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10450 SW NIMBUS AVENUE BLDG R STE B-2 RM 3AB'SfIGWIIN MS OSVOI W� rA J W J � 10450 SW NIMBUS AVE RB CITY OF TIGARD 24-How, BUILDING ® Inspectlon One: (503)63E-4175 O&OMMSPT INSPECTION DIVISION Business Line: '(503)439.4171 Rec Jved Date Requested_ Z AM PM BUP — Location UItSL Sufte — MEC Contact Person }'1 Q'� —_ Ph( _ ) �ZG PLM Contractor Ph( ) __ SWR BUILDING Tenant/Owner A-) _ ELC Footing ELC Foundation cc"$ C Ftg Drain 1�. ELR Crawl Drain Slab Inspection Notes: err Post&Beam — Shear Anchors Ext Sheath/Shear ' Int Sheath/Shear Framing Insulation Drywall Nailing -- Firewall Fire Sprinkler c� --p— Fire Alarm Susp d Ceiling Roof Other: Final PASS PART FAIL { PLUMBING Post&Beam Under Slab �-►S� /� Rough � _ .� _G � Se Water Service Sanitary Sewer Rain Drains — — Catch Basin./Manhole Storm Drain - — Shower Pan Other: Final dp PASS PART FAIL MECHANICAL Post&Beam Rough-In IL Gas Line R Smoke Dampers — -- H ff4s ART FAIL -- '— GLECTACAL _ Rough-In W UG/Slab — Low Voltage Fire Alarm Final Reinspection fee of$ required before next Inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL SITE _ Please call for reinspection RE: — Unable Inspsot—ra looses ADA 12t Line DA1/t D� / ✓ I�MNaf Y [�/� Approach/Sidewalk Other: Final DO NOT REMOVE 11111111111111111MUM N"W6,MM dN 10 Oft- PASS PART FAIL CITY OF TIGARD 24-Hour BUILDING is Inspection Line: (503)639.4175 MST INSPECTION DIVISION Business Llne: (503)639-4171 6UP BUP --_ Received _ Date Requested `� —AM—PM— BUP Location 1 _' --- Suite_ MEC Contact Person Ph( —) Z(a I q PLM Contractor Ph(—. ) __ . . 8WR - --- BUILDING Tenant/Owner ELC _ Footing ELC Fol+ndation Access: Ftg Drain ELR Crawl-.rain Slab Inspectio. Notes: �� ' SIT — Post&Beam �'`� Shear Anchorq Ext Sheath/Shear Int Sheath/Shear Framing --- - - Insulation Drywall llaniling - - -- Firewall Fire Sprinkler - -' Fire Alarm Susp'd Ceiling �- Roof Other:_ Final PASS PART FAIL PLUMBING �-- -- Post&Beam Under SI-4, -- - Rough-In Water SerJoP -- Sanitary Sewer Rain Drains - "- Catch Basin/Manhole Storm Drain Shower Pan Ot r. - FAIL _ EC f1C — _ Post 6 Beam Rough-In --- - Gas Line IL Smoke Dampers {� Final F" PASS PART FAIL N ELECTRICAL — Service R Rough-In _ UG/Slab W Low Voltage -1 Fire Alarm Final Reinspection fee of$_- required bebre next Inepsction. Pay at City HaM,131 d5 SW Hd MW. PASS PART FAIL SITE Please call for reinspection RE:_ E]Unobb to inepact--no soon Fire Supply Line ADA � / f1•IRR-01 Approech/Sidewalk -f� OFinal nal ---- DO N EM ROW no IMWOO1111IB11 FOONd f6t0 0006 Oft PASS PART FAIL CITY OF TIGARD 24-hour BUILDING ® Inspection Line: (603)639-4176 INSPECTION DIVISION Business One: (603)639-4171 MST --- Received Date Requested__1— [_�_AM PM BUP Location _�) < <�_ f�yy; ��_ Sufts "" MEC Contact Person — Ph(—) Cf' 7-- f!1 3 PLM Contractor _ _ —_ Ph(_ ) —r SWR BUILDING r— Tenant/Owner — ELC Footing Foundation ELC Ftg Drain' Crawl Drain Slab IrspWion Notes: SIT F A&Beam — ..ear Anchors _ EA Sheath/Shear Int Sheath/Shear Framing Insulation -— Drywall Nailing Firewall Fire Sprinkler -- - Fire Alarm Susp'd Ceiling - Roof Other: --- Final ------- PASR PART FAIL PLUMBIN4 _ Post A Beam— Under Slab Rough-in Water Service Sanitary Sewer Rain Drains Catch Basin/Manhole Storm Drain Shower Pan Other: Final PASS PART FAIL MECHANICAL Post&Beam -- Rough-In _ Gas Line IL Smoke Dampers Final — - PASS PART ELECTRICAL ` Service m Rough-In UG/Slab 3 G WLow voltage E L (l;k,0 Q 4- a D 3 (► q 1)P�P R�� I��1� Fire Alarm _ it A- PART FAIL Relnspec ion fee of S required bslbre n@W ftpection Pay at Clly Hall. 13128 8W Hell BW. S Please call for reinspection RE: Unable to -no aooNs Fire Supply Line ADA I � _ Approach/Sidewalk Daft__j_L_ -t- Other: r Final — DO NOT RI1101M! ft 111@'AOIIM hON� B11r. PASS PART FAIL . ' ' �� ELECTRiCALPEkMIT- — CITY OF T RESTRICTED ENERGY DEVELOPMENT SERVICES PERMIT*: ELR2004-00369 13925 SW Hall Blvd..Tigard,OR 97223 (503)639-4171 DATE ISSUED: 12/2/2004 PARCEL: 1 S 134AA-02.100 SITE ADDRESS: 10450 SW NIMBUS AVE R-B SUBDIVISION: ZONING: I-P BLOCK: LOT: JURISDICTION: TIG Prolect Description: Installation of limited energy for data telecommunications. Job No. 44618 A.RESIDENTIAL B.COMMERCIAL _— AUDIO&STEREO: AUDIO&STEREO: INTERCOM 8 PAGING: BURGLAR ALARM: BOILER: LANDSCAPE/IRRIGAT: GARAGE OPENER: CLOCK: MEDICAL: HVAC: DATA/TELE COMM: X NURSE CALLS: VACUUM SYSTEM: FIRE ALARM: OUTDOOR LANDSC LITE: OTHER: HVAC: PROTECTIVE SIGNAL: INSTRUMENTATION: OTHER: TOTAL N QF SYSTEMS: 1 Owner: Contractor: ROBINSON, CONSTANCE A + CACHE VALLEY ELEI:TFlIC COMPANY ROBINSON, LYNN + BELL, KAY ET 919 NORTH 1000 WEST BY INSIGNIA COMMERCIAL GROUP LOGAN, UT 84321 BEAVERTON, OR 97008 Phone: Phone: 503-431-6600 Reg 0: 1-503-62440M2 E14135-72154M 'SCLE FEES Required Inspections _ Description Date Amount Low Voltage Inspection [ELPRMT] ELR Permit 12/2/2004 $75.00 Elect'I Final [TAXI 9%State Surcharl 12/2/2004 $6.00 Total $81.00 This Permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable laws. All work will be done in accordance with approved 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: on law requires 4. you to f rubs adopted by the Oregon Utility Notification Center. Those rules are set foT1b trt" A 2 01-0010 R throu OAR 952-0p�0100 You may ohtain copies of these rules or direct questio� UN Permittee Signa e Issue .dy ' _ OWNER INSTALLATION The Installation Is being made on property I awn which Is not Intended for sale, lease,or rent. OWNER'S SIGNATURE: _ DA"i E: CONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR. ELFC'N _ DATE: _ LICENSE NO: Call 639-4175 by 7:00 P.M.for an Inspection needed the next business day Electrical Permit Amplicatiea City of Tigard Prmit No:e �Gwn 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review Phone: 503.639.4171 Fax: 503.598.1960 pa&dBy; ar Permit: Inspection Line: 503.639.4175 Date ReadylBy: uric ■Bae hp!far I Internet: www.ci.ligard.or.us NotiftedlMa hW- BaplstasetNal lafaematiaa J JZ New construction 0 Addition/alteration/replacement Please check all that apply: El Demolition Other: ❑Serves over 225 amps,comm'1 []Hazardous location []Service over 320 amps-rating ❑Buildng over 10,000 sq.ft., of 1-and 2-family dwellings 4 or more new residential [] I-and 2-family dwelling 0CommKdjJj4n&MW E3AcWmay bullft ❑System over 600 vc is nominal units in one structure []Multi-family Q MAMW builder 13 Other: []Building over three stories ❑Feeders,400 amps or more ❑Occupant load over 99 persona ❑Manufactured structures or ❑Egress/lighting plan RV pad Job no.: Job site address: C []health-care facility []Other: � ae Submit.1 sets of plans with any of the above. City/State/ZIP: ?Or-U afld O FQ ^1 `7'7'223 The above are not applicable to temporary construction service. Suite/bldg./apt.no.: Project name: rf r,0 ul Drav�tr Qty. FOLTOWCross street/directions to job site: New roddeetkddogle-or mull-famih dwelling unlL Includes attached prate. _ 1,000 sq.R.or less 143.15 4 Subdivision: Lot no.: Fa.add'1500 sq.R.or portion 33.40 1 Limited energy,residential 75.00 2 Tax map/parcel no.: Limited energy.non-residential 75.00 2 Each manufactured or modular `. dwelling,service;old/or feeder 90.90 2 Se.vloa or feeders Installation,alteration,and/or retocstlon 200 amps or less 80.30 _ 2 i apr i 201 iurE to^00 amps 106.85 2 401 amps to 600 160.60 2 Name: _ 601 amps to 1,000 amps 240.60 2 Address: Over 1,000 amps or volts 454.65 _ 2 Reconnect only 66.85 ? City/State/7,113: _ _ Temporary services or feeders InstsUstion,alteratlnn,and/r►r Phone:( ) Fax:( ) relocadoo i 200 w M or less 66.83 1 Owner Installation:This installation is being made or,property that I own which is not 201 amps to 400 amps 100.30 2 intended for sale,lease,rent,or exchange,according to OIC S 447,449,670,and 701. 401 amps to 600 amps 133.75 2 Owner signature: Date:_ Branch eircults-new,alteration,or elrtennlon,per panel A.Fee for branch circuits with service or feeder fee,each 6.63 2 Business name: branch circuit B.Pse for branch circuits Contact name: without service or feeder fee, 46.85 7 Address: each twanch circuit -� Each add'I branch circuit 6.65 2 "ity/StatelzlP: Mlacellaneoau(servke or feeder not Included) PUTETirri anion cirole 73.40 2 Phone:( ) Fax::( ) _ Sign or outline lighting _ 53.40 2 E-mail: Sic ni citruit(s)or limited- energypanel,alteration,oro0 extensiou'- be: Page 2 �� 2 Business name: a 11p_ ICL Address: C1.315 &0J�AEacb Wditionrai Inspeetlon over al lowabie in any of the above 1 Per inspection _ 62.50 City/State/ZIP: QQv-er`l c)n CR gricog Investigation per hour(I hr min) — 62.50 uIndustrial plant per hour 73.75 J Phone:(503) �+3 �_(D Fax:(SOS)to2 44- `y 3(D CCB Lic.: a'ar� Electrical Lic.: ��gj ti, P`v Lic,�- SulxoW Suprv.Electrician signature,required: Plan review(25%of permit fee) r v State surcharge(11%of permit fee) Print name: o+J1 _(p -jC-L sr•p�c �j' Date: �+ TOTAL.PERMIT REE Authorized signature: Mh Tbla aauaaa r a pee>sM Y sat abfaherl t•Itela In days after N has bas Il Print name: rn Date: • Feem ' rrbthodology set by Tri-Cotmty Building Indmtry 3ervioe Bond ••Number of impec tk m per permit allm d. i:%Pullding4le miu\EU-.PamitApp.doc 12M 1 4164atm10 W70MAM 71//04 CITY OF TIG ARDBUILDING PERMIT PERMIT#: BUP2004-00565 DEVELOPMENT SERVICES DATE ISSUED: 12/3/2004 13125 SW Hall Blvd.,Tigard,OR 97223 (503)639-4171 PARCEL: 1S134AA-02100 SITE ADDRESS: 10450 SW NIMBUS AVE R-B 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: UNK sf N: S: E: W: OCCUPANCY GRP: TOTAL AREA: 0 sf ROOF CONST: FIRE RET? OCCUPANCY LOAD: BASEMENT: sf AREA SEP. RATED: STOR: HT: ft GARAGE: sf OCCU SEP. RATED: BSMT?: MEZZ?: REQD SETBACKS REQUIRED FLOOR LOAD: psf LEFT: ft RGHT: ft FIR SPKL: SMOK DET: DWELLING UNITS: FF;NT: ft REAR: ft FIR ALRM : HNDICF ACC: BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING: VALUE:4 ;� 795 , CO Remarks: Add& relocate approx(5)sprinklers. Owner: Contractor: ROBINSON, CONS'fANCE A + FIRE SYSTEMS WEST INC ROBINSON, I.YNN + BELL., KAY ET 600 SE MARITIME AVE#300 BYINSIGNIACOMMERCIAL GROUP VANCOUVER, WA 98661 BPtione TON, OR 97008 Phone: 360.693-9906 Reg#: LIC 49732 FEES REQUIRED INSPECTIONS Description Date Amount Sprinkler inspection [BUILD]Permit Fee 12/3/2004 $62.50 Final Inspection [TAX]9%State Surcharl 12/3/2004 $5.00 Total $67.51D This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes -rid all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is - A 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 952-001-0100. You may obtain a copy of these rules or direct questions to OUNC by calling (503)246-6699 or 1-800-332-2344. Issued By: �l X Permittee Call 6394175 by 7 p.m.for an Inspectlon the next business day Fir,P,,,rote.tion System �ildine- Permit Application City of Tigard o Rexel.ed �g Da1 : > Oy . .0'_.125 S W Hall 1344.,Tigard OR 9 v�\\j t'Ixn Review Phone 503.639.4171 rax 503 atrJB : Other Perrnr Inspection Line 503.639.4175 \\\� 11 10 Mee ReadyfRy our7 gK Por I for Internet: www.ciligard.or.us Notifie-Wethod: T 1 3apple�eeatrtfaforee.1m A All New construction " ❑Demolition Permit fres*arc based on the value of the work performed. -- Indicate the value(rounded to the nearest dollar)of all ®Addition/alteration/rrplaccment (]Other: equipment,materials,labor,overhead,and the profit for the CATEGORI OF CONSTRUCTION work indicated on this application. _ ❑ I-and 2-family dwelling ®Commercial/industrial Valuation: $ Accessory nuilding ❑Multi-family Number of bedrooms: ❑Master builder ❑Other: Number, bathrooms: JOB SITE INFORMATION AND LOCATION ^~ Total number of floors: Job site addres3: 10450 S.W.Nimbus Avenue New dwelling area: square feet City/State/ZIP:Tigard Garagetcarport area: square fat Seite/bldg./apt.no.:Rb Project name:eSoftwore T.I. Covered porch area: square feet t Cross street/directions to job site:South on Nimbus from Scholls Ferry Road Deck area: square feet -- _ Other structure arta: square feet Subdivision:Scholls Business Park — Lot no.: Permit fres*are based on the value of the work performed. Tax map/parcel no.: Indicate the value(rounded to the nearest dollar)of all equipment,materials,labor,overhead,and the profit for the DESCRIPTION OF WORK work indicated on this application. Add and relocate approximatly 5 pendent fire sprinklers in existing building as required Valuation: $$2,785.00 by tenant Improvement. Existing building area: square feet — '— New building area: square feet ® PROPERTY OWNER �— ❑ TzN.ANT _ Number of stories: Name:KG Investment Type of construction: Address: 10240 S.W.Nimbus Avenue _ Occupancy groups: City/Stale/'LIP:Tigard,Oregon 97223 _ Existing; Phone:(503)598-9980 Fax:(503)598-9982 New: ❑ APPLICANT ❑ COMPACT PERSON Business name: `— All contraetm wd aubeoamrastoxs are required to be Contact name: licensed with the Oregon Construction Contractors Board Address: under ORS 701 and may be required to be licensed in the .jurisdiction in which work is being performed.If the City/Statc/'L[P: applicant is exempt from licensing,the following reasons � Phone:( ) Fax::( ) _ aPPIY: -- J E-mail: m CONTRACTOR Ae�J Business name:Fire Systems West,Inc. J Address:600 S.F.Maritime Avenue#300 -- City/StatelZlP:Vancouver,WA 98661 Msare refer tof eschedak. Pres due upon application $67-SO Phone:(360)693 9906 _ Fax:(503)289-2208eiv CCB lic.:49732 Amount rec— _ Date received: Authorized signature: This permit npplkatlon expires it a permit Is act obbdwd within 180 days after it has been accepted as cowplete, Print name:DAVID BA FS Date:12-C2-04 • Pee methodology set by Tri-County Building Industry Service Board. i�P•riump�rrn,:nvrs-PetmhA�.J`x tzn3 410-[�r:+tee t,ozcostnvae) SEWER_CONNECTION PERMIT CITY OF T{B A R D DEVELOPMENT SERVICES PERMIT#: SWR2004-00348 DATE ISSUED: 11119/2004 13125 SW Halt Blvd.,Tigard,OR 97223 (503)639-4171 PARCEL: 1S134AA-02100 SITE ADDRESS; 10450 SW NIMBUS AVE R-B ZONING: 1-P SUBDIVISION: ULOCK: LOT: JURISDICTION: TIG TENANT NAME: SA NO: FIXTURE UNITS V CLASS OF SA NO: ALT DWELLING UNITS: TYPE OF USE: COM NO.OF BUILDINGS: INSTALL TYPE: BUSWR !MPERV SURFACE: Remarks: add .5 edu Owner: _ FEES ROBINSON, CONSTANCE A + Description Date Amount ROBINSON, .YNN + BELL, KAY ET BY INSIGNIA COMMERCIAL GROUP (SWUSA]Swr Connectit 11/19/2004 $1,250.00 BEAVERTON,OR 97008 [SWUSA]Swr Connecti4 11/19/2004 $0.00 Phone: Total $1,250.00 Contractor: BEAVERTON PLUMBING INC 13980 SW TUALATIN VALLEY H`NY BEAVERTON, OR 97005 Phone: 643-7619 Reg#: LIC 129891 PLM 34-4,113 Required Inspections L 3 9 This Applicant agrees to comply with all the rules and regulations of the Clean Water Services. The permit expires 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. It 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 shat! 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 952-001-0100. You may obtain copies of these rules or direct questions to OUNC by calling(503) 246-669 Issued by: �� Permittee Signature: Call(503)639-4175 by 7:00 P.M.for an Inspection needed the no business der .Accumulative Sewer Tally Parcel# Tenant Name;e-Softw.ire Professional This SW Site Address: 10450 SE Nimbus Ave R-B This PLM# a� Fixture Value Previus Previous Credits Capped Fixture Fixture New Now 4 value capped off value added added total total count off#s count # value #9 values Baptisery/Font 4 0 0 0 0 0 _Bath-Tub/Shower 4 0 0 ': .,,; _ 4 1 4 -Jacuui/Whid o; 4 0 0 ' 0 0 0 Car Wash-Each Stall 8 0 0 x 0 0 0 -Drive through 18 0 0 ?''4 0 0 0 Cuspidur/WaterAspirator 1 0 „f:.�,,�� 0 0 0 0 Dishwasher-Commercial 4 0 0 "' 0 0 0 -Domestic 2 0 O b,';:'" 0 _ 0 0 Drinking Fountain 1Q 0 0 0 0 Eye Wash 1 ;,_ 0 � 0 0 0 1 0 Floor Drain/Sink-2 inch 2 0 _ ;3t 4 0 -2 -4 3 Inch _5 O 0 °` 0 0 0 -4 Inch 6 0 0 0 0 0 Car Wash Drr 8 0 0 0 0 Garbage Disposal -Domestic(to 3/4 HP) 18 ;?;.s?rff; 0 0 O 0 0 -Commercial to 5 HP 32 0 � " 0 0 0 0 -Industrial over 5 HP 42 a 0 0 0 _0 Q Ice Machine/Refrigerator Drain 1 0 `" 0 0 0 0 Oil Se Gas Station 6 0 a " 0 0 0 0 Rec.Vehicle Dump station 16 0 r+ ,�m�q�+'� 0 0 0 0 Shower-Gan (per head 1 0 , 0 7 0 0 -Stall 2 0 0 0 0 0 Sink-Bar/Lavatory 2 0 '` 0 2 1 2 Bradley 5 0 " 0 0 0 0 -Commercial 3 0 0 0 0 0 -Service 3 0 "zx '' 0 O 0 0 � ,r.' , 0 _Swimming Pool Filter 1 0 �<�-:;c. �. 0 0 0 _Washer-Clothes 6 0 ,` t. 5 0 0 0 0 Water Extractor 6 00 ` '' ' 0 0 0 Water Closet-Tollet 6 0 0 8 1 8 Urinal _ 6 0 0 ' '<;:+ O 0 0 Previous EDU Count 0 0 Capped EDU Credit 0 TOTALS 0 1 0 1 2 1 4 1 3 1 12 1 1 1 a Current Fixture Value 8 divided by 16= _ 0.5 Current EDU 1 EDU= S 2,500 Previous Fixture Value 0 divided by 16= 0.0 —Previous EDU Change 8 divided by 16= 0.5 over (under) $ 1,250.00 Enter EDU Change Here Notes: Signature: Date: Building Division Note: The propsirty owner shall retain the ORIGINAL sewer tally record. If credits exist,this document will serve as a voucher �vhlch must be submitted to the City of Tigard Building Division to redeem credits towards future system development char es. 1:\Bu1iding\Sewer Tally\SewerTallySheet.xls 7/1/04 i s CITY OF TIGA►RD PLUMBING PERMIT DEVELOPMENT SERVICES PERMIT#: PLM2004-0)521 13125 SW Hall Blvd.,Tigard, OR 97223 (503)639-4171 DATE ISSUED: 11/19/2004 PARCEL: 1 S134AA-02100 SITE ADDRESS: 10450 SW NIMBUS AVE R-L 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: CATCH BASINS: FIXTURES _ LAUNDRY TRAYS: SF RAIN DRAINS: SINKS: URINALS: GREASE TRAPS: LAVATORIES: 3 OTHER FIXTURES: TUBISHOWERS: 1 SEWER LINE: ft WATER CLOSETS: 1 WATER LINE: ft DISHWASHERS: RAIN DRAIN: ft Remarks: Add: restroom& breakroom sink. New: (1)shower, (1)sink, (1)water clow! Moved (2)dishwasher, (2) disposals, (2)sinks. Capped: (2)2"fl. drains. _ -:ES Owner: Description Date Amount ROBINSON, CONSTANCE A -- ROBINSON, LYNN + BELL, KAY ET �PLUMBJ Permit Fee 11/19/2004 $132.80 BY INSIGNIA COMMERCIAL GROUP [TAX]8%State Surcharl 11/19/2004 $10.62 BEAVERTON, OR 97008 Total $143.42 Phone: Contractor: BEAVERTON PLUMBING INC 13980 SW TUALATIN VALLEY HWY BEAVERTON, OR 97005 REQUIRED INSPECTIONS Rough-in Insp Phone: 643-7619 Insp existing/capped fixtures Reg#: LIC 128891 Final Inspection PLM 34-4PB This permit is issued ,,ubject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable laws. All work wiil 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 952-0001-0100. You may obtain copies of these rules or direct questions to OUNC by calling (503) 246-6699. Issued By / Lpi� Permittee Signature: Call (503)6394175 by 7:00 P.M.for an Inspection needed the business day Plumbiin-Permit ApPlicatioa City Sof W pawed yZl )r+ Dy Permit No ( �77, / 13123 SW Nall Blvd.,Tigard,OR 97223 Plan Review �10/ Phone: 503.639.4171 Fax: 503.598.1960 Pan Re Other Permit No: 24-Hour Inspection Line: 503.639.4175 Date Ready/By: °'• 0 see Page t for Internet: www.ci.tigud.or.ue Notifled/Methnd: Cr Supplemental information 3ZOi+.... .,r, app /�y�� .. :��. 1. ...,. _ f�-. .'-:4.i nt.. .�`rY�i1M..[�L-.Sf:i.. I�iG SI111Y. ❑New construction ❑Demolition Fors clic!�Lrrnadon was check/lrf DescriptionL G Total Addition/alteration/replacement (]Other: Now I-2-famlly dwellings(includes 100 ft.for each utility connection) y -i�; SFR(1)bath 249.20 `-i ❑ I-and 2-family dwelling Commercial/industrial SFR(2)bath 350.00 ❑Accessory building ❑Multi-family SFR(3)bath 399,00 ❑Master builderOther:� Each additional bath/kitchen _ 45.00 ❑ --.-. Fire sprinkler(___._sq.ft.) Page 2 Site utilities Job site address: /0(y c o MII13 C/� A`iC� �� fl Catch basin or area drain 16.60 Cit•//StateiZiP: -- /� /, Drywell,leach line,or trench drain 16.60 SuitePold /a t. ' Footing drain(no.linear It:_� Page 2 g� p no. =�cel name: 110.00i utilities e d home utes Cross street/directions to job site: Manufacture _ Manholes 16.60 Rain drain connector 16.60 Sanitary sewer(no.linear ft.:_� Page 2 Storm sewer(no,linear It.: - Subdivision: Lot no.: Water service(no.linear ft.: ) Page 2 Fixture or Item Tax mrp/pareel no.: - Absorption valve 16.60 r* o-I RIM �VZAMV "1' Backflow preventer Page 2 (C /^�i< Backwater valve _ 16.60 Clothes washer 16.60 Dishwasher 16.60 Drinking fountain 16.60 Ejectors/surrtp - - 16.60 ---~- Name- Expansion Expansion tank 16.60 Address: Fi-ture/sewer rap 16.60 City/State/ZIP: Floor drain/floor sink/hub 16.60 - Phone:( ) Fax:( ) Garbage disposal _ 16.60 Hose bib 16.60 Business name: Ice maker -- - 16.60 Interceptor/grease trap 16.60 Contact name: Medical gas(value:S ) Page 2 Address: Pri•rxr _ 16.60 40 City/State/ZIP: Roof drain(commercial) 16.60 Phone:( ) Fax: ;( ) Sink/basinAevatory _ _ 3 16.60 Iiq E-mail: Tub/shower/shower pan 16.60 Urinal 16.60 Water closet ' 16.60 4 Business name: V ( G` NL Water heater-- 16.60 lJ Address: 1 C) S LJ Other: ' City/State/ZIP: �, Z C ( Subtotal �� Minimum permit fee: $72.50 Phone:( C. ) r Fax:�� ( ) Residential backflow minimum permit fee: $36.23 CCD Lic. 1=I Plan review Z�� Plumbing Lic.no.: (239'0 of permit fee) State surcharge(g%of permit fee) Authorized signature: ✓�� TOTAL PERMIT FEE Print name: �� L tJ(}�y1`t Date: (( �� This permit appllcatloe expires If a permit Is not obtained within E 190 days after It has bean accepted as eompleto. *Fee methodology set by Th-County Building industry Service Board. i\Auildina\Permiu\P[.M-PermftApp dot II/nl 440�6167'(ItYO]/COM/Wea) Plurpbin2 Permit Ay lication - City of Tigard ,rage 2 - Supplemental Information •. Fee Schedule: Residential Fire Suppression S stems: Footing drain-I 100' 55.00 0 to 2,000 $115 AO Footing drain-each additional 100' 46.40 __2,001 to 3,600 $160.00 _ Sower-1st 100' 55.00 3,601 to 7,200 $220.007,201 and greater 5309.00 Sewer-each additional 100' 46.40 Water Service-Ist 100' 55.00` Medical Gas S steam: Water Service-each additional 00 46.40 Storm&Rain Drain-1st 100' 55.00 1.0010$5 000.00 1 Minlmurr%672.30 Storm 4.Rain Drain-each additi 1100, 46.40 55,001.00 to$10,000.00 S72.50 or the first 55,000.00 and$1.52 for each add) sl$100.00 or fraction thereof,to and u ,. , inoding$10,000.00. Cotrnrtercial Rack Flow Prevention DeOice _ 46 40 310,071.00 to S25,OOP.00 48.50 for the first S 10,000.00 and$1.54 for Residential Backflow Prevention Device reach additional$100.00 or fraction thereof,to minimum permit fee$36.25 27.55 _ and mn lur,-:g 525,000.00. Rain Drain,single family dwelling 65 25 $25,00100 to$50,000. $379 50 for the first$25,000.00 and Si 45 for Inspection of existing plumbing or each additional$100.00 or fraction thereof,to and including S50,00.00. _ speciallynested inspections- hour 72.50 $50,001.00 and 5742.00 for the first 530,000.00 and$1.20 for Subtotd: each additional$100.00 or fraction thereof. Fixture Work: Are you capping,moving or replacing existing fixtures? "yes",please Indicate work performed by fltlure. Failure accurately report fixtures could result In increased sew fees - mments regarding fixture work: BaptistrytTont Bath -Tub/Shower —_ -Jacuzzi/Whirlpool Car Wash -Each Stall Chive Thru Cu idor/Waterimtor Dishwasher -Commerr:ial _ -Domestic Drinking Fountain --Eye Wash —_ Floor Dain/sink -2" 4„ Car Wash Drain Garbage -Domestic _ Disposal -commercial *Note: if the fixture work under this permit results in an -Industrial increase of sewer EMS,a sewer permit will be issued and Ice Mt ch/Refri .Drains Oil Se arrtor jqas station fees assessed for the sewer Increase must be paid before the Rec.vehicle Dump Station plumbing permit can be issued. shower -Gang -Stall Sink -Bar/Lavatory Quantity Total -Bradley Isometric or riser dlaRrarn Is required If fixture quantity -Ccrmnercial _-Service total Is>9. Swimming Fool Filter _ Washer-Clothes , Water Extractor _ Plan Review Water closet-T610 _ Plan review is required if fixture quantity total Is>9. Urinal — Other Fixtures: rus�ireinR,ta„b,vr.M-7�„�ir�ppd« �,a� ELECTRICAL PERMIT- CITY OF TIGARD RESTRICTED ENERGY DEVELOPMENT SERVICES PERMIT 0: ELR2004-00361 13125 SW Hall Blvd..Tlpard.OR 97223 (503)639-4171 DATE ISSUED: 11/22/2004 SITE ADDRESS: 10.150 SW NIMBUS AVE R-B PARCFr : 1S134AA-02100 SUBDIVISION: ZONING: I-P BLOCK: LOT: JURISDICTION: TIG Protect Description: installation of security system. _ Job#4806-279 A.RESIDENTIAL B.COMMERCIAL AUDIO&STEREO: AUDIO&STEREO: INTERL,M&PAGING: BURGLAR ALARM: BOILER: LANDSCAPE/IRRIGAT: GARAGE OPENER: CLOCK: MEDICAL: HVAC: DATA/TELE COMM: NURSE CALLS: VACUUM SYSTEM: FIRE ALARM: OUTDOOR LANDSC LITE: OTHER: HVAC: PROTECTIVE SIGNAL: X INSTRUMENTATION: OTHER: TOTAL#OF SYSTEMS: 1__J Owner: Contractor: ROBINSON, CONSTANCE A + SONITROL(AKA SOUND SECURITY) ROBINSON, LYNN + BELL, KAY ET 8220 N. INTERSTATE AVE. BY INSIGNIA COMMERCIAL GROUP PORTLAND, OR 97217 BEAVERTON,OR 97008 Phone: Phone: 503-223-5822 Rey#: LIC 53535 ELE 26-370CLE SUP 1812LEA FEES Required Inspections Description Date Amount_ Low Voltage Inspection II?[..PRM'Tl ELR Permit 11/22!2004 $75.00 Elect'; Final ITAX]8%State Surcharl 11/22/2004 $6.00 Total $81.00 This Permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable laws. All work will be done in accordance with approved 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 952-001-0100. You may obtain copies of these rules or direct questions to OUNC at(503)246-6699. Issued by � Permittee Signature fit, �91 OWNER INSTALLATION ONLY The installation Is bein41 made on property I own which is not Intended for sale, lease, or rent. OWN'–:R'S SIGNATURE: DATE: CONTRACTOR INSTALLATInw ONLY SIGNATURE OF SUPR. ELEC'N — _ DATE: LICENSE NO: Call 639-4175 by 7:00 P.M.for an Inspection nrreded the next business day Electrical Permit AysQg*ff j%jD City of Tigard =d� - PermitNo.: � 13125 SW Hall Blvd.,Tigard,OR 97223 , + 'tool( Plan Review Phone: 503.639.4171 Fax: 503.598.1950 NOV Z Date/B ; ottrr Permit: Inspection Line: 503.639.4175 Dais Roady/By: * B See Pap 2 r it Internet: www.ci.tigard.or.us coy( 7 Notinewmethod: Supplemental Information '211.lk 2711 ❑New construction ❑Addition/alteration/replacement Please check all that apply: ❑Demolition ❑Other: ❑Service over 225 arras,comm'1 ❑Haurdous location _,k ❑Service over 320 amps -rating ❑Buildng over 10,000 sq.ft., - GSR �' .. of 1-and 2-family dwellings 4 or more new residential ❑ 1-vid 2-family dwelling Commercial/industrial ❑Accessory building ❑System over 600 volts nominal units in one structure ❑ Multi-family Master builder ❑Other: ❑Building over three stories ❑Feeiers,400 amps or more i- rtr ❑Occupant load over 99 persons []Manufactured structures or _ ❑EgresmAighting plan RV park Job no.: &�0-DIJob site address: r-rl ❑Health-care facility ❑Other �Oy50 SLS Submit I-sets of plans with any of the abcve. City/State/ZIP: ti�� _ �a > The above are not applicable to temporary construction service. Suite/hldg./apt.no.: Project name: '" t' _ 1 'r . Deatdptlee Qty. I .» Ta.1 Crone etreeb'directions to job site: New residential single-or multi-family dwelling unit. Includes attached garage. 1,000 sq.ft.or less 145.15 4 Subdivision: Lot no.: Ea.add'I 500 sq,ft.or portion 33.40 l Tax map/parcel no.: Limited energy,residential 75.00 2 Limited energy,non-residential 75.00 2 f DESCt21CY Each manufactured or modular dwelling,service and/or feeder 90.90 2 11LZJll1X Q�C�--CCS- _ �A-'k _ Services or feeders installation,alteration,and/or relocation_ 200 amps or less 80.30 2 �.: 1, W'27. 201 amps to 400 amps 106.85 2 ' •- tw 401 amps to 600 amps 160.60 2 Name: �YY1 h�1 l� '• v\ ir �`�" 601 amps to i,000amps 240.60 2 Address: 10XV Q SL3 l0hAW!; Over 1,000 amps or volts 454.65 - 2 ti`►. Reconnect only 66.85 L 2 City/State/ZIP: '0-.XX_Vd ' Y C� a Temporary services or feeders Installation,alteration,and/or Phone:(r ) o relocation 0 0 200 amps or less 66.85 l Owner installation:This instal,ation is being made on property that I own which is not 201 amps to 400 amps 100.30 2 intended for sale,lease,rent,or exchange,according to ORS 447,449,670,and 701. 401 amps to 600 amps _ 133.75 2 Owner signature: —Dat,.- Branch circuits-now,alteration,or extension,per panel t sr _ - +n r,a " A.Fee for branch circuits with t [I At . , t,�, . A PI U .r �S 1; .. service or feeder fee,each 6.65 2 Business name: branch circuit _ B.Fee for branch circuits Contact name without service or feeder fee, -'— each branch circuit 46.85 2 Address: Each add'I branch circuit 6.65 2 a City/State/ZIP: Miscellaneous(service or feeder not Included) Phone: Fax: Pump or irrigation circle _ 53.40 2 ( ) :( ) 1�.. Sign at outline lighting 53.40 2 N E-mail: Signal circuit(s)or limited energy panel,alteration,or extension.Describe: , Page 2 2 Business name. Address: a�� - Q 1r S SCJ` (( (��)� . Each additional Inspection over allowable In any of the above Per inspection 62.50 J City/State/ZIP: Q�r fit. � O a 1-1 Investigation per hour(I hr min) 62.50 r_- Industrial plant per hour 73.75 Phone:(5G Ira-! S�oFax:( �l� �,�j- �,1 v CAL. LtSe CCB Lir...r� �rJElectrical Lic.: - Suprv. Lic.: Subtotal t Suprv. Electrician signature, reri-ired: Plan review(25%of permit fee) State surcharge(8%of permit fee) t Print name. 4"111 G Date: - TOTAL PERMIT FFF. (JCj J Authorized signature: i This permit application expires If a permit is not obtained within len days after It has been accepted as complete Print name: Date: • Fee methodology set by Tri-County Building Industry Service Board '•Number of impactions per permit allowed i1Buddin&snninU3LC-Per"*Appdoe IV03 440.4613T(1OMWOMMU �. Electrical Permit Application - City of Tigard Page 2 - Supplemental Info►•mation LIMITED ENERGY PERMIT FEES: a Fee fora 1 residential systems combined........ $75.00 Check Type of Work Involved: ❑ Audio and Stereo Systems* ❑ Bur Alarm ❑ Garage oor Opener* ❑ Heating, tilation and Air Conditioning System* ❑ Vacuum Syste ❑ Other: __ Fee for each commercial system........ ............. $75.00 (SEE OAR 918-260-260) Check Type of Work Involved: ❑ Audio and Stereo Systems ❑ Boiler Controls ❑ Clock Systems ❑ Data Telecommunicatio stallation ❑ Fire Alarm Install on ❑ HVAC ❑ Instru tation i2IL ❑ Int eom and Paging Systems N ❑ Landscape Irrigation Control* ❑ Medical ❑ Nurse Calls ❑ Outdoor Landscape Lighting* Protective Signaling ❑ Other Total number of commercial systems: ' *No licenses are required. Licenses are required for all other Installations iABui1d1n09MVft\1LC-Ffffn App.dax 04M CITY OF TIGARD MECHANICAL PERMIT DEVELOPMENT SERVICES PERMIT 6: MEC2004-00754 13125 SW Hall Blvd.,Tigard,OR 97223 (503)639-4171 DATE ISSUED: 11/17/2004 PARCEL: 1 S 134AA-02100 SITE ADDRESS: 10450 SW NIMBUS AVE R-B SUBDIVISION: ZONING: I-P BLOCK: LOT: JURISDICTION: TIG CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS: TYPE OF USE: COM UNIT HEATERS: VENT FANS: OCCUPANCY GRP: B VENTS VN/O APPL: VENT SYSTEMS: STORIES: BOILERS/COMPRESSORS HOODS: FUEL TYPES 0 - 3 HP: DOMES.INCIN: 3 - 15 HP: COMML.INCIN: MAX INPUT: BTU 15-30 HP: REPAIR UNITS: FIRE DAMPERS?: 30-50 HP: WOODSTOVES: GAS PRESSURE: 50+ HP: CLO DRYERS: FURN < 100K BTU: AIR HANDLING UNITS OTHER UNITS: FURN >s100K BTU: <=10000 cfm: GAS OUTLETS: > 10000 cfm: Remarks: Relocate supply and return aii difussers,add dampers. Existing equipment to stay. (Not going thru fire walls) $7,251.00 Owner: FEES ROBINSON, CONSTANCE A + Description Date Amount ROBINSON, LYNN + BELL, KAY ET [MECH)Permit Fee 11/17/20( $182.90 BY INSIGNIA COMMERCIAL GROUP [TAX)8%State Surcharf 11/17/20( $14.64 BEAVERTON,OR 97008 Phone: I Total $197.54 Contractor: HUNTER DAVISSON INC 1800 SW PERSHING PORTLAND, OR 97202 REQUIRED INSPECTIONS Phone: 503-234-0477 Mechanleal Insp Final Inspection Reg*: LIC 01612 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 952-001-0010 through OAR 952-001-0100. You may obtain copies of these rules or direct questions to OUNC by calling (503)246-6699. Issued By:/}� )/,� ,L ,C � Permittee Signature: jf� Call(503)039-4175 by 7:00 P.M.for Inspections needed the business day Mechanical Permit Application City 6f Tigard o yr i I � ,/ lit No• y 'c��?� 13123 SW Hall Blvd.,Tigard,OR 97223 Pym Review OIMr hr�r. Phone: 503.639.4171 Fax: 303.598.1960 Dieirgy; Inspection Line: 503.639.4175 Dyes Ready/By iWil 0 ase tale 1 fir Internet: www.ci.tiprd.or.us Na11111Uhlntbd: amppNrmewlln(gnmaden ❑New construction AdditioNdtention/replactrttenut Mechanical permit fees*arc based on the value of the work performed.Indicate the value(roundel to the nearest dollar)of all ❑Demolition ❑Other: mechanical materials,equipment,labor,overhead and profit. rValue:S 7 2y/ fr f: i 1.w llt�f;lllb lEl�t)RMENT/SYSTEMS FEES.2-family dwelling C.ommerciel/industrial ❑Accessory building For tperfal/gfonmat/on rte dieakllri. C]Multi-firmly Mader builder C]Other: tion Qty. I Es. Tool Air conditioning cx hat pump loft site address: 0450 fisgulies Wk plan tarowlaa nroemat 14.00 City/State/ZIP: T Ar& 97 z 2, Furnace 100,n BTU daelslveds 14.00 Furnace 100 #-BTU dncialvents 17.90 Suite/bldg./apt.no.:` E —� Project name: .+-a, ye T= Gas hat 14.00 Crass street/ditections to job site: �s_ Duet work 14.00 H is hot water system 14.00 Residential boiler(radiator or — h is) 14.00 Unit heaters(fuel-type,not electric), in•wall.In-duct suspended,etc. 10.00 Subdivision: —� Lot no.: FlWmt for any of above 10.00 Outer: 10.00 Tax nu p/parce)no.: Odw ha appliances Water hater 10.00 ll Gas&VIsce 10.00 Ze(O 1:j 1ftttAVV &0 : Flue vent for water hater or g a fbiplact 10.00 LAS lighter 10.00 Wood/pellet stove 10.00 Wooer fimlacelinsert 10.00 Chimney/liner/flue/vent 10.00 Other' 10.00 Name: LS rk Eavlrommeretal exhaust and vendlatian --- Range hood/other kitchen Address: Sg65 A(W Gr�rt brig rkoLequipffwt 10.00 City/State/zENrn>_�7� Clothes exhaust 10.00 Single-duct exhaust(bathroom, Fax:( ) toilet convatments,utility noon) 6.80 Attic/craw fans 10.00 \� Other: 10.00 _ Business name: Hr LJ�wVI SSbr_ _ JNL• Fed plialsig Contact name: r °G L;D h;+c S!L48 br first bar.SI AI r ad addltMnal C F eco. — Address: On hat pun 0 City/State/ZIP: 'r �� Q Z t7 Wa1V it hunter Phone:( Z3 (— yWater haler Fireplace ^S E-mail: Range Barberve u � � Clothes Business name: a, ` 't ,AVVICOther: Address: I AIOC�L,PERMIT FEE4• City/State/7_IP: Subtotal — --- -- — — Minimum permit fee(572.30) Phone:( ) Fax ( ) Plan review(25%of permit fee) CCB lie.: Q ��( � _ State nirehsrge(8%of permit fee) -— TOTAL PERMIT FEE TW percale"WNesdea explm If a parmrk Is met eitalmsd wMa 190 Authorized signature: days after N has boom aaeI' as eamtplaw Prim name: I,y� Date: •� - • Fat nretboesbgy ase by 71i�baty bsl8dhy hdlrtry tarvla bane i\sutw„yTvwAJAhBCMmhApo doe 12/03 WoastlT(u uAvcna4tY!!) Mechanical Permit Alanlication -City of Tigard Page 2-Supplemental Information Commercial Fee Schedule: 7$i-2,0D1.00 to$2,(00.00 Minimum fee$72.50 to$5,000.00 $72.50 for the&st$2,000. and$2.30 for each additional$100.00 fraction thereof,to and inc $5 .00. 75,()01. 510,000.00 a,141.50 for the fust s5, 00 and $1.80 for each additional 100.00 or $action ther,,o&to and ng $10,000.00. $10,001.00 to$50, 0( $231.50 for tine firsts 1 ,000.00 and $1.35 for each.dditi $100.00 or fraction thereof,to ialeha3in$ $50,000.00. $50,001.00 to$100,000.00771.50 for the f $50,000.00 and s . for each 'd=l$100.00 or b and incha m $100.000. 7100,000.01 and up $1,396.50 &&tM$100,000.00 and $1.10 $100.00 or of Note: AU new commerel building require 2 ilea of plays. . . r W J iABuildingT&wd&,hW amltApp doc t3fi5 Z CITY OF T I GA R D ELECTRICAL PERMIT PERMIT 0: ELC2004-00733 DEVELOPMENT SERVICES DATE ISSUED: 11/16/2004 13125 SW Hall Blvd.,Tigard,OR 97223 (503)839-4171 PARCEL: 1S134AA-02100 SITE ADDRESS: '10450 SW NIMBUS AVE R-B SUBDIVISION: ZONING: I-P BLOCK: LOT: JURISDICTION: TIG Project Description: (7)branch circuits. RESIDENTIAL UNIT TEMP SRVC/FEEDERS 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: SIGNALIPANEL: MANF W4/SVC/FDR: 801+amps-1000 volts: MINOR LABEL (10): SERVICE/FEEDER BRANCH CIRCUITS AOD'L INSPECTIONS 0 - 200 amp: WISERVICE OR FEEDER: PER INSPECTION: 201 - 400 amp: let W/O SRVC OR FDR: 1 PER HOUR: 401 - 600 amp: EA ADD'L BRNCH CIRC: 6 IN PLANT: 801 - 1000 amp: PLAN REVIEW SECTION 1000+amp/volt: >4 RES UNITS: >600 VOLT NOMINAL: Reconnect only: SVC/FDR>=225 AMPS: CLASS AREA/SPEC OCC: Owner: Contractor: ROBINSON,CONSTANCEA+ GUILD CONSTRUCTION ROBINSON,LYNN+BELL, KAY ET PO BOX 674 BY INSIGNIA COMMERCIAL GROUP BEAVERTON,OR 97075 BEAVERTON,OR 97008 Phone: Phone: 503-957-1173 Reg 0: LIC 109116 SUP 3868S _ FEES ELE 26-986C Description Date Amount IFiLPRM'1'] ELC Permit 11/16/200, $88.75 RougRequired Inspections ITAXj 8%State Surcharge 11/16/200, $6.94 Elecrl i lect'1 Final Total $93.69 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 accordarioe with approved plans. This pennit will expire If work is not started within 160 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 952-001-0100. You may obtain copies of these rules or direct questions to OUNC at(503) 2488699 or 1-800-332-2344. QZ Issued By: 2_e1gk21& Permit Signature: H N OWNER INSTALLATION ONLY The installation Is being made on property I own which is not intended for sale, lease, or rent. C7 OWNER'S SIGNATURE: w J 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 Jim m� City of Tigard ey 1.1125 SW Hall Blvd.,Tigard,OR 97213 Pion e Plan Review Phone: 503.639.4171 Fax: 503.598.1960 paper Other Permit:; ' lnsW.tion Line: 503.639.4173 Due Rudy/By: Jri See Poe 2 far Internet: www.ci.tiprd.or.us NotitfedlMethod: 8appllessro al laformetwo TX!'d'QIR WL11RK 1'.',_,UY Rlavl{�!t• ❑New construction dition/alteratiorl/replacement Please check all that sppl;: ❑Demolition ❑Other: ❑Service over 225 amps,comm'I ❑Hazardous location ❑Service over 320 amps--rating ❑Buildng over 10,000 sq.ft., ' of 1•and 2-ftinily dwellings 4 or more new residential ❑ ]-and 2-family dwelling o-mmerciai/industrial ❑Accessory building ❑System over 600 volts nmrrinai units in me structure ❑Multi-family ❑Master builder ❑Other: ❑Building over three stories ❑Feeders,400 amps or rm. ❑Occupant load over 99 persons ❑Manuhctured structures or t r, ❑Ggrds/lightingOlan RV park Jab no.: Job site address: ❑Health-care facility ❑Other: �U�`^ �� Submit 1_sots of plans with any of the above. City/StateIZIP: The above are not applicable to temporary construction service. Suite/bldg./apt.no.: Project name: 115. � _ Qtr• ru. Te.t •• Cross street/directions to job site: New residential single-or multi-family dwelling unit. includes attached pre ge. 1,000 sq,ft or leu 145.15 4 Subdivision: Lot no.: Ea.add'I 500 sq.ft.or portion 33.40 1 Limited energy,residential 75.00 2 Tax map/parcel no Limited energy,non-residential 75.00 2 U�1,r+' ,tII .'i' .l'•.•L r ',�!►r y .,,q, Jr S';,''.c'. Each manufactured or modular dwelling,service and/or feeder 90.90 2 ' Services or feeder Installation,alteration,and/or relocation 200 arms or less 80.30 2 f +J "•;. +. :,. 201 amps to 400 amps 106.85 2 — 401 amps to 600 amps 160.60 2 Name: 601 amps to 1,000 arms 240.60 2 Address: Over 1,000 snips or volts 454.65 2 Reconnect only 66.85 2 City/State/ZIP: Temporary services or feeders Installatlen,alteration,and/or Phone:( ) Fax:( ) relocation 200 amps or less 66.85 1 Owner installation:This installation is being tnade on property that I own which is not 201 amps to 400 amps 100.30 2 intended for sale,lease,rent,or exchange,according to ORS 447,449,670,and 701. 401 amps to 600 strips 131.75 2 Owner signature: Date: Branch circuits-new,alteration,or extenalon,per panel A.Fee for branch circuits w th MAW ' ',i service or feeder fee,each Business narm: branch circuit 6.65 2 B.Fee for branch circuits Contact name: _ without service or feeder fee, Address: _ each branch circuit ' 46 85 c'6 1 Each add'I branch circuit 6.652 City/State/ZIP: Miscellaneous(service or feeder not Included) CL Phone:( ) Fax::( ) Pump or irrigation circle 53.40 2 fY Sign or outline lighting 53.40 2 E-mail: Signal circuit(m)or limited- energy panel,alteration,or Business name: /^ extension.Describe: Page 2 2 D�L17 ,�T, m Address: TQ, �j� Ob-� Each additional Inspection over allowable In any of the above Per inspection 62.50 LU City/State/ZIP: h,E� t Q� �'l pars�b Investigation per hour(I hr min) 62.50 J Industrial pi hour 73.75 Phone:('Q1) �`jT-388 Fax:(,p3 ) L,t- lT t p Per CCB Lie.: SIV Electrical Lic._1160-1we— Suprv.Lic.: 3?&Y j _ Subtotal Suprv.Electrician signature,required: ,, Plan review(25%of permit fee) Print name: Kl� Date: I I/1S esti State surcharge(8%of permit fee) 9� R 9 Authorized signature: TOTAL PERMIT FEEThis permit application expires If a permit Is not obtained within 180 dap after It ho been accepted as complete Print name: Date: • Fee melbodology set by Tri-County BuMag Industry y Servke Board ••Number of imPwdmr per permit allowed. I:tauildYW%?&rnMBLC•PmtitAppdoe 12/o7 440461MIWnCOMMM Electrical Permit Auflication - City of Tigard Page 2- Supplemental Information LIMITED ENERGY PERMIT FEES: F for In residential systems combined........ $75.00 C6 Type of Work Involved: ❑ udio and Stereo Systems* ❑ B glar Alarm ❑ Ga a Door Opener* ❑ Heatin Ventilation and Air Conditioning System* [❑ Vacuum Sys ms* ❑ other: Fee for SUI commercial sy ....... .......... 175.00 (SEE OAR 918-260-260) Check Type of Work Involv ❑ Audio and Stereo stems ❑ Boiler C s ❑ Cloc ystems ❑ ata Telecommunication Installation ❑ Fire Alarm Installation ❑ HVAC ❑ Instrumentation d ❑ Intercom and Paging Systems \` ❑ Landscape Irrigation Control* ❑ Medical ❑ Nurse Calls ❑ Outdoor Landscape Lighting* ❑ Protective Signaling , ❑ Other.--- Total number of commercial systems: *No licenses are required. Licenses are required for all other Installations r: eee ovm CITY OF T'0ARD BUILDING PERMIT DEVELOPMENT SERVICES DATE S UIED: 111/3/20004-00522 13125 SW Hall Blvd..Tigard,OR 97223 15031839-4171 PARCEL: 1S134AA-02100 SITE ADDRESS: 10450 SW NIMBUS AVE MW R 6 SUBDIVISION: ZONING: 1-P B' OCK: LOT: JURISDICTION: TIG REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION CLASS OF WORK: HL f FIRST: sf N: S: E: W: TYPE OF USE: COM SECOND: of PROJECT OPENINGS? TYPE OF CONST: 5N sf N: S: E: W: OCCUPANCY GRP: B TOTAL AREA: 0 sf ROOF CONST: FIRE RET? OCCUPANCY LOAD: 155 BASEMENT: sf AREA SEP. RATED: STOR: 2 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 : HNDICP ACC: BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING: VALUE: $ 190,000.00 Remarks: New T.I. Type of construction:5B Owner: Contractor: ROBINSON, CONSTANCE A + GUILD CONSTRUCTION ROBINSON, LYNN + BELL, KAY ET PO BOX 674 BY INSIGNIA COMMERCIAL GROUP BEAVERTON,OR 97008 BRVRRTON,OR 97008 o e: Phone: 788-7778 Reg 0: MET 000gg0104544 FEES LIC REQUI PINSPECTIONS Description Date Amount Mechanical Permit Require Final Inspection [BUILD]Permit Fee 11/2/2004 $1,095.30 E!pctrical Permit Required [TAX]8%State Surcharl 11/3/2004 $87.62 Sprinkler Permit Required BUPPLN Pin Rv 11/3/2004 $711.95 Plumbing Permit Required [ ] Foot/Found Insp [FLS]FLS Pin Rv 11/3/2004 $438.12 Framing Insp TSusp Celing Insp Total x2,332.99 Reinforced concrete final n Structural welding final rep High strength bolts final rel a a This permit is issued subject to the regulations contained In the Tigard Municipal Code, SCrite 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 fD requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR t9 952-001-0010 through OAR 952-001-0100. You may obtain a copy of these rules or direct questions to OUNC by calling(503)246-6699 or 1-800-332-2344. Issued By: Permittee Signature: �/ -u v ` ✓`- -�-t__- Call 639-4175 by 7 p.m.for an Inspection the next business day Building Permit ADDlication City of Tigard Recei — -67Y ( Pe,,,,,No.. 13125 SW Hall Blvd..Tigard,OR 97223 Plan Revkw Phone: 503 639.4171 Fax: 503.598.1960 Date/By: /I.2-0 y Aef Mer Permit: Inspection Line- 303.639.4175 A, kDate Ready/6y: lurM: 8 IIN Atbckad Ckaektld for Internet: www.ei.tigard.or.us Notified/Method: sw9kowniallaformadian L, ., iJJ 1�z• Ilei s.. k'tir� +' i ❑New construction fbID,molition Permit fess'are based on the value of the work performed. Indicate the value(rounded to the nearest dollar)of all Addition/alteration/replacement ❑Other: equipment,materials,labor,overhead,and the profit for the work indicated on this application. ❑ I-and 2-family dwelling Commercial/industrial Valuation: ❑ Number of bedrooms: Accessory building ❑Multi-family-^' ❑Master builder V ❑Other:FE, Number of bathrooms: �I,� Total number of floors: .S Job site address: �0 ysI 6W N1 M�S /tNK New dwelling area: square feet City/State/LIP: (Lora b d IL 2 Garage/carport area: square feet Suite/bldg./apt.no,: Project name: Lr1W brft Covered porch area: square feet Cross street/directions to job site: N I H p5"S A f g l OU S Deck arca: square feet_- -- Other structure area: square fat Subdivision: Lot no.: Permit fees"are based on the value of the work performed. -- Indicate the value(rounded to the nearest dollar)of all Tax map/parcel no.: equipment,materials,labor,overhead,and the profit for the work indicated on this application. Valuation: s -- Existing building area: lquare fat New building area: square feet Number of stories: -- Name: K Type of construction: P ddress: I p-f& 4 N1M&Ws A-'Vz Oft L 3 Occupancy groups: City/State2lP: VkN D Q� q 12',3 Existing: Phone:(gelk ) f? Fax:(5U ) 2 New: Business name: u p 'f�VG All contractors and subcontractors are required to be licensed with the Oregon Construction Contrisctors Board Contact name: under ORS 701 and may be required to be licensed in the a Address: �� /tadX B7V 77 _ jurisdiction in which work is being performed.If the — - - applicant is exempt from licensing,the following reasons R City/StateIZIP: f�O1�-�G tr- Dl�— l _ apply: N Phone:(0 ) 5760 .1;4 /Zg 5 E-mail: A17,cLnw, AVr m "F7:.U dhu W Business name: AIA 64N s.7-"C-f I a"J 1/ _ J Address: Pd ANOW 674- _ Plaare refer to fee rrhedaet.. City/State/Zip: 0 . V�.roN CR - f — - _ Fees due upon ardlicetion Phone:(SQtj)=if;7 Fax:( ) Amount received _-_-- CCB lic.: �q It Date received: Aulhori7ed signature: This permit application exph"If a permit Is not obtnined within ISO days after It has been acceptedon as cplete. Print name: bj4r � pQ pr1JU Date: �O /uj Q ' Fee methodology set by Tri-County Building Industry --T � Service Board. i.%Buik1ft%Pffn*A13UP-P—, Ap.d- I203 41B-1a1ST111�ObCOM/wss) �fff(W TI December 13, 2004 OREGON Peter Alto Group Mackenzie 0690 SW Bancroft St. PO Box 69039 Portland OR 97239-0039 Re: 10450 SW Nimbus Avenue, Suite Rb Permit PBUP-2004.00622 Altemate Materials and Methods Appeal of Door Operations Project Number 2040057.02 Dear Peter, We are in receipt of your request to have special unlocking devices for Door 134 at the above referenced project. We have reviewed your request and are unable to approve it. We believe the code adequately addresses delayed egress locks for conditions such as yours in Section 1008.1.8.6. We also believe that allowing the type of lock release such as card locks or a buzzer control to a receptionist constitutes'special knowledge or effort"from Section 1008.1.8 of the Oregon Structural Specialty Code. Egress and egress access doors in any egress system are an Integral part of the system and must function all in the same manner. Allowing variations to specific doors that require special knowledge or effort are not, in our opinion, the equivalent of that prescribed by the code in safety. Your request is for relief from the door operation requirements and the level of safety is not comparable to what is required In Section 1008.1.8 Therefore, this is formal notice that your request has been denied. If you have questions, call me at(503) 718-2448. Respectfully, G7 t'-IR A Gary Lampella Building Official C. Brian Blalock, Plans Examination Supervisor File 13125 SW Hall Blvd., Tigard, OR 97223(503)639-4171 TDD(503)684-2772 G R U P RECEIVED -- A C K E N ^E DEC 0 8 2004 CITY OF TIGARD BUILDING DIVISION December 7,1004 City of Tigard Attention: Gary Lampella, Building Official 13125 SW Hall Blvd Tigard,Oregon 97223 via fax: 503-624-3681 Re: eSoftware Professionals Scholic Business Center,Building R 10450 SW Nimbus Avenue,Suite Rb N Portland,Oregon 97223 Building Permit#BUP2004-00522 0 Alternative Materia!v and Methods Appeal of Door Operations Project Number 2040057.02 o o Y Dear Mr. Lampella: L This letter is being written as an Alternative Materials and Methods Appeal to the In 0 requirements of the International Building Code(IBC)Section 1008.1.8,Door Operations, for the above referenced tenant improvement. _ R oThe building is two stories, Type V-B, and is fully sprinklered. The tenant improvement consists of approximately 15,405 SF on two floors(2,805 SF main, 12,600 SF second).The N total building area is 43,800 SF. As indicated above,the tenant improvement was reviewed 3 and approved under the 2004 Oregon Structural Specialty Code(2003 International Building U1 M Code with Oregon amendments). - --- — IBC Section 1008.1.8,Loor Operations Group Section 1008.1.8 states"...egress doors shall be readily openable tivm the egress side without Mackenzie, the use of a key or special knowledge or effort."As illustrated in Attachment A,the eSoftware Incorporated Architecture Professionals plan incorporates a door separating their lobby and conference area from the tnteriors common area non-rated corridor(Door 134), which would be used by occupants of tenant Land Use Planning spaces in the building.In the interest of preventing unauthorized access to their tenant space, GroupeSoftware Professionals needs to have a level of security at door 134. Mackenzie Engineering, To address the security need of the tenant we propose the use of electronic locking hardware Incorporated at door 134. During normal operation,the tenant access door would be locked continuously „shuctwal by the electronic lock,preventing access to the tenant space from the corridor.Normal access I nglnetting from the corridor to the tenant space would be through a buzzcT controlled by the receptionist Transportation I or with keyed access. The electronic lock would he tied to the building's fire alarm (flow Planning alarm) system. At any time, if the fire alarm activates or if the building loses power, the Locations: electronic lock would he placed in a "fail safe" (unlocked)condition, assuring free egress PortW,,d,Oregon •Wishir pon II:\PROJFCTS\204005702\WPA)412074,I.doc Nnitatver Washington RIECEN iD City of Tigard DEC ()8 200 Building Permit#BUP2004-00522 GVry OFTIGARD Project Number 2040057.02 BUILDING 00VISI014 December 7, 2004 Page 2 from the corridor to the exterior through door 134.During such an emergency,the intent of section 1008.1.8 would be met in that the door would be operable without the use of a key or special knowledge to provide unobstructed egress In addition to the above-proposed electronic hardware,we propose the addition of a manual alarm pull station at the corridor side near door 134.A sign would accompany the pull station, stating: "In case of emergency pull to activate alarm.Door will unlock".The addition of the pull station would provide a higher level of safetyto corridor occupants,in that it would allow the manual activation of the fire alarm to provide immediate egress through door 134,even if active sprinkler flow does not activate the fire alarm. Our proposal is -hat all hardware described above(electronic lock,alarm interface and manual pull station)would be UL listed and installed by qualified contractors. If necessary,we can compile and submit cut-sheets on the hardware to be utilized,at your request. We greatly appreciate your consideration and approval of this appeal item at your earliest convenience,as construction under the original approval of the building permit is under way. Please feel free to call to discuss this proposal if you have any further questions. Group i Mackenzie would be happy to meet at your office to review our proposal. Thank you for taking the time to consider this appeal. �cerely, i. Kter Alto, Architect PPA/mpd Enclosures: Attachment A a ( c: Brian Blalock--City of Tigard i Lynda Clarke-KG Investment Management Jim Holgate-eSoftware Professionals Dale Poppe, Lynne Ingram-Group Mackenzie H:\PROJECTS\204005702WAV41207-LI.dm 4110? DEC 0 3 2004 vk 7T-7v - ..... ITY OF"IGARD CW ILDING )IVISIO 3,—( Y-0' r ® _ , r is OW rum IE F9 TENANT ACCESS DOOR e � i T- ATTACHMENT A e8oftware Professionals Schob Business Center Bldg R TTAI Group Mackenzie #204081502 MAIN FLOOR PLAN December 7, 2004 CITY O F T I G A R D CERTIFICATE OF OCCUPANCY DEVELOPMENT SERVICES PERMIT*: BUP2004-00522 13125 SW Hall Blvd.,Tigard,OR 97223 (503)839-4171 DATE ISSUED: 12129/2004 PARCEL: 1 S134AA-02100 ZONING: I-P JURISDICTION: TIG SITE ADDRESS: 10450 SW NIMBUS AVE I# RLQ SUBDIVISION: SCROLLS BUSINESS CENTER BLOCK: LOT: CLASS OF WORK: ALT TYPE OF USE: COM TYPE OF CONSTR: 5N OCCUPANCY GRP: B OCCUPANCY LOAD: 159 TENANT NAME: E SOFTWARE PROFESSIONALS REMARKS: Tenant Improvement Owner: ROBINSON, CONSTANCE A+ ROBINSON, LYNN+ BELL, KAY ET BYYE q(INSIGNIA COMMERCIAL GROUP BPhone TON801�7Fff008 Contractor: GUILD CONSTRUCTION PO BOX 874 BEAVERTON,OR 97008 Phone: 788-7778 Reg*: LIC 109116 4 R H ID a This Certificate issued 2/2/2005 grants occupancy of the above referenced building or portion thereof and confirms that the building has been inspected for comp) dce w h the t of Oregon Specialty C des for t e group, occupancy, and 6 un er referenced permit wo ILS . q'4�-1N§PtGT6R BUILDING OMCIAL POST IN CONSPICUOUS PLACE CITY OF TIGARD 24-Hour BUi DING S Inspedlon Line: (603)631"176 MST INSPEC'h0N DIVISION Busirmss LI (603)630.4171 BUP Received Date Requested AM PM 8UP L _ Location g- �� V s Suite MEC _ Contact Person Ph( ) PLM Coreale Ph( ) SWR _ YIE9 Tenent/Owner ELC 7mung ELC Foundation Ftg Drain ELR Crawl Drain Slab Inspection Notes: SIT Post&Beam Shear Anchors Ext Sheath/Shear Int Sheath/Shear Framing - — Insulation Drywall Nailing - Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof ane SS PART FAIL 411611MING I� ) Post&Beam Under Slab Rough-In Water Service Sanitary Se"r Rain Drains Catch Basin/Manhole Storm Drain Shower Pan Other: Final PASS PART FAIL MECHANICAL Post S Beam Rough-In Gas Line 4 Smoke Dampers W. Final N PASS PART FAIL -- ELEt„TRICA _ Service Rough-In (j UG/Slab W Low Voltage Fire Alarm Final F� Reinspection fee of E required before next Inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL SrTE Please for rein action RE: Unable to Inspect–no access Fire Supply Line — ADA b� Approach/Sidewalk Deft Other: Final DO NOT RaMOVE 210 IA IolIM 1't�N+r htll� NN. PA98 I%" FAIL ' MWk offte MMm on" aynd OWN P.O.Box 23614 4060 Hw im Ave., ot.,NE P.O.B 7016 Carlson Testing, PNm 6e -ur Phmw(wm rim Phow(5 1)m4155 Inc.T FAX(503)654-0064 FAX(603)NO-I= FAX(541)M"163 Special Inspection FINAL SUMMARY LETTER January 25, 2005 T0407077.CTI City of Tigard 13125 SW Hall Blvd., Tigard, OR 97223-8199 Attn: Building Department Re: Scholls Building "R" 10450 SW Nimbus Avenue - Portland, OR Permit No,: BUP2004-00522 Dear Sir or Madam: This is to certify that in accordance with Section 1701 of the Uniform Building Code, Title 24, we have performed special inspection of the following item(s) per our inspection reports only: Reinforced Concrete Structural Steel-Fabrication, incnw..vemk lon orw~cwwkvomo.wed mwo&m Ana mmftI All inspections and tests were performed and reported according to the requirements of Project Documents and, to the best of our knowledge, the work was in conformance with the approved plans and specifications, approved change orders and applicable workmanship provisions of the State Building Code and Standards, as well as the structural engineer's design changes, approvals and verbal instructions. Our reports pertain to the material tested/inspected only. Information contained herein is not to be reproduced, except in full, without prior authorization from this office. If there are y further questions regarding this matter, please do not hesitate to contact this office. 4 J Respectfu Y submitted, CARLSO TESTING, INC. t9 am F. Hietpas pe tions Manager /mbw cc: K G Investment—Rebecca Gardner Group Mackenzie Guild Construction Inc—Kevin Moser CITY OF TIGARD 24-Hour BUILDING InspectioniJime: (503)63IM175 0 INSPECtION DIVISION Business Lins: (503)6394171 Mtn BUP aoo y-60 Si';( Received Date Requested oZ Q AM PM BUP 2_0�'00� { Location S _ Suite 1 "ts MEC Contact PArson Ph =3 5S 7 PLM _ Contractor Ph( ) MR BUILDING Tenant/Owner _ ELC _ Footing ELC Foundation mss: Fig Drain ELR Crawl Drain Slab Inspection Notes: �' off Post a Beam Shear Anchors Ext Sheath/Shear Int Sheath/Shear Framing Insulation Drywall Nailing — 4 rink_le — Fire Alarm Susp'd Cei g Roof Other: ASS PA FAIL INQ Post&Beam Under Slab Rough-In Water Service Sanitary Sewer ; Rain Drains Catch Basin/Manhole Storm Drain Shover Pan Other: Final PASS PART FAIL MECHANICAL Post&Beam Rough-In Lias Line Smoke Dampers 'sinal N PASS PART FAIL ELECTRICAL Service LO Rough-In (� UG/Slab J Low Voltage Fire Alarm Final Reinspection fee of$ required before nod In PASS PART FAIL sPOn• Pay at City Hall, 13125 3W HeM Blvd. SITE l__.1 Please Sill for rel action RE: _ Unable to Inspect-no access Fire Supply Line ADA 1` Approach/Sidewalk Doi%_ Ext—— Other: Final DO NOT RUIM thb Irl IM MMrri*01111 So Mb aft Mss PART FAIL IGR FILE COPY ' Febn ary 4,2005 Cir/of Tigard e Artention: Building Department 13125 S.W. Hall Blvd. 0 Tigard,OR 97223-8199 e a 0 Re: Final Summary Report Scholls Bldg. R—E Software TL /Permit #BUP2004-00521 a Project Number 2040815.02 a oI Dear Sir or Madam: d N !: The purpose of this letter is to certify that periodic structural observation of the above- captioned project was performed in accordance with Section 1702 of the Oregon Structural Specialty Code. To the best of my knowledge,no unresolved discrepancies remain,and the I work is in acceptable general conformance with the plans and specifications. 3 0 y N M It must be noted that the floor joists were designed by others and the responsibility for their desibm remains with the stamping engineer. Sincere0;;:l GA V C T U R roup ` r Mackenzie. ��o PRo� (�►,,� Incorporated Architecture ' Intarlorz Timothy L. Schweitzer, S.E. % w 188 9 - Land Use planning Structural Engineer Group RRB/mpdS OREGON a Mackenzie F.,tgtnnering. Incorporated S{; ;nu.twai i oginenring rt C hnnsportatlon Plmininp Locatlone: tl„nd lJreggn rnromn W,thington N:\PROJECT'S\204081502\WP\050204fSR.doc Vancouver.Wathhoon CITY OF TIGARD 24-Hour BUILDING Inspection Line: (503)IN 41f5' MIB<T INSPECTION DIVISION Business Line: (503)039-4171 8UP Received Date Requested I " (,e AM" PM _ OUP Location 1 U��rD _ (�. Jl-�' SugoMEC _ Contact Person _ Ph( ) �_ - PLM Contractor Ph( _ SWR BUILDING Tenant/Owner — _ ELC Ub -W 7.3 3 Footing Foundation Access. 7LC - Fig Drain ELR Crawl Drain — "— slab Inspection Notes: SIT Post Beam Shear anchors Ext Sheath/Shear Int Sheath/Shear Framing Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd CeilingRoof Other:PASS Final PLUMBING PART LUMB! QRT FAIL rn r. INV 4VE Post A Beam L: Under Slab Rough-In Water Service _ Sanitary Sewer Rain Drains Catch Basin/Manhole Storm Drain — Shower Pan Other: lk Final L Y PASS PART FAIL MECH LAICAL _ Post 6 Beam Rough-In d. Gas Line R Smoke Dampers XN _ r~ Final CO) PASS PART FAIL - -- ELECTRICAL Service m4.1 U U rP W Low Voltage Fire Alarm Final Rains on fee of S— required before next I $Ig-$ PART FAIL P —r unsPr+� Pay at City Hall, 13125 Stix Halt BW. Please call for reinspection RE: E]Unable to inspect-no sooess Fire Supply Line ADA l �-, Approach/Sidewalk ��--�- �� ' _ffta[t Other: Final DO NAT REMOVE Uft wvwrwvi MOW 'Owl!1 �dhiii PASS PART FAIL r CITY OF TIGARDBUILDING PERMIT DEVELOPMENT SERVICES DATE S UIED: j2aw2Ae4 //23-6 q 13125 SW Hall Blvd..Tigard. OR 97223 (503)639-4171 PARCEL: 1S134AA-02100 SITE ADDRESS: 10450 SW NIMBUS AVE R-B SUBDIVISION: ZONING: I-P BLOCK: LOT: JURISDICTION: TIG REISSUE: FLOOR AREAS _EXTERInR WALL CONSTRUCTION i CLASS OF WORK: ALT FIRST: sf V. E: W: TYPE 0,1- USE: COM SECOND: sf JJECT OPENINGS? TYPE OF CONST: 5N sf N: S: E: W: OCCUPANCY GRP: B TOTAL AREA: 0 sf ROOF CONST: FIRE RET? OCCUPANCY LOAD: 159 BASEMENT: at AREA SEP. RATED: STOR: 2 HT: ft GARAGE: of 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: $ 190,000.00 9 Remarks: TI: Type of construction: 5B, 12/23/04: Revised, added$ 6,000 to valuation. Owner: Contractor: ROBINSON, CONSTANCE A+ GUILD CONSTRUCTION ROBINSON, LYNN + BELL, KAY ET PO BOX 674 BY INSIGNIA COMMERCIAL GROUP BEAVERTON,OR 97008 BVhVE TON, OR 97008 Phone: 788-7778 Reg : MET 000�000014544 FEES LIC REQ<�IRE�6INSPECTIONS Description Date Amount Mechanical Permit Require Structural welding final rep [BIJILD]Permit Fee 11/2/2004 $1,095.30 Electrical Permit Required High strength bolts final re [TAX]8%State Surchary 11/3/2004 $87.62 Sprinkler Permit Required Final Inspection [BUPPLN Pin Rv 11/3/2004 $711 95 Plumbing Permit Required Final Inspection l Foot/Found Insp [FLS]FLS Pin Rv 11/3/2004 $438.12 Framing Insp (additional fees not listed here) Framing Insp Gyp Board Insp Total $2,609.26 Susp Ceiing Insp Reinforced concrete final n CL oc ti U) 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 m not started within 180 days of issuance,or if work is suspended for more than 180 days. ATTENTION: Oregon law a requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR W 952-001-0010 through OAR 952-001-0100. You may obtain a copy of these rules or direct questions to OUNC by calling (503)246-6699 or 1-800-332-2344. Issued By: �L, •,pl ,, Permittee Signature: *iL�'�t Call 639-4175 by 7 p.m.for an Inspection the next business day Buildin¢ Permit Awi lication City of Tig exd Received ( t 0 _ Pe„�,No: 13125 SW Hall Blvd.,Tigard,OR 97223 plan Review � Phone: 503.639.4171 pax: 503.598.1960 DawB Other Permit: Inspection Une: 503.639.4173 Dale Ready/By: )vrr: 0 Sae AU@dmd t'Arc►tirt toe Internet: www.ci.tigard.or.us Nallled/Method:/ ;'.27 a4 1(r B0ppkM@0W Lttorr atloa ❑New construction ❑Demolition Permit fees*are based on the value of the work performed. Addition/alteration/replacemcnt ❑Other: Indicate the value(rounded to the nearest dollar)of all equipment,materials,labor,overhead,and the profit fo'the work indicated on this application. ❑ 1-and 2-family dwelling CommerciaUirxlustrial Valuation: 3 ❑Accessory building ❑Multi-family Number of bedrooms: ❑Master builder ❑Other: Number of bathrooms: Total number of floors: Job site address: 10 4-5 0 SW M (M 1310 New dwelling area: � square feet CitylState/ZIP: t7 �O L�'N� (IL. C1-7'2-1-,?j l3eragdcerport area: _square feet Suite/bldg./apt.no.: project name: e �j� r�I �j�� Covered porch arca: square feet Crow street/directions to job site: _ Deck area: square fat -T Other structure area: square feet Subdivision: _- l,ot no.: Permit fees*are based on the value of the work performed. Tax map/parcel no.: Indicate the value(rounded to the nearest dollar)of all equipment,materials,labor,overhead,and the profit for the "( IM work indicated on this application. valuation: Existing building area: square f4t New building area: square feet Number of stories: Name: I N N EF5TI" 5Nl T Type of construction: Address: (01'" !jam/ N I P-i rsti s s T L-y Occupancy groups: City/State/ZIP: p0A4_(A1'JV OPL ?/j-23f Existing: Phone:( i Fax:( ) New: ml� ...i Business name: ► , tA.5*f!Vj IZ4 5 All contractors and subcontractors on required to be Contact name: P-LE i-oE - licensed with the Oregon Construction Czairactc:s Board under ORS 701 and may be required to be licensed in the Address: p� Are S 0 3 47 jurisdiction in which work is being performed.If the City/Slate/ZIP: ,60A�G,y yy`j Q,e� G17/j,3 applicant is exempt from licensing,the following reasons app ly: Phone:03) Fax:: E-mail: s Y turA•c-4n+t . Business name: 6t (mob N S Address: Pi me ntfer to fee schedrk. ,ity/State2lP: — Fees due upon application Phone:( - ) — ".x, CCR tic.: Amount received _.'----- - - /1 '- -- Date received: Authorri7ed signature: /(yJ� 71t1f permit application exphw V a Permit Is not obtained within IAD days after It has been accepted es compkte. Print name: (� E e: (rj. * Fee methodolo`y ad by Tri-County Building Industry Service Bond. 1:1auIWInalPermh.l9lJP-PcmYtApp.dnc 1203 44a461M11M200WWa3) CITY OF T I G A R D CERTIFICATE OF OCCUPANCY DEVELOPMENT SERVICES PERMIT 0: BUP1999-00359 13125 SW Hall Blvd.,Tigard,OR 97223 (563)6394171 DATE ISSUED: 08/17/1999 PARCEL: 1 S134AD-W201 ZONING: 1-P JURISDICTION: TIG SITE ADDRESS: 10450 SW NIMBUS AVER* R SUBDIVISION: FILE C BLOCK: LOT: CLASS OF WORK: AL 7 TYPE OF USE: COM TYPE OF CONSTR: 5N OCCUPANCY GRP: B OCCUPANCY LOAD: TENANT NAME: MODEL TECHNOLOGIES REMARKS: Cut one door and one window into existing tilt-up wall. Final Building Inspection and Certificate of Occupancy Approved 9/2/99 by Rick Bolen, Building Inspector Owner: INSIGNIA/ESG 8705 SW NIMBUS AVE SUITE 230 BEAVERTON, OR 97008 Phone: Contractor: COMMERCIAL CONTRACTORS INC 25610 SW 41 ST AVE RIDGEFIELD,WA 98642 Phone: 227-4440 Reg 0: LIC 123729 4 OC F- y W .j This Certificate grants occupancy of the above referenced building or porton therwt and confirms that the building has been Inspected for compliance with the State of Oregon Specialty Code or the group, occupancy, and use undor which the referenced permit was Issued. I BUILDING INSPECTOR BUILD04 OFFICIAL POST IN CONSPICUOUS PLACS CITY OF TIGARD BUILDING INSPECTION DIVISION MSI. 24-Hour Inspection Line: 639-4176 Business Line: X19-4171 Q y/ MID1 Date Requested ' AM 3PM BLD Location So Y11 M btAs Suite _9,ISMEC Contact Person Ph � PLM Contractor Ph ILD Tenant/Owner A f bln ELC Retaining Wall ;;6 ELR VW Footing [Inspection ccess: Foundation FPS Ftg Drain SGN Crawl Drain Not i Slab SIT Post 3 Beam Ext Sheath/Shear Int Sheath/Shear Framing Insulation Drywall Nailing Firewall Fire Sprinkler — Fire Alarm Susp'd Ceiling -- Roof A PART FAIL RIMMING 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 ELECTRICAL MService r. Rough In N UG/Slab _ L,)w Voltage Fire Alarm Final C PASS PART FAIL W WE Backfill/Grading Sanitary Sewer Storm Drain [ ]Reinspection fee of$_ required before next Inspection. Pay at City Hall. 11125 SW Hall Blvd Catch Basin Fire Supply Line ( ]Please call for reinspection RE: ( j Unable to Inspect-no excess ADA �'"\�,` Approach/Sidewalk Date 7/ Inspector " ,!'' EXt Other Final PA98 PART FAIL 00 NOT REMOV! this• IIMP"t 8111) 006 +d 11'06 tial I+lsfb 61tc CITY SOF TIG�►RD PEBUILDING PERMIT • PERMIT#: BUP1999-00359 DEVELOPMENT SERVICE DATE ISSUED: 8/17/99 13125 SW Hall Blvd..Tigard.OR 97223 (5 PARCEL: 1S134AD-06201 BITE ADDRESS: 10450 SW NIMBUS AVE Rild!-R O fflgi&ASUBDIVISION: It 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: of PROJECT OPENINGS? TYPE OF CONST: 5N sf N: S: E: W: OCCUPANCY GRP: B TOTAL AREA: of ROOF CONST: FIRE RET? OCCUPANCY LOAD: BASEMENT: of AREA SEP.RATED: 5TOR: HT: ft GARAGE: of OCCU SEP.RATED: BSMT?: MEZZ?: REQD SE'rBACKS REQUIRED FLOOR LOAD: pef 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: $4,290.00 Remarks: Cut one door and one window Into existing tllt-up wall. Owner: Contractor: INSIGNIA/ESG COMMERC:1AL CONTRACTORS INC 8705 SW NIMBUS AVE 25610 SW 41 ST AVE SUITE 230 RIDGEFIELD,WA 98842 BorTON, OR 97008 Phone: 227-4440 Reg g: LIC 123729 FEES REQUIRED INSPECTIONS Type By Date Amount Receipt Final Inspection PRMT DEB 8/17/99 $50.50 99-317721 5PCT DEB 8/17/99 $3.54 99-317721 PLCK DEB 8/17/99 $32.83 99-317721 FIRE DEB 8/17/99 $20.20 99-317721 Total $107.07 This permit is issued subject b 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 0 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'hese rules or direct questions to OUNC by calling (503)246-1987. Permits -- Sign ure: Issue By: Call 6394175 by 7 p.m.for an Inspection the next business day CITY,OF TIGARD Commercial Building Permit Application 13125 SW HALL BLVD. Tenant !mprovement Dew need �- TIGARD, OR 97223 3So ,`.,L DaMi1 Dab boos09�-�E-51(503) 639-4171 2 �} tg'� Pem*s Print or Type tl`� ndalad start Ak Incomplete or Illegible applications will not b i accepted cem &SkfWAM=s eveloph»M/Pr*d Existing Building New Building p Job Address suis. Building �lSo S w '6 Data Bay s V ly/SMM ZIP Existlng use of Building or Property: R .),*J aQ o4lpcc "am ZProposed Use of Building cr Property: j Property .T Owner MDWV dress SUM �.� S'v h•}'16u3 O No. Of Stories: Clty/SIaM Zip Ph" pZ 0? y7bo1 Sq. Ft Of Project 30r Occupant Nan,. , dad e f 7'ec�f o�tipartr�,class(es) Name Contractor 0*-" ee'cs' , ('an� rl -��t Type(s)of Conskuctlon s-,V Prior M permit Maanp Address SUN k.�powy - Nw y f s ve Will this project have a Fire Suppression System? are��K �� revue Yes No evwed M c.o.7. Americans with Disabilities Act(ADA) d.Me... r;,�jet a,2 7-N1ly5 valuation X25%=ULU K Participation ' 0 7 5- 0Mw Const.CoM.Board Uc.f F_V.Dais Complete Acoessibll orn a � , I 3 --7 ° P : Name Valuation �o?9�• Architect WL)A MAC e ;E Plans Required: See Matrix for number of sets to submit M@MV Addrew Sutie On beck 03 Q, ( .sf CNy Zb Pi,a,e I harabyadmawledge that I hwe nad this aRhloaton,thM the hAmnieft �X yo3 Pp 2'y-cl S �w�bmla�.a an In co w1 h OeM Stele Lewsfive wmw er wiftifted @W of Vo owh,er,.red Engineer NM^e �� [ S"Itot P 3 4/'L A)Tom! Sq tun of OwnedAgent Dale M@MV Address Su1M ��— Peraon Name Phone Ctiy/StaM ZIP Phone I e FOR OFFICE USE ONLY IMlcate type of work: New O Addition O Demolition O Aeeesaory Shftn O Foundation Only O Alterarlon)t Repair O Other O 0"Criptoa of work: Nob: Site Work Permit Applicaton mus#precede or accompany SuNdins Permit ApplleWon 1:%COMNEYM.DOC (DST) &W I I COMMERCIAL PLAN SUBMI17AL REQUIREMENT MATRIX �i i=00 I p r p1dln S ( J 1 S = Site Work B (New or A 1 B = Building F (New or Add or A 3 F = Fire Protection System M (New or Add or Alt) 1 M = Mechanical B & M (New or Add) P = Plumiting P (New, Add, or Alt) 2 E = Electrical P & M & P (New or Add) 2 ew = New B E (New, Add, or Ait) 2 - ddition & F & M 8 P BAF._ 3 Alt =Altema to Existing New , Add Building RA V W J NOTES: Op 1:Wftvbmnlmatrxcom.doc 1t1/3M A SUBJECT: ACCESSIBILITY BARRIER REMOVAL IMPROVEMENT PLAN REQUIREMENT: OREGON REVISED STATUTE (ORS)447.241. (1) Every project for renovation,aRerstion or modification to affected builOngs and related facilities shall be made to insure that the path of travel to the shored eros and the restroom, telephones and drinking fountains are readily accessible to IndivIduais with disabilities unless such alterations are disproportionate to the overall alterations in terms of cost and scope. (2) Alterations made to the path of travel to an altered area may be deemed disproportionate to the overall alteration when the cost exceeds twenty-five per-cent(25%). VALUATION of all renovation, alteration or modification being done excluding painting,wallpapering. [1)$ multi • 25%Barrier removal requirement. .25 BUDGET FOR BARRIER REMOVAL [21$ 7 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: $ / 0? S/ 74arCA%'W ft- (d) At least one accessible restroom for $ each sex or a single unisex restroom: IL (e) Accessible telephones: $ N (f) Accessible drinking fountains: and $ m W (g) When possible, additional accessible elements such as storage and alarms: $ TOTAL: Shall oQual line 2 of Veiue Computation $ C7 7 y i s\fists\foms\sccess.doc CITY OF T I G A R D CERTIFICATE OF OCCUPANCY DEVELOPMENT SERVICES PERMIT 0: BUP1999-00351 13125 SW Hall Blvd.,Tigard,OR 97223 (503)639-4171 DATE ISSUED: 8/10!99 PARCEL: 1 S 134AD-06201 ZONING: I-P JURISDICTION: TIC SITE ADDRESS: 10450 SW NIMBUS AVE 11119�g SUBDIVISION: FILE COPY BLOCK: LOT. CLASS OF WORK: ALT TYPE OF USE: COM TYPE OF CONSTR: 5N OCCUPANCY GRP: B OCCUPANCY LOAD: TENANT NAME: MODEL TECHNOLOGIES REMARKS: Commercial TI-construct ..nw walls,move doors. Final Building Inspection a,w Certificate of Occupancy Approved 8/26/99 by George Steele, Building Inspector Owner: FORUM PROPERTIES 10565 SW NIMBUS AVE TIGARD, OR 97223 Phone: Contractor: COMMERCIAL CONTRACTORS INC 25610 SW 41 ST AVE RIDGEFIELD,WA 98642 Phone: 227-4440 Rag 9: LIC 123729 a oc as m W This Certificate grants occupancy of the above referenced building or portion thereof and confirms that the building has been Inspected for compliance with the State of Oregon Specialty Codes for the group, occupancy, and use under which the referenced permit was Issued. 4kok BUILDING INSPECTOR BUIL OFFICIAL POST IN CONSPICUOUS PLACE CITY OF TIGARD BUILDING INSPECTION DIVISION 24-Hour Inspection Line: 638-4176 Business Line: 636-4171 MST BUP / Date Requested 7 LA _-.JM 91� Location Suite a� _ MEC Contact Person Ph PLM Contractor Ph SWR Tenant/Owner ELC Retaining Wall ELR Footing Access: Founaatlon FPS Fig Drain Crawl Drain Inspection Notes: SON Slab SIT &Beam Ext Sheath/Shear Int Sheath/Shear Framing Insulation Drywall Nailing Fircwell Fire Sprinkler Fire Alarm Susp'd Ceiling _ Roof Mise: _ i ASS PART FAIL PLUMING Post&Beam Under Slab fop Out Water Service Sanitary Sewer ' Rain Drains Final PASS PART FAIL _ MECHANICAL Post A Beam Rough In Gas Line Smoke Dampers Final PASS PART FAIL ELECTRICAL ----. a Service a Rough In N UG/Slab Low Voltage Fire Alarm J Final m PASS PART FAIL 1it7 SITE J Backfill/Grading Sanitary Sewer Storm Drain [ j Reinspection fee of$ _required before next inspection. Nay at City Hall, 13125 SW HPII Blvd Catch Basin Fire Supply Line [ ]Please call for reinspection RE: — [ j Unable to Inspect-no access ADA Approach/Sir±zwalk Other Date InspectorExt Final PASS PART FAIL DO NOT REMOVE thls Inspection record from the job sltiM. ' CITY O F T I G A R D BUILDING PERMIT 9-00186 DEVELOPMENT SERVICES DATE ISSUED: 5/12/99 13125 SW Hall Blvd..Tloard.OR 97223 (5031839.4171 PARCEL: 1S134AD-06201 SITE ADDRESS: 10450 SW NIMBUS AVE RO SUBDIVISION: ZONING: I-P BLOCK: LOT: JURISDICTION: TIG REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION CLASS OF WORK: ALT FIRST: 90 of N: 8: E: W: TYPE OF USE: COM SECOND: of PROJECT OPENINGS? TYPE OF CONST: 3N of N: 8: E: W: OCCUPANCY GRP: B TOTAL AREA: of ROOF CONST: FIRE RET? OCCUPANCY LOAD: 2 BASEMENT: of AREA SEP. RATED: STOR: HT: ft GARAGE: of OCCU BEP. 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: BEDRM8: BATHS: IMP SURFACE: PRO CORR: PARKING: VALUE: $ 15,000.00 Remarks: Adding two showers. (Note):There are existing ADA showers. These do not require ADA compliance. Owner: Contractor: INSIGNIA/ESG COMMERCIAL CONTRACTORS INC 8705 SW NIMBUS 25610 SW 41 ST AVE STE 230 RIDGEFIELD,WA 98642 8WIN.TgA,-097008 Phone: 2274440 Reg*: LIC 123729 _ FEES REQUIRED INSPECTIONS Type By Date Amount Receipt Framing Insp PRMT BON 5112/99 $110.50 99-315312 Gyp Board Insp Final Inspection ORIGINAL PLCK BON 5!12/99 $71.83 9£-315312 FIRE BON 5112199 $44.20 99-315312 513CT BON 5/12/99 $5.53 99-315312 Total $232.06 d 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 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. W Pe rm itse Signature: 11 Issued By: Call 6394175 by 7 p.m.for an Inspection the next business day 05/11/119 TUE 11:08 FAX 503 598 1980 CITY OF TIGARD QOOZ r MY OF TIGARD Commercial Building Permit Application Reed By 13125 SW HALL BLVD. Tenant improvement Ch"fI " TIGARD, OR 97223 to P.Q. (303)639-4171 �•te to T Print or Type Incomplete or illegible applicatio 11 not be Casal N'kn"e or nuPro�e S?7,-7t a S Existing Building ff New Buildingiiding C] Job /L�yli e Sw /J/;�.�y I �c:.A. Address St►eet Feu naulls Building 1, /Y/,M/�4j I Data ab°'rnI city'stoft zb 7&Wfing Use of Building or Property': Name Property /e✓5 iG,Nj i , ,�� Proposed Use of Building or Property: Owner Maiting Address Suite Ofd/r& No.Of Stories: Cityn"ale Zip Phoria lir<< d- Sq. Ft. Of Project: 6ecupant Name lkn,&l 7 e 4,-1,f e S Occupancy class(es) Name Contractor `'cn.,..,�r }.Q �o a /,,,��,f ,� Tya>Q(s)of Construction r Pr1or to permit Mailing Address Suite issuance,a copy SEic /. Will this project have a Fire Suppression System's of sit licensee 'i/�ST s /i are required If city/Stale ZIP phone Yea No ( ' 4q*ed in C.O.T. �, , / c �3 Americans with Disabilities Act(ADA) database ' l Fie-6 1.1-7 E+E q Valuation X 25%= Participation Oregon Corot.Cont.Board Uc.e Exp.Date CD A�glbility Form /.2 3 7.11 Project s Name Valuation Architect C'7/P ""ee—7,2 Plans Required: See Matrix for number of sets to subm1t Mailing u Suite on back �'C9e S'wr �ii�cr'�Pl� City tateZip Phone I hereby acknowledge thN 1 have read fhb applidtlon,flat the information 91wn M correct,that I am the owner or suWod:ad agent of the owner,and Engineer Name - that pans submitted are M oomp/anoe with Oregon State laws. Willing Address t3u1<t natal or �Mqgenot Date Contact Person Name pie , N city/sude lap Phone 16 , f N r,_ 'P--17 — /G/7 Indicatetype of work: New O Addition O Demolition O FOR OFFICE USE ONLY mwn m Accessory Structure O Foundation Only O Alteration * LIII M.:.- (? Repair 0purer O _ 1; W Uucrlptlon of work: TIF: NOW: Site work Ponnit Application must precede or accompany Building PernNl Application 1:1COMNEWTIMC (DST) 5rsa 1 OVER-THE-COUNTER (OTC) PERMIT COMMERCIAL ( STRUCTURAL) BUILDING PERMIT CHECKLIST DESCRIPTION OFPROJECT: S Lip ,Jo.,r Cz�q u �P AJ A 1'-b*VG*`/4► CLASS OF WORK: FLOOR AREAS: EXTERIOR WALL CONSTRUCTION TYPE OF USE: FIRST SGT. FT. N: S: E: W: TYPE OF I I CONSTR: SECOND SQ. F PROTECT OPENINGS?: I � OCCUPANCY GRP: THIRD SCI. FT. � N:_�— S:_ E: W: — I � OCCUPANCY LOAD: y TOTAL SQ. FT. ROOF CONSTR: FIRE RET: I I STOR: HT: FT: i BSMNT: SCI. FT. AREA SEP. RATED: — I I BSMNT?: MEZZ?: — GARAGE: SO. FT. OCCU.SEP.RATED: FIREi FIRE SMOKE HANDICAP SPRINKLER: ALARM: DETECTOR: ACCESS: COMMERCIAL INSPECTION ACTIONS _ FEE MENU Foot/Found Post/Beam S Permit Fee Masonryra>�ming� S '71 e� Plan Review _ Insulation Shear Wall $ 596 State Surcharge Firewall _ GyI5_6oard_) $ FLS Plan Review Suspended Ceiling _ Sprinkler Rough-in s Add'I Permit Fee Sprinkler Final —__ Fire Alarm $ Add'I FLS Pin Smoke Detector Approach/Sidewalk $ Inspection Miscellaneous inal $ _MIS Fee FOR OFFICE USE ONLY: TYPE OS USE OPTIONS(COM-commercial; CMS=commercial manufactured st ueh") CLASS OF WORK OPTIONS FOR ALL PERMI'T'S(NEW-new;Add*addkion;ALT�eiteradon;ACS-accessory;FND-fotmdation; OTR=other;DEM=demolition;REP--repair;FPS-Tre protection syoem NOTE: USP,OTR FOR FENCES,RETAINING WALT,S, DETACHED DECKS,SIGNS,AWNINGS,CANOPIES) 1:%ovrcntr2.doc (DST) 4197 ��_ PHA��CT I��u4ATI0H P DESCW I ON OF WORK: TENANT IIlROVEMO4T KADIN ADOMM 10450 ML MAMA AVE. RA NO. OF STORIM 2 FLOOR LOCATION: IST FLR OCCUPANCY GROUP: a 4 RIIRDM TVPL- 111-M NPROV ADIT AKA: 200 sF• GROss suNA1N0 AKAt 45.OUO SF per" 00VVM M AGENCY: CITY OF TIOARD • -FOR n= ANKYsis ONLY. NOT FOR LEASING NAWDOKS: r CI SY GEF r+ PptoVea ,� .. ,1 � � vcd........ ..•. Tam i..... Mom o�d►tionaiiy �� s '`� n of o Y we "' k Set, i er NA � pate. � mess•__..-- � ., may_ Tt.__.._..TITLE SHEET TZ._.__ IGENDS,, NOTES T TJ.__.__.NOTES (Cant) �tv . T4._..—NOTES (Cant) KIERSTEN H.CRANE REA OF WORK At—PUN NOTES A2—.-DETAILS . . A1—.-..-DETAILS P:� LtvD. f,ON A4 .DETARS f? ,� . ' . ORE1-,w4'*& J y EXISTING (I) ACCESSIBLE SHOWER IN EA RESTROOM own A��lOLJ.9 ER.DO A 4tAt>tl Ti A1•NO MG DAM MAL" MAW qtr: aKM O T .,,Kw 6R r�*°NOsoo»1°�"ao ro bn�aftp MUM 1 8 713 6 �'-i• 2"-0' �'—o' • s 2 12 I 17 r. ice'/ •- 1 .r.«.� •: ..1.��....l:r-�::-' y..- 2 >7 �•' . ..� 4 f8 13 FLUOR PLAN PLAN KEYNOTES 1. REMOVE EXISTING JANITOR'S SINK. 0. room EXISTING OUTLET. 17• mw !V FLOOR Clow IO N/ 2 (2) NEW SH(XV! UNITS. PROVIDE to EXISTING SPRINKL . TO REMAIN• r oom st • m u& ROUGH-IN AS REO'D FOR UNITS. AOD ADDITIONAL AS REOIL it VWTW DOOR TO REMAPL 3 PROVN' NEEM Ir DEEP /ENCH. 11. RDKW EXISTING SUSP CLNG, 4• nM OUT WALLS AS REOV. GRID. LIGHT FIXTURE!. a NEN ROOF NOOKS. 1!. NEN 001 4MI'INO. 0. NEW On OUTLET 4r AFF. 1.1 NEN OYP 0D CEILM 7. NEN MF'A10R. a0*w x 301h. SEE OTL 2/At 14, 0'-0' IMIEELWAP TI 000 0• PAIR Q° CURTAIN ROD, CURTAIN AND DIAMETER. HA Nf>ERS AT ZA STALL I& EXWINO COLM TO REMAIN. 10. P-LAM TO 7'-0' AFF. 94nl �e.11el Al DAID ow am CK _IE CITY OF TIGARD DEVELOPMENT SERVICES 13125 SW HIN 9W,flNwd,OR IrM MI)=4171 CERTIFICATE OF OCCUPANCY PERMIT M. . . . . . . r SUP98--0371 (� DATE ISSUEDe 10/29/98 PARCEL r 1 S 134AD--fti?01 ,:SITE ADDRESS. . . - 10450 SW NIMBUS AVE MR'-B , UBDIVIBION. . . . r ZONINGr I--P JIJRI6DICTIONr TIBBLOCK. . . . . . . . . . r LOT. . . . r CLASS OF WORK. #ALT TYPE OF USE. . . r COM TYI-,E OF CONSTR r 3N OLCUPANC:Y GRP. r R 0(.'(.'UGANCY LOAD c a4t- 1"FNANT NAME. . . :MODEL TECH/MENTOR GRAPHIC; 1iemarksr TI -- walls, removal of walls, stairway enclosure construction, c rAI.)inetry. ilwnerr W 11_1_I AM ROBINSON I3Y INSIGNIA COMMERCIAL GROUP 9'705 SW NIMBUS #230 0U.-AVERTON OR 97008 Phone Nr COMMERCIAL CONTRACTORS INC SSW 41ST AVE R T I)(3F F I EL.D WA 98642 Phone ilr 227-4440 Reg #. . i 12.37i?9 this Certificate car�;.nta occupancy of the above rrfe►^acpd building Or portion thereof anti confirms that the building hae been insper.. ed for compliance with the State cif' Orgon Specialty Codes for-, the;'; ou Occup cy, and Lowe under IL at,hic.,h .,he referenced permit was is9ued. F- J T3UILDINC� IN5 `�T(1R BUI OFFIC t_ 0° r)OST IN CONSPICUOUS PLACE W J CITY OF T I G A R D CERTIFICATE OF OCCUPANCY DEVELOPMENT SERVICES PERMITS: BUP19994)0186 ASUAIM 13175 SW Ball Blvd.,Tigard,OR 97223 (503)6394171 DATE ISSUED: 5112199 PARCEL: 1 S134AD-06201 ZONING: I-P JURISDICTION: TIG Ko SITE ADDRESS: 10450 SW NIMBUS AVE R-B SUBDIVISION: BLOCK: LOT: CLASS OF WORK: ALT TYPE OF USE: COM TYPE OF CONSTR: 3N OCCUPANCY GRID: B OCCUPANCY LOAD: 2 TENANT NAME: MODEL TECHNOLOGIES REMARKS: T.I., adding two showers Final Inspection Approved 6/28/99 by Tom Plescher, Building Inspector Owner: INSIGNIA/ESG 8705 SW NIMBUS STE 230 BEAVERTON, OR 97008 Phone: Contractor: COMMERCIAL CONTRACTORS INC 25610 SVV 41 ST AVE RIDGEFIELD,WA 98642 Phone: 227-4440 Reg#: LIG 123729 This Certificate grants occupancy of the above referenced building or portion thereof and confirms that the building has bpqen Inspected for compliance with the State of Oregon Specialt for the , o cupancy, And use under whicthe referenced permit was issued. 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Contact Person _ _1 Pit �, '�� PLM _ Contractor Ph SWR- — —" WE Tenant/Owner -- - ELL Retaining Wall ELR _- Footing Access: FPS Foundation Ftg Drain SGN Crawl Drain Inspection Notes: Slab - SCT —-- Post&Beam Ext Sheath/Shear Int Sheath/Shear Framing insulation Drywall Nailing — Firewall _ Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Misc: — PART FAIL ) P BINA -_ Post&Beam Under Slab — Top Out Water Service — --- Sanitary Sewer Rain Drains '"— Final PASS PART FAIL MUNHANICAL Post d Beam — —" Rough In _ — Gas Line i Smoke Dampers — Final PASS PART FAIL r _ ELECTRIC L IL Service HRough!n CO) UG/Slab --• Low Voltage Fire Alarm Final m PASS PART FAIL W arm - -� Backfill/Grading Sanitary Sewer required before next Ins n. Pa at C Nall, 1125 SW Hall plvd Storm Drain [ ]Reinspection fee of$ re4 Pio y Catch Basin [ ]Please call for reinspection RE: _ __ [ ]Unable to Inspect-no access Fire Supply Line ADA Approach/Sidewalk Date — Inspector Ext -� Other _ Final the PASS PART FAIL DO NOT REMOVE this 11111110111116C0011111111If+�oII fromjob alts?. CITY OF TIG,ARD BUILDING PERMIT ZA, I PERMIT M BUP1999-00351 DEVELOPMENT SERVICES DATE ISSUEd: 8/10/99 13123 SW Hall Blvd.,Tioard,OR 97223 (513)6 �1�11 AL SITE ADDRESS: 10450 SW NIMBUS AVE R-B PARCEL: 1S134AD-06201 SUBDIVISION: M 0 6` ZONING: -P BLOCK: LOT: JURISDICTION: TIG REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION CLASS OF WORK: ALT FIRST: sf N: S: E: W: TYPE OF USE: COM SECOND: sf PROJECT OPENINGS? TYPE OF CONST: 5N of N: S: E: W: OCCUPANCY GRP: B TOTAL ARFA: of ROOF CONST: FIRE RET? OCCUPANCY LOAD: BASEMENT: of AREA SEF. 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 : Y HNDICP ACC:Y BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING, VALUE: $ 5,000.00 Remarks: Commercial TI -construct new walls, move doors. Electrical, sprinkler& mechanical permits are requireO.-� Owner: Contractor: INSIGNIA/ESG COMMERCIAL CONTRACTORS INC 8705 SW NIMBUS AVE 25610 SW 41 ST AVE SUITE 230 RIDGEFIELD,WA 98642 BIoTON, OR 97008 Phons: 227-4440 Reg#: LIC 123729 _ FEESREQUIRED INSPECTIONS Type By Date Amount Receipt Framing Insp _ Y^, ^PRMT DEQ 8/10/99 $50.50 99-317554 Gyp Board Insp Susp Ceiing Insp 5PCT DEB 8/10/99 $3.54 99-317554 Final Inspection PLCK DEB 8/10/99 $32.83 99-317554 FIRE DEB 8/10/99 $20.20 99-317554 Total $107.07 CL p� This permit is iesued subject to the regulations contained in the Tigard Municipal Code,State of OR. Specialty Codes and all other appiicable law. All work will be done in accordance with approved plans. This permii 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 1 Jity Notification Center. Those rules are set forth in OAR m 952-001-0010 through OAR 952-001-1987. You may obtain a copy of these rules or direct questions to OUNC by W calling (503)246-1987. J Pe rm ltee Sign 7e:Iss ed ` -- -" Call 839(-4173 by 7 p.m.for an Inspection the next business day CITY OF TiW4.R0 Commercial Building Permit Application Wd Qk 13125 SW HALL BLVD. Deb Rodd =y — Tenant Improvement Dole to P iAl TIGARDr OR 97223 P ii - ��'Da"te (503) 639-4171 ' -�` �idt 0 Print or Type Related sWC f.Y Incomplete or illegible applications will not be accepted _�_� Name of I:w,eloprnenl/Project – - Existing Building% New Building[] Job Address street Address e i Building v sw AiNn6os Data _ Bldg. City/State zip Existing Use of Building or Property: R-B � NanM Proposed Use of BuildingPro Property /ILS` #l44 Proposed� or party: LNmer Moll ng Address ,,- _ Suite 0 g >C'5- So N'^,!_ _o?�¢ No. Of Stories: t,lly/Stete Zip Phone t�'n0p (L 2(o7 Sq. Ft. Of Project: Occupantf Nems _ I `l✓ Occupancy Class es) 1r3x1e( -recAnd/o Name Contractor I C W,,w1'Wq l e-'N_4110"J ,'AtCTypes)of Construction Prior to perm" MaNing Addmas Suite _ 1 Issuance, a o S`(o�o kw y`s�� Will this project have a.Fire Suppression System? Yes No [] are required If Clly late Zip Phone – :xpned In C.O.T. n s'0- Americans with Disabilities Act',ADA) database /G� rf= `r� - �g�7°C �z'J Valuation X 25%= f d/,"' Participation Oregon Const.Cont.eoa9d uc.s EV.Date Complete Accessibilityof rm P31.•tee t-n - .20x1 Project �— $ f _--- Name Valuation Architect 6rPu�0 ke Z 17P Plans Required: See Matrix for number of sets to submit (09lling Address Suite on baric— o citymate Zlp Phone 1 hereby acknowledge that I Aaw road thio p application,oge that the wort.and Hen b oo�+ed,that I am the owner tx authorized spent of the owner.and Engineer Name — that plans submitted are In compliance with Oregon State two. 5/5 MC A.5 1. r4;IAh l Sig re of Owner/Apert Dols Me"Address Suite Person Noma Phone 4' City/Slate zip Phone t��i y�n( � a2'j'_yyyd K rn — FOR OFFIM MONLY Indicate type of work: New O Addition O Dr moi"ion O p. _J Accessory Structure O Foundation Only O A"eretiong Repair 0 Other O Description of work: Note: efts Work Permit Application must precede or accompany Bulidlrq Permit Application MCOMNEWTI.DOC (DSS 5418 COMMERCIAL PLAN SUBMITTAL REQUIREMENT MATRIX S (Private 1 S = Site Work B (New or Ad2"\ B = Building F (New or Add or ) 3 F = Fire Protection System M (New or Add or Alt) 1 M = Mechanical B & M (New or Add) 1 = Plumbing P (New, Add, or Alt) 2 /New = Electrical B & M & P (New or Add) 2 = New Building E (New, Add, or Alt) 2 Add = Addition B & F & M & P & E 3 AN =Alternation to Existing New , Add \ Building q q 4:. y _ .; ' ..�k:nht ,*+; i.:\.t } fir•:.:: J ,:r$y:..• tY C,f4iv•:: t{i' 2: :::, •:-..tt> :Y.: . rD 3 Ai J NOTES: fun, I WstsVormsWatmoom.doc 10/30/98 SUBJECT: ACCESSIBILITY BARRIER REMOVAL IMPROVEMENT PLAN REQUIREMENT: OREGON REVISED STATUTE (ORS)447.241. (1) Every project for renovation,alteration or modification to affected buildings and related facilities shall be made to insure that the path of travel to the altered area and the restroom, telephones and drinking fountains are readily accessible to individuals with disabilities unless such alterations aye disproportionate to the overall alterations in terms of cost and scope. (2) Alterations made to the path of travel to an altered area may be deemed disproportionate to the overall alteration when the cost exceeds twenty-five per-cent(25%). � VALUATION of all renovation, alteration or modification being done J excluding painting, wallpapering. [1j$ 3;O mufti : 25% Barrier removal requirement. .25 BUDGET FOR BARRIER REMOVAL [2)$ _'Z 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 rovie to the altered area: $ �f (d) At least one accessible restroom for $ ZI7 each sex or a single onisex restroom: Ii (e) Accessible telephones: $ h N (f) Accessible drinking fountains: and $ J_ m (g) When possible, additional accessible W elements such as storage and alarms: $ TOTAL: Shall equal line 2 of Value Comoutation $ i:%dstslrormMscros.dm • CITY OF TIGARDBUILDING PERMIT PERMITS: BUP1999-00220 DEVELOPMENT SERVICES DATE ISSUED: 5/26199 13125 SW Hall Blvd.,Tigard.OR 97223 (5031639-4171 PARCEL: 1S134AD-06201 SITE ADDRESS: '10450 SW NIMBUS AVE R-B SUBDIVISION: P) 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: of N: S: E: W: OCCUPANCY GRP: TOTAL AREA: sf ROOF CONST: FIRE RET? OCCUPANCY LOAD: BASEMENT: of AREA SEP. RATED: STOR: HT: ft GARAGE: sf OCCU SEP. RATED: BSMT?: MEIZ?: REfID SETBACKS REQUIRED FLOOR LOAD: psi 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: $ 400.00 Remarks: Extend pendant sprinkler to drop ceiling and add one pendant sprinkler. I Owner: Contractor: INSIGNIA/ESG FIRE SYSTEMS WEST INC 10240 SW NIMBUS AVE#L3 600 SE MARITIME AVE#300 PORTLAND,OR 97223 VANCOUVER, WA 98661 Phone: Phone: 360-693-9906 Rep#: LIC 49732 ELE 37-655d FEES REQUIRED INSPECTIONS Type By Date Amount Receipt Sprinkler Rough-In PRMT BON 5126/99 $25.00 99-315692 Sprinkler Final 5PCT BON 5/26/99 $1.25 99-315692 Total $26.25 ORIGINAL CL ---_J This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes as 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 _ requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR m 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. Pe nn Itee Signature: Issued By: (rte Call 6394175 by 7 p.m.for an Inspection the next business day EMISSIONSANEW ► Fire Protection Permit Application CITY OF TIGARD Commercial or Residential R.Cd ey x`- 13125 SW HALL BLVD. Dam.Reed - TIGARD, OR 97223 Print or Type Dia (503) 639-4171, x. 304 Incomplete or illegible applications will not be accepted Pemllt Deta to a V _ fe3!(0 Carted Job Name of Development/Project Type of System(Complete A or B as applicable) Mo-r�E:Ft�-I -fid�-1�.lOL,OGX Address Address A.)Sprinkler Wet Dry ❑ )041.70 -e'ka PJ ��JS Ir '8t.-DG R _ Name standpipes I^1St Gf'JIA / I--,.Ca Owner Mailing Address Hazard Group I o2-Aa 4�w ANC #c.-3 Additional ny/scat.�n o� 9�t - 11`84-osiv Information Density MOG�'F_'J TE.(N•Jcat�p Design Area Occupant Mailing Address K.Factor City/State zipPtlone A.1) Sprinkler Fi oject Valuation $4et70701 o0 Contractor Name B.) Fire Alarm (sprW*Ior,)r FIRS T S w*F— Alarm Company) Mail"Address Submittal Shell Indlatlon ucts Battery Calcus YES Q Prior to permit boo , rAA►ZImme AWE #%W !%nuance,a City/state zip Phone Individual component YES(:1I COPY Cut sheets of all licenses VAIJ C.WVt,1e-n I&AW 3f00 (09S "0(6 B.1)Fire Alarm Project Valuation $ are required If Stats Const.Cont.Board Lic.# Exp.Dots expired In COT -4 9.7 3 Z Project Valuation Subtotal,A&or B) $ 4.00.,o database Name Permit fee based on valuation tae chart an back) ; 27 Architect Mailing Address d%Surcharge $ i _•s City/State zip Phone FLS Plan Review 40%of Permit Describe work A.)New O Addition O Alteration O Repair TOTAL, t0 be done: � � u 8.1 Modification ho to sprinkler heads onlred Plans required: Submit throe sets of plans,kw*x"a vicNdty map and 1. 1.10 hear r ie plans required the loceft tithe nearest hydrant. 2. 11+�Plan rsvkmr required I hersW Ihet 1 haw rsed eft appacatlon,that Mn h mtaaon gtien M Number of rinkbr heads: 2 oro. V*I om tM owner or rj**rizsd oC xt of the owner,and prat plena suenrltsd are in Orepw Additional Description of Work: aw withStals 0--1'rFs1D Pe�,ij>e i-r SF,jt JK-t..ER Tn c'"t-1 cy .J 1--.. e--aj L-i"d- A,Jr> Atipo ewe- fm.-Jt>E.J-r Sibnoture of OwnedAgent Dets a e A.)In Existing Building ❑ New Building ❑ 16— Contact Person Nome Phone rn Building � ®.) commercial ❑ Residential ❑ o ►'��'�-- 'z-& '�b o - to,'�► 9 `�� Data FOR OFFICE USE ONLY: 4. m Platy No.of stories: �d I J M1 �1y UJI r Sq.FL- Occupancy Class Type of Construction Afiresupr.doc CITY OF TIGAR13 BUILDING PERMIT FEES TOTAL STATE BUILDING VALUATI N OF PERMIT F.L.S. TAX PERMIT PROJE iT FEES 40'14 5% FEES 1-1500 25.00 10.00 1.25 36.25 1,501-160 26.50 10.60 1.33 38.43 1,601-1,700 28.00 11.20 1.40 40.60 1,701-1,800 29.50 11.80 1.48 42.78 1,801-1,900 31.00 12.40 1.5 44.95 1,901-2,000 32.50 13.00 1 47.13 2,001-3,000 38.50 15.40 .93 55.83 3,001-4,000 \6" 17.80 2.23 64.53 4,001-5,000 20.20 2.53 73.23 5,001-6,000 22.60 2.83 81.93 6,001-7,000 25. 3.13 90.63 7,001-8,000 40 3.43 99.33 8,001-9,000 9.80 3.73 108.03 9,001-10,000 32.20 4.03 116.73 10,001-11,000 . 34.60 4.33 125.43 11,001-12,000 9 37.00 4.63 134.13 12,001-13,000 .50 39.40 4.93 142.83 13,001-14,000 /104.50 1.80 5.23 151.53 14,001-15,000 110.50 0 5.53 160.23 15,001-16,OOV 116.50 46. 5.83 168.93 18,001-1e710 122.50 49.00 8.13 177.63 17,001- , 128.50 51.40 6.43 186.33 18,0 -19,000 134.50 53.80 6.73 195.73 19 1-20,000 140.50 56.20 7.03 203.73 ,001-21,000 146.50 58.60 7.33 212.43 21,001-22,000 152.50 61.00 .63 221.13 22,001-23,000 158.50 63.40 7. 229.83 23,001-24,000 164.50 65.80 8.2 238.53 a 24,001-25,000 170.50 68.20 8.53 247.23 25,001-26,000 175.00 70.00 8.75 253.75 •n 26,001-27,000 179.50 7',,80 8.98 260.28 27,001-28,000 184.00 73.60 9.20 .80 28,001-29,000 188.50 75.40 9.43 273. m 29,001-30,000 193.00 77.20 9.65 279.85 30,001-31,000 197.50 79.00 9.88 288.38 31,001-32,000 202.00 80.80 10.10 292.90 32,001-33,000 206.50 82.60 10.33 299.43 33,001-34,000 211.00 84.40 10.55 305.95 34,001-35,000 215.50 86.20 10.78 312.48 35,001-36,000 220.00 89.00 11.00 319.00 36,001-37,000 224.50 89.80 11.23 325.53 37,001-38,000 229.00 91.60 11.45 332.05 is\firesupr.doc CITY OF T I GA R D MECHANICAL PERMIT DEVELOPMENT SERVICES PERMIT 0: MEC1999-00228 13125 SW Hall Blvd.,Tigard,OR 97223 (503)839.4171 DATE ISSUED: 5/26/99 PARCEL: 1 S 134AD-06201 SITE ADDRESS: 10450 SW NIMBUS AVE R-B SUBDIVISION: ZONING: I-P BLOCK: LCAT: JURISDICTION: TIG CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS: TYPE OF USE: COM UNIT HEATERS: VENT FANS: OCCUPANCY GRP: B VENTS W/O APPL: VENT SYSTEMS: STORIES: BOILERS/COMPRESSORS HOODS: FUEL TYPES 0 - 3 HP: DOMES. INCIN: 3 - 13 HP: COMML. INCIN: MAY INPUT: BTU 15-30 HP: REPAIR UNITS: FIRE DAMPERS?: 30-50 HP: WOODSTOVES: GAS PRESSURE: 50+ HP: CLO DRYERS: FURN <100K BTU: AIR HANDLING UNITS FURN >=100K BTU: <=10000 cfm: OTHER UNITS: 1 > GAS OUTLETS: 10000 cfm: Remarks: Install exhaust fan. Owner: FEES INSIGNIA/ESG Type By Date Amount Receipt 8705 SW NIMBUS AVE PRMT GEO 5/26/99 $25.00 99-315694 SUITE 230 PLCK GEO 5/26/99 $6.25 99-315694 BEAVERTON, OR 97008 5PCT GEO 5/26/99 $1.25 99-315694 Phone: Total $32.50 Contractor: HUNTER-DAVISSON 3410 SE 20TH AVE PORTLAND,OR 97202 REQUIRED INSPECTIONS Mechanical Insp Phone:234-0477 Fire Alarm Insp Reg 0:LIC 00001612 Final Inspection A. ORIGINAL m WThis 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 952-001-0010 through OAR 952-001-0080. You may obtain copifes or direct questions to OUNC by caW- (503)246-9189. Issue B j - y�_ Permittee SI nature: - Y� g � Call(5 39-4175 by 7:00 P.M.for Inspections needed the next business day Plan Check 0 CITY QF TIGARD Mechanical Permit Application Reed By 13125 SW HALL BLVD. Commercial and Residential D.te Reed _ TIGARD, OR 97223 Data to P.F. (503) 639-4171, x304 © -� Dae to DST 13rint or Type vPermit Are-tff-W _ Incomplete or Ills i►rr, a plications will not be accepted Calms rwn.d DwNopnemlProRd Descrip•1on Table 1A Mechanical Code OTY PRICE AMT Job sliest Address Suites A) Permit Fee .o- -4 10;00 Address ki I M bo S DMS 1.) Furnace to 100,000 BTU 8.00 'S incluiding duds&vents Home(or none or business) 2.) Furnace 100,000 BTU+ 7.50 Owner including duds&vents Me"Addresis 3.) Floor Furnace 8.00 .✓ �O✓�5 IncWIng vent CWaft Phone - 4.) Suspended healer,wad heater 8.00 Au- or floor mounted healer Hems(or name or buwress) 5.) Vent not included In appliance permit 3.00 TtU Up6aC c5 Occupant MOM Address 8.) Boder or comp,heat pump,air coed. 8.00 LLQ�io SL') AJ i✓h to 3 HP;absorb unit to 100K BUT" uii�Few ZIP Phae 7.) Bodar or comp,heat pump,air cortd. ;1.00 3.15 HP;absorb unit to 500K BTU" Contractor H"1e 8.) Boiler or comp,heat pump,air cond. 1:.00 lALu== ��a 15-30 HP;absorb unit.5-1 rtdl BTU" Prior to permit Me"Address 9.) Boiler or comp,Mat pump,ale Gond. 22.50 issuance,a COPY 30.50 HP;absorb unit 1-1.75mil BTU" of all licenses C'NYMMO ZIP Phae 10.) Boiler or comp,heat pump,air Bond. 37.50 are required if m -O{71 >50 HP;absorb unit 1.75 and BTU- expired in CUT Drew const.turn.sore ue.a Exp.Dete 11.) Air handling unit to 10,000 CFM 4.50 database Architect N&M 12.) Air handling unit 7.50 10,000 CTM+ or M*"Address 13.) Non-portable evaporate cooler 4.50 Engineer ��W Zip I Phone 14.) Vent fen connected to a single dud 3.00 Describe work New O Addition Aden tion O Repair O 15.) Ve Metlon system not included 4.50 to be done Residential O Non-residential O In appliance permit Ir Additional Description of work: 18.) Hood served by mechanical exhaust 4.50 17.) Domestic Incinerators 7.50 Existing use of 18.) Commercial or Industrial 30.00 building or property _ type Incinerator _ 19.) Repair units 4.50 Proposed use kit 20.) Wood stove 4.50 Suilding or property 21.) Clothes dryer,etc. -� 4.50 Type of fuel-oil O natural gas O LPG O electric O 22.) Other unIM 4.50 t hereby acknowledge that i have read this application,that the inlbmwtion 23.) Gas piping one to four outlets 2.00 given is correct,that I am the owner or authorized agent of the owner,that plans submitted are in compliance with Oregon State laws. 24.) More than 4-per outlet(each) -.50 V Signatu Agent Dab 'SUBTOTAL _ f'9 5%SURCHARGE 15 Cotta arson Name Phone PLAN REVIEW 25%OF SUBTOTAL Required for all commercialpennda PAU l - M�(a" (l _ �3�"�Y 1 TOTAL 'Minimum permit fee Is$25+5%surcharge "Residential A/C requires site plan showing placement of urtk I:trrtechprmt.doe rev 4/15/98 03/17/1999 10'42 5bJ-'2V-bb44 5032281255' �v03/12/99 3.14PYI;, Ab72;Page 819 Sent by: GROUP MACKENZIE � ' s��• r-o' r-cr 1 8 7 16 17 b 1q r .irmi 13 � 18 - r•k-r<,tit; FAO Igo t,F1'vl , 2S It S P g110 DVcT OOR N : QmHQ N Al 1/�--1•-0- Al �/�'-�'-o' I\ o • ESALL MA 1. ww Ex-ww im(Ta" SMS. 0. AQr w Ext UTLET G . 17. NEN str CD11Ww/ (I 2. (2) NAM sMOV" UNNTS. PROMIE 10. COST" slrR�. To POP-01- Wo ODNRD M>![ • WALLS Rax +-Mv As Wo'o MR uOdn N AW AWFTV4AL AS QU ft OO�MO GOON TO AE01:OM. I PAOVWE ww 1Y OW 11. Rolm ElwTwc Aw CLW. 4. FURR OUT WALLS AS am L104T FIXTL"m S ITEM ROE HOOKS It N"8004mlym d. MEM Ofl OUTLU, 4d" AFT. 11 NLS aw i0 0004 7. KV INYMM Ww x X"K OF DTL 2/As. 14. os-,f TI0w0m IL PAM OF CMANU ROD, CIMTAMI AND 1!L ElGMflllti t».Mra Tr 1►*a1lIM. HANOM AT EA STALL. 1A. P-L" 10 7'-r' r CITY OF: TIGARU Approved................ ................... .... .� ] s 3 Conditionally Approved.......................... .................. N Al a For only the work as described in: u pERMIT is go son" Follow...................... .......[ SAM as.12-99 See letter t0: 7 � swo ws Alai Atta .fob Address:_.�- �- mom F-.Km y:- -__-- ----- -----� ONO sN eneralr 0 1 Folmom 05/26/99 WED 12:34 PAX JUUNbUN ALK rKLIUW.L, 4+4 nVRLnn-UAV r 03VA W uvo SUBMITTAL DATA FR-SERIES FANTECH, b C • I INC* f ryI 1 -0 170 • o • 'TP Pical Specif cation:, for Model FR Inline JDuct Fans L.... Supply, exhaust or return air inline fans shall be of the centrifugal, direct driven type. Construction OD— Fan housing shall be constructed of GE Noryl N190 type plastic With UV resistance.IntenW air tumu g vanes dull be provided for maximum air performance.Fan shall be supplied with an integral external electrical DIMENSIONAL DATA terminal Mz with pm-wined terminal sApoonneeNons.Capacitor shall MODEL 0 D d 1 d2 . b c be provided(except FR 100,FR 125)and shall be located within the fan electrical terminal box for easy ass.Integral disconnect switch shall FR100 91/2 37/8 47/8 5 1/4 7/8 7/8 be provided when specified. FR125 9 1/:T-- 47/8 51/4 7/8 Motorized impeller shall be on external rotor type. FR140 11 3/4 5 7/8 6 1/4 5 7/8 1 7/8 F125,lan A insed poll, Wally enclosed PSC Type(except FR I DO and Fit 125, shaded pole FR150 113/4 57118 6 1/4 57/8 1 7/8 type) for tmeximum efficiency. Motor shall be a permanently sealed FR160 11 3/4 57/8- 6114 6 3//8 1 7/8 self lul,ricating ball bearing type. Molot shall be equipped with FR200 -i-31 F—7-7/8 97/8 61/4 1 1/2 1 1/2 automatic reset thermal overload protection.Motor shall be acceptable FR225 13 1/4 7718 97/8 6 1/4 1 1/2 1 1/2 for continuous duty.Sufficient service factor shall be provided tocnsure FR250 13 1/4 9 7/8 6T_4 1 1/2 long m1aintenance free opeation over maximum load conditions. Oimensions in Inches. Fan wheel shall be of the backward inclinud centrifugal type with■ well designed inlet venturi for maximum performance. Motorized Description impeller shall be both statically and dynamically balanced as one A centrifugal type exhaust/supply fan specifically designed for moderate integral unit to provide for vibration free performance. size ventilation applications.The fan can be mounted in any angle at any point along the duct work and straight-through air flow design allows er-ry Performance installation.By using FC type mounting clamps,fan can easily be removed Fan air (low performance shall be certified by HVI and licensed to from dud work for service.Fans are constructed in accordance with standard bear the HVt Tested/Certified Performance Logo. dimensions for spiral duct eliminating the need for transition pieces.Fan motors are capable of operating in air stream temperatures of 140'F.Motor Code Approval bearings arc a permanently sealed,self lubricating ball type. All fans are Fan shall be tested and approved by UL and CSA(or equal)for safety. 100%speed controllable through a decrease in the voltage by using a solid state or transformer type control.All FR Series fans are backed by Fantmh's FR Series shall be manufactured under the authority of Five Year Warranty Fantech, Inc.,Saras�Ca, FL. PROJECT A&HITECT• 0. F- CONTRACTOR: QATE; SUBMITTED BY: ENGINEER: SPECIEICATION m FAN MODEL CFM IN. RPM wr►rra AMPS d8(AI• SONES QTY. OPTIONAL EQUIPMENT POS. NO. Wt;. H ,J P WARNINaI 00 NOT use In HAZARDOUS 9VVIRONMENTE when tan's electrical system esuM provWe igr tion to eombuadMe of flammable materials unless it is specifically built for hazardous environments. • Measured at 4 fast-.frssflNd candtdons. FANTECH,INC.reserves the right to substitute material or change product spsdfication. CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Line: 639.4176 Business Line: 639.4171 l� BUP _Date Requested �—Zq!AM _PM BLD Location l S Suite MEC Contact Person I �/1 Ph PLM Contractor _ Ph SWR BUILDING Tenant/Owner ELC Retaining Wall ELR _ Footing Access: Foundation FPS Ftg Drain SON Crawl Drain Inspection Notes: Slab $IT Post A Beam Ext Sheath/Shear Int Sheath/Shear Framing Insulation Drywall Nailing Firewall Fire Sprinkler _ Fire Alprm Susp'd Ceiling _ Roof Misc: _ — Final PASS PART FAIL PL MNINO Post&Beam Under Slab Top Out Water Service Sanitary Sewer Rain Drains Final P ART FAIL Post&Beam Rough In Gas Line Smoke Dampers PART FAIL CTRICAL L Service C Rough In UG/Slab Low Voltage MAW Fire Alarm Final 7 PASS PART FAIL a Ifirm Badfill/Greding Sanitary Sewer Storm Drain [ ]Reinspection fee of 3 required before next inspec tlon. Pay at City Hall, 13125 SW Holl Blvd Catch Basin Fire Supply Ling [ ]Please call for reinspection RE: _ [ ]Unable to Inspect-no access ADA Approach/Sidewalk Date C49 1 fdL_� Inspector � ExtOther Final PASS PART FAIL DO NOT REMOVE this Inspection mcoil 1x'+011'1 dw job siite. Base unit dimensions -- 48TJ004-007 4:1011111111,11M weaKr Low 0'-11(11• 13ef1 Aw.Ss oAealJ lb kq b ! Ib b I (A.fl ---•i 10 4 . 1 1 .4 142 6 .4 106 b.I 162 72.6 f0 47.! 100 16.0 11 62.! 160 '72 6 — 166 74.0 176 61.7 200 f0.1 64 2f.0 coaNm Coll 1am la Unit^^M(atirtiY*Ma P�f all)sad do IW VebAle OP{Orla Of 01 SO �7 •yYalphh 2•-{Erie' 2•. le' tNe.fl t�.71 BOTTOM POWER GWI�Tf1E6E It 1 COM ECTION SUE-Cor N I ERE O a YVI M %e Lt IWATMPWRMAW Kw E w—11 14FT CanoerlfaleBAIA p M�OI!< Oran 0.111 .et• t-e lil$4Vill r`ie[few C W-14 CPtflec{on @ wM1ENt[ — 1--e. 7 vl{• PAAR— w POW 1w tom' LEFT SIDE Iw P~ 1w } •t3~~W or 114•Im power,d"W.*V ua+1611\ on v**size.REAR 1j *4/2� � 7•♦ 1{• t5 e•-4 1/2• bf+llAfti ll/ r am I I HI ta11DElEb1 COIL a {Letat:l OersaslDR EOOIONIw N000wa tltXCfS totes ''•4 sA• �=ti vie• t4 fI1 �atlaelt•{ M Non .{ LEFT ' tM21pp_q _ aI) Intr A-A eon SIDE lid I lll%RI"tAl N1NO 0,.:i Ifrl{• -f 40 62M1 al{ 1 + --I_ ___I t 1711. r1Er!-f 1 RIGHT SIDE _ 3•-f I -- - -- i �r 111441 11 ii7 I o•it f�f if• 1 1••1 lie'tw •r' 1 EIrAIdl�Ail I K 11-AIR I.-y,• ��l al" t'• rY tstt.4111IfrleIIVIEW A-A 14f1-7 6r1{ 0'-f 1/t{' _ 1".41t sFRONTCop)(" 'p' C/1NIF I+ a'•3 1116• '-0 VI 61.3 Vol COIOtR "t towte0l � S{AWL —J 1101 (3"1 ten p q 114• {-1 11/16• tlNl Ilptl 1 tt14.6 9101.21 �{�p 0-6 310• MA-WSIV1if11{I --1pl111{• (101 _ _ - toptaa {¢K�CE1S ICi CISS•AA L WINE y._ 1 •wea 1 1 2'•1 11/16• MM FILM 1 1 4111S .11 WINE -- 1•-{7r1{• 1 �"-1 I"INC 1 i IIVAPORAT C &JoVt rt ACC' '"PAIRL \ 1 �. r r 11 p 1 MIIti1{ \ 11111.61 1 i� CUf00011AM 111.01 _ p t l_Lry 0 o . 2t/K�21 POLI TT�AIR'KRl°'�7 0 -st1461� (@".$I �tie.ii/t{• 21 / 0••1 p•-2 lf4•Du OU I IgE wprU 416 at1UM Ala "AmissAlim,O) �� RIGHT SIDE FRONT (I^Pkl Acts) °` rwEl {sro. c0N0ENsA1E GRAIN NOTES c. CondaMer Coe.Iat aM bw.36 M.one"ode. 1t In.the other.Tru. 1. Dimensions In 1 are In rrlillmaters �Ch d. vNtwed.601n.b to1MRo ORIPef In rw NECfan sap n6onENeWcal Cott• 2 0 Center of gravity. I 6stween unk tK1nt01 box skis.42 N.p«N 1 1. Bolttttn Illlf and WIOr01NN1ad alaltlas.OOrllml boa side.76 N.per NE( g. 11 ween ural and M odt of aonaaM waft and a"Oro~stoves, .,A r 3 y�/n Direction of airflow. box side,42 In.PINMID. "^[� ro01 fwrb Only h. Hod20Mel MIPti17 arld r{11rrn arid,0 Indict. 4. On vertical discharge ImNS.ductwork to be anK+wd b 8"111ay y 6With Ow OK d Me pNor (Or IM londNlaM MR and combustionf Fo•horizontal d:schar0e unols,field supplied R s silolAd be aRached b iron stated In Notes Sa,b,and C.a n1m01•abte lona a Oa►ritads n1g11Mf s noronlal discharge openings and a6 ductwork sfwufd be atledled to the Ranges 7 Units may be Initabed on eomtmrstlbN flare malt from wood a Class A.I S Minimum clearance(local codes eK►uMsddb^may IIS roof cove rMler41 M sal on INsprab. a Between unit,Rue fide and o »tlbk sc floes,36 Inctm A 7 horn IM flctttan of the base rot I, Bottom of unit to combus"surfaces(wtwn not InO1cuO� � .Bottom of 6 :omsi he M arm a Is C ( S 1 up base rall to cornblMtble surfaces(When net usi curb l�+pwn 16 932 Dimensions — 38CKC Di 0 0 A A p N N N N � N N N N PI 17 17 l'! � � � morrrrrrr � � � � � A g L r@ E e = fi e r C C N d d � dd � � d � .. d •. - � � .A t+ } � ab �6 i i �b d b d d, d, d b d 'C `� ~ •► � 3 r a lgEl �2lQoomoro �0000 = = � ao-- ij! 11;11 13 J Q Y.--- c NWhNhe �e +ereee � �rr � r IL ab a Cb A ob o o w o . o o 1;., 0= .zczzz � rrcr Mr �� ten: Qffi �iT � �i ARtepeIle r � _� ooy/ 0000 �e �00000 � x3 � � � W ` Oz S O O O o 0 b o 1D b r1 0 1D 1p o 0 0 10 0 L� - N O N O N O N !f 1, AM a � a ♦mp q tC (O � � 7 I ` T M1 Jill 1 I 7� i W m 1D ;. 1 Jd f o a . m seer, i at o r N � 431 � fi € lwpy L 1 , _ l Ilk- I O s v ■ 10 ie ie ie LL M1 N N N a 16 E `�x ggrrogg t E 8 C ' 4 e,o I CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Line: 639-4175 Business Line: 639.4171 BUP Date Requested, �q AM PM BLD Location—I l M .S _ Suite -� MEC Contact Person 1,�1 �� Ph C,02J-4 moo` PLM Contractor _ Ph SWR Q BUILDING �t/Owner ,� ELC ( 9�-Ob28 l Retaining Wall ELR Footing Access: Foundation FPS Fig Drain 8GN Crawl Drain Inspection Notes: — Slab _ SIT Post&Beam Ext Sheath/Sheaf Int Sheath/Shear Framing Insulation Drywall Nailing Firmvall Fire Sprinkler _ Fire Alarm Susp'd Ceiling Roof Mise 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 PA PART FAIL a Service Rough In N UG/Slab Low Voltage J Fire Alarm m PASS PART FAIL Barkfill/Grading — Sanitary Sewer Storm Drain [ Reinspection fee of S required before nct-In pectlon. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply gine [ Please call for re!nspect!on RE:_ [ I Unable to inspect-no access ADA Approach/Sidewalk Other Date �� Inspector. AExt Final 's PASS PART FAIL DO NOT REMOVE this inspection record from the job sity. CITY OF TIGARD BUILDING INSPECTION DIVISION /Z.T- 6 24-Hour Inspection Line: 639.4176 Bu ,'ness Line: 639-4171 OUP Date Requested 6—161 —jAM PM BLD Location�&C) io1 km („� Suite MEC Contact Person Ph PLM �9 �� f♦ Contractor �,,L,,✓' Ph na 93UILDING Owner I��y i ) 6gi,&a ELC Retaining Wall ELR Footing Access: Foundation FPS Ftg Drawl SIGN Crmil Drain Inspection Notes: Slab SIT Post&Beam Ext Sheath/Shear Int Sheath/Shear Freminy Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Misc: Final PASS PARI TAIL Post&Beam Under Slab Top Out -` Water Service Sanitary Sewer Rain Drains APART FAIL HkA—NICAL Post&Beam - ---- Rough In Gas Line Smoke Dampers Final PASS FART FAIL Q. ELECTRICAL -- — OC Service M Rough In UG/Slab _ Low Voltage .j Fire Alarm m Final PASS PART FAIL — W SITE Backfill/Grading —"— --` — Sanitary Sewer Storm Drain [ J Reinspection fee of$ required hefore next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line [ J Please call for reinspection RF.: _ [ J Unable to inspect• no access ADA ApprOtoach/SidewalkheDate Final PASS PART FAILJ DO NOT REMOVE this Inspection record from the Job site. • CITY OF TIGARD -_ ELECTRICAL PERMIT _ DEVELOPMENT SERVICES Q��N��P ISSUED: N: E 14/99 -00289 TE ISSUED: 5/14/99 13125 SW Hall Blvd.,Tigard,OR 97723 (503)639-4171 PARCEL: 1S134AD-06201 SITE ADDRESS: 10450 SW NIMBUS AVE R-B SUBDIVISION: ZONiNG: I-P BLOCK: LOT : JURISDICTION: TIG Prosect Description: Add two(2)branch circuits to an existing commercial tenant space. RESIDENTIAL UNIT_ TEMP SRVC/FEEDERS _ MISCELLANEOUS 1000 SF OR LESS: 0 - 200 amp: PUMP/IRRIGATION: EACH ADD'L 500SF: 201 - 400 amp: SIGNIOUT LINE LTG: LIMITED ENERGY: 401 - 600 amp: S;JNAL/PANEL: MANF HMI SVC/FDR: 601+amps-1000 volts: MINOR LABEL (10): SERVICE/FEEDER BRANCH CIRCUITS ADD'L INSPECTIONS 0 - 200 amp: WISERVICE OR FEEDER: PER INSPECTION: 201 - 400 amp: 1st WIO SRVC OR FDR: 1 PER HOUR: 401 - 600 amp: EA ADD'L BRNCH CIRC: 1 IN PLANT: 601 - 1000 amp: PLAN REVIEW SECTION 1000+amp/volt: >-4 RES UNITS: >600 VC ,LT NOMINAL: Reconnect only: SVC/FDR>u 225 AMPS: CLASS ARMSPEC OCC: Owner: Contracto.: MODEL TECHNOLOGIES WILLAMETTE ELECTRIC INC 10450 SW NIMBUS PO BOX 230547 TIGARD, OR 97223 TIGARD, OR 97281 Phone: Phone: 624-3631 Reg 6: LIC 000750 SUP 1965S ELE 34-283C FEES Required Inspections Type By Date Amount Receipt Elect'I Service 5PCT GEO 5/14/99 $2.00 99-315400 Elect'l Final PRMT GEO 5/14/99 $40.00 99-315400 Total $42.00 This Permit is issued subject to the regulations contained in the Tigard Municipal Code,State of OR. Specialty Codes and all other applicable Ism. 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 d. suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rubs 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 ordirect questions to OUNC at(503) �.. 246-1987. N Permit Signature: �X Issued By Cil OWNER INSTALLATION ONLY The installation is being made on property I own which is not intended for sale, lease, or rent. OWNER'S SIGNATURE: _. _ _ DATE: CONTRACTOR INSTALLATION ONLY �- SIGNATURE OF SUPR. ELEC'N: _^_. _ DATE: LICENSE NO: �G :1e� Call 639-4175 by 7:00pm for an Inspection the next business day errY of nGARD RECEIVED Electrical Permit Application Pian Checit If '13125 SW HALL BLVD. , Rec'd By TIGARD 4R 97223 N!AY 1 DateRec'd Phone(503)639-4171, x3otoMMUNIIr DELL i41ENT bate to P.E.Date to DST Inspection (503)639-4175 Print or Type Perm"ilike-e-/ � Fax(503)694-7297 Incomplete or Illegible will not be accepted Called t. Job Address: 4. Complete Foe Schedule Below. Name of Development- Number of Inspections per permit allowed Name(or name of business)__t1 J41 eV,cka,4g f Service Included: Items Cost Sum Address /0'(5 0 Scti ,N,,.1 4" S 4a. Residential-per unit r 1000 sq.ft,or less 0110.00 _ City/State/Zi t�FZ,t a �' g}223 _ Each additional 500 sq.It.or 4 Commercial Residential❑ Portion thereof $25.00 1 Limited Energy $25.00 Each Manuf d Home or Modular Dwelling Service or Feeder :89.00 2 2a. Contractor Installation only: -- (Athch copy of ell current licenses) 4b.Services or Feeders Electrical Contractor /AI, //r d rjfe flee n„r by c Installation,alteration,or relocation Address, f d A osi 2 U-y t 900 amps or less � $80,00 2 city_L, n StAte Dil }Za / 201 amps to 400 amps $90,00 2 Phone No. T io Z4 -7P l p 601 am401 ps to 600 s to 000 m $190,00 2 P amps $190.00 2 Job No. � `/ Over 1000 amps or volts $340,00 9 Elec.Cont. Uce. No. • W C- Exp.Date is-. ;T; - Reconnect only _ _ $50.00 2 OR State CCB Reg. No. s-c y 9 Ex .Date S-i -Y S 9 P 4c.Temporary Services or Feeders COT Business Tax or Metro No. Exp.Date_ 8 t-Sf Installation,alteration,or relocation 200 amps or less $50.00 2 Signature of Supr. Elec'n 201 amps to 400 amps $75.00 - 2 401 amps to 600 amps $100.00 2 /��S Over 600 amps to 1000 Volta, License Nr _ Exp.Date.. LQ- /-o/ see"b"above. Phone Nr 6 Zq-363/ - 4d.Branch Circuits New,alteration or extension per panel 2b. For owner Installations: a)The fee for branch circuits with purchase or service or Print Owner's Name_ feeder nae. Address Each branch circulf $5.00 2 b)The fee for branch circuits CityState Zip without purchase of Phone No. service or fshder An. First branch circuit / $35.00 2 The installation is being made on property I own which is not Each additional branch circuit-T $5.00 2 intended for sale,lease or rent. M.Miscellaneous Owner's Signature ( vice or Each pump or�IMgation cr not �ih� $40.00 2 Each sign or outline lighting _ $40.00 2 3. Plan Review section(if required):' Signal circuft(a)or a limited energy A. panel,alteration or extension $40.00 __ 2 � Please check appropriate Item and enter fee In section 58. Minor Labels(10) $100.00-� 4 or more residentiai units In one structure 4f.Each additional Inspection over -=Service and feeder 225 amps or more the allowable In any of the above System over 600 vnits nominal Per Inspection $35.00 Classified area or structwe containing special occupancy Per hour $55.00 as described In N.E.C.Chapter 5 In Plant $55.00 W `Submit 2 sets of plans with application where any of the above apply. 5. Fees: 4/0 � --1 Not required for temporary construction services. 5a.Enter total of above fees $ 5%Surcharge(.05 X total fees) $ NOTICE Subfobrl $ _ 5b.Enter 25%of line Sa for PERMITS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED IS Plan Review if r oMd(Sec.3) $ NOT COMMENCED WITHIN 180 DAYS,OR IF CONSTRUCTION OR WORK Subfolal $ IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY �� ❑ Trust Account N TIME AFTEP .CORK IS COMMENCED. $ �=` Tota/ba/ence Due I:MSTSIELCN APP 118VWN ELECTRIC CITY OF TIGARD PERMIT#: ELCIPM-00503 DEVELOPMENT SERVICES DATE ISSUED: 8/13199 13125 SW Hall Blvd.,Tigard,OR 97223 (503)639-4171 PARCEL: 1S134AD-06201 SITE ADDRESS: 10450 SW NIMBUS AVE R-B SUBDIVISION: ZONING: I-P BLOCK: LOT: JURISDICTION: TIG Proiect Description: First branch circuit RESIDENTIAL UNIT TEMP SRVC/FEEDERS 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: SIGNALIPANEL: MANF HMI SVC/FDR: 601+amps-1000 volts: MINOR LABEL (10): SERVICEIFEEDER BRANCH CIRCUITSADD'L INSPECTIONS 0 - 200 amp: W/SERVICE OR FEEDER: PER INSPECTION: 201 - 400 amp: 1st W/O SRVC OR FDR: 1 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>■225 AMPS' CLASS AREA/SPEC OC Owner: Contractor: CONSTANCE ROBINSON WILLAMETTE ELECTRIC INC BY INSIGNIA COMMERCIAL PO BOX 230547 BEAVERTON, OR 97008 TIGARD, OR 97281 Phone: Phone: 624-3631 Reg#: LIC 000750 SUP 1965S ELE 34-283C FEES Required Ins actions Type By Date Amount Receipt Elect'I Service PRMT BON 8/13/99 $37.50 99-317654 Elect'I Final 5PCT BON 8/13/99 $2.63 99-317654 Total $40.13 ORIGINAL This Permit is Issued subject to the regulations contained in the Tigard Municipal Code,State of OR. Specialty Codes and all other appicable laws. AN work will be done in accordance with approved plans. This permit will wore If work is not started within 180 days of issuance,or Nwork Is suspended for more than 180 days. ATTENTION: Oregon low requires you to follow rules adopted by the Oregon Utility Notllication 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) 246.1987. e f� Permit Signature: �� , �A�—`(/�,�i"'-`�( IssusdBy: OWNER INSTALLATION OIILY - _ 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: ___&kj nATE:, —_ -__-- LICENSE NO: ----- --- - Call 6394175 by 7:00pm for an Inspection the next business day CITY OF TIGARD trical Permit Application P''I 13125 SW HALL BLVD. RECE Recd 9y TIGARD OR 97223 Date Iiec'd__71 L AUG 121999 Date to P.E. Phone(503)6:9 4171, x304 Date to DST Inspection(503)6394175 COMMUNITY DEVELOPMENT Print of Type Permit! Fax(503)598-196-0- (/ CalledIncomplete or Illegible will not be accepted ?. Job Address: 4. Complete Fee Schedule Below: Name of Development Nu i ber of Ina K allosmd Name(or name of business) t ~re Itit Service Included: Items Cost Sum Address /Lr y U h _-„_ ( - 5�1 4s. Residential-per unit City/State/Zip ja t y,) O, Z r z Z 1000 sq.M.or less S 117.75 4 Each additional 500 sq,ft.or portion thereof S 26.25 1 Commercial Residential❑ Limited Energy S 60.00 Each Manufd Home or Modular 2a. Contractor installation only: Dwelling Servkv or Feeder S 72.75 2 (Prior to permit Issuance,applicants must provide contractor license 4b.Services or Feeders information for COT data base). Installation,alteration,or relocation Electrical Contractor 1w 1. e f/i c i71rr 200 amps or less _ t 64.25 2 Address /3 d2Z 1 D ?- 201 amps to 400 amps S 65.50 2 -- - 401 amps to 600 amps _ + S 126.50 2 City--r.,& rl State �i1 zip,-- zf/ 601 amps to 1000 amps ; 192.50 2 Phone Nd. - Over 1000 amps or votes S 363,75 2 Job No.` _ Reconnect only _ S 53.50 2 Elec. Cont. Lice. No._ t 4-3 C Exp.Date ACU 4c.Temporary Services or Feeders OR State CCB Reg.No. 77)Z 5�I Exp.Date V'4 C1/6 Installation,alteration,or relocation COT Business 1 ex or Metro No. /S_U _E ate `R 1- 11.1 200 amps or less S 53.50 � 2 201 amps to 400 amps S 60.25 2 Signature of Supr. Elec'n 401 amps to 600 amps ; 107.00 _ 2 Over 600 amps to 1000 volls, !N"b"above. License No. 116 5 S Exp.Date %U- of Phone No. G L kt - AidBranch"troupe ,7 fv S New,alteration or extension per panel a)The fee for branch circuits 2b. For owner installations: w/th purchase of service or fUlder W. Print Owner's Name Each branch dreult _ S 5.35 2 Address b)The fee for branch circuits t - without purchase of service City State Zip_ _ or leader Ne. S t, Phone No. _ First branch circuit S 37.50 Each additional branch circuli S 5.35 The installation is being made on property I own which is not 4e.Miscellaneous intended for sale,lease or rent. (Service or feeder not Included) Each pump or Intgatlon tilde ; 42.75 _ Owner's Signature Each sign or outline fighting ; 42.75 Signal cirrxlit(s)or a limited energy panel,alteration or extension ; 60.00 IL 3. Plan Review section(if required):* Minor Labels(10) -- 107.00 - oG f- Please check appropriate Item and enter fee In section SB. 4f.Eat--h additional Inspection oval U) 4 of more residential units In one structure the allowable In any of ft*above Service and feeder 225 amps or more Per Inspection ; 50.00 J Per hour ; 50.00 System over 600 volts nominal In Plant _ ; 59.00 W Classified area or structure containing special occw.ipancy as W described in N.E.C.Chapter 5 5. Fees: 7 �L J Be.Enter total of above fees ; ' Submlt 2 sets of plans with application whore any of the above apply. 7 A"urchar3e(,1WX 10181 fees) Not required for temporary construction services. Subtotal S bh.Enter 25111 of line 6a for NOTICE Plan inview H _required(Sec.3) ; PERMITS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED Subtotal ; IS NOT COMMENCED WITHIN 180 DAYS,OR IF CONSTRUCTION OP. WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS El Trust Account# AT ANY TIME AFTER WORK IS COMMENCED. Total balance Due a 7U i s\dsts\fhrms\elcctrtc.doc CITY OF TIGARD BUILDING INSPECTION DIVISION 24-Hour Inspection Line: 6394176 Business Line: 639-4171 MST SUP Date Requested_ 1 I,�, � —PM— BLD Location [ [)u Sd 11 n'1►�c Suite ',l MEC Contact Person .(.til L - 4 Cly Ph PLM Contractor Ph SWR BUILDING Tenant/Owner ELC &03 Retaining Well ELR Footing Access: Foundation FPS Fig Drain SGN Crawl Drain Inspection Notes: Slab err Post&Beam Ext Sheath/Shear Int Sheath/Shear Framing o Insulation Drywall Nailing _- Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Misc: FinAl PASS PART FAIL PLUMBING Post S Beam Under Slab _ Top Out Water Service Sanitary Sewer Rain Drains _ Final PASS PART FAIL MECHANICAL Post&Beam .. ._W. Rough In Gas Line Smoke Dampers Final —--- PASS PART FAIL MCTRIM LL Sery ce _ iRough In UG/Slab } Low Voltage k Fire Alarm J m S PART FAIL (3 W 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 RE' _- [ ]Unable to inspect- no access ADA Approach/Sidewalk Date _inspector Other Final PASS PART FAIL /DO NOT REMOVE this Inspection record from the job site. CITY OF T I G A R D PLUMBING PERMIT DEVELOPMENT SERVICES PERMITM PLM1999-00156 13125 SW Hall Blvd.,Tigard,OR 97223 (503)639-4171 DATE ISSUED: 5/20/99 SITE ADDRESS: 10450 SW NIMBUS AVE R-B 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: B FLOOR DRAINS: TRAPS: STORIES: WATER HEATERS: CATCH BASINS: FIXTURES LAUNDRY TRAYS: SF RAIN DRAINS: SINKS: URINALS: GREASE TRAPS: LAVATORIES: OTHER FIXTURES: 1 TUBISHOWERS: 2 SEWER LINE: ft WATER CLOSETS: WATER LINE: ft DISHWASHERS: RAIN DRAIN: ft Remarks: Instaihng 2 new showers and moving 1 existing mop sink. See case notes for fixture value information. Owner: FEES ROBINSON, CONSTANCE A Type By Date Amount Receipt ROBINSON, LYNN PRMT BON 5/20/99 $27.00 99-315568 BY INSIGNIA COMMERCIAL GROUP MISC BON 5/20/99 $1.35 99-315568 BEAVERTON, OR 97008 Total $28.35 Phone 1: Contractor: RAYBORN'S PLUMBING INC PO BOX 69 TUALATIN, OR 97062 REQUIRED INSPECTIONS Phone 1: 503-692-4139 Top-out Insp Reg#: LIC 000878 Insp existing/capped fixtures PLM 34-166PB Final Inspection ORIGINAL 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 952-0001-0010 through OAR 952-0001-0080. You may obtain copies of these rules or direct questions to OUNC by calling (503) 246-1987. Issued By: � � �1Q/.� � (�-- Permlttee Signature: o 'i Call(503)6394175 by 7:00 P.M.for an Inspection needed the next business day CITY O= TIGARD Plumbing Permit Apr lication Plan Che 13125 SWHALL BLVD. Commercial and Residential Recd B ' TIGARD, OR 97223 Date Recd -/�- (503) 6394171 rf I' Dato to P.E. Print or Type DOW to DST Incomplete or illegible applications will not be accepted Pertnite-P`= -��'�°D� � Related SWP.a QIQ op callea�1��5 - �f3 Name of Development/Project Job y' (,r #/(.5 7,rTuwv7zww a.00 Address s t rest' S� 9.00 C 5 SVJ A) MSUS Comb. 0.00 Bldg 0 City/State Zip Shower Only ,t .f-- G r 0.00 .00 Name Waley Closet 0,00 M 0,0 C e H a 0 L Dishwasher 9.00 Owner Mailing Address Suite Garbage Disposal 0.00 /Ofls-v So of R Washing Machine City/State Zip Ph9.00 Ph" 0K• 7 - Floor Ore1n/Floor Sit* 2- 0.00 Name 3' 9,00 4" 0.00 Occupant Mailing Address Suite Water Heater O conversion O Ike kind 0,00 Gas pipling requires a separate mechanical City/State Zip Phone Laundry Room Tray 9.00 -- Na Urinal Q.00 Q Other Fboures(Specify) 0.00 9.,v Contractor Melling Address Suite 0.00 o. 3 PA 9 0.00 Prior to permit City/State Zip Phone Sewer-1 a1 100' 30.00 Issuance,a copy I)f `r7 - y r Sewer-each additional 100' 25.00 of all licenses are Oregon Const.Cont.Board L�.! Exp.Date required If # S� Water SeMoe-1st 100' 30,00 expired In COT Plumbing Lk;.f Earp.Date Water Service-each additional 200' 25.00 database .0-166 /08 Storm&Rein Drain-1st 100' 30,00 Name Storm 6 Rain Drain-each additional 100' 25,00 Architect Mobile Home Space 2500 or Mailing Suite Commercial Back Flow Prevention Device or Anil- 25.00 Pollution Device Engineer City/State Zip Phone Residential Baddlow Prevention Device' 15.00 (Irrigation timing devices require a separate Describe work to be done: neatticted end unit. New to Repair O Replace with like kind: Yes O No O Any Trap or Waste Not Connected to a Fbtture 0.00 Residential O Commercial j* Catch Basin 9.0n Additional description of work: Insp.01 Existing Plumbing 40,00 p/-lll)7L' sNI�WCRs / Jc+n� tdR si•�J1- thr Specialty Requested Inspections 40.00 er/hr 30.00 -- Are you capping,moving or replacing any fixtures Rain Drain.single family dwelling Yes 0 No O Grease Traps 9.00 If yes,see back of form to Indicate work performed by QUANTITY TOTAL fixture. FAILURE m TO ACCURATELY REPORT FIXTURE looeak or rtaer dlaprrm b required N Taal Is >a 3 WORK COULD R SU_LT IN INCREASED SEWER FEES. _ "SUBTOTAL 1 hereby acknowledge that I have read this application,that the Information '?. 1 given Is correct,that I am the owner or authorized agent of the owner,and 5%SURCHARGE that plans submitted are In compliance with Oregon State Laws. 3 Sly tun of OwnerfAgent Date "PLAN REVIEW 25%OF SUBTOTAL I�AReS� Wired 29y f j qty.loth h,a nntart ereorl amo Phone _ r 1 'Mlnlmum permit fee is$25+596 surchergo,except Residential Be flow Prevention Device,which Is$15+5%surcharge -All New Commercial Buildings require plans with Isometric or riser diagram and plan review I.%d91s%pk nepp dM 7r2M ' a 1 PLEASE COMPLETE Fixture Type , r 4, Quant : .YV 'k: '.... :. New II "od Sink Lavato;y Tub or Tub/Shower CdMbination Shower Only Water Closet Dishwasher Garbage Disposal Washing Machine ._ Floor Drain/Floor Sink 2" 3" _ 4" V.'ater Heater _ Laund Room Tray Urinal Other Fixtures (Specify) COMMENTS REGARDING A VE: 0 Ll a I1dst$4*mnwV da TOM Tenant Name: t OQRPN ICS Accumulative Sewer Telly This SWRir: Addrpss• lgtg5D 6jZIfti LLS aK This Pl.M#: P 1 - �7y& Fixhxe Value Previous 8 Previous CnK is Copped Fixtures Fixanea Now New Value Capped off value added f added tool#a totM Const off of count value values Baptistry/Font 4 Bath-Tub/Shower 4 -Jacuz/Wh I 4 Car Wash Each Stall 8 -Drive Through 18 Cuspidor/Water Aspirator 1 Dishwasher-Commer 4 -Domest 2 Drinks Fountain 1 Eye Wash 1 Floor Drain/sink 2 inch 2 3 inch 5 4 inch 6 Car Wash Drain 6 Garbage Disposal 18 Dom Ito 3/4 HP) Comm Ito 5 HP) 32 Ind lover 5 HP) 48 Ice Machine/Refri erstor Drains 1 Oil Sep(Gas S.:i:..^! 6 Recreational Vehicle Dump Station 18 Shower-Ga (Per Head) 1 -Stall 2 Sink-Bar/Lavatory 2 Bradley 5 Commercial 3 Service 3 Swimming Pool Filter 1 IL Washer, Clothes 6 at CO) Water Extractor 8 Water Closet. Toilet 8 J Urinal 8 m TOTALSlu .j Total fixture values:-121);L, divided by 16 EDU N -DLi 00 HISTORY Y14/59 t,-,. a-44 9 7Lk S PLM"" EDU# SWR# PLM# EDU# SWR# FLM# EDU# SWR# PLM# EDU# SWR# PLM# EDU# SWP.# PI-M# EDU# SWRI. PLM# EDU# SWR# PLM# EDU# SWR# Ant by: GROUP MACKENZIE 5032281285; 10/08/98 10:42AM;Jalr= #911;Page 1/10 6 FA–X- COVER SHEET one sw >n..t/ro r..«oma• -pm x or n�oi �. -`- X�-- t k M22ft"Al a Not Irye-pNtwr�eetn•kas lo4?a if ftj"N=JW. 298'5 o-7 Fay (. 8,q-77- 7 -bar 10/O198 Te�- Dm*im. ?t . p�Iss ?J=:rym&d aster recnlw eYpes.pkme mU avArcw* VACIAO&RC A&cows?shw): O DepnMew at 50.!/221-9$60. To aasd fam.sus 503a28-1285. Cassa: �'�ivtn�'�-� . �,�-��x-�� e�•�,c, -tib by c: FAX to: G%, v 8: ■ cameo GLUM NO=&The Wer"ehan ca"W.o ti in+M�. h WO soamkdm *w4d."ft.a yw lm0*a+O um Of w+.b1a4e641 v 0040W"Weld aeu.w I iwae,of Rw"mmme Y dor n..intended NGOWN Nw oww INneMee lren w4w.q nwdkip Oruw er .0 01 46 4**buMwt ter wtv taing at wry 0~In Iwsw .,n.mqw at»w a.�w"LwAeeaon r Orleft IN 10.L 1011 W wwWalem mi N004ee In WW,r,wrassw nwUy uw ul Credo 10 wee ler ranee slow .�. i � .Rr•�e4�« 0 w�r .►•�„r, CNrh S .7^ ^ .. 0 i' �a%t•w.^.:' �'.....fQ FAX INmUCTiONS PLEAS NOTE THAT AN oxicro AL OF 7NS FAXED NNFDR anav 1 Lu N©T BE SENT M UCIPIDVTa) UNUM.SPFCff7CMMVC17MARE GPFW BELOW W-HOUSE COPIES rJ Send in-house copies to: —_ DISTRE VTION(PLaw s kcs aKy av): n OTHER INSMUCrIONS(aty 00000 of aw 0 To 110W for finther scrlion (A 7M_Sw/-mw...11D w aura w e�csv Awa: t l&r avies aw MOAN dj.Y bywwadwt). -- O To after raw,, I O Ow for 11111014 orisirw tD 007F.-AN asowim m b**con-swo will&W so APA). - ^_ O Qn7 fer ;01101A to To — T i fdoewmn awt wgg*m dnd 5t Word/lee , /�1 Sent by: GROUP MACKEN71E S032201205; 10/08/96 10:42AM;JW& #911;Page 2/10 �a�i�`n�io•Nr� IUA�r��►�c IOY�M.t� RECORD OF TELEPHONE CONVERSATION PROJECT NAME: Mculm araldtioe T.I. DATE OF CALL: 911 SM PROJECT N: 294307 TIM allamon Pm tsdN: Jia Ful PHONE M COMPANY: Gtr of Ti ford 7hn and 1 clinumed the twardoomts IN*Wkinj lbumms at the Mmw Mapims know invol"emtnt As a fMbw-M to enc pwmit P*nitW aP &wi^it arae d wn&MW*4 a dwl4W*ti%Im*f o m is tagairad on the Atst Aoor. Ibis ebiakiog taauain hu from i000rpors�d ins Addsxl�N1 for da ptojoot(see sttaohad). We also confined Out a drWkwS fa uaio is am rdgn W at the aaond Am.a the kW campus bad hr do anx.as caladMW by Table A-29-A(Mitri=m Phwbioj Pbo m)b bit d"130 a000pMgL 0*am Making flrr a to tegiursd!br dw antes spew '1'ims%M the*Wk ins fowtain whiob had baa iodical d a rageind m the permit tat at the woad Aoor is oat raI a 1 Rmy aAbrt hos boa reads to sowtssdy roved this oonvandon. KmW arae cc omissioot are ndK pbw rwi&"A""nepooee wide m 8va(3)drys of mu ipL Kj@rO=H.(7ana A4 KHChk Bneloama c: C4nvwsoft Fric Money-Coimmorow coabacbm Ilm. a 8 a� m t� s_WM&TAMsAPMUtrNlTelaX r Gent by: GROUP MACKENZIE 5032281285; 10/08/911 10:43AM;JSWM 0911;Page 3110 6R ACKEN71L ADDE]tI*JF1llt NO.1,Sapalssber 1a,1� Rt3: Mawr araphia Tmemt dFe"aamt _ Pnojetx No.291307 FROM: Group Maelasaaie 0690 SW Bao loft Stew ftid lr OR mol (303)214.9560 TO: Proactive Bidders I Addendum Nmeber 1 ameods the coottaat doaunents for dw abjeai ptrtajact dated 9/15/9a.it Is file resp4etibibity of the pro"Ways bidden to none the ooatattlr adthis addsasatnm and that the Owner be ° made swam that this+addendum has bam moved Adarowb V rraaspt by auardat the number of Chir addendum in the space prwMad as tba Bid hopessl Fane. The Mowing&anges in the ooaRact dowmaus eomti &this addendum. All a aWs by addends are m be imbAt d in tt>G propawl form and the gene au of the addenda bawom I a pat of dw Contract Downenu for this pmj=t All dutnaes otfses aoly the specified dmwvW words,or parasrarp6s mendoned. The balance of"drttevinp and spea8oatiaos will remain in f1lu f0m. Q a a -- CHANGES TO BIDDING REQU1AWEN TS: M 1. None. CHARGES TO CONDITIONS OF THE CONTRAC f: 1. Nasse. Groep Maeltealle. CHANGES TO DRAWINGS: laearpeawlad A,meact.re l.. Dda 4/A 1.The side light shalt bo callod ant as a tempeaei side "rar Or Dwrgn 2'. Genre"Cansauc W Nag 19, Room flus soot;tot used ung u.a Pla-sung 3. (imeral Cansbuetion Nath:40-Clatifiead Snug paddle push pad as p oMed as exwft Group door d=not mast UBC Standard 10.4 and is we aootvtabk. u..beaele d, area"Comovaim Nate 102-Revise last emsecotr to read lasted ADA interoa mal lovinaarlae, syrnbd of accessibility Wan insted sign at waled exit signs," taearpaaated S. Shm A3,Keynote 44-Revise in ace rdaerae with Mocked ddal Baa attached&Wk fbr 0-0111ucuroi L sevlaed plan ad � ��1�t„WlbL —J �M llgin.06i 47 6. Shed A3-Xtynote 010!bail be revised to read. hMiff owner-provided,umhr-comm Tronsvoriaho•r rovM111111.1m,A Nanning 7_ Sheat A3.Sa000d Flag Plant E ddina Full HW&Wald Ad*set to Bads Stair-Add Me neNirisa a/ t17iyWiM 034 In CWk of to Walk Ma.atrrsio Lagin—naat and Mn}analardeim rearlan... K'tiFl]ATAIaADD1.EfC I' gent b!:: GROUP MACKENZIE S0322e1285; 10/08/98 10:43AM;JsaK #911Xage 4/10 ADD1q 4WM NO.1,8 Wtmbw 16,1946 medw(ltapdrs Teamr.Improwateot heft Nm 29007 f. Sly A3-Tasnot Dmsm Noma-Add notos f and F ar foilarws: L Branrb dtwit(m wcwt a oac M)all egoeipmset requffmg poma CAVAC wits, hWk lbb UVk rnoepra IM aec.)"m"the neer Mater Gapbia teem SpKV 10 liar Graphics'main in v and Ud*mss. Upg ada cd1w dmmie+d satix ad coorfim me urvia vp Wm•sitla uWity compW as erooasmaey 00 4000MModms ada6l=W acne reckcntited dm*W Weds. Sclnddm 4isoarbeorme wbb owaa ' a tmaioimaan of 72!roars im tdvccce. F. aq mViMw nrgairin#punt(HVAC axles.U&0msanas,a*oWO91 k ale.)saving do nmdeiet noodetapirt I bawl ft arms to eckft WRO tsuI'll AWN carries teed tmliey mater. LWade a dedng elect itcel eaviaac ad aocWhom amavke np0rdes t .A utility campoW ee neammy w wAm moddc radrouitod do*icaI loads. SdW&amvise di"bawn wAb omw a mirdroum of 72 boars in advcacs. AU miae d itmba ms b mw dDa fSFAlsr ' WOmess boar. 9. Pfau VA4-Add Wysotf 4f b for folloWingeuit mss IL In Open Oilaoc 103 dkudng owupentt to batik adt&Mr. b. A41met to Employee Mesda6 Room 109 4incdng oOeuQann to the made mogdm am a in hallway Awma to Racepdoa 101 dhecdog cooppseb to tba mads catty 4mu. Keynote 4f rball read:"InvA ADA b temedorW rymbol of aacoesm"Olity?Ih n kmmd sign 342oeet in edt siva" 10. Floor Fina VA4-Add kmynotc 46 typicd aW*am and cdodng deadtiotg aYalls. 11. Ddad NAS-Add the Woaiag note to this docesdara:"New wbdow rftftm SW be double gWvW system with timed glen to me:&ausdog bead&*ad frame to match etaoietiog 12. Plat 1�/A6 ad 2/A6-Add the Nowing gewal note:"The sericm'4 vanities&A be moak8iA sm nguiaW to comply with Dead WA6,Wading the boWledoa o[dnsin pipe illilliallmw 13. Plan VA6,Ma's Rese*om-The misting abdf called nus with K yeale 01 abdl bs dekeed. A new shelf matebing die raWma mob acid lomdw✓the War sbdf in dw Womm's Rmbmm 107 shag be ahlcd with Kwl=b 013. 14. DdW MA6-The rant mm signs dmG read-Wo mmi-mad--W rsti•a then'UkV 38d t w i 13. Dataa7 2/A6,Mm's Ba warm 236 and Womar's Room 233-Add%eymm 417 at(2) aooaadble u ikm Ksynota 417 to nod:"Add raised swam mquired to so=*with AVA6 dsta" 16. DaWls 1/A6 and VA6-Clsdfieatiaa for gaonwW reetro0en moors,ktlrr B. Dc not provide new muwy MOM IOIC/dc a Brie Now-Caam mw Caeesciors,ion:. Roby PAnsy-%WpW 3 QaM Mi:taae-Dating I�(arlaeaaae acwaroatwwse:eaeranaaa0ot.m ' Bent by: OHOUP MACKENZIE 50322W285; 10/08/96 10:44AM;jg&g I911;PA0o 5/10 I I , L ! � a i I � ! i � U4M of �e I Vr I I ! I � I I I ' I I I � i •• mmmm .. I � I I . I � a I chi 7 2t OL I L -....... ..... ........... ... _. ..................... rc U) u� t� w a Sent by: GROUP MACKENZIE 50322w1285; 10/09/110 10:44AM;JW& N011;Pap• 0/10 KEYNOTES 1. NEW WNYL COMPOSITE TILE. 2. DETAILIRE—FINISH EXISTING WOW VENEER AT CASEWORK. 3. NE I COUNTER T A O E1 LA . SE FIN;,. LE 4. PROVIDE AND INSTALL NEW DUAL—LEVEL. WATER COOLER DRINKING FOUNTAIN. FURR OUT WALL AS REOV FOR NEW FOUNTAIN. SEE 9/A6 FOR MOUNTING HEICHT. ft, K 0g,%VEW f)LAM CCUNTER • 34" AFF. 6. INSTALL NE1�1r11W.•t�4!iaQ IL 7. FURR OUT WALL. AROUKO EXI TIM I & NEW PLASTIC LAMINATE CASEWORK (UPPER AND LOWER). SEE ELEVATION FOR FINISHES. !. NEW UNDER—COUNTER DISHWASHER. 10. INSTALL NEW UNDER—COUNTER RURIGERATOR. a0 11. NEW EXTERIOR WINDOW SEE 5/A3. W12. NEW EXTERIOR WALK—OFF MAT, 13. THIN COAT CONCRETE AT EXISTING CRACKS IN SIDEWALK. 14. CARPET TRANSITION 0 CENTER OF DOOR. 1S. 24' IMIDE COUNTER • 34' AFF. PROVIDE KNEE BRACES 1 BELOW • 32' OC MAX AND BACKING IN WALL. PL3 ALL EXPOSED SURFACES- IS. URFACES16. LEVEL FLOOR SLAB PRIOR TO NEW VCT INSTALLATION. 17 1 nrk FXISTINIM AVFRNFAf1 n" 1N1 M. A.SF'/) PAAITMN Sent by: GROUP MACKENZIE 5032281285; 10/08/98 10:45AM;jWft 0911;Pep• 7110 I 1 I ` • I I I 1'-30. EO.� CLEAR SPACE PER MNFR ALIGN DRIN I ING FOUNTAIN TO1XTURE FOUNTAIN MOUNTED CL* FLR SPACE/A COVE WALL PER ADA REO'D L _ _ _ -. _ � HEIGHT SPouT It SPOUT— CONTROL POUT CONTROL n ` COOLER UNIT VENT H KNDWCOMO UG CA FOUNTAIN. UM. HWCD8-2 J FRAME ROUGH OPENING PER m FR u0u EXIS TING WALL "'! N I DF #M Fg-%ffM W/ WATER COOLER. DUAL -LEVEL K:.w....M..w,,,....i..,.,M._......�»,.M..a..., .M,,.Mt,..,R..IMSM•.,...,.e..._..,....w, ...sw,,._.....+.w lent by: GROUP MACKENZIE / 10/00/98 1 1 . � . aNO ry_D es�...... Ilr■ .1 r __ _ . ©rel'�=�►. I, =_.t►�� • 1 1� _.... .... e■�� r . ■ erg■— ©■�� ;;�■. ■■■ -� ..�.. x ►��►SII ROOM �►/ ►'�i��rJ1■ ID r ... gsnt by: GROUP MACKENZIE !,032281295; 10/08/96 10:48AM;JW& N911;Psgs 10/10 KEYNOTES 1. ELECTRICAL DESIGN/BUILD TO PROVIDE REQUIRED EXIT LIGHTING ALONG INDICATED PATH. 2. PROVIDE COOLING TO ACCOMMODATE 13 COMPUTERS OPERATING 24 HR/DAY, 7 OAYS/%EEK. 3. 1-HR RATED STAIRWAY ENCLOSURE. REVISE VENTILATION AND ELECTRICAL TO PROVIDE REQUIRED DRAFTSTOPS & DATED PENETRATIONS. 4. PROVIDE NEW SUSPENDED CEILING • RATED STAIR ENCLOSURE. S. NEW GYP 9D. CEILING TO MATCH EXISTING. 6. VERIFY EXISTING WALL EXTENDS TO UNDERSIDE OF STRUCTURE. COMPLETE WALL TO STRUCTURE FOR SECURITY IF INCOMPLETE. a 7. CONSTRUCT NEW GYP 00. & MTL. STUD DRAFT STOP ABOVE NCEILING TO DIVIDE AREA IN' IQ ' M CLEAR HORIZONTAL B. INSTALL ADA INTERNATIONAL SYMMXL OF ACCESSIBILITY aD ILLUMINATED SIGN ADJACENT TO EXIT SIGN. W J GENERAL. NOTES _ A. MECHANICAL DESIGN TO BE DESIGNAUILD BY CONTRACTOR. 8. ELECTRICAL DESIGN TO BE DESIGN/BUILD BY CONTRACTOR. CITY OF TIGARD DEVELOPMENT SERVICES BUILDING PERMIT 13123 SWHN181vd,n9VAOR97223(503)0417f , PERMIT #. . . . . . . . SUP98--0.371. DATE ISSUED: 09/16/98 PARCEL: 1 S 134AD-0611 01 `] ITE ADDRESS. . . : 10450 5W '!IMPHS AVE #R "iUBDIVISION. . , . C 043 Ott ZONTNG: I -P BLOCK. . . . . . . . . . . LO1 . . . . . . . . . . . . . : JURISDICTION:TIG ----------------------------------- ----------..----------------------------_.---.-.--_. RFT SUE: FLOOR AREAS---------- EXTERIOR WALL CONSTRI.Ir.,TTON,_. rl_C1SS OF 14ORK. :ALT FIRST. . . . s. 0 s f N: S: Es W: TYPE OF USE. . . :COM 5E'C0ND. . . : 0 sf PROTECT 0F''ENINrS'7----------- TYPE OF CONST. :3N 2,6000 . . . 0 s f N.- S: E.- W.- OCCUPANCY :OCCUPANCY GRP. :B TOTAL------------s 0 s f ROOF CONST: FIRE RET') : OCCUPANCY LOAD: 246 BASEMENT. : 0 !if AREA SEP. RATED: STOR. s 0 HT: 0 ft GARAGE. . . : 0 sf OCCU SEP. RATED: BSMT?: MEZZ?s READ SFTPAF'KB--------- FLOOR LOAD. . . . : 0 psf LEFT: 0 ft RGHT: 0 ft F=IR SPKL: SMOK DET. . : DWELLING IINTTS: 0 FRNT: 0 ft REAR: 0 ft: FIR AL.RM: HNDICP RCC: DEDRMSs 0 BATAS: 0 IMP SURFACE: 0 PRO CORR: PARKING: 0 VALUE. $ : 1859010 Remarks : TI - walls, removal of walls, stairway enclosure construction, cabinetry. A fire sprinkler, mechanical, and t:ectrical permit are required. Owner: INSIGNIA/ESQ type amasant by date recpt 8705 SW NIMBUS PRMT $ 648. 00 B 09/16/98 98-309216 I=,TE 230 5PCT $ 32. 40 R 09/16/98 98--309216 BEAVERTON OR 97005 PLCK t 421 . x•'0 P 09/16/98 98-309216 rh on e #s 626-2277 FIRE t 2-99. 1-10 A 09/16/'38 98-309216 Contractors -------------------------- COMMERCIAL_ CONTRACTORS INC: 25610 SW 41ST AVE RIDGEFIELD WA 96642 -------------------------------- (,hone #: 227-4440 t 1360. 80 TOTAL Rr:J #. . s 123729 ---REOU I RED ACTIONS I NSPECT I GINS-- Thif permit is issued subject to the regulations contained in the F r•a m i n g T n s p Tigard Municipal Code, State of Ore. Specialty Codes and all other F i r,ewa l 1 Insp _ applicable laws. All work will be done in accordance with Gyp Fnard Insp approved plans. This permit will expire if work is not started F;trc,p Cei Ing Insp within IN ;lays of issuance, or if work is suspended for more than 188 days. ATTENTION: Oregon law requires you to follow the riles adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 95c-901-8918 through GAR 952-08101987. 4 _ You many obtain a copy of these rules or direct questions to OLMC by calling (503)246-1987. �'r�rmfttee Signatr.rres /X-- _ T --lir,i Py : +f+4+++++�1-++++++1-+•4++++t+....++•f•+ ++ A-i+++-+-4++.i-++++++++++++++++++++++++++y++ Call 639--4175 by 7:00 p. m. for tisper-ti.on needed the next br.rsiness day ++++++++++++++++++++++++.++++++•++++++++++F+++++++44-++++++++++++++++++++++++++� CITY OF ilOARD Commercial Building Permit Application ��d _ _ -- 13125 SW HALL BLVD. Tenant Improvement Dole b p E _ TIGARD, OR 97223 �� Dow to (603) 639-4171 �-�'" PemN0 ` Print or Type rl►+naa am s Incomplete or illegible applications will not be accepted ------ Nam of oevatoprrwd/Pro)sct Existing Building New BuildWg Q Job I-A((S Address strAddreaa sins Building Sir" 10050 sw �i�alis Q Data mg a C41Y ZIPExieft Use(of Bu*"or Property: R Tie,410.0 Ok */ jrje jr, Nam• — prop�d Use of BW g or Property: Property i�✓444-/#Ar �A�''"I'*4 d��jGrG Owner Malting Address �7 0� tSw NSM Z 3 a No. Of stories: City/State Zip Ph" _ ,_�!►?��^- ,o Gam'}0.7 Sq. Ft. Of Pm*t: Occupant Name Occu n C ee 13 Name - Contractor C ✓,�Q�r_ _��'r ✓�" ype(s)ofConstructbn lf�N Prior to pa co M•tiing Address �,� 3vite W11 this project a Fire Suppression System? iaofarres,acopy QN✓ t,f, M�� yes es No ❑ of all Nosnses _1' _ are mquked K city/state FIP Americans with Dhwbl s4Ac1DA) expired In C.O.T. e- waly 14101. 7%1 Valuatbn X 26%■_ ParMdpstion database ��'r ort Const.Cont Board I.ic.! Exp.Date CO Aoo/stl Form /2-7 7 Project -- Valuation $5 Name ArchitecttrAc� '*�N Plans Required: See Matrix for number of seb to submit Malting nose Su1b On back Clty/state Zip Phone 1 hereby adcoOIAKIP that 1 have read this spAM.OW the 97fU z a15. I am die owner M arAhorleed tiisMd or t»artier,end WornmMon Pv 9��•s are In oompNana with Oregon>lteAs E.aw!s. Engineer Name _ •._.— ERE Mailing Address sulle L Phone 2'��i X44 0 r City/state zip - FOR OFFICE USE ONLY j Indicate type of work: New O Addition O Demolition O 0 Acct-viory Strudrxe O Foundation Only O Alteration O Repair O Other O Ur"cripdon of work: r �'Y p• x Note: Site Work Permit Appllestlon must precede Or•ecompaey 010" Permit Application I:%COMNEwn.DOC (DST) 9/98 , u COMMERCIAL PLAN SUBMITTAL REQUIREMENT MATRIX Man Review dependent ppplipation. or an electrical , ignsture of th supervising a AWK plan rev- approvai, Wis'hill tun! ' 'YP OF SUam . Y: S (Private) 1 S = Site Work B (New or Add) 1 B = Building F (New or Add or Alt) 3 F = Fire Protection System M (New or Add or Alt) 1 M = Mechanical B & M (New or Add) P = Plumbing P (New, Add, or Alt) 2 E = Electrical B & M & P (New or Add) 2 New = New Building E (New, Add, or Alt) 2 d = Addition B & F & M & P & E / 3 Alt Itemation to Existing (New , Add) ing r ff .f. NOTES: 1:1dst9Vnsxtrbd.doc 07/08/9!) 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 Individuais with disabilities,unless such alterations are disproportionate to the overall atterations in terms of cost and scope. (2)Alterations made to the path of travel to an altered area may be deemed disproportionate to the overall alteration when the cost exceeds twenty-five percent (25%). VALUATION of all renovation, alterat;on or modification being done I $ SGQ excluding painting, wallpapering. t11 $ mufflft 25% Barrier removal requirement. BUDGET FOR BARRIER REMOVAL (2) In choosing which accessible elements to provide under this section, priori4i shall be given to those elements that will provide the greatest access. Elements shall be provided in the following order: (a) Parking IL �- d (b)An accessible entrance: S �1 (c)An accessible route to the altered area: (d)At least one accessible restroom for each sex or a single unisex restroom: $ _ (e)Accessible telephones: (f) Accessible drinking fou tains: and �''� r • (g)When possible, additional accessible elements such as storage and alarms: $ W TOTAL: Shall equal line 2 of value computation S �� CITY OF TIGARD DEVELOPMENT SERVICES BUILDING PERMIT PERMIT #. . . . . • • e BUP99-0427 13125 SW Hall Blvd.,llpard,OR91223(503)6394171 DATE ISSUED: 10/13/98 PARCEL.: IS134AD-06201 ;ITE ADDRESS. . . : 10450 SW NIMBUS AVE #R —R) ZONING:I-P SUBDIVISION. . . . : JURISDICTION:TIG BLOCK. . . . . . . LOT. . . . . . . : -----------__ __ ------•---- --------------------------- --------- REISSUE: FLOOR AREA5------- EXTERIOR WALL_ CONSTRUCTION- (-ASS OF WORK. :FPS FIRST. . . . : 0 sf Ns Se E: Ws "TYPE OF USE. . . :COM SECOND. . . : 0 sf PROTECT OPENINGS?---------- TYPE OF CONST. :3N COMBO . . . 1 28000 sf Ni Ss Es We OCCUPANCY GRP. :B TOTAL-------: 28000 sf ROOF CONST: FIRE RET?s OCCUPANCY LOAD: 0 BASEMENT, s 0 s f AREA SEP. RATED: STOR. : 0 HT: 0 ft GARAGE. . . : 0 sf OCCU SEP. RATEDs BSMT?: MEZZ?: REQD SETBACKS-------- REQUIRED------------------- FLOOR LOAD. . . . : 0 psf LEFT: 0 ft RGHTs 0 ft FIR SPKLsY 3MOK DET, . : DWELLING UNITS: 0 FRNT: 0 ft REARS 0 f+. FIR ALRMs HNDICP ACC: BEDRMS: a BATHS: 0 IMP SURFACE% 0 PRO CORR: PARKING: 0 VALUE. •s 8264 Remarks : Eire suppression system - Relocating 49 heads, addin 46 heads ------------------- FEES -------------- ROBINSON, LYNN, & BELL, KAY ET type amount by date! recpt PY INSIGNIA COMMERVIAL GROUP PRMT f 74. 50 B 09/30/98 98-309629 0705 SW NIMBUS AVE #230 5PCT $ 3. 73 B 09/30/98 98-309629 PFnVERTON OR 97008 FIRE f 29. 80 B 09/30/98 98-309629 Phone #: Contractor: -------__.__.___.--------•---- FIRE SYSTEMS WEST INC 600 SE MARITIME AVE #300 VANCOUVER WA 98661 Phone #: 360-693-9906 $ 108. 03 TOTAL Reg #. . : 49732 --REQUIRED ACTIONS or INBPECTIONS•---- This permit is issued subject to the regulations contained in the Sprinkler Rough- — Tigard Municipal Code, State of Ore. Specialty Codes and all other Sprinkler Final applicable laws. All work will be done in accordance with d approved plans. This permit will expire if work is not started -- within 181 days of issuance, or if work is suspended for more Fes- than 198 days. 1.TTENTION: Oregon law requires you to follow the U) rules adopted by the Oregon Utility Notification Center. Those rules are set forth :n OAR 952-1-1U through OAR 9"111987. - You many obtain a copy of these rules or direct questions to MMC m by calling (383)246-1987. W I t,r, mlttee Signature: __ Issued Bye + + + 4 F++++++++++++.q•++++++•+a-.}4•++++++4-+++++++++++++++++++F++++++++++++++++++i•++++ Call 639-4175 by 7:00 p. m. for- an inspection needed the news buziness day ++++++++++++i-+++++++i++++++++++•t+++++++i•4•++++++4-++++++++++++++++.t•+++4+++++++++ No d4 Fire Protection Per gait Application Plan c . CITY OF TIGARD Commercidor ReWential Reed B17 13125 SW HALL BLVD. 4 �,�► Dots�.,� C TIGARD, OR 97223 Print or Type ,a� Data to P.E. - (503) 639-4171, x. 304 Incomplete or Illegible applications will not be accepted Date tor T I 10 1 (qJ' _ - Permit - q Called D-164:ft .lob Name of nUProject a9' a &M H15-�JIVIZ •fC�a.t'��r��, Type of System(Complete A or B as applicable) Address Adrfass A.)Sprinkler Wet �^ Dry p t c745O Ste/ IJ/M _• _ rte,v Nartoe�s s�,,, r vJ.J 4 %&F« ,11" 6T AL Y Standpipes Owner Mailing Address Hazard Group T&; e r s >*23a Additional City/Statazip Phone Information Density r o,J oQ 9 Name � A r, Design Area Occupant Mailing Address K.Factor tor-usoc-7 -Sm city/State zip Phone A.1) Sprinkler Project Valuation Q om_ Contractor NaR1e B.) Fire Alarm (aMWdOr Or Aran Compatry) Mailing Addres+ Submittal Shall Include Battery Cakculations VES n Prior to permit <00C) 5-6:- 1T I vt issuance, ra City/State Zip Phone Individual ComponoW VES❑ COPY Gut Sheets of all licenses \(AC<,y� yPWQ _ 9 _qr$% B.1) Fire Alarm Project Valuation � aro required if State Const,Cont.Board Lic.q Exp.Date ax database in COT data4q7 ' _ or Project Valuation Subtotal(A b B) g Name Permit fee based on valuation C_2U Or' �i u�c��z ►� $ S� Architect Mailing Address ------ ( chart� _ 7�'+— q c eer-r iq 5%Surcharge $ �S City/State zip Phone FLS Plan (Review 40%of Permit ,v nX7%lro,r_Or 972ol Z_tZ4-4510 'q. scr >�-- Deibe work A.)New O Addition O Alteratlon Repair o TOTAL to be done: $ 100. 03 B.1 Mndiflcatbn!o sprinkler heads only: plans wired: Submit three sets of 1. 1-1Q headso No plans required feq plans,including a vicinity map and 2 It—Plan review required the location of the nearest hydrant, ---_-- _� I ft" Ntlge mat I haw reed this appsraft,OW do Wo nwson given is Number of sprinkler herds: °°neat that I am ft Owner or WAtxxt W spam 3f the owner,and that plans suhnstlad Additional Description of Work: We In oompNanM with Oregon State Is", /*rnp,,JL. LOcA•r PJ 6 tkn Nt= �S Signature of Owner/Agent Date A.)In Existing Building New Building 0 Ir Cie) Building Contact Person NlobPhone pate e.) Commercial Residential ❑ 90 FOR OFFICE USE ONLY: No. of stories: Plat# �' " Sq.Ft: 2,0t)o NOW Occupancy Class Type of Construction is\fwesupr.doc 1 CITY OF TIGARD BUILDING PERMIT FEE TOTAL STATE BUILDING VALUATION OF PERMIT F.L.S. TAX PERMIT PROJECT FEES 40X 6% FEES 1- 500 25.00 10.00 1.25 36.25 1,5 01 1600 26.50 10.60 1.33 38.43 1,601- 700 28.00 11.20 1.40 40.60 1,701-1, 00 29.50 11.80 1.48 42.78 1,801-1, 31.00 12.40 1.55 44.95 1,901-2,0 32.50 13.00 1.83 47.13 2,001-3,000 38.50 15.40 1.93 55.83 3,001-4,000 44.50 17.80 2.23 84.53 4,001-5,000 50.50 20. 2.53 73.23 5,001-6,000 56.50 2 0 2.83 81.93 6,001-7,000 62.50 .00 3.13 90.63 7,001-8,000 68.50 27.40 3.43 99.33 =�- 8,001-9,000 4.50 29.80 3.73 108.03 9,001-10,000 8 0 32.20 4.03 118.73 10,001-11,000 86. 34.60 4.33 125.43 11,001-12,000 9' 0 37.00 4.63 134-13 12,001-13,000 .50 39.40 4.93 142.83 13,001-14,000 104.50 \41.80 5.23 151.53 14,001-15,000 110.501.20 5.53 160.23 ,000 116.50 46. 0 5.83 168.93 ,00 122.50 49. 6.13 177.63 0 128.50 51.40 8.43 188.33 ,000 134.50 53.80 6.73 195.73 0,000 140.50 56.20 .03 203.73 1,000 146.50 58.60 7. 212.43 2,000 152.50 61.00 7.83 221.13 22,001-23,000 158.50 63.40 7.93 229.83 j 23,001-24,000 164.50 65.80 8.23 -838.53 24,001-25,000 170.50 68.20 8.53 247..23 25,001-26,000 175.00 70.00 8.75 253.75 26,001-27,000 179.50 71.80 8.98 260.28 27,001-28,000 184.00 73.60 9.20 266.80 28,001-29,000 188.50 75.40 9.43 273.33 29,001-30,000 193.00 77.2.0 9.65 279.85 30,001-31,000 197.50 79.00 9.88 286.38 31,001-32,000 202.00 80.80 10.10 292.90 32,001-33,000 208.50 82.60 10.33 299.43 33,001-34,000 211.00 84.40 10.55 305.95 34,001-35,000 215.50 86.20 10.78 312.48 35;001-36,000 22.0.00 88.00 11.00 319.00 36,001-37,000 224.50 89.80 11.23 325.53 37,001-38,000 229.00 91.60 1145 332.05 i:\firesupr.doc CITY OF TIGARD BUILDING INSPECTION DIVISION MOT 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 5 UP Date Requested AM BLD _ Location L Suite _ MEC Contact Person ,C�A(1,�"l. IIL�, � Ph PLM Contractor Ph 9VVR UILDINGi Tenant/OwnerIL- ELC I g all ELR Footing Access: Foundation PPS _ Ftg Drain SON Slab Crawl Drain inspection Notes: SC , , Q,a- SIT 13031k&Beam Ext Sheath/Shear Int Sheath/Shear FramingInsulation Drywall Nailing i f Firewall Fire Sprinkler ._ Fire Alarm Susp'd Ceiling Roof Fin PART FAIL PLUMBING Post&Beam Under Slab Top Out Water Service Sanitary Sewer Rain Drains Final PASS PART FAIL _ MECHANICAL Pett&Beam Rough In Gas Line Smoke Dampers Final -- PASS PART FAIL ELECTRICAL Service _ Rough In UG/Slab Low Voltage Fire Alarm Final PASS PART FAIL Ste! Rackfill/Grading ---- Sanitary Sewer Storm Drain [ J Reinspeclion fee of$ required before next Inspection. Pay at City Hall, 13125 SW Hall Mid Catch Basin [ )Please call for rein.pection RE' [ 1 linable to Inspecl- no access Fire Supply Line ADA F Approach/Sidewalk Date /f?- Z �t, Inspector,� Ext Other -- -- — Final PASS PART FAIL DO NOT REMOVE this Ingmadon rweaod 11ron. Um job aft. CITY CSF TIGARD DEVELOPMENT SERVICES PLUMBING PERMIT PERMIT M. . . . . . . . PLM98-0376 13125 SW 11811 Blvd.,Tigvrti OR 97223(503)6391111 DATE ISSUED: 10/14/98 6 0 PARCEL: 1S134AD-06201 SITE ADDRESS. . . : 10450 SW NIMBUS Ak'C MR--0 SUBDIVISION. . . . : ZONING: I-P BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . : JURISDICTION: TIG _--•---------------------------------- ---- - CLASS OF WORK. . aALT GARBAGE DISPOSALS. : 0 MOBILE HOME SPACES. : 0 TYPE OF USE. . . . :COM WASHING MACH. . . . . . s 0 BACKFLOW PREVNTRS. . : 0 OCCUPANCY GRP. . :B FLOOR DRAINS. . . . . . : 0 TRAPS. . . . . . . . . . . . . . : 0 STORIES. . . . . . . . : 0 WATER HEATERS. . . . . : 0 CATCH BASINS. . . . . . . : 0 FIX'TlIRES------------- LAUNDRY TRAYS. . . . . : 0 SF RAIN DRAINS. . . . . : 0 SINKS. . . . . . . . : 2 URINALS. . . . . . . . . . : 2 GREASE TRAPS. . . . . . . : 0 LAVATORIES. . . . : 0 OTHER FIXTURES. . . . : 1 TUB/SHOWERS. . . : 2 SEWER LINE (ft) . . . : 0 WATER CLOSETS. : 4 WAiEH LINE (ft ) . . . : 0 DISHWASHERS. . . . : 1 RAIN DRAIN (ft) . . . : 0 Remarks: ADA up-grades only Owner: ---------------------------------------------------- FEES --------------- MODEL TECHNOLOGIES typ` amount by date recpt 1.0450 SW NIMBUS PRMT f 108. 00 DLH 10/14/98 98-310000 R PLCK 6 27. 20 DLH 10/.4/98 98-310000 TICARD OR 97223 SPCT 1 5. 40 DLH 10/14/98 98-310000 rihone M: Contractor---------------------------------- RAYBORNIS ontractor-------•------_------------------- RAYBORN' S PLUMBING INC PO BOX 69 TUALATIN OR 97062 ------------------------------------- Phone M: 503-692-4139 f 140. 40 TOTAL-. R e 4 11. . : 000878 -h- REQUIRED INSPECTIONS ------- This permit is issued subject to the regulations contained it, the ri"Iki Yfispect i on Tigard Municipal Code, State of Ore. Specialty Codes and all other applicable laws. All work will be done in accordance with - approved plans. Ibis permit will expire if work is not started O. within 186 days of i,suance, or if work is suspended for more than 186 days. mITENTIONa Oregnn ':w requires you to follow rules adopted by the Oregon Utility Nntification Center. Those rules are set forth in OAR 9Y-MI-018 through OAR 99-®M AGN. You may obtain copies of these rules or direct questions to DK by calling J (563)246-1987. ..1 Issued By:zdS _-_ Permittee Signature �! ...+++++i-+.+++++++•F++++++++++++++++++++++++i-+++++++++++++ ++•++++4-++++++++++F++++ Call 639-4175 by 7:00 p. m. for an inspection needed t e next buniness day r++++•4•+++++..4++++++.. +h+++++++++++++++f+++++++++++++-}+1++++++++++++++++++++++ I .- CITY OF TIGARD Plumbing permit Application Plan Check a /O- Oct 13125 SW HALL BLVD. Commercial and Residential Redd By TIGARD, OR 97223 Date Reed (503) 639-4171 Dale to P.E. Print or Type Dale to DST Pem� Incomplete or Illegible applications will not be accepted Reran a G� Swa � -OR / 1 Called ,�_ _ Name of Development/Proled Job Sink a 9.00 Address Street • Lawl« e.o y o YU 5'G 5�'� w64 S Tub or Tub/Shower Comb, 9.00 Sun Bldg 9.00 �D a� CHS/State zin Shower Only /� Y/C�7P� r�� 3 _ _ Name Water Closet 9.00 Dishwasher 9.00 Owner Mailing Address Strife Garbage Disposal 9.00 City/State Zip Phone Washing Machine 9.00 rim Drain/Floor Sink 2' 9.00 N I /'!,^��t [ 3 9.00 re,�y�v. �oG _ S _ 4' 9.00 Occupant Mailing Address Suite p � f>�, r, Water Heater O conversion O like kMd 9.00 J 1P_ Gas poft requires a separate mechanical permit. City/State Zip Phone r Laundry Room Tray 9.00 Urinal cZ 9.00 Omer Fixtures Spe9.30 F~Aj Contractor �� 9.00 YI �(1�- /09 sults 6.00 Prior to permit !State I PhoneSewer-let 100' 30,00 Issuance,a copy VaA7ze T Sewer-each additional 10o' 25.00 of all licenses are OM203 Const.Cont Board Lic.! Exp.Jo�tp required If - 55 7$ S� /;z, -f15 Water Service-let 100' __ 30.00 expired in COT Plumbing Llc,0 Exp.Date Water Seneca-each additional 200' 25.00 database ?l -�(�G f 3/ r? Storm 6 Rain Drain-1 at 100' 30.00 Name Storm A Rain[rain-each additional 100' 25.00 Architect Mobile Home Space 25.00 Or Mailing Address Suite Commercial Back Flow Prevention Device or Anil- 25.00 Pollutlon Devk3 Etigkieer City/State Zip Phone Residential Backflow Prevention Device* 15.00 (Irrigation timing devices require a separate Desribe work to I e done: restricted energy permit.) New O Repair O Replace with like kind: Yes I/No O Any Trap or Waste Not Connected to a Fixture 9.00 Residential O Commercial 4111,—� Catch Basin 9,00 Additional description of work: Insp.of Existing Plumbing 40.00 perthr Specialty Req-rested Inspections 40.00 a i_ Zr/hr Are you capping,rnovIrg or replacing any fixtures) Rain Drain,single family dwelling 30.00 ~ Yes IA' No O Grease Traps g.Op N If yes,see back of form to Indicate work performed by fixture. FAILURE TO ACCURATELY REPORT FIXTURE QUANTITY TOTAL J WORK COULD RESULT IN INCREASED SEWER FEES. Itxxneldc or riser di.yram h tequked N Tow b >9 / oZ — /b 'SUBTOTAL I hereby acknowledge that I have read this application,that the Information 0 given correct,that I em the owner or authorized agent of tiro owner,and b%SURCHARGE W t la submitted are in com ncx with O on State Laws. gnatu of Owner/AQp.rt �rDale '"PLAN REVIEW 25%OF SUBTOTAL /` /O -(I $ rte° 'ked only AA"qty.tow Is TOTAL Con arson I lame Phone( 'Minimum permit ha Is$25+5%surcharge,except Residential Backilow ion Device,which Is$15+5%surcharge "All New Commercial Buildings require plans with Isometric,or riser diagram and plan review 1.ldsts""app doc 7/2/96 . i . V PLEASE COMPLETE: Fixture T ` Ytae Quantity b Work ► ornx+�►d' No Sink Lavatory _ Tub or Tub/Shower C bination Shower Only Water Closet Dishwasher - Garbage Disposal Washing Machine +_ Floor Drain/Floor Sink 2" 3" 4" Water Heater Laundry► Room Tray Urinal Other f= , COMMENTS REGARDIN ABOVE: ,t Q - A;7<L ,o5z Y rkA" 4,e-,c J_ - a1 - J akbW4*mdW.dw Win Accumulative Sewer Tally Tenant Name: This SWR## Address: /01Sp ~" This PLM#t:_p V,?Br::gj.;G Fixture Value Previous Previous Credits Capped Fixtures Fixtures Now total New !! Value Capped off value added# added #s total Count off Ars count value values Baptistry/Font 4 Bath-Tub/Shower 4 -JacuzziANhir,pool 4 Car Wash-Each Stall 6 -Drive Through 16 Cuspidor/Water Aspirator 1 Dishwasher-CommercAal 4 -Domestic 2 Drinking Fountain 1 -- E n'Nash 1 — Floor Drain/sink-2 inch 2 -159- -3 inch S -4 inch 8 Car Wash Dm 8 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 w Rea Vehicle Dump Station 16 Showet -Gan (Per Head) 1 -Stall 2 Sink-Bar/Lavatory 2 -Bradley _ 5 _ Commercial 3 Service 3 _ Swimming Pool Filter r 1 Washer-Clothes 6 Water Extractor 6 Nater Closet-Toilet 6 �— pt: — Urinal 6 $— TOTALS I o` l07 j Total fixture values: /iZ uu ___divi led by 16 =� _EDU •�U '"J -, HISTORY 61�Fr eTi io/r3f�� PLM# EDU# SWR# PLM# _ EDU# SWR# PLM# _ ED!J# SWR# PLIM EDU# _ SWR# _ P"-M# EDU# SV R# PLM# _ EDU# SVIR# PLM# EDU# SWR# PLM# EDU# SWR# M i:ldsts�swrtaty.doc CITY OF TIGARD DEVELOPMENT SERVICES ELECTRICAL PERMIT — 13125SWH8dIBMd.,TWO OR97223(503)04171 RESTRICTED ENERGY PERMIT #e ELR98--0295 DATE ISSUED: 10/23/98 PARCEL: 1S134AD-06201 SITE ADDRESS. . . e10450 SW NIMBUS AVE #R_� SUBDIVISION. . . . : ZONING: I—P JURIBDICTNs TIO BLOCK. . . . . . . . . . e LOT. . . . . . . . . . . . . e Pro,j ect De scr i pt i on s installation of protective signaling. ------.._--------- . A. RESIDENTIAL--------- B. COMMERCIAL------------------------ ---____._____ AUDIO & STEREO. . . . AUDIO 11 STEREO. . : INTERCOM R PAGING. . : BURGLAR ALARM. . . . e BOILER. . . . . . . . . . : LANDSCAPE/IRRIGAT. . $ GARAGE OPENER. . . . : CLOCK. . . . . . . . . . . : MEDICAL. . . . . . . . . . . . : HVAC. . . . . . . . . . . . . : DATA/TELE COMM. . $ NURSE CALLS. . . . . . . . : VACUUM SYSTEM. . . . : FIRE ALARM. . . . . . : OUTDOOR LANDSC LITEt OTHER$ to HVAC. . . . . . . . . . . . : PROTECTIVE SIGNAL . iX INSTRUMENTATION. : OTHER. . _ is TOTAL_ # OF SYSTEMS t 1 Owner$ -----------------------------•----------------------- FEES ---------------- MODEL TECHNOLOGIES type amount by rate recpt 10450 SW NIMBUS PRMT f 40. 00 DLH 10/23/98 98-310257 R 5PCT f 2. 00 DLH 10/23/98 98-310257 TIGARD OR 97223 Phone #s Cantractort -------------------------------------------- ------------------------ SELECTRON INC * 42. 00 TOTAL 7225 SW BONITA RD ------ REQUIRED INSPECTIONS ------- TIGARDND OR 97224 Low Voltage Insp Phone #: 639-9988 E1ect' l Final Req #. . : 000643 This permit is issued subject to the regulations contained in the Tigard Nuoicipal Code, State of Ort. SPr•ialty Codes and all other applicable laws. All work will be done in accordance with gppreved plans. Th;s posit will empire if work is not started within 1!N days of issuance, or if work is suspended for more than 191 days. AT1k711101: Oregon law requires yes to follow rule adorted by the Oregon Utility Notification Center. Those rules are set forth in OAR 92-01-01 through MR 9"1-4W tlos may obtain copies of these rules or direct questions to MK at I50246-1997. Issued by Permittee Signatu a a _______ — OWNER INStALLATION ONLY------------------------------- N The installation is being made on property I own which is not intended for -,ale, lease, or rent. OWNER' S SIGNATURE: DATE$ m --CONTRACTOR INSTALLATION ONLY---------------------------- J STGNATURE OF SUPR. ELEC' Nt DATES IJCENSE CENSE NO s 4t+++++++++++++++++++++f++++++++++++++++++++++++++++++++++++++++++++++++++++++*+ Call 639-41.75 by 7:00 P. M. for an inspection needed the next business day +++++++++-t+++4+-•++++++++++++++++++++++++++++++++++++++++++++++++++++4;++++++++++ Community Development RESTRICTED ENFRGY ELECTRICAL APPLICATION 13125 SW Hall Blvd. Tigard,OR (17223 PLRMIT IM FL/Q ?AP=0I? 9� Phone(503)639-4171 Cl!(FAX(503)684-7297 lDATE ISSUED TDD No. (503)684-2772 I CITY OF TIOARD Inspection (503)639-4175 ISSUED BY L>� /y0 F T[ f�tk7c.oG>-�j PLEASE COMPLETE ALL SECTIONS 1. LOCATION OF INSTALLATION p " 4. TYPE OF WORK 10 qviost. U�64 A �— Ad ess RESIDENTIAL—Restrk-ted Enemy Fee. . . . . . . . . L4=(FOR ALL SYSTEMS) City State-- Zip PERMITS ARE NON-TRANSFERABLE AND NON-REFUNDARI F.AND EXPIRE IF WORK ❑ Audio and Stereo Systems IS NOT STARTED WITHIN 180 DAYS OF ISSUANCE OR IF WORK IS SUSPENDED FOR 1&.DAYS. ❑ Burglar Alarm 2. CONTRACTOR APPLICATION ❑ Garage Door Opener* ❑ Heating,Ventilation and Air Conditioning System* Contractor TypeP Al ❑ Vacuum Systems* 7a Other Address a s�_1 ,�� 7� `i ° �Q�. ❑ -- ---- —.— --��--- Q� Baa y Date �� O COMMERCIAL—Fee for each . . (SEF OAR 918-2�60 60) Property Owner_ 1 Check Type X2 ,0 of Work Inwiltred: Contractor's Board Reg. No. �Q �� ❑ Audio and Stereo Systems Phone# CLJ -1 /_ 2 JG _� ❑ Boiler Controls --. --- ❑ Clock Systems 3. OWNER APPLICATION 1D10,/99 ❑ Data Telecommunication Installations a��9� �� ❑ Fire Alarm Instahation _ ❑ HVAC Print Owner's Name Phone No ❑ Instrumentation Address — ❑ Intercom and Paging Systems ❑ Landscape Wigation Control' Cily State Zip ❑ Medical This permit Is issued under OAR 918-320.370.This applicant agrees to make only ❑ Nurse Calls restricted energy installations(100 volt amps or less)under this permit and in do the Outdoor Landscape lighting' following I Only use electrical licensed persons to do installations where required.(Certain Protective Signaling residential and other transactions are exempt from licensing.These have Other asterisks(•).All others need licensing). 2 ('all for an inspection when all of the installations under this tern it are ready for inspection at 503-639-4175. ❑ _ _ Number of Systems p) 3 Purc!tase separate permits for all installations that are not ready for inspection when the inspector is out to inspect under this permit. •No llcernes are requtrtd. Licenses are required for all off er Intallatkms. 4. Assume responsibility for assuring that all corrections required by the inspector _ are done,and - --— — La 5. Assume responsibility for calling for a final inspection when all of the S. FEES a corrections are completed. W The person signing for this Permit must he the applicant ora person a. Enter Fees $ author' d to hind thG,,applicant. – ,�� b. 5%Surcharge(05 x total above) $__— 2- Signature _ TOTAL n v Authority if other than applicant — ENERCAP.CHP CITY OF TIGAFJD MECHANICAL DEVELOPMENT SERVICES` PERMIT PERMIT #. , . . . . . : MEC98-0450 13125 SW HO Blvd., TkW,OR9'=(503)6394171 DATE ISSUED: 10/12/98 y 64 ci PARCELs 1S134AD-06201 13 I TE ADDRESS. . . : 10450 9W NIMBUS AVE *R. (;_') 5LISDIVISION. . . . : ZONING: I–P RlnCK. . . . . . . . . . . LOT. . . . . . . . . . . . . : JURISDICTION: TIG CLASS OF WORK. . :ALT FLOOR FURN. . . . s 0 EVAP COOLF_RSs 0 -f YPE OF USE. . . . :COM UNIT HEATERS. . s 0 Vl`NT FANS—, :: 0 OCCUPANCY GRP. . :B VENTS W/O APPLs 0 VENT SYSTEMS: 0 5T'ORIES. . . . . . . . : 1 BOILERS/COMPRESSORS HOODS. . . . . . . .. 0 FUEL TYPES----------- – 0-3 HP. . . . s 5 DOMES. I NC I N s 0 :GAS 3-15 HP. . . . s 0 COMML. INCINs 0 MAX INPUT: 0 BTU 15-30 HP. . . . : 0 REPAIR UNITSe 0 C I RE DAMPERS'. . : Y 30–:50 HP. . . . s 0 WOODSTOVES. . e 0 OAS PRESSURE. . . : M 50+ HP. . . . s 0 CLO DRYERS. . : 0 NO. OF UNITS---------- AIR HANDLING UNITS OTHER UNITS. : 0 FURN < 100K BTUs 0 <¢ 10000 cfmi 0 GAS OUTLETS. e 1 TURN > =100K BTU: 5 > 10000 cfms 0 Remarks: Mechanical Tl Owne . ------------------------------------------------------- FEES -------------- INSIGNIA FORUM type amount by date reept 8705 SW NIMBUS PRMT $ 72. 00 GED 10/12/98 98-309923 DEAVERTON OR 97005 5PCT $ 3. 60 GED 10/12/98 98-309923 PLCK 1 18. 00 GED 10/12/96 98-309923 Phone #: Ca n t r a c t o r: -------------- ----------------- HUNTER–DAV I SSON •------------ ----------------- HUNTER-DAVISSON 3410 SE 20TH AVE ----------------------------- 9 3. 60 TOTAL PORTLAND nR 97202 Phone #: 234-0477 Reg #. . : 000016 --— --- REQUIRED INSPECTIONS -------This permit is issued subject to the regulations contained in the Gas Line l n s p Tigard Municipal Code, State of Ore. Specialty Codes and all other Mechanical Ins p applicable laws. All work Mill be done in accordance with Haat ing lint Insp _ approved plans. This permit will expire if work is not started Duct Inspection within 181 days of issuance, or if work is suspended for sore S. D. Shut—down than 181 days. ATTENTION: Oregon law requires you to follow roles Final Inspection M adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-1611-11/ through OAR 9"l-M. You may obtain copies of these rules or direct questions to OlK by calling — 1583i?�6-9157. Issue B _ �^ Permittee Signature: +++++f+++++++++++++++t++++f++++++++++++++++++++++++++++++++++++++++++++++++.&+++ Call 639-4175 by 7:ibO p. m. for inspections needed the next business day +++++++++++++++++++++,-+++++++++++++++++++++++++++++++++++++++++++++++++++++++++ I Plan Check#_/d "129� CITY OF TIGARD AMechanical,Permit Application Rec'dBy (2– _ 13125 SW HALL BLVD. �""' Commercial.and Residential Date Recd >-lv TIGARD, OR 97223 `G '/ Date to P.E. D,(503) 639-417'1, x309 , "�.�!/�` �� lul `�� PDes ertrlR DST Y — Print or Type y f l ncomplete or i_�Ible a plications will not be accepts called _10-1 ri Description Table 1A Mechanical Code Oty Price Amt Job streek _L nit Feu --- _10_00 Address Q r�• 6 "q'i 14T,'1r t! 1) Ftimace to 100,000 BTU Indudin duds&vents 6.00 a" Cs 0 Lo 2) Furnace 100,000 BTU+ 774V 0 6p� including duds&vents _ 7.50 Name(or name of business) 3) Floor Furnace IncludinOwner _7 v "'"I 'Z'IIl jl ll Suspended vent 8.00 �Address 4) Sded boater,wall heater Ms% or floor mounted heater _ _ 6.00 =LQ /1jj r 112215 5) Vent not Included in appliance permit Ckyrstele zip mons 3.00 _ 9;r CHECK ALL 'Boller Hest Air N (er�rureeofWelness) — THAT APPLY or Pump Cond Qty Price Amt llt�l �rF c Com 6)<3HP;absorb unit to / Occupant MsINng Address LOOK BTU 6.00 ti /y .,� 7)3-15 HP,ahsorb unit CNy(slels zipT77 100k to 500k BTU _ 11.00 8)15-30 HP;absorb _ ;• unit.5-1 mil BTU 15.00 Contractor Nrne 9)30-1-1 HP absorb unit 1 1.75 mit BTU 22.50 Prior to permit Ne"Address 10)>50HP,absorb unit issuance,a copy .J r >1.75 mil BTU 37.50 ( (: of all licenses Cain ��1�nZip Phone 11)Air handling unit to 10,000 CFM are required N �l 409 'wa' o'o) _ 4.50 expired in COT Oregon Const.Com.BoMd De d E Dale 12)Air handling unit 10,000 CFM+ database �;� 7- �� I 7.50 Architect N'rt1e 131 Non-portable evaporate cooler k. aL( 4.50 M&WV Address 14)Vent fan connected to a single dud or 3.00 _ 15)Ventilation system not Included in Engineer CRY/Stat" zip Phone appliance permit _ 4.50 work to be dons: 16;Hood served by mechanical exhaust _ 4.50 Describe --- 17)Domestic Incinerators New O Rn lir 0 Replace with like kind: Yes 0 No 0 7'50 Residential O Commercial O 18)Commercial or Industrial type Incinerator 30.00 Additional information or description of work: 19)Repair units _ 4.50 L 20)Wood stove � _-- 4.50 21)Clothes dryer,etc. 4.50 Type of I'vel: oil O natural gas q LPG O electric O 22)Other units 4.50 q I hereby acknowledge that I have read this application,tha'the Information 23)Gas piping one to tour outlets given is correct,that i am the owner or authorized agent of _ 2.00 U the owner,that plans submitted are in compliance with Oregon State laws. 24)More than 4-per outlet(each) .50 Sign=emon W Date Minimum Permit Fee$25.00 SUBTOTAL lZ / 5%SURCHARGEPLAN REVIEW 25%OF SUBTOTALCo. Phone t([� Requlred for ALL commercial permits on f' TOTAL Gt 'Stats Contractor Boker CartMrstion required '*Rstl NMI AIC requires eke plan showkp phkwr 1mt of unk L%medoerm.doc rev 07/20M t CITY OF TIGAND BUILDING INSPECTION DIVISION MST 2 -Hour Inspection Lino- 6394175 Bus Line: 6319-4171 - �1 Q /1 p OUP % 3 1 Date Requesters �` 7 - AM PM OUP _ Location— I� SOLD ' e MEC - 1 ) --U - Contact Person ��(r� _ PLM Contractor_ Ph _ SWR _ BUILDING TenanVOwnerJ1T�F, APMCJ Wet-,, +SLC Retaining Wall ELR Footing Access: Foundation FPS FtV Drain ISDN Crawl Drain Inspection 1", ` Slab SIT Past&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 Service Sanitary Sewer Rain Drains _ Final PASS PART FAI'- MECHANICAL F'ost R Ream - Rough In Gas Line - Smoke Dampem Final - — PASS t`ART FAIL ELECTRICAL Service Rough In UGIS' W r ow Voltage _ -- Fire --- --- --- - --- J SS PART FAIL W Backfill/Grading - ----- - - Sanitary Sewer Storm Drain [ )Rainspection fee of S required before next inspection. Pay at City Hall, 13125 SW Kell Blvd Catch Basin [ Please call for reinspection RE: -__ ( (!PpHe to inspect-no acceaa Fire Supply Line ADA (', IF Approach/Sidewalk Date � � 1S Inspector Ext Final PASS PART FAIL 00 NOT REMOVE this Inspection record 111rom the Job elft. i CITY OF TIGARD DEVELOPMENT SERVICES 13125 SW Hall Blvd.,ngar'd,OR 97223(503)699,1171 ELECTRICAL PERMIT — RESTRICTED ENERGY PERMIT #s ELR98-0276 DATE ISSUED: (a9/30/98 SITE ADDRESS. . . - 10450 SW NIMBUS AVE #R5 PARCEL: 1S134AD-06201 SUBDIVISION. . . . : ZONINGsI-P BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . : JURISDICTNs TIG Project Descriptions Installation of data tolocoaarnications. --------------------- n. RESIDENTIAL--------- B. COMMERCIAL----------------------------------------- PUDIO S STEREO. . . s AUDIO & 9TERE0. . a INTERCOM & PAGING. . s BURGLAR ALARM. . . . e BOILER. . . . . . . . . . : LANDSCAPE/IRRIGAT. . : GARAGE OPENER. . . . s CLOCK. . . . . . . . . s MEDICAL. . . s HVAC. . . . . . . . . . . . . s DATA/TELECOMM. . eX NURSE CALLS. . . . . . . . : VACUUM SYSTEM. . . . : FIRE ALARM. . . . . . : OUTDOOR LANDSC LITE: OTHERS se HVAC. . . . . . . . . . . . : PROTECTIVE !?IGNAL. . s INSTRUMENTATION. s OTHER. . s : : TarAL. # OF SYSTEMS s 1 Owners ------------------------------------------------------ FEES ---------------- INSIGNIA COMMERCIAL GROUP type amount by date recpt 8705 SW NIMBUS AVE PRMT 1j 40. 00 DL.H 09/30/98 98-309611 SUITE #230 5PCT • 2. @@ DLH 09/30/98 98-09611 BEAVERTON OR 97008 Phone #: Contractor: -.--------_---.-------•-----------------------------------•--------------- ESP COMMUNICATIONS INC f 42. 00 TOTAL 28170 SW BOBERG RD ------- REQUIRED INSPECTIONS ------- WILSONVILLE OR 97070 Low Voltage Insp _ Phone #: 682--4195 Elect' 1 Final Reg #. . : 000738 - This permit is issue, subject. to the regulations contained in the Tigard Municipal Code, State of N. Specialty Codes and all other applicable lawn, All work will be dime in accordance with approved plans. This permit will expire if work is not started within IN days of issuance, or if work is suspended for more than IN days. ATMITIONi Oregon law requires yov to follow role adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-991-919 through OAR 982 I- M9. Yeo may obtain copies of these rules or direct questions to 01K at 1593)246-1987. Issued by __ ,_____ Permittee Si gnature�A/t-gn _ Q. ONG -------------------------- -OWNER INSTALLATION ONLY•------- ------------------------ The installation is being made an property I own which is not intended for Sale, lease, or rent. OWNER' S SIGNATURE: f� DATF_e -----------•-------------CONTRACTOR INSTALLATION ONLY--------------------------.--- W / 'e S I GNAT UR OF SUPR. ELEC' N e OA/ �P�L/(!,f-7-M. N DATE s J CENSE NO: +++++++ -++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++•F++++++++ Call 639-4175 by 7:@@ P. M. foo an inspection needed the next business day •++++++++++++++++++++++++++++++++++++++♦++♦+t++++++t++♦+++++++♦+++++++♦ Community Development STRICTED ENERGY ELECTRICAL APPLICATION 13125 SW Hall Blvd. RECEIVi Tigard,OR 97223 PERMIT # Phone(503)639-4171 SEP I FAX(503)684-7297 ^ ISSUED TDD No. (503)684-277 p1MU{,ITY DEVLLUf'P:" ' CITY OF TIt�ARD Inspection (503)639-41 I� l UED BY PLEASE COMPLETE ALL SECTIONS 1` (LOCATION OF INSTALLATION -� 4. TYPE OF WORK Address RESIDENTIAL—Restricted Er:��r�y Fee. . . . . . . . �.OR —_ — (FOR ALL SYSti•EMS) City State lip hype or Y&d Inwilved: PERMITS ARE NON-TRANSFERABLE AND NON-REFUNDABLE AND EXPIRE IF WORK ❑ Audio and Stereo Systems IS NOT STARTED WITHIN Inn DAYS Of ISSUANCE OR IF WORK IS SUSPENDED FOR 180 DAvs ❑ Burglar Alarm 2. CONTRACTOR APPLICATION ❑ Garage Dom Opener" II ` ❑ Heating,Ventilation and Air Conditioning System* Contractor�5� � 1O�yPe_I-� ,❑ Vacuum Systems' Address S _ S ll�h1 t ❑ Other_ -�--- -- --•--- 1 V 1''f e_ ► __-�11 .�L1 -- — --- COMMERCIAL—Fee for sy x eastem . . . . . . . . 140140.90. (SFE OAR 918-T6Q-26Q) Prt tperty Owrier . .-_--- --_- -- _--- Check Type t$Work Invt>fered: c (udractor's Board Reg. No.Q �� ❑ Audio and Stereo Systems ❑ Boiler Controls Phone # ip3A ❑ Clock Systems ® Data Telecommunication Installations 3. OWNER APPLICATION ❑ Fire Alarm Installation ❑ HVAC Print Owner's Name Phone No ❑ Instrumentation Address — — ❑ Intercom and Paging Systems ❑ Landscape Irrigation Control* City State 7ip ❑ Medical Thi%permit Is issued under OAR 918.120-370.This applicart agrees to make only ❑ Nurse Calls restricted energy installatbns(100 volt amps or lest under this permit and to do the ❑ Outdoor Landscape Lighting' following: 1, Only use electrical licensed persons to do installations where required.(Certain 11 Protective Signaling residential and other transactions are exempt from licensing.These have ❑ Other_`— _ asterisks(•).All others need licensing). 2. Call for an inspection when all of the installations under this permit are ready (or inspection at 503.63^4175. ® 1 Number of Systems I Purchase sepa ate permits for all Installations that are not n,ady for inspection when the inspector is out to Inspect under this permit. No licenses are required. Licenses are required for all odter Instillations. 4 Assume mspor•s!hility for assuring that all corrections requirf d by the inspector -----are done,and Assume respo isihility for calling for a final inspection when all of the S. FEES corrections at-completed. 1 he person signing for this permit must he the applicant or a person a. Enter Fees $ '\0+ O� authorized to hind the applicant b. 5%Surcharge(.05 x total above) $_ a �V Signature TOTAL $L\�. O O jel_ 315 AuKorj4other than applicant ENERW.CHP CITY OF TIGARD ELECTRICAL PERMIT' DEVELOPMENT SERVICES PERMIT #: 1=LC98-0577 13125 SW HBO Blvd.,74K OR 97223(SM)6304171 DATE ISSUED: 09/22/9S T TF ADDRESS. . . : 10450 SW NIMBUS nVl_ #J(6PARCEL: 1 s 134AD-062rr t. r31J 1DIVTSI0N. . . . : ZONING: I--P TILOCK. . . . . . . . . . : LOT. . . . . . . . . . . . . . JURISDTCT [ON: TIG Project Description: add electrical ---------- -----RES IDENTTAL. UNTT----- ------TEMP SRVC/FEEDERS---- ---- —MI SCELLr7NE0L1S----- 1000 SF OR LESS. . . . : 0 0 - 200 amp. . . . . - . . 0 PUMP/I RR I OA-i I TIN. . . . : 0 E.:ncH ADD' L 500SF. . . : 0 201 400 amp. . . . . . . : 0 SIGN/OUT LINE_ LTG. . : 0 LIMITED ENERGY. . . . . : 0 401 — 600 amp. . . . . . . : 0 SIONAI_/PANEL. . . . . . . t 0 MANF. HM/ SVC/FDR. . : 0 601+amps-1000 volts. : 0 MINOR I A13EL [ 10) . . . : 0 ----SERVICE/F'EE'DER---- -----BRANCH CIRCUITS----- ---ADD' L INSPECTIONS—- 0 NSPECTIONS---- 0 — 200 amp. . . . . . : 0 W/SERVICE OR FEEDER: 0 PER INSPECTION. . . . . : 0 ''01 — 400 amp. . . . . . : 0 1st W/O SRVC OR FUR. a 1 PER HOUR. . . . . . . . . . . : 0 401 - 600 amp. . . . . . : 0 Eft ADD' L BRNCH CIRC: 59 IN PLANT. . . . . . . . . . . : 0 601 — 1000 amp. . . . . e 0 -------------------PLAN REVIEW SECTION— 10004- amp/volt. . . . . : 0 ) -4 RES UNITS. . . . . . . . : > 600 VOLT NOMINAL. . : Reconnect only. . . . . . 0 SVC/FDR > = 225 AMPS. . : CLASS AREA/SPEC OCC. - Owner: CC. :Owner. FEES MODEL_. TFCHNOL_OGY type amount by date recpt 10450 SW NUMBUS PRMT $ 330. 00 GEO 09/22/98 BLDG 5 5PCT $ 16. 50 GEO 09/22/95 98-309375 T I GARD OR 972213'00000 Phone #: WTLL_AMETTF_ ELECTRIC INC $ 346. 50 TOTAL FSO BOX 230547 ------- REQUIRED INSPECTIONS ---- 'TIGARD OR 97281 Ceiling Cover Elect' 1 Servic-r r1hane #: 624--3631 Wall Coyer Elect' 1 FinG.l Reg #. . : 000750 This permit is issued subj ' to the regulations contained in the Tigard Muniripal Code, Stets of Oregon Specialty Codes and all other applicable lass. All work will be done in accordance with approved plans. This pori it kill expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENT134: Oregon law requires you to follow the rulos adopted by the Oreo m Utility Notification Center. Those rules are set forth in DAR 952-Ml-NIP through OAR 952-001-1987, you may obtain a copy of these rules or direct questions to MING, by calling L5R31 46-1987. FIermittee Signati_cre: �� T3stco�ri By ; IL oe INSTALLATION The insta.11atior. is being made on property T own which is not intended for sale, leasee or rent. �p OWNER' S S I GNA'rURF_.: _ DATE i t7 W _.___..._.____.__.__.___._____—.. CONTRHC TOR INSTALLATION T RNATURE OF SUPR. F_LEC' N s S� .� DATF: .-rte JRA -- T CENSE NO! 1 + -4..++++i-+t+++i-+++++++h4-++++++•t+ ++++t+++++-h.... -++..t+++•h+t++++++t++++t+t.1-++-F Call 639--4175 by 7:00 p. m. for an inspection needed the next bi-isiness day ++ 4-++++++++++++•++++++++++.4+++++++++++.++#++♦++++++++++++++++++t++++•16t++4•+++++++ CITY OF TIGARD EI sctrical Permit Application Plan Gam*a 11125 SW HALL BLVD. T,-=IVED Recd Dy__ TIGAh:►OR 97223 Date Recd_A 1998 Date to P.E.- n Phone(503)639-4171, x304 y� 2 .� Date to DST _ Inspection (503)639-4175 Print oType Ir., r �N1 Permit ft !+ d 4�ff"�7�-- Fax(503)684-7297 Incomplete or Irleglbfe will reit ba aI�C!lptAtf- Called- 1. Job Address: 4. Completes Fee Schedule Below: Name of Development__ Number of Inspectlons per permit*Itowed Name(or name of business) h ,* 1 C c .Uo id iceService Included: Items Cost Sum Address I 0 V lJ S� N.,-,LL Rl1at° STS 4a. Realdentlal-per unit 7 1000 sq.ft.or less $110.00 _ 4 city/State/Zip T _,rl, _ Z Each additional 500 sq.ft.or Commercial® Residential❑ thereof 25.00 1 Llmited mlled Energy � $525.00 Each Manul'd Home or Modular Dwelling Service or Fender __ $88.00 2 ?_a. Contrector installation only: (Attach copy of all current licenses) 4b.Services or Feeders I.19CiriC81 Contractor ��). It rA Mr. +c Ie �►� Installation,alteration,or relocation ltddf855 0 D �- 200 amps or lass ^_ $60-002 201 amps to 400 amps $80.00 2 oty_j It h rX to State r-_ Zig+ t 401 amps to 800 amps $120.00 2 Phone No 17"A-S 6 / 601 amps to 1000 amps $180.00 _ 2 Job No.� 4 1-_u Over 100.'1 amps or volts __ $340.00 2 Elec.Cont Lice. No. is-7Exp.Date_ b-f -� Reconnect only $50.00 _` 2 OR State CCB Reg. No. 5V S-` _Exp.Date9-6 YY 4c.Temporary Services or Feeders COT Business Tax or Metro No. /�Yi d_Exp.Date V-t-s y Installation,alteration,or relocation r 200 amps or less $50.00 __._ 2 p Signature of Su r. Elec'n c 201 amps ti 400 amps $75.00 - 2 - 401 amps to 600 amps $100.00 2 Over 600 amps to 1000 volts, License Nr 5-- 5 Exp.Date /d_ -O/ see"b"above. Phone Nr !. Z- - 7t_T i _ 4d.Branch Circuits New,alteration or extension per pan:.l 2b. For owner Installations: a)The tee for branch circuits wffh purchase of service or Print Owner's Name_ _ _ 'coder Me. Address Each branch circuit $5.00 2 - b)The lee for branchcircuits City-_ State_ Zip without purchase of Phone No._` _ _ aervlce or feeder Me. �r First branch circuit _�_ $35.00 S r 2 The installation is being made on property I own which is not Fach additional branch circuit_i- $5.00 2 intande-'for safe,lease or rent. 4e.Miscellaneous (Service or feeder not Included) Owner's Signature Each pump or Iregatlon circle $40.00 2 Each sign or outline lighting _ $40.00 2 3. Plan Review section(If required):* Signal circult(s)or a limiled energy panel,alteration or extension $40.00 2 d Please check appropriate Item and enter fee In secCon 59. Minor l abets(10) $100.00 4 or more residential units in one structure 4f.Each additional inspection over Sen4cn and feeder 225 amps or more the allowable In any of the above System over 600 volts nominal Per inspection $35.00 _- Classified area or structure containing special occupancy Per hour $55.00 -a as described in N.E.C.Chapter 5 In Plant 555.00 C9 Submit 2 sets of plans with application where any of the above apply. 5. Fees: 3 _ JNot required for temporary cona:-,rctlon services. So.Enter total of above fees $ ( 5'/Surcharge(.05 x total fees) $ /. NQTI1 F Subtotal $ - Sb.Enter 25%of line So for PERMITS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED IS Plan Review If r3qulto(Ser_91) $ NOT COMMENCED WITHIN 160 DAYS,OR IF CONSTRUCTION C!i WORK Subtotal $ IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY S� TIME AF1 17R WORK!S COMMENCED. ❑ Trust Account M_ Toxal belsncx Due : 4� 1-10STSTI-C96.APP Rev 9/96 CITY OF TIGARD DEVELOPMENT SERVICES ELECTRICAL PERMIT - 13125SWFNIIBlvd.,nprd,OR 97223(3W)W4171 RESTRICTED ENERGY PERMIT ft: ELR98-0284 DATE ISSUED: 10/12/98 PARCEL: iS134AD-•06201 SITE ADDRESS. . . : 10450 SW NIMBUS AVE #R— SUBDIVISION. . . . i R—SUBDIVISION. . . . : ZONINGt I-P BLOCK. . . . . . . . . . s LOT. . . . . . . . . . . . . .. JURISDICTN, TIO Project Description: WAC -----------------------------------------------------------_--.----------------- A. RESIDENTIAL----------- B. COMME9CIAL--------------------------------------- AUDIO & STEREO. . . s AUDIO 4 STEREO. . : INTERCOM & PAGING. . a BURGLAR ALARM. . . . a BOILER. . . . . . . . . . .. LANDSCAPE/IRRIGAT. . : GARAGEOPENER. . . . : CLOCK. . . . . . . . . . . : MEDICAL. . . . . . . . . . . . a HVAC. . . . . . . . . . . . . .. DATA/TELE COMM. . : NURSE CALLS. . . . . . . . : VHCUUM SYSTEM. . . . a FIRE ALARM. . . . . . : OUTDOOR LANDSC LITEa OTHER: is HVAC . . . . . . . . . . . :X PROTECTIVE SIONAL. . a INSTRUMENTATION. : OTHER. . : $ I TOTAL N OF SYSTEMSa 1 Owner a -------___._..------_-------------------•---•-------- ----- FEE'S -..---------------- INSIGNIA FORUM type amount by date recpt 8705 SW NIMBUS PRMT ! 40. 00 GED 10/12/98 98-30923 BEAVERTON OR 97005 5PCT ! 2. 00 CPEO 10/ 12/98 98-30923 Phone Na Contractor: ------------------------------------------•---------------------------- HIJNTER-DAVISe0N ! 42. 00 TOTAL 3410 SE 20TH ------ REQUIRED INSPLCTIONS ------- PORTLAND OR 97202 Ceiling Cover Low Voltage Insp Phone It: 234-0477 Wall. Cover Elect' 1 Final Reg IN. . : 000161 This permit is issued subject to the regulatiors contained in the Tigard Nonicipel Code, State of Ore. Specialty Codes and all other applicable lmm. All work will be done in accordance with approved pians. This permit mill expire if work is not started within 188 days of issuance, or if work is suspended for more than IN days. ATTENTION: Oregon lam respires ymo to follow role adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 99-01-Ml through OAR 9"l-M. You may obtain copies of these rules or di r uestions at t3l31 1987. Issued b '� - Permittee Signatur CL -- ---------------------------OWNER INSTALLATION ONLY--------------•--------------•--- tn Thi installation is being made on property I own which is not intended for sa e, lease, or rent. .1 OWNER' S SIGNATURE: _ DATE: ____ m 0 ------------------------CONTRACTOR INSTALLAT13N ONLY------------ -------------- SIGNATURE OF SUPR. ELEC' N: _ DATE: LICENSE NO: +++ -++++++++++++++++++4.+++♦+♦+♦++♦.•1++!^h++♦+.+♦+++++++++++++++++*++.+++++++++++ Call 639-4175 by 7:00 P. M. for an inspection needed the next business day +++4+++++++++++++++4.++++++++++++++++++++++++++.++++++++++++.++++++++6++++++++•+++ CITY OF TIGARD RESTRICTED ENERGY ELECTRICAL APPLICATION Recd by: 13125 SW HALL BLVD Date Recd. 16- S- TJGAR-U OR 972.23 PRINT OR TYPE V-503-639-4171 X304 Permit#:,E F-503-684-7297 INCOMPLETE OR ILLEGIBLE APPLICATIONS Cust.Call'd: WILL NOT BE AC ,EPTED Name of Development Prof[ct r TYPE OF WORK INVOLVED-RESIDENTIAL ONLY _ 9t_!6;1 oC111;/1C)U 1 t� Restricted Energy Fee........................................ 40.00 (FUR ALL SYSTEMS) ,JOB Street Address Ste# Check Type of Work Involved. ADDRESS City/state Zip Phone 0 ❑ AII..J and Stereo Systems Name ❑ Rurglar Alarm T *,V1 ❑ Garage Door Opener' OWNER Mailing Address '7dS 5-1 A,9,r .J 3c.? ElCitylState 7�p P n I Heating,Ventilation and Ab Conditioning Syste ' n ✓ 02 `1700! o� r ❑ Vacuum Systems' Name )__ 1 )QI�fd Other_ CONTRACTOR Maili'gg Address rN zZi TYPE OF WORK INVOLVED-COMMERCIAL ONLY _ (Prior to Issuance s. City/State zip Phone 4 Fes fof each system.............................................. $40.00 copy of all licenses f )q0 D3CI.0"-) (SEE OAR 918-260-260) are required if Oregon Contr.Brd Lie.4 Exp.Date expired in C.O.T. 0161g,, 9-n-r9 Check Type of Work Involved: data base). Electrical Contr.Lie # Exp.Date - b GC /0-r 99 ❑ Audio and Stereo Systems C.O T or Metro Lie,* Exp.Dt ri- / ❑ Boiler Controls Owner's Name �) Clock Systems OWNER- Mailinq Address J APPLICANT ❑ Data Telecommunication Installation City/State Zip Phone# ❑ Fire Alarm Installation This permit is issued under OR E 918-320-370.This applicant agrees to make only restricted energy histallations(100 volt amps or less)under thisHVAC permit and to do the following: El Instrumentation 1 Only use electrical licensed persons to do installations where required. Certain residential and other transactions are exempt from licensing. ❑ Intercom and Paging Systems These have asterisks(*). All others need licensing; ❑ 2 Call for inspections when installation under this permit aro ready for Landscape Irrigation Control" Inspection at 303-639-4175; ❑ Medical 3. Purchase separate permits for all installations that are not ready for an ❑ Nurse Cells inspection when the inspector is out to inspect under this permit; 4 Assume responsibility for assuring that all corrections required by the ❑ Outdoor Landscape Lighting' Inspector are done,and; ❑ Protective Signaling 5. Assume responsibility for calling for a final inspection when all of the corrections are completed. ❑ Other Permits are non-transferst le and non-refundable and expire If work is not started within 180 days of Issuance or if work Is suspended for 180 days. Number of Systems The person signing for this permit must be the applicant or a person No licenses are required Licenses are required for all other installations Futhorized to bind the applicant. _ -' ENTER FEES E 5%SURCHARGE(.05 X TOTAL ABOVE) Authority if other than Applicant TOTAL i ldsls\resele dor;7/R7 ----- CITY OF TIGARD BUILDING INSPECTION DIVISION MST ,24-Hour Inspection Line: 639-4175 Business Line: 639-4171 BUP _ < 1't'A Date Requ sted �—AM PM BLD _ Location , Suite MEC Contact Person ' r Ph _ PLM ContractorSWR _ BUILDING Tenant/Owner Y ELC _ Retaining Wall EL Footing Access: Foundation Mir Ftg Drain Crawl Drain inspection Notes: SG - , Slab ' Wd _ SIT 13ULn J AOC Post&Beam �/ �� / � Ext Sheath/3hear l 3�q�� Int Sheath/Shear Framing Insulation Drywall Nailing _ _ — Firewall f __ 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 _ MECHANICAL — - Post&Beam — -- —•- Rough In Gas Line -- — --- Smoke Dampers Final -- -- -— PA FAIL CL Service --- -�-- �— — Rough In 4992—) ' IAm1 _m S ART FAIL Backfill/Grading --- Sanitary Sewer Storm Drain [ ]Reinspection fee of$_ required before next inspection. Pay at City Hall, 13125 SWI Hall Blvd Catch Basin Fire Supply Line I ]Please call for reinsperNon RE:_ _�__ [ ]Unable to inspect-no access ADA Approach/Sidewalk Qete Other Inspector Ext Final PASS PART FAIL MO NOT REMOVE this inspection rpeeird from the job slto. CITY 01: TIGARD DEVELOPMENT SERVICES ELECTRICAL PERMIT - 13125SWHall Blvd.,Tl9ard,OR 97223/&U)&*4171 RESTRICTED ENERGY PERMIT #s El-R98-0283 DATE ISSUED: 10/12/98 SITE ADDRESS. . . : 1O450 SW NIMBUS AVE #R -i�) PARCEL: 1S134AD-06201 SUBDIVISION. . . . I ZONING: I-P BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . . JURISDICTNs TIG Project Description: HVAC ---------------------------------------------- ---------------------------------- A. RESIDENTIAL--------- B. COMMERCIAL-------------------------------------- AUDIO ---------------------------------------- AUDIO ✓t STEREO. . . : AUDIO & STEREO. . : INTERCOM & PAGING. . : BURGLAR ALARM. . . . : BOILER. . . . . . . . . . : LANDSCAPE/IRRIGAT. . : GARAGEOPENER. . . . : CLOCK. . . . . . . . . . . s MEDICAI.. . . . . . . . . . . . I HVAC. . . . . . . . . . . . . : DATA/TELE COMM. . : NURSE CALLS. . . . . . . . s VACUUM SYSTEM. . . . : FIRE ALARM. . . . . . s OUTDOOR L.ANDSC LITE: I 01HER: : : HVAC. . . . . . . . . . . . :X PROTECTIVE SIGNAL. . s I NSTRUMENTA 'TON. : OTHER. . : : 1 TOTAL # OF SYSTEMSs 1 Ownsr: ------------------------------------------------------- FEES ----------------- INSIGNIA FORUM type amount by date recpt 8705 SW NIMBUS PRMT $ 40. 00 GEO 10/12/98 98-309923 BEAVERTON OR 97005 SPCT • 2. 00 GEO 10/12/98 9R-309923 Phone #: ContrActor: ------------•--------------------- HUNTER-DAVISSON $ 42. 66 TOTAL 3410 SE 20TH ------ REQUIRED INSPECTIONS --- -- , - PORTLAND OR 97202 Ceiling Cover Low Voltage Insp Phone #: 234-0477 Wall Cover Elect' l Finai Reg #. . : 000161 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 p!rsit will expire if work is not started within 188 days of issuance, or if work is suspended for more than 188 days. ATfENTIQh Oregon )am requires you to follow rule adopted by the Oregon Utility Notification Center. Those rules are set fort's in OAR 95?-M- 818 through OAR 4"14188. You say obtain copies of these rules or directst a )246-1987. Issued b � —__-_ Permittee S i g n a t Lr ,.,IC� --�-- a OC ------------------------------OWNER INSTALLATION OWLY-------------------------------- yThe installation is being made on property I ov,n which its not intended for sale, lease, or rent. OWNER' S SIGNATURE: *SATE: m - -- ----------------------CONTRACTr4R INPTALL.ATIUN ONLY-----_--------------------------- w -j S J rNATURF_ OF SUPR. ELEC' N z DATE: LICENSE NO: -+4-+4++++++++++++++++++++++++++++++•t++++++++++++++++++++++++++++++++++++++++++a•++ Call 639-4175 by 7:00 P. M. for an inspection needed the next business day +++++++++++.+++++++++.+++++++++++++++++++++++++++++++++++++++++++++++++++++++++++ IF04--Y /G-�� CITYUF TIGARD RESTRICTED ENERGY ELECTRICAL APPLICATION Redd by. C�_ 13125 SW HALL BLVD Date Rec'd:_JO TIGARD OR 97223 PRINT OR TYPE �p�� V-503-639-4171 X304 Permit#:jQ1 � u ��g3 F-503-684-7297 INCOMPLETE OR ILLEGIBLE APPLICATIONS Cust.Call'd: WILL NOT BE ACCEPTED Cd6 f/ -t7 f Name of De element Project TYPE OF WORK INVOLVED••RESIDENTIAL IV) _ ( r 4)&1 D(ry'(t?� — Restricted EnerW Fee.............. ........................ 1140.06 (FOR ALL SYSTEMS) JOB Strut Address Ste R ADDRESS I O p S.W. N i MgQ.% Check Type of Worle Invoked: City/State Zip Phone 0 ❑ Audio and Stereo Systems 71 Q Name ❑ Burglar Xarm r ❑ r3aragA Door Opener- OWNER Mailing Address CityrState 71p 77 aM ❑ Heating,Ventilation and Air Conditioning System* Name ❑ Vacuum Systems- t L_ ❑ Other CONTRACTOR Mailtn Address 16 ,� 7,pW TYPE OF WORK INVOLVED-COMMERCIAL _ —__ (Prior to isskiankxr a CIt /State Zip Phone7W_ Fee for each system.............................................. 0.00 copy of all licenses (Z. e -e f 7 (SEE OAR 918-280-280) are required it Oregon Contr.Brd Lie.S Exp.Date expired in C.O.T. 0j to/ Check Type of Work Involved data base) Electrical Contr.Uc.M Exp.Date Zcp7._UZ -I ❑ Audio and Stereo Systems C.O.T.o etro # kxp DatM ❑ Boiler Ccntrols Owner's Name ❑ clock Systems OWNER- Mailing Address APPLICANT Data Telecommunication Installation City!State Zipf 1 Tiro Alarm Ina,illation Phone M This permit Is issued under OAE 918-320-370.This applicant ag�ses to LJ make only restricted energy installations(100 volt amps or less)under this CR HVAC permit and to do the following: ❑ Instrumentation i 1 Only use electrical licensed persons to do installations where required. Certain residential and other transactions are exempt from licensing. ❑ Intercom and raginy Systems These have,asterisks('). All others need licensing; ❑ !_ Call for insper'iona when installation under this psrmit aro ready for Landscape Irrigation L;nnfrol• inspection 7-839.4175; ❑ Medleel 4. 3 Purchase separate permits for all installations the:are not ready for an F] Nurse Calls inspection when the inspector is out to Inspect under this permit; ~ unor Landscape Lighting' N 4 Assume responsibility fcr assuring that all corrections required by the OtdL ❑ p � g' Inspector ars done,arid; ❑ Protective Sipnsling —t 5 Assume responsibility for calling for a final inspection when all of the 100 corrections are completed. ❑ Other -_W-. UJI Permits are non-transferable and non-refundable and expire if work Is not started within 180 days of Issuance or if work is suspended for 180 days. _Number of Systems The person signing for this permit must be the applicant or a person Nn Ikenses are required Licenses are requtred for sit Mher Instanallons authorized to bink;the applicant. FEFJ: Signature -7^ - ENTER FEES S 5%SURCHARGE(.06 X TOTAL ABOVE) ! Authority if other than Applicant TOTAL = i Vesele,doc 12M I