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10300 SW NIMBUS AVENUE BLDG N STE B Rd 3AV Sf19WIN MS 00£01, ao a d PA z 3 0 a oc co aT w J 10300 SW NIMBUS AVE PB CITY OF TIGARD __ ELECTRICAL PERMIT PERMIT#: ELC2003-00073 DEVELOPMENT SERVICES DATE ISSUED: 2/14/03 13125 SW Hall Blvd., Tigard.OR 97223 (503) 639-4171 PARCEL: IS134AD-06201 SITE ADDRESS: 10300 SW NIMBUS AVE P-B ZONING: I P SUBDIVISION: BLOCK- �((�� f ( LOT: JURWICTION: TIG Project Description:,"44 Q_�,,`� l \ RESIDENTIAL UNl r TEMP SRVCIFEEDERS _ _ MISCELLANEOUS 1000 SF OR LE33: 0 - 200 amp: —PUMPIIRRIGATION: EACH ADD'L 5003F: 201 - 400 amp: ;SIGN/OUT LINT=LTG: LIMITED ENERGY: 401 - 600 amp: SIGNAUPANEL: MANF HM/SVC/FDR: 601+amps-1000 volts: MINOR LABEL (10): SERVICEIFEEDER BRANCH CIRCUITS ADD'L.INSPECTIONS 0 - 200 amp: W/SERVICE OR FEEDER: PER INSPECTION: r 201 - 400 amp. 1st WIO SRVC OR FDR: 1 PER HOUR: 401 - 600 anip: EA ADD'L BRNCH CIRC:. 10 IN PLANT: 601 - 1000 amp: PLAN REVIEW SECTION .000+amp/vol*.: _ >s4 RES UNITS: >600 VOLT NOMINAL: Reconnect only: SVC/FDR>=;25 AMPS: _ CLASS AREA/SPr-C OCC: Owner: Contractor: ROBINSC" r'ONSTANCE A+ GUILD CONSTRUCTION ROBINSC YNN +BELL KAY ET 7259 SW CIRRUS DR BY INSIGNIA COMMERCIAL GROUP BEAVERTGV,OR 97008 BEAVERTON,OR 97008 Phone: Phone: 641-4634 Rog#: LW 109116 ---- -- SUP 3868S _ FEES ELF: 16-986C Description Date Amount Required Inspections [I:LPRMT)ELC Permit 2114/03 $113.35 – [TAX)8%stare'rax 2/14/01 $9117 Rough-in _ Elect'l Final Total $122.42 This Permit is issued subject to tho regulations contained In the Tigard Municipal Codn,State of OR.Specialty Codes and all other applicable laws. AM work will be done in accordance with approved plans This permit will expire If work is not started within 180 days of issuance,or 9 work is suspended for more than 180 days. ATTENTION: Oregon law requires yo r to follow rules adopted by the Oregon Utility NotillcatYm Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0100. You may obtain copies of theses niles or direct questions tr Jl'"dC at(503)246-6699 or 1-800-332-2344. g issued By: - . �c� �� Permit Signatures: OC F OWNER IYSTALLATION ONLY The installation is being made on property I own which is not intended for sale, lease, or rent. ^ C0 OWNER'S SIGNATURE: DATE:, __ a _J CONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR. ELEC'N: DATE: LICENSE NO: 9�5 Call 6394175 by 7:00pm for an lnspeedon the next bualnow day Electrical Permit Application Received Electrical RECEIVED DaWBY� Permit No City O�Tigard Phnninpy Approval Sign t3 Date/By: Permit No.: 13125 SW Hall Blvd. Plan Review Other — FEB 14 ?003 D.te/B : Penj t No.: Tigard,Oregon 9722? .� ." — Phone: 503-639-4171 Fax ��,,pp ��pp yypp�(�, Post-Review Land Use �f f'� �11 A F1 Dale1B Case No.: Ir.lernet: www.:i.tigard.or. (�Q(�G A Contact ---- loris.: See Page 2 for _-- 24-hour lnsrection Request: 50Y S 5 /ivlS1' NamcfMcrhod. _ __- _ - Supplcmentsd Information. TYPE or, WORK PLAN REVIEW lease check till that'll New construction _ Demolition Service over 22.5 amps- Health-care facility -- commercial ❑I larardous location Addition/altcration/relalace.ment Other: ❑Service over 320 amps rating of C Building over 10.000 square feet, '-.'CATIMY OF CONSTRUCTION _ _ I&2 family dwellings fo:-r or more residential units in 1 &2-Family dwelling Commercial/Industria,— _ ❑system over 600 volts nominal one structure ❑ Accessory Building 'Multi-Family-Family Building over three Stories ❑Feeders,400 amps or more ❑Occupant load over 99 persons ❑Manufactured structures or RV park Master Builder Other: ❑Egress/lighting plan ❑other JOB SITE INFORMATION and LOCATION Submit_—.sets of plans with any of the above. --- The above are not applicable to tear orar construction service. Job site address: 3cx� SW 4190' MJE _ « �— State#: p�— Bldg.,Apt.#: Dcacrl tlnn - Number of Inspect ' _ _ _ Ions per rmlt allowed Project Name. .Sj��J '�� Pet(em.) Total Cross street/Directions to job site: New res{dentlal-single or multl-family per dwelling snit.Includes attaches garage. / Service Included: 115 / 11J,µV::20S 1000 sq.A.Of less 145.15 4 Each additional 500 sq.ft.or portion thereof 33.40 1 Subdivision: — , — LOt#' Limited energy,residential 73.00 2 _ Limited encrSyinon residential _ 75.00 2 Tax map/parcel #: Fach manufactuted home or modular dwelling - "— ZSCRIpTIOI t OFWOW ,.,'t,, service and/or feeder 90.90 2 --- Services or feeders-Installation, alteration or relocation: __�.--- _— - ----- 200 amps or leas _ 80.30 2 201 am to 400 am __- 106.85 2 401 amps to 600 amps - _ 160.60 _ 2 PROPERTY It "r 601 am to 1000 amps -- 240.60 2 -- -- Over 1000 amps or volts 454.65 2 Name. Reconnect only 66.85 - z Address: Temporary services or feeders-Installation, alteration,or relocation: Clly/St.?tit/Zip: _ 200 amps orleas 66.85 _ 1 Phone: _ Fax: 201 amps to Soo ami-- ---- 100.30 z APPLI T CONTACT PERSON 40l to 60O amps 133.75 2 -- _—J- Branch circuits-new,alteration,or Name' extension per panel:= A.Fee fet branch circuits with purchase of Address: _ _ service or feeder fee each branch circuit 6.65 2 Cit V/State/Zip_ _ B.Fee for branch circuits without purchase of service or feeder fee,first branch circuit _ 46.85 2 Phone: l'ax Each additional branch circuit 6.65 2 E-mail: Misc.(Service or feeder not included): aNTRACTOR. Each pump or irrigation circle _ _ 53.40 __ 2 __----- _��--_ Each signor outline lighting-- __._. 53.40 2 F' Job No: Signal circuit(s)or a limited encrr;y — alteration,or weraion Pa 2 2 Business Name: pI Description. --- — _Address: S 11 i v - Each additional Inspection over the allowable In anyof the above: tm Clt /State/Z -f 7 Z V-L Pcr inspect i?nyn hour(mm. 1 bora 62.50 Phone:r(t? 50 5 2 Fax: Investigation fee: `- .W1 CCB Lic. #: 1 U9 Lic.#: 6 Other: Supervising electrician _ — -- Subtotal S signature required: / _ — Plan Review 25%of Permit Fee $ Print Name: c ic.#: .S State Surcharge(8%of Permit F-1 S -- TOTAL PERMIT FEE 1_1_4g.7- q.'X- A S4g.7- q.'X-A athorized Notice: This permit application expires If a permit Ir not obtained within Signature: __- _ Date: I"days after It has been accepted as complete. *Fee methodology set by Tri-County Building Industry service Board. (Please print name) is\Dsts`Perrnit Ftmns\ElcPermitApp.doc 01103 Electrical Permit Aaalication -City of Tigard Page 2 -Supplemental Information w LIMITED ENERGY PERMIT FEES: RIESIDENTIAL WORK ONLY: Feefor IR systems............................................................ $75.00 Check Type of Work Involved: ❑ Audio and Stei w Systems* EJ Burglar Alarm u Garage Door Opener* F1Heating,Ventilation and Air Conditioning System* Vacuum Systems* Other --- ------ tij COMMERCIAL WORK ONLY: Feefor Sth system.... ................................................ S75.00 (SFC'OAR 919-260-'.K)) Check Type of Work Involved: F1 Audio and Stereo Systems l.J Boiler Controls F] Clock Systems F] Data Telecommunication Installation Fire Alarm Installation HVAC' Insm -xntation Intercom and rsging Systems ElLandscape Inigation Control* Medlral I Nurse Calls H t.utdoor Landscape Lighting* U) Protective Signaling Other WNumber of Systems * No licenses are required. Licenses are required for all other Installations i:\Dsts\Pennit Forms\FlcPermitAppPg2.doc 01103 ELECTRICAL PERMIT CITY OF TIGARDRESTRICTED ENERGY DEVELOPMENT SERVICES � PERMIT f: ELR2003-00024 13125 SW Hall Blvd., Tigard.OR 97223 (503)639-4171 DATE ISSUED: 2/13/03 SITE ADDRESS: 10300 SW NIMBUS AVE P-D PARCEL: 1S134AD-06201 SUBDIVISION: ZONING: I-P BLOCK: LOT: JUR:SDICTION: TIG Prolect Description: H t/kl c A.RESIDENTIAL B.COMMERCIAL _ AUDIO&STEREO: AUDIO& STEREO: INTERCOM& PAGING: BURGLAR ALARM: BOILER: LANISCAPE/IRRIGAT: GARAGE OPENER: CLOCK: MEDICAL: HVAC: DATA/TELE COMM: NURSE CALLS: VACUUM SYSTEM: FIRE ALARM: OUTDOOR LANDSC LITE: OTHER: HVAC: X PROTECTIVE SIGNAL: INSTRUMENTATION: OTHER: TOTAL#OF SYSTEMS--1 Owner: Contractor-, ROBINSON, CONSTANCE A + HUNTER CAVISSON ROBINSON, LYNN + BELL, KAY ET 1800 SE PERSHING BY INSIGNIA COMMERCIAL GROUP PORTLAND,OR 57202 BEAVERTON, OR 97008 Phone: Phone: 234-0477 Reg M ELF 26-692CEP LIC 1612 SUP 26261LEP FEES Required Inspections Descriptiran Date A Amount Low Voltage Inspection [ELPRMT] ELR Permit 2!1 3K13 $75.00 Elect'l Final (TAX] 9%State Tax 2/13/03 $6.00 Total $81.00 I I his Permit is issued subject to the regulations contained in the Tigard Mtmicipal Code,State of OR. Specialty Codes and all other applicable laws. All wcxk will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance,or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 throw Issued by / j6 _ Permittee Signature � _ -1-- OWNER INSTALLATION ONLY The Inst0atlon is being made on property I own which 1. t Intended for sale, lease, or rent. OWNER'S SIGNATURE: -_� DATE:- _ CONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR. ELEC'N _ _ _ DATE:_ LICENSE NO: Call 6394175 by 7:00 P.M.for an Inspection needed the next business day FUctrical permit Application ' Permit no.-.E aZ00 By: 70 20 1900 SW 4th,S*.c SGfru,PC Portland,OR 97201 JAN 3 0 20n Phone: (503',823-7363,Fax 3-3018 CITY OF TIf,ARQ TDD:(503)U21-6868, w -6868,Website:ww.opdr.ci,portlnnd.or.ua "I III mildt'- :01 2 family dwelling or accessory O Commercial/industrial O Multi-family O Tenant improvement w construction O Addition/alteration/repiaceinent O Other: ��_0 Partial r Bldg.no.: Suite no.: Tax map/tax lottacr:ount no.: Job address: Block: - 1 11 / �(A _� --- I.ot� Black:, Subdivision: -- Project name: Description and ancation of work on premises: _ Estimated date of completion/inspection.__.___ _ Will ou call for ins r tion within 24 hours'! Yes No Fee Max lob no: _ —_ Descriptlon! " ea Total no.Ina Business name: �LIK _06 00,Nu- ./C New mWen -tial single or nniWfi mfly per AddresL. /tri dwelling tisk.Includes attacktd Page. Sen*e Included: Cit State t'N��:�� 1000 sq.ft.or less $163 4 Y 4ie�� Phone: �,j4 Q� EIx: IFAch additional S00 sq.R.or porion thereof S 37 CCB no.: N dS Elec.bus.lic.L-marl:n;�: Limited energy,residential S 37 1 D �r fir ' Limited energy,non-residents) S 37 2 City/ no• ——--�� 13r.ch manufactured home or modular dwelling Service andlor feeder S ? nature o try ring Hoehne finers-Installation, Sup.elect.name(print) r: Liaeltfe no: altenfloo or relocation: 200 amps or less S gg 2 201 amps to 400 amps _ $ 111 2 Name(print): _ _ 401 amps to 600 a;nps S 167 2 Mailing address: 601 amps to 1000 amps S 2S1 2 — Over 1000 art t or volts $470 2 City: State: ZIP: —� S 63 1 Reconnect onl Phone: Fax: E-mail: Temporary aeryfees or feeders- owner brslallalion:The installation is t,iing made on property I own Installation,alteration,or relocation: which is not intended for sale,lease,rent,or exchange according to 200 amps or less S 69 2 ORS 447,455,479,670,701. 201 amps to 400 amps $103 2 Date: 401 to 600 amps S 139 2 Owner's st nahire: Branch chxulls-new,alteration, or extension per panel: A. Fee for branch circuits with purchase of ' Name:T!t AC - service or feeder fee,each branch circuit S 7 2 Address: B. Fee for branch circuits without purchase ZIP: City: Stale:_� —_a of service or feeder fee,fust branch circuit: S 63 2 Phone Fax: F-mail: Each additional branch circuit: S 7 Mise(Service or feeder not Included): Each pump or irrigation circtc $ 63 2 ~ O Servia over 225 amps-commercial O liesith-care facility Each sign or outline lighting S 63 _ 2 C]Servia over 320 amps-rating of Idc2 ❑Hrnrdorhs location Signal circuit(s)or s limited energy—P-111. family dwellings O Building over 10.000 square feet four M alteration,or extension• 2 O System over 600 volts nominal more residential units in one structureQ.GE m ❑Building over three stories Cl Feeders,400 amps or more ° � on: ❑occupant load over 99 persons O Manufactured structures or RV pule - Each a;41iional lnsp O Other erdon over the allowable!n.any of the above: W O Egresr%:;;i. pian r. Pet inspection _ Submih 2 sets of plans with any of the above. Investigation fie The above3 re not applicable to temponry construction urv�ce. _�_�— -��I Permit fee................... ..$ -------- Nor:ce:77rfspermltapplfrafion plan review erpiresifapermitisnot obtained (25-%)$••• aaflerlr11115 beef$ State surcharge(R9F).....5 within 180da} acrcnr.!Fsronsplere. TOTAL ...................... L "04615(WOO/COW CITY OF TIGARD MECHANICAL PERMIT DEVELOPMENT SERVICES PERMIT#: MEC2003-0004C 13125 SW Hall Blvd., Tigard,OR 97223 (503)639-4171 DATE ISSUED: 2/13/03PARCEL- 1S134AD-06201 SITE ADDRESS: 10300 SW NIMBUS AVE P-D SUBDIVISION: ZONING: I-P BLOCK: LOT: JURISDICTION: TIG CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS: TYPE OF USE: COM UNIT HEATERS: VENT FANS: OCCUPANCY GRP: VENTS W/O ADPL: VENT SYSTEMS: STORIES: BOILERS/COMPRESSORS HOODS: FUEL TYPES 0 - 3 HP: DOMES. INCIN: 3 - 15 HP: COMML. INCIN: MAX INPUT: BTU 15-30 HP: REPAIR UNITS: FIRE DAMPERS?: 30-50 HP: WOODSTOVES: GAS PRESSURE: 50+ HP: CLO DRYERS; FURN < 100K BTU: AIR HANDLING UNITS OTHER UNITS: FURN >z:100K BTU: <=10000 cfm: GAS OUTLETS: > 1000 cfm: Remarks: A(i��bL�Gk -�� TM AC Owner: �' Cje ate.. FEES PETU-A ASSOCIATES LPD LTP Description Date Amount C/O INSIGNIA 10241 SW NIMBUS [MECH] Permit Fee 2l13I03 $187.00 PORTLAND,OR 97223 [TAX]8%StateTax 2/13/03 .$14.96 Phone: 503-684-0510 1 Total _ $2.01.96 Contractor: HUNTER DAVISSON INC 3410 SE 20TH PORTLAND, OR 97202 REQUIRED INSPECTIONS Phone: 503-234-0477 Reg#: LIC 01612 CL o� t- :3 A m LU This permit is issued subject to the regula'.ions contained in the Tigard Municioal Code, State of Ore. Specialty Codes -� and all other applicable laws. All work will be done in accordance with appre-.,ed plans. This permit wili a)pire if work is not started 0",in 180 dayp of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires yoL Blow rules adopted it the Oregon Utility Notification Center. Those niles are set forth in OAR 952-001-00 Issued By: /_dt� Permittee Signature: Call(503)6394175 by 7:00 P.M.for Inspections needed the next business day IT er'5 J Mechanicall"ermit Applicafion j'►[" / n Date received:/ Permit no%yPQ��DOyO City of Tigard RECEIVED 1i 4 J �j�Uappl.no.: Permit date: CirvnfTigard Address: 13125 SW tiall tjivd,Tig rdl'OR 97223 Proeissued: Ex eceiptno.: Phone: (503) 639-4171 TAN 3 0 ?n03 Fax: (503) 598-1960 Case file no.: Paymenttype: Land use approval: CITY OF TIGARD Building permit no. U I &2 family dwelling or accessory U Commercial/industrial U Multi-family Tenant improvement U New constniction U Addition/alteratior:replacement U Other: _ Jcb address: /p 300 Indicate equipment quantities in boxes below.Indicate the dollar Bldg.no.: Suite no.: value of all mechagical materials,equipt,lent,labor,overhead, Tax map/tax lot/account no.: profit.value ta/ A SDO . Lot: Block: Subdivision: 'See checklist for important application information and Project name: S e-f+'Olr'< U /_J CfC IV rck jurisdiction's fee schedule for residential permit fee. City/county: -y"/MAPA i 71P: Dcriptiop and location f work on premises: s _ X0 4 "^' AK UNrr 1 1,[(0104 I'L 6LIC-4 CSFee(ea.) Total Est.date of completion/inspection: a2-30-03 Description Qty- Res.only Res.only Tenant improvement or change of use: Is existing space heated or co ditioned?KYes ❑No 7A.rling unit CFM ace insulated Yes U No Air conditioning(site plan regwste Is existing _ space motion o ex sting system of er compressors State boiler permit no.: Business name: /l� `� _ �qV� p,..) �►t. HP Tons BTU/H Address: /$Q? S eSNi�G _ _ i smo c amperit/duct smo a detectors City: "rtg6AQj) State ZIP: Heatpump(site required) Phone: " r I Fax E-mail: nstal re"II p n—Tcefurnace/burner o i 6/a Including duct vorklvcnt liner U Yes U No CCB no.: nsta /replacetrelocate heaters—suspend suspended, City/metro lic.no.: O 1 S6J _ wall,or floor mounted Nae(please prin ?: A/4 Vent fora lance other than furnace if gson:m Absorption units__ BTU/H �� Name: /6 N/� L _ Chillrrs_ _�_� HP Address: Jfoo S,,r eZKi j,.)6 Com ressors._ HP nv ronmenta exhaust an vent at on: City: k � State• ZIP: Appliance vent Phone-* ''t Fax:;P E-mail: Dryetexhaust ` Hoods, Type res.kitnthaztnat hood fire suppression system Name: 5 ((t Asre e, f4 IF CS �/�0 � Exhaust fan with single duct(bath fans) Mailing address: p nl f/ '-^IOri y0 W x aust system a art from zeatin or C a Fuelpiping andistribution(up to outlets) (City' �_�(.4,.1Q State: Type:0C �' Q — T I.P(3 NO oil Phone: C Fax: E-mail: uc tin sac add itiona I over out ets roce++piping FqXeaucrequired) Number of outlets Name: fA M X45 FAN/ 111/x_ '� t r Ifst�pp lance o• equipment: La Address:_ Decorative fireplace Vr City: _ State: ZIP: naeri-type UJ Phone: LIAM E-mail: er:tov pe et stove -J Applicant's signature/IA" _ Date: at --- Name (print): Nol all jurisdictions accept credit cents,please call jurisdiction for move infamtlion. Permit fee.................. S Notice:This permit application 0 Viso U MasterCard expires if a permit is not obtain:d Minimum fee................Plan review Credit card number: __l—f_. (at � %) Expires within Igo days after it has been - Name R canato n on 1 c accep'ed as complete. State surrh^*ge(896)...•$ _ s TOTAL .......................S -- Cwdholder sip etwe Amount 4104617(610Mr:OM) w MECHANICAL PERMIT FEES COMMERCIAL FEE SCHEDULE: 1 & 2 FAMILY DWELLING FEE SCHEDULE: TOTAL VALUATION: PERMIT FEE: Tabticxe: Price Total Table I $1.00 to$5,000.00 Minimuin fee$72`0 le ta Mechanical Code_ Qty (Ea) Amt $5,001.00 to$IG,000.00 $72.50 for the first$5,000.00 and 1) Furtiace to t00,00C BTU $1.52 for each additional$100.00 or incljrding duriy 8 vents14.00 _ fraction thereof,to and Including 7) Furnace 100,000 BTU+ 510,000.00. Including ducts&vents 17.40 $10,001.00 to$25,000.00__ 5148.50 for the first$10,000.00 and 3) Floor Furnace $1.54 for each additional$100 CO or including vent 14.D0 _ fraction thereof,to and Including 4) Suspended heater,wall heater $25,000.00. or floor mounted heater 14.00 525,001.00 to 550,000.00 $319.50 for the first$25,000.00 and 5) Vent not included in appliance permit $1.45 for each additional$100.00 or 8.80 - fraction th-reof,to and including 6) Repair units $50,000.00. 12.15 550,001.00 and up! 5742.00 for the first$50,000.00 and Check all Lhat apply: Boiler Heat _Air $1.20 for each additional$100.00 or For Items 7-11,see Conrio Pwnp Gond fraction thereof. footnotes below. Minh turn Permit Fes$71.50 SUBTOTAL $ � 7)<3HP;absorb unit -- -_-- - -- to 100K BTU 14.00 8%State Surrharge E 8)3-15 HP;absorb 25.60 unit 100k to 500k BTU 21,%Pian Review Fee of suhtotal 9)15-30 HP absorb Rnulred for ALL commercial permits ons 5 _ f unit.5-1 mil BTU TOTAL COMMERCIAL PERMIT FeE: $ unit'10) 1--1.71.7 5 mil BTU HP;absorb 52.20 uni _ .�_ 11)>50HP;absorb unit>1.75 mil BTU 87.20 ASSUMED VALUATIONS PER APPLIANCE: 12)A r handling Lnii to 10,000 CFM 1000 I Value dotal 13)Air handling unit 10,000 CFM+ N12u ption` Q Ea Amount _ 17.20 Cumace to 100,000 BTU,Including 955 14)Non-portable evapmale cooler ducts b vents 10.00 Furnace>100,000 BTU including 1,170 15)Vont fan connected to a single duct YY- -�- ducts 6 vents 6.80 Floor furnace Including vent 955 16)Ventilation system not Included In Suspended heater,wall heater or 955 i appliance permit 10.00 flan mounted heater 17)Flood served by mechanical exhaust Vent not Included In appliance 445 permit 1 d)Domestic Inclneratots Repair units _ _ 805 17.40 <3 hp;absorb.unit, 955 19)Commercial or Industrial type Incinerator to 100k BTU _ _ _ _ 89.95 3.15 hp;absorb.unit, 1,700 20)other -FL% Including vrood stoves 101k to 500k BTU 10.00 _ 15-30 lip;absorb.unit,501k to 1 2,310 21)Gas piping one to four outiets mil.BTU _ _ 5.40 _ 30-50 hp;absorb.unit, 3,400 22►More than 4-per outlet )et(each)1-1.75 mil.BTU 1.00 _ >50 hp;absorb.unit, 5,725 Minimum Permit Pree$72.50 SUBTOTAL: $ IL >1.75 mil.BTU Air handlin unit to 10,000 cfm S58 8%State SurchArge $ Alr handling unit>10,000 cfm 1,170 Non-portableon evaporate cooler 656 TOTAL RESIDENTIAL 'PERMIT FEE: $ Vent tannconnected to A single duct 446 J Vent system not Included In 656 - m appliance permit _ �hizr Ions Inr�eand Fe as: Hood served b 56 mechanical exhaust 8 1 Inspections outside or normal business hours(minimum ch.:rge-two hours) Domestic incinerator 1,170 $82 50 per hcm. JCommercial or industrial Incinerator 4,590 2 Inspections for which no fee Is specifically Indicated (minimum charge-hp!!hour) Other unit,Including wood stoves, 656 582.50 per hou Inserts,etc. 3 Additional plan review required by rhanges,additions or revisions to plans(minimum _Gas piping 1-4 outlets 360 _ charge-nne-hail hour)$82 50 per hour Each additional outlet _ 83 'State Contractor Soifer Certification regsdred for units 400k BTU. TOTAL COMMERCIAL = "Residential AIC requires able plan showing placement of unit. VALUATION: All Now Commercial Buildings require 2 sets of plans. OvisLetformslmech-fees.doc 02/11102 r �hysical data UNIT SIZE 48GS 018040 1 024040 024060 030040 030060 036060 036090 042080 042090 NOMINAL CAPACITY(ton) 1-1/2 1 2 2 2-111 1 2-112 3 3 3-1/2 3-1/2 PERATING WEIGHT(Ib) 249 1 280 280 280 280 714 314 355 355 rOMPRESSORS Reciprocating _ Guantlty 1 REFRIGERANT(R-22) Quantity(lb) 2.6 3.5 3.5 3.85 3.65 1 3.75 3.75 - REFRIGERANT METERING DEVICE Acutrolm Device Or.'fice ID(in.) .034 .034 .034 .034 .034 1 .0.32 ( 032 .034 .034_ CONDENSER COIL Rows-FlnsAn. 1-17 1-17 1-17 1-17 1-17 1-1'1, I 1 -17 1-17 1--17 - Face Area(sq H) _ 6.1 9.1 9.1 9.1 9.1 9.1 9.1 9.1 9.1 CONDENSER FAN 2000 2400 2400 2400 2400 3000 3000 3000 3000 Nornhral Cfm Dlameter(In.) 22 22 22 22 22 22 22 22 22 Motor Hp(Rpm) 1/8(825) 113(825) 1/8(82.5) 1/8(825) 1/8(825) 1/4(1100) 1/4(1100) 1/4(1 100) 1/4(1100) EVAPORATOR COIL Rows-flnsAn. 2-15 2-15 2-15 2-15 2-16 3--15 3-15 4--15 4--15 - Face Area(.sq It) 3.1 3.1 3.1 3.7 3.7 3.7 3.7 _ 3.7 3.7 EVAPORATOR BLOWER 600 800 800 1000 1000 1200 1200 1400 1400 Nominal Airflow((;fm) Size(in.) 10x10 10x10 10x10 10x10 lox 10 11x10 11x10 11x10 11x10 Motor(Hp)-RPM'S 1/4(875) 1/4(1075) 1/4(1075) 1/4(1075) 1/4(1475) 1/?(1075) 1/2(1075) -3/4(1075) 3/4(1075) FURNACE SECTION' Kumar(MNo.(CityDriN Size) Natural Gas 2--44 2-44 -38 2--44 2-38 2--3A 318 2--8 3-38 Gas - Kumar Orifice No.(City-Drill Size) Propane Gas 2-50 2--150 -46 2--52 2--41+ 2-48 3-48 2-46 3-46 RETURN-AIR FILTERS(in.)t _ Throwaway Size 20x2Ox1 2Ox2Oxi 2dj'(kx1 2Ox2Ox1 2px2pxt 2Ox24x1 2Ox24x1 2Ox24x1 20x24x1 R SIZE 48GS 048090 rNl11s 048130 060000 060115 060130 OMINAL CAPACITY(ton) 4 4 4 5 5 5 _ -of 1:nAnNG WEIGHT(Ib) 415 415 415 450 450 450 RECEIVED _ COMPRESSORS ScrA Reciprocating REFRIGERANT(R-22) JAN 3 0 2003 Guantlty(lb) B.0 6.0 6.0 8.0 8.0 8.0 REFRIGERANT METERING DEME AcutroiTM Davlce CITY OF TIGARD Orifice ID(in.) .032 .032 .032 1 .030 .030 .030 BUILDING DIVISION CONDENSER COIL Rows--FlnsAn. 1-17 1-17 1-17 2--17 2-17 2-17 - Face Area(sq ft) 12.3 12.3 12.3 1 12.3 12-3 12.3 _ CONDENSER FANS 7800 3800 38003600 Nominnl Cfm Dlameter(in.) 22 22 22 22 22 22 Motor Hp(Rpm) 1/4(1100) 114(1100) 1/4(1100) 1/d(1100) 1/4(1100) 1/4(1130! EVAPORATOR COIL Rows-HnsAn. 3 15 3-15 3-15 4-15 4-15 4-15 Face Area(sq N) 4.7 4.7 4.7 4.7 4.7 4.7 IL EVAr'ORATOR BLOWER V - Nomlml Airflow(Cfm) Ism IW 1600 2000 2000 2000 h Size(in.) 11x10 11x10 11x10 11xIP 11x10 11x10 Motor(Hp)-RPM's 314(1075) 314(1075) 3/4,11076) 1.0(1075) 1.0(1075) 1.0(1076) FURNACE SECTION' Burner Orifice No.(Gty-Drill Size) -� Natural Gas338 133 371 3--38 3 _33 3-91 Ruiner Orifice No.(Gty-Drill Size) _Props-le Gas 3-48 3-42 3--41 348 1 3-42 3-41 _j� RETURWAIR FILTS(inJt RThrowaway size 24 x 30 x 1 24 x 3C x 1 24 x 30 x 1 24 x 30 x 1 24 x 30 x 1 24 x 30 x 1 Based on altitude of 0 to 2000 feet. t Required filter sizes shown are based on the larger of the ARI(Ali Conditioning Arid Refrigeratlon Institute)rated cooling AliAcw or the heating air- ALI fIO'velocity of 300 ft/min for ihmwaway type or 050 ft/min 1o. high-capacity type.AN fitter pressure drop for non-standard fitters most not exceed 0.08 In.wg. 5 623 Base unit dimensions -- 48GS018-042 Bas, - 7519 711 I 771.1 n1 a! Irl s,l� ne el I � i n!n ,to[ROrr ►AVIA 011 III DVII� 11 1 It nr �_ utl 1 r oen _ swn r AIR 117 1 M-d'I,K f--RIK �j ■ 11 Ir �u.ln �et1Jn 11 117 1 IYCI P(RIK -_ w!r) IIS 111 CI[RIK 171.7 LD *D [On u, 1�-- - ---- � uas aVt -- ton ton-J II Ill 1 [YAr con TOP VEW n S 17.01 - 1/1�11 VE`/l1wt11 H.tll FEAR REQUIRED CLEARANCE TO COM/USTILLE VATL. REDIINED CLEARANCE FOR OffRAT10N AND SERYICINO INCIIE9 91 1NCI1E3 mnl j 14.00 366.61 EYA.P.COIL ACCESS SIDE...........................................................91.00 014.0] TOP OF LMIIT.............................................................. 2.00 50.t1� PCWER ENTRY SIDE.-................................................................31.09 . 'EXCEPT FOR NEC REOUIREIIAENT13) RE DUCT SIDE OF UNIT................................................... 16.00 1218.2) SIDEOPPOSITE DIICT9................................................................14.00 12.7 I . a...................................................................................... BOTTOM OF I1NR...........................................................................30.50 12.7{ RIIT DUC TB..............................................................32.00 904 11� � T 1 36.0(1 14.e1 SIDE vPP08tTE ............................................. DI ELECTRIC HEAT PANEL................ . pUC;T PANEL..................... . SI NEC.REQUIRED CLFJ1pANCEl. INCHES JE In �"d WIC GDIISTAM. EN SCES; IF YSTEM EM PERFORD MANCE MIA�E�:�^^"R � E 42.00 1 01 BETWECN UNITS,POWER ENTRY BIDE............................. . N UNIT ANI.UNGROUNDED SURFACES POWER ENTRY SIDE.36'00 911.01 UNIT AND DI CX:K OR CONCRETE WALLS AND OTHER GROUNDED SURFACES,POWER ENTRY SIDE........................42.0(7(1066.61 E L LEGEND I CG-Center of GravRy ? I COND-Condensor LVAD-Evaporator NEC-National Electrical Code REO'D-Required NOTE:Dimensions am In in.Imm) ul u1 778+Itl rolls 11 11) N.1 11 Il'l01A I I. owe f,Ir T7 tt t I,ccova.[1107t11� 1Rdd A -- 77,.1 131 2 dIrr ul q !I!, n+el 117 t t IIr M lu Ifl Is e trt I oaA,l nYr 4" 446 tt.7(,.Sat a r r H e 11 ISI R L1 11.111 d�et77■,et(Iltl M7 Rctldl 11,11 IA7 F,TR _ r tr�Jr u1 s 1 ttttlltAt Act si matt i1�11 DONT WE MW 177 771 ` J LEFT SSE VFW �Y .7G11 --------- UNR W7. UNIT HEIGHT CENTER OF(iRAVRY MMYIN - UNIT ELEMWAL CHARACTERISTICS LBS. KG •A• x Y 2 - 208/230180 249 112.9 889.5[35.2) 508.0(20.0) 3551 X14.01 315.0(15.0) 484GSGISOLO P80 127.0 889.5[38-02) 571.5[22.5] 330.2(13.0) 381-0(15.01 48GS02404WG60 208/'t3016o 280 127.0 089.5(35.02) 548.1[21.5) 349.3[13.75) 381,0(15.0] 48GSO3004W08D ^2tl0/230 1.80.2081230 3080 -- 48GSU360/WG90 208/230-1-60,2081230-3-80.460-3-60 314 142.4 889.5[35.02] 571.5(22.5] 3558(14.0] 330.2(130] 48GSO42G80/090 208/230 1.60,208/230 3-80.4603-60 355 181.0 889.5(35.02) 546.1(21.5) 342.9(13.5] [ 330.2(13.0) R 626 Accessory dimensions Accessory AC tx* base haft L. ea.w (NOTE A) Wad NOW ftodrwfte kotAnOm ihold NOW OW wont Cont sifieldtip 0" OAsk u"~ FW Rod 'P.kMd W.0..b 'ProWded w0i rookurb Roof Curb kw Snuill Cabinet Roof Curb for Lw"CoArm W14 A: When ur*rwun"screw Is used, WA@ A: Wtw,Lo.9 noun"WON Is used, rkilairw bracket must also be used. r9%r4r bmL%M murA sloo be used. "W ,I / \r WA Gaskql around,, SIA dtx;i • FP ohm Insulated Gasket aroitnd 4 d dc P:, cck pan ower edge, &Opp ROOF CURB DIMENSIONS SIDE VIEW 9L C UNIT SIZE ODS ORDER NUMBER of.Imo) IN.[MM) IN.IMM) IN.[MM) ROOF CURB 018-042 CPRFCURBOOMM 8[2031 11(279) 16-11214191 28-314 17301 CPRFCURBW7AOO 1413561 11[279) 16-11214191 28-314[?30) CPRFCIJRMMAOO 812031 16-3/16[4111 17-Y8 14411 40-1/4110221 048-060 CPRFCURMMAOO I 1413M) 16-3116141111 17-318(441) 140-1/4 j10221 LU Notes: 7. Insulated panels:I-in.thick fiberglass I 1b.density. I Roof curl,must be set up for unt being Installed. 8.Dimensions are in Inches. 2. Seal strip must be appW,as rqq fired to unit being ingtnlW 9.When unit mounting screw Is used(see Mote A),a retainer 3. Dimensions In[I are in millimeter 9. bracket must be used as well.This bracks'must also be used when 4. Roof curb Is made of 16 gage stf @I requ!red by code for hurricane of seismic conditlovis.This bracket Is 5. Table lists only the dimensions pr r part number that ham evallahle through Mierometi. changed. 6. Attach ductwork to curb(Range;of duct rest on curb). 10 628 CITY OF TIGARD BUILDING PERMIT DEVELOPMENT SERVICES DATE EIS ISSUED: 2120/03 03-00084 13125 SW Hall Blvd..Tigard.OR 97223 (503)639,4171 PARCEL: 1S134AD-08201 SITE ADDRL SS: 10300 SW NIMBUS AVE P-B SUBDIVISION: ZONING: I-P BLOCK: LOY: JURISDICTION: TIG REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION _ CLASS OF WORK: FPS FIPST: sf N: S: E: W: TYPE OF USE: COM SECOND: sf _ PROJECT OPENINGS? TYPE OF CONST: 5N 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 R3HT: ft FIR SPKL: SMOK DET: DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP ACC: BEDRMS: BAT;;-: IMP SURFACE: PRO CORR: PARKING: VALUE: tf 7 S �� 0z ) Remarks: Ado(q) ^ Q (6J Owner: Contractor: ROBINSON, CONSTANCE A+ FIRE SYSTEMS WEST INC ROBINSON, LYNN+ BELL,KAY ET 600 SF MrRITIME AVE#300 BY INSIGNIA COMMERCIAL GROUP VANCOUVER, WA 98661 BEAVERTON, OR 97008 Phone: Phone: 360-693-9906 Reg N: L CC 49732 _ r FEES REQUIRED INSPECTIONS _ Description Date Amount Sprinkler P.ough-In (BUILD]Permit Fee 2/20/03 $72.10 Sprinkler Final 'TAX)8%State'Fax 2/20/03 $5.77 Total $77.87 a Ra t- 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 done in accordaroo with approved plans. This permit will expire if work is „J not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law ®p requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth In OAR 952-001-08? roug R 952-00'k -)100. You may obtain a copy of these rules or direct questions to OUNC by Balli 3)246-6ri99 or 1- 0-332-?.344 '�ZJ; Iss ed sy: � L_ � Penn Signature: —717 Call 639-4175 by 7 p.m.for an Inspection the next business day Building Permit Application ID�ater,�eceived: �.� �er-1.5 Pmnitno.: U City of Tigard Project/appl.no.: Expiredate_ d Address: 1.3125 SW Hall Blvd,Tigard,OR 97223 Gry o 7i 8anDateiaaued: By: Receipt no.: Phone: (503) 639-A171 Fax: (503) 598-1960 Case filen.: Payment type. Land use approval: -- 1�2 family:Simple (lornplex: all M 0 1 &7.family dwelling or accessory, 0 Commercial/industrial U Multi-family 0 New c- zttuction O Demolition ❑Additiop✓alteration/replacement 'Tenartt improvement �Firc sprinkler/alarm C. .lttr —. Job address: C? yy�/ N I M -.7131dg.no.: t� Lsuite no.: D _ Lot: Block: Subdivision: 4 '17ax map/tax lot/account no.: Project name: AV✓ — Ihscription and location of work on premises/special conditions: Name: _J F )i►a��11.� -- Mailing address: 1&2 family dwelling: City: State: ZIP: — Valuation of work................:....................... S— Phone: IFax: E-mail: No.of bedrooms/baths................................. Owner's representative: Total number of floors......................... ....... Phone: Fax: E-mail: I New dwelling area(sq.ft.) .......................... — Garage/carport area(sq.ft.)......................... Covered porch area.(sq.ft.) ......................... -- Name: — Deck area(sq.ft.) Mailing address: — ---- Other stricture area(sq.ft.)............... City: Statc: IP: _--- Fax: E-mail: ommerciallindrstrhallmaltl•family: Le, Phone: E-ma : ......... $ Valuation of work............................... _ Existing bldg.area(sq.ft.) .......................... Business name: � �jQ'�s (_ New bldg.area(sq.ft_)............................... Address: (opo 6r__ T ME PJB _ Number of stories........................................ �— City_Y�c �Oj State: ZIP: Type of construction Existing: Phone:15tooIA,3-99do Fvc:2�-27 E-mail• occupancygroup(s). g' CCB no.: 1-9'1152 f112E Tb'1_ t New: — City/metro tic.no.: 1145 Notice:All contractors and subcontractors are required to be licensed with the Oregon Construction Contractors Board under provisions of ORS 701 and may be required to be licensed in the Name: - jurisdiction where work is bring performed.If the applicant is IL Address: _—__ exempt from licensing,the following reason applies: IL City: State: ZIP: — _--- N Contact person: Plan no.: °hone: Fax: mail: — Contact person: Fees due upon application ..........I.........:......$ m Name: — _— Address D-.te received: 'kmount received W State: ZIP: ......................................... City: Phone: Fax: E-mail: Please refer to fee schedule. WCC ere&erb.08M an jartd�ttaar J��Ibr maa NdbmMton. I hereby certify I have read and examined this application and the Nd aft �Muterca� attached checklist.All provisions of laws and ordinances governing' c o Visa Mrd�� ` - work will be complied whether specified herein or not. e• Authorized signature: _ Date: Print name: L IIS Pa°�ll`�`� -- _-._ e —� Notice:This permit application expires if a permit is not obtained within I 8f days a .fter it has been aaxe complete 40-413 td0°"eO�pted p ELECTRICAL PERMIT- CITY OF TIGARD RESTRICTEDENERGY DEVELOPMENT SERIJICES PERMIT#: rL R2003-00068 13125 SW Hall Blvd.,Zipard,OR 97223 !'5031839-4171 DATE ISSUED: 2/27/03 SITE ADDRESS: 10300 SW NIMBUS AVE P-B PARCEL: 1 S 134AD-06201 SUBDIVISION: ZONING: I-P BLOCK: LOT: JURISDICTION: TIG Prolect Description:Job No 083-15914-02 Burglar Alarm A.RESIDENTIAL B.COMMERCIAL _ AUDIO& STEREO: AUDIO&STEREO: INTERCOM d PAGING: BURGLAR ALARM: BOILER: LANDSCAPE/IRRIGAT: GARAGE OPENER: CLOCK: MEDICAL: HVAC: DATA/TELE COMM: NURSE CALLS: VACUUM SYSTEM: FIRE ALARM: OUTDOOR LANDSC LITE: OTHER: HVAC: PROTECTIVE SIGNAL: X INSTRUMENTATION: OTHER: I __ TOTAL#OF USTEMS, 1 Owner: Contractor: ROBINSON, CONSTANCE A + ADT SECURITY SERVICES, INC ROBIrISON, LYNN+ BELL, KAY ET 2815 SW 153RD DR B" IN:;IGNIA COMMERCIAL GROUP BEAVERTON, OR 97006 BEAVERTON, OR 97008 Phone: Phone: 503-460 '1244 Reg 0: LIC 4944 ELE �6-209CLE FEES Required Inspections Description Date Amount Ceiling Cover [ELPRMT[ ELR Permit 2/27/03 $75.00 Wall Cover Elect'l Final [TAX]8%State Tax 2/27/03 $6.00 Total $81.00 This Permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable laws. All work will be done in accordance with approved dans. This permit will expire if work is not started within 180 days of issuance,or if worts Is suspended for more than 180 days. ATTENTION: Oregon law requires CL you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth In OAR 952-001-0010 throuc F U _ Issuedby , Permittee Signatur Jt/ m OWNER INSTALLATION ONLY The Installation is being made on property I own which Is not Intended for sale, lease, or rent. OWNER'S SIGNATURE: DATE: CONTRACTOR INSTALLATION ONLY —� SIGNATURE OF SUPR. ELEC'N DATE: LICENSE NO: �--- Call 6394175 by 7:00 P.M.for an Inspection needed the next business day 02/28/20n3 17:58 FAX 5034897110 ADT 9ECURM Q001 Electrics;!Perm itApplicatlon llerss \ Dere c+eeiwd: k ac. cD -vrq b City 4f Tigard R EC F-.I V E D l'mno.:� F.xplredato: ClryojTiaond Address: 13125 SW Hall Blvd,Tlaard,OR 97223 1missued; By: Aptno: Phone: (303) 639-4171 FEB 2 v 2003 - _� Fax: 003) 598-1960 Cm file no., PiymetWi type' Land use approval: CITY OF TIGARD ISION O I do 2 family dwelling or accessory CMId ibilvialAndustrial O MWtI family a,remit imptevememt ONaw coastnmtion O Addilion/a kention/mptacement O OdmW.. _ U pinw Jot:address - 1r� � n'-� _ BW .no.: Saha na: Ta:fntax lot/WcaoM no.: Lot: Bleck: Subdivision: -�-- ectname: 1?eeeti Uon and lbcvtion of work on eek nU: Estimated dmmof com ledoo/ttw l: Job aw _` cli4 _8ruinem name: ��pp _ Itiaat tee. Addrrsil: ` RwebgtaYr lYeliierMltdtodRerase cttr: Imp Phone • Frx . nom]; 1000PI,tt aka 4 t7CB no.: Blew.hue.lis no: Z'L.'�*C 4c — --- Lodd@Wd 2 or' _ O e.or tmBrlar era114sR ---- nd) _ Dow Sstvliaaailbrbedar 1 ft Momaaa+eWO: KW lUmmmax-LEAM I UArm a' —" �O■' a1brmk t erwl.astiea 3maromorim 7 Name(print): i . _ 1 Klallin addram: 10 --�-------------- City: 3tttdrt: ZIF: - Phone• -31 Fax: - E-mail: naomr000l& i Owner installadbn:The installellon Is being made onpropext�1 own 7�y ■► - which is not inf tnded for sale,lease,rem or exchange accordinj to YMlatie*%dawaidearertelaeedae■ OILS 447,455,474,670,701. M401MR600 him z Owner', st Mre: Data: �low ■■�■ z Most -sear,■ , Name: °f --- i, fee for brertti chorda wlth purchase of Address: earkeaclbederhta eedttxsrnhdroalr 2 City: stow: ZIP 9. ftafhrbnreheircNbvW&oatpu,rltw A. Phone: pax: T-nm l: of sadoe a feode "rat trench C10:11W. 1 � 8edt F- MEWK f/1 O Service over U5 V ff4m-comm dal n Health"le fsdP(y d Each mt2 orIhriplloa Circle 2 03emloeover 320erMs-rntineof1&2 O Hanudourlacadoa tiacit n�Gmt11y; 2 ferrilyawdliop a stindinI over 1%=swam het four nr 919-1 dre"11(e)or alimilyd aeaRy panel, �7 J O System over eM volts norraind mote reaiderelal units Ic,nnr.stmomn V oremt%'4Wm _( 2 _ED O 6e1ldlnir over thrm"0048 11 Flo dam 400 aws or afore • it 0 O oompant low otare 99 pereons O Mentirmim d Maalm oK ltV prk J O mssni h O otter lrjwbmdmdwA bwedea earmeAmp vwbb ►��. lea s ttnspt�t hr-boapecdonf� T 360111 mob of plaae•WK myef�stttletlesseriloa - Tie aMve�sre sot a tic�ble to V ..--'.- -�'Na all lsdalktle!ta aeelr esaete cards.vta.:at lwtrdrNtna for ettna MibeaserMrt. Noche: this pmnit aplaWon Pb[nt foe........•.....•..... f _ (3 Mae 13?Amia i W explt"Ira p0mit It wet ablained Plan review(at— %) s State stlrchlt cndtt cssd rumor. _ _ _--� _L—L_- rrithfn IRO dh�ys aRo►it hn them � S omp C'unw1cle. __- t arwtm 44"15(wt KX" CITY OF TIGAR BUILDING Inspection Line: (603)631i-4176 t MSTINSPECTION DIVISION Business Lim (503)639-4171 BLIP Received —„_ Date Rectussted 3 _ AM PM1_� BUP _ L` Location ___ _ ��` Suite �� Y MEC 3 Contact Person — _-__ Ph(----) 3� •�S� PLM Contractor Ph(_ ) . SWR BUILDING TenantiO)wner ._ ___ _ — - ELC Footing Foundation ELC Ftg Drain ELR Crawl Darn SIP; Inspection Notes: SIT "ost&Beam Shear Anchors — Ext Sheath/Shear Int Sheath/Shear Framing Insulation Drywall Nailing - Firewall Fire Sprinkler — -- Fire Alarm Susp'd Ceiling - Roof Other: Final PASS PART FAIL PLUMBING - Post&Beam Under Slab — "ough-In Vater Service Sanitary Sewer Rain Drains -r- Catch Basin/Manhole Storm Drain - - - Shower Pan Other: --- Final PASS PART FAIL MECHANI_C_AL -- Post&deam `- Rough-Ir. — - — Gas Line CL S Dampers OC N ASS PART FAIL - - -� RICAL Service m Rough-In --- - - --- (3 t1G.'clp, WLow Voltage -- --- - -- ---------- Fire Alarm Final Rebtspe ton fep of _.. r required before next Inspection Pay at City Hall, 13125 SW HAIL Blvd. _PASS PART FAIL _ SITE F] Please call for reinspection RE:. ____� -.__.____ �_' Unable to inspe-cl no access Fire Supply Line- �� ADA 1"MOev t ,— Ext Approach/Sidewalk � =M1 -- Cther: Final — 00 NOT REO M this IMPOMM mord 1'x0111 So J”9ft& PASS PARI' FAIL CITY OF"HGARD 24-Hour BUILDING Inspection Line: (503)6394175 INSPECTION DIVISION Business Line: (503)830-4171 IIA;RT SUP Received — _Date Requested—_ .— AM ..—PM__ BUP Location ._— 6 Oh _ —Suite AEC _..— Contact Person Ph(-_—)�, _ PLM - Contractor_ Ph(-:_) SWR BUILDING Tenant/Owner -- - ELC -070 -7 Footing ELC i:'oundationAc—cess-0 Ftg Drain ELR Crawl Drain. Slab Inspection Notes: SIT -- Post& Beam _ _-._-- Sheai Anchors Ext Sheath/Shear _ Int Sheath/Shear - Framing - Insulation Drywall Nailing Firewall Fire Sprinkler - --- - - -- Fire C%Iarm Susp'd Ceiling V - - Roof Other: Final PASS PART FAIL PLUMBING Post&Beam Under Slab — - - -- Hough-In Water Service - - Sanitary Sewer Rain Drains -- - - Catch Basin/Menhol.? (,Wt. ..-17 0� 'tf Storm Drain Shower Pan � _ S_ Q Other: --`- Final PASS PART FAIL - - MECHANICAL Post&Beam Rough-In tL Gas Line Smoke Damper- Final ampenFinal PASS PART FAIL — ---- - - -- ELECTRICAL Service m Rough-In L9UG/Slab _j Low Voltage Fire Alarm - AAS PART FAIL [I Rainspection fee of$____. -required before next Inspection. Pay at City 1-14, 13125 SW Hall Mod. g F] Please call for reinspection RE: _ ______ Unable to inspect-no access Fire Supply Line ADA _ `3 Approach/Sidewalk Mme _. ��--- rpm - ftt Other: ?; Final DO NOT REMOVE thIs Impectloo nwoolrtti !!M fob am. 88 PART FAIL CITY OF TI,GARD 24-Hour BUILD114G � Inspection Line: (503)63964175 0 MS1 INSPECTION DIVISION Business Line: (603)638-4171 SUP Received Date Requested— AM_ PM — OUP -- Location n-C) �1 'j' Sufte /�-0 MEC _ Contact Person Ph *d ' 5-,X 3 PLM Contractor _ Ph SWR _ BUILDING _ Tenant/Owner _ _ ELC 2 j Footing ELC _ Foundation cess: -- Ftg Drain ELR Crawl Drain Slab Inspection Notes: SIT Po3t&Beam Shear Anchors -- — Ext Sheath/Shear --4L a Int Sheath/S'ear / 12 Framing v` �/►11 -- Insulation Diywall Nailing -- — Fi-ewall Firn Sorink'er Fire Alarm Susp'd Ceiling ��— Roof Other:_ — - Final PASS PART FAIL 01I1MBiN_Q Post&Beam — Unjer Sbib _— Wafer Service Sanitary Sewer y " RAin Drains Cat,,h Basin/Manhole Storm Drain - — Shower I'an Other: Final PASS PART FAIL + MECHANICAL Post&Beam Rough-In _ _ - lL Gas Line Smoke Dampers h Final PASS PART FAIL - — - ELECTRICAL Service OD 1111QU�> 0 UG/Slab — W Low Voltage — - ----- --- ---.__......,___...-_— Fire Alarm �~ _ F Reinspection fee of g._ required before next ins "PART FAIL � �iPamction. Pay at Cly Hall, +3125 SW Hell Blvd, SITE _ _ j Please call for reinspection RE:___._..� ___ —,— _— Unable to Inspect-no access Fire Supply Line ADA �� ,� Approach/Sidewalk Daft�.�_—�_�� lllepeetOr_ 11��-�� ''~-'�- —111A__-- Other:_ Final DO NOT REMOVE this Inspsafte mead d fliMwfl doh ills. MIN PART FAIL CITY OF T I G A R D CERTIFICATE OF OCCUPANCY DEVELOPMENT SERVICES PERMIT#- SUP2003-00067 it 13125 SW Hall Blvd.,Tigard,OR 97223 (503)6394171 DATE ISSUED: 2/12/03 PARnEL: 1 S 134AD-06201 ZONING: I-P JURISDICTION: TIG SITE ADDRESS: 10300 SW NIMBUS AVE P-B SUBDIVISION: BLOCK: LOT: CLASS OF WORK: ALT TYPE OF USE: COM TYPE OF CONSTR: 5N OCCUPANCY GRP: B OCCUPANCY LOAD: 25 TENANT NAME: SHAW REMARKS: TI adding 3700 sq ft. to a#sting space. Owner: ROBINSON, CONSTANCE A + ROBINSON, LYNN + BELL, KAY ET BY INSIGNIA COMMERCIAL GROUP B%XW."Oy09%97 Contractor: GUILD CONSTRUCTION 7959 SW COR RI-DR. BEAVERTON, OR 97008 Phone: 788-7778 Reg 0: MET 00004544 LIC 109;16 IL �c .a m 0 W -� This Certificate issued 3118103 grants occupancy of the above referenced building or portion therertf and confirms that the building has been Inspected for com ance �nri at of Oregon Specialty Codes for the group, occupanr-,f, an us Hund w h h referenced permit is r POST IN CONSPICUOUS PLACE CITY OF TIGARD .24-Hour BUILDINGInspection Lino: (503)635-4176 INSPECTION-DIVISION Business Line: (603)635-4171 MST -- BOP ...:3 (e�- Received —_._._ Date Requested _ �.AM PM SUP _.. Locaticn _____�_�3oU _Suite _ MEC Contact Person Ph 7 SD S� PLM 'O UO q 7 Contractor_ — Ph(. 1 SWR BUILDING Tenant/Owner ELC Footing ELC _ Foundation ®ss: -- -- Fog Drain ELN - Crawl Drain ---� Slab Inspection Notes: U SIT Post&Beam ---1J�`G Z'� -- cul' - Shear Anchors ------ -- Ext SheattVShesr _ Int SheattVShear Framing - Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling -- Re')f Other: PART FAIL - _KMING 8 ING _ Post Beam j Under Slab - Rough-In IX Water Servire — Sanitary Sewer Rain Drains _ - Catch Basin/Manhole Storm Drain — Shower Pan Ocher: - AS PART FAIL ME _ CAL Post& Beam — Rough-In _ -- Gas Line a. Smoke Dampers � Final CO) PASS PART FAIL --T --- -- ELECTRICAL - - -_ J Service W Rough-In �j UG/Slab -�- - - uJ Low Voltage Fire Alarm Final ❑ Reinspection fee of$___�_ __reaulred before next inspection. Pay at Clty Mall. 13125 SW,'^'!Blvd. PASS PART FAIL SITE Pisag2 call for reinspection RF: ....- - r1 Unable to Inspect-no access Fire Supply Line _w ADA Approach/Sidewalk Dob - - � - --- Inspector Other Final _ DO NOT REMOVE this ea reen fIIIII111110 66 fob Na, PASS PART FAIL CITY OF TIGARD 74-Hour ae BUILDING • Inspection Line: (503)Gas-4175INSPECTION DIVISION Business Line: (503)636-4171MST BUP — D QO t0 7 Received Date RequestedAM PM _ BUP _ Location --_ � yi t-*- %� tette P-_6 MEC _ Contact Person � Ph, 5:a( _ PLM Contractor— --- Ph(--) SWR BUILDING Tenant/Owner —_ ELC Footing ELC Foundation Ftg Drain ELR _ Crawl Drain Slab Inspection Notes: SIT Post&Beam Shear Anchors -- Ext 5heath/£hear Ira Shoath'Shear �� D Q Q Framing -- _ Insulation Drywall hailing Firewall Fire Sprinkl6r Fire At sp'd eding� --- Roo Other: Fin -. A a: FAIL -- PLUMBING_ C� i Post&Beam — Under Slab — Rough-In Water Service Sanitary Serer Rain Drains Catch Basin!Manhole Storm Drain — Showor Pan Other: - Final __— PASS PART FAIL MECHANICAL Post 8 Berm--- -- — — — i Rough-In Cas Line 4. Smoke Dampers -- W Final PASS PART FAIL ----- -- ELECTRICAL _ J Service — tA Rough-In C9 UC/Slab ---—— - W Low Voltage Fire Alarm Final Rein ton fee of$ r PASS PART FAIL J s a4ui►ed before next Inspection. Pay at City Well, 13125 SW Hall Blvd. S E _ — , I� Please call for reinspection RE:__— —_ _ _ �� Unable to Inspeo no access Fire Supply Line ADA Approach/Sldewalk Other: _ Final DO NOT ROOK INO X11 011 fr001"+how tll� oftPA88 PART FAIL CITY OFTIGARD 24-Hour. BUILDING Inspectioullne: 7603)6364176 ' INSPECTION DIVISION Buslness I.Ine: (603)639.4171 MS UP 3 Received __w_. Date Requested 2 'J2 AM P BUP _-- Location _�0,3 —I_ �T .� p '""�, MEC _ Contact Person _ Ph(—) h( ) 7511 —st3 PLM Contractor _. Ph( _) _—_ SWR _BUILDING --` Tana,;;, nor ELC Footing Foundation Access: ELC _ Fig Drain ELR — Crawl Drain -"- Slab Inspwlion Notes: SIT - Post&Beam Shear Anchors Ext Sheath/Shear Int Shoath/Shear Framing Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd;Collin - �^ (J �►_ Roof Other: - Final PASS PART AI PLUMBING Post&Beam Under Slab Rough-In Water Service -- _ Sanitary Sewer Rain Drains Catch Basin/Mai hole Storm Drain - Shower Pan Other: - Final -----��-` PASS PART FAIL -' MECHANICAL Post&Beam - Rough-In Gas Line 4. Smoke Dampers - - aC Final PASS PART FAIL - - _ELECTRICAL 3ervlce m Rough-In UG/Slab -- W Low Voltage - Fire Alarm Final Rein" ion fee of$. PASS PART FAIL --- -- fequlred before next inspection. Pay at City Hail, 13125 SW halt Blvd. SITE F] Please call for reinspection RE:- _ Unabie to Inspect-no acorn Fire Supply Line ADA Approach/Sidewalk Dom �- w ftt_ Other: Final -- DO NOT R=M Ob Itltl etloa tI+YmO11i tlrlll�M Hrh Mllr. PASS PART FAIL CITU* OF TIGIARD 24-Hour, BUILDING Inspection no: (5;3)639-4-175 0 INSPECTION DIVISION Business Line:i (1.133)639-4171 MfiT Heceived Date Requested�Q A M_ —PM BUP _ Location _.L�1 �C.rr-� 7UC' _Suite _ MEC _ Contact Person __ _— Ph( ) _ PLM Contr'actgr _. Pil( SWRof IL dNt Tenant/Owner _r ELG _. Foundation ELC Ftg Drain ELR _ Crawl Dain Slaty Inspection Notes: SIT _ Post&Beam _ Shear Anchors Ext Sheath/Shear Int Sheath/Shear Framing Insulatio allln Fire Sarinkler — Fire Alarm Susp'd Ceiling — Roof Other: Fina 4 PART FAIL -- MSING Post&Beam Under Slab Rough-In Water Service - Sanitary Sewer Rain Drains Cf, )Basin/Manhole Stc-in Drain Shower Pan Other: - - Final PASS_ PART FAIL MECHANICAL Post&B-am Rough-In — 4. Gas Line a Smoke Dampers Final W PASS PART FAIL — - _ILECTR[CAL — Service m Rough-In UG/Slab — — .w.l Low Voltage _—� ---- -- Fire Alarm Final 11 Reinspection fee of S required before next Ins PASS PART FAIL C_I I --- q Imo• Pay at City Hall, 13125 SW Hell BIMd. SITE _ �� Please cal;for reinspection RE:,-------- _ E] Unable to inspect--no aooess Fire Supply Line \ ` ADA DaU_ 10 -i/67. -�_. IDe'eOtOf it�ct Approach/Sidewalk Other: Final DO NOT R0ftV1 O ttiOW1111 flir111 On 10 oft PASS PART FAIL CITY OF TIGARD 24-Hour . . ►• BUILDING Inspection fine: ?503)5394175 � MST INSPECTION DIVISLON Business Line: (503)5394171 . euP _ 6002W a- 19 • �" Received _ Date R uested_ — AM PM _ sup — Location _-- 1 ✓'�� _Suite 0* '� MEC Contact Persun _ `_ Ph(——) __ 'sa�- PLM Contractor ___.____ __ Ph(- ) __ SWH BUILDING Tenant/Owner _ ELC Footing ELC Foundation ct:'( Ftg Drain ELR Crawl Drain Slab Inspection Notes: SIT Post&Beam —. Shear Anchors Ext Shoath/Shear Int Sheath/Shear Pritmm .. ---- Insulation Drywall Nailing — FiravvMl Fire Sprinkler Fin►Alarm Susp'd Ceiling Roof AS PART FAIL _ I_NO_ Post&Beam Under Siab Rough-In Water Service Sanitary Sewer Rain Drains — Catch Basin/Manhole Storm Drain Shower Pro i Other:_ Firal PASS PART FAIL MEnHANICA_L Post A Beam Rough-In — Gas Line Smoke Dampers — �„ Final N PASS PART FAIL — —— '— ELECTRICAL rvice _ Se m Rough-In _ a UG/Slab W Low Voltage Fire Alarm Final Reinspection fee of$_ _�.—_ required before next inspection. Pay at City Hall, 13+25 SW Hell Blvd. PASS_PART FAIL SITE Please call for reinspPrtion RF: Unatle to inspect-no aoress Fire Supply line ADA Approach/Sidewalk Daft --. __ - Iaepe�to*- - pct--- Other: _ Final nC MOT REMOVE thre l spo ldell 1+@Oew fmo the jab wb& PASS PART FAIL CITY OF TIC�A►RD BUILDING PERMIT _ PERMIT 4: BUP20ri"-00087 DEVELOPMENT SERVICES DATE ISSUED: 2/12/03 13125 SW Hall Blvd.,Tigard,OR 97223 (503) 6394171 PARCEL: 1 S134AD-067.01 SITE ADDRESS: 10300 SW NIMBUS AVE P-B SUBDIVISION: ZONING: I-P BLOCK: LOT: JURISDICTION: TIG REISSUE: FLOOR AREAS _ EXTERIOR WALL CONSTRUCTION _ CLASS OF WORK: ALT FIRST: sf N: S: E: W: TYPE OF USE: COM SECOND: sf PROJECT OPENINGS? TYPE OF CONST: 5N of N: S: E: W: OCCUPANCY GRP: B TOTAL AREA: 0 sf ROOF CONST: FIRE RET? OCCUPANCY LOAD: 25 BASEMENT: sf AREA SEP. RATED: STOR: HT: ft GARAGE: sf OCCU SEP. RATED: BSMT?: MEZZ?: _ READ SETBACKS REQUIRED FLOOR LOAD: psf LEFT: ft RGHT: ft FIR SPKL: Y SMOK DET: DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP ACC: BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING: VALUE: $ 7,500.00 , Remarks: T1 0-"LA',' t,4+C� P9, Owner: Contractor: ROBINSON, CONSTANCE A + GUILD CONSTRUCTION RnRINSON, LYNN+ BELL, KAY ET 7959 SW CORRIS DR. BY INSIGNIA COMMERCIAL GROUP BEAVERTON, OR 97008 BEAVERTON, OR 97008 Phone: Phone: 788-77i3 Reg 0: MET 10�0g004544 _ FEES LIC REQUI PINSPECTIONS Description Date Amount Mechanical Permit Require ~� [BUILD]Permit Fee 2/12/03 $120.10 Electrical Permit Required [BUPPLN]Pin Rv 2/12/03 $78.07 Plumbing Permit Required FLS FLS Pin Rv 2/12/03 $48.04 Framing Insp L ] Gyp Board Insp [TAX]8%State Tax 2/12/03 $9.60 Susp Ceiing Insp Total ;293,$1 Final Inspection a This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. Ail work will be done in accordance with approved plans. This permit will expire If work Is J not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law m requires you 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 (-ailing (503) 246-6699 or 14800-332-2344. Issued By: Permlitee l Signature: Call1639-4 by"." p.m.for an Inspection the next business day HiAding Permit Application_ � City of Tigard Date received:A .J.;_�_U, Permit no. Illi f�[)J Projcct/appl.no.: Hxphr date: Ciryn/Tigard Address: 13125 SW Fall Blvd,Tigard,OR 9722: -- Phone: (503) 639-4171 Date issued: Byi~ Receiptro.: Fax: (50) 598-1960 Case filen.: Payment type. Land use approval: 1&2 family:Simple Complex: ;!address: 2 family dwelling or accessory U Commercial/industrial U Multi-family U New construction U Demolition ition/alteration/replacement Xrenant improvement U Fire sprinkler/alarm U Other: l 3 OD $ JU►/dl f.��s_�,�G Svc�E _ Bldg.no.: P Suite no.: 13 Lot: Block: Subdivision: _ — Tax map/tax lot/account no.: Project name: Description and location of work on prcmiscs/spccial conditions: c_ - U., yrs•' L,�vS Y2LGY�o� l Name: IA/ t4 Mailing address: I., fr�rt � I do t family dwelling: City: stagy^ ZIP: Valuation of work........................................ $ _ Phone: Fax: I E-mail: No.01'bedrooms/baths................................. -- Owner's representative: nL - Total number of floors................................. Phone: S7 Fax: Zp- E-mail: New dwelling area(sq.ft.) .......................... Ph Garage/carport area(sq.ft.)......................... Name: AJ Covered porch area(sq.ft) ......................... Mailing address: 16 Z.'4O I e-113 v� L S Deck saes tursq.ft.)........... City: 2-f State ZIP: '7 Z� Other structure area( .ft.),,,,,,,,,,,,,,,,,,,,,,,,, Phone:(, Lr� Fax: E-mail: Com.; -faUdlrtSad Valuation of work........................................ $ Existing bldg.area(sq.ft,) .......................... Business name: New bldg.area(sq.It.)................................ Address: Z(, S� JJ Number of stones........................................ Cit "Tax—.. State: ZIP: Zp(— y� -- Type of construction.................................... Email: ng- Occupancy group(s): Existi �— CCB no.: if Q / (p _,�_ New: City/metro Iic.no : Notice:All contrac►ors and subcontractors are regtiirrd to be licensed with the Oregon Construction Contractors Board under Name: (-rWVP ]til�sR Z r,��Z�. _ provisions of ORS 701 and may be required to be licensed in the Address: p(p judsdiction where work is being performed.If the applicant is IL —�� --�—� exempt from licensing,the following reason applies: City: ••f' N0 State: ' ZIP. Z Contact person: Plan no.: `— N _ Phone: ZIA.01S JE-mail: ® Name: A � Contact person: Fees due upon application ........................... $ WAddress: Date received: ..s City J tate: _ZIP: Amount received ......................................... $ Phone. Fax. E-mail: Please refer to fee schedule. 1 hereby certify I have read and examined this application and the Not,n jaridktlom wcep c"i eras,pleare edi imidictiae fm more InhKtnatiaw attached checklist.All provisions of laws and ordinances governing this U visa U MasterCard work will be complied w' ,w er specified herein or not. credit card comber, Fat tea Authorized signature: t Date: L Name of caristowt,rW;;ffl—on ctedh cad f Print name: l !J _— -- � CardbaMa sattim �— Amount Notice:This permit application expires if a permit is not ob ained within 180 days after it has been accepted as complete. 44114613 OMMO 1 Commercial Plan Submittal Requirement Matrix City of Tigard Site Work 4 (must Include location of all accessible parking) Plumbing - Site Utilities 2 Building 1" Fire Protection System 3** McChanical 2 Plumbing - Building Fixtures 2 Electrical 2 a Plan review is dependent upon submittal of a completed application gno plans. Aftor plan review approval, the Plans Examiner will contact the applicant to request additional sets of plans for distribution purposes (for Contractor, City of Tigard, =� Washington County, and Tualatin Valley Fire & Rescue). C9 � *For over-the-counter commercial tenant improvements, submit 2 sets of plans. **"New" fire protection systems renuire that plans bear the original seal of'an Oregon licensed fire suppression engineer, or NICET level "3" technicians. lAd9ts%fo n %COM-msbix.doc W24M1 I Accessibility: Barrier Removal Improvement Plan City of Tigard _ - — — — -_J REQUIREMENT. OREGON REVISED STATUTE (ORS) 44T.241. (1) Every project for renovation,alteration or modification to affected buildings and related facllit.�s shall be made to Insure that the path of travel to the shared area and the restroom, telephcnes and drinking fountains are readily accessible to Individuals with disabilities unless such alterations are disproportionate to the overall alterations in terms of cost and scope. (2) Alterations made to the path of travel to an altered area may be deemed disproportionate to the overall alteration when the cost exceeds twenty-five per-cent(25%). VALUATIVN: of all renovation,alteration or modification being done $QQo y excluding painting, wallpapering. mut ip1Y= 25% 6,3rrier removal requirement. .25 BUDGET FOR BARRIER REMOVAL (2) $ 1.V,7,57:J' In choosing which accessible elements to provide under this section, priority,shall be given to those elements that will provide the greatest access. Elements shall be provided in the 'followiinngorde . f 40A �llr1'Wlul " ( f'WAWj (a) ParkingQWL q' 7/JGu�42C• I (b) An accessible entrance: $ (c) An accessible route to the altered area: $ IL (d) At least one accessible restraom for $ each sox or a single unisex restroom: (e) Accessible telephones: $ J_ m c �., Accessible drinking fountains: and $ W J (g) When possible, c1ditional accessible elements such as storage and alarms: $ _! MALL: SI -oguaal line 2 of V, l e Compylollm $— i:Asrs\forms\Accewibility.doc 06/07/02 �� CITY OF T I GA R DBUILDING PERMIT DEVELOPMENT SERVICES DATE IS UIED: 110/25 022 00447 13125 SW Hall Blvd.,Tioard,OR 97223 (503)6394171 PARCEL: 1S134AD-06201 SITE ADDRESS: 10300 SW NIMBUS AVE P-B SUBDIVISION: ZONING: I-P _ BLOCK: _ LOT: JURISDICTION: TIG REISSUE: _ FLOOR AREAS _EXTERIOR WALL CONSTRUCTION CLASS OF WORK: FPS FIRST: 8f N: S: E: W: TYPE OF USE: SECOND: sf PROJECT OPENINGS? TYPE OF CONST: sf N: S: E: W: OCCUPANCY GRP: TOTAL AREA: 0.00 sf ROOF CONST: FIRE RET? OCCUPANCY LOAD: BASEMENT: sf AREA SEP. RATED: STOR: HT: ft GARAGE: sf OCCU SEP. RATED: BSMT?: MEZZ?: READ SETBACKS REQUIRED FLOOR LOAD: psf LEFT: ft RGHT. ft FIR SPKL: SMOK DET: DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP ACC: BF:DRMS: BATHS: IMP SURFACE: PRO CORR: PARKING: VALUE: $ 2,700.00 RemarKs: Adding (7)fire sprinkler heads and relocating(16)fire sprinkler heads. — Owner: Contractor: GUILD INC FIRE SYSTEMS WEST INC 5215 SW FLAVEL DR. 600 SE MARITIME AVE#300 PORTLAND,OR 97006 VANCOUVER, WA 98661 Phone: 360-693-9906 503-693-9906 Phone: 360.693-9906 Reg 0: LIC 49732 _ FEES i REQUIRED INSPECTIONS Description Date Amount Sprinkler Rough-In [BUILD]Permit Fee 10/10/02 $72.10 Sprinkler Final [TAX]8%State Tax 10/10/02 $5.77 [FLS)FLS Pin Rv 10/10/02 $28.84 Total $106.71 a_ This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes N and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is j� riot started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law C, requires you to fo .ow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR m 952-001-0010 through OAR 952-001-0100. You may obtain a copy of these rules or dii rsct questions to OUNC by calling (503)246-6699 or 1-800-332-2344. J Issu4d By: Permittee Signature: X Call 639-4175 by 7 p.m. for an Inspection the next business day -�'hiiding Permit Application �ity of Tigard IDateraceived: /0 /0 OA Per:rrit Into.: uF �_AO r/i Address: 13125 SW Hall Blvd,Tigard,OR 97223 Ptn)ect/appl.no.: date: City of Tigard Receipt Phone: (503) 639-4171 Date issued: B Rept res.: Fax: (503) 598-1960 Case ale no-: Paynv rt type: 71 Land use approval: _ Idt2family:Simple Complex: O N O 1 dr 2 family dwelling or accessory *ommercial/indusuial O Multi-family O New construction O Ikmolition P•Addition/alteration/rzplacement Tenant improvement �YFre sprinklerlalarrwr O Other. Job address: ] s w N 111-1 U "v I Bld .no.: Suite no.: �� Lex: n: I Tax maphax lotlaceount ...1: Project name: ' I4 o%L5 Dust t-j a S Cffrelscv - Description and location of work on pmmises/s,?ecial conditions:_ 74r 67`'+o�/Cf d t,d_L4P .4'►11L Hame: U t L Mailing address: t I S 'jo ►" r<-r.er 1 &2 Wally dweWS: City:poR-'f_1"r? Staten ZIP: 'J'e�U40 Valuation of work.... ...........:....................... $ Phone". b) - Fax: E-mail: No.of bedrooms/baths................................. Owner's representative: 1Ct p,-1 _ Total number of floors................................. Phoned Fax: _ E-mail_ New dwelling arta(sq. ft) .......................... Garage/carport area(sq.ft.)......................... 71 Name: �l EZt) Covered porch area(sq.ft.) ......................... Mailing address:- `, t Z1M y peck area(sq.R).................................. City: VAr\16pLit State: ZIP Other structure area(sq.R.)....................... - -- Contac mclaMeduish l/ratalt14MMl Phone x,. k,�j 7 b Fax: E-mail: Valuation of work........................................ $ 270t', Existing bldg.area(sq.ft.) .......................... Business name: F l lEt; S YS aprni u n'f New bldg.area(sq.ft.) Address: Number of stories........................................ City: State: 71P:— -- Type of construction.................................... Phone: Fax - Email OccupancyOccupancypy group(s): Existing: Lj� H— f CCB no.: 417 1 Z — New: tNe ic.no.: Notle e:All contractors and s»bcor►tractors ate required to be licensed with Ute Oregon Construction Contractors Beard under provisions of ORS 701 and may be required to be lic enstd In the juriidiction where work is being performed.If the applicant is IL exempt from licensing,the following reason applies: _ State ZIP �FIL.. Contact person: Plan no.: -r-- N Phone: Fax: E-mail: mName: Contact person: Fees due upon app'.ication ...................... ...$ � Address: Date received: - — — _L City State: ZIP: Amount received.........................................$ -j �— Please refer to fee schedules Phone: Fax: Email: I hereby certify I have read and examined this application and the Na sa j�rldnlor a�yt asses nn3�P 1s+ a "��+ attached checklist.All provisions of laws and ordinances governing this t]visa O MseasC.rc work will be complied with,whether specified herein or not. CnA'c.d mobei - -- Authorized signatu Date: .l° - 11°s at eNdboLdw r dm,m m — Print name:Notice:This This permit application expires if a permit is not obtained within 180 days after h has been accepted 0 complete. aaasn(MCM CITY OF TIGARD 24-Hour Inspwilon Line: (603)636-4175 BUILDING • . 5�INSPECTION DIVI,ION Business Line: (503)636-4171 MST BUP Received . Date Requested _— it ` 9 AM ,_PM— BUP Location _.--__—_ - /0-300 —Suite ` MEC _ Contact Person t Q.t-t=c%, ph PLM _ Contr Ph( —) -- — SWR _ ZILDING Tenant/Owner ELC — Foundation ELC Fig Drain ELR CrnM Drain _ Slab Inspection Notes: 1� SIT Post&Beam Shear Anchors Ext Sheath/Shear Int Sheaih/Shear Framing _ Insulation do at . ■ Drywall Nailing —__ L 4 A 0'V Firewall Fire Sprinkler - -- - — _—_ Fire Alarm Susp'd Ceiling - - -- - - - — Roof Other: --- -- -- M PART FAILING PA — _ Post&Beam - - Under Slab _ Rough-In Water Service Sanitary Sewer Rain Drains --- - — ---_ Catch Basin/Manhole Storm Drain --- - Shower Pan Other: - Final PASS PART FAIL - MECHANICAL Poli 8 Ream -- Rough-InGas Line Line 9, Smoke Dampers ------- _ OC Final U)U) PASS PART FAIL _—... ------ - ELECTRICAL ---- J Service Rough-In — -- -- --------- ,-_—� -- UG/Slab W Low Voltage --, Fire AIF<rm Final ❑ Reinspection fee of 3 - -___-required before next inspection. Ny at City Hall, 13125 SO"Hall 9W. PASS PART FAIL SITE _ Please call for reiner-lion RE: Unable to InApAM-no access Fire Supply Line CC ADA Approach/Sidewalk pr�b•- -- � '�--- _EJ[t___. Other:_ Final noel- f'+ M"Wj"Mar PASS PART FAIL CITY 4F TIGARD 24-Hour BUILDING 0 Inspection Line: (503)639-4175 �,.. -I=7 !NSPECTION DIVISION Business Line: (503)639-4171 MST 8UP Received Date Requested_. r —AM 1��_PM a Location G .3 OUB Suite Contact Person . _— Ph PLM Contractor__ __— Ph( ) _--- SWR BUILDING Tenant/Owner _ _ ELC Footing ELC — Foundation cress: Ftg Drain ELR Crawl Drain Slab Inspection Notes: SIT — --- Post&Beam Shear Anchors Ext Sheath/Shear _ int Sheath/Shear Framing -- ---Q— -- -�,� Insulation Drywall Nailing Firewall j�.� 0 G 7- U d rc>&�6.. Fire Sprinkler Fire Alarm g 2.8 U Z. Susp'd Ceiling Rcof Other-- '"T ther— — �---- -- — _ _ _ASS PART FAIL PLUMBING p Post A Beam Under Slab Rough-In Water Service Q Sanitary Sewer Rain Drains ---- — Catch Drain/Manhole Storm Drain Shower Pan Other: _ _ -- Final _ PASS PART FAIL - MECHANICAL -- Post&Beam Rough-In - ----- -- ---- Gas Line 0. Smoke Dampel ------ -- — ot U) PASS PART AIL -- —�- ------- ELECTRICAL j Service d1 Rough-In C7 UG/Slab W Low Voltage Fire Alarm Final Reinspection fee of$______._._-_-.revulred before next Inspection. Pay at City Hell, 13125 SW Hall Blvd. PASS PART FAIL SITE Please call for reinspection nF _.,.- --^----_____ _._- F] Unabie to inspect - n,l access Fire Supply Line ►. , ` ,R ADA Qslb AppmachlSidewa:k — Other- Final d0 IM REMWE!Ills IAsploll rI*Wd!Rill!OW J"Blb. PASS PART FAIL CITY.OF TIGARD 24-4our • t3UII:bm ® Inspootlon Line: (503)83t"I75 is MST INSPECTION DIVISION Bus!ness 0.1ne: (503)8304171 / SUP _ 64 Received' _ _Date Requested AM— -P'MQ BUP r d0 Location _-__-_-- - / � 4 `�'►'f Suil � MEC - d Contact Person Ph(--) ��sD -S�- 3 PLM Contractor _-- _— - _ Ph SWR .. -- BUILDING___ _ Tenant/Owner —_— — ��`� ELC _ Footing / LC _ - Foundation L't3Qiti: Ftg Drain J ELR Crawl Drain Slab inspec.�tion Notes: � ___ �---� Post&Beam Shear Anchors Ext Sheath/Shear _ Int Sheath/Shear Framing Innulation Grywall Nailing — — Firewall ---- Fire Sprinkler - --- Fire Alarm Susp'd Calling — ---- "� Roof Other: 013 PART FAIL — PLUMBING Post&Beam Under Slab Rough-in Water Service Sanitary Sewer Rain Drains ---- — Catch Basin/Manhole Storm Drsin - Showei Pan Other: Final PASS PART FAIL. MECHANICAL — Post&Ream Rough-In -- --- — IL Gas Line R Smoke Dampers — t~ n N PASS PART FAIL ELECTRICAL R Service Rough-In W UG/Slab J Low Voltage -_-__-- - -- - Fire Alarm Final Reiinpectlon fee-r$ -required before next inspection. Pay at City Halt. 113119-99W Hall Blvd. PASS PART FAIL SITE —_-- ❑ Please call for reinspection RE:�. _— _ —�__ Unable to inape!t-no arm Fire Supply Line ADA Daft — --- Res or_ — _— _btt `— Approach/Sidewalk Other: Final DO NOT ReMOVE IIIb laspo ,a lt'rowd h+o111 On ib d11. 11111A89 PART FAIL CITY OF TIGARD 7:4-Hour ^%WIL'DING Inspection Uta: (503)6344175 • ++ � . INSPECTION DIVISION Business Lino: (503)63x4171dill/ImouspT o` " qva� Received _ --Date Requested AM PM .— SUP Location —_� '() ..14� J_Td Suite -- MEC Contact Person Ph(—_—) 75_0- a 8� PLM Contractor ___ Ph( ) — _ 8�7R — _ BUILDING Tenant/Owner _ ELC Footing- --- ELC Foundation Accow: '—r— Fig grain ELR _ Crawl Drain Slab Inspection Notes: SIT — Post&Beam _ -- Shear Anchors — Ext Sheath/Shear Int Sheath/Shear —rr-- f raming -- — Insulation Drywall Nailing — Firewall �� y Fire Sprinkler - �L-- Fire&rm el�Gi)'d Cail� in, Other: �ipe A FAIL - PL 'MBI Pout&Beam / Under Slab — Rough-In Water Service - Sanitmy Sewer Rain Drains - Catch Basin/Manhole Storm Drain Shower Pan Other: Final ----- PASS PART FAIL MECHANICAL — Post&Beam Rough-In Gas Line d Smoke Dampers — -- - -- 0. Final N PASS PART FAIL — ELECTRICAL J Service Rough-In _ _ — UG/Slab W Low Voltage - -j Fire Alarm Final Reinspection *e of 3_—_---_—.__--required before next Inspection. Pay at City Hall, 13123 RW Hall Blvd. PASS PART FAIL SITE _ Please call for reinspection RE:______ Unable to Inspect-no seem Fire Supply Line ADA / t! 1 Zd ILI Approach/Sidewalk wpe4w — Other: Final p0 NOT RLMM tl&11!!Mell�e Ire"fftm 1w PASS DART FAIL CITY OFTIGARD 24-Hour Silll fDI1�G 0Inspection Line: (503)6344175 MST • INSPECTION DIVISION Business Line: (503)6344171 SUP Received _ Date P ted_ _ —AM PM — BIIJiR`. .. Location 0 � --.—_-_._-- Suite_ — MEC _ Contact Person — —__. �� '-�— Ph( ) -�� PLM Contra - -- ------ Ph ) — SWR LO UILDI Tenant0mter ELC _ Ing ELC _ F ndation Access: Ftg Drain ELR Crawl Drain Sias Inspection Notes: SIT Post& Beam Shear Anchors Ext Sheath/Shear -- Int eath/Shear ram -- - -- I all Nailing -- - - Fi Fire Sprinkler - Fire Alarm Suap'd Ceiling Roof Other: — FipxL, t'PAS4 PART FAIL — 81NG Post&Beam Under Slab Rough In Water Service - — Sanitary Sewer Rain Drains -- — Catch Basin/Manhole Storm Drain — - Shower Pen Other: — Final PASS PART FAIL_ - — MECHANICAL Post A Beam Rough-In --- -- Cas Line �L Smoke Dampers Lr Final N U) PASS PART FAIL -� ELECTRICAL — Service m Rough-In — a UG/Slab L I Low Voltage --_ — -_._-_— - — - - ---- - Fire Alarm Final Relropectlon fee of __- ___required before rlo::mspenf►on Pay at City 4all• 13125 SW Dail Blvd. PASS _PART FAIL SITE Ej Plasm call for reinspprtion RF --------__— — _ G1 Unable to ir,npoct -no access Fire Supply Line ADA Daft Approach/Sidewalk -- - -- --- - ��----^� Other:—_ Final DO NOT REIMM tllb IM*04 on -*M h+0111!t Job silt. PASS PART FAIL CIW.eFTIGARD 24-1-tour • ; BUILDING Inspection Line: (503)636--4176 INSPECTION DIYJSION Business Line: (503)639-4171 MST Received _——DateR( nested_.__ / V/4 __AM —PM _ OUP Location .__ I () 3_0 0 T Y` -K11—Suite P-- !9 .— MEC Sot R�3 Contact Person _. �'� ��''� ._ Ph( ) �� PLM ---- Contractor Ph(—) _ SWR BUILDING Tenant/Owner _ __ ELC Fnoting FLC _ Foundation ccess: Ftg Drain ELR _ Crawl Drain Slab Inspection Notes: SR Post&Beam Shear Anchors — -- - Ext Sheath/Shear Int Sheath/Shear ' Framing - - Insula#oa_ _ rsiwall Nailin �� Firewa Fire Sprinkler — -" Fire Alarm Susp'd Ceiling Roof Other: — --- Fi I S FAIL — -- — ----- P -- — Post&Beam �- Under Slab - --- -- _ - Rough-In 'Nater Service - Sanitary Sewer Rain Drains - Catch Basin/Manhole Storm Drain -ShowerPan _ Other -- Final PASS PART FAIL — MECHANICAL —_ -- _-- — Post&Beam Rough-In ----- Gas Line tl Smoke Dampers -- — — a Final CO) PASS PART FAIL -- - ELECTRICAL _ Service to Rough-In — F9 UG/Slab W Low Voltage -J Fire Alarm Final Reinspection fee of required before next Inspection. Pay at City Hall, 13125 SW Halt FM. PASS PART FAIL SITE F] Please call for reinspection RE: rI Unable to Inspect-no access Fire /Fire Supply Line 6APAm �4 Approach/Sidewalk p� !l V — *fir _ J Other: Fin"I NOT REMWA Ob Insped ba f moo ,rl1 fl' m Vw fob aft& PASS PART FAIL C1 'TIGARD 24-14our ,. BUILDING Inspection Line: (503)635-4175 M8 INSPECTION DIyISION Business Line: (50Z)6354171 P b / Received —_ Date Req ue dT AM_—__ PM—. OUP �•-- Location —_� L- c,'_ .,�, ,&ZA.12. Suite _ MEC _— Contact Person __ � � Ph( ) -7 Sd S_ PLM Contractor --___-- Ph(---) SWR BUILDING _ Teriahb4wmi, — ELC _ Footing— Foundation ELC ----� Fig Drain 9;34. ELR Crawl Drain _ _ Slab Inspection Notes: SIT Post&Beam Shear Anchors — — Exi Sheath/Shear Int Sheath/Shear ation Drywall Nailing Firewall 1� Fire Sprinkler _ Fire Alarm Susp'd Cei!',ng Z_Z_1��Y��L- — �..� �•. Roof �--'�7 In —�✓) ln/1 Other:_ — - Final A 'PA RFAIL ILI Post&Beam Under Slab Rough-In 7e Water Service - ��. ---• �,�►^ 2 _ ____ Sanitary Sewer Rain Drains - -- - - Catch Basin/Manhole Storm Drain — — Shower Pan f�f Other:_— — ---- - - -- Final PASS PART _FAIL — MECHANICAL Post&Beam Rough-In Gas Line d Smoke Dampers ----- —-- (z Final PASS PART FAIL --- -- ELECTRICAL _ — ,� Service m Rough-In a UG/Slab W Low Voltage Fite Alarm Final Pelt,spection fee of$��_— �__roquired before next ins PASS PART FAIL pection. Pay at City Hall, 15125 SW Flan Blvd. SITE _ Please call for reinspection RE' Unable to inspect_no socess Fire Supply Lini ADA 1 n (� Approach/Sidewalk atm-- _ —.- --_-_-- IesMolatr CJ` Other:_ F!nal DO NOT REMOVE this IMpeetba rM001!+fMn to jib slut L PASS PART FAIL BUILDING PERMIT CITY OF TIGARD _ PERMIT#: BUP2002-00426 DEVELOPMENT SERVICES DATE ISSUED: 10/1/02 13125 SW Hall Blvd..Tigard,OR 97223 (503)639-4171 PARCEL: 1 S134AD-06201 SITE ADDRESS: 10300 SW 14IMBUS AVE P-B SUBDIVISION: ZONING: I-P BLOCK: LOT: JURISDICTION: TIG _ PEISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION CLASS OF WORK: ALT FIRST: sf N: S: E: W: TYPE CF USE: COM SECOND: of PROJECT OPENINGS? TYPE OF CONST: sf N: S: E: W: OCCUPANCY GRP: B TOTAL APPA: 0.00 sf ROOF CONST: FIRE RET? OCCUPANCY LOAD: 100 BASEMEr4 r: sf AREA SEP. RATED: STOP HT: ft GARAGE: sf OCCU SEP. RATED: BSN f?: MEZZ?: READ SETBACKS REQUIRED FLOOR LOAD: psf LEFT: ft RGHT: ft FIR SPKL: SMOK DET: DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP ACC: BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING: VALUE: $ 80,000.00 Remarks: Tenant improvement, create small office. Owner: Contractor: 'ROBINSON, CONSTANCE A+ GUILD CONSTRUCTION ROBINSON, LYNN+ BELL, KAY ET 5215 SE F'-AVEI_ DR. BY INSIGNIA COMMERCIAL GROUP PORTLAND,OR 97206 BEHVERTON, OR 97008 Phone: 503-788-7778 Phone: 503-788-7778 Reg#: MET 0009g1014544 _ FEES LIC REQUI WINSPECTIONS Description Date Amount Framing Insp [BUILD] Permit Fee 10/1/02 $634.90 Gyp Board Insp Susp Ceiing Insp [BUILD]Permit Fee 10/1/02 $0.00 Final Inspection [TAX] 8%State"ra;. 10/1/02 $50.79 [TAX] 8%State Tax 10/1/02 $0.00 (additional fees not listed here) Total $1,352.34 —� IL This permit i5 issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes N and all other applicable law. All work will be done in accordance with approved pians. This permit will expire If work is not started within 180 days of issuance, or if worts Is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notificstion Center. Thee rules are set forth in OAR m 952-001-0010 through-OAR 952-001-0100. You may obtain a copy of these rules or direct questions to OUNC by calling (503) 9A6-6599 or 4 800-332.2344. LU Issued )r / --- Pe rm ittee Signature: Call 639-4175 p. .for an Inspection the next business day w - Building Permit Application City of Tigard Daterccelved: � e� Permit no.: Address: 13125 SW Hall Blvd,Tigard,OR 97223 Prolect/appl.no.: City of Tigard Phone: (503) 639-4171 Date issued: Ipt no.: Fax: (503) 598-1960 Case file no.: Payment type: — Land use approval: l&2 family:Simple Complex: ;L:I,Addi!i,o,n/alteration/repla(ement 1 &2 family dwelling or accessory ❑Commercial/industrial U Multi-family U New consink tion []Demolition Tenant improvement O Fire sprinkler/alarm ❑Otho.address: (O'S 0 U SW IAt MSJ S A vC-. �S 0 t-c Bldg.no.: Suite na: ' IAW _ 81ock: —subdivision: Tax map/tax lottaccount no.: $ Project name: 'tet;A Description and location of work o-i premises/special conditions: aJT t 17N1,�rn��n,1� '97,c^yf ,� Emma= Name: C-tut,Pa, �tSSn�• L..tno . i•.stit Mailing address: 10 t O S W �v% r, 11 L.\.3-- 1 alt 2 family dwelling: City 0 L State: Z1 7 Z 7_ Valuation of work........................................ $ Phone: Fax: E-mail: No.of hedrooms/baths................................. Owner's representative: M t AJTotal number of floors................................. _ i one: p Fax: Z -7413 E-mail: New dwelling area(sq.ft.) .......................... _ Garage/carport area(sq.ft.)......................... Name: (t �/6 Covered porch area(sq.ft.) ......................... Mailing ad, (� Deck area(sq.ft.) ........................................ City: QQ�-(�? _0 TL_ State: ZIP: v Other structure area(sq.ft.)......................... Phone: Fax:7Z S E-mail: Cot nmertial/Industrial/mn(tl-family: Valuation of work........................................ S$V�t�o� Business name:�t;' U 1 L D F.xisting bldg.area(sq ft.) .......................... _ oNt '/;rll;T in..� New bldg.area(sq.ft.) Address: $ it Number of stories........................................City; State: ZIP: Z - �?`-- Phone: 7"-77;7f Fax: - E-mail: Type of construction.................................. . --_� " ---- Occupancy group(s): Existing: CCB no.: p�LL�e._ /� •/ - r1 New: City/metro lic.no.: Notice:All contractors and subcontraclors are required to be 1 licensed with the Oregon Construction Contractors Board under Name: / �5 provisions of ORS 701 and may tv required to be licensed in the IL Address: jurisdiction where work is being performed.If the applicant is Address: )— �—�0�R— exempt from licensing,the following reason applies: City: State: )rz_ 'ZIP: rn Contact person: ;�� IU Plan no.: Phone:I-Z t4_ Fax:'ZJ •/t E-meil: J Name: Contact person: Ftes due upon application $ W Address: Date received: _ a City: State: 7,IP: Amount received ......................................... Phone: I E-mail: _ Please refer to fee schedule. I hereby certify 1 have read and examined this application and tht Nd all herixactk=amps cmdfr cards,rfew,call Imivactiae for mere Wrrr.Wkxt. attached checklist. All pro 'si of laws and ordinances governing this o Viss ❑Mastercard work will be complied they specified herein or not_;0/1 Credit card-amber:._,_. . fE Authorized signature: Date: 10 1 O NNW of rar&ok*r m shorva rn,:,edu a --- Print name: t w _ sipmtem s Atnoen. Notice:This permit application expires if if9rmit is not obtained within 180 days after it has been accepted a complete. 404613(16x1 ICOM) J` t. i Commercial Plan Submittal Requirement Matrix Qv of Tigard TYPE OF 6VBM!TTAL (Includes New, Addlftipns br,Alt Ceti Site Work 4 (must include location of all accessible parking) Plumbing - Site Utilities 2 Building Fire Protection 3** i' Mechanical 2 Plumbing - Building Fixtures 2 Electrical 2 a a� N Plan review is dependent upon submittal of a completed a plication .q[]_d plans. After plan review approval, the Plans Examiner will contact+ne - nplicant to request additional sets of plans for distribution purposes (for Contactor, City of Tigard, m Washington County, and Tualatin Valley Fire & Rescue). .j J *For over-the-counter commercial tenant improvements, submit 2 sets of plans. **"New" fire protection systems require that plans bear the original seal of an Oregon iicensed fire suppression engineer, or NICET level "3" technicians. 1Adsts%forrrrAC0M-mstdx.doc 9124101 Bulletin 111 M Model G lRecesseri CD C Automatic Sprinkler Li The Most Cainact, - " Attractive and Easily �,;,�.. � , ,*• Installed Sprinkler .. • - ' • r,.� Ever Designed. Features 1. 1'/z" Total adjustment provided bya adjustable inlet versions. 2. '/z" Total adjustment provided by economical standard inlet version. 3. Adjustable inlet version available with - - either 1" NPT male or female threads eliminating costly reducing coupling. =' '�- 4. Small diameter escutcheon. 5. Available in brass,chromeor white finish. 6. Multiple orifice sizes for design flexibility. The model G Recessed sprinkler's threaded two-piece ccnstruction makes initial field instillation a vel easy 7. Listed by Underwriters Laboratories osk. It allows r:eilings panels to be removed without Inc. & Underwriters' Laboratories of shitting down the fire protPcti,in thus facilitating mainte- nan;e of above ceiling services.The adjustable one inch Canada. Approved by Factory Mutual NM inlet versions have one and one half inches of Research Corp. Loss Prevention adjt stment which eliminates both the normally required p red icing coupling and the need to accurately cut drop Council, NYC BS&A No. 587-75-SA. nip)Ies. This sprinkler can be adjusted after the ceiling is i place and even while the system if pressurized ell ninating the final corrections to pipe hangers or ceil- ings that might otherwise be required. Today's modern buildings demand that a sprinkler not The Reliable Model G Automatic Sprinkler is the heart IL only provide the best fire protection but also achieve an of the Recessed Sprinkler. This sprinkler utilizes the at attractive appearance. Reliable's Model G Recessed center strut solder in compression principle of construc- t` Sprinkler meets both criteria. It combines the fire fighting tion.The fusible alloy,captured in the cylinder of a small U) capability of a proven sprinkler with the smallest practi- solder capsule by a stainless steel ball,acts as the trigger cable recessing unit. Its small profile does not disrupt the of the sprinkler When the fusible alloy melts, the sprin- overhead aesthetics,and yet one verticalglance upward klers operating parts spring free from the sprinkler clear- ® gives a visual assurance of the finest in fire protection, ing the waterway and allowing the deflector to distribute LU an automatic sprinkler system. the discharging water. The Rik At*,xmdc Sprh>I w Co.,ktc.,525 Nath Mac-Questen Parkway,Mount Vernon,New York 10552 S"Itler Maslrnurn f e11NV Standard Finishes' claaalflcatlon Ra—" Tem r"re Wriklair facul halon °F °C °F °C Bronze &ass - Ordir.ary 135 57 100 38 Bronze White Painted 85 74 100 38 Chrome Bright Chrome Bright Ordinary 1 Intermediate 2 5 tC150 68 Chrome Bright Chrome Satin Chrome Bright White Paknted Bright Brass PlatA t I 8rlpht&ass Platad Black Plr;m.; Blick Plated White Painted t21 Polyeatar Coated Polyester Coated taI pecial Finishes upon request. Only frame,deflector ar.d cap are plated (2)Only frame and deflector are painted or coated,operating parts are chrome plated.UL Listed and MEA Approved only. Total K Factor Approval Sprinkler Inlet Adjustment" Nominal Orifice U.& UetrNs Thread OrgenhaHons Non-Adjustable 1/2' 1/2'(15mm) 5.62 81.0 'f2'NPT(RI/2) 1,2,3,4.5 Non-Adjustable 1/2' 7/16"" 4.2d 61.0 '/i NPT(R 112) 1,3,4 Ncn-Adjustahle 1/2' 3rb' "r 2.82 40.8 '/2'NFT(R'/2) 1,3,4 Non-Adjustable 1/2' 11132"" 7.96 114.7 1/2'NPT(R 112) 1,3 Adjustable 1112' 1/2` 5.53 797 V NPT Male or Female 1,2,3,4 Adjustable liw Thar' 424 61.0 1'NPT Male or Female 1,3,4 Adjustahle _ 1Ile aro' ' 2.75 39.2 1'NPT Male or Female 1,3,4 Adjustable 1l/2° 15mm 5.53 1 797 R1 Male or Female 5 'Sprinkler escutcheon provides DTP of the total adjustment.Adjustet,K.inlets,when used,provide 1'of the total adjustment. (1)Identified by pintle extending above the deflector NPT Threads per ANSI 82.1 R1 Threads per 130 7/1-1982(BS 21:1973) Approval Orgenhudons t. ndrwriters Laboratories Inc. 2 r"armory Mutual Resnar^.h Corp. •Light Hazard Occupancies-No Limitations •Ordinary Hazard Occupancies-0roups 1&2,Wet Systems Only 3.Underwriters Laboratories of Canada 4.NYC BS&A No.587-75-SA 5.Loss Prevention Council Ordering Information •XLH,OHI and OHI I Occupancies Only Specify 6.NYC MEA 258-93-E 1,Temperature Rating 5.Sprinkler Type:Either 2.Nominal Orifice Non-Adjustable Inlet(Fig.1) Note: Unless otherwise indicated,ordinary hazard approvals are 3.Sprinkler Finish 1"Male Adjustable Inlet(Fi% 2) without limitations. 7/16"&3/8"orifice sprinklers are limited to light 4.Escutcheon Finish 1"Female diustabie Inlet r rg.3) hazard occupancies. WX vn•�rri`y a.rrcr I 1 � I � —�� „ f—i— 1 -�•— _WR' -- CL IV4 TJU LU �ti� TLJlJ '�.. -rvrtii-rsrtt I ��r � ��r I � ��:(J r+w.rn tnwc Mewlr `''' caw• .r�i. .- _ l 'IV NPT Non-Adjustable Inlet 1"NPT Male--Adjustable Inlet I"NPT Female-Adjustable Inlet Figure 1 Figure 2 Figure 3 2. lip Product Description and Installation The Reliable Model C Recessed Sprinkier has been When using the wrench in this application,,however,do designed with ease of irstailation in mind. A choice of not over-torque beyond the adjustment stopa. three inlets with up to one inch adjustment coupled with Figure 4 shows a '/2"NPT non-adjustable inlet sprin- the '/z"escutcheon adjustment enables most system to kler, with the attached sprinkler cup combination in- be installed using pre-cut drop nipples. The adjustment serted into the special Reliable Model RC-1 Installation can be accomplished after the ceiling installation and Wrench.This wrench must be used.The wrenching pads while the system is pressurized thereby providing sprin- of the sprinkler easily, slip into the rectangular cut-outs of kler protection before construction is completed. the wrench as the ouL.;ode diameter locates the threaded The Non-Adjustable inlet version(Figure 1)cor, s of cup. A Yz"drive ratcher can then be used for installation the Reliable Model G Sprinkler with an attar ,, cup and tightening. recessed in the ceiling. A ceiling hole of 2 '/4"diameter Figure 5 shows the removal of the wrench.Care should is recommended. be taken during this procedure to avoid hitting the de- The Adjustable inlet version uses the same sprinkler as flector with the wrench. The wrench should be lowered the Non-Adjustable inlet type except that 1'of additional until it clears the threaded cup,and then moved horizon- adjustment is provided by a telescoping sprinkler inlet tally to clear the sprinkler. The installation is completed section that threads in or out of a stationary Coupling by threading the escutcheon on until contacts the Reducer(either 1"male or 1"female)as shown in figures ceiling, To avoid leaving smudge marks on the ceiling, 2 or 3. The Sprinkler-Cup assembly comes attached to the Reliable Model F A Flush Sprinkler Exutcheon the inlet Coupling Reducer and is retained from separa- Wrench should be used. See Bulletin 205 for details. tion past its maximum adjustment length by a snap ring. This combination is simply installed after the system drop nipple, elbow or tee has been "roughed in" to the Note: dimensions shown in figures 2 or 3. Wrenching means are provided by hex flats on the coupling reducer as 1.Use hex wrench flats Coupling Reducer to tighten depicted in the figures-do not wrench on any other part Adjustable Sprinkler into fittings. Do not use RC-1 of the sprinkler After the ceiling tiles have been out and Wi 9nch for this purpose. installed in place(a 21/4"diameter hole is recommended), 2. Do not install the Model G Recessed Sprinkler in the sprinkler can be adjusted using the RC-1 Concealed ceilings which nave positive pressure in the space Wrench. above. S r a f- U) JED a U1 J Figure 4 Figure 5 3. ReliablestatisFor Complete Protection Reliable offers a wide selection of sprinkler components. Following are some of the many precision-made Reliable products that guard life and property from fire around the clock. • Automatic sprinklers • Deluge valves • Flush automatic sprinklers • Detector check valves • Recessed automatic sprinklers • Check valves •- Concealed automatic sprinklers is Supertrol electrical system • Adjustable automatic sprinklers • Sprinkler emergency cabinets • Dry automatic sprinklers • Sprinkler Wrenches • Intermediate level sprinklers • Sprinkler escutcheons and guards • Open sprinklers • Inspectors test connections • Spray nozzles • Sight drains • Alarm valves • Ball drips and drum drips • Retarding chambers • Control valve seals • Dry pipe valves is Air r naintenance devices • Accelerators for dry pipe valves • Air compressors • Mechanical sprinkler alarms • Pressure gauges • Electrica; sprinkler alarm switches • Identification signs • Water flow detectors • Fire department connection a oc N ' The equipment pr(sensed in this bulletin is to be installed in accordance with the latest per**M Standards of the National Fir Protection Assmistion,Factoryklutual Research m Corporation,or ott,,r simdtlr organizations and also with the provisions of governmental codes or ordinances whenover al:ollcable. Products manufactu,ed and distributed by Reliable have been protecting Iffe and prop"for over 70 years.and are installed end serviced by the most highly qualified and W reputable Sprinkler co itractors located throughoir.the United States.Canada and foreign countries. Manufactured by The Reliable Automatic Sprinkler Co..Inc. ®ftmw POW ® (800)431-1588 Solea oflfcet) !f .��!', (9041848-0051 888.3470 Coles Fax ixporete Offices RRvislon 9nea 1,docs updated Printed Inor data. mlpp..,m9w* inkwr.cw Internet Address PIN 9PM70" CITY OF TIGARD ELECTRICAL RESTRICTED EN RIGY DEVELOPMENT SERVICES PERMIT#: ELR2002-0022; 13125 SW Hall Blvd..Tlaard.OR 97223 (503)639-4171 DATE ISSUED: 10/17/02 SITE ADDRESS: 10300 SW NIMBUS AVE P-B PARCEL: 1S134AD-06231 SUBDIVISION: ZONING: I-P BLOCK: LOT: JURISDICTION: TIG Prolect Description: l ow voltage for voice and data cabling. A.RESIDENTIAL B.COMMERCIAL AUDIO&STEREO: AUDIO&STEREO: INTERCOM& PAGING: BL'IGLAR Al_ARM: BOILER: LANDSCAPE/IRRIGAT: GARAGE OPENER: CLOCK: MEDICAL: HVAC: DATA/TELE COMM: X NURSE CALLS: VACUUM SYSTEM: FIRE ALARM: OUTDOOR LANDSC LITE: OTHER: HVAC: PROTECTIVE SIGNAL: INSTRUMENTATION: OTHER: _ TOTAL*OF SYST • 1 Owner: Contractor: ROBINSON, CONSTANCE A + NETVERSANT CASCADES INC ROBINSON, LYNN+ BELL, KAY ET 9020 SW GEMINI DRIVE BY INSIGNIA COMMERCIAL GROUP BEAVERTON, OR 97008 BEAVERTON, OR 97008 Phone: 503-646-0533 Phone: 503-646-0533 Reg 9: ELE 34-258CLE LIC 4238 SUP 2867JLE FEES Required Inspections Description Date Amount Low Voltage Inspection (ELPRMT) ELR P.miit 10/17/02 $75.00 Elect'I Firal (TAX) 84io State Tax 10/17/02 $6.00 Total $81.00 This Permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable laws. All work Nall be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for r,:lre than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Cpr.'er. Those rules are set forth in OAR D. 952-001-0010 through OAR 952-001-0100. You may obtain copies of these rules ordinsct questions to OUNC at(503) 246-6699. Issued by � �� Permittee Signature :2 _ _OWNER INSTALLATION ONLY _ OD The installation Is being made on property I own which Is not intanded for sale, lease, or rent. C9 W OWNER'S rIGNAYURE: _ DATE: CONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR. ELEC'N: DATE- LICENSE NO: Call 6394175 by 7:00 P.M.for an Inspection needed the next business day ii 10/14/2002 10: 13 FAX 503 641 8813 NetVvisant Caorndea, Inc Q001 EleCtricsJ Permit Apglieation Date received: 10 1(0-Q pbrtnitno��-fib 3 • i'mject/appl.ao.: Elxpiredale: City of Tigard � �' �, Date iawed: B Receipt Cirynj7igard Address: 13125 SW Hall Blvd. — Pttone: (503) 639-4171 { / ease Ink no.: payment type: r,mx: (503) 598-1960 00 Land ttse approval: 7(31 &2 family dwelling or accessory omttleraiaUindustrial U Multi-family U Tenant improvement New construction L]Addition/alten►tion/replacement U Other. U Partial r Bld no.: Suite rto.:P Tax map/tax lot/account no.: Job address: b 1/.S —�-- -- - - Lot: _ Bloch: Subdivision:_ rt�� N Project name: Descri on and location of work on premises:v 0 l'�� T�_ _.tatimated date of cum letlott/im on: !4e tilaA Job ao ;,��1. � ea. TaW aa. Business name e{'UefSCtK4�EfS ' bVewrealdalddld-ahrgleser Par C` 'AddM3s: t{Q 5 W "N i Nl 6_ - 4wellittgtsAY.lecldasstaadtr�tt+�+�'r• �a. City: V t'l State:CP- ZIP:q 9 6 SIMI" y_�--. ,a IOtp sq.fL oilers -- �I Phone:rjQ3 b 4 b 0S.;3 Fax:by - tc)3 &mail: i�� / t, Bace.ddidrr,sl sou w.R or onion theroof CCB no.:()0�/7Z3 - Elec.bus.tic.no: Umitedenugy,residential f" etro lic.no.: 006 35 - -" -/" Umitedenerpr,non-te�tdentinl 2 Fach manureelunid tonne or modular dwelling =�- Service and/or feeder 2 SI oflttperv' t electrician regut-� �aw 9erHenorfeaden-bwwlatloo, Sup.elect eater(print): IJcsnse too:' sitarzoan or relecOm 200 amp!or leas 2 201 amps to 100 amps 2 Name(print): — 401 Imp to 600 UNIPs 2 Mailing address: _ __ ___ titin to 1000 2 State: ZIP: over 1000 or volts 3 City: �_ —m------- -'wy I Phone: rax: Email: TeswReconact, reed Owner installation:The installation is being made on property 1 own T °fary� � `*" taalaMdlaa,dllratioa,or rel+catlorn which is not intender'for salt;,lease,rent,nr exchange according to 200 amps or lea 2 ORS 447,455,479,670,701. 201 maps to 400 2 Owner's si ature: Date: _ 401 WIN 2 sraneb ehvdb-save,eltenttloa, Wr arisen*-par garlal. Name: A. P"for Irtnch do uits with purrh-e of Add _ uavice or reader fie,each brunch circuit 2 City: Stec: ZIP--` B. Fee f r branch dtwir without purchase 2 of service or feeler fee.first branch circuit: Q. Phone: Fax: E-mail: Each additional branch circuli: ( MW.(!¢ervlte er ieeMrtaet 1 (- Each a or irri rm circle 2 N OStxviceover 24Samps-eortnwicial ORealth-aeWlity 2 O Servirf over 320 smp!-r,•,r nR of I dc2 U Havudous location Bach a' n or oatline Ii htln�r hmilydmellings Q Building ov-10.000squmketfoaror Signeleircait(a)oralimitedenergy pa"I. _ 2 U System over 600 volts nominni more residential units in one structure alteratiorn tv exkmi� S Q 13 Building over thrx poria U Feerlen,400 amps or more *Description:_ (; U 0,cupruo brad over 99 persons U Msnufacturod stntctures or RV park 1t,eci n"ilaral lropoetion over the allowaW is say sf M a uva W U EgressAightingPlan U pdtm: --- - pains on — — J Subtak_rets of pLvm w11h any of tbe,rbove. Invatlgation fro 'Itis above are mot appBcable to tempotuy eoeatructlon"vice. + Permit fee.......... ...$ �S•4 _� V11 )atsdicticwr assrytr credit arsc oltiae can)adsatetim oar mere idbrnman. Notice:This permit applies on Plan review(at — %) S VIlr. U MasterCard expires if a permit Is"tot obts�ined oa0`1 9931 el O . within 190 days aper it has been State stucharge (896)....$ Crept card eambet. Q Ra pL+CEpICd gl ern[tplt;to, TO i AI. .......................% SI.,(1j) -- --' r Mf L1Nr 1 u s 1 0 O Aanomt 44p-Ib13(dl00tt701rt) CITY OF TIGARD 24-Haur BUILDING Inspection Line: (503)636-4175 . INIPECTION DIVISION Business Linc: (5f,.')6394171 BUP UP — Received ._ Date Requested AM PM OUP Location 3 d _ _,1� �-� —Suite MEC Contact Person Ph(—) 130 - 1-7 O 7 PLM _ Contractor Ph( ) —_ _ SWR — _ _— BUILDING Tenant/Owner _ ELC _ Footing ELC FoundationAccess: Ftg Drain ELR Ado 0--0-4—A Crawl Drain Slab Inspection Notes: 1p� 94ev SITPost&Beam - r Shear Anchors _ — Ext Sheath/Shear Int SheatIVShear Framing --- Insulation Drywall Nailing - -— Firewall Fire SprinklerT-7 2x::4,,a e Ap^ c;2 sca.4r- -- Fire Alarm IF Susp'd Ceiling - Roof Other: —` Final - ------ PASS PART FAIL PLUMBING Post&Beam— Under Slab Rough-In Water Service — Sanitary Sewer Rain Brains — — Catch Rasin/Manhole Storm Drain Shower Pan Other- Final therFinal PASS PART FAIL MECHANICAL _ Post&Beam T Rough-In --- -- Gas Line IL Smoke Dampers — — Final H PASS PART FAIL -- ELECTRICAL _ Service -� Rough In m LIG/Slab i Low Voltage W Fire Alarm PART FAIL F-1 Reinspection fee of$_ required before next inspection. Pay at City Hall, 1-125 SW Hall Blvd. SITE F] Please call for reinspection unable to inspect.-no access Fire Supply Line ADA "1 Approach/Sidewalk Date.//7 -" a,6� ____-- 1111ipwd4o� ----1 �•7 --- --------- rid Other: Final DO NOT REMOVE this IR11111MOVOR rOM ft*M the job sits. PA89 PART FAIL w CITY OF TIGARD MECHANICAL PERMIT DEVELOPMENT SERVICES PERMIT 0: MEC2002-00442 13125 SW Hall Blvd.,Tigard, OR 97223 (503)639-4171 DATE ISSUED: 10/23/02 PARCEL: 'IS134A34AD-06201 SITE ADDRESS: 10300 SW NIMBUS AVE P-B SUBDIVISION: ZONING: I-P BLOCK: LOT: JURISDICTION: TIG CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS: TYPE OF USE: COM UNIT HEATERS: VENT FANS: 1 OCCUPANCY GRP: 13 VENTS W/O APPL: VENT SYSTEMS: STORIES: BOILERS/COIIIPRESSORS HOODS: FUEL TYPES 0 - 3 HP: DOMES. iNCIN: LPG 3 - 15 HP: COMML. INCIN: MAX INPUT: 32,000 BTU 15-30 HP: REPAIR UNITS: FIRE DAMPERS?: N 30-50 HP: WOODUTOVES: GAS PRESSURE: M 50+ HP: CLO DRYERS: FURN < 100K BTU: AIR HANDLING UNITS OTHER UNITS: FURN >=100K BTU: <= 10000 cfm: > GAS OUTLETS: 10000 cfm: Remarks: install 3 roof top units and install a exhaust fan in the men`s room. Project valuation: $4,526. Owner: FEES ROBINSON, CONSTANCE A + Description Date Amount ROBINSON, LYNN+ BELL, KAY ET [MECH]Permit Fee 10/23/02 $72.50 BY INSIGNIA COMMERCIAL GROUP [MECH]Permit Fee 10/23/02 $0.00 BEAVERTON, OR 97008 [ME('PLN] Plan Rev 10/23/02 $18.13 Phone [MECPLN]Plan Rev 10/23/02 $0.00 Contract jr: [TAX]8%StateTax 10/23/02 $5.80 -- — [TAX]9%StateTax 10/23/02 $0.00 HUNTER DAVISSON INC Total $96.43 3410 SE 20TH PORTLAND,OR 97202 REQUIRED INSPECTIONS Phone: 503-234-0477 Gas Line Insp Mechanical Insp Reg 4: 01612 Mechanical Insp Mechanical Insp Mechanical Insp Final Inspection a ot: rn 3 a This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore.Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not starter± vAthin 180 days of issuance, or if work is suspended frx more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted In the Oregon Utility Notification Center. Those rules are set for-th in OAR 952-001-00 ISSL4 By: t Permittee Signature: � '1 �— Call(503 94175 b;7:00 P.M.for Inspections needed the next business day Mechanical Permit Application / Datereceived: l0 4 y' Permit no.: ►M jG�� - Y L Cityof Tigard • g ProjecUappl.no.: Expire date: City(4Tigard A(,dress: 13125 SW Hall BIVA, Y Date issued: By: Receiptno.: Phone: (503) 639-4171 -- — Fax: (503) 598-1960 OCT - r) 2002 Case file no.: Payment type: Land use approval: T 4�t f tie fillL1141 _ Building permit no.: � U I &2 family dwelling or accessory U Commercial/industrial U Multi-familyTenant improvement U New construction U Add ition/alteration/replacemenl U Other:_ ____ W9110 M 10 its&111 -Rai I LUgkjjjL&= Job address: ?) 3r)0 �f/bSV _V� Indicate equiprnent quantities in boxes below. Indicate the dollar Bldg.no.: (lr/i/IJ��, /' Suite no.: S(j,I f value of all mechanical materials,equipment.labor,overhead, Tax map/tax lot/account no.: prott.Value$ O ,�SUD_ Lot: — Block: Subdivision: •See checklist for important application information and Project name: jt11e )11Jfo P S(/lr 'T^�, TSVjurisdiction's fee schedule for residential permit fee. IRENE City/county: 9 7 �3 _ Description and location of work on premises: 1.�_._j 4 L (I1J,I S DUCT fills/fr`S 1 ee(ea.) Total I?st.date ol'completion/inspection: �f. f- Q� Dexdpdm Res.oni Res.oni Tenant improvement or change of use: Air handling unit _ CFM _ ;s existing space heated or onditioned?AYcs ❑No Air conditioning(site panregw-e� ` Is existing space insulated? Yes U No Alteration of existing HVAC system of er compressors - Busitteae name: \Sp (Jd'Stk� OC State boiler ptrrnit no.: HP Tons BTUM Address: 1900 SF P fSNI^3(o Fire/smo c araper smoke detectors City: 1i(M.v3 I State: ZIP: 9)doj ileat pump(site plan requt Phone: 0 I Fax:13L/ 2-1" 1 E-mail: nsta rep ace f u m a c c1b urner H1 U1H Including ductwork/vent liner U Yes U No CCB no.: Q/6 f nsta /replac relocate heaters-suspen , Cit /metro lic.no.: /S .� _ _ wall,or floor mounted Name(please print): f1/F Ct�v.�l; ant or n lance other than urnace e erect . Absorption units BTU/H Name: f'ib �� Chillers__ __ HP Address: FI�'SNi��(, Com ressors HP n ronmenta exhaust■ ventilation: City: (A..n State: ZIP: /�O _ Appliancevent _ Phone•= ' (ol I Fa 1 E-mail: )ryerexhaust I�oc�s 'types res,kite a azmai hood fire suppression system Name: ter SOC . 1 C ,jkl ff6tJ1 A Exhaust fan with single duct(bath fans) d Mailing address: /V)((0, Sq ffE k] Exhaust systema an from heating or AC _ OG Cit state: 7aP: 1a 3 Fuel piping a distribution(up to out ets F- y: 5[AN Type: --LPG NO oil to Phone: '1 S( Fax: E-mail: Fuel piping each additional over 4 out its Process piping(sc ematic required) Numb.:� Name: /u��T lFe - T—Y)[i/.SJ'el� . Other l le- o(o l T t appliance race^or equipment: m Address: o Decorative fireplace (? City: le A,� State: ZIP: p Tnsert-type _ U.1oadstov pel let stove -� Phone• " 1 Fax: IdJf 1 E-mail: - er: Applicant's signature: Date: _ Name (print): Not all Jurisdictions accept credit cards,please call jurisdiction for more infortmtion. Permit fee.....................$ Notice:This permit application Minimum fee................$ IM,S2— U Visa U MasterCard expires if a permit is not obtained Credit card number: _ Plan review(at ._ 9h) $ within 190 days it has been �" Expires y State surcharge(896)....$ Name of cardholder Rs shown on credit card $ accepted as complete. TOTAL .......................$ _ C�-dholder 11ratum AnwW 4444617(6i WOM) MECHANICAL PERMIT FEES COMMERCIAL FEE SCHEDULE: 1 & 2 FAMILY DWELLING FEE SCHEDULE: TOTAL VALUATION: PERMIT FEE: Destxlp : PAN Total $1.00 to$5,000.00 Minimum fee 172.50 '- Table 1A Mef�lsnicsi Code S Amt $5,001.00 to$10,000.00 $72.50 for the first$5,000.00 and 1) Furnace to 100,000 BTU E 51.52 for each additional$100.00 or Includingduds&vents 14.00 fraction thereof,to and Including 21 Furnace 100,000 BTU+ _ $10,000.00. indudin duds&vents 17.40 510,001.00 to 525,000.00 $148.50 for the first$10,000.00 and 3) Floor Furnace $1.54 for each additional$100.00 or Including vent_ 14.00 fraction thereof,to and Including 4) Suspended heater,wall heater $25,000.00. or floor mounted heater 14.00 525,001.00 to$50,000.00 $379.50 for the first$25,000.00 and 5) Vent not Included In appliance permit $1.45 for each additional$100.00 or 6.80 fraction thereof,to and including 6) Repair units $50,000.00. 12.15 $50.001.00 and up $742.00 for the first$50,000.00 and Check all that apply: Boiler Heat Air $1.20 for each additional$100.00 or For Items?41,see or Pump Cond fraction thereof. footnotes below. Comp Minimum Permit Fee$72.50 SUBTOTAL: 7)100K absorb unit s to t00K 9TU 14.00 8%State Surcharge $ 8) 15 k to 500,5001,BTU_ unitt 100k t 2560 25%Plan Review Fee(of subtotal) 9) .5.1 HP; sorb s Requlred for ALL commercial permits only unit .5.1 mil BTT 35,00 I I - - 10)30-50 HP;a)sorb TOTAL COMMERCIAL PERMIT FEE: f _ 52.20 _- unit 1-1.75 mil BTU unit>1.75 mil BrU 87.20 ASSUMED_VALUATIONS PER APPLIANCE: 12)Air handling unit to 10,000 CFM 1000 Value T 13)Air handling unit 10,000 CFM+ Description: U otal Ea Amount 17.20 Furnace to 100,000 BTU,Including 955 14)Non-portable evaporate cooler ducts&vents 10.00 Furnace>100,000 B'U including2 1,170 15)Vent fan connected to a single duct ducts&vents v _ 6.80 Floor furnace Including vent 955 _ -_- 161 Ventilation system not included In Suspended heater,wall heater or 955 appliance permit 10.00 floor mounted heater 17)Hood served by mechanical exhaust Vent not included In appliance v 445 10.00 .permit 18)Domestic Incinerators Repalr units � _.`805 _ 17.40 <3 hp;absorb.unit, 955 t100k BTU 19)Commercial or Industrial type incinerator o _ _ _69.95 3-13 hp;absorb.unit, 1.700 20)Other units,Including wood stoves 101k to 500k BTU _ _ __. 10.00 15-30 hp;absorb.unit,501k to 1 2,310 21)Gas piping one to four outlets mil.BTU _ _ 5.40 _ 30-50 hp;absorb.unit, 3,400 22)More than 4-per nutlet(each) Q, 1-1.75 mil.BTU _ 1.00 a >50 hp;absorb.unit, 5.725 Minimum Permit Fee$72.50 SUBTOTAL: $ F- >1.75 mil.BTU _ Air handling unit to 10,000 dm 656 - -- 8%State Surcharge $ r _Air handling unit>10,000 dm 1,170 _T JC Non-portable evapora4cooler 656 TOTAL RESIDENTIAL PERMIT FEE: m Vent fan connected to a single dud 446 Vent system no(Included In 656 C9 appliance permit __ _j Hood served b mechanical exhaust 656 s2thsrlmwc on Idles: � Domestic Incinerator _ __�1 17Q t Intpedlona outside of normal business hours(minimum r�arge•Awo trours) _ $82.50 per hour. Commercial or Industrial incinerator 4,590 2 Inspections for which no fee is specifically indicated (minimum charge half hour) Other unit,Including wood stoves, 656 $82.50 per hour inserts,etc. 3 AddRional plan review requi ea by changes,additions or revisions to plant(minimum Gas 1 ingl-4 outlets _� 380 charge-one-half hour)$82 50 per hour Each additional outlet s 63 - `State Contractor Boller Certlfteadon required for units 5-206k BTU. TOTAL COMMERCIAL S "Residential IX regeires aka plan showing placement of nM, VALUATION: All New Commercial Buildings require 2 cots of plans. i:klsts\forms4nech-fees.doc 92/11/02 Physical data UNIT SIZE 48GS 019040 024040 024060 030040 030080 038060 036090 o429eo 042960 NOMINAL CAPACITY(ton) 1-1/2 _ 2 2 2-1/2 2-f/2 3 3 3.1/2 3-11 OPERATING WEIGHT(lb) 249 280 280 1 280 1 280 1 314 1 314 355 355 COMPRESSORS Reciprocn*V 0usntfty _ 1 UFR^ (R-22) Illy(115, 2.8 3.6 3.b 3.95 3.65 13.75 3.75 6.7 5.7 REFRIGERANT METERING DEVICE. Act#m w Dievloo Orifice ID(in.) .034 .034 034 .034 .034 .032 .032 .034 .034 CONDE SER COIL 1-17 1-17 1-17 Res-Finslin. 1-171-17 1-17 !-17 1--17 1-17 Face Area(eq ft) 6.1 9.1 9.1 9.1 9.1 9.1 9.1 9.1 9.1 CONDENSER FAN 4Q00 2400 2440 2400 2400 3000 3000 3000 30x10 Nominal C1m 22 22 22 22 22 22 22 22 22 Diameter(in,) ) ( ) ( ) ( ) ( ) ( ) ( ( ( ) Motor Hp(Rpm) 118(825 1/8 825 1/8 825 1/8 825 1/8 825 1/4 1100 1/4 11 1/4 11 1/4 1100 -EVAPORATOR COIL Row"naM• 2--15 2-16 2-15 2-15 2-15 3-15 3-16 4-15 S*-15 Face Area(sq ft) 3.1 3.1 3.1 3.7 3.7 3.7 3.7 3.7 3.1 EVAPORATOR BLOWER slAiifiow(Clm)ire 600 800 S00 1000 1000 1200 1200 1400 1400 61"0n. 10x10 10x10 10x10 10x10 10x10 11x10 11x10 11x10 11x10 S (I Motor p),-RPM'S 1/4(876) 1/4(1076) 1/4(1076) 1/4(1076) 1/4(1075) 1/2(1075) 1,2(1076) 3/4(1075) 3/4(1076) FURNACE SECTION' Burner Orifice No.((My-Drll!Sin) Natural Gas 2-44 2•-41 2-38 2-44 2--8 2--8 33--m 2--8 3--B Burner Orifice No.(Oty-Drill Sins) Propane Gas 2--60 2--60 1 2-48 2-48 2-46 3-48 2-48 3---48 RETURN-AIR FILTERS(In.)t Throwaway Size 20x20YI 29,1;20 20x20x1 20x20x1 20x20x1 20x24x1 20x24x1 20x24x1 20x24x1 UNIT SIZE 48GS 048090 048116 048130 060090 060115 060130 NOMINAL CAPACITY(ton) 4 4 4 s 6 5 OPERATING WEIG"T(lb) 415 415 415 450 450 450 COMPRESSORS Scroll Reciprocating Quantity 1 1 REFRIGERANT(R-22) Ouentity(Ib) 6.0 6.0 6.0 8.0 1.0 - 8.0 REFRIGERANT METERING DEVICE Acutroll'Device Orifice 10(In.) .032 .032 .032 .030 .030 .030 CONDENSER COIL Rows-Flnalin. 1-17 1-17 1-17 2-17 2-17 2-17 - Face Area(sq R) 12.3 12,3 12.3 12.3 12.3 12.3 CONDENSER FAN NominalCfm 3600 3600 3800 3800 3600 3600 Diameter(in.) 22 22 22 22 22 22 Motor Hp(Rpm) 114(1100) 1/4(1100) 1/4(1100) 1/4(1100) 1/4(1100) A(11001 EVAPORATOR C0,1 Row$-flna/in. 3-15 -15 3-15 4-15 4-15 4-15 Fa^,e Area(sq fi) 4.7 4.7 4.7 4.7 4.7 4.7 EVAPORATOR BLOWER Nominal Alrflow(Cfm) 1600 1600 1600 2000 2000 2000 Siae(in.) 11x10 11x10 11x10 11x10 11x10 11x10 Motor(HP)-RPM's 314(1075) 314(1076) 314(1075) 1.0(1075) 1.0(1075) 1.0(10;5) FURNACE SECTION' Burner Orifice No.(Oty--Drill Size) Natural Gas 3--38 3-113 111 3-38 3-33 3-31 Sumer Orifice No.(0ty-Drill Size) Propane Gas 3--46 ?--42 :-4 i 3--1ri 3--42 3�1 RN-AIR FILTERS(In.)t Throwaw Size 24x30x1 24x30x1 24x.Ox1 24x30x1 24x30x1 24x3Ox1 ©ased on altitude of 0 to 2000 feet. fi Requlred filter sizes shown are based on the larger of the ARI(Air G,:ndltloning and Rofrigeinlion!nslitute)rated cooling airflow or the heating alr- I11)w velocity of 300 ft/min for throwaway type or 450 ft/min for high-capacity type.Air filter pressure drop for non-standard filters must not exceed O 08 in.wg. 5 613 Base'unit dimensions --• 48GS018-042 I1;:01I! � N.1 1 If.NI malar rW1(e 111 awr wrrlr ahtr MILLI_L_ ut1..e N1.1 (� nr lbl, 19 NI.I I� 0►t 1w a1r�w =_ F - I�I�OLL!!�� •. ,►u1w eiiilw p��(0l ! In01 I10111[i!wn PC 1 f 1 1,.111 tlw. COIL• IrN.COIL -1 TOP VEW NEAR VEW REQUIRED CLEARANCE TO COMSUITNILE NIATL INf� B I EOUNIED CLEARANCE FOR OPERATION AND SERVICING RICHES Owl 1 TOP 4F UNIT............. _.................................................»...........14.00 .E1 EVAR COIL AIX F.W£SIDt:..................................._.......................50 00 4 DUC"-IDE OF I1NII............................................»...».........».........2.00 50 x POWER ENTRY SIDE.....»............................. .._..-....._..»_.......5x.00 14A SIDE OPPOSITE DUCTS.........................................._....................14.00 ((EEXXCEPT FOR NEC REQUIREMENTS) BOTTOMOF UNIT............................................................_...............0.60 12.7) UFNT TCP........._........ .................... ..._:._......»._.... .. >I.ECT.110 HEAT PANEL................................................................36.00 14.4) 810E OPPOSITT DUCTB................................. ............_.__.......56.0011.01 DUCTFYI/SEL.................................................................................12.00 . NEC.RFOUIREO CLURANCES. *MINIMUM LESS THAN It00 p ,q FROM p� puwur UNI' ANL+UNGRS Po ED E FR NIRY SIDE POWER ENTRY SIGE 00�9 11 WALL ,T SYSTEM, F O THEN SYSTEM PS: F UNIT 18 ERFORMANCE RMANCE MAYEW CCMPROANBE. UNIT ANG BLOCK OR CONCRETE WALLS AND OTHER GROUNDED SURFACES,POWER ENTRY SIDE.........................42.00 110!x.111 LEGEND CG Center of Gmity CORD•Condensor EVAP-Evaporator NEC-National Electdcal Code REO'D-Required NOTE:Dimensions are In In.Imm) IN.f II III IN., r ue unr ftivut►ars! [;in tl 1 I1.1I1�1 Mil � I t.1 toNIU.I0. car=II unlr f a 11! c �ft,lll F � 1 It11.1 Nl.t I ��71 its. II�I1 Il.itl 4 N%1 I11N Nilo I tt.t �-I!J 11.NI r.r.r 11.1 a�l1i a a: rf1 n.117 4, 1"csic n 1 Mid r'R+� ,:" - ltl.! 1 it ll K°i€li:Ntl n.l4 w nm J illi!I _ ie:Sn ii rn co lit LEFT SIDE VEW FR01VT VEW FEW SVE VIEW UNIT ELECTRICAL GHARACTERISTIGS UNIT W7. UNIT HEIGRT CEKTER OF GRAVITY WIN LBS. KG. 'A' X v Z 48GS018040 — 208/230-1-60 249 112.9 885.5[35.2] 508.0[20.01 968.6114.01 318.0[15.01 48GS024040/060 208/230-1-90 280 127.0 889 -[35.021 671.6,22.51 330.2[MOl 381.(495.01 48GS030040/080 280/230-1-60,208/230-3-M 280 127.0 889.5[36.02] 546.1;21.5j 349.3113.751 381.0[15-0] 40GS036060/090 20FI/230-1-60,2(18 ID-3.60,490-3.80 314 142.4 880 5[35.02] 571.5122.51 355.9[14.0] 330.2[13.01 48GSO49060/090 208!230-1-60,208/230-3-60,460,4-SU 355 161.0 885.6[35.021 548.1[21.5] 342.9[13.5] 330.2[13.0) 8 Ole CITY OF TIGARD 24-Hour BUILDING Inspection Linc (503)639-4175 • JIM- INSPECTION DIVISION Business Line: (503)639-4171 MST -- / 1-.L--- BUPRecRlved Date R nested F AM pM BUP Location .—.- -- --�Q -- SuiteME '� q Contact Person --_ '-Q�'t'+'`� ph( ) S� _� ?_3 AA _ Contractor-, _-__-- _ Ph( ) SWR BUILDING Tenant/Owner — ELC Footing - - Foundation EL,C Fig Drain —' Crawl Drain ELR Slab Inspection Notes: SIf Post&Beam Shear Anchors _ Ext Sheath/Shear _ Int Sheath/Shear _ Framing Insulation Drywall Nailing r _ Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling - - Af - Hoof - Other: --- zli - Final -- -- -- PASS PART_FAIL PLUMBINGt Post&Beam - — Under Slab Rough,In Water Service _ Sanitaiy Sewer -- Rain D�alns Catch Basin/Manhole Storm Drain _ Shower Pan Other: Fina! _--- _- PASS PART FAIL MECHANICAL _ Post R Beam - Rough-In Gas Une H - y ZPART FAIL RICAL — -- J Service M Rough-In _ 5 UG/Slab W '-ow Voltage '=ire Alarm Fina! PASS PART FAIL R��t'on fee Of s--_ required before next inspection. Puy at Cky 04911, 131T_!5 3W Hnll Blvd. __SITE Phase CON for reinspection RE: - n Unable to inspect-no aeons Fire Supply Line ADA 91 Approach/Sidewalk p440 1 � a �f letaspeetor_ v(. � Other: Final DO NW MEMM U&IINposoOw re Mr 1Mr11 t"Ift g%& PASS PART FAIL CIT. %1ING 'IGARD 24-Hoi► Inspection Line: (503)6314176 INSPECTION DIVISION Business Line: (503)6344171, . MST r SUP Received _ Date Requested-/ - U AM PM BUP _ Location �y_3vU Sw /y�u„�f�r �, & -suds— Q MEC2- Contact Person _fecz,. Ph(_ ) 7S0 "SZ PI.M Contractor— Ph(- ) awn BUILDING _ Tenant/Owner .__ _ ELC Footing Foundation Access. ELC Ftg Drain ELR Crawl Drain -- Slab Inspection Notes: SIT Post&Beam , Shear Anchors Fxt Sheath/Shear Int Sheath/Shear ' Framing Insulation Drywall Nailing -- _ Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling - Roof Other: - - -. Final PASS PART FAIL - - - PLIJMBIN4�� Post&Beam Under Slab Rough-In Water Service - Sanitary Sewer Rain Drains Catch Basin/Manhole Storm Drain — Shower Psi) Other: _ ----- Final _ 0&PAS_S___PART FAIL Beam 4 Gas Lif�' Ix Smo ampers - H to PART FAIL - - TRICAL Service --�� to Rough-Ir C9 UG/Slab W� Low Voltage Fire Alarm - -�- -' Final Reins ion fee of$ PASS PART FAIL required before next inspection. Pay at CRY Hall, 13125 SW Nail Blvd. SITE Please call for reinspection RE:__ _ F1 Unable to inspect-•no looses Fire Supply Line ADA l(� / ?� u r Other: h/Sidewelk ��--- �-�-, IneP��oir----I--�-��-_ ed _ Other: Final DO NOT REMOV!this IMP"6011 Meord ftlM the fob slb. PASS PART FAIL CITY OF TIGARD 24-Hour 8tf11=DING • Inspection Linc (603)631"176 MST ---- INSPECTION DIVISION Business Lim (603)636-4171 // BUP RecgivedDate Requested_� �!L—�— APA_._--� BLIP — Location U 3 L'__- -- —Suit-e- MEC Contact Person _ _� f _ Ph(--_ ) �L r'� �5 PLM _ Contractor _— _ _— Ph( ) -- SWR — BUILDING _ Tenant/Owner ___-- — _ ELC Q Footing ELC FaCCElSS: � ELR Fig tg Drain - Crawl Drain Slab Inspection Notes: SR Post&Beam — --- - -- Shear Anchors Ext SheatldShear Int Sheath/Shear Framing — -- — Insulation ' Drywall Nailing — Firewall Fire Sprinkler -- - Fire Alarm Susp'd Ceiling — -- — Hoof Other: Final PASS PART FAIL PLUMBING —_— Post&Beam Under Slab — — Rough-In Water Seriice - Sanitary Sewer _ Rain Drains ----- Catch Basin/Manhole Storm Drain — Shower Pan _ Other: Final PASS PART FAIL MECHANICAL _ — — Post&Beam — Ro'-jgh-In ----— -- ___ CIL Gas Line QC Smoke Dampers — - - t Final — PASS PART FAIL ELECTRICAL 'j Service m Rough-In _ W IJG/Slab W -� l_nw Voltage — Fire Alarm f� SS PART FAIL u Reinspection fee of$ — required before^ext inspection. Pay at Clry Hell, 13125 SW Hall Blvd. -- U Please call for reinspection RE:— n Unable to inspect•- no access Fire Supply Lin► ADA . Approach/Sldewt Ik ti1�X!----- Other: Rnal -- DO NOT 11=01IE no rd hoo OW 10 ttli11611111. PASS PART FAIL t 7 CITY OR TICARD 24-Hour BUILDING Inspection Line: (503)638-4175 0 INSPECTION DIVISION Busineea Line: (503)638-4171 MST SUP -- Received �_ _Date Requested AM PM BUR Location �y,;a 4 5�,� ,ti/ rr l�� & r� II 1" -suite_ MEC Contact Person Ph( ) 7-11 1 L G y PLM — Contractor [�nf rn�S�Y�x 1c�i Ph( ) — SWR _ - BUILDING Tenant/Owner —_ _ ELC A&�Z �S� Footing ELC Foundation Ftg Drain ELR Crawl Drain Slab Inspection Notes: SR ' Post&Beam Shear Anchors — - F-t Shecth/Shear Int Sheath/Shear -- Framing -- _--- Insulation Drywall Nailing -- _ Firewall Fire Sprinkler — Fire Alarm Susp d Coiling Roof Other:--- /.-.� --- — -- Final PASS PART FAIL — PLUMBING Past d.Beam ------ -- — Under Slab _ Rough-In -- — - Water Service Sanitary Sewer Rain Drains -- - - Catch Basin/Manhole Storm Drain --------- ---- -- — — Shower Pan Uther: — — ---- —_— Final PASS PART FAIL — - -- -- ------ _—__—.__._— _ MECHANICAL r ost 8 Beam -- Rough-In --- ----- -- - — r-- - Gas Line a Smoke Dampers - - ----..- __-- -_-- — � Final ,-_— t�q PASS PART FAIL -- — --- -- -- — IME �T _ - - ------- - - - _ - --_ J Sorvic© m nnugh-In Cr l l r J Low Voltage Fire Alarm I-incl ReInsnectkm fpe of$-___-------____-- required before,next Int PASS PART FAIL e4 pection. Pay at City Nall, 13"2_rSW Hall Blvd. SITE F1 Please can for reinsper:tion RF:---------__..__.------_--_----�___ �� I)nable!o inspect -no a.aesa Fire Supply Line �- ADA Approach/Sidewalk D9 do EXE_ Otner: (f / Final - --- DO NOT REINOVE thb les*orro11100 fob tlll". P N PART FAIL D 1• GF TIGARD 24-Hour BUILDING Inspection Line: (503)639.4175 • INSPECTION DIVISION Business Lim. (503)639.4171 MST OUP Received Date Requested JAL—2- AM PM_ OUP Lot Aim _—�.LUV S ti' Ll_L�r(ou s � —Suite_ MEC Contact Person — Ph(—) 'SL'SZ PLM Contractor – ,1�C_L., _ _— Ph(--) SWR _ rUILDING Tenant/Owner _ ELC Zfkm Z vV,SL Footing Foundation ccem: ELC Fig Drain ELR Crawl Drain Slab Inspection Notes: SIT Past&Beam Shear Anchois -- - - Ext Sheath/Shear Int Sheath/Shear --- Framing Insulation Drywall Nailing Firewall Fire Sprinkler -- Fire Alarm Susp'd Ceiling �L--L�, Z� Y1 Cr7��1J1�f Roof s Other:Float PASS ------ ?� PASS_PART FAIL` e ';,zs T- -PLUMBING _ yam--�! li P �� L Post&Beam `-`T-T- -' Under Slab - Rough-In Water Service San Sewer Dr --y� -- - - _ Rain Dr3irs Catrh Basin/Manhole Stour, Train -- _- Showei Pan Other: - Final .4 PASS PART FAIL MECHANICAL 'r'�``' , 1��Zcc>?� -17 Poat$Beam /7-- Rough-In __��►.1L -_---�_..�� r✓ Gas Line 4. Smoke D-impers -- Final N PASS PART FAIL ------- Rnilgh-In CP//,,+ - '-i-f LID UG/Slab -- 0 Low Voltage Fire Alarm Final _-___ _-- ----- ----------- Final PASS PART L-1 Reinspection fee of$_ required nefore nexi inspection. Pay at City Hall, 13125 13W Hall Blvd. Please call for reinspection RE:- Unahla to inspect-no access ,„4 Supply;_me ADI Approach/Sidewalk Dam -�/. L- iArpeittw �( Ext_ Ext-- Other: ~� - Final DO NOT REMOVE thb 109POCHOM re001+ X0111 go Jb Nb. PASS FART FAIL �P TICARD 24-Hour B1.110-DINGis Inspection Line: (503)635-4175 MST INSPECTION DIVISION Buslnesslk Line: (603)635-4171 -- SUP Received . _pate Roq Wed.-_ AM, PM_ SUP — Location V!1._ Suite _ MEC Contact Person - -- Ph(-) PLM Contractor_.._ ` I ;1d— Ph( ___--) SNvR BUILDING Tenant/Omer ELC Footing ELC Foundation ��: _ Ftg Drain ELR Crawl Drain -- Slah Inspection motes: SIT _ Post&Beam _ Shear Anchors Ext Sheath/Shear Int Shaath/Shaar — Framing _ Insulation DrywelllVailinq _ Firewall Fire Sprinkler Fire Alarm Susp'd Coiling —-- Root Other: -- Final ---•-. __ _--- H2q<.SJc PASS PART FAIL PLUMBING Post Post&Beam Under Slab Rough-In — — Waller Service Sanitary Sewer Raln Drains _ _-- Catrh Basin/Manhole Storm Drain Shower Pan Other: -- Fir-toil W;S PART FAIL — _ik ICAL ��- ![��, _-rig Posy 8,Beam --s— Rough-In — Gas Line tx Smoke Dampers ix Final U) PASS PART FAIL -- -- - -- _ lELECTRICAL ervvice _ ----- a UG/Slab —_ -- PJU Low Voltage Fire Alarm Final Reinspection tee of$_v__.�.__:required hetore next Inspection. A RT FAILPay at City Nall, 13126 SW Hall Blvd. S1T_E_ -_ L] Please call for reinspection RE:_ E]Unable to inspect-r►o access Fire Supply Line ADA Approach/Sidewalk DOW Other: Final DO NOT REMOVE!hle InspedWa noon f1�Iil111 am J"ti" PASS PART FAIL CITY 01FTIGAVAD 24-Hour BUILDING Inspection One: (503)639-4175 INSPECTION DIVISION Business Licca: (563)6399.4171 MST _- BUP Received _ Date Requested A-1116 _AM—_ PM ___ BUP Location _ l D 3 U & ,,— '� —suite _— — -- MEC Contact Person RLt Ph(--) —_ PLM _— Contractor Leld—_Cx3je "c�gjcaj-- Ph(--) - SWR `7� BUILDING Tienant/CNrter —�_ ELC _ 5-1 p Footing ELC Foundation Access: --- Ftg Drain ELR —_ Crawl Drain Slat Inspection Notes: SIT _. Post&Beam Shear Anchors -- Ext Sheath/Shear Int Sheath/Shear Framing Insulation 9 Drywall Nailing Z26e,-41 — Firewall Fire Sprinkler --- — — Fire Alarm Susr'd Ceiling — Roof O — Other � - - Final PASS PART FAIL- — PLUMBING Post&Ft--M — -- 'inder Slab Rough-In \Vater Service -- -- S.,niliary Sewer 1 Hain Drains - ---- — ------- Catch Basin/Manhole Storm Drain —- — — ----- -- Shower Pan Othor — Final PASS PART FAIL �- MECHANICAL Post & Beam Rough-In _— Gas Line a Smoke Dampers -- -- ----_—. H Final PASS PART FAIL ELECTRICAL '— Service WLowC7 UG/SlabWAFA VoltaFire AlarFinalReins action fees�+PASSIL t1 p $--- - -----requf*-4 befom next inspection. Pay at City Hall, 13125 SW Hall Blvd. _$ITE _ Please call for reinspection RE:----.- __.._-. _ U linable to inspect-no acums Fire Supply Line ADA Approach/Sidewalk Daft � � ��t � inspeoef - Other:_ Final DO NOT REMOVE Uft lespoctlon rood ftm!�I"alb. PASS PART FAIL CIT)(OF TIGARD 24-Hour y BUILDING to Inspedion Urn: (503)11311-4175 • MS INSPECTION DIVISION Business Uns: (503)639-4171 SUP _ Received Date Requested—__ AM PM SUP Location _ — 3 Suite___ ---._ MEC — Contact Person Ph( ) -�- PLM Contractor Ph( ) SWR _ --- BUILDING Tenant/Owner —_. ELC Footing - ELC Foundation ; Ftg Drain IELR Crawl Drain Slab Inspection Notes: — Post&Beam — Shear Anchors , Ext Sheath/Shear - Int Sheath/Shear Framing — - I a • Insulation Drywall Nailingj— FirewalC3, ,WG_S ri - Fire ' arm Susp'e Ceiling Roof -- ��i�ts�-'---Y,S�- = f' - ��✓ Other: Fin _ _ PASS ART FAIL — r r GING zc�ex Dost&Beam Under Slab -- — Rough-in Water Set vice - Sanitary Sewer Rain Drains — Catch Basin/Manhole Storm Drain - Shower Pan i Othor. _ �- Final PASS PART FAIL -MECHANICAL Post&Beam Rough-In — a Gas Line — Smoke Dampers ---- - F Final N PASS PART FAIL ELECTRICAL Service LD Rough In - UG/Slab Low Voltage -- - - - Fire Alarm Firal Reinspection fee of$ _- regcrirrd bef—, next Inspection. Pay at City Hall. 13121 4W Hall 61Y[I. PASS PART FAIL SITE Pisses call for;einspedion RE:_�—s �__.-_—_ linable to Inspect-no accasi= Fire Supply Line l /� �7 �7 ! i AICA Approach/Sidewalk Daft---- — Other: Final DO NAT REMM thk In ji mOd e n freffii*ilk VWJO A& PASS PART FAIL