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10260 SW NIMBUS AVENUE BLDG M STE 2B-1 i ' BZW 3AV S(I8WIN MS 09ZOI i I aNa a ac d w � 3 N I ' 10260 SW NIMBUS AVS AUS CITY CSF TIGARD ELECTRICAL AEPERMIPERMIT #a 0652 DEVELOPMENT SERVICES DATE ISSUED: 10/29/98 13125 SW Hao Blvd.,Tigard,OR 9T'�9(503)6391171 PARCEL: 1S134AA-01800 SITE ADDRESS. . . : 10260 SW NIMBUS AVE #M-2B SUBDIVISION. . . . : 1 KOLL BUSINESS CENTER TIGARD ZONINGsI—P BLOCK. . . . . . . . . . : LOT. . . . . . . . . . . . :002 .TURISDICTIONs TI© Project Description: Electrical TI. ----RESIDENTIAL UNIT------ ---TEMP SRVC/FEEDERS----- -----MISCELLANEOUS----- 1000 SF OR LESS. . . . : 0 0 — 200 amp. . . . . . . : 0 PUMP/IRRIGATION. . . . : 0 EACH ADD' L 500SF. . . : 0 201 - 400 amp. . . . . . . : 0 SIGN/OUT LINE LTH. . a 0 LIMITED ENERGY. . . . . : 0 401 — 600 amp. . . . . . . s 0 SIGNAL/PANEL. . . . . . . s 0 MANF. HM/ SVC/FDR. . : 0 601+amps-1000 volts. : 0 MINOR LABEL ( 10) . . . s 0 ----SERVICE/FEEDER---- ----BRANCH CIRCUITS----- ----ADD' L INSPECTIONS--- 0 -- 200 amp. . . . . . a 1 W/SERVICE OR FEEDER: 5 PER INSPECTION. . . . . : 0 201 — 400 amp. . . . . . : 0 1st W/0 SRVC OR FDR. : 0 PER HOUR. . . . . . . . . . . : 0 401 -- 600 amp. . . . . . : 0 EA ADD' L BRNCH CIRCs 0 IN PLANT. . . . . . . . . . . s 0 601 — 1000 as,p. . : 0 ------------------PLAN REVIEW SECTION--__—___.________ 1000+ amp/volt. . . . . : 0 >=4 RES UNITS. . . . . . . . s > 600 VOLT NOMINAL. . s Reconnect only. . . . . : 0 SVC/FDR > s 225 AMPS. . s CLASS AREA/SPEC OCC. : Owner: ------------------------------------------------------ FEES —___-_--_—_—_—_—_ FORUM PROPERTIES' type amount by date recpt 8705 SW NIMBUS PRMT $ 85. 01M B 10/29/98 98-310395 BEAVERTON OR 970' 5PCT f 4. 25 B 10/29/98 98-310395 Phone M: Contractor: ____________________________ j GUILD CONSTRUCTION $ 89. 25 TOTAL 7508 SW OAK -------- REQUIRED INSPECTIONS ----- PORTLAND OR 97223 Ceiling Cover Elect' l Service Phone M: 213-3276 Wall Cover Elect' l Final Reg It. . : 109116 This pereit is issued subject to the regulations contained in the Tigard Municipal Code, 9tate of Oregon Specialty Codec and all other applicable laws. All work will be done in accordance with approved plans. This pereit will expire if work is net started utthin to days of issuance, or if work is suspended for sore than 1110 days. ATTENTION: Oregon law requires you to fellow the rules sdopted by the Oregon Utility Notification Cnr iet forth in OAR TV-0111-4018 through OAR 96P-l01-1967, You say obtain a copy of these rules or direct questi503i;Ab-1987. Permittee Signat eIss d By: a � ------------------------------OWNER INSTALLAT N ONLY------------___—______..-_______ The installation is being made on property I own which is not intended for s.-Ale, lease, or, rent. OWNER' S SIGNATURE: _ DATE: m (9 ---------------------------CONTRACTOR INSTAI_I_.ATION ONLY---------------------------- W SIGNATURE OF SUPR. ELEC' N: DATE: LICENSE NO: ++++++++++•t+++++++++++++++t+++++++++++++4•+++++++++++++.+++++++++++++++f++,-+++++ Call 639-4175 by 7s00 p. m. for an inspection needed the next business day +++++++++++4•+++++++++++++++++++++++++++++++++++++++++++++++++++++}+++++++++++++ CITY OF TIGARD Electrical Permit Application Plan Chock«_ 13123 SW HALL BLVD. Recd By-- - -= Date Recd TIGARD OR 97223 Dote ro P.E._ �r Phone(503)639-4171,x304 Print ar Type Date to DST In1-11 spection 684 7) 63 4175 Called Permit 0 '�3 complete or illegible w611 not he accepted, f. Job Address: 2 4. Copletre Fee Schedule Below: 11.tslctr.)la. None of Development FROM `gyp11/0, �_ t`'26. rn Number of Inspections par permit allowed 705 Sio NIMQU S. P�l TN or IP Name(or Warne of business) Sewice In:luded: Items Cod Sum Address I OZ-16:10S-W. �A I NAR10e, 0LA ' 2-1(�7 4a. Residential-per unit City/State/zip I I�[1 � 1�� 61'19-1-2 Fachadditional500sq.fl,or $110.00 4 Commercial L1�J J Residential[3 portion l _ 25.00 f I_irnlled Energy eryy $25.00 Each Manuf'd Home or Modular Dwelling Service or Feeder 588,00 „__ 2 2a. Contractor Installation only: (Attach copy of all current licenses) _ 1 4b.Services or Feeders Electrical Contractor-C-VIIty r-IeGT�Go 741 Installation,alteration,or relocation Address -750% 5 W• L»�I�' 200 amps or less _�� $80.00 2 201 amps la 400 amps $80.00 2 CityState tit? Zip �I 123 _ 401 amps In eco amps $120.00 _ 2 Phone No. 503. 2-API 1.7•32-?lo, 601 amps to 1000 amps $180.00 2 Job No. Over 1000 ample or volts $340.00 2 Elea Cont. Lice.No._ (.,-11 S(.G Exp.Date I D I• qq v Reconnect only $50.00 OR State CCB Reg. No.1 Qq I I b Exp.Date. 12-- •eo 4c.Temporary Services or FearNrs COT Business Tax or Metro No. Exp.Date•o•I _ Installation,alteration,or relocation 200 smps or less $50.00 2 Signature of Supr. Flec'n 201 amps to 400 amps $75.00 _ 2 401 amps to 600 amps $100.00 _, 2 Over 600 amps to 10volts, License Nu. 3�G�5 _Exp.Date��a� t/ 00 sea"b••above. Phone No_ SDS✓- Zit-,'2 o 4d.Branch Circuits Now,nlleration or extension per panel 2b. For owner installations: a)Tho fee for branch circuits with purchase or aerv/ce or Print Owner's Name_• feeder 11111110. eo Address- _ Each branch circuli $5.00 _ 2 b)The fee for branch circuits City State_ Zip-without purchase of Phone No. _ service or feeder Ise. First branch circuit $35.00 _. 2 The installation is being made on property I own which is not Fach additional branch circuit $5.00 2 intended for sale,lease or rent. 4e.Miscellaneous (Service or!,soder not Included) Owner's Signature _ Each pump or Irrigation circle _ $40.00 _ 2 Each sign or outline lighting $40.00 2 3. Plan Review section(if required):* Signal circult(s)or a limited energy IL panel,alteration or extenslon $4U.d1 __��_. 2 Minor 1_abels(10) Please check appropriate Item and enter fee In section 5B. _ 4 or more residential units In one structure 4f.Each additional Inspection over Service and feeder 225 amps or more the allowable In any of the shove _ System over 600 volts nominal Per Inspection $35.00 J _ Classified area or structure containing special occupency Per hour $55.00 m as desrribed in N.E.0 Chapter 5 In Plant $55.00 W *Submit 2 seta of plans with application where any of the shove apply. S, Fees: -i Not required for temporary construction services. ba.Enter total of above fees $ 5%Surcharge(.05 Y total fees) $ NQTJCE subtotal $ Sb.Enter 25%of line So for PERMITS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED IS Plan Review N yKii W(Sec.3) $ NOT COMMENCED WITHIN 180 DAYS,OR IF CONSTRUCTION OR WORK Subtotal $ IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY ��--77 TIME AFTER WORK IS COMMENCED. L_I mist Account N� total balance Due 1ADSTSIRCM.APP rev WN i CITY CF TIGARD BUILDING INSPECTION DIVISION Rssr 24-Hour inspection Line: 638-4175 Businens Line: 639.4171 - _ /rDate Requested �� AM� jz D Location 0 �?� _ Suite EC Contact Person _ Ph _ PLM Contractor , Ph :� SMR BUILDING TenantlOwner Retaining Wall ELR Footing Access: Foundabo►i FPS Ftg Dra:,. -� SC3N ora,*•'nrain Inspection Notes: slay _._ �'�- �- _ =n , srr Pos.,i Beam - Ext Sheath/Shaer int Sheath/Shear — Framing Insulation / 7V 7 Drywall Nailing Firewall Fire Sprinkler Fire AlaFm Susp'd Ceiling — _ Roof Misc• Final PASS PART FAIL -- L— ---- a�Lu Fust R Beam Under Slab Top Out Water Service Sanitary Sewer Rain Drains Final PASS PART FAIL MECHANICAL Post&Beam ------— -- —---- --- -------------- Rough In Gas Line -- -- - — ---- Smoke Dampers Final --- -� -- -- PA FAIL Service Q. Rough In UG/Slab Low Voltage M A S PART FAIL Lg LU Backfill/Grading - J Sanitary Sewer Storrs Drain [ ]Reinspection fee of$__ required before next Impaction. Pay at City;-tali, 13125 SW Nall Blvd Catch Basin Fire Supply Line 1 P:Pase call for reinspection RE:__._ _.�—_�—� _ ( j lJnable to InapeM-no access ADA Approach/Sidewalk Date / Inspector Ext Other ----- __ Final PARS PART FAIL DO NOT REMOVE this Inspeetlon record h oen the job site.