10240 SW NIMBUS AVENUE BLDG H �f
H !)NIG11f18 31%y SRHWIN MS OtZft
r
t
f
x
z
A
IL cc
0
v
J
W
c
c
10240 SW NIMBUS AVE BUILDING H
BUILDING PERMIT
CITY OF T I G A R D PERMIT#: BUP2003-00605
DEVELOPMENT SERVICES DATE ISSUED: 10/7/03
13125 SW Hall Blvd.,Tigard, OR 97223 (503)639-4171 PARCEL: 1S134AA-01800
SITE ADDRESS: 10240 SW NIMBUS AVE BUII DING H
SUBDIVISION: SCHOLLS BUSINES`;PARK ZONING: I-P
BLOCK: LOT: 002 JURISDICTION: TIG
REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION
CLASS OF WORK: OTR FIRST: sf N: S: E: W.
TYPE OF USE: COM SECOND: sf _ PROJECT OPENINiGS? _
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:
BSMT?: MEZZ?: _ READ SETBACKS REQUIRED _
FLOOR l IAD: 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:
VALUE: $ 46,000.00
Remarks: Buildin . , "'eroof, tear-off and replace with Class A roofing.
Owner: Contractor:
ROBINSON, CONSTANCE A+ GRIFFITH ROOFING
ROBINSON, LYNN+ BELL, KAY ET 6815 SW 111TH AVE
BY INSIGNIA COMMERCIAL GROUP BEAVERTON, OR 97005
BEAVERTON, OR 97008
Phone:
Phone: 643-1596
Ken.is LIC 000�gJ0pp09gq2gg5
_FEES MET REQ81REID51NSPECTION S
Description Date Amount Dryrot after tear-off
[BUILD] Permit Tee 10/7/03 $440.80 Final Inspection
[TAX]8%State Tax 10/7/03 $35.26
Total $476.n6 -
a
This perrnit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes
U) 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 nf issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law
J requires ;rou to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
m 952-001-0010_thrQugh O.AR 952-001-0100. You may obtain a copy of these rales or direct questions to OUNC by
W
_jcalling 3)24G-609,or 1-800-332-2344.
�l
Issu By:
Permittee
Signature:
r
Call 639-4175 by 7 p.m.for an Inspection the next business day
01
Building Permit Application
RA via ONT V
7D,,t,,rc�iverl 7 p J Permit no.:Address:155 N. I st AV,Suite 350-12,Hillsboro,OR 97132 ct/appl.no.: Expire date:
r�REGQ� Phone: 503-846-3470 Fax: 503-846-3993 Date issued: — By. Rtceipt no.:
Internet Address: www.co.washington.or.us
Case file no.: Payment type:
Land use approval: _ —- 1&2 family:simple Complex:
0 I &2 family dwelling or accessory 0 Commercial/industrial 0 Multi-family 0 New constrvcti emolition
] Add ition/alteration/replacement 0 Tenan: improvement 0 Fire sprinkler/alarms 0 Other:
Job address: 1p raet '6ts City: Bldg. no. 10.:
Lot: Block: N/A Subdivision: Tax ma /tax lot/account no.:
Project 6A r
Description and location of work on premises/special condiditions� —
Name:
SC_ �-htSS__j_'L)r
Mailing address: 9,U) . 31ij—L"J'Aj 1 &2 family dwelling:
City: r0" -- State:C ion of work.......................................... $
Phone:Sb? ax`2p 79/3TE-mail: — No. of bedrooms/baths ..................................
Owner's representative: Total number of floors...................................
Ph :,r: Fr.A: E-mail: New dwelling area(sq. ft.)............................
Garage/carport area(sq. ft.) ..........................
Name: / Covered porch area(sq. ft.)........................... —
Mailing adcress: Deck area(sq. ft.)...........................................
City: State: ZIP: Other strvcturr:area(sq. ft.)
Phone: Fax:— E-mail: CommerefolAndustrial/multi-family:
Valuation of work..........................................
Business name: Existing.bldg. area(sq. ft.)............................ _
r' f a. 9 New bldg. . ft.
�� — g• area(sq )..................................
Address: ---
�� Number of stories ..........................................
City:&A State: Z1P:
�r /519 TYPe of construction......................................
P 1.��e_ E-mail:
CCR no.: Occupancy group(s): Existing:
Nev :
City/metro lie.no.: N/A Notice: All contractors and iubcontrwors are required to be
licensed with the Oregon Construction';ontructors Board under
Name• ro ie�,� oo provisions of ORS 701 and may be rcti.dr-d to he licensed in the
a Address: jurisdiction where work is being performed. If the applicant is
Cit State:(7 ZIP: exempt from licensing,the following reason applies:
to Contact perso • Plan no.: --—
Phone:.'"6f Fax 2
ftjtj4k I E-mail: -- — —
_J
Name: — jContact person: Fees due upon application
Address: Date received:
W -
--t City State: ZIP: Amount received...........................................$__—_
Phone: I E-mail: Please refer to jee schedule.
I hereby certify I have read and examined this application and the
attached checklist. All provisions of laws and ordinances governing this 0 visa 0 MasterCard
work will be complied with,whether spe . ed herein or not. Credit cad mmtx►:
res
Authorized signature: Date:�. mme c s u Ao one�---
S
Print name: --
Notice:This permit aPIAcation earplres if a perndt Is not ob?alned within 180 days after it has been accepted ae complete uo-ratt(7/Dav-oM)
0,% Building Permit Application
3 ` WASHINGTON COUNTY Date received: Permit no.:
Address:155 N. I st AV,Suite 350-12,Hillsboro,OR 97132 Project/appl.no.: Expire date:
�REGO� Phone: 503-846-3470 Fax: 503-846-3993 Date issued: By: Receipt no.:
Internet Address: www.co.washington.or.us Case file no.: Payment type:
Land use approval: 1&2 family:Simple Complex:
[1 I &2 family dwelling or accessory 11 Commercial/industrial 11 Multi-family D New construction 0 Demolition
[] Addition/alteration/replacement H Tenant improvement (1 Fire sprinkler/alarm O Other:
Job address: t(f j o" v — Cit Bldg. no.jj Suite no.:
Lot I Block: N/A Subdivision: jTax map/ta.K lotlaccount no.:
Project name:
OP 09
Description and I anon of wok on premia C.special conditions: �T
Name:
Mailing address: 1 &2 family d (ling:
City: State: "ZIP: Valuation o ork.......................................... S____
Phone: Fax: E-m No. of b roorns/baths .................................. _
Owner's representative: Total mber of floors...................................
Phone: — Fax: E-mail: N,
N dwelling area(sq. ft.)........................ ..
arage/carport area(sq. ft.) .........................
Name: Covered porch area(sq. ft.)..........................
Mailing address: Deck area(sq. fl.)........................................... `_—
City: State: ZIP: Other structure.area(sq. ft.) ..........................
Phone: Fax: E-Mail: ommercial/industrial/multi-family:
dationof work.......................................... S
Business name: Exis bldg. area(sq. fl.)............................
Address: New bl . area(sq. ft.)..................................
Number o tories ..........................................
City: State: ZIP:
Typeof cons ction......................................
Phone: _ IFax: E ail: —_ Occupancy grou s): Existing:
CCB no.: _ _ New:
City/metro lie, no.: N/A Notice: All contractor. nd subcontractors are required to be
licensed with the Oregon onstruction Contractors Board under
Name: provisions of ORS 701 and y be required to be licensed in the
Address: _ jurisdiction where work is bean erformed. If the applicant is
4. Citv: State: ?.IP: - exempt from licensing,the foliowi reason applies:
Contact person: Plan no.:
Name: Contact person: Fees due upon application.............................S_
m Address: Date received:
W City: State: ZIP: Amount received............................................S_
Phone: _ Fax E-mail: Please refer to fee schedule.
I hereby certify I have read and examined this application and the
attached checklist. All provisions of laws and ordinances governing this 0 visa 0 MasterCard
work will be complied with whether sfled herein or not. Credit errd number. / r[
zp�rc+
Authorized sig nlure: Date: _ -- .m�a u T&+.++'—T�KT��c-r-eWt+vri
Print name:
Notice:This perp pplication expires If permit is not obtained within 180 daps after it has been accepted as complete 440-4611 t711101COM►
CITY OF TIG.A RD 24-Hour
BUILDING Inspection-Line:1503)639-41750 MST ----
INSPECTION DIVISION _ Business Line: (503)6394171
SUP
Received ____Date Requested AM— O PM =0 (0-0S:
S:
Location — 10•'q D - N i rn6tS glot Suite _ MEC
Contact Person Ph( ) 3 - S9 �O _ PLM —
ContractorPh( -) -- SWR
BUILDING Tenant/Owner -- __—.— ELC —_—_
Footing ELC _
Foundation Access: .�
Fig Drain ELR —_
Crawl Drain �--
Slab Inspection Notes: SIT
Post&Beam
Shear Anchorsl
Ext Sheath/Shear - --
Int Sheath/Shear �.
Framing - —
Insulation
Drywall Nailing t
Firewall � jlt �' N � �-NA C
Fire Sprinkler
Fire Alarm
Sus 'd Ceiling -
Fin
ASS PART FAIL
Post&Beam
Jodar Slab
Rough-In
Water Service
Sanitary Sewer q� t -a
Rain Drains
Catch Basin!Manhole / V - �►� /.�/` —
Storm Drain —
Shower Pan
Othei ------ -- -
Final
PASS PART FAIL
MECHANICAL _ -- - —
Post&Beam ---
Rough-in ------- ---- -
Gas Line
a Smoke Dampers - - - ----- —-- --- ---- -
0� Final
l)
tn PASS PART FAIL. - --- — -
ELECTRICAL
Service
Rough-In -- -----__ ---------- — —- v.___ -.—_
�h
(IG/Slab
Low Voltage ---- ---- --�— ---- - --- —
Fire Alarm
Final lj Reinopection fee of required before next inspection. Pay at City Hall, 13125 SW Het OW.
PASS PART FAIL
SITE Please call for reinspec'Jon RE:___—___ Unable to Inspect-rid arms
Fire Supply Line /ADA Dab—L_0/?I /JO 1llopm*W___ _ — _--_-- ftt
Approach/Sidetvalk -
Mer:- —
Flnal DO NOT REMOVE this Insspecdon /"allDatM ftrom the jab eltc.
PASS PART FAIL
CITY OF TIGARD 24-Hour
BUILDING Inspection Line. {503)63�-4175
MST
INSPECTION DIVISION Business Line: (503)6364171 —
Ty V
Received tyj /; j'3SDate Re ueste�_d_��6�AM .--.PFA BUP
Q
Location . _Z _ '(�l/LGQ� Suite. _ MEC
Contact Person '__- — Ph( f2D ) M --_
Contractor 4" _ Ph SWR
BUILDING Tenant/Owner _—_— � ELC
Footing ELC —
Foundation Access:
Ftg Drain ELFT _—._--
Crawl Drain
Slab Inspection Notes: - ll II`` SIT - — ---— --
Post&Beam --- `t-f D ---
Shear Anchors — ----`
Ext Sheath/Shear ----_ __
Int Sheath/Shear
Framing ----
Insulation
Drywall Nailing - ------- ---- — — -- ---
Firewall
Fire Sprinkler — —-- --- — -- — ---
Fire Alarm
'd Ceiling --------..-- --- --.—.--- ____
,alhV
at
PASS PART FAIL —
Post&Beam
Under Slab -- -- --— -
Rough-In
Water Service - —
Sanitary Sewer
Rain Drains — —
Catch Basin/Manhole
t Storm Drain -- —
Shower pan
Other: `—
Final
PASS PART FAIL —
MECHANICAL
Post&Beam
Rough-In —
IL Gas Line
R Smoke Dampers
Final
PASS PART FAIL -- ---
ELECTRICAL
Service
Rough-In _ - -- - - ----- --
W UG/Slab
•-j Low Voltage
Fire Alarm
Final FIReinspection fee of$ required before next inspection. Pay at City Hall, 13125 SW Hsll Blvd.
PASS PART FAIL_
SITE n Please calf for reinspectlon RE:—_—.- _.___—___�_ �� Unable to inspect -no access
Fire Supply Line
ADA ,�n
Approach/Sidewalk
Datta Z-0* Inepeet�� ,� .� _—ut Z
Other: _
Final i DO NOT REMOVE this Inspection record fmm the job slue
PASS PART FAIL
CITY OF TIGARD 24-Hour
BUILDING M Inspection Line: (503)639-4175
INSPECTION DIVISION Business Lihe: (63)6394171 MSS_
—
BUP ���o
Received _^ _Date Requested •3 AM PM SUP
Location !a ato
finite 14 "PI-Po MEC
Contact Person _ Ph l 12 D PLM
Contractor— / �_ Ph( _) .___— /0 16 SWR _
_B_UILDING Tonant/Owner _� — --__ ELC —
Footing
Foundation Access:
Fig Drain Acxess' ELR —
Crawl Drain —
Slab Inspection Notes: SIT —�—
Post$Beam
Shear Anchors —
Ext Sheeth/Shear
Int Sheath/Shear
Framing _.
Insulation �/�v d/C7
Drywall Nailing
Firewall 11
Fire Sprinkinr
Fire Alarm a L)
SusCeOlfigfi —
her:
Fin ---- _
ASS PART FAIL
BING _—
Post R Beam
Under Slab
Rough-In
Water Service — —
Sanitary Sewer
Rain Drains - — -- --
Catch Basin/Manhole
Storm Drain —— —
Shower Pan
Other: —
Final
PASS PART FAIL —
MECHANICAL
Post&Beam
Ro,lqh-In ,_-
IL iss .
-r twn hampers —— —_
N F,►ai
PASS PART SAIL --- - -
J ELECTRICAL
Q1 Service
Rough-In - ----- ___ — --- -..
J UG/Slab
Low Voltage __ --_-- -- -- _ —-- --.-_.__--
Fire Alarm
Final R Inspection fee of$ r uired before next Inspection.
PASS PART FAIL t pectb Pay at City Wall, ,31?5 SW Wall Blvd.
SITE Please call for reinspection RE: ___ Unable to Inspect–no access
Fire Supply Line
ADA -
Approach/Sidewalk --
Othei:
Final _ DO NOT REMOVE this Inspcation record from thn job oft.
PASS PART FAIL
CITY OF TIGARD 24-Dour
BUILDING - * Inspection Llln..: (503)639-4176
MST
INSPECTION D' 3iON Business Line' (503)638-4171 �_�-��
f S P ..��
Received ' fD e�Requested 3�� AM _ PM -t SUPZ
Location _ 10_ Suite/ � �✓�y MEC
Contact Parson Ph PLM
Contractor —_ Ph(. ) _-- SWR --_.
0
DUILWNG Tenant/Owner _ — _ ELC — —
Footing —_ ELC
Foundation Access:
Fly Drair. ELR
Crawl Drain _
Slab Inspection Notes: SIT
Post&Beam
Shear Anchors
Ext Sheath/Shear
Int Sheath/Shear
Framing - — —
Irsulation
Drywall Nailing - -- --------— — - --
Firewall
Fire Sprinkler -
Fire Alarm
5-
Ceiling
of
her: �'—
ASS,/PART_ FAIL.
Post&Beam—i
Under Slab --
Rough-In
Water Service -- --- --
Sanitary Sewer 01/
Rain Drains ---
Catch Basin/Manhcle
Storm Drain -- —"
Shower Pan
Other: --
Final _
PASS PART FA;L --
MECHANICAL — --
Post&Beam
Rough-In -• — --
fZ Gas Line
HSmoke Dampera - - --- --
N Final
PASS PART FAIL -- — — -=` —.--
ELECTRICAL
Service
Rough-in -- ----- - ---- - -- ---
W UG/Slab
-j Low Voltage — ----
Fire Alarm
Final Reinspertion fee of$ _ required oefore next Inspectk)n. Pay at O ty Hall, 1°125 SMV Hall Blvd,
PASS PART FAIL
SITE Please call for reinspection RE: —_ __._—__ Unable to inspect-no access
Fire Supply Line
ADA Daft ,� - NWAMfao►, C��7'v��.I14�V G�— �♦���
Approach/Sidewalk
Other:
Final DO NOT REMOVE this in*pwAlon rocord from Un job ttillt&
PASS PART FAIL
CITY OF TIG,ARD 24-Hour
BUILDING - 0 Inspection Line: (503)631"176
INSPECTION DIVISION 14 Business L�he:• (503)639-4171 Mss -
Received r�/�!V Date Requested � q_ AM__ _-PM _— BUP
Location _e""' /-/(�� _ ' -Suite__�-� /_ MEC
Contact Person _ Ph(��. ) � PLM
Contractor 4��#44 -_ Ph(_ _) _ ____--._ - SWR
BUILDING Tenant/Owner -- ELC --
Footing ELC
Foundation Access:
Fig Drain ELR - __—
Crawl Drain
Slab Inspection IVotes��<� L I� SR —
Post& Beam _____._
49-1
Shear Anchors
Ext Sheath/Shear
Int Sheath/Shear
Framing - --- — -- -----
Insulation
Drywall Nailing - - - -- - - -
Firewall
Fire Sprinkler -- -- - - -
Fire Alarm
Sus Ceiling -- - -
rof
ter:
inal
ART FAIL -
IN® ----- - --
Post&Beain
Under Slab - --- Of -- -
Rough-In
Water Service - ----
Sanitary Sewer
Rain Drains - - z --- —
Catch Basin/Manhole
Storm Drain --ShowerPan
Other._ - -- -
Final
PASS PART FAIL
MECHANICAL
Post&Beam
Rough-In - ---- -- --
0. Gas Line
M Smoke Dampers - ---- ---- -- -
N Final
PASS PART FAIL —
ELECTRICAL
m Service
Rough-In ----- --- --- - -------
W UG/Slab
-j Low Voltage
Fire Alarm
Final [j RHnspection fee of$___-_____ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
PASS PART FAIL
SITE a Please call for roinspertion RF:__ --__— L_] Unable to Inspect-- no access
Fire Supply LineADA ���� IA_ �J '�
Approach/Sidewalk DOW -37'7'� - -- lespeal4r L �r�l�""�SLy��
Other:
Final Dp MOT REMOVE$hle lltiapll►eft o rwwrd f1'm Me f ob elb.
PASS PART FAIL