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CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24-Hour Inspection Line: 639-4175 Business Line: 639-4171 —
BUP
_Date Requested��-�d / cs'/ Suite MEC
_AM___PM BLD
.� E --
Location _�/,U i ��
Contact Person Ph PLM —
Contractor—LL1 l'Dnyxcti2;rQ-�isdS _ Ph Vl;t5`" SWR
BUIux"Y t Tenant/Owner ELC 90ir —
Retaining Wall ELR •:�B �3 —
Footing
Foundation Ac NOT REOUESTEP FPS
Fig Drain FOUND DURING RESEARCH SGN _
Slab Crawl Drain On' NO INSPECTKMI(S-►) 7N FILET SIT
Post&Beam
Ext Sheath/ShearjaA —_— _
Int Sheath/Shear
Framing _ Oak
Insulation s
Drywall Nailing _ � ----- ----
Firewall
Fire Sprinkler --
Fire Alami
Susp'd Ceiling —�
Roof
Misc:_ ---- — -
Final
PASS PART FAIL -- --
PLUMBING
Post&Beam
Under Slab — —_—
Top Out
Water Service
Sanitary Sewer _
Rain D;sins
Final
PASS PART FAIL
MECHANICAL
Post&Beam — - —
Rough In
Gas Line -
Smoke Dampers
Final — -
PASS PART FAIL
ELECTRICAL _–__.-------- ---------- -- ----- ---
d ServiceRK Rough Rough In —
U) UG/Stab �— _�_— — --- ---
Li Low Voltage ----- -- --- -- ____
� Fire Alarm
XIVASS PART FAIL
-j Backfill/Grading — - --- -- —
Sanitary Sewer
Storm Drain [ ]Reinspection fee of$ required before next Inspection. Pity at.City Hall, 13125 SW Hall Blvd
Catch Basin
Fire Supply Line i j Please call for reinspection RE:_ _ [ ]Unable to inspect-no access
ADA
Approach/Sidewalk Date l L Inspector ^Ext
Other —�
Final
PASS PART FAIL DO NOT REMOVE this Inspection treaeld*0M tht job sift.
CITY OF TIGARD BUIMNG INSPECTION DIVISION
AST
24-Hour Inspection Line: 639-4175 Business Line: 639-4171
BUP _
Date Requested AM PM BLD
Location 1&4,4,) Suite , "5'_ MEC
Contact Person ___-- Ph d26E�L---j PLM
Contractor f �'?.7~ -- Ph -i-s 9 SWR
BUILDING Tenant/Owner ELC _
Retaining Wali - - ----- ----- - ---- 'ELR7Z-9 _
Footing -
Foundation At NOT REOUESTEB FPS -- --
Ftg Drain MUND DUf;INC3 RESEAROH SGN
Crawl Drain Int
Slab NO INSPECTION(S) IN FILE SIT
Post&Beam n -'
Ext Sheath/Shear 1` d 4
Int Sheath/Shear
Framing �-
Insulation
Drvwall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Misc: -- - -- ~ ---
Final
PASS PART FAIL - -------•- - --
PLUMBING
Post&Beam -- - - --
Under Slab
Top Out
Water Servi•
Sanitary Sewer --- -
Rain Drains _
Final
PASS PART FAIL
MECHANICAL
Post&Beam ----- --
Rough In
Gas Line
Smoke Dampers
Final
PASS PART FAIL
ELECTRICAL -- -- -- --
O. Service
Rough In
UG/Slab
Low Voltage --�- ----
Fire Alarm
J F
m A S ART FAIL --
C7
W
-� Backfill/Grading -- -----` -- -
SanNary Sewer
Storm Drain [ ]Reinspection fee of$--_„ required before next Inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin [ ]Please call for inspection RE:^_ _ _ [ j Unable to Inspert-no access
Fire Supply Line
ADA l/
Approach/Sidewalk vete 4` Inspector �
Other _ Ext
-•- -- -----
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
CITY OF TIGARD ELECTRICAL
PERMIT
RESTRICTED ENERGY ENERGY
COMMUNITY DEVELOPMENT DEPARTMENT PERMIT #s ELR96-0070
13126 SW Hall 8h-d.Tigard,Oregon 07223. 100 (603)1130-4171 DATE ISSUED: 02/26/96
PARCEL : 1S134AA--01800
:SITE. ADDRESS. . . 1 10220 SW NIMBUS AVE #K--4
'aUBDIVISION. . - . : 1 KNOLL BUSINESS CENTER TIGARD ZONING: 1 -P
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . :2
project-- -- —
Description :---------------------------------------------------------------
0. RES I DENT I AL---_-_---- B. COMMERCIAL-----------------------------------______
AUDIO & STEREO. . . : AUDIO & STEREO. . o INT17RCOM & PAGING. . t
BURGLAR ALARM. . . . : BOILER. . . . . . . . . . : LANDSCAPE/IRRIGAT'. . :
GARAGE= OPENER. . . . : CLOCK. . . . . . . . . . . 3 MEDICAL. . . . . . . . . . . . I
HVAC:. . . . . . . . . . . . . : DATA/TELE COMM. . : NURSE CALLS. . . . . . . . s
VAI UUM SYSTEM. . . . : FIRE: ALARM. . . . . . : OUTDOOR LANDSC LITE:
OTHER: : : HVAC. . . . . . . . . . . . : PROTECTIVE SIGNAL. . -.X
INSTRUMENTATION. s OTHER. . : : :
TOTAL # OF SYSTEMS: 1
Applicant : ---------- _ - ---' -----"-- -__.____.___.__.___—____.____-- FEES
INTECONNECTIX type amount by date r•ecpt
1.0200 5W NIMBUS K-4 PRMT t 40. 00 CJS 012/26/96 96•-27&277
5PCT $ 2. 00 CJS 02/26/96 96-276277
T I GARD OR 97223
ihone #: 503-684-6641
Contractor: ---._—._.-.---------------------_----•-------------------_—_----------__—_
ADT SECURITY ALARMS 42. 00 TOTAL..
703 N. E. HANCOCK
--- --•--- REWIRED INSPECTIOZ`JS -------�
PORTLAND OR 9721L, Wall Cover Elect' 1 Final
Phone #): 503--282-1549 F_"lect' 1 Service
Reg #. , : 59944
This permit is issued subject to the regulations contained in the
Tigard Municipal Code, State of Ore. Specialty Codes and all other per-mitee Signature
applicable laws. All Mork will be done in accordance with
Approved plans. This permit toil! expire if work is not started
within 180 days of issuance, or if work is suspenaed ;or• more --
thar, 180 days. Issued 8y
OWNER INSTALLATION
The installation is being made on property I own which is not intended for
sales lease, ut- r-eT t .
IL UWNE.R' S S T GNPI URL- :cc
DATE a _r
_.__...-----------._..-_-____.--CONTRACTOR INSTALLATION ONLY-
-----------------------
rn
AUTHOR 1 ZE D S I GNATURE s _. !lid.__ _ --_._------_._..______�__-- DATE: _ �a6 - 9�
LICENSE NO:
WJ Gall for inspection - 639-4175
Community Development RESTRICTED ENERGY ELECTRICAL APPLICATION
13125 SW Hall Blvd.
Tigard,OR 97223 PERMIT# iP9y�
Phone(503)639-4171 DATE ISSUED G 9G
FAX(503)684-7297
TDD No. (503)684-2772
CITY OF TIGARD Inspection (503)639-4175 ISSUED BYV,
PLEASE COMPLETE ALL SECTIONS
1. LOCATION OF INSTAL TION 4. TYPE OF WORK
Addre _ RESIDENTIAL—Res:trided Energy Fee. . . . . . . . . 1�m
a (FOR ALL SYSTEMS)
City `, State Zip Check Type of.Work I ved:
PERMITS AR ON-TRANSFERABLE AND NON-REFUNDABLE AND EXPIRE IF WORK ❑ Audin and Stereo Systems
IS NOT STARTED Wil HIN 190 DAYS OF ISSUANCE OR it WORK IS SUSPENDED FOR
Ino DAYS. ❑ Burglar Alarm
2. CONTRACTOR APPLICATION ❑ garage Door Opener*
❑ Heating Ventilation and Air Conditioning System`
COntractoPTSMMITYSMEAK INC_ Vacuum Systems*
�.
Address El ()Iher -- -- -- _
/
Date COMMERCIAL--Fee for each system . . . . . . . . . �.QQ
_ (SEE OAR 918.260-260)
Property Owner_ / x Check lnm of Wolk wJXa;
Contractor's Board Req. No. __ ___ ❑ Audio and Steren System
❑ Boiler Controls
Phone# —_ _..—_ ❑ Clock Systems
❑ Data Telecommunication Installations
3. OWNER APPiiCATION
❑ Fire Alarm Installation
Lu, C na , 0/ ❑ HVAC
PrhR"77Rrr's Name �— Phnne No ❑ Instrumentation
Address -- ❑ Intercom and Paging Systems
❑ Landscape Irrigation Control*
City State Zip ❑ Medical
This permit is issued under OAR 918.320-370.This applicant agrees to make only ❑ Nurse Calls
restricted energy installations(100 volt amps or less)under this permit and to do the ❑ OU Landscape Lighting*
following:
rotective Signaling
1. Only use electrical licensed persons to do installations where required.(Certain
residential and other transactions are exempt from licensing.These have ❑ Other—
IL
p• asteriskw).All others need licensir-,.
2. Call for an inspection when all r •-e instelle Tons under this permit are ready
N for inspection at 503-6394175
❑ Nutnher of Systems
3. Purchase separate permits for all installations that are not ready for in<per ion
when the inspector is out to inspect under this permit. •No lirpnses are required. Licenses aT required for all other Installations.
J 4. Assume responsibility for assuring that all corrections required by the inspector - -
are done,and
(� 5. Assume responsibility for calling for a final inspection when all of the 5. FEES
corrections are completed.
The person signing for thi er must he the applicant or a I a. Enter Fees
authoriald the nt.
b. 5%Surcharge(.05 x total above) $ d.Signature TOTAL $__` �V
Authority if other than applicant
ENERGAP.CHP
ELECTICAL PERMIT
CITY OF TIGARD RESTRICTED ENERGY
COMMUNITY DEVELOPMENT DEPS ,'MENT PERMIT #: ELP96--0053
13125 SW Hal Mvd.Tigard,Orogon 972230199 (503)0394170 DATE I S'SUED: 02/05/96
PARCEL 3 I S 134AA--0180 0
:311L P1)DKL5S. . . : 1OL-2:0 SW NIMBUS AVE #K--4
SUHUIVISION. . . . r 1 KNOLL BUSINESS CENTER TIGARD ZON,ING: I--F'
PLOCI... . . . . . . . . . . LOT. . . . . . . . . . . . . ..2
Project Description: Install data telecommunication
---------------------------------------------------
A. RESIDENTIAL---------- H. COMMERCIAL---------------------------------------
AUDIO & STEREO. . . t AUDIO & STEREO. . : INTERCOM & PAGING. . :
BURGLAR ALARM. . . . : BOILER. . . . . . . . . . : LANDSCAPE/IRRIGAT. . :
GARAGE OPENER. . . . . CLOCK. . . . . . . . . . . . MEDICAL. . . . . . . . . . . . .
HVAC. . . . . . . . . . . . . s DATA/TELE COMM. . : X NURSE CALLS. . . . . . . . :
VACUUM GYSTEM. . . . : FIRE ALARM. . . . . . : OUTDOOR I_ANDSC LITE :
OTHER: . . HVAC. . . . . . . . . . . . . PROTECTIVE SIGNAL. . .
INSTRUMENTATION. : OTHER. . : . .
TOTAL # OF SYSTEMS: .l
fnpplicant : _ _ .___ m_. ______.__._...__.__. . ___..__._.__ ___.._._ _.._.__. . ...._________.__ FEES
INTERCONNECTIX type amount by date recpt
10220 5W NIMBUS, PRMT $ 40. 40 CJS 02/05/96 95-2.75628
5PCT f 2. 00 CJS 02/05/96 95-275628
TIGARD OR 9722' 3
Phone #:
Iontractor: -------------__-.-__-_--__--___-_-----__.__-----------------__-------------_
��c�rn�r i nu a any n�nsc ! 42. 00 TOTAL
ESP Ce1►rnre,f�pN1
A8/7c s w /3ab�� �2✓ ------- REQUIRED INSPECTIONS
- -----
w►/So,,,,, E1 ect' l 5ery ice _
I !1VT,{ tte E1er_t' 1 Final
Rey #t. . .�..
This permit is issued subject to the regulations contained in the
Tigard Municipal Cods, State of Ore, Specialty Codes and all other Perm i t ee Signature
applicable laws, All work will be done in accordance with
approved plans. This permit will expire if work is not started
within lell days of issuance, or if work is suspended for more
than 188 days, Issued Py
_.___.___._ ..__._____.______.__.__---•-CIWPJER INSTALLATION
The installation is being made on property I own which is not intended for
sale, lease, or rent.
G.JNC R' S S I GNnTURE: DATE s
0.
INSTALLATION
ONLY--- ---- -------------- - --- -
N
AW HOR I ZED S I GN►1TURE: 1?ts�lesL DATE:
m i_I CF_NSL NO:
0
J a.l. l for inspection - 639--4175
Community Development RESTRICTED ENERGY ELECTRICAL APPLICATION
10 13125 SW Hall Blvd.
Tigard,OR 97223 PERMIT #_&R 9C- 0053
Phone(503)639-4171
1kWFAX(503)684-7297 DATE ISSUED
TDD No. (503)684-2772
CITY OF TIOARD Inspection (503)639-4175 ISSUED BY
PLEASE COMPLETE ALL SECTIONS
1. LOCATION OF INSTALLATION 4. TYPE OF WORK
Apaav stJ Nimgus K - 4
Address RESIDENTIAL—Restricted Energy Fee. . . . . . . . . 140,JN
1' G AK.p 0 R, 9 7.2 I U (FOR ALL SYSTEMS)
City State Zip Cbak Type of Work invdred:
PERMITS ARE NON-TRANSFERABLE AND NON-REFUNDABLE AND EXPIRE If WORK ❑ Audio and Stereo Systems
IS NOT STARTED WITHIN 180 DAYS OF ISSUANCE OR IF WORN 15 SUSPENDED FOR y'
1811 DAYS. ❑ Burglar Alarm
2. CONTRACTOR APPLICATION ❑ Garage Door Opener*
❑ Heating,Ventilation and Air Conditioning System'
Contractor ESP A)MMUNICAMONgype 1-16AITE3 F-t!f_R y ❑ Vacuum Systems*
❑ Other
Address A I U St.) (WIMP-4 R� , tJIt.SONV11.i�6 C>R --
Date�l _ COMMFRCIAt —Fee for each system . . . . . . . . .
(SEE OAR 918-260-260)
Property Owner _ Ck Tvoe of fttkhvujy&-
Contractor's Board Reg. No. 03_71 _ ❑ Audio and Stereo Systems
❑ Boiler Controls
Phone#t _C50 6.'9.2 - 4195 ❑ Clock Systems
3. OWNilk APPLICATION IA Data Telecommunication Installations
❑ Fire Alarm Installation
❑ HVAC
Print Owner's'?ame Phone No
❑ Instrumentation
Address — ❑ Intercom and Paging Systems
❑ Landscape Irrigation Control'
City State Zip ❑ Medical
This permit is iuued under OAR 918-320-370.This applicant agrees tr,:rake only ❑ Nurse Calls
restricted energy installations(100 vnit amps or less)under this permit and to do the ❑ Outdoor Landscape Lighting*
following:
1. Only use electrical licensed persons to do installations where required.(certain ❑ Protective Signaling
residential and other transactions are exempt from licensing.These have Cl 'other_ _
IL asterisks(•).All others recd licensing).
2. Call for an inspection when all of the installations under this permit are ready
for inspection at 503-639-417.5. 1 1 Number of Systems
1. Purchase separate permits for all installations that are not ready for inspection -
when the inspector is out to inspect under this permit. •Nr lirrnsr<arr rrquinvi I 1 enses are required for all other Installations.
J 4. Assume responsibility for assuring that all corrections required by the inspector
_m are done,and
P:) S. Assume responsibility for calling for a final inspection when all of the 5. FEES
W
rre
coctions are completed.
The person signing for this perm' ust be the applicant or a person a. Enter Fees $__ o- 00—
authori7ed t Ain the pli
b. 5%Surcharge(.05 total above) $.-- Z • 00
Signa ire 1-1&44�_# d/O,�J TOTAL $ 0o
Authority if ether than applicant
ENERGAP.CHP