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10260 SW GREENBURG ROAD STE 1170-2 i N O O m m c G) v cn m J O r� 10260 SW GREENBURG RD- S fE 1170 CITYO F TIGA R n CERTIFICATE OF OCCUPANCY DEVELOPMENT %OJERVIGES ?ERMIT#: BUP2003-00423 13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 7/10/2003 PARCEL.: 1 S135AB-03400 ZONING: C-P JURISDICTION: TIG SITE ADDRESS: 10260 SW GREENBURG RD 1170 SUBDIVISION: LINCOLN TOWER-TOWN OF METZGER BLOCK: LOT:014 CLASS OF WORK: ALT TYPE OF USE: COM TYPE OF CONSTR: 2FR OCCUPANCY GRP: B OCCUPANCY LOAD: 10 TENANT NAME: OBSIDIAN REMARKS: TI - New office and reception counter. Owner: EOP LINCOLN, LLC 10260 SW GREENBURG RD SUUITE# 100�jR 972 P Phone ND$92-2500 23 Contractor: 234-6617 C SCHIEWE+ ASSOCIATES 1024 NE DAVIS PORTLAND, OR 97232 Phone: 234-6617 Reg#: LIC 54105 This Certificate issued 8/27/2003 grants Occupancy of the above reterenced building or portion thereof and confirms that the building has been inspected for compliance with th tape of Oregon Specialty Codes for the group, .)ccupancy, and se under white the referenced permit w Qd. BUIL&NG INSPECTO BUILDIN OFFICIAL POST IN CONSPo.;UOUS PI ACE CITY OF TIGARD 24-Hour BU.LDINC Inspection Line: (503)639-4175 MF INSPECTION DIVISION Business Lii.c: (503) 639-41.71 -- Blip Received _ __Date Requested_ _� 7�AM_ — PM_ _ BLIP Location _- _- a �Y-1_� LkSuite (^7 0! ��'1..� Contact Person Ph( ) S 7,�)-_-7 q ? S� PLM _ __--_-- Contractor _ —_ —c Pah(_ ) -- _._ SWR BUILDING _ Tenant/Own .,I1ELC �_— Footing ELC Foundation ----- Access: Ftg Drain /,�, •- ELR Crawl Drain Slab Inspection Notes: SIT Post&Beam - Shear Anchors Ext Sheath/Shear Int Sheath/Shear Framing - - - Insulation Drywall Nailing - — - - Firewall Fire 3prinkler --- - — Fire Alarm Susp'd Ceiling Roof Other: - Final _ PASS PART FAIT_ PLUMBING Post& Beam Under Slab Rough-In Water Service - - Sanitary Sewer Rain Drains Catch Basin/Manhole Storm Drain — Shower Pan Other. --- ---- - - Final — PAS RAT FAIL CHANIC L — --_ OS Rough-In ---- - -- -- - --- — Gas Line Se Dampers - --- ---- -- n1 PART FAIL - --_---I%WTRICAL Service Rough-In UG/Slab Low Voltage -------------- Fire Alarm Final Reinspection fee of$________required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL SITE ❑ Please call for reinspection RE:-- -_ __ —__ Unable to inspect-no access Fire Supply Line ADA Date GInspector__�yy, _Ext Approach/Sidewalk -- `� -' Other: Final — DO NOT REMOVE this, Ir+spectlon record from the Job Ite. PASS PART FAIL CITY OF TIGA RD 24-Hour BUIL-DINC Inspection Line: (503)639-4175 MST INSPECTION DIVISION Business Line: (503) 639-4171 BUP --- Received __.. Date RequestedXM _—_//_''PQ�M�� — BLIP Location ��_�-_.__'�� ___ uite MEC Contact Person Ph PLM Contractor S�. Ph(----) Y-3 631 SWR -- ----- --- BUILDING TenanYOwner _ ELC Footing ELC Foundation Access: Ftg Drain ELR - ----- --------.___. Crawl Drain _— Slab Inspection Noted 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 - _--- ------- --- _--- --....- ----- PLUW_I91NG ------- 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 -"---�- ELEC_TRICAL--- - - -- -- - ----- - ---- — ------ Service Rough-In ----- -- ------ -- - UG/Slab Low Voltage _ ---- Fim-Alarm ina F] Reinspection fee of$_- __required before next inspe%tlon. Pay at City Hall, 13125 SW Hall Blvd. A _ PART FAIL SITE _ Please call for reinspection RE: _—_ Unable to inspect-no access Fire Supply Line ADA Approach/Sidewalk Date s��. ; �j Inspector_� Ext Other: ----__ - Final DO NOT REMOVE this Inspection record from the Job site. PASS PART FAIL CITY 4F TIGARD 24-Hour BUILDING Inspection Line: (503)639-4175 MST INSPECT ION DIVISION Business Line: (503)6394171 BUP Heceived — --- --- -- Date Req ested._ _ AM --- PM_—___. SUP --------- ----- ___-- Location 94f In I -Suite 1 r7 d [AEC Contact Person __ ___ _ L ____--__ Ph ___) _2 z, Z - `1S PLM Contractor ------- __—_-. _ Ph(- ) ----____- SWR BUILDING Tenant/Owner _ ELC — Footing - --- ELC -- ------ Foundation Access: Ftg Drain ELR =�d�s — Crawl Drain —_— Stab Inspection Notes: SIT - Post&Beam -- ------ - -- Shear Anchors Ext Sheath/Shear Int Sheath/Shear Framing _ --- -- --- - -- -- - Insulation Drywall Nailing - ---- _ -- Firewall Fire Sprinkler -- -- Fire Alarm ` Susp'd Ceiling -- Roof Other: Final PASS PART FAIL. - PLUMBING_ Post& Beam --- Under Slab -- - Rough-"n Water Service - --- -- Sanitary Sewer Rain Drains Catch Basin/Manhole Storm Drain Shower Pan Other: _ Final PASS PART FAIL. MECHANICAL Post&Beam Rough-In - - ------- - Gas Line Smoke Dampers - - ----- _ Final PASSPART FAIL - -� - - --- - -- - ELECT_NICAL Service Rough-In UG/Slab Low Voltage - F' a larm WWi � Reinspection fee of$-- required before next insrgction. Nay at City Hall, 131?5 SIM Hall Blvd. S PART FAIL SITE Please call for reinspection RE: — Unable to Inspect-no access Fire Supply Line ADA Approach/Sidewalk Date �' Inspe rr �� 4^--,?� -Ext - Final DO NOT REMOVE this Inspection record from We Job site. PASS PART FAIL CITY OF TIGARD 24-Hour BUILDING Inspection Line: (503) 639-4175 MST INSPECTION DIVISION Business Line: (503) 639-4171 ElUP Received –.. Requested -_-�� AM_ __ PM BUP __— Location Suite�J��.__ MEC Contact Person _ _ _ ( ) ,3 q g"as- 3 PLM _ Contractor _ Ph( ) _ SWR - - ----- -.- BUILDING Tenant/Owner ELC Footing ELC Foundation Access: Ftg Drain ELR Crawl Drain --_-- Slab Inspection Notes: /1 - SIT Post&Beam -- Shear Anchors - - - - Ext Sheath/Shear Int Sheath/Shear Framing Insulation Drywall Nailing -- Firewall Fire Sprinkler - ---- - - --- ---- ---------- -- Fire Alarm Susp'd Ceiling _-- Roof Ot r: - -- PASS-)PART FAIL PILLUMMGING Pnst& Beam Uiwer Slab — -- Rough-in Water Service --- — Sanitary Sewer Rain Drains ----- Catch Basin/Manhole Storm Drain --- —' Shower Pan Other! Final _---------- PASS_PART FAIL MECPIANICAL Post&Beam Rough-In - — — GAs Line Smoke Dampers Final PASS PART FAIL -- _EL_ECTRI,CAL Service -.._...--- ---- --- -- Rough-In UG/Slab Low Voltage Fire Alarm Final El Reinspection fee of$_ __required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIT. SITE — El Please call for reinspection RE. Unable to inspect-no access Fire Supply Line /? / ADA Approach%Sido"N,flt Date Ext --- Other: Final DO NOT Rr'MOVE this Inspection record from the job site. PASS ?ART FAIL /\ CITY� OF TIGARD BUILDING PERMIT �+ PERMIT #: 03-00423 DEVELOPMENT SERVICES DATE ISSUED: 7/10/0 7/1U/03 13125 SW Hall Blvd., Tiqard, OR 97223 (503) 639-4171 PARCEL: 1S135AB U34l)U SITE ADDRESS: 10260 SW GREENBURG RD 1170 SUBDIVISION: LINCOLN TOWER-TOWN OF METZGER ZONING: C-P BL.00_K: LOT: 014 JURISDICTION: TIG_ REISSUE. _ FLOOR AREAS _EXTERIOR WALL CONSTRUCTION _ CLASS OF WORK: ALT FIRST: sf N: S: E: W: TYPE OF USE: COM SECOND: sf _ PROJECT OPENINGS? _ TYPE OF CONST: 2FR sf N: S: E: W: OCCW ANCY GRP: B TOTAL AREA. 0 sf ROOF CONST: FIRE RET? OCCUPANCY LOAD: 10 EASEMENT: sf AREA SEP. RATED: STOR: HT: ft GARAGE: sf OCCU SEP. RATED: BSMT?: MEZZ?: REQ_D SETBACKS REQUIRED FLOOR LOAD: pst LEFT: ft RIGHT: ft FIR SPKL: SMOK DET: DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP AGC: BEDRMS- BATHS: IMP SURFACE: PRO CORR: PARKING: VALUE: $ 15,000.00 Remarks: TI - New office and reception counter. Owner: Contractor: EOP LINCOLN, LLC C SCHIEWE + ASSOCIATES 10260 SW GREENBURG RD 1024 NE DAVIS SUITE# 100 PORTLAND, OR 97231 PORTLAND, OR 97223 Phone: 892-2500 Phone: 234-6617 Rei #: LIC 54105 FEESREQUIRED INSPECTIONS Description Date Amount _ Mechanical Permit Require IA X 18",,State'rax 7/10/03 $14.98 Electrical Permit Required fit 1ILD Permit fee 7/10/03 $187 30 Framing Insp I 1 Gyp Board Insp IfitIPPl.N) Pin Rv 7/10/03 $121.75 Susp Ceiing Insp IfI.SJ FI.S P' Rv 7/10/03 $74.92 Final Inspection Total $398.95 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 adopters by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 95'2-001-C 00. You may obtain a copy of these rules or direct questions to OUNC by calling (503)246-6699 or 1-800-332-2344. Issued By: ZCc - Penni'ttee Signature. �"rt'� •. %f L _-_— 1 Call 639-4175 by 7 p.m. for an inspection the next business day 11"OR OFFICE USE NLY Buildinu Perin-t Application Received Building PUF2« ,3- Date/By: )-03 Permit No.: (_"icy of'Tigard Planning Approval Other Date/By: PD Permit No.: 13125 SW Hall Blvd. Plan Review Other Tigard,Oregon 97223 / Date/B : -10- 5 Permit No.: Phone. 503-639-4171 Fax: 503-598-1960 Post-Review Land Use --" Internet: www.ci.tigard.or.us Date/B Case No. Contact 1 is.. 0 See Page 2 for 24-hour Inspection Request: 503-639.4175 Name/Methc,d: SuPylemental Inforrnadon TYPE.OF WORK REQUIRED DATA: New constructionI El Demolition 1&2 FAMILY DWELLING Addition/alteration/replacemerrt Other: — CATEGORY OF CONSTRUCTION Note: Permit fees*arc based on the total value of the work performed. Indicate I &2-Family dwelling Commerciai/Industrial the value(rounded to the nearest dollar)of all equipment,materials,labor, overhead and profit for the work indicated on this application. Accessory Building _ ❑_ Multi-Family Master Builder _ ❑Other: Valuation.................................... ................... S _ JOB SITE INFORMATION and LOCATION No.of bedrooms: No.of 'caths: �^ Job site address: 10260 5W Greertbur (1-024 Total number of floors.................................... `— - Suite#• 1170Bldg./Apt.#:l.inrowt rowel• New dwelling area(sq. fl.) ............................ Garage/carport area(sq. ft.) )............................ Project Name: Obs id i8yt Covered porch area R. Cross street/Direetions to job site: Deck ar.w(sq. fl.)............................................ _ Other structure area(sq.R.)........................... REQUIRED DATA: COMMERCIAL-USE CHECKLIST Subdivision: - Tax map/parcel #: _ Note Permit tees•are based on the total value of the work Performed. Indicate DESCRIPTION OF WORK the value(rounded to the nearest dollar)of all equipment,materials,labor, --eY►an't It�rover►,Ght overhead and profit for the work indicated on this application. (1J Valuation....................... ................................ -`--- Existing building area(sq.ft.)......................... -- New building area(sq.fl).............................. 2 Number of stories........................................... (_ 1- (lV,2 PROPERTY OWN TENANT TENANT Type of construction......................__............. Name: COUITY OFFICE fJL0"TIEs Occupancygmup(s): Existing: Address: 10260 sW Greeyt� So.' to I(6o New: p — City/state/Zip: Port ak%d 0JL -� 223 --- Phone:663 892-2500Fax: NOTICE: All contractors and subcontractors are required 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 m Business Nae: GRO PdltreLs,lhCG, jurisdiction where work is being performed. If the applicant is exempt Contact Name: f-ay I'-. Glor from licensing,the following reason applies: Address: 1120 N W Cour.{ St. Svte 3.IU0 -- p.PhoCit /State/ZiI,. Port ah Op- Phone:501 ne:503 2Z4-gt'o6t'v Fax: ---- - ---- ------ ---- - ---- ---- BUILDINGPERMIrFIaES*'r`-- E-mai 1: � 16 ,u.. _ Please refer Ig.feeschedUlt»,: CONTRAG"I OR +1 •;;t. _�—_�__� __ _-- --_-_- Business Name: G . 561 ewe Ca,xtr,, -t ry.-, Fccs due upon application..... .. Address: IV?, NC- AA0,t- srt . Cit tate/Zip: t7r �2h t71�. 97 2?2 Amount received........... ................................ S_ PhonePVS 2?`} Wr(7 Fax: Date received: _ CCA Lic, #: 5 -------------- Authorized Notice: Thisermit application expires If a pet mit Is not obtained within Signature: Af �- �ifi�-,.y Date: �•fC n3 ISO days*Per has been accepted as complete. >-a R. Gita11 •Fee methodology set by TrWounty Building Industry Service Board. (Please print name) i:lDstsU'ermit Pomo%BldgPermitApp.doc 01/03 OF T I GA R D ELECTRICAL PERMIT PERMIT#: ELC2003-00466 - DEVELOPMENT SERVICES DATE ISSUED: 7/30103 13125 SW Hall Blvd., Ticiard, OR 97223 (503) 639-4171 PARCEL: 1S135AB-03400 SITE ADDRESS: 10260 SW GREENBURG RD 1170 ;CONING: C-P SUBDIVISION- LINCOLN TOWER-TOWN OF METZGER BLOCK: LOT: 014 JURISDICI ION: TIG Projoct Description: Alteration or addition of(3)branch circuits for tenant improvement. Job No.451 RE_SIDFNTIAI_UNIT _TEMP SRVC/FEEDERS M13CE1_LANEOUS _ 1000 Sr OR LESS: 0 200 amp: PUMP/IRRIGATION: EACH ADD'L 500SF: 201 - 400 amp: SIGNIOUT LINE LTG: LIMITED ENERGY: 401 - 600 amp: SIGNALWANEL: IdANF HMI SVC!FDR: 631+amps - 1000 volts: MINOR LABEL (10): SERVICE/FEEDER —__.------BRANCH _— __,__BRANCH CIRCUITS ADD'L INSPECTIONS 0 - 200 amp. WISERVIGE OR FEEDER: PER INSPECTION: 201 - 400 amp. 1st W.O SRVC OR FDR: 1 PER HOUR: 401 - 600 amp. EA ADD'L BRNCH CIRC: 2 IN PLANT: 601 - 1000 amp: _ PLAN REVIEW SECTION 1000+ amplvolt: >=4 RES UNITS: > 600 VOLT NOMINAL: Reconnect only SVC/FDR>=225 AMPS: CLASS AREA/SPEC OCC: Owner: Contractor: KNICKERBOCKER PROP, INC XXIV WILLAMETTE ELECTRIC INC BY NORRIS,BEGGS+ SIMPSON PO BOX 230547 10300 SW GREENBURG RD STE 200 TIGARD,OR 97281 PORTLAND,OR 97223 Phone: Phone: 503-e?4-3631 Reg #: LIC 75059 slip 19655 _ FEES t 1.F 34-2830 Des+:ription Date Amount Required Inspections ections I I;LI,IZM FF 7 1 L11 1 7/30/03 $60.15 Roug - -------� ITA\ 8 tir:ur I;n 7/30/03 $4.81 Ileal Final Elerfl Final Tt,)tal $64.96 This Permit is issued subject to the regulations contsrned 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 N 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 througr 1952-001-0100. You may obtain copies of these rues or direct questions to OUNC Pt(503)240699 cr 1-800.332-2344. Q / ��CQ-"� 1"RQ �� ' Permit Signature: Issued By: 1 OWNER INSTALLATICN ONLY The installation is h.iing made on property I o vn which is not intended for sale, lease, or rent OWNER'S SIGNATURE: DATE:__ C NTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR. ELEC'N: /t �— _ — DATE: LICENSE NO: Call 639-4 175 by 7:00pm for an inspection the next business day Electrical Permit ---- A 1li - nElectrics 7R,c,c/,vcdB : Permit N►o.:je,4r �3Y7 0_ Planning Approval Sian " City Of Tigard Date/By: Permit No.: 13125 SW Hall Blvd. Plan Review Other Tigard,Oregon 97223 Date/By: I Permit No.: Phone: 503-639-4171 Fax: 503-598-1960 Post-Review Land Use Date/By: Case No.: Internet: www.ci.tigard.or.us Contact J 'ee Page 1 for 24-hour Inspection Request: 503-639-4175 r Name/Method: Supplemental Information. TYPE OF WORK PLAN REVIEW Please check all that apps NeW Construction DemOlitton Service over 225 amps I Icalth-care facility commercial ❑I lazardous location Addition/alteration/re ldcel11ent I ❑Other: []Service over 320 amps-rating of ❑Building over 10,000 square feet, CATEGORY OF CONSTRUCTION _ 1&2 family dwellings four or more residential units in 1 &2-Family dwelling Commercial/Industrial C]Systrm over veils nominal one structure - ❑I)uilding overr three stories ❑Feeders,400 amps or more Accessory Building Multi-Family —_ ❑occurant load over 99 persons ❑Manufactured structures or RV park Master Builder Other: []Fgress/lighting plan ❑Other:___ JOB SITE INFORMATION and LOCATION Submit^sets of plans with any of the above. The above are not applicable to Icor!oLU construction service. Job site audress: /0 z (,v S w ==,r-c't.w ID FEE"SC_IiEDULE Suite#: 117-lo Bldg./Apt.#: T wt v.- Number of ins ections per permit alto.ved Project Name: 1lescr•i tion Qty Fee(es.) Taul New residential-srp�le or m:1;l-farnily Pcr Cross street/Directions to job site: dwelling unit.Includes atrvrlred garage. Service included: IOW sq.H.or less 145.15 4 Each additional 500! .ft.or portion thereof 33.40 1 Limited energy,residential 750) 2 Subdivision: Lot#: Limited ener y,non residential 75.00 2 Tax ma arcel M Fath manufactured home or modular dwelling DESCRIPTION OF WORK service an(/or feeder 90.90 2 Services or feeders-installation, T a Y M ✓)/tirt t f'.w )~ __ alteration or relocation: —T 200 a,nn or less 80.30 2 _201 Imps to 400 amps _— 106.85 _ 2 —— 401 amps to bW amps _ 160.60 2 PRr)i' RTY OWNER��-I_ENANT 601 amps to I000 amps T _ 240.60 2 _ __—.. -~ Over 1000 amps or volts 454.65 _ 2 Nunn. F e, ,' tw .�- _ C-2- �1` Reconnectonly - - 66.85 2 Address: _-� _ Tempot ary services ter feeders-limaliation. - -- alteration,or relocatlon: Cit /State/Zt _—_ 2W ams or less 66.R5 1 — p--- �ax 100.30 2 Phone: zo1 amps�o gooaps u3.7s401 to 60(,am APPLICANT CT PEI SONi branch circuits-ne-H,alteration,or Name: extension per panel: -- ---—� - A Fee for branch circuits wish purchase of Address: service or feeder fee,each branch circuit 6.65 City/State/Zip: _ - B Fee for branch circuits without purchase of 46.85 S- 2 service or feeder fee,fu•r branch circuit TC Phone: _ I dX: _ _ Each additional branch circuit 6.65 2 E-mail: _ �� Misc.(Service or feeder not included): _ CONTRACTOR Each um or irrigation circle 53.40 2 __ -- -- Fach sin or outline lighting 53.40 2 Job No: 4 S 1 — Signal circuits)or a limited energy panel, - alteration or extension _Palle 2 2 Business Name_ i a r C �M„ �"__ Description: Address: l(Q &, ,1 2 3L,, 4 4 z` p� ' Each additional Inspection over the allo_wablc In an of the above: Cit /State/Zip_ I )1 �d- Per inspectionPeer hour(min. I how) — 62.50 PhoneL fp Z4 I Fax: - i — Investigation far. ` Other: — CCB Lic. #: lie, c Lic.#: - t 5 3 L Electrical Permit Fees* _ Supervising electrician (� �� subtotal FS11 sigznnature re aired: iU( � Plan Review(25%of Permit Pte nt Name: Fr�c' Lie.#: /f- S State Surcharge(8%of Permit Fee ��TOTAL PERMIT FEE Authorized Notice: This permit application expires If a permit Is oat obtained within Signature _—_— —_,— Dute.-- -- IRO days after It has been accepted as complete. *Fee methodology set by Tri-County Building industry Service Board ---- ---(Please print name) \I)sts\Permit Forms\E)cPetmetApp.k'oc 01/03 Electrical Permit Application - City of Tigard Page 2 - Supplement-1i Information LIMITED ENERGY PERMIT FEES: RESIDENTIAL WORK ONLY: Fee for all systems............................................................ S75.00 Check Type of Work Involved: Audio and Stcrco Systems* liurglar Alarm c iaruge Doerr Opencr* I lesting,Ventilation and Air Conditioning System* Vacuum Systems* Other__ _ COMMERCIAL WORK ONLY: Fee for each system.. .................................................... S75.00 (Shl;OAR 918-260.260) Check Type or Work Involved: Audio and Stereo Systema nailer Controls Clock Systems Data Telecommunication Installation Fire Alarm installation I ti AC' Instrumentation Intercom and Paging Systems Landscape Irrignlior Control* Medical Cj Nurse Calls ❑ Outdex.r I andscape Lighting* Protective Signaling F1 Other^---- — -- — ;Dumber of Systems * No licenses are required. Licenses are required for all other installations iADstsV'ermit harms\ClcPermitAppP92.doc 01/03 \ ELECTRICAL.PERMIT- \ CITY OF TI OARD _ RESTRICTED ENERGY DEVELOPMENT SERVICES PERMIT#: ELR2003-00251 13125 SW Hall Blvd., Ticiard, OR 9722 - (503) 639-4171 DATE ISSUED: 8/14/03 SITE .ADDRESS: 10260 SW GREENBURG RD 11-'0 PARCEL: 1S135AB-03400 :SUBDIVISION: LINCOLN TOWER-TOW"J OF MrTZGER Z.ONINC: C-P BLOCK: LOT: 014 JURISDICTION: TIG Pruiect Description: Installation of data telecommunications systems. A.RESIDENTIAL v G.COMMERCIAL AUDIO & STEREO: AUDIO & STEREO: INTERCOM & PAGING: BURGLAR ALARM: BOILER: LANDSCAPE/IRRIGAT: GARAGE OPENER: CLOCK: MEDICAL: HVAC: DATA/TELE COMM: X NURSE CALLS: VACUUM SYSTEM: FIRE ALARM: OUTDOOR LANDSC LITE: OTHER: MVAC- PROTECTIVE SIGNAL: INSTRUMENTATION: OTHER: TOTAL#OF SYSTEMS: I Owner: Contractor: � Y EOP LINCOLN LLC; NORTHWEST NETCCM LLC 10260 SW GREENBURG RD STE 100 DBA NW NETCOM LLQ, PORTLAND, OR 97223 12011 NE 99TH ST#1550 VANCOUVER,WA 98682 Phone: Phone: 503-635-0200 Reg #: LIC 152743 ELE 37-392CLE FEES _ Required Inspections v Description Date Amount _ Low Voltage Inspection --:LPRM'I I I I It Permit 8/14/03 $75.00 Elect'I Final ITAXj R'%State Tax 8/14/03 $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 accordanoe with approved plans. This permit will expire if work is not started within-M-0ays of issuance,or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you tow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 throuc Iss d by �_._� Permittee SignatureG 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. EI_EC'N LICENSE NO: Call 639-4175 by 7:00 P.M. for an inspection needed the next business day 1-AWW8"tR�.l) 1347nP63 bim 11160 360 ?,5-in.?911 t��i) NWNetcorn Electrical Pern it Application City Of TIgAI'd6�ECEIVEC.y ProJeeVaprl•no.: &><�redde:_ Address 13125 SW Ifni]Blvd,7 shad,OR 97223Vale Issued: T Ci<vuJli,urti P1on:(503)631 4171 AUG � ► ?QQ� Ca►cflletw - - �ymttype: 0"Keceiptno.: n Land use approval: rO I ,% 1(nnrily dwcllinF or nccnsrr,ty or nnaxoial/industrial O Multi-family U'renant impoiwenicr,t U Nnu ,„ndmr.unn U AiMit nn/alderefion/replarxvieol U Odier 14 Address: I�ZIp _e+�___Q'IAr Btdg,no.: Suite rant. 1'nx niapAnx Int/acctnlut nu.: I„t Block:— J Subdlt•lsion: I ro act name: C 66 1 TD d A r l if v 1JC DeRcri ption and location of work on promises: fatinialed dale of com lea n/lIo ectinn: +� Job not 8usinesx ntune: � � rt'-Inu l�ty. (ea fn1a1 no.lnr Il Q� (T New MNknflal•sirrRkarrwlti1.m11ypre Addrces: I .011 � :. _ eRetltaatnft.tnctWksrr.r►.r.Ir,ry. Cit ; A C IV Slate: :1 I: 'x. EcttialaeMdd: �F' + ' JJs 1 r 1000 sq A nr tr,c 4 M1onc 7 c�iLT Faa: — P+,na;} .,....- - -•- Gsch adtndona1700 (CE!flo.: Glev.bus,lie.nn: LE - - LlmiiejCM, ,-rnl if 1 city/metro fin. n.)' Cj - - -. Urnlr'rdenergv,rion.Miidcn6&F_ —6:3" Bash nntturatuurd home or modular dwelling ---— ___ '--- Sm vice feeder Sismturcof iarn 6taotricianbcquiraf Dee re 2 .. Sep,elem ( lm 111 �.( I.t�natnn "Haft rrtleroltea; dun, alfttafiea er seleeallaar 2U0 amps or ten 2 Name!(print): rAtAi±j201 amps M400 amps _- - - 2 -- �. �Qt amps to 600 amps _2 Msitin addr s5: X0 14 Qli►4 tel• 601 tutI sto IONL!FS —y 2u Cily: , Staleover loon ams ar votu Ph'lie Faun. mail: 1- 7)Wrler insudiat1om'11re installation is bring meds an properly 1 own emporaryceiKF"— " - which is not intended for sale,],!age,rent.,or exchang c according to Installation,Alteratlnn,of tcloqMtbn. 700 arta°"'le-Is 2 ORS 447.455,479,610,701 Zai.,mpernsiKlaftaps -•------ _.. _. _.....- i nwncr'a ei :ien,re: Dotty 401 le s -- ■restch etreatb-ae r:,slhnllon, or extenflon per panel: Name _ A.Fee rot brandt circuiu with purchue of Address: service or feeder fee,each branch eireuft,-_ -- 2 ('sty: State.: 7,)r: ,_ a Fee for hrucircu tch its w thout- p-uchmite ---+- - -- of service or Indra fee•first branch dicnit.• - 2 Phone, I ax. F.rnail: 130th nddlston■I� circuit. _ _ 111-m.1%,111 EM Mke.( set eesrlts�sraetlarinded): tJ Seni'mtwo,T211 ttnps commereUl Exh pump or"Retioncircle -_ _ 2 U Sewl<eovert20,mprtatingrot IR2 tJ Ite+v,Mnnlocaum. Fachsignor nudinellahilug _ _ _ 2 fertdlydwellfnp Unuilrungnver10,t0U,goarofea(oulu, Siplaldreuitis)uralimited erlar.ypanel, 2 0"gy4retnover 6Wvoilanondnal mule resident talutdtainone structute di6rmion,orcatuwste", ` 2 U aVildrng over Hutt durlea U Fooders,400 ampv in runt •tyalcR ata p(keupant food ovit"persons F)Marndacturtd ant;:tune,m RV pert Aca dltbn itupeclion ever the allowable In any al elle abovr. d Farredlighangplan U Other _ _-.... __--- pet ins 8abadf_set!of Plants sellh any of Use Above. noes ,tun re tello 1 he abere Plan re"' — are not,,ppllesbk to temporary eonsh ,s aerrice. outer _ --—- S N t dl IMriMNedont Src.ry rmar carr)r,l+r.e.raid i,.rfvtrrten Rx mon etnaetrylrar Notice: nit plrmll 1pplicatlon 14rm11 fee.............�..,. y�Vl,a expires if a permit ix not oldnined ( 'd') $ _ 4�rir r��yr within 180 days after ;has peen State surcharge(9%).,..S 1Q 'r accepted an complete. TOTAL ................4M CildS .._ h"ft 81r.hAi we...._��-._. - -_ m,x„ aq 4615 t6RM IMA) CITY OF TIGARD _ MECHANICAL PERMIT DEVELOPMENT SERVICES PERM;T#: MEC2003-00500 13125 SW Hall Blvd., Tigard, OR 9722.3 (503) 639-4171 DATE ISSUED: 8/15/03 PARCEL: 1 S135AB-03400 SITE ADDRESS: 10260 SW C. 1ENBURG RD 1170 SUBDIVISION: LINCOLN - OWER-TOWN OF METZGER ZONING: C-P BLOCK: LOT: 014 JURISDICTION: TIG CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS: TYPE OF USE: COM UNIT HEATER': VENT FANS: OCCUPANCY GRP: B VENTS W/O APPL: VENT SYSTEMS: STORIES: BOILERS/COMPRESSORS HOODS: FUEL TYPES 0 -�3 HP: DOMES. INCIN: 3 15 hIP: COMML. INCIN: MAX INPUT: BTU 15 - 30 HP: REPAIR UNITS: FIRE DAMPERS?: 30 - 50 HP: WOODS,TOVES: GAS PRESSURE: 504 HP: CLO DRYERS: FURN < 100K BTU: AIR HANDLING UNITS r rHER UNITS: FURN >=100K BTU: <= 10000 cfm: GAS OUTLETS: > 10000 cfm: Remarks: f ransf'er grilles. Owner: _ FEES KNICKERBOCKER PROP, INC XXIV Description Date Amount BY NORRIS, BEGGS + SIMPSON 10300 SW GREENBURG RD STE 20n [%IE(AI] Permit Fee 8/15/03 $7^_.;,0 PORTLAND, OR 97223 [TAX] 8%StateTax 8/15/03 $5.80 Phone: Total $78.30 Contractor: MCKINSTRY CO 5400 NE COLUMBIA BLVD PORTLAND, OR 97218 REQUIRED INSPECTIONS Phone: 111-0234 Mechanical Insp Final Inspection Reg#: LIC 40981 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted in the Oregon Utility Notification 0-titer. Those rules are set forth in OAR 952-001-00 Issued By• � _ �:7�� ( Permittee Siynatur4. e Call 1503) 639-4175 by 7:00 P.M. for inspections tieext a iness day Mechanical Permit Application flouts -�-- — ~71 --- Date received:,,./t,p3 Permit no.:n •,u City of Tigar Project/appl. no.: Expire date: Address: 13125 SW EIhl�Blv4,�ig Phone: (503) 639-41 J!QR 97223 })ate issued: By Receipt no.: Fax: (503) 598-1960 CITY OFTIGARC) Case file no.: Payment type: Land use approVIOlLDING UIVISIC)ra.__-_ Building permit no.: U I &2 family dwelling or accessory UCommercial/industrial J Multi-family Jd Tenant improvement J New construction a;Nd(htwi, altrrnlion/replacement J Other: Job address:. _ 101" SW GUgjgpjSZVkG Indicate equipment quantities in boxes below. Indicate the dollar Bldg. no.: LAgtpLAI Ttd &A Suite no.: "]O value of all mechanical materials,equipment,labor,overhead, Tax impitax lot/account no.: profit.Value S - 11 OLS•OQ Lot: Block: Subdivision_ 'See checklist lar important application inforrttation and Project name: tib iuwi diction's lee Schedule fon residential permit fee. City/county: PQ�TIL, Q Description and location of work onppr�eemises: ___ TENI►*1T Fee(ea.) 1ntaf Est.date of completion/inspection: Desch Non tit). Res.only I lies.onh Tenant improvement or change of use: IV AC' Ai:handling unit CFM I.;existing space heated or conditioned?I�Yes 'J No -- Air conditioning(site plan require ) Is existing space insulated?d) J ti, -Aeeration o extsung system -- _ Boiler/compressors MCK�NSTR — State boiler permit no.: Business name: ��_— _ HP__Tons-BTU/14 Address: 45400 Kek � AVII . W gWO. _ Fire/smoke dampers/duct smo a etectors City: ft(LTl4j4V I H eat pump(sue plan re— qu F-0) Phone:ft 4690 fp IFax: 'W p%bE-mail: Install/replace urnace7liurner --BTU/R Including ductwork vent liner U Yes U No CCB no.: _409V nsta rep ace rc ocate heaters 7 sus— peel, City/metro lic.no.: 1q _ wall,or floor mounted Name(please print): Jp�� u(Z Vent fora iance of epi r than furnace c r gest on: Absorption units BTU/H Name: Chillers _ HP _ ----- - -- t ornpressor; IIP _ Address: lStVW FiVE COLUW11p1 a _ Environmental exhaust and ventilation: City: Ptlk I►w1 U I Swte: 1.1P: Appliance vent - p)t„nr Dryer exhaust Hoods,Type I/ /res, itc ren/haimat hood fire suppression system Name: Exhaust fall with single duct(hath fans) Mailing address: Exhaust s'stem a art from heating or AC City_ ZIp: ue p p ng and distribution(up to 4 outlets) _ i ypc: L-PG_ NG Oil Phone I n•. E-m:�il: uc p' In eac a senaover ort ets Process p p ng(schematic requiredi Nattte: -Other Number of outlets 1 eZfTi r—Ti+fedapp once or eq--let: - Address: Decorancc fireplace City: State: ZIF. In,, -type Phone: Fax: E-mail oo stoveipe et stove Fee gnature: Date: _ _ Name(print): Not all Jun%dtcnons accept credit canis,please call lunsdtcuon for num information Permit fee ..................... S _ Notice: This permit arplication Minitnum f'ee................ S _ U Visa U MasterCard ---- expires if a permit is not obtained plan review(at_ "a) S - Credit curd number _ L_ within 180 days after it has been Lxpues State surcharge(8R%).... S Q — - ---� - acce ted as complete Name of cardholder as shown on credll caM P p TOTAL $ �i'_ > Cardholder stynatute Amount 440-4617,6,00,0 YNt CITY OF T I GA R D MECHANICAL PERMIT DEVELOPMENT SERVICES PERMIT#: MEC2003-00053 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 2/10/03 PARCEL: 1 S135AB-03400 SITE ADDRESS: 10260 SW GREENBURG RD 1170 SUBDIVISION: LINCOLN TOWER-TOWN OF METZGER %'_JNING: C-P BLOCK: LOT:014 JURISDICTION: TiG CLASS OF WORK: ALT FLOOR FURN: FVAP COOLERS: TYPE OF USE: COM UNIT HEATERS: VENT FANS: OCCUPANCY GRP: B VENTS W/O APPL: VENT SYSTEMS: STORIES: BOILERS/COMPRESSORS HOODS: _ FUEL TYPES 0 3 HP: �— DOMES. INCIN: 3 - 15 HP: COMML. INCIN: MAX INPUT: BTU 15 - 30 HP: REPAIR UNITS: FIRE DAMPERS?: 30 - 50 HP: GAS PRESSURE: 50 + HP: WOOD STOVES: < 100K BTU: AIR HANDLING UNITS CLU DRYERS: OTHER UNITS: FURN >=100K BTU: v <= 10000 t_-m: —� > 10000 cfm: GAS OUTLETS: Remarks: R Owner: _ FEES EOP LINCOLN, LLC Description Date Amount 10260 SW GREENBURG RD " SUITE # 100 IMI:('lll I'riniir I rr 2110/03 $89.22 PORTLAND, OR 97223 ��''I �� 2/10/03 $7.14 Phone: 892-2500 -- -----Total $96.36 — Contractor: AMERICAN HEATING INC 1339 SE GIDEON STE 1 REQUIRED INSPECTIONS PORTLAND, OR 97202 ^ Mechanical Insp Phone: 231-4600 Duct Inspection Reg #: LIC 33135 Final Inspection phis permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes P,nd all other applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you t How rules adopted in the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-00 Issued By: IoL _ J Permittee Signature:*tnext \ Call (503) 639-4175 by 7:00 P.M. for inspections ne business day Mechanical Permit Application OFFICE USE ' - — — Date received: /O b Permit no.:hkAlff ' City of Tigard Project/appl. no.: Expire date: City of Tigard Address: 13125 SW Hall Blvd,Tigard, OR 97223 Phone: (503) 639-4171 Date issued: "Payment eceipt no.: Fax: (503) 598-1960 ease file no.: Land use approval: ---- Building permit no.: A U 1 &2 family dwelling or accessory .)Conunercial/industrial U f:illlt)-family a-Tenant improvement U New construction U Add it ion/alteration/replacement U f)they: 300 SITE INFORMATION COMMERCIALVALUATION Job address: �n/i!i <;, .�,> G�., Nc,l indicate equipment quantities in boxes below. Indicate the dollar Bldg. no.: /�,,, /, Suite no.: I�, ,, value of all mechanical materials,equipment,labor,overhead, Tax map/lax lot/account no.: profit. Value$ Lot: Block: Subdivision: *See checklist for important application information and Project name: ,�,, e4daQ - T jurisdiction's fee schedule for residential permit fee. City/county: -T, r- ZIP: 11111111 Description and location of work on promises: A 1.111 Wd I Pik, all Z I• �Jrrx.CmeSi >'I {'M(ca.) 7btal Est.date of completion/inspection: Description Qty. Res.only Res.onl Tenant improvement or change of us..;: Air handling unit CFM Is existing space heated or conditioned?O'Yes O No Air conditioning(site plan required) - 1;existing;space insulated?8"Ves O No Alteration of ex sung _system A Boiler/compressors ltusine:;t Hanle State boiler permit no.: _ 1154111.�S�s1-7110. HP_ Tons BTU/H -- Address: 1339 SE Gideon St. �_ Fire/smoke dampers/duct smoke detectors City: portland _ State:QR ZIP:97202-2418 Heat pe:p(site plan required) Phone: 239-4600 1 Fax: 239-703 E-mail: Install/replace sumac urns Including ductwork/vent liner U Yes,U No CCB no.: 33135-- Instal rep ac-re ovate eaters-suspen&tT,— City/metro lic.no.: 00114 wall,or flo a mounted Name(plattce print): ,,� Vent fore fiance other than furnace A e germ: MEN Absorption units Name r- I U' - 1ic+�C Chiller- ,__��7,. v r��- — HP Address: - -c _ Compressors —_ :nv ronmenta ex gust and vent lation: City: e;�, Istate�k I ZIP: 9l1 = Appliance vent _ Phone: r' Fax: E-mail: Dryer ex Type _ Hoods, U II/res.kitchcn/Irazmat hail fire suppression system - ---- Name: 6-444-IfM :cExhaust fan with single duct(bath fans) Mailing addre s: xhaust F stem a tart from licating or AC -- -- - Fuel piping an stribut on(up to 4 outlets) City: �tita( ?.IF': -,- ----- Type: _ LP(_i_, NG --- Oil _ Phone: Fax; i f' Mail Fucl pipingeach add iuona over out els 'Lei 10 N rocess piping(schematic require ) _ Number of outlets __- Name: f� ��„ S�r'cl�i, l•�iC lherl ifWappliance or equ pment: Address: o g r3 ' _ _ Dccoretivc fircplacc _ _ City: J', 4t: u Slate:14, ert-type --- -- Phone: 1 Fax: a E-mail: Woodstovelpellet stove ^_ Other: Applicant's signature:,4, , _Date: 2 • 7-vJ t er: _ Name(print): ,,4 rr — Nut edl—jurisdictions acept credit conte,please call jurisdiction for more information' fee ..................... $information Notice: This permit application U Visa U MasterCardMinimum fee................ $ expires if a permit is not obtained Plan review(al _— %) $ Credit card number: _ --- — >�'within 180 days afler it has been Expires State surcharge(89t,).... $ _ --- accepted ted as complete.Nomr of ca hal er as shown on credit ell S P P TQTAI(.................• - - "— Cutfholi holier usnnuro Amount .� 440 4617(6AWCONO CITY OF TIGARD _ ELECTRICAL PERMIT PERMIT#: ELC2003-00112 DEVELOPMENT SERVICES DATE ISSUED: 3/7/03 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 PARCEL: 1 S135AB-03400 SITE ADDRESS: 10260 SW GREENBURG RD '1170 ZONING: C P SUBDIVISION: LINCOLN TOWER-TOWN OF METZGER BLOCK: LOT: 014 JURISDICTION: TIG Project Description: Installation of(2)branch circtuits for HVAC system. Job No. 3219 RESIDENTIAL UNIT TEMP SRVCIFEEDERS 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 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 I '.SPECTION: 201 - 400 amp: 1st W/O SRVG OR FDR: 1 PER HOUR: 401 - 600 amp: EA ADD'L BRNCH CIRC: 1 IN PLANT: 601 - 1000 amp: _ PLAN REVIEW SECTION 1000+ amplvolt: 4 RES UNITS _ – >600 VOLT NOMINAL: —� Reconnect only: SVC/FDR—225 AMPS: —_— CLASS AREA/SPEC OCC: Owner: Contractor: EOP LINCOLN,LLC WILLAMETTE ELECTRIC INC 10260 SW GREENBURG RD PO BOX 230547 SUITE#100 TIGARD,OR 97281 PORTLAND,OR 97223 Phone: 892-2500 Phone: 624-2938 FAX Reg#: I5R4-3631 75059 -- SUP 1965S FEES _ _ ELE 34-283C Description Date Amount Required Inspections E.LPRMT]ELC Pei nut 3/7/03 $53.50 ITA X1 6%State Tax 3/7103 $4.28 Ru Elect'l Final 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 160 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 1-800-332-2344. Issued Icy: tt r[�11�c� _ Permit Signature: ,.` OWNER INSTALLATION ONLY _ I ltp installation is being made on properly I own which is riot intended for sale, lease, or rent. OWNER'S SIGNATURE: __ DATE:! CONTRACTOR INSTALLATION ONLY � r SIGNATURE OF SUPR. ELEC'N: p �--� LICENSE NO: Call 639-4175 by 7:00pm for an inspection the next business day Electrical Permit Application Date received: 9 p Permit no.: City of Tigard Project/appl.no.: Expiredate: City of Tigard Address: 13125 SW Hall Blvd,Tigard,OR 97223 pate issued: By: Receipt no. Phone: (503) 639-4171 --- Fax: (503) 598-1960 Case file no.: Payment type: Land use approval: rl��4A --eI9 MONEREMMM U I &2 family dwelling or accessory Xcommercial/industrial U Multi-family U Tenant improvement U New construction U Addition/alteration/replacement U Other. U Partial JOB SITIK INFORMATION Joh address: /e?ZG U St"- . 401 /V 5•• //,20 Bldg.no.: I Suite:to.: ITax map/tax lot/account no.: Lot: Block: Subdivision: Project name: 5,,'k Description and location of work on premises: (l// c Estimated date ofcompletion/in s ction: 4'ONTRAUI OR APPLICATION sull"ImLE Job no: S / hree nth. Business name: CV,//ars+ a tk G r s f/ J7,, a Uescripllon QI). (ra.) total nu.insp Address: 7 J /3 u Z o3-72 Ne»msidentlal-single or multi-familf per duelling unit.Inclurks attacircrl Larage. City: 7' J State:011 ZIP: t f %erviceincluded: Phone: -,3 1000 sq.ft.or less 4 CCB no,: Each additional 500 sq.ft.or portion thereof ---------— c7 s'o 5 Elec.bus,tic.no:. -2�'3 c Limitedcnergy,residentinl _ 2 City/metro lic.no.: poa -;0 /sq6 Limited energy,yon-residential 2 3--,2 Foch manufactured home or modular dwelling Signature of supervising electrician(required) tr— Service and/or feeder 2 Sup.elect.name(punt): I I I.rose no: Services or feeders-Inslallation. alteration or relocation: 200 amps or less 2 Name(print): 201 amps to 400 amps 2 Mailing adt'ress: 401 amps to 600 amps _ 2 601 amps to I O(K)amps 2 City: Stale: ZIP: A Over IOW amps or volts 2 Phone: Fax. E-mail: Reconnecionl i I Owne-installation:The installation is being made on property I own Temporary wrvices or feeders- which is not intended for sale,lease,rent,or exchange according to 'llstallaflon,alteration,orreloca(ion: OILS 447,455,479,670,701. IN)amps or less z 201 amps to 400 amps _ 2 Owner's si mature: _ Date: 401 to 600 ams 2 Branch circuits-new,alteration, or extension per panel: Name' A. Fee for branch circuits with purchase of Address: service or feeder fee,each branch circuit 2 City: Stale: 7.1P: J H. Fee for branch circuits without purchase - of service or feeder fee,first branch circuit: y� rJ6 2 Phone: Fra x I E-mail: Each additional branch circuit: PLAN RIEVIV1% (Please check all thal apply) Mlvc._(Service or feeder no!Included): Ll Service over 225 amps-commercial U Health-care facility Fach pump or irrigation circle 2 U Service over 320 amps-rating of I U U Hazardous fixation Each sign or outline lighting — familydwellings U Building over 10,000 square feet four or Signal circuit(s)or a limited energy U System over 600 volts nominal more residential units in one structure alteration,or extension• _ _ 2 U Building river three stories U Feeders,400 amps or more •tkscrition:. U occupant lond over 99 persons U Manufactured structures or kv park tach additional Inspection over the allowable In any of the above: U Egress/lightingplan U Other, Perues cction Submit-__.sets of plans vvith any of the above. Investigation f re The above are not applicable to temporary conatructlon setwiee. I other Not all jurisdicNan accept credil carets,please call p,dsdiction for more h,6m„atim Notice:This permit application Permit fee.....................$ U Visa U MasterCard expires it'a pennit is not obtained Plan review(at _ %) $ rrdN cud number: _. within 190 y,o�1r itr:as been surcharge(8�) $ Z Expire accepted as complete. -- — p TOTAL .......................$ Name-of cerdho r as s own on credit card —_--- (wholder tlprature �` Amount_^ 440.4613 J&WCOMi ELECTRICAL PERMIT FEES: LIMITED ENERGY PERMIT FEES: — TYPE OF WORK INVOLVED -RESIDENTIAL ONLY Complete Fee Schedule Below: Restricted Ener®y Fee..........-— - ....................................... $75.00 Number of Inspections per permit allowed) (FOR ALL SYSTEMS) Service included: Items Cost Total y Check Type of Work Involved: Residential-per unit 1000 sq it or less _ $145 15 _ 4 Audio and Stereo Systems* Each additional 500 sq it or portion thereof _ $33.40 _ _ 1 Burglar Alarm Limited Energy _�— $7500 Each Manufd Home or Modular Dwelling Service or Feeder i $90.90 2 Garage Door Opener Services or Feeders Heating,Ventilation and Air Conditioning System' Installation,alteration,or relocation 200 amps or less $80.30 _ 2 r--, 201 amps to 400 amps $10085 _ —Y 2 Vacuum Systems' 401 amps to 600 amps $160.60 2 r, 601 amps to 1000 amps $240.60 _ 2 Other Over 1000 amps or volts $45465 Reconnect only _ $66.85 2 Temporary Services or Feeders TYPE OF WORK INVOLVED -COMMERCIAL ONLY Installation,alteration,or relocation Fee for cacti system.......................................................... $75.00 200 amps or less $66.85 2 (SEE OAR 918-260-260) 201 amps to 400 amps _ $10030 _ _ 2 401 amps to 600 amps $133.75 _ 2 Check Type of Work Involved: Over 600 amps to 1000 volts. see"b"above. L� Audio and Stereo Systems Branch Circuits New,alteration or extension per panel Boiler Controls a)The fee for branch circuits with purchase of service or F—] :'lock Systems feeder fee. Each branch circuit _ $6 65 2 I—I Data Telecommunication Installation b)The fee for branch circuit without purchase of survlce ❑ Fire Alarm Installation or feeder fee. First branch circuit _ $46.85 Each additional branch circuit $6.65 HVAC Miscellaneous instrumentation (Service or feeder not ncluded) Each pump or irrigation circle _ $53.40 _ _ _ f-1 Each sign or outline lighting — $53.40 Intercom and Paging Systems Signal circuit(s)or a limited energy panel,alteration or extension $75.00 Landscape Irrigation Control' Minor Labels(10) _—_ $12500 �I Medical Each additional Inspection over LJ the allowable In any of the above Per Inspection _—� $6250 _— ❑ Nurse Calls Per hour $6250 In Plant — $73.75 Outdoor Landscape Lighting' Fees: Protective Signaling Enter total of above fees $ F] Other 8%State Surcharge $ _ -.-----,Number of Systems 25%Plan Review Fee See"Plan Review"section on $ No h,eases are required Licenses are required for all other installations front of application — Fees: Total Balance Due $ -- Enter total of above fees $ �_ ❑ Trust Account k 8%Slate Surcharge Total Balance Due All New Commercial Buildings require 2 sets of plans. i:Wetskfbmleklc-f1ees.doc 08/30/01 CITY OFiTIGARD 24-Hour BUILDING Inspection Line: (503)639-4175 MST INSPECTION DIVISION Business Line: (503)639-4171 BUP Received ---. Date Re uested____ 3 �a AM__ _ PM _—_ _ BUP cati —_. /0 a 6e) - 1 Qi. _ —_-.Suite 11 -710 MEC Contact Person _ _ Ph( ) PLM Contractor ______....____. Ph( ) �o a_ 3-k-3.1 SWR BUILDING Tenant/'Owner -- _ ELC 3-d_v//�- Footing ELC Foundation Access: Ftg Drain ELR _----__.---------.__--- Crawl Drain Slab Inspection Notes: SIT Post& Beam Shear Anchors - Ext Sheath/Shear Int Sheath/Shear - Framing — Insulation t rOV ti;� 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 - ---- Snnitary Sewer R&ai Dra,ns - - - - Catch Basin/Manhole Storm[train - - -~ 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/Blah Low Voltage _ Fire Alarm ____ ^— ---- - --- -- PART FAIL__ 0 Reinspection fee of$ required before next inspection. Pay at City Hall, 13125 9W Hall Blvd SITE Please call for reinspection RE: Ule,toinspect-no access Fire Supply Line u , �1- ADA Approach/Sidewalk Date _. " 2'a"� leesped�#a�r _ Ext — Other: _ Final LSO NOT REMOVE this Inspection record from the job site. PASS PART FAIL -- ELECTRICAL PERMIT- CITY OF TIGARD RESTRICTED ENERGY DEVELOPMENT SERVICES PERMIT#: ELR2003-00038 13125 SW Hall Blvd., Tiqard, OR 97223 (5031639-4171 DATE ISSUED: 2/10/03 SITE: ADDRESS: 10260 SW GREENBURG RD 1170 PARCEL: 1 S 135AB-03400 SUBDIVISION: LINCOLN TOWER-TOWN OF METZGER ZONING: C-P BLOCK: LOT: 014 JURISDICTION: TIG Proiect Description: L A.RESIDENTIAL B.COMMERCIAL AUDIO &STEREO: AUDIO & STEREO: INTERCOM & PAGING: BURGLAR ALARM: BOILER: LANDSCAPE/IRRIGAT: GARAGE OPENER: CLOCK: MEDICAL: HVAC: DATA/TELE COMM: NURSE CALLS: VACUUM SYSTEM: FIRE ALARM: OUTDOOR LANDSC LITE.: OT HER: HVAC: X PROTECTIVE SIGNAL: INSTRUMENTATION: OTHER: _TOTAL#OF SYSTEMS: 1 Owner: Contractor: EOP LINCOLN, LLC AMERICAN HEATING 10260 SW GRF_ENBURG RD '1339 SW GIDEON ST SUITE # 100 PORTLAND, OR 97202 PORTLAND, OR 97223 Phone: 892-2500 Phone: 239-4600 V O Reg #: LIC 00001077 33135 FLE 20-993('RF --r FEES SUP 1460)048 inspections _Description Date Amount _ Low Voltage Inspeclian LI-PRM] I Ll'lR 2/10/03 $75.00 Elect'I Final A\j is State] 1\ 2/10/03 $6.00 Total $810C This Permit is issued suhject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable laws. All work will be cone in accordance with approved pians. This permit will expire if work is not started w,tl 180 days of iss,,ance,or if work is suspencled for more than 180 days. ATTENTION. Oregon law requires you ollow ruleradopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 throuc Iss d by i rk l Permittee Signature OWNER INSTALLATION ONLY The installation is beinn made on property I own which is not intended for sale, ease, or rent. OWNER'S SIGNATURE: ---- CONT ACTOR INSTALLATION ONLY SIGNATURE OF SUPR. ELEC'N _ _ DATE:--.------ LICENSE NO: — Y Call 639-4175 by 7:00 P.M. for an inspection needed the next business day '!�;lectrical Permit.A i)plication 1 1 `-__ -- Datc received: no.: -oAo38' City of Tigard Project/appl. no.: -_ I,..im date: City o/Tigard Address: 13125 SW Hall Blvd,Tigard,OR 97223 Date issued: 13y: Receipt na.: Phone: (503) 639-4171 ---- -- — Fax: (503) 598-1960 1 Case file no.: Payment type: Land use approval: TYPIC OF PERNI U 1 &2 family dwelling or accessory ']�Commcrcial/industrial U Multi-faalily _�St"'I'enant improvement U New construction UAddition/alteration/replacement U Other: U Partial 1 E INFORMATION Job address: 1,9260 Gr ee ),x fid_ Bldg. no.: I Suite no.: ax map/tax lot/account no.: Lot: Blocr. _ // O Project name._:,,, � Description and location of work on premises: yyrk 7 C.f,,,as a .S Estimated date of com[rtet' n/inspection: Job no: Fee Max Business name: dean Heating, Inc. - - -- - __ Description Qty. (ea.) Total no.lnsp Neviresidenlial-slnRk or atulti-famlly per Address: 1339 SE Gideon ST. doelUuRunit.Inc ludesalfachedgarage. City: Portland State: OR I ZIP:97202-2418 serrkeinciuded: Phone: 239- 600Fax:239-703 E-mail: ,�_ CQ� 1010 sq.n or less _- — 4 CCB no.: Wee bus.tic.no:fit; Each additional 500 sq it.or portion thereof ---_ Irmited energy, residential 2 City/metro lic.no.: 60114 limited energy, non residential 2 Fach manufactured home or modular dwelling -SiFnalute of supervisinif ele 1c n (required) _ Date Service and/or feeder _ 2 Sup,elect. name(print) T)1mas S. YOUl'1 License no: 2640= serrationices reelocatiders nslallallon, alteration or relocation: 1WN I It 2011 amps or less 2 Name(Print): j —C 201 ams to 400 a -- `�jc- - -- - - - -- 401 am . to 6W am — 2 - Mailiny,address: ld)I amps to IOW amps _ 2 _ City: State: 7.IP: Over 1000 amps or volts Phone. Fax: I E-mail: Reconnect Only l Owner installation: The installation is being made on property I own Tetaponrr services or feeders- which is not intended for sale,lease,rent,or t.xchange a,.-cording to IleWlalion,dlenllon,arrelosalltm: ORS 447,455,479,670,701. 2W amp," 1'' 2 201 anll,s n,41X1 oral , 2 Owner's si fptahise: _ _ Date: Vit 1,tOX+;m,p 2 nranchcircuits nerr,slh•ration, or evlenslon per panel: Name: ,t; t 1iiG A. Fee for branch circuits wdi purchase of Address: service or feede fire,each branch circuit - 2 _City: IState:e- ZIP: 0,;W-)Z- B. Fee far branch ,lrt•uits within purchase Phone. J r�/ ' Fax: E mall of service or feeder fee,first branch circuit: - 1 .�j`. ' Tach additional branch circuit: PLAN 1111-NIF11% (Please check all thall upptO1ltlsc.(Service or feeder not Included): U Service over 225 amps-commercial U Health Late facility Fach pump of irrigation(ircle� 2 -_ O Service over 320 amps-rating of 1&2 O Hazardous location Each sign or outline lighting __ family dwellings U Building over 10AX)square feet four or Signal circuit(s)of a limited energy panel, ^ 1 U System over(M voles nominal more residendal units in one structure alteration, or extension' •L _2 U Building over three stories U Feeders,400 amps or more *Description: U Occupant load over 99 persons U Manufactured structures or RV park Fach additional Inspection over the allowable In any of the above: U EgressAighting Plan U Ocher: Per inspection _ IL—F—r _) Submit_sets of plans nith any of the above. Investigation fee l The above are not applicable to temporary construction service, Outer --- ----. Permit fee """""""' "" $ Not ell)mriedictions accept credit cards,please call huisdiction for more information Notice: This permit application ' U visa U MasterCard expires if a permit is not obtained Plan review(at _ rib) $ credit card number: --- — -__/ / __ within 180 days alter it has been State surcharge(8%).....$ (1p.CC) p accepted as complete.�.__ ---- Expires P p �'O'r/+I, .. ................... .$ -'S/8/ 00 Nome of card older as shown_on credit cud— _ S _ Cardholder dpnaturc Amount 440 41,1s 00M(IM, CITYOF TIGARD CERTIFICATE OF OCCUPANCY DEVELOPMENT SERVICES PERMIT#: BUP97-00361 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 08/20/1997 PARSEL: 1 S 135AB-03400 ZONING: C-P JURISDICTION: TIG SITE10260 DV SLINCOLN NCOLN TOWERBOWN CFURG RD1MEiZGER FILE 170 cop BLOCK: LOT:014 CLASS OF WORK: ALT TYPE OF USE: COM TYPE OF CONSTR: 2FR OCCUPANCY GRP: B OCCUPANCY LOAD: 0 TENANT NAME: ADVANCED MICRO DRVICE REMARKS: Tenant Improvement Owner: KNICKERBOCKER PROPERTIES INC: Phone: Contractor: MALIBU PACIFIC 735 NE JACKSON SCHOOL ROAD HILLSBORO, OR 97124 Phone: 693-9797 Reg #: This Certificate issued 09/24/1907 grant-, occupancy of the above referenced building or portion thereof and confirms that the builc,ing has been inspected for compliance with the State of Oregon Specialty Codes for the croup, occupancy, ano use under which the referenced p rmit was issued. BUILDING INSPECTOR BUILDIN OFFICIAL i POST IN CONSPICUOUS PLACE CITY OF TIGARD BUILDING INSPECTION DIVISION 24-Hour Inspection Line: 639-4173 Business Line: 639-4171 MST _� Btffi_ nate Requestedn AM PM - BLD _ I ovation �� I , L — Suite '� i( _ - MEC Contact Person Ph PLM _ �' �_QC -S 0 Contractor —_� c t i 1 �� i Ph —�^ �� '" C2_ SWR I3UILDIN Tenant/Owner ELC Retaining Wall ELR Footing —� ------- ` Access: Foundation ? , FPF Ftg Drain S"Slab Crawl Drain Inspection Notes: �� /GY � —�C. — SIT Post&Beam Ext Sheath/Shear oe Int Sheath/Shear » ��— Framing _.-------- _ -- --- Insulation Drywall Nailing Firewall _ --_---------- ------- Fire Sprinkler Fire Alarm Susp'd Ceiling Roof — -- ----_- ----- PASS WT FAIL -- - ------ - -- - --- — ---- LUMBING '; Post& Baam -- Under Slab Top Out --- - - — Water Service Sanitary Sewer -�- Rain Drains _ Fi A PO T FAIL _ WISCHANICAL Post& Hearn --- -- - Rough In Gas Line - - _. - --- --- ---- —- Smoke Dampers Final PASS _PART FAIL ELECTRICAL - ---_-_ - Service Rough In --- -- ---- -- UG/Slab - --- - - ------ ---- Low Voltage Fire Alarm Final -- -- -_.------- PASS PART FAILSITE Backfill/Grading Sanitary Sewer Storm Drain ( ]Reinspection fee of$—_ required before next Inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line ( ]Please call for reinspection RE: _ ( ]Unable to inspect no access ADA Approach/SidewalkDate C. L) Inspector� �" '� E�� Other - - -- - Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Line: 639-4176 Business Line: 639-4171 - BUP _ .Date Requested_ AM _PM BLD Location (; �' (,^�? �1�� 'yl �— Suite MEC Contact Person �nPh PLM Contractor— �-1 11� 4,r)SOS-- Dh ql-y J7 SWR _ BUILDING ____ Tenant/Owner 4 A0 4�'_1(e'C•( IM I C�'b C�4'i(�i ELC 9 �-00 S 7(�— Retaining Wall � ELR Footing Access: ` FPS Foundation I (� �J (�� _ Ftg Drain �N SGN Crawl Drain Inspection Notes- Slab ---- - ----- - _. SIT Pont R Beam I — Ext Sheath/Shear Ir,t Sheath/Shear Framing Insulation Drywall Nailing Firewall -- - --_--�--- Fire Sprinkler Fire Alarm --�- Susp'd Ceiling Roof _ Mise _ - -.. ------ - Final 7 PASS PART FAIL -- ---- --- -- �� --.-- - --- PLUMBING Post&Beam --- -------- -- Under Slab - - -. ... ---- ---- ----- ._..-- - -- Top Out - Water Service Sanitary Sewer Rain Drains Final - ---- _...- ------- --_ - --- - _ __ PASS PAR r F.' MECHANICAL Post&Beam - - ----. - - Rough In Gas Line _- Smoke Dampers Final --- _ - - ----- --- PAS RT FAIL -- Service -- ---"-- — -- Rough In UG/Slab Low Voltage FI Alerm S PART FAIL VITE Backfill/Grading _ --- Sanitary Sewer Storm Drain i. ]Reinspection fee of$ required before next inspection. Pay at City Hall, 13120 SW Hall Blvd Catch Basin Fire Supply Line [ ]Please call for reinspection RE: [ ]Unable to Inspect no access ADA Approach/Sidewalk Date . U Inspector Z- -t --------- Ext Other _ — -- Final PASS PART FAIL DO NOT REMOVE this Inspection record from the job site. CITY OF TIGARD ELECTRICAL PERMIT IT, DEVELOPMENT SERVICES PERMIT #: ELC97-0576 13125 SW Hall Blvd., Tigard,OR 97223 (503)639.4171 LATE ISSUED: 0 8/2 2/9"-1 PPRC:EL: 1 S 135AB-03400 SI-'-E ADDRESS. . . : 10260 SW GREENBURG RD #1170 SUBDIVISION. . . . :TOWN OF METZGER ZONIIVG:C-P FLOCK. . . . . . . . . . 1-01. . . . . . . . . . . . . : 14 JURISDICTION: TIG Pi—o J ect De scr^i pt i on : Add ten (19) branch circuits to existing tenant occupancy. ---RF_SIDENTIAL. UNIT---_ .___.TEMP' SRVC/FEEDERS----- -----MISCELLANEOUS-----_.._ 1000 SF OR LEGS. . . . : 0 0 - 200 amp. . . . . . . : 0 PUMP/IRRIGATION. . . . : 0 EACH ADD' I- 5O0SF'. . . : 0 201 400 amp. . . . . . . : 0 SIGN/OUT LINE LTG. . : 0 �_.IMITED ENERGY. . . . . : 0 401 - 6O0 amp. . . . . . . : 0 SIGNAL/PANEL. . . . . . . : 0 MANE. HMS SVC;/FDR. . : 0 601+amps-1000 volts. : 0 MINOR LABEL. ( 10) . . . : 0 -- -SERV ICE/FEEDER------ -----BRANCH CIRCUITS------ - - -ADD' L_ INSPECT IONS- -- ONS-- -- 200 amp. . . . . . : 0 W/SERVICE OR FEEDER: 0 PER INSPECTION. . . . . : 0 201 - 400 amp. . . . . . : 0 1st W/O SRVC OR FDR. : 1 PER HOUR. . . . . . . . . . . : 0 4O1 - 600 amp. . . . . . : 0 EA ADD' L BRNCH CIRC: 9 IN PLANT. . . . . . . . . . . : 0 601 - 1000 amp. . . . . : 0 -------_._________FLAN REVIEW SECT I ON--- ----------- -- 1000+ amp/volt. . . . . : 0 ) =4 RES UNIT'S. . . . . . . . : ) 600 VOLT NOMINAL. . : Reconnect only. . . . . : 0 SVC/FDR > = 225 AMPS. . : CLASS AREA/SPEC OCC. : Owner-: - -__-.------------_.________-__._-_________.__.._.. ____.___._____._ FEES ADVANCE MICRO SYSTEMS type amol_rnt by date recpt :10260 SW GREENBURG ROAD PRMT $ 80. 02 GEO 08/22/97 97-298600 SUITF_. #1170 5PCT $ 4. 00 GEO 08/22/97 97-298600 'TIGARD OR 97;=j.3 -Phone #: ICHRISTENSON ELECTRIC INC $ 84. 00 TOTAL 111 SW COLUMBIA STE 480 - -- -- - REQUIRED INSPECTIONS --- - - PORTLRND OR 97201 Ceiling Cover Undergrol_rnd Cove Phone #1;: 241-481E. Wall Cover Elect' l Service Reg #. . : 000004 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 wnrH will he done in accorriance with approved plans. This permit will expire if wnrb is not started within leo days of issuance, or if work is suspended for more than IN days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. These rules are set forth in OAR 952-981-9919 through CZAR 952-981-1%7. You say obtain a copy of these rules or direct question_ to OLK by calling (593)246-1987. f'e r•m i t t e e S i g n a t i_r r e : I e d N y /_._. --------------------------------OWNER INSTALLATION The installation is being made on property I own which is not intended for- sale, lease, or rent. OWNER' S SIGNATURE : DATE: INST'ALI-ATION SIGNATURE OF SUPR. ELEC' N: !9?✓_ _� DATE: �1�,Z L-I CENSE NO: 4++-+++44.....4-+-+i+++++++++++++++ r++++++++ f+++i+++.4 +-F++++...4++++++++-1--}.t+-F+-h+i-+-F Call 639-4175 by 6.00 p. m. for an inspection needed the next bi.isiness day LA +++++++++++++-►+++4.4.4. ++++4.4.4+ +++++++++++t+++++k++++++..++++++++.a..a.+++++ 4-+++ � �e CITY OF TIGARD Electrical Permit Application Plan Check a 13125 SW HALL BLVD. Recd By Date Hec'd TIGARD OR 97223 Date to P.E. Phone (503)639-4171, x304 Date to DST Print or Type o Inspection (503) 639-4175 Permit#IF 4 C qZ 2QI244 Fax (503) 684-7297 Incomplete or illegible will not be accepted Called_ 1. Job Address: 4. Complete Fee Schedule Below: Name of Development LINCOLN CENTRE LINCOLN TOWER Number of Inspections per permit allowed Name(or name of business) ADVANCE MICRO SYSTEMS Service included: Items Cost Sum Address 10260 SW GREENBURG RD SUITE 1170 4a. Residential-per unit 1000 sq.ft.or less $110,00 -- _-- 4 City/Stat6,Zip TIGARD OR _ _ Each additional 500 sq.It.or Corr��lmerclal [ }{ Residential ElLimited thereof _ $115 00 � 1 MALIBU PACT FJ C GENERAL CONTRACTOR Limited Energy $25,00 _. Each Manut'd Home or Modular ROSS CROSBY Dwelling Service or Feeder __. $68.00 _ 2 2a. Contractor installation only: (Attach copy of U 4b.Services or Feeders Electrical Contractor �.INVO ET )ELECTRIC, INC. Installation,alteration,or relocation 200 amps or less $60.00 - 2 Address 1 I 1 S.V-.-rULUMIA, SUITF_ 201 amps to 400 amps $80.00 __�_ 2 City_ PORTLAND State OR. Zip 9720- 1�5$6- 401 amps to 600 amps $120.00 Phone No. 503-241-4812 601 amps to 1000 amps $160.00 Job N0. Over 1000 amps or volts _- $340.00 Elec. Cont. Lice. No 26-34C _Exp.Date_ !_ Reconnect only f $50.00 OR State CCB Reg. No. 0Wj ____Exp.Date__. 4c.Temporary Services or Feeders COT Business Tax or Metro No, 5246__Exp.Date______ Installation,alteration,or relocation 200 amps or less $50.00 L, Signature of Supt.Flsr• „- 201 amos to 400 amps $75.00 1 �� 1 -1� 401 amps to 600 amps $100.00 ~ Over 600 amps to 1000 volts, License No_8738 Exp.Date see"b"above. Phone No. 503-241-4812 8/19/97 4d.Breach Circuits New,alteration or extension per panel 2b. For owner installations: a)The fee for branch circuits with purchase or service or Print Owner's Name_ _ feeder too. Address J Each branch circuit $5.00 b)The fee for branch circuits City State._ Zipwithout purchase of Phone No. _ _ _ _ service or feeder tee. 35. First branch circuit 1 $35.00 The installation is being made on property I own which is not Fach additional branch circuit 9 $5.00 intended for sale, lease or rent. 4e.Miscellaneous (Service or feeder not Included) Owner's Signature______.. _ _ _ Each pump or irrigation circle $40.00 - 2 Each sign or outline lighting $41,00 3. Plan Review section (if required):' Signal �cult(s)or a limited energy pane alteration or extension $40.00 Minor Labels(10) $100.00 --- I'lease check appropriate item and enter fee in section 5B. 4 or more residential units in one structure 4f.Each additional Inspectlon over Service and feeder 225 amps or more the allowable In any of the above System over 600 volts nominal Per inspection _ $35.00 Classified area or structure containing special occupancy Per hour $55.00 �+as described In N.E.C.Chapter 5 In Plant $ss no Submit 2 sets of plans with application where any of the nt ove apply. Jam. Fees: 80. Not required for temporary construction services. 5n.En,ar total of above fees $ -- 5** Surcharge(.05 X total fees) $ 4- NOTICE Subtotal $ 84 5b.Enter 25 of line Be for PERMITS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED IS Plan Review If r (Sec.3) $ NOT COMMENCED WITHIN 180 DAYS,OR IF CONSTRUCTION OR WORK Subtotal $ -^ IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME A-1 ER WORK IS COMMENCED. Trust Account# $ - Total balance Due L,)STSTLC96 APP Rev W96 CITY OF TIGARD DEVELOPMENT SERVICES PLUMBING PERMIT 13125 SW Hall Blvd., Tigard,OR 97223 (503)639.4171 PERMIT #. . . . . . . : PLM 97-0340 DATE ISSUED: 09/03/97 PARCEL: IS135AB-03400 SITE ADDRESS. . . : 10260 SW GREENBURG RD #1170 SUBDIVISION. . . . : TOWN OF METZGER ZONING: C—P BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . : 14 JURISDICTION: TIG ------------------------------------ CLASS OF WORK. . :AL'. GARBAGE DISPOSALS. : 0 MOBILE HOME SPACES. : 0 TYPE OF US'C-. . . . :COM WASHING MACH. . . . . . : 0 BACKFLOW PREVNTRS. . : 0 OCCUPANCY GRP. . :B FLOOR DRAINS. . . . . . . 0 TRAPS. . . . . . . . . . . . . . . 0 STORIES. . . . . . . . : 0 WATER HEATERS. . . . . : 0 CATCH BASINS. . . . . . . : 0 FIXTURES------------- LAUNDRY TRAYS. . . . . : 0 SF RAIN DRAINS. . . . . : 0 SINKS. . . . . . . . . : 2 URINALS. . . . . . . . . . . . 0 GREASE TRAPS. . . . . . . . 0 LAVATORIES. . . . : 0 OTHER FIXTURES. . . . : 0 JUB/SHOWERS. . . : 0 SEWER LINE (ft ) . . . : 0 WATER CLOSETS. : 0 WATER LINE (ft ) . . . : 0 DISHWASHERS. . . . : 0 RAIN DRATN ( ft ) . . . : 0 Remarks : Add two (2) sinks. Owner-: FEES NORRIS BEGGS 6 SIMPSON type aniol-int by date reept 10300 SW GREEN9URG RD STE 200 PRMT $ 25. 00 DRA 09/03/97 97-298916 PORTLAND OR 97223 5PCT $ 1. 25 DRA 09/033/97 "37--298916 Phone #: DETEMPLE CO INC 1951 NW OVERTON ST PORTLAND OR 97209 Phone #: 227---2641 $ 26. 25 TOTAL Rpg #. . : 000025 REQUJRED INSPECTIONS This permit is issued subject to the regulations contained in the Rol.igh—in Insp Tigard Municipal Code, State of Ore. Specialty Codes and all other Misr. Inspection applicable laws. All work will be done in accordance with I n s p existing/ca approved plans. This permit will expire if work is not started Final Inspection within Ib@ days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by thp Oregon Utility Notification Center. Those rules are set forth in OAR 952-8881-0818 through OAR 9521888I-8888. You may obtain copies of these rules or direct questions to OX by calling 1503)246-1987. I s s -led I-,v Y-m i t t P P S i g n a t 1A t-e +++++++++++.++++++++ ...++++++++++++++++-++++++.F+++++++++.++++++++++-+++++•++.++++++ Call 639-4175 by 6:00 p. m. for- an inspection needed the next blisiness day ++++-++++++-+++++++++++-+++++++++++++•+++++++++++ .........4................#-++++++ ITY OF TIGARD Plumbing Application Recd By .I SW HALL BLVD. Commercial and Residential o"'Recd PARD, OR 97223 Data to P E. 03) 639-4171 Date,to DST Permit• Print or Type Related SWR a Incomplete or illegible applications will not be accepted Called T-( rt»or Da met.;�protett .Fl)C[tJR1:8,(l�dlyidual) �yT JobQCkt t '� L,,tv Sink 9.00 Address srneel Addl+flayl S Lavatory 9.00 Tub a Tub[Shower Comb. 9.110 Bldg 0 /Stat Z1p Shower Only 9.00 '✓1�[i"t(� +�( C j Water Closet Nwm 9.00 /v ✓Y( [ e'S 7`-S s t1n Dtahw"'h°r 9.00 Owner mew Addril sulte "top aapoa.l 9.00 Washing Matrirro 9.00 Clfylstate Zip Phone Flow Drain Y 9.00 -- - 3' 9.00 ,7u a,,v\cj, (1J v A 1 r.V L, j,�(U 4- 9.00 Occupant Menq A601- Shee Suite War Healer-" 9.00 - f U (n J . tJ 6-7. van u Laundry Room Tray 9.00 rlgrrst. Zip , Phcns �, - Urinal ��- 9.00 ,( vY c n Name Other Fixhurts(Spfth) 9.00 -U/ & �Yri 40A�1�+ I�h - 9.00 :,ontractoR 34M - I q �► aw ✓c N ___ _ -_ _ --- 9.00 (Prior to issuance /Sia 906 --- applicant �p applicant must �;� f ((1,,� -7P �t"11-(1[j (F�11 - --_ _ aoo provide all Oregon onst.Cont.Board Ur-0 Exp.Data9.00 contractors <' L) �_�-_ - - 9.00 frllben" 0 Exp flats 2 Yiewer_1nt i00 -- -- - 30.00 T3-TSewer• additional 100' - 25.00 'for COT COT but or Malm 0 Exp, ata Water Service-tai 1 W' datahass). { /�' - 30.00 Name �� Water Sere ce-each addtional 200' 25.00 Vchitect Storm&Ram Drain-1st 100' 30,00 or MSWV Address Suds Storrs&Rain Oran-a"addkional IW MOO Moble Home Space 25.00 ngineer C;ry/State Zip Phone Commercial 9arx Flow Prevention Dewe orAntl- 25.00 Pollution Devin 3escribe work New O Addition O Alteration O Repair O Residential Backflow Prevention Device* --- 15.00 o be done: Residential O Non-residential OAny Trap or Waste Not Connecsed to a F xture 9.00 Additional des"dit n of worst - 9.00 Insp.of Existing Pfumbatq 40,00 t10 Vw,1 ,Its d4',eKIS410 6crl� I _ _ _ per/hr of Speoally Requested Inspections 40.00 19 or Property h�7 Iu permr Ran Dram•single hmdy dwelling 30.00 ,nosed use of / Grease Taps -� 9.00 _riding or property _--- _ QUANTITY TOTAL Ore you Capping. moving or replacing any nxtures7 'fes 12 No p Inti a near dugrwn is reeuald R Ownsy Tar 4 -9 ;,;• (if yes sae bock of form) *SUBTOTAL •SUBTOTAL hereby adtnowlydge that i have read this application,/hat the information ;rven is correct that I am the owner or aulhonzed agent of the owner and S%SURCHARGE tat olans svt mltted are in compliance with Oregon State Laws. ignatur.w of OwrwrlAgant Data PLAN REVIEW25% OF SUBTOTAL X11 S1 Q7 �.-..a�,�� r.,�ty_- q _ - - TOTAL -o Person Mann 'I'd L'IPrelvention Device.wtw:h is SIS,5%surSuurchargeexcePt Residential Backflow I:\plmapp.doc 12/96 (dn) COMPLETE AS APPROPRIATE TO PROJECT: rFixtUres to be capped, moved or replaced Qty . Si;ik Lava_t..;j,-y 'rub or Tub/Shower Combination Shower Only Water Closet Dishwasher Garbac- Disposal Washn 1g Machine Floor Drain 2" 3" 4" _ Water Heater Laundry Room Tray Urinal _ Other Fixtures (Specify) COMMENTS REGARDING ABOVE: . 1:1p1mapp.doc 12,196 (dst) w. CITY OF TIGARD DEVELOPMENT SERVICES BUILDING PERMi,r 13125 SW Hall Blvd., Tigard,Ok 97223 (503)639-4171 PERMIT 4. . . . . . . : BUF-197-0361 DATE ISSUED: 08/20/97 PARCEL: IS135AB-03400 SITE ADDRESS. . . : 10260 SW GREENBURG RD #1170 SUBDIVISION. . . . : TOWN OF METZGER ZONING:C—P BLOCK. . . . . . . . . . : LOT. . . . . . . . . . . . . : 14 JURISDICTION:TIG --------------------------------------------------------------------------------------------- REISSUE: FLOOR AREAS----------- EXTERIOR WALL CONSTRUCTimi— CLASS OF WORV. :ALT FIRST. . . . : 6704 sf N: S. E: W: TYPE OF USE. . . :COM SECOND. . . : 0 sf PROTECT OPENINGS'?------------- TYPE OF CONST. :2FR . . . . 0 sf N: S: E: W: OCCUPANCY GRP. -B TOTAL---------- 6704 sf ROOF CONST: FIPE RET" : OCCUPANCY L OPI . 0 BASEMENT. : 0 Sf AREA SEP. RATED: ST01R. : I HT. 0 ft GARAGE. . . : 0 sf OCCU SEP. RATED: BSMT7 : MEZZ? : READ SETBACKS---.-- ---- REQUIRED- FLOOR LOAD. . . . : 0 psf LEFT: 0 ft RGHT: 0 ft FIR SPKL:Y SMOK DET. . :Y DWELLING UNITS: 0 FRNT: 0 ft REAR: 0 ft FIR ALRM:Y HNDICID ACC.-Y BEDRMS: 0 BATHS: 0 IMP SURFACE: 0 PRO CORR: PARKING: 0 VALUE. $ : 22494 Remarks : Advanced Micro Devices tenant improvement Owner: NORRIS BEGGS & SIMPSON type ama�_int by date recpt 10300 SW GREENBURG RD STE 200 PRMI $ 158. 50 SON 07/2.2/97 97-297450 FIC)IRTLAND OR 97227, PICK $ 103. 03 BON 07/22/97 97-297450 FIRE $ 63. 40 BON 07/22/97 9*7-297450 Phone #: 452-5900 5PCT $ 7. 93 BON 07/22/97 97-297450 Contrac-tor: MALIBU PACIFIC 735 NE JACKSON SCHOOL ROAD HILLSBORO OR 97124 Phone #: 693-9797 $ 332. 86 TOTAL Reg #. . : 000590 REQUIRED INSPECTIONS This permit is issued subject to the regulati3ns contained in the Framing Insp Tigard Municipal Code, State of Ore. Specialty Codes and all other Gyp Board Insp a,pplicable laws. All work will be done in accordance with S1.tsp Ceilng Inspapproved plans. This permit will expire if work is not itartpd within 180 days of issuance, or if work is suspended for more than 181 days. ATTENTION: Oregon Dim iequirts you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-01-0810 through OAR 952-0919'.997. Ycli many obtain a copy of these rules or direct questions to OUNC by calling 15631246-1987. Permittee SigriatUre ." Issued By: ++4.......4 4...........4•.................. ........4........4...................... Call 639-4175 by 6:00 p. m. for an inspection needed the next b--tsiness day ++4+++++++++++++++++t+++++++++++•#+4•..........4-4.........4-++-1......................4- Commercial Building Permit Application Clly of Tlgara 13125 3W Mall 13hML 'rearm,OR 97123 , Z'r/17 (503)43S4111 Jobsite Address:L�� , �� .& OFFICE use ONLY Hel S'�. 1. 11 Tenant ; R v M Valuation• .�,` :/'t; r - \erm.t s Y14 !� /� IIC75 i 1/,�F�� _, t ': < yX x., �v4 •r R w K.. \ y� ,�. . Owner: LLLL M' Y .7 �P Sid \g Y rcni ,address:/��A�'c'� ylliGl • ��Mlq�' '' A Eng `n n � � z Sada y� �ilMr r „ ddress: tai% ,; -ay Type of constr: Telephone: Occupancy Class:__ Contractor's License # _ _ Sprinkler? Yes No (attadh copy of current Oregon license) J� ��'�� 22 Sq. Ft. Of Project: 1 Contact name & telephone: Story (1st, 2nd, etc.):_ F�L4F— V7W Proposed Use: L ddress: , Previous use: ��/7�' J Note: Plumbing & mechanical plans must Telephone: �/7 to submitted at time of building permit application. 1 T / .�,f,'l7 L��r�its ,� Cy1=�i AGR DESCRI�' ION: — *—i(Applicant Signature & Telephone Number) Received by: Date Received: i'C,MTI COC (CST) KIM ?E,IMITS Account OescnRJon Amount Amt PA. Balance Due Building Permit (BUILD) Plumbing Permit (PLUMB) Mechanical Permit (MECH) State Tax (TAX) Bldg. Plumb. Mitch. ,,11 Plan Cheek (PLANCK) _ �i ��U� 0 Bldg. • Plumb. Mech. __ Sewer Connection (SWUSA) Sewer Inspection (SWINSP) Parks Dev Charge (PKSDr) Residential TIF (TIF-R) Mass Transit TIF (TIF-MT) Commercial TIF (TIF-C) — -- - _ Industrial TIF (TIF-I) _ Institutional TIF (TIF-JS) Office TIF (TIF-0) Water Quality (WQUAL) Water Quanity (WQUANT) ,r Fire ' 'ie Safety (FLS) Erosion Cntrl Permit (ERPRMT) Erosion PlanckIUSA (ERPLAN) Erosion Planck/COT (EROSN) TOTALS: 07/17/97 THU 12:51 FAX 503 244 4400 MORRIS BEGGS BOB BECKER IA002 Advanced Micro Devices Lincoln Tower, #1170 OVER U CZUNTER (OIC) July 17, 1997 (attachment to Submittal C(iteria) SUBJECT. ACCESSIBILIW l f BARRIER REMOVAL IMPROVEMENT PLAN R[GUIREMENT. OREGON REVISED STATUTE(ORS)6017.241. .(1) [very project for ranovatfun,alteration or modiltr ation to effected buildings and totaled Facilities shall be made to insure that the patin of travel to the altered area and the restroom,telephones an4 drinking Ioun+ains am readily accessible to individuals with disabtYties.unless such alterations are disproportionate tc,tho overall alterations In terrns of cost arta scope (7) Mt,erations made to the path of travel to an altered area may be deemed disproportionate to the orreraa alteration when the cast exceeds twenty-live pat-cant(26X). THEREFORE; Each submittal for a building permit shall Include Url%form providing the following Information [Excluding *e roofing, mechanical and electrical permit appllcetions] VALU DON of all renovation, alteration or modification being done excluding painting,wallpapering. vi s 2 2,4 94.00 Qtu(tiltly; 259 Barrier removal requirement. ,25_ BUDGET FOR®ARRIER REMOVAL [21 S ,_5,623.50 The dollar amount of the IDUQGiE established on line (2) In the computation above shall be spent providing the accessible elements In the following order. 1- An accessible mute connecting the building M accessible pedestrian walkways• and the public way. $ (including but not Willed to curb ramps,delectable warnings. marked dos:ngs.ramps handrails and tandingil. 2- Not les.than one accessible,panting space. S _ [including but nut IinWed to adistmot sccess aisle,@*no and curb ramp connecting arilh the amxissible mune). 3- Accessible entry or entries 5 4 ,003.00_ (fnckm"but twit Irrnited to amps.haMrant.landings, door still height,door width and door hardwerrl. 4. An accessible interior route to the altemd area. S (Including but no:trrnited to door-ways.maneuvertnp clearances.door hardware and slairwaysi. 5. At least one W:cessible restroom for each sex. S. 6. At least one accessible tolephono where public phones are provided. S 7. When drinking fountains are required, fifty per-rent but not less than one shall be accessible. s 8. Additional accessible elements such as storage, reach ranges, alamiS, etC.. Lever hmrdwore $1 ,020; ADA lit i��hI door S 1,620.00 bell $600 TQT/lAL: shall en a ln�LYalue C moutatlan 5_ y 623.00 i:1dm4.doc(DST) CITY OF TIGARD 24-Hour BUILDING Inspection Line: (503)639-4175 INSPECTION DIVISION Business Line: (503) 639-4171 MST --- _ BUP -_._-- Received - - Date Requested-__ 3 �s _ AM_— PM _ __ BUP -_ Location Suite 7 d MEC Contact Person _._._--------------- --_ _.-- Ph(----__-_-) 3l '-�'S� 3 PLM Contractor Ph(___.- ) -.�- - - _ SWR --..--------- BUILDING Tenant/Owner -- - -- --T--_-_.._._----_ -_- ELC ---- - --`- Footing Foundation Access: ELC _.- Ftg Drain ELR Crawl Drain --- Slab Inspection Notes SIT Post& Beam Shear Anchors ------ Ext Sheath/Shear Int Sheath/Shear -- Framing - - Insulation Drywall Nailing - - - - Firewall Fire Sprinkler - - - - ----- - Fire Alarm Susp'd Ceiling - -- Roof Other: - Final PASS__PART FAIL ------------ --_..._. - - -- - PLUMBING ^ _ Post& Beam Under Slab - --- _ - Hough-In � --- -- Water Service - --- Sanitary Sewer Rain Drains --- - Catch Basin/Manhole Storm Drain - Shower Pan Other: ----- Final — PASS— RT FAIL - -- MECHANIC Post& Beam Rough-In Gas Line - Smoke Dampers -_- C PART FAIL - RICAL Service -- Rough-In UG/Slab - -- --- Low Voltage Fire Alarm — Final �] Reinspection fee of$— required before next Inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL SITE _ [� Please call for reinspection RF Unable to i :-nect-no access Fire Supply Line ADA Approaclv'Sidewatk Data / L•' Inspector �- Ext _ Other: _ Final DO NOT REMOVE this Inspection record from the Job site. PASS PART FAIL.