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10200 SW NIMBUS AVENUE BLDG G STES 1 & 2 eZ+I7 3AV Sfl;JNIN MS OOZOI oa N + V c � z 0 0 N O 10200 SW NIMBUS AVE GI+2B CITY OF TI G A R® CERTIFICATE OF OCCUPANCY DEVELOPMENT SERVICES PERMIT#: BUP2004-00395 &A� 13125 SW Hell Blvd.,Tigard,OR 97223 (503)X639-4171 DATE ISSUED: 004 PARCEL: 1 1 S13 S134AA•01800 ZONING: I-P JURISDICTION: TIG SITE ADDRESS: 10200 SW NIMBUS AVE G1+2B SUBDIVISION: SCHOLLS BUSINESS PARK BLOCK: LOT:002 CLASS OF WORK: ALT TYPE OF USE: COM TYPE OF CONSTR: 5N OCCUPANCY GRP: A3 OCCUPANCY I VAD: TENANT NAME: SOLID ROCK RE' "KS: TI, new wall for band practice area. Owner: KG INVESTMENT MANAGEMEN•r 10240 SW NIMBUS AVE SUITE L-3 PORTLAND, OR 97223 Phone: 503-598-9980 Contractor: 788-7778 GUILD CONSTRUCTION PO BOX 674 BEAVERTON,OR 97008 Phone: 788-7778 Reg ft: MET (XXX)4544 LIC 19116 CL ac t- m W This Certificate issued 9/24/2004 grants occupancy of the above rs±ferenced building or portion thereof and confirms that the building has been inspected for co 'ani With the Sta a of Oregon Specialty CodeftiU4— BUKDIPiG—INSPECTOft-- a group, occupancy, a d us unde Wit r enced permit i _ __ ___ B LCIAL POST IN CONSPICUOUS PLACE CITY OF TIGARD __ MECHANICAL PERMIT DEVELOPMENT SERVICES PERMIT#: MEC2004-00103 13125 SW Hall Blvd.,Tigard,OR 97223 (503)639-4171 DATE ISSUED: 3/5/04 PARCEL: 1 S134AA-01800 SITE ADDRESS: 102.00 SW NIMBUS AVE G1+213 SUBDIVISION: SCHOLLS BUSINESS PARK ZONING: I-P BLOCK: LOT:002 JURISDICTION: TIG CLASS OF WORK: OTR FLOOR FURN: EVAP COOLERS: TYPE OF USE: COM UNIT HEATERS: VENT FANS: OCCUPANCY GRP: B VENTS W/O ADPL: VENT SYSTEMS: STORIES: BOILERS/COMPRESSORS_ HOODS: FUEL TYPES 0 - 3 HP: DOMES. INCIN: 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 e- 100K STU: AIR HANDLING UNITS OTHER UNITS: FURN >=100K BTU: <= 10000 cfm: GAS OUTLETS: > 10000 cfm: Remarks: Replace existing rooftop unit with same. Project Value: $6,250.00 Owner: FEE'." ROBINSON, CONSTANCE A+ Description Date Amount ROBINSON, LYNN+ BELL, KAY ET [MECH] Permit Fee 3/5/04 $164.90 BY INSIGNIA COMMERCIAL GROUP B-'.f1VERTON, OR 97008 [TAX]8%State Surcharl 3/5/04 $13.20 Tot4l 41178.10 Contractor: HUNTER DAVISSON INC 1800 SW PER3HING PORTLAND,OR 97202 REQUIRED INSPECTIONS Phone: 503-234-0477 Mechanical InspFinal Inspection Reg#: LIC 01612 IL U) m C� This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is r,ot started wiihin 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted in the Oregon Utility Notification Center. Those riles are set forth in OAR 952-001-00 r' Iss By: afadomPe:mlttee Signature: �- ---� Cail(M- 639-4175 by 7:00 P.M.for Inspections needed the next business day Mechanical Permit Application Received ' C Permit No. City.Qf 7 Lard l �� --6/L Dale/By. v 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review Phone: 503.639.4171 Fax: 503.598.1960 Wte/gy. Other Permit: Inspection Linc: 503.639.4175 Date Ready/By: lunr 0 Seepage 2 for Internet: www.ci.tigard.ot.us Nolified/Method: Supplemental Information TYPE OF WORK ^—� COMMERCIAL FEE* SCHEDULE - USE CHECKLIST []I`lew construction Addition/alterati /replacement Mechanical permit fees"are based on the value of the work performed.Indicate the value(rounded to the nenrest dollar)of all ❑Demolition ❑Other: mechanical materials,equipment,labor,overhead androfit. CATEGORY OF CONSTRUCTION Value:$ so, Y ❑ 1-and 2•family dwelling Commercial/industrial ❑ RESIDENTIAL EQUIPMENT/SYSTEMS FEES- Accessory building -- For special information use checklist. Elmulti-familyMaster builder_ ❑Other: Description -- Qty. Ea. Total JOB SITE INFORMATION AND LOCATION __ Heating/cooling _ Job site address: /Q.ZQ o l/h A,i( /( D& tAir conditioning or heat pump t K,1."Sl—l--' requites site plan showing placement 14.00 City/State/ZIP: 7E& � Furnace 100,000 BTU ducWvems) 14.00 Furnace 100,000+PTU ducts/vents 17.90 Suite/bldg./apt.no.: N Project name: N Bcao G dt ___ — 5 _ Gas heat pump _ 14.00 Cross street/directions to job site �i•N 7 Duct work 14.00 -- H dronic hot water system 14.00 Residential boiler(radiator or — h runic) 14.00 Unit heaters(fuel-type,not electric), in-wall,in-duct,suTeended,etc. 10.00 Subdivision: Lot no.: Flue/vent for any of above 10.00 Other: 10.00 _ Tax map/parcel no.: C (� �� _ �, g C� Other fuel appliances I13CRC0�1 f• Water heater 10.00 — Gas fir lace 10.00 Ric a A /�' 16 Flue vent for water heater or gas �� fireplace_ I0.00 _�"e�� �� N �� L) lighter s _ — 10.00 /i" H, &AS Phoz Wood/pellet stove _ 10.00 1r� Se _S-PM M s l: Wood fi lace/inaert 10.00 — G• y Chirtmey/liner/Oue/vent 10.00 ❑ PROPERTY OWNER T /1d {� r -- Other: _ 10.00 Name: /����� �s Environmental exhaust and vendlatlon Address: Ot� p SW i �S jN� 4 �1rc Range hood/other kitchen +" equipment 10.00 City/State/ZiP: , Clothes dryer exhaust i 10.00 Single-duct exhaust(bathrooms, Phone:(Sq7 ) 68Y-Q S/O Fax:(,50.3)(0J0-W. /J toilet compartments,utility rooms) 6.80 _ ❑ APPLICANT CONTACT PERSON Attic/crawlspace fans 10.00 Business name: Other: _ 10.00 _s`/Vt-ine- Fuel i in IL Contact name_ _ 10 �HP $5.40 for first four-SLOW for each additional [L' Address: 1600 S E, r� Furnace ate. — Gas heat pump U3 City/State/ZIP: e%Af� Wall/suspended/unit heater Phone:LQM 3Y`0 Y? Fax:: 3 )a3��b� Water heater _ J --- Fimplace ® E-mail: Range C7 t :y: B':. Barbecue ku Business name: t; TSR ALASSDr�k_011X. Clothes dryer(gas) pM Other: �go Address: IS. E. Fp SNI i)(0 MECHANICAL PERMIT FEES* city/State/ZIP: �Lf _! Subtotal Phone: l{_of _ Fax: )a3(��,s' Minimum permit fee($72.5e) Plan review(25%of permit fa) CCB lic.: (a. State surcharge(8%of permit fee) �( TOTAL PERMIT FEE G This permit application expires If a permit Is not obtalodd within 180 Authorized signature: days after It has been accepted as complete. �iJ .R' Date: Fee methodology set by Tri-County Building industry Service Board Print name: •,�'-(.�— i\auildina\Penviu\MPC-PowitAppdoe 12103 441461#7T(I I/02/COM/WEa) Mechanical Permit Application - City of Tigard - Page 2 - Supplemental Information - Commercial Fee Schedule: $1.00 to$2,000.00 Minimum fee$72.50 I 7� $2,001.00 to$5,000.0u $72.50 for the first$2,000.00 and$2.30 for each additional$100.00 or fraction thereof,to and including$5,000.00. ^ $5,001.00 to$10,000.00 $141.50 for the first$5,000.00 and $1.80 for each additional$100.00 or fraction thereof,to and including $10,000.00. $10,001.00 to 550,000.00 $231.50 for the first$10,000.00 and $1.35 for each additional$100.00 or fraction thereof,to and including $50,000.00. $50,001.00 to$100,000.00 $771.50 for the first$50.000.00 and $1.25 for each additional$100.00 or fraction thereof,to and inc?uding _ _ $100,000.00. $100,000.01 and up $1,396.56 for the first$100,000.00 and $1.10 for each additional$100.00 or fraction thereof. Note: All new commercial buildings require 2 sets of'plans. a oc m CO a W i:\Building\Permits\MEC-PermitApp.doc 12103 2 BUILDING PERMIT CITY OF TIGARD z-, PERMIT#: BUP2004-00395 DEVELLPMENT SERVICES DATE ISSUED: 8/17/2004 MAIM 13125 SMI Hall Blvd..Tigard.OR 97223 (503)639-4171 PARCEL: 1S134AA-01800 SITE ADDRESS: 10200 SW NIMBUS AVE G1+213 SUBDIVISION: SCHOLLS 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: A3 TOTAL AREA: 0 st ROOF CONST: FIRE RET? OCCUPANCY LOAD: BASEMENT: sf AREA SEP. RATED: STOR: HT: ft GARAGE: sf OCCU SEP. RATED: BSMT?: MEZZ?: REQD SETBACKS _ _ REQUIRED FLOOR LOAD: psf LEFT: ft RGHT. ft ~ FIR SPKL: SMOK DET: DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP ACC: BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING: VALUE: $ 10,300.00 Remarks: 1-I, new wall for band practice area. Owner: Contractor: KG INVESTMENT MANAGEMENT GUILD CONSTRUCTION 10240 SW NIMBUS AVE SUITE 1-3 PO BOX 674 PORTLAND, OR 97223 BEAVERTON, OR 97008 Phone: 503-598-9980 Phone: 788-7778 Rey#: MET 0p0gg0004544 FEES LIC REQUI WINSPECTIONS Description Date Amount Electrical Permit Required [BUILD] Permit Fee 8/17/2004 $148.90 Framing Insp [TAX]8%State Surcharl 8/17/2004 $11.91 Insulation Insp Gyp Board Insp [BUPPI-NJ Pin Rv 8/17/2004 $96.79 Final Inspection [FLS]FLS Pin Rv 8/17/2004 $59.56 Total $317.16 I L NThis 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 cf issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law M requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001- rough OAR 952-001-0100. You may obtain a copy of these rules or direct questions to OUNC by W calling 03)246- 9 or 1-800-332-2344. Issued - Permittee Signature: i�l���� ✓ Q��-��____ Call 639-4175 by 7 p.m.for an Inspection the next business day Building Permit Application City of Tigard p ---��' I� Pemtit No.: 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review 10„/111 Phone: 503.639.41'71 Fax: 503.598.1960 Date/By: V - Other Pemut. Inspection Line: 503.639.4175 Dale ReadylBy: 1+ 0 S7,Z11sch7edCheckJl,t for Intemet: www.6tigard.or.us Noti6ed/Method: / SuppInformation TYPE OF WORK r RFQUIRFD DATA:1-AND d-FAMILY DWELLING ❑New construction ❑Demolition Permit fees•are based on the value of the work perforw-cl. _-__ --- Indicate the value(rounded to the nearest dollat)of all Addition/alteration/replacement ❑Other: equipment,mate als,labor,overhead,and the profit for the CATEGORY OF CONSTRUCTION work indicated on this application. ❑ 1-and 2-family dwelling [Commercial/industrial Valuation: S __ ❑Accessory building ❑Multi-family J Number of bedrooms: ❑Muster builder ❑Other: Number of bathrooms: -- - �O 6T'CE INJTdkMAtiON AND LOCATION Totai number of floors: 1oh site address: 1 D � LV A I,y Lk!C New dwelling area: --- square feet CitylStatdZ[P 1 Garage/carport area: square feet Suitelbldg./apt.no.: j�roject name: G Covered perch area: square feet _- Cross street/directions to job site: _56 Ile t /"l Deck area: _..- square feet _ Other structure area: square feet 14406&T' :COMMEi&AUSE CHECKLIST Subdivision: - - I Lot no.. Permit fees*are based on the value of the work performed. —-- —- -- Indicate the value(rounded to the nearest dollar)of all Tax map/parcel no.: - equipment,materials,labor,overher-d,and the profit for the DESCRIPTION OF WORK work indicated on this application. �A or in-c -Amt Valuation.--C- Existing building area: .7,-L square feet V New building area: 51 square feet PROPERTY OWNER ❑ TENANT- _ Number of stories: Name: T1j41-{y Type of construction: Address: `^(,,() I Vi u i 1-- 3 Occupancy groups: 0�- - Ci /State/ZIP: u ty r !� Existing: -- Phone:(f C C Fax:(0 3) T q 6'Z New: ----- APPLICANT ❑ CONTACT PERSON — NOTICE Business name: C � -� --_ All contractors and subcontractors are required to be Contact name: �� U �f OS licensed with the Oregon Construction Contractors Board 0. tinder ORS 701 and may tee required to be licensed in the 'lddress: _ jurisdiction in which work is being performed.If the F" tty/State/ZTP: �. I,1 t V (�(� �2 C� applicant is exempt from licensing,the following reasons Phone:ILS43) (J 7 �l O Fax:: _ E-mail: m CONTRACTOR -� -- LU Business name: �, k��_ BUILDING PERMIT FEES*Y Address: Please refer to fee schedule City/State/ZIP: l _ _ n �y C- �� Fees due upon application Phone:(5V 3) "1 s 7 - 1 Fax:(,r L_1� Z _ _ nq� Amount received CCB lie.: /i'J /1 t b - Date received: - -- — ^- - Authorized signature: .,t `tyQ�t.i This permit application expires If a permit Is not chtnined within Igo days after It has been accepted as complete. Print name: Ar I.)1 OS LY' Date: P- -05/ • Fee methodology set by Tri-County Building Industry Service Board. i\Building\Perrnito\EUP-PermnApp doc 12103 "0-4613TO 1/021COMMEE) 01 Building Division Plan Eubmittal Requirement Matrix Commercial & Multi-Family-New,Additions or Alterations Ci o Tl and Type of Submittai #of Plans (Includes new, additions and siterations.) Required at Submittal Demolition Permit 2 (site plan required showi..g location and square footage of all buildings to be demolished) Site Work 2 (must include location of all accessible parking) Plumbing(site utilities) 2 Building 1* Fire Protection System 3** Mechanical 2 Plumbing(building fixtures) 2 a Electrical 2 a� rn Plan review is dependent upon submittal of a completed application matt plans. oD After plan review approval,the Plans Examiner will contact the applicant to request w additional sets of plans for distribution purposes(fog contractor,City of Tigard, -a Washington County, and Tualatin Valley Fire&.Rescue) * For over-the-counter commercial tenant improvements,submit Z sets of plans. ** "New"fire protection systems require that plans hear the original !eal of an Oregon licensed fire suppression engineer, or NICET level"Y technicians. is Building\Forms COM-PlanSubReq.dce 12/24/03 L� { Building Division Accessibility: Barrier Removal Improvement Plan -City of Tigard REQUIRYMENT: OREGON REVISED STATUTE(QRS)447.241. (1) Every project for renovation,alteration or modification to affected buildings and related facilities shall be made to insure that the path of travel to the altered area and the restroom, telephones and drinking fountains are readily accessible to individuals with disabilities unless such aherations are disproportionate to the overall alteratious in terms of cost and scope. (2) Alterations made to the path of travel to an altered area may be deemed disproportionate to the overall alteration when the cost exceeds twenty-five per-cent(25%. VALC?ATION: Total of all renovation,alteration or modification being done, excluding painting and wallpape-ing: [I] $ __ MULTIPLIER(25%barrier removal requirement): x .25 TOTAL BUDGET FOR BARRIER REMOVAL: [2) S ELEMENTS: In choosing which accessible elements to provide under this section,priority shall be given to those elements that will provide the greatest access. Elements shall be provided in the following order: (a) Parking -- (b) An accessible entrance: (c) An accessible route to the alt^red area: 4. (d) At least one accessible restroom for each sex or a single unisex Hrestroom: $ U) (e) Accessible telephones: J (f) Accessible drinking fountains:arid, C7 J (g) When possible,additional accessible elerrients such as storage and alarms: $ --- TOTAL(shall equal line 121 of Valuation Computation): is\Huilding\FornuWccessimprvPlm.dnc 11/25/03 r 1 N I� ••teNw.e ly �� Ir— —v— I� Area of Work i' J *• WA CITiT IGARD ......,c Approved.F'!:-�L� �1................ I 1 --oclitionslly APprov d... .y escri cd In w for o tba /_�./�• ��.•�.. i MIS ...._ .......( 1 ee letter to: Follow.. ...... Jon d�+ress: IQ ^/ •�+-f`-" Fti �NN dultaC�t ,plc' COPPICE C®PX Site Plan A PROJECT OF THE PRINCIPAL FINANCIAL CROUP �t A FORUM PROPERTY 0mc COry PO sox 674 No everto4s, OR 970754674 (503)957-1180. FAX(603) 7UH-15M WM= a 10 Toe City of Tigard Fr me Kevin Koser Raac Dire August 16,2004 trl,oMe rs..e Atex Scholls G-1 &2 ADA Compftm CCt ❑Urila t n fa.Review a Flame cam""* 0 rk�Reply► O Pleme Renyde Conn W. ae This space located at 10200 SW Nimbus, building G suite 1 &2 Is exempt prom any additional ADA upgrades other than the lever hardware, under ORS 447241. Any offni proposed upgrades would exceed the 2396 barrier removal requirement. w =s ti • �s � / 5 v=K n7 AIH F WA..LL DET PAIL W Z) ,6,7-,q16 Wql.& 6,F7 'T'O P v r7 S s / Y,t D 7 IL � 1 m LU LA OFF5 � � gi CZ, li U Z Cl) CD II 1 N JL cu CID � �. � r �. � � � .n.. a �• w. �. � � �w r w +� r - • � ._ ,. - aftil elm MIN CL • ^" 1 ." Y� "'� �� �� �... r- ...• ob .nom r•-.w �r � .� � �r '� , • • � •• , s• w � V � r- a(� b�y� • dMp�� el V � Al ' N 71?� _,#fir• rr a N � � Z m .. v . CITY OF TIGARD ELECTRICAL PERMIT PERMIT N: ELC2004-00516 DEVELOPMENT SERVICES DATE ISSUED: 8/17/2004 13125 SW Hall Blvd.,Tioard,OR 97223 (503)6394171 PARCEL: 1S134AA-01800 SITE ADDRESS: 10200 SW NIMBUS AVE 131+213 ZONING: I P SUBDIVISION: SCI 101-1-1)BUS;NESS PARK BLOCK: LOT: 002 JURISDICTION: TIG Project Description: 5 branch circuits for T1. RE3IDENTIAL UNIT TEMP SRVC/FEEDERS MISCELLANEOUS 1000 SF OR LESS: 0 - 200 amp: PUMPARRIGATION: � EACH ADD'L 500SF: 201 - 400 amp: SIGN/OUT LINE LTG: LIMITED ENERGY: 401 • 600 amp: SIGNALIPANEL: MANF HMI SVC/FDR: 601+2mru-1000 volts: MINOR LABEL (10): SERVICE/FEEDER BRANCH CIRCUITS ADD'L INSPECTIONS 0 - 200 amp: WISERVICE OR FEEDER: PER INSPECTION: 201 - 400 amp: 1st WIO SRVC OR FDR: 1 PER HOUR: 401 - 600 amp: EA ADD'L BRNCH CIRC: 4 IN PLANT: 601 - 1000 amp: PLAN REVIEW SECTION 1000+amp/volt: »4 RES UNITS: >600 VnLT NOMINAL: Reconnect only: SVCIFDR»225 AMPS: CLASS AREAISPEC OCC: Owner. Contractor: KG INVESTMENT MANAGEMENT GUILD CONSTRUCTION 10240 SW NIMBUS AVE SUITE L-3 PO BOX 674 PORTLAND, OR 97223 BEAVERTON,OR 97075 Phone: 503-598-9980 Phone: 503-957-1173 Reg 0: LIC 109116 __ --- SUP 38685 _ FEES E[.i_' 26-986C Description Date Amount _ - _ Required inspections [F.1,PRMT]ELC Permit 8/17/2004 $73.45 [TAX]8%State Surcharge 9/17/2004 $5.86 Rough-in Final Elecfi F - - nal Total $79.33 L — I L_ This Permi!is issued subject to the regulations contained in the Tigard Municipal Code,Stato 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 dwork is suspended for more than 180 days. ATTENTION: Oregon law requirps you to follow rules adopted by the Ortg--)n Utility NotificoWn Center. Those rulerdBy: forth in OAR 952-001-0010 through OAR 952-001-0100. You may obtain copies of these rules or dlreci r+nestions to OUNC at(503) ')4r; 1$0(1`932-2344 i,n f f r a Ise (� Permit Signature: '�� - - F- rn OWNER INSTALLATION ONLY _ The installation is being made on property I own which is not intended for sale, lease, or rent. CO OWNER'S SIGNATURE: _ DATE: _, _ t;9 W _ CONTRACTOR INSTJkLLATION ONLY .'e-_ 7 eoe SIGNATURE OF SUPR. ELEC'N� DATE: LICENSE NO: &6(p <D --- ------ --- — Call 639-4175 by 7:00pm for an Inspection the next business day 10 Elect rig ail Permit Application City of Tigard Received g o 7;P—ilNo.:Dale/B :13125 SW Hall Blvd.,Tigard,OR 97223 Pian Review Phone: 503.639.4171 Fax: 503.598.1960 Da�B : rnit. Inspection Line: 503.639.4175 Dam Ready/By: 0 See Prise t for Internet: www.ci.tigard.or.us NnNtkdlMethod: �_ supplemeatallsternralos _ TYPE OF WORK PLAN REVIEW _ ❑New construction _ Addition/alteration/replacement Please check all that apply: ❑Service over 225 strips.cotnm'I []Hazardous location E]Demolition El Other ❑Service over 320 arrrpc-rating ❑Buildng over 10,3(10 sq.ft., CATEGORY OF CONSTRUCTION of 1-and 2-danb:y dwellings 4 or more new residential ❑ 1-and 2-family dwelling,Commercial/industrial ❑Accessory building []System over 600 volts nominal units in one structure ❑Multi-family ❑Master builder Otha: ❑Building over three stories ❑Feeders,400 snips or more r []Occupant load over 99 persons ❑Manufactured structures cr _ ❑Egws/lighting plan RV park Job no.: Job site address: 5 ❑Health care facility []Other: Submit.J.rets of plane with any of the above. City/State/ZIP. 1 L u �. The abovr aro not applicable to temporary construction service. Suite/bldg./apt.no.: 4-1_ m Project nae: , i . M* SCHEDULE .' - nurrlplea Qty. Fee. Tara) Cross street/directions to job site: New residennal single-or multi-family dwelling unto - Includes ettacl.ed prate. 1,000 sq.ft.or less _T 145.15 4 Subdivision: Lot no.: Ea.add'I 500 sq.ft.or portion 33.40 1 Limited energy,reside.tial 75.00 2 Tax map/parcel no.: Limited energy,non-residential 75.00 2 " )tl *ORK i 1 _r; `'? $ Each manufactured or modular dwellin ,service and/or feeder 90.90 2 V �Qr ti L V U Services or feeders Installation,alteration,and/or relocation 200 amps or less 80.30 2 OI'I�RTY tyVV1VER [3 TENANT 201 amps to 400 amps 106.85 2 - -- -- 401 snips to 600 amps 160.60 Name: G T n V e S+W\f-0-'f J—"1M nips 240.60 2" t 6()I amps t0 1,000 a Address: C L� 5� � 1 y✓��j_� � L 7) Over 1,000 amps or volts54. - 465 2 Reconnect only 66.85 2 t'ity/State/ZIP: Ta y 41_Q) C) l Z j Temporary services or feeders Installation,alteration,and/or TLL +^ relocation _ Phone:(5 p�,) S `}Q `1 a Fax:(5l)3) S 9 l g z. 200 amps or less 66.85 1 Owner Installation:This installation is being made on property that I own which is not 201 amps to 400 amps _ 100.30 2 intended for sale,le rent,or exchange,according to ORS 447,449,670,and 701. 401 amps to 600 snips 133.73 _ 2 Owner signature: V {•k -4Ir rw►w Date: 116 16•e)r Branch circuits-new,alteration,or extension,per panel A.Fee for branch circuits%4th. I - =1 K1�,1 �`�'�' �' service or feeder fee,each a 6.65 2 Business tame: branch circuit _ Contact name: B.Fee for branch cin uits without service or feeder fee, 46.85 TV'8 2 Address: D OJ( each branch circ-,it _ Each add'I branch circlrit 6.65 #40 2 City/State/ZIP: Z P e V V q 0 215 Miscellaneous(service or feeder oat Included) ^ Pump or irrigation circle _ 53.40 2 4. Phone:�� ) �� - Fax:: :(�"l) ) 9 ) -J S 3at - 7 Sign or outline lighting 53.40 2 E-mail: Signal circuits)or limited- CONTRACTOR energy panel,alteration,or Business name: LA I L4 L extension.Describe: Page 2 2 Each additional Inspection over allowable In any of the above Address: Per inspection _62.50 WCity/State/ZIP: r, V0 _ D Investigation per hour(i hr mini _ 62.50 p Industrial plant per hour 73.75 Phone:(Sb ) I J� Fax:(SDS � .� , •,: nXtTPJCAL P,ERMI7` CCB Lia: R Electrical LicA-9*c, Suprv.Lie.: W05 - -4'-- b Sutoul -- Suprv. Plan review(25%of permit fee) Print name: _ _ I— Date: p /= `State surcharge%9%of permit fee) S', it -Q-'`-�'r" TOTAL PERMIT FEE l�f�QL. Authorized signature: 7 This permlr application expire If a permit N sot obtdaed within te0 - - days arrr It Au Paan aaa l M as aattlilNM Print name: Date: • Pea methodology ase by Tr1t tft ft N 0 U*AWy Bwvice Bard ••Nwdw of' pactlons per perndt allowed. i\9ultd1ntPow*3NRLC-l'ftwAAM&t IL03 4404613TtrtYOQICOhaltM Electrical Permit Application - City of Tigard • rage 2 - Supplemental Information LIMITED "NERGY PERMIT FEES: -1-111111"1110 ",Nv�Wki, o Fee for all residential systems combined........ $75.00 Check Type of Work Involved: ❑ Audio and Stereo Systems* ❑ Burglar Alarm ❑ Cmage Door Opener* ❑ Heating, Ventilation and Air Conditioning System* ❑ Vacuum Systems* ❑ Other: 'Fee for!LcA commercial system....................... $75.00 (SEE OAR 418-260-260) Check Type of Work Involved: ❑ A►,dio and Stereo Systems ❑ Boiler Controls ❑ Clock Systems ❑ Data Telecommunication Installation ❑ Fire Alarm Installation ❑ HVAC ❑ Instrumentation IL ❑ Intercom and Paging Systems a U) ❑ Landscape Irrigation Control* ❑ Medical m ty ❑ Nurse Calls W '� ❑ Outdoor Landscape Lighting* ❑ Protective Signaling ❑ Other Total number of commercial systems: *No licenses are required. Licenses are required for all other installatlona CITY OF TIGARD 24-Hour BUILDING Inspection Liner 1603)636.4176 MST _ INSPECTION EIIVIS16N Business Llne: (l'N3)639-4171 OUP —. Received DateR ested 9 �— AM PM BUP _ Location U a Cc) A\T_ I)u4,- Suite &1 — 26 ViEc Contact Person Ph( ) .1 [ ? PLM Contractor ( Ph( SWR _ BUILDING Tenant/OwnerELC 5 t_(,, Footing FoundationELC Ftg Drain CCe88: ELR Crawl Drain Slab Inspection Notes: SIT _ Post 8 Beam Shear Anchors - — Ext Sheath/Shear _ Int Sheath/Shear Framing _ Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Coiling -- ----- Roof 70'_; L Other- Final PASS PART FAIL PLUMBING _ Post a Beam - Under Slab _ Rough-In Water Service - Sanitary Sewer Rain Drains Catch Basin/Manhole Storm Drain — — Shrmer Pan Other. - Final PASS PART FAIL "— MECHANICAL Post 8 Beam Rough-In CL Gas Line Sm,ike Dampers - Final N PAST, PART FAIL - --- ELEa RICAL Service R Rough-In W UG/Slab .,� Low Voltage — Ff Alarm Reinspection fee of$_�. required before nW Inspection. Pay at City Hall, 13125 SW Hull Blvd. . SS PART FAIL F] Please call for reinspection RE: �� Unable to Inspect-no ecoees Fire SurPN Lino ADA Approach/Sidewalk garb PR Other: Final DO NOT RlMOVE oft reeWd 1MIM1!M lOb•Ili. PASS PART FAIL CITY OF TIGAR© 24-Hour B%ULDING , Inspection Line: (603)639.4178 MST INSPECTION DIVISION Business Line: (603)639-4171 BUP A06) _U Received Date Requested J AM PQM __ BUP — Location � D D-__-- -�'n-ff �- —__Suits�L S..— MEC --- Contact Person _�-� �.C-{J�-<-►,�- ph( ) �'�S ~ I ��_ PLM Contractor Ph( ) SWR - BUILDING Tenant/Owner ELC Footlng ELC FoundationAccess: Fig Drain ELR _ Crawl Drain $n Slab Inspection Note 3: Post&Beam — Shear Anchors Ext Sheath/Shear Int Sheath/Shear Framing -- -- — ----' Insulation Drywall Nailing -- — -- — - - -' Firewall Fire Sprinkler - Fire Alarm Susp'd Ceiling — Roof Other. - PAS$ PART FAIL - - ING — Post&Beam in Under Slab Rough-In Water Service — S9nitary Sewer Rain Drains Catch 9Rsin/Manhole Storm Drain Shower Pan Other: Final PASS PART FAIL MECHANICAL__ — Post&Beam Rough-In --- Gas Line Smoke Dampers Final PASS PART FAIL ELECTRICAL _ Service — Rough-In ------__.__-- UG/Slab Low Voltage — Fire Alarm Final n Reinspection f-n of$ ^required before next inspectMn. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL SITE Please call for reinspection RE: _____ _ Unable to inspect-no ecx ss Fire Supply Line ADA D� Iwlp� Approach/Sidewalk — -- - I PART FAIL - Other: ^_ S PA W,, Final DO NOT REIMOVt�• ., ... ..� . . -j/\ TY OF T I C A R Q MECHANICAL PERMIT Vj CI DEVELOPMENT SERVICES PERMIT*: MEC2000-00094 13125 SW Hall Blvd.,Tigard,OR 97223 (503)639-4171 DATE ISSUED: 513 2000 g PARCEL: 1 1 S134AA-01800 SITE ADDRESS: 10200 SW NIMBUS AVE G1+2B SUBDIVISION: 1 KOLL BUSINESS CENTER TIGARD ZONING: I-P BLOCK: LOT:002 JURISDIC PION: TIG CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS: TYPE OF USE: COM UNIT HEATERS: VENT FANS: OCCUPANCY GRP: VENTS W/O APPL: VENT SYSTEMS: STORIES: BOILERSICOMPRESSORS HOODS: FUEL TYP'1S 0 - 3 HP: DOMES. INCIN: 3 - 15 HP: COMML. INCIN: MAX INPUT: BTU 15-30 HP: REPAIR UNi i a: FIRE DAMPERS?: 30-50 HP: WOODSTOVES: GAS PRESSURE: 50+ HP: CLO DRYERS: FURN < 1fuK BTU: AIR HANDLING UNITS OTHER UNITS: FURN >-1GIK BTU: <-10000 cfm: GAS OUTLETS: G > 10000 cfm: Remarks: Replace gas piping. Owner: - FEES ROBINSON, CONSTANCE A+ Type By Date Amount Receipt ROBINSON, LYNN+ BELL, KAY ET PRMT GEO 03/22/20( $50.00 0000872 BY INSIGNIA COMMERCIAL GROUP SPCT GEO 03/22/20( $4.00 0000872 BEAVERTON, OR 97008 'Total $54.00 Phone: Contractor: WOLFERS, INC 290 YOUNG ST WOODBURN, OR 97071 REQUIRED INSPECTIONS Gas Line Insp Phone:503-981-4511 Final Inspection Reg*:LIC 1911 ORIGINAL m LU.� This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted in the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0080. You may obtain zCall(503) f t S I Wr direct questions to OUNC by calling (503)2.46-9189. Issue By: _ Permittee Signature: , L, 839-4175 by 7:00 P.M.for Inspections needed t next business day Plan Check CITY,OF TIGARD Mechanical Permit Application Roc'd By 13125 SW HALL BLVD. Commercial and Residential Date Recd TIGARD, OR 97223 Data to P.E. (503) 639-4171, x304 Dafe to DST___ Print or Type Permit flAl '��-oar�y Incomplete or illegif a plications will not be accepted Called Name aood p / Description �C I o�'V S�rJe< I c 21/� Table/A Mechanical Code Pros And 8"M Address BuMiM A Permit Fee 16.00 Job 1) Furnace to 100,000 BTU Address f� t J ' Including duds R vents see footnote 1,2 9.65 Bbob. 2) Fumaos 100,000 GTU+ - - Including dude a vents ase footnote 1,2 12.00 Name(or name of business)- 3) Floor Fumoce Including vent see footnote 1,2 9.65 Owner 4) Suspended heater,wall heater MaKWV Ade"" or floor mounted heater on footnote 1 2 9.65 5 Vent not Included in a Ilance permit 1 4.75 Cxylau" zip Phone Check all that apply: 'Boner Neat Air For Items 6-10,a" or Pump Cond Qty Prim Amt Name(or name of busmen) footnotes 1,2 Co mp 6)<3Hp;sb9orb unit to 1110K BTU 9.65 occupant _ IAO*v Adeaa 7)3-15 HP;sbsorh unit 100k to 500k BTU 17.65 ciryrskne zq Pfxxre 6)15-30 HP;absorb unlit.5-1 roll BTU 24.15 9)30-50 HP;absorb Contractor Name unit 1-1.75 mil BTU 36.00 �P r►-110)>50HP;absorb unit Prim to permit Mal"Address >1.75 ml,BTU 60.15 ���U�� • 11 Air handling unit to 10,000 CFM issuance,a copy Z rl c-- of all licenses -- � � 7'7.00'" are required Carp �v Rte, i 7 � 9 N 12)Air handling unit 10,000 CFM♦ expired In COT C"Von Canal Board Lic Exp.Dale 11.95 C� database 7- 13)Non-portable evaporate cooler Architect 7.00 14)Vent fan connected to a single dud 4.75 or MeftV Address 15)Ventilation system not Included In a_ppllancs2!nft 7.00 Engineer cityrsfate zip Pfrone 16)Hood served by mecharlfal exhaust 7.00 done: 17)Domestic Incinerators Describe work to be do G(�`"-R 1 !/r`i '� 12.00 New O Repair O Replace with like kind: Yes iK No O 19)Commercial or Industrial type incinerator 48 Residential CommercalR 40 19)Repair units 9.40 Additional inf>,mtafion or description of work: - - -- 20)Wood stove/gas Mother units/clothe dryer/etc. 7.00 _ I 21 Gas In one to four outlets \ �/ NOTE: For Commercial projects only;Units over 400 lbs.require ) PIP 9 J p Nstructural gas talcs. 8N footnote 1 5 _ _.J�7 Type of fuel: oil 0 natural gas LPG O electric O 22 More than 4 r outlet each 5 Minimum Permit Fee=90.00 SUBTOTAL •`' I hereby acknowledge that I have read this application,that the infomtatlon 9%SURCHARGE d =t given Is correct,that I am the owner or authorized agent of PLAN REVIEW 25%OF SUBTOTAL m Required for ALL commercia�rmlts on the owner,that plans submitted are in t�mpliahce with Oregon State layvs. _---` TOTAL t'J W Slgnshire of Owner Ment Date --� 2 2 Other Inspections and Fees: 1. Inspections outside of normal business hours(mininum cherge-two hours) $50.00 per hour Contact Pefion D Phone 2. Inspections for which no fee Is spoefflcalty Indicated (minimum "j charge-hall hour) $50.00 per tour tes 3. Additional pian review required by changes,addition%or revisions to Foonofor commercial protects only: Plans(minimum charge one haH hour`=60.00 per hour 1. Provide full schematic of existing and proposed gas line and pressure. 2. Provide drawings to scale showing existing and proposed mechanical *State Contractor Boller Certification required units. _ "Residential AIC requites sit plan showing piaoenitrd Of unit I:Vnechpenn.doc rev 7/19/99 CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 BUP date Requested AM PM nEr Location U �-C)o ( ' Suite fty +; y Contact Person _ Tt 4A.., Ph Contractor Ph SWR BUILDING Tenant/Owner ELC Retaining Wall ELR Footing Access: Foundation FPS Ftg Drain SGN Crawl Drain Inspection Notes: i51ab SIT Post&Beam Ext Sheath/Shear Int Sheath/Shear Framing Insulation Drywall Nailing _ — — Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling �+ — Roof .P / � Misc: (� -- - — Final PASS PART FAIL — PLUMBING _ Post& Beam Under Slab Top Out Water '�ervice _ Sanitary Sewer Rain Drains Final PASS PART FAIL Pn-t& Beam Rough In as Tin e arnpers Final S ART FAIL. CTRICAL O. Service W Rough In N UG/Slab —. Low Voltage Fire Alarm J Final W PASS DART FAIL - ---- 0 SITE W _ -a Backfill/Grading Sanitary Sewer Storm Drain [ ]Reinsnection fee of$ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line ( 1 Please call for reinspection RE: Unable to ins_���_ ____`_- _ —_ i ] pect-no access ADA �- Approach/Sidewalk Date VA _Inspector �y�P Ext Other Final PASS PART FAIL DO NOT REMOVE this Inspection record from the job site. t