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ENERGY L"ACD/ENT ® —4rL ................. �. ..... .... .C�...... C-�..... ®. .... .... ............... :..... ....... _ 8t FIRE PR'�TEC110N INS WVA Pl.A�l — Sc�1T� �3 � �x Q MECHANICAL ENGINEERS AND CONTRACTORS KEY PLANUM N.E. COLUMBIA BLVD PCOTLA.ND. OREGON -------_ _. ;503) 337 -01_34 I Y FAX (503) 3 i -8906 L KEY J(-()?F- aV= WORK 040M O =, �x7 C"r1 N ♦ ri A LO�A-TF. `/N E 1 "V R M O STA Tw t i - '.1•` —_...� 2 . ADD ae Www ar ®R RFS o�LAT aus�. �� A4 � � � _ - -- rr IN T A S�uf4� �oa'rS , O AREA OF I SSI i� SvPPi��( t�J c +osS "1.4"IfiC� _ WORK PRGJ=. ♦ l! D `,f t 1S ! , .,a1tF x4• 1 T 1 N G ► < -r-=f ►� PfKJ KCT ll 11 mo�ii.. 71 RET U R 1A. WAIN 9&X E.S A S 9"aW#4 6W P t.A n1 � - r I TO- 9v AG 14 t , NOTICE: IF THE PRINT OR TYPE ON ANY TI 1 I I III I III 1 1 1 ' 1 1 ( 1 11 11 f III 1 1 1 ' III III I I "�1 11,1 Jill [ 1 1 1 I I"f •'1 I I I I III III III III III III 111 f f I ! I 11- .I.. I ) ! r r �T-V 1 r 1- .� �, f I � I S I I I I ( T I I ! ( t i ( �1 11 � 1 I 111 1 1 III I I I ! I I IMAGE I .3T AS CLEAR AS THIS NOTICE 1 + I I I 2 3 4 ( , IT IS DUE TO THE QUALITY OF THE ORIGINAL DOCUMENTNo.36 -- -- --- - - _ E 6Z SZ LZ 8Z 5Z � Z EZ Z iZ OZ 6I 8I LI 9i 5T � T EI 7T IT T 6 8 L 9 Q fill f If 1 II!! IIII IIII III) III! 1111 ILII 1111 Illi 11111L11 Illi 1L11 IIII 111111 11 ILII Illi illi 11111111 III f+ I IIII IIII IIII IIII IIII IIII IIII Iilii,lll IIII IIII il,l Illi 1. l Illi. Llll. 1111 IIII 1111. �1L1 l 1 � l�� 1111�1,k11 5 r i J T n r C: v. w c i 99i t ` h ,p 10260 sW C1ttEENHUNG no Sao "A CITY CF TIGARD DEVELOPMENT SERVICES PL UMBINP PERMTT 13125 SW Hall Blvd., Tigard,OR 97223(503 639.4171 PERMIT #. . . . . . . : PL_M99-•001.4 DATE ISSUED: 01/22/99 P►1RC:E"l.: 1S1 ,:,5AP-03400r r J:"rr ADDREar. . . t i0L-00 ^W (.,I:E:Lt.ii ;..;r?(a Rn #`i`0 "')U131)1VISTON. . , . : 1_1NCCILN TOWER-- rOWN OF METZ.GER ZONI:.G: f_:--rl rsl_ Orlt. . . . . . . . . . . LOT„ . . . . . . . . . . . . :014 7URI SDIrTIOhl: TTS "I.AOS Or WORK. . :ALT GARBAGE D I SPOSOL S. : 0 MOB T LF' HOME SPACES. : 0 ''Yr'E OF IJ5F.. . . . :rnM WASHING MACH. . .. . . . : 0 SACNFLf1W r,RFVNTRS. . : 0 1CCUPANCY GRP. . :10 FLOOR DRAINS. . . . . . . 0 TRAPSl. . . . . . . . . . . . . . . Q, . . . . . . . . 0 WATER I-IFATERS. . . . . . 0 CATCH PARTNR. . . . . . . . 0 L_nUNDRY TRAYS. . . . . .. 0 GF RnIN CRATN• -). . . . . : 0 ITNNS. . . .. . . . . . . 1 IIRTNALS. . . . . . . . . . . : 0 GRE=A E TRnPS. . . . . . . . 0 AVATORTr0. . . „ : 0 OTHCER FIXTURES. . . . : Vr ''UR/5HnWEwRS. . . : 0 SEWER L. I NIE (f t ) . . . : 0 JATER CI-.nSr"r-.. m WATER L 11\117 (f+: ) „ : 0 T)T fiHWf1SHF R5. . . , : 1. RA T N DPA T N (f►. ) . . . 0 lar,m,lr-k : new dishwashrer• and r-enlace an r)-'iSin!g irl!<, prier: -- -- -___..__...___._._..._.____._.._......_._ ....__.._.---...._ ._. ...______....._ ..... .---.--........_ F[`E IP nrrl TCATTONS, TNC. + yfle OnO[ t �7y Gr;`60 5W (3RFF'NSLJRG RT) PRMT t cn. 0V+ GE:n ')I I T TF 15 ..,0 517117 r t� 1. . 12,5 GF(I !"ORTL.AND OR 971E'.2.3 u nnE #: tr-Tr-Mrr1.-F C(7 TNf, —1711 NW rVF'R7*nN1 ST ��r7T!_Ahln Or 97,'09 ,Il011E' #: c.'."'',' ; 'f-/I1 $ PE,. ,^,r.., TnTn1 'key it. , : 000r21;: --_- - - R17r)t 1 T RF T) T NXt-,Fr.T T ONS chis permit is issued suLject to thf regulatirms contained in the Mics... Tnspect; i on 'igard Municipal Code, State of Ore, Specia:ty Coues and all other Final TnSpect ion pplicable laws. P11 work will be done in accordance with approved plans. This permit will expire if work is no'. started a,ithin 180 days of issuance, or if work is suspended for more `han IN days. ATTENTION: Oregor, la« recrjire� you to follow r,,cies -idepted by the Oregon Utility Notification Center, Thome rules are ;et forth in CAR 952-MI-Mg through OAR ?S2-AA81 88PA. You may obtain copies of thPte -r+ee or d9,•ert j?.F4;rnC to OX by calling r'P, m i t t e e S i n a t l_c r L rr4.I-4-44.{..44. 17 4.4 {44..{..4.+444diii1 +4a+., rr1rtrrt ttrrct rrc , rrr f rr ! --.',1 'i ��i 17'17 1710 1' i7 �*r, � I.' it", t" I. t 4-f 1.4 -I. L 1 4.4 ., 1 1. 4.4.. 4 4. 4 4- 4 }..4.-I.4 4 < CITY OF TIGARD Plumbing Permit Application Plan CheckaK 13125 SW HALL BLVD. Commercial and Residential Rec•'d By TIGARD, OR 97223 Date Recd /e_. 0-- (503) 639-4171 Date to P.E. - Print or Type Dale to DST Incomplete or illegible applications will not be accepted Permit 1��L-y Related SWR ik 9'Y CC/f� /1", e?�—e-4qCJ Called_ /-v?R 'fff ..-.—_ — — Name of Development/Project —� FIXTURES (individual) Q'rY PRICE' -AMT Job ,n*F__1 _) >I / C A 1)Gl l S Sink �- -' 9.00 Address Street Address / Suite Lavatory 9.00 (.j ) &L Edr Pt -r ! Tub or Tub/Shower Co.nb 9.00 Bldg 0 City/State Zip Shower Only 9.00 Name Water Close( 9.00 900 — C 6()Dishwasher Owner Mailing Addre Suite Garbage Disposal 9.00� / P j Washing Machine --� — - 9.00 City/State Zip Phone —. Y'l (r Floor Drain/Floor Sink 2" � n 9.00 Name 1) �1 o�ICa4. -- -- 9.00 Occupant Mailing Address Suite p Water Heater O conversion O like kind 9.00 C (, v (11,161 1 bwt" r)-3 (` _ Gas piping requires a separate mechanical permit. City/State Zip Phone Laundry Room Tray 9-00 o r t Urinal --- 9.00 Namee,, Other Flxturus(Specify) 9,00 _ _ _ _ �:QntfaCtOY' Mailing Address Suite 9.00 q `>! /U vJ over tnvi_ _ ----- ----- -- 9.00 Prior to permit City/State Zip Phone Sewer-1 st 100' 3000 issuar ce,o cony � r Ila. id � � j `�l ) ) -L-A.!��! - ---— — - - of all licenses are Oregon Const.Cont.Board Llc.t! Exp.Date Sewe•-each additional 100' 25.00 __ required If .T�`� ) 1:1 Water Service-1st 100' - 30.00 expired In COT Plumbing Lic.tx Exp.Date Water Service-each additio ial 200' 25.00 database _ }� �� (l _ Storm&Raln Drain-1st 1f 0' 30.00 Name Storm&Rain Drat;-each additional 100' 25.00 Architect __-- Mobile Home Space— zr3:oo - — ©r Mailing Address Suite Commercial Back Flow Prevention Device or Anti- 25.00 Pollution'Device _ Engineer City/State Lip Phone Residential Backflow Prevention Device' 15.00 (Irrigation timing devices require a separate !Iescdbe work to be done: restricted enerQy_E,�rmlt.) _ Now O Repalr O Replace with like kind: Yes ! No • Any Trap or Waste Not Connected to a Fixture 9.00 Residential O_Commercial • Catch Basin 9,00 Additional descriaHon of work: - ,r� Insp of Existing Plumbing 40.00 _perthr Specially Requested inspections 40.00 'ire you capping, moving or replacing a-ty fixtures'? Rain Drain,single family dwelling 30.Op Yes O No 0 Grease(Yaps 9.00 if yes,see back of form to Indicate work performed by --- QUANTITY TOTAL fixture, FAILURE TO ACCURATELY REPORT FIXTURE Isometric or doer diagram Is required If�uontMy total Is >9 WORK COULD RESULT IN INCREASED SEWER FEES.__no - "SUBTOTAL I hereby acknowledge that I have read this application,that the infr mar _ given Is correct,that I am the owner or authorized agent of the owner,end - 6%SURCHARGE �r that ' ns submitted are in compliance with Oregon Stale Law,,. sl n re of Owner/Agent i Date— ""PLAN REVIEW 25%OF SL'Et TOTAL Required onl f fixllire J --Y----'Y---------TOTAL a-- nnII (► - ' L�—_-- r__) �Q r I Lir '��4 / 'Minimum permit fee is$25+5"%surcharge,except Residential Backflow Contact Phan time Phone Prevent on Device,which Is 515 # 5"6.surcharge havinavj -All Nrw Commercial Buildings require plans with isometric or riser diagram and pl1 'view I%daMpkimapp4m MW PLEASE COMPLETE: Fixture Type Quantity by Work Performed New Moved P.eplaced Removea-Capped Sink Lavatory ---- _--- - .�-- - Tub or TubiShower Combination_ f5hover Only Water Closet Dishwasher _Garbage Disposal Washing Machine Floor Drain/Floor Sink 2"- 11 Fater Neater -i- Laundry Room Tray U-inal- -. Other Fixtures (Specify) v -- COMMENTS REGARDING ABOVE: I Witetptumanp dM 7x'/98 -, ,( � Accumulative Sewer Tally Fenant Name: D !�'�4'�i'/_ir��a ? �P�J ✓ This SWR# 9 address C�,^ (er ��,! '�R:s,rlarri,N ;R`ii'd /3 n This PLM#:C e- �'/�� =ixture Value Previous Previous Credits Capped Fixturns Fixtures New total New # Value Capped off value added# added #s total Count off#s count value values 3aptist /Font 4 -- 3ath-Tub/Shower 4 -Jacuzzi/Whirlpool Car Wash-Each Stall 6 _-- Drive Through _ 16 Cuspidor/Water Aspirator 1 Dishwasher-Commercial 4 -Domestic 2 Drinking Fountain Eye Wash Floor Drain/sink-2 inch 2 3 inch_ 5 4 incl, 6 -Car Wash Drn Garbage Disposal 16 Domestic(to 3/4 HP) Commercial(to 5 HP) 32 — Industrial(over 5 HP) —48 Ice Machine/Refrigerator Drains 1 —_ _Oil Sep(Gas Station) _ 6 Rec.Vehicle Dump Station 16 — Shower-Gang(Per Head) 1 -Stall — 2 Sink-Bar Lavatory ,__ 2 Bradley 5 Commercial 3 Service _ 3 Swimming Pool Filter 1 Washer-Clothes _ 6 Water Extractor 6 Water Closet- Toilet 6 Urinal — -- 6 —7— --- —_ _ -- --- -- ----- TOTALS r If/ EDU Total fixture values / divided by 16 = 'l 9.. EDU HISTORY _. __ > WR# � FUU# 4-7 S�4R#��-PLM#qg - EDU# > _ ° PLM#QQ -ov& EDU# U SWR#99,, - c^ril Pl_M# fir'+ EDU# ' F SWR#—.,;, - e'3:4 PLM#q4 r r^/�/ EDU# 71�SWR#7`r "e'en PLM ?.7- o 3q ____EDU# iR S,VVR#,J-' - PLP.4# Po EDU#� SWR#9P PLM - Co i/p EDU# zge SYVVR#yp _c e ew I ldsts\swrtaly doc. CITY CF TIGARD DEVELOPMENT SERVICES 13125 SW Hall Blvd., Tigard,OR 97223(503)639-4171 CERT.1 F`I I:H*rE: OF' OCCUPANCY CIERM1 ? #. . . . . . . i HUP98--047,, DATE I'.`..")SUED 0 PARCEL 1 IF ADDRESS. . . e 1 W260 SW GREEcNSURG Rn 0531 c"'� LISDIVIC 1014. . . ., ;I.INC'01.N TOWER—TOWN OF ME=TZGE R 70NINb:C P Ol_CIC:K. . . . . . . . . . e LOT. .. . . . . . . . . . . , s12.114 JURJGr)IC"1,1ONe i 16 LASS OF WORI-, aAL_T Vr-1E OF USE. . . :COM YPE OF CONS) Kcc_VR CC:UPANCY ORF'. r 11 1CCUPANCY LOAD: i!8 I-NAN7 NAME. . . :DF) F iPPL I C AT I ONG, INC. emar•ks t 7'I - sPl itt my of space with ! hour- or_c.r. panc:y 3ppearat i on wa.l I NICKEr'RBOCKER PROPERTIES INC.' /11 NORAM, BEfxGS R SIMPSON 0300 SW GREENVURG RD #201'll iC ARD OR 9712:.3 •I- une #4 ontr^ac::tuY : _.____..__.__..__........_.._. __�_.. IPL I PU PF IE W I C: .35 Nf: JACKSON SC:H00I.. ROAD i I L...l_S:')'SORU OR 911c_'4 hoiie #1 693- 971 r P g #. . i 0591A4 3 his L`;ertificatf,. yr, ants oc:c:,.ipaiicy of the referenced buildirip or, portion I)ek,eof .and confii-ms that the b,rildinq has been inspectted for compliance with , he Fjtate of Organ Speuialty Codes for the group, occupenvy, end use i.mder ,hich *,,he r efevenc ed permit was issued. �IlILDJNC_ BU?LDING OFF IC:IA�""""" POST IN C C NP-1 P I C.UCillF, Pt_ACF CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Lirie: 639-4175 Business Line: 639-4171 BUPSX �—�1 ____Date Requested a'�/ AM V' PM _ BLD Location_ / 0 -Le c V. Suite 7 6 - MEC — r Contact Person "/ a. - Ph -7 �(-' lia-S q_ PLM ContractorY_ Ph SWR BUILDING Tenant/Owner _ �� ELC -- -- -- Retaining Wall F LR Footing Access: --- Foundation I ^S Ftg Drain Crawl Drain Inspec`ion Notes: a^ SGN Slab 2 — '�`� �� SIT Post& Beam ---- Ext Sheath/Shear Int Sheath/Shear Framing Insulation - --- ----- __---------- - Drywall Nailing Firewall --- --- - - Fire Sprinkler Fire Alarm Susp'd Ceiling ........ Roof Misc: - -- -- -- - PAS PART FAIL -- ---- nu-MITING Post& Beam -- - -- - - Under Slab Top Out ----.. -- ------ -- --- Water Service Sanitary Sewer Rain Drains Final PASS PART FAIL MECHANICAL - -- - Post& Hearn - -- - - ---- --- ---— Rough In Gas Line - - - ----- -- SmoKe Dampers Final - PASS PART FAIL ELECTRICAL - Service Rough In — ----____—__-- - -___-- UG/Slab Low Voltage Fire Alarm _ F-incl — — - PASS PART FAIL SITE EacKfill/Grading - -- -_ ---_-- —__ Sanitary Sewer Storm Drain ( ]Reinspection fee of$ required before next insr action Pay at City Hall, 13125 SW Hall Blvd Catch Basin [ ]Please call for reinspection RE: _ _ [ ]Unable to inspect-no access Fire Supply Line ADA Approach/Sidewalk Other Date �- z tom'i�� Inspector Ext --- Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. CITY CF TIGARD ELECTRICAL_ PERMIT DEVELOPMENT SERVICES PERMIT #: EI-C98-070 :; DATE ISSUED: 11 /30/98 13125 SW Hall Blvd., Tigard.OR 97223(503)635-4171 PARCEL: i.S i.?,SAB-0 400 SITE. ADDRESS. . . : 1OL*?6O SW GREENBURC3 RD #530 SUBDIVISION. . . . -LINCOLN TOWER---TOWN OF MET'7_GER ZONING:(.'--P BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . :014 JURISDICTION: TIG Protect Descrip.ion : DP Applications Inc TI work ,IDB 162-WA5 —_RESIDF_NTIAL_ UNIT.._.-.--- .-- -.TEMP SRVC/FEEDERS------ -.----MISCELLANEOUS----- 1000 SF OR LESS. . . . : 0 0 - 200 amp. . . . . . . : 0 PUMP/IRRIGATION. . . . : 0 EACH ADD' L. 500SF. . . : 0 201 - 400 amp. . . . . . . : 0 SIGN/OUT LINE LTG. . : 0 LIMIT'EI) ENERGY. . . . . : 0 401. - 600 amp. . . . . . . : 0 SIGNAI_/PANEL. . . . . . . « 0 MANF=. HM/ SVC/FDR. . : 0 601 +amps-1000 volts. : 0 MINOR LABEL ( 10) . . . : 0 --- SERVICE/FE EDFR- - - --•--BRAidCH CIRCUITS-----.-- __.-.--ADD' L INSPECTIONS--- 0 - 200 amp. . . . . . : 1 W/SERVICE OR FE'EPER: 30 PER 119SPEC"i ICN. . . . . : 0 201 - 400 Anip. . . . . . . 0 1st W/O SRVC: OR FDR. : 0 PER HOUR. . . . . . . . . . . : 0 401 - 600 amp. . . . . . : 0 EA ADD' L BRNCH CIRC: 0 IN PLANT.. . . . . . . . . . . : 0 601 - 1000 amp. . ., 0 -------------------PLAN REVIEW SECTION------------------ - _ 1000+ amp/volt. . . . . : 0 )=4 RES UNITS. . . . . . . . : ) 600 UOL_T NOMINAL. . : Reconnect only. . . . . : 0 SVC/FDR 225 AMPS. . : CI__ASS AREA/SPEC OCC. -. KNICKERBOCKER F'ROPE:.RTIES, INC type amount by date recpt 10300 SW GREE'NSURG RD PRMT 210. 00 .JSD 11/'310/98 98--311138 SUITE 200 SPCT $ 10. 50 JSD 11/30/98 98-311138 PORTLAND OR 97223 Phone #: Contractor: CHR I STENSON ELECTRIC INC 220. 50 TOTAL 1 1 1. SW COL.UMB I A STE 480 -- --- REQUIRED INSPECTIONS ---- PORTLAND OR 97201 Ce i l i nq Cover Elect' `- Sery i re Phone #: 241.-481.2 Wall. Cnvrr Elect' l Final Req #. . . 000458 This permit is issued subject to the regulations contained in the Tinard Municipal Code, State of Oregon Specialty Codes and all 9ther 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 the rules adopted by the Oregon Ift ility Notification Center, those rules arc set forth in OAR 952-kV11010 thrnugh DAR 95.-001-1387. You may obtain a cupy of these rules or direct questions to OMC b calling k 31 -1987. 1 1\ ) G t� Flor-mittee Signaturpt !l� J Tssr_ied "r L Ir INSTALLATION ONLY--------- The installation is being made on property I own which is not intended for sale, lease, or rent. OWNER' S STGNATURE: DATE: INSTALLATION SIGNATURE OF SUPR. ELEC' N: DATE: LICENSE NO« +++++++++++++++++++*+++++++++++++++++++++++++++++++++++++•++++++++a•+++++•+++ +++4 Call 639-4175 by 7:00 p. m. for an inspection needed the next business day +++++.+-++++++-+++++•++++•++++++++++++++++++++++++++++++++++++++++++++++++++++++.+++ CITY OF TIGARD Electrical Permit Application Plan Check.# _ 13125 SW HALL BLVD. Recd Date Recd TIGARD US 97223 Date to P.E Phone (503)639 4171, x304 Print or TyDate to DST pe Inspection (503) 639-417-', Incomplete or illegible will not be accepted Permit a "LC Fax (503)684-7297 Called 144 1, Job Address: _ 4. Complete Fee Schedule Below: Name of Development Number of Inspections per permit allowed r�p�g�f(�u g�) DP APPLICATIONS STE 530 Name(Or L1NCUl Ns��L�WL'1t5- Service included: Items Cost ''um Address_10260 SW GkEENBURG ROAD 4a. Residential-per unit City/State/Zip TIGARD, OR 97223 Ea h dditional00 sq.ft oi t500sq.ft.or $11000 a Commercial Residential❑ portion thereof $25.00 Limited Energy - $25.00 IF QUESTIONS CONTACT: ROSS CROSBY Each ling Sd Home Feeder Dwelling Service or F©oder $88.00 2a. Contractor installation only: (Attach copy of all current licenses) 4b.Services or Feeders Electrical Contractor CHRISTENSON ELECTRIC, INC. Installation,alteration,or relocation 1 60.00 111 3W COLUMBIA, SU i ff 8-0 200 amps or less $60.00 - 2 Address__, 201 amps to 400 amps $e0.00 ___ � City PORTLAND_ State---QA--Zip.---9.7201-5886 401 amps to 600 amps $120.00 2 Phone No. 503-241-4812 _ 601 amps to 1000 amps $180.00 Job N0. 6L-C1C.5 Over 1000 amps or volts $340.00 �_�� 2 b-- - Reconnect only $50.00 Elec.Cont. Lice. Nj. __E%p.Date I0 1/99 OR State CCB Reg. No._ 458 Exp.Date. -71T9 9 4c.Temporary Services or Feeders COT Business Tax or Metro No. 98 25 6 Exp.Date12 31 l-B Installation,alteration,or relocation 200 amps or less $50.00 Signature of Supr. Elec'n � ��"^ �/'' 401 amps to 60201 amps to 0 amps $75.00 amps $100.00 )gilXii6fC 24688 10/1/W9 U I Over 600 amps to 1000 volts, License No. Exp.Date see"b"above. Phone No. -034+1- 81.2 11/24/98 4d.Branch Circuits Now,alteration or oxtonsion per panel 2b. For owner installations: a)The fee for branch circuits with purchase or service or Print Owner's Name______., feeder tee. Address Each brarrh circuit 31h $5.00 _1 50 Qom. b)The foe for branch circuits City State _ ZiF._ without purchase of Phone No. - service or feeder tee. First branch circuit $35.00 The installation is being made on property I own which is not Each additional blanch circuli $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 Each sign or outfine lighting $40.00 3. Plan Review section (if required):' Signal circuit(s)or a limited energy panel,alteration or extension $40.00 2 Minor Labels(10) _ $100.00 -- Please check appropriate Item and enter fee in sectio,,5B. 4 or more residonfial units in one structure I 4f.Each additional inspectlon over Service and feeder 225 Limps or more the allowable In any of the above System ever 600 volts nominal Per inspection - $3r'V --- - - _ Classified area or structure containing special occupancy Per hour $115 oc ------- as ______as described In N.E.C.Chapter 5 In Plant $55.00 Submit 2.sets of plans with Appllcat,on where any of ins above apply. Jr. Fees: 210.00 Not required for temporary construction services. 5a.Enter haat of above fees $ - 5%Surcharge(A5 X total fees) $ NOTIC.E Subtotal $ SA-- 5b.Er ler 25%of line Be for PERMITS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED IS Plan Review ji [wired(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 220.50 TIME AFTER WORK IS COMMENCED. ❑ Trust Account q $ T".ta/balance Due L r\d$TMELCH APP Rev W" CITY OF TIGARD DEVELOPMENT SERVICES BUILDING PERMIT 13125 SW Hall Blvd., Tigard,OR 97223(503)639-4171 PERMIT #. . . . . . . : BUP98-0540 DATE ISSUED: 12/09/98 PARCEL-: IS135AS-03400 SITE ADDRESS. . . : 10260 SW GREENBURG RD #530 SUBDIVISION. . . . : LINCOLN TOWER-TOWN OF METZGER ZONING:C-P 131-OCK. . . . . . . . . . : LOT. . . . . . . . . . . . . :014 J1JRISDICTION:TIG -------------------------------------------------------------------------------------- RCI SSUE: FLOOR AREAS--------------- EXTERIOR WALL CONSTRUCTION- CLASS OF WORK. :FPS FIRST— . : 0 s N: S3 Ei W. TYPE OF USE. . . , COM SECOND. . . : 0 if PROTECT OPENINGS?----------.--- TY17E OF CONST. :2FR . . . : 0 Sf N: S: E: '44: OCCUPANCY GRP. :B TOTAL--.-----*. 0 s ROOF CONST: FIRE RET?: OCCUPANCY LOAD: 0 BASEMENT. : 0 Sf AREA SEP. RATED: STOR. c 0 HT: 0 ft GARAGE. . . .- 0 Sr OCCU SEP. RATED: SSMT?- MEZZ?: REDD SETBACKS---.- REQUIRED--_--_.--_-__--_-_ . FLOOR EDUIRED------------------ - FLOOR LOAD— . : 0 psf LEFT: 0 ft RGHT: 0 ft FIR SPKL:Y SMOK DET. . .- DWELLING UNITS: 0 FRNT: 0 ft REAR: 0 ft FIR ALRM: HNDICP ACC: BEDRMS: 0 BATHS: 0 IMP SURFACE: 0 PRO CORR: PARKING: 0 VP!-UE. ! : 730 Remarks: Alteration of fire system add 8 sprinkler heads for commercial tenant. Owner: FEES DP APPLICATIONS, INC. type amount by date recpt 10260 SW GREENBURG RD F,RMT $ 25. 00 DLH 12/09/98 98-311410, SUITE 530 5PCT $ 1. 25 DLH 12/09/98 98-311416 PORTLAND OR 97223 Phone #: Contractor: ---------_---___--__.-_--.._-_-_ FIRESTOP CO 9384 SW TIGARD ET TIGARD OR 97223 ------------------------- Phone #: 620-6140 26. 25 TOTAL Reg #. . : 000638 --REQUIRED ACTIONS or INSPECTIONS This permit is issued subject to the regulations contained in the Sprinkler Rough- Tigard Municipal Code, State of Ore. Specialty Codes and all other Sprinkler Final applicable laws. All work will be done in acrardancp with approved plans. This permit will expire if work is i,vt -tartPH within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Drigon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-Mi-0019 through OAR 952-00101987. You many obtain a copy of these rules cr direct questions to OUNC by calling (593)246-1987. Permittee Signature: Issued By: ............4...............................................4.....4.............. Call 639--4175 by 7:00 p. m. for an inspection needed the next business day ++-4 +4.. ..}{.++++++++.4•+++++++.++.+++++++++++++-1.++++++4-+++++++++++++++++++++++++++4+ Fire Protection Permit Application Plan Check# CITY OF TIGARD Commercial or Residential Recd By ILLI I _ 13125 S1r"•! HALL BLVD. Date Recd -z- 9 TIGARD, OR 97223 Print or Type I�-f Date to P.E. (503) 639-41 i 1, x. 304 Incomplete or illegible a f.plications will not be accepted Date to DST —�-�-- Permit# Called_ JobI Name of DevelopmenuPro)ect — Type of System (Complete A or B as applicable) i Address Addrr ss A. Sprinkler Wet D ame Standpipes / L/N e060 of NA _ - Owner/ Mailing Address — Additional Hazard Group 111 n City/State -- Zip Phone Information Density Design — — Name Design Area _/0 nit IN c• - Occupant Mailing Address ��— K.Factor -� p !o op %4� 'I"'0w G %lir Sib Cit /State Zip Phone A.1) Sprinkler Project Valuation ee X"Ju. tie• 9727 — $ X30 _ Contractor Name - n B.) Fire Alarm (Sprinkler or Oe' _ Alarm Company) Mailing Add e�J�—^--- — Submittal Shall Include Battery Calculations YES[ - Prior to permit issuance,a City/State Zip Phone lndwidual Component YES copyCut Sheets of all licenses 997773 6 zo-(o f4 D _ B.1) Fire Alarm Proj ct Valuation $ are required if State Const Cont Board Lic# Exp Date _ -expired in COT G 3 �� Project Valuation_ _Subtotal(k-&—or B) $ database — Name - ---- BD �QC/1 �TS Permit fee based on valuation $ ---------- _ (see chart on back) Architect Maihn Address --3 5Surcharge $ x o�til - �d /o Ci /State Zip P ione M,ORF. V74-p FLS Plan Review 40%of Permit $ / _ �Dk(., 2z4 — Describe work A.)New O Addition O AlterationA Repair O TOTAL to be done T $ B) Modification to sprinkler heads only — --- ----- - --- 1 1-10 heads=No plans required Plans required Submit lhiee sets of pians,including a vicinity map and 2 11+=Plan review required the location of the nearest hydrant. -- ---- _----------- I hereby acknowledge that I have read this application,that the information given is Number of sprinkler heads - -orrect,that I am the owner or authorized agent of the owner,and that pians submitted -- are in compliance with Oregon Slate laws Additional Description of Work Signature of /Agent Cate A.)In Existing Building 1 ' [J13L18 New Building Building tact PersonAame Phone Data B.) Commercial Q� Residential —~ _U�� _ 10� 670- 4.14 V FOR OFFICE USE ONLY:____ No of stories --- -- — Plat# Map/TL#: Sq ----- - Notes Occupancy Class- Type of Construction 0 iresupr.doc CITY OF TjQARQ BUILDIN"ERMIT FEES TOTAL STATE BUILDING VALUATION OF PERMIT F.L.S. TAX PERMIT PROJECT FEES (40%) (5%) FEES 1-1500 25.00 10.00 1.25 36.25 1,501-1600 26.50 10.60 1.33 38.43 1,601-1,700 28.00 11.20 1.40 40.60 1,701-1,800 29.50 11.80 1.48 42.78 1,801-1,900 31.00 12.40 1.55 44.95 1,901-2,000 32.50 13.00 1.63 47.13 2,001-3,000 38.50 15.40 1.93 55.83 3,001-4,000 44.50 17.80 2.23 64.53 4,001-5,000 50.50 20.20 2.53 73.23 5,001-6,000 56.50 22.60 2.83 81.93 6.001-7,000 62.50 25.00 3.13 90.63 7,001-8,000 68.50 27.40 3.43 99.33 8,001-9,000 74.50 29.80 3.73 108.03 9,001-10,000 80.50 32.20 4.03 116.73 10,001-11,000 86.50 34.60 4.33 125.43 11,001-12,000 92.50 37.00 4.63 134.13 12,00 1-13,000 98.50 39.40 4.93 142.83 13,001-14,000 104.50 41.80 5.2.3 151.53 14,001-15,000 110.50 44.20 5.53 160.23 15,001-16,000 116.50 46.60 5.83 I 168.93 16,001-17,000 122.50 49.00 6.13 177.63 17,001-18,000 128.50 5140 6.43 186.33 18,001-19,000 134.50 53.80 6.73 195.73 19,001-20,000 140.50 56.20 7.03 203.73 20,001-21,000 146.50 58.60 7.33 212.43 21,001-22,000 152.50 6100 7.63 221.13 22,001-23,000 158.50 63.40 7.93 229.83 23,001-24,000 164.50 65.80 8.23 238.53 24,001-25,000 170.50 68.20 8.53 24723 25,001-26,000 175.00 70.00 8.75 253.75 26,001-27,000 179.50 71.80 8.98 260.28 27,001-28,000 184.00 73.60 9.2.0 266.80 28,001-29,000 188.50 75.40 9.43 273.33 29,001-30,000 193.00 77.20 9.65 279.85 30,001-31,000 197.50 79.00 988 286.38 31,001-32,000 202.00 80.80 10.10 292.90 32,001-33,000 206.50 82.60 10.33 299.43 33,001-34,000 211.00 84.40 10.55 305.95 34,001-35,000 215.50 86.20 10.78 312.48 35,001-36,000 220.00 88.00 11.00 31900 36,001-37,000 22.4.50 8980 11.23 325.53 37.001-38,000 229.00 91.60 11.45 33205 i:\I-iresupr.doc CITY OF TIGARD DEVELOPMENT SERVICES ELECTRICAL PERMIT 13125 SW Hall Blvd., Tigard,OR 97223(503)639.4171 RESTRICTED ENERGY PERMIT #: ELR99-0005 DATE ISSUED: 01/12/99 PARCEL: IS135AB--03400 I'T!-7 ADDRESS. . . : 10260 SW GREENPURG RD #530 �JBDIVISTON. . . :LINCOLN TOWER.-TOWN OF METZGER 710NING:C—P BLOCE. . . . . . . . . : : LOT. . . . . .. . . . . . . . :014 JURISDICTN: TIG Project Description : Installation of data telecosunication system. A RESIDENTIAL.----------- B. C 0 M M E R C I A L—— OUDIO & STEREO. . . : AUDIO & STEREO- -. INTERCOM & PAGING. . : )At.JRGL..AR ALARM. . . . : BOILER. . . . . . . . . . : LANDSCAPE/IRRIGAT. . : GARAGE OPENER. . . . . CLOCK. . . . . . MEDICAL. . . . . . . . . : HVAC. . . . . . . . . . . . . DATA/TELE COMM. - : X NURSF CALLS. . . . . . . . : VACUUM SYSTEM. . . . : FIRE ALARM. . . . . : OUTDOOR I.-ANDSC LITE: OTHER: HVAC. . . . . . . . . . . . : PROTECTIVE SIGNAL. . : INSTRUMENTAT ION. : OTHER. . : 1 : TOTAL # OF SYSTEMS: I Owner,: FEES KNICKERBOCKER PROPERTIES, INC type amount by date reept 10-00 SW GREENBURG RD MENU $ 0. 00 GFO 01 /t2/99 99-312116 SUITE 200 r,PMT $ 40. 00 GEO 01/12/99 99-312116 PORTLAND OR 97223 5FICT $ 2. 00 GEO 01/12/99 99---31211F) Phone #: 452--5900 Contractor CHRISTENSON ELECTRIC INC $ 42. 00 TOTAL tit SW COLUMBIA STE 480 REQUIRED INSPECTIONS PORTLAND OR 97'01 I-ow Voltage Insp Phone #i 2141-4812, Elect l Final Reg #. . : 000458 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialt,'- Codes and all other applicable laws. All work will be done in accordance with approved plans. This permit will expire if war!. is not started within 180 days of issuance, or if work is suspended for more than IN days. ATTENTIONS Dregon law requires you to follow rule adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952 NI-0010 thrnugh OAR 952-101-0080. You may obtain copies of these riles or direr qups'i ns t at (513)246-1987. Plermittee Signatllt -.---OWNER INSTALL-ATION The installation is being made on property I own which is not intended for sale, lease, or rent. OWNER' S SIONATUR17. DATE: INSTALLATION SIGNATURE OF SUPP. El.-Er,9N- DnT E: _L!_I*-ff. LICENSE NO: +++++.+....4-++++4..................h+++++++++++++•F++++++++++++4++++++.4..++++++.. Call 6,39 -4175 by 7:00 P. M. for an inspection needed the next bl-isiness day 4-+++4++4-+4 A-4-4-4+++++++++++4++4--1..................I........4-+++4+++++4 4-++++-4-+h++++.++4 RECFIVFD CITY OF TIGARD RESTRICTED ENERGY ELECTRICAL APPLICATION Recd by:____ 13125 SW HALL BLVD�gN Date Recd TIGARD OR 97223 r PRINT OR TYPE V-503-639-4171 'ffi&UNffY UEVELOPM Permit#: Se-12 !f9 O 66 5- F -503.684-7297 AbOMPLETE OR ILLEGIBLE A?PLICATIONS Cost.Call'd.___-_ JOB:50-00466 WILL NOT BE ACCEPTED Name of Development Project TYPE OF WORK INVOLVED -RESIDENTIAL ONLY LINCOLN CENTRE Restricted Energy Fee...._............... $40.00 DP APPLICATIONS INC. tFOR ALL SYSTEMS) JOB Street Address Ste# ADDRESS 10260 SW GREENBURG RD 530 L-heck. rytr,��1w:Work Involved M0Iatti.D ZipOR Phone# Audio:nd Steres.Systems Name VILLJI-1 Burgla .Alarm NORRIS BEGGS SIMPSON PROPERTY MI IGT L❑J OWNER Mailing Address Garage Door Opener' 10260 SW GREENBURG RD Heating,Ventilation and Air Conditlon'ng System* PORTLAND Zlp OR Phone# Vacuum Systems' Name CHRISTENSON ELECTRIC, INC. Other CONTRACTOR Mailinq,�Address 11.1 5W COLUMBIA SUITE 480 TYPE OF WORK INVOLVED -COMMERCIAL ONLY (Prior to issuance a t / a e zin phone# Fee for each system.............................................. $40.00 copy of all licenses > .�r1D 97201 241-4812 (SEE OAR 918-260-260) are required If Oreon Contr.Brd Lic.# E:p Date axpired in C.O.T. 418 SI99 Check Type of Work Involved date base). Ekq gic%( ntr. Lic.# Exp.Date ❑ ii 10/O l Audio and Stereo Systems C.09Ty prAittro Lic.# Elxf. e `+ � Boiler Controls Owner's Name Clock Systems OWNER - Mailing Address APPLICANT ® Data Telecommunication Installation City/State Zip Phone# ❑ Fire Alarm Installation This permit is issued under OAE 918-320-370.This applicant agrees to ❑ make only restricted energy installations(100 volt amps or less)under this HVAC permit and to do the following: r, L.J Instrumentation 1. Only use electrical licensed persons to do installations where required. Certain residential and other transactions are exempt from licensing Intercom and Paging Systems These have asterisks('). All others need licensing; Landscape Irrigation Control' 2. Call for inspections when installation under this permit are ready for Inspection at 503-639.4175; E] Medical 3 Purchase separate permits for all installations that are not ready for an El Nurse Cells inspection when the inspector is out to inspect under this permit; 4 Assume responsibility for assuring that all corrections required by the ❑ Outdoor Landscape Lighting' inspector are done,and; ❑ Protective Signaling 5 Assume responsibility for calling for a final inspection when all of the corrections are completed. Other_ Permits are non-transferable and non-refundable and expire if work is not started within 180 days of issuance or it work is suspended for 180 days _Number of Systems The person signing for this permit must be the applicant or a person No licenses are required Licenses are required for all other Installations authorized to bind the applicant. — — - FEES LL`ar�''-' - <— �•=' ENTER FEES $ 40. _ Signature - 1/11/99 5"/SURCHARGE(.05 X TOTAL ABOVE) $_2 Authority if other than Applicant Total $ 42. i Asisvesele doc 7197 -- CITY OF TIGARD COMMUNITY DEVELOPMENT DEPARTMENT CERTIFICATE OF 13125 SW Hall Blvd.Tigard,Oregon 97223o8199 (503)630-4171 OCCUPANCY PERMIT #. . . . . . . : SUP96-0090 DATE ISSUED: 05/03/96 PARCEL: IS135AB--03400 ,�lTE ADDRESS...: 10260 SW GREENBURLJ RD #530 `-iUBDIVISION. . . . TOWN OF' METZGER ZONING:C-P BL-OCK. . . . . . . . . . L_0T.. . . . . . . . . . . . . : 14 ------------------------ 1_',LASS OF WORK. :ALT TYPE OF UISE. 'COM OCCUPANCY ORP. 61 OCCUPANCY LOAD: -T- I[ NAN T NAME. . . :STANDARD 1NSURPNCE Remarks: Tenant Mod - Standard Insu-ance (Jwnet-: MELVIN MARK BROKERAGE CO 10220 SW GREENBURG RD PORTLAND OR 97223 0 1 ,hone #: 452-5900 contractor: MP�LVIN MARK CONSTRUCTION 10220 SW GREENS URG RD SUI T1. #150 TIGARD OR 97223 #: 452-5900 Reg #. . -. 14721 This Certificate grants occupancy of the above t-efer-9,nced building or portion thereof and confirms that the building has been n ec. ed for, compliance with teen n s :'� the State of Or-gon Specialty Cudes for- the qr,o OCCUp ncy, and Use under, Occup whic--h the t-efei.,enced pevmit was issued. B U I L D I NG E_C_ 7-0 BUI OF—FICIAL POST' IN CONSPICUOUS PLACE ELECTRICAL PERM.11' CITY OF T I GARD pcRME S IT #- ELCOC -0141 DATISUE. D. COMMUNITY DEVELOPMENT DEPARTMENT 13125 SW Hall Blvd,Tigard,Oregon 97223*8199 (503)639.4171 :D '-W 6kL04bUF�- ZONING:c—P OF" METZGER L. T . . . . . . . . . . . . . . . . . . t M I'CELLANEOUS RESIDENTIAL UNIT EMP 01 amp. . . . 0 rUmp/1 R R I On" ION. . . . 7,'r- [.77: LE'-:,S, . . - SIGN/OUT LINE Ll*G- nl)Dl L 500SF- 0 201 -- 400 amp. . . . . . . 0 1101 6 Oo amp. . . . . . . . 0 SIGNAL/PANEL. . . . . . . c. ENCPOY. . . . . •. 41 0 Sol+amps - 1000 Volt <<. 0 MINOR LAPLL ( 10) . . . ..—DRANCH CIPCU'r— - amp. . . . . . . 0 W/SERVICE on rEEDER: 0 PEP INCr'rC ON. . . . I .t W/o SRVC OR I rcr i-iour. z 404 �,MP. . . . . . . Z' I N PLANT. . . . . . . . . . . CA ADD'I)D' L BnND4 CII- C: '2 00 LAMP. 0 r'LnN REVIEW SECT I ON, 600 VOLT NomjNrIL.. 2 0 4 RES UNIT... . . . . . . . . a fil P",volt. . . . . :1 t;. . . . . 'V(" nmrs. t b d z -TONM)RD 7,RM T T 00 CJS GP!:(:N3URL3 PD Mr-CT CJS 0 31 1 17 OR 1)7 1 77 T OT fl IL IfIc" M r, #48Z REGIUIRC,D A NO ST'ECTION"' wall C Q V t:I 1 ; 50 L41 ;J is issued subject to the relulitilr, ccnta;"' Y,LiCipal COdt, State r,f 01-e' "JV:'11ty Codes ,.rattle laws. All wc. lw,e done in a.-coi-dan: .,-owed plans. This pelxl, ,:1 fr�pire if wGrk is Nat sta-ted i* i�ork 3 --,.,ipendrd * days of issuance, z` rl.flEr INGTAI.A. '!LY -— t cal I a t i stn 1 5 maL;e 4,-11 p1'0p(r1 '. ' DATE. 7 Community Development ELECTRICAL PERMIT APPLICATION 13125 SW Hall Blvd Tigard, OR 97223 Permit Date Issued _— —Y Phone (503) 639-4171 CITY OF TIOARD FAX (503) 684-7297 1'DD No (503) 684-2772 Inspection (503) 639-4175 7. Job Address: 4. Complete Fee Schedule Below: Name of Development LINCOLN TOWER SUITE 53 J Number of Inspections per permit allowed Address 10260 SW GREENBURG RD Service induded Items Cost(ea) Suln City/State/ZiWIGARD OR 4a. Residential -per unit STANDARD INSURANCE 1000 sq. ft. or less $11000 4 Name (or name of business) Each additional 500 sq It or l --- portion thereof $2500 Commerciexx}�_J Residential ❑ LimltedEnergy $2500 l Each Monurd Home or Modular Dwelling Service or Feeder $6800 , 2a. Contractor installation only: ROSS CROSBY 4b. Services or Feeders Electrical Contractor CHRISTENSON ELECTRIC, INC. Inslellallon alteration,or relocation 200 amps or Tess 560 00 2 Address 111 SW COLUMBIA,SUITE 4.80 201 amp&to 400amr1 $8000 _ 2 City PORTLAND State OR Zip 97201-588 401 amps ro 600 nmr 1 -_ $12000 _ 2 601 amps to 1000 arras $18000 _ 2 Phone No. 241-4812 over 1000 smos or volts � $34000 — 2 Job NO. 222.-4399 Reconnect only $5000 _ _ 2 contractor's license NO._,–)AC 4c, Temporary Services or Feeders Contractor's tt RC / Installation,alteration,o,relocation Signature of UP 200 amps or less —-- –� 2 License No. Phone No. 201 amps to 400 amps $5000 _ 2 - X73 --- --moi-I- -- 401 amps to 600 amps $7500 Over 600 amps to 1000 volts $10000 - 2b. For owner installations: see°b"above Print Owner's Name4d. Branch Circuits New,alteration or extension per pane Address a)The fee for branch Cr rcults with purchase or service or laadale r a. City —_ _ State _ Zip_ _ _ Each branch cimult $500 Phone NL. _ b)The fee for branch tircults without The installation is being made on property I own which is purchase ofsorvlreorhaW►Ass. 2 First branch cal br �_ $3500 _ 35. not intended for sale, (ease or rent. Each additional branch circult � $5.00 Owner's Slgnatur3 4e. Miscellaneous (Service or feeder not included) 2 3. Plan Review section (if required): Each pump or Irrigation cycle -� $40 00 2 Each sign or outline lighting $40.00 Signal circult(s)nr a limited energy 2 Please check appropriate item and enter fee in section 5B. panel,alteration or extension $4o oo 4 or more residential units in erne structure Minor Labels(10) $10000 _Service and feeder 225 strips or more System over 600 volts nominal 4f Each additional inspection over Classified area or structure cont4ining special occupancy the allowable in any of the above as described In N.E C. Chapter 5 Per inspection __ s35 00 Per hour 555 00 In Plan( ---- 55500 Submit 2 sets of plans with application where airy of the above --- "� apply. Not required for temporary construction services. 5. Fees: 5a. Enter total of above fees 45. NOTICE 5% Surcharge (05 X total fees) $ —�-�5 PERMITS BECOME VOID IF WORK OR CONSTRUCTION Subtotal $ ---TT—.25 AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR IF 5b. Enter 25% of line A for CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR Plan Review if renuired (Sec 3) $ A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS LJ $ COMMENCED - r (__1 Trust Account # g _ Balance Due 47.25 mqm BUILDINCI PERMIT CITY OF T I CARD DATE PERMIT ISSUED:#. . . . . .0. /..27/9BLIP96-0090 26 COMMUNITY DEVELOPMENT DEPARTMENT 13125 SW Hall Blvd.Tigard,Oregon 9722398199 (503)639-4171 1-,A R C I::.L: 1S135AB-03400 SITE ADDRESS. . . . 10""60 f3W GREENDURG RD 453LA SUBDIVISION. . . . : TOWN Of.. METZGER Z0NING:C--P BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . : 14 REISSUE: EXTERIOR WALL CONSTRUCTION CLASS OF WORK. iALT FIRST. . . . . 0 sf N: Ss E: Wil TYPE OF USE. . . :COM SECOND— : 0 Sf PROTECT OPENINGS?----------- TYPE OF CONST. :2FR . . . . 0 ref Na S: E: Wil OCCUPANCY GRP,. .-B2 TOTAL--------: 0 5F ROOF CONST: FIRE RET? : OCCUPANCY LOAD: 0 BASEMENT. : 0 Sf AREA SEP. RATED: STOR. : 12 HT: 0 ft GARAGE. . . : 0 SF OCCU SEP. RATED: RSMT?: MEZZ?.- REW SETBACKS---- AU I R F V, ------------------ FLOOR LOAD. . . . : 0 ps-F LEFT: 0 ft RGHT.- 0 ft FIR 5PKL3Y SMOR, DET. . :Y DWELLING UNITS: 0 FRNTi 0 ft REAR: 0 ft FIR ALRM:Y HNDICP ACCxY BEDRMG: 0 BATHS: 0 IMP SURFACE: 0 PRO CORR:Y PARKING: 0 VALUE. $ -. 8275 Remarks: Tenant Mods Standard Insurance Owner. _.------------------------------------•------------- FEES ------------_.- ME:*LVIN MARK BROKERAGE CO type amount by date recpt 10a20 SW GRFENBURG RD PLCK 1; 48. 4,3 SON 02/27/96 96-276195 FIRE $ 29. 80 BON 02/27/96 96-276105 PORTLAND OR 97223 0 PRMT $ 74. 50 JSD 02/27/96 96-276366 Phone #: 452-5900 5PCT $ 3. 73 JSD 02/27/96 96-276366 Contractor: Mr--'LVIN MARK CONSTRUCTION 10220 SW GREENBURG RD SUITE #150 TIGARD OR 97223 ------------------ Phone #c 4521-5900 Reg #. . : 64721 --------- REQUIRED INSPECTIONS This permit is issuad subject to the regulations contained in the Framing Insp Tigard Municipal Code, State of Ore. Specialty Codes and all othm- Insulation Insp ible laws. All world wili be (1mne in accordance with Gyp Board Insp approved plans. This permit will Fypire if i4o0 is not started SLISP C'eilng Insp within 180, days of issuance, or if work is suspended for sore Final Inspecti,-n than 180 days. Permittee Signa ur e "a I s s ue d Call for inspect -ton 639-4175 Commercial Building Permit ApR ication .City of Tigard 93125 SW Hall Blvd, Tigard, CR 97223 \V (503) 639-4171 J��bsite Address: �r cst_i J"/;- 17�'f t 6- _ Office Use Only renant:,1 _ _ uite # _ Valuation: 4dr. OO Planck/Rec Permit Owner: ftilap & TL Address: � �c l �� Approvals Required y Planning Phone: -.0., Engineering _ Other Contractor: Address: T_ �� 'yj � �22,3 Type of const- J -- . � YWer Occupancy class- 2-_T Phone: .)"�� Spnnklered? �fes i No Contractor's License # 572_ (c!*:5ch copy of current Oregon license) Sq. ft. of project: Contact name & phon � /% �G y'�7 ,2� ��} Story (1st, 2nd, etc.) Proposed use Ae�tlf�int�!r! '� L�ILit/ . Address, Previous use.: ii (� ----- ✓(} c y Note: Plumbing & mechanical plans must be submitted at time of building permit application. P`7one L JOB DE=SCRIPTION: C/ pplicuDt Signature & Phone number 4L. Received b Date Received: C Permit ;* Account Description Amount Amt. Pd. Bal, Ca.. r Bldg. Permit (BUILD) Plumb. Permit (PLUMB) Mech. Permit (MECN) State Tax (TAX) Bldg: Plumb: Mech: Plan Check (PLANCK) Bldg: Plumb: Mech. y Sewer Connection (SWUSA) Sewer Inspection (SWINSP) Parks Dev Charge (PKSDC) Residential TIF (TIF-R) Mass Transit TIF (TIF-MT) Commercial TIF (TIF-C) _ y Industrial TIF (TIF-1) Institutional TIF (TIF.-IS) Office T!F (TIF-0) Water Quality (WQUAL) Wate; Quantity (WQUANT) Fire Life Safety (FLS) Eros;on Cntrl Permit (FRPRMT) Erosion P!anck/USA (ERPLAN) Erosion PlancklCOT (EROSN) TOTALS: �� P CITY'OF TI�� JIMP1W.,; ERMIT VIE-14IM11' NO . : PL11382387 RD COMMUNITY DEVELOPMENT DEPARTMENT 13125 S.W.Holl Blwd,P.O.Box 23397,Tigard.Oregon 97223,(503)639-41175 1:*,V1 M PM T N 13 0 a.3 6 6 101iii ADDPEY:i : 1,0260 !i,W I 0X MAP LCYY IF (I-I V I (JOP I I)ND 1 (:r1 No A), T*Y:I*I.)A'Y *I:(')N Wo'Tl::*P TP AP 61 I W 10I OW P`PVN*VA I I I IV I Ve P FI 3,T 1.1-11-4 1. A-1.110HIA1,01-4y THAV, PNTMEA ILK; !A.10WE"A 'UPAPS NC) '311)R.I*L:!:) 'I. WITMAAING, t1A(;H:r.NI:.*.' DIAK-1.L. (.JN.IA"5* I...r)l.)Nf.')I:IY II'MY (DIA 1:;r LOOP DPA114 1;0:N I< :1. SE.WEA4 (1::*"Y*) 1-11LAIT.14 1. !;i1*7X)PM/PAJ.N 0 $1-5 . 00 W N E iv.1.4 IU 3 . V*) O N T R J-009PJUW 1;0m.mvii 1: 1�:smy ],!r� A r.1 C T 1`11M)l' (,`503) M414-54100 () NO III 1 11111,9 .1N L.. NO . This permit is issued subject to the regulations contained in Title 14 ............................. of the TMC. State of Oregon Specialty Codes.zoning regulations 141:14H.14di.D INWDE:C.1'10114!a and all other applicable codes and ordinances, and it is hereby agreed that the work will be done in accordance with the plans and specifications and in compliance with all applicable codes and ordinances The issuance of this permit does not waive restrictive covenants Contractor and subcontractors shall have current city 1: 11,114 business lax permits Th!R pari-nit will expire and become null and void it work is not started within 180 days.or If work is suspended or abandoned for a period of 180 days any time after work has commenced. It shall be the responsibility of the permittee to assure all required inspections are requested and approved 1 14 -—7 P a � k— tt ee Signature Issued By J -L�S-d—L F-11-110 It-IN A4(2.--n-t y-!) SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE RD CITY OF T'VA ll CnYOFTWAO COMMUNITY DEVELOPMENT DEPARTMENT DATE 15SUED: 1.P. 22 ('10 13125 S.W.Hall Blvd-P,O,Box 23397,Tigard,Oregon 97223,1503)639AI75 1.1 P,r.M. 1:.,M N0 811:123E.'O 1014 1.0460 !!W AD S . 53 0 I IX MAP/1 01 SMil : L.I.NCOL.N "I'DWER F-:IT 11-1 L."T 8K : VALA $ 8s 1 11.Re SETUACKS 111:4ONT : PEAR : W(1111< GI (0. 1:11 G.,IAT ..,45 Al..TV-:I-likTA.('1N DWE 1. 1, 1,JNX 1-E IT I Y PI C PC.),At ND 1:-X*7' . W011-1 ("ONST : (all V1 1 1 1: 1. T T. HAP, NO . R ATI-IS N S P., W III ( All 14,11.1 L; 1, PRUT . 0r.:Ifr:NTN(..,5 N W 140 . S T f:1 PIT I:r S 1 P0(.)F CONUT : PEA-l' 1-11;:.J.C I T1, :1 1,0 A r A 5 r.,P A V4? 1140 P(Y'l i:0 P.:A S I-*,:M ENT'? NO (N-111 U F, , C.ir.:PAP"? N0 1:4 AT F. 1 140 1:)AF51%:M If If 1 L OAA 5 G A ril A 1: F* 1:PE S P A K L P7 YES (-I I Ar;IM7 I K30 Vr'lll- G10!:1 GORP,F Y 1: 11,011 1' 111AA, 111 1 Pl HAI':10) 141 '�)'All-- (:A: N0 . 11 0 111100 00 W N 1*1 AN PE-VAAK14 412(so . 00 E I I I: ETI 411.60 . 00 R I AX III R() 0 I IPMt-:N I' CHAP(*.-;Li . C 0 1 ILII IA IWI*l:.V*l '..114m) N I I lot 11`1( 1 1 ("00W f, T R I X, 17.N R I J 141 1 11 A1.11::,P*'.:P0JA.) < $8/10 . 00) T I' I II IME' ;:'10,5) F2 015---9 1 !I f 14.)1-4 OM NO 10 1 Al... 141- CL:J.VVYNO 1.0 7.:".1',10 This permit is Issued subject to the regulations contained in Title 14 ........••••_.......• of the TMC. State of Oregon Specialty Codes, zoning regulations Uld,A) I'N"iPI;;.*C I I 0NS and all other applicable codes and ordinances, and it is hereby PoMA W; agreed that the work will be done in accnrdance with the plans and specifications and in compliance with Ail applicable code:; and 114!,t H 6 1 .1(:)N ordinances The issuance of this permit does not waive restrictive *,;,I, Ii 10 6 V4 D covenants Contractor and subcontractors shall have currenl city busiress tax permits This permit will expire and become null and voi(I•it work is notstart3d within 180 days,or if work is suspended or al)andoned for a period of 180 days any time after work has commenced It shall be the responsibility of the permittee to Assure all required inspections are requested and approved. Permittee Signature ISFILled By !'+(*0 44 P'� SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE CIT'OF TI6AR* DI OREGON / December 22, 1988 Mr. Alan Elotchkiss Trammell.-Crow Company 1.0300 SW Greenburg Rd. Tigard, OR 97223 Project: Standard Insurance, BP 882386 Lincoln Tower, Suite 530 Dear Alan, Plans for this project have been reviewed for conformity with applicable codes and are approved, subject ,;o clacification of the following items: 1. Type of glass in Reli-tes "A". 2. Layout of corridor smoke detectors. 3. Changes or additions to the me,:han cal system. If. you have any questions, or if we may be of assiztance, contact us at any time. Sincerely, t-1-ilaqua Plans Exa►p>, er j1h 13125 SW Holl Blvd P O.Box 23397,Tigard,Oregon 472?3 (503)639-4171 --- -- `�----_- CONSOLIDATED FIRE AND RESCUE Washington Cotmy Flre District No.1 City of Beaverton Fire Departrnent ® � Tuafatln Fire District FIRE MARSHALS OFFICE (503) 526-2469 POSTED: OCCUPANT CONTRACTOR BLDG, PERMIT 0 PROJECT NAME �? PLAN REVIEW �d LOCATION ?• JURISDICTION: 1= Be. 2= Du, 3= K.C. 4= Ti. 5= Tu, 6= Sh, 7- Wi, 6= CC 9= WC 0= PIC COVER FIN,'L SPECIAL FOLLOW-UPIREINSPECTION ATTEMPTED FINAL ❑ Framing ❑ Separation Walls ❑ Sprinkler System ❑ Shaft ❑ Fire Dampers (Overhead/Underground) ❑ Alarm System ❑ Hood' E.:tng Systems ❑ Conference ❑ Spray Booth ❑ Ceiling Co\,ei ❑ Other A7 I w 1W Date: Inspector. 1_ CONSOLIDATED FIRE AND RESCUE maw Washington County Fire District No. 1 IANW City of Beaverton Fire Department Tualatin Fire District ?] FIRE MARSHALS OFFICE December 22, 1988 Allen Hotchkiss Trammell Crow Company 10300 S.W. Greenburg Rd. Tigard, Oregon 97223 RE: Standard Insurance Tenant Improvement Lincoln Tower 10260 S.W. Greenburg Rd. - Suite 530 Dear Allen: A fire and life safety plan review was conducted on the above captioned project for compliance with the 1985 editions of the Uniform Building Code (UAC), Uniform Mechanical Code (UMC), and the Unifo .m Fire Code (UFC) , as amended by Washington County Fire District No, 1's Ordinance 86-1. Pla..a approval is continuous upon the approval of total smoke detection coverage in the return atrium space of the building. Anal.yzation of detector location is still pending by this office and additional detectors may need to be added at a later date. 1. Exterior Exit Door: Hardware for the exterior doors and key olcrated deadlocks may be permitted where there is a sign posted on or over the door. reading, "THIS DOOR MUST REMAIN UNLOCKED DURING BUSINESS HOURS" in letters not less than ane-inch in height on a contrasting background. (UBC Sec. 3304) 2. Fire Extinguisher Requirements! Not less than one (1) approved fire extinguisher(s) with rating of not less than 2AlOB:C shall be provided for each 1 ,500 square feet of floor area or fraction thereof, The travel distance to an extinguisher from any portion of the building shall. not exceed 75 feet . (I1FC Standard 10-1) 3. Approved Plans on Job Site: One set of approved plans bearing the stamps of the Tigard Building Department and this office must be maintained on the project Site throughout all phases of construction and must be made available to building and fire inspectors for reference during required consrructicn inspections. (UBC Sec. 303) 4755 S.W Griffith Drive 0 P.C. Bo,, 4755 9 Beaverton, Oregon 97076 • (503) 526-2469 Allen Hotchkiss December 22, 1988 Page 2 If . Inspections Required: Inspection and approval of construction by a representative of this office is required: (a) prior to the cover of any new framing elements following the installation of all utility runs which will be concealed within wall and partition cavities; (b) upon completion of construction and prior to occupancy of the tenant space. (UBC Sec. 305) 5. Certificate of Occupancy Required: Prior to the use and occupancy of the project (space) , a certificate of occupancy or other written instrument of approval must be obtained from the City of Tigard Building Department. (UBC Sec.. 307) SPECIAL. NOTICE: DEVIATIONS FROM THE SUBMITTED AND HEREBY CONDITIONALLY APPROVED PLANS DURING THE COURSE OF CONSTRUCTION, EXCLUSIVE OF THOSE NECESSARY TO COMPLY WITH FIRE SAFETY REQUIREMENTS AS LISTED HEREIN, ARE PROHIBITF,D WITHOUT THE WRITTEN AUTHORIZATION OF THE WASHTNGTON COUNTY BUILDING DEPARTMENT AND THIS OFFICE. APPROVAL OF SUBMITTED PLANS TS NOT AN APPROVAL OF OMISSIONS OR OVERSIGHTS BY THTS OFFICE OR OF NON-COMPLIANCE WITH ANY APPLICABLE REGULATIONS OF LOCAL GOVERNMENT. If I can he of any further assistance to you, please feel free to contact. me at 526-2502. Sincerely, Gene Bi_rchill. Deputy Fire Marshal GB:kw cc: Tigard Building Department CITYOFTWARD OREGON December 22; 1988 Mr. Alan Hotchkiss Trammell-Crow Company 10300 SW Greenburg Rd. Tigard, OR 97223 Project: Standard Insurance, BP 882386 Lincoln Tower, Suite 530 Dear Alan, Plans for this project have been reviewed for conformity with applicable codes and are approved, subject to clarification of the following items: 1. 'Igoe of glass in Relites "A". 2. Layout of corridor smoke detectors. 3. Changes or additions to the mechanical systam. If you have any questions, or if we may be of assistance, contact Lis at any time. sincerely, Tim"J"_aqua /17 Plans Examler jlh 13125 SW Hall Blvd.,P.O.Box 23397,Tigard,Oregon 97223 (503)639-4171 I ' � �.� OWQa � d � ,�`�. ,� � � y�.•�� I ,may,. t]. r+ to A. o ►i ._] n, TG OA ll� rt 6'�•k t� as O r+ rd � •; ,e A m r+ a � F,. t C!� ! •, u w HA N ID}t �" b I-+ H N W co 1� A _zx`..:r. ..�•« Y•3'aT''•T.S...TTY"S"dT•• ,syr•%•"r.•S•e`•�•E•n.r�•✓L••:•cr �5.•L ee•rraxo-n �/�'.�3�i:� It _} +' �� p1 a t a r ►a Yp� tatiMe AIUM. , r-01 t•;+^' '�}'T$ '«�' f�s'..! �""Y!y",yiat"'�rE •�+':.l f r '�Z�'�.';y a t• jt�+✓ � - «.Y 'tom J^y'� :y[c•—..`o „wv��A` .t$.Q �. .sy t�`T�t�` CF �hT iY• .} r• -.0.per Vr �J' y"� �1�Zjyt'%• .4�}�y� ��J CITYO F T I G A R D _ ELECTRICAL PERMIT / \ PERMIT#: EI_C2002-00217 DEVELOPMENT SERVICE=S DATE ISSUED: 5/15/02 13125 SW Hall Bivu., Tigard, OR 97223 (503) 639-4171 PAR",EL: 1S135AB-03400 :SITE ADDRESS: 10260 SW GREENBURG RD 530 SUBDIVISION: LINCOLN TOWER-TOWN OF M'TZ,3ER ZONING: C-P BLOCK: LOT : 014 JURISDICTION: TIG Proiect Description: Installation of 1 branch circuit to re-locate one switch. RE:ADENTIAL UNIT TEMP SRVC/FEEDERS _ MISCELLANEOUS 1000 SF OR LESS: 0 :200 amp: PUMP/IRRIGATION: EACH AL)D'L 500SF: 201 - 4.00 amp: SIGN/OUT LINE LTG: LIMITEC ENERGY: 401 600 arno: SIGNAL/PANEL: MANF HM/:WC/FOR: 601+am;:,s - 1000 volts: MINOR LABEL (10): SER\oICEIFEEDER `— BRANCH CIRCUITS ___ _ ADD'L INSPECTIONS - 210 amp' W/SERVICEOR FEEDER: PER INSPECTION: 201 - 400 amp: 1st W/O SRVC UR FDR: 1 PER HOUR: 401 - 600 amp: EA ADD'L BRNCH CIRC: 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: E:OP LINCOLN, LLC CAPITOL. ELECTRIC CO INC 10260 SW GRE ENBURG RD ")L 'i0 NE AIRPORT WAY SUITE # 100 UNIT- 1 POR i LAND, OR 97223 PORTLAND, OR 97230 Phone: 892-2500 Phone: 255-9488 Reg #: LIC 048748 SUP 3132S ELE 26-496C _FEES _ — Required Inspections_ Type By Date Amount Receipt Wall C:)vr?r PRMT CTR 5/15/02 $46.85 2720020000( Elect'/ Final 5PCT CTR 515/02 $3.75 2720020000( -- -- Total $50.60 This Permit is issued subject to the regulat ons contained in toe Tigard 10unicipal 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 i1 work is not started within 180 days o1 issuanceor if work is suspended for more than 160 days ATTENTION Oregon law requires you to follow rules adopted by the Oregon Utility Notrfication Center Those rules are &,t forth in OAR 952-00 i-0010 through OAR 952-001-0060 You may obtain copies of the�p rules or direct questions to OUNC at(503) 246.6699 o,1 800.332-2344 Permit Signiture: Issued By: L) y L 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 ATE:- -CONTRACTOR INSTALLATION ONLY SIGNATURE (.F SUPR. ELEC'N: `_—C 1 i •_ ___________ DATE: t.I C E N S E N O: -- -- ---- —- ----- ---- Call 639.4175 by 7:00prn for an inspection the next business day n Electrical Permit Application plication PI Date rectived:A5:,/ %U! Permit no. Qty-a Id Prgject/appl.no: Expin.date: City of Tigar Date issued: lBv Rcccipt no.: —� CITY Of TIGARD kddress: 13125 SW IIALL DLVD,11GARD,OR 97223 Case file no.: Payment type: Phone: (503)639-4171 Fax(503)598_1960 I and use approval: 1.I a Y k)I- k.0A�Lj � )/ p 1 &2 fumily dewlling or accessory p Commercial/industrial p Multi-liomily Ij 'Tenant improvement New construction ❑ Other, ❑ Partial lot)address: 10260 SW Greenbur ('313. Tigard Ilildg.No.: 1,tiitc if 630 11 ax snap/tax Int/account no.: Lot: (Nock:N/A Sut)division: I'mjcct nanlc: Suite 630 IDescription and location of work on premises: Re-locate one switch I'stimated dale of completion/inspectiun: 6120/02 rB,,, 22-727 FeeNano Gapitol Electric Co., Inc. Description uo o•.+.t t„I:,I no.insp Address: 12810 NE Airport Way _ — "cn residential-single or multi-homily per City. NortIand State: OR /ll': 9720-1029 duelling unit. Includes attached garalte. Phone: 503-255-9488 Fox 255-9488 f-nnuildarre11ce dxCon) Service Included: CCB no.: 48748 IFIce.bus.ltt.no 26-496C 1000 fill,IB,or less $ tai,I•, •1 City metro lic.no.'. N/A P P, 0 de Bach additional 500 sq If or portion toereot b n m _5/6/02 Limited energy residential % 73 01) _ 2 Signmure of supervising elKtiician I:c pure(!) Ihnc Limited energy,non-resldeotial S 4500 Sup elect name(prim) Darrell McNeal License nu 3132-3 Varh rnanul'actured home or modular dwellini, Service and/or feeder _ s. Name(print): Services or feeders-installation, �Nliiiiiiig address: alterolion or relocation. ('ily: tilatc: BIP: 21)n amps or less I'hunc: Fax: F-mail 20I amps to 400 amps , Owner invifullalion: I'he installation is being made on property I own 401 amps to 600 amps S I6o.r,a which is not intended for sale,lease,rent,or exchange according to 601 amps to I ono amps S 24060 2 ORS 447.495.479,670,701. liver Ilton turps or volts S 454 69 21 Dinner's signature: Date: Reconnect only oo.Ss 1 Temporary services or feeders- Name: In irallallon,alterations,or telorattoo: Address: 200 amps or less _ x Cily: Sttrtc: /Ir I' 201 amps to 4M amps V s tao 30 Phone: �_--FF-ox: 1 -111,111 .101 limpf to 600amp, .A 133.73 Broach circuits-ness,alteration, ❑Service over 22'amps commercial ❑Ileallh-cine racliit% or e%fensloo per panel: ❑Service ovet 32o nods-rating of 1&2 p Ilnzardous location \ Fee fiat branch circuits is ith purchase of family dwellh:+., O nuilding over 10,000square a hon o1 service or feeder Ice,each branch circuit 5 s ❑Systen ....'+at vlts nominal more residential units in one structure If Fee for branch circuils willima purchase "•rldhu,-,r three stories ❑Feeders,400 ramps m more ul service or feeder fee,first brnnco circuit 1 y 46 R3 4n R5 occur ort load ovtr 99 persons (]Manufactures snachaes or RV Park I ach additional branch circuit v h M ❑i.grrWighting,,lnn ❑tither (Misr.(Service or freder not included): Submit sets of plans%Ith any of the above. Each pump or irrigation circle S 33.40 2 he above are not applicable to temporary construction service. trach sign or outline lighting S j3.40 2 Sigurd circuit(s)or a limited epergy panel, alletation,or extension* $ 75 ae 2 •Description —— I ach additional inspect ionover th allowable in any of the above Pet inspection F -EE_- Investigntion Im l)they I I V Isa I] MasterCard Permit fee.... . .. s 46.85 Notice:this permit application Plan review expires If a permit Is not obtained State Surcharge H" 5 3.75 Nome ar cat holder m shown nn credit cud w(ihing 180 days after it has been •h(1'fAll.............. 50.60 aLcepte-d as complete CITY OF TIGARD 24-Hour BUILDING Ins,:Qction Line: (503)639-4175 MST --- -- INSPECTION DIVISION Businc%s Line: (503)639-4171 BUP Received - __ _.Date Requested_ ''�,�,�'�,� AM----PM----' -�� BUP Location -_ �' -�� ?�e%rl.K. ''Zsr - .Suite—_ --- MEC — -- Contact Person _ Pi ) _ PLM Contractor Ph(_ —) s� �� SWR BUILDING TenanYOwner __. --__-_� ELC Footing ELC _ Foundation Access: — Fig Drain ELR Crawl Drain Slab � Inspection Notes: SIT Post& Beam _ Shear Anchor,, Ext Sheath/Shear — Int Sheath/Shear Framing - - — ----- - _—J-- -- -- iInsulation Drywall Nailing - Firewall Fire Sprinkler - - — -- ^'-- -- Fire Alarm SuspA Ceiling --- - - Roof Other: Final _ PASS PART FAIL - _ _--_ _ ------- --- ----- ----- 'PLUMBINGI - — -- --- Post 8 p,)arn -- -Under Slab - - -- -- — _-- Pough-In Water Service - - - - - ---- - - -- Sanitary Sewer Bain Drains -- --- - — - --- - - Catch Basin/Manhole Storm Drain - - - -- - - --- - - -- ----- Shower Pan Other: Final rlkSS PART FAIL MECHl1NICAL -- Post$ Beam Rough-In - - — -- --- Gas Line Smoke Dampers Final PASS PAF( FAIL- Service AILService Rough-In - UG/Slab I-ow Voltage Fire Alarm -inal n Reinspection fee of$-_____ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. c PART FAIL _ 5IT Phase call for reinspection RE:- Ll Unable to inspect-no access - ---- Fire Supply Line ADA Approach/Sidewalk Clete �3-��-u- Inspector Other: Final Del NOT REMOVE this Inspection record from the job site. PASS PART FAIL_ CITY OF TICAR© 24-Hour BUILDING Inspection Line: (503; 639-4175 MST INSPECTION DIVISION Business Line: (503)639-4171 _ BLIP ----- Received . _- Date Requested_ .__lL�ry.�_ AM PM __. BLIP _ - i✓ Location / 0 �— Suite____._ ( � MEC Contact Pe71�i. t__ _ Ph _ 6 PLM Contractor �' SWR `BUILDING _ Tenant/Owner _ �'✓�'�'l�'��'�-�- - ELC F- Mina ELC Foundation Ftl;a Drain ELR Grawl Drain t1i Slab Inspection Notes: SIT _.F(f�rh Post& Beam -- _ -.---- . 06i C f �n c' c7cr tri Shear Anchors - Ext Sheath/Shear - Int Sheath/Shear .266- -33, craming - - - - - - --- - -- Insulation Drywall Nailing - - --- — -- Firewall Fire Sorinkler -- - ---- --" Fire Alarm Sur;p'd Ceiling -- Roof otter: ------ Final PASS_ PART FAiL. -- PLUMBING --- Pont&Beam Under Slab - -- - - -- -- --- - Rough-In Walar Service - - -- - Sanitary Sewer Rain Drains - Catch Basin/Manhnie Storm Drain - Shower Pan Other: - Final _. --- PASS PART FAIL MECHANICAL - Post&Beam - -^ Rough-In - Gas Line Smoke Dampers - Final PASS PART FAIL - - - -- ELECTRICAL Service Rough-In UQ/Slab -~- Low V,)Itage Fir larm Reinspection fee of$__ _required before next inspection. Pay at City Hall, 13125 SW Hall Blvd PART FAIL INE- Please call for reinsprlction qE:—.___._.-_..__ __ ___ Unable to Inspect-no access fire Supply Line AD; Daft Approach/SidewalkQ " O ensttectoe Other- Final therFinal DO NOT REMOVE this inspection recoitd from the job site. PASS PART FAIL ,/�, CITY OF TIGARD MECHANIrAL DEVELOPMENT SERVICES PERMIT 13125 SW Hall Blvd,, Tigard,OR 97,123(503)639-4171 PE'RMTT #. . . . . . . . DOTE ISS'IJED: 01/14/99 PnRCEL-.- 1613F-AB-03400 , Tr ODDRESS. . . : 10260 G)W GRE ENDURG RD #530 IBDIVISION. . . . : LINCOLN TOWER- TOWN OF METZGEI ZONING. C P !jr7,v. . . . . . . . . . : LOT. . . . . . . . . . . . . .�014 JURISI)ICTint\i: i-I o ' ASS OF WORT',. . GALT FLOOR FURN. . . . : 0 EVAP COOLERS: ,'PF OF USE. . . . :(.;OM UNIT HEnTERS. . - 0 VENT FANS— : 0 .CUPANCY GRP. . :B VENTS 14/0 OPPL: 0 VENT SYSTEMS: 0 "ORIES. . . . . . . . : 0 BOTt-ERS/CoMPRESSORS HOODS. . . . . . . : LA 1E1. TYPOS) 0-2 lip. . . . : 1, DOMES. INCIN: 0 3-15 HP. . . . - Vt COMML. INCIN: 0 X INPUT: 0 STU 15- ".0 HF'. . . . . 0 RF.r:,AfR UNITS: 0 - RE Dn11V,FRr,9. . : Y 3171-50 HP . . . : 0 WOODS)TOVFS. . : 0 IS PRESSURE. . . : 90+ 1 1P. . . . : 0 CLO DRYERS. . : 0 'I. OF AIR HANDLING UNITS OTHER UNITS. : 5 !RN ( tOOK PTU- 1 10000 cfm : 0 GAS OUTLETS. : 0 JRN ) . 121V, PTU. 0 > 10000 rfm : 0 Pomarks - DP Applications Inc - TI Install fire dampers and one split system FEES IrRIS K"Oriq & q, I mpsm type amol.tnt by date v-ecpt '3100 3W GREENSURS RD PRMT 44. 50 JSV 01/14/9-9 09- 312205 I I TF 200 Dl. CK is 11.. 1.3 JSD 0t/t4/99 )RTL A(JD OR 972123 5PCT $ 2. 23 JSD 01/14/99 IRTH PACIFIC HEATING rIF DL11-IS) RD t 57. 86 TE)Tnl,- "J'ACADA OR 9701.3 ,one #.- #. 000r.37 RFr?11IRF7D INSPECTIONS) )Prait is issued subject to the regulations contained in the MerFianic-al Tnsp Municipal Cpdp, State of Ore. Specialty Codes and all other I.)i1vt TrIspnrtion appli^ablp laws, All work will be done in accordance with Fire Damper Insp approved plans. This permit will expire if work is not started Final Tnsppct ion within 180 days of issuance, or if work is suspended for more !Ian 180 days, ATTENTION: Dregan law requires you to follow rules PdDpted by the Oregon Utility Notification Cen't-er. These rules are ,et forth in DAR through OAR 952-W-NSO. You lay obtain copies of the!p rules or direct questions to OLNE by calling -Ue+ Permittee Si gnat mrp 1 + -1-4-+4-4-++4+4-4--4--+4 4-+-4 ++4++++++s-++++++4............4............................. day Call r,39 It 179 by 7:00 p. m. For I, * ppc,t i c)n s rif.eded ttir ii P,4t- hl..k s i n P S s d8 ++4 +++++++-4-4 1 +4 +-1--+,++4+4 +4-4 4�-+..+i•+++++++4+++4+++++++++++-F+4-++++ 1-+-+++4. 1 4-4-4 +++4-++ Plan Check#D CITY OF TIGARD Mechanical Permit Application Recd By`-'� 13125 SW HALL BLVD. Commercial and Residential DateRec'd ri/ ^ TIGARD, OR 97223 Date to P.E. (503) 639-4171, x304 Date to Qsr - Print or Type Permit# 0 t C i- `�{ Incomplete or illegible applications will not be accepted Called Na of Development/Project , Description t Table 1A Mechanical Code Qt Price Amt Job Street A dress qpT SuneA A Permit Fee 1) Furnat;e to 100.000 BTU / Address ', including ducts&vents r 6.00 G Bog# nylStatedj�Af zip 2) Furnace 100,000 BTU+ t including ducts&vents _ 7.5C Name(or name of business 3) Floor Furnace Owner includingvent_ _ 600 _ a inq A ares - 4) Suspended heater,wall heater or floor mounted heater 6.00 r - - 5) Vent not included in appliance permit /Slats 71p Phone LA _ 3.0_0 7�1 , �Lt CHECK ALL 'Boiler Heat Air — Name(nr name of uslnedss' THl1T APPLY: or Pump Cond Qty Price Amt _ Comp � 6)<3HP;absorb unit to Occupant Mailing Addres 100K BTU — I 6A0 7)3.15 HP;absurb unit C 1SIo c ZIP hone �y 100k to 500k 14TU _ 11.00 _ i 8)15-30 HP;absorb _ .h unit.5-1 mii BTU 15.00 Contractor afTie 9)30-50 HP;absoro unit 1-1.75 mil BTU 2.2.50 Prior to permit al ng Ad ;es 10)>50HP,absorb unit issuance,a copy _yam , _ >1.75 mil BTU 37.50 of all licenses city/ ata .tp Phone 11)Air handling unit to 10,000 CFM are required if 3 4,50 expired in COT Oregon Const A oars a Exp.Data ~12)Air handling unit 10.000 CFM+ database _ - - _ — __ 7.50 Architect ma > 13)Non-portable evaporate cooler or 4 � ) —_—_ -- 4.50 alngddress 14)Vent fan connected to a single dud 3.00 C _ 15)Ventilation system not Included in ny/state zip one Mance ermit 4.50 Engineer �'Pp _� _ _ 16)Hood served by mechanical exhau!t 4.50 Qescrioe work to tx one: % — - 17)Domestic incinerators New O Repair O Replace with like kind Yes O No O „__ — 7.50 Residential O Commer-ial 18)Commercial or industrial type incinerator _ 30.00 Additional irlf4jirnation or des&„tion of wo ; ^� 19)Repair units 20)Wood stove 4.50 4.50 _ 21)Clothes dryer,etc. 4,50 Type --- Type of fuel oll O natural gas O LPG O electric o 22)Other units rr r7_ _4_,50 2� r I hereby acknowledye that I have read this application,that the information 23)Gas piping cine to four outlets —� given is correct,that I am the owner or authorized agent of --- _ _ _ 2 00 the owner,that plans submitted are in sc.;pliance with Oregon State laws 24)More than 4-per outlet(each) _ Signature of Owner/Agent Date V— w SUBTOTAL Minimum Permit Fee$25.00 /pry _ _ z� 5%SURCHARGE Contact erson-Name —Phone • PLAN(REVIEW 25%OF SUBTOTAL / �7 Required for ALL commercial nnits onl 7 / — q ir------ —. TOT iL .� i zaf 'State Contractor Boiler Certification required "Residential AjC requires site plan showing placement of unit r t Vnechperm.loc rev 07/20/98 Y i J Sw t+1 � r I v� � Li Li 171 an0 _ .1 ../1 :+�1 �~ i.....: ti..'r It Ll1 L I ' -- y f• \w � ,'^. ..� � �.,.j.cv. � �••-. � ,.�! ..mat I'� , .._ _ .. _1 R _ ..I 200 IPORTLAN.' . 3 - _14% 1 �� NORRia x vl I \� I I � - I \ I I I I Lf cq a - � I \ L L J Cr 9 LJ h J r .11 � `v � i�ZJ� II 100♦- - - - \. r - - -- DLO I I r - -I I CITYOF T I G A R D MECHANICAL PERMIT DEVELOPMENT SERVICES PERMIT#: MEC2003-00735 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 12!30/03 PARCEL: 1 S 135AB-01003 SITE ADDRESS: 10300 SW GREENBURG RD 530 SUBDIVISION: LINCOLN ONE/RED LOBSTER/CASA L ZONING: C-P BLOCK: LOT: JURISDICTION: TIG CLASS OF WORK: ALT — FLOOR FURN: EVAP COOLERS: TYPE OF [ISE: CnM UNIT HEATERS: VENT FANS: OCCUPANCY GRP: B VENTS W/O APPL: VENT SYSTEMS: STORIES: _ BOILERS/COMPRESSORS HOODS: _ FUEL_ TYPES _ �p0 - 3 HP: DOMES. INCIN. 3 - 15 HP: COMML. INCIN: MAX INPUT: BTU 15 - 30 HP: REPAIR UNITS: FIRE DAMPERS?: 30 - 50 HP: WOODSTOVES: GAS PRESSURE: 50 + HP: CLO DRYERS: FURN < 100K BTU: _AIR HANDLING UNITS OTHER UNITS: FURN >=100K BTU: <= 1'6 6 0-0 cfm: GAS OUTLETS: > 10000 cfm: Remarks: ItdOCatc Wmr phrumatic thermostat, helocate of nr« SA and R/A ducts or grilles as shown. Value: `b I sO(,nu Owner_: FEES EOP LINCOLN, LLC Description Date Amount 10260 ,3W GREENBURG RD IMEC'iII 11rr11111 I rr 12/30103 $72.50 SUITE 100 PORTLAND OR 97223 I rnxI ~talc 12/30/03 $5.80 Total $78.30 Phone: --- —'— —"----�- Contractor: MCKINSTRY CO 5400 NF COLUMBIA BLVD PORTLAND. OR 97218 REQUIRED INSPECTIONS Gas Line Insp Phone: 331-0234 Duct Inspection Reg #: LIC 40981 Final Inspection This permit is issued subject to the regulatiors contained in the Tigard Municipal Code, State of Ore Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days Of issuance, or if work is suspended for more than 180 days. ATTENTION. Oregon law requires you to follow rules adopted in the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0100 You may obtain copies of these rules or direct questions to OUNC by calling (503)246-669 i ) A Issued By: x1 1 l Permittee Signature:�� Call (503) 639-4175 uy 7:00 P.M. for inspections needed the next business day Mechanical Permit Application l�e1e1,edI Nlechanical � Date By 1 ) hermit No &-c I J (f<'/y �6 Its Of It'al'(1 Planning Approval Building t, Date'l3v I utt:it No t 12> SW I]all Blvd. Plan Re%.ea Other zard,Oregon 97223 Date tip Permit Nil I'hone: 503-639-4171 Fax: 503-598-1960 Date evtess Land Use DI$' (ase Nn Internet: w,w'w•ci.tigard.or.us Contact runs. See hake 2 for 24-hour Inspection Request: 503-639-4175 Name Method Su lemental Information. TYPE OF WORK COMMERCIAL FEE*SCHEDULE-USE CHECKLI:;T Nevi'construction Demolition Mechanical permit fees*are based on the total value of the work Addition/alleration/re lacement Other: performed. Irlicate the value(rounded to the nearest dollar)of all �H CATEGORY OF CONSTRUCTIONmechanical materials,equipment,labor,overhead and profit. 1 & 2-Family dwelling Commercial/Indtl;trial Value: S__ � 8�� 4O See Page 2 for Fee Schedule Accesso Buildin Multi-Family RERIDENTIAL EQUIPMENT/SYSTEMS FEE*SCHEDULE --- Description tv Total Master Builder Other: Heatint/_C_oolin Feeea. J013 SITE INFORMATION and LOCATION Furnace-add-on air conditioning** 1 14.00 Job site address: 10300 GVQ CxXtMA&F_RCa. RD. Gas heat pump 14.00 Suite #: 530 i Bld ./A t.#: L%tACDLW -i Duct work 14.00 Project Name: PRlig-'WAL r-wAbQ(:JA L CaRAUP Hvdromc hot water system 14.00 Residential boiler Cross strect'Directions to job site: (for radiator or hvr+ronic s ystcm) 14.00 Unit heaters(fuer,not electric) in wall,in-duct,suspended,etc.) 14.00 Flue,%ent(for any of above_) _ 10.00 Subdivision: Lot#: Rear units 12.15 _ Other Fuel Appliances _ Tax map/parcel #: Water heater _ 10.00 DESCRIPTION OF WORK Gas fireplace 10.00 TQr_t_o,__T& wr— PhluAmA,'f't C 7L1r"Q5,TAT. Flue vent(water heater gas fire lace) 10.00 RsLa"TC cm wttivi til/p, ANV R!(4 -Log li hter(gas) 10.00 Wood/Pellet Move 10.(10 Dkc.TS Ajttp (a IL Gmlti W& &z SUOWtJ. ` Wood flteplaceJinsert10.00 Chimn:v hneNflue/vent 10.00 PROPERTY OWNER —TENANT Other: _I O.Oi1 Name: (�U IZ p 'j(g t?RCIpERTI'CiS Environmental Exhaust&Ventilation Range hood)other kitchen equipment I O.00 Address:pNE eAwMIRIA ST. - SUITG 300 Clothes dryer exhaust l0 n0 city/State/Zip: Vattru►ND C1R. g1ZtEi Single ductexhaust Phone: Fax: (bathrooms,toilet compartments, APPLICANT CUNTAC'P PERSON unlit rooms) 6.80 Name: GAt2L SALS Llam__ _ Attic,crawl space fans w.00 othf, 1().00 Address: 54ob as CowMbin swo . Fuel Piping Cit /State'Zip:MRTLAWD Qht Q17—I8 **($5.40 for nrst 4.$1.00 each additional 5 �0?34 i Fax:Spa 33\�b(, Fum�ce.etc. Phone: Gas heatum '• E-mail: EARLSQ NCKILIST[2 . LGM Wall sus ended'unit heatei CONTRACTOR _ Water heater Business Name: Ke.164 TR4 Cp. Fireplace •' Address: 5400 MrL CdwM61A ML\i 0. Range " Cit /State%Zi : FORTLANO- OR 91 V6 Hn +� , p Clothes dryer(gas) Pho1.z: SU3 33102344---j Far.: 05 RN 4090to Other: •• CCB Llc. #: 1119 Total: Mechanical Permit Fen" Authonz.ed j'+ Subtotal: S Signature: �.Q�y�� ,(�� Date Minimum Permit Fee S72.50 S Plan Review Fee(25''.of Permit Fee) S (Please print nahte) V State Surcharge(V° of Pemut Fee) S O' TOTAL PERMIT FEE S Notice: This permit application expires If n permit Is not ohmined within *Fee methodoloq� wet by Tri-Counts Buildlna Industry Service Board 180 days after It has been accepted as complete. `•Site plan required for exterior:VC units. i'bsts'Pennit Form'WcPernutApp doc 0l 01 SEE 35M1\,4 ROLL# 23 FOR LARGE DOCUM- E-,NT CITY OF TIGARD 24-Hour BUILDING Inspection Line: (503) 639-4175 INSPECTION DIVISION Business Line: (503)639-4171 BLIP Received ,—_ Date Requested AM _._ PM BLIP - Location �� Do � 1 SuiteMEC Contact Person _ A(—) PLM Contractor Ph( ) �o�-�(-3�-��-- SWR - --- - BUILDING — Tenant/Owner E L C ` 6-7 3� Footing ELC Foundation _.—. Access: Fig Drain ELR Crawl Drain -- Slab I-ispection Notes. SIT Post&Beam Shear Anchors - - Ext Sheath/Shear Int Sheath/Shear Framing --- !nsulation Drywall Nailing - Firewall Fire Sprinkler --- — -_-- - - - Fire Alarm Susp'd Ceiling — -------- (----- Roof - Other: Final PASS PART FAIL PLUMBING Post& Beam ----- --- Under Slab --- ---- - - Rough-In Water Service -- Sanitary Sewer Rain Drains Catch Basin i Manhole Storm Drain Shower Pan Other: ---- - -- FinalPASS PART_PART FAIL - -- -- ------ -- -- - --- --. _ - - ------ - MECHANICAL -Post&Beam -- --- Rough-In Gas Line Smoke Dampers -- ------ Final PASS FAIL ELC AL ice Rough-In U1/Slab / Low Voltage L_=f-,� ,., 3 . — u c/v o ` #_All&, arm Reinspection fee of$ required before rext inspection. Pay at City Hall, 11125 SW Hall Blvd. PART FAIL gI _ Please call for reinspection RE.- Unable to Inspect-no access Fire Supply Line it ADA Dae/ �x c_; Inspector /'`'�` ' ' � - <' Approach/Sidewalk Itor Ext ---- Other: Final — DO NOT REMOVE this Inspection record fforn the fob site. PA811 PART FAIL CITY OF TIGARD 24-Hour BUIL u!NG Inspection Line: (503) 639-4175 MSS INSP OTION DIVISION Business Line: (503)639-4171 ` eyo BUP -- - -- Received . Date Request d AAI ---__.._-__ PM ?�''` BLIP -Location �Q 3 -• ^� -- - --Suite_-AIR tIIEc G --- Contact Person - Ph ) _ - !, a PLM ---__ - --__ Contractor _ _ Ph( ) _ -------_ --..- SWR -_ BUILDING Tenant/Owner _ ELC Footing FLC — Foundation Access: - Ftg Drain ELIR DO U Crawl Drain Slab Inspection Notes: SIT -_ Post& Beam Shear Anchors -_-- Ext Sheath/Shear Int Sheath/Shear Framing - - Insulation Drywall Nalling - Firewall Fire Sprinkler -- - - - - Fire Alarm Susp'd Ceiling - - -- Roof --77ZFinal ASS PART FAIL - - - PLUMBING Post&Beam Under Slab Rough-In 'Vater Service - -- --- -- Sanitary Sewer Rain Drains Catch Basin/Manhole Storrr Drain - Shower Pan _ - her: - Final PASS PART FAIL MECHANICAL Post&Beam Rough-In - - --- -- - - - -- - Gas Line Smoke Dampers -- ---------- ------ Final PASS PART FAIL - -- ELECTRICAL UG ow o dpe -- ire arm PARI FAIL El Reinspection fee of$ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. $ -1 r'lease call for reinspection RF u Unable to inspect-no acce;;s Fire Supply Line �J Approach/Sidewalk / P� , ` ~ ADA Date '1 Ins for _ __.,__-- ___� - --_-__ - East Other: Final DO NOT REMOVE this insrnctlon record from the Job site, PASS PART FAIL CITY OF TIGARD ELECTRICAL ENER - RESTRICTED ENERGY DEVELOPMENT JERViCEFS � PERMIT#: ELR2004-00002 13125 SW Hall Blvd., T'Q ,rd, OR 97223 (503) 639-41 11 DATE ISSUED: 1/5/04 SITE ADDRESS: 16300 SW GREEWURG RD 530 PARCEL: 1S135AB-01003 SUBDIVISION: LINCOLN ONE/REU LOBSTER/CASA L ZONING: C-P BLOCK: LOT: JURISDICTION: TIG Proiect Description: Installation of limited energy for voice/data. Job No. 104094-10435 A.RESIDENTIAL _ _ B.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: HVAC: PROTECTIVE SIGNAL: INSTRUMENTATION: OTHER: TOTAL.#OF SYSTEMS: Owner: Contractor: EOP LINCOLN, LLC DYNALECTRIC 10260 SW GREENBURG RD 2904 SW FIRST AVE. SUITE 100 PORTLAND, OR 97201 PORTLAND OR 97223 Phone: Phone: 5ii3-��r,-h771 Reg #: A11� I (10002545 I k OW093 tit 11 4817S FEES I'.LI: kbq�*k d Inspections Description Date Amount Low Voltage Inspection �I I.I'It�11 I I�I.R Permit 1/5/04 $75.00 Elect'I i inal 1 1XI x""Stale Surrharl 1/5/04 $6.00 Total $81.00 This Permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance,or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to Follow rules adopted by thQ Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 thrauc Issued by iv Ll l .�f��t_f/�1�/ _ Permittee Signature OWNER INSTALLATION ONLY _ The installation is being made on property I own which is not intended for sale, lease, or rent. OWNER'S SIGNATURE: DATE: CONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR. ELEC'N DATE: LICENSE NO: Call 639-4175 by 7:00 P.M. for an inspection needed the next business day JAN 05 2004 3: 31PM DYNALECTRIC 503 226 7720 P. 2 Electrical Permit Application Catcroceivcd:/ f; j^r Permit no.;RECH City of Tigard Projectiappl.no.: Expiredste: (try ofTigard Address: 13125 SW Hall Blvd,Tif �d{11 q7 Phone: (503) 639-4171 50 4�'T �ff 1' Unteiesued: By_, ( Rtxeiptno_: Fax: (503)598-1960 CI'T'Y OF TIQARD Case file no.: Payment type: Land use approval: TVIIEMPERNIH U ' &2 family dwelling or acex:ssuiy ❑Commercial/industrial U Mulri-family U Tenant impmvernent U New construction U Addition/alteration/roplacement ❑Other. U Pallial Job address,fZ300 ongf ,' jl ldg.no.: Suite no.:Mgut ax mapitax lot./account no.: Lot: lock: Subdivision: _ /,.,, "--- '- _r C"name: ' Description and location of work on raises: / r-wimated datr of cora letion/in coon: 4 -y -z�) - =B's F'ee Ikrcripilon _�Y. - '[Ohl 10.W Nen rn[Mi lal-single or multi-farngy per Address dwelling unit.hxint!"utnuircd prrrage. City: State: TIP: 5'7aD/ _ �n�� Phutle:,::�(e-& ax' F--mall: 1000 sq,ft.or las 4 Each additionnt 500 sq ft. pnnlon thereof CCI.no; Elco_bus.tic.no: - - or ---- _�indtexlenergy,reaiJontid 2 City'/metro lit;.no.: �� < Limited energy,non-residentid_ – 2 FAchmanufactured homeormodulardwelling Signature supervhin eleclrician(requited) Date Serviesand/orfeeder _ 2 Servkesor eeders–Inatailation, Sup,olect.name(print): a Licensena /� altetatsonorrelocation: i U t 100 amps or lava 2 Nartie(print): 201 amps to 400 amps 2 Mailing address: 401 amps to 60D amps 2 bot em�a to 1000 ar .a 2 (:i –` tJvcr 1000 sopa ur volts — 2 Phone: Fax: 13mail: Remnnect only 1 Owner installation:The installation is heing made on property l own Tem porwryservices orfeedem- which is not intended for sale,lease,rent,or exchange according to Inrtallatlon,dtr-atlon,errelontton: OM 447,455,479,670,70 1. 200 amps ur less 2201�unps to 400 amps -- -2 Owner's sl nature: Ihtte: T 401 to 600 amps z eranchdreul(s new,sibetation, or extestrlon per panel: Narne: A. Fee for branch circuits wit;purchase of Address: service or feeder fee,rich branch circuit 2 City _ State _ Z1P' B. Fee for branch circuits without purchase of<rrvice car feeder fx,first brnncit cimuit: Phone; 11 u� P-mail: FachaddiUonalbtuichcircuit Misc.(Senive or feeder cot Included): U Service true 225 ampR-eommarcid ❑Health-care facwty Bach um or irrigation chile _ 2 O Scivice over 320 amps-rating of 1612 U Hwrdouslocrtion Fach ciao or outing lighting 2 family dwellioga ❑Building over 10,000 square feet four or Signal circult(s)or a limited energy panel. 0 3yglanover 600 volts nominal more residents]unitsin one structure alteration,or extension' 2 U Building over twee clones Q Pnsdcr-.400 amps or more •De don:, •Occuranr land over 99 persona Q Marrdavtured structures or RV park Each a4ditionat Impedlon oyer the adlowsble ti soy of lite strove: U Filresa/lighturgplan J Other ------_,.—_--- Per impaction Sahtnit___seta nl plans with any of the above, lhvesti`adon fee _ 31he dove are not applicable to temporary conrtructlon sextice. Hot tit)udsdtctlam ecce r credl ,pin a eat Juddl&lim re.rn.to Irrftttnutlee. Notice:this permit application Pentdt fee.....................s vise Q expires if a permit Is not obtained Plan:rview(at _, %) $ L cre�tr�rd nu within 190 days aflr•?*has been State surLhazge.(8%)....$ j ( �-.-- puOr atccepted as cwmple r TnTA L ......................•3 N.me I r u aMn a relit e.n.l �l� _ _ t vA r. Am�nt 4404615(NOJ.COL) C ITE' C F T'I A R D BUILDING PERMIT DEVELOPMENT SERMES PERMIT #. . . . . . . : BUP98-04714 13125 SW Hall Blvd., Tigard,OR 97223(503)639-4171 DATE ISSUED: 11 /04/98 PARCEL: IS J -35JAB-03400 SITE ADDRESS— : 10260 SW GREENBURG RD #530 SUBDIVISION. . . . : LINCOLN TOWER-TO14N OF METZGER ZONING:C--P BLOCK. . . . . . . . . . : LOT. . . . . . . . . . . . . :014 JURISDICTION:TIG ------------------------------------------------------------------------------------ REISSUEn FLOOR AREAS------------ EXTERIOR WALL CONSTRUCTION- CLASS OF WORK. :ALT FIRST. . . . - 0 sf N: S: E: W: TYPE OF USE. . . :COM SECOND. . . : 0 sf PROTECT OPENINGS?------------ TYPE OF CONST. :2FR . . . . 5247; sf N: S: E: W: OCCUPANCY GRP. :B TOTAL--------: 52413, sf ROOF CONST: FIRE RETI : OCCUPANCY LOAD: 28 BASEMENT. - 0 sf AREA SEP. RATED: SYOR. : 0 HT: 0 ft GARAGE— : 0 sf OCCU SEP. RATED:2HR BSPI.T?: MEZZ?: REQ.1d SETBACKS--------- REQUIRED--------------_-_.____ FLOOR EQUIRED---------------- FLOOR LOAD. . . . : 0 psf LEFT: 0 ft RGHT: 0 ft FIR SPKL:Y SMOK DET. . : DWELLING UNITS: 0 FRNT: 0 ft REAR: 0 ft FIR ALRM: HNDICP ACC:Y BEDRMS: 0 BATHS: 0 IMP SURFACE: 0 PRO CARR: PARKING: 0 VALUE. $ : 67500 Remarks: TI - splitting of space with 2 hour occupancy separation "All. Owner: FEES KNICKERBOCKER PROPERTIES, INC type amaiAnt by date recpt 10300 SW GREENPI..)R(3 RD PRMT $ 337. 00 DLH 11/04/98 98-310568 SUITE 200 5PCT $ 16. 85 DL.H 11 /04/98 98-310568 PORTLAND OR 97223 PLCK $ 219. 05 DLH 11/04/98 98-31056B Phone #: 450-5900 FIRE $ 134. 80 DLH 11/04/98 98--310568 Contractor: MALIBU PACIFIC 735 NE JACKSON SCHOOL ROAD HILLSBORO OR 97124 Phone #: 693-9797 $ 707. 70 TOTAL Reg #. . : 059045 --REQUIRED ACTIONS or INSPECTIONS - This permit is issued subject to the regulations contained in the Framing Insp Tigard Municipal Code, State of Ore. Specialty Codes and all other Gyp Board Insp applicable laws. All work will be done in accordance with &NAS I&Se- approved plans. This permit will expire if work is not started vithin IN 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 sit forth in OAR 952-01-019 through OAR "2-0181987. You many obtain a copy of th!se rules or direct questions to OUNC by calling (583)246-1987. Permittee Signature: Issi-ied By : .............4.+ 1-+...4•...................4.++4.4........4•............4-+4-+44 Call 639--4175 by 7:00 p. m. for an inspection needed the next bk.tsiness day ......................... ...................4........4.......4-++- ++++++++'*++-4 -1 OF TIGARD Commercial Building Permit Application Recd By f 3125 SW HALL BLVD. Tenant Improvement Date Recd Date to P.E. �I /`� 9-F TIGARD, OR 97223 1v �' Date to DST //%H ' (503) 639-4171 �� / Print of'Type Related SWR t< Incomplete or illegible applications will not be accepted Called _ Name of Development/Project Y Existing Building 1121 New Building 0 Job 0JC0t..tJ EMEf" Address Street Address Suite Building i0zVo sw et0rn Rd. 5 Data i n cd n CeKte r Bldg* City/State Zip Existing Use of Building or Property: I,INtUC.N -- Tuvvep'^ f0r-t1a14 i C>IZ-. ce Name Property K+�ic'{ �ioc�r P%er{-fes,Inc-. XX(V Proposed Use of Building or Property: Owner Mailing Address Suite Qf j Le 1o3co s'N Grrai6ur� P d. ?-00 _ No. Stgries: —�—� City/Sta'a Zip Phone L 12 we)Ve _ Porta a O(� 9'1223 4-52-590 Sq. Ft. Of Project: — Occupant Name — ---�-- 5,21,4.2> —_ Dip A�ol i c at+c✓is ]nr Occupancy Glass(es) Name -- Contractor Mal;bu ?9Cl-f1'c Ty2e(s)of Construction-- Prior onstruction —Prior to permit Mailing Address Supe _ R. FP is suance,o copy 71,15 NF Jack&,- sckcoWill this project have a Fire Suppression System? � 1 or all licenses _ — Y@SX ___ NO [] are required if CityiState zip Phone expired In C O T. Americans with Disabilities Acct(ADA ) database N i(lbr�l-ot Op- • X7124 CO93-9797_ Valuation X 25% = $16,P515 Participation Oregon Const.Cont.Board Lic.4 Exp.Date Complete_A_ccessibility Form _ 059045 Project $r' —� Name' —`— — —�--- Valuation X71 _ _ Architect G[bP Ayrc�;Ztcts Plans Required: See Matrix fur number of sets to submit Mailing Addre.s �~ Suite on back 920 sw lbr� City/State _ Zip Phone I hereby acknowledge that I have read this application,that the information For davt( Q(-• 972x4 224-965(o given is correct,that 1 am the owner or authorized agent of the owner,and _ that plans submitted are in compliance with Oreqon Stale Laws. Engineer Name Signature of Owner/Agent Date Mailing Address Suite 1Z,��„� f •3.9�, Co t ct Person Name Phone City/State— Tip— Phone �zz� P-• -;fur 2? FOR OFFICE USE_ ONLY _ Indicate typo of work: New G Addition O Demolition G Map/TL* J "jI�Land U^e'. Accessory Strurture O Foundation Only O Alteration lK I _ Repair O Other O Notes: y Description of work: Tevt a.^L 1�prove►►`crit etnodd�f TIF:---— --- -- Note: Site Work Permit Application must precede or accompany Building Permit Application 11COMNEWTI DOC (DST) 5198 COMMERCIAL PLAN SUBMITTAL REQUIREMENT MATRIX Plan Review is dependent upon submittal of BOTH plans AND a COMPLETED application. For an electrical submittal, the application must contain the signature of the supervising electrician before plan review will be conducted. After plan review approval, Plans Examiner will contact the applicant to request additional plan sets for distribution purposes. (Copy for Contractor, City, Washington County, Tualatin Valley Fire & Rescue) of 1 TYPE OF SUBMITTAL Plans KEY: Submitted S (Private) 1 S Site Work B (New or Add) _ 1 B = Building F (New or Add or Alt) 3 F = Fire Protection System M (New or—Addor Alt) , 1� M = Mechanical B & M (New or Add) 1 P = Plumbing P (New, Add, or Alt) 2 E = Electrical B & M & P (New or Add) 2 New = New Building E (New, Add, or Alt) 2� Add = Addition B & F & M & P & E 3 Alt - Alternation to Existing (New , Add) Building *B or B & M (,Alt) *6& M & P (Alt) 3 —& E �- "B & M & P & E: & F(Aiti� Y3 a NOTLS: "Shaded areas designate ALT submittals only. r.ldsts\maxtrixl.doc 07/06/98 CITY OF TIGARD BUILDING INSPECTION NOTICE. Inspection Line: 639-4115 Business Phone: 639-4171 Footing Rain Drain Cover/Service FINAL: Foundation Water Line Ceilirg -Ph1mb. Post/Beam Mach. Shea./Sheath Framing -Meeh. Plbg.Und/Flr/Slab Plbg. Top Out Insulaiion -Elect. Post/Beam Struct. Mach. Rough-in Gyp. Bd. -Bldg. San. Sewer Gas Line Appr/Sdwlk Reins. Other: - Date. 1 A.M. RM. Entry:_ Address: _�� U 4 C Tenant: ,: 'hG� — S ST: tf5 BUP:� , Con/Own:_ 5�--=. �' MEC:_ PLM: _.. ELC: THE FOLLOWING CORRECTIONS ARE REQUIRED: ELR: In�sper: — _ --- _— Date: V APPROVED DISAPPROVED/CALL FOR REINSP. CF CO ------------ ---�---- — – it CITY OF TICARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 - - - F3t1F' Date Requested__ t Z �`1-----AM_. '��'�" BLD - -- Location ,IJL'a Suite S ? � _ MEC Contact Person �;' L4 U Ph -7 a-4 �� I ._ PLM Contractor Ph SWR -- BUILDING_ Tenant/Owner ELC _ Retaining Wall EL.R Footing Access: Foundation FPS ---- Ftg Drain —� SGN _ Crawl Drain Inspection Notes ---- Slab _ SIT Post 8. Beam _-- Ext Sheath/Slier: Int Sheath/Shear Framing --- -._.` ------- - Insulation Drywall Nailing Firewall - Fire Sprinkler -- ----- -------- -- Fire Alarm Susp'd Ceiling Roof Misc. - - - - -- - -- -- --- - - --- ---- Final ----^--- PASS PART FAIL PLUMBING Post&Beam Under Slab Top Out - Water Service Sanitary Sewer Rain.-Drains rFTi�"� PART FAIL -- -. --- - MECHANICAL PostA Beam --- - __ - -- --- ----.. - _.--._-_------- - ..._. Rough In GasLine - - - - -- -- - - - ---- --------------------- Smoke Dampers Final - -- - - _ - -- --- - PASS PARTFAIL Service Rough In UG/Slab -�-- ----- Low`Jr.Itag� - --- ------------- - FireAlarm ---._ -- -- -- --- ---- - Final PASS PART FAIL _.__ ----- - --- --- - - - ---- - --- --- -.- --- SITE BacFfill/Gra-ding -' _ _---�_.-�----------- - - _-- --._- - -- Sanitary Sewer Storm Drain [ )Reinspection fee of$ required before next inspection Pay at City Hall, 13125 SW Hall Blvd Ca.ch Basin Unable to ect no access in: Fire Supply Line [ ]Pk-ase cal,,for rel ispection RE. -` —_- [ ] p ADA l Approach/Sidewalk Other - Date __C 1 Inspector Ext Final PASS PART FAIL 00 NOT REMOVE this inspection record from the ,job site. CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 - / BUP Date Requested,_ I ! Z e ��r AM_, '� PM ` BLD Location I -� 1 C� i Suite C _ MEC �> U CJ Contact Person i _—_ Ph 6 `� 3� PLM Contractor PhU ,� SWR BUILDING Tenant/Owner ELC Retaining Wall -� ELR _ Footing Access Foundation FPS CrDrain SGN Crawl Drain Inspection Notes: -- Slab ----------- _._—�--- SIT Post&Beam --- — Ext Sheath/Shear Int Sheath/Shear -- '- -- Framing Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling ------__ ----._--. Roof - --------- Mises _ ______ (Final PASS PART FAIL PLUMBING Post& Beam Under Slab Top Out — —� Water Service I Sanitary Sewer - - - - ------------- ------—— -- Rain Drains Final -- PASS PART FAIL _ MECHANICAL — Post&Beam --- -- I _Lino- am vers SART FAIL TRIC4L -- - ---- -- Service _ Rough In UG/Slab - _ - --------- --- -__.----------------- -- Low Voltage — Fire Alarm Final --- ----------.._.-._.----- PASS FART FAIL —_- ---. - -----._- ^-----...._.. SITE E3acktill/Grading ---- - --- -- Sanitary Sewer Storm Drain ( ]Reinspection fee of$ required before next inspection Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line [ J Please call for reinspection RE: i Unable to inspect -no access ADA Approach/Sidewalk Date / �- Inspector ? ( C Ext Other _li _L - - - Final ' PASS PART FAIL DO NOT REMOVE this inspection rerord from the job site. 01/07/99 09: '29 x$9731947 CBS ARCHITECTS Q 002/003 MEMORANIPUM City of Tigard, Oregon Building Department 131125 SW Hall Blvd. Tigard, Oregon 97223 L/ Attn: Mr. Bob Poskins Plans Exprniner PROJECT: DP Applicatio,s, Inc. at Lincoln Tower Sti. 530 PROJECT NO.: 970275 RE: 2hr wall DATE: January 7, 1999 Dear Bob, Per Lur mt;, —ig on Monday January 4' we understand the following: The 2 hour wall shown on the approved draw tng set dated November 4, 1998 can be built as a 1 hour wall with a I hour door (on magnetic hold open) and 1-hr fire/smoke dampers above the ceiling for penetrating ductwork. A partial xerox of the CD plan sheet is included with this memo for reference. This wall separates the entire tenant space into two smaller spaces that only require one exit each. If the 1 hour door is held up by long lead time for delivery to the job site the 1 hour wall can he built without the door and a temporary certificate of occupPncy will be issued by the City of Tigard. At which time the 1 hour door is ready to be installed then another small permit can be taken out to install it. Sincerely, GBD ARCHITECTS Incorporated Ra�R. Chir, AIA Associate enclosure cc: Beth Johnston Norris Beggs& Simpson Craig Sandage Malibu Pacific Construction CHO ARCHITECTS Incorporated 1920 SW Ttdrd Ave.Suite 4(100 I Pnrdand.OR 77204-2493 1 (303)224-9656 1 FAX(303)299.6273 1 e:^,:gbd@SW-jirchitecc%.com r,. 01 ,07/99 ()q, 29 '&9731947 GBD ARCHITECTS 12 12 T WORK W P 14 10 10 E3 508 G `508 -A 12 1 12 10 IT- 4- W-Eli — - CC) 12 C-501 12 EXIST'G GPIB, ICE :p�I I oil o(o ;r 21 9OPEN OFFIC L=PWTR r FAX G 12 lbE LOCATE A50VE EX I BT'G --N OUTLETS T • A 514 FT2 -C,2 EXIST'G PT 6 CEM 1 �r wal I �m (�� I 6r Jwr c n pits OFFICE cE c 510 LL - 511 kolAoren krI2;1,re/-sp%cke da r;) dr- TENANT IMPROVEMENT FI-Ai'4 FOR surTE 530 CITY O� �I�� BUILDING PERMIT PERMIT#: BUP2003-00683 DEVELOPMENT SERVICES DATE ISSUED: 12/10/03 13125 SW Hall Blvd..Tigard, OR 97223 (503) 639-41;'l PARCEL: 1S'135AB 01003 SITE ADDRESS: 10300 Sn GREENBURG RD 530 SUBDIVISION: LINCOLN ONE/RED LOBSTERICASA L ;ZONING: C-P BLOCK: LOT: JURISDICTION: TIG REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION CLASS OF WORK: ALT FIRST: sf N: S: E: W: TYPE OF USE: COM SECOND: sf 13ROJECT OPENINGS? TYPE OF CONST: 2FR sf N: S: E: W: OCCUPANCY GRP: 13 TOTAL AREA: 0 sf ROOF CONST: FIRE RET? OCCUPANCY LOAD: 29 BASEMENT: __f AREA SEP. RATED: STOR: HT: ft GARAGE: !cf OCC'J SEP. RATED: BSMT?: MEZZ?: _ READ SETBACKSREQU_IRE_D _ FLOOR LOAD: psf LEFT: ft RGHT: ft F1'_S_PKL: �SMOK DET: DWELLING UNITS: FRNT ft REAR: ft FIZZ ALRM : HNDICP ACC: BEDRMS: BATHS: IMP SURFACE: PF.O CORR: PARKING: VALUE: $ 6,000 00 Remarks: Tenant , prrvement, new walls for offices. Owner: Contractor: EOP LINCOLN, LLC C �OHIEWE 4 ASSOCIATES INC 102110 SW GREENBURG RD 10;4 NE DAV IS ST SUITE 100 Pr;RTLAND, OR 97232 PC R T LAND, OR 972.23 Rhone: Phone: 503-234-6617 Iteg #: LIC 54105 _ FEES r_ REQUIRED INSPECTIONS Description Date Amount I Machanival Permit Require �lil'Il l�� Prrnrr! I rr 12/10/03 $100.90 — I Eiectrical Permi+ Required I AX] R Siale Surchim 12/10/03 $8.07 framing Insp 3yp Board Insp PIII Rr 12/10/03 $65.59 Final Inspection 11 I S1 I I ti 1'I11 12/10/03 $40.36 --�---i Total $214.92 This permit is issued sub)act to the regulations contained in the Tigard Municipal Code, Stu,e 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 tha rules adopted by the Oregon Utility Notification Center. Those riles 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 ,alling (503) 246-6699 or 1-800-332-2344. Issued By: Permittee y� Signature: Cal! 639-4175 by 7 p.m. for an inspection the next business day Build4 r Permit Application ' -- — -- — - ----- Received Building Date/By: �Q/�o�3 �4 ' Permit No.: er�l'O�rg3 City of Tigard Planning Approval Other Date/By Permit No.: 13125 SW ivtll Blvd. Plan Review Other Tigard,Oregon 97223 Date/B : 40-011ri Permit No.. Phone: 503-6x9-4171 Fax: 503-598-1960 Post-Review Land Use Internet: www.ci.tigard.or.us IDate/By: Case No. Contact �- 24-hour Inspection Request: 503-639-4175 Namc/Mcthnd tuns.: 0 see Page 2 for— Supplements[Information _ TYPE OF WORK _T REQUIRED DATA: New construction ❑Demolition 1 &2 FAMILY DWELLING Addition/alterati(,,n/replacement _Other: - CATEGORY OF CONSTRUCTION _ Note: Permit fees•ate bused on the total value of the work pe•formed. Indicate �] 1 & 2-Family dwelli� NCornmereiaVlndustrial the value(rounded to the nearest dollar)of all equipment,materials,labor, �]Accessory Building; Multi-Family overhead and profit for the work indicated on this application. Master Builder ❑Other: Valuation......................................................... JOB SITE INFORMATION and LOCATION No.of bedrooms: No.of baths:___ Job site address: I OIX)o SW Gra"VV Total number of floors....... .........._.............. .. — --�--�� - New dwelling area(sq. ft.).....-................ ...... Suite#: 550 Bldg./Apt.#:011_9 Writ — — - �►1 Garage/carport area(sq. ft.)............................ Project Name: _-- inei�al F.,�yta�Gta..( G►-cVb Covered porch area(sq. ft.)............................. Cross street/Directions to job site: Deck area(sq.fl.)................ ........................... Other structure area(sq. ft ) ItEQU1RED DATA- Subdivision: -USE CHECKLIST - - Subdivision: Lot#: _ _ ------ -- --- Tax map/parcel #: _ Note: Permit fees*are based on the total value of the work performed Indicate DESCRIPTION OF WORK T the value(rounded to the nearest dollar)of all equipment,materials,labor, — - overhead and profit for the work indicated on this application. eY►an'�- Ivo ro�eY+�ev1t Valuation....................................... ........ .... .. g 000p 00 Existing building area(sq. R.)........................ 2,W9 Lw- -- New building area(sq. ft.)............................... —_ Number of stories............................................ 6 IVE PROPERTY OWNER _ 'i'ENANT Type of construction....................................... 11- Name: EQUITY iE TIES Occupancy group(s): Existing: �FFl�6 PKoP � New: �p Address: One S Colum bi a Suite. 300 Cit /State/Zi~ ep� O 7ZG8 Phone:SOS 412-gxSW IFax: NOTICE: All contractors and subcontractors are required to be 29 APPLICANT- licensed PERSON licensed with the Oregon Construction Contractors Board under -�� provisions of ORS 701 and may be required to be licensed in the Business Name: GJbD hrAl t+eat,3 ThG, jurisdiction where work is being performed. If the applicant ,,empt Contact Name: fl-ay F'-iGlor from licensing,the following reason applies: Address: 11 2.d NW C_puck St. &;'te 100 - - Cit /State/Zip: Port ani 0P., Phone:roo3 ?3 -4j<o6Co I Fax: �- --- - ----- - F-mail: PERMIT FEES""' II'Ica;e refer to fee schedule.•. Business Name: 0. Seh iew a CO►1.t"Clrvt*iOh Fees due upon application...... .. ... Address: _ 02SIE Davis Street city/S_tate/Zip_ oV-_ ht 7232 Amount received............................ ............ . $ Phone5o3 2$¢-"17 Fax: Date received: _ _CCB Lie. #: StJ05 �` _------ --- - Authorized Notice: This permit application expires If a rermit le no.obtained within Signature: �fx^• `'� Date: 12-10-03 180 days after It hsc been accepted as complete. ---� R• Glur 'Fee methodolow srt by TrWounty Building Industry Service Board. (Please print name) iADsts\Petmil Form ,0BldgPennitApp.doc 01/03 CITYOF TI GA R D CERTIFICATE OF OCCUPANCY DEVELOPMENT SERVICES PERMIT#: BUP2003-00683 13125 SWI Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 12/10/2003 PARCEL: 1 S 135AB-01003 ZONING: C-P JURISDICTION: TIG SITE ADDRESS: 10300 SW GREENBURG RD 530 SUBDIVISION: LINCOLN ONE/RED LOBSTER/CASA L BLOCK: LOT: CLASS OF WORK: ALT TYPE OF USE: COM TYPE OF CONSTR: 2FR OCCUPANCY GRP: B OCCUPANCY LOAD: 29 TENANT NAME: PRINCIPAL FINANCIAL GROUP REMARKS: Tenant improvement, new walls for offices. Owner: EOP LINCOLN, LLC 10260 SW GREENBURG RD SUITE 100 PPhoND5pp-ne032gg - 22 7 Contractor: C SCHIEWE & ASSOCIATES INC 1024 NE DAVIS ST PORTLAND, OR 97232 Phone: 503-234-6617 Reg #: IJ(' 54105 This Certificate issued 1/281/2004 grants occupancy of the above referenced building or portion thereof and confirms that the building has been inspected for compli celwith the State-of Oregon Specialty Co es for the group, occupancy, and �r>r'der whi t- referenced permit was 1 BUIL G INSPECTOR BUILDING OIPIACIAL POST IN CONSPICUOUS PLACE ITY OF TIGARD 24-Hour BUILDING Inspection Line: (503)639-4175 — MST 4SPECTION DIVISION Business Line: (503) 639-4171 BU ceived _r ? � ) Date Requested .-.� � - AM--- pM ----- BLIP — �G� EC ration � _— _Suite_— �Z-_--- � - —— ntact Person - - C� — 2(___�!�U ntractor Ph ) _— SWR - ------- -`-- - - 1 WILDING TenanUOwner ' ?�f1{�-1 - l�'J�L�'_ • y 12 6-q -- ELC - ---- -- — ooting -- ELC -- -- - - -- oundation Access: ELR tg Drain trawl Drain — SIT -- - ---- ;Iab Inspiration Notes: '3 t 'ost&Beam -� ;hear Anchors ► U :xt Sheath/Shear - nt Sheath/Shear -raming - ------ -- nsulation )rywall Nailing -------_ --- -irewall =ire Sprinkler - --J_----- =ire Alarm --._-- 3usp'd Ceiling - -- - -- auof ---- ---- - PART FAIL --- - ` - -- Post Under Slab - - -- - Rough-In ----- ----- - - -- Water Service - - -- Sanitary Sewer - Rain Drains -- Catch Basin/Manhole Storm Drain Shower Pan Other: -- Final — --------- PA T FAIL _ Hough-In - - Gas Line -- Smoke pampers __..-----.--.------- _pAs PART FAIL - ELECTRICAL - - - Service ------ - Rough-In -- UG/Slab Low Voltage Fire Alarm Final laeinspection fee of$—_----. _required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. _PASS PART_ FAIL 51TE [] Please call for reinspection RE: — _ _ Unable to inspect-no access Fire Supply Line ADADot* � INSPOdOt ft xt —' CITY OF TIGARD _- ELECTRICAL PERMIT PERMIT#: ELC2003 00733 DEVELOPMENT SERVICES DATE ISSUED: 12/19/03 13125 SW Hall Blvd., Tiqard, OR 97223 (503) 639-4171 PARCEL: 1S135AB-01003 SITE ADDRESS: 10300 SW GREENBURG RD 530 SUBDIVISION: LINCOLN ONE/RED LOBSTER/CASA L ZONING: C-il BLOCK: LOT: JURISDICTION: TIG Project Description: Electrical tenant improvement, (10)branch circuits. Job No. 530 _ _RESIDENTIAL UNIT TEMP SRVC/FEEDERS MISCELLANEOUS 1000 SF OR LESS: 0_200 amp: PUMP/IRRIGATION: EACH ADD'L 500SF: 201 - 400 amp. SIGN/OUT LINE LTG: LIMITED ENERGY: 401 •• 600 amp: SIGNAL/PANEL: MANF HMI SVC/ FDR: 601-f 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, I PER HOUR: 401 - 600 amp: EA ADD'L BRNCH CIRC: 9 IN PLANT: 601 - 1000 amp: _ PLAN REVIEW SECTION_ 1000+amp/volt: >=4 RES UNITS: >600 VOLT NOMINAL: ----Reconnect only:`_ SVCIFDR>=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 57273 Phone: Phone: 503-624-3631 Reg #: LIC 75059 SUP 19655 FEES _ F.1 r 34-203( ' Description � Date �Amount� IEHIRMT] I.Lc Permit I I')n+ $106.70 Required Inspections _ I('AX(8""n State Surcharge I' p)n+ $8.54 Rough-in _ Elect'I Final Total $115.24 This Permit is Issued subject to the regulations contained in the Tigard Municipal Code,State of OR.Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance,or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth i 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 1-8 -332-2344 / Is ued By: ( �CC )i �(. Permit Signature: 1 _ OWNER INSTALLATION ONLY The installation is being made on property I own which is not intended for sale, lease, or rent. �� a OWNER'S SIGNATURE: DATE:__—._ _ CONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR. ELEC'N: LICENSE NO: --- Call 639-4175 by 7:00pm for an inspection the next business day sin Ele.-trical Permit Application Etece:ved Electrical "-� - DateB : / /7 40,j Permit No.: ,Lf- en G'7 33 City of Tigard Planning Approval Si Date/By: PP PermitNo.: ' 13125 SW Hall Blvd. Plan Review Other Tigard,Oregon 97223 Date/By: Permit No.: P .one: 503-639-4171 Fax: 503-598-1960 Post-Review Land Use Internet: www.ci.tigard.or,us DaterBy: Case No.:Contact J see,Page z for 24-hour Inspection Request: 503-639-4173Name/Method: r. /anria/--iuformaton. — I Su Pp--u- ---lion. Able r eclk`all(hajpp} New construction _ I)emolitlon Service over 225 amps- Health-care facility Commercial ❑liaz'dous location Addition/alteration/re placement Other: ❑Service over 320 amps-rating of ❑Building over 10,000 square feet, s+ !'IRCr $r10ther 1&2 family dwellings four or more residential units in I &2-Family dwellinmercial/�ridustrial ❑System over 600 volts nominal one stnroture ACCeSSO Building Multi-Family ❑Building over three stories ❑Feeders,400 amps or more f _ _ r' _ly_—_ ❑Occupant load over 99 persons [j Manufactured strictures or RV park Master Builder ❑Egress/lighting plan ❑Othcr: r l ro o +�• I Submit -_sets of plans with auy of the above. = � ! "`�" ' The above are not it rlicahlr to tem meat construction service. Job site address: IU 3d, `�c�. , Y r ^-_ _ E .SSG A[�iiFi;�t*r�'_. _ Suite#: }ild ./A t.#: I 1 �c/.� _ Number ofIns ections per ermit allowed Project Name: f „� #LCDescription Qty Fee(ea.) Total Cross street/Directions to site: New reAdentlal-single or nruld-family per J dwelling unit.lucludes attached garage. Service Included: 1000 sq.I' ur less 145.15 4 Each additional 500 sq,R.or portion thereof 33 40 1 Subdivision: Lot W Limited energy,residential 75.06 2 _ Limited energy,non residential 75.00 2 Tax map/parcel #: Each manufactured home or modular dwelling DE$C llx��laDl OP(`yV�.R11; ''� r r service and/or feeder 90.90 2 _ Services or feeders-installation, alteration or relocation: 1 20P_7�or less _ _ 80.30 2 201 ams to 400 ams _ 106.85 2 401 amps to 600 ams 160.60 2 601 ams to 1000 ams _ 240.60 2 Over 1000 amps or volts T 454.65 2 Name: --- — _---��--------- -- -----__------_- Reconnect 66.85 2 Address: Temporary services or feeders-Installation, - -- -----�-- alteration,or relocation: Cit /State/Li � � __ _ 200 amps or less 66.85 1 Phone: Fax: 201 ams to 400 amps 100.30 2 T 401 to 600 ams 133.75 2 CTPIa P _ _ .' C_,' Branch circuits-new.alteration,nr Name: extension per panel: - -- -- -`---- A.Fee for branch circuits with purchase of Address: -_ _ service or feeder fee,each branch circuit 6.65 2 City/State/Zip: B.Fee for branch circuits without purchase of -- --- service or feeder fee,fust branch circuit 46.85 2 _Phone: I Fax: _ Each additional branch circuit L 6.65 2 E-mail: Misc.(Service or feeder not included): ''f Each pump or irrigation circle $3.40 2 Each sign or outline lighting 53.40 2 Job No: 5 W Signal circuit(s)or a limited energy pine), alteration,or extension _ Pae 2 2 Business Name: Z t LX't —1- L Description Address: 12 a•A 2 3c' IS 7 City/State/Zip: 71 R�? �; GJ ( Each additional inspection over the allowable In an of the above: Per inspection per hour(min. I hours 62.50 Phone: I Fax: 4 Z Investigation fee: CCB Lic. #: sem, Lic. #: Other: mom1tCK tA0 Supervising electrician Subtotal S / t' signature required: A _ Plan Review(25%of Pernut Fee S Print Name: F i ( ic. #: l q�S - S - State Surchar a 8%of Permit Fee _ _TOTAL PERMi_T tEE $ _ Authorized Notice: This permit nppllcation expires If a permit Is not obtained within Signature: _ Date.-_ -i 180 days after It has been accepted as complete. *Fee methodology set by Tri-Counts Building Industry Service Board. (Please print name) i:`,Dsts\Permit Fotms\ElcPermitA;)p.doc 01103 Electrical Permit Application - City of Tigard Page 2 - Supplemental Information LIMITED ENERGY PERMIT FEES: _RESIDENTIAL WORK ONLY: _ Fee for all systems............................................................ $75.00 Check Type of Work Involved: DAudio and Stereo Systems* Ej Burglar Alarm El Garage Door Opener* Heating,Ventilation and Air Conditioning System* Vacuum Systems* Other ----- COMMERCIAL WORK ONLY: Fee for each system......................................................... $75.00 (SEE OAR 918-260-260) heck Type of Work Involved: �] Audio and Stereo Systems Boiler Controls r7 Clock Systems Data Telecommunication Installation He Alarm Installation LJ 11VAC Instrumentation ❑ Intercom and Paging Systems 0 Landscape Irrigation Control* ❑ Medical nNurse Calls Outdoor Landscape Lighting* L� Protective Signaling Other -------- ------- -- ___Number of Systems * No licenses are required. Licenses are required for all other installations i:\Dsts\Pcrmit Forms\E1cPermitAppPg2.doc 01/03