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10110 SW NIMBUS AVENUE BLDG B STE 3 I F8 3AV S(13WIN MS 04404 I M LD a co CL co re M z co a ® T 10110 SW NIMBUS AVE B3 MECHANICAL PERMIT CITY ©F T I G A R D _ DEVELOPMENT SERVICES PERMIT#: MEC2005-00259 13125 SW Hall Blvd.,Tigard,OR 97223 503-639-4171 DATE ISSUED: 5/19/2005 PARCEL: 1 S 134AA-01800 SITE ADDRESS: 10110 SW NIMBUS AVE B3 ZONING: I-P SUBDIVISION: SCHOLLS BUSINESS CENTER LOT: 002 JURISDICTION: TIG Project Description. Replacc exisimb,roollop unit. Value$3700.00 CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS: TYPE OF USE: COM UNIT HEATERS: VENT FANS: OCCUPANCY GRP: B VENTS W/O ADPL: V'_-NT SYSTEMS- STORIES: _ BOILERS/COMPRESSORS_ HOODS: FUEL TYPES 0 - 3 HP: DOMES. INCIN: i� 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 < ,OOK BTU: AIR HANDLING UNITS OTHER UNITS: FURN >=100K BTU: 1 ^� <= 10000 cfm: GAS OUTLETS: > 10000 cfm: Owner: FEES ROPINS, , CONSTANCE A + Description Date Amount ROBINS J, LYNN + BELL, KAY FT [Mt?('H]Permit Fee 5/19/20W $113.90 BY INSIGNIA COMMERCIAL GROUP (TAX]8%State Surchark 5!19/200f $9.11 BEAVERTON, OR 97008 Phone: __ _ Total $123.01 Contractor: GOHMAN MECHANICAL INC 412 S BEAVERCREEK RD., STE 602 REQUIRED ITEMS AND REPORTS OREGON CITY, OR 97045 — — Phone: 503-650-1588 Reg#: LIC 119952 QC rn This permit is issued subject to the regulations contained in the Tigard Municipal Code,State of One. Specialty Codes and J m all other applicable laws All work will be done in accordance with approved plans. This permit 'Il expire if work is not started within 180 days of issuance,or if work is suspended for more than 180 days. ATTENTI N: Oregon law requires W you to follow rules adopted in the Oregon Utility Notification Center. Those rules are se i OAFS 952.001-0010 through OAR 952-001-0100. You may obtain copies of these rules or direct que ions O calling 503-246-6699 or 1-800-332-2344. Issued By: Permittee Signature: Call 503-6.39-4175 by 7:00 a.m.for Inspectis dry. This permit card vft!I be kept In a conspicuous place on the job site until completion of the project. Aporwed plans are required on the job eke at the fts of each Inspection. Mechanical P4rmit A li in City of Tigard Received g Datemy Pnmit Na.:M L-G�L7O5 •oma aS`j 13115 SW Hall Blvd.,Tigard,OR 97223 Phone: 503.639,4171 Fax: 503.598.1960 1 pa y Other Permit: lnspecti Line: 503.639.4175 11m 1 _ Internet: www.ci.tigard.or.us Date Ready/By Juru 0 See Pagr i fur 8 r, Notified/Method: Supplemental Information cn­ �. .�' � Y U[ '[[v A f.`-K ,..�`. �"�dFMi3HElSK in [�New construction Mechanical permit fees*are based on the value of the work [Addition/alteration'replacement performed.Indicate the value(rounded to the nearest dollar)of all ❑Demolition ❑Other: mechanical materials,equipment labor,overhead,and profit. J :: i 1F�. Value:$ Gf(> 1 I and 2-family dwelling' Cornmerciiaal/ind UCT1-Iv y ❑ Y ustnal '- -- . l'�'1'STEM9FEES. Ll Accessory Accessory building _WWr=- ❑Multi-family ❑Master builder special information use checklist. ❑Other: Description Qty. Ea. Total N: , a � Reatinji/coollaff Job site address: �p ! Air conditioning or heat pump -(requires site plan showing placement) 14.00 City/State/ZIP:4P ' ! - Furnace 100,000 BTU ducts/vents 14.00 Furnace 100,000+BTU(ducts/vents) 17.90 Suite/bldg./apt.no.: Project name: 1 t� Gas heat pump 14.00 Cross street/directions to job site: Duct work 14.00 H droric hot waters stem 14.00 �fgr Residential builer(radiator or h conic) 14.00 — -- — -- -- Unit heaters(fuel-type,not electric), -- in-wali,in-duct,suspended etc 10.00 Subdivision: Lot no.: -- riue/vent for any of above 10.00 Other: 10.00 _ Tax map/parcel no.: Other fuel appliances _ Water heater MOO Gas fireplace 10.00 Flue vent for water heater or gas T fi Ia.e 10.00 -- — Log lighter s 10.00 _ Wood/pellet stove 10.00 Wood fireplace/insert 10.00 ;;. Chimr /liner/Ilue/vent 10.00 -- Other: _ 1000 - Name: l� Environmental exhaust and ventilation Address: Range hood/other kitchen a uipment 10.00_ City/State/ZIP—�� .1.yZ-3 Clothes dpEllhaust 10.00 Phone:( ) Fax: Single-duct exhaust(bathrooms, ( ) toilet ccrnpartments,utility roomI 6.80 Attic/crawls ace fens 10.00 Other: 10.00 Business name: v M FhelIP ping — Contact name: F -` 35.40 for first four;51.00 for each additional _ a' Fumace etc .f - ftiY Address: d!f 2 ,� �C ];>1 �_ Gas hat punk _ (/) City/State/ZIP: Well/suspends d,.r _ Phone:O�") Fax: :i55s. Water heater J — Fireplace E-mail: Range '+ 8 (W� Barbecue J Business name: ice,.' Clothes ddb as �= Mech >lical Permit Application - City of Tigard ' Page 2 - . pplemental Information Commercial ee Schedule: $1.00 to$2,000.00 — Minimum fee$72.50 $2,001.00 to$5,000.00 J $72.50 for the first$2,000.00 Ff, .30 for each additional$100.00 oron - cZ-thereof,to and includin $5, $5,001.00 to$10,000.00 41.50 for the first 55,00 0 and 411.lj(/ S 1. for each additiona 100.00 or fractio hereof,to en ncluding $1 0,000. 3 -CIO $10,001.00 to$50,000.00 $231.50 fort fir S10,000.UO and $1.35 for each a .tional$100.00 or (� •(/ fraction thereo to including 7 _ _ $50 000.00. $50,001.00 to$100,000.00 $771.50 r the first$50, .00 and / ;$11 or each additional$1 0 or 6 •O tion thereof,to and including __ 100,000.00. S 100,000.01 and up $1,396.50 for the first$100,000.00 an $l.10 for each additional$100.00 or fraction thereof. Note: All new commercial buildings require 2 setr of plans. a ac U) m t� w is\Auilding\Permits\MEC-PermitApp doe 12/03 2 � PER>.1ANANT AiTATCHMENf TO ROOF CURB: INSTALL / 10 DRIVE SCREW THROUGH id CA 8A5E � RAIL OF Ut'nf: INTO 16 CA FACTORY CURB ---• I i tO111 SELF TAPPING URINE SCREW r TYP. OF 6 ( 4—EACH SIDE ) 'QQ — UNIT �?N' tik _ v T'� J ~Q 2V,O CURS ,` = :I M_ ROOF �� W) U Q3 V �� N 'A- AC UNIT SEISMIC DETAIL _ hF •? NTS SCALE N i l •e--f G v :J EQUIPENT SCHEDULE U I TAG MIG MODMA VOLTAGL COOLING CFM MM-09A WGHT J MCAMUSK MAT 11TU-1 Cartkr 41(19011040 2061770/1 11000 600 110 2491b1I 40MO rI -T JL— Alt Y wr ul Jct ,Au I T a cm--o[ (rJI,14AN MECHANICAL 'INC. [Vgo (o ALL RIG)iTS RESERVED TIME DRAVINGS ARE T�4t PROPERTY 01' ( CQ11MAN MECHANICAL, INC. AND "E NOT TD bE USED OR REFROOUCED IN ANT MANNER j 1 PRIOR WRITTEN PERMISSION 1 1 4-�_ �� rr•+r���r�r�n�wr�l�l��/YIVOI�I�r�YYr����.�ririrrllYil�+rr�r�� +� From Airefro, Tualatin To (503)655-0514 Page 616 Date:5118!2005 10 5635 AM 0 a� v r E o E1616 10 — IL Lu 4. I CWL C U r a ;� � M fib, it WE Q43 C ;p � nL16 oC " C - W)4 Qt) p� - E 1 •r o 3 _ E r` < - _ jp t (b. X X X q, N b ?" ` lX� X X J rD CL LU CL VC: IE 1 L F \i Di W QQ p h 0 O W This fax was sent with GFI FAXmoker fax server. For more information,visit. http://www gfi.com Froin Auefco,Tualatin To'.(503)655-0514 Page 5/6 Date,5/1 Or-)W,)10.56 34 AM z X CC D � p t m m in Soo • • O A r 4 r X N 1y 1 r € f Q � V Q ~ r IW ib LL I I This tax was sent wfth GFI FAXmaker fax server. For more information,visit http://Www gfi.00m From. Airetco,Tualatin To:(503)655-0514 Page 4/6 Date:51180005 10:56:34 AM Base unit dimensions — 48GS018-042 fr., —t: R.1 1/111 10 Ol0[rr 1■RI R..wl� `` I.X•. .ill 1 I. I~.RI i1tM /,.4 _ 1 1 113.5,1 .iuw/ A.I.` ---- ----- �r.►11 � � 1 tr■..EOIf —s TOP Vft 1(1 Mill frill. f( REAR V4 9MOU MCU MMOE n CoM M M A&W MMJ•1!8 aErra,�sr you a nar Me aelua�! 1 r �oFurrr_..-..._._-...._.._..-.__ ..----____ __moi �,, roc moa ___.__... __.-.---.--- sam +�` I Door a1o�os uir---..------,_ .. . .tmartr die. .. ._,_ 1 �ooraeltea�cra _.�._...___.__.._._..__.-_..._.._...._._+goo roel►t�c � Of OFtJNfT__ f.-.. -_ sl0 71 ri107P--.--...._- ., MlQ iM1Nl1......-....«.-._....»»..- ..�....».._..SAO 41 eR orrowrUII[TI1,....._...._._._..-..._.......___........._._.#.W 1 d.r1o1"CLIN"ae!• OIIC'RANSL_.-........_..........__........_..-._..,__....._...._......___11.00 UWAM 1111CICIIII 1111110 maw I" ! i—orl�al mnw�wwN A►OUilOEC1 M1t1fA[:E6,Pt71VER EiJT IM!............ ca ..._._.��fq�1f1f)S./1 oo -Une°nen,e riNry 1 Iff tm r1oe. l i W(F 0i11fe mom en kiln Imm] i ) fit, 19"1 In 11 iirwl� �iiif I u■.ft cern t)til r<n 1 - _ n..11.la.li tilfi SRI i i 1 'T"'�'�' frill - n.■q.fff�1 Y. u.ln 1 luNI 'rift ift fnr.RE y !'C.!!1 ftlilf jl IN aZ YyM.=II _{11��i{1..►r a LIFT 510L VrW Ff1UNT VIEW t71f1F1T SM VEIN 1 ii— N 1 OF GRAY"MMIN CEN - E1(M{T TER M m b3 11tV1r ELFC7 RICAL cw►RAcreR,sTres UWT WT. UNIT H LBS. KO. _ "A' x y Z '— s 4BGi901B040 W..0.01 395.6114. 316.0[15.0] � -�- 2082.30-1-00 249 1129 689. .Zl SOB W J 208MD-1.00 280 127•.2 on. a�1 571�.s] 530-413.0] 361.512.5) o4lroeo aeor23o l eo.2otYr3o�o90 2Bo tr>.e M9.s]35M] s46.1��t.s1 342.3(13.7q 381. 15.5] /1 _ IS3S09808N990 2081?:lD 1.60,2a6�79C1.41i0.40" 0 320 145.1 040.9('37.02] B71 S[22.5]�95, .Oj 330.4[13.0]0 p,208IM-3-N,160 3mm 956 161.0 889. 540.1[21.81b) 330 130] R This fax wez sent with GFI FAXmaker fax server For more information,visit.http://www.gfi.eonl Frorn Aireko,Tualatin To:(503)655.0614 Page:216 DAUB:5118!200510:56:33 AM PMad Name Schools 63,C7 Pnparnd by:AIREFCO,INC. 10:49: 7M AM P�ajsct Name:Schools 83,C7 Tag Name:03 Will Nflaw:48CiS0 BM Ij Ata SEER_-_ 10.00 a w u*oW°m'Ir►e w$W*: -- 29 a ry u.3 in _ n7 In F1eiD►rt_..__..-_ 30.9 in LATA Vo9apwPhw3*+brft 2DI14-00 AirDWwrgs____ Vvrded Fan WA Type _ Direct f Ai"AlrAow ___ . .- - _, 609 CFM 8# (j a A I%alai 0 e Calftmer F� DAir DB - _ 0A'F Ewaponwsr Eftdng Ai YM -' aA 67.07 ming Ai ENholpy_- Al A4 BTUAb Frspornlor W&An0 Ai 06 N 1 T E#4%x Wor Lswlrp Air VM 47.7'F 1 lAaWn0 Ai ErOw4p!.w 71.0611TUOb Mlt Comp capacity-- 16Ae mom Nd dTOM l ,Pa1M �► MRH 12A3 M _ 1.N kW rpni Bypa.n Farms 0.121lkeskg I 1 Mak 11saAY1pµlow--- 609 CFlM1 Waft Nr Ting_ 3lf.D'F r Lawful Ai Temp-- q,6•v 9aa b*#A CaPulb/ --- 40.00 AASH Mat AtMMblittine gi-9 OtrfplR Capaeky- at" MBH ' F-4rrrnl 8fatic Pressur!_ .- 0.40 In w'g Option/Aoowwan aft Preeeue: - Wet OAT In wg ' TOMS 246mal Shdc� OAT 1n wg I Fan RPM _ _ -� AT ran Motw Size,HP� - 1M 07 NE:High Moor llpse4 WR _ i 6ae8rira/[?stn: Iftib r.n Vouge we"M V~ 2b1 a_- - - Qapnuo (brrlpa!eem LRA 9 I 4ti OtOw Fan FLA(a)^ A I , &m Farr Motor FLA - 1.8 Pawer Supply MCA _ 17.9 Power SW*A10CP(Fu m at H" 20 i1lYrirrrum Wire Size __ 14 Acoustlm: i Sound Ralkr�__-- _ _ 75.0 dB d. Sound Power Laysk,dB re IOF-12 Wafts 1 DIGCNW Intel Outdoor 63 hz NA NA 45.8 N 126 W NA NA 57.3 250 hz NA NA 032.9 SOD hz NA NA 67.8 t two hz NA NA 89-0 2000 hz NA NA 852 1 CID a= hz NA NA 61.0 V 9000 hz NA NA 5.3.5 J � -- ------ -----a--__.,_.. � Carrier Corporation Rooftop Pkg. Onits This fax was sent with GFI -AXmaker fax server. For more informatim,visit. http:/1uww.gf oom From Auelco, lualatin I o (503)1555 05 14 Paqe 3/6 Date:5/180005 10-5634 AM ProOd Name:Schools 83,C7 5M812005 !! pwmd by:AIREFCO,INC. 10.*49,,37 AM Penject Name:Schoole,J33,C7 Tog Ham:C7 Unit Name*48GS030040 ANSFER—­­ 10.00 ft"Urit W*K— 290 lb Base unit Dimensions: L-Vth--- 411.3 in Width_ SLY in M in Vat" Fen DO"Type Meet Actual Airflow 1026 CFM Me AOLqfton Condenser Eft"Air DO— K.O'F EvepwaW Enherlm Air Dl% KA'F F-w-*W EMW4 Air VW 07A IF FAwVV Air Endw1py_ 21A4 UTU% t?weI P 'r LS@Wng AM DEL—. "A IF Empormlar Lefth Air WB 414.2 IF Evapormlor Lowing Air Enftipy---_.-- 30.17 BTU#1b wd C-dkV covedly-- 28.02 MOH Mal gamble CApa*_._ MIT MOH T'Aw Lkw Power kp*_ 2.63 kw Col a Fs" OA02 9 100ft FMikrg Ak&m 11024 CFM t=i bft Ak Temp 30.0 IF tm%"AW Temp- 41.0'F an 1w Cape*— 40.00 MOH MwL Avallable On lbmt% OtqKo Cmpsdy___ 32.04 MH TeTwerans Rke---- ZLI'F Eneernef Steric Pre"" 0.40 In wg Of-, 1Accmoo*wSt@*Pressure: Mal Call 0.08 In wg Tdid f5derdmIl st3ft OAS in wg Fen RM--- 1076Fen Maim Sim.HP 114 MOTE High 9%6w Speed,Vert Mowlem Deft Mkdnwm Vieft" mm*nwn%A**" m carmprmwr" 44.4 CAxnpnmmr LRA 73 CuMm Fan FLA(es) bulow Fen Matur FLA 2 Powff Supply MCA 29.9 Pmm Supply MC)CP(Fuse or MCR) 30 Mk*MM Wks Sin 10 BmW 75.0 dO Sound Pmw Levels,0 re 10F-12 Watts Dim&arge Inlet OtMoor 53 hz NA NA 44.3 125 hz NA NA 58.0 le 25O hz w NA do's WO hz NA NA "A 1000 h7NA NA G&A 2000 117 NA NA 55.4 it 4000 " NA MA 61.6 Aw h7 NA NA 560 Ll J Ron Comw Corporation ftop Pkg.Unft VeMkm 7-15 This fax was sent with GFI FAX fax server.For more information,visit, http ffiwwwgfi.COm CITY OF TIOARD BUILDING DIVISION PERMIT 0. MEC2()<&O0259 13125 SW Hall Blvd.,Tigard, OR 97223 DATE ISSUED: 5/19!2005 Phone: (503) 639-4171 Inspection Requests (24 Hrs.):(503)839-4175 INSPECTION WORKSHEET FOR DATE: 6/612005 TIME: 7:13AM PAGE: 77 SITE ADDRESS: 10110 SW NIMBUS AVE B3 CLASS OF WORK: SUBDIVISION: SCHOLLS BUSINESS CENTER LOT M: 002 TYPE OF USE: PROJECT NAME: SCHOLLS BUSINESS CENTER DESCRIPTION: Replace existing rooftop unit Value$3700.00 OWNER: ROBINSON, CONSTANCE A+, PHONE M: CONTRACTOR: GOHMAN MECHANICAL INC PHONE #: 503-6501588 Inspection Bequest Scheduled For: Date: (96/M. Pour Time: Code # Inspection Description Confirm # Contact # Message 699 Mechanical final 008481-02 503.7933719 N Corrections/Comments/Instructions: IL --- ---- -- _� a m` w PASS PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS FAIL ❑ CALL FOR INSPECTION ❑ ADDITION FEES ASSESSED " c ' Inspector: _ Date: Phone I>t: (503) 718-.,_ ` CITY OF TIGARD DEVELOPMENT SERVICES 13125 SW Hell Blvd.,Tipard,OR 97273 (503)639.1171 CERTIF-'ICATE OF OCCUPANCY PERMIT N. . . . . . . s BUP97 -04'x0 DATE ISSUEDi Oa/02/98 PARCELS 1S134AA-01800 SITE ADDRESS. . . s10110 SW NIMBUS AVE NB--3 SUBDIVISION. . . . s 1 KOLL BUSINESS CENTER TIGARD ZONINGi I--P BLOCK. . . . . . . . . . s LOT. . . . . . . . . . . . . t002 JURISDICTIONt TIG CLASS OF WORK. s ALT TYPE OF USE.. . t COM TYPE OF CONSTRe2N OCCUPANCY ORP. eB OCCUPANCY LOADs 9 TENANT NAME. . . sWESTERN STAFF SERVICES P&_markss Commercial TI - Interior office alteration. Owners ----- _------------------------_--- ICBC I I/FORUM' PROPERTIES 1.0240 SW NIMBUS STE t_--3 TIGARD OR 97223 Phone Nt Contract or s ---------------....-------------. 3-D CONSTRUCTION NW INC PO BOX 65790 VANCOUVER' WA 98665 -0027 Phone Ms 360-891-0547 Reg #. . t 001127 fhis Certificate grants occupancy of the above referenced building or portion thereof and confirms that the building has. b9on inspe ed for compliance wiff, the State of Orgon Specialty Ctltifl'�"""foi^ ��e group, oc.cu ncy, and use under which the referenced permit was issued. N 8 ,tt t'gING S06 TOR BU I L INC} n I C I AL. J 'OST IN CONSP I C(InLIS PL.ACF ® (7 1 W V J I� CITY OF TIGAItD BUILDING INSPECTION DIVISION 24-Hour InspectionLi : 639-4175 Business Phone: 639-4171 lh+tc Rexqucsted: — '" — AM. —_ - P.M.. MST: Lrxation:_ ! -- _ BUP: "�_J ieinnt: �1r��717 �/S _ suite: -aBM& MEC' _ Contractor: ', I Phone: _ �/ (,I PLM: Owner: � W i Phone: � ELC:--�_ ELR: _ B INC coo1coo> I PLUIOING MECHANICAL LE ICAL SITE Site os Pod/Beem Post/Beam Cover/Service Sewer/Storm .71 Footing Roof UndFVSlab Rough-In ('.tiling Water Line Slab Framing I-op out (has Line Rough-in IJ0 Sprinkler Foundation Insulation Sewer lloo )uct RccomW Vault Bsmt Damp Drywall Storm Furnace Tamp Servicz mise. Masonry Ceiling Rain Thain A/C UG Slab Shear/Sheath Fire Spklr/Alm Crawl/Found IN Beat Pump how Volt _ Approved Approved Approved Approvr,d Approved Appr/Sdwlk ved Not Approved Not Approved Not Approved Not Approved L FINAL FINAL, FINAL FINAL a CO) -- _------ ------------ -- — - J_ W O Call for reinspection Q Reinspection fee of S required before next inspection Q Unable to inspect vi Inspector: Date: Page—Page._--of-- Page No. 1 CASB HISTORY FOR CMR NO.: BLC97-0710 NSSTMM STAFF S19RVICRB 10110 SN NIMBUS AVIt unit: B-I 06/17/92 Actirn Descriptim Req/ echd/ Cnd/ Action Not+a Diep By Update upd Cod% Sent Done Dane Date By XVC(101 Application receivad / / / / 10/70/97 RRM 020 10/70/97 =0 11.CC007 permit created / / / / 10/30/97 PASS (M 10/70/97 am SI.CC'S00 (F)Ieeue permit / / / / 10/70/97 PASS GM 10/70/97 OW ELCC700 Ceilinq Cover 30/30/97 / / 12/02/97 corrections of I1-13-97 not complete PAIL Mflt 17/03/97 MIR HbCC:720 Nall Cover 10/70/97 / / 11/13/97 not ready NR MIR 11/13/97 MTR RLCC730 tlect'1 Service 10/70/97 / / 12/08/97 PASO: MW 12/16/97 J•H RLCC799 91ect'l Final 10/30/97 / / 12/09/97 PASS HJR 12/16/97 J*H HLCC800 Case Finalmd ! / / / 12/08/97 PASS M7R 12/16/97 J•H I i IL o� m 0 ui � 4 CITY OF TIGARD BUILDING INSPECTION DIVISION 24-Hour Inspedion Line: 639.4173 Business Phone:639-4171 Date Requested: _ Irl _�I`Z Z --/Z -/tF A.M. — _ P.M. MST: Location: W 'V � BUR _ T RVI _-_ Tenant: �� Suite:� BI NEC:MEC: Contractor:,_C/.J� W /1'U, / _Phone: Z- — PLM: _ Owner: k3P—vn—A'k— --Phone: ELC: ---- -- --- -- — ELR:!?,6 � SIT: BUILDING BLDG(con't) PLUMBING KRCHANICAL ELECTIUCAL SIT6 Site Post/Bcam Post/Beam Post/Beam Sewer/Storm Footing Roof UndF'l/Slab Rough-In Ceilipg Water Line Slab Framing Top Out Oas Line Rough-M UG Sprinkler Foundation (nsulation Sewer Hood/Ihrct Reconnect Vault Bunt Damp Drywall Storm Furnace Temp Service MISC. Masixuy Ceiling Rain Drain A/C UG Slab Shear/Sheath Fire Spklr/Alm Crawl/Found Dr Heat Pump .ow o Approval Approved Approved Approved Appy/Sdwlk Not Approved Not Approved Not Approved N Approved Not Approved FINAL FINAL FINAL FIN FINAL if:7 4-10 —� tom. /�-S t�m � �L�� �' S' �.C=v ri n� a J_ m W J — — D('all for reinspection O Reinspection fee of S. required before next inspection O Unable to inspect Date._ _ �� Page _of CITY OF TIGARD ELECTRICAL PERMIT DEVELOPMENT SERVICES PERMIT #: ELC97-0720 13125SWHot:Blvd,14mr4OR91223 (503)W4171 DATE ISSUED: 10/30/97 PARCEL: 1S134AP-01800 'TE ADDRESS. . . : 10110 SW NIMBUS AVE #B ' cRDIVISION. . . . : 1 14OLL PUSINESS CENTER TIGf1Rb ZC1NiNG: I-C 'LOCK. . . . . LOT. . . . . . . . . . . . :002 JURISDICTIONS TT^ rl-o,j ect De set-i pt i on: Add two (2) branch circuits to an existing coasercial tenant occpy. .- - ...RESIDENTIAL UNIT----._... --_ TEMP SRVC/FEEDERS-_.. ._--. - 1000 SF OR LESS. . . . : 0 0 - 200 amp. . . . . . . : 0 PUMP/IRRIGATION. . . . : 0 EACH ADD't- 500SF. . . : 0 201 400 amp. . . . . . . : 0 SIGN/OUT LINE LTG. . : 0 i- IMITED ENERGY. . . . . s 0 401 - 600 amp. . . . . . . .. 0 SIGNAL/PANEL. . . . . . . : 0 MANF. 11M/ SVC/FDR, . : 0 601+amps--1000 volts. : 0 MINOR LABEL ( 10) . . . : 0 --_.__-SERVTCE/FE:EDER----_ -.-_-BRANCH CIRCUITS - - ---ADD' L INSPECTIONS---- 0 -- 200 amp. . . . . . : 0 W/SERVICE OR FEEDER: 0 PER INSPECT)UN. . . . . : 0 -'01 - 400 amp. . . . . . : 0 1st W/0 SRVC OR FDR. : 1 PER HOUR. . . . . . . . . . . : 0 401 - 600 amp. . . . . . : 0 EA ADD' L. BRNCH CIRC. 1 IN PL.ANT. . . . . . . . . . . : 0 601 - 1000 amp. . . . . : 0 ------ -- -----_- -PLAN REVIEW SECTION-__-.-.-__.___-___.. 1000.14• amp/volt. . . . . : 0 ) =4 RES UNITS. . . . . . . . ; ) 600 VOLT NnmINAL. . : Reconnect only. . . . . : 0 SVC/FDR ) = 225 AMPS. . : CLASS AREA/SPEC OCC. : Owner: _..___._ _.__.-.-.-._ --.---._.._-------_______._.____..---_._ ._..---_..__.___.__-.... F-ES -.__..._._._.__.___...._ .._ WESTERN STAFF SERVICES type amount by date recpt 10110 SW NIMBUS B-3 PPMT $ 4000 GI'O 1.0/30/97 97-300577 TIGARD OR 9722223 SPCT $ 2. 00 CEO 10/30/97 97-.300533 Phone #: Contractor: -___--_____.________________-__-_----_----__--_-----_-__---_-._-----_- BRClADWAY ELECTRIC-COCHRAN INC $ 42. 00 TOTAL PO BOX 33524 REnU I RFD INSPECT I ONS - SEATTLE WA 98133-05214 ceiling Cover Under,gr-ound Cave Phone #: 234--6564 W<-.A7 1 Cover- EIeC1;' 1 Se, v iI'V Reg #. . : 000729 This pertit is issued suhject to the regulations contained in the Tigard Municipal Code, State of Oregon Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans. This persit will expire if work is not started within 188 days cf issuance, or if work is suspended for sore than 180 days. ATTI=NTIGN: Oregon lax requires you to follow the rules adopted by the Gregor Utility Notification Center. Those rules are set forth in OAA 952-O0I-OO1O through OAA 952-001.1987. You say obtain a copy (L ` there rules o�, direct questions to OIIMC by calling (503 46-1987. H 7,s ,.Ied I1v : I NSTP1_LAT I OPJ The installation is being made on property I own which is not intended for sale, lease, or rent. OWNER' S SIGNATURE: DATE: INSTAt._LATION 16 STGNATURE OF SUPR. ELEC" N: DATE.: LICENSE NO: 1_�_� g___�.�_____._ 4-++++ F++4+-++4•4++++++4 1-{ f F +_! +4+4 r.+1 4+ F 4 4.++++++++4+++++++++4-+++++++•4 4++4 4 +++++++ C 4++-1-+4-4-++-++++++++++4 4+++4•+4•+++++++•r+++4+4.4+++4 4+-I +++'++++4++4•+++4..4+4 4--+++++}+++ Community Develepment ELECTRICAL PERMIT APPLICATION 13125 SW Hall Blvd. Tigard, OR 97223 Planck/Rec. # Permit # 4e 37---0 O Phone (503) 639-4171 Date Issued TDD CITY ®f TIGAFAX (503) 684-7297 13sued by DD No. (503) 684-2772 Inspection (503) 639-4175 1. Job Address: i"1 G(o(A 1:5 4. Complete Fee Schedule Belov: Name of Development Sa4d'A . ta,,Uog-s is Number of Inspection*par permit allowed Address k2 u-o SV�i NI LN1 I&l Servk:e included: Items Cosl(ae) Sum City/State/Zip_1� 0!96.2-- , 4s. ReeidenUel •igen unit • 1000 eq It or Was $11000 Name or name of business` E.dr on titers fi00"" " °` 1 ( 1 �.� portion thawed $25110 Commercial Residential❑ Lin"t'd Energy $2500 Each Msnurd Ho"or MorfiAar 2 Dwelling servos or Feeder $000 29. Contractor Installation only: 4b.Services or Feadan Installation,alteration,or relocation 2 Electrical ContractorN 200 amps or Was $4110(1 AddreS3 (�7{p �jC_ t P-1 T— 201 amps to 400 amps $40 woo 2 401 amps to 400 amps $12000 Gity V State Zip C>(R21 a2 401 amps to 1000 amps $16000 Phone No. 2 Over 1000 amps or volts $34000 2 Contractor's License NO. 3 Reconnectonly "000 — - Contractor's Board Reg. No._ 4c.Temporary Services or Feeders Installation,alteration,or relocation 2 Signature of Supr. Elec�Y�. �*� 200 amps or less $5000 2 License No's b4-S' Phone No. a a 201 amps to 400 amps $75,00 2 4,54-0§ � 401 amps to eoo ampe $10001) 110&ovo— ! , 4-0§ Ovwr 400 amps to If=voltn 2b. For owner Installations: see•b•above 4d.Branch Circuits Print Owner's Name_R42�j tA Nov,s"erstion or extenswn pnr panel Addressa)The foe for branch circuits with City State ZI Purchase or s v m Asda►Asa. Zip_ Each Manch circuil $600 _ Phone No. b)The fee for branch nrculte wiftMowe The installation is being made on property I own which is panne*o of sisor s,or ued.►An. 2 not intended for sale, lease Or rent. First branch circurl I $3500 -3S,0a 2 Each wHilional branch ciraiA = $500 — -10 Owner's Signature 4e.Miscellaneous (Service or feeder not included) 2 3. Plan Review section (It required): Each pump or irriga ion circle $4000 2 Each sign or outline lighting S"00 signal circult(s,or a limited energy 2 Please check appropriate Item and enter tae in section SB. panel,alteration or extension $40 On 4 or moiw residential units in one structure Minor Labels(10) $10000 4, Service and feeder 225 amps or more a System over 600 volts nominal 4f.Each*dditic^ inspecllan over M Classifiod area or structure oontaining special occupancy the allowable In any of the above N as described in N.E.C. Chapter 5 Per Per hour hourimpcion $9500 �^ $6500 In Plant $55.00 Submit 2 sets of plans with application where any of the above apply. Not required for temporary construction eervioes. $. Fees .Sae Enter total of above tees Z �� t�J NOTICE 5%Surcharge(.05 X total fees) $ y� PERMITS BECOME VOID IF WORK OR CONSTRUCTION Subtotal $ AUTHORIZED IS NOI COMMENCED WITHIN 180 DAYS,OR IF 5h. Enter 25%of line A for CONSTRUCTION OR WORK IS SUSPCNDED OR ABANDONED FOR Plan Review if required(Sec.3) A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS 'Subtotal s _ COMMENCED. Ll Trust Account f$ $ Balance Due s 4.2-00- WeAlbee-op ELECTICAL PERMIT . CITY OF TIGARD RESTRICTED ENERGY COMMUNITY DEVELOPMENT DEPARTMENT PERMIT #: ELR96-0255 921268WHas Wd.Tigwd.Or*W 07222NlSO (M)004171 DATE ISSUED: 08/23/96 PARCEL: 1S134AA--01800 t 1'L ADDRL�3S. . . : 10110 SW NIMBUS AVE #B-3 ;UBDIVISION. . . . : 1 KNOLL BUSINESS CENTER TIGARD 20NING: I—P BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . :2 Project Description: .-------------------------------------------•-------------------------------------- 1. RESIDENTIAL------- -- B. COMMERCIAL---•---------•—•----.--------------------__ AUDIO & f;TEREO. . . : AUDIO & STEREO. . : INTERCOM & 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. . s TOTAL # OF SYSTEMS: 1 uwner,: __ -- ------------- -- — --- -- ____--------- FEES WESTERN STAFF SERVICES type amount by date recpt 10110 SW NIMBUS B-3 PRMT $ 40. 00 CJS 09/15/96 96-28293E 5PCT $ 2. 00 CJS 08/15/96 96-282936 116ARD OR 97223 Phone #: 624-0634 Lontractor: ----------------------------.---------.------•-------------------------- E_�F COMMUN I CAT I ONS, INC. $ 42. 00 TOTAL ✓3170 SW BOBERG RD ---•---- REQUIRED INSPECTIONS ------- WILSONVILI_E: OR 97070 Wall Cover Elect' l Final Phone #: 503-682-4195 Elecct' l Service This pertit is issued subje^t to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes and all othtr Perm i t e e Signature applicable laws. All work will be done in accordance with approved plans. This pertit will expire if work is not started within 188 days of issuance, or if work is suspended for tort than 180 days. Issued By ___----..____._.__________-•--_._OWNER INSTALLATION ONLY•-------_--.--- The installation is being made on property 1 own which is not intended for sale, lease, or rent. IL OWNER' S SIGNATURES DATE: --CONTRACTOR INSTALLATION ONLY---•-------------- N c SIGNATURE OF 8UPR. E_LE=C' N: ���� DATE- ED ATE:m LICENSE NO: FD J Lall for inspection — 639-4175 Community Development RESTRICTED ENERGY ELECTRICAL APPLICATION 13125 SW Hall Blvd. Tigard,OR 97223 PERMIT 1(t4�,–Qa��_ Phone(503)639-4171 FAX(503)684-7297 DATE ISSUED 5-- e4 TDD No. (503)684-2772 CITY OF TIOARD Inspection (503)639.4175 ISSUED BY PLEASE COMPLETE ALL SECTIONS I. LOCATION OF INSTALLATION 4. TYPE OF WORK �rldress r� RESIDENTIAL—Restricted Energy Fee. . . . . . . . . SJUQQ (FOR ALL SYSTEMS) illy State Zip Check Tvoe of Work Involved: I'fRMITS ARF NON-1RANSI FRARtt AND NON-REFUNDARLE AND EXPIRE IF WORK IS NOT) STARTED WITHIN 1R0 DAYS OF ISSUANCE OR IF WORK IS SUSPENDED FOR ❑ Audio and Stereo Systems 'R`i DAYS. ❑ Burglar Alarm 2. CONTRACTOR APPLICATION ❑ Garage Door Opener* ElHeating,Ventilation and Air Conditioning System* Contractor C-SQ�.,��f1�1, �y, � _ _ ❑ Vacuum Systems* Address ��� /(� �,� �(1v i ❑ Other_ Date �1 _ COMMERCIAL—Fee for each system . . . . . . . . . (SEF OAR 918-260-260) Property Owner\A.:�Q (J4e Check Tine of Work InyWvM; Contractor's Board Reg. No. �� — _ ❑ Audio and Stereo Systems ❑ Boiler Controls Phone#t �� 1 ❑ k Systems 3. OWNER APPLICATION ir"Data Telecommunication Installations ❑ Fire Alarm Installation _ ❑ HVAC Print Owner's Name Phone No ❑ Instrumentation Address ❑ Intercom and Paging Systems ❑ Landscape Irrigation Control* City 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 pe-mit and in do the ❑ Outdoor Landscape Lighting* following: 1. or,;,use electrical licensed persons to do Installations where required.(Certain ❑ Protective Signaling residential and other transactions are exempt from licensing.These have ❑ Other dasterisksm.All others need licensing). —_. --- — - 2. Call for an inspection when all of the installations under this permit are ready N for inspection at 501-639-4175. C1 Number of Systems 3. Purchase separate permits for all irstallations that are not ready for inspection �" ---- when the inspector is nut to inspect under this permit. *No licenses aw required. Iirenses are required for A other Imtailatlorn. 4. Assume responsibility for assuring that all corrections required by the inspector are done,and -- (' 5. Assume responsibility for calling for a final inspection when all of the S. FEES LUcorrections are completed. The person signing for this permitm he the applicant a person a. Enter Fees authorized to hind the ap ant. b. 5%Surcharge(05 x totai above) $ �� Signature TOTAL Authority if other than applicant ENERCAP.CHP CITY OF TIGARD DEVELOPMENT SERVICES BUILDING PERMIT 19126 SW Hall Blvd.,Tigard,OR 9?229 (503)69i1d171 PERMIT c. . BUP97-0490 DATE ISSUE. 10/20/97 PARCEL: 1 S 131, 'A-01800 SITE` ADDRESS. . . : 10110 SW NIMBUS AVE #B-3 SUBDIVISION. . . . : i KOLL BUSINESS CENTER TIGARD ZONING: I--P BLOCK. . . . . . . . . . : LOT. . . . . . . . . . . . . :002 JURISDICTION:TIG REISSUE: FLOOR AREAS--- ------- EXTERIOR WALL CONSTRUCTION CLASS 0'. WORK. :ALT FIRST. . . . : 0 sf N: S: E: W: TYPE OF USE. . . %COM SECOND. . . : 0 sf PROTECT OPENINGS7----------- TYPE OF CONST. :2N . . . : 0 sf N: S: E: W% OCCUPANCY GRP. :B TOTAL------: 0 sf ROOF CONST% FIRE RET!: OCCUPANCY LOAD: 9 BASEMENT. : 0 sf AREA SEP. RATED: STOR. : 0 HT : 0 ft GARAGE. . . : 0 sf OCCU SEP. RATED: RSMT7: MEZZ?: REDD SETBACKS------.-.- REQUIRED------------------- FLOOR LOAD. . . . : 0 psf LEFT: 0 ft RGHT: 0 ft FIR SPKL: SMOK DET. . % DWELLING UNITS: 0 FRNT: 0 ft REAR: 0 ft FIR ALRM: HNDICP ACC: BEDRMS: 0 BATHS: 0 IMP SURFACE: 0 PRO CORR: PARKING: 0 VALUE. $: 3165 Remarks : Commercial 71 - Interior office alteration. Owner: -------------------------------------------------------- FEES -------------- K,BCII/FORUM PROPERTIES type amount by date recpt 10�77'40 SW NIMBUS STE L­3 PRMT $ 44. 50 DRA 10/20/97 97--300219 I TGORD OR 97'223 5PCT t 2. 23 DRA 10/20!97 97-300219 PL_CK a 28. 93 DRA 10/20/97 97-300219 Phone #: 684--0510 FIRE f 17. 80 DRA 10/20/97 97--300219 Contractor-: ----•---------------------•--- .?-D CONSTRUCTION NW INC PO BOX 65790 VANCOUVER WA 98665--0027 ------------------------------------ Phone #: 360-871 -0547 f 93. 46 TOTAL Reg #. . : 001127 ------- REQUIRED INSPECTIONS ------- lhis permit is issued subject to the regulations contained in the Framing Insp Tigard Municipal Code, State of Ore. Specialty Codes and all other Gy p B a a r d I n s applicable laws. All work will be done in accordance with JG/fir Lti2 . 4. approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for Bore N than 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those _ ,J rules are set forth in OAR 952-88I-0010 through OAR 952-00:/1987. ED You many obtain a copy of these rules or direct questions to OUNC by calling (583)246-1987. w ...r I Permittee Signat�-:re : y _ _ ssued + ++++++++++++++++++.++++-F++++++4++++++++++++++++++++++++++++++++++4+++++++++++ Call 639-4175 by 7:00 p- m. for an inspection needed the next business day +++++++++•f++++-f•+++-f-f-+++++++++++f+++++++++•f++++++++++++++++++++++++++++++4•++++t- CiT1;.OF TIGARO Commercial Building Permit PAedBY-4-0--- 11125 y4-0---11125 SW HALL BLVD. Tenant Improvement DO'Rec'd 10 "20-`�7 TIIGARD, OR 97223 Date to P.E. (503) 639-4171 Delle to DST _ Penn*a Print or Type Related S"a Incomplete or illegible ap lications will not be accepted called Ufhv �C �G- lss Name of Developm. Existing Building & -f4bw Building p Job I f- 5V Address Street Address suite Building 49/AO -7 Data Bldg a Citylstate Zip Existing Use of Building or Property: �.�., Name I CE Property - /(?" Proposed Use of Building or Property: Owner Mailing Address Sup@ ,C,•- ` I No. Of Stories: citylstate Ip Phone I Sq. Ft. Of Project: Occupant Name .: �� � ��ffil`f c' _- Occupancy Class(es) Name —' Contractor I lir Type(s)of 'onstruction Prior to permit Mailing Address Sults - 1-4-)CV Issuance,a copyWill this project have a Fire Suppression System? of ap licenses .o.1 V Yes No are required if city/Slate Zip Phone expired in C.O.T. Americans with Disabilities Act(AUA) database VVhw- UyLx Loll 9"S. )O's LY Valuation X 25%=$. .,g? Participation Oregon Const.Coal.Board Lic.a Exp.Date Complete Access ility Form 0/1 Project $ -- Name Valuation C-� Architect Plans Required: See Matrix for number of sets to submit Mailing Address Suite on back 3 CRY/State tip Phone I hereby acknowledge that I have reed this application,that the Information given is correct,that I nn the owner or authorized agent of the owner,and Engineer Name that plans submitted are In compliance with Oregon State Laws. S tura of / nt Date Mailing Address _ Suite �0 7�7 4 Con arson Neme Phone City/State Zip Phone N OFFICE USE ONLY Indicate type of work: New O Addition O Demolltion O FOMepR Land Use: -J Accessory Stru,.:ure O Foundation Only O Alteration a---- to F,.pair O Other O _ Notes: Vr Descripcon of York: J �FN1Q 1 WAIL /�l�? a:'—r -3 Lc''! TIF: c,v E 11CUILI T Iru Parks: Estimated$of Employees --- Note: Site Work Pe'mit Application must precede or accompany Building Permit Appllcatlo•i 1:1COMNEW.00C (DST) M7 % COMMERCIAL PLAN SUBMITTAL REQUIREMENT MATRIX DISTRIBUTION TO PLATYS OUT TO DST EXAMINERS (Note a.) TYPE OF SUBMI AL TOTAL CPE PPE EPE CPE PPE EPE SITE 1 1 -- -- 3 O,o,u) -- -- B (New or Asad) 1 1 -- -- 3 (j^w) -- -- F (New or Add or Alt.) 3 3 -- -- 3 O,o,f) M (New or Add. or Alt) 1 1 -- •- 20,o) -- -_ B & M (New or Add) 3 (j,o,w) P (New,Add. or Alt) 2 -- 2 •- -- 20,o) B & M & P (New or Add.) 2 1 1 -- 3 O,o,w) 20,o) -- E (New, Add,or Alt) 2 _ -- 2 -- -- 20,o) B & M & P & E (New, Add) 1 1 3 6,o,w) 26,o`, 20,o) OTES: may; a. Before returning to DST, Plans examiner g is approlm e j =Job B = BUP number of revises plans from applicant, s ps and corn etes, o=Office M MEC updates and adds actions. f=Fire P=PLM a u =LISA E =ELC �- x w= V1'ash. County F= FPS c. FPS is a new permit category set aside or fire sprinklers and fire als. d. Effective August 15, 1997, Tualatin alley Fire and Rescue no longer req%s s a set of approved plans to be forwarded to it office. Exception, continue to forward a c py of approved fire sprinkler and fire alarm lans wi\pth calculations. nyGR THE �S� ER (QILJ (attachment to Submittal Criteria) SUBJEC'r. ACCESSIBILITY BARRIER REMOVAL IMPROVEMENT PLAN REQUIREMENT: OREGONMMSED STATun(ORS)447241. and related fadl'10es shall be (1) Every prof lex rennvamn,aheation or modification to affected tx,ild�^9a hn^"s and drinking made to insure that the Data of travel to the aMixtd�at>Ind e nim Such mations ars disproportiwnato fountains am ion0/accessible to individusla w to the overaY alteMbOns in twmts of cost and scope disproportionate to the overall (2) Alterations made tome path of trove,to altered area n1sy (�%be deemed alteration when the Dost exceeds twenty- PW THEREFORE; Each submittal far a building permit shall Include this forth providing the following information. [Excluding re-roofing,mechanical and electrical permit applications] VALUATION fall excluding painting.t t aleraon o 9e modification being don (�' S 1 MWlipby; 25% Barrier removal requirement BUDGET FOR 13ARRIER REMOVAL of th established on line (2) rn the computation above shall be spent The dollar amount e @OS: providing the accessible elements in the following order. 1- An accessible route connecting the building to accessible pedestrian S walkways, and the public way. detectable warnings. rtnduding but not limited toCurb and lan"Ms" maAied crossings.ramps ramps s S 2. Not Less than one accessible parking Pace. rllnckxWg but not prriked to sdiacmt 30W; s aisle.signs and club ramp oonneding with the aeaessrbtc rotRe). S 3. Accessible entry or entries. Including but not runited to rarnra.handrails,bndm9s doer sip height,door width and door hydwsm). s -791. a 5 4. An accessible interior route to the altered aren. rmduding but not limited to door-ways.manewrtin9 clearances,door h3rtaw3m and stWrways)• g. At least one a:cessible reshoom for each sex f4 6. At least one accessible telephone where public;phones =N� vi aro provided. L7 When drinking fountains are required, filly percent but $ m not less than one shall be accessible. g, Addibonal accessible elements such as storage,reach ranges, S. - alarms, e!c.. jyotc4.doc(DST) CONSTRUC71ON N.W., INC. -34) I�E�1'1CJi�,L l��S,CF_R.rJ �TA�F Ste?V iCEs • '• {b l t p �w nl►m$�s F}vE•, su i�3 3 • • • '714 APO oR f = � • 1 • • O C�L.�N NoTE�'. OA --- ,�. �► VEmo e A--,T-t� WA►-L. TCS G,izj7 . $TI�1G NEW VOMC-4 �lEw e.�JRLLS 3o x�o - - - - - -- --- - QU61 14 © REMOVE a+- 1 u f ILL a C.X1�Tlls! RELIT�S . �R-57n•t- ►�(rLI7co� W f�l.t._ ib G2►� ��D2 µmw �TnRh>�E �S�i. Ek1�i�G, rn • ; "u�u CITY OF T{GARB Y.tbTt�G ( ]. ° ' . • • _°• • Conditionally Approved. m • '• • • For only the woo as ribcdi C9 • ��• ti••�•• +5�••PERMIT NO, See Latter to: Follow...............................( J: • Attach......... ......[ J' • Guy AJt ----8—� ' • .lob AddW:_.L ^ •„�. � 8Y - - ,Date: 10��14'r l.r ' A itr�f�iDT