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10260 SW GREENBURG ROAD STE 820-2 I I I I I �• � I I � � 1. I � �! I � I �.�© ci Avco w 2-eLur4-k,� ---- - — — —---q,— — ;-�-=—�- tvS - �i. �•, til I _.�. o .,�.,.. ✓ I � ; ��:, �..�. ��� ��— � ' I I � ► ►�/ i � 11.x,- �. ;� �� ' LQ QkLc rJ 1 ` I I o I L I I.! I I �100 ._ 19 I -r---rr-�-7--��� I . ; I �I _ I - '; --�--•- �j cam c�1 � b a��2. o uc..Tc�o2k __ I _ 556 exlsTtn1� to n � Mn I I Y �) I ' + I I % --NMG%DANA NC,� G IL L�C-R►TC L --T ��' I c W CAtI� L.Tccs(�} YM PRMC".TON� � � _ I � it IAIECMANICAL ENQNIEU S AND CONTRACTORS I ��Q �7 D �T"�' u�� 5400 N.E. COLUMBIA 9L'�D T PORTLAND. OREGON +- FAX 503 :31-8906 + I 0 T�AEZMoSTAT I Z= 01 OWoO PA 372W I • i _ MAWN ar: _ I Q0 DAM 44 PROJECT: 1! `l. 110 waxoX= ` 1 V`" �� i'7 1L F! (T1 ( lv�5` -r-z . PLA" I ' - I SHEET: `-Ing I NOTICE: IF THE PRINT OR TYPE ON ANY �'�' Ir � i � llll � � � � I � Ali i�T �L.i..__illi I �T ._�-(T. 1.I1 T-�.r _.c. �-.L� III III IIS III III III III III III III I � I SII III t-1� r� I III til, lli Ill III -1 �T 111j111 III I-II i�rllll � lll III Illjlll . 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 IMA I I GE IS AS CLEAR AS THIS NOTICE, 1 2 3 4 5 0 7 - 10 12 ��� 6 ��o `� IT I DUE TO THE QUALITY OF THE No.36 ORIGINAL DOCUMENT E 6 Z 8 Z L Z 9 Z 5 Z Z E Z Z T Z O Z 6 i 8 I L T 9 i 5 i T E T Z T I T 1T111[11111 8 L 9 4 Z I! E I �tli�w IIII IIII Ilii IIII illi IIII IIII {III illi IIII Iiil X1.1 lLll Ll1I �1 11l 111111 1111 illi LIIL 1111 Iillllll� IIII IIII IIII IIII IIII IIII IIII Ilii IIII IIII IIII illi IIII IIII illi 1.1 (ill 1illl. 11ll 11 lll.l 11� 1111111 l I i 0 N O� O n N O 1 i I i i 10260 SW GRENBURG RD #820 CITYOF T I G A R D _ MECHANICAL PERMIT DEVELOPMENT SERVICES PERMIT#: MEC2004-00145 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 4 1513 PARCEL: 1 S135A8-03400 SITE ADDRESS: 10260 SW GREENBURG RD 82'0 SUBDIVISION: LINCOLN TOWER-TOWN OF METZGER ZONING: C-P BLOCK: LOT: 014 JURISDICTION: TIG CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS: TYPE OF USE: COM UNIT HEATERS: VENT FANS: OCCUPANCY GRP: B VENTS W/O APPL: VENT SYSTEMS: STORIES: BOILERS/COMPRESSORS _ HOODS: FUEL TYPES 0 - 3 HP: DOMES. INCIN: 3 - 15 HP: COMML. INCIN: MAX INPUT: BTU 15 - 30 HP: REPAIR UNITS: I IRE DAMPERS?: 30 - 50 HP: OD GAS PRESSURE: 50 + HP: CLO DRYERS: FURN < 100K BTU: AIR HANDLING UNITS C OTHER UNITS: FURN >=100K BTU: <= 10000 cfm: > GAS OUTLETS: 10000 cfm: Remarks: I<rinrnlr lues ` grilles,udd 1 I)ne�� rains ,iii. I'rujcci 1Valur: 5,287.00 Owner: FEES _ EOP L INCOLN, LLC Description Date Amount 10260 SW GREENBURG RD 1 .\Xsl w titin li;ut V:3/24/04 511.75 SUIT_ ft 100 � IIS PORTLAND. OR97223 ( I'rrnu( f rr 3/24/04 — i46� Phone: tt92 2501 Total $158.65 Contractor: MCKINSTRY CO 5400 NE COLUMBIA BLVD PORTLAND, OR 97218 REQUIRED INSPECTIONS Phone: 131-0234 Mechanical insp Final Inspection Reg #: LIC 40981 This permit is issued subject to the regulations »ntained 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 i not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTEN TION: Oregon law requires you to follow rules adopted in the Oregon Utility Notification Center. Those riles are set forth in OAR 95,'-001-00 Issued By: •(�_Xxr' 't5ermittee Signature: jet, Call (503) 639-4175 by 7:00 P.M. for inspections needed the next business day i i i Mechanical_Permit ADlication �(Jy City of Tigard i� 13125 SW Hall Blvd..Tigard.OR 11223 Ur OUHI�(' Plan RCview Phone: 503.639.4171 Fox: 503,598.19011 1 L 7 Other Permit Date By: Inspection Line: 503.09.4175 13UILDING ate Ready!By: lana ® See Page 2 for Internet: www.ci.tigard.or.us Notified/Method: S ipplemental Information TYPE OF WORK COMMERCIAL FEE* SCHEDULE — USE CHECKLIST ® Mechanical permit Dees*are baud on the value of the work ❑New construction Addition/alteration/replaceinent performed.Indicate the value(rounded to the nearest dollar)ofall ❑ Demolition ❑Other: mechanical materials,equipment,Iatxtr.overhead,a_nd mtit. CATEGORY OF CONSTRUCTION Value.$5,287.00 ❑ I-and 2-family dwelling ®Commercial/industrial ❑ Accessory building RESIDENTIAL EQUIPMENT/SYSTEMS FEES* For special inlhrrnution use checklist. ❑Multi-family ❑ Master builder ❑Other: Description Qty. Ea. Total JOB SITE INFORMATION AND LOCATION Heatiri/cooling Job site address: 1(1201)SN'Greenhurg Rd. Air conditioning heat pump _ (requires site plan shoho wing placement 14.00 City/State/Zll' Portland,011.97223 -- Furnace 100,000 BTU(ductswents) 14,00 Furnace 100,000+BTU(ducta!vents) 17.90 Suite/bldg./apt.no. — Project name:Mortgage Express Gas heat pump 14.00 Cross street/directions to job site: Duct work 14.00 �— H dronic hot waters stem 14.07 Residential boiler(radiator or It dronic) 14.00 — --- Unit heaters(fuel-type,not electric), in-wall,in-duct,suspended,etc. 10.00 Subdivision: Lot no.; —�— Flue/vent fire any of above — 10.0) Other: 10.00 Tax map/parcel no.: Other fuel appliances _ DESCRIPTION OF WORK Water heater _ 10.00 • Gas fireplace 10.00 Tenri.it Improvement Flue vent for water heater or gas fireplace 10.00 ------ —Log lighter(gas 1 ---� _ 10.00 Wood (let stove 10.0) Wood fi lace/insen 10'(H) — ❑ PROPERTY OWNER ® TENANT Chimney/Iinerillue/vent 10.07 Other: 10.00 Name:Mortgage Express Environmental exhaust and ventilation Address: 102060 SVI'Greenbur Rd Suite-810 `—� Range hoodiother kitchen q _ equipment 10'01 City/State/ZIP:Portland,Oregon Clothes dryer exhaust 10.0) --- Single-duct exhaust(bathrooms. Phone:( ) Fax:( ) toilet compartments.utility rooms) 6.80 ® APPLICANT ❑ CONTACT PERSON Atticicrawlspace tans 10.00 — — Business name:McKinstry Co. Other: 10.00 Fuel PIPInit Contact name:Earl Salsbury $5.4_0 for flrst four,$1.00 for each additional— Address:5400 NE Columbia Blvd. Furnace,etc. _ —_ — —_ Gas heal pump City/State/ZIP:Portaind Oregon 97218 Wall suspended unit heater Phone:(503)331-2464 Fax: :(503)331-6906 Water heater -- ---- Fireplace E-mail: Range -- — CONTRACTOR Barbecue Business name:McKinstry Co. Clothes dryer(gas) --- — ---- Other: Address:5400 NE Columbia Blvd. _ MECHANICAL.PERMIT FLES* City/State/ZIP:Portalnd Oregon 97218 Y Subtotal Phone:(503)331-0234 Fax:(5031331-6906 Minimum permit fee(572.50) —_—�_ Plan review(25%of permit fee) _ CCB lic.:40981 State surcharge(9%of permit fee) —_—�---- --- IYTf U 1'FR1111 FEE This permh applichdon e%pires it a permit k not obtained Althw ago Authorized signature: dada after It has been accepted as complete. Print name:Earl Salsbury Date:03/24/04 Fee methodology ret by Tri-County Building Industry Sen"ice Braid i auitdine Permits MFC.PmntlApp d w 110; 440.46177(11 02 COM WED) SEE 35MM ROLL# 23 FOR LA RGE DOCUMENT CITY OF TIGARD 24-Hour BUILDING Inspection Line: (503) 639-4175 MST INSPECTION DIVISION Business Line: (503)639-4171 � `/ BUP Receive .2 Date Reques ed J AM____.____ PM BLIP `__'_ BLIP _ Location __ Suite � 5/ OCIZ 5�/5 Contact Person -- Ph(-S V-3) PLM Contractor ------- — - - - - - Ph( —) ---- _ SWR ---- ------- BUILDING Tenant/Owner ------ Footing ELC Foundation Ft Drainor' Access: ELR ...... --- -_-`_- 9 Crawl Drain - Slab Inspection Notes: SIT - Post&Beam Shear Anchors Ext Sheath/Shear Int Sheath/Shear aming —-- --- ----- - �— --— ---- -- -- - -- insulation Drywall Nailing - ----- - - -- -- . ----._. - ----- -------- Firewall Fire Sprinkler __-- Fire Alarm Susp'd Ceiling ___----- _ _.------------- - ----- __... -- - ---- _ Root Other: -------- ----- -- ---- - --- -- ---- Final - PASS_ PART FAIL PLUMBING ___ - Post&Beam Under Slab Rough-In Water Service -------- ------ __ _ Sanitary Sewer Rain Drains Catch Basin/Manhole / Storm Drain -- ----- -.- -- - Shower Pan Other: _ r Final PASS PART FAIL -- ---- ^— — - - MECHANICAL Post$Bearn Rough-In --- -- — Gas Line ampers ——-- -- — ---- E;::S:S; PART FAIL-Er ----- --' --- -- -- _ RICAL — Service Rough-In ------------------------- _— UG/Slab Low Voltage - Fire Alarm --- ------- -- - -_. _----- -- - Final Reinspection fee of$_ _ ._.—_ . required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL SITY Please call for reinspection RE:—.__- Unable to inspect-no access Fire,-apply Line l ADA Data ._ _ I_Z /G L - Inspeoter — Ext Approach/Sidewalk -- -- ---- Other: Final DO NOT REMOVE this Inspection regard from the Job site. PASS PART FAIL CITYOF TIGARD BUILDING PERMIT DEVELOPMENT SERVICES DATE EISSUED: 3/18/4oa o0,29 13125 SW Hall Blvd., Tiqard, OR 97223 (503) 639-4171 PARCEL: 1 S 135AB-03400 SITE ADDRESS: 10260 SW GREENBURG RD 820 SUBDIVISION: LiNCOL.N TOWER-TOWN OF METZGER ZONING: C-P BLOCK: LOT: 014 JURISDICTION: TIG REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION CLASS OF WORK: FPS FIRST: sf N: S: E. W: TYPE OF USE: COM SECOND: sf PROJECT OPENINGS? TYPE OF C014ST: sf N: S: E: W: OCCUPANCY GRP: H TOTAL AREA: 0 sf ROOF CONST: FIRE RET? OCCUPANCY LOAD: BASEMENT: sf AREA SEP. RATED: STOR: HT: ft GARAGE: sf OCCU SEP. RATED: BSMT?: MEZZ?: ___ RE_Q_D SETBACKS _ REQUIRED FLOOR LOAD: psf LEFT: ft RGHT: ft FIR SPKL: SMOK DET__ DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP ACC: BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING: VALUE: $ 300.00 Remarks /\Iteration of (4) sprinkler heads for TI Owner: Contractor: F_OP LINCOLN, LLC MCKINSTRY COMPANY 10260 SW GREENBURG RD 5400 NE COLUMBIA BLVD SUITE # 100 PORTLAND, OR 97218 PORTLAND, OR 97223 Phone: 892-2500 Phone: 331-0234 Reg #: MET 0(00011179 FEES LIC REQUIID INSPECTIONS Description Date Amount Sprinkler Rough In �IiUILI)J I'crnnt I-cc 3/18/04 $62.50 Sprinkler Final I'AX] 8%,Slotc Surchini 3/18/04 $5.00 FI.S1 FIS I'In Ili 3/18/04 $25.00 Total $92.50 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules ara set forth in OAR 952-001-0010 through OAR 952-001-0100. You may obtain a copy of these rules or direct questions to OUNC by calling (503)246-6699 or 1-800-332-23{4. J •-tel Issued By: J �( . _ zit Permittee IL Signature: �� C+_E l Call 639-4175 by 7 p.m. for an inspection the next business day Fire Protection System I3uildin�� Permit A lication ' ' ' --�---�---- -- -n-� � Received i,,,�i,i���t. NLY Date/f3 /'7 rT fermi City of Tigard Planning Approval Other Date/By: Permit No,: 13125 SW Hall Blvd. Plan Review Other Tigard,Oregon 97223 Date/By: Permit No.:Post-Rev _ Phone: 503-639-4171 Fax: 503-598-1960 Dste/Py: Land Use De►e/t+v: _ Cosa No. Internet: www.ci.figard.or.us Conlacl Sec Page 2 for l 24-hour Inspection Request: 503-639-4175 Name/Method: supplemental Information TYPE OF WORK REQUIRED DATA: New construction Demolition 1 &2 FAMILY DWELLING Addition/alteration/re)lacement F1 Other: CATEGORY OF CONSTRUCTION Note: Permit fees*are based on the total value of the work performed. Indicate 1 &2-Family dwelling.. Commercial/Industrial the value(rounded to the nearest dollar)of till equipment,materials,labor, overhead and profit for the,work indicated on this application. Accesso Buildin Multi-Family Valuation......................................................... $ Master Builder Other: JOB SITE INFORMATION and LOCATION No,of bedrooms: No.of baths: Total number of floors..................................... ---•---_. Job site addres�WL J-irj E. ,16i-&X)5 4)h�W New dwelling area(sq.fi.). ............................ Suite#: rbc Bldg./Apt.#: Garage/carport area(sq.ft.)............................ __---- Pro ect Name: 1V1t7 !a E IE (Z-ICESS Covered porch area(sq. ft.)............................. — Cross street/Directions to job site: Deck area(sq.fi.)............................................ Other structure area(sq. ft.)............................ REQUIRED DATA: COMMERCIAL-USETHECKL1ST Subdivision: Lot#: — Tax map/parcel #: Note: Permit fees'are based on the total value of the work perforated. Indicat^_ DESCRIPTION OF WORK the value(rounded to the nearest dollar)of all equipment,materials,labor, overhead and profit for the work indicated on this application. Dnp Z,�c�.��.-t� �i 2C" �sf'iz ..� p t7 Valuation......................................................... $ Existing building area(sq.ft.)......................... AFA New building area(sq.ft.)..... . Ie' A Number of stories........................................ .. PROPERTY OWNER I rJ TENANT Type of construction....................................... T)�� Occupancy group(s): Existing: _�! _Name: E4�t_)I-r`I' Cif=kt �'� New: Address: — - City/State/Zip: NOTICE: All contractors and subcontractors are required to he Phone: Fax: licensed with the Oregon Construction Contractors Board under APPLICANT I CONTACT PERSON provisions of ORS 701 and may be required to be licensed in the Business Name: /V1 t 1,J 5rJ Jz-( C.0 jurisdiction where work is being perfomred. If the applicant is exempt Contact Name' JEf�r Mir NO 6` from licensing,the following reason applies: Address: r COL-v ) t.J - -- -- Cit /State/Zi o'z D ' . 7'Z I __-- Phone:5' 3,331 -n z34- 1 Fax_So3.331 . /e o -- - _. BUILDING PERMIT FEES* E-mail: JCI E A c-K�IJ 57-Vr ' Gan^ Please refer to fee schedule. CONTRACTOR -� - - Business Name: yMl Y Gt7 Fees due upon application.............................. $ Address: OL t-- Amount received............................................ $ City/Stale/Zip: _— Phone: — Fax: Date received:____ CCB Lic. #: LZ-3-b 8L-w-1- - 3-7-zN v — Authorized , r^-� f Notice: This permit application expires If a permit Is not obtained within Signature: - - ! Date:03 I,�,v4" 180 days after It has been acceptrd as complete. 'Fee tnethodologv set by Tri-County Building Industry Service Board. (Please print name i\I)sts\Patio►rorrnsU3ldgPermitApp.doc 01103 Fire Protection Permit Check List A.) 0 New _❑ Addition Alteration ❑ Repair B.) Modification to sprinkler heads only: Describe work to 1. 1-10 heads: No plan review required, be done: 2. 11+ heads: Plan reviewr required. Number of sprinkler heads: `t Additional description of work: p�L /J� —T—eol�,J I AI KVL J'ZIW�t- T pe of System Ccm lete A, B or C as a pli.- I A. Sp rinkler_ Wet _ _ Dry ❑ Stand i es _ AYA Additional Hazard Group Information Densityp�D �Pw1 Design Area — _ Sb� -W_ K. Factor S. Sprinkler Project Valuation: $ Apo V9 B. Type I - Hood Fire Suppression System Hood Project Valuation $ _ C. Fire Alarm Submittal shall Battery Calculations Yes ❑ RA- Include: Individual Component Yes ❑ _ Cut Sheets _ Fire Alarm Pro ect Valuation: $ Pro1e-.t Valuation Subtotal (A, ^'22c�o Permit fee based on valuation see Chart): $ 8% State Surch_ar e: $_ FLS Plan Review 40% of Permit: $ TOTAL: $ Plan review requires a completed application and 3 sets of plans at submittal. Plan review fees are required at submittal. "New" fire protection systems require that plans bear the original seal of an Oregon licensed fire suppression engineer, or NICET level "3"technicians. 1Adst9Vorms\FPScheck11st.doc 11/21/01 --- BUILDING PERMIT CITY OF TIGARD PERMIT #: BUP2004-00090 DEVELOPMENT SERVICES DATE ISSUED: 3/8/04 --- 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 PARCEL: 1S135AB-03400 SITE ADDRESS: 10260 SW GREENBURG RD 820 SUBDIVISION: LINCOLN TOWER-TOWN OF METZGER ZONING: C-P BLOCK: LOT: 014 JURISDICTION: TIG REISSUE: FLOOR AREA_S _ _ EXTERIOR WALL CONSTRUCTION _ CLASS OF WORK: ALT FIRST: sf N: S: —E: W: TYPE OF USE: COM SECOND: sf _ PROJECT OPENINGS? TYPE OF CONST: 2FR sf N:� S: E: W OCCUPANCY GRP: B TOTAL AREA: 0 sf ROOF CONST: FIRE RET? OCCUPANCY LOAD: 70 BASEMENT: st AREA SEP. RATED. STOR: HT: ft GARAGE: sf OCCU SEP. RATED: BSMT?: MEZZ?: REQD SETBACKS REQUIRED_ FLOOR LOAD: psf LEFT:' ft RGHT: vft _ FIR SPKL: Y SMOK DET: DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP ACC: BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING: VALUE: $ 7,000.00 Remarks: New walls for tenant expansion. Owner: Contractor: EOP LINCOLN, L.I_C C SCHIEWE & ASSOCIATES INC 10260 SW GREENBLIRG RD 1024 NE DAWS ST SUITE # 100 PORTLAND, OR 97232 PORTLAND, OR 97223 Phone: 892-2500 Phone: 503-234-6617 Reg #: LIC 54105 FEES ^� REQUIRED INSPECTIONS — Description Date Amount Mechanical Permit Require [BUILD] Pernut fee 3/8/04 $110.50 Electrical Permit Required TAX( 8 State Surchar 3/8/04 $8 84 Sprinkler Permit Required I 1 t Framing Insp 1BUPPLN] Pin Itv 3/8/04 $71.83 Gyp Board Insp [FI.S] FIS 11111 Itv 3/8/04 $44.20 Final Inspection Total! $235.37 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is riot started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0100. You may obtain a copy of these rules or direct questions to OUNC by calling (503)24 =Fi699 or 1-800 332-2344. Issued 8y: Permittee r' Signature: Call 639-4175 by 7 p.m. for an inspection the next bisiness day FOR OFFICE USE ONLY , Building Permit Application Received Building r._._ �. laP g avP 2c)V+_r-,109, , Date/By: I'crnut No.: CityCit of Tigard Planning Approval Other b Date/By: _ Permit No.: 13125 SW Hall Blvd. Plan Review Other Tigard,Oregon 97223 Date/By: Pcmtit No.:_ Phone: 503-639-4171 lax: 503-598-1960 [lost-Review Land Use Internet: www.ci.tigard.or.us Date/Ely: Case No. g Contact luris.: See Page 2 for 24-hour Inspection Request: 503-639-4175 Name/Method: Ssilcmcntal information TYPE OF WORK REQUIRED DATA: construction I LJ Demolition I &2 FAMILY DWELLING Iteration/replacement t ❑Other: _ ----- —___ _ CATEGO_RY OF CONSTRUCTION Note: Permit fees*are based on the total value of the vork performed. Indicate &2-Family dwellingCommercial/Industrial the value(rounded to the nearest dollar)of all equipment,materials,labor, overhead and profit for the work indicated on this application. Accessory Building _ Multi-Family _ Master Builder _ Other: Valuation......................................................... $-- JOB SITE INFORMATION and LOCATION No.of bedrooms: No.of baths: Job site address: 10260 3W Graenbv fZo Total number of floors..................................... —_ r New dwelling area(sq.ft.).............................. Suite M 820 Bid ./A t.#L1ncol oW r g rp ( ............ _.�_—.— Garage/carport e/ca ort areasq. R.)_ ............. Pro'eet Name: t:r at e to re Ss Covered porch area(sq.Il.)............................. Cross Street/Directions o site: Deck area(sq.ft. Other structure area(sq.ft.)............................ ------ REQUIRED DATA:.; COMMERCIAL-USE CHECKLIST Subdivision: _ Lot M -- Tax map/parcel M Note: Permit fees'are Msed on the total value of the work performed. Indicate DESCRIPTION OF WORK the value;rounded to the nearest dollar)of all equipment,materials,labor, T Te►i2nt Lrnproye/'nevit� — overhead and profit for the work indicated on this application Valuation......................................................... $ Ltd. — _ Existing building area(sq.R.)......................... 1956 USF -. —_-- New building area(sq. ft.)............................... Numberof stories............................................ Type of construction....................................... -- PROPERTY OWNER TENANT, Yp - Name: EGWITY OFFICE P"C-114TIES Occupancy group(s): Existing: Address: One SW Colurn bi a vile- 3OO ' New: _D _ Cit /State/Zi Fort(204, OF-. 12 7?S8 Phone:56'S 412-I to T'ax: NOTICE: All contractors and subcontractors are required to be APPLICANT' _ _GO_NTAC1 PERSON licensed with the Oregon Construction Contractors Board under provisions of ORS 701 and may be required to be licensed in the Business Name: GpD PwIteLsA Inc., jurisdiction where work is being performed. If the applicant is exempt Contact Name: f-ay ftp. Glur from licensing,the following reason applies: Address: ( 2o N W Coven St,• Su;'e 300 City/State/Zip: fort12 OF-., _ — — ---- -- - Phone:503 224-I&S& Fax: — A_ �,�, � E-mail: Bt .DING PrR�111T 5 i "lease refer to fcc ser 7-7-71 p� 14J4.-' I s . iCCONT. R�GTOR-_A,.'14 4.' Business Name: G. s c�l tet,v e 4 ASso c c Fees due upon application.............................. $ Address: 6E 5 � S1� L JA,9"Ve Ci.t /State/Zi . De21J n � 9 0Q6 Amount received............................................ $ Phone5o3 -60Fax: Date received:----- CCB Lic. #: 54105 -------- -- — Authort2ed > 4_ Notice: This permit spplle2tion expires If a permit Is not obtained within Signature: ` - Date: tH0 days after it has been accepted as complete. 'Fee methodology set by Tri-County Building Industry Service Board. (Please print name) — i:\Dsts\Pctmit Forms\BldgPermitApp.doc 01103 Mo_TC_2AC_(Z EI'f_E:rs (ExpANslor�> LT- .sur iE g2o 3.9•a4` Accessibility: Barrier Removal Improvement Plan Cite of Tigard REQUIREMENT: OREGON REVISED STATUTE (ORS) 447.241. (1) Every project for renovation, alteration or modification to affected buildings and related facilities shall be made to insure that the path of travel to the altered area and the restroom, telephones and drinking fountains are readily accessible to individuals with disabilities unless such alterations are disproportionate to the overall alterations in terms of cost and scope. (2) Alterations made to the path of travel to an altered area may be deemed disproportionate to the overall alteration when the cost exceeds twenty-five per-cent(25%). VALUATION: of all renovation, alteration or modification being done OL excluding painting,wallpapering. (1] $ OCU. multifty_ 25% Barrier removal requirement. ___._-_25_ BUDGET FOR BARRIER REMOVAL i�) $ 1S, o0 �) In choosing which accessible elements to provide under this section, priority shall be given to those elements that will provide the greatest access. Elements shall be provided in the following order: (a) -piarig c:amr.r r;-te i,�vk1 , re/ co �N- ut-l'&-9 $ ly ,�er ,d; u�llkS / r�►*+"� F 61 k, (b) A An accessible entrance: J $ (c) An accessible route to the altered area: $ (d) At least one accessible restroom for $ each sex or a single unisex restroom: (e) Accessible telephones: $ (f) Accessible drinking fountains and $ (g) When possible, additional accessible elements such as storage and alarms: $ TOTAL: Shall equal line 2 of Value Computation $ ']5C) 00 iMstslforn$Vlcccssibility.doc 06/07/02 CITY OF t l^Ap D ELECTRICAL PERMIT DEVELOPMENT SERVICES PERMIT#: ELC2004-00130 � DATE ISSUED: 3/19/04 13125 SW Hall Blvd., Tiqard, OR 97223 (503) 639-4171 PARCEL: 1S135AB-03400 SITE ADDRESS: 10260 SW GREENBURG RD 820 SUBDIVISION: LINCOLN TOWER-TOWN OF METZGER ZONING: C-P BLOCK: LOT : 014 JURISDICTION: TIG Project Description: Electrical TI, (2)branch circuits. Job No. 579 RESIDENTIAL UNIT TEMP SRVC/FEEDERS _ MISCELLANEOUS 1000 SF OR LESS: 0 - 200 amp: V PUMP/IRRIGATION: EACH ADD'L 500SF: 201 - 400 amp: SIGN/OUT LINE LTG: LIMITED ENERGY: 401 - 600 amp: SIGNAL/PANEL: MANF HM/SVC/FDR: 601+amps - 1000 volts: MINOR LABEL (10): _ — SERVICEIFEEDER — BRANCH CIRCUITS ADD'L INSPECTIONS 0 2.00 amp: W/SERVICE OR FEEDER: PER INSPECT;ON: 201 - 400 amp: 1st W/O SRVC: OR FDR: I PER HOUR: 401 - t300 amp: EA ADD'L BRNCH CIRC: I IN PLANT: 601 - 1000 amp: _ PLAN REVIEW SECTION 1000+ amp/volt. -4 RES UNITS: > 600 VOLT NOMINAL: Reconnect only: SVLIFDR —225 AMPS: CLASS AREA/SPEC OCC: _ Owner: Contractor: EOP LINCOLN,LLC WILLAMETTE ELECTRIC INC 10260 SW GREENBURG RD PO BOX 230547 SUITE#100 TIGARD,OR 97281 PORTLAND,OR 97223 Phone: 892-2500 Phone: 503-624-3631 Reg #: LIC 75059 FEES SUP 1965S ELE 34-283C Description Date Amount Required Inspections I'I�AXJ H%5tutc Surchwpc t Iv W $4.28 — ------ --- ---._- _ jELPRMT] EL('Permit t Iv 11.3 $53,50 Rough-in _ Elect'I Final Total $57,78 This Permit is issued subject to the regulations contained In the Tigard Municipal Code,State of OR.Specialty Codes and all other applicable laws. All work w0l 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 fo! more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0100. You may obtain copies of these rules or direct questi UNC at(503)246-6699 or 1-8 .` sued By: �e �Q_C �.,yL1, � Permit Signature: x s` OWNER INSTALLATION ONLY The installation is heing 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: _ tn Call 639-4175 by 7:00pm for an inspection the next business day Electrical Permit Application "ceived Electrical � �� Permit No.: Cit of Tigard dC(1 Planning Approval Sign City g Date/B; Permit No.: 13125 SW Hall Blvd. Plan Review Other Tigard,Oregon 97223 DatL/B : Permit No.: i Phone: 503-639-4171 Fax: 503-598-1960 Post-Review Land Use Date/By: Case No.: _ Internet: www.ci.tigard,or.us Contact Juri See Page 2 for 24-hour Inspection Request: 503-639-4175 Name/Method: t Su lemental Information. �1'iu1a - " '1' a+yQ �TQl �.: le>IseC 4p14.aI1,:1�1 1� New constTuction Demolition Service over 225 amps- t Health-care facility — --- Commercial ❑Hazardous location Addltion/alteration/re ilacement Ocher: ,.1 ❑Service over 320 amps-rating of ❑Building over 10,000 square feet, 1 &2 family dwellings four or mote residential units in 1 &2-Family dwelling Y Commercial/Industrial ❑system over 600 volts nominal one structure ❑Building over three stories ❑Feeders,400 amps or more Accessory BUlldlrl MUltl-F111111�- ❑Occupant load over 99 persons ❑Manufactured structures or RV park rl Master Builder FI Other: ❑Egress/lighting plan 0 Other: Ct1 � fI"tri Submit __sets of plats with any of the above. � � r � �,•� The above are not a rlicable to temporary construction su ivice. Job site address: j z ( 0 Q 5 t– Suite#: Bld ./A to Number of ins ections per permit allowed Project Name: P /r e ti e f _ Description — -- Qty Fee(ea.) Total CTOS9 street/Directions t0 job site: New residential-single or multi-family per dwelling unit.Includes attached garage. Service Included: 1000 sq.ft.or less — _ 145.15 4 Each additional 500 sq.ft.or onion thereof 33.40 1 Subdivision: Lt)t#: Limited energy,residential 75.00 2 Limited energy,,non residential 75.00 2 Tax map/parcel #: _ Each manufacmid home or modular dwelling DESC1�ipJC>�ON—QV service and/or feeder 90.90 2 --- - Services or feeders-installation, alteration or relocation: -- --_- --�— - 200 ams or less 80.30 2 201 ams to 400 ams 106.85 2 401 am s to 600 ams 160.60 2 OV1lLV rL r [t;{ --p 601 amps to 1000 ams 240.60 2 -----— -�- '— - Over 1000 ams or volts 454.65 2 Name: Reconnect only 66.85 2 Address: Temporary services or feeders-installation, _- alteration.or relocation: City/State/Zip: _ - - _ 200 amps or less 66.85 1 Phone: _ Fac: 201 amps to 400 amps i_— 100.30 _ 2 77— 401 to 600 amps 133.75 2 __ _' +e"7.Acr Branch circuits-new,alteration,or Name: extension per panel: Address: f A Fee for branch circuits with purchase of 6.65 2 _ _ service or feeder fee,each branch circuit Cit /State/Zl B.Fee for branch circuits without purchase of 61- — —�----- - --- -- service or feeder fee,first branch circuit ) 46.85 y6 2 Phone: Fax: Each additional branch circuit 6.65 2 E-mail: Misc.(Service or feeder not included): Each pump or irrigation circle 53.40 2 Each sign or outline lightins 53.40 2 Job No: 5 7 g Signal circuit(s)or a limited energy panel, alteration,or extension Pae 2 2 Business Name: !ti l r n r l'r P o h r+ Description: Address: PO b"), Each additional inspection over the allowable In any of the above: City/State/Zip: Ti :;i Per inspection per hour(min. l hour) 62.50 1 - Phone: E r y 7 f 31 Fax: 6 z y e9 T a Investigation tee: _ ji" _ CCB Lic. #: 07J-6 3 5 Lic.#: 3Y t?B C Other: Supervising electriciaq,--- �__ ��� Subtotal S 5 7 1` ' si ature re aired: y� _ Pian Review(25°i°of Permit Fee) 1 $ Print Name: ^ iG Lic.#: /5 6 J_ S State Surcharge 8%of Permit Fee TOTAL PERMIT FEE 1 $ r Authorized Notice: 'This permit application expires If a permit is not obtained within Signature: — Date: 180 days after It has been accepted as complete. *Fee methodology set by Tri-County Building Industry Service Board. (Please print name) i:\Dsts,Permit Forros,ElePermitApp-doe 01103 Electrical Permit Application - City of Tigard Page 2 - Supplemental Information LIMITED ENERGY PERMIT FEES: RESIDENTIAL WORK ONLY: Feefor all systems............................................................ $75.00 Check Type of Work Involved: LJ Audio and Stereo Systems* FIBurglar Alarm Garage Door Opener* I[eating,Ventilation and Air Conditioning System* Vacuum Systems* Other _ _COMMERCIAL WORK ONLY: _ Feefor each system.......................................................... $75.00 (SFF.OAR 919-260-260) Check Type of Work Involved: MAudio and Stereo Systems u Boiler Controls El Clock Systems Data Telecommunication Installation Fire Alarm Installation L1 I IVAC Instrumentation Intercom and Paging Systems Landscape Irrigation Control* Medical Nurse Calls El Outdoor Landscape Lighting* Protective Signaling Other— --—-- — — _Number of Systems * No licenses are required. Licenses are required for all other installations i:\Dsts\Permit Fotms\ElcPetmitAppPg2,doc 01103