10115 SW NIMBUS AVENUE STE 250-1 051315 3AV snBWIN NIS 56601,
i
0
Ln
N
W
F-
wN
a cn
as
z
cn
C)
10115 SW NIMBUS AVE STE 250
RMFT
CITY OF TIGARD DATEIISSUEDt 02/07/966-0040
COMMUNITY DEVELOPMENT DEPARTMENT
a I M25 ° 7 � PARCEL s 1 S 134AA-01900
SUBDIVISION. . . . : 1 KOLL BUSINESS CENTER "TIGARD ZONIN'Gs C-6
CLOCK. . . . . . . . . . s l_OT. . . . . . . . . . . . . s 1
TENANT NAME. . . . . : JAVAMAN COFFEE
USA NO. . . . . . . . . . s FIXTURE UNITS. . , - 12
CLASS OF WORK. . . :TEN DWELLING UNITS. . : 1
IYPE OF USE.. . . . . s COM NO. OF BU I LD I NGS e 0
INSTALL TYPE. . . . :BLj5WR IMNERV SURFACE: 0 r f
remark s : RE:s PLM96-0020
Owner: ------------------------------------------------------- FEES --------------•-
NIMBUS CENTER ASSOCIATES type amount by date recpt
C/O ELLIOTT ASSOCIATES CRMT f 2200. 00 B 02/07/96 96-275710
50 SW IINE 5-200
PORTLAND OR
Phone #. 224-6791
Contractor:
CONIRACTOR NOT ON FILE
-------------
Phone #: 8 2200. 00 TOTAL
Reg #i. . .
------ - REQUIRED INSF°ECTIONS - ---This Applicant agrees to comply with all the rules end regulations
of the Unified Sewage Agency. The permit expires 188 days from
the date issued. The tot:.l amount paid will be forfeited if the
permit expires. The Agency does not guarantee the accuracy of the
side sewer laterals. If thc: sewer is not located at the measurement
given, the installer shall prospect 3 feet in all directions from
the distance given. If not so located, the installer shall purchase ` _
a "Tap and Side Sewer" permit aad the Agency Nil install a lateral.
1ermil;tee Si r.ati_ir W : N's-aU
s1.ted BY ____ v✓ ��_... __ _ �_ __ —
Call for inspection - 639-4175
IL
a
m
W
-j l
• Gominerci i Pu�o ';nea P�.rry�t.�p�,��Q�.
City of Tigard
13'.25 SW Hall Blvd.
Tigard, OR 97223
('503) 639-4171
Jobsite Address:
Tenant: r,'4 'v Bulb N��e1 � OfFlcs_ X
Valuation: Planck/Rec
Permit
Owne:: Map & TL #
Address: — -� L%ppr.ova Retulre�
-- --- Planning
Phone: _ Engineering
Other
Contractor:
Address:
Type of const:
Occupancy class:
Phone:
Sprinklered7 Yes No
Contractor's License
(attach copy of current Oregon lkense) Sq. ft. of project:
Contact name & phone. — Story (1st, 2nd, etc.)
Proposed use:
Architect/Engineer: _ __ _ _•� __
Previous use:
Address:
4- Note: Plumbing & mechanical plans
must be submitted at time of
rn building permit application.
Phone:
J
JCB DESCRIP i ICON:
w
J
Applicant Signature & Phone number
Received by: --_ _ Date Received:
Permit 0 Account Description Amount Amt Pd. 13:,. Ous
Bldg. Permit (B JILD)
Plumb. Permit (PLUMB)
Mech. Permit (MECH)
State Tax (TAX)
Bldg:
Plumb:
Mech:
Plan eck (PLANCK)
Bldg: —
Plumb:
Mach:
y Sewer Connection (SWUS)�'
Sewer Inspection (SWINSP)
Parks Dev Charge (PKSDC
Residential TIF (TIF- j
Mass Transit TIF (T -MT) \
Commercial TIF MF-C)
Industrial TIF (TIF-I)
Institutiona TIF (TIF-IS)
Off=ce Tl� (TIF-O)
'Nater duality (WQUAL)
N Water Quantity (WQUANT)
_J
Fire Life Safety (FI-S)
(n
0 Ercalon Cntr' Permit (ERPRMT)
uj "---– -- --
Erosion Planck/USA (ERPLAN)
Erosion Planck/COT (EROSPq
TOTALS:
Tenant Names _-Jf-f-1 � a(lee Accumulative Sewer Tally This SWR#: �, -oma' Sw
Address:, /D 1/,, ` N k>-5 �� ``'i' This PLM#:— G,-C",F p
Fixture Value Previous # Previous Credits Capped Fixtures FixturesNaw New
Valu" Capped off value added# added total#s total
Count off Xs count value values
Baptistry/Font 4
Bath-Tub/Shower 4
Jacuz/Whpl 4
Car Wash- Each Stall 6
Drive Through 16
Clta idor/Water Aspirator 1
Dishwasher- Commer 4
- homest 2
Drinking Fountain 1
Eye Wash
Floor Drain/sink 2 inch 2
3 inch 5
4 inch 6 } '
Car Wash Drain 6
Garbage Disposal 16
Dom Ito 3/4 HP)
Comm Ito 5 HP) 32
Ind lover 5 HP) 48
Ice Machine/Refrigerator Drains 1
011 Sep(Gas Station) 6
Recreational Vehicle Dump Station 16
Shower-Gang(Per Head) 1
Stall 2
Sink- Bar/t-avatory _ 2 _
Bradley 5 _
Commercial 3 t �-
Service 3
Swimming Pool Filter 1
IL Washer, Clothes 6
Water Extractor 6
F—
M _Water Closet, Toilet 6 _
Urinal '6
ap TOTALS
U1 Total fixture values: 0 divided by 16 = _ � � � EOU
HISTORY _ • c ,�.� ��« -r�.� .c
PLM# `�c' ;1EL"m �� SWR# U3�' '� PLM# EDU# SWR#
PI_M# EDU# SWR# PLM# EDU# SWR#
PLM# EDU# SWR# PLM# EDU# SWR#
PLM# EDU# SWR# PLM# EDU# SWR#
BUILDING PERMIT , /
CITY OF TIGARD PERMIT SUEDs � 2 4/95 —��+7s�'
BATE ISSUEDs lc/14/95
CQMMUNITY DEVELOPMENT DEPARTMENT PARCEL: 1 S 134AA-01900
+' 19126 SW H&N Blvd.Tfgnd,LOp"�pp� Y7ZZ9�8 qp (6091 a18.417�
SITE iaUDRL.i.`i. . . . 10I 1:� ::�W l i AVE #�i. ::30
SUBDIVISION. . . . : 1 KOLL BUSINESS CENTE=R TIGARD ZONING:C—G
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . : 1
REISSUE: FLOOR AREAS----------- EXTE=RIOR WALL CONSTRUCTION--
CLASS OF WORK. : FIRST. . . . : 0 sf N: 5: Es We
TYPE OF USE— : SECOND. . . : 0 sf PROTECT OPENINGS?----
TYPE OF CON6T_ :5N . . . : 0 sf N: S: E: W1
OCCUPANCY GRP. : TOTAL-------: 0 sf ROOF CONSTs FIRE RET? :
OCCUPANCY LOAD: 0 BASEMENT. : 0 sf AREA SEP. RATEDs
STOR. : 0 I-IT: 0 ft GARAGE. . . : 0 sf OCCU SEP. RATED:
BSMT?: ME Z.Z? : READ SETBACKS----------- REQUIRED—------
FLOOR
EQUIRED—•-----FLOOR LOAD. . . . : 0 psf LEFT: 0 ft RGHT: 0 ft FIR SPKLgY SMOK DET. . :
DWELLING UNITS: 0 FRNT: 0 ft REAR: 0 ft FIR ALRM: HNDICP ACCsY
BEDRMS: 0 BATHS: 0 IMP SURFACE: 0 PRO CORR: cARKJNG: 0
VALUE. $ : 4962
Remarks : ADA restraom
Owner: --------------------------------------------------- FEES
NIMBUS CENTER ASSOCIATES type amount by date recpt
C/O ELLIOTT ASSOCIATES PICK f 32. 83 B 11/08/95 95--272628
50 SW PINE S--200 FIRE= $ 20. 20 B 11/09/95 95-272628
GORTLAND OR PRMT f 50. 50 JSD 12/14/95 95-273930
F''hone #r 224-6791 5PCT $ 2. 53 JSD 12/14/95 95-273930
Contractor: ------------------.-------------
COMMERCIAL PROPERTY SERVICES
.NC
12454 SW 1147H TERR
TIGARD OR 97223 ------------------------------------
Ph,o n e #: f 106. 06 TOTAL
Rpr #. . . IOE248
-------- REQUIRED INSPECTIONS
--This aereit is issued subject to the regulations contained in the Framing Insp _
Tioard Municipal Code, State of Orr. Specialty Codes and all other InsLllation Insp
aaplicable laws. All work will be done in accordance with Gyp Board Insp ~_
approved plans. This permit will expire if Work is not started St.tsp Ceilny Insp
within 188 days of issuance, or if worl� i %Suspended for more Misr_. Inspection
than if?9days, / Final Inspection
IL
Nr ermittee S�qr n^
15 5 t.t e d
W Call for inspection — 639--4173
J
VA
Q tr imercia!Building Perm-it Application
City-of Tigard
13125 SW Hall Blvd. Ah %
Tigard, OR 97223 J
(503) 63. 4171 IAW�J Ah M14v S
Jobsite Address: 1111miVy
Tenant.• yf�,��► _ Sults f' �.5 b 4 ris Use Only
l
Planck/Rec* 1
Valuatlon: 2-
Permit* 0 P 614'70
Owner: 1��tyLG l - cyt c M't'� Map & TL # 1 :�,1 3y L4A - 14100
N '
Address:
-- Approvals equl�
�- — Planning
Phone:
--- - Engineering
Other
Contractor:
S e di tom, 74e
�M.M
Type of const:
,?,,Z
Phone:
Occupancy class: _
�— 4/ [� —
Sprin'dered7 es No
Contractor's License #s- 16)2 ZV n
(attach copy of current Oregon license) Sq. ft. of project.
Contact name & phone: /C f�^/ !C/P/" ���� Story (1st, 2nd, etc.) ( f
Proposed use � -l!U! Mi4✓d Wl ['P
Architect/Engineer:
Previous use:
Address:
a Note: Plumbing & mechanical plans
OC must be submitted at time of
N building permit application.
C Phone:
J n /
t7
1108 �SCRIPTION:
UJ
J
Applicant Signature & P num e
Received by: i > /11A,_ l �Vv
�"'` Date Received:
Permit 0 Account Uea:ripdon Amount Amt. Pd Ba .
O '
Bldg. Permit (BUILD)
Plumb. Permit (PLUMB)
Mech. Permu (MIECH)
State Tax (TAX)
Bldg:
Plumb:
ch:
Plan Ch . k (PLANCK)
Bldg:
Plumb:
Mech:
Sewer Connection (SWUS
Sewer Inspection (SWINSP)
Parka Dev Charge (. ::SDC)
Residential TIF (TIF-R)
Mass Transit TIF (TIF-MT)
Commercial TIF (TIF-C) p_
Inlustrtal TIF
Institutional TIF (TIF S)
Office TIF (T -O)
a Water Quality QUAL) _
K
N Water Quantity (WQUANT) !� _
Fire Life Safety// (FLS) 7-0 '4"—
m Erosion Cntrt Permit (ERPRMT)
C7
w
J Erosion Planck/USA (ERPLAN)
Erosion Planck/COT (EROSN)
t
TOTALS:
M �
CITY fjF TGARD
Approved
For only the work as doscribeJ
PERMIT N0._ 17
Jab Address:L/J�
Dale;XIU
34
� r
Y
o
IL
Cl)
�W-'*"
w 0 KZ6 A4.4
11
,� C / Commercial Property Services,Inc.
�' ,- � j qV� IJ POf' d;1-v c-,� Q/� s,� � �L 12454 SW 114th Terrace
Tlgard,OR 97223
(503)579-0148 Fax(503'579-0221
�ri vQ e 7 C
1�• G tl �l lC Zvie es/ ��
CITY OF TIGARD CERTIFICATE: OF
COMMUNITY DEVELOPMENT DEPARTMENT OCCUPANCY
13126 8W HAN 8Wd.719ard,Oregon 97223.1/99 (603)639.4171 PERM J T A1. . . . . . . i DUP95--0470
DATE ISSUElDi 12/15/95
PARCEL i :S 134AA--01.900
SITE ADDRE!SS. . . 1 10115 SW NIMBUS AVE **230
SUBDIVISION. . . . i i KOLL BUSINESS CENTER TIGARD XONINCSaC- 1
BLOCK. . . . . . . . . . i LOT. . . . . . . . . . . . . P1
---------------------------------------------------------------------------------------
CLASS OF WORK. s
TYPE OF USE. . . i
OCCUPANCY GRP. P 5N
OCCUPANCY LOAD 0
TENANT N$,ME. . . i JAVA MAN
RPmar'ksi P ADA restroom
Owner,P _..._-.-_--.-_-----------------._.-._-__.-
NIMBUS CENTER ASSOCIATES
C/O ELLIOTT ASSOCIATES
50 SW PINE 5-200
PORTLAND OR
Phone AEP 224--6791
Contractors ----------_.--------------------
COMMERCIAL PROPERTY SEP,VICEG
INC
12454 SW 114TH TERR
TIGARD OR 97223
Phone #P
Reg #. . : 1@2248
Occupancy of the above referenced building is hereby given, An� certifies
the compliance with the State Of Oregon 'Specialty Codeh for the group,
occupancy, and use t..indrr which the refer^ended permit was issued.
E3UI1_DING SP . OR ___'-��- ---- -� BUILDINGOF.~l 'ICIA -_
! - -
POST IN CONSPICUOUS PLACE
IL
ac
a~
U)
t
J_
m
W
r
January 6, 19'97
CITY OF TIGARD
OREGON
RE: - d 13 y - /ally- szo
Our records indicate that either no inspections have been conducted on the project authorized tv the above
noted permit OR inspection(s)have been c-3nducted but we have no record of any subsequent or final
inspections within the pari 15 days, Oregon Admiais,.-ave Ruk(OAR)919-360-270 requires initial
ink be mpasted within 24 hours of weepietion of irstallatiou and inspmctiorrs for corrections to
be made within 15 days.
Permits and inWwbons required by the Tigard Municipal Code art an important part of your project.
Permits help to ensure that work is done in compliance with minimum code requirements. Inspections are
intended to Pmt=the occupants of buildings and building owners. As the eh=ical contractor,you are
'
responsible for obtaining the rop iced inspections.
+ »� 71m City w xdd like to work with you to doe out this proja-x with mpa tamer tc vxm that at least
minimum code compliance has been achieved.
U yon ane read)r to ttcreftk the Next inspection please call oar 24-rota laspectina Rocorder at
6"4173 witrim IS days. Be prepared to provide the tbhlowing intbrowdow permit number,address of
Property,your nanm k your phone number,and the date your are requiting the inalrec don(inspection tinea
tkn not be guamnteed,but you may request a.m.or p.m.).
U you seed additional time to complete yoar project please respmnd,IN WRITING,within 15 days.
You may request art Oft600111 15 days. Please provide the following info: permit gear,
address of property,your name,a dry time phone number,and an explanation fix the request.
lT YOU ARE UNSURE ABOUT WHAT PROJECT THIS LETTER 1,S REGARDING,OR HAV1E
ANY QUESTIONS, please contact the Building Division at 6394171 eit.610(yoke main. To better
serve your,please have the following information: Permit number,address of property,your name and a
day time phone number.
Thank von for you coopetation in this matter. Please note that the City may pursue civil enforcement,
locally and at the state level. if work has proceeded without inspections or if an unfinished project is
outstanding. Your prompt attention will resolve this matter and enable us to provitk you with the
required inspections.
Jeanne Temple
Building Division
iA6&06%iv6@r-istI
13125 SW Hail Blvd., Tigard, OR 97223(503)639-4171 TDD(503)684-2772 ._
PERMIT #. . . . . . . : PLM96•--0020
CITY OF TIGARD DATE ISSUED: 02/07/96
'C MUNIITYDEVEPPMEN EP PARCEL: 1S134AA-01900
EiUIaL vlaI L U FWNTER TIGARD ZOIVING: C-G
BLOCK. . . . . . . . . . : LOT. . . . . . . . . . . . . . l
-- -
__-_-.--._-----------.--------------.---_--- ------- -Lanz---i►7L�
CLASS OF WORK. . :TEN GARBAGE. DISPOSALS. : 0 MOBILE HOME SPACES. : re
TYPE OF' USE. . . . sCOM WASHING MACH. . . . . . : 0 BACKFLOW PREVIVTRS. . : 1
OCCUPANCY GRP. . :B2 FLOOR DRAINS. . . . . . . 0 TRAPS. . . . . . . . . . . . . . . V1
blURI ES. . . . . . . . s 0 WATEP HEATERS. . . . . : 0 CATCH BASINS. . . . . . . : 0
FIXTURES--------------- LAUNDRY TRAYS. . . . . : 0 SF RAIN DRAINS. . . . . : 0
SINKS. . . . . . . . . . : 4 URINALS. . . . . . . . . . . a 0 GREASE TRAP'S. . . . . . . . 0
L.AVATORIES. . . . . : 0 OTHER FIXTURES. . . . : 0 .
Tula/SHOWERS. . . . : 0 SEWER LINE (ft ) . . . : 0
WATLR CLOSETS. . : 0 WATER LINE ( ft ) . . . : 0
DISHWASHERS. . . . : 0 RAIN DRAIN (ft ) . . . : 0
Remar-I<a: Install links and double check valve
Owner: -.__._----------------_______-____.__---------_______--__-.-- FEES
NIMBUS CENTER ASSOCIATES type amount by date recpt
C/O ELLIOTT ASSOCIATES P'RMT $ 45. 00 B 02/07/96 96-275710
50 SW PINE S-200 SPCT $ 2. 25 B 02/07/96 96-275710
PORTLAND OR
Phone #: 22*4-6791
Conteactor: ------•-------------------------
UKA CONS1 RUCTION
ILYA S ZAGARYUK
9906 SE HAROLD
PORTLAND OR 97. 66 __.____-__..-_..___--_--_-_-------_____--__
I-'f,one #: f 47. 2:5 TOTAL
Req #. . : 1iTElf_
------- REQ1 I:RED INSPECTIONS
-----This persit is issued subject to the regulations contained in the Rough--in Insp
Tigard Municipal Code, State of Dre. Specialty Codes and al) ether PLM/Underfloor^
applicable laws. All work will be done in accordance with Top-out Ins p
approved plans. This persit will expire if work is not started Misc. Inspection
within 168 days of issuance, or if work is suspended for sore RP/Backflow Pt-ev _
than 188 days. Final Inspection
-m ..i t o e S i g r t i_o e : � C
IL
sued B•Y• J .—.
ix
N
Call for inspection - 639-4175
00
� I
City of Tigard ei PLUMBING PERMIT N IT A P ICAT! Planck/Rec. #
13125 SW Hall Blvd. 0� r l�,a.. ���- (3t4(' `% Permit # L'"9(0-cro--0
Tig,jrd, OR 97223 ^ S :e 00V c � 9� oovb
-
(503) 639-4171 ( �O�or,°�
MINIMUM $25.00 PERMIT FEE+ST. SURCHARGE
" « New 9lrt9ie Famihr Reeldenow Only
YAVAL-A&I
�- 0 1 BATH HOUSE$140.00 0 2 BATH HOUSE$45.00
Job i 01 I S S W )11lAve, S w TE ,,50 O J BATH HOUSE=5.OU
Address wrr. I >} Fee Includes a1 plum g ttxtures in tin dw oN and Me Mt 100 feet
3 of water service, sanitary sewer and storm sewer. See taw below.
'�"'�•""" r Q��-Il IZ(h FIXTURES CITY PRICE AMT
r�,t4jr,AL SP r>zL-Aji-4y•101 ) Sink _ 9.00 f
M. Lavatory 9.00
Owner 1 IIS SW NIM 66 Ayr YF )-50 Tub or Tub/Shcww Comb. 9.00
.ww. a Shower Only 9.00
Water C104et 9.00
"��•^ Dishwasher 9.00
Garbage Disposal 9.00
Occupant , �*.. Washing Machine 0.00
Floor Drain 9.00
Water Heater 9.00
_T�r.�M•(n u.a _l-frll' Laundry Room Tray 9.00
Urinal 9.00
Other Factures (Specify) 9.00
Contractor I� rte. L 9.00
f 9. 0
cw•••. -Y�.�14�. a 9..00
�� ��� -odn
Sewer ,at 1W 30.00
s«.R.00"-w v+ Sewer-as. AddtL 100' 25.00
/05( l i� Water Service ,st 100' 30.00
1 hereby acknowledge that I have road this application, that the Water Service ea. AddtL 207 25.00
:nforrnation given is correct, that I am the owner or authorized agent of ---------�the owner, that plans submitted are In compliance with State laws, that Stone 3 Rain Drain ,st 100' 30.00
I am registered with the Construction Contractor's Board, that the1.rw,i preM Arlt 100 2500
number given is correct (If exempt from State registration, please 4Aobilb_Home Space 25.00
give reason below.)
back Flow Prevention5-,hl f r FiK
r Dsvix or Antl-Pollution Device I-C 9.00
a�..e+�.•�./m•.-m Arry Trap or Waste Not
Connected to a Focture 9.00
Describe work new 0 addition V alteration repair 0 atch Basin 9.00
to be done residential 0 nor-residential Q Insp. of°.xIsL Plumbing 40.00/hr
Specially Requested Inspections 40.00/hr
Existing use of
d building or property K111-,0111;r1'ajA171 / Rain Drain, single family dwelling 30.00
Residential backflow prevention
N devices 15.00
Proposed use of 111,10171,v-
.0 f f�f SD�
building or property /7'
J '(Except residential backflow
prevendon devices)
io
W NOTICE '11Mnimum Fee $28.00 SUBTOTAL
J -
PERMITS BECOME VOID IF WORK OR CONSTRUCTION
AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS,OR IF 5%SURCHARGE
CONSTRUCTION OR WORK IS SUSPENDED OR ABA14DONED
FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS
COMMENCED. PLAN REVIEW 23%OF SUBTOTAL
TOTAL
�
Special Conditions C�� L'i � �-
�rG
Date issued by