10300 SW GREENBURG ROAD STE 210-1 f
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10300 SW GREENBURG ROAD, SUITE 210__,_
:4 r K:.
CITY OF TIGARD
DEVELOPMENT SERVICES BUILDING PERMIT
13126 SW Hall Blvd., Tigard,OR 97223 (503)639.4171 PERMIT #. . . . . . . : BUP96-041, ,
DATE ISSUED: 10/08/96
PARCEL: IS135AB--01003
SITE ADDRESS. . . : 10312)0 GW GREENBURG RD #210
SUBDIVISION. . . . : ZO1\ITN(3:Cr_1
BLOCK.. . . . . . . . . . : LOT. . . . . . . . . . . . . :
----------------------------------------------------------------------------------------------
REISSUE: FLOOR AREAS---------- EXTERIOR WALL CONSTRUCTION-
CLASS OF WORK. o.AL.T FIRST. . . . : 0 sf N: S. E: W1
TYPE OF USE. . . -.COM SECOND. . . : _-,47 sF1 PROTECT OPENINGS?--__.._-__._....
CYPE
PENINGS?-----
rYPE OF CONST. :2FR 0 sf N: S: E: W:
OCCUPANCY GRP. :B TOTAL-------: 2247 sf ROOF CONST: FIRE RET? :
OCCUPANCY LOAD: 22 BASEMENT. : 0 sf AREA SEP. RATED:
STOR. .- 0 HT: 0 ft GARAGE. . . : 0 sf OCCU SEP. RATED:
BSMT? : MEZZ? : READ SETBACKS------ REQUIRED____---______
FLOOR LOAD. . . . : 0 psf LEFT: 0 ft RGHT: 0 ft FIR SPKi_:Y SMOK DET. . :Y
DWELLING UNITS: 0 FRNT: 0 ft REAR: 0 ft FIR ALRM:Y HNDICP ACC:Y
BEDRMS: 0 BATHS: 0 IMP SURFACE: 0 PRO CORR:Y PARKING: 0
VALUE. $: 12200
RemarNs : Tenant Improvement remodel
Owner: FEES
NORRIS BEGGS & SIMPSON type amount by date recpt
10220 SW GREENBURG RD PLCK $ 64. 03 08/22/96 96-283185
FIRE $ 39. 14.0 08/22/96 96-283185
TIGARD OR 97223 PRMT $ 98. 50 DST 10/08/96 96-284905
Phone #: 452-5900 5PCT $ 4. 93 DST 10/08/96 96-284905
Cont rac,tort
MALIBU PACIFIC
735 NE JACKSON SCHOOL ROAD
HILLSBORO OR 97124
Phone #: 693-9797 $ 206. 86 TOTAL
Reg #. . : 059045
...... REDUIRED INSPECTIONS
This perait is issued subject to the regulations contained in the Framing Insp
Tigard Municipal Code, State of Ore. Specialty Codes and all other Insulation Insp
applicable laws. All work will be done in accordance with Gyp Board Insp
approved plans. This pervit will expire if work is not started Susp Ceilng Insp
within 180 days of issuance, or if stark is suspended for sore
than IN days.
"F-rMittee Sigtiature : ki,%-,. J&'fy�''
V,
Issued By : QUJJ'\—, kklt� ,
U Call for inspection 639- 1075
i
Commercial Building Permit Aplicatioq
City of Tigard / 70,jf kilyb
15125 SW Hall Blvd.
Tigard, OR 97223 /` ��
(503) 639-4171
Jobsite Address:
Office Use Om
Tenant:Qo(� f ( Suite#
Planck/Rec #
Permit # 1 0 q1F
Owner- � j fLfni f�-(a .S�'.�DA� - Map & TL # J '- ,c f - v tdc
Address �� S'.W. a/zfi�Lt(LG, t<n
Approvals Required
AftD Planning
Phone: 4`,? .5C Y
Engineering
Other
I
Contractor: Q -FtCE0&4 7, --_--------._..._----_-------
Address: v� Q0 rI ru—L.k /
Type of const:
Occupancy class:
Phone:
Sprinklered? Yes No
Contractor's License #
(attach copy of current Oregon license) Sq. ft. of project:
c� f Nn
Contacr name & phone: D( k h Stoiy (1st, 2nd, etc.)
--� Proposed use ��-KJZyLA-L �,L�.
Arch itecUEngineer: LNA2,4 , 1-20L-41 TH &AICE LAS?AJ,14
_ Previous use.
Address �' .� .' s ,��/ i�.l� M.��u S �ri= _��4
Note Plumbing & mechanical plans
must be submitted at time of
Phone
building permit application
��d -�'«J —. -----
JOB DESCRIPTION. j ,4�}A17 1 � 1F2��L ✓1�►V"r �cEMO()EL _ _ _^ _
( z-• —1fi Lam' zt+�
Appli ant Signature' & Phone number
Received by Date Received: t
Permit At Account Description Amount Amt. Pd. Sial. Due
Bldg. Permit (BUILD) f �+� "�'�' ' �!
_T Plumb. Permit (PLUMB)
Mech. Permit (MECN)
State Tax (TAX) � `, �-�4�
Bldg:
Plumb:
Mech:
Plan Check (PLANCK) i
Bldg: ---__.�—
Plumb:
Mech:
Sewer Connection (SWUSA)
Sewer Inspection (SWINSP)
Parks Dev Charge (PKSDC)
Residential TIF (TIF-R) —
Mass Transit TIF (TIF MT)
Commercial TIF (TIF.-C)
Industrial 'TIF (TIF-1)
Institutional TIF (TIF-IS)
Office TIF (TIF-O)
Water Quality (WQUAL) r
Water Quantity (WQUANT)
Fire life Safety (F L-3),
Erosion Cntrl Permit (ERPRMT)
Erosion PlanckJUSA (ERPL.AN)
Erosion Planck/COT (EROSN)
TOTALS:
E -
CITY OF TIGARD
DEVELOPMENT SERVICES
13125 SW Hall Blvd., Tigard, OR 97223 (503)639.4171 ELECTRICAL PERMIT
I_,r_RM I T #: ELC96-0637
DATE ISSUED: 10/07/96
F-'AR(.'El.._: 1 S 135AB- 01003
SITE AD?iRESS. . . : 1.0301 SW GREENBURG RD #210
SUBDIVISION. . . . : ZON 1 NG:C:—p
BLOCK. . . . . . . . : LOT. . . . . . . . . . . . . :
Project Description: Tenant Impr^ovement remodel
-----------------------
-- -RESIDEIV7IAL UNIT--_.-.-. _-__TEMP SRVC/FEEDERS---.—.- -------MISCELLANEOUS---..-_
1030 Sr OR LESS. . . . : 0 0 21ZIO amp. . . . . . . : 0 PUMP/IRRIGATION. . . . : 0
EACH ADD' L 5006F. . . : 0 201 — 400 amp. . . . . . . : 0 SIGN/OUT LINE LTG. . : 0
LIMITED ENERGY. . . . . : 0 401 •-- 600 amp. . . . . . . : 0 SIGNAL../PANEL. . . . . . . : 0
MANF. HM/ SVC/FDR. . : 0 601+amps--1000 volts. : 0 MINOR LABEL. (10) . . . : 0
..--------SERV ICE/FEEDE=R------ --------BRANCH C I RCI l I TS _._.... __._....ADD' l_ INSPECTIONS —
0 .,='00 amp. . . . . . : 0 W/SERVICE OR FEEDER: 0 PER INSPECTION. . . . . : 0
201 - 400 amp. . . . . . . 0 ) st W/O SRVC OR FDR. : 1 PER HOUR. . . . . . . . . . . : 0
401 - 600 amp. . . . . . : 0 EA ADD' L PRNCH CIRC: 5 IN PL.ANT. . . . . . . . . . . .. 0
601 - 1000 amp. . . . . : 0 REVIEW SECTION---.------ -----_.-
10004- amp/volt. . . . . : 0 ) =4 RES UNITS. . . . . . . . : ) 600 VOLT NOMINAL.. . :
Reconnect only. . . . . : 0 liVC/FDR > = 225 AMPS. . : CLASS AREA/SPEC OC(. . .*
Owner: FEES
NORRIS BEGGS & SIMPSON type amount by date recpt
PRMT t 60. 00 ,JDA 10/07/96 96-•284848
5PCT $ 3. 00 JDA 10/07/96 96-284848
OR
Phone #s
Contractors
CHRISTENSON ELECTRIC INC $ 613. 00 TUTAL
1111 SW COLUMBIA
SUITE 480 ---- - - REQUIRED INSPECTIONS
TIGARF OR 97223.-5886 Wall Cover
Phone #: 502,--241-4812 Elect' 1 Final -
Reg #. . : 00458
This perait is issued subject to the regulations contained in the
Tigard Municipal Code, State of Ore. Specialty CodNs and all other Permittee Signature
applicable laws. All work w.11 be done in accordance with
approved plans. This nercit will expire if work is not started
within 180 days of issuance, or if work is suspended for core
than 180 days. Issued By
INSTAL.L_OTION
The installat- ion is being made on property I own which is not intended for
sale, lease, or rent.
OWNER' S S I GNATURF: _ DATE':
_—CONTRACTOR INSTAL_I ATION
SIGNATURE OF' SUPR. ELEC' N t _ DATE:
I I CENSE NO:
Call for inspection - 639-4175
Community Development ELECTRICAL PERMIT APPLICATION
13125 SW Hall Blvd.
Tigard, OR 97223 Permit #
Date Issued .- I�f 7 1qG
Phone (503) 639-4171 ��
CITY OF TIGARD FAX (503) 684-7297
TDD No. (503) 684-2772
Inspection (503) 639-4175
1. Job Address: 14. Complete Fee Schedule Below:
Name of Development LINCOLN I SUITE 210 -__ Number of Inspections per permit allowed
Address 10300 SW GREENBURG RD Service included Items Cost(ea) :;um
City/State/Zip PORTLAND OR 4a. Residential -per unit
MALIBU i AG` C-- 1000 sq ft or lase $110.00 _
Name (or nanop of business) NORRIS BEGGS SIMPSON Fach additional 500 sq ft or
[�1 — portion thereof $25.00 _
Commercial)w Residential ❑ Limlted Energy $25.00
Each Manurd Home or Modular
Dwelling Service or Feeder $88.00
2a. Contractor installation only: 4b. Services or Feeders
ROSS CROSBY CHRISTENSON ELECTRIC, INC Incallatlon,alteration,or relocation
Electrical Contractor 200 amps or less $6000
Address 111 SW CMUMBIA,9UITE--W 201 amps to 400 amps $8000
City__ T State OR Zip 97201-588 , 401 amps to 600 amps $12000
� — -- 801 amps to 1000 amps $180.00 _ 2
Phone No. 241-4812 _ Over 1000 amps or vaNs $340.00 2
,lob NO. 222-9074 Reconnect only $5000
contractor's license NO. 26-34C
—• 4c. Temporary Services or Feeders
Contractor's Board Re 58 Installation,alteration,or relocation
Signature of Supr. EI c'n200 amps or less
61 63
license No. 8 IS Phone No 2 — 201 amps to 400 amps $50 00
401 amps to 800 amps $75 00
Over 800 amps to 1000 volts $100 00
2b. For owner Installations: see"b"above
P4d. Branch Circuits
Print Owner's Name
New,alteration or extension per pane
Address _ a)The fee for branch circuits with
purchase of service or fear fee.
City_ State_— _ ZIp feeder
branch circuit $5 00
Phone N0. b)The fee for branch circuits without
The installation 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 c $35 00
Each additional
branch circuit r $500
Owner's Signature__ 4e. Miscellaneous
(Service or feeder not Included)
3. Plan Review section (if required): Each pump or Irrigation circle $40r0
Each sign or outline lighting $4000 _
Signal circult(s)or a limded energy 1
Please check appropriate Item and enter fee In section 5B. panel,alteration or extension $4000 —
4 or more residential units in one structure Minor Labels(10) $10000
— Service and feeder 225 amps or more
System over 600 volts nominal 4;. r+ch 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 Inspection — _ $35.00
Per hour $55.00
Submit 2 sets of plans with application where any of the above In Plant $55.00 —
apply. Not required for temporary construction services. 5. Fees:
5o. Enter total of above fees $ 6(1'
NOTICE 5%Surcharge (05 X total fees) $ -
1:102MITS BECOME VOID IF WORK OR CONSTRUCTION Subtotal $
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 required (Sec 3) $ _
63.
A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK 15 Subtotal S — ---
COMMENCED Trust Account #
Balance Due 63.
a _
-
CITY OF TIGARD
DEVELOPMENT SERVICES
in
13125 SW Hall BI vd., Tigard, OR 97223 (503)539-4171 ELECTRICAL P E:R M I T
RESTRIC'.TE:D ENERGY
PERMJT #: ELR96-O3i'E,
DATE: ISSUED: 10/c-.:2/96
PA RC:E:L.: 1 C,135AB-•0100.
`,ITE ADDHE55. . . : 10300 SW GRFEENRURG RD 0: 10
SUB1)I V 15 T.ON. . . . : ZONING:C-P
E11...00K. . . . . . . . . . . I_.0 T. . . . . . . . . . . . . ..
ect Llescr••iption: INST'L. DATA TELECOMMUNlCTAION
A. RES J DENT I AL_-- -- _..___._ R. COMMEE RC I
AUDIO & STEREO. . . AUDIO &• STE:REEO. . : INTERCOM A PAGING. .
BURGLAR ALARM. . . . : BO I I-E R. . . . . . . . . . : LANDSCAPE/IRRTGAT. . :
GARAUE'. OPENER. . . . : CL_OCK. . . . . . . . . . . , MEDICAL.. . . . . . . . . . . . .
HVAC. . . . . . . . . . . . . : DATA/-1 EL.E COMM. - : X NURSE CAL-LS. . . . . . . . :
VACUUM SYSTEM. . . . : F'TRE ALARM. . . . . . : OUTDOOR LANDSC LITE::
OTHER: is HVAC. . . . . . . . . . . . : PROTECTIVE SIGNAL. . :
I NG)TRUME::NTPI ION. : OTHER. . : . .
'TOTAL_ # OF SYSTEMS: 1
MORRIS, BEGGS, SIMPSON type Amor-int by date r-ecpt
101300 SW GREENBURG RD 1-'R111 � 40. 00 TAT 1O/22/96 96•--r.8'.51.O
-,TF- c 10 5PC1 4 c:. ViO 'TAT 10/22/96 96--285510
IGARD OR 97223
Phone #:
('",HRISTENSON ELECTRIC INC $ 42. 00 TOTAL_
1 1 1 SW COL.IIMB T A
SUITE 480 - ----- REQUIRED INSPECTIONS
--
PORTLAND OR 97c:O1 Ceilitly Cover Elect' 1 Service
F,Iicrne #: 5O3--241--4E112 Wall Cover' EEler` ' l Final
k e Cl 1T . 00/15 8
This permit is issued subject to the regulations contained in the
Tigard Municipal Code, State of Ore. Specialty Codes and all other Permites Sl grtatt.tre--/
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. I s '-ted By
__..___.._.. ...... .. _._-...._.._._......._..__. .-.--OWNE R I NSTAI_,LAT I ON ON[...Y _.__._"._........_._._......_ __..-----._.._._
the install :a.tion is being made on property T own which is not intended far
F-Rleq ].ease, or rent.
OWNER' S SIGNATURE: _ _ DATE:
_._.
...... _. __.._ ..._._._.___._._.._.___._.COhll"R(lCTOR INSTALLATION
IGNATURF OF SUPP. ELEC' N: -- -- -- DATE:
1 CENSE_ NO:
Call for insriecti.on - 639-4175
Community Development RESTRICTED ENERGY ELECTRICAL APPLICATION
13125 SW Hall Blvd.
Tigard,OR 97223 PERMIT# �
Phone(503)639-4171
FAX(503)684-7297 DATE ISSUED,_
TDD No. (503)684-2772
CITY OF TIOARD Inspection (503)639-4175 ISSUED BY
JOB:509-8952 PLEASE COMPLETE ALL SECTIONS
1. LOCATION OF INSTALLATION 4. TYPE OF WORK
10300 SW GREENBURG ROAD SUITE 210
Address ' �'�TMP SON RESIDENTIAL—Restricted Energy Fee. . . . . . . . . 140,00
TIGARD (FOR ALL SYSTEMS)
City State Zip Check Type of Work Involved:
PERMITS ARE NON-TRANSFLRAFILE AND NON-REFUNDABLE AND EXPIRE IF WORK ❑ Audio and Stereo Systems
IS NOl STARTED WITHIN 1110 HAYS OF ISSLIANCE OR IF WORK IS SUSPENDED FOR
180 DAYS. ❑ Burglar Alarm
2. CU�HRI Sof ENS�NPELECT�IC N INC ELECTRICAL CONTRACT 1:1Garage Door Opener*
Heating,Ventilation and Air Conditioning System*
Contractor T,,pe_ _ Vacuum Systems*
111 SW COLUMBIA,SUITE 480 ❑ Other
Address PORTLAiT_Olt
Date 10-17-96 COMMERCIAL—Fee for each system . . . . . . . . . �gQ.Qfl
—- (SEE OAR 918-260-260)
Property Owner MELVIN MARK
Check Type of Work Involved:
Contractor's Board Reg. No. _ 26-34C_ ❑ Audio and Stereo Systems
241-4812 El Boiler Controls
Phone# ❑ Clock Systems
3. OWNER APPLICATION )0 Data Telecommunication Installations
❑ Fire Alarm Installation
❑ HVAC
Print Owner's Name Phone No ❑ Inst,umentation
Address — ❑ Intercom and Paging Systems
❑ Landscape Irrigation Control'
City State Zip ❑ Medical
chis permit Is issued under OAR 918.320.370.This applicant agrees in make only ❑ Nurse Calls
restricted energy installations 11M voll amps or less)under this permit and to do the ❑ Outdoor Landscape Lighting`
following
1. Only use electrica!Iii enwrl prersnns to cin installations where required.IConain El Protective Signaling
residential and other transactions are exempt from licensing.These have ❑ Othr _
asterisks(•I All others need licensing{.
2. Call for an tnsp)t,clion when all of the installations under this permit are ready
for inspection at 1,014,39.47'9.
❑ Number of Systems
3 Purchase separate permils for all installaGrms dud are not ready for in,pectlnn
when the Inspector is out to inspect under this permit. •No licenses are required Urenses are required for all other installations.
4. Assume responsibility for assuring that all corrections required by the inspector
are done,and
5. Assume responsibility for calling for a final insprKiion when all of the 5. FEES
rorrrrtions aro completed.
The person signing for this prrmit must be the applicant or a person a. Enter Fees $ 40.
authorized to hind the applir-ant.
b, 5% Surcharge(.05 x total above) $ 2.
Siknalurr
TOTAL $ 42.
Authority if other than applicant
ENERCARCHP
,A\ CITY OF T'IGARD
DEVELOPMENT SERVICES
Lilaft 13125 SW Hall Blvd., Tigard,OR 97223 (503)639.4171
CERTIFICATE OF
OCCUPANCY
PERMIT 4#. . . . . . . . SUP96-0461
DATE ISSUED: 10/ 18/96
PARCEL .. 1S135AB-0102102,
SITE ADDRESS. . . 1 10300 --iW OREENBURG RD ##;%10
SUBDIVISION. . . . I Z ON I NG 3 C.-P
BLOCK. . . . . . . . . . I LOT. . . . . . . . . . . . .
CLAIGS OF WARK. iALT
TYPE OF USE. . . gCOM
TYPE. OF CONSTRt2FR
OCCUPANCY GRP. jB
OCCUPANCY LOAD: 2E
TENANT NAME. . . iNOF RIS PEGGS & 5IMPSON
Rema,--ks - Tenant Impt- ove-ment rtmudel
Own Fere
NORRIS BEGGS & SIMPSON
10220 SW OREENBURC RL
TIGARD OR 97223
Phony_ ## 452-5900
Ni:tL.180 PACIFIC
735 NE JACKSON SCHOOL ROAD
HILI-SBORO OR W124
Phone Os V,13-9797
Reg #. . s 055045
This Cert .jf:rr
.�tp gr AlIt9l oct:::upancy of the ahove -eferenced bui. IdInq or per i.
thertuf and confit-ms that the building has been inspected for compliance wl"
t h e State (-.if Organ Specialty Codes Fat, the group, occupam. y. and use i.md(hr
whi(--,h the referenced pprmit was issued.
i*-E
SU I 1-V I NIT FF*I C-I AL
9�1 I-L'--bTt-4 6 1
POST IN CONSPICUOUS PLACE