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10115 SW NIMBUS AVENUE STE 800 & 870 OLS '008 S31S 3AV SlAWIN MS 91,I.0I a CO Q. m co x � Q ' n Z co N Lll H ! n to CO uA .J 10115 SW NIMBUS WE ` STE S 800, 87U ELECTR RMIT CITY OF TIGARD -)ERMIT #: LC96-0 ?ERMIT #: F•LC96-0.'06 COMMUNITY DEVELOPMENT DEPARTMENT DATE ISSUED: 04/08/96 13126 BW Hall Blvd,Tigard,Oregon 97223.8199 (603)x30.4171 PARCELe 1S134AA-01900 SITE ADDRE'3S. . . : 10115 SW NIMBUS AVE #800 SURDIVIS:ON. . . . a 1 KOLL BUSINESS CIENTER 'TIGARD ZONING:C—G BLOCI-(. . . . . . . . . . . LOT. . . . . . . . .. . . . . : 1 Project Description : Install one service or feedrr to 200am1ps and 20 branch circl.Aits. ---RESIDENTIAL UNIT---- ---TEMP SRVC/FEEDERS---- -----MISCELLANEOUS------- 1000 SF OR LESS. . . . : 0 0 — 200 amp. . . . . . . : 0 RUMP/IRRIGPTION. . . . r 0 EACH ADD° L 500SF. . . : 0 201 400 amo. . . . . . . : 0 SIGN/OUT LINE LTG. . : 0 LIMITED ENERGY. . . . . : 0 401 — 600 amp. . . . . . . : 0 SIGNAL/PANEL. . . . . . . : N MANF. HM/ SVC/FDR. . : 0 601+amps-1000 volts. : 0 MINOR LABEL ( 10) . . . : 0 ---- SERVICE/FEEDER----- ----BRANCH CIRCUITS----- ---f1I)D° !_ INSPECTIONS- -- 0 200 amp. . . . . . : 1 W/SERVICE OR FEEDER: 20 PEk INSPECTION. . . . . : 0 201 — 400 amp. . . . . . : 0 let W/O SRVC OR FDR. : 0 FUER HOUR. . . . . . . . . . . : 0 401 — 600 amp. . . . . . : 0 EA ADD' L BRNCH CIRC: 0 IN PLANT. . . . . . . . . . . : 0 601 — 1000 amp. . . . . : 0 ------------------FLAN REVIEW SECTION--- --------- ---- 1000+ amp/volt. . . . . : 0 ) -4 RES UNITS. . . . . . . . : ) 600 VOLT NOMINAL. . : Reconnect only. . . . . : 0 SVC/FDR ) = 225 AMPS. . : CLASS AREA/SPEC DCC. : Owner: ------- ---------------•----------------------------------- FEES _- FANTASTIC SAMS type amount by date recpt 10115 SW NIMBUS #800 PRMT t 160. 00 CJS 04/08/96 96-277929 5PCT f 13. 00 CJS 0,x/08/96 96-277929 TIGARD OR 97,- Phone #: Contractor: — •----------------------------------------.----------•------------•---- WE STS I DE ELECTRIC, INC. t 168. 00 TOTAL.. 7518 S. W. 457H H AVE. ------ REQUIRED INSPECTIONS PORTLAND OR 97219 Ceiling Cover Elect' 1 Service Phone #: 503-245-3395 Wall Cover Elect' l Final Reg #. . : 13306 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State v; Ore. Specialty Codes and all other Permittee Si gnat Lire 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 1811 days. Issued By IL -------------------------------OWNEP INSTALLATION ONLY--------------------------------- it The installation is being made on property 1 own which is not intencle'l for U) sale, lease, or rent. LOWNLR' S SIGNATURE: �,—•---.--- --_�- - DATE: _ ---- J m -------------------------CONTRACTOR INSTALLATION ONLY--------------------------.__ F3 J SIGNATURE_ OF SUPR. ELEC' N: _Q,�_. /�c�a}/on DATE: _y'�- 96- LICENSE 6LICENSE NO: Call for inspection — 639-4175 e 6-96 05:32PM FROM WEST SIDE ELECTRIC I'O1 Community Development ELECTRICAL PERMIT APPLICATION 13125 SW H911 Blvd. Tigard, OR 67223 Planck/Rec. 0 96- e�77 929 Permit # 14-2c-96 Phone(503) 634.4171 Date Itsuod y- - 96 FAX (503)9R4-7267 Istjed by rhe.%r Cny OF TIOARD TDD No. (503) 684-2772 Inspection (50.3)639-417.5 1. Job Address: 4. Complete fie Schedule Se/ow: Name of Development Number of Inapsetiate PIN PGfmH ete$rM Address Service Included: Items Cost(eft) tum - f -- • CI State/zi tuoldentlr'Par unit ---�T ,000.4.n.or ren e„o 00 Fad,Walernl 600 r,M.v Name(or or war name of iness).,�4/7 .! L 4/s7 , Paiei,,,ra,� � "Zoo ��. Comm0fdal Residentlal❑ �Q� w"MWW►Ian,. 0ayan0 sande.or Fa xbr �� — 2a. Contractor Installation onl : 4b.services a Feedara &"A411 IrsMOMlsn,aMndan•ew nMoallan 6 Electrical Co /LV/ ^ no an"W two 6�A0 t lel amss to•oo empa MO,00 i Addr Q Ciao 401 amp to am amps ella.00 $ City_ A�+ Stats_ _ Zip eat amps r tees amps -- $tsv�a i Phone No. over Ime 6ion�o Contractor's li ^ „w, cense No. y� Contractor's Board Rep. No. 4a T"nper ry Sarviese or F -dare i Irstalldlsn,elle ratian,Of nWGd 1- i Signature of Su r. Ele 'n goo amps'r baa 00.00 i �-�-� 201#pupa a 400 amps SNA License No. _ lone No-_2261 401 ampr 000 am►A $/0000 Orsi eN amp.b 1'AD woo Tb. For owner Installations: "°V@bwo 4d.Brsnoh Clreodas Print Owner's Name _ Now.darr) errm"-u*wn*n Fm P Address ai T►+•W for l Mw 4 :Taub Wopwhe $ City_ Stats Zip, 14AINIUMeof WNW or iv al dml �•LV woo Phone No. _ ay T1r he lor brush tkaft W"W i The Installation Is being made on property I own which Is jowduaa araarbhe«war too. i Plea brwvh drwA not intended for sale,lease or rent. 1.0 a"I.r. ftrwh o1reult Owners Signature—.---- 49.MlesaOonsous (SonrIce or fader not Inokxlad) 2 3. Plan Review section It required): a"""Ora rAliens"n j W= i sae+,amrr or wsl�relMkq twoAo ..�� stirw 41MAO)O)K a bled army i Fleur shook approprlats hem and enter I**In aced$"st. nnsl 0"Fods,or easnabn _4 or more roeMen4s1 units In one oaucwre MOW Lawks not WON SerAsa and leader 225 amps at more 41.Each additional Inspection over d. Syllom over Soo Volta nominal the allowable In any of 00 shove Clashed ere*of etrvcturs contdning apeolal oaupaney to described M N.E•C•Chapter 5 pw ho„r "SAO N Im►lam _._ . U) submit R ogle sf piw with apptleadon where any of the above apply. Not required far ton,perwy eonstruotion eerAooe. S. Fees: J sa Enter torr of above 160 � I�QTICE 6%tweh*roe(.os X to e0d Ivan) 1D PERMITS BECOME VOID IF WORK OR CONSTRUCTION ��� ib.Enter M el tine A for WW r AUTHOPIZED IS NOT COMMINC60 WITHIN 190 DAYS,OR IF Plan 11 required(Seo. ) S ccNSTRUCTION OR WORK.IS SUSPENDED OR ABANDONED FOR E A PERIOD OF 180 DAYS AT ANY TIME.AFTER WORK IS ft COMMFNCFD Trust Acmuni 9 a _//�b $veno.Outs TTUR— i3 CI TY OF T rF_D s 0 PERMIT 0. . . . . . . s SWR96-0165 DA1'C YS�UEDs @4/11/96 COMMUNITY DEVELOPMENT DEPORTMENT 13126 8W H&N Blvd.Tigard,Oregon 97223•8199 (603)039-4171 —\ PARCEL s 1 S 134AA-019.10 5I1-E ADDRESS. . . : 10115 SW NIMBUS AVE #800 SUBDIVISION. . . . : 1 KOLL BUSINESS CEN ARD ZONINGS C-6 BLOCi;. . . . . . . . . . : LOT. . . . . . . . . . . . . : 1 TENANT NAME. . . . . :FANTASTIC SAMS USA NO. . . . . . . . . . : FIXTURE UNIT5. . . s 26 CLASS OF WORK. . . :ALT DWELLING UNITS. . : 2 TYPE OF USE. . . . . :COM NO. Or BUILDlNGSs 0 INSTALL TYPE. . . . :BUSWR IMPERV SURFACEc 0 sf Remarks : Tenant Mode Fantastic Sams REs PLM96-0074 Owner^: ----------------------------------------------------- FEEC, FANTASTIC SAMS type amaunt by date recpt 10115 SW NIMBUS AVE. STE 800 PRMT 4400. 00 B 04/11 /96 96-278059 TIGARD OR Phone #: Contractor•c __________________________.–__ CONTRACTOR NOT ON FILE -------------------------------------- Phone #- $ 4400. 00 TOTAL Req #. . : -------- REQUIRED INSPECTIONS ------- This Applicant agrees to comply with all the rules and regulations Of the Unified Sewage Agency. The permit expires 198 days fro@ the date issued. The total amount paid will be forfeited if the nersit expires. The Agency does not guarantee the accuracy of the side sewer laterals. if the sewer is not located at the @easure@ent 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 A"= will install a late7l. 1)ermittee Slgnature ,'r _ -- — T s s Lied By: Call for- inspection — 639-4175 a t•- U) m W —A Commercial Buiidi�n4 Permit Application City of Tirnrd 1312.5 S. fall Blyd. Tigard, OR 97223 (503) 639-4171 Jopsite Address: Tonant:Y�'� OMca Um Only Valuation: Planck/Rec Permit#t �z �" 6, Owner: — Map & TL Address: Aoorovala Required — - Planning Phone: __ Engineering Other Contractor: Address: Type of=nst: Occupancy class. Phone: —�—� - Sprinklered? Yes No Contractor's license # (attach copy of current Oregon license) Sq. ft. of pro)ec': Contact name & phone: _ Story (1st, 2nd. etc.) Proposed use: Arch ltect/Enginser: _— Previous use: IL. Address: Note: Plumbing & mechanical plans N ___ must be submitted at time of building permit application U) Phone: . m w JOB DESCRIPTION: — CW Applicant Signature 8 Phone number Received by: Date Received: „_ Permit 0 Account Description Amount Amt. Pd. Bal. Due Bldg. Permit (BUILD) w Plumb. Permit (PLUMB) _ Mech. Permit (MECH) State Tax (TAX) Bldg: _ Plumb: Mach. Plan Check (PLANCK) Bldg: Plumb: Mech: _ Sewer Connectic,nSWUSA ( ) Sewer Inspection (SWINSP) Parks Dev Charge (PKSDC) _. Residential TIF MF-R) Mass Transit TIF (TIF-MT) Commercial TIF (TIF-C) Industrial TIF (TIF-I) Institutional TIF (TIF-IS) � Office TIF (TIF -0) a Water Quality (WQUAL) H to Water Quantity (WQUANT) _ Fire Life Safety (FLS) m Erosion CnW Permit (ERPRMT) Lu Erosion Planck/USA (ERPLAN) Erosion Planck/COT (EROSN) TOTALS: / ��� �` •.:r.ui.�e.r�� Tenarlt Name: F� r=T `'�;"" S Accumulative Sewer Tally This SWR#: Address: 10 l H' b..5 ,EN re-` Z� This PLM#: �t•�'T�.r — Fixture Value Previaus# Previous Credits Capped Rxtwes Rxtureu New New Value Capped off value added# added total#e total Count off#s count value values Baptistry/Font 4 Bath-Tub/Shower 4 -Jacuz/Whpl 4 Car Wash-Each Stall 8 Drive Through 18 Luspidor/Water Aspirator 1 Dishwasher-Commer 4 _ Dome3t 2 Drinking Fountain 1 Eye Wash 1 Floor Drain/sink 2 inch 2 3 inch 5 4 inch 8 Car Wash Drain 8 Garbage Disposal 1 R Dom Ito 3/4 HPI Comm Ito 5 HPI 32 Ind lover 5 HP) 48 Ice Machine/Refrigerator Drains 1 Oil Sep(Gas Station! 8 _ Recreational Vehicle Dump Station 18 Shower-Gang(Per Head) 1 Stall 2 Sink- Bar/Lavato► 2 Bradley 5 Commercial 3 Service 3 Swimming Pool Filter 1 Washer, Clothes 8 F^- Water Extractor 8 rA Water Closet, Toilet 8 J Urinal 8 TOTALSLU _j Total fixture values: divided by 16 EDU HISTORY PLM#RU Oa EDU# iWR# (r-C-r U PLM# EDU# SWR# PLM# 9t;-0F7�EDU#+ / SWR# PLM# EDU# y SWR# PL.M# EDU# / I SWR# -74,_.. '7 c,-s PLM# EDU# SWR# PLM# EDU# SWR# PLM# EDU# SWR# PLUMBING PERMIT CITY CSF T I C�'ARD DATE I ISSUED:� 04/11/966-0074 (COMMUNITY DEVELOPME,:f DEPARTMENT M26 BW Hell Blvd.Tigard,Oregon a23•111/99 (503)639-a:7: �— PARCEL: i S 134AP-01900 SITE ADDRESS. . . : 10115 SW NIMBUS AVE 800 SUBDIVISION. . . . : I KOLL BUSINESS CENT ARD ZONING: C-G BLOCK. . . . . . . . . . , LOT. . . . . . . . . . . . . : 1 -------------------------------------------------------------------- CLASS OF WORK. . :AL-r GARBAGE. DISPOSALS. : 0 MOBILE HOME SPACES. : 0 TYPE OF USE, . . . :COM WASHING MACH. . . . . . : 1 BACKFLOW PHEVP4TG^_ , e 0 OCCUPANCY GRP. . :B2 FLOOR DRAINS. . . . . . : 0 TRAPS. . . . . . . . . . . . . . 1 0 STORIES. . . . . . . . s 0 WATER HEATERS. . . . . s 1 CATCH BASINS. . . . . . . : 0 FIXTURES-- ----------- LAUNDRY TRAYS. . . . . s 0 SF RAIN DRAINS. . . . . s 0 SINKF . . . . . . , e 4 URINALS. . . . . . . . . . . s 0 GREASE 'TRAPS. . . . . . . : 0 LAVA1 S. . . . . : 1 OTHER FIXTURES. . . . s 0 TU3/SHOWERS. . . . : 0 SEWER LINE (ft ) . . . s 0 WATER CLOSETS, . : 1 WATER LINE (ft) . . . s d DISHWASHERS. . . . : 0 RAIN DRAIN (ft ) . . . : 0 Remarks: Tenant Mod: Fantastic Sams Owner: ---------------------------------------------------- FEES -------------- FANTASTIC SAMS type amount by date recpt 10115 SW NIMBUS AVE STE 800 PRMT f 72. 00 B 04/11/96 96-278059 SPCT f 3. 60 B 04/11/96 96-279059 TIGARD OR Phone #e Contractor,a -_--__----------------------_------ MODERN PLUMBING 11120 SW INDUSTRIAL WAY TUALAT I N OR 97062 ---------------------__-----.---.--.--- Rhone #: 691-6166 f 75. 60 TOTAL Req #. , 87906 --- -- -- RE OU I RED INSPECTIONS - _This permit is issued subject to the regulations contained in the Rough--in Insp ________•! Tigard Municipal Code, State of Ore, Specialty Codes and All other PLM/Uncle►^floor app'.icable laws. All work will be done in accordance with Top-out Insp approved plans. This permit will expire i' - , is not started Final Inspection within 180 days of issuance, or if work i suspended for more _ than 180 days. IL - p� (Der-mittee Signatures F- } Issued B y s m Call for- inspection - 639-4175 (7 J S City of Tigard NI:,UIIANPERMIT .4�PCTCATION Planck/Rec. 13175 SW Hail Blvd: Permit # •��(r-t:��y Tigard, OR 97221 v�1/�9U ,r��,�•� �. > �4 -01(5' (503) 639-4171 MINIMUM $25.00 PERMIT FEE +ST. SURCHARGE M.�.«/� .r1T -� Now alr�aN FamIN R«Ido�c.e Aw.. 0 1 BATH HOUSE$140.00 ❑2 BATH HOUSE$1951.00 Job J `j 4� ,m ❑ 3 BATH HOUSE$225.00 ddresS a,ne.. ar Fee includes ail pkxmbing fixtures in the dwel" and the first 100 feet of water service, sanitary sewer and storm"war. See fees below. FIXTURES QTY PRICE AMT Sink l 9.00 J(4, M."An... 9.00 r+ Owner Tub or Tub/Shower Comb. 9.00 MOW* n► Shower Only 9.00 Water Closet 9.00 Dishwasher 9.00 Garbage Disposal a.00 Occupant ,.&I Ad*m Washing Machine ( 9.00 Floor Drain 9.00 Week _► Water Hester 9.00 Laundry Room Tray 9.00 N Urinal 9.00 ftj ' f j ) 0/_ Other Fixtures (Specify) 9.00 MAm Awr... V F9- 9.00 C trictar � 9.00 , (] r,. l 9.00 Sewer tat 100' 3000 err ftow oft m+. CNY 90 T'No. Sewer-ea. Addle. 100' 25.00 Water Ser4be lot 100' 30.00 I hereby acknowied9e that I have read this application, that the Water Service as. Addit. 200' 25.00 Information given is correct, that I am the owner or authorized agent of the owner, that plans submitted are In compliance with State laws, that Storm 8 Rain Orals tat 100' 30.00 I am registered with the Construction Contractor's Board, that the Storrs&RAIn Drain Addit. 100' 25.00 number given Is correct. (If exempt from State registration, please Mobile Home Spice pore 25.00 S- give reason be .) Back Flow Prevention Device or Antl-Pollution Device 9.00 -;;a5Ar >w•n� o«. Any Trap or Wase Not lv/ Conne^ed to a Fbture 9.00 Describe work new (.) addition 0 alteration IS repair 0 Catch Basin 9.00 to be done residential 0 non-reskdentici A Insp. of Exist. Plumbing 40.001hr Specialty Requested Inspections 40•00/hr IL Existing use of Rain Drain, single family dwelling 3000 R building or property -- 1- Residential backflow prevention N devices 15.00 Proposed use of J building or Uroperty __ _ *(Except residential beckf if m_ preverrdon dwdces) U.1 NOTICE 'Minimum Fee$25.00 SUBTOTAL PERMITS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS,OR IF 1136 SURCHARGE CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED. PLAN REVIEW 2696 OF SUBTOTAL TOTAL Special Conditions Dale Issued .- -- by MECHANICAL PERMIT �1 TY TIGARD ^ATEIISSUED:ERMIT 0 • 05/07/966-0110 COMMUNITY DEVELOPMENT DEPARTMENT PARCEL: 15134AA-01900 SIT 't" d.T{p�rd, °4�" J° r )�639�tt1 #800 SUBDIVISION. . . . : 1 KOLL BUSINESS CENTER 'TIGARDI ,+, ` / , ZONINGS C—G BLOCK. . . . . . . . . . : LOT. . . . . . . : 1111LL __L - -1y- ------------------------------------------------- A©d CLASS OF WORK. . SALT FLOOR TURN. . . . : 0 EVAP COOLERS: 0 TYPE OF USE. . . . iCOM UNIT HEATERS. . : 0 VENT FANS. . . s 1 OCCUPANCY GRP. . :B2 VENTS W/O APDL: 0 VENT SYSTEMSs 0 STORIES. . . . . . . . : 1 BOILERS/COMPRESSORS HOODS. . . . . . . : 0 FUEL TYPES-------------- 0-3 HP. . . . : 1 DOMES. 1NCIN: 0 : /GAS/ / / 3-15 HP. . . . : 0 COMML. I NC I N S 0 MAX INPUT: 0 BTU ',5-30 HP. . . . S 0 REPAIR UN I TS s 0 FIRE DAMPERS?. . s N 30-50 HP. . . . S 0 WOODSTOVES. . : 0 GAS PRESSURE. . . : M 50+ HP. . . . : 0 CLQ DRYERS. . : 1 NO. OF UNITS---------- AIR HANDLING UNI1S OTHER UNITS. : 1 FURN ( 100K BTU: 1 <= 10000 cfm : 0 GAS OUTLETS. s 1 FURN ) =100K BTU: 0 > 10000 cfm: 0 Remarks : Tenant Improvment Owners -------------------------------------------------•---- FEES _______ ------ LEE JOHNSTON CO type amoi.+nt by date recpt 50 SW PINE PRMT f :;6. 00 JSD 05/07/96 96-279073 SUITE #200 PLCK $ 9. 00 JSD 05/07/96 96--279073 PORTLAND OR 97 5PCT $ 1. 80 JSD 05/07/96 96-279073 Phone #: Contractor: -------.----.------ ------------_ ANCTIL SHEET METAL CO 4320 N WILLIAMS AVE PORTLAND OR 97217 ----------------'--•------------------- Phone #: 503-281-0752 $ 46. 80 TOTAL Reg #. . : 00889"7 ------- REQUIRED INSPECTIONS ------- This permit is issued subject to the regulations contained in the Gas Line Insp Tigsrd Municipal Code, State of Ore. Specialty Codes and all other Mer_hanical Insp applicable laws. All work will be done in accordance with Heating Unt Insp approved plans. This permit will expire if work is not started Cooling Unt Insp _ within 188 days of issuance, or if work is suspended for more Duct Inspection than 188 days. Misc. Inspection Final Inspection IL N Permittee _Sign u►'e: _-- • — ___.__.. W Call for inspection — 639-4175 r � • R17CWSHEET METAL CO. 4320 N. Williams Avenue • Portland, Oregon 97217 (503)281-0752 • Fax (503)282-7172 LENMO* E3C.S t to 1 �� Z, i c k� r QV-1-p`_ / S- C'PA2 0, .art. 17[p' l / dam Y, Q a 4- ir - -- — - 41 v9d Is. \ 1 Fmorill the work described ht: I I ERMIT 0 . I) Addy ss: „1 I _ Date p 1 = APPROVE ►'L�'. , MU T PF ON 8 SITE Vn ,�„ rV I axe .� t(er V, q- 11 -ql,4 Citv of Tagard �. MECHANICAL PERMIT Planck/Rec. # U 'UL 13125 5W Hall Blvd. 1� APPLICA 'ION Permit # MCC41* IIID Tigard, OR 97223 S_ 6- Q6 (503) 639-4171 eac OWN _ Table 3A Mechanical Code CITY PRICE AMT AW— Job 16 11 S-till M, ,- - 1) Perm Fee -8- -0_ 10.00 Address --- �-- r- LP, 2) Supplemental Permit - 3.00 BTU r iw^r CA, umace ,le 11.0i Q S sac 1) incl. duds 3 vents 1 9.00 i 4.0 umace100.000 RIM + Owner 150 1 'nizo 2) ncl. duds a verrts r 7.50 • Floor Fumance �0.T LA.&I f) P �L 3) incl. vent 9.00 •^r"• susperwed Heater, won FAv�� 4) or floor mounted heater 8.00 '•• a no int:]. in �rccupant 0 " 51 appliance permit 3.00 Repair o heating, raft-q-.6) cooling, ahsorption unit 6.00 er or camp,I arr cond.a 7) to 3 HP; absorp unit to 100K BTU ( 8.00 V 3 Boiler or co lip, a pump, air cond. r 8) 3-15 HP; absorp unit to SWK BTU 11.00 Contractor '�"— Boiler or comp, heiR pump, air oo . I 9) 15-30 HP; absorp unit .5-1 mil BTU 15.00 Boiler or camp, heat pump, an 8� 10) 30-50 HP; absorp unit 1-1.75 nil BTU 22.50 77eiiaby acknowlgls that I hove read this application, that the Boiler or comp, heat pump, arc co information given is correct, that I am the owner or authorized 11) >50 HP; obsorp unit 1.75 mil BTU 37.50 agent of the owner, that plans submitted are in compliance Wh Air ha ing—un'fi ro State laws, that I am registered with the Construction Contractor's 12) 10,000 CFM 4.50 Boaro, that the number given is co-rect. (If exempt from State Air a .ing un regis.ratlon, Dlense give reason below.) 13) 10,OOG CTM • 7.50 Non poriab 14) evaporate cooler 4.50 Vent n connec - 15) tc a single dud 3.00 "- Ventiletfon system n 19) Included in appliance permit 4.50 ll�K Az�:5� Hood served by 17) mechanical exhaust 4.60 Describe work new add iron aeration Qff repair U Commercialor industrial-' —' to be done residential Q non-residential Q11- 18) type incinerator 30.00 Existing use o (� __ tater i;r—, wo s ova, wa er building or property .t.mof,S �ct_�t V. STArQ 19) heater, solar, clothes dryers, etc. 4.50 Cj Proposed use of LL -- , 20) rias piping one ;o four outlets 2.00 Z U) building or property Type of fuel -oil Q natural gas � 21) More than 4-peg outlet (each) 2.00 LPC Q electric Q - - NOTICE _J CD Minimum Fee S25.0C SUBTOTAL J PERMITS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR 5%SURCHARGE7-1 IF CONSTRUCTION OR WORK IS SUSPENDED OR - ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME PIAN REVIEW 25% OF SUBTOTAL AFTER WORK IS COMMENCED. ILL - TOTAL `� Special Conditions - _a^ Date issued _by H%L001MOlTTMlCHPMT BUILDING PERMIT CITY OF T DATEIISSUEDt . O5/14/986-0083 COMMUNITY DEVELOPMENT DEPARTMENT PARCEL: 1S134AA-01900 S I_T L131 fftMvr.T 91rd' °f a� "�9: 39r� #800 SUBDIVISION. . . . t 1 KOLL BUSINESCENTER TIGARD ZONING-:C•-G BLOCK. . . . . . . . . . . LOT. . . . .I. . . . . . . .. 1 REISSUE: FLOOR AREAS----------- EXTERIOR WALL CONSTRUCTION- CLASS OF' WORK. :ALT FIRST. . . . t 0 sf Ns Se F.: W: TYPE OF USE. . . :COM SECOND. . . t 0 sf PROTECT OPENINGS?----------- TYPE OF CONST. : . . . t 0 sf N: St Et W: OCCUPANCY GRP. sB2 TOTAL-------t 0 sf ROOF CONSTt FIRE RET?: OCCUPANCY LOAD: 0 BASEMENT. . 0 sf AREA SEP. RATEDt SIOR. : 0 HTs 0 ft GARAGE. . . : 0 sf OCCU SEP. RATED: BSMT?: MEZZ?: READ SETBACKS--------- REQUIRED------------------- FLOOR LOAD. . . . 1 0 psf LEFTt 0 ft RGHTt 0 ft FIR SPKLt SMOK DET. . t DWELLING UNITS: 0 FRNTt 0 ft REAR: 0 ft FIR ALRMt HNDICP ACCs BEDRMS: 0 BATHSt 0 IMP SURFACE: 0 PRO CORRs PARKING: 0 VALUF_. f s 0 Remarkst Fire suppression system - Fantastic Sams Owners - ---_.________-----------.._.__________-----._.__._._-----__-_-- FEES FANTASTIC SAMS type amount by dote recpt 10115 SW NIMBUS #800 PRMT $ 25. 00 BON O4/O4/96 96-277837 FIRE $ 10. 00 BON 04/04/96 96-277837 PORTLAND OR 5PCT f 1. 25 BON 04/04/96 96-277837 Phone #: Contractors ---------------------__------.--- WYATT FIRE PROTECTION INC. 9095 S. W. BURNHAM T I GARD OR 97233 -------------------------------_-__-_- Phone #t 684-2928 f 36. 25 TOTAL Reg #. . : 64077 -------- REQUIRED INSPECTIONS ------- This permit is issued subject to the regulations contained in the F r^a m iti.g Insp Tigard Municipal Code, State of Ore. Specialty Codes and ail other Ins,-il:ation Insp applicable laws. All work will be done in accordance with Gyp Board Insp approved plans. This permit will expire if work is not started Susp Ceiing Insp within 180 days of issuance, or if work is suspended for more Final Inspection ,T than 180 days. E" Permittee Signatures _ 1 s S U w d By'. J -' m Call for inspection — 639-4175 W J G PLANCK0 ` 7� APPLICATION FOR PERMIT TO MSSTAIM FIRE SPRIN1MER SYSTEM BUELDI NG DIVISION, CITY OF TIGARD 09-4171 Date I-+ 1 LPERMIT N �' 1rL �n-O�$� y �,, c , Valuation: '75D-- Amt. Paid: �Z(.0 ,ZS (? n Permit Fee: S% State Tax: Balance Due: _ 40% FLS: � ► Plans must',*submitted to the Building Division before installation. Three sets of the plot plan, showing the layout and the location of the nearest hydrant is required. New Installation: Addition: Repair: Alteration:_ Sk ______ Complete:. Partial: _Exitway:�Basement: Hood & Vent:_ Spray Booth: _IN EXISTING BUILDING:_ C w IN NEW BUILDING: Irll NUMBER & STREET: ► 4 800 NAME OF BUILDING or BUSINESS:—„ „M1 �Ir— hL►�`� NO. OF STORIES: SIZE OF BUILDING: _OCCUPIED AS: TYPE OF SYSTEMS: Wet: Dry: Combination: _ STANDPIPES: OCC.HAZARD: Light ORD.GRP.HAZARD 1—2—3—4—Extra DENSITY GPM/Ft2 DESIGN AREA +t2 SPRINKLER AREA tt2 SPRINKLER ORIFICE SIZE. ,rte _ "IC' FACTOR 57. (2 TEMP. RATING /!S ' _,— OWNER:_ ADDRESS: CONTRACTOR: w Y� 0lF UJ`) PLANS DRAWN BY: S�� ADDRESS: a REMARKS: f- U _ APPROVED permits includes only work described above and/or on plans and specification bearing the 00 same permit number and will comply with all applicable codes and ordinances of the City of Tigard. C7 W SPRINKLER COMPANY: Wx-raI ROW= PHONE:__o[��c-Z�2�' SIGNATURE OF APPLICANT: BUILDING DIVISION: PERMIT VALID FOR 180 DAYS .ard\emndw\er.parm r ry � iii5jiii t7 � ri Oft f-" 00 .-. r. .-. d' 77 U a a a OV mayy,� x T Z Z X z Z Z Z Z W 0. vii M c a _. 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