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10260 SW GREENBURG ROAD STE 150-2 rr. I �a irn � o r t 3 J LT] m z r � H G) H !� CT N ' � N � Ln t7 U i t6 7 I t M t a, s Y h c S I R P 1 Y I V n L0260 SW GREENBURG ROAD _ —'"'�� SUITE 150 / CITY OF T I GA R i CERTIFICATE OF OCCUPANCY__ DEVELOPMENT SERVICES PERMIT#: BUP2002-00499 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 11/14/2G02 PARCEL: 1 S 135AB-03400 ZONING: C-P JURISDICTION: TIC SITE ADDRESS: 10260 SW GREENBURG RD 150 SUBDIVISION: LINCOLN TOWER-TOWN OF METZGER BLOCK: LOT:014 CLASS OF WORK: ALT TYPE OF USE: C0Iv! TYPE OF CONSTR: 2FR OCCUPANCY GRP: B OCCUPANCY LOAD: TENANT NAME: PASTO'S ITALIAN BISTRO REMARKS: Tenant li nprovement Owner: EOP LINCOLN, LLC 10260 SW GREENBURG RD SUUITE# 100 PPhe ND2G2 23on Contractor: 692-2500 C SCHIEWF+ ASSOCIATES 1024 NE DAV!S PORTLAND, OR 97232 Phone: '34-6017 Reg#: LIC 54105 This Certificate issued 1/27/2003 grants occupancy of the above referenced building or portion thereof and confirms that the building has been inspected for compliance with the St4t tegon Specialty Codes for the group, occupancy, and;�f rider which efer/4 nced permit w '�Ssugd. BUILDMIG INSPECTOR BUILDW ., OFFICIAL POST IN CONSPICUOUS PLACE CITY OF TIGARD 24-Hour BUILDING Inspection Line: (503)639-4175 MST INSPECTION [DIVISION Business Line: (503) 639-4171 BLIP -------- — Received __ --_ Date Requested _____17-d_ AM____—__—/PMMBLIP Location p �� CJ � -. _ Suite /-50 ------ MECqq --- Contact Person Ph(__ ) _ J d PLM a Contractor _ _ _ — Ph SWR __- BUILDING Tenant/Owner - -_-_ ____ - _-- - ELC Footing ELC Founaation Access: Ftg Drain ELR —_ Crawl Drain — Slab Inspection Notes: SIT Post&Baam __ _....._ Shear Anchors ----- -- Ext Sheath/Shear Int Sheath/Shoar Framing Insulation Drywall Nailing ---- - — — — — Firewall Fire Sprinkler -- — ---►- _J�,f��L.G q�`L�— _ Fire Afarm Susp'd Ceiling �`- Roof Other --- Final PASS _PART FAIL Post&Beam Under Siz" -- --- - -- — Rough-In Water:service — — - Sanitary Sower Rain Drains — -- -- Catch Basin/Manhole Storm Drain - — — Shower Pan Other: — _ PART FAIL _ CHANICAL Post&Beam Rough-In --- — -- --- Gas Line Smoke Dampers ---- - ---- -- — — Final PASS PART FAIL -- -- - _-- --- -- ELECTRICAL Service --------- ------------- — — -- _— Rough-!n UG,'S!ab Low Voltage 'Ire Alarm Final Reinspectlon fee of$_ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. ;ASS PART FAIL SITE - - [� Pleaso c cM for reinspection RE: Unable to inspect-no access Fire Supply Line ADA /� Approach/Sidewalk Orb / Insp*rtE r _ _ Ext Other: _ Final UO 4T REMOVE this inspection record from the Job site. PASS PART FAIL ' Gl*fv OF TIGARD 24-Hour BUILDING Inspection Line: (503)639-4175 r^rSPECTiON DIVISION Business Line: (503)6391-4171 MST BLIP - - Received -----Date Requested__-__..- -- AM----- _ _- PM _ BLIP Location --- � ��1J� i ,� A, 1 _-- I L - —Suite ,4 � MEC -- r,ontawt Person _ Ph - LM --- -- - Contractor UU - Ph( ) _3'1 SWR _ BUIL_UINQ Tenant/Owner --- -_ ELC Footing Foundation ELC Ftg Drain Access: _ Crawl Drain F,.L Slab Inspection Notes: SIT Post& Beam Shear anchors - --. Ext Sheath/Shear Int Sheath/Shear -- Framing -_-- _--_- Insulation - - Drywall Nailing -- --- - -- - - - - Firewall Fire Sprinkler ---- Fire Alarm Susp'd Ceiling -- - ------- --- -- - _ Roof Other: -- - - - - -- Final --i PASS PART FAIL - —- --- 01UMBIN1d__ Post&Beam Und,r Slab _ Rough-Ire Water Service Sanitary Sewer --- - - - -- Rain Drai, a -- _ Catch Besin/Manhole Storm Crain - --- ---- Shower Pan Other: -- Final PASS PART FAIL MECHANICAL Post&Ream Rough-In Gas Line Smoke Dampers F'nal PASS PART FAIL - ELECTRICAL Service -- Rough-In UG/Slab Low Voltage Fire Alarm �n ❑ Reinspection fee of$ required before next Inspection. Pay at City Hall, 13125 SW Frau Blvd. PART FAIL SITE Please call for reinspection RE: _ F] Unable to inspect -no access Fire Supply Line ADA �� Approach/sidewalk Gats�.,Zah - — IMs"ctor Ext Other- Final therFinal DO NOT REMOVE this Inspection record from the joke 91#0- PASS PART FAIL ELECTRICAL - CI'T'Y OF TIGARD RESTRICTED ENERPERMITGY DEVELOPMENT SERVICES PERMIT#: ELR2003-00015 13125 SW Hall Budd., Tiqard, OR 97223 (503) 639-4171 DATE ISFUED• 1/24/03 SITE ADDRESS: 10260 SW GREENBURG FD 150 PARCEL: 1S135AB-03400 SUBDIVISION: LINCOLN TOWER-TOWN OF METZGER ZONING: C-P BLOCK: LOT: 014 JURISDICTION: TIG Proiect Description: HVAC Thermostat A. RESIDENTIAL _ _ B.COMMERCIAL AUDIO & STEREO: AUI IO & 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: OTHER: HVAC: X PROTECTIVE SIGNAL: INSTRUMENTATION: OTHER: TOTAL r_#OF SYSTEMS: Owner: � Cont,actor: EOP LINCOLN, LLC AMERICAN HEATING 10260 SW GREENBURG RD 1339 SW GIDECN ST SUITE # 100 PORTLAND, OR 97202 PORTLAND, OR 97223 Phone: 992-2500 Phone: 239-4600 Reg#: '.4ET 00001077 LIC 33135 FLF 26-993Cn1 FEES Still —Aohhk inspections Description _ _Date Amount Low Voltage Inspecr 'm II.l.l'Ith1l'J LL,R 11crmir 1/24/03 $75.00 Elect'i Final (TAXI8"'(,Srrt!rTax 1/24/03 $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 applia7ble laws. All work will be done in accordance with approved plans. This permit will expire it work is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 throuc 7 Issued by _ Permittae Signature-,-- OWNER ignature OWNER INSTALLATION ONLY The instailation is being made on property I own which is not intended for sale, lease, or rent. OWNER'S SIGNATURE: DATE: CONTRACTOR INSTALLATION ONLY SIGNATURE. OF SUPR. EL EC'N DATE: LICENSE NO: Call 09-4175 by 7:00 P.M. for an inspection needed the next business day Electrical Permit Application OFF1 SE ONLI — — Date received: 7Expire City Of Tigard Proje:dappl, no.: date: ,t)�of%igurd Address: 13125 SW Hail Blvd,Tigard,OR 9722_l Date issued: Receipt no.: Phone: (503) 639-4171 Fax: (503) 598-1960 Case file no.: Payment type: Land use approval: 10 Dull U I & 2 family dwelling or accessory ❑Commercial/industrial UMulti-family Tenant improvement U New construction U Addition/alteration/replacement U Other:, U Partial JOB 1 ' 1 lob address: ,'60 SW 6,ngen deQ, ,4pa/ lil,lt n... -1 Suite ni IlTax ;nap/tax lot/account no Lot:_ lock: Subdivision: l Theo/„ - Project name: I Description and location of work on premises: f?stimated date of con,(rletion/inspection• -T —_ t lo 1)no: Fee Max Business name: v a _ ►kxcription Qty. (ca.) Total noAns Address: 1339 SE Gideon ST. p _ NfIt:.T'ican Heating. Inc. Newrcslrlrntial singkormult4m fanypr► dwellingunll.tnchAt attarhedgaiage. City: Portlalid State: OR ZIP:97202-2418 serrkeLrciudavl: Phone: 239-460-0 Fax:239-7038 E-mail: loco sq.ft.or less _ 4 CCB no.: 13135 Elec,bus,lic.no: Each additional 500 sq It or portion thereof Limited energy, residential _ 2 City/metro lic.no.: Q Limited energy, non rc idential – 2 __ Each manufactured tome or modular dwelling — Signaturcof su rvisin ele rc n (re wired) Date Service and/or feeder 2 sup.elect. name(print): Iticirnas S. Younct J License no: 2640RLT Services or feeders–Installation, alteration or relocation: 200 amps or less 2 Name(print): 201 amps to 400 amps 2 Mailing address: U9-19 SW fiCZA-- Q1+ I? '1 401!M, to 60ams — 2— 601 amps to 1000 amps 2 City: r. �r�K �, StatC;� ZIP: >l� \ Over 1000 ams or volts 2 Phone: ,13 J ax:471 , E-mail: _ Reconnect only I Owner installation: The installation is being made on property I owu Temporary servlceaorfeeders- which is not intended for sale,lease,rent,or exchange according to lastallation,alteration,orI location: ORS 447,455,479,670, 701. 200 amp.,or less 301 amps(o 400 amps 2 Owner's signature: Date: 461 to 600 aml.s 2 hgr.:inrh circuits-n-w,shermlon, Name: /iii,r'i itrrtrrextension per panet: Address: a`; — A. Fee(or brand,circuits with purchase of i:r-Lc or feeder fee,each branch circuit 2 City: �� '� rro Staled/l ZIP: ",02, B. Pee for branch circuits without purchase of service or feeder fee,Ors(branch circuit: Phone:? y' I ax: �� r R mail: _ Each additional branch circuit: PLAN RI-I'VIVIVO-'lehie check All that applY) Misc.(Service or feeder not Included): mm U Service over 225 amp-coercial U health-care facility Each pump or irrigation circle — 2 U Service over 320 amps-rating of 1&2 U Hara:dous location tach sign or outline lighting 2 family dwellings LJ Buikting over 10,000 syoarc feel four or Signal circuitfs)or a limpet energy panel, 1 U system over 600 volts nominal more residential units in one structure alteration, or"tension* 2 •Building over three stories U Ferders,400 amps or more *Description: _— ❑Occupant toad over 99 persons U Manufactured structures or Rv pure Each additional Inspection over the allowable In any of the above: •Egres0ighting plan U Othcr. -- Per inspection Submit_sets of plans vvith any of the above. Investigation fee The above are not applicable to temporary construction service,_ other ` Not dre l jurisdictions accept credit cards,please call jurisdiction for maInfdrmatlon. Nvdee: 1 lois permit application Permit fee ............ .........$ U visa U MasterCard expires if a Plan review at — gb p 1x�ttit is not obtained ( ) � Credit card numhet: within 180 days after it ht.s been State surcharge(8%).....$ Expires accepted as complete. TOTAL. $ Name of cardholder as shown on credit cud S Cardholder sionsturr Amount 440.4615(15MOKY)M) 6h CITY OF T I G /� R® MECHANICAL PERMIT DEVELOPMENT SERVICES PERMIT#: MEC2002-00606 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 1/24/03 PARCEL: 1 S135AB-03400 SITE ADDRESS: 102.60 SW GREENBURG RD 150 SUBDIVISION: LINCOLN TOWER-TOWN OF METZGER ZONING: C-P BLOCK_ LOT: 014 JURISDICTION: TIG CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS: TYPE OF USF.: CUM UNIT HEATERS: VEN1 FANS: OCCUPANCY GRP: B VENTS W/O APPL: VENT SYSTEMS: STORIES: _ BOILERS/COMPRESSORSHOODS: FUEL TYPES0 - 3 HP: HOMES. INCIN: 3 - 15 HP: COMML. INCIN: MAX INPUT: BTU 15 - 30 HP: REPAIR UNITS: FIRE DAMPERS'?: 30 - 50 HP: GAS PRESSURE: 50 HP: ODS'DRYERS: S: CLO DRYE FURN < 100K BTU: AIR HANDLING UNITS C OTHER UNITS: FURN >=100K BTLI: <= 10000 cfm: GAS OUTLETS: > 10000 cfm: 1 Remarks: HVA(; tenant improvement and Type II hood. Owner: FEES, EOP LINCOLN, LLC Description Date wi Amount 10260 SW GREENBURG RD IMECH] Permit Fee 1/24/03 $72.50 SUITE # 100 PORTLAND, OR 97223 IMECPLN] Plan Rev 1/24/03 $18.13 [TAX] 8 StateTar 1/24/03 $5.80 Phone: 892-2500 Total $96.43 Contractor: AMERICAN HEATING INC 1339 SE GIDEON STE 1 _ REQUIRED INSPECTIONS PORTLAND, OR 97202 Phone: '39-41,00 Mechanicallnsp Hood Inspection Reg#: LIC 33135 Duct Inspection Final L ,pection This pennit is issued subject -)the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Cedes and all other applicable laws. All work will be done ir, accordance with approved plaits. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted in the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-00 Issued By: t �(T4. Permittee Signature: Call (503) 639-4175 by 7:00 P.M. for inspections nee a the next business day Mechanical Permit Application -OFFICE USE ONtY >t �� Date received: *) Permit no.:Rt�dr�iC�.�,r!Yk0 City of Tigard aECEIVED ProjecUappl, no,: M date: City of Tigard Address: 13125 SW Hall Blvd,Tigard,OR 97223 -- Phone: (503) 639-4171 ,, Date issued: II Receipt no.: Fax: (503) 598-1960 DEC 2 , 2002 Case file no.: Payment type: Laud use approval: CITY GF TIGARQ Building permit no.: '11 VPF OF PERMIT I_UJ U I &2 family dwelling or accessory ,U)Commercial/industrial U Multi-family Tenant improvement U New construction U Addition/alteration/rcpl icemen; U Other: li Mr. INFORNIAtION1 _Job address: /�; ,'c.-, , Indicate equipment qua.itities in boxes below.Indicate the dollar Bldg, no.: �in�u/.. tr,=crrr�r Suitend,: s{ , „�_tC& value of all mec4nical materials,equipment,labor,overhead. Tax map/tax lobaccount no.: profit.Value$ # A s 6 d Lot: Block: Subdivision: *See checklist for important application information and Project name: - 40 e-� - jurisdicticm's fee schedule for residential permit fee. City/county: -j , , ZIP: 911Ae Description and location of work on premises: r TQty. I Est.date of complet;on/inspection: Dwrl n nly Res.only Tenant improvement or change of use: _ I:;existing space heated or conditioned?Wfes O Air handling unit CFM No Air conditioning(site plan required) - Is existing space insulated?0 Yes (id leo Alteration of existing 4VAC system / Boiler/compressors Business name: A=icau IjQatina, Inc. State boiler permit no.: _ HP Tons BTU/H Address: 1339 SE Gideon St. _ Fire/smoke da ipers/duct smoke detectors City: Portland State:OR ZIP:97202-24?9 Het Pump(site plan require ) ---- Phone: 239-4600 FP 239-703 E-mail; InstalUreplacc umac umer`B`i'U/Ff - CCB no.: Including ductwork/veni liner U Yea Cl No Cit /metro lie.no.: nsta rep ac re cease eaters-suspa City/metro _ Y wall,or floor mounted _ Name(please print): _Z,n IK t Vent forappliance other than furiace 1 e gent on: Absorption units BTU/li Name: , c_ /t�i,,�� f f Chillers HP Address: , � / Comrmssors HP -0 ' r - City: /t , I.,,c+ "' N'tZIP: —�-- :nv r nnmer.a ex ties an teat at on: 7� Z-• Appli;mce lent Phone: _,'�. Fail• Di er exkaust fl s,'ypc_V11/res.kitchttl/hazmat hood fire suppression system Name: /i,/,,. M01 Pxhaust fin with .,tBia duct(bath fans) Mailing addres '� �i,- /�jY.� ��S u, a. ��(r! Exhausts stem a art from beating or AC Ci.y: �y J -; r o State: ZIP: Vel piping an st ton(up to 4 outlets) Type: L.PG, NG Oil Phone: Fax: ' ' ,: E-mail: tic i»n c�c additional over outlets _— fil Win I I I rocess piping(schematic required) Number of outlets Name: �� , .*;, ��' Mer sted app anceor egolpmenl - Address: �? _ Decorative fireplace City: Stata ve I ZIP: insert -type_ Phone: ! Fax: " .�':' E-mail: W6@stovc/pcllet stove — - Other: Applicant's signature:244 , Datt: -ol 5/ A? Other- Name(print): l/, " - --- Not all jurisdictions accept credit cards,plesae call jurisdiction for more information. Permit fee ..................... $ Notice: This permit application LJ visa U Mastercard Minimum fee................ $ Credit card number. � � _ / s expires if a permit is not s been Plan review(at %) $ Expires within 180 days after it has been State surcharge(896).... � Name of cardi,older as s awn on credit card accepted as Complete. _ $ TOTAI........ ................ $ C u holder signature Anwunt —— 440-1617(NOO/COM i CITY OF TIIGARD 24-Hour BUILDING Inspection Line: (503)639-4175 MIST INSPECTION DIVISION ..,,�iness Line: (503) 639-4171 BUP Received --------Data Requested "- y._ _ AM - _- __. PM - _ __-_ BUP Location to --Kr_-_-Suite l .—.-_ MEC _---- ---------- Contact Person Ph( ) PLfJI - --__-- Contractor_�/� ,c> �� Ph(,---) �" � - SWR 01 BUILDING Tenant/OwnerS3Y_c� ELC Footing ELC Foundation ""--� Access: Ftg Drain ELF! Crawl Drain _ Slab Inspection Notes: SIT Post&Beam Shear Anchors -- -i- Ext Sheath/Shear Int Sheath/Shear Framing - Insulation Drywall Nailing - - - Firewall Fire Sprinkler ---- - --- -- - Fire Alarm Susp'd Ceiling - - - - -- Roof Other: - - ---- - Final PASS PART FAIL _ PLUMBING ---------- ----- -- - - Post&Beam Under Slab - - - -- -- -- ------ -- Rough-In Water Service ---- - - -- - ----- ---- Sanitary Sewer Rain Drains Catch --- ---- -- -- - -- Catch Basin/Manhole Storm Drain - ---. --- --- �--- - - Shower Pan Other: ----- Final _ _PASS PART r,�IL - ---__.�_---.-----_..------- -- -- - MECHANICAL-- -__ -_!_-_.___._____�-------- _--- ------__-_- _-.- -._---- ----. Post& Beam v - Rough-In + -- -- - -�_. _-.- --- - Gas Line li Smoke Dampers - --- -- - -- ---- Final PASS PART FAIL ELECTRICAL Service Rough-In UG/Slab Low Voltage Fire Alarm J& 1-1 Reinspectlon too of$ _required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PART FAIL _ E n Pleas,call for reinspection RE: -__ -._ F-1 Unable to inspect-no access Fire Supply Line -11 ADA Approach/Sidewalk Daft Inspoctor Other- Final DO NOT REMOVE this Inspection racord from the Job site. PASS PART FAIL t i CITY OF TIGARD 24-Hour BUILDING Inspection Line: (503)639.4175 �„- MST INSPECTION DIVISION Business Line: (503) 639-4171 BLIP Received - __Date Requested. ANI PSA BJP -- _ MEC Location -- -- — S�.i1a _ _ - -- Contact Person ( —) .`3 �d PLM --_- — _ Contractor — __ Ph( —) —- SWR —_ BUILDING Tenant/Owner _ ELC _- Footing ELC Founuation Access: Ftg Drain E L R __- crawl Drain Slab inspection Notes: SIT -- Post& Beam — — -- Shear Anchors --- - - - -- Ext Sheath/Shear Int Sheath/Shear Framing -- ----- - ------- - Insulation Drywall Nailing - — --- --- Firewall Fire Alarm Susp'd Ceiling Roof Other: Fin R` PART FAIL kedUBING _ Post&Beam Under Slab -- -- - — aough In Water Service — --- initary Sewer r?in Drains Catch Basin/Manhole Storm Drain — Shower Pan Other:_ — Final PASS_PART FAIL MECHANICAL — Post&Beam Rough-In Gas Line Smoke Dampers — Final PASS PART_ FAIL ELECTRICAL Service - Rough-In — UG/Sinb r Low Voltage -- — Fire Alarm � Final nalPART FAIL E] Reinspection fee of$ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS SITE [] Please call for reinspection RE:__ _ r� linable to inspect-no asses: Fire Supply Line ADA Approach/Sidewalk Date _ YZW_0_ J - Inspeetor Other: __ _ Final DO NOT REMCVE this inspection record from the job site. PASS PART FAIL i CITY OF TIGARD 24-Holir BUILDING Inspection Line: (503)639-4175 C�IMST INSPECTION DIVISION Business Line: (503) 639-4171 131 IP ---- - — - -- Received _ _— Date Requested_ r . AM__ _ PM BLIP Location _ - _ >/� �'�y !�� .�Suite S7D _ MEC 6 Contact Person n ___ Ph( ) Z� ' �� UU PLM Contractor Ph( ) _ SWR BUILDING Tenant/Owner _ ELC Footing�- Foundation ELC _ Access: Fig Drain ELR Crawl Drain Slab Inspection Notes: SIT -.- - -- Post&Beam Shear Anchors - --- - -- Ext Sheath/Shear �- Int Sheath/Shear Framing -- - -�-1�0 -2- Insulation Insulation O G� Drywall Nailing2_007- - �—� - Firowall Fire Sprinkler -- --- Fire Alarm Susp'd Ceiling Roof Other: - - - - Final PASS PART FAIL Post&Beam Under Slab -------------- —- Rough-In Water Service -- - Sanitary Sewer Rain Drains Catch Basin/Manhole I Ay ' Storm Drain - Shower Pen Other: Final PASS PART FAIL ,O Post&Beam Rough-In — Gas Line Smoke mpors ------- -- -- t}T'�t' PART FAIL ---- -__ �- CTRL Service — -- - Rough-In _-- UG/Slab Low Voltage s Fire Alarm Fina Reinspection fee of$ _ required before next inspection. Pay at City Hall, 13125 SW hall Blvd. PA;iS PART FAIL SITE __ [� Please call for reinspection RE: _.._ — [l Unable to inspect-no access Fire Supp;v Lir ie ADA ApproacIVSidowalk Date l/ / __-? Inspector Other: Final � DO NOT REMOVE this Inspection record from the Join site. PASS PART FAIL CITY OFT°lGARD -- BUILDING PERMIT PERMIT#: BI.1P2002-00499 DEVELOPMENT SERVICES DATE ISSUED: 11/14102 13125 SW Hall Blvd..Ticiard, OR 97223 (503) 639-4171 PARCEL: 1S135AB-03400 SITE ADDRESS: 10260 SW GREENBURG RD 150 SUBDIVISION: LINCOI-N TOWER-TOWN OF METZGER ZONING: C-P BLOCK: LOT: 014 JURISDICTION: TIG REISSUE: — _ FLOOI, '�F_E_A_S __ 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:— OCCUPANCY GRP: B TOTAL AREA. 0.00 sf ROOF CONST- FIRE RET? OCCUPANCY LOAD: BASEMENT: sf AREA SEP, RATED: STOR: HT: ft GARAGE: Sf OCCU SEP. RATED: BSMT?: MEZZ?: _ R _QDD SETBACKS _ REQUIRED FLOOR LOAD: psf LEFT: ft RGHT:— ft FIR SPKL: — SMOK DET- DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP ACC: BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING: VALUE: $ 40,000.00 Remarks: Tenant Improvement Owner: Contractor: EOP LINCOLN, LLC C SCHIEWE + ASSOCIATES 10260 SW GREENBURG RD 1024 NE DAVIS SUITE 9 100 PORTLAND, OR 97232 PORTLAND, OR 97223 Phone: 234-6617 892-2500 Phone: 2.34-6617 Reg #: LIC 5410.5 FEES REQUIRED INSPECTIONS — Description Date Amount Framing Insp IIt 1ILDj Permit lee 11/14/02 – $396.80 GYP Board Insp fnX S'Y��State'I'ax 11/14/02 $31.66 Mechanical Permit Require I l Electrical Permit Required �Iitil'P1.NI Pln 16 11i14/02 $257.27 Plumbing Permit Required 1:1,S] FLS I'In 16 11/14/02 ?,158.32 Susp Ceiing Insp Total $844.05 Final Inspection 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 apmoved plans This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days ATTENTION. Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0100. You may obtain a copy of these rules or direct questions to OUNC by calling (503) 246-6699 or 1-800-332-2344 Issued By: --- Pe rm ittee Call 639-4175 by 7 p.m. for an inspection the next business day Building Permit Application - Date rcceived: /f I (� Permit n�: City or Tigard 1'roject/appl.no.: Expiredate: cuynf��bord Address: 13125 SW Hall Blvd,'I'iganl,OR 97223 - I'hone: (503) 639-4171 Date issued: -- By: _ Receipt no.: Fax: (503)598-1960 Case file no.: Payment type: Land use approval: M2 family:Simple Complex: OF PERMIT. U 1 &2 Ianuly dwelling or accessory U Commercialhndustnal U Will lanuly U New construction U Demolition U Add itionlalteration/replacement U Tenant improvement U Fire sprinkler/alarm U Other: t8 SIT-EINFOJIMATION Job address: V SW Grew%6_,yq FoaaBldg,no.:f6W Suite no.: Lot: I Block: Subdivision: Tax map/tax lot/account no.: Project name $d I J ret _ Description and location of work on premises/special conditit:o _ Tena "t 1h,IoV'!gyemevtt Nance: C�ulr( aF g I cE pRoPER-I tES ' ' ' Mailing address: lo2le0 WJ GFLeC_Pfbup.C+, P-D SUITE 100 i $2 family dtirelling: C'ty: _pop-Tt.P00 state:OR ZIP: 97223 Valuation of work. ................................... Phc 1w.5vS $92-2.5on I Fax: E-mail: No.of bedrooms/baths................................. Owner's representative: ('-AY fL. GLOP- GIW> Arebtitect- Inc Total number of floors................................. Phonc5o3 7.24-965tp Fax: Email: New dwelling area(sy.ft.) .......................... APPUCANT Jarage/carport.area(sq.ft.)......................... Name: G611D Areli,tectl jne+ Covered porch area(sq.ft.) ......................... Mailing_address: 92n SW 3-14 avenve,-Suite 4.000 Deck area(sq.ft.) ........................................ Ci!y: PpYt I JState:012, ZIP: 9720 Other structure arca(sq. ft.)....................... . - Phone501, 22 -9t;5 Fax.: E-mail: Commercial/industrial!multi-farilly: u� Valuation of work................................. ; $. f��__ Existing bldg.area(sq. ft.) ............).,4 �.s� _--_ Business name: C • '-rc'_Ie-we CoMf ✓� ctiot, _ —�- New bldg.arca(sq.ft.). Address: --�b Z N�DaVk A, . r2 7WFLVE -�� State:0 • ZIP: 972-37, Number of stories........................ City: YType of construction R Phone S05 2% •G l y Fax: E-mail: Existing: Occupancy group(s): R --- CCR no.: $ E; _ New: City/metro lic.no.• Notice:All contractors and subcontractors arc required to be 1 licensed with the Oregon Consuuction Contractors Board under Name: ^'' FAME A'r APpt-144NT provisions of ORS 701 and may he required to be licensed in the Address: jurisdiction where work is being performed.If the applicant is 7.IP: -- exempt from licensing,the following reason applies: City: State. Contact person: _ Plan no.: - Phone: Fax E-mail: Name: _ Contact person: Fees due upon application .......................... $ Address: Date received: City: state:IZIP: Amount received ......................................... $ PhoneFax: �_F mail: Pleese refer to fee schedule. I hereby certify I have read and examined this application and the Not id)jurisdictions accW cmdh cwd+,Mew call jurisdiction ra more infonnshon attached checklist.All provisions of laws and ordinances governing this O visa P Masterratd work will be complied with,whether specified heroin or not. / eteait card member: _ �_—_ _ E— KPires LL_ Authorized signature: A • Date: II-I f'64 Nuns nt cardhotdcr u shown on cmdii cad $ Print name:_.EayfL-. G W -Cardholder sipmure --- Amarum Notice:This permiIt application expires if a permit is not obtained within 190 days alter it has been accepted as complete. 44OA13(60WOM) �as-E�'J I-t�l ia�. Bird L7- 170 Accessibility: Barrier Removal Improvement Plan 00,of Tigard REQUIREMENT: OREGON REVISED STATUTE (ORS) 447.241. (1) Every project for renovation, alteration or modification to affected buildings and related facili!ies shall be made to insure that the path of travel to the altered area and the restroom, telephones and drinking fountains are readily accessible to individuals with disabilities unless such alterations are disproportionate to the overall alterations in terms of cost and scope. (2) Alterations made to the path of travel to an altered area may be deemed disproportionate to the overall alteration when the cost exceeds twenty-five per-cent(25%). VALUATION_ : of all renovation, alteration or modification being'done � ao excluding painting, wallpapering. [1] $]_`t multiply. 25% Barrier removal requirement .25_ BUDGET FOR BARRIER REMOVAL [2] $ (_D O0O.`� In choosing which accessibo elements tt. provide under this section, priority shall be given to those Plements that will provide the greatest access. Elements shill be provided in the following order: (a) f'�rking 1ot rew�Ytpp��r fi{e fa rerf�lr�a'�I►°., "EP $—� -- a�cerr�6(e ro- erl ocee�f�61�Pavk�wJ l�b�� (b) An accessible entrance: $ (c) An accessible route to the altered area: $ (d) At least one accessible restroom for $ each sex or a single unisex restroom: (e) Accessible telephones: $ _-- (f) Accessible drinking fountains. and $ (g) When possible, additional accessible eleMPnts such as storage and alarms: $ "I OTAL: Shall_,_et_uaI Iinof Vatue Computation $ i WsL+V6mu\Accessihih1y dor OW24/01 CITYOF TIGARD PLUMBING PERMIT DEVELOPMENT SERVICES PERMIT#: PLM2002-00449 13125 SW ;iall Blvd.,Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 11/25/C2 SITE ADDRESS. 10260 SW GREENBURG RD 150 PARCEL: 1S135AB-03400 SUBDIVISION: ZONING: BLOCK: LOT: JURISDICTION: CLASS OF WORK: ALT GARBAGE DISPOSALS: MOBILE HOME SPACES: TYPE OF VqE: COM WASHING MACH: BACKFLOW PREVNTRS: OCCUPANCY GRP: B FLOOR DRAINS: 1 TRAPS: STORIES: WATER HEATERS: 1 CATCH BASINS: FIXTURES — LAUNDRY TRAYS: SF RAIN DRAINS: SINKS: 2 URINALS: GREASE TRAPS: LAVATORIES: OTHER FIX.TURE`5: 4 TUB/SHOWERS: SEWER LINE: ft WATER CLOSETS: WATER LINE: ft DISHWASHERS: RAIN DRAIN: ft Remarks: TI add fixtures: 2 new sinks, cap 1 .;:nk, replace 1 water heater, cap 1 hL'o drain, add 1 floor sink, 1 ice maker, 1 expansion tank. Owner: FEES -- Description Date Amount EOP LINCOLN, LLC --~--- 10260 SW GRE ENBURG RD ([,[I AIR I 1'crnnt Ice 11/25/02 $132.80 uuITE # 100 111LUMBI Permit Fee 11/2.5/02 $0.00 PORTLAND, OR 97223 I fAXi 8%,,State Tax 11/25/02 $10.63 Phone 1: 892-250t) I'AXiR StatcTax 11/25/02 $0.00 ,-- — — Total $143.43 Contractor: -- --- ---- ASSOCIATED PLUMBING CO P 0 BOX 301362 PORTLAND, OR 9-'230 REQUIRED INSPECTIONS — Phone 1: 3 Rough-in Insp I-u582 Top out 'nsp Reg#: NIFT 00001881 Fin:i Inspection LIC 57890 Pf.M 26-412PB This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Sracialty Codes and all other applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is riot started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-0001-ocin through OAR 952-0001-0100. You ,lay obtain copies of these rules or direct questions to OUNIC by calling (503) 246-6699. Issued B �_ y: _ -L � � —^ Permittee Signature: Call (503) 639-4175 by 7:00 P.M. for an inspection needed the next business day i Building Fixtures Plumbing_Permit Application L.. � Date received: - Permit no.: City of TigardLaw Sewer permit no.: Building permit no.: Address: 13125 SW Ilall Blvd,Tigard,OR 97223 Co q'o]Tigard Phone: (503) 639-4171 Project/appl. no.: Expire date: Fax: (503) 598-1960 Date issued: By.6 Receipt no.: Land use approval: _ Ca ie file no.: Payment type: TYPIE OF PFRNJIT U I & 2 family dwelling or assessor) [Commercial/industrial U fM +lti•family }I( I smut imhm%eincnt U Ncw construction U Addition/alteration/replacement >(I o(,U service U othel- JOB SITE INFORMATION1 Job address: d 3.(00 4V` r t't n 47J r �G� Descri,ition _Qty. Fee(ea.) Total Bldg. no.: Lij(,•ij (4,f- Suiteno.: ew -and 2-familyuwelling%only: (includes 1011 ft.for each ut:lith connection) Tax map/tax lot/account no.; �(J SFR(I)bath _ Lot: Block: Subdivision: SFR(2)bath _ Project name: q 5 — SFR(3)bath City/county: j i a- zip: 91u1 Each additional bath/kitchen Descrip4'on and 1.p6ation of work on premises: _ Site utilities: fi+r S1 Floo. Tf l am 1 _�.,r /wPMP1 Catch basin/area drain _ - D wells/leach line/trench drain Est,date of completion/inspection: h` Footing drain(no.lin. 11.) Manufactured home utilities Business name: 4)S_0_, -—o-FU y j7 ,.2 Manholes Address; 90 L. o! 6� Rain drain connector City: FV, 4101,jState:OTT—ZIP: c1V9 -9 3 61 Sanitary sewer(no.lin.ft.) Phone: 5 0) 331 a 5 Y Fax: 3 it 6 11 E-mail: Storm sewer(no. lin. ft.) CCB no.: Y 7?,1 L) Plumb.bus.reg.no; 26 9 • Water service no, lin. ft.) City/metrolic.no.: J6(jl Fixture or item: Contractor's representative signature: ' �f, > Abso tion valve Back flow preventer Print name: k !ti')ti 1 , Date: I z "6Z IBackwater valve CONTAUI PERS ON asins/lavatory Name: ( )(k +� A M Clothes washer Address; o c!( 3013 Z Dishwasher City: YD,-f/04 State: a2 ZIP:g7,tg4- 7 Drinkingfountain(s) Ejectors/sump Phone: 5 )1 03 Fax: ?3 1 D V)l E-mail: Expansion tank -- -�— A10 of F' re/sewer cap Name(print): E-i w4,1 of to 10 rains/floor sin ub Mailing address: 10,60 S w r f°^ KIP. Su f 9 rarba a dis oral hose bibb _ City: 6.- 0 Stat 2IP_y 71 13 _ Ice maker Phone: Fax: E-mail: Interceptor/grease trap Owner instal lation/residential maintenance only: The actual installation Primer(s) _ will bP mar!,' +i me or the maintenance and repair made by my regular of drain commercial employee c: the property I own as per ORS Chapter 447. Sink(s),basin(s),lays(s) Owner's si nature: Date: Sump Tubs/shower/shower pan Name: Urinal N � � (� Water closet Address: Water healer _ City: _ State: ZIP: _ _ Other: Phone: Fax E-mail: Total Not all jurisdictions accept credit cards.please call junsdiction for more informationMinimum fee•............... S Notice: This permit application plan review at U Visa U MasterCard ( ) S expires if a permit is not obtained -T" Credit card number:_ _ _,L� State surcharge(8%).... SS within IRO days after rt has been S J � � Name of cardholder as shown on credit card Expires accepted as complete. TOTAL...................... . S S Cardholder signature Amount 110-3616(&MCOM) PLUMBING PERMIT FEES: PRICE TOTAL New 1 and 2-family dwellings only: — —� FIXTURES (individual) QTY 2ja— AMOUNT (includes all plumbinL ilxturas in PRICE TOTAL Sink 1660 the dwelling and the fiml:100 ft. QTY (ea) AMOUNT Lavatory 10.60 for each utility connection) One D bath $249.20 _ Tub or Tub/Shower Comb 16.60 Two 2 bath _ _ $350.00 Shower Only 16.60 Three(qbath _ — $399.00 Water Closet - 16.60 SUBTOTAL Urinal 16.60 8%STATE SUri:.HARGE Dishwasher — 16.60 ?LAN REVIEW 25%OF SUBTOTAL Garbage Disposal 16.60 TOTAL Laundry Tray 16.60 Washing Machine 16.60 Floor Drain/Floor Sink 2" 16.60 3" 16.6ti PLEASE COMPLETE: 4" - 1660 _ Water Heater 0 conversion like kind 16.60 uantit b I Work Performed Gas pipiny requires a separate echanical Fixture Type: New Moved Replaced Removed/ permit Capped MFG Home New Water Service 46.40 Sink MFG Home New San/Storm Sewer 46,40 -� Lavatory Tub or Tub/Shower Hose Ribs 1660 Combination Roof Grains - 16.60 Shower Only - _ Drinking Fountain 16 60 Water Closet Other Fixtures(Specify) 16.60 Urinal —� Dishwasher Garbage Disposal Laundry Room Tray — -"— — Washing Machine - Floor Drain/Sink: 2" 55.00 - 3.. r 'ditional100' 46,40 4" 1s1 100' 55.00 Wa'er Heater _ each additional 200' 46.40 Other Fixtures S eci 18 kain Drain-1st 100_ 55.00 _ — Storm 8 Rain Drain-each additional 100' 4640 Poor `,1 Commercial Back Flow Prevention Device 4640 - Residential Backflow Prevention Device' 27.55 --- -- --- Catch Basin ^- Inspection of Existing Plumbing or Specially - 62.50 v- - Requested Inspections er/hr COMMENTS REGARDING ABOVE: Rain Drain,single family dwelling 65.25 Grease Traps i u� - 16 60 __-_- QUANTITY TOTAL --- - T--- —"— — — - Isometric,nr riser diagram Is required If -----" ---— _ <Juantity total Is >9 ----------- - *SUBTOTAL -- - B%STATE SURCHARGE -- -- ---- -- - — —�-� *PLAN REVIEW 25%OF SUBTOTAL — Required only II fixture qty total Is>9 _ ___ TOTAL $ 'Minimum permit fee Is$72 50•8%state surcharge,except Residential Backilow Prevention Device,which Is$ae 25 4 8%slate,surcharge .*All New Commercial Buildings require 2 sets of plans with Isometric or riser diagram for pion review. iAdsts\forms\ptm•fees.doc 12/26101 Accumulative Sewer Tally Tenant Name: Pasto's Italian Bistro _ This SWRA NA Site Address: 10260 SW Greenburg Rd. Ste. 100 This PI-M#-1002-00449 Fixture Value Previous Previous Credits Capped Fixture Fixture New New # value capped off value added added total total count off#s count _# value #s values B,iptisery/Font 4 0 0 0 0 0 Bath-TUb/Shower _ 4 0 _ 0 _ 0 0 0 _ Jacuzzi/Whirlpool 4 0 0 + 0 0 0 T Car Wash - Each Stall 6 0 0 0 0 0 - Drive through _16 _ 0 0 0 _ 0 0 Cuspidor ater Aspirator 1 _ 0----- 0 ^0 0 0-- Dishwasher-Commercial 4 0 0 _ 0 0 0 _ - Domestic_ 2 0 _ 0 _ 0 0 0 Drinking Fountain 1 __A 0 0 0 Eye Wash 1 _ _ _ 0� 0 _0 0 0 Floor Drain/Sink- 2 inch 2 0 1 2_ 1 2 0 0 3 inch 5 _ 0 _ 0-_ _ 0 0 0 4 inch 6 0 0 _ 0 0 0 Car Wash Drr 6 0 0 0 0 0 Garbage Disposal _ Domestic(to 3/4 HP) _ 16 0 0 _ 0 _ 0 0 Commercial (to 5 HP) 32 _ 0 _ 0 _ 0 _ 0 0 _ •• Industrial(over 5 HP) 48 _ 0 _ 0 0 0 0 Ice Machine/Refrigerator Drain 1_ 0 0 _ 1 _ 1 _ 1 Oil Sep(Gas Station) _ 6 _ 0 0 _ __ 0 0 0 Rec.Vehicle Dump station 16 0 0 _ 0 0 0 Shower- Gang (per head) 1 0 0 _ 0 0 0 - Stall 2 0 0 0 0 0 Sink-Bar/Lavatory 2 _0 1 2_ 2 4 _ 1 2 _ Bradley 5 _0 0 0 0 0 Commercial 3 0 0 _ 0 _ 0 0 Service 3 _ _ 0 0 0 0 0 Swimming Pool Filler 1 _0_ 0 0 0 0 Washer-Clothes 6 _ 0 0 0 0 0 _Water Extractor 6 0 _ 0 _ 0 0 0 Water Closet-Toilet 6 0 0 0 0 0 Urinal _ _ 6 _ 0 -__ 0 0- �0 0 Previous EDU Count 50.4 806.4 806.4 Capped EDU Credit 0 TOTALS 1 0 1 806.4 1 2 1 4 1 4 1 7 2 1 809.4 Current Fixture Value 809.4 divided by 16 = 50.6 CUrrent EDU 1 EDU = $2,300.00 Previous Fixture Value 806.4 divided oy 16= 50.4 Previous ED') Change 3 divided by 16 = 0.2 over (under) $ 460.00 C� I Enter EDU Change dere 0.2 HISTORY .� _Notes:CR$_920. balarce forwan PLM# EDU# SWR# This tally adds$460. PLM# EL;U# _ SWR# lalance forward$460.00 CREDI' PLM# EDU# SWR# Name:�l} �A,CQfQ_ il�i�_ Date: // 1 / •- C� Signature of person that calculated this tally sheet and date perfromed is required CITY OF TIGARD ELECTRICAL PERMIT DEVELOPMENT SERVICES DAPERMIT#: ELC2/02-00612 TE ISSUED: 11/22!02 13125 SW Hall Blvd..Tigard, OR 97223 (503) 639-4171 SITE ADDRESS: 10260 SW GREENBURG RD 150 PARCEL: 1 S135AB-03400 SUBDIVISION: ZONING: C-P BLOCK: LOT : 014 JURISDICTION: TIG Project Description: Install 11 branch circuits. RESIDENTIAL_UNIT TEMP SRVC/FEEDERS _ Y 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: 1(l IN PLANT: 601 - 1000 amp: PLAN REVIEW SECTION 1000+ amp/volt: 4 RES UNITS: >600 VOLT NOMINAL: Reconnect only—` SVC/FDR>=225 AMPS: _CLASS AREA/SPEC OCC: Owner: Contractor: EOP LINCOLN, LLC WILLAMETTE ELECTRIC INC 10260 SW GREE NBURG RD PO BOX 230547 SUITE#100 TIGARD, OR 97281 PORTLAND,OR 97223 Phone: 892-2500 Phone: 62.4-2938 FAX Reg#: IF>ZR-3631 34-2830 FEES - Description Date Amount $113.35 — Required Inspections I \I x Yaw I,n 89.07 Rough-in Flect'I Final Total $122.42 This Permit is issued subject to the regulations contained in the 1 igard 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 stari.:d within 180 days of issuance,or I 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 952-001-0100 You may obtain copies of these rules ordirect questions to OUNC at(503) 246.6699 or 1$0 332-2 44. Issued By: _Jt- L]____ Permit 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 SIGNATURE OF SUPR. ELEC'N: Lif 1-t (:X �`r,Lj _ DATE: LICENSE NO: Call 639-4175 by 7:00pm for an inspection the next business day Electrical Permit Application Date received://. Permit no.: .�9 City of Tigard Project/appl.no.: Expire date: City u(Tigard Address: 13125 SW Hall Blvd,TigagoVI�7d22002 Date issued: B � Receipt no Phone: (503) 639-4171 y _ Fax: (503) 598-1960 CITY OF TIGARD Case file no.: Payment type: Land use approval: BUILDING DIVISION U 1 &2 family dwelling or accessory U Commercial/indw li ial U Multi-family ATenant improvenu ret U New construction U Addition/alteration/replacement U Other:_ _ U Partial Job address: jG Z-b U St,,, /o.t,,,, L Bldg.no.. Suite no.: Tax map/tax lot/account no.: Lot: Block: iSubdivisiA. Project name: 1'A1 I& I telt rS r s7., Description and location of work on premises: Estimated date of completion/inspection: — Job nO: 3 Fee Ma. Business name: (J I 0 C yt ti ` lk-scription t?ly. (ea.) total no.ins r Ness residential-single or multi-family per Address: �0/�„_ t G Y ?L dwelling unit.lochuesattacht4lgarage. City: T, 10Statet),1 ZIP: 9 5ersleeIncluded: Phone: 6 t Zb� Fax:4,? 7-13 E-mail: 1(XX)sq.ft.or less 4 Each additional 500 s ft.or portion therenf CCB no.: S o Elec.bus.tic.no:. YY, if 3 � Limited energy,resid retial 2 City/t leollC.no.: j>�J _ Limited energy,non-residential 2 _ �jjEach manufactured home or modular dwelling Signature of supervisif electrician(required) Dale Service and/or feeder 2 Sup.elect.name(print): „ F – , P – Licenseno: Services or feeders–Installation, 5 "eraiionorrelocatiow 2W amps or Ics.; 2 7Name(prinl) 201 amps t,4(x)amps 2 5: 401 arnps to 6W amps _— 2 601 amps to Io0Oamps 2 SIaIC: ZIP: Over 1000 amps or volts _ _ 2 one: Fax: E-mail: Reconncctonl} _ I Owner installation:The installation is being made on property I own Temporary services or feeders- which is not intended for sale,lease,rent,or exchange according to h0allalion,alteration,orrelocatlon: ORS 447,455,479,670,701. 2W amps or less __ - 201 amps to 4W amps 2 Owner's signature: 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: State: ZIP' B. Fee for branch circuits without purchase --- – --–�” of service or feeder fee,first branch circuit: ih t 2 Phone: d� li retell. F,ach additional brooch circuit ,�� 0 Mixc.(Service or feeder not Included): U Service over 225 arnps-comrnercial U Health-care facility flash pump or irrigation circle 2 U Service over 320 amps-rating of 1&2 U Hazardouslocation Fsach sign or outline lighting 2 familydwellings U Building over 10,000 square feet four or Signal circuit(s)or a limited energy fPcl-T__ U System over 6W volts nominal more residential units in one structure alteration,or extension" 2 U Building over three stories U Feeders,400 amps or more •Descri tion: U Occupant to al over 99 persons U Manufactured structures or RV park Each additional Inspectlon over the allowable In env of the above: U figtess/pght ngplan U Other Perinr decuo o Submit__sets of plans with any of the above. Investigation fee — The al ave are not applicable to temporary construction service. other Not all jnrisdicd,as accept credit cards,please call jurisdictinn for mrxe inRxmmion Notice:'Mis permit application Permit fee.....................$ U visa U MasterCard expires if a permit is not obtained Plan review(at _ %) $ Credit card number --_L�_ within IRO days atter it has been State surcharge(8%)....$ Nome of colder u ehuwrr on credit card Expires accepted as complete. TOTAL, .... $ /1 Z, 9`14z.— l (_ardhohler signature S Amount 44rt-415(6%roM) tt i ELECTRICAL PERMIT FEES: LIMITED ENERGY PERMIT FEES: TYPE OF WORK INVOLVED -RESIDENTIAL ONLYY Complete Fee Schedule Below: Restricted Energy Fee...................................................... $75.00 Number of Inspections pei permit allowed (FOR ALL SYSTEMS) Service Included: Items Cost Total Check Type of Work Involved: Residential•per unit 1000 sq It or less $145.15 N 4 Audio and Stereo Systems' Each additional 500 sq It or portion thereof $33.40 1 Burglar Alarm Limited Energy $75.00 Each Manufd Home or Modular Dwelling Service or Feeder $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 �� 201 amps to 400 amps $10685 2 Vacuum Systems' 401 amps to 600 amps _ $160.60 2 601 amps to 1000 amps $240.60 2 Other Over 1000 amps or volts _— $454.65_ 2 Heconnect only _ $6685 2 Temporary Services or Feeders TYPE OF WORK INVOLVED -COMMERCIAL ONLY Installation,alteration,or relocation Fee for eaci system......................................................... $75.00 200 amps or less $66.8: 2 (SEE OAF`918-260-260) 201 amps to 400 amps $100.30 2 401 amps to 600 amps 4133.75 _ 2 Check Type of Work Involved: Over 600 amps to 1000 volts, see"b"above. 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 Clock Systems feeder fee. Each branch circuit $6 65 _ 2 Data Telecommunication Installation b)The fee for branch circuits without purchase of service Fire Alarm Installation or feeder fee. First hr3nch ciicuit _ $46.85 _ Each additional branch circuit $6,65! HVAC Miscellaneoiest Instrumentation (Service or feeder not included) Each pump or i^•igation circle _ $Fd,40 4 ❑ F.ah sign or outline lighting _ °53.40 _ Intercom and Paging Systems Signal circuit(S)or a limited energy panel,alteration or extension _ $7500 Landscape Irrigation Control' Minor Labels(10) _ T $12500 _ Medical Each additional inspection over the allowable In any of the above 1'er Inspection _ $6250 Nurse Calls I'er hour __ _ $62.50 In Plant $73.75 ❑ Outdoor Landscape Lighting" Fees: Cj Protective Signaling Enter total of above fees $ F—] Other 8%Stale Surcharge $ _ Number of Systems 25%Plan Review Fee See"Plan Review"section on $ No licenses are required Licenses are required for all other Installations front of application - — Fees: Total Balance Due $ —`—� Enter total of above tees $ ❑ Trust Account 1f 8%utate Surcharge $ - `—^ ^--- Total Balance Due $ All Now Commercial Buildings require 2 sets of plans. i ktsts\fomtsklc-fees doc 08/30/01 / CITY OF T I G A R D BUILDING PERMIT PERMIT#: BUP2002-00513 DEVELOPMENT SERVICES DATE ISSUED: 12/9/02 13125 SW Hall Blvd..Tiqard. OR 97223 (503) 639-4171 PARCEL: 1S135AB-03400 SITE ADDRESS: 10260 SW GREENBURG RD 150 SUBDIVISION: LINCOLN TOWER-TOWN OF METZG`R ZONING: C-P BLOCK: LOT: 014 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? TYPF OF CONST: sf N: S: E: W: OCCUPANCY GRP: TOTAL AREA: 0 sf ROOF CONST: FIRE RET? OCCUPANCY LOAD: 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: ft REAR: ft FIR ALRM : HNDICP ACC: BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING: VALUE: $ 1,500.00 Remarks: Tenant Improvement - Fire sprinkler -- _ -- -- — Owner: Contractor: EOP LINCOLN, LLC DELTA FIRE INC 10260 SW GREENBURG RD 14795 SW 72ND AVE SUITE # 100 PORTI AND, OR 97224 PORTLAND, OR 97223 Phone: 892-2500 Phone: 620-4020 Reg #: MET 00001934 FEES I IC RE(:UI INSPECTIONS Description Date Amount Sprinkler Ruugh-In Ilit 11L1)) I'rrmir FCC 12/9/02 $62.50 Sprinkler Final 11 AX) 8%State Tax 12/9/02 $5.00 I I til I I S Nn Rv 12/9/02 $2500 di — -- Total $92.50 ' 1 his permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR Specialty Codes and all other applicable law. P,II 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 ATI ENTION Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center Those rules are set forth in OAR 952-001 -0010 through OAR 952-001-0100 You may obtain a copy of these rules or direct questions to OUNC by calling (503)246-6699 or I-800-332-2344_--\ Issued By: —. �•�` I / \ t"� � ;' f'ennittee Signature: Call 639-4175 by 7 p.m. for an inspection the next business day Fire Protection System Building Permit Application Datereceived: 11 alrl Permitno.�j411;lcr 2-p-p SI Ci'_y of Tigard ++ 1lddr1` : 13125 SW Hall Blvd.Tigard.OR 97223 Project/nppl.no.: Expire date: City of Tigard Phone: (503) 639-4171 Date issued: BY: I Receipt no.: Fax: (503) 598-1960 Case file no.: Payment type: Land use approval: _— 1&2 family:Simple complex: TYPE 1 L=T-A &2 family dwelling or accessory ommerc Industrial U Multi -f ❑New construction ❑Demolition dition/alteration/replacement e-nant improvement lid Fir .pnnhlpr/�alarm O Other. JOB SUIE INFORMATION Job address: ) Bldg. [to.. 71 Suite no.: SZ�� Lot: Bla k: Subdivision: — Tax map/tax lot/account no.:T Project name: ' ( - _�—.—_-- Description and location of work on premises/special conditions: OWNER 1 ' SPECIAL INI-OA.%L%1ION, I SE XKIAS U Name: Mailing address: I &2 family dwelling: City: Slate: 7..IP: Valuation of work........................................ $ ----- Phone: Fax — E-mail: No.of dtooms/baths................................. Owner's representative: Total number of floors................................ _ Phone: TI , - f:-mail: New dwelling area(sq.ft.) .......................... y APPLICANI Garage/rarport area(sq. ft.) Name: f 1 (/ Covered porch area(sq.ft.) ......................... Mailing address: P Deck area(sq. ft.) ........................................ _ City: State•' - ZIP: ( Other structure arca(s . ft.)......................... __-- Phone: ?' - C Fax: Email: CommerelNllnduetrlal/multi-family: \ Valuation of work........................................ $ Fxisting bldg. area(sq. R.) .......................... Business name: New bldg.area(sq.ft.) ................................ Address: L Number of stories........................................ City Stat IP: Type of construction.................................... Phone: -C ' Fax: E-mail: _ Occupancy group(s): Existing: CCB no.: New: C'ity.finelro lic.no.: J — Notice:All contractors and subcontractors are required to be 1111;EffAlliw Lail licensed with the Oregon Construction Contractors Board under Name: /-(L provisions of ORS 701 and may be required to be licensed in the Address: 01— jurisdiction where work is being performed.If the applicant is State exempt from licensing,the following reason applies: City: ZIP: Contact person:; Plan no.: Phone: c Fax: Email: Name: Contact person: Fees due upon application ........................... $ Address: Date receiaed: _ _ City: State: ZIP: _ Amount received ................................ ........ $ ---- Phone: Fax: I E-mail: Please refer to fee schedule. hereby certify 1 have read and examined this application and the Na all jurisdictions accept credit cards•please call jurisdkrion for mac Inlmmation attached checklist. All provisions of laws and ordinances governing this U Visa Q MasterCard work will be complied w' wheth r cified herein or not. credo card number- work amher __ ` _ Expire Authorized signaturE: � Date:/1_-'r) 6`4 Name of ardholder u shown w+credit card S Print name: ► — cardrrolder aignaiure — Amount Notice:This permit application expires if a permit is not obtained%%tthin I go das.,aIle, it has peen accepted as complete. 4164613(VOCOM) Fire Protection Permit Check List A. ❑ New ddition teration ❑ Repair B.) Modii ication to sprinkler heads only: Describe work to 1. 1-10 heads: No plan review required. be done: 2. 11+ heads: Plan review required. Number of sprinkler heads:_ _ Additional description of work: Type of S stemComplete A, B_or_C as applicable A. Sprinkler _ Wet __ Dry Stand i es_ Additional Hazard Groin__ _— Information Density Design Area K. Factor Project Valuation: $ � _ B.) Type I.- Hood Fire Suppression System —_ Hood Project Valuation-^� C. Fire Alarm Submittal shall Bad CalculationsYps ❑ include: Individual Component — YUs ❑ Cut Sheets Fire Alarm pr j9ct Valuation: $ _ Project Valuation Subtotal A, B & Cj_ $ / — -- Permit fee based on valuation see charts $ --- ---� 8% State_Surcharge: $ _ FLS Plan Review 40% of Permit: $ ----- TOTALS ,= —_. ---- Plan review requires a completed application and 3 sets of plans at submittal. Plan review fees are required at stfbmittal. "New" fire protection systems require that plans bear the original seal of an Oregon licensed fire suppression engineer, or NICET level "3" technicians. is\fists\forms\FPSchecklist.doc 11121!01 f CITY OF TIGARD 24-Hour BUILDING inspection Line: (503)639-4175 MST INSPECTION DIVISION Business Line: (503)639-4171 BUP Heceived _ Date Requested __ �_ _� AM-----. PM - BLIP Location Suite_� --- MEC - -- - o?- Contact Person __—_..._._�--__-_-___ Ph (______) ____ PLM eo - Contractor Ph(_—_ ) _ Z 2= SW R — BUILDING Tenant/Owner _ ---------.-- -----�——_----_-._-- EI.0 Footing ELC Foundation Access: Ftg Drain ELR Crawl Drain Slab Inspection Nates: SIT Post& Beam Shear Anchors J - Ext Sheath/Shear Int Sheath/Shear Framing ---------------------- Insulation Drywall Nailing ---- - ------ Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling —�- Root Other: Final v PASS PART FAIL ' PLUMBING _ i ' �� - �► '' Post&Beam10- � - Under Slab - Rough-In Water Service - Sanitary Sewer Ra Drains - - Catch Basin/Manhole 44 Storm Drain - - - Shower Pan Other: - ---- - ASS PART F M _ANICAL — ost&Beam Rough-In - - - Gas Line Smoke Dampers --- - - -- — - Final PASS PART FAIL_ -- -- -- - ELECTRICAL Service Rough-In -- UG/Slab Low Voltage - - - Fire Alarm Final 11 Reinspection'ee of$ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL SITE [ ] Please c.a:;tor reinspection RE: _--- ❑ Unable to inspect-no access Fire Supply Line ADA Approach/Sidewalk Dates -�-� -�- -- Inspector Ext Other: Final ' DO NOT REMOVE this inspord from the Job site. PASS PART FAIL