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10300 SW GREENBURG ROAD STE 484 w '1�'�iGV4�,(1 PIANS MUST BE ON Ji�k� SI f►: LOCUST STREET - - .: s.• -_ CITY OF TIGARD -- ... Connlitionally Approved.. ..... ........................ . l S I For only the work as described in: PARKING �,' C PEftMI r NO..OW f jr . i COVERED Sou Let a toFollow_ ...................... I PARKING Job hddres /a o s,U Glil�sdfrAR� yd'Y C 1 '{1 GT N SQUgRF „ / A ( D ) L cf1 i i� i --- ! � YI _EXISTING STRUCTURE --EXISTING ACCuSTICAL TILE • L0887EN f C CEILING ASSMBLT „ -BATT INSUL. * SIM ONL SEE PLAN FOR LOCATIONS J , _ . _.. .� -2 1/2" MET4, STUDS 24"o.c. f W/ 5%8" G`f P. BD. EA. 51DE PROJECT / IN5UL. TO CEILING' 10�- EXISTING SUSPENDED PARKING / AS REQUIRED ACOUSTICAL TILE CEIL'NG �j LOCATION 00, Ln1/2"'ME L STUDS * 24 oc t��:A. TA "NORTH /8" TYSIDEPE "x" GYP. BD. F 4RBASE / B A. THE LINCOLN HUll.IiING " RUBBE X0250 .; I 4" RUBBER BASE _Acs O PARKING B. LINCOLN ''ARPET OR SHEET VINYL PER PLAN 1030NE -..-...--- C. FIVE LINCOLN 1 i 10200 I D. TWO LINCOLN NORTH o p0+woo D COVERED�" '°"r' 2 TYP. TENANT PARTITION 3 TYP. DEMISING PARTITION PARKIN E. TWO LINCOLN SOUTH �S� PARKING i PARKING 10220 A_1 SCALL: 1 1/ F. LINCOLN TOWER I 10260 I I t i 1 SITE & LOCATION FLAN A_1 SCALL: N.T.S. a.l?�Q. NoIrE " ALL NEW TF N"NT 4h1PROVEMENT5 AMC, CONSTRUCTION TO COMPL.`r , THESE PROPOSED TENANT IMPROVEMENTS ARE TO BECOME PART OF THE GENERAL. LEASEHOLD WIT" CURRENT CODES AND REGULATIONS INCLUDING BUT NOT ROBERT B EC K E R. IMPROVEMENTS OF A NEW TENANT AREA OF APPROXIMATELY 1,514,88 USAB'_E SQUARE FEET, CREATED LIMITED TO, AMERICANS WITH D13A5ILITIES ACT. REMOVAL OF WITHIN AN EXISTING LARGER DEMISED TENANT AREA AT THE FOURTH FLOOR OF AN EXISTING BUILDING: ARCHITECTURAL BARRIERS UP TO AN EXPENDITURE OF 25 PERCENT I NTE R M R DESIGN' & SPACE' P I .A N N I NG ONE LINCOLN, LOCATED AT: LINCOLN CENTER, 10300 S.W. GREENBURCs RD., FIORTLAND, OR, 97223. OF THE TOTAL PROJECT COST 15 REQUIRED PER UBC SECTION 3112(a)1. IsIRROVEMENTS INCLUDE LIMITED DEMOLITION, EXPANSION OF ONE OFFICE, NEW CONSTRUCTION TO THE • A.D.A. COMPLIANT DRINKING FOUNTAIN.. _ s 1,285.00 4r1tn ` 4 E((yly rt. EXTENT OF CREATING TWO OFFICES AND A STOREROOM, AND MINOR RELOCATION OF EXISTING PLUMBING. • CABINET TO REPLACE EXISTING . s 2,185 00 Ps- ,, r''r • Oregon 97008 r,r (503) 646-186Z j0r: (503) 626-8049 • STROBE L IGHTS $ 600.00 OCCUPANCY: GROUP B, DIVISION 2; EXISTING BU LZ:;'NG CONSTRUCTION TYPE: II-FR, SPRINKLED; TENANT • A.D.A. LEVER DOOR LOCKS AND LATCHES .. . f I 0000 , 1 � Py. ,ry, • ADA. PROVEMENT ACTUAL .. .IM .. .._ _ -`5 , USE: ADMINISTRATIVE AND MANAGEMENT O�ICES. •..... . .. ( , r; : DRAWN...t 5,5'10.00 .�— • TOTAL PROJECT COST $ 20,000.00 GENERAL NOTES • ADA. 25% OF TOTAL PROJECT COST - $ 5,00000 EMERALD EMPLOYMENT WORK SHOWN AND SPECIFIED IN THESE CONTRACT DOCUMENTS !S INTENDED CONTRACTOR SHALL BE RESPONSIBLE FOR ,4LL ENGINEERING AND TO DEVELOP TO COORDINATE WITH EXISTING FIELD CONDITIONS. DIMENSIONS TAKE AND SUBMIT AN H.VA.C. PLAN APPROPRIATE TO THE INTENDED TENANT USE, ONE LINCOLN PRECEDENT OVER SCALE. WHERE DISCREPANCIES OCCUR G, BETWEEN CONTRACT ALTERATIONS TO EXISTING HEATING, VENTILATION AND AIR CONDITIONING DOCUMENTS AND FIELD CONDITIONS WITHIN THE DE5CR PTION OF WORK SYSTEMS, IF ANY RELATED TO PROVIDING APPROPRIATE SERVICES ARE TO FOURTH FLOOR ADDRESSED HEREIN, THE CONTRACTOR SHALL REQS E5T A CLARIFICATION COMPLY WITH ALL CURRENT CODES AND RK. D REGULATIONS. 10300 S.W GREENBUHG R PRIOR TO PROCEEDING WITH THE WOPORTLAND, OREGON 97223ROAD '1. BASIC MATERIALS AND METHODS FORM ALL NEW ELECTRICAL SERVICES. INCLUDING _ 2. CONTRACTOR TO PERFORM DEMOLITION AND ALTERATIONS TO EXISTING LIGHTING, ARE TO COMPLY WITH CURRENT RELE'✓ANT CODES AND REGULATIONS, rlr F1 11/L6: TENANT IMPROVEMENTS IN ACCORDANCE WITH ALL APPLICABLE CODES FOR AND BE COMPATIBLE WITH TENANT'S REQUIREMENTS INCLUDING RECEPTACLES. / ! DEMOLITION AND REMOVAL, AND SHALL OBTAIN REQUIRED PERMITS FROM ALL ELECTRICAL DESIGNS FOR R 1'IIRED SI STEM REVISIONS AND ADDITIONS TO SIT E LOCATION PLAN APPROPRIATE GOVERNING AGENCIES. BE BY ELECTRICAL CONTRACTOR wr,0 IS TO SUBMIT PLANS AND SPECIFICAIONS TO BUILDING MANAGEMENT AND TENANT FOR REVIEW AND APPROVAL TYP. TENANT PARTITIONS AS SHOWN 3. CONTRACTOR AND SUBCONTRACTORS SHALL CAREFULLY EXAMINE THE PRIOR TO CONSTRUCTION, PAY ALL FEES AND OBTAIN ALL PERMITS AND EXISTING SITE AND CONTRACT DOCUMENT3. ERRORS AND OMISSIONS IN THE APPROVALS FROM GOVERNING AGENCIES NECESSARY TO COMPLETE WORK, AND GENERAL NOTES iI PLANS AND SPECIFICATIONS SHALL BE CALLED TO THE ATTENTION OF THE TO COORDINATE WITH THE GENERAL CONTRACTOR THOSE ITEMS FOR DEMOLITION DESIGNER PRIOR 1-0 CONSTRUCTION SO THAT AN ADDENDA OR CHANGE NOT SPECIFICALLY IDENTIFIED. ORDER, IF NECESSARY, MAY BE ISSUED. FAILURE TO DO 80 ON THE PART OF THE CONTRACTOR DOES NOT RELIEVE HIM OF THE RESPONSIBILITY TO �8. DOCUMENTS RELATIVE TO ALTERATIONS TO ANY EXISTING AUTOMGTIC SPRINKLER III/S `' rP77UL SPACE III tV.OF PROPOSED TENANT PROVIDE A CORRECT AND FINISHED PRODUCT, SYSTEM, SMOKE DETECTION, ANO FIRE ALARM AND PROTECTION SYSTEMS, IF ANY IMPROI LVENTS IS FOR PL.1 ti SING PVRPOSES ONLY; NOT FOR coN�'TRr�r TION. ARE TO BE DEVELOPED AND SUBMITTED BY THE CONTRACTOR FOR APPROVALS u7 4. ALL NEW CONSTRUCTION SHALL BE PERFORMED IN ACCORDANCE WITH STATE AND IMPLEMENTATION, AND ARE TO COMPLY WITH ALL CURRENT AND PREVAILING ALL DINENvION.S SHOWN OR 1,NPLIEn ,IRF. APPROX1M117' s r AND LOCAL CODES AND TO CONFORM TO RULES ANC REGULATIONS OF ALL STATE AND LOCAL CODES AND REGULATIONS. AND .',•r'D✓Err TO REVISIONS PER VERIFICATION OF DEPARTMENTS AND AUTHORITIES HAVING JURISDICTION THEREOF INCLUDING FY11,7INc :,'ITE r'ONDITIONS. AMERICANS WITH DISABILITIES ACT. EXISITNG E3uIL DING ENTRANCE, PARKING, S. ALL INTERIOR TENANT DOORS TO INCLUDE A.D.A. COMPLIANT LEVER HANDLED PATH OF TRA',/EL, SIGNAGE AND PUBLIC ACGES6 ►GALL CONFORM TO LATCH SETS PER CURRENT CODES AND REGULATIONS, ALL DOORS SHALL BE ESTABLISHED SCHEDULE FOR ELIMINATION OF ARCHITECTURAL BARRIERS OPENABLE FROM THE INSIDE WITHOUT THE USE OF A KEY OR ANT- SPECIAL DA TF; PER ADAAG GUIDELINES. ALL WORKMANSHIP AND MATERIALS SHALL ALSO KNOWLEDGE OR EFFORT. SUITE ENTRY DOOR AND BACK DO KEYINGE ! •p CONFORM TO THE LATEST ADOPTED BUILDING CODE EDITION AND TO COORDINATED WITH TENANT. COINGITIONS AND SPECIFICATIONS OF ALL GOVERNING AUTI,4ORITIE6. ALL FOR REVIEW AND PERMITS_ JUNE 30, 1995 o' --- f CONSTRUCTION, MATERIALS, FINISHES, DETAILS AND ASSEMBLIES ARE TO 10. UPON COMPLETION OF WORK THE CONTRACTOR SHALL THOROUGH0' GLEAN TF-;c ' MATCH EXISTING AS ''TENANT STANDARD" UNLESS SPECIFICALLY APPROVED PREMISES SO THAT THE TENANT AREA Ig ACCEPTABLE FOR OCCUPANCY BY TENANT, FOR PERMITS AND CONSTRUCTION AUGUST 14, 1(B9'- BY MELVIN MARK BROKERAGE COMPANY, PRIOR TO INSTALLATION. �r 5. THE CONTRACTOR SHALL OBTAIN AND PAT FOR ALL PERMITS AND FEES, 1 4 PL t -) b!,n 1 lfe.-Aw I f`" { AND ALL ADDITIONAL DRAWINGS AND SPECIFICATIONS, IF ANY, REQUIRED 'T FOR PERMITS TO BE SUPPLIED BY THE GENERAL CONTRACTOR AND/OR ' 7 SUBCONTRACTORS, INCLUDING, BUT NOT LIMITED TO. H•VA-C., ELECTRICAL l � �� C /!�/Q'l�'7k l f j� -r�,l f�� 7�� . � !vn !�" f r-/�! � / 1 AND FIRE AND LIFE SAFETY, �� / 10300 SW Greenburg Hoad I eo Suite 484 t ,.t 1 of 2 If this 110lice appears clearer than the document, the document is of marginal anality. 3/497 �111111111MAD 1111!i �� i ��i11411111111 11i1i i i11 11111i��;�Will 111111 Ill� ��i INCH MADE IN CM INA W. TT lz 24 X I�IIII�IIII�IIIIIIIII,IIII3IIII1IIIIAIIII�IIIIIIIII�IIIIIIIII�IIIIIInlnllilnlhnllnnlllnllllllnllllnllnlllllullnlllnlllllllillllllllllnllllnlllnlnllllllllnnlnnlllll11111111 II I limn 101100 nnlnnlnnlunlnlllnnlnlllnnlnlllnnlnnlnnlnnlnlllnnlnnl pti , q ( C 8 , l_�, C> - � DECK ADD ® 0 - . --,- — ` F �J I .E OFFICE ASST. i ASST. L - --j 140*1Ei - E f z iE ,r L,ADG / `I i y E ( Ej E _\1 N ;8; Z ADC i_/ 'J CORRIDORTj " IF- ,1' i �`� i /- \ ACD '42+3, tt� i A� E T 1 2 ) -=�.rs arar�� = -- _. T OFF i CE ® 2 ESTING � P ['� !'�"+ � � [oma _� ► — -- u ` � L•�! s E E E I 1 I i� �• � =EGD 1 1 I j ( 3 L L I i. 11 FLOOR PLAN i , 2 — _ ��-2 u„ — REFLECTED CLG. PLAN ' FROBERT BECKER A-2 SCALE: 1/8" 1'.-C" NORTH INFERIOR DESIGN & SPACE PLANNING LEGEND 966'0 w'. Eagif 1 +. Dcave-rtort, Oregon .91008 (503) 646-186.1 jar: (503) 626-8039 EXISTING PARTITION OR STRUCTURE Ex!STING 2 x 4' FLUORESCENT FIXTURE TO REMAIN EXISTING PARTITION TO BE REMO'✓FC I-F�1,•ti l+)' nR.aw.�' nr r" r , EXISTING 2' x 4' c' L _ J �UORESCENT FIXTURE TO BE REMO'✓ED l'ROJF.r'7': � -- NEW TENANT STANDARD PARTITION '— EW TENANT PARTITION WITH BOUND !NSULATION ® NEW OR RE1-OCATED 2' x 4' FLUORESCENT FIXTURE EMERALD EMPLOYMENT `�� EW TENANT DET-''SANG PARTITION lu, SOuND INSULATION EXISTING 8" x 4 1=L,,,ORE5CENT FIXTURE To REMAIN `c RELITE O RECESSED INCAN.DESCENT DOWNL!GNT I.00ATlo+ DETAIL REFERENCE �,, c G RECESSED WALL WASH L I��T F IX%RE ONE LINCOLN A-� ---S�,EE- FOURTH FLOOR GOOK REFERENCE �O; EXIS"N3 DOWNLIGHT ro BE REMC✓ED 10300 S.W. GREENBURG ROAD PORTLAND, OREGON 97223 EXIT SIGN — —_— DCCc E - i-/ "IG IIFFI* ROOM NUI-'EER N NIG1-IT OR EMERGENC`! LIGHTING lz PLA" RFFEQENCE NATE $ LIGuT sWITCH FOURTH FLOO41 PLAN v8• = r-0" DUPLEX ELECTRICAL OUTLET e i -- �--crk, REF. CEILING PLAN FOUR-ALEX ELECTRICAL OUTLET n EXISTING 24" x 24" AIR DIi:F-UBER EXISTING WALL MOUNTED OUTLET TO BE REMOVED ~` ED EXISTING 12" x 24 AIR DIFFUSER THIS COM E'PTl'A1 SPACE PLAN OF PROPOSED TF c t r SPECIAL OUTL)=� 45 NOTED IMI'R(rl'EMENTS IS FOR PLANNING P('RPa.�•F.1 o + '-� EXISTING 2" x 24" AIR D;»JSER VOICE (TELEPLIONE i RECEPTACLE NOT FOR ('(►NSTRPr'1'l0N. 11.1 D1MEN IONS SHOWN OR 1Mf'LIFD :IRF :II'PI;r11Itil rE � DATA CFAx+MCC E' I� RECEPTACLE AVD �'1BJECT TO RF, ISIONS PFR t'FR1FIC.41'10N , F t I I TING SITE ('ONDITION,�. r, PLAN NOTES _ ' 2 � COMBINED sER✓�cEs RECEpT,�c;..E . rn L.4 r-LUS�4 MOUNT FLOOR MONUMENT WITH SERVICES INDICATED — - Mot( 0 '2WIDE RELI''E. SILL 0 .618" HEAD TO ALIGN Wi TENANT DOOR BTC. S. t ��.� GIaI/ , ~1�tiLA`'4r1: DAIL, �- 7 � DEDICATED OUTLET N �L h� EXISTING SERVICE OR FIXTURE TO REMAIN JNo�G O TENANT STANI7ARG LOWER 5 WIDE GABEWC�RK W/ SINK FOR RE'✓IEw AND PERMItS a. JUNE 30, 1993 c lJ) JUNCTION BOX O REMO'✓E EXISTING CASEWORK. AND PARTIAL Ht. WALL. I RE ✓ISIONS - �l THI<R1'^OBTAT 4 REMO'✓E EXISTING ELECTRICAL RACEWAY +12". JU!_Y Ig 199 \3 CONTRACTOR TO INSTALL TENANT r+eOVI DED UNGERCOUNTER RErRIGERATOR FOR PERMITS AND CONSTRUCTION AUGUST I4, Ic3 <r 1 6 TENANT STZ.NDARD S45FWORIC CONTRACTOR TO ✓ERIF,l' ALL DIMENSIONS l '7 SWING OF DOOR, AND PLACEMENT Or- REFRIGERATOR W'Tu 'ENANT PRIOR TO CONSTRUCTION t INSTALLATION. (NOTE ADDITION OF DUPLEX CONVENIENCE OUTLET FOR REQUIRED SERVICE.) 10300 SIN Greenburg Road Suite 483 -- �D Cwb/p � �`_ oy- P� �LvI��'C c4.�,a/r I✓ti/C ��uvr� ��,,fc�?'��i�< r'��vPr/ .�' / f If this notice appe.u's clearer Ihan the +'/`x/97 I document, um the docent is of marginal gnalily. Illll� llllljl III; III�III�I I III�I� I�I�I�I I • I�IIIII�I�I�I�I lilllll�lll�l'I I� I�!jf� l�l�l I I�I�I�III � , I I� III�I�i�l�l 11�1 �1�1�1�1=1 I I� III� I�I�I� I(I i !�I�I�I�I�I�I I�II1�1 I�IIf INCH MADE IN CHINA gum 24 !lii((I�►1111►iiliinl((nlii(il(iiiliinl((ulniilniiliinlini nnlnn�n(iliiiiliinliniliinlinllnnliiilliillllnllliiilinlliIs llllnnlnnllni(unluu�n�llini�nnlinlfinilnn nnlnn inilnii t �r ' .I nil(nllni(linilinilnn�nnlnnmiilniilnnlnliliuilnn�nis'Inn! • �e.«yryhuw..r�wwr�hMM MMe•� r+•,� Ir �•': - r " ,' '' `f,y;. ;';« } '• "y `F� ,;s 1 .gyp; i;M�s. •� .i wj ADDRESS: D Mnin n haw ce ex ..� Orec �h r •rd •f Im\ta rgets\bui Wing.doc � A 0 CI7Y OF T I GIRD CERTIFICATE OF COMMUNITY DEVELOPMEt'iDEPARTMENT OCCUPANCY 13125 SW Hall Blvd.Tigard,Oregon 972;3.3199 (503)639-41'71 PERM17 #. . . . . . . BUP95-3352 DOTE ISSUED: SITL ADDRESS. . . : t03OO �3W (3REFNBURS RD ##484 171ARCELi SUED IVIGION. . . . . 70NINC:C---P BLOCK. . . . . . . . . . 1-0 T. . . . . . . . . . . . . CLASS OF WORK, :ALT TYPE W, USE. Com OCCUPANCY GRP. :2FR OCCUPANCY LOAD. 0 TENANT NAME. . . -EMERAL..1) EMPLOYMENT Remarks : Tenant Modification IP Owner: MELVIN MARK BROKERAGE CO. 1020:0 SW GREENBURG RD. SUITE 2W- POR'l1.-AND CIR 972;- 3 Phone *c 452-5900 Cant rata ort MELVIN MARK CONSTRUCTION 102eZ SW GREENBURG RD SU ITE #150 T I r,A R D OR 9722.3 Phone #., 452-5900 Rs-g #— 64721 Oc'cupatluy of the Above referenced bk.111dinr4 is her-pby given, cm,cl certifies the cumpliance with the State Of Ov'ragun Gpecialty Co(J93 V, the grompi ocrupency, and I-Me under- which the referenced permit wai 6 ued. SU I L D I NC�.; 74SPE C T 0 R BUILDING I L. P091' IN CONSPICUOUS PLACE ..� _ i ..... ..... u � CITY OF TIGARD BUILDING INSPECTION NOTICE i Inspection Line (Rec-0-Phone):-639 4175 Business Phone: 639-4171 J7 Inspection: Q l Footing Susp. Ceiling Sprink. Rough-in ' Appr/Sdwlk Foundation Plbg. Underslab Mech. Rough-in Fireplace Post/Beam Struct. Plbg. Top Out Elec. Rough-in FINAL: Post/Beam Mech. San. Sewer Gas Line Id9 Plbg. Underfloor Rain Drain Framing -Plumb. Aiarm Water Line Insulation -Mech. Underilr. Insul. Shear Wall G Gyp. Bd. -Elect. Date Requested: 1�� <�L� // Time: AM PM Address: (L' —3 c)C (,-z6 'Ie.. Buildor: _Permi SZ THE FOLLOWING CORRECTIONS ARE REQUIRED: i, i � I x, Inspector: �1,�:� Date: 9,5 APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE Call For Reinsp. I z v�. I. CITY Or TIGARD BUILDING INSPECTION NOTICE Inspection Line (Rec-O-Phon6):-639 4175 Business Phone: 639-4171 Inspection: r r•-��'" '- '�� — Footing Susp. Ceiling Sprink. ough in AppNSdwlk Foundation Plbg. Underslab Mech. Rough-in Fireplace Post/Beam Struct. Plbg. Top nlj' Elec. Rough-in FINAL: Post/Beam Mech. San. Sewer Gas Line Plbg. Underfloor Rain Drain Framing /-F'lumb. Alarm Water Line Insulati m ( -M�cch Underflr. Insul, Shear Wall Gyp. Bd. -Elect. Date Requested: /O -," Time: AM __PM Address: /0 Builder: P armit THE FOLLOWING CORRECTIONS ARE REOUIRFD: CID ri t yJr. Inspector: /(� 'I Date: I i s APPROVED /-61SAPPROVED —APPROVED SUBJECT TO ABOVE I all For Reinsp. 1 • CITY OF TIGARD BUILDING INSPECTION NOTICE / Inspection kine (Rec-O-Phone): 639-4175 Business Phone: 639-4171 Inspection: '�� Footing Susp. Coiling Sprink. Rough-in Appr/Sdwlk Foundation Plbg. Underslab Mech. Rough-in Fireplace Post/Beam Struct. Plbg. Top Out Elec. Rough-in FINAL: 0 Post!Beam Mech. San. Sewer Gas Line -Bldg. • Plbg. Underfloor (lain Drain Framing -Plumb. Alarm Water Line Insulation Mech; i Undertlr. Insul. Shear Wall Gyp. Bd. ect Date Requested:_ 41 TimeAM _ PM Address:__ `e) j C)o elLee _ (� Builder�,AtL r�-�+s , --ye —oVC 7 Permcit/ :3(! THE FOLLOWING CORRECT IONS ARE REQUIRED: c� L.L S In^ Pctor — ' �t _ Date: l i : PPROVED _DISAPPROVED APPROVED SUBJECT TO ABOVE _Call For Reinsp. r f-14 L CITY OF TIGARD BUILDING INSPECTION NOTICE S Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171 Inspection: )_ . I , Footing Susp, eil (��-� �k, Rough in Appr/Sdwlk Foundation Plbg. Underslab Mech. Rough-in Fireplace j Post/Beam Struct. Plbg. Top Out Elec. Rough-in FINAL: Post/Beam Mech. San. Sewer Gas Line -Bldg. Plbg. Underfloor Rain Drain Framing Plumb. Alarm Water Line Insulation -Mech. Underflr. Insul. Shear Wail Gyp Bd. Date Requested: �� Time --�4 : Address: Builder: 7 �Z/ Permitt�tt/—.�c THE FOLLOWING CORRECTIONS ARE REQUIRED: Inspector: .i✓� Date: _APPROVED DISAPPROVED ""APPROVED SUBJECT TO ABOVE r f _Call For Reinsp. I f i I CITY OF TIGARD BUILDING INSPECTI N N ,,ICE .. f'c Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171 i r Inspection:_ —c - Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk Foundation Plbg. Underslab Mech. Rough-in Fireplace Post/Beain Struct. Plbg. Top Out Elec. Rough-in FINAL: Post/Beam Mech. San. Sewer Gas Line -Bldg. Plbg. Underfloor Rain Drain Framing -Plumb. • Alarm Water Line Insulation -Mech. Underflr. Insul, Shear Wall Gvp. Bd. -Elect. Date Requested: �� G� Time: AM PM Address- Builder: ddressBuilder: _ 4e C6 Permit #:(—I S UU THE FOLLOWING CORRECTIONS ARE REQUIRED: Y {1 - i t; . Ins ecto . L � • Date: APPROVED _DISAPPROVED —APPROVED SUBJECT TO ABOVE _Call For Neinsp. m 1 xt rr 'i 1• CITY OF TIGAIRD BUILDING INSPECI ION NOTICE Inspection Lirie (Rec-O-Phone): 639-4175 Business Phone: 639-4171 Inspection: E"/ymc_/I�_-C� Footing Susp. eieiling> Sprink. Rough-in *pr/Sdwlk Foundation Plbg. Underslab Mech. Rough-in Fireplace Post/Beam Struct. Plbg. Top Out Elec. Rough-in FINAL: Post/Beam Mech. San. Sewer Gas Line Bldg. Plbg. Underfloor Rain Drain Framing -Plumb. Alarm Water Lind Insulation -Mech. Underflr. Insul. Shear Wall Gyp. Bd r � Date Requested: c S Time: AM PM Address: Permit #: LC THE FOLLOWING CORRECTIONS ARE REQUIRED: (j I-- LZ iyL L' f Inspector. t Date: � � / APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE Call For Reinsp. CITY OF TIGARD BUILDING INSPECTION NOTICE Inspec ine (Rec-O-Phone): 63�-4175 Business Phone: 639-4171 Inspection: Z-c:n — C/c=' _ Footina Susp. Ceiling Sprink. Rough-in Appr/Sdwlk Foundation Plbg. Underslab Mech. Rough-in Fireplace Post/Ream Struct. Plbg. Top Out Elec. Rough-iii FINAL: Post/Beam Mech. San. Sewer Gas Line -Bldg. Plbg. Underfloor Rain Drain Framing -Plumb. Alarm Water Line Insulation -Mech. • Underflr. Insul. Shear Wall Gyp�Bd. -Elect. Date Requested Wit- _ _Time: AM PM Address:_ / Q-41 r�G^c4 r 'r Builder.&_1 ► Permit a: THE FOLLOWING CORRECTIONS ARE REQUIRED: Inspect.., �-4 C_' Date: APPROVED )ICAPPROVED _APPROVED SUBJECT TO ABOVE _Call For Reinsp. U h CITY OF TIGARD BU!LDING INSPECTION NOTICE — LIS Inspection Line (Rec-O-Phone): 639.4175 Business Phone: 639-4171 a Inspection: Al ,er �, C � f Footing Susp, Ceiling Sprink. Rough�-in "Appr,'Sdwlk I Foundation Plbg. Underslab Mech. Rough-in 9 Fireplace i Post/Beare Struct. Plbg. Top Out Elec. Rough-in FINAL: Post/Beam Mech, San. Sewer Gas Lina -Bldg. Plbg. Underfloor Rain Drain Framing -Plurrrb. Alarm Water Line Insulation -Mech. ' Undprflr. Insul. Shear Wall Gyp. Bc/� Elect. Date Requested: Time: AM _ M � Address: Erilcicr: r1 Permit #4L THE FOLLOWING CORRECTIONS ARE REQUIRED: e I _ ! Inspector: ! Dale---2-- Lf-APPROVED rDISAPPROVED `APPROVED SUBJECT TO ABOVE r I ,Call For Reinsp. F NMI d' CITY OF TIGARD BUILDING INSPECTION NOTICE L� Inspection Line (Rec-O-Phone): 639-4175 BUSIness Phone: 639-4171 C (/'�� r �� f Inspection: C�� Q:1. __X .'"','II'la*J <_. a y — Footing Sasp. Ceiling Sprink. Rough-in Appr/Sdwlk Foundation Plbg. Underslab Mach. Rough-in Fireplace Post/Beam Struct. Plbg. Top Out Elec, Rough-in FINAL: Post/Beam Mech. San. Sewer Gas Line -Bldg. Plbg. Underfloor Rain Drain `;FrFRi ` -Plumb. • Alarm Water Line I;isulation -Mech. Underflr. Insul. Shear Wall - / Gyp. Bd. -E ect. Date Requested: L ( 2 5 Time:—AM / PM r ' !dress: Zo �'� �P✓7 L,L�4- �� Builder: Permit #: / 57 THE FOLLOWING CORRECTIONS ARE REOUIRED:�& —_ � 1 S`•ff t .II . Y I !,y9 Inspector._ J _ Dater I APPROVED DISAPPROVED /"APPROVED SUBJECT 1'0 ABOVE i d _Call For Reinsp. d . . i r t rl Y i CITY OF TIGARD BUILDING INSPECTION NOTICE Inspection Line (Rnec/-O-Phone): 639-4175 Business/Phone: 639-4171 Inspection: L.tTf_E JIB % "4 '1 `= e ` Footing a'e–1 Susp. Ceiling Sprink. Rough-in Appr/Sdwlk Foundation Plbg. Underslab Mech. Rough-in Fireplace Post/Beam Struct. Plbg. Top Out C Elec'Rough in FINAL: 40 Post/Beam Mech. Sari. Sewer Gas Line -Bldg. Plbg. Underfloor Rain Drain Framing -Plumb. Alarm Water Line Insulation -Mech. Underflr. Insul. Shear Wall Gyp. Bd. Elect. Date Requested: // j Time AM PM Address Builder l l , KI_ Pern1 I— f=�-- THE FOLLOWING CORRECTIONS AHE REQUIRED: r' F' Inspector: ) C Date:_ 1��S ,NPPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE . —Call For Reinsp. CITY OF TIGARD PUILDING T#. . . . . PERMIT v COIUf`nAUNITY DEVELOPMENT DEPARTMENT DATE ISSUED /07/95 13125 SW Hall Blvd.Tigard,Oropon 97223.8199 (503)839-4171 PARCEL: 1 a 135AB-1Z•1 00::: ITC= is=RES' j� _ : 103VIO 5W GREENBURG RD #S. 4L34 ►BD I �J 15I ON. . . . : ZONING: C: F' !� LOT. . . . . . . . . REI 17)7UC': FLOOR AREAS-- -_._ ..._._ EXTERIOR WAI_I_ CONSTRUCTION CLASS OF WORK. :ALT FIRST— . . : i,JIS sf N. 5: E: W: TYPE Clf' USE. . . :COM SECOND. . . : S PROTECT OPEN INGS? ._.___.____... YPE OF ('ON,T. :EBF R TH I RD. . . . : s f N: S, E: W. 1�"CLJPANCY GRP. :B TC]'f AL– _ -: 15 1.5 f ROOF CONST: FIRE RET? CCUPANCY LOAD: BASEMENT. : 5 f AREA SEP. RATED: • qR. : HT. : ft: GARAGE. . , : 7f OCCU SEP. RATED: BOMT": ME7.7_? : REDD SETBACKS— _.. ____ PEOUIRED__-__._ F I_OCIP LOAD. . . ^ : ps f LEFT: ft RIGHT: ft F I R GPI-',L:Y SMOK DET. . :Y 9 DWELLING UNITS: FRi\ll": ft REAR: ft FIR ALRM:Y h1NDICP ACC:Y m� !IEDRMS: BATHS: IMP' OURFACE: PIRO CORR:Y PARKINS VALUE. Reipat-ks : 'Tenant Ihod: flwner.,s FEES MELVIN MARK BROKERAGE CO. type amatant by (date rec:pt 100 t20 SW GREENBURG RD. SUITE 23~ PL_CK 1 91. 33 B 08/18/95 95-2169:51a 6 FIRE. $ 5C. . L210 B 01.1/13/05 95-2'693s5E: PORTLAND OR 972L3 PRMT $ 140. 50 B 09/07/95 95-270259 r='hone lt: 452--5900 5PCT 1, 7. 03 B 09/0'7/95 95--8717259 Contractor,: h1C'I._VIN MART: CON STRUCTION 1.0220 SW GREENBURG RD SUITE: #15171 TIGARD OR 972r'.3 Pl-ione #: 452 -5900 `6 29.5. 06 TOTAL_ Reg #. . : 04781 REDUIRED INSPECTIONS This permit is issued subject to the regulations contained in the Framing Insp _ Tigard Municipal Code, State of Ore. Specialty Cndes and all ether I n r l.i 1 at i un Insp applicable laws, All work will be done in accordance with Gyp h n a rrl Insp approved plans. This pereit will expire if work is not started Si.tsp Cei ing Insp Nithin 184 days of issuance, or if work is suspended for more Final In!,pect .ion '.han 188 days. O i eat t 5 s U a d By CcA11 for inspec-tion 639-4175 E II L l 1 Y CO I I of-IRD F{I 1+ 1_,1 t il• p(•EYhtl I,I I 1 1 1 1 1 1 1 1 f�It l•. a yl, c. ltnc � �, f � �I 1 .1 It-tA t1MUL)f•I7 n 1�r/. ' N14ME a liJ;Kr,R, HOW-:W,1 r-41,1.1 (IIht1ON 1 N!)I)F�F=F�fi t 0660 Sw E A01_F 1.: 1 1- (lY(YII.1V 1 D(A I I r. 41 '0l r 1j'7 i-44V�E'•R�Tf)N OR g !7 N0. l 1.1014PCJItiI~' OF PAYNH C AM1:11)N'1 Pf-1.11) (!I Iftf'I If iF: l IF f'FIYMI-N l (AIII ItJN I 111-1,[I) . ._ ....... ._.__ .. _. _.................. 661. .15 IN6 3*... _..__. 140. 50 (1171 . Al l i I..1) F 1 ft k � I � Ck t I i ►Vi;rili(1� f-;W Ii() klylf;:RF-11..1) f i�lf�l .i.)Yl�ik.Id I I 11..1)I�1. F1b11]UfJ f I'(-I I).) •' -- - •• ) t 4 �. `i,5 I Sim 1.111 I l _ r I :5 { `qR . f �Sy7 � 5 h1, y I 1 1 t J p. CITY OF TI GA'RD BUILDING INSPECTION NOTICE Inspectior. Line (Re c O Phone): 639 4175 Business Phone: 639-41745--, Iy Inspection:, Footing Susp. Ceiling Sp ink. Rouon-in Appr/Sdwlk Foundation Plbg. Undersla) Mech. Holigh-in Fireplace Post/Beam Struct. Plbg. Top Out Eiec. Rough-in FINAL: Post/Beam Mech. San. Sewer Gas Line -Bldg, Plbg. Underfloor Rain Drain Framing ��` Alarm Water Line Insulation -Mech. Underflr. Insul. Shear Wall Gyp. Bd. -Elect. Date Requested: �� J Time: —AM PM Address: – — 3 ' ^ t'C f `C& L / Builder: l C -� 2 7 `�� T Permit #: t U THE FOLLOWING CORRECTIONS ARE REQUIRED: i Inspector: . Date: I \APPROVEDT TO ABOVE _DISAPPROVED _APPROVED SUBJEC _Call For Reinsp. zrim f L ,, .,. �; '' .,u•..,,..,.,.. ._ . . .. .. . is' `'"�'•„ CITY OF TIGARD COMMUNITY DEVELOPMENT DEPARTMENT 13125 SW Hall Blvd.Tigard,Oregon 97223.8199 (503)839-4171 PLUMBING PERMIT PERMIT #k. . . . . . . : PI_M95-••0240 639--4171 DATE ISSUED: OcJ/01/95 • 10. 00 ygq PARCEL: 1 a13`✓AB_-01004 -SITE ADDRESS. . . : +4tr—�- -SW GREENBURG RD #G. 4 l"', SUBDIVISION— a ZONING: C-P BLOC:I-N. . . . . . . . . . : LOT. . . . . . . . . . . . . . CLASS Of WORK. . :ALT GARBAGE D I SPOSAL-S. . : MOP I I_E HOME SPACES. : TYPE OF USE. . . . :COM WASHING MACH. . . . . . . : PACKFLOW PREVNTRS. . : � OCCUPANCY GRP. . :B. .' FLOOR DRAINS. . . . . . . . TRAP-).. . . . . . . . . . . . . . . STORIES). . . . . . . . .7 WATER HEATERS. . . . . . . 1 CATCH BASINS. . . . . . . . FIXTURESa-_ _______._._.__.- LAUNDRY TRAYS. . . . . . .. SF RAIN DRAINS. . . . . . INKS. . . . . . . . . . : 1 URINALS. . . . . . . . . . , . GREASE TRAPS. . . . . . . . .�. LAVATORY-`S. . . . . : OTHER FIXTURES. . . . . : TUB/SHOWERS. . . . : SEWER LINE (ft ) . . . . : WATER CLOSETS. . : WATEP LINE_(ft) . . . . : DISHWASHERS. . . . RAIN DRAIN (ft ) . . . . . Remar-lis : ALTERATION OF 1 SINK AND 1. WATER HEATER. i Owner: ________..____.___..___._._._.__._..___.__.__..___._..._._._.._....____.__.._.__._._.__._ FEES..) EMERALD EPLOYMENT type amol.(nt by (Iatr recpt ONE LINCOLN CENTER 4TH FL.. PRMT $ 25. 00 CS 09/01 /95 95--270103 SUITE 480 5PCT '# 1.. .".5 CS 01)/01/95 95--27010:.', TIGARD OR 972'23 Phnne #: Cont racct nr CONTRACTOR NOT ON FILE: 26. 215 TOTAL Reg #. . . REQUIRED INSPECTIONS This pereit is issued subject to the regulations contained in the M i s c_,. I n s p e c•t i o n - Tigard Municipal Code, State of Ore. Specialty Codes and all other Final Ing;pection applicable laws. All work will be done in accordance with approved plans. This perrit will expire if work is not started within 180 days of issuance, Lir if work is suspended for acre than 180 days. Per-mittee Signatm-e : I s s 1.(e(J B --4175 Call for insper.tin + - 639 I 1 b' City of Tigard PLUMBING PERMIT APPLICATION Planck/Rec. # lo 13125 SW Hall Blvd. Permit # P' fn96 -off y6., Tigard, OR 97223 (503) 639-4171 { MINIMUM $25.00 PERMIT FEE + ST. SURCHARGE N.m.an...bom.r. NowSlnale Family Residences Only Ifni Linedn C'enR. .er... ❑ 1 BATH HOUSE$140.00 ❑ 2 BATH HOUSE$195.00 Job 'c l) 6rulrlbw-(a ❑ 3 BATH HOUSE$225.00 Address ,2bM•1• T'a Fee includes all plumbing fixtures in the dwelling and the first 100 feet CAIof water service, sanitary sewer and storm sewer. See fees below. N.m. n.m.orMwh.u) FIXTURES QTY PRICE AMT Sink 9.00 [ M.r; esw �•^• Lavatory 9.00 .- 1 Owner Tub or Tub/Shower Comb. 9.00 3 arra. zip Shower Only 9.00 Water Closet 9.00 i N-r> wM,...) L� Dishwasher 9.00 ` er I (�� L)f F( Garbage Disposal 9.00 ` Occupant MOnq h.hPh.. Washing Machine 9.00 Floor Drain 9.00 arreui. ZIP Water Hooter 9,00 Laundry Room Tray 9.00 N.- Urinal 9.00 -� peTern� ;� nur (��• Other Fixtures (Specify) 9.00 Ph- 9.00 Contractor1- A 1gS1 f� (�Uer�n 9• 9.00 arras. ZIP _ 9.00 Sewer 1st 100' 30.00 s.r.R.0*0_N.. ar B•• In"° Sewer-ea. Addit. 100' 25.00 Water Service 1st 100' 30.00 I hereby acknowledge that I have read this application, that the Water Service ea. Addit. 200' 25.00 Information given Is correct, that am the owner or authorized agent of the owner, that plans submitted are in compliance with State laws, that Sturm &Rain Drain 1st 100' 30.00 I am registered with the Construction Contractor's Board, that the Storm 3 Rain Drain Addit. 100' 25.00 number given Is correct. (If exempt from State registration, please { _ ++ give reason below.) Mobile Home Space 25.00 Back Flow Prevention Device or Anti-Pollution Device 9.00 ems..�.i...«>.o•�ri Any Trap or Waste Not Connecteo to a Fixture 9.00 :-ibe w addition Q alteration repair (j Catch Basin 9.00 to be dune r. Identlel Q non-residential Q Insp. of Exist. Plumbing 40.001hr Specially Requested Inspections 40.00mr Existing use of Rain Drain, single family dwelling 30.00 building or property Residential backflow prevention devices 15.00 Proposed use of building or property _ - *(Except residential backflow prevention devices) NOTICE 'Minimum Fee $25.00 SUBTOTAL fry' PERMITS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR IF 5%SURCHARGE CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD(IF 180 DAYS AT ANY TIME AFTER WORK IS I 1 COMMENCED. PLAN REVIEW 25%OF SUBTOTAL F TOTAL Special Conditions _ _` _ _ Date Issued _^_ by_�_ r A q F�: t� OP C I I Y (Al 1 f HH RD ESE_CT :1111 I IQ f 't iYMITN I U,11 t l Y!.� � (.;Hi-.(;K 1411 WIN I IVF11ris. e 1)F-II:.-ll I-E I.+IIII I-'HN4 , .I:N+;. I..Nalf1I klOI.1NI +�i, bail l9f"-1 Nt-1 tlVI:PIIIN 'tl POYMt-NQ DIM. a 0'-)/0J /9 PAYME-N C 6-Iml 1111\1 1 I.11,! L-U''o 11 1111 PI t'Llltii. i i.❑ l 'i !'i ' ,.,.,. u1!i� , I . I+! !.1I 1� 1'I h' � . !:3W (a TZ E:IVHllitil FrC>, I I. N( .l!l. hl Cl NO P 1r I t I, '-il+l 4f,;Vr t 1 rl r . K i r(. Community Development ELECTRICAL PERMIT APPLICATION 13125 SW Hall Blvd. / Tigard, OR 97223 Planck/Rec. # _ Permit # L-Tc—,g 5- v3',1 Phone (503) 639-4171 Date Issued - 9s _ FAX (503) 684-7297 Issued by CITY OF TIGARD TDD No. (503) 684-2772 a Inspection (503) 639-4175 1. Job Address: 4. Complete Fee Schedule Below: Name of Development LINCOLN I. Number of Inspections per permit allowed Address 10300 SW GREENBURG RD Service included Items Cost(ea) Sum City/State/zip TI GARD 4s. Residential-per unit 4 1000 sq II or 1066 $11000 or name of business EMERALD EMPLOYEMENT Each additional 500 aq it or Name 1 ( ) portion thereof -_ $25 00 Commercial E3X Residential❑ SUITE 484 Lim2 ned Energy $25011 Each Msnuf'd Home of Modular lDwelling Sema or Feeder $68 00 2a. Contractor Installation only: 4b.Services or Feeders ROSS CROSBY 2 Installation,alteration,or relocation Electrical Contractor CHRISTENSON ELECTRIC, INC. 200 amps or less $so 00 _ 2 Address 111 SW COLUMBIA, SUITE 480 201 amps to 400 amps $8000 2 401 amps to 600 amps $120 00 2 City PORTLAND State OR Zip-'7201-588 . 001 amps to 1000 amps $18000 _ 2 Phone No. 241-4812 JOB. NO. 222-9-82 Over 1000 amps orvolis $34000 i 2 Contractor's License No. 26-34C Neconned only $5000 Contractor's Board Reg. No. 00458 4c.Temporary Services or Feeders ( C-_ Installation,alteration,or relocation 2 Signature of Supr. EJec'C 200 amps or less $5000 2 License No. 873S Phone No. `' 201 amps to 400 amps $7500 2 401 amps to 600 amps $10000 Over 600 amps 10 1000 volts 2b. For owner Installations: sen•b•above 4d. Branch Circuits Print Owner's Name New,alteration or extension per panel Address a)The fee for branch circuits with purchase of aervlcs or Mader M. 2 City State Zip_ Each branch circuit $500 Phone No. b)the too for branch circuits without The installation is being made on property I own which is purchsss of ssrvke or Madsr Ms.r=u1 3500 2 st branch circus $35 00 . 2 not intended for sale, lease or rent. Each additional branch circuit �F — $500 Owner's Signature 4e.Miscellaneous (Service or feeder not included) 2 3. Plan Review section (if required): Each pump or irrigation circ$* $4000 2 Fach sign or our!ltna lighting $4000 Signal circuits)or a limited energy 2 Please check appropriate Item and enter fee in section 58. panel,alteration or extension $4000 _ 4 or more residential units in one structure Minor Lahals(10) $10000 Service and feeder 22.5 amps or more System over 600 volts nominal 41. Each additional Inspection over Classified area or structure containing special occupancy the allowable In any of the above as described in N E C Chapter 5 Par inspection $3500 _ Par hour $5500 In Plant $5500 Submit 2 sets of plans with application where any of the above --- apply. Not required for temporary construction services. 5. Fees: 55.00 NOTICE 5a. Enter tcial of above fees $ 5%Surcharge(.05 X total fees) $ 2.75 PERMITS BECOME VOID IF WORK OR CONSTRUCTION Subtotal $ 52 75- i AUTHORIZED IS NOT COMMENCED WITHIN 190 DAYS,OR IF 5b. Enter 25%of line A for CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR Plan Review if required(Sec 3) $ A PERIOD OF 160 DAYS AT ANY TIME AFTER WORK IS Subtotal $ 57 25 I COMMENCED LJ 1 rust Account It+ $ } Balance Due $ 5 75 .•••.y.ctrwrn.'.y.4�.::r5:=wr.MR�+i.ar:lA4ia�ti!M.c�.k-.'..i'� LoaJ. t�l tt� {� J i 1} 1.I ( Y OF .1.'1.t;iHRO 141 i 1 .1I' i Ili (-'1-1 11"11 fd 1 1-0-11 )I•,f. NO. 9 14t-b � NAME_ a CHR143TE.:N*-3l)N i::Lf C;TklU INC. 0. 010 WC►11REHS a SUITE 4A4 I,wYhif:N'1 1.4.41h pita/:1 /�'4b ± ` l i t E,W 1'�i=)L.I.JMki 1 N `AJM)1 V I c I ON POR 11-1-IND OR 9'/POJ �iftt!E, r 1�'I_lFrT�CI!:i1. CJR' PAYMENT FaMf..)1.1Nf P1011) Ey1.J(tF�1:1! F. ("IF t•'FlY1+iF N1' WM0�INI f�'i•l111 '...1..V.I�,'TRICAL t,F_:RMI1._ -..__...t'ln. ov) RT. pk.Ft ...__� _...,..__......��~�� s { r 4 i 1't1 I'r t! 0 V-MPL.OYMEN 1' "O!1.1 11m: '464 10300 SW [IF F I:N1t1112tI RD Fl.C95--034 4 p 1 i l 1 il_ AMOUNT Pf•11:1) - t 15 7. 711�' `( i i t 1 i 1 1 i 1. . ., ;a1M �'�4YY�r "f•' �i"!�y.�...ply,,'.y241p�µ,9ryue.n 5?�.nr',cx�wiMb,+fQ"' '. • ' r i Commercial Building Permit Applicatin • City of Tigard r" 13125 SK Hall Blvd. I '� Tigard, OR 97223 (503) 639-4171 ry I i - Jobsite Address: �✓`� -/ _. , Tenant: uite. # Office Use Only Planck/RecC_- s Valuation: �; �• G m _ ! Permit # r Owner: 4414 ` �� Map & TL # Address: � Aaarovals Re ug lred 4 69W ��_ _ Z y�^ Planning _ Phone: - -- - Engineering Other Contractor: Address: _6(/ �1 `� !t'yC, L✓ Type of const: �+ Occupancy class: �^ Phone: � Sprinklered? es No � Contractor's License # �� _ (attach copy of current Oregon licensb) Sq. ft. of project: tr/dl.R-,?- og Contact name & phone _ _ Story (1st, 2nd, etc.) • Proposed use: 1 Previous .se: , Address: Com'l Note. Plumbing & mechanical plans�__ must be submitted at time of Phone: � ) � �� — building permit application / '` JOB DESCRIPTION: I AV'P t licant Signature & Phone number Received b : 11 Y Date Received: ` 7 t i Jt Permit* Account Description Amount Amt. Pd. Bal. Due i adz 81dg. Permit (BUILD) Plumb. Permit (PLUMB) Mech. Permit (MECH) State Tax (TAX) Bldg: Plumb: r Mech: Plan Check (PLANCK) _ r Bldg: Plumb: Mech: 1 Sewer Connection (SWUSA) ;r Sewer Inspection (SWINSP) ,•i Parks Dev Charge (PKSDC) Residential TIF (TIF-R) Mass Transit TIF (TIF-MT) Commercial TIF (TIF-C) Industrial TIF (TIF-1) Institutional TIF (TIF-IS) Office TIF (TIF-O) Water Quality (WQUAL) Water Quantity (WQUANT) _ J Fire Life Safety (FLS) Erosion Cntrl Permit (ERPRMT) Erosion Planck/USA (EPPL.AN) Erosion Planck/COT (EROSN) s� ' G,. . i .. .,� I .,J I CITY OF, TIGARD — RECEIPT OF PAYMENT RE.CE.It1'F NO. a95-2693"56 CHECK Allr)UNT a 14'7. 15 NAME.,' a BECKER, ROBERT CASH AMOUNT s 0. 00 i ADDRESS V"AYN01T DATE. s 08/15/95 SUBDIVISION PURPOSE OF" PAYMENT AMOUNT 1-101D PI.JRPC E OF PAYMENT AMOUNT PAID 1't_AN CHECK FE 9--500 y I. .s3 FIRE LIFE GAFEY PLAN CR 20 � i I l 10300 GREENBURG RD/EMERALD F=MPL.OYME'NT TOTAL. AMOUNT PAID — _ ) 14'. 53 tr? r t i