inspection: 1 Fee Max Job no: Z Z 7 Description "y. (ea.) 'Total no.tnsp Business name: t. rM c H C ^- r Ne"residential-single or nudd family per Address: 106 t1, 1 ;4 dweWrtgunir.IncludesattachedgarRW. City: State:pti ZIP: 2tr / Service included: c Fax: t E-mat: 100(1 aq.u.or less _— Phone: t S� I ��' Y_;� _ Each additional 500 sq.ft.or portion thereof CCB no.: Elec.bus.tic. It's �--• Limited energy,residential 2 City/iNetro lic,no.: Limited energy,non-residential -'_ U Z Each manufactured home or modular dwelling ,141m of supe sine electrician(re wired) Date Scrvicennd/frfueder 2 License n r /9G j 7- Services m,seders-Installation, Sup.elect name(print): �, l �r ahentlonorrclocailon: 2W amps or less 2 201 amps to 400 amps 2 Name(print): —�_ 401 amps to 600 amps — — 2 Mailing address: __ _ 601 amps to IWOstrips 2 City: State: ZIP: Over IOW amps or volts 2 —� — I Phone: Fax: mail: Reconnect of Owner installation:The installatiop is bein- made on property I own Temporary services or feeder-, installation,alteration,or rel(cnl Ion: which is not intended for sale,lens -,it,or exchange according to 200 11111p of less _ 2 ORS 447,455,479,670,701. 201 amp-.to 400 amps iJ—— _ 2 Owner's si nature: Date: _ 401 to 6 X)ams 2 Branch circuits-new,alteration, or extension per panel: Name: A. Fee for branch circuits with purchase of Address: service or feeder fee,each branch circuit 2 City. - -- State: ZIP: i B. Fee for branch circuits without purchase S b t of service or(ceder fee,tint branch circuit: / Y6 - Y� 2 Phone: I a is-Mail Each additional branrh circuit Mist.(Service or feeder not Included): Foch pump or irrigation circle 2 d Service u�'et 225 rings anunurciul J Ilealth-corefacilily 2 •Scrvltxover�2Oamps•retingofl�2 UHnzardauslocation Each sign uroullinclighting _ —_ family dwellings U nuilding over 10,000 square feel four or Signal circuit(s)or a limited rnrrpy panel, U System over 600 volts nominal more residential units in one structure alteration,or extension* 2. U Building over three stones U Feeder-,4(10 amps or more +I)escn -- O Occupant load over 99 persons U Manufactured structures or RV park Fwch additional Inspection over the allowable In any of the above: U 1'ftreWlightingplan U Other __ - perins tion Submit_sets of plans with any of the above. Investigation fee The above are not applicable to temporary construction service. Other • Permit fee.....................$ Nni all jurisdictions accept credit cents,pleasecall iariuilaion for more inffiMnurunn Notice:This permit application Plan reVICW(AC �) $ L)Visa U Mastercard expires if a permit is not obtained -- ;•rr•dit card number: / 1 within 180 days eller it has been State surcharge(8%) ....$ accepted as complete. TOTAL .......................$ Name c of res s own on cnah aM -- Cardholder si`rreture -Amoum 440-4615(~'OM) I ELECTRICAL PERMIT FEES: LIMITED ENERGY PERMIT FEES: 1 Complete Fee Schedule 3eiuw: 1 TYPE OF WORK INVnLVED -QESIDENTIAL ONLY p I Restricted Energy Fee...................................................... $75.00 Number of Inspections per permit allowed (FOL{ALL SYSTEMS) Service included: Items Cost Total Check Type of Work Involved: Residential-per unit (� 1000 sq ft.or loss — $145 15 4 LJ Audio and Stereo Systems' Fach additional 500 sq It or porlion thereof $33.40 1 I I Burglar Alarm Limited Energy Fach Manurd Home or Modular Dwelling Service or Feeder $90.90 2 Garage Door Opener` Services or Feeders Healing,Ventilation and Air Conditioning System' Installation,alteraticn,or relocation 200 amps or less $80.30 2 201 amps to 400 amps $106.85 2 Vacuum Systems` 401 amps to 600 amps $160.80 2 601 amps to 1000 amps $240.60 2 Other Over 1000 amps or volts $454.65_ 2 Reconnect only $66.85 2 Temporary Services or Feeders T:`PE OF WORK INVOLVED -COMMERCIAL. ONLY Installation,alteration,or relocation FPP for each system.......................................................... $75.00 200 amps or less $66.65 2 (SEE OAR 918-260-260) 201 amen to 400 amps $100.3n 2 401 ampE to 600 amps $133.. . Check Type of Work Involved: Over 600 amps to 1000 volts, see"b"above. Audio wid St3rso Systems Branch Circuits ❑ New,allocation or extension per panel Boiler Controls a)The fee for branch circuits with purchase of service or Clock Systems feeder fee. Each branch circuit $6.65 2 Data Telecommunication Installation h))he fee for branch circuits without purchase of service ❑ or feeder fee. Fire Alarm Installation First branch circuit $46.85 Each additional branch circuit $6.65 E] HVAC Miscellaneous F-1 instrun,nntation (Service or feeder not Included) Each pump or Irrigation circle _ $53.40_ a Each sign or outline lighting _ $5340 Intercom and Paging Systems Signal circult(s)or a limited energy panel,alteration or extension $75.00 I_an:,�,=+pe Irrigation Control' Minor Labels(10) $125.00 Each additional Inspection over Medical the allowable In any of the above f—I Per inspection _ $6250 _ _ _ LJ Nurse Calls Per hour _ $62 50 In Plant _ $73 75 Outdoor Landscape Lighting' Fees: F_� Prntertive Signaling Enter total„f at-rive fees $ n Other. 8%State Surcharge $ – - Number of Systems 25%Plan Review Fee See"Plan Review"section on $ No licenses are required Cleanses are required for all other installations front of application --- -- -- Fees: Total Balance Due $ - Enter total of above fees $_ _ ElTrust Account# 3"/.State Surcharge $• �� Total Balance Due $ i�dsts\formable-fees.doc (X/07101 i CITY ®F T I G A R® --- BUILDING PERMIT PERMIT#: BUP2002-00181 DEVELOPMENT SERVICES DATE ISSUED: 5/9/02 � 13125 SW Hall Blvd., Tiqard, OR 97223 (503) 639-4171 PARCEL: 1S135AP, 01003 SITE ADDRESS: 10300 SW GREENBURG RD 470 SUBDIVISION: LINCOLN ONE=/REQ LOBSTER/CASA L. ZONING: C-P BLOCK: LOT: JURISDICTION: TIG REISSUE: FLOOR AREAS _ _ EXTERIOR WALL CONSTRUCTION _ CLASS OF WORK: ALT FIRST: 1,792 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: 1,792.00 sf ROOF CONST: FIRE RET? OCCUPANCY LOAD: 32 BASEMENT: sf AREA SEP. RATED: STOR: HT: ft GARAGE: sf OCCU SEP. RATED: BSMT?: M-ZZ?: READ SETBACKS_ ____ REQUIRED _ FLOOR . .)AD: psf LE _FT: ft RGHT: ft FIR SPKL_Y SMOK DET:Y DWELLING UNITS: FRNT: It REAR: ft FIR ALRM : Y HNDICP ACC: BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING: VALUE: $ 12,000.00 Remarks: TI Owner: Contractor: EOP LINCOLN, LLC C SCHIEWE A- ASSOCIATES 10260 SW GREENBURG RD 1024 NE DAVIS SUITE 100 PORTLAND, OR 97232 PgpjkAND,OR 97223 Phone: 234-6617 o e: Reg #: Luc 54105 FEES REQUIRED INSPECTIONS _ Type By Date Amount Receipt Framing Insp PRMT CTR 5/9/02 — $158.50 27200200000 Gyp Board Insp Susp Ceiing Insp 5PCT CTR 5/9/02 $12.68 27200200000 Final Inspection PLCK CTR 5/9/02 $103.03 27200200000 FIRE CTR 5/9/02 $63.40 27200200000 Total $337.61 This permit's 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 day-, of issuance, or if work is suspended for more than 180 days. ATTENTION Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-1987. You may obtain a copy of these rules or direct questions to OUNC by calling (503) 246-6699 or 1-800-332-2344. Pe tmittee r � Issued B Call 639-4175 by 7 p.m. for an inspection the next business day CITY OF TIGAR.D --- BUILDING PERMIT PERMIT#: BUP2002-00181 DEVELOPMENT SERVICES DATE ISSUED: 5/9/02 13125 SW Hail Blvd..Ticiard. OR 97223 (503) 639-4171 PARCEL: 1S135AB-01003 SITE ADDRESS: 10300 SW GREENBURG RD 470 SUBDIVISION: LINCOLN ONE/RED LOBSTER/CASA L ZONING: C-P BLOCK: LOT: JURISDICTION: TIG YREISSUE: —� FLOOR AREAS _ EXTERIOR WALL CONSTRUCTION CLASS OF WORK: ALT FIRST: 1,792 sf N: S: E: W: TYPE OF USL: COM SECOND: sf PROJECT OPENINGS? TYPE Or CONST: 2FR sf N: S: E: W: OCCUPANCY GRP: B TOTAL AREA: 1,792.00 sf ROOF CONST: FIRE RET? OCCUPANCY LOAD: 32 BASEMENT: sf AREA SEP. RATED: STOR: HT: ft GARAGE: sf OCCU SEP. RATED: BSMT?: MEZZ?: REQD SETBACKS _ REQUIRED _ FLOOR LOAD: psf LEFT: ft RGHT: ft FIR SPKL: Y SMOK DET:Y DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : Y HNDICP ACC: BF..DRMS: BATHS: IMP SURFACE: PRO CORR: PARKING: VALUE: $ 12,000.00 Remarks: TI Owner: Contractor: EOP LINCOLN, LLC C SCHIEWE + ASSOCIATES 10260 SW GREENBURG RD 1024 NE DAVIS SUITE 100 PORTLAND, OR 97232 P9POTL.AND, OR 97223 Phone: 234-6617 one: Reg #: LIC 54905 FEES_ REQUIRED INSPECTIONS Type By Date Amount Receipt Framing Insp Gyp Beard Insp PRMT CTR 5/9/02 $158.50 27200200000 Susp Ceiing Insp 5PCT CTR 5/9/02 $12.68 27200200000 Final Inspection PECK CTR 5/9/02 $103.03 27200200000 FIRE CTR 5/9/02 $63.40 27200200000 Total $337.61 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, of if work is suspended for more than 180 days ATTENTION Oregon law requires you to follow the rules adopted by the Oregon Utiiity Notification Center. Those rules are set forth in OAR 952001-0010 through OAR 952-001-1987. You may obtain a copy of these rules or direct questions to OUNC by calling (503) 246-6699 or 1-800-332-2.344. Permittee I1") Signature: ----- 7 Issued By: __------ Call 639.4175 by 7 p.m. for an Inspection the next business day Building Permit Application _ Date received: ��:! Permit no. U-��" -u,"i'61 City of Tigard Address: 13125 SW Hall Blvd,Tigard.OR 97223 Project/appl.no.: Expiredate: City u(Tigrud Phone: (503) 639-4171 Date issued: _ By:�10 I Receipt no.: Fax: (503) 598-1960 Case file no.: Payment type: Land use approval: i xk2 family:Simple Complex: t U I &2 family dwelling or accessory U Commercial/industrial U Multi-family U New construction 0 Demolition U Adclition/alteration/replacement U Tenant improvement U Dire sprinkler/,Hann U Other: �111 110 11 M 113 two HMO 1 Jobaddress: 102;M SW Grtevlbvr, U Bldg. no.. Suite no.: Lot: I Block: Subdivision: Tax map/tax lot/account no.: - Project name: Int,S ihe.--5 Trans icel c DLC,_ __ Description and location of work on premises/special conditions:_ Tehavi \ J "pp!_'vewle,!Ai OWNER FOR S111"CIAL t Name: C-611JtT•Y OFF(CE l°f-�6179TM ./ (I loodplain,s6pilleca.pacity,solar,etc.) Mailing address: (C 2 C-o SW Gr e-e.-L y, cc 1 &2 family dweiling: City: f Cr t Q", State: ZIP: 1722, Valuation of work........................................ -- Phone501 $92-2.;00 l-ax: E mail: No.of bedrooms/baths................................. _ Owner's representative: Fay (L. G(ur GAD Arcg;tt-�'tr ,r Total number of floors................................. a 2.2 -y05ta� Fax: I nutil New dwelling area(sq. ft.) .......................... Garage/carport area(sq.ft.)......................... _ WWII Name: GSD ;Ark te Al, lrl c Covered porch area(sq. ft.) ......................... _ Mailing address: 92o sw 3r avenue S�/to 4bOU Deck arca(sq.ft.) ........... . .......................... _ City: C,rt a State:C) 'LIP: Other structure area(sq. ft.)......................... Phone50Z 1 2. u - mmercinUindustrial/multi-family: �E 5(� Fax: E-mail:[:-mail: 2 000 " Valuation of work........................................ $ _- Existing bldg.area(sq.ft.) .......................... Business name: �, ��ch i�w e CC.-s*, Address: t72 N` Pavis S't New bldg.area(sq. ft.) .............:.............. State:0 ZIP: 9 Z 32 Number of stories................... ... City: Port(at Type of construction ... L- F L Phcne5o3 Z3 -60k1 fax: F.-mail: Occupancy group(s). Existing: CCB no.: 5410 _ New, U City/metro lic.no.: Notice:All ce.,,ractors and subcontractors are required to be licemed with lite Oregon Construction Contractors Board under Name: provisions of ORS 701 and may be required to he licensed in the Address: jurisdic!ion where work is being performed.If the applicant is Cif : -- State: ZIP: exempt from licensing,the following reason applies: Contact person; Plan no.: ----- Phone: Fax: E-mail Name: Contact person: Fees due upon application ........................... $ Address: _ s Date received: City: tate: Zlp: Amount received ......................................... $ Phone: Fnx: E-mail Please refer to fee schedule. I hereby certify I have read and examined this applicution and the Not all judslicdana accept credit anti,please call jurisdiction for mote inforrtutuon. Poached checklist.All provisions of laws and ordinances governing thi,. Uvi"a U Mastercard work will be complied with,whether specified herein or not. Credit card number: Authorized signature: 7_ �`"` Date: 9 G`L i Name of cardholder u shown on credit call - S Print name:- a �I", _ - Cardholder d6nature Amnutr Notice:This permit application expires if a permit is not obtained within 180 days atter it has been accepted as complete. ")-*II tMM'oMI Commercial Plan Submittal Requirement Matrix City.of Tigard '1 I - TYPE OF SUBMITTAL # of Plans (Includes New, Additions or Alterations) Required at Submittal Site Work 4 (must include location of all accessible parking) Plumbing - Site Utilities 2 §► I Building 1* Fire Protection System 3** Mechanical 2 Plumbing - Building Fixtures 2 Electrical 2 Plan review is dependent upon submittal of a completed application and plans. After plan review approval, the Plans Examiner will contact the applicant to request additional sets of plans for distribution purposes (for Contractor, City of Tigard, Washington County, and Tualatin Valley Fire & Rescue). *For over-the-counter conimercial tenant improvements, submit 2 sets of plans. **"New" fire protection systems require that plans bear the original seal of an Oregon licensed fire suppression engineer, or NICET level "3" technicians. r\dsts\forms\COM-matrix.doc 9/24101 (business Lr�.hs�'t.iC�t•, c Ll-C - D CZ Accessibility: Barrier Removal Improvement Plan City of Tigard REQUIREMENT; OREGON REVISED STATUTE (ORS) 447.241. (1) Every project for renovation,alteration or modification to-.ffected buildings and related facilities shall be made to insure that the path of travel to the altered area and the restroom, telephones and drinking fountains are readily accessible to individuals with disabilities unless such alterations are disproportionate to the overall alterations in terms of cost and scope. (2) Alterations made to the path of travel to an altered area may be deemed disproportionate to the overall alteration when the cost exceeds twenty-five per-cent(25%). ALUATION: of all renovation, alteration or modification being done excluding painting, wallpapering. [11 $ Coo,o0 multiply: 25% Barrier removal requirement. 25 BUDGET FOR BARRIER REMOVAL (�1 $ 3 GCC• 00 In choosing which accessible elements to provide under this section, priority shall be given to t! use elements that will provide the greatest access. Elements shall be provided in the following order: dU (a) Parking lot Jtrip'4 1) new C�•rb cert r, -1((Qt-Alkr $ -''C) S\c1��c�gt t (rJvil0.�� Ctnt�Aiit['Jt a'C dolt FYI` �J -All f (b) An accessible entrance: $— — (c) An accessible route to the altered area: $. (d) At least one accessible restroom for $ each sex sex or a single unisex restroom: (e) Accessible telephones: $ (f) Accessible drinking fountains: and $ —_ ---- (g) When possible, additional accessible elements such as storage and alarms: $ _ TOTAL: Stia,l equal lino 2 of Value Computation_ $ 00 7 00 i\fists\rom,s\Accrasibility.doc 09/24/01 CITY OF T I G A R D BUILDING PERMIT PERMIT#: BUP2001-00113 DEVELOPMENT SERVICES DATE ISSUED: 4/17/01 13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 PARCEL: 1S135AB-01003 SITE ADDRESS: 10300 SW GREENBURG RD 470 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 si 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: FIF RET? OCCUPANCY LOAD: 15 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 SPKL: Y SMOK DET: DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP ACC: BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING: VALUE: $ 10,000.00 Remarks: Tenant Improvement Owner: Contractor: KNICKERBOCKER PROP, INC XXIV C SCHIEWE + ASSOCIATES BY NORRIS. BEGGS + SIMPSON 1024 NE DAVIS 10p300 SW GREENBURG RD STE 200 PORTLAND, OR 97232 P PPone ND, OR 972.23 Phone: 234-6617 Reg #: LIC 54105 FEES T — REQUIRED INSPECTIONS W Type By Date Amount Receipt Mechanical Permit Require PLCK CTR 3I29I01 — $90.55 27200100000 Electrical Permit Required Sprinkler Permit Required FIRE CTR 3/29/01 $55.72 27200100000 Framing Insp PRMT CTR 4117/01 $139.30 27200100000 Gyp Board Insp 5PCT CTR 4/17/01 $11.14 27200100000 Susp Ceiing Insp Final Inspection Total $296.71 This permit is issued subject to the regulations contained in the Tigard Municipal Code, S'�,te of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans Thi; permit will expire if work is riot 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 adapted by the Oregon Utility Notification Center. Those ru es are set forth in OAR 952-001-0010 through OAR 952-001-1987 You may obtain a copy of these rules or direct questions to OUNC by calling (503) 246-6699 or 1-800-332-2344. 7 , Permittee 11 Signature: ��• �� — i Issued By: — Call 639-4175 by 7 p.m. for an Inspection the next business day Building Permit Application Datereceived: Permit no. ' ; City of Tigard Project/appl.no.: Expire date: City ofTigard Address: 13125 SW Ball Blvd,Tigard,OR 97223 Phone: (503) 639-4171 Date issued: By: Receipt no.: Fax: (503) 598-1960 Case file no.: Payment type: Land use approval: 1&2 family:Simple Complex: _ t 1 U I roc 2 family dwelling or accessory U Commercial/industrial U Multi-family U New construction U Demolition U Addition/alteratiort/rcplacemcnt )UTenant improvement U Fir!sprinkler/alarm U Other: _ 11 SITE INFORMATION Job address: 10300 SW Grea'6jr drt a 9 2"L3 Bldg.no.:L10 Suite no.: 4']G Lot: Block: Subdivision: Tax map/tax lot/account no.: Project name: One i vireo - su O -_-------._.-- Description and location of work on premises/special conditions: TeNaitt- t '�`�►"`e"� �'°��`- _��_ OWNER 1 INFORMATION Name: SPIE:�Q PI-CFFP-11 -f (FIdbilplain,septic capacity,solar,eic.) Mailing address: 02(vC -SW (•�reev+bur PA. SL+i 100 I &2 family drieWng: _City: C— State. QZIP: 97223 Valuation of work................................. ...... $ Fhone503 892.2500 I Fax: E-mail: No.of bedrooms/baths................................. w Owner's representative: G u►^ GDO {arch.;tee tJ) 'Cotal number of floors................................. _— Pltone5o15 22 -9(,5(- Fax. E-mail: New dwelling area(sq. ft.) .......................... _ Garage/carport area(sq,ft.)......................... _ Name: GPE) The . Covered porch area(sq.ft.) ......................... _-- Mailing address:`)20 SW 3'-d a\1emee, S i to +000 Deck area(sq. ft.)........................................ _ city: FC)rtl a State: ZIP: `372o Other structure.area(sq.ft.)......................... -- Contmercialr'indttstrial/multi-family: Phone: Fax: email: ............. O(>00 00 1 1 Valuation of work........ ............................... 1c), ,—__-- A31 AIN ll Existing bldg.area(sq.ft.) . _ Business name: G, Scl1 lew e. t,e ns`� New bldg.area(sq.ft.)................................ S•P .. Address: 02 aV is S Number of stories........................................ (5) FIV' City• r,y 3a-d State:tv L ZIP: "�"]�32 - Type of construction.................................... 1L Ff-- -- - I'hone5o3 23 frbl Fax: I?-mail: — Occupancy group(s): Exist __.. CCB no.: 5 C'S _ hcvv: _ IS City/metro Ii• to.: Notice:All contractots and subcontractors are required to be i "U41(It 1001 V1 11 M Lela licensed with the Oregon Construction Contractors Board under Name: -8"E- fl-` AP P L I ct4t-►7 provisions of ORS 701 and may be required to be licensed in the Address: jurisdiction where work is being performed.If the applicant is Cit State: ZIP: exempt from licensing,the following reason applies: Contact person: Phone: Fax: RL-12 Ila I Name: Contact person: _ Fees due upon application ...........................$ Address: Date received: - -- — — City: Siste: ZIP: Amount received ..............................I.......... S_ Phone: Fax: �G mail: 1'leasc refer to fee schedule. I hereby certify 1 have read and examined this application and the Na m junsdidioru KvW c"t cards,Wsm cdt jurit&90n for more+nfornm6on attached checklist. All provisions of laws and ordinances governing this U visa U MasterCard work will be complied with,whether specified herein or not. credit card numbn Capin r Autl+or'ved signature: Datc: '29 '0 - N.mc or c.rdtiowcr u arro«n oo erg+cbd $ Print name: d _ �,t Glur Cardbotdersig"We Aa1Oa01 Noticr 11+is permit application expires if a permit is not obtained within 180 days after it has been accepted as complete 1� _I 440 4613(&WICOM) L0 Date Recd: CITY OF TIGARD Recd By: COMMERCIAL TENANT IMPROVEMENT t APPLICATION/PLANS SUBMITTAL REQUIREMENTS Applicants: Please complete APPLICANT 1. APPLICANT NAME:_ PHONE #:__ 2. SITE ADDRESS: -- FAX # 1. SITE PLAN (Fully dimensional, drawn to scale, showing existing parking, accessible route to building) labeled with: ❑ map & tax lot #, ❑ project name, ❑ site address, ❑ site number, ❑ zoning, ❑ applicant name, ❑ phone number. A. North Arrow B. Scale (any standard, architectural or engineering only) C. Street Names 2. See the "Commerical Plan Submittal Requirement Matrix" for number of plans required based on submittal type (no redlines or tapeons accepted). SIZE REQUIREMENTS: 24" X 36" (ROLLED) ALL DETAILS LISTED BELOW SHALL BE INCORPORATED INTO THE PLANS A. Floor plan(s) B. Wall details C. Reflective ceiling plan D. Seismic bracing detail for suspended ceiling E. Specifications & calculations F. ADA barrier removal worksheet G. Deposit - based on valuation of project I:klstsVormsk;omdapp.doc 101000 One L kx,.Ol , - zt„+,_c 47o _21� -C) I SUBJECT: ACCESSIBILITY BARRIER REMOVAL IMPROVEMENT PLAN REQUIREMENT: OREGON REVISED STATUTE (ORS) 447.241. (1) Every project for renovation, alteration or modification to affected buildings and related facilities shall be made to insure that the path of travel to the altered area and the restroom, telephones and drinking fountains are readily accessible to individuals with disabilities unless sach 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 a.sproportionate to the overall alteration when the cost exceeds twenty-five per-cent(25%). VALUATION of all renovation, alteration or modification being done excluding painting, wallpapering. (�] $ E% -- ELECTRICAL PERMIT- CITY OF TIGAR.D — RESTRICTED ENERGY DEVELOPMENT SERVICES PERMIT#: ELR2001-00134 13125 SW Hall Blvd.,Tipard, OR 97223 (503) 639-4171 DATE ISSUED: 5/7/01 SITE ADDRESS: 10300 SW GREENBURG RD 470 PARCEL: 1S135AB-01003 SUBDIVISION: LINCOLN ONE/RED LOBSTER/CASA L ZONING: C-P BLOCK: LOT: JURISDICTION: TIG Proiect Description: Installation of low voltage for HVAC control. A.RESIDENTIAL B.COMMERCIAL_ AUDIO & STEREO: AUDIO& STEREO: INTERCOM & PAGING: BURGLAR ALARM: BOI!_ER: LANDSCAPE/IRRIGAT: GARAGE OPENER: CLOCK: MEDICAL: HVAC: DATAITELE COMM: NURSE CALLS: VACUUM SYSTEM: FIRE ALARM: OUTDOOR LANDSC LITE: OTHER: HVAC: X PROTECTIVE SIGNAL: INSTRUME-NTAT ION: OTHER: TOTAL#OF SYSTEMS: 1_ Owner Contractor: KNICKERBOCKER PROP, INC XXIV AMERICAN HEATING BY NORRIS, BEGGS SIMPSON 1339 SW GIDEON ST 10300 SW GREENBURG RD STE 200 PORTLAND, OR 97202 PORTLAND, OR 97223 Phone: Phone: 239-4600 Reg #: LIC 00033135 ELE 26-683CLE FEES _ Y Required Inspections _�— Type By Date Amount Receipt Low Voltage Inspection 5PCT CTR 5/7/01 $6.00 2720010000 Elecl'I Final PRMT CTR 5/7/01 $75.00 2720010000 Total $81.00 _ _J 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 acco•dance with appy oved 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.ybu to follow rules adopted by the Oregon Utility Notification Center. Those rules ar set forth in OAR 952-0 1 0010 through OAR 952,AO1 You may obtain copies of these rules or dir t uestionOUNC at (503) ?_46- 987. .- r Issue by / / Permittee Signature �G 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 ATE:_ ,CONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR. ELEC'N DATE:---- LICENSE ATE: --LICENSE NO: ------------- ------- ----- --- Call 639-4175 by 7:00 P.M. for an inspection needed the next business day 41 Electrical Permit Application Date received::h Permitno.y�/�• ov/- City of Tigard Projcct/appl.no': _ Expire date: t ut of 11Kurd Address: 13125 SW Hall Blvd,Tigard,OR 97223 Date issued: By: Receiptno.: Phone: (503) 639-4171 --- Fax: (503) 598-1960 Case file no.: Payment type: Land use approval: ►'g ?e, U I &2 family dwelling or accessory Commercial/indust i al U Multi-family �r`renant improvement U New constriction U Addition/alterationheplacrnu ml U Other: U Partial .1011 SITE 1 Job address: /0300 SW Ordend _ Bldg. Tax maphax Iollaccount no.: _ 1-ol: HI(xk: Subdivision Linau^ Project name: Description and location of work on premises: NVAC Estimated date of con Ietion/ins ction: Job no: Pee Max Ikscription Ot (ell.) no. nsp BUsines5name: Klr.,r^, rL_cL tjea) r--T- New rrsitierdial"single ormulH-iamikper Address: dwellingunk.Inrhmtesattached garage. city: - , 41ckia State: 1e I ZIP: zU z 5ervirincluded: Phone: Fax: E-mail: HxN)sq.It or less 4 Each additional 500 sq,ft.or portion thereof CCH no.: ) Elec.bus.11C.no: C C Limited energy,residential 2 City/metro lie.no.: t b «r Limitedenergy,non-residential __ 2 ��— _;J_O� Each manufactured home or modular dwelling ,< Service nmUmr feeder 2 Si nature o supervising electrician(required)/ ate Su .elect.name(print): License noVj V-0•-/X rvicesorfeeders-Installation, alteration or relocation: 20f)amps or less 2 Name(print): Q,�,r-1-.1 16201 amps to 4(x1 amps 2 •� ��'� �`r - 401 amps to 600 amps 2 Mailing address: StatC: 601 amps to I( xxlamps _ 2 ('Ili: — ZIP: Over I(Xxl amps or volts — _ 2 Phone: FifX: E-mail: Reconneclonl�_ owner installation:The installation is being made on property I own 'Temporary Services or feeders- which is not intended for sale,lease,rent,or exchange according to Installation,alteration,or relocation: S 200 amps or less 447,455,479,670,701. 201 amps to 400 amq's Owner's signature: Date: 401 w 100:111111%EW Branch circuits-new,alteration, or extorsion per panel: Name: 7 f-I&L, C A. Fee for branch circuits with purchase of Address: C service or feeder fee,each hranch circuit - ? City , State�ltF' ZIP: B. Fee for branch circuits without purchase of service or feeder fee,first branch circuit: Phone: Fax:, �( E-mail: Each additional branch circuit: _ Misc.(Service or feeder not Included): U Service over 225 amps-commercial U Health care facility Each pump or irrigation circle -' U Service over 320 amps-rating of I&2 U llnrardous locatioo Each sign or outline lighting 2 family dwellings U Building over 10,000 squaro Seel four or Signal circuh(s)or a limited energy panel. 1 USystem river 600volts nomimal more residential tools in onestructurr alteration,or extension* 2 U Building over three stories U Feeders.4W amps or more *Oescnpuon _ U Occupant load over 99 persons U Manufactured structures or RV park Fach additional Inspection over the allowable In any of the above: U E:gress/hghtingplan U Other .. -- Perms ecuon Submit__setr of plans with any of the above. Investigation fee The above are not applicable to temporary construction service. other --— Permit fee.....................$ 1 S-.O U Not all poiulicllonr accept credit cards,please call lurtulicom Hn ounr infxmMmOor. Notice:'this permit application U Visa U MasterCard expires if a permit is not obtained Plan review(at _ %) $ _ Credit card nunther _ —_ _ -_1_L within 180 days alter it has been Stale surcharge(8%) ....$ Expires accepted as complete TCTA1, $ - - Nui of cii borer as shown on credit card -- S - Cardholder sitinsture Amount 4404615(WM*0101) Electrical Permit Fees: Limited Energy Fees: --- —� TYPE OF WORK INVOLVED -RESIDENTIAL ONLY Complete Fee Schedule Below: Postricted Energy Fee........................:............................. $15.00 Number of Inspections per permit allowed) (FOR ALL SYSTEMS) Service included: Items Cost Tctal I Check Type of Work Involved: Residential-per unit ❑ 1000 sq ft or less $145 15 Audio and Stereo Systems Fach additional 500 sq,ft,or portion thereof $39,40 1 Burglar Alarm Limited Energy $75.00 Each Manufd Home or Modular F] Garage Door Opener" Dwelling Service or Feeder $9090 2 Services or Feeders E] Heating,Ventilation and Air Conditioning System' Installation,alteration,or relocation 200 amps or less _ $80.30 2 Vacuum Systems' 201 amps to 400 amps _ $1.16 85 _ 2 El 401 amps to 600 amps $16060 _ 2 ----- — _ 601 amps to t 000 amps $24060 _ 2 Other -- - Over 1000 amps or volts $454.65 _ _ 2 Reconnect only $6685 _ 2 Temporary Services or Feeders TYPE OF WORK INVOLVED -COMMERCIAL ONLY Fee for each system.......................................................... $75.00 Installation,alteration,or relocation 200 amps or less $66.85 2 (SEE OAR 918-260-260) 201 amps to 400 amps _ $10030 2 401 amps to 600 amps $133,75 2 Check Type of Work Involved: Over 600 amps to 1000 volts, ❑ see"b"above. Audio and Stereo Systems Branch Circuits Boiler Controls New,alteration or extension pet panel a)The fee for branch circuits ❑ with purchase of service or Clock Systems feeder fee. Fach branch circuit $6 65 _ ' Data TeleCOmmlmicat on Installation b)The fee for branch circuits without purchase of service Fire Alarm Installation or feeder lee. First branch circuit _ $46.85 HVAC Each additional branch circuit $665 Miscellaneous l J instrumentation IS or leader not included) Each pump or irrigation circle _ $53 40 Intercom and Paging Systems Each sign or outline lighting $5340 Signal circuil(s)or a limited energy Landscape Irrigation Control' panel,alteration or extension $75A0 _ _ Minor Labels(10) $12500 i ❑ Medical Each additional Inspection over the allowable in any of the above Nurse Calls Per inspection $62.50 Per hour _ $62pe Lighting' .50 _ In Plant $73.75 _ Outdoor Landsca Fees: Prolective Signaling Enter total of above fees $ n Other 8%State Surcharge $ -____Number of Systems 25%Plan Review Fee I No licenses are required Licenses are required for aft other installations Seo"Plan Review'section on $ front of application Fees: Total Balance Due $ ---- - Enter total of above tees ❑ Trust Account#_ 8%State Surcharge Total Balance Due i\dsls\forms\elc-fees duc l0/09100 CITYOF T I G A R D MECHANICAL PERMIT PERMIT#: 5/7/01 1-00149 DEVELOPMENT SERVICES DATE ISSUED: 5/7/01 LIM 13125 SW Hall Blvd.,Tigard, OR 97223 (503) 1639-4171 PARCEL: 1S135AB-01003 SITE ADDRESS: 10300 SW GREENBURG RD 470 SUBDIVISION: LINCOL N ONE/RED LOBSTER/CASA L ZONING: C-P BLOCK: LOT: JURISDICTION: TIG CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS: TYPE OF USE: COM UNIT HEATERS: VENT FANS: OCCUPANCY GRP: B VENTS W/O APPL: VENT SYSTEMS: STORIES: _ BOILERS/COMPRESSORS _ HOODS: FUEL TYPES 0 - 3 HP: DOMES. INCIN: ( 'AS � 3 - 15 HP: COMML. INCIN: MAX INPUT: BTU 15 - 30 HP: REPAIR UNITS: FIRE DAMPERS?: 30 -50 HP: WOODSTOVES: GAS PRESSURE: 50 + HP: CLO DRYERS: FURN < 100K BTU: AIR HANDLING UNITS _ OTHER UNITS: FURN >=100K BTU: 1 <= 10000 cfm: GAS OUTLETS: > 10000 cfm: Remarks: Installation of HVAC. Owner: � FEE__S�_' KNICKERBOCKER PROP, INC XXIV Type By Date ! Amount Receipt BY NORRIS, BEGGS + SIMPSON 5PCT CTR 5/7/0'1 $5.80 272001000C 10300 SW GRE ENBURG RD STE 200 PRMT CTR 5/7/01 $72.50 272001000C PORTLAND, OR 97223 -- - — --- Total $78.30 Phone: �_-___�� _ ----- Contractor: AMERICAN HEATING INC 1339 SE GIDEON STE 1 REQUIRED INSPECTIONS PORTLAND, OR 97202 Mechanical Insp Phone:239-4600 Fi,ial Inspection Reg #:LIC 33135 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION Oregon law requires you to follow rules adopted in the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 rough OAR 952--001-0080. You may obtain copies of tese rules or direct questions to OUNC by g (503)Z46-9189, Issue By: L Permittee Signature: Call (503) 639-4175 by 7:00 P.M. for inspections neede the next bus ness day a Mechanical Permit Application FDatereceived: I Permitn,.,/ I City of Tigard Project/appl.no.: Expiredol.: - City ojTigard Address: 13125 SW Hall Blvd,Tigard,OR 97223 bate issued: By: Receipt no.: Phare: (503) 639-4171 _._ Fax: (503) 598-1960 Case file no.: Payment type: Land use approval _ Building permit no.: �,_ 2oO1- 00 11` TYPE OF PERMIT 0 I &2 family dwelling or accessory Atommercial/industrial Q Multi-family XTenant imprnvement U New construction ❑Additron/alteradon/replacement U Othcr: 1 : SITE INFORMATION1 1SCHEDULE Job address: /pgpp 4.W.Crreenlau Indicate equipment quantities in boxes below. Indicate the dollar Bldg,no.. ! heal 1 uite no.: .070 value,of all mechanical materials,equipment,labor,overhead, Tax map/tax lot/account no.: profit. Value$ Ie2 4 09.OV _ Lot: Block: Subdivision: - $See checklist for important application information and Project name: jurisdiction's fee schedule for residential permit fee. City/county: 71! ao, ZIP: 47 22 3 IN Description and location of work on premises: µVAC 1 _ Fee(e%) Total Est.date of completion/inspection: Description Qty. Res.ouly Res.only Tenant improvement or change of use: !AAirhindlingunit CFM_ Is existing space heated or conditioned?OW Yes Q No Air conditioning(site plan require ) _ 1s existing space insulated?¢i Yes O No r Alteration of existing HVAC system T� MECHANICAL CON1111WFOR Boiler/compressors Business name: q r,, , /fGQ.�� Siac State boiler permit no.: HP Tons BTU/H _ Address: / JF , o S Fire./smoke dampers/duct smo tectors _ City: St '',tat pump(site plan required) W Phone: _ Fax _ Email L•a urep acefurnac umer T M -'--- Inclw.. q ductwork/vent liner O Yes Q No CCB no.: �/� r nstal repacOrelocatcheaters-suspen ed, City/metrolic.no.: /0;7,7 _ wall,or floor mounted Name(plr m! print): f„�- r m r; p -� Vent I-or appliance other than furnace CONTACT PERSON Refrigeration: 1 Absorption units BTU/11 Name: r»In PT7 Chillers HP - Compressors HP Address: Environmental exhaust and ventilation: City: �- , State _ ZIP: v1 Appliance vent _ Phone: 234 EMFax:X,9,,V3E-mail: Dryerexhaust floods,Type res.kitchenlh:umat J hood ire suppression system _— Name: ,•,� ,ter � � _ �-yir� Exhaust fan with single duct(bath fans) Mailing addre s: -5haust system apart from heating or AC Cit State: ZIP: Fuel piping and utribution(up to 4 outlets) Y -_ Type: ---�Ll(, NO Oil e _ Phone: 1 ax: E-mail: Fuel piping each additional over4out ets rocesspiping(schematicrequired) _ Name. /r/ ` Number of outlets - 1Y�6'TUt er lisled app-tance or equipment: Address: /,3,3 .S r/ iJ�P n _ Decorative fireplace _ City: ,-Y'/nom c( LS tat e:0,Fe ZIP: 7,70.E insert-type -----� Phone - V,500 J Fax; E -70 mail: Woodswvc/pclletslosc .4 Uther Applicant's signature' Date:S-/-O/ Other. _ Name (print): r` -- Va alt junsdicuonf accept credit cartl7,pleasr call jurirallu�r ct for more Inf�muuon. Permit fee.....................S �2 !9 .4 Visa 13 AtasletCud Notice:This permit ap^.tcatron Minimum fee................S Credit cud number _ / expires if a permit is not obtained plan review(at _ %) S EXP,re, %�ithin ISO days after it has been State surcharge(8%) ,...S , Name or cardholder at,haws on credit cud accepted as complete. S, TOTAL. .......................S Card older nputute Amount 4404617(&WICOM) ........... .... .......... ....... .. ....... ...... ....... .......... ... ... ..... ...... .... ....... . . . ....... .... .. .............. ....... .......... ....... .............. .... ....... .. . ....... ....... ....... ..................... ....... .......i..... ....1... ......... ... ... ... .i.......;.......;... .................... 6 ........ ... -Tt ....... . .... ......1 i...... ........ .... ...... ...... .... 7-- I I^ .......... 0 Crry .... ...... ...... ....... .. ............ . .......• ................. ....... .............................. j..;. . . .............. .. .......1.......t.......,.......,.......,.......:.......,... . NEW 2 REFLECTED CEILING PLAN FOR SUITE 470 DRAWING TITLE:AMERICAN PVAC LA-Y-.OUT- JOB TITLE 8� 4vo H EATING, INC. u-r-rEi, f 1339 S E. GIDEON STREET CJ497- 1.'INCOL1� PORTLAND, OREGON 972022418 TELEPHONE (503) 239-4600 FAX (503) 239-7038 CITY OF TIGARD BUILDING INSPECTION DIVISION C / MST �4-Hour Inspection Line: 639-4175 Business Line: 635-4171 ---- BUP Date Requested— S– l _ AM PM �_� BLD Location �(�.3 UU S w t?r./ �u,.TT^ Suite — MEC ------ — Contact Person Phi��G_� PLM —_-- Contractor — — Ph SWR — 113UILDING Tenant/OwnerELC Retaining Wall —^ ELP Footing Access: Foundation FPS Ftr3 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 — — --. —_- ^—._. _------ -----_ . Roof / Misc: --- G� yZL l �? {� Yl 4 �.�_=E�_L_ ------- Final - -------- PASS PART FAIL - -- -------- - -- --- - PLUMBING Post& Beam _-- Under Slab Top CIA Water Service Sanitary Sewer --- — -- -- .�.`-- --. Rain Drains Final ------ --_—_-__ PASS PART FAIL 1 MECHANICAL -- Post& Beam -----._.--_._-- —__ —.— -- — _------ Rough In Gas Line --- ---- — — — ----___—_ Smoke Dampers Final -- ---- --- - -- --- PASS PART FAIL Service AOP Rough In UG/Slab c ow Vol -Tire ------- ---- -------- --- -... ' am PASS PART FAIL 'rE Backfill/Grading _-- -�— ----- — — --- Sanitary Sewer Storm Drain [ )Reinspection fee of$_—_ -equired before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line ( J Please call for reinspection RE:^- _ _ )Unable to inspect- no access Approach/Sidewalk _ Other Date InspADA ector _ _Ext Final PASS PART FAIL. DO NOT REMOVE this inspection record from the job site. CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Line: 639.4175 Business Line: 639-4171 BUP Date Requested S_ 2-3 -- _AIA PM BLD Location / �'U S w67y-�.4,-67c. ✓ -e Suite MEC Zirlv/-- 4 G� G 3 Contact Person _� � Ph PLM_.� _Contractor Ph—_ — Ph -- SWR BUILDING —� Tenant/Owner _ —_ _ — _ _ ELC Retaining Wall ELR Footing Access: t FPS Foundation 'VO F"t5 Drain SGN Crawl Drain Inspection Notes: ---- - Slab - ----- _ _— -- ---- -- _--- -- - SIT Post& Beam F xl Sheath/Shear Int Sheath/Shear Framing - Insulation Drywall Nailing Firewal! Fire Sprinkler _----.---_ - —_ _ _--- --- - -_-.—.---- --- - Fire Alarm Susp'd CeilingRoof Misr;Misr, _ -- - .�_------- ------- ---� �_ _ - --- ---- — Final - PASS PART FAIL -- -- --- - - - ---- ..-Y-__- -- -- PLUMBING [lost& Beam Under Slab lop Out Water Service Sanitary Sewer Rain Drains Final PASS PART FAIL Pos :Team --- - - .. - --------.._- - -- - - Rough In Gas Line 1 a -- -- "" Smoke Dampers Final'"""" ._ _-- -- - --- - PASS PART FAIL_ ELE RICAL - Service Rough In UG/Stab ---- -- - - - --- - Low Voltage Fire Alarm Final PASS PART FAIL _^---�-- - --- - -- -- .__.._.�---- ---- - -SITE - Backfill/Grading -•--- Sanitary Sewer Storm Drain [ I Reinspection fee of$-. required before next inspection Pay at City Hall, 13123 SW Hall Blvd Catch Benin Fire Supply Line ( )Please call for reinspection RE. ( ]Unable to irspecc- no access i ADA j Approach/Sidewalk Date 2 Inspector. Ext Other - - -------._ -- Final PASS PART FAIL ; D9 NOT RE ROVE this inspection record from the jots site.