9900 SW GREENBURG ROAD STE 230 �O
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CITY OF TIGARD
\ __ PLUh.BING PERMIT
DEVELOPMENT SERVICES PERMIT#: PLM2001-00047
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 2114/01
SITE ADDRESS: 09900 SW GREENBURG RD ?¢p ,
PARCEL: 1 S126DC-03300
SUBDIVISION: LEHMANN ACRE TRACT I ZONING: C-P
BLOCK:
LOT- 005 JURISDICTION: TIG
CLASS OF WORK: ALT GARBAGE DISPOSALS: MOBILE HOME. SPACES:
TYPE 01= USE: COM WASHING MACH: 1 BACKFLOW PREVNTRS,
OCCUPANCY GRP: FLOOR DRAINS; TRAPS:
STt+t?l'.S: WATER HEATERS: CATCH BASINS:
FIX rURES _ LAUNDRY TRAYS: SF RAIN DRAINS:
SINKS: URINALS: GREASE TRAPS:
LAVATORIES: OTHER FIX FURES:
TUB/SHOWERS SEWER LINE: ft
WATER CLOSETS: WATER LINE: ft
DISHWASHERS: RAIN DRAIN: ft
Remarks: Tenant Improvement Remove sink and install a washing machine. No change in drain size.
Owner. ---- I- -- FEES -- --
Type By Date Amount Receipt
ATHE ETON REALTY PARTNERSHIP -----
MAR'. HA ATHERTON PRMT CTF 2114101 $72.50 27200100000
2100 S •WOLF 5PCT CTR 2114/01 S5.b0 27200100000
DES P-AINES, IL 60018 _ — Tc•.al $78.30
rgone 1: 847-298-8600
Contractor:
DAVID SMITH PLUMBING
9545 SW KILLARNEY LN
TUALATIN, OR 97062 REQUIRED INSPECTEONS
Phone 1: 503-691-2930 Rough-in InSD
Reg #: LIC 00100030 Final Inspection
PLM 34-271pb
This permit Is Issued subject to the regulations contlined in the Tigard Municipal Code, State of OR.
Specialty Codes and all other applicable laws. A;i .rork will be done in accordance with approved plans.
This permit will expire if work is not started within 180 days of issuance, or it work is suspended for more
than 18C days. ATTENTION: Oregon law requires you to follow Mules adopted by the Oregon Utility
Notification Center. Those rules are set forth in OAR 952-0001-0010 through OAR 952-0001-0080
You may obtain copies of these rules or direct questions to OUNC by calling (503) 246-1987.
Issued By: r� - k Permittee Signature:�_.tJS> 5� L1' ��•
Call ( 03) 639-4175 by 7:00 7.M. for an inspection needed the next business day
CITY OF TIGARD BUILDING INSPECTION DIVISION
24-Hour Inspectiun�Line: 639-4175 Business Line: 639-4171 MST — '
Date Requested
-AM PM
,_ BLD
Location ll 'l.�! �� v_a �.,z Suite �Z,�C� _ MEG
Contact Person � �% -
_— Ph U PLM �IC! 0 oe)
Contractor Ph SWR
BUlt.DING ---� Tenant/gainer � EI-C _Retaining Wall Wall --- - `-~- � ELR _-_-
Footing Access'
Foundation FNS
Ftg Drain
Crawl Drain Inspection Notes: SGN
Slab SIT
Post& Beam -- -
Ext Sheath/Shear
IntSheath/Shear
Framing
Insulation
Drvwall Nailing
Firewall
Fire Sprinkler
Fire Alarm --
Susp'd Ceiling
RoofC"L7 _ ,
Misc: -- —-- -
Final ---------- - -- r _.--
P T FAil-
Undgr slab(-IEOW /
r -- --
ervice r�,,I c l
sanitary�:r;wer
4R rains
na --- - -
ART FAIL
VMTEMNICAL - - --------
Post& Beam --- ---- -- ---
Rough In -
Gas Line ---- ----- —
Smoke Dampers
Final -
PASS PART FAII
ELECTRICAL ----- ---— --- -
Servve
Rough In
UG/Slab
Low Voltage
F e Alarm
Final
PASS_ PART FAIL
SITE
Backfill/Grading - ---
Sanitaiy Sewer
Storm Drain [ J Reinspection fee of$ required before next inspection Pay at City Hall, 1312.5 SW Hall Blvd
Catch Basin
j Please call for reinspection RF: Unable to
Fire Supply Line inspect—__— [ J pect no access
ADA
Approach/Sidewalk / —C� -
Other Date f � � �_ Inspr'ctc�r Ext
�
Final
PASS PART FAIL DO NOT REMOVE this inspection record frorn the job site.
ter.
CITY OF TIGARD BUILDING INSPECTION DIVISION
24-!Hour Inspection Lina: 639-4175 Business Line: 639-4171 MST
zSUP _
�^ Date Requested— .�� Z "Z, �M_ M BLD �- —
Location( (iU 5 �✓ i..�.►.. /,
_-�� Suite �.� __— MEC
Contact -----
Perso�� _ Ph G V f;5- PLM
Contractor C,r�
!rem/ �4 �l� � Ph SWR _
BIJILDINC+ - Tenant/Owner ELC B/-G U/J -
Retaining Wall ELR
Footing Access: ------~ -�----
Foundation FPS
Ftg Drain --
Crawl Drain Inspection Notes: -'-- SGti
Slab ------•------
---___ SU
Post&Beam -� — -- — -
Ext Sheath/Shear
Int Sheath/Shear "` ----- ----
Framing
----------------
Insulation ----- ------ -- -----
Drywall Nailing
-- - -- - --
Firewall -----
Fire Sprinkler IA-
-2,
Fire Alarm --
Susp'd Ceiling
Roof I - --- - -- --
Misc Fina -�-
PA
- --
PASS PART FAIL
PLUMBING _
Post&Beam — - - -- - --- -- --- --- --
Under Slab
FopOut -- - - -- --------- -----------
Water Service --~------'- -- _
Sanitary Sewer - --- --- ---- - --------- - - ------
Ra"n Drains
Final --- -- ---- - -- --- ----
PASS PART
PART FAIL
MECHANICAL
Post&Beam -- ----- _
Rough In
Sas Line
Smoke Dampers -
Final
PASS PART FAIL —
L EC TRIS -
Service
Rough In --
UG/Slab
Low Voltage -
I Fria Alarm
ASS PART FAIL
ISI _ -- - ------ — —
Backfili!Grading ----~ ---- ----- —
Sanitary Sewer
Storm Drain ( ]Reospection fee of$ requirvNJ before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin
Firs Supply Line ( ]Pleaso call for reinspection RE: t.�l Unable to inspect-no access
ADA �.%
Approach/Sidewalk
Other Date Inspector Ext
Final -
PASS PART FAIL 00 NOT REMOVU this Inspection record from the ,fob site,
Plumbing Permit application
a Date received: n Pcrmit no.: 6/1200-p0r,
City ofr Tigard Sewer permit no.: Building permit no.:
Address: 13125 SW Hall Blvd,Tigard,OR 97223 City(?f Phone: (503) 639.4171 Project/appl.no.: Expire date:
Fax: (503) 598-1960 Date issued: By: I Receipt no.:
Land use approval: _ Case file no.: Payment type:
t
;Job
& 2 family dwelling or accessory Cununcicialhadustrial U Multi4amily U Tenant improvement
w construction U Addition/alteri tion/replacement U Fo)a service U Other:
r
dress: ��'_�_ �ti' roc_�� }D t��.y �� Descr•i tion ut . Fee(ea.) Total
BITno.: � Cwtc no.: 2. 'p - New 1-and Z (amity dwellin}s only:
g -- (hicludes loon.for each utility connection)
Tax map/tax lot/account no.: SFR(1)bath
bit. Block: Subdivision: SFR(2)bath
Project name: --� SFR(3)bath
City/county: Tj!a Y �t I zip Each additional hath%kitchen
Descrip!.ion and location of work on premises _. Siteutilities:
a•h t n� IYI G t h _ __ Catch basin/area drain
Est.date of completion/inspection: Drywells/leach line/trench drain
Footing drain(no.lin.ft.)
Manufactured home utilities
Business name: pav tL{ 5r-M;711► PIN- 2/I/C Manholes -
Address:cl AV, K,71ime Lt Lh Rain drain connector _
City: c,, h tate:CP— ZIP:cl 7G � Sanitary sewer(no.lin.ft.)
Phone:Spa 491-X30 Fax: k" E-snail: Storm sewer(no.lin.ft.) —
CCB no.: C (_1 '3 U Plumb.bus.reg.no: 3�-7_� P Water service(no.1?n.ft.)
Fixture or valve
City/metro lic.no.: p p
Absorption valve
Contractor's representative signature: Back flow p eventer
Print name:D&v1d N k>1 t Date:�- -Ls/ Backwater valve
Basins/lavatory
Clothes washer / a
Name: Dishwasher
Address: Drinking fountain(s)
City: — State_— Z1P: Ejectors/sump
Phone: Fax: E-mail: Expansion tank
Fixtum/sewer cap
Floor drain0loor sinks/hub
Name(print):- Garbage disposal —
Mailing address: Hose bibb
City: State: LIP: ce maker
Phone: — Fax: L E-mail: Intercetdor/grease trap
Owner installation/residential maintenance only: The actual installation Primer(s) _+will be made by me or the maintenance and repair made by my regular Roof drain(commercial)
employee on the property I own as per URS Chapter 447. Sink(s),basin(s),lays(s)
Owner's signature: Date. , Sump
Tubs/shower/shower pan _
Urinal
Name: Water closet
Address: Water heater
City: State: ZIP: Outer. — - -
Phone: Fax: E-mail: Total
Not al!ju.'�dicttons accept credit cauda,pleau colt JurldicNon rur tone irdatmad Minimum fee................
Notice:This permit application Plan review(at — %) $ _
U visa U MasterCard expires if a permit is not obtained
Credit card number:— Expire/ within 190 days atter it has been
State surcharge(896).,.. _
E
_ accepted es complete. TOTAL .......................
Now t. dltoldx as rbown on credit card $
Cardholder signature Aman! 416+616(6,Urk")M)
PLUMBING PERMIT FEES:
PRICE TOTAL New 1 and 2-family dwollings only: --
i)tTURES Individual QTY ea AMOUNT (includes all
t100 ft. (a)
plumbing In QTY PE
SAMOUNT
Sink - 16.60 he dwelling and the firs
16.60 -"- for each utility connection__ _
Lavatory $249.20
Tub or Tub/Shower Comb. 16.60 Two(21 bath $350.08
Shower Only 70 Three 3 bath _ _ $399.00
6.6
Water Closet 16.50 "� SUBTOTAL
Urin31 16.60 8%STATE S{)RCHAR_GE _
Dishwasher 16.60 PLAN REVIEW 25%OF SUBTOTAL
Garbage Disposal
-' - 16.60 _._ TOTAL -
Laundry Tray 16.60 _
Washing Machine 16.60 -
FloorDrainlFloor-Sink 2" _ 16.60 PLEASE COMPLETE:
g^ 16.60
4• 16.60 _ - -
- 16.60 _ Quantitt tr Work Perfonnod _
Water Heater O conversion O like kind Fixture Type: New Moved Replaced Removed)
Gas piping requires a separate mechanical - Capped
ormit. _
MFG Home-Now Water Service 4640 Sink
46.40 Lavato
MFG Home New San/Storm Sewer _ Tub or Tib/Shower
Hose Bibs - 16.60 Combination _
Roof Drains 16.60 Shower Only -_- -
16.60 Water Closet
Drinking Fountain - Urinal _
Other Fixtures(Specify) - 16.60 Dishwasher
-�--- - Garbage Disposal
Laundry Room Tray
-_ --- - Washl 9_Machine
Floor Drain/Sink: 2"
Sewer•1st 100' --- _ 55.00 _ Y�- 3^
Sewer-each additional 100' 46,40 _ _-4., _ -- -
Water Servire.1st 100' 55.00 Water Heater
_ -- Other Fixtures
Water 5e-vice-each additional 200' 46.40 - SSeel; _-_
Sturm&Rain Drain-1st 100'- 55.00 --
Storrs&Rain Drain-each additional 100' 46.40 _•------- -- -
'ommercial Bark Flow Prevention Device 46.40 �- ---- - "- -
{ -denllal Hark9ow Prevention Device- 27.55
9asin 16.60 --- - -- --
pecaon of Fxlsting Plumbing or Specially 72.50
rce uerted Inspections pei/hr COMMENTS REGARDING ABOVE:
Rain Drain,single,family dwelling 65.25 - __ __ ----- --
Grease Traps - 1660 --- -
QUANTITY TOTAL
Isoawtrlc or riser diagram is required if -_.-
Quant Thar Is >0 -
"SUBTOTAL
- 8%STATE SURCHARGE
"PLAP�REVIEW 25%OF SUBTOTAL
Re u�ired only If fixture qty total is 9
-- TOTAL
"Minimum permit fp Is$72 50+8%state surcharge,except Residential Aack1low U J�
Prevention Dovlce,which Is$36 25+8`Ye stale surcharge
~All New commercial tlulldings require plans with Isometric or riser diagram and
pian review
i:ldstsVcrms\pirt-fePs.doc 10/10/00
CITYOF T I G A R D _ FLECTRICAL PERMIT_
DEVELOPMENT SERVICESPERMIT At: ELC2001-00109
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 02/23/2001
SITE ADDRESS: 09900 SW GREEIJBURG RD 230 PARCEL: 1 S126DC-03300
SUBDIVISION: LEHMANN ACRE TRACT ZONING: C-P
BLOCK: LOT : 005 JURISDICTION: TIG
Proiect Description: TI wort: in suite 230. 4 branch circuits, 2 data communication circuits job# 140600-79012
RESIDENTIAL UNIT TEMP SRVC/FEEDERS _ MISCELLANEOUS
1000 SF GR LESS: 0 200 amp: PUMP/IRRIGATION:
EACH ADD'L 500SF: 201 - 400 amp: SIGN/OUT LINE LTG:
LIMITED ENERGY: 401 600 amp: SIGNAI-/PANEL: 2
MANF HMI SVC/FDR: 601+arnps •• 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: i IN PLANT:
601 - 1000 amp: _ PLAN REVIEW SECTION _
1000+ arnp/volt: >=4 RES UNITS: > 600 VOLT NOM__INAL:
,Reconnect only: SVC/FDR >=225 AMPS: CLASS AREA/SPEC OCC:
Owner: Cnntractor:
ATHERTON REALTY PARTNERSHIP COCHRAN ELECTRIC
MARTHA ATHERTON BROADWAY ELECTRIC
2100 S WOLF 626 SE MAIN
DES PLAINES, IL 60018 PORTLAND, OR 97214
Phone: 847-298-8600 Phone: 234-6564
Reg #: LIC 77942
SI IP 3184S
ELE 37-546C
—FEES Required Inspections
Type By Date Amoun; Receipt ---
Ceiling Co 'Pr
PRI`AT CTR 02/23/2001 $216.80 2720010000( Wall Cover
5PCT CTR 02/23/2001 $17.34 2720010000( Elect] Service
---_ Elect'I Final
Total $234.14
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 mete Irian 180 days ATTENTION Oregon law requires you to follow rules;z+cpted by the Oregon Utility Notification Center Those
rules are set forth in OAR 952-001-0010 through CAR 952-001-0080 You may obiain copies of these rules or direct questions to OUNC at(503)
246-1987
PERMITTEE'S SIGNATURE ISSUED BY; )
OWNER INSTALLATION ONLY
The installation is being made on property I own which is riot intended for sale, lea�w— re t.
OWNER'S SIGNATURE: DATE:_
CONTRACTOR INSTALLATION ONLY
SIGNATURE OF SUPR. ELEC'N: _ _ — _ DATE:
LICENSE NO: --
Call 639-4175 by 7:00pm for an inspection the next business day