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10220 SW NIMBUS AVENUE BLDG K STES 10 & 11B illy . 1111+01M 3AV Sflghjt1I MS ozzla , 4 f i it i I J4 c N N d 10220 SW NIMBUS AVE K10+11B 1 CITY O F T'G A R D CERTIFICATE OF OCCUPANCY DEVELOPMENT SERVICES FERMIT#: BUF200400066 13125 SW Hall Blvd.,Tigard,OR 97223 (503)639-4171 DATE ISSUED: 2/24/2004 PARCEL: 1 S134AA-01800 ZONING: 1-P JURISDICTION: TIG SITE ADDRESS. 10220 SW NIMBUS AVE K10+ 1 B SUBDIVISION: SCROLLS BUSINESS PARK B1 nSK: LOT:002 CLASS OF WORK: ALT ^� TYPE OF USE: COM TYPE OF CONSTR: FA OCCUPANCY GRP: B OCCUPANCY LOAD: TENANT NAME: PACIFIC FOOTWARE REMARKS: Tenant Imprr -+ant Owner: CB RICHARD ELLIS 10240 SW NIMBUS PORTLAND, OR 97223 Phone: 788-7778 Contractor: GUILD CONSTRUCTION PO BOX 674 BEAVERTON, OR 97008 Phone: 788-7778 Reg#: MET 00004544 LIC 109116 IL a� m t� This Certificate issued 3!9/2094 grants occupancy of the above referenced building or portion thereof and confirms that the building has been inspected for complia a with the State of Oregon Specialty des for the group, occupancy, and us nder which the referenced permit w e BUILDIN S CTOR BU�L OF CIAL POST IN CONSPICUOUS PLACE CITY OF TIGARD 24-Hcur BUILbiNG 4 Inspection Line: (503)639-1175 INSPECTION DIVISION Business Line: (503)639.4171 MST T:p _— ��yy UP _ RereivedDate Requested `� - AM_--- PM--- BUP .. _— _ Location � — � _—Suite�1lo Contact Person P�d�t�+ ph ccam�''5�)` _� , ��c..� pLM — Contractor—�_. Ph(— — �— -- SWR — BUILDING Tensnt/Owner _ _ —__ ELC Footing Foundation Access: ELC Fog Drain ELR Crawl Drain —�_-- - Slab Inspection Notes-` C � -/ J SIT Port$Beam ]_ Shear Anchors • —_-- __. — Ext Sheath/Shear Int Sheath/Shear Framing -- Insulation Drywall Nailing — --_- — —__--Firewall Fire Fire Sprinkler - —_----__- _ Fire Alarm Susp'd Ceiling _--- Roof Fj _ _PART FAIL -- -- --- --_---_-- —_ -- PIN_G Post R BeamUnder Slab ___--- Rough-In Water Service Sanitary Sewer Rain Drains - — Catch Basin/Manhole Storm Drain ShowerPan Other: -_- Final PASS PART FAIL -- MECHANICAL -Post 8 Beam -._. ---------_ _ _- Rough-In -- -- --- _.--. --- - - a Gas Line Dampers ----- _ -- F- Fin S PART FAIL - --- ELECTRICAL _ ^— _ Service m Rough-In _ t9 UG/Slab "-- Wj Low Voltage Fire Alarm Final Reinspection fee of$ required before next ins PASS PART FAIL Q inspection. Pay et City Hell, 1312,5 SW Hall Blvd. F] Please call for reinspection RE: _ _ n Unable to inspect-no access Fire Supply Line ADA Approach/Sidewalk DeftInspeet it Other: Final DO NOT REMOVE thb Inereelbn N 0 1 Njob sm. PASS PART FAIL CITYOF TIGARD _ MECHANICAL PERMIT DEVELOPMENT SERVICES PERMIT#: MEC2004-00063 Pam 13125 SW Hall Blvd., Tigard,OR 97223 (503)639-4171 DATE ISSUED: 2/19/04 PARCEL: 1 S 134AA-01800 SITE ADDRESS: 10220 SW NIMBUS AVE K10 + 11H SUBDIVISION: SCROLLS BUSINESS PARK ZONING: I-P BLOCK: LOT:002 JURISDICTION: TIG CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS: TYPE OF USE: COM UNIT HEATERS: VENT FANS: OCCUPANCY GRP: B VENTS W/O APPL: VENT SYSTEMS: STORIES: 1 _ BOILERS/COMPRESSORS HOODS: FUEL TYPES 0 - 3 HP: DOMES. INCIN: ELE 3 - 15 HP: COMML. INCIN: MAX INPUT: BTU 15-30 HP: REPAIR UNITS: FIRE DAMPERS?: 30-50 HP: REPAIR UNITS: GAS PRESSURE: 50+ HP: WOODCLO DRYERS: FURN < 100K BTU: 1 AIR HANDLING UNITS OTHER UNITS: FURN >=100K BTU: <= 10000 cfm: G > 10000 cfm: AS OUTLETS: F emarks: Add rooftop unit(280t/),ducts,grilles&registers. Project Value: $6,500 Owner: FEES ROBINSON, CONSTANCE A + Description Date A Amount ROBINSON, LYNN + BELL, KAY ET [MECH] Permit Fee 2/19/04 $168.50 BY INSIGNIA COMMERCIAL GROUP BEAVERTON, OR 97008 [MECPt,N]Plan Rev 2/19/04 $42.13 [TAX]8%State Surchar! 2/19/04 $13.48 Phone: �------ Total $224.11 Contractor: HUNTER DAVISSON INC 1800 SW PERSHING PORTLAND, OR 97202 REQUIRED INSPECTIONS Phone: 503-234-0477 Mechanical InspDuct inspection Reg#: LIC 01612 Final Inspection a o� r U) J_ m UJ This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ote.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. ATTENTION: Oregon law requires Blow rules adopted in the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-00 r Issed By: Permittee Signature: Call (503Y1394175 by 7:00 P.M.for Inspections nee d the next business day ammolki Mechanical Pe mit tionRMC1V�, Mechanical Dat" /� d Permit No Planning Approval City of Tigard li6Date/By y Date/B 8 Pp Building 13125 SW Hall Blvd. Permit NoPlan RevmOtherTigard,Oregon 97223 IUDate/B -/ Pertnmt NoPhone: 503-639-4171 Fax: 54115'4pNiPost-Review Land Use Internet: www.ci.ligard.or.us ekilLOIN : Case No: _ Contact 24-hour Ju See Page 2 for Inspection Request: 503-639-4175 Name/Method Su 'emental inrormallon. TYPE OF WORK COMMIERCIAL FEE'SCiI)RDULE-LJ.VE CHE(XLIST New construction Demolition Mechanical permit fees*are based on the total value of the work Additlon/alteration/re lacement Other:V performed. Indicate the value(rounded )the nearest dollar)of all CATEGORY OF CONSTRUCTION mechanical materials,equipment, labor,overhead and profit. I & 2-Family dwelling _Commercial/Industrial Value: S_�500 v0 See Page 2 for Fee Schedule Accesso Buildin Multi-Family, E UIPMEIHT/SYSTEiMS.FEE'SCHEDULE Master Builder Other: _ Desai tion Fe ea. Total JOB SITE INFORMATION and LOCATION - HestiaCooNa Furnace-add-on air conditioning•• 14.00 Job site address: /p �d _ /e�1tQl�. -- Gas heat pump 14.00 Suite#- LQ Bid ./A t.#' Duct work 14.00 Project Name: ,S"L l(0(,L's [�uS�► �'/�/�R Hydronic hot water system 14.00 Cross street/Directions to . b site: Residential boiler Tor radiator or hydronic system 14.00 _ /1Aex '94VZ1", Ml! Unit heaters(fuel,not electric) !� in wall,in-duct suspended,etc.) 14.00 Flue/vent(for any of above) 10.00 Subdivision: Lot #: Repair units 12.15 �- Tax map/parcel#: Water heater Other Fuel Ap Ilances _ DESCRIP'I IUN OF WORK 10.00Gas fireplace _ 10.00 _ uojt r 4 ifoo-- Flue vent water heater j s fireplace) _ 10.00 L UC iZ' furs P Log lighter(gas) — 10.00 Wood/Pellet stove _ _ _ 10.00 Wood fire lacchnsert 10.00 Chimney/liner/flue/vent _ 10. PROPERTX t TBNANT Other: 00 10.00 Name: C' /4#foyz &1-Us __ E°vircernestal Exhaust&Veatuat3aa Address: /Od V0S /�� A�3 Range hood/other kitchen equipment- 1000 City/State/Zip: _ 93 d):13 Clothes dryer exhaust 10.00 - Single duct exhaust honer D�/O ax: _ (bathrooms,toilet compartments, APPLICANT CONTACT PERSON -utilityrooms 5.80 are: U� i �AENjX n]I Attic/crawl space fans 10.JO Address: /80� .f, -�yi„�6 Other: 1171 a City/State/Zip: P00"� OR, 97303— "(55.40 for first 4,11.00 each addidor Phone:�'SIo3 a�voY77�Fax: �a�o16�s Furnace etc. U) E-mail: _ Wall/sus nded/unit heater •• r CONTRACTOR--, , Water heater •• J Business Name: UwTp. Fireplace - o'p Address: / 0 �,f, .fw,aG Ran e W City/State/Zip: 1,�4 9 7103-• BB - •+ 00 -j Phone: 3 Y Ot{ Fax: 01 (0 16 C)4- Other: dryer(gas) CCB Lic. #: _0/ /d_ _ Total: — Authorized Mechanical Permtt_Fees• Signature: _ _ Date: Subtotal: S AVN Minimum Permit Fee 572.50 S . f. "!I _ Plan Review Fee(25%of Permit Fee) S (Please print name) ------State Surcharge(8%of Permit Feel S _ TOTAL PER.MLr FEE_ S Police: This permit application expires If a permit is not obtained within 'Fee methodology set by 1'rl-County Dutlding Industry Service Board. ISO days after It has been accepted as complete. "Site plan required for exterior A/C units. i\Dsts\Permit ForTmWecPertnitApp doc 01103 Mechanicai eermit Analication -City of Tigard Page 2 - Supplemental Information Commercial Fee Schedule: TOTAL VAL N. PERMIT FEE: S 1.00 to$2,000.00 Minimum fee$72.50 $2,001.00 to 55.000.00 572.50 for the first 52,000.00 and$2.30 for each additional S 100.00 or fraction thereof,to and 1'qcluding$5,000.00. _ 55,001.00 to 510,000.00 SI .50 for the first 55,000.00 and$1.80 f_or�� each ditional 5100.00 or frtion thereof,to and inc din S 10 000.00. _ 510,001.00 to 550,000.1)0 5231.50 the first 510, )O and 51.35 for each additio 1$100.00 fraction thereof,to and including0, x'50,001.00 to$100,000.00 5771 50 for t1,e t 550,000 00 and 51.25 for each addi ' S I 00 or F Action thereof,to _ and udin $100 nn _ S 100,001.00 and up ,396.50 for the first"k, )0,000.000 and S 1.10 for each additions 100.00 or fraction thereof. All New Commercial Buildings require 2 sets of plans. a a ca aM a W a i:lBuilding\Permit Form s\MecPermitAppPg2 09.01-03 uoc Ftm4m OEVft0pwNT iLO2 AC /1. N Ta uo � . r /too 10!40 noo s Tosea. r l'r.�NiMv�ww:G��3i'+�• w �r --.n r �....��..{_�t,� .... rte•; .a:. .�..r.,�rY'�:��'�•t,�4htL�V!'+A��"CR ':;�ihi�;�i�� _�� '.::.F'.��1Rl�t�l�, tM1J`•,'^�:�Y:'��.�1. '?ti.1`.•':':dw1 i:' :�.: :Lt :1'. /l00 M _ 102116 os� �gAZFA 1_ 0 logo ... V(ATEN VEA /loo 91.04 /uwo It lots* wTTe 1 L" T �= Kos o° �l r CITY F TIGARO '. •�� Approved./legiA� A*' ..............•. ' .. \\\III / Conditionally APProved............ .... } For only the wo_ric�I►d�pC �n' ea�o ll 3 PERMIT NO., —`-_ .......( See Letter to:Follow.................... .............(`): Attach.........w...'n U. VV UT A/INNOATON T TO Joh Addreae:Ij 1--�o� "t! W ANE I CNEEK6r0E N — E �i_ I D�---� ,J CO;F(NATE By: _ -� FA11K SCHOLLS BUSINESS CENTER 0(� A FORUA/PROPERTY FEB 1, 2UU� nnn_r-�� 'ROPERTIES 0 100 poo .,TY or--TIGARD M c pFFICE COPY 9U1L0940 01\11910" ��n�'��•Oji..1R'!�!'�.,:Z•_•'.f'.�T��.�.f.�?�:^1" •r•-+...M.. ... •,. . •rt•h!�^•~�'1:•.:'LZIY•1�'."�1�`�..t t"':. .MI1Zt..d.. •'rY•� t A .ham.. !:. i r 68 1p� r K/1 t ` rs .1 - --% N4AWAWAN eOn •{ Q N. q c tV cO rb 7C r • HUNTER-DAVISSON, INC. SHEET,p — OF-- Heating • Air Conditioning a Refrigeration � — �_ 1800 S.E. Pershing St. C,u.CULATEosr-- PORTLAND, OREGON 97202 _ (A� (503) 234-0477 c"EcxEu ar— -- —` — FAX (503) 236-1625 SCALE 20 4p 16 t � f d� s, I OF OW Ark -3 I Vs z to P O -n a. OC ca �r /iI I � I ' LI — :i ' es.,r or jtwp , o r � Base unit dimensions --- 48GS018-042 271.1 SN.1 — t31.1 IN 111 III.NI 11►.NI N.1 1!7{1 NO[N1I/►ll ON III Olt lillb41 wfty � 11.1 tr 011 urrl r tlln NtllN 1 Iwn` ii 11{NI w•(1►111111 oKIIN 11 • It./ EF. r« Or(IiN - 11 I Il ofl 7L____ 11 111 CI11.1 11.11: Cq.toll CID.toot 1--- IND.«I I K VEW u/.l 711.1 r«.1 7�11� N.III Ir1.111 (1.111 wM VEW NEOUNIED CLEARAMCE TO CO11111IKflME 1AATL. KOII "Cf EAMNCE IN OPEMT10111 AND>sdLlrlF1 MICHFP A61) TOP OF UNIT. .................».. ....»».»................................_... ..11.00 EVAR COIL ACCESS SIDE........»......... ..».»»........... .........OL1Ci 5117E Oe UNIT.................»...»»»..........................._.............2.00 POWER ENTRY SIDE................ ................... ..............96.00 11.11,SIDE OPPOSITE OUCT8........ ....»............. ........... .00 (EXCEPT FOR NCC BOTTOMOF UNIT.................»»...»..................................................OW 12.7) TOP.........................................................................».....»...A6.00((1216 EL FCTRIC NEAT PANEL.......»...............................................»......96.00 11.11 ZOPPOSITE DUCTS..............................--...........»......». _96.001611.0) DUCT PANR... .................»..1P.110 NEC.REQUNLEO CUMUM. MICFIE3(mm 'MINIMUM E.NSTANCES: IF UNIT IS PLACED LESS THAN/2.00".6 FROM BETWEEN UNITB,POWER ENTRY SIDE....................................42.M[i06�.8J VYALL SYSTEM.THEN SYSTEM�E MAYBE OOMPR . UNIT AND UIJOROUIIDED SURFACEg rCANER ENTRY SIDE.34.001614.0) UNIT AND BLOCK OR 000 M1ETE WALLS AN17 OTHER OROINADED BURFACES,POWER ENTRY SIDE. .................42.0011096.61 _cm-c"1101MOf *) ( # &� NEC-Nwom ENaITM,a1 co1M REO'0-"red 03TE:INmewAms are In In.1mm) Ill.ul 11.NI t{.NI 11[71 Po alllCl►0111 11.f11� "AIi.11lI 11I1. 1,0. ITMTMTI r rORUisr tt.I Is.fSl/U.Nlt 00711/1 tl r Try 1 ut 171 IN t t/ III,NI�),1 - t K R.S71 1 .111 rot's ! 1 :.n ( NIu a�inMt 4.1, ` ernlfa,N 114 rw acnes rtlt Na «./ Rll { 1111 IcIt Atc1 «ft Io.NI nr.ul it If.131 —1t!{.1 ----- It.NI L —otl. — I/LHI 171 II Ir LEFT SDE VIEW FRONT •CR l pIyGoH1 SIDE �♦CN UNIT WT. UNIT HEIGHT CENTER OF GRAVITY A UNIT ELECTRICAL CHARACTERISTICSAWN_ LBS. KG. "A" X Y Z 48GS018040 2091230-1-60 249 112.9 889.5[35.21 508.0(20.0) 355.6[14.0) 318.0[15.0] 48GS02404(�080 206/230-•1.60 280 127.0 889.5(35.02) 571.5[22.5] 330.2113.01 381.0[15.01 48GSO.300401060 280/230-1-60,20IN-M-3-M 280 127.0 889.5(35.02) 548.1[21.5] 349.3(13.7E) 381.0[15.0) 48GS0360 MOW 208/230-1-60,208/230-3-00,4803-60 1 314 142.4 889.5(35.02) 1 571.5[22.5) 1 355.6(14.0] 330.2(13.0) 48GSO420600090 20IN", -1-80,208/230 3�0,480 380 355 161.0 689.5[35.02) 546.1[21.51 342.9(13.51 1028 I CITY OF T I G A R DBUILDING PERMIT PERMIT#: BUP2004-00066 DEVELOPMENT SERVICES DATE ISSUED: 2/24/04 13125 SW Hall Blvd..Tigard.OR 97223 (503)6394171 PARCEL: 1S134AA-01800 SITE ADDRESS: 1020 SW NIMBUS AVE K10 + 11B SUBDIVISION: SCHOLLS BUSINESS PARK ZONING: I-P BLOCK: LOT: 002 JURISDICTION: TIG REISSUE: FLOOR AREAS _ EXTERIOR WALL CONSTRUCTION CLASS OF WORK: ALT FIRST: sf N: S: E: W: TYPE OF USE: COM SECOND: sf PROJECT OPENINGS? TYPE OF CONST: 5N sf N: S: E: W: OCCUPANCY GRP: B TOTAL AREA: 0 sf ROOF CONST: FIRE RET? OCCUPANCY LOAD: BASEMENT: sf AREA SEP, RAPED: STOR: 1 HT: ft GARAGE: sf OCCU SEP. RATED: BSMT?: MEZZ?: READ SETBACKS _ REWUIRED FLOOR LOAD: psf LEFT: ft RGHT: ft FIR SPKL: SMOK DET: DWELLING UNITS: FRNT: ft RE,.R: ft FIR ALRM : HNDICP ACC: BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING: VALUE: $ 3,850.00 Remarks: T.I. Owner: Contractor: CB RICHARD ELL.IS GUILD CONSTRUCTION 10240 SW NIMBUS PO BOX 674 PORTLAND,OR 97223 BEAVERTON, OR 97008 Phone: Phone: 788-7778 Reg#: MET 0�0g0004544 FEES LIG REQUIREDgINSPECTIONS Description Date Amount Mechanical Permit Require [BUILD]Permit Fee 2/24/04 $81.70 Framing Insp [TAX] 8%State Surcharl 2/24/04 $6.54 Gyp Board Insp Susp Ceiing Insp [PUPPLN)Pin Rv 2/24/04 $53.11 Final Inspection [FLS)FLS Pin Rv 2/24/04 $32.68 Total $174.03 a. oc This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. 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. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notific3tior. Center. Those rules are set forth in OAP. 952-001-0010 through OAR 952-001-0100. You may obtain a copy of these rules or direr questions to OUNC by W calling (503)246-6699 or 1-800-332-2344. J / Issued By: 4�1 !--..,,,1"ty Permittee Signature: ; L Call 639-4175 by 7 p.m.for an Inspection the next business day Building Permit Application "Daterecei, Permit no.: 240 y_if W( City of Tigard Project/appl.i,,i.: Expire date: Ciryn(Tignrd Address: 11125 SW Hall Blvd,"Tigard,OR 97223 — — — Phone: (503) 639-4171 Date issued: By: Receipt no.: Fax: (503) 598-1960 Case file no.: Payment type: Land use approval: r&2 family:Simple Complex: U 1 &2 family dwelling or accessory U Commercial/industrial U Multi-family U New construction U Demolition U Addition/alteraiion/rcplacemem 1ATenant improvement U Fire sprinkler/alarm U Other: _ Job address: Bldg.no.: Suite no.: Lot: Block: Su ision: _ _ - Tax map/tax lot/account no.: Project name: Ll700 N)of _ ��—'-- Description and I ation of w rk on premises/special conditions -VVIT IL k _ , Cel/ Ir '�a [� =— — Name: C b - i L U W 1A Mailing ddress: TY0 S 1W U3 1&2 family dwelling: City ProV 1A-3 State:& ZIp 13 Valuation of work........................................ _ — phone:S -b kq-V7j)jFax: &2p-2 f/ E-mail: No.of bedrooms/baths................................. Owner's representative: { I C Total number of floors................................. Phone: ►.1 v Fax: Email: New dwelling area(sq. R.) .......................... Garage/carport area(sq.R.)......................... _ Name: Covered porch area(sq. ft.) ........................ --- Deck area(sq.ft.) Mailing address: ........................................ -- City: State: ZIP: _— Other structure area(sq.it.)......................... --- — CommerelaYindustriallnrulti-family: Phone: Fax: E-mail: Valuatiiin of work � 3 � Q• Q Existing bldg.area(sq.ft.) .......................... Business name: 151 1 j I d •� — New bldg.area(sq.ft.)................................ Addrass: -7 Y Number of stories........................................ City: {H✓r V m H Statc Q ZIP: Type of construction.................................... VPj — Phone: � s -/; Fax: Z f 3 mail: -- Occupancy group(s): Existing: CCB_no.• �� New: City/metro lic.no.: I Notl^e:A!l contractors and subcontractors are required to be licensed with the Oregon Construction Contractors Board under Name: provisions of ORS 701 and may be required to be licensed in the a Address: jurisdiction where work is being performed.if the applicant is d= State: ZIP: exempt from licensing,the following reason applies: City: - --- N Contact person: Plan no.: _ --- — Phone: Fax: E-mail: — ---- J_ m Name: Contact person: Fees due upon application ........................... $ WAddress: Date received: _State: ZIP: Amount received ................... ... . . S_ Q City: ---- Phone: Fax: I E-mail: Please refer to fee schedule. _ I hereby certify I have read and examined this application and the Nd all Imisdictions accept crotat crds.Plow Call J"d3dlC4ea((W;;wtahxntatintt. attached checklist.All provisions of laws and ordinances governing this t7 Vilna D MuterCard work will be complied i ,whethe� ified herein or not. Credit Fwd nada« --_ ,p '_ Expires Authorized sig .J _l v - 'L Date: 2— 3 "D y Nwm at as dww"011 ..It card � $ _ Print name:— k f/' ----_ Cwdholder sift we Arta Notice:This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. 4404613(rraoa'oM) Commercial Plan Submittal Requirement Matrix City of Tigard TYPE OF SUBMITTAL #of Plans (Includes New, Additions or Alterations) Required 64 Submittal Work 4 (must ude location of all accessible parking) Plumbing - Sit tilities 2 Building 1 Fire Protection System 3** Mt3obanic"3r 2 Plumbing - Building Fixtures Electrical 2 NPlan review if, dependent upon submittal of a completed application and 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, m Washington County, and Tualatin Valley Fire & Rescue). LU *For over-the-counter commercial tenant improvements, submit 2 sets of plans. **"New" fire protection systems require that plans bear the original seal of an Oregon licensed fire suppression engineer, or NICET !ovel "3" technicians. 1Adst9\forms\C0M-matrix.doc 9124101 CITY OF TIGARD ELECTRICAL PERMIT A PERMIT 0: ELC2004-00086 DEVELOPMENT SERVICES DATE ISSUED: 2/24/04 13125 SW Hall Blvd..Tinard,OR 97223 (503)639-4171 PARCEL: 1S134AA-01800 SITE ADDRESS: 10220 SW NIMBUS AVE K10+ 111:] ZONING: I-P SUBDIVISION: SCHOLLS BUSINESS PARK BLOCK: LOT: 002 JURISDICTION: IG Project Description: Adding (2)branch circuits for T.I. _ RESIDENTIAL UNIT TEMP ERVC/FEEDERS MISCELLANEOUS 1000 SF OR LESS: 0 - 200 amp: PUMPARRIGATION: EACH ADD'L 500SF: 201 - 400 amp: SIGN/OUT LINE LTG: LIMITED ENERGY: 401 - 600 amp: SIGNAUPANEL: MANF HM/SVC/FUR: 601+amps-1000 volts: MINOR LABEL (161: SERVICE/FEEDER BRANCH CIRCUITS ADD'L INSPECTIONS 0 200 amp: trV/SERVICE OR FEEDER: PER INSPECTION: 201 - 400 amp: 1st W/O SRVC OR FDR: 1 PER HOUR: 401 - 600 amp: EA ADD'L BRNCH CIRC: 1 IN PLANT: 631 - 1000 amp: PLAN REVIEW SECTION 1000+amp/volt: >$4 RES UNITS: >600 VOLT NOMINAL: Reconnect only: SVC/FDR>m 225 AMPS: CLASS AREA/SPEC OCC: Owner: Contractor: CB RICHARD ELLIS GUILD CONSTRUCTION '0240 SW NIMBUS 7959 SW CIRRUS DR PORTLAND,OR 97223 BEAVERTON,OR 97008 Phone: Phonc: 641-4634 Reg* LIC 109116 --- SUP 38685 FEES ELE 26-9d6(' Description Date Amount Required Inspections CITY OF TIGARD MENU 2/24/04 $53.50 I TAX)8%State Surcharge 2/24/04 $4.28 Rough-in Etect'l Fn FIn2 Total $57.78 This Permit is issued subject to the regulations contained In the Tigard Municipal Code,State of OR.S-)ecialty Codes and all other applicable 13ws. Ali work will be done in accordance with approved plans. This permit will expire if work is not steed within 180 days of issuance,or N work is suspended for more than 180 days. ATTENTION: Orogon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0100. You may obtain copies of these rules or direct questions to OUNt.at(503)2468699 or 1-800-332-2344. FIssued By: -Q Permit Signature:_ ¢n_TSD /// 6-4 A/4-41 I/A _ OWNER INSTALLATION ONLY The ins.dllation is being made on property I own which is not intended for sale, lease, or rent, OWNER'S SIGNATURE: _ DATE: — W -� CONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR. ELEC'N: 65 P" !�It b 0" DATE: LICENSE NO: Call 639-4175 by 7:00pm for an Inspection the next business day Electrical Permit Application Elm Mwalkin City of Tigard Receivedi Permit No.: DaWB L 1312.`+ "'Hall Blvd.,Tigard,OR 97223 Picn Review Phonc 4639.4171 Fax: 503.598.1960 paWB� (hhet Permie Inspeciwn Line: 503.639.4175 Dau Readymy lout' 0 Page=for Internet: www.ci.tigard.o.us Notif a Method: �- Supplemental information _ TYPE OF' WORK PLAN REVIEW ❑New construction Addition/alteration/replacement Please check all the:apply: ❑Demolition (]Other: ❑Service over 225 amps,comm'I ❑Hazardous location ❑Service over 320 amps.-rating ❑But ldng over 10,(00 sq.ft,,CAT ♦rORY OF GONBI'RlICT10N of I-and 2-family dwellings 4 or more new residential ❑ I-and 2-family dwelling Commercial/industrial ❑Accessory building ❑System over 600 volts nominal units in one structure ❑Multi-family ❑Master builder []Other: ❑Building over three stories []Feeders.400 amps or more JQ BM�'�E 11 A'1'[ i A141) LbG`ATION ❑Occupant load o,,er 99 persons ❑Manufactured structures or ❑Egress/lighting plan RV pork Job no.: Job site address: []Health-care facility ❑other:_ Submit_L seta of plans with any of the above. City/State/ZIP: n7 zD 5 Ld Ah y,� L t S The above are not applicable to iempmry construction service. Snite/bldg./opt no.: - f0 Project name: }/1� �j��TWr' V, FEE' SCHEDULE WwrlptNm Q'r I Fee. Tald •• Cress street/directions to job site: New residential single-or multi-family dwelling unit. Includes attached garage. 1,000 sq,ft.or less 145.15 4 Subdivision: Lot no.: F_a.add'l 500 sq.R.or portion 33.40 I -- '-'- Tax no.: Limited energy,residential 75.00 2 — Limited energy,non-residential 75.00 2 A&4CR1PnON OF WORK Poch manufactured or modular J. , ', i►Q f / _'��K / dwelling,service and/or feeder 90.90 2 4 Services or feeders Installation,alteration,and/or relocation (-C -e I 200 amps or less 80.30 2 ROP'D1RTv OWNER ❑ TENANT 201 amps to 400 amps 106.85 2 1 —-- 401 amps to 600 amps 16060 2 _Nan.e: k IG lk a V r _ 601 amps to 1,000 amps 24060 2 Address: 7 1t w ws V e- LJ Over 1,000 amps or volts _ 454.65 2 —- - Reconnect only 66.95 _ 2 City/StatdZlP:_ i Y-)A t4 D ( 13 Temporary services or feeders Inetallstlo alteration and/or Phone: relocation _ (So3) bey-�s� F �n3) ba-7813_ 200 amps or less _ 66.85 1 Owner Installation: This installation is being made on property that I own which is not 101 amps to 400 amps 100.30 2 intended for sale,lease,rent,or exchange,according to ORS 447,449,670,and 701. 401 amps to 600 arras 133.75 2 Owner signature: _ _Date: Branch circuits-new,alteratlon,or extension,per panel iCANTJK q& ACT PZWON A.Fee for branch circuits wtth - smice or feeder fee,each Business name: U I l f __branch circuit 6.65 2 �— )� I_._ �I"CG/ I� ►C!l / C��s B.Fee for branch circuits Contact name: /`t V y o ��S"e�^ _ without service o feeder fee, , Address: _ t9 X /^ -- each branch circuit 46.85 2 1L, _ Each_add'i branch circuit _ 6.65 Y 2 ILL City/State/ZIP: -ea v-e vl o D PC D Miscellaneous(service or feeder not Included) _ -- - Phone: (s 03) 5'7 - !1 Fax: :(y Pump or irrigation circle _53.40 2 F- Sign o,outline lighting i _ 53.40 2 CO) E-mail: Signal circuit(s)or limited- CONTAACTOR energy panel,alteration,or .a Business name: a /,�.�, r09 U extension.Describe: Page 2 2 m Address: �D G Each additional Inspection over allowable In any of the above � -- Per inspection �^ 62.50 W Ci /State/ZIP: i — _J City/State/ZIP:_ Investigation per hour(I hr min)_ 62.50 -4 Phone. Cj� Ct(�' _ � ) �� Fax (Zy' ) -3 �� Industrial plant per hour 73.75 (S FRES CCB Lic.: Ut i �/ Electrical Lic.: Suprv.Lic.: �j (,I?S ! CAL PR Subtotal Subtotal 576, Suprv.Electrician signature,required: ti� Plan review(25%of permit fee) ISt71 Z . 2 Stat.:surcharge(9%of permit fee) Print name: , '` e Date: 2 _.L' TOTAL.PERMIT FEE �7- g Authorized signature: dC This%rmit application expires If a permit is not obtained withi-i Iso /� t, days after it has been steepled as complete Print name: -�V i t / O t �(/ Date: Z Z 7j O 7 • Fee meba�dology set by Tri-coumy Building Industry,service Bard —Z' ••Namher of inepecttoro per pemdt allowed. inauildinavem*s\?ic-Pffmtnppdoe 12Jn3 440.46IM10002A7OW"11 Electrical Permit Application - City of Tigard - -.• Page 2 - Supplemental Information LIMITED ENERGY PERMIT FEES: Fee for An residential rystems combined........ S75.00 Check Type of Work Involved: ❑ Audio and Stereo Systems* ❑ Burglar Alarm ❑ Garage Door Opener* ❑ Heating,Vent tion and Air Conditioning System* ❑ Vacuum Systems* ❑ Other: Fee for each commercial system.............. ....... 579.00 (SEE OAR 918-260-260) 'heck Type of Work Involved: ❑ Audio and Stereo Systems ❑ Boiler Controls ❑ Clock Systems ❑ Data Telecommunication Installati ❑ Fire Alarm Installation ❑ HVAC ` ❑ Instrum a ❑ Intercom and Paging Systems rN ❑ Landscape Irrigation Control* C ❑ Medical m ❑ Nurse Calls t7 J ❑ Outdoor Landscape Lighting* ❑ Protective Signaling ❑ Other Total number of commercial systems: *No licenses are required. Licenses are required for all other installations 1:uo1Wk4%Pw r MC-re,*App.#Ax 04^3 f • '.�ll t{n:•'. QFC 'R% ,1 1 � 1 1 I � , N 1 - 1 r r 0-T-c Area of Worlk ..4ar.ea � wno l ter• 1 I *mom" 1 \� M•i911 t w \� 1 � '�. OF TI��ARQ Approved I r iNG- ' . ..... ......... ,J randwnaNy Amm .................... I I Fm' Ole awrlbed DEFERRED iQo� 1 m"Spr&hw .... A A7AwlwchA�i�e/ . I •eMo Job ddres9: 9y: O — I IL Date:SL _ • i .% ., OFFICE COPY Site Plan A PROJECT OF THE PRINCIPAL FINANCIAL GROUP A FORUM PROPERTY ILI u 1rA of '[i '�' �1 It +! ,£ .n ! . �a LL cz 34 1 WO 2i N Z = �, ! � �d �OD'd' �i� . { � t•+ �a �� .2 CL of tu � � n Z � w� 9 d� � 1 • A Com/ fU r• � r . 1b F�iC? + �f Eo rT+� eT r To �4-+arm 4s'� • �� Fb* �� c.a�-AGF-E-r� �1.A�. WA.LUDET AIL U A � r i�... p' -"�?r 1•. .�.'1F'S.!yf'r"gr"{ ' i . .�i. 1 !,f �.�!�+ �.......... ��^ )A. � .l�i. � .'Y^ .. _ ..�.��,,: `+�'.!' `. • � '. .. ., ... ' • :; �, '7 • Of eA Ree -- New De i in r al Arcs fWarehouseW i 'J WI •._ Office #1 LK� O J � a ac as Pacific Footwear a 10220 SW Nimbus 0 Uj Building K Suite 10 New Wall Tigard, Oregon 97223 a Scale 1/8" = IT" Nor Plan _... 'r .. a �i �".,. '1..,� �� -. L '��. ��4i/.R:;....... .. n.�t�� J .2: .i�7.4:'gM'r�'-✓.a-. ..... .r..,•.w+Y�4:1.t01{•r�' 1•aL�:�..e:rl�+•: �. + i 1. 7'7 IMF f� ;. Lee rea Q New Ceiling Grid This Area = r Area of Work _ J i _ • Wil reh use r h• r �j •�!� Pacific F )otwear 10220 SW Nimbus New la4 FluorescentL_ ights Building K Suite 10 Tigard, Oregon 97223 , Scale 1/8" = 1'0" Reflected Ceiling PI CITY OF TIGARD 24-Hour BUILDING ® Inspection Line: (503)635-4175 MST _ INSPECTION DIVISION business Ling: (503)635-4171 -3 � — 1I BUP Receivw7 Z'3 q Date Request _�3� ANS—. 16PiN — OUP Location �� LZ.� _. ,-Ad SuiteAX "0 MEC — Contact Person -----fc --,_— --- Ph�_ � ) � 2—A10 PLM _.— Contractor Ph( ) _ —_ _ SWR BUILDING Tenant/Owner _._._ ?lT U/�4� _ ELCCcs Footing ELC Foundation Access: -- Ftg Drain ELR Crawl Drain Slab Inspection Notes: e� SIT Post 8 Beam ��1- Shear Anchors --- Ext Sheath/Shear �C• Int Sheath/Shear --` Framing — — — Insulation Drywall Nailing �— — Firewall Fire Sprinkler — Fire AIArm Susp'd Ceiling _ Roof Other: — -- Finnl PASS PART FAIL — PL_UMBING Post&Beam — Under Slab _ Rough-In Water Service Sanitary Sewer Rain Drains Catch Basin/Manhole Storm Drain — Showor Pan Other:,--- — --- Pinel — PASS PART FAIL — — — -- MECHANICAL — — Post&Beam Rough-In — Gas Line — a Smoke Dampers Final N PASS PART FAIL -- ELECTRICAL �— — � Rough-n C 1 WLow Voltage �!c>_ EL k -- — ---� Fire Alarm -1 PART FAIL U Reinspection fee of required before next inspection. Pay at City Hall. 13125 SW Hall Blvd. Please call for reinspection RE: —__ Unable to inspect-no access Fire Supply Line ADA I V V Approach)Sidewslh Other:_ Final DO NOT REMOVE this loopeofto hem- se ,tla PASS PART FAIL