10160 SW NIMBUS AVENUE BLDG F STE 1 I.J 3AV sn9wIN MS 09601,
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10160 SW NIMBUS AVE F1
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24-Hour Inspection Line: 639-4176 Business line: 639-4179 ---'�-'
_ Date Requested r l AM BUP
/PQM BLD
l_oration _ Suite Lam" MEC _
Contact Person Ph PLM
Contractor_ ` c VJ/ Ph SWR
BUILDING Tenant/0% er /c EL
Retaining Wall ELR
Footing —
em
Foundation Acc 3'S(,Q.. FPS
Ftg Drain Z�"
----— 8GN
Crawl Drain Inspection Notes.- -
Slab �1_ �_3�1 _ -_ SIT
Post&Beam V----- --
Ext Sheath/Shear
Int Sheath/Shear
Framing
Insulstion
Drywall Nailing — Cf —
Firewall
Fire Sprinkler + —
Fire Alarm _
Susp'd Ceiling
Roof
Misc: -- ----- ------- —
Final —
PASS PART FAIL — — —
PLUMBING
Post&Beam "—
Under Slab
Top Out _--
Water Service
Sanitary Sewer — � ---�----�--- -- ----
Rain Drains
Final -------------- -- -- _--_._----
PASS PART FAIL _—
MECHANICAL
Post R Beam — -- — --
Rough In
Gas Line --
Smoke Dampers
Final ---- --_ —..----
PASS PART FAIL
ELECTRICAL-
LL
-- --�- ---- —_--
Rough hi
NUG/Slab - ----- - -------
Low Voltage
lanr
«J
mPART FAIL
W
S�
J Backfill/ Grading --- ----- — -- _ -_W—_—._
Sanitary Sewer
Storm Drain ( ]Reinspection fee of$— _`--required before next Inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin
Fire Supply Line [ ]Please Cat;for reinspection RE: [ J Unable to inspect no access
ADA i
Approach/Sidewalk 08t9 Inspector � Ext
Other —
Final
PASS PART FAIL DO NOT REMOVE this Inspection (record] from the job site.
CITY OF T ELECTRICAL PERMIT
DEVELOPMENT SERVICES PERMIT #: ELC98--0666
�
13125 SW Hall Blvd.,17gard,OR 97223(503)639-4171 DATE ISSUED: 11.'04/98
PARCEL: 16134AA--01800
SITE ADDRESS. . . .- 10160 SW NIMBUS AVE #F-1
SUBDIVISION. . . . : 1 KOLL BUSINESS CENTER TIGARD ZONING: I-P
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . :OO2 JURISDICi-ION: TIG
Pro j ect De seri pt i on: Electrical TI
----------------------------------------------------------------------------•-----
----RESIDENTIAL UNIT---- ---TEMP SRVC/FEEDERS----.- -----MISCELLANEOUS------
1000 SF OR LESS. . . . : 0 0 - 200 amp. . . . . . . : 0 PUMP/IRRIGATION. . . . : 0
EACH ADD' L 5O0SF. . . : 0 2201 - 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-1400 volts. : 0 MINOR L-ABEL t1O) , . . : 0
-----SERVICE/FEEDER---- ----BRANCH CIRCUITS------ ---ADD' L. INSPECTIONS—-
(a
NSPECT I ONS-----
(a -- 200 amp. . . . . . : 2 W/SERVICE OR FEEDER: 3 PER INSPECTION. . . . . : 0
201 — 400 amp. . . . . . : 0 1st W/O SRVC OR FDR. : 0 PER HOUR. . . . . . . . . . . a 0
401 — 600 amp. . . . . . : 0 EA ADD' L BRNCH CIRC: 0 IN PLANT. . . . . . . . , . . : 0
601 — 1000 amp. . . . . : 0 -----------------PLAN REVIEW SECTION-----------------
1000+ amp/volt. . . . . : 0 )-4 RES UNITS. . . . . . . . : i 600 VOLT NOMINAL. . :
Reconnect only. . . . . : 03VC/FDR )= 225 AMPS. . : CLASS AREA/SPEC OCC. :
Owner: ------------------------------------------------------- FEES
INSIGNIA COMMERCIAL_ GROUP type amount by date recpt
8705 SW NIMBUS AVE #230 PRMT $ 135. 00 B 11/04/98 98-310567
BEAVERTON OR 97008 SPCT $ 6. 75 B 11/04/96 98-310567
Phone #:
Contractor: —• --------------------------
GUILD CONSTRUCTION $ 141. 75 TOTAL
7508 SW OAK
REQU I RED INSPECTIONS
-----
PORTLAND OR 97223 Ceiling Cover Elect91 Service
Phone #: 293-3276 Wall Cover Elect' l Final
Reg #. . : 109116
this permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Oregon Sperialty Codes and all other
applicable laws. All work will be done in accordance aith approved plans. This permit will expire if work is not starte;i within 180
days of issuance, or if work is suspended for sort than 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by
the Oregon Utility Notification C nter. to les are set forth in OAR 952-M1- NIA through OAR 952-MI-1987. You may obtain a copy
of these rules or direct question to fling(593)246-.1987.
'?ermittee Signat�_ire: _� Issued By:��-
oc
rr
INSTALLATION ONLY---------------------------.--.--
rhe installation is being made on property I own which is not intended for
gale, lease, or rent.
_m C)WNER' S S I GNOTURE: DATE s
W ________________________CONTROCTOR '[NST LATION
SIGNATURE OF SUPR. ELEC' N: _ I � DATE s
LICENSE NO
+++++.......+++++++++++++++++++++++++++++++++++++++++++++++++++-F++++i-++++.++-1-+4-+++
Call 639-4175 by 7:00 p. m. for an inspection needed the next business day
++++++++++++++++++++++++++++++++++++*+++++++++f++++++++++++++++++++++++++++++++
CITY OF TIGARD Electrical Permit Application Plan Check rY^
13125 SW HALL BLVD. Recd By�_
TIGARD OR 97223 Date Recd
Date to P.E.
Phone(503)639-4171, x304 Print or Type Date to DST
Inspection(503)639-4175 Incomplete or illegible will not be accepted Prrm!t n-f
Fax (503)684-7297 _-
1. Job Address: I►JS:Gtr l(A i» 4. Complete Fee Schedule Below:
Name of Developmentfi�!tv ��. Number of InspsaUons per permit allowed
Name(or name of business)r TRfJr�� �1'r�1 Service included: Items Cost Sum
Address 101(00 5-WN(tAIuS Ave- F:7- 1 11fr 4a. Residential-per unit
qT LL3 1000 aq.It or less $1 10.00 _ 4
City/State/Zip D Fach additional 500 sq.fl.or
Commercial Er Residential❑ Limited Energy 525.00
Earh Manurd Home or Modular
(Dwelling Service or Foeder $68.00 2
2a. Contractor Installation only: --�
(Attach copy of all current licenses) 4b.Services or Feeders
Electrical Contractor OIL-0 �r� �ti 1e'a��Y Installation,alteralinn,or relocation �,��
Address' _ .� 200 amps or less --_ $60.00 1.�Ur . 2
"" '' 201 amps to 400 amps _ 380.00 2
City'F 3,jt±=P State�- _Zip�1 1223 401 amps to 600 amus - $120.00 2
Phone No. 93 3'�7(� _-- - 601 amps to 1000 amps __ $190.00 2
Job No. Over 1000 amps or wofls $940.00 � 2
Elec.Cont. Lice. No. G- Exp.Date 10,1 q Reconnect oniy $50,00 2--- -
OR State CCB Reg. No. l QLL l l L, Exp.Date�e2 4c.Temporary Services or Feedors
COT Business Tax or Metro No. Exp.Date 10•I•q I InstallaSbn,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
�r) 19CGOver 6amps to 1000 volts,
License No. a 00-Exp.Date (�(����_ see"b•'above.
Phone No.
--- - -� - 4d.Branch Circuits
Now,alteration or extension per panel
2b. For owner installations: a)l he fee for branch circuits with
purchase of service or
Print Owner's Name _ feeder fee. r o0
Address Each branch cirrult b $5.00 2
b)The fee fcr branch circuits
City State Zip without purchase of
Phone No. service or feeder Ne.
First branch circuit $35.00 2
The Installation is being made on property I own which is not Each additionul branch circuit_ $5.00 2
intended for sale,lease or rent. 4e.Miscellaneous
(Service or feeder not Included)
Owner's Signature _ Each pump or irrigation circle $40.00 �___ 2
Each sign or oulline lighting 340.00 _ 2
3. Plan Review section , -equired):" Signal circuits)or a limited energy
�. panel,alteration m extension $40.00 2
rX Minor Labels(10) $100.00
Please check appropriate Item and enter fee In section 58. �-
N 4 or more residential units in one stricture 4f.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 $35.011
Classified area or structure containing special occupancy Per hour $55.00
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. Jr. Fees: on
-j Not required for temporary construction services. 5s.Enter total of above fees $
5%Surcharge 1.05 X total fees) $
W.T11E Subtotal S
5b.Enter 25%of line 5s for
PERMITS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED IS Plan Review If required(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 AFTER WORK IS COMMENCED. ❑ Trust Account M
Total balance Due
I DST;�erese APP nm ares