The URL can be used to link to this page

10115 SW NIMBUS AVENUE STE 850 rr 058 31S 3A`d Sn81NIN MS 56601, co ul c cc co m z wco T T 10115 SW NIMBUS AVE STE 850 CITY OF T I G A R D CERTIFICATE OF OCCUPANCY DEVELOPMENT SERVICES PERMIT#: BUP2005-00064 13125 SW Hail Blvd.,Tigard,OR 97223 (503)6394171 DATE ISSUED: 2/17/2005 PARCEL: 1 S1:"AA-01900 ZONING: C-G JURISDICTION: TIG SITE ADDRESS: 10115 SW NIMBUS AVE 850 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 LOQ"7: 34 TENANT NAME: BELL.AGIO'S PIZZA REMO TI, new walls. Owner: ROBINSON, WILLIAM R/CONSTANCE A ROBINSON, LYNN* BELL, KAY ET BY ELLIOTT ASSOC 2 P Phone yD503 227 4440 Contractor: COMMERCIAL_ CONTRACTORS INC 1265 SOUTH 3571-1 PLAI",E RIDGEFIELD,WA 98642 Phone: 503-227-6644 503-227-4440 Reg#: LIC 123729 IL a _m I-- LU This Certificate Issues+ 4/8/2005 grants occupancy of the above (referenced buildin r portion thereof d confirms that the building has been inspected for compii nce wi he S t Oregon SpeciaWodesthe group, occupancy, e untl w i r ferenced permitCTO B - POST IN CONSPICUOUS PLACE w CITY OF TIGARD PLUMBING PERMIT DEVELOPMENT SERVICES PERMIT 8: PLM2005-00061 13125 SW Hail Blvd.,Tigard,OR 97223 (503)639-4171 DATE ISSUED: 2/17/2005 SITE ADDRESS: 10115 SW NIMBUS AVE 850 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: BACKFLOW PREVNTRS: OCCUPANCY GRP: B FLOOR DRAINS: 2 TRAPS: STORIES: WATER HEATERS: 1 CATCH BASINS: FIXTURES LAUNDRY TRAYS: SF RAIN DRAINS: SINKS: URINALS: GREASE TRAPS: LAVATORIES: 2 OTHER FIXTURES: 2 TUB/SHOWERS: SEWER LINE: ft YIATER CLOSETS: 2 WATER LINE: ft DISHWASHERS: RAIN DRAIN: ft Remarks: Plumbing fixtures. 2-floor drains, 2-lays, 2 wc., water heater. Other fixtures: 2 prirnet�. All new fixtures. Owner: SEES Description Date Amount KILLIAN PACIFIC --- -- -- 500 BROADWAY SUITE 110 1PLUMB) Permit Fee 2/17/2005 $149.40 [TAXI 9'Vo State Stirclurl 2./17/2005 $11.95 Total_ $161.35 Phune : 503-227-042'. - Contractor: JAMES ROOD PLUMBING 2459 SE TV HWY PM #168 REQUIRED ITEMS AND REPORTS HILLSBORO, OR 97123 Phone: 503-648-3907 Reg#: LIC 57355 PLM 34-199PB a Ir r'- This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. ao Specialty Codes and all other applicable laws. All work will be done in accordance with approved c7 P Y PP � PP 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 952-0001-0100. You may obtain copies of these rules or direct questions to OUNC by calling (503) 246-6 Issu By: Permittee Signature: Call (503)639-4175 by 7:00 P.M.fo-an inspection needed the no business day CITY OF T I GA R D SEWER CONNECTION PERMIT DEVELOPMENT SERVI+.ES PERMIT#: SWR2005-00045 13125 SW Hall Blvd.;Tigard, OR 97223 (503)639-4171 DATE ISSUED: 2/17/2005 SITE ADDRESS; 10115 SW i,11MIiUS AVE 850 PARCEL: 1S134AA-01900 SUBDIVISION: I KOLL SUSiNSS')CENTER TIGARD ZONING: C-G BLOCK: LOT: 001 JURISDICTION: TIG TENANT NAME: USA NO: FIXTURE UNITS: 20 CLASS OF WORK: ALT DWELLING UNITS: TYPE OF USE: COM NO. OF BUILDINGS: INSTALL TYPE: BUSWR IMPERV SURFACE: Remarks: 1.3 EDU increase. Owner: _ FEES KILLIAN PACIFIC Description Date Amount 500 BROADWAY SUITE 10 I SWUSA I Swr Connecti( 2/17/2005 $3,250.00 [SWUSAI SwrConnectil 2/17/2005 $0.00 Phone: 503-227-0423 Total $3,250.00 Contractor: REQUIRED ITEMS AND REPORTS Phone: Reg#: a a cn J m This Applicant agrees to comply with all the tyles and regulations of the Clean Water Services. The permit expires 180 Wdays from the date issued. The total amount paid will be forfeited if the permit expires. The Agency does not guarantee --t the accuracy of the side sevier laterals. If the sewer is nct 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. 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 952-001-0100. You may ob ' 'cupid of these rules or direct questions to OUNC by calling(503) 246-6699. r Issue by: �� i�/Y�'�R� 1-� Permittee Signature: Ad Call(503)639-4175 by 7:00 P.M.for an Inspection nee0ed the next slne3s day Building Fixturess/��. s/ Plumbing Permit_AppliaLtjE I Vd.'} City of Tigard Received r Permit No.: 1'�h I _&0U(ol 13125 SW Halt Blvd.,Tigard,OR 97223 FEB 17 oathy. Pian Review _ Phone: 503.639.4171 Fax: 503.598.1960 y Other Permit No.JW UOy _ 24-Hour Inspection Line: 503.639.4175 CITY OJ' Date/B Date Ready/Dy lar" ® ate Page 2 fur Internet: www ci.tigard.or.us Notified/Method. l Supplemental Information ❑New constniclion ❑Demolition POP special in ormatlon use checklist Description Qty I Ea. Total ❑Addition/alteration/replacement ❑Other: New 1-2-hmily dwellings(includes 100 ft.for each utility connection) SFR(1)both --- 249.20 ❑ 1-and 2-family dw fling Commercial/industrial SFR(7)bath 350.00 ❑Accessory building ❑Multi-family SFR(3)bath 399.00 ❑Master builder Each additional bath/kitchen 45.00 ❑Other: Fire sprinkler(^sq.ft.) Page 2 Site utilities Job site address: Jen /tom' e /) Catch basin or area drain 16.60 City/State/Z[p-��+c Fc`••t -�•l /'�� -rA-G��Z Drywrll,leach line,or trench drain 16.60 Suite/bldg./apt.no.: 0,90 Project name: A Footing drain(no.linear R.:_) Page 1 Class street/directions to job site: Manufactured home utilities 110.00� �4V v Z i_ _ Manholes 16.60 Rain drain connector 16.60 Sanitary sewer(nolinear ft.:_� Page 2 Storm sewer(no.linear ft.:-_, Page 2 Subdivision: - --r;of no.: Water service(no.linear It.:_� Page 2 Tax map/parcel no.: - `-- Fixturp or item Absorption valve 16.60 + ` Backflow preventer Page 2 Backwater valve - 16.60 Clothes washer 16.60 Dishwasher 16,60 r Drinking fountain 16.60 Name: Ejectors/sump 16.60 -- - --- - Expansion tank 16.60 Address: Fixture sewer cap 16.60 City/Slate/ZIP: Floor deain/floor sink/hub 16.60 Phone:( ) Fax:( ) Garbage disposal 1660 ' Hose bib 16.60 Business name: Ice maker 16.60 s Interceptor/grease trap 16.60 Contact name: Medical gas(value:S ) Page 2 4. Address: Primer 16.60 ~ Ci.y/State/ZIP: Roof drain(commercial) 16.60 r� Phone:( ) Fax::( ) Sink/basin/levatory 16.60 Tub/shower/shower pan 16.60 J E-mail: m Urinal 16.60 to Water closet 16.60 JBusiness name: Water heater 16.60 Address: TV MAYl Other_ City/State/ZIP: I' _�)- _ Subtotal Minimum permit fee: $72.50 Phone:( D ) 6 4 _ S 0 Fax:(501 6� ,oj Residential backflow minimum permit fee: $36.25 q1) CCB Lic.: 5 Plumbing Lic.no _ _ Plan review (25"�of permit Cee) State surcharge(8%of permit fee) Authorized signature: / -- --- -_--- s _ TOTAL PERMIT FEE Print name: l - p Date: .2 a This permit applicatlot:exrires If a permit Is not obtalned within 180 days after It nas been accepted as complete. 'Fee methodology set by Tri-County Building fndustry Service Board. I tBuilding\Permifs\PLMF-PermitApp doe I V03 440.461QT(10/02JC0M/WHB) Plumbing Permit Application - Citi of Tis*nrt Page 2 - Supplemental Information Fee Schedule: h Residential Fire Suppression Systems: NIX" �P �W' W1111 ablowhow Footing drain-1;100' 55.00 P 0 to 2,000 $115.00 Footing drain-eac additional 100' 46.40 ?'001 to 3,600 $160.00 3,601 to 7,200 $22000 Sewer- I st 100' 55.00 7,201 and greater $309.00 Sewer-each additional 100' _ 46.40 Water Service-1st 100' 55.00 Medical Vias S stems: I Water Service.each addition 100' 46.40 Storm&Rain Drain-1st 100' 55.00 $1.00 to$5000.00 Mimmo fee$72.50 _ Storm&Rain Drain-each additionav, 46.40 $5,001.00 to$10,000.00 $72.5(ifo,the first$5,000 00 and$1.52 for each addit' nal S100.00 or fraction thereof,to and incl din 510,000.00. Convnercial Back Flow Prevention Device 46.40 S 10,001.00 to 525,000.00 S i .50 for the first 510,000 00 and S 154 for Residential Hack flow Prevention Device e h additional$100.000T fraction thereof,to minimum permit fee$36.25) 27.55 d including 525,000.00. Rain Drain,single family dwelling 65.25 $25,001.00 to$50,000.00 379.50 for the first 525,000.00 and$1.45 for Inspection of existing plumbing or each additional$100 00 or fraction thereof,to and includin&550,000.00. specially requested inspections-per hour 72. 550,901.00 and up $742.00 for the first$50,000.00 and$1.20 for Subtotal: - - each additional 5100.00 or fraction thereof. a�a� Fixture Work: Are you capping,moving or replacing existing fixtures? If "yes",please indicate work performed by fixture. Failure to accurately report fixtures could result in increased sewer fees*. o ents regarding fixture work: Baptistry/Font _ Path -Tub/Shower -- - -- - - -.IaeuZ7i/Whirl ool Car Wash -Each Stall -Drive Thru -- Cu idor/Water Aspirator Dishwasher -Commercial _ -Domestic - Drinking Fountain Eye Wash Floor Drair/sink .2" .3" -- -4., IL Car Wash Drain Garbage -Domestic Disposal -Commercial t" *Note: If the fixture work a der this permit resul,s in an U) Industrial increase of sewer Fl)IIs,a se r permit will be issued and Ice Mech./Refri .Drains Oil Separator Gas Station fees assessed for the sewer ine ease must be paid before the Rec.Vehicle Dump Station plumbing permit can be issue . m Shower -Gang _ 0 -Stall ul Sink -Bar/lavatory -Bradley Quantity Total 1 -Commercial Isometric or riser diagram is required if fixture quantity -Servic,- total is>9. Swimming Pool Filter Washer-Clothes _ Water Extractor _ _ - Plan Review Water Closet--Toilet Plan review is required if fixture quantity total is>9. Urinal - Other Fixtures: i.\Buildirg\PerminlPLM Permi,Appdoc 3103 Accumulative Sewer Tally Parcel# 1S134AA-0190C, Tenant flame:Bellagio's Pizza This SWRA2005-00045 Site Address: 10115 SW Nimbus Ave. Ste. 850 This PLM# 1.005 00051 ^� Fixture Value Previous Previous Credits Capped Fixture Fixture New New # value capped off value added added total total count off#s count # value #s values _ Ba tiser /Font 4 0 0 ° 0 0 _ 0 Bath-Tub/Shower 4 0 0 } 0 0 0 Jacuzzi/Whirlpool _4 0 0 0 0 0 Car Wash-Each Stall 6 0 0 0 0 0 -Drive through 16 0 0 0 0 0 _ Cuspidor(Water Aspirator 1 0 _ 0 0 0 0 Dishwasher-Commercial 4 0 0 0 0 0 Domestic 2 0 0 _ 0 0 0 Drinking-Fountain 1 0 0 0 0 0 Eye Wash 1 0 0 0 0 0 Floor Drain.'Sink-2 inch 2 0 0 2 4 2 r 4 _ 3 inch 5 0 0 0 0 0 4 inch 6_ 0 0 0 0 0 Car Wash Drr 6 _ 0 0 0 0 0 Garbage Disposal Domestic to 3/4 HP 16 0 0 0 0 0 _ Commercial(to 5 HP) 32 0 — 0 — 0 0 0 Industrial(over 5 HP) 42 0 0 0 —0 0 Ice Machine/Refrigerator Drain _ 1 0 0 0 0 0 Oil Sep(Gas Station) 6 0 r 0 0 0 0 Rec.Vehicle Dump station 16 0 0 0 0 0 Shcwer-Gan (per head) 1 0 0 0 0 0 Stall 2 0 _::4ty 0 0 0 0 Sink-bar/Lavatory` 2 _0 0 2 4 2 4 Bradt 5� 0_ 0 _ 0 0 0 _ Commercial 3 0 0 0 0 _ 0__ -Service 3 0 0 0 00 Swimming Pool Filter 1 0 r 0 0 p 0 Washer-Clothes 6 0 0 1 0 0 Water Extractor 6 0 0 0 0 0 Water Closet-Toilet 6 0 0 2 12 2 12 Ka Urinal 6 0 0 0 0 q < Previous EDU Count 0 0 U) Capped EDU Credit 0 TOTALS 0 1 0 0 0 8 20 6 20 m Current Fixture Value 20 divided by 16= _1.3 Current EDU 1 EDU= $ 2,500 0 W Previous r.NI ire Value 0 divided by 16= 0.0 Previous EDU ..I Chang 20 divided by 16= 1.3 over (under) $ 3,250.00_ Enter EDU Change Here 1.3- Notes: _-— Signature: Datte:e:— •;} Building Division _ Mote The property owner shall retain the ORIGINAL-�::wer tally record. If credits exist, this document will serve 9s a vouchsr hick must be submitted to the City of Tigard Building, Division to redesm credits towards future system deveio men!chafes. i:\Building\Sewer Tally\SewerTallySheet.xls 7/1/04 CITYOF TIGARD SEWER CONNE7IONPERMIT - DEVELOPMENT SERVICES PERMIT#: SVVR2005-00045 13125 SW Hall Blvd.,Tigard, OR 97223 503-639-4171 DATE ISSUED: 2/17/2005 PARCEL: 1 S 134AA-01900 SITE ADDRESS; 10115 SW NIMBUS AVE 850 ZOMNO: C-G SUBDIVISION: I KOLL ill iSINFSS('FNTIiV �A,0) LOT: OOi JURISDICTIIN: TIG Project Description: 1.3 EDU increase. UT NAME: CWS NO: FIXTURE UNITS: 20 CLASS OF VdORK: ALT DWELLING UNITS: TY PE OF USE: COM NO.OF BUILDINGS: INSTALL.TYPE: BUSWR IMP'ERV SURFACE: Owne:: KILLIAN PACIFIC FEES 500 BROADWAY SUITE 110 Description Date _ Amount [SWUSAj Swr Connection Fee 2/17/2005 $3,250.00 Total $3,250.00 Phone: 503-227-0423 Contractor: REQUIRED ITEMS AND REPORTS Phone: Reg#: This Applicant agrees to comply with al; the rules and regulations of the Clean Water Services. The permit expires 180 p, days from the date issued. Ttw total amc,1mt paid will be forfeited if the permit expires The Agency does not guarantee 9C thc.accuracy of the side sewer laterals. If the sewer is not located at the measurement given, the installer shall prospect 3 N 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. ATTENTION: Oregon law requires you to follaw rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 9t2-001-0010 through OAR 952-001-0100. You may obtain copies of these rules or direct questions to OUNC by calling 503-246-6699 or 1-800-332-2.344. 030 W Issued by: Permittee Signature: Call 503-639.4175 by 7.00 a.m.for an Inspection that business day. This permit cans shall be kept In a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the tirr .of each Inspection. CITY OF TIGARD PLUMBING PERMIT DEVELOPMENT SERVICES PERMIT#: PLM2005-00065 L� AnLagm 13125 SW Hall Blvd., Tigard, OR 97223 (503)639-4171 DATE ISSUED: 2/25/2005 SITE ADDRESS: 10115 SW NIMBUS AVE 850 PARCEL: 1S134AA-01900 SUBDIVISION: 1 KOLL BUSINESS CENTER TIGARD ZONING: C-G BLOCK: LOT: 001 JURISDICTION: TIG CLASS OF WORK: ALT GARBAGE DISPOSALS: MOBILE NOME SPACES: TYPE OF USE: COM WASHING MACH: BACKFLOW PREVNTP,S: 1 OCCUPANCY GRP: B FLOOR DRAINS: 3 TRAPS: STORIES: WATER HEATERS: 1 CATCH BASINS: FIXTURES LAUNDRY TRAYS: SF RAIN DRAINS: SINKS: 5 URINALS: GREASE TRAPS: 1 LAVATORIES: 0 OTHER FIXTURES: 2 TUB/SHOWERS: SEWER LINE: ft WATER CLOSETS: WATER LINE: ft DISHWASHERS: RAIN DRAIN: ft Remarks: Plumbing TI _ FEES _ Owner: - ' Description Date Amount ROBINSON, WILLIAM R/CONSTANCE A (PLUMB] Permit Fee 2/25/2005 $195.80 QGRINSON, LYNN + BELL, KAY ET IPLMPLN] Plan Review 2/25/2005 $48.95 ►3Y ELLIOTT ASSOC PORTLAND, OR 97204 ('TAX]R"/n Sate Surchary 2/25/2005 $15T�6_— Phone: Tota' $260.41 Contractor: JAMES ROOD PLUMBING 2459 SE TV HWY PM #168 REQUIRED ITEMS AND REPORTS HILLSBORO,OR 97123 — — —Phone: 503-648-3907 Reg#: LIC 57355 PLM 34-199PB CL oc U) This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. m 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 952-0001-0100. You may obtain copies of these rules or direct questions to OUNC by .calling (503) 246-6699. Issued By: � Permittee Slgnatur�/e''=- Call (503)639-4175 by 7:00 P.M.for an inspection neeEled-tlie next business day PlumbingPermit an psi ?q44 _o/q, City of Ifall f Pt1 2005 Receival ��y Perout No: 13123 SW Ilall It►vet.Ti �Eg 1 ( •l a�A 2 D p _ Bard, 03 9721 Plan Review Phone: 30 i 6;lyA 171 Fax: 303.398.1 t?ate/A 2 Q '14.J (llhcr Permit No. '1t�� 24-flour Inspection Line: 303.639.4173 1 I_ 7. Internet- www.ci.tigard.or.us `1C3 t'"e Ready/Ay f e See lade 2 to CITY U�. NotigediMathod ». t.Ytlrr.aw. ❑New construction r ❑Demolition For ChWARK ------ -- Desai 'on _ Ea Total Addition/alteration/replaoement ❑Other: New 1-2-family dwellings(includes 100 R.for each utility connection) C• CATIZCORY OF CONSTRUCTION SFR(1)balk 249.20 ❑ I-and 2-family dwelling Commercial/industrial r SFR(2)bath 330.00 [jAccessory building ❑Multi-family SFR(3)bath 399.00 'c- Master builder -- -- ---- Each additional bathhitchen 43.00 �\ Other: Fire sprinkler L_,sq.fl.) Page 2 J JOP SITZ (NPORMATION AND LOCATION Site ntllltka Job site address: A) �� n S Catch basin or area drain 16.60 _ City/Stale/ZIP: r ct- -4-13 Drywell,leach line,or trench drain 16.60 Suite bldg./ept.no.: Project name: o Footing drain(no.linear fl.:_} Page 2 G i Cross street/direction,;to job site: i �,,, 5 C O 1-e Manufactured home utilities 110.00 Manholes 16.60 -� Rain dre'n connector 16.60 - - - Sanitary sewer(no.linear fl..�) Page 2 Storm sewer(no.linear fl.:___ ) Page 2 Subdivision: Lot no.: Water service(no.linear R.:^) Page 2 -- - Fbtare or Item 'Tax map/parcel no.: Absorption valve 16.60 - -_ D/�QQntfN?N O! WORK Backflow preventer Page 2 Q Backwater valve 16,60 -- ~ `- -------- .-^_^� -�----� Clothes washer 16.60 - --- ------ ------ - .-..._..---- Dishwasher 16.60 I'ROI'SRTY O�YN1lcR C3 TMANT Drinking tiwnlain 16.60 ----- --- Ejetors/sump 16.60 Name: Expansion tank 16.60 t Address: •-, bAq -- Fixture/sewer«F 16.60 City/State/%IP: W Floor drai.Jfloor sink/hub 16.60 Phone: Fax:( ) Garbage disposal 16.60 �,., Hose bib 16.60 O AlrrweANT lee maker - .- 16.60 iG. o Business name: Intertxpta/prase top 16.60 f� U. Contact name: _ 1�.!l �( Q i '- _- Medical gas(value:S ) Page 2 \ d Address: ` LJ'( k)�I �� Primer 16.60tl i F- City/State/ZIP: / I IPL 4 c,. . (�- Roof drain(Commercial) 16.60 Phone:( ) Fax: :( ) - Sink/basir/lawkxy 16.60 E-mail: Tub/shower/shower pan 16,60 -I Urinal16.60 m _CONTRACTOR _ _ Water clogs_ IE.60 JBusiness name: 1 Z O L,t , - ---- Water hats- _ 16.60 Address: _�� t!6� 0 a------- Other City/State/7.1P: s Ll I J-l __ ___ s.btoal -- Minimum permit fee: $72.30 Phone:( � ) G�x �5'� Fax:tisp3 ) 9 Residential backflow minimum it fee: $36,25 CCB Lic.: Plumbing Lic.no. Plan review (25%of permit ice) State surchwge(#%ofpermit fee) / Authorized signature: -�-� TOTAL PERMIT FEE Print name: 3 / A e DatThin permit application espMetest s If a permit Is t obtalne w e ithM 1 gal days ager h bas been accepted M niq6te. *Fee methodology set by Tri-County Building 1n11111ft lin!r Bard. i\1%.dd1n0Pe min\P,-M-Nm"kApp doe 12N) 44WW"101"N M MEN) Plumbine Permit Application - City of Tigard Page 2 - Supplemental Information Fee Schedule: Residential Fire Suppression Systems: Site Utilities ' �) Footing drain-I 100' 33.00 0600 000 113.00 Footing drain-each additional 100' 46.40 2,001 to 3,600 1160.00 - _ Sewer-191 100' _ 53.003,601 to 7 00 .00 7,201 anc!Vata 309.00 Sewer- h additional 100' 46.40 Waters ice-Ist 100' 33.00 Medical Gas Systems: Water Seryt e-each addit-,,;.al 100' 46.40 „ Storm&RaiDrain-I st 100' 33.00 $1.00 00$5,01V.00 MlainNlla tie Storm&Rain Main-each additional 100' 4640 $3,001.00 to$10,000.00 $72.30 Por the first$3,000.00 and$1.32 fi►r each Fixture or em qtr. $r"NU Toad additional$100.01 or fraction thereof,to and including$10,000.00. Commercial Rack F ow Prevention Device 46.40 $10,001.00 It,$23,000.00 $149.30 for the first$10,000.00 and$1.34 fix Residential IlackOow eraion Device each additional$100.00 or fraction thereof.to minimum it fee .6.23 _ 27.33 ano including$25,000.00. Rein Thain.single fYmil welling 6523 1 $23,001.00 to$30,000.00 $379.30 for the first$23,000:00 and$1.43 for each additional$I0 AWM- fraction thereof,to Inspection of existing plum ing or and includi 000.00. specially uested in do -per hour 72.30 $30,001.00 and up $742.00 first$30,000.00 and$1.20 Ax 9abtotal: _ each itionsl S 100.00 or fraction thereof Fixture Work: Are you capping,moving or replacin existing fixtures? If "yes",please indicate work performed fixture. Failure to accurate) rert fixtures could result In reared sewer fines. tttare orltftr Itlxiov Types 1Vsw Comments reglydingrflxture work: Baptist /Font c�- / rfriki( 5 1 ti�S Bath -Tui.'Shower -JacuzzOVhirl I 1- �tl'f 0 t To C/oto►- S i%A Car Wash -Each:,tall 3 CaMtDIC►X Iiu)Lt 5)' `to [--/ou- -Drive Thru _ Cuspidor/Water Aspirator r7Fa�se ��t Dishwasher -Commercial 40%di, t fnile Si -Domestic Drinking Fountain •. zlce 14%& Eye Wash / dYR.L raze d2i-el- Floor[pain/tab Vt`L. tl ! I -3" Gr W Dain _-- f3. Oath"ge estic Disposal ommercial "Note: If the fiLureon oder this permit results in an U) Industrial Ice Mach./Refri increase of sewer EDUs,a sew rmit will be issued and .Ihains Oil Se mmto,IGas Station fees assessed for the sewer incrca. most be paid before the J Rec.Vehicle Dump Station plumbing permit can be issued. Shower Mang -Stall J Sink -Bar/Lavatory anti TOtal -Bradley Isometric or riur dies ram is required 3f fixture quantity �('omm.-rein) g q q Y -Service total is>9. Swimming Pool Filter Washer-Clothes Water Extractor Plan Review Water Closet-Toilet Plan review Is required if fixture quantity total Is>9. Urinal Other Fixtures: i\nwldina\"ft1\PI.M-P"mitApp doe )Alt IS ; �1 p n. 1 CA NUNN mmom mom 0 No s n �1 • .• j •• � •�` � • � •� -..', t�'_(Jnnr � OeNee • •• sees • • ••see• • • '• 0e s • •0000• •0.1:;_.. sees•• . 00006' ,sees• jr 1 _ri w ac �- C9 -' 4 :0 • •• • �'N4 i. 3 `—let a 3 -4 : ri ter . ?� 3 � ••. •••.•• r. � � I 11 kqo- 1 es••• • •• ••odes 00000 • • O • • �� • • , } , ;1 1 ' ) m � r / - I t v -.a CITY OF T I G A R D SEWER CONNECTION QERMIT DEVELOPMENT SERVICES PERMIT N: SWR2005-00057 13125 SW Hall Blvd.,Tigard,OR 97223 (503)639-4171 DATE ISSUED: 2/25/2005 SITE ADDRESS; 10115 SW NIMBUS AVE 850 PARCEL: 1 S 134AA-01900 SUBDIVISION: I KOLL BUSINESS CENTER TIGARD ZONING: C-G BLOCK: LOT: 001 JURISDICTION: TIG TENANT NAME: BELLAGIO'S PIZZA USA NO: FIXTURE UNITS: CLASS OF WORK: ALT DWELLING UNITS: TYPE OF USE: COM NO. OF BUILDINGS: INSTALL TYPE: BUSWR IMPERV SURFACE: Remarks: EDU increase Owner: _ FEES ROBINSON, WILLIAM R/CONSTANCE A Description Date Amount ROBINSON, LYNN + BELL, KAY ET r3Y ELLIOTT ASSOC [SWUSAI Swr Connectii 2/25/2005 $3,500.00 PORTLAND, OR 97204 ISWUSAI SwrConnecti( 2/25/2005 $0.00 Phone: Total $3,500.00 — Contractor: REQUIRED ITEMS AND REPORTS Phone: Reg tt: a ac m This Applicant agrees to comply with all the rules and regulations of the Clean Water Services. The pp 9 p y eg permit expires 180 W days from the date issued. The total amount paid will be forfeited if the permit expires. The 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. ATTENTION: Oregon law requires you to fodow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-00 10 throt gh OAR 952-001-0100. You may obtain copies of these rules or direct questions to OUNC by calling(503) 246-6699 Issued by. /ke _ Permittee Signature's Call(503)639-4175 by 7:00 P.M.for an inspection needed the next busintss day Accumulative Sewer Tally Parcel# 9S°fo4tr( �q,}��" �� f Tenant NaM@WWfagio's Pizza This SWRA2 &!0006,1 Site Address: 10115 SW Nimbus Ave. Ste.#850 This PLM#200 +0066A M Fixture Value Previous Previous Credits Capped Fixture Fixture New New # value capped off value added added total total count off#s count # value #t values Ba tise /Font 4 0 0 0 0 0 Bath-Tub/Shower 4 0 0 0 0 0 _ -Jacuzzi/Whirlpool 4 0 0 0 0 0 Car Wash-Each Stall 6 0 0 0 0 0 Drive through 16 0 0 + 0 0 0 Cuspidor/Water As irator 1 _ 0 0 " 0 0 0 Dishwasher-Commercial 4 0 0 0 0 _ 0 -Domestic 2 0 J 0 0 0 0 _ Drinking Fountain _ 1 0 0 0 0 0 F e Wash 1 0 " ' 0 0 0 0 Floor Drain/Sink-2 inch _ 2 0 ':"M 0 3. '.`-' 6 3 6 3Inch 5 0 µii 0 0 Q 4Inch 6 0 0 ya 0 0 0 _. -Car Wash Drr 6 0 0 0 0 0 Garbage Disposal Domestic(to 3/4 HP) 160 0 __0_ 0 0 Commercial to 5 HP 32 0 0 0 0 0 Industrial over 5 HP 42 1 0 0 0 0 0 Ice Machine/Refrigerator Drain 1 0 0 1 1 1 1 Oil Sep(Gas Station) 6_ 0 0 _ 0 0_ 0 Rec.Vehicle Dump station 16 0 0 0 0 0 Shower-Gan (per head) 1 0 0 c 0 –_ -Stall 2 0 0 `- 0 0 0 Sink- Bar/Lavatory2 0 0 0 0 0 -Bradley 5 0 O y 0 0 0 Commercial 3 0 0 15 _ 5 15 Service 3 0 0 0 0 0 Swimming Pool Filter _ i 0d— 0 0 0 0 Washer-Clothes 6 `3. 0 0 9 0 _ 0 0 Water Extractor 6 0 0 0 0 0 IL Water Closet-Toilet 6 00 0 0 Q HUrinal 6 0 w 0 0 0 0 va Previous EDU Count 0 0 0 M TOTALS Capped EDU Credit 0 0 0 0 9 22 9 22 M Current Fixture Value 22 divided by 16= 1.4 Current EDU 1 EDU= $ 2,500 W Previous Fixture Value 0 divided by 16= 0.0 Previous EDU W Change, 22 divided by 16= 1.4 over (under) $ 3,500.00 Enter EDU Change Here 4.4 Notes: Signature: f Date; �– Building bivision Note: The property owner shall retain the ORIGINAL sewer tally record. If credits exist, this document will serve as a voucher hich must be submitted to the City of Tigard Building Division to redeem credits towards future system development charges. 1:1BuildinglSewer TallylSewerTallySheet.xls 7/7/04 r CITY OF TIGARD* BUILDING DIVISION PERMIT N: PLMOQOS1 13125 SW Hall Blvd.,Tigard, OR 97223 DATE ISSUED: 2/171M Phone: (503)639.4171 Inspection Requests (24 Hrs.): (503) 639-4175 INSPECTION WORKSHEET FOR DATE: 4/7/2005 TIME: 7:14AM PAGE: 79 SITE ADDRESS: 10115 SIN NIMBUS AVE 8513 CLASS OF WORK: SUBDIVISION: 1 KOLL BUSINESS CENTER TIGARD LOT C 001 TYPE OF USE: PROJECT NAME: BF_LLAGIO"S PIZZA DESCRIPTION: Plumping fixtures. 2-floor digins, Z-lays, Z wc.,water healer. Other fixtures: Z primers, All new f'nctures. OWNER: KILLIAN PACIFIC, PHONE#: 503 2Z7-Q423 CONTRACTOR: JAMES ROOD PLUMBING PHONE N: 5036483907 Inspection Request Scheduled For: Date: 4171M Pour Time: Code # Inspection Description Confirm # Contact # Message 399 Plumbing final 00396401 603307-6392 N Corrections/Comments/Instructions: ZI 7r rn --- J m W .J PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS F] FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: �� Date: �� Phone #: (503) 718- CITY OF TIGI D BUILDING DIVISI N PERMIT M PLM200&00 2161 13125 SW Hell Blvd.,Tigard, OR 9722' DATE ISSUED: 211'7/20()r Phone: (503) 639-4171 Inspection Requests (24 Hrs.): (503) 639-4175 Ali L INSPECTION WORKSHEET FOR DATE: 4/6/2005 TIME: T 10AM PACIE: 5 SITE ADDRESS: 10115 SW NIMBUS AVE 860 CLASS OF WORK: SUBDIVISION: 1 KOLL BUSINESS CENTER TIGARD LOT#: 001 TYPE OF USE: PROJECT NAME: BELLAGIOS PI77A DESCRIPTION: Plumbing fixtures. 2-floor drains, 2-lays, 2 wc.,wallet heater. Other fbdures: 2 primers. All new ►bdures OWNER: KILLIAN PACIFIC, PHONE s: 50322.7-0423 CONTRACTOR: JAMES ROOD PLUMBING PHONE C 603648.3907 Inspection Request Scheduled For: Dote: 416f2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 399 Plumbing final 003871.01 60330TG392 N Corrections/Comments/Instructions: a � U) m W � F-] PASS PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ] CALL FOR INSP'E'CTION ❑ ADDITiONAL FEES ASSESSED Inspector: Date: Phone#: 503 718- p ( � CITY OF TIGARD - BUILDING DIVISION PERMIT . PLM200&00061 1:1125 SW Hall Blvd.,Tigard, OR 97223 DATE ISSUED: V17JM Phone: (503) 639-4171 lry;pection Requests (24 Hrs.): (503) 639-4175 IN3PECTION WORKSHEETFOR DATE: 3111/'.1005 TIME: 7:27AM PAGE: 39 SITE ADDRESS: 10115 SW NIMBUS AVE 860 CLASS OF WORK: SUBDIVISION: 1 KOLL BUSINESS CENTER TIGARD LOT 0: 001 TYPE OF USE: PROJECT NAME: SPEC SPACE DESCRIPTION: Plumbi.q►fixtures. 2-floor drains, 2-lays, 2 wc.,water hodw Other fixtures: 2 primers. All now fbdures. OWNER: KILLIAN PACIFIC, PHONE a: 503227-0423 CONTRACTOR: JAMES ROOD PLUMBING PHONE #: W164&3907 Inspection Request Scheduled For: Date: 3/11/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 320 Plumbing rough-in 001411-01 971-721-461F Y Corrections/Comments/Instructions: a --- J_ m W I PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS [� FAIL .�❑) CCA P A1LL FOR INSPEC110N ❑ ADDITIONAL FEES ASSESSED /'�, Inspector: x Date: Phone #: (503) 718- _ CITY OF TIGARD BUILDING DIVISION PERMrr N: MEG70m0015A 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/51200 Phone: (503) 639-4171 Inspection Requests (24 Hrs.): (503) 639-4175 INSPECTION WORKSHEET FOR DATE: 4/7/2OD TIME: 7:14AM PAGE: 80 SITE ADDRESS: 10115.SW NIMbJS AVE 860 CLASS OF WORK: SUBDIVISION: 1 KOLL.BUSINESS CENTM TIGARD LOT N: 001 TYPE OF USE: PROJECT NAME: BELLAGIO'S PIZZA DESCRIPTION: Installatimi only for customer eupplied wsll-in roofer wl drop in refrigerator. Value: $1,000 OWNER: KILLIAN PACIFIC, PHONE N: MB-227-0423 CONTRACTOR: BULLLX)G MECHANICAL_B REMODELING PHONE N. 503269-5004 Inspection Request Scheduled For: Date: 4/7/2005 Pour Time: Code # I.aspection Description Confirm # Contact# Message 6+99 Mechanical final 00396301 603.307-6392 N Corrections/Comments/Instructions: U m W (- PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL [] CALL FOR INSPECTION ❑ AWITIONAL FEES ASSESSED Inspector: Date: [ Q! Phone #: (503) 718- CITY OF TIGARC BUILDING DIVISION PERMIT C FLC200b00056 13125 SW Hell Blvd.,Tigard, OR 97223 DATE ISSUED: 2/2/2005 Phone: (503) 639-4171 Inspection Requests (24 Hrs.): (503) 639-4175 INSPECTION WORKSHEET R DATE: 4/612006 TIME: 7:10AM PAGE: 28 SITE ADDHESS: 10115 SW NIMBU S AVE 850 CLASS OF WORK: SUBDIVISION. 1 KOLL BUSINESS CENTER TIGARD LOT C 001 TYPE OF USE: PROJECT NAME: BE1-LAGIO'S PIZZA DESCRIPTION: Install new service&separate power. OWNER: KILL.IAN PACIFIC, PHONE #: 503-227-0423 CONTRACTOR: WILLAMETTE ELECTRIC INC PHONE #: 6MM3631 Inspection Request Scheduled For: Date: 41fid2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 199 Electrical final 00385601 503624.3631 N Corrections/Comments/Instructions: oc J_ LU J -- PASS ❑ PARTIAL APPROVAL ❑ CANCEL [] NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date:_ Phone M (5m) 710- .. CITY OF TIGARD BUILDING DIVISION PERMIT#: ELC2005.0D075 13125 SW Hall Blvd.,Tigard, OR 97223 DATE ISSUED: 2/10/2005 Phone: (503) 639.4171 Inspection Requests (24 Hrs.): (503) 639-4175 INSPECTION WORKSHEET FOR DATE: 4/61200 TIME: 7:10AM PAGE: 8 SITE ADDRESS: 10115 SW NIMBUS AVE 860 CLASS OF'vVORK: SUBDIVISION: 1 KOLL BUSINESS CENTER TIGARD LOT#: 001 TYPE OF USE: PROJECT NAME: BELLAGIOS PIZZA DESCRIPTION: Illuminated wall sign. OWNER: PHONE #: CONTRACTOR: FONESS SIGN CO PHONE #: 541-928 5858 Inspection, Request Scheduled For: Daae: 4/612005 Pour Time: Code # Inspection Description Confirm # Contact # Message 140 Sign installation 003870.01 503-307-63192 N Corrections/Comments/Instructions: a� m c� W J PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspactor: _ Date: �` ^ 10 f Phone #: (503) 718• CITY OF TIGARD BUILDING DIVISION PERMIT it: F.LC20. , 076 13125 SW Hall Blvd.,Tigard, OR 97223 DATE ISSUED: '1/10/2005 Phone: 639-4171 Inspectionon Requests (24 Hrs.): (503) 839-4175 INSPECTION WORK5t;'ET FOR DATE: 4/6/2QQr TIME: 7:10AM PAGE: 7 SITE ADDRESS: 10115 SW NIMBUS AVE 860 CLASS OF WORK: SUBDIVISION: 1 KOLL BUSINESS CENTER TIGARD LOT C 001 TYPE OF USE: PROJECT NAME: BE1LAGIOS PIZZA DESCRIPTION: Illuminated wall sign. OWNER: PHONE N: CONTRACTOR: FONESS SIGN CO PHONE k: 541-92fi-5M Inspection Request Scheduled For: Date: 4/&2006 Pour Time: Code # Inspection Description Confirm # Contact #k Message 199 Electrical final 003870.02 503307-6392 N Corrections/Comments/Instructions: a ao - 3 w PASS PARTIAL APPROVAL ❑ CANCEL — ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED r Inspector: Date: _ ` '�.S Ph0he #: (503) 718- CITY OF TIGARD BUILDING DIVISION PERMIT#: BUp200&OM 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 211712M, Phone: (503) 639-4171 Inspection Requests (24 Hrs.): (503) 639-4175 INSPECTION WORKSHEET FOR DATE: 4/8/2005 TIME: 7:10AM PAGE: 6 SITE ADDRESS: 10115 SW NIMBUS AVE 850 CLASS OF WORK: SUBDIVISION: 1 KOLL BUSINESS CENTER TIGARD LOT C 001 TYPE OF USE: PROJECT NAME: BELLAGI0'S PIZZA DESCRIPTION: Tl, new walls. OWNER: ROBINSON,WWAM R/CONSTANCE A, PHONE #: CONTRACTOR: COMMERCIAI. CONTRACTORS INC PHONE #: 503.227-4440 Inspection Request Scheduled For: Date: 4/812005 Pour Time: Code # Inspection Description Confirm # Contact # Message 299 Final inspection 004128-01 503307-6392 Y Corrections/Comments/Instructions: ac m 0 — -- W PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ( ] CAI L F- INSPECTION ❑ ADDITIO AL. F"ES ASSESSED Inspector: _ Date: Phone M (503) 718- CITY OF TIGAIRD �`�-- BUILDING DIVISION PERMIT C BUP20Vj00064 13125 SW Hall Blvd.,Tigard, OR 97223 DATE ISSUED: 2/17/ 006 Phone: (503) 639.4171 Inspection Requests (24 Hrs.): (503) 639-4175 INSPECTION WORKSHEET FOR DATE: 3128f TIME: 7;10AM PAGE: 66 SITE ADDRESS: 10115 SW NIMBUS AVE 060 CLASS OF WORK: SUBDIVISION: 1 KOLL BUSINESS CENTER TIGARD LOT C 001 TYPE OF USE: PROJECT NAME: 831AGIO'S PI72A DESCRIPTION: TI, new walls. OWNER: ROBINSON,WILLIAM R/CONSTANCE A, PHONE #: CONTRACTOR: COMMERCIAL CONTRACTORS INC PHONE #: 503.227-4440 Inspection Request Scheduled For: Date: 3/28/2005 Pour Time: /i // Code # Inspection Description Confirm # Contact # Message CC- 17 287 Suspended ceiling 00298601 603307-6392 Y Corrections/Comments/Instructions: tt c� 1 55 t 5 vie 7-�OID 414 4 U S- b 0 `T' T' - Ptd {nl r ��•,n 2 2oaS- Dad "2y`,� 4VAY- as Cit ) Fe5 )- 17 Ja FPs _ 3 �3/OS' 6W f 3 xt 0S 1,1 'Zti 0 G7 00 0 5 Z C WVJJ.,S -�-e _Qe s k rd o-,--^-S �! _ a VLA 50 e ` S ac J_ m 74� 7z )&Ss ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS❑FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED d-�- Inspector: "v'� P Date: �V 0 S Phone #: (503) 718- CITY OF TIGARD • BUILDING DIVISION PERMIT N: B(JP20050WA 13125 SW Hall Blvd.,Tigard, OR 97223 DATE ISSUED: 2/17!2005 Phone: (503) 639-4171 Inspection6Requests (24 Hrs,): (503) 639-4175 INSPECTION WORKSHEET FOR DATE: 311512M TIME: 7.13AM PAGE: 23 SITE ADDRESS: 10115 SW NIMBUS AVE 950 CLASS OF WORK: SUBDIVISION: 1 KOLL 13LISINESS CENTER""API) LOT#: 001 TYPE OF USE: PROJECT NAME: BE.LLAGIO"S PIZZA DESCRIPTION: Tl,new walls. OWNER: ROBINSON,VVILUAM R/CONSTANCE A, PHONE #: CONTRACTOR: COMMERCIAL CONTRACTORS INC PHONE#: 5032274440 Inspection Request Scheduled For: Date: 31161M Pour Time: Code # Inspection Description Confirm # Contact # Message 286 Drywall nailing 00175&01 503307-6392 N Corrections/Comments/Instructions: a m W _.1 ASS ❑ PARTIAL APPROVAL [:] CANCEL ❑ NC ACCESS ❑ FAIL ❑ CALL FOR INSPECTION [] ADDITION L FEES ASSESSED ..�► Inspector: Date: e #: (503) 716- _ CITY OF-TI(GARD • BUILDING DIVISION PERMIT#: BUP200s00M 13125 SW Hall blvd.,Tigard, OR 97223 DATE ISSUED: 2/17/2005 Phone: (503) 639-4171 Inspection Requests (24 Hrs.): (503) 639-4175 INSPECTION WORKSHEET FOR DATE: 3/14/2005 TIME: 7:11AM PAGE: 36 SITE ADDRESS: 10115 SW NIMPA)S AVE4 0 CLASS OF WORK: SUBDIVISION: 1 KOLL BUSINESS CENTER TIGARD LOT M: 001 TYPE OF USE: PROJECT NAME: BELLAGIO'S PIZZA DESCRIPTION: rW.IOMM , OWNER: n�' PHONE#: CONTRACTOR: COMMERCIAL CONTRACTORS IN, PHONE#: 503 2274440 Inspection Request Scheduled For: Date: 31/4/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 276 Framing 001585-01 503307-6392 Corrections/Comments/Instructions: A A f I W,7., xVV I I OC Ul F- ASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS CJ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: Prone t1: (503) 718- CITY OF TIGA RD BUILDINVDIVISION • PERMIT#: 8tjFrj0(&00W 13125 SW Hai, blvd.,Tigard, OR 97223 DATE ISSUED: 2/171M Phone: (503) 639-4171 inspection Requests (2.4 Hrs.): (503) 639-4175 INSPECTION WORKSHEET FOR DATE: 3/11/2005 TIME: 7:27AM PAGE: 69 SITE ADDRESS: 10115 SW NIMBUS AVE 960 CLASS OF WORK: SUBDIVISION: 1 KOLL BUSINESS(ENTER TIG D LOT N: 001 TYPE OF USE: PROJECT NAME: BELLAQIOS PIS DESCRIPTION: Tl, new walls. C OWNER: PHONE N: CONTRACTOR: COMMERCIAL CONTPACTO C PHONE #: E432274440 Inspection Request Scheduled For: Date: 3/11/2005 Pour Time: Cade # Inspection Description Confirm # Contact # Message 275 Framing 00'1370.01 503307-6392 Y Corrections/Comments/Instructions: J � - - - _m W .J ❑ PASS ARTIAL APPROVAL ❑ CANCEL [] NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL F ES ASSESSED Inspector: Date: Phone #: (603) 718- CITY OF TIGARD BUILDING DIVISION PERMIT 0: BUP200&00062 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 2/14/2005 Phone: (503) 639-4171 Inspection Requcsts (24 Hrs.): (503) 639-4175 INSPECTION WORKSHEET FOR DATE: ,4/8/M. TIME: 7:10AM PAGE: 7 SITE ADDRESS: 10115 SYN NIMBUS AVE 850 CLASS OF WORK: SUBDIVISION: 1 KOLL BUSINESS CENTER TIGARD LOT#: 001 TYPE OF USE: PROJECT NAME: BELLAGIO'S PIZZA DESCRIPTION: TI,walls for rmtrooms. OWNER: KILLIAN PACIFIC, PHONE #: 503227..0423 CONTRACTOR: COMMERCIAL CONTRACTORS INC PHONE #: 50(}227-4440 Inspection Request Scheduled For: �0 Date: 4/8#2006 Pour Time: Code # Inspection Description ` Confirm # Contact # Message 299 Final inspection �� 004127-01 50",307-6392 Y \O � Corrections/Comments/Instructions: IL — — a _J m W J ZSS ❑ PARTIAL APPROVPL ❑ CANCEL ❑ NO ACCESS FAIL ❑ CALL FOR INSPEOTION ❑ ADDITIONAL FEES ASSESSED Inspector: _ Date: �'% Phone #: 503 718- CITY.OF TIGARD BUILDING DIVISION PERMIT w: ELC200&00056 13125 SW 14,01 Blvd.,Tigard, OR 97223 DATE ISSUED: Phone: (503) 639-4171 Invspection Requests (24 Hrs.): (503) 639-4175 INSPECTION WORKSHEET FOR DATE: X1/200 TIME: 7:10AM PAGE: 64 SITE ADDRESS: 10115 SW NIMBUS AVE%0 CLASS OF WORK: SUBDIVISION: 1 KOLL BUSINESS CENTER TIGARD LOT K: 001 TYPE OF USE: PROJECT NAME: SPEC SPACE DESCRIPTION: Install now service&separate power. OWNER: KILLIAN PACIFIC, PHONE : 503227.0423 CONTRACTOR: WIu-AMETrIE ELECTRIC INC PHONE #: 5M624-3631 lw;pection Request Scheduled For: Date: 3/21/2005 Pour Time: Cade # Inspection De cription Confirm # Contact # Message 130 Ceiling cover 002298-01 .503-624-3631 N Corrections/Comments/Instructions: i _ f a oc a N _ _m C9 " w *PASS PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector:P ��_ Date e�� Phone Ill: (503) 719- CITY OF TIGARD • - BUILDING DIVISION 0 PERMIT*: ELC200&CKX 6 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 2121M Phone: (503) 639-4171 Inspection Requests (24 Hrs.): (503) 639-4175 INSPECTION WORKSHEET FOR DATE: 3110i'2006 I IME: 7:30µ) PAGE: 20 SITE ADDRESS: 10116 SW NIMBUS K&NO CLASS OF WORK: SUBDIVISION: 1 KOLL BUSNESS COWFER TIGARD I-OT#: Q01 TYPE OF USE: PROJECT NAME: BPEC SPA( DESCRIPTION Install ntwv service& separate power. OWNER: KILHAN PACIFIC, PHONE M: 503227.0423 CONTRACTOR: WILLAME1lE ELECTRIC INC PHONE M: 5CO-6243631 Inspection Request Scheduled For: Date: 3/10/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 175 Wall cover 001230.01 +503624-3631 N Corrections/Comments/Instructions: 7 ac m w (� PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: " D Phone #: (503) 718- CITY OF TIGARD 24-Hour ..4 BU)LDING ® Inspection Unle (603)639-4175 MST INSPECTION DIVISION Business Line: (603)6391-41710- 1RUP - -- Received Y(00 Date Requested y ' 6 — AM PM— _ BUP Location _ 1 —_ uite MEC — Contact Person _ Ph(1"L) __ S PLM _-- — Contractor— _ Ph(!W ) SWR BUILDING Tenant/Owner Footing ELC FoundationAccess: — '— Ftg Drain2 S r ELR Crawl Drain 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 — Post&Beam Under Slab —.- — Rough-In Water Service Sanitary Sewer Rain Drains - — — — Catch Basin/Manhole Storm Drain — — - Shower Pan Other: — — Final ---- —T_ PASS PART FAIL MECHANICAL_ Post&Beam Rough-In - Gas Line Smoke Dampers — — Final to PASS RT FAIL — -- _ ervC g -In — -- — 'L7 UG/Slab W Low Voltage Fire Alarm PA PART FAIL Reinspection fee or$ required before next inspection. Pay 92 City Hall, 13125 8.1 Nall Blvd. SITE F] Please call for reinspe^tion RE: M Unable to inspect-no access Fire Supply Line ADA Approach/Sidewalk Dab -- 11MI"eteir L fi r Ext Other: Final DO NOT REMOVE thb IM*GedoR IrOft am" PASS PART FAIL CITY OF TIGARD MECHANICAL PERMIT DEVELOPMENT SERVICES PERMIT#: MEC2005-00134 13125 SW Hall Blvd.,Tigard,OR 97223 503-639-4171 DATE ISSUED: 3/28/2005 PARCEL: 1 S 134AA-01900 SITE ADDRESS: 10115 SW NIMBUS AVE 850 ZONING: C-G SUBDIVISION: 1 KOLL BUSINESS CENTER TIGARD LOT: 001 1URISDICTICN: TIG Project Description: Installation of Class 11 I lood. CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS: TYPE OF USE: COM UNIT HEATERS: VENT FANS: OCCUPANCY GRP: B VENTS W/O APPL: VENT SYSTEMS: STORIES: BOILERS/COMPRESSORS HOODS: 1 FUEL TYPES 0 - 3 HP: DOMES. INCIN: 3 - 15 HP: COMML. INCIN: MAX INPUT: BTU 15-30 HP: REPAIR UNITS: FIRE DAMPERS?: 30 -50 HP: WOODSTOVES: GAS PRESSURE: 50+ HP: FURN < 100K BTU: AIR HANDLING UNITS CLO DRYERS: FURN >=100K BTU: <= 10000 cfm: OTHER UNITS: > GAS OUTLETS: 10000 cfm: Owner: FEES KILL.IAN PACIFIC Description Date Amount 500 BROADWAY SUITE 110 [MECIIJ Permit Fee 3/28/200, $72.50 [TAX]8%State Surchari 3/28/200, $5.80 [MFCPLNJ Plan Rev 3/28/200, $18.12 Phone: 503-227-0423 Total $96.42 Contractor: DAN-CO SHEET METAL+ CONST 55695 VIEWCREST PL REQUIRED ITEMS AND REPORTS WARREN, OR 97053 — Phone: 397-4457 Reg#: LIC 110448 til. QC Fa N rThis permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes and .J all other applicabie laws. All work will be done in accordance with approved plans. This permit will Qxpire if work is not F5 started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires U you to follow rules adopted in the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 J through OAR 952-001-0100. You may obtain copies of these rules or direct questions to OUNC by calling 503-246-6699 or 1-800-332-2344. --� Issued By: _�L,/�d1r _ Permittee Signature: Call 503-6394175 by 7:00 a.m.for Inspections that b ees day. This permit card shall be kept In a conspicuous place on the Job site until completion of the pkmject. Approved plans are required on the job site at the time of each Inspection. Mechanical PermitAimh Ea Received City or 7;gara L_ -� Permit No: � - C e,ZGC 13125 51V{call Blvd.,Tigard,OR ?7223 Plan Review petr/By_f ..25? f Phone: 503.639.4171 Fax: 501.598.1960 2005 pste/By Other Permit: Inspection Line: 503.639.4175 pate Ready/By mru 8 See Pete 2 for Internet: www.ci.ligard.ur.ua GI-TY OF TIGAR Notified/Method I� Supplemental Inrormellon ` III QING DIVISION ---- -- _ '"E� CHBCrlCLI3T ❑ New construction ad Addition/alteration/replacement Mechanical permit fees*are based on the value of the work performed.Indicate the value(rounded to the nearest dollar)of all ❑Demolition ❑Other: mechanical materials equipment,labor verhead and profit. Value:$ ❑ I-and 2-family dwelling JaCommercial/industrial ❑Accessory building ❑Multi-family ❑Mailer builderOther' For special information use checklist. Description i�Qty. Es Total Heatin Coolin Job site addrNt: �_ Air conditioning or heat pump 'Lolls zmea.LJ A re mete site plan showing placement) 14.00 City/State/ZiP: y-, f �� rurnare 100,000 BTU(ducts/vents) 14.00 -�v¢—"`� Furnace 100,000+BTU(ducwvents17.90 Suiteibldg./apt.no.: Project name: �j /A'S /,0f— Gas heat pump 14.00 Cross street/directions to job site: V Duct work 14.00 H dronic hot water system 14.00 Residential boiler(radiator or h dronic _ 14.00 - Unit heaters(fuel-type,not electric), in-wall,in-duct s, uspended,etc. 10.00 Subdivision: Flue/ventfor an of above 10.00 Lot no.: � -- Other: 10.00 lax map/parcel no.: Other fuel appliances Water heater 10.00 _ Gas fi lace _ 10.00 Flue vent for wat._r heater or gas fi lace 10.00 lighter(qas) _ 10.00 Wood/pellet stove V 10.00 Wood fireplace/insert 10.00 Chimney/liner/flue/vent 10.00 - Other: 10.00 Name: Environmental exhaust and vendlatlen Address: Range hood/other kitchen eui rnent _10.00 City/State/ZIP: Clothes dry!!exhaust 10.00 PhonySingle,duct exhaust(bathrooms, ( ) Ftx:( ) toilet compatunents,utili rooms 6.80 Attic/crawls ace fans 10.00 Business flame: Other: _ _ 10.00 Fuel piping a Contact name: $5.40 for tint four;31.00 for each addlilontl Address: Furnace,etc. N Gas heat pump_ U) City/State/ZIP: Wall/suspendedlunit heater J Phone:( ) Fax::( ) Water heater Fir lace m E-mail:� Range Barbecue LU J Business name: G U Clothes dryer Other. Address: �, �` City/State/ZIP: lelC.f'C/(J Qj� 7Df - subtotal � — _ Mir num permit fee($72.50) Phone:( ) �!'/ �S Yds Fax:( ) ��i y0,{ Ptan rev,ew(25%of permit fee) /1 CCB tic.: / v y 1 —�- _, State surcharge(8%otpermit fee) TOTAL PERMIT FF.E r ,/ This pe-mit application expires If a permit Is not obtained wllhln tt0 Authorized signature: (/ days after it hoe been accepted as complete Print name: Ac ' Fee methodology set by Tri-County Building industry Service Bond i tBuildint?ermiu\MEC-Pem*App doe IV07 4404617T( tA21COMrWRB) Mechanical Permit Application - City of Tigard • Page 2 -Supplemental Information Commercial Fee Schedule: $1.00 to$21000.00 Minimum fee$72.50 $2,001.00 to$5,000.00 2.50 for the first$2,000.00 and$2.30 fo ach additional$100.00 or fraction t%her to and includin $5,000_00. $5,001.00 to$10,000.00S141. for the fust 55,000.00 and $1.80 fo ach additional$100.00 or fraction thNFof,to and including _ $10,000.00. 510,001.00 to$50,000.00 S231.50 for the rst$10,000.00 and $1.35 for each ational$100.00 or fraction thereof,to d including $50,000.00. 550,001.00 to$100,000.00 $771.50 for the first$ 000.00 and 51.25 for each addition 100.00 or fraction thereof.to and inc ►ding $100,000.00. 5100,000. d tip $1,396.50 for the first$100,0 .00 and --� $1.10 for each additional S 100. ac Note: All new commercial buildings require 2 sets of Inns. CL a _J W J i:\Building\Prnrrits\MEC-Perm!tApp.doc 12/03 2 Y V. RECEIVED z S R(0 6 ,FXA FAP-eR ft uN�f" ,&Y Al MA;Z z � �n05 ='� i TIGARU C,.'/ C4A1 C.O. ��'� C BUILDING DIVISION ,6^4 k _k Occupancy Type rOccupancy Load Q AMC/ I Construction Type FAA) RC1 AIR Q Rated Corridor Energy Ca 19 Accessibility 0 _-xQI F.TiQA o Approve.. Conoonaly ...... ,g.O. .................-... ..-r-rT& .. ( Q� �-r X 6.y 8 For only the _ ' p SeeI- T r to ............... See Letter to: ' .( !L 77- ,Coo T iR ~ _ IJ e m /act �o /0/zZ.t� 1 ' enrx SCAM: OMPM w r ®e�lJ IT: uaAwa sr C o � RENSfD - a�wnc Nutiucr .'_ Larkin Industries, Inc. 114 OwW Oren Roan � q 35244 Madel:OH Fac�1-205.=4d7�06b�� (Own Hosed) Td Fnw 1-00a-322-4M Bum coum—\ ftuAiENI MINI FLm 24' 24' 7r bdb" ""`d a odo w. w:�iw.w a.w.. HOOD SIZE CFM REQUIREMENTS CITY: 1 101KV, 210 CFV 0 An 3.P, NFPA LEGE N� Le T A' s Illy 7Y x Hm 24' ll�Lr - wu • - 8P. lif x HE omm WS - a MATERIAL REQUIREMENTS WALL omm YM- 430 ONJOL CNUCE 18 FMAK 04 u LIGHTS COLLARS -J MNX 13 0 9 It" Fi.1D1 o wmvl. 00114W 1404 EML >M'M PME1. ON1R OVER OQllAll Mg1A11ED DRE: 02-24-06 Alk NfLU1M P= LOCI TM NOTE 40301 1 4*41IY a MI�th Inc. ' 135244 FLAT F4W CLM d iirec Ism+A36 Fa!!FAM 0{NIId111T: 1 OlMllilllY: OIMIiA11y: gIW�AII� M MIL.. lawn FINN WMI NA 11M. IAN Ifim DNo� 0IIOr0 0 OM�lD�II� D1 ■2,6' D1 • D1 • D1 ■ 03 • 2" Da • Oa • 0� • r IL it M rn ao 0 w WE W" JOB:MOAAMn Ppt7l1 UXAMk NME- 40►10A Larkin Industries, Inc. 114 DwW Crsen PAW SnWnpmAlo"++o 44 LOREN COOK FAN ACRU-B Pbornc 1-206-9e7-1 Fac 1-205-M-OSe3 iUPBLAST CIDIM UOAL Td Fns 1-W0-32Z-4436 EXHAUST VEN7LA70R ROOF MOUN70/11IMT LOVE DIMENSION DATA SHP. ROOF SIZE A N C G M.T WT.LESS OPENING MOTOR SQUARE 100 14-1/18 25 1/4 2 10 120 19-1118 30 3/161 23 1/4 2 20 A 135 19-1 10 30 3 10 2 ZQ66 1/7 150 20-15/15 11/14 30 1/4 ? 24 1 1 1 2D-15/16 11 1 30 3/4 2 24 1 24-13/16 7/10 35 7 8 3 30 l 24-13 16 39 7 16 38 3 8 3 30 1 �--�— T =4 ---4 210 25-15/le 45 1/4 3 30 AOCIMSM 225 25-15/16 45 1/4 3 30 1. 0ep�01I�10N 248 28-1/2 40 1/4 41 1/16 3 30 2. OWMW 11190W neral 270 28-1 2 49 1/4 41 1/16 3 30 s r11mum i�CIom WLM 4, M00 QA wmm � 301) 33-7/8 bt 1/4 40 45 16 3 36 d ��m 330 34-1/a 541/4 50 7/18 3 42 7. pipe own 365 30-3/8 04 114 52 7/10 3 42 420 77 1 L N01-00NIAMM OWM 402 _37-7/8 -64-174-184 11 10 3 40 484 43 1a NNIM j"= 445 42-3/8 15-1/4 81 3 10 3 54 556 eL Lm 70131101 WK � 460 44-3 0 76 1 4 5e 1 10 3 84 >IA Walk ALL DOU SIQMS N WCHES. NlOM N P=M +Mew eM b MmM mew ROOF CPE?" SIZE FOR CURBS SUWL0 BY COOK ONLY. Am*I bwo is am aw we w� ftlwa .soNR��ml ill STANDARD CONSTIRCTICIN FEJITURES: pw►�rl��"mown& r s,. AN � ham - bo rok Indhi d akrren* pig - L%per .d Two — .Iu� qukll nlew� , - a» b�Eom .pt++nrq - i4l1 l wb ev own" - eir�! sawn - vbroum ••� iwl*m - Psrnwwm,gy Iubr1-1- boll beor4 motor. - 9Ea8e lb%p MOM Im W"dwAwt db dL wr n.isbont baits - Aejuatoltle pitch *Wn though 5 HP mdw - %moo.6m w""rs*"•ww Cwmdm MIAW (Qdwwo - ,ir WIM moft bsorkw roW at uww�.�. rourlr� 200.000 hon ov«ogs We AN lane toctay od to epsoilwd fon RPM - Two W" poctmft �iC450p-,,a4 w1 >vim" � �_ 4. CATALOG FAN INFORMATION FAN INFORMATION F QN MARK NUMBER CFM SP RPM HP VOLTS HZ PH TYPE ACCESSORIES N 1 EF 110W 2063 .6a?S - 3/4 115 60 1 STD 1 4 11 t7 Lu J T1IIltc: 02-24 06 Am ML1At n I= LOCATIOIb IIOrIE: 40301 ;ITY OF TIGARD , , tv BUILDING DIVISION PERMIT C ELR2005-00044 13125 SW Hall Blvd.,Tigard, OR 97223 �� DATE ISSUED: 3/ffM Phone: (503) 639-4171 Inspection Requests (24 Hrs.): (503) 639-41 i5 INSPECTION WORKSHEET FOR DATE: •VS12005 TIME: 7:09AM PAGE: 36 SITE ADDRESS: 10115 SW NIMBUS AVE NO CLASS OF WORK: SUBDIVISION: 1 KOLL BUSINESS CENTER TIGARD LOT#: 001 TYPE OF USE: PROJECT NAME: BEU AGIOS PIZZA DESCRIPTION: Network caNinq. OWNER: kOBINSON,WILLIAM R/CONSTANCE A. PHONE #: CONTRACTOR: CAPITOL DATA&COMMUNICATIONS PHONE #: 50'.-26&9488 Inspection Request Scheduled For: Date: 41512005 Pour Time: Code # Inspection Description Confirm # Contact # Message 199 Electrical final 003732-01 971-(5063396 N Corrections/Comments Instructions: m w XPASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: G--y Deter Phone C (503) 71d- CITY OF TIGARD BUILDING;' DIVISION • � PERMI'#: BUP2005-00078 13125 SW Hall Blvd.,Tigard, OR 97223 DATE ISSUL D: 3/2/2005 Phone: (503) 639-4171 Inspection Requests (24 His.): (503) 639-4175 INSPECTION WORKSHEET FOR DATE: 4/5/2005 TIME: 7:09AM PAVE: 63 SITE ADDRESS: 10115 SW NIMBUS AVE NO CLASS OF WORK: SUBDIVISION: 1 KOLL BUSINESS CENTER TIGARD Loi #: 001 TYPE OF USE: PROJECT NAME: BELIAGIWS PIZZA DESCRIP i wig: Fire Wrinlder TI, alteration of(17)heads. ii,NNER: ROBINSON,WILLIAM WCONSTANCE A, PHONE #: CONTFIACTOR: T&L COMMUNICATIONS INC PHONE #: 360.737-9725 Inspection 1equest Scheduled For Date: 4/5/2006 Pour Time: Code # Inspection Description Confin,i # Contact # Message 999 Spinlder finial 003679-01 503.307-6392 N Corrections/Comments/I nst ructions: oc N m w .a PASS ❑ PARTIAL. APPROVAL ❑ CANCEL [] NO ACCESS ❑ FAILS ❑ ALL FOR NSPECTION ❑ ADDII-IONAL FE S ASSESSED Inspector: _ Date: Phone 1t: (503) 718- CITY OF TIGARD IL'DING DIVISION 40 • PERMIT#: 6Up100fr00078 BV 5 SW Hell Blvd., Tigard, OR 97223 DATE ISSUED: 3I?/ZQ05 Phone: (503) 639-4171 Inspection Requests (24 Hrs.): (503) 639-4175 INSPECTION WORKSHEET FOR DATE: 3/23/2005 TIME: 7:0" PAGE: 71) SITE ADDRESS: 10115 SW NIMBUS AVE 850 CLASS OF WORK: SUBDIVISION: 1 KOLL BUSINESS CENTER TIGARD LOT#: 001 TYPE OF USE: PROJECT NAME: BELLAGIOS PIZZA DESCRIPTION: Fire sprinlder 11, alteration of(17)heads. OWNER: ROBINSON,WILLIAM R/CONSTANCE A, PHONE #: CONTRACTOR: T &L COMMUNICATIONS INC PHONE #: 360-737-9725 Inspection Request Scheduled For: Date: 3/2Y20M Pour Time: Code # Inspection Description Confirm # .;ontact # Message 91T- m rough-in 902sam 503-307-6392 Y q 10 S/'r,n A (r - 002 2 Corrections/Comments/Instructions: X1.02— 5=° Z. CL _ r` co — -- ED L7 _ LM — --- —— a (�SS Cj PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL [] CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: 611 Date: _Z 3'Q Phone #: (503) 718- CITY OF TIGARD BUILDING DIVISION PERMIT N: Et.R2005.00035 13125 SW Hall Blvd.,Tigard, OR 97223 DATE ISSUED: 2124rM Phone: (503) 639-4171 Inspection Requests (24 Hrs.): (503) 639-4175 INSPECTION WORKSHEET FOR DATE: 3/31/200 TIME: 7:06M PAGE: 54 SITE ADDRESS: 10115 SW NIMBUS AVE 860 CLASS OF WORK: SUBDIVISION: 7 KOLL BUSINEW CENTER TIGARD LOT k: 001 TYPE OF USE: PROJECT NAME: BELLAGIO'S PIZZA DESCRIPTION: HVAC OWNER: KILLIAN PACIFIC, PPONE ,r 503.227-0413 CONTRACTOR: OREGON HEATING+AIR COND PHONE N: 501538-2953 Inspection Request Scheduled For: Date: 3/31/2005 Pour Time: Code # Inspection Description Confirm #! Contact # Message 199 Electrical final 003357-02 503.849.8162 N Corrections/Comments/Instructions: a m — w J PASS ❑ PARTIAL APPROVAL L1 CANCEL ❑ NO ACCESS ❑ FAIL [] CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date, �� Phone #: (503) 718 - r CITY OF TIGARD •' _ e BUILDING DIVISION PERMIT C "2QD&OM 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUFn: 2/24/2t'90!~ Phone: (503) 639-4171 Inspection Requests (24 Hrs.): (503) 639-4175 INSPECTION WORKSHEET FOR DATL.: 3/1112006 TIME: 7:27AM PAGE: 75 SITE ADDRESS: 10115 SIN NIMHUS AVE ON CLASS OF WORK: SUBDIVISION: 1 KOLL BUSINESS CENTER TIGARD LOT M: 001 TYPE OF USE: PROJECT NAME: BELAGIOS DESCRIPTION: HVAC OWNER: KILLIAN PACIFIC, PHONE N: 503.227-0423 CONTRACTOR: OREGON HEATING+AIR COND PHONE M: W3,53(Q953 Inspection Request Scheduled For: Date: 3111'1005 Pour Time: Code # Inspection Description Confirm # Contact # Message 135 Low Yoftep 001319-01 503.538.29!53 N Corrections/Comments/Instructions: IL h V7 PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector:3 _/ 1 Date: << Phone #: (503) 718- ___ CITY OF TIGARD BUILDING DIVISION PERMIT 0: MEC200&00134 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/2()/2005 Phone: (503) 639-4171 Inspection Requests (24 Hrs.): (503) 939-4175 INSPECTION WORKSHEET FOR DATE: 3/31/2005 TIME: 7:05/1M PAGE: 75 SITE ADDRESS: 10115 SW NIMBUS AVE MO CLASS OF WORK: SUBDIVISION: 1 KOLL BUSINESS CENTER TIGARD LOT M: 001 TYPE OF USE: PROJECT NAME: BEIA AGO S PIZZA DESCRIPTION: Installation of Gass II Hood. OWNER: KILLIAN PACIFIC, PHONE N: 503.227-0423 CONTRACTOR: DAN-CO SHEETMETAL. +CONST PHONE ,M: 3974457 Inspection Request Scheduled For: Date: 3/31/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message C C T 640 E must hood 003270.01 503307-6392 1P A r Corrections/Comments/Instructions: t` w - eASS ❑ PARTIAL ArrROVAL ❑ CANCEL ❑ NO ACCESS L CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: (" Q S!!" Phorw #: (503) 718. CITY OF TIGARD BUILDING DIVISION PERMIT#: MECAKI b•00066 13125 SW Hall Blvd.,Tigard, OR 97223 DATE ISSUED: 2J18(M. Phone: (503) 639-4171 Inspection Requests (24 Hrs.): (503) 639-4175 INSPECTION WORKSHEET FOR DATE: 3/31/2005 TIME: 7:05AM PAGE: 55 SITE ADDRESS: 10115 SW NIMBUS AVE 950 CLASS OF WORK: SUBDIVISION: 'I KOLL iBUSINF_SS CENTER TIGARD LOT#: 001 TYPE OF USE PROJECT NAME: EFI"GIOS PIMA DESCRIPTION: Replace eoaeting rooftop unit and ductwork. Value: $12,000 OWNER: ROBINSON,WILLIAM R/CONSTANCE A. PHONE #: CONTRACTOR: OREGON HEATING + A/C INC PHONE #: 5332953 Inspection Request Scheduled For: Date: 3/31/2005 Four Time: Code # Inspection Description Confirm # Contact # Message 699 Mechanical final 003367-01 6039438162 N Corrections/Comments/Instructions: y G �! oar 30 W SS ❑ PARTIAL APPROVAL ❑ CANCEL_ ❑ NO ACCESS — ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date• DS~ l-4 Phone #: (503) 718- _ CITY OF.TIGARD BUILDING DIVISION PERMIT#: MEC200500066 1'1125 SW Hall Blvd.,Tigard. OR 97223 DATE ISSUED: 2/1t3/M Phone: (503) 639-4171 Inspection Requests (24 Hrs.): (505) t339-4175 IN,�PECTION WORKSHEET FOR DATE. 3/11/2005 TIME: 7:27AM PAGE: 76 SITE ADDRESS: 10115 SW NIMBUS AVE 860 CLASS OF WORK: SUBDIVISION: 1 KOLL BLISINEW CENTER TIGARD LOT #: 001 TYPE OF USE: PROJECT NAME: NEL M O S PIZZA DESCRIPTION: Replace a dating rooftop unit and ductwork. Value: =12,064 OWNER: PHONE #: CONTRACTOR: OREGON HEATING +AJC INC PHONE #: SW2963 Inspection Request Scheduled For: Date: 3/11/2005 Pour Time: ('.()de Inspection Description Confirm # Contact # Message 616 Mechanical rough-in 001314-01 503.538.2953 N Corrections/Comments/Instructions: i a m w J ASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: Phone #: (503) 718-_ CITY OF TIGARD 24-Hour . BUILDING � Inspection Line: (503)639-4176 INSPECTION DIVISION Business Line: (503)639-4171 MST BUP Received _Date R9quested—__3 - Z AM_— _PM— _ BUP Location ��'I n d —Suite K,SZ __ MEC.- S' Contact Person _ Ph( `, S" �_53 PLM _ Contractor r«v✓L Ph(—) 8`�7 - g/� SWR _ BUILDING Tenant/Owner �_ ELC — Footing ELC Foundation Access: Ftg Drain ELR Crawl Drain Slab Inspection Notes: SIT --- Post&Beai n —.— Shear Anchors Ext Sheath/Shear _ Int Sheath/Shear 'r ` Framing —_ V y !� Insulation Drywall Nailing — Firewall Fire Sprinkler -- Fire Alarm Susp'd Ceiling Roof Other: Final PASS PART FAIL _PLUMBING _ Post 8.Beam Under Slab Rough-In Water Service ---- Sanitary Sewer Rain Drains -- — — Catch Basin/Manhole Storm Drain - - — - Shower Pan Other: — -- ——— -- Final -----�--�-- PASS PART FAIL — _MECHANICAL_ _ Post&Beam — a as Smoke Dampers — F- F' PASS PART FAIL - — — — TRIChL Service m Rough-In 0 UG/Slab `- --- --- ------- _j Low Voltage Fire Alarm Final (] Reinspection fee of$__— ._— required before next Inspection. Pay at City Hall, 13125 SW Hell Blvd. PASS PART FAIL I SITE _ F] Pleaseo or rel ,paction RE:_.e — LJ Unable to innp-tcr no access Fire Supply Line ADA Date " _�--� flitep" r E>I[t �R��j Approach/Sidewalk — Other: Final v DO NOT REMOVE thle Ilritllt-p e�deA reeerd h+e111 the deb 6" PASS PARIT FAIL CITY OF TIGARD _ MECHANICAL PERMIT DINELOPMENT SERVICES PERMIT#: MEC2005-00150 131 <o SW Hall Blvd.,Tigard,OR 97223 503-639-4171 DATE ISSUED: 4/5/2005 PARCEL: 1 S 134AA-01900 SITE ADDRESS: 10115 SW NIMBUS AVE 850 ZONING: C-G SUBDIVISION: 1 KOLL BUSINESS CENTER TIGARD LOT: 001 JURISDICTION: TIG Project Description: installation only for customer supplied walk-in cooler w/drop in refrigerator. Value: S 1,000 CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS: TYPE OF USE: COM UNIT HEATERS: VENT FANS: OCCUPANCY GRP: B VENTS W/O APPL: VENT SYSTEMS: STORIES: BOILERS/COMPRESSORS HOODS: FUEL TYPES 0 - 3 HP: DOMES. INCIN: ELE 3 - 15 HP: COMML. INCIN: MAX INPUT: BTU 15-30 HP: FIRE DAMPERS?: 30 -50 HP: REPAIR UNITS: WOODSTOVES: GAS PRESSURE: 50 + HP: FURN < 100K BTU: AIR HANDLING UNITS CLO DRYERS: FURN >=100K BTU: <= 10000 cfm: OTHER UNITS: 1 > GAS OUTLETS: 10000 cfm: Owner: FEES KILLIAN PACIFIC Description Date — Amount 500 BROADWAY SUITE 110 1ME.CH]Permit Fee 4/5/2005 $72.50 (TAX] R%State Surchart 4/512005 $580 Phone: 503-227.0423 — --Total $78.30 — Contractor: BULLDOG MECHANICAL&REMODELING 3307 NE 39TH REQUIRED ITEMS AND REPORTS VANCOUVER, WA 98661 -- Phone: 503-258-5004 Reg#: LIC 152993 a a w rn �- This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes and m 0 ail other applicable laws. All work will be done in accordance with approved plans This permit will expire it work is not started within 180 days of issuance, or if work is suspended for more than 180 days ATTENTION: Oregon law requires W you to follow rules adopted in the Oregon Utility Notification Center. Those rules arw set forth in OAR 952-001-0010 -� through OAR 952-001-0100. You may obtain copies of these rules or direct questions to OUNC by calling 503-246-6699 or 1-800-332-2344. Issued ByPermittee Signature: Call 503-6394175 by 7:00 a.m.for Inspections that business day. This permit card shall be kept In a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each Inspection. 01 211115 13:10 FAX 5093941980 t'Ih1• OF TIGARD 40002 Mechanical Pz= Raj JIIIFJI� City of Tigard T��riTL1„J ,se hrrretlN 13125 SW'Hall hied,T'icatd,QR t(( DrrdB S ��- o j DatdBMen rvte kf Phony: 503 G19 J I i 1 Face 3(11 4n 1005 r Other l'e m r Intpection Lina S03 510 4!l5 L fate Rndy/By - - �- (err tT iw t rr 1 for InterneC www.CLtigafdAr•Yt \/ Notigtd'MccMrd -._�'_ J Sv►pk�nenallafannetbn CI i OF I IQARD - t UV_�_ ~` I OMMeRC1AL !EE" SC111[OULE - U3E Cff[CKLIET ❑5few construction r Addition/alrerntioNteplacement Mechanical permit feett"are batted on the value of the Mork ptrfcrmed Indicate the value(rounded to the ncorcn dollar)of all ❑Demolition I .)other nwh mical materials.ogmpriwnt labor,merbrrd.and profit. -- - -- -- - value.sWPM- tip � Qct CA'TEOF CONSTRUCTION [] RBBW 11-and 2-family dw;lltng Commercial,induattial C1 At-essory building ForsI EQUIPMENT/SYSTEMS FRED*p [�Multi family ❑Master builder 0 Other, - For special er�/o►enarion use checklist. lkecn'Ption _ Ea, total JOA SITE INFORAfATION AND LOCATION HeaNa t�j - !ob Litt adders c ._\t 1 -- F -- Air runditionms or brat pump u O --moi 3N _!�/�.L -C S1A�}t R qutnatiu_planshow(napletamenel 14.00 Ct)/Statr/z1P s�� 0R..-91-Z12 Furnace IW 00NfV Idifetitvantil 14.00 Suite/bldg,/opt.nrn o.: Pmftct nne: �• Funace 100.000+BTU IdocWvs+as 17. --- - Gas het-2!!2p Cross itreetldirectiotts tit job site. l e Duct work _ 14.00 I moronic hot waxy ttum 14.00 F LAJA 1,0" Ll L� _- Ruidontial boiler(radiator or h droMe 14.00 — - - - -- --- -._-- knit h-•are(rutl•type,rat electric), in-wall,.n-duct.sec tided,etc- 10.00 I Subdivision- - i - _ � weiven_t for anv of a_bove (0,00 10. 0 0de _ - .00 Tax map/psccl no Other fuN�p�unret J DESCRIPTION OF WORK - -- Water hater --_-- 10,00 _ Gas Ila lace 10.110 _-, S&ft L Flue cent for water henet or gas -- C0 - --T-F-- flreFlaae __ 10.00 _ i�-j�- Lo li ter�ul 10.00 _ Wood/Vellct stove 10.00 W_o_od fireplace/Insert 10.00 -- Chime /lister/Iluer�etlt 10.00 (j PROPERTY OWNER .yANT' ------- Other: Nater: `Q,� Ozo-- Eaviroamestld axha•st and v eillatN. / � , . l [� Range hood'othtt kitchen Addrlts. O /l/�D r. w meat IO.Cq City/State/ZIP. zo 20 _- t Clotho er exhaust 11,.00 Phone.( ) Far Singlwducl cxhrutt(Ihsthrorrrm. ( ) toilet compartntcnu 1ull�t roomsl 6 80 PP-1 CANT -A O-NTACT PFRSON Anic/crawl aafans -- _ 1000 - Other. _L 10.00 BWine9sname %AUJ.0 Qt�_—ll �moa % Fut_Ip(pinj - _ Contact name. $5.40 for fiat four,SLt10 r h additional foeach`1Z©113 •� � " p��s. - - Addfess: Furnace,tic. �0- - _L STr - - I Gat hear pump City/State,ZIP C��JeA �t,�� 98bb)" �r Wall.'sut ndediunnheatef —.p) IVO/ Z4�_Q�' j�-F-ax: b_93-6 6-CLZ �utrheotct i - Player:(iia 0 —And -- 0. Fireplace a! E-mall• Range CONTRACTOR Ilarbecue - -- _ Business name: Clothes dryer(vast t _ _ Address: Xxo �_,a 10 S _s—_ M6CNANICAL PtRMIT FEIS1" m City/StateIZIP: � � SaMatal - (7 Phone-( Minimum permit fee(972.50) Fac• )' � s Q�y ( ) �+ Plan review(2514 of renit fee) CCB Ii, I'S 93 - -^ -- f-a 7-v Z= State surcharge(11;of permit fee) - �//� TOTAL PERMIT FEE Authorized 41 MatUfep K This per"W SWInnea C-pkre If a ptvaiN Is net obreln44 weMln IFA ' 6 L dsv/offer it hm here accepted a rnwyeMe. Print name: A' Dail: f, - • ampy ve cthodolo +et by rri-CountyBuildlnp Indusnv Service Nasrd APR 01,2005 14:02 5035981960 Page 2 PERFORMANCE / ELECTRICAL DATA ,'ii U J 1005 �^ COOLERS —AIR DEFROST SYSTEMS i Y OF FIQARD _ BTUH ® 950 Ambient - Matching ; �• 350 F. 38°F. Unit Evap Plug NEMA Model Box Temp Box Temp Voltage MCA MOPD Ams CFM Supplied Race cls a PTN047H2A 4,700 5,000 115/1/60 16.9 20 14.2 350 Y 5-20R PTN04711213 4,700 5,000 208-230/1/60 8.6 15 7.3 350 Y 6-15R PTN063H213 6,300 6,700 208-230/1/60 9.8 15 8.4 550 Y 6-11314 PTN072H2B 7,200 7,600 j 208-230/1/60 10.9 15 9.3 500 Y 6-15R FREEZERS — ELECTRIC DEFROST SYSTEMS _ BTUH Q 950 Ambient Matching Ew 0°F. -10°F. -20"F Unit Evap Plug NEMA Model Box Temp Box Temp Box Temp Voltage MCA MOPD Amps CFM Supplied Receptacle ' PTN021L6A 2,600 2,100 1,300 115/1/60 13.9 20 11.8 350 Y 5-_^OR PTN021L613 2,600 2,100 1,300 208-230/1/60 7.6 15 6.5 350 Y 6-15R PTN031L6B 4,100 3,100 2,000 208 230/1/60 13.8 15 11.6 550 Y 6-1514 PTN044L6B 5,700 4,400 3,300 208-230/1/60 15.9 20 13.3 520 Y 6-2OR SPECIFICATIONS AND DIMENSIONS HVr 4.25" A— • 42.42"-� 3.45" -- 24.5" 24.5" --+t IL - - L 25"x 25"panel opening required for evaporator section. N SPECIFICATIONS AND DIMENSIONG — J m mr INSTALLED DIMENAIONS INCHES/ ArPnox.NET WEIGHT — 0 MODEL L w H Les. Ka w PTN047H2A 192 07 FTN047H213 192 87 PTN063H2B 207 94 j PTN072H28 52" 28.5" 17.5" 211 _ 9d PTNO)I L6A 1,321 724 445 213 97 PTN0211_613 213 97 FTN031 I.SS 221 1010 PTNO44L6B 225 102 32/25/2005 14:12 7151110 KOCN_ STAR PAGE 04 DESCRIPTION N.S.F. APPROVED WALK-IN GOOIER. �L�A INSULATION: FOAMED-IN PLACS U.L. LISTED. CLASS 1 URETHANE 0 `_U INSULATION WITH A FLAME SPREAD RATING IESS AND SMOKE DENSITY LESS THAN 450 WHEN TES A6'0 Obp j/ ACCORDANCE TO A.S.T.M.-1784 (UL 723) H WALL PANELS: 4" HIGH DENSITY FRAME. / O CEILING PANELS: 4" HIGH DENSITY PRAIwE. QO `Sn/y FINISH- INTERIOR-26 GA. STUCCO EMBOSSED GALVALIJM. EXPOSED EXTERIOR-26 C.A. STUCCO EMBOSSED GALVALUM. UNEXPOSED EXTERIOR-26 OA. STUCCO EMBOSSED GAI_VALUM. DOOR (1) 34" x 79" FLUSH-AN FITTING COOLER DOOR. W"M DOOR M BE Et1WIPPED V": (2) KASON CAM-RISE IMNGES MODEL N 1256 (1 KASON DOOR LATCH MODEL_ 0 1229 (T) KASON DOOR CLOSER MODEL # 1094 36" HIGH ALUMINUM TREAD PLATE ON INT./EXT. DOOR AND DOOR$ECTRM F01001 INTERIOR FINISH--26 GA. STUCCO EMBOSSED GALVALUM. EXTEERIOR FINISH -28 GA. STUCCO EMBOSSED GALVALUM. ACCESSORIES: *(ti) KASON VAPOR PROOF LIGHT FIXTURE BASE TO BE SURFACE MOUNTED AND INSTALLED AT FACTORY ON DOOR SECTION PRE-WIRED) (GLOBE SHIPPED LOOSE). F 1) ingle Pole Toggle EAGLE SWITCH AN RED NEON PILOT LIGHT-FLUSH MOUNTED ON EXTERIOR LEG PORTION OF DOOR Stc-TION AT X4'2" ABOVE FINISHED FLOOR. (DO) 2" Dio. SOLAR POWER DIGITAL, THERMOMETER--FLASH MOUNTED ON EXTERIOR LEG PORTION OF DOOR SECTION AT 83" AHObF_ FINISHED FLOOR LINE. ADDITIONAL- I. 7�4" X 3/4" STANDARD SILL (SHIPPED LOOSE) ACCESSORIES: 2. 6 COVE WE TO MATCH (SHIPPED LOOSE) 3. WALL CLOSURES TO MATCH (SHIPPED IOOSE1 GENERAL NOTES- 1- ALL CEILING PANELS CAPPED AT FACTORY. 2. ALL ELECTRICAL & PLUMBING WORK BY OTHERS 3. COOLER DOOR NOT DESIGN TO ALLOW FOR TILE. 4. ALL DIMENSIONS SUBJECT TO CHANGE UPON FIELD MEASUREMENTS REFRIGERATION: (1) 1 H.P PTN072H29 23OV/1 u TOP DROP UNIT. (Requires 30" High Clearance from Top of Pox) NOM r0 CUSTOMER: TWDRAWMIQ CM NOT RE cx,I��tn AIp D LMfTIL . THE FULLo�o ITEM ARE(XArayFi�ein Ago 09tW eo. IL --- oc 1.V0VFY EXISM BUILVI lfi WALL LOCATM. U) 2.CMER WM INS N17T ONOW TO ALLOW FOR TILE ON F M M RAQR LIMA. -+ DRA NG FOR APPROVAL ApmvW LU _j Dolle: -- Plate: afhb arwN�.wo aon�llllle�rooeplsnol►aKoal N�MITrn enNd anldNar� 01~in 4M .A aopLdNN►IMRII!r AY1�bltt ylon Ia4w�t WALK--IN COOLER ;';� 1 tar• Fi01BE�EQUIPMEMfT Al SIMLY ANC. law, ttz •we.�., n1MenA Baa BELLAGIOS PIZZA ww4m m.e UL (390 far-SM•F."(310) 716-11 o OG 87214 S.O. 2 25/05 C 9328 00 NOT SCALE vemm 99MI 2 —1 —0 02/25/2005 14:12 7151110 KOOL STAR PAGE 93 8'-.0" Overall DIm"lon VEt%o,-y ExtffnNG BUILDIh" WALLS Y zz .... ...... 7"- r OR 0 CITY() 1005 atilt Fp��AO 16tv 11*015-DROP UNri .......... 34" Opening 4' PLAN VIEW TOP-DROP UNIT ............. CAM-DOLS. I ING CAPP0D AT FACTORY IL U_ C) ... ......... CID in OD .......... w 8 'VE 1;91OR/"RI0R TO W" WITH NOT BASE ON O TILE ALLOWED MATCH, (S4PPED LOOSE) ELEVATION. CITY OF TIGARD ELECTRICAL PERMIT 1 T PERMIT 0: ELC2005-00056 DEVELOPMENT SERVICES DATE ISSLIED: 2/2/2005 13125 SW Hall Blvd..Tiqard,OR 97223 (503)6394171 PARCEL: 1S134AA-01900 SITE ADDRESS: 101 15 SW NIMBUS AVE 850 ZONING: C G SUBDIVISION: 1 KOLL BUSINESS CENTER TIGARD BLOCK: LOT: 001 JURISDICTION: T!13 r -oject Description: Install new service 8 separate power. RESIDENTIAL UNIT TEMP SRVCIFEEDERS _ MISCELLANEOUS 1000 SF OR LESS: Y 0 - 200 amp: PUMPIIRRIGA'rION: EACH ADD'L 500SF: 201 - 400 amp: SIGN/OUT LINE LTG: LIMITED ENERGY: 401 - 600 amp: SIGNAL/PANEL: MANF,4M1 SVC/FDR: 60'1+amps-1000 volts: MINOR LABEL (10): SERVICE/FEEDER_ BRANCH CIRCUITS,r _ ADD'L INSPECTIONS 0 - 200 amp: 1 W/SERVICE OR FEEDER: f 4 PER INSPECTION: 201 - 400 amp: 1st V410 SRVC OR FDR: PER HOUR: I 401 - 600 amp: EA ADD'I-BRNCH CIRC: IN PLANT: 601 - 1000 amp: _ PLAN REVICW'SECTION 1000+amp/volt: >=4 RES UNITS: >600 VOLT NOMINAL: Reconnect only: SVCIFDR>=225 AMPS: CLASS AREA/SPEC OCC: Owner: Contractor: ROBINSON,WILLIAM R/CONSTANCE A WILLAMETTE ELECTRIC INC ROBINSON, LYNN+BELL, KAY ET PO BOX 230547 BY ELLIOTT ASSOC TIGARD,OR 97291 PORTLAND, OR 97204 Phone: Phone: 503-624-3631 Rnq M: LIC 75059 SUP 19655 FEES ELF. 34-283C Description Date Amount Required Inspections (ELPRMT] ELC Pc..nrt 2/2/2005 $106.90 [TAXI 8%State Surcharge 2/2/2005 $8.55 Electrical rough In Electrical final Total $115.45 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 stated within 180 days of iasuanoe, or if wurl,is suspended for more than 190 days. ATTENTION Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Thos: ruses are set forth in OAR 952-001-0010 through OAR 952.001-0100. 'fou may obtain copies of these rules or direct questions to OUNC at(50:1 246-0699 or 1-6a)-332-2344. 0�^C Issued By: �� ).e��itJ� _ Permit Signature: rn OWNER INSTALLATION CoNLY The installation is being made on property I own which is not intendoj for sale, lease, or rent. m OWNER'S SIGNATURE: DATE:- -- us '+ CONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR. ELEC'N: _ _ _ DATE: LICENSE NO: Call 6394175 by 7:00pm for an inspection tete next business day FEB CIP 2005 1 1 : 16AM HP LRSERJET 32UU P. 2 Elettrk�I.Rerml f iE Q City of Tigard Il troll - J' 71- e. �.LT'e2S SW Heil Hivd.,TYgard,OR 9�2p1 Plan 3levlawPhone 503.63c)AI71 Pat: 503.!9 .1960 rest. Intipection Line. 503.639.3175 CITY OF TIGARD Dole aesdyf8y rgsa p ter - Internet: www.ci.tigard.ar.us Rill nitun tI N No1lAediAtathod: reepptameatal lnroreaaM 01 QM3=M ❑ New construction AdditiOta/dttltllNo himphWIM of Pleue check all that apply []Demolition Q Other: ❑Service over 225 atrgla,comm I ❑Hsymdous location ❑Service over 320 arrnps--rating ❑Buildng ova 10,000 sq.R, '. of i-end 1-family dwellings, 4 or mere new resideitial ❑ 1-and 2-family dwelling RCon mereial/indwmial 0Aceessciry building ❑System over 600 volts nominal units in one structure 13 multi-family Master builder ❑other: ❑Build ng over three stones OFecden,400 amps or more (:10ccuptnt bad over 99 peracau; [IMenufllcnued stndetures or ❑BgressAighting plan RV park Job no. Job site address: r ❑Health-care facility ❑&Iser .-- _- - -___ /4t� SIJ !h�LS Submit_j_sets of plms with any of the above. city/state/zip: 7 r j 4 7 The above are not applicable to temporary crms•nution service Suite/bldg!ept.no.: '7 S Projocr name 1➢ L_.. - `•Iit,�li..►.!i Qtr. /n. �T•eal Cross strett/dlrectlons to job site: New"oldential single-or mold-hsnlly dwelling unit. - -— ---- --- -- lueluda_atdelle_d garage. -_ -- 1,000 sq ft or lees 14.5.15_ t Subdivision: Be.add'I 500 sq R.or portion 33.40 1 - ----— I.iAted energy,residential 75.00 _ 2 Tax pare!!!no.: Limited energy,cion-tesldential _ 75.00 2 Bach rnanufacdaed or medular T- dwelling,service and/or feeder �_ 90.40 2 in (y,o iAl 3frti/kr--4 Service~or feeler lar4nllatba,afterstioe,and/or relocation 200 amps or lest _ - go.30 3 2 201 amps to 400 atr>pa 106.65 2 401 amps to 600 shpt 1 16_0.60 2 601 unps to 1,000 amps, 24060 2 Address: Over 1,000 or volts, 454.65 _ 1 ----- Reconnect only 66.95 2 City/State/ZIP: _ Temporary sonless or towers insionetbn,alteration,and/or Mone:( 1 Fax:( ) relocation 200 amps or less 66.65 1 (honer Installation:This installation is bring made on property that I own which is not 201 amps to 400 amps 100.30 2 intended for sale,lease,tr„r.or exchange,according to ORS 447,449,670,and 701. 401 atrlpt to 600 trip - 133.75 — 2 Owner signature: Date: Bneeh elricults-oew,atbrstlan,or extra..ou,_per panel A.Fee for branch circuits W(A lemce or Business name: brunch circa Pee,each y 6.65 ?� «. 2 B.Fee'or branch circuits 1 Contact name: ,v(th"I scrvfce or tbeder fee, 46.95 2 — each branch circuit Address: Each add'I branch circuit 6.65 2 C.ity/3tate%ZIP: MlocWhiosout/servlet or Herder not ladeded) IL Phone:( ) Fax::( ) `— Putt or irrigation circle 53.46 2 _ Sign or outline hSh irg 53.40 _ 2 E-Mail: Signal cfreutt(s)or 11rrdted- N energy panel,afterstion,or extension.Describe: Pajgu 2 - - 2 Business name: ,•,f Address: 7 Mods additional In ecdoo war allowable to any of ilia abo m m —_- Iy r1 2 4 _ Pet inspection _ - 62.50 - T City/statetzm- Invetti anon per hour(1 Is,min) 6250 W rho lie:(fit;) h`4_ t Fax:(fo•; ) iL4Lj Its-IS K' Industrial plant hour v 73?S 711 (:(`H T�ic.: � 5� < Electrical Lic. _ 3 L Suprv.Lic.: fs1'L - - Subtotal Suprv.Electrician sign9ture,required: ALIPlan review(25%of permit tee) Print name: -- r `---- .4 Date: -�+ �-- Stats,surcharge(S%of permdt he) -_�_�r TOTAL",RMrr FM *4 Awhorized signature: M permit spoicatlea,spires If■permit Is not ebtefsed MM n ta0 days aftrIthas been eec*osdancemplsse Print name: Date: • Itis methodology oat by Trf-County Buildints feAlMtry Servite Ansrn --- - ------ --� '•Nun ter of hopeetinns per parmit illo"d, \Bulldin&wrn \IMC-PtneitAppdee 12,W 440•4fIJr(IWV0DWWW CITY OF TIGp►RD BUILDING PERMIT DEVELOPMENT SERVICES DATE EI3 ISSUED: 2/14/2005T M t 00052 13125 SW Hall Blvd..Tiqard.OR 97223 (5031639-4171 PARCEL: 1S134AA-01900 SITE ADDRESS: 10115 SW NIMBUS AVE 850 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? TYFt OF CONST: 2N sf N: S: E:W: OCCUPANCY GRP: B TOTAL AREA: 0 sf ROOF CONST: FIRE RET? OCCUPANCY LOAD: 6 BASEMENT: sf AREA SEP. RATED: STAR: 1 HT: R GARAGE: sf OCCU SEP. RATED: BSMT?: MEZZ?: REQ_D SETBACKS REQUIRED FLOOR LOAD: psf LEFT; ft RGHT: ft FIR SPKL: SMOK DET: DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP ACC: BEDRMS• BATHS: IMP SURFACE: PRO CORR: PARKING: VALUE: $ 10,000.00 Remarks: TI, walls for restrooms. Owner: Contractor: KILLIAN PACIFIC COMMERCIAL CONTRACTORS INC 500 BROADWAY SUITE 110 1265 SOUTH 35TH PLACE RIDGEFIELD,WA 98642 Phone: 503-227-0423 Phone: 503-227-4440 Reg#: LIC 123729 FEES REQUIRED ITEMS AND REPORTS Description Date Amount BUILD] Permit Fee 2/14/2005 $139.30 IT'AX]R4%State Sureharl 2/14/2005 $11.14 IPUPPLNl Pin Rv 2/14/2005 $90.56 IFLS1 FLS Pin Rv 2/14/2005 $55.72 Total $296.72 a ac r~n This permit is issued subject to the regulations contained in the Tigard M,rnicipal 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 wark is suspended for more than 180 days. ATTENTION: O egon law ED' requires you to follow the rules adopted by th,� Oregon Utility Notification Cente,. Those rules are set forth in OAR W 952-001-0010 through OAR 952-001-0100. You may obtain a (-npy of these rules or direct questions to OUNC by W calling (50 - 9 or 1-800-332-2344. Issued y: Permittee Signature: Call 639-4175 by 7 p.m. for an Inspection the next business day r Buildinp. Permit Application City of Tigard Received Ibn,.tNo. DatdB : i es -- 13123 SW Hall Blvd.,Tigard,OR 97223 Pon RwieM � — Phone: 303 639 4171 Fax: 103 599.1960 paWB Other Permit: Inspectdarn line: 301 6)9.1173 Dote Ready/By: M Sae Atbebed Cbwklist for Interne www.ei.tigard.or.us NotifiedlMethed: g �— - wptewahl tadwwatlea Ty1hC�Or WOW `� OIA'CAr14AiMp1� l�X v, r New construction [pr)emolition^ Permit fees*are based on the value of the work performed. Ad Famn/alA uion/replacement Other: Indicate the value(rounded to the nearest dollar)of all equipment.materials,labor,overhead,and the profit for the CATEGORY OR CONSMU('110" work indicated on this application. _ ❑ I-and 2-family d welling Commercial/industrial Valuation: S Accessory buildiro Number of bedrooms: ❑ ry_ Multi-family _^ [�Master builder ❑Other: ,^ Number of bathrooms: y JOB SITE QIMORMATWK A1/D L,OCATICkI Total number of Floors: lob site address: )MES u) /V;0)&JJ �(/F, New dwelling area square feet City/State/ZIP: l Ce 9 7.2 2 3 —^ - Garage/carport area: -- square feet Suitelbldg./apt no.: Project name: �- Covered porch area: square feet Cross stmet/directions to job site: _ Deck area: square feet Other structure area: square feet ��— IRWMW DATAt CONNWJft4&WI CMW.UW Subdivision: — _�— Lot no.: Permit fees*are based on the value of the work perftxrmed. Tax map/parcel no.: Indicate the value(rounded to the nearest dollar)of all equipment,materials,labnr,overhead,and the profit for the DWAW.1 UMON OF WORK work indicated on this application. - - — Valuation: S /Di 60O '-- Existing building area: square feet New building area: /&O'J square feet --PItO'ERTY OWNER Q 1MANT Number of stories: Name: „ �� Type of construction: 1�- N Address: S 7jU ern.. Occupancy groups: City/State/7.1P: v"*AC1WJR41'_ (uA Existing: Phone:(5j)12 -7- O YZ 3 Fax:( ) New: Arn.rcA_NI f D c�arrACr PRIEM Business name: Co"IM.Pet-q (Os1!'/+eCAP-1 41(, All contractors and subcontractors am required to be O. Contact name: r C licensed with the Oregon Construction Contractors Board A under ORS 701 and may be required to be licensed in the CK Address: �Z -_SJ �! �S} .414 e[ jurisdiction in which work is being performed.If the /State/ZIP: d applicant is exempt from licensing,the fo!lowing reasons Ci ty / Adpr f�C/ cv"g. ��^yZ apply: Phone:(So,)) Z2 7-414/010 Fax::(_5bj) 2Z -b6#tfl - E-mail: -- Ur CONTRACTOR — --- — W -- -t I Business name: Address: !L u t�( 3S ,A f 4e ----- - - -— --- - Pfeawe rejn an fee schrafnfe. city/State/zIP: Fees due upon application Phone:($03 ) 22 7- q y Far:1 s 23 ) 11)- F 6 y5/ — -- ---- ---- CCB lic.: /4.3 __-- v ---T— --- -------- Amount received �1 ---- �— Date received: Authorized signal rr-�40.ze7, � � --- This permit appliestian expires If a permit Is not ehtained -_-- ---- - within letl days after It has bees seegded as complete. PrintDate: ; �` C Fee m ,logy set by Tri-County Bn'.Iding Industry Se is'Building'Pcmits�BtlP-PerniOApp dnc 12/0 440461MI JM,' 0MNVE9) Y Building Division Accessibility: Barrier Removal Improvement Plan CIty o Turd REQUIREMENT: OREGON REVISED STATUTE(ORS)447.241. (1) Every project for renovation,alteration or modification to affected buildings and related facilkles shall be made to insure that the path of travel to the altered area and the restroom, telephones and drinking fountains arc readily accessible to individuals with disabilities unless such alterations are disproportionate to the overall alterations in terms of cost and scope. (2) Alterations made to the path of travel to an altered area may be deemed disproportionate to the overall alteration when the cost exceeds twenty-five per-cent(25%). VALUr`.TION: Total of all renovation,alteration or modification being done, excluding painting and wallpapering: p66 MULTIPLIER(25%barrier removal requirement): x .25 TOTAL BUDGET FOR BARRIER REMOVAL: [2] S d$�dC1 ELEMENTS: In choosing which accessible elements to provide under this section,priority shall be given to those elements that will provide the greatest acress. Elements shall be provided in the following order: (a) Parking S (b) An accessible entmice: (c) An accessible route to the altered area: S CL (d) At least one accessible restroom for each sex or a single unisex 2 restroom: S $ � (e) Accessible telephones: S (fl Accessible drinking fountains: and, S _ C: W (g) When possible,additional accessible elements such as storage and alarms: S TOTAL(shall equal line 121 of Valuation Computation): S a_ i:\Building\Fomn\AcrdshnprvPlan.doc 11/25103 v,WCF COPY BURGSTAMLER ENGINEERS '� Cera . senw.t.ral ...*no _� _ a._1 of RWOOD,R GON 97140 C^ ^TMS•. (SO2) 6211.7492 a+mio er .cnu aEI SMtC Fog MY G ADO Ft UP4 IT Wel�yr ppOR IOTVNIT YSCIZoA 997 4+V^C UNIT Fhse AC[QSsoglics S� TMAL 100* = Fr Hs-4 HKAP SCREWS dISSIGN 9910MIC }TOLD POWW IVA Zda• 3 J3.aa DiSLt Fr * �.o co, I�, Wp X1(0 Wr= 1040Ity of -jgard 4 0.X0, Ap rope plans Z '�Z'-03' I 1.00 S . Date r _ 000 6� � �"r' 4•0 m o. 3G K 1.00 ti �o�10 40 'G �y --G ~ s Svrf ^ = 14980" 1Dlls r1� J N �,,naul AVy AlK COHVITIVNING vN&T 9TRVCTV%kS SOTO Pres Tofu a PR FAC TC,t`{ 6 A or:2 A Int c O V V A L A r 4 + ltt�o-�g OF MkA#& IL S0140W)4oW)4 /'+►ove V 9 V 03 5 CREwy !1l+to Jai, 4" lfsX H&A P J TWo N KACF+ Co)tNeA , TO MA) I3TAtiM m,794K-ITY OF C0MNSCTl0)4 - QI✓VL Q—p wr.J' C7 J -.--..-.--�—•-- 'y ' .Ceti✓ Mow, Am AAL LAGS .:F ' 9UR8 •wJ •O CITY OF TIGARD ELECTRICAL PERMIT PERMIT 0: ELC2005-00075 DEVELOPMENT SERVICES DATE ISSUED: 2/1012005 13125 SW Hall Blvd.,Tltaard,OR 97223 (503) 639-4171 PARCEL: 1S134AA-01900 SITE ADDRESS: 10115 SW NIMBUS AVEBAH'q SUBDIVISION: 1 KOLL BUSINESS CENTER TIGARD ZONING: C G BLOCK: LOT: 001 JURISDICTION: TIG Project Description: Illuminated wall sign. 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: 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 ERVC OR FDR: PER HOUR: 401 - 600 amp: EA ADD'L BRNCH CIRC: IN PLANT: 601 - 1000 amp: PLAN REVIEW SECTION 1000+amp/volt: >=4 RES UNITS: >600 VOLT NOMINAL: Reconnect only: SVC/FDR>z 225 AMPS: CLASS AREA/SPEC OCC: Owner: Contractor: FONESS SIGN CO 30255 HWY 34 ALBANY, OR 97321 Phone: Phone: 541-928-5858 FEES Reg*: Lic 144386 Description Date Amount ELF 2250-CLS [F.I-PRMT] FLU Permit 2/10/2005 $53.40 ITAX]8"o State Surcharge 2/10/2005 $4.27 REQUIRED ITEMS AND REPORTS Total $57.67 This Permit is issued subject to the regulations contained in the Tigard Municipal Code,State of OR.Specialty Codes and aN 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 adnpted by the Oregon Utility Notification Center Those rules are set forth in GAR 952-001-0010 through OAR 952-001-0100 You may obtain copies of these rules or direct questions to OUNC at(503) 2466699 or 1-800-332-2344. p� Issued By: !� �•�� Permit Signature.. N _ OWNER INSTALLATION ONLY The installation is being made on property I own which is not intended fo,sale, lease, or rent. m OWNER'S SIGNATURE: _ Lu —J CONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR. ELEC'N: _ DATE: LICENSE NO: Call 639-4175 by 7:00pm for an inspection the nest business clay SC ^j2c1� �pZ Efectrltal Permit Aipalicatinn Cit of Tigard Permit N.: d Received Y 8 Dewox "�U 0 1'7�✓ f til ) 13125 SW Hall Blvd.,Tigard,OR 97223 Men Review Phone: 303.639.4171 Fax; 303.598.1960 Dewey oubw Pon3at: Inspection Line: 503.639.4175 Deas Roody/By rub la Roo Pap f for Internet: www.ci.tigard.ovus NoIiMNAMtbod _0V I tseponme cal larorreanea TM OF rAMU - Ncw«xtstr»c:ticxt Mone check all that ❑Adtiiticxt/altrratiort/rrpll3cemcnt apply ❑Demolition (]Other: ❑Service over 225 amps,cotmt'I ❑Haran ous loatioe -- ❑Service over 320 amps--rating []Buildn 1 ova 10,000 sq.R., CATIGMY OF CO11IM11CT10N of I-and 2-family dwellings 4 or tr.ore new residential Q I-and 2-family dwelling W ommercial/industrial ❑Aceessttry building ❑System over 600 volts nominal unit,,in one structure (]Other: []Building ova three stories ❑F.*Aas,400 amps or more Q Multi-family ❑Master builder []Occupant load over 99 persom ❑Manufactured structures or _ JOB KIM DI1111I MATION AND LOCATIION ❑Egre"Aighting plan RV prA ❑Health are`acility ❑mer Joh no.: lob site aidrrRn: UI 1 S S.l,y \�(a t,<•— Submit 1 sets of plars with any of the above. City/State/7IP: '\ bA i1 �. ")'� '3 The above are not appliable to temporary oonstruction service. Suitelbldg./apt.no.-. Project name: --- Ti A to v5_ l 13stetPrtw t2ty. r.. ran Cross stt'eet/directions to Wine: New moldesdal single-or mat l-6oNy dwenl.g emit. -- -Includes attmebed gerage. _ 1,000 q.A_,or less 145.15 4 Subdivision: _ �l,d no.: F,a.add'I 300 q.R.abortion 33.40 1 fax trulp/parcel no.: Limited energy,residential 73.00 2 Limited enaBy,non-repidential 75.00 2 Dill � Each menubetured a mo+hrlar dwellinL service and/or F a" 90.90 2 -A% L�-L L.,. ,,L1 t 4,A L _.��b c^ Services or feeders IantaMatba,sheratba.and/or relocation 20 amps or less - _ 80.30 2 00111111110T O'1,1, bwN1 p TIaIANT 201 amps to loo amps 106.85 2 c ---- 401 amps to 600 amps 160.60 2 Name: ��(�L,41 �'� c., C,Z, _,— 601 amps to 240.60 240.60 2 Address: Uva 1,000 amps or volts 454.65 2 Reconnect only 66.83 2 City/State/71P: '� ^ --� Aur C.cl V C�c ��V1J - !� L� Temporary servlees or feeders Installstloo,aNeratlon,and/or Phone:(, ) r �-1. - p(��, Fax:( , ) s x- c7(�'1 I reloeatles Z 200 amps or less 66.85 1 Owner Installation:This installation is being made on property that I own which is not 201 amps to 400 amps 100.30 2 intended for sale,lease,rent,or exchange,according to ORS 447 419,670,and 701. 401 amps to 600 amps 133.73 2 Owner signature: Date: Draneb elreellb-new,altersHe or eahobe, er panel UCMa WSWAO VjV$WA.Fee for branch circuits with service r 'xder fee,each 6.63 2 Business name: 'q e�S �a C to.,. C c, branch circ, 'I _ B.Fee far branch circuits Contact dame: D='w without service or fexdm fa. 46.83 2 A [>-z r� c W each branch circuit Address: __. Each add'I branch circuit^ _ _6.65 2 City/StateJ711P: A I_bA,, d G 'l Z l Miscellaneous(service or feeder not Included) Pump a irrigation circle 33.40 2 d Phone:(511( ) 'N'Z� eJ��, -_ Fax::(c ( ) Q'Lg garo� Si a outline lighting —_— 33.40 _ 2 1O. Umail: Signal circuil(s)or limited- energy panel.ahaation,or - —' extension.Describe: Page 2 2 Business name: J Vl _ Eacb addltlonal Inspection over allowable In any of the above Address: Per inspection _ 62.30 Wty City/StatdZlP: p�b,�� '� ( — J Investigation per hour(1 hr min) 62.30 J —'� Industrial ant —hour 73.75 I hone(Sc1 l ) I"1-�5 r r3 Fax:(y t t ) R r- CCB Hc.: %-kLk , Electrical Lic.: Si S Li c.:Z2 ) (!~.S Subtotal ySuprv.Electrician signature,required: -r , ') '(/� — Plan review(25%oi permit fee) —` State surcharge(8%of permit lee) Print name: U L1 i S p INte: f —U S TOTAL PKRMtT FETE Authoricued signatures-' R;.,, � __ 7%b Pit IM applkatlw aptres Of a permit Is est olrtaiaed"Kin 1de Print ntttrte: p � ----� -- �order it b.Deas.eosI I a emplete ti r 1"�.4`�vJ�.v _ Date:7'lo U5 ••Fw woddbodnlou sm b per I-Cow ung Iadastry 3eMoe Band NuritauildinptPermiMtPJ-C-PwmHAppdw 12103 ----FF 44046157rI002XOMMM Electrical Permit Application - City of Tigard Wage 2 - �;upplemtntal Information LIMITED ENERGY PERMIT FEES: IRESI�>�PITW.WORK Fee for aj residential systems combined...,.... $75.00 Check Type of Work Involved: ❑ Audio and Stereo Systems* ❑ Burglar Alarm ❑ Garage Door Opener* ❑ Heating, Ventilation and Air 6onditioning System* \ ❑ Vacuum Systems* ] Other: Fee for each commercial system...... 00 (SEE OAR 915-260-260) Check Type of Work involved: ❑ Audio and Stereo Systems ❑ Boiler Conti ols ❑ Clmk Systems ❑ Data Telecommunication Installation ❑ Fire Alarm Installation ❑ HVAC ❑ Instrumentation �. ❑ Intercom and Paging Sys s ❑ Landscape Irrigati ontrol* �' ❑ Medical L9 ❑ Nurse Calls a ❑ Outdoor Lardscape Lighting* ❑ Protective Signaling ❑ Other _ Total number of commercial systems: *No licenses are required. Lkenses are required for all other Instellatit-wes e«04M 1 ELECTRICAL PERMIT- t CITY OF TIGAR.D RESTRICTED ENERGY DEVELOPMENT SERVICES PERMIT 0: ELR2005-00035 13125 SW Hall Blvd., TIQard. OR 97223 (503)639-4171 DATE ISSUED: 2/24/2005 SITE ADDRESS: 10115 SW NIMBUS AVE 850 PARCEL: 1 S134AA-01900 SUBDIVISION: 1 KOLL BUSINESS CENTER TIGARD ZONING: C-G BLOCK: LOT: 001 JURISDICTION: TIG Proiect Descrintion: HVAC.; A.RESIDENTIAL _ B COMMERCIAL AUDIO&STEREO: AUDIO& STEREO: INTERCOM& PAGING: BURGLAR ALARM: BOILER: LANDSCAPE/IRRIGAT: GARAGE OPENER: CLOCK: MEDICAL: HVAC: DATA/TELE COMM: NURSE CALLS: VACUUM SYSTEM: FIRE ALARM: OUTDOOR LANDSC LITE: OTHER: HVAC: X PROTECTIVE SIGNAL: INSTRUMENTATION- OTHER: TOTAL OF SYSTEMS: 1 Owner: Contractor: KILLIAN PACIFIC OREGON HEATING+AIR COND 500 BROADWAY SUITE 110 PO BOX 397 DUNDEE, OR 97115 Phone: 503-227-0423 Phone: 503-538-2951 Reg*: ELE 522LH11 LIC 125815 FEES Description _Date Amount REQUIRED ITEMS AND REPORTS I:[,PRMT] ELR Permit 2/24/2006 $75.00 ITAXI 9%State Surchart 2/24/2005 $6.00 Total $81.00 This Permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable laws. All work will be,done in accordance with approved plans. This permit will expire if work is not star+ed within 180 days of issuance, of if work is suspended for more than 180 days. ATTENTION: Oregon:aw requires You to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952.4001-0010 4 throulh OAR 952-001-0100. You may obtain copies of these rules or direct questions to OUNC at(503)246-6699. Ot; Issued by �� Permittee Signature. OWNER INSTALLATION ONLY m� The installation is being made on property! c:vn which Is not Intended for sale, lease, or rent. ui OWNER'S SIGNATURE: DATE: CONTRACTOR INSTALLATION ONLY _ SIGNATURE OF SUPR. ELEC'N _ _ DATE: LICENSE NO: Call 639-4175 by 7:00 P.M.for an Inspection needed the next business day I eb 23 175 UHr 5,'s 503•-537-2172 P. 1 Electrical Permit Application 7 Date ruceiv e Permit no.t&,��3} City of Tigard FEB 2 3 2005 Project/appl.no.: Exphe dote: CIO,of rlgurrf Address: 0125 SW Hall Blvd,Tigard,OR 97223 Date iasuod: By: Receipt no.: — Phone: (503) 639-417CIT'Y UI' 1 11.1HKU Case lire no. T) P.yment type: Fax: (503) 598-19fi�* ILDING DIVISION — - Land use approval: J I & 2 family dwelling or acces.Dry 6eomtr m ial/industrial U Multi-family U Tenant improvement U New construction Ll Addition/aiteration/replocement C1 Other. �_U Partial Job address: �Q _ubdivisiBldg.tlo.: Suite no.. Tax map/tax lot/account no.: Lot: Block:. Son: Pmject name: I Description and location of work on premises I{f' Estimated date ofcnmplctiun/insper:tion: Job no. glee Max ria �gAI(L (( 4 DetcrltatN. Business name: Q4• (A•) ToW ao.los New reeHrwdN-singM er ttmdtl-holy per Address: � _ �_ dwA"Unh.[winds$attached garsir. City: I rrA 4P State: ZIP: aerrkelneladedt Phone: 5 Fax: 53-1-3 IEmail: IOM%ft.or leu Each additional 300 sq.ft or ion Hereof Limited energy,reatdereial 2 CCB n0.: >J� Elec.bus.tic.no: - --�°R City/ n0' Limited enagy, nottresidendal 2 n C_ Eech manufactured home or modular dwelling Sl;na>Yr int electrician(nxlirAJ _ t LlsZ. Service and/or feeder 2 Sup.elect name(print): ' Lienee no 8ervleesorfeeders-•Installation, alieratlon or reloeadon. 200 amps or tees 2 Name(print): 101 amps to 400 amps — 2 � 101 amps to 600 amps 2 Mailing address:_ 40A� —__ 601 o t to 1000 amps ` 2 City: Stat ZIP: own 1p00 amps or volts 2 Phone: CZ7 Pax: E-mail: Recoe,eet only ) Owner installation: The installation is being made on properly 1 own Terpraryrenteelorfeeders - which is not intended for sale,lease,rent,or exchange according to MBranatl^n,ahentlen,orrelondoa: ORS 447,455,479,670, 701. 2M oinks or lea ` 2 :91 n psto 400 amps— 2 Owners si nature: Date: 401 to 610 ems _ 2 KHMER ■ moth eireetts.now,alteration, or a:tenston per Roel: Name: A. Fee fa branch circuits with purchase of service or feeder nee,each branch circuit 2 City: $tete; ZIP: B Fee rot branch circuits without purchase -- --- of scrvlce or feeder for,first branch circuit: 2 Phone: Fax: E-mail: Sack eddtetonat hramch ciCuit: Mile.(Service or feeder not meted edy d U Service over 223 amps commercial O Health rare facility Each p or irrigation circle 2 G Service over 320 amps-mting of 10:2 U HatUrdous itcalion each sign or outnna IighNac 2 fhmily dwellinbm O Building over 10.000"utre feet fbttr or Signal circuit(s)or a limited energy panel, — - N1:1System over 600 volts nominal rrxme residential units in onr strumurc aheratton, or extension* �_ 2 U) U Building over three stories U Feeders.400 nmps or more *Description: ❑thculnnt fond over 94 persons O Manufactured stntetutes or RV park Each addlrlonal lmpeedoa over the atletwahle M any of t1t et»rt: J U Egress lighting plan U Other. — Per inspection m Submit _sets of plow nilh any of the above. Investtgtstioa the 0 The above are not applicable to temporary construction servke. other Not all lurudietions secept credit cads,ptaae call jurisdiction ler more Infbrmatbn. Notice': This permit npptleation Permit fie ......................s t 00 U Visa U Mmrert_ord expires if a permit is not obtained Plan review(al %) S Credit card number: State surcttar a 8°i6 '--� -_. __. _�, � . __ within IBB days after it has been ti ( ).....5 Gpirea accepted m.complet,.. TATAL.........................S `�—Acme o enrdFef r�s?mtvn on ere rt 72W_--" S 446.4613f610NCOM) � BUILDINGPERA4IT CITY OF TIGARD PERMIT If: BUP2005-00064 DEVELOPMENT SERVICES DATE ISSUED: 2/17/2005 13125 SW Hall Blvd..Tloard.OR 97223 (5031639-4171Uam PARCEL: 1S13tAA-01900 SITE ADDRESS: 10115 SW NIMBUS AVE 850 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: 0 sf ROOF CONST: FIRE RET? OCCUPANCY LOAD: 34 BASEMENT: sf AREA SEP. RATED: STOR: 1 HT: ft GARAGE: sf OCCU SEP. RATED: SSMT?: MEZZ?: REQD SETBACKS REQUIRED FLOOR LOAD: psf LEFT: ft RGHT: ft FIR SPKL: SMOK DET: DWELLING )NITS: FRNT: ft REAR: ft FIR ALRM : HNDICP ACC: BEDRMS: BATHS: IMF SURFACE: PRO CORR: PARKING: VALUE: $ 24,34C.00 Remarks: TI, new walls. Owner: Contractor: ROBINSON, WILLIAM R/CONSTANCE A COMMERCIAL CONTRACTORS INC ROBINSON, LYNN + BELL, KAY ET 1265 SOUTH 35TH PLACE BY ELLIOTT ASSOC RIDGEFIELD,WA 98642 PgRTLAND, OR 97204 one: Phone: 503-227-4440 FEES Reg#: LIC: 123729 Description Date Amount REQUIRED ITEMS AND REPORTS 113UILD]Permit Fee 2/17/2005 $283.30 _-- [TAX]8%State Surcharl 2/17/2005 $22.66 [BUi'PLNI Pin Rv 2/17/2005 $184.15 [FLS] FLS Phi Rv 2/17/2005 $113.32 Total $603.43 IL This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes Nand all other applicable law. All work will be done in accordance with approved plans. This permit will expire if viork is not started within 180 days of issuance,or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0100. You may obtain a copy of these rules or direct questions to OUNC by m calling (5039 or 1-800-332-2344. W \ 1 Issued : 7--,-- ') Permittee Signature: AwA-.' Call 639-4175 by 7 p.m.for an Inspection the next business clay . BuiknQ Permit Application City of Tigard tRAWB 17eived , Pion,.,No_ 13123 SW Hall Blvd.,Tigard.OR 97223 Plan Review Phone: 503.39.4171 Fax: 503.598.1960 [Ate/By: _ Other Pertmt Inspection Line: 503,639.4175 Due Ready/By: 0 gee Attarbe4 CbsekMn far Intend: www.ci.ligrud.orua Notille"ethud: maeatal ahmrwutlea TM OF WORK i DATA:11-AND ZFAMY DALN IF❑New construction ❑Demolition Permit fees*are based on the value of the work performed. — -- -- Indicate the value(rounded to the nearest dollar)of all Addition/alteration/replacement ❑Other: ^ equipment,materials,labor,overhead,and the profit for the CATLGORY OF CONSTRUCTION work indicated on this application. ` ��`— '"—❑ S I-and 2-family dwelling Commercial/industrial Valuation: _ �- ❑Accessory building i ❑Multi-family `i _ Number of bedrooms: ❑Master builds ❑Other: `— Number of bathroom JOB WE INFORP4ATI1ON AND LOCATMN Total number of floors: Job site address:^lona- SU) JV104 us Ave —�' New dwelling area: square feet �-- City/State/ZIP:7-115a tl Cie c7��3 _- Garage/carport area: square feet SuitelbldgJapt.no.: g� Project name.: •O fZ2g Covered porch arra: square feet Cross street/direcdons to job site: Deck arca: — sciume fed Other structure area: square feet RLQEtMD DATA:CONNXRCIAt,•=CI6MNI Subdivision: Lot no.. Permit fees"are based on the value of the work performed. -' Indicate the value(rounded to the nearest dollar)of all 7 ax map/parcel no.: _ equipment,materials,labor,overhead,and the profit for the DESCRI 1,0114 OF WORK work indicated on this application. ---�� -- `— --- Valuation: 3 dy-• — Existing building area: -22 7 7S-,quare feet New building area: 1311 square feet —__— PROPERTY OWMM ^� ❑ TENANT Number of stories: j Name: -11im, Go C Type of construction: f/-43 Address: S-oo E B'ro-J'04Y .sub no Occupancy groups: City/State/ZIP: 00vew 1:04' Existing: Phone:(3 66) QtC.2 Fax:( ) New: - ❑ APPLICANT CONTACT PER.ION MIME Business name: g 5 /C All contractors and subcontractors are required to be a Contact name: � �1 rr i ___` _ ` licensed with the Oregon Construction Contractors Board '�� under ORS 701 and may be required to be licensed In the Address: 9Slt��Y /� jurisdiction in which work is being performed If the. I- applicant is exempt from licensing,the following rens U)U) City/StateGZIP: O,e aZ� Phone:(Sa3) 8K167 Fax: lyo3).23(6 47�� aPFmly 131 �- : — E-mail: •I`N�1 e4 a ti!it/Y-A� PC _ e� . cam• CONTRACTOR ` W Business name: ' Address: (.Z to S' Sa v>�k 4-"-" "'A << — h Ci /StateJZIP: Please refs to fte sebt�r/n City/State/ZIP: Dc rJe W q 9 e 6 ya - - ,J — -- Fees due upon application Phone:isa3) ..j Z y7 LFa-CSO ) .�2 7-6 If 7 _ Amount received CCB tic.: 11 j "'r — Date received: Au,horized signature: /,/ _—_-- This permit application expires If i permit Is not obtained within 180 days after It has been accepted ag complete. Print name; ^ /Y Cit�s� — Date: � � • Fee me bodology sel by Tri-County Building hidugtry �T Service Board. i.13uilding\Pemiu'9UP-PermitApp.doc 12101 4404613T(I MCOW"fi CITY O F T!G A R D MECHANICAL PERMIT DEVELOPMENT SERVICES PERMIT#.- MEC2005-00066 13125 SW Hall Blvd.,Tigard, Oil 97223 (503)6394171 DATE ISSUED: 2/18/2005 PARCEL: 1 S 134AA-01900 SITE ADDRESS: 101'15 SW NIMBUS AVE 85( SUBDIVISION: 1 KOLL BUSINESS CENTER TIGARD ZONING: C-G BLOCK: LOT:001 .JURISDICTION: TIG CLASS OF WORK: ALT FLOOD. FURN: EVAP COOLERS: TYPE OF USE: COM UNI i HEATERS: VENT FANS: OCCUPANCY GRP: B VENTS W/O APPL: VENT SYSTEMS: STORIES: BOILERS/COMPRESSORS HOODS: FUEL TYPES _ 0 3 HP: DOMES. INCIN: LPG 3 - 15 HP: COMML. INCIN: MAX INPUT: BTU 15-30 HP: REPAIR UNITS: FIRE DAMPERS?: 30-50 HP: OD GAS PRESSURE: 50+ HP: CLO DRYERS: FURN < 100K BTU: AIR HANDLING UNITS C OTHER UNITS: FURN >=100K BTU: 1 <= 10000 cfm: > GAS OUTLETS: 10000 cfm: Remarks: Replace existing rooftop unit and ductwork. Value: $12,000 Owner: FEES ROBINSON, WILLIAM R/CONSTANCE A Description Date Amount ROBINSON. LYNN + BELL, KAY ET IMECII] Permit Pee 21181200E $177.50 BY ELLIOTT ASSOC IMECPLN] Plan Rev 211812.00E $44.38 PORTLAND, OR 97204 [TAX] 8 State Surchaq 2/181200', $14.7.0 Phone: Total $23(,.08 Contractor: OREGON HEATING +A/C INC PO BOX 397 REWRED ITEMS AND REPORTS DUNDEE, OR 97115 — Phone: 538-2953 Reg!f: LIC 125815 a oc J_ m 0 This permit is issued subject to the regulations contained in the Tigard Municipal Cade. State of Ore. Specialty Codes and all other applicable laws. All work will be done in ac..ordance with approved plans. This pe 'mit 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 in the Oregon Utility Notification Center. Those rules are set for+h in OAR 952-001-0010 through A 952-001-0100. You may obtain copies of these rules or direct questions to OUNC by calli 5 2 -•6699. Issued By: Permittee Signature: Call(503)639-4175 by 7:00 P.M.for inspections needed the next business day Mechanical Permit A kt EI v ED Received City of Tigard ne1e,�Y_ •� >, Perrtdt No.: ,D�6 13125 Sl"Hall Blvd.,Tigard,OR 97223 FEB 18 2005 Phone: 503.639.4171 Fax: 503.598.1960 Plan Review ^ �/_�s' Other Permit: Inspection Line: 303 639.4175 Date Ready/Ny:^ rung— 0 See. .ee 2 for Internet: www.ct.ti a[d.or.us �,'"t,� �� .i �LI Notifled/Method: Su lemen,.11nformation 8 _ L ;/C, I PP ----r1_III DING l�T`JISIt)N - — — — TYPE OF WORK COMMERCIAL FEE* SCHEDULE - IJSE CHECKLIST New consGvction Addition/alteration/replacement Mechanical permit fees'are based on the value of the work performed Indicate the value(rounded to the nearest dollar)of all ❑Demolition Other. mechanical materials equipment,labor,ova h and profit. CATEGORY OF CONSTRUCTION _ Value:S i -- — RESIDENTIAL EQUIPMENT i JiSTEMS FEES' ❑ 1-and 2-family dwelling omrnercial/industrial E]Accessory building - _ El Multi family CMaster builder ❑Other: For special information use checklist. —_ Description Qty. Fa. Total JOB SITE INFORMATION AND LOCATION _ _ Heatlo coolln _ Job site address' / S(A,� ,1 C Air conditioningho heat pump — 1 v - YYY �`' _ Iroquires site plan showing Placerrknt) 14.00 City/State/Zip. � A" �,Q — Furnace 100,000 BTU _!!v _14.00 Suitubldg./apt.no.: Projectname:n—ams:{ Furnace 100,00(+B7U1dw:talvent. 17.90 C �f Gas heat pump 14.00 Cross street/directions to job site: Duct work___—_---_ 14.00 H dronic hot water system 14.00 _ Residential boiler(radiator or h dronic— 14.00 — -- — Unit heaters(fuel-type,not electric), in-waliin-duct,suspended etc. 10.00 _ Subdivision: Lot no.: Flue/vent for any of above 10.00 — Other: _ 10.00 Tax map/parcel no.: Other fuel appliances DESCRIPTION OF WORK Water heater _ --�_ 10.00 Y Gas fiLeplace 10.00 ; Flue vent for water heater or gas _—G t.0 2�..da fireplaceghter as 10.00 10.00 =� A'y _fry Lo lighter c�S g Y- /p Wood/pellet stove _ 10.00 Wood fit lace/insert _ 10.00 t ElPROPER 'Y OWNER TENANT Other: _ 10.00 Other: 10.00 Name: Environmental exhaust and ventilation — Address: �0 � Range hood/other kitcher. equipment _ _ 10.00 City/State/ZIP: Clothes dryer exhaust 10.00 Single-duct exhaust(bathmorns, Phone:( ) Fax:( ) toilet compartments,uali�rooms 6.80 ❑ APPLICANT ❑ CONTA17T PERSON Attic/crawispace fans 10.00 -----"" — Other: 10.00 111 name: ► — - Fuel piptog _ Contact name: 55.40 for first four 11.00 for each additional _ CL Furnace,etc_ Address: ,� ----- - Gas heat pump W City/State/ZIP:— t Wall/suspended/unit heater_— _ Phone:( �) --— Fax::( ) Water heater J Fireplace ra Range E-mail: a CONTRACTOR Barbecue_ W - Clothes dryer(gas) ,J Business name: — OF se --- Other: Address MECHANICAL PERMIT FEES* City/State/ZIP: 0 /S Subtotal Phone X13) -j fj ' Fax:M) 7-f7`� Minimum permit fee tS72.50) _ _ Plan review(25%of permit fee) State surcharge(8%of permit fee) _ __ TOTAL PERMIT FEE Thh permit appllcaNexpires pires II a permit is net obtained within 1 SO Authorized Signature: days after It has been accepted as completo. Print name: Date: Fee meftidology sit by Tri-County Building Indushy Service Board Mechhal zal Permit Application - City of Tigard ' Page 2 - Sulemental Information VA Commercial ee Schedule: Total Valuati Permit Fee: $1.0'0 to$2,000.00 Minimum fee$72.50 J $2,001.00 to$5,000. 0 $72.50 for the first$2,000.00 and$2.30 for each additional$100.00 or fraction _ thereof,to and including$5,000.00. $5,001.00 to$10,000.00 $141.50 for the first$5,000.00 and $1.80 for each additional$100.00 or fraction thereof,to and including $10,000.00. _ $10,001.00 to$50,000.00 231.50 for the first S 10,000. 0,6id 35 for each additi 00.00 or fr tion the=r,'. and including _ $5 $50,001.00 to$100,000. X71. 0 for the first$50,000.00 and $1.25 each additional$100.00 or fraction ereaf,to and including $100 000. . $100,000.01 and up $1,396.50fo the first$100,000.00 and $1.10 for each dditional$100.00 or fraction thereof Note: All new commercial buildings requ e 2 sets of plans. CL oc N to J_ _m M W J is\Building\Permits\MEC-PermitApp.doc 11/03 Z Form Project Name: ` ---r— T TPage:_ SYSTEMS - GENERAL Applicability plans/specs Diecuesxm 0 qustAlymg Shea ax 06 by bw*j*V a erowkq Vim,d"I ercephuns on pr?e 4-14 Arm,peon Kftbn end m*Vl%w10 1. Applicablity (Section 1317) Is this form required', X-Arm Required, Complete form If a new HVAC systern;s being installed, nr componontb of an existing HVAC system are being replaced(I.e., equipment, controls, ductwork,and insulation.) DException.Thee building or part of the building qualifies for an exception from HVAC code requirements.Applicable code exception Is Section 1317.1. Portions of the building that qualify: Area:C—._— --� Exception 1 ❑ 2 ❑ 3 ❑ J Area: Exception 1 ❑ 2 ❑ 3 ❑ Area.C — _—Y� Exception 1 ❑ 2 ❑ 3 ❑ ❑ Form Not Required.This project does not contain work reQUIred to comply with code. 2 Simple or Complex Sy,atems (Section 1317.9 or 1317,10) �rrn mple System. Building cr.mtains only Simple HVAC System(s). Complete this (4a)and equipment r41ficlency worksheets as required. Form 4b Is not required. ❑Complex System. Prnjdct Includes a Compler.System. Complete this foml (49), form 4b and equirinent efficiency worksheets as required. 3. System and Zone Controls (Section 1317.4.1 and 1317.4.2) l Complies. All new HVAC systems include at least one temperature control device / sponding to temperatures within the zones ❑Exception. HVAC system qual;fies for an exception from zone control requirements. The applicable code oxcepti, i is Section 1317.4.2, Exception 1 ❑ 2 ❑ Portions of the building that qualify: The plans/specs show compliance in the following locations: 4 Control Capabilities (Sec. 1317.4.2.1.) X�omplles. Zone thermostats are capable of beinq set to the temperatures described in Sec. 1317.4.2.1. Where used to controi both heating and cooling,zone controls shall be capable of providing a temperature range or deadband of at least 5 degrees F within which the supply of heating and cooling energy to the zone Is shut off or reduced to a minimum. ❑Exception.The building qualifies for an exception to the deadband requirements. �- The applicable code exception is Section 1311.4.2.1 Exception 1 ❑ 2 Q NPortions of the building that qualm } The plans/specs show compliar — following locations: OD ij 4 1 W J Form 4a Project Name: _ Page: �^ SYSTEMS - GENERAL 5. Off-hour Controls 5.1 Automatic Setback or Shutdown (flection 1317.4.3) Complies. Systems must have at least one of the following features: Control Setback Complies. Each system is equipped with automatic ceitrol capable of reducing energy through control setback during periods of nonuse or alternate use e! spaces servcd by system. 7%.Equipment Shutdown Complies. Each system is equipped with automatic control capable of reducing energy equipment shutdown during periods of nonuse or alternate use of spaces served'by system. HVAC systems with equipment shutdown are equipped with at least one of the following: ❑ Programmable controls (1317.4.3.1 (1)) ❑ Occupant sensor(1317.4.3.1 (2)) ❑ Interlocked to a security system (1317.4.3.1 (3)) ❑ Manually activated timers with 2-hour operation max ❑Exception. The building qualifies for an exception to the requirement for automatic setback or shutdown controls(first set of exceptions) The applicable code exception is Section 1317.4.3 Exception 1 ❑ 2 ❑ The plans/specs show compliance it the following locations: 6.2. Bhutoff'Damper Controls (1317.4.3.3) Complies. Each outdoor air supply and exhaust system is provided with motorized dampers or other means of automatic volume shutoff or reduction during periods of nonuse or alternate use of spaces served by system. ❑Exception.The building qualifies for an exception to the motorized damper requirement The applicable Cade exception: Section 1317.4.3.3, Exception 1 ❑ 2 ❑ 3 ❑ 4 [J The plans/specs s iow compliance in the following locations: _ 5.3. Optimum Start Controls (Section 1317.4.3.2) Complies. Separate HVAC systems have controls capable of varying start-up ti- iF of system to just meet temperature set point at time of occupancy. Wr-xception. HVAC systems have a design supply air capacity riot exceeding 10,000 0m. r'�he Mans./specs show compliance in the following locations: 6• Heat Pump Controls (Section 1317.4.4) NNo Heat Pump The plans/specs do not call for a new heat pump 4. ❑ Complies. All new heat pumps equippad with supplementary heaters are controlled to p� minimize the use of supplemental heat as defined in Section 1317.4.4. NThe planslspecs show compliance in the following locations: m 7. Equipment Performance (Section 1317.5.) (j IJ No New HVAC Equipment. The building plans do not call for new electrical HVAC J equipment,combustion heating equipment,or heat-operated cooling equipment. ;Complies. All new HVAC equipment have effidencies not less than those required by the code. The following equipment efficiency worksheets are attached: 4b 4c 4d 4e 4f 4g 4h 41 4j ❑ ❑ ❑ ❑ ❑ ❑ O ❑ ❑ 4-2 Farm 4a Proje4l Name:_— Pa0e: SYSTEMS - GENERAL _ B-�. of (has Bypass (section 1317.5) QQ Hot Gas Bypass [j Complies. See allowable amount of hot gas bypass as a percentage of total cooling capacity in table below. Hot Gas Bypass Unit ID Rated Cooling Ceoac�lt _ Capacity _ Allowable Hot Gas Bypass _ Rated Cooling Capacity Max Hot Gas Bypass ca_p!K—ft 5240,000 Btu/h 50% -- >240,000 Btu/h 25% Ll Exception.Exception. Unitary packaged system with cooling capacity no greater than 90,000 Btu/h 9. Economiser Cooling (r.ection 1317.3) 1-1 No Cooling.The building plans do not call for a new fan system with mechanical cooling. P' -omplles. Each new fan system has an air economizer capable of modulating outside-air ann retum-air dampers to provide up to 100 percent of the design supply air as outside air. ❑Exception At least one new fan system qualifies for an exception. The applicable code exception is Section 1317.3, Exception 1 L 2 113 114 F15 U 6 C] If Exception 3 is selected complete the following: (a)Total cooling capacity of exempt units (b)Total Installed building cooling capacity EJ Complies. Sum of exempt units rated at less than 54.000 btu/hr is <240,000 or alb<0.1')(101/c of total building cooling capacity). Unit Identifier of exempt units: r-- _ ---] The plans/specs show compliance In the following locations: _ll 10. Economizer Pressure Relief& Integration (Rection 1317.3.1 and 1317.3.2) a ❑No Economizers Required. The project does not contain a new fan system requiring a 1 economizers. XOverpressurization Complies. The drawings specifically identify a pressure relief mechanism for each fan system that will relieve the extra air Introduced by the economizer. ,,1 ❑ otegration Compiles. Economizer is capable of providing partial cooling even when additional _m mechanical cooling is required to meet the remainder of the cooling load. f; Exception. The applicable exception Is Section 1317.3.2, Exception 1] ZD J The plans/specs show compliance in the following locations: _ Form 4a Project Name- _ _G _ Page: SYSTEMS - GENERAL 11. Duct Insulution and Sealing (Section 1317.7 & Section 1317.8) U No L_acts. The building pians and specifications do not call for new HVAC ducts or plenums [1.Fomplies. The plans and specifications call for all air-handling ducts and plenums to be insulated and sealed as required by Sections 1317.7 81317.8. 12. Piping Insulation (Section 1314) New . aping. The building plans and specifications do not call for new piping serving a he3iing or cooling system or part of a circulating service water heating system ❑ Complies. All new piping serving a heating or cooling system or part of a circulating service water heating system complies with the requirements of the Code, Section 1.114.1. ❑ Exception. New piping qualifies for exception: Section 1314.1 Exception 10 20 13 Gravity Vent Controls (1317.4.5) ❑ Complies. Stair and shaft vents. Stair shaft vents shall be equipped with motorized dampers that are capable of being automatically closed during normal building operation and are interlocked to open as required by fire and smoke detection systems. CI Complies, Gravity hoods, vents and ventilators. All outdoor air supply and exhaust hoods, vents and ventilators shall be equipped with motorized dampers that will automatically shut when the spaces served are not in use. *Exception.The building qualifies for an excPDtion to the gravity vent controls The applicable code exception is Section 1317.4.5.2 Exception 1 ❑2 ❑ Complionce details in plans/specs: -- 14. Dampers (1317.5.5) moi.,omplies. Motorized outdoor air supply and exhaust air dampers have a maximum leakage rate �IQ cfrn/ft2 at 1.0 in w.g.when tested in accordance with AMCA Standard 500-1989. The plans/specs show compliance in the following locations: 15. Service Water Heating (Sec. 1315) Q(No Vew Water Heating. The building plans and specifications do riot call for new water heaters, hhbt water storage tanks or service hot water distribution systems f-7 Complies. All now water heaters,hot water storage tanks or service hot water distribution systems comply with the requirements of the Section 1315. E, Exception.The applicable code exception is Section: L_—lExcept!on:F—1 Portions of the building that qualify: 4. 16. Distribution Transformers (Section 1316.1) 01�Alo Distribution Transformers. The plans/specs do not call for now distribution transformers N ❑ Complies. All new distribution transformers comply wlth efficiency,testing, and labeling requirements of Section 1316.1.1. The plans/specs show compliance in the following locations: OU f ------ — !_ --I W -j 4 4 Form 4a _ Project Name: J Page: SYSTEMS - GENERAL 17. High Occupancy Ventilation (Section 1203.2.3 3) F] Complies. HVAC systems with ventilation air capacities of 1,500 CFM or greater that serve areas having an average occupant load of 20 square feet per person or less from Table 10-A have a means to automatically reduce outside air intake. Identify applicable systems: The plansfspec:s indicate where equipment i.e.ca on dioxide sensor and sequence is specified. F—_' ri Exception. RVA systems are equipped Wthan e- xgy recovery device w t at east 5 /o recovery effectiveness. No High Occupancy Systems. Project does not contain an HVAC system as described above w-este 18. Occupancy Ventilation (Section 1203.2) �Complie•A. Mechanical ventilation systems provide the required am)unt of ventilation specified in Section 1203.2.1. [7] Compiles. Natural ventilation systems provide the required amount of ventilation designed by a registered architect or engineer as specified by Section 1203.2.4. Attach worksheet 4m. The pie ns/specs show compliance on the following pages C ❑ Exception. The building qualifies for prescriptive natural ventilation. Exception U 19. Parking Garage Ventilation (Section 1203.2.11) �No EnciateJ Garages. The building plans and specifications do not call for enclosed Group S parking garages with a ventilation exhaust rate greater than 30,000 CFM. ❑ Complies. The plans and specifications call for carbon monoxide sensing devices as required by Section 12.03.2.11. ❑ Exception. Open parking garages. /Z2 Swimming Pools, Spas and ',Hot Tubs (Section 1315.5) No New Pools. The building plans anti specifications do not call for new, swimming pools,spas or hot tubs. ❑Complies. All new swimming pools, spas or hot•.ubs are equipped with pool cover, pool neater controls and heat recoe sry as required by Section, 1315.5. 21. Fume Hoods (Section 1317.2.1.) o Fume Hoods.The building olans do not call for fume hrod systems that have a total e haust rate greater than 15,000 cfm. Complies. Fume hood systems have at least one of the following features: C Variat le air volume hood exhaust and roam supply systems capable of reducing exhaust and IL makeup air volume to 50%or less of design values. H ❑ Direct makeup(auxilian/)air supply equal to at least 75%of the exhaust rate,heated no warmer N than 2'F below room set,)oInt, cooled to no cooler then 3° F above room set point, no U) humidification added, and no rimultaneous treating and cooling used for dehumidification control E.] . Heat recovery systems to precondition makeup air from fume hood exhaust in accordance with -J 1318.3-Exhaust Air Energy Recovery,without using any exception. m � The plans/specs show compliance in the following lot tions: W 4-5 Form 49 Project Name. SYSTEMS - GEIRICRAL. NEW 22. Kitchan Hoods (Section 1317.11) JQNot Regulated.The piansispecs so not call for any new kitchen hoods with exhaust capacity greater than 5,000 cfm each. [_-]Complies All now kitchen hoc ds with a total exhaust capacity greater than 5,000 cfm have at Inast 50 percent of thr, required makeup Air; (a)unheated or heated to no more than 60"F; and (b)uncooled or evaporativ4ly coolers. The piansispecs show wrnplianc#�on the following pages 23. Outside Hosting System► 18r;iion 1317.12) 'KNo Outside Heating Systems.The planslspefy do not call for new permanently installed heating systems outside the building. 1_1 Complies. All new permanently installed outside heating systems are radiant gas fired systems controlled by an occupancy sensor or timer switch as required by Section 1311.12. a I of rn m W a I ELECTRICAL PERMIT- CITY OF TI GARD RESTRICTED ENERGY DEVELOPMENT SERVICES PERMIT#: ELR2005-00044 13'125 SW Hall Blvd., Tigard, OR 97223 (503)639-4171 DATE ISSUED: 3/8/2005 SITE ADDRESS: 10115 SW NIMBUS AVE 850 PARCEL: 1S134AA-01900 SUBDIVISION: 1 KOLL BUSINESS CENTER TIGARD ZONING: C-G BLOCK: LOT: 001 JURISDICTION: TIG Prosect Description: Network cabling. A.RESIDENTIAL _ B.COMMERCIAL AUDIO& STEREO: AUDIO&STEREO: INTERCOM& PAGING: BURGLAR ALARM: BOILER: LANDSCAPE/IRRIGAT: GARAGE OPENER: CLOCK: MEDICAL: HVAC: DATAITELE COMM: NURSE CALLS: VACUUM SYSTEM: FIRE ALARM: OUTDOOR LANDSC LITE: OTHER: HVAC: PROTECTIVE SIGNAL: INSTRUMENTATION: OTHER: TOTAL#OE SYSTEMS_ p Owner: Contractor: j]A C D#�'►�-��G� ROBINSON, WILLIAM R/CONSTANCE A CAPITOL Eich ROBINSON, LYNN + BELL, KAY ET 11401 NE MARX ST BY ELLIOTT ASSOC PORTLAND, OR 97220-1041 PORTLAND, OR 97204 Phone: Phone: 255-9488 Rog#: LIC 048748 SUP 3132S FEES ELE 26-496C Description Date Amount_ REQUIRED ITEMS AND REPORTS 1E11'RMT] ELR Permit 3/8/2005 $75.00 "�— ITA X]81/o State Surcharl 3/8/2005 $6.00 Total $81.00 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 c 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 952-001-0010 through OAR 95 1-0'100. You ma)�lbtain copies of these rules or direct questions to OUNC at(503)246-6699. IL Issued by ��, L Permittee Signature_ lf)-J fro _ _ OWNER INSTALLATION ONLY t The Installation Is being made on property I own which is not Intended for sale, lease, or rent. �• J GO OWNER'S SIGNATURE: _ DATE: f� w q_ CONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR. ELEC'N DATE: LICENSE NO: Call 639-4175 by 7:00 P.M.for an inspection needed the next Masiness day. This permit cans shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each Inspection. 03/08/2005 10:42 5032551966 CAPITOL. ELECTRIC PAGE 02 ON UFtAvgnIVED C ectricAs Pfat' I� 4�°i 777 Air DatO/fty? 45�City or'rigard 2005 , 1� ey 13125SV4'HAL1.nIND.,TIGARD.OR 97223Y OF fIGAf3U E�' DatdB .Phone: (5031 R,19.a171 Fax(303)S9N� IT/OF i1ciAR0 Date RcadylAy' ris a..Pon 1 m. tn.par.timr Line, 3(13.09-4175 �?•UILDING DIVISIOP� Nmlrod/Method; __ � iallnft m- Intcrnek www ci tigr4rd,ar,us _ --- TYPE OF WORK __ _ _ MAN R1Vft;w _v_� New etntsln,ction ! Atldltion/slterstbelrerinccmcnt Piess,che,it s0 that apply: -- LJ Demolition ❑ Ot r; [] Bsrvice rover 226 Lampe,apmm9 ❑Hilzmdoun location A76GORY OF N TRUCIION _ ❑ Sellae over 320 amps-rsrino Building over 10,000 sq n. I-and 3-ramily dwelling ! C'ni m erciallindustrisl AcOmsory huikhng of 1-and 2.famtiy dwellings 4 of room now relidenit;+l n Multi-family ❑ Mlrt,r nulldm__ ❑Other 0 System over 600 volts nominal units in ones nhuctute 0 f[tS NFORMATTON AND LOCATION ❑ tltillding aver thrre stories ❑Fssdefs,400 amps or mars El O bbl IS SW tJIMBUS rcups nt load met 99 persons ❑Manufactured slructuren or Joh rim; C50109 Joh site address; n EgreaWligNing pino RV park f'try/Sute'tIP; HFihM�RTflTfOR 970ot �� _--1— [:] HeMthaare be(Wly ❑Other — 6ubmlt I netts of plans with Any of the above. The Sullr/blda,/.pL nn.: 950 Pmjeet Hama BELLACncM PIZZA sbove an nw ebh to hisinporaly oonatruction sorvlee. MC TIMULS _ Cmaa Strect/Diteetions to job mile: M lea - _ 44• rn• =�'�i_ Now residentlal-alnele er molts-family dwrlllna uelL Subdivision: l All tto.: Ieelades attach sn r. 1000 sq.A.or lens _ i 145.18 Tax m■ / tl no.; ^�— __— F.n,Adolf 500 P,A or Vqrllon $ 711.411 I D CRIPTION OF WORK Limilsd costly resideiMst 3 75.00 �? NBTWr�RK CABLING Limited en 4a41dentisl i� 15.410 2 P-ach maruftiommd home or moxinla► PROPER C OWNBk� — TENANT 4welljnL Services anNot feeder S 9090 2 Servler or reidexs Instnlhtli s,altcratlea and/or relocation Name: 200 n s elr Into --- 3 110.20 2 — 201 to 400.-a0i_ _ 3106.85 Address; — 2 401 10 600 amps 1 1r.0.60 2 — -- 601 to lOW srnp1 1 246.W 2 Clty/Sttrn/7.IP CKW Itlflnamps at volts 434.x5 2 Phone- -- Rocormat Only - -- — 3 6A91 2 Temporary scryktx or feeders Installafles,altaraflne,and/or (11"ner Inst-1llatlom Thi►in.rn .Ilon Is being made at veer ity that 1 own which is not r0loeatlon intended for title,less rent nr exchange,accmdinit in OPR 447,449.070,and 701 200 amps of Ids 66.15 I 201 an to 400 9mC1 3 I00Jo 2 Owner ai iature! 401 srrg fe(f00 amiss Is 133 7 2 APPLI A CONTACT PERSON Wrench chtaln-sen,Altersttnn nr n mell 'pirpassel A. Fee for brsnCk rinuitx with Butlna41a Ntme: memlee or Ibodcr fee,eveh branch circuit e.4u 2 Concoct naso; — B, Pee Ihr branch ciresdu withmit service or Nader fee, Addrraa; each branch circuit f 4r.RS 2 City/Srare/7.1P E M sddiN , ch circuit 6.111 __ z MMnRaaessa servlet or F ar not Included _ Pix ne; pox' I dreIc 53.40 2 sign or owime ligft i 55.40 2 6-mail — SlgW eirruita(s)or limlted- CONTRACTOR ararmy bane),eltrntion.or 9ucinets Name: CAPITOL DATA A COMMUNICATIONS / extensus. Doaaibe. I Vag 2 2 qI Rack sddltlonal weisacflon ever sllowabir I above _ ContAd name RAY YOUNCIER tAw Pyr inmp.etIon _ 1 apo — �— O/� InvestiVion pg hoer(I hr min) f 42,50 11401 NP MARX ST. Industrial last Moor 1 7 City/,hto/Z—IP; POR11LAND,OR 97220-1041 ELflC Z ' J St 1 CD Phone. 303-235-0408 Pnx: 503-257-7121 PlR tstrlew(23V.et t f141 _ 5d1 ntr�hala( 1% of L=M t Lbe1 (a 1 CCB Lie.. 41!748 Electicnl Lit: 2k-4961: 5u rv,Ua; 2834IXA _ T( PCAMfI J Suprv.Elcctricitn slptn.h,re,trquircd �-10f`tt CLI'r Thb pe+en.ppnnew..Pln.It.a.rmh h.m abr.hrt wehxl IM9 ,0 4.yr.err Is s.,tseea seeglM-i a mpher Pont Name' RAY YOL DMB: 03101/05 I Ileo tne0ndotaay tel by Tri-Cn,tnty N,4fAinR tnrhMry!Anvter Deans '� IlNtnnbotefMspeeliontCatptxrrrlr.nm cd Autlwrircdnipnah— aoff. Print Norm RAY Y w0 CITY OF TIGARDBUiLDINGPERMIT DEVELOPMENT SERVICES DATEEIS UIED: 3/2 20005-00078 13125 SW Hall Blvd., Tigard. OR 97223 (503)639-4171 PARCEL: 1 S134AA-01900 SITE ADDRESS: 10115 SW NIMBUS AVE 850 SUBDIVISION: 1 KOLL BUSINESS CENTER TIGARD ZONING: C-G BLOCK: LOT: 001 JURISDICTION: TIG REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION CLASS OF WORK: FPS FIRST: sf N: S: E: W: TYPE OF USE: COM SECOND: sf _ _ PROJECT OPENINGS? TYPE OF CONST: 5N sf N: S: E: W: OCCUPANCY GRP: B TOTAL AREA: 0 sf ROOF CONST: FIRE RET? OCCUPANCY LOAD: BASEMENT: sf AREA SEP. RATED: STOR: HT: ft GARAGE: sf OCCU SEP. RATED: BSMT?: MEZZ?: REQD SETBACKS _ _REQUIRED FLOOR LOAD: psf LEFT: ft RGHT: ft FIR SPKL: SMOK DET: DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP ACC: BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING: VALUE: $ 2,000.00 Remarks: Fire sprinkler TI, alteration of(17)heads. Owner: Contractor: ROBINSON, WILLIAM R/CONSTANCE A T a L COMMUNICATIONS INC ROBINSON, LYNN + BELL, KAY ET 4817 COLUMBIA VIEW DRIVE BY ELLIOTT ASSOC VANCOUVER, WA 98661 PPp RTLAND, OR 97204 one: Phone: 360-737-9725 _ FEES Reg* LIC 67787 Description Date Amount REQUIRED ITEMS AND REPORTS 1HUILD] Permit Fee 3/2/2005 $62.50 [TAX] 8%State Smchart 3/2/2005 $5.00 (FI.Sj FLS PIn Rv 3/2/2005 $25.00 Total v $92,50 IL Ix N This permit is issued subjerl 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 J not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law m requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-ORIAR 952-001-0100. You may obtain a copy of these t ules or direct questions to OUNC by J calling(F63)246-6699 0 1.90 332-23 Issued By: Permittee--- ; Signature: Call 6394175 by 7:W p.m. for an Inspection the next business day. This permit card shall be kept In a conspicuous place on the job site untlI completion of the project. Approved plans ane required on the job site at the time of each inspection.