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9900 SW GREENBURG ROAD STE 180-2 0 o n z z oo 0 t r 3 o;: 9900 SW GREENBURG RD S 4180 A CITYOF TIGARD PLUMBING PERMIT _ \ ISSUED: DEVELOPMENT SERVICES [' T#: P20/9 9 -00204 ' DATE. SSUED: 8/ 0i9b 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 PARCEL: 1 S126DC-03300 SITE ADDRESS: 09900 SVVJ GREENBURG RD 180 SUBDIVISION: LEHMANN ACRE TRACT ZONING: C-P BLOCK: LOT: 0�5 __ _� JURISDICTION: TIG_ CLASS OF WORK: ALT GARBAGE I:ISPOSALS: o MOBILE HOME SPACES: TYPE OF USE: CUM WASHING MACH- BACKFLOW PREVNTRS: OCCUPANCY GRP: FLOOR DRAINS: TRAPS: STORIES: WATER HEATERS: CATCH BASINS: _ FIXTURES LAUNDRY TRAYS: SF PAIN DRAINS: SINKS: 1 URINALS: GREASE= TRAPS: LAVATORIES: O-,HER FIXTURES: TUB/SHOWERS: SEWER LINE: ft WATER CLOSETS: WATER LINE: ft DISHWASHERS: 0 RAIN DRAIN. ft Remarks: remove and replace and exi;ting sink. Dummy sewer permit#SWR1999-00173, no change to the current EDU ;ount. _ FEES Owner: — Type By Date Amount Receipt ATHERTON REALTY PARTNERS -pn^aT GEO 8/20199 $50.00 99-317814 2100 S WOLF 5PCT GEO 8120199 $3.50 99-317814 DES PLAINES, IL 60019 --- Total $53.50 Phone 1: Contractor: DETEMPLE CO INC 1951 NW OVERTON ST PORTLAND, OR 97209 REQUIRED INSPECTIONS Rough-in Insp Phone 1: 227-2641 Final Inspection Reg #: LIC 00002510 PLM 26-25PB � �IuINAL This permit is issued subject to the regulations contained In the Tigard Municipal Code, "late of OR. Specialty Codes and all other applicable laws. All work will be done in accordaricc with approved plans. This permit will expire if work is not started within 130 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 Notifiration Center. Those rules are set forth in OAR 952-0001-0010 through OAR 952-0001-0080. You i iay obtain copies of these rules or direct questions to OUNC by calling (503) 246-1987. 7 ' By: 1, —_-_ Permittee Signature- Issued Call t502� 639 4175 by 7:00 P M. for an inspection needed the noxt usiness day �sr RECEIVED CITY OF 'rIGARD Plumbing Permit Application Plan Cher n 13125 SW HALL BLVD. AUG 0 5 199': Commercial and Residential Recd By _ TIGARD, OR 97223 Date Recd (503) 639-4171 COMMItNIIY DEVELUI'ML Date to P.E. Print or Type Date to DST Incomplete or illegible applications will not be accepted Permit#f:!:��i� Related SWR Called g'/(e,-tV - __ I//H A&,S%44rE nR. Nam of Development/Pro)ec FIXTURES (individual) QTY PRICE AMT i Job � !(A'� )—// Sink — 11.50 / �U Address StreetAdd`res d Suite Lavatory 11.50 qlko )V � ^�C / I,I) Tub or Tub/Shower Comb 11.50 Bldg# Cit /State Zips Shower Only 11,50 yol Name Water Closet �^ 11.50 Dishwasher 11.50 Owner Mailing Address ~� Suite Garbage Disposal 11.50 SC; Washing Machine 1:.50 Ci /Stat Zip Phone ----- - U� ,�y? Floor Drain/Floor Sink 2" 11.50 _ 3" 11.50 N-Vuy�aMp 4" _ 11.50 Occupant Mailing Address to Water Heater O conversion O like kind 11.50 Gas piping requires a separate mechanical permit lily/State Z Phone Laundry Room Tray 11.50 " J. — __ Urinal 11.50 a e n '6? 4f, �t ^cher Fixtures(Specify) 15.00 Contractor M� Address 1 i� Suite ff _ — 5 Prior to permit Ci /State Zipne Sewer-1st 100' 38.00 Issuance,a copy C U� d q Ph / Sewer•each additional 100' 3200 of all licenses are Oregon Const.Cont.Board LlcA Exp.D to — - required If ,2 5 f Q 69 Z&-o e, Water Service-1 at 100' _ 38.00 expired In COT Plumbing Lic.# Exp.D to Water Service.each additional 200' 3200 t;atsbase 1wb Storm 8 Rain Drain-tat 100' 38.00 Name Storm&Rain Drain-each additional 100' 3200 Architect Mobile Home Space 3200. or Mailing Address Suite Commercial Back Flow Prevention Device or Anil- 32.00 Pollution Device Engineer city/State Zip Phone Residential Backflow Prevention Device' 19.00 (Irrigation timing devices require a separate Describe work to be done: restricted energy permit.) _ New O Repair O Replace with like kind: Yes O No O Any Trap or Waste Not Connected to a Fixture 11.50 Residential O Commercial 0 Catch Ba3in 11 50 Additional description of work. Insp.of Existing Plumbing 50.00 rru-ni %ll 19 517111 6V e Sl!"ka ( ; e6 5 " rer/hr 000 Are you capping,moving or replacing any fixtures? Specially Requested Inspections 5per/hr Yes O No O Rain Drain,single family dwelling 45.00 If yes,see back of form to indicate work perfomied by Grease Traps 11.50 fixture. FAILURE TO ACCUR JELY REPORT FIXTURE WORK COULD RESULT 11: :N;REASED SEWER FEES. — gLIANTITY TOTAL � I hereby acknowledge that I have real this application that the Information Isometric or riser diagram Is required M Ouantrty Total Is >9 given Is correct,that I am the owner or authorized agent of the owner,and 'SUBTOTAL that plans submitted are in coVaplience with Oregon State Laws. Sigh0rure of Owner/Agent ��—G _ Date 7%SURCHARGE �.y1q ntac preon ame Phone ""PLAN REVIEW 25%OF SUBTOTAL r _i 1t L J „� 1�; L / Required only if fixture qty total Is>9 1 BATH HOUSE$178.00 TOTAL 2 BATH HOUSE$250.00 3 BATH HOUSE$285.00 'Minimum permit fee is$50+5%surcharge,except Residential Backflow (This fee Includes all plumbing fixtures In the dwallop and the first Prevention Device,which is$25+5%surcharge 100 feet of sanitary sewer storm sewer and water service) "All New Commercial Buildings require plans with isometric or riser diagram and plan review I tdstslfcxmsrplumapp doc 5116/99 PLEASE COir1PLE-m Fixture Type Quantity by Work Perf armed — New Moved Replaced Removed/Capped Sink - _--— ----- ------- --- � __ --- --� Lavatory - Tub or Tlab/Shower Combination Shower Only — WaterCloset �_ Dishwasher Garbage Disposal Washing Machine_ Floor Drain/Floor Sink _2" - 3" --- 411 Water Heater _- Laundry Room Tray__ Urinal Other Fixtures (Specify) COMMENTS REGARDING ABOVE: Accumulative Sewer Tally Tenant Name. /C" q v yi T c f _ This SWR#9qqci` 00 -7 3 4ddress: 1q00 E.od"ZfQ �� PFr0 This PLM#1 tete'-00 air fixture Value Previous Previous Credits Capped Fixtures Fixtures New total New # Value Capped off value added# added #s total Count off#s _count value values 3aptrstry/Font _ _ 4 3ath • Tub/Shower 4 _-Jacuzzi/W_hirlpool _ 4 :ar Wash - Each Stail _ 6 i �^ Drive Through 16 _ 'usprdor/Water Aspirator 1 Dishwasher- Commercial 4 T - Domestic 2 arinkinq Fountain 1 Eye'Nasth 1 Floor Drain/sink - 2 inch 2 3 inch _5 4 inch 6 -Car Wash Orn 6 Garbage Disposal 16 Domestic(to 3/4 HP) Commercial (to 5 HP) 32 Industrial(over 5 FIP) 48 _ Ire Machine/Refrigerator Drains ? -- Oil Sep(Cas Station) 6 Rec. Vehicle Dump Station _ _16 _ Shower- Gang (Per Head) 1 - Stall _ 2 Sink - Bar/Lava'ory 2 _ - Bradley_ _ 5 _ - Commercial 3 `Service� 3 i Swimming Pool Filter 1 — "lasher - Clothes 6 'Hater Extractor 6 Water Closet - Toilet 6 Urinal 6 TOTALS / ? Total fixture values divided by 16 ; , EDU f 1i'!! s /(�0 yf1nZ'�f `n HISTORY PES Aker A-;,-) `6-'/(;-f _PLM# ` __ _ ED'J# q- -- SW_R# J PLM# _ EDU# SWR# PLM# _ EDU_# _ SWR# PLM# EL)J# SWR# PL.rvl# EDU# _y SWR# PLM# _ EDU# SWR# PLM# EDU# SWR# _ PL-M# EDU# SWR# I Astslswrtaly clot CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Line: 639-4175 Businpss Line: 639-4171 --- -- ------ -- - SUP ^_ Date Requested � AM_ PM BLD QU Location_� �� �l{ buite D MEC Contact Person _ �' Ph S.e PLM Contractor RPh / SWR BUILDINGTenanlOwner C�'l(CC�t�C� 1 �`T" ELC _ a - Petaining Wall ELR _ Footing Access: Foundation FPS Ftg Drain --' Crawl Drain Inspection Notes: SGN ---- Slab Post&Beam - -- -- SIT _ Ext Sheath/Shear i In}Sheath/Shear - Framing Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Mise Final PASS PART FAIL -- PLUMBING Post& Beam Under Slab Top Out Water Service Sanitary Sewer '-----�--`- Rain Drains _ Final PASS PART FAIL MECHANICAL Posl&Beam — Rough In :Gas Line -- - Smoke Dampers Final PASS FART FAIL ECTR57 —` —' — - Service i Rough In UG/Slab \Ii _ Low Voltage Fire Alarm /fFASS ART FAIL Backfill/Grading Sanitary Sewer Storm Drain ( ]Reinspection fee of$ required before next inspection Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line ( j Please for reinsaection RF _ ( ]Unable!o inspect-no access ADA Approach.'Sidewalk Other Date ! Inspector - _ _Ext Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. CITYOF T I G A R® CERTIFICATE OF OCCUPANCY_ DEVELOPMENT SERVICES PERMIT#: BUP1299-00328 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171DATE ISSUED: 7/29/99PARCEL: 1S126DC-03300 ZONING: C-P JURISDICTION: TIG SITE ADDRESS: 09900 SW GREENBURG RD 180 FILE C01 . SUBDIVISION: LEHMANN ACRE TRACT BLOCK: LOT:005 CLASS OF WORK: ALT TYPE OF USE: COM TYPE OF CONSTR: 5N OCCUPANCY GRP: R OCCUPANCY LOAD: 41 TENANT NAME: CHICAGO TITLE REMARKS: Tenant Improvement/expansion to include suite 150, 160, 180, 190. Finel Building Inspection and Certificate of Occupancy Approved 7/30/99 by Rick Bolen, Building Inspector Owner: ATHERTON REALTY PARTNERS 2100 S WOLF DES PLAINES, IL 60018 Phone: Contractor: CG CONSTRUCTION 1801 NW UPSHUR ST SUITE 400 Pq�j4kNQ2b f07%7209 Reg M LIC 1156 This Certificate grants occupancy of the above referenced building or potion thereof avid confirms that the building has been inspected for compliance with the State of Oregon Specialty Codes for the group, occupancy, and use ides whic the referenced permit was issued. // I titer - - -- BUR DING INSPECTOR BUILDI OFFICIAL POST IN CONSPICUOUS PLACE CITYOF T I GA R D _ CERTIFICATE OF OCCUPANCY DEVELOPMENT SERVICES PERMIT#: BUP1999-00139 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 4/13/99 PARCEL: 1 S 126DC-03300 ZONING: C-P JURISDICTION: TIG SITE ADDRESS: 09900 SW GREENBURG RD 180 FILE COPY SUBDIVISION: LEHMANN ACRE TRACT BLOCK: LOT:005 CLASS OF WORK: ALT TYPE OF USE: COM i TYPE OF CONSTR: 2FR OCCUPANCY GRP: B OCCUPANCY LOAD: 33 TENANT NAME: CHICAGO TITLE REMARKS: Tenant Improvement/expansion to include suite 150, 160, 180, 150. Final Building Inspection and Certificate of Occupancy Approved 7/30/99 by Rick Bolen, Building Inspector Owner: ATHERTON REALTY PARTNERS 2100 S WOLF DES PLAINES, IL 60018 Phone: Contractor: CG CONSTRUCTION 1801 NW UPSHUR ST SUITE 400 Pq�j��.NP260 7%7209 Reg M LIC 1156 This Certificate grants occuliancy of the above referenced building or portion thereof and confirms that the building has been inspected for compliance with the State of Oregon Specialty Co 6s for the arovp, Occupancy, and use under which the referenced permit was issued. BUILDING INSPECTOR BUILDING WICIAL POST IN CONSPICUOUS PLACE CITY OF TIC�ARD BUILDING PERMIT PERMIT#: BUP 1999-00328 DEVELOPMENT SERVICES DATE ISSUED: 7129/99 13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 PARCEL: 1S126DC-03300 SITE ADDRESS: � 900 SW GREENBURG RD 180 SUBDIVISION: LEHMANN ACRE TRACTr ZONING: C-P BLOCK: _—LOT: 005GNALRISDICTION: TIG `-- IREISSUE. FLOOR AREAS EXTERIOR WALL CONSTRUCTION CLASS O _ F WORK: ALT FIRST: 4.300 sf N� S:� E: � —W `— TYDE OF USE: COM SECOND: sf PROJECT OPENINGS? TYN[ )F CONST: 5N i sf N: S: E: W: OCCUPANCY GRP: B TOTAL AREA: sf ROOF CONST: FIRE RET? OCCUPANCY LOAD: 41 BASEMENT: sf AREA SEP, RATED: STOR: HT: ft GARAGE: sf OCCU SEP. RATED: BSMT?: MEZZ?: REQD SETBACKS REQUIRED FLOOR LOAD: psf LEFT: ft RGHT: ft FIR SPKL: SMOK DET: DWELLING UNITS: FRNT• tt REAR: ft FIR ALRM : Y HNDICP ACC: BEDRMS: BATHS: IMrr, SURFACE: PRO CORP: PARKING: VALUE: $ 10,000.00 Remarks: Commercial TI Owner: Contractor: ATHERTON REALTY PARTNERS CG CONSTRUCTION 2100 S WOLF 1801 NW UPSHUR ST DES PLAINES. IL 60018 SUITE 400n nR 1 Phone: P NZ26 107ti7201) Reg #: uc 1156 —^ FEES _ REQUIRED INSPECTIONSu_ Type By Date Amount Receipt Framing Insp PRMT DEB 7/29/99 $80.50 99-317269 Gyp Board Insp Susp Ceiing Insp 5PCT DEB 7/29/99 $5.54 99-317269 Final Inspection PLCK DEB 7/29/99 $52.33 99-317269 FIRE DEB 7/29/99 $32.20 99-317269 Total $170.67 This permit is issued subject to the regulatio is contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work Evill be done in accordance v,ith approved plans. This permit will expire if work is not started within 180 Hays of issuance, or if work is suspended for mere than 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-1987. You may oh+c r� a copy of these rules or direct questions to OUNC by calling (503) 246-1987. Pe rm itee Signature: Is ed By: �! — ---- — Call 639 4175 by 7 p.m. for an mspPctitn the next business day r, PITY OF TIGAF:D Commercial Building P 311 Application Plan c .sk* 13125 SW HALL BLVD. Tenant Improvement Recd$*L .= ` TIGARD, OR 97223 Date Recd 9-y1' (503) 639-4171 Date to P E. 7-a9-I r J Date to DST Print or Type PermitA 11�"JPr9 o033S! Related SWR# Incomplete or illegible applications will not be accepted Called____ Name of Development/Proje—c Existing Building ® New Building ❑ Job C_'0Cu.nA,^ (&,k.N_c1J AWalress Slreel AddressSuds Building 9'10 0 'S I-)GR-Ce nJb.. '^ ( X'o ®ata Bldg C(ty/state - zip - Existing Use-of Building or Property: — --- Pa2 tl,o_, Name CC PropertyProposed Use of Building or Property: Owner ailing Address Suite LeQ-LL";'Q _ No. Of Stories: City/State Zi CO,"? Ph—one--- L _ _ r�. It �yurti )-4Sq. Ft. Of Project: Occupant Name -` t -10 _ eA ' AT,.oc P144ic Ail!2 Occupancy Class(es) Name 8 Contractor �•G , roti Srrla c rj 0J0 Types)of Construction Prior to permit Mailing Address Su- Is u Issuance,a copy Will this project have a Fire of all licenses f 0 ( N' u 4,4, - P I Suppression System? are required If City/State Zip Phone —_ Yes IN N0-0 -- expired in C 01 Americans with Disabilities Act(ADA) database ?')Wn-/hJ3 cj 7 Z-a a2{, 'l07� Valuation X 25% = '5 is S'00'17- !v coo a K � s /o Participatioi Oregon Const.Cont.Board Lic# Exp.Date Complete Accessibility Form Project $ - Name - Valuation /Ore) L)0 Architect /Gun2# ( �KPlans Required: See Matrix for number of sets to submit Mailing Address — Suite on back ----- Cit /State Zip Phone I hereby acknowledge that 11,ave read this application,,hat the information given is correct,that I am the c-caner or authorized agent of the owner,and Engineer Name that plans submitted are in compliance with Oregon State Laws N o e_ nntact of Owner/AgP.t Dalec�c.cNlailing Address Suite _____— erson Name Phone 'Ay!State lip Phoce FOR OFFICE USE ONLY Indicate type of work New O Addition O Demolition O MaplrL# Land Use: Accessory Slruriure O Foundation Only O Alteration O Repair O Other O Notes: — Description of work: `--` TIF — — Note: Site Work Permit Application must precede or acccrnpany Building Permit Application I ICOMNEWTI DOC (DST) 5/98 COMMERCIAL PLAN SUBMITTAL REQUIREMENT MATRIX Plan Review is dependent upon submittal of BOTH plans AND a COMPLETED application. For an electrical submittal, the application must contain the signature of the supervising electrician before plan review will be conducted. After plan review approval, Plans Examiner will contact the applicant to request addition,al plan sets for distribution purposes. (Copy fci Contractor, City. Washington County, Tualatin Volley F=ire & Rescue) Total # of TYPE OF SUBMITTAL flans KEY-- Submitted .EY:Submitted S (Private) 1 S = Site Work B (New or Add) 1 B -= Building F (New or Add or Alt) 3 F = Fire Protection System M (New or Add or Alt) 1 M = Mechanical B & M (New or Add) 1 P - Plumbing P (New, Add, or Alt) 2 E = f lectrical B & M & P (i Iew or Add) 2 New = New Building E (New, Add, or Alt) 2 Adel = Addition B & F & tit & P & E 3 Alt = Alternation to Existing (New , Add) Building LB or B & M (Alt) 1 *— B & M & P (Alt) 3 `B & M & P & E(Alt) 3 •F? & M & P & E & F'(Alt) 3 NOTES: *Shade-d areas designate ALT submittals only. I\dsts\forms�matrxcom.doc 10130/98 SUBJECT: ACCESSIBILITY BARRIER REMOVAL. IMPROVEMENT PLAN REQUIREMENT: OREGON REVISED STATUTE (ORS) 447.241. (1) Evei; project foi renovation,alteration or modification to affected buildings a''d related facilities shall be made to insure that the path of travel to the altered area ar d the restroom, telephones and drinking fountains are readily accessible tc individuals with disabilities unless such alterations are disproportionate to the overall alterations in terms of cf ist and scop'.. (2) Alterations made to the path of travel to an altered area may be deemed I isproportionate to the overall alteration ween the cost exceeds twenty-five per-cent(25%). VALUATION of all renovation, alteration or modification being done excluding painting, wallpapering. multiply: 5% Barrier removal requirement. .25 BUDGET FOR BARRIER REMOVAL (2] $ In choosing which accessible elements to provide under this section, priority stall be given to those elemen's that will provide the greatest access. Elements shall be provided in the following order: (a) Parking $ -- --- (b) An accessible entrance: $ (c) An accessible route to the altered area: $ (d) At least one accessible restroorn for $ each sex or a single unisex restroom: (e) Accessible telephones: $ . -- —- - (f) Acsessibk--drirlktrtgf MTnt>tns errd $ Z ? o L QettsjLb r f Cu n•n v� c H+►+�9 �'' R', aw +0-..,.. (g) When possible, additional accessible elements such as storage and alarms $ TOTAL: Shall equal line 2 of Value Computation $ i:ldsWforms\ecccss doc �/ ELECTRICAL PERMIT- CITYO " TIGARD RESTRICTED ENERGY DEVELOPMENT SERVICES t/'`�� PERMIT#: ELR1999-00117 13125 SW Hall Blvd., Tinard OR 97223 (5031 639-4 � DATE ISSUED: 5/7199 SITE ADDRESS: 09900 SW GREENBL ,(; RD S 18, PARCEL: 1S126DC-03300 S�jBDI'VISION: LEHMANN ACRE TRACT ZONING: C-P BLOCK: LUT: 005 i JURISDICTION: TIG Pruiect Description: Installation of data telecommunication system. A.RESIDENTIAL B.COMMERCIAL AUDIO & STEREO_ AUDIO R STEREO: INTERCOM & PAGING: BURGLAR ALARM: BOILER: LANDSCAPEIIRRIGAT: GARAGE OPENER: CLOCK: MEDICAL. HVAC: DATA/TELE COMM: X NURSE CALLS: VACUUM `:SYSTEM: FIRE ALARM: OUTDOOR LANDSC LITE. OTHFF'' HVAC: PROTECTIVE SIGNAL: INSTRUMENTATION: OTHER: _ —TOTAL#OF SYSTEMS: 1 Owner: --^—J-- — --___—�--Contractor: — ---- ATHERTON REALTY PARTNERS TELEDIGIT INC 2100 S WOLF PO BOX 22287 DES PLAINES, IL 60018 PORTLAND, OR 97269 Phone: Phone: 736-3316 Reg #: ELE 3-414CLE LIC 116188 FEES__ — Required Inspections —_ _Type By Date Amount Receipt _ cw� ve�rA�°� tiJS►P. 5 P C T DRA 5/7199 $2.00 99-315190 PRMT DRA 5/7/99 $40.00 99.315190 Total $42.00 L 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 mill 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 fellow r ales adopted by the Of Utility No";fication Center. Those rules are set forth in OAR 952-001.0010 through OAR 952-001-0080 You riay obtain copies of these rules or direct questions to OUNC at (503) 246-P87 � 1 Issu6d by _ _ Permittee Signature OWNER INSTALLATION ONLY The installation is being made on property I own which is not intended for sale. lease, or rent. OWNER'S SIGNATURE' - — ^—_ DATE:________ _ CONTRACTOR INSTALLATION ONLY SIGNATIIRE OF SUPR. ELE C'N _ DATE:­------ LICENSE NO: _—�._.� — --------- -- --��.-- — Cali 639-4175 by 7:00 P.M. for an inspection needed the next business day RkCCiW-F" munity Development RESTRICTED ENERGY ELECTRICAL APPLICATION MAY pi � 1���13125 SW Hall Blvd. �1Tigard,OR 97223 PERMIT# (; NITY DEVELOPPI!Phone(503)639-4171 FAX(503)684-7297 DATE ISSUE �7-9 9 N_ TDD No. (503)684-2772 CITY OF TIOARD Inspection (503)639-4175 ISSUE BY L.-A PLEASE COMPLETE ALL SECTIONS 1. LOCATION OF INSTALLATION �C h c,; ;, T,*i 4. TYPE OF VtrORK r. n I ,. —'I V" Li_ dL� �, rPPl 6iI-., RSI. Address ", RESIDENTIAL—Restricted Energy Fee. . . . . . . . . x.00 r f I `�1 0 k Cl 7 2 Z ? (FOR ALL SYSTtT1S) ily State Zip .rt Check Tvne of Work Involved: SFRMi1S ARE NON-TRANSFERABLE.AND NON-REFUNDABLE AND EXPIRE IF WORK ❑ Audio and Stereo S stems NO1 STARTED WITHIN 1110 DAPS OF ISSUANCE OR IF WORK IS SUSPENDED FOR y 180 DAYS. ❑ Burglar Alarm 2. CONTRACTOR APPLICATION ❑ Garage Door Opener* ❑ Heating,Ventilation and Air Conditioning System* Contiactor_ I C 1 r ,,t J Inc, Typv Loijod Q L n r ki ❑ Vacuum Systems* Address > r„ >?Z Z i T Q„ u ❑ Other__ _ _- - — ---- Date _ _- _ COMMERCIAL—Fee for each system . . . . . . . 140.00 (SEE OAR 918-260-260) Properly Owner p (jack Type of Work Invglyed: Contractor's Board Reg. No. _ _3 t t L F ��11, ❑ Audio rind Stereo Systems ❑ Boiler Controls Phone # ❑ Clock Systems 3. OWNER APPLICATION Data Telecommunication Installations ❑ Fire Alarm Installation _ ___ ___ ❑ HVAC Print clwner's Name Phone No ❑ Instrumentation Address -- --- -- ❑ Intercom and Paging Systems ❑ Landscape Irrigation Control* c ity State Zip ❑ Medical 116c permit is Issued under OAR 918.120-374 This applicant agrees to make only ❑ Nurse Calls restricted energy Installations Mitt vnit amps or less)under this Permit Anil to do the ❑ Outdoor Landscape Lighting* following EJ Protective Signaling 1. Only usa electrical licensed persons to do installations where required.(Certain residential and other transactions are exempt from licensing.ihesn have ❑ Other asterisks(').All others need licensing). 2 call for an inspection when all of the installations under this permit are ready (°r inspvdion at 50:1.639-417 ❑ _ __Number of Systems i Purchase separate permits for all insiAllations 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 dune,and 5. Assume responsibility(or capping for a final inspection when all of the 5. FEES corrections are completed VC the person signing for this permVit must be the applicant or a person a. Enter Fees $ _ authorized to hind,0e applicant. t) — KAO=2��J) L 1C),,o -- b. 5% Sur charfe(.0.5 x total above) $ 2 t ignature J t?t' TOTAL $ Authority if other than applicant ENFRGAP.CHP i CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 —_ Date Requested l y AM PM _ BLP 1,9?,? l_�Y) Loczition ql co i ` Suite /I,�/ ZZ,,�� MEC Contact Person �YI Ph �"l `���--v� PLM Contractor_ Ph SWR _ UILD Tenant/Owner rti-t4C ELC -- Retaining Wall ELR Footing cess: — Foundation 9 9y, �.�� i S� FPS Ftg Drain SGN Crawl Drain Inspection Notes: ---- - Slab �.__ __—. -- SIT Post&Beam -- Ext Sheath/Shear L elk Int Sheath/Shear Framing _----_— Insulation Drywall Nailing -- _- -- - — ------- - ------ Firewall_ rrn Fire arm Susp'd Ceiling _ — ---------_-- ------------ Roof Misc: - rna _ S I>PART FAIL ---------- --_ - ------ --. __—...-- --PTINIBING Post& Beam - --------- -- -----___...__-- Under Slab Top Out -- - --_ ------------- ------ ------Water Service Service Sanitary Sewer Rain Orains Final PASS PART FAIL MECHANICAL & Rearn �r���ugh In PASS PART FAIL ELECTRICAL --r------- ----- -- -----..—_ Service r Rough In -- UGISlau — - -- --- - - —-- -- --------- Low Viltage Fire Alar.n Final PASS PART FAIL - --- - ------- SITE Backfill/Grading Sanitary Sewer Storm Drain I ] Reinspection fee of g required before next Inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin I ] Please r all for rernspection RF --- _- _ _ )Unable to inspect-no access Fire Supply Line ADA Approach/Sidewalk Other Date ji / yf—`,�------ Inspector _� ��----- - Ext Final - PASS PART FAIL DO NOT REMOVE this Inspection record from the job site. CITY OF �'IGARD BUILDING PERMIT PERMIT#: BUP1999-00150 DEVELOPMENT SERVICES DATE ISSUED: 4/26/99 13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 PARCEL: 1 S126DC-03300 SITE ADDRESS: 09900 S\"4 Gr\EENBURG RD S.1$ SUBDIVISION: LEHMANN ACRE TRACT ZONING: C-P BLOCK: LOT: 005 JURISDICTiON: TIG REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION CLASS OF WORK: FPS FIRST: sf N: S: E: W: TYPE OF USE: COM SECOND: sf PROJECT OPENINGS? TYPE OF CONST: sf N: S: !_: W: OCCUPANCY GRP: TOTAL AREA: sf ROOF CONST: FIRE RET? OCCUPANCY LOAD: BASEMENT: sf AREA SEP. RATED: STOR: HT: ft GARAGE: sf OCCU SEP. RATED: BSMT?: MEZZ?: READ SETBACKS _ REQUIREU _ FLOOR LOAD: psf LEFT: ft RGHT: ft FIR SPKL: Y SMOK DET: DWELLING UNITS: FRNT: ft REAR: ft FIR AL RM : HNDICP ACC: BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING: VALUE: Remarks: 24 sprinkler heads —1 Owner: Contractor: 1 ATHERTON REALTY PARTNERS BASIC FIRE PROTECTION INC 2100 S WOLF 940 NF I.OMBARD ST DES PLAINES, IL 60018 PORTLAND, OR 97211 Phone: Phone: 285-1855 Reg #: LIC 000486 _ FEES REQUIRED INSPECTIONS - Type By Date Amount Receipt Sprinkler Rough-In PRMT BON 4/20/99 $50.50 99-314587 Sprinkler Final FIRE BON 4/20/99 $2.0.20 99-314587 5PCT BON 4/20/99 $2.53 99-314587 Total $73.23 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-1987. You may obtain a copy of these rules or direct questions to OUNC by calling (503) 246-1987. Pe rm itee Signature: ---- 1 I Issued By: l• (� ���. 1 (, __- ----------. ---- Call 639-4175 by 7 p.m. for an inspection the next business day Fire Protection Permit Application Plan Check# 52- CITY OF TIGARD Commercial or Residential Recd By e- 13125 SW HALL BLVD. Date Recd 2 TIGARD, OR 97223 Print or Type Date to P.E. (503) 639-4171, x. 304 In.umple0 or illegible applications will not be accepted Date tc DST Z�l Permit# Called Job Name of Development/Pro)sct Type of System (Complete A or B as applicable) Address Address G A.) Sprinkler _Wet ;o- Dry ❑ NameStandpipesStandpipes Owner Ma11:nq Address Hazard Group P G� G2C-�� �� City/State Zip Phone Information Density --T-,- _ Name Design Area Occupant Mailing Address K. Factor City/State Zip I Phone -� A.1) Sprinkler Project Valuation $ ( Contractor Name B.) Fire Alarm `1 (Sprinkler or tC� t^tQ� rQmi'��CjrC � - Alarm Company) Mailing Address Submittal Shall Include Battery Calculations YES ❑ Prior to permit _&Y,-L-(j$-A.% Z Individual Component YES F-1issuance,a City/State Zip Phone Cut Sheets copy of all licenses B 1) Fire Alai m Pi oject Valuation $ are required if State Const.Cont Board Lic# Exp Date Pxpired in cor " Project Valuation Subtotal (A &or B)- $�-�a��cw database Name Permit fee based on valuation $ �') _ (see chart on back) 56 1 ,architect Mailing Address --- J 5% Surcharge $ City/State zip i Phone FLS Plan Review 40% of Permit $ ,�U Describe work A.)New O Addition O Alteration O Repair O ^TOTAL $ to be done _ '% B) odification to sprinkler heads only. - - _ 1 1-10 heads=No plans required Plans required. Submit three sets of plans, including a vicinity map and 2 11+=Plan review required the location of the nearest hydrant. _ 1 hereby acknowledge that I have read this application.that the information given is Number of sprinkler heads: coned,that i am the owner ora tate laws agent of the owner,and that plans submitted P — _ are in compli ce with reg State laws 1(/ Additional Description of Work: f �• �q=� Signa re of Ownefllillkgent Date A.)In Exist n^Budding New Budding 0 Building nI.n.!ct Person Name Phone Data B.) Commercial'K Residential FOR OFFICE USE ONLY: No of stories -' _ -- Plat# Map/TL#: Sq Ft: - Notes -- Occupancy Class rType of Constriction - — i. ffresupr.d.tc CITY OF TIGARD BUILDING PERMIT FEES TOTAL STATE BUILDING VALUATION OF PERMIT F.L.S. TAX PERMIT PROJECT FEES (40%) (5%) FEES 1-1500 25.00 10.00 1.25 36.25 1,501-1600 26.50 10.60 1.33 38.43 1,601-1,700 28.00 11.20 1.40 40.60 1,701-1,800 29.50 11.80 1.48 42.78 1,8011-1,900 31.00 12.40 1.55 44.95 1,901-2,000 32.50 13.00 1.63 47.13 2,001-3,000 38.50 15.40 1.93 55.83 3 0Ql-4MQ-- 44.50 17.80 2.23 64.53 4,001-5,000 50.50 20.20 2.53 5TOTTM- 56.50 22.60 2.83 81.93 6,001-7,000 62.50 25.00 3.13 90.63 7,001-8,000 68.50 27.40 3.43 99.33 8,001-9,000 74.50 29.80 3.73 108.03 9 . 1-10,000 80.50 32.20 4.03 116.73 0,001-11,000 86.50 34.60 4.33 125.43 11,001.12,000 92.50 37.00 4.63 134.1:5 12,001-13,000 98.50 39.40 4.93 142.E3 13,001-14,000 104.50 41.80 5.23 151.53 14,001-15,000 110.50 •14.20 5.53 160.23 15,001-16,000 116.50 45.60 5.83 16893 16,001-17,000 122.50 49.00 6.13 177.63 17,001-18,000 128.50 51.40 6.43 186.33 18,001-19,000 134.50 5:1.80 6.73 1,:,5.73 19,001-20,000 140.50 56.20 7.03 203.73 20.001-21,000 146.50 58.60 7.33 212.43 21,001-22,000 152.50 61.00 7.63 221 '3 22,001-23,000 158.50 63.40 7.93 22� 3 23,001-24,000 164.50 65.80 8.23 238 -' 3 24,001-25,000 170.50 68.20 8.53 247.23 25,001-26,000 175.00 70.00 8.75 253.75 26,001-27 000 179.50 71.80 8.98 260.28 27,001-28,000 184.00 73.60 9.20 266.80 28,001-29,000 188.50 75.40 9.43 273.33 29,001-30,000 193.G,_ 7.20 9.65 279.85 30,001-31,000 197.50 7� 00 I 9.88 286.38 31,001-32,000 20200 80.80 10.10 292.90 32,001-33,000 206.50 82.60 ' 10.33 299.43 33,001-34,000 211.00 84.40 10.55 305.95 34,001-35,000 21550 86.20 10.78 312.48 35,001-36,000 220.00 8800 11.00 319.00 36,001-37,000 224.50 89.80 11.23 325.53 ,001-38,000 229.00 91.60 11.45 332.05 iii -mpt,doc CITY OF T I GA R D - BUILDING PERMIT PERMIT#: BUP1999-00150 * DEVELOPMENT SERVICES DATE ISSJED: 4/26/99 13125 SW Hall Blvd., Tiqard, OR 97223 (503) 639-4171 PARCEL: 1S126DC-03300 SITE ADDRESS: 09900 SW GREENBURG RD S.18: SUBDIVISION: LEHMANN ACRE TRACT ZONING: C-P BLOCK: LOT: 005 JURISDICTION: TIG REISSUE: FLOOR AREAS _ EXTERIOR WALL CONSTRUCTION CLASS OF WORK: FPS FIRST: sf N: S: E: W: TYPE OF USE: CUM SECOND: sf PROJECT OPENINGS? TYPE OF CONST: sf N: , S: E: W: OCCUPANCY GRP: TOTAL AREA: 3f ROOF CONST: FIRE RET? OCCUPANCY LOAD: BASEMENT: sf AREA SEP. RATED: S'TOR: HT: ft GARAGE: sf OCCU SEP. RATED: BSMT?: MEZZ?: REQD SETBACKS _ REQUIRED _ FLOOR I OAD: psf LEFT: ft RGHT: ft FIR SPKL: Y SMOK DET: DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP ACC: BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING: VALUE: Remarks: 24 sprinkler hea,.s -- Owner: Contractor: ATHERTON REALTY PARTNERS BASIC FIRE PROTECTION INC 2100 S WOLF 940 NE LOMBARD ST DES PL.AINES, IL. 60018 PORTLAND, OR 97211 Phone: Phone: 2.85-1855 Reg #: uc 000486 _ FEES REQUIRED INSPECTIONS Type By Date Amount Receipt Sprinkler Rough-In PRMT BON 4/20/99 $50.50 99-314587 Sprinkler Final FIRE BON 4/2.0/99 $20.20 99-314587 5PCT BON 4/20/99 $2.53 99 314587 Total $73.23 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. I his 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 tc follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-1987. You may obtain a copy of these rules or direct questions tc OUNC by calling (503) 246- 1987. Permitee , I Signature: ' 1A;'et—; t L Issued By: l� ZLk kc ----- Call 639-5175 by 7 p.m. for an inspection the next business day CELECTRICAL PERMIT CITY O F T I G A R C _ PERMIT#: ELC1999-00201 DEVELOPMENT SERVICES DATE ISSUED: 4/7/99 13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 PARCEL: 1 S126DC-03300 SITE ADDRESS: 09900 SW GREE14BURG RD S.1W1 SUBDIVISION: LEHMANN ACRE TPACT ZONING: C-P BLOCK: LOT : 005 JURISDICTION: TIG Proiect Description: Installation of 6 branch circuits. Job No. 80310. _ V 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: SIGNAL/PANEL: MANF HMI 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: 5 IN PLANT: 601 - 1000 amp: _ PLAN REVIEW SECTION _ 1000+ amp/volt: >=4 RES UNITS: > 600 VOLT NOMINAL: Reconnect_ons _ SVC/FOR >= 225 AMPS: CLASS AREA/SPEC OCC:_ Owner: Contractor: C,f�F_GoQ ELtjTT_kvC OQOUP ATHERTON REALTY PARTNERS 2100 S WOLF 10 to ��- l l� Pilo f-- DES PLAINES, IL 60018 �e)QT L_0, OQ 9 Phone: Phone: �3c _ C�90p Reg #: _ FEES _ Required Inspections Type By Date Amount Receipt Elect'I Service _ Elect'I Final f'RMT DRA 4/7/99 $60.00 99-314311 'TCT DRA 4/7/99 $3.00 99-314311 Total $63.00 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:.farted within 190 days of ssuance.orf work is suspended for more than 180 days ATTENTION Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center Those r ales are set forth in OAR 952-001-0010 through OAR 952-001.0080 You may obtain oop�these rules ordirect questions to OUNC at(5031 '4s 198 Permit Signature: `C Issu d�By:62P4 - � � _ OWNER INSTALLATION ONLY__- I he installation is being made on property I own which is not intended for sale, lease, or rent. OWNER'S SIGNATURE: __ __ DATE: _CONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR. ELEC'N: DATE: L LICENSE NO: Calll 639-4175 by 7:00pm for an inspection the next business day CITY OFF TIGARD Electrical Permit Application Plan Ch 13125 SW HALL BLVD. RECEIVED Rec'd t y Date Recd_ "! TIGARD OR 9722.3 17 Da!e to P E. Phone (503)639-4171,x304 APR irlr)o � _ f�rin�l or Type �.t.P 9i Date to DST_.__ Inspection (503) 639-4175 ln lir [l! i,qr will not be accepted Ptrinit N t-til-1449•ao�/ f-ax(503)684-7297 �t c P Cal'ed.- 1. Job Address: 4. Complete Fee Schedule Below: NarneofDovelopmenl Chicago Title _ - Number oflnspectloasper permit allowed - Name(or name of business) Chica�g_o .Title Service Included: Items Cost Sum Address 9900 SW _cueenhijrq Rr.>8a 4a. Residential-perun!t - 1000 sq.if or less $110.00 4 City/State/hp- 'Pi9ard Oreclotl ____ _ Each additional 500 sq.ft.or portioCommercia!El Residential ElLimited thereof $25.00 1 Energy _ $25.00 Each Manufd Horne or Modular - Uwalling Service or Feeder $69.00 2 2a. rontractor installation only: (Attach copy of all current licenses) 4b.Services or Feeders fleCi!ICJIContractor _ Installation,altoratlun,orrelocation roU - 200 amps or less $60.00 2 Addresses 0_1-Q R r 1 1 t h A v e. - __ 201 amps to 400 amps $Ise 00 --- -' 2 City _State_$ ._____.Zip_�72LQ_,_ 401 amps to 600 amps $120.00 2 Phone.N0. 3 -9 9 0 0 601 amps 10 1000 amps _ $180.00 2 Job No. a ft 7 1 p Over amps or volts M $340.00 = 2 Reconnect nert only $50.00 2 L lec,Cont. Lice, No. 9_5r Exp.Date /o-/ OR State CCt3 Rey. No.2 0 3 Exp.Date- 4c.Temporary Services or Feeders COT©usiness Tax or Metro No.Z Exp.Date _ Installation,alteration,or roirx:a!ion r 200 amps or less _ $50.00 --�'A�. �/,t 201 amps l0 400 amps ___ $75.00 _.-�--- P Signature of Supr. Elec'n _ ;C w __ - 401 amps to 600 amps $100.00 _ _- 2 2 8 4 1 S -e sea Over ''�b"above.s to 1000 volts, license No. - Exp.Date /__ Phone No.. 2 3 4-9 9 QQ_- _ ---- 4d.BrF nch Circuits New,alteration or extension par panel 2b. For owner installations: a)Thn fee for branch circuits wifh purchase of service or Print Owner's Name _____ T___, _ I feeder fee. - -- Carh branch circuit $5.(x) 2 Address - _____ -- ,____-� h)The lee for branch circuits City--_-- -�-- _- State - 'ZIp---- _.-- without purchase of Phone No.___ _ -_ __ _._ � service or feeder fee. 1 3 5. 0 0 I list branch circuit $35.00 2 The Installation is aeiny nlaje on property I own which is not Each additional branch circuit FTS $S.00 _ intended for sale,lease or rent. 4e.M!scellaneoun (Service or feeder no,included) Owner's Signature- -_ _ _ Cach pump or irrigation circle $40.00 __ 2 Each sign or outline lighting $40.00 2 3. Plan Review section (if required):' Signal circull(s)or a limited energy $40.00 2 panel,alteration or extension _T Minor labels(10) $too 00 --- -- Please check appropriate Item and enter fee In section 513. 4 or more residential units In one structure 41.Each additional Inspection over Service and feeder 225 amps or more the allowabia in any of the above $3500 System over 600 volts nominal Per Inspect cm Classified area or structure containing special occupancy E E Per hour - $55 00 - _- - as described in N E C Chapter 5 In Plant - $55 00 Submit 2 sets of plans with application where any of the above apply, Jr. Fees: 60. 00 ltar 5%Svrc Not required for temporary construction services 5a.Enter tots! r above lees $ 3 -- ge(05 X total fees) $ NOTICL Subtotal $ 5b.Enter 25%of line Sa for PERMITS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED IS Plan Review ft rg_uired(Sec 3) NOT COMMENCED WITHIN 180 DAYS,OR IF CONSTRUCTION OR WORK Subfottr $ IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY l� Trust AccountK _._ $ 0 3. 0 0__ TIME AFTER WORK IS COMMENCED. ._-�- T oW balance Due �111 M.Fr r.M SOP R..WWI --'. ---- ----- -1 Z00 j UNV911 d0 A113 0961 965 U09 XVq 61 :60 ITA 66/61/EO ION DIVISION MST asiness Line: 639-4171 - ----�— BUP - r l AM _PM BLD Suite _ ._-- MEC Ae 'C i' Ph 7 "3' PLM ---- -- J Ph SWR – Tenant/Owner - — - ---� PLC arning Wail ELR Footing Access: G�1 l.:- , � Foundation FPS Ftg Drain SGN Crawl Drain Inspection Notes: - - Slab � -- SIT Post& Beam Ext Sheath/Shear Int Sheath/Shear l Framing (w���-�- Ir 1-� ------- -- Insulation �^ Drywall Nailing - Fire Fire Sprinkler -- Fire Alarm Susp'd Ceiling — --------- ---.- _ - .. Roof Misc: -- - - A -- - ---- Final PASS PART FAIL -- PLUMBING Post 8 Beam -- - - ---- ----------- ------- - -- _- Under Slab Top Out - _ - ------------ -------- Water Service Sanitary Sewer Rain Drains Final PASS PART FAIL MECHANICAL r Post& Beam ---- - — Rough In Gas Line Smoke Dampers Final --- --- - _ PASS PART FAIL ELECTRiM - -- -- — oenll�e Rough In UG/Slab - -- -- - -- _�- LOW V- File arm arm ---- Flri* PASS PART FAIL SITE Backfill/Grading -_--- - ------- - - --_--- Sanitary Sewer Storm Drain [ J Reinspection fee of$ required before next inspection Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line f 1 Please call for reinspection RE: [ ] Unablelo inspect nn access ADA Approach/Sidewalk pate Inspector- Ext Other _ --�— Final — LPASS PART FAIL DO NOT REMOVE this inspection record from the job site. CITYOF 10IGARD BUILDING PERMIT PERMIT#: BUP1999-00139 DEVELOPMENT SERVICES DATE ISSUED: 4/13/99 13125 SW Hall Blvd., Tigard. OR 97223 (503) 639-4171 PARCEL: 1S126DC-03300 SITE ADDRESS: 09900 SW GREENBURG RD S 18� SUBDIVISION: LEHMANN ACRE TRACT ZONING: C-P BLOCK: LOT: 005 JURISDICTION: TIG REISSUE: _FLOOR AREAS EXTERIOR WALL CONSTRUCTION CLASS OF WORK: AL-1 FIRST: sf N: S: E: W: TYPE OF USE: COM SECOND: sf PROJECT OPENINGS? _ TYPE OF CONST: 2FR 3.4100 sf N: S: E: W: OCCUPANCY GRP: B TOTAL AREA: sf ROOF CONST: FIRE RET? OCCUPANCY LOAD: 33 BASEMENT: sf AREA SEP. RATED: STOR: HT: ft GARAGE: sf OCCU SEP. RATED: BSMT?: MEZZ?: REQD SETBACKS _ REQUIRED _ FLOOR LOAD: psf LEFT: ft RGHT: ft FIR SPKL: Y SMOK DET: DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP ACC: BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING: VALUE: $ 15,000.00 Remarks: Commercial TI. Owner: Contractor: ATHERI ON REALTY PARTNERS CG CONSTRUCTION 2100 S WOLF 1801 NW UPSHUR ST DES PLAINES, IL 60018 PORTLAND, OR 97209 Phone: Phone: 226-10"78 Reg #: LIC 1 i fir, FEES REQUIRED INSPECTIONS Type By Date Amount Receipt Framing Insp PRMT DLH 4/13/99 $110.50 99-314483 Gyp Board Insp PLCK DLH 4/13/99 $71.83 99-314483 Susp Ceiing Insp FIRE DLH 4/13/99 $44.20 99-314483 5PCT DLH 4/13/99 $5.53 99-314483 Total $232.06 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-1987. You may obtain a copy of these rules or direct questions to OUNC by calling (503) 246-1987. Pennitee 'I Signature: Issued By: Call 639-4175 by 7 p.m. for an inspection the next business day CITY OF TIGARD Commercial Building Permit Application Re°'d By -r c N 13125 SW HALL BLVD. Tenant Improvement Date Recd--�'?f9g TIGARD, OR 97223 Date to P.E. Lea 5aA3 639-4171 U oats to DST Iir ) / i Permit#/s'�/f/l79`L7p/ 9 Print or Type / Related SWR#_ Incomplete or illegible applications will not be accepted Called Name of Development/Prolect -- Existing Building Pq New Building p Job �o L 6�J,lupss La--')/z Address St, at Address Suite Bu; aing '/17 ov Gies= Q /�Y� Data Bldg# City/State 111p Existing Use of Building or Property: Name (Property Proposed Use of Building or Property: a ZPiLL _ Owner Mailing Address Suite SN q,) S W C,tk��ry/l a No. Of Stories: City/State Zip Phone T�l�' TL<Aru✓� `���-� l a 9 a- 'l l S Sq. Ft. Of Project: Occupant Name Occupancy Class(es) Name contractor -1 ype(s)of Construction 1 Prior to permit Mailing Address Suite issuance,a copy Will this pro'ect havF a Fire Suppressic,n System? of all licenses ( �C'D �Jcv U'�(f{rr !� Yes_It _ No 0 _ are required if city/State Zip Phone Americans with Disabilities Act ADA expired da alb s O.T -t/1Y'�/ . , � v o , (ADA) ��, ct Valuation X 25/� _ $�/y u _participation Oregon Const.Cont.Board Lic.# Exp.Date Complete Accessibility Form _ l S� Project $ Name Valuation Z0<OtlV Architect �) Plans Required: See atriM x for number of sets to sub- mit Mailing Address Suite I On back C1 /State Zip Phone I hereby acknowledge that I have read this application,that the information given is correct,that I am the owner or authorized agent of the owner,and -- that plans submitted are in compliance with Oregon Stale Laws Engineer Name ti D N L Signetur of Own:r/Agent Date AA?Illnn nr+,�.ose ccicQ_ c2 G� ��sr�?-s>'c �7oU t erson Name Phone City/State Zip Phone 7 FOR OFFICE USE ONLY Indicate type of work New O Addition O Demolition O Map/TL# land Use Accessory Structure O Foundation Only O Alteration< �/'�Z/Jt��� ��3 0 �alr G_ Other O Notes_ Description of work: _ TIF: Note: Sate Work Permit Application must precede or accompany Building Perm!t Application 1 1COMNEWTI DOC (DST) 5198 COMMERCIAL PLAN SUBMITTAL REQUIREMENT MATRIX Plan Review is dependent upon submittal of BOTH plans AND a COMPLETED application. For an electrical submittal, the application must contain the signature of the supervising electrician before plan review will be conducted. After plan review approval, Plans Examiner will contact the applicant to request additional plan sets for distribution purposes. (Copy for Contractor, City, Washington County, Tualatin Valley Fire & Rescue) F— Total# of TYPE OF SUBMITTAL Plants KEY: Submitted S (Private) 1 S = Site Work B (New or Add) 1 B = Building F (New or Add or Alt)f 3 F = Fire Protection System M (Ntrw or Add or Alt) , 1 M = Mechanical B & M (New or Add) _ 1 P = Plumbing P (New, Add, or Alt) 2 E = Electrical B & M & P (New or Add) 2 New = New Building E (New, Add, or Alt) 2 Ada = Addition B & F & M & P & E 3 Alt = Altet nation to Existing (New , Add) _ Building *R or F & M (Alt) I *B & 41 & P (Alt) y 3 *B & M & P & E(Altl v4 3 .g & M & P & E & F(Alt) NOTFS: *Shaded areas designate ALT submittals only. I\dsts\forms\matrxcom dur, 10/30/98 CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 C BUP _ Date Requested_ �"r! �� _AMP — SLD Location �Y �� � _ Suite MEC _ Contact Person tt Ph ` `, J L PLM ' Contractor _ UUU Ph _ SWR BUILDING—-- Tenant/Owner _ ���,! L- _� — ELC L�l.`L�L1 �01 Retaining Wall ELR _ Foutu ig Access: Foundation FPS Ftg Drain SGPJ Crawl Drain Inspection Notes - ---- Slab — ------ SIT Post& Beam --- Ext Sheath/Shear Int Sheath/Shear Framing Insulation / I Drywall Nailing �_�Q m Firewall / 4^ ,1 Fire 7� Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Misc: Final - - PASS PART FAIL PLUMBING Post earn Jnder Slab Water Service Sanitary Sewer --- � -!- ----�--- -�- ---_--- Rain Drains Final -- ---- -__ _�____---.-_---- PA_SS PART FAIL MECHANICAL Post&Beam - ,G� ----------- -- - ---- Rough In Gas Line --- ---- - ----- ----_^___ Smoke Dampers Final - PASS PART FAIL -ELECTRIZAL, -- -- - -- --- - Service Rough In - - UG/Slab Low Voltage Fire Alsrm ASS PART FAIL Backfill/Graving -- --" Sanitary Sewer Storm Drali I [ ]Reinspection fee of$ - required before next Inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line [ ]Please call for reinspection RE' [ ]Unable to inspect-no access ADA OtherAppiohJSidewalk Date �(�'� �' Inspector �12�. Ext Other � ------�-f--- - Final PASS PART FAIL DO NOT RkMOVIE this inspection record from the job site. CITYY O F T I O A R D _ ELECTRICAL PERMIT \ PERMIT#: ELC1999-00304 DEVELOPMENT SERVICES DATE ISSUED: 5/24/99 13125 SW Hall Blvd.,Tigard, OR 97223 (503) 633-4171 PARCEL: 1S126DC-03300 SITE ADDRESS: 09900 SW GREENBURG RD 180 SUBDIVISION: LEHMANN ACRE TRACT ZONING: C-r, BLOCK: LOT : 005 JURISDICTION: TiG Proiect Description: Add five (5) 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: SIGNAL/PANEL: MANF HMI 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: 4 IN PLANT: 601 - 1000 amp: _PLAN REVIEW SECTION 1000+ amo/volt: >=4 RES UNITS: > 600 VOLT NOMINAL: Reconnect only: _SVC/FRR >=22.5 AMPS: CLASS AREA/SPEC OCC: Owner: Contractor: ATHERTON REALTY PARTNERS OREGON ELECTRIC CONST/GROr1P 2100 S WOLF 1010 SE 117H AVE DES PLAINES, IL 60018 PORTLAND, On 97214 Phone: Phone: 234-9900 Reg #: ;_IC 203 SUI' 1302S ELE 2.6-95C FEES _Required Inspections__ Type By Date Amount Receipt_ I Elect'I Service PRMT GEO 5/24/99 $55.00 99315611 I Elect'I Final SPCT�GEO 5/24/99 $2.75 99-315611 ORIG ��ALTotal $57.75 This Permit is issued subject to the regulations contair:d in the Tigard Municipal Code. State of OR 3peoalty Codes and all other applicable laws /,!,work will be done in acco riance with approved plans This permit will expire if work is not started vAhin 180 days of issuance,or if work is suspended for more than 180 days ATTENTION Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0080 YOU may obtain copies of these rules or direct c,uestions to OUNC at(5031 24G-1987 Permit Signature: Issued By: y� , OWNER INSTALLATION ONLY I he installation is being made on property I own which is not intended for sale, lease., or rent. OWNER'S SIGNATURE: DATE CONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR. ELEC'N: _ �._ _ DATE: LICENSE NO: ell j Call 639-4175 by 7:0npm for an inspection the next business day CITY ^F TIGARD Electrical Permit Application Ian Checktt :3125 SW HALL DLV--1. R�(;EIVE� Rec'd ay_ Date Rec'd__. ___ TIGARD OR 07223 Data to P E-_ Phone (503)639-4171,x3040pY 2. 4 19g ' Print or Type Date tr,DST Inspection (503) 639-4175 ilia Permit4 � r3dSf I ax (50;3) 684-7297 C,,,MUNW UF`1t1ftlate of illegible will rot be accepted P Called. 1. Job Address: 4. Complete Fee Schedule Below: Name of Development_ I Number of Inspections per permit allowed - Narne(or narne of business) Chicago Title Service Included: Items Cost Sum Address__ 9900 SW GrPenbvrq R Rd 4a. Residential-per unit 1000 sq.it or less $110.00 _ 4 City/State/Zip---TEach additional 500 sq.11.or El I. thereof $25.00 1 Commercial 12 Residential l lmilod Energy $25.00 Each Manufd Horne or Modular Dwelling Service or Feeder __ $66.00 _ 2 1a. Contractor installation only: (Attach copy of all current licenses) - Ifs Services or Feeders Installation,alteration,or relocation Fiec#rlC�r COnft'arfpr�� .1:3i.Ct� r x-&). n - Address 1010 SE 1 'I )t 1 AVe "r _ 200 amps or less vim_ $60.00 �_ 2 _ 201 amps to 400 amps $30.00 2 City Port land,--State nR Zip 9 �]_Q_ _� 401 amps to 900 amps $120.00 z PhoneNo. 234-990 0 _ ____ 6011 amps 10 1000 amps $190.00 _ ? Job NO 80310 Over 1000 amps or volts _ $340.00 2 Reconnect only $50.00 2 Liec.Con# Lice. No. 2 6-9 5C Exp.Date _-_, OR State CCt3 Reg, No.-2 0 3 Exp.Dale 4c.Temporary Services or Feeders GOT Business Tax or Metro No . Exp.Date Inetallahrn,alteration,or relocation �t 200 amps or less 4r/ /f�f� 201 amps to 400 amps _ $15.00 _ - ---- 2 Signature of Supr. Elec'11 401 amps to 600 amp, $10000 2 Over 600 amps to 1000 volts, I license No, 2 81 1 S Exp.Date-_-_ -_. see"b"above. Rhone No. 2 3 4 99 QQ._a - - -- 4d.Branch Circuits New,alteration or extension pot panel 2b. "tor owner installations: a)The fee for branch circuits with purchase of service or Pnnt0wnor' Name-­_._­_ feeder fee. Each branch circuit $5.00 2 Address___ _ __, ___ ----- h)The fee for branch ciiruits City—,- State____ Zip without purchase of Phone No.__ __-. __ service or feeder fee. 1 35 . 00 V-irsl branch circuit $35.002 rhe installation Is being made on property I own which is not I.ach additional branch circuit 2 inlendeo for sale,lease or rent. 4e.Miscellaneous (Service or feeder not included) - C)wnci'S Signaturo_�_--- --- -_-- - -��---_ Each numo or imgal�on circln - $40.02 - -- Each sign or cul lighting a4''O6 2 llna 3. Plan 1?eview section (if required):' Signal circuit(s)or a limited anergy $40.00 2 _ panel•alteration or extension Minor Labels(to) $100.00 Please check appropriate Item gin-i enter fee in section 5B. 4 or more residential units in one.fru,"ore 4f.Each additional Inspection aver _ -Service and feeder 22`•amps or rno a the allowable In any of the above $3500 System over 600 volts nominal Per inspection - $5500 Classified area or structure containing special occupar y Per hour - $5500 as described In N E C Chapter 5 In Plant Submit 2 sets of plans with application where at y of the above apply. b. Fees: 55. 6o Not require'for temporary construction services. So.E1ilnr total of above fees $ -Z�r- 51/6 Surcioroe(05 X total fees) $ NOTICE Subtotal $ 5b.Enter 25%of line So fix $ FILRN111 S BECOME VOID IF WORK OR CONS F RUCTION AUTHORIZED IS Plan Review L rQquilTd(Sec 3) $ NOT COMMENCED WITHIN 190 DAYS.OR IF CONSTRUCIION OR WORK Subtotal IS SUSPENDED OR ABANDONED FOR A PERIOD OF 190 DAYS Al ANY Tiusl Account 0 5 77 I IME AFTER WORK IS COMMENCED. l Total balance Due nil r'M Am 0098 Edon11121d011 d0 A1.1D 0961 969 Cog VVA 81 :60 INA 66. 61/C0