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10220 SW GREENBURG ROAD STE 380 o N N O z C w 00 0 i i 10220 SW GRCE:NBUIRG RU #380 1999 SAVE - HISTORICAL INFORMATION BUILDINGS) NAME CHANGE PER KIT CHURCH, ENGINEERING 10220 GREENBURG RD, LINCOLN II NORTH CHANGED TO 10220 GREENBURG RD, LINCOLN III 10220 GREENBURG RD, LINCOLN II SOUTH CHANGED TO 10220 GREENBURG RD, LINCOLN II CITY OF TIGARD ME:CHANICAL DEVELOPMENT SERVICES F'F • �. PERMIT #. . .. .. .. .. . : h1EC97-•039 , 13125 SW Hall Blvd.,Tigard,OR 972.23 (5173)639-4171 DATE ISSUED: 10/15/97 386 PARCEL : 1 S 135AB--1711 OO4 SITE ADDRESS. . . : 10,='_=0 SW GREFNBU Ria RD ry ZONING: C-F' SUBDIVIS10N. . . . BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . : JURISDICTION: TIG (;I_..ASS- OF�WOW. . :ALT -FLOOR TURN. . . . :�0 EVAP COOLERS: 0 TYPE Or USE. . . . :COM UNIT HEATERS. . : 0 VENT' FANS. . . : 0 )CCUPANCY GRP. . :B VENTS W/O Ap'F'I__: 0 VENT SYSTEMS: 0 - - BOILERS/COM�'RE55OR5 HOODS. . . . . . . : 0 DORIES. . . . . . . . . 0 FUEL TYF'FS--•-•- _..__ ..__._.._..._ 0--3 HP. . . . : lz1 DOMES. INCTN- Qi 3-15 HP. . . . : 0 COMML_ INCIN: 0 IMAX INPUT: 0 BTU 15- 30 FiP. . . . : 0 REPAIR UNITS: 171 FIRE DAMPER;?— : 30-50 HP. . . - 0 WOODSTOVES. . : 0 FiAS PRESSURE. . . : 50+ HP. . . . 0 CLO DRYERS. . : 0 IUO. OF UNITS -- --_ ---- AIR HANDLING UN I T'S OTHER UNITS. : 1 FURN ( 100 ', BTL;: 0 (- 1.0000 c f m: 0 GAS OUTLETS. : 0 FURN ) =100K PTU: 0 ) 10000 c f m : 0 Remarks : Relocate vise grilles and thero-stat, in an existing coseercial tenant ocpy. FEES INSURANCEOVERLOAD -^ -_- - -__ type amoi-Crit by date recpt 1O2E,o 5W GREENBURG RC1AP PRMT $ 25- 00 GEO 10/15/97 97--30009171 9(JITF 7,,10 SPCT $ 1. 25 GEO 10/1.5/97 97-3171009111 T I GARD OR 972,x'3-0000 Phone #: Contract or-: ----_- ____.___________-•---_._____ 14ORTH PACIFIC HEATING 33700 SE DUUS RD $ 26. 25 TOTAL E STACADA OR 970'23 f>hone #: Reg #. . : 000637 REQUIRED INSPECTIONS - --- --- This persit is issued subiect to the regulations contained ir• the Final Inspection Tigard Nunic',pal Code, State of Ore. Specialty Codes and all other -- applicable laws. All work will be done in accordance with ----- approved plans. This pereit will expire if work is not started _ - -- within 180 days of issuance, or if work is suspended for sore --- 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 95&NI-8010 through OAR 952-801-MO. You lay ---- obtain copies of these rules or direct questions to OW, by calling (583)2!,6-9187.1 so-le By Permittee Si gnats-1r,e :� 1 4-++4-t-++++4-4-++++4-4++++++4-+44-4+-f......t+++++++++-1-+++-F+++i-++++f-+++.......... ++++++ Call 639-4175 by 7:01 p. m. for inspections neerjed the next bl.'.siness day I � ++ ++++++++++++++++++++++++++++ ++++++++++++++++++++++++++++++++++++++++ ++++++__ Plan Check 9 CITY OF TIGARD McCI-iLanical Permit Application Rec'dBy_ 13125 SW HALL BLVD. Commercial and Residential UateRecd_ TIGARD, 6P 97223 Date to P E (503) 639-4171, x304 Date to DST rC � Print Or Type Permit rt Called Incomplete or illegible applications will not be accepted 11 pf DeveirprenbProgrt Description .jntp��y� , � Ay 1Tatle 1A Mechanical Code CITY PRICE AMT Job Street Address Sudes A) Permit Fee 0- -0- 1000 Address j�L• 4 B16go ciryr5tata ip R) Supplemental Permit 3,00 �1 Name mr name of business) 1 ) Furnace to 100 000 BTU 600 Owner r incl ducts g vents t M ing Addr ss 2.) Furnace 100,000 BTU+ 750 / 1 .. incl ducts&vents yrSte r -.p Phone 3) Floor Furnace 6.00 77" 'D?- G> incl.vent Iiii(or name orbusiness) 4 1 Suspended heater,wall healer _ ti 00 ' or floor mounted heater _ Occupant Mailing Address 5J vent not incl in { 300 ze'�� ) _ appliance permit Cpristat Zip plr a 6) 9oiler or comp neat pump,air Gond 6 00 _ y _ t)3 HP;absorp unit to 100K BTU Contractor •'^" . -- 7) B-der or comp,heat pump,air Gond. 11 00 (Pnor to3-15 HP;absorp unit to 500K BTU issuance Millfing Address 8) Boer or comp,heat pump,a+r cond 1500 applicant +' - ) 15-30 HP;absorp and 5-1 and BTU - - must provide alldy t • Zip hone 1) Boiler or comp,heat pump air Gond. 22 50 contractor A?•_ _ 30-50 HP absorp unit 1.1 75 and BTU license 0regon Conn4 ROOM lir a Exp Oate 10) Boiler or comp,heat pump,air Gond. 37.,0 information - -' >50 HP,absorp unit 1 75 mil BTU Tor COT COT Busnesa Tax Metro a -- E,ip 0ate 11.) Air handling unit to 4 50 database) - 10.000 CFM _ AfChiteCt Nri a a 12) Air handling unit 7.50 _ 10.000 CTM+ _ or beading Address 13) Non portable 4.50 _ evaporate cooler Engineer (rtv,Siate ZZIP I Phone 14.) Vent fan connected 300 _scri_ __ _^ to a single duct Debe wort- New O Addition O Alteration O Repair O 15.) Ventilation system not 450 to be done Residential O Non-residential O included in appliance permit Additional Description of work 16) Hood served by mechanical exhaust 450 i✓ �.'� 171 Domestic incinerators _ 7 50 Existing use o „ 18) Commercial or industnaltype 3000 budding or property incinerator 19) Repair urds 450 _ Proposed use of 20) Woocistove 4 50 budding or property 21) Clothes dryer.etc 4 50 Type of fuel-oil O natural gas O LPG O electnc O _ 22) Other units / 450 I hereby acknowledge that i have read this application,that the 23) Gas piping one to four outlets 100 information given is correct,that I am the owner or authorized agent of _ the oviner,that plans submitted are in compliance with Oregon State 24) More than 4-per outlet (each) 50 Taws l / Signature of Owner/Agent Date QTY.SUBTOTAL ~� 'SUBTOTAL I Contact Peron Narlt - P1110M 5°'o SURCHARGE PIAN REVIEW 25%OF SUBTOTAL_ TOTAL dsrimechpmt doc (rev-i96) 'Minimum permit fee is S25+5%surcharge CITY OF TIGARD DEVELOPMENT SERVICES 13125 SW Hall Blvd.,Tigard,OR 97223(503)639.4171 CERTIFICATE OF OCCUPANCY PERMIT #. . . . . . . z PUFF )'7 �4H. DATE Vi5UE!•1a 11/05/97 PARCE L.a 1513�;F'1R 4�1 004 ;ITE ADDPEG,:" . . . : 10220 SW GRL,1-_NBURG RD #G380 UBDIVISION. . . . :TWO LINCOLN - TOWN DF ME'T1:OER ZONING:C--P Il_C)i;K. . . . . . . . . . . 1_.01.. . . . . . . . . . . . . . JURISDICTION. 1 1.C. LASS OF WORD(. z AL.T I YPF OF U SE::. . . c CGM I YPE:; Or CON ATR z JN OCCUPANCY GRP. :[A OC CUPPINC:Y I._00D: 0 TENANT NAME. , . : INE-AIRANCE OVE:RL.CAT) ;`emiwks : Ionant Improvements i.NICKERDOCKE:R PROPEPTIES INC fit] NORR I S, BEGGS R [ I hIP50N 10300 SW r REENSURG RD #200 1IGARD OR 9*7223 'horse #I AONF=E:R CON 7TRl.JCT ON SERVICES "'O FAOX 68304 1 I 1_lJA1.1F4 I F: OR Ci 700') /L'. 8 ' 'hone #o 65iE.— i050 !Jeq #. . z 001197 This Certificate grants occupr;,nc._y of the ibove r- refer,enced building or portio. ,,hereof PTid confirms that the building has been inspected for romp.lianc:e witi he estate of Orgon Specialty Codes for t:he grOkIFt, occupancy. alld use under, �•hir.h the refereancod permit was i �t;lied. 1 !., FYCTCIR DLIII. T)IIW., 0(r .IC:IAI_. �. PO£3 T IN CONSPICUOUS PEACE CITY OF TIGARD DEVELOPMENT SERVICES BUILDING PERMIT 13125 SW Hall Sh'd,Tigard,OR 97223 (503)639.4111 PERMIT #. . . . . . . : BUP97-0482DATE ISSUED: 10/15/97 -360 PARCEL: IS135AB--01004 SITE ADDRESS. . . : 10220 SW GREENBURG RD #S�.;� SUBDIVISION. . . . : ZONING:C—P BLOCK. . . . . . . , , . . LOT. . . . . . . . . . . . . . JURISDICTION:TIG REISSUE: FLOOR EXTERIOR WALL CONSTRUCTION— CLASS OF WORK. :ALT FIRST. . . . - 0 S N: S: E: W: TYPE OF USE. . . :COM SECOND. . . : 0 Sf PROTECT OPENINGS?— TYPE OF CONST. -5N ' ­ : 0 Sf N: S.- E: W: OCCUPA14CY GRP. :B TOTAL---------: 0 Sf ROOF C019ST: FIRE RET ) : OCCUPANCY LOAD: 0 BASEMENT. : 0 Cif AREA SEP. RATED: STOR. : 0 HT: 0 ft GARAGE. . . : 0 Sf OCCU SEP. RATED: BSMT'.': MEZZ'..7: REOD SETBACKS...___.._---..___ REQUIRED- — --- ---- -- --- --__.._ FLOOR ETBACKS­—­ FLOOR LOAD. . . . : 0 psf LEFT: 0 ft RGHT: 0 Ft FIR SPKL: SMOK DET. . : DWELLING UNITS: o FRNT: 0 ft REAR: 0 ft FIR ALRM: HNDICP ACC: BEDRMS: 0 BATHS: 0 TMP SURFACE: 0 PRO CORR: PARKING: 0 VALUE. $: 12000 Rpmat-ks: Tenant improvements mithin an existing commercial building. Owner,: FEES INSURANCE OVERLOAD type amol-int by date r-ecpt 10220 SW GREENBURG ROAD PRMT $ 92. 50 GEO 10/15/97 97-300100 SUITE 310 5PCT $ 4. 63 GEO 10/15/97 97-300100 TIGARD OR 97223--0000 PLCK $ 60. 13 GEO 10/15/97 97--300100 Phone #: 000-000-0000 FIRE $ 3-, . 00 DEO 10/15/97 97-300100 Contv-actor: --__ -.._-----.---__—_----_—_.— PIONEER CONSTRUCTION SERVICES PO BOX 68304 MILWAUKIE OR 97009-7268 Phone #.- 652-1050 $ 194. 26 TOTAL Reg #. . : 001. 197 ------- REQUIRED 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 approved plans. This permit will expire if work is not started within 18@ days a' issuance, or if work is suspended for more than 180 days. ATTEND ON: Oregon law requires you to 'allow the rules adopted by the Oregon Utility Notification Center. Those - rules are set forth in DAR 952-001-NI0 through BAR 952-00101987. You many obtain a copy of these rules or direct questions to OLK by calling (503)246-1987, Per-mittee Signattar-e :'�rl Iss'.(ed By : +++++++4-++++4................ ..................... +++++++++ ++++ ............. Call 639-4175 by 7:00 p. m. for an inspection needed the next bi.tsiness day ..........................4 ..................................... ................. (27Y OF TIGARD Commercial Building Permit Recd By 13125 SW HALL BLVD. Tenant Improvement Date kec'd 'C)4 V 9 TIGARD, OR 97223 Date to P.E. `r" (503) 639-4171 Cate to DST Permrts�!���''Y� Print or Type r.",. Related SWR incomplete or illegible applications will not be accepted Called_______ --Nante alled___ _ -Name of Devebpment/Proiect �, �- Existing BuildingNew Building 0Joh Ligcs, 6E50TCr' Address Street Address _Suite — Building U) 60 30o Data Bldg# y/slate Zip Existing Use of Building or Prcperty. Name e LaW,iU Poc,"AHDlo4 11=0> j I t : G F-FIG6 _ PropertyProposed Use of Building nr Propert k _ rP I HG I Owner" Mailing Address Suite 1 . 0 Fit C4E losoo So 6[I�IiSwe�;' 460 No. Of Stories: City/State Zip phone 5 v--(1I E-5 Wer or- q. Ft, Of Project. Occupant Name i 0 IN50CANCI5 OVeX46Ab O cupancy Class(es) Name (�> of:3--IC 6 Contractor Tfa G ��.� ���IE Q t Type(s) of Construction Prior to permit Mailing Address Suite _ issuance,a copy Wil! this project have a Fire Suppression System? of all licenses -Fo VPOK !ID" 0SL _ Yes are required if City/Slate Zip Phone — ��_-, No [_] expired in c.o.T. Americans with Disabilities Act(ADA) database I1 ,Wide 04� _ 1ZV L5-L-I050 Valuation X 25% - $ ^Participation Oregon Ginst,Cont. Board Lic.# Exp.Date Complete Accessibility Form Il I Z� g Project ! --- -�'— Name `�� Valuation 00 Architect _ GWM615_ ,16 e'S Plans Required: See Matrix for number of sets to submit Mailing Add ess Suda on back 92d Sa�Lp AVE _ X4000_ - ----- —. City/State Zip Phone 1 hemby acknowledge that I have read this application, that the informaticn _ flo(Z"NO_o 6L FTtof 041-r St given is correct,'hat I am the owner or authorized agent of the owner,and Name -- that plans submitted are in compliance with Oregon State Laws. Engineer � Q''r IQSig�ure of Oi/Agent Date Mailing Address I / .onta/ct 1,1erson Name � Phone City/Stale Zip Phone ! _ 1 i/ � ✓/ 2Z� � �J�b FOR OFFICE USE ONLY Indicate type of work New 0 Addi,ion O Demolition O —' --— --- - Accessory Slnicture 0 Foundation Oily O Alteralion M PRS# Repair O O'her O Notes: ----- Description of work: SNA NT TIF — _---- I Parka: Estimated M of Employees Note: Site Work Permit Appllcatlor must precede or accompany Building Permit Application I�COMNEW DOC (DST) 8/97 COMMERCIAL PLAN SUBMITTAL REQUIREMENT MATRIX Applicant DST's to Plans Examiner�-Plans Examiner to DSTs Initial No. Plans required to complete Plans Routing (processing(see note a.) Submitted TYPE OF S1113MIT YAL TOTAL CPE PPE EPI~ CPE PPE EPE SI'I1" ! 1 -- -- 3 (I,o,u) -- - B (New or Add) 1 1 -- -- 3 O,o.w) -- -- F (New or Add or Alt.) 3 3 -- -- 3 (j,o,f) M (New or Add. or Alt) t i -- -.• 2 B & M (New or Add) 1 1 -- - 3 (j,o,w) -- P (New, Add. or Alt) 2 ? _ 2(j,o) B & M & P (New or Add.) 2. 1 1 -- 3 (j,0,w) 20,0) -- E (New, Add, or Alt) 2 _-- _- �2 __ -- 2(1,o) — B & M .8, P & E (New, Add) 3 1 1 1 3 (j,o.w) 2(j,o) 20,o) B or B & M (Alt) 1 -- - 20.0) - -- B & M & P (Alt) 3 1 2 -- 2 (j,o) 26,o) -- B & M & P & E (Alt) 3 I 1 1 2 (j,o) 2 (j,o) 20,o) NOTES; a. The applica,it will be requested to submit the correct number of j =Job B = BUP revised plans when all plan review issues have been resolved. o Office N1 = MEC f= Fire P = PLm b. Shaded areas designates initial submittal requirements. u = USA E = ELC CITY OF TIGARD ELECTRICAL PERMIT DEVELOPivii-NT SERVICES PERMIT #: ELC97-0676 13125 SW Hall Blvd., Tigard,OR 97223 (503)639.4171 C� DATE. ISSUED: 10/14/97 ? 161 PARCEL: 1 S 1,_5nB-1 l oO4 SITE_ ADDR(75S. . : 10220 SW GREE'NRURG RU #s_=; CITY OF TIGARD Electrical Permit Application Plan Check#_ 13125 SW HALL BLVD, Recd By TIGARD OR 97223 Date Rec'd__ Date to P.E. _ Phone (503)639-1171,x304 Date to DST Inspection 503 639 4175 Print or Fype P ( ) I ax (503)684-7297 Incomplete or illegible will not be accepted Permit#f�evI? Called I, Job Address: 4. Complete Fee Schedule Below: Narrie of Development LINCOLN CENTER LINCOLN II Number of Inspections per permit allowed Name(or name of business) INSURANCE OVERLOAD Service included: Items Cost Sum Address10220 SW GREENBURG RD SUITE 310 4s. Residential-per unit TIGARD OR 1000 sq,tt.or Icss $110.00 City/State/Zip/Zip Each additions;500 sq.ft.or Commerci Residential ❑ portion thereof $25.00 Limited Energy $25.00 Each Manut'd Home or McHular ROSS CROSBY GEN:PTONEER CONST. Dwelling Service or Feedr.r $68.00 2a. Contractor installation only: (Attach copy of II urrg 1J r�es 4b.Services or Feeders Electrical Contracto, 8HV1rr l'VW �:LECTRIC, INC. Installation,alteration,or relocation 200 amps or less $60.00 Address_111 S.W.CbLTIfYiBLK, --9iTI'Pir-7�8i� -- - 2 City-PORTLAND _ state OR. Zip 91201-5>;R6 401 amps to 600 amps $120.00 201 amps to 400 amps $80.00 9 Phone No,_503-241-4812 _ _ 601 amps to 1000 amps $180,00 2 Job N0. 222-8399 Over 1000 amps or volts $;+40.00 2 Elec. Cont. Lice. No. 26-34C _Exp.Date O Reconnect only $50.00 2 OR State CCB Reg. No. 00458 Exp.Date f _ 4c.Temporary Services or Feeders COT Business Tax or Metro No. 5246 Exp.Date _ Installation,alteration,or relocation 1 - 200 amps or less i $50.00 _ Signature of Supe' 201 amps to 400 amps $75.00 2 401 amps to 300 nmoa $100.00 2 License NO. 8735 over 600 amps to 1000 volts, _ Exp.Date see"b"above. Phone No. 503-241-4812 - 4d.Branch Circuits Now,alteration or extension per panel 2b. For owner installations: a)The fee for branch circuits with purchase of sirvlce or Print Owner's Name feeder fee. Address Each branch circuit $5.00 2 b)The leo Io,branch circuits City State_____ Zip without purchase of Phone No. service or feeder fee. First branch circuit 1 $35.00 35. The Installation is being made on property I own which is not Each additional branch ci cult�� $5.00 ��n2 intended for sale,lease or rent. 4e.Miscellaneous Owner's Signature _ �- Eachlce or feeder not pump or Irrigation circle ) $40.00 2 Each sign or outline lighting $40.00 3. Plan Review section (if required):# Signal circult(s)or a limited energy panel,alteration or extension $40.00 2 Minnr Labels(10) $100.00 Please check appropriate Item and enter fee in section 5B. 4 or more residential units in one structure 4f.Each ndditlonal Inspection over Service and feeder 225 amps or more the allowable In any of the above System over 600 volts nominRl Per inspection $35.00 _._. Cf,nssified area or structure containing special occupancy Per hour y $55.00 as described In N.E.C.Chapter 5 In Plant $55.00 Submit 2 sets of plans with application where any of the above apply. 5. Fees: Not required for temporary construction services. 5n.Enter total of above fees $ 45. 5%Surcharge(.05 X total fees) $ --7-2 5 NOTICE Subtotal $ 5b.Enter 21-,"o of line Se for PERMITS BECOME VOID IF WORK OR CONSTRUCTION AU"HORIZED IS Plan Review If required(Sec.3) $ ---47.25 NOT COMMENCED WITHIN 180 DAYS,OR IF CONSTRUCTIC N OR WORK Subtotal $IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED. ❑ Trust Account# Total balance Due $ 47.29 1:05Ta1ELCOG APP Rev OW _ .