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10300 SW GREENBURG ROAD-4 I ® / -t 11 + P � ; lO ® I COIL TELEPN.'7NE ELEC. �' x EaJI}°. LP 1 � 1 I � x 06 _ _ va - + I 1 witJ L — s r Y 't -� -+--� _ �. I � 1 M + , fa FILING PIAN REFECTED C s _ 4_� sc,U: ,fie- _ V-00 _ _ _ _ CITY OF TIGARD Approved. ....•........ Conditionally Approved /e 4a / 4 >Q �Oe -7cq � - For only the work -IS described in: ,, llL •j �t l�'� P E FSM I T {vc.�. yY1 Ec . ? - �'� oc� SO '� Sev Lett& to: Fvi!owe.................. ...... . .....[ �. %SOU Attach............ ................ �� Job Adress:_Ios� �W - . _ __ - o NOTICE: IF THE PRINT OR TYPE ON ANY rjllr illlill ililili ill + rl� -� I , rII � Il � ll � ill + Ill ! Il � lll 11. i 111 111 •j , o. III 1.� � rl_T.1.:r.� r1rI�1 I { r1- 1� l tli tf1 ( Iji 111 � lI ► I � IIIi lli � ili � lll � ll IMAGE IS NOT AS LE I I l I I C AR AS THIS NOTICE, _� 1 2 _— 3 - 5 6 7 $1 9 - 10 1 l lZ � 00 `/ _ �.��. .. IT IS UE TO THE QUALITY OF THE. No.36 ORIGINAL DOCUMENT E IIII II '111111"1111111 ll Il '111111,11 .1111. 1.1.11 Z 91 9' Z1 11 1 8 ZII Illi IIII T �1�13w 1111111111_J111 IIIL�II11 IIII 1111 IIII IIII IIII IIII Illi IIII Illl IIII IIII �I � • l III IIII III! IIII IIII IIII IIII IIII Ilt,�� IIII Lil 11111111 �Ill. l.l.11 �l(.1. 1.1.111I1� 11�.i llll�f��k11 W 0 V/ n r� 1 n v 10,100 SW GREENBURG RD CITY OF TIGARD BUILDING INSPECTION DIVISION 24-1-four Inspection Linc: 639-4175 Business Phone: 6394171 Date Requested: / 4 A.M. P.M._ MST: i Location: 1 C.' '� ( . -7`-l_t— t f _ BlJP: �� 3 Tenant:_ Suite: L�_ Bldg: t MEC:_ Contractor: 'C`� � Phone: C^) PLM: Phone: } ELC: Sri,: BUILDING PLUMBING MECHANICAL ELECTRICAL SITE �^ Site 110sf cam PosUBeam ;ost/13eam Cover/Service Sewer/Stone Footing Roof Undl�l/Slab Rough-In Ceiling Water lane Slab Framing Top Out Gas line Rough-In I1('j Sprinkler Foundation ln.snlation Sewer lioodA)uct Reconnect Van11 Bsmt Dmnp 1)rvwall Storm Furnace Temp Service MISC. Masonry Ceiling Rain Drain A/C IJG Slab Shear/Sheath Fir Ir/Alen Crawl/Found Dr heat Purnp I.ow Volt roved Approval Approved Approved Approved Lpp,/Sdwlk o ` proved Not Approved Not Approved Not Approved Not Approved INA f FINAL FINAL FINAL FINAL M Call for msl n 0 Reinspection fee of S reyu' 1 tyfore next inspection O unable to inspect i Inspector: -- _ -_._---- _—_-- 11atc i - Page_ __of-- _ CITY OF TIGARD DEVELOPMENT SERVICES 13125 SW Hall Blvd., Tigard,OR 97223 (503)639-4171 CERTIFICATE OF OCCUPANCY PERMIT #. . . . . . . : 1A(_JP97--029.-, DATE 1'31;L1EDt 08/11/97 PARCEL: IS I 35AF3- 01003 I TE ADDREY . . . c 10300 SW (.iREENSURG PI) #I!-) 013DIVISION. ZOIqINC;PC--P �i._OCK. . . . . . . . . . c LOT. . . . . . . . . . . . . c .JURISDICTION: TIG LAGS OF WORK. SALT j YPE OF USE. . . sCOM iYPF OF CONSTR-.2FR 1.)CU'LIPANCY GRP. i S )U.AJPANUY LOAD. 74 1-NAN'T NANF-.. . . :HDk F-.,N(3 I NUE R I NO emakrkffii HDR Engineering Remocieling to egistiny tprient improvements for TIP] e nAnt !ORRIS BE6GS & SIMPSON 0300 SW URFENDURG RD 5-1E 200 T ,OPTLAND OR 97223 Crone #A ContrArtori 'T ("I S INC ILNONT CONSTRUCTION SERVICES INC IL'041 NE ERIN WAY ",(m?TLAND OR 97,22.0 hong #: 0154 -30013 ep #. . # 000551 this Certificate grants occupancy of the referenced hi.tilding or partion !;hereof ayW confit-ms that the buildinq has lie inspected fat- cumplianc.e with he State of Oryon Specialty Codes for the pro tp, OCCAlpancy, and ej o_ie under L which he ref er-encp(J _11mit was isqued. L BU NO I NSPEC1 Oil Su DING OF - ICIAL POST 104 CONSPICUOUS, PLACE CITY OF TIGARD 24-Hour BUILDING Inspection Line- (5011629-4175 INSPECTION DIVISION Business Line: (503)639-4171 MST B U P ------ ---------- ReceivedDate RequestedAM - ------ -- PM---__. _-- BUP Locationl o3oa l.�'e�'''��^"'O� 4 _- ---Suite__�pP__-.___ - MEC __-- Contact Person Ph (----- ---) -�5- - -r? i�e PLM ---- -----`- --- _. Contractor Ph SWR - BUILDING Tenant/Owner ELC Footing Foundation ELC Ftg Drain Access: ELR 3 "'oo3g1 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 -- -- PLUMBING 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 _ T _FALL -- — - LECTRICA _ Service Rough-In 11 U/ ow 'Voltage �!' ' 7 . ice arm [] Reinspection fee of s required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PAS` PART FAIL SITE Please call for reinspection RE:--. E] Unable to Inspect-no access Fire Supply Line _ ' ADA Approach/Sidewalk Date ' n Ext Other: Final DO NOT _3EMOVE this Inspection record from the io0b site. PASS PART FAIL CITE' OF TIGARD DEVELOPMENT SERVICES BUILDING PERMIT PERMIT # M!,20am 13125 SW Hall Blvd., Tigard,OR 97223 (503)639.4171 DATE ISSUED: 06/1.7/97 PARCEL: 151335AB01.003 SITE ADDRESS. . . : 1.0300 SW GFREENBURG RD #500 SUBDIVISION. . . . : ZONING:C-.F:' BLOCK,. . . . . . . . . . . LOI . . . . . . . . . . . . . JURISDICTION:TIG REISSUE: FLOOR EX_rERIOR WALL CONSTRUCTION— C1 ASS OF WORK.. :ALT FIRST. . . . : 0 s N: S: E: W: l'YPE OF USE. . . :COM SECOND. . . : 0 s PROTECT OPEN INGS'?-------- TYPE OF CONST. :CFR FIFTH . . . : 1.0312 cif N: S: E: W: OCCUPANCY GRF-,. :B TD1_AL---------: 1031t-7.' s ROOF CONST: FIRE RETI : OCCUPANCY LOAD: 74 BASEMENT. - 0 s AREA SEP. RATED- STOR. : 0 HT: 0 Ft GARAGE. . . 0 s OCCU SEP. RATED: BSMT'?:N MEZZ ): REGI) REDU I RED— FLOOR LOAD. . . . : 0 psf LEFT : 0 ft RGHT: 0 ft FI13 SPKI-:N SMOK DET. . :Y DWELLING UNITS: lb FRNT: 0 ft REAR: 0 ft FIR ALRM:Y HNDIrp1 ACC:Y BEDRMS: 0 BATHS: 171 1 MP SURFACE: 0 PRO CORR- PARKING: 0 VALUE. $ : 1.59147 HDR Engineering Remodeling to existing tenant improvements for new tenant. Mechanical permit required. Ownev— FEES NORRIS BEGGS & SIMPSON type amoi-trit by date r-ecpt 10300 SW GREENBURG RD STE 200 PRMT $ 583. 00 JSD 06/03/97 97-295386 PORTLAND OR 97223 PLCK $ 378. 95 JSD 06/03/97 97--295386 FIRE $ 233. 20 JSD 06/03/97 97-295386 Phone #- 4523900 5PCT $ 29. 17) JSD 06/03/97 9 7--21 9 5",1 a 6 T C S INC TENANT CONSTRUCTION SERVICES INC 12VI41 NE ERIN WAY PORTLAND OR 97220 Phi one 17,34-3008 $ 1224. 30 TOTAL Reg 00055)1 REDUIRED INSPECTIONS This permit is issued subject to the regulations contained in the Framing Insp ------------- Tigard Municipal Code, State of Ore. Specialty Codes and all otho, Gyp Boiit-d Insp applicable laws. All work will be done in accordance with Si-isip C e i log Insp .... approved plans. This permit will expire iF work is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 992-0814010 through DAR 992-00101987. You many obtain a copy of these rules or direct questions to OLW. by calling (503)246-1967. Ppr,mittee Sign T _t e Ef—Fr— +++++++4-++-f........4•................. ...................... .................... Call 639-4175 by 6:00 p. m. for ainspection needed the next bi.isiness day 444++....+++++•4•+t+++++-F+++++++++++4 4-4.......4+++4--4............................4 -Commercial Building `c7 F City of Tigard 13125 4W Hall 81vd. Tlgard,OR 47223 G (503)634-*171 Jobsite3 Address/ Gj 4 1&0bA lk4 A0,J QFFiCE USE ONLY 01 Tenant: (� . G Suite # 50� P1ane�dR�c..>� t Valuation: _ Owner' Saul & O L Address: t��Y�TikpJs> 3ct �`F}S�f�t1Cib��`;'fw1'�n\"•c.: `• 2::� Phuilml vwfi s W,SNF� IIM� Telephone: as "&ir Address: --}� _ Type of constr: �/`--- Telephone: Occupancy Class: Contractor's License #_ _ Sprinkler? Yes oi (attach copy of current Oregon license) / AA Sq. Ft Of Project.. Contract name & telephone: 452 - yrL �Z �'t1�=--v! • �=�R"��---- Story (1st, 2nd, etc.): Proposed Use: - G� `' y C70 Address: �-- Previa��s use: _ - �Z Note: Plumbing & mechanical plans must Telephone: � C�_ be submitted at time of building permit application. Inti DESCRIPTION: f/�l7t 1 ,,76- it."Iicant Signature & Telephone Number) Received by: — —__—� Date Received: ! CUMTI,DOC (DST) 10,96 PERMIT# Account Description Amount Amt Pd. Balan6e thus Building Permit (BUILD) l: b Plumbing Permit (PLUMB) _ Mechanical Permit (MECH) _ State Tax (TAX) Bldg. Plumb. Mech. Plan Check (PLANCK) Bldg. Plumb. _ Mech. Sewer Connection (SWUSA) Sewer Inspection (SWINSP) — Parks Dev Charge (PKSDC) Residentlal TIF (TIF-R) _ Mass Transit TIF (TIF-MT) Commercial riiF (TIF-C) Industrial TIF (TIF-1) Institutional TIF (11F-IS) Office TF (TIF-0) Water Quality (WAUAL) Water Quanity (WQUANT) Fire Life Safety (FLS) Erosion Cntrl Permit (ERFRMT) Erosion Planck/USA (ERPLAN) Erosion Planck/COT (,FROSN) TOTALS. 1,ZCMTI DOC (DST) 10196 CITY O F TI GA R D ELECTRICAL PERMIT DEVELOPMENT SERVICES PERMIT #: ELC97-0391 DATE ISSUED: 06/19/97 13125 SW Hall Blvd., Tigard,OR 97223 (503)639-4171 PARCEL: 1S135AB-01003 SITE ADDRESS. . . : 10300 SW GREENBURG i�D #5011 SUBDIVISION. . . . : ZONING:C--P 13LOCK. . . . . . . . . . .. LOT. . . . . . . . . . . JURISDICTION: TIG F,t,oJ e c:t Description: inst I 2e branch circuits il job # 2e9 ------------------ - --RESIDENTIAL UNI1 --- - ----TEMP SRVC/FEEDERS------ ------MISCELLANEOUS——_ 1000 SF OR LESS. . . . 0 0 200 amp. . . . . . . : 0 PUMP/IRRIGATION. . . . : 0 EACH ADD' L_ 500SF. . . ,; 0 201 400 amp. . . . . . . : 0 SIGN/OUT LINE LTG. . : 0 LIMITED ENERG'Y. . . . . a 0 401 COO amp. . . . . . . : 0 SIGNAL/PIANEI.. . . . . . . : 0 MANF. HM/ SVC/FDR. . : 0 601+amps-1000 volts. : 0 MINOR LABEL ( 10) . . . : 0 ----SERVICE/FEEDER---- ----BRANCH CIRLUITS------ ----ADDIL INSPECTIONS—- 0 — 200 amp. . . . . . : 0 W/SERVICE OR FEEDER: 0 PER INSPECTION. . . . . : 0 201 — 400 amp. . . . . . 1 0 1st WIO SRVC OR FDR. : I PER HOUR. . . . . . . . . . . : 0 401 — 600 amp. . . . . . : 0 EA ADDIL BHNCH CIRC: 21 IN PLANT. . . . . . . . . . . : 0 601 .- 1000 amp. . . . . : 0 REVIEW SECTION--------------------- 10004- amp/volt. . . . . : 0 ) =4 RES UNITS. . . . . . . . : ) 600 VOLT NOMINAL. . : Reconnect only. . . . . : 0 SVC/FDR > = 225 AMPS. . : CLASS AREA/SPEC OCC. : Owner,: FEES MELVIN MARK type amount by date r-eept 10220 SW GREENBURG RD PRMT $ 140. 00 T6'r 06/19/97 97-296207 FIGARD OR 97223 5PCT $ 7. 00 TAT 06/19/97 97--296207 Phone Contractor,: -------------- WILLAMETTE ELECTRIC INC $ 147. 00 *TOTAL !,0 BOX 230547 REQUIRED INSPECTIONS TIGARD OR 97281 Phone #.- 624-3631 Reg #. . : 000750 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Oregon Specialty Codes and all other applicable laws. All work will be dope in accordance with approved plans. This permit will expire if work is not started otthin 180 days of issuance, or if stark is suspended for more than 180 days. ATTENTION: Oregon last requires you to follow the rules adopted by the Oregon itility Notification Center. Those rules are set forth in DAR 952-001-0010 thrc.-gh BAR 952-001-1987. You may obtain a copy of these rules or direct questions to OUNC by calling t )2 -1987. lo cmittep Signati..ir-e : Issued By : -------- INSTALLATION Fhe installation is being made an property I own which is not intend(-.d for-, _,ille, lease, or rent. f)WNERIC) SIGNATURE- DATE: INSTALLATION 910NATURE nF SUPR. ELECIN: DATE a LICENSE NO. 2 ff? -5 f + 1 4 ++4+-+++4++4-+4....................4...........................4-++-++++++++ Call 633--4I75 by 6.-00 p. m. for an inspection needed the next bi.isiness day ++4+4............4-++++4+4.......++++++-+-+++++++++++++.........1-4•................... Community nevelopmf»nt ELECTRICAL PERMIT APPLICATION 13125 SW Hall Blvd. Tigard, OR 97223 Permit # Date Issued Phone (503) 639-4171 CITY OF TIGAR� FAX (503) 684-7297 TDD No (503) 684.2772 Inspection (503) 639-4175 1. .lab Address: 4. Complete Fee Schedule Below: Narne of Development r'fv r iv Number of Inspections per permit allowed d Address J-0 306' SS✓ L r., b tW QX, Servir.e iFICIAI'd Items Cost(ea) Sum City/State/Zip _ (_L�__><'rt-t], Ll q�Z L; 4a. Residential -per unit �T'— C 1000 sq. ft, or less $11000 Name (or name of business)` - h D Cw �r.a Each additional 500 sq It or ' portion thereof $25 00 _ Commercial Residential Limited Energy $2500 Each Manurd Norrie or Modular Dwelling Service or Feeder $6800 2a. Contractor installation only: �" � G 4b. Services or Feeders Electrical Contractor w (�N my It a ((rc rII( Installation, or lesion,or relocation l w c- __. 200 amps or loss $6000 Address-pa /3 ' i 201 amps to 400 amps `— $8000 1-1 0 /t tstate ZIP-12-LK- n 1 401 amps to 800 amps $12000 Cit ' y-7A - 601 amps 10lowlimps St8000 Phone No. G L`1-K4 f 1 Over 1000 amps or volts $34000 Job NO. 2u r9 Reconnect only $5000 2 .. contractor's license NO. 311 2 b 7C• _ _ 4c. Temporary Services or Feeders Contractor's Board Reg. No._ Gl -t _ Installation,alteration,or relocation Signature of Supr. Elee'n _i div 200 amps or less License No. /y�S 5 Phone No. G 17 t - 7(, f r 201 amps to 400 amps $5o 00 _-- -- 401 amps to 800 r,mps $7R po Over 800 amps to 1000 volts $10000 2b. For owner installations: see."b"above 4d. Branch Circuits Print Owner's Name _._ New,alteration or extension per pane Addressa)The fee for branch circuits with - — — - - purchase ofh service or Never fee City State,__ Zip__ Each branch circuit $500 Phone No. b)The fee for branch circuits wlthoLI The installation is being made on property I own which is purchase of service or feeder fee. , not Intended for sale, lease or rent. Ft's'branch c � $35 00 3� Each additional al bbrranch circuit �_ $500 Owner's Signature .. 4e Miscellaneous (Service or feeder not Included) .3. Plan Review section (if regijired): Each pump of irrigation circle $4000 Each sign or outline lighting 3:0 00 Signal cl,cuh(s)or a limited energy Piease check appropriate Item and enter fee In sectio,( 5B panel,slteistion or extension 14000 4 or more residential units in one structure Minor Labels(10) $10000 Service and feeder 225 amps or more System over 600 volts nominal 4i. Each additional inspection over Classified area or structure contair.rig special occupancy the allowable in any cf the above as described In N E.C. Chapter 5 Per inspection $3500 _ Per hour _ _ $9500 In Punt L55 00 Submit 2 sets of pians with application where any of the ahovn ---- apply. Not required for temporary construction services. 5. Fees: NOTICE 5a. Enter total of above fees $ / W, 5's,, Sur:+arge (05 X tota! fees) $ PERMITS BECOME VOID IF WORK OR CONSTRUCTION Subtotal $ AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR IF 5b, Enter 25%of line A for CONS FRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR Plan Review if required (Sec.3) $ A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS Subtotal $ COMMENCED �»T=�*�� _ Trugt Account t: pm VP Balance Due a �l 'y ` ' CITY OF TlumnD DEVELOPMENT SERVICES ELECTRICAL PERMIT 13125 S W Hall Blvd., Tigard, OR 97223 (5031639.4171 RESTRICTED ENERGY PERMIT #.- ELR97-0189 DATE ISSUED: 07/09/97 PARCEL: IS135AB-01.003 SITE ADDRESS. . . .- 10300 SW GREENBURG RD #500 SUBDIVISION. . . . : ZONING:C—P BLOCK. . . . . . . . . . : LOT. . . . . . . . . . . . . JURISDICTN- TIG Project Desct,iption: HDR Engineering A. RESIDENTIAL----------- B. AUDIO & STEREO. . . : AUDIO & STEREO— : INTERCOM & PAGING. . : BURGLAR ALARM. . . . : BOILER. . . . . . . . . . : LANDSCAPE/I RR I BAT. . : GARAGE OPENER. . . . . CLOCK. . . . . . . . . . : MEDICAL.. . . . . . . . . . . . . HVAC. . . . . . . . . . . . . . DATA/TELE COMM. . : X NUR',3E CALLS. . . . . . . . . VACUUM SYSTEM. . . . : FIRE ALARM. . . . . . : OUTDOOR LANDSC LITE: OTHER: HVAC. . . . . . . . . . . . . PROTEC'r I VE 51 GNAL. . INSTRUMENTATION. : OTHER. . : TOTAL # OF SYS-IFML;: I Owner— FEES MELt')IN MARK type amoiint by date t,ecpt 102PO SW GREENBURG RD PRMT $ 40. 00 JSD 07/09/97 97-296933 TIGARD OR 9722'3 5PCT $ 2. 00 JSD 07/09/97 97-296933 Phone #: 452-5900 Contr-actov-: PROGRESSIVE COMMUNICATIONS OF 4L. 00 TOTAL OREGON INC 2252 SE 186TH AVE ---- REQUIRED TNSPE-,:CTTONS PORTLAND OR 97233 Ceiling Cover- Elect' l Final Phone #: 665-6911 Wall Cover Reg #. . : 001112 This permit is issued subject to the regulations contained in the Tigard Municipal Cade, 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 IN days. ATTENTION, Oregon law requires you to follow rule adopted by the Oregon Utility Notification Center. , Jhdse rules are set forth in OAR 992-001-0010 through OAR 95JC'-8eI--8@98, You may obtain copies of these rules or direct:question 1503)246-1997. ��—, ISSIAed by Permittee Signatlat-e — PLr- !___—__—OWNER INSI'AL-LA TION ONLY____________________..__..--___ _.._ The installation is being made on property I own which is not inter'ded for sale, lease, or rent. OWNER' S SIGNAT URE: DATE ---------------------------CONTRACTOR TNSTAI.LnTION 91ONATURE OF SUPR. ELECIN: DATE LICENSE NO: 4+++-#...........................#.++++4.......4•.................................. Call 639-4175 by 6:00 P. M. for- an inspection needed the next bi.isiness day 4...............................................4..........4................. CITY OF TIGARD RESTRICTED ENERGY ELECTRICAL APPLICATION Recd by:=�: ,., r 13125 SW HALL BLVD Date Rec a: r- r TIGARD OR 97223 PRINT OR TYPE 1 � Q� V- 503-639-4171 X304 Permit* (� i F - 503-684-7297 "1 / 1 ( � ' , SINCOMPLETE OR ILLEGIBLE APPLICATIONS CUSt.Call'd: — WILL NOT BE ACCEPTED Name of Development Project TYPE OF WORK INVOLVED -RESIDENTIAL Restricted Energy Fee........................................ $40.00 (FOR ALL SYSTEMS) JOB Street Addre s Ste# Check Type of Work Involved. ADDRESS 0340 SW C.,�., hJ �ci CitylState Zip Phone# ❑ Audio and Stereo Systems _____ R.,•11�.. a cti 713 Name ❑ Burglar Alarm OWNER Mailing Ad'ress ❑ Garage Door Opener- City/State Zip Phone# ❑ Heating,Ventilation and Air Conditioning System' _- Name —— ❑ Vacuum Systems' ❑ Other CONTRACTOR Mailing Address TYPE OF WORK INVOLVED -COMMERCIAL (Prior to issuance a City/State TI—P-- Phone# Fee for each system......................................... ... $40.00 ropy of all licenses a,., I .1 �/.? &WY.16 It (SEE OAR 918-260-260) are required if Oregon Contr. Brd Lic # Exp. Date expired in C O T u L ( L-11C Check Type of Work Involved data base) Electrical Contr Lic # Exp Date ll e LE e r ❑ Audio and Stereo Systems C O T or Metro Lic.# Expo Da ) r i�s'S`Cri 1 ( ❑ Boiler Controls Owner's Name ❑ Clock Systems OWNER - Malting Address t�– APPI.ICANT Data Telecommunication Installation City/State Zip Phone# Fire Alarm Installation T his permit is issued under OAE 918-320-370 This applicant agrees to ❑ make only restricted energy Installations(100 volt amps or less)under this HVAC permit and to do the following ❑ Instrumentation 1 Only use electrical licensed persons to d)installations where required Cortain residential and other transactions are exempt from licensing ❑ Intercom and Paging Systems These have asterisks(') All others need licensing; E] Landscape Irrigation Control' 2 Call for inspections when installation under this permit are ready for inspection at 503-639-4175; C] Medical 3 Purchase separate permits for air installations that are not ready for an CU Nurse Calls inspection when the inspector is out to inspect under this permit; n Assume responsibility for assuring that all corrections required by the Outdoor Landscape Lighting' inspector are done,and, ❑ Protective Signaling 5 Assume responsibility for calling for a final inspection when all of the corrections are completed. ❑ Other Permits are non-transferable and non refundable and expire if work is not started within 180 days of issuance or if work is suspended for 180 days _,Number of Systems Thp person signing for this permit must be the applicant or a person No r,censes are required Licenses are required for all other installati ns authorized to hind the applicant —__---- -- FEES: ENTER FEES $ Signature 5%SURCHARGE(.05 X TOTAL ABOVE) Authority if other than Applicant — TOTAL $_ r vesele doc 12/96 — CITY OF TIGARD DEVELOPMENT SERVICES ELECTRICAL PERMIT 13125 SW Hail Blvd., Tigard,OR 97223 (5 3)639-4171 REs*rp,[CTE!) ENERGY PERMIT #: ELR97--0185 DAT(7. ISSUED: 07/02/97 PARCEL: IS135AB-01.003 SITE ADDRESS. . . : 10:':00 SW GREENBURG RD #500 SUBDIVISION. . . . : ZONING:C—P BLOCK. . . . . . . .. . . . LOT. . . . . . . . . . . . . J U R ISDICTN: TIG S Project Description: data telecommunication installations A. RESIDENT TAL B. AUDIO & (STEREO. . . : AUD 10 & STEREO. . : INTERCOM ?A F-,AG'IN(',. . BURGLAR AL.APM. . . . BOILER. . . . . . . . . . : L.ANDSCAPE/IRRTGAT. . : GARAGE OPENER. . . . . CLOCF. . . . . . . . . . . .. MEDICAL. . . . . . . . . . . : HVAC. . . . . . . . . „ . . . DATA/TELF COMM. . : X NURSE CALLS. . . . . . . . : VACUUM SYSTEM....: FIRE ALARM. . . . . . : OUTDOOR LANDSC LITE: OTHER: : : HVAC. . . . . . . . . . . . : PROTECTIVE SIGNAL. . : INSTRUMENTATION. : OTHER. . : TOTAL # OF SYSTEMS: 1, Owner: FEES ---------- --- - HDR I-INCOL.N TOWER I type amol.Ant by date reept 10300 SW GREENBURG ROAD PRMT $ 40. 00 GEO 07/01/97 97--296*7t-:'Fi SUITE 500 5PCT 00 GEO 07/02/97 97-296725 T I(:BARD OR 97 223 Phone #: Contractor: CHRISTENSON ELECTRIC INC $ 42. 00 TOTAL 11. 1 SW COLUMBIA STE 480 REQUIRE.D INSPECTIONS PORTLAND OR 97201 Ceiling Cover- Elect' l Final. Phone #: 241--4812' Wall Cover Reg #. . : 000004 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State u( Ove. Specialty Coder, 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 day,, of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rule adopted by the Oregon Utility Notification Center. Those rules are set forth !n OAR 952-001-0010 through OAR 952-001-0080. You may obtain copies of these rules or d t uest s 0' at (503)246-1987. I s,sl..ted L)y Permittee Signati.1re ---- --OWNER INSTALLATION The installation is being made on property I own which is not intended fc)r sale, lease, or, rent. OWNER' S SIGNATURE: DATE: ......--..----.------------CON'TRACTOP INqTALLATION 91SNATLJRE OF SUPR. ELECIN: DATE LICENSE NO: .......................§-+++++.#-++++++++++++4+t++-F4...... t..................... ...4 Call ..4Call 639---4175 by 6:00 P. M. for an inspection needed the next bl.Asiness day ........................ .................................................4-++++++-++ Community Development RESTRICTED ENERGY ELECTRICAL APPLICATION 13125 SW Hall Blvd. p Tigard,OR 97223 PERMIT# f e - Phone(503)639-4171 ��_� FAX(503)684-7297 DATE ISSUED_ _= TDD No. (503)684-2772 CITY OF TIGARD Inspection (503)639-4175 ISSUED BY JOB:509-4069 PLEASE COMPLETE At SECRONS 1. LOCATION OF INSTALLATION HIIR f,I NCOI.N T 4. TYPE OF WORK 10300 SW GREENBURG RD SUITE 500 Address RESIDENTIAL—Restricted Energy Fee. . . . . . . . . 140.00 TIGARD OR (FOR ALL SYSTEMS) City State Zip Check Type of Work Involved: PERMITS ARE NON-TRANSFERABLE AND NON-REFUNDABLE AND EXPIRE IF )RK ❑ Audio and Stereo Systems IS NOT STARTED WITHIN 180 DAYS OF ISSUANCE OR IF WORK IS SUSPENI r f r tR 1110 DAYS. ❑ Burglar Alarm 2. CONTRACTOR APPLICATION ❑ Garage Door Opener* ❑ Heating,Ventilation and Air Conditioning System* Contractor C_HRISTENSON _Type RUCTRICAL_ ❑ Vacuum Systems* ❑ Other Address _-1 1 S.I(. CQLQMj1,A_._ 111 480 PORTLAND OR. Date 7-1-97 COMMERCIAL—Fee for each system . . . . . . . 140.00 --- —� (SEE OAR 918-260-260) Property Owner Check tune of Work Involved: Contractor's Board Reg. No 00458 ❑ Audio and Stereo Systems ❑ Boiler Controls Phone# -503 241-4812 ❑ Clock Systems XXX Data Telecommunication Installations 3. OWNER APPLICATION ❑ Fire Alarm Installation ❑ HVAC Print Owner's Name Phone No ❑ Instrumentation Address ❑ Intercom and Paging Systems ❑ Landscape Irrigation Control* City State Zip ❑ Medical f his 1wrm4 is issued under OAR 918.320.370.This applicant agrees to make only ❑ Nurse Calls restricted energy i-istallations 11M volt amps or less)under this permit and to do the ❑ Outdoor Landscape Lighting* following 1. Only ase electrical licensed persons to do installations where required.(Certain ❑ Protective Signaling residential and other transactions are exempt from licensing. These have ❑ Other _,e asterisks(').All others need licensing). 2 tall for an insp e(tion when all of the installations under this permit are ready for Inspection at 503-639-4175 ❑ Number of Systems 1 Purchase separate permits for all installations that are not ready for inspection when the inspector is out to inspect under this permit. •No licenses are required. Licenses are required for all other installations. 4 .Assume responsibility for assuring that all corrections required by the inspector are done,and Assume responsibility fo-calling for a final inspection when all of the S. FEES corrections are completed. Thv person signing for this permit must he the applicant or a person a. Lnter Fees $40. authorized to hind the applicant. 1 ,1 --, (" ' I ., b. 5%Surcharge(.0.5 x total above) $ 2' _ Sip;nalurc �– ' ��— TOTAL $42. Authority if other than applir ant ENERGARCHP CITY OF TIGARD MECHANICAL.. DEVELOPMENT SERVICES PERMIT PERMIT #. . . . . . . : MEC97-025"4 13125 SW Hall Blvd., Tigard,OR 97223 (503)639-4171 DATE ISSUED: 07/28/97 PARCEL: IS13,5AB-01003 TE ADDRESS. . . : 10300 3)W GREENBURG RD #500 1BDIVISTON. . . . : ZCINTNG- C-r:, RI-OCK. . . . . . . . . . : LOT. . . . . . . . . . . . . JURISDICTION: TIG --------------------------------- -------------- 1-I.ASS OF WORK. . :ALT FLOOR FURN. . . . : 0 EVAP COOLERS: 0 'F'E OF USE. . . . :COM UNIT HEATERS. . : LA VENT FANS. . . : 0 Cl-.)PANCY G'RP. . :B VENTS W/O APPL: 0 VENT SYSTEMS: 0 DRIES. . . . . . . . .. 0 BOILERS/COMPRESSORS HOODS. . . . . . . : 0 fF1 TYR'E'S--------_-_---_ 0-3 HP. . . . : 0 DOMES. INCIN: 0 I-L.0 3-15 HP. . . . : 0 COMML. INCIN: 0 MAX INPUT: 0 BTU 15-30 HP. . . . : 0 REPAIR UNITS: 0 PI RE DAMPERS'?. . : 30-50 HP. . . . : 0 WOODSTOVES. . : ef GnG PRESSURE. . . 504- 1-1P. . . . : 0 CLO DRYERS. . : 0 NO. OF UNITS-.--.-------- AIR HANDL fNG UNITS OTHER UNITS. : 0 F(JF?N ( 100K BTU: 0 10000 cfm : 2 GAS OUTLETS. : 0 PURN ) =100K BTU: 0 > 10000 cfm : 0 Remar,14s : Mechenical TI Owner-: FEES SF OREGON CO LTD type amol.int by date r-ecpt BY MELVIN MARK BROKERAGE CO PRMT $ 25. 00 B 07/2:8/97 97-297615 10220 SW GREENSUP0 RD #150 PLCK $ G. P 11:5 B 07/28/97 97-297615 PORTLAND OR 97223 5PCT $ 1. 25 B 07/28/97 97-297615 Phone #: Contractor-: --------------------------------- OREGON AIRE INC 7921 SW NIMBUS AVENUE $ 32. 50 TOTAL BEAVERTON OR 97008 Phone #: 626-2000 Reg #. . : 00OG42 REDUIRED INSPECTIONS This pervit is issued subject to the regulations contained in the Mechanical Insp Tigard Municipal Code, State of Ore. Specialty Codes and all other Final Inspect i.on applicable laws. All work will be done in accordance with approved plans. This persit will expire if work is not started within 168 days of issuance, or if work is suspended for gore than 181 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification renter. Those rules are set forth in OAR 952-001-0010 through OAR 952-00I-0080. you gay obtain copies Of these rules or direct questions to OUNC by calling (503)246-9187. 5 1-t e By : Permittee Signature +-+++4•........................... ..............+.......4•.....................F+++++ Call 639-4175 by 6:00 p. m. for- inspections needed the next btisiness day 4 4++4+4 4 4 +4.................4-+++4................4.............4............... Pian Checn CITY OF TIGARD Mechanical Permit Application RecdBy. L �,�_ 13125 SW HALL BLVD. Commercial and Residential Date Rec d '7-i j ri i TIGARD, OR 97223 Date to P E I` (503) 639-4171, x304 Date to DST ?-�3-k1 Print or Type Permit# M ' Calle Incomplete or illegible applications will not be accepted } Nims of DeveiopmenvPro)eci Description ! ( 0 r �� Table to Mechanical Code OTY PRICE AMT Jab Street Address sudea A) Permit Fee -0-� •0- 1000 Address *_�j0 " �v W ,t i1c _ "� 1 Bidga C Ystate B) Supplemental Permit 300 Name for nameof bisiness) 1 ) Furnace to 100.000 BTU 600 Owner incl ducts&vents Mailing Address - 2) Furnace 100.000 BTU+— , 7 50 incl.duds&vents c4 fislate Zip Phone 3) Floor Furnace 600 _ incl vent Name or name of meas) 4) Suspended heater,wall heater 600 /� --)f e-, or floor mounted heater Occupant Maiiingss 5) Vent not incl in 300 f}ry appliance permit CiryiSuta Zip Phone 6) Boder or comp,heat pump,air Gond. 600 _ to 3 HP:absorp unit to 100K BTU Contractor Name 7.) Boder or comp,heat pump,air c ind. 11 00 (Pnor to ^/� r'�»t'/ rj '� 3-15 HP.absorp unit to 500K BTU issuance Maiiin address 8.) Boder or comp,heat pump,air coed 1500 applicant I ti. Ah" A6k 15-30 HP,absorp unit 5-1 and BTU _ must provide all �sfate �"`— Zip Phone 9.) Boder or comp,heat pump,air coed 22.50 contractor , t-- �� 30-50 HP,absorp unit 1-1 75 mil BTU license Oregon Const Cont Bob LAI Exp Date 10) Boiler or comp,heat pump,air Gond 3750 information / _ - >50 HP,absorp unit 1 75 mil BTU _ for COT Cor Busness Tax or Meana Exp Dat 11 ) Air handling unit to ^ 4 50 y database) `LSCS _ 10.000 CFM Architect Name 12) Air handling unit 7 50 __ 10.000 CTM+ or Mailing Address 13) Non portable 450 evaporate cooler Engineer Cdyistate --- Zip —Phone 14) Vent fan connected 300 _ to a single dud _ Descnbe work New O Addition O Alteration O Repair O 15) Ventilation system not 450 to be done Residential O Non-residential O included in appliance permit Additional Descnphon of work 16.) Hood served ty mechanical exhaust 450 17) Domestic mcmerators 750 Existing use of ~ �^ 18) Commercial or mdustnaltype 3000 building or property _ incinerator 19) Repair units —� 4 50 Proposed use of 20) Woodstove 450 building or property 211 Clothes dryer etc 450 Type of fuel-oil O natural gas O LPG O ele_ r-O 22) Other units 4 50 I hereby acknowledge that I have read this application,that the 23) Gas piping one to four outlets 2.00 nforMation given is cured,that I am the ow or authorized agent of the owne \hat pia syb ittliIid' in co avice with Oregon State 24) More than 4-per outlet (each) 50 llow -7 Signature of Owner/Agent Date GTY.SUBTOTAL 'SUBTOTAL �7 Contact Person Name Phone _ 5%SURCHARGE J�} PLAN REVIEW 25%OF SUBTOTAL TOTAL i'Cstimechpmt dol: irev 7 96) Minimum permit fees 525+5%surcharge SEE 35MM ROLLI # 23 FOR LARGE DOCUMENT CITY OF T l G A R D — MECHANICAL PERMIT PERMIT#: MEC2000 00346 DEVELOPMENT SERVICES 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 0 1513 PARCEL: 1 S135AB-01003 SITE ADDRESS: 10.300 SW GREENBl.1RG RD 500 SUBDIVISION: LINCOLN ONE/RED LOBSTER/CASA L ZONING: C-P BLOCK: LOT: JURISDICTION: TIG CLASS OF WORK: ALT FLOOR FURP: EVAP COOLERS: TYPE OF USE: COM UNIT HEATERS: VENT FANS: 3 OCCUPANCY GRP: B VENTS W/O APPL: VENT SYSTEMS: STORIES: BOILERS/COMPRESSORS_ _ HOODS: FUEL TYPES _ _ 0 - 3 HP:^ DOMES. INCIN: �^ 3 - 15 HP: COMML. INCIN: MAX INPUT: BTU 15 - 30 HP: REPAIR UNITS: FIRE DAMPERS?: 30 - 50 HP: WOODSTOVES: GAS PRESSURE: 50 + HP: CLO DRYERS: FURN < 1(19K BTU: __AIR HANDLING UNITS OTHER UNITS: 3 FURN >=100K BTU: <= 10000 cfm: GAS OUTLETS: > 10000 cfm: Remarks: Install 3 new T-b.ir grilles and 3 exhaust fans Owner: _ — — FEES KNICKERBOCKER PROP, INC XXIV Type By Date Amount Receipt HY NORRIS, BEGGS 4- SIMPSON PRMT C1R 8/2.8/00 $50 00 2720000000 10300 SW GRE ENBURG RD STE 200 5PCT CTR 8/28/00 $4.00 2720000000 PORTLAND, OR 97223 — - Total $54.0000 Phone: Contractor: NORTH PACIFIC HEATING 33700 SE DUUS RD ESTACADA, OR 97023 T_ REQUIRED INSPECTIONS Duct Inspection Phone: Misc. Inspection Reg #: LIC 00063746 Final Inspection phis 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 riot 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 through OAR 952-001-0080. You may obtain copie§of these rules or direct questions to OUNC by calling (503)246-9189. 41 Issue iy: / � �'�YrPo Permittee Signature: It &CIr _ Call (503) 639-4175 by 7:00 P.M. for inspections needed the next business Planeck# CITY OF TIGARD Mechanical Permit Application Recd y '113,125.SW HALL BLVD. Commercial and Residential Date Revd TIGARD, OR 97223 Date to P.E. _ (503) 639-4171, x304 Date to DST --- Print or Type Permit# Incomplete or illegible applications will not be accepted Called Narye of DevelopmenVProie Description gable 1A Mechanical Code Q ty Price Amt Job acct dress suite, —' A) Permit Fee 16.00 Address , 1) Furnace to 100,000 BTU Blqa ci y ala zip — includil ducts&vents _ 9.65 2) Furnace 100,000 BTU+ including ducts 8 vents _ 12.00 _ Name(or name of business) ! 3) Floor Furnace Owner including vent _ 9.65 _ lig a 4) Suspended healer,wall heater or floor mounted heater _ 9.65 5) Vent not Included in appliance ermit 4.75 CI v State zip Phone Check all that apply: 'Boiler Heat Air C. ys�k For Items 6.10,see or Pump Cond Qty Price Amt Name(or name of b siness footnotes 1 2 COt1L Ds • 6)Repair units 8.40 Occupant a Ing Address 7)<3HP;absorb unit to 100K BTU 9.65 _ CitylS ale %•m Fiionn _ 8)3-15 HP;absorb unit 100k to 500k BTU 17.65 Contractor ame 9)15-30 HP;absorb unit.5-1 mil BTU 24.15 10)30-50 HP;absorb Prior to permit al nq d ass unit 1-1.75 mil BTU — 36.00 issuance,a copy 11)>50HP;absorb unit>1.75 mil BTU of all licenses y/State zip Phone 60.15 are required if 0212)Air handling unit to 10,000 CFM expired In COT regon Const o Boar I-Tc Exp Date 7.00 database 13)Air handling unit 10,000 CFM+ Architect Name 11.85 14)Non-portable evaporate cooler Or Mailing Address 7.00 15)Vent fan connected to a single duct 4.75 Cdy/State �Ip Phone Engineer 16)Ventilation system not Included in appliance permit 7.00 Describe work to be done: 17)Hood served by mechanical exhaust 7.00 New O Repair O Replace with like kind: Yes o No O 18)Domestic Incinerators Residential O Commercial O Modification O 12.00 19)Commercial or Industrial type incinerator Ilio I ation or descrip' ,f work: A _ 48.25 •(J� 20) Other units,Including wood stoves `3 t 7.00 NOTES For( ommercia roje only;Units over 400 lbs.,located on the 21)Gas piping one to four outlets roof,require structural calcs.prepared by licensed engineer. 3.75 Type of fuel: oll O natural gas O LPG O electric O 22)More than 4-per outlet(each) .75 I hereby acknowledge that I have read this application,that the Information Minimum Permit Fee$50,00 SUBTOTAL given Is correct,that I am the owner or authorized agent of 8%SURCHARGE the owner,that plans submitted are In compliance with Oregon State laws. PLAN Rommercrc OF permits only OF SUBTOTAL Required for ALLL cam , Signature of O�wnner//Agent Date TOTAL Contact Person Neme Phone Other Inspections and Fees 1 Inspections outside of normal business hours(minimum charge-two hours) $5o 00 per hour 2 Inspections for which no fee is specifically indicated (minimum charge-half hour) Foonotes for commercial pro ec ly: $50.00perhour 1 Provide full schematic-of exisU nd proposed gas line and pressure. 3 Additional plan review required by changes,additions or revisions to plans(minimum 2. Provide drawings to scale showing existing and proposed mechanical charge-one-half hour)$50.00 per hour 'State Contractor Boller Certification required knits. - "Residential A/C requires site plan showing placement of unit I:\mechperm.doc rev 11/1/99 �G. CITY OF TIGARD BUILDING PERMIT PERMIT#: BUP2003-00685 DEVELOPMENT SERVE CES DATE ISSUED: 12/11/03 13125 SW Hall Blvd., Tigard, OR 9722.3 (5G3) 639-4171 PARCEL: 1S135AB-01003 SITE ADDRESS: 10300 SW GREENBUP,G RD 500 SUBDIVISION: LINCOLN ONE/RED LOBSTER/CASA L ZONING: C-P BLOCK: LOT: JURISDICTION: TIG REISSUE: FLOOR AREAS _ EXTERIOR WALL CONSTRUCTION CLASS OF WORK: ALT FIRST: sf N: S: E: W: TYPE 01= USE: COM SECOND: sf _ __ PROJECT OPENINGS? TYPE OF CONST: 2FR sf N:v S: E: W: OCCUPANCY GRP: B i OTAL AREA: 0 sf ROOF CONS7: FIRE RET? OCCUPANCY LOAD: BASEMENT: sf AREA SEP. RATED: STOR: H,T: ft GARAGE.: sf OCCJ SEP. RATED: BSMT?: MEZZ?. _ REQD SETBACKS _ REQUIRED _ FLOOR LOAD: psf LEFT: ft RGHT: ft FIR SPKL.: SMOK DET: DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP ACC: BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING: VALUE: $ 5,000.00 Remarks: Tenant improvement, create new wall. Owner: Contractor: EOP LINCOLN, LLC C SCHIEWE & ASSOCIATES INC 10260 SW GREENBURG FID 10 4 NE DAVIS ST SUITE 100 PORTLAND, OR 97232 PORTLAND, OR 97223 Phone: Phone: 503-234-6617 Reg #: LIC 54105 —FEES— REQUIRED INSPECTIONS Description Date Amount Framing Insp 1131-11.l)J Prrnut I�rc 12./11103 $91.30 Gyp Board InspFinal Inspection I'AXj 8' Stare Suirharl 12/11/03 $7.30 113UPPLNI Pin Its 12/11/03 $59.35 I'I.SI FLS Pln R\ 12/11/03 $36.52 Total $194.47 This permit is issued subject to the regulati-ns contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0100. You may obtain a copy of these rules or direct questions to OUNC by callin�J503)246-6699 or 1-800-332-2344. Issued By: Pe mi It tee ) Signature: t�G•-.-ti - - ---__.— V Call 639-4175 by 7 p.m. for an inspection the next business day B_0.Idin Permit Application Received Building PZoo3-00615 �- Date/By. C-5 Permit No City of Tigard Planning Approval Other 13125 SW Hall Blvd. Datc/Hy: Permit No,: _ Plan Review Other Tigard,Oregon 97223 Date/fly: Pemrit No.: Phone: 503-639-4171 Fax: 503-598-1960 Pnst-Review land Use pate/B Case No. _ IlltcrTtt't: W W W,CLtlgaftht)r.tls Contact ions.: See Page 2 for 24-hour Inspection Request: 503-639-4175 Name/Method Su Icmental Information TYPE OF WORK REQUIRED DATA: New construction Demolition _ 1&2 FAMILY DWELLING Addition/alteration/replacement ❑Other: -- _ CATEGORY OF CONSTRUCTION Note: Pemnt fees*are based on the total value of the work performed. Indicate I & I am11y dwelli Commercial/Industrial the value(ro,mdcd to the nearest dollar)of all equipment,materials,labor, overhead and profit for the work indicated on this application. Accessory Buildin Multi-hams _ Master Builder 0 Other:— valuation............................... .......... .... .. . JOB SITE INFORMATION and LOCATION No.of bedrooms: _ No.of baths:._ Job site address: 03D0 VAIGreerlbur Total number of floors............... ................... . — --- - ---- - New dwelling area(sq.R.)............. . Suite _ _ B1d r./A t-#:f-�-11C Li„teTN Garage/carport area(sq.R.)....... .............. . ... —_ ` Project Name: O�rn�M Mol' � at A--e -- Covered porch area(sq. ft.)... ...... .. ...... . . Cross street/Directions to job site: Deck area(sq. ft.)........................... .. ....... Other structure area(sq. R.)...... ...... .. . ... . .. i REQUIRED DATA: _ COMMERCIAL.-USE CHECKLIST Subdivislon:�-__.__. .-_..-__— -- Tax map,Erreel If dote: Perniii tics*are based on the total value of the%%ork performed. Indiewe DESUI i PTION OF WORK the value(rounded to the nearest dollar)of all equipment,materials.labor, - - -- —. ........ indicated on rhe;application. Valuation......... e►�r►� Imp►'n�✓crnevlt overhead an profit ort a work -- _- ----- -----_- -- Exr-ting building area(sq.fl.).. ................... Vs __ ---�_..--— ------ ---- - New building area(sq ft.)............................. . Number of stories................................. ... ... PROPERTY 011'NER `]TENANT _ Type of construction................................. ... . Name: E(SWITY Cf FIGS MOMP-TIC-.S Occupancy group(s): Existing Address: One S-Colurnb_ a Stile- 3 _ New: -p-__ _--- C�/State/Zi or�arc� 0�,�2Fg ---- `- _---- Phonc:�3 ��-�•�iUo Fax: NOTICE: All contractors and subcontractors are rcquire�l to be APPLICANT_ CONTACT PERSON licensed with the Oregon Construction Contractors Board under provisions of ORS 701 and may be required to be licensed in the Business Name: GK AWAA&AS I,hG. - jurisdiction where work is being performed. If the applicant is exempt Contact Name: F-ay P-. C(Or — from licensing,the following reason applies _Address:_I12.d NW coud1 St. Sui'o 'CSO — ------ ---- --- City/State/Zp: Porth— Obi-. ----—-- -- — - - -- ----_ ------- Phonc:503 E-mail: BUH�DING PERAIIT FEES` CONTRACTOR ^— —_ Please refer to fee schedule. --�-- Business Name: C. S !ew! Conat►ve-bioh Fees due upon application.......................... $ Address: Lv2 NE Davis St—y"—t- City/State/Zip' Otr OPL 97232 Amount received. ........................................... $ - - -- Phone5o3 234-GGI Fax: Date received -- -- - CC13 Lie. #• 5��05 - -- -- - -- - ----- -- Authorized y + Notice: This permll application expires If a permll IS not obtained N Itldn Signature' ,�!y-_ Date:f 2'll'0� 1 N days after It has been accepted as cornpletc. (�9 R. Glut 'Fre methodology tet by Trl-('panty flullding industry ';crr'ice Hoard. (Please print name) r`dhti\PennitFornu\BldgPennitAppdoc 01/03 0.3�w1ont Mor�ga�e 5c)o 1,L 11.(-)3 Accessibility: Barrier Removal Improvement Plan City(►f Tigard - REQUIREMENT: OREGON REVISED STATUTE (OR3) 447.241. (1) Every projec!!or renovation, alteration or modification to affectcd builomgs and relatad facilities shall bo made to insure that the path of travel to the altered area and the re::troom, telephones and drinking fountains are readily accessible 10 individu3's with disah'iities unless such alterations are d`spropoaionate to the overall alterations in terms of cost and scope. (2) Alterations made to the path of travel to an altered area may he deemed dispropertioliate to the overall alteration when the cost eAceeds twenty-five per-cent(25%). VALUATION: of all renovation, alteration or modificatioi ')eing done 1 5 000 00 excluding painting, wallpapering L 1 $ __�.- mu!tipfy_ 2511K, Bari ier removal requirement. G5 ao- BUDGET FOR FARRIER REMOVAL (2) -- In choosing which accessible elements to provide under this section, priorty shall be given to Inose elements tha! will provide the greatest access. Elements shall be provided in the following order: (,a) _3 campus si t work • reworking $ ._1--2_TIP, - — acces.r roadway.' aKd buddies eN'#zraNr.c1 (b) An accessible entrance: -.------- ------ (c) An accessible route to the altered area: $ __-- (d) Al least one accessible restroom for _— --.._— each sex or a single unisex restroom: (e) Accessible telephones: $ ------- (f) Accessible drinking fountains: and $ (g) When possible, additional accessible elements such as storage and alarms: $ TOTAL: $ g hall a ual— e lin 2—of Value Coatlon $ _ _ i� ,__m p_ut t-1(1 Wforms�Acccsstittttly(1(K' 06/07/02 CITY OF TIGARD 24-Hour BUILDING Inspection Line: (503)639-4175 MST INSPECTION DIVISION Business Line: (503)639-4171 B U P -- ------- - - Received 0S Gate Requested Z _ Z -04 AM PM BUP Location �� suite C MEC Contact Person ( ) _-_- PLM - .7 Contractor-___._.��.ir�'L�l E Ph( �z J" L _ SWR — BUILDING Tenant/Owner f�� 2.- _ __�_ ELC�.� – U b _'�_ ... - -- -- Footin,j 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 NailingFirewall -- Fire Sprinkler Fire Alarm Susp'd Ceiling - -- Root Other- - - ---- Final PASS PART FAIL PLUMBING 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 —� Rough-In UG/Slab / Low Voltage l�'1..� -..C-),Bw Ala_rm Fin Reinspection fee of$ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PIA FAIL i PleHse('all foi remsrection RE__ - __ -� Unable to Inspect-no access Fire Supply Line ADA . Approach/Sidewalk Date Inspectof ut _ Other:_ Final ~ - DO NOT REMOVE this Inspection recofrd from the job site. PASS PART FAIL ERMIT- CITY OF TIGARD ELECTRICALRESTRICTED ENERGY RESTRICTED ENERGY DEVELOPMENT SERVICES PERMIT#: ELR2003-00391 13125 SW Hall Blvd., Tigard, OR 97223 (5n3) 639-4171 DATE ISSUED: 12129/03 SITE ADDRESS: 10300 SW GREENBURG RD 500 PARCEL. 1S135AB-01003 SUBDIVISION: LINCOLN ONE/RED LOBSTER/CASA L ZONING: C-P BLOCK: LOT: JURISDICTION: TIG Proiect Description: Voice and Data wiring. A.RESIDENTIAL _ B.COMMERCIAL ___� AUDIO & STEREO: AUDIO & STEREO. INTERCOM & PAGING BURGLAR ALARM: BOILER: LANDSCAPE/IRRIGAT: GARAGE OPENER: CLOCK: MEDICAL: HVAC: DATA/TELE COMM: r, NURSE CALLS: VACUUM SYSTEM: FIRE ALARM: OUTDOOR LANDSC LITE: OTHER: HVAC: PROTECTIVE SIGNAL: INSTRUMENTATION: OTHER: TOTAL#OF SYSTEMS: 1 Owner: Contractor: EOP LINCOLN, LLC ESP TECHNOLOGIES 10260 SW GREENBURG RD 7929 SW BURNS WAY STE. F SUITE 100 WILSONVILLE, OR 97070 PORTLAND, OR 97223 Phone: Phone: 503-629-4195 Rey#: LIC 73972 ELE 34-269C LE FEES Required Inspections Description_ Date Amount Low Voltage Inspection rLi'w0I I I.L.It PC111111 12/29/03 $75.o0 Elect'I Final IAN I K"i,State Sur(h,.ur1 12/2.9/03 $6.00 Total $81.00 This Permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 throuc Issued by ��t�t _tom. J` =_ �G�.21 L Permittee Signature OWNER INSTALLATION ONLY The installation is being made on property I own which is riot intended for sale, lease, or rent. OWNER'S SIGNATURE: _ _ DOTE_ _ CONTRACTOR INSTALLATION ONLY _ SIGNATURE OF SUPR. ELEC'14 DATE:----------- I ATE:_ _ ___—^— 1 tCENSE 140: Call 639-4175 by 7:00 P.M. for an Inspection needed the next business day oji,,2ti• 2001 119:1'2 FAX 5075981960 _ Ci 11 Ur 11GaKD Y,uu. uu.r Elcctr- al Permit Application pecntitnok;-Ltjd7i-C70 39 I -- --- — Dalereeeivr I l nv: E,tpiredatc: City of Tigard Receipt no,: trd,OR 9722 -�� /�Rord Addcess: 131263�Ha118lvd.TiR 3 Date issued:,�-•— p�ymentrype' �iryn Phune: (503) Case fl1e no.: Fax: (303) 598-1960 Land use approval: O Multi-farnily O Tenant improvement ComU er tnercWhridusirial other. thQ partial U i &2 family dwelling or eeeessory dditiolUaltervtiun/replucetnent `- O Naw canstmaton 33Et , a 1 suite no.:`i ct C, Tax map/=lod Bl_d_� --- � � ►rSty Cwrcat,b ,no�•.� _ lob addtzas' 0e L%kLdl 43�-�--u 3M) _ wl h� ahxk: Subdivision: - d 0._ LrJC Descry non and- n elf wort,"n premises:Mt,__?t�i PtoiCct name: QIQArv.w.0 �— t E:Um•lirti dalr of cr mPieliollhnsperiton: , F.� Mac 1 may• (al Znml nuin!- [job roJob pn: - IeormutU•tarn)ly I" /-1 I\--- +.` N'' I stdvnd�l sin P. �USlne45 nntne: �— �t? 1 �_ dwe0in&tncit.►ncludp arocard tt'trt�i" 7r le. r 'v S'r icrinclud.-d: d Address. State:(� ZIP: C, �tJ - 1000 sq ft"'I Iesa . E-ma L C Fax: +' n r i]:-+�(l`G -�- Each addidonsl 500!1.P.or�bttton thureo{ 1 .� )tier.bus.lie. urnlivderrergy.twidenual CCg� �'�'� � • "- Wntl�ede^crgY,tu,n-roaidenu�t ��_- Ciryhneuu lie•n6.: 3 Foch manuftictttted tlnme or runAulsrdwali�A _ — 2 r' ,„�.�-�' -"^'"•. parr _Service and/or Eaadrr i' r ulr►ri) n lServf"�'c•ao�tceder*-Irt�Gtiiatibn, i �_$ E cicvlcfan(�q f Umnyc no: � (e E 1 dleralion or telot>,lin^' 2 Su elec.'.name(print) 4 G 100 anllcs OI to:< 2 zp�" 1 wps to 40u amp• 1, .z A L L`_.,1 c, poi nmP am s to 600 ps 7 Name(print): f 0 1 " '-- a to 1000 unpa 2 Msiling address;O Mio�h l'�I. o'�cp sw C een tv �. t 60►smv �-- Zly: "L'Z 3 Ovv lolJO State•o -- City. 0.v�� E-mail: Raconnect�,�_ Fax: emporor.1ser jc"ortcrd ` Phone 2 llt�latlladnt4 taltc+slioa or n.Incanut4 owner installation:The ittsta ladon is being made on prapeRy 1 awn 2txt snu's nr trF+ _ z which is not intended for stile,IC&SC,tent,or exchange aceordiriR r^ 7.(11 Ntips 400�s ,- - 1 ORS 447,45s,479,670,701. Date.. 401 w 006 IUIIPS ,. Owner's ,i IRt"": _ _ - 6 590 10 4 t7neh ruNlre-new,attrtattan, of,exlemion per parrrl: n, Fre forbtunrh eircWts v+tth putrhn.5e of 2 Name: orTeraer fee,arch bcan°h circuit Address _ .-- R Fee[orbraneheitcuitswlth^utpurcha+r — State: ?�' _ of scrVicr.or(cedar fee,f ret branch circuit. City —__ _ F.tx F.-cosi): Faehadditlon.0hrnnchcirttrit: Pho_ne t�t;�,(g;•nicn nr rerdernc t Included): 2-� back rump or1nigauun circle c Firalthcrttefacihry 8rtthrl noroudlnrli hdn O$ervis neer t,:5 snit -.nnunr,-;nl G tiaza daualocan"° nal rireu r(a)or a limned enerttY Pule). I I U Servict ovej 320 amp"rating or 1 Art SiR 1 T (andlydwell inps pPuilding,ouerI00)(I%quam r"tourof iteman- n.Orext-Mona more residential units in ortr structure r:j gyoJem nvv 600 YOU nominal assn: over crrree+torics O Pentels.400 amps or mnrr fyeh>iAdittnnot instw conn over rhe allowable In any LRuttding ❑Manufactuted auuelutra or RV purlr ��--_ G MC-irnnt load over 49 petsons Pcr urs ection - OEgra+llightutgplan ihveall edontrs ,_._�_ _ ls of paci iwith any of the above. Other submit---se 'lire abovr ate not applitmbie to lempnnuy eonsttyetlon��ro -- Permit fee........- -' a Notice 1•his perm(Capplicedon plan teview(at - urvdlrUm ra r infnmwi^ _ Nd art),n{nlhvolte acoapc aedil mrd:,pitaut yll 1 expires if a permit is not obtained State surchltge 0%) .•.•S U MaaterGud within 1 RO days after it has Men Uvsa TOTAL . 5 -- — Crpt11 carA names-. - �-J-"' ee steepled ns cornplctr. ... Name eu ,o as a aura ;;Alt ea4— 4a,i6is t��• s Atnouel Cydho gRnutrn \� CITY OF T I GA R D MECHANICAL PERMIT DEVELOPMENT SERVICES PERMIT#: MEC2003-00736 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 12/30/03 PARCEL: 1 S135AB-01003 SITE ADDRESS: 10300 SW GREENBURG RD 500 SUBDIVISION: LINCOLN 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: 601LERS/COMPRESSORS HOODS: FUEL TYPES _ 0 - 3 HP: DOMES. INCIN: 3 15 HP: COMMI_. 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: <= 10000 cfm: GAS OUTLETS: > 10000 cfm: Remarks: .\tlti ne%� supply duct to separate ten uu hel(Ieate IIII ee I)lieumaur tlirrn oStats. Value$1193.00. Owner: 4 FEES _ EOP LINCOLN, LLC Description Date Amount 10260 SW GREENBURG RD �MG('HI PL-111111Pec12/30/03 $72.50 PORTLAND, OR 9722323 SUITE 1 A\) S" ~tate 12/30/03 $5.80 Phone: Total $78.30 Contractor: MCKINST RY CO 5400 NE COLUMBIA BLVD PORTLAND, OR 97218 REQUIRED INSPECTIONS Mechanical Insp Phone: I-0 34 Duct Inspection Reg #: L IC 40981 Final Inspection This permit is issued subject to the regulations contained in the Tigard Municipal Code, State nf Ore Specialty Codes and all ether applicable laws All work wili be done in accorclance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is Suspended For mure than 180 days. ATTENTION. Oregon law requires you to follow rules adopted in the Oregon Utility Notifration Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0100 You may obtain copies of these rules or direct questions to OUNC by calling (503)246-6G99. J I , Issued By: J`+'_t1Zca C ew_ y �� Permittee Signatures s4,> �( y Call (503) 639-4175 by 7:00 P.M. for inspections needed the next business day Mechanical Permit Am licatiuFOR OFFICE ONLY _n n Received echanical t Date/Bv Q�> T'rJ Permit No. 6C V()3 Planning Ap rov I Building � I l� U� � 11;:11't:� Date/By Permit No i 3125 SW' Hall Blvd. Plan Review Other ,,ard,Oregon 97223 Date/By Permit No.. t,hone: 503-639-4171 Fax: 503-598-1960 Post•Rcvie% Land Use Date By Case No.. Internet: waw.ci.tigard.or.us Contact Jsee Page,for 24-hour Inspection Request: 503-639-4175 Nume/Method Supplemental Information. TYPE OF WORK COMMERCIAL FEE*SCHEDULE-USE CHECKLIST New construction I F1 Demolition Mechanical permit fees'are based on the total value of the work Addition/alteration/replacement Other: performed. Indicate the value(rounded to the nearest dollar)of all CATEGORY OF CONSTRUCTION mechanical materials,equipment, labor,overhead and profit. I & 2-Family dwellin Commercial Industrial Value: S 1 1 183. O O _ See Page 2 for Fee Schedule Accessory Building Multi-Family RESIDENTIAL EQUIPMENT/SYSTEMS FEE'SCHEDULE Description tv Fee(ea. Total Master Builder Other: Heath coolie JOB SITE INFORMATION and LOCATION Furnace-add-on air conditioning" 14.00 Job site address: 1030L1 SW GR MvA 3ZJM RD. Gas heat pump _ 14.00 Suite #: SOQ I Bld ,/A tp #:UWaL! GNB. Duct work 14.00 Project Name: is AKMOumr H dronic hot water system 14.00 Residential boiler Cross streeMirections to job site: (for radiator r hydropicsystem) 14.00 Unit heaters fu-I,not electric) (in wall,in-d-1 suspended.etc.) 14.01) Flue/vent(for any of above) _ 10.00 Subdivision: Lot#: Repair units 12.15 Tax map/parcel #: other Fuel Appliances Water heater 10.00 DESCRIPTION OF WORK Gas fireplace 10.00 ' —� Flue vent iwater heater as fireplace) 10.00 �' l C r i B Log lighter as) 10.00 Wood/Pcllet stove 10.00 Wood fire lace/insert 10.00 TfJ"' LA", Chimney/liner'fluehent 10.00 PROPERTY OWNER TENANT Other Name: EEQl1tT4 QFr-10_ PROMR11FES Fnvironrnental Fithaust&Vontllation —�-- Range hood other kitchen equipment I0.U0 Address: a(1.1t�. Got.t►MDifa 5t .��jll l Cly 30Q Clothes drver exhaust 10.00 City/State/Zip: PORrLM*A4DI aa . 97 v a _ Single duct exhaust Phone: Fax: (bathrooms,toilet cnmparimcnts, APPLICANT CONTACT PERSON utility rooms) 6.80 Name: Attic crawl space fans ^_ 111(111 Address: 5406, "IL (: GU( AM MI A sw D. Other: 10.00 Fuel Piping City/State/Zip: PQR.TL.A-Q D 02 "(55.40 for nrst 4,$1.00 each additional) Phone: GQA 33► 4734 I Fax 33) to90 6 Furnace,etc. Gas heat um •' E-mail: _ Wall suspended/unit heater '• CONTRACTOR Water heater " Business Name: Me_KINSTRJ GO Fireplace " Address: 5400 1& (ALUrIt51p ISO D Range '• gg .. Cit /Statcli : f'C9R.TtAN� Elm Clothes dryer(gas) " Phone: S02 331 GL34j Fax: SM 331 (pgtJi6 Other: .. CCB Lic. #: ( �'� 9 Total: Authorized Mechanical Permit Fees* _ Cignature Date: 1 '3O 03 __ Subtotal: S -' �— Minimum Permit Fee$72.50 S ( kA Plan Review Fee L!! of Permit Fee) 5 (Please print name(( o _ State Surcharte(8°b of Pet Fee) 5—� TOTAL PERMIT FFF S 7 �btfce: llch perndi application expires If a perndt fs not oMuined,+ithiu *Fee methodology set b%Tri-Count} Building Industry tier,Ice Board, 180 day,afler it ha,been accepted as complete. "Site pian required for exterior A/C units, i I Dsts,Pennit Fumy Mecf ennuApp.doc 01103 Ah. '64 Fr- OL rl -- n �� m + Cb dry KMOUNT LIN CC,LN :NM - SU P C,wrv-t� CA. ciltt-s C��_ I O� �I��wKD ELECTRICALPERMIT Y PERMIT#: ELC2003-00743 r.,.; DEVELOPMENT SERVICES DATE ISSUED: 12124/03 13125 SW Hall Blvd.,Tiqard, OR 97223 (503) 639-4171 PARCEL: 1S135AB-01003 SITE ADDRESS: 10300 SW GREENBURG RU 500 ZONING: C-F' SUB0IVISION: LINCOLN ONE/RED LOBSTER/CASA L BLOCK: LOT : JURISDICTION: TIG Project Description: Install 11 branch circuits. RESIDENTIAL UNIT TEMP SRVC/FEEDERS MISCELLANEOUS 1000 SF OR LESS: 0 - 200 amp: _ PUMP/IRRIGATION: EACH ADD'L 500SF: 201 400 amp: SIGN/OUT LINE LTG: LIMITED ENERGY: 401 - 600 amp: SIGNALWANEL: MANF HM/SVC/ FDR: 601+amps - 1000 volts: MINOR LABEL (10): __ _SERVICE/FEEDER BRANCH CIRCUITS ADD'L INSPECTIONS 0 200 amp: W/SERVICE OR FEEDER: PER INSPECTION: 201 - 400 amp: 1st W/O SRVC OR FDR: 1 PER HOUR: 401 - 600 amp: EA ADD'L- BRNCH CIRC: 1r) IN PLANT: 601 - 1000 amp: _ _ PLAN REVIEW SECTION 1000+ amp/volt: �T >=4 RES UNITS: >600 VOLT NOMINAL: Reconnect oni SVCIFDR>=225 AMPS: CLASS AREA/SPErJ OCC: Owner: Contractor: LOP LINCOLN, LLC WILLAMETTE ELECTRIC INC 10260 SW GREENBLIRG RD PO BOX 230547 SUITE 100 TIGARD.OR 97281 PORTLAND OR 97223 Phone: Phone: 503-624-3631 Ren #: LIC 7505) SIJP 19055 __ FEES ELE 34-251( Description Date _ _ Amount Required Inspections I I I'ItM'hj I:L(_ Permit 12 24110 $113 35 fA\� State Surcharge 12/24/03 $907 Rough-in F Elect'l Final Total $122.42 This Permit is issued subject to',he regulations contained in the Tigard Muniapa!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 I Nork is suspended for more than 180 days ATTENTION Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0100 You may obtain copies of these rules or direct questions to OUNC at(503) 246-6699 or 1-800-3�7 2344, Issued By: > y f% L,T/l Permit Signature! ,.O)L'_ Y% _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. EL_EC'N. DATE:_ — [ (CENSE NO. Call 639-4175 by 7:00pm for an inspection the next business day F lectricti Permit Application --<- - lReceived Electricalete/B a ll J •� Permit No. t Cit of Tigard Planning Appr val Sign City g Date/By: Permit No.: 13125 SW Hall Blvd. L Plan Review Other — Tigard,Oregon 97223 Post-Ry: PermitNo.:___ __ Phone: 503-639-4171 Fax 1�j�; Post-Review Land Use F c1 LUU3 Date/By: Case No,: Internet: www.ci.tigard.or,us Contact Juris,: Z See Page 2 for 24-hour Inspection RequesGJJW(PV-AL?AHU Name/Method: _ 5u t elemental Information. 13UILDING DIVISION _ T r..►•;fi PE; 55��,��yy�� I :a,r t �y RI V�EW Y ill all atrftpli New construction Uelnollt loll _ Service over 225 uwps- Health-care facility — commercial ❑Hazardous location Q Add ition/altern tion/replacement Other: ❑Service over 320 amps-rating of ❑Building over 10,000 square feet, r EC _• $ A_ 1&2 family dwellings four or more residential units in I & 2-Family dwelling__ Commercial/Industrial ❑System over 600 volts nominal one structure Y AccessU Building _Multi-Famil ❑Building over three stories El Feeders,400 amps or more 1 —� Y ❑Occupant load over 99 persons ❑Manufactured structures or RV park Master Builder ❑ Other: ❑Egress/lighting plan p Other:_ _ INBOR _ diAd L , TI°Irl r,' Submit_,sets of plans with any of the above. The above are nota livable to temporary construction service. Job site address: 1`1.10 <a Suite#: S V' Bld ./A t.#: _ _ _ Number of Inslectlons per Permit allowed Project Name: Qe�t��s-s.r _ - _- Description Qty Fee(ea.) Total New residential-single or multi-family per Cross street/Directions to job site: dwelling unit.Includes attached garage. Service Included: 1000 sq.ft.or less 145.15 4 Each additional 500 sq.ft.or portion thereof 33.40 I_ --- — -- - Limited energy, Subdivision: Lot#: nonresidential sie _ 75.00 2 -_-_ Limited energy,non residential 75.00 2 Tax map/'p map/'parccl h, Each manufactured home or modular dwelling o� R1 his service andrbr feeder 90.90 2 — -- `--_ - Services or feeders-installation, alteration or relocation: 200 amps or less 80.30 _ 1 ----- — 201 ams to 400 ams _ 106.85 2 401 amps to 600 ams 160.60 2 —_— :', 601 amps to 1000 ams _ 340.60 2 VRO OWr1E _? tCNNaT, ,,:,_ Over 1000 amps or volts __ 454.(5 — 2 Nanl!=: Reconnect only66.85 2 Address: Temporary services or feeders-Installation, --- ---- alteration,or relocation: City/State/Zip: - - 200 amps or less _ __ 66,85 1 Phone: Fax 201 amps to 400 ams 100.30 2 — r ------{, v 401 to 600 amps- 133.75 2 '13T— _ 1� � - Branch Orcuits-new,alteration,or Name: extension per panel: Address: A.Fee for branch circuits with purchase of 6.65 2 _— _- ---_ service or feeder fee,each branch circuit B.Fee for branch circuit•without purchase of i Cid/Statf,/�: �. - - -- - ---- - service or feeder fee,fust branch circuit ( 46.85 yfn 2 Phone: - FAX: Each additional branch circuit 6.65 2 E-mail: Misc.(Service or feeder not included) --r--- Each pump or irrigation circle 53.40 2 0-O--LPT 't"y a = Each sign or outline lighting _ 53.40 2 Job No: 5 3 l Signal circuit(%)or a limited energy pane - -- I3uS1neS1i Name: Wt �L&p.,Jft `r ft ,rh,t /0u alteration,or extension Page 2 2 - Description Address: z ec -4 r Each additional inspection over the allowable In ani of the above City/State/Zl Tt s l±'t /tet ;I t / Per inspection per hour(min. I hourZ _ _ 62.50 Phone: C "-4-- ?> z / I Fax: L y -J r/ investigation fee: CCB Lic. #: i cu>--i Lic, #: ?4. 2t-a other: Supervising electrician _ _ subtotal S /I ; si attire required: Plan Review 525%of Permit Fee S Print Name: r Lic. #: 1 54 l State Surcharge(8°/6 of Permit Fee S _ , e TOTAL PERMIT FEE i 4 L Authorized Notice: This permit application expires If a permit is not obtained within Signature: Date:_-__ __ 180 days after it has been accepted as complete. 'Fee methodology set by Tri-County Building Industry Service Board. (Please print name) is\Dsts\Pimnit Farms\ElcPermitApp doc 01/03 h;lectrical Permit Auplication - C'itF of Tigard Page 2 - Supplemental Information LIMITED ENERGY PERMIT FEES: RESIDENTIAL WORK ONLY: ec for all systems............................................................ $75.00 (beck Type of Work Involved: Audio and Stereo Systems* Burglar Alarm �] Garage Door Opener* Heating,Ventilation and Air Conditioning System* ❑ Vacuum Systems* Other -- --- COMMERCIAL WORK ONLY: - F'ee for each system.......................................................... $75.00 (SFE OAR 918-260-260) Check Type of Work Involved: Audio and Stereo Systems Boiler Controls Clock Systems Data Telecommunication Installation E] Fire Marra Installation HVAC instrumentation Intercom and Paging Systems Landscape Irrigation Control* Medical Nurse Calls Outdoor Landscape Lighting* Protective Signaling C-1 Other - Number ol'Systems * No licenses are required. Licenses are required for all other installations i:\Dm\Pemiit Forms\ElcPermitAppPg2.doc 01/03 CITY OF TIGARD 24-Hour BUILDING Inspection Line: (503)639-4175 MST INSPECTION DIVISION Business Line: (503)639-4111 — BUP _ Received . . ______._ Date Requested –i( AM PM _.__ BLIP —. Location v.3vU �,,� ��,,_ &i,g r��,-- U __ �� .�•��._.___ � Suite_ ---- MEC Contact Person ------- v Ph(---) PLM Contractor _ Ph SWR BUILDING Tenant/Owner ___-- __— ELC 2r,1 4)Z- Footing Foundation ELC Access: Ftg Drain ELR Crawl Drain Slab Inspection Notes: SIT Post& Beam Shear Anchors Ext Sheath/Shear Int Sheath/Shear Framing - -- Insulation Drywall Nailing --- ------Firewall Fire Sprinkler - - - -- Fire Alarm Susp'd Ceiling - - - - —.-- Roof Other: --- - - _ Final PASS PART FAIL PLUMBING — - -- - - - - -- -- Post& Beam Under Slab - - - - ---f- Rough-In Water Service - --- - -- -- ---- Sanitary Sewer Rain Drains - - — — Catch Basin/Manhole Storm Drain - --- ------ --- -- Shower Pan Other: - - - -- Final PASS PART FAIL - - - - - - --- -- --. _. MECHANICAL Post& Beam Rough-In _ Gas Line Smoke Dampers Fina! PASS PART _FAIL -- EC Servic — - - - Rough-In UG/Slab Low Voltage Fire Alarm I PART FAIL L] Reinspection fee of$_-- -_ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. SITE _ L-I Please call for reinspection RE:___-- _- ------ Unable to inspect-no access Fire Supply Line ADA �) �, Approach/Sidewalk Date _mac ---L ,-�_ Inspector_ _� r�._—__.��%� Ext Other Final DO NOT REMOVE this Inspection record from the Job site. PASS PART FAIL � CELECTRICAL PERMIT CITY O F T I GA R D PERMIT#: LLC2002-00424 DEVELOPMENT SERVICES DATE ISSUED: 8i28/02 13125 SW Hall Blvd., Tioard, OR 97223 (503)639-4171 PARCEL: 1S135AB-01003 SITE ADDRESS: 10300 SW GREENBURG RD 500 SUBDIVISION: LINCOLN ONE/RED LOBSTER/CASA I_ ZONING: C-P BLOCK: LOT : JURISDICTION: TIG Proiect Description: Add (2) branch circuits RESIDENTIAL_UNIT _TEMP SRVC!FEEDEF:S MISCELLANEOUS _ 1_000 SF OR LESS: 0 - 200 amp PUMP/IRRIGATION: EACH ADD'L 500SF: 201 - 400 arnp: SIGN/OUT LINE LTG: LIMITED ENERGY: 401 - 600 amp: SIGNAL/PANEL: NIANF HM/SVC!FDR: 601+amps - 1000 volts: MINOR LABEL (10): _ SERVICE/FEEDER—— _ BRANCH CIRCUITS ADD'L INSPECTIONS ^ 0 - 200 amp: W/SERVICE OR FEEDER: PER INSPECTION: 201 - 400 amp: 1st W/O SRVC OR FDR: 1 PER HOUR: 401 - 600 amp: EA ADD'L BRNCH CIRC: 1 IN PLANT: 601 - 1000 amp: _ _ PLAN REVIEW SECTION___ 1000+ amp/volt: >=4 RES UNITS: > 600 VOLT NOMINAL: _ Reconnect only: SVC/FDR >= 225 AMPS: CLASS AREA/SPEC OCC: Owner: Contractor: EOP LINCOLN, LLC WILLAMETTE ELECTRIC INC 10260 SW GREENBURG RD PO BOX 230547 SUITE 107 'TIGARD, OR 97281 PORTI.AND, OR 97223 Phone: Phone. 624-3631 Reg#: LIC 75059 SUP 1965S ELE 34-283C FEES Required Inspections— Type By Date Amount Receipt Rough-in PRMT CTR 8128!02 $53.50 2720020000( Elect'I Final 5PCT CTR 8/28/02 $4.28 2720020000( 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 will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days ATTENTION. Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0080. You may obtain copies of these roles or direct questions to i Permit Signature: (/� �— _ Issued By: OWNER INSTALLATION ONLY ThP 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 NO: Call 639-4175 by 7:00pm for an inspection the next business day 11"lectrical PerinitApplicatio11 Date received: Permit no.n Z zc c _LA r z c l City of "Fit;ard Pro)ect/aphl.no.: Expire date: Address: 13125 SW 11.111 Fllvd,Tigard,OR 97221 Datelssued: lly:("L I Receipt no.: — f'uvn/IIg,nJ � I hone: (503) 639-4111 Case file no.: I'ayincut type.- Fax; ype:Fax: (503)598.1960 —' Land use approval: 1 ` U Muhi•famil l�l'I'cnnnt inynovrnlcnt U 1 (fe 2:antily dwelling or accessory U f'ununrtcinl/inllu;Ilial y U I'nitinl U Nrw construction U Mi,Iluun/n11r1811n11/IP1+11t CI1N'lll U Other: 1 Illdg.no.: i Suite no.:-%W Tax mnit/lax lul/account no.: 1oh address: — — _ IA* Block: Sultdivision: — - P Urscription and h,cation of work on premises: 1„rttject name: f�o ��-�T.f ?slimBlrvl flair of contfticlirnt/instxc lion 1 Fee 111e� ,tub no: 24 � U --- _ Irestrlpllnn _ 1)t). (ca.) rolol rw.Im FlUsincss name: (IJ, l R MIF�) 'l s•t? rtl amlly per Addrexa: Lt /3 7TU T - d"ellingrarll.ImladesalterlwdRBuge, �ht^, ,t ZIP: 2d / Set vice bcluded: (_Ily: 1 t3�g t U 1009 a fl.or Iecc _• _. _-. -- s 111x: G7 t E-mail: ----3--- Plronc: t 1 S 4 r y y�a�- [Bch add{Uonsl SOIr eq fl.err portion Ihercol CCII no.: 71-6 r-11 tiler.bus.lie.no: LimNedenergy,reafdcntlal _ 2 Cit Imclro tic.no.: 15 IJmitedenergy.no”fesiden11e1 2 ._ '1-r L _—_ [tach manufeclrned honrc or malalar dwelt{ng 2 +�1t Service amUot feeder SLn of sup�ery Hall gel' trlcien(required)- _i_ ,_____ _- r•Icesnrfrerler,r-Imlalldion, Sup.elr^t.name(print): 0 r� . r. 1 1,e,+se no />! S dlenllnn or Ielocellon: ILIA I MCI 21X1 mills or less 2 201 amps In 411x1 amps _ _ - 2 Name(print): _ 401 sto s to 6011 am s _ 2- _ p.�—!' 2 Meiling address. - 7X7: -__- . 601 amps to IOW snips2_ Slate: ZIP__- Over IOW amps or vnh$ -- G-mall: Reconnect onlPhone: •� 1 ernpenry aerrlesy or feeders- olvner inntallation: the installation is Irving made on property I own IniallMllon,miter allon,orrelocatlon: which is not intended for sale,lease,rent,or exchange according to eon amps or less _---_ _. -- —.2 ORS 447, 455,479,670,701. 201 amps io 4W anq+s ___ —2T -401 to 6W floe"_ 2 nwncl's si rnnluro: I)alc: - Branch clrrdls-new,alteration, or exlen rinn per panel: Name: _ A. I're 1-1,+811(1 circuits"ll purchase of 2 service or feeder fee,each branch circuit -_ Address_: at e: )l. pee for branch circuits without purchase /� iti S 2 City: of service or feeder fee,first Manch circuit. 71; _ F'Irone: Fax l:-ttrallt techaddit{onell,an(hctrcuft: Ad * MHe,(Serrlce err feeder not Inchtded): 2 k ash um or initiation circle _2 USrrvlceover225aropsmmmerrid UHnllhcarefacilhy Iisch�roumnelighling - -- U Service over 120 enys rating of I k 1 U I IerBrrMus location signal circuit($)or a 141111 energy poral, femilydwellings U Building over IO,000squerefeet four ru dteration,orestensic,n• 2 U System over 600 volts nmuiosl near residential units In one$uuclurc U nulldinti over duce erories U 1'eerlers,400 amps or more •Ik$criptlon:_ U Occupant load over 9^persons U Manufactured%nuclures or RV park F'Ach additional Intpecllon ore,the ellonable In any of the Moore. U f{ress/lightingplan U Ihl+er. __"_ ---- -- ter inspection Submit sets of plans rrl(h any ol'the above. Investigation fee Other - 'llle aboTe are not applicable to temporary contirvcfion"'hire. ---- sa ---- �Petnlit(cc..................... Na alt h.iadk"-—'A credit ted,,please call)urlrlkdoB to mrxe Infermellnn Notice: Iltit permit nppllcalfun 1'1x11 review(at 96) -- UY�u UMuterCard exl+ires if B permit is not obtained State surcharge(896) ....s within I Rol days it it has been - - Credit tard Bamber. _- ��-- _- - res --� t----T accepted ns rnmplcte. ��(�N-(nCr u argMB M CItd1I ,�- 410161 S(IvIxLL'l1M) C t a tincture ._ Electrical Permit Fees: Limited Energy Fees: IE.'le Fee Schedule Below: TYPE OF WORK INVOLVED - RESIDENTIAL ONLY CO/l?p Restrl,-ted Energy Fee...................................................... $75.00 Number of Inspections per )errnll allowed (FOR ALL SYSI EMS) Service included: (tams Cos( TWA Check Type of Work Involved: Residential-per unit 1000 sq.fl or less 5145 15 4 Audio and Stereo Systems Each additional 500 sq 11 or portionOlered ^_ 533.40 ^ 1 0 purularAlann Limited Energy ^ _ $75.00 Each Marnrl'd Hong a Modularf Garage Door Opener' Dwelling Servko o Feeder _ _.^ $9090 2 Services or Feeders C, Ilea(ing,vellwalion and Air Conditioning Sys( nn' Installation,alleraWif,or rekralivn 200 areps or lees $0030 2 vacuunn Systems, 201 amps to 400 amps v� $106,85 — 2 491 Props Io 600 amps :t 1 S0.6o 2 - l r7lhcr 601 amps l0 1000 amps 124060 2 u over 1000 amps IN volts $454 65 _ 7 -- - - -- --- -- Reconnect only $66.85 2 Temporary Services or Feeders TYPE OF WORK INVOLVED -COMMERCIAL ONLY installalio n,allorntio n,or rolocalicvl 3t3t,.8!i _ 2 Fee for each system.................................................... .... $15.00 7r0 amps a lass 201 snips to 400 arops $10(130 � 2 (SFE.OAR 910 260.2611) 401 amps Io COO amps $133,75 _— 7 Over rico amps l0 1000 vnlls, - - Chock Typo of Wurk Involved: see"b"above. Audio and Sleteo Systems B+anch Circuits New,alierallo n or extension per panel r—' a)itM reg to bin1wl)cinrulle LJ Boller Controls with purchase of servfce or feeder lea. Glock Syslems Eachtxantl+ckrtrll _ $6.05 2 b)The lee for bnarxh circuitsData 1 elecunmunnic ellen Inslallallun wilhout purchase of service or feeder fee. Fire Alarm Inslallallon rksl bnarxl/dr_uil _ _ $46.85 Each addilklnal brooch circuil _ $6.65 l lone Miscellaneous (Service or feeder ref Whaled) n first,umenlatiorn Each pump or Initiation circlo $53.40_ Each sign or outline Iighlhng $53.40 C, Intercom and raging Syslems Signal ehevA(s)or a Nmiled energy panel,alteration or extension _ 575.00 Mina Labels(10) S,125.00 - L Landscape Irrigation Conbol' Each additional Inspection over ❑ Medical the allowable In any of the above Per Inspecllon _ $67.50 v�^ Per loon S62.50 tlurse Calls In Plant $73.75 Outdoor Landscape Llyhlhny' F@es: r-t u Prolective Signaling Enter total of above fees $ 6%State surcharge $ _ [� Other -------- -- -- - 25%Plan Review Fee �_ ___Number of Systems See`flan Review'secllon on $ front of applkallon. ' No licenses are rgquirod, Licenses oro inquired for all other Insratlalirxns Total Balance Due $ Fees: `V Enter total o1 above lees S ❑ Trust Account N __ 8%Stale Surcharge Total Balance Due 0ditiVomt0ek-ryes dire 10/091(ri CITY OF TICARD CERTIFICATE OF OCCUPANCY_ PERMIT#: BUP2003-00685 DEVELOPMENT SERVICES DATE ISSUED: 12/11/2003 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 PARCEL: 1S135AB-01003 ZONING: C-P JURISDICTION: TIG SITE ADDRESS: 10300 SW GREENBURG RD 500 SUBDIVISION: LINCOLN ONE/RED LOST ER/CASA L BLOCK: --- —---- CLASS OF WORK: ALT TYPE OF USE: COM TYPE: OF CONSTR: 2FR OCCUPANCY GRP: B OCCUPANCY LOAD: TENANT NAME: OAKMONT MORTGAGE REMARKS: Tenant improvement, create new wall Owner' _ ----- -------- EOP LINCOLN, LLC 10260 SW GREENBURG RD SUITE 100 pR 972 PPhone ND503-234-617 Contractor:.------- C ontractor: _C SCHIEWE& ASSOCIATES INC 1024 NE DAVIS ST PORTLAND, OR 97232 Phone: 503-234-6617 Reg #: LIC 5411is This Certificate issued 1/2/2004 grants occupancyhe building has been inspected for building or portion thereof and confirms that compliance with the State of Oregon Specialty C des for e group, occupancy, an use u der w '�h tf�e referenced permit wS BUILDING FFICIAL B II.DING INSPECTO POST IN CONSPICUOUS PLACE CITY OF TIGARD 24-Hour BUILDING Inspection Line: (503)639-4175 MSS• - INShECTION DIVISION Business Line: (5031639-4171 Joup — U 6-)SS Received 1 �3 1 ) Date Req ested_ I — Z —L)C/ AM PM BUP -_ Location c' Suite -Q�--- MEC C-) S(�-3 PLM Contact Person —P/a�l )�111� [ i� Ph( _) 3�� - Contractor -- / - - Ph( ) --- SWR - - --- BUILDING Tenant/Owner c ELC Footing ELC Foundation Access: Fig Drain ELR _ Crawl Drain SIT Slab Inspection dotes: Post&Beam - Shear Anchors Ext Sheath/Shear _ Int Sheath/Shear - Framing Insulation - L`�L C Z U 3 U U `� CG r �' � Drywall Nailing - - — Firewall _ Fire Sprinkler Fire Alarm Susp'd Ceiling ---- - Roof I �, PART FAIL UM NG - 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 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 Unable to inspect-no access Fire Supply Line - _---- ADA pats_ �._ 1 � InspACtOr Ext ._-- ' ---- - Approach/Sidewalk - Other. Final DO NOT REMOVE this Inspection record from tha yob site. PASS PART FAIL