10240 SW NIMBUS AVENUE BLDG J f wQima 3AV Sf18WIIM MS OtZOI
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10240 SW NIMBUS AVE BUILDING J
CITY OF TIGARD BUILDING PERMIT
DEVELOPMENT SERVICES DATE ISSUED: 10/7/03c -oosos
13125 SW Hall Blvd.,Tioard, OR 97223 (503)639-4171 PARCEL: 1S134AA-01800
SITE ADDRESS: 10240 SW NIMBUS AVE BUILDING J
SUBDIVISION: SCHOLLS BUSINESS PARK ZONING: I-P
BLOCK: LOT: 002 JURISDICTION: TIG
REISSUE: FLOOR AREAS _ EXTERIOR WALL CONSTRUCTION
CLASS OF WORK: OTR r FIRST: sf N: S: E: W:
TYPE OF USE: COM SECOND: sf PROJECT_OPENINGS?
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?: REQD SETBACKS REQUIRED
FLOOR LOAD: psf LEFT: ft RGHT: ft FIR SPKL: SMOK DET:
DWELLING UNI'S: FRNT: ft REAP.: ft FIR ALRM : HNDICP ACC:
BEDRMS: BA r►r►S: IMP SURFACE: PRO CORR: PARKING:
VALUE: If at '
Remarks: Building J - Reroof, tear-off and replace with Class A roofing.
Owner. Ccntractor:
ROBINSON, CONSTANCE A+ GRIFf ITH RrCEING
ROBINSON, LYNN+ BELL, K AY ET 6815 SW i 11 TH AVE
BY INSIGNIA COMMERCIAL GROUP BEAVERTON, OR 97005
BEAVERTON, OR 97008
Phone:
Phone. 643-1555
Reg#: LIC i,^^ppGqu94�2gg5
FEES --- MET RtG1�It�EDSINSPECTIONt?
Description Date Amount Dryrot after tear off
[BUILD] Permit Fee 10/7/03 $530.97 Final Inspection
ITAX] 8%State Tax 10/7/03 $42.48
Total $573.45
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N 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 Gone in accordance with approved plans. This permit will expire if work is
not starter+within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law
requires y)u to follow the 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 a copy of these rules or direct questions to OUNC' by
W calling (503)246-6699 or 1-800-332-2344.
Issued By:
Permittee -
Signature:
Call 6394175 by 7 p.m.for an inspect'on the next business day
f 7-Y 0 t� "�' /fin' .�-4C� , ,r� ,- 0/71
,,c= 2% Building Permit Application
3 ` 044 Date received: noPermit
.:�,VVrLl
Address:155 N. Ist AV,Suite 350-12,1lillsboro,OR 97132 Project/appl.no.: date:
pREGp� Phon 503-846-3470 Fax: 503-846-3993 Date issued: oy Receipt no.:
Internet Address: www.co.washington.or.us Case file no.: Payment type:
Land use approval: 1&2 family:Simple Complex:
U I &2 family dwelling or accessory Commercial/industrial 11 Multi-family (1 New constructi C) )emolition
�l Addition/alteration/replacement Ll Tenant improvement 11 Fire sprinkler/alarm O Other: i
Job address: /0/80-SW 00-1K40„ City:YJY Bldg. no.: Suite_no.: _
Lot: I Block: N/A Subdivision: I Tax ma /tax lot/account no.:
Project name: f m t-ts
Description and location of
work o//n��premises/s ecial conditions 2>�tg�-_-� � IN ��
Lori
oNac: se. As Bwri Ness .,�r_
Mailing address: Itl 2 qA s'(,J Nlviii6ms I z&.;KJ I & 2 family dwelling:
City: r. �� State:ter I ZIP: 97 2,2.3 Valuation of work..................... $
.....................
Phone:s'b 'ax• W 791.31E-mail. No. of bedrooms/baths ..................................
Owner's representative: Ke I1 (, k,, Total number of floors.......I...........................
Phone: Fax: E-mai.'. New dwelling area(sq. ft.)
Garage/carport area(sq. ft.) ..........................
Name: Covered porch area(sq. ft.)........................... -
tA }.IIC_
Mailing address: Deck area(sq. ft.)...........................................
—! - -- Other structure areas ft.
City: State: IIP: _ ( 9. ) ..........................
Phone: Fax: I;•rnail: Commercial/industriaVmulti-family:
Valuation of work..........................................
Existing bldg.area(sq. ft.)............................
Business name: � -
r i~� New bldg. area( q. ft.s
Address: ).................................. _
Number of stories
Cit State:01
----
A e!_ Type of construction.....................................
P"N-3 4Y3�S _-!(r /sj171 E-mall:
_ ----
CCB no.: Q - Occupancy group(s): Existing: -
0 744f New:
City/metro lic. no.: N/A Notice: All contractors and subcontractors are required to he
licensed with the Oregon Construction Contractors Board under
Nameprovisions of ORS 701 and may be required to be licensed in the
Addres.0 Ti'mma'I'A^ �- jurisdiction where work is being performed. If the applicant is
a exempt from licensing,the following reason applies:
City: Statc:O ZIP: 12
fContact personSYex �L (yam Plan no.: - --
tn
Phone "dT tl1'at E-mail:
J
m Name: --___ Contact person: Fees due upon application.............................$
�ry Address: Date received:
.r City: State: 7_IP: Amount received S
Phone: Fax_ Email: Please_refer to fee schedule_
I hereby certify 1 have read and examined this application and the
attached checklist. All provisions of laws and ordinances governing this IJ Visa 11 Mastercard
work will be complied with,whether spc ' ed herein or not. Credit cud numbn
ap rce
Authorized signature Date: __AZ d3
Print name —tr: —�
-------- — - - - ------- _S -
J._y `n_� rlt�e — — mouiAl
Notice:This permit ap !cation expires if a permit is not obtained within 180 days after it has been accepted as corgp/ete- 440-4613(7r00rCOM)
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