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10220 SW NIMBUS AVENUE BLDG K STE 9 6N 3AV S38HIN MS OZZOI a all a V. m s t.7 � w � z 3 0 N N O 10220 SW NIMBUS AVE K9 ELECTRICAL PERMIF 96-0219 rCIN OF T I GARD w-m5W ` 1musDATEIISSUEDsC04/112/96 COMMUNITY DEVELOPMENT DEPARTMENT PARCELS 1S134pA-01800 5I T031 �Q�".d: !ro MK-9 SUBDIVISION. . . . s 1 KNOLL BUSINESS CENTER TIGARD ZONING: I-P BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . :2 Project Description: ELECTRICAL. CIRCUIT FOR NEW FURNACE -----------------.----------------- -----RESIDENTIAL UNIT---- ----TEMP SRVC/FEEDERS----- -----MISCELLANEOUS----- 1000 SF OR LESS. . . . : 0 0 - 200 amp. . . . . . . s 0 PUMP/IRRIGATION. . . . : 0 EACH ADC' L 5O0SF. . . S 0 tel - 400 amp. . . . . . . : 0 SIGN/OUT LINE LTG. . : 0 LIMITED ENERGY. . . . . : 0 401 - 6O0 amp. . . . . . . I 0 SIGNAL/PANEL. . . . . . . : 0 MANF. HM/ SVC/FDR. . : 0 601+amps-1000 volts. s 0 MINOR LABEL ( 10) . . . : 0 ------SEPVICE/FEEDER----- -•----BRANCH CIRCUIT'S----- ----ADD' L INSPECTIONS--- 0 200 amp. . . . . . : 0 W/SERVICE OR FEEDERS 0 PER INSPECTION. . . . . e 0 201 - 40( amp. . . - . . : 0 1st W/O SRVC OR FDR. : 1 PER HOUR. . . . . . . . . . . e 0 401 - 600 amp. . . . . . : 0 EA ADD' L BRNCH CIRC: 0 IN PLANT. . . . . . . . . . . 5 0 601 -- 1O00 amp. . . . . : 0 --------------------PLAN REVIEW SECTION----------------- 10004 amp/volt. . . . . : 0 ) -4 RES UNITS. . . . . . . . : ) 600 VOLT NOMINAL. . s Reconnect only. . . . . : 0 SVC/FDR ) s 225 AMPS. . : CLASS AREA/SPEC CaCC. S Owner. ------------------------------------------------------- FEES ----------------- FORUM PROPERTIES type amount by date recpt 10240 SW NIMBUS, PRMT 35. 00 JMH 04/12/96 96-278O97 SPCT $ 1. 75 TMH 04/12/96 96-278097 PORTLAND OR 9722:. Phone it: Contractor: ----------------•-•------------------------------------.----•----------------- SHARPE ELECTRIC INC $ 36. 75 'TOTAL 22605 SW RIGGS -------,,R,�E�Q� UIRED INSPECTIONS ---- -- BEAVERTON OR 97007 _�� _ Phone #S 503•-642--7937 Reg tk. . : 81518 This perait is issued subject to the regulations contained in the ►moiaAC Tigard Municipal Code, State of Ore. Specialty Codes and all other Permitte# Signature i �^ applicable laws. All work will be done in accordance with approved plans. This perait will expire if work is not started within 180 days of issuance, or `.f work is suspended ftr rare _ than 180 days. sued By INSTALLATI M The installation is being made on properly I own which is not intencled for ICL. sale, lease, or rent. N OWNER' S S I GN!1TURE: _ DATE s __._----------------.___._.--I,ON TRACTOR I NSTAL_.LP T I ON ONLY---------------------------- J SIGNATURE_ OF SUPR. ELEC' N: DATES W LICENSE NO: ,.,s Call for inspection 639--4175 Community Development ELECTRICAL PERMIT APPLICATION 13125 SW Hall Blvd. nn Tigard, OR 97223 Permit # _— Date Issued Phone (503) 639-4171 CITY OF TIOARC► FAX (503) 684-7297 TDD No. (503) 684-2772 Inspection (503) 639-4175 1. Job Address: 4. Complete Fee Schedule Below. Name of DevelopmentFQ,.um prpnul-�i L Numbe: of Inspections per permit allowed Address WZ Z O SW/4 i h,b LL5 K ^9 Service included Items Costes) Sum City/State./ZiprOr--L 1 9 7 12 4a. Residential •per unit 1000 sq. It or lose _— !11000 4 Name (or name of business)_ Each additional 500 sq ft.or porflon thereof $2500 Commercial Residential L"edEnergy $25.00 1 Fach Manurd dome or Modular Dwelling Service or Fexler 111",00 _.�..__ 2 2a. Contractor installation only: 4h. Services or Feeders Installation,aNeration,or rabcalinn Electrical Contractor 200.mps to leas $60.00 2 Address L I A� � 201 amps to 400 amps $60.00 __ 2 City State Zip 4c1 amps to 600 amps $12000 _� 2 Phone NO. 601 amps to 1000 amps $110 oo ---- 2 Over 1000 amps or volts $340.00 2 Job NO. � Reconnect only $30.00 2 contractor's license NO. 9VI AC9 4r:. Temporary 3arvlce+s or Feeders Contractnr's Board Reg. No. Installetion,olleratlon,or relocatlon SignatUrf of Supr. Elee'n ' 200 amps or less 2 License iv^. I s — Phone N W.� zo1 amp.to4ao«np. `� $1600 =_�� z 401 amps to 600 amps !76.00 2 Over am amps to 1000 volts $100.00 --- 2b. For owner installations: see"b"above 4d. Branch ClrcuKu Print Owner's Name____ �— New,sNera+'on or extension per pane Address_ _ a)The fee PIT two"cwculls wnn City Y State Zip purchase of service or floWAN fee. 2 Each branch c1mull $5.00 Phone No. _ b)The Tee for branch clrculls wlMow The installation is being made on property I own which is purrhnsrr of servlco or frsedder M. 2 not intended for sale, lease or rent. Flys,branch cinxrN $35.00 2Fach addNlonal branch clrcull $5.00 Owner's Signature 4e. Miscelloneouts (Service or feeder not included) 2 3. Plan Review section (if required): Each pump or Intgation circle _— $4000 2 Each sign or outllne NpMhhg 340 ni Signal cirruNls)or a I"ed energy —' 2 a Please check Appropriate Item and enter fee In Portion 68. panel,slleratlon d extension $4o X 4 or more residential units in one structure Mlnor labels(10) $100.W H Service and feeder 225 amps or more y System over 600 voles nominal 4f.Each additiorral Inspection over Classified area or structure containing special occupancy the allowable In any of ft above J as described in N,E.0 Chapter 5 Perer Inspection $35.00 hoto 3SS.00 ED Submit 2 sets of plans with appllcAtloll where any of the above Plant $35.00e — W apply. Not required for temporary construction services. IS. Fees: cro NOTICE 6a. Enter total of above fees $ 5%Surcharge (.05 X total /errs) $ PERMITS BECOME VOID IF WORK OR CONSTRUCTION Subtotal $ AUTHORIZED IS NOT COMMENCED WITHIN 100 DAYS, OR IF Bb. Enter 25%of line A for CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR Plan Review if regrllred (Sec.3) A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS Subtotal COMMENCED .�nwr L� Trust Account N MTS $ _ 841ance Dine : PERMIT #. . . . . . . : MEC96-0098 CITY OF TIGARD DW E ISSUED: 04/12/96 COMMU'AITY DEVELOPMENT DEPARTMENT PARCEL: 1 S 134AP-01800 �3I TR31Aq)Uf*WgW.71YNdP~07%W$M MlW,.93"M #K---9 SUBDIVISION. . . . : 1 UVOLL BUSINESS CENTER TIGARD ZONING: I—P CLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . :2 ----------------------------- CLASS OF WORK. . :ALT FLOOR FURN. . . . : 0 EVAP COOLE.RSs 0 TYPE OF USE. . . . s COM UNIT HEATS RS. . : 0 VENT FANS. . . : 0 OCCUPANCY GRP. . :B2 VENTS W/O APDL: 0 VENT SYSTEMS: 0 STORIES. . . . . . . . : 0 BOILERS/COMPRESCORS HOODS. . . . . . . : 0 FUEL TYPES--•------•------ 0-3 HP. . . . : 0 DOMES. INCIN: 0 s /CAS/ / / 3-15 HP. . . . s 0 COMML. INCIN: 0 11AX INPUT : 0 BTU 15-30 HP. . . . : 0 REPAIR UNITS: 0 FIRE DAMPERS?. . : 30-50 HP. . . . i 0 WOODSTOVES. . : 0 GAS PRESSURE. . . : 50.4- HP. . . . : 0 CLO DRYERS. . : 0 NO. OF UNITS---------- AIR HANDLING UN I i S OTHER UNITS. 1 0 FURN ( 100K RTU: 1 (= 10000 Cfm: 0 GAS OUTLETS. : 1 FURN ) =.100K BTUs 0 > 10000 cfm: 0 Remarks : FURNACE UPGRADE AND GAS PIPING Owner: ----------------------------------------------------------- F EES --- -------- ___ FORUM PROPERTIES type amount by date rPcpt 10240 SW NIMBUS, L-3 PRMT $ 25. 0e J*H 04/12/96 96-278097 5PCT t 1. 25 J*H 04/12/96 96-278097 PORTLAND OR 97223 Phone #: Contractor: ------ --------------------- — CONTRACTOR NOT ON FILE Phone #: t 26. 25 TOTAL Rey #. . : ------- REQUIRED INSPECTIONS ------- This permit is issued subject to the regulations contained in the Final Inspection Tigard Municipal Code, State of Dre, 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. IL NPermittee Signmture: l s s l-(e d B y : ��4 ! ?1�L ED a Call for inspection — 639-4175 UJ City of Tigard MECHANICAL PERMIT Planck/Rec. # 13125 sw Han Blvd. APPLICATION Permit # _ Tigard, OR 97223 (503) 639-4171 •p Table 3A Machanical Code QTY PRICE AMT 1 Job -5`v _� - 1) Par" Fee -0- -0- 10.00 Address (a G 9, 9 7 Z 7 2) Srrpplemsntal Pem'A _ 3.00 umsce to K B d,r +► lnu. dude a vents _ / 6.00 v mo@ rW7-BTU Owner 4 ) 5 L-i 2) kid. duds 3 vents 7.50 �716w- Fumenop r e) �-2 3) Ind. vent 6.00 (� �[r►1A� 1 4) or floor mounted heater 8.00 cl. in Occupant 5) oppiance npem>K 3.00 aper of Imating, p 6) cooirg, absorption unit 6.00 -1-(e or camp, pump, air co . 5 � /Q-��,t /�s� 7) to 3 HP;absorp unit to TOOK BTU 6.00 or cane, Neat pump, air co Contractor fj,-j �"f f 8) 3.15 HP; absorp unit to 5WK BTU 11.00 MAR or comp, host pump, air coM. 9) 15-30 HP; abaorp unit 5-1 mil BTU 15.00 Boiler or comp,FR7unv-aTr�n3. 4V-61-if 10) 30-50 HP; absorp unit 1-1.75 mi BTU 22.50 hereby acknow 9 that I have read this ap-pTics-flom fhat f9p— Bollar or romp, heat pump, a r Information given is correct, that I am the owner or suthorizrri 11) >30 HP; absorp unit 1 75 mil BTU 37.50 agerit of the owner, that plane submitted are in compliance with ------AFFaunit to t-Late lows, that I am registered with the Construction Contractor's 12) 10,000 CFM 4.190 Board, that the number given is carred. (If exempt from State Air harxMng unit �— registration, please give reason below.) 13) 10,000 CTM+ 7.50 Non-- portable - --- 14) even.ate cooler 4.50 wrent fan connected F— 04 75) to a single duct 3.00 Ventilation aye em n G` LA 16) included In snpliance permit 4.50 E.11.,« served —_ ------ Y 17) mechanical exhsu-r 4.50 escri won new _ a non a era ion reps r ,ommer a ori us.al to be done residential Q non-residential Q 18) type incinerator 30.30 xis ing use o Other i.e., woodstove, wi&r building or property - 19) heater, solar, clothes dryers, etc. 4.50 Proposed use of 20) Ca piping one to four outlets ' 2.00 Nbuilding or property - A Type of fuel -oil natural gas lk LPG Q electric Q 21) More than 4-per outlet (each) 2.00 J mNOTICE �(7 Minimum Fee $25.00 3URTOTAL c !1v W PERMITS BECOME VOID IF WORK OR CONSTRUCTION -`-- -� AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR 5%SURCHARGE IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME PLAN REVIEW 29%OF SUBTOTAL AFTER WORK IS COMMENCED. ---- TOTAL c' Special Condibna - - Date issued _ - _by 111LOOIMrATSMErHPmT