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10240 SW NIMBUS AVENUE BLDG L STE 4
b'7 3AV Snf KIN AAS OKOI i IL f- a� a 3 0 10240 SW NIMBUS AVE L4 CITY OF TIGARD DEVELOPMENT SERVICES PLUMBING PERMIT PERMIT N. . . . . . . e PLM97-0198 13125 SW Hof Blvd.,77gard,OR 97223 (503)6394111 DATE ISSUED: 06/03/97 PARCEL.: 1 S 134AA-01800 SITE ADDRESS. . . : 10240 SW NIMBUS AVE NL-4 SUBDIVISION. . . . : 1 KNOLL BUSINESS CENTER TIGARD ZONING: I—P BLOCK. . . . . . . . . . : LOT. . . . . . . . . . . . . :2 JURISDICTIONe TIG CLASS OF WORK. . :ALT GArBAGE DISPOSALS. : © MOBILE HOME SPACES. : 0 TYPE OF USE. . . . :COM WASHING MACH. . . . . . : 0 BACKFLOW PREVNTRS. . s 0 OCCUPANCY GRP. . :B FLOOR DRAINS. . . . . . : 0 TRAPS. . . . . . . . . . . . . . 1 0 STORIES. . . . . . . . : 0 WATER HEATERS- - % 0 CATCH BASINS. . . . . . . # 0 FIXTURES------------- LAUNDRY TRAYS. . . . . : 0 SF RAIN DRAINS. . . . . t 0 SINKS. . . . . . . . . : 1 URINALS. . . . . . . . . . . # 0 GREASE TRAPS. . . . . . . : 0 LAVATORIES. . . . : 0 OTHER FIXTURES. . . . : 0 TUB/SHOWERS. . . : 0 SEWER LINE (ft) . . . e 0 WATER CLOSETS. : 0 WATER LINE (ft) . . . : 0 DISHWASHERS. . . . : 0 RAIN DRAIN (Ft) . . . 1 0 Remarl(s: Horibr Owner: --------- -------------------•--- ---------------•--- FEES -------------- FORUM PROPFRTIE: INC type amount by date recpt PRMT $ 25. 00 JSD 06/O3/97 97-295387 SPCT f 1. 25 .TSD 06/03/97 97-295387 I'shone #i Contractor---------------------------------- UNIVERSAL ----------------------------------- UNIVERSAL F'LLIMB I NU (DAVID RAY OAKLEY) 10928 SW 49TH AVE PORTLAND OR 97219 ------------------------------------ Phone ----------------------------------- Phone it: 452-7484 ♦ 26. 25 TOTAL Reg 1l. . : 000111 ------- REQUIRED INSPECTIONS ----__—_-. This pfreit is issued subject to the regulations contained in the Rough—in Insp Tigard Municipal Code, State of Ore. Specialty Codes and all other PLM/Underfloor _ applicable laws. All work will be done in accordancf with Top—out Insp CL approved plans. This perait will expire if work is not started Final Inspection within 181 days of issuance, or it work is suspended for sore than 18! days. -- GD Permittee Signatur J Issued By C Call for inspection — 639-4175 CITY OF TIGARD Plumbing AppliC.ation Recd 8r 13125 SW MALL BLVD. Commercial and Residential oat.FUWd rIGARJJ, OR 87223 rlete to P.E. ----_ 503) 539-4171 Data to 06T Print or Type Pal, /Reim" Incomplete or Iihegible applications will not be accepted Caw O jrK30 - frame of Oegaq Jobcul IS '�mss, �Er�7fttL 900 Ori Address Saeet AdUesa „rle 900 \o z u o Tub or Tubfshower Comb. `- 11.00 / D 02�c)-71-7 weaar 9.00 Name �' .00 Flet �," UMMwaan.r e.00 Owner Ma+rwAdorew Srate DNptaal l.oe CRYrSUn zip Maef>i� Ptd 9.00 Drain r 11.00 4' 9.b0 ' Occupant suf f Wsler flarfsr 900 Gty/StaaP f �� T� 9.00 0.00 Nrn. Ual1/CL- rbr other P ' 9.00 'ofltractor :�wr.-iee ao 171 9.00 .Prlor to mom�,ti C WOWS* 11.00 applicant m-it fjpTlsht`�. `�"Tzl r 9.00 Provide a! Organ CCont Board Ues Ems. conlrictairsl l I�'L i0°' kenee Pkanong ua aff li m►aean (o- - 9 Pb ' �r-1a iso' _ ao.00 for COT COT Buanesa iaa a Metr®/ Data 29.00 pd1 I Iowa-- a 1W 23.04 databases. G� _ WMW Servio�-tat lar '— 30.00 carne :28WOW Service-ow samional 2110 26.00 Architect Scam A Ran orsfn-1st 100• or MSWV Addreaa guff s Rain Q in-foes addNhxnf ear 29.00 W00a home Spaoa 29.00 Engineer Cityrstate 27p Phare Caraeareisf Barin .PreverMbn Oevtoaor Anti- P�Devles 26.00 scribe work New O Addition O Alteretbn O Repek O Reaidentlel 00=40w Praverwon Device* a done: Res+dentW O Non.resi kw" O 13.00 (lit,onal description of work Any Trap or Wsaaa Not Corneated to a Ferttuns 900 Catrh Basin Inap.of Eftttng Pkanbl'g 10.00 Nstung ust of --'�' SPWsMy Requested hapeellong 10.00 rC �� Rain orsn.sN+gte Hwy aMreakg J )OSAd use of30.00 m 1ri9 a property Ge*sse Traps 9.00 WY^u cappiry. moving or QUANTITY T&TAL -i es see back of form) r h ibdtresT Yes❑ No p lamwie a rigr w rsMAN r acknowledge 'SUBTOTAL r �� y dtnowled a that I have read this appacatbn,that the irdwmadon corned.that 1 am the owner Of sudwft*d agent of the owner.and Q'K SURCHARt3E _'.ns strbntifib are in tompilance with Stan taws. wrw of OwnedAgent Dat/ PLAN RFVIE 225%OF BUNTOTAL 5_Zp�q Rea4..e ulkaaeWf.low,>! enron Norrie Phone // TOTAL S23+37 t rdisrQ...xdpt , PI§V* M Device.w!Wd is 316.3"mrchaw BpifnsppAm 12/% (dst) M Fixtures to be capped, moved or replaced Q Sink Lavatory _ Tub or Tub/Shower Combination Shower Only _ Water Closet Dishwasher Garbage Disposal Washing Machine Floor Drain 2" 3" _ 4" Water Heater Laundry Room Tray Urinal Other Fixtures Speci ) OMMENTS REGARDING ABOVE: a J J LNp1mapp.doc 12f% (dst) CITY OF TIGARD BUILDING INSPECTION DIVISION 24-Hair Inspection Line: 63914175 Business Ph(w:639/4171 Date Requested: _ _ A.M. ; P.M. MST: ._ Location: _ �(� DUP: Tenant: 102-40 _ ��— Suite: Bldg: Contractor: _Phone: 7 q,?C) --- }`LM: u _L1 Q Phone: ELR. ��., _ Srr: BUILDING BLDG(coni) LUMBIING MEC IANICAL IL11CTRICAL SITE Y— Site Post/Be m Post/Ream Cover/Service Sewer/,trim Footing Roof UndFUSlab Rough-In Ceiling Water Line Slab Framing , rt 1 (las Line Rough In UO Sprinkler Foundation Insulation Hood/Duct Renomnct Vault 93smt(hump Drywall Storm Furnace Temp Service MISC. Masonry Ceiling Rain Thain A/C CIO Slab Shear/Sheath Fin Spklr/Alm Crawl/Found Dr Heat Pump i ow Volt _ Approved Approvod Approved Approved Appmved Appr/Sdwlk Not Approval NotAg2roved Not Apinrved Not Approved Not Approved FINAL FINAL FINAL FINAL FINAL. CL x J J f3('all for rci O Reinspection fee of S� req fired hrfsp ore next inection O Unable to inspect q �.,J Inspector: Date:. ! _ / Page__ of__�— CITE' OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Line: 639-4176 Business Line: 639-4171 BUP Date Requested — AM PM _ BLD Location , .SLJ „QL/ S Suite _�- AEC Contact Person Ph PLM Contractor Ph — 75'AC1� SWR BUILDING Tenant/Owner ELC Retaining Wall ELR Footing A Foundation NOT RF_QUESTEia -T !~PS — — — Crawl Drain tg Drain FiC�IJND DURING RESEARCH SGN _ Crit NO INISPECTION(S) IN FILE- — SR Post&Beam 1 Ext Sheath/Shear J Int Sheath/Shear Framing Insulation Drywall Nailing Firewall on Fire Sprinkler " — Fire Alarm Susp'd Ceiling Roof Misc: Final P PART FAIL — - -— G C m Under Slab Top Out Water Service Sanitary Sewer — R rains PART FP`IL ANICAL --i�- ----- •� - Post 6 Beam - ---- --- --- Rough In Gas Line — —— --- Smoke Dampers Final - —----- --- -- PASS PART FAIL ELECTRICAL — a Service � Rough In `-- -----�-- -- -- t~/) UG/Slab __ — Low Voltage _ Fire Alarm Final 0 PASS PART FAIL Backfill/Grading Sanitary Sewer Storm Drain [ ]Reinspection fee of$ required before next inspection. Pay at City Nall, 13125 SW Nall Blvd Catch Basin [ ]Please call for reinspection RF: Fire Supply Line —__ —! [ )Unable to inspect no access ADA Approach/SidetWalk Other pate --�: _Inspector Ext - Final PASS PART FAIL DO NOT REMOVE this Inspection record from the job site.