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10115 SW NIMBUS AVENUE STE 350 OSE 31S 3Ad SfJGWIN MS P'o,W , i 0 M W I-- U)U) W 4 aU) CO) m Z a N L4 Ln r r 0 10115 SIN NIMBUS AVE STE 350 t ELECTRICAL PERMIT CITY OF T I G A R D — T' PEPMIT#: ELC2001-00287 , DEWELOPMENT SERVICES DATE ISSUED: 6/4/01 13125 SW Hall Blvd..Tigard,OR 97223 (503)639-0171 PARCEL: 1S134AA-01+300 SITE ADDRESS: 10115SN NIMBUS) AVE 350 SUBDIVISION- 1 KOLL BUSINESS CENTER TIGARD ZONING: G-G BLOCK: LOT : 001 JURISDICTION: TIG Proiect Description: Tenant Improvement RESIDENTIAL UNIT _ TEMP SRVC/FEEDERS_ MISCELLANEOUS 1000 SF OR LESS: 0 - 200 amp: PUMP/IRR!GATION: EACH ADD'L 500SF: 2.01 - 40('anip: SIGN/OUT LINE LTG: LIMITED ENERGY: 401 - 80J amp: SIGNAL./PANEL: MANF HMI SVC/FDR: 601+ampt 1000 volts: MINOR LABEL (10): SERVICE/FEEDER BRANCH CIRCUITS_ — ADD'L INSPECTIONS 0 - 200 amp: WiSERVICE OR FEEDER: PER INSPECTION: r 201 - 400 amp: 1 st W/O SRVC OR FDR: 1 PER HOUR: 401 - 600 amp: EA ADD'L.BRNt;H CIRC: 7 IN PLANT: 601 - 1000 amp: _ PLAN REVIEW__SECTION 1000+amp/volt: >=4 RES UNITS: > 600 VOLT NOMINAL: Reconnect only: J_ _ SVC/FDR>=225 AMPS: CLASS AREA/SPEC OCC: Owner: Contractor: ROBINSON, WILLIAM R/CONSTANCE JP ELECTRIC CO ROBINSON, LYNN + BELL, KAY ET 4065 W 11TH#18 BY ELLIOTT ASSOC EUGENE, OR 97402 PORTLAND, OR 97204 Phone: Phone: 541-68 -5770 Reg#: ELF 37-5870 LIC '104929 SUP 3872S FEES Required Inspections Type By Date Amount Recelot Elect'l Final PRMT CTR 6/4/01 $93.40 2720010000( 5PCT CTR 6/4/01 $7.47 2720010000( ---- Total $1()0.87 This Permit is issued subject to the fegulations 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 A work is suspended for more than 180 days ATTENTION Oregon law requires you to follow rules adopted by the Oregon UtiIly Notification Center. Those IL rules are set forth in OAR 952-001-0010 through OAR 952-001-0080. You may obtain copies of these rules or direct questions to OUNC at(503) 246-6699 or 1-800-332-2344. N - Permit Signature: ��"Q'.y' �_.._ Issued By: fm _ OWNER INSTALLATICI ONLY W Tho installation is being made on property I own which is not intended for sale, lea-:.,, or rent. a OWNER'S SIGNATURE: DATE:---- CONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR. ELEC'N: DATE: LICENSE NO: _ — — Call 639-4175 by 7:00pm for an inspection thu next business day Electrical Permit Application �Date!Teccived. L -Q Termit �ad�91_06 2 City of a igard Project/appl.no.: Expiredate: City(!/Tigard Address: 13125 SW Hall Blvd,Tigard. OR 97223 Date issued: By: Zeiptno.: Phone: (503)639-4171 Fax: (503) 598-1960 Case file no.: Fayraent type: Land use approval: U I &2 family dwelling or accessory U Commercial/industrial U Multi-family giant improvement U New construction U Addition/alteration/replacement U Other: U Partial .lob address: d � //�y7 Bldg.no.IfP Suite no.: ITax mapttax lot/account no.:1 (l yi4A-O 900 Lot: Block: Subdivision: O y _ - v S I n t SJ Ce,- cL 'a A4 Project nam�!: Description and location of work on prrmises: Cl et, Estimated date of com letion/ins tion: ai 1pl~ r I e nems✓ I t '� f Job so: 7Fee Mlax Business name: pit'1G�-{7t� esL Total me.Imp - New r�damU.l +Male or��perAddress: �� / sh Ih BW&hnehnisa altachesl VWW. City: t4 Stated Z[P• ' Z SWAN,tcI , Phone: p Fax&w-- - I E-mail:Jte.IroFric-zr~, I000 sq.ft-or las 4 CCB no.: Gr s.-r Elec.has. Ilc.no: 27- Each additional 500 sq.ft.or portion thereof _ �� Limitmdene�gy,reaitlmtial _ 2 City/metro IIC.no.: _^ _ Limited energy,non-residential 2 Each manufactured home or modular dwelling Si ature o _erysin electrician(required) _ Dale fjo -01 Service and/or feeder 2 Sup.elect. me(print). 4 U yyt�yNC_ License na: 7 Services orfeeders-linstallatlon, alteration or relocallon: 200 amps or leas 2 Name(print): 6Vj11j,4A%, d A S p 201 amps to 400 amps 2 401 amps to 600 amps _ 2 Mailing address: i. $JiC 601 amps to 1000 amps 2 City: l t. Stale:mG ZIP Over 1000 amps or vola 2 Phone: Fax: I E-mail: Reconnect only -I Owner installation:The installation is being made on property I own Tentsorarywrrkesarkeders- which is not intended for sale,lease,rent,or exchange according to hsstallatlors,ahentMn,orrelocatioa: ORS 447,455,479,670,701. 200 amp or less 2 201 amps to 400 amps 2 Owner's 91 nature: Date: 401 to 600 amps ^� 2 Rraaeh eirrsNs-new,alteration, or extension per peel: Name: -rds I /L / VI A. Fee for branch circuits with purchase of Address: ice or tesla fee,each branch circuit 2_ City: ~L) Cir t State:OZIP: yt) 2 for branch circuits without purchase vice or feeder fee,first branch circuit: 2 IL Phon / Fax: E-mail: - � itional branch circuit: F c.��9enkr or feeder no/ladatle�): N El Service over 223 amp cortmnetcial U Health-care facility Each pump or irrigation circle 2 U Service over 320 amp-rating of 1&2 U Hazardous location Each sign or outline lighting 2 familydwellinp U Building over 10,000 square feet four or Signal circuits)or a limited energy panel, U System over 600 volts nominal more residential units in one structure alteration,or extension* 2 U Building over three stories U Feeders.400 amp cu more *Description: U^cupam load over 99 persons U Manufactured sinictures or RV pads ad�ltlo�ul YtsgeelSoa erer the dlewuslrle r aq of Ilre ahe�s W U Egr"Vlightingplan U Other __ _ -- Ferias on —_�— Submit sNs of pbms with say of the above. Investigation fee The above are mot applicable to temporary coadraetioa service. other No all Jtaivactions aecepl credit cath,please can Onisdictioo for more Idnrmation. Notice:This permit application Permit fee..................... _ U Visa U MasterCardlan review(et _ %) S terCard expires if a permit is not obtained ----- credit card mmbm: L__-� within 180 days after it has bcrn State surcharge(9%) ....$ — Expirex accepted a4 complete. TOTAL .......................$ Nene d d on credit card S Cardholder signature —--- Amoaat-- 4404613(6AdC0M) Electrical Permit Fees: Limited En'Zrgy Fees: —T TYPE OF WORK INVOLVED-RESIDENTIAL ONLY ComplrRte Fee Schedule Below: --- --------- - ---- Restricted Energy Fa...................................................... ST5.00 _ Number of Inspections per permit allowed (FOR IALL SYSTEMS) Service !ncluded: Items Cost Total I Check T pe of wort.lirvoived: Residential per unit 1000 sq.If or less --_-- $145 15 — _ 4 L] Audio and Stereo Systems E,K:n additional 500 sq If or portion thereof _ $33 40____ t �� Burglar Alarm LkmRed Energy $75.00 Each Manurd Home or Modular C Garage Door Opener' Dwelling Se or Feeder $90.90 Services or f- ry Heating,Ventilation and Air Conditioning System' Installation,alteral 0r relocation 200 amps or less _ __ $80.30 _ 2 r Vacuum Systems' 201 amps to 400 a s _ - ! $106.85— 2 401 amps to 600 am _ $18U.60_ _ 2 1 Other _�-_-_-----_. 601 amps to 1000 amp _�._ $240.60 2 J —--- O✓er 1000 amps or volts — -, 5454,65_ _ 2 Roconnect only $66.65 — 2 PE OF WORK INVOLVED -COMMERCIAL ONLY Temporary services or F re F for each system.................. ..... 175.00 ................................ . Installation,alteration,a retoc.'1 (SEE OAR 91g 2tz0 280) 200 amps or less $66,85 2 201 amps to 400amps $100.30 2 hecK Type of Work Involved: 401 snips to 600 amps $133.75 2 Over 600 amps to 1000 volts, Audio qnd Stereo Systems see"b"+rbove. Branch Circuits Boiler Controls New,alteration or extension per panel a)The fee for branch circuits Clock Systems with purchase of service or El feeder fee. Eacii branch circuit $6. _ 2 Data TelecummunicAtlon Installation h)The fee for branch circuits without purchase of service f F-1 Fire Alarm Installation or fW der foe. 5 First branch circuit �— $46.85 HVAC Each additional branch circu't _�_- $6.65 Miscellaneous Inshtmentation (Service or feeder not included) Each pump or Irrigation cirele _--„ $53.40 Intercom and Paging Systems Eacti sign or outline lighting $53,40- Signnl circu"(s)or a limited energy Landscape Irrigation Control*panel,alteration or extension $75.00 Minor Labels(10) $125.00— ❑ Medical Each additional Insps.!-n: ger the allowable In any of the above ❑ Nurse Calls Per Inspection _ $62.50 _ Per hour _ _ $62.50 In Plant _ $73.75 Outdoor Landscape I-Ighting' Fees: Protective Signaling IL Emar total of above tees $ // ❑ Other ------ a8%State Surcharge ___ Number of Systems Bol 25%Plan Review Fee No bens s are required Licenses aro required for all otner Instelle"ons--- Ser"Plan Review`section on 5 - front of application ---- W Fees: a Total Balance Due $ �O�l Enter Intal of above fees � W _-- ❑ Trust Account a _ �_ 8%State surcharge -- -� Total Ealance Due = -- 0dsts\fbm1w\elc-fees.doc 10/'09100 r � � T d N A CL oc ai a x v _ Si N a� W w CL <r a Ltl u' 3 v F.- U Uu U U Q U W Lai] W W W W CITY OF TIGARD MECHANICAL PERMIT DEVELOPMENT SERVICES PERMIT 0: MEC2001-00223 13125 SW Hall Blvd.,Tigard, OR 97223 (503)6394171 DATE ISSUED: 6/20/01 PARCEL: 1 S134AA.01900 SITE ADDRESS: 10115 SW NIMI JS AVE 350 SUBDIVISION: 1 KOLL BUSINESS CENTER TIGARD ZONING: C-G BLOCK: LOT:001 JURISDICTION: TIG CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS: TYPE OF USE: CAM UNIT HEATERS: VENT FANS: 1 OCCUPANCY GRP: B VENTS W/O APPL: VENT SYSTEMS: STORIES: BOILERSICOMPRESSORS HOODS: FUEL TYPES 0 - 3 HP: DOMES. INCIN: 3 - 15 HP: COMML. INCIN: MAX INPUT: BTU 15-30 HP. REPAIR UNIT S: FIRE DAMPERS?: 30 -50 HP: OD GAS PRESSURE: 50+ HP: CLO DRYERS: FURN < 100K BTU: AIR HANDLING UNITS C OTHER UNITS: FURN >=100K BTU: �<= 10000 cfm: -- > GAS OUTLETS: 10000 cfm: Remarks: Alteration to existing HVAC system. Owner: FEES ROBINSON, WILLIAM R/CONSTANCE Type By Date Amount Receipt ROBINSON, LYNN+ BELL, KAY ET PRMT CTP. 6/20/01 $72.50 2720010000 BY ELLIOTT ASSOC 5PCT CTR 6/20/01 $5.80 2720010000 PORTLAND,OR 97204 _ --- Total $78.30 Phone: -------- — --- Contractor: COMFORT FLOW HEATING 1951 DON ST SUITE D SPRINGFIELD, OR 97477 REQUIRED INSPECTIONS Mechanical Insp Phone:541-726-0100 Final Inspection Reg#•LIC 460 a a J m a7 -his permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. W Specialty Codes and all other applicable laws. All work will he donee 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 throuyh OAR 952-001-0080. You n)"Zoffa—in—LeRies of these rules or direct questions to OUNC by calling (503)246-9189. Permittee Signature: )c I'e*4 _ Call (503)639-4175 by 7:00 P.M for Inspections needed the next business day SPLITTER DALV" _ WHERE »totm Ile V CID s �� -- 24X24X1u 4'e VTR s•Iw � sN'+M,IIIe .— 250 AMSTADLE _ w RUc L.OIAIQ1t 1a C 17 4e GAM PER OR bTATIt7N 241ca4xlD 3DB / SPLITTER DAMPER TEE 270 tf 1, IF ION IKCT. BRANCH TAP i 51 �. ( 4 OVER 4 SPIN-IN FIT:.R --- --- - W/ scoop OpAr ® tC) RELOC t 6TRAIL LTH MANAb�R I�^_C Art sD GAJME MADE ISI LUDAMP["MIL -- •. ' \t--- b 2.O1N1 TlMG BLADES 41r um a a 8 8 � r --NO" DRANC14 TAP c__ -" -tEl-SUPPLY —TA _ 6 3s - 18 MAx 4 1S MIN �� rj 30• MaxSUPPLY AIR MITER fLDOW TRANSITIONr1rrSETS Rtt:RPTIQr! •eee e DUCT CONSTRUCrION DETAILS •••• • e NTS L.AD — •••••� ecce eeee •ee• •e••e0 e•:eggs./ e••• 96 • ee/ ee ••e•eR• 0*09 • e•e 0000 eee•e • e •ecce• gee• a yi • • e �F ee ee •• ' t/1 z o oc 1�' :eeee: ••ecce ' • (� / UTAITIPId •eee e (� r•• eee•ee eee Ms 1 f • e e � 0 _ w0 CITY OF TIGARD IL v OC ML:HANICAL Approved.......... .............................................. �. F- — --- scAu:, 1;4•-t•-r CondlNElnelly,Approved.....................................( ): For only the ai descnbed In: SPj .C1jEIc,g & PERMIT NU. �93 1. ALL DUCTVORX TO COMPLY . er 0 Writ 273 t tUL-7Z] SPCC1rICATI[143 LEGEND, See Ledto:Follow.........................................( ): m NOT EXCEEDING 23 rLAMR: SPREAD 90 SNIME DEVELOPED. tte+Ci,,].. V. ALL DUCTWORK LUXATED QTiS1D� R1ILDING ENJELQ'E TD X ® SUPPLY AIR REGISTER�JobAddrm:�;� sW S 4�1 W EXHAUST FAN SCHEDULE MINI" R-5 rQ! CL1IaTE ZDA: <I) OR R-0 1!I CLIMATE ZONE (t) RETURN AIR GRILLE ay: t L „Date: - • -J AMI 3 PERM RATING PER DEC SECTION 1313.3.1 t INC SECTION 604. UNIT AREA SERVED MANUFACT, MODEL NO, CFM RPM S.P.W.G. VOLT PHASE HORSEPOWER CURB NOTES m EX1MJST AIR GRILtE HVAC 3. ALL DUCTWUR( TO HAVE THERMAL CWIXUCTAICE Q 21 BTU PER 1N. Er-1 RESTRDdT GREEN1ECx SP-i-OD 50 1700 .125 1!0 10 .75 AMPS ISI 1 PER SR_ ri. PER DEGREE r. Pr.R HOUR AT A MEAN TEMPERATURE Or (M NEW 73 DEG r. �•� .�.-, (r) EX137IN0 L 4. ALL DUCTVORK IN HECHAN7 R"014 WITHIN 10 FEET Or UNIT, TO 3QRND ATTENUATED SHEET META POINT Or CONnE DE CTION GAIxrES PER INC AND SMACNA. `��✓// NN �4JN0T 5, ALL UNITS OVER FM CrM TO HAVE DUCT IONIZATION DETECTOR PER 1/31.1'-r PLOTTED DH Ilm? R� by -- KYIt�OM —_ DATE MI-A INC SECTTIIN 606. 1/41-11-�r PLOTTED FULL STYE A no AM*atn"MICY ANO GRILLE_.._ Isxm nt.•c — GD-M1 A --- t. t$CRIQSTAT TO 1)E AUTO CHANGE OVER, 7-DAY PROGRAMMADLE, 7•,AT F1A.I_SG'l.[ e>"t•e•c ti�teAe DU N1,713, NIGHT LOW LIN1T AND 2 HOUR OVERRIDE, — -- 1. RLN CONTINUOUS RIIK. O.•CUI•IED HOURS. C[M EPCICCIL GRADE. W NM SCALE A "NOLY — 1 4��1�-D• 1-1 Im A Mechanical Permit Application — — Date received: . %;�7 D/ Permit no.: City of Tigard Project/appl.no-: Expire date: City of Tigard Address: 13125 SW Hall Blvd,Tigard,OR 97223 Date issued: By: Receiptno.-. Phone: (503) 639-4171 Fax: (503) 598-1960 Case file no.: Payment type: land use approval: _ Building permit no.: U I &2 family dwelling or accessory U Comntercial/industrial U Multi-family U Tenant improvement U New construction U Addition/alteration/replacement U(hhcr: Nil .lob address: ��/a �,,(/t/ ^; v Indicate equipment quantities in boxes below. Indicate the dollar Bldg.no.: Suite no.: D value of all mechanical ingWrials,equipment,labor,overhead, Tax map/tax lot/account no.: _ 01 b a _ profit.Value S Lot: Block: Subdivision: / , , 'See checklist for important application iiformation and Project name: 7 e t•1 f I OIL. a .*iv I jurisdiction's fee scheduie for residentia! permit fee. City/county: ate— ZIP: 1 DescriptWnanation of w As: *t U UiT/C �tn 7R IME I Fee.(em.) ToW Est.date of co.npletion/inspection: -__— Desert Res.aol Rev.only Tenant improvement or change of use: Air handling unit _ CFM r is existing space heated or conditioned?U Yes U No tr con rtlon ng(site plan require ) Is existing space insulated?U Yes U No Alteration o cxlstin (,system of it compressors —� Business name:f OVA State boiler permit no.: HP Tone BTU/H Address: T, SLA1116 D7 a smo a dampers/duct smoke detectors City: JEAD I State:% I ZIP: *fl 1'7-J -Aeat pump(siteplan mqui d)--- Phone:'541.7'6-OlOi3 1 Fax: - — e-p acemau�irer g �— Including ductwork/vent liner CI Yes U No _ CCB no.: e- nsta rep acefrelocat ate�terstens-suspen City/metre lic.no.: _ wall,or floor mounted - Name(please print):C RAS '%ASVent for aeiEe other than furnace WWMAb sorption ion unitsRTUM Name: ati Chillers—Y_.__-_� --- HP Address: j J /t/ Co ressors HP _ a eA rata vetrt t City: ' u e A + State:p/ 'LIP: Q Appliance vent Phones I <,i/72, Fax: E-mail: erex gust Hoods,Type res. itc a azmat hood fire suppression system —_ Name: �! C'C,t-1 'C Q Exhaust fan with single duct(bath fans+ r x oust a stem a— a �ieaun or r\L Mailing address: C a 2 -� d Cit t r. State:O ZIP: D F° Pe'�eidatr�villoo(up to�ou►e5s y . 7 Type: LPG -- NO __. 00 Phone: Fax: E-mail: e eachadditional over out e t�s 1roemng(sc(schematic requt� Nm,.' r of outlets Name: rpp suer or egraet- _ : Address: Decorative _ City: State: ZIP: nsert-i — Phone: I Fax: I E-mail rWoods(ovelpellet stove— _ J Applicant's signrty�re: _ Date: - Name(print): Not nit jmivacaorr accept credit cards,&aw can jurisdiction kir mar inf«mrion. Permit fee.....................$ 13 Visa U MasterCard Notice:This permit application Minimum fee................$ expires if a permit is not obtained Credit card aimbec-_ _ __ Plan review(at _._ %) $ --- - 4 within 190 days after it has been -- t=r n-s y State surcharge(8%)... S !T, -- Name at car okrr a shown on credit c - accepted as complete. TOTAL.......................$ C) Cardhader zipy=---- __ A:aaot 440-4617(6inG"At) MECHANICAL PERMIT FEES COMMERCIAL FEE SCHEDULE: 1 &2 FAMILY DWELLINU FEE SCHEDULE: TOTAL VALUATION: _ FEE: _ _ Description. Price Total $1.00 to$5 0.00.00 Minimum fee$ 2.50 Table 1A Mechanical Code alY (Es) Amt $5,001.00 to$10,000.00 $72.50 for the first$5,000.00 and 1) Furnace to 100,C u BTU $1.52 for each additional$100.00 or Including ducts 8 vents �- 14.00 fraction thereof,to and including 2) Furnace 100,000 BTU+ $10.000.00. _Including ducts 6 vents _^ 17.40 $10,001.00 to$25,000.00 $148.50 for the first$10,000.00 and 3) Floor Furnace $1.54 for each additional$100.00 orincluding vent 14.00 fraction thereof,to and Including 4) Suspended heater,wall heater §0--, $25 000.00. or floor mounted heater__ 14 or` $25,001.00 to;50,000.00 $379.50 for the first$25,000.00 and 5) Vent not Included in apoance peri( $1.45 for each additional$100 00 or 8.80 _ fraction thereof,to and Including 8) Repair units $50000.00. 12.15 $50,001.00 and up $742.00 for the first$50,000.00 and Check all that apply Boller heat Air $1.20 for each additional$100.00 or For Items 7-11,see or Pump Cond _ fraction thereof. _ _ footnotes below. C_om - -� 7)<31IF;absorb unit ASSUMED VALVA?IONS PER APPLIANCE 8)8)1005 BTU _ 14�0 -� - 3-15 HP;absorb Value Total unit 100k to 500k BTU 25.60 Descri tin: Qt Ea Amount 9)15-30 HP;absorb- -` --- - �- Furnace to 100,000 BTU,including 955 un!t.5-')mil BTU 35.00 _ ducts&vents 10)30-50 HP;absorb Furnace> 100,000 BTU!ncluding 1,170 unit 1-1.75 mil BTU 52.20 ducts&vents 11)>50HP:absorb - -� Floor furnace inciuding vent 955 -mit>1.75 mil BTIJ _ 87.20 Suspended heater,wail healer or 955 12)Air handling unit to 10,000 CFM floor mounted healer _ _ 10.00 Vent not included In applicance 445 13)Air handling unit 10,000 CFM+ - - _--rill _ _ _ 17.20 Repair units 805 --- 14)Non-portable evaporate(x*ler _ <3 hp;absorb.unit, 955 _ 10.00 to 100k BTU -.-- --_ 15)Vent fan(xurnected to a single dud 3-15 hp;absorb.unit, 1,700 B.80 101k to 500k BTU - 16)Ventilation system not Included In - 15-30 hp;absorb.unit,501k to 1 2,310 i dance penMt 1000 nrdl.BTU 17)Hood served by mechanical exhaust 30-50 hp;absorb.unit, 3,400 10.00 1-1.75 mit BTU - 18)Domestic Incinerators _ >50 hp;absorb.unit, 5,725 17.40 >1.75 mil.BTU -- 19)Commercial of Industrial typo Incinerator Air handling unit to 10 000 cfm 656 _ 69.95 Alr handlin unit>10,000 cfm 1,170 - 20)Other units,Including wood stoves Not jortable eve orate cooler 656 _- 1000 Vent fan connected to a single duct446 21)Gas piping one to four outlets - Vent system not Included In _ 656 __ 5.4_0 appliance permit -- 22)More than 4-per outlet(each) Hood served by mechanical exhaust 656 1.00 Domestic incinerator 1 170 Minimum Permit Fee$72.80 SUBTOTAL: $ Commercial or Industrial indnerator - 4,590 _ IL Other unit,Including word stoves, 056 - 8%State Surcharge $ inserts,etc_ _ H Gas piping 1-4 outlets360 25%Plan Review Fee(of subtotal) $ U) Etch additional outlet _ 63 Required for ALL conwrterclal permits only _ J TOTAL COMMERCIAL. = TOTAL RESIDENTIAL PERMIT FEE: $ m VALUATION: 0 Qt1w_lnsoeatlons and Feed: W � 1 Inspeclbns outek)(4 M normal business frrxrrs(minimum charge-Iwo M.vrs) � $72.50 per hour 2 Inspecsons for which no tee Is speclflcANy indicated (minimum chargahafl hour) f72.50 per hour 3 Additional plan review required by charges,wWRions w revislons to plana(minimum Mrergeone-hoW her)572.50 per iter 'state Conbwtrw Boller CerWleadon rsqulred for unlfs>2M MTU. "ReelderWal AIC requIra s1M plan showing:olace+nent of urrlt 1:ldsts\forms>,rtech-feea.doc 10/11/00 CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection bine: 639-4175 Business Line: 639-4171 BUP Date Requested 2 -3 AM PM BLD Location /61l .Sw ,4l4 6 4 S Suite �.s� MEC ,2�-flu Z L3 Contact Person Ph S 1' •Z/ �> PLM Contractor Ph SVNR BUILDING Tenant/Owner ELC Retaining Wall _ ELR Footing Access: � —v Foundation FPS Fig Drain Crawl Drain Inspection Notes: SIGN Slab _ r SIT Post&Beam --' Ext Sheath/Shear _ Int Sheath/Shear Framing — Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling — Roof Misc:_ -- Final PASS PART FAIL —•---- -- — — PLUMBING Post&Beam —_____— _ _ --.• _-• — --_—..— _._ Under Slab Top Out Water Service Sanitary SewerRain Drains Drains Final --- --- - PA QRT FAIL �ECHA Post& Beam --- — -- ------ --- --- Rough In Gas Line oke Dampers AS PART FAIL ft'CCTRICAL 0. Service —_ _---_— _—___ — ---- --- Rough In h UG/Slab Low Voltage ?^ Fire Alarm J Final m PASS PART FAIL SITE W Br,cKfill/Gracing Sanitary Sewer Storm Drain I J Reinspection fee or E. —,—required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin [ ]please call for reinspection RE: Fire Supply Line _ [ j Unable to inspect no access ADA Approach/Sidewalk IbZVt�_L� inspector Other "p`-e Ext Final PASS PART FAIL DO NOT REMOVE this Inspection record from the job alts. CITY OF TI GA R D _ CERTIFICATE OF OCCUPANCY DEVELOPMENT SERVICES PERMIT#: BUP2001-00129 13125 SW Nall Blvd.,Tigard,OR 97223 (503)6394171 DATE ISSUED: 05/03/2001 PARCEL: 1 S 134AA-01900 ZONING: C-G JURISDICTION: TIG SITE ADDRESS: 10115 SW NIMBUS AVE 350 SUBDIVISION: 1 KOLL BUSINESS CENTER TIGARD BLOCK: LOT:001 CLASS OF WORK: ALT TYPE OF USE: COM TYPE OF CONSTR: 3N OCCUPANCY GRP: B OCCUPANCY LOAD: TENANT NAME: REMARKS: Commercial tenant improvement. No change in Occupant Load Owner: ROBINSON,WILLIAM R/CONSTANCE ROBINSON, LYNN + BELL, KAY ET BY ELLIOTTASSOC PORTLAND, OR 97204 Phone: Contractor: MCINTYRE CONSTRUCTION INC 85830 PINE GROVE Rn PO BOX 2523 EUGENE, OR 97405 Phone: 541-687-2841 Reg#: LIC 3550 a ae" m w This Certificate issued 08/07/2001 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 w sued. BUIL IN IN PEC ILDINq OFFICIATE-- POST ' C APOST IN CONSPICUOUS PLACE CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 BUP Date Requested AM 9M BLD Location I'L dA > Suite _ MEC Contact Person r� �Y Ph PLM _ Contractor Ph �'f�3--n SWR BUILDING ena Owner ELC Retaining Wall ELR Fuoting Access: Foundation FPS ---- -- Ftg Drain SIGN ,Crawl Drain Inspection Notes: - --- Slab _- _ SIT Post&Beam Ext Sheath/Shear Int Sheath/Shear Framing --_._— Insulation Drywall Nailing — Firewall Fire Sprinkler — Fire Alarm Susp'd Ceiling _ -- ---- --- - -- - -- Roof Mis AS PART FAIL — - ---- _ -.------- --- ---- ---___-.— BING Post 8 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 -M. Service -- ...- -------- --_---- � Rough In -` --- --- --�--- 4� UG/Slab -_— _ ------ --- --- --- - ——- Low Voltage _ --A--— -- — J Fire Alarm -----____--- -_- -_-.--- ._- _ Final PASS PART FAIL Lu SITE ------- ---- _ ___—_------ - Backfill/Grading ----- Sanitary Sewer Storm Drain ( ]Reinspection fee of$ -required before next inspection Pay at City Hall, 13125 SW Hall Blvd Catch Basin ( ]Please call for reinspection RE: ( ]Unable to inspect-no access Fire Supply Line --- _--� ADA Q Approach/Sidewalk Date _ v 1i• O Inspector �� Ext Other _ -- Final PASS PART FAIL DO NOT REMOVE this Inspection record from the job site, � --BUILDING PERMIT CITY OF TINA RD PERMIT#: BUP2001-00129 DEVELOPMENT SERVICES DATE ISSUED: 5/3/01 13125 SW Hall Blvd..Tigard.OR 97223 (503)6394171 PARCEL: 1S134AA-01900 SITE ADDRESS: 10115 SW NIMBUS AVE 350 SUBDIVISION: 1 KOLL BUSINESS CENTER TIGARD ZONING: C-G BLOCK: LOT: 001 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: 3N sf FI: S: E: W: OCCUPANCY GRP: B TOTAL AREA: 0.00 sf ROOF CONST: FIRE RET? OCCUPANCY LOAD: BASEMENT: sf AREA SEP. RATED: STOR: HT: ft GARAGE: sf OCCU SEP. RATED: BSIiAT?: 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: $ 120,000.00 Remarks: Commercial tenant improvement. No change in Occupant Load Owner: Contractor: ROBINSON, WILLIAM R/CONSTANCE MCINTYRE CONSTRUCTION INC ROBINSON, LYNN+ BELL, KAY ET 85830 PINE GROVE RD BY ELLIOTT ASSOC PLOD BOX 2523 p5 PPhone ND, OR 97204 Ep� eE'OR 'Jf 41 Reg#: LIC 3550 FEES REQUIRED INSPECTIONS Type By Date Amount Receipt Framing Insp PLCK CTR 4/19/01 $534.50 27200100000 Gyp Board In3p Susp Ceiing Insp FIRE CTR 4/19/01 $328.92 27200100000 Final Inspection PRMT CTR 513/01 $822.30 27200100000 5PCT CTR 5/3/01 $65.78 27200100000 Total $1,751.50 IL 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 accordar, a with approved plans. This permit will expire if work is J not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law 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 952-001-1987. You may obtain a copy of these rules or direct questions to OIINC by _J calling (503)246-6699 or 1-800-332-2344. Ne rrn itte@ Signature: �� / Cl�� Issued ` �-�\• �. Call 639-41775 by 7 p.m. for an Inspection the next business day 0 7- wilding Permi COMMERCIAL PLAN SUBMITTAL REQUIREMENT MATRIX Plan review is dependent upon submittal of a completed application and plans. After plan review approval, the Pians Examiner will contact the applicant to request additional plan sets for distribution purposes (for Contractor, City of Tigard, Washington County, and Tualatin Valley Fire & Rescue). a t KEY: .f' +yti.; s je?'Yf S = Site Work (must include S (New, Add or Alt) 4 location of all accessible parking) B (New, Add or Alt) I 1* B = Building F (New, Add or Alt) 3** F = Fire Protection System M (New, Add or Alt) 2 M = Mechanical P (New, Add or Alt) 2 P = Plumbing E (New, Add, or Alt)--� 2 E = Electrical New = New Building Add = Addition Alt = Alteration to existing building a *For over-the-counter commercial tenant improvements, submit 2 sets of plans. f- fn ""New" requires that plans bear the original seal of an Oregon licensed fire suppression engineer, or NICET level "3" technicians. m W a I: floe 1QR7/00 CITYOF TIGARD _ PLUMBING PERMIT DEVELOPMENT SERVICES PERMIT 0: PLM2001-00181 13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 5/3/01 SITE ADDRESS: 10115 SW NIMBUS AVE 350 PARCEL: 1S134AA-01900 SUBDIVISION: 1 KOLL BUSINESS CENTER TIGARD ZONING: C-G BLOCK: LOT: 001 JURISDICTION: TIG CLASS OF WORK: ALT GARBAGE DISPOSALS: MOBILE HOME SPACES: TYPE Or USE: COM WASHING MACH: BACKFLOW PREVNTRS: OCCUPANCY GRP: B FLOOR DRAINb. TRAPS: STORIES: WATER HEATERS: CATCH BASINS: _ FIXTURES_ LAUNDRY TRAYS: SF RAIN DRAINS: SINKS: URINALS: GREASE TRAPS: LAVATORIES: OTHER FIXTURES: TUB/SHOWERS: SEWER LINE: ft WATER CLOSETS: WATER LINE: ft DISHWASHERS: RAIN DRAIN: ft Remarks: Addition of new fixtures for new lounge and manager's office: 1 sink, 1 lav, and 1 water closet. See sewer permit for increase of EDUs. FEES Owner: —' -- Type By Date Amount Receipt ROBINSON, V iLLIAM R/CONSTANCE PRMT CTR 5/3/01 $72.50 27200100000 ROBINSON, LYNN+ BELL, KAY ET 5PCT CTR 5/3/01 $5.80 272.00100000 BY ELLIOTT ASSOC PORTLAND, OR 97204 Total $78.30 Phone 1: Contractor: TUCKER PLUMBING CO 2451 CLEARVUE SPRINGFIELD, OR 97477 REQUIRED INSPECTIONS Phone 1: 541-744-7866 Rough-in Insp Re LIC 109801 Underfloor/Underslab Reg Top-out Insp PLM 20-297PB Final Inspection a iY rn -� This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. m t9 Specialty Codes and all other applicable lows. All work will be done in accordance with approved plans. W 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 ,n OAR 952-0001-0010 through OAR 952-0001-0080. You may obtain copies of these rules or direc� questions to OUNC by calling (503)246-1987. Issued By:,A i' �� Permittee Signature: Call(503)639-4175 by 7:00 P.M. for an Inspection needed the next business day CITYOF TIGARD SEWER CONNECTION PERMIT - DEVELOPMENT SERVICES PERMIT#: SWR2001-00158 13125 SW Hall Blvd.,Tigard, OR 97223 (503)6394171 DATE ISSUED: 5/3/01 SITE ADDRESS; 10115 SW NIMBUS AVE 350 PARCEL: 1 S134AA-01900 SUBDIVISION: 1 KOLL- BUSINESS CENTER TIGARD ZONING: C-G BLOCK: LOT: 001 JURISDICTION: TIG TENANT NAME: GENTLE DENTAL USA NO: FIXTURE UNITS: 11 CLASS OF WORK: ALT DWELLING UNITS: , Z TYPE OF USE: COM NO.OF BUILDINGS: INSTALL TYPE: BUSWR IMPERV SURFACE: Remarks: .2 EDU Increase: Commercial TI to add 1 sink, 1 lav arid 1 water closet. Previous fixture count was 216, plus new fixtures of 11, for a total of 227. Owner: - - FEES '�OBINSO�,, WILLIAM R/CONSTANCE Type By Date Amount Receipt ROBINSON, LYNN+ BELL, KAY ET _ — BY ELLIOTT ASSOC PRMT CTR 5/3/01 $460.00 27200'100000 PORTLAND, OR 97204 Total $460.00 Phone: — Contractor: TUCKER PLUMBING CO 2451 CLEARVUE SPRINGFIELD,OR 97477 Phone: 541-744-7866 Reg#: LIC 109801 PLM 20-297PB Required Inspections L QC I— rn _J M This Applicant agree;tc comply with all the rules and regulations of the Unified Sewage Agency. The permit expires Lu180 days from the date issued. The total amount paid will be forfeited if the permit expires. The Agency does not -a guarantee the accuracy of the side sewer laterals. If the sewer is not located at the measui ement given,the installer shall prospect 3 feet in all directions from the distance given. If not so located, the installer shall purchase a"Tap and Side Sewer' Permit and the Agency will install a lateral. ATTENTION. Oregon law requires you to follow rules adopted by the nregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0080. You may obtain copies of these rules or direct questions to OUNC by calling(503) 246-1987 Issued by: Permittee Signature: Call(503)639-4175 by 7:00 P.M.for an Inspection needed the next business day s4lR�oo -00 Plumbing Permit Application Tigard City of TigardDate received: S/3/Or Permit gprob Address: 13125 SW HSewcr permit no.: Building permit no.: City Blvd,Tigard,OR 97223 --- CityojTigard Phone: (503) 639-4171 Prgject/appl.no.: Expiredate: Fax: (503)598-1960 / r i , Date issued: Dy: 4.Receipt no.: Land use approval: Case role no.: Payment type: U I &2 family dwelling or accessory t3Commcmial/industrial U Multi family La'f'enant irnprovement U New constmction U Addition/alteration/replacement U Food service U Other: [films No��MIIIII _Job address: /01/5 S�f/ 1/7 (/ Deerription Q1 Fee(m) Total Bldg.no.: Suite no.: — New ll-and - y dw only: Tax map/tax IoUaccount no.: 15154111,,51 -0/4100 i (includes 1NlLforea<itRldtycomwedon) SFR(1)bath 1 u Q('j dock: Subdivision: _� ,:�i. C�� SFR(2)bath Project name: Zn { p _ SFR(3)bath City/county: fi ZIP:4 3 Each additional hatWkitchen Description and location of work on premises: ' 0w f C SlfenNl)t)d: �i Catch basin/area drain (� ri At.uote of com� on/inspection: Drywells/Ieach Iinchrench drain Footing drain(no. lin.ft.) t Manufactured home utilities M 1 Business name. uG .B Ruxfk, �' Manholes V i Address: 1 — d Ain drain connector` t i City:o _ Com — State R ZIP: p S Sanitajsewer(no.lin.ft.) T1 Y_�. o Pho / 6�' z31YFnax: E-mail: Storm sewer(no.lin.ft.) rl t` CCB no.: ti ; Plumb.bus.reg.no: O 7 Water service(no,lin.ft. City/metro lie.no,; y 3i �, Fixture or New: Contractor's representative signature: BackAbso on valve Back ow Preventer _ Print name: "hFU u e k 6 Date: -0 Backwater valve Basins lavatory Name: p Clothes washer Address: _ Dishwasher City- �� l^ e State:0 ZFP: ?yo Z Dunkin fountains) _ Ejectors/sump a 7J Fax: E-mail: Expansion tank txture/s-wer ca tName(print): Q�}�l"s e r^ i �u LNrMSf/a/e*t, `� Floor drains/(loor sinks/hub «--- —� Garbage dial ngaddress: // rz_1 < �0 2 yose bibb y_ r• State:olP_ o cc mr cer tl Phone: Fax: E-mail: lutelte tc t rease trap Owner installation/residential maintenance only: The actual installation Primer(s) Nwill he made by me or the maintenance and repair made by my regular Roof drain(commercial) _ >_ employee on the property I own as per ORS Chapter 447. Sink(s),basm(s), ays(s) ~ Owner's si nature: Date: Sum — J m Tubs/shower/shower pan C7 Name: Urinal Water closet ...j Address: _ _ Water heater ' City: state:�IP'� Other. Phone: Fax: I E-mail otal ria all tintiatew amt crecht cards,peme eau},rlaffiMion fm mw"inhMu on. Notice:This permit application Minimum fee................$ L)v;sa U MasterCardPlan review(at R %) $ expires if a permit is not obtained Credit card m,mner ---�_--- L-�— within 180 days after it has been State surcharge(8%)_.$ _ Exrirer accepted as complete. TtDTAL .......................$ 7f, 36 Name nt cardholder v drown on crMit card Cardholder dt W 44(w%001COU) PLUMBING PERMIT FEES: PRICE TOTAL New 1 turd 246mily dwellings only: FIXTURES (Individual) QTY ea AMOUNT precludes all plumbing fixtures In PRICE TOTAL Sink 16.60 the dwelling and the fits Eli R. QTY (M) AMOUNT Lavatory -- — 16.60 fixeach udiOona One(1)bath $249.20 Tub or Tub/Shower Comb. 16.60 Two 2 bath ' $350.00 Slower Only 13.1x, Throe 3 bath $399.00 Water Closet 1b ri0 _ SUBTOTAL Urinal 16.60 STATF.SURCHARGE Dishwasher 16 60 PLAN R IEW 25%OF SUBTOTAL Garbage Disposal 16.60 TOTAL Laundry Tray 6.60 Washing Machine 1 Floor Drain/Floor Sink 2" 16. 3" - 16.60 PEASE COMPLETE: 4" 16.60 Water Heater O conversion O like kind 16.60 4uantl World Performed Gas piping requires a separate mechanical Fixture Tyl e: New Moved Replaced Removed/ permit. Capped MFG Home New Water Service 46.40 Slnk MFG Home New San/Storm Sewer 46.40 Lavatory _ - - — Tub or Tub/Shower Hose Bibs 16.60 Combination Roof Drains 1660 Shower Only Drinking Fountain 16.60 1,pater Closet — Other Fixtures(Specify) 1680 LXnal _ Dishwasher ` _ Garb a Disposal Laundry oom Tray --- — Washin Ine_ -- Floor Drain/S - 2" -- --! Sewer- 1 at 100' 55.00 —�— Sewer-each additional 100' Water Service-1st 100' 55.00 Water Heater Water Service-each additional 200' 46.40 Other Fixtures (Specify) Storm R Rain Drain-1st 100' 55.00 Stone R Rain Drain-each additional 100' 46.40 Commercial Bacl Flow Prevention Device 46.40 --- Residential Backflow Prevention Device - 27.55 -- Catch Basin 16.60 — --- Inspection of Existing Plumbing or Specially 72.50 — Requested Inspectionsper/hr _ COMMENTS REGARDING ABOVE: Rain Drain.single family&Nelfing 65.25 -_—— !S: _ Grease Traps 16.60 -- QUANTITY TOTAL -� 4. Isometric or riser diagram Is required If Quantity Total is >9 � *SUBTOTAL U) -- 8%STATE SURCHARGE — -- J "PLAN REVIEW 25%OF SUBTOTAL to Regulred only If future total is>9 (j TOTAL $ W Minimum permit fee Is$72-50+6%state surcharge,except Re Identlal Backt ow Prevention Device,which Is$36 26+8%state surcharge. "All New Commerelal aulMings imulre plans with Isometrir or riser diagram and plan re,law l:ldstslforms\plm-fees.doc 10/10/00 CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Line: 639-4175 Busines Line: 6394171 BUP • Date Requested 9 ---5 AM. PM BLD Location 1U S Il 1 `' `".. 'a �3sv _ MEC _ Contact Person-- Ph .:;y ( -CII 3 ;z J 73 PLM bG 1-6&SI Contractor _ Ph SWR12 —� 611 LLDING Tc*t/Owner — `�i�.L��li1Y-C t_ ELC _ Retaining Wall ELR Footing Access: Foundation FPS Fig Drain SGN Crawl Drain Inspection Notes: Slab SIT Post&Beam Ext Sheath/Shear Int Sheath/Shear Framing Insulation /f Drywall Nailing Firewall Fire Sprinkler — —_ Fire Alarm Susp'd Ceiling Roof Misc: - Final PASS PART FAIL ---- PLUMBING Post&Beam Under Slab Top Out Water Service Sanitary Sewer Rain Drains ASS PART FAIL MOTANICAL Post&Beam Rough In Gas Line -- Smoke Dampers Final PASS PART FAIL EL ECTRICAL a. Service Rough In 1- UG/Slab -- N Low Voltage Fire Alarm J Final _m PASS PART FAIL --- (7 SITE Backfill/Grading �— Sanitary Sewer Storm Drain [ J Reinspection fee of$_ _ required before nett inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line [ J Please call for reinspection RE: Unable to Ins_��_ [ J pect no access ADA l Approach/Sidewalk Date - - ��.Inspector 1A L� ,�/ Ext Other _ — - V JO Final PASS PART FAIL DO NOT REMOVE this Inspection record from the job *It*. �j CITY OF TIGARD BUILDING INSPECTION DIVISION MOT 24-Hour Inspection Line: 639-4176 Business Line: 639-4171 OUP _ Date Requested ,�� AM _PM BLD Location Sw deo G43 _ -- Suite _�1 MEC Contact Person L:�Iqylle Ph s�/1-- -�-Z�43 PLM Contractor— Ph SWR BUILDING TenanUOwner _� e rt ( � � �e ii? J' � ELC Retaining Wall Footing Access: Foundation FPS Ftg Drain at3N Crawl Drain [inspection Notes: Slab SB' Post&Beam Ext Sheath/Shear Int Sheath/Shear Framing Insulation Drywall Nailing _ -- Firewall dire Sprinkier Fire Alarm �- Susp'd Ceiling Roof Misc: L= 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 moke Dampers Final — PASS PART FAIL TRICAL a Rough In H UG/Slab _ Low Voltage F a m S RT FAIL �— --- UA Brickfill/Grading Sanitary Sewer Storm Drain [ ]Reinspection fee of$ _ required bpf—P next inspection. Pay at City Hall, 13125 SW Hell Blvd Catch Basin Fire Supply Line [ J Please call for reinspection RE: _ [ ]Unable to inspect access ess ADA f Approach/Sidewalk Other Date .- Inspector �. Ext _ -�- -- Final PASS PART FAIL DO NOT REMOVE this Inspection trscotrd from the,lob she. ELECTRICAL PERMIT TY OF T I G A R D PERMIT 0: ELC2001-00191 DEVELOPMENT SERVICES DATE ISSUED: 04/17/20131 13125 SW Hall Blvd..Tigard,OR 97223 (503)6394171 PARCEL: 1 S134AA-71900 SITE ADDRESS: 10115 SW NIMBUS AVE 350 SUBDIVISION: 1 KOLL BUSINESS CENTER TIGARD ZONING: C-G BLOCK: LOT : 001 JURISDICTION: TIG Prolect Description: Installation of sign or outline lighting. RESIDENTIAL UNIT TEMP RVC/FEEDERS MISCELLANEOUS •1000 SF OR LESS: 0 - 200 amp: PUMP/IPRIGATION: EACH ADD'L 500SF: 201 - 400 amp: SIGN/OUT LINE LTG: 1 LIMITED ENERGY. 401 - 600 arnp: SIGNALIPANEL: MANF HM/SVC/FDR: 601+amps-1000 volts: MINOR(ABEL (10): _ SERVICE/FEEDER BRANCH CIRCUITS _ ADD'L INSPECTIONS 0 - 200 amp: W/SERVICE OR rEEDER: PER INSPECTION: 201 - 400 amp: 1st W/O SRVC OR FDR: PER HOUR: 401 - 600 amp: EA ADD'L BRNCH CIRC: IN PLANT: 601 - 1000 amp: PLAN REVIEW SECTION 1000+amp/volt: >=4 RES UNITS: > 600 VOLT NOMINAL: Reconnect only: SVC/FDR>=225 AMPS: CLASS AR PE OCC: Owner: Contractor: ROBINSON, WILLIAM R/CONSTANCE GARRETT SIGN COMPANY ROBINSON LYNN&BELL 811 HARNEY STREET ELLIOTT ASSOC VANCOUVER, WA 98660 PORTLAND,OR 97204 Phone: Phone: Reg 0: :LE 88826 LIC 37-21 CLS SUP 276SIG _FEES Required Inspections Type By Date Amount Receipt Elect'I Final PRMT CTR 04/17/2001 $53.40 2720010000( 5PCT CTR 04/17/2001 $4.27 2720010000( Total $57.67 This Permit is issued subject to the regulations contained in the Tigard Muoicipal Code,State of OR. Specialty Codes and all other applicable yaws. 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 ilwork is CL suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those V 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) F. 246-6699 or 1.800-331-2344. Permit Signature: r Issued By: m OWNER INSTALLATION ONLY The installation is being made on property I own which is not intended for sale, lease, of rent. OWNER'S SIGNATURE: DATE:_ CONTRACTOR INSTALLATION ONLY F'GNATURE OF SUPR. ELEC'N- DATE' LICENSE NO: -- -- Call 6394175 by 7:00pm for an inspection the next business day 04/05/01 111U 18:14 FAX 593 598 1960 CITY OF TIGAW --- W002 Electrical Permiit Application Steres dvod prnaan.a: l-vD in City of 71gard _ Projcc!s i.ao.: Bxplredate: C"yof9ligaM Addm&6'. 19125 SW Nall Blvd,1)4pl.-[R-I Phone: (503) 639-4171 Date issued: By: Reosiptno.: — Fax: (503) 598-1960 Caeafile no.: Paymanttype: COYIMUNIIY OEVEIOPMENT Land use approval: O 1 A 2 family dwelling or accessory Q CommemialAndwtrial U Mufti-family Q Tenant improvement ❑Now ootutruetion C1 Addi6intaltetation/replaccment A Outer.-5f bA[__ Q Putial Job addrew: 101IS, S. M A 31d oo.: 5nite na.: r It ax ma tax lot/a000unt M.: Lot: _ Hlack; . Subdivision; _ Promeet name:GgyMU P6 KT,92j L-j Dowd Ption and location of work anpanaa:/jyp=1 4,i<. Estimated date of oom ettonnus on- Jab act 1% UNIX Htnieteu name; 3%GjN CALVJ- Q17. (40 Tad N.in Adtbefa: / as — S T aeeaig.adtgerJ.ga,eeiYd ttMe1.• co u v sate:W ;;[Pv tlw.toaleetl Phone;3{O 49,E I I Fax: R-mail: 1000 ntar ta. 4 ccD no.: Mee bps.lie.no.. Bwh addldowl-06 �or�n-'nrdon Ateor City/metro lie.no.: 3 I C-PARR Ser i cy UWtcd ,�nm— ' I Sash manadrohmW ham a nnndalm dwelling 3qpmWm of N*WvWd dedricim(MVOW) ServkoaeUerfeedta 2 dant.mega I(* 15;pMAWu x+aae ere: gal 11 ar ntletradw 200 orlate 2 Name(print): 4611 �p r G J5—:W rL j)E-N rA tsto 400 aaepa 2 Mailing adds/• /0//S i A/i 14 1?,,? t. rr 31TIV 4o ee 600 2 eso__l�aae�� _.� z C1t: L /�D Shia:EDR S!P• Ovar�lbapm .a..,rt. 2 Phone:tic ' y Fax: il: Recoaaw.: - 1 Owner installation:The Installation is being made on property I own which Is not Intended for Sale,loose,rent,or exchange aocoMiog to IweaRMltbaMwulYe.arnbeaBne ORS 447,455.479,670,701. memarlaw 2 301 Owner's re• b —im 2 -1ecw�aelarwaa�R. Natr►e: er ex6melea Per Peenh - A. Pte for tautdt dee-,tte wfth rmthau of Address: eervlce or hadae dee,maria luanch ohoalt 2 Ci State: i�P to demo un pnedweM Phone: Fix &real!: of earviceor be tr M,Ant bi croak 2 addidopll M Mt )k L O Service over 223 mpe-c ommaedaiI]Nealeh-care Abdut r Bair r hti oMiele = O Serv1ae0ver320amp-radngof 1&2 f]liazeude4etlneadur s ar _ bmily d"ci ings ❑Handing ave 101100 ega.rn Net iyar or or a WdWd.rerpr n , Mel. O Syttemovef60volhnomnal 2 O Bnlldiegovr toren ttoda ❑Poodem 400 omp,oc ream • an: V oomparte toadovW 99 PON)$ n ManufWAt red an oauro nr RV pads a7at rap J O GgmetAlghdngplan O Atha; _ n Se bmk—Saga of pbm Mtlt tttgdEla Sravr. MW AM won" N eSlltbu:4ksomvicL L J Nat ra}dedkaa.r aaoapt ower ease ate 1N .riaR '#�.soa Notice: 11tia permit/pplieatlon Nt"*IL .....................s [,U vies D Mwwcaed expirer ifs permit Is not obWned Plan review(at _ %) $ Cleat oeai sanraer: _ L_ within 180 dqn Aw it be been state twrcital'ga(8%) ...$ ...of cordhoWeir a M;—Ms am " °1T ' aoctpted as oomptete. TOTAL.......................$ r ttsesi aatllil!(aRIfMC(Mrt! rITY OF TIGARD MECHANICAL DEVELOPMENT SCRVIGES ERMIT PERMIT #P. = M[C97-041:3 13125 SW Hell Blvd.,lVfd,OR 97M (603)6394111 DATE ISSUED: 10/30/97 PARCEL e 1S134Af-A--01000 TTC ADDRESS— :. : "01 1' SW NIMBUS AVE #7SO SUBDIVISION. . . . : 1 KOLL DUSINESS CENTER TIGnRD ZONING: C G 13LOCF,. . . . . . . . . . : LOT. . . . . . . . . . . . . :001. JURISDICTION: TIG rI..ASS OF Wr.RK. . :ALT F'L.00R F"URN. . . . : 0 EVAP COOLERS: 0 TYPE OF USE. . . . :COM UNIT HEATERS. . : 0 VENT FANS. . . : 1 OCCUPANCY GRP. . :E' VENTS W/O APPI-_- 0 VENT SYSTEMS: 0 ^TORIES. . . . . . so : 0 BOILERS/COMPRESSORS HOODS. . . . . . . : 0 FUEL TYPEa -__________ 0 3 HP. . . . - 0 DOMES. INCIN: 0 3-15 HP. . . . : 0 COMML. INCIN: 0 MAX INPUT: 0 STU 15-30 111:1. . . . : 0 REPAIR UNITS: 0 FIRE DAMPERS% . : 30--50 HP. . . . : 0 WOODSTOVES. . : 0 rAS PRESSURE. . . : 50+ HP. . . . : 0 CL.O DRYERS. . : 0 NO. OF UNITS------------ AIR HANDLING UNITS OTI-IE R UNITS. : 0 BURN ( 14'011 BTU: 0 (= !0"""0 cfm: 0 GAS OUTI-ETS. : 0 TURN )-100K BTU: 0 > 10000 cfm: 0 Remarks : Mechanical TI Owner. _______________•------____..------___---._..__.___....._ FEES ROLIINSON WILLIAM & CONSTANCE typF amount by date r-ecpt s 00 SW PINE ST PRMT 3 25. 00 DRA 10/30/97 97-?,00545 �iTE 2200 PLCI< t G. 25 DRA 10/30/17 97- 300'5545 PORTLAND ,OR 972204 5PCT 1. 25 DRA 10/30/97 97---300545 Phone #: Contract or: ------- -- -- --------- ___-_----_ ARROW MECHANTCAI... 10310 SW TUALATIN RD ___ .___._-__--.-___--__-__-_----..___..._.___.... 9 32. 50 TOTAL TUALATIN OR 1-37062. Phone #: 692-1565 Reg #. . : 000051 -------- REOUI RED INSPECTIONS - This perait is issued subjfct to the regulations contained in the Mer-hanical Insp Tigard Municipal Code, State of Ore. Specialty Codes and all other Final Inspection applicable laws. All world will be done in accordance with approved plans, This perait will expire if work is not started 4. within 180 days of issuance, or if work is suspended for aorc th .a 180 days. ATTENTION: Oregon law requires you to follow rules _ adopted by the Oregon Utility Notification Center. Those rules are set forth in DAR 95 -021 ONO through OAR You eay obtain copies of these rules or direct questions t OUNC by calling -- op . PFr•mitte►� ^,ignai��rrti: r ssu y , . ? i �++-F++++++++4+4++ +++,•++++++++++++++i•+-r-+++-f++++++++F ►++++++++++++++++++ r i Cull 639-4175 by 7:021 p. m. for inspectinns nerded the next business day t4 ++44-4-++++.............++++++++++•++++++4+ 4 1 F.I.+ F+++t i•+++++++f++t+++++++t+++f ? + Plan CWk M 0✓ CITY OF TIGARD Mechanical Permit Applicatoon Recd Byf--.. 13125 SW HALL BL`/D. Commercial and Residential Date Recd, Z TIGARD,OR 97223 Date to P E " Date to DST 1400(503) 639-4171, x304 MK91- Print or Type Called JO' c� _ Incomplete or illegible applications will not be accepted a►,�.� N N Oe etopn+ Vrotect Description (- Table 1A MecharKal Code 0^r PRICE MAT Job Street Address sense A) Permit Fee .0- -0- 10.00 Address /or� - ; QI Skills _r,State Li ZZ3 B) Supplemental Permit - 3.00 Name4or name of business) , r\• /' 1.) Furnace to 100,000 OTU 8.00 Ownel' l ? 1� r n �� I f f_(,1��r� ind.ducts 3 vent! AAff" 2.) Furnace 100.000 BTU+ 7.50 ��,; inG.duds 3 vents r tate 3.) Floor Furnace 8.00 ind.vent Name(or name of busneto) 4.) Suspended heater,well heater 8.00 or floor mounted heater Occupant Mating Address 5.) Vent not ind.in 3.00 rmlt Cnyrsrete zip I Phone 6.) Soller or comp,heat pump,air coed. 8.00 to 3 HP:absorp unit to 100K BTU 7.) Boiler or comp,heat pump,air pond. 111.00 3-15 HP:absorp unit to SM BTU 8.j Boller or comp.host pump,air coed. t 5.00 Contactor` ��, 15-30 HP;absorp unit.5-1 mil BTU (per to 601,1zIp Phone 9.) Boder or comp,heat pump,ale Gond. 22.50 leauanoe a copy ) 607/5&530-50 HP;MXM unk 1-1.75 mil BTU _ of all licenses are �•t►in on /�Board Lice Fsp.O!P 7;, 10.) Boiler or conip,heat pump,air land. 37.50 required if ,�. - "1 >50 HP;absorp unit 1.75 and BTU expired in C 07COT Business Tax or Mean a Exp cafe 11.) Air handling unit to 450 data base) 10,000 CFM Architect No" 12.) Air handling unit 7.50 10,000 CTM+ or ManngAddreee 13.) Non portable +� y 4.50 eve orate cooler EnglnoerC+tyrstat• Zip Phone 14.) Vent lin connected 3.00 to a single dud _ Duxribs work New! Addition O Alteration Repair O 15.) Ventilation system not 430 to be done Residential O Non-residential O included in appliance permit _ Additional Description of work /!U t; 11 C. 18.) Hood served by mechanical exhaust 4.50 r �f J 17) Domestic Ylcirvirators 7.50 Exhti use of J_- r 18.) ConrltfA W or Industrial" 30.00 building or propertyy�l t'1� I l/1 I I __ incinerator 19.) Repair units 4.50 Proposed use of 20) Woodstave 4.50 a building or property (Y. 21) Clothes dryer,etc. __ 4.50 to Type of fuel-oil O natural gas O LPG O electri 22) Other units 4,50 c -1-hereby acknowledge that I have read this application,that the 23) Gas piping one to four outlets 2.00 -� information given is correct.that I am the ow or authorized agent of m the owner, tans subm� nce with O on State 24) More thin 4-per outlet (each) 50 W laws. / W -� QTY.SUBTOTAL Slqna gent a 'SL1RTrJTAL Contact Pers Name hens SURCHARGE 7 I PLAN REVIEW 25%OF SUBTOTAL -� TOTAL y A 1:1dst1rr1ecilpmt.doc (rev 7/98) 'Mit"urn pefmk fee Is +5%surcharge � o � g a 2 22 1 � 1 Q C W Q >- a x o G \ N O � •� O CC CL .. a ° 0 � � m U- U. ,2 • \ . m 4� WC-A J 2 �� . Ito 2S I' CITY OF TIGARD BUILDING INSPECT[ DIVISION 24-Hour Inspection Line: 639-4175 Business Phow: 639-4171 I S� Date Req»ested: ^ a.,_ ` .. A.1W P.M. / ` MST: _ Location _ (J / I�L�j — —' TP —_ BUP: _ Tenant:.-- 6 t --- Suite:. _Bwg: _ MEC: Contractor t—. Phone: 15 G PLM: Owner. Phorx. F1,C: i— ELR: _ BK SIT: ^_ BUtlEbING H (Colt) PLUMBmCHANICAL E CTRL L sin Site Post/Beam Pcn4/Beam eam Cover/SwAce Sewer/Storm Footing Roof UndFVSlab Rough-in Ceiling Water Line Slab Framing Top Out Cies Line Rough-In UO Sprnkler Foundation Insulation Sewer Hood/Ihrct Reconnect Vault IISmt Damp Drywall Storm Furnace Temp Servira: mm. Masonry Ceiling Rain Drain AX UG Slub Shear/Sheath Fire SpkIr/Alm Crawl/Found Dr Heat Pump Low Volt Approved Approved pgxo Approved Approved Appr/Sdwlk Not Approved Not Approvedvest Not Approved Not Approved FINAL FINAL AL FINAL FINAL a 1— W ED (9 — -- — W J C1 Call for reinspection Cl Reinspection fee of S required before next inspection 0 Unable to inspect Inspector: / — - — — Nte: Page—__L� _of 0 o U �Npp rl W C 1 yk c aac to rn M M H I � V•1 1 Vl V'1 r N v'l00 V1 N rn 4 r� 0n O M O O M `v In o V1 Q1 U fV vi 00 In ••• �D r! en ^� rn w 6n �. J1+ o U � w w , IL z� ex a .zaw .�� o U N U U CJ V) _cm1 W o J o ISin Z 00 000 0 0000 0000 i. o C3 10 WI wl WI WI 41 in �. 5ww � rwr~ sm a CITY OF TIGARD BUILDING INSPECTION DIVISION 24-Hour Inspection Line: 639-4176 Business Line: 639.4171 &��up - 2Z-- _ Date Requested AM PM BLD Location _ Suite 1) MEC Contact Person Ph PLM Contractor Ph SVVR UIL Tenant/Owner ELC _ Retaining Wa!I ELR Footing Access: — Foundation FPS Ftg Drain Crawl Drain Inspection Notes: 80N Slab _ Post&Beam SIT — Ext Sheath/Shear Int Sheath/Shear I Framing Insulation Drywall Nailing Firewall — Fire Sprinkler _ Fire Alarm Susp'd Ceiling Roof n PART FAIL ft"MBING Post&Beam - Under Slab Top Out A - Water Service 41 i Sanitary Sewer Rain Drains Final — PASS PART FAIL MECHANICAL — Post& Beam IAIV Rough In Gas Line -- Smoke Dampers Final — — PASS PART FAIL ELE CTRICAL –- ---- Q Service Rough In — - --- — UG/Slab N Low Voltagu — — ^--- - Fire Alarm _ — J Final LO PASS PART FAIL 0 SITE --- Backfill/Grading — -- —~- --- -- Sanitary Sewer Storm Drain [ )Reinspection tee of$_v required before next inspection. Pay at City Hall, '13125 SW Hall Blvd Catch Basin Fire Supply Line i ]Please call for reinspection RE __ T _ [ )Unable to inspect-no access ADA Ap-roach/Sidewalk l /� Other Date _ �Vz o ` Inspector Ext A Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. Approved......... . ..................... CondiVonalty Hpprov(;d.......................... For only the work as . -,crib.nd in: PERMIT NO. • QS;-WN1EC,��"D?3 � �- See tett;r to: Follow....................... ..... .I 1 m " Attach.. . ..... .. ...( 1 Job Address:f //t,�w �!+ � By .nL Datey '- C tQ � 1 a) 0) Co �.., x-, Lu <_-d x w �.. a w E 0 Cr CK a� z CLC � �C O4 =Ix LU E (D _ w p o. ~ a Ca FT LU WQ -j in L y X L W .2 -d W Q(� �I V V / Tigard remodel / F 100/- 16 ►'1 i a oc F- co t m w u.1�1.,,.s / 1 Qrd �rO,) 4 deal- ferNode ( nras, A I) bk;!d dry;�rwoLU It., d 4w0 I�(a7 l ® Z) �"raK�c i.1 4WD doors 40 L� v '��'�1 WOflt CIA rhRlC�l !X�'f �1 h� iK�trilr' do 6 '? ro /31 le 3) d arld Work S tv-41'e•n i n C6e'40r% Wee e. J,,,;1d work S taA...6" aa.-d 0 ' c,J, t c40•-8e &r U R",'c c_ �elocro►� 0 ��'c[ maA05ers X 96' -- 36 _ — S) (OF-011C 0^^7 r e�r � F /�✓ �,� �r C4��r� S4OroeJ! eti1�E Slor��4 �rsnF rj�1�.'Ce - re Pse ih I f Chair yo' b � �ns4a11 3q . work swr �'see oCCr�31 " d01-0 door Cnw rti{ .d oµra�r I �roP4 h P N 7� ,A �`It PA S - pp f�roHb h hori drop r P v C� J o c0m Hlfr aCces3 OV, drop droP $, ►nou�E •AK, C0�0�'/r , ADS�a� f�•r'�I♦ _� �r;nder •ro work aria.. Wropt ttx�'A to r e� rt"04d d j o m r o) 1 r%'d for a•r .'� �aC 6 1W ® room - Prro►a mlckow(0 C�Aar uf'% Co/nor spare- MQVI %- der (ck►.4er- Cab;,xal3 f-b 0.r(ow rnOrp r+.OW e,enf (11ofe.: approx; ,•,a{t rerr.ohod Cosf- #3Ooo a5% d6 13poU - 10 j.SO ror a r`c�i kec l wraj rO r re m0do O flerr,ove- NMI- Oona Cron"e- a) re-wrap arra 4ex4ure. , .) add droppod cov?,fer across opon,'reJ - 34 heigh+ y) add phone Or,d co mptA 4 er d rep r� IF J Tigard remodelf is a_ l✓� � d 3 f f a J 9L i 3 0 6 - �= e N 4 o Ccy— 3 -� ';1 j v o s► V a. � • Q a U ,1 VI vi CL e O N a d 3 l N a 'i'$ It je IA lb L O cr- p 3 I t I v I� '67i Im ----- _ , cn er It pE�0 1 IL Now ^_ I I \._� � �••i 1 Vit, 111 CITY OF TELECTRICAL PERMIT DEVELOPMENT SERVICES OnTM I T #: F'-C97--0729 nnTr I3SUET�s 11 /04/97 13125 sw Hall Blvd.,ngVd&OR I73 (SM M4171 � PARCELs IS134AA-0�19Q�Qt !-C ADORU-23. . . : 10115 3W NIM13US AVE �l� :U^DIVISION. . . . : 1 F(OLL BUSINESS CENTER TIGARD Z0t1ING:C -G '11-.00K. . . . . . . . . . . 1.OT. . . . . . . . . . . . :001 JURIS^TCTTnt•!: TTr c j ect De sat-i.pt i on s Add a first branch circuit to an existing commercial tenant o:cpy. RC3IDENTIAL UNIT-. ....-... TEMP SRVC/FEEDERS -- ___.. -_-MI9CFLLANE000.---•- 1000 5F OR LESS. . . . : 2 0 - 200 amp. . . . . . . : 0 PUMP/IRRIGATION. . . . : 0 EACH nDD' L 5005('. . . : 0 201 400 ,amp. . . . . . . : 0 SIGN/OUT LINE LTG. . : 0 LIMITED ENERGY. . . . . : 0 401 — 600 amp. . . . . . . : 0 SIGNAL/PANEL. . . . . . . : 0 MPNr. IIM/ CVC/FDR. . : 0 G01+amps- 1000 Volts. . 0 MINOR 1_Ai3FL ( 12x) . . . : 0 _ SERVTCE/F1-EDFR____ ----PRANCFI CIRCUITS------ ---ADDIL INSPECTTONS----- 0 2110 amp. . . . . . : 0 W/SERVICE OR F-ECDER: 0 PER INSPECTION. . , . . s 0 201 - 1100 amp. . . . . . : 0 i st W/0 SRVC OR FDR. : 1 PER HOUR. . . . . . . . . . . : 0 /101 - 600 .amp. . . . . , e 0 EA ADD' I_ pRNC:I CIRC: 0 IN PLANT. . . . . . . . . . . : 0 x,01 - 1.000 amp. . . . . s 0 -__-.___.__._._-_-__-PLAN REVIEW SECTION----------------- 1000-4- amp/volt. . . . . e 0 ) =4 RES UNITS. . . . . . . . : 1 600 VOLT NOMINAL. . : Reronnect or.l y. . , . . o 0 SVC/FDR > = 225 AMPS. . a CLASS AREA/SPEC OCC. a Owner,: __.__.._._- .._. ... ...._._.__._._ __. -_ ______...._ FEES GENTLE I)ENTAL type amoi-,nt by date +•1-47pt 10115 SW NIMBUS PRMT $ 35. 00 GEO 11/04/97 '37-300615P SL1 T TE 350 Sf 1C:T S 1 . 75 GFr t 1/04/'37 97-.000,15 TTCARD OR 37223 L3f=C1G ELECTRIC INC 36. 75 TOTAL. 7310 aC CHURCH ST ------ REWIRED INSPECTIONS CLAC1<AMA^a OP 97015 Ce i 1 i ng "over- Linder-gr,or.rnd Cove Phony+ #: 656 739E 1.1,41. 1 rrnvr,- E1 r-7 1. ' �r-viUP R,a g #. . : 000026 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Oregon Specialty Codes and all otter applicablF laws. All work will bF dcne in accordance with apprcved plans. This permit will expire if work is not started within 1B" days cf issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregor Utility Notification Center. ThosF rules arF set forth in OAR 952 001-0010 through OAR 952-001-1987. You may obtain a copy of these rules or direct questions to OK by calling 31246-1987, (L_ 0. Permittee Sii1na+1►re : Issr_red 13y • OWNF=R INSTALLATION J m �r, installatian is being made on proper.-ty T own which is not intrinded f'nr- C7 : IeI lease, or rant. J ANFR' S SIGNATURE: DATE: ___ _....._ . . _._._.......__._...._.__ CONTRACTOR INSTALLATION ONLY-----.-- "GNf)TURE Of- 5UPR. ELEC' Nt HATE': CCNSE NO: •+4 + +-4•++-.+.A-++.4++4 F++•++i++f++++•+4•+•+•+-++++++a ++++f f++++++++•h•++++-F•+++++ 1-+ h f-F4 i-114 Call &C -4175 b 7:2'0 P. M. fai- an ins ection needed the next Nosiness day Community Development ELECTRICAL PERMIT APPLICATION 13125 SW Hall Blvd. Tigard, OR 97223 Planck/Rec. # Permit # T-' Phone (503) 639-4171 Date Issued CITY OF TIt3ARD FAX (503) 684-7297 Issued by TDD No. (503) 684-2772 Inspection (503) 639-4175 1. .lob Address: 4. Complete Fee Schedule Below: Name of Development Plumber of htepecdons per pertndt allorasd Address I Q II J Service included: Ivens cost(") sum City/State/Zip Ia Residential•per unit 4 1000 eq N.or boss {110.00 Name or nqme of twsiness) �1� Eads adds eq,It.W1 u + Commercia Residential❑ On11d Emw p6.00 Each Msnur'd Hoene or Modus DwaU+p flervice or Feedsr moo 29. Contractor installation only: Ib.Services or Fers ede Electrical Contractor_ 1 ar"peof was�n r sm.w s Address ` G 201 imp.to 400 limps _, No.ac City State 71p c 401 amps to 800 ampe $12000 2 WNW to 1000 amps sis0.00 Phone N0. Q0 - (0 over 1000 amps or vase pro oo 2 Contrs.;wr`S Ucense No. -_:k Reow 'd only 1$000 �---,� Contractor's Board Reg. No 40.Temporary sarvione or F- do Installation.aftwahon.or rdoodbn 2 Signature of Su-pr. EElec'n z zoo amps or Was 16000 2 Ucense No. I�aPhonpoNo. 201""p"O'00'npe M00 ----- s rot ampalr,aoo anps $100.00 Over 800 amps to 1000 vol@ 2b. For owner Installations: aw V.bwe 4d.Branch Circuits Print Owner's Name Now,alai or oxie sim per Pana, Address a)The fee for botch drgdb Wo City State_ Zip °wetie a of so vim orbottler'b` 2 Each bo ch dr" 16.00 Phone No. b)The fee for brrttfr droLft r Nwo The installation is being made on property I own which is porrhass of eervks or swdrr s� _ 2 Fni bemci oMO11� 1 11M.00 � 2 not intended for sale, lease or rent. Esch a"lonal brand+ timiA 0.00 Owner's Signature 4e.Wi csllansous (Service or fsedsr not klcknlsd) 1 .1. Plan Review section (if required): E00h purnp or irrignitlon c*d" +� Each sin or otffm rgoft 01140.00 Please r:leck ave hem and anter fee in section SB. !liPan 1,attention n•timNed errerpf 2 appropri pall,aeerrbn a adersbn _ ir0 00 _ 4 or more residential units in one stnlctum Amor label@(to) $100.00 d Service and Iseder 225 amps or more 4f.Each additional Inspection over _System over 600 volts nominal rerPectio Classified rise or structure containing special occupancy the allowable In any of the above V) as described in N.E.C.Chapter 5 Per irspac ion _ p6.00 Per hour 166.00 Submit 2 sets of plane with appNcadon where any of the above In Plant !66.00 apply. Not required for temporary construction services. 00 5. Fees: SIS Enter total of above feat $ W NOTICE 5%Surcharge 105 X total het) _ : PERMITS BECOME\'71D IF WORK OR CONSTRUCTION subtotalSb.Enter 2596 of Arlo A for AUTHORIZED IS NOT COMMENCED WITHIN 190 DAYS,OR IF plan Review H'e A fequk r ($ec.3) _ CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR Plan Rol A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK 13 : COMMENCED. ❑ Tnist Account _ Ballance Due S �5 ..Id•+a+r»�w A � i � p� uti 9 aD5 O U Q o � o go go o o o .,.. �. ..r ... .-. -- .-.. 00 �7 W A O a b 0 0 0 0 0 0 0 0 ° z z z ;, a 0 fel fel ''t 00 r ` ao 00 N � O a, °' w �j V^ O O f7 CI M CI 00 U U U U U U U '1 U 12 .U.7 ►U-1 .U.1 .U.d W W W W W � fps W W W W ELECT IT CITY OF TIGARD PERMIT #: LC96— GERMIT #: F:LC96-0600 COMMUNITY DEVELOPMENT DEPARTMENT DATE ISSUED: 09/18/96 19125 BW MAN Blvd.Tigard.Oregon So, e5155 (Hp 594171 PARCEL: 1 S 134AP-01900 X11-E ADDRESS. . . : 10115 SW NIMBUS AVE #350 SUBDIVISION. . . . : I KOLL BUSINESS CENTER TIGARD ZONING:C- 3 LAI._OCK. . . . . . . . . . . LOT. . . . . . . . . . . . . il 1-1roject Description: Installing one branch circuit. ----RESIDENTIAL UNIT---- ----TEMP SRVC/FEEDERS----- -----MISCELLANEOUS——- 1000 SF OR LESS. . . . : 0 0 — 200 Amp. . . . . . . : 0 1--,UMP/I RR IGAT ION. . . . : 0 EACH ADD' L 500SC . . . : 0 201 — 400 amp. . . . . . . : 0 SIGN/OUT LINE LTG. . : 0 I_1MJTED ENE:RGY. . . . . : 0 401 — 6O0 amp. . . . . . . 1 0 SIGNAL/PANEL. . . . . . . : 0 MANF. HM/ SVC/FDR. . : 0 601 +amps-1OOO vo 1 t 4. : 0 MINOR LABEL ( 10) . . . : 2 ----SERVICE/FEEDER------- ----BRANCH CIRCUITS------ - •---ADD' L INSPECTIONS—— 0 — 200 amp. . . . . . : 0 W/SERVICC OR FEEDER: 0 PER INSPECTION. . . . . : 0 ,_'01 — 400 amp. . . . . . 1 0 1st W/O SRVC OR FDR. : 1 PER HOUR. . . . . . . . . . . : 0 401 — 600 amp. . . . . . : 0 EA ADD' L BRNCH CIRC: 0 IN PLANT. . . . . . . . . . . : 0 601 — 1000 amp. . . . . : 0 ---- _.._.--------------PLAN REVIEW SECT ION----- _____.____._....__ 1.000+ amp/volt. . . . . : 0 ) =4 RES UNITS. . . . . . . . .. ) 600 VOLT NOMINAL. . : Reconnect only. . . . . : 0 SVC/FDR ) - 225 AMPS. . : CLASS AREA/SPEC OCC. : Owner: -------------------------------------------------------- FEES —____--- --- -_ GENTLE DENTAL type Amount by date recpt 10115 SW NIMBUS AVE PRMT $ 35. 00 CJS 09/18/96 96-284088 sui TE 350 5PCT $ 1. 75 CJS 0Q/18/96 96-284088 TIGARD OR 972i..:'3 'hone #: Lontractor-- -----------------------------------------------------------•--------------- PE:CK ELECTRIC INC t; 36. 75 TOTAL 9318 SE CHURCH ST ------- REQUIRED INSPECTIONS - -- ---- (_LACKAMAS OR 97015 Wall Cover Elect' 1 Final Phone #: Elect' 1 Service Reg #. . : 2629 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes and all other pPrmittee Signst�!rp applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 188 days of issuance, or if work is suspended for more ��Q than 18Q days. Issued By ___----__------.._._---.—._-._._—_OWNER INSTALLATION 0. The installation is being made on property I own which is not intended for sale, lease, or rent. OWNER' S SIGNATURE _----------______--CONTRACTOR INSTALLATION J m 0 T(;NATURE OF SUPR. ELEC' N: �� DATE: W i t::E:NSE NO: Cali ."or inspection — 639-4175 r„ Community Development ELECTRICAL PERMIT APPLICATION 13125 SW Hall Blvd. Tigard, OR 97223 Planck/Rec. # 9_C- - AR�tbul3 Permit # EL,--3r-,o4QQ Phone (503) 639-4171 Date Issued S-- (9 - _ CITY OF 71GARDFAX (503) 684-7297 Issued by Cl-tc>r (cl ohm i TDD No. (503) 684-2772 Inspection (503) 639-4175 1. Job Address: 4. Complete Fee Schedule Etelow: Name of Development _ Number,of Inspecdono par permit allowed ZZI Address I Q 11 AA5 �` U Service included: Items 005406) Sur," City/State/Zipy _ 4 '�a�3 4s. ResWerodal-pw unit 4 — U �^—T —� n 1000 eq n or Ises 111000 Name (or n m of business)�i Q-11 1 e fi Y E'e'`n them 6°°.q n or Portion tlrereol i26 00 1 Commercial Residential El Limited Energy 05 o0 Fwh Manurd Home or Modrular 2 Dvvearrg Service or Feeder ties 00 29. Contractor Installation only: 4b.Servbss or Feeders �� n r�� Installation,aherah.un,or relocation 2 Electrical ontr to sd1C., - e zoo amps or leas 9W 00 2 Address � _ 201 amps to 400 amps 11en 00 2 City h CX n I`i oup State Zi C 601 a�to eon amps 518000 2 rl ��— -- p .�._ e01 amps l0 1000 stupe 080 00 2 Phone No. 1Q Over 1000 amps a volt. 11340 oG 2 Contractor's License N0. Reconnect only 36000 Contractor's Board Reg. No_QI,11 _ 4c.Temporary Services or F♦sdere Installation,sMsralion,or relocation 2 Signature of Su r. Elec'n /y Bora amps or 1468 M 00 .� 2 License No._ Phone No. �- ��7,(n 201 amps to 400 wraps $7500 — 2 401 smpe to NO amps 5:00 00 Over 000 smpe to 1000 volts 2b. For owner Installations: s"-b'obovu Print Owner's Name 4d.Branch C'.rcuits Now,she.ation o•extension per parts Address a)The be for hranch circuits with City Y State Zip pl reAsse or...vice or I I , fm. 2 Each branch circuit $600 Phone No. b)Tha Ise for branch dreui,a 1rMrouf The installation is being made on property I own which is purchase of sookis or Ilsadi►r aa. �- 2 not intended 11011 sale, lease Oi rent. First branch circus �-- i95 oq -'`��- 2 Eads mWitiorv+l branch circuli 1600 Ownw's Signature 4a.Miscellnnsour (Service or feedot not included; 2 3. Ellan Review section (if required): Each pump or irrigation arae tug 00 2 Each sign or orAhns fighting 1140 00 Signal circull(s)or a limited energy -- 2 Please check appropriate Item and enter fee In :,action 5B. panel,sheration or extension $4000 4 or more residential un'ts in one structure Minor lab-1=(10) $10000 p- Service and feeder 225 amps or more 411.Each additional Ix System over 600 volts nominal additional inspection over M Classified area or structure containing special occupancy the allowable In any of the abovr t/r as described in N F C. Chapter 5 Per inspection $9500 Pyr hen � 161500 J Submit 2 sets of plans with application where any of the above In Plant $6500 apply. Not required for temporary eonelruction services. 5. Fees: f� Sa. Enter total of above tees $ W NOTICE 5%Surcharge(05 X total fess) _ J _ PERMITS BECOME VOID IF WORK OR CONSTRUCTION ;alter 25 $ 5b.Enter AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS,OR IF line A for CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR Plan Review w H required(Sec 3)Subtotal $ A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS s $ COMMENCED 11 ''rust Account M E 8e1e07ce Due $ ar l[Q. CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Line: 639-4176 Business Line: 639-4171 BUN Date Requested AM_ PM , BLD Location- 101 I V1 i bd Suite d MEC _ Contact Person Ph V�q� Contractor kLK Ph6& -7 BUILDING Tenant/Owner. L?A4 LC. Q�`�'�X Retaining Wall _ Footing pinspect!'on Foundation - � ��-�,(� G, r c • .._ Ftg Drain SON Crawl Drain No!aa: Slab SIT Post d Beam r Ext Sheath/Shear Int Sheath/Shear Framing Insulate m Drywall Nailing Firewall Fire Sprinkler — -- -- Fire Alarm Susp'd Ceii?;,g Roof Misr,: - - -- Final PASS PART FAIL - - -- -- -— PLUMBING PurEt 8 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 PARI FAIL CTRIC L a Service _ Rough In + UG/Slab ?- I ow Voltage Fir Alarm - - - -- - - m ART FAIL --- - - W J Backfill/Grading -- _ Sanitary Sewer Storm Drain ( j Reinspection fee of$ required before next inspection. Pay at City Hall, 13125 SW Hall 3lvd Catch Basin Fire Supply Line [ j Please call for re r. RF: _ t ]Unable to inspect-no axess AnA Approach/Sidewalkpats _ a� Inrouctor. Ext Other - -'+ Final PASS PART FAIL DO N T REMOVE this Inspection record from the job site.