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Permit f a , A CITY OF TIGARD i BUILDING PERMIT PERMIT #: BUP2005 -00658 Z I II DEVELOPMENT H Blvd., MEN Tigard, R9 SERVICES DATE ISSUED: 1/5/2006 PARCEL: 1S134AA-01900 SITE ADDRESS: 10115 SW NIMBUS AVE 150 ZONING: C -G SUBDIVISION: 1 KOLL BUSINESS CENTER TIGARD LOT: 001 JURISDICTION: TIG Project Description: TYpe 1 kitchen hood fire suppression system. 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 CONST: 5N : sf N: S: E: W: OCCUPANCY GRP: B 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 ?: REQD 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: $ 1,905.00 Owner: Contractor: ROBINSON, WILLIAM R /CONSTANCE A UNITED FIRE HEALTH & SAFETY EQUIP ROBINSON, LYNN + BELL, KAY ET 4611 NE MARTIN LUTHER KING JR BY ELLIOTT ASSOC PORTLAND, OR 97211 -0771 PORTLAND, OR 97204 Phone: Contact #: PRI 503 249 - 0771 FEES Reg #: LIC 65290 Description Date Amount REQUIRED ITEMS AND REPORTS [BUILD] Permit Fee 12/29/200: $62.50 [TAX] 8% State Surchari 12/29/200f. $5.00 [FLS] FLS Pin Rv 12/29/200f. $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 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 - 246-66 9 or 1- 800 - 332 -2344. _ �� Issued By: Permittee Signature: , O • C all 503 - 639 -4175 by 7:00 a.m. for an inspection at business day. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. RECeur. ,t),,,_,--e,„,,i_e_A---,cyv--) /0)/S Sa) A/I'm/iv- 1 Bu ilding Permit Application i Fc)Il optic I: t SF 0\1_1 City Tigard DE C 2 9 ( R hv•_.• C -- Ci of Ti and E o Permit No.: 13125 SW Hall Blvd., Tigard, OR 97223 - ( D 5 , A � Phone: 503.639.4171 Fax: 503.5 9 0�►or 4u,*, '•- "C I l \ t7atem , � � Other Permit: Inspection Line: 503.639.4175 ■ • Date R- . `' : ®See Attached Checklist for ‘ Internet: www.ci.tigard.or.us Notified/Method: 511 Supplemental Info TYPE OF WORK REQUIRED DATA: 1- AND 2- FAMILY DWELLING ❑ New construction ❑ Demolition Permit fees' are based on the value of the work performed. Indicate the value (rounded to the nearest dollar) of all cif Addition/alteration/replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the CATEGORY OF CONSTRUCTION work indicated on this application. ❑ 1- and 2- family dwelling KCommercial/mdustrial Valuation: $ ❑ Accessory building ❑ Multi- family Number of bedrooms: ❑ Master builder ❑ Other: Number of bathrooms: JOB SITE INFORMATION AND LOCATION Total number of floors: Job site address: J Q 16 SW Null lll B1i5 4/ , un l T 150 New dwelling area: square feet City/State/ZIP: -r-/G ) Ott 9 322-3 Garage/carport area: square feet Suite/bldg. /apt. no.: Project name: e pevc.. "pt�►` -S l . D., Covered Covered porch area: square feet Cross street/directions to job site: ^' Deck area: square feet Other structure area: square feet REQUIRED DATA: COMMERCIAL -USE CHECKLIST Subdivision: Lot no.: Permit fees* are based on the value of the work performed. Tax map /parcel no.: Indicate the value (rounded to the nearest dollar) of all equipment, materials, labor, overhead, and the profit for the DESCRIPTION OF WORK work indicated on this application. 1 KtTQ- €N t-3cx 0 F112E `v-UP'Pi555j Valuation: $ lei0 5 .80 Ss /r.!.w,. Existing building area: square feet �►1��' New building area: square feet ❑ PROPERTY OWNER KTENANT Number of stories: Name: CAF5 PER5ly (p KA ROW- Type of construction: 5 R Address: )011 5 tSIJI.J N t g Vej e / U1,111" , j Occupancy groups: City /State/ZIP: TWA la 9722:5 0i2 Existing: Phone: (573) 51(0- 7000 Fax: ( ) New: gt APPLICANT ❑ CONTACT PERSON NOTICE Business name: UN IT S° Fide a FE-N All contractors and subcontractors arc required to be Contact name: je 4Aac r-I - licensed with the Oregon Construction Contractors Board under ORS 701 and may be required to be licensed in the Address: N *t' NE (y (JL e(-v0 jurisdiction in which work is being performed. If the fb�j ( Oi g121 ' applicant is exempt from licensing, the following reasons City/State/ZIP: n �1 1� Q apply: Phone: (503) 2 1 — 0171 Fax:: ( 503) i'4.�l -05q 2 E-mail: CONTRACTOR Business name: U(. f i r o a y BUILDING PERMIT FEES" Address: ' Please refer to fee schedule. City/State/ZIP: Fees due upon application Phone: ( ) Fax: ( ) ('('R lie.: CO5 ZG© Amount received Date received: Authorized signature: This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name: der: Woo I Date: 1-z./z.41,5 I a Fee methodology set by Tri- County Building Industry CITY OF TIGARD BUILDING DIVISION PERMIT #: 13UP2006.0U65 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/50006 Phone: (503) 639 -4171 Ate � Inspection'Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 2f7/2006 TIME: '? :02AM PAGE: 64 SITE ADDRESS: 10115 SW NIMBUS AVE 160 CLASS OF WORK: SUBDIVISION: 1 KO1.L BUSINESS CENTER TIGARD LOT #: 001 TYPE OF USE: PROJECT NAME: CAFE PERSIA DESCRIPTION: TYpe 1 kitchen hood fire .:uppression system. OWNER: ROBINSON, WILLIAM R /CONS!'ANCE A, PHONE #: CONTRACTOR: UNITED FIRE HEALTH & SAFETY EQUIP PHONE #: 503.249.0771 Inspection Request Scheduled For: Date: 2J7/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 296 MiM. inspection 025354 -01 503-249.0771 Y I Corrections /Comments /Instructions: -II' AMIKEIte - I PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAII ❑ CALL FOR INSPECTION ❑ ADDITI AL EES ASSESSED Ins ector: ..�', Date: Z{ 7 Phone #: (503) 718. A -2- p _/ ( )