10115 SW NIMBUS AVENUE-1 3AV S(IBININ MS S1101
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10115 SW NIMBUS AVE
CITY ��' T I G A R�D -----81JILDING PERMIT _
PERMIT#: BLJP2003-00518
DEVELOPMENT SERVICES DATE ISSUED: 9/2/03
Al 13125 SW Hall Blvd.,Ticiard. OR 97223 (503)639-4171 PARCEL: ';S134AA-01900
SITE ADDRESS: 10115 SW NIMBUS 4VE
SUBDIWSION: 1 KOLL BUSINESS CIENTER TIGARD ZONIV:: CA3
BLOCK: 1-07 001 _ JURISDICTIUM: TIG
REISSUE: FLOOR AREAS _ EXTERIOR WALL CONSTRUCTION
CLASS OF WORK: OTR FIRST: sf N: S: F: W:
TYPE OF USE: COM SECOND: ' PROJECT OPENINGS?
TYPE OF CONST: 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:
BSP"T?: 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:
' 'IE: $ 54,500.00
N, s: Re-Roof
Owner: Contractor:
ROBINSON, WILLIAM R/CONSTFNCE A ABC. ROOFING CO INC
ROBINSON, LYNN+ BELL, KAY ET 10123 SE BRITTANY CT
BY EL LIOTT ASSOC CLACKAMAS, OR 97015-8670
PORTLAND,OR 97204
Phone:
Phone: 503-786-0616
Reg#: LIC 427
__FEES REQUIRED INSPECTIONS
Description sDate Amount Dryrot after tear-off
[BUILD] Permit Fee 0/2/03 $498.15 Final Inspection
(TAXIS%State'Tax 3/2103 $39.85
'Total - $538.00 - -- --
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This permit is issued subject to the regulatic ris contained in the Tigard Municipal Code, State of OR. Specialty Codes
and all other applicable law. All we-k will be done in accordance with approved p!ans. This permit will expire if work is
J not started within 180 days of issuance, or if work is suspended for more than 186 days. ATTENTION: Oregon law
m requires you to follow the rules adopted by the Oregon Utility Notification Center. fl;ose 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
W calling (503)246-.6699 or 1-800-332-2344.
_J
Issued By:
Permittee
Signature:
Call 6394175 by 7 p.m. for an Inspection the next business day
r ' r 1atJ �-
Building Permit Application Received Building
---
RECEIVE Date/Hy: -0-1Permit Nol���0 _(�S�
Cit Of Tigard Planning Approval Other
g DatrJBy: Permit No.:
13125 SW Hall Blvd. P Ian Review Other —`
Tigard,Oregon 97223 SEP 0 2 10 Date/By: PermitNo.:_
Phone: 503-6394171 Fax: 503-598-1960Post-Review Land Use
Internet: www.ci.tigatd.ot.us Dud6 : Caw No.
g GI7Y Oh D Contact 1uris.: See Paae 2 for
24-hour Inspection Reyaest: 503-01A"' Name/Method: _ f;' S,upplemental Information
_ TYPE OF WORK YiNUI1tED DA Z+X,t
New construction _ D_emoliti.on 7 &21A1413LY BWEX
Addition/alteration/re lacement Other:
GORY _ Note: Permit fees•are based on the total value of the work performed. Indicate
I&2-Family dwelling Commercial4ndustrial the value(rounded to the nearest dollar)of all equipment,materials,latxx,
overhead and lmroM for the wort:indicated on this application.
Accessory Building 0 Multi-Family _
Master Builder Other: Valuation.. .:....- "�..................................
r No.of bedrooms: No.of baths:
f O 1 5" S '� fit/.:, c Total number of lours.....................................
lob site address: ,_- - --
Suite#: ^_ _ Bld ./A t.#: - - New dwell n,g .rea(sq.fl.).............................. ^--
Garage/carpr;rt area(sq.ft.)............................
Pro•ect NaT►1e: S.n r- _ Covered porch area(sq.ft.).............................
Cross street/Directions to job si e: neck area(sq.ft.)............................................
Other structure ares(sq.ft.)............................
Subdivision: _ i Lot#:
Tax map/parcel#: Note: Permit fees*are based on the total value of the work performed. Indicate
QRIP�I OF WA the value(rounded to the nearest dollar)of all equipment,materials,hdxrr,
- - -' overhead and profit for the work indicated on Ibis application.
.0 h. ,
r Valuation............... __
��e__.514� �_� - N area
•....ft........................... S � S d
Existing building arca(sq.ft.)......................... --
--- -- -- New building area(sq.ft,)...............................
Number of stories............................................
t . _ Type of constru,-tion...................................
Existi
Name: o M� Cam o� is w , hR,.. ��•,J Occupancy group(s): New ng
Address: 74.6 e y -`
City/State/Lip:
Phone:, Fax: NOTICE: All contractors and subcontractors are required to be
r licensed with the Oregon Const action Contractors Board t.ndet
�-_ -' provisions if ORS 701 and m•.v be required to be licensed in the
Business Name )Q jurisdiction nere wor- .g performed. 3r the applicant is exempt
Contact Name: T..,t te. 11 from licensing,the i .eason appli,,s:
a Address: Si . .' 4., -C 4 - — —
city%state/;;ip: /� �.», ,_ -2101
Phone: - ( r; !6 Fax: 03-i',,,LQeq Z
E-mail:
J i
a�
i3 Business Name: _ S p _ t 1 ••_ Fees due upon application.............................. _
W Address:
City/State/Zip' Amount received............................................. $ --
Phone: Fax: -- - nate received:—_._-- -- _-.—
CCB Lic. #: —
Authorized Notice: This permit apolics4on expires if a permit Is not obtained within
Signature: Date: 180 days after It has been accepted as complete.
*Fee methodology set by Tri-County BulldinR Industry Service hoard.
(Please print name) . ARq-\`'m
is\Dsts\Permit Forms\BldgPermitApp.doe 01/03
._a• gra r
Commercial Plan Submittal
Requirement Matrix
City of Tigard
TYPE OF'SUBMITTAL Ions
(Includes New,
Additions or Alterations) Iwo'-fit
Site Work 4
(must Include location of all accessible parking)
Plumbing - Site Utilities
Building
Fire Protection System 3**
Mb3hanic.al 2
Plumbing - Building Fixtures 2
Electrical 2
Plan review is dependent upon submittal of a completed applicat;on gnd plans. After
plan review approval, the Plans Examiner will contact the applicant to request
additional sets of plans for distribution purposes (for Contractor, City of Tigard,
ro Washington County, and Tualatin Valley Fire & Rescue).
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*For over-the-counter commercial tenant improvements, submit 2 sets of plans.
"New" fire protection ,:,,ystems require that plans bear the, original 3eal of an
Oregon licensed fire suppression engineer, or NICET level "3" technicians.
i:WstsVor.ms\C0M-matr1x.doc 9!24101
FOUR 4)PLY BUILT UP ROOFING SYSTEM
NAILAOLE DECK
GENERAL
Sdq:REfer to Sec tbr,Section 1.06.
DO NOT BEGIN INSTALLATION
UNTIL THIS INFORMATION IS READ,
UNDERSTOOD AND IMPLEMENTED.
'
-----..-.-" - '" MATERIALS
j-- - tarty
i MeteriAi Requimmw is per 100 sq ft.:
ow AWwft(fes ply) . . . . . . .25 Ifs► (1.22 Wim')
Base ShaM . . . . . . . . . .1 ph
s Pty Stets . . . . ... ... ..2 p
im-
Cap SI►eM . . . . . . . . . . . .1 I
12_'fV1R8RA&VMS&NO DMIARIMT MWD COMNERCW HOOF GIlARl1NTEE SKCIFF1CA11i X
( SEI Kamm 1f�Y - `ArmeN6
l N WORKHORSE ULTRA BASE SUPREME PLY 4 SUPREME PLY 4 W WHORSEULTRA CAP
SUPREAAE PI Y W1S . N—G 4 SUPWW PLY 4 M SE
SUPREME PLV F WISHEATHMO PAPFA SUP REMF r'l.Y 4 SUPREME PLY 4 WORKHORSE ULTRA CAv)
730-8/TP41 WOPKFIORSE ULTRA P" SUPREME PLY 4 SUPREME PLY 4 ULTRA CAP PREMFR 730
M-P4TP-N SUPREME ELIMINATOR WARS SUPREME PLY 4 SUPREME PLY 4 WORKHORSE ULTRA CAP
730-P4TP-N SUPREME ELIMINATOR NAIABLE SUF'RFMF PLY 4 SUPREME PLY 4 ULTRA CAP PREWR 730
1SYF.AR BRAT SUPREME NO DOLLAR LFXT AND COMMERCIAL ROOF GIWrWTEE SPECIFICATIO0
�%RiST ZONE ONLY YHOOD DkMKI)
sffxj mwjiwLl Kmmy RTfAu %fthem
M 84UP-N WORKHORSE UI TRA BASE SUPREME PLY 6 SUPREME PLY 6 WoWr4ORSE ULTRA CAP
SUPREME PLY 6 W/SHEATHING PAPER SUPREME PLY 6 SUPREME PLY, WORKHORSE ULTRA CAP
730-84UP-N WORKHORSE ULTRA BASE SUPREME PLY 6 SUPREME MY 6 ULTRA CAP PREMIER 730
M-P4UP-N SUPREME ELIAWArOR NAIL ABLE SUPREME PLY 6 SUPREME FLY 6 WDPlGK)R$E LATRA CAP
7- P4UP-N OA JPREME ELIMINATDR NAI-ABLE SUPREME PLY 8 SUPREME.PLY 6 ULTRA CAP PREMIER 730
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City of Tigard Building Department
13125 SW Ball Blvd., Tigard, OR 97223 Phone: (503) 639-4171
Re-Roof Pre-inspection Report Form
Requested by— �"pp 'a __Telephone I _- 1
Job Address O N^ v, Permit#:
Roof Access Location o a a 4
/
Date Requested / 2 Time Requested
Type of Existing Roof -.i �4 /� ;c'E i�_ L ��� C�ea 44/
Jo _
y vie/�� y
1. Siope of roof de--k
2. Roof/Penetrations/General Conditions Fair ❑Poor
3, Are thee,blisters? ❑Yes _No
4. Are there cracks? 0 Yes EKo,
5. Is there evidence of water ponding? Yes o
6. Is moisture present under roofing fleak)? ❑Yes L7No
7. Is roof insulation existing? KPres '&�No
8. Is roof insulation wet? ❑ Yes Emo
9. Property line setbacks on all sides> 10 feet Wes ❑No �
10. Building size ❑ < 3000 sq.A. ❑ <6000 sq.ft P<-6'0-00 sq.fl
11. Building height [U,<2 Stories ❑> 2 Stories
12. Class of roof required [] Non-rated NJW.' ❑ B. ❑ C.
13. Type roof deck Combustible L-1 Non-Combustible
14. Roof drains [] Provided ❑Required equate
15. Overflow drains ❑Provided []Required equate
16. Attic ventilation ❑ Provided E]Required ate
17. Roof listing Rrovided ❑Required
18. Installation Instructions E�-Provlded ❑Required
To re-roof this structure the following conditions must be met:
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J The re-roof proposal is VApproved for permit issaance If the conditions listed above are met.After obtaining your permit you must contact the
Building Division for an inspection when the roof deck is ready fcr the first inspection.The first insNction fora complete tear off is the deck
inspection. For a built-up roofing system(overlay),the first inspection is at the start of the job.After hie re-mot is m mp'ele,a final inspection is
required. --
Inspector _ EA. 2 y 2 3 Cate
i
CITY OF TIGA►RD 24-Hour
AIJILDINC Inspection Line: (503)639-4V5-`F
-- -- –
INSPECTION DIVISION Business Line: (503)639-4171 MSX —
_ BUP
Received Date Requested. AM PM — DUP — --..__—_—
Location Sufte — MEC - ---- --.-----.
Con"act Berson _ —�`��L? j&4Z A,-- Ph(LWPLM
Contractor SWR
BUILDINGTenant/ ELC
Footing---------.- ELC -- --
Foundation ACC s:
Fig Drain ELR
Crawl Dain
Slab insp6nfi n No SIT --
Post& Beam _ 1�
Shear Anchors
Ext Sheath/Shear
hd Sheath/Shear
Framing — —
Insulation
Drywall Nailing QQ_ — ---'
Firewall
Fire Sprinkler -- "-`
Fire Ale►m
Su ailing — -- _--- -
Other:
PfK9S AAT FAIL
<FJOWNO -- — - —
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 —
ME:HANICAL _ --
Post 8 Beam
Rough-In — ----- — __
IL Gas Line
rz Smoke Dampers — --- ---
NFinal -- -- - —
PASS PART FAIL — -- -' — -�
ELECTRICAL
m Service
0 Rough-In
W UG/Slab
i.ow Volta,, ---_--
Fire Alarm
Final n Reinspection feo of$ ______—_req tired before next inspaction. Pay at City Hall, 13125::•W Hall 81vd.
PASS PAR Y FAIL
SITE
PASS
call for reinspection RE:__— ___..______.____.`____ Unable to inspect-no access
Fire Supply Line
ADA /� Y
Approach/Sidewalk Daft— -j�- 3 i" w IDI:t` '--' —� Ext
Other:
Final DO NOT REMOVE thle Inspection record from the Job she.
PASS PART FAIL
0TY OF TIGARD
DEVELOPMENT SERVICES ELECTRICAL PERMIT
13125 SW Hall Blvd.,Tlgsrd,OR 97223 (603)6394171 PERMIT #: ELC97-0099
DATE '.SSUED: P3/10/97
PARCEL: 1S1?4AA-01900
7':33TTEADDRESS. ., . . 10115 SW NTM13Uf3 AVEN. . . . : i KOLL BIDSINESS CENTER TI[IARC► ZONINS:C-G
. . . . . . L-OT. . . . . . . . . . . . . : 1
Project Descriptions instl ` service/feeders
::-h # 70573
______________________________________-._-------__---_..._--._•---.--------•-----__--___-
._.- .--RE S I DENT JAL. UNIT- - _ -_-TEMP SRVC/FF EDEF2S•--•-.- -----•M I SCELLANE:OU9-----
1000 SF OR LESS. . . . : 0 0 - 200 tamp. . . . . . . : 0 PUMP/IRRIGATION. . . . : 0
EACH ADD" L- 5003F. . . : 0 201 - 400 amp. . . . . . . : 0 SIGN/OLJT LINE LTG. . : 0
LIMITED ENERGY. . . . . : 0 401 - 600 amp. . . . . . . : 0 SIGNAL/PANEL. . . . . . . : 0
MANF. HM/ SVC/FDR. .- 0 601+amps--1000 volts. : it MINOR LABEL ( 10) . . . : 0
----SF_RVICE"/FEEDER---- ----BRANCH CIRCIJITS----- ---ADD' L INSPECTIONS---
0 - ~00 'IMP. . . . . . : 0 W/GERVICE OR FEEDER: 0 PEP INSPECTION. . . . . : 0
201 - 400 amp. . . . . . : 2 1st W/O SRVC OR FDR.,o 0 PER HOUR. . . . . . . . . . . : 0
401 - 600 amrj. „ . .. . . 0 EA ADD' I_ BRNCH CIRC: 0 IN PL._AN`1.. . . . . . . . . . . : 0
(EpO1 - 1000 amp. . . . . : @ -----------------PLAN REVIEW SECTION-----------------
10004 amp/volt . . . . . : 0 ) =4 RETS UNITS. . . . . . . . . ) F,OO V01..T MOM INPL. . :
Reconnect only. . . . . : 0 SVC/FDR ) = 225 AMPS. . s CLASS AREA/SPEC OCC. :
Owner. -- ----------------------------------------------------- FEES __-
NIMBUS CENTER nSSOCIATES type amount by date recut
All NW 19TH ( 10PRMT $ 240. 00 TAT 02/19/97 97-P,90532
STE: 102 �`� SPCT ! IP. 00 TAT 02/19/97 97-290532
PORTLAND OR 97209 �� PLCN $ 37. 50 'TAT 03/10/97 97-291452
Phone #:
Contractor. _._________.._.______�--------___.---------.--•---.•-----_-------- -----_____ �
OREGON ELECTR f C CONSTRr TN INC $ 289. 50 TOTAL
1010 SE 11TH
---- -- REDUIRED INSPECTIONS --------
r,nPT1_FfNV OR 97214 cf.,i 1 ;rig Cover Uridergrof.fnd Cove
shone ##: 234-9900 Wall Cover Elect' 1 Service
Reg #. . : 000002
This pereit is Issued subject to the regulations contained in the
Tigard Municipal Code, State of Ore. Special"-v Codes and all other Flet~ i}l a Signa t
7
applicable laws. PH work will be done in accordance with J
approved lans. This emit will expire if work is not started
r AP P P P
within 180 days of issuance, at, if work is suspo,,+#d for we _
`hap 190 days. I 5 Lt e d B y -
_ . ....OWNEP INSTALL_PTION nNI._Y----t
The installation is being wade cn pronerty J own which is. not intended For
a ,ale, lease, at rent.
D (1WNER' S SIGNATURE': ')ATE:
INSTALLATION ONLY-------------_--__-------_.----
SIGNATURE OF SUPR. ELEC' N: _ DATE:
ICENSE NO:
Call for inspection, - 639-4175
r
Community Development ELECTRICAL PERMIT APPLICATION
13125 SW Hall Blvd.
Tigard, OR 97223 Planck/Rec. #_
4 Perrnit #
Phone (503) 639 4171 Date Issued
CITY OF TI�3ARQ FAX (503) 684-7297 issued by
TDD No. (503) 684-2772
InspelAion (503) 639-4175
1. Jou Address: JOB NO, 70)573 a. Compiete Fee Schedule Below:
Name of Development Elliott Asoociates - Nimbuti Ct . Number of Inspoollions per permit allowed -
Address 10115 SW Nimbus Service included: items Cost(on) Surt
City/State/Zip .,_ Tigard, OR 97223 fla. Residential-per unit 4
1000 aq It or Irea $11000
Name (or name of business) Vimbua Center Each mWlional500 aq It or ' 1
portion thereof �.s 00
Commercial r, Residential❑ Limited Energy $280o
Each MAnul'd 14oma or Modder 2
Dwelling Service or Feeder $88 00
2a. Contractor Installation only: 4b.services or roodere
Inetallyd+on,Alteration,or relocation 2
Electrical Contractor OREGON_ ELECTRIC GROUP 200 amps or leas sm 00 2
Address-1010 SE 11th 201 amps to 400 taupe $8000 2
101 amps to 000 amp $120 W 2
City�si�r land State__QgM Zip 97214 001 amp to 1000 amp $180 00 2
Phone Nu. 234-9900 Over ION imp*or Volts $34000 v_ 2
Contractor's License No. §_0 0 r Flocontwe o* of ----
Contractor's Board Reg. 0. _ 4c. Temporary Services or Feeders
Insfallat on,aNerotton,or relocation 2
00
Signature of Supr. Elec'n r 2amps or Was SIR)00 2
License No. 2.3455 f e No. 234-9900 201 amps to4lloamps MOO 2
-- — 401 amp to 000 amps _, $1f1000
Over 000 a11pA io 1000 VONA
2b. For owner Installations: see•b•above
Id.Branch Circuits
Print Owner's Name New,ANeratlon of extension per panel
Addres3 n)The les for Manch circuAa$MIA
purrlase of errrMrd"'Am.or MrdMr. 2
CityState Zip
Earn branch circu t IS no
Photle No. b)It,A lee for bronrh circuits tvffftour
The installation is being made on property I own which is rimbese of srrvke or MrAs►Ave. 2
Elf branch circ„
not intended for sale, lease or rent. _
En. adli
do�l hr $3s 00 2
.fi arch dna+l $i5 00
Owner's Signature its. MiscoAllain vue
(Service or feeder not included) 2
3. Plan Review section (if required): Each pump or irrigation cirds $4000 _ 2
Each sign or oullirn Iihting _ woo
Signal circuil(s)or a limited"M 2
Please check appropriate Item and enter fee In section SB. panel,ahoretion or extension $4000
+ 4 or more resdential Units in one structure Minor Labals(10) $10000
Service and feeder 225 amps or more
System over 600 volts nemillal cif.Each additional Inspection ever
Classifipd area or structure containing special occupancy the allowable in any of the above
� Per Inpecfbn $3500
as described in N E.C. Chapter 5 Per hour $60.00
In Plaid 0500
j Submit 2 sets of plans with application where any of the above
j r apply. Not requhad for temporary construction services. 5. Fees.
I 5a. Enter total of above tees $ 240.00
I NOTICE 5%Surcharge(05 X tctal fees) s 12.00
I
PERMITS BECOME VOID IF WORK OR CONSTRUCTION subtotal
AUTHORIZED IS NOT COMMENCED WITHIN SCO DAYS,OR IF 56.Enter 25%of line A for
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR Plan Review if required(Sec.I) $ _
A PERIOD OF 190 DAYS AT ANY TIME AFTER WORK IS subtotal E
COMMENCED. El Trust Account 0 $
Balgnce Due f 252.00
eoarem.rnN�oprn�r
7
Ciff OF TIGARD
April 11, 1996
OREGON
G & H Electric Co. of Oregon
Attn: Jack Engelman
932 SE Stephens
Portland, OR 97214
Project : NI14RUS CENTEIR.
Subject : ELECTRICAL PLAN REVIEW
The plans submitted were reviewed for conformity W.th the 1993
National Electrical Code (:vEC) and the State of Oregon Electrical
Specialty Code. The following was noted:
1. The 1993 NEC is the minimum a-lectrical requirement..
2 . The grounding electrode will be the building rebar (UFER) or
the building steel if available.
3 . A copy of the results of the amperage recording will be sent
to this office.
4 . There will be no water lines or RVAC ducts above panels.
Please contact Michael Rudd at 903-639-4171, ext. 356, to discuss
the electrical notes.
Thankryou for your coopepation,
T
ichael Rudd
Electrical Inspect:
-r
i.:\bldg\nimbus.doc
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13125 SWV Hall Blvd., Thlard, OR 97223 (503) 639-4171 TDD (503; 684-2772
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- CIT' OF TIGARD
DEVELOPMENT SERVICES ELECTRICAL PERMIT
13125 SW Noll Blvd., Tigard,OR 9rM (503)6304171 PERMIT #i ELC97-0159
DATE ISSUED: 03/20.1/97
PARCEL: 1 S 1.34AA-01800
SITE ADDRESS. . . : 10110 SW NIMBUS AVE #B-7
SUBDIVISION. . . . : 1 KNOLL BUSINESS CENTER TIGARD ZONINGsI-P
BL_OCH. . . . . . . . . . . LOT. . . . . . . . . . . :2
Project Description: INSTL 1 SIGNAL CIRCUIT/LIMITED ENERGY PANEL
---RESIDENTTNL
--------------------------------------
UNIT---- ---TEMP SRVC/FEEDERS-----• -----MISCELLANEOUS-----
L 000 SF OR i_..ESS. . . . : 0 0 - 200 amp. . . . . . . : 0 PUMP/IRRIGATION. . . . r 0
EACH ADD' l.. 500SF. . . : 0 201 - 400 amp. . . . . . . : 0 SIGN/OLIT LINE LTG. . : 0
LIMITED ENERGY. . . . . : 0 401 - 60 .N amp. . . . . . . : 0 SIGNAL./PANEL. . . . . . . : 1
MANF. HM/ SVC/FDR. . r 0 601+amlps -1000 volts. a 0 MINOR LABEL ( 1.0) . . . : 0
----SERVICE/FEEDER---- - --BRA►JCFf CIRCUITS--_-__- -.-_ADD' L INSPECTIONS—
0 - 200 amp. . . . . . : 0 W/SERVICE: OR FEEDER: 0 PER INSPECTIOhl. . . . . : 0
400 amp. . . . . . : 0 1 st W/0 SRVC OR FDR, : 0 PER HOUR. . . . . . . . . . . : 0
401 - 601A a m p. . . . . . : 0 EA ADD' L- BRNCH CIRC: 0 IN PLANT. . . . . . . . . . . .. 0
601 - 1000 amp. . . . . : 0 -------------------PLAN REVIEW SECT ION------ -- --- -_--
1000+ amp/volt. . . . . : 0 1 -� RES UNITS. . . . . . . . : 1 600 VOLT NOMINAL. . :
CC. :OReconnec' only. . . . . e 0 SVC/FDR > = 223 AMPS— : CLASS AREA/SPEC OCC. .-
Owner-
wner; ______. _._ __ -------__._..__._..__.___._._...__._____._ FEES -------- ---______.
FORUM PROPERI IES type a_ mai.mt by date recpt
10240 SW NIMBUS PRMT $ 40. 00 TAT 03/20/97 97-292009
SITE L3 SPCT $ 2. 00 TOT 03/20/97 97-292009
TIGARD OP 97223
Phone #: 684-0,510
Contractor. _.__.-----------------_-------______.._____•-------.----_____-------•---.---__-.--
ALL_EN/FALK INC ! 42. 010 TOTAL
9020 SW GEMINI DR
--------- REOUIRED INSPF CTTONS -•--_-___.
BEAVERTON OR 9-7008 Coiling Cove- Underground Cove
Phonp #: 646-0533 Wall Cover Elect' l Service
Req #. . : 00047P
This permit is issued sub.jert to the regulations contained in the Lvi
Tigard 1luniripal Code, State of fire. Specialty Codes and all oth►r Perm i tSi gnat r.+r
applicable lags. All work Mill be done in accordance with
approved pians. This permit Mill expire if work is not started
within 180 days of issuance, or if woeo is suspended for more
than 180 days. T ss4frd By
INSTALLATION ONLY---- _..__-.--_-___--_-----_-._--
The installation is being made on property I own which is not intended for
sale, lease, or rent.
OWNER' S S I GNATI.IRE: DATE:
----------------------------CONTRACTOR INSTALLATION ONLY----------------------------.-
SIGNATURE OF Sl_IPR. ELEC' N: __ � DATE e
I_TrENSE NO:
Call for inspection - 639-4175
-�,_
• Community Development ELECTRICAL rERMIT APPLICATION
13125 SW Hall Blvd.
Tigard, on 97223 Planck/Rec. #
Permit # _
Phone (503) 639-4171 Urate Issued
CITY OF iNGAR@ FAX (503) 684-7297 Issued by
TDD No. (503) 684-2772
Inspection (503) 639-4175
1. Job Address: C�C� ,on 4. Cmplete Fee Schedule Below:
Name of Developmont Gam'✓ L I\.Ox r_7 Number of Inspections par permit allowed --1
AddressIDL 0 ?I&Dr, �7dn 6 Service included: Items Cost(ea) Sum
City/State/Zi ���d! 4a. Reeldential-per unit 4
10(10 eq tt or We $11000
Name (or name of business) Fns nttatrehoSW eq n ord t2: ')<I
genion 1
te
Commercial Residential❑ limssA Fnerp $2500
Each A4anu4'd Home or Modular 2
Davflknp 3ervioe m Feeder sm 00
29. Contractor Installation only:
4b.Services or Feeders
Irrtallalion,Ovation,of relocation 2
Electrical OntractorAA� 200 amp m We $9000 2
Addre 201 amp-0 400 amp i� $8000 _ 2
4(j1 amp to AM amp $120 00 2
city taterif?. ZIP RD amp to I(Morn e $19000 2
P",ogle No Over Over 1000 amp of volts S14000 2
C xifractor'S License No. Rocwnned o* $6000
Contractor's Board Reg. No. Lk 1 2 _ 4c.Temporary se•vices or Fmders
`�— Installation,alteration,cr relocation 2
Signature of Su r. EI 200 amps or We —_ $6000 2
201 amp Io 400 amp $1,500 2
License No. i Phone No.I vi -n` 3 401 ampa to NO amps ♦10000
Over 900 amp to Iam volte
2b. For owner Installations: e,e-b-above
Print Owner's Name 4d.Branch Circuits
New,alteration or eMemion per penal
Address a)The fee for March arcults MM
City —_ State ZIP pumhose or sarrke or to da be. 2
Each Manch arcus $600
Phone No. b)The fee for branch arcfas w40mit
The installation is being made on property I own which is ptirea.ea of esrwes or 111edo be. 2
not intended for sale, lepSe or rent. I First branch amts �^ $3600 _ 2
Each addilbnal Manch arcus 1600
Owner's Signature _ 4e.Miscellaneous
(Swvica or feeder not incllrrfed) 2
3. Plan Review section (Ill required): Each pump or i"Vation circle $4000 2
Each syn or outline lighkq $4000
SOW ckiffl(e)or a limited anergy !— 4b
Pies"check appropriate Item and enter fee In section SB. penal,a9M
eralion or Woo
4 or more residential unit, in one structure Minor I abets(10) $10000
Service and feeder 225 amps or more
System over 600 volts nominal 41.Each additional Inspection over
Classified area or structure containing special occupancy the allowable In any of the above
as describod In N.E.C. Chapter 5 Per inspection -- $9500
Per hour $5500
Submit 2 sets of None with application where ony of the above In Plant $9500
apply. Not required for temporary construction services. 5, Fees: O
NOTICE So. Enter total of above fees S _
--- 5%Surcharge(05 X total fees) $
PERMITS BECOME VOID!F WORK OR CONSTRUCTION Subtotal $
AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS,OR IF Sb.Enter 25%of line A for
CONSTRUCTION OR WORK iS SUSPENDED OR ABANDONED rCIR Plan Review if rrctltired(Sec.3) $
I
A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS I sttbtoral $
COMMENCED. I n Trust Accatnt N $
( ®alarfce Due $
IM
. .t.No—r—ren
I AsCITY OF TIGARD
DEVELOPMENT SERVICES ELECTRICAL LC97-PERMT
PERMIT #: ELC97-0043
13125 SW Nell Blvd.,llge►d,OR 97223 (503)63M171 DATE :SSUED: 01/21/97
PARCEL: iS134AA--01800
ITE ADDRESS. . . : 10110 5W NIMBJS AVE #B-7
SUBDIVISION. . . . : i KNOLL BUSINESS CENTER TIGARD ZONING: I—P
BLOCK,. . . . . . . . . . . LOT. . . . . . . . . . . . . :8
Project Description :
RESIDENTIAL — _
UNIT----- ---TEMP SRVC/FEEDERS----- -----MISCELLANEOUS------
1000 SF OR LESS-- : 0 0 — 200 amp. . . . . . . : 0 PUMP/IRRIGATION. . . . : 0
EACH ADD' I_ 500SP. . . : 0 801 — 400 amp. . . . . . . : 0 SIGN/OUT LINE LTG. . : 0
LIMITED ENERGY. . . . . : 0 401 -- 600 amp. . . . . . . : 0 SIGNAL/PANEL.. . . . . . . . 0
MANF. HM/ SVC/FDR. . : 0 601+amps-1000 val.ts. : 0 MINOR LABEL_ ( 10) . . . : 0
----SERVICE/FEEDER---- ; +En , -----BRANCH CIRCUITS----- ---ADD' L INSPECTIONS- --
0 - 200 ramp. . . . . . . 1 W/SERVICE OR FEEDER: 10 PER INSPECTION. . . . . : 0
201 — 400 amp. . . . . . : 0 ;t; +k 1st W/O SRVC 3R FDR. : 0 PER HOUR. . . . . . . . . . . : 0
401 600 amp. . . . . .
amp. . . . . . : 0 EA ADD' L BRNCH CIRC: 0 IN F'L_ANT. . . . . . . . . . . : @
C,01 — 1000 amp. . . . . : AariF -----------------PLAN REVIEW SECTION----------------
1000+- amp/volt:., . . . . : 91 ) =4 RES UNITS. . . . . . . . : > 600 VOLT NOMINAL. . :
Reconnect only. . . . . : 0 SVC/FDR )- 225 AMPS. . : CLASS AREA/SPEC OCC. :
Owner: ------- - _—_______._.--.----.----.___._..___._— FEES
FORUM PROPERTIES_- - — type amount by date recpt
1 O 40 PRMT $ 110. 00 JSD 01/21,197 97--889173
aW NIMBUS L3 5PCT f 5. 50 JSD 01/21/97 97-289173
TIGARD OR 97223
Phone #: 584--0510
Contractor^: — --------------_-----------------.---------------------------------
REESE & SONStLECTIRIC 115. 50 TOTAL
16310 SE RHONE
----------- REG?UIRED INSPECTIIJNS ------ ------
PORTLAND OR 97236 Ceiling Cover F_lect' 1 Service
Phone #: Wall. Cover Elect' l F'_nal.
key #. . : 17•49883
This pewit is issl.ed subject to the regulatirns contained in the
Tigard Municipal Code, State of Ore. Specialty Codes and all other r m i t t e g n a t u r e
applicable laws. All work will be done in accordance with
approved plans. This perait will expire if cork is not started
within tee days of issuance, or if work is suspended for sure
than 168 days. T 3'-Ae y
OWNER INSTALL.AT%ON ONLY--—— -——————————————————-------
The installation—is being made on property I own which is not intended for
sale, lyase, or rent.
OWNER' S SIGNATURE- _ DATE: _
..._._----------_..______._.___.___.____CONTRACTOR INSTALLATION ONLY-------_---------- -_____-_-- —_
SIGNATURE OF SUPR. ELEC' N: DATE:
LICENSE NO: ------
Ca.11 for in,,pection — 639--4175
I
CITY 09 TIGARD Electrical Parmit Application Plan Ctv&; ..--_
13125 3W HALL BLVD. Rec'de -L2"
f
TIGARD OR 97223 Date Recd_
Date to P.E.
Phone(5031)639-4171, x304 Print or Type Date to OST _
Inspection (503)639-4175 Permit ff,_
Fax(503)684-7297 Incomplete or illegible will trot be accepted Called ry�-e-
1. Job Address: 4. Complete Fee Schedule Below:
Name of Development_X fi��LS / Number of Inspecdons per permit allowwJ -
Name(or name of business` -4-e ,-/JX �7 Service Included: Items Cost Sum
Address�fL�1 ae tt/. �� 3 cli - 9 / 4a. Residential-per unh
1000 sq.ft.or loss $110.00 _ 4
City/State/71 Each additional 500 sq.ft.or
Commercial �(4 Residential ❑ portion thereof $25.00 1
Limited Energy $25.30
Each Menurd Home or Modular
Dwelling Service or Feeder $68.00 2
2a.. Contractor installation only:
(Attach copy of all ugent licenses) 4b.Services or Feeders
I.lecthcal C nI actor l installation,alteration,or relocation
L PL> ✓�'i 200 amps or less $60.no A2 00
Address 5 j5� 201 amps to 400 amps 580.00 2
City State Zip / - Z 401 amps to 600 amps `_ $120.00 2
Phone No. sz�P� T - ;Z - �f O 3 601 amps to 1000 amps $180.00 2
Job No. Over IOW amps or volts $540.00 _ 2
Elec.Cont. Lice. No. !J 4 c Exp.DateReconnect only $50.a; 2
�
OR State CCB Reg. No.. - -_Exp.Date• porary Services or Feeders
COT Business Tax or Metro No. Exp.Cate Installation,alteration,or relocation
-, 200 amps or less $50.00 2
Signature of Supr. Elec'n 201 amps to 400 amps �._ $75.00 2
401 amps to 600 amps $100.00 2
Over 600 amps to 1000 vnits,
License No. - _Exp.Date see"b"above.
Phone No.
�T 4d.Branch Circuits
New,alteration or oxtension per panel
2b For owner installations: a)Thi foe for branch circuits with
purchase of service or
Print Owner's Name feeder fee.
Address_ _
Each branch circuit $5.00 �alif2L 2
- - b)The fee for branch circuits
City _ State - Zip without purchase of
Phone No. _ service or fader lee.
First branch circuit $35.00 _ 2
The installation is being made on propertv I own which is not ) Each additional branch circuit! $5.00 2
intended for sale, lease or rent. 4e.Miscellaneous
(Service or feeder not Inc.uded)
Owner's Signature Each pt-mp or irrigation circle $40.00 2
Each sign or outline lighting $40.00 -_- 2
3. Plan Review section (it required):' Signal cirruit(s)or a limited energy-
IL panel,alteration or extension $40.00 2
_
F, Please check appropriate Item and enter fee In section 58. Minor Labels(10) $100.00
N 4 or more residential units In one structure 41.Each additional Inspection over
Service and feeder 225 amps or more the allowable In any of the above
System over 600 volts nominal Per Inspection $35.00
J Classified area or structure containing special occupancy Per hour $55.00 _
m as described in N.E.C.Chapter 5 In Plant $55.00
W *Submit 2 sets of plans with application where any of the above apply. 5. Fees: d
Not required for temporary construction services. 6s.Enter total of above fees $ ��
5%Surcharge(.05 X total fees) $
NQ it'E SubMMI
Sb.Enter 25%of line 59 for
PERMITS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED IS Plan Review If rNuired(Sec.3) $
NOT COMMENCED WITHIN 180 DAYS,OR IF CONSTRUCTION OR WORK Subtotal $
IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY
TIME AFTFR WORK IS COMMENCED. ❑ Trust Accountif r
Total balance Due
1.0STMELCM Arr, nw wm
CITY OF TIGARD BUILDING INSPECTION DIVISION
24-Hour Impaction Line;:6394173 Business Phone: 639-4171
Date Requested:
A.M. (/ p.M._ MST:
Location: /rn
_ BUP:
Tenant:�� — Suite:_ MEC: --
Cont ww.. Phone: PLM: _
0w1a:–� --Phone: �491 F .Q
BUUAING� BLDG(coe't) PLUMBING HECHARICAL / KLZCTRICR A M SITE
Site Posr/Beam Post/Beam Post/Bearn Sewer/Storm
Foot ng Roof thxMlab Rough-In Ceiling Water Line
Framing Top()Id On Line Rough In UG Sprinkler
Foundation Insulation Sew" Hood/Duct heconnat Vault
Bsmt Damp Drywall Storm Furnace Temp Service MIX,
Ma!"uy Ceiling Rain Drain A/C UG Slab
Shear/Sheath Fire Spklr/Alm CrawlVFound Dr Heat Pump
Low Volt
Approved Approved Approved Approved Approved
Appr/Sdwlk Not Approved Not Approved Not ApprovedN
ot FINAL FMAL FINAL � �� ApprovedFiNAI.
IL —�-
a to
m
W
J f_�
D Cell fcr reinspection 171 Rrinsnection foe Z Y required before;ext in xrtion [7 Unable to inspect
Inspector ' E' Date: �� _ Paof�/