10260 SW NIMBUS AVENUE BLDG M STE 5 SW ;SAV S118WIN MS 09ZOI
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10260 SW NIMBUS AVE MS
A CITY OF TIGARD
DEVELOPMENT SERVICES
13125 SW Hall Blvd.,Tigard,OR 97223 (503)639. 171 ELECTRICAL PERMIT -
RESTRICTED ENERGY
PERMIT Ms ELR98-0049
DATE ISSUED: 02/13/98
PARCEL: 1S134AA-01800
SITE ADDRESS. . . : 10260 SW NIMBUS AVE #M-5
SUBDIVISION. . . . : 1 KOLL BUSINESS CENTER TIGARD ZONING: I—P
BLOCK. . . . . . . . . . : LOT. . . . . . . . . . . . . :002 JURISDICTN: TIG
Project Description: Add protective signaling to a ^ommercial ttnot occpy.
---------------------------------------------------------------------------------------
A. RES I DENT 1►'?L--------- B. COMMERCIAL------------------------------------------
AUDIO
------------.-----------------------------
AUDIO 11• STEREO. . . : AUDIO 11 STEREO. . : INTERCOM & PAGING. . s
BURGLAR ALARM. . . . : BOILER. . . . . . . . . . : LANDSCAPE/IRRIGAT. . s
GARAGEOPENER. . . . . CLOCK. . . . . . . . . . . : MEDICAL. . . . . . . . . . . :
HVAC. . . . . . . . . . . . : DATA/TELE COMM. . : NURSE CALLS. . . . . . . . s
VACUUM SYSTEM. . . . : FIRE ALARM. . . . . . : OUTDOOR L.ANDSC L ITE t
OTHER: : : HVAC. . . . . . . . . . . . : PROTECTIVE SIGNAL. . sX
INSTRUMENTATION. : OTHER. . s 11
TOTAL 0 OF SYSTEMS: 1
Owners ------------------------------------------- ---- FEES -----------------
METRO ONE EVERETT SCHULTZ type amount by date recpt
10260 SW NIMBUS AVENUE PRMT $ 40.00 GEO 02/13/98 98-303292
SUITE M—S SPCT $ 2. 00 GEO 02/13/98 98-303292
TIGARD OR 97223
:ContPhone #.-
Contractor:
ractor. -------------------------------__--__—_—__-----------_--__—_____------
ADT SECURITY ALARMS $ 42. 00 TOTAL
703 NE HANCOCK
-------- REQUIRED INSPECTIONS --- ---
PORTLAND OR 97212 Low Voltage Insp
Phone N: 284-3265 Elect' l Final
R e g #. . : 000599
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes and all other
applicable lam. All work will be done in rr rerdance with approved plans. This permit rill expire if work is not started within 191
days of issuance, or if work is suspended ?'or more than 181 days. ATTENTION: Oregon law requires you to follow rmlt adopted by the
Oregon Utility Notification Center. ,hose rules are set forth in OAR 99-ft-MI through OAR 952-441-MMSM. Ytu may obtain copies of
these rules or direct uestigps at 15024(r1987.
Issued by _ ! _ Permittee Signature
IL
i2 - _-OWNER INST'ALLATION ONLY------------------------------
NThe installation is beingmade on property I own which : s not intended for
sale, lease, or rent.
OWNER' S SIGNATURE: DATES
-------------------------CONTRACTOR INSTALLATION ONLY---------------------------
J �^_{
SIGNATURE OF SUPR. ELEC' N: _ DATE s _�� / �!
LICENSE NO:
++++++++++++++++++++++++++++f++++++++++++.++++++++++++++++++++++.+++++++f•+++++++
Call 639-4175 by 7:00 P. M. for an inspection needed the next business day
++++++++++++++++++++++++++++++++++f-+f+++++.+++++++++++++++++++++++++++++++++++++
CITY OF TIGARD RESTRICTED ENERGY ELECTRICAL APPLICATION Recta by:_
13125 SW HALL BLVD Date Rec'd:
TIGARD OR 97223 PRINT OR TYPE ,J
V- 503-639-4171 X304 Permit#:�
F - 503-684-7297 INCOMPLETE OR ILLEGIBLE APPLICATIONS Cust.Call'd* _
WILL NOT BE ACCEPTED
Name of Devolo men roject TYPE OF WORK INVOLVED-RESIDEN PIAL ONLY
Restricted Energy Fee....................................... $40.00
- (FOR ALL SYSTEMS)
JOB Pireet Addreta I r- Ste N rN"`
ADDRESS p��l !mboc e- 1•r J Check Type of Work Involved
'tale ZID Phone N ❑ Audio and Stereo Systems
a -
Nam Burglar Alarm
/&r0
� '� Cir -- �-7 Garage Door Opener'
OWNER Mailing Addre %
State 1�P 1 Pho N ❑ Healing,Ventilation and Air Conditioning System'
r
Nar -lr Vacuum Systems'
L—dCre
r / ❑ Other -
CONTRACTOR M. 0
L' �I< Ct1 TYPE OF WORK INVOLVED-COMMERCIAL ONLY
(Prior to issuance a Zi Phone 4 Fee for each system.............................................. r:Z.n0
copy of all licenses r q Z_>/ - (SEE OAR 918-260-260)
are required if Oregbr(Contr._0rd Lic Exp pat
expired in C.O T. /Q
/—Check Type of Work Involved.
data base) Electrical Con .Lic 0 x
a e ❑ Audio and Stereo Systems
C.O.T.or Metro Lic N Exp.Date
— ❑ Boiler Controls
Owner's Name
�`""1 _ ❑ Clock Systems
OWNER - Mailing Address
APPLICANT ❑ Data Telecommunication Installation
City/State Zip Phone ❑
Fire Alarm Installation
This permit is issued under OAE 918-320-370 This applicant agrees to
make only restricted energy installations It 00 volt amps or less)under this ❑ HVAC
permit and to do the following:
❑ Instrumentation
1. Only use electrical licensed persons to do installations where required.
Certain residential and other transactions are exempt from licensing. ❑ Intercom and Paging Systems
These have asterisks('). All others need licensing;
❑ Landscape Irrigation Controi'
2 Call for Inspections when installation under this permit are ready for
inspection at 603-639.4178; ❑ Medical
3 Purchase separate permits for all installations that are not ready for an ❑ Nurse Calls
Inspection when the Inspector is out to inspect under this permit;
4 Assume responsibility for assuring that all corrections required by the ❑ Outdoor Landscape-lyhting-
Inspector are done,and;
n � Protective Signaling
S. Assume responsibility for calling for a final inspection when all of the
corrections are completed. ❑ Other
J
Permits are non-transferable and non-refundable and expire it work is not
(; started within 180 days of Issuance or if work is suspended for 180 days. ___. -_Number of Systems
W
-� The person signing for this permit must be the applicant or a person No li,.enses are required licenses are required for all other Instatl"tions
authorized to bind the appl
� - FFFR;
6 ENTER FEES $__�
Signature //tt
5%SURCHARGE(-05 X TOTAL ABOVE) $ vV
Authority if other than Applicant _ TOTAL = _
fists vesele doc 7/97 —— —
a 9�l
0
CITY OF TIGARD BUILDING INSPECTION DIVISION
24-Hour Inspection L:ate: 639-4175 Business Phone: 639-4171
Date Requested: � 3'e1 ' (�' A.M. P.M.
l,n
?AT:
cation:
$UP:
Tenant _-- Suite: __$log //�:� MEC —
Contractor: _ _tD Phone: �r PLM.
,�
owner _ !flLe! ✓ PMrne: _ --- _ ELC:
ELR:
BUII�ING BLDG(con't) PLUMB G CHAMCAL SlT6 ^—
Site Post/Beam PO*Tj m Poat/$esm Cover/Service Sewer/Storm
Fuating Roof UndF1/Slab Rough-In Ceiling Water Line
Slab Framing Top Out Gas Line Rough-In 110 Sprinkler
Foundation Insulation Sewer Hood/Duct Reconnect Vault
Bsmt Damp Drywall Storm Furnace Temp Service MISC.
Mesonry Ceiling RaDr
in ain A/C 114 Slab
Shear/ShesFire Spklr/Alm CrawUFound Dr Heat Pump
Approved Approved Approved Approves AFptoved
Appr/Sdw1k Not Approved Not Approved Not Approved Not Approved Not Approved
FINAL FINAL FINAL FINAL FINAL
r—
Ul
O Call for reinspecti Reinspection fee of S_ required before,ma i tion Q Unable to inspect
Inspector. _— Date:
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