10260 SW NIMBUS AVENUE BLDG M STE 9 ,J � � �s:�l,�L 3� •;mak N l� =� � y`�' ri ""�$i .",1 .�• I-A
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l CITY OF TIGARD BUILDING INSPECTION NOTICE Y I I
Inspection Line (Rec O Phone): 639-4175 Business Phone: 639-4171
i Inspection:
Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk
Foundation Plbg. Underslab Mech. Rough in Fireplace i
1
Post/Beam Struct. Plbg. Top Out Elec. Rough-in FINAL:
Post/Beam Mech. San. Sewer Gas Line -Bldg.
Plbg. Underfloor Rain Drain Framing
Alarm Water l'ne Insulation -Mech.
Underflr. Insul. Shear Wall Gyp. Bd. -Elect.
Date Requested• �a�9 Time:�,AM __PM
Address: (fJ
Builder: x c� C�� SJ Permit ltPC
THE FOLLOWING CORRECTIONS ARE REQUIRED:
Inspector: �j Date;
j 14�APPROVED _DISAPPROVED _APPROVED SUBJECT TO ABOVE
iCall For Reinsp.
•
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CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171 s
"x
7 r r�1
Inspection:
Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk
Foundation Plbg. Underslab Mech, Rough-in Fireplace ?• ass `'�
Post/Beam Struct. Plbg. Top Out lec Rough-in FINAL:
Post/Beam Mech. San. Sewer Gas Line -Bldg. _
Plbg. Underfloor Rain Drain Framing -Plumb.
Alarm Water Line Insulation Mech. II
Underflr. Insul, Shear Wall Gyp. Bd.
Date Requested: 2,112 2 Time:X_AM PM
Address: }_2 C-�7 G �-'V It
Builder f-�/ .�, C i- : I � 1 ' 15-Permit #:
f._
THE FOLLOWING CORRECTIONS ARE REQUIRED:
r
.5; ` ta
// OeL7
CL ff
Inspector: r Date: —5F5
_APPROVED _DISAPPROVED APPROVED SUBJECT TO ABOVE
_Call For Reinsp. �� ���
, � o
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection:
Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk v
Foundation Plbg. Underslab Mech. Rough-in Fireplace
Post/Beam Struct. g. Top__2_93) Elec. Rough-in FINAL:
Post/Beam Mech. San. Sewer Gas Line -Bldg.
Plbg. Underfloor Rain Drain Framing -Plumb. s
Alarm Water Line Insulation 0,4V -Mach.
Underflr. Insul, Shear Wall Gyp. Ed. ( -Elect.
' Date Requested:_ ?.C� c S Time:_)�AM PM `
Address:
i
Builder: C� �� [�C��`� Permit #: G' 1
THE FOLLOWING CORRECTIONS ARE REQUIRED:
,lam �- j �•,
OR
—rte
n
%,34,
Inspector: ,I f Date:`
_APPROVED _DISAPPROVED _APPROVED SUBJECT TO ABOVE
_24all For Reinsp.
t
....... .....
•4- PLUMBING PE'RMI'T
CITE( OF TIGARD DATE) ISSUED: . 12/01/995 4W
3-0:;CE
COMMUNITY DEVELOPMENT DEPARTMENT
13126 SW Hell Blvd.Tigard,Oregon 07223.8100 (503)630.4171 PARCEL: 1.S 1.';4AA•-01.800
SITE ADDRESS.....' 102.160 SW N114BLJS AVE #M-9
SUBDIVISION. . . . : l KNOLL BUSINLSS CENTER TIGARD ZONING: J--P
Dl...00IN.. . . . . . . . . . . LOI.. . . . . . . . . . . . . :2
CLASS-OF-WORK. . :AI-.T GARBAGE. DISI-DOGALS. : 0 MOF I L.E HOME p^ACES. : �
TYPE OF USE. . . . :COM WASHING MACH. . . . . . : 0 BACKFLOW PREVNTRS. . : 0
OCCUPANCY GRP. . :B2 FLOOR DRAINS. . . . . . : w) TRAPS. . . . . . . . . . . . . . : 0
STORIES. . . . . . . . : 0 WATER HEAT'ERS. . . . . . 0 CATCH BASINS. . . . . . . . 0
F I X TURLwS - - - ------ -- I-AUNDRY TRAYS. . . . . : 0 SF RAIN DRAINS. . . . . . G '
SINKS. . . . . . . . . . . ` URINALS. . . . . . . . . . . 0 GREASE TRAPS. . . . . . . s 0 �
LAVATORIES. . . . . : 0 OTHER FIXTURE_;. . . . : 0
FUB/SHOWERS. . . . . 0 SEWER LINE (tt ) . . .
WATER CLOSETS. . : 0 WATER LINE (ft ) . 1�
DIL,HWA.SHERS. . . . : 0 RAIN DRAIN (ft ) . . . : 0 �
flemarks : Installing two si.nkS
Owner: - _______._.-•---._. .__________.----_________ ---•----_.._._._.______ FEES
SCHOI_I..S BUSINL'SS PARI, type amol.lnt by date reC_1.)t
10260 SW NIMBUS M-•9 PRMT $ 25. 00 B 12/01/95 95-273420
5F'CT $ 1. . 5 B 12/01/95 95--273420
TIGARD OR 97223 ).
Phone #:
Contractor-:
NW PLUMBING SPECIALTIES INC
PO BOX 606
GRESHAM OR 97030
I- i o n e #: 503-663-9066 $ 26. 25 TOTAL
PFr1 #. . 09432P
-------- RF'C.U I RED INSPECTIONS
This permit is issued subject to the regulations contained in the Tot)--ou•t InSp _-__.__.T__� ___•._ I '
Tioard Municipal Code. State of Ore. 5,ecialty Codes and all other Final Inspection
applicable laws. Rll work will be done in accordance with
aopr•oved plans. This permit will expire if work is not started
within 180 days of issuance, v if work is suspended for more
than 180 days. _._ _ _ ......
Permittee Signature ;
I s s i.l e d B
Call far inspection - 639-4175
Y.
9
IJ
Lity of Tigard PLUMBING PERMIT APPLICATION Plan k/ _
_ t: Rec. #
1. 125 SW Hall Blvd. Permit # 4A
Tigard, OR 97223 -✓�1� 5_pry�C ►
(503) 639-4171
MINIMUM $25.00 PERMIT FEE + ST. SURCHARGE
N—°'D «°0"""' r' New Sin r Is F;kqa!y Residences Only
"°•'" } 17 1 BATH HOUSE$140.00 0 2 BATH HOUSE$195,0171JOO G,UU `'l i h_1 A. 1 ❑ 3 BATH HOUSE$225.00
Address
ss cw,e�a. z„
Fee includes all plumbing fixtures in the dwelling and the first 100 lest
of water service, sanitary sewer and storm sewer. See fees belov,.
FIXTURES QTY PRICE A'aT
Sink _ 9.00 �v
MWU Aa... Lavatory 9.00
Owner Tub or Tub/ShowF,r Comb. 9.00
°p"g'°" Z" Shower Only 9.00
Water Closet 9.00
"'" '«"'" "'�"""•" Dishwasher 9.00
Garbage Dispusal 9.00
Occupant ,,,„9 Aft - �. Washing Machine 9.00
I Floor Drain _ 9.00
"" Water Heater — 9.00
Laundry Room Tray 9.00
Urinal _--- 9.00
Other Fixtures (Specify) - 9.Q0
MOON Aft Ph— 9.00
Contractor -� -
% O 4 h �/t s�arYl 201 rci 9.00
900
Sewer 1st 100' 30.00
' g'"'P-Q tr•,bn N°. CM Bw '"µ' Sewer -ea. Addit. '00'
25.00
_ _ Water Service 1st 100' _ 30.00
1 hereby acknowledge that I have read this application, that the Water Service ea. Addit. 200' 25.00
information given is correct, that I am the owner or authorized agent of
the owner, that plans submitted are in compliance with State laws, that Storm &Rain Drain 1st 100' 30.00
1 am registered with the Construction Contractor's Board, that the Storm &Rain Drain Addit 100' 25.00
number given is correct. (If exempt from State registration, please _
give reason below.) Mobile Home Space 25.00
_ Back Flow PrevEntion
` > Device or Anti-Pollution Device 9.00
.."' ««.aMi °i• Any Trap or Waste Not
Connected to a Fixture 900
Describe work new 0 addition alteration 0 repair 0 Catch Basin 900
to be done residential 0 non-residential ,� Insp. of Exist. Plumbing 40 00/hr
Existing use of
specially Requested Inspections 40.00/hr
—
building or property Rain Drain, single family dwelling 30.00
Residential backflow prevention-
devices 15.00
Proposed use of
building or property
'- *(Except residential bacM7ow
prevenflon devices)
I —
NOTICE *Minimum Fee $25.00 SUBTOTAL C7U
PERMITS BECOME VOID IF WORK OR CONSTRUCTION
AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR IF — 5%SURCHARGE �S
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED
FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS
COMMENCED PLAN REVIEW 25% OF :;UBTOTAL
TOTAL
--al Conditions ----
Date issued by
._...—........�..r.........—.,.-�.,._.._-.......,r—............w�wa�w.ww+,.. .. ..,�,�,,,,n,...........,--....—._..._.....-..__.._.._-�.«.,...,,�,.�..r,..,,,,.._... .. ,w„wnn..:,•.0".aiva:r,,,tiewp:m'r�.
.ppip.
', 1
D ' This SWR# 1`o —o s
Tenant Narne: c, -'t Y1 , f'U�L Accumulative Sewer Tally
r This PUA#:T �
Address:---2I B1� r A) M I ;t ,
F. taro Value Previous # Previous Credits Capped
`Fixtures Fixtures Now New P
Value Capped off value added # added total#5 total
Count oft 0s count
Value VaIUOs
i
Baptistry/Font 4 --I
Bath Tub/Shower 4 —
Jacuz1WhpI 4 —
Car Wash-Each Stall 6
-Drive Through 16
Cuspidor'Water Aspirator _ 1 i
Dlshwashor-Commer 4
Domest 2
fDrinkingFountainhain/sink 2 inch 2
3 inch 54 inchCar Wash Drain 6
Disposal16
Ito 3/4 HPI
m Ito 5 IIP) 32
Ind lover 5 HPI 48 - —
Ice Machine/R�frigerator Drains 1 —
Oil Sep(Gas Station) 6
Recreational Vehicle Dump Station 16 —
Shower -Gang (Par Head) 1 -
-Stall _z --- —
rW..hm,
Bar/L.avatory 2Bradley 5Commercial3ervice 3mClothes 6.Extractor6 Closet, Toilet 6
Urinal 5 — —
1 LOA�'
TOTALS 11
Total fixture values: I IGI _ divided by 16 = 11 EDU
HISTORY —s
PI-M# EDIJ# SWP# _—
PL.M# FDU# SWR#
PLM# EDU# SWR# PLM# EDIJ# SWR# _
PLM# EDU# SWR#
PLM# EDU# SWR#
—. EDIJ# SWR!' PLM# EDU# SWR#
. 1
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i,� t,��; a �t►�'`', NI•: 1-'WdY'1'rlf-.hJl l.�h'llf: e li�'/1nJly'�i
C:If«4iFfFIM I.lt !AJ131)I V I S 1.LIN n
470,110",
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ELECTRICAL PERMIT v
�
PERMIT #- ELC95-0593
�. CITY OF TIGARD
a `;,��', DATE ISSUED: 11/30/9'x; �
DOMMW EVELOPMENT DEPARTMENT iC1111
13125 SW He., !pard,Oregon 07223.8198 (503)830-4171 PARCEL: 1 5 1 34AA-••0 1300
SITE ADDRESS. . . : 10160 SW N T MRU'_; AVE #M _X r
SUBDIVISION. . . . : 1 KNOLL BUSINESS CENTER TTCARD ZONING: I177,
BLOCK; . . . . . . . . . LOT. . . . . . . . . . . . . .2
Project Description: Three branch circl_rits
--------------------
---RESIDENTIAL UNIT---- ----TEMP SRVC/FEEDERS------- ------MISCELLANEOUS----- -
1000 SF OR LESS. . . . : 0 0 200 amp. . . . . . . : Qi PLUMP/I RR I GAT I ON. . . . : rZD
EACH ADD' L 500SF. . . : 0 201 - 400 clmp. . . . . 0 SIGN/OUT LINE LTG. . : 0
LIMITED ENE=RGY. . . . . : 0 401 600 <ainp. . . . . . . : 0 SIGNAL/PANEL_.• . . . . . . : 0
' MANF. FIM/ SVC/FDR. . : 0 601+amp,- 1000 volts. : 0 MINOR LABEL ( 10) . . . : 0
-SE=RVICE/FECDER ------ - C'RANGH CII7CUITS--- -- - -ADD' L INSPECTIONS---
0 - 200 amp. . . . . . : 0 W/SERVICE OR FEEDER: 0 PER INSPECTION. . . . . : 0
201 - 400 .Ainfi. . . . . . : 0 1st W/O SRVC OR FDR. : 1 PIER HOUR., . . . . . . . . . . .. 0
40' - 600 amp. . . . . . : 0 EA ADD' L BRNCH CIRC: 2 IN PLANT. . . . . . . . . . . 1 0
601 1000 .amp. . . . . 0 -.___.___.._ _.- -_--_.__._PLAN REVIEWSEC:TIO1\1--
1000+ amp/volt. . . . . : 0 >=4 RES UNITS. . . . . . . . a > 600 VOLT NOMINAL. .. :
Rer.onnect only. . . . . : 0 SVC/FDR > = 2125 AMPS. . : CLASS AREA/SPEC OCL'.
Owner: __.___.___ _._..__._.__......_________-_--__.- __-__-___......_____._ ...___.__-_ FEES ------
A
A BETTF_R ELECTRICAL_ type ainoI-nt by elate recpt
2900 5W MOSSY BRAE RD PRMT $ 45. 00 CJS 11/30/95 95-273410
5PCT $ :_. c71,5 CJS 1 1/.70/9 50 95--273410
1 WEST L INN �)R 97068
" Phone #: 503•-638-1427
Contractor-: --_____.________._._____..._______________.__•--__________-.-----
A BETTOR ELECTR I CAL_ t 47. 25 TOTAL
2900 SW MOSSY PRAE': RD
--- - REQUIRED INSPECTIONS -----
WEST I-INN 017 97060 Ceiling Cover Elect' 1 Service
Phone Ff: Wail Cover Elect' l Final
Reg #. •. ••
This pereit is issued subject to the regulations cnntained in the
Tioard Muricipal Code, State of Ore. Specialty Codes d,d aii other Permittee Sign ati.rrF,
applicable lane, All work will be done in accordance with
approved plans. This norat will expire if work is not started
within 180 days of issuance, or if work is suspended for eore C`i�[�rx ! .r._elt_ _ ..._.._.
than 180 days. ISSIIed By
TI`ISTA1__LATION
The installation is being made on property I own which is not intended for
sale, lease, or rent.
OWNER' S SIGNATURE: DATE:
INSTAI_.LATIFIN
SIGNATURE OF SUPIR. ELEC' N: _.DrJ..._....-.���. DATE:
LICENSE Nh:
Call for inspection - 639--4175
!'i,...
Community Development ELECTRICAL PERMIT APPLICATION
13125 SW Hall Blvd. i
Tigard, OR 97223 Permit # Y.3
Date Issued d - :30 9!
Phone (503) 639-4171
FAX (503) 684-7297
CITY Of TIGAiRD TDD No. (503) 684-2772
Inspection (503) 639-4175
1. Job Address: /� 4. Complete Fee Schedule Below:
Name of Development_SJ O 1 I r /�/S LIS /mol r-IC Number of Inspections per permit allowed
Q w
Address p SW IV i m L S / 1 V L__ Service included Items Cost(ea) Sum
city/State/Zip J/ �Q�1___.-- _� 10 Residential per unit
v 1000 sq. (t or lass 5110.00 4
Each f sq.ft or
Name (or name of business) -014 r rM i gonion thereof
_ $25.00
1
Limited Energy $25.00
Commercial Residential L� Each Manuf'd Home or Modular
Dwefing Service or Feeder $6800
— 2
2a. Contractor installation only: 4b. Services or Feeders
^ l�e`f� Installation,alteration,or relocation 2
Electrical Contractor 17--� �F' l e- % Q 200 amps or less $60.00
Address 7 a c,�/ 201 amps to 400 amps $90.00 2
�C_- 401 amps to 600 amps $120.00 2
City.L(/�S tate�J� Zip �_ 601 amps to x000 amps —_ $18000
2
Phone No. (0 3 ? -2 Z _ Over 1000 amps or volts $34000
I`
$50 n0 2
Reconnect on`r -
Job NO. — �—
contractor's license NO. 3 -
6 c
4c. Temporary Services or Feeders
Contractor's Board Reg. NO._ _____ Installation,alteration,or relocation 2
Signature of Supr. Elec'n V—_ r— 200 amps or less _- 2
�2. 201 Amps to 400 amps $5000 2
License No f�� S Phona No. (o 3 _�-`r1 401 Amps to 600 amps �— $7500
Over 600 amps to 1000 volts $10000 ----
2b. For owner installations: see'"j"above
4d. Branch Circuits
Print Owner's Name New,alteration or extension per pane
Address J A)The fee for branch circuits with 2
--------- purchase of service or feeder fee.
Clty__� State, zip Each branch circuit _ _._ S500 -
Phone No. _ - b)The fee for branch circuits without 2
The installation is being made on property I own which is purchase of service or feeder fe 2
rirst branch circuit I $35 00 -35
not intended for sale, lease Or rent. Each additional branch circuit — 55 00
_..�
Owner's Signature_-___. 4e. Miscellaneous
(Servire or feeder not included)
3. Plan Review section (if required): Each pump or Irrigation circle $40 0o T_
Each sign or outline Ilg!ding 540 00 _—_ _ 2
Signal clrcult(s)or a limited energy
Please check appropriate item and anter fee In section 5B. panel,alteratOn or extension $4000 _
4 or more residential units in one Mrurture Minor Labels(10) —_ $10000 _
Service and feeder 225 amps or more 4f. Each additional Inspection over
^_System over 600 volts nominal the allowable In any of the above
Classified area or structure containing special occupancy Per Inspection $3500
as described in N F C. Chapter 5 Per hour $5500
In Plant $5500
Submit 2 sets of plans with application where any of the above
apply. Not required for temporary construction servlres. 5. Fees: /L
5a. Enter total of above fees $ TS
NOTICE 5%St,rcharge 105 X total fees) g .2,•Z57
Subtota: $
PERMITS BECOME VOID IF WORT(OR CONSTRUCTION 5h. Enter 25%of line A for
AUTHORIZED IS NOT COMM ACED WITHIN 180 DAYS, OR IF Plan Review if required (Sec 3) $
CONSTRUCTION OR WORK IS SUSF�NDED OR ABANDONED FOR Subtotal $
A PERIOD OF 180 DAYS AT ANv TIME AFTER WORK IS
COMMENCEDI 1 Trtist Account # $ -
pini MD
Balance Due $
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IL)DH( s r9110 SW MI II,-iY 11W41,
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9 7061f... 1
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