10150 SW NIMBUS AVENUE BLDG E STE 2-1 Z3 3AV sneWIN MS 09601,
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10150 SW NIMBUS AVE E2
CITY QF TIGARD
DEVELOPMENT SERVICES PLUMBING PERMIT
13125SW Hall 9lvd.,Tlyard,OR97ZJ'3 (503)639.4171 PERMIT #. . . . . . . : P'LM97-0434DATE ISSUED: 10/29/97
PARCEL: iS134AA-01800
SITE ADDRESS. . . : 10150 SW NIMBUS (AVE #E--p
SUBDIVISION. . . . : 1 KOLL BUSINESS CENTER TIGARD ZONING: I--P
DLOCK. . . . . . . . . . : LOT. . . . . . . . . . . . . :002 JURISDICTION: TIG
'L_ASS OF WORK. . :ALT GARBAGE DISPOSALS. : 0 MOBILE HOME SPACES. : 0
TYPE OF USE. . . . .-COM WASHING MACH. . . . . . : 0 BACKFLOW PREVNTRS. . : 0
OCCUP'ANC`r GRP. . :D FLOOR DRAINS. . . . . . . 0 TRAPS. . . . . . . . . . . . . . . 0
'TORIES. . . . . . . . : 0 WATER HEATERS. . . . . . 0 CATCH BASINS. . . . . . . : 0
FI XTURF. - -__._._____._......__.. LAUNDRY TRAYS. . . . . : 1 SF RAIN DRAINS. . . . . : 0
PINKS. . . . . . . . . . 0 URINALS. . . . . . . . . . . : 0 GREASE TRAPS. . . . . . . . 0
I-AVATORIES. . . . : 1. OTHER FI Y,TURES. . . . : 0
TUR/SHOWERS. . . : 0 SLAER LINE_ (ft ) . . . : 0
WATER CL_0^ETS. : 0 WATER LINE (ft ) . . . : 0
DISHWASHERS. . . . : 0 RAIN DRAIN (-Ft ) . . . : 0
nemat-ks : Plumbing TI
u�,ntr ____._a_ ..____—___.____ __.._.__-----___._—_—_—______.._____ FEES - ____.___------_..
FORUM PROPERTIES INC type amount by date rerpt
10110 SW NIMBUS L/4 PRMT $ 25. 00 B 10/27/97 97-300416
TIGARD OR 37223 5P'CT $ 1. 25 A 10/27/97 97-300416
Contractor.__.____._.___.__________---------•--._-_-- �
'W PLUMBING SPECIALTIES INC
!"'O BOX 606
(.,RESHAM OR 97030
'hone #: 663--9066 $ 26. 25 TOTAL
!deg It. . . 000943
_--- -- REQUIRED I NS'PECT I ONS - --This pereit is issued subject to the regulations contained in the Tap—out Insp
Tigard Municipal Code, State of Ore. Specialty Codes and all other Final Inspection _
applicable laws. All work will be done in accordance with _
4. approved plans. This permit will expire if work is not started
F2 within '90 days of issuance, or if work is suspended for more
N than 180 days. ATTL-NTION: Oregon law requires you to follow rules _
adnpte,i by the Oregon Utility Notification Center. Those rules are _
set firth in OAR 9`,t-8801-@010 through OAR 952-0001-0080. You say
=� obta'n conies of !hese rules or direct questions to OUNC by catling
m
(501249-1987.
J
-'sued By: 1✓ _ ___ . Permittee Signatut-e.
++4-+•+-++++++++•+-F+++++•F++++-++-+++4-++4...+++++4.+++-++++•4•t++C+ +++-++A-++-F++++4-++ta +
Call 639-4175 by 7:00 p. m. for an insper_.tion needed the nest business day
+++++++++•+++-h+.....+++++-h4-+i-...F....++++..++t-++++.++.++t•+•+++4.. -+.++t+++i-+t...
CITY OF TIGARD Plumbing Application }� V
Rer.'d By i/• ,U I
13125 SW HALL BLVD. Commercial and Residential Date R.c'd I L7 2 -
Date to P.E.
TIGARD, 6R 97223 Dateto DS
(503) 639-4171 PermitscN1 �-
Print or Type X11- NO Z Related SWR e - ' 3
Incomplete or illegible applications will not be accepted caned
Name of Development/Project On back indicate Work Performed by fixture.
.lob �1!2 502 n1')71 45 RJB FIXTURES (Individual) QTY PRICE AMT
Address Street Address Suite Sink 9.00
" _5 Lavatory 9.00
Bldg 0 Ity/Sto Zlp Tub or Tub/Shower Comb. 9.00
1�".Vzuqj 0{ Shower
Na Only 9.00
1M lil6ft9716 S i water Closel 9.00
Owner Mailing Address Suite Dishwasher 9.00
1 OI1 O Z;'W NJMws L- Garbage Disposal 9.00
Cp Slote Zip Phone
1 -4it4 ' 972' go � 6tc? Washing Machine 9.00
Name � Floor Drain 2' - 9.00
SJR � 3' 9.00
Occupant Mailing dress Sulte C 9,00
- Water Heater O conversion O like kind 9.00
City/State Zip Phone
Laundry Room Trey _1 9.00
Name Urinal L 9.00
�Pf c Q ,
t� other Fixtures(Specify) 9,00
Contractor MailingAddress Suite - - 9
.00
20
Prior to permit City/State Z:p Phone _- 9.00
y S _
issuance,a copy td (0 9.00
of all licenses are Oregon Const.Cont.Board lJc.* Exp.Date 9.00
required if W-70�, _- Sewer•tat 100" 30.00
expired in COT Plumbing Lk.0 Exp.Date - -
database 12.- Sewer-each additional 100' 25.0(1
Name Water Service-1 st 100' 30.00
Architect Water Service-each additional 200' 25.00
or Mailing Address Suite Storm 3 Rain Drain-1st 100' 30.00
Storm 6 Rain Drain-each additional 100' 25.00
Engineer City/State Zip Phone Mobil,Home Space 25.00
Commercial Back Flow Prevention Device or Anti- 25.00
Describe work Now O Addition O Alteration O Repair O Pollution Device
to be done Residential O Non-residential O Residential Sockllow Prevention Devkt' 1.5.00
Additional description of work: Any Trap or Waste Not Connected to a Fixture 9.00
Cath Basin 9.00
Insp.of Existing Plumbing 40.00
rrttt
fl Existing use of Specially Requested Inspections 40.00
building or property r1hr
Rain Drain,single family dwelling 30.00
H Proposed use of
U) Proposed Traps 9.00
building or property _ QUANTITY TOTAL
TOTAL
I hereby acknowledge that I have read this application,that the irfonnation IsomMric or rim dlairarri Is required N Quanity Total Is >9
m given is correct.that I am the owner or authorized agent of the owner,and "SUBTOTAL
that lana bmitt re in compliance with Oregon State Laws. p
W Signatu of Own ( 16C(j Date CSX SURCHARGE
`J C J PLAN REVIEW 25%
5%
OF SUBTOTAL
on t rson Na R DoMIlxkarot.lI.>9
[E
TOTAL
'Wnlmum permit fee Is$25+5%surcharge,except Residential Backflow
Prevention Devitt.which Is$15*5%surcharge
I Wststp"". dx"7
PLEASE COMPLETE•
Fixture, Type Quantity by Work Performed
Capped!Removed Moved Replaced
Sink
Lavatory
Tub cr Tub/Shower Combination s --
Shower Only -
Water Closet
Dishwasher
Garbage Disposal
WashiEtMachine
Floor Drain 2" -
4" - -
Water Heater
Laundry Room Tray +"
Urinal �—
Other Fixtures (Specify)
COMMENTS REGARDING ABOVE:
CL -- ---
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1-315"
CITY OF TIGARD BUILDING INSPECTION DIVISION
n24-Hour Inspection Linc: 639-4175 Business Phone: 6394171
[ate Requested: A.M. P.M. MST: _
Location: _ BUP:�
Tenant:_ y W �� --_ Suite: Bldg— MEC:
Contra, v: ,A/LV /� � ;2„7& PLM: --
Owner. �,..JILLI_ _ �: _ ELC:
_ --_s�-- ELR:
SIT: _
BIJU DING BLDG(can't) LUMBIN _
_G � MECHANICAL ELECTRICALITZ+
m S
Site PosdBeaos eain Post/l3cam Cover/Service Sewer/Storm
Footing Roof Un ab Rough-In Ceiling Water Line
Slab Framing Q02-0x+_11 x+11 �.,/ 0"s Linc Rough-In UG Sprinkler
Foundation Insulation Sewer H000U oust Reconnect Vault
Bsmt I mp Drywall Storm Furnace Temp Service MISC.
Masonry Ceiling Rain Drain A/C U(;Slab
Shear/Sheath Fire Spklr!Aln, Crawl/Found Dr Meat Pump D,ow Volt _
Approved lilaLvia> Approved Approved Approved
Appr/Sdwlk Not Approved Not Approved Not Approved Not Approved NM Approved
FINAL FINAL FINAL FINAL FINAL
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CI Call for reinspection /7 C]Reinspection fee of S� required be,bre next inspection O Unable to inspect
Inspector:_ ��L /_ Date: �� page..— aell
CITY OF TIGARD BUILDING INSPECTION M VISION
24-Hour Inspection Line: 639-4175 Business Phone: 639-4171
Date Requested: `—� c2, `�04 — 9? _ A.M. P.m. MST:
Location:--I C) I f-LL) .iLtl! - l BUP:
Tenant_—_V_ Suite: `Bldg: _ MEC --
Contractor: _ u Phom: t O� PLM:
Ch~mer: Phone: BLC:9Z Q 73 C)
__ 81717:BUILDING BLDG(con't) PLUMBING , MECHANICAL LECTRTCAL SITE
Site Post/Beam Post/13eam Post/neam o ger ce Sewer/Storm
Footing Roof UndFI/Slab Rough.-In Water Line
Slab Framing Top Out Gas Line Rough-in UG Sprinkler
Foundation Insulatioa Sewer flood/Duct Reumnect Vault
Bv, nt Damp Drywall Storm Fiance Tamp Service miss.
Masonry Ceiling Rain D Iain A/C UG Slab
Shenr/Sheath Fire Spklr/Alm Crawl/Found Dr Ileat Piunp Low Volt _
Approved Approved Approved Appu Appmved
Appr/Sdhvlk Not Approved Not Approved Not ApprovedNot Approved
ANh
FINAL FINAL FINAL AL FINAL
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0 Call for rein o O Reinspection fee of S_ _regnirod befrnve next inspection O IJnable to inspect
Inspector: ^_— 1)•ite: —40 Pa;: of
CITY OF TIGARD ELEC'T'RICAL PERMIT
PERMIT #: E:LC97-0730
DEVELOPMENT SERVICES DATE ISSUED: 11/04/97
19125 SW Hall Blvd.,77gnrd,OR 97223 (503)830.4171
PARCEL s 13134AA -01 SOO
C T TL ADDRC_-SS. . . : 10111J0 aW N 1 MBU:3 AVE #E-2
1),j0DIVICTCN. . . . . 1 I;OLL DUSINE:GS CCNTEr TISARD ZONINO: I F
I'L CTCL.. . . . . . . . . .
LOT. .002 JURISDICTION: TIG
P1"oject Oescript ion : Body Works tenantimprovement
RESIDENTIAL UNIT - TENIF' SRVC/FEEDERS--•-- — -----•- —MISCELLANEOUS-------
1.000 SF OR LESS. . . P 0 - 2'00 amp. . . . . . . : 0 PUMP/IRRIGAT I014. . . . s Q'
C-n H ADD' L. 500SF. . . : 0 201 400 amp. . . . . . . : 0 SIGN,'OUT LINE L"G. . : 0
I_.TMITE'D ENERGY. . . , e 0 401 — 600 amp. . . . . . . : 0 SIGNL./PANEL. . . . . . . : 0
MANF. I-IM/ SVC/FDR. . : 0 601+amps 1000 volts. : 0 MINOR LABEL. ( 10) . . . : 0
-----SERVICE/FEEDER______- ------BRANCH CIRCUITS----- — —ADD' L INSPECTIONS--
1T 200 amp. . . . . . : 0 W/SERVICE OR FEEDER: 0 PER INSPECTION. . . . . : 0
01 400 amp. . . . . . : 0 1st W/O SRVC OR FDR. : 1 PER HOUR. . . . . . . . . . . : 0
401. C00 amp. . . . . . : 0 EA ADD':- BRNCH CIRC: 1 IN PI__ANT. . . . . . . . . . . . 0
C01 - 1000 amp. . . . . : 0 _—_____.__.__________pl_AN RE.VIEW SECTION-
1000+ amp/volt. . . . . : 0 ) :=4 RF_S UNITS. . . . . . . . : ) GOO VOLT NOMINAL_. . :
Reconnect only. . . . . : 0 SVC/FDR ) = 225 AMPS. . : CLASS AREA/SPEC OCC. :
014nel-: -..-.._._._ . . ._..______.__.—.__ -- . _...----._.._... . _....__....__._.._..______... FEES ____...._.._..._. ._.__.. .____.._.
PODY WORKS type amount by date recpt
101501 SW NTMDI.JS AVE PRMT 40. 00 JSD 11/04/97 97-300642
01.JITE 2 & 3 5FICT $ -1. 00 JSD 11/04/97 97-300642
TIGARD nN 97223
r11-rone #:
'57RTS ELECTRIC INC E 42. 00 TOTAL,
59 SW 4 8TI-I
REQUIRED I NSPFCT I ONS — ---
PORTLAND OR 97':13 ceiling Cover Elect' I Set
!'!hone #: V- 2A4� 7754 Wall Cover F_lect' 1 Final
Reg #. . : TPCr000
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Oregon Specialty Codes and all othe
applicable laws. All work will be done it accordance with approved plans. This permit will expire if work is not started within In
days of issuance, or if work is suspended For more than 160 days. ATTENT;ON: Oregon law requires you to fallow he rules adopted by
the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAA 952-001- You may obtain a ropy
of these rules or direct questions to OUNC by calling `(3
(033))22446-1967.
a' Permittee Sian 4-+rre : — �"� _Issued Dy «
-OWNF R T NSTALLf1T 1 ON ONLY-------
J The ir,stallar. :on is being made on property I own whir_h is no': intmnd�,H fnr
m elle, leci''iP_, ov t-ent.
UJ lt4NFR' S GIGNATURE:: DATE:
J
_. ......_ _._.___...._.___.__......- _CO11TR1 '1R INSTALLATION ONLY
'r I CNATURF Or SUPR. F'LEC' N: DATE:
I._T r_CNISC NO:
•+-+i+a +++•F4-•+-+-if + r-+ { -+•1f+4-+4+4•+4f•+4.4 +4+ta•4-+.t+.t.. EFF{J+• FFi ++ih+ F��_.I �fi +++{ F�+{.4 {
Call 639--4175 by 7:00 p. m. for- an inspect ion needed tfire next bussirless day
.1. ' 4-.1.4-.+-1 + 1 4 ! 4 ,+4+++44-+++++4++++4••4-#.....+f•+F+..4+++4+4......4--}{.+-I-+.+..f.4.i..+-i-++4--1 -+4 +44-
CITY OF TIGARD Electrical Permit Application Plan Check 0
1$125 SW HALL BLVD. Rec'd By
TIGARD OR 97223 90eg7-049x- Date Roc'd_
Date to r.E.
Phone(503)639-4171,x304 Date to DST
3 Print or Type
Inspection (503)639-4175�y'�i Incomplete or illegible will not 'ie accepted Permit caned" ( ��
Fax(503)684-7297 _ -
1. Job Address: jam 4. Complete Fee Schedule Below..
Name of Development I P'� � ,v ti Number of Inspections per permit allowed
Name(or name of business)_�7�TI )1gk=:S Service Included: Items Cost Sum
AddressAA JE-,tj L, 4a. Residential-per unit
'[ 1000 sq.ft.or less $110.00 4
City/State/Zip ` �)JU 3 Each additional 500 sq.ft.or
Commercial El Residential E] Limited Energy 525.00
Each Manurd Home or Modular
Dwelling Service or Feeder $88.00 ,. 2
2a. Contractor installation only:
(Attach copy of all current licenses) 4b.Services or Feeders
Electrical Contractor_ �5 G L s�1C Installation,alteration,or relocation
or le
200 amps or lees $80.00 _ 2
Address 201 amps to 400 amps $80.00 - 2
City -7,; State a _Zip ?7 z� ._�_ 401 amps to 600 amps - $120.00 2
Phone No. r t"- 2 S- - _ 601 amps to 1000 amps $180.00 2
_ Over 1000 amps or volts $340.00 - 2
job NO.
Elec.Cont. Lice. No. Exp.Date Rnconnert only 550.00 2
OR State CCB Reg. No. 4351" _Exp.Date t° 4c.Temporary u4rvlces or Feeder*
COT Business Tax or Metro No. / 4 Exp.Date _ Installation,alteration,or relocation
200 amps or less $50.00 2
Signature of Su r. Elec'n� ' - 201 amps to 400 amps $75.00 2
9 P 401 amps to 600 amps $100.00 2
Over 600 amps to 1000 volts,
License No.. $ Exp.Date Lo 6 A soo"b•'above.
Phone No. 4d.Branch Circuits
New,alteration or extension per panel
2b. For owner installations: a)the fee for branch circuits with
purchase of service or
Print Owner's Name feeder W.
AddressEach branch circus $5.00 2
h)The fee for branch circuits
Gi'yState Zip without purchase of
Phone No. service or leader W. � r-
First branch circuit $35.00 2
The installation is being made on property I own which is not Fach additional branch circuit $5.00 2
intended for sale,lease or rent. 4e.Miscellaneous
(Service or feeder not included)
Owner's Signature _-.____ Each pump or Irrigation circle - ✓40.00 2
Each sign or outline lighting $40.00 _�__ 2
3. Plan Review section (if required):* Signal circulf(s)or a limited energy 40.00
d panel,alteration or extension $ 2
Minor Labels(10) $100.00
Fes.. Please check appropriate Item and enter fee in section 5B.
4 or more residential units In one structure 4f.Each additional Inspection over
Service and feeder 225 amps or more the allowable In any of the above
t ___ System over 600 volts nominal Per Inspection $35.00
.J Classified area or structure containing special occupancy Per hour $
55 00
m as described In N.E.C.Chapter 5 In Plant 555 0!) _---
IL 'Submit 2 sets of plans with application where any of the above apply. b. Fees:
Not required for temporary construction services. Sm.Enter total of above fees $
5%Surcharge(.05 X total fees) $ -
NP1LU Subtotal 5 - -
5b.Enter 25%of line So for
FERMITS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED IS Plan Reviewfl r2gt& d(Sec-3) $ -NOT COMMENCED WITHIN 180 DAYS,OR IF CONSTRUCTION OR WORK Subtotal $
IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY e>e
TIME AF1ER WORK IS COMMENCED. El 'Trust Account M_ _ ��--
$
Total balance Otte
1\DSTS\ELC96 APP nm 919e
CITY OF TIGARD
DEVELOPMENT SERVICES
13125 SW Hall Blvd.,Tigard,OR 97223 (503,1639-4171
CERTIFICATE OF
OCCUPANCY
PERMIT N. . . . . . . t SUP97--0492
DATE IGSUEDt 12/11 /97
PARCEL# iS134AP-01800
SITE ADDRESS. . . : 10150 GW NIMBUS AVE #E--2
SUBDIVISION. . . . it KOLL BUSINESS CENTER TIGARD I.ONINGt1-P
BLOCK. . . . . . . . . . # LOT. . . . . . . . . . . . . 1002 JURISDICTION# TIO
CLASS OF WORK. tALT
TYPE OF USE. . . t CCIM
TYPE OF CONSTRt',5N
OCCUPANCY GRP. t P LL
OCCUPANCY LOAD: D la',Ae, r ,'/J 4:v f •�
TENANT NAME. . . tBODY WORKS
Remarks : Tenant improvement within an existing commercial building.
Owners -_-_-.._----_-------_----_--------_...
K F C TIGARD I
DBA t SCHOL.LS BUS. CENTER
102-40 c3W. NUMBUS AVE. , SUITE L-3
TIGARD OR 97223
Phone 11t
Cont ract or t ----------------------_.-_-__.__
OUILD CONSTRUCTION
7503 SW OAK
PORTL,.IND OR 97203
Phony! #a 293-3276
Reg #. . 1 001091
This Certificate grFints occupancy of the above referpnred building or portion
thereof and confirmw that the building has been inspected for compliance with
the State of Orgo., �ipevialty Codes for the g -oup, oc ipanry, unci uss, c�nrier-
which the veferenc,Pd permit was issued.
CL
N BU I D NO I I �l-`ECTORy BU t., ING OFFICIAL
JPOST IN CONSPICUOUS PLACE
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CITY OF TIGARD BUILDING INSPECTION DIVISION
24-Hour Inspection Line: 6394175 Business Phonc: 6394171
Date Requested:�_ 7 A.M. P.M. -�-- MST: _
l x"ticm:_—I D 1, �r 1 b_� BUP:�
Tenant: a�6GDy wor- Suite: E,-2- Bldg: _ MBC:
Contractor: ,,�L.(yA _Phone: Z�- PLM:
Owner. Phone: PLC:
FIX _
Srr:
BUiLD[NG *on't) PLUMBING MECHANICAL ELECTRICAL SITE
Siteost&am Post/Hearn Post/6eam Cover/Service Sewer/Stmm
Footing Roof UndFUSlab Rough-In Ceiling Water Line
Slab Framing Top Out Cm Line Rough-in IJCJ Sprinkler
Foundation Insulation Sewer lloodl tici Reconnect Vault
Bsmt Damp Ihywall Storm Furnace Temp Service 1411SC.
Masonry Ceiling Rain Drain A/C UG Slab
Shear/Sheath Fire Spklr/Ahn Crawl/Found IN Heat Pump Law Volt
ppmv Approval Approve( Approved Approved
LAppr/-S,d,wlk o ved Not Approved Not Approved Not Approved Not Approved
NAI: FINAL FINAL FINAL FINAL•
it
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LU ---- —_—
�t
d Call for reinspection Cl Reinspection fee of$_— required before next inspection O Unable to itlspect
Date:
CITY 4F TIGARD
DEVELOPMENT SERVICES BUILDING PERMIT
13125 SW Hall Blvd.,llgerd,OR 97223 (503)639.4171 PERMIT #. . . . . . . : BUP97-0492
DATE ISSUED: 10/27/97
PARCEL: 1S134AA-018O0
';ITE ADDRESS. . . : 101.50 SW NIMBUS AVE #E--2
")UBDIVISION. . . . : 1 KOLL. LOUSINESS CENTER TIGARD ZONING: I - P
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . .002 JURISDICTION:TIG
---------------------------------------------------------------------------------------
REISSUE: FLOOR AREAS---- ---- — EXTERIOR WALL CONSTRUCTION--
f:LASS OF WORK. :ALT FIRST. . . . 0 s f N: S: E: W:
TYPE OF U5E. . . :COI1 SECOND. . . - 0 sf PROTECT OPENINGS?----------
TYPE OF CONST. :5N . . . . 0 5f N: S: E: W:
DCCI.IPANCY GRP. :B TOTAL-------: 0 s f ROOF CONST: FIRE RET? :
OCCUPANCY LOAD: 0 BASEMENT. : 0 sf AREA SEP. RATED:
STOR. : 0 HT.- 0 ft GARAGE. . . : 0 s f OCCIJ SEP. RATED:
BSMT? : MEZZ" : REDD SETBACKS--------
FLOOR LOAD. . . . : 0 p s f LEFT: 0 ft RGHT: 0 ft FIR SPI:L: SMOK DET. . :
DWELLING UNITS: 0 FRNT: 0 ft REAR: 0 ft, FIR AI_RM: HNDICP ACC:
DEDRMS: 0 SATI 1S: 0 IMP SURFACE: 0 PRO CORR: PARKING: 0
VALUE. $ : 11862
R e m at14 s : Tenant improvement within an existing commercial building.
Owner,: -----.—_________._—________.-.------_._____.___________.-- FEES
K B C TIGARD I type amount by date recpt
DBA: SCHOI_.L!7) n(JS. CENTER PRMT $ 92. 50 DRA 10/27/97 97-- 300417
1 &240 SW. NUMBUS AVE. , SUITE L-3 SPCT E 4. 63 DRA 10/27/97 97--:300417
TIGARD CR 97223 N_CK 'b 60. 13 DRA 10/27/97 97-300417
'hone if: 684--O510 FIRE $ 37. 00 DRA 10/227/47 97-300417
Contractor:
BUILD CONSTRUCTION
730B SW OAK
PORTLAND OR 97223
Phone #: 293--3276 $ 194. 26 TOTAL.
Reg ff. . : 001091
- --- REDUIRED INSPECTIONS ---This permit is issued subject to the regulations contained in the Framing Insp
Tigard Municipal Code, State of Ore. Specialty Codes and all other Gyp Boar^d Insp
applicable laws. Ail work will be done in accordance with 60AL [&r7_P•
approved plans. This permit will eypire if work is not started _
within 188 days of issuance, or if work is suspended for more
than IN days. AITENTION: Oregon law requires you to follow the
rules adopted by the Oregon Utility Notification Center. Those
rules are set forth in DAR 952-001-0010 through OAA 92-"191987.
You many obtain a copy of these rules or direct questions to OUNC
by calling (503)246-1987.
Per-mittee Signatut-e : Iss1.1ed B
+++++•f•+t+++++++++i+i•+++F++++++i++++++++++-c.+++++++++++++++}++t++++++++++++++!++
Call 639-4175 by 7:00 p. m. for• an i.nspec_tion needed the next business day
4++++•+++•4•+++++++++++++4+++++i++++++++++++++++f++++-F+++•f•+++++++++++++++++++++++
• Commercial Building ParmitAnFlication
City of rogsud 13125 SW Mail 3hrd. Y19r4.'01 trn3
(603)63"171
Jobsite Address: I01,5�lA 'Sw 141fiB ea OFFICE 113E6N�Y n
Tenant: ,brZ1uS Suite*
Valuation: !�S Ga
(p lc CA"Nc, �e'r-� ¢F 71eac►�'s
AMD T- 7MT11--lel)
Owner:
Address: tozgt) -6u2
N►r�rave r�� .�-+�
L: nA
Telephone: 450 6e$4 O45ltti ;1
Contractor. 1" Y Ty 1 NG
Address: 7508 :;�rrJ QttlG -�FT
�L=Tj,4"]2 4 070 !Z?_.Z3_ Type of constr.. V-!j
Telephone: 5 Z9 3 --'�Z 7�. Occupancy Class: 8j F-1
Contractor's License# I n 91 1 (o Sprinkler Yes
(attach copy of current Oregon license)
Sq. Ft Of Project:
Contact name &telephone: Jo-5f �-_r-9,Lbl•L
Story (1st, 2nd, etc.): 12NE,
Architect& Engineer. v F, LIAK""KIF wwe*c,"+ M mss e�Y/
Proposed Use: OF12LF: 4 Issl4-tfsc
Address: Otoly FT 5T•
Previous use: �GFfGE, �ARfIp�X_
Note: Plumbing & mechanical plans must
Telephone: 5C%3 - Z -95(00 be submitted at time of building permit
a application.
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(Applicant Signature &Telephone Number)
Received by: Date Received:
I�COMn.DOC (DST) 10/96
PERMR>t Account Description A11101111t Amt Pd. Balance Due '
• • A
Building Permit (BUILD)
Plumbing Permit (PLUMB) 1'at '•
Mechanical Permit (MECN)
State Tax (TAX)
Bldg.
Plumb.
Mech.
Plan Check (PLANCK)
Bldg.
Plumb.
Mech.
Sawer Connection \ (SWUSA
Sewer Inspection (SWIMS ) ww
Parks Dov Charge (P D ) -_
Residential TIF MF \,
Mass Transit TIF (TIF
Commercial TIF (TI -C)
Industrial TIF F-1)
Institutional TIF F-IS)
Office TIF F-0)
Water Quality QUAL)
Water Quanity QUANT)
• Fire Life Safety (FLS)
i
Erosion Cntrl Permit ( RPRMTI
Erosion Planck/USA ( RPLAN)
Erosion PlanctdCOT ROSN)
OTALS:
1:1CCMTI.DOC (DST) terga
r
�01S0 5W"" K
OVER THE COUNTER QMR] ---
(attachment to Submittal Cnteria)
SUBJECT: ACCESSIBILITY
BARRIER REMOVAL IMPROVEMENT PLAN
REQUIREMENT. OREGON REVISED STATUTE(ORS)447.241.
(1) Every project for renovation,aRarstim or modfAcatlan to affected auildings and nlaW bdkjoii shall be
mage to insure that the path of travel to the altered area and the restroom,telephones and drinking
fountains are readily accessible to individuals with disabilities.unless such Aft" tis aro disproportionate
to the overs[[alterations in hams of cost and scope.
(2) Altersdone made to the path of travel to an Mend ares may be deemed disproportionate to the overall
alteration when the cost exceeds twenty-five per-cent(25%).
THEREFORE; Each submittal for a bullding permit shall Include this form providing the following
information. (Excluding re-roofing, mechanical and electrical permit applications)
VALUATION of all renovation, alteration or modification being done
excluding painting, wallpapering. (hop1erR /R.� 1�ri�)
multiply,; 259E Banner removal req l e 1"i F.'�rli� .23
BUDGET FOP BARRIER REMOVAL (2) = 11
The dollar amount of the QIMM established on line(2)in the computation above shall be spent
providing the accessible elements in the following order.
1- I An accessible route connecting the building to accessible pedestrian
walkways, and the public way. $
[including but flat limited to curb ramps.detectable wamMps,
marred cromngs,rumps handrails and landings)
2. Not less than one accessible parking space, $
(Induding but not[united to adjacom access sole,signs and curb ramp
connecting with the acconible ratite.
3. Accessible entry or entries. S_$ '°
pr,dudkV but not limited to remvs,handmita.Wwkga,
door sill height.door width and door hardware)
4. An accessible interior route to the altered area. S Y00 +v
jinctu ding but not limited to dor-ways,maneuvering
clearances,door hardware and stairways)
5. At least one access;ble restroom for each sex. S
5. At least one accessible telephone where public phones
are provided. S
7. When drinking fountains are required, fifty per-cent but
i
not less than one shall be accessible. S
8. Additional accessible elements such as storage, reach ranges,
alarms, etc.. S
IO.TAt.: ComnuAdgp„ S A.._.__..
4'A&4 No-r SIPS- NaT PArovir-al)
is%otc6.doc(DST) QW-- J1d 4