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10220 FW GREENBURG ROAD .�
r Tnrnnr to TT conn SUITE 360 \I
CITY OF TIGARD
14 DEVELOPMENT SERVICES
AULAM 13125 SW Hall Blvd., 'r1gxd,OR 97223 (503)639.4171
CERTIFICATE OF
OCCUPANCY
PERMIT #. . . . . . . : BL1P96-037--'
DATE 1�;GIJED: 1. 1/01 /96
PARCEI-j
ITE ADDRESS. . . x 102216 SW GPEENSURG RD #360
UBDIVISION. . . . : ZONINGiR-12
�I-OCK. . . . . . . . . . LOI.. . . . . . . . . . . P . 0
�-A9S OF WORK. eALT
ePE OF USE. . . :COM
IVPE OF CDNSI'RcRFR
OCCUPANCY GRP. v 8
UCCUPANCY LOAD: it
TENANT NAMIZ. . . jFIRST UNTON HOME EULUTY CORP
Remarks : Tenant Impt-ovioment
Ownvv,s
NORRIS BEGGS & SIMPSON
tO220 SW GREENDURG RD
'.;LJITE. 235
TIGARD OR 97223
I-'hone #x 503-452-1-5900
Contv-actors
MALIBU PACIFIC
35 NE JACKSON SCHOOL ROAD
111LU300RO OR 97124
hone #1 693-9797
eg #. , a 059045 ►
(-E,r�tificate grants occupancy of the above referenced building or, portion
*hereof ind LUnfirms that the building has been inspected for- compliance with
the Rtate of W'gotw Specialty Codes for the group, coupaiZ7y, and use under,
r0ch the refet,enced pet-mit was issued.
-901 10 46,
MENCEff--WWI
111DINGIr.-WIECTOR BUILDING —0E-F--ICI! nL.
POST 1N C0W'!CUOLJS PLACE
1999
SAVE - HISTORICAL INFORMATION
BUILDINGS) NAME CHANGE
PER KIT CHURCH, ENGINEERING
10220 GREENBURG RD, LINCOLN II NORTH
CHANGED TO 10220 GREENBURG RD, LINCOLN III
1.0220 GREENBURG kD, LINCOLN II SOUTH
CHANGED 1"0 10220 GREENBURG RD, LINCOLN II
CITYMJF
BILDITIGARD PERMITU#. . .. .NG PEPERMIT. . . t BIJP96-0373
COMMUNITY DEVELOPMENT DEPARTMENT DATE ISSUED: 09/12/96
13125 SW Hall Blvd. rigard,Oregon 97223o8199 (503)639.4171 PARCEL: 'AS135AB-01002
SITE ADDRESS. . . : 10220 SW GREENBURG RD #360
SUBDIVISION. . . . : ZONING:R-i2
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . :8
..—---------------------------------I---------------------------------------------- --... ........
IREISSUEt FLOOR AREAS----------- EXTERIOR WALL CONSTRUCTION-
CLASS OF WORK, :ALT FIRST. . . . : 0 sf N.- S.- E: W1
TYPE OF USE. . . :COM SECOND. . . : 0 sf PROTECT OPENINGS?--
TYPE OF CONST. :2FR 3RD . . . . 1297 sf N: S: E:
OCCUPANCY GRP. :B TOTAL--------: 129*7 sf ROOF CONST: FIRE RET":):
OCCUPANCY LOAD: 11 BASEMENT. : 0 sf AREA SEP. RATED:
STOR. : 0 HT: 0 ft GARnGE. . . 0 sf OCCU SEP. RATED:
SSMT?: MEZZ?- REUD SETBACK"' REQUIRED--------------------
FLOOR LOAD. . . . - 0 p s f LEFT.- 0 f t tkGHT.- 0 f t FIR SPr-',L:Y SMOK DET. . :Y
DWELLING UNITS: 0 FRNT: 0 ft REAR: 0 ft FIR ALRM:Y HNDICP ACC:Y
SEDRMS: 0 BATHS- 0 IMP SURFACE: 0 PRO CORFR-Y PARKING: 0
VALUE. $ : 20616
Remarks : Tenant lmprovtrment
Owner,.- FEES
NORRIS BEGGS & SIMPSON type A1101ant by date rer-pt
10220 SW GREENBURG RD PLCK $ 95. 23 08/09/96 9E 282772
SUITE 23b FIRE $ 58. 60 08/09/96 96-282772
TIGARD OR 97223 PRMT $ 146. 50 JDA 09/12/96 96--283892
Phone #-. 503-452-5900 '5jP(-.T $ -1. 33 JDA 09/12'/96 96-283692
Contractor,.
MALIBU PACIFIC
735 NE JACKSON SCHOOL ROAD
HILLSBORO OR 97124 ------------------------------------
Plione 0.: 693-9797 $ 307. 66 TOTAL
Reg #. . .- 059045
REOUIRED INSPECTIONS -------
This persit 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 SLtsp Cel. Ing Insp
approved plans. This persit will expire if work is not started
within 180 days of issuance, or if work is suspended for sort
than 180 days.
P e t-m i t t P e .-3i tj n a t ti t-
I s s 1-t e d b
iA I I for inspection 639--4175
Commercial QuAidinaPermit Application
Ge..t o.:' T%.lord
131:25 S!,'/ Mall Blvd. I 1 �: 3 �f/t'f p�
Tigard, OR 97223 � (n
(503) 639-4171
Jobsite A dress: /C2 2n G"Jc�
( Office Use Only
r enant• ' Suite#
Planck/Rec#
Valuatio C>�n
.� Permit# �U Q CJ ►
Owner: � ��'� L,�/ - Map & TL#
Address: A royals Required
Planning .______
Phone: -J�,�� J Z ' _' /�/�' Engineering
Other
Contractor:
Address: V39 �- 1i�
�UJ'7J/ _._� Type of const: _
Occupancy class: _
.hong,- e--'—Or
� _
OF Sprinklered? (Ye) No
Contra,;tor's License # '�/ / �./
attach copy of current Oregon Iken.se) Sy. ft. of project: i ./ T T
�pfd
Contact name & phone( *� _ Story (1st, 2nd, etc.) _
Proposed use:
G' Previous usa:
Address.
Note: bing K mr-chanical plans
must be submitted at time of
building permit application.
Phone:
JOB DESCRIPTION: f"' �`�2r Ae "1319-tiff
App c nt Phone number
Received by: `� -�'"� ' Date Received: __
PERMT
CITY OF TIGARD I'-IERMITELECTRICAL#: ELC96—I0591
COMMUNITY DEVELOPMENT DEPARTMENT DATE ISSUED: 09/10/96
13125 SW Hall BVid.Tigard,Oregon 97223*81;9 (503)639.4171 PARCEL: 1`3135AB-01002
SLITL (41)DREGS. . . : SW BREENBURG RD #360
SUBDIVISION. . . .. : ZONING:R-12
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . :8
F'roject Description : Installing six branch circo.tits.
--- RESIDENT'IHL UNIT---- ---TEMP SRVC/FEEDERS---- -----MISCELLANEOUS------
1000 SF OR LESS. . . . : o 0 200 amp. . . . . . . : 0 PUMP/IRRIGATION. . . . .- 0
EACH ADD' L 500SF. . . -, CA 201 400 amp. . . . . . . a 0 SIGN/OUT LINE LTG. . : 0
LIMITED ENERGY. . . . . : o 401 600 amp. . . . . . . 1 0 SIGNAL/PANEL.......: 0
MPINF. HM/ SVC/FDR. . : 0 6014-AMPS-1000 volts. : 0 MINOR LABEL ( 10) . . . : 0
-----'7ERVICE/FEEDER--- -----BRANCH CIRCIJITS------ ----ADDIL INSPECTIONS—-
0 — 200 amp. . . . . . : 0 W/SERVICE OR FEEDER: 0 PER INSPECTION. . . . . : 0
,201 — 400 amp. . . . . . : v
1st W/O SRVC OR FDR. : I rER HOUR. . . . . . . . . . . :
401 — 600 'Zi EA ADDIL BRNC14 CIRC: 5 IN PLANT. . . . . . . . . . . 0
1000 amp. . . . . : 1A REVIEW SECTION——
amp/volt. . . . . : 0 )=4 RES UNITS. . . . . . . . : ) 600 VOLT NOMINAL. . :
Reconnect only. . . . . : 16 SVC/FDR ) = 225 AMPS. . : CLASS AREA/SPEC OCC. :
Owner: ----------------------------------------------------------- FEES -----------------
I ST UNION type #,.A in a i-i n t by date recpt
10220 SW GREENBURG RD #360 PRMT $ 60. 00 CJS 09/10/96 96-283750
I' IGARD O�� 54-PCT $ - k?10 (.-,JS 09/10,'96 96-283750
Phone #.
Contractor.-
CHR ISTEN SON ELECTRIC INC 4 63. 00 TOTAL
III SW COLUMBIA
SUITE 48Z REQUIRED INSPECTIONS
TIGARD 013 972`23-5886 Wall cover Elect' l Service
Phone #: 503-241-4812 Undergrotind Cove Elect ' l Final
Reg #. . : 00458
This oervit is issuld subject to the regulations contained in the
Tigard Munu-ipal i_odv, State of Ore. Specialty Codes and all other FerraTtt'ee Signat Ltre
applicable laws. All work will be done in accordance with
approved plans, This posit will expire if work is not started
within 180 days of issuance, or if work is suspended for sort
than IN days. Iss�ted By
INSTALLATION
The installation is being made on property I own which is not intended for
s -,Ale, lease, or rent.
OWNER' S SIGNATURE:
DATE.
INSTALLATION
q13NATURE OF SUPR. ELECIN: DATE.-
LICEN'3E NO:
Call for inspection — 639-4175
1
Community Development ELECTRICAL PERMIT APPLICATION
13125 SW Hall Blvd
Tigard, OR 01223 Permit tt FFCor-C)5n/ `-
Date Issued _—___--
Phone (503) 639-4171
CITY �F TIGARD FAX (503) 684-7297
TDD No. (503) 684-2772
Inspection (503) 639-4175
1. Job Address: 4. Complete Fee Schedule Below:
LINCOLN CENTER -
Name of Development ^� Number of Inspections per permit allowed
Address 10220 SW GREENBURG RD Service included Items Cost(ea) Sum
City/State/Zip TIGARD _ 4a. Residential -per unit
IST UNION SUITE 360 1000 sq. If or less $11000
Name (or name Of business) Each additional 500 sq ft or
portion thereof $2S 00 --_---- --
Commercial
_Commercial Residential ❑ I.imliedEnergy Y $25013
Each Manuf'd Home or Modular
Dwelling Service or Feeder _^ $6800
i
2s. Contractor installation only:
ROSS CROSBY 4b. Services or Feeders
CHRISTENSON ELECTRIC, INC Installations or letlon,orrelocetion $6000 2
Electrical Contractor 200 amps or less — — i
Address 111 SW E 201 amps to 400 amps $8000 _ 2
Cit pOH J State OR zip 97201-581`3 r 401 amps to 600 amps —_ $120.00 2
Y p cot amps to toxo amps $180.00 2
Phone N��12 over 1000 amps or volts $34000 2
Job NO 222-8371 Reconnect only $50.00 2
contractor's license NO.-26-34C 4c. Temporary Services or Feeders
Contractor's Board--Reg No—, 0 458 Installation,alteration,or relocation
Signature of SLIOr-,Electra .^-� 200 snips or less 2
License No Phone No. 201 amps to 400 amps $5000
7_9 S ZL►.Lc -- 401 amps to 600 amps $7500
over 600 amps to 1100n vols $10000 -
2b. For owner installations: see"b"above
4d. Branch Circuits
Print Owner's Name �_. New,alteration or extension per pane
Address e)The fee for branch circuits with
C;l State Zlp purchase of service or reader fes.
y _ — Each branch circuit S500
Phone No, bl The fee for branch circuits without
The instalfaUon is being made on property I own which is purchase of service or feeder fee. 1 35.
not intended for sale, lease or rent. First branch $$Soo
Each additionnalal branch circuit � 55 ou �,—
Owner's Signature _ 4e. Miscellaneous
(Service or feeder not included)
3. Plan Review section (if required): Each pump or hrigatlon circle $40 W
Each sign or outline lighting $40 00
Signal circud(s)or a limited energy
Please check appropriate item and enter fee In section FB. panel,alteration or eylension $4000 —
_ 4 or more residential units in one structure Minor Labels(10) $100 00
Service and feeder 225 amps or more
System over 600 volts nominal 4f. Each additional Inspection over
Classified area or structure containing special occupancy the allowable In any of the above
as described in N E C Chapter 5 Per Per hour $5500 on $3500
sss oa
In Plant — _ $5500
Submit 2 sets of plans with application where any of the above
apnl-v Not required for temuorary construction services. 5. Fees:
5o. Enter total of above fees $ 60.
NOTICE 5%Surcharge (05 X total !ees) $ V�
PERMITS BECOME VOID IF WORK OR CONSTRUCTION Subtotal
AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS OR IF Sb. Enter 25% of tine A for
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR Plan Review if required (Sec 3) $ __
A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS Subtotal s
COMMENCED. om,*••• -� Trust Account#
qm.dry
Balance Due g 6 3.