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10115 SW NIMBUS AVENUE STE 400 c j fA lD 10115 SW Nimbus Ave #400 CITY OF T i GA R D CERTIFICATE OF OCCUPANCY DEVELOPMENT SERVICES PERMIT#: BUP2002-00089 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 3113/2002 PARCEL: 1S134AA-01900 ZONING: C-G JURISDICTION: TIG SITE ADDRESS: 10115 SW NIMBUS AVE 400 SUBDIVISION: 1 KOLL BUSINESS CENTER TIGARD BLOCK: LOT:001 CLASS OF WORK: ALT TYPE OF USE: COM TYPE OF CONSTR: UNK OCCUPANCY GRP: B OCCUPANCY LOAD: 11 TENANT NAME: S IGN WORLD REMARKS: TI Non structural partition wail and new ADA bathroom O sr: tOBINSON, WILLIAM R/CONSTANCE ROBINSON, LYNN + BELL, KAY ET BY ELLIOTT ASSOC PORTLAND, OR 97204 Phone: Contractor: NORWEST GENERAL CONTRACTORS INC PO BOX 25305 PORTLAND, OR `)72980305 Phone: 291-6986 Reg#: LIC 89425 This Certifi,,nte issued 5/7/211112 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, occuppnc , and use It' nder which the referenced r it was issued. i OFjRCIAL POST IN CONSPICUOUS PLACE 1 CITY OF TIGARD 24-Hour BUILDING Inspection Line: (503) 639-4175 INSPECTION DIVISION Business Line: (50:3) 6,,-'a-4171 MST _— �/ BLIP Received _ _Date Fie uested__- �'�O _ q _ AM __ —PM F3UP Location --_._L :2221� _ Suite MEC --- Contact Person M _ Ph(__ _,) -36Q HZ �fI PLM — Contractor Ph( ) SWR _ BUILDING Tenant/Owner ELC �'-r✓aL — /`� Footing Foundation Access: ELC Ftg Drain ELF! Crawl Drain Slab Inspectio_n Notes: - — SiT Post& Beam Shear Anchors Ext Sheath/Shear Int Sheath/Shear - Framing Insulation Drywall Nailing Ass e:�,��_—__ Firewall Fire Sprinkler -- Fire Alarm Susp'd Ceiling ---- Roof Other: _ Final - PASS PART FAIL ------ -- PLUMBING Post 8 Beam ----- -� - — Under Slab _ Rough-In i - --- Water Service Sanitary Sewer Rain Drains ------ __ _ Catch Basin/Manhole Storm Drain — ---- _ Shower Pan Other: - — ------ Final PASS PART FAIL - _MECHANICAL Post&Beam --- Rough-In --- - ----- Gas Line - -- - Smoke Dampers Final PASS PART FAIL ELECTRICAL Service Rough-In UG/Slab -- Low Voltage Fire Alarm -- F E] Reinspection fee of$_— required before next inspection. Pay at City Hall, 13125 SW Hell Blvd. AS PART FAIL SI �— [] Please call for reinspection RE:__--�— i _ F-1 Unable to inspect-no access Fire Supply Line ADA , Approach/Sidewalk fDr�t _�`�3.�--- Inspachor,_ - •�c Other:-_ oo_ Final QO NOT REMOVE this his pection ratcoriii from the Joh site. PASS PART FAIL CITY OF TIGiAIRD 24-Hour BUILDING Inspection Line: (503) 639-4175 INSPECTION DIVISION Business Line: (503)639-4171 MST 4- BUP Received _ —_ Date Requested _ _—_ PM BUP — Location —� � f7. U/, /L'�.:vi uit _ 3- MEC Contact Person --- — —_ ( ) - .� . PLM,i� = Contractor—__—__— Ph(_--) SWR _ BUILDING Tenant/Owner Cr --- ELC Footing `:� Z-C `1--1 ELC Foundation AFtg cca CawlrD Drain ��l�L `fyjL'l ZZ/0/l�'��-r✓J ain ELR Slab Insp otes: T ; / SIT Post&Beam Shear Anchors Ext Sheath/Shear Int Sheath/Shear Framing Insale:jon Drywall Nailing --- Firewall Fire Sprin'der - -- - Fire Alarm Susp'd Ceiling -_—- ------- Roof Other: ----- - ------ - -- 7L Final - PAS RT FAI — NG Under Slab Water Service --- Sanitary Sewer �- Rain Drains -- --- Catch Basin/Manhole - - Storm Drain -- — Shower an Z Oth r: or ART FAIL - __--- - --- _WECAANICAL Post& Beam Rough-In Gas Line Smoke Dampers Final PASS PART FAIL ----- ----------- ---- ELECTRICAL Service - — - Rough-In UO/Slab Low Voltage ---- - ----- ---------------_ -- Fire Alarm Final Reinspection fee of$ _. required before next inspec ion. Pay at City Hall, 13125 SW Hall Blvd. _PASS PART FAIL $ITE - [] Please call for reinspection RE:_ ---- ❑ Unable to inspect-no arrnc;r, FireSupply LineADA -7 Approach/Sidewalk bate - I I Z _ Inspocter �_ / / C•�P� �t' __ Ex Other: Final DO NOT REMOVE this insportion record from the job site. PASS PART FAIL CITY O F i I G A R D PLUMBING PERMIT DEVELOPMENT SERVICES PERMIT#: PLM2002-00087 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 3/13/02 SITE ADDRESS: 10115 SN/ NIMBUS AVE•594- 't ' I PARCEL: 1S134AA-01900 SUBDIVISION: 1 KOLL BUSINESS CENTER TIGARD Z014ING: C-G BLOCK: LOT: 001 _ JURISUICTION: TIG _ CLASS OF WORK: ALT GARBAGE DISPOSALS: MOBILE HOME SPACES: TYPE OF USE: COM WASHING MACH: BACKFLOW PREVNTRS OCCUPANCY GRP: B FLOOR DRAINS: TRAPS: STORIES: WATER HEATERS: CATCH BASINS: FIXTURES _ _ LAUNDRY TRAYS: SF RAIN DRAINS: SINKS: ~t URINALS: GREASI . RAPS: LAV 11 DRIES: 1 OTHER FIXTURES: TUB/SHOWERS: SEWER LINE: 100 ft WATER CLOSETS: 1 WATER LINE: 100 ft DISHWASHERS: RAIN DRAIN• ;t Remarks: 1 sink, 1 lav, 1 water closet, 100ft. sewer and water line. Owner: _ F'-ES ROBINSON, WILLIAM R/CONSTANCE Type By Date _ Amount Receipt ROBINSON, LYNN+ BELL, KAY ET PRMT CTR 3/13/02 $159.80 27200200000 BY ELLIOTT ASSOC 5PCT CTR 3/13/02 $12.78 27200200000 PORTLAND,OR 97204 Total $17258 Phone 1: Contractor: DP PLUMBING 904 S. CHEHALEM NEWBERG,OR 97132 REQUIRED INSPECTIONS Phone 1 Sewer Inspection Reg #: PLM 110612 Water Line Insp LIC 36-70PB Rough-in Insp Top-out Insp Final Inspection This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for mora than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-0001-00 10 through OAR 952-0001-0080. You may obtain copies of these rules or direct questions to OUNC by c" (503)246- 87. Issued By: i 'Lit.4 ,� ,. _ ��f,r/ ; - Permittee Signature.(Z Call (503) 639-4175 by 7:00 P.M. for an inspection needed the next business day ry Plumbing Permit Application \ Date received��J U1_ Perwml no.�(Yl />( City of 1'i�ard Sewer pcmlit no Building permit no Mdres, I i 12S S11 I nail BMI,Tigard,()k 91223 (ler of 1 i,w;urJf Itnne: 151111 619-4 I I Ihnjcct/appl. no: Expire date Fax (503) 598-1960 r,O 1 .'""� _rr Date issued: - fiv rReceihl Land USE EIp�1COVilI' _--- ----__-_-- (':rse rile no J 1 &2 family dwelling or accessur\ 1� mmmcrcial/indw id J t\1uItI lanlity jif I cn.urt impt \cinent J New constructitm 1 , I(fit ion'alferahon/replacement ❑Food service• )iher J"S 1TV I INFORMAnoN .lob a(Idress: �O 1 1 4 S� (Jn M a S Description Qty. Fee(ea.) Total Itl:l,, �Ad XJ Nen I-and2-fancilydvielling%onh: -- (includes 1011 ft.foreluhutifin+rnnut•cnion) I :,I ,recount no.: SFR(I I bath Lot. block: SuhdivIfoil SFR(2)bath — L- -- - - -- f'ro ect name: _ SFR—(3)hath I —_ —�1_�.pi __ �l.f►Q - --— -- City/county: 7wA Lep _ /W I Q7 Z 2.4 1 well additional bath hue hen Description and location of work un pt, ,ii Jg. ADA-- Sliteutllities: T411�L_"C_-R.ii t) SjoA Catch basin/arca drain I?st date ofcom Icuon/ins eetnnt Urywells leach line trench dr,rin 4 Footing drain(no. lin. ft.) Va—iiii—fac t it r—e—cThome utilities _ Business name: lanholcs A(idress^tom, �`(elIAMA ; .�T Rain drain connector ---- —-- - City: atm(:� _Ttit:11c 0 L I / I' Sanitary sewer Ino. lin. fl.l SIS ?.Z'}� ,I Storinsewer(no.lin fl.) l04 � Water set%ice Inn lin. fl I111011C: 'tlx I tI1J ( ('li no.: I lurch hu 34-70 PQ--- ( Iry metro hc.no., t �.N Fixture or item: ( untractor'srepresentatisr .wnaturc �------ -- — --- - clack Ilow prccentcr Print nano l,, ,� It;tnr Backwater valve Basins/lavatory 17AQ1� �VSK4� _._ — Clothes washer Name -- - [)ishwnsher c - - prinking fountain(s) C)(L'Zlh y 2Ab 11rc�ors;suntr---- 2.1f - G'1%(_ I 'A'1111-7076 I I I \pansion tank -- I ,rture/sewer cap I loor drains/floor sinks/hub _ Name(print) 1-1 1 PA�a s Cr t 46N. ASS►Loiidi ( ;wrbage disposal %luilnl9,uldteti. {�. Ar - ---- --Sl i OA 1 Vj I Iosc bibb t uy__tf�&11er��_. Ile 71I' s7'1�A 1 e maker -- - - -- Phone: Up - 04% I n\- -- 1111.-mall: I.ucrceptor/grease Irap --- Owner instalhttion'residenual in,nnten,el ,]� The actual installation PIIItlerfS) will be tttade by fileor le nutntfenan(e I iepai made by my regular I? urf'drain(commercial) _ — employ un the pro rt, own ti Chapter 447mkls�nsin(s), ays(s1 WA Owner si nature: .howerTs owetf _r pan Urmal — Narne: -"---` - _-----------.... __- "ter closet Address: shearer ---------- -- - rState /I I': _ Other -- --^- - Phone: o Far: 1:-mail: a _____ --- Minimum fee................ S - L1 1 Y19 � , dl unl+dklimu accept ctedlt card+,plena cnil iurt+drrtinn tin mum urrmmaliun. Notice: This penni' application plan rl'1'rC11'tat n,_ - %o) ,ri J\'Iso J BsftK'aY[ CXpIIL'9 If it pe'nllll Is not obtained i naM::nd nnuther --- State surcharge(A"rn). a•tlhm IAO dnvs aflcr i1 has been Yspuer 1'Ot'A1... ... . $ . 1 uun un uedit cord--- accepted as complete. Name ill'cmc—iholder n�sh C -- lllrJh-Ides +ignnture - Amaeini 440-0.If,(6911)COM) CITYOF T!GA R® SEWER CONNECTION PERMIT DEVELOPMENT SERVICES E ISSUED: #: S 13/02 _ 00124 13125 SW Hall Blvci., Tigard, OR 97223 (503) 639.4171 DATE ISSUED: 3/13/02 SITE ADDRESS; 10115 SW NIMBUS AVE 5t?f (/0,> PARCEL: 1S134AA-01900 SUBDIVISION: 1 KOLL BUSINESS CENTER TIGARD ZONING: C-G BLOCK: LOT: 001 JURISDICTION: TIG TENANT NAME: SIGN WORLD USA NO: -IXTU{',E UNITS: 210 CLASS OF WORK: ALT DWELLING UNITS: TYPE OF USE: ",0M NO. OF BUILDINGS: INSTALL_ TYPE: BUSWR IMPERV SURFACE: Remarks: .6 EDU increase. Previous EDU=16.3 for a total of 260 fixture values. Addition of 10 fixture values, for a new total of 270 values= 16.9 current EDU's. Owner: FEES_ ROBINSON, WILLIAM R/CONSTANCE Type By Date Amount Receipt ROBINSON, LYNN + BELL, KAY ET — --- BY ELLIOTT ASSOC PRMT CTR 3/13/02 $1,380 00 27200200000 PORTLAND,OR 97204 Total $1,380.00 Phone: --- --- Contractor: Phone: Reg #: Required Inspections This Applicant agrees to comply with ali the rules and regulations of the Unified Sewage Agency. The permit expires 180 days from the date issued. The total amount paid will be forfeited if the permit expires. The Agency does not guarantee the accuracy of the side sewer laterals. If the sewer is not located at the measurement given, the installer shall prc5pect 3 feet in all directions from the distance given. If not so Ionated,the installer shall purchase a"Tap and Side Sewer" Perm J Issued by: �i� _. .__ Permittee Signature: \ -- i Call (503) 639-4175 by 7:00 P.M. for an Inspection needed the next business day Accumulative Sewer Tally 1 inapt Nar.::Sign\Morld This SWRt 2002-00124 Site Address:10115 SW NimbuE Ste. 5 cl c This PLM# 2002-00087 — Fixture Value Previous Previous Credits Capped Fixture Fixture New New # value capped off value added added total total count off#s count # value #s values Ba tise /Font 4 0 0 0 0 0 Bath-Tub/Shower 4 0 0 0 0 0 -Jacuzzi/Whirl ool 4 1 0 0 0 0 0 Car Wash-Each Stall 6 0 0 0 0 0 -Di ive through 16 0 0 0 0 0 Cus idor/Water Aspirator 1 0 0 0 0 0 Dishwasher-Commercial 4 0 0 0 0 0 -Domestic _ 2 0 0 0 0 0 Drinking Fountain 1 0 0 _ 0 0 0 E e Wash 1 0 0 0 0 0 Floor Drain/Sink-2 inch 2 0 0 0 0 0 3 inch 5 0 0 0 0 0 4 inch 8 ±__-0 _ 0 0 0 0 4 Inch 3� _ -Car Wash Drr 6 0 _Garbage Disposal — Domestic to 3/4 HP 16 0 0 0 _0 0 _ Commercial(to 5 HP 32 0 0 0 0 0 _ Industrial over 5 HP 48 0 0 0 0 0 Ice Machine/Refrl orator Drain 1 0 0 0 (' 0 Oil Sep(Gas Station) 6 0 0 0 0 0 Rec.Vehicle Dump station 16 0 0 0 0 0 Shower-Gan (per head 1 ____0 0 0 0 0 Stall 2 0 0 (? _ _0 0 2 0 0 2 4 2 4 Sink-Bar/Lavatory _ -- - Bradley 5 0 0 __1 _ ._ 0 0 Commercial 3 0 0 _ 0 0 q -Service 3 0 0 Swimming Pool Filter 1 0 0 0 0 0 Washer-Clothes 6 0 q 0 0 0 Water Extractor 6 0 0 0 1-0 0 _Water Closet-Toilet 6 0 0 1 6 1 8 Urinal 6 0 0 Previous EDU Count 16.3 260.8 260.8 0 Capped FDU Credit TOTALS 0 260.8 0 U 3 1 10 3 27�� Current Fixture Value 270.8 divided by 16= 16.9 Current EDU 1 EDU = $2,300.00 Previous Fixture Value_260.8 divided by 16= 16.3 Previous EDU Change 10 divided by 16 = 0.6 over (under) $ 1.380.00 Enter EDU Change Here 0.6 HISTORY Notes _ PLM# 2001-00384EDU# 16.3 S'JVR# 2001-00231 PLM't 2001-00181 __ EDU# 14.2 SWR# 2001-00158 PLM# 96-00074 EDU# 14 SWR# 96-00165 /l Name: �cl�t eE�r..� J _ Date: Signature of person that calculated this tally sheet and date perfromed is required I1 Y OF T'G /` R D . _ MECHANICAL PERMIT DEVELOPMENT SERVICESPERMIT#: M22/02 oo„s 13125 SW Hail Blvd , Tigard, OR 97223 (503) 639-4171 DATEISSUED: 1513 2 PARCEL; 1S134AA-01900 SITE ADDRESS: 101 155W NIMBUS AVE 500 SUDDIVISION: 1 KOLL BUSINESS CENI FR TIGARN ZONING: C-G DLQCK: LOT: 001 ,JURISDICTION: rIG CLASS OF WORK: OTR FLOOR FURN: EVAP COOLERS: TYPE OF USE: COM UNIT HEATERS: VENT FANS: OCCUPANCY GRP- B VENTS W/O APPL: VENT SYSTEMS: STORIES: BOILERS/COMPRESSORS HOODS: FUEL-TYPES0 - 3 HP: DOMES. INCIN: LPG _ 3 - 15 HP: COMML. INCIN: MAX INPUT: BTU 15 - 30 HP: FIRE DAMPFRS7: 30 - 50 HP: REPAIR S: WOODSTOVES: GAS PRESSURE: 50 + HP: CLO URRYERS- FURN < 100K BTU: _ AIR HANDLING UNITS C FURN >=100K BTU: <= 10000 cfm_ OTHER UNITS: GAS OUTLETS: 1 > 10000 c,fm: Remarks: Installation of 150'of gas line for new gas meter Owner: FEES ROBINSON, WILLIAM R/CONSTANC'E Type By Date Amount Receipt ROBINSON, LYNN+ BELL, KAY ET PRMT CTR 3/22/02 $72.50 272002000C BY ELLIOTT ASSOC 5PCT CTR 3/22/02 $5.80 272002000C PORTLAND, OR 97204 _-- Total $78.30 Phone: ----- Contractor: OREGON HEATING + A/C INC PO BOX 397 DUNDEE, OR 97115 _ REQUIRED INSPECTIONS Gas Line Insp Phone:538-2953 Final Inspection Reg #:LIC 125815 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for mor6 than 180 days. ATTENTION: Oregon law requires you to fellow rules adooted in the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0080. You may obtain copies of these rules or direct ques ' ns/to I �calling Issue �y Permittee Signature: T1 _- , Call(S )8' by 7:00 P.M. for inspections needed the next business day 03/14/2002 16:54 FAX 5033951980 CITY OF TIGARD A002 Mechanical Permit Application pan"tto.: city Ol r1g1rd Ellpifedaw ___--- �� Address: 13175 S N Hall Blvd.Tiganl.OR 97223 Date issued: Or R—ipt no: ri ��`� phone: (503) 6394171 rax: (503)598-1960 C:axc(He no.: Parmmttype, Huildio`perlildt no.: (.and use approval: � --- • 2 family dwelling on accessory L)Grnmen.ial/industrial U hlulri-fatttily ❑Tenant imptovunt nt IJ New(nnatructitat �A ldieion alterau�m/teplaerment U 1I If Job atlrkess, lO' ',� 1 �- _ - /� / Indicate equipment quxntincs ut boxes below.Indicate the dollar valor of all mrt:liatncal matrnals,equipment, latx)r,over iend, Bldg.no Suite no -__ _— - -- - Tax fnap(tax 10t/acccw_m no.: pmf"ie-Value S (,pt; Block: 5Ybdivision;_ _-- _ 'See checklist for important application information and jurisdiction's fee sch(viule for residp.nhal permit fee- project name: -- r tUptliiiiiiiii Ci /county: Z� -�� • 1Jeitxiption and leycation of w on ptemisea: _—._- � Fm(r1.) Total 6Lt--daie of oo�m lati0n/inspetlti — — !)e1efpdOO Qh- Ret.only Ri!s Tenant(mptovemern of dtaege of este: Air handling unitis existing spice heated or conditioned')d Yes U No Au condtuo$ie plan req ) Is eacisting"m inaulated7 ay" U No Mitzi own existiog�A�ssum -- 'iferkutnRiCom t Stag hnikr perm t no Business name ' E'-U Yk tw Ton. BTUM AAtfreaf: .O Firdsmokev�m—n��Ismo lector! _ --M2 - r i mp(site an u'- ) City`:- ]�1. State ZW —3LIA N l figs replace ac c/btmter_, _-_.U Email: PtnwfnC: Sa'9r� Fyle��y`I?/7 Inc hiding duetwxtiventliner ClyesONO C.'C8 no.: Tiit�acdniaca�tas-suspe �?s Ch /metro lie.Do.' wall,m ibor tyrounttA -- --. VCntTa Bates utt—ret d=furnace :CitYM7: t)- I Absotplinn unite BTUM d�r hl��. ta,illers__ ftp c lip 1�t �' __ . Ap Inner vent S7d Eax: FS-scant: Ihytrexhaust s Hooft Type tea lrlten/bitmat hMM Hood fire suppresaroo systern - Na n= Exhaust fan month untie dtwi(bath(Ias) Meiling address. _ v WAt rfstiem spanfrom -adflg or At Md jadnapialfew PtW4 wi ctrl City: Stue:Z_ IYve I.pCi Nc chl pbw: Fos: F mail Neel t—n eaeT►idrfid"on:favleraarilea Li'l (schematic ruts Number of outlet Greq- I Address_: wimtov_ __ _ IleoorttiveTirer�latx City: -- -- State: ZII'. rpt Qat dove Phow: F --- - - Applkant's signature: Due: - Name(print): permit fee-...................S 4A. .. � ns.n Jartrdrum. scan rads p lr +b"ter m0 iaraaaron Notice This ne-nnit lic tion t]Vusa O Maanf'ird Y)p Minimum let................$ cicpit=ire permit is cwt obtainftt plan trview(ar _— #r) $ ddr ear.nn•er -._� -- - et -' within t SO Jays after ii has horn State mmhwV-�4%) ...S -"nm ai tsnsoteet'r�.e"o.sear c.e- s aompted is marplt tr- TMAl........................= 7� '" paiR Aworat YGNI7 tti01M001tq CITY OF T IG A R D _- BUILDING PERMIT PERMIT#: BLJP2002-00089 DEVELOPMENT SERVICES DATE ISSUED: 3/13/02 13125 SW Hall Blvd.,Tiqard. OR 97223 (503) 639-4171 PARCEL: 1 S134AA-01900 SITE ADDRESS: 10115 SW NIMBUS AVE—SW �oe) SUBDIVISIO14: 1 KOLL BUSINESS CENTER TIGARD ZONING: C-G BLOCK: LOT: 001 JURISDICTION: TIG `^ REISSUE: _ FLOOR AREAS _ _EXTERIOR WALL CONSTRUCTION CLASS OF VVORK: ALT FIRST: sf N: S: E: W: TYPE OF USE: COM SECOND: sf PROJECT OPENINGS? _ TYPE OF CONST: UNK sf N: S: E: W: OCCUPANCY GRP: B TOTAL_ AREA: 000 sf ROOD= CONST: FIRE RET? OCCUPANCY LOAD: 11 BASEMENT: sf AREA SEP. RATED: STOR: HT- ft GARAGE: sf OCCU SEP. RATED: BSMT?: MEZZ?: HEQD SETBACKS _ _ RE_Q_UIRFD FLOOR LOAD: psf LEFT: ft RGHT- ft FIR SPKL: SMOK DET: DWELLING; UNI CS: FRNT: ft REAR: ft FIR ALRM : HNDICP ACC: REDRNIS: BATHS: IMP SURFACE: PRO CORR: PARKING: VALUE: $ I Remarks: TI Non structural partition wall and new ADA bathroom. Owner: Contractor: ROBINSON, WILLIAM R/CONSTANCE NORWEST GENERAL CONTRACTORS ROBINSON, LYNN+ BELL, KAY ET INC BY ELLIOTT ASSOC PO BOX 25305R g P Pone ND, OR 97204 PghRRone NZa91n69= 867298-0305 Reg #: LIC 89425 FEES REQUIRED INSPECTIONS Type By Date Amount Receipt Framing Insp PRMT CTR 3113/02 $235.30 27200200000 Gyp Board Insp Final Insper!ion 5PC:T CTR 3/13/02 $18.82 27200200000 FIRE CTR 3/13/02 $94.12 27200200000 PLCK CTR 3/13/02 $160.95 2.7200200000 Total $509.19 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-1987. You may obtain a copy of these rules or direct questions to OUNC by calling (503)246 6G99 or 1-8�-33)2- 4. Permittee Signature: Issued By: -- Call 639-4175 by 7 p.m. for an inspection the next business day Building Permit Application - -- oDatercccivcd] � ry Permn no (1 I da04+ dbo Citi of 'I igard ProjecUappl. no.: Expire date ('fit o/Ti3,rurcl Address;: 13125 SW Ilall 131vd.'llg:trd.(JR 97223 - - Phone: (503) 639-4171 Date issued: _-V By Receipt no. - Fax: (503) 598.1960 Case file no.. Payt. nt type: Land use appfoval. 1&2 family: Simple Complex: 1 J I &2 fancily dwelling or accessory U(Commercial indu,u m! J nlulu-family U New construction U Demolition J Addition/alteration/replacement 10 Tenant impi-viiwnt J fine sprinkler/alarm U Other: _.- JOB SITE 1 lob address: 16 ltM MIS_ ______.-__ - Bldg. no.: Suite no.: Lof: Block: Subdivision: lax map/lax lot/account 70.__— - Project name: . SjjLFJ - Description and location of work on premises/special conditions: 1 1 Name: N�1++►fd�S_ 1511t►f>L'LL�----- sum Maihngaddress: S11 #afJI &Valu.unn 2 f>+mih dnclli„t;: ----- 01y_._ 11r"t/.�dA ---- Stat,: 04 ZIP �'� i- of'work .... ........ ..... ......... ... -- .. I chef Phone: Fax I -ntnil No. ul hedrooms/baths...... _. Owner's representati%e: LA. Tntnl number of floors .... .... phone: i Ilax: I--mail: Nc,r dwelling arca(sq. ft.)................... .. ..... --_--_-- _ nI W E 111111MV Garage/carport area Isy ft ) ..... Nam,: 1 ' _ Covered porcn arca(sq. ft.) .............. _. - -�lAAel -- -- --- -- ��l7 Mailin r address: heck arca(sq. n.).l.. _ ...... ... ......................4 srJ. Titt�4aai �11. � c' � ------ State: ZIP. Other stntcture area tsy. ft.)... .... ............... •--•-_--._--.__-- ,� i�. _City: -_. /_ AIt%4-_ t%4- Phone: - ---- -- ('ommercialNndrw9triallmttltf-fftmlly: (1 Fax: 7o I• mail: � nluauntt uf,vork I �i,ung b dg.area(sq. ft.) ....................... ... - Business name: �- �arl CM 10II AN1patf - - ! Z.._-- Nrw hld8 arca(sy. fl.)........................... ...... Addr,ss: ----- --- - OL IL -4M'Ds-- ._----- Number ot'stnncs......... .............. ............ . . C It State: /11' y It lr�►.�Q-. ----- �'.._ _�� _ Tvpc of construction .................. L1.1_- .1mL '1A 1.70 — -- ---- -- Occupancy group(s): Existing: Phone F'ax: Es-mail CUB nit _tg9_ Z 11150% ---- New: - lt} mriru lid.no 2.2. 1Notice:All contractors and subcontractors are required to be all a licensed with the Oregon Construction Contractors Board unJer Name provisions of OR 701 and may be required to be licensed in the A11,"`I-�1--P1� "l11>Z1'� 1�i-f.�<A�----..-------- junsdiction where work is being performed. If the applicant is Addres, Or1A ?til 10_ Stale:a _-.7--- - exempt from n licensing,the following reasoapplies: City: ZII': t nnlact person (>A �011tilfil Plan Mir - - --- I'honc I;ie 1!.70141 If-moil r 1 Name: N /�_ ___...__.�c onlact person: I et due upon application S --._.--._ Addre�� hate rccen ed C.tv. State. 'Lip: Amounf received..........................................5 Phone. f3-snail: _ Phase refs to f„ schedule. I herchy certify I have read and exaroinl- lis application and the %ot all lurlsdictLm+accept credit card+.please tail ptnrdreuon for mare information anachec]checklist. AIl to inions and ordinances governing this U vim U MasterCard work,will he comp]' d itIt v\ r. cified herein tit not c red t card numher, rrrr —� Authori?ed signat fC: _ Date. r.�I.� 2 Name of cariu tdar a+ u%"'a%credit card Print name: ZQ.l-SK--h --------__.-.. -- --!ardnniderdi n�rore ''\ NoticeThis pemtit application expires if a pei nin is not obtained within 180 days aIler it has been accepted as complete. 4411-4613 16(01(11611 / CITY OF TIGARD — ELECTRICAL PERMIT PERMIT #: ELC2002-00106 DEVELOPMENT SERVICES DATE ISSUED. 13125 SW Hall Blvd., Tiqard, OR 97223 (503) 639-4171 PARCEL: 1S134AA-01900 SITE ADDR,ES : 10115 SW NIMBUS AVE r 'yt�1 SUBDIVISION: 1 KOLL BUSINESS CENTER TIGARD ZONING: C G BLOCK: LOT : 001 JURISDICTI(jrsl: TIG Project Descriptian: Installation of 1 200amp meter and 10 branch circuits. _ RF_SIDENTiAL UNIT _ TEMP_SRVCIFEEDERS MISCELLANEOUS _ 1000 SF OR LESS: 0 2.00 amp: PUMP/IRRIGATION: EACH ADD'L 500SF- 201 - 400 amp: SIGNIOUT LINE LTG: LIMITED ENERGY: 401 - 600 arnp: SIGNAL/PANEL: MANF HMI SVC/ FDR: 601+amps - 1000 volts: MINOR LABE'- (10): SERVICE/FEEDER v_ BRANCH_CIRCUITS—____ ADD LrNSPECTIGNS_____ 0 - 200 amp: 1 WISERVICE OR FEEDER: 10 PER INSPECTION- 201 - 401) amp: 1st W/O SRVC OR FDR: PER FiOUR: 401 - 600 amp: EA AGD'L BRNCH CIRC: IN PLANT: (i01 - 1000 arnp: _ PLAN REVIEW SECTION __ 1000+ amp/volt: >=4 RES UNITS: > 600 VOLT NOMINAL: —� Reconnect only: _SVCIFDR >=_225 AMPS:i _J. CLASS AREA/SPEC OCC: Owner: Contractor: ROBINSON, WILLIAM R/CONSTANCE COMMERCIAL ELECTRIC CORP. ROBINSON, LYNN + BEL'_, KAY ET 1904 SE OCHOCO BY ELLIOTT ASSOC MILWAUKIE, OR 97222 PORTLAND, OR 97204 Phone: Phone: 503-462-5201 Reg#: LIC 6145 SUP 1940S FLE 26-33C FEES Required Inspections --i Type By Date Amount Receipt' I Ceiling Cover Wall Cover 5PCT CTR 3/14102 $11.74 272002000U( Rough-in PRMT CTR 3/14/02 $146.80 2720020000( Elect'I Final Total $158.54 This Permit is issued subject to the regulations conlafne � Igar Municipal Code,State of OR. Specialty Codes and all other applicable laws. All work will be done aceor ance with approy+ ' ° Th permll will expire N kis not started within 1130 dais of issuance,or if work Is suspended for mor, than 1 0 days. A fo / rego law requires) follow rules adopted by the Oregon Utility Notification Center. Those rules are t rth n R 95 1-001 roug AK 952-001-00. You may obtain copies of these roles or direct questions to Permit Signature: Issued By: P g n t�R INSTALLATION ONLY The Installation is being made on property I own which is riot intended for sale, lease, or rent. OWNER'S SIGNATJCE: _ __ ____ _ __ DATE:_ . CONTRACTOR INSTALLATION ONLY _ — SIGNATURE OF ;UPR. ELEC'N: n'7k DAT F:— L LICENSE NO: _ 1. cld _------ ---- ---------- Call 639-4175 by 7:00pm for an inspection tt-,e next business day - Flec•trical Permit Application (fate rv,rrvrr; Permit no. - ar3 rap�i; City of Tigard 1'ngcct/appl no Expire date: c ret, r/7)l;nrA Addle 11125 SW hall Blvd,Tigard,OR 97223 Dale issued ny '/j�� Receipt I Plume. 00 1) 639.4171 -- ------ ---- -`1 Fax: (503) 598-1960 ('ase file no Payment type - I,anri nsc a1)111oval - J I Rc 2 family dwelling or ..•:cessory M Commlcrual/mdustnal U Multi-family U'Fenanl improvement J n'ew construction 44 Additum/altcraunn/n place rape rat U Olhr•r --_- U Pallial It WE INFOMIATION )..I.,uidress:/d//S S..v /as ✓3 lildf; nn Suuc nci.; _- l a>, ncil?/tar lit/dccnunt no.: I Hlock: Subdivision: t name_S,LN �,,,�c p I 1 escr peon and location of work on premises: WrRE Free A'6 W .-rt rygn/7- I.titunated date of completion/Inspection C(?NYlRA T1 I Job no; -51S4 6Z rrY M:Ix Oil Ira) total nn i MI Business name:C 71.►ne1�G�Is �- _ -- __ Ilrscriplirxt _- - tr �eEcTir/ New rvsidevttial-si gle or muni family per ^ Address �O�t_SF 4foCo _ dwrItiMrsit.Inrfud-%attacirdcarW U I t}.�y.e,,�,g1 ��e Slatez< ZIP:9722-2-- %ervicrincluded: PII"IIes03-Q(2-.VzA/ I'ax a E-mail: IOWsy h ur Irv, CCH no.: G/ys Elec.bus.lie.no: 2633 Each additional 500 sq ft.or portion thereof Limit ed energy,residential _ 2 Cols/ retro lic.no.: 20&/ Unvtedenergy,non-resideuual 2 L - "t� 3h5/ p� Fich manufactured home or modular dwelling SIFr..vinc of supervising electrician(required) Date ! )r T Service and/or feeder 2 Sul, ,•IrrrnaSenfcesorfeeders-Insta'lation, alteration or relocation: PROPERIY OWNER 200 amps or lass / Zolfo L640 2 Name(print): 201 amps to 400 amps - 2 -- - --- -- 401 amps to WO amps _ 2 tslallmv address: , - -- 601 amps to 10002 Cilamps �-- — i I, _— State: LL; - Over 1000 amps or Valu IE.mail: Reconnectonly t r I Installation:The installation is being made on property I oa.,n Temporary services or feeders- 1, I,,not intended for sale,lease,rent,or exchange accoHing it, illation,miter ation,orrelocation: 2(x1 amps or less 2 t 11' :-17,455,479,670,701. 201 amps to 400 amps ----- 2 t i�• �Si' ure: _ Datc: ail IoG00amps � � 2 8r-anch circuits-nen,alteration, or extension per panel: 1.0 4 Fee fm branch ucniu with!,,rrehts•,•( ! service or feeder fee,each branch circuit V P ilio '- i State: ZIP: P Fee for branch circuits Nnhout purchase State: I�, - _ of service or feeder fee,foss branch circuit - --- fach additional branch circuit Mbc.(Service or feeder not Included): Each um or irnesuon circle J ,er._vamps amuttrrnul 'JHrahh-careturhrs pump J c o,er 120 amps rating of I A 2 U Harerdous location Each sign or outline llghtinF 2 dwellingsU Building over 10,000 square Cert lout o Signal circuti(s)o:a limited energv panel J�-•wniover600volts nonunal rax,reresidential umtsinone stmoure alteration.or extension* J It, Iding over three stories U Feeders.400 amps or more "Dawn tion J I..upant load over 99 persons U Manufactured slntour e, it Rs'r.r 1 Uch additional inspection oiler the allowable In any of the above: 1 i ,Jliphungplan J Other Permipection _ - Submit sets of plans with an*of the above. Investigation fee - II I he alcove are not applicable to temporary cotsstruction senice, Other Kot all unsdreuom arc credit cards. Ieaw call jurisdiction for mice rnfanww,rr Permit fee_. .. � /'i/(o• i accept v i I Notice 31ris permit application J Vi%a U MasterCard cvPlan rcviesv Ia1 prres if a permit is not obtained - - Credit card numhei _ _- _ �1. s,ithin 180 da>s alter it has been State surcharge(87 1 net TOTAL . . ............ ... Name of cudheidrr altihowa on ctedn cM�— accepted w complete -- -ndhotder signature Amount- asn.tnI IMWWOKII Electrical Permit Fees: Limited Energy Fees: - -- _ - TYPE OF WORK INVOLVED`RESIDENTIAL ONLY Complete Fee Schedule Below: Restricted Energy Fee.............................................. ....... $75 00 Number of Inspections per -mit allowed (FOR ALL SYSTEMS) Service included: Items Cost Total Check Type of Work Involved: Residential-per unit 4 Audio and Stereo Systems 1000 sq 8 or less -- 2145 V) Each additional 500 sq 11 or _ 1 portion thereof $ag 40 —_ LJ Burglar Alarm Limited Energy _ $75.00 r ach Manuft;Home or Modular Garage Door Opener' fh✓ellirty Service or feeder -- $9090 - —_._-- Heating,Ventilation and Air Conditioning System' Services or Feeders Installation.alteration.or relocatiai $80 30 2 200 amps of less _ 0Vacuum Systems' 201 amps to 400 amps $106 85 401 amps to 600 amps $16060 ( Other bot amps to 1000 amps __ $24060 _ 2 cher 1000 amps or volts --__ $454.65 - —_�- Reconnect only $66 85 2 T--� TYPE OF WORK INVOLVED -.COMMERCIAL ONLY Temporary Services or Feeders Fee for each system.......................................................... $75 00 instalhitirm,allegation.or relocation (SEE OAR 518-260-260) 20o amps or suss ---- -- $G6 e'. 2ol amps to 400 amps _-- $100 a(, l Check Type of Work Involved: 401 amps to 600 amps _ $133 7' over too amps to 1000 vol(s, Audio and Stereo Systems see"b"above. Branch Circuits Boiler Controls New,alteration or extension per panel a)The fee fur branch circuits Clock Systems with purchase of seMce or feeder lee. fads branch circus 2 ❑—__— SG 65 —.-- Data Telecommunication Installation b)The tee for brarxh diruds without purchase of service 0 Fire Alami Installation or feeder fee. _ $46 85 First branch cirrxiil _ ----- HVAC tach additional brAnCh rarcuit __ $6 65 — Miscellaneous ❑ Instrumentation (Service or feeder not included) I ach pump or imgation circle _ $53 40 _ ❑ Intercom and Paii:ng Systems Each sign or ou8ine lighting _ __ $5340 Signal circun(s)or a limited energy El Landscape Irrigation Control' panel,alteration or extension _ $7500 __ Misr labels(10) $125.00 ❑ Medical Each additional inspection over the allowable In any of the itbove $62.50 17-1Nume calls Per inspection _Per hour $6250 Outdoor Landscape Lighting' In Plant $73 75 Fees: [� Prolective Signaling Enter total of above fees 5 _-- ❑ Other —• '-'----- e%State Surcharge 5 ____ ^___ _,Number of Systems 25%Plan Review Fee 5 No licenses are required Licenses are required for all other installations See-flan Review-section on front of application — Fees: Total Balance Due S Enter total of above fees ❑ Trust Account# _ _�._ 8%Stale Surcharge -- Total Balance Due g i\dstsVbrtruklc-fees.doc 10/0100 BUILDING PERMIT CITY OF TI BARD - - PERMIT #: 13UP2002-00094 DEVELOPMENT SERVICES DATE ISSUED: 3/15/02 13125 SW Hall Blvd.,Tiqard. OR 97223 (503) 639-4171 PARCEL: 1S134AA-01900 SITE ADDRESS: 10115 SW NIMBUS AVE5W--1 . i - SUBDIVISION: 1 KOLL BUSINESS CENTER TIGARD ZONING: C-G BLOCK: LOT: 001 JURISDICTION: TIG REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION CLASS OF WORK: FPS FIRST: sf N: S: E: W: TYPE OF USE: COM SECOND: sf _ PROJECT OPENINGS? — TYPE OF CONST: UNK sf N: S: E: W:i OCCUPANCY GRP: B TOTAL AREA: 000 sf ROOF CONST: FIRE RET? OCCUPANCY LOAD: BASEMENT: sf AREA SEP. RATED: GARAGE: sf OCCU SEP. RATED: STOR: HT: ft BSMT?: MEZZ?: READ SETBACKSREQUIRED FLOOR LOAD: psf LEFT: ft RGHT_ ft FIR SPKL: r' SMOK DET: DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP ACC: BEDRMS: BATHS: IMP SURFACE. PRO CORR: PARKING: VALUE: $ 600.00 Remarks: Add 3 sprinkler heads and relocate 3 pendent heads. Owner: Contractor: ROBINSON, WILLIAM R/CONSTANCE AF-P SYSTEMS INC ROBINSON, LYNN + BELL, KA) ET 19435 SW 129Th BY ELLIOTT ASSOC TUALATIN, OR 97062 PCSPrLAND, OR 97204 Phone: 503-692-9284 one: Reg#: LIC 67534 �— FEES REQUIRED INSPECTIONS Type By Date Amount Receipt Sprinkler inspection �PRMT C-rR 3115/02 $62.50 27200200000 Final Inspection 5PCT CTR 3/15102 $5.00 272002.00000 Total $67.50 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952--001-0010 through OA 452-001-1987. You may obtain a copy of these nines or direct questions to OUNC by calling (503)246-6899 or 100-332-2344 Permittee t Signature: � 1 Issued By: ----------- Call 639-4175 by 7 p.m. for an inspection the next business day Building Permit Application -- Datcreceived:"i I'cnntt no.:�, City clef Tigard - Address: 13125 S W Hull Blvd,Tigard,OR 97223 ProjecUappl.no.: Expire date, C'ttv(tf Tigard 'phone: (503) 639-4171 Date ISSUed: R J I Receipt no.: Pax: (503) 598-1960 Case file no.: Payment type: Land use approval: I&2 family:simple Complex: TVPE OF PERMI1 U I &2 fanul dw fling or accessory dime industrial U Multi-family U New construction U Demolition &Addition i Itcrat' cplaccmcnt Wrenant improvement •ire s rink /alarm U Other: t Job address: Ld tit A 7,,<, - — Bldg.no.: Suite no.- _cx' Lot: Gluck: Subdivision: Tax map/tax Iot/account no.: Project name: t--1_` 1 — .-�------ - -- - Ucscription and location of work on premises/special conditions: "rZ.- _ �� =1rp_3 �-►i r OWNER 1 1 ' / Name: _ Lfic solar, Mailin address: 1 &2 family duelling: City: Statc:t� ZIP:q.I Z Valuation of work............................. ... ..... r Phone: 22"�- 3 Fax: Email: No.of bedrooms/baths................................. Owner's representative,: r�r t_ J Total number of floors................................. Phone: I Fax: E-mail: New dwelling area(sq.ft.) .......................... ME lawl f;arage/carport area(sq. ft.)......................... , ,. ('uvcred porch arca(sq. ft.) Name: f IIJC_ ......................... --- Deck area(sq,ft.) .................................. ..... Mailing address: q ';W _ r, City: Statca� ZIP:9�1Q(a'Z, Olhcr stnrc:urc arca(sq. ft.).............. ..... .... Phone: 9 Fax: (o .1� E-mail: 7Existing Andustriallmultl-family: work....... ................................ $ g.arca(sq. ft.) .......................... Business name: Address: New bldg.arca(sq. ft.)................................ Number of stories O City: I t3t(�L• State:CQ ZIP: ........................................ . - 'Type of construction Phone: I Fax: E-mail: _ Occupancy group(s): � Existing: CCG no.: ,y_1 - --- New: city/metro lic.no : Notice:All contractors and subcontractors are required to he l licensed with the Oregon Construction Contractors Board under Name: provisions of ORS 701 and may be required to be licensed in the Address: jurisdiction where work is being performed.If the applicant is C'it : State: /II' exempt from licensing,the following reason applies: Contact person: J�Plan no... - -- -- --- ------ - Phone: 'i Email' Name: 1comact person: Fce"due upon apph,a(ion .... ... .................. $ C�1 Address: Date received: S-IS-O City: Srdte: LFP: Amount received ......................................... $ Co _� Phone: I'ux:_ Email: Please refer to fee schedule. 1 hereby certify I have read and examined this application and the Not all iunsdictions accept credit cards,pleau call Jurisdiction for more information attached checklist. All .Sion ,of laws and ordinances governing this ❑Visa a Mastercard work will be complied i ,whe specified herein or not. Credit card number:_ r r� 3.15 02 ___ — rL L_ Authorized s' tUre: _ Dale: Name of cardholder as shown on credit card Print name:- I 1 N C X.,t, 'A _ --Iq - s - Cardholder signature Amount Notice•.This permit application expires if a permit is not obtained within 180 days ager it has been accepted as complete. 440-461.1(bWfCOM) Fire Protection Permit Check List A.� ❑ New ❑ Addition W Alteration ❑ Repair B.)^Modification to sprinkler heads only: Describe work to 1. 1-10 heads: No plan review required. be done: 2. 11+ heads: Plan review required. Number of sprinkler heads: Additional description of work: Type of System Complete A or B as applicable): A. Sprinkler Wet M _ Dry ❑ _ Standpipes Additional Hazard Group__ Information Densis!_ Design Area _ K. Factor _^ Sprinkler Pro ect Valuation: $ Cr.,Oj B.) Fire Alarm Submittal shall Battery Calculations_ Yes ❑ _ include: Individual Component Yes ❑ Cut Sheets Fire Alarm Project Valuation: _$ _ Project Valuation Subtotal A & B : $ Clop Fier'— It fee based on valuation (see chart: $ _ p _ — 8% State Surcharge: $ S.w, _ FLS Plan Review 40% of Permit: $ -- TOTAL: $ C.P1.5O i:ldsts\tormsTPSchecklist.doc 10/04100 CITYOF TIGARD MECHANICAL PERMIT DEVELOPMENT SERVICES PERMIT #: MEC2002-00'102 DATE ISSUED: 3/13/02 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 PARCEL: 1S134AA-01900 SITE ADDRESS: 10115 SW NIMBUS AVE 500 SUBDIVISION: 1 KOL.L BUSINESS CENTER TIGARD ZONING: C-G BLOCK: LOT: 001 JURISDICTION: TIG CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS: TYPE OF USE: COM UNIT HEATERS. VENT FANS: OCCUPANCY GRP: B VENTS W/O APPL: VENT SYSTEMS: STORIES: _ BOILERS/COMPRESSORS HOODS: FUEL TYPES _ 67 3 HP: DOMES. INCIN: LPG 3 15 HP: COMML. INCIN: MAX INPUT: BTU 15 - 30 HP: REPAIR UNITS: FIRE DAMPERS?: 30 - 50 HP: WOODSTOVES: GAS PRESSURE: 50 + HP: CLO DRYERS: FURN < 100K BTU: _ AIR HANDLING UNITS_ OTHER UNITS: FURN >=100K BTU: <= 10000 cfrn: GAS OUTLETS: > 10000 cfrn: Reinarks: Replace HVAC unit and relocate diffusors. Owner:_ _ 'FEES ROBINSON, WILLIAM R/CONSTANCE Type By Date Amount Receipt ROBINSON, LYNN a. BELL, KAY EEl- PRMT CTR 3/13/02 $72.50 2720020000 BY ELLIOTT ASSOC 5PCT CTR 3/13/02 $5.80 272002000C PORTLAND, OR 97204 — Total—_ $78.30 Phone: �— — Contractor: — OREGON HEATING + A/C INC PO BOX 397 DUNDEE, OR 97115 _REQUIRED INSPECTIONS Final Inspection Phone: 538-2953 Reg #:LIC 125815 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted in the Oregon Otility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0080. You may obtain copies of these rules or direct questions tgOUNC by calling r Issue By: Permittee Signatures Call (503) 639-4175 by 7:00 P.M. for inspections needed the next business day Mechanical Permit Application -- Datereceived: �� ?l Permit no.: r.L City of Tigard Project/appl.no.: Expiredate: r',r.,i l ip n Addrefl�: 13125 SW Hall Blvd,Tigard,OR 97223 --- Phone: (503) 639-4171 date issued: By: Receipt no.: Fax: (503) 598-1960 .ase file no.: Payment type: Land use approval: Building permit no.: TYPE OF-PER.MiT 1.1 1 &2 family dwelling or accessory U Commercial/industrial U Multi-family -Tenant improvement U New construction U Add ition/al teration/re placenicnl .J(Wier: _ CQVM.LRCIAL VALUATIONI Job address: C- 1 Indicate equipment quanurles In boxes below. Indicate the dollar Bldg.no.: Suite no.: value of all mechanical materials,equipment,labor,overhead. Tax map/tax IoUaccount no.: profit. Value$ — �_Q—` . Lot: Block: Subdivi�on: *See checklist for important application information and Project name: d ►U LLJ,ljj _ jurisdiction's fee r,rh0lnle for residential permit fec. City/county: ZIP: seri tion and location of work on pie iser:.11 t a . C' _ - i ee(ea.) I otal Est.dale of completion/inspection: r rIk-A-ri ion Qty. Res.only Res.ordy Tenant improvement or change of use: Is existing space heated or conditioned? Yes U No Air handling unit M _ CI Air conditioning(site plan required) _ Is existing space insulated?LilkYes U No Alteration of existing 14VACsystern oiler compressors Business name: " ,C.til/ Slate boiler permit no.. HP Tons BTU/11 Address: R. .3,j,> qdj Hire/smoke dampersIduct smoke detectors _ City: 1D. Slate: N ZIP: 7 )t cat pump(site plan required) Phone: .3ee- 5_, Fax: fi nail nsta rep acefurnace urner l'i' ) - -- -— Including ductwork/vent liner U Yes U No CCB no.: a �` — nstal replace re ocale eaters-suspended, City/metro tic.no.: + �' wall,or floor mounted _ Name(please print): enl for a Tiunce other than furnace Itctrigcrat on: Ahsorjritun units BTU/H Name: Chillers_ -_— HP -- Address: Com ressors __ HI' - .nr vonmenta exhaust and ventilation: City: slate: IDI Appliance vent Phone: Fax: E-mail: )ryerexhaim or s, 'ypc I res.kihchcr-�imat �^ hood fire suppression system Name: �Jyv Flu S `O +__ 1 Exhaust fan with single duct(bath fans) _ Mailing address: / 1 en � -Tx- gust system a tart from heating or AC Cit State: Zlp;C r� Fuelpiping ant ct bill on(up to out et 1 Y l�lT ___--- Tylw: lTG NG ()if - Phone Fax. E-mail: Puelpipingcoc aidditiona over 4 out els rocescpiping(schematic required) Number 4oullek Name: 1 ter cte_dapp ance or equ pment: - — Address: Decorativefireplacc City: — state: zip. _Acer n—type _• -- _ --_-- Phone: F ail; odstovepe I let stove W Other. Applicant's signature: ytr--1Cl 6- - Date: 0) t Name(print): -7-c 9 Hint, -- Nd all jrrrisdlctioru accept credit carder,please call jurisdiction for more infra mation. Permit fee.....................$ U Vise V MasterCard Notice:This permit application Minimum fee................ expires if a permit is not obtained Pian review(at — %) $ Credit card number. �— _-- --- Ex/ ire within 180 days after it has been Expires Mate surcharge 896 a t- mof Nae cardholder as shown on credit card accepted as complete. 8 s TOTAL ........... )""............$ 11 Cardholder sitnature Amoant — "0.4617(6Aa/COM) J. MECHANICAL PERMIT FEES _ COMMERCIAL FEE SCHEDULE: 1 & 2 FAMILY DWELLING FEE SCHEDULE: TOTAL VALUATION: __PERMIT FEE: Description: Price Total $1.00 to$5,000.00 Minimum fee$72.50 Table 1A Mechanical Code _ Oty (Ea) _Amt $5,001.00 to$10,000.00 $72.50 for the first$5,000.00 and 1) Furnace to 100,000 BTU includina ducts&vents 14.00 $1.52 for each additional$100.00 or 2) Furnace 100,000 BTU+ fraction thereof,to and Including Including ducts&vents 1740 _ $10,000.00. _ - $10,001.00 i6-$-2 6,-6d 0-00 $148.50 for the first$10,000.00 and 3) Floor Furnace including vent 14.00$1.54 for each additional 0 or 4) Suspended heater,wall heater fraction thereof,to and including p 14.00 $25,000.00. or floor mounted heater $25,001.00 to$50,000.00 $379.50 for the first$25,000.00 and 5) Vent not Included in appliance permit 6.80 $1.45 for each additional$100.00 or fraction thereof,to and Including 6) Repair units 12.15 $50,000.00. ---- $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. Comp 7)<3HP;absorb unit Minimum Permit Fee$72.60 SUBTOTAL: $ to 100K BTU _ 14.00 -- 8%State Surcharge $ 8)it 15 absorb 25.60 unit tookk t to 500k BTU _ - 25%Plan Review Fee(of subtotal) $ 9)15-30 HP;absorb unit.55-1-1 mil BTU 35.00 Required for ALL commercial permits only _ 10)30-50 HP;absorb TOTAL COMMERCIAL PERMIT FEE: unit 1-1.75 mil BTU 52.20 11)>50HP;absorb - -� - unit>1.75 mil BTU 87.20 _ 12)Air handling unit to 10,000 CFM ASSUMED VALUATIONS PER APPLIANCE: 1000 �- Value Total 13)Air handling unit 10,000 CFM+ Description: Q �a Amount -_ _ 117.20 Furnace to 100,000 BfU,Including 955 14)Non-portable evaporate cooler ducts&vents 110.00 _ Furnace>100,000 BTU Including 1,170 15)Vent tan connected to a single duct ducts&vents - s ao Floor-urnace induding vent 955 16)Ventilation system not Included in Suspended heater,wall heater or 955 a liance ermit 10.00 floor mounted heater 17)Hood served by mechanical exhaust Vent not i uded In applicanc:e 445 10.00 permit -_-"`-- 05 1 B)Domestic Incinerators Re air units _8 _ _ - 17.40 - <3 hp;absorb.unit, 955 19)Commercial or industrial type Incinerator to 100k BTU 69.95 3-15 horb.p;absunit, 1,100 20)Other units,including wood stoves 101k to 500k BTU - as _ 10.00 15-3iJ hp;absorb.unit,501k to 1 2,310 21)Gpiping one to tour outlets mil.BTU 5.40 30-50 hp;absorb.unit, T 3,400 22)More than 4-per outlet(eats) 1-1.75 trill,BTU 1 00 >50 hp;absorb.unit, 5,725 Minimum Permit Fee$72.50 SUBTOTAL: $ >1.75 mil.BTU -- _ Alr handling unit to 10,000 cfm 656 - 8%State Surcharge $ Air handling unit>10,000 cfm 1,170 Non�ortable evaporate cooler 656 - TOTAL RESIDENTIAL PERMIT FEE: $ Vent fan connected to a single_"duct 446 Vent system not Included In - 656 --- a llance permit - - Other Insoet�lons and Fees: Hood served b mechanical exhaust 656 1 Inspections outside of normal business hours(minimum charge-two hours) Domestic Incinerator 1,170 $62 50 per hour Commercial or Industrial incinerator _4,590 2 Inspections for which no fee is specifically Indicated (minimum charge-half hour) Other unit,induding wood stoves, 656 $62 50 per hour Inserts elC. _ 3 Additional plan review required by changes,additions or revisions to plans(minimum _ charge-one-half hour)$62 50 per hour ;as I In 1-4 outlets 360 Each additional outlet 83 - "St;,fe Contractor Boller Certification required for units>200k BTU. --- "Re:,Aenlial A/C requires site plan showing placement of unit. TOTAL COMMERCIAL_ VALUATION: _ _- �__ All New Commercial Buildings require 2 sets of plans. :Wsts\forms\rnech-fees.doc 12/26101 CITY OF TIGARD 24-Hour BUILDING Inspection Line: (503)639-4175 ' MST INSPECTION DIVISION Business Line: (503)639-4171 Received __— _ Date Requested_ _ `,)' dAM__ 1i'M --_ BLIP Location _ // < I'1t Suite_—_—1---_ MEC - ----- Contact Person �-�� JA---'�-�h( ) � PLM Contractor _ _ _.. Ph l- ) - SWR BUILDING Tenant/Owner _ ELC Footing -- ELC __- Foundation Access: Ftg Drain ELR _ - Crawl Drain i SIT Slab Inspection Notes: - - - — Post&Beam _ S Shear Anchors // " Ext Sheath/Shear `�� '� d� ----- --- - -- Int Sheath/Shear Framing - _ -- - - - -- - - Insulation Drywall Nailing - - Firewall Ci �Ft S rinkl - - - - re erm Root Ceiling - -- ------ Roof Otheuspr. — In - -- - - - Si PART FAIL GING - -- Post&Beam Under Slab --- Rough-in % Water Service Sanitary Sewer Rain Drains - -- -- - Catch Basin/Manhole Storm Drain - - -- -- - Shower Pan Other:_ Final PASS PART FAIL MECHANICAL Post&Beam Rough-In Gas Line Smoke Dampers Final PASS PART FAIL ELECTRICAL Service - Rough-In --- - UG/Slab Low Voltage - - - --..- --- -- - - - - Fire Alarm Final [ � ReinspeefJon fee of$ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL SITE _ L] Please call for reinspection RE:__ _ j Unable to inspect-no access Fire Supply Line ADA fDab 2— Inspoetor Approach/Sidewalk -- - Other: Final DO NOT REMOVE this Inspection record from the job site. 11 i PASS PART FAIL CITY OF TIGARD 24-Hour BIJILvwdG Inspection Line: (503) 639-4175 MST INSPECTION DIVISION Business Line: (503)6.39-4171 - ` BUN ---- -- - - --- Received __- --Date Requested -�' AM -- _- — - PM —------ _-- BLIP Location -- 'Z/ _S:___ r � —Suite Contact Person Ph( ) __L �' 1- PLM Contractor -----_ ._-__—_-- -- Ph(—) SWR BUILDING Tenant/Owner _-- ELC -. --------_-_-- Footing ELC Foundation Acce?S: �'(k �tl •y�=�' �V. 14 ELR T Ftg Drain :, /"T S e�� - - Crawl Drain - S'` SIT Slab Inspection Notes: 1// - Post& Beam Shear Anchors - Ext Sheath/Shear - Int Sheath/Shear Framing -- Insulation Drywall Nailing - - - - - Firewall Fire Sprinkler -.. -- - --- --- _.. Fire Alarm Susp'd Ceiling - Root Other:_ _ JAI I t PASS PART FAIL - _ PLU_MBING__ - - --- - - --�=--- Post&Beam Under Slab Rough-In Water Service - -- Sanitary Sewer Rain Drains - - -----_--- -- ------ --- ---- --- Catch Basin/Manhole _ Storm Drain Shower Pan Other: -- - - Final _PASS PART FAIL - - -- MECHANICAL - Post&Beam Rough-In Gas Line Smoke Dampers MhAt AS PART FAIL - _E CTRICAL Service - Rough-In UG/Slab Low Voltage - - - - --- -- - - - --- --- Fire Alarm Final Reinspection fee of$ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. _PASS PART FAIL r, SITE _ Please call for reinspection RE:- - —__-_ u Unable to inspect-no access Fire Supply Line n J� � ADA Z kI� �� ``_S��" �--�- Ext __ / Approach/Sidewalk Do10- lnspoctor Other: _ Final _ DO NOT REMOVE this Inspection record from the Job site. PASS PART FAIL ^ CITY �I�� O� �`�rs. - ELECTRICAL PERMIT / \ PERMIT#: ELC2002-00088 DEVELOP vicNT SERIII& S DATE ISSUED: 2/28/02 13125 c':%f Hall Blvd., Tigarcl, OR 972!23 .,u3) 639-4171 PARCEL: 1S134AA-01900 SITE ADDRESS: 10115 SW NIMBUS AVE.5'M Kry SUBDIVISION: 1 KOLL BUSINESS CES!rER TIGARD ZONING: C-G FLOCK: LOT , 001 JURISDICTION: TIG Proiect Description: 1 SIGN OR OUTLINE LIGHTING. _ _RESIDEIJTIAL UNIT _ _TEMP SRVC/FEEDERSMISCELLANEOUS 1000 1000 SF OR LESS: — 0 - 200 amp: PUMP/IRRIGATION: EACH ADD'L 500SF: 201 - 400 amp: SIGN/OUT LINE LTG: 1 LIMITED ENERGY: 401 - 600 amp: SIGNAL/PANEL: MANE HMI SVC/ FDR: 601+amps - 1000 volts: MINOR LABEL (10): SERV_ h E/FEEDER BRANCH CIRCUITS _ADD'L INSPECTIONS 0 200 amp: W/SERVICE OR FEEDER: PER INSPECTION: 201 - 400 amp: 1st W/O SRVC OR FUR: PER HOUR: 401 600 amp: EA ADD'L BRNCH CIRC: IN PLANT: 601 - 1000 amp: _ PLAN REVIEW _ 1000+ amp/volt: >=4 RES UNITS _ > 600 VOLT NOMINAL: Reconnect ons: SVC/FDR >= 225 AMPS: CLASS AREA/SPEC OCC: Owner: Contractor: MULTI-LIGHT SIGN CO 809 N E LOMBARD PORTLAND, OR 97211 Phone: Phone: 281-3083 Reg#: LIC 64101 SUP 343SIG ELE 26-90CLS Required Inspections Type By Date Amount Receipt Wall Cover PRMT CTR 2/2.8/02 _ $53.50 2720020000( Flect'I Final 5PCr CTR 2/28/02 $4.2.8 2720020000( Total $57.78 This Permit is issued subject to the regulations contained in the Tigard Mu ucipal Code.State of OR Specialty Codes and all other applicable lave All work will be done in accordance with approved plans This permit will e,pire if work is not started within 180 days of issuanoe or if work is suspended for more than 180 days ATTENTION Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center Those rules are set forth in OAR 952-001 0010 through OAR 952-001-0080 You n ay obtain copies of these rules or direct questions to OUNC at(503) 24C,.6699 or 1-800-332-2244 f Permit Signature: ` — _ Issued By: _ OWNER INSTALLATION ONLY The installation is being made on property I own which is not intended for sale, lease, or rent OWNER'S SIGNATURE: DATE:--- CONTRACTOR ATE: -_CONTRACTOR INSTALLATION ONLY SIGN^T,rIRE OF SUPR. ELEC'N: _. !_.____ ___. _ DATF I iCENSE NO: __--.----- — ------------------- — --- Call 639-4175 by 7:00pm for an inspection the next business clay Electrical Permit Application yy -"— Efate received: - tj G Permitno.:(y �Z 0 11 , ------- Ity O)T Tigard ojcct/appl.no.: Expire date: CifyofTigard Address: 13125 SW Nall Blvd,,rigard,OR 97223 pate issued: By` Receiptno.. Phone: (503) 639-4171 Fax: (503) 598-1960 Case file no.: Payment type: Land use approval: U 1 &2 family dwelling or accessory Commercial/industrial U Multi-family U Tenant improvement U New construction U Adtitian/aherafior./replact-uu•n1 LI(Wier. _ U Partial JOB Sh-E INFORMATION Job address: nu.: Suite no.:r Tax map/tax lot/account no.: Lot: Block: Subdivision: Project name: I Ih-scription and location of work on premises: =yl�r}( T(y/)�,I � Estimated date of Onuplefiun/ins action: Job no: Business name: —�— — _ Descri)nion (.m (ea.) total noA nsp --- Nen rrshknlial-single or mull!family fm•r Address: PIE drellingunil.lnclmk•Sattached garage. City: il I Slate: -' ZIP: l I Service included: Phone Fax• ) ,1E-mail: IWosq.ft.of lett. -- — -- -� -L' C. LnchaddilionalSlN)s .It.or wrhum,l „ CCB no. Elea.bus.lie.no: ' - , _ Limited energy,residential City/metro Ilc,no.: f.imitedenergy,non•residential - --C;) ( 4 Each manufactured home or modular dwelling Signature of rvking electrician(re uircd) IAntc Service and/or feeder Smm�e(print): - I.iccnseno -7-'-,-,, Servlcesorfeeders-Installation, up.elcct alteration or relocation: PROUERIN ( 200 mops or less 2 Name(print): 201 amps to 400 amps 2 --- ----- -- - 401 amps to 600 amps _ 2 Mailing address: _ 601 amps to I(W amps 2 City: Slate: IW- Over I(HHl amps or volts _ 2 Phone: Fax: I E-mail: Reconnect only I Owner installation:The installation is being made on property I own Temporary wrvlcmorfeed en- which is not intended for sale,lease,rent,or exchange according to ln+tall■tion,sltemtton,orrelocatlon: 21 an;s or less 2 ORS 447,455,479.670,701. 0 2(11 amps to 40)amps 2 Owner's signature Date: 401 to 6tH)ams 2 Branch circuits-new,alteration, or extension per panel: Name: _ A I-er lot branch urcuits with purchase of Address: service or feeder fee.each branch circuit 2 City: State: ZIP: B. Fee for branch circuits without purchase ------- — of service or feeder fee,f rst branch circuit: 2 Phone: I ax I? mail: —1 fiach additional brooch circus! Misc.(Service or feeder not Included): U Service over 225 amps-commercial U llcalth car facility Each pump or irrigation circle 2 0 Service over 320 amps rating of 1&2 U Ilazardous location Each sign or outline lighting 2 fanny dwellings U Building over IQ(HHo square feet rout or Signal circuil(s)or a limited energv panel. U System over 600 volts nominal more residential units in one stmcture alteration.orexleasion• _ _ 2 ❑Building over three stories U Feeders,400 amps or more •lkscn non. U Occupant load over 99 persons U Manufactured structures or RV park Fich additional Inspection over the allowable In-r-of the above: U Egress/lightnngplan U Other � Perinspeetion Submit Sets of plans with any of the above. Investigation fee the above are not applicable to tem_pnrrry construction service. other _ Not all Jurisdictions accept Lmdil cards,please call jurisdiction for more info nuaion. Notice:This permit application Permit ft a.....................$ U Visa U MasterCard expires if a permit is not obtained Plan review(at _ %) $ ('rrd0 card numher _ _. _ —��__- within ISO days after it has been Stale surcharge(8%).•..$ ..ttpires accepted as complete. TOTAL .......................$ Naar nl cardholder u shown on credo crd S _ Cardholder signature -- — Amount W-4615(6t0 COM) Electrical Permit Fees: Limited Energy Fees: ----- TYPE OF WORK INVOLVED -RESIDENTIAL ONLY Complete Fee Schedule Below: Restricted Energy—Fee........ $75.00 Number of Inspections per permit allowed) (FOR ALL SYSTEMS) Service included: Items Cost Total y Check Type of Wolk involved Residential-per unit 1000 sq ft.or less _ _,� $145 15 ___ 4 [ Audio and Stereo Systems Each additional 500 sq It or 1 ❑ portion thereof $33.40 Burglar Alarm Limited Energy $7500 J Each Manufd Home or Modular2 ❑ Garage Door Opener' Dwelling Service or Feeder 4,9090 _ Services or Feeders ❑ Heating,Ventilation and Air Conditioni-ig System' Installation,alteration,or relocation 200 amps or less $8030 2 ❑ Vacuum Systems' 201 amps to 400 amps _ $100 85 2 401 amps to 600 amps $160,60 __ 2 ❑ Other"- 601 amps to 1000 amps $240.60 2 Over 1000 ampr or volts $454.65 2 Reconnect only �, $66.85 2 'TYPE OF WORK INVOLVED -COMMERCIAL ONLY Temporary Services or Feeders Fee for each system................ . $75 00 Installation,alteration,or relocation $86 85 ? (SEE OAR 918-200-280) 200 amps or less _ — 201 amps to 400 amps $10030 2 401 amps to 600 amps _ $1 j3 75 _ 2 Check Type of Work Involved: Over 6o0 amps to 1000 volts, ❑ Audio and Stereo Systems see"b"above. Branch Circuits ❑ Boller Controls New,alteration or exte,ision per panel a)I he fee for branch circuits ❑ Clock Sy+tems with purchase of service or feeder fee. Fach branch circuit $665 1 [� Data Telecommunication Installation b)1 he fee for branch circuits without purchase of service ❑ Firn Alarm Installation or feeder fee. First branch circuit $46.85 ❑ HVAC Each additional branch circuit $6.65 Miscollaneous Instrumentation (Service or feeder not included) Each pump or Irrigation circle $5340 _�_ ❑ intercom and Paging Systems Each sign or outline lighting _�_ $5340 �. 4 L Signal circuit(s)or a limited energy Landscape Irrigation Control" panel,alteration or extension $75.00 Minor Labels(10) —�_ $125.00 ❑ Medical Each additional inspection over the allowable In any of the above $62 50 ❑ Nurse calls Per inspection _-" --Per hour $62.50 ❑ In Plant $73.75_ — Outdoor Landscape Lighting" Fees: (_] Protective Signaling Enter total of above fees $ J L J Other` --- - 8%State Surcharge $ _ Number of Systems 25%Plan Review Fee s No licenses are required Licenses are required for all other installations See"Plan Review' section un front of application Fees: Tctal Balance Due $ Enter total of above tees s ❑ Trust Account# _ 81,:State Surcharge Total Balance Due i:Wsts�fnrmskle-feea.doc 10/09/00 CITY OF TIGAIRD 243-Hour BUILDING Inspection Line: (503) 639-4175 INSPECTION DIVISION Business Line: (503)639-4 '1 /r TMST j; f. (_ BUP — — — - -_ AM `� PM__ ------ BLIP Received �-- -__Date Requested � _ Location 10 I 15� "J I�"'n Suite �D6 PLM - -- Contact Person Ph( ) — --- -------- Contractor -� e'er'- ' P ( ) __ SWR — BUILDING Tenant/Owner _— r 1A si ELC Footing ELC _ Foundation Access: Ftg Drain /`f L;G�•C c,� r"' ( �. ELIR Crawl Drain Slab Inspection Notes: SIT Post&Beam - -- - --- - ---- Shear Anchors - -- -- -- Ext Sheath/Shear Int Sheath/Shear Framing - - - - Insulation Drywall Nailing - - - Firewall A Fire Sprinkler Fire Alarm Susp'd Ceiling -" Roof Other: _ - Final PASS PART FAIL - Post& Beam Under Slab - Rough-In Water Service Sanitary Sewer Rain Drains Catch Basin/Manhole Storm Drain Shower Pan Other: Final -PAM PART SAIL _ MECHANIC —_ - - -- -flnst�Beam Rough-In - Gas Line ampere Fin AS PART FAIL TRICAL Service Rough-In UG/Slab Low Voltage -- -- Fire Alarm Final Reinspectlon fee of$ required before next inspection. Pay at City Hall, 13125 S ill Blvd. PASS PART FAIL SITE u Please call for reinspection RE: Unable to inspec� ,access Fire Supply Line ADA Date L �� L inapoder �,C-` Ext I Approach/Sidewalk Other: _ Final �— DO NOT REMOVE this Inspoctlon record from the job site. PASS PART FAIL CITY 4F TIGA. 24-Hour BUILDING Inspection Line: (503) 639-4175 INSPECTION DIVISION Rusiness Line: (503) 639-4171 MST ----- _-_- BUP ReceivedDate Requested y - Z, -__AM-_ ____- PM _ _ BUP ---_- Location I cot - Suite 4__ __-_-_ MEC Contact Person - --__--- -- Ph(---) - ----- -------__ PL.M -- -Contractor-----.---...----.------_ Ph (_-_ ) — - --- - SWR n BUILDING _ Tenant/Owner ELC Footing �— Foundation ELC Access: Ftg DrainUx u / �)� i N / n ELF! - - ----- - - Crawl Crain (y �--�J Slab Inspection Notes: SIT Post& Beam Shear Anchors Ext Sneath/Shear Int Sheath/Shear Framing -- Insulation Drywall Nailing - --- Firewall ��S S Fire Sprinkler ---- -- Fire Alarm Susp'd Ceiling - -- - --- - Roof Other. — Final PASS PART FAIL --- PLUMBING Post& Beam Under Slab ------ -— — -- ----- --- Rough-In Wator Service Sanitary Sewer vain Drains Catch Basin/Manhole Storm Drain Shower Pan Other: Final PASS PART FAIL MECHANICAL Post&Beam Rough-In — Gas Line Smoke Dampers — -- Final PASS PART FAIL - - - --- --- ELECTRIC-1AL Service Rough-In Low Voltage Fire Alarm PART FAIL u Reinspection fee of$ required before next Inspection. Pay at City Hall, 13125 SW Hall Blvd. _SITE__ Please call for reinspection RE:_ — Unable to inspect-no access Fire Supply Line ADA Approach/Sidewalk Other: Final DO NOT REMOVE this Inspection record frotn tke' job site. PASS PART FAIL CITY OF TIGARD 24-Hour BUILDING Inspection L; '503)639-4175 MST INSPECTION DIVISION Business Line: (503)639-411711 BLIP --- -- - -- --- Received _._ -__ Date Requested____._ -3__Z _- AM PM— ___ BLIP Location G S _Suite S UZ MEC Contact Person -- Ph(-- - SPLM -- _-- ._ _. Contractor_ -- -- —._ _ Ph(_ _-__-) _ SWR -_ BUILDING Tenant/Owner ELC -Z Footing ELC Foundation - - Access: Fig Drain / ! �� - /� J (7- EL.R Crawl Drain Slab Insp- on Notes: SIT - Post&Beam Shear Anchors Ext Sheath/Shear Int Sheath/Shear Framing --. -- Insulation Drywall Mailing -- ---- - Firewall Fire Sprinkler ---�1�• ------ ---- 11 - ---- -- - Fire Alarm Susp'd Ceiling - - - ---- -.__ Roof Other: - ----- - --- Final PASS PART FAIL- - PLUMBING �. Post&Beam Under Slab - - - - - --- --- Rough-In Water Service - -- - Sanitary Sewer Rain Drains - - - — Catch Basin/Manhole Storm Drain - Shower Pan Other:_ - Final _- PASS PART FAIL - -- MECHANICAL Post&Beam Rough-in ------ Gas Line Smoke Dampers - -- Final PASS PART_ FAIL - ELECTRICAL Service - - - Rough-In UG/Slab Low Voltage _ F,iMAlarm -------- Lj Reinspection fee of$_ _required before next Inspection. Pay at City Hall, 13125 SW Hall Blvd. SS PART FAIL 'SIT L�] Please call for reinspection RE:_ _—__ — - Unable to inspect- no access Fire Supply Line ADA .C�" Approach/Sidewalk onto�_.._� 1` Ins�pe�ter / ?c^-"� _ _Ext Other: Final - DO NOT REMOVE this Inspection record corn the job site. F=ASS PART FAIL Us , OF TIG,ARD 24-Hour BUILDING Inspection Line: (503)639-4175 MST --- ------- --- INSPECTION DIVISION Business Line: (503) 639-4171 BUP Received .__- Date Requested - Z AM------_--- PM BUP ----- - - Location ��/f /� �<< " ` -- - -- Suite------- MEC - - / Contact Person Ph Contractor SWR BUILDING TenanUOwner -- - ELC Footing ELC - - Foundation Access: Ftg Drain ELR Crawl Drain Slab Inspection Notes: SIT - - Post&Beam - Shear Anchors Ext Sheath/Shear - Int Sheath/Shear Framing --- --- ---- --- - --__ - Insulation Drywall Nailing - - - -- - Firewall Fire Sprinkler - Fire Alarm Susp'd Ceiling Roof Other: - Final PASS PA11T 1 AIL PLUMBINGPLUMBIN - -- -- - Post&Beam Under Slab ---- Rough-In Water Service ------ - - Sanitary Sewer Rain Drains - -- --- -- --- - -— Catch Basin/Manhole Storm Drain ---- - --- - -- -- Shower Pan O ----- -... --- M�PART FAIL ICAL _ — Post&Beam Rough-In - --------- --- - _ ---- Gas Line Smoke Dampers --- - --- — --- - Final PASS PART FAIL ELECTRICAL— Service Rough-In ---- -- ---- UG/Slab Low Voltage — Fire Alarm Final ❑ Reinspection fee of$_--_ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL SITE y F1 Please call for reinspection RE: —_ -- Unable to inspect-no access Fire Supply Line _ r7 �/,. ADA Date ^�-` Z_ In�preto� �"_ "�/-� Ext Approach/Sidewalk Other: Final DO NOT REMOVE this Inspection record from the Job site. PASS PART FAIL CITY OF TIGARD 24-Hour BUILuING Inspection Line: (503) 639-4175 INSPECTION DIVISION Business Line: (503)639-4171 &CBiUSTP Received _ _ Date Requested- ' 1' AM---_.- PM _ BLIP Location __ _ - C' // /�j A--y11L ,Suite 4616 MEC Contact Person _ _ ______ Ph ( _) -�/D G�5��3 PLM Contractor _ - Ph ( -- --) . c�1 ( 9,�,e SWR - - -- — BUILDIN4ienanUOwner GT��,,,,� ELC - — - - - Footing ELC - - Foundation Access: Ftg Drain ELR Crawl Drain Slab Inspection Notes: SIT Post&F Jam Shear ,nchors Ext F ieath/Shear _ Int .3heath/Shear - Framing Insulation Drywall Nailing Firewall Fire Sprinkler 1 1 i 1 \ -A- Fire Alarm � \ Susp'd Ceiling a ( — ROOf Other: --i1 - FIhC ` PAgJPART F=AIL — —AWAING Post&Beam _ Under Slab Rough-In Water Service Sanitary Sewer Rain Drains Catch Basin/Manhole Storm Drain - Shower Pan Other: _ Final PASS_ PART FAIL -- - - MECHANICAL Post& Beam Rough-In Gas Line Smoke Dampers - Final PASS PART FAIL ----- ELECTRICAL _ Service Rough-In UG/Slab Low Voltage Fire Alarm - Final Reins action fee of$ re uired before next Ina PASS PART FAIL p p pection. Pay at City Hell, 13125 SW Hall Blvd. SITE Please call for reinspection RE:_ _ Unable to inspect-no access Fire Supply Line r ADA � Approach/Sidewalk Date_ _O �" Inspector -` ,— Ex;: Other: Final DO NOT REMOVE this Inspectlo-i record from the job site. PASS PART FAIL CELECTRICAL PERMIT CITY OF TIGARD PERMIT#: ELC2002-00145 DEVELOPMENT SERVICES DATE ISSUED: 4/3/02 13125 SW Hall Blvd., Tiaard. OR 97223 (503) 639-41(l PARCEL: 1 S 134AA 01900 SITE ADDRESS: 10115 SW NIMBUS AVE 400 SUBDIVISION: 1 KOLL BUSINESS CENTER T IGARD ZONING: C-G BLOCK: LOT : 001 JURISDICTION: TIG Nroiect Description: Tenant Improvement - hook up sign. SGN2002-00038 RESIDENTIAL UNIT__ _ TEMP SRVC/FEEDERS MISCELLANEOUS —_ 1000 SF OR LESS: 0 - 200 amp: PUMP/IRRIGATION: EACH APIWL 500SF: 201 - 400 amp: SIGN/OUT LINE LTG: 1 1-141;I-ED ENERGY: 401 - 600 amp: SIGNAL/PANEL: MANF HM/ SVC/FDR: 601+amps - 1000 volts: MINOR LABEL 1101: _ SEVVICE/FEEDER BRANCH CIRCUITSADD'L INSPECTIONS 0 200 amp: W/SERVICE OR FEEDER PER INSPECTION: 201 - 400 amp: 1st 1'VIO SRVC OR FDR: PER HOUR: 401 - 600 amp: EA ADD'L BRNCH CIRC: IN PLANT: 601 - 1000 amp: _ PLAN REVIEW SECTION — 1000+ amp/volt: s >=4 RES IJNITS: > 600 VOLT NOMINAL- Reconnect only: _ _ SVC/FDR >= 225 AMPS: CLASS AP,EA/SPEC OCC_ _ Owner: Contractor: ROBINSON, WILLIAM R/CONSTANCE LUMINITE SIGN CRAFT INC. ROBINSON, LYNN + BELL, KAY ET 9033 SW BURNHAM I.3Y L1.1_101-T ASSOC TIGARD, OR 97223 PORTLAND, OR 97204 Phone: Phone: 503-639-4991 Reg #: LIC 116449 ELE 34-530CLS SUP 159SIG FEES --_--- _Required Inspecticios _ Type By Date Amount Receipt Elect'/ Final PRMT CTR 4/3/02 $53 40 2720020000( SPCT CTR 4/3/02 $4.27 272002000')( Total _ $57.67 This Permit is issued subject to the regulations contained in the Tigard Municipal Code,State of OR. Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance,or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OA,"952.001-0080. You may obtain copies of these rules or direct questions to r Permit Signature: /, .� I Issued By: OWNER INSTALLATION ONLY ------ The installation is being made on property I own which is not intended for sale, lease, or rent. OWNER'S SIGNATURE: _ _ _ DATE: CONTRACTOR INSTALLATION ONLY SIGNAI URE OF SUPR —__— LICENSE NO: Call 639-4175 by 7:00pm for an inspection the next business day Electrical Permit Application Datereceived: q—,3 Permitno d,�otS" Ciity Of Tigard Project/appl.no.: Expire date: City o(Tigard Address: 13125 SW Hall Blvd,Tigard,OR 97223 Date issued: By: Receipt no.: Phone: (503) 639-4171 Fax: (503) 598-1960 Case file no.: Payment type: Land use approval: U 1 &2 family dwelling or accessory `4a(femmere ial/industrial U Multi-family U Tenant improvement U New construction U Addition/alteutlion/rt-pl icement U OTher: U Partial 1 Joh address: 'fax map/tax IoUaccount no.: Lot: Blcxk: SLS—uh_drvision: Project name: :L0 N120 I Description and location of work on premises: Estimated date of completion/inspection: [r SUIEDULE Job no: --y�_ I ee tax Business(lame: ';;51 AJ n� /J/) IC. Description Orf. (ra.) total nu.imp Address: y=+� lie"residential-singlervmulti famils per dwelling unit.Include%anached garage. City: Slate: ZIP: Service Included: Phone:(,'4a I IF= I E-mail: 1000 sq It or less Each additional 5(x)sq.ft.or portion thereof CCB no.: Elec.bus.tic.no: l. .- d'�5 I.imiled energy,residemial 2 _ City nelr0 tic.no.: _ Limited energy,non-residential 2 rL Each manufactured home or modular dwelling -- S nuDate Service and/or feeder 2 Sup.elect.name(Print) J,A►2 Zki Ser'vlcesorFeeders-Installation, alteration or relocation: PROPERTNOWNER I 2(NI amps or Icss _ 2 Name(priniji: 201 amps In Mill it _ 2 Mailing address: 401 amps a,61N)amps _ _ — _ 2 601 amps to I(Nlil anpn 2 City: Slate: ZIP: over IWO amps or volts - - --- 2 Phone: _11ax; I L-nlail: Reconnect milt -- — I Owner installation:The installation is being made on property I own Temporary services or feeders- which is not intended for sale,lease,rent,or exchange according to Installation,alteration,orrelocation: ORS 447,455,479.670,701. 20:u amps or less 2 201 amps to 4(N)amps - - - --- 2- Owner's SI nature: _ DaIC: 401 toRY am a 2 Branch circuits-new.alters0on, or extension per panel: Name: K Fce for branch circuits with Purchase of Address: _ service or feeder fee,each branch circuit _ City: _ State: i i P - 11 Fee for branch circuits without purchase of service or feeder fee,first branch circuit: Phone: Fax, f mail -- --- I.ach additional branch circuit: Mtsc.(Service or feeder not Included): � ',rn,cc„err 225 anip,nnm,•r,,al U Health-care filed r, Each pump or irrigation circl; 2 U Service over 320 amps-rating of 1&2 U Hazardous location Each sign or outline lighting ` _ 2 family dwellings U Building over 10,000 square feet four or Signal circuits)or a limited energy panel. IJ System over 600 volts nominal "mire residential units in one structure allersoon,or extension* 2 O Building over three stories U Feeders.400 amps or more *Description _ U occupant load over 99 nersrms U Manufactured structures or RV paA Each additional Inspection over the allowable M any of the alcove: U F.gress/lighting plan _1 t(her: _ _ --- per inspection Submit sets of plane with anv of the above. Investigation tee _ Tire above are not applicable to temporary construction seMee. Other Nix all julvliclorts accept credit canis,please call juluhcrion for more infrnmarirmr Nolice This permit application Permit fee.....................$ U Visa U MasterCard expires il'a permit is not obtained Plan review(at — ole) $ Credit card number ______�_,_�_._._.__ _ Id •.t ithin 180 days after it has been State surcharge(8%) ....$ 8xreg TOTAL .......................$ _�_ at cepted as complete. Name of emu shown on credit card_ S —�--- Cardholdet danalure ---- AauonM 410.4615 1601)(3I170M) E!-ECTRICAL PERMIT FEES: LIMITED ENERGY PERMIT FEES: TYPE OF WORK INVOLVED -RESIDENTIAL Complete Fee Schedule Below: �-----� --�-- Restricted Energy Fee...................................................... $75.00 Number of Inseections per permit allowed (FOR ALL SYSTEMS) Service Included: Items Cost Total Check Type of Work Involved. Residential-per unit 1000 sq ft or less $145.15— _ 4 Audio and Stereo Systems' Each additional 500 sq tt or portion thereof $33.40 1 Burglar Alarm Limited Energy $75.00 Each Manufd Home or Modular L J Garage Dor Opener' Dwelling Service or Feeder $90.90 Services or Feeders Heating,Ventilation and Air Conclitiormg System' Installation,alteration,or relocation 200 amps or less $80.30 ? Vacuum Systems' 201 amps to 400 amps $106.85 _ 2 401 amps to 600 amps $160.60 .1 I r� 601 amps to 1900 amps _ $240.60 - 2 LJ Other _ Over 1000 amps or volts $454.65 _ 2 Reconnect only $66.85 7 Temporary Services or Feeders TYPE OF WORK INVOLVED -COMMERCIAL ONLY Feefor each system.......................................................... $75.00 Installation,alteration,or relocation 200 amps or less $66.85 2 (SEE OAR 918-260-260) 201 amps to 400 amps _ $10030 —_ 2 401 amps to 600 amps $133 76 2 Check Type of Work Involved: Over 600 amps to 1000 volts, ee"b"above. Audio and Stereo Systems O s Branch Circuits Boller Controls Now,alteration or extension per panel a)1 he fee for branch circ tlts with purchase of service or Clock Systems feeder fee. Each branch circuit $6 65 Data Telecommunication Installation b)The fee for branch circuits without purchase -)f service Fire Alarm Installation or feeder fee. First branch circuit _ $4685 HVAC Each additional branch circa;; _ _ $6.65 Miscellaneous F-1 Instrumentation (Service or feeder riot included) Each pump or Irrigation circle _ $5340 _ C Intercom and Paging Systems Loch sign or outline lighting $5340 Signal circult(s)or a limlted energy panel =Iteration or extension $7500 Landscape Irrigation Control" Minor La -15;(10) —_ $12500 Medical Each additional inspection over L� the allowable in any of the above F Nurse Calls Per inspection $6250 _ l Per hour $6250 In Plant $73 75 Outdoor Landscape Lighting' Fees: ❑ Protective Signaling Enter total of above fees $ _ _ Other -- � 9%State surcharge —_�. Number of Systems 2511.Plan Review Fee " No licenses are required licenses are regnlred for all other Installations See"Flan Review"section on $ front of application — Fees: Total Balance Due $ Enter total of above fees $ lJ Trust Account#_-__— - 8%State Surcharge $ -- ---------- --- --- --------------- Total Balance Due :All Now Comnlorcial Buildings require 2 sets of plans. I 41sts\forrnsklc-fces.doc 09/30/01