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10170 SW NIMBUS AVENUE BLDG H STES 7 & 8-1 8ALH 3AV SnBWIN MS 01601' co ti � a oc N N oa z cn 1C7 co �J ~ T Q T 10170 SW NIMBUS AVE H7+8 RMIT CITY OF TIGARD _ ELECTRICALRESTRICTED ENERGY _ RESTRICTED ENERGY DEVELOPMENT SERVICES PERMIT#: ELR2004-00141 13125 SW Hall Blvd..Tluard, OR 97223 (503)639-4171 DATE ISSUED: 6/2/2004 SITE ADDRESS: 10170 SW NIMBUS AVE H-7+8 PARCEL: 1S134AA-01800 SUBDIVISION: SCHOLLS BUSINESS PARK ZONING: I-P BLOCK: LOT: 002 JURISDICTION: TIG Prolect Description: Limited energy for fire alarm TI. A.RESIDENTIAL B.COMMERCIAL AUDIO&STEREO: AUDIO S STEREO: INTERCOM& PAGING: BURGLAR ALARM: BOILER: LANDSCAPE/IRRIGAT: GARAGE OPENER: CLOCK: MEDICAL: HVAC: DATA/TELE COMM: NURSE CALLS: VACUUM SYSTEM: FIRE ALARM: X OUTDOOR LANDSC LITE: OTHER: HVAC: PROTECTIVE SIGNAL: INSTRUMENTATION: OTHER: TOTAL#OF SY' FMS: 1 Owner: Contractor: ROBINSON, CONSTANCE A + PROTEC INC ROBINSON, LYNN + BELL, KAY ET 720 NE FLANDERS BY INSIGNIA COMMERCIAL GROUP PORTLAND, OR 97232 BEAVERTON, OR 97008 Phone: Phone: 235-4000 Reg#: LIC 55414 BLE 34-2150 FEES Required Inspections I Description Date_ Amount Low Voltage Inspection [ELPRMT]ELR Permit 6/2/2004 — $75.00 Elect'I Final [TAX]R%State Surchari 6/2/2004 $6.00 Total $81.00 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 wark is suspended for more than 180 days. ATTENTION: Oregon law requires 4. you to fol hw-ades adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 thro OAR 952- -0100. u may obtain copies of these rales or direct questions to OUNC at(503)246-6699 to Iseed by Permittee Signat ' J OWNER INSTALLATION ON'.Y co 5 The Installation is being made on property I own which Is not Intended for sale, lease, or rent. uJ -� OWNER'S SIGNATURE: DATE: CONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR. ELEC'N _ _ _ DATE: LICENSE NO: _ Call 6394175 by 7:00 P.M.for an Inspection needed the next business day MAY-28-2004 10:54 PROTEC 5032350363 P.02iO3 Electri Ucaticon erg"vsd: t a Ptutcitta.: _ City Of 11gar 16 2��4 Projccr/sppl.no.: cdate: C. o ri drd waarca: 13125SWH '>a1u0,7 �o 97223 aateiswwd: a Raceiptne.: 7 / t Phone: (303) 639.41 Al ( C;E" � t Fast:(503)59!•19101L�)IN161)���tiS�Ur Casaflleno.: hyrt{eectrpc: Land use approval: • 14 2 ftunily dwollinq or accessory CQmtneecia!/industrial O Multi-fsrrtily 0 Tarrant improuem"t •New constlw_'tion Q Additives/altomdon/repi act MW 0 Other. O►'arts,! t job addcew IQ O I N-7 t Bldg.nes.: I Sults P.O., ITILX madUX lot/a-count no.: Loc 8lerck: SubdiVIsion: ( ehii�t+ /4sL Pru ccs names Description and location of work on premitoa: atnvp Estimated date of cont Ietic-AtIs don: 1.79ho I t r You Mesa Job tlo: DattiPfiea a Toa) larp Rutincst name: _ ems_ cam_: __ P+ewraieeetrtet•+trrdeee 7rt Address: >r —S dweliieCwritlncaMeMut'dpr"ee \N a Phone: 23s- u .{-, Fax: =3:i-v" a E-mail: 1000 .et.Or ICIA 4 r, Glee.bus.lie.no l �� chadditond SQO ofnion d+areuf C©no.: S I.irritedWarty.ret denti�d _T x City/matro lie.n 42 O d URK-11Fe1 44 ,;Aon��kntill 144 rt>rnorsnan:d borne Or medul":d Welling Si *at ur itin ctoevidan(rt ufred)r Date -- 3arvieearWfosfeeder Z _ erl�elert�(ntet ties, Go p 0 a neer a(prim) t.kerue ne r! iWoormservoks e atlaultiante( flnC): a to 400 MOpt•, a 1 Mailia address;Gley: Stage ZiP: 1 Phone: J�Fax: &ttw)�� Rt.am,ett on Owner installation:The Installation is being made on property I own TetaNe•ry,enfe*serf en- , which is not intended Por We,lease•rent,of exehanje according to ��•200 sRIm t srPof 1M ie1f1�errelaceeaes len 9 ()RS 447,433,479,670,701. 201 staps to 400 WFMx Owners 51 turf Date 401 to MI"6 praaca eitsraib•'nee,dttntlan, et swe"lon per punt: N .ne: A. pee for Mneh e9teuia vide►urehue of Addi Sa: suvi s er feetltr lee.taela!rote]pt•Utt 2 City. Stott: T,IP 0 pee row neem aitcviu w(aheut purcraa al s�c-�ic%cr fatder fat.lint bnneh drnuit: 3 CL Pharr_ Fax: Small. + ,:i�iircmclt socia ILIAse.( ,thee er etAer act trete a )• rich vmp a Irrigation tirade _ __ C)Serviae r0r M L npfmrtrntmicl O ffalth-e tis faatiaq 2 a� e►ettinali hdn U Servieaover]10anlpx•ntFnQof IAt O Hs[ardeuslesearion M � t - — "Iyd*ellingr ❑ puiidint over IOA00 squat feet four or idnd eir_Wi erA limited energy Panel. J Q System over 6W vola nominrl mere reddentIM unite in one ctrulture sltantiert,er"14allse 2 m O O Fctdtn,4W arno of mere •rmseei don: q 0XU"�!!.ad*,.W"pennnl O Menufectutc � inch luvat ccs Or RV r` ch•d env fntP�tetter oyer the ollewabk any of M tra wO F4rauAighdn4PI— q 0,1,e. psrin,pecdon — E _1 —s Sttlatlt sets of plant with airy of the abors, IAvestigetiem rex _. o • 'n7te above are pot applicable to temporary coaMuniea tonics• odwr f n k«&Ii seder om n'«M endo cu*.raeaae call Jarudicdoe to mem InfOrms6 e. Notice:Tlrls pternit epplieadon Permit rte.....................S O 0 viu O MutrtCard expires it a permit is net obtained Plan review(at` !6) S _ (d �eee r ewe 1e~ _ within It10 days aRn it has been State surcharge(8%)....S !J� E' ' aceeptad as mnplett. TOTAL ....S I' - Mame ♦A/yawl,N { S Hgl{ewre Ametel +nxelf ldC�'t=d'9 mOu-20-200 . 11,29 5035931960 97% P.02 CITY OFTIGARD 24-Hour BUILC,ING • 0 Inspection'Line: (503)6394175 isMST —+ INSPECTION DIVISION Business Line: (503)639-4171 BUP Received Date Requested _ AM_ _PM , p- BUP Location 10 �'`��'-3 �_suite. �_� MEC _ Contact Person - Ph(--) PLM Contractor _, - Ph( _) SWR _. BUILDING Tenant/Owner __ _ ELC Footing ELC _r_ Foundation Ftg Drain ACCAS8: ELR .Z,•/ 44 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 PART FAIL - PLUMBING Post 8 Beam Under Slab ---- - Rough-In Water Service - - Sanitary Sewer Rain Drains - - +- Catch Basin/Manhole Storm Dram - - --` Shower Pan Other:_ _ ----- - - Final _ PASS PART FAIL MECHANICAL Post 8 Beam Rough-In ---- --- ---- - Gas Line a Smoke Dampers --- -- - IX Final F-• PASS PART_ FAIL ------- ELECTRICAL �- - - _-- -- -" .j Service ® Rough-In -- 5 UG/Slab J L Voltage ire Alarn�j Reinspection fee of$_-_ -required before next inspection. Pay of City Nell, 13125 SW Hall BVvd. PASS PART FAIL Please call for reinspection RE:_ - _ E] Unable to inspect-no access Fire Supply Line ADA s>tu �. L-,�� '�/ 'G '-.� Approach/Sidewalk D --�-- - In'a e - Ext--i Other: Final DO NOT REMOVE this Inspection record from the job sibs. PASS PART FAIL CITY OF T I G A,R D BUILDING PERMIT _ PERMIT#: BUP2004-00078 DEVELOPMENT SERVICES DATE ISSUED: 3/12/04 13125 SW Hall Blvd..Tigard. OR 87223 (503) 639-4171 PARCEL: 1S134AA-01800 SITE ADDRESS: 10170 SW NIMBUS AVE. H-7+8 SUBDIVISION: SCHOLLS BUSINESS PARK ZONING: I-P 17— BLOCK: LOT: 002 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: 5N sf N: S: E: W: OCCUPANCY GRP: B TOTAL AREA: 0 sf ROOF CONST: FIRE RET? OCCUPANCY LOAD: 48 BASEMENT: sf AREA SEP. RATED: STOW HT: ft GARAGE: sf OCCU SEP. RATED: BSMT?: MEZZ?. REQD SETBACKS _ REQUIRED FLOOR LOAD: psf LEFT: ft RGHT: ft FIR SPKL: SMOK DET: DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP ACC: BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING: VALUE: $ 5,800.00 Remarks: Fire protection. Owner: Contractor: — ROBINSON CONSTANCE A+ PROTEC INC ROBINSON, LYNN+ BELL, KAY ET 720 NE FLANDERS STREET BY INSIGNIA COMMERCIAL GROUP PORTLAND, OR 97232-2763 BEAVERTON, OR 97008 Phone: Phone: 503-235-4000 Reg#: LIC 55414 FEES REQUIRED INSPECTIONS Description Date Amount Fire Alarm Insp [BUILD]Permit Fee 3/2/04 $100.90 Final Inspection [TAX] 8%State Surcharl 3/2/04 $8,07 FLS]FLS Pin Rv 3/2/04 $40.36 Total $149.33 j 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 worts 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 9.52-001-0010 through OAR 952-001-0100. You may obtain a copy of these rules or direct questions to OUNC by LU calling (503)2A6-6699 or 1-800-332-2344. J Issued By: 00, Permittee Signature: Call 639-4175 by 7 p.m.for an inspection the next business day Fir: Protections s _IVED colt:i�or r;0-re A Building Permit 90n City of Tigard , 2004 `a'gV c PermitNo.: .-O 7 13125 SIN Hall Blvd.,Tigard,OR 97113 Plan Review Phone: 503.6394171 Fax: 503.M.1")F TIGARD Data Hy: j 0 Other Permit: Inapecrion Line: 503.639. plvISIUN 4175 Date Rtndy .3y: Jurie 0 see P%ge s ter Int.-'tnt• unw r.i.tigard.ot.us BUILDING NotitiecYMethod: Suppleme"InforseaMa TYPE OF WOR'C � Prini name:David Joseph ❑New construction ❑Demo'.i,ion REQl1IRED DATAs 11-AND 2-FAMMY DWZLLV4G Addition/alteration/replacement Other: Permit fees*are based on the value of the work performed. Indicate the value(rounded to the nearest do!lar)of all CATEGORY OF CONSTRUCTION equipment,materials,labor,overhead,and the profit for the ❑ I-and 2-family dwelling ®Commercial/industrial work indicated on this application. ❑Accessory building ❑Multi-family Valuation: $ ❑Master builder []Other: Number of bedrooms: JOB SITE INFORMATION AND LOCATION Number of bathrooms: J&silo address:10170 SW Nimbus Ah Total member of floors: City/Stete/7-.IP:Portland,OR 97223 New dwelling area: square feet Suite/bldg./apt no.:H7 Project name:Children of the Sea Swim School_ Osrage/carport area: square.feet Cross street/directions to job site:SE corner of SW Scholls Ferry Rd.and SW Nimbus Ave. Covered porch area: square feet Deck area: square feet Other structure area: square feet Subdivision: Lot�• REQUMM DATAt COMMERC-IAL U8E C!llLtC1CWNT Tax map/parcel no.: Permit fees'air based on the value of the work performed. DESCRIPTION OF WORK Indicate the value(rounded to the nea.^est dollrr)of all equipment,materials,labor,overhead,and the profit for the Replacement of existing fire alarm system to Include an analog addressable panel and work indicated on this lication. Installation of additional smoke t:etectors and alorn notification ndevices. _ Valuation: $$5,800.00 All existing smoke detectors and pull station will be replace with analog addressable devices. _ _ Existing building area: square feet New devices will Include smoke detectors and horn/strobes In the new party room and one heat detector In the laundry/utility room. New building area: square feet ❑ PROPERTY OWNER �— ® TENANT Number of Mries: 1 Nance:Children of the Sea Swim School Type of construction: Address: 10170 SW Nimbus Ave H7 _— -- -- Occupancy groups: City/State/ZIP: Portland,OR 97223 Existing: Phone:(503)620.5970 Fax:(503)670.7729 New: ® APPLICANT CONTACT PERSON P10m Business name:Protec Inc. —�_ All contractors and subcontractors are required to be t1 Contact name:David Joseph licensed with the Oregon Construction Contractors Board a -- under ORS 701 and may be required to be licensed in the NAddress:720 NE Flanders jurisdiction in which work is tieing performed.If the City/State/ZIP:Portland,OR 97232 applicant is exempt from licensing,the following reasons apply: _ Phone:(R03)235.4000 _ Fax::(503)115.0363 LO E-mail:davldJOprotecsecurlty.com CONTRACTOR W --- W J - I Business name:Protec Inc. — — -- mm" FEW I Address:720 NE Flanders ---- - City/State/ZIP:Portland,OR 97232 Please rejtn fo fie schedule. Fees due upon application $149.33 Phone:(503)235.4000 Fax:(503)235.0363 Amount received CCB lie.:53414 ;� c� -�: T— Date received: Authorized signature/40 This permit application expires If a permit It not obtained within 180 days after it has been accepted as complete. i.4k0ildinePerrdtiTPS-PerodtApp.Mc 12,03 440461tT(Il,e2/(X*NWFR) CITY OF TI G A R D _ CERTIFICATE OF OCCUPANCY DEVELOPMENT SERVICES PERMIT It: BUP2004-00160 13125 SW Hall Blvd.,Tigard,OR 97223 (,'iO3)639-4171 DATE ISSUED: 4/9/2004 PARCEL: 1 S134AA-01800 ZONING: I-P JURISDICTION: TIG SITE ADDRESS: 10170 SW NIMBUS AVE 1-I-7+8 SUBDIVISION: SCHOLLS BUSINESS PARK BLOCK: LOT:002 CLASS OF WORK: ALT TYPE OF USE: COM TYPE OF CONSTR: 5N OCCUPANCY GRP: B OCCUPANCY LOAD: 164 TENANT NAME: CHILDREN OF THE SEA REMARKS: Demo wall & install door Owner: ROBINSON,CONSTANCE A + ROBINSON, LYNN+ BEL-L, KAY ET BY,USIGNIACOMMERCU GROUP BhoneTNpRtB, N Contractor: 557-0866 BNK CONSTRUCTION INC 10730 SE HWY 212 POBOX66 p� 5 C P KAMANno: I(l 9701 557-0960 Reg #: MET 00O(►1941 1'1(' 1075551 L J 0 UThis Certificate issued 12/8/2004 grants occupancy of the above referenced wilding at portion thereo and confirms that the building has been inspected for compli ce with a Stat of egon Specialty oche for t group., occupancy, �tcfius under r e aced permit w BU�L AIG I SPECTOR BUILDINJOfFICIAL POST IN CONSPICUOUS PLACE CITY OF TIGARD 24-Hour BUILDING � Inspection I-Ins: (503)639-4175 0 MSP INSPECTION DIVISION Business Line: (503)639-4171 _-`- Q'� BtJP 04 0 Received —_______ Date Requestedr ` AM ,PM _ SUP / l� /—�Location — —_ Suite—_ _ MEC Ph( ) � � S ��� PLM _ Contact Person s _ Contractor _____ - Ph( ) __ SWR BUILDING—J` Tenant/Owner �!�',�i� ?l -s ELC Footing U Foundation ELC Ftg Drain Access: ELR __— Crawl Drain _ Slab Inspeclon Notes: SIT Post&Ream Shear Anchors Eel Sheath/Shear Int Sheath/Shear Framing Insulation Drywall Nailing -------- — Firewall Fire Sprinkler — -- ------- --- Fire Alarm Susp'd Ceiling - — -- Roof _al' ..----------..._-- PASS, PART FAIL. - PLU INO 8 Beam Under Slab Rough-In Water Service -- -- — — Sanitary Sewer Rain Drains — --------- -- — -- ---- Catch Basin/Manhole Storm Drain Shcwer Pan Other: Fieri --�_------ PA_AS PART MECHANICAL Post& Beam Rough-In --.- a Gas Line & Smoke Dampers Final PASS PART FAIL ELECTRICAL Service 0 W Rough-In U UG/Slab --_---- -----_�_ �._—_. -j Low Voltage Fire Alarm Final �] Reinspection;_ o!$_ .-_.®_, required before next Inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL SITE r F-1 Please all fo refnspe tion RE:_— -- _ __ C' Llnehle to inspect- no accras Fire Supply Line ADA ,�/ Approach/Sidewalk D4M -- Inspector Other: Find -___--- O NO'S REMOVE this InspeMen rmmrd hem the job ske. PASS PART FAIL CITY OF T I GAR D BUILDING PERMIT DEVELOPMENT SERVICES DATE SSUIED: 44/9 04 04 00160 13125 SV, :..;t::.;I, Blvd.,Tigard.OR 97223 (503) 639-4171 PARCEL: 1 S134AA-01800 SITE ADDRESS: 10110 SW NIMBUS AVE H-7+8 SUBDIVISION: SC -LOLLS BUSINESS PARK 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: OCCUPANCY GRP: B TOTAL.AREA: 0 sf ROOF CONST: FIRE RET? OCCUPANCY LOAD: 164 BASEMENT: sf AREA SEP. RATED: STOR: HT: ft GARAGE: sf OCCU SEP. RATED: BSMT?: MEZZ?: _ READ SETBACKS REQUIRED FLOOR LOAD: psf LEFT: ft RGHT: ft FIR SPKL: SMOK DET: DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP ACC: BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING: VALUE: Remarks: Demo wall& install door Owner: Contractor: ROBINSON, CONSTANCE A + BNK CONSTRUCTION INC ROBINSON, LYNN+ BELL, KAY ET 10730 SE HWY 212 BY INSIGNIA COMMERCIAL GROUP PO BOX 66 BEAVERTON, OR 9700( CLACKAMAS, OR 97015 Phone: Phone: 557-1085 FAX Reg#: MFM866 0070053941 FEES LIC REAR DSINSPECTIONS Description Date Amount Mechanical Permit Require J131!1Lb] Permit Fee 4/9/04 $91.30 Electrical Permit Required fAX] 8"/(, Plumbing Permit Required State Surcharl 4/9/04 $7.30 Framing Insp 113UPPLN] Phi Rv 4/9/04 $59.35 Gyp Board Insp TLS]FLS Pln Rv 4/9/04 $36.52 Final Inspection Total $194.47 I a 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 riot started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center Those rules are set forth in OAR W 952-001 ough OAR 952-001-0100. You may obtain a copy of these rules or direct questions to OUNC by ca Ii (m3)246-6 �or 1-800-332-2344. ^ Iss d By: I Pe mt h tie-- ASignature: 4-'� - ----- -- Call 639-4175 by 7 p.m. for an inspection the next business day Building Permit Application City of Tigard Rereived 13125 SW Hall Blvd.,Tigard,OR 97223 Date/By. G_V _ Permit No.: �Q Plan Re Phone: 503.639.4171 Fax: 503.598.1960 Da1C, ; � �QY1_��}S� Other Perrnitipz' _c� Inspection Line: 503 639.4175 Date Ready/By. loin ® see Attached Checklist for Internet: www.ci.tigard.or.us Nonfied/Mettod Supplemental Information t t r er' '1 1 l�i f41Z+F�IIMQsY nNWLLIN(U ❑New construction ❑Demolition Permit fees*are based on the value of the work performed. Indicate the value(rounded to the nearest dollar)of all ®Addition/alteratiolvreplacement ❑Other: equipment,materials,labor,overhead,and the profit for the work indicated on this application. ❑ 1-and 2-family dwelling Cotnmerciallindustrial Valuation. S e — ❑Accessory building ❑Multi-family Number of bedrooms: ❑Master builder ❑Other;— Number of bathrooms: ' Total number of floors: — Job site address: Q S b� Q y, New dwelling area: square feet City/State/ZIP: �4 rs Garage/carport area: square feet Suite/bldg./apt.no.w -10(117 Project name: ` N Covered porch area: square feet Cross streeVdirections to job site: /'r &A� A� Deck area: square feet Other structure area: square feet Subdivision: Lot no.: Permit fees*are based on the value of the work performed. Tax map/parcel no.: Indicate the value(rounded to the nearest dollar)of all k T, equipment,materials,labor,overhead,and the profit for the 1 ;. ji•'. work indicated on this application. Valuation: S _45z�-ev Existing building area: _ square feet New building area: square feet Number of stories: — ~-- Name: Type of construction: Address: — Occupancy groups: City/State/ZIP: Existing: Ph-,ne:I ) Fax:( ) New: Business name: N K CD t�tlaNL_�vtG _ All contractors and subcontractors are required to be Contact name: `_ licensed with the Oregon Construction Contractors Board �Sey�� ��"— — under ORS'/01 and may be required to be licensed in the IL Address: �� Qb� (p�p jurisdiction in which work is being performed.If the City/State/ZIP: �; rb R a0/S' applicant is exempt fromlicensing,the following reasons N ,/ apply: Phone: (303) —0 IN d _ - Fax_A3 S S 7 /6077 J Q —_ E-mail: ryr� m r.Business name: J Address: ---- — » Please refer to jee schedule City/State/ZIP: — Phone:( ) Fax: Fees due upon application CCB lic.: —` Amount received -- Date received: Authorized signature: q C1,0_ This permit application expires If a permit Is not obtained within 180 days after it has been accepted as complete. Date: 'Q 4' • Fee methodology set by Tri-County Building Industry Service Board. itBuiId1na\PermiatBllP-PerrrdtApp doc 12103 440-4613T(I IrovCOMMEB) Building Division c. Plan Submittal Requirement Matrix Commercial & Multi-Family- New, Additions or Alterations City o Ti and Demolition Permit 2 site plan required showing location and square lege of all buildings to be demolished) Site\(sitec 2 (muson of all accessible parking) Pluities) 2 Building 1 Fire Protection Syste 3** Mechanic 2 "Fliumbing(building fixtures) 2. Electrical 2 N Plan review is dependent upon submittal of a completed application and plans, v After plan review approval, the Plans Examiner will contact the applicant to request 0o additional sets of plans for distribution purposes (for contractor, City of Tigard, WWashington County, and Tualatin Valley Fire & Rescue) * For over-the-counter commercial tenant improvements, submit 2 sets of plans. ** "New" fire protection systems require that plans bear the original seal of an Oregon licensed fire suppression engineer, or NICET level "3"technicians. i:\Building\FotTns\COM-PlanSubReq.doc 12/24/03 CITY OF TICARD 24-Hour BUILDING Inspection Line: (603)639-4175 t INSPECTION DIVISION Business Line: (503)63%4171 MST Received _ _Date Requested_—f _ AM PM 6UF Location G� J�� ��1i�A L 1 suite1 -7. Y �� �/," �� 7 7 Contact Person Ph(-) ,/,&3 – PLM Contractor _ Ph( ) SWR — BUILDING Tenant/Owner —( /1 ELC Footing Foundation Access: ELC - Ftg Drain ELR Crawl Drain _ — Slab inspection Notes: SIT Post&Beam Shear Anchors 00 --" Ext Sheath/Shear /yam T� Int Sheath/Shear �. Q3�/�V -- Framing _— Insulation Drywall Nailing ------ _ Firewall Fire Sprinkler - - — — Fire Alarm Suap d Ceiling — - --- Root , Other: Final PASS PART FAIL --�— - `- — PLUMBING __ _ _ __ Post R Beam Under Slab --- _ Rough-In Water Service Sanitary Sewer MF • - — Rain Drains — Catch Basin/Manhole Storm Drain - --- Si:awer Pan Other: -- - Finel -- - -PAS§_AnW FAIL — -- N L _ Po earn- U � Rough-In Gas Line IL Smoke Dampers pC in A S PART FAIL. -- — ---.�-- _ RICAL----- —^v _ ---_ J Service Rough-In UG/Slab - W Low Voltage -j Fire Alarm Final El Reinspection fee of$ r uirad hefore next ina PASS PART FAIL l - pection. Pay at City Nail, 13125 SW Hail Blvd. SITE ❑ Planie cai.for reinspection RE: —__ —__ [-1 ADA Unable to inspect-no soon Fire Supply Line ) \f/ � c Approach/Sidewalk Date— -- - inspector. Other: Final ---- DO NOT REMOVE this Inspection mord fmm the job WN& PASS PART FAIL CITY OF TIGARD MECHAN ;AL PERMIT DEVELOPMENT SERVICES PERMIT M: MEC2004-00677 13125 SW Hall Blvd.,Tigard,OR 97223 (503)639-4171 DATE ISSUED: 11;2/2004 PARCEL: 1 S 134AA-01800 SITE ADDRESS: 10170 SW NIMBUS AVE H-7+8 SUBDIVISION: SCHOLLS BUSINESS PARK ZONING: I-P BLOCK: LOT:002 JURISDICTION: 'rIG CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS: TYPE OF USE: COM UNIT HEATERS: VENT FANS: OCCUPANCY GRP. B VENTS W/O ADPL: VENT SYSTEMS: STORIES: 1 BOILERS/COMPRESSORS HOODS: FUEL TYPES 0 - 3 HP: DOMES. INCIN: GAS 3 - 15 HP: COMML. INCIN: MAX INPUT: 399,000 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: 1 <= 10000 cfm: GAS OUTLETS: 1 > 10000 cfm: Remarks: Run new gas f^c prom mein to new pool heater. Install new 400,000 BTU heater. Project Valve: $3.200 Owner: FEES ROBINSON, CONSTANCE A + Dsscrlptlon Date Amount ROBINSON, LYNN + BELL, KAY ET [MECH] Permit Fee 11/2/2001 $100.10 BY INSIGNIA COMMERCIAL GROUP [MECPLN] Plan Rei- 11/2/200 $25.03 BEAVERTON, OR 97008 [TAX]9%State Surchart 11/2/2001 $8.01 Phone: Total $133.14 Contractor: AQUA MECHANICS 33479 SE CARPENTER LN GRESHAM, OR 97080 REQUIRED INSPECTIONS Gas Line Insp Phone: 503-663-286F. Heating Unt Insp Reg#: LIC 151536 Final Inspection i i This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes i 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: Or,:gon 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 952-001-0100. You may obtain copies of these rules or direct tions to OUNC by calling (503)246-6b99. ' Permittee Signature- Issued By: .%' �f — Call (503)6394175 by 7:00 P.M.for Inspections needed the next business day 710 AM#41'10900 F&I 50.35901960 CITY OF TIGARD rA001 echanic Ile AV lic.,A00 -x4 7 City of Tigard AD D-mr. dn &((,.A Pa.*N. an-A N 13133 SW Ibn VVd,1001W,OR 97223 F rim elt Phone 503.629.4171 rax: 503-590.1900 Mmv: 70 -z 0 -13� Inspection Une 503 6P 4173 060 PA&Wbr. 77' ulm 4"Far 2 for Iffitermat: WWW.c1'hxmrd.4W.m till Natilliodme6by lo- Awallafeemadom rIGARD , /�4 New cmuftOfolm t1owateritt3owrepi It MorMMWMa"p@j fool an bond the value of the work Xkddi� perfbmud.b-,dic etc thr value(rwxvdtd to the neatest 604r)of all Other: MCChMlc&j n—rials,equiprnenx,lab.,ovialmd,UW profit. I Ll value S 3&-Zed ILI I I"!Z JiE Ci I-and 2-6milY dwelling 14Conintercial/industrW (j Acmmry buildius For specie( "dm uM CAWNiff 13 muld-fentilY 0 Mauer builder Ej Other: Description Qcy. Ea, rotmi Air conditioning or hal pump Job she address: frequom sift plu%LXMN pkmwwt) 14.OD citylstatealp Furnace 100,000 11TU(doigoveas) 14.00 r--e 10017.90 .to—o()—+9T—U-Anv"--1 Suitwbldg JAPL no.: 5L,, H 7- pro'-et um: an host pump 14.00 Cron*mVdirechom to job sift: /j ;MlgL,-s Duct work 14.00 H nit hTV water 14.00 .r�@Uffi Rerldcrtrial later or hydranic) 14.00 J'wt begun(A*I-type,not electric), in-wall III-dv"IvWniled,Vc. 10.00 Subdivision! La mo.: flue/ t for any of above 10100 I EA0.00 Tax ampoomd w.: Other fed sprunno" WSW heater 10-00 V,Z. Gas firtvlact 10.00 if'V 0 e fw—e vmtt A* weer haw or sm 10.00 fu )ace 10.00 Wipd/pOnet nous 10.00 wood lac✓hgltrt 10-00 Irli Other: f .1-10,00 Name: L� (1 Ar 6061 Lbo A3exbowd mW veMdkn Range hoodlo"Idaho Address: 10.00 CloLhm�d eM�ult 10.00 Single-duct Phone: Fax: wilat p2mp!MMI Voll ty TRT!j 6.10 ,4y(44 AKWCn*ifpm 10.00 Other 10-00 Butitteu turns: Fuel 1 -- C AMICI nUW: 13.40 rat rust opmr..SIAL br mch additional Addmt; Ptirms etc, an last puny welU�us�seds4�wit Mater Phone: Wow heam Cbthet Bullem mm ICe 61, ae,��s J!t 774 q Address: Citytsmwm: (;re ;44ix 0 r(- 5-W Minimum pnit fm(372-SO) Phma:('4-0 3 A&a 9' Fax:(4 Plan m4iow 25%or its z 5- 0 3 CCR hc.� Stam surcluirr(VK of perrult fm) 12_1 TOTAL PEPMT FZt /1) 1 q Authorized tipfilftWmol.. doerfiller 11 hm bm"ftealim"t"*4 Fee exAedebp to b7 TrF^otaty trMltlllae t"dvWySe";tt board *.JfdWrrwA"k4CAmm1t.%W*m IYU CITY OF T I GA R D MECHANICAL PERMIT DEVELOPMENT SERVICES PERMIT#: MEC2004-00195 13125 SW Hall Blvd.,Tigard,OR 97223 (503)639-4171 DATE ISSUED: 4/19/04 PARCEL: 1 S 134AA-01800 SITE ADDRESS: 10170 SW NIMBUS AVE H-7+8 SUBDIVISION: SCHOLLS BUSINESS PARK ZONING: I-P BLOCK: LOT:002 JURISDICTION: TIG CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS: TYPE OF USE: COM UNIT HEATERS: VEWT FANS: 1 OCCUPANCY GRP: A3 VENTS W/O APPL: VENT SYSTEMS: STORIES: BOILERS/COMPRESSORS HOODS: FUEL TYPES 0 - 3 HP: DOMES. INCIN: ELE 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 , BTU: <R 10000 cfm: G > 10000 cfm: AS OUTLETS: Remarks: Installation of(1)exhaust fan in newly created bathroom. Project value: $260.00 Owner: FEES _ ROBINSON, CONSTANCE A + Description Date Amount ROBINSON, LYNN + �FLL, KAY ET IMECIII Permit Fee 4/19/04 $72.50 BY INSIGNIA COMMERCIAL ,,ROUP BEAVERTON, OR 97008 ('FAX] 9%State Surcharl 4/19/04 $5.80 Phone: Total $78.30 Contractor: OREGON HEATING +A/C INC PO BOX 397 DUNDEE, OR 97115 REQUIRED INSPECTIONS Phone: 538-2953 `n, . section Reg#: LIC 125815 a a U) W This permit is issued subject to the regulations contained in the'i igard Municipal Code, State of Ore. Specialty Codes J and all other applicable laws. All work will be done in accordance wi`.h approved plans. This permit will e>pire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted in the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-00 (Issued By: Permittee Signature: — Call (503 9-4175 by 7:00 P.M. for Inspections neede t ne 96WOSAY Mechanical Permit Application -- Dale received: Permit �S ,� 9 City of Tigard. ✓ g Project/appl. no.: Expiro date: (.11ynfTiiqun/ Address: 13125 SW Hall Blvd,Tigard,OR 97233 "` Phone: (503) 639.4171 Date issued: By: �cceipt ta.: Fax: (503) 598-1960 Case file no.: payment type: Land use approval: Building permit no.: U I &2 family dwelling or accetisoryCo mmercial/industrial U Multi-family U'tenant improvement U New construction U lition/alteration/replacement U Other: - Job address: O_. -_..l -t Indicate equipment quantities in boxes frelow. indicate the dollar Bldg. no.: _ Suite no.: value of all mechanical mar ls.equipment,labor,overhead, Tax map/tax lot/account no.. profit. Value S -E�'� A Lot: Block: Subdivision: "See checklist for important application information and Project name �,04 F ,t jurisdiction's fee schedule for residential permit fee. City/county: N.4 jea LIP: --- Description anS l tion of v.ork ort premises: 1141KXWMIJ�� ljwl�0 zw Q� ­_ -- Fee(s.) Total Est.date of completion/insp ction: Dew nipdon Qty. Ates.only Res.only Tenant improvement or chnage of use: ll .AC: is existing space heated or conditioned?U Yes ,U No Air handling trait CFM Air conditioning(site p an req.' ) Is existing space insulated?U Yes U No Alteration of existing FIVAC system _ Boiler/compm3wrs Business name: state boiler permit no.: -OREGOt4 j4L4T(NG- -- lip Tons BTU/)d Address: At AIR-COND rire smoke c mpers/ uct smoke etectom City: P.O. BgA 397. Dundee. Qiph 1 Zip: eat pump(site plan required) Phone: (50 rba8.2953 E-mail: ste rep acetirnace/ er-- -133V�T CCB no.: Including ductwork/vent liner O Yes U No _ ossa rep ace re a ate eaters - Ilispen City/metro lic.no.: __ wall•or floor mounted Name please print): Veru or a once of r t an tumce e gera on: Absorption units _ BTU/H Name: Chillers _ _ lip -- Address: Compressors Environmental exhaust and•eu hr oa: City: --- -— tate ZIP: Appliance vent Phone: j Far: E-mail: Z �itst- Type V i/res. itc azmat e suppression system Name: fan with sin Ig a duct(bath Fans) Mailing address: system apart from treating or AC tnR and r�tiMbhuffoe(up to 4 outlets) City State: LIP: Type:__ LPG NG Oil CL Phone: Fax: E-mail: ul iein eat a atoneover outlets -- -- rotes p p nK(schematic required) D/I Name. Number of outlets - --- --- r ap ante or eqa nae Address: Ncorntive fireplace -� City: State: ZIP: [assert -type___._ i m Phone: Fax: - E-mail rxx stove/pe et stove WOt Applicant's 3lgnature: Date: other: - - 1 Name(print): _ — Not ill jiiriediction%mcept credit c.mN.p ease cal jnrindiction ror mo ormation. Pertnit ler?........-......... `-- Notice This permit application U vi,n o twnsmtc:,trd lVfinlmum fcc......'........ S exptrcw if a permit is not obtained - ('slit cant number: __.._.._ I I - Plan review(at -- %) a _ --- r. irN within IRO days alter it has hcen _ p State surcharge(8%)....'l; - Ra`rtie iileanlfii;l7er to dioivti un ciaRl"card`- nt:cepled as complete. ___.____. -t.irtlh�iiilai•sign.•iitiie - . .�.-'�_._ ;itma'mY 440-1611(6UW.`j)Mt) i _ r j l y �h � l i LU OF TIGARD U' Approved..... . ...... ........� Conditionally pprov For only the York as escribed in: pF-nMIT NO. Sne Letter to:Follow................................ Y Attach ..r••y�•-•1::��'•d'�j�j��(�f�f��7•f•g Job Addre::s:.�Ql� �'��OatE�:�Q��J=-•-''.`"y ar. '- OFFICE COPY /CITY OF TIOARD 24-Hour BUILDING 0 Inspection'Llne: (503)6394175 INSPECTION DIVISION Business Line: (503)639-4171 MST -- — BUP --__ Received Z C} Z Date Requested s AM PM BU -- Location _.— �U/ 7�� ,? /��� ClZ Suite Contact Person _ i _. Ph( j( Z. PLM Contractor Ph( —) SWR _•_ _ BUILDING Tenant/Owner r1_d� � dZ ELC Footing ELC Foundation ,.cess. -- -- Fig 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 PART FAIL --- — PLUMBING Post&Beam Under Slab Rough-In — Water Service - — Sanitary Sewer Rain Drains — -- _ Catch Basin/Manhole Storm Drain Shower Pan Other: ----- Fina! PASS PART FAIL MECHANICAL Post&Beam — Rough-In J a Gas Line — � AICAL W PART FAIL m Rough-In W UG/Slab — J Low Voltage Fire Alarm --- -- Final Reins ection fry of � __ PASS PART FAIL �� p _required before next inaperthn. Pay at City Hell, 13125 SW Hail Blvd. Please r•,ell for reinspection RE: F1t!nnbie to Inspect-no PO MMIt Fire Supply Line ADA Approach/Sidewalk Other: Final -- DO NOT REMOVi this ff—Irse–awmX1+0011 th ssllle. PASS PART FAIL CITYOF `rl GAR® SEWER CONNECTION PERMIT DEVELOPMENT SERVICES PERMIT#: SWR2004-00124 13125 SW Hall Blvd.,Tigard, OR 97223 (503)639-4171 DATE ISSUED: 4/22/04 SITE ADDRESS; 10170 SW NIMBUS AVE H-7+8 PARCEL: 1S134AA-01800 SUBDIVISION: SCHOLLS BUSINESS PARK ZONING: I-P BLOCK: LOT: 002 JURISDICTION: TIG TENANT NAME: CHILDREN OF THE SEA USA NO: FIXTURE UNITS: 2 CLASS OF WORK: ALT DWELLING UNITS: TYPE OF USE: COM NO.OF BUILDINGS: INSTALL TYPE: BUSWR IMPERV SURFACE: Remarks: .1 EDU increase. 2"drain added to plumbing permit after issue. Owner: -- FEES ROBINSON, CONSTANCE A + ROBINSON, LYNN + BELL, KAY ET Description Date Amount BY INSIGNIA COMMERCIAL GROUP [SWUSAI Swr Connect 4/22/04 $240.00 BEAVERTON, OR 97008 [SWUSA] Swr Connect 4/22/04 $0.00 Phone: — Total $240.00 Contractor: Phone: Reg#: Required Inspections a ac t- v9 CO This Applicant agrees to comply with all the rules and regulations of the Clean Water Services. The permit expires 180 0 days from the date issued. The total amount paid will be forfeited if the permit expires. The Agency does not guarantee W the accuracy of the side sewer laterals. If the sewer is not located at the measurement given, the installer shall prospect 3 feet in all directions from the distance given. If not so located,the installer shall purchase a"Tap and Side Sewer" Perm < �- IsCuedby:��,,. ���L—_ Permittee Signature: Call(503)6394175 by 7:00 P.M.for an Inspection needed the next business day CITY OF TIGARD SEWER CONNECTION PERMIT DEVELOPMENT SERVICES PERMIT#: SWR2004-00113 13125 SW Hall Blvd., Tigard, OR 97223 (503)6394171 DATE ISSUED: 4/9/04 SITE ADDRESS; 10170 SW NIMBUS AVE H-7+8 PARCEL: IS134AA-01800 SUBDIVISION: SCHOLLS 13USINESS PARK ZONING: I-P BLOCK: LOT: 002 JURISDICTION: TIG TENANT NAME: CHILDREN OF THE SEA USA NO: FIXTURE UNITS: 4 CLASS OF WORK: NEW DWELLING UNITS: TYPE OF USE: COM NO. OF BUILDINGS: INSTALL TYPE.: BUSWR IMPERV SURFACE: Remarks: .3 EDU increase Owner: FEES ROBINSON, CONSTANCE A + ROBINSON, LYNN + BELL, KAY ET Description Date Amount BY INSIGNIA COMMERCIAL GROUP [SWUSA]Swr Connect 4/9/04 $720.00 BEAVERTON, OR 97008 [SWUSA]Swr Connect 419/04 $0.00 Phone: — Total $720.00 Contractor: Phone: Reg#: Required inspections CL rc m C9 This Applicant agrees to comply with all the rules and regulation, of the Clean Water Services. The permit expires 180 W days from the date issued. The total amount paid will be forfeited if the permit expires. The Agency does net guarantee the accuracy of the side sewer laterals. If the sewer is not located at the measurement given, the installer shall prospect 3 feet in all directions from the distance given. If not so located,the installer shall purchase a"Tap and Side Sewer' Perm Issued Permittee Slgnaturb 0 jk— — I Call(503)639-4175 by 7:00 P.M.for an Inspection needed the next business day FROM :MARXMEN PLUMBING INC FAX HO. :5035792201 Apr. 06 2604 06:58Ar. P2 Bodine natures Plumbing Permit Applic� "PluminlAp Plumhing Penna No.: Sewer / +t�sty of Tigard a,t� . PermitNoA1A2W`'/-!t1 �! 1.3125 SW Hall Blvd. Plan Rm^c„° other "Tigard,Oregon 97223 DoleM : Pear it No.:_ Use Phone: 503-639-4171 Fax: 503-598-1960 PatDr. land Cafe N Uau/D n n Internet: www.ci.tigord.1)r.u3 ContactSee Page 2 for 24-how Inspection Request: 503-639-4175 NamdMethod: - Supeltinental Information. "ri:�r7dy.d' ;:ti; ' ,$I dW0 � ;""' "r FES.a 6 DIErDIlLE'(lrot'.,Iljle�l 1'1"fOriiillitltlil:N clllt:kll>It '�'"' New construction _ Demolition Description ofy. Fee(ea.) Totat Addition/alteration/r lacement Othcr: He►N 1�" �`f djs!tl 1, .Itl'�;,,,'t �- ' . �M'ry.. t<I'C11tAtlthdli�tlG lktbii i till '. li ubH 7 r.:'',; 'M•,..,,' .EGORY' P:CONST�U N SFR f 1 bath 249.20 1. do 2-Pamil dwellin CommerciaMn strial i AFR 2 bath 350.00 Accesso 13uildr_g__ Multi-FamilySFR 3 bath 399.00 Master Builder' Other: Each additional both/kitchen 45.00 ", k.. B. ITS&VI ION W L TION Fire sprinkicr-sq.R.: Page 2 Job site address: O r- Suite _ Dld ./A t.�: Catch hasiNarcadrwin 16.60 SD ell/leach line/trench drain 16.60 Suite 0 Name: Footing drain no.linear ft. Page 2 Cross strcct/Dircctionl;to job site: Manufactured home utilitielt 110.00 Manholes_ 16.60 Rain drain cormector 16.60 Sanity sewer no.linear ft. Pec 2 Suhdivision: Lot#: Storm sewer no. linear ft. Page 2 Tax rnA / areal#: Water service no.linear ft. Pae 2 ., :.,� :.i �'rd � '� 'I 4 ,til � 'i t•N +. IDES 101f OF',W ' Absorption valve 16.60 Backflow prevenlcr Pec 2 Backwater valve 16.60 Clothes warher 16.60 Dishwasher 1 fs.G0 Drinkin fountain 16.60 'ectors/su 16 G0 E Name: rx ansion tank 16.60 Address: Fixture/sewer cap 16.60 Cit /State/zi Floor draiNfloor cmk/hub 16.6a Garbage,,diip2mf 16.60 Phonc: Fax: Hosc bib _ 16.60 I► ;;;, �- %-,i, do 'CT rVIRSON lee tnoker _ 16.60 Name: lntcrccptorfgnese trap 16.60 Address: Medical Sas-valuer _ Page 2 Primcr _ 16.60 Clt /Stale/Zl Roof drain commercial 16.60 Phone: Fax: Sink/basinA 16.60 E-mail: Tub/zhoweifthowu pan16-69 MTRikCTR O Urinal 16.60 Business Name:' . t�a .. {. �.. - Water closet I6.60 Address: �� �� Water heater 16.60 W, .tQ, Ohm City/State/zip: 8edyelTo h Dwi O Other: -' Phone: 50 -51 9.2 2+*101 Fax:503- 57 22o 1 Plurltble Pelt "I r.::>7; ----� Subtotal S `CCB Lic. #: Pl b. Lic.#14-1 I pe Authorvcd OfD �f Minimum Pcnnit Fee$72.50 S S. nature: 1 f� Residential Backflow /.Minimum Fee$36.25 Plan Rcvicw(25 of Permit Fee) $ AA K 11 _�1 _ State Surcher a 8%of Permit Fee S (Please puna name) TOTAL PERMIT ne S Notice: Thlt permit application explret If it permit Is net obtained within All new rommerrlol buildings require 2 sen or plans with Itotnetrle or 180 days after It has bees accepted as complete. riser dlattrom for plan review. 'Fee methodology set by Tri-County Building IndustryQervlee flosrd. �Date�Pcnmt Ponne�PlmPormftApp.dne 01103 F Rorl :MPQXMEN PLUMBING INC FAX N0. .:5035792201 Apr. 06 2004 06:SIAM P i 7 j%AXA44lN PLUMBING AND CONSTRUCTION, INC. "S 8w.10M AVE eFJ►ve+ M,gaol+.Hoot.Sos-Stl-M.FAX say-sMnal CCs It 10202 CHILDREN OF THE SEA 10170 SW NIMBUS AVE SUITES H6,71 8 Tigard.'Oregnn PLUMBING ADDITIONS I-SHOWER A.D.A. 2-FLOOR DRAINS(PRIMED) I-WATER HEATER 65 GALLON RLRCTRIC ft �� 4 1 �' � •/,IIA. / 1/t I ! 40 �uJ � 12 fi FsX19rT1Nci Lxi44�1;10, �aAs-A-e WIC, / LAV Accumulative Sewer Tally Parcel# 1 S134AA-01800 Tenant Name:Children of the Sea This SW RA 2004-00113 Site Address: 10170 SW Nimbus#H7&8 This PLM# 2004-00146 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_ Baptisery/Font 0 0 0 0 0 Bath -Tub/Shower 4 0 0 0 0 0 -Jacuzzl/Whirl pool 4 0 0 0 0 0 Car Wash-Each Stall 6 0 0 0 0 0 -Drive through 16 0 0 0 0 0 Cuspidor/Water Aspirator 1 0 0 0 0 1 0 Dishwasher-Commercial 4 1 0 0 1 0 0 0 -Domestic 2 0 0 0 0 0 Drinkin Fountain 1 0 0 0 0 0 Eye Wash 1 0 0 0 0 0 Floor Drain/Sink-2 inch 2 0 0 1 2 1 2 3 inch 5 0 0 0 0 0 4 inch 6 0 0 0 0 0 Car Wash Drr 6 0 0 0 0 0 Garba a 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) 46 0 0 0 0 0 Ice Machine/Refrigerator Drain 1 0 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 1 2 1 2 Sink-Bar/Lavatory 2 0 0 0 0 0 Bradley 5 0 0 0 0 0 Commercial 3 0 0 0 0 0 _ Service 3 _ _0 0 0 0 0 Swi,,nminy Pool Filter 1 0 0 0 0 0 Washer-Clothes 6 0 0 0 0 0 Water Extractor 6 0 0 0 0 0 Water Closet- Toilet 6 0 0 0 0 1 0 _ L Urinal 6 0 0 0 0 0 r Previous EDU Count 0 0 to Capped EDU Credit 0 TOTALS 1 0 1 0 0 0 2 1 4 1 2 4 M Current Fixture Value 4 divided by 16= 0.3 Current EDU 1 EDU= $ 2,400 L9 Previous Fixture Value 0 divided by 16= 0.0 Previous EDU W Change 4 divided by 16= 0.3 over (under) $ 720.00 J Enter EDU Change Here 0.3 Notes: Ignature: Date: Q Building Division _ r Note: The pmpPrty o shall retain the ORIGINAL sewer tally record. It credits exist, this document will serve es a voarher which must be submitted to the City of Tigard Building Division to redeem credits towards future system development charges. :\Building\Sewer Tally\SewerTallySheet.xls 11/19/03 CITY OF TIGARD 24-Hour BUILDING Inspection Lim- (503)636-4175 0 MST INSPECTION DIVISION Business Line: (503)636-4171 SUP Received . Z// Date Requested] "/ "l PM SUP Location �� l �_( �f/1�1 /l,(� Suite6 _ MEC Contact Person .� Ph Contractor I I- V1 / Ph(— ) _��2. SWR BUILDING Tenant/Owner _ ��-�i�,LQ--.0 A j _ ELC Footing ELC Foundation Access; Fig 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 ('ether: - Final -PASS PART PART FAIL — — �— PLUMBING _ Post&Beam Under Slab —_ Rough-In Water Service Sanitary jwer Rain Drains --- Catch Basin/Manhole Storm Drain — Shower Pan PART FAIL _ HANICAL Post& Beam Rough-In _ d Gas Line Smoke Dampers --- Final _PASS PART FAIL — - ELECTRICAL_ ED Service -- 5 Rough-in W UG/Slab Low Voltage Fire Alarm -- Final El Reinspection _ PASS PART FAIL VeC� fee of$ -- required before next inspection Pay at City Hall, 13125 SlY HallBlvd. SITE Please call for reinspection RE:_ — _ _ U Unable to Insp:ct-no across Fire Supply Line ADA Approach/Sidewalk p flesP�ta� !1[t Other: Final —^ DO NOT 11 MME MIS i eltlM mdN A+e111 Sol"Na. PASS PART FAIL LkCITY OF TIGARD PERMIT DEVELOPMENT SERVICES PERMIT#: PLM2004-00146 13125 SW Hall Blvd., Tigard, OR 97223 (503)639-4171 DATE ISSUED: 419/04 SITE ADDRESS: 10170 SW NIMBUS AVE H-7+8 PARCEL: 1S134AA-01800 SUBDIVISION: SCHOLLS BUSINESS PARK ZONING: I-P BLOCK: LOT: 002 JURISDICTION: TIG CLASS OF WORK: OTR GARBAGE DISPOSALS: MOBILE HOME SPACES: TYPE OF USE: COM WASHING MACH: BACKFLOW PREVNTRS: OCCUPANCY GRP: B FLOOR DRAINS: 2 TRAPS: STORIES: WATER !HEATERS: 1 CATCH BASINS: FIXTURES LAUNDRY TRAYS: SF RAIN DRAINS: SINKS: URINALS: GREASE TRAPS: LAVATORIES: OTHER FIXTURES: 1 TUB/SHOWERS: 1 SEWER LINE: R WATER CLOSETS: WATER LINE: ft DISHWASHERS: RAIN DRAIN: R Remarks: Installation of(1)2"floor drain, (1)shower stall, (1)primer&(1)water heater. 4.19-04 Add(1)2"Hoon draln.bb. Owner: FEES Description Date Amount ROBINSON, CONSTANCE A+ -------- ROBINSON, LYNN + BELL, KAY ET [PLUM13] Permit Fee 4/9/04 $72.50 BY INSIGNIA COMMERCIAL GROUP [TAX] 8%State Surchart 4/9/04 $5.80 BEAVERTON, OR 97008 [PLUMB]Permit Fee 4/20/04 $16.60 [TAX]8%State Surcharl 4120/04 $1.33 Phone : Total $96.23 Contractor: MARXMEN PLUMBING INC 9665 SW 163RD AVE BEAVERTON, OR 97007 REQUIRED INSPECTIONS Phone : 579-2200 Rough-in Insp Final Inspection Reg#: MET 00001112 LIC 102432 PLM 34-161 PB a oc This permit is issued subject to the regulations contained in the Tigard MuJcipal Code, State of OR. ca Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Isued By: Permittee Signature: Call(503)6394175 by 7:00 P.M.for an Inspection needed the next business day CITY OF TIGARD 24-Hour BUILDING Inspection L 3)636-4175 INSPECTION DIVISION Business Line: (503)636-4171 MST SUP Received _— Q _Date Reques d_ AM_ PM� — BUP Location __ 10�� 72 101� Suite 4J7 ? MEC Contact Person Ph( ) PLM Contractor C -USG • Ph( ) ��� SWR BUILDING _ Tenant/Owner Footing ELC Foundation Access: Ftg Drain ELR Crawl Drain Slab Inspection Notes: SIT Post&Beam Shear Anchors Ext Sheath/Shear !nt Sheath/Shear Framing _ insulatl#j,. Drywall Nailing -- — — Firewall Fire Sprinkler -- — Fire Alarm Susp'd Ceiling — —— Roof Other: Final PASS PART FAIL PLUMBING _ Post&Beam -- Under Slab Rough-In Water Service Sanitary Sewer Rain Drains --- _ Catch Basin/Manhole Storm Drain — Shower Pan Other: Final PASS PART FAIL _MECHANICAL — Post&Beam Rough-In Gas Line d Smoke Dampers Final U' PASS PART FAIL U) — - ELECTRICAL — — Service m -- WLow Voltage _ _j Fira-Alarm &ASS ART FAIL Reinspectinr Me of$_-_ .___. _ required before next inspection. Fay at City Hall, 13125 SW Hall Blvd. ---- - Ll Please call foIt einsper.fi RF ._-_— —__-� r tlnat>!-to inspect- no access Fire Supply Line ADA � ft Approach/Sidewalk v -0 — Ie f Other: if Final DO NOT REMOVE this 11111600r l t1N sits. PASS PART FAIL ' ' ELECTRICAL PERMIT CITY OF TIG�RD PERMIT 0: ELC2004-00195 DEVELOPMENT SERVICES DATE ISSUED: 4/16/04 MAIM 13125 SW Hall Blvd„Tigard,OR 97223 (503)639-4171 PARCEL: 1S134AA-01800 i SITE ADDRESS: 10170 SW NIMBUS AVE H-7+8 ZONING: I P SUBDIVISION: SCHOLLS BUSINESS PARK BLOCK: LOT: 002 JURISDICTION: TIG Project Descriptlon: (2)branch circuits. 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: SIGNALIPANEL: MANF HMI 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 FOUR: 401 - 600 amp: EA ADD'L BRNCH CIRC: 1 :N PLANT: 601 - 1000 amp: PLAN REVIEW SECTION 1000+amp/volt: >=4 RES UNITS: >600 VOLT NOMINAL: Reconnect only_ SVC/FDR>=225 AMPS: CLASS AREA/SPEC OCC: Owner: Contractor: ROBINSON,CONSTANCE A+ WILLAMETTE ELECTRIC INC ROBINSON,LYNN+BELL,KAY ET PO BOX 230547 BY INSIGNIA COMMERCIAL GROUP TIGARD,OR 97281 BEAVERTON,OR 97008 Phone: Phone: 503-624-3631 Reg 0: LIC 75059 SUP 19655 FEES ELE 34-2830 Description Date Amount Required Inspections �EI.PRMTj El C Pemiit 4/16/04 $53.50 [TAXI P/o State Surcharge 4/16/04 $4.28 Rough-in _ Elect'l Final Total $57.78 This Permit is issued subject to the regulations contained in the Tigard Municipal Code,State of OR.Specialty Codes and all other applk;able 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 sef forth in OAR 952-001-0010 through OAR 952-001-0100. You may obtain copies of these rules or direct questions to OUNC at(503)2468699 or 1-800-332-2344. ----�. Issued By: ,cQ Permit Signature: f. T OWNER INSTALLATION ONLY The installation is being made on property I own which is not intended for sale, lease, or rent. m OWNER'S SIGNATURE: DATE: _ W CONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR. ELEC'N: DATE: LICENSE NO: Call 6394175 by 7:00pm for an Inspection the next business day Electrical Permit Application Rece;ve Electrical Date/Ilt Permit No. _� /�! City of Tigard Plannmg ppro sl Sign Datrl . Permit No.: 13125 SW Hall Blvd. Plan Review -- Other - - - Tigard,Oregon 97223 Date/BY: Permit No Phone: 503-639-4171 Fax: 503-598-1960 Post-Review Land Use I Internet: DatdB : Case No.: www.ci.tigard.or.us Contact See Page 2 for 24-hour Inspection Request: 503-639-4175 Name/Method: Supplemental Information. New construction Demolition ._J 3ery ice over 27.5 amps- Health-care facility Addition/alteration/re lacement Other: commercial ❑Hazardous location ❑Service over 320 amps-rating of ❑Building over 10,000 square feet, I&2 family dwellings four or more residential units in 1 &2-Family dwelling Commercial/Indush ial ❑System over coo volts nominal one stnicture ❑Building over three stories ❑Feeders,400 amps or more Accessory Buildin Multi-Family _ []Occupant load over 99 persons ❑Manufactured structures or RV park Master Builder Other: ❑Egress/lighting plan ❑other:_ Submit_.sets of plans with any olthe above. The above are not applicable to temporary construction service. Job site address: lO l 7 o S-c ;,..6G J q., e Suite#: N l- d' 777TBldg/Apt.#: Number of Ina ectiona er mitallowed Project Name: 1 a. Description Qty Pee(ea.) Total New residends"ingle or mald-family per Cross street/Directions to Job Site: dwelling ask.Includes attached garage. Service included: 1000 sq.R or less 145.15 4 _ Each additional 500 sq,ft.or portion thereof 33.40 1 Subdivision: Lot#: Limited energy,residential --� 75.00 2 Limited energy,non residential 75.00 2 CeX ma / arcel #: F.ach manufactured home or modular dwelling service and/or feeder 90,90 2 Services or feeders-Installation, alteration or relocation: 200 amps or leas _ 80.30 2 201 amps to 400 amps -- 106.85 2 401 amps to 600 amps 160.60 2 601 amps to 1000 amps _ 240.60 _ 2 Over 1000 amps or volts 454.65 2 Name: Reconnect — 66.85 2 Address: Temporary services or feeders-Installation, alteration,or relocation: City/State/Zip: 200 amps or leas 66.85 1 Phone: Fax: 201 amps,to.400 arnpl 100.30 _ 2 401 to 600 move 133.75 2 Branch circuits-new,alteration,or Name: extension per panel: A.Fee for branch circuits with purchase of Address: _ _ service;,feeder fee each branch circuit 6.65 _ 2 Ci /State/ZiB.Foe for branch circuits without purchase of service or feeder fee,first branch circuit 46.85 W RX 2 Phone: Fax: Each additional branch circuit 6.65 4 6-r 2 E-mail: Misc(Service or fader not included): Each pump or irrigation circle 53.40 2 Each sign or outline lighting 53.40 2 Job No: S 5 `i Signal cimuit(s)or a!united energy panel, -- — /1 2-a> k r; /P c f/i c �„e alteation,or extension _ P 2 2 BUS1neSS NaMe: L(/ _ Description: • Address: P.o. /3or.Z305-y7 j i CitCity/State/Zip: ./ (�/i 9�Z Z?/ Each additional 1%.pecdon over the allowable In as of the above: /� ate/Zi : _ s _ Per inspection per hour ruin I hour Willi- Phone: 2.50Phone: 5 03) 6 t 4 J(T 1 Fax:(S 0 3) 62 V Z 97? _ Investigation fee: I CCB Lic. #: O 7) A s i Lic. #: `1-2 83 G other: l — Supervising electrician ��� / —1 --- Subtotal S X signature required: Y� ? Plan Review 25%of Permit Fee S Print Name: n c Lic. #: /9d S _ State Surcharge 8%of Permit Fee S TOTAL PERMIT FEE S Authorized Notice: This permit application eypires If a permit Is not obtained within Signature: _ Date: 180 days after It has been accepted as complete. 'Fee methodolo"set by Tri-County Building industry Service Board. (Please print name) is\Dsts\Petmit Forms\ElcPermitApp.doc 01103 Electrical Permit Application -City of Tigard Page 2 - Supplemental Information LIMITED ENERGY PERMIT FEES: RESIDENTiiAL WORK ONLY: Feefor Ml systems............................................................ $75.00 Check Type of Work Involved: U Audio and Stereo Systeme* Burglar Alarm F] Garage Door Opener* EJHeating.Ventilation and Air Conditioning System* Vacuum Systems* Other-� -- —_--, COMMERCIAL WORK ONLY: Feefor each system.......................................................... 575.00 (SEE OAR 918-260-250) Check Type of Work Involved: El Audio and Stereo Systems Boiler Controls Clock Systems F] Data Telecommunication Installation ❑ Fire Alarm Installation HVAC EJInstrumentation C Intercom and Paging Systems I andscape Irrigation Control* D ledicel a F-1 Nurse Cells Outdoor Landscape Lighting* Protective Signaling I EJ Other____ — — —.-- W _ ,_Number of Systems .J * No licenses are required. Licenses are required for all other installations iADsts\Permit Farms\ElcPetmitAppPg.2.doc 01/03 CITY OF TIGARD' ELECTRICAL PERMIT PERMIT*: E 117/20-00809 DEVELOPMENT SERVICES DATE ISSUED: 12/17/2004 13125 SW Hall Blvd..Tigard, OR 97223 (503) 639-4171 PARCEL: 1S134AA-01800 SITE ADDRESS: 10170 SW NIMBUS AVE H-7+8 SUBDIVISION: SCHGLLS BUSINESS PARK ZONING: I-P 3LOCK: LOT: 002 .JURISDICTION: I IG Project Dose ription: (3)branch circuits. _ RESIDENTIAL UNIT TEMP SRVCIFEEDERS _ 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: SIGNAIJPANEL: MANF HM/SVC./FOR: 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 FOR: 1 PER HOUR: 401 - 600 amp: EA ADD'L BRNCH CIRC: 2 IN PLANT: 601 - 1000 amp: _ PLAN REVIEW SECTION 1000+amp/volt: >=4 RES UNITS: = 600 VOLT NOMINAL: Reconnect only: _ SVC/FDR>=225 AMPS: CLASS AREA/SPEC OCC: Owner: Contractor: ROBINSON,CONSTANCE A + TRI-COUNTY ELECTRIC ROBINSON, LYNN+ BELL, KAY ET PO BOX 40 BY INSIGNIA COMMERCIAL GROUP SANDY,OR 97055 BEAVERTON,OR 97008 Phone: Phone: 503-668-5016 Reg 0: LIC 16462 _ FEES - ELE 3-91C _ _ SLIP 32755 Description Date Amount — Required Inspections jEPRMT) t( Per,nit I2/I7/200, $60.05 [TAX]8%State Surcharge 12/17/200, $4.80 Rough-in Elect'I Final Total $64.85 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 aocordanoe 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 b;',hc Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0100. You may obtain copies ui t:R3e rules or direct questions to OUNC at(503) 246-6699 or 1$00-332-2344 IL 4 oc Issued By: J� z �t���ti L ! Permit Signature: 6P t C2 �ti N OWNER INSTALLATION ONLY he installation is hr.ing made on property I own which is not intended for sale, lease, or rent. to OWNER'S SIGNATURE: —. DATE: F3 W -J CONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR. ELEC'N: _ DATE: LICENSE NO: Call 639-4175 by 7:00pm for an Inspection the next business day CITY OF TIGARD t. ec Electrical Permit Application Recd By a -131'i-�Z.L $LVD. Rd©y TIGARD OR 97223 hate Rec d „• -_- _�-� Phone(503)e394171, x304 nate to P E _. Date to OST Inspection(503)639. 175 Print of Type Permit a fax(503)598-1960 Incomplete or Illegible wIN not be accopted Called 1. Job Address: �— 4. Complete Fee Schedule Below: Name of Development- Number of Inspections par permit allnivved Name(or name at business)Gh1�.n�_E)P 'rhe S4 A-___ Service Included: Items Cost Sum Address n l (� SL,� )I Kff O�t 40 N. l4swonQ•per unit CkylState/Zip W_Lam!iJ 1t*Osq n or lea - ---- Each additional Soo sq It.c, ---- CommerciaQ Residential❑ portion thereof --- l imiled Erergy S iO W, Lacl,,Marul"d Horne ur Modular 2a. Contractor Contractor instelledon only: D*sning Serie.or F#Ww s 72 15 2 (Prior to r:.-mk Issuance,sppYean2s must provide core slclor Ilcdnsa ab.>!I•ntcee or►oedere Information for COTl Installation.anonftn,cr relocahoi Electrical Contactor LC u 1,[1 '&j�`Lz8LL_ 200 am $or am s $425 2 Address ',0, Alp ,at J 201 amus la 400 ampe f AS W _ 2 City State Zip _ 401 amps to 600 amps - - s 12850 -- 2 601 limps to 1000 amps S 192 50 2 Phone No. s --. -. Job No flgk�_- -• pOver 1000 amps a vo"a - f 36375 - _ 2 ecormert only f 5350 2 nt Elec Co . ice. No. 3-91 L Exp.Data --1 f o l 4c.Tomponery rsrvices or Feeders - 1 OR State CCB Reg. No./�feZ Exp.Date. - 4-4j� Initetlatlon altsmion,or relocation COT Business Tax or Metro No. - Exp Date too amps or Idea _ ,_ s 63.50 2 ��� 201 amps to 400 amps s $025 2 Signature of Supr. Elec'n (j 401 amps to OW amps f toy 002 -- Over Soo amp$to Iow volts License No. 27.5—� Exp.Date ZC117 see"b^above. Phorn No. ,�� 4d.Branch Cimults New,alteration or extension per penal Q e►1 he fee for branch cirauae 2b. For owner Installations: 1 tb � With pumillosa of darvlce or feeder fee. Pant Owner's Name -A Ica�.ti branch circuit S Address D)The too for branch circuits City without puitmose of$ervkd --_ —__-state- - Zip - or feeder fes. Phone N0 _ - rirst branch Circuit f 37.50 I Each additional branch cram f 5.35 The installation is being made an prop"I own which Is not w.Wecolanee" I � Intended for sale.iesse or rem. lsarvloe or faa(11e1i tol Mtluded) .� Each pump or Irrigation circle S Owners Signature -- Each sign or ouGne fighting S 4215 Signal clrcu'lls)or a limited energy 3. Plan Review secdon 7f ui • panel.IlWallon or extension _- f 6000 1 � Minor Jebel%(10) _ — s -AOVI9111 - - Please check appropriate Item and enter fee M section 158. 4f.Eaoh addlff"I Intpection over 4 or more residential Vnite In one structure the allowable In any of the above Service and feeder 225 smp or more Per'nspecfKm S 50 n0 V - ntur f 50 00 In r ric -_�� System over 600 voh nominr'er al -- S 59 Oil - Classified area or structure containing Special occupancy as _- aescribed m N E C.Chapter 5 5. Fees: / J Iia.Enter total of above fees c /t f7 Cab (� Submit 2 sets of plans with appltcation wherd any of the above apply. �sae Surthe r"t�#totat Ieeat c Not required for temporary construction services. Subtotal SJ.2r p I 6h.Enter 25�d fns So for NOTICE "man li ew Nleayqud(�ec J1 S r'-r71,11TS 13ECOME VOID IF WORK OR CONSTRUCTION AUTH JRIT.ED Subtotal c r f y NOT COMMENCED WITHIN 190 DAYS,OR IF CONSTRUCTON OR 10 ''nK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 1!0 DAYS ❑ Trust Account 0 1 11N-r TIME AFTEP,WORK IS COMMENCED Total balance DuR r dors rlmms cicur,c dnc e bb -79, CITY OF TIGARD 24-Hour BUILDING M Inspection Llner'(509)63t1f-4175 MST INSPECTION DIVISION Business Line: (503)639-4171 OUP Received __— Date Requeste7—AM PM—_ BUP LocationMEC - Contact Person _ Ph(— ) _— PLM — — Contractor —_— ____ Ph( ) _S�� SWR BUILDING TenanVOwner �� 1� o. �G.e `-�� ELC 4 7✓��c.1�� Footing ELr _- Foundation Access: Ftg Drain ELR _ Crawl Drain Slab Inspection Notes: SIT Post B 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 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 — -- --- -- d Gas Line Smoke Dampers --- — - N � Final - _- -.- PASS PART FAIL — ELECTRICAL -� Service m Rough-In -- -- -- ---- —_----- w UG/Slab Low Voltage -- - _ Fire Alarm m F-1 Reinspection fee of$ required before next inspection. Pay at City Hall, 13125 SW Hail Blvd. F�rWSART FAIL SITE - I PIeem call for reinspection RE: F] Unable to Inspect-no amass Fire Supply Line 44 PP ADAroach/Sidevwalk Date O - Other: Final DO NOT REMOVE this Inspection f'OCOIm frond the dab sib. PASS PART FAIL CITYI TY O F T I G A R D ELECTRICAL PERMIT- (v' RESTRICTED ENERGY DEVELOPMENT SERVICES PERMIT#: ELR2003-00141 13125 SW Hall Blvd.,Tigard,OR 97223 (503)639-4171 DATE ISSUED: 5/22/03 PARCEL: 1 S 134AA-01800 SITE ADDRESS: 10170 SW NIMBUS AVE H-7+8 SUBDIVISION: SCHOL.LS BUSINESS PARK ZONING: I-P BLOCK: LOT: 002 JURISDICTION: TIG Prosect Description: HVAC Thermostats. A.RESIDENTIAL 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: X PROTECTIVE SIGNAL: INSTRUMENTATION: OTHER: -- TOTA-L#4ESY3TEMS; 1 Owner: Contractor: ROBINSON, CONSTANCE A+ OREGON HEATING-f-AIR COND ROBINSON, LYNN+ BELL. KAY ET PO BOX 397 BY INSIGNIA COMMERCIAL GROUP DUNDEE, OR 97115 REAVE RTON, OP 97008 Phone: Phone: 503-538-1953 Reg#: ELE 522LHR FRES Required Inspections Description Date Amount Low Voltage Inspection [F.1.PRMT] ELL Permit 5/22/03 $7500 Eleet'I Final ITAX) 8"/,,I;tate Tax 5/22/03 $6.00 Total $81.00 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 ncrt started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregor law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR L 952-001-0010 through OAR 952-001-0100. You may obtain copies of these rules or direct questions to OUNC at (503) 246-6699. ZI Issued by tj I iln,y Permittee Signature_ J OWNER INSTALLATION ONLYia F3 The installation Is being made or property I own which Is not Intended for sale, lease,or rent. LU -� OWNER'S SIGNATURE: DATE: CONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR. ELEC'N _ DATE:------------ LICENSE ATE: -_—.T__ ___LICENSE NO: Call 639-4175 by 7:00 P.M.for an Inspection needed the next business day rtay 22 03 09: 21a Oregon Heating and Rir 503-537-2172 P. 1 Electrical Permit Application City of Tigard (� ``,,CC Qro cctlappt nn: Expire date: Address: 13125 SW Halt BlvtiRFod4 EWVE f'i!y nJ 7'il urr! Date issued:-, -- t3y: Receipt no: _ Perones ,'^''� 639-417{ -- ----- ----- -- Fnx: (503) 59R-1960 MAY 2 2 2003 1Case role no.: i Payment type: Land use approval: 7Newdwelling or accessory Commercial/industrial U Multi-family 13 Tenant improvement ctionU AdditioWalteration/replacement D other: ❑Partial U r' ��-�-�( Bldg.no_ Suite no.: Tax rep/tax lot/account no.: ` Lot: Block: _ Subdivision: _ Project name: ' scnption and location of work on premises: r—ry►t{ �1'�11L] __ Estimnted dulc of completion/inspection: Job no: ' L Fee Mex BusineQaname: ( jf�o A�Q. CCY1L_�t1G - �+c*t�I'a . e. TMet per ■0.1 -� Nero rgNeMhl•ftwak er rorNf-Asrf Addums. dwr IlirrgtsaM,lsr¢IsdeaeWebeAaenae. City: _ e_ State: zip: g7Lj.5-_ sbr.k.tee0rlaa Phone: $ -Zh Fax: 53'7__*)l E-mail: room!�".or less CCB no.: �� Elec.bus.tic.no: �4- Feeh udditiorul 700 eq.R.or ion tttaroof _ Limited energy, residential 2 City/ .o7L"1 { — LimUed energy, non-roddaniat_ 2 �..'1 _()� Fxh m:murYtyumd home m modular dwelling t,w aim T fAdred) Wile~—�r3[ Strvice anrVor feeder 2 -----`-'1 Semen or feeders-lastanation. Sup.elect name(print): l ieeroe no fitenMee or relocaHosr, 200 1MV3 or tars 2 Name(print): �� ._�..tr7 401 amps to 100 aroma 2 Mailing address: tl. _ +g 401 amps to 600 am" 2 _ 2 B ti01 em s to 1000 City: Slate LIP: _ _Lj; over 1000 empt or vow _ �2 Phone: _ Fax E-mail: Reconttrcl only I Owner installation: The installation is being made on property 1 own Tasaporery services at feeders- which is not intended for sale,lease,rent,or exchange according to ImsaNatioa,aMensloa,orrreletaHN ORS 447,455, 479,670,701. 200 amps or less 2 201 amo0 4(_Ifla _ 2 Owner's si tura: Date: 401 n 6000 amnia 2 "reach a Ireahs-sew,nitenNea, or extensioe per panAt Nnme: T _— A. ra for brunch circuits with purehave of Address: service or feeder fee,eacb branch circuit 2 City: -'_________ State: ZIP: A. Fee Rx Manch arevlu without prm-hose of servioe or feeder fee,"I breach circuit: 2 Phone: Fax E-mail: Each additional branch cheuit. 8, Mise.(Service or feeder met hscl de4)r a U Service over 221 arttpa,commereinl 0 ticalthrare facility Each pump of irrigation circle _ 2 f' 0 Service over 720 aromra6ng of 1&2 U Httsrdoin IocNhn Each sign or otdline Ii li _ 2 family dwellings U Building ovrr 10,000 quare rxt fntr or Signal circuit's)or a limited energy panel, U System over 600 volts nominal more residential units in one arrucfue alteration, of extension* — 2 U Building over three stories 0 Feeder.400 amps or more 'Description: n rw,,pent fond over co person• U ManuPartured atnrctures or RV park EaebaAdlttoaefimpeetlonererthe anenahlelwany oftheebever U Fgres0ighting plan U Other: _— Per inspection _I 0 Submit-_ sets err plana trills any of the above. Investigation feeUj T _l The above are not applicable to fetapenry coaetrudion service. Other Not all jurirdictinm sept credit exalt.view nil judrAletion P"Mration. Notice: This permit appllcatlon Permit fee.....................5 D Visa D MasterCard expires if a permit is not obtained Plan review(at_ %) S Credit card ntMcr- __ (!.,__ within 180 days alter it has been State surcharge(B%).....s 10 ef ne'repted ns complete, TOTAL.............. S ........... Rm—col cnrdl-toioF1r: m a wn cr duiard S -- --- a 0 Cfps rt _-- .�mmmt---- 440.4611(60001(.-OM) CITY OF TIGARD SEWER CONNECTION PERMIT DEVELOPMENT SERVICES PERMIT#: SWR2003-00151 13125 SW Hall Blvd.,Tigard, OR 97223 (503)639-4171 DATE ISSUED: 5/12/03 PARCEL: 1 S 134AA-01800 SITE ADDRESS; 10170 SW NIMBUS AVE H-7+8 SUBDIVISION: SCHOLLS BUSINESS PARK ZONING: I-P BLOCK: LOT: 002 _ JURISDICTION: TIG _ TENANT NAME: CHILDREN OF THE SEA USA NO: FIXTURE UNITS: 15 CLASS OF WORK: ADD DWELLING UNITS: TYPE OF USE: COM NO. OF BUILDINGS: INSTALL TYPE: BUSWR IMPERV SURFACE: Remarks: .9 EDU increase. Previous fixture units were 215, this permit adds 15, for a new fixture unit total of 230. Owner: FEES ROBINSON, CONSTANCE A + Description Date Amount ROBINSON, LYNN + BELL, KAY ET _ _BY INSIGNIA COMMERCIAL GROUP [SWUSA)Swr Connect 5/12/03 $2,070.00 BEAVERTON, OR 97008 [SWUSA)SwrConnect 5/12/03 $0.00 Phone: Total :2,070.00 Contractor: Phone: Reg#: Required Inspections CL F- U) m W This Applicant agrees to comply with all the rules and regulations of the Clean Water Services. The permit expires 180 days from the date issued. The total amount paid will be forfeited if the permit expires. The Agency does not guarantee the accuracy of the side sewer laterals. if the sewer is not located at the measurement given, the installer shall prospect 3 feet in all directions from the distance given. If not so located,the installer shall purchase a"Tap and Side Sewer" Perm Issued hy: ;.1 Permittee Signature!/ `AD A/.jj. Call(503)6394175 by 7:00 P.M.for an inspection needed the next business day Accumulative Sewer Tally Tenant N$mP;Cbildren of the Sea This SWRA 2003-00151 Site Address: 10170 SW Nimbus,H.7&8 This PLM# 2003-00184 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 Baptisery/Font 4 0 1 0 0 0 0 Bath-Tub/Shower 4 0 0 0 0 0 -Jacuzzi/Whirlpool 4 0 0 0 0 0 Car Wash-Each Stall 6 0 0 0 0 0 -Drive through 16 0 0 0 0 0 Cuspidor/Water Aspirator 1 0 0 1 0 0 0 Dishwasher-Commercial 4 0 0 0 0 0 _ -Domestic 2 0 0 0 0 0 Drinking Fountain 1 0 1 0 0 0 0 Eye Wash 1 0 0 0 0 0 _ Floor Drain/Sink-2 inch 2 0 0 0 0 0 3Inch 5 0 0 _ 0 0 0 4 inch 6 0 0 _ 0 0 0 -Car Wash Drr 6 0 0 0 0 1 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/Refrigerator Drain 1 0 0 0 0 0 oil Se Gas Station 6 0 0 0 0_ 0 Rec.Vehicle Dump station 16 0 0 0 0 0 Shower-Gang der head 1 0 0 0 0 0 -Stall 2 0 0 0 0 0 Sink-Bar/Lavatory 2 0 0 0 0 0 -Bradley 5 0 0 0 0 0 -Commercial 3 0 0 2 6 2 6 -Service 3 0 1 0 1 3 1 3 Swimmino Pool Filter _ 1 0 _ 0 0 0 0 _Washer-Clothes 6 0 0 1 6 1 6 Water Extractor _ 6 0 0 1 0_ 0 0 Water Closet-Toilet 6 0 0 0 0 0 aUrinal 6 0 0 0 0 0 �.. Previous EDU Count 13.4 214.4 214.4 Capped EDU Credit 0 TOTALS 0 214.4 0 0 4 15 4 229.4 m Current Fixture Value 229.4 divided by 16= 14.3 Current EDU 1 EDU= $2,30C.00 W Previous Fixture Value 214.4 divided by 16= 13.4~Previous EDU Change 15 divided by 16= 0.9 over (under) $ 2,070.00 Enter EDU Change Here 0.9 HISTORY Notes: PLM# 98-00185 EDU# 13.4 _ SWR# 98-00153 PLM# 97-00155 EDU# 13.25 _ SWR# 98-00153 _ # EDU# SWR# Narne: � Date: /d ature o/A.•�son that ea�;rat�d thla filly sheet and date per6vmed Is mquhvd CITY OF TIGARD MECHANICAL PERMIT DEVELOPMENT SERVICES PERMIT 0: MEC2003-00221 13125 SW Hail Blvd.,Tigard,OR 97223 (503)639-4171 DATE ISSUED: ISI3 3 PARCEL: 1 S 134AA-01Boo SITE ADDRESS: 10170 SW NIMBUS AVE H-7+8 SUBDIVISION: SCHOLLS BUSINESS PARK ZONING: I-P BLOCK: LOT:002 JURISDICTION: TIG CLASS OF WORK: ADD FLOOR FURN: EVAP COOLERS: TYPE OF USE: COM UNIT HEATERS: VENT FANS: OCCUPANCY GRP: A3 VENTS W/O APPL: VENT SYSTEMS: STORIES: 1 BOILERS/COMPRESSORS HOODS: FUEL TYPES 0 - 3 HP: DOMES.INCIN: LPG 3 - 15 HP: COIAML.INCIN: MAX INPUT: 100,000 BTU 15-30 HP: REPAIR UNITS: FIRE DAMPERS?: N 30-50 HP: WOODS TOVES: GAS PRESSURE: L 50+ HP: FURN < 100K BTU: 1 AIR HANDLING UNITS CLO DRYERS: IT FURN >=100K BTU: <_- 10000 cfm: OTHERR UNITS: 1 > 10000 cfm: GAS OUTLETS: 2 Remarks: Mechanical work associated with tenant improvement. Other unit is clothes dryer duct. Proiect value: $2,331 Owner: _ FEES ROBINSON, CONSTANCE A+ Description Date Amount ROBINSON, LYNN+ BELL, KAY ET (MECPLN)Plan Rev 5/12/03 $18.13 BY INSIGNIA COMMERCIAL GROUP [MECH1 Permit Fee 5/12/03 $72.50 BEAVERTON, OR 97008 [TAX] R%StateTax 5/12/03 $5.80 Phone: r Total $96.43 Contractor: OREGON HEATING +A/C INC PO BOX 397 DUNDEE, OR 97115 REQUIRED INSPECTIONS Phone: 538-2953 Gas Line Insp Mechanical Insp Reg#: LIC 125815 Final Inspection L C 0 This permit is issued subject to the regulations contained in the u 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 Utility Notification Center. Those rules are set forth in OAR 952-001-00 Permittee Signature: nature: • Issued By: ^�������(,(,�, 9 Call 1503)639-4175 by 7:00 P.M.for Inspections needed the next business day Mechanical Permit Application Received Mechanical Date/By: Permit No.: Nlcq 3-&70.1. T\ Planning Approval Building � City of Tigard Datd_By Pemril No.: 0 13125 SW Hall Blvd. Plan Review Other Tigard,Oregon 97223 c)ate/By. _ Permit No.: Phone: 503-639-4171 Fax: 503-598-1960 Dalyare/D�ost-Re. Land Use � Case No.: _T Internet: www.ci.tigard.or.us Contact —A-- Juris.: See Pone 2 for 24-hour inspection Request: 503-639-4175 Name/Method _ S�lemental Information. -- t,'I x, C'� TYPE OF WORK COMMERCIAL FEE'ISCHEDULE•USE C RKLIST El New construction Demolition Mechanical permit fees,are based on the total value of the work Addition/alteration/replacement Other: performed. Indicate the value(rounded to the nearest dollar)of all CATEGORY OF CONSTRUCTION mechanical materials,equipment,labor,overhead and profit. 1 &2- amity dwelling_ Commercial/Indu_stria_l Value: S I _ See Page 2 for F!e Schedule Accesso Buildin Multi-Famil RESIDENTIALEkWKIM n^-�^ _�—_� � Description _1 �c Fee ea-) Total Master Builder _ Other: _ HeatingJCoo[lot JOB SITE INFORMATION and LOCATICN Furnace-add-on air conditioning*• Job site address: D D �l .��J-, Gas heat u 14.E Suite#: Bld ./Apt.#: Duct work ^_ 14.00 Project Name: t �.a 7' H tunic hot waters tem _ _ 14.00GS - - � �— � -- Residential boiler Cross street/Directions to job site: for radiator or hydronic system) 14.00 /J Unit heaters(fuel,not electric) in wall,in-duct,susoended,etc.) 14.00 Flu _ - e/vcn' for an o_f above — 10.00 Subdivision: _ Lot#: Re ap tt units — 12.15 Other Fuel tes � Ilaa Tax map/pared #: Water heater_ _ 10.00 _ DESCRIPTION OF WORK Gas fireplace —+ _ 10.00 Flue vent water heater/gas tiroplace) 10.00_ Lo light ighteT(gas) 10.00 — Wood/Pellet stove 10.00 Wood fireplace/insert _10.00 Chimney/liner/flue/vent10.00 _—__ PROPERTY WR ANT Other: 10.00 NE �,�"- `r3 Euviroftmental Cahouet k Vendladon Name�.,.�1Range hood/other kitchen equipment 10.00 Address: AJ'n �i Clothes dryer exhaust 10.00 City/State/Zip:�L�_i� Single duct exhaust hone: Fax: (bathrooms,toilet compartments, C TCONTACT PERSON utility rooms) 6.80 Name: i p Y Anic/cTa tl space fans — 10.00 --- Other: 10.00 _ Address: Pad Pipiot Cit /State/Zip:'-P,._?- +•(SS.40 for first 4.$1.00 each additional Furnace etc. so a Phone: © . ZW7 �' --- F _ ', Gas heat um V '• E-mail: Fa, _$ to 1 W o Wall/suspended/unitheater F" CONTRACTOR Water heater •' N — Business Name: eW Fire lane •' f Range Address: sem" .: m City/State/Zi ��� q-�� BBQ Clothes d r ate_ '• _ Phone:So3.SFax:Som.� 7=z a Other: _ o• .J' CCB Lac. #: 2 S / _ _ Total: --- MechaNcal Permit Fees• Authorized Subtotal: S Signature: Dater! _-_� Minimum Permit Fee$72.50 S G m 140 Plan Review Fee J25%of Permit Feel S ^� (Please prin acne) State Surchar a 8%of Permit Fee $ TOTAL PERMIT FEE S Notice: Thi.permit application expires If a permit B not obtained within *Fee methodokW set by Tel-County Building industryService Board. 180 days after It has been accepted as complete. "Site plan required for exterior A/C units. is\Dsts\Permit Forms\NlecPermitApp.doc 01/03 Mechanical Permit.Application -City of Tigard Page 2 -Supplemental Information Commercial Fee_Schedule: Total Valuation: Permit Fee: $1.00 to$5,000.00 Minimum tee$72 50 SS,t uI W to 510,000.00 $72.50 for the first$5,000.00 and$1.52 for each additional$100.00 or fraction thereof,to and including$10,000.00. $10,001.00 to$2 .00 $148.50 for the first SIO,OW.00 and $1.54 for each additional 5100.00 or fraction thereof,to and including $25,000.00. 525,001.00 t S0, QO�, $379.50 for the first$25,000.00 and 1.45 for each additional$100.00 or f ion thereof,to and including $50, 00. 550,001.00 and up $742, r the first S50,000.00 and $1 20 for e h additional$100.00 or / fraction there Assumed Valuations Per A Ifaace: Value Total Description: t _�Ea Amount Furnace to 1()0,000 BTU,including 955 5-5 ducts&vents Furnace> 100.000 BTU including ducts 1,170 vents Floor furnace including vent 955 Suspended heater,wall heater or floor 955 mounted heater Vent not included in_appliance permit _ 445 Re it units 805 <3 hp;absorb.unit, 955 to IOOk BTU 3-15 hp;absorb.unit. 1,700 IOIk to 500k BTU 15-30 hp;absorb.unit,501k to I mil, 2.310 BTU 30-50 hp;absorb.unit. 3,400 I-1.75 mil.BTU >50 hp;absorb.unit, 5,725 >1.75 mil.BTU _ Air handlin unit to 10000 cfm 656 Air handling unit>10.000 cfm` 1,170 Non-portable eya2omte cooler 656 Vent fan connected to a single duct 446 Vent system not included in applia e / 656 j /, permit L Hood served by mechanical exhaust 656 Domestic incinerator 1,!70_ Commercial or industrial incinerator 4,590 Other unit,including wood stoves,^ 656 n' inserts,etc. _ (W;piping I4 outlets 360 N Each additional outlet _ 63 TOTAL COMMERCIAL $ J VALUATION: a 134 �i L W J is\Dats\Permit Forms\MecPermitAppPg2.doc 01/03 CITY OF TIGARD 24-Hour BUILDING Inspection Line: (503)636-4176 INSPECTION DIVISION Business Line: (503)636-4171 MST SUP Received —_ Date Requested AM PM_ SUP Location MEC 3 =Dasa gl�o� — Contact Person PLM_ .�_ Ph Contractor Ph(—) _. SWR BUILDING Tenant/Owner ���i11�._0!rO' _ ELC _ Footing __77J1 ELC Foundation Access: Ftg Drain Su ELR Crawl Drain Slab Inspection Notes: SIT _ Po-4&Beam Sh,Ext S Anchors Ext Sheath/Shear _ Int Sheath/Shear _ Framing _— Insulation Drywall Nailing Firewall Fire Sprinkler — Fire Alarm Susp'd Ceiling -- Roof Other:_ -- Fina! 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 PAS T FAIL — HANIC L Ro to p, Gas Line p� Smoke Dampers -- — _- 4- t� sp PART FAIL - C RICAL Service m Rough-In � W UG/Slab --� Low Voltage Fire Alarm Final Reinspection tee of$_.. _ required before next inspection. PASS PART FAIL p - --- P Pay at City Hall, 13125 SW Hell Blvd. SITE Please call for reinspection RE:_ _. L�Unab!A to Insroct-- no access Fire Supply Line ADA �� Approach/Sidewalk Date— -s Other: Final DO NOT REMOVE this Inspodlon record frog the Job site. PASS PART FAIL CITY OF TIGARD BUILDING PERMIT DEVELOPMENT SERVICES DATE SSUIED: BU2200303-00141 13125 SW Hall Blvd..Tigard,OR 97223 (503)639-4171 PARCEL: 1S134.AA-01800 SITE ADDRESS: 10170 SW NIMBUS AVE H-7+8 SUBDIVISION: SCHOLLS BUSINESS PARK ZONING: I-P BLOCK: LOT: 002 JURISDICTION: TIG REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION CLASS OF WORK: 9PA5 ftd FIRST: 1,245 sf N: S: E: W: TYPE OF USE: COM SECOND: sf _ PROJECT OPENINGS? TYPE OF CONST: 5N sf N: S: E: W: OCCUPANCY GRP: A3 TOTAL AREA: 1,245 sf ROOF CONST: FIRE RET? OCCUPANCY LOAD: BASEMENT: sf AREA SEP. RATED: 2HR 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 UNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP ACC: BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING: VALUE: $ 50,000.00 Remarks: TI Opening a space in the current suite 6 space. Owner: Contractor: ROBINSON, CONSTANCE A + BNK CONSTRUCTION INC ROBINSON, LYNN 4 BELL, KAY ET 10730 SE HWY 212 BY INSIGNIA COMMERCIAL GROUP PO BOX 66 BEAVERTON, OR 97008 CLACKAMAS. OR 97015 Phone: Phone: 557-1085 FAX Reg#: INITD866 0075003941 _ FEES LIC REQUIR�DSINSPECTIONS Descriptior+ Date Amount Mechanical Permit Require 11311PPLN] Pin Rv 3/24/03 $306.02 Electrical Permit Required [FLS)FLS Pin Rv 3/24/03 $188.32 Plumbing Permit Requireo Framing Insp [BUILD;,Permit Fee 5/12/03 $470.80 Gyp Board Insp TAX] 8%State Tax 5/12/03 $37.66 Susp Ceiing Insp TotalX1,002.80 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 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 worts is suspended for more than 180 days. ATTENTION: Oregon law requires you to foilewv the rules adopted by the Orogon Utility Notification Center. Those rules are set forth in OAR 952.-001-0010 through OAR 952-001-0100. You may obtain a copy of these rules or direct questicns to OUNC by a calling (503)246-6699 or 1-800-332-2344. i Issued By: Pe rm it taa Signature: j( • Q V.P. _ Call 639-4175 by 7 p.m. for an inspection the next business clay i df?0 S!N /U//1Ov-J 0V6, Building Permit Application City of Tigard o date receiveddd--o s 7E7xp t^o_�V?7no: -�Q 1 Address. 13125 SW IFall Blvd,Tigard "� Project/appl. no.: date: Call of Tigard n Date issued: B Root Phone: (503) 63 4171 (�. y �P Fax: (503) 598-1.60 , r ^oo� Case file no.: Payment type: � ` p Land use approval:_— sQV I&2 family: Simple Complex: `a Qv ❑ I &2 family dwelling or accessory G,4' Comm umGMulti-family ❑New construction ❑Demolition Addition/alteration/replacement aP renent provement ❑Fire sprinkler/alarm U Other: Jobaddress: ( p Nw%JP&X AA_ _ Bldg.no.: t4 Suite no. 7• Lot: Block: Subdivision: Tax map/tax lot/account no.: _ Project name: fr,pQEJ a& ?2`t . tA' t.il&n &V Description and location of work on premises/special conditions: ,vjl�" 7.b BE ���a y ITA46) T4C 4,1,sg04Xr Name: Mailing address: 1 &2 family dnelline- City: State: ZIP: Valuation of work ......................................... $ Phone: Q-,Sf X-0-IFT E-mail: No.of bedrooms/baths.................................. Owner's representative: Total number of floors.................................. Phone: Fax: E-mail: New dwelling area(sq. ft.)............................ r N Garage/carport area(sq.ft.) .......................... — — Name: S L �a A Covered porch area(sq.ft.) .......................... Mailing address: S - Deck area(sq.fl.).......................................... ---- - --- Other stricture areas fl. City: State: zip: ( 9 ).......................... Commercial/induatiiallmalii-family: Phone: qp 1 Fax: a FS � E-mail: r�7 � Valuation of work ......................................... �I Existing bl•lg.area(sq.ft.)............ Business name: ................ __ BN LbIIfS uC�iANr .7KC• New bldg. (sq.ft. Address: &area( q ).................................. City: Statc:�R Z1P: �r0/S Number of stories.......................................... Pho —f� TFaxa� /Orr E-mail: Type of construction ..................................... VN ne• _ /� - - --- --- Occupancy group(s): Existing: CCB no.: /0 7 S 55 _- New: Cit /metro lic.no.: 4z I (P LJ Mth.> Notice:All contractors and subcontractors are required to be licensed with the Oregon Construction Contractors Board under Name::(j - �tai "� provisions of ORS 701 and may be required to be licensed in the Address: jurisdiction where work is being performed.If the applicant is L Cit - — State: ZIP: exempt from licensing,the following reason applies: C i oa..TLM1� ------ -- — Contact person: 0111 Ian no.: Phone: Fax: E-mail --- J ,. Name: Contact person: Fees due upon application.............................S Address: Date received: _. 9 U City: I State: ZIP: Amount received..........................................$ 'f Phone: I E-mail: Please refer to fee schedule. I hereby certify I have read and examined this application and the Not all jurisdictions accept credit cards,plegia call jur,diction for more information attached checklist. All provisions of laws a ordinances governing this o visa O MasterCard work will be complied wit, It er sp i ein or not. Credit card number F.snires Authorized signature: 04 Dater Namc of cardholder as shown on credit card Print name: _ _ - Cardholder signature _s Notice: This perm' application expires if a permit is not obtained within 180 days after it has been accepted as complete. 4404613(6100/COM) X1941' 3� SLS I g8r ��- FILE COPY April 30, 2003 _ WY OF Frank Schmidt OREGON Tiland/Schmidt Architects, PC 1420 SW Broadway Portland, OR 97224 RE: CHILDREN OF THE SEA Dear Frank: Froiect Iriformatipin Building Permit: BIJP2003-00141 Construction Type: VN Tenant Name: Children of the Sea Occupancy Type: A•3 Address: 10170 SW Nimbus Avenue Occupant Load: 48 Plumbing Permit: PLM2003-00164 Stories: 1 Mechanical Permit: MEC2003-00221 New area: 1245 Sq Ft Electrical Permit: ELC2003-00243 The plan review was performed under the State of Oregon Structural Specialty Code(OSSC) 1998 edition; the State of Oregon Mechanical Specialty Code(GMSC) 2002 edition;the State of Oregon Plumbing Specialty Code(OPSC)2000 edition; the State of Oregon Electrical Specialty Code(OESC)2002 edition;and the Tualatin Valley Fire & Rescue Ordinance 99-01 (TVFR99-01) 1999 edition. The submitted plans are approved subject to the following. • Provide an illuminated exit sign at the new exit door from the party room. See section 1003.2.8 OSSC for sign requirements. • Provide one 2-A rated fire extinguisher in.he new area. The extinguisher shall be a located so that no usable space has a distance greater than 75 fi-et to the extinguisher. w Standard 10-1, Chapter 3 TVFR99-01. _L American with Disabilities Act (ADA): It shall be t1w responsibility of the Architect, 0o Engineer, Desi,,ner, Contractor, Owner and Lessee to research the applicability of the ADA W requirements for the structure. The City of Tigard reviews the plans and inspects the structure only for compliance with Chapter 11 of the OSSC which may not include all of the requirements of the ADA. 13125 SW Hall Blvd., TlAard, OR 97223(503)639-4171 TDD(503)684-2772 Approved Plans: 1 set of approved plans, bearing the City of Tigard approval stamp, shall be maintained on the jobsite. The plans shall be available to the Building Division inspectors throughout all phases of construction. 106.4.2 OSSC Certificate of Occupancy: No building or structure shall be used or occupied until the Building Official has issued a certificate of occupancy 109.1 OSSC Premises Identification: Approved numbers or addresses shall be provided for all new buildings in such a position as to be plainly visible and legible from the street or mad fronting the property. When submitting revised drawings or additions., information, please attach a copy of the enclosed City of Tigard, Letter of Transmittal. The letter of transmittal assists the City of Tigard in tracking and processing the documents. ;Respect fly, a lalock, Senior Plans Examiner i a oc N v1 J m 0 w , OF/L`00, 00101000� April 7, 2003 CITY OF TIG/ARD Frank Schmidt OREGON Tiland/Schmidt Architects, PC 1420 SW Broadway Portland, OR 97224 RE: CHILDkFN OF THE SEA Dear Frank: Project Information Building Permit: BUP2903-00141 Construction Type: VN Tenant Name: Children of the Sea Occupancy Type: B Address: 10170 SW Nimbus Avenue Occupant Load: 48 Area: 1245 Sq Ft Stories: 1 Sprinkled: NA Alarms: NA Exterior Wall Rating: NA The plan revi--w was performed under the State of Oregon Structural Specialty Code(OSSC) 1998 edition; the State of Oregon Mechanical Specialty Code(OMSC)2002 edition;the State of Oregon Plumbing Specialty Code(OPSC)2000 edition;the State of Oregon Electrical Specialty Code(OESC)2002 edition; and the Tualatin Valley Fire &Rescue Ordinance 99-01 (TVFR.99-01) 1999 edition. The submitted plans are approved subject to the following. • Fire-& Lite-Safety 1. A penetration of an existing 2-hour, area-separation wall is proposed on the plans. 'Me penetration shall be protected w'th a 1 '/s hour rated, self-closing assembly a Maintain all clearances for landings, doors in any position, maneuvering at doors, ��. handrail extensions, etc that will be impacted by the assembly. Section 504.6.2 OSSC U) 2. Provide a 60 inch x 60 inch landing at any change of direction of the accessible ramp. m Section 1109.7.5 OSSC W • Structural J 3. Provide structural calculations for the addition of the roof top mechanical unit as shown on sheet M-1 of submitted plans. FYI A field survey has revealed that the existing glulams in the proposed unit location have been notched to fit in the cantilever type,support brackets. 13125 SW Hall Blvd., Tigord, OR 97223(503)639-4171 TDD(503)684-2772 i 4. A design will be required for the support of the folding partition. • Mechanical , 5. The 2 return air openings are shown in "Party Room A"on the same side of the folding partition. No return proposed for the "Work Room"or"Party Room B". Clarify how the air fi'om"Workroom"and "Party Room B" is conducted back to the supply unit. American with Disabilities Act(ADA): It shall be the responsibility of the Architect, Engineer, Designer, Contractor, Owner and Lessee to research the applicability of the. ADA requirements for the stricture. The City of Tigard reviews the plans and inspects the structure only for compliance with Chapter 1 I of the OSSC which may not include all of the requirements of the ADA. When submitting revised drawings or additional information, please attach a copy of the enclosed City of Tigard, Letter of Transmittal. The letter of transmittal assists the City of Tigard in tracking and pence g the documents. Respect 1 rian Bl ck, Senio lanes Examiner 1 n s- J_ J �.;ITY OF TIGARD 24-Hour BUILDING Inspection Line: (503)638-4175 MST INSPECTION DIVISION Business Line: (503)638-4171 BUP 3.�� Received ___ Date Requested PM— OUP Location —_— 1 7y _ Suite _. MEC —_ Contact Person _ '_"". — __ Ph(--�) �gg — PLM —_— Contractor — _-- _____—_____ Ph(---) SWR -BUILDING —_— Tenant/Owner ��-�- ��--:^ -' ELC Footing Foundation ELC F Fig Drain ELR Crawl Drain Slab Notes: SIT Post&Beam -- Shear Anchors -- -- Ext Sheath/Shear Int Sheath/Shear — Framing — — --- — Insulation Drywall Naiiing -- Firewall Fire Sprinkler - -- Fire Alarm Susp'd Ceiling — -- - Hoof PART FAIL — ING - -Post 6 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 fi Smoke Dampers — -- — — — tX Final N PASS PART FAIL -- — — �— ELECTRICAL Service ro Rough-In -- j3 UG/Slab JLow Voltage Fire Alarm Final F] Reinspection fee of$ required before next inspection. Pay at Giiy Hall, 13125 SW Hall Blvd. PASS PART FAIL SITE Please call for reinspection F] Unalsia to inspecl-no access Fire Supply Line // / ADA Deft—I1-23 / InsMatar - �� —Ext - Approach/Sidewalk Other: Final DO NOT REMOVE this Inspection record from Ow fob oft. PASS PART FAIL CITY OF T I GA R D CERTIFICA'rE OF OCCUPANCY DEVELOPMENT SERVICES PERMIT 0: BUP2003-00141 13125 SW Hall Blvd.,Tigard,OR 97223 (503)639.4171 DATE ISSUED: 5/12/2003 PARCEL: 1 S 134AA-01800 ZONING: I-P JURISDICTION: TIG SITE ADDRESS: 10170 SW NIMBUS AVE H-7+8 SUBDIVISION: SCHOLLS BUSINESS PARK BLOCK: LOT:002 CLASS OF WORK: ALT TYPE OF USE: COM TYPE OF :ONSTR: 5N OCCUPANCY GRP: A3 OCCUPANCY LOAD: TENANT NAME: CHILDREN OF THE SEA REMARKS: TI Opening a space in the current suite 6 space. Owner: ROBINSON, CONSTANCE A+ ROBINSON, LYNN+ BELL, KAY ET BYY,INSIGNIA NCpORMM97EpRpCgIAL GROUP B Phone TO557-1085 FAX Contractor: 557-0866 BNK CONSTRI.ICTION INC 10730 SE HWY 212 PO,gBOX 66 p p15 CP C119MA S1-R R57r,1X 557-0866 Reg N: MET 00003941 1.1C 107555 IL a J_ m w This Certificate issued 7/23/2003 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 C des for the group, occupancy, and under he referenced permit wa r BUILDING INSPEC R BUILDI G ICTAL POST IN CONSPICUOUS PLACE CITY OF TIGARD 74-Hour BUILDING Inspection Line:' (503)636-4175 INSPECTION DWISION Business Line: (503)636-4171 MST — -7- 7 ' ` BUP -oQ o 291 Received Date Requested— -- AM_. PM.— OUP _ Location _�Y) �SCL�l.�_ _Suite 7 if q MEC .--_ Contact Person — Ph(—) _?�1 3 - R / PLM Contractor_ _— — —_ — Ph SWR BUILDING renant/O wner _ ELC Footing -- ELC Foundation Access: — Ftg Drain ��,( /� t^� //'1 ©O ELR _ Crawl Drain Slab Inspection Notes: SIT Post&Beam Shear Anchors -- --- Ext Sheath/Shear Int Sheath/Shear f (Aj S Framing — t l �.J Insulation - Drywall Nailing ---- Firewall Fire S rinkler —�'-- ire usp'd Ceiling - - Roof aC�Nl _ ART FAILVb ------ — ------ G -- 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 -- ---- - — — IL Gas Line Smoke Dampers -- -- -- -- -- f.. Final PASS rART FAIL --- -- -- — - -ELECTRICAL_ Service m Rough-In W UG/Slab _j Low Voltage — Fire Alarm Final F] Reinspection tae of$ required before next inspection. Pay at City Hall. 13125 SW Hall Blvd. PASS PART FAIL SITE Please call for r-ingr,Qr:tion FIF __— ____ U Unable to inspect-no access Fire Supply Line ADA Approach/Sidewalk DOW Other: _ Flnel DO NOT REMOVE ab Insfpeaden record from UM dub sla. PASS PART FAIL CITY OF TIGARD 24-Hour BUILDING � Inspection Line: (503)636-4176 � MST — INSPECTION DIVISION Business Line: (603)636.4171 --77 8UP Received [late Requested__—L _ AM_—. PM BUR Location !e _ Suite # � MEC Contact Person . — --Qr Ph( ) =0 -Z PLM Contractor —____ — Ph( ) -- SWR BUILDING Tenant/Owner __ _� ��� ° �_ ELC — Footing ELC Foundation A es: Ftg Drain _1 SLI 15 ELR Crawl Dralo c✓ Slab InspectioNotes: SIT Post&Beam — Shear Anchors Ext Sheath/Shear Int Sheath/Shear Framing ---- ----- — - Insulation Drywall Nailing 00 - Firewall Fire Sprinkler --- Fire Alarm Susp'd Ceiling al PASS PART FAIL PLUMBING _ _ _— Post&Beam Under Slab — — - — Rough-In Water Service — -- — — Sanitary Sewer Rain Drains ,_:etch Easin/Manhole Storm Drain — — -- Shower Pan ARC NAS4, PART FAIL - _MEICHANICAL -- Post&Beam Rough-In - -- Gas Line Q Smoke Dampers — — — Final H PASS PART FAIL ELECTRICAL r� Ser1rIC@ ----- - — -- -' Rough-In —_—_ tD Ura/Slab W Low Voltage — _j Fire Alarm Final Reinspection fee of 9; required before next inspection. Pay at City Hall, 1312T `?W Ifall Blvd. PASS PART FAIL SITE PlAase call or rein pection RE:�.� -- _ Unable IL inspect-no arcoss Fire Supply Line ADA Approach/Sldewaik ��� - `� -- hlep•att0f -- Rrx! Other: - Final DO NOT REMOVE this Im*eaden record fro11iii the fob tit. PASS PART FAIL CITY OF T I G A R D PLUMBING PERMIT DEVELOPMENT SERVICES PERMIT#: PLM2003-00164 13125 SW Hall Blvd., Tigard, OR 97223 (503)6394171 DATE ISSUED: 5/12/03 SITE ADDRESS: 10170 SW NIMBUS AVE H-7+8 PARCEL: 1S1�4AA-01800 SUBDIVISION: SCHOLLS BUSINESS PARK ZONING: I-P BLOCK: LOT: 002 JURISDICTION: TIG CLASS OF WORK: ADD GARBAGE DISPOSALS: MOBILE HOME SPACES- TYPE OF USE: COM WASHING MACH: 1 BACKFLOW PREVNTRS: OCCUPANCY GRP: A3 FLOOR DRAINS: TRAPS: STORIES: 1 WATER HEATERS: CATCH BASINS: FIXTURES LAUNDRY TRAYS: 1 SF RAIN DRAINS: SINKS: 2 URINALS: GREASE TRAPS: LAVATORIES: OTHER FIXTURES: TUBISHOWERS: SEWER LINE: ft WATER CLOSETS: WATER LINE: ft DISHWASHERS: RAIN DRAIN: ft Remarks: Plumbing work associated with tenant improvement, adding (1)clothes washer, (2)sinks and 1)laundry tray. FEES Owner: Description Date Amount ROBINSON, CONSTANCE A + CITY Of TIGARD MFi 5/12/03 $72.50 ROBINSON, LYNN + BELL, KAY ET BY INSIGNIA COMMERCIAL GROUP [TAX] R%State 7'a;. 5/12/03 $5.80 BEAVERTON, OR 97008 Total $78.30 Phone : Contractor: REQUIRED INSPECTIONS Phone : Rough-in Insp Underfloor/Underslab Reg#: Top-out Insp Final Inspection C 0 3 5 This permit is issued subject to the regu;ations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable lews. 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 Issued By: �/1 l�,�{,l I j )�,c.0 LA Permittee Signature: Call(503)6394175 by 7:00 P.M.for an Inspection needed the next business day Building Fixtures - a t- Plumbing Permit Application Received Plumbing Date/By: Permit NaR(+'1 _^A�/�'� City of Tigard Planning Approval Sewer Dat / e/A Permit No���t':j� 91 13125 SW Hall Blvd. Plan Review Other Tigard,Oregon 97223 Dste/B : Permit No.: Phone: 503-639-4171 Fax: 503-598-1960 Post-Review land Use l)' ard.or.us Dontac : Cue No.: Internet: www.ci.ti _ g A, Contact Jur See Page 2 for 24-hour inspection Request: 503-639-4175 Narne/Melhod: Supplemental Information. TYPE OF WORK FEE"SCHEDULE(for apeclal lnf_tlrmition,ise thtiC New construction Demolition Description I Qty. Fee(ea.) rout Addition/alteration/replaeement Other. New I-do 2-family dwellings _ ueludes CATEGORY OF CONSTRUCTION 100 ft for each utlll eonotzcNoa SFR(1)hath 249.20 i &2-Family dwelling _ommercial/Industrial SFR(2)bath 350.00 Accessory Building_ Multi-Family _FR(3 bath 399.00 Master Builder LJ Other: Each additional bath/kitchen 45.00 JOB SITE INFORMATION stn4 LOCATION Fire sprinkler-sq. ft.: Pae 2 Job site address: 7U 3-t-0 /11i14 L _ SWUHlltia Suite#: Bld ./At.#: -)k Catch basin/area drain _ _ 16.60 (� Project Na �f J or THf_ Am- _ Dr ell/leach line/trench drain _ 16.60 Fooling drain no.linear ft. Pae 2 Cross street/Directions to job site: Manufactured horde utilities 110.00 Manholes 16.60 Rain drain connector 16.60 Sanitary sewer(no.linear ftp_ 4Paa Subdivision: Lot#: Storm sewer no. linear ft.Water service no. linear ft.Tax map/parcel#: / 'aDESCRIPTION OF WORK Absorption valve Backflow reventer Backwater valve 16.60 Clothes washer ~4i 16.60 -� -- - -- - -- Dishwasher 16.60 Drinking fountain 16.60 PROPERTY OTTENANT Ejectors/sump _ 16.60 Name: _ _ _ Expansion tank 16.60 Address: J Fixt_urc/sewer cap 16.60 -City/State/Zip: _ Floor drain/floor sink/hub 16.60 Garbage disposal 16.60 Phone: rFax: Hose bib 16.60 �� APPLICANT CONTAgT PERSON _ Ice maker 16.60 Name: MAt'AMkWt m\0 t� _ Interce tor/ tease trap 16.60 Address: Medical gas-value: $ Page 2 Cit /State/Zi : Primer 16.60 d P Roof drain commercial 16.60 W Phone: Fax: _ Sink/basiaA 11!L,g 16.60 o E-mail: Tub/shower/shower rn 16.60 N CONTRACTOR Urinal 16.60 Business Name: ei� Met,J Water closet 16.60 -Y Water heater 16.60 m Address: � _ Other: W City/State Ziq 306 Other: •50 5 p ' Fax: 57T1 Pift�iiibia !pillltitE .. ,� i.,y,.. .;;;,• Phone _ `� Subtotal $ CCB Lic. #: 4 Plumb. Lic.#:09 7 Minimum Permit Fee$72.50 $ 50 Authorized '',N*n Residential Backflow Minimum Fee$36.25 Signature: ate: 'a Plan Review(25%or permit r� S State Surcharge(F%of Permit Fee S p -- - _ (Please print name) TOTAL PERMIT Notice: Thh permit application expires If a permit Is not obtained within All new commercial bulldloV require 1 sets of plans with Isometric or IRO days after It has been accepted ss complete. riser diagram for plan review. "Fee methodology set by Tri-County Building Industry Service Board. is\Dsts\Permit Forms\PlmPermitApp.doc 01103 , Plumbing Permit Application -City of Tigard Page 2 - Supplemental Information Fee Schertule: Residential Fire Suppression Systems: _ R.0 Utilities Qty. t+a,t Tow Square Footage: Permit Fee: Footing dram I'100' 55.00 0 to 2,000 $115.00 Footing drain-each additional 100' 46.40 2,001 to 3,600 $160.00 $160.00 j,601 to 7,200 $220.00 W Sewer- I st 100' \ 55.00 --71.201 and greater $309.00 — Sewer-each additional 100' 46.40 Water Service- 1st 100' 55.00 Medical Gas S stems: Water Service-each additional 100' 46.40 valuation: _ Permit Fee: [r1X) Storm&Rain Drain- Ist 100' 55.00 $1.00 to$5,0 .00 — Minimum fee$72..5¢_. Storm&Rain train-each additional 100' 46.40 55,001.00 to 510,000.00 $72.50 for t rat$5,000.00 and$1.52 for each F" " Total additi 100.00 or fraction thereof,to and Fixture or Item " ) _ i ,ng$10,000.00. Commercial Ilack Flow Prevention Device 46.40 $10,001.00 to S25,000.00 1149.50 for the first 510,000.00 and 51.54 for Residential Back0ow Prevention Device each additional$100.00 or fraction thereof,to minimum permit fee S36.25) 2 . 5 and including 525,000.00; Rain Drain,single family dwelling 65.2 525,001.00 to S , DNI S379 50 for the first 525,00000 and 51.45 for Inspection of existing plumbing or each additional$100.00 or fraction thereof,to and including S50,000.00. specially requested inspections-per hour 72.50 $50,001 and up $742.00 for the first 550,000.00 and SI.20 for Subtotal: each additional 5100.00 or fraction thereof, Fixture Work: Are you capping,moving or replacing existing fixtures? '`yes".please indicate work performed by fixture. Fal a to accurate) report fixtures could result in increased a er fees*. uantl b (Fixture)Wo 1► rfont► Co meats regarding fixture work: Fixture lwt: New .: tNoveA X cv — Daptis /Font Rath -Tub/Shower _ -Jacuzzi/Whirlpool _ Car Wash -Each Stall -Drive Thru —y-- Cus idor/Water Aspirator — Dishwasher -Commercial _ _ -Domestic i— Drinking Fountain Eye Wash — Floor Drain/sink 2" " — - Car was ain — *Note: If the fixture rk under this perm;t results in an Garbage -Ikon is Disposal -Co rciat increase of sewer EDUs,a sewer permit will be issued and -IrOustrial fees assessed for the sew increase must he paid before the Ice Mach./Rcfr . mins plumbing permit can bei ued. Oil Separator as Station _ Rec.Vehicle Dump Station Shower -Gang J_ -Stall _ :0 Sink -Bar,'Lavatory 3 -Bradley W -Commercial J -Service Swimming Pool Filter Washer-Clothes Water Extractor Water Closet-Toilet _ Urinal _ Other Fixtures: i:\Dsts\Permit Forms\PlmPermitAppPg2.doc 01103 CITY OF TIGARD ELECTRICAL PERMIT PERMIT#: ELC2003-00243 DEVELOPMENT SERVICES DATE ISSUED: 5/12/03 13125 SW Hall Blvd.,Tioard,OR 97223 (503)6394171 PARCEL: 1S134AA-018(10 SITE ADDRESS: 10170 SW NIMBUS AVE H•7+8 ZONING: I P SUBDIVISION: SCHOLLS BUSINESS PARK BLOCK: LOT: 002 JURISDICTION: TIG Project Description: Electrical work associated with tenant improvement, (11)branch circuits. Job No. 386 _ 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: SIGNAUPANEL: MANF HMI 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 ON FDR: 1 PER HOUR: 401 - 600 amp: EA ADD'L BRNCH CIRC: 10 IN PLANT: 601 - 1000 amp: _ _ PLAN REVIEW SECTION 1000+amp/volt: >-4 RES UNITS: >600 VOLT NOMINAL: Reconnect only: SVC/FDR>-225 AMPS: _ CLASS AREA/SPEC OCC: Owner: Contractor: ROBINSON,CONSTANCE A+ WILLAMETTE ELECTRIC INC ROBINSON,LYNN+BELL,KAY ET PO BOX 230547 BY INSIGNIA COMMERCIAL GROUP TIGARD,OR 97281 BEAVERTON,OR 97008 Phone: Phone: 624-2938 FAX Reg#: W4-3631 75059 SUP 19655 FEES ELF 34-283C Description Date Amount Required Inspections [F,I.PRM1']ELC Permit 5/12/03 $113.35 owr [TAX]8%State Tax 5/12/03 $9,07 Ceiling Well Cover Total $122.42 Rough-in Elect'I Final 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 acco"12—r with approved plans. This permit will expire if work is riot started within 180 days of issuance,or if work Is suspended for more than 180 days. ATTENTION: Oregon law requires you to folow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0100. You may obtain copies of these rules or direct questions to OUNC at(503)2468699 or 1-800-332-2344. IL Issued By: (3v1 �-( t�iLLI. 1��Ll l �.Ci1 Permit Signature: J� l? U _ OWNER INSTALLATION ONLY The installation is being made on propeliy I own which is not intended for sale, lease, or rent. _m OWNER'S SIGNATURE: DATE: 0 uu CONTRACTOR INSTALLATION ONLY J SIGNATURE OF SUPR. ELEC'N:: DATE:— LICENSE NO: 19lj",5 � --- Call 639-4175 by 7:00pm for an Inspection the next business day MRR 14 2003 7: 59nM WILLRMETTE ELECTRIC 5036242938 p. 2 Electrical Permit Application Dahreceived- r?�C! Permit no.11 j��d IV V City of Tigard PtojWVWl.no.: expire date: CrrynjTigard Address: 13125 SW Hall Blvd,Tigard,OR 97223 Date issued: __ By: Receiptao.: Phone: (503)639AI71 — O Payment Fax: (503) 598-1960 Casa file no.: i land use approval: U 1&2 family dwelling or accessory U Cummerciallindustrial O Multi-family �Ttmant improvement _ U Ncw construction U Add itiun/altm ionhnplacemenl U Other. U Partial Joh address: (gyp qsv ie� 111dg.no.: Suite no.: Tax ms !salt loiinecount no.: .-- I ot: _ Block Suhdivirion: _ Project name:(* Deacttption and location of work on premises_ /,,,,��„:_Amu. ,... 1' Satimated date of completionfins ction: Job no: �` MOr Q/ blas as441 as Tsaal no.bus t Businessname: w, I I �,`. tl. flryeta�a /•+ t- Address: lww�aga �- a saoN;�t� h/'�.� Z30 SY_L__ divelaal.IndedeWarier. City: ,tom State: er T.[P tP r Servkelnehilerk . Phone. L Zdt_'U i l Fax: t tyg E-mail: 1000ad,ft,or less _ 4 Eswh eddldend 500 sq.R.or potUoa thereof CCB no.: aspr r4 Biec.bus.lic.no: 3 y-1-r3 c-- UrrAtrdetuagy,residantial 2 41` City/metro lie.no.' I> 4 limited energy,son residential 2 Fath mmubetured how or moduiar dwelling j Si6nature of supefVi#relectrician( ted) Dote SurNiea arwilrrfeerinr 1 Sr- ighnerfeedesr-imooltatlen, Sup.electname(print). ^ Leeneno 11mormlenlien: IUj 111 200 amp or lea 3 _ Name(print): - 201 amp to apps 2 ----------- 401 amp to 600 sups _ 2 Mailing aticlrcss: 601 amp to 1000 mpg 2 City' Stale: ZIP' Ova I(ion amps or vol" 2 Phone: _ Fax: E-mail: Reoonnenent l owner installation:TM installation is being made on property[ownTemprarr sentkta or iabdm- ho4ber Boom which is not intended for sale,lease,rent,or el,change according to 2000 psordo%less tlea,errtreloeatloe Q, 2(10 ambles _ 2 ORS W,455,479,670,701. 201 amps to 400 amps 2 , Owner's sigrature: Darr: dill to 600 ams 2 Branch efreatts-naw,alteratler% r et exte11slatt/er MMI: Name: - A. Fre for branch circuits with purchase of Address: service or feeder fee,ouch branch circuit 2 City: State: QIP: B Fee for brach dreuits without purchase of mtsvict er feeder fee first branch circuit: �g 2 a, Phonc: Face: --IE-mail: Each add itiondbranchcircuit: /� Mbe.(Stnkeerfeedarnot Int1aLO• t^ tly 0 Service over 225 ampe commercial 0 Health care frlllry Bech a i tion circle 2 U Service over 320 amps-rating orf 1R.2 0 Hazardous location Pub sign oroudiselighting _ 2 family dwellings (J Bullr6ng over 10,0(10 square fret loar er 3ignal circuit(s)at a limited energy pawl, —1 U System over 6(l0volts nominal more remidendaluneUInone structure alteratiomorextension* _ 2 CID U fluelding over three poria 0 Fenders,4(M)amp of more *Description: U Occupant load ova 99 persons U Manufactured strucuceil or RV park Eini 01101011121 1aopee4W ever 111011 albwable In any of the above: lid U lijressAightingplan 0 Other -- Perinspeicion subtrik—deb of Maas wltb nay of tta11 abe". tavesti shoes fee The awe are am appillcable to ttsitrortrry como nedoa aervke._ Other Not an t twcrk.r arnpt c lit ar&.pkat un 0dod"m for nae Inftirrndes. Notice:This permit application Permit fix..................... o V'rsa 0 MastctCard expires if a permit is not obtained Plan review(at cre6r e■d nmter within 180 days after it hem been State safe?rlett(9%)....s accepted as oomplete. TOTAL.......................f _Naraa�auNhonYr�—own ee cnd�_— f cw&a br d 4"15(MCOM) CI i*f OF TIGARD 24-Hour BUILDING inspection Line: (803)639-4175 is MST INSPECTION DIVISION Business Line: (503)634.4171 q OUP Received _ Date Requested r 1 AM PM OUP I.oc,ation _� ] D _ _.—Suite * -g MEC _ Contact Person __ Ph( _) _--__ PLM Contractor Ph(—) Ce 2:14 SWR BUILDING —_ _j Tenant/owner ELC 3 �doff`7 Footing ELC _ Foundatinn Access: Ftg Pain ELR S'iawl Drain Slab Inspection Notes: SIT Post&Beam Shear Anchors -- Ext Sheath/Shear Int E heath/Shear Frariing -- Insulation Drywall Nailing - Firewall Fire Sprinkler — 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 MECHAWAL- Post&Beam Rough-In ins Lin- Smoke imSmoke Campers -- Final j PASS T FAIL - J� Service Rough-In UrjdSlab 7L6w I Fir larm Gliv, PART FAIL [] Reinspection fee of$ required before next nspection. Pay at City Hall, 13125 SW Hall Blvd. SITE__ lJ Please call for reinspection RE:_..._ _�_ ____._� Unable to Inspect-no access Fire Supply Line ADA Approach/Sidewalk Dab -- Other: Final DO NOT REMOVE Ob lospoadfth001'rf440, am silk. PASS PART FAIL April 30, 2003 Frank Scb:►idt Tiland/Schmidt Architects, PC 1420 SW Broadway Portland, OR 97224 RE: CHILDREN OF THE SEA Dear Frank: Project Information Building Permit: BUP2903-00141 Constructiop Type: VN Tenant Name: Children of the Sea Occupancy ��yPe: A'3 Address: 10170 SW Nimbus Avenue Occupant Load: 48 Plumbing Permit: PLM2003-00164 Stories: 1 Mechanical Permit: MEC2003-00221 New area: 1245 Sq Ft Electrical Permit: ELC2003-00243 The plan review was performed under the State of Oregon Structural Specialty Code (OSSC) 1998 edition; the State of Oregon Mechanical Specialty Code(GMSC) 2002 edition;the State of Oregon Plumbing SpeciAlty Code(OPSC)2000 edition;the State of Oregon Electrical Specialty Code(OESC)2002 edition;and the Tualatin Valley Fire &Rescue Ordinance 99-01 (TVFR99-01) 1999 edition. The submitted plans are approved subject to the following. • Provide an illuminated exit sign at the new exit door from the party room. See section 1003.2.8 OSSC for sign requirements. • Provide one 2-A rated fire extinguisher in the new area. The extinguisher shall be IL located so that no usable space has a distance greater than 75 feet to the extinguisher. Standard 10-1, Chapter 3 TVFR99-01. F- j American with Disabilities Act(ADA): It shall he the responsibility of the Architect, 00 Engineer, Designer, Contractor, Owner and Lessee to research the applicability of the ADA requirements for the structure. The City of Tigard reviews the plans and inspects the structure only for compliance with Chapter 11 of the OSSC which may not include all of the requirements of tb- ADA. Approved Plans: 1 set of approved plans, bearing the City of Tigard approval stamp, shall be maintained on the jobsite. The plaits shall be available to the Building Division inspectors throughout all phages of construction. 106.4.2 OSSC Certificate of Occupancy: No building or structure shall be used or occupied until the Building Official ha, issued a certificate of occupancy 109.1 OSSC Premises Identification: Approved numbers or addresses shall be provided for all new buildings in such a position as to be plainly visible and legible from the street or road fronting the property. When submitting revised drawings or additional information, please attach a copy of the, enclosed City of'I'igard, Letter of Transmittal. The lette of transmittal assists the City of Tigard in tracking and pro ng the documents. Respect ian Bla Senior Plans Examiner a m c� - W O (F � ©r � t E L t p no a I Uj U1 nil u-: r. a U0 - - 111 - T I O 1r rar do r,i do d�ror �e Q nniu HTOCJ-r. Li _. 0 i 0 - � t �F 4x14 ' S O, N — QF) 4X14 _ate IL GIN 5 13. JA C7 EXPIRES: a-W o my c F t h d• H c a kb No. Associated Consultants, Inc. Nein roof top mechonicol unit 03 - 147 Struct.und Engineers toeau" —! Data 5311 Sw/estpte Drive.Sulk 145 • Portland,Ore/o&17221 4-14-03 Phone: (503)50/-0460 • Pa:: (503)30/-0159 SW Nimbus Ave. em 11: matllaelenjln@ ^-':'—. 3 peat 9Met 9a. f T"S A CITY OF TIGARD CAL PERMIT DEVELOPMENT SERVICES PERMIT I#: ELC98-0753 13125 SW Hall Blvd.,Tigard,OR 97223(503)6394171 DATE ISSUED: 12/31/98 PARCEL: 1S134AA-01800 SITE ADDRESS. . . : 10170 SW NIMBUS AVE #H-7 SUBDIVISION. . . . : 1 KOLL BUSINESS CENTER TIGARD ZONING: I-P BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . :002 JURISDICTION: TIG Project Description: Children of the Sea -______----------------------------------------------------------------------------- --RESIDENTIAL. UNIT---- ----TEMP SRVC/FEEDERS---- ------MISCELLANEOUS----- 1000 SF OR LESS. . . . : 0 0 - 200 amp. . . . . . . : 0 PUMP/IRRIGATION. . . . : 0 EACH ADD' L 500SF. . . : 0 201 - 400 amp. . . . . . . : 0 SIGN/OUT LINE LTG. . : 0 LIMITED ENERGY. . . . . : 0 401 - 600 amp. . . . . . . : 0 SIGNAL/PANEL. . . . . . . : 0 MANF. HM/ SVC/FDR. . : 0 601+amps-1000 volts. : 0 MINOR LABEL (10) . . . : 0 ----SERVICE/FEEDER----- ----BRANCH CIRCUITS----- ---ADD' L INSPECTIONS—- @ - 200 amp. . . . . . : 1 W/SERVICE OR FEEDER: 6 PER INSPECTION. . . . . : 0 201 - 400 amp. . . . . . : 0 1st W/0 SRVC OR FDR. : 0 PER HOUR. . . . . . . . . . . : 0 401 - 600 amp. . . . . . : 0 EA ADD' L BRNCH CIRC: 0 IN PLANT. . . . . . . . . . . : 0 601 - 1000 ami. . . . . : 0 ------------------PLAN REVIEW SECTION--------- --------- 1000+ amp/volt. . . . . : 0 1 =4 RES UNITS. . . . . . . . .. > 600 VOLT NOMINAL. . : Reconnect only. . . . . : 0 SVC/FDR >= 225 AMPS. . e CLASS AREA/SPEC OCC. : Owner --------------------------- FEES ----------------- FORUM PROPERTIES type amount by date recpt 10240 SW NIMBUS AVE L-3 PRMT f 90. 00 .JSD 12/31!98 98-311852 PORTLAND OR 97223 5PCT f 4. 50 JSD 1.2/31/98 98-311852 Phone #: Contractor: ------------------------------- OK ELECTRIC Z:O f 94. 50 TOTAL 777 E 4TH ST ------- REOUIRED INSPECTIONS ----- MCMINNVILLE OR 97128 Ceiling Cover Elect' l Service Phone #: 503--472-5700 Wall Cover Elect' 1 Final Reg #. . : 000021. This persit is issued subject to the egulations contained in the Tigard Municipal Code, State of Oregon Specialty Codes and all other applicable laws. All work will be doi:e in accordance with approved plans. This persit will expire if Mork is not started within 191 days of issuance, or if work is suspended for sore than 10 days. ATTENTION: Oregon law requires yo follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-MI-010 through OAR -01- 7. You say o -aYaN� of these rules or direct questions t Olg1C by calling3)246-1187. HPermittee Signature: �! Issued By: — J ____.._____._____________._________OWNER INSTALLATION ONLY--•---------------------------- m The installation is being made on property I own which in not intended for 1� Sale, lease, or rent. J OUNF R' S SIGNATURE, DATE: __.------------------------LONTRACTOR INSTALLATION ONLY---------------------------- 5 T GNATURF. OF St1PR. EI.FC' N: DATE: LICENSE NO: +++++.++++++++++++.4+4 /-+++++++++++++++44+++++++++♦+++++++++++♦+++++++4++++++++++ Call 639-4175 by 7:00 p. m. for an inspection needed the next business day +++...++++++++++++++++++++++T.................................................. CITY OF TIGARD Eiectrical Permit Application Plan Check - 13125 SW HALL BLVD. Recd By TIGARD OR 97223 Date Rec'dDate to P.E. Phone (503)639-4171, x304 Print or Type Date to DST Inspection (503)639-4175 Permit it _ -1��� 3 Fa;, (5C3)6F,4-7297 Incomplete or illegible will not be accepted Called _� 1. Job Address: 4. Complete Fee Schedule Below: Name of DevelopmentNumber of Inspections per permit allowed Name(or name of business)- � cc �4 �_ Service Included: home Cost Sum Address; 76 S' �1/M 64 s Xm4 a 4s. Resldentlel-per unit City/State/Zip^ � 1000 aq.h.or less $110.00 _ 4 72Each additional 500 sq.ft.or Commercial gQsidential❑ portion thereof $25.00 Llmi!ed Energy $25.00 _ Each Manut'd Home or Modular Dwelling Service or Feeder $88.00 2 2a. Contractor Installation only: (Attach copy of oil current Iicen 4b.Services or Feeders Electrical Contractor Installation,alteration,or relocation <001d Address 1 ,4151 �, s t 200 amps or less % $afl.00 � 2 Ci r 201 amps to 400 amps $M.00 2 City State Zip- �%11� 401 amps to 600 amps $120.00 2 Phone No.-tel- C, 601 amps to 1000 amps $180.00 _ 2 .lob No.� Over 1000 amps or volts $340.00 2 I Elec.Cont. Lice. Ne. _ c_ Exp.Date -0f ' Reconnect only $50.00 2 Lo OR State CCD Reg. No. . Exp.Date / 4c.Temporary Services or Feeders COT Business Tar or Metro Mo. Ex .Date installation,alteration,or relocation 2.00 amps or less $50.00 2 Signature of Supr. Elec'n_ 201 amps to 400 amps - $75.00 _ 2 401 amps to 600 amps $100.00 2 Over 600 amps to 1000 volts, License No.__tj'Y- S Exp.Date_�/st,� see"b"above. Phone No. '�11_S?tw _ 4d.Branch Circuits New,alteration or extension per pane! 2b. For owner Installations: a)The lee for branch circuits wifh purchase of service or Print Owner's Name feeder fw. ^� Address Each branch circuit G 15.00 2 b)The fee for branch circuits City - State__ Zip _ without purchase of Phone No._ service or leader fee. First branch circuit $35.00 2 The installation is being made on property 1 own which is not Each 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 slpn or outline lighting 540.00 2 a 3. Plan Review section (if required):' Signal ci-cult(s)or a limited energy panel,alteration or m lension $40.00 2 Minor Labels(10) $100.00 NPlease check appropriate Item and enter fee In section 5B. �- 4 o;more residential units in one structure 4f.Each additional Inspectlon over Service and feeder 225 amps or more the allowable In any of the above Systera over 600 volts nominal Per inspection $35.00 Classified area or structure containing special occupancy Per hour $55.00 _ F5 as described In N.E.C.Chapter 5 In Plant i $55.00 _ J "Submit 2 sets of plans with application where any of the above apply. Jr. Fees: Not required for temporary construction sen.4"s. Sm.Enter total of above fees $ 5%Surcharge(.05 X total fees) $ NOTICE Subfvral $ Sb.Enter 25%of line 5s for , PFnkilTS RFCOME VOID IF WORK OR CONSTRUCTION AUTHORIZED IS Plan Review If reguired(Sec.3) NOT COMMENCED WITHIN 180 DAYS,OR IF CONSTRUCTION OR WORK Subtotal R - ----- IS SUSPENDED OR ABANDONED FOR A PERInr-OF 160 DAYS AT ANY TIME AFTER WORK IS COMMENLkD ❑ Trust Account il__ Tota!balance DueL_ Adi if ��- Qa 7 1 0STSIELCM APP nev V% CITY OF TIGARD BUILDING INSPECTION DIVISION Mar 24-Hour Inspection Line: 639-4176 Business Line: 639-4171 � n o BUP .Date Requested ='- Z�� - '7 1 AM��PM BLD ` Location 1101-7 (mbzA S A'(,�� Suite H —77 MEC _ Contact Person Ph PLM _ Contractor Ph SVdR BUILDING Tenant/Owner OhA ( ffkl1 66 L-W tom.- ELC 9�-d 7S Retaining Wall ELR Footing Access: Foundation FPS Fig Drain SGN Crawl Drain Inspection Notes: Slab SIT Post&Beam Ext Sheath/Shear Int Sheath/Shear Framing - Insulation Drywall Nailing -- Firewall Fire Sprinkler - -- Fire Alarm Susp'd Ceiling Roof Misc: Final PASS PART FAIL - ---- PLUMBING +— , Post&Beare Under Slab Top Out �. Water Scruice Sanitary Sewer Rain Drains -- ---- Final PASS PART FAIL _ MECHANICAL Post$ Beam -- -- Rough In Gas Line -- - Smoke Dampers _ Final - — --� - - PASS PART FAIL 0. Service _ �- --- Olt Roughin � UG/Slab Low Voltage -- Fire Alarm J - m PASS PART FAIL - C7 W J Backfill/Grading --- Sanitary Sewer Stone Drain [ ]Reinspection fee of$ _—required before next inspection. Fay at City Hall, 13125 SW Hail Blvd Catch Basin [ ]Please call for reinspection RE: _ ___ _ [ ]Unable to Inspect-no access Fire Supply Line `-----� ADA q Q hlSidewalk Other Date __� "�� Inspector— Ext Other Final PASS PART FAIL DO NOT REMOVE this Inspection recond from the job sit*. CITY OF TIGARD E_LECTRICAI PERMIT' DEVELOPMENT SERVICES PERMIT #: ELC98-0589 19125 SW Hell Blvd., 77904 OR 97223(543)63"171 DATE ISSUED: 09/23/9S PARCEL: 1 S 1 34AA-01800 S I TE ADD RE SS. . . : 1017 0 S14 N IMBUS AVE #I I 1 SUPDIVISION. . . . : I KOLL BUSINESS CENTER TTI;ARD ZONING: I- P BLOCK,. . . . . . . . . . . l-J1.. . . . . . . . . . . . . :009 JURISDICTION: TIC Project Description : Children of the Sea TI job43124-77 ------------------------------------------------------------------------------ .-•---RESTDFNTIAL UNIT---- -__._TEMP SRVC/FErDER5 .--- - -MISCEI_LANEOLJS- - 1000 SF OR LESS. . . . : 0 0 - 200 amp. . . . . . . : 0 PUMP/IRRIGATION. . . . : 0 EACH f)DD' L.. 5005F. . . : 0 201 - 400 Amp. . . . . . . . 0 SIGN/OUT LINE LTG. . : 0 LIMITED ENERGY. . . . . : 0 401 - 600 amp. . . . . . . : 0 SIGNAL/PANEL. . . . . . . : 0 MANF. HM/ GVC/rDR. . : 0 601-+amps-1000 volts. : 0 MINOR LABEL_ ( 10) . . . : 0 ----SE RV T CE/FEEDER-•---- ----BRANCH CIRCUITS---- •---ADD' l_ I NSPECT I nNS--- Q, 200 amp. . . . . . : 0 W/SERVICE OR FEEDER: 0 PER INSPECTION. . . . . : 0 x'01 - 400 amFi. . . . . . : 0 1st W/O SRVC nR FDR. : 1 PER HOUR. . . . . . . . . . . : 0 IIIA - 600 amp. . . . . . : 0 EA ADD' I_ BRNCH CIRC: 0 IN PLANT. . . . . . . . . . . : 0 601 1000 Amp. . . . . : 0 --- --------- --- -PLAN REVIEW SECT TON------•------- - - 1000+ amp/volt. . . . . : 0 ) =4 RES UNITS. . . . . . . . : ) 600 VOLT NOMINAL.. . Reconnect only. . . . . : 0 SVC/FDR ) = 225 AMPS. . : CLASS AREA/SPEC OCC. : Owner: -- - -- -__.__-----.____________________________.______.___.__. FEES FORUM PROPERTIES type amount by date recpt 10240 SW NIMBUS AVE L-3 PRMT 4 35. 00 JSD 09/23/98 98-309416 PORTLAND OR 97223 5nCT $ 1. 75 JSD 09/23/98 98--309416 Phone #: Contractor: ------------------------------- PHOENIX -----------------_--_--------- PHOENIX ELECTRIC CO $ 3F_,. 75 TOTAL 7379 SW TECH CENTER DR. --- ---- REQUIRED INSPECTIONS ---- - TIGARD OR 97c'23 Ceiling Cover Elect' l Service Phone #: 684 . 3600 Wall Cover Elect' 1 Final Reg -4. . . 000522 This perrit is issued subject to the regulations contained in the Tigard Municipal Code, State of Oregon Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans. This pereit will expire i` work is not started withir 18P days of issuance, or if work is suspended for tore thanj@ days. ATTENTION: Oregon law requires you to follow the ales adopted by the N@gnn Utility Notification Center. Those rules are #t fortn' DAR 952-0014#10 through OAR 952-0@1 Y u say nbt?in a copy e' these rules or direct questions to ODIC by callin ( 3)246- d. r m i t t e e S i g n a t u _ —_--- 1 s �..�e d OC H - OWNER INSTALLATION ONL_Y ------ -------___.--•----_.___.__._.__ . The i.nsta.11 �Iion is beingmade on property I own which is not intended for J -,a.].ej lease, or rent. nWNER' S STBNATURE: _ DATE: w INSTALLATION ONLY T(.NATURE OF SUPR. FL..EC' N: _ DATE: I._I CENSE NO: ++i ++4-4,++++4 i-+f•++++++++++++++-F•++++4+++++•h+#-++++-f-+++++•+-+++++4++•+++++i .++++.+++++ Call 639 -4175 by 7:00 p. m. for- an inspection needed the next business day +4 4++++++++-i-+++++-4+++-1 ++++++++++++++ r++++++•h++++++++++.4+++++++++-1-++•4++++++++++ SEP-23-98 WED 10:03 AM PHOENIX ELECTRIC CO FAX NO, 15036843611 P. 02 CITY OF TiGARD Electrical Permit Application Plan r'h ix*M 13125 SW HALL BLVD. at d B D TIGARD OR 97223 Date Rec'a_ - - Date to P.E. Phone(503)639-X1171,x304 Date to DST Inspection(503)639-4175 Print or Type Permit fI�L!' -O�l r? Fax (503)684-7297 Incomplete or Illegible will not be accepted Celled_ 1. Job Address: 4. Complete Fee Schedule Below. Name of Development Number of Inspections per permit allowed Name(or name of busines �,�,h!t � -_d1 nnp,,�\Kx o► _ Service Included: Items Cod Sum Address\,(�L) � jl " 1 r"yyv� �"Arn 4s. Residential-par unit \ \ 1000 sq.It or less 5110.00 - 4 City/State/ZI �YT Exch additional 600 sq.It.or Portion thereof $25,00 Commercial Residential Llmilad Energy 525.00 ^ _ Each Manul'd Home or Modulor Dwelling Service or Feeder 568.00 _ 2 2a. Contractor installs ion only., (Attach COPY - I current licenses) Ins Services a or Feeders Electrical Cont ctor -4 Installation,aponHon,or mlocelion 200 amps of less $80.00 �_ 2 AWreas 201 amps to 400 amps -_ $80.00 2 City \ State p 401 amps to 600 amps $120.00 2 Phone N -' " n 801 amps to 1000 amps $180.00 _ 2 T Over 1000 amps or volts $140.00 _ _ 2 Job No. - Roconnect only $60.00 Elec•Cont.Lire. No..+- Fxp.Data 2 Oil State CCB Reg. No, Erp•Date__ 4c.Temporary Services or Isadore COT Business Tex or Metro No.- Exp.Date_ Installation,altoration,or relocation 200 amps or loss 15000 2 201 amps to 400 amps 17,500 7 Signature of Supr. Elec'nA?L y 401 amps to 600 amps $to0.00 _ _ 2 Over 600 amps to Woo vs lls, License Nr Exp•Date,_ see"b"above. Phone Nr 4d.8nnch Circuits New,alteration nr extension Her panel 2b. For owner installations: a)The tee for branch circuits with purchase of x rvice or Print Owner's Name feeder fog, AddressEach branch circuli -_ 15.00 2 b)The fee for branch circuits 11Y State _. Zip without purchase or Phone No. service sir feeder fee. First branch circuit J- $35.00 %5-5: 2 The installation is being triads on property I own which Is not Each additional branch circuit _ $5.00 2 intended for sale, lease or rent. 4e.Miscellaneous (9ervbs or loads►not krcluded) Owners Signature _ Ea.-h pump or Intgalion circle ^__ $40,00 p Each:lqn or ouif ne fighting 640,00 2 3. Plan Review section (i!requlred):* Signal cli iull(s)or o limited energy $40.00 - panel,a Ileratlon or e:lonsion 2 L1. Mlnnr levels(10) $100.OQ Please check appropriate Item and enter fee In 6ectlon 58. 4 or more residential units In one structure 4f.Each additional Inspection over Service and feeder 229 amps or more the allowable In any of the above System over FiL10 volts nominal Per Inspection 535.00 Classified area or structure containing special occupancy Fel hour rM $55.00 as described in N.E.C.Chspter S In Plant ;55.00 m � *Submit 2 sols of pleas with epplleation whore any of tho above apply. Jr. FCC.S: r _ _ W Not requires;for temporary construction services cal Ss.Enter loof above fees b 5 . W 5%Surcharge(.05 x total fees) 5 NOTICE Subtotal 5 Sb.Enter 25%of line 5a for PERMITS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZEU 19 Plan Review If reQul[eA(Seo.3) 8 NOT COMMENCED WITHIN 180 DAYS,OR IF CONSTRUCTION OR WORK Subtotal 5 -- IS SUSPENDED OR A9ANDON5-0 FOR A PERIOD OF 180 DA rS AT ANY '[Trust Aoonuntll TIME AFTER WonK IS COMMENCED. If Tone/balance Due I� --- i.�osTthncoc Arr ne.was / / ^ ` 6-0' 1/��lJ CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Line: 6394175 Business Line: 639-4171 BUP �V _Dat Requested AM PM _ BLD - Location tol J Suite -d-- MEC Contact Person l ,t M. Ph 'f 70 PLM Contractor �Q r t%t ix- Ph &��'3�0 syn. Tenant/Owner e (,D (V OErnf-�c ELC s Retaining Wall ELR _ Footing Access: FoUndstion FPS Ftg Drain SON Drain Inspection Notes: Slab SIT Post&Beam Ext Sheath/Shear Int Sheath/Shear Framing Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susi d Ceiling Roof Misc: Final PASS PART FAIL — PLUMBING Post a Beam Under Slab _ Top Out Water Service Sanitary Sewer Rain Drains Final - PASS PART FAIL MECHANICAL Po-t&Beam — Rough In Gas Line - — Smoke Dampers Final —— ,P FAIL CAL ` Service — — Rough In UG/Slab Low Voltage rrn - — � I qn - Q PART FAIL a Backfill/Grading - -- -'-- Sanitary Sewer Storm Drain i J Reinspection fee of ^^—requited before next inspection. pnv at City Hall, 13125 SW Hnl�Blvd Catch Basin i J Please call for reinspection RE: _ _ _ I J Unable to inspect-no access Fire Supply Line i ADA �� Approach/Siduwalk //S �j -- � `_' Other Date/ L!� [ _ Inspector E Final PASS PART FAIL DO NOT REMOVE this Inst olatilon record from the fob sift. eo �. C •� B r w CoO0 � df; Ot 00 00 0000 cr V3 ti M —, m M •�•I f1` U U 00 ro a _. o � A u u u u u u u u u C3 0 z z z z z z z z z z 00 00 OCa t1 M M 00 O� N O N U > H Cl N N o rn fr. u n Q, u 3 W W �� T W W 8 G N � O S N O O N U U U U U U U U U d d d w d d d d d d \ CLI \ � / J � & lit / 2 z. } � 2 A / . � ■ � ƒ _ ■ � _ Uin . \ � � � � k � o � �LV . 7 \ Lu� - �� k 6 ! . / w CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 � � BLIP i.� /�,/iDate Requested �,(;1, _AM—,��PM BLD _. / 1 Locaticn lL�/ 7C S(.C� //�1/�i'; 1)& . Suite Z- Z MEC Contact Person Ph PLM (' �/�? SWR Contractor ,�204� /o• Ph 1/��'� BUILDING Tenant/Owner _ ji tG�/�'� ��[ —Se A-, ELC _ Retaining Wall ELR Footing ACcess� Foundation / FPS Ftg Drain %/ C��l�G SIGN Crawl Drain Inspection Notes: Slab _ 1 SIT Post&Beam CA Sheath/Shear Int Sheath/Shear Framing _ Insulation Drywall Nailing z Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Misc: ---- Final PASS PART FAIL -- PLUMBING Post&Beam - — UjIbr Slab —_ ater `ervice _ Sanitary Sewer rains APART FAIL _ MECHANICAL Post&Beam — Rough In Gas line Smoke Dampers Final -- — PASS PART FAIL. ELECTRICAL f1 Service _ QC Rough In UG/Slab Low Voltage Fife Alarm — — J Pnal im PARS PART FAIL ---- — - (7 $ITE uj Backfill/Grading Sanitary Sewer Storm Drain [ ]Reinspection fee of$ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Fire Si Catch Basin line [ ]Please call for reinspection RE:_ [ ]Unable to Inspect-no access ply ADA Approach/Sidewalk Date Inspector_ EXtj /� Other — Final PASS PART FAIL DO NOT REMOVE this inspection record 9r+on� the job site. CITYOF TI ----, DEVELOPMENT SERVICES PLUMBING PERMIT 13125 SW Hall Blvd., T198rd,OR 97223(503)639-41'1 PERMIT #. . . . . . . : PLM98-0446 DATE ISSUED: 12/08/98 PARCEL: 1S134AA-01800 STTE ADDRESS. . . : 70 SW NIMBUS AVE #H--7 SUBDIVISION. . . . : r KOLL BUSINESS CENTER TIGARD ZONING: I—P BLOCK. . . . . . . . . . : LOT. . . . . . . . . . . . . :OO2 JURISDICTION: TIG CLASS OF WORE;. . :ALT GARBAGE DISPOSALS. : 0 MOBILE HOME SPACES. : 0 "TYPE OF USE. . . . :COM WASHING MACH. . . . . . : 0 BACKFLOW PREVNTRS. . : 0 OCCUPANCY P9F,. . :B FLOOR DRAINS. . . . . . : 2 TRAPS. . . . . . . . . . . . . . : 1 STORIES. . . . . . . . : 0 WATER HEATERS. . . . . : 0 CATCH BASINS. . . . . . . s 0 FIXTURES------------- LAUNDRY TRAYS. . . . . : 0 SF RAIN DRAINS. . . . . : 0 ST NKS. . . . . . . . . . 0 URINALS. . . . . . . . . . . . 0 GREASE TRAPS. . . . . . . a 0 LAVATORIES. . . . : 0 OT14ER FIXTURES. . . . : 0 TUB/SHOWERS. . . : 0 SEWER LINE (ft ) . . . : 0 WATER CLOSETS. : 0 WATER LINE (ft) . . . : 0 DISHWASHERS. . . . % 0 RAIN DRAIN (ft ) . . . : 36 Remarks : Add 2" floor drain relocate a 4" standpipe for pool flush and a 35' rai n drain. Owner: ----------------------------------------------------- FEES ---------------- CHILDREN OF THE: SEP type amount by date reept 10170 SW NIMBUS PRMT f 57. 00 DLH 12/08/98 98-311379 SUITE 7 A 8 5PCT $ 2. 85 DLH 12/08/98 98-311379 TIGARD OR 97223 Phone #: Contractor.-------------- ---•-------------- MICHAEL & CO PLUMBING P 0 BOX 23008 TIGARD OR 97281 -----•--------------------------------- Phone #: 639-3189 f 59. 85 TOTAL Reg #. . : 000678 ------- REQUIRED INSPECTIONS ------- Thi s pfreit is issued subject to the regulations contained in the Rain Drain Ins p Tigard Municipal Code, State of Ore. Specialty Codes and all other Insp existing/ca applicable laws. All work rill be done in accordance with Final Inspection approved plans. This permit will expire if work is not started within IN days of issuance, or if work is suspended for more than 198 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-8881- 818 Virough OAR 952-8881-M. You may obtain copies of these rules or direct questions to OUNC by calling (503)246-1997. �� "4Issued By.,4(2 � Permittee Si.gnati ++++f•+f++f+f++++i•++++++++++t++++++++++t+++++++++++++++++++++++++++++++++++++++ Call 639-4175 by 7:00 p. m. for an inspection needed the next business day +++++++++++++.++++++++++++-F++++++4•+++++++++++++++++++++++++++++++++++++++.t+++ CITY OF TIGARD Plumbing Permit Application Plan chsck 0 13125 SW HALL BLVD. Commercial and Residential Recd By_ C - TIGARD, OR 97223 Date Recd /A- (503) 639-4171 Date to P E. Print or Type Date to DST Incomplete or illegible applications will not be accepted Perm"s `/�►/ o 1/11$% Related SWR• 'V3 Called-L;K- 7 ✓✓� --- _ < f.: Name of Development/Project FIXTURES (MillyidwQ QTY' PRICE AMT Job Shu S Sinus C9^1-1+' Sink �- ^9.00 Address Street Address Sun Lavatory 9.00 /0110 :50 /V x Mb�S A vt. -7 �g _ Tub or TublShower Comb 9.00 Bldg* City/Stale Zip - - _-- -- � A tb -7 14,3 Shower Only 9.00 - Name Water Closet 9.00 Dishwasher 9.00 Owner Mailing Address Suite Garbage Disposal v 9.00 NJ*V Machine m City/state Zip Phone Wam Drain/Floor Sink 2' 9.00 d Name 3" - 9.00 O Ck'. IJlrey� p Ile. N- Swin. 64-,"rcr, 4- 9.00 Occupant Mailing Address Sxllte Water x;Aater O conversion O like kind 9.00 Gas i I requires a separate mechanical permit. City/State Zip Phone Laundry Room Tray 9.00 --_- Urinal - 9.00 Name . Other Fixtures(Specify) 9.00 CoOractor Valling Address I Suite 9.00 f_'0• fox aNXg - - - 900 Prior to permit City/State Zip Phone Sewer-1st 100' 30.00 Issuance,a copy Arep p,L �7.ZS I 39 31iS`! - Sewer-each additional 100' 25.00 of all licenses are Oreon Const.Cont,Board Lic.9 Exp.Date required If 71 Water Service-Is'100' _ 30.00 expired In COT Plumping Lic.0 Exp Date Water Service•each additional 200' 25.00 database - .�3 3 �� Storm 6-Ra In LxaIn-1 a t 100' 3(Q' 30.00 Name Sturm!9 Rain Drain-each additional 100' 25.00 Architect Mobile Nome Space 25.00 Of MalNno Address Suite Commercial Back Flow Prevention Device or Anll- 25.00 Pollution Device Engineer City/State Zip Phone Residontiat BacAAow Prevention Device' 15.00 (Irrigation timing devices require a separate Describe work t be done: restricted mill. New O Repair O Repla with like kind: Yes O No O Any Trap or Waste Not Connected to a Fixture 9.00 9 Residential O Commerclal� - Catch Basin 9.00 Additional description of work. Insp.of Existing Plumbing 40,00 �a�ncATt. E><iST �y pv+rP (kGc�.awe.s I MS 7b Iperthr nJG,, p+Qdr i n. Specially Requested Inspections 40.00 per/hr Rain Drain,single family dwelling 30.00 Are you capping,moving or replacing any fixtures? - Yes . No O Grease Traps 9,00 If yes,see back of form to indicate work performed by -- QUANTITY TOTAL fixture. FAILURE TO ACCUP,ATELY REPORT FIXTURE Isometric, riser diagram is required N Ouentlity,Total Is >a WORK COULD RESULT If'INCREASED SEWER FEES. -� -`- *SUBTOTAL I here b ack)iowledge that I have read this application,that the Information 57. given i r erre that I am the owner or authorized agent of the owner,and 6%SURCHARGE that ns sub ifted are in m ce with Oregon State Laws. z.4$ Slgnat of wner/Age Date "PLAN REVIEW 26%OF SUBTOTAL / /;-3 9rf R +red e�if fixture qly.total is>0 _ _ r' 1 000��� TOTAL Person Name Phone _ 4 ? 'Minimum permit fes Is$25+596 surrharpe,except Restdertt list C h(" )A i A J 39 a 9 Prevention Device,which In$15+5%surchalge -All New Ccrarnerclat Rultdinp require plans with Isometric or riser diagram and plan review I ldsraVormslpW@pp dm t 1r30F.x1 - ^"' •.1:.za.....-. T... ^,w-r�-"T"'*'" PLEAS' COMPLETE: Fixture Type _Quantity by Work Performed _ New Moved Replaced Removed/Capped Sink Lavatory Tub or Tub/Shower Combination Shower Only Water Closet Dishwasher Garbage Disposal Washing Machine _ Floor Efrain/Floor Sink 2" 491 Water Heater Laundry Room Tray_ _ Urinal Other Fixtures (Specify) _ 11 N_p NOT COY�N.t�TIA.'Ta �i KTu..! �— COMMENTS REGARDINr ABO IL A \ lad1L r1n to ► (I� 4 r5-rA v4 Da. �•r POOL- OW& _J LU — — — J 1%dstsVamMphanepp dcx 11/30/90 _ 1 CITY OF TIGARD DEVELOPMENT SERVICES SEWER CONNECTION 13125 SW Hall Blvd.,W,OR 97223(503)6394171 PERMIT PERMIT #. . . . . . . .. SWR98-0360 DATE ISSUED: 12/21/98 PARCEL.: IS134AA-01800 SITE ADDRESS. . . : 1.0170 SW NIMBUS AVE #H-7 SUBDIVISION. . . . : 1 KOLL BUSINESS CENTER TIGARD ZONING: I—P BLOCK. . . . . . . . . . LOT. . . . . . . . . . . . . :002 JURISDICTION: TIG --------------------------------------------------------------------------------------- -- TENANT NAME. . . . . :CHIL.DREN OF THE SEA USA NO. . . . . . . . . . : FIXTURE UNIT'S. . . : 0 CLASS OF WORK. . . :ALT DWELLING UNITS. . : 0 TYPE OF USE. . . . . :COM NO. OF BUILDINGS: (b INSTALL. TYPE. . . . :BUSWR IMPERV SURFACEs 0 sf Remarks : 35' of sewer line.. Abandoning existing lateral to connect to another l- teral. Must have inspection for capping existing lateral. Owner: ---------____------___--------------------------------- FEES ---------__ CHILDREN OF THE SEA type amount by date recpt I " SAURSKI INSP ! 45. 00 B 12/21/98 98-311656 A SWF NIMBUS H-7 T' BIRD OR 97223 Phone #: Contractor: --_—_---------------_.---------- OWNER ------------------------------------------------ Phone #: i 45. 00 TOTAL Rey t`. . : -------- REOU I RED I NSPECT I f-)NS ------This Applicant agrees to comply pith all the rules and regulations Sewer Inspection 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 fines not guarantee the accuracy of the _ r side sewer laterals. If the sewer is not located at the measurement _ given, the installer shall Pvosrer_t 3 feet in all directions from the distance given. If not so located, the installer shall purchase a "lap and Side Sewer" Permit and the Agency will install a lateral. ATTFNTON: Oregon law requires you to follow rules adopted by the _ 0. Oregon UtP ity Notification Center. Those rules are set forth in OAR 992-AMI-0010 through OAR 952-90914080. You may obtain copies of N these rules or direct questions to ODIC by calling 1593)246-1987. m Tssued by : -- _ L-_ Permittee Signatr•re: _ W J ++4-+•+++.+++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++ Call 639-4175 by 7:00 p. m. For, an inspection needed the next business day +++•+++++++++++*+++++++++++++++++++++++++++++++++++++++++*+++++++++++++++++++++++ CITY OF TIGARD DEVELOPMENT SERVICES PLUMBING PERMIT 13125 SW Hall Blvd., Tigard,OR 97223(503)439.4171 PERMIT #. . . . . . . .. PLM98-0469 DATE ISSUED: 12/21/98 PARCEL: 1S134AA-01800 ;ITE PDDRESS. . . : 10170 SW NIMBUS AVE #H SUBDIVISION. . . . : 1 KOLL BUSINESS CENTER TIGARD ZONING: I—P BLOCK.. . . . . . . . . . . LOT. . . . . . . . . . . . . :OO2 JURISDICTION: TIG CLASS OF WORK. . :ALT GARBAGE DISPOSALS. : 0 MOBILE HOME SPACES. : 0 TYPE OF USE. . . . :COM WASHING MACH. . . . . . : 0 BACKFLOW PREVNTRS. . : 0 OCCUPANCY GRP. . :B FLOOR DRAINS. . . . . . : 0 TRAPS. . . . . . . . . . . . . . : 0 STORIES. . . . . . . . : 0 WATER HEATERS. . . . . : 0 CATCH BASINS. . . . . . . : 0 FIXTURES----------------- LAUNDRY TRAYS. . . . . : 0 SF RAIN DRAINS. . . . . : 0 SINKS. . . . . . . . . . 0 URINALS. . . . . . . . . . . . 0 GREASE: TRAPS. . . . . . . : 0 LAVATORIES. . . . : 0 OTHER FIXTURES. . . . : 0 TUB/SHOWERS. . . : 0 SEWER LINE (ft) . . . : 35 WATER CLOSETS. : 0 WATER LINE (ft ) . . . : 0 DISPWASHER 5. . . . : 0 RAIN DRAIN (ft ) . . . : 0 Remarks : 35' of sewer line Owner: ----------------------------------------------------- FEES ---- — ------__— ROBINSON, WILLIAM & CONSTANCE typts amount by date recpt BY INSIGNIA COMMERCIAL GROUP PRMT f 30. 00 B 12/21/98 98-311656 8705 SW NIMBUS AVE #230 SPCT S 1. 50 B 12/21/98 98-311656 BEAVERTON OR 97008 Phone #: Contractor------------------------------ FLY ontTactor-----------------------------FLYING H CONSTRUCTION CO PO BOX 2533 W I L_SONV I LLE OR 97070 ---------------------------------------- Phone #: 503-678-4224 $ 31. 50 TOTAL Reg #. . : ------- REQUIRED INSPECTIONS ------- This pereit is issued subject to the regulations contained in the Sewer Inspection _ Tigard Municipal Code, State of Ore. Specialty Codes and all other Final Inspection _ applicable laws. All nark will be done in accordance with approved plans. This pereit will expire if work is not started 4. within 188 days of issuance, or if work is suspend!d for sore than 18f days. ATTENTION: Oregon law requires you to follow rules — U) adopted by the Oregon Otility Notification Center. Those roles are set forth in OAR 752-@81-411! through OAR 952-MI-W. You say obtain copies of these rules or direct questions to OIX by calling $_ (5e3)246-1987. W f sued By: 61 _ �� Permittee Signature: ++4.++++++++4,.+++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++f-+++ Call 639-4175 by 7:00 p. m. for an inspection needed the next business day +++++++++-F-++•+-f-+i•++++++++++++++++++++-++++++++-++++++++++++++++++-f-+++++++++-++++-4 CITY OF TIGARD Plumbing Permit Application Plan Check 13125 SW BALL BLVD. Commercial and Residential Rec'd By -� TIGARD, OFF 97223 Date Recd `Z (503) 639-4171 Date to P.E. Print or Type Date to DST " Incomplete or illegible applications will not be accepted Permit: FLS 4 Related SWR# -� Called Name of Development/Project ",t 1 (� .IOb C-/,/1'11'W A Uf T/� 5��! Sink 9.00 Address Street Address Suite Lavatory 9.00 70 GtJ /� 7 g Tub or Tub/Shower Comb. 9.00 Bldg S , -A City/State Zip - Shower Only 9.06----- ?/�� . .e47 DR. Narre �--- Water Closet 9.00 v 1'-/ Dishwasher 9.00 Owner Mailing Address Suite Garbage Disposal 9.00 Se J- /U/zy1-;e5 7 Washing Machine 9.00 City/State ZIP Phone Floor Drain/Floor Sink 2- 9.00 Name 3" 9.00 /ytv 4" 9.00 Occupant Mailing Address Suite Water Heater O conversion O like kind 9.00 O 5c4 &Ij7 Gas plphyj requires a separate mechanical permit. City/Slate Zip Phone Laundry Room Tray 9.00 Urinal 9.00 Name Other FLdures(Specify) 9.00 AL %`1 ,ver eo. Contractor Mailing AddressqLlc.# Suite 9•00 G 533 9.00 Prim to permit City/State ZIp Phone Sewer-tat 100' 30.W , Issuance,a copy /LSG / / 476- z Sewer-each additional 100' 26.00 of all licenses are Oregon Const.Cont.BoaExp.Date required If Z-y-��- Water Service-1at 100' 30.00 expired M COT Plumbing LIc.0 Exp.Date Wal@r Service-each additional 200' 28.00 database Stone R Rain Drain-1st 100' 30.00 - Name i Storm d Rein Drain-each additional 100' 25.00 Architect '7//L/ , Mobile Home Space 25.00 or Mailing Addrose Suite Commercial Back Flow Prevention Device or AMI- 25.00 7 W. Z� 40 G Pollution Device Engineer city/state zin Phone G Residential Backflow Prevention Device* - - 15.00 rj7Z D'Y FO-ps/7 (Irrigation timing devices require a separate Describe work to be done: resin ted en !Ry permlt.) _ New O Repah O Replace with like kind: Yes O Nn O Any Tulp or Waste Not Connected to a FW.ure 9.00 Residential O Commercial O Catch Basin 9.00 AddP'onal description of work: Inap.of Existing Plumbing - 40.00 per/hr - Specially Requested Inspections 40.00 r/hr a Rain Drain,single family dwelling 30.00 OC Are you capping,moving or replacing any fixtures? ~ Yes O No O Grease Traps 9.00 U) U. If yes,see back of form to indicate work performed by QUANTITY TOTAL F- fixture. FAILURE TO ACCURATELY REPORT FIXTURE Isometric or riser dl rangy_ hen rk.a If Quaylity Total is >s -j WORK COULD RESULT IN INCREASED SEWER FEES. ---- *SUBTOTAL a) I hereby acknowledge that I have read this application,that the Information 0 given Is correct,that I am the owner or authorized agent of the owner.and 9%SURCHARCS UJI that plans submitted are In compliance with Oregon State Laws. Signature of Owner/Agent_ Data -PLAN REVIEW 25%OF SUBTOTAL R ked only N f6Akas gty.total Is�a _ Z -2�-gam TOTAL co Person sae Phone r / 'Minimum permit fee is$25+5%surcharge,except Residential Rackflow -533 Prevention Device,which Is$15+5%surcharge "All New Commercial Buildings require pian-,with Isometric or riser Aingram and plan review 1.ldablpkrmWp.doc 712M a PLEASE COMPLETE: Fixture Type uantity by Work Performed Flew Moved Replaced Removed/Capped Sink _ Lavatory Tub or Tub/Shower Comb ation Shower Only Water Closet Dishwasher _ -- Garbage Disposal _ — Washing Machine Floor Drain/Floor Sink 2" --- Water Heater - Laundry Room Tray -- Urinal Other Fixtures (Specify) — — COMMENTS REGARDiN ABOVE: c7 I UMs%p,umapp doc 7f7M CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Line: 6394175 Business Line: 639-4171 BUP _ Date -V�w� Requested j2_-2-2_ -q8_ ANI PM BLD !_ocation (' o� / Suite 6tH- MEC Contact Person Ph 7t PLM Contractor _ Ph 0 ALSW� BUILDING Tenant/Owner ELC _ Retaining Wall ELR Footing Access: Foundation FPS Ftg Drain SGN Crawl Drain Inspection Notes: Slab —_ — —_— SIT Post&Beam Ext Sneath/Shear Int Sheath/Shear Framing —_—__— Insulation Drywall Nailing Firewall Fire Sprinkler - —_--- Fire Alarm Susp'd Ceiling Roof Misc: - ---- —--- - ---- Final PASS PART FAIL -- - --------- ---- --- — — PLUMBING _- — -- _-- Post&Beam Under Slab —_—_— Top Out Water Service Sanitary Sewer Rain Drains -- __-- Final PASS PART FAIL MECHANICAL Post 3 Beam - Rough In Gas Lir - ----- ------ ---- Smoke Dampers Final PASS PART FAIL ELECTRICAL ---- ----- — ---- (L Service Rough In H UG/Slab ___ :-- — -- ---- Low Voltage Fire Alarm - ---- --- Final m PASS PARI FAIL __Y— _ ----------------•-------- - C7 SITE J BackfiWC.&rading, Sanitary Sem' S{brm Z3rain 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: [ j Unable to i-sped-no access ADA Approach/Sidewalk Date I ' Inspector �✓ i Ext--ye" Oth _ _--Z-- — A PART FAIL DO NOT REMOVE this Inspection record) from the job site. Page No 1 CABS HISTORY FOR CASE NO.: DUP96-0065 FORUM PROPERTIRS 101.'10 BN NIMBUS AVE Unit: H-7 02/19/9! Action Description Req/ Schd/ Rnd/ Action Notes Disp By Updwte Upd Code Bent Done Dane Data BY BUPC007 Application received / / / / 02/20/96 RECD JH 02/23/96 BON PUPCOoe Permit created / / / / 02/23/96 PRN) H 02/23/96 BON RUPC015 Plans routed to Planm Rxaminer / / / / 02/23/96 1,132A PRNU B OS/23/96 JHF BUPC016 Plan Review Ltr. to Ofe. Svcs. / / / / 04%01/96 1p2a PRND DS 04/06/96 DB BUPCO2o Revised Plans Received / / / / 04/29/96 1p2a PEND DS n5/OB/96 08 BUPCO24 Plane Approved/Routed to DBT@ / / / / 05/06/96 1p2a, separate permit required for pool APPR D8 05/06/95 D6 ■tructure PUPC070 HOLD FOR (Note in Action Memo) / / / / 10/24/97 bold anchanical/bldg inspection* uvtil HOLD JT 10/24/97 JT $IS reinspect fee assessed on 10/24,/97 has leen paid BUPC075 Hold Release to Issued status / / / / 11/17/97 work modified, bldg final approved. PASS 09 11/17/97 J•H BUPC090 (F) Ready to issue / / / / 05/10/96 PASS CJS 05/10/96 CJS BUPC100 (P) Issue permit / / / / 05/17/96 PAAS J8D 05/17/9f JD BUPC465 <.REINBPRCTION— / / / / 10/24/97 George assessed $15 this data for $15 JT 10/24/97 JT escharical/buildinq reinspection. 8UPC716 Reinf Steel Inep 06/11/96 / / 06/11/96 pool; subject to elec, pin and special APP GS 06/01/96 BT2 inep 13UP('740 Framing Inep / / / / 99/24/96 deck PART GS 06/25/96 ORA RUPC740 Framing Inep 06/27/96 / / 06/27/96 walla PART GB n6/27/96 GF-9 pend ple S SUPC740 Framing Inap 07/03/96 / / 07/03/96 APP 09 07/03/06 GUS 6DL BVPC730 Inr•.lation Inap / / / / 07/03/96 ROOF 08 r /03/96 ORS BUPC760 Gyp Board Tnep / / / / 07/01/96 65! complete APP CIS 07/01/96 GRS DUPC760 Gyp Board Inep 07/03/96 / / 07/03/96 APP rib 07/03/96 GBS BUPC762 Suep Ceiing Tnap / / / / 07/11/96 duct, an grid at west and cf pool PRND GS 07/11/46 GES v BUPC762 '••9p Ceilnq Inep 07/12/96 / / 07/12/96 APP G8 07/12/96 ORS RUPC796 Inspection 05/31/96 / / 05/31/96 CONF as 04/01/96 BT2 BUPC796 Inspection 06/27/96 / / 06/27/96 gas press Balled dim app v,o permit DIS GB 06/27/96 GRA BUpC796 Mise. Inspection 06/27/96 / / 06/27/96 added support bsa,s for de-hueidifer APP 09 06/27/95 GRA Paqe No. 2 CASE HISTORY FOR CASE NO.: RUP96-0069 FORUM PROPERTIES 10170 SW NIMBUS AVE Unit. H-7 02/19/96 Action Description Req/ Schd/ End/ Action Not:ee Disp By Update Upd Code Sent Done Done Date By BUPC799 Final Inspection / / / / 07/12/96 6^ SPACING OF HORIZ GUARD AND HANDRAILS; DIS 08 07/12/96 ORS RANDVR DRADBOUr REAR EXIT; SIGNAGE OVRR FRT DOORS; NO MRCH OR ALARM PERMITS; RISC FNL BUPC602 Final Inspection / / / / 10/01/97 1. Spacing of horizontal handrails at FAIL 03 10/01/97 J"H rear steps need a spacing of 6-inches between rails. BUPC902 Final Inspection / / / / 10/22/97 see me-c96-022S FAIL GS 1C/22/97 QRS BUPC602 Final Inspection / / / / 10/24/97 Unable to get nooks detection, shutdown FAIL GS 10/26/97 J-H to operate. Pay a 915.00 reinspection fee prior to next inspection. BUPC902 Final Inspection / / / / 11/17/97 11/19/97 TO JILL FOR C/O APPROVAL PASS as 11/19/97 JT BUPC950 (P) Issue Cert. of Occupalcy / / / / 11/17/97 wailed 2-19-95 JT 02/19/96 S*M i i S Page No. 2 CARR HISTORY FDI+. CASH NO.: SUP96-0085 FORUM PROPRRTIBS 10170 SN NIMBUS AVR unit: H-7 11/10/97 Action Description Rey/ Schd/ End/ Action Notes Diap By update opd Code sent Done Done Date By ------- -•------------------------•---- -------- -------- -------- --------------------------------------- ---- --- -------- --- BUPC799 Final Inspection / / / / 07/12/96 6" SPArIN9 OF HORIZ GUARD AND HANDRAILS; DIS 48 07/12/96 Osla REMOVE DRADBOLT REAR REIT; SICM(M OVER FRT DOORS; 10.:1 MRCP OR ALARM PBRMITS; RLRC FNI, BUPC002 Final Inspection / / / / 10/01/97 1. Spacing of horizontal handrails at PAIL fib 10/01/97 J^H rear steps need a spacing of 6-inches between rails. BUPC802 Final Inspection / / / / 10/22/97 sN iec96-0229 PHIL 98 10/22/97 OO8 BUPC802 Final Inspection / / / / 1.0/24/97 Unable to get coke detection, shutdown PAIL 98 10/26/97 J*H to operate. Pay a $15.00 reinspection foe prior to nuctlas�Qectim. -y BUPCO02 Final Inspection / / / / 11/17/97 1.1/18/ PARS 0 1/16/97 JT L rn g Tl�' j o�t� J Page No. 1 CASE HISTORY FOR CARR NO.: BUP96-0427 CAILDRRN OF THR SRA 10170 SM NIMBUS AVR Unit: H-7 01/19/90 Action Descript.iop- Rey/ Sc1d/ Rnd/ Action Notes Disp By Update Upd Code Sent Dons Done Date By BUPC007 Application received / / / / 07/15/96 RRCD B 07/23/96 BON BUPC000 Permit crested / / / / 07/2S/96 PWM B 07/25/96 BON BUPC015 Plans routed to Plane Rxaminer / / / / 07/25/96 P9W B 07/25/96 BON BUPCO24 Plans Approved/Routed to DSTs / / / / 00/07/96 APPR J11F 09/07/96 JHF BUP090 (P) Ready to issue / / / / 09/15/96 called: left message with answering PASS JDS 09/15/96 JDA se:vice that I need Fee and beth CCB and Elect (Low volt) I-Ac. BUPC100 (F) Issue permit / / / / 07/09/97 PASS DRA 07/09/97 DST RUPC795 Fire Alarm Insp / / / / 07/11/97 not ready FAIL TLP 07/21/97 J•11 BUPC799 Final Inspection / / / / 09/07/97 APP OA 09/12/97 ORS BUPC960 Case Finaled / / / / 09/12/97 APP G9 00/12/97 CBS a m w a CITY OF TIGARD DEVELOPMENT SERVICES BUILDING PERMIT PERMIT #. . . . . . . : BUP96-0427 13115 SW Hall Blvd.,Tigard,OR 97223 (503)639-4171 DATE ISSUED: 07/09/97 PARCEL: IS134AA-01800 SITE ADDRESS. . . : 10170 SW NIMBUS AVE #H-7 SUBDIVISION. . . . : 1 KNOLL BUSINESS CENTER TIGARD ZONING: I—P BLOCK. . . . . . . . . . : LOT. . . . . . . . . . . . . :2 JURISDICTION:TIG REISSUE: FLOOR AREAS---------- EXTERIOR WALL CONSTRUCTION— CLASS OF WORK. :FPS FIRST. . . . : 0 sf N: S: E: W: TYPE OF USE. . . :COM SECOND. . . : 0 sf PROTECT OPENINGS?---------- TYPE OF CONST. :SN . . . . 0 sf N: S: E: W: OCCUPANCY GRP. :B TOTAL------: 0 sf ROOF CONST: FIRE RET?: OCCUPANCY LOAD: 45 BASEMENT. : 0 sf AREA SEP. RATED: STOR. : 0 HT: 0 ft GARAGE. . . : 0 sf OCCU SEP. RATED: BSMT?: MEZZ?: REDD SETBACKS--------- REQUIRED--------------------- FLOOR LOAD. . . . : 0 psf LEFT: 0 ft RGHT: 0 ft FIR SPKL:Y SMOK DET. . : DWELLING UNITS: 0 FRNT: 0 ft REAR: 0 ft FIR ALRM: HNDICP ACC:Y BEDRMS: 0 BATHS: 0 IMP SURFACE: 0 PRO CORR: PARKING: 0 VALUE. $: 2500 Remarks: Fire alarm system Owner: ------------------------------------------------------- FEES --------------- FORUM PROPERTIES type amount by date recpt 8705 SW NIMBUS FIRE f 15. -+0 B 07/15/96 96-281765 STE 230 PRMT f 38. 50 DRA 07/09/97 97-296919 BEAVERTON OR 97008 SPCT $ 1. 93 DRA 07/09/97 97-296919 Phone #: Contractor: --------------------------- R L D SYSTEMS INC 2880 19TH ST SE SALEM OR 97302 ------------------------------------- Phnne #: 503-371-22070 $ 55. 83 TOTAL Reg #. . : 000884 ------— REQUIRED INSPECTIONS ------- This permit is issued subject to the regulations contained in the Fire Alarm I n s p Tigard Municipal Code, State of Ore. Specialty Codes and all other Smoke deteetor i applicable laws. All work will be done in accordance with Final Inspection IL approved plans. This permit will expire if work is not started within 181 days of ia,uance, or if work is suspended for more M than 181 days. ATTENTION: Oregon law requires you to follow the _ r rules adopted by the Oregon Utility Notification Center. Those C� rules are set forth in MR 952-01-011 through W 952-1111987. ED You many obtain a copy of these rule% or direct questions to OUNC _ 0La calling (5131246-1987. W _ J _- Permittee Signature: V �`�*�_ Issued By +++++++++++++++++++++++++++++++++++++++•} +++++++++++++++f.+++•}+++++++++++++++++ Call 639-4175 by 6:00 p. m. for an inspection needed the next business day ++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++ Commercial Building Permit Application City of jigard 2125 SW Hall Blvd. Tigard, OR 97223 (503) 639-4171 f 61441 Jobsite Address: 11110 5 .W . j\( , m b u S H7 4- µSt - Ij( mu j 104tey Tenant: AAAHA101Af Suite# N OMCS Use OnU.1-0 Valuation: ,Z SOb Planck/Rec# -5S Permit# _[ fD ' ✓^�t 7 Owner: WaAm r._ , Map & TL#J-'� l��A Address: 00S 'W A rovals Re ulred a' Planning Phone: OT 1 UL 126 0b —{--�. Engineering Other _ Contractor: �L SYS 4-4"'s 1:'j Q ;Vim.( Address: X810 1941"", 5t. S.E, ,so (-) R q 1,3 p 2, Type of const: ^ Occupancy class: _ Phone: �� 3 -3'1 I - L d l0 Sprinklered? Yes No Contractors License # ��W 0 3 (attach copy of current Oregon license) Sq. ft. of project: Contact name & phone: e�:P)2ati6-,03 3-W- 20.70 Story (1st, 2nd, etc.) S'j 0 A e, le) /," f'f r'fC e t Proposed use: ArchitecVEngineer: �, � - IT ss Address: Previous use: a y f~ Note: Plumbing & mechanical plans U) must be submitted at time of Phone: building permit application. m WJOB DESCRIPTION: FI Ry- A la w+ '��� 1-63-3-7 1- z o TO Applicant Signature & Phone number I ` 1 :7 Received by: � W)fq�� Gate Receiv«d: Permit Account Description Amount Amt. Pd. dal. Due Bldg. Permit (BUILD) 'r,"0125- Plumb. te'125-Plumb. Permit (PLUMB) _ Mech. permit (MiECH) State Tax (TAX) Bldg: ?-1 Plumb: Mech: an Check (PLANCK) BI Plumb: Mrech: Sewer Connection WUSA) Sewer Inspection (SVI"*SP) Parks Dev Charge (PKSDC) Residential TIF (TIF-R) Mass Transit TI'S (TIF-MT) _ Commercial TW (TIF-C) Industrial TIF (TIF-1) Institutional TIF (TIF-IS) Office -IF' (TIF-0) CL Water Quality (WQU L) U) Water Quantity (W DANT) _ Fire Life Safety LS) _ J� '�{� m Erosion Cntrl Pe it (ERPRMT)uj a Erosion Planc USA (ERPLAN) Erosion PI ck1COT (EROSN) _ TOTALS: V III 1 it i Z II p, W W * w W « ^v dQ � Q cn fn V] to cn V z z z z z z a� jcyll�] O O O N V A 19 r r N m _J m W O ❑ ) o Q? ° J u u �> 'C t4 W u Od r oo a, (71 o S Ho U U U U u U I CITY OF TIGARD MECHANICAL PERM DEVELOPMENT SERVICES PERMIT N. . . . . . . r MEC97-0355 13125 SW Hall Blvd.,Turd,OR 97223 (503)6.994171 DATE ISSUED$ 09/23/97 PARCEL: 19134AA-01800 SITE ADDRESS. . . : 100 9W NIMBUS AVE SUBDIVISION. . . . : 1 KOLL BUSINESS CENTER TIGARD ZONING: I—P BLOCK. . . . . . . . . . $ LOT. . . . . . . . . . . . . :OO2 JURISDICTION: TIO -------------------- ---------------------------------------------------------- CLASS OF WORK. . :ALT FLOOR FURN. . . . $ 0 EVAP COOLERS: 0 TYPE OF USE. . . . sCOM UNIT HEATERS. . : 0 VENT FANS. . . : 0 OCCUPANCY GRP. . :B2 VENTS W/O APPL: 0 VENT SYSTEMS: 0 STORIES. . . . . . . . : 0BOILERS/COMPRESSORS HOODS. . . . . . . : 0 FUEL TYPES------------- 0-3 HP. . . . r 0 DOMES. INCIN$ 0 3-15 HP. . . . $ 0 COMML. INCIN: 0 MAX INPU'Ts @ BTU 15-30 HP. . . . : 0 REPAIR UNITS$ 0 FIRE DAMPERS?. . r 30-50 HP. . . . r 0 WOODSTOVES. . $ 0 GAS PRESSURE. . . : 50+ HP. . . . $ @ CLO DRYERS. . $ @ NO. OF UNITS----------- AIR HANDLING UNITS OTHER UNITS. : 1 FURN ( 1.O0K BTU: 0 10000 cfm$ 0 GAS OUTLETS. : 1 FURN )-1O0K BTUs 0 > 10000 cfm: 0 Remarks: Add Wel heater and gas piping. Owner: ---------------------------------- FEES --------------- FORUM PROPERTIES type amount by date recpt 10240 SW NIMiBUS AVE L-3 PRMT $ 25. 00 GEO 09/22/97 97-299457 PORTLAND OR 97223 SPCT 9 1. 25 GEO 09/22/97 97-299457 Phone N: Contractor: --•-------•-------------------- NEPTUNE SWIMMING POOL 13785 SF AMBER RD --------------------------------- S 26. 25 'TOTAL CLACKAMAS OR 97015 Phone M: 503-659-1335 Reg #. . : 000118 ------- REQUIRED INSPECTIONS ------- This pergit is issued subject to the regulations contained in the Gas Line I n s p Tigard Municipal Code, 9tate of Ore. Specialty Codes and all other Heating Unt Insp applicable laws. All work will be done in accordance with misc. Inspection o approved plans. This permit will expire if work is not started Final Inspection _ within 1M days of isseame, or if work is suspended for more than 1M days. A1TENTIONs Oregon law requires you to follow rules _— adopted by the Oregon Utility Notification Center. Those rules are J set forth in OAR 952-01-01e through OAA 95P-G1-MM. you may m obtain copies of these rules or direct questions to MW by calli,11 (963)246-9187. — -- Permittee Sinature: Issue By: " —� ++ %•+++++i•++++4•+•If++++++++++++++++++++++++++++++++++++++++++++++++++++++t+++++++ Call 639-4175 by 6:00 p. m. for inspections needed the next business day ++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++f++++++Je+ Plan Check 0 CITY OF TIGARD Mechanical Permit Application Recd By 13125 SW HALL BLVD. Commercial and Residential Date Recd TIGARD,bR 97223 nl � Data to P.E.r (503) 639-4171, x304 rl Dae to OST Print or Type 01 c��,., ik.�l ` Pat"0 T Incom tete or illegible a licstions will lntlt W? d called - Incomplete P a awpm•nh°'cb Daatplbn /L c /1 e s1Z� Table 1A Medranical Code CITY PRICE AMT Job name.. A)A) Porn*Fee 4 4)- 10.00 C 7 �6AR 7 Z Z 1 ) ll ky tom 6.00 v NrM(a RWM of buWaul 2.) Furnace 100,000 BTI+ 7.50 Owner S1 M£ blcluding ducts&vents M-& Addren 3.) Fbor Furnace 4.00 _ InchrJhq vent CtWsua ZIPPIaM 4.) Suspended healer,wall healer 6.00 or floor mowftd heater me-no(or no"d bu•irm") 5.) Vern not irldrded in appliance permit 3.00 Occupant Me*og Adar"s _ 6.) Boller or comp,heat pump,ak oond. 6.00 to 3 HP;absorb unit to 100K OU 1 eyrsur. Zlp Prone 7.) Boiler or comp,hent pump,nit Gond. 11.00 3-15 HP;absorb unit to NW BTU" Contractor N -C 6.) Boiler or comp,heal pump,air pond. 15.00 (Prior to T o e" SLV c 4rA%1A' M( ��. 15.30 HP;absorb unit!W mil BTtr issuance Mail" 1 9.) Boiler or comp.heat pump,air coed. 22.50 applicant / S s. .A.�►6ter 0 30-60 HP;absorb unit 1-1.7W BTU" must provide all Crrrseere LP 10.) Boller or comp,Mat pump.Sir card. 37.50 corrtractor 0?.-67 S 9/3 t >50 HP;absorb unit 1.75 mil BTU" kens. Cana.Cont.Bow Ltcs .D 11.) Aur harAN unit to 10,000 CFM 4.50 expired if I/f3/n COT COT Buwtw Tec or Mayo e .Dae. 12.) Air handling unit 10,000 CFM 7.50 database). ArchftectNrM 13.) Non-portable evaporate cooler 4.50 1-I"A* $CIO',D7- _ or M*WV A 33 TA-0 S 14.) Vent fan oonnected to a single duet 3.00 �.! urs 30Z Engineer Cry¢swe 9� zip Phan.�r 15.) Ventilation system not included in 4.50 tTbANn .2o ZZj ,,17 Describe work New JW Addition O AReralim O Repair O 16.) Hood served by mechanical exhaust 4.50 to be done Residential O Non-residential O Additional Description of work 17.) Domestic indneratera 7.50 Sus.►M A4 A5 fbD( /'/&,A*1 - "n 19.) Corrrnerdal or industrial type 30.00 )'t S'f A 1,�A 77 t� U Incinerator Existing use of -n- 19.) Repair units 4.50 building or property_::5,Q!1'A& 20.) Wood stove 4.50 (L Proposed use of 21) Cbthes dryer,etc. AIM FX huiidieg or property co 22.) Other w v wt. / 4.50 I Type of fuel-oil O natural gas, LPG O electric O 23.) Gas piping one to four outlets 2.00 J (n I hereby acknowledge that I have road this application,that the 24.) More then 4-per outlets(each) .50 information given is corred that I am the owner or atrthortzed agent of _ W the owner,that plans submitted are in compffankx with Oregon State i QTY.SUBTOTAL aJ laws. _ Sig natu f Owner/Agent Date 'SUBTOTAL On 596 SURCHARGE+ Contact P neon Narwy Phone PLAN REVIEW 25%OF SUBTOTAL L TOTAL] �� dstVnachpmt.doc (rev 9 *MWmum permit fee is S25+5%surcherpa "Residential AIC regrkee site plan showing plis mw of unit. CITY OF TIGARD DEVELOPMENT SERVICES 19125 SW Hell 61W.,npo%OR 07223 (503)W4171 CERTIFICATE OF OCCUPANCY PERMIT M. . . . . . . s 8UP96-0005 DATE ISSUEDs 11/17/97 PARCELS 1S134AA-01800 SITE ADDRESS. . . v10170 SW NIMBUS AVE #14-7 SUBDIVISION. . . . a1 KOLL BUSINESS CENTER TIGARD ZONINGsI-•P BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . #002 JURISDICTION. TIO ----------------------------------------------------------------------------- GLASS OF WORK. vALT TYPE OF7 1-ISE. . . sCOM TYPE OF CONSTRs5N OCCUPANCY ORP. s B OCCUPANCY LOADS 45 TENANT NAME". . . z CH I LDREN OF THF SEA Remav-Ps c Tenant improvement plarmit incll_ides pool Owners ---_.--_---.------------------.__---_- FORUM PROPERTIES 10240 9W NIMBUS AVE L-3 PORTLAND OR 97223 Phone Ms Contractor YORKE & CURTIS 10125 SW BEAVERTON HWY BEAVERTON OR 97005 Phone Rs 646-.c!123 Reg #. . t 000019 This Certificate grants occupancy of the above refere-acted building or portion thereof and confirms than the building has been inspectd for compliance with the State of Orgon Specialty Codes for the groaap, Occup_ Cy, and use under 0. which the referenced permit was issued. CP l;ills t)fNr IN; _LTOR AUILD _ FIC L J m POST IN CONSP I CUOIJS F-11-ACF W i IT ol CITY OF T PERM I BU#LD I N0. . s RMSUP96-•0085 COMMUNITY DEVELOPMENT DEPARTMENT DATE I SSUED a 05/17/96 1312E SW Hall Blvd.Tigard.Oregon 97223.8199 (503)OU4171 PARCEL: 1S134AA-01800 SITE ADDRESS. . . : 10170 SW NIMBUS AVE #F+-7 SUBDIVISION. . . . : 1 KNOLL BUSINESS CENTER TIGARD ZONING: I-P BLOCK. . . . . . . . . . : LOT. . . . . . . . . . . . . 12 REISSUE: FLOOR AREAS---------- EXTERIOR WALL CONSTRUCTION— CLASS OF WORK. sALT FIRST. . . . s 4290 sf Ns S: E: W: TYPE OF USE. . . :COM SECOND. . . : 0 sf PROTECT OPENINGS?----------- TYPE OF' CONST. :5N . . . s 0 sf N: Se Ea We OCCUPANCY GRP. sB2 TOTAL--- ---a 4290 sf ROOF CONSTs FIRE RET? : OCCUPANCY LOAD: 45 BASEMENT. : 0 sf AREA SEP. RATEDe GTOR. : 0 HT: 0 ft GARAGE. . . : 0 sf OCCU SEP. RATED: BSMT?: MEZZ?: REQD SETBACKS---•----- REQUIRED----------- -------- F7LOOR LOAD. . . . : 100 psf LEFTe 0 ft RGHT: 0 ft FIR SPKLeY SMOK DET. . s DWELLING UNITS: 0 FRNT: 0 ft REAR: 0 ft FIR ALRMs HNDICP ACC:Y BEURMS: 0 BATHS: 0 IMP SURFACE: 0 PRO CORRs PARKING: 0 VALUE. $: 100000 Remarks : Tenant improvement - Children of thiL sea - l ,te p mit. 3111011114W Owners --------------------------- FEES ---------------- FORUM PROPERTIES type amount by date recpt 10240 SW NIMBUS AVE L-3 PLCK f 454. 65 JH 02/20/96 96-276090 FIRE f 173. 20 JH 02/20/96 96-276090 PORTLAND OR 97223 PRMT $ 433. 00 JSD 05/17/96 96-279579 Phone #: 503-684-•0510 5PCT $ 21. 65 JSD 05/17/96 96-279579 Contractor: ---•----------------------•----- YORKE d CURTIS 10125 SW BEAVERTON HWY BEAVERTON OR 97005 ------------------------------------- Phone ---------------•------------ Phone #: 646-2123 $ 1082. 50 TOTAL Req #. . : 001993 ------- REQUIRED 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 Insulation Insp applicable laws. All work will be don► in accordance pith Gyp Board Insp — approved plans. This permit will expire if work is not started Susp Ceiing Insp _ within. 188 days of issuance, or if work is suspended for more Final Inspection d. than 180 days. _ — F" a Permittee Sign e• _�tJ�� - C0 om, I _ sued By. -- W _J Call for inspection - 639-4175 I� cam.l Cc,16( ` ekl PA*mf1 ` Commercial Quildina Permit Amfication City'of Tigard 13125 SW Hall Blvd. �yb �I/ � -Nun+rolF/ Tigard, OR 97223 ����^ Dil`S Fvl,- POo4-,- (503) 639-4171 I � 7 S L. S Jobsite Address: 1 Q 17©,S 4I 1J14n 130S AU, Office Use.On._yl Tenant:�y.gF�. 1 de '��.r�e suits# ��s �''� 7 t�6- 7 �j0 90 Planck/Rec # C z Valuation: Permit# 6 'DAL ,(Vbr- A owner: M fig Map & TL#J'�' 3 7rfi- �I J0 Address: AoDrov4ls Rewired 41 aaQT�.dn ice, _ q� Planning Phone: t%� - /Q ' - D l D Engineering Other iM Contractor: � F Address: I r7[ 2 S c,.I � �,1 M.o j3ft:) - Type of const: Occupancy class: _T,20 Phone: �'�3.���� � 2 �L� Sprinklered7 Yes No Contractor's License # S(2`�`� a ? f, (attach copy of current Oregon Ikense) Sq. ft. of project: f Ao K- Scat M k cT Contact name 8 phone: � �,--, !3�(r Story (1st, 2nd, etc.) 15, ' L(I{- � 1Ml1d( Proposed use: ��i.►-,, ��.�e.�� Arm Engineer: Previous use: CL Address: fas s <t4 R Note: Plumbing & mechanical plans y _ Anl d7 9,Q_ Q`) 2,� must be submitted at time of building permit application. J Phone: � ,�J 7 MD w JOB DESCRIPTION: Lp s PPlicant Si9tue Phone number Received by: C1,2 n Date Received: gQ CA-t 1, z f1rq -- ter✓ IP pc A05 W1vcl DF ca"W - efs s6By,mruf� ,..� .........».�.r.r... r.N..-• . ....�.yr.r 11� ..� .y.r•w.r,.»y.R•, �t I• ' 1.1• ' ' �W W + Q Lij LL Lij W (� a W Ej a `'• . ',A Lij zLA O W pC W _ tv►-� W f" � � ,�E-' :000'9 •-�) � � � U �'` ' ' �' `�''. .�;� '` NZ < 4 1 JLL ca CLui W 1� 1//47��4 I `�• ', •1 1�' 'i. .,FYI Jos��h R. Smith 13035799131 P. 02 i WASHINGTON "�,.. .•�, OLTNTY, REGON January 10 1996 Ms. )Lynne Zavrski 11075 SW ffanager Terrace Beaverton, Oregon 97007 RE- Plan Review for a Swimming Pool, Children of the Sea (+1195-29) Dear Ms. avrski: I Your plan, to construct a gene al se public swimming pool for the "Children of the Sea"I switnming chool located at 102 0 W Nimbus in Portland, have been reviewed by the Staff ofi the Washi ton County Departm ni of Health and Human Services. A construction permit will be issued hen the following in of nation has been provided for evaluation and approval: l I 1) A piping schemata showing all piping, the various sizes and the fixture, connections (ie, skin ers, return inlets, the main drain). 2) Method used to scu e piping (if it isn't bur►ed under the concrete slab). 3) The shallow ends if t le pool must fall within the range of three feet to three feet six inches (plans p ar to indicate a four foot depth). Either the. depth must bei changed to the ap r veil range or a variance to the rules must be obtained. 4) The structural d i of the pool must be stamped by an engineer (this isl especially important iecause the pool is above ground). 5) The deck width m St-be a minimum of eight feet. Some portions of the plot pla d n indicate a deck w i of four feet. Either the width .must be increased to the. required minimu o a variance to the rules must be obtained. 6) Showers with sola ust be provided in the bathhouse. A single shower on the deck doesn't corn I with this requirement. Either the showers must be added i or a varianc- to tRe les must be obtained. The folio ing comments hav resulted from the plan review. Please make these: u additions�c erections to your plaris I o avoid any problems during the prelicensing inspection: i aftbom, nt of Health A Human Services 55 North FWO Avenue CroW 9712, WIC Nutrltlon Plan: (503). Mo-USS Admin Pte rift (MM M-4402 TM.. 4 d49 9601 Jos F. R. Smith 13035799131 P.03 t Page two 1) The filter must be.11 ted in the equipment room in such a way so as to provide easy mkjnten4.,ceI aUess. 2) The equipment ro)ff floor must be concrete and slope to the floor drain. 3) ' The pools fresh wati r inlet trust have an approved backflow prevention device, installed. 4) The filter backwaqhust be disposed into the sanitary sewer. 5) The color of themust be a light shade. 6) A handrail mustovided for each set of stairs, 7) The deck surface be level with the top of the pool and slope to a drainage system. 8) Lighting must be r(vided in the amount of two watts minimum per square foo of combined deck at d p4-c,; avpa. 9) All doors that ent r t ie pool area must be self-closing and latching and have the' door knobs at lea t 4 2 inches off the ground surface. i 10) The bathhouse co st ction and materials .must comply with O.A.R. 333-60-170.! 11) The pool steps mi ist be treated so they ate slip resistant. If you itav 'any questions regar lit'g the above, please contact William Ross at 648-8722. It+ should he i ioted, the pool constr iclon is not to take place until a construction permit has been issued. ! J J Very truly ours, DEPARTIVIENT OF HEALTH D HUMAN SERVICES i i William M Ross, R.S., M.P.A , upervisor Environme ital Health and Sani ti(n WMR:aat IL ' a ; rn m w I i i i f. 0l J Q ql. s . acc cl. ;Y AN • .i04 J Pt W C- 17 r w T ► ' CHILDREN OF THE SEA TENANT IMPROVEMENT 10170 SW NIMBUS AVENUE SUITE H7 AND 8 TIGARD OR 97224 W..)% 11% Tigard: Children of the Sea Second Plan F..eview LP2A Job No. 9f 522.011 City No. BUP96-0085 David Scott, Building Official City of Tigard 13125 SW Hall Blvd. Tigard,OR 97223-8199 Frank Schmidt. A.I.A. 333 SW 5TH Avenue Portland OR 97204 Re: Plan Review for: Children of the Sea 10170 S.W. Nimbus Avenue Suite H7 & 8 Tigard, Oregon 97224 LP'?A HAS RECEIVED REVISED PLANS IN RESPONSE TO OUR PLAN REVIEW LETTER DA TED APRIL /,1996. FOR CONVENIENCE I IIA VE REPRINTED A COPY OF OUR ORIGINAL LETTER AND MADE COMMENTS AFTER EACH ITEM. LP?A IS RECOMMENDING APPROVAL OF THE PERMIT APPLICATION FOR THE ABOVE MENTIONED PROJECT. *INDICATES NEW SHEETS I.inhart Peterson Powers Associates(LP 2A)has conducted a plan review on the above mentioned project, on behalf of the City of Tigard, building division. Our review is based on the 1993 edition of the Oregon Structural Specialty Code(OSSC). Plan set dated 2/15/96, included sheet(s): A0.1, A2.1, A2.2, A3.1, A4.1, A4.2,and * Spec book by Tiland/Schmidt Architects, P.C. * M-1,by Allied Heating and Air Conditioning, * Sl, by Kramer Gehlen Associates. Please r revise the plans to include the items listed below and resubmit to our office for re-review. n GENERAL COMMENTS:_ J n Floor Area: 4,290 sq. Ft. U Occupancy: R-2 r Construction: 5N Occupant load: 45 LINHART PETERSEN POWERS ASSOCIATES 3855-3 Wolverine Street NE - Salem,OR 97305 (503) 371-2212- FAX(503)371-3853 CHILDREN OF THE SEA TENANT IMPROVEMENT 10170 SW NIMBUS AVENUE SUITE H7 AND 8 APRIL 6,1996 TIGARD OR 97224 ARCHITECTURAL COMMENTS: Please respond to each item in writing, clearly explaining what has been done to correct the deficiencies. 1. Submit plans to the Washington County Health Department for review and approval. A copy of such review shall be submitted before construction of the pool.RESPONSE ACCEPTED 2. The new proposed toilet room compartments shall have a clear-floor space of not less than 60 inches diameter. Doors may swing into the clear floor space not more than 12 inches; however, fixtures such as the toilet may not encroach into the clear floor space. 3109 0)2. RESPONSE ACCEPTED 3. Doors No. 5, 6, and 7 are required to meet the maneuvering clearances as specified in SeL.ion 3109(i)2. RESPONSE ACCEPTED 4. Access to the pool shall be provided for the disabled as required in Section 31080)4. Submit revised drawing indicating such access requirements.RESPONSE ACCEPTED 5. The new proposed counter in the lobby area shall be no higher than 36 inches in height, or an area of that counter which is no more than 36 inches high and 36 inches wide may be provided per Section 3109(w) 2. RESPONSE ACCEPTED 6. Shower stalls within the dressing rooms shall be accessible by the disabled. 3108(B). RESPONSE ACCEPTED 7. Signage to the dressing rooms and toilet rooms shall be provided, complying with Section 3109(o)2.3.4.5. RESPONSE ACCEPTED 8. All glazing adjacent to the pool and viewing area shall meet the safety glazing requirements in Section 5406. RESPONSE ACCEPTED 9. Provide a stair detail showing dimensions of stair, rise and run,and handrail and guardrail dimensions, heights,etc. 3306(0)and 1712. RESPONSE ACCEPTED 10. Submit swimming pool design for review and approval. Such information is not shown on the plans. PENDING 11. Submit structural calculations for the pool deck design. Such design shall provide not less Z than the minimum specified in Section 2304(a). 2304(a)and Table 23-A. PENDING r 12. Pressure-treated materials shall be used for the wood structural components in the underfloor >_ area around the pool as required in Section 2516 of the Building Code. RESPONSE ACCEPTED m Respectfully, `uLINHART PETERSEN POWERS ASSOCIATES J Donald Brusseau Project Manager/Plans Examiner T 1 I. A N D / S C H M I D 'r A R C H 1 T E C T S P C April 29, 1996 Linhart Peterson Powers Associates 3855-3 Wolverine Street N E Salem,OR. 97305 Alf: Donald Brusseau Project- Manager/Plans Examiner Reference: Plan Review foi: Children of the Sea 10170 S.W. Nimbus Avenue, Suite N7&8 Tigard, Oregon 97224 City No. BUP96-0085 'I hand / Schmidt Architects P.C. will be submitting revised drawings for the above referenced project. Drawings by Tiland / Schmidt Architects P.C., include sheets: A0.1, A2.1, A2.2, A3.1, and A4.1 all dated April29, 1996. The following comments are in response to the Architectural Comments in your letter dated April 1, 1996. 1. Find attached the comment letter from Washington County Health Department, dated April 1, 1996. We have addressed all of the issues and have incorporated them in the revised Drawings dated April 10, 1996. 2. Refer to the updated plans, dated April 10, 1996. The compartment has been redesigned to meet the space requirements of a standard toilet compartment with a door swinging outward. The 60" turning radius is now situated in the main changing area which contains ample room without crossing over any door swings. 3. Doors No. 5, 6,and& 7 are all 3"-0"doors and have the required side clearances as per Section 3109(j)2. 4. Pool access for the disabled is being provided as required by Section 3108(d)4. The Owner will be installing a transfer tier at the pool for access by the disabled. Refer to the attached information for the proposed transfer tier. 5. The counter in the lobby will have a five foot wide section that will be 36"high. L r 6. The shower stalls in the dressing rooms have been revised to allow access by the disabled. These stalls shall have the ability to roll-in. Grab bars are provided, however, no permenatly mounted seat or bench will be provided. Size of the shower stalls are larger than the minimum required. Refer to the plan for 3 further information. n 7. Signage as per Section 3109(o) 2,3,4,5 will be provided. J 8. Glazing at all locations adjacent to the pool and viewing areas will comply with Section 5406. The documents indicated that all glazing within the storefront will be single glazed tempered panels. 4,,51. W . FIFTH AVENUE, SUITE 406 PORTLAND, OREGON 97204 i 220-8517 FAX (503 ) 220- 8518 T I L A N D t S C H M l D T A R C H 1 T E C T S P . C Page 2 of 2 Children of the Sea Tenant Improvement April 29, 1996 9. Refer to the revised drawings for details on the stair, guardrail and handrail. 10. The swimming pool builder is finalizing their drawings, we will forward them when they are finished. 11. We will submit the structural calculations as soon they have been completed. The design will meet all the requirements of Section 2304(a), and Table 23-A. 12. Pressure-treated materials will be used for all structural components in the underfloor area around the pool as required in Section 2516. The decking will consist of a 2"lightweight ccmcrete slab over marine grade plywood. Sincerely, Tiland/Schmidt chitects Frank M. Schmidt a a J_ m cc: Lynne 7,avrski: Children of the Sea"(mail) W JI 333 S . W . FIFTH AVENUE , SUITE 406 PORTLAND, OREGON 97204 ( 5031 220-8517 FAX ( 503 ) 220-8318 .4-01—.1996 4:33PI 1 FROI P 2 CHILDREN OF THE SEA T'6TIANT IMPROVEMENT 10170 SW NIMBUS AVENUE SUITE H7 AND 6 APRIL 1,1996 TIOARD OR 97214 Tigard: Children of the Sea Initial Plan Review LP2A Job No. 96522.011 City No. BUP96-0085 April 1, 1y96 . Frank Schmidt, A.I.A. 333 SW 5TH Avenue Portland OR 97204 Re: Plan Revimv for: Children of the Sea 10170 S.W. Nimbus Avenue Suite H7& 8 Tigard,Oregon 97224 Linhart Peterson Powers Associates(LP2A) has conducted a plan review on the above mentioned project, on behalf of the City of Tigard,building division. Our review is based on the 1993 edition of the Oregon Structural Specialty Code(OSSC). Plan set dated 2/15/96, included sheet(s): A0.1, A2.1,A2.2,A3.1, A4.1. A4.2, by Tiland/Schmidt Architects, P.C. Please revise the plans to include the items listed below and resubmit to our office for re-review. GENERAL COMMENTS,- Floor Area: 4,290 sq. Ft. Occupancy: 8-2 Constru,tion: SN Occupant load: 45 ARC I�TECIURA 2SQMENTS: a. Please respond to each item in writing, clearly explaining what has been done to correct the iY deficiencies. N I. Submit plans to the Washington County Health Department for review and approval. A copy ap of such review shall be submitted before construction of the pool. J2. The new proposed toilet room compartments shall have a clear-floor space of not less than 60 inches diameter. Doors may swing into the clear floor space not more than 12 inches; however, fixtures such as the toilet may not en;roach into the clear floor space. 3109 0)2. 3. Doors No 5, 6, and 7 are required to meet the maneuvering clearances as specified in Section 4. Access to the pool shall be provided for the disabled as required in Section 31998 -)4. Submit revised drawing indicating such access requirements. UNHART PETERSEN POWERS ASSOCIATES 3855.3 Wolverine Street NR • Salem,OR 97305 303 371-2212• FAX 303 371-3833 4-01-1996 4:34Ph1 FROM P. 3 CHILDREN OF THF SEA TENANT IMPROVEMENT ' 10170 SW NIMaUS AVENUE SUITE H7 AND 8 APUL I, 1"6 TIOARD OR 97224 5. The new proposed counter in the lobby area shall be no higher than 36 inches in height,or an area of that counter which is no more than 36 inches high and 36 inches wide may bx► provided per Section 3109(w)2. 6. Shower stalls within the dressing rooms shall be accessible by the disabled. 3108(B). 7. Signage to the dressing rooms and toilet rooms shall be provided,complying with Section 3109(o) 2.3.4.5. 8. All glazing adjacent to the pool and viewing area shall meet the safety glazing requirements in Section 5406. 9. Provide a stair detail showing dimensions of stair,rise and run, and handrail and guardrail dimensions, heights,etc. 3306(C)and 1712. 10. Submit swimming pool design for review and approval. Such information is not shown on the plans. 11. Submit structural calculations for the pool deck design. Such design shall provide not less than the minimum specified in Section 2304(x). 2304(a)and Table 23-A. 12. Pressure-treated materials shall be used for the wood structural components in the underfloor area around the pool as required in Section 2516 of the Building Code. Respectfully., LINHART PETERSEN POWERS ASSOCIATES Donald Brusseau i Project Manager/Plans Examiner c: David Scott, Building Official cn • T I L A N D / S C H M I D T A R C H I T E C T S P . C April 29, 1996 Department of Health& Human Services Washington County Oregon 155 North First Avenue Hillsboro,OR 97124 Att: William M. Ross, R.S., M.P.A.,Supervisor Reference: Plan Review for: Children of the Sea 10170 S.W. Nimbus Avenue, Suites H-7&8 Tigard,Oregon 97224 City No. BUP96-0085 These comments are in response to the general issues raised in your letter dated January 10, 1996. We have attached your comment letter to this response sheet for quick reference. 1. Refer t-,the attached drawings,which includes the pool contractor's drawings, indicating all piping sizes and fixture connections. 2.. All pool piping will he located directly on the existing concrete slab underneath the raised pool deck and will be attached, by the use of clamps,to the concrete at no more than(10)ten foot intervals. 3. The pool has been revised so that the shallow end is no more than three feet six inches deep. 4. Refer to the attached documents for the required signed structural drawings and calculations. 5. In evaluating this pool closer, and classifying this as a special use pool, it has been determined that this pool will not have to meet the required eight foot deck width. The pool has been designed to allow a four feet wide area at the narrowest points. Refer to the plan for the actual dimensions. 6. Each of the dressing rooms contains a shower stall that provides access by the disabled. The following items are in response to comments resulting from your review of the Architectural Drawings a. dated Feb. 15, 1996. 0. U) 1. The filter is in the equipment room and is easily accessible. 2. The equipment room floor will be concrete and sloped to a floor drain. ca W 3. An approved backflow prevention device will be installed in the pool's fresh water inlet. J 4. The filter backwash will be disposed directly into the sanitary:,ewer. 5. The pool will be a light color. 333 S . W . FIFTH AVENUE , SUITE 406 PORTLAND, OREGON 97204 (503 ) 220-8517 FAX ( 503 ) 220-8318 T I L A N D / S C H M I D T A R C H I T E C T S P . C Page 2 of 2 Washington County Departinent of Health and Human'-ervices April 29, 1996 6. Handrails,as required by code,will be provided at all stairs including handrails at the steps into the pool. 7. The pool deck surface will be level with the top of the pool and will slope to a continuous deck drain around the perimeter of the deck. Refer to the plans and details fog ,ore information. 8. A lighting arrangement indicated uses fluorescent fixtures whenever possible. The requirement that provides for a minimum of two watts illumination in the pool and deck areas, will be met. Lighting levels will be maintained throughout the operation of the facility. 9. The revised door schedule calls for doors that are self-closing and latching and have their doorknobs at least 42 inches above the floor. 10. The bathhouse construction and materials will comply with Q.A.R. 333-60-170. 11. Pool steps as noted on the revised drawings will be slip resistant. This letter and all comments from the separate plan check agencies will become a part of the construction documentation that tho general contractor will be addressing. Should there be any specific inspections or requirements that need to occur during the construction phase, please feel free to contact Steve Sorensen at Yorke&Curtis for information or coordination. Thank you for your assistance on this project and should you have any questions or comments please feel free to contact me at your earliest convieience. The tenant is anxious to begin construction as soon as possible. Sincerely, Tiland/Schmidt Architects P.C. Frank M. Schmidt CL a rn J_ t]D j cc: Lynne Zavrski: "Children of the Sea"(mail) W J 333 S . W. FIFTH AVENUE, SUITE. 406 PORTLAND, OREGON 97204 ( 303 ) 220-8517 FAX ( 503 ) 220-8518 'CHILDREN OF THE SEA TENANT IMPROVEMENT 10170 SW NIMBUS AVENUE SUITE H7 AND B APRIL 1,19% TIGARD OR 97224 Tigard: Children of the Sea Initial Plan Review LP2A Job No. 96522.011 City No. DUP96-0085 April 1, 1996 Frank Schmidt, A.I.A. 333 SW 5TH Avenue Portland OR 97204 Re: Plan Review for: Children of the Sea 10170 S.W. Nimbus Avenue Suite H7& 8 Tigard,Oregon 97224 Linhart Peterson Powers Associates(LP 2A.)has conducted a plan review on the above mentioned project, on behalf of the City of Tigard,building division. Our review is based on the 1993 edition of the Oregon Structural Specialty Code(OSSC). Plan set dated 2/15/96, included shect(s): A0.1, A2.1, A2.2, A3.1,A4.1, A4.2,by Tiland/Schmidt Architects, P.C. Please revise the plans to include the items listed below and resubmit to our office for re-review. GENERAL. COMMENTS: Floor Area: 4,290 sq. Ft. Occupancy: 13-2 Construction: 5N Occupant load: 45 ARCHITECTURAL COMMENTS: Please respond to each item in writ;ng, clearly explaining what has been done to correct the deficiencies. 1 1. Submit plans to the Washington County Health?department for review and approval. A copy of such review shall be submitted before construction of the pool. 2. The new proposed toilet room compartments shall have a clear-floor space of not less than 60 inches diameter. Doors may swing into the clear floor space not more than 12 inches; m however, fixtures such as the toilet may not encroach into the clear floor space. 3109 0) 2. W _J 3. Doors No. 5, 6, and 7 are required to meet the maneuvering clearances as specified is Section 3109 (i) 2. 4. Access to the pool shall be provided for the disabled as required in Section 310$ 4_ Submit revised drawing indicating such access requirements. L,INHART PETERSEN POWERS ASSOCIATES 3855-3 Wolverine Street NE • Salem,OR 97305 (503) 371-2212• FAX(503) 371-3853 4 I 4 •CHILDREN OF THE SEA TENANT IMPROVEMENT 10170 SW NIMBUS AVENUE SUITE H7 AND 8 APRIL I.19% TIGARD OR 97224 1.5. The new proposed counter in the lobby area shall be no higher than 36 inches in height,or an area of that counter which is no more than 36 inches high and 36 inches wide may be provided per Section 3109(w) 2. 6. Shower stalls within the dressing rooms shall he accessible by the disabled. 3108(B). ,,,,7. Signage to the dressing rooms and toilet rooms shall be provided,complying with Section 3109 (o) 2.3.4.5. 8. All glazing adjacent to the pool and viewing area shall meet the safety glazing requirements in Section 5406. 9. Provide a stair detail showing dimensions of stair, rise and run,and handrail and guardrail dimensions, heights, etc. 3306(C)end 1712. ( IO.;Submit swimming pool design for review and approval. Such information is not shown on the plans. 11. Submit structural calculations for the pool deck design. Such design shall provide not less than the minimum specified in Section 2304(a). 2304(x)and Table 23-A. 12 Pressure-treated materials shall be used for the wood structural components in the underfloor area around the pool as required in Section 2516 of the Building Code. Respectfully, LIN/BART PETERSEN POWERS ASSOCIATES I Donald Brusseau Project Manager/Plans Examiner c: David Scott, Building Official a r rn J_ W .J 1` -r C Y U yO 'O t im P MU vNi vii n �� rA LLei v`/)i � � a U N IL } O D 45 J � b o ..� fit. U > O ° N a 0 (n r W . 4x. G� •.� v) ooZE 0 0 �� i c 00 a z 14 _ al 11; o6 u .� � tsg to � 0 Lu o �- r` w ZZ� w w x _ z - » M raj f1 .� rr7 .. OID V) � x x F O rl V) V) °� °� V)A. vii Q N a oQ Q Q a a a ►1 � 0 0 o O O O p O O O z z z z 1 z z z z z z � M (, e rl ri V n n n o n ci N CL owl n n c _J m 7 W SC rqn > H Ln c C h a n C� � �? +, AW. 1 vh A_�, c (D yLLJ O xv Wv oacd c� C7 C� U� v n 00 v� O vl OC�N ri O -1 Q' 00 pv� 0 0 0 0 o n r r` n a n U U U U U U u U U U U o Q• ¢ v r i n ''e' a C �. F •�. �- 0 3 _E to o Y S o 6 w Et o ai o 4; t�� Q vp� m 12!8 w �y 'O f, 91 C .G '•C7 ►. u� to O a C C 00 .. � CN7 V V) CIO V En OD V1 C7 Ln cn cn a, �1 N O n a o Q wU. •� O O O O O O O N z. z z z z z z u o. CTc i, (71 • t r u N en enen ED 0 lu �e o Q$ �, O m v a v CL U. g W O r� u 5 q v T x U. Lr. 8n S o M C, C In u u u u u u u PERMIT CITY QF TIGARD DATEI ISSUED:• 07/c3/966-0"J COMMUNITY DEVELOPMENT DEPARTMENT II!B 13126 SW M& lvd.Nowd,aeon $7223@6199$7223.6199 (5W)63$-4179 PARCEL: i S 1 34AA--01$300 L-_ ia111J1iL'...1' . . . : II,)1 /N 'DW IJ.1(-BU'-, (WE #H-7 SUBDIVISION. . . . : 1 KNOLL BUSINESS CENTER TIGARD ZONING: I-P Ilt_OCK. . . . . . . . . . . LOT. . . . . . . . . . . . . :r_' - _ CLASS OF WORK. . eALTFLOOR FURN. . . . e 0 EVAP COOLERS: 0 TYPE OF USE. . . . :COM UNIT HEATERS. . : 2 VENT FANS. . . : 1 OCCUPANCY GRP. . .-LC" VENTS W/O APG'L: 0 VENT SYSTEMS: 0 STORIES. . . . . . . . .. 0 BOILERS/COMPRESSORS HOODS. . . . . . . : 0 FUEL T YPE'J--- --_-- -- 0-3 HP. . . . : 0 DOMES. I NC I N: 0 : /ELC/GAS/ / 3-15 HP. . . . : 1 COMML. INCIN: 0 MAX INPUT : 0 BTU 15-30 HP. . . . 1 0 REPAIR UNITS: 0 FIRE DAMPERS?_ : 30-50 HP. . . . : 0 WOODSTOVES. . : 0 GAS PRESSURE. . . : 50.4 HP. . . . - 0 CLO DRYERS. . : 0 NO. OF UNITS---------- AIR HANDLING UNITS OTHER UNITS. : 0 F URN ( 100K B1 U: 1 t- 10000 -:fm : 2 GAS OUT LETS. : 1 FURN ) =100K BTU: 0 > 10000 c:fm: 0 RemArks : Tenant impprovement, suspended air handling and associated HVAC Owner. ----------------------------------------------------- --- FEES -------------- - FORUM t-"ROIDERTIES •---___--_-__ _I ORUMt-'ROPERTIES type amount by date recpt 10,:=140 SW NIMBUS AVE L-3 PRMT f 53. 00 B 07/23/96 96-281906 5PCT ♦ 2. 65 B 07/2:3/96 96--c81906 POR11-AND UR 97223 PLCK $ 13. 25 B 07/23/96 96-281906 Phone #.- 503-6134•-0510 Contractor: ---------_.__-_- At_LILD MECHANICAL CONT 1300 NE. 48TH AVE STE. 11000 HILLSBORO OR 97124 ------•--------__-------.-----_--_--_---- Phone it: PIA 693--755: $ 68. 90 TOTAL Req_ #. . : 005807 ----- -- REQUIRED INSPECTIONS ------ - This permit is issued subject to the regulations contained in the Gas Line Insp Tigard Municipal Code, State of Ore. Spec alty Codes and all other Mechanical Insp applicable laws. All work will be done in accordance with Heating Unt Insp approved plans. This permit will expire if werk is not started Cooling Unt Insp within IU days of issuance, or if work is suspended for more lWet Inspection_ --an IN days. Misr.. Inspection _. L Final. Inspection F ' ttal Inspection 'armittee eLl : Call for 1npectian - 639-4175 City of Tigard MECHANICALERMIT Planck/Rec. # 13125 SW Hall Blvd. AP P L 10 Permit # ��'� Tigard, OR 97223 �> (503) 639-4171 \ Y �' I,,o, 9��� 1 0 \ •••• bo � e!cnptron 0 70 Table 3A Mechanical Code QTY PRICE AMT Job ,sw 4)/01 Flus 4C 0 7 1) Permit Fee -0- -0- 10.00 Address � — - // wV-V (� Z,,3 2) Supplemental Permit _ 3.00 •�•m•• - rurnace to l�l(-Wr / L'✓I ��� 1) incl. ducts b vents P 6.00 ••• ^� urnace-100,61 1 BTU+ Owner 2) incl. ducts &vents 750 u •• — + Floor Furnartcb 3) incl vent 6.00 -a �••• Suspended ea er, w1t ea er _ 4) or floor mounted heater _ 6.00 Z.Ott Iry t-F Vent not m'cT. in Occupant ;4 t---) s 5) appliance permit 3.00 C*WM•• �_JCL 6) coolnrgRepar�absorpti nf Resting, runiefrit # 6.00 .m Y'd or ,r or comp Fe-Tpump, air cond. 7) to 3 HP: absorp unit to 100K BTU • a •. �^• Boiler or romp, heat pump, arr con . d j L� yp j,r/b j,V•7 ) 3-15 HP: absorp unit to 500K BTU 1100 ' Contractor —� N Boiler or comp, ea pump, air cond. •• V 9) 15-30 HP; absorp unit 5-1 mil BTU 15.00 •• •v"•ro^ or er or comp, heat pi—impair con . Q Q 10) 30-50 HP, absorp unit 1-1.75 mil BTU 22.50_ eret,y actin w e ge that I have road this application, t a e Boiler or comp seat pump, air cond. information given is correct, that I am the owner or authorized 11) > 50 HP; absorp unit 1.7.5 mil BTU 37 50 agent of the owner, that plans submitted are in compliance withAir handling unit to ZA State laws, that I am registered with the Construction Contractor's 12) 10,000 CFM - 4.50 Board, that the number given is correct. (If exempt from State Air hariffling unit— � registration, please give reason below.) 13) 10,000 CTM + 750 -mon portaable 14) evaporate cooler 4.50 Vent fan connect 15) to a single duct 3.00 —`— L entr anon sys em not _ �� V 16) included in appliance permit _ 450 .rw, .� •• Hoodserve y 17) mechanical exhaust 450 escr a work new 94 addition alteration repair Commercial or-7-Tu-T-7 to be done resi ntial Q non-residential Q 18) type incinerator 30.00 Existing use of Other r e., woo stove water IL budding or property 19) heater, solar, clothes dryers. etc. 450 Ir F- Prrposed use of 20) Gas piping one to four outlets 200 Z o� U) building or property _ 2t) More than 4-per outlet (each) 2 Q0 J Type of fuel -oil O natural gas LPG 0electric Q m — WMinimum Fee $25.00 SUBTOTAL PERMITS BECOME VOID IF WORK OR CONSTRUCTION AUTHOR17ED IS NOT COMMENCED WITHIN 180 DAYS, OR 5%SURCHARGE IF t- IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME PLAN REVIEW 25%OF SUBTOTAL P AFTER WORT( IS COMMENCED TOTAL f) Scecral Condil,ons _ _��_ --•__.� Date issued by H%CGIMDST3'MFCHOMT �— s E ITT��8'z 21,s;?n r, dl r A� I Commercial Buiidi Pennit Application � �'/I,Pam t;ity of Tigard ILC 13125 SW Hall Blvd. Tigard, OR 97223 I L'G! Fr�l� t (503) 639-4171 C " ao , � //I V Jobsite Address: I D 170 _S u i A/i4n Q gs Air, 0 Tenant: 'T.Jiae Suke* ice Use Only Valuation: J(�D_ oo�. _ 1 Permit# fi;P Map 8 TL 0 I 3 Address: Jp�� -< L,-) /(11,,,,2-_r 1 c Alta , �j v lv Is�Required 2PI tJ 11G FP •- Planning Phone: 2 - /o — O (a Engineering rI cc L Other A Contractor: -4 �S sly Address: Type of const: � A) . Occupancy class: -2 Phone: ���- G � �' "�j z� �— Sprinklered? Yea No Contractor's License #�Sh� a - ' 3" 9 7 (attach copy of current Oregon license) Sq. ft. of project: F2�►I� �c�t�tc�T 2_z0--?s17 Contact name & phone: ��� .���„JS�, '/f3�G Story (1st, 2nd, etc.) j �-1- rc tec �1c 7P,4A,4C_ LProposed use: Engineer: �X `�, � Previous use: i� Address: X33 �C T�` �►/ �?1 l m Note: Plumbing 8 mechanical plans t 2a-T_"d►�o y Bim- — �Z0 must be submitted at time of J L gilding permit application. ED Phone: _ S42S ;a292 $�S� LU JOB DESCRIPTION: dA-Tr_ :JJRA t, 5 M2,=_ pplicant Sig ature & Phone number `1. Received by: Gf� �C Date Received: CZ ►YLC1� 0- 3 Index serfs DS - DB (indoor) - RS - RB (roonop) Models 040 - 060 - 060 ENERGY RECYCLING DEHUMIDIFIERS AND POOL WATER HEATERS Designed and Engineered for Indoor Pools and Whirlpools. DB & RB Series with an ECONOMIZER PACKAGE HyPoxy`l Coils DRY-O-TRON® Quality Page IMPORTANT! The DRY-O-TRON is one of e.v. Introduction 3.2 oral key components In the natatorium environment control system. In order for the pool to — -- ti °°roe t bl. and ing dens s Technical Specifications 3.3 tion free the fallowing ands must be addressed by the con- tractor, engineer and architect design lewmr Performance Data 3.9 A Humidity Control A Air distribution _% Duct design ---- ��-- d Ventilation requirements Dimensional Data a Moisture Migration 1 Pool water chemistry Enclosure Selection 3.11 A humidity control system will DS Standard Enclosure 3.12 not provide the expected cam. fort level or building protection DS Optional LBX Enclosure 3.15 and various damages may be sustained It any of these Items RS Standard Rooftop 3.18 are not correctly executed In the overall natatorium system DB (indoor) - RB (rooftop) with Economiser 3.21 design. General Specifications 3.24 a _ Field Wiring 3.29 o-o Microprocessor 3.32 W v............ .. 3.1 ADF.ttm 7 InStallatl0nB (in7 - Owner's Manual Series DS Ddoor) RS - RB (rooftop) Installation is straightforward if the -� design guidelines have been followed. Proceed with the step-by-steD instruc- tions below Stop 1 Unpacking the DRY•O-IRON" All DRY-O-TRON`units are fully factory D5-040.0 lasted under design conditions Io finsure proper operation prior to ship• rl menl Inspect the unit thoroughly upon Arrival at the installation site ttpldy the earner immedialely J ship- , •'�` p ng damage is suspected If con- coaled Damage is suspected, then nd Cale "contingent on internal inspec- tion" when signing for the shipment Keep copes of all shipping damage +, clam documentation including pho- toyraphs of the observed damage , IMPORTANT! Claims for loss or damage must be filed against the carrle►1 Step 2 Rigging and Lifting Instructions i Refer to the drawing (right) for propar rigging and lifting instructions for mod. els UbU IU 242 Models 010 lu 060 can he moved with lift truckb Weight' (Ib) Model -- DS CONNER WEIGHT'(Lbs -- TOTAL WEIGNT'(Lb( 1 2 3 — Oi ! Rs _+— DO N� (M) 75 75 00 100 1 330 1 j r)t 80 80 85 105 350 l l 02V 1tr, 130 120 14003U 500 1' 145 135 155_ SIMI .,044,0 280 320 325 375 1 1500 ! 23901 2600 �U 350 390 405 455 1800 272.5 2965 080 564 597 597 642 2100 7560 .3660 .1000 to() i 689 701 732 778 2900 30100 ( a325 x700 f i120 688 957 936 1019 3800 .1'll(N 517.1 ,oto 150 888 957 936 1019 39(x1 4100 i I 56A) 182 1260 1310 1430 1490 5490 5750 140 242 1450 14951625 iRFiO n".0 a, 282 1585 I 1685 1845 1965 i WOO 3 u ! ,,,>M 1 Weight a0proximate and for Standard unit without options For units with o0tion5 Contac''ac!ory r dDectraln 3 Technical SpeftaflenS series DS - B (indoor - RS - RB (rooftop) r Model 040 •" 90 Ms ZO5/�V 3 4150 V 9 575 V 7 VoltaqModel— DO-No It DJs-Ili mne 5 _5 Minimum Ampacity 43 A 48 A 22 A 25 A 18A 20 A Maximi m Main Fuse 70 A 70 A 35 A 40 A 30 A 30 A Total Power Consumptionz 9.3 kW 10.4 k4." 9.3 kW 10.4 kW 9.3 kW 10 4 kW Compressor FLA 30 1 A 30.1 A 15.8 A 15.8 A 12.4 A 12 4 A Compressor LRA 183 A 183 A 91 1 A 91.1 A 73 3A 73 3 A Blower(Return) 1.5 HP 1.5 HP 1.5 HP 1.5 HP 1.5 HP 1 5 HP Blower(Supply) 1.5 HP - 1.5 HP 1.5 HP Blower(s)FLA 4.6 A 9.2 A 2.3 A 4.6 A 1.9 A 3.8 A Control Voltage3 24 V 24 V 24 V 24 V 24 V 24 V` Microprocessor Control Standard Simultaneous Energy Recycling Standard Air Volume 3300 cfm Make-up Air Inlet To Comply with ASHRAE Ventilation Standard 62.1989 External Static Pressure 0 5 in WC Air Discharge Location Horizontal Filter Ouantity 4 Filter Size 20 in x 16 in x 2 in Maximum Water Heater Flow Rale 8.5 usgpm• Water Heater Range 80-90'F Maximum Water Heater Pressure Drop 6 psi Water Heater Connections 1 in ID Rubber Hose Condensate Dram Connection 1 1/2 in Sink Type Return Air Temperature Range 74 86'F Refrigerant Charge 22 lb R-22 Net Weight 1300 Ib Shipping Weight 1375 Ib Options Alr Cooled Alr Conditioning Hot Gas Llne 7/8 in Copper Sweat, 7 Ile in for 75 and 10011 Condenser one-way line length Liquid Line 7/8 in Copper Sweat Maximum Heat Rejection 109.000 Btuti Refrigerant Receiver Size For 25,50,75, 100 If(Condenser one-way line length) Air Cooled Condenser4 AlrOnC!ndenserl 100'F 95 1 90.F Commercial CCB-012 CCB-009 CCB-009 i Commercial CUS 012 CDS 010 COS-008 j Water Cooled Air Conditioning ° Maximum Heat RejecJon 109.000 Btu/h Maximum Water Flow Rate 20 usgpm I Maximum Water Pressure Drop 10 psi Water Connections 1 1/4 in Union Sweat i Additional Water Heaters Maximum Water Heater Flow Rate 8 5 usgpm I Max mum Water Heater Pressure Drop 6 psi j Water Heater Connections 1 in ID Rubber Hose Healing Capacity 80'F Maximum Water Temperature 16 Ib/h Evaporation Rale 90 1"Maximum Water Temperature 10 Ib/h Evaporation Rate 104 'F Maximum Water Temperature 8 and16 Ib/h Evaporation Rate 1 For other voltages and 50 Hz applications cele,to the Uectron DRY-O-TRON European publications 2 Based on 82'F 50%PH entering art temperature.80'F entering water temperature.standard blower 3 Use minimum 20 gauge wire 4 Based on condenser location at the same level or above DRY-O-TRON 5 Based on 85°F entering water temperature dDectro►n f Dimensional Data 0oclod� ndensers ( Serles DS OB (indoor RS 8 (rooftop) Standard Air Cooled Condensers ALL DIMEN51ON5 IN INCHES AND ARE A7ROXIMATE.CERTIFIED DIMEN"S AVAILABLE ON REQUEST. Mede My or tons A i_d G �O sl+lppin,Weight(l0) COS-002 1 255/8 129/16 28 26 112 165 I CUS•004 1 305/6 14 112 33 31 1/2 18E COS•005 1 30 518 14 112 33 31 112 204 CDS-008 2 3U 5/8 14 112 63 61 112 303 O1 2 305/8 14 1/2 63 61 1/2 328 CDS 12 2 305/8 15 3/463 61 112 352 f• 6 MAX C + 3'a 31/4 9/16 DIA ( ! LIFTING ELECTRICAL BOX LnHOLES(4) CDD -9/16 DIA MTG 15 HOLE5(4) 331/2 35 VER71CAL AIR FLOW U) I 0 VEV �. "0 DA1v'1-TADN ®•Registered Trade Marks of Dec1ron Inc. INDOOR DUCT FURNACE Sterling indoor Duct Furnaces are 80% efficient and are MODEL QVD ' designed for ducted air applications. These are typically Includes standing pilot, combination gas valve, high limit built up systems using a separate air moving device and control, and 115/24 volt transformer. Model QVD offers may be heating only or heating and air conditioning bottom access for burner servicing. applications. All Sterling duct furnaces are A.G.A. certified for installation upstream or downstream MODEL QVED from cooling coils (stainless steel heat exchangers Similar to model QVD, the Enerpsk model features integral are recommended). power venting, sealed flue collector and electronic spark HEAT EXCHANGERS ignition. Annual fuel savings and seasonal efficiency are increased while reducing installation time. Certified by All heat exchangers feature 20 gauge tubes and 18 gauge A.G.A. and C.G.A. and approved for use in California. headers and are available in 3 types of steel: • Aluminized Steel (Standard) MODEL QVS 409 Grade Stainless Steel (Optional) Similar to model QVD except that the US offers a side • 321 Grade Stainless Steel (Optional) access burner drawer which slides out for servicing, We recommend stainless steel for applications where reducing bottom clearance requirements. entering air is below 40 F. 14.4' C.) and/or duct furnaces are located downstream from cooling coils. MODELS QVES AVAILABLE MODELS Combine the hurpak feat ores with a side access burner All models are offered in 10 capacities from 100,000 to drawer. 400,000 BTU/HR (29.3 thru 117.1 kW► All models are test ENERGY SAVING OPTIONS fired at our factory, may be ordered equipped for LP or Models 0VU/L1VS may be ordered with electronic spark natural gas, are tested to operate against 20 inches ignition (factory installed) and a draftor may be field (0 5 kPal water column pressure and may be ordered installed. Models QVD'QVS equipped with electronic spark with right (std I or left hand (opt I control access ignition are approved for use in California. MODEL QVD MODEL(IVES 16 DETAILS AND DIMENSIONS QVD Standard Duc+Furnace(Natural Vent)--Bottom Service Access i6 DOc y 000 'npD 1406 1 (127) <i27) ao6) 3 22. NANGING I [�_— HANGING A •.$. 130 TrRh, 330 4' , !LOCKED VENT SWITCH 1.0130 TU 100 312- �$ 100100 THRU 123 .. c33:._ 1_ u) 3/R-16UNC at7i T--- NUT RCIAINERS� --� FOF HANG104C (4,3De > 32 62 19000 OPENING 19,p00 19.000 Xtlo (B2�) OPENING 493) B FRONS AND REAR (193) N-``IMT (4a3) Htl` OPENING OPENING ACID - D►CNING ��pp PILOT s r p^ _. �A1'CCSS 0 (F Alt A) 1 -- 000 FLANGE ALL 2, io--- 7062 (610) ^A I RAND E PONT t-726 eA.000 lAND REAR26OOC— (179) 7.062 00f)-- (660) (179) (660) SIDE VIEW FRONT VIEW SIDE VIEW 100/127 M9TU/HR UNIT SIZES 100'400 MITU/NR (/NIT SIZES 150/400 NfTWN(UNIT SIZES Table 1 -Natural Vent Duct Furnace(QVD/QVSf UNIT A s C F S GA!INLET WEIGHT i In. In. In. In, In, In. III. Imm) (mm) (mm) Imm) (mm) NAT. LP Ike) 6;•_ 100 1.118 151/2 171/8` 237/8 6 R 1/2 1/2 162 -�;;- -:6- (4541 1394) _(4351 (606) 11521 RV (13) (5241 14 V4 191/8 (676) 8 RV - I/2 IR 175 —'i _ 15241 1464! 15051 _16161_ 11521 RV 1791 150 20.51 18 1N 191/8 26-516 7 PH 112 112 186 mm S �.�•..,E (5241 (4641 (5051_ (676) (178)PH (84) 3t 175 23.31 21 22 518 293/6 �7 PH 112 112 205 A 470 vENT N�Rt2u'.'FL . (594) (533) 15751 (746) (1781 PH (93) 200 26.1/8 23-314 25-3/8 32.1/8 8 P 112 1/2 221 :"£NSIU'•S A•t S•w1�4, ' -S CIMENS:C%S 1% PA'.E•)„'ES;S ;—) V1,LINETERS 1664) 1603) 1645) (816) _1203)PH (100) 225 28.7/8 26 V2 28 IT 34.718 8 RH 314 112 OR 314 243 !6E! 1A; 11331 1673) (714) _18861 (203)RH (110) a.• ,\ + 6?•_ 250 31.5/8 291/4 30.7,18 37-518 8RH 3/4 1/20R3/1 252 ""r-•-_'!-�.3�' (803) (743) (784) _(956) (203)PH 11141 300 37-1/6 34.3;4 36 31 43 118 10 OV,H 3/4 1/2 OR 3/4 301 I (9431 (9631 (9141 (10951 (2541 OV,H (1371 1 350 425'8 40-1/4 41-7/8 485.18 10OV,H 314 1/2 OR 314 378 (1083) 110221 (1064) (1235) (254)OV,H 11711 AE�.•"E 400 48 V8 45.314 47-3,11 54.1/8 12 OVA— 3/4 1/2 OR 314 392 ' 11212) (11621 112031 11375)_ (3051 OVA (178) R-Round,H=Hwizontal,OV=Oval,V=Vertical QVS Side Service Access Duct Furnace;Natural Vent) lzso 16p�007 3000 5000 Ut> "625 H"WIc q27) C (127) NANGING $ 130 1NRU 330 (92)) 9L0[KCD vr.Nt SNITCH 1� ISO TNRU 100 1312 $ 100/125 _ (33) 100 iNRU 125 NUT RETAINERS i 1 FOR HANGING 19 00 --1/ V • r t tA93) 19800 OPENING NI-LfMlt XJ!!0 3az762 OPENING (463) B l9 coo 1463) Pei ����NM FRONT AND REAR OPENING ACCESS OPENING 31250 1 �Pei7 OPENING •1 (FAR SIDE71• PILOTACCES low (FAR S1 0 FLANGE ALL t pp 1 �-•—610000—+( (179) RROUND AND RLAR NT 7p�2 M?61000--+i 0f3b� —A— E14 (60, rRDN7 VIEW (17!) WD) F 100/100 M9TU/NR UV1T SIZES SIDE VIEW IARAN[E FOR RIRN[R DRAWER SERVICE SIDE VIEW 100/123 MaTU.NR UNIT SIZES 190140D NRTU/NR UNIT mrs 17 ...............................:.............:. L.F24 SERIES ...;..........,...:i.:..:.................:..,. _ 30/45, 000 Btuh Gas Fired Unit Nveters •. r • • , , CO OUT OF COLD S • ...............:..................................................................................................... ..................... Durable tubular beat exchanger maximizes surface exposure, Heavy gauge, coldrolled steel minimizes air resistance for cabinet has a hakedon powder greater efficiencies. paint finish for rugged durability end good looks. • Insbot burners accurately (TOP VIEW) mix air and gas for ideal combustion and maximum efficiency. Direct-drive fan is efficient and quiet. ^1 a oc Induced draft blower pre=purges W (BACK VIEWS the heat exchanger and safely .J Horizontal or vertical venting means vents combustion products for you can mount it anywhere. greater comfort and safety. LAENNOX-1 ONE LESS THING TO WORRY ADOUT'" FEATURES BENEFITS - HEATING - - Durable.Tubular Heat Exchanger Aluminized steel offers greater efficiencies'with maximum surface b tpoeure and r minimum air resistance. Insbot Burners Provides efficient quiet operation. Induced Draft Blower _ Operates on l2 during the heating cycle; providing maximum efficiency and performan5e. CABINET Loa'Rokle _—Only-12", allowing for installatiort in alface prohibited applications. --------- ----- One Inch Top'Clearance Unit can be mounted direct with supplied mounting bracltets. Zero Bottom Clearance._ - Expands application possibilities Standard Horizontal or Vertical Venting Creates maximum installation flexibility. WARRANTIES . -- ------- 1—� ---- Aluminized Steel Heat Exchanger 10-Year Limited Warranty Solid-State Ignition Modules 3-Year Limited Warranty - All Other Components 1-Year Limited Warranty 1 - - a . -- - -- -- SPECIFICATIONS r LF24- -_ 30A _SSA Heating _ Capacity Btu+(hr Tnput 30,000(8.8) 35,000(13.2)' — Output(Natural Gas) - 24,300(7.1) -7) Output(Propane) 24,900(7.3) 37,350-(11.0) Steady State Efficiency Natural Gar 81.0°6 $1.0% F'rop•ne 83.096 83.0°6 IL. F�ue Diameter in. mm �_ —� 3 76) _ 3 76 -- --- - -. —��_--__---- — W Gu P�inj in.8mm�_�� _ 1/2(13) 1/2(133_ — N unit weigbt�a..(1,g) --- 53(241 561261 _Shipping Weight Ib..(4g) 60 281 56(26) Note:Due to L,*nnox'ongoing commitment to gaalk-e,A rpeeificatiorn,ratings and'di,vione are rulrieck to chane without natio. AL LU J I no4 for these industry malt to ensure certified pe�ormance,efficiency.and quality. LF*NVX* , ONE LESS THING TO W01tiV ABOUT—. ' LF24RF-12/95148K971 O Lennox Industries Inc.,1995 LMftoU.3A r GROAN Q MODELS MODELS 676 & 684 678 & 679 CEILING '��\ FAN & FAN LIGHT 676FAND684F FINISH 678FAND 679F FINISH PACKS FOR USE WITH PACKS FOR USE WITH 687H HOUSING PACK 677H HOUSING PACK SAFETY NOTES 1. ALL ELECTRICAL_WORK MUST BE DONE IN AC COR- 4. To avoid motor bearing damage and noisy and/or un- DANCE WITH LOCAL AND/OR NATIONAL ELECTRICAL balanced impellers,keep drywall spray,construction dust, CODE AS APPLICABLE.FOR SAFETY,THIS PRODUCT etc. off power unit. MUST BE GROUNDED.IF YOU ARE UNFAMILIAR WITH 5. Fireplaces,gas furnaces,water heaters and the like, re- METHODS OF INSTALLING ELECTRICAL WIRING, SE- quire proper flow of combustion air and exhaust.To pre- CURE THE SERVICES OF A QUALIFIE-0 FI-I_CTRICIAN. vent this flaw from being altered by an exhaust fan,follow 2. TURN OFF POWER AT SERV CE ENTRANCE BEFORE the heating equipment manufacturer's guidelines and see INSTALLING,WIRING OR SERVICING T I IIS PRODUCT. safety standards such as those published by NEPA and ASHRAE. Please direct any remaining questions to the 3 CAUTION: Always vent this product to the outside - Broan Enginpering Department. NOT Into spaces within walls or ceilings,attics,crawl 6. Please read specifiation label on product for further infor- spaces, garages, etc. mation and requirements. l TOOLS AND MATERIALS REQUIRED ❑ Straight-blade screwdriver ❑ Hammer O Wall Control ❑ Pliers or Nut Driver D 4" round duct and elbows, (as needed) ❑ 4 - nails O Roof or wall cap ❑ Electrical supplies of type to comply with local codes 0 Duct tape GROAN ONE YEAR LIMITED WARRANTY Broan Mfg,Co.,Inc.warrants that its products will be free from defects in materials or workmanship for a period of one year from the date of original purchase.During this one-year period, Btoan will repair or replace,at its option,any product or part which Is found to he detective under normal use and service without charge.Broan's obligation to repair or replace,at Broan',option,shall be the purchaser's sole and exclusive remedy under this warranty. THIS WARRANTY DOES NOT EXTEND TO FLUORESCENT LAMP STARTERS AND TUBES,FILTERS,DUCTS,gOOF CAPS,WALL CAPS AND Il OTHER ACCESSORIES FOR DUCTING.This warranty does not include normal maintenance and service and does not apply to any products or parts which have been subject to misuse,negligence,accident,improper maintenance or repair by others thin Broan,faulty installation or Installa- tion contrary to recommended installation instructions. N THERE IS NO OTHER EXPRESS WARRANTY.The duration of any implied warranty is limited to the one-year period as specified in the express warranty.Some states do not allow limitation on how long an implied warranty lasts,so the above limitation may not apply to you. BROAN SHALL NOT BE LIABLE FOR INCIDENTAL,CONSEQUENTIAL OR SPECIAL DAMAGES ARISING OUT OF OR IN CONNECTION WITH PRODUCT USE -� OR PERFORMANCE EXCEPT AS MAY OTHERWISE BE ACCORDED BY LAW.Some states do not allow the exclusion of Incidental or consequen- tial damages,so the above exclusion of limitation may not apply to you.This warranty gives you specific legal rights,and you may also have other rights which vary from state to state. This warranty supersedes all prior warranties LU For service, notify Broan Mfg. Co., Inc., Hartford,Wisconsin 53027(Telephone: 414.673- 340)or, in California, notify Broan Mfg. Co., Inc., Los Angeles,California 90058(Telephone:213.235-6896),giving the model number,part identification and nature of any defect In the product or pan. At the time of requesting warranty service, ^:idcnce of the 6 iyinai purchase dale must be presented. BROAN MFG. CO., INC. 97.6 West State Street Hartford, WI 53027 INSTALLER: Leave This Manual WiV The Homeowner. HOMEOWNER: Use and Care Information on Page 4. • COOK AC POWER ROOF AND WALL VENTILATORS INSTALLATION, OPERATION, AND MAINTENANCE MANUAL !NTRODUCTION This manual contains information for the following Centrifugal Roof Ventilators: -ACE-8, ACE-D •ACW-B, AMD •ACRO-B, ACRU-D Read these directions prior to installation, opera- tion and maintenance. This manual applies to stan- dard units. For information and instructions on special equipment, contact Loren Cook Company �► in Springfield, MO at (417) 869-6474. Additionally•a drawing is provided which includes data and dimensions for each fan model. The Loren 1 Cook catalogue, AC Bulletin, provides additional information describing the equipment, fan perfor- mance, available accessories, and specifications data. RECEIVING AND INSPECTION Immediately upon receipt of a shipment, carefully — inspect for damage and shortage: -Turn the wheel by hand to see that it turns freely CONTENTS and does not bind. r -Check dampers (if included) for free operation ,INSTALLATION 2 _a of all moving parts. OPERATION 5 M' Note on the Delivery Receipt any visible sign of dam- age. REVENTIVE MAINTENANCE 6 J HANDLING � CORRECTIVE MAINTENANCE 7 -, W Lift power roof ventilators by their bases or ship- -' ping cartons. Never lift by the shaft, motor, or RTS LISTS 9 housing. OUBLESHOOTING 12 STORAGE J4• If the unit is stored for any length of time prior to installation, store the unit in its originai ,nipping crate. 1 CONDITIONS CHART WARNING Speed Temperature Cleanllneu Greatiing Interval ALWAYS disconnect power 100 PM U to 120 Clean 8 to 1— 2'mont�is prior to working on fan. 600 RPM up to 150J Clean r 2 to 6 months 1000 RPM Up to 210'F Clean 2 to 2 iiadhs 1500 RPM rver 210 F Clean Any Speed Up to 150'F Dirty 1 weak to PREVENTIVE MAINTENANCE 1 mo* Any Speed Over 150'F Dirty ally_1o2 weeks Establish a definite schedule for inspecting all Dao 2 rotating parts.The frequency of inspection depends Any Speed Any?amp. Verb Dirty weeks on the operating conditions and location of the fan. Any speed Any Temp. Extreme Daily to 2 Conditions weeks YEARLY INSPECTIONS are required for fans exhausting "clean air." Lubrication Guidelines After THREE MONTHS inspect fans exhausting corrosive or grease-laden air. Set up a periodic inspection schedule based on your findings. t : CAUTIVN f 4 , ✓Check bolts and setscrews for tightness. 01 Tighten as necessary (see Torque chart on Over-greasing can burst a Ws'`1111A, . + page 7) result in reduced berAriloig, ✓Check belt -wear and alignment. Replace - _-----------_ _-- worn belts with new belts and adjust align- ment as needed (see Belt and Pulley Installa- Loren Cook Company uses petroleum lubricant in tion, page 3.) a lithium base. Other types of grease should not be ./Check cleanliness. Clean exterior surfaces used unless the bearings and lines have been only. Removing dust and grease buildup on flushed clean. Then, use a lithium base grease con- motor housing assures proper motor cooling. forming to NLGi grade 2 consistency. This light ✓Check bearings using the following guidelines viscosity, low torque grease is rust inhibiting and water resistant, and has a grease temperature range of -30° F to +200° F with intermittent highs of Bearings +250° F. For best results, re-lubricate the bearing while unit is running. Motor bearings come pre-lubricated, and, under rX s normal conditions, will not require further mainte- Pump grease in slowly until a slight bead forms nance for a period of ten years. Should the unit be around the bearing seals. This is all the grease that subjected to greater usage,it is advisable to remove is required, Over-greasing can burst seals and the motor after three years'operation and have your result in reduced bearing life. Jmaintenance department re-lubricate the bearings g 0o For cases where the bearing cannot be seen,use the 5 with fresh grease. minimum number of injections but never more _J Fan bearings are either permanently sealed and than three with a hand-operated grease gun. The lubricated, requiring no maintenance, OR they unit should be running for even grease distribution. have greasable hearings with a grease connection. Larger AC units have greasable bearings with a grease connection. Greasable bearings should be lubricated by the following schedule 6 F I RE ALARM SYSTE M (3 q C(7& - oo ■Modular, Expavidable General Information. Fire Alarm Panel The THORN Automatcd Systems' Firequest mote signal transmission by(1)city box con- 0 Capacity of Z to 58 300 is a self-contained fire alarm system with nection,(2)telephone lines(dedicated), and (Max) Input Zones/ a basic capability of two Style B or D(Class B (3)digital communicator. Groups or A)input detection zones and one common An Alarm Verification Adaptor(AVA)can alarm Style Y(Class B)output zone. The sys- be added to the common function board ■Optional Analog-Ad- tem is expandlahle with the addition of plug-in (CFB)or dual initiating board(DIB)providing dress.able Communica- option boards. automatic smoke detection circuits with a tion Loop with 198- One of these option boards is the Zone In- mechanism to reduce nuisance alarms and Point Capacity- Loop terface Board. The(ZIB)zone interface board monitor detector stability. Control Module (LCM) supplies connections for four 4 dual initiating PP O 9 The system provides for resound in the a 5A Power Supply boards,(DIB). Each DIB provides two initial- event of subsequent alarm or supervisory a Ground Fault Supervi- ing zone loops. Thus a fully loaded ZIB con- conditions A remote alarm, verify and trouble sion taining four(4)DIB's provides eight(8)initiat- annunciator outpu!is provided for each de- • ■Power Limited Circuits Ing zones in a single bus slot. A maximum of lection zone. All audible alarm output circuits seven(7)DIB's may be installed in a system are supervised for open and short circuit ■Compatible with 2• or for a total of 58 zones. conditions. A short circuit will rause the 4-Wire Ionization and The initiating zones on the DIB can he con- panel to inhibit or disconnect that output until Photoelectronic Smoke figured for either alarm or sprinkler supervi- the short has been removed. The battery is Detectors sory operation with Class A or Class B wiring supervised to ensure reliability. Circuits moni- ■Style B (Class B) or schemes. Each zone may be configured as toring sprinkler waterflow switches can be Style D(Class A) Zone non-silenceable. The addition of an alarm field programmable to be non-silenceable as Operation verification adaptor(AVA)allows each zone to required by UL Standard 864. ■Zo ile-Test Mode be configured for alarm verification. Each The Firequest 300 system provides the ca- zone also has a disconnect switch for testing pabilities of complying with NFPA require- s Alarm Verification purposes.When a zone is"disconnected", it ments for"sprinkler supervisory"conditions, Adaptor Option may be tested by placing a device in that and for supervision of auxiliary control func- ■Optional Voice Paging zone in alarm.The zone alarm indicr�iing LED tions required by the Life Safety Code 101. Evacuation Amplifier will illuminate without causing a system alarm ■Mostercoder for Gener. or operating any outputs NOTES: ating "Temporal'and Using the optional Loop Control Module 1.The NFPA Life Safety Code 101(1988)paragraph IL "Code 3" Evacriiation (LCM)for one signaling line circuit, individual 7 6 5 5 requires supervised control circuits for fans. Signals per NFPA 72A device addressing and continuous monitoring rs,etc ode 72(1993)paragraphs 1 5 4 A and 1 5 4 7 4.NFPA F— ■Optional Digits! Corn- of smoke detector sensitivity Status Is pes- regarding distinctive signals for sprinkler supervisory tq sible, Each analog-addressable circuit pro- devices munleator• Line Re- vides a 198-point capacity for detector,moni- versing and City Box for and control devices.A maximum of two J Type Transmittere LCM option modules may be used in a Fire- 110 ■UL Listed for Local, quest 300 system. 5 Auxiliary and Remote A ccmplemeni of over 12 optional function JStation (884) boards gives the Firequest 300 a great amount of flexibility to meet most applications. The Firequest 300 can provide sprinkler su- `rn pervi;ory monitoring,mastercoder, and re [,nrh,n,a n„rf MsshM nark nn nr.•, _ -J 111 835 Sharon Drive,Westlake,Ohio 44145 etttt� THORP Automated Systems PhFAX(216)871320 223/0594 The standard Firequest 300 is P/N Expansion Boards Each input zone has an LED that Indi- 975907.The panel has a trim ring flange cates zone trouble, zone alarm/supervi- that allows the box to be flush-mounted Model ZIB Zone Interface Board sory and verify status. The zone and between 16'wall studs. The mounting provides a method to interface dual initi- alarm/supervisory and verify LEDs are rail provides space for 3 ton up to 1 boards and for batteries up to 0AH size. ating boards to the system bus. The located on the zone interface board. The zone interface board has slots for up to zone trouble t.FDs are located on the The expansion boards can be of any boards and their b lour(4)dual initiating dual initiating board. The alarm and type such as ZIB,city hox or reNarse po- optionally attached g b modules. A fully trouble LEDs will stay on until the system larily transmitter(CCX CBT,or CCX + loaded zone Interface board provides is reset,even Aller the condition clears. RPT),4RC/10RC relay boards,etc. En- eight(�)initiating circuits,Style B or D. Supervisory and verify LE5,;turn off closure dimensions are 24.8'H x 14.5W The zone inlb!tace board passes Gia theflanwhen the condition clears. x 4.25'D ler the , and 26.5'H x system bus on!o the next board in the Each zone also provides a trouble 16.0'W including the flange, system.Any system board,or another pulldown output,an alarm/supervisory zone interface board,can be plugged pulldown output and a verify pulldown FlrogUest"Plus"Analog- into the bus end of the zone interface output. The pulldown output terminals Addressable Panel board. Up to three(3)zone interface are located on the zone Interface board. The Loop Control Module(LCM)is a boards can be mounted in the standard These pulldown outputs can be user+to micro-processor based option module enclosure. activate a remote annunciator or as wtar- that provides one loop of analog-addrps- Alarm/Supervisory and verify LEDs are nal connection to other board! the sable field devices Used exclusively mounted on the zone interface board so system.Like the LEDs,the alarm and with THORN's Series 500 Intelligent Sen- as to be visible through the enclosure trouble pulldowns will remain activated sors and Devices,the LCM provides the bezel window without opening the cabi- until the system is reset,and the supervi- interfaee to the common Firequesf 300 net door.A cover plate is installed over sory and verify pulldowns are active control/display. the LEDs to Indicate function and pro- while the condition is present. The LCM provides one, Nrr'A Style 7 vide space for labeling each initiating Whey.the dual initiating board Is used communications loop for interface of up zone. for sprinkler supervisory, the alarm to 198 devices;99 analog sensors,50 The zone interface board also has ter- pulldown connections and alarm LEDs addressable monitor modules and 49 minal connections for each of the eight serve as the supervisory pulldown con- addressable control modules. Input and (8)initiating zones,terminal connections vection and supervisory LEDs for the output devices may be programmed to for alarm,trouble and verify pulldown associated zones. any one of eight groups/zones for control outputs for each of the eight(8)zones, A test switch Is provided to disconnect logic and display.Analog sensors In- all input transient protection devices, and the board(each zone)for testing pur- clude ionization,photoelectric and Ther- sockets for the zone Style D relays poses.When a DISCONNECT switch is mal types. actuated,the corresponding input zone The LCM is equipped with two LCD Model DIB Dual Initiating Board circuit continues to monitor the condition displays,as well as individual avant type installed on a zone Interface board(1'M of the znne loop,reporting the status lo- and diagnostic LEDs. A 4-digit LCD pro- 910670)provides two(2)general put- on t via the alarm LEDs and pulldowns and vides scrolled display per event for de- pose Initiating circuits. A general pur- al the zone interface board. However, to th vice address,device type and group or pose initiating circuit supports devices alarm conditions are not reported to the zone. A 7-segment display enhances such as smoke detectors,pull-stations, system. Therefore,no bells or sounders are activated.Also,while the board is in display of event type in clear, English water flow a;wtches and water tamper text. An optional printer package will switches. The initiating circuits can be DISCONNECT test mode,the system will report a trouble condition and the come supply permanent record of each status configured to support Initiating devices change,as well as analog value for each as either alarming inputs or supervisory lightssponng orange DISCONNECT LED sensor during maintenance mode. Inputs, but not both. Up to four(4)dual tights c the DIB. the zone will remain in & All inputs to the LCM for assignment of Initiating boards can be mounted on a the disconnect test mode until fire sys- � device,type,device group/zone and the zone Interface board adding eight(8) tem is reset.NOTE: All alarm conditions should be cleared prior to resetting the U) relation of inputs to addressable outputs, zones to the system bus. are field selectable. system to avoid reporting the test alarm Each initiating circuit can be config- conditions to the system. J tired for Style 8 or Style D initiating de- A connector is provided on the board vine wiring schemes. A socket for a relay to Install An option module which adds Is provided on the zone interface board an alarm verification feature to the two for each zone. Installing the relay config- (2)Input zones. JW tires the zone for Style D Initiating device connection No relay installed configures the zone for Style 8 initiating device con- nections 3 Model AVA Alarm Verification for fans,dampers,motors,elevators, Model M,03 Mastercoder Module Adaptor reduces false alarm signals etc„ the AAC uses remote polarized can be field programmed to provide a from smoke detectors due to electrical or relays such as the PR 1 and PR-2. Note distinctive sound pattern on the audible smoke transients that NFPA 101 Life Safety Code requires alarm devices. The module has a 15- -Two independent circuits that provide that auxiliary control functions be pole dip switch which can be pro- alarm verification for two(2)standard supervised The PR-1 and PR-2 control grammed to be open or closed,thereby 2 wire smoke detector loops relays meet this requirement when crealing different pulsed signals on the Note:Do not use with 4-wire detectors. mounted adjacent to the controlled alarm output circuit. The MC3 can be —Each channel has 60 second mini equipment. The AAC is programmable installed into the socket provided on the mum time period for verification. for latching/non-latching,and silence- AAC or CCX boards. An adjustable timer able/non-silenceable operation. The allows variations in the pulse rate from 1/ An initial alarm condition causes the circuits are programmable for activation 10 second to 10 seconds. The module removal of power to that zone immedi- by common alarm from the system bus, can be programmed to produce the ately for approximately 8 seconds and for selective activation such as ring-by- uniform temporal Code 3 evacuation starts the alarm verification timer for that zone or a group of zones The AAC is a signal recommended by the NFPA 72A zone(60 seconds minimum) This resets standard size board,TH x 7.5'W, and Code,Appendix A, or other signals such the delector(s)in that zone. During this can be mounted on the main mounting as 4-4-4 The signal generated by the period, any new alarm occurring in that rail of any enclosure or on the left hand MC3 can only be used to pulse the AAC zone will cause an alarm at the panel rail of the large panel(using the BBI circuits,and it does riot pulse the alarm For this same reason,activating a pull- cable). output circuit on the common control station or any other contact-type device board. in a verified input zone will result only in the delay incurred during power-down of Model DM Diode Matrix Board _ tl the zone. No confirmation delay will provides a method to expand pulldowns 491 result since the new(second)alarm to a number of devices The eight(8) occurred immediately upon return to inputs maximum may be mapped to any power combination of eight(8)outputs,within Duringverification,the following takes the electrical constraints of the driving g circuit. Model CCX is a motherboard for place: mounting the city box or reverse polarity 1 The +24VDC power is temporarilyIfit�t-1 transmitter boards when these are not disconnected from the loop causing used in the AAC board,or if a system the smoke detectors to reset '' t requires two transmitters Note that the 2 The orange LED(s)on the common CGX is a standard size board,TH x function board or the zone interface Model 1011C Auxiliary Relay 7.5W, and that the RPT,CEIT and MC3 board tight to indicate verification is Board provides 10 SPST,Form A boards are daughterboards which taking place (normally open)contacts rated for to at require either a CCX or AAC board. 28VDC. All relay coils have a red LED to indicate status.A master disconnect M Style D(Class A) Plug-In Relays switch prevents activation of all relays (luring service and testing.Each relay are used in the sockets provided on the roil is individually addressable by a common control board or zone interface negative(-)input from a zone or group board to convert input circuits to Style D of zones. Two of the relays can be Model CBT City Box Transmitter (Class A)operation. converted to Form B(normally closed) provides a local energy connection to a operation by cutting a jumper wire The standard municipal transmitter(coded). L Model AAC Audible Alarm/Control 10RC is a standard size board,311 x The CBT mounts into a socket provided Board provides two field-program- 7 5W on the AAC board or on the CCX board. rnable, supervised output control Activation of the CBT can be by the circuits The circuits can be wired either system bus(common alarm)or from an as Style Z or Y(Class A or B)and are is IS input(system negative)from a zone or rated for a 3A load at 24VDC. The AAC -)roup of zones. .A disconnect switch is board provides a socket for mounting a provided with a"disconnected LED."The city box(CBT), revers polarity(RPT),or Model 4RC Auxillarb Relay Board system fault buzzer sounds while the mastercoder(MC3)daughterboard provides 4 SPDT,Form C contacts,rated disconnect switch is activated. A red J When used as an alarm signaling for 5A at 28VDC. The relay coils are LED indicates that the city box coil has (indicating)circuit(s),the.AAC uses individually addressable by a negative(- been tripped, and a yellow LED will be lit polarized bells,horns or horn/strobes. )input from a zone or group of zones. and the system fault buzzer will sound When used as an auxiliary control circuit Standard size board. until the city box circuit has been restored to normal(closed) • 4 Model RPT Reverse Polarity Auxlllery Power supplies are used Modal RA-4,RA-10 and RA-20 Transmitter provides a means to to provide additional power for larger Renate Annunciators provide 4,10 connect a direct-connect telephone line systems. The auxiliary power supply is and 20 zones of annunciation,respec- frum a municipal or commercially- identical to the basic panel power tively. Each annunciator has a lamp lest operated central alarm receiving station supply Two sets of batteries are not switch,buzzer,silence switch and a The RPT mounts on a socket prcvided required as the two power supplies are 'silenced'LED. The buzzer can sound on the AAC board or on the CC`(board. wired in parallel. both power supplies for fault or for alarm and fault.Wiring to The RPT transmits both alarm and fault are double-sized boards, 7.514 x 4.5'W x the annunciators is 18 gauge;one (trouble)conditions. Aclivation of the 2',and can be mounted only on the conductor for each active zone,and one RPT can be by the system bus or an lefthand rail of the largest Firequesl 300 conductor(+28V),crrrnnon negative, input(system negative)from a zone or enclosure. system fault(-)and system alarm(-). group of zones. A disconnect switch is The input to the zone LEDs is a negative provided,along with a"disconnected Model SAI flus-To-sus Intereon- (-)pulldown from any zone in the control LED,"which activates the system fault nect Cable is used in the large panel. Each LED is provided with a buzzer. A red LED indicates that the 1-irequest 300 panels to transfer signals dropping resistor transmitter has been activat^d, and a to CCX and AAC boards if they are The RA-4 mounts on any standard yellow fault LED indicates a problem in mounted on the lefthnnd ran. two-gang surface or flush backbox. The the telephone circuit. RA-10 and RA-20 mount on any stan- dard four-gang surface or flush backbox mounted long-side up(vertically). All annunciators are III listed NOTE:When operating(driving)both annunciators and other devices(such as the 4RC or 10RC auxiliary relay boards or the AAC Digital Alarm Communicator alarm/control board)from the same zone Option P/N 910688 employs the Silent pulldown,the other device(4RC, IORC Knight Model 5128 fire slave communi- or AAC)must have an isolation(block- calor. This unit features: ing)diode installed on the coil input to —UL 864,NFPA 72 listing for central Model PR-1 and PR-2 Control prevent activation during lamp testing of station fire-protective signaling Relays are used to control remotely- the annunciator. systems service,UL 864; and NFPA located equipment(fans,mo'ors, 72 listing for remote station lire- dampers,etc.)on a supervised control protective signaling systems and circuit provided by the AAC board The proprietary protected premises. relays are polarized for supervision. The —Four channel inputs:fire alarm, AAC board must be configured as per system trouble, supervisory,user- the manual instructions to operate as a configurable ch2 mel control circuit Instead of an audible —Can transmit Information in eight(H) output circuit for bells/horns. The PR-1 different formals. provides an SPOT Form C relay rated at — Programmable two-number dialing 5A(24VDC/115VAC). The relay draws with same or different account codes 40mA when activated. The PR-1 fits on and reporting formats, any standard single-gang backbox, — hone line monitor circuits;built- surface or flush.A red LED shows Duan p through the faceplate to Indicate the in dual phone line-seizure circuit. relay Is activated. The PR-2 control relay d —English-language programming using provides two SPDT Form C relays rated Model 5230 remote annunciator. at 5A(24VDC!115VAC).Each coil draws t/a —Roal-time programmable 24-hour 40mA when activated. The PR-2 moui its communicator test;manual communi- to any standard surface or flush two- cator test. gang backbox. Two red LEDs show —Power loss reporting. The AC report through the faceplate to indicate the m delay time can be programmed as 0 relays are activated. Wor in the range of 6---15 hours. J Note: For NFPA 72,AC report time must be 6---12 hours. 5 Co"f I - macaw I.t.v aAMo tlrtulM[ftlal - ------ A t1q wlLlRr- titllM telt CCX �1��pt6ffRW I 1 ,. 15+ ----ITT--- — q �a �n I trla.w l�awrnla pyrl0aN L0aatcl Dai 1 10 w■ to , I _� w,1 rapMaRM.►I(�a�a� p�/(1EyIt(� N.OIIMRaOwIa NMaI♦ A 1IC1I (( /Rwa 000 �t ICwn o 34 C(>VIOIraY laal O Cw,• n 1R pR `RMC na OtIDU11 .Unu.ar a(aMfa r.M.tr MR pwaRrr 1 M ,.wio�a.�iaYM:t WON. 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RefOr qR n M R R ♦ nRs1 SST• w® sad COMatc rcM to v II ..t 1•Q•tt.. .1 �1 W ---- f7 w1 Nl L� __. 'J t '" acv r ICIwf.4,T Rllt fMCw(:1nlwp.a01 iE ._ 668886 Use 68a .nMe,«Har..-.E lrrao.w Hann Ct . R f I t R r . 1 f , 1 t t � tUME 1 1 4 5 rno MATMO 6 SKDD Vigo rf rW W lRagepel W—,PMq b• R0.111 e111 Pl[D( / Mwer EWkNUAaI Www,«r A ww/Ar I [ I� rro n rauwfet r , I y writ.wna Ee•fEI011 `— Atw•rmrttvsl a •'e ® �-_, ML— aTvll v ePveaIHIWAfD •unPMID 44 1.Ziff [ N �M fRANf �1 "toC':B LQ. FNCLOSURE tv"rD � AOAe.•'w, TN f7 Araeae r.KkweAtere 00 MH}AMle etgre �I�IA MFA" -o. r to A • V_PLIMa lJ raw [d r.r r•r e'T"'b[ O Io Erna rte •• rlMl(U q^(yfPaflPnr •• PM RNA)11 ftx Dow. C�3 f/IPafgPMtP • 14AMI AlOOAt1 .wAI ..., e OO"Wro GPRLAVJSS A NrI• f"Itou" f .", /MIRpA/wl ,_ •VP[AYIA[Offrlfl MWOM-ro 6 U llPryr laff Of lAA■ F��A! q(r 1� frd O S 1if7 C _7 "nA�puuDOwt07 fNt llDM• au[■rwe 0reA1A1MwNU QACOW .10 C �PIrwArfwtuMflNMO � .per 04M A�AOU rAW10 o ache j � l�� r Av�Iuxunr Qa.sar+rtrOfeptftt4O iw Aar„c� krr Qnafew r('IQ o i &A.. r tern 1 O r.,t.t IF "V IlfAwr +�=Q o - I 00 td[A o f SAM" MT1O[/ Q iJ R71tf w LA—Fits r:nettn now ro erattu AUII to APa Ue A(e1,TA■E.}eVocT[A1AAA1 IA),I CLAM w,rw[w Irry IT areeTOA R--1Y CM[Ckf D1r ODAtw Ct rAr [n rer AlArrw Iesoca t Pwar P I '•r I.I ( Ater c nNr*frwaDAT(a IO M7�}e PM wtWIN t rryeee,e '#W IKA, 531 roPnarfvDl' 1 ei 0101 �� AnwfrnornrAAlera M R�AR[f [d E ✓ I I ra 1•r a, Ater RE MA I Iq■aro of tµa Ot IAA A rkAW I MA, to *"'I'Aete n,KK rM� P1e t4 LAtM4 PfarttAAl[.)eVCC t[pYWA(IMt of t[C IOA fNAf1O1PrAir)ffa NOTE: The AAC board can be powered from J 1.5(24V®4A)which will provide fuse blowing capability to clear a fa(jlj. specifications power Supply Input: 120/220'/AC,50/60 t4z,3A rnax a DC Output 5A at 44VDC regulated++10 ./-5%2.5A standby,5A alarm) Ripple Maximum 7.96 of output VDC — U) Charger: 2,5A.max at?_7.6VDC - Input lone Circuits 100 ohms max,3 9K end-of-line resistors; 74mA maximum alarm current, 4omA minimum alarm Current; supervised for opens and grounds;all alarm conditions are latching until reset;all zone alarm outputs (pulldowns)latch(not supervised);all alarm pulldowns are(-),rated for 12("A bad maximum;all fault m (trouble)conditions are latching in both Style B(Class B)mode and in Style D(Class A)mode. Output Alarm Circuits' 3.9K end of-line resistors;supervised for peens,grounds and shorts;AAC circuit lured at 4A,3A bad max- imum;circuit on common function board fused at?A; 1.5A load maximum;use polarized devices only; _ compensate for line foss,maximum of 1 volt loss tolerated on circuit. Power Outputs: Switched by reset and non-switched;current Iimllted et 2A;ran-supervised;supervise by EOL relay if required. Temperature flange. (0 to 5 j 1 — — ---_— 7 FIDE ALARM SYSTEM r .- Ordering Information _ -- —-- --` __-------_-_ Model _ orPart No. Description__ Firequesf 300 _ 975907 — Control Panel,2 zones,with 4 O power supply;expansion space for three boards. Firequest 300 975908 Control Panel,2 zones,with 4 OA power supply;expansion spat: for nine boards mounted behind viewing window(right hand rail)plus space for six more boards un the left hand mounting rail. ZIB 910678 Zone Interface Board,provides connections lot up to four(4)DIB's with AVA. DIB 910679 Dual Initiating Board;Style B(Class B)or Class A,alarm or sprinkler supervisory,with disconnect switches. XV­ 910680 Alarm Verification Adaptor;provides a 60 second verification period for smoke detector circuits, mounts on CFI3 or DIB _ 17400080 Plug-in Relay,Style D(Class A). — — — CIK 975875 Custom Zone Identification Kit 4RC 910677 Programmable Relay Control Board,4 SPDT Form C contacts;5A.�_ _— BBI 910245 Bus-To-Bus Interconnect Cable 10RC 910444 Programmable Relay Control Board; 10 SPST Form A; 1A,20VDC RPS-424 910683 5.OA Auxiliary Power Supply;double size,7.5'H x 4.51W x 2'. RA-4 975176 4-Zone LED Annunciator. _ RA-10 975870 10_-Zone LED Annunciator. RA 20 975871 20-Zone LED Annunciator. �— AAG 91623 Audible AlalnT/(,onlroI kxpansiun Eoald;provides two alarm cirouils or two contrd circuits for fans (polarized relays) CBT 910237 City Box Transmitter;plugs into the AAC or CCX boards. _ — APT _ 910238 Reverse Polarity Transmitter,plugs Into the AAC or CCX boards. CCX 910243 Expansion Motherboard for mounting the(,'BT,RPI or MC3 daughlerboards;requires one apace on the mounting rail. t�. SKDD 910638 Silent Knight Madel 5128 Fire Slave Communicator;provides four(4)channel inputs for fire alarm system trouble,supervisory and one user-configurable,tra,lsmits in eight(8)different formats ` MC3 910240 Marc htime/Maslercoder Module;field programmable;plugs intc socket of AAC or CCX board SFT _ 910248 Semi-Flush Trim Ring for use with large Firequest 300 enclosures(P/N 97585e and 975857) _ PR-1 910412 °olarized Remote Control Relay.(1-SPDT). - ED PR-2 910413 _Polarized ReC mote Control Relay.(2-SPDT)._— 0 LCM — 975692 Loop Control Module for analog and addressable sensors,monitor modules and control modules. JDM 910"1682 Diode Matrix Board provides for programming inputs to an array of outputs (One input may trigger multiple outputs,or vice versa.) These foam inions do not purport to rover an the details or variations In the 84 ripment described, rvx do they provide for every pownie contingerry to be met in connection with . inslallab,wn,o1walion and maintenance All nper,hCBtrnns stibiecl tc chang,,wilt"A notice Should further information be desired or should pahin iar problems ansa wtech are not covered sufficiently for the purchaser's purposes.the matter should be referred to Than,Westlake,Ohio 41145 O 1994 Thein Automated Systems,Ir,c. 11-10RN 835 Sharon Drive,Westlake,Ohio 44145 Phone:(216)871-9900 �III1 AUTOMATED SYSTEMS FAx(218)e71.e320 223M295 IONIZATION AND PHOTOELECTRIC DETECTOR smoke inlet apertures which are fitted with an insect resistant mesh. A small radioactive source ionizes the air within both chambers. The ionization causes a small electrical current to flow. If smoke is introduced into the 6'Base chamber,current!low through the chamber decreases. This effect is greater in the smoke chamber than in the reference chamber. Once the current imbalance between the two ■ Low Profile Appear- General Information chambers reaches a preset threshold,apt once The THORN Automated Systems'Models alarm signal is generated. ■ Plug-In 2-Wire Base ISC-3501 and ISC-350P are part of THORN's The twin chamber design provides good complete range of series 350 smoke and compensation for atmospheric pressure and ■ Tamper Resistant thermal detectors,all of which plug into a temperature and is insensitive to the effect of Locking Head common set of interchangeable bases. dirt and dust that may be deposited on the ■ Remote LED Output Surface-mounted electronic circuitry allows radioactive source.This design also allows ■ Non-Polarized Wire for a compact, low-profile design, operation of this detector in air flows of up to Six inch detector bases are available. A 2000 feet per minute without detrimental Connections separate terminal on the detector provides a effect on its performance. ■ Dual Ch miller De- voltage output for connection to 3 remote ISC-350P sign LED.Wiring connections are non-polarized for The chamber of the ISC-350P photoelectric ■ 2000 FPM Airflow ease of installation, unless the remote LED detector is an optical arrangement consisting Rating output is used. of two main parts:an infra-red LED and a ■ Interchangeable Detector Design photo diode light receiver.the LED emits a Bases The ISC-3501 and ISC350P detectors have burst of collimated light every 10 seconds. 1n ■ Fins Mesh Insect a molded white polycarbonate case,UL 94 V- clear air conditions,the photo diode will not O grade. Nirkel-plated stainless steel wiper receive light from the LED due to its arrange- screen contacts connect the detector to the terminals ment within the chamber. ■ RFI/EMI Immunity in the mounting base. When smoke enters the chamber, it ■ Pomovatrle Cover for scatters light onto the photo diode,which is !3. Field Cleaning ISC-3801 detected in the detector's electronic circuitry. THORN Automated Systems ISC-3501 is a Once light has been detected by the photo a UL Listed (288) dual chamber ionization-type smoke :elector diode,the I-ED emits two further bursts of y� which will sense the presence of particles of light at two-second intervals. If light is combustion,particularly those produced by scattered onto the photo diode on both of fast,flaming fires. Inside the detector case is these pulses -due to the presence of smoke a printed circuit board which has the ionize- -the detector will change to the alarm state. m lion chamber system mounted on one side To ensure maximum reliability,the LED and the signal processing electronics on the emits light modulated at about 3KHz,and the W other. photo diode will react only on receiving light The detector utilizes a dual ionization at this frequency. Fftw, Oto IhMULL,611Q6rd,.th r199O„ar„ chamber design,which consists of an inner sesee 07 1Z"Y be fount ^dM THORN n reference chamher and an outer smoke AWOCee,roc whch we row&VV NOW*ea 9 eiramem"Y T11ORNA00rneted$YeterrM•1^c chamher. The outer smoke chamber has An eppr ars subject ro re esrMrtetbn,romtm+ and pnee018�bla ce�*aliai 835 Sharon Drive,Westlake,Ohio 44145 L t THOU Automated Systems Phone:A `218'871-&IM FAX�:z1e1 e7r-e32o 1a3mm IONIZATION AND PHOTOELECTRIC DETECTOR • • • 0 Installation and Wiring Tasting The detector's cover is easily removed The 6'base mounts directly to a 4' Annual functional tests may be in order to apply vacuum cleaning square or a 4'octagonal electrical box, performed using the THORN'Model around the decoction chamber screen. Both bases require two(2)8-32 screws. IA-MED Smoke Detector Test Pole and Refer to THORN publication number Wiring connections to the terminals in Aerosol Test Gas. 850502 for complete instructions the detector base are non-polarized and regarding installation,wiring,testing and are such that a missing detector head Maintenance maintenance, will interrupt the control panel's initiating It is recommended that at least once circuit,causing a trouble cendltion at the per year, the detector head should be control panel. cloaned by using the suction from a vacuum cleaner.Cleaning may be required more frequently if the detector's environment contains sources of dust and dirt Specifications Operating Voltage: 16 to 34VDC(2 volt p-p maximum ripple) 16 to 34VDC(2 volt p-p maximum ripple) Standby Current: _ 30 to 45 microamps at 24 volts 30 to 45 microamps at 24 volts Alarm Current: 52 milliamps at 24 volts 52 milliamps.at 24 volts Operating Temperature: UL listed for environments from 32OF to 120OF UL listed for environments from 32OF to 120°F Actual performance from 32OF to 140OF Actual performance from-5°F to 140OF Humidity: 0%to 95%relative humidity --� 0%to 95%relative humidity — Altitude: Up to 6500 feet Insensitive to altitude Air Velocity: Up to 2000 ft/min Insensitive to air movement Radioactive Source: Americium 241,0.9 microcuries None RFI Immunity: 90 volts per meter, 27 MHz to 1 GHz 65 volts per meter, 27 MHz to 1.0 GHz�� Dimensions: 4'diameter x 2'height, including base 4'diameter x 2'hefghl, including base Ordering Inlonnatlon Model Part No. Description ---� ISC-3501 920067 Ionization srr ike detector head ISC-350P 920068 Photoelectric smoke detector head 18C 351 920085 6'base, 2-wire w/remote LED output IA-�4LH 920105 Link head, installs on Series 350 bases to test wiring for continuity and grounds. IA-MET 92.0106 Extract tool. Used to remove detector heat: y from base. IA-MER 920107 Dust cover remover. Attaches to extract tool to remove orange dust cover from detector head. IAMEP _ 920108 Extension pole, 10 ft length _i IA-MFD 920109 Smoke detector test pole W IA-MTA 920111 Aerosol test gas Please reference both the model and part numbers when ordering. These instructions do not purport to cover ail the details or variations in the ewiomenf described, nor do they provide for every possible contingency to be met in connection with installation,operation and maintenance All specifications subject to change without notice Should further information be desired or should particular problems arse which are net txrvered sufficiently for the purchaser's purposes,the matter should be referred to THORN,Westlake,Ohio 44145.®1994 THORN Automated Systems,Inc. 839 Sharon Drive,W"tlake,Ohio 44145 Phone:(216)871-9900 LIN THON4 Automated Systems FAX(216)871-8320 1gy06p/ HEAT DETECTORS Thorn AUTOCALL 600 and . : Series 6M Series t s Fixed Temperature and/or Rate of Rise Operation ■Reliable ■Positive Indication of Operation ■Choice of Operating General Information • Temperatures The 600 and MPB series heat detectors are Model 600 heat detectors operate on the No Rugged Construction designed for property protection where it is fired temperature and rate of rise principles. ■UL Listed for Fire not practical to use smoke detectors The A low profile and an all white finish allows the units operate at a fixed temperature or a units to be used in applications where combination of a fixed temperature and rate aesthetics are a major consideration. When of rise. the fusible element melts, the center heat In fixed temppratwe units, an actuating collector drops off to indicate oper tion. An spring is held udder tension by a fusible link adapter plate included with each unit allows (eutectic alloy). When the heat detector mounting on a 3"or 4'junction box. temperature reaches the melting point of the eutectic metal,the spring releases and( '�)ses electrical contacts.After a fixed temperature unit has operated, its fusible link must be replaced. Rate of rise units consist of an air chamber, a flexible m%tal diaphram,and a calibrated vent hole.for normal tamperature fluctuations, CL the vent prevents pressure from building in the chaml-)er.When a fire occurs,the air in f., the chamber expands faster then than it can N be vented. The diaphram distends and closes the electrical contacts.Rate of rise units are self restoring after operating. Heat detectors are available in a wide range of operating temperatures and styles to fit most W any application. J Ptsa�e note thatlIL l iR1,nQt and omsr rpWtary AhA.n,nf,nIaton I-bund under Thom d Adoc Il Ind MKIN Ya nt v Bary bu s N Q ANnntAy.TAtxn AulrI In. System; Inc AA AprfrwNA Ye Wbleci W M avAmNAM rn- vrAont rr1 pmeals cnnc64161 n At�� SAA �A� TH ry�' T 835 Sharon Drive Westlake,Ohio 441 d5 1 U11J`Il�V1 Phone (216)871-9900 AUTOMATED SYSTEMS FAX(216)871-6320 �s ) M HEAT DETECTORS r Ordering Intortmatlon Order------ -- - -- -- ____--- -- 61 used -- Part No. _ Operation Contacts Envlronrn•nt Spacing(M) '14601 135°F,rate of rise 1-N/O _ Interior 50 0. 602 200°F,rate of rise - 1-N/0 Interior 50 V- 603 135°F -�- 1-NIO Interior _-- --50 V- 25 604 _. 2WF -- 1-N/0� Interior 15 WPB-MPR 501 136^F, rate of rise 1-N/O Weather/moisture proof 50 J WPB-MPB 507 1WF, rate of rise 1-N!O sWeather/moisture proof 50 m WPB-WPB 503 136°F - 1-N/O Weather/moisture Froof 15 WPB-MPB 504 t90^F - 1-N/O Weather/moisture proof 15 These inahuchong do not purport to cover all the details or vanatiors in the equipment described nor do they provide foi nvery possible contingency lobe met in connection with inslallatiOl • operation and maintenance All specifications subjecl to change without notice Should further rcmabm tforon be desired should pedicular problems arise which are not covered sufficiently la the purchaser's purposes,the matter should be referred to Thorn.'Westlake,Ohio 44145 C 1995 rhom Automated Systems,Inc +-_THORN 835 Sheion Drive,Westlake,Ohio 44145 �m e s Phone:(216)871-M ♦ILII AUTOMATED SYSTEMS FAX(216)871-8320 17510795 MANUAL STATIONS F_ 7 KEY OPERATED ONLY ■ Die-cast Metal Construction Institutional ■ Low Profile, LIFT Functional Design ■ Dual Action Option • Institutional )Key- ' ULL Operated) Option ■ Explosion-Proof Option ■ Break Glass Option L';t and Pull • Weather-Proof Option ■ Hex Screw or Key General Information Hazardous Locations Lock Reset Options THORN Automated S sterns'RMS series T y FiORN's RIAS series explosion-proof, ■ UL Listed manual pull stations are of high quality non- weather-prooS pull stations are constructed of toxic die-cast construction. high strength rretal die-cast alloy. Low profile and smooth edges offer an The UL rating of class I group B(hydro- attractive yet functional design.All compo- gen)C&D, class 11 groups E,F,G,class III nents are pre-painted or have plated sur- and ooldoor rating of type 0, allows these faces to inhibit corrosion,. stations to offer unmatched placement The RMS series manual pull stations have a flexibility.The terminal block connections, r 10 amp snap action switch. They can be D.P.D.T. contacts B 10 amps meet most used with or without a break glass rod for electrical requirements indoors or out. positive indication that the unit has been Having a"conventional" pull station design operated. the RMS series stations offer easy identification. a m c� LU Key-lock 835 Sharon Drfve,Westlake,Ohio 44145 !a THO�V Automated Systems Phone:(216)871-� 224/02M MANUAL STATIONS 1:99cm r apoclNcatlona Contact Single-pole,single throw(double-pole, single throw optional) Contact Rating 10 amps® 125/250VAG Wire AWG 12 to 22 AWG Wiring Terminal block connections(6-32 w/sem plate) 1 Switch 10 amp® 120VAC Key Switch(pre-signal) 0.5 amp®30VDC Dimensions Standard Station 3.32.5'W x 4.750'L x 0.875'D Explosion-Proof 15.5 oz/420 grams(weight) single gang mount RMS-1 T-DAH 3.32.5'W x 4.750'L x 1.625'D (break glass) Ilb.9oz/756 grams(weight) t RMS-1 T-LP 3.325'W x 4.750'L x 1.500'D 11b. 4oz/560 grams(weight) RMS-IT-WP-LP 3.25'W x 4.750'L x 1.75'D RMS-2T-WP-I.,' 2lbs./909 grams(weight) Break Glass Ordering hMormatlon Model Part No. Description RMS-1P 960672 Single-pole,single-throw w/pigtails RMS-1T 960673 Single-pole,single-throw w/terminal connections RM13-2T _ 960674 Double-pole,single-throw w/terminal connections RMS-IT-LP 960675 Dual action(lift/pull),single-pole,single-throw,terminals RMS-IT-WP-LP 960E78_ Weather-proof,single pole,single throw,terminals,dual action___ RMS-2T-WP-LP 960679 _ Weather-proof,double-pole,single throw,terminals,dual action RMS-EX-WP-LP 960680 Explosion-proof,double-pole,double-throw,terminals,dual action RMS-IT-KL 960677 Keylock reset,single-pole,single-throw,terminals RMS-IT-KL-LP 960681 Keylock reset, single—pole, single-th.,ow,terminals,dual action IL RMS-IT-KO 960682 Key operated, single-pole,single-throw,terminals,institutional BB _ 960687 Indoor backbox(surface mount)(3.325W x 4.750'H x 1.75'D) _ N GR 960684 Glass rod(used in all pull stations above) T KY-15 960685 Keys, set of 2,for keylock reset and institutional pull stations RMS-IT-PS 960676 Pre-signal station,single-pole,single-throw w/extra key operated contact terminrls m KY-PR __ 960686 Keys, set of 2,for pre-signal keyswitch (g RMS-IT-DAH 960683 Pull station, single-pole,single-throw with break Bass adapter,terminals Uj NOTE Key-reset units are keyed the same as THORN Autncall control panels(rent key only).It does not apply to the pre signal key-lock or the Institutional station These instructions do not purport to cover all the details or variations in the equipment described, nor do they provide for every poseible contkrgency to be met in conneiction with installation,operation and maintenance All specifications subject to change withoA notice.Should further information be desked or should particular problems arise which• are not covered sufficiently for the purchaser's purposes,the matter should be referred to THORN,Westlake,Ohio 44145 O 1994 THORN Automated Systems,Inc 835 Sharon Drive,Westlake,Ohio 44145 f�fT !' THOV Automated Systems FAX(21(216)671-9900 FAX 6)671-1.920 7,lIMlN UL 197 -1 STROBES Series Series Series I.S3/LS3M/MS3/IS3 LSI/LSI MIMS1/151 LS/LSM/MS/IS N Wall or Calling ■ Polarised 24VOC Models with Series Mounts Wide Llstod Voltage Range, Us- LSP/MSP/ISP/HSPW s Moots ADA Guide- Ing Filtered (OC) or Unfiltered lines for Minimum (FWR) Input Voltage One Flash per Set:- ■ Designed to most or examA and Across the NFPA/ANSI Standards and ADA Listed Voltage Accessibility Guidelines Range s UL Listed (1971) ■ Low Current Draw with Low Tempera- ture Compensation to Reduce Power General Information Consumption and Thorn's new line of strobes and combina- Wiring Costs tion audible and speaker strobe signaling a 15/75 Candela Wall products meet the latest requirements of Mounted Models NF Pa 72(The National Fire Alarm Code), Listed at 15 Can- ANSI 117.1 (the American National Standard Series dela and Exceeding for Accessible and Usable Buildings and Fa- HS/HS2 75 Candela for ADA cilities), and UL Standard 1971 (Signaling Guidelines Devices for the Hearing Impaired). The 75, 110 and 15/75 candela strobes also meet ■ 110 Candei a Models ADA requirements. ADA Compile Listed for Mall The 1991 passage of the ADA law ex- Mounting In Larger panded the use of visual and audible emer- Rooms and in Sleep- gency alarms to notify the Increasing popu- Ing Areas lation of hearing impaired people. The ADA n- ■ Retrofit Assembly Accessibility Guidelines require that emer- gency warning systema for both new or al- Strobes a Existing tered construction and,-existing facilities must Installations include both audible and,4sual alarms that meet certain performance specincations.Vi- sual alarms are now mandated throughout a m building wherever memba:s of the general 0 public and/or employees with a disability may J be located in an emergency.This includes entrances,restrooms,meeting rooms,hall- affen role nY u Liebe ono oro«Ma,wy ways,lobbies,all common use arF+AR rand 9 ellen eVamelbn mey De Idld arbor fMrn Y rWtocee.fm wlrcn Ye now".0 h.n "Yl a percentage of hotel/motel gtIPQt morns, rns. • en,le Waley Ilerrn Ioct I. Syeleme.Inc AN epprovMeu e Y. nlecl ro reeumnenm mws Yb po"Oft cwweltmo �� '� A35 Sharon Drive,Westlake,Ohio 1414f .ii.. HORN F'ttiFAX(216)8714=1 FAX(216)871-t1.'12'Q AUTOMATED SYSTEMS > Although Tho,.;'-:UL 1971 listed strobe products exceed the UL 1971 requirements for intensity at all viewing angles as shown on the tables below,specification and installation of these products must be based on their listed candela iatings in conformance with NFPA/ANSI strobe coverage tables. Horizontal 15 cd 15175 cd 30 cd 75 cd 110 cd An le In UL Min. T l° Tyv,LSM UL Min. Typ.M Min. Tyo.I$ UL Min. Tvp.H 0 15.0 21 100 30.0 42 75.0 90 110.0 132 5 13.5 20 75 27.0 40 67.5 92 99.0 129 10 13.5 20 38 27.0 40 67.5 89 99.0 127 15 13.5 20 28 27.0 40 67.5 86 99.0 121 20 13.5 20 22 27.0 40 67.5 86 99.0 116 25 13.5 20 19 27.0 40 67.5 83 99.0 109 30 11.3 19 19 22,5 38 56.3 77 82.5 103 35 11.3 17 17 22.5 34 56.3 70 82.5 100 40 11.3 17 17 27.5 34 56.3 65 82.5 96 4.5 11.3 15 16 22.5 30 56,3 62 82.5 92 50 8.3 10 15 16.5 20 41.3 42 60.5 86 55 6.6 8 15 13.5 16 33.8 35 49.5 79 60 6.0 8 15 12.0 16 300 33 44.0 76 65 5.3 8 15 10.5 16 26.3 31 38.5 59 70 5.3 8 15 10.5 16 26.3 31 38.5 45 75 4.5 8 15 9.0 16 22.5 31 33.0 43 80 45 7 15 9.0 14 22.5 30 33.0 42 85 3,8 7 15 7.5 14 18.8 27 27.5 41 14 7.5 13 18.8 T5 36 Vertical 15 cd _ 15f75 cd 30 cd 75 cd 1110cd Angle Ind UL Min.- Typ.LS gyp.LSM_ UL Min.' Typ.MS UL Min" Typ.IS UL Min. Typ.HS 0 15.0 22 100 300 44 75.0 90 110.0 132 5 13.5 21 100 27.0 42 67.5 88 99.0 136 10 13.5 71 100 27.0 42 67.5 87 99.0 131 15 13.5 20 100 27.0 40 67.5 83 99.0 127 20 13.5 19 100 27.0 38 67.5 79 99.0 129 25 13.5 19 96 27.0 38 67.5 74 99.0 121 30 13.5/11.3 18 96 27.0122.5 36 67.5/56.3 70 99.0 113 35 9.8/11.3 18 94 19.5/22.5 36 48.8/56.3 68 71.5 102 40 6.9/11.3 16 92 13.8/22.5 32 34.3/56.3 66 50.6 95 45 5.1/11,3 14 90 10.2/22.5 28 25.5/56.3 62 37.4 78 50 4.1/8.3 12 84 8.1/165 24 20.0/41.3 52 29.7 62 55 3.3/6.8 1 k 77 66/13,5 24 16.3133.8 48 24.2 51 60 2.7/6.0 9 70 5.4/12.0 18 13.5/30.0 44 19.8 48 4. 65 24/5.3 8 63 4.8/10.5 16 12.0/26.3 37 17.6 45 a 70 23/5.3 8 56 4.5/10.5 16 11.3/26.3 31 165 45 CO) 75 2.0/4.5 8 50 4.019.0 16 10.0/225 29 14.3 45 80 1.8/4.5 8 30 3.6/9.0 16 9.0/22.5 29 13.2 44 85 1.8/3.8 8 20 3.6/7 5 16 9.0/18.8 26 132 39 90 1. .8 8 8 3.W7.5lro 9.01188 24 13.2 m '"Wall/Ceiling Thorn products must be used within their published specifications and must be PROPFRLY specified,applied,installed,operated,maintained end lJJ J operationally tested in accordance with their installation instructions at the time of installation anti at least twice a year or more oft(,n and in accordance with local,state and federal codes,regulations and laws Specification,application,installation,operation,maintenance and Pasting must be performed by qualified personnel for proper operation in accordance with all of the latest National Fire Protection Association ;/FPA), Underwriters' Laboratories(UL), National Electrical Code (NEC), Occupational Safety and Hoalth Administration(OSHA), local, state, county, province,district, lederal and other applicable building fire standards, 0uidelines,regulations, laws and codes including, but not limited to,all appendices and amendments and the requirements of the local authority having jurisdiction(AHJ). UL 1971 STROBES Architect and AnginNring Specifications The visual signal-mall be Thorn Series LS,MS. required For outdoor applications private mode. IS,HSW,LSM,WM or equivalent devices They the WM Serres strobe shall to U( 1638 Lrsled and shell be UL 1971 Listed for Emergency Devices for be rated for a temperature range of minus 31 de the Hearing Impaired in all public mode i.,stella- gree F to 150 degree F lions Strobe shall produce a flash rate of one.11) All strobe appliances shall be certified to meet flash par second minimum over the operating vols- FCC Part 15,Class 6 and incorporate low tempera- ages of)4VDC to 31VDC for 24 volt models and lure compensation to insure the lowest possible 12VD(,to 15 6VDC for 12 volt models current consumption All visual signals shall incorporate a Xenon The strobes may be installed indoors for surface flashcube enclosed in a rugged Lexan lens or or flush mounting They shall mount to standard equivalent with solid slate circuitry Strobns shall electrical hardware requiring no additional frimplate meet UL 1971 and produce a flash rate of one(1) or adapter The WM Series shall provide a 117 flash per second minimum over the Listed input condole intensity per LIL 1638 and be Listed for voltage(20VDC-31VDC)range The strobe intan- outdoor applications sily shall be rated per UL 1971 for 15,30,75 or 110 Candela.The LSM Series 15/75 candela strobe shall be specified when 15 candela UL 1971 Listing with 75 candela intensity near-a>tis,s m i 24 VDC Part Strobe Current Mount' ODt(vpk—_ tan I l _ _ NQ. 2Q_ ___Flus _- Surfe -- LS-24 AE 960601 _ 1 ,c 4f�_1 112 or 013-18- L S Q LS -24-VFR 960602 1 1 cane x 2' deep wrn I- an x 1 3/4' die Strobes 4 FR __088i __ -R LSP-24-9FR 96060 15 80 4 x 4 x 2 1/8 S 1•R _ LSM-24-VFf1 960618 15/75 .115 4 x 4 x 1 1 2 or BBR _ LSIM-2.4-VFR 96061 _12N_ .115 1-gang x-2_dee_p___ _ wm 1-pang x 1 3/4*_0gPP Strobes LS3M-24-VFR _ 960620 15/75 .115 BB--R LSPM-24-VFR 960621 _5175 .115 4 x 4 x 2�B SBL-R��_� MS-24-VFR 960622 30 .135 4 x 4 x 1 1 2 or BBR MS MSI-24-VFR 960623 30 .135 1- an x 2'deep win 1-aan x 1 3;4'dee Strobes MS3-24-VFR _960624 30 .135 BB-R _ MSP-24-HFR 960625 30 _ .135 4 x 4 x 2 1/88 SAI_I-R IS 24-VFR _ 960626 75 .225 4 x 4 x 1 112 or BBR IS IS1-24-VFR 960627 75 .225 1 an x 2'dP.ePwin 1-gangx 1 314'dee Strobes 1S3-24-VFR 960628 75 .225 _ BB-R ISP-24-VFR 960629 75 Y .225 4 x 4 x 2 1/8 S6LI-R HSW HSW-24-HFR 960610 110 J .230 4 x 4 x 1 112 orBB Strobes H 2W-HTp 960611 110 .230 2-in'x 3 1/2'dee wr 2-gangx 1 3%4' dee H -HF 9 0612 110 .230 2 4 x 4 x 2_jN___ _51I1 T R wm-Wiremold 1L Mounting Accessories R Model Part No. Description F_ 1 BB-R 960407 4'x 4'x 1 112'Surface backbox _ DBB-R 960414 4' x 4' x 2 1/8' Surface backbox ISP-R 960688 5 1/4' x 5 1/4' x 11/16'_Molded surface backbox IOB-R 960671 5 1/4' x 5 1/4' x 2 5/8' Molded surface backbox SBB-R _960479 5 1/2' x 5 112' x 3 112' Surface backbox W SBL1-R 960668 6'x 9 112' x 1 3/4' Surface backbox J SBL-R 960669 5 1/2' x 10 5/8' x 1 3/4' Surface backbox RP-R 960670 5 1/2' x 5 112' x 7/16' FSB1 Retrofit plate release reference both the m.1el and part numbers when ordaring Those instructions do not purport to cover all the details or variations in the equipment described.nor do they prov;de fa every possible contingency to be mol in connection with installation operation and rneintename All specifications subject to change without notice Should further information be desired or sfvyld particular problems arise which are not covered sulficien'1y for the purcharer's purposes,the matter should be referred to Thorn,Westlake,Ohio 44145.0 1995 Thom Automated Systems,Inc. p.�HORN 635 Sharon Drive,Westlake,Ohio 44145 Phone:(216)871.9900 FAX(216)871-8320 III AUTOMATED SYSTEMS tow 95 MULTI-TONE ELECTRONIC SIGNALS � M r R ■ Eight Available Alert.- General Information Ing Sounds Thorn's new MT and MT strobe alarm sig- Standards,meet or exceed the illumination ■ Low Power Consump- nals offer a choice from eight(8)nationally which results frorn the ADA specified strobe tion and Limited In- recognized alerting sounds.One alarm appli- intensity of 75 candela at 50 feet. Rush Current ance to meet most of your signaling require- Each MT and MT strobe appliance has two ■ MT Strobe Models ments. The MT series are switch selective for: user selective sound output levels: STAN- Available with 15, 151 Horn DARD dBA and HIGH dBA. The MT provides Bell dual voltage capability in 12DG or 24VDC 75, 3t0 and 75 Candela operation,filtered or full wave rectified. The Ratings for Indepen- March Time Horn MT strobe electronic signals operate with dent or Single Input Code-3 Horn 24VDC and may be used Nith filtered or Activations Code-3 Tone unfiltered(full-wave-rectified)input voltages ■ NO Visible Mounting Slow Whoop Separate input terminals are available. Shunt Hardware Siren wires are provided to enable both tone and ■ UL Listed (464) for Hi/Lo Tone strobe to operate simultaneously from a Fire Protective Signal. Code-3 Horn and Tone incorporate the tem- single input. Ing Service poral pattern recommended by ANSI/NFPA/ Ift Listed ■ Strobe Models aro UL ISO for standard emergency evacuation sig- The multitone and multi-tone/strobe 1971 Listed Public naling. appliances are UL listed for indoor use, Mode Fire Protective Low cost installation via standard electrical ceiling and wall mount,under Standard 197 i Signaling Service boxes(4'sq.or 2-gang for easy retrofit). No for Emergency Devices for the Hearing additional;limpinte required for flush mount- impaired and Standard 464 for Audible ing.Options incluuq indoor and outdoor sur- Signal Appliances. The strobes use a Xenon face mounts.The signals feature a designer flashtube with solid state circuitry enclosed in appearance that eliminates all visible mount- a rugged Lexan'lens to provide maximurn ing hardware, reliability for effective visible signaling. Strobe AAA Compliance options include I-S, MS and IS series which are listed ar 15,30,and 75 candela Intensity MT Signals are available with strobes which respectively. The LSM Series strobe is listed CL are designed for ADA compliance with at 15 candela and exceeds near-axis 75 CL maximum performance,reliability and cost- candela intensity for ADA,with low current r effectiveness while meeting or exceeding the draw. latest requirements of NFPA 72(the National MT series signals lave IN and OUT wiring Fire Alarm Code)ANSI 117.1 (the American terminations that accept two 0 124 18 National Standard of Accessible and Usable American Wire Gauge(AWG)wires at each Buildings and Facilities)and UL Standard terminal. Inputs-,To polarized for compatibil- m 1971 (Standard for Signaling Device for the ity with standard reverse polarity type (� Hearing Impaired).Certain NAT appliances supefvision W with strobes,when properly specified and installed in accordance with NFPA/ANSI fleas.mol.that L&lralags and,*w regulatory afNus mlormalm may be found undtr Thorn or AulocaA,kr wstch art now dnaq buaaWa N a stgk-may Then IhaamaMd Syst/nr.Inc • AN q>f.wals re subf-A b rs esbrnaln,ro- -ion,and poasiMa cnncManan �� 835 Sharon Drive,Westlake,Ohio 44145 Phcme:(218)871-9900 FAX(216)871-8320 �IIII AUTOMATED SYSTEMS 2281,094 Standard Multltone- UL 1971 Spacial Applications Multftone -UL 1971 strobe 0trobes MT-LSM Swiss MT-Ls series LSM series strobes are also listed at 15 candela intensity under UL 1971 and LS series strobes are listed at 15 exceed a near-axis 75 candela intensity. LSM series strobes are designed only for candela intensity,with a light dispersion wall mounting, in a vertical orientation, in accordance with NFPA/ANSI room and pattern that exceeds UL 1971 require- corridor requirements for 15 candela strobes,yet meet a 75 candela ADA guideline ments and meets NFPA/ANSI require- with low current draw. See comparisons to UL 11171 15 candela liqht distribution ments for indirect viewing in rooms and below. direct viewing in corridors One LS series strobe will cover a 20' x 20'room when --- properly wall or ceiling'mounted in w _ accordance with NFPA/ANSI standards. j _ .r....r. •�..S. MT-Ms Series } . —__ For larger areas, MS series strobes are _ _ listed at 30 candela intensity. One MS # r�� `Oi `"" • — series strobe will cover a 30'x 30'room. when properly wall or ceiling'mounted w.owwb.,A» per NFPA/ANSI standards MT-Is series IS series strobes are rated at 75 General Notes: WARNING: Use strobes only on circuits candela intensity for additional coverage —Strobes ate designed to flash at 1 with continuously applied operating capability. One IS series strobe will cover flash per second minimum from 20- voltage. Do not use strobes on coded a 40' x 40'room when properly wall or 31VDC or 12-15.6VDC or interrupted circuits in which the ceiling'mounted per NFPA/ANSI All candela ratings represent mini- applied voltage is cycled on and off, standards. mum effective multitone strobe as the strobe may not flash Standard stobes Configurations intensity based on UI. 1971. --MT strobe models are UL 1971 listed MT-HSW series for indoor use with a temperature 0For very large areas and sleeping range of 321F to 120'F(0"C to 491C) reas, HSW series strobes are listed at and maximum humidity of 85%RH. 110 candela intensity. One HSW series strobe can be used to cover a 50'x 50' room or to awaken sleeping occupants (within 16'of the strobe)when properly wall mounted per NFPA/ANSI standards. The NSW series strobes in combination with the MT and the model HSPW strobe/ plate assembly can be used for nrlw or retrofit applications. See strop, ,ries data sheet. "Refer to ADAAG present limitations on ceilinq mounting. CL Wiring Diagrams (for all models) Ir MT Signal — Audible signal ana strobe operate independently Audible signal and strobe open to in unison.Red and FAN MUTIK + TO KV black shun)-wires are supplies MMOK • —• ro r soNOW(ON _ _ v wont M r9c� r 0l, r A[o - Ca LR PRECEORtf FROM — • r0 Wr 'Vt W-AK CA ao sew OR LU n10•MCM91r, ♦ t0 K7n FAC P _ -- --- - (.0 LR �t STWAK OR $111M M - rArr - ---- r- - EDLR M!W STROB( M10e1( SIRot< rept Alarm Tones Pattern Description Horn Broadband Horn(Continuous) _ Bell _ 1560 Hz modulated(0.07 sec. ON/Ropeat) March Time Horn Horn(0 25 sec.ON/0.25 sec. OFF/Repeat) _ Code-3 Horn Horn(ANSI S3.41 temporal patterr) Code-3 Tone 500 Hz(ANSI 53.41 temporal pattern) Slow Whoop 500-1200 Hz Sweep(4.0 sec. ON/0 5 sec. OFF/Repeat) Siren 600-1200 Hz Sweep(1.0 sec ON/Repeat) Hi-Lo 1000-800 Hz(0.25 sec.ONiAlternate) ocifications Table 1:dBA and Current A tinas for Multitoneignals Without Strobes Typical Anechoic' Rated Reverberant dBA' Input Current' dBA at 10 Feet at 10 Feet Per UL 464 Tone Amps @ 24VDC At Nominal At Minimum At Nominal _ Input Votta a Input Voltage Input Voltage HI STD 11 1 STD Hl STD HI STD Horn_ 0.040 0.023 101 _ 95 88 82 91 85 Bell J.014 0.012 94 89 82 75 85 79 March Time Horn 0.040 0.023 101 95 85 79 89 82 Code-3 Horn _0.040 0.023 101 _ 95 85 75 85 _ 79 Code-3 Tone 0.028 0.017 97 92 79 75 82 75 Slow Whoop _ 0.048 0.026 101 96 88 82 _ 88 82 Siren 0.036 0.023 100 95 85 82_ 88 82 HI/Lo 0.020 0.014 95 90 82 79 85 79 • Table 2:dBA and Current pq"ps for Audible Patton of MultlloneSi�rtaIs With Typical Anechoic: Rated Reverberant dBAI Input Current' dBA at 10 Feet at 10 Feel Per UL 464 Tone Amps Q 24VDC At Nominal At Minimum At Nominal In ut Voltage In ut Voltage Input Voltage HI STD HI STD HI STD HI STD_ 0.040 0.023 39 93 85 79 08 82 Bell 0.014 0.012 _ 9:? 87 79 75 _ 82 75 March Time Horn 0.040 0.023 99 93 82 75 85 79 Code-3 Horn 0.040 0.023 _99 _ 93 _ _ 79 75 82 75 Code-3 Tone 0.028 0.017 95 90 75 70' 79 73' Slow Wheop 0.048.__0.026 99 94 82 75 85 79 Siren_ 0.038 0.023 98 93 92 75 85 79 _ HI/Lo 0.020 0.014 93 88 79 75 82 75 1.Add 25%more input current than shown in 3 Reverberant dBA is a minimum UL rating •WARNING:Multitone strobe models set on Tables 1 and 2 when operating the unit at based on sound power measurements in a 'Code-3 Tone"with'Standard dBA"do riot 0. maximum input voltage Rated Input Volt- reverberant test room. meet the 75 dBA minimum UL reverberant age(either filtered DC or unfiltered lull- 4 Multitone Signals with and without strobes sound leve!required for public mode fire wave-rectified(FWR) Multitone Signals set have a brief in-rush current during start- protection service(noted by'in Table 2). N for 24VDC operation are UL rated to oper- up.See'Installation Instructions". Models with setting- which produce less ate over a voltage range from 20VDC to than 75 d8A may not be heard. This setting 31VDC.Check the minimum and maximum is acceptable only for general signaling(non- output of tha power supply and standby fire alarm)use.Use the'high"dBA setting battery and subtract the voltage drop from with this tone or use a different tone for pub- the circuit wiring resistance to determine lic mode service. the applied voltage to the strobes. W 2.Anecholc dBA is measured on axis in a non-reflective(free field)test room using fast meter response.For peak dBA(mea- sured with peak meter response,add 5dBA to typical anechoic vv lues shown in • Tables 1 and 2. • Table 3: Strobe Currant h niont AMPS Voltage Flarted Avers" ReW Peak Current ReW Inrush-Current - LS MS LSM 18 LS MS LSM IS LS M_S L8M f8 20VDC 080 .135 .115 .240 .160 .288 .250 .500 .210 280 22.5 1 .650 24VDC 080 135 .115 .225 .190 .296 .260 .450 .250 .280 .270 .660 31VDC 080 .135 .115 .195 210 .296 260 .370 .320 .300 .360 .880 20VFWR 080 135 .125 .240 210 .390 .350 700 .320_ 340 .315 920 24VFWR .081 .1_35 125 225 .216 .390 .365 .640 .380 .390 .380 .930 31VFWR 091 135 125 .195 .240 .390 .365 .520 .450 420 500 L250 Note:All VFWR voltages in table are mea- WARNING:Refer to'Installation Instructions' sured with UC volt meter.Multiply VFWR volt- and"General Information'sheet on these age by 1.11 to convert to VRMS. products,These materials contain important Use the highest value of rated average information that should be read prior to current to determine the maximum number or specifying or installing these products,in- strobes and to establish power supplies and cluding wire gauge requirements.Use the rated peak -Total current required by all devices con- current or rated Inrush current(whichever Is nected to system primary and secondary higher)M verify fuse requirements. pov,er sources. Make sure that the average,peak and in- __fuse ratings on signaling circuits to handle rush currents do not exceed system power maximum inrush or peak currents from all supplies or fusing limits.If the strobe and devices on those circuits. audible operate on the same circuit,add the strobe current from Table 3 to the proper au- --Composite dash rate from multiple strobes dible current from Table 1 or 2.See'Inslalla- within a person's field of view lion Inctr.ctions". -Installation of 110 candela strobe products in sleeping areas. -Installation in offire areas and other speci- lication and installation issues a ;:1 m I�u Mounting Options: CAUTION:The following figures show the maximum number of field wires(conductors)that canante,the backbox used with each mounting option. If these limits are exceeded,there may be insufficient space in the backbox to accommodate the field wires and stresses from the wires could damage the product.Although the limits shown foi %ach mounting option comply with the National Electrical Code(NEC),Thorn recommends use of the largest backbox option shown and the use of approved stranded field wires,whenever possible,to provide additional wiring room for easy inotallation and minimum stress on the product from wiring. 1 ure A Figure 8 Figure C Figure 1Dn�+mom nwr W••■1 r-a+•■.r-�// .M a.n■■.�/'� s ruse• e w r a-rr" wr•ram wn rcwe. Ale I I woo � •ra+w 1.1 Y•M1 fMM � �-111![•r■eeRn -I.1 r�ferl■a Irl Y■(.tol•t Marta a tpouWa•r. ■ 4:91 y oft CrMs .�' wr rr Mast■a tY•OrR•Mt n..••rtl M+rwV a tCrgrK+Mt raarrr "�� - ..c/n rt h• •.c Irr •«t Ira yt Iu re lu rc la rre 111 -C/u -C Ir• wa 11• rc^lu .n:Iu ..a Its •oo#I- .1.1; r• ..c•Irr Figure F_ Figure F Figure G Figure H �M-nvw(�•+ vt•en a1r■r•t1 a ttr-A f a -r p/rr■(Y rptwllMG ate■OM■tan iM)1101M+MG a 10..r-r/r a! W.•r•r? aw w•l%r rrn nwrr�r• P'l.•.o•e• atn w'•0 [ta••R� e• tm, ate_ O 0 G �Irr t•.wr �.•111/•-fa.-/P q �-Ilaf.-r? w1aw10nINIRv1 • ��M.ems..r� wlr+t \-Io Y■n mws rwwlM MrM<R a WIRR'tw6 r•1 Y.a.aK■e r•.aaar Mast■a r�■plrelan r•e•■r Masa a tororc+an ouww wrst■or torous+Ms 11• re In ere 114 W.lit •.c 11• aot Irt rrc rr■ rac IU rt Ir■ ^l+• =II• •+t 1rt rc In .at/!• rt Ir•r. a.c Ira • • • - Mounting Notes 1. Multilone strobe models can be flush mounted to a standard 4'square by 2-1/8'deep electrical box(Figure A)or a standar -gang by 2-1/2'minimum deep electrical box(Figure B). box(Figure C or D)or to a 4'square backbox(model DBB or BB)with 2.All models can also be surface mounted to model JOB back model ISP extender(Figure F and f3). 3.Multitone strobe models can also be retrofitted to an existing FSB backbox to replace model 7001 strobe horn when used with adaptor plate model RP(Figure 3). 4.All MT(not MT4)models are supplied with four(4)snap-in covers to hldll the mounting holes and provide ( yattractive prying r inn theSnmupt installation. a The snap-in covers are interchangeable and have slots on each end so they can be removed if necessary(by p y g thin blade screwdriver).To insert snap-in cover,slide the outside edge of the cover(furthest edge from the strobe lens)partially into the mounting hole recess;then align the cover so it is parallel to the grille(not tilted)and snap cover into place. 5.The 108 surface backbox has 1/2'conduit knockoule on two sides.It hes a variety of knockouts on the back for mounting it to CLreces be mounted to a surface ith the two ears that are suppled The electrical slide into slots g ts on he back of the (Figure C) Use appropriate te anchors foythe wood screws that are suppled W with the box(if necessary). G. The 108 includes a prelastened gasket and tour(4)hole plugs. Make sure the condensation drain holes on the box face down an that the box is vertical to permit drainage of any moisture.Use the mounting ears to secure the box(do not use the back knork- . d mounting holes on the multitone grille(press them in securely from the back side of the outs) Use the hole plugs to seal the unuse pp grille). Mount the unit to the JOB with the four(4)#8-18 screws supplied with the box. 7.Mounting hardware for each mounting option is supplied. 8.Conduit entrances to the backbox should be selected to provide sufficient wiring clearance for the installed product.When e Sion rings are required,conduit should enter through the backbox,not the extension ring. Use Steel City 453151 (1-1/2'deep)or oor 853171 (2-1/8'deep)extension rings(as noted in the mounting options)or equal with the same cut-out area CAUTION:Check that lite installed product will have sufficient clearance and wiring room prior to installing backboxes and conduit,especially if sheathed multiconductor cable or 3/4'conduit fittings are used 9.Do not pass additional wires(used for other than the signaling device)through the backbox. Such additional wires could result in insufficient wiring space for the signaling device. M LTI-TONE ELEC--"1`1-1r'-,?,0N1C SIGNALS • 0 • Ordering Information Mounting Options Model Part No. Description (Ref. Figures A-H) Series MT Electronic Horns MT-12124-P, 960596 Multitone electronic r,udible signal. Eight(8)selective signals. A,G MT4-12/24-R 960615 Multitone electronic audible signal. Eight(8)selective signals. H 4. Series MT Horns With UL 1971 Strobes MT-24 LS-VFR 960604 Multitone signal with strobe, 15 candela. A,G F- _ U) MT4-24-LS-VFR 960636 Multitone signal with strobe, 15 candela. H MT-24-LSM-VFR 960633 Multitone signal with strobe, 15!75 candela. A,G MT4-24-LSM-VFR 960637 Multitone signal with strobe,30 candela. H m MT-2.4-MS-VFR 960634 Multitone signal with strobe,30 candela. _ A,G MT4-24-MS-VFR 960638 Multitone signal with strobe,30 candela _ __ H .� MT-24-IS-VFR 960635 Multitone signal with strobe, 75 candela A,G MT4-24-IS-VFR 960639 Multitone signal with strobe, 75 candela H These instructions do not purport to cover all the details or variations in the equipment described, nor do they provide for every possible contingency to be met in connection with installation,operation and maintenance.All specifications subject to change without notice Should further information be desired rx should particular problems arise which are not covered sufficiently tot the purLhaser's purposes,the matter should be referred to Thorn,Westlake,Ohio 44145.®1994 Thorn Automated Systems,Inc. 835 Sharon Drive,Westlake,Ohio 44145 Phone:(218)871-9900 _..._ HOF:N FAX(218)871-8320 �IIII AUTOMATED SYSTEMS 228/1094 was m m a 5 SHORN ELECTROMAGNFTIC 11111 AUTOMATED SYSTEMS DR HOLDER Features ■ V4ry Low Current Draw ■ Dual Voltage Inputs s Low Residual Malp- netlem a Terminal Block Con- nections ■ Nigh Holding Force ■ Double Chrome Plated yL iA•'41! S, • General "Womation Description Options Thorn DH series electromag- Thorn DH series electromagnetic door Accessories include extension and mis netic: door holders are con- holders offer superior holding force and tow alignment rods(various lengths)enabling structed using quality materials residual magnetism. Dual voltage AC or DC patallelisrn between door and wall at dis- and workmanship The door inputs of 24V and 120V are standard. DH tances greater than 12 inches and misalign- holder is made of durable, die- series electromagnetic door holders draw a ment over 4 inches. DH series eleutromag- cast mesal finished in high lus- mere .020 mA d 24VDC, lowering overall job retic door holders can operate at higher tre, double chrome or brass costs. listed voltages, producing holding forces in plating for a high quality ap- Mounting may be single or double coil floo excess of 100lbs(45.3kg)for special appli- pearance. mounting, surface mounting and direct wal! cations. mounting. No brackets are required. The DH series door holder offers an installation tech- nique using an adhesive template assuring alignment without secondary adjustments. d Aiding in installation is the aircraft quality DH drill fixture that reduces installation time F-' and provides a near perfect alignment of catch-plate and armature. to W W Listings A Approvals J • UL Listed, File Number S2985 • CSFM No. 3550-1039 100 w:t_�w _.n._ HOW _..�._ �III1 AUTOMATED SYSTEMS 24110M Pape 1 d 2 Dimensions Extension Rods i Dimensions and / (D►iEloc and DHBBB Applications Backbox) 00 J_�. ♦ I I+ ___j_ _ _ L_�—.JI Specifications Holding Force L n24120 VoRago DChnA AC/mA Ternrilnels LA. KO.24V 020' .019 C 6 L 40 18.1_ �.�._,------f r �--�•-��-� - � 120V .020' C&H 35_ 15.8 �. *Holding forces correspond with these values High Holding Force/Special Applications 24120 1 120V - .100 C a L 11049.8 To obtain performance values,apply high listed voltage to low voltage terminals(C b L) Ofi firf Intormation part Shipping No. Model Description _ Weight _ 920217 DH-24120FC i Door holder 24 or 120VAC/DC,semi-flush mounting,chrome 2.112 111, 920218 DH-2411201`12111 Door holder 24 or 120VAC/DC,semi-flush mounting,brass 2 1/2 lbs. • 920219 DH-24120SC 1 Door holder 24 or 120VAC/DC,surface mounting,chrome_ 3 lbs _ 920220 DH-24120SB1 Door holder 24 or 120VAC/DC,surface mounting,brass 3lbs. 920221 DH-24120GC 1 Door holder 24 or 120VAC/DC,ground mounting,1-door,chrome 4 lbs. - _-- 920222 DH-2412OG81 Door holder 24 or 120VAC/DC,ground mounting,1-door,brass 4 lbs. 920223 DF.-24120GC2 Door holder 24 or 120VAC/DC,2-door,chrome 4 1/4 lbs. lac 'i/ 920224 DH-24120GB2 Door holder 24 or 120VACW,2-door,brass 4 1/4 lbs. 920225 DHE1C Extension rod 1', chrome 1/2 oz. O o 920226 DHE18 Extension rod 1', brass 1/2 oz 920227 DH15C Extension rod 1.5', chrome _ _ 1/2 oz. 920228 DH15B Extension rod 1.5', brass 1/2 oz. Vol rncr c " O O 920229 DHE2C Extension rod 2', chrome 1 oz. _ reC'14 920230 DHE2B Extension rod 2', bress 1 oz. Vol LACI 920231 DHE3C Extension rod;., chrome 1 oz. [L C7 920232 DHE381 Extension rod 3', brass 1 oz. VIr —_-__ --_1 920233 DHE4AC Extension rod 4', adjustable,chrome 2oz. F- 920234 DfiE4AB Extension rod 4', adjustable,brass 2 oz. U) Typical Wiring 920235 DHE5C Extension rod 5', chrome ;->oz. 920236 DHE5B Extension rod 5', brass 2 oz Diagram 920237 DHCPC Catch plate,chrome Lo 920236 DHCPB Catch plate,brass 920239 DHSBC Swivel base,chrome W 920240 DHSBB Swivel base,brass_ .J 920241 DHBBC Surface back box,chrome 920242 DHSBBB Surface back box,brass 920243 DHW Extension wrench 2 cs) 1/2 oz 920244 1 DHDF I Swivel base mounting drill fixture Please reference bnih the model and pert numhers when ordering These instructions do ncu purport In cover all the details or veriatirns in the equipment described, nor do they provide for every possihle contingency to be met in connection with installation,operation and maintenance All specifications subject to change without rx*co Should further informaha,he desired or should particutsr problems arise which are nor covered sufficiently for the purchaser's purposes,the matter should be referred to Thorn,Westlake,Ohio 44145.®199E Thom Autornsterl Systems,Inc. 8"5 Sharon Drive,Westlake,Ohio 44145 �•s��'a' TH01 �� r i'hone:(218)871-9900 ally•••s>• FAX(216)871-8320 �IIM� AUTOMATED SYSTEMS 24,!1)298 ►'ate 2 of 2 • 159589 SME W PNWS-AWWA BACKFLOW ASSEMBLY TEST REPORT O REMOVED copy PROPERTY a REPLACEMENT OWNER: ��SLIr, F Thc- PHONE:_ MAILING ADDRESS! I W')D_ ) �J I n1'4L . S 1 SL •�, CITYZIP el")7 3 ASSEMBLY ADDRESS:— Q R.P.B�.A.��❑ D.C.V.A. Q R.P.D.A. ❑D.C.D.A. ❑P.V.B.A. ❑S.V.B.A, Cl A.V.B. Ca AIR OAP 1 SIZE: _L(J—tM MAKE: _� � MODEL: WATER1 SERIAL PURVEYOR: lu-r►t hCAI I!Nl1IL NUMBER: 12' �. ASSEMBLY LOCATION: In) i)eU/ REDUCED PRESSURE ASSEMBLY P.V.B.A. / S.V.B.A, INITIAL TEST el CIIF.CK DOUBL.E.CHECK AIR CHECK PASSED ►RESSDROP -�•Z (A)I CHECK Nl INLET FAILED ❑ INITIAL RELIEF VALVE ITIOHT 6. OMPIRD AT. PRM DROP DATE: Off.NFD AT RESULTS TS LEAKED❑ BUFFER A•B- I CHECK M2 — _ MM l►SI RELIEF VALVE ITIOHT 9- DID NOT FAILED SYSTEM PASS Er FAIL ❑ ILEAKFDO pw OPEN Q ❑ PSI COMMENTS REPAIRS AND/OR PARTS REDIICF.DPRF..qSURR.ASSP.V.B.A./S.V.B.A. AFTER REPAIRS #I CHECK TEST PRESS DROP (A) DATE: DATE: RELIEF IOr8H80 AT PRESS DROP AFTER OPENED (e) TIGHT(3 PAID 1 REPAIRS .te,nm SUPPER CHECK N2 PASSED ❑ l A"B" ,--�-- T IOHT ❑ ra1D rsm rRm IN COMPLETING AND SUBMITTING THIS TEST REFORT.THE TESTER.'ERTIFIES THA?THC ASSEMBLY HAS BEEN TESTED AND MAINTAINED IN ACCORDANCE WFFH ALL APPLICABLE RUSES AND REtAA AT1ONS OF THE WATER SYSTRM• AND STATE REOJI.AT)ONS. OAUOE/CALIBRATION DATE DETECTOR METER READINO TESTE GNATiJRE _ r )/ ��.ha�+ _L Dn �r TFSTEIu)IAM�P .�.�i�Zl�;,�. r� �1J,g�i=�(a� `�'lIZ� �'• PHONE TE��IL .o..2 , I COMPANY ` 0 SERVICF. RESTORED (� REPOR'T RECEIVED BY (RPPRESENTATTVF.OF OWNER) WHITE-Weter System Copy PINK Cwtomet COPY YELLOW•TWw Copy t 'ca V W J PL'JMBINPERMIT -CITY OF T DATE PERMI1 I SSUED•• 07/12/96. PLM6-01:37 COMMUNITY DEVELOPMENT DEPARTMENT 13126 SW Hall Blvd.Tigard,Or*gw 97223.6190 (603)639-1171 PARLLI_: 1 S 134AA--01800 ,' 11L (iLDIiLSS. . . : 101. 1!i.) iW NIMBUS AVL_ #H--7 :�UBDIVIS,ION. . . . : 1 KNOLL BU ;INESS CENTER TIGARD ZONING: I—P 13LOC1.. . . . . . . . . . . LOT. . . . . . . . . . . . . : ----------------------------------------------------------------------------------------- CLASS OF WORK. . :AL1 GARBAGE DISPOSALS. : 0 MOBILE HOME SPACES. : S i YPL OF USE. . . . :CUM WASHING MACH. . . . . . . 0 BACKFLOW PREVNTRS. . s 1 OCCUPANCY GRP. . sB: FLOOR DRAINS. . . . . . . 5 TRAPS. . . . . . . . . . . . . . . rD ':JTOR1ES. . . . . . . . e 0 WATER HEATERS. . . . . : 1 CATCH BASINS. . . . . . . : 0 LAUNDRY TRAYS. . . . . : 0 SF- RAIN DRAINS. . . . . : 0 SINK S. . . . . . . . . . a 0 URINALS. . . . . . . . . . . . 0 GREASE TRAPS. . . . . . . : 0 i_..AVAT UR I ES. . . . . 3 OTHER FIXTURES. . . . : 2 IUB/SHOWERS. . . . 3 SEWER LINE (ft ) . . . e 0 •DATER CLOSETS. . : 3 WATER LINE (ft) . . . 1 W DISHWASHERS. . . . : 0 RAIN DRAIN (ft) . . . : 0 remarks: Tenant improvement Uwner: ------------------------------------------------------- FEES FORUM PROPERTIES type aleoI_rnt by date recpt 10240 SW NIMBUS AVE L-3 PRMT $ 162. 00 JSD 06/20/96 96-280641 PL.,CF% $ 40. 50 JSD 06/20/96 96--280841 PORTLAND OR 97223 5PCT $ 8. 10 .JSD 06/2'0/96 96--280841 Phone #: 51113 -684-0510 Pont rac t or a ---___.___.------._.__-------____-- MYE_RS 8, SONS PLUMBINo 6024 SW JEAN RD, BLDG F LAKE_ OSWEGO OR 9-70;3`3 I 'hone #- 684--6602: f 210. 60 TOTAL Reg #. . : 040389 ------- REQUIRED INSPECTIONS ----- This permit is issued subject to the regulations contained in the Water Line Insp Tigard Municipal Code, State of Ore. Specialty Codes and all other Top—out Insp applicable laws. All work will be done in accordance with RP/Backflow Prey approved plans. ihis permit will expire if work is not started Final Inspection V within 180 days of issuance, or if work suspended for more than 188 days. - Ver~m i t t e e S i g n�a t•_Ir e : 7 / � -- ".. _... _...__—�_�_._.— I s 1.ted By - m Call for inspection — 639-4175 W J City of Tigard PLUMBING PERMIT A-F! LICATI�8N,., �Planck/Rec. # 13125 %VN Hall Blvd. Permit # - Tigard, OR 97223 (503) 539-4171 I�cr t3Gf 1� �(< - 0085 MINIMUM $25.00 PERMIT FEE + ST. SURCHARGE New Sir Ire a Family Reoldences only Job Ad*_ ((rr O 1 BATH HOUSE wo.o0 O 2 BATH HOUSE$195.00 10 ( 7 L) �(_ 1 IM�LtS .'i �-�" O 3 BATH HOUSE$225.00 Address ar Fee includes al pkrndures in the dw%&V and the first too feet ll 11 U X11 Z Z-3 bkrg ft tures water service, sanitary sewer anrf storm sewer. See Aces below. "`"°�•"�•''`"'ter FIXTURES GTY PRICE AMT V M Q` I- KT-le 5 Sink 9.00 0Z... �.... Lavatory 9.00 f_ Owner 1 '7 0 W i1/I ( U S Su(-c 3r, Tub or Tub/Shower Comb. _ 9.00 Shower Only 9.00 - 9 70U�� WOWCk" 9.1m Dishwasher 9.00 C t 1-,:](L A c l` -1v �E A Garbage Disposal 9.00 Washing Machine 9.00 Sa V1-. Floor Drain C 9.00 o� oval" Wow Heater 9.00 -Laundry Room Tray 9.00 at rr,.. Iz S Sv M S L - Other Fixtures (Specify) 9.00 f� ,AIrJ 9.00 °'` 160MContractor �..,.. M" 1L oS 1 nl/` 5" 9.00 c c ,L S0 \19 >s W-43 6$4-(040 L 9.00 CROWAft �1 9.00 wC �(? Y1� �l7035 Sew. 1st 100' 30.00 erg.R ON rY. eN~'TM w Sewer-ea. Addit 100' 25.00 $� _ 13/A P Water Service 1st 100' 30.00 1 hereby acknowledge that I have read this application, that the WOW Service on. Addit 200 25,00 information given is correct, that I am the owner or authorized agent of the owner, that plans submitted are In compliance with State laws, that Stone&Rain Drain lot 100' 30,00 1 am registered with the Construction Contractor's Board, that the Storm d.Rain Drain Addlt 100' 25,00 number given is correct. (If exempt from State registration, please _ give reason below.) Mobile Home Space 25.00 /j Back Flow Preventlor+ 4-�� Device or Anti-Polludon Device / 9.00 Any Trap or Waste Not Connected to a Fixture 9.00 D tribe work new Q ' addition Q alteration repair (� Catch Basin 9.00 to be done residential Q non-residential Insp. of Exist. Plumbing 40.00/hr Existing use of Specially Requested Inspection$ 40.00/hr building or property Rain Drain, 90VIs family dwelling 30. a' �['/�JA-�t:_iZ I L'/) /�fl S t Residential backflow prevention U) dcvk*s 15.00 00 Proposed usP - building or -_t - -- '(Fxcept residential backflow M r _ prevention deWces) 0 NJ NOTICE •Minimum Fee $25.00 SUBTOTAL J I PERMITS BECOME VOID IF WORK OR CONSTRUCTION � '� AUTHORIZED IS NOT COMMENCED 4.^"'IN 180 DAYS, OR IF S%SURCHARGE CONSTRUCTION OR WORK IS SUSPE )OR ABANDONED FOR A PERIOD OF 180 DAYS AT av'v AFTER WORK IS COMMENCED. PUkN REVIEW 25%OF SUBTOTAL � J 2iQb° Special Conditions TOTAL Date issued by l CH 9LpRts.�1 DF �-�-1E SEA . 9M4Y1�Ep2S NIMt3U��_ ST' 117 FApprovd MY O..F.�T G RpS[kNS 'LuN (3! iVLConditionally Approved -`_`------[- - �. H 684 bE 2 S.14-1 For only the wo Ic ill [ descri�ie,� in: ]: L PEnMIT NO.�,Of I _ See letter to: f-o►low. t Z ,Job Attach.. ................ ... ....... ... .. [ j Address U z ►-P 3 , t. �} 7- f r' I r L I'G 3 � � h 2 3 Sp — ST—�,N1�P)PE TCi t�EL'rEVE CsiC-MAR6E. ©� PAOL C3�GKWlolSN SYSTEM'! FS - F�..�L]2 SINK TD 2�GEV� DISCJ4A26E. �F' . ST2tP 42A�ivs At7Liu9VA PFeI MF-TrS— pF PML '4.. as - 11. W 1� fD J P (fes ��;:'}�� •.Y �' :'a.-1 '„ S� _ z�y}��' w•�Yr �� .fi�' ..:1 �, ^�� -n#'�' {� ' S' r � l 'r .. s -. �t„� 4y�.r. .� �. r � leis' � ��.li {�•_ � �7�a'k..*• n �'r ° �. S s � r, r '�,, r = is .. - # .S j' �l'1�f , • +f � r�� t i�Y •''♦f♦♦' � t •�. + ' ' f•:' ,•. WS . C �C• .�• C p ,. y � '" ` ' ' ' '�� �• c ;_%r���.. � jib � �'� �+ � #•. Y'� �' �"I �",�'x= '�' `�""•*ur,F.Y r s SEWER eBf*4EeT!8N CITY OF TIGARD PERMIT PERMIT #. . . . . . . s SWR96-02e,1 DATE SSUED: 06/c.1/96 COMMUNITY DEVELOPMENT DEPARTMENT 13126 SW Nae Blvd.Tigard,Oregon 97223.6199 (bW3)639-4171 PARCEL: 1 S 134AA-01800 SITE ADDRESS. . . : 10170 SW NIMBUS AVE #H-7 SUBDIVISION. . . . : 1 KNOLL, BUSINESS CENTER TIGARD ZONING: I—P BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . :2 TENANT NAME. . . . . :CHILDREN OF THE SEA USIA NO. . . . . . . . . . : FIXTURE UNITS. . . : 47 CLASS OF WORK. . . :ALT DWELL.NG UNITS. . : 3 TYPE OF USE. . . . . sCOM NO. OF BUILDINGSs 0 INSTALL TYPE. . . . :LTP IMPERV SURFACES 0 sf Remarks : Tenant improvement Owner: ------------------------------------------------------ FEES --- -- ____----- FORUM PROPERTIES type amount by date recpt 10240 SW NIMBUS AVE L-3 PRMT i 6600. 00 B 06/21/96 96-280862 PORTLAND OR 97223 Phone #: 503-684-0510 Contractor: CONTRACTOR NOT ON FILE Phone #: 9 6600. 00 TOTAL Reg #. . : ------ REQUIRED INSPECTIONS ---- --- This Applicant agrees to comply with all the rules and regulations Sewer Inspection of the Unified Sewage Agency. The permit expires 189 days free _ �— 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 install?r shall prospect 3 feet in all directions from the distance given. If not to located, the installer shall purchase a "Tap and Side Sewer' Permit and the Agency will install a lateral. l'ermi.ttee Tature . Issued N y• ti. Call for inspection — 639-4175 N C7 W Commercial Building Perrni't A_a ligation .City d f Tigard 13125 SW Hall Blvd. Tigard, OR 97223 (503) 639-4171 I � Jobsite Address:(r) 1-7o 01 1114 64 e�, _ Tenant:�� ''/�'. � Suite# I _ acs Use Only # Valuation: Planck/Rec_ - Permit 2_ Owner: x' Map & TL Address: _ Aparovals Required - Planning Phone: • Endneering Other_ Contractor: Address: Type of const: —� Occupancy class: Phone: — Sprinklered? Yes No Contractor's License # (attach copy of current Oregon license) Sq. ft. of project: Contact name & phone: _ Story (1st, 2nd, etc.) Proposed use: _ Architect/Engineer: Previous use: Address: _ __ � Note: Plumbing & mechanical plans 2 must be submitted at time of F) building permit application. Phone: 0 JOB DESCRIPTION: J Applicant Signature & Phone number V Received by: _� V Date Received: pp Permit 0 Account Description A Amt. Pd. Bal. Due Bldg. Permit (BUILD) w Plumb. Permit (PLUMB) Mech. Permit t„FCH) State Tax (TAX) Bldg: Plumb: Mech: Plan Check (PLANCK) _ Bldg: Plumb: Mech: Sewer Connection WUSA) ar� C% Sewer Inspection (SW S Parks Dev Charge (PKSD ) Residential TIF (TIF-R Mass Transit TIF (TIF- T) Commercial TIF (TIF- ) Industrial TIF (TIF ) Institutional TIF (TIF IS) Office TIF (TI -0) Water Quality (W UAL) Water Quantity (W WANT) Fire Life Safety (FL ) Erosion Cntrl Permit ( PRMT) Erosion Planck/USA (E PLAN) Erosion Planck/COT (E SN) TOTALS: Tenant Name: i;fQ 5,r4 Accumulative Sewer Tally This SWR#:` i1 I Address: 1r 11L- r 4' 1-1 (I This PLM#: ' 132 rr Fixture Value Previous # Previous Crfjdits Capped Fixtures Fixtures New New Value Capped oN value added# added total#s total Count off#s :ount value values Baptistry/Font 4 — Bath-Tub/Shower 4 -Jacuz/Whpl Car Wash- Each Stall 8 -Drive Through 16 Cuspidor/Water Ns irator 1 Dishwasher•Commar 4 )omest 2 Drinking Fountain 1 Eye Wash 1 Floor Drain/sink 2 inch _ 2 3 inch 5 4 inch 6 Car Wash Drain 6 Garbage Disposal 16 Dom Ito 3/4 HPI Comm Ito 5 HP) 32 Ind lover 5 HPI 48 Ice Machine/Refrigerator Drains 1 _ Oil Sep(Gas Station) 6 Recreational Vehicle Dump Station 16 Shower-Gang (Per Head) 1 Stall 2 Sink- Bar/Lavatory 2 I ( C, Bradley 5 Commercial 3 Service 3 ! ) Swimming Pool Filter 1 IL Washer, Clothes 6 Water Extractor 6 M Water Closet, Toilet 8 Urine( _ m TOTALS Total fixture values:: IZ.Z divided by 16 EDU HISTORY` PLM#',l� -11`?�� EDU#^ SWRArIVA. I N\�CIL� M# FDU# SWR# PLM# EDU# SWR# P'M# EDU# SWR# PLM# EDU# SWH# PLM# EDU# SWRM. PLM# EDU# SWR# PLM# EDU# SWR# W W„m -- — JUN-18-1996 08:15 FROM TO 96847297 P.Oi ' 06112i86 13:04 V503 664 7297 C11Si OF T16ARD ��1 00Y!Q03 Sew-or Petmit Wadoheat Fixture Unit Ratings FIXTUFM TIMES (x1 TOTAL 6 UN;'r 0 OF FMMRE FIXTURE VA UE FIY.TURES VALUE 6ao ' I>"ont 4 V Bath TujvShower 4I - �a01 4 C' CusoidorM/arer Aso 1 Dishwasher - commer 4 - Domest 2 Drinking Founbin 1 moor Drain -2 inch 1 2 3 it c a inch 6 I C) [G,--irt:;2ge Disposes • Dorn On 3(4 HP) 16 - Comm (to 5 HP) 32 I - Iht! Durr 5 HP) 48 Oil $00 (Ga. S'ta) , 6 IShower - G 1 • Stall 2 Sink - Ear I 2 L:- .�.-►�► - Brad 3 _ - Commercial 3 -____�'��" - ServicB 3 I Washer. Clothes 6 Water, Ext6 I (j `Nater Closet 6 I I ( L Urinal 6 I _ I 968iress - !�(y im 1�.�/4�---' l`C.t� etAl Fie.ure Value -7r Address FA AA . H to v-1divided by 18 - [- (l r F eou nL� Rcund EDU to nears 4t whole rumtkr 6 MUIttoly by 52200 o a• 0 r '^ rA SM0 -r- en to cc 4i 50 ) r o .2 o > � tr. eu z � ' c Z nU.. U.. U. u - sem; a 8uu • - A -- 1I � A � A M A - M JI � • acn En o� v r� u u u u u w c c a a a o •� (, 0 0 0 0 0 0 0 0 0 0 v .-, .... r. V -Y ri = y fl fl V1 N c a 4 Q� T ON O Q CT C O� _J n v � v L > > J �C •� o z u v a u ie pp cc � F n CL N C WCL 3 W¢ r Vl U 3 .`7 LL1 F� O q O O r r r t- Cv� ~ U U u U U U U U U U w w w W W W W W d � u 2 « 5 © § 2 # g2 2 . v k u sc A § ± � § � � � \ \ � 2 � � � m �A \ \ or = 6 = , \ / 4 ƒ \ \ \ 6 » a a � & � e & § � 2 � � � q $ � � w � ! 7 o} � r- �° w uj w PERMT CITY OF T PERMITI#: ELC96I0314 COMMUNITY DEVELOPMENT DEPARTMENT DATE ISSUED: 05/16/96 13126 BW Hall Blvd.Tigard,Oregon 117223+8199 (603)939.4171 PpRCELe 1S134AA-01800 SITE ADDRESS_; : 10170 SW NIMBUS AVE #H- '7 SUBDIVISION. . . .:s 1 KNOLL BUSINESS CENTER TIGARD ZONING: 1-P BLOCK. . . . . . . . . LOT. . . . . . . . . . . . . :2 Project Descr•ipt ' on: Installing two services or feeders to 200 amps and 30 branc h circuits. ---------------------------------------------------------------------------------- --RESIDENTIAL UNIT---- ---TEMP SRVC/FEEDERS---- -----MISCELLANEOUS----- 1000 SF OR LESS. . . . s 0 0 - 200 amp. . . . . . . s 0 PUMP/IRRIGATION. . . . : 0 EACH ADD' L 500SF. . . : 0 201 - 400 amp. . . . . . . : 0 SIGN/OUT LINE LTG.. . : 0 LIMITED ENERGY. . . . . : 0 401 - 600 amp. . . . . . . : 0 SIGNAL/PANEL. . . . . . . : 0 MANF. HM/ SVC/FDR. . : 0 601+amps-1000 volts. : 0 MINOR LABEL ( 10) . . . : 0 -----SERVICE/FEEDER---- ----BRANCH CIRCUITS----- ---ADD' L INSPECTIONS--- 0 - 200 amp. . . . . . a 2 W/SERUTCE OR FEEDER: 30 PER INSPECTION. . . . . : 0 201 - 400 amp. . . . . . : 0 1a} SRVC OR FDR. : 0 PER HOUR. . . . . . . . . . . s 0 401 - 600 amp. . . . . . : 0 EA ADD' L BRNCH CIRC: 0 IN PLANT. . . . . . . . . . . e 0 601 - 1000 amp. . . . . : 0 - ----------------PLAN REVIEW SECTION----------------- 1000+ amp/volt. ,, . . . : 0 ) =4 RES UNITS. . . . . . . . : ) 600 VOLT NOMINAL. . s Reconnect only. . . . . : 0 SVC/FDR )- 225 AMPS. . s CLASS AREA/SPEC OCC. s Owne r s ----------------------------------------------------- FEES ---------------- C;HILDREN OF THE SEA type amount by date recpt 10170 SW NIMBUS AVE PRMT f 270. 00 CJS 05;16/96 96-279518 5PCT $ 13. 50 CJS 05/16/96 96-279518 TIGARD OR 97223 Phone #: Contractor: ----------------------------__---------------------------•-- TUAI -"1T I N ELECTRIC • 283. 50 TOTAL PO BOX 655 ------- REQUIRED INSPECTIONS --- ---- WII_SONVILLE OR 97070 Ceiling Cover Elect' l Service Phone #: 503-682-2955 Wall Cover Elect' l Final Reg #. . : 65650 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Dre. Specialty Codes and all other Permittee Signature applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 188 days of issuance, or if work is suspended for more �_- p, than 188 days. Issued By INSTALLATION ONLY------------------------------ �" The installation is being made on property I own which is not intended for N sale, lease, or rent. OWNER' S SIGNATURE: DATE=s m ----C��NTRACTOR INSTALLATION ONLY----------- -- W _J SIGNATURE OF SUPR. ELEC' N: Or 1 L�L'g na DATE s 9a: I...I CENSE NO: Call for inspection - 639-4175 . Community Development ELECTRICAL PERMIT APPLICATION 13125 SW Hall Blvd. Tigard, OR 97223 Permit # (_C9A G31v Date Issued !e 96 Phone (503) 6394171 CITY OF TIOARD FAX (503) 684-7297 TDD No. (503) 684-2772 Inspection (503) 6391175 1. Job Address: 6('01.5 4. Complete Foe Schedule Below: Name of Development- jl�L.1 c.�.. y Number of Inspectlona per permit allowed Address_ /o l 0 S . (✓ N; h, (y J - &J, Service included: Items Cost(ea) Sum City/State/Zip T;.5t.4Qp- _��e _ 4s. Residential -per unit 1000 sq. ft or less 5110.00 _ 4 Name (or name of business)-LL ,,..ti, rJ 41, Each additional 500 sq it or - portion thereof $26.00 Commercial 5 Residential ❑ Limited Energy _� $2500 1 Each Mame d Home or Modular Dwelling Service or Feeder _ >16a.00 2 2a. Contractor installation only: 4b. Services or Feeders Electrical Contractor 7y k/4*-;1 Installation,alteration,or rel"lon _ 200 amps or Mss 2 Address �. S 201 amps to 40n amps Woo _ 2 City w; y,. � States�C Zip��� 401 amps to 600 gimps 120.00 2 Phone No. L N 1 q�S Ov amps l0 Ipso amps $140.00 2 r Over 1000 amps a volts 5:140.00 2 Job NO. : -j a T Reconnect only $M.00 2 contractor's license NO._ G Contractor's Board Reg. o.Ns_ S� .� -'� 4c. Temporary Services or Feeders Installation,aMerxtlon,or relocation Signature of Supr. Elec'n 200 amps or less 2 License No. 4 4j835 P one NO. 201 amrs to 400 amps -- $5000 2 • 401 amps to 600 Rmps $75.00 2 Over 600 amps to 1000 volts 5100.00 2b. For owner installations: see"b"above P4d. Branch Circuits Print Owner's Name -_ New,areratlon or extension per pane Address a)The fee for branch circuits with City purchase of service or Feeder e. 2 _ _ State__ Zip____ Fe Each branch circuit .� $5 on Phone NO. b)The fee for branch chculls without The installation is being made on property I own which is purchase ofservice orFeederfee. 2 not intended for sale, lease Or fent. First branch circuit $3500 2Each additional branch circuit �- 1500 Owner's Signature -_ 4e. Miscellaneous (Service or feeder not included) 2 Each pump or Irrigation circle 54000 2 3. Plan Review section (if required): Each sign or outline lighting $4000 Signal cirru"(s)or a limited energy 2 Please check appropriate item and enter fee in section 58. panel,alteration or extension $40.00 d __4 or more residential units in one structure Minor Labels(10) $100.00 - _Service and feeder 225 amps or more NSystem over 600 volts nominal 4f.Each additional Inspection over J-Classified area or structure containing special occupancy the allowable In any of the above as described in N E C. Chapter 5 Per inspection $35.00 Per hour $55,00 .J In Plant �-_ 555.00 m Submit 2 sets of plans with application where any of the above (� apply. Not required for temporary construction services. 5. Fees: W J NOTICE 5s. Enter total of above fees $ 5%Surcharge (.OS X total fees) $ PERMITS BECOME VOID IF WORK OR CONSTRUCTION Subtotal $ AUTHORIZED IS NOT COMMENCED WITHIN 190 DAYS, OR IF 5b. Enter 25%of line A for CONSTRUCT!nN OR WORK IS SUSPENDED OR ABANDONED FOR Flan Review if reiuired (Sec 3) t ^ A PERIOD OF IAO DAYS AT ANY TIME AFTER WORK IS Subtotal $ COMMENCED MTcane nw� Trust Account 0 $ -- Balance Due ji LU M 0 U-11 Tj 17— Ui t�ju I a: 00 IL 6 e e n-d 1-1-S-1. Ar E1.14-- (OQ %—I POI si.tM 30, :— &—, LY] T.rver wcn q) eq Poon Aoruc to, Light 40 In cy Plo Cord W .',rs. Mc, sut,O,tion LOUM Nurse Coil NAY IS11" It" Nur,�Coil St.", —Not oil symbols Ustd—