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10115 SW NIMBUS AVENUE STE 700-2 I O C E AL S X-END 10 N[) R f D F OVERI,4EAD T UC U ( Y ) 1/2' GYP BOA ON 60OXC (1(o GA) META JOISTS IES" O/F (TYP) 1 o -011 I `\ i • !! + lese ! 046 ! 0• s + • ,r� I I M •• r ! • � I • e ]) a • wis I7 M • -LLL] I -L I I - i I I • o s • a • iess �� I � / II NOTICE.- IF THE PRINT OR TYPE ON ANY �I � ( III I I I I I I I I I I I I I I I IIIIIII I l l l l l f I l l l l l f IIIIIII I I f I 1 I1 IIIIIII I I I I I I I 1 1 1 1 1 1 ! IIIIIII II I I I I I I I I IIII 11 ! 1111 I � V I I I IIIIIII I I f I I I I r l l 111 111 111 f i I ! I �I ! I f l l l l III 1 1 1 1 1 1 1� I I II II Jill IMAGE IS NOTA 1 2 3 4 S CLEAR EA R AS THIS NOTICE, `_-__- __�L_____-- _ __._---- -.__-_-- --.----_-_. _ 5 _ -- - 6 _ � _- g 9 - 10 11 12 _ y IT IS DUE TO THE QUALITY OF THE No.36 ORIGINAL DOCUMENT -� - � --- —jnz; - E 6Z 8Z LZ 9Z 5Z � Z EZ I Z� TZ I OZ 6T 8I LT 9i si � T ET ZT iT 01 6 8 L 9 9 t E Z llUlllllllllilll �lllll.11 ll � O G E AL S . X EN O Np R !D FOvRE D 1 UG U l Y Vyj/ �l I/2' GYP BOARD ON 60OXC (16 GA) I`tE?A JOISTS 16' O/G t (TYP) � UPI *fA lies P O � M 1 I � N i A z I � r � w � to so1 NOTICE: IF THE PRINT OR TYPE ON ANY � Ii14l � � ! � I � It Ilt I �I III I � I III Int Ilt 1Il �tll I I III tl1 I � t III III 1 I I1I IJIIMAGE IS NOT AS CLEAR AS THlS NOTICE, 23 � 5L--I I 6IIIII81. 11111111 I _ 11111 1�O _ _ Z Z � ZZ ITIS DUE TO THE QUALITY OF fNE: No 36 - - --- -- -- - -- - ORIGINAL DOCUMENT � �� -T---- E 6Z 8Z L7� 8Z 47 67, EZ Z TZ OZ 6l11111111 GT 8T 4T YT £�T 7,T �iT i I 6 �8 IIII IIII IIII Iill IIII I►II IIiI IIII IIII IIII IIII llli�Illllllil tlil IIII IIII III II 1111111110111116 111111111VIII Ilillilll Ililliiii ilil�uii illi ilii iillll�ii�ii�i i► iiiilliii��ul�u� 1iuuiu ill iifNiil C 0 H V-+ �3 H LTJ ul Q 0 0 z H C Vl e1 10115 SW NIMBUS AVENUE �. SU. 7E '700 CITYOF T I GA R D CERT"IFICATE OF OCCUPANCY DEVELOPMENT SERVICES PEF',MIT#: BUP2001-00279 13125 SW Hall Blvd., Tig-ird, OR 97223 (503)639-4171 DATE ISSUED: 08/10/2001 PARCEL: 1 S134AA-01900 ZONING: C-G JURISDICTION: TIG SITE ADDRESS: 10115 SW NIMBUS AVE 700 SUBDIVISION: 1 KOLL BUSINESS CENTER TIGARD BLOCK: LOT:001 CLASS OF WORK: ALT TYPE OF USE: COM TYPE OF CONSTR: 5N OCCUPANCY GRP: B OCCUPANCY LOAD: 46 TENANT NAME: REMARKS: CommErcial tenant improvement 125E square feet Owner: ROBINSON, W'LLIAM IVCONSTANCE ROBINSON, LYNN + BELL, KAY ET BY ELLIOTT ASSOC PORTLAND, OR 97204 Phone: Contractor: STEWKO, INC P O BOX 567 SPRINGFIELD, OR 97477 Phone: 541-747-3210 Reg#: 'chis Certificate issued 09/2.1/211111 grants occupancy of the above referenced building or portion thereof and confirms that the building has been inspected for compliance with the State of Oregon Specialty Codes for the group, occupancy, and use under Mhiclh the referenced permit was issued. BUILDING INSPECTOR _ BUILDINO FFICIAL POST IN CONSPICUOUS PLACE CITY OF TIGARD BUILDING iN:SPECTION DIVISION oCj a-7 24-Hour Insri?ction Line: 639-4175 Business Line: 639-4171 I Date Requested____—Z-14 -.__—AM PM BLD ---- Location Z) // ,5 ,l Lam'-) Suite "26U MEC __— Contact Person _ Ph ?O L- 707/ PLM ---------- — Contractor Ph SWR BUILDING Tenant/Owner ELC - Retaining Wall ELR Footing Access: -- - Foundation FPS Ftg Drain Crawl Drain Ins�tion tes: SGN Slab �(� 1 r j 2 ` 7` —7,(-- ----- SIT — Post&Beam Ext Sheath/Shear Int Sheath/Shear Framing Insulation Drywall Nailing _ Firewall 0 Fire Sprinkler — - Fire Alarm Susp'd Ceiling __.. iA Roof � 1 M' — — ` ISA S PART FAIL BING Post& Beam— Under Slab 101)Out Water SPrvice Sanit,ry Sewer Rami Drains Final _�� -- — --- PASS PART FAIL MECHANICAL Post&Bram -- -- -- - -- ----------- -- — --- Rough In Gas Line - ---- ------- Smoke Dampers Final - -- ---- - - -- - — -- PASS PART FAIL ELECTRICAL ---- - -- -- ----- ------- Service -----Service Rough In UG/Slab Low Voltage Fire Alarm -- -- ------ -- - -- — --- - _— Final PASS PART FAIL _ - -- ---- ------ -SITE Backfill/Grading Sanitary Sewer Storm Drain [ ]Reinspection fee of$ required before next inspection Pay at City Hall, 13125 SW Hall Blvd Catch Basin ( ]Please call for reinspection RE: ( ]Unable to inspect- no access Fire Supply Line ADA ,I w Approach/Sidewalk Date ��. _Inspector I� ` Ext Other -- - Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. CITY OF TIGARD BUILDING INSPECTION DIVISION 24-Hour Inspection Line: 639-417! Business Line: 639-41MST71 -- Date Reauested___'9 '�� D — M PM BLD --� Location / V �� , , 42 M s _ Suitr, _20 d _ MEC Contact Person t -�o'y� Ph — — PLM Contractor _ _ _ Ph SWR — LDIN ��-- Tenant/Owner — , _�d` Et.0 e rng Wall '� ELR _ Footing Access: Foundation FPS Ftg Drain SGN Slab Crawl Drain Inspection Notes: � �,.� �� --- SIT Post& Beam / --- Ext Sheath/Shear Ate f Int Sheath/Shear i Framing Insulation / D,/wall Nailing — Firewall C Fire Sprinkler \V S_ oy- r 6,-teS r V Fire Alarm Final PASS FAIL PLUMBING Post& Beam Under Slab I-op Out Water Service Sanitary Sewer --- -_-- _ _-�-�----^ ^'— - Rain Drains Final PASS PART FAIL - �G-�..�.•5.1_ - � --- -- MECHANICAL / Post& Beam L�O-V �---- -s Rough In Gas Line -- -- Smoke Dampers Final _-- PASS PART FAIL ELECTRICAL -- Service Rough In UG/Slab _ Low Voltage Fire Alarm Final PASS PART FAIL — _ _----------- ___-- SITE Backfill/Grading -- -- - -------Sanitary Sewer Sewer Storm Drain [ ]Reinspection fee of$ _required before next inspection Pay at City Hall, 13125 SW Hall Blvd Catch Basin [ ] Please call for reinspection RE _ [ ] Unable to inspect-no access Fire Supply line -----. ADA ; Approach/SidewalkDate EXt� Other --- Final PASS PART FAIL_J DO NOT REMOVE this inspection record from the job site. CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 BLIP -:?GC � Date Requested 3 -AM PM BLD Location Suite �G' —__ MEC Contact Person Ph _ PLM — Contractor Ph SWR BUIL DING -Tenant/Owner �. t �3 �-�- r y l J -k Z G ELC Retaining Wall V ELR Ficiting Access FPS Fjundation ----- --- =tg Drain SGN Crawl Drain Inspection Notes: --- - -- - Slab --------- - - --- -. SIT Post 8. Beam -------- - ----- Ext Sheath/Shear - - --- --- Int Sheath/Shear Framing Insulatiga- - - rz`1ci Drywall Nailing -- — -- - - Firewall p� Fire Sprinkler - Fire Alarm Susp'd Ceiling - ------- ------ -- — - Roof Misc -- --- ------ -- ------- - 11 2AS4B PART FAILLING — - Post&Beam �- ---- --- Under Slab Top Out Water Service Sanitary Sewer Rain Drains - Final PASS PART FAIL MECHANICAL Post& Beam --- - ------ - Rough In Gas Line - -- ----- -- Smoke Dampers Final -- -- - _--- _ PASS PART FAIL ELECTRICAL Service -- Rough In -- UG/Slab —. - - --- - - Low Voltage Fire Alarm ---- - --- -- -- -- - _ Final PASS PART FAIL _-- - - --SITE Backfill/Grading, Sanitary Sewer Storm Drain [ ]Reinspection fee of$ --_required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin ( ]Please call for reinspection RF ( ]Unable to inspect-no access Fire Supply Line ADA ,� Approach/Sidewalk Date '/0 ' Inspector164C/N --Ext Other - �-�-- - Final PASS PART FAIL DO NOT REMOVE this inspection, record from the job site. i7IT°Y OF TiGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 vj- BUP ------ —_Date Requested -�' 1-G' AM_ -___PM _ — BLD Location 1 LL7Y1 �_Lc�1/ _ Suite �_1f(' c= MEC Contact Persons _ Ph PLM Contractor _ Ph l _ SWR Tao BUILDING Tenant/Owner 41rs / a o n /� ItrQ ELC Retaining\Vall ELR Footing Acciss: Foundation FPS Ftg Drain SGN Crawl Drain Inspection Notes. ----- — Slab _ --- - -- --- -- SIT Post& Beam Ext Sheath/Shear Int Sheath/Shear Ffvmmg > --------- Insulation Drywall Nailing �L/I / «Q..IC� Firewall o C LJ/ �/ 7 .� 7 l -Let �Ylt-�• � � ' �� Fire Sprinkler 1 Fire Alarm / /11 / C�7 97 L/ Susp'd Ceiling L ,� Roof _ tt/"/` Misc: -- ---- -- _ PASS' ' PART FAIL --r- -POMING Post& Beam Under Slab Top Out f Water Service f:�-e __'0 Sanitary Sewer Rain Drains Final PASS PART FAIL MECHANICAL Post& Beam Rough In G �' ?c Gas Line �- Smoke Dampers L __!�Lam!�' /`�4t L�_r 4 C_ Final �— PASS PART FAIL I-) -L"'t a-- tj e%, ELECTRICAL I' _ !;ervice .40 Rough In IUG/Slab I ow Voltage Fire Alarm -- Final PASS PART FAILSITE Backfill/Grading - ---�-�- Sanitary Sewer Slorm Drain ( j Reinspection fee of$ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line ( )Please call for reinspection RE ( ]Unable to inspect no access ADA /C� Approach/Sidewalk G Other Date _ Inspector i _ Ext Final PASS PART FAIL DO NOT REMOVE this Inspection record from the job site. CITY OF TI GA R GBUILDING FERMIT — PERMIT#: bUP2001-00279 DEVELOPMENT SERVICES DATE ISSUED: 8/10/01 13125 SW Hall Blvd., Tiqard. OR 97223 (503) 639-4171 PARCEL: 1S134AA-01900 SITE ADDRESS: 10115 SW NIMBUS AVE 700 SUBDIVISION: 1 KOLL BUSINESS CENTER TIGARD ZONING: C-G BLOCK: LOT: 001 JURISDICTION: TIG REISSUE: _ FLOOR AREAS _ EXTERIOR WALL CONSTRUCTION_ _ CLASS OF WORK: ALT FIRST: sf N:^� S: E: W: _ TYPE OF USE: COM SECOND: sf _ PRC.FrT OPENINGS? _ TYPE OF CONST: 5N sf N_ S: E: W: OCCUPANCY GRP: B TOTAL AREA: 0.00 sf ROOF CONST: FIRE RET? OCCUPANCY LOAD: 46 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: Y SMOK DET:�� DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP ACC: .BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING: VALUE: $ 15,600.00 Remarks: Commercial tenant improvement 1256 square feet Owner: Contractor' ROBINSON, WILLIAM R/CONSTANCE STEWK0, 11,1C. ROBINSON, LYNN + EEL L, KAY ET P.O. BOX 567 BY ELLIOTT ASSOC SPRINGFIELD, OR 97477 F'�Pone ND, OR 97204 Phone: 541-747-3210 Reg #: FEES REQUIRED INSPECTIONS Type By Date Amount Receipt Mechanical Fermit Require PLCK CTR 7/27iC1 $127.99 27200100000 Electrical Permit Required Sprinkler Permit Required FIRE CTR 7/27/01 $78.76 27200100000 Plumbing Permit Required FRMT" CTR 8/10/01 $196.90 27200100000 Framing Insp 5PCT CTR 8/10/01 $15.75 27200100000 Gyp Board Insp Susp Ceiing Insp Total $419.40 A Final Inspection This permit is issued subject to the regulations coriained 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 wil! expire if work is gob not started within 180 days of issuance, or if work is suspended for more than 180 days. A-1-TENTION Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAP. 952-001-0010 through OAR 952-001-1987 You may uhtain a copy of these rules or direct questions to OUNC by calling (503) 246-6699 or 1-800-332-2344. Permittee yrs A ,//h1, p Sign atur J7 M Issued y: Call 639-4175 by 7 p.m. for an inspection the next business day BUP - Building Permit _ ELC -_Electrical Permit Inspection Description Date Passed By Inspection Description Date Passed By Footing/Setback Underground cover Foundation walls Wall cover _ Footin drain _ - - Ceiling cover Wate roof bsmt walls - Electrical rough-in Slab - Electrical service _ Crawl drain _ _` Electrical final Underfloor insulation Post/beam structural --- Shear walls/anchc,-5_ - ELK - .Restricted Energy Permit Roof nailing _ -- Inspection Description Date Passed B Firewall _ _ Low voltage Tilt-up panel _ Electrical final Masonry/Reinforcement - Framing U ---- — MFG-Structure set-up ' MEC - Mechanical Permit Insulation Inspection Description Date Passed By Drywall nailing _ k Post/beam mechanical _ Suspended ceiling Gas line Ening eered soils Mechanical ro_u hg in Welding Lab Final _� Fire dam r Concrete Lab Final _ Duct work Bolting Lab Final — Smoke detector Structural observation Mechanical final Fireproofing Lab Final — Final inspection ! l -- -- — PLM - Plumbing Permit _ BUP— Fire Protection System Permit Inspectlon Description Date Passed— By - Plumbing underslab Inspection Description Date Passed By Crawl drain _ Sprinkler underfloor/slab _ Post/beam lumbing Sprinkler rough-in _ Plumbing top-out Sprinkler final _ RP/backflow preventer Fire alarm final Rain drain ------ Storm drain Water service SIT - Site Permit Snitn sewer lns�ection Descri tion Date Passed By I Culvert/catch basin _ Footings Pum //fill septic tank Foundation walls _—_ — Plumbing final Sprinkler supply lines Sprinkler underfloor/slab Catch basin/Manhole _ SWR- Sewer Perri t _ E�ineered soils _ — Inspection Description Date Passed By Engineering acce lance _^ SanitarysewerLJ Final inspection _ Final inspection Inspection Record - RUP, PLN., SWI1, ELC, E'LR, MEC, SIT Permits i\dsts\forms\InspRecordBUP.doc 04117/01 n CITY OF TIGARD SEWER CONNECTION PERMIT DEVELOPMENT SERVICES PERMIT#: SWR2001-00231 13125 SW Hall Blvd.,Tigard, OR 97223 (a03) 639-4171 DATE ISSUED: 8i16/01 SITE ADDRESS; 10115 SW NIMBUS AVE 700 PARCEL: 1 S134AA-01900 SUBDIVISION: 1 KOLL. BUSINESS CENTER TIGARD ZONING: C-G BLOCK: LOT: 001 JURISDICTION: TIG TENANT NAME: BIG TOWN 'IERO USA NO: FIXTURE UNITS. 33 CLASS OF WORK: ALT DWELLING UNITS: 2 TYPE OF USE: COM NO. OF BUILDINGS: 1 INSTALL TYPE: BUSWR IMPERV SURFACE: Remarks: 2.1 EDU increase. Previous fixture units wer 227, this permit adds 33 units for a new total of 260 fixtures or 16.25 EDU's for an increase of 2.1 EDU's. Owner: __ FEES _ ROBINSON, WILLIAM R/CONSTANCE Typr, By Date V Amount Receipt ROBINSON, LYNN + BELL, KAY ET --- — BY ELLIOTT ASSOC PRMT CTZ 8/16/01 $4,830.00 27200100000 PORTLAND, OR 97204 Total $4,830.00 Phone: – -- Contractor: Phone: Reg #: Required Inspections This Applicant agrees to comply with all the rules and regulations of the Unified Sewage Agency The permit expires 180 days from the date issued. The total amount paid-,+gill be forfeited if the permit expires rhe Agency does not guarantee the accuracy of the side sewer laterals. If the 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 and the Agency will install a lateral ATTEN PION Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0080 You may obtain copies of these rules or direct questions to OUNC by calling (503) 246-1987 �'�,�, � � / Issued by: }' , ',�f X11 i� Permittee Signature: Call (503) 639-4175 by 7:00 P.M. for an inspection needed the next business day ''II Accumulative Sewer Tally Tenant Name:1 �u>►J I�EQn This SWR# Address: Ib �.�_�NPxc<, lad This PLM#: b%"dd 3� Fixture Value Previous Previous Credits Capped Fixtures Fixtures New total New # Value Capped off value added# added #s total Count off#s count value values Baptistry/Font 4 - -- -- Bath-Tub/Shovier 4 - - - JacuzzM/ ihiripool - 4 -� -� --- ---- - Car Wash-Each Stall ----- _ - Dnve Through— 16 --- Cuspidor/Water Aspirator 1 -Dishwasher Commercial_ 4 _ Domestic — 2 Drinking Fountain 1 Eye Wash-- --- 1 - - - - - --— Floor Drain/sink -2 inch 2 - -- _ 3 inch 5 - -- - 4 inch _ 6 T _ --- - --- Car Wash Drn 5 _ ---- - --- - - - Garbage Disposal 16 _-Domestic(to 3/4 HP) -- __ Commercial(to 5 HP) _ 32 _- -- - -- Industrial (over 5_HP) 48 - - Ice Machine/Refrigerator Drains 1 _- Oil Sep(Gas Station) 6 — - Rec.Vehicle Dump Station 16 Shower-Gang(Per Head) 1 --- - -Stall 2 --- Sink-Bar/Lavatoi;, 2 - Bradley ---- -M Commercial _- 3 - Service 3 - _Swimmin Pool Fii _ 1 -- Washer-Clothes 6 -- - Water Extractor 6 _- - Water Closet -Toilet - 6 - Urinal 6 __.- - ----- - -- - 1OTALS f // Total fixture values. divided by 16 L!, EDU /� ' 3f{'� Z HISTORY PLM# p l-oeilgl EDU# ,,� SWR#;ocj1-o0158 PLM# _� EDU# SWR# —, PLM# qpm EDU#-, SWR# & p� PLM#— EDU# ,—SW—R# PLM# 96- dao,, EDU# t2 SWR# 9G- 00.OVO PLM# EDU# SWR#~ _ PLM# $-dca a3a; EDU# // SWR# 95-003 PLM# — EDU# SWR# iMstsliswrtaly.doc CELECTRICAL PERMIT CITY O F T I G A R D PERMIT#: E' C2001-00427 DEVELOPMENT SERVICES DATE ISSUED: 08i23/2001 13125 SW Hall Blvd„ Tiqard, OR 97223 (503) 639-4171 PARCEL: 1S134AA-01900 SITE ADDRESS: 10115 SW NIMBIJS AVE 700 SUBDIVISION: 1 KOLL BUSINESS CENTER TIGARD ZONING: C-G BLOCK: LOT : 001 JURISDICTION: TIG Proiect Description: Installation of 200amp/less service/feeder with (20) branch circuits RESIDENTIAL. UNIT TEMP SRVCIFEEDERS _ MISCELLANEOUS _ 1000 SF OR LESS: 0 - 200 amp: PUMP/IRRIGATION: EACH ADD'L 500SF: 201 - 400 amp: SIGN/OUT LINE LTG: LIMITED ENERGY: 401 - 600 amp: SIGNAL/PANEL: MANF HMI SVC/ FDR: 601+amps - 1000 volts: MINOR LABEL (10): SERVICEIFEEDER — BRANCH CIRCUITS — _ — _ ADD'L INSPECTIONS 0 - 200 amp: 1 W/SERVICE OR FEEDER: PER INSPECTION: 201 - 400 amp: 1st W/O SRVC OR FDR: 1 PER HOUR: 401 - 600 amp: EA ADD'L BRNCH CIRC: 5 IN PLANT: 601 - 1000 amp: --__— PLAN REVIEW SECTION 1000+ arnn/volt: >=4 RES UNITS: > 600 VOLT NOMINAL: Reconnect only. SVCtFDR >= 225 AMPS: vCLASS AREA/SPEC OCC___ Owner: Contractor: ROBINSON, WILLIAM R/CONSTA.NCE AAA ELECTRIC INC ROBINSON, LYNN r- BELL, KAY ET 2809 NE 58TH AVE. BY ELLIOTT ASSOC PORTLAND, OR 97213 PORTLAND, OR 97204 Phone: Phone: 225-0720 Reg #: LIC 00083526 SUP 1578S ELE 26-795C FEES — Required Inspections Type By Date Amount Receipt f Wall Cover - I PRMT CTR 08/23/2001 $213.30 2720010000( E!ect'I Service Elect'I Final 5PCT CTR 08/23/2001 $17.06 2720010000( Total $230.36 This Permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans This permit will expire if work is not started within 180 days of issuanoe1 or if work is suspended for more 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 952-001-0010 through OAR 952-001-0080 You may obtain copies of these rules or6irect questions to OUNC at(50) 246-6699 or 1-800-332-2344 Permit Signature: --� , Issued By: _ V OWNER INSTALLATION ONLY The installation is being made on property I own which is not intended for sale, lease, or rent. OWNER'S SIGNATURE. DATE: CONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR. ELEC'N: �� L �' i��r'[ / 6 ' —__ DATE:---------- LICENSE ATE:_ _ ______._._LICENSE NO: __ __ 115--?L ----- — --- Call 639-4175 by 7:00prn for an Inspection the next business day nei l9i Jr rcr, Icer rrsA oua ut+n itio -.111 ur rtt.Anv uua Electrical Permil4X-P ation ID at c tee civiewd: Q 1 Pertnftno.:44� City of Tigard �q 5 Projectlappl.no.: Expiredate- y f. Address: 13125 SW Hall lilvd,Tigard,OR 9")Z2,�;)ASN Date issued. BXReceiPtno: Cit u Tigard � Phone: (503) 639-4171 00061 Case�'r� Case file no.: Payment type: Fax: (503) 598-1960 �0M Land use approval: 1 7U I &2 family dwelling or accessory U Comm(xciaVindusttinl O Multi-family U Tenant improvement Cl New construction d�cn/alteration/rcpl;it anent U Other: 0 Partial 0 9 JOB SITE JINFORMATION Job address: � < ' (y ildg.nu.: Suite no.t 'falx map/ lot/accaunt no.: _ Lot: Block: Subdivision: ;;L ' _ - Projert name: }l i= _ Descii(Lion and location of work on promises: Estimated date of completion/ins ection: SCHEDULE Fee Max Job no: _- --—__-_ pescription (Jry. (ra.) Tutu) m'.Imp Business n3me: �L --r . �~ I �_ Brei 1 Nrwrnidrafial-single ar m dli-fnmilY per Address: _ f __�_ I dwellinRutit.lnrladetalltrtlkdmrsr�c Sl HP: ServlcehscludcYl: Car _ _ 1000 sq.ft.or I4 �•s�_ -. Phone: _ 1 fax: E-mail' - _� _ Each additional SW sq.ft.ur orlon thereof _ Elec.bus.lic.no: 2 Iplt(Ol CCB no.: -V '� Limhedrncrgy,rcsidentlal -_ City/meant re- -0 Unified energy.nnn"residential 2 rich manufactured home or modular dwelling Dale scr�ice tutcVnr feeder 2 Siggai su ry n clan(rc tied) serviccsurfeeders-installation, Sup.elerl.num (print) ` �r4 Li;cnseno: ! alteration or relocation: t 2 1 200 amp3 or lessf- 201 limps Ns 400 amps 2 Name(print)' _ —_—— 401 amps in 600 amps _ 2 Mauling address: 6n►amps to 1001)amps _2 City: 518X: aP: Uver 1000 amps or volts 2 ----- Reconnect only I Phone: Fax: fs mail: fempnrory services or feeders- owner installation:The installation is being made on property I own inaallatIon alet tion,orreloIatiory which is not intended for sale,lease,rent,or exchanj a according to eon amps lir less 2 ORS 447,455,479.670.701 201 amps to 400 amps 2 _ Owner's signature: _ _ D tte: 401 to 600 ams 2 Branch circuits-mew,aNeration, or extension per panel: Name: A. Fcc for branch circuits with purchase of I, r-. Address: service or feeder fee,each branch circuit 2 State: QIP: B. Fee for branch dreuitn without purchase 2 It --_� _ . — ---- - - of service or feeder fee.first branch circuit Phone: Fax: 1' marl— gachedditiundbrandtctrcuit� Mbe.f service or feeder met included): Bach amp of irri atlas circle __ 2 U Service over 225 amps-cnmrnerual U Health-care Wib n Each signor outline lighting 2 d service mu 320 amps-rating of 1&2 U l farardous Iocatt m signal clmcuigsl or a limited energy panel. family dwellings U Building over WARM square feet tour nr g U System over 600 volts nominal more residenud inits in one structurr alteration.or extension" 2 O Building over three stories U Feeders,4fi(l amps or more •Desai uon: — O Ore upant load over 99 persons U Manufai-Aured an ucturas or RV park Fach additional inspection over the allowable in any of the alcove: U 8grea.Jlightingplan U Other _— --- Perinspectlon Submit sets of plane with■n�of th-•above. Investigation fee 1Le above are not applicable to temporary cons+ruction service. Other -- Permit fee..................... Na at)urisdictfrars Weep!csr&i ends.please call indulicdon for more in'omraaoa Notice:This permit application Plan review(at — %) $ U Visa U MasterCard expires if a permit is not obtained _ __ within 190 days Rfter it has been State surcharge(896)....s Emeriti card nunrtKr - -- t -- - — ps,ire. TOTAL. $ i= accepted as complete. •~•"'•""""""" Nwe of urdloldrr as�mvn nn nedri card s Cardholdv stpsatute—� An aunt j 44Q,1619 0111MIX4 CITY OF T I GA R D PLUMBING PERMIT DEVELOPMENT SERVICES PERMIT#: P 00384 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 8/11 7/01 7/01 PARCEL: 1 S134AA-01900 SITE ADDRESS: 10115 SW NIMBUS AVE 700 SUBDIVISION: 1 KOLL BUSINESS CENTER TIGARD ZONING: C G BLOCK: LOT: 001 — JURISDI(',TION_TIG CLASS OF WORK: ALT GARBAGE DISPOSALS: MOBILE HOME SPACES: TYPE OF USE: COM WASHING MACH: I BACKFLOW PREVNTRS: 1 OCCUPANCY GRP: M FLOOR DRAINS: TRAPS: STORIES: WATER HEATERS: 1 CATCH BASINS: _FIXTURES _ LAUNDRY TRAYS: SF RAIN DRAINS: SINKS: 4 URINALS: GREASE TRAPS: LAVATORIES: 1 OTHER FIXTURES: 2 TUB/S'tOWERS. SEWER LINE: ft WATER CLOSETS: 1 WATER LINE: ft DISHWASHERS: RAIN DRAIN: ft Remarks: Plumbing tenant improvement. Converting from previous office space to restaurant. Other fixtures are (1 ice maker and (1) primer. FEES.— Owner: ---- ---- Type By Date _ Amount Receipt ROB!NSON, WILLIAM R/CONSTANCE PRMT CTR 8/17/01 $245.60 272001000 )0 ROBINSON, LYNN + BELL, KAY E i PLCK CTR 8/17/01 $61.40 27200100000 BY ELLIOTT ASSOC 5PCT CTR 8/17/01 $19 65 27200100000 PORTLAND, OR 97204 - — — -- Total $326.65 Phone 1: -- — -- -- Contractor: — R D PLUP/lBING INC 13900 NW SPRINGVILLE RD PORTLAND, OR 97229 REQUIRED INSPECTIONS Rough-in Insp Phone 1: 503-297-7422 Final Inspection Reg #: LIC 73913 PLM 26-313pb This permit is issued subject to the regulations contained in the Tigard Municipal Code. State of OR Specialty Codes and all other applicable laws. 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 rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-0001-0010 through OAR 952-0001-0080 You may obtain copies of these rules or direct questions to OUNC by calling (503) 246-1987 Issued By.� -- G�.� __ Permittee Signatures Call (503) 639-4175 by 7:00 P.M. for an inspection needed the next business day 2001-0 2 �wi�eco/-oo r2 Plumbing Permit Application plhte®rcceiverd:� N e' Permit no.rie;eel-,�e City of Tigard Sewer permit no.: Building permit no.: Address: 13125 SW I lall Blvd,Tigard,OR 97223 fill ol Tigard Phone: (503) 639-4171 Project/appl.no.: Expire date: Fax: (503) 598-1960 pate issued: By: Receipt no.: Land use approval: Case rile no.: Payment type: ' ( LI 1 &2 family dwelling or accessory Q Commercial/induslrial U Multi-family U Tenant improvement U New constniction sal Atl(lition/alteration/replacement W Food service U Other: � � t Job address: 10115 SW NinjLua, Av • Description (Ity. Fee(ca.) 'Total 7NC 2-family d"ellings onl}: Bldg.no.; Sulteno.: 70t) o it.forrachulililyconnection) Tax map/tux lot/account no.: th Lot: Block: Subdivision: SFR(2)bath Project name: Bilz Town Hero SFR(3)bath — City/county: Tigard ZIP: Each additional bath/kitchen Description and location of work on premises:... Sheutilities: Catch basin/area drain -- -- -- __ -- Drywells/leach line/trench drain Est.date of completion/inspection: F«iting drain(no. lin.ft.) _ RAUVOR anufactured home utilities Businessnaine: R.P. Plumbing, Inc __ Manholes Address: _13900 N.W. S rin vill.e Rd Rain drain connector _ City: Portland State: OR Z.IP: 97229 Sanitary Sewer(no.lin. ft.) Phone: – Fax: 297-7344 E-mail: storm sewer(no.lin. 11.) _ CCB no.: 7 3 913 iw; y I Plumb.bus.reg.no: 26-313PB Water service(no. lin.fl.) Fixture or item: City/metrolic.no.: 1094 Absorption valve _Caatractor's representative signature: _–_ Back flow preventer — —_ Print name: Robert Dennis Irate: Backwater valve _ "j�sjg Basins/lavatory 1_ Robert Dennis; Clothes washer _ Name: - Dishwasher Address: 13900 N.W. Sprinizville Drinking fountain(s) Citv: Portland Siatc:C}R 'LIP: 97229 Ejectors/summa— Phone: l– Fax: 297-7344 E-mail: Expansion tank. Fixture/sewer cap Floor drains/floor sinkslhub — Neme(print): _ Garbage dis oral Mailing address- Hose bibb City: State: ZIP: Ice maker Phone: Fax: E-mail: Werceptor/grease trap Owner installation/residential maintenance only: The actual installation Primcr(s) ___ will he made by me or the maintenance and repair made by my regular R rain(,commercial) _ employee on the property I own as per(IRS Chapter 447. Sink(s) hasin(s),iiavt(s) Y _ Owner's signature:_ -- _ Date: --- Tubzkhowcr/ihower pan lJrinal Name: _ _ Watercleset _ Address: _ — Water heater City: State: ZIP: _ Other. --- —_ Phone: Fax: E-snail: _ ToU :Minimum fee................$ Not all jurisdictions accep credit can!a,raeure eau jurisdiction fin r,nrr information'. Notice Phis permit application Plan review(at ._ %) $ U visa U MasterCard expires if r,permit is not obtained Credit cad number: _ / / within `6U days ager it has been State surcharge(8%)....$ _ L TOTAL ........... ...........$ _ _ -- accept-:i as complete. Name of cardhol& u shown or credit cad $ Cardholder�ianat�re — ---- - --Amown 440-46161ra0n 70MI PLUMBING PERMIT FEES: -_, PRICE TOTAL New 1 and 1.-family dwelllnps only: --- -__ FIXTURESIndividual QTY ea AMOUNT (includes all plumbirig fixtures In PRICE TOTAL -5---- �- - the dwelling and the first100 ft. QTY (ea) AMOUNT Sing 16.60 Q for each utility connection) Lavato16.60 ry ----- - - One 1 bath _ - $249.20 Tub or Tub/Sliver Comb. 16.60 Two 2 bath $350.00 Si-ower Only 16.60 Three bath $399.00 Water Closet - 16.60 ��V SUBTOTAL Urinal16.60 8'/•STATE SURCHARGE _ Dishwasher 16.60 PLAN REVIEW 25'/.OF SUBTOTAL TOTAL Garbage Disposal 16.60 Laundry Tray 16.60 Washing Machine 16.60 O Floor Drain/Floor Sink z - Z 16.60 Zo PLEASE COMPLETE: 3^ 16.60 4" 16.60 Quantity b Work Performed Waterr Hoater G conversion O like kind ' 16 60 Fixture/ FixtT : New Moved Replaced Removed/ Gas piping requires a separate mechanical I J . Capped permit. - - _ Sink MFG Home New Water Service 46.40 MFG 11omo New San/Storm Sewer 46.40 Lavatory / Tub or Tub/Shower Hose Bibs 16,60 Combination Roof Drains 16.60 Shower Onl Drinking Fountain 16.60 Water Closet _ _ _ --- Urinal ,r Fixtures(Specify) 16.60 Dishwasher Ci ` a� --_ O Garbage Disposal !` Laundry Room Tray •� Washing Machine Floor Drain/Sink: 2" §ewer-ls1100'_ 55.00 3" Sewer-each additional 100' 46.40 4" _ ---- Water Service-1st 100' 55.00 Water Heater -- Other Fixtures Water Service-each additional 200' 46.40 (Specify) -__ Storm&Rain Drain-1st 100' 55.00 Storm&Rain Drain-each additional 100' 46.40 - - Commercial Back Flow Prevention Device 46.40 t o - Residential Backllaw Prevention Device' 27.55 Catch Basin Y 16.60 J Inspection of Existing Plumbing or Specially 72.50 Requested Inspectionsper/hr COMMENTS REGARDING ABOVE: Rain Drain,single family dwelling 65.25G1 P- 5 O.1 y__�'••^ Grease Traps 16.80 4�-!5 �� r �e Lr s Sws[� 00, QUANTITY TOTAL - Isomehic or nser diagram Is required If OuantN�otal 'SUBTOTAL 8%STATE SURCHARGE "PLAN REVIEW 25%OF SUBTOTAL rJ,` s 7 � _ Requlred only I+fixture qty total Is>9 TOTAL ; "MPnlmum permit fee is$72 50•BW state surcharge,except Residential Backflow Prdvention DrMce,which Is$36 25•s%state surcharge `"All New Commercial Buildings require plans with isometric or riser diagram and pian rev'ew iAdsts\forms\pint-fees doc 10/10/00 WASHINGTON COUNTY OREGON RFCFIVFD July 24, 2001 Darlene Molkenthin COMMUNITY UEYELOPMENi 15036 SW'Trenton Court Beaverton,OR 97006 RE: Big Town ilero 10115 SW Nimbus Avenue, finite 700 'Tigard,OR 97223 Dear Ms. Molkenthin The Washington County Department of Health and Human Services has obtained the plans for the proposed Big Town Hero to be located at 10115 SW Nimbus Avenue in Tigard, Oregon. It is out- understanding urunderstanding that community water and community sewer will be utilized at this structure. The following is understood to be planned with necessary changes and conditions for approval noted: STRUCTURAL REQUIREMENTS 1) The plans show a three-compartment sink for washing, rinsing and sanitizing utensils. Each compartment of the three-compartment sink unit nnlst be large enough to totally submerse your largest multi-ase utensil. The plans show one draitrboard on each side of the three-compartment sink. Two drainboards are required One drainboard must be designated for soiled utensils and the other for clean utensils. An accurate test kit is required to test sanitizer concentration in the third compartment of your Fink. These sinks are not to be used for handwashing. 2) The plans show a food preparation sink located in the back food preparation area. Please be aware that this sink can not be utilized for noncompatible uses such is handwashing or mop washing. This sink is shown wasting indirectly to a floor sink. 3) The plans show a utility mop sink. Pleast s=rppi, a m^p hanging device so mops and similar floor cleaning equipment can be cleaned and hung between uses. 4) If you plan to install an automatic chemical dispensing system at your three-compartment sink or mop sink, please contact the local plumbing authority for information on the proper back flow device needed to ensure that the fresh water supply is protected from chemical backflow. 5) A handsink must be designated in each of the food or drink preparation and food or drink dispensing areas I landsinks are shown in the back food preparation and front service areas Department of Health do Human Services 155 N First Avenuc, MS 5. Millsboro. OR 97124.3012 WIC Nutrition Plan:(503)846-3555 Admintstrallon 6 Nium=ng 15031846.4402 7TY,150318464M I Health Services:(503)846.8881 Fkx:Clinic(503)846-4522/Ad mintstration 1503)8464490 Environmental Health:(503184643722 Page 2 0) All handwashing sinks including the restroom handsinks must be equipped with dispensed soap and dispensed sanitary towels or approved hand-drying devices. The hardwashing sinks mus: be equipped with hot and cold tempered water. If self-closing,slow-closing,or metered faucets will be used, they must be designed to provide a flow of water for at least 15 seconds without the need te)reactivate the faucet. 7) The restrooms must meet all the requirements as described in the 1987 Oregon Food Sanitation Rules for design, constriction and operation. Be aware that restroom doom must self-close and that there must be at least one c,�vered waste receptacle in the women's restroom. Please consult the local Building Department for information on the ratio of toilets, urinals and handsinks required for your planned occupancy. 8) The plans show a beverage dispenser and ice maker which drains indirectly into a floor sink. Any piece of equipment utilized to hold food or ice in that is equipped with a drain must waste indirectly into a floor sink or floor drain. Where air gaps are required, the distance between the bottom of the waste pipe and the top of the floor sink or drain must be at least one inch or two waste pipe diameters,whichever is greater. 9) Any refrigeration unit which does not come equipped with an evaporator pan for its liquid wastes must have its liquid wastes drain indirectly to a floor drain or floor sink. 10) Floor sinks and floor drains must be located so they are accessible for cleaning and maintenance. 1 1 ) All floor, wall mut ceiling surfaces must be smooth, durable,sealed and easily cleanable and in a light color. Any areas that are worn or damaged mast be repaired. Where walls and ceilings are painted, high gloss paint is recommended. It is also highly recommended that walls behind cooking equipment, dishwashing ea,ripment, and the mop sink be covered with durable, washable backsplash. 12) If acoustical ceiling tiles are utilized and they become soiled and can not be cleaned, then replacement will be required. A washable ceiling surface is recommended for food preparation and cooking areas. 13) Self-service salad/con(lurrent areas must have a smooth, nonabsorbent floor covering such as vinyl,tile or the equivalent extending out 30 inches on each side to which the public has access. 14) Base coving at least four inches in height will be needed on all wall/floor junctures that require wet mopping. 15) Any gaps in floors, walls, or ceiling around plumbing or electrical work must be filled in to prevent rodent and insect access and entrance Exposed utility lines and pipes can not be installed horizontally on the floor Page 3 16) All lamps over or within food storage, food preparation, and food display facilities and facilities where utensils and equipment are cleaned and stored shall be shielded, coated (w otherwise shatter resistant. 17) Each refrigeration unit not equipped with an accurate built-in thermometer, must have a spirit stemmed thermometer located on the top shelf or door. 18) All equipment must be installed so as to be moveable or properly sealed to facilitate proper cleaning. 19) Storage shelves must be smooth, impervious, and ;easily cleanable. Unfinished wood is not acceptable. 20) All floor mounted equipment, unless readily movable, must be sealed to floor, installed on a concrete or otherwise smooth base at least four inches high, or elevated on legs to provide at least a six inch clearance between the flooraid equipment. 21) lie aware that all food or food items in the facility which are within customer reach and are not prepackaged, must be protected from customer contamination by a sneeze shield or other approved means. Please see the NSF pamphlet that is enclosed for information on sneeze shield requirements. 22) Outside storage areas or enclosures must be large enough to store the garbage and refuse containers and must be kept clean. Garbage and refuse containers, dumpsters and compactor systems located outside must be stored on or above a hard, nonabsorbent surface such as cement or machine-laid asphalt that is kept clean and maintained in good repair. 23) Your plans show seating for more than 30 patrons and will need to conform with the Oregon Clean Air Act designating smoking and nonsmoking areas. For your convenience, a copy of this Rule is enclosed. 24) The local plumbing authority may require a grease trap or interceptor be installed. If a grease trap or interceptor is required,it must be located and installed so that it is effective. A grease trap or interceptor is not shown. A maintenance schedule must be developed and followed to prevent grease from going down the sanitary sewer. 25) All plumbing must meet the requirements of the City of Tigard and the Oregon Uniform Plumbing Code. OPERATIONAL REQUIREMENTS 26) During the remodel construction phase,operation of the facility is not allowed if there is a lack of power, gas or water. All construction activities that create dust or other possible contamination of foods must be done during closed hours or under approved methods of contamination containment. Page 4 27) If you plan to cater foods,please submit your catering plans to this departnicnt 2K) If fiwd delivery is planned,then deliveries must be made with approved equipment that will keep products at correct temperatures. We highly recommend a temperature log be kept cf foods being transported. 20) You have very limited refrigeration equipment You may need additional refrigeration equipment to cool and cold hold potentially perishable foods. Should cooling or cold holding; become problematic,additional refrigeration will he required. 30) Comrron (cloth) towels cannot be used to dry hands. It' disposable towels are used, easily cleanaole waste receptacles must be conveniently located near the handwashing facilities. 31) The plans submitted show a food preparation sink. Any sink used for food preparation (washing, thawing, cooling, etc.) must drain indirectly to a floor sink. if existing sinks used for other purposes will be used for food preparation, they must have compatible use. Neither inandwa5hing sinks nor mop sinks may be used for food preparation. The third compartment of the three-compartment sink may be utilized for food preparation if it wastes indirectly to a floor sink. 32) The plans submitted show a self-service beverage area. Plcase be aware that beverage drinking containers cannot be refilled on dispensing units that require the container to come into contact Wth the beverage machine. The lip of used beverage containers should never come in contact with a beverage dispensing unit or an ice-dispensing machine. 1 t) A instal probe thermometer accurate to ±2T must be provided to assure attainment and maintenance of proper internal food temperatures of potentially hazardous foods after cooking foods, during hot holding,cold holding,and during cooling and reheating processes. :14) If potentially hazardous foods will be cooled, then a method to rapidly cool this food must be provided. Commercial air cooled refrigerators or ice baths are recommended for cooling? foods. When foods are cooled in the refrigerator, they must be cooled in mustow uncovered containers. Liquid foods may not be cooled at a depth of greater than four inches and soft thick foods may not be cooled at a depth greater than two inches in air-cooled refrigerators. Potentially hazardous foods must be cooled from 140"F to 45"F or less in no more than fom- hours. 35) Potentially hazardous foods must be thawed in refrigeration units at a temperature not to exceed 45°F or under potable running water of a temperature of 70"F or below with the food either cooked or placed into refrigeration once thawing is complete. 0; Raw meats must be stores: separately fi•om other cooked or ready to eat foods in refrigeration units. Store all raw meats on bottom shelves. 7) Equipment intended for in place cleaning must be cleaned and sanitized with contact of all interior food contact surfaces. Page 5 38) If potentially hazardous foods will be reheated, a method to reheat this food to 16511 within one hour must be provided. Stein tables, bain maies and crock pots are not allowed for rapid reheating or cooking of foods. 39) To minimize manual contact of foods, please provide and utilize handled scoops and other appropriate utensils. 40) Food may not be stored under exposed or unprotected sewer lines or water lines, except where automatic fire protection sprinkler heads may be required by law 41) All storage of food, food containers, and single setvice utensils must be on shelves at least six inches above the floor except where storage is on wheeled platforms or four inch high sealed bases. Metal pressurized containcis need not be elevated. 42) This facility quid its operation must meet all the Oregon Food Sanitation Rules and Statutes. 43) A preopening inspection must be conducted by our Department prior to license approval and operation Please contact Mike Cooney at 503-846-8722 at least one week prior to operation to schedule this inspection. 44) Your plans show seating for 21. The license fee of$405.00 and license application along with a plan review fee of$435.00 were submitted to this office. 45) All employees must have current Washington County Food Handler's Cards. For information call 840-3460. The plans you have submitted have been approved subject to stated conditions. If any fixture changes are necessary,it will be required that those changes be approved by this i)eparlment. Sincei-ely, D PARTMENT OF HEALTH AND HUMAN SERVICES �• Gil nn awa iishi, R.S , Satitaian E ironmcntal l le�dth iu,d Satitation GK:eoc Enc: 2 cc: City of Tigard Mike Cooney, R.S., Sanitvian .vas --£tTY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection line: 639-4175 Business Line: 639-4171 - - BUP _ _ Date Requested Z�1 ` AM— PM BLD -- 1_.ocation`�� .c�YL�Jtrl�� _ &��= Suite _Zd MEC - — Contact Person Ph _�- -2-S-0 7 ZU PLM Contractor _ _ Ph SWR BUILDING ` Tenant/Owner ELC Retaining Wall sooting Access: Foundation FPS -- - Ftg Drain SGN Crawl Drain Inspection Notes: - Slab --- - ---------- ----- -- _--_- SIT Post& Beam -------- Lxt Sheath/Shear Int Sheath/Shear -- Framing Insulation Drywall Nailing ---------------- Firewall � Fire Sprin1kler Fire Alarm Susp'd Ceiling Roof Misc --- -- - --- ------- - Final PASS PART FAIL -- - ------ - PLUMBING C�_ Post&Beam Under Slab - TOP Out Water Service Sanitary Sewer Iain Drains I iml PASS PART FAIL MECHANICAL - -- -- - lost& helm hough In Gas Line --------- - - --- - - -- -- Smoke ers F ,_ -- -- ----- 1-- -- .�_A_----- RASS FAIL ELECTRICAIP - - -- - - -------------- -- Service ------ __--- - -_-- - �oa j UG/Slab - ----- - - -- -- I_ow Voltage . e A a -_.-- -_ --------- -- ---- rna PASS PART FAIL Backfiill!Grading -- ------ -- -- - --- -� Sanitary Sewer (Storm Drain [ ]Reinspection fee of$_ -_required before next inspection. Pay at City Hall, 13126 SW Hall Blvd Catch Basin Fire Supply Linef )Please r-ill for reinspection <E: `-- ___ - ]Unable to inspect no access ADA Approach/Sidewalk _ _ / /� Other Date ___-__1- L -Inspector f - Ext Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. CITY O F T I G A R D ELECTRICAL PERMIT PERMIT#: ELC2001-00395 DEVELOPMENT SERVICES DATE ISSUED: 8/2/01 13125 SW Hall Blvd., Tigard. OR 97223 (503) 639-4171 PARCEL: 1S134AA-01900 SITE ADDRESS: 10115 SW NIMBUS AVE 700 SUBDIVISION: 1 KOLL BUSINESS CENTER TIGARD ZONING: C G BLOCK: LOT : 001 JURISDICTION: TIG Proiect Description: Installation of sign lighting foi wall sign _ RESIDENTIAL UNIT TEMP SRVC/FEEDERS -- MISCELLANEOUS 1000 SF OR LESS: 0 - 200 amp: PUMP/IRRIGATION: EACH ADD'L 500SF: 201 - 400 amn: SIGN/OUT LINE LTG: 1 LIMITED ENERGY: 401 - 600 amp: SIGNAL/PANEL: MANF HM/SVC/ FDR: 601+amps - 1000 volts: MINOR LABEL (10)- SERVICE/FEEDER _ BRANCH CIRCUITS ADD'L INSPECTIONS �_- 0 - 200 amp: W/SERVICE OR FEEDER: PER INSPECTION: 201 - 400 amp: 1st W/O SRVC OR FDR: PER HOUR: 401 - 600 amp: EA ADD'L BRNCH CIRC: IN PLAN 601 - 1000 amp: PLAN REVIEW SECTION 1000+ amp/volt: >=4 RES UNITS: > 600 VOLT NOMINAL: Reconnect only: — SVC/FDR >= 225 AMPS: _— CLASS AREA/SPEC OCC: _ Owner: Contractor: ROBINSON, WILLIAM R/CONSTANCE WALLWOOD SIGN SERVICE ROBINSON, LYNN + BELL, KAY ET PO BOX 395 BY ELLIOTT ASSOC CLACKAMAS, OR 97015 PORTLAND, OR 97204 Phone: Phone: 658-2083 Reg #: UC 00064007 ELF 26704CLS --�— �— SUP 326SIG _ FEES Required Inspections 'Type By Date Amount Receipt Wall Cover PRMT CTR 8/2/01 $53.40 2720010000( Elect'I Final 5PCT CTR 8/2/01 $4.28 2720010000( --- �- Total -- $57.68 This Permit is issued subject to the regulations contained in the Tigard Municipal Code,State of OR Specialty Codes and all other applicable laves 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 rules adopted by the Oregon Utility Notification Center Thosd011k, rules are set forth in OAR 952-001-0010 through OAR 952-001-0080 You may obtain copies of these rules ordirect questions to OUNC at(503) 246 6699 or 1-80"32-2344 ' Permit Signatuke� ; -, , � Isklued By: ---, OWNER INSTALLATION ONLY __ _ _— The installation is being made on property I own which is not intended for sale, lease, or rent. OWNER'S SIGNATURE: DATE: _ CONTRACTOR INSTALLATION ONLY SIGNATUFE OF SUPR. ELEC'N: _— _-- -- ---.-------- ------ DATE:--.-_ -- s LICENSE NO: -- ---- — — - ------ -- --- -- ----- Call 639-4175 by 7:00pm for an inspection the next business day BUP - Building Permit ELC - Electrical Permit Inspection Description Date Passed By ,f Inspection Description Date Passed B Footing/Setback Underground cover Foundation walls _ Wall cover Footing drain Ceiling cover _ Waterproof bsmt walls Electrical rough-in Slab Electrical service Crawl drain Electrical final /� d Underfloor insulation Post/beam structural Shear walls/anchors ELR - Restricted Energy Permit Roof nailing Inspection Descri tion Date Passed B Firewall _ _ Low voltam Tilt-up anel Electrical final Masonry/Reinforcement Framing MFG-Structure set-up set-up MEC - Mechanical Permit Insulation Inspection Description Date Passed B Drywall nailing _ Post/beam mechanical Suspended ceiling Gas line- Engineered ineEn ineered soils Mechanical rough-in Welding Lab Final _ Fire damper Concrete Lab Final Duct work Bolting Lab Final Smoke detector Structural observation Mechanical final Fireproofing Lab Final Final inspection PLM - Plumbing Permit _ Inspection Description` Date Passed By BUP— Fire Protection System Permit _ Plumbing underslab _ Inspection Description Date Passed By Crawl drain Sprinkler underfloor/slab Post/beamlumbin _ -Sprinkler rou h-in Plumbin to -out Sprinkler final RP/backflowpreventer [J.-Fire alarm final Rain drain _ Storm drain_ Water service SI" - Site Permit _ Sanitary sewer Inspection Description Date Passed By Culvert/catch basin Footings Pump/fill septic tank Foundation walls Plumbing final Sprinkler supI liy nes Sprinkler underfloor/slab Catch basin/Manhole SWR - Sewer Permit _ Engineered soils Inspection Description Date Passed By Engineering acceptance Sanitary sewer Final inspection Final inspection Inspection Record - BUP, PLM, SWR, ELC, ELR, MEC, SIT Permits i:\dsts\furms�liLspRecordBLIP.doc 04'17/01 a Ci TY OF TIGARD BUILDING INSPECTION DIVISION MST 24 Hour Inspection Line: 639-4175 Business Line: 639-4171 -- BLIP --_--Date Requestod 7_YJ AM PM Location L1-1�,_— wvt.�ke� Suite — icJ MEC Contact Person Ph � Z r��7 2-6) PLM Contractor _ Ph _ SWR BUILDING Tenant/Owner — ELC dQ/ e-k-J 4�-7 Retaining Wall av Footing Access Foundation FPS _ Ftg Drain Crawl Drain inspection Notes SGN Slab __._. _ ---- SIT Post&Beam Ext Sheath/Shear _ Int Sheath/Shear _- Framing ----- -- —- — Insulation - - --- Drywai; Nailing Firewall / Fire Sprinkle; Fire Alarm — Susp'd Ceiling Roof Misc - - ------ Final — PASS PART FAIL PLUMBING - Post 8 Beam Q' Under Slab 'Top out Water Service Sanitary Sewer -- - - ----- Rain Drains � -- Final - --- — PASS PART FAIL_ I ANT - MECHANICAL Post& Beam Rough In Gas Line - - - ----------- Smoke ers l""' t ------ - -- -- -- ASS FAIL ELECTRICALP --��- — -- Service UG/Slab Low Voltage - / na, PASS . PART FAIL SIT _7 --- ----- ------ -- Backfiii/Grading _ - Sanitary Sewer Storm Drain ( J Reinspection fee of$ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line [ )Please call for reinspection RE: J Unable to inspect-no access ADA C-N Approach/Sidewalk Dato ` Y� / Other Inspector Ext Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. CU" OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Line: 639-4175 Business line: 639-4171 --^--- BUP --__-- -- Date Requested �S�_ ; _—�AM _PM � BLD --, Location c; _ �-�. _ Suite �C�� MEC Contact Person _! _ Ph % 25— 6 7 ZU PLM _- Contractor - Ph SWR — — BUILDING - Tenant/Owner - - ELC -Lj Retaining Wall C ELR Footing Access FPS Foundation --- Fog Drain SGN trawl Drain Inspection Nates. -----� Slab - -- _ .--------------------- --__ _------ ----- SIT _._._ ------_- Past& Beam Ert Sheath/Shee- - ------ - -- -- Int Sheath/Shee. Framing by, `-'��--�:_s__._ 5 -__ �-- _� Insulation Drywall Nailing --- - --- -- ----------- -------- --- Firewall Fire Sprinkler - -- --- - ------- -.----- -- Fire Alarm Susp'd Ceiling - ----- ---------- --- _r_.. Roof Misc ----- --- --- ---- Final PASS PART FAIL --- - - - - - - ---� -- PLUMBING ------ Post& Beam Under Slab -- Top Out - — Water Service --_-_ - - Sanitary Sewer Rain Drains - ---_.----_____.---_- --__-.- Final PASS PART FAIL - ----- _-- - ------ --- MECHANICAL Post 8 Beam -- -- - _ -..-- --------------_-.. -- Rough In - -------- - - Gas Line --- - - - -- Smoke Dampers Final -_---- _PASS PART FAIL ELECTRICAL _ Service -- -- ----- _-------- Rough In UG/Slab - -- - --- - --- ------------ Low Voltage Fire --- --- ---- PAS , ART FAIL _ -- ----- ------- -- - IT= Backfill/Grading Sanitary Sewer Storm Drain [ ]Reinspection fee of$, required before next inspection. Pay at City Hall. 1317.5 SW Hall Blvd Catch BasinUnable to inspect-no access Fire Supply Line ( ]Please call for reinspection RE:_ _ - ( 1 p- ADi� Approach/Sidewalk Date (-�� Inspector &41 Ext Other Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. CITY O F T I G A R� ELECTRICAL P_FRMIT. - PERMIT M ELC2001-00427 DEVELOPMENT SERVICES DATE ISSUED: 08/23/2001 13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 PARCEL: 1S134AA-01900 SITE ADDRESS: 10115 SW NIMBUS AVE 700 SUBDIVISION: 1 KOLL_ BUSINESS CENTEP TIGARD ZONING: C-G BLOCK: LOT : 001 JURISDICTION: TIG Proiect Description: I istallation of 200amp/less service/feeder with (20)branch circuits. _ RESIDENTIAL UNIT TEMP SRVC/FEEDERS MISCELLANEOUS _ 1000 SF OR LE3S: 0 - 200 amp: PUMP/IRRIGATION: — EACH ADD'L 500SF: 201 - 490 amp- SIGN/OUT LINE LTG: LIMITED ENERGY: 401 - 600 arnp: SIGNALWANEL: MANF HMI SVC/ FDR: 601+amps • 1000 volts: MINOR LABEL (10): SERVICE/FEEDER _ BRANCH CIRCUITS ADD'L INSPECTIONS _ 0 - 200 amp: 1 W/SERVICE OR FEEDER: PER INSPECTION: ^ 201 - 400 amp: 1st W/O SRVC OR FUR: 1 PER HOUR: 401 - 600 amp: EA ADD'L. BRNCH CIRC: 5 IN PLANT: 601 - 1000 amp: _ _ PLAN REVIEW SECTION__ 1000+ amp/volt: >=4 RES UNITC- >600 VOLT NOMINAL Reconnect only: __. SVC/FDR >= 225 AMPS: CLASS AREA/SPEC OCC: Owner: Contracior: ROBINSON, WILLIAM R/CONSTANCE AAA El-ECTRIC jNC ROBINSON, LYNN + BELL, KAY ET 280z4 NE 58TFI AVE. BY ELLIOTT ASSOC PORTLAND, OR 97213 PORTLAND, OR 97204 Phone: Phone: 225-0720 Reg #: LIC 00083526 SUP 1578S ELE 26-795C FEES Required Inspections A ^_ Type By Date Amount Receipt Wall Cover PRMT CTR 08/23/2001 $213.30 2720010000( Elect'I Service Elect'I Final 5PCT CTR 08/23/2001 $17.06 2720010000( Total $230.36 This Permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR Codes and all other applicable laws. All work will be done in acoordance 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 yo-i to follow rules adopted by the Oregon Utility Notification Center Thnse rules are set forth in OAR 952-001-Wl0 through OAR 9.52-001-0080 You may obtain copies of these rules ordirect questions to O(JN;at;503) 246-6699 or 1.800-332-2344 Permit Signature i j A��X�•f, -- Issued By:�' L �-'-~ _ _ _ UWNFR INSTALLATION ONLY The installation is being made on property I own which is not intended for sale, lease, or rent.^ OWNER'S SIGNATURE: ,_— ___._ —,__ DATE:_ _ CON'TRACTOR INSTALLATION ONLY SIGNATURE OF SUPR. ELEC'N: _�- L1 (-Y�a. ,�.L'r L y DATE: r LICENSE NO: 'L2 A -- ----- --- --- Call 639-4175 by 7:00pm for an inspection the next business day 11UP -_Buildin j Permit ELC - Electrical Permit-.. Ins ection Description Date Passed B Inspection Description Date Passed fly Footin /S:'tback _ Underground cover _ Foundation walls Wall cover_-__ Footingdrain Ceiling cover _ Waterproof hsm_ t walls Electrical rough-in oZ Slab Electrical service Crawl drain Electrical final iV O TV Underfloor insulation Post/ber,m structural _ Shear Halls/anchors ELR - Restricted Energy Permit Roof nailing 3 Inspection.Description Date Passed Firewall EEI— Low voltage Tilt-uanel _�� Electrical final _ Masonry/Reipf,) cement Framin MFG-Structure set-up MEC - Mechanical Permit Insulation Ins ection Description Date Passed B Dr watt nailin — Post/beam mechanical Sus end•s1 ceiii_ _, Gas line _ Engineer I ed soils Mechanical rough-in WeldingLab Final Fire damper Concrete Lab (incl _ Duct work Bolting Lab Final _ Smoke detector _ Structural observatic n Mechanical final Fire roofing Lab Final Final ins ect ion PLNI - Plumbing Permit _ Inspection Ihscriptiot Date Passed B _ BIJP — i�irt- Protection S stcm_Permit plumbing underslab Inspect i Descri tion Date Passed By Crawl drain _ Sprinkler underfloor/slab _ Post/beam_ 1p umbin Sprinkler rough-in _ Plumbing top-out _ Sprinkler.final _ RP/backflow preventer Fire alarm final Rain drain Storm drain _ _Water service SIT - Site Permit Sanitary sewer Ins ection Description Date Passed By Culvert/catch basin Footings _ Pum /fill septic tank — Foundation walls Plumbing final Sprinkler supply lines Sprinkler underfloor/slab Catch basin/Manhole SWR-- Sewer Permit Engineered.soils _ v Inspection Description Date Passed By En ineerin acce Lance ___ Sanitag sewer Final inspection_ Final inspection Inspection Record - BUP, PLM, SWR. ELC, ELR, NILC, SIT Permits i\dsts\fornts\1nspRecordRl 11'doc 04117/01 CITY OF TIGARD BUILDING INSPECTION DIVISION 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 I( MST ------- Date RequestedBLIP PM_ I AM - BLD Location_ ZI `� Suite 1, MEC --� Contact Person - h .� _ Ph 1' l 4 7�L Z_- PLM Contractor Ph SWR BUILDING _ Tenant/Owner, ELC - --- Retaining Wall �- ELR Footing Access: Foundation FPS F!g Drain SGP Crawl Drain Inspecticn Notes Slab ------------- ---- - _ -_ — SIT Post& Beam ------- --- - Ext Sheath/Shear _ Int Sheath/Shear Framing Insulation Drywall Nailing Firewall - —--------__.__.- ---_ -- - Fire Sprinkler Fire Alarm Susp'd Ceiling _ Roof Misc: Final PASS PART FAIL - PLUMBING Post& Bearn Under Slab Ater Service _ _ Sanitary Sewer - Rain rains I -F1,SS FART FAIL _ ANICAL Past& Beam -- --- Rough In Gas Line --- -- -- -- __ Smoke Dampers Final - - - PASS PART FAIL ELECTRICAL Service Rougl. In UG/Slab ____._._-------------___�_-.-- --- - Low Voltage Fire Alarm Final PASS PART FAIL -- -- ----- --------------------- SITE Backfill/Grading Sanitary Sewer 3torm Drain ( ]Reinspection fee of$_ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line [ ]Please call for reinspection RE �� ____�—_ [ ]Unable to Inspect-pro access ADA / / Approach/Sidewalk Date �} �el - L Inspector s �� L / d11�� Other _ ._- - Ext _.. Final PASS PART FAIL DO NOT REMOVE this Inspection record from the job site.. CITY 0k= TIGARD BUILDING INSPECT 1ON DIVISION MST 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 BUi' —. — Date Requested �_L�f_AMPM - g, C, --------- Location Suite G' _ MEC '-------— Contact 'erson _ �.� __— Ph '7 Z-7'- PLAN Contractor _ —_ — Ph _ SWR — BUILDING -- Tenant/Owner ' -Z�Yj ELC Retaining Wall ELR Footing -- - -- ---- Foundation Access FPS _ Ftg Drain - SGN Crawl Drain Inspection Notes. --- Slab Post S. Beam --" --- SIT -_---- - Ext Sheath/Shear Int Sheath/Shear ��' - - ----- --- Frarning _ - hsulation -- Drywall Nailing - - - - - - - - -- - Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof —•-- - - ---- -- Misc: -. - Final •--.., ----- -------_ __ PASS PART FAIL PLUMBING - [lost& Beam - - - ------- Under Slab ater Service Sanitary Sewer - - - Rain Drains MNICAL PAR FAIL. -- - _---A- Post& Beam ---- Rough In _-- -� Gas Line Smoke Dampers Final ----- -- - -- PASS PART FAIL - ELECTRICAL ------ Service Bough In __--- UG/Slab Low Voltage - ---------- --- - � ---- Fire Alarm ---_-------_-_-- __--- -- _ _ Final PASS PART FAIL SITE — Backfill/Grading --- -- - - - --- Sanitary Sewer Storm Drain [ ]Reinspection fee of$_-- _required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line ( ]Please call for reinspection RE: —_— ( ]Unable to inspect-no access ADA Approach/Sidewalk Da�e �� Other __— -- Inspector it 1,0 V, _ — Ext Final PASS PART FAIL DO NOT REMIOVF this inspection record from the job site. CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 ---"-"" — BUP _ _Date Requested x Z j AM PM BLD Location_ Z& 11 ,5- Suite Q&C r & MEC Contact Person Ph PLM �� C;c ntractor ,— .Q-c lf Ph SWR —._— BUILDING Tenant/Owner ELC _---- Ret.iininrj Wall ELR sem. Footinc Access Founr,ation FPS ,_..-----_—_-- Fog chain SGN Cmwt brain Inspection Notes --- --- - - --- Slab -- — SIT - - ----- - - '-Iost 8 Beam — ---------T-- - Ext SheathO ear Int Sheath/S,+ear Framing i - -- ---- ---- -_- - Insulation Drywall Mailing - -- - - ------ ._._.-- --- - ----- ------_. _ Firewa', Fire Sprinkler --- --- - --- - .-. -- - - - - --- -- - - - Fire Alarm Su,sp'd Ceiling _ - - — - --------- - - -- - - ---- .. - R aof disc: — ---- ---- - - ---- - -- - - Final ---� PASS PART _FAIL PLUMBING —` Under Snervic'e,� Water S .— Sanitary Sewne Rain Drains Final ASS P1,RT FAIL_ -- -- - AN!Cpt. Post E Barn ----- Rough In Gas Line Smoke Damper, Final PARS P1,RT FAIL ELECTRICAL Service- -- - ----- - -- - Rough 'o Ur/Slab - —-- -- - Low'Joltage Fire Alarm - - --- - -- ---- --- -- Final PASS PART FAIL_ -- - — ---- - — SITE Backfill/Grading -- Sanitary Sewer Storm Drain [ ]Reinspection fee of$ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line [ J Please call for reinspection RE: __ [ ]Unable to inspect-no access ADA Approach/Sidewalk Date O / InspectorV P__ ____ ___Ext Other _ _ I " F-ial PASS PART FAIL ) DO NOT REMOVE this inspectiovi record from the job site. \ CITY OF TIGARD PLUMBING PERMIT DEVELOPMENT SERVICES PERMIT#: PL.M2001-00384 13125 SW Hall Blvd., Tigard, OR 372TI 1,503) 639-4171 DATE ISSUED: 8/17/01 SITE ADDRESS: 10115 SW NIMBUS AVE 700 PARCEL: 1S134AA-01900 SUBDIVISION: 1 KOLL BUSINESS CENTER TIGARD ZONING: C-G BLOCK: LOT: 001 JURISDICTION: TIG CLASS OF WORK: ALT GARBAGE DISPOSALS: MOBILE HOME SPACES: TYPE OF USE: COM WASHING MACH: 1 BACKFLOW PREVNTRS: 1 OCCUPANCY GRP: M FLOOR DRAINS: TRAPS: STORIES: WATER HEATERS: 1 CATCH BASINS: _ FIXTURES LAUNDRY TRAYS: SF RAIN DRAINS: SINKS: A URINALS: GREASE TRAPS: LAVATORIES: 1 OTHER FIXTURES: TUB/SHOWERS: SEWER LINE. ft WATER CLOSETS: 1 WATER LINE: ft DISHWASHERS: RAIN DRAIN: ft Remarks: Plumbing tenant improvement. Ccnverting from previous office space to restaurant Other fixtures are (1) ire maker and (1) primer. Owner: -- FEES -- Type By Oate Amount Receipt ROBINSON, WILLIAM R/CONSTANCEROBINpRMT CTR 8/17I01 $245.60 27200100000 BY ELLIOTTASSOC ON, LYNN + BELL, KAY ET PLCK CTR 8/17/01 $61.40 27200100000 BY LLI5PCT CTR 8/17/01 $19.65 27200100000 PORTLAND OR 97204 Phone 1: Total $326.65 --- -- Contractor: R D PLUMBING INC 13900 NW SPRINGVILLE RD PORTLAND, OR 97229 REQUIRED INSPECTIONS Phone 1: 503-297-7422 Rough-in Insp Reg #: LIC 73913 Final Inspection PLM 26-313pb This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes arid all other app'icable laws. 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 rules adopted by the Oregon Utility Nctification Center Those rules are set forth in OAR 952-0001-0010 through OAR 952-0001-0080. You may obtain copie-; of these rules or direct questions to OUNC by calling (503) 246-1987 Issued By _, l�f�� _ Permittee Sig nature Call (503) 639 4175 by 7:00 P.M. for an inspection needed the next business day J' BUP - Building Permit _ ELC - Electrical Permit inspection Description Date Passed B ,� (fns ection Description Date Passed By Footing/Setback Underground cover_ _ Foundation walls—_ Wall cover Footing drain Ceilin cover Wate roof bsmt walls Electrical rough-in Slab Electrical ser%ice Crawl drain Electrical final Underfloor insulation -- Post/ben-n structural Shear walls/anchors E_LR - Restricted EInDal ermit Roof nailing _ Ins ep ction DescriptioDate Passed B Firewall _ Low voltage — Tilt-u anel Electrical final _ _ Masonr /Reinforcement _ Framing MFG-Structure set-u MEC - Mechanical Permit Insulation Ins ection Description_ Date Passed By___ D�+wall nailing _ Post/beam mechanical Suspended ceilin Gas line _ E�neered soils Mechanical rough-in Weldin Lab Final_ Fire dammer Concrete Lab Final Duct work BoltingLab Final Smoke detector Structural observation _ Mechanical final Fireproofing Lab Final Final ins ection - - PLM - Plumbing Permit _ Ins ection Descri 91onDate Passed ByBUP — Fire Protection System Permit HPlumbing underslaZ � 0/Ins ctbn Descri tp ioa Date Passed B Crawl drain rinkler underfloor/slab Pnst/beam plumbinS rinkler rou h-in Plumbin to -outZ '/ S.rinkler final RP/backflow vreventer Fire alarm final Rain drain _ Storm drain _ _ — Water service — S17' - Site Permit Sanitar sewer Inspection Descri)'tion Date Passed B _ Culvert/catch basin _ Footings Pumn/fill septic tank foundation walls _ Plumbicfinal S rinkler su 1 lines _ — 11r nkler underfloor/slab Catch basin/Manhole SWR - Sewer Permit _ En ineered soils Ins ection Description 1)uic I'assed By Engineering acceptance _ _ Sanitarysewer Final-inspection __� Final inspection Inspection Record - Bt1P, PLM, SWP, ELC, ELR, MEC, SIT Permits i:Wsts\forms\InspRecordB1T doc 04 17'01 CITY O F T I GA R D ELECTRICAL PERMIT PERMIT#: ELC2001-00395 DEVELOPMENT SERVICES DATE ISSUED: 8/2/01 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 PARCEL: 1S134AA-0'1900 SITE ADDRESS: 10115 SW NIMBUS AVE 700 SUBDIVISION: 1 KOLL BUSINESS CENTER TIGARD ZONING: C-G BLOCK: LOT : 001 JURISDICTION: TIG Proiect DeGcription: Installation of sign lighting for wall sign. RESIDENTIAL UNIT TEMP SRVC/FEEDERS MISCELLANEOUS 1000 SF OR LESS: — 0 - 200 amp: PUMPIIRRIGATION: EACH ADD'L 500SF: 201 - 400 amp: SIGN/OUT LINE LTG: 1 LIMITED ENERGY: 401 - 600 amp: SIGNAL/PANEL: MANF HM/SVC/FDR: 601+amps - 1000 volts: MINOR LABEL (10): SERVICE/FEEDER BRANCH CIRCUITS -- ADD'L INSPECTIONS 0 - 200 amp: W/SERVICE OR FEEDER: PER INSPECTION: 201 400 amp: 1st W/O SRVC OR FDR. PER HOUR: 401 - 600 amp: EA ADD'L BRNCH CIRC: IN PLANT: 601 - 1000 amp: _ _ PLAID REVIEW SECTION 1000+amp/volt: ^ >=4 RES UNITS: > 600 VOLT NOMINAL: Reconnect only: SVC/FDR >=225 AMPS:_ CLASS AREA/SPEC OCC: _ Owner: Contractor: ROBINSON, WILLIAM R/CONSTANCE WALLWOOD SIGN SERVICE ROBINSON, LYNN + BELL, KAY ET PO BOX 395 BY ELLIOTT ASSOC CLACKAMAS, OR 97015 PORTLAND, OR 97204 Phone: Phone: 658-2083 Reg#: LIC 00064007 F_l_E 26%04CLS SUP 326SIG — — FEES Required Inspections Type By Date Amount Receipt Wall Cover PRMT CTR 8/2/01 $53 40 2720010000( Elect'I Final 5PCT CTR 812/01 $4 28 2720010000( — — Total $57.68 This Permit is issued subject to the regulations contained in the Tgard Muniapal Code, State of OR Specialty Codes and all other applicable laws All work will be done in accordance with approved plans This permit will expire it work is not starled within 180 days of issuance,or if work is uspended for more 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 952-001-0010 through OAR 952-001-0080 You may obtain copies of these rules ordirect questions to OUNC at(503) 246-66t,. or 1.800-332-2344 Permit Signatul'e: Issued By: OWNER INSTALLATION ONLY The installation is being made on property I own which is not intended for sale, lease, or rent. OWNER'S SIGNATURE: DATE:-------- CONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR. ELEC'N: __�._�_�_—_._ ___- —_ DATE:-------- LICENSE NO: _� -- --.__�__----_._---- ---- _-_ Call 639-4175 by 7:00pm for an inspection the next business day Electrical Permit Application "Dateeived:Q A Cl Permit no.: o/-OG�f' City of Tigard Project/appl.no.: Expire date: (ytyuJ7igurd Address: 13125 SW Hall Blvd,Tigard,OR 97223 Date issued: By: Receiptno.: Phone: (503) 639-4171 Fax: (503) 598-1960 Case file no.: Payment type: Land use approval �D Gti @Cb I 1 U 1 &2 family dwelling or accessory U Commercial/industrial U Multi-family U Tenant improvement U New construction U Ao Irtiort/altertt(ion/replacemeni ,fOf ier:. U Partial INFORMATIONJOHShE Joh address: g Bldg.nu.: Suite no.:?do Tax map/tax lot/account no.: 1.01: 1 Block: Suhdivision: Project name: N,5r*tcA- Wjj Description and locution of work on premises: Q7 J 1='A-rjA }2v4Njr, ---- Estimated date of cum lelion/ins clion: ---- Job no: I Business name (ur4t r2frCi r.��_ r.c Hripiton tr - y. (ea.) lbtal no.ince New re4drntial.single or muhi family per Address: ©, S dwelling unit.Int iud"auachedgnrage City: I SIaIC:BYE, 71P: 97o(5 Sterviceincludrd: Phone:,5v5-06f•2ob Fax: E-mail: I OW sq.ft.or less t CC (o EICc.bus.lie.no: -GLS F.nch additional 500 sq.ft.m portion thereof Limited rnergy,residential _ ily/metro 'c.no.: dOOo+.24,40 Limited energy,non residentidl 2 _ -Of 1 EachIn' nofaciuredhome ormodular dwelling i n:rt su n le tan Ircuoed)qDate r" Date 2 Sup cls-rt nnmr ,nml. mrZll,j.C't-.1q/2IL License no: !jtb Servicesorfeeders-Installation, alteration or relocation: 200 snips or less 2 Name(print): 201 amps to 400 amps 2 401 amps to 6(10 amps _ 2 Mailinj�address: g — N,(�(�, TN 601 amps to IW)amps 7 Slate:on IIP: 27zpw - Over Il100amps orvolts 2 I'hone:5e3 27 -o�z3 Fax: E-mail: Reconnect only I f)wner installation:'I he installation is being made on property 1 own Temporary services or feeders- which is not intended for sale,lease,rent or cxchange according to installation,alteration,or relocation: URS 447,455,479,570,-01. 2(N)amps at less _ 2 261 amps to 400 amps 2 O%N ficr's si nature: Dale: 401 to 600 sm s 2 Broach circuits-new,alteration, or extemien per panel! Name: —_ X Fee for branch circuits with purchase of Address: _ service or feeder fee,each branch circuit 2 City: Stale: ZIP: H. Fee for branch circuits without purchase -- --TF—ax: - of service or feeder fee,first branch circuit: 2 Phone: Fax: F. mail Each additional branch circuit: 10111 MM I K1191 MUM NO A-MODEMLI�� Misc.(Service o•feeder not Included): U Service-ver 225 nngr.-commercial U Health-care facility F ash parrrp or Irrigation caste 2 U Service over?20 mops-rating of I X' O Hazardous location Each sign or outline lighting 2 family dwellings U Building over 10,000 square feel four or Signal ctrcuit(s)or a limited energy panel. USystem over 600volts nominal more residential units in one strudure alteration,-rextension• —2 *Building over three stories U Feeders,400 amps or more *Description: U occupant load over 99 persons U Manufactured stru.:^Ts or RV park Each additional inspection oyer the allowable In any of the above: U Egressilightingplan U other: __-.— Perinspection Submit._sets of plans with any of the above. Investigation fee_ The above are not applicable to temporary construction aervlce. other - ----- - ----- - --- -- Permit fee............. ...$ Not all jurisdictions accers crrdir:ants,plcam call jurisdiction for mote inlormation. Notice:This permit application ""' U visa U MasterC-:d expires if n permit is not,�btained Plan review(at __ %) $ credit card number __ within 180 days after it has been State surcharge(8%)....$ '' _�'A Expires accepted as complete. TOTAL .................. $ Name rx code„rider at shown noc incut e S _ Cerci-et sirsture -- Amount 4404615(60YCIIM) ELECTRICAL PERMIT FEES: LIMITED ENERGY PERMIT FEES: I---__ Below:FSchedule TYPE OF WORK INVOLVED -RESIDENTIAL ONLY Complete Fee e: �-. --- �----_ P Restricted Energy Fee...................................................... $75.00 Number of Inspactions per permit allowed (FOR ALL SYSTEMS) Service included: Items Cost Total Check Type of Work Involved: Residential•per unii 1000 scl it or less $145 15 n ❑ Audio and Stereo Systems' Each additional 500 sq it o• portion thereof $33.40 t ❑ Burglar Alarm Limited Energy _ $75.00 _ F ach Manuf d Home or Modular C] Garage Door Opener' Dwcllino Service or Feeder $9090 Services or Feeders ❑ Heating,Ventilation and Air Conditioning System' Installation,alteration,or relocation 200 amps or less _ $80.30 2 C] Vacuum Systems` 201 amps to 400 amps ,— $10685 V� 2 401 amps to 600 amps _ $160.60 _ 2 ❑ 601 amps to 1000 amps _ $240.60 2 Other Over 1000 amps or volts $454,65 2 Reconnect only _ $66 85 _ 2 Temporary Services or Feeders TYPE OF WORK INVOLVED -COMMERCIAL ONLY Installation,alteration,or relocation Fee for each system.......................................................... $75.00 200 amps or less _ $66.85 2 (SEE OAR 918-260-260) 201 :,nps to 400 amps _ Z,10030 _ 2 401 amps to 600 amps $133 75 2 Check Type of Work Involved: Over 600 gimps to 1000 volts, see"b"above. ❑ Audio and Stereo Systems Branch Circuits �❑ Boiler Controls New,alleralion or extension per panel a)The fee for branch circuits with purchase of service or Clock Systems feeder fee. Each branch circuit $6 6,1 2 ❑ Data Telecommunication Installation b)The fee for branch circuits wfthout purchase of service ❑ Fire Alarm Installation or feeder fee. First branch circuit _ _ $46115 _ Each additional branch circuit $6135 _ ❑ HVAC Miscellaneous I ❑ lnstrumen,ation (Service or feeder not included) Each pump or irrigation circle _ $5340 _ ❑ Intercom and Paging Systems Each sign or outline lighting +� $53.40 _ Signal circuit(s)or a limited energy r panel,alteration or extension $7500 _ lA Landscape Irrigation Control' Minor Labels(10) $12500 Each additional Inspection over ❑ Medical the allowable in any of the above ❑ Nurse Calls Per inspection $62.50 __ Per hour $6250 _ ___ In Plant �— $7375 ❑ Outdoor Landscape Lighting' Fees: Protective Signaling Enter total of above fees $ Other 8%State Surcharge $ Number of Systems 25%Plar.Review Foe No licenses are required Licenses are required for all other installations See"Plan Review"section on $ front of application -- - — Fees: Total Balatice Due $ -—"-T Enter total of above fens LlTrust Account# 8%State Surcharge s -- Total Balance Due s----_------ i:kfstc'ifcrmsklc-Ices.doc 0(00/01 � __ BUILDING PERMIT / \ c rY o F r I G A R D PERMIT#: BUP2001-00279 !! � DEVELOPMENT SERVICES DATE ISSUED: 8/10/01 13125 SW Hall Blvd.,Tiqard, OR 97223 (503) 639-4171 PARCEL: 1 S134AA-01900 SITE ADDRESS: 10115 SW NIMBUS AVE 700 SUBDIVISION: 1 KOLL BUSINESS CENTER TIGARD ZONING: C-G BLOCK: LOT: 001 JURISDICTION: TIG REISSUE: _ FLOOR AREAS EXTERIOR WALL CONSTRUCTION _ CLASS OF WORK: ALT 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: 000 sf ROOF CONST: FIRE RET? OCCUPANCY LOAD: 46 BASEMENT: sf AREA SEP. RATED: STOR: HT: ft GARAGE: sf OCCU SEP. RATED: BSMT?: MEZ7_?: _ REQD SETBACKS _ REQUIRED FLOOR LOAD: psf LEFT: ft RGHT: vft FIR SPKL: Y SMOK DET: DWELLING UNITS: FRNT: ft REAR: ft FIR AL.RM : HNDICP ACC: BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING: VALUE: $ 15,600.00 Remarks: Commercial tenant improvement 1256 square feel Owner: Contractor: ROBINSON, WILLIAM R/CONSTANCE STEWKO, INC. ROBINSON, LYNN + BELL, KAY ET P O BOX 567 BY ELLIOTT ASSOC SPRINGFIELD, OR 97477 P�Pone:TLAND, OR 97204 Phone: 541 (47-3210 Reg#: FEES _ REQUIRED INSPECTIONS Type By Date Amount Receipt Mechanical Permit Require PLCK C-IR 7/27i01 $127.99 27200100000 Electrical Permit Required Sprinkler Permit Required FIRE CTR 7/27/01 $78.76 27200100000 Plumbing Permit Required PRMT CTR 8/10/01 $196.90 27200100000 Framing Insp 5PCT CTR 8/10/01 $15.75 27200100000 Gyp Board Insp Susp Ceiing Insp Total �- $419.40 Final Inspection 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 952-001-1987 You may obtain a copy of these rules or direct questions to OUNC by calling (503) 246-669`9 or 1-800.332-2344 Permittee -ry Signature: �^ Call 639-4175 by 7 p.m. for an inspection the next business day Building Permit Application Date received: Permit no.:/ \ City of' Tigard — Cm hKald Addrem: 13125 SW Ball lilvd••Tigard,OR 97223 ProjccUappl.no.: Expire date: IN Phone', (503) 639-4 1 11 Date issued: By: Receipt no.: Fax: (503) 598-1960 Case file no.: Payment type: Land use apprw al: 1 1&2 family:Simple Complex: U I &2 family dwelling or accessory U,ommercial/industrial U Multi-lanuly U New construction U hcnwlition �. U Addition/alteration/replacement Tenant improvement U Fire sprinkler/alarm U Other: JOB Job address: //"�// � ' '41 Bldg.no.: Swtr no.: pl1 [A Bloxk: Subeli inion: l I ax map/tax lot/account no.: Project name: ,� Description and local on or'work on premises/special conditions:.14LI1,611 A-AID Zr off/Ai r 5t/ 671 :ial/1c�Wi e� til/tgO � (Floodplain,4eptiernpacits,%olar,etc.) Name: AD/!'1 r�sys LLC Cl 4 �� aei� �� Mailing address: � .SiU � rt16i1 -r 1 &2 family dNelling: City: l Starr.: p� 171P_-191_"_T_,_ Valuation of work...........................•............ $ Phone:15 ,,t Fax: E-mail: No.of iedro ornV- baths................•............•... Owner's representative: a,Xo,q e, a/�!r) )ri Total number ob'tltxrrs................................. _ Those: Fax: E-mail: New dwelling area(sq. ft.) .......................... Garage/carport area(sq.ft.)......................... _ Name: Pet,le jc Covered porch area(sq. ft.) ......................... — -- Deck area(s ft.) .............. ......................... Mailing address: i:Sc Jib S�tr _71-04C T q' City: 23eeLvQr a _ Stated' I ZIP: 'Tpp (tther structure area(sq. ft ). ......... ............. _ Phonc: 6'&4 Fax: F-mail• Commerclat/fndustrial/multi-family: Valuation of work........................................ $_ Business name: Existing bldg.arca(sq.ft.) .......................... /, U Address: �- New bldg.area(sq.ft.) ................................ City: , irate: 0 ZIP: Number of stories.............................•.......... _ Phone:r i Fax: E-mail: l'yle of construction.. ................................ /L�rr a r CCB no.: l�"il Occupancy group(s): heisting: '�y New: City/metro lie.no.: Notice:All coniractors and suhcontractors are required to be licensed with the Oregon Construction Contractors Board under Name:At! "t-Sot"' rex C'4r�cU�r _� provisions of ORS 701 and may be required to he licensed in the Address: �3 S / a,ke� jt, jurisdiction where wort,is being performed. If the applicant is City: IstatevoC 71P:y 1,20 l exempt from'icensing,the following reason applies: Contact person (,C', Plan no.;, of (_V4 —_--- -Phone:: 4 ,�..• �fi ),? Fax:_ r-hail• — — Name: Contact person: Fees due upon application ........................... $ Address: -- -- Date received: City: State: ZIP: _ _ Amount received ........... ............................. $_ Phone: Fax — E-mail: Please refer to fee schedule. hereby certify I have read and examined this app;ication and the Not all Jurisektiom accept credit cards,please cavi jurisdiction fir bene inrornudw. attached checklist. All provisions of laws and ordinances governing thin U Visa U MttsterC:ard work will be complied w'h,whether specified herein or not. Credit care number: naptrea Authorized sl nature:�Lt" Date: 7 J _ _Name or cuditctder u shown on credit card Print name:i P119"t) - — CWholder signature AWMW Notice:This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. 4"13(111th 7M) C .� '.f03 '$07 le- �0 Q/ "0S7 3 COMMERCIAL PLAN SUBMITTAL REQUIREMENT MATRIX Plan review is dependent upon submittal of a completed application and plans. After plan review approval, the Plans Examiner will contact the appli-ant to request additional plan sets for distribution purposes (for Contractor, City of Tigard, Washington County, and Tualatin Valley Fire & Rescue). _--�— —�--�----�� - Total # of TYPE OF SUBMITTAL Plans KEY: _ _ - 1. _Submitted S = Site Work must include S (New, Add or Alt) 4 location of all accessible parking) B (New, Add or Alt) r 1* B = Building F (New, Add or Alt) 3** F = Fire Protection System M (New, Add or Alt) 2 M = Mechanical P (New, Add or Alt) _ P = Plumbing E New, Add, or Alt) 2 E = Electrical New = New Building Add = Addition Alt = Alteration to existing building *For over-the-counter commercial tenant improvements, submit 2 sets of plans. **"New" requires that plans bear the original seal of an Oregc,.� icensed fire suppression engineer, or NICE.T level "3" technicians. I\dsts\forms\matrxoom.doc 10!27100 MEMORANDUM CITY OF TIGARD, OREGON TO: Darlene HolKenthin Fax 503-641-7332 FROM: Robert Poskin,CET CBO Senior Plans Examiner ' DATE: July 30,2001 RI?; 131 1P 2001-00279— 1015 SE Nimbus Suite#700—HERO Sandwich Shop Dcar Applicant: Your plans have been reviewed: the following items require your attention. I. Provide Oregon Non-R,.sidential I Mergy Code Forms 5a through 5c and related work sheets. 2 Provide ventilation in accordance with OSSC,Chapter 12. 3. Provide a sign over the main ertramv to read"'Phis door shall remain open during business hours" The letters shall be,a minimum 1"in height in contrasting background. 4. Provide a certified copy ol'your construction bid document. 5. Plans indicate a scale of 1/8"= IT",change to read 'A"= 1'0" 6. Provide one(1) Illuminated I:xit Sign at the. rear door. 7. Provide a site 1 Ian showing the location of the required Van Accessible parking stall and if required the marked crossing. Secondly, provide details on the required accessible route to your tenant space. Provide two(2)sets of revised drawings and required work sheetsi' _ _ WASHINGTON COUNTY OREGON RECEiVED July 24,2001 JUL ; INI Darlene Molkenthin COMMUNITY OFVELOPMENT 15036 SW Trenton Court Beaverton,OR 97006 PE: Ili;,' fnt n Ilcro 101 15 SW Nimbus Avenuc, Suite 700 igard, OR 97223 Ms. Molkenthin: tie Washington County Department of Health and Human Services has obtained the plans for the proposed Big Town Hero to be located at 10115 SW Nimbus Avenue in Tigard, Oregon. It is our understanding that community water and community sewer will be utilized at this structure. The Following is understood to be planned with necessary changes and conditions for approval noted: STRUCTURAL REQUIREMENTS 1) The plans show a thrce-compartment sink for washing, rinsing and sanitizing utensils. Each compartment of the three-compartment sink unit must be large enough to totally submerse your largest multi-use utensil. The plans show one drainboard on each side of the three-compartment sink. Two drainboards are required. One drainboard must be designated for soiled utensils and the other for clean utensils. An accurate test kit is required to test sanitizer concentration in the third compartment of your sink. These sinks are not to be used for handwashing. 2) The plans show a food preparation sink located in the back food preparation area. Please be aware that this sink can not be utilized for noncompatible uses such as handwashing or mop washing. This sink is shown wasting indirectly to a floor sink. 3) The plans show a utility mop sink. Please supply a mop-hanging device so mops and similar floor cleaning equipment can be cleaned and hung between uses. 4) If you plan to install an automatic chemical dispensing system at your three-compartment sink or mop sink, please contact the local plumbing authority for information on the proper back flow device needed to ensure that the fresh water supply is protected from chemical backflow. 5) A handsink must be designated in each of the food or drink preparation and food or drink dispensing areas. Handsinks are shown in the back food preparation and front service areas Department of Health & Human Services 155 N First Avcnuc, MS 5, Hillsboro OR 97124-3072 WIC Nutrition Plan:(503)848.3555 Administration&Planning:(50318.16-4402 'I'iY:(503)846.8601 Health Services:(50318464M 1 Fax:Ctinic(5031848-4522/Administration(:03)848-4490 F;nvtronnumtal Health:(503184648722 Page 2 6) All handwashing sinks including the restroom handsinks must be equipped wit1l disponsed soap and dispensed sanitary towels or approved hand-drying devices. The handwashing sinks must be equipped with hot and cold tempered water. if self-closing,slow-closing, or metered faucets will be used, they must be designed to provide a flow of water for at least 15 seconds without the need to reactivate the faucet. 7) The restrooms must meet all the requirements as described in the 1987 Oregon Food Sanitation P.tiles for design, construction and operation. Be aware that restroom doors must self-close and that there must be at least one covered waste receptacle in the women's restroom. Please consult the local Building Department for information on the ratio of toilets, urinals and handsinks required for your planned occupancy. 8) The plans show a beverage dispenser and ice maker which drains indirectly into a floor sink. .any piece of equipment utilized to hold food or ice in that is equipped with a drain must waste indirectly into a floor sink or floor drain. Where air baps are required, the distance between the bottom of the waste pipe and the top of the floor sink or drain must be at least one inch or two waste pipe diameters,whichever is greater. 9) Any refrigeration unit which does not come equipped with an evaporator pan for its liquid wastes must have its liquid wastes drain indirectly to a floor drain or floor sink. 10) Floor sinks and floor drains must be located so they are accessible for cleaning and maintenance. 11) All floor, wall and ceiling surfaces must be smooth,durable,sealed and easily cleanable and in a light color. Any areas that are worn or damaged must be repaired. Where walls and ceilings are painted, high gloss paint is recommended. it is also highly recommended that walls behind cooking equipment, dishwashing equipment, and the mop sink be covered with durable, washable backsplash. 12) if acoustical ceiling tiles are utilized and they become soiled and can not be cleaned, then replacement will be required. A N ashable ceiling surface is ,-ecomp i for food preparation and cooking areas. 13) Self-service salad/condiment areas must have a smooth, nonabsorbent floor covering such as vinyl,tile or the equivalent extending out 30 inches on each side to which the public has access. 14) Base caving at least four inches in height will be needed on all wall/floor junctures that require wet mopping. 15) Any gaps in floors, walls, or ceiling around plumbing or electrical work must be filled in to prevent rodent and insect access and entrance. Exposed utility lines and pipes can not be installed horizontally on the floor. Page 3 16) Al'. lamps over or within food storage, food preparation, and food display facilities and facilities where utensils and equipment are cleaned and stored shall be shielded, coated or otherwise shatter resistant. 17) Each refrigeration unit not equipped with an accurate built-in thermometer, must have a spirit stemmed thermometer located on the top shelf or door. 18) All equipment must lie installed so as to be moveable or properly sealed to facilitate proper cleaning. 19) Storage shelves must be smooth, impervious, and easily cleanable. I iwiwshcd wood is not acceptable. 20) All floor mounted equipment, unless readily movable, must be sealed to floor, installed on a concrete or otherwise smooth base at least four inches high,or elevated on legs to provide at least a six inch clearance between the floor and equipment. 21) Be aware that all food or food items in the facility which are within customer reach and are not prepackaged, must be protected from customer contamination by a sneeze shield or other approved means. Please see the NSF pamphlet that is enclosed for infonnatiori on sneeze shield requirements. 22) Outside storage areas or enclosures must be large enough to store the garbage and refuse containers and must be kept clean. Garbage and refuse containers, dumpsters and compactor systems located outside must be stored on or above a hard, nonabsorbent surface such as cement or machine-laid asphalt that is kept clean and maintained in good repair. 23) Your plans show seating for more than 30 patrons and will need to conform with the Oregon Clean Air Act designating smoking and nonsmoking areas. For your convenience, a copy of this Rule is enclosed ?4) The local plumbing authority may require a grease trap or interceptor be installed. If a grease trap or interceptor is required, it must be located and installed so that it is effective. A grease trap or interceptor is not shown. A maintenance schedule must be developed and followed to prevent grease fi•om going down the sanitary sewer. 25) All plumbing must meet the requirements of the City of Tigard and the Oregon Uniform Plumbing Code. OPERATIONAL REQUIREMENTS 26) During the remodel construction phase,operation of the facility is not allowed if there is a lack of power, gas or water. All construction activities that create dust or other possible contamination of foods must be done during closed hours or under approved methods of contamination containment. Page 4 27) If you plan to cater foods,please submit your catering plans to this department. 2h) If fOod delivery is planned,then deliveries must be made with approved equipment that will keep products at correct temperatures. We highly recommend a temperature log be kept of foods being transported. 29) You have very limited refrigeration equipment. You may need additional refrigeration equipment to cool and cold hold potentially perishable foods. Should cooling or cold t- .ding become problematic,additimial refrigeration wil,be required. 30) Common (cloth) towels cannot be used to dry hLnds. If disposable towels are used, easily cleanable waste receptacles must be conveniently located near the handwashing facilities. 31) The plans submitted show a food preparation sink. Any sink used for food preparation (washing, thawing, cooling, etc.) must drain indirectly to a flocs sink. If existing sinks used for other purposes will be used for food preparation, they must have compatible use. Neither handwashing sinks nor mop sinks may be used for tood pienaration. The third compartment of the three-compartment sink may be utilized for fool preparation if it wastes indirectly to a floor sink. 32) The plans submitted show a self-service beverage area. Please lie aware that beverage drinking containers cannot be refilled on dispensing units that require the container to come into contact with the beverage machine. The lip of used beverage containers should never come in contact with a beverage dispensing unit or an ice-dispensing machine. 33) A metal probe thermometer accurate to +2"F must be provided to assure attainment and maintenance of proper internal food temperatures of potentially hazardous foods after cooking foods,during hot holding,cold holding,and during cooling and reheating processes. 34) If potentially hazardous foods will be cooled, then a method to rapidly cool this food must be provided. Commercial lir cooled refrigerators or ice baths are recommended for cooling foods. When foods :ire cooled in the refrigerator, they must be cooled in mustow uncovered containers. Liquid foods may not be cooled at a depth of greater than four inches and soft thick foods may not be cooled at a depth greater than two inches in air-cooled refrigerators. Potentially hazardous foods must be cooled from 140"F to 45"F or less in no more than four hours. I 35) Potentially hazardous foods must be thawed in refrigeration units at a temperature not to exceed 45"F or under potable running water of a temperature of 70"F or below with the food either cooked or placed into refrigeration once thawing is complete. 36) Raw meats must be stored separately fi•om other cooked or ready to eat. foods in refrigeration units. Store all raw meats on bottom shelves 37) Equipment intended for in place cleaning must be cleaned and sanitised with contact of all interior food contact surfaces. Page 5 38) If potentially hazardous foods will be reheated, a method to reheat this food to 165°F within one hour must be provided. Stearn tables, Bain manes and crock pots are not allowed for rapid reheating or cooking of foods 39) To minimize manual contact of foods, please provide and utilize handled scoops and other appropriate utensils. 40) Food may not be stored under exposed or unprotected sew.:r lines or water lines, except where automatic fire protection sprinkler heads may be required by law. 41) All storage of food, food containers, and single service utensils must be on shelves at least six inches above the floor except where storage is on wheeled platforms or four inch high sealed bases. Metal pressurized containers need not be elevated. 42) This facility and its operation must meet all the Oregon Food Sanitation Rules and Statutes. 43) A preopening inspection must be conducted by our Department prior to license approval and operation. Please contact Mike Cooney at 503-846-8722 at least one week prior to operation to schedule this inspection. 44) Your plans show seating for 21. The license fee of$405.00 and license application along with a plan review fee of$435.00 were submitted to this office. 45) All employees must have current Washington County Food Handler's Cards. For information call 846-3460. The plans you have submitted have been approved subject to stated conditions. If any future changes are necessary, it will be required that those changes be approved by this Department. Sincerely, DEPARTMENT OF HEALTH AND HUMAN SERVICES GI -nn awanishi, R.S., Sanitarian E ironmental Health and Sanitation GK eoc Enc: 2 cc: City of Tigard Mike Cooney, R.S., Sanitarian c = = c c c c = c c = c = c c c c n -0 'o -0 e T -0 -u e e o n § § o n n o o % § 2 2 §§ 2 § & o f \ ) R \$ / k d / k @k & ¥ %/ s = m 2 9 £ 2 f ƒ ± 2 / ƒ 7 7 = ° ƒ 2 0 / \ 7 CO o f (! \ ® 2 [ 0 G ƒ f ) 2 f ` )_ } _ - ! ( k g _ ] ( < e $ ( � k / _ @ i ( m 0 ( (D A k i \ \ \ ) § § § [ LM k $ - > _ <. Pi (. @ m 2 ƒ Ul ° f % /0 m & T, & . . f = _ \ _ _ = 2 \ T <!. / 2 ƒ \ m $ $ / 6 § $ C/) § f § § � � 0 Z = & \ \ ' t \ \ _ co = m m = ƒE I q G G § § { } ) k $ ) $ § § § k ( } L" Ln § \ , ƒ . / I � m :n ,n m m m m m » § \ \ ) \ \ \ \ } § o a f \ ( / \ § w 8 w e 5 @ 9 x 2 Ln [ / / \ k ƒ \ \ CDCD / \ / r / 2 2 ( ® - o \ { , $ \ I 0 $ $ § $ - D n _ � @ @ & & G § $ / / CD - ƒ @ § § § a $ $ $ o CD 0\ 2 !. 12 2 n , m f « « % ° / to C.n ? 2 § $ 9 Z ? / / ul a � � � { \ $ & a = _ a \ § \ § \ § \ _$ � - & 0 E I BUILDING PERMIT C11Y OF T107ARD DATEIISSUED: . 04/11/96)-0491 COMMUNITY DEVELOPMENT DEPARTMENT 13126 3W Hall Blvd. Til;ard,Oregon 97223.8100 (603)830-4171 � � PARCEL: ]S 134AA-01900 !31 TE ADDPL.• :,, . ,. 1.111.1 V5 SW IVIMBUS AVE i�UHDIVISION. . . . : 1 KOLL BUSINESS CENT #700 ARD ONING:C—G ; LOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . : 1 ' REISSUE: —FLOOR AREAS- - ----- - EXTERIOR WALL CONSTRUCTION— CLASS OF WORK. :ALT FIRST. . . . : 0 s f N: S: E: W: EYPE (IF USL. . . :COM SECOND. . . : 0 s f PROTECT OPENINGS ) -------------- TYPE PENINGS ) - --_.--_._TYPE: OF CONST. :5N . . . : 0 s f N- S: E.: W: OCCUPANCY GRP. :B2 TOTAL---.-----. 0 s f ROOF CONST: FIRE RET'.' : OCCUPANCY LOAD: 0 BASEMENT'. : 0 sf AREA SEP. RATED: S3TOR. : 0 HI : 0 -Ft GARAGE.. . . : 0 1�f OCLU SEF'. RATED: LASMT? : MEZZ?: READ SETBACKS----_.__._._— REQUIRED---____.—__________--. FLOOR LOAD. . . . : 0 psf LEFT: 0 ft RGHT: 0 ft FIR SPKL:Y SMOK DET. . : DWELLING UNITS: 0 FRNT: 0 ft REAR: 0 ft FIR AL.RM: HNDICP ACC:Y BEDRMS: 0 BATHS: 0 T.MP ":;aRF:AC;E: 0 PRO CORR: PARKING. 0 VALUE. $ : 3980 Remarks : ADA restroom Owners. FLES ELLIOTT ASSOCIATES type amount by date recpt 30 SW PINE 5-200 PLCK $ 28. 93 B 12/01/95 95-273156 PRMT $ 44. 50 B 04/11/96 96-278059 PORTLAND OR 97201 5f-',CT $ 2. 23 B 04/11/96 96--27E1059 I'4•l o n e #: Uontractor: COMMERCIAL PROPERTY SERVICES I NC: 12454 SW 114TH TE.RR TIGARD OR 97223 Phone #: f 75. 66 TOTAL Reg #. . : 1022''2/+a3 ------- REQUIRED INSPECTIONS -- This pe.rsit is issued subject to the regulations contained in the Framing Insp Tioard Municipal Code, State of Ore. Specialty Codes and all other I n s i.r 1 at i on Insp Applicable laws. All work will be done 1n accordance with Gyp Board Insp approved plans. This permit will expire if work is not started Susp Ceiing Insp within 180 days of issuance, or if work is suspended for tore Spr i nk 1 er Final than 180 days. Fire Alarm Insp Misc. Inspection Final Inspection Permittee Si gnat 1_tre : I ss1.Ied By: Call for inspection - 639-4175 114 CITY OF TIGAAD Approved L�Ut�1 For only the work as described 91 pEgMIT NO.....5'''-ll.41! l !_115=1�1v!�'%" C' ��:,�Address: • L4 �/�va�a.1 IL SQ►a'L # -7o 0 q Ronald L. Kief, General Contractor Commercial Property Services, Inc. 12454 SW 1 14th Terrace Tigard, OR 97223 (503) 579-0148 Fax (503) 579-0221 _ b4 5t q # -7oa 1-0 �r r Ronald L. Kief, General Contractor Commercial Property Services, Inc. 12454 SW 114th Terrace Tigard, OR 97223 (503) 579-0148 Fax (503) 579-0221 sowj 1"A Commercial Build in . Permit Application City of Tigard , 13125 SW Hall Blvd. Tigard, OR 97223 (503) 639-4171 Jobsite Address: Lt� J� 5__�� tivi�1 /Q/��C t1 ti /( Office Use Only Tenant: /1/ h)� .�-3�uite ti _��_ s� PlanckrRec # Valuation: Permit # OwnRr: �� —- Map & TIL # --— Address SU S ��` A;aprovals Required Planning — _.. Phone _—;d� r ---- Engineering Other Contractor: 4 M two Address Type of const: --( � Occuparcv class. Phone D ��Aa _ '/ Spnnklered? Yes No Contractor's License # � O � "2 T B _ (attalh" copy of current Oregon license) Sq ft. of project: Contact name & phone: � /� - 330_ O q1 Story (1st, 2nd. etc _ Proposed use Architect/Engineer: — Previous use - -_� Note. Plumbing & mechanical plans must be submitted at time of building permit application Phone17k ell.." _ B DESCRIPTION JOB .� 20 - e) A ature 3 Phone num er(� & �^ / - . (tl�4W -��-` Date Received 1 Rece�red by: ' _ _ Permit ti Account Description Amount Amt. Pd. BU. Du• Bldg. Permit (BUILD) _ W y Y'- Plumb. Permit (PLUMB) _ Mech. Permit (MECH) 1 � 2- State Tax (TAX) _ Bldg: Plumb: Mech: Plan Check (PLANCK) Bldg: _ Flumb: Mech: Sewer Connection (SWUSA) Sewer Inspection (SWINSP) Parks Dev Charge (PKSOC) --.__-_- Residential TIF ;-i IF-R) _-- Mass Transit TIF (TIF-MT) Commercial TIF (TIF-C) Industrial TIF (TIF-1) -- Institutional TIF (TIF-IS) Off}cP TIF (TIF-0) Water Quality (WQUAL) Water Ouantity (WQUANT, _ --- Fire Life Safety (FLS) ------ Erosion Cntrl Permit (ERPRNIT; Erosion Planck/USA (ERPLAN) Erosion PlancklCOT (EROSN) - �� Z93 TOTALS: ' CITY OF TIGARD ELECTRICAL PERMIT — li COMMUNITY DEVELOPMENT DEPARTMENT RESTRICTED ENERGY PERMIT #: ELR95-0214 13125 SW Hall Blvd.11gard,Oregon 97223.8199 (503)639-4171 DA';'E I SSUE=D a 1 1/1 6/i,5 700 • EL: 18134AA-01900 rjI TE ADDRESS. . . a 1171113 SW NIMBUS AVI'*_A001 SU13D N I S I ON. . . . a 1 KOLL RU:31 NESS CENTER T I GARD ZONING:C—G BLOCK. . . . . LOT. . . . . . . . . . . . . : 1 IDroject Description: --^ A, E_E :3IDENTB. COMMERCIAL-------------_.. ._______________._________._...... AUDIO & STEREO. . . : AUDIO & STEREO. . : INTERCOM & PAGING. . : BURGLAR X11.-ARM. . . . : MOILER. . . . . . . . . . : 1_.ANDSCAPE=/IRRIGAT. . : (WVVOE .OPENER CLOCK. . . . . . . . . . . .. MEDICAL. . . . . . . . . . . . . DATA/TELE COMM. . . NURSE CALLS. . . VACUUM SYSTEM. . . . : FIRE ALARM. . . . . . : PH6PPR�I�PNpII TE ;„ OTHER: . . I.1VAG. . . . . . . . . . . . INSTRUMENTATION. : 1.1 T HE_R. . : TOTAL # OF SYSTEM!3: 1 Applicant : __._____.__.__.._._______.____..____.__________________ --- FE=CS ADT SECURITY type amount by date recpt 703 NE HaNCOCK PR11T $ 40. 00 CJS 11/16/99 95--27,2985 SE=CT $ 2. 00 CJS 11/16/95 95-272980 PORTLAND OR 97 Phone #: Contractor: CONTRACTOR NOT ON FILE $ 42. 00 TOTAL - --_--- REQUIRED INSPECTIONS Ceiling Cover Elel-t' I. Service Phone #s Wall Cover Fler_t' 1 Final Reg #. . : This pewit ,s issued subject to the regulations contained in the Tigard Municipal Code, State of Eyre. Specialty Codes and all other rm i t:e e S iyna t i.1r e aonlicable laws. All work will be done in accordance with aaproved plans. This permit will expire if work is not started / within 188 days of issuance, or if work is suspended for more ( /;'�Iex ._____ _.._._..._.- tlan 188 days. 1 C'led By _ ..... _._._._._.__._..__._ .-.-_ ._OWNER INSTALLATTON The installation is being made on oroperty T own which is not intended for lease, or rent. OWNER' S SIGNATURE: _.. ._.__ ._.___-. . __.._._.____.._._. _.__.. _.. __ DATE : _.... ._ . INSTAI-LAT10N I SIGNATURE OF SUPR. ELECT N: �� DATE: -IL-!_16.4S LICENSE IVO- _.__.--.....__ Call for inspection -- 639--4175 Community Development RESTRICTED ENERGY ELECTRICAL APPLICATION 13125 SW Hall Blvd. Tigi,rd,OR 97223 PERMIT Phonr. (503)639-4171 FAX(503)684-7297 DALE ISSUED //- /6- 9s TDD No, (503)684-2772 CITY OF TIGARD Inspection (503)639-4175 ISSUED BY Char/pj_ PLLASF COMPLFTF_ ALL SECTIONS 1. LOCATION OF INSTALLATION 4. TYPE OF WORK �l � DU AdddRESIDFNTIAL—Restricted Energy Fee. . . . . . . . . 1140.0,0 (FOR ALL SYSTEMS) Cily State Zip ��eck Tvne of Work volved: IARLE AND tXpIRE If WORK S NO r STARTED WITHIN ITS ARE 5180 AY.S OFFERAHLE DISSUANCf C1 RI F WORK t5 SUSPENDED MR ❑ Audio and Stereo Systems• 180 DAYS ❑ Burglar Alarm 2. CONTRACTOR APPLICATION El Garage Door Opener" �f EJHeating Ventilation and Air Conditioning System* (.rintraclor Type � / ❑ Vacuum Systems" ❑ Other. Address '�1—JV 5;.fEd%� _ tate 9a� ______ _ __` COMMERCIAL —Fee for each system . . . . . . . . . 140.00 (SEE OAR 918-260.260) Property I Y Owner j j X.0 A 6P– X_-Check Type of)'Nock involved: Contractor's Board R g. No, _ ❑ Audio and Stereo Systems* ❑ Boiler Controls Phone# ❑ Clock Systems 3. OWNER APPLICATION ❑ Data Telecommunication Installations ❑ Fire Alarm installation ❑ LIVAC Print Owner's Name Phone No ❑ Instrumentation Address —"— Cl Intercom and Paging Systems ❑ Landscape Irrigation Control* City ^ State Zip ❑ Medical tion Ixcrmit is Issued under OAR 918.320.370.This applicant agrees to make only ❑ Nurse Calls rratrirted energy installations 1100 volt amps or less)under this Ix,rmit and to do the ❑ Ouldoor Landscape Lighting* following: 1 Only use electrical licensed persons to do installations where required.(Certain ntective Signaling residential and other transactions am exempt from Iirensing.These have ❑ Other asterisks('),All others need licensing). 1 c:ul for an inspection when all of the installations under IN,permit are ready for inspection at 503.639-4175. ❑ Number of Systems i Purchase separate permits for ail installations that an not ready(or inspection when the inspector is out to inspect under this permit •No hrenses are required. i it enses are required for all other installations. 4 Assume responsibility for assuring that all rormctinns requirml by the inspector art-done,and Assume responsibility for calling for a final Inspection when all of the corrertions 5• FEES an,comdi 1 0 The persopermit must be the applicant er a person a. Enter Fees $ authorizeplicant � ��b. 5% Surcharge(.05 x total above) $ Si};nalure TOTAL Authority if other than applicant ENERGAP.CHP CITY OF TIGARD 24-Hour BUILDING Inspectiun Line: (503)635-4175 MST INSPECTION DIVISION Business Line: (503)639-4171 BUP - -- — Received _-_ _ Date Requested / 1.5_ AM 7.�P'�M BLIP Location _ L' -yl-cif ru{-c,co _Suite 700 MEC 4 0 C)l UU Y4s Contact Person Ph ( ) 3 767t� PLM Contractor_— - --- Ph(----) --_ _ SWR - -BUILDING Tenant/Owner ___-__�_ —�� _ ELC __- Footing ELC Foundation - _ Ftg Drain CCeS FLR i ,, _ / _ Ir�~ w Crawl Drain ,� ' L �� _ Slab Inspection Notes: SIT Post&Beam Shear Anchors _ Ext Sheath/Shear Int Sheath/Shear Framing Insulation Drywall Nailing -- - Firewall Fire Sprinkler - - -- -- - Fire Alarm — Susp'd Ceiling -__- Roof Other: Final PASS PART FAIL -PLUMBING __ T Post$Beam Under Slab ----- — -- Rough-In Water Service --� ----- Sanitary Sewer j Rain Drains ---- Catch Basin/Manholt Storm Drain Shower Pan Other. Final P_A_ s - T_FAIL CHAN _ - PoM& Beam J�asline Supers - 1`i SS -)PART FAIL _ ----- - ELECTRICAL ------------------- ----- Service Rough-In -_ UG/Slab Low Voltage __— Fire Alarm Final F1 Reinspection fee of$ requirod before next Inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL SITEu Please call for reinspection RE: -- — Unable to inspect-no access Fire Supply Line ADA Appraach/Sidewalk Date -=� ` - -_ L- - -`-tnapac4or _ _____. ut Other: _�- Final 00 NOT REMOVE this In%pection ilecord from the job site. PASS PART FAIL CITYOF TIGA.RD MECHANICAL PERMIT DEVELOPMENT SERVICES PERMIT#: MEC2001-00442 13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 12/11/01 PARCEL: 1 S134AA-01900 SITE ADDRESS: 10115 SW NIMBUS AVE 700 SUBDIVISION: 1 KOLL BUSINESS CENTER TIGARD ZONING: C-G BLOCK: LOT: 001 JURISDICTION: TIG CLASS OF WORK: FLOOR FURN: EVAP COOLERS: TYPE OF USE: UNIT HEATERS: VENT FANS: OCCUPANCY GRP: B VENTS W/O APPL: VENT SYSTEMS: STORIES: _ BOILERS/COMPRESSORS HOODS: FUEL_TYPES _ 0 - 3 HP: DOMES. INCIN: 3 - 15 HP- COMMI_. INCIN: MAX INPUT: BTU 15 - 30 FfP: REPAIR UNITS: FIRE DAMPERS?: 30 -50 HP: OD GAS PRESSURE: 50 + HP: DRYERS:CLO nRS: FURN < 100K BTU: AIR HANDLING UNITS C FURN —100K BTU: — 10000 cfrn: OTHER UNITS: > 10000 cfm: GAASSOUTLETS: Rerndrks: HVAC install. Owner: _ FEES ROBINSON, WILLIAM R/CONSTANCE Type By Date Amount Receipt ROBINSON, LYNN + BELL, KAY ET PRMT CTR 12111101 $100.90 272001000CBY ELLIOTTLCK CTR 12/11/01 $'25.22 2720010000 PORTLAND, OOR R 9 9772Q4 5PCT CTR 12/11/01 $8.07 2720010000 Phone: r �V Total $134.19 r Contracto: ---- ---_ BLAIRCO INC 7609 MACARTHUR BLVD VANCOUVER, WA 98664 REQUIRED INSPECTIONS Gas Line Insp Phone3610-695-1476 Mechanical Insp Reg #: LIC 85750 Final Inspection This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuarce, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted in the Oregon Utility Notification Center Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0080. Yid may obtain copies of these rules or direct questions to OUNC by calling r,nZ��aF_glsta ,` r . Issue By: (�� /�� '21 x, Permittee Signature fti/ Call (503) 639-4175 by 7:00 P M. for inspections needed the next business day / „ r r � -7 Mechanical Permit Application --- --"-' iEw Date received: 12_- -01 Permit no.: ,LV1 �60rf� City of Tigard Projcct/appl.no.: Expire date: City of Tigard Address: 13125 SW I fall Blvd,Tigard,OR 97223 Date issued: I B Iteceiptno.: Phone: (503) 639-4171 Fax: (503) 598-1960 Case filo no.: Payment type Land use approval -__ tluilding permit no.: TYPE OF PLKMUI U I &2 I'amily dwelling or accessory Cummercutlhndusin:il U Multi-family J"1'cnant inilinivcntent U NOW consiniclion A(III iIIon/alteration/re place ment U Other: ___ , 1 1 July a�ldress: C' I 1`r '� `v lf� ''t l S Indicate equiprneit yuantlties in Mixes below. Indicate the dollar Bldg.no.: -7 Suite no.: %QQ value of all mc,.iianical n)atcrials,equipment,labor.overhead, Tax .no.:map/tax lot/account no.: prol'it. Value$ �5l/• C O )at; Block: Subdivision:. `tier checklist for important application intbrmation and jurisdiction's fec schedule for residential permit lac. Project name: f d VU U _ City/county: f ZIP: Desc 'ption an to ition of work l�pjemises._ b1��1.c - 9 T For(c:r.) . Est.date of completion/inspection: if L - v_U ( Desert on _Ota. Ites.unh He sonl) Tenant improvement or change of use: Air handling unit CFM Is existing spat heated or conditioned'!Jllocs U No Air conditioning(site plan rcyuire_J— _ Is existing space insuiated? Ycs U No A terauon ofexisting 1IVAC.system oiler compressors State boiler permit no.: Business name A 0 III, __Tons B'ru/N Address: Q -- __(� t+�iFirOsmoke amper. ct am uo a electors v City: (' U�! V V_- State: ZIP: IT",pump( cti placqu n rirec) E-mail: nsta I rep ace furnace/hurner Phone: -/ hax: - 31U - Including ductwork/vent liner U Yes U No CCB no.: 'S nstal rep ac rc ovate eaters-suspen e City/metro lie.ru�06 will,or floor mounted vent far ar t lance other that .urnace Name lease print): r`V� 5 e gerat on: UON'J'AUT PERSON Absorption units_ it I 1 VII Chillers Name: STZeoe- i L C'om ressors_-- Address: MAO :nv rmmental exhaucf wnd vent tat an: City: t.l '4? State: ZIP: !pG Alphancevcm _ Phone: q (rt( Fax: E-mail: tryerex 00 s, ypc res. itc en iazmat hood fire suppression system Narne: r t art, 4 c � ( ExhaOa fan with single duct(bath fans) / xhaaml system a an from zeatin or C Mailing addres.: ( iC ( f ue p p ng and distributTo—n(up to 4 out cts) City: rrK Slate' 7 ZIP: 7Tvlx: LPC; NG Phone: Z Z. -(NqZ Fax 1:1 limil: mel aing each additiona ovei 4 outlets Process piping 1 sc sematic required) N,vnbel of pullets Name: _ ---- __ atTic�r ifs�ed a-pplance or equTpmcni: Address: s _ Decorativefireplace City: _ Stale: ZII' Insert- type E mail' oo stov pe etstovc_ _ Phone: ax 09 cr: Applicant's sign lure c Dale: �Z 3 o er: _— Name (print): 14 rt(A S �r�RS Permit fee.....................$ Not all jarivacNrnis accept credit cards,ptenu call liaiahctim for tear infnnnetinn notice:This permit application Minimum fee................$ _ U Visa U MasterCanf expires il'a permit is not obtained Plan review(at , %) $ Credit card number. ---- within 180 days after it has been a y State surcharge(896)....$ - Narne of cerdnnl�er as shown on credo card — accepted as complete. $ TOTAL .......................$ Cardholderr d`naitire _ Aattnrot 44tl46171rJa0/COM) MECHANICAL PERMIT FECS COMMERCIAL FEE SCHEDULE: 1 & 2 FAMILY DWELLING FEE SCHEDULE: - Description: Price Total TOTAL VALUATION: PERMIT FEE: Table 1A Mechanical Cede _ Ory (Ea) Amt $1.00 to$5,000.00 Minimum fee$72.50 - 1) Furnace to 100.000 BTU $5,001.00 to 51U,000.00 $72.50 for the first$5,000.00 and includin ducts&vents 14 00 $1.52 for each additional$100.00 or 2) Furnace 100,000 BTU+ fraction thereof,to and Including including ducts&vents 17.40 -- $10,000.00. 3) Floor Furnace $10,001.00 to$25,000.00 $148.50 for the first$10,000.00 and Including vent 14.00 $1.54 for each additional$100.00 or Suspended heater,wall heater fraction thereof,to and Including 4) SSfloor mounted heater 14.00 $25,000_00. $25,001.00 to$50,000.00 - $379.50 for the first$35,000.00 and 5) Vent not included in appliance permit 6.60 $1.45 for each additional$100.00 or - fraction thereof,to and Including 6) Repair units 12.15 $50,000.00. _ $50,001.00 and up $742.00 for the first$50,000.00 and Check all that apply: Boiler Heat Air $1.20 for each additional$100.00 or For Items 7.11,sea or Pump Cond footnotes below. Comp _ fraction thereof. 7)<3HP;absorb unit 14.00 Minimum Permit Fee$72.50 SUBTOTAL: $ to 100K BTU - 8)3-15 HP;absorb 25.60 a•/.State Surcharge unit 100k to 500k BTU - _ -- 9)15-30 HP;absorb 35.00 25%Plan Review Fee(of subtotal) 5 unit.5-1 mil BTU _ Required for ALL commercial permits off_ _. _ 10)30-50 HP;absorb TOTAL COMMERCIAL PERMIT FEE: S unit 1-1.75 mil BTU 52.26 _- 11)>50HP;absorb 8720 -- ---- -"-- unit>1.75 mil BTU - 12)Air handling unit to 10,000 CFM 1000 ASSUMED VALUATIONS PER APPLIANCE: - Value Total 13)Air handling unit 10,000 CFM+ Desertion: _ Qt Ea Amount 17.20 Furnace to 100,000 BTU,Including 955 14)Non-portable evaporate cooler 10,00 ducts&vents - Furnace>100,000 BTU Includktg 1,170 15)Vent fan connected to a single duct 6.80 ducts&vents - Floor furnace including vent 955 16)Ventilation system not Included in Suspended heater,wall heater or 955 a Ilance erm11 10.00 floor mounted-healer 17)Hood served by mechanical exhaust 10.00 Vent not Included In applicance 445 permit805 - 18)Domestic Incinerators 17.40 R air units <3 hp;absorb.unit, 955 19)Commercial or Industrial type Incinerator 69.95 to 100k BTU - 3-15 hp;absorb.unit, 1,700 20)Other units,including wood stoves 10.00 101k to 500k BTU _`- _. 15.30 hp;absorb.unit,501k to 1 2,310 21)Gas piping one to four outlets 5.40 mil.BTU - __.._ --- -- - - - 30.50 hp;absorb.unit, 3,400 22)More than 4-per outlet(earh) t.00 1-1.75 trill,BTU >50 hp;absorb.unit, 5,725 Minimum Permit Fee$72.50 SUBTOTAL: $ >1.75 mil.BTU ___ - - ;Ur handling unit to 10,000 ctm 856 --" e'/.State Surcharge b Air handling unit>10,000 cfm Non-portable ev irate cooler 658 TOTAL RESIDENTIAL PERMIT FEE: S Vent fan connected to a single duct 446 Vent system not Included in 656 --appliance rmit _ - Other Insroecttons snd Fees: Hood served b mechanical exhaust 656 1 inspections outside of normal business hours(minimum chargo-two hours) Domestic incinerator 1,170 $72 50 per hour Comrnerclal or Induatrtal F-i 'ator 4,590 2 Inspections for which no fee is specifically indicated (minimum charge half hour) 856 $72 50 per hour Other unit,Including wood stoves, 3 Additional plan review required by changes,additions or revisions to plans(minimum Inserts etc. 380 - charge-one-half hour)$72 50 per hour Gas Piping 1-4 outlets ___ --- Each 8dditlonsl outlet 63_- - 'Stale Contractor Boiler Certification required for units>200k BTU. '"Residential AJC requires site plan showing placement of unit. TOTAL COMMERCIAL VALUATION: All New Commercial Buildings require 2 sets of plana. I:WstsVormsUnech-fees.doc 08/7.9/01 �T HEATINk.; COOLING SUBMITTAL 582A 01 *nTANDARD-EFFICIENCY t 583A 01 4••'".. ' HIGH-EFFICIENCY i SINGLE PAOKAGE GAS HEATING/ ELECTRIC ;;001_ING UNITS J en Ar!1r11A 1AIg aro compact, viy ser•eontalnso,cum-ti •UOMITIS C�T`'AeN pas hewingieieclrc cooling Lriia',hal ii ora-wirer, pn'f-()V'l. �eb!veme lr ��u \\" P and p,"hil for m nlreutn Installa ion oxperse.These one• - ------- jab units err.,Aosignod lot easy Instaletlon and msinlonanoa, Archtleat ...._--- ----------------- and fal lore soun9 levels end depsncabta paillfermanoa.All unite hove openings for ei!i hal vol or dowltlow confl6trrs• pngrser_ ----------------• Ilona TT,see un is are intended for outdoor Instal'allon and Tey be: loustec on a roof top,ero.inNovel concrete slab ui pllil J'tu'ly Contrsc'or l ��v�____a-._ _-_--------------- on me ground I1 I,oal cedes pernll. Unit Designation g? W U3�?_.S.?_�,�--____-- c PIRFORMANCE DATA - i^ I Curb Walghl PEATURFB sundard one vast irdled warranty inr both 692A aid 663A I COOLING t0 yeer wi,rrenty ori the 303A comp'uaor L <( U U 9 year warranty on'the 392A eontpresser 19 year wnrtdn!y oh the 683A gas-fYsd 1021,sxchengar Jet 9snslble capauily ----------..- 10 year warrantyuh the 502A go",sid-i-pat sxonsnger, LMwts arc ca,titlw and listed by UL wW c-UL.Uri aro rend In ^oC OuldUtx•til Ternpare?oro o Power Inas ieccnlende v,lth kRI 8tenderd 21L, Q1,OYl Low sal*IlltfQi rdocrrantsingAir db_-.--___-- Wb------------ llnlib are pre-*rft,pre-plosd and pro-cnarpso fer mmlmum t*sksbor exrAriss SEERIEER—_— U _-.._...—--------------------- yp to'2 SIFER oarlinp sffla onoy ,Qernpribal v bril Isola!0M provides Weler cperetlon FM_..._.�•�..---------------------.. - • Erterpy asrinp,dlrec sporlr tpnlnhr rarer par?Mete•She • ,b'aaity oo•.erted inr downllew enoralbn w?h Included hcrson- trl CLa CevOre, HEATMIM Clabirsts are:ontlructad of heavy-LLty,ptxrsht ateu cine waWJ o 71111 ritad maul eaoabla of wlth?tending 5L0 hours In sail spray rput=-Nsv to Adr:•les dill w fli sinple-panel Access ti t; CLlpul (_1 V )r ed-drive rnOV-e0eed. Darrnatlant aK ii Wiltnr (PSC) In- __ QQ' - --------- - - oa3r motor is staneord. I AI-UE--_�4_' -- ---------------------- • :raid-M,/s,PSC oiJldoer iso mulor. magralad gas eontrel boArd r mvicra arfc mid eflclonl oenlrol Input to LW. a!pas"filing, mag sied Cepanty ------------ ------- - ronosion reetstert pas most excharrars I • Cd!s r.9rtstiuCtsd of s Lnlnuet Ms borear to ooppertubes, ;feel opaiii rrrrr . ...._—___-.- WI-e grille providso additional proteetor. Outdoor-Nr Temp_____—_ ___ (Winter Design', • Composlls•usl•proor j1I1 bees pan. ------ -----• Scoped d^sl1 per rrinirnl=ea sbinding water In the unl CCP HSTF __ Refrigerant ae vlas ooinsolions make chechlrrg t5l'srrg Pros- ii eesiar ILICTRICAL DATA • topper,t a-ec31 cin cods arc avellpton Irofh tha fill r/ sioeial ordar,for use In cerreava n;wlronmelU. Power supphl to unit_Zo D Jafts 7,J� _ow Nilx umils eveaet,., 1Alnlnlurn C►^ult Ants__!Y' I — ----------._ .-- - i Mox Lwrn Over.irtant Proleetlon-10 1P---------------- CITY OF TIGARD p ... v ............................ ...... ... ...............k Form No. SUB 582,A.18.2 Conditionally Approved.................................... ( ) For only the work as described in: PEIaMI o..11_Vcg -�V_--1�y-7L— See 7L - See l tter o: Follow................ ................ ....... ( ): sch �- J Iriv.2..200? c':c7F11 WIF 110.818 P. —_—_ FACTORY INSTALLED OProsis Crankcase hooter provlow 14MI•'Inndhantc prolerann for low. d ]Pre Goatee Cohn load Welling apnncadnns. Capper/Cnpas-GClle I -I LP(liquid pttaprte)eonverifion kit nlluwa for ecnveraro-I from natural Les to IkpAd 13ropana fuel Flelddnstadled AcNalouries L Low-amblart kit(Motormastar®N control)aucwe;he usn ewra"r with MllWtrta centmie and M.rmru;r a nuw oaln are of mochanlcal cool rs gown 'c n,rtdneir tanparaturn as low -Manwl AW Don",f2frA span) an CT F fTW track fetid-Stara Time OuerdS II ttatllCS prandas short-yr i•rq Hearcurta ,ie and 114.1n.) — Drataollon for f•la eornWsaaor Not requhed with corporate Mrrnd Dua_rra_nalpe,+Kit r— vockcnic thermostat.. fhemrntaq —� ' '— C' Filter rick feafume ansy retaletlor,5arvk:eao illy and 1 ph- Cnakaa.Muer - 1lt44np prarlommnee for verdcol sprlleatlons Comprawor Hard Luer Ka der tau en ainpia•phaaa unto aalyl Moth altitude kit Is for use at 2001 to 60CC it above Len level tlraanwreran_ — — Qt consists of natural pee ortfcas that wrnpensa:e for pa: Hip AlMhWe Ka - --- - - nsar opershon at high aldtt,ce. law Amalew Kt latotormaatarot M Cankoll Lifttttp Kit 1 ulna Drticlte's used to rip iml''nr ca7ft»applt- t011e-abta nroa ounrdQ k Dwlaa — rallnns Uhl IQA — � Controls llparado Kit feat her'.high and cw prosstrs swtleh- caura a Ul Kit -- as for oxtra system protacbon. Ftwomlur with eolld•sleta controls and hrorr,atric re- Ref dampen Incudes After rocks erre prVvCe Dutdoor a --- --- --- .... uurl-io wcling anc-educe compressor nparetiii • ertaruol outside air damper ineiudes hood o,+d file,mc,, __�_'•_" --- - --------- -___-__--_-- ale+c.11uttebla damper Wade for up to 29%outdoor a r eint roof ourb t n both k In.and 14 In.suis are avellable f -----------------___.___�______—__ a for four Tountoo appleatiov, 17 Square•to-rounJ dust Ironelflon kit Anehlwe 02a-usti size --- - ----_ --- -- - ""' .,rine to tm flKvt'c 14"r.round duclwerk ' C Campnsaor herd dpp1 k4 assists compressor start-cp Cy pr_%. ng OWN-mol OWN-maoleftIrg brque on alnpla phare t_nKe enp -- --- " r•rmlenpa co-rpreseur malur'Ife, • ' " Thermostats nfbvlM enn!ml far tho cyrtsm hosting and ---- ------------------- ---..------- cooling fvncbars Ti.ermoatat models aro oval able In Inctn proprammeWs end non progrsrmsble vumlora. i 1'HY;11.AL UAIA UNIT SI2E 582A 016040 024040 024060 0301140 1 030060 036060 036090 042060 042090 NOMINAL CAPACITY(ton) 1'r. 2 2 2'. 2'.. 3 3 3'v 3'h OPERATING WEIGHT(lb) 249 280 2B0 280 280 314 314 355 355 4 COMPRESSOR(S)-QUANTITY Reciprocaung-1 RCFPrGERANT (R-221 Quantity(lb) 7 r, 315 3 5 365 1 G5 j 375 1 3 7.5 57 5 7 • e c 2 � Orifice 1;1(In) 034 034 03 03a 037 032 034 0 CONDENSER COIL Rows-Fins/In 1-17 1-1 1-1 1-t 1-17 1-17 19 1 17 1-17 1-17 Face Ares/sq It) 6.1 9 1 9.1 9 1 9 1 9,1 991'CONDENSER FAN -_ 9.1 Nominal CIrn 20 0 240 4 2400 2400 3000 3000 3 0722 000 Diameter 22 V•?825 /•22 •22 •(625) (2200 4(22�) 2?00j �) Motor Hp(Rpn,) /s(825) ) (825) (825) • • Rowe--Flns/In 2 15 2-15 2-15 2-15 2-15 3-ir 15 4-15 -1S Fare Aran(sq it) 31 3 1 3 1 3 1 3 1 3.1 3.1 31 3.1 EVAPOVTOR Nominal Alrflnw(Cfm) 600 800 800 1000 1000 1200 1200 1400 400 Size(In.) 10 x 10 10 x 10 10 x 10 10 x 10 10 x 10 11 x 10 11 x 10 11 x 10 11 x 10 Motor( p) '/4 'l4 'l. '4 '/2 2 zp •/+ FURNACE • Burner Orifice No (Qty-Drill Size) q4 2-4A 2-38 2-44 2-38 ?--38 3-38 2-38 3-38 Natural Gae Burner Orifice No.(Oly-Drill Size) 2-52 2-52 2-46 2-52 2-46 2 16 3-46 2-46 3-16 Propane Gas ETURN-AIR FILTERS • Throwaway Size 20x2021 20x20_1 20x20x1 20x2021 20220x1 20x2421 20x2421 20_24x1 20_24x1 UNIT SIZE 582A 046090 048115 048130 06009C 060115 080130 NOMINAL"PACITY(ton) 4 4 4 5 5 5 OPERATING MIGHT(lb) l 415 415 415 450 450 450 MPRESSOR(S)-QUANSI V� Scroll-1 Reciprocating-1 • REFRIGERANT �- 60 (R 22) R 0 80 80 ` Quantity 0W fU 60 • Nt ME tERING 2 Device Orillce IU;ii.; 032 032 �_itri0 030 2 + Ruws--Flne/In. 1-17 1-17 t--17 2--17 2--17 2-17 trace.Area!sq it) t2 9 t?3 12.3 12 3 12 3 12.3 Nominal C'rn 3600 1600 3600 3600 3800 3600 Ulameter(in► 2'l. 22 22 21 22 22 Motor HP(Rmm0 /+ 1100) 11100) 4(1100) ..(1100) '4(1100) (1100 'EVAPORATOR COIP Rowe-- Fin•,'In 3-15 3--15 3--15 4-15 4-15 4-15 Face Area(eq ft) 4.7 4 7 4.7 4.7 4 7 4 7 •• • BLOWER Nnmindl Airflow(Cirri) 1600 1600 18(10 2000 2000 2000 Size(in I 11 z 10 11 x 10 1; x 10 11 x 10 11 x 10 IIx 10 Motor(Hp) /� '/. �d I.0 In 1 0 FURNACE SECTION' Burner Orlllce No.(Oty--Drill Ira) 3 -38 3-33 3--317 - ne,,0,1,1lc.,,, 338 3-33 3--31 Natural Gas BurNo.(Qty--Drill Slze) 3_46 3-4? 3-413-46 3-42 3-4tPropees RIETUIrIN-Ailit FILTERS(in It Thmwawey ;ize 124x3021 24x3021 1 24x30x1 1 24x30x1 1 24230x1 2473071 'Based on altitude of 0 to 2000 toot tRe in I title)ratedutted filter sizes The filter rack es field convertibleger of the)hold a RI plied Air i2rIni 9 filter Refrigeration 4 ARI' CAPACITIES COOLING CAPACITIES AND EFFICIENCIES NET COOLINGSOUND RATINGS' UNIT 582A NOMINAL TONS STANDARD CFM CAPACITIES(Stul,; SEERt (Bels) 018040 _ 1 - — 600 _-- _ 18000`- -- - 10.0 5 024040 Y 2 800 24,600 10.0 7.5 _ 024060 _ _ -- --- J030040 211' 1000 28,800 - 10.0 7.5 — 036060 3 1200 34.400 10.0 8.0 036090 042060 042090 3rfa 1400 42,000 T 10.0 8 048090 046115 4 1600 46.500 10.0 8.0 048130 06004-0-- 080115 5 2000 60,000 100 80 080130 LEGEND NOTES: Bala - Sound Levels 11 bel= 10 decibels) 1 Ratings are net values, reflecting the effects of circulating fan db • - Dry Bulb neat Ratings are based on ' db% - Dry Btulb Energy Efficiency Ratio Cooling Standard: 80 F db. 67 F wb indoor entering-air tem• perature and 95 F db outdoor entering-air temperature. .• wb - Wel Bulb 2 Before purchasing this appliance,read important energy cost and 'Air Condititrningg$Rettgerdrwn L1stilute. efficiency information available from your retailer. ••'fBaled in acbratda ce with U,S Government DOF ,Department of ...dsnergy)test procedures ar,d/or ARI Standard 210/89. "Tested in accordance with AFI StAnbard 270.89(not listed in ARI) ••• HEATING CAPACITIES AND EFFICIENCIES I--- HEATING INPUT OUTPUT CAPACITY TEMPERATURE Ali UNIT 582A (Btul , (Btuh) RISE RANGE f F) 018640 31,000 79.9 024040 40 000 31,000 20.50 80.1 030040 31,000 80.1 024060 46,000 35-65 70.4 03006080000 46.000 35.65 78.4 , 036060 46,000 25.55 78,7 042060 47,000 25.55 78.7 036090 --- 71,000 79.9 042090 90.000 71,000 40-70 799 78.6 048090 70,000 78.6 060090 70,000 i — 048115 _- 115.00092,000 50.80 81 1 _060115 -- 048130 _� 104.000 080130 —--- 130.000 103,000 50 80 80.3 LEGEND aicopc. AFUE - Annual Fuei Utih,,,rliun Efficiency NOTE: Before purchasing this appliance, read important Pnergv cost �� and efficiency information available from your retailer u G e a BASE UNIT V'A"F"'' '!)NS - 589.'AO18-042 r_ _ stll f I 191 �.�I1 /1X11 (iM Oin UI � vi'„oe luVvl 1 l I I Al �r fU1R 0/ 101 1 .11 �r 1(I IV h l 07 Y 177 --- oil fill (ND c01(-/ Iple)NON 1NOo ( I l 111 cONO COIL pA1 f011 --1 TOP VIEW AA 1 Isle 1 1 711 fEl I'll �� II]11 171 ISI 11!)1 REAR VIEW REC'C rI EARA.NCES FOR OPERATION AND SERVICING in.(mm) REO'D CLEARANCES TO COMBUSTIBLE MAT'L in mm Evaporator coil accers sldi .36 914) Top of unit. 14(355 b) Power entry side(ex5apl 471 NEC requirements) 36 914) Duct side of unit 2(50 8 UnA.op . , 36(914) Side opposite ducts 14(355.6 Sloe opposde ducts,. 36(914) Bottom of unit 0.50(12.7 Duct panel 12(304.6)' Flue panel . . . .36(9144) 1 'Mmlmu,n distances:II,un(r;v placed less than 12 In (304.8 mm)from wall NEC REO'D CLEARANCES In. mm I syst9m then the system performance may be compromised. Between units,power entry side .42((1066 61 Unit and ungrounded surfaces,power entry side 36(914) Unit and blocl,or concrete watts and other grounded - �- surfaces,control box side - - 42(1066.8) UNI- ELECTRICAL UNIT WEIGHT CENTER OF GRAVITY In.(mm) 5d2 CHARACTEHISTICS Ib kg X Y 2 0180_40 208/230.1.60 249.0 _113.2 20.0(508.01 14.0 355.6] 15.01381 01 024040/060 208/230-1.60 280.0 127.3 22.5(571.5) 13.0 [330.2] 15.0[381.0] 030040/060 208/230.1.60,208/230.3-60 _ 280.0 127.3 21.5 1546.1 13.75 1349.31 15.0 1381.01 036060/0_90 208/230-1.60.208/230.3.60,460.3.60 .114.0 142.7 22.5[571.51 14.0 (355.61 13.0[330.2] 042060/090 208/230.1.60.208430.3.6u,460.3.60 355.0 161.4 21.5[546.1) 13.5 [342.9] 13.0(330.21 ?111 1 11 13 111 t"IO I, , .Ir Atl 11 se rn10 tatA1 -. tt t 10 col'.11 els! _1 ilei! --\> 1ss otl jso 111 J412 5u e I It )51 I to e DAMN OuRI I II I 0 10 151 NII 1' 111 1 72 tl 01 .- OM►1f�01 el ONfl ` 1wl X000 11 1 Ili Isl j[SICI 1C`I Accts! I� /1 O/S rNiNr e - !7 1 �I 1 I7 tlll .y I - 14 111 LEFT SIDE VIEW FRONT VIEW RIGH1 SIDE VIEW LEGEND NOTE:Dimensions are in mm)in I Cr, - Center of Gravity COND - Condenser EVAP _ Evaporator NEC National Electrical Code REG D - Required 7 �. V i Or M i.]e X11�,N��; �•x �M�g� �I�r.�10�i�11R rra U W UNNfJ J'.r r.�-- .'*.��4'��tF?�}••• �>rt�.r. •� G^^.��'�p0.��w-J�t,Owc/>�J?`a' � '�-��IY' .._ •1. 1 'O V'w N's Oc'n N.. M M ZZ — 90N..IP,pJN—�• yr � . r. rY.�.•...._.....LrP_ .._.._... t1i O~O w... P 4Y�v �•=.:. .,' IJV In W M•w 1 �' • I '�'s • fSAr nLs•'N '�i61r:�1 ;Y`�•- "�. P x O�N J r Z •.iii .� fni� t ._ #"'` — �� m � ,s ~ 00 OLN— • ,� I�P"�-•T mow' it»1nM 's'ooa'Q{0 pp,ol , •—� al � > N 1 O M P O P A p:44 i:7 OO.p•O (/� W•J : ppN� �I W+ IQp Q o O '.•?t LOO O C 114- Lu :00 JUN— n .i:M+• .,:, ~r'�,�V�*�: .� A�i;N; it�e+r� N:�T= �:nr''jO1'n N � ra by� •� .:n�,= i'a..y ,' +Nl+idyl. ?�t'{zi�l:wf'. ."� N— C)n la A ?Ci `•- pp11 00��--N.p—Vr OO i�1W i sy, .j f ' `•' W IA JJ'.+J LOO 1-0J0 t� �I� `�*1••,T �rw�. �. �� 'A�T'tIIJIJJ'MN— S �*�!ad�` .wlft4�r.Mti•^„�J�'.•�R• [ , M goal.riolOW1433W WHOJINn 6 XION3ddr ��ll � r '-�'4�.'aAAiIA�-,�..��...........___.,�.� — -- •W_.�...,,�.r._ __._-`-_•-_•..._......w__�.r�..._. '.A.- �++r-- � - --'LgilV.yfiai.i:^r�.'�r_-... NOV.21.2001 2=2"PM NOR MO.818 P.3f8 I I I �, fNc1r11 1t�1fR21 eui ' 'IMi.'10111 fu0t IG:•A Iq.I 111 I11 1111 I Ij� � ��=.tlylid�� A"si96 pii i cci ass + � iaa QI c • _ � I fl NEiL�6l�� y9y i S� r' ' A �lANm 6 � ' a •w>,a a � r r � II II -- aYY rig� ii4o — •i �; I — W mum - yI ign .... , , "° I ci "' mini j;j LL I � I •lilot 1ui I V gn1■ b -a I I t I —3— I KI`' caa c: 5Pt9 NOR 110.818 P.E•-E, I do AD a I spm ` I i I a� IL / I r cr l N 0. (1 r� �" 1 a e • C Z I `'' eeIQI Iy UJ I ! L; I + C �•r 6. Q I �•�• I _ ', l0 LU ,•may � .... �i IWC LU I o cii r 1 m r• I I Q > } 1i1 W cxaacc m0. N L trfiU I V] �O w7 I I I SEE 35M.-M RO 11 # 2U FOR 0VF' RSIZED D OCUiVIENT CITY OF T IG A R D - ELECTRICAL. PERMIT PERMIT#: ELC2001-00644 DEVELOPMENT SERVICES DATE ISSUED: 12/19/01 13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 PARCEL: 1S134AA-01900 SITE ADDRESS: 10115 SW NIMBUS AVE 70� SUBDIVISION: 1 KOLL P JSINESS CENTEP IIGARD ZONING: C-G BLOCK: LOT : 001 JURISDICTION: TIG Proiect Description: Install 1 branch circuit. RESIDENTIAL UNIT _ TEMP SRVC/FEEDERS _ MISCELLANEOUS_ 1000 SF OR LESS: � — 0 200 amp: PUMP/IRRIGATION EACH ADD L 500SF: 201 - 400 amp: SIGN/OUT LINE LTG: LIMITED ENERGY: 401 600 amp: SIGNAL/PANEL: MANF HMI SVC/ FDR: 601+amps - 1000 volts' MINOR LABEL (10)' SERVICE/FEEDER BRANCH CIRCUITS --_� ADD'L INSPECTIONS____ 0 200 amp: W/SERVICE OR FEEDER: PER INSPECTION: 201 400 amp: 1st W/O SRVC OR FDR: 1 PER HOUR: 401 600 amp: EA ADD'L BRNCH CIRC: IN PLANT: G01 - 1000 amp: _ PLAN REVIEW SECTION_____ 1000+ amp/volt: >-4 RES UNITS: > 600 VOLT NOMINAL: Reconnect on!v_: --SVC/FDR >= 225 AMPS_ CLASS AREHiCPEC OCC: Owner: Contractor: ROBINSON, WILLIAM WCONSTANCE PRAIRIE_ El-EC ERIC INC ROBINSON, LYNN i, BEL,.., KAY ET 6000 NE 88TH STREET BY ELLIOTT ASSOC vANCOUVER, WA 98665 PORTLAND, OR 97204 Phonp: Phone: 360-573-2750 Reg #: SUP 3562S LIC 60178 ELE 37-491 C FEES i Required Inspections Type By Date Amount Receipt Ceiling Cover PRMT CTR 12/19/01 $46.85 2720010000( Wall Cover Elect'I Final 5PCT CTR 12/19/01 $3 75 2720010000( Total $50.60 This Permit is issued subject ti the regulations contained in the Tiqard Muniapal Code Stale of OR Sperialty Codes and all other applicable laws 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 rf work is suspended for more 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 952-001.0010 through OAR 952-001-0080 You may obtain copies of these rules or direct questions to OUNC at(503) 246.6699 or 1.800-332-2344. Permit Signature: rt `r Issued By: OWNER INSTALLATION ONLY _ The installation is being made on property I own which is not intended for sale, lease, or rent. OWNER'S SIGNATURE: — _ DATE: CONTRACTOR INSTALLATION ONLY s SIGNATURE OF SUPR. ELEC'N: / c 4L DATE:--- LICENSE ATE:_LICENSE NO: — Call 639-4175 by 7:00pm for an inspection the next business day DEC-18 16,24 FRW-Prairie, Eleetr�c 360-576-7422 T-868 P 0021002 F-687 Tlectri.c:al Permit APP licati — Ua areceived, , PetlnIt no.: City 01 11gard Prc'cct/appl.no.: _ Expire dace: Ciryr,f7igard Address: 13125 SW Hall Blvd, 97223 Da a issued: By: Receipt no.: Phonc; (503) 639.4171 - — Fax: (503) 598-1960 cfile no.. Payment type: Land use approval: ._ p J ?)F PERMIT O 1 & 2 family dwelling or accessary 'gComtnerclal/industrlal U Multi family U Tenant improvement U Now construction U Addition/aitctation/replacernent [-1 Other- D Partial tai INFORMATION .lobirlre,s; Q 111111 n,n.: uitr. nn,. Tax map/tare IOUflCCOUnt no.: Lot Black: 1.tiubdivislon, _ Project name. BI& mtdAp #4990 Description and location of work on premises: f/C, K uf' .V lav AC L6 AS Estimated date ofconihletion/inspection /7- 20 -0 T CONTRACTOR 1SCHEDULE Job no: $4_7/._cc> _ rY��'-�y� _ l'r, st.« Businessnamc: pKAlR/E Eck �G _ Description - t1tY. (r�.l 1„tnl no.insp Address.• /j/� STH ST Newr i amlrormulti-fainilylwr _ dwePi rmit.incluJaattaclwd�nrngc. City: U/�NG?XI!/E�at? tate:W.4 z1P: �6G service :luded: Phone. Z3 x750 12A 7 Z2 E-mail: 1000 a tt Irs•, 4 CCB no.: 601719 �, Wec.bus.lic.no: 3'7-t-( �(r Each itional 500 s.tc or portion dianeal Cityl _T 3 0 z Limlt��e.nerg',residendal 2 C y Limited cnergy,non-residential 2 I;mh tere inuftirtured home ormodular dwelling Si,nature of supervising a 'ci. (required) Dote / -/ -Q% Service and/or feeder 2 Sup.elect-mume(print): /LL - Lianseno: s(s Servlr orfeederts- linsi a n, --- alters norrelncallom: PERTY t 200 am s or less 2 Name(print)- 201 am s to 400 amps - 2 Mailing address: 401 oma to 600 amps 2 601 am s to 1(100 am s City: -- - - State: ZIP: -hvcr I amps or vola ---- - --- 2 Phone: -�� -mall: aeon - tally 1 - Owner Installation:The Installation is being made on property I own Trmpo tyarMcm orfrrder,,- which is not intended for sale,Ir•,e,rent,or exchange according to 41rta11 alteration,orrelocailon! ORS 447,455,479,670,701. 200 om or loss 2 201 to 400 amps 2 Owner's Si naturw Date: 401 to 00 amps _ 2 - I _ brand ch•caits nett,altrrotian, orext slonperpanrl: Name; _ A. Fee far branch circuits with purchase of Address. son ice or feeder fee,each branch circuit city: ---�g— Zip; A. ee for branch circuits without pu chste �/ ��. 1=� 1pnip ce or feeder fee,first bcurch circuit f D ' 2_ Phone: fa ;: F-mail: onalbranch circuit PLAN It 1:VIEW(Please clieck all 111121 aOply) ice or feeder riot Included): U Service over 22S amps-commercial U Health-cue fwinty or irrigation circir t]Service over 370 amps-mting of I St7 U HArardous location r outline lighungfamilydwellings U Building over 10,000 square feet four or ult(si or a limited energy panel,1]System ovet 600 vole;nominal mare residential units in one swcture r extensions_ O Building n�erdtrcc stories U Peeders,400 amps or i note •pce tion: U Occupant load over 99 persons U Manufoctuted structurem or RV park tach a ridideenal inspection over the allowable in soy of the alcove: O egtessilightingplan U other. __- _ Pet ins rection ��- Submit_sets of plats with anv of the above. Invesd anon fcc Tire xbot a use not applicable to teintent aty construction service, other NM dl htris Ucllnor accept Credit rods.plerrr troll jurirdictlnae on for leer oa NotJtx:This prttnPenrut fee.................. i applieatlon -- Visa 1.1 MasterCard Z D6O expires if a permit no;nbtaincd plan review(at _ %) Credit��pa1r�tI rr b.,� 77110 3 _� within 160 days a r it has been State surcharge(8%)....$ 3 _ it l eq pi — xp""— accepted as conitelc Ic. TOTAL $ N nm nl det a r n crew cad , r S Cater, r&I A.YP - Amount 440."IS(6410/CJM) CITY OF TIGARD 24-Hour BUiLDING Inspection Line: (503)639-4175 MST INSPECTION DIVISION BusinesF, Line: (503) 639.4171 BLIP Received _ Date Requested AM_ PM_ _ BLIP Location Suite ___ __-�—�_-— MEC Contact Perso1_yY�___-_- Ph O —�.--1� PLM nL, Contractor--- -[}i(-C1 F �. C�n i� ---) -- - --- SWR BUILDING Tenant/Owner G i c� - 1 _ C.? L �"D- --- - - ELC o_�0,0 Footing •J _ ELC Foundation Access Ftg Drain ELR _- Crawl Drain — ----- -- SIT Slab Ins ection Notes: r /1 - Post& Beam P ---, 1Z Shear Anchors , Ext Sheath/Shear Int Sheath/Shear Framing Insulation Drywall Nailing — -- Firewall Fire Sprinkler --- Fire Alarm Susp'd Ceiling - - - — ----- ------ ------- --- Roof Other: -- - - — — Final PASS PART FAIL_ e4F, � SJ �Post&Beam TTT Under Slab ----- Rough-In Water Service ----- -- — ---- Sanitary Sewer Rain Drains — — -- —� Catch Basin/Manhole Storm Drain -- — — — Shower Pan Other:_— Final PASS PART FAIL MECHANICAL - i` Post& Beam Rough-In ------- -—--- -- - Gas Line Smoke Dampen -------- --- -- — Final PASS PARTFAIL LE ------- —` ECTRIC T_ — Service —— — - Rough-In UG/Slab Low Voltage -- Fire Alarm — -- Reinspection fee of required before next inspection Pay at City Hal!, 13125 SW Hall Blvd. PART FAIL SITE Please call for einspection RE: Unable to inspect- io access Fire Supply Line Approach/Sidewalk Ante � __ Inspector � � -f—XE04 Ext PP � �tJ Other: —. Final DO NOT REMOVE this Inspection record from the Job site. PASS FART FAIL