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10120 SW NIMBUS AVENUE BLDG C STE 2 f zo SnSWIN Ms Mot N co m z a 3 cn N O N T- O r _m W� J 10120 SW NIMBUQ" C2 CITY OF TIG ARD BUILDING INSPECTION DIVISION MST 24-11our'itspe�;dc q Line: 539-4175 But►iness Line: 539-4171 BUP Date Requested �' AMr—PM _ 13LD _ Location_ Suite C Z MEC —� Contact Person KGY'r' :t,, Ph PLM Contractor Ph SWR BUILDING �� Tenant/Owner ELC Retaining Wall C.,LR f,(GW'Vd i a Footing Access: Foundation FtF Ftg Drain SGN Crawl Darn 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 r,iisc: -- —_--_ _ -- Final PASS PART FAIL - — — -------- - PLUMBING Post 8 Beam -- Under Slab Top Out --- Water Service Sanitary Sewer ----- ------^—._------------------ -------------------- Rain Drains Final ---- ------- — -- - - �. PASS PART FAIL MECHANICAL Post& Beam --- — — - - Rough in Gas tine _--_ ----- - - Smoke Dampers Final ----- --._- - - P FAIL aLEC 'Se ivice F.. Rough In - ---------- --- Volta -- ----- ----- --- — - ___ —.--- A arm m Fi 0 ASS ART FAIL UJI a Backfill/Grading _..__-- _--_---- --- — —_--__ Sanitary Sewer Storm Drain [ ]Reinspection fee of$ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin [ ] Fire Supply LinePlease call for re'nspectiorl RE. 4.1 Unable to inspect-no access ------ -- ADA Approach/Sidewalk Other Date _ _ _Inspector Ext Final PASS PART FAIL D NOT REMOVE this Inspection record from the Job site. ELECTRICAL PERMIT- CITY OF TI GA R D RESTRICTED ENERGY DEVELOPMENT SERVICES � PERMIT M ELR2000-00206 13125 SW Hall Blvd.,Tigard. OR 97223 (503)639.4171 DATE ISSUED: 9/11/00 SITE ADDRESS: 10120 SW NIMBUS AVE C-2 PARCEL.: 1S134AA-01800 SUBDIVISION: 1 KNOLL BUSINESS CENTER TIGARD ZONING: I-P BLOCK: LOT: 002 JURISDICTION: TIG Prosect Descrintion: Tenant Improvement A.RESIL'ENTIAL _ B.COMMERCIAL AUDIO$STEREO: AUDIO&STEREO: INTERCOM &PAGING: BURGLAR ALARM: BOILER: LANDSCAPE/IRRIGAT. GARAGE OPENER: CLOCK: MEDICAL: HVAC: DATA/TELE COMM: NURSE CALLS: VACUUM SYSTEM: FIRE ALARM: OUTDOOR LANDSC LITE: OTHER: HVAC: Y, PROTECTIVE SIGNAL: INSTRUMENTATION: OTHER: TOTAL#OF SYSTEMS: Owner: Contractor: ROBINSON, CONSTANCE A+ HUNTER DAVISSON ROBINSON, LYNN+ BELL, KAY ET 3410 SE 20TH BY INSIGNIA COMMERCIAL GROUP PORTLAND,OR 97202. BEAVERTON, OR 97008 Phone: Phone: 234-0477 Reg#: ELE 26-682CLE LIC 1612 FEES _ Required Inspections Type By Date Amount Receipt _ Low Voltage Inspection PRMT CTR 9/11/00 $75.00 2720000000 5PCT CTR 9/11/00 $6.00 2720000000 Total $81.00 This Permit is issued subject to the regulations contained in the Tigard Municipal Code, Stats of Oft. Sp ' odes and 311 other applicable laws. All work will be (S^,ie in accordance with approved plans. Thi, permit will `work is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: ;aw oI, requires you to folloav rules adopted by the Oregon Utility Notification Center. Those rules are set forth in u,4? 952-001-0010 through OAR 952-001-0080. You may obtain copies of these rules or d'I*4* estions to OLINC at (503; 246-1987. C Issued by l — Permittee Signatur�r . ..1 OWNER INSTALLATION ONLY WThe Installation is being made on property I own which Is not Intended for sale. lease,or rent. OWNER'S SIGNATURE: DATE: CONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR. ELEC'N; _ _ DATE: LICENSE NO: Call 639-4175 by 7:00 P.M.for an Inspection nea•/ed the next business day CITY OF TIGARD Restricted Energy Electrical Application Rec'd -13125 BW HALL BLVD Date Redd: TIGARD OP 97223 Incomplete or Illegibte applications Permit# V-503-639-4171 X304 will.not beaccepted Cust.Call'd: F-503-598-196P �'C ti Name of Development Project TYPE OF WORK INVOLVED-RESIDENTIAL ONLY }� Restricted Energy Fee........................................ $76.00 JOB Street Address 1 ` to# (FOR ALL SYSTEMS) ADDRESS 101 Z b SW Q i N 2 Check Type of Work Involved: City/State Zin Phone# 2 ❑ Audio and S!erea Systems me ❑ Burglar Alarm OWNER Ia� ire � _, S bdJ ❑ Garage Door Opener' /State J MEL ^ Phone# ❑ Heating,Ventilation and Air Conditioning System' Name ❑ Vacuum Systems' CONTRACTOR Mailing AddressT10 other (Prior to issuance a dy/State Phone# TYPE OF WORK INVOLVED -COMMERCIAL ONLY copy of all licenses fdA.A7ANIS �I l; - are required if Oregon Contr.Brd Lic.# Exp.Date Fee for each system............................................. $76.00 expired in C.O.T. \I �/ (SEE OAR 918-260-260) database). Electric- Contr.Lia# Exp.Date (rLQ< Check Type of Work Involved: T.or Metro Lic.K Exp.Date lY a ❑ Audio and Stereo Systems Owner's Name Boller Controls OWNER - Mailing Address [_] Clock Systems APPLICANT Clty/State Zip Phone# ❑ Data Telecommunication installation This permit is issued under UAE 918-320-370 This applicant agrees to ❑ Fire Alarm Installation make only restricted energy installations(100 volt amps or less)under this permit and to do the following: HVAC 1 Only use electrical licensed persons to do installations where required. Certain residential and other transactions are exempt from licensing Instrumentntion These have astErisks('). All others need licensing; Intercom and Paging Systems 2. Call for inspections when Installation under this permit are ready for inspection at 503-639/176; ❑ Landscape Irrigation Control' 3. Purchase separate permits for all instalations that are not ready for an Medical Inspection when the Inspector Is out to inspect under this permit; 4. Assume responsibility for assuring tnat all corrections required by the ❑ Nurse Calls I' inspector are done,and, Q. ❑ Outdoor Landscape Lighting° N5. Assume responsibility for calling for a final inspection when all of the corrections are completed. ❑ Protective Signaling Permits are non-transferable and non-refundable and expire if work Is not ❑ Other m started within 180 days of issuance or if work Is suspended for 160 days. —� ___Numtxar of Systems W The person signing for this permit must be the applicant or a person _j authorized the applicant. No licenses are requlrr+d License s are required for all other Installation FEES; -- --- — — ENTER FEES s :7 Igna A� e%SURCHARGE(.08 X TOTAL ABOVE) $ j_t9-t� TOTAL F.uthority if other than Applicant I W313Vormskele_le i-nc 8100 CITY OF TIGARD BUILUNG INSPECTION DIVISION MST 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 Date Requested 7 'Z AM– • —PM BLD Location l 0 X20 •�w /�Li u rr� Suite MEC Contact Person _ Ph 2. 2-3 O PLM _— ^ont;actor Ph SWR U-j..DIN TenanUOwner ELC — aining Wall ELR Footing Access: Foundation FPS _ Ftg Drain SGN Crawl Drain Inspection Notes: — Slab _ SIT Post&Beam - Ext Sheath/Shear I Int Sheath/Shear Framing _-_- Insulation Drywall Nailing Fe Firewall Fire Sprinkler - �" -- -- -- ---- Fire Alarm Susp'd Ceiling -- -- - - Roof Misc: - --- Fi --- PART FAIL -- GING Post&Beam -- Under Slab Top Out ---- - -_---- -- Water Service Sanitary Sewer Rain Drains Final PASS PART FAIL MECHANICAL -� Post& Beam -- - - - - - Rough In Gas Line - - Smoke Dampers Final -- --- - PASS PAR•• FAIL ELECTRICAL IL Service Rough In N UG/Slab Low Voltage Fire Alarm Final m PASS PART FAIL - --- - LU SITE – LU _ -� Backfill/Grading - - - - -- Sanitary Sewer Storm Drain I Reinspection fee of$_ required befnre next Inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin t 1 Please call for reinspection RE _ _. I 1 P Fire Supply Line _- Unable to inspect no access ADA Approach/Sidewalk Date Inspector Ext Other - - -- `--- Final PASS PART FAIL DO NOT REMOVE this inspection record from the Job site. CITY OF T I G,A R D CERTIFICATE OF OCCUPANCY DEVELOPMENT SERVICES PERMIT#: BUP2000-00350 13125 SW Rall Blvd.,Tigard,OR 97223 (503)639-4171 DATE ISSUED: 08/30/2000 PARCEL: 1 S134AA-01800 ZONING: I-P JURISDICTION: TIG SITE ADDRESS: 10120 SW NIMBUS AVE C-2 SUBDIVISION: 1 KNOLL BUSINESS CENTER TIGARD BLOCK: LOT:002 CLASS OF WORK: 61T TYPE OF USE: i'OM TYPE OF CONSTR: 5N OCCUPANCY GRP: U OCCUPANCY LOAD: 11 TENANT NAME: ROOM SERVICE AUDIO REMARKS: Commercial TI-1550 s.f. Owner: ROBINSON, CONSTANCE A+ ROBINSON, LYNN+ BELL, KAY E T BY INSIGNIA COMMERCIAL GROUP BEAVERTON, OR 97008 Phone: Contractor: GUILD CONSTRUCTION 7508 SW OAK PORTLAND,OR 97223 Phone: 293-3276 Reg#: LIC 001091 This Certificate issued 1'4)/1)4!2000 grants occupancy of the above referenced building or portion thereof and confirms that the building has been Inspected for compliance with the State of Ore Specialty Codes for the group, occ cy, and s>�U der which the reference er it was issued. � l BUILDING INSPECTOR BUILDltqOFFICIAL POST IN CONSPICUOUS PLACE CITY OF T'I GARD - BUILDING PERMIT PERMIT#: BUP2000-00350 DEVELOPMENT SERVICES DATE ISSUED: 8/30/00 13125:;W Hall Blvd..Tigard,OR 97223 1503)639-4171 PARCEL: 1S134AA-01800 SITE ADDRESS: 10120 SW NIMBUS AVE C-2 SUBDIVISION: 1 KNOLL BUSINESS CENTER TIGARD ZONING: I-P BLOCK: LOT: 002 JURISDICTION: TIG REISSUE: _ FLOOR AREAS EXTERIOR WALL CONSTRUCTION_ CLASS OF WORK: ALT FIRST: sf N: S: E: W: TYPE OF USE: COM SECOND: sf PROJECT OPENINGS? _ TYPE OF CONST: 5N sf N: S: E: W: OCCI IPANCY GRP: B TOTAL AREA: 0.00 sf ROOF CONST: FIRE RET? OCCUPANCY LOAD: 11 BASEMENT: sf AREA SEP. RATED: STOR: HT: ft GARAGE: sf OCCU SEP. RATED: BSMT?: MEZZ?• REQD SETBACKS REQUIRED FLOOR LOAD: psf LEFT: ft RGHT: ft FIR SPKL: SMOK DET: DWELLING UNfi'S: FRNT: ft REAR: ft FIR ALRM : HNDICP AVC: BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING: VALUE: $ 6,450.00 Remarks: Commercial TI -1550 s.f. Owner: Contractor: ROBINSON, CONSTANCE AGUILD CONSTRUCTION ROBINSON, LYNN-i BELL, KA`.'ET 7508 SW OAK BY INSIGNIA COMMEh^SAL GROUP PORTLAND,OR 97223 E3oTON, OR 97008 Phone: 293-3276 Reg#: uc 001091 FEES REQUIRED INSPECTIONS Type By Date Amount Receipt Mechanical Permit Require PLCK CTR 8/23/00 $6256 27200000000 Electrical Permit Required Framing Insp FIRE CTR 8/23/00 $38.50 27200000000 Gyp Board Insp PRMT CTR 8/30/00 $96.25 27200000000 Susp Ceiing Insp 5PCT CTR 8/30/00 $7.70 27200000000 Final Inspection Total $205.01 This permit is issued subject to the regulations contained in the Tigard Municipal Code,Stele 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 7 calling (503)246-1987. u Pe rrn Kea Slature: Iss�*d By: Call 6394175 by 7 p.m.for an Inspection the next business day OF TIGARD Commercial Building Permit Application Plan 13125 SW HALL BLVD. Tenant Improvement Recd A,-:t,;01 Date ,: ,;01Dale Recd "- -�5�Q TIGARD, OR 97223 Date to P.F.. i? (503) 639-4171 Date to DST Print or Type Perm"R Relate:3WR f Incomplete or illegible applications will not be accepted called—ILL4L0� Name or Development/Project _- Existing Building New Building p Job -->CAA AV1>0 Address Address Suite Building 1 ottn Nlhb'w' At C/2- Data Stdg At— City/Stale tip Exis,ing Use of Building or Property: Name 2�S)t-0�,r,(,e} 6-5.C7 Proposed Use of Building or Property: Property 6-5, Owner Mailing Address SuB'r ^l{... No. Of Stories: t City/Stale Zip Phone ^ 1 I A0P De- q7 2t-3 444 CISro Sq. Ft. Of Project: Occupant Name Occupancy Class(es) Name Contractor ✓l t�p �� /a„�1 �vL Type(s)of Construction , ti Prior to permit Mailing Address Suite - Issuance,a copy q Will this projeci have a Fire Suppression System? of all licenses �95 l Std 004-0-S D Yew] No k_ are required If City/Slate Zip Phone expired In C.O.T. Americans with D abilities Act(ADA) / 5,e �fj database &✓E� A) 97� ADT{` Valuation X 25%= $ --Participation P^J Oregon Const.Con!.Bow 1 Llc.R Exp.Date Complete Accessibility Farm it Z-AV 00 Project $ Name Valuation / Architect Plans Requirod. See Matrix for number of sets to submit Mailing Addr ss Suite on back City/State Zip Phone I hereby acknowledge that I have read this application.that the information given Is correct,that I am the owner or authorized agent of the owner,and that plans submitted are In compliPnce with Oregon State Laws. Engineer Name ,.f"— �— /` S natur44.,-e of Owner/AgentDate �i MaWng Address Suite - — ci/2-3//� CL _ _ C tact Person Name Phone CWj,,f; a CHy1stale Zip Phone --A L110 40 r --- - FOR OFFICE USE ONLY J Indicate type of work: New O Addition O Demolition O ( aRTL* Land Use. Accessory Structure O Foundation Only O Alteration O --�� Repair O Other O Notes: W Description of work: ,i TIF: 7Note —7— Note: : Slto Work Permit Appl'cation must precede or accompany Building Permit Application 1:1COMNEWTI.130C (DST) 5/98 COMMERCIAL PLAN SUBMITTAL REQUIREMENT MATRIX Plan Review is dependent upon submittal of BOTH plait A t� a COMP application. For an electrical submittal, the application must contain signature of the supervising electrician before Man review will be conducted',.., After plan review approval, Plans Examiner will contact the applicant to reCl%4e_R additional plan sets for distribution purposes. (Copy for Contractor, City, >'' Washington County, Tualatin Valley Fire & Resp Total TYPE OF SUBMITTAL_ Flans KEY: _ Submitted ; V— S (Private) _ 1 S = Site W k B (New or Add) 1 B = Buildi F (New or Add or Alt) 3 F = Fire rotection System M (New or Add or Alt) 1 M = .chanical B & M (New or Add) 1 P Plumbing P (N-w, Add, or Alt) = Electrical B & M & P (New or Add) 2 ew = New Building E (New, Add, or Alt) 2 Add = Addition B & F & M & P & E 3 Alt = Alternation to Existing (New , Add) _ Building *B or B &M (Alt) T__ 1 *13 &_M & P (Alt) *13 & M & P & E(Alt) *B & M & P & E & F( 3 NOTES: "Shaded areas desloIn0te ALT u:...... .. .. ,.. I:Wsts\forms\matrxcom.doc 10/30/98 • � dal � � � ��sS �z -:,fATe IL PPP�Of \ Fac °�\ NO °\\ ' .. I, °b�66, ec'9 IATIA fLAIUK s —�^ 0 110 y � ��OO MOLIa�te11 I , i 51 PIA 2.,550 sf L tL _ 5 U Lai • � Q h= j 0 11 � .Q to unit no. C-2 Q office sf �,yyo a� _._..-.....-..-.-... .._._.....__.... ..- � ....-. . _......._.... warehouse sf 1,0 m� i t v 6*7 db �Ew CL IL It CJq> N Cl O R' � 2S-6' ZS' 12'-6' w unit no. 'C-2 office sf � 1,550 _ _.-..._....................................... ..._....... �. ......._.... warehouse sf : 1,000 CS s oc _ $ !UNIT-C:2] 2.550 s 1 � C-0<J 14AI QeVJ Zx$ (,Z) TulC LLJ� U !� J R...R..r V t4i CL w �Q�qq M R tL.L.J _WO _ _75'-6'_ 25' wZ it �� Q iv t' unit no. _ C-2 office sf 1.550 �— .....-.................... ....... .......... ........ worehouse sf V.wO "d � � m t ht f �gtGt"t,�G 1N41�! Ot~- 0 rJrt•�- BR,�GIr14• P.y�TWE�I H/J�-1.<i �7�!�-r 7• G.l�•'aifJCa -.,6.t� I}crG Zco A `'i��ry b`fp LD, Ads••�1 t?�- ' STU to /4T ZG. • t[// 5�cura�1�I►!f T.,�s.+ulrJa.1 a oc w i� w i L . DETA.II. W STUD WALL HEIGHT SPACING CAGE d-3 75 CA. 22 CA. 212' 0.0 11"-6' 12'-6" 116' O.C. t0'-9' ll'-6" 124' O.C. 9'-Q' 10'-0" 1 1 - CASING BEAD FASTEN RUNNER TO �.\ 2'-0" O.C. �— 3 5/8" METAL STUDS ir isoJrJP 9*4f =41w"mow — 5/8" TYPE 'X' GYP 80 AMC-lolls..IVA4L - TOP OF S'J STUD WALL HEIGHT SPACING CAGE j 25 CA, 22 CA. 20 CA. j 12' A.C. 11'-6' 12'-6' 13'-3' 16' O.C. 10'-9' Ii'-6' 12'-3' 24' O.0 1 9'-6" 10'-0' �iYP. INTERIOR. PARTITION WALL �M_ ,_W^ 0 ui r1 r At V u r- s 2.350 :r 6ivom-0- APA J 5ckL*-- - CITY OF TIGARD BUILDING INSPECTION DIVISION MBT' 24-Hour Inspection Line: 639-4176 Business Line: 639-4171 QQ SUP _ Date Requested t Z 7` AM PM BLD _ L c c a t i o n /622- 5 w Naz- r-r S Suite G `Z- MEC Contact Person Ph PLM Contractor Ph SWR BUILDING Tenant/Owner ELC 2l10 -154,�I Retaining Wall ELR _ Footing Access: Foundation FPS Ftg Drain SIGN Drain Inspection Notes: S,,n 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 — Undmr Slab T op Out — Water Service _ Sanitary Sewer — — Rain Drains Final PASS PART FAIL MECHANICAL Post&Beam — —— — Rough In Gas Line — — — -- Sti-mke Dampers Final — -- -- AIL LECT ICAL --- -- QC Rough In UG/Slab N — Low Voltage _ — — Fire Alarm Fi ASST` ART FAIL L7stm W --t Backfill/Grading Sanitary Sewer Storm Drain [ ]Reinspection fee of$ required before next inspection. Pay at City Hall, 13125 SW Hatl Blvd Catch Basin Fire Supply Line [ )Please call for reinspection RE: ]Unable to Inspect-no access ADA Approach/Sidewalk Other Date (?A11910 Inspector Ext Final PASS PART FAIL D;/NOT REMOVE this Inspection record from the job site. CITY IT'Y O F T I G A R D ELECTRICAL PERMIT PERMIT lir: ELC2000-00522 DEVELOPMENT SERVICES DATE ISSUED. 8/30/00 13125 SW Hall Blvd.,Tigard,OR 97223 (503)6394171 PARCEL: 1S134AA-01800 SITE ADDRESS: 10120 SW NIMBUS AVE C-2 SUBDIVISION: 1 KNOLL BUSINESS CENTER TIGARD ZONING: I-P BLOCK: LOT : 002 JURISDICTION: TIG Proiect Descrootion: Installation of three branch circuits for tenant improvements. RESIDENTIAL UNIT _ TEMP SRVC/FEEDERS MISCELLANEOUS 1000 SF OR LESS: 0 - 200 amp: PUMP/IRRIGATION: EACH ADD'L 500SF: 201 - 400 amp: SIGN/OUT LINE LTG: LIMITED ENERGY: 401 - 600 amp: SIGNAL/PANEL: MANF HM/SVC/FDR: 601+amps -1000 volts: MINOR LABEL (10): SERVICE/FEEDER BRANCH CIRCUITS — - ADD'L INSPECTIONS 0 - 200 amp: W/SERVICE OR FEEDER: PER INSPECTION: 201 - 400 amp: 1st W/O SRVC OR FDR; 1 PER HOUR: 401 - 600 amp: EA ADD'L BRNCH CIRC: 2 IN PLANT: 601 - 1000 amp: PLAN REVIEW SECTION I 1000+amp/volt: >-4 RES UNITS: >600 VOLT NOMINAL: L—. Reconnect only: SVC/FDR>=225 AMPS: CLASS AREA/SPEC O",C: Owner: Contractor: ROBINSON, CONSTANCE A+ GUILD CONSTRUCTION ROBINSON, LYNN+ BELL, KAY ET 7959 SW CIRRUS DR 13Y INSIGNIA COMMERCIAL GROUP BEAVERTON, OR 97008 BEAVERTON, OR 97008 Phone: Phone: 641-4634 Rey*: LIC 109116 SUP 3868S ELE 26.986C FEES Required Inspections Type By Date Amount Receipt EIeCt'I Service PRMT CTR 8/30/00 $48.20 2720000000( Elect'I Final 5PCT CTR 8/30/00 $3.86 2720000000( — Total $52.06 This Permit is issued subject to the regulations contained in the Tgard Municipal Code,St,jte of OR Specialty Codes and all other applicable laws. 4. 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 wrxk is 1z suspended for more than 180 days. ATTENTION-. Oregon law requires you to follow rules adopted by the Oregon Utility Notification Centet. Those F- rules are set forth in OAR 952-001-0010 through OAR 952-001-0080. You may obtain copie�efffies6ltdes ordirect questions to OUNC at(503) 246.1987. PERMITTL•E'S SIGNATURE ISSUED�pY: L7 _ OWNER IN3TALLA 1 N ONLY The installation is being made on property I own which is not intended for sale, lease, or rent. OWNER'S SIGNATURE: DATE: _ CONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR. ELEC' - - _ DATE: LICENSE NO: 'AS V Call 639.4175 by 7:00pm for an Inspection the next business day CITY OF TIGARD Electrical Permit Application Plan C k III- 13125 SW HALL BLVD. Recd�y tIGARD OR 97223 Date Reed - Date to P.E. Phone(503)639 4171, x304 Date to DST Inspection (503)639-4175 Print of Type PermitA Vax(503) 598-1960 Incomplete or illegible will not be accepted Caned _ 1. Job Address: 4. Complete Fee Schedule Below: Name of Development t t �-WrA 4EIt-O C4- Number of Inspections per permit allowed Name(or name of business) Service Included: Items Cost Sum Address I n11z�o �` ) h310�by54a. Residential-per link CitylState/Zip _ _ 1000 sq n.or less S 117.75 _ 4 Each additional 500 sq.fl.or portion thereof $ 26.75 1 Commercial Residential ❑ Limited Energy $ 60.00 Each Manufd Home or Modular 2a. Contractor installation only: Dwelling Service or Feeder $ 72.75 2 (Prior to permit issuance,applicants must provide contractor license 4b.Services or Feeders Information for COT data base).1 Installation•alteration,or relocation Electrical Contractor.T,0 Gu-,57e-vcV e,v �TXC• 200 amps or less S 64.25 2 Address 5-q 6'� OI�� pit- 201 amps to 400 amps $ 85.50 2 Ci State DL- Zi Op 401 amps to 600 amps $ 128.50 2 H- �� P --- 601 amps to 1000 amps $ 192.50 2 Phone No. _ -�b Over 100 amps or volts S 363.75 2 .lob No. _ _ Reconnect only _ S 53.50 _ _ 2 E_'lec.Cont. Lice. No. Z(v- bL Ex Date I Z�1 P• 4c.Temporary Services or Feeders OR State CCB Rey. No.1QE401 amps to 600 snips $ 100.00 2xp.Date Z Installation,alteration,or relocation COT Business Tax or Me o. Ex Date 200 amps or less $ 53.50 _ 2 201 amps to 400 amps _ _ $ 80.25 _ 2 Signature of Supr. Elec' Over 600 amps to 1000 vont, - - License No._ _3 �J Exp.Date MA Atty see"b^above. Phone No. 4-Branch Circuits New,alteration or extension per panel a;The fee for branch circuits 2b. For owner installations: with purchase of service or feeder fee. Print Owner's Name Fact,u,anch circuit S 5.35 _ 2 Address b)The fee for branch circuits wfthout purchase of service City, State Zip T or feeder fee. p, Phone No. First branch circuit $ 37.50 d Each additional branch circuli S 5 35 /n , The installation is being made on property I own which is not 4e.Miscellaneous intended for sale, lease or rent. (Service or feeder not Included) Each pump or Irrigation circle S 42..75 Owners Signature _ Each sign or outline lighting $ 42.75 Signal clrcult(s)or a limited energy 4 * panel,alteration or extension $ 60.00 3. Plan Review section (if required): Minor Labels(10) s 100.00 NPlease check appropriate item and enter fee In section 5B. 4f.Each additional Inspection over 4 or more residential units in one structure the allowable In any of the above _ _ Service and feeder 225 amPer inspection $ 5000 or more Per hour $ 50.00 System over 600 volts nominal - -� � Y In Plant _ „ $ 59.00 Classified area or structure containir 9 special occupancy as W i described in N E C Chapter 5 5. Fees: a 8a.Enter total of above fees $ Submit 2 sets of plans with application where any of the above apply. 8%Surcharge(.08 X total fees) $ Not required for temporary construction services. Subtotal $ Sb.Enter 25%of line 6a for NOTICE Plan Review n rerulred(Sec.3) S PERMITS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED Subtotal $ IS NOT COMMENCED WITHIN 180 DAYS,OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS ❑ Trust Account AT ANY TIME AFTER WORK IS COMMENCED. Total balance Due $ is\dsts\forms\cIectric doc CITY OF TIGARD BUILDING INSPECTION DIVISION 24-Hour Inspection Line: 639-4176 Business line: 639.4171 MST BUP __ !T, Date Requested -7 2 AMPM BLD Location /O /2,0 S c✓ 1. n g&r, .Suite ( — Z-- MEC Z-OCV 6134 Contact Person Ph PLM Contractor Ph SWR BUILDING Tenant/Owner ELC Retaining Wall ELR —� Footing Foundatlofi Access: FPS Fig Drain -- Crawl Drain Inspection Notes: SGN Slab Post&Beam SIT Ext Sheath/Shear Int Sheath/Shear Framing Insolation �� D�.. / �%A2At__!�_ — Drywall Nailing Firewall - Fire Sprinkler �-'�� uy '-.GIS Zf.7t Fire Alarm - Susp'd Ceiling Roof Misc: _ Final PASS PART FAIL PLUMBING Post 8 Beam Under Slab Tor()Ut — -- Water Service Sanitary Sewer Rain Drains Final — PASS FAIL Post&Beam _ Rough In Gas Line Sm a Dampers In ,*j % PART FAIL EIWTRICAL IL Service Rough In — N UG/Slab Low Voltage — Fire Alarm .1 Final C0 PASS PART FAIL t7 SITE Backfill/Grading Sanitary Sewer Storm Drain [ )Reinspection fee of$ _required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line [ )Please call for reinspection RE:_ I 1 Unable to Inspect-no acress ADA Approach/Sidewalk Other Date Inspector _ Ext Final PASS PART FAIL DO NOT REMOVE this Inspection word ffoM the job site. CITY ITY O F T I GA R D _ MECHANICAL PERMIT �W% DEVELOPMENT SERVICES PERMIT 0: MEC2000-00366 drism 13125 SW Hall Blvd.,Tigard,OR 97223 (503)639.4171 DATE ISSUED: 0 15134 PARCEL: 1 S 13�4A-01800 SITE ADDRESS: 10120 SW NIMBUS AVE C-2 SUBDIVISION: 1 KNOLL BUSINESS CENTER TIGARD ZONING: I-P BLOCK: LOT:002 JURISDICTION: TIG CLASS OF WORK: ADD FLOOR FURN: EVAP COOLERS: TYPE OF USE: UNIT HEATERS: VENT FANS: OCCUPANCY GRP: VENTS W/O APPL: VENT SYSTEMS: STORIES: _ GOILERS/COMPRESSORS HOODS: FUEL TYPES 0 - 3 HP: 1 DOMES. INCIN: GAS 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 < 110K BTU: AIR HANDLING UNITS OTHER UNITS: FURN>=100K BTU: <:10000 cf n: GAS OUTLETS: > 10000 cfm: Remarks: Roof mounted A/C Unit Owner: FEES ROBINSON, CONSTANCE A+ F=7Type By Date Amount Receipt ROBINSON, LYNN+ BELL, KAY ET PRMT CTR 9/11/00 $50.00 2720000000 BY INSIGNIA COMMERCIAL GROUP 5PCT CTR 9/11/00 $4.00 2720000000 BEAVERTON, OR 97008 — Total $54.00 Phone: Contractor: HUNTER DAVISSON INC 3410 SE 20TH PORTLAND, OR 97202 REQUIRED INSPECTIONS Cooling Unt Insp Phone:503-234-0477 Fined Inspection Reg#:LIC 01612 a lac r� t J_ m W This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. J 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 480 days of issuance, or it work is suspended for more than 180 days. Al TENTION: Oregon law requires you to follow rules adopted in the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0080. You may obtain copies of these rules or direct questions to OUNC ycafti (503)246-9189. Issuc By: Permittee Signature- Call(A3)639-4175 by 7:00 P.M.for Inspections needed the next business day CITY OF TIGARD Mechanical Permit Application Plan CheckRecd By_ 13125 SW HALL BLVD. Commercial and Residential Date Recd_ TIGARD, OR 97223 Date to P.E E. (503) 639-4171, x304 Print or Type Date to DST Incomplete or illegible applications will not be accepted Perml(N Called-- N or Deve ----- Description — - Table 1A Me,'lanical Code Qty Price Total t00 BTU Job Slroel Address Suite N 1) Furnace to 100,0 Address �� including ducts A vents 14.00 2) Furnace 100,000 BTU+ TI—dog ca)Slote z Including duds 8 vents_ _ 17.40 1 3) Floor Furnace — Name(or name of business) (( including vent _ _ _ 14.00 Owner wc-'& KS 4) Suspended heater,wall heater Mailing Address or floor mounted heater _ 14.00 5 Vent not Included in appliance permit C 80 _ CNy/SINe Zip hflorN 6 Repair units 12.15 Check all that appy: •80iler Heat Air Name(or name" 1lgslness) , - For Items 7-10,see or Pump Cond Oty Price I "rotal rw "t otnotes 1,2 Comp •' _ Occupant Mailing Address 7)<3HP;absorb unit to 100K BTU — _ 14.00 City/StMe zip Phone 8)3-15 HP;absorb unit OR, 100k to 500k BTU 25.60 9)15-30 HP;absorh Contractor PN munit 1.5 mil BTU 35.00 U Ad ress _Dhw d 10)30-5u HP;absorbPrior to permit lling unit 1-1.75 mil BTU _ 52.20 issuance,a 11)>50HP;absorb unit>1.75 mil BTU copy _ _ 87.20 of all licenses yrst a —��`� zip Phone 12)Air handling unit to 10,000 CFM are required if K234-0`477 10.00 expired in COT IW4�_ffn_ard Lic 0 Exp Dole 13)Air handling unit 10,000 CFM+ database f') I(� �. 17.20 Architect erne 14)Non-portable evaporate cooler 10.00 Mailing Address 15)Vent fan connected to n single duct or 6.80 16)Ventilation system not Included in Engineer cny/sta+e zip Phone appliance permit — 10.00 17)Hood served by mechanical exhaust Describe work to be done: — 10'00 18)Domestic incinerators NewoO Repair O Replace with like kind: Yes O No O — _ 17.40 Reskfential O Commercial®' Modification O 19)Commercial or industrial type incinerator Additional Information or description of work: 69.95 20)Other units,including wood stoves a �—.-- 1 o.oa NOTE: For Commercial projects only,Units over 400 lbs,located on the 21)Gas piping one to four outlets \ / fes. roof,require structural calcs.prepared by licensed engineer. x _ 5.40 Type of fuel oil O natural gas',Qr LPG O electric O 22)More than 4-per outlet(each) _ 1.00 Minimum Permit Fee$50.00 SUBTOTAL ,J I hereby acknowledge that 1 have read this application,that the 8%SURCHARGE m information given is correct,that I am the owner or authorized agent of �J f� the ow lans submitted are in compliance with Oregon State PLAN REVIEW 25%OF SUBTOTAL W law �.c- =7 Required for ALL commercial permits only gnatu NAgent Date_J ejo TOTAL z3 y-O Y 7-7 Other Inspections and Fres: Contact Person Name C T SCI Pop 1. Inspections outside of nomlal busMess hours(minimum charge-two hours) 572.50 per hour 2 Inspectkxrs for which no fee is specificalty indicated (mintmum charge-ha"hour) $72 50 per hour Footnotes for commercial projects only: i Additional plan review required by changes,additions or revisions to plans(minimum 1. Provide full schematic of existing and proposed gas line and pressure- r harge-one-haM hour)$72.50 per hour I 2. Provkle drawings to scale showing existing and proposed mechanical State Contractor Boller C ion requited"•ReskieMlN AIC rsrequires$110 pl requires aIM plan ahoNrirq plaoerlemt d unit units. _ 1:\dsts\forms\mechperm_rev.doc 8/29/00 �✓ ScNO�.t,S gJSr�1lis CTlC S $Loe C - Z Off' TErN A"T ex PAN Stu N .�. 10120 5. w.N�Mttvs dl $ 3/0� .(D NE,lJ 3.S To•� ks rR 8 70CLOW J4s�sw�euft s�o 3 Coca, - (PA4t. SuPPcy A/iFjSssas vwei sma C.ArRtpat MA+i t3PA.-" 0alCn- t g"¢Cws q t v Q � J v Ot( Io in 04- leil