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10340 SW NIMBUS AVENUE BLDG N STE D-1 OlOrTc 7M QH 3AV SfIRWIx Ms OKOi i 1 � l 5.' k a 1 y V t s I 10340 3'W NIMBUS AVE ND CITYOF TIGARD RESTRICTS ENERGY DEVELOPMENT RESTRICTED ENERGY DEVELOPM ENT SERVICES PERMIT#: ELR2001-00146 13125 SW Hall Blvd.,Tlaard,OR 97223 (503)639-4,171 DATE ISSUED: 05/18/2001 SSPE ADDRESS: 10340 SW NIMBUS AVE N-D PARCEL: 1S134AD-06201 SUBDIVISION: ZONING: I-P BLOCK: LOT: JURISDICTION: TIG Proiect Description: Low voltage for access cc,. 'rol. Job#30-67-10049 A.RESIDENTIAL B.COMMERCIAL _ AUDIO&STEREO: _ AUDIO&STEREO: INTERCOM & PAOING 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: INSTRUMENTATION: OTHER: CONT.ACCES X TOTAL#OF SYSTEM_ 1_____.J Owner: Contractor: ROBINSON, CONSTANCE !.+ RFI COMMUNICATIONS & SECURITY ROBINSON, LYNN+ BELL, KAY'-:T 6195 SW 112TH STREET BY INSIGNIA COFAI "RCIAL CROUP BEAVERTON, OR 97008 BEAVERTON, OR � )08 Phone: Phone: 503-626-6387 Reg#: ELE 54-174CLE SUP 3417JLE LIC 67147 FEES -� Required Inspections Type By Date Amount -Receipt Low Voltage Inspection PRMT CTR 05/18/2001 $75.00 2720010000 Elect'I Final 5PCT CTR 05/18/2001 $6.00 f2G0 0000 Total $81.00 1 L This Permit is issued subject to the regulations nontained in the Tigard Municipal Code, State of OR. 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 started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law 4. requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR p� 952-001-0010 through OAR 952-001-0080. You may obtain copies of these rules or r;Irect questions to OUNC at (503) 24ci-1987. Issued by �La,� _ Permittee Signature_�.�� OWNER INSTALLATION ONLY m - — — 0 The Installation Is being made on property I own which Is not Intended for sale. lease,or rent. vJ J OWNER'S SIGNATURE: DATE: CONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR. ELEC'N; � LICENSE NO: 9'",I-_tT — Call 639-4175 by 7:00 P.M. for an Inspection needed the next business day -01!2!01 PRI 15:35 FAX 503 598 1960 CITY OF TIGARD Z002 Electrical Permit Ap-p�licadon �t��VF i^ r- "r Pbtmit no. [k)t - / City of Tigard rojec0appl.no.: Bxpiredste: City ofTigard Address: 13125 SW Hall Blvd,Tigard,%?P p2,� T�) Dateisatred: - By: lteceiptno.: Phone: (503)639-4171 "- Fax: (503) 598-1960 Case file no.: Payment type: 111NfY.l)k• Land use approval: =New y dwelling or accessory J(� al O Muld-family O Tenant improvement uction O Addition/alteration/replacement O Other._ ❑Partirj Joh addreas: IP340 FW NiM US_._ . _ Bldg.no.: Suite no Tax map/tax lot/accatnt no.: Lot: Block: Subdivision; _ Project name: Altera ATAT 113escri3tion and location of wc:i on micas: Estimated date of com letionlins don: Ata Job no: 30--67-10049 INS Tom Business name: OmmunIcations ecurit (aft)Sys � n'" — — - Address: Ave armiti-fwaNy perdtnstill„g,aalt.lb,elde."u.rttv�pnae ' City: Beaverton State; :SIP: &* Phone: 503-626— 38 ax: E-mail rmartin rfi. w hOtlaa 4 Fach additional 500 sq..It.or portion thereof CCD no.: 67147 Eltc.bus.lir.no: 4-174CL E Urnitedeaee ,rnideatial —` 2 rily/m lie.n 04551 Untited y.non-reddential 2 -r/t 7 0 t — Each manufacwred home or modular dwelling S; huh of su s rhes rician -ulnad) Date — Service and/or feeder 2 sum elect.name(priM): Dean J. Reece Licerhseno: 912JLC 8ervieesorfeetlesr-Ytsullatlaa, ahrawke or rctersalesr: 200 an s or less 2 Name(print): 201 amps to 400 amps 2 401 amps to 600 sups _ Mailing address: — 601 amps to 1000 amps _ 2 City: State: :�: Over 1000 amps or volts 2 Phone: I Fax: I&mail' RecOn"ectO"ly I Owner installation:The installation is being made on property 1 owu •ll nwrmry W.Vices or/eedlvs which is not intended for sale,lease,rent,orexchanje according to eO'” 'tlO"'Or`�O�• r' 100 amps or less 2 ORS 447,455,479,670,701. 201 to 400 ams 2 Owner's s4mature: Dote: 401 to 600 s 2 777 -new,altaafloa, Name: nch circuits with purchase of d. Address: a reader fes each branch circuit _ 2 ( City: State: :r.� 7B. Fee hn branch circuits without purchase of service or feeder fee,first branch circuit_ - 2 Phone: Fax: 6-mail Bub addition(breach circuit•. Mise.(Service or leader not Win" — — J O Service over 223 amps-commercial U Health-°aehEach dli�y pomp or Irrigation circle 2 0 Service over 320 amps-rating of 1 A2 O Hazrddas locatice Each sign of outline li�htin fanlly dwellings O Building over 10,306 square feet f9ur or Signal circuit(s)or a limitel en-iy Panel. tC.9 U System over600volts noninal m teresidentialINainonelobewro alteration,or extension• 1 75. 7 .OB ._j 0 Budding ovorthree stories U Feeders,400 amps or more • qt; aC U Ckeupast toad over 99 persons O Manufscntred swxsxn or RV park Yap---2O-r over tto sllowa rl' U Fgres&Mghdngplan O Ocher. 1'airspeedon l dW*_sed of phase wM my of din icTe. I d aloo Re 1be ahbove arta sol applkark to tempoeaty tosadtseflos ua•tice. I Odkr m .dsdieahan for hrssre Y1lrrrasaea 5.00 Notice:Tins permit appliestion Pertrtit fee.....................$ Wall lcdsdi AM secept aeelt area.phase 1 Plan review(at _ 'b) $ O Visa O MasterCard expires if a permit b not obtained (:redo card number: _�_L widdn 180 days after it has been Sibte tn ...vse(S�')•• S 6_[cel r"p rag acoepted a omViele. TOTAL ..................... .................... — - Niue of c:rAh�o dei s7,bows on . signacwe t►nwmt 440.4615(61 WO M) CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-dour Iris action Line: 639-4175 Business Line: 639-4171 ----- BUP — Date Requested �' L___.,-----AM----PM -_--- BLD �— Location 10.)gP 3/,,� �;,,�Gs'�— _ Suite ._-� MEC Contact Person _ Ph PLM Contractor Az:1 comy wca (ULAc- ��vr /ray Ph ^� SWR BUILDING Tenant/OwanerELC Retaining Wall _ — ELR 2,,jo,&j Footing E ss: Foundation FPS Ftg Drain ,-_ SGN C•-Awl Drain ection Notes: - -- --- oat ABeam SIT _ ---- Ext Sheath/Shear C c.)ri y 11/�C c-S �' h Ql Y`J Int Sheath/Shear Framing — _— --——— Insulation Drywall Nailing Firewall Fire Sprinkler _.— Fire Alarm Susp'd Ceiling Roof / / —� Final PASS PART FAIL PLUMING Post&Beam — — - Under Slab Top Out -- — —--- — Water Service Sanitary Sewer — Rain Drains Vr Final � — ------ ------ _____ PASS PART FAIL MECHANICAL Post&Beam -- --- --RoughIn Gas Line — --- --- Smoke Dampers Final -- - PAS T FAIL L Service Rough In — ---- — — •-----_ —______ UG/Slab --- ow t Fre rm --- -–------- -- J n SS ART FAIL --_— —.. -- _— _---- --- ---- L9 W J Backfill/Grading ---- ----_ _ _ Sanitary Sewer Storm Drain [ I Reinspection fee of$ r6quired before next inspection. Pay at Cita Hall, 13125 SW Hall Blvd Catch Basin [ I Please call for reinspection RE: _ I I-Jnable to inspect -no access Fire Supply Line ADA Approach/Sidewalk Other Date �=J— z Inspector ctor Ext Other --•- � _ Final PASS PART FAIL DO MOT REMOVE this Inspection record troth the fob site. CITY OF TIG,ARD __ MECHANICAL PERMIT DEVELOPMENT SERVICES PERMIT#: MEC2000-00125 13125 SW Hall Blvd.,Tigard,OR 97223 (503)6394171 DATE ISSUED: 1/5/01 PARCEL: 1 S 134AD-067-01 SITE ADDRESS: 10340 SW NIMBUS AVE N-D SUBDIVISION: ZONING: I-P BLOCK: LOT: JURISDICTION: TIG ,,ti CLASS OF WORK: ALT FLOOR FURN: _ EVAP COOLERS: - TYPE OF USE: COM UNIT HEATERS: VENT FANS: OCCUPANCY GRP: VENTS W/O APPL: VENT SYSTEMS: STORIES: _ BGILER3/COMPRESSORS HOODS: FUEL TYPES _ 0 - 3 HP: 2 DOMES. INCIN: ELE 3 - 15 HP: COMML. INCIN: MAX INPUT: BTU 15-30 HP: FIRE DAMPERS?: 30-50 HP: REPAIR UNITS: WOOD3TOVE3: GAS PRESSURE: 50+ HP: CLO DRYERS: FURN < 100K BTU: 2 AIR HANDLING UNITS OTHER UNITS: FURN >=100K BTU: <=10000 cfm: GA > 10000 cfm: S OUTLETS: Remarks: Install two(2)HVAC Units(AT&T Node) Owner: FEES ROBINSON, CONSTANCE A Type By Date Amount _ Receipt PRMT CTR 1/5/01 $72.50 2720010000 PLCK CTR 1/5/01 $18.13 2720010000 5PC1 CTR 1/5/01 $5.80 2720010000 Phone: Total $96.43 _ Contractor. AMERICAN HEATING INC 1339 SE GIDEON STE 1 REQUIRED INSPECTIONS_ _ PORTLAND,OR 97202 Mechanical Insp Phone:239-4600 Duct Inspection Reg#:'IC 33135 S.D. Shut-down inspection Final Inspection I. R J_ m _ + This permit is issued subject to the regulations contained in the Tigard Municipal Code, State ^f Jre. Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans. This permit vAll 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 in the Oregon Utility Notification Center. Those rules are set frrth in OAR 952-001-0010 through OAR 952-001-0080. You may obtain copies of these rules or direct questions to OUNC by calling (503)246-9189. Issue By: /7 — Permittee Signature: TM Call( 03)639-4175 by 7:00 P.M.for Inspections need'e'd' the nnxt business day Received:31.Mor.00 12:41 PM From:`03MS19130 To:5=29992 Cset faxes by @mall. Fla& AFax,com Pope:2 of 6 -03/31/00 FR1 11:30 FAX 503 598 1960 CITY OF TIGARD /Im002 Pian Check 0 "►" CITY OF TIGARD Machanlc>E; t Application Redd By 13126 SW HALL BLVD. Commerce �.... Residential 1]trltRer±d_ 4-1.9-OC) TIGARD,OR 97223 Dm Io P.E.�,�`lb Doto w M (503)639-4171,x304 PermNC��=�/�?57 Print�r Type celwhd Incomplete or illegible a plications will not be ucepted _ d DwMoprermA'raJ�t _-- / D L- ' Table 1A Meduanlal Cads Pdoe Aml A) Pwmit FeeJob 16.00 AddM�M to ti11 1) Furnace b 100000 - kKhmft ducts 8 vents see 1bolnoM 1.2 9.86 ZIP 2) Furnim100,0008TUt 4 q7 duct A vents sa iotrols 1 2 12.00 (or wee d 0raYw.) 3) Floor Funme Age (owns J }N a_Gt 4 brdudt vox meefooUalsl,2 9.65 _ ) 8rapmWed nester:war healer SUJ NIw117�s a 1mfloor muunted 9.7mWnottnakw.dna •»f0°'"0�'1 4.76 repall the apply' `Bolen hest Alf OR Z $.VIOL baro"I'we or Pump conA Qty I Pries Ant Name a norm of Immmmes) foellreMi 1! » 6)43HP; , r I WA to 100K STU o ,Occupantdul�w�•+! 7)3-15 ; UFO 100k to SM 9 Ute_ 1170 --- x)15-30 HP;absorb unft.rr1 mN Inu 24.15 9)30-50 HP;slrsorb pT Noes unt 1-1.75 m0 BTU 36.00 T54 /9�/Fip i!'�f/1 /�T� 10)saOHP;absorb unit .,.w.i 3.1.75 ra BTU 00.15 Prbr 10 PertrrM �s es �. UOuarx*a ow1 I M hsnftunM to 10.000 CFM 7.00 of � d ksnlles — S -- ers N _- 12)Ab hendlblg unN 10.000 CFM+ serpbed h OOT 0"m cam. GoFxy,red. — 11.56 dstsbass 13) ehrePorsle CDOIN Am~ Harm _ _ — 7.00 /6� 14)Vox M mnneceed b o skVle dud 4.76 Or Melft AftING ' 1!)VW410on system not bm luded M 1%V7.00 Engineer csh' ' ZIP A M— *IV 16)Hood 7.00 6oy�M�Kt �1 lel OseOrbe work to bs done: 17)Oemetlic frrcrrerslcxa 2.00 Hew a Repair O Replace with sirs kind: Yes O No O 1 )Corrsrlatdd or inn wfti type krebarrtor 45.25 Residential 0 Cammerdal t# tor)FWPk to -- ---- - — - aaio Ad or�1 m.�or of IP404" 20)Wbm aWm"FProlhsr unitWelotto dryeHetc aF Gdu1P II,= cXl�rl' A� QM 4W _ _ t.00 TAL a I NOTE: For Canmerdsl protects only;UnNs over 100 bs.raquiro )0ee fo*V one 1 b mdla* _ y Tyal,of tuei: 01 O nim go O LPG O elac�rle• 22 WrAffm pwm Fos!".00 TO I hereby admowlalpe Tat 1 have reed this eppNcdbn.Mrd Mus kAar; _ % 8 _ phren M c0mxti,Mat 1 am Mise owner a ahAhxiaed sperm of PLAN REVIEW 2671 OF VJI TOTAL I�} m OiiT In conlplian0a WIM OrWm Stele 140%. red for ALL oormnoraMll TOTAL Other InvoscUm Ind en: '31. .Z4W 1. 8tide d rennet brrslrm hours(mMbmm cherpe-rwo phone ham) $80.80 pr hour 2. IrnpOtlora far rlrhlah no Ib M e1W Meslb Indicated Imb m— slc.�'ls. hmO W-00 per ha. Fexrnode COrxrrlaRiM Pra�Ctt ! al nrrpssadM9ane er revieieha 3.b Additionplan mvbw required try el i, Provide U selm. c or exlef V end pmposed 9m Mrs end Pwseae. Plana(mhuhnum rluops-onrrl+sM ia�n)MAN Pru heuuu► 2. Provide drswttprl to scale showing existing and proposed mmdrmtosl 'Stab Corxredsr Boller CON W4000 revAmd unb. -Reeldenad AIC requires ds Plan sMfMq pknosmedunk t:4nedlperm.doc rev 7M2= ELECTRICAL t CITY OF TIGARD RESTRICTEDE ERG RESTRICTED ENERGY DEVELOPMENT SERVICES PERMIT#. ELR2001-00002 13125 SW Hall Blvd.,Tioard,OR 97223 (503)639-4171 DATE ISSUED: 1/5/01 SITE ADDRESS: 10340 SW NIMBUS AVE N-0 PARCEL: 1S134AD-06201 SUBDIVISION: TONING: I-P BLOCK: LOT: JURISDICTION: TIG Protect Description:Voice/Data Telecommunication A.RESIDENTIAL _ B.COMMERCIAL AUDIO&STEREO: AUDIO&STEREO: INTERCOM&PAGING: BURGL,I,R ALARM: BOILER: LANDSCAPE/IRRIGAT: GARAGE OPENER: CLOCK: MEDICAL: HVAC: DATA/TELE COMM: X NUk3E CALLS: VACUUM SYSTEM: EIRE ALARM: OUTDOOR LANDSC LITE: OTHER: HVAC: PROTECTIVE SIGNAL: INSTRUMENTATION: OTHER: _. TQC I OF§12T W5 1 Owner: Contractor: ROBINSON, CONSTANCE A+ NEW TECH ELECTRIC ROBINSON, LYNN+ BELL, KAY ET 1400 NE 48TH AVE BY INSIGNIA COMMERCIAL GROUP HILLSBORO,OR 97124 BEAVERTON, OR 97008 Phone: Phone: 503-648-1900 Reg 0: uc 41868 SUP 2113s ELE 26-418c FEES Required Insp ctign,; _Type By Date Amount Receipt _ Low Voltage Inspection PRMT CTR 1/5/01 $75.00 272.0010000 FEIect') Final 5PCT CTR 1/5/01 $6.09 2720010000 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 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 through OAR 952-001-0080. You may obtain copies of these rules or direct questions to OUNC at(503) 246-1987. I:► wed by �c� Permittee Signature^ OWNER INSTALLATION ONLY The Installation Is being made on property I own which Is not Intended for sale. lease,or rent. OWNER'S SIGNATIJm DATE: CONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR. ELF.C'N GATE: LICENSE NO: Call 639-4175 by 7:00 P.M.for an Inspection needed the next business day 01/03/01 WED 15:31 FAX 503 948 3131 NEW TECH ELEC W5001 Electrical Per mit Ayolication —— Datenicalyw: l4xmit no p City of Tigard ProJuet/appl.no-: Pa{,iredata: (:iryofriturd Addresr 13125 SW Hal)DI d,Tig;ar].OR 97223 Datr:imed: By: Ror�eiptflo. Phone: (503) 639-4171 -- --- Fax: (503) 598-1960 1 Cut nit no.: Payment type: Land use approval: G I A 2 faadly dwelling or acczmory C Comm:reial/indtesttial Q Multi-family O Tenaot intptovement O New coeetcuction C Additicn/alwationhoplacen"t 0 Other. _ ❑potful Job add[us. Bldg.no.: Sulre no. Tax map/tax lor/noww►t no,: Los: I Blah[: Subdiviala '?toe name: - Dearrl�autt and lo:Waa of work an;,es: *Job mrad deft of cone iuiolUbs don: t hili no; io. btas Budnounamc Nov Tech E taCtr c Tod .. Addrars: venue Ci :Ha,1l.6bom ISUM311 PP': 97124 mrd 6k Pho -648-19C0 1Pa1648-3131 Ermall: IWQsWft.orIm e CCB an.: 4 1 68 1 Elm but.U:tto: 26-418C Beds sddkIoadsW:jft.e-rrps 16r.°r C1 110.: /.itched ,wnoswa u ,eea s , — __ Data —. 9orvle.asdbrAtelr 2 Svj dem asm Gam' t' 1.va .Irrrtftwarwl.csflne 3Wwworhas 7 Name: 20t �ta401 t "Ins addms: q03 t. t � ias 1000 oor Ci Stam ,..LlP: 1000or"Ite 1 Phone FAX: 6-utail: 1 Owner injoilbAWn:Tho buftHadon.it being,t a&on Vopetty I own which is tot foam"for sde,lease,rent,or xchante aeoori ins to b'das'�a�'t�errsiasa� ORS 441.45.1.479.M,701. ori 3 ip a0o arm._ 3 Owota's tigaadtte: _ gi)r m — tkqemb-sa.r,a e, Post-It'Fax Nota 7671 it Faa tbttttsrrlt dream with p�ualnsa of T '' F a, aotrlao a t�edet ase,Dads tNteatM dlCat[ 1 9. Fee la httteti rM1A0M a oJDep+- cO , *fowl 2 JY Phons 0 bmAdreolu V! n■0 Fox [a eaKf u�+t 3- ' &A a Impdon ahold _ 2 Bsdt orauUea 3 J .,.,....�..........s. u auuem ever til,Jup agasnt Nsr fevr or Sita d elreal s ar a tdt enertY Panel. "' m O , 2 OBaibinsoVanassetertea Ot'�rdas e0oattt'taesrsla (3aco*am teed em"pano W �w O FfanuR tend aa7 atrtss a tV psete e�!s a� W O Epasanittrloaplan 0 Moir. Sa4mlt`sets of!phos With u 1 of tre abate. ---The above we act sppucab to tetslot a y coom wednn arts-s. Gabor ICI.M et d iwlraeUeer 0=0 rnar eaAr,p{os.ert J«►.nteo4,r. MmMtlos. Natio:71+1s permll'ogrpNcetlan 1'hxrrh.t►ct....................S ' Ovirga OMaiaCnd expira if t perrnit it not obtainedPlan mview(at %) $ ewe numbnf �_ w:UNn 110 days atter it hu leen State such ogle(t'!ta},,,-S "t'"' acecprcd u complela TOTAL wag u .w � 3--jum-Ei Ii not Ac=unt # 41868 4,- I ELECTRICAL PERMIT- TV OF TIG R D — � RESTRICTED ENERGY DEVELOPMENT SERVICES PERMIT#: ELR2001-00015 13125 SW Hall Blvd..Tiqard. OR 97223 (503)639-4171 DATE ISSUED: 1/18/01 SITE ADDRESS: 10340 SW NIMP,US AVE N-D PARCEL: 1S134AD-06201 SUBDIVISION: ZONING: I-P BLOCK: LOT: JURISDICTION: TIG Prosect Descri0lon: Security System-Work Center A.RESIDENTIAL B.COMMERCIAL_ AUDIO&STEREO: AUDIO&STEREO: INTERCOM&PAGING: BURGLAR ALARM: BOILER: LANDSCAPE/IRRIGAT: GARAGE OPENER: CLOCK: MEDICAL: HVAC: DATAJTELE COMM: NURSE CALLS: VACUUM SYSTEM: FIRE ALARM: OUTDOOR LANDSC LITE: OTHER: HVAC: PROTECTIVE SIGNAL: X INSTRUMENTATION: OTHER: _____70TAL#OF Y TEM Owner: Contractor: ROBINSON, CONSTANCE A+ RFI ELECTRONICS INC ROBINSON, LYNN+ BELL, KAY ET 6195 SW 112TH STREET BY INSIGNIA COMMERCIAL GROUP � `t-700 BEAVE RTON, OR 97008 Phone: Phone: 503-626-6387 Reg#: ELE 34-174CLE SU? 3417A.E LIC 67147 FEES _ Required Inspections _Type By Date _ Amount Receipt Ceiling Cover PRMT CTR 1/18/01 _ $75.00 2720010000 Wall Cover 5PCT C'i R 1/18/01 $6.00 2720010000 Elect'I Final Total $81.00 L This Permit is issued sL't�ect 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 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 through OAR 552-001-0080. You may obtain copies of these rules or direct questions b) OUNC at (503) 246-1987. Issued by _ Permittee Signature t 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. EI.EC'N DATE: LICENSE NO: _ Call 639-4175 by 7:00 P.M. for an Inspection needed the next bu+slness day 01-12%01 I-RI 15:35 FAX 503 598 1960 crri' oi. TiGARn 0002 Electrical Permit Applications _ -- naterecetvrd f Fannie no.C(i��U� City of Tigard Pro,ecl/appl.no.: Expire date: (.irynJTigard Address: 13125 SW Hall Blvd,Tigard,OR 9722.3 Date issued: Ry; Receiptno. Phone: (503) 639-4171 ---_-- Pax: (503) 598-1960 Case file no.: Payment type: Land use approval: I & 2 family dwelling or accessory W Commercial/industrial U Multi-family 0 Tensint improvement J New construction U Addiuunhlteration/replacement ❑Other. D Partial Job address: [31dg. no.: Suite.no.: Tax map/tax lot/account no.: Lot: I Block: Subdivision: — —� Project name: AT&T Wireless I Descrodon and location of work on premises: Securj ;t Syetam jr Estimated due of com letion/ins tion: $4000.00 2/1/01 ,lob no: 30-67-10004 Fes Max Business name: RFI Communications & Serurity S ste Description Qt ' " TOW no.Imp v wre�identW-dn`lea malts rraiiyper Address: th Avenue d,a,n;, rmr.An,arlraafe.ch.,+,pe. City: Beaverton State. ::IP: 97008 Sxvlcelinchwel: Phone: 1000 sq.h or lets 4 CCB no.: 7 Elec.bus.lic.no: 34-174CLE Each addidonol 500 p.R.or portion thereof Wilted energy,raltieadal 2 City/metm lic.no.: 0000451 Limited Id 2 1/11/01 Each manufactured home or modular dwelling t Signat•ire n supervising electrician(requited) Date Service and/or feeder i License no Services or feeders-(nsfalla(ton, up IU It I I sop.elect.name(pr1M): Tarr Sandstrom swera lonormlocade a: 200 amps or leis t ' Namle(print): 201 amps to 400 amps 2 -- 401 a to 600 amps 2 Nailing address: _ 601 amps to IOW amps r 1 t'ily: State: :r1P: Over 1000 amps or volts 2 ('tomo: Fax: 1 6-mail Reconnect only 1 Owner installation:The installation is being made on property 1 own Tetaponryae*vleeserfeeders- witicli is not intended for sale,lease,rent,or exchanie according to hisrulladon,alteration,orrebe,tlort ORS 447,455,479,670,701. 200 amps or less 201 amps to 400 amps (tuner's si nature: Ditte: 401 to 600 amps L 2 �rmuch circuits-new,aherallon, or eateaden per panel: I { Name. A. Fee for branch circuits with purchase of IL ` Address: service or feeder fee,each branch circuit ! City. state: ::IP: 8. Fee for branch circuits without ase purch I— — of service or fish«see,fust branch circuit: ! N Intone: Fax: E-mail Each additional branch circuit: Mise.(.9ersiee or feeder not InclrAed). i J U Service over 225 amps-commercial U Health-arefeciti y Each pump or irrigation circle m A Seryice over 320amps,ratingof 1&2 q Hayardousloeatirn Each sign or outlinelighdnj _ „-,_i* family dwellings QOuildingover10,XxIalusrefee(four or Signal eircuit(s)oralimited energyp✓mci. i W U i;clam over6lJ)volts nnnunal nlorc residential t nits in one vwcture alteration.or extension" ��.Oq 75.01D J -t Ft❑l-t,n, ovet three stories J Feeders.400arript of inure 'Desai don: .rs¢sa.:a_r -t 1 rr,-upant IoW over 99 percotn U Manufactured air ictures or RV park Each additional Inspection ever the allowable In toy above, U F greWfightingplan O Other. -- Perimpection Submlt seta of plant with any of Use above. Invetdgadontee the above are not applkable to temporary ectaatl octloe tlerviee. t>rher - --- - - - Pefmlt fee.....................$ _.15JI12 ._._. n,r alt patidiedom accept credit cards,plate call jar iAction rot nate iaf.rmarion Notice:This permit application j Viso t.l'Nasterf.arrl expire.+if a permit is not obtained Plan review(at _, %).. $ --- �y t,rdrt ca,J „Over --— _/_ J^- within 140 days after it has been State surcharge(8%) . .$ 6l .-� KIP res accepted as complete. TOTAL. $ Name e(eatdhol&r■:ff10Ma OIt Cledil eY�—_ J Crwdholder sigruiare s Amount uU�1G15(bCllvCt7M I CITY OF TIGARD BUILDING INSPECTION DIVISION MST " 24-Hour Inspection Line: 639-4176 Business Line: 639-4171 OUP f Zy Date Requested- �AM �PM — BLD _ Location 1-21 5-1l0 '17 Ltf MA4�4 Suite MEC Contact Person _ n Ph,� PLM -_-- Contractor _ POi 1�'3 Ski G SWR BUILDING Tenant/Owner ELC Retaining Wall ELR Footing Access: Foundation FPS _ Ftg Drain Crawl Drain Inspection Notes: SGN -- _ Slab _.—.------_- —_---_ SIT Post&Beam Ext Sheath/Shear Int Sheath/Shear Framing --.-- -- — __—_ Insulation Drywall Nailing - Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling - /'/J _ Roof Misc: Final PASS PART FAIL_ -- - PLUMBING Post&Beam - Under Slab I op Out ---- -� — Water Service Sanitary Sewer - Rain Drains Final - - "--� PASS PART FAIL MECHANICAL Post& Beam ----- -- ---- - — --- Rough In Gas Line — --- Smoke Dampers Final -- ---- - - -- PASS PART FAIL Service Rough In UG/Slab Fire Alarm ---.----------__.. PASS PARI FAIL - ---- _ _---_----- SIM- Backfill/Grading Sanitary Sewer Storm Drain I [ ]Reinspection fee of S required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line f ]Please call for reinspection RF:.-.--- _- ( )Unable to inspect-no access - ADA Approach/Sidewalk Other Date _Inspector _ Ext Final PASS PART FAIL DO NOT REMOVE this Inspection record from the job site. CITY OF TIGARD BUL ' 3 INSPECTION DIVISION BAST 24-Hour Inspection Line: 639-41 id Business Line: 638-4171 BUP __Date Requested_—L Z– AM PM — BLD Location w A&n 44- e Suite MEC Contact Person-- Ph PLM Contractor L e�4 Ce-), Ph _ _ 5WR BUILDING r Tenant/Owner ELC Retaining Wall ELR Z.,-✓ --a" -TO r Footing Access: Foundation FPS Ftg Drain SGN Crawl Drain Inspection Notes: Slab _.� — — SIT Fost&Beam Ext Sheath/Shear Int Sheath/Shear Framing Insulation Drywall Nailing Firewall Fire Sprinkler _ — Fire Alarm Susp'd Ceiling Roof Misr-: Final — PASS PART FAIL — --- — �. PLUMBING Post&Beam Under Slab I op out �- Water Service _ Sanitary Sewer -- Rain Drains Final �.--- -- -- - — --� PASS PART FAIL MECHANICAL Post S Beam — Rough In Gas Line ----- — -- ---- Smoke Dampers Final -- ---- PAS T FAIL LECT — ervice Rough In ow Vol e Final A PART FAIL Backfill/Grading ----�"—- �--'�— ----- — ---- Sanitary Sewer Storm Drain ( ]Reinspection fee of$ required before next inspection. Pay at City Hull, 13125 SW Hall Blvd Catch Basin ( ]please call for reinspection RE: Unable to inspect no access Fire Supply Line ADA Approach/Sidewalk Other C)at� .� �''d Inspsittor —_ Ext Final PASS PART _FAIL DO NOT REMOVE this Inspection record from the job site. CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 BUP Date Requested Z— b AM_ _PM --- BLD — Lccation �'-� `�(.J $__ Suite Al-57MEC Contact Person Ph _ PLM Contractor Ph 6th _ BUILDING Tenant/OwnerELC _ Retaining Wall — �- ELR >�v�E> c� 3 q�I Footing Access: Foundation PPS Ftg Drain SGN Crawl Drain Inspection Notes. -- -- Slab --— SIT Post& Beam — T Ext Sheath/Shear Int Sheath/Shear Framing — — --- — --— -—- -- --- Insulation Dryw,ni Nailing ----- — --------_-- Fire%all c Fire Vorinkler Fire Aiarm Susp'd Ceiling — —_ Roof Misc:_ - - --- ---- ---, Final ------ - -- PASS P'%RT FAIL. ------ - - —--------- PLUMBING Post&Beam Under Slab Top Out ---—- --- - --------- ---- — -- Water Service _ Sanitary Sewer Rain Drains Final PASS PART FAIL. - ----- -------------__-- —_ _-__—. ---------.._.__—_. —.-- MECHANICAL Post&Beam —--- -- ----------.. ---------- —— _—_—_ __—� Rough In GasLine -- ----- — - — ----- — ------- ---.—__.. ---... -- - Smoke Dampers Final ---------- - ---- — T FAIL ervice Rough In UG/Slab — — --�_- --_ - Low Voltage FA. ' rm ) PART FAIL. E backfill/Grading ------ -- --- -- -- --4 Sanitary Sewer Storm Drain [ )Reinspection fee of$ --required before next InspecHon. Pay at City Hall, 13125 SW Hall Blvd Catch Basin [ I Please call for reinspection RE: — [ J Unable to inspect-no access Fire Supply Line ADA Approach/Sidewalk 7�i�, Other Date .L_� rim Inspector. / �,�� Ext Final PASS PART FAIL. DO NOT REMOVE this Inspection record from the,fob site. CITY OF TIGARD BUILDING INSPECTION DIVISION MST 244iour inspection Line: 639-4175 Business Line: 639-4171 BUP _ _Date Requested AAA PM BLD Location /(1 qU S Nf h't( d'5 _ Suite —A��!— MEI: Contact Person _ T{� Ph 3� PLM Contractor -6-0-Tv c 5 Ph _ SWR BUILDING Tenant/Owner ELC _ Retaining Wall ELR Footing Access: Foundation rPS _ Fig Drain SGN Crawl Drain Inspection Notes: �, `� r` -- — Slab SIT Post a Beam `! Ext Sheath/Shoar Int Sheath/Shear Framing — Insulation Drywall Nailing _ Firewall Fire Sarinkler z �_r. Fire Alarm Susp'd Ceiling - Roof Misc: -- - -- --- Final PASS PART FAIL PLUMBING Post&Beam Under Slab Top Out Water SE,vice Sanitary Sewer Rain Drains Final PASS PART FAIL MECHANICAL Post&Beam ------- -- -- "— - Rough In Gas Line -- — ----- Smoke Dampers Final PASS PART FAIL ILECTRICAQb ---- Service � Rough In UG/Slab �.. Low Voltage Fire rm PART FAIL SITE Backfill/Grading "- -- - - —- -- Sanitary Sewer Storm Drain [ [Reinspection fee of$- _vequired hefo,a next inspection. Pay at City Hail, 1317.5 UV4 Hall Blvd Catch Basin Fire Supply Line [ ]Please call far reinspecii,%i RE: [ ]Unable to inspect-no acress ADA Approach/Sidewalk Date l Other Da �_inspector _ Ext Final PASS PART FAIL DO NOT REMOVE this Inspection mcotrd from the job site. W CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Viour lfispection Line: 639-4176 Business Line: 639-4171 i BUP —Date Requested 3v ANA kA _ BLD Location__ _ G -5W 007IL-> Suite _ MEC _ Contact Person Ph 2-77 /G 0.3 PLM _ Contractor _ F Ph SWR BUILDING Tenant/Owner ELC _ Retaining Wall ELR CO �1 Footing Access- Foundation FPS Ftg Drain SGN Crawl Drain Inspection Notes: � Slab ��,� 1r✓� � �,�� SIT 7 Post&Beam Ext Sheath/Shear Int Sheath/Shear Framing Insulation Drywall Nailing Firewall --- Fire Sprinkler Fire Alarm Susp'd Cushing Roof Misc: — i Final PASS PART FAIL — — -- — PLU Post&Beam Under Slab Top Out Water Service Sanitary Sewer —� Rain Drains Final PASS PART FAIL MECHAUMMAL Post&Beam Rough In Gas Line --- - -- — Smoke Dampers Final -- -- — — _ PASS PART FAIL a ice _ Rough In 1 UG/Slab Low Voltage F Alarm W Fi m *A`§t,) FAIL 5 UJI Backfill/Grading Sanitary S3wer Storm Drain [ ]Reinspection fee of$— required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line [ J Please call for .Inapectf n RE:., _ [ ]Unable to inspect no access ADA Approach/Sidewalk Date �/ Other -- _-_--InapecM� - -/" --''"1 Elft Final PASS PART FAIL j DO NOT REMOVE this inspection record from the job site. iC17W OF TIG/ARD BUILDIN(:60 INSPECTION DIVISION MST �- 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 - OUP Date Requested AM PM ~� --- �`— BLD Location jV —1 N Suite 12 MEC --- Contact Person .� Ph 6'W PLM Contractor_ A -4� Ph SWR BUILDING Tenant/Owner ELC Retaining Wall ELR ,J-v !•�v o 2— Footing Access: Foundation FPS Fig Drain —� Crawl Drain Inspection Notes: C !� 1� SGN Slab 7! $IT Post&Beam -- Ext Sheath/Shear Int Sheath/Shear Framing Insulation Drywall Nailing irewall % !Fire Sprinkler — Fire Alarm Susp'd Ceiling Roof — — Misc: Final PASS PART FAIL ftUMBING Post&Beam -- Under Slab Top Out Water Service Sanitary Sewer — - - Rain Drains Final PASS PART FAIL MECHANICAL Post&Beam Rough In Gas Line — ---- -- —_�� Smoke Dampers Final -- — PASS PART FAIL a Service IX Rough In — UG/Slab Fire Alarm ED ra PAI;")PART FAILWE _ W -� Backfill/Grading — ----- — — - -----•-- Sanitary Sewer Storm Drain [ 1 Reinspection fee of 1'_ _required before next inspection. Pay at rRv e tatt, 11125 SW Hall Blvd Catch Basin [ ,Please call for reinspixton RE: linable to ins ect no access Fire Supply Line ------- — R ADA Approach/Sidewalk DaM 9, Other Inspector Ext Final _ PASS PART FAIL DO MOT REMOVE thiill inspection record f1rom the job site. CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hourinspection Line: 639-4175 Business Line: 639-4171 ,. BUP —_ ,—Date Requested 'z� AM _—PM BLD Location—/U 'f UU S w i b e,- Gu S Suite � MLC Contact Person Ph (oU! GU PLM Contractor Ph SWR BUILDING Tenant/Owner ELC Retaining Wall ELR ca O G Z_ Footing Access: Foundation FPS Fig Drain 6GN Crawl Drain Inspection Notes: Slab SIT Post&Beam Ext Sheath/Shear Int Sheath/Shear Framing Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceilinq Roof Misc: __..— Final PASS PART FAIL PLUMBING Post&Beam —� Under Slab Top Out —� Water Service _ Sanitary Sewer Rain Drains _ Final PASS PART FAIL MECHANICAL Post&Beam — ----— Rough In Gas Line — Smoke Dampers Final PASS PART FAIL p, Service Rough In UG/Slab Low Voltage Fire rm m PASS PART FAIL is Backfill/Grading — -- Sanitary Sewer Storm Drain [ ]Reinspection fee of; !required before next Inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line [ ]Please call for reinspection RE: _ I Unable to inspect-no access ADA Approach/Sidewalk Date Inspector Other — --- Final PASS PART FAIL , DO NOT REMOVE this Inspection record Earn the job site. CITY OF TIGARD BUILDING INSPECTION DIVISION rASr ?4-Hou-k4nspection Line: 639-4175 Business Line: 639-4171 BUP Date Requested—/—_. — AM— PM BLD Location— u Suite _ MR.: Contact Person --_ Ph /�Gy _ PLM — Contractor Ph SWR BUILDING Tenant/Owner _ _ _ ELC Retaining Wall -~ ELR ,�-ri Footing Access: Foundation FPS Ftg Drain 0a 4_4 -- SGN Crawl Drain Inspection !rotes: Slab - — --------- SIT Post& Beam �-- Ext Sheath/Shear Int Sheath/Shear Framing Insulation Drywall Nailing Firewall -- Fire Sprinkler — Fire Alarm Susp'd Ceiling _- Roof Misc: Final PASS PART FAIL ------- -PLUMING Post R Beam —�- ---' - Under Slab Top Out Water Service Sanitary Sewer - - — - — Rain Drains Final - — — PASS PART_ FAIL MECHANICAL Post& Beam --- — Rough In Gas 1.ine - - --— -- Smoke Dampers Final - — - - - PASS PART FAIL TRICAL a_ - �" Rough In — ----- ----- ..—_ �. UG/Slab Lowvaw — ---- -------- ire m PA PART FAIL - W WE "1 Backfill/Grading - Sanitary Sewer Storm Drain [ ]Reinspeclton fee of$ _—_-required before next inspection. Pay at City Nall, 13125 SW 1-101 Blvd Catch Basin Fire Supply Line I 1 Please call for reinspection RF: �_- Unable to inspect-no as ess ADA Approach/Sidewalk (Date / L'' Inspector Z-�--t Ext Other ---1--- —--- Final PASS PART FAILJ DO NOT REMOVE this Inspection record from the job site. CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hizi!r Ingpection Line: 639-4175 (Business Line: 639-4171 -- P4rl7, / BUP -- Date Regt!ested_ f- Z Y AM !� PM BLD Location_ /_03 -51' / l'rl G5 Suite MEC Contact Person 4 _ Ph Q2 u l L aPLM i Contractor -01 Ph SWR BUILDING Tenant/Owner IFLC Ze4wc�GU� ��- Retaining Wall - ELR Footing Access: Foundation FPS Fig Drain Crawl Drain Inspection Notes: ) SIGN Slab C t-s tity/- C _ y' sir Post&Beam Ext Sheath/Shear Int Sheath/Shear Framing Insulation Drywall Nailing _ Firewall - Fire Sprinkler _- Fire Alarm -- Susp'd Ceiling Roof Misc: Final PASS PART FAIL PLUMI9gNO Post&Beam --- - Under Slab Top Out - --- Water Service Sanitary Sewer — Rain Drains Final - PASS PART FAIL _ MECHANICAL — Post&Beam Rough In (;as Line smoke Dampers Final PASS PART FAIL IRnugh In 0) i i(Blah Cfi✓*�� Lew"voltage -- _-' ! Fire rm J Fi - - - -� AS PART FAIL Uj -J Backfill/Grading - -- - Sanitary Sewer Storm Orin [ ]Reinspection fee of$ required before next inspersion. Pay at City Hall, 13125 SW Hall Blvd Catch pply Line [ ]Please call for reinspection RE:, _ - f }Unable to inspect-no access Fire Su J ADA Approach/Sidewalk Diwte /_ t�/ Inspector pector ,.� _ Ext _ Final PASS PART FAIL DO NOT REMOVE this Inspection record from the job site. ChW OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Line: 639-4176 BuslEinesss Line: 6394171 -- SUP Date Requested/ r AM _PM BLD -- — Location , o ,3 q U l"I 6,a S AW/7A AJ Suite ' 0 MEC —r Contact Persson Ph ©G / PLM Contractor Ph SW _ BUILDING Tenant/Owner _ ELC. e,y I:f� Retaining Wall _ ELR Footing Access: Foundation FPS Ftg Drain _ SGN Crawl Drain Inspection Nates: Slab IT Post&Beam Ext Sheath/Shear Int Sheath/Shear Framing Insulation .--� Drywall Nailing -=: -- — - Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling —_ Roof Misc: - -- Final PASS PART FAIL — --- ---- PLUMING Post&Beam - — - Under Slab _— Top Out Water Service _ Sanitary Sewer Rain nrains Final PASS PART FAIL _ MECHANICAL Post R Beam — ----- -- Rough In Gas Line -~-- Smoke Dampers Final -- PASS PART FAIL a - Service Rough In UG/Slab Low Voltage Fir&Alarm J AS PART FAIL ut Backfill/Grading Sanitary Sewer Storm Drain ( ]Reinspection fee of$ required before next inspection. Pey at City Hall, 131?1;SW Hall Blvd Catch Basin Please call for reinspection RE: Fire Supply Line i ] ] ]Unable to inspect-no access ADA Approach/Siirwalk Datep Inspector Other 'i�-� Final PASS PART FAIL DO NOT REMOVE this II-spaa11on nm d Ikam t1N" aft. CITYARD BUILDING INSPECTION DIVISION 24-Hour Ens Line: 639-4175 Business Line: 639x4171 ' 7 - — BUP �� -e, Date Requested /- 2-U 1 AM—PM_ BLD Location_ G,3 V D .56V.1 f7/M Si. 5 0 A- / A Suite D MEC Contact Person �'� , _ Ph '70 iff-i%0 PLM Contractor _ Ph SWR BUILDIN Tenant/Owner ELC -- Retaining Wall — ELR Fooling Access: �`— — Foundation FPS Ftg brain -- Crawl Drain Inspection (Votes: SCAN -- Slab Post d Beam -- - SIT �- Ext Sheath/Shear In /Shear - ----- raml 'tell n irewa --- - Fire Sprinkler Fire Alarm - -"�- -- -- Susp'd Ceiling Roof ----- Mi PART FAIL Post&Beam Under Slab Top Out ------- -__ Water Service Sanitary Sewer -- - - - ----- Rain Drains Final -- PASS PART FAIL M11CHANICAL Post&Beam _ Rough In Gas Line -- _ Smoke Dampers sinal PASS PART FAIL -� ELECTRICAL IL Service It Rough In - -- ---�--- UG/Slab U) I-ow Voltage -- - Fire Alemi Final m PASS PART FAIL _ Backfill/Grading ----- -_- - - _ �— Sanitary Sewer Storm Drain ( )Reinspection fee of$ required before next inspection. Pay at City Hall, 13125 SW Hell Blvd Catch Basin Fire Supply Line ( )Please call for reinspection RE: ( j Unabie to inspect-no access ADA Approach/Sidewalk Date 0 Ext Other Inspector�� --Q�(�l Final PASS PART FjklLj DO NOT REMOVE this Inspection record from the job ,*e. e. C/ KNEEN CITY" OF TIGARD BUILDING INSPECTION DIVISION 24-Hour Inspection Line: 639-4176 Business Line: 639-4171 MST ,, BUP Date Requested z ='�_AM PM BLD—._ Location /U 3 VU S /irl Suite MEC Contact Person Ph ..-/ C O PLM Contractor _ Ph SWR BUILDING TenantiOwner _ ELC Retaining Wall ELR Footing Access: Foundation FPS Fig Drain — -- Crawl Drain Inspection Notes: SGN Slab Post&Beam -- SIT Ext Sheath/Shear Int Sheath/Shear Framing Insulation Drywall Nailing Firewall - -- Fire Sprinkler Fire Alarm /`1 — Susp'd Ceiling Roof Misc: Final — PASS PART FAIL �t LM Post&Beam ---- — Under Slab Top Out --- Water Service Sanitary Sewer Ins PART FAIL _ ICAL Post&Beam Rough In Gas Line _ Smoke Dampers Final --- _ PASS PART FAIL ELECTRICAL —-- — (L Service _ Rough In — UG/Slab Low Voltage �— Fire Alarm —r Final PASS PART FAIL UJI 8112 -a Backfill/Grading — -------� _-_—_ Sanitary Sewer Storm Drain [ j Reinspection fee of; required befor•-,Are`*ispection. Pay at City Hail, 13125 SW Hall Blvd Catch Basin Fire Supply Line [ j Please call for reinspection RE: _ — [ ]Unable to in.;r—H - no access ADA Approach/Sidewalk Other _ Date / Inspector 'f kms" Ext Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. COIN v i WALLS AND INTERIOR PARTITIONS,NONCOMBUSTIBLE SYSTEM DESCRIPTION �"— SKETCH AND DESIGN DATA — GA FILE NO.WP 1330 —7 HOUR 3510 39 STC FIRE_ SOUND �! I SEMI-SOLID GYPSUM WALLBOARD,GYPSUM STUDS iOn IrrYer'9.'IYPe X gypsum weglrrNrrd or gypsun,veneer hale a rtlrwl I 1 sld0 of 6'wlda sum studs?4'o.c.with 1' 1q prrrN11rr1 to,,tach if rfat' C %Po G devw„1 sc�ews 20'o.c.end with lamlvY« } I w►9 Pour►d. GYPSUM stuft lrrlttieatod Irnrn 2 or 3 layers of '/j or larrrl„NtMI gypsum prnola.Fire tants,'wiloo I'IhN*Uypsaxrl studs 9an.1 irvrwrt wtrh a/.'r111ch pypourr,vl,rsr.(NLO) f1Acr Hess Varioo Limiting I Icighl: 12'fl' Approx.wrrlUl,l:E pEl I:Ire fest* UL f12/1/ Ito.•J1,ri•:{-$7• Orrwpn11..110:11LC Dewon ww, Stumd Tie st: Basad on 041 111w aij. 8 1 fit GA FILE NO.WP 1340 1 HOURT3510 39 STC I !R� ulur� GYPSUM WALl.9gARD, STEEL STUDS _ - One layer`h' x side of 1 s/: gypsum wallboard t,r gypsum vww nr bwe applied parallel tartarlr - steel studs 24'o a.,vith 1'Typo S dryworll scrowa @•.xc.at"m mrd 12' n.a.of kflermodimo .Iuinlx Maggored 2.4'nn C41W.lte sidoo.(NL9) Thicknoss: 27, Limifrrg 14eighP nefor to soctiorr V j Appmx.Wolght:6 psl Fire That: 0311 r.-P96. Sound Taot: RAI 11.84-244.S N 64 GA FI NO.WP 1370 _--_... 1 MOUR rSto-jq STCUND GYPSUM PIASTER,GYPSUM LATH, STEEL STUDS 1:2 QW81 n-nand plaster applied ovar Na,type X gypsum lag,NIr(rlled st right arlglea 10 one""w..,t pyx W-H ahxlo 24'u.c.wfoh two 1•IYP0 S drywel screws At wrch J r Stud Nnat two bxal Mni rJpts per fifth at I8111 emta(NI-8) Thltkt*%%: �y,+ Lirnllhag Neigh:Meter b socinx,v fl Approx.WtNpM:14 Incl Fha Tkti: W. 12.21.85 9MMVI rest RAL T1.611-2nn,n4-83 GA FILE NO.WP 1350 _. i NOVA 38 to 39 STC mFIRE SOUND SOLID GYPSUM PLASTER,METAL LATH,METAL CHANNEL C4 .. -- W 2'solid 1.1%gypsurn•rarvi plaster applied ovrr 2.5 b.metal Inlh wirk mmi 8'ac.go ono RnMr Of y4•cold roofed channot ntudy 10'0 C.embrhwrl on then plastra.(NI-11) L— I ThlCknota. 2' � ' Lhttltklg I(hrI)Irt:17'8' AW".Welpttf 18 paf FlroTcv: 08UT--129.J is 48 Santd Ttml: 11MS 14411in,7.75.55. _ NOS Menngrnph //, I1,VI-0+ _ 'Gblfttld low,f"'I"U acfwt,M ler th"M detnflml . CITY OF T I GA R DBUILDING PERMIT DEVELOPMENT SERVICES DATE 3 UIED: 330/0101 0010$ 'i 3125 SW Hall Blvd..Tioard,OR 97223 (503)839.4171 PARCEL: 1 S134Ab 06201 SITE ADDRESS: 10340 SW NIMBUS AVE N-Q SUBDIVISION: ZONING: I-P BLOCK: LOT: JURISDICTION: TIG REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION_ CLASS OF WORK: FPS FIRST: sf N: S: �E: W: TYPE OF USE: ('OM SECOND of PROJECT OPENINGS?_ TYPE OF CONST: 3N '%f N: S: E: W: OCCUPANCY GRP: B 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?: REQD SETBACKS _ REQUIRED FLOOR LOAD: psf LEFT: ft RGHT: ft FIR SPKL: SMOK DET: DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : Y HNDICP ACC: BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING: VALUE: $ 1,500.00 Remarks: Fire sprinkler pre-action. Owner: Contractor. ROBINSON, CONSTANCE A+ ACTION TECHNOLOGY SYSTEMS ROBINSON, LYNN+ BELL, KAY ET DBA TELEPHONE ✓3<ALARM SUPPLY BY INSIGNIA COMMERCIAL. GROUP 8335 SE 17TH ARRVE 22�� BVhXRrTON, OR 97008 PgpoTke N5 1A 9�t39�-2630 Reg#: LIC 79136 _ FEES REQUIRED INSPECTIONS Type By Date Amount Receipt Fire Alarm Insp PRMT CTR 3/28/01 $62.50 27200100000 Final Inspection 5PCT CTR 3/28/01 $5.00 27200100000 FIRE CTR 3/28/01 $2.5.00 27200100000 Total $92.50 M This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR.M Specialty Codes and all other applicable law. All work will be done in accordance with approvea 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 the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952.001-0010 through OAR 952-001-1987. You may obtain a copy of these rules or direct questions to OUNC by calling (503) 246-1987. t Signa Signatuurr e: �� _ i ��,r✓L. Issued B Call 639-4175 by 7 p.m.for an Inspection the next business day Building Permit Application natereeelve&5/q7 k 7 or nitao.: pxw-06tole City of Tigard I► Address: 13125 SW Hall Blvd,Tigard,OR 97223 Project/appl.no.: t3xpiredate: City of Tigard ,/ d&AADate issued: B Recei no.: Phone: (503)639-4.71 ;2 Pa000-co 78/ y Fax: (503)598-1960 Cane file no.: Payment type: Land use approval: I&2 family:Simple Complex: U 1 &2 family dwelling or accessory *CommemiaUindustrial U Multi-family U New construction U Demolition AAddition/alteration/mplacement U Tenant improvement `A Fire sprinklcr/alarm U((her. Job address: '3 O '1ZBldg.no.: Suite no.: (� Lot: Block: Subdivision: Tax mapAax lot/account r !roject name: pt-T 'j' r—CIES Description and location of work on premises/special conditions: Name: . Mailingaddress. N 101� WV 1 &2 fanslly dwelling: City.1 State ZIP: Q 7 Valuation of work........................................ $ Phone: Fax: E-mail: No.of bedrooms/baths................................. Owner's representative: Total number of floors................................. Phone: Gax: E-mail: New dwelling area(sq.ft.) .......................... _ Garagc/carport ares(sq.ft.)......................... Name: Covered porch area(sq.ft.) ......................... Mailing address: Deck area(sq.ft.) ........................................ City: State: ZIP: Other structure area(sq.ft.)......................... _ Phone: Fax: E-mail: ComnwrcinUlntiadrinUmItl-fawlly: Valuation of work........................................ $ ---- Buaineas name: Cxyp Existing bldg.area(sq.R.) .......................... — New bldg.area(sq.R)................................ Address: s1= 11TH %- Number of stories.. City: CO ,vktvr7 State:t ZIP: t "l2. l 4 Type of construction.................................... Phone:2_ l--t of Fax'23 1-14v E-mail ----A Occupancy group(s): 8ltisdng: CCB no.: —ICIL706 New: City/metro lic.no.: a0l,00\ Notke:All contractors and subcontractors are required to be licensed with the Oregon Construction Contractors Board under Name: provisions of ORS 701 and may be required to be licensed in tile, Address: jurisdiction where work is being performed. If the applicant is -City: State: ZIP: exempt from licr,nsing,the following rectum applies: Contact person: i Plan no.: - Phone- Fax: I E-mail: I Name: Contact person: Fees due upon application ........................... $_ Address: Date received: City: State: ZIP: Amount received ......................................... $ Phone: Fax: _ E-mail: Please refer to fee schedule. I hereby certify 1 have rrad and examined this application and the Met.a jmiwktloer WCW craft CW&'pkaw can jmUffirbon r«rrKae tnforrutlan. attached checklist.All provisions of laws and ordinances governing this U vee U MasterCard work will be complied with,whether cifted herein or not. crrm�para number __n__ -� - - Name d dw meredh_can- rxplrca Authorized signature Date: 3� - Print name:__`� �- • 0--T -- CW*A der wpm= Amo.d Notice:This permit application expires if a permit is not obtained within 190 days after it has been accepted as complete. 44OA13(GO&COM) r Fire Protection Permit Check List A.) ❑ New 0 Addition __Alteration —�Fte air_ B.) "codification to sprinkler heads only: Describe work to 1. 1-1.0 heads: No plan review required. be done: 2. 11+ heads: Flan review required. r Number of sprinkler heads: Ad 'tional descripti of work: TkPe of gVystem �Coiplete A or B as applicable): A� rinkler t Li� Dry U St nd i es Addhipnal H zard Group Y _ Informa"q D nsi �� D ign Area -- -- K. actor - - S inkler Pro est Valuation: ; ©.moire Alarm Submittal shall B ttery. Calcu--la�'�ns s Include: I ividual Compohent Yes t Sheets 10 CD_ FI Alar►ro_Prolect Vdlu on: ; ��e Pro ect aluation Subtotal A_& B : 2, pc)a 10� _ T Permit fee ba don valuation (see chart): ;__ ` 8% State Surcha e: ; FUN Plan Review 40% of Permit: ; 2 -� TOTAL: 012' IL oc ry G _J W J 1AdstsVmms\F?Schedc11st.do 10/04/00 I've 10 14(is &*,rp, 4& dpwLy � 1 Ag 1 AT&T Local Servkms I I 10340 SW Nimixjs Avenue Tigard ' �E regon 97223 I 4 i i , 1 11, V 49 411 "k I { Z j 1 f 0 19 OE fff Q m 1 i CITY OF TIOARC r� ELECTRICAL - ENER RESTRICTED ENERGY DEVELOPMENT SERVICES PERMIT 0: ELR2001-00086 13125 SW Hall Blvd.,Tlasrd,OR 97223 (503)639-4171 I;ATE ISSUED: 3/30/01 PARCEL: 1 S 134AD-06201 SITE ADDRESS: 10340 SW NIMBUS AVE N-1) SUBDIVISION: ZONING: I-P BLOCK: LOT: JURISDICTION: TIC, Prolect Description: Installation of restricted energy for fire pie-action system. A.RESIDENTIAL S. COMMF7CIAL AUDIO&STEREO: AUDIO&STEREO: INTERCOM&PAGING. BURGLAR ALARM: BOILER LANDSCAPE/IRRIGAT: GARAGE OPENER: CLOCK MEDICAL: HVAC: DATA/TELE COMM: NURSE CALLS: VACUUM SYSTEM: FIRE ALARM: X OUTDOOR LANDSC LITE: OTHER: HVAC: PROTECTIVE SIGNAL-, INSTRUMENTATION: OTHER: Owner: Contractor: ROBINSON, WN"T-^NCE A+ ACTION TECHNOLOGY SYSTEMS ROBINSON, LYNN+ BELL, KAY ET 835 5E 17TH AVE BY INSIGNIA COMMERCIAL GROUP PORTLAND, OR 97214 BEAVERTON, OR 97008 Phone: Phone: 231-1992 Reg#: LIG 79136 ELE 26-77id _ FEES _Required Inspections --Type- !By Date Amount Receipt Low Voltage Inspection PRMT CTR 3/28/01 $75.00 2720010000 Elect'! Final I 5PCT CTR 3/28/01 $6.00 2720010000 —Y 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 vmrk will be done in accordarce with approvers 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 Notificatiun Center. Those rules are set forth in OAR 952-00 0101hrnugh OAR 952-001-0080. You may obtain copies of these rules or direct questions to OUNC at (503) 246-17. Issue y Permittee Signature / OWNER INSTALLATION ONLY The Installation Is being made on property I own which Is not intended for sale. lease,or rent. OWNER'S SIGNATURC: DATE: CONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR. ELEC'N: _ DATE:_____ _ LICENSE NO: Call 639-4175 by 7:00 P.M.for an Inspection needed the next business day Electrical Permit Application Date rmceived: Permit W.: City of Tigard Project/appl.no.: Expiredate: Oty. fauid�Address: 13125 SW Hall Blvd,Tigard,OR 97223 Date issued: By: Receipt no.: Phone: (503 639A171 ?(1 n ax' (503)598-1960 Case file no.: Payment type' CTAMUPIITY DFVrVW'.,krpd use approval: U 1 dr 2 family dwelling or accessory Wommercial/industrial U Multi-family U Tenant improvement U New construction Addition/alieration/replacement U Other. U Partial Joh address: A 3 40 Srs_' N�S�S' Bldg.no.: Suite no. Tax ma tax lot/accouni no.: Lot: Block: bdivis-ion: Project name: P" Description and location of work on premises: per- Pn,F-th t�Lt�r ; S•e fits`-� Estimated date of com letion/ins cti0u: Job no: _ Fbe Has Business name: �q�pN T1-Z4uDOc-[ qq (ea Total no.Imp N Address: g35 Se< (fit, ewrsaltfeMY-tti�barodd4=t/fper ttwa sgtaM.laehderanacIN Varese. City: State ZIP:CN-17-t % viceli cltdak Phone:2311 X12 I Fax: --14<Y2 E-mail: 1000 p•ft.or las 4 CCB no.: 3 (r, Elec.bus. lie.no: "101 5 LL Each additional 500 sq.ft.or portion thereof Limited energy,residential 2 [City/metmlic.no.: _�.�Q01 i Limited energy,non-residential 2 aFoch manufactured home or modular dwelling Services rvisin electrician(required) pate Service and/or feeder 2 _�_ = _ Sup.elect name(print): �vW L. 1e-WL4"-*0 Ucense no: Si nature o w or/calces-Iaalalbtfoa, sherstlov er reloeatlo i: 200 amps or less 2 Name(print': 201 amps to 400 2 Mailing address: 401 amps to 600 strips 2 601 am�uo 1000 12 City: S ZIP: W&9 (hoc 1000 amps or volts_ _ 2 Phone' Fax E-mail: Reconnecionly 1 Owner installation:The installation is being made on property I own Temportryasrvl'orl I - which is not intended for sale,lease,tent,or exchange according to tbratallarion of vuOo t,orraleeatloa: ORS 447,455,479,670,701. 200 amps or less 2 201 tarps to 400 amps 2 Owners signature: Date: 401 to 600 amps 2 Ilranc h elmib-new,nNeeWleis, os extaAdse per posell: Name' A. Fee for branch cirt,tits with purchase of Address: -uvioe or feeder fee,each branch circuit 2 C, City: State: ZIP: B. Fee for branch circuits vidmd purchase l>C Phone: Fax. E-mail: of earvice or feeder fee,first branch circuit: 2 1 Each additional branch circuit: to be.(Service orfeedernes Ieeladed)- U over 225 amps-commercial ❑HealNcare faciBty Each nm�or irrigation circle 2 '320 amps-rating of1 k2 U Hawdous locationFaclt cin or outline lighting 2 dw"llings U Building over 10,000 square.,feet four or Signal cirruiUs)or a limited energy panel,ym over 600 volts nominal more residential units in one structure alteration,or extension* 1 ? t� U Building over three stories U Feeders,400 amps or more .pr �7cy'S'Tbr1 , *Description: t U Occupant load over 99 persons U Manufactured structures or RV park Fwch addkloral laspertba over the aMewuMa Ice say of the above U Egress/lightingplan U Other. _. per ins on Submit`_sets of plass with sty of the above. Investiption fee The above are not applicable to teapotwy ceestrtvctinin service. other __- Not all jurisdictions scttp credit cads,plesse call jurisdiction for retrive informMpermit ion. Notice:This application Permit fee"""""""""". 0 Visa U MasterCard expires if a permit is not obtained Plan review(at — %) 1 Credit cord number: _ _L1_ within ISO days after it has leen State surcharge(11%)....$ F.xpioes accepted as complete. TOTAL .......................$ g1`Soo _ Name or tadhnldrr a shown on[ It card S Cardholder siptatute Aarssat 446.4615 f6fflWI M) CITY OF TIGARD BUILDING INSPECTION DIVISION _ MST 24-Hour Inspection Line: 639-4175 Business Line: 69-4171 - — Z� r BUP _—� Date Requested__— —_AM _ PM BLD Location Z0 3 N I " du3 4 w Suite - Zq MEC .;6VIO "'ontact Person Ph �f60�,3 _ PLM Contractor Ph SWR BUILDING Tenant/Owner ELC �— Retaining Wall EL R Footing Access: -- Foundation FPS Ftg Drain SGN — Crawl Drain Inspection Notes: — ------- Slab —._ SIT Post&Beam -- - Ext Sheath/Shear Int Sheath/Shear Framing Insulation —' Drywall Nailing Firewall -- Fire Sprinkler Fire Alar Susp'd Ceiling Roof Misc: — ---- — --- - —--- Final PASS PART FAIL — PLUMBING Post&Beam --- -- — ---_ Under Slab Top Out -`— ------ Water Service _ Sanitary Sewer — -- --- —' -�-- Rain Drains _ Final PASS PART FAIL Post&Bea _—_ ------------ Rough In Gas LineA — - S oke Dampers Dd FI — SS PART FAIL 4. E RICAL - — 'Service N Rough In UG/:flab -- Low Voltage .1 Fire Alarm _ m Final Y T (� PASS PART FAIL —_ W SITE Backfill/Grading �` �------ ------ -- - Sanitary Sewer Storm Drain [ )Reinspection fee of$_—_ _regtdred before next inspection. Pay at City Hall, 13125 SW Hail Blvd Catch Basin I )please call for reinspection RE: Unable to Ins Fire Supply Line —•--_-- -. _ [ ) pert-no access ADA Approach/Sidewalk h �' Other Date U . inspector __ Ext Final PASS PART FAIL DO NOT 1:LLIYIOVE this Inspection record from the job site. CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 ;�� ` / ' 8UP V —Date Requested AM PM BLD Location ��/ �*/ /I l h' �s _ Suite MEC Contact Person Ph <' ,�/ t� Z- PLM Contractor Ph SWR _ BUILDING TP:rant/Owner ELC Retaining Wall ELR 010/-e-v U Sli Footing Foundation FPS Ftg Drain 8GN Crawl Drain Inspection Notes: Slab SIT Post&Beam Ext Sheath/Shear Int SheathlShear Framing Insulation _ Drywall Nailing / !Firewall _ f Fire Sprinkler Fire Alarm1 T / AZ Susp'd Ceiling e < <` ?Y1� �2 .1_ LbJ Roof �v N C / l U I' c2 Qy/ ►" i ft R�� P h4' X'.J'-'0�— Misc: N / — FinalPARTPART FAIL �47a d u/ CcJ ! U W eQ Y PLUMBING Post A Beam Under Slab Top Out Water Service _ Sanitary Sewer - Rain Drains Final PASS PART FAIL MECHANICAL Post&Beam — - pur Rough In r'r�� uITY��- Gas Line - -----"---- — All APL. _ Smoke Dampers Final — —-- PA ,g RT FAIL p, L F Servicet- Rough Incn / UG/Slab Low VoltIn In PASS ART FAIL - - --- Backfill/Grading -' -- Sanitary Sewer Storm Drain [ ]Reinspection fee of 3 required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin [ Please call for reinspection Pie _ _ [ ]Unable to inspect -no a(xess Fire Supply i InP ADA � Approach/Sidewalk Date -(J InspectorExt Other --- Final PASS PART FAIL DO NOT REMOVE this limp melon record hon n the Job site. CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Lina: 639-4175 Business Line: 639-4171 - BUP ay oda- _Date Requested - Z 7—, AM PM BLD Location a 3 o 5w �'G P S _ P✓ Suite MEC _ — Contact Person_ �j�.0(rt Ph 64#0 PL.M ^ Contractor^ Ph ,VR UILDINO Tenant/0wner _ _ ELC —__- Retaining Wall ELR Footing Access: Foundation FPS Fig Drain -- Crawl Drain Inspection Notes: SGN Slab Post&Beam --- 31T Ext Sheath/Shear Int Sheath/Shear — rrsming —� Insulation Drywall Nailing Fir Fi Sprinkle Fire Susp'd Ceiling Roof PAS PART FAIL QLANIM P-t A Beam --- Under Slab Top Out - Water Service Sanitary Sewer --- — Rain Drains Final - — — - -PASS PART FAIL MECHANICAL Post a Beam - - - Rough In GRs Line Smoke Dampers Final — - PASS PART FAIL ELECTRICAL - — —�— �— a Service a Rough In - - - UG/Slab Low Voltage — Fine Alarm ..1 Final PASS PART FAILIMF— LSI -j Backfill/Grading -- -- --- - -- Sanitary Sewer Storm Drain [ ]Reinspection fee of$ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line I ]Please call for reinspection RE: _ [ ]Unable to Inspect-no access ADA Approach/Sidewralk �1�1,1I�) ..!/tel"' OtherDate _ l�"l v Inspector ` 4 Fid Final PASS PART FAIL DO NOT REMOVE this inspection r9cord from the Job she. CITY OF TIGARD BUILDING INSPECTION DIVISION MST (� A-Hour Inspection Line: 639-4176 Business Line: 639-4171 - �-X--- u 13UP Date Requested / AM! PM BL Location_10 ,344 S w ��M GNB �v j° _ Suite _ EC ?&-�-u o u Y7 a'- Contact Person Jt711 _ Ph 5b3 Z Y y /y e,10" PLM __— Contractor Ph _— SWR BUILDING Tenant((caner Ali ip All' _ ELG — Retaining Wall ELR Footing Access: Foundation FPS Ftg Drain SGN Crawl Drain Inspection Notes: ----- Slab _ SIT Post&Beam Ext Sheath/Shear Int Sheath/Shear ^ �0 Framing Insulation Drywall Nailinr _� Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Misc: -- Final ' L PASS PART FAILPLUMING Post&Beam Under Slab Top Out — Water Service Sanitary Sewer Rain Drains Final PASS PART FAIL MF post&Beam -- - — —' Rough In was Lin-L — -- —" MMMiampers Final - --`� - PASS PART AI ELECTRICAL — -� Service C Rough In UG/Slab Low Voltage Fire Alarm ---- j Final PASS PART FAIL _ -- U WE Backfill/Grading Sanitary Sewer Storm Drain [ ]Reinspection fee of$--___—required before neat Inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line [ J phase call for reinspection RF: [ J Unable to inspect-no access ADA Approach/Sidewalk Date — f? Inspector C" ExZ� I Other Final PASS PART FA!Lj DO NOT REMOVE this Inspection record from the job site. CITY" OF TIGARD BUILDING INSPECTION DIVISION wjr Ms��r) 24-Hour Inspection Line: 639-4175 Business Line: 639.4171 BUP _ __—.___ Date Requested__/L 'F ANA_ PM PLD I._ucation- �}�!/ ,� ✓_.4�Lh ��-- Suite _ MEC —'y=`'y Contact Person r Ph ,7P3-Z t{-If G u PLM , Contractor Ph SWR BUILDING Tenant/Owner ELC — Retaining Wall ELR _ Footing Access: Foundation FPS Ftg Drain SGN Crawl Drain Inspection Notes: -- Slab Post 8 Beam -- __._----� SIT" — Ext Sheath/Shear Int Sheath/Shear Framing Insulation -- Drywall Nailing Firewali — Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Misc: Final — PASS PART FAIL. — --- -- — — PLUMBING Post&Beam - --- ----- Under Slab Top Out — Water Service _ Sanitary Sewer — Rain Drains _ Final +'— — PASS PART FAIL rL Post&Beam ---- Rough In moke Dampers Final --- -- ART FAIL EtEVMCAL Service Rough In — UG/SlabLow Voltage r•ire Alarm 1 Final 1 PASS PART FAIL I SITE Backfill/Grading -- -- Sanitary Sewer Storm Drain ( ]Reinspection fee of$_.__ required before next Inspection. Pay at City Hall, 19126 SW Hall Sl.,d Catch Basin Please call for reinspection RF: Fire Supply Line ( ] p -- _ ,�— [ ]Unable to inspect-no access ADA Approach/Sidewalk Other _ (Date - 6e) Inspector Eat Final PA38 PART FAIL DO NOT REMOVE this inspection record from the job site. CITY OF TIGARD BUILDING INSPECTION DIVISION 24-I1pur Inspection Line; 639.4175 Business Lina: 639-4171 MST — SUP —Date Requested 1. l q AM PM _ BLD Location, 2L2s,,�i /�1 iM 1 L/ S Suite NEC Contact Person Ph PLM Contractor 55 1"AJ �J/M� Ph _ Q=� SWR BUILDING Tenant/()caner R I { T/lo 0 EELC Retaining Wall Footing Access: Foundation / FPS Fig Drain --� - Crawl Drain Inspection Notes: SGN -- Slab _ -- SIT Post&Beam —v- E xt Sheath/Shear Int Sheath/Shear Framing -, Insulation -- Drywall Nailing _ Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling — Roof -^`— Misc: Final PASS PART FAIL PLUMBING ~— Post&Beam -- -- Under Slab Top Out - - Water Service ''anitary Sewer - -- —' - Rain Drains _ Final — PASS PART FAIL. _ MECHANICAL Post R Beam Rough In Gas Line - ---- - - Smoke Dampers Final -- -- — F'AS P-MMFAIL RICA --- - �!- — d Service Rough In - H UG/Slab N Low voltage —� — - Fire Alarm J W A FAIL I, S � Backfill/Grading — --- Sanitary Sewer Storm Drain [ J Reinspection fee of$` required before next inspection. Pay at City Nall, 13125 SW HaN Blvd Catch Basin Fire Supply Line [ ]Please call for rein pection RE:_______— _„— _ [ ]Unab!e rn inspect-no occess ADA ApprOther Date Date Inspector Ext _ Final PASS PART FAIL I DO NOT REMOVE this Inspection record from the job site. /u CITY OF TIGARD BUILDING INSPECTION DIVISION CopMST24 Hour,inspection Line: 639-4176 Business Line: 639-4171 BUP , Date Requested 11— AM PM ` A / BLD - Location, �j 1 q b 0Fp*4pS rQi,i l U Suite -� MEC Contact Person - Ph �G �Z — PLM Contractor _y t ris fr_,ce_/ Ph SWR _ FFAILLDDI,NC3 Tenant/(honer /-11 ELC 2e ,00 10 106 1!y Retaining Wall ELR Footing Access: Foundatior, FPS Ftg Drain Crawl Drain Inspection Notes: SGN _ Slab Post 6 Beam -- SIT Ext Sheath/Shear Int Sheath/Shear — Framing Insulation —� Drywall Nailing Firewall - Fire Spiinkler _ Fire Alarm Susp'd Ceiling _ Roof Misc: Final PASS PART rAll, PLUA-01 Post&Beam Linder Slab Top Out -- Water Service Sanitary Sewer — — -- — Rain Drains _ Final - PASS PART FAIL MECHANICAL `-- Post 6 Beam Rough In Gas Line -- - —_ Smoke Dampers Final - —•- -- PASS PART FAIL t]. E CMA 7 , Rough In C e I//� r~n UG/Slap coat-', r Low Voltage -- J Fire Alarm m ELUL A PART FAIL W WE Backfill/Grading_ — ----- Sanitary Sewer Storm Drain [ J Reinspertion fee of$ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line [ ]Please call for reinapor inn RF• — ( ]Unable to inspect-no access ADA ApproPch/Sidewalk - / _ Other pate / Inspector Ext _ Final PASS PART FAIL j DO NOT REMOVE this Inspection record from the Job site. CITY OF, TIGARD BUILDING INSPECTION [DIVISION MST _ 24-Flour Inspection Line: 639-4175 Business Line- 639 — -Date Requested Al �AM _ 1 �� BLD I_ocation_,(_03 �o Jw ��*�� MEC Contact Perso4` Iq f+I r P PLM Contractor _ _ - SWR Tenant/O er �- u -�' EL.0 - Retaining Well ELR Footing Access: — Foundation FPS Ftg Drain Crawl Drain Inspection Noes: _ _ K SGN - --- Slab C_ S� Post&Beam --- - --- Ext Sheath/Shear L'a Int Sheath/Shear --- Framing Insulation Drywall Flailing Firewall Fir r�^K -� - •tr��l G IL '�1� 'r iii s5.—! .� �2.� Susp'd Ceiling —!^ _ — ------ ---.—._ Roof Misc: S PART FAIL FNt3 Post&Beam --- Under Slab Top Out Water Service Sanitary Sewer Rain Drains Final .._...----- Pl',SS PART FAIL - — MECHA L Post&Beam ---- --_---- — Rough In Cas Lina - ---- --- -- --- Smoke Dampers Final - PASS PART FAIL ELECMICAL — - —` Service Rough In UG/Slah Low Voltage Fire Alarm _ Final - PASS PART FAIL Backfill/Grading --- - — _ -- Sanitary Sewer Storm Drain [ ]Reinspection fee of$ required before next inspection. Pay at CRv Nall, 13125 SW Hall Blvd Catch Basin Fire Supply Line [ 1 Please call for reinspection RE: _^ [ ]Unable to inspect-no access ADA Approach/Sidewalk Other Date ! _inspector__ _ _— Ext —_ Final PASS PART FAIL DO NOT REMOVE thlls Inspoetlon record from 0v job site. CITY OF TIGARD BUILDING INSPECTION DIVISION MST Hour Inspection Line: 639-4176 Business Line: 639-4171 - _ BUP _ l - _^-Date Requested '�U AM PM BLD Location 103V0_ Suite .0 – MEC Contact Person Ph ��y�0y PLM t24voo –&0 � J� Contractor Ph SWR BUILDING Tenant/Owner ELG ---_--- _ Retaining Wall ELR Footing Access- Foundation FPS Ftg Drain SGN — — Crawl Drain Inspection Notes: -- Slab IT Post&Beam — — — Ext Sheath/Shear Int Sheath/Shear Framing Insulation Drywall Nailing _ - Firewall Fire Sprinkler Fire Alarm -- Susp'd Ceiling -- i Roof Misc: _ Final dui ART BAILM �~----_ Post Beam --- Under Slab Top Out — — — — -- -- Water Service Sanitary Sewer *Dmins PART FAIL ICAL am Rough In Gas Line Smoke Dampers Final �-_�,3 PASS PART FAIL ELECTRICAL — v - --- IL Service QC Rough In — — IF- ; UG/Slab Low Voltage — Fire Alarm -� Final W PASS PART FAIL —_-- --_ u 81TE ----- - Backfill/Grading Sanitary Sewer Storm Drain ( ]Reinspection fee of$ required before next inspection. Pay at City Hall, 13125 SW Hell Blvd Catch Basin Please call for reins Fire Supply Line ( 1 pecNon RE: _—______�� _ [ j Unahle to Inspect-no arr*ss ADA Approach/Sidewalk P Date � U Inspector 7 Ext Other _ Final PASS PART FAIL DO NOT REMOVE thle Inspection record from tlh i job sit*. i ITY OF TIGARD BUILDING INSPECTION DIVISION MST our Inspection Line: 6394175 Business Line: 6394171 �"— (� BUP _ ___,_nate RequestedAM PM ESLD (_oration /0 3!!�U ._-- 14 N1 6 Lt a Suite '7/\/ - 0 _ MEC — C o itact Person — Ph � � �O/ PLM Contractor _ Ph BUILDING TenaniA)nrnerELC Retaining Wall � � i°.LR Footing Access' Foundation FPS Fig Drain SGN Crawl Drain Inspection Notes: -- Slab _ SIT Post& Beam Ext Sheath/Shear Int Sheath/Shear Framing — — �— Insulation Drywall Nailing — Firewall Fire Sprnkler Fire Alarm Susp'd Ceiling —_ — — --— Roof Misr: — Final — W PASS PART FAIL — -- -- Past -- -- -- r er Service _ Sanitary Sewer Rain Drains Fin A PART FAIL CHANICAL Post&Bram — —_— Rough In Gas Line -- —' — Smoke Dampers Final PASS PART FAIL ELECTRICAL Service -- Rough In • LIG/Slab Low Voltage Fire Alarm j Final j PASS PART FAIL -- t SITE i Backfill/Gradingw--- "anitary Sewer Storm Drain ] ]Reinspection fee of$— required before next inspection. Prey at City Hall, 13125 SW Hall Blvd Catch Basin t`ire Supply Line ( ]Please call far reinspection RF _____._______�__—_ _-- [ ]Unable to Inspect no access ADA Approach/Sidewalk Gatet y Inspector Ext Other — _—-- Final PASS PART FAIL DO LOT RE OVE this Inspection record from the job site. CITY 01= TIGARD BUDDING INSPECTION DIVISION 24-Hour Inspection Line: 639-4175 Business Line: 639.4171 ,MST BUP TiV 6 Z __Date Requested Z AM —PM BLD Location-� V��+✓ !S u /d — Suite MEC Contact Person Ph fi 7 PLM Contractor ttl� Ph SWR IL Tenant/Owner '904"m t7vT ;C-• ELC staining Wall ELR _ Footing Access: Foundation FPS Ftg Drain Crawl Drain Inspection Notes: SIGN Slab Post& Beam - SIT -- _ Ext Sheath/Shear Int Sheath/Shear Framing -t• — — _—_ Insulation Drywall Naffing Firswall Fire Sprinkler Fire Alarm Susp'd Geilinrj Roof 7I C: -- ---_— --- �-�w�� --- ------- —--- Fi A PART FAIL PL MBINO Post&Beam --- Under Slab T op Out _ — Water Service Sanitary Sewer — — — — — —' Rain Drains Fina! --- --- --- �--- PASS PARD FAIL MECHANICAL Post&Beam — Rough In Gas Line — — Smoke Dampers Final --- -- ----- — PASS PA'71 FAIL ELECT,tIC.,iL — - — - & Service a Rough In c►/a- UG/Slab -- —_ Low Voltage Fire Alarm J Final to PASS PART FAIL _ W WE �t Backfill/Grading — Sanitary Sewer Storm Drain ( ]Reinspection fee of Srequired before next Inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line [ ]Pleaso call for reinspection RE: — _ [ ]Unable to Inspect-no access ADA Approach/Sidewalk Other Date 0 Inspector644�4— -Ext Final PASS PART FAIL DO NOT REMOVE thils Inspection record from the job site. CITY OF TIGARD BUILDING INSPECTION MVISION MST 24-Hour Insof,ction Line: 639-4175 Business Lin&: 639-4171 -- sup o bate Pequested — AM PM BLD -- — — Location 10.,3 40 .2 w f(l/„ 166,5 — Suite _ MEC r— Contact Person Ph ��/ ” Yui G e'i PLM ^— Contractor _ —_ _ Ph SWR — BUIL Tenant/Owner _ ELC _ Retaining Wall ELR Footing Access: Foundation FPS Fig Drain —' Crawl Drain Inspection Notes: t SGN Slab _ !o ,30 d-,r, d Post&Beam - SIT _ Ext Sheath/Shear Int Sheath/Shear - Framing Insulation -- Drywall Nailing _ — Firewall -"'—"-- Fire Sprinkler _ Fire Alarm --- Susp'd Ceiling Roof Mi c: ina -- --- S PART FAIL SPL GING Post&Beam -- Under Slab Top Out Water Service Sa,iltary Sews r — — Rain Drains Final -- �— -- PASS PART FAIL MECHANICAL — — Post&Beam - Rough In Gas Line Smoke Dampers Final --— - ----- — -- _ PASS PART FAIL ELECTRICAL --- -- -�- -- �° Service 0. Rough In ------- — — ._ t~ef UG/Slah Low Voltage Fire Alarm Final -� -- - m PASS PART FAIL _ _r Backfill/Grading - — --_ -- - -- Sanitary Sewer Storm Drain [ J Reinspection fee oi'$_ — renuired before next inspection. Pay at City Visit, 13125 SW Nell Blvd Catch Basin Fire Supply Line i J Please call fr r rf0spectinn RE: r-Ahle in ins [ l pest-no occess ADAAppror Other anh'" idewalk Date fol ( 01_ Inspector ------- Ext Fina! — PASS PART FAIL DO NOT REMOVE this Inspection mord from the" silt*. r CITY OF TIGA,RD BUILDING INSPECTION DIVISION � � MST 24-Hour Inspection Line: 639-4173 Business Line: 639-4171 aGd +, BLIP �6 _Gate Requested 3 a AM_— PM BLD _ Location, q S� d 1I 6 a 5_ Q✓ Suite V __ MEC Contact Person _—` i'N G"� Ph %G�� 6 U PLM Contractor_ Ph SWR _ Tenant/Owner ELG Retaining Wall ELR _ Footing Access: — — - Foundation FPS _ Ftg Drain t3GN Crawl Drain Inspection Notes: ----- — Slab SIT Post&Beam Fd Shecth/Shear Int Shcath/Shear — 4 D A ling J Firewall Fire Sprinkler Fire Alarm — ---- -- Susp'd Ceiling -- Roof MISC. — al PAS PART FAIL PIMING Post&Beam -- -- Under Sleb Top Out -- Witer Service Sanitary Sewer — Rain Drains Final PASS PART FAIL ftAECHANOCAL — Post&Beam --- --- --- -- --- Rough In t,as Line — -- — — • Smoke Dampers Final --- — — -- PASS PART FAIL ELECTRICAL IL Service LI: Rough In CO) UG/Slab Low Voltage --- --- Fire Alarm -� Final PASS PART FAIL u SITE -� Backfill/Grading -----' — — Sanitary Sewer Storm Drain [ ]Reinspection fee of$__--- required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin RE:reinspection Please call for reins Fire Supply Line [ ] p ___——_—_—__-__ v_�___ [ )Unable to Inspect no access ADA (1 Approach/Sidewalk Date \ Inspector. Ext Other I --. _ Final PASS PART FAIL J DO NOT REMOVE this Insptction record from thv job sift. � P CITY OF TIGARD BUILDING INSPECTION DIVISION , 24-Hour Inspectibn Line: 639-4175 Business Line: 639-4171 Z /e 3 U Nate Requested AMPM _ OLD Location �G�3 �U /�j�U�_ Suit MEC Cc-ltact Person Rrw U _ Ph STJ3 - 70 1' � 1 (U PLM Contractor swrT Tenant/Owner 4TIT Retaining Wall E.;_R Footing Access: Foundation ��, r'PS _ Ftg Drain — Crawl Drain Inspection Notes: SGN Slab $I Post&Beam n � .{� Ext SheathlShear J �l VV�� Int Sheath/Shear l Framing Q L� TO-4 Insulation Drywall Nailing �,L�j D U 0 D CPq y Firewall � f� �} Fire Sprinkler ?Avo— U� L CA�G-�L�t\ v� Fire.Alarm Roof Mises P PAP.1 FAIL Post&Beam ^ 0 �— Under Slab Top Out 4 CJVL/ I/� V� ' lJ U (R Water Service Sanitary Sewer ,.�.-� _ Rain Drains U , Final PASS PART FAIL MECHANICAL. Post&Beam - Rough In Gas Line — Smoke Damnprs Final -`�- PASS PART FAIL ELECTRICAL - - -' d Service�� -- -- Rough In _ yi iGrSlab — --- I Voltage -- - Fire Alarm W Final a PASS PART FAIL W SITE 'j Backfill/Grading Sanitary Sewer Storm Drain ] ]Reinspection fee of$_ _—_squired before next Inspectlom Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line [ I Please cell for reinspection RE ______,_,__ I ]Unab!e to Inspect esa no aco ADA Approach/Sidewalk Date O Inspector Ext t Other -- -- -------- Final PASS PART FAIL DO NOT REMOVE this lmgwctlon mcord from th*job sltw. 10 7 CITY OF. TIGARD BUILDING INSPECTION DIVISION Ar 24-Hour Inspectibn Line: 639-4175 Business Line: 639-4171 MST BUP pyo-e- o I Z Date Requested 2 -1 _ AM_ PM _� BLD _— LocationC..) 1206M 6 a Suite MEC Contact Person Ph .YO Vie/ PLM Contractor Ph - SWR UILDING Tenant/Owner ELC — Retaining Wall ELR Footing Access: Foundation FPS Ftg Drain Crawl Drain Inspection Notes- SGN Slab -- —_— SIT _ Post&Beam Ext Sheath/Shear �� j� Int Sheath/Shear '5 „ � 0 t l I aC. mm � �� ra ��. TMZra on ^F��k� k) f�U rJ� actin — i Fire Sprinkler Fire Alarm �� u — 1 Susp'd Ceiling -- Roof Misc: -- Final n/ - �s ` PASSPART FAIL Y �f” --•— ---- PLUM _ Post&Beam ��^^ A I Under Slab 4 _�'lhr�2. v- Top Out Water Service Sanitary Sewer Rain Drains Final PASS PART FAIL MECHANICAL Post&Beam Rough In Gas Line — ——_-- Smoke Dampers Final !'�-- PASS PART FAIL ELECTRICAL �— —------� L1- Service re Rough In uj UG/Slab Low Voltage Fire Alarm —� Final m PASS PART F;%.L _ — --- u arm _j Backfill/Grading --- Sanitary Sewer Storm Drain ( ]Reinspection fee of$ required before next Inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line ( ]Please call for reinspection ]Unable to inspect no access ADA Approach/Sidewalk Date 10 fnepector L "�" Ext Other — -- -- ---- Final PASS PART__fAILJ DO NOT REMOVE dile Inspection record from the job alto. CITY OF T I GA R DBUILDING PERMIT PERMIT#: BUP2000-00497 DEVELOPMENT SERVICES DATE ISSUED: 12/21/00 13125 SW Hall Blvd.,Tlaard,OR 97223 (503)639-4171 PARCEL: 1S134AD-06201 SITE ADDRESS: 10340 SW NIMBUS AVE N-D SUBDIVISION: ZONING: I-P BLOCK: LOT: JURISDICTION: TIG REISSUE: _ FLOOR AREAS EXTERIOR WALL CONSTRUCTION CLASS OF WORK: FPS FIRST: sf N: S: E: W:�� TYPE OF USE: COM SECOND: sf PROJECT OPENINGS? TYPE OF CONST: 3N sf N: S: E: W: OCCUPANCY .SRP: B TOTAL AREA: 0.00 $f ROOF CONST: FIRE RET? OCCUPANCY LOAD: BASEMENT: st 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: $ 14,785.00 Remarks: Tenant Improvement- Fire Sprinkler --------------- Owner: Contractor: ROBINSON, CONSTANCE A+ DELTA FIRE INC ROBINSON, LYNN+ BELL, KAY ET 14795 SW 72ND AVE BY INSIGNIA COMMERCIAL GROUP PORTLAND,OR 97224 BVanE�jTON, OR 97008 Phone: 620-4020 Reg#: 1-1c 64174 _ FEES _ REQUIRED INSPECTIONS Type By Date Amount Receipt Sprinkler Rough-In PLCK CTR 12/11/00 $74.92 27200000000 Sprinkler Final PRMT CTR 12/21/00 $187.30 27200000000 5PCT CTR 12./21/00 $14.98 27200000000 Total $277.20 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. N Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not st^rted within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility m Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-1987. You W may obtain a copy of these rules or direct questions to OUNC by calling (W3) 246-1987. n Pe rm itee Signature: k_ A—L Issued�y: Call 6394175 by 7 p.m.for an Inspection the next business day oA 94 a K) Building Permit Application City of Tigard Date received: '� Ov Permit .. �of Address: 13125 SW Ball Blvd,Tigard,OR 97223 Pmjecdappl.no.: _ Expiredate: City of Tigard Phone: (503) 639-4171 Date issued: By: Receipt no.: Fax: (503) 598-1960 Case file no. Payment type: Land use approval: _— I&2 family Simple Complex: U l &2 family dwelling or accessory k1'VAm uuea.ial/irraMaM" U.4ulti-family U New construction U Demolition L14 Add ition/al teration/replassawas- U Tenant improvement Lxi fire sprinkler/aMrm U Other: _ Joh address_ ¢ 1131dg.no.: Suite no.: I�ot: Block: Subdivision: _ Tax map/tax Iodaccouni no.: Project name: jfj j- Description and location of work on premises/special conditions: In-h7hmk/ ftin Name: Mailing address: 1 &t family dwelling: City: State: ZIP: Valuation of work........................................ $ _ Phone: Fax: Email: No.tit be-drm-,mvibaths................................. Owner's representative: Total number of floors................................. Phone: Fax: E-mail: a New dwelling area(sa.ft.) .......................... — T Garage/carport area(sq.ft.)......................... Name: y, Covered porch area(sq. R.) ......................... fx Mailing address: �'Q M Deck area(sq. ft.) ........................................ City: State:Qf[ ZI Other structure area(sq.ft.)......................... ��ZD 1D_0CommercinUindttstriallmulti-family: Phone: - Fax: tIE-maiLl: Valuation of work........................................ �Existing bldg.area(sq.ft.) .......................... Business name: New bldg.area(sq.f).)................................ Address: !VM5_5W �2"� if State: Number of stories........................................ Fax E-mail: Type of construction.................................... Phone: _ �� Occupancy grnup(s): Existing: CCB no.: t�_ New: _ City/metro lic.no.: Notice:All contractors and subcontractors are required to he licensed with the Oregon Construction Contractors Board under Name: provisions of ORS 701 and may he required to be licensed in the tL Address: h jurisdiction where work is being performed.If the applicant is � F- City: State: ZIP: exempt from licensing,the following reason applies: rq Contact person: Plan no.: H Phone: E-mail: _J m (� Name: _ Contact person: Fees due upon application ........................... $ W .Address: Date received: City: State: ZIP Amount received ......................................... $ Phone: Fax: Email: Please refer to fee schedule. hereby certify 1 have r✓ad and examined this application and the NM all jnrisdictinai keep credit cards,pleaxe tell jurisdiction for mope information. attached checklist. All provisions taws and ordinances governing this U Visa U MasterCard work will he complie ith, whe r cifie2l herein or not. credit card number:_ __ _ __ __ _ _-[-1__ Expires Authorized signal_ Date: . Win Name of carmrolder as shown on credit card Print name: 1A 11 Crrdholder signature_ - s,- Amount Notice:This permit application expires if a permit is not obtained within 190 days after it has been accepted as complete 440-4613 MKIWoM) • 1� Fire Protection Permit Check List A. (] New _ C>;ffdditionQ�eretion Repair — B.) Modification to sprinkler heads only: Describe work to 1. 1-10 heads: No plan review required. be done: 1. 11+ heads: Plan review required. Num r of sprinkler heads: _ Additional description of work:~ Type of System Compete A or B_a a licable : _ A. Sprinkler Wet f] Standpipes Addition-I _Hazard Group _— Information Density Design Area K. Factor - -- Sprinkler Projolct Valuation. B. Fire Alarm -- Submittal shall Batt Calculations _ Ye Include: ,jnividual Component _ _ = Cut Sheets _ Fire Alarm Project Valuation: $ Project Valuation Subtotal SA & 13): $ Permit fee based on vaivation see chart : $— ___ 8% State Surcharge: $ FLS Plan Review 40% of Permit: $ i .t 1AdstsVorms\FPScheckhst.doc 10/04100 Bulletin 136F ® Model F1 FR Model F1 FR/F2 Quick Response Sprinklers Model F1 FR Sprinkler Types ---- — -- Standard Upright Standard Pendent Extended Coverage Pendent Conventional Vertical Sidewall Horizontal Sidewall -HSW 1 Deflector Extended Coverage(QREC) Horizontal Sidewall tIrr(IH_ - Pendent -EC6 Deflector Model F1 FR*2 Recessed Sprinkler Types Recessed Pendent Recessed Extended Coverage Pendent Recessed Extended Coverage Horizontal Sidewall Product Description :Qp Reliable Models F 1 FR and F 1 FR/F2 Sprinklers are quick response sprinklers which combine the durability of a standard sprinkler with the attractive low profile of a deco- Vertical idewall Conventional rative sprinkler. _ The Models FiFR and F1FR/F2 automatic sprinklers — ---- utilize a 3 Omm frangible glass bulb.These sprinklers have demonstrated response times in laboratory tests which are five to ten times faster than standard response sprin- kle This quick response enables the Model FIFR and F1 FR/F2 sprinklers to apply water to a fire much faster than 464 low standard sprinklers of the same temperature rating. The glass bulb consists of an accurately controlled ME ri amount of special fluid hermetically sealed inside a pre- cisely manufactured glass capsule. This glass bulb is Horizontal Sidewall specially constructed to provide fast thermal response. H,4W 1 Deflector Recessed Pendent The balance of parts are made of brass, copper and — beryllium nickel. At normal temperatures, the class bulb contains the fluid in both 'iquid phase and vapor phase. The vapor phase can be seen as a small bubble. As heat is applied, ' f the liquid expands,forcing the bubble smaller and smaller IL as the liquid pressure increases.Continued heating forces the liquid to push out against the bulb, causing the glass ' to shatter,opening the waterway and allowing the deflec- tor to distribute water. Recessed Extended The temperature rating of the sprinkler is identified by Extended Co era Coverage Horizontal the color of the glass bulb as well as frame color where Horizontal Sidewall —� Sidewall 'r applicable. m Application Quick response sprinklers are used in fixed fire protec- tion systems:Wet,Dry,Deluge or Preaction.Care must be exercised that the orifice size, temperature rating,deflec- tor style and sprinkler type are in accordance with the latest published standards of the National Fire Protection Association or the approving authority having jurisdiction. Quick response sprinklers are intended for installation as specified in NFPA 13. Quick response sprinklers and Extended Coverage Recessed Extended standard response sprinklers should not be intermixed. Pendent Coverage Pendent The Reliable Automatic Sprinkler Co.,Inc.525 North MacQuesten Parkway,Mount Vernon,New York 10552 Model F1 FR Quick Response Upright, Pendent L Conventional Sprinklers Installation Wrench: Model D Sprinkler Wrench -- Installation Data: _ -!� Sprinkler Type "K"Factor8prinkler Approval �. U4 Metric Height Orgenizatlons Standard-Upright(SSU)and Pendent(SSP) Deflectors Marked to Indicate Position 1/2"Standard Orifice with 1/'2"NPT(R',42)Thread 5.62 810 2.2" 1.2.3 4,5,6,7,8 17.12"Large Orifice with W NPT Thread 8.0 1153 2.3" 1,2,3 Upright Pendent 7ils"Small Orifice with le NPT(R'h)Thread(" 4.24 610 2.54" 1,2,8 W Small Orifice with 1Y NPT(R'/t)Thread i'l 2.82 40.6 2.54" 1,2,8 10mm Orifice XLH with Rib Thread 4.10 59.1 56.1mm 4,8,7 � r Conventional-Install in Upright or Pendent Position I 10mm Orifice XLH with Rib Thread 4.10 59.1 56.1mm 15mm Standard Orifice with'/2"NPT(R1,02)Thread 5.62 81.0 56.1mm 4,8,7 (1)Identified by a pintle extending beyond the deflector. I Upright l'1 Conventional Model F1 FR/F2 Quick Response Recessed Pendent Sprinkler Installation Wrench: Model RC1 Sprinkler Wrench _-- Installation Data: ---21..-Hole Dia. 1 15tP'Dia- Nominal Thread "K" Factor Sprinkler Approval Orifice Size Us Metric Height OrganlMicine _ a 15mm) 'h'NPT 5.62 81.0 2.2"(56.1 mm) 1,2,3,4,5,7,8s»r�site� Tun ooMN r 112'Reduce' 17/12"(20mm) 414'NPT 8.0 115.3 2.3" 1,2,3 7/1610) 'h"NPT 4.24 61.0 2.54" 1,2,8 t "1'1 NPT 2.f? 40.6 2.54" 1,21 " 112- _t_f 10mm R ab 4.10 59.1 56.1mm 4,7in,i I tA• (1)Identified by a pintle extending beyond the deflector �--t lrr.1Q•Ola---.� Model F1 FR Quick Response Vertical Sidewall Sprinkler Installation Wrench: Model D Sprinkler Wrench Installation Position: Upright or Pendent Approval Type: Light Hazard Occupancy Installation Data: I. Nominal Thread "K"Factor S rinklar Approval C Orifice Size US Metric Height Orgenizatlons 1/2"(15mm) 112'NPT 5.62 81.0 2.2"(56.1mm) 1,2,3,41�1,5A7,8 j (2)LPC Approval is Pendent only. w Model F1 FR Quick Response Horizontal Sidewall Sprinkler Deflector: HSW 1 Installation Wrench: Model D Sprinkler Wrench �- Installation Data: Approval Organizatir ris "K"Factor and Type Approval Nominal Thread --- Sprinkler O Urifiee Size US Metric Length Light rdinaryHazard Hazard 'h "Eri " 'h"NPT 5.62 81.0 2.63" 1,2,3,5,8 1,2,5,8 NOTE:UL and ULC Listing permits use with F2 esctucheons. 2. Model F1 FR Quick Response Extended Coverage Pendent Sprinkler — -- Deflector: EC Installation Wrench: Model D Sprinkler Wrench Approval Type: Quick Response Extended Coverage--Light Hazard Occupancy Installation Data: Use the same data given below for the F1 FR/F2 Recessed Extended Coverage Pendent Sprinkler. Modei FIFR/F2 Quick Response Recessed Extended Coverage Pendent Sprinkler Deflector: EC Installation Wrench: Model RC1 Sprinkler Wrench Approval Type: Quick Response Extended Coverage--Light Hazard Occupancy Installation Data: Nominal Thread "K"Factor Sprinkler Approval Terrtpereturw 1 1NN•oh ortow sin US Metric Length organizations RatingT 17h2"(20mm) V4*NPT 8.0 112 2.2"(58.Imm) 1,2,8 135,155 le(15mm) '/z'NPT 5.62 81.0 2.1153.4mm) 1,2.8 135,155 T,nncaiu i '•`yuan'am COVERAGE AREA »«pneow � I Flow Pressure Max. Enclosure Ara Rate (psi) Width x Lengths (gPm) (ft.)x(ft.) K■6.0 K:5.62 o 26 10.6 21.6 16 x 16 T �[ 33 17.0 34.7 16 x 16 112•Adbalb," n its,77 40 25,0 51.0 20 x 20 iii 1 I I (3) 135OF Only t -:arras•a..--.1 Model F1 FR Quick Response Extended Coverage Horizontal Sidewall Sprinkler Deflector: EC6 Installation Wrench: Model D Sprinkler Wrench Approval Type: Quick Response Extended Coverage.—Light Hazard Occupancy Installation Data: Nominal Thread "K"Fedor Wnkbr Approval Temperature Orifice Sian US IMOW I Length OrggeMnatitme RaNng,`F 17h2"(20mm) 34"NPT 8.0 112 2.75"(69.9mm) 1,2,5 COVERAGE AREA Flow c+sure Max.Enclosure Area Deflector to PT Rate (psi) Width x Length Coiling Dimension are,(gpm) ) (it.)x(1t.) Min(in)-Max.(in)32 16.0 16x20 4-10 35 19.1 16x22 4-10 � 39 23.8 18 x 24 4-10 - nf Model F1 FR/F2 Quick Response Recessed Extended Coverage Horizontal Sidewall Sprinkler r Deflector: EC6 Installation Wrench: Model GFR1 Sprinkler Wrench -� Approval Type: Quick Response Extended Coverage— Light Hazard Occupant y Un lu Installation Data: - nre• ve 4'10 10• Nominal Thread "K"Factor _ Orifice Size — Length Approval TempNatrrre — us Metric Lente Organtzatlons ;a, pnwe. '7h2"(20mm) V4'NPT 8.0 112 2.75"(69.9mm) 1,2.5 '35 •• Here• oi. COVEIAGE AREA • s<s'no•o,a Flow Max.Enclosure Area Deflector to Rate PressureiWidth x Lerlth Calling Dlmer,alon j (gpm) (ft.)x 1°;.) Min(in)-Max.(In) PWW 4 ado I I w her I«-,rne•-•I 36 20.3 16 x 22 4- 10 2 114•dNeM¢ 3. Model F1 FR & F1 FR/F2 Recessed Quick Response Sprinklers Installation Sprinkler Types Quick response sprinklers are intended for installation Standard Upright as specified in NFPA 13.Quick response sprinklers and Standard Pendent standard response sprinklers should not be intermixed. Extended Coverage Pendent The Model F 1 FR/F2 Recessed Quick Response Sprin- Conventional klers are to be installed with a maximum recess of 1/� Sidewall inch. The Model F2 Escutcheon illustrated is the only Vertical recessed escutcheon to be used with Model F1FR Pen- Horizontal HSW1 dent and OREC Sprinklers. The use of any other re- Extended Coverage EC6 cessed escutcheon will void all approvals as a quick Recessed Pendent response sprinkler and negate all warranties. Recessed Extended Coverage Pendent When installing Model F1FR Sprinklers use the Model Recessed Extended Coverage D Sprinkler Wrench. When installing Model F1FR/F2 Horizontal Sidewall EC6 Recessed Sidewall Sprinklers use the Model GFR1 Recessed Horizontal Sidewall HSW1 Sprinkler Wrench. Use the Model RC 1 Wrench for install- ing F 1 FR/F2 Recessed Pendent Sprinklers. Any other Standard Finishes _ type of wrench may damage these sprinklers. ! Ers Ink►sr Escutcheon Maintenance Bronze Bright Brass Plated The Models F 1 FR and F 1 FR/F2 Recessed Sprinklers Bright Brass Plated Satin Brass Plated should boinspected quarterly and oho sprinkler system Bight Chrome Plated Bright Chrome Plated Satin Chrome Plated Satin Chrome Plated maintained in accordance with NFPA 25. Do not clean Enamel Painted it' Enamel Painted I'I sprinklers with soap and water, ammonia or any other Polyester Coated j1 Black Plated cleaning fluids. Remove dust by using a soft brush or Black Plated gentle vacuuming. Remove any sprinkler which has "' UL Listed Only.Black,Off White and White are standard colors been painted (other than factory applied) or damaged Other decorative factory applied colors will be quoted on request in any way. A stock of spare sprinklers should be main- tained to allow quick replacement of damaged or oper — _ ated sprinklers. sprinkler Claselfleation —Temperature Ct obi Ordinary 57 135 Orange Approval Organizations Ordinary 68 155 Red Intermediate 79 175 Yellow 1 Underwriters laboratories, Inc. Intermediate 93 200 Green 2 Underwriters' Laboratories of Canada I High1'1 141 286 Blue__ 3 Factory Mutual Research Corporation "1 Not available for F2 recessed sprinklers. 4 Loss Prevention Council 5 NYC SS&A No 587 75-SA Ordering Information 6 Meets MII_.--S-9010 and MIL_ STD 167 1 Specify 7 Verhand der Sachversicherer 1 Sprinkler Model 8 NYC MEA 258-93-E 2. Sprinkler Type ULI Listing Category 3 Orifice Size Sprinklers, Automatic & Open 4. Deflector Type Quick Response Sprinkler, or 5 1 P,!iperalure Rating Qu;ck Response Extended Coverage Sprinkler 6 S;,iinkler Finish d. ULI Guide Number 7 ► �c:utcheon Finish (where applicable) Note: When Model F1FR/F2 sprinklers are ordered the N VNIV sprinklers and escutcheons are packaged separately. ul t9 ---The equipment presented�n this bulletin is to be installed in accordance with the latest pertinent Stondards of'he National Fire Protection Association,Factory Mutual Research Corporalon,or other similar organizations and also with the provisions of govemniental codes or or.dinances whenever applicable. Products manufactured and distributed by Relieble have been protecting life and property for over 70 yearn,and are installed and serviced by the most highly qualified and reputable sprinkler contractors located throughout the United States.Canada and foreign countries Manufactured by The Refillable Automatic rMrinkler Co.,Inc. is ffe (800)431-1588 Sales Offices (800)848-8051 Sales Fax Payhlon bw indleeb ul>dollad or riew deaf. (914)888-3470 Corporate Offices Pd.Prhitsd in U.9.A.9/95 4. CITY OF T I GA R DELECTRICAL PERMIT PERMIT X: Ei-C2000-00692 DEVELOPMENT SERVICES DATE ISSUED: 12/18/00 REM 13125 SW Hall Blvd..Tigard,OR 97223 (503)639-4171 PARCEL: 1S134A0-06201 SITE ADDRESS: 10340 SW NIMBUS AVE N-D SUBDIVISION: ZONING: I-P BLOCK: LOT : JURISDICTION: TIG Prolect Description: Tenant Improvement- Workrenter .lob No 61 17010 RESIDENTIAL UNIT TEMP SRVCIFEEDERS _ MISCELLANEOUS 1000 SF OR LESS � _ 0 - 200 amp: PUMP/IRRIGATION: EACH ADD'L 500SU 201 - 400 amp: SIGN/OUT LINE LTG: LIMITED ENERGY: 401 - 600 amp: SIGNAL/PANEL: MANF HMI SVC/FDR: 601+amps -1000 volts: MINOR LABEL (101: SERVICEWEEDER BRANCH CIRCUITS ADD'L INSPECTIONS 0 - 200 amp: 4 W/SERVICE OR FEEDER: 10 PER INSPECTION: 201 - 400 amp: 1st W/O SRVC OR FDR: PER HOUR: 401 - 600 amp: EA ADD'L BRNCH CIRC: IN PLANT: 601 - 1000 amp: PLAN REVIEW SECTION L1000+amp/volt: >=4 RES UNITS: >600 VOLT NOMINAL: Reconnect only. _SVC/FDR>-W AMPS. — CLASS AREAISPEC OCC: Own@#-: Contractor: ROBINSON, CONSTANCE A+ CHRISTENSON ELECTRIC INC ROBINSON, LYNN+ BELL, KAY ET 111 SW COLUMBIA BY INSIGNIA COMMERCIAL GROUP STE 480 BEAVERTON, OR 97008 PORTLAND,OR 97201 Phone: Phone: 241-4812 Reg*: LIC 000458 SUP 3289S PLM 24685 Et_E 26-34C FEES _V Re uired Inspections __ Type By Date Amount Recelpt -- _ Wall Cover PLCK CTR 12/18/00 $387.70 2.720000000( Elect'i Final SPCT CTR 1 21 18/00 $31.02 2720000000( Total $418.72 IL This Permit is issued subject to the regulations contained in the Tigard Municipal Code,State of OR Specialty Codes and all other apptcable laws All work will be done in aceurdance with approved plans. This permit will expire if work is not started within 180 days of issuance,or H 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 x52-001-9010 through OAR 952-001-0080. You may obtain copies of these rules ordirect questions to OUNC at(503) 2.46-1987. PERMITTEE'S SIGNATURE'"}/n ISSUED BY:UJ 1 � _a Electrical Permit Application Date'Welved: Pamil no.: � 7 City of Tigard G Pruject/appl.no.: Bxpimdere: City of771corrf Address: 13123 SW Hall Blvd,Tigat+d et T43Z Dote BY: � R�Mno.: Phone: (303)639.4171 Dt --- Fax: (502)5911-1960 [�file1vElOPMEtIjno.: Payment type:"0.1 1 . Land use approval: O 1 12 family dwelling or ecce °b Comma'reial/industrial Cl Multi family U'renant improvement ro O New construcdoq,,,an Nt r;� O�ddititmlaiterafi mpiatxtnent U other. -_-__. (.l Vernal ��ll]INIWla Hill Job add resa: 10340 SW NIMBUS t` ' ""-'• t .-1 1 B{d .tiro.: N I Suite no:AM*+ITax mapA&x kw/atxonrtt tit).; 1 Lot Block: Subdivision: Pen eco name: _ Description and locadon of wort on : 'TENANT IMPROVEMENT R Estimated date ofcom letionrns tion UGSTIONS?CONTACT JIM COURTNNY 503 880 9125 Jobow 61 17010t1Ya Ma Business name:CHRISTENSON ELECTRIC, INC. " ri1s1 M' SUITE 480 s�ar�Prop t� Addretts:lll SW COLUMBIA, tln�ealaetat�iar'ldesataw�tlr� Ci : PORTLAND I State: OR I ZIP: srr.lnattasla�e� PhoneS03 2414812 Fax503241051 E-mail: 1000!!j.ft.or less 4 CCB no.. bug.tic.no: 26•-34C Fisch additional 300 sq.ft or portion thereof Limited enew,residential 2 C1:v/metro o.: 5 46 _ Un _ited ,non-residential 2 "Mik.off 77 zEach manufactured home or modular dwelling g�'Inatuffoflsingtole&rci*qreguired)'Owlyse ! — Service endtor feerler 2 Sup.d%Lnona(print): BRIAN CHRISTOPHER` Licenseno: 873S Servlaaorkden.-Intriallisilan' 321.20 a1, a 1 K relocatloe: 290 wWs or less 2 Name-(print): 201 amps to 400&nM--- — 2 Mailing stillmss: 401 amps to 600 amp, 2 601 aim e to 1000 or" 2 City: Istats: ZIP: Over 1000 imps or volts 2 Phone: Fax: E-mail: Recormectonl — 1 Owner installation:The installation is being made on pmpetty I own T'"r1Or"!r'KI or feeders which is not intended for sale,lease,rent,or exchange according to bahBaHen,rnke*�Ma.oraebeatlare ORS 447,433.479.670.70'. 200 smps or less — 2 201 to 400 amps 2 Owner's s{ Date: 401 to two amps �- 2 Ilranc6 09rertib-sien.akeva�llon. or extnnlow per welt Ntune:! _ A. Fee for branch circuits with purchase of ess: Addrservice or feeder fa,each branch circuit 10 6.6" 66.502 Cloy: I State' I M. B. Fa for Manch circuits without murhase ` — of service or feeder fee,first branch circuit: 2 d Phone: Fax: E-mail: Each additional branch circuit:IOU[I"I��UG'W'Ijmllllnmn Mise.(Serrtce err feeler not lnchWpd): 7FSy-reelmove, amps-commercial U Health-care facility Bach u or irrigation circle 2 over amps-rating of 1 R2 O Hazardous location Each sign or outline lightlng _ 2 0 Building over 10,000 square feet tour or Signal circuits)or s limited energy pater v volts nominal more residential units in one structure alteration,or extension• 2 m D Building over three stories b Feeders,400 amps or more *Description: t3(7ccupant load over 99 persons 0 Manufactured structures or RV park Each a"Itlosnl hmprctton over the allowable b arty of the about. ❑EgtdsOightingplan 0 Other Z ---- Perinspextion J _ —T— Sabsk—set+of plans With any of the aborti. Investigation fee (_ The above are not applicable to temporary cousbuttioo ttetrtlec Other No all)raisdicdaes.seep eradh cards,prase can jurisdiction In more intorrrm;m Notice:71nis permit application Permit fee.................... U vias 0 MasterCard expires if a permit is not obtained Pian review(at _ %) $ endit card number: within 190 days after it has been State surcharge(8%)....$ 31.02 —------ -�� Norm d r on c TOTAL accepted w complete. .......................S Cr der 1180401111/ — Amuses 4"15!WWCW OCT.2000 +FEES ON BACK OF FORM M Electrical Permit Fees: 7* " Limited Energy Fees: ' Complete�=@e Schedule Below: TYPE OF WORK INVOLVED -RESIDENTIAL ONLY PRMMcted @raspy F,tie.....«.«...................................... ... $75.007 Number of lrn ao Boras per p=lt allowed +r(FOR At1 SYSTEMS) �. 1. r Service Included: Items Cost Tota! Oltack Type of Work Vnvr+IveA: Residential-per unit 7 "I-7µ`'• 1000 sq.R or less N4L16 4 Audio and Stere,SydWnll Each additional 500 sq.rt or VU iJrr100111110111 titad thereofAO --r.►t--� B+ag*Alarm. Each Man0d Home or Modular QNroWng Service or Feeder �V,r'�plrp '?:� 4 ❑ Oarag�+Door Opener• Toe• ,i,r,.,i v}: a "', iJ tetfta9 O nitr"I W vrs"i or F+edon -- ❑ Fleatirr2,Ventilation and Air Conditioning System' aftrullon or xiw►t x N.:, 3 rs: ! tilt$i,. Vawum Systems- 401 amps oo:nope .. >61oe M p 401 amps to amps $too.40 z _ 801 amps to 1 . "`-— - =240.80 — --- __..2 Over 1000 amps or - 5454.85 ij $88 65 _ twnRYRE OF WORK INVOLVED-COMMERCIAL ONLY T tan► ' Fee/rx each system...::......................................... ....... i75.00 Installation.attsratlon,ur relocation ..... 200 amps or Ma -- $88.65 2 (SEE OAR 918.260-M. ) 201 amps to 400 amps _ $100.30 _ 2 401 amps to 800 amps 3.75 2 Check Type of Work Involved: Over 600 annps to 1000 votls, ❑ mw"b"above. Audio and Stereo Systems Branch Circuits ❑ Soller Controls New,alteration or extension per panel a)The fee for branch circuits wf h purchase of service or ❑ Clock Systems 11100ft.11110. Each brentie circuit S8 85 ❑ Data Telecommunication Installation b)The fee for branch cimelte wfblhxit pwchose of servfcs ❑ Fire Alarm Installation or loader No. First branch circuit _ $48.85 Each addltkxnal branch circuit _ $8.85 F-1 HVAC Miscellaneous Instrumentation (Service or header not included) Each pump or krigsitkxr circle _ $53.40 ❑ In and Paging Systems rr Each sign outline lighting $53.40 Signal crcult(s)or a Nmited energy F]panel,alteration or extension $75.00 Landsce tion Control' Mirxx Labels(10) $125.00 Each additional Inspection ov `r ❑ Medical 1nr the allowable In any of the above ® Nurse Cab Per inspectk n $62.50 Per hn„r _ $62.50 In Plant $73.75-- ❑ Outdoor Land"-ve Lighting' ,Fees; ❑ Protertivr Signaling Eater total of above fine $ ❑ Olhlsr —__-- 8%Stall 9umharir $ — -Number of Systems 25%Plan Review Fee • No ltcenses are required Licenses aro nsquimd for an other insiellations See'Plan Review'section on $ front cdappkatkxn. _— F@@S: Total Astance Due $ ------ Enter fatal of above fees ❑ Trust Account ff _-- 8%State Surcharge --�-- ^ ~ v Total Balance Due i:kists\fortrulelc-fees doc 10/09100 ++OVER FOR PERMIT FORM sErJT BY: D. L. HOWARD CO. ; 503 892 3245; OEC-13-00 11 :48A11; PAGE 114 D. L. HOWARD CO, INC. of QFFIM Aum 71111 aw frRM 5340 0w com LM. THAM,0ltEQM RM KM ILAM,OR Wr= TWLWIfMl!(M)IF24M Tmm"m(on)*04M "M(MM a51ia om mxm"nmmn F"wUrgat Vol k* R~PaMdn CET COO l4� Was VVN@o n 00 My of TVrd P*sm 4 lreo 5034S4.rA7 Dm*m 12/13100 Mu Atb7 'rWd--Wb*Cw*v M Dw OU one x Por 11-mlo v O Mosso Qmmne/ D wow..Reply 0 Irle Romyo. llsrwb 1 twooksd yew ploxsm cell Iedow wllA regard M a f uchoodael PhnIM! j 10 Ilee� for ill MVAC 4m Oft I hers Is 1M *buabwel bdbnwmdm res rroelwd from 1M *4wjwol amossom /Iswe"own N rw 1�now Comm "Mooso n.limdm NINIIM rlNaen SENT BY: D. L. HOWARD CO. ; 503 992 3245; DEC-13-00 '1 :48AY; PAGE 2/4 sent by: MOIMARD S WRIGHT 503 294 DOM; 11/91/00 @:27P1u;h9ftL_0129;Pap% 2/3 1 •+rr r...rw. ..w iv/v ^..�w.-w• r avw w- w.b%... -- L.htlVIM • ..n�.M7 .'w� 11/21/98 7V2 15:40 PAX 7 208 340 IM ASS.1 11001 (o�'4--724? ANDERISEN BJORNSTAD KANE JACOBS, INC. Cantu"CMH and StnA*PnO flnaln w 00 FlF TIM AVE SUM 3606 S6ATTL/f.vM"INOTOry NIU-3103 TOL: 20 ,34D.U6b FAX: 20s.l446.2Z06 S~ W4dvd0 N.c*M F�csi�m9l�o TFseeonARfil To: Tom F-owt"x Ow1M/Tk1t0: Z1 MWPWY*a,2M S:42 PM l "M: H&MM s.wrVht AW T9pt'4 VAKk C"OK 1 FOX No: (50)a.94-Ml Job Number do Fran: VVM*N,Oomiey !Vier.of F+"" HMM Copy VM 8A Brent HNd COW VA Not 8o 80* PMw toll Is l a, Ra�+tsrtcs: Toth.bOoMng ore lho hmstfolls of Me WWI& N you bore wny quego"plws,N co i a oc ti �n a� c7 w COO"W. SFNT RV: D. L. HOWARD CO. ; 503 1192 3245; DEC-13-00 11 :48AM; PAGE 3!4 pont by: HOWARD 8 WRIOHT 503 26K 0601 ; 11 /21 /00 A'27PM;j&t&L—#129;Page 313 Ucalupd: 1-1121100 4-44PM= ` YOA 340 nee •> "00"D i MAIGNT: Page a Ilit1/00 1MIN 13:49 PAI 1 20/ A&a_.##f!/ AsIli 11002 ,�. % It I 1p 1 f h 46 '1 1 I I i i 1 J :... � 5"x22 1/2' 01. TT t v I. w i L � a Cl) _ Wt � �crs SENT BY: D. L. HOWARD CO. ; 503 802 3245; DEC-13.00 11 :48AM; PAGE 414 Sent by: HOWARD Q WRIGHT 803 204 0881; 11/17/00 1:4MPM; 1M; Page 4/4 AsooLveml 11117100 1 tMOrY; 0111.69"67"00 -1. "mam • I leffi N alo 1. MV.17.2m11 1 e 36Prt 1 UK FOWOTECTS MA.CM to.K6 P." 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Modt '�•�W,/wwl�ww•ww��w• • •w..w.�.w rww.-��7...w. • A .w•.• .n N.gl.w Iw ....r.w.�•.• 1 1 wvww•w.W.�•�wrrwlwww .... �5�� .� - � �.+.� � i -wR�,rw�«w��w•rw wrww•+w ... y.��w.w.�� .wll_�w.•.r•.w •wH •. �V7��.-�- -—_'wlw.wrr'•._ •w�. w.wTli ww.. � �•w.. •M •.W. r./._w�� --� •w» ..w..11rl�p .-..... » •w MWI.•IN•Iwl•Y Inai�+nin/I•a1: lur Hrnl I:rlu�r 1112411 SA Nimbst,Avrnur tinily 1:1 Pnrdmid Mt 9722:1 TO 541:1/681 0510 Pow: 5101/6211.791:1 WWW inwiRninrfkR rom December 1, 2000 Insignia John Argo TCG, Inc./AT&T 10340 SW Nimbus Avenue, Suite N/D Portland, Oregon 97223 RE: Office build-out alterations in Suites N/13 and N/1) Dear John: Per the plans provided by Howard S. Wright Corstruction Company for review today, we grant Landlord's approval for construction of the alterations. Please send a copy of the plans to our offices for the Landlord's records. "i hank you Sincerely, Insignia/ESG, Inc. Grace H. McNeilly Property Manager *Insignia/E,SG, Inc. Managing Agent for Owner Petula Assoriates, Ltd., an Iowa Corporntiolt and Principal Life Insurance Company, an Iowa Corpo►•ation. /on*>•ArmtMn rN•CI fi,mV na:•.•s aF .•��n iwvq R Mam�.rn,lmrltl rdtl!Mfg MMM,w RK M Mrr.+uhf d•i,o�ruun,rdMiMn o mIM m CITYOF TIGARD MECHANICAL.PERMIT DEVELOPMENT SERVICES PERMIT#: MEC2000-00485 13125 SW Hall Blvd., Tigard, OR 97223 (503)6394171 DATE ISSUED: 12128/00 PARCEL: 1 S 134AD-06201 SITE ADDRESS: 10340 SW N'MBUS AVE NA) aUBDIVISION: ZONING: I-P BLOCK: LO'b: JURISDICTION: 7 IG CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS: TYPE OF USE:: COM UNIT HEATERS: VENT FANS: OCCUPANCY GRP: 13 VENTS W/O APPL.: VENT SYSTEMS: STORIES: BOILERSICO_MPRE_SSORS _ HOODS: FUEL TYPES _ 0 - 3� HP: 2 DOMES. INCIN: ;A3 3 - 15 HP: COMML. INCIN: MAX INPUT: BTU 15-30 HP: REPAIR UNITS: FIRE DAMPERS?: 30-50 HP: WOODST'OVES: GAS PRESSURE: 50+ HP: CLO DRYERS: FURN < 100K BTU: AIR HANDI.ING UNITS OTHER UNITS: FURN >=100K BTU: <= 10000 cfm: GAS OUTLETS: > 10000 cfm: Remarks: Mechanical Improvement(AT&T Workcenter) Owner: _ FEES ROBINSON, CONSTANCE A+ -Type By Date Amount Receipt ROBINSON, LYNN+ BELL, KAY ET _5PCT CTR 12111!00 $560 2720000000 tiY INSIGNIA COMMERCIAL GROUP5PCT CTR 12/i 1100 $72.50 2720000000 BEA�/E RTON, OR 97008 PRM2 CTR 12/28/00 $183.20 2720000000 Phone: PLCK CTR 12/28/00 $64.0 2720000000 Contractor: 5PCT CTR 12/28/00 $14.70 2720000000 _ _ .� � Total :340.27 REQUIRED INSPECTIONS _ Mechanical Insp Phone: Duct Inspection Reg#: Final Inspection ti. N M m W -' This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted In the Oregon Utility Notification Center. Those rules are set forth in OAR 452-001-0010 through OAR 2-001-0080. You may obtain copies of these rules or direct questions to 7OUNa g ( 3 4 - 89. Issue By: � i �L_. Permittee SignatuCall(50 )639-4175 by 7:00 P.M.for Inspectionsnext business day Mechanical Permit Application d:�� Q .no.!.Z•ny U�.j �j City Of Tigard Date receive Pro*L/appl.no.: Expiredete: City(PfFit;nrd Address: 13125 SW hall Blvd,Tigard,OR 97223 d Plione: (503) 639-4171 Date issue : i By: 1 Receipt no.: Fax: (503) 598-1960 Cage file no.: Payment type: Land use approval: Building permit no.: U I &2 family dwelling or accessory U Commercial/industrial U Multi-family Tenant improvement U New coo,Giruction U Addition/alteration/replacement U Other: 11111611111 Job address: 10 '54L--' f.-t4 d eI S /2„„ Indicate equipment quantities in boxes below.Indicate the dollar Bldg.no.: Suite no.: value of all mechanical aterials,equipment,labor,overhead, Tax map/tax lot/account no.: profit.Value$ -�� .,VC I.P!: Block: Subdivision: *See checklist for important application information and Project name: It=i IS A ,r�b jurisdiction's fee schedule for residential permit fee. City/county: ZIP: maniam Imams&XIM III Ila]I III gamma In Dc!tption and localion of work on miser:�—��✓� ilk]MIMIAULIREbLimmu�III ON 1 /`t T 7 /�Y��K 6 ,� Fee(ea.) Total Est.dee of completion/inspection: Qty. Rn. Res.only Tenant improvement or change of use: Air handlin unit CPM Is existing space heated or co ditioned? Yes U No Air conditioning(site an regtnr ) IF existing space insulated?) Yes U No ,rconono a g(sit system o er compressors State boiler permit no.: Business name: L (a��u„t,� p r. ,�/C HP Tong BTUM Address: c,3 4-o 3 W _ i amo a am uct smoke electors -- city_ State ct I ZIP: 7 d 11cat pump(Rite pan u ) Phone: g 9t -jt 5Z I Fax: 91 T P1 51 E-mail: _ nsta rep ace urnsc urner �� Including ductwork/vent finer O YeaNo CCB no.: arta rcTa rep ac te QaferR—RURpen ed City/metro lic.no.: 7 •vall,or floor mounte Name(please print): M I le t r I S c.t,J enr ora lane of er t roman urnac�'e e errH Absorption units BTJ/H Name: /Q Chillers. HP _ Address: Com ressors, HP e rotnnent" exhaust a ventilation- City: ent at on: City: State: 'LIP: Appliance vent Phone: Fax: E mai,: hyer ex aust -- onr s. yp.TlTfTrcs.TcucTJfi"a�mat hood fire suppression system Name: _ Exhaust fan with single duct(bath fans) Q Mailing address: Exhaust system a artrem heat—ing or AC Fy City: State: ZIP: T ae piping" nt on(up to outlets) t_ Ty LPG NG Oil fo Phont: Fax: E-mail; Fuel pleingeach a itione- over out ets M Piping(schematic required) Number of outlets Name: �- ' L. k n 0(literlistedappliance or eqa pnrT eM— Address: � 6 _ Decorative fireplace C7 City: State: ZIP: Insert-t — t!j -t Phone: 14-mail: stov pe etstovc cr: Applicant's sign ur 4 Date: ` Name (print) NM all Juridictions accept creat cards,please tali iuridictinn fox mem informntinn. l— Permit fee.....................$ 2' t)Visa O MasterCard Notice:This permit application Minimum fee.,• $ t,edit card msnhm: __ —LJ expires if a permit is not obtained Plan review(at — %) $ U l cpl espirr, within ISO days after it has been State surcharge(8%).., asv�s — accepted as complete. --- None M cardtolder as shown on c it lard ` — _ $ TOTAL ................... Ce dtwlder si`narure Amount 17(dOW OM) v MECHANICAL PERMIT FEES COMMERCIAL FEE SCHEDULE: 1 & 2 FAMILY DWELLING FEE SCHEDULE: TOTAL VALUATION: FEE: Description. Prim Total- T TOT m fee$72.50 Table 1A Mechanical Code ay (Ea) _Amt $1.00to i5 000U FEE: $5,001.00 to$10,000.00 $72.50 for the first$5,000.00 and- 1) Furnace to 100,000 BTU IndudinQduds 8 vents 14.00 $1.52 for each additional$100.00 or Fumaoe .00.000 BTU► ---- - - fraction thereof,to and Including 2) including ducal 0 vents 17 40 $10,000.00. _ $10,001.00 to$25,000.00 $148.50 for the first$10,000.00 and 3) Floor Furnace 4 lndudln vent _ '14,00 _ $1.54 for each additional$100.00 or Suspended heater,wall heater - fraction thereof,to and Including ) __ -$56, $25,000.00. or f_Krx mount-1 heater 14.00 _ $25,001.00 to$50,000.00 $379.50 for the first$25,000.00 snd 5) gent not included In appliance permit $1.45 for ch additional$100.00 or fraction the ot,to and including 6) Repair units 12.15 $5_01000.00. $50,001.110 and up $742.00 fort first$50,000.00 and Check all that apply B Heat lir $1.20 for eadc ddltlonal$100.00or For Rama 1-11,sea or Pump Cond traction thereof. footnotes below. Cr TV- " -- -- 7)<3HP;absot all - to 100K B 1400 _- ASSUMED VALUATIONS PER APPLIAN E: s)3-1 ;absorb ` --" Value Total uni to 500k BTU_ 25.80 0e4cptlon; _ Es Amqunt 15-30 HP;abscxb Furnace to 100,000 BTU,Including 955 ! 5 unit.5.1 mil CTU _- ducts✓i,vents _ 10)30-50 HP;absorb Furnace>100,000 BTU including 1,170 Y Q_ unit 1-1.75 mil BTU 52.20 - ducts&vents 11)>50HP:absorb Floor furnace Including vent 955 unit>1.75 mil BTU 87.20 T_ Suspended heater,wall heater or 955 12)Air handling unit to 10,600 CFM floor mounted heater 10.00 Vent not included In applicance 4 13)Air handling unit 10,000 CFA1+ permit_.- 17.20 Y Rgjlr units 005 14)Non-portable evaporate coder <3 hp;absorb.unit, -- - 955 --- 10.00 to 100k BTU -_ -- 15)Vent fan connected to a single dud 3-15 hp;absorb.unit, f 1,700 6.80 101k to 500k BTU -------- kHd system not Included In 15-30 hp;absorb.unit,501k t 2,310 appliance Permit 1000 mil.BTU --- ed by mechanical exhaust 30-50 hp;absorb.unit, 3,400 10.00 1-1.75 mil.BTU _ _ incinerators >50 hp;absorb.u 5,725 17.40 1.75mil.BTUal or industrial type inrineretrx AIr handling u to 10 000 cfm 69.95 Air handling u It>10,000 cfm 1,170 - 20)Other units,including wood eir, Non-portable va_porale cooler 656 _ 10.90 Vent fdn connected to a single duct 446 _ 21)Gas piping one to four outlets Vent system not included In 656 5.40 appliance permit 22)More than 4-per outlet(each) Hood served by mechanical exhaust 656 1.00 y Domestic incinerator _ 1 170 Minimum Permit Fee 72.50 SUBTOTAL: Commercial or Industrial Incinerator 4 590 Other unit,Including wood stoves, 656 __ 8%Stato Surcharge e inserts,etc. Gas piping 1-4 outlets 2576 Platt Review Fee(of subtotal) ; Each additional outlet _ _f63 - Required fol ALL commercial permits only TOTAL COMMERCIAL TOTAL RESIDENTIAL PERMIT FcE: VALUATION: - - - - ----- -- ----- I QYIK Imoactlons anQ Fa44: 1. Inspections rr+f±Mp of"anal P iomdnaea hraont(minimum charge-Iwo hags) 2 rper hour 2. InsMnsnec!inna for which no fee is specifically Indicated (minimum charge-half hour) 172.90 per hour 3 Additi?nal plan rev!er+required by rJhanges•addlilons rn moslons to plans(minimum chary±one-haH hair)$72 50 per hour / 4 Stats Contractor Roller Certification rsquired for rnnits 12001k eTU. / "Reeldentisl AIC rsquNes SM plan showing ptacernere of unM 1:\dsts\ferms\mech-fees.doc 10/11/00 BUILDING PERMIT CITY OF TIGAR® PERMIT*: BUP2000-00121 DEVELOPMENT SERVICES DATE ISSUED: 12/26/00 13125 SW Hall Blvd.,Tigard, OR 97223 (503)639-4171 PARCEL: 1 S-134AD-06201 SITE ADDRESS: 10340 SW NIMBUS AVE N-D 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: 5-1!IR sf N: S: E: W: OCCUPANCY GRP: B TOTAL AREA: 0.00 sf ROOF CONST: FIRE RET? OCCUPANCY LOAD: BASEMENT: sf AREA SEP. RATED: STAR: H'1 ft GARAGE: ;f OCCU SEP. RATED: BSMT?: MEZZ?: REQD 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: $ 30,000.00 Remarks: Interior tenant improvement for final phzse for expansion of equipment. Owner: Contractor: ROBINSON, CONSTANCE A+ HOWARD S WRIGHT CONSTRUCTION ROBINSON, LYNN+ BELL, KAY ET PO BOX 3764 BY INSIGNIA NCOMMERCIAL GROUP 88E�0 SW 5'-H AVE#415, PORT OR 9 BPFi0n�T�,- 037008 SPAhbr�' F,2\y �D8S524-2264 Reg*,: 'C 99229 _ FEES REQUIRED INSPECTIONS Type By Date Amount Receipt Electrical Permit Required PLCK GEO 4/5/00 $192.73 0001209 Sprinkler Permit Required Framing Insp FIRE GEO 4/5/00 $118.60 0001209 Gyp Board Insp PRMT CTR 12/26/00 $296.50 27200000000 Susp Ceiing Insp 513�;T CTR 12/26/00 $23.72 27200000000 Final Inspection Total $631.55 _ i 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 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 i requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR j 952-001-0010 thrwigh OAR 952-001-1987. You may obtain a copy of these rules or direct questions to OUNC by calling (503)246-1987. r / Permitee Signature: Issued By: Call 639-4175 by 7 p.m.for an Inspection the next business day Rrc eMed 31 Mnr 00 12.41 PM From:9Q$1D19M T&5202ZMM tial fatal by*mall.Free.61FexA=n Pape:3 of a 06/31/00 FRI 11:30 PAZ 503 098 1960 CITY OF TIGARD 1A093 CITY OF TIGARD Commercial Building Pennit Application PUMCho*11 We Tenant Improvement 13128 3W HALL BLVD. N 1t�� a.Mttiece TIGARD,OR 97223 1 Defc a P e (503)639-4171 now to WT Print or Type PW"M 6 j6i� FWMMd SVR e_-- Incomplete or illegible applicatlofm will nd.be eccaipttWNam of Ovv4kWMWWP#Ujvd �------- __M Existing Building a New BuNdkV O— Job ,�c� aur -- Bullding AfJdr�ss N11MIMgate N_D ado. E)ft&,g Use of BuNdkq or Property: •» � � �� Q3 rt-tc�oM - Proposed Use rA Building or Property: erty Prop � 1�_ _ '�'�L.Grrl"A Owner sum _ NO.Of Storles 1 c11yIBM1. la i — Ph.- SQ Ft fy Project 4 Oacupeno Cx rAJPW ay Claes(la) ► • Contractor Type(s)at Cone.Milan Pdw to permit WIN this pmjw-,t.have a Fire$uppnmlon 9"tem? seem*",a W" or a Iloerreee _ Yee E — em n WMd r bitil—SUM ZIP AmerlCrtna with Act(ADA) toned in C.O.T. Valuation X 25%=$ PN*APatlon W/detebeeexh.pon Conn.Cont7il a+-Dere C Ac Fam - �_ $ "coo Valuatltxl Archftct Plane ReWinvi: See Matrix 1�or n~of$eta to subn* _ e+dte on back 7a. McIMrMp Ilia of W' K—"c-OvA PhOM have road that lire intk�rmw'Nen� tele (� 9Nen M oonec owner or Me ownor Stam rind @pent or ow owner,ord /lrl•lY 4k JAW 51SAWY not pt„ra a we In ootrp9enm wet[how sum l:Rwa. Engineer Nome ode --],--,,,f, --- '"E- �I.µ"hr'1�. IK MfMaler- — y---may JJu�u FOR OFFICE USE CWLYlw MdkSft"erwere: NWO AddWM0 OMIIO�On E ,.MAY• {if }[f Jf OR /' i�� • , -J Ac woori Stucbxe O FoundOw Or*Y O Ara~• m Repk*O Oben O (� OeeoAlAlon of work: irff�t. �� 101 sF - � , , lu IIsT. C�E. CI) k% ;�.. .� fD i •.�1�> is NoW 91b Werk Pemn111►r GWfte meat P4*" OrKTaff"Wealldmil 14 s si f�/r�• 7'3 P~Appliew"M FSG �fg c1coMNewrl.lxx: rosT► 5raa —3 I t by: HOV.1'AHi7 , WFITtIW !,::,t .'994 0961 ; 12/11 /00 10:59AM;JitA&K_N552;Pago 116; Howard S. Wright Construction Co. 1' PorftW Regional Mice S.F.G.Annex Of}Ics 660 SW 6"Avenue.Sulto 415 216 91dl1 Yarnhill Plmftid.ON 97204 PorlWW. OR 97204 119E J09)21104805 FAY: (503)2204602 Fax(503-204-MI) Oa a 19/11/00 Pages Qndudirtp Cot; !S To: Bob Poskin Rax: 503-684-7207 Company: City of Tigard Phone. 503$39117117 From: Tom Faszholz I'twne: 1;U3-652-8282 Company: Howard S. Wright Conettuctlon Co. I Fox: _ b08-294.0981 Subject: f A T i T Tigard Nods Expansion - SUP x000.00121 and Mh%.. 1,04 128 Message: Bob, Happy Monday. ThanKs for your e-mail response. Please references the attached Energy Forma Please feel frOe to Wntact L's with further questions or Information required. Let us know what Is needf + to pi-*the building permit up... Or of any fees still required Thank you. Tran Feszholz WWI File: City Permit ';Fnt by: HOWARD S WRIGHT 503 294 0881 ; 12/11/00 10:58AM;JKfup1 Paye �/S Roceiveq: 12/ bion 1 :T-orM; 003239TOW -P HOWARD of WRIONiT; rage 2 12/06/00 12:25 FAX 803232701A A.VnICAN BEATING INC W11062 Form 2a ----- � Pro Act Neuna: Page - Project y PYojCCt F9LA1ditV. Nana Project Address""' - -- IOU* ZW rn .�. 'r� scounty Grease Area(r!•) s. No. of moors � Attached Chapter Type ID oescrfFRtton Attached Forms and 19iAding Ernvelope Fort" Sit auikfinA Envefte--CiMteral Wo*1tshe:ets 9b Proer�rtptive Putti-Zone 1 � 3e Pmsc 0 cheat ems..a tiptiw Perth-Zone z � Adi"fe 3d eir"�,nn�t Yrea•em .o...�«�,�,,.,,, Q works et Sit Fu--fa ' 1..... " �'�••� 3d Roof U-ractors 0 3c Fbor U-raotcrs U aysieme Form 4a lama-General C) 4b Complex systema orksheet 4an'ery AMWKonem-Air Cooled" 41) Unitary Air Candltlonen-Watw(-,Ori4d a 4c Uniusry Heat Pump-Air Cooled D 4d Urftry Heat PUMP-Walor d Ground Coolers (a x• Unlit"AC ._Evaporatively Cooled 4f Packaged Terminal Air Conditioner-Air Cooled Cj 49 Packaged Terminal Heart Pump-Air Cooled () 4h Walor Chilling Packages-Water&Air Cooled q 41 Boiler-Gas-fired i oil-Aped N Fumacee and Unk Hoaiters-atts-fired L mored Lighting Form So Lighting--GeneraQ 5h IrMrlor Lighting mower-OocelpWcy Method (3 _ 5c Intortor I.40ft P -apace-by-Space Method _ Q WcirkthfAt la- IMerkv Lighting Power - Q 5b Ughting Schedule O Sc Interior Control Credits Q Applicsixt 7---_ _._ Warme Telephone %*t-2%"1- 46eo a. COMWY14 Date 1� a�oo 9. Signature Attached y0, of Pages Description of D,aeutniort I]oCtXiortesa- _. catian — e tt lw u n wool FAQ 2.1 Sent by: HOWARD S WRIOHT 503 204 0861 ; 12/11/00 10:58AM;)WjL_N552;Pege 315 Ro0G1vVd.' 12/ 8/00 It20PMt 6093307028 > HOWARD A WRIG"T1 POO* 3 1206/00 12:15 FAX 80323117036 A>iICAN HEATING INC IM003 Form 4a. Ebb Z� Project Name: � _ — ape: S +ey)tioua 1. it"Op"One (Ateatto>a 1315) uatrz tauOK 9V Q Nes HVAC.The b1AdkV plans do not ratfl for an HVAC syr+tem.skip to ftern 12 below. iia r� F=00PHO►, "0 building or pan o�Me bliMing gcaal••for an w4optbn HVii1C Dade raequiroments.The Applpq�d 000 Is 8aOCA 1313. Exospbon .Porti"of ttN iify + m�i.r buikUng Mat gNa ��' 'WO PMW#r 144Ya 3. dimple or Complex sl tsmts (filleetio>ft 1313.9 of 1813.3) WL dontoAsw br,wshgo% 81mMa*YWMM The pHurted MVAC syMr quMllk"a$a 5i V19 .if true,cpnlpbtrte this FMOMMA 'art(140 and egMMn.rK affldsncY workKhNM an nggL* .Fom►db is not reQuired. C1 COmPkx SyMOM The pllwood HVAC system is a COMPIM%Systern.CornpWu this Dorm (40), Form 4b and wWoment o leWocy wworfcehwft as requtred. zooapdaux 3. Meawomises Coo-I-f" plootlor lal3.l.a1 Crowe r j"WOM= Q No CoOling.The building plana do not oak kv a now feta$"ern wffh"chm"c oolhq. aw� U Complle•.The MW tan 3Yatn haus an air•oortmaer mWabie of moduiaring aut:ii4•-abr and fcrtl"s}rwryonjs r0tu►n-ak dampefs to pmvide up to 85 pennant Of the din supply sir as ouhioor air. omeAWN w Exce0on-abnpls Sys*",J-he new fan system qu UMM far an r„aeptian.l't»opplicable su,�ISM 1-0- CAde exception is sieatlon 1313.1.2, Exaeptlort�__..or f3ec>twn 1313.2.1 POlt OM of tis sn IM00 4-fs*v a taulldina that quaiffy: C1Of ft” U Exception -Complex 5vaumm The new fan"tern qualifies for an anoepoon.The applinaftle a0A0*'u- N �� cod*exception is Section 1315.1.2.Extep0on ._.or 13131.3.1. lbaoeptlon . parMns of the buliding ItW qt aft 4. Mconomixw Coaalllet+E-o�s>rrwew- d 11t>Ai W team 23 13.1.2) No Economlm.The btAldbV plans do not c$X for a Mw fan sydem wish an sconamlzer. Q Co_ mplies.The drawings specifically la•ngty a pr+nesuro reNaf►rtvi,twUettl for each fun eyatsna Mat MI sawd the stone air Imroduced by the•conornla•r.and the sconomWer ay.vtorn iM capable of ptavidinp ppaarrs,•:eaoting+even when oddMbnel tnerrhatlk*c no*v le required to meter )he remainder of ft to iced. s. filEalrem read 3000 Controls (res. 1313.1.3.1 i 10113.1.3.21 M/k J GompNee.All new HVAC aVAwv ksdude at h M 0n4 taenp$M ire cortbol d•v a rsepondlrV to tantpetstures i4min the zone. Cl Exeeptlnn.The new HVA(:system quallgea for an aoc scan frwn the aorta rnntni! require- ElceptiO214, m.ntN_The applicable code &=option Is Oeet;On 1313.1.3.2, Exception 1 and ,r.Portions of tho WWW of hu"np that quanfy- q+us♦A?#v exp rMrtsonpepr►4-iQ d. COISUai CapubQitl" (See. 1313.1.3.9.1) D Complies.Zone thermostats are capable of being aet to Me temp.rabs"dow bod In Sec. �1 131:1.1.3,2.:. WhM used to oontr+al both heating and cm*q,xOn+oor4ols t'''ale he capable n6 IV)1t pmvw to a rempert�e range or deadbanQ asl At'seat!3 dapaM F wMtkt wtdd the supply of heating and 000lftsp energy to the mute is WM oA or frduwsd to a,,0*htgtl. Excep0m.The hulldlig quallA o far an exception to Ms•deadbattd Naquh*jtw, -The oppktil is ci><fe eecC•plfa7n is<ikeratlr>r 1313.1 '_2.1, f xo*pt;vj_.__. Sent by: HOWARD 8 WRIGHT 503 294 0881 ; 12/11 /00 10:59AM;Jat[aUL_#552;Page 4/5 40091vOO: 12/ 0100 1 :21PM; (10223970411e -+ NOWARD a WRYOH'rr Poo* 4 12/08/00 12:26 FAX 503297038 Att1SRICAN tfATING INC 14004 Form 4acont.) — ��Z protect Neale: SYSTEM;9 - GENERAL - 7. O'tl'hOuir COUtTOU- BVAC SlY'Rt,021" (Section 1313.1.3.3 Complies.AM new HVAC systems ars c:apsbie of awnoapetic setback or itnutclown ciriring periods NIA, of non-use or afternste ucne of thce space served by the system. 13 4aasptton.Equipment has full load heating demands of 2 kW(6,826 Stu/hr)or 11M and is -Ontrolled by a madity ser'ss oo manunnl off-hour con fol. �!. 4tif h6Ur C*Utroli- Itppily and WmjMnat syglems 11313,1.3.31 Ca Compgsxn..Plans regUirn thAt outdoor sig supply And exhaust systems have a means rN auto- N(k rnatic (either motorized or gravity damper) volume shutaff or reduction during periods os'non-use or alternate use of the space served by the sysprm. Symeptforn.The building quabfles lbr an eOrOeption to Ind requirement far wometic shtrtoff or reduction.The applicable code o epdon is Section 1913.1.3-1, Fmcoptkm • 1. 11wat romp Controls ( Natiou 1313.1.3.4) N(4 C I No Most Pump.The plans/specs do not call for a new hoe pump. Ci Complies.All new heat pumps sq-Apped with supplementary hooters are controlled as required In Section 1313.1.3.4. w 10. Fquipasent Petrfrbs arcs (11111e0etlon 1313.1.4) Q No Now HVAC Equiprioont.The 'building plana do not call for new electrical HVAC equipment, NI� combustion heating equipmatt or hast-operated coWg equipment, C] Cgntpliem.All new HVA(:equipmerd has efficiencies not IoM then jhoss required by the code. The following equipment effinsiency worksheets are ateeched: .r 1 L. Duct lusaUtiotn (i3eclAcin 1313-2.2 6 1313.3.71 0 No New The building plans and specifications do not Gill for new MVAC ducts or plenum,- Simple lenum-Simple tlysftrn:Compiles.l'he plane and specf atlans call ter a Simple System, end an exterior suppiy/retiim air-handling duets and pwnum s Bund aq ouarids air do-- % er*insuisted is required by Section 1313.2-2. O Complex System:Compilee_The building plartalspics cal Im-a Complex!1/stsm. and all %jr hendlIng da,-Js and plenums are insuirted es requlre4 by Also.1313-32- END �.�sasa►�■s 12. Piping Insulatloa (8ectize 1814) .Exceptions 0 No Now'iping.The bukling plans and spsae taations dc,,not call liar new piping serinnf,ct O,sculwon of heating or aooling system or part of,e circulating a-rules Mater heating system. '7„&",,V X Compiles.All new piping aervkV a hosting or eooll ig sysk m or part of a circulating service a notes on pope x-16 watsr heating system complies with the requirements of tha 04de.Section 1314.1. [C Q Exr"Mcn.P-*w piping*wiles for the Wowkv amption:2*cdon 1314. Evasptlon . i- nn e 13. fear vice Wietetr 8 11, g (AriotSon 1.31./,1 No New li atm HsomIng.The building oleMr and speallk:stlons do i-at wall ter now water heateM m hot water tutorage Wks,servbe hot Ww&W dtartrtbution systems,sishIII* pooh or spas. a Eaceptl G= Q Complies.AN new water heaters, hot water storage tenths, service hot water dIvtrlb u*m sys- wOaCULVAW A/ tams,swimming pads or spas comply with ftr&j uirMnerlts of the Coda. 1u0b4,*V4W1W Q a3nception.The appgcAbkn code exception Is Seebn--, Exception .Portions of ions'onpopa 4-1e fie bufkfing Viet qutilfy:— t-2 /p'ev►tfs 8 (lam Sint by: HOWARD S WRIGHT 503 284 0861 ; 12/11/00 10:58AM;)MjfaLk552;Page 5/5 A&0&1vbd1 12/ 8/00 112lPM; 60.32907030 -> HOWARD • WRIQHT; P4000 a 12/06/oo 11:26 FAX 8032397038 AXRRICAN MATING INC seas WorWeet 4a Q�(2� pnweet Nun.: T.TKITAItY' � CONDITIONER -" AM C00Lzp Equipment oauusio.7 a Equip Coaling PM004ed Pmpoeod SIAM rmll ffthp Modwl Desertion C"dry Steady State 15"aww ar Paft RK and pert (Bt1.vh) LOA4 t�O�IfICy 'telwrms on page -_ ( � (SSR a IPL 1� a* s-1si G4 VMati%# cou4l- PC � - d� 4 C F s� 2 7 God _ �x�� ►r...�,� Requited lnd/catr sowme of information Doa>am,enta- AM]Unitary Lwoctory, $000 n ACs tion _- ARi ApplAad Pmffixts�DireSection•: _Prodixl dots (Aftah data od y �• AMMNoht ar aft . Y eQubtltant supp/br. i.a., •+put sile►�za'; ._.''d�.kld�.�to aaubment s hoed uIJ Code -- R*gpired Squie�lt 7Y" Cool/ p Cap"My(dtulh) _ Wim,um Ratfnp Efficiencies CVumi to greater M. S oiRudnan ®ut bas rta„ SbadStatw t dpm nus 8a»o"o1 0 d6, 3.7 SEER AatnE,menteAici*mA t Sinp/e Package �� 1313,000 10.9 EF.R 10.S 1PLV was odkrv1bnn@Npd 3-a h/t1 seectbn 135,000 240,000 Q. EER ali/PLV (1) rhe codR.Tabes f�Ci or'rd 1NCbiIC to alrtanoe heat 240,000 7W,000 9.5 FFR A.7 iPLV _ 750.000 - &2 EER 9.4 IPLV SPIN System, 0 194000 na 1Q0 SEER Without a 85,WO 135,0a0 10 3 EER 10.6 IPLV h"ting seCllan 136.000 240,000 0.7SER 19 PLV (Z1 he* ar Wit e/e2,0.W 7001" 9,6 MR 9.7/PLV resistenGe hwet a "e0,Q0n _ 9,2 EER !R4/PLV at 0 Q1.000 le Pm 0.7 fid? Sin �� =a trommy 64000 133,OM 141 EER /41/PI.V so an other 130,000 240,000 9.6 FF-R 9.7 rPLv (3) R is G U N n elw►tnric /esislanu,n 244000 760,000 SJ"WR a1 iPt v hear s I 7KOW _ _ 9.0 '9.2 nX W " FOS O et5,ono na 10.0 sm 84000 136,0p0 10.1 F31t 11X4 A1.V 13Syo0e fo,ttoo 9.6 FFR 11.71PLV (4) en e/rarhe 240,000 Mom 9.3 EER 9.S lPLV ros/stancQ 116+41 '�•.•`.— er Unit 760 000 rA 0 CER A?tPLV E AT E R Q Y - cons ery 13AOOO - 10.1 EER 11.2 Ftv (J) 4-4 Far s F won x^wm t, - K AT&T Tigard Work Center Structural Calculations pFD PROttr IN r� OREGON IL �• a mnunoN a_ ;1 i c7 1.in7roo TRICAL A CITY OF TIGARD RESTRICTEDE ERG RESTRICTED ENERGY A611A [DEVELOPMENT SERVICES PERMIT 0: ELR000-00301 13125 SW Hall Blvd.,Tigard, OR 97223 (503)@39-4171 DATE ISSUED: 12./28/00 SITE ADDRESS: 10340 SW NIMBUS AVE N-J PARCEL: 1 S 134AD-06201 SUBDIVISION: ZONING: I-P BLOCK: LOT: JURISDICTION: TIG Proiect 0^4crlption: Low voltage for commercial TI (AT&T Workeenter). A.RESIDENTIAL B.COMMERCIAL AUDIO& STEREO: AUDIO&STEREO: INTERCOM&PAGING: BURGLAR ALARM: BOILER: LANDSCAPEIIRRIGAT: GARAGE OPENER: CLOCK: MEDICAL: HVAC: DATA/TELE COMM: NURSE CALLS: VACUUM SYS".LM: FIRE ALARM: OUTDOOR LANDSC LITE: OTHER: HVAC: X PROTECTIVE SIGNAL: INSTRUMENTATION: OTHER: -- TOTAL*OF YSTEMS' 1 J Owner: Contractor: ROBINSON, CONS„^,,JCE A+ D L HOWARD CO ROBINSON, LYNN+ BELL, KAY ET 5340 SW DOVER LN BY INSIGNIA COMMERCIA1. GROUP PORTLAND,OR 9722.5 BEAVERTON, OR 97008 Phone: Phone: 246-6764 Reg#: LIC e2769 ELE 26-1019CLE FEES _ Required Inspections Type _ sy Date Amaun• Receipt Low Voltage Inspection PRMT CTR 12/11/00 $75.00 2720000000 Elect'! Final 5PCT CTR 12/11/00 $6.00 2720000000 Tota! $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 approvRd p)anF. This permit will expire if work is i, not Started within 180 days of issuance, or if work is suspended for more than 180 days. TT TION: Ore go aw OC requires you to follow rules adopted by the Oregon Utility Notification Center. Those tu! ar set i co 952-001-0010 through OAR 952-001-0080. You may obtain copies of these rul c res O at(503) 246-1987. Issued by Permittee Signature (9OWNER INSTALLATION ONLY W _ _ --� 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 _ DAT LICENSE NO: Call 639-4175 by 7:0C P.M.for an Inspection needed the next business day v00ilfff Electrieal Permit Application Date Tigard Pbrmit no. >•i ?ra City of aProject/appl.no.: _ Expiredate: CiryofTignrd Address: 13125 SW Hall Blvd,Tigard,OR 97223 Date issued: By: Receiptno.: `- Phone: (503) 639-41.11 _ Fax: (503) 598-1900 Case file no.: Payment type- Land use approval: U 1 &2 family dwelling or accessory U Commercial/industrial U Multi-family enant improvement U New construction U Addition/alteration/replacement U Other. n Partial HNIN Job address: D Bldg.no.: Suite no.: Tax lot/account no.: Lot: 113lock,: Subdivision. -" Project name..-..,A 7- _Z j&q4x 6 16escription and location of work on premises: ? Estimated date of con Ietionifina tion: -� Job las Fie Ma Business name: !� r. DaeaMMt: ea Told oro. Address. r•ew realriesroal-sitngiaor are attt:y ger City: ,`, P && State:CK I ZIP: Q Salim' et Phone: 2ST t 3 2 u 1 Fax: h'4 14 91 E-mail: 10DOog.R.orka _ 4 0li metro tor f Each additional 500 .ft. on thereo CCB no.: Elec.bus.lic.no: Limieenergy, - /y1 Cit c.no.: L /o !� d residential 2 / — mited energy,non-reddentid 2 Each manufactured home or modular dwelling ture of a - c uired pate Service and/or feeder 2 Stip.elect.name(print): Lloense no: Services or feeders–laatallattea, afterWom or relocation; 200 was or less 2 Name(print): 201 amps to 400 amps 2 Mailing address: 401 amps to 600 amps 2 -- - 601 am to 1000 amps 2 City: State: ZIP: Over 1000 amps or volts 2 Phone Fax: E-mail: Reconnect only I Owner installation:The installation is being made on property I own 'h*porsiryorkeder*- which is not intended for sale,lease,rent,or exchange according to hm"KvOwWknden,errokewtba: ORS 447,455,479,670,701. zoo amps or ka 2 201 to 400 2 Owner's signature: Date: 401 to 600 amps _ Z--- IlrraIch eltv"Id-new,afterailar, Name: or extetxtton per panel; �— A. Fee for branch circuits with purchase of Address: service or feeder fee,each branch--ircuit 2 City: State: ZIP: B. Fee for bench circuits without purchase dof service or feeder fee,fire!branch circuit: 2 as Phone: Fax: Email: Each additional branch circuit. Misr.t,4etrkeorfeederw)t )t 7600 225 amps-commercial U Health-carefacility Each pun or irrigation circle 2 320amps-rating of 1del U Hazardous location Each sign oroutline tight 2 ngs U Building over 10,000 squaw,feet four or Signal circuit(s)or a limited energy panel, volts nominal mora residential units in one structure &Iteration,orexnxuion' 2 U Building over three stories U Feeders,410 amps or mare .fid don- W U Occupant load over 99 persons U Manufactured structu or RV p J U EgressAightina pian U Other. 01FAAle.ett ad+itkrrsl 6npecika over me allowable in say or the above; Per inspection Sabath ads of plain with ay of the above. Investigation fee The above are not appHemble to temporary conaltraedon serrlee. r_ - Not all jurialictlan uapc cr dit cards,pini call jurisdiction for more Ir/onnat Notice:This permit application Permit fee.....................$ �— U Visa U MasterCard expires if a permit is not obtained Plnn review(at _` %) $ Chit card number: within 180 days after it has been State surcharge(11%)....$ _ P. accepted as complete. TOTAL L. Name d cardholder a ion it care s Cardholder sisruture Amowa 4404615(61MC M) Electrical Permit Fees: Limited Energy Fees: --- -- — ----�— — TYPE OF WORK INVOLVED-RESIDENTIAL ONLY Restricted Complete Fee Schedule Below: Energy-iee..................- .................................... $73.00 Number of Inspections per pernit allowed (FOR ALI.SYSTEMS) Service Included: Items Cost Total I Check Type of Work Involved: Residential-per unit 1000 sq.R.or less $145.15 — 4 ❑ Audio and Stereo Systems Each additional 500 sq,fi a portion thereof $33.40 1 ourglar Alarm Limited Energy -- 375.00 _. Each Manurd Home or Modular ❑ Garage Door Opener' oirm Service or Feeder ---- $90.90 2 S Wces or Feeders ❑ Heating,Ventilation and Air Conditioning Sys:em' Installation,alteration,or relocation 200 amps or less _ $80.30-- 2 Vacuum Systems' 201 amps to 400 amps $108.65 _ 2 401 amps to 600 amps _ $160.60 _— 2 ---- 601 amps to 1000 amps _ $240.60 _ 2 Over 1000 amps or volts $4F4.65 2 Reconnect only 566.85_ 2 Temporary Services or Fesdens TYPE OF WORK INVOLVED -COMMERCIAL ONLY Fee for each system.......................................................... $75.00 Instapation,alteration,or relocation SEE OAR 918-260-260) 200 amps or Mss $66.85 2 201 amps to 400 amps $100.30 — 2 Check Type of Wort<involved: 401 amps to 600 amps ---- $133.75—� 2 Over 600 amps to 1000 volts, Audio and Stereo Systems see"b"above. Branch Circuits Boller Controls New,alteration or extension per pariel a)The fee for branch circults ❑ Clock Systems with purchase of service or feeder fan. __ -- Each branch circuit $6.65 2 Data Telecommunication Insta!latian b)The toe for branch circuits without purchase Of service F-1 Fire Alarm Installation or/seder/en. --- First branch circuit 546.65 HVAC Each additional branch circuit 46.65 _ Miscellaneous Instrumentation (Service or feeder not included) Each pump or krigation circle —, $53.40 Intercom and Paging Systems Each sign or outline sighting $53.40 Signal circuk(s)or a Nmited energy Landscape Irrigation Control' panel,alteration or extension $75.00_--_—_ Minor Labels(10) $125.00 Medical Each additional Inspection over the allowable In any of the above Nurse Calls Per inspection 382.50 Per hour 302.50 —_ _ In Plant $73.75— Outdoor Landscape Lighting' IL Fees: Protective Signaling ix Eater total of above fees 5 ---._-- Other t» 6%State Surcharge 5 ____—_ __ ._T_Number of Systems 251E Plan Review Fee No licenses are required. Umnses are required fnr 0,0-r Instaft~3 _ See'Plan Review"section on $ trorlt of application. Fees: uu Total Balance Due $ _._._ Enter total of above Mas ❑ Trust Account 8 __ _ 8%State Surchm go --�-- Total Balance Due iAdsts\forms\elc-fees.doc 10/09/00 CITY OF TIGARD _ BUILDING PERMIT`— PERMIT#. BUP2000-00489 DEVELOPMENT SERVICES DATE ISSUED: 12/27/00 13125 SW Hall Blvd.,Tigard,OR 97223 (503)639-4171 PARCEL: 1 S134AD-05201 SITE ADDRESS: 10340 SW NIMBUS AVE N-D SUBDIVISION: ZONING: I-P BLOCK: LOT: JURISDICTION: TIG F— REISSUE: FLOOR AREAS _ EXTERIOR WALL CONSTRUCTION CLASS OF WORK: ALT FIRST: sf� N: S: E: W: TYPE Or USE: COM SECOND: sf PROJECT OPENINGS? TYPE OF CONST: 3N sf N: S: E: W: OCCUPANCY GRP: B TOTAL AREA: 0.00 sf ROOF CONST: FIRE RET? OCCUPANCY LOAD: 24 BASEMENT: sf AREA SEP, RATED: STOR: KT: ft GARAGE: sf OCCU SEP. RATED: BSMT?: MEZZ?: REQD SETBACKS _ _ REQUIRED FLOOR LOAD: psf LEFT: ft RGHT: ft FIR SPI'!. Y SMOK DET: DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDIVP ACC: BEDRMS: BATHS. IMP SURFACE: PRO CORR: PARKING VALUE: $ 53,150.00 Remarks: Tenant!mprovement for office space-2400 square feet(AT&T Workcenter) Owner: Contractor: ROBINSON, CONSTANCE A+ HOWARD S WRIGHT CONSTRUCTION ROBINSON, LYNN+ BELL, KAY ET PO BOX 3764 BY INSIGNIA COMMERCIAL GROUP 880 SW 5TH AVE#415, PORT OR 9 BPhVR TON, OR 97008 SPhTTLEone: 2Z0-1)89 24-2264 Reg#: LIC 89222 FEES REQUIRED INSPECTIONS Type By Date Amount Receipt Mechanical Permit Require PRMT CTR 12/4/00 $492.68 27200000000 Electrical Permit Required Sprinkler Permit Required 5PCT CTR 12/4/00 $39.41 27200000000 Framing Insp PLCK CTR 12/4/00 $320.24 27200000000 Gyp Burd Insp FIRE CTR 12/4/00 $197.08 272.00000000 Susp Celing Insp _ Final Inspection Total $1,049.41 _ a N 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 accordance with approved plans. This permi. will expire if work is not started within 180 days of issuance, or if work is suspended for more a`o than 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility t9 Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-19°7. You may obtain a copy of these rules or direct questions to OUNC by calling (503) 246-1987. Perrnitee ! L Signature: Issued By: Cali 6394175 by 7 p.m.for an Inspection the next business day 07"1 /,kA--ro6o P ' Building Permit AppY' ` ,n T • Ivad: Permit rto.: City of Tigard - " cio Address: 13125 SW Hall Blvd,Tigard,OR 977.23 Project/appl.no.: Expiredate: City ofTtgarQ Phone: (503)639-4171 � Date issued: By: Receipt no.: Fay.: (503)598-1960 ZIAN Caw rile no.: Payment type: Land use approval: / ' �� IZfamily:Simple Complex: ❑ I tit 2 family dwelling or accessory ❑Commercial/industrial ❑Multi-family ❑New construction ❑Demolition n Addition/aiteration/replacement X'enant improvement L)Fire sprinkler/alarm ❑Other. Job address. k0 Q iAls_JS 23 I Bldg.no.: State no.: Lot: Block: Subdivision: Tax maphax lot/account no.: Project name: S ku%90 y� CbblIT&P Description and locution of work on premises/special conditions: OfftC. SQAGE Name: (xfCPc�- X11 C 5 Mailing addm9s: LOIALto I&2 famtlly dweiBtatt City: State: q ZIP: 3 Valuation of work........................................ $ Phone: - Fax: Email: No.of bedrooms/baths................................. Owner's representative: Total number of floors................................. Phone: -SIA- ax: E-mail: New dwelling area ft VMSM Garage%arpott area(sq.ft.)......................... Name: TC Covered porch area(sq.ft.)......................... Mailing address: Deck area(sq.ft.)........................................ City: p State: II Other structure area ft)......................... Phone: - 51 Fax:Z E-mail: inWedudrleUgmitl-faasllyi us at of work........................................ $5 _570 _ Business name: �- E _ Existing'bldg.area(sq.ft.) .......................... _� O _ Address: New bldg.area(sq.ft.)................................ City: State: ZIP: Fax: Number of stories........................................ 51t�fi►!.E Type of construction.................................... Phone: E-mail: CCB no.: Occupancy group(s): Existing: New: City/metro lic.no.: Notlke:All contractors and subcontractors are required to be licensed with the Oregon Construction Contractors Board under Name: Q r j" �(� provisions of ORS 701 and may be required to be licensed in the Address: tD jurisdiction where work is being performed.If the applicant is City: State. ZIP: p exempt from licensing,the following reason applies: Contact person: Plan no.: Phone:qK 6ql q1Dd Fax: I E-mail: Name: Contact person:MIM &fpW 4&"due upon application...........................$ Address: po Date received: City: State. #,% ZIP. ULS Qp 5 Amount received.........................................Z Phone:2pG- ax. -ma-l: Please refer to fee achedule. I hereby certify I have read and examined this application and the Nae sn}riracrtar nmp a@&=*,pkm as JwMoffimlee for,em.Ytm add. attached checklist.All provisions of w d ordinances governing this OViu OMasterCard work will be complied with, the s f herein or not. near Md a dm Authorized signature: _ Date: —1 ear r a m&ewd Print name "raNl CSLI— co iG7 -AMOM _--- Notice:This permit application expires if a permit is not obtained within 180 days&it has (been accepted as complete. wo�tsts mew V " A) ID � ti 0 J • • 1 t 1 Ili 1 11 1 � � . (�1 111. 111 O • i y� 1 r� • 1 .1 _ 1 1 •1 t• , rat WW •s. U II 1 la _.JL1 l ■ II �:I 1.,111 O � l X31 ' _ I 5 a December 4,2000 Howard S. Wright Construction Company (2000-0048 L $$$ SW 56'Avenue -Suite 410 C MD Portland,Oregon 97204 OREGON Attn: Tom Fas7.hr,.z RE: AT and T BUM "�" 10340 Nimbus Avenue Dear ,Applicant: Your plans for the proposed tenant improvement have been reviewed;the following items require your attention. 1. The oc:upant load factor of this proposal requires two exits,complying with OSSC, Suction 1004.2.2. Your second exit passes through a warehouse this is not allowed. Provide details. 2. Provide Oregon Non-Residential Energy Corte forms 5a through 5c to include required worksheets. 3. Under the provisions of OSSC, Chapter 11, you are required to remove existing Architechiral Barriers up to 25%of the value of the work to be completed. Please provide the information set out on the enclosed form, and provide details on how you will proceed with this requirement. Provide two(2) sets of revised drawings and related documents. If you have questions,please call me at 503-639-4171 X392. Sincerely, Ro rt Poskin CET,CBO Seni r Plans Examiner 1.3125 SW Hal Blvd., Tigard, OR 97223(503)6394171 TDD(503)684-2772--------------- _.—_ s 0'4e` sA) Jrn/'S SUBJECT: ACCESSIBILITY BARRIER REMOVAL IMPROVEMENT PLAN REQUIREMENT: OREGON REVISED STATUTE (ORS)447.241. '1) Every project for renovation,alteration or modification to affected buildings and related facilities shall be made to insure that the path of travel to the altered area and the restroom, telephones and drinking fountains are readily accessible to individuals with disabilities unless such aimrations are disproportionate to the overall alterations In terms of coat and supe. (2) Alterations made to the path of travel to an altered area may be deemed disproportionate to the overall alteration when the cost exceeds twen+y-five per-cent(25%). VALUATION of all renovation,alteration or modification being done �^ excluding painting,wallpapering. [ti)$__ _ multiply: 25°x6 Harrier removal requirement. _ .25,_ BUDGET FOR BARRIER REMOVAL (2J$ s-v 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 following order: (a) Parking $ (b) An accessible entrance: $ (c) An accessible route to the altered area: $ (d) At least one accessible restroom for $_ each sex or a single unisex restroom: IL (e) Accessible telephones: $ FE t- (f) Accessible drinking fountains: and $_ m (g) When possible, additional accessible W elements such as storage and alarms: TOTAL: Shall equal line 2 of Value Computation i:\dsts\fomn\wcess.doc CITYOF TIGARD SEWER CONNECTION PERMIT DEVELOPMENT SERVICES PERMIT#: SWR2000-00388 13125 SW Hall Blvd.,Tigard,OR 97223 (503) 639-4171 DATE ISSUED: 12/27/2000 PARCEL: 1 S 134AD-06201 SITE ADDRESS; 10340 SW NIMBUS AVE N-D SUBDIVISION: ZONING: I P BLOCK: LOT: JURISDICTION: TIG _ TENANT NAME: AT& T U-A NO: FIXTURE UNITS: 16 CLASS OF WORK: ALT DWELLING UNITS: 1 TYPE OF USE: COM NO. OF BUILDINGS: INSTALL TYPE: BUSWR IMPERV SURFACE: Remarks: AT&T Workce iter: 26 fixture:,added, for increase of 2 EDU's, less credit for 10 fixtures capped for 1 EDU (see Pr_M2000-00468),for a total increase of 16 fixtures, or 1 EDU. Owner: —� FEES _ ROBINSON, CONSTANCE A+ Type By Date Amount Receipt ROBINSON, LYNN } BELL, KAY ET BY INSIGNIA COMMERCIAL GROUP PRMT" DLH 12/26/200C $2,300.00 2000-1300 BEAVERTON, OR 97008 Total $2,300.00 Phone: — '�- Contractor: Phone: Reg#: Required Inspections IL ac rn This Applicant agrees to comply with all the rules and regulations of the Unified Sewage Agency. The permit expires IN! 180 days from the date issued. The total amount paid will be forfeited if the permit expires. The Agency does not guarantee the accuracy of the side sewer laterals. If the sewer is not located at the measurement given,the installer shall prospect 3 feet in all directions from the distance given. If not so located, the installer shall purchase a"Tap and Side Sewer' Permit and the Agency will install a lateral. 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 through OAR 952-001-0080. You may obtali copies of these rules or direct questions to OUNC by calling(503) 246-1987. Issued by: --j- __ Permittee Signature: ' /?-11G i L'/7 Gall(503)639-4175 by 7:00 P.M.for an Inspection needed the next business day CITY OF T I GA►R D PLUMBING PERMIT DEVELOPMENT SERVICES PERMIT#: PLM2000-00468 13125 SW Hall Blvd.,Tigard,OR 97223 (503)6394171 DATE ISSUED: 12/27/00 SITE ADDRESS: 10340 SW NIMBUS AVE N-D PARCEL: 1S134AD-06201 SUBDI ASION: ZONING: I-P BLOCK: LOT: JURISDICTION: TIG CLASS OF WORK: AL1' GARBAGE DISPOSALS: MOBILE HOME SPACES: TYPE OF USE: COM WASHING MACH: BACKFLOW PREVNTRS: OCCUPANCY GRP: FLOOR DRAINS. 1 'TRAPS: STORIES: WATER HEATERS: CATCH BASINS: FIXTURES _ LAUNDRY TRAYS: SF RAIN DRAINS: SINKS: URINALS: GRIEASF TRAPS: LAVATORIES: 1 OTHER FIXTURES: TUB/SHOWERS: SEWER LINE: ft WATER CLOSETS: 1 WATER LINE: ft DISHWASHERS: RAIN DRAIN: ft Remarks: Capping of plumbing fixtures.(P7 T 4 T- /J �^ [=Type FEES r.OwneBy Date Amount Receipt ROBINSON, CONSTANCE A+ — — — ROBINSON, LYNN+ BELL, KAY ET PRMT CTR 12/27/00 $72.50 27200000000 BY INSIGNIA COMMERCIAL GROUP SPOT CTR 1227/00 $5.80 27200000000 BEAVE RTON, OR 97008 Total .� $79.30 — Phone 1: Contractor: POWER PLUMBING CO P O BOX 23144 TIGARD, OR 97281 REQUIRED INSPECTIONS Phone 1: 244-1960 Final Inspection — Reg#: LIC 00052378 PLM 34-150PB This permit is issued subject to the regulations col,,twined in the Tigard Municipal Code, State of OR. Specialty Cnde� and all other applicable laws. All work 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 952-0001-0010 through OAR 952-0001-0080. You may obtain copies of these rules or direct questions to OUNC by calling (503) 216-1987. Issued By: _ , l/, dZt�?-� PermIttee Signature: Call(503)639-4175 by 7:00 P.M.for an Inspection needed the next business day Plumbing Permit Application Date received: 12 �Z7 � Permit no.:Pr 2000-00 yG City of Tigard Sewer permit no.: Building permit no.: -- Address: 13125 SW Hail Blvd,Tigard,OR 97223 Ciry n(TiRn -! Projec Phone: (50"� 639-4171 Uappl.no.: Expire date: Fax: (501) 598-190) �LM�� ooyr9 Date issued: By:_ 'Receipt no,: QuP�� -DOy�7 Land usF.approval: Case file no.: Payment typ-: :LJ lling or accessory U Commercial/industrial ❑Multi-family U Tenant improvement U Addition/alteration/replacement U Food service U Other: Job atJdreas: �! GJ /i i• i r Dwri&m Fee ew) Total Bldg. dre Suite no.: — F�1•atwi t-fa"y dwe11MRs only: (hwbwta loon.for ewh milky coonedlon) Tax map/tax lot/account no.: SFR(1)bath _ LAX: Block: Subdivision: SFR( )bath — - Project name: A77 ^ E �� SFR(3)bath - -- C.ty/county: I ZIP: Each additional bath/kitchen Description and location of work on premises: _ Skedtllkka: _ Catch basin/arra drain Est.date of completion/inspection: Drywells/lcactt t trench drain Footing drain(no.lin.ft.) — Manufactured home utilities Business name: 41ewe)t C6 7 anho es Address: 4- /l Rain drain connector City: ,P N ' State: Zip: f7 F g_^? Sanitary sewer(no.lin.ft.) Phone: V 70 p I Fax: E-mail: StOrm sewer(r�o.lin.ft.) CCB no.: 5-;z 3 Plumb.bus.reg.no: .-/50 Water ce . in.R City/metro lis.no.: Futurea or valve Absorption valve Contractor's repmsentative ignature: / Back clow venter _ Print name: t Date: BackWaler valve BasinsAav Nam: Clothes washer a waslux Address: 0 nking fountain(s) _ City: State: ZIP: E ectors/sum Phone: Fax: E-mail: Expansion tank _ Fixturelsewer cap Name(print): Floor drainaffloor sinks/hub — O is al Mailing address: Hese bibb City: State: ZIP: Ice maker _ Phone Fax• E-mail: n mer trap — Owner installation/residential maintenance only: The actual installation mer(s) will be made by me or the maintenance and repair made by my regular Roof drain cantmerci ) employee on the property I own as per ORS Chapter 447. Sink(s), in(s),,lays(s) _ Owner's si Date: om Tubstshowedshower pan _ Urinal Name: — Water c o i Address: star teateT r —_ City: State: ZIP: Other: Phone: Fax: E-mail: otlt can inriamceMo rn<m ar idonnMlon. Minimum fee................$ Na vi hnismctim aragt cmmt cards.P Notice:This permit application ❑visa U MasterCard expires if a ntlit is not obtained Credit card mmtw: Plan review(at 96) $ Cre -- --LCL— P State surcharge(896) $ within 180 daybeen Expires s after it has TOTAL ——Mrn of carmrcrdrr as ahmrm on M&card accepted v onmplete. $ 0 S Cardholder slpmame AMNO 41)-4616 OVIO.'OM) PLUMBING PERMIT FEES: PRICE TOTAL New 1 and24amlly dwellings only: FIXTURES (Individual) QTY (ems AMOUNT (includes all plumbing fi uros In PRICE TOTAL Sink 16.80 the dwelling and the first10011. QTY (ea) AMOUNT Lavatory t8.80 for each t_dlilty coconnecUag) One 1 bath $249.20 Tub or Tub/Shower Comb. 16.60 Two 2 bath $350.00 Shower Only 16.60 Three(3)bath s 399.00 ^ Water Closet ; 16.80 /� SUBTOTAL Urinal 16.60 8%STATE SURCHARGE Dishwasher -' 16.60 PLAN REVIEW 25%OF SUBTOTAL Garbage Disposal \ 16.60 TOTAL Laundry Tray 18.80 Washing Machine 16.80 Fk.*r Drain/Floor Sink 2" 16.80 /6 0 3" 14,60 P ASE COMPLETE: 4" 16.60 Wat jr Heater U conversion O Iike kind 16.80 Quem b Work Performed Gai piping requireR a separate mechanical Fixture Type: New Moved Replaced Removed/ m lt. .r._ _ . Sapped MFG Horne New Water Service 46.40 Sink MFG Home New San/Storm Sewer 46.40 Lava - _ Tub or Tub/Shower Hose Bibs 16.60 Combination _ Root Drains X60 Shower Onl Drink;ng Fovitain 18. Water Closet Other Fixtures(Specify) 18. Urinal _ Dishwasher Garbage Disposal _ Laundry Room Tray Washing Machine Floor Drain/Sink: 2" Sewer-1 at 100' 55.00 3• Sewer-each additional 100' 46.40 4" Water Service-let 100' 55.00 Water Heater Water Service-each additional 200' 46.40 lher Fixtures Storm 8 Rain Drain-1M 100' 55.00 Storm&Rain Drain-each additional 100' 46.40 Commercial Back Flow Prevention De 46.40 - Residential Backflow Prevention Dev 27.55 Catch Basin 18.80 inspection of Existing Plumbing or Spb&1 72.50 - R uested Inspections peribr COMMENTS REGARD . BOVE: Rain Drain,single family dweliing 65.25 Grease Traps 18.80 - QUANTITY TOTAL Isometric of river diagram Is required If Quantity Total Is >a --- - 'SUBTOTAL J 5 8%STATE SURCHARGE - -- "PLAN REVIEW 25%OF SUBTOTAL R uked only If Rxturo gly.60181 to>e TOTAL "Minimum permlt fee Is$72.00.s%state surcharge,except Residential Backflow Prevention Device,which Is 111-36 25 a s%state surcharge. ""Au New Commercial Buildings require plans with isometric or riser diagram and plan review. 1:\dsts\ftxms\plm-deee floc 10/10/00 1 Accumulative Sewer Tally Tc,flant Name: � T�. � - n�%G E This SWR# Address: /O?�'n �'�1 Ni�'�u-S S 7— N This PLM#. Fixture Value Previous Previous Credits Capped Fixtures Fixtures New total New # Value' Capped iff value added# added #s total Count off#s count value values Baptistry/F ont 4 - Bath-Tui:/Shower 4 -Jncuzzi/Whiripa_ul 4 Car Wash-Each Stall 6 -Drive Through 16 - Cuspidor/Nater Aspirator 1 _ — - Dishwasher-Commercial 4 _ - - Domestic 2 Drinking Fountain 1 — Eye Wash — Floor Drain/sink-2 inch 2 _ - -3 inch 5 -4 inch 8 Car Wash Dm 6 — Garbage Disposal 16 _-Domestic(to 3/4 HP) Commercial(to 5 HP) 32 -- — Industrial(over 5 HP) 48 ice Machine/Re fri erator Drains Oil Sep(Gas Station) 6 - Rec.Vehicle Dump Station 16 Shower-Gang(Per Head) 1 — _-Stall 2 — Sink 8ar/Lavatory 2 — Bradig _ 5 — Commercial 3 I Service Swimming Pool Filter 1 Washer-Clothes 6 -- Water Extractor — c _ Water Closet-Toilet 6 Urinal 6 --- TOTALS a2 divided b 16 = 3 F EDU n J EQ U- f� Total fixture values:_ _._ Y -- r 1 Emu HISTORY 2— EZGts I'M 9c',!76 1•2/�'o% PLM# EDU# SWR# PLM# _ EDU# SWR# PLM# EDU# SWR# PLM# _ EDU# SWR# — PLM# _ EDU# SWR# PLM# EDU# _ SWR# PLM# EDU# SWR# PLM# EDU# _ SYJR# i%dsts%swrtaly doc CITY O F T I GA R® _ PLUMBING PERMIT DEVELOPMENT SERVICES PERMIT 0: PL.M2000-00449 13125 SW Hall Blvd.,Tigard,OR 97223 (503)639-4171 DATE ISSUED: 12/27/00 SITE ADDRESS: 10340 SW NIMBUS AVE N-D PARCEL: 1S134AD-06201 SUBDIVISION: ZONING: I-P BLOCK: LOT: JURISDICTION: TIG CLASS OF WORK: ALT GARBAGE DISPOSALS: MOBILE HOME SPACES- TYPE OF USE: COM WASHING MACH: BACKFLOW PREVNTRS: OCCUPANCY GRP: FLOOR DRAINS: 1 TRAPS: STORIES: WATER HEATERS: 1 CATCH BASINS: _ FIXTURES LAUNDRY"TRAYS: SF RAIN DRAINS: SINKS: 1 URINALS: GREASE TRAPS: LAVATORIES: 2 OTHER FIXTURES: 1 TUB/SHOWERS: SEWER LINE: ft WATER CLOSETS: 2 WATER LINE: ft DISHWASHERS: 1 RAIN DRAIN: ft Remarks: Tenant Improvement(Work Center)one sink/two lays/two water closets/one dishwasher/one 2"floor drain/one water heater/one icemaker/one primer FEES Owner: - -- Type By Date Amount Receipt ROBINSON, CONSTANCE A+ PRMT CTR 12/27100 $149.40 27200000000 ROBlNSORl, LYNN+ BELL, KAY ET BY INSIGNIA COMMERCIAL GROUP SPCT CTR 12127/00 $11.95 27200000000 BEAVERTON, OR 97008 Total $161.35 Phone 1: Contractor: POWER PLUMBING CO P O BOX 23144 TIGARD, OR 97281 REQUIRED INSPECTIONS Phone 1: 244-1900 Top-out n,sp Reg#: LIC 00052378 Final Inspection PLM 34-150PB QC F-- cn J n: This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. u Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans. A 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 11-) follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-0001-0010 through OAR 952-0001-0080. You may obtain copies of these rales or direct questions to OUNC by calling (03) 246-1987. Issued By: 7—e�_ Permittee Signature:_ Call(503)639.4175 by 7:00 P.M.for an Inspection needed the next business day v"" 0" y2 Plumbing Permit Application City of Tigard Dalcreceiv �� fly Permitno.: ?016.0 O YYY Stwuer permit ne. py1 ea Ruilding permit no.�� o e fV1 Address: 13125 SW f mall Blvd,Tigard,OR 97223 City of Tigard Phone: (503) 639-4171 Projcct/appl.no.. Expire date: Fax: (503) 598-1960 Date issued: By: Receipt no.: Land use approval: Case file no.. Payment type: _ • I &2 family dwelling or accessoryot�prnercia/industrial Cl Multi family U Tenant improvement U New construction 6&'1Cddition/alteration/replacemcnt i Food savior 0 Other: IME.� Job address: /03 f/d ,So A/1 r• 34,S Description t11 . Fee a. Total Bldg.no.: Suite no.: en 1-acrd -familly dweftp only: -- 4 (Includes 100 ft.for each Milky coww dloo) Tax map/tax lot/account no.: SFR(1)bath Block: Sutxii ision: SFR(2)bath ,.eject name: � IA.Jr a�Tf� Qrrt(3)bath �y City/county: —S ZIP: Each additional bath/kitchen Descri tion and location of work on prrmises: Slteafil(tles: Catch basin/area drain Est.date of completion/inspection: Drywells/leach line/trench drain niiiiiiiis Fooling drain(no.lin.ft.) Manufactured home utilities Business name: it LW IFS, Manholes Address: I 15,j InjiLl Lici �, I& Rain drain connector _ City: _ (L _ State: R 71P: 7 Sanitary sewer(no.fin.ft.) _ Phone: 'l t pd 17ax'2 r _ E-ni.�il: Storm sewer(no.lin.ft.) CCB no.: $1.378 I Plumb.bus.rcg.no: —Water service(no.lin.ft.) - City/metro lic.no.: — Flxture or item: Contractor's representative signature: Absorption valve Print name: /�~ M,�' Date: _ Back flow reventer V Backwater valve Basinsnavatory Name. „�. S tSp -f Dishwasher washer Dishwasher _ Address: Drinking fountain(s) City: State: ZIP: Electors/sump _ Phone: Fax: E-mail: Ex ansion tank FixtuTlsewc: cap Namc(print): A_)--d 7_ Floor drainstfloor sinks/tmb u Mailing address: C;nrbage disposal V - Hose bibb City: Stater ZIP: Ice,n er CL Phone: Fax: E-mail: Interne for%grease trap Owner installation/residential maintenance only: The actual installation Primer(s) will be made by me or the maintenance and repair made by my regular Roof drain(commercial) employee on the property I own as per ORS Chapter 447. Sink(s),basin(s), ays(s) J Owner's signature: Date: um m Tubs/shower/shower pan Name: Urinal _ W Water closet J Address: Water heater City: _ _ State: Z►P: Other: Phone: Fax: E-mail: Total Na all jurisdictions accept credit cards,please can judutictio n for more Info rmsti xhNotice:This permit application Minimum fee................$ ��• y0 U visa U MasterCard expires if a permit is not obtained plan review(at — 96) $ Credit card number: __L _1within Igo days after it has been State surcharge(8%) t"pin" accepted a3 complCte. TOTAL $ dh Nwr of cardholder as drown on credit card -- T Cardholder tisnrme Amount 4�0-1616(bIXYCnM) PLUMBING PERMIT FEES: PRICE TOTAL New 1 and 2-family dwellings only: _FIXTURES ndivldual) QTY sa AMOUNT (Includes all plumbing fixtures in PRICE TOTAL. Funk 16.60 (� c the dwelling and the ttret100 ft. QTY (ea) AMOUNT - 1880 for each utility connection) I avatory _ One 1 bath_ $249.20 Tub or Tub/Shower Comb. 16.60 Two(2)bath _ $350.00 Shower Only 16.60 Three31bath $399.00 Water Closet 16.80 1 _ SUBTOTAL _ Urinal 16.60 8%STATE SURCHARGE Dishwasher 16.80 PLAN REVIEW 25 OF SUBTOTAL _ Garbage Disposal 16,80 _ TOTAL Laundry Tray 16.60 Washing Machine 16.60 Floor Drain/Floor Sink 2" 18.60 8 3" 16.60 PLE "E COMPLETE. 4" 18.60 Water Heater O conversion O like kind 6.80Quantt b Work Performed Gas piping requires a separate mechanical I (D,G U xture Type: New Moved Replaced Removed/ unit. _ -- ----Capped Home New Water Service 46.40 Sink _- v MFG Home New San/StormLavato San/Storm Sewer 48.40 •-ry- - - Tub or Tub/Shower Hose Bibs 16.60 Combination _ Roof Drains 16.60 Shower Onl1r-__ Drinking Fountain 16.80 Water Closet Urinal Other Fixtures(Specify) _ ( 18.80ZT Dishwasher _ 1 _ blikirbage Dis sal _ LauW44y Room Tray Washin achine - Floor Drain reit: 2" Sewer-1 st 100' 55.00 3^ Sewer-each additional 100' 46.40 Water Service-1st 100' 55.00 Water Heater Other Fixtures Water Service-each additional 200' 48,40 ^a d Storm R Rain Drain-1st 100' 55.00 Storm&Rain Drain-each additional 100' 46.40 Commercial Back Flow Prevention Device 46.40 - Residential Backflow Prevention 96vice. 27.55 Catch Basin 16.60 - Inspection of Existing Plumbin or Specially 72.50 Requested Inspections erlhr COMMENTS REGARDING ABOVE: Rain Drain,single family dwelllr%l65.25 Grease Traps 16.60 ---- a, QUANTITY T TAL Isometric or riser diagram Is required K Quanttty Total Is >9 - - In *SUBTOTAL1-ULIA -- '-- 8%STATE SURCHARGE u v - m "PLAN REVIEW 25%OF SUBTOTAL _ Required orgy If fixture qty.total Is>s D1 TOTAL s' "Minimum permit fel Is$72.50•8%state surcharge,except Resklentinl Backflow Prevention Device,which Is$3025•e%state surcharrw "All New Commercial Buildings require plans with isometric or deer diagram and plan review I:\dsts\fortns\plm-fees.doc 10/10/00 Accumulative Sewer Tally Tenant Name: tdy/ZkCE,v7-z _ This SWR#.24,00 —d0S?P Address: 110-3VO .5AJ n/♦♦iL�LAS >� This PLM#:A2.djp ' GC J Fixture Va!ae Previous Previous Credits Capped Fixtures Fixtures New total New # Value Capped off value added* added #s total Count off#s count _ value _ values -Baptistry/Font T 4 Bath-Tub/Shower 4 — - -Jacuzzi/Whirlpool 4 Car Wash -Each Stall 6 _ _ - Drive Through 16 Cuspidor/Water Aspirator 1 Dishwasher-Commercial 4 _ -Domestic Y 2 Drinking Fuuntain 1 _ — Eye Wash 1 -- Floor Drain/sink-2 inch 2 3 inch 5 _ 4 inch 6 Car Wash Dm 6 Garbage Disposal 16 Domestic(to 3/4 HP) _— Commercial(to 5 HP) _32 __Industrial(over 5 HP) 48 Ice_Machine/Refrigerator Drains 1 _ — Oil Sep(Gas Station) 6 —� Rec.Vehicle Dump Station 16 Shower-Gang(Per Head) 1 Stall 2 — — Sink-Bar/Lavatory 2 -Bradley 5 -Commercial _ 3 -Service 3 Swimming Pool Filter 1 Washer-Clothes 6 Water Extractor 6 d Water Closet-Toilet 6 -- Urinal 6 N TOTALS %� divided b 16 = —3. D EDU � Total fixture values: Y W LESS C iTef / Ea ec HISTORY PLM#,7000-M91? EDU# / SWR# PLM# EDU# SWR# PLM# _ EDU# SWR# _ PLM_# EDU# SWR# PLM# EDU# SWR# PLM#_ EDU# SWR# PLM# EDU# SWR# I PLM# EDU# SWR# lAdsWswrtaly doc ELEt:TRICAL PERMIT CITY OF TiGARD PERMIT 4 ELC2000-00077 DEVELOPMENT SERVICES � DATE ISSUFD 2124/00 13125 SW Halt Blvd..Tlaard.OR 97223 (503) 639 417\`�`'W pARCFt 1S134AD-06201 SITE ADDRESS: 10340 SW NIMBUS AVE N-D SUBDIVISION: ` ZONINO I-P BLOCK: I : JURISDICTION: TIG Proiect Description: Installation of one service or feeder of 200 artrps or less and 6 branch circuits for office power in warehouse space. Job No. 63-11070 RESIDEN_T;AL UNIT TEMP SRVCIFEEDERS MISCELLANEOUS 1000 SF OR LESS: 0 - 200 amp: PUMP/IRRIGATION: EACH ADD'L 500SF: 201 - 400 amp: SIGN/OUT LINE LTG. LIMITED ENERGY: 401 - 600 amp: SIGNAL/PANEL: MANF HM/SVC/FDR: 601+amps - 9000 volts: MINOR LABEL (10): SERVICE/FEEDER _— _ BRANCH CIRCUITS _ ADD'L INSPECTIONS 0 - 200 amp: 1 W/SERVICE OR FEEDER: 6 PER INSPECTION: 201 - 400 amp: 1st W/O SRVC OR FDR: PER HOUR: 401 - 600 amp: EA ADD'L BRNCH CIRC: IN PLANT: 601 - 1000 amp: PLAN REVIEW SECTION_ 1000+amp/volt: >=4 RES UNITS: >600 VOLT NOMINAL: _. Reconnect only: SVC/FDR>=228 AMPS: CLASS AR A/51'EC OCC: _ Owner: Contractor: ROBINSON, CONSTANCE A + CHRISTENSON ELECTRIC INC (ROBINSON, LYNN+ BELL, KAY ET 111 SW COLUMBIA BY INSIGNIA COMMERCIAL GROUP STE 480 BEAVERTON, OR 97008 PORTLAND,OR 97201 Phone: Phone: 2414812 Reg 0: LIC 000458 SUP 3289S PLM 2468S ELE 26-34C FEES — _ Required Inspections Type By Date Amount Receipt Clect'I Service PRMT DEB 2/2M00 $96.35 00-321828 Elect'l Final 5PCT DEB 2/24/00 $7.7100-321828 Total $104.06 I� This Permit is issued subort to the regulations contained in the Tigard Municipe l Code,State of OR. Specialty Codes and all other applicable laws. Al;work will be done in accordance with approved plans. This permit will expiaj if work is not started within 180 days of issuance,or if work is 0 suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adoptod by the Oregon Utility Notification Center Those rules are set forth In OAR 952-001-0010 through OAR 952-001-0080. You may obtain copies of these rules ordirect questions to OUNC at(503) 3 '46-1987. PERMITTEE'S SIGNATURE r� r`'' '`�'�� ISSUED 6Y. CITY OF TIOARD Electrical Permit Application Plen 1312nW HALL BLVD. Rer:'d _6y Loz � Date Recd e�`�- TIGARD OR 87223 Vr,7 r Date to P.E. Phone(503)639-4171, x304 d Inspection (503)639-4175 Date to DST ,8 �l 4 7 Print of Type Permit a -CO077 Fax(503)598-1960 VEInconjiggp w llegible will not be accepters Caned 1. Job Address: OFFICE. 769OPM WHSE. SPACE 4. Complete Fee Schedule Below. Name of Development_ AT&T/TCG Number of l k allowed Name(or name of business) AT&T/TCG Service included: items Cost Sum 41 Address 10340 SW NIMBUS AVE _ Ia. liteddentlal_per unk = City/State2iN T 1 GARD OR 97223 - 1000 sq.ft.or less 117.75 4 Each additional 500 sq.n.or portion thereof 20.25 1 Commercial 10 Residential n limited Energy - _ 60.00 - QUESTIONS?CONTACT JIM COURTNEY 880-9125 Each Manufd Home or Modulaf 2a. Contractor Installation only. Dwelling Service or Feeder s 72.75 _ 2 (Prior to permk Issuance,applkants must provide contactor license 4b.Services or Feeders Information for COT data base). Installation,alteration,or relocation Electrical Contractor CHRISTEN50N ELECTRIC INC 200 amps or Mss 1 s 64.2m. 64.2.5 2 Address_ 111 SW COLUMBI QUITE 480 201 amps to 400 amps _ S 85.50 2 City PORTLAND State OR Zip 9]�Q1-5886 401 amps to 600 amps s 128.50 - 2 801 amps to 1000 amps = 192.50 2 Phone No. 503 241-4$12 Over 1000 amps of volts s 363.75 2 Job No._63-11070 Reconnect only s 53.50 _ 2 Elec.Cont. Lice. No. 26-34G _Exp.Date 10/00 4c.Temporary Services or Fesde s OR State Cf;B Reg. No._458 _Exp.D Installation,alteration,or relocation COT Business Tax or Metro No. E D �2/00 200 amps or less v_ S 53.50 _ 2 201 amps to 400 amps s 80.25 2 Siqnature Of Supr. Elec'n 401 snips to 600 amps s 107,00 _ 2 - Over 600 amps to 1000 volts, License No. .13 -K Exp.D _10101 4d.Branch "h"above. Phone No. 241-4812 nch Circuits - New,altefation or extension per panel a)The fee for branch cir--ults 2b. For owner installations: with purchase ofservke or feeder fee. Print Owners Name Each branch circuit 6 s 5.35 32.10 2 Address b)The fee for branch circuits -- without purchase ofsoryke City State______Zip or feeder fee. Phone NO. First branch circuit s 37.50 Each additional branch circuit _ = 5.35 The installation is being made on property I own which is not 4e.Miscollanoous intended for sale, lease or rent. (Service or feeder not included) Each pump or irrigation circle s 42,75 Owner's Signature Earp,sign or outline lighting f 42.75 - ^ Signal cirrult(s)or a limited energy IL 3. Plan Review section if required):* panel,alteration or extenslon _ _ s eo.00 Minor Labels(10) 3 107.00 Please check appropriate Item and enter fee In section 5B. 4f.Each additional Inspection over _ 4 or more residential units In one structure the allowable in any of the above J _Service and feeder 225 amps or more Per Per inspection $ 50.00 _ _System over 600 volts nominal $ 50.00 m �� Classified area or structure containing special occupancy as li Plant $ 59.00-"' described in N.E.0 Chapter 5 5. Fees: So.Enlw total of above fines s _ 96.35_ Submlt 2 sets of plans with application whom any of the above apply. 5%Surcharge(.05 x total fees) 8% S7.71 Not required for temporary constructiori services. Subtotal S 10 5b.Enter 25%of line go"fir NOTICE Plan Review N rpqu1refi(Sec.3) $ PERMITS BECOME /OID IF WORK OR CONSTRUCTION AUTHORIZED Subtotal $ 104.06 IS NOT COMMENCED WITHIN 180 DAYS,OR IF CONSTRUCTION OR I ^ ____'----- WORK IS SUSPENDS Trust Account 4 D OR ABANDONED FOR A PERIOD OF 180 DAYS u AT ANY TIME AFTER WORK IS COMMENCED. Total balance Due - $ 04.06 0dsts\forms\electric.doc ELECTRICAL PERMIT- CITY OF T I G A R D _ RESTRICTED ENERGY DEVELOPMENT SERVICES PERMIT 0: ELR2000- 0289 13125 SW Hall Blvd.,Tigard,OR 97223 (503) 171 DATE ISSUED: 12/6/00 SITE ADDRESS: 10340 SW NIMBUS AVE N-D PARCEL: 1S134AD 06201 SUBDIVISION: ZONING: I-P BLOCK: LOT: JURISDICTION: TIG Prolect Description: Relocate and install temperature sensor for HVAC. A.RESIDENTIAL_ B.COMMERCIAL AUDIO&STEREO: AUDIO&STEREO: INTERCOM &PAGING: SURGLAR ALARM: BOILER: LANDSCAPEARRIGAT: GARAGE OPENER: CLOCK: MEDICAL: MVAC: DATAlTELE COMM: NURSE CALLS: VACUUM SYSTEM: FIRE ALARM: OUTDOOR LANDSC LITE:: OTHER: HVAC: X PROTECTIVE SIGNAL: INSTRUMENTATION: OTHER: TOTAL 0 OF U§J9_MS:_ 1 Owner: Contractor: DOLAN + CO LLC AMERICAN HEATING BY FLORENCE T DOLAN 1339 SW GIDEON ST 4025 SE BROOKLYN PORTLAND, OR 97202 PORTLAND,OR 97202 Phone: Phone: 2.39-4600 Reg#: LIC 00033135 ELE 26-683CLE FEES Required Inspections _!KEG By Date Amount Receipt L,7-w'Joltage Inspection PRMT CTR 12/6/00 $75.00 2720000000 _ Eleci'I Final 5PCT CTR 12/6/00 $6.00 2720000000 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 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 Q requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 throLoh OAR 952-001-0080. You may obtain copies of these rules or direct aaesoons to OU at (503) 246-11987. Iasueq by Permittee Signature Z m OWNER INSTALLATION ONLY wThe 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'NDATE:_ LICENSE NO' _.._ Call 6394175 by 7:00 P.M.for an Inspection needed the next business day Electrical Permit Application, Date received: Permit no.: City of Tigard Pro)ect/appl.no.: Expire date: CiryofTiRard Address: 13125 SW Hall Blvd,Tigard,OR 97223 Date issued: By: Rteeiptno.: Phone: (503) 6394171 — Fax: (503)598-1960 Case rite no.: Payment type: Land use approval: U 1 &2 family dwelling or accessoryf' ._ourtnerciauindustrial O Multi-family O Tenant improvemen t New construction Addilion/alictalion/irplacement ❑Other: _ ❑partial Job address: Ay _S ,. �s Bldg.no.: I Suite no.: //�Tax mepltax IM/account no.: Lot: Block: Subdivision: Project name: A". �, o+t Description and location of work on premises: � Estimated datee of completion/ins ction: Man Job no: Face INnt Business name: ! j DdM . ea Total no.Mar - ht�hCc« e•a NewrtaWa.atW- Aadress: vf S E G.�.. single or tateW ataily per City: P jl a a O Q State:QQ Zip; 7�; dwrltbi WOL1nehsdraatbK*Od011Or v r .• 4 Service lrwh*4k Phone:,rpt?-; 1-44ou Fax: ,A3y-7x38 r-mail: 1000 s rq t.or less 4 CCB no.: _ - Each additional 500 .1;-•.r portion thereof 33rdElec.bus.tic.no: 4�RE1' Limited energy,residentiai _ 2� City/metro lic,no.: Limited energy,non-residential w 2 Q U Each manufactured home o,modular dwelling Signature of supervising el trician red) Dat — Service and/or feeder 2 Sup.elect.name(print): ,tje V VL44 License no: 4O� Serrlees or feeders.-ha tatlalloa, alteration or relocatlow 200 amps or less 2 Name(print): 201 amps to 400 amps �— 2 401 amps to 600 amps 2 City: Mailing address: 60t amps to 1000 amps —` 2 State: ZIP: Over pts 1 a or vote _ 2 Phone: I'ax: - E mail: _ 11,!connectonly ) Owner installation:The installation:s being made on property I own Temporary ser-rim orfeeders- which is not intended for sale,lease,rent,or exchange according to Installation,nlf"Mim,orreiomtlon: ORS 447,455,479,670,701. 200 amps or less 2 2l!I gimps to 400 amps 2-- Owner's sigpaturc: Date: _ 40itoto 600 ams 2 Ilranrh rlrcults-nen,alteration, or extension per panel: Name:_ _ A. Fee for branch circuits with purchase of Address: _ _ service or feeder fee,each branch circuit 2 O. City: _ State: ZIP: B. Fees for branch circuits without purchase a of service or feeder fee,first bianch circuit: 2 Phone: Fax: E-mail: Each additional branch circuit: U) =11:11111A HINK l-- Mise.(Service or feeder not Included): 7cQSystem e over 225 amps-commercial O Health-care facility Each pump or irrigation circle 2 e over 320 amps-rating of I&2 U Hazardous location Each sign or outline lightim 2 to dwellings U Building over 10,000 square feet four or Signal circuit(s)or a limited energy panel. ' S 7� over 600 volts nominal more residential units in one structure alteration,or extension* 2 0 Building over three stories O Feeders.400 amps or rte rr •� don: W U Occupant load over 99 persons U Manufactured strvctures or RV pas+; Faeh additional inspection over the allovrabk b tiny t of the abor . ❑Fgreas/lighdngplan ❑Other Perina tion Submit_sets of plans with any of the above. Invesd ation feeThe above are not applicable to temporary comtndloo sertke. Other ' Not all juristilctions accept credit carts,piece call jurisdiction rex magi infamaricn. Notice:This permit application Permit fee.........w O Visa O Mastercard expires if a permit is not obtained Plan review rat %) $ 4/A credit gird number. �� within 180 days after it has been State surcharge(896)....S (0.00 _ Expires accepted as complete. TVICAL L $....................... ssro ear a der d can a card --- s Cardholder signature Amount 4in�61S(tJ001COM) Electrical Permit Fees: Limited Energy Fees: Complete Fee Schedule Eielow: TYPE OF WORK INVOLVED-RESIDENTIAL ONLY p Restricted Energy Fee...................................................... $75.00 Number of Inspections era permit allowtd (FOR ALL SYSTEMS) Service included: Items "ost Total Check Type of Work Involved: Residential-per unit 1000 sq.R.or less $145.15 4 Audio and Stereo Systems Each additional SOC sq.ft or portion thereof _ $33 40 1 Burglar Alarm Limited Fnergy $7500 Each Manufd Home or Modular Garage Door Opener' Dwelling Service or Feeder $90.9c_ 2 Services or Feeders (!"rfleating,Ventilation and Air Conditioning System" Installation,alteration,or relocation 200 amps or loss $80-30 2 �� Vacuum Systems' 201 amps to 400 amps $106.85--_ 2 401 amps to 600 amps $180.60 2 601 or.1ps to 1000 amps 3240.60--- 2 EJ Over WOO amps or volts $454.65 2 Reconnect only $116.85 2 Temporary Servirgs or Feeder TYPE OF WORK INVOLVED-COMMERCIAL ONLY Installation,alteration,or relocation Fee for each system......................................................... $75.00 200 amps or less _ $66.85 2 (SEE OAR 918-260-260) 201 amps to 400 amps $100.30 2 401 amps to 600:amps $133.75 2 Checl.Typo of Work Involved: Over 600 amps to 1000 volts, see"b"above. Ll Audio and Stev,a Systems Branch Circuits New,alteration or extension per panel Boller Controls a)The fee for branch circuits with purchase rf service or E-1 Clock Systems (cedar fev. Each branch circuit $6.65 2 Data Telecommunication Installation b)The fee for branch circuits without purchase of service Fire Alarm installation or feeder fee. FirsEach addl nalcirbranch _ _ $46.85 Each addlllanal branch circuit � $6.65 IiVA(. Miscellaneous U Instrumentation (Ser*,,@ or feeder not Included) Each pump or Irrigation circle $53.40 _ Fj Each sign or outline lighting _ $53.40 Intercom and Paging SysterTts ^ignai Jrruit(s)or a limited onrgy (''� panel,arterIJ tion or extension $75.00 _ Landscape Irrigation Control' Minor labels(10) $125.00 _ Medical Each additional Inspection over ❑ the allowable In any of the above Per Inspection $62.50 ❑ Nurse Calls Per hour $62.50 _ d. I In Plant _ _ $73.75 _ Outdoor Landscape Lighting' Fees: [] Protective Signaling d0 Enter total of above fees $ _ Ukher 8%State Surcharge $ _ Number of Systems ' m 25%Plan Review Fee ' No licenses are required. Licenses are required for all other instatlattons See"Plan Review'section on $ LU front of application. __ Fees' Total Balance nue $ Enter total of above fees $ 7& d _O LI Trust Account#--- 8.4 State Surcharge $ GLOO _ - Total Balance Due $_ _— i:\dsts\forrns\elc-fees.doc 10/09/00 CITY O F T I G A R D ELECTRICAL PERMrf PERMIT#: ELC2000.00694 DEVELOPMENT SERVICES DA'rE ISSUED: 12/18/00 13125 SW Hall Blvd..Tlpard.OR 97223 (503)639-4171 PARCEL: 1S134AD-06201 SITE ADDRESS: 10340 SA'NIMBUS AVE N-D SUBDIVISION: ZONING: I-P 131-OCK: LOT : JURISDICTION: TIG Project De,;crIvtion: Tenant Improvement-Node Expansion RESIDENTIAL UNIT TEMP SRVC/FEEDIERS MISCELLANEOUS 1000 SF OR LESS: 0 - 200 amp: PUMP/IRRIGATION: EACH ADD'L 500SF: 201 - 400 amp: SIGN/OUT LINE LTG: LIMITED ENERGY: 401 - 600 amp: SIGNAUPANEL: MANF HMI SVC/FDR: 601+amps -1000 volts: MINOR LABEL (10): _ SERVICF/FEEDER BRANCH CIRCUITS — _ _ ADD'L INSPECTIONS 0 - 200 amp: 2 W/SERVICE OR FEEDER: 10 PER INSPECTION: 201 - 400 amp: 1st W/O SRVC OR FDR: PER HOUR: 401 - 600 amp: EA ADD'L BRNCH CIRC: IN PLANT: 601 - 1000 amp: _ _PLAN REVIEW_SECTION 1000+amp/volt: >=4 RES UNITS: >600 VOLT NOMINAL.: Reconnd;.t only: SVC/FDR>=225 AMPS: CLASS AREA/SPEC OCC: Owner: Contractor: ROBINSON, CONSTANCE A CHRISTENSON ELECTRIC INC ROBINSON, LYNN 111 SW COLUMBIA BY INSIGNIA COMMERCIAL GROUP STE 480 BEAVERTON, OR 97008 PORTLAND,OR 97201 Phone: Phone: 241-4812 Reg#: LIC 000458 SUP 3289S Pl_M 2468S ELE 26-34C FEES Required Ins ections Type By Date Amount Receipt Wall Cover PRMT CTR 12/18/00 $227.10 2720000000( Elect'I Final SPCT CTR 12/18/00 $18.17 2.720000000( __— Total $245.27 This Permit is issued qub)ect to the regulations contained in the Tigard Municipal Code,State of OR. Specialty Codes and all other applicable laws. At work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance,or K 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 CAR 952-001-0010 through OAR 952-001-0080. You may obtain copies of these rules or direct questions to OUNC at(503) 246-1987. G PERMITTEE'S SIGNATURE � � �J� ISSUED OWNER INSTALLATION ONLY M_ 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 639-4175 by 7:00pm for an Inspection the next business day Electrical Permit Application ECE, IrMreoeivW: Petrnittto.: ?o ��p City Of Tigard R ProjeWappl.no.: Expire date: - City oJ97aord Address: 13125 SW Hall Blvd,Tigard `�'t�V - _.. -- -- Phone: (303)639-4171 Q,��,` a Dateinued: By: Recoiptao.: Fax: (503)598-1960 V ii Case Land useapproval: O 1 tit Z fermi!y dwelling or "O CommercialrndusHal ti O Multi-family Oq 'tM " laeceascxy 0 New construction.. ,.. t4.e . r.,0 Addition/alterstion/replacement L1 Other. O partial .>r' PIC , Job address: 10340 SW NIMBUS "' t_a Bldg.aro.: N.- Suite no.: �•s Tax m lothco0trntita''�Y# Lot: Block: Project name: _ .. •x.. ...errors t�� j 1 A T & T Description and location of work on premises: TEN&N, IMPROV,E"rNON Estimated date of coda Ietion/ins tion: QUESTIONS "JN ,.. Job sad: 61 16928 Mrer Business name:CHR I STEN SON ELECTRIC, INC. 00 T� .� Address:111 SW COLlj BIA,SUITE 480 t+rrrr naiLhodolut City: PORT State: ZIP: MW �beb" 4asha/tiR Phone503 2414812 Fax503241051 E-mail: I�sq.�a� 4 CCB no.- Y:E458 bus.(ic.no: 26-34C E,achadditional 300 .R or portion thereof Limited army,residential 2 City/metroo.: 5 46 Untleaderter ,non-residential EvAadit off 4z 4 Each rronutsctured lwme or modular dwelling Si nal of�isjn c iced Dale Service and/or feeder _ Sup.elem name(print): BRIAN CHRISTOPHER ircenseno: 87 �^�e *Mkn-Isatallatioa,- 160. '0 alieratiea er relocation: 200 r.r,:less 2 2 Nun nt): E S I GN I A 201 r to 400 amps Mailing addnm: — 401 ro 600 _ 2 601 s to 1000 amps I City: State: ZIP: Over sono amps or volts Phone: Fax: E-mail: Reconnect onlyt Owner installadon:The inft lotion is being made on property I own T t� which is not intended for sale,lease,rent.or exchange according to OORS447,455,479,670,701. 200 amps nr leu 2 201 am a v,400 anp Owner's signature: Date: 401 to 600 n araaelr clrralta-new,aMerMlea, eraxlead l psreF. Name:BRUCE RUDMAN, 41A & Fee for branch circuits with purchase of Address: 11301 OI,YMIAC BLVD SUITE. 541 service orfeeder fee,each bkvnchcircuit 10 3.65 66.10 2 City: LA State: CA 27F 90064 B. Feetorbranchcircuits witlroutpurchre _ — of service or feeder fee,first branch circuit: 2 Phone:3 l 0 31 3 4.�(� Fax: E-mail: Prch additional branch circuit WNUMire.($errlee or feeder not Meladetl): O Service over 225 amps-eommet ial O Health-cue feciUty Each pump or irrigation circle 2 O Service over 320 amps-rating of!dt2 O Hazardous locadon Each alp or outline lighting 2 familydwellings O Building over 10,000 square feet four or Signal-cirruit(s)or a limited energy pr-lel, Q System over 600 volts nominal more residential onin in one structure alteration,or extension` 2 O Building over three stories O Fevers,400 amps or more *Description: "" O Occt pant load over 99 persona O Manufactured structures or RV park additional knpe"Itm ever the allownwe b any of the abora: [l Egrxa/Iightingpten O Other — rins 'onSabteN sets of porn with any of the above. vestigation fee _ The above are not applicable to tempowy comftw1loa serflee, other E—El Not an jurisdictions weep credit earth,please can jurisdicdm fx mere lofarrnatlan Notice:This permit application Permit fee.....................$ 227.10 O Visa O Mastercard expires if a permit is not obtained Plan review(at ._ %) $ _ Credif cant number: __ ' / within ISO days after it has been State surcharge(896)....5 Ate•17 —�- --- accepted as complete. TOTAL. ....................... $ 245.27 h.m:of r ere cam-- - S — C Amor 440-615(6900(Mbo OCT.2000 +FEES ON BACK OF FORM Electrical Permit Fees: Limited Energy Fees: i.. . .a... t.Ik41Y��■11�'gK 'ti•.N:��Y A -w ,� . ...-♦a .. �...• \ TYP9 OF WORK INVOLVED-RESIDENTIAL ONLY Complete fte Schedule Below. RaeWkbd Energy Foe..........»,................... ._... . Number of M» ell s ow snit allowed PW ALI.SYSTEMS) Y-- Service Included: Items Cost Total Cheat/ of Wok Invot . .�,e, tai; .•u:l'1 Realdentlal-per unit ?Ul ►{If 1000 sq.R air lass $14515 — 4 WW SW*0 Sy9WM Each additional 500 an it or :1w 1''.r;r. -r,J:tv Nnaj portion thereof .. .. $33.40,,,�rr...,,,,,�. ., -•t 6ulaat AIMni li1)Mad.!-the :T .�. . . , a.r ifs r k r....'}uw, fpwlM 1 t Each Menurd Homs or Modular- Garage Door()pe « ' DwsuirtgServlcearFeidsr C �tif N060 '.:� Z I��•:; _..rt j urtifl�r%IrVlt�nal S . :J setvM�e a A. Feeders b, 1ha9 O 'tsrW U Heating.Vanilla and Air C onditloniij 10fi11' Bon' rt $W.30 ' ";�or �s�bt a I 2. ❑ Vacuum Syst 201 amps b 100 imps _ _ $108.06 h :1:ue 2 401 alnp':,+800 amps $16060 2 Other — `M4 it to 1000 Arttpa ��$240.60 .. 2 ❑over ilr* s rx wM - $454.95 2 o�tw -,Fs a i 009 d �� ,�«. 2 'TYPE OF WO INVOLVER -COMMERCIAL ONLY lic"Temporary bporar.aReratton.or. tion Fee for each eye ... ..............................»...:i............... x$.60 200 on"or less _ $86.85 2 (SEE OAR 91 280-280) 201 amps to 400 amps _-- $100.30 2 Check Type Work Involved: 401 amps to 6amps 00 a 5133.75 2 Over 600 amps to 1000 volts. ❑ udlo and Stereo Systems ace"b"above. Branch Circarths Boiler Controls New,aPoMatlan"extension per panel a)The fee for branch clnxrRs Clock Systems with purchase of servke a fooder fee. Each branch cirpnp —_ $6.65 2 ❑ Data TeIWX)mrnumicatkm Installation b)ire tee for branch circuits without purchase of servke ❑ Fire Alarm InstallatMn or Ander he. First branch circult $46.85 ❑ HVAC Each additional branch circuit $6.6.5 Miscellaneous Instrumentation (Sw%5ce or feeder not included) Each pump or kripation circle $53.40 Intercom and Paging Systems Each sign or outline Illi ting $53.40 Signet ckcull(s)or a 11mrad energy ndscape Irrigation Control' panel,altenadon or extension $75.00 Minor Labels(10) ZS1125.00M I Each addlfional Inspection over the allowable in any of the above Nurse Ca Per Inspection Per hour —_— ❑ In Plant $73.75 In l a pe Lighting" Fees: ❑ Pmtecttve Signal Ent-or total of above Oees $ ❑ Other__-- ----- -- 8%stela surcharge $ _ _Nu r of Systems 25%Plan Review F s • No Ilcensas or*mritAred t kxnses a nWred for all ot"r Instsllntlons See Tlan R SeCtiorn on S , front of apps Fees: — --� ---- Total Balance Due $ _ Enter total of above fees $ �_ ❑ Trust Account 0_ _� 8%Stab Surcharge -- Total Balance Due i\dst9\(-m%\cic icf5.(toc INMAN) +1-OVER FOR PERMIT FORM �� O� T��RD _ BUILDING PERMIT PERMIT 0-00496 DEVELOPMENT SERVICES DATE ISSUED:ED: 112/21 00 13125 SW Hall Blvd.,Tktard,OR 97223 (503)639-4171 PARCEL: 1 S134AD-06201 SITE ADDRESS: 10340 SW NIMBUS AVE_N-D SUBDIVISION: ZONING: I-P BLOCK: LOT: JURISDICTION: TIG REISSUE: FLOOR AREAS _ EXTERIOR WALL CONSTRUCTION CLASS OF WORK: FPS FIRST: sf N: S: E: W: TYPE OF USE: COM SECOND: sf PROJECT OPENINGS? TYPE OF CONST: 3N sf N: S: E: W: OCCUPANCY GRP: B TOTAL AREA: C.00 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: psi LEFT: ft RGHT: ft FIR SPKL: Y SMOK DET: DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP ACC: BE~DRMS: BATHS: IMP SURFACE: PRO CORR: PARKING: VALUE: $ 2,597.00 Remarks: Tenant Improvement- Fire Sprinkler I Owner: Contractor: ROBINSON, CONSTANCE A + DELTA FIRE INC ROBINSON, LYNN i BELL, KAY ET 14795 SW 72ND AVE BY INSIGNIA COMMERCIAL GROUP PORTLAND,OR 97224 BFXeRTON, OR 97008 Phone: 620-4020 Reg#: uc 64174 FEES _ REQUIRED INSPECTIONS Type By Date Amount Recp!ot Sprinkler Rough-In PLCK CTR 12/11/00 $28.84 27200000000 Sprinkler Final PRMT CTR 12/21100 $72.10 27200000000 5PCT CTR 12/21100 $5.77 27200000000 Total $106.71 -I 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 wo-k will be done in accordance with apprcved plans. This permit will exaire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days. Al TFNTION: Oregon law 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 952-001-1987. You may obtain a copy of these rules or direct questions to OUNC by calling (503) 246-1987. Permitee i Signature: Issu By: Call 639-4175 by 7 p.m.for an Inspection the next business day Y7lLr �ip01L� /Z,f f d! /V Building Permit Application - — Date received:IL City :,f Tigard E'mjecUappl.no: Expire date: Cirya(Tigard Address: 13125 SW Hall Blvd,Tigard,OR 972:3 — Phone: (503) 6394171 Date issued: By: Receipt no.: Fax: (503) 598-1960 Case file no.: Payment type: Land use approval: — i&2 family:Simple Complex: =E1�A4Ajkon/:a1tei welling or accessory U1<oot I/industrial M It' family C!New construction U Demolition tion/replacement ffs tenant improvement ty0ire sPasl&/akm 0 Other: - Bldg.no.: Suite no.: Job address: / Lot: I Block: Subdivision: Tax map/tax lot/account no.: Project name: Description and location of work on premises/special conditions: IMMMEN Name: _ Mailing Address: I&2 Grotty dwellltars City: I State: ZIP: Valuation of work........................................ $ Phone: Fh)v. E-mail: No.of bedtooma/baths................................. Owner's representative: Total number of floors................................. aPhone: Fax: E-mail: New dwelling area(sq.ft.) .......................... Garage/carport area(sq.ft.)......................... Covered porch area(sq.ft.) Name: r ......................... Mailing address: Deck area(sq.ft.)........................................ _ City: State: ZIP: Outer structure area( .ft.)......................... Phone: p- p Fax: (QZp-p E-mail: CwnrnerelafVleduatrlrrfUawkl-tawilys Valuation of work........................................ $ .yq Existing bldg.area'sq.ft.) .......................... Business name: - I� F/' New bldg.area(sq.ft.) Address: -r Number of stories City: Staten ZIP: Type of construction..................................... — - Phone: 0 D Fax:(p Z0- E-mail: Occupancy group(s): Existing: CCB no.: New: City/metro lic.no.: Notice:All contractors and subcontractors are required to be licensed with the Oregon Corstrnction Contractors Board under Name: provisions of ORS 701 and may be required to be licensed in the Address: jurisdiction where work is being performed.If the applicant is City: State: ZIIP: exempt from licensing,the following rex in applies: Contact person: Pian no.: _ - Phone: a Fax:ID 9110SX E-mail: Name: Contact person: Fees due upon application ........................... $ Address: Date received: City: State: ZIP: Amount received......................................... $ Phone: Fax: I E-mail: Please refer to fee schedule. I hereby certify I have read and examined tlsis application and the Na at Judaiiedom aeega cndi cw&,piesse coil imsdicnion ror mac Infomutim. attached checklist.All pr)visions of law d ordinances governing this ❑visa o MuteiCard work will be comp' with,whether ifteti rein or not. cry'card nnin w: Expires Authorized sign '< Date: �� Narm d ason credit card $ Print name: - c • Anmot Notice:This permit application expires if a permit is not obtained within 190 days after it has been accepted as complete. 440.1613(6x COM; 'Fire Protection Permit Check List f - -- - - "— A. ❑ New Addition_ Alteration Repair B.) Modification to sprinkler heads only: Describe work to 1. 1-10 heads: No plan review reguyed. be done: k 11+ heads: Plan review requir Number of sprinkler heads:_ .> _ Additional escription of work _ Tyne of System m lete A or B as a "_.icable A. S rinklor D ❑ -- Stan es Additional Hazard G _ C�� Information Densit •�� — DBsian Area _ K. Factor 4 7, — - �- Sprinkler Project V_ tion: — B. Fire Alarm -- -- Submittal shall Battery Calcula _ns Yes ❑ _—� Include: Individual Co onent es ❑ ^ _ Cut Sheets ` - Fire Alarm P Ject Valuation: $ Project Valuatio Subtotal ISA BY Permlt fee based on v uation see chart): $ % State Surchar e: :- 7Plan view 40% of Permit: $ �- TOTAL: $ - a rn r J_ M 5 W ..J I:%dstslforms\FPScheckllst.doc 10/04/00 CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-1-19tu Invection Line: 639-4175 Business Line: 939-4171 BUP _ Date Requested J I ,?.!) AM PM BLD — Location /0 3 410 /'h4 3 _ _ w ,ten �S � N Suite � MEC Contact Person Ph3Sit PLM Contractor_ _ Ph SWR _ BUILDING Tenant/Owner _ EI_G �ils1J Oo47 Retaining Wall ELR Footing Access: Foundation FPS Ftg Drain SGN Crawl Drain Inspection Notes: ----- S'ab _ SR _ Post&Beam Ext Sheath/Shear Int Sheath/Shear Framing Insulation Drywall Nailing Firewall Fire Sprinkler —_— Fire Alarm Susp'd Ceiling — -- Roof /,,�� // � � Misc: — Final PASS PART FAIL PLUMBING Post&Beam Under Slab Top Out Water Servlce _ Sanitary Sewer Rain Drains _ Final PASS PART FAIL MECHANICAL Post&Beam — —~-- Rough In Gas Line - -- — Smoke Dampers Final PASS PART FAIL ELECTRICAL O. Servire ceRough In 4/40 rr,,;iA N UG/Slab Low Voltage — — - Fire A FD PASS RT FAIL _ — - 5 W J Backfill/Grading ----- - -- — -- —_. Sanitary Sewer Storm Drain ( ]Reinspection fee of$ required before next Inspe6on. Pi,, nt r.ity Hn't 13125 SW Hall Blvd Catch Basin Fire Supply Line [ ]Please call for reinspection RE _ ( ]Unable to inspect no access ADA Approach/Sidewalk Date -06 —In�spector.� Ext Other �.�.c— -- Final PASS PART FAIL DO NOT REMOVE this Inspokztlon word from the job oto. CITY OF TIGARD CERTIFICATE OF OCCUPANCY DEVELOPMENT SERVICES PERMIT#: BUP2000-0012.1 13125 SW Hall Civd.,Tigard,OR 97223 (503)639-4171 DATE ISSUED: 12/26/00 PARCEL: 1 S134AD-06201 ZONING: I-P JURISDICTION: TIG SITE ADDRESS: 10340 SW NIMBUS AVE N-D SUBDIVISION: BLOCK: LOT: CLASS OF WORK: ALT TYPE OF USE: COM TYPE OF CONSTR: 5-1HR OCCUPANCY GRIP: B OCCUPANCY LOAD: TENANT NAME: T & T REMARKS: Interior tenant improvement for final phase for expansion of equipment(AT&T Node) Owner: ROBINSON, CONST ANCE A + ROBINSON, LYNN + BELL, KAY ET BY INSIGNIA COMMERCIAL GROUP B%Xg§.TO�1R§1g Gnntractor: 220-0895 HOWARD S WRIGHT CONSTRUCTION 425 NW 10TH AVENUE#200 PORTLAND, OR 97209 Phone: 220-0895 Reg#: LIC 89229 PRET 00004302 LL' H v� t7 !; This Certificate issued 7nz/O1 grants occupancy of the above referenced building or portion thereof and confirms that the building has been inspected for Fd pliance with the State of Oregon Specialty C es fortgroup, occupancy,L7 er which the referenced permit w e _ -- ----...-.._.. POST IN CONSPICUOUS PLACE