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10220 SW NIMBUS AVENUE BLDG K STE 5 SM 3AV Sf GWIN MS OZZOI a a aT z 3 v c r C 10220 SW NIMBUS AVE K5 — -ELECTRICAL PERMIT- CITY OF T I G A R D RESTRICTED ENERGY DEVELOPMENT SERVICES PERMIT#: ELR2000-00167 13125 SW Hall Bl%!j., I iward,OR 97223 (503) 639-4171 DATE ISSUED: 7/20/00 SITE ADDRESS: 10220 S�V NIMBUS AVE K-5 PARCEL: 1S134AA-01800 SUBDIVISION: 1 KNOLL BUSINESS CENTER TIGARD ZONING: I-P BLOCK: LOT: 002 JURISDICTION: TIG Prolect Description: Installation of restricted energy for HVAC system. A.RESIDENTIAL B.COMMERCIAL _ AUDIO&STEREO: AUDIO&STEREO: INTERCOM &PAGING: BURGLAR ALARM: BOILER: LANDSCAPEIIRRIGAT: GARAGE OPENER: CLOCK: MEDICAL: HVAC: DATA/TELE COMM: NURSE CALLS: VACUUM SYSTEM: FIRE ALARM: OUTDOOR LANDSC LITE: OTHER: HVAC: X PROTECTIVE SIGNAL: INSTRUmENTATION: OTHER: _I TAL#OF SYSTEMS; 1 Owner: Contractor: INSIGNIA ESG HUNTER-DAVISSON 8405 SW NIMBUS 3410 SE 20TH BEAVERTON, OR 97205 PORTLAND,OR 97202 Phone: Phone: 234-0477 Reg#: LIC 000161 ELE 26-892d FEES— —,Required Inspections Type By Date Amount Receipt Low Voltage Inspection PRMT DEB 7/20/00 $60.00 0003829 Elect'l Final 5PCT DEB 7/20/00 $4.80 0003829 Total $64.80 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 worn is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law (L requires)SU-to follow rules adopted by the Oregon Utility Notl'ication Center. Those rules are set forth in OAR 952-001-0010 th ugh OAR 952-001 -0080. You may obtain copies of these rules or d"O tions OUNC at (503) N 246-1 87. Issue by Permittee Slgnature,�—� OWNER INSTALLATION ONLY W The Installation is being made on property I own which Is not Intended for sale. lease,or rent. _T OWNER'S SIGNATURE: DATE: _ CONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR. ELEC'N — — DATE: LICENSE NO: Call 639-4175 by 7:00 P.M.for an Inspection needed the next business day CITY OF TIGARD RESTRICTED ENERGY ELECTRICAL APPLICATION Recd 13125 SW HALL BLVD Date Recd: 0 _ TIGARD OR 97223 PRINT OR TYPE V-503-639-4171 X304 Permit 0:1ageto-0010 F-503-598-1960 INCOMPLETE OR ILLEGIBLE APPLICtTIONS Cust.Call'd: WILL NOT BE ACCEPTED �� Name of Development Project TYPE OF WORK INVOLVED-RESIDENTIAL ONLY Restricted Eneryy Fee........................................ :80.00 _ Bu's1 &JFS<. (FOR ALL SYSTEMS) SOB Street Address Ste M Check f ype of Work Involved ADDRESS 170_ ,.) X7 y/State Zi Phone 0 ❑ Audio and Stereo Systems _ M 6A/2 0 Name ❑ Burglar Alarm Z6,7,c, OWNER Xcity/State ng Address E] Garage Door Opener- Heating,Zip Phone N ❑ Heating,Ventilation and Air Conditioning System' \\ Vacuum Systems' Nam© r1 S V 1 ❑ Other CONTRACTOR Mailing Address TYPE OF WORK INVOLVED-COMMERCIAL ONLY _ (Prior to issuance a ity/StateZips Phone 4 Fee for each system.............................................. $60.00 _ ropy of all licenses CI IFVl -" (SEE OAR 918-260-260) are required ifn Contr.Brd Lic.N Exp.Date expired in C.O.T. Ore o _ 1 Check Type of Work Involved data base). Etectrical unk. 1_ic._ Exp Date ❑ ral, ( Audio and Stereo Systems C.0-T. or Metro I_ic 0 exp.Date 110-61k l ❑ Boiler Controls ner's Name _ ❑ Clock Systems OWNER - Mailing Address APPLICANT ❑ Data Telecommunication Installation City/State Zip-lI Phone#r ❑ F'a Alarm Installation This permit is issued under OAE 918-320-370 This applicant agrees to make only restricted energy installations(100 volt amps or less)under this HVAC permit and to do the following ❑ Instrumentation 1. Only use electrical licensed persona to do installations where required. Certain residential and other transactions are exempt from licensing. ❑ Intercom and Paging Systems These have asterisks('). All others need licensing 2 Call for inspections when installation under this permit are ready for E] Landscape Irrigation Control' inspection at 603-639-4176; ❑ Medical 3 Purchase separate permits for all installations that are not ready for an ❑ Nurse Calls inspection when the inspector is out to inspect under this permlt; a � 4 Assume resaonsibility for assuring that all corrections required by the Outdoor Landscape Lighting" !— inspector are done,and 07 ❑ Protective Signaling 5 Assume responsibility for calling for a final inspection when all of the a corrections are completed ❑ Other Permits are non-transferable and non-refundable and expire if work Is not UJ started within 180 days of issuance or if work is suspended for 180 days. Number of Systems ..1 The person signs this permit must be the applicant or a person No licenses are required. Llcenaes are required for all nthp,installation; authorized ind the a licant. FEES: 10 Signa -_ ENTER FEES $ 8%SURCHARGE(.OBX TOTAL.ABOVE) _ Authority if other than Applicant TOTAL �dsts\formslresele doc 3198 mi CITY ®� �����D MECHANICAL PERMIT DEVELOPMENT SERVICES PERMIT'#: MEC2000-00283 DATE ISSUED: 7/20/00 13125 SW loll Blvd.,Tigard, OR 97223 (503)639-4171 PARCEL: 1S134.AA-01800 SITE ADDRESS: 10220 SW NIMBUS AVE K-5 SUBDIVISION: 1 KNOLL BUSINESS CENTER TIGARD ZONING: I-P BLOCK: LOT:002 .JURISDICTION: TIG CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS: TYPE OF USE: COM UNIT HEATERS: VENT FAN3: OCCUPANCY GRP: B VENTS W/O APPL: 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: FURN < 100K BTU: AIR HANDLING UNITS CLO DRYERS: TURN >=-100K BTU: <- 10000 cfm: 1 OTHER UNITS: > GAS OUTLETS: 10000 cfm: Remarks: Mechanical work associated with commercial TI. Owner: -- FEES INSIGNIA ESG Type By Date Amount Receipt. 8405 SW NIMBUS PRMT DEB 7/20/00 ' 50.00 0003829 BEAVE RTON, OR 97205 PLCK DEB 7/20/00 96.25 0003829 5PCT DEB 7/20/00 94.00 0003829 Phone: Total 160.25 Contractor: HUNTER DAVISSON INC 3410 SE 20TH PORTLAND,OR 97202 _ REQUIRED INSPECTION$ Mechanical Insp Phone:503-234-0477 Duct Inspection Reg#:LIC 01612 Final Inspection a 'a v; _J wThis permit is issued subject to the regulatio 1s 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 worts 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 adopiod in the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0 0-through OAR 952-Ou1-0090. You may obtain copies of these rules questions to OUNC by calling 3)246-9 9. Issue y: _ Permittee Signature: - �►�� Call(503) 6394175 by 7:00 P.M.for Inspectlona needed the next business day Plan C N CITY OF TIGARD �. Mechanical Permit Application! Reed y _ 13125 SW HALL BLVD. Commercial and Residential � Date TIGARD, OR 97223 D.+te to P.E.- (503) 639-4171, x304 �- Date to DST Print or Type i ���0 CallePerm1 M Incomplete or illegible applications will not be accepted calved , 1 of Dlvelomod L�3Criptlon - k''Jt,j� Table 1A Mechanical Code QTY PRICE AMT Job suer kdarea. suns _ A) Permit Fee () 0- 10 00 Address I: 51J0t1-Y1Vj'1_A Bbq* CIIyrstate ti 1.) Furnace fo 100,00 B'Rl 6.00 f 12 including ducts&vents Nems(a name of business) 2.) Furnace 100,000 ST U+ 7.50 Owner T r i p� (Y including t7rscla&vents Maulnq Address 3.) Floor Fumace -- 6.0 - jj _l-1P`1WNbLA. indjdft vent Zip Pham 4.) Suspended pended heater,wait heater 8.00 or floor mounded heater Name(or name or ouarMS) 5.) Vent not Included in appliance permit 3.00 Occupant Uln Aaare.a pump,air cond. 6.00 '. PIS � 6.j Balers camp,hest - to 3 HP;absorb unit to 10K BUT"' ceylstre Zip Phone - 7.) Boiler or ONW,heat pump,air oond. 11.0 _ 3-15 HIP; bsorb unit to 50K BTU"m COntraCtOr N\a"'s a 8.) Boiler or cop,heat pump,air cond. 15.00 4 J�Ar 1V� , t iiso 15-30 HP absorb unN.S 1 mil BTLI" Prior to permit Mailing Address 9.) Boiler of -- issuance,a rppy 1� sump,heat pump,air Gond. 22.50 of all licenses Ceps e - 30-50 HP;absorb unit,1-1.75mN BTU" - Zip Ph" 10.) Boiler or comp,heat pump,air Gond. are required if a Q� (j�7 >50 HP;sbsorb unit 1.75 mit B'IU" 37 50 expired in COT Oregon Conn.CW.908M Lica ERp. ate 11.) Ah handling unit to 10,000 CFM 4.50 database Architect n+ 12.) Aar hard"unit _ 7.50 _ ✓G 10,00 CTM+ Or Mailing Address 13.) Non-portable evaporate cooler 4.50 Engineer City/State Zip Phone 14.) Vent fan connected to a single dud 3.00 Describe work New O Addition O Alteration O Repair O15.) Ventilation system not inducted 4.50 to be done Residential O Non-residential O in appliance permit Additional Description of work 16.) Hood served by mechanical exhaust 4.50 Api - 17.) Domestic incinerators 750 Existing use o - 18.) Commercial or industrial --- 30.00 -� building or property _ incinerator 19.) Repairunits 450 Proposed use of 20.) Wood stove - - 4.5 building or property _ L v 21.) Clothes dryer,etc. 4.50 r Type of fuel-oil O natural gas O LPG O electric O 22.) Other units 4.50 ~ I hereby acknowledge that I have read this application,that the information 23.) Gaspiping one to four outlets 2 0C given is correct,that I am the owner or authorized agent of the owner,that plans submitted are in compliance with Oregon State laws. 24.) More than 4-per outlet(each) .50 USlgnatu r/Agent Date 'Sl18TOTAL J 5%SURCHARGE I�� Contact Person Name Phone PLAN REVIEW 25%OF SUBTOTAL R aired for all commercial permits on -- -- "Minimum permit fee is$25+5%surcharge "ResWential A/C requires site plan showing placement U unit. Ianechprmt doc rev 4/15/98 I1" I Mile Wool ��i Product 48 GS ��#n Single-Package Gas Heating/Electric Gaoling ''— Units I ► I �'; C c vv �U� R'T 2 to 5 Nominal Tons Single-Packsga Rooftop Products with Energy Saving Features • Direct Spark Ignition • Low Sound Levels • AFUE ratings uo to 81.1% • 10 SEER Features/Benefits One-piece heating and cooling units with low sound levels, easy Installation, maintenance, and depend- able performance. Easy installation Factory-assembled package Is a com- pact, fully self-contained, combina- tion gas heating/electric cooling unit that is pre-wired, pre-pip-2d, and pre-charged for minimum installation expense. The. 48GS units are available in a variety of standard and optional heating/cooling size combinations with voltage options to meet residen- tial and light commercial require- ments Units are lightweight and u,stall ° easily on a rooftop or at ground 0 level. The high tech composite base 4, pan eliminates rust problems asso- dater' with ground level applicatio,)s. Convertible duct configuration Unit is designed for easy use in either downflow or horizontal applica- tions. Each unit Is easily converted ® from horizontal to downflow vAth au addition of two accessory duct covers. r Efficient operation High-efficiency design offers SEER (Seasonal Energy Efficioncy Ratios) of 10.0 and AFUE(Annual Fuel Utili- zation Efficiency)ratings as high as 81.1%. Copyright 1999 Carrier Corporation Form 48GS-2PD 1243 Physiclji data UNIT SIZE 48GS 018040 024040 024080 030040 03fg50 016080 Oa80o0 042080 042080 NOMINAL CAPACITY(tan) 1+fi 2 2 2+,4 _2+F. 3 3 3+Sr 3 I OPERATING WEIGHT(Ib) 249 280 280 280 280 314- 314 355 ^355 COMPRESSORS - Redixix ating -- - - -" _Quantity 1 REFRIGERANT(R-22) Quantity(lb) 2.6 3.5 3.5 3.65 3.65 3.75 3 75 5.7 57 REFRIGERANT METERING DEVICE .,. ��----- U►Itice ID(In.) .034 .034 .034 .034 034 Device .032 .03? .034 .034 CONDENSER COIL - -- -_- Rows...Flns/In. 1...17 1.:.17 1...17 1...17 1 Fa ...17 1...17 1.. 17 1...17 1...17 ce Area(aq a) T _ 6.1 8.1 9.1 9.1 9.1 9.1 9.1 9.1 ...1 CONDENSER FAN _ Nominal Cirri 2000 2400 2400 2400 2400 3000 3000 3000 ^100 Diameter(in.) 22 22 22 22 22 22 22 22 22 Mctor lip(R in) /6(825) (825) h(825) Iti(825 I/a25) I/4 1100) +/.(1100) I/. 1100) % 1100 EVAPORATOR COIL Rowe...rine/In. 2-115 2..15 2...15 2...15 2...15 3...15 ;...15 4...15 4...15 Face Area(sq ft) - 3.1 3.1 3.1 3.7 2.23 3.06 3.06 3.06 3.06 EVAPORATOR BLOWER -_ Nominal Airflow(Cim) 600 800Size 800 1000 1000 1200 1200 1400 1400 Moto 1011 10+x 10 10x 10 10x 10 10x10 10x10 11 x10 11 x 10 11 x 10 11 x10 FURNACE SECTION- - B Orifice No.(Qty...Drlll Natural Gas Size) 2...44 2:..44 2...38 2...44 2...38 2...38 3-..38 2...38 3...38 Neh� Burner OrificeNo.(Oty.Drill Size) ?.5Propno Got 2 2...52 2...46 2. 52 2...46 2...48a 3...45 2 .48 3...48 RETURN-AIR FILTERS(tn.)t - throwswaySize _ 20x20x1 20x20x1 201:20x1 20x30x1 20x20x7 20x24x120x24xt 20x24x1 20x24x1 UNIT SIZE 48GS O40M 048115 048130080080 n4W 000130 NOMINAL CAPACITY(tan) 4 4 4 _ 5 5 OPERATING WEIGHT(lb) 415 415 415 450 450 _ COMPRESSORS Scroll Reciprocating Quantity 1 1 REFRIGERANT(R-22) Quantity(ib) _ 6.0 8.0 6.0 8.0 8.0 8.0 REFRIGERANT METERING DEVICE pcutrol Dsrloe -�-` 11DEOtIfia IU(In.) .032 .032 .032 .030 .030 .030 "^�YDENSER COIL -- Rows-Finelln. 1...17 1...17 1...17 2...17 2...17 2,..17 Face Area(sq 1t) __ 12.3 12.3 12.3 12.3 12.3 12.3 CONDENSER FAN - - Nominal Cim 3600 3600 3600 3600 `3600 3600 Diameter(In.) 22 22 22 22 22 22 Motor Hp(Rpm) (1100) V.(7100) '14(1100) v.(1100) S4(1100) /4(1100) EVAPORATOR COIL _ Rows Finslin. 3_15 3...t5 3...15 4...15 4...15 4...15 Face Area(sq h) _ 4.7 4.7 4.7 4.7 4.7 4.7 EVAPORATOR BLOWER - �- -- -�-- - - Nominal Alrftew(Cfm) 1600 1600 1600 2000 2000 2000 Size(In.) ti x 10 t1 x 10 11 x 10 11 x 10 11 x 10 11 x10 Motor(Hp) V4 Y. 1: 1.0 1.0 1.0 FURNACE SECTION' Burner Orifice No.(QIy...Drill 31ze) Natural Gas 3...38 3...33 3...31 3...38 3...33 3...31 Id Burner Orifice No.(Qty...Drill Size) 3._.46 3...42 3...41 3...46 3...42 3...41 Propane Ge N RETURN-Al' f` y Throway, , 24x30x1 24x30x1 24x30x1 24x30x1 24x30x1 24X30x1 'Based on aft/iu•fa of 0 to 2000 feet. �rq -� 18 Refrigeration ulred Institute)er zes rated,rated,The filter rack s fieldn are based on the rger of the ARI convnrt convertible to holdAir a field isWled 2 in filter. J 1247 5 h Base unit dimensions 48GS018-042 rs1 a 611 I •,,D IID IDI 171 f11 (I)WI II 1 I1 191 Olaenll Agll aI AiA(rn .\ AI IDA. SU//l1 IRA... 1 �/�'rJb11` I b/37D 1/D/i, IL AtroAA n uA 418 n 11 .w 1 artAlAc or1A116 II its � n . • 11 11 11 1 11 I1 111 p►PACT IM r (GID (Oil 1 10111 IOx DIAL ZN 011 i- --- Y C0OP Coll-J le'ul 1- nu COIL-/ TOP VIEW 11 3 13 QI 710 -330 S - 711,1 11 oil I.I ell 11 Ill REAR VIEW J-- REO'D CLEARANCES TO COMBUSTIStE MAT-L.In.(mm) REO'D CLEARANCES FOR OPERATION AND SERVICING in.(mm) - .14(355.8 Evaporator toll access aide . 36 914 Top of de 2 50.0 Power entry side(except lot NEC requirements) . . . . 36 914 Dud olds of unit 1A 355.8 36(914 Side opposHe dulls. . ..•. ..... .. . . . . . . Unit top (( . . . . . . . .. .. 0.50(12.7 36 914 Bottom of ••/ • • " " Side oppose duds . . . . . . 12(304.9) Flue panel 36(914 4 Dud panel. . . 'Minimum distances.it unit to placed less then 12 In.1304 8 mm)from wall NEC REU'D CLEARANCES.in.(mm) 42 1068.8) system,then the system performance may be compromised. Be-Mreer1 la s„1(n e„ power entry sk,e 6(91 A) Unit end ungrounded surlitDo,power entry akh . . . . . . . . . . . . Un.I and block or concrete walls and(ether Grounded 42(1066.8) eulfam,r>Dntrol box sift . . . .-. - - CENTER OF GRAVITY ELECTRICAL UNIT WEbNT in.Ilnrnl 4809 CHARACTERISTICS lb k X Y 2 016040 208,230.1•bl1 249.0 113 2 20.tl 500.0 14.0 (355.61 15.0-138101 024040/060 208,230-1.60 280.0 127.3 --P25 571.5 13.0 330.2 15.01381.0 I 030040/060 208/230-1.60,206/230-3-60 280.0 127.3 21.5(546.1 14.0 1355.61 13.0 1330.21 --0360W/M 2081230.1-80.2081230 3.60.460-3-80 314.0 142.7 22.5 1571.51 0420601090 208/230-1-60,2081230-3-60,480.3-60 355.0 161.4 21.5 1546.11 13.5 (342.91 13.0 1330.21 - ( SDI f � 113 eel 1A sal U• ul I11LD FISAI S[OY IC( 1:1/15 jp:11 11;atIA RIG t1 C0111DIA.61. 0(slit �- 127,0 u.In k. /Ir s i us ell �� 171.7 f--- CAP -- , 7 11!.1!1 I Ifjlt3;j,t71 • - 3 I I OIAIx WIl[t -�I 17 111.f01 I/ 1 1 0 t0 1!I Nit,1 1, 111 (011/A(SSOA AIOKI, 642 f(CI10D FIJI MOOD il.'11 DAS(1111 177 DD 1 Il t(IRI(Al ACUSS IAKI Ia 111 77 1 (ODIC' l IJ AD ill ii 111 J -t I'a r I h MT SIDE VIEW LEFT SIDE VIEW VIEW LEGEND NOTE Dimensions are 1r`mm(ir,) CO - Center o1 Gravity COND -- Condenser EVAP - Evaporator NEC - National Electrical Code REO'D - Required 19 1250 CITY C�F T I C�A R® BUILDING PERMIT PERMIT 0: BUP2000-002 7 4 DEVELOPMENT SERVICES DATE ISSUED: 07/21/2000 13125 SW Hall Blvd.,Tioard.OR 97223 (503)639-4171 PARCEL: 1S134AA-01800 SITE ADDRESS: 10220 SW NIMBUS AVE K-5 SUBDIVISION: 1 KNOLL BUSINESS CENTER TIGARD ZONING: I-P BLOCK: LOT: 002 JURISDICTION: TIG REISSUE: _ _FLOOR AREAS _ EXTERIOR WALL CONSTRUCTION CLASS OF WORK: ALT FIRST: sf N: S: E: W: TYPE OF USE: COM SECOND: of _ PROJECT OPENINGS? _ TYPE OF CONST: 5N of N: S: E: W: OCCUPANCY GRP: 13 TOTAL AREA: 0.00 of ROOF CONST: FIRE RET? OCCUPANCY LOAD: 35 BASEMENT: sf AREA SEP. RATED. STOW HT: ft GARAGE: of OCCU SEP. RATED: BSMT?: MEZZ?: REQD SETBACKS _ REQUIRED FLOOR LOAD: Psf LEFT: ft RGHT: ft i FIR SPKL: ~SMOK DET: DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP ACC: BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING: VALUE: $ 10,000.00 Remarks: Tenant Improvement I Owner: Contractor: INSIGNIA/ESG COMMERCIAL CONTRACTORS NC 2 CENTERPOINT DRIVE 25610 SW 41 ST AVE RIDGEFIELD,WA 98642 Phone: 684-8131 Phone: 227-4440 Reg$: LIC 123129 FEESD(2a REQUIRED INSPECTIONS _ Type ~ Ely Date Amount ace It Mechanical Permit Require PRMT IMT 07/21/2000 $124.00 OAD Electrical Permit Required Plumbing PLCK IMT 07/21/2000 $8063 RAlMT mIgPermit Required I r, ing Insp FIRE JMT 07/21/200( $40.50 HAM Gyp Board Insp 5PCT JMT 07/21/200( $9.Q2 NAS" Susp Ceiing Insp — Final Inspection Total $255.12 This permit is ;slued subject to the regulations contained in the Tigard Municipal Cade, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more. than 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-1987. You may obtain a copy of these rules or direct questions to OUNC by calling (503) 246-1987. Pe rm Rea Signature: -G Issued By: Cal 639-4175 by 7 p.m.for an Inspection the next business day CITY OF i'IGARD Commercial b.aouing Permit Application Part ' j3126SW HALL BLVD. Tenant Improvement Raid EMU Rtd��1 *_P TIGARD, OR 97223 �J' (503) 639171 � � � � Data �P.E. �P Print or Type PermitI ��aot7� Related SWR•_ Incomplete or illegible applications will not be Accepted Gam?-�� "O 1 Name of Development/Project --`--` -- Existing Building ew Building j Jobn d � -�� Address sheet&dress Suite Building iDa�v s-0 M." 05,1W Data Bldg a City/State Zip Existing Use of Building or Property: --- 7—tl S C-4 o4-V3 cc S' ,1* t;C Name Property Proposed Use of Builaing or Property: �r1S�s ter;� �6 - Owner Malang AddressSuite Q Ce4le/� �'4' �6_10 v No. Of Stories: - Clty/Slate Zip Phone 44 Ae 03 go d,� _ Sq. Ft. Of Project: Occupant No— { Occupancy Class(es) Name // Cantractor �d�,,,f"�rQ�;,��� 1fy� C Types)of Constru8"1.-,ctio/n Prior to permit ailing Address Suite —^� --I `—A,-,, Issuance,to ropy _�,� _ Will this project have a Fire Suppressior System? of all licenses .2&J- 3 S AK --- Yes ❑ _ N_o are required If City/Stat9 Zip 7 64 Phone Americans with Disabilities Act(ADA) Y expired In C.O.T. / database �►�f ..-J 017-y�/`� valuation X 25% =$� �—Participation Oregah Const.font.Board LiCL# ;, Exp.Date Co�ete Ac.Cessibilltty Form I'I _ -- -- rte-; '��� -- "—a �� I Project valuation Name - _ Archltect 6/-bU/J_/�j'%C'keA 2)a Plans Required: See Matrix for number,of sets to submit on back Meiling Address / Suite City/State Zip Phone 1 hereby acknowledge that I have read this application,that the frNorrnadon ee 2Ae ��y 'Wo given Is correct,that I am the owner or authorized agent of the owner,and --� that plans submitted are In compl. with Oregon State Laws. Engineer- Nam -- Signa cf Owner/Agent Date Mailing Address SuiteCL Conte erson Name Phone City/State ZIP Pho r �H�±lvislydf� ads,31 9S— F- - V� FOR OFFICE USE ONLY Indicate type of work. Now O Addition O Demr5uon ri Me LA - l arld J Acceusory Structure O Foundation Only O XlerationAr -" m Repair O Other 6 Notes: --� — 0 Description of work: W .-- - _ rF -- -- Note: Site Work Permit Applicehm must precede or accompany Building Pennit Applierflon 1:1COM"a_WTI.DOC (DST) 6118 COMMERCIAL PLAN SUBMITTAL REQUIREMENT MATRIX Plan Review isii application. For an electrical submittal, the app; signature of the supervising electrician before Of ... After plan review approval, Plt-iis Examiner fill so .y., additional plan sets foi distr4k�. IttGn ;WCpU 'f Washington County, Tufala Total#of 'i'YPi~ i F StJBMITTAt_ Plans KEY: S (Private) 1 S = Site Work B (New or Add) 1 B = Building F (New or Add or Alt) 3 _ F = Fire Protecti errs M (New or Add or Alt) 1 M = anic:al B & M (New or Add) 1 P = Plumbing P (New, Add, or Alt) 2 E = Electrical B R M & P (New or Add) 2 New = New Building E (New, Add, or Alt) 2 Add = ,Addition B & F & M & P 3 Alt = Alternation to Existing (New , Aoifr Building a :. .: t . t U1 . J NOTES: :.:..: 1Ad9ta\form9lmatfxmm.doc 10/3010 + SUBJECT: ACCESSIBILITY BARRIER REMOVAL IMPROVEMENT PLAN REQUIREMENT: OREGON REVISED STATUTE (ORS) 447.241. (1) Every project for renovation,alteration or modification to affected buildings and•elated 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 alterations are disproportionate to the overall alterations in terms of cost and scope. (2) Alterations made to the path of travel to an altered area maybe deemed disproportionate to the overall alteration when cie cost exceeds twenty-five per-cent(25%). VALUATION of all renovation, alteration or modification being done excluding painting, wallpapering. (11$_ z Q multiply_: 25% Barrier removal requirement •25_� BUDGET FOR BARRIER REMOVAL (21 $ Ir, 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 $--- -w (b) An accessible entrance: (c) An accessible route to the altered area: $ _-- - (d) At least one accessible restroom for $ each sex or a single unisex restroom: Ii (e) Accessible telephones $ --- OC t— rn (f) Access;ble drinking fountains: and $ m (g) When possible, additional accessible W elements such as storage and alarms. $ TOTAL: Shall equal line 2 of Value Computation $ i Adsts\forms\access.doc CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 °z7y Date Requested_--It E?D 1 AM PM BLD T— Lavation_ /n L Z v S r.,i1A,+ft. 6,s MEC Contact Person Ph _ 2*� 5-2, F'7 PLM Contractorw���-yy�� Ph SWR 1 BUJ LI DIN Tenant/Owner / �}-]�/�/U ELC _ Retaining Wall ELR Footing Access: Foundation0 FPS Ftg Drain SGN Crawl in � S Inspection Notes: Slab �� s► _ SIT Post 8,Bee Ext Shea Shear I gFFnnrii h/Shear =`�' � ti �,/` V (/JCS/a wwla aa ll Nailin D � :L1S�_ Fire Sprinkler Fire Alarm Roof Susp'd Ceiling �),� ___ _a-= Roo — v Misc. F Final PASS PA � FAIL PLUMBING,/ Post&Beam Under Slab Top Out Water Service Sanitary Sewer Rain Drains Final -� PASS PART FAIL MECHANICAL Post&Beam -- — - -' Rough In Gas Line -- --- -_� Smoks Dampers Final - PASS PART FAIL L ELECTRICAL Service -- Rough In n UG/Slab — ~ Low Voltage J Fire Alarm Final PASS PART FAIL �— L SITE Backfill/Grading -- Sanitary Sewer Storm Drain [ ]Reinspection fee of$ required before next Inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line [ ]Please call for reinsprction RE: _.�_—_ [ ]Unable to inspect- no access ADA Approach/Sidewalk Bete b Inspector Extl-6 Other -- Final PASS PART FAIL DO NOT REMOVE this inspectlion record from the job site. CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Line: 639-4176 Business Line: 639-4171 �r BUP _ — Date Requested— 0 ' AM— PM BLD / .y Location 2—U �� �'►y��i Suite �-S MEC _ Contact Person � Ph _ Z-' � PLM ...20W vA-e'( Contrictor_ _ _ Ph SWR _ BUILDING -- Tenant/OwnerELC Retaining Wall e � � ELR Footing Access:�-_� — Foundation FPS Fig Drain SGN —_—' Crawl Drain Inspection Notes- ---- Slab ----- SIS' Post&Beam -----`— — Ext Sheath/Shear Int Sheath/Shear Framing Insulation Drywr-ll Nailing ---_— Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling — Roof Misc: -- Final PASS PART FAIL ---- ------- -- _ l�IN P-691`9 Beam --' --- ---- Under Slab r 1--out - 'a Service Sai mar;Sewer — Rain Drains A PART FAIL. —_--- - -----__ . — — _ HF.NICAL Post& Beam — - ---- --- — - Rough In Gas Line - — --- - -- Smoke Dampers Final _— PASS PART FAIL ELECTRICAL Service � Rough In — -- --_—..---- - -----------_--.— ___--_ UG/Slab Low Voltage 3 Fire Alarm -__--- -- — —•— --_—_--. p Final PASS PART FAIL u SITE Backfill/Grading ------ ----- — --- - Sanitary Sewer Storm Drain [ J Reinspection fee of$ __ required before next inspection. Pay at ulty Hall, 1315 SW(tall Blvd Catch Basin r Please call for reinspection RE: Unable to ina Fire Supply Line J p -----------------_ [ 1 pect no access ADA �7�` Approach/Sidewalk pate Inspector_° EXt Other — _ _ Final PASS PART FAIL DO "T REMOVE •ais inspection record from the job site. M • ELECTRICAL PERMIT- CITY OF TIGARD RESTRICTW ENERGY DEVELOPMENT SERVICES PERMIT 0: EL112000-00183 13123 SW Hall Blvd.,Tigard,OR 97223 (503)639-4171 DATE ISSUED: 8/8/00 SITE ADDRESS: 10220 SW NIMBUS AVE K-5 PARCEL.: 1 S 134AA-01 f,00 SUBDIVISION: 1 KNOLL BUSINESS CENTER TIGARD ZONING: I-P BLOCK: LOT: 002 JURISDICTION: TIG Prolect Description: Data Telecommunication Suite K5/K6 A.RESIDENTIAL^ B.COMMERCIAL AUDIO&STEREO: AUDIO 6 STEREO: INTERCOM S PAGiAG: BURGLAR ALARM: BOILER: LANDSCAPE/IRRIGAT: GARAGE OPENER: CLOCK: MEDICAL: HVAC: DATAITELE COMM: X NURSE CALLS: VACUUM SYSTEM: FIRE ALARM: OUTDOOR LANDSC LITE: OTHER: HVAC: PROTECTIVE SIGNAL: INSTRUMENTATION: OTHER: : Owner: Contractor: AMERICAN TELECOM INC 2410 SE 11 TH AVE PORTLAND,OR 97214 Phone: Phone: 236-8991 Reg#: LIC 00772A ELE 26-763CL FEES Required Inspections Type By Date Amount Receipt Low Voltage Inspection PRMT RCP 8/8/00 $60.00 004343 Elect'i Final 5PCT RCP 8/8/00 $4.80 004343 Total $64.60 This Permit is issued subject to the regulations contained in the Tigard Municipal Code,State of OR.Specialty Codes and all other applicable laws. All work will be done In accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 957-001-0010 through OAR 952-001 0080. You may obtain copios of these rules or direct questions Io O at(503) 246-1987. _ Issued by –L---" )��r`,��— Permittee Signature )WNER INSTALLATION ONLY The Installation Is being made on property I own which Is not Intended for sale. lease,or rent. OWNER'S SIGNATURE: OATF: CONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR. ELEC'N _ _ DA fE: LICENSE NO: - Call 6394175 by 7:00 P.M.for an Inspection needed the next business day Ci?Y OF TIGARD RESTRICTED ENERGY ELECTRICAL APPLICATION Recd by: 13125 SW HALL BLVD Date Recd: TIGARD OR 97223 PRINT OR TYPE V-503-639-4171 X304 Permit#: f.Q/1ioZ�Q-np�g3 F-503-598-1INCOMPLETE.OR ILLEGIBLE APPLICATIONS Cust.Call'd: WILL NOT LIE ACCEPTED Name of Development Project TYPE OF WORK INVOLVED-RESIDENTIAL ONLY a 4Y?11a �- �'j l Restricted Energy Fes....................................... =60.00 (FOR ALL SYSTEMS) JOB Street 11fdress S Ste N ADDRESS L622070 N K Check Type of Work Involved City/State Zip Phone N ❑ Audio and Stereo Systems Na ❑ Burglar Alarm OWNER Mailing Address ❑ Garage Door Opener' City/State 7_ip Phone N ❑ Heating,Ventilation and Air Conditioning System' Name l_.J Vacuum Systems' e�( eLotL G [arYJ . ❑ Other CONTRACTOR Mailing Address O S� oil ✓t TYPE OF WORK INVOLVED-COMMERCIAL ONLY (Prior to issuance a C' /State Zip Phone N Fes for each system.............................................. 60.00 copy of all licenses p / 3 -8 (SEE OAR 918-260-260) are required if Oregon Contr. Brd Lic.A Exp.(late expired in C O.T. 77.738 Check Type of Work Involved data base). Electrical Contr.Lie A Exp.Date c lL — ❑ Audio and Stereo Systems C.0,T or Metro Lie.6 Exp Date ❑ Boiler Controls Owner's Name ❑ Clock Systems OWNER- Mailing Address APPLICANT Date Telecommunication Installation City/State Zip Phone 6 ❑ Fire Alarm Installation This permit is issued under OAE 918-310-370 This applicant agrees to make only restricted energy installations(100 volt amps or less)under this ❑ HVAC permit and to do the following ❑ Instrumentation 1 Only use electrical licensed persons to do installations where required. Certain residential and other transactions are exempt from licensing. ❑ Intercom and Paging Systems These have asterisks('). All others need licensing; ❑ Z Call for inspections when installation under this permit aro ready for Landscape Irrigation Control" inspection at 503-639-4175; ❑ Medical 3 Purchase separate permits for all installations that are not ready for an Nurse Calls inspection when the inspector is out to inspect under this permit; a 4 Assume responsibility for..-aurina that all corrections required by the ❑ Outdoor:andscape Lighting' inspector are done,and; ❑ Protective S!gnaling 5 Assume responsibility for calling for a final Inspection when all of the F-1 corrections are completed Other Permits are non-transferable and non-refundable and expire If work is not W started within 180 days of issuance or If work is suspended for 180 days. _Number of Systema J The person signing for this permit must be the applicant or a person No lirenses are required Licenses are required for aM other installations authorized to bind the applicant FEES: signeurlli — — ENTER FEES ; r 8%St1RCHARGF(.OAX TOTAL ABOVE) 111 r 'O Authority if other than Applicant TOTAL f�q, i klstslformslresele doc 3/98 CITY OF TIGARD ELECTRICAL PREIIINERG STRICTED ENERGY DEVELOPMENT SERVICES r PERMIT X-, ELR2000-00184 13125 SW Hall Blvd.,Tigard,OR 97223 (503)8394171 DATE ISSUED: 8/9/00 317E ADDRESS: 10220 SW NIMBUS AVE K-5 PARCEL: 1 S134AA-01800 SUBDIVISION: 1 KNOLL BUSINESS CENTER TIGARD ZONING: I-P BLOCK: LOT: 002 JURISDICTION: TIG Prolect Description: Protective signaling. A.RESIDENTIAL B.COMMERCIAL __ ._ AUDIO&STEREO: AUDIO&STEREO: INTERCOM 8. PAGING: BURGLAR AL4RM: BOILER- LANDSCAPE/IRRIGAT: GARAGE OPENER: CLOCK: MEDICAL: HVAC: DATA/TELE COMM: NURSE CALLS: VACUUM SY1;TEM: FIRE ALARM: OUTDOOR LANDSC LITE: OTHER: HVAC: PROTECTIVE SIGNAL: X INSTRUMENTATION: OTHER: Owner: Contractor: FIRE SYSTEMS WEST INC 219 FRONTAGE RD N SUITE B PACIFIC, WA 98047 Phone: Phone: 253-833-1248 Reg A: LIC 49732 ELE 37-655CL FEES Required Inspection* Type By Date Amount Receipt Low Voltage Inspection PRMT BLD 8/9/00 $60.00 0004369 5PCT BLD 8/9/00 $4.80 0004369 Total $64.80 This Permit is issued subject to the regulations contained in the Tigard Municipal Code,State of OR. Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans. This permit will expire If work is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law IL requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth In OAR QC 952-001-0010 through OAR 952-001-0080. You may obtain copies of these rules or direct questions to OUNC at(503) 246--1987. Issued by _ ,'ate_ Permittee Sltlnature2,� OWNER INSTALLATION ONLY uJ The installation is being made on property I own which Is not Intended for sale. lease,or rent. W OWNER'S SIGNATURE: DATE: CONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR. ELEC'N: DATE: LICENSE NO: Call 639-4175 by 7:00 P.M.for an Inspection needed the next business day CITY OF TIGARD RESTRICTED ENERGY ELECTRICAL APPLICATION Recd by: -bLf� 13125 SW HALL BLVD Date Recd: TIGARD OR 97223 PRINT OR TYPE V- 503-639-4171 X304 Permit :_6L/�:tOYa F -503-598-1960 INCOMPLETE OR ILLEGIBLE APPLICATIONS Cust.Call'd: WILL NOT BE ACCEPTED Name of Development Project TYPE OF WORK INVOLVED-RESIDENTIAL ONLY Restricted Energy Fee........................................ 60,00 -- M��Qr�C.�i�Y7p�/ (FOR ALL SYSTEMS) JOB Street Address Ste A ADDRESS Zy, NCheck Type of Work Involved: City/State Zip Phone N ❑ Audio and Stereo Systems Name ❑ Burglar Alarm OWNER Mailing Address �— ❑ Garage Door Opener' City/State Zip Phone M ❑ Heating,Ventilation and Air Conditioning System' /0"//Z C_S y f ---���- ❑ Vacuum Systema' ;; � Z/SMI ,y Other CONTRACTOR �t�+i�lin-QAddress 7�5.w �i�' Z3 _Frar.d TYPE OF WORK INVOLVED •COMMERCIAL ONLY Il prior to issuance a City/State Zip Phome N Fee for each aystam...............................I.............. 50.00 -npy of all licenses �� 9700 (SEE OAR 918-2.80-260) aro required if Oregon .$rrbL N E .D to .T //ff o*spired in C.O _ /f B/ Check Type of Work Involved: data base) Ek rival Contr. LJc.# -Exp-.Det --6 sS C L(r-- Q D/ ❑ Audio and Stereo Systems C T or Metro Lic.A E p.15ate _ ❑ Boiler Controls Owner's Name Z�[S/ n/i E'S� — ❑ Clock Systema OWNER- Mailing Address APPLICANT ❑ Data Telecommunication Installation City/State Zip Phone 6 ❑ _ Fire Alarm Installation This permit is issued under OAE 918-320-370.This applicant agrees to make only restricted energy installations 000 volt amps or less)under this ❑ HVAC permit and to do the following: ❑ Instrumentation 1 Only use electrical licensed persons to do installations where.equired Certain residential and other transactions are exempt;rom licensing ❑ Intercom and Psging Systems These have asterisks(') All others need licensing; ❑ 2 Call for inspections when installation under this permit aro ready for Landscape Irrigation Control* inspection at 503-6394175; ❑ Medical 3. Purchase separate permits for all installations that aro not ready for an 4. inspection when the inspector is out to inspect under this permit; Nuise Calls❑ F4. Assume re3ponsibility for assuring that all corrections required by the ❑ Outdoor Landscape Lighting' inspector are done,and, Protective Signaling F Assume responsibility for calling for a final inspection when all of the corrections are complete' ❑ Other i Permits are non-transferable and non-refundable and expire if work is not Jstarted within 180 days of issuance or if work is suspended for 180 days. Number of Systems The person signing for this permit must be the applicant or a person No licenses at%-roqiiirad Licenses aro required for all other installations authorized to bind the applicant. FEES: ----��� "� — -- -- --.---__----_- ENTER FEES it rl Signature 8%SURCHARGE(.08X TOTAL ABOVE) s � d_U Authority if other than Applicant — TOTAL = hArdl it tdstslformsVesele doc 3198 — d , &-0 �y� �d ' •y ELECTRICAL PERMIT CITY OF TIGARD PERMIT 0: ELC2000-00425 DEVELOPMENT SERVICES DATE ISSUED: 7/28/00 '13125 SW Hall Blvd.,Tigard,OR 97223 (503)639-4171 PARCEL: iS134AA-01800 SITE ADDRESS 10220 SW NIMBUS AVE K-5 SUBDIVISION. 1 KNOLL BUSINESS CENTER TIGARD ZONING: I-P BLOCK: LOT : 002 JURISDICTION: TIG Prolect Description: Installation of 7 branch circuits. _ RESIDENTIAL UNIT TEMP SRVCIFEEDER_S MISCELLANEOUS 1000 SF OR LESS: 0 - 200 amp: PUMPIIRRIGB!TION: EACH ADD'L 500SF: 201 - 400 amp: SIGN/OUT LIKE LTG: LIMITED ENERGY: 401 - 600 amp: SIGNAL/PANEL: MANF HM/SVC/FDR: 601-4-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: lot W/O SRVC OR FDR: 1 PER HOUR: 401 - 600 amp: EA ADD'L BRNCH CIRC: 6 IN PLANT: 601 - 1000 amp: PLAN REVIEW SECTION 1000+ampIvolt: >=4 RES UNITS: >600 VOLT NOMINAL: Reconnect only SVC/FDR>=225 AMPS_ CLASS ARENSPE9 OCC: Owner: Contractor: INSIGNIA COMMERCIAL GROUP WILLAMETTE ELECTRIC INC BEAVERTON, OR 97008 PO BOX 230547 TIGARD, OR 97281 Phone: Phone: 624-3631 Rep p: LIQ: 000750 SUP 1965S ELE 34-283C FEES _ Required Inspections Type By Date Amount^ Receipt_ Ceiling Cover PRMT BLD 7/2.8/00 $69.60 0004047 Wall Cover 5PCT BLD 7/28/00 $5.57 0004047 Elect'i Final Total $75.17 This Permit is issued subject ro the regulations contained in the Tigard Municipal Code,State of OR. Specialty Codes and all other applcible laws. n- All work will be done in accordance with approved plans. This permit will e)ire if work is not started within 180 days of issuance,or M work Is suspended for more than 180 days. ATTENTION: Oregon law requires you to fc'iow rules adopted by the Oregon Utility NotNfcdon Center. Those U) rubs are set forth in CAR 952-001-0010 through OAR 952-001-008 . You may obtain copies of these rules ordirect questions to OUNC at(503) 245 1987. m PERMITTEE'S SIGNATURE D /f> ISSUED BY: uuOV69R INSTALLATION ONLY r The installation is being made on property I own hich Is not Intended for selR, lease,or rent. OWNER'S SIGNATURE: DAM -- CONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR. ELEC'N: DATE: LICENSE NO: Call 6394175 by 7:00pm for an Inspection the next buslnam day CITY OF-TIGARD Electrical Permit Application Plan Check 0 � 13125 SW HALL BLVD. Recd By_A 4.11 Date Recd _ TIGARD OR 97223 _ Date to P.E. Phone(503)639-4171, x304 Date to DST_ -- Inspection (503)6394175 Print of Type �I Permit# GIC i!O '0D qA5 Fax (503) 598-1960 Incomplete or Illegible will not be accepted Called 1. Job Address: 4. Complete Fee Schedule Below: Number of fns ons rmlt allowed Name of Development�,1..,Ile �c�...�cs C 4-je"._ _ Name(or name of business)�T,i,,,,e ,n f , Service included: Items Cost Sum Address 10 ?_10 f ti's.h S ft) K' 4s. Residential-per unit Ci (State/Zi N G 9 t Z; 1000 sq.ft.or less S 117.75 _^ 4 City/State/Zip p �_ Each additional 500 sq.R.or portion thereof $ 26.75 _ 1 Commercial 51 Residential❑ Limited Energy f 60.00 Each Manufd Home or Modular 2a. Contractor installation only: Dwelling Service or Feeder $ 72.75 -_ 2 (Prior to permit Issuance,applicants must provide contractor license 4b.Services or Feeders Information for COT data base). Installation,alteration,or relocation Electrical Contractor W. tl Art fle �III f c t 4E,[ 116 L 200 amps or less $ 64.25 2 Address_AL3 ,� ?3 4.:a 4 Y }- 01 amps to 400 amps _ f 85.50 2 401 amps to 800 amps = 128.50 2 city a n n State O-Zip 92n /-� 601 amps to 1000 amps S 192.50 _ 2 Phone No. 50-sj_ it 1'i - S L ?/ _ Over 1000 amps or volts _ S 363.75 _ 2 .lob No. Ir'l,L _ Reconnect only S 53.50 2 Eler..Cont. Lice. No._]!J ?b 3 L Exp.Date_ /0 - / o�L 4c.Temporary Services or Feeders OF State CCB Reg. No. 71'0 y Exp.Date F b c►rL Installation,alteration,or relocation COT Business Tax or Metro No. /s'96 Exp.Date jr- 200 amps or less $ 53.50 2 201 amps to 400 amps S 80.25 2 fii nature of Supr Elec'n ���_ 401 amps to 600 amps - S 100.1X1 2 9 P Over 600 amps to 1000 volts, fine"b"above. License No, J 96 -_Exp.Date 16 - i -a'/ S G Z y 3 4 4d.Branch Circuits Phone No. � ,� 4ZOI New,alteration or extension per panel a)The fee for branch circuits 2b. For owner installations: with purchase of service or feeder fee. P int Owner's Name Each branch circuli S 5.35 _ 2 Address _ b)The fee for branch circuits _- --- wlt/rour purchase of service City ______ _State _.Tip or feeder fee. 5(j Phone No. First branch circu" S 37.50 Each additional branch circuit S 5.35 t Z r The installation is being made on property I own which is not 4e.Miscellaneous intended for sale,lease or rent. (Service or feeder not included) Each pump or irrigation circle $ 42.75 Owners Signature -i Each sign or otdline fighting S 42.75 Signal circufi(a)or a fimited energy panel,alteration or extension $ 60.00 3. Plan Review section (if required):* Minor Lahels(1n) $ 100.00 _ Please check appropriate Item and enter fee in ser-tion 5B. 4f.Each additional Inspection over the allowable In any of the above N or more residential units in one structure __4 Per inspection - $ 50.00 Service and feeder 225 amps or more per hour f 50.00 J System over 600 volts nominal In Plant $ 59.00 _ Classified area or structure containing special occupancy as (a described in N E.G Chapter 5 5. Fees: p Fo Be.Enter total of above fees $ / -j ` Submit 2 sets of plans with application where any of the above apply. 8%Surcharge 108 X total fees) $ _ Not required for temporary constniction services. Subtotal $ Sh.Enter 25%of tine 5a for NOTICE Plnn Review if re_g_uired(Sec.3) S PERMITS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED Subtotal IS NOT COMMENCED WITHIN 180 DAYS,OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS El Trust Account N / AT ANY TIME AFTER WORK IS COMMENCED. ToMI balance Due $ i s\dsts\firms\cleclric.doc V f CITY OF TIGARD CERTIFICATE OF OCCUPANCY DEVELOPMENT SERVICES PERMIT 0: BUP2000-00274 13125 SW Hall Blvd.,Tigard,OR 97223 (503)639-4171 DATE ISSUED: 07/21/2000 PARCEL: 1 S134AA-01800 ZONING: I-P JURISDICTION: TIG SITE ADDRESS: 10220 SW NIMBUS AVE K-5 SUBDIVISION: 1 KNOLL BUSINESS CENTER TIGARD BLOCK: LOT:002 CLASS OF WORK: ALT TYPE OF USE: COM TYPE OF CONSTR: 5N OCCUPANCY GRP: B OCCUPANCY LOAD: 35 TENANT NAME: REMARKS: Tenant Improvement Owner: INSIGNIA/ESG 2 CENTFRPOINT DRIVE Phone: Contractor: COMMERCIAL CONTRACTORS INC 25610 S. 141 ST AVE RIDGEFIELD,WA 96642 Phone: 227-4440 Reg 0: LIC 123729 IL U) _J _m W -' This Certificate issued 08/2.3/2000 grants occupancy of the above referenced building or portion thereof and confirms that the building has been inspected for compliance with the State of Oregon Specialty Codes for the group, occup cy, and use under which the reference It was Issued. l , BUILDING INSPECTOR BUILDIN FFICIAI� POST IN CONSPICUOUS PLACE CITY OF TIGARD BUILDING INSPECTION DIVISION �� vifiij 24-Hour Inspection Line: 639-4175 Business Line: 639-4171MW BUp -2,2 Q0 ;X 7 _ Date Requested �� __AM�PM�� BLD Location G Z Z S w /yam&U,(3 Suite ; _r MEC Contact Person Ph ��� .gZj�r 7 PLM Contractor_ �-''' SWR U� TenanU4wner � CA& _ � PLC Retaining Wall ` O ELR Footing Access: ELS ✓Lt[d Ora +.,.olk Foundation FPS Ftg Drain SQN Crawl Drain Inspection ote Slab _ SIT Post& Beam Ext Sheath/Shear Int Sheath/Shear Framing Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd(veiling Roof �— Mi _ i PART FAIL WVNIBING Post&Beam Under Slab Top Out — Water Service Sanitary Sewer V Rain Drains _ Final PASS PART FAIL MECHANICAL 1 Post&Beam Rough In Gas Line — - — Smoke Dampers Final — PASS PART FAIL ELECTRICAL IL Service _ Fes-- Rough In — UG/Slab Low Voltage — Fire Alarm Final m PASS PART FAIL to SITE —t Backfill/Grading _-- Sanitary Sewer Storm Drain [ j Reinspection fee of$ required before next inspection. Pay at City Hall. 13125 SW Hall Blvd BasiB Catch n Fire h Basiprly Line ! j Please call for einspection RE: _ _ [ I Unable to Inspect-no access ADA t Apnrnach/Sidewalk Ofher Date 1 d D _Inspector ` _ w Ext -- Final PASS PART FAIL DO NOT REMOVE this Inspection record from the job site. CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Line: 639.4476 Business Line: 639-4171 SUP __Date Requested_9- AM PM BLU Location t o ?"Z U Suite x-s MEC Contact Person Ila= Ph -Z&E-Y Zt1 PLM Contractor v Ph SWR BUILDING Tenant/Owner ELC Retaining Wall ELR ;0"-061 Footing Access: Foundation FPS Fty Drain Crawl Drain Inspection NObs: , ,, / 8GN — Slab Post&Beam ISIT Ext Sheath/Shear Int Sheath/Shear Framing Insulation Drywall Nailing • Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Misc: Final PASS PART FAIL — PLUMBING Post& Beam — Under Slab T op Out Water Service Sanitary Sewer — — Rain Drains F incl PASS PART FAIL MECHANICAL — Post& Beam Rough In Gas Line Smoke Dampers Final -- -- -- FAIL ELECTRICAL-,-' Q, Service - pX Rough In ow Volta Fire arm � Fin to ASS ART FAIL Q a Backfill/Grading - Sanitary Sewer Storm Drain [ )Reinspection fee of$_ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd catch Basin Fire Supply L ine [ )Please call for reinspection RE:_—_ —_ — Unable to Inspect-no access ADA Appioncii/Sidewalk Other Date — —Inspector _ —Ext _ Final PASS PART FAIL DO NOT REMOVE this Inspection record from the job site. CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 SUP Date Requested �� AM_ PM_ BLD Location /0 2 2,0 S w Nit`s Suite MED Contact Person _ Ph '�-u��: Z��_ PLN Contractor Ph SWR BUILDING Te ant/Owner _ ELC Retaining Wall ELR Footing Access: Foundation FPS Fig Drain I le(;.eSGN Crawl Drain Inspection Notes: — -- Slab SIT Post&Beam --- Fxt Sheath/Shear _ Int Sheath/Shear Framing - Insulation Drywall Nailing _ Firewall Fire Sprinkler - Fire Alarm Susp'd Ceiling _- Roof Misc - Final PASS PART FAIL -- PLUMBING Post&Beam - Under Slab Top Out - Water Service _ Sanitary Sewer `-- Rain Drains Final PASS PART FAIL - MECHANICAL Post& Beam - - - Rough In Gas Line -- Smoke Dampers Final - - -- PASS PART FAIL 4. _--- rz ervire - -- ---- - � Rough In U) IJG/Slab J ire Alarm m Fi (� ASS PART FAIL W J Backfill/Grading -� Sanitary Sewer Storm Drain [ ]Reinspection fee of$ _required before next inspection Pay at City Hall, 13125 SW Hall?Ivd Catch Basin Fire Supply I ine ( J Please call for reinspectinn RF _ [ J Unable to inspect- no access ADA Approach/Sidewalk Other Date _ _—Inspector —_ _Ext Final PASS PART FAIL D NOT REMOVE this Inspection record t(4e the job *Ite. CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Lino: 639-41.76 Business Line: 639-4171 SUP Date Requested �f— f� _—AM PM BLD Location_MP, v s w ����/� _ Suite /C S MEC Contact Person Ph 1 u 4'— JL PLM Contractor Ph SWR IV BUILDING TenanUOwner ELC Retaining Wall ELR 2wy- o o /y 3 Footing Access: Foundation FPS Fig Drain SGN Crawl Drain Inspection Notes: F -- 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 o PARS PART FAIL PLUMBING Post&Beam Under Slab Top Out Water Service Sanitary Sewer Rain Drains Final PASS PART FAIL _ MECHANICAL Post!i,Beam Rough In Gas Line - Smoke Dampers Final 4 PASS FAIL LECTRICAL �— fZ Rough In W UG/Slab it V - ire Alarm Fi CQ PART FAIL W 4 -t Backfill/Grading -^ Sanitary Sewer Stone Drain [ j Reinspection fee of$ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin [ )please call fer reinspection RE: [ j linable to Inspect-no access Fire Supi+ly Line ADA Approach ISidewalk Date Inspector Ext Other -- Final PASS PART FAIL DO NOT REMOVE this Inspection record from the Job site. CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Line: 639-41,76 Business Line: 639-41171 SUP Date Requested AM PM _ BLD Location_ ( 'L_2� sc,✓ N��-G-s suite - &- 5 MEC Contact Person Ph PLM Contractor _ Ph ZLC BUILDING Tenant/Owner C- !�` ,[ CC a#," - C, Retaining W.3 ELR Footing Access: Foundation FPS Ftg Drain Crawl Drain Inspection Notes: SON Slab Post&Beam Ext Sheath/Shear Int Sheath/Shear Framing Insulation Drywall Nailing Firewall Fire Sprinkler _ Fire Alarm — Susp'd Ceiling Roof —� Misc: Final PASS PART FAIL PLUMBING Post&Beam Under Slab Top Out — Water Service Sanitary Sewer '- Rain Drains _ Final PASS PART FAIL MECHANICAL Post&Beim — Rough In Gas Line — — Smoke Dampers Ficial PASS ART FAIL a CT AL OC - E- Rough In — --� N UG/Slab Low Voltage .� Fire Alarm _m 0 ;iIDART FAIL W 9ackfill/Grading ---- -- — Sanitary Sewer Storm Drain [ )Reinspection fee of$ .__, required before next inspection. Pay at City Hnll, 13125 SW Hall Blvd Catch Basin [ 1 r'lease call for reineP�ctinn RE: I 1 Unable to insperl-no access Fire Supply Line — ---- ADA Approach/Sidewalk Other Date inspector Ext Final PASS PART FAIL DO NOT REMOVE this Inspection record boon the fob alto. ,.y.�._ . �w_.._. CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Line: 639-4t75 Business Line: 639.4171 OUP Date Requested f' 1 7 _-,.AM PM BLD i Location_� ✓,e u 5� Allti+ 61 ) Suite k- S MEC Contact Person _ Ph PLM .trivy li�//2�y Contractor Ph SM BUILDING Tenant/Owner ELC Retaining Wall EI.R Footing Access: Fcanrlation FPS Ftg Drain SON 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 Cuing _ Roof Misc: Final ----' PA AFtY FAIL LU Post& Beam Under Slab _ Top Out Water Service Sanitary Sewer Rain Drains W5PART FAIL HANICAL Post& Beam - Rough In Gas Line — r--`— Smoke Dampers Final PASS PART FAIL ELECTRICAL IL Service _ QG Rough In E.. UG/Slab _ Low Voltage Fire Alarm -- -- .a Final m PASS PART FAIL (� SITE Wj Backfill/Grading Sanitary Sewer Storm Drain [ ]Reinspection fee of$ _required before next inspection. Pay at Cfly Hall, 1312E SW Hall Blvd Catch Basin [ ]Please call for reinspec+.ion RE: [ ]Unable to inspect-no access Fire Supply Line ADA Approach/Sidewalk pate Inspector Ext' t1 Other "- Final PASS PART FAIL DO NOT 6MOVE this inspection record from the job site. 1A CITY OF T I G A R D PLUMBING PERMIT DEVELOPMENT SERVICESPERMIT N: PLM2000-00284 13125 SW Hall Blvd.,Tigard,OR 97223 (503)639-4171 DATE ISSUED: 08/02/2000 SITE ADDRESS: 10220 SW NIMBUS AVE K-5 PARCEL: 1S134AA-01800 SUBDIVISION: 1 KNOLL BUSINESS CENTER TIGARD ZONING: I-P BLOCK: LOT: 002 JURISDICTION: TIG CLASS OF WORK: ALT GARBAGE nISPOSALS: MOBILE HOME SPAuCR: TYPE OF USE: COM WASHING MACH: BACKFLOW PREVNTRS: OCCUPANCY GRP: FLOOR DRAINS; TRAPS: STORIES: WATER HEATERS: 1 CATCH BASINS: _ FIXTURES LAUNDRY TRAYS: SF RAIN DRAINS: SINKS: URINALS: GREASE TRAPS: LAVATORIES: OTHER FIXTURES: TUB/SHOWERS: SEWER LINE. ft WATER CLOSETS: WATER LINE: ft DISHWASHERS: RAIN DRAIN: ft Remarks: New water heater FEES Owner: -- IN Type By Date Amount Receipt 2 CEN TERPOINTE DRIVE IA/ESG PRMT JMT 08/02/2001' $50.00 0004171 2 EN5PCT JMT 08/02/2000 $4.00 0004171 Total $54.00 Phone 1: Contractor: RAYBORN'S PLUMBING INC PO BOX 69 TUALATIN, OR 97062 REQUIRED INSPECTIONS Phone 1: 503-692-4139 Rough-in Insp Reg#: LIC 00087852 Final Inspection PLM 34-166PB CL ac co This permit is issued subjict to the regulations contained in the Tigard Municipal Code, State of OR. W 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 susperlded for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-0001-0010 through OAR 952-0001-0080. You may obtain copies of these rules or direct questions to DUNG by calling (503) 246 1987. Issued By: '� ' Permlttoa Signature: Call( 3)6394175 by 7:00 P.M.for on in•.pection needed t next butiness day CITY OF TIGARD Plumbing Permit Application PlanChecttff •13125 SW MALL BLVD. Commercial and Residential Redd a,c TIGARD. OR 97223 °"' (503) 6394171 Daea to P E. Print or Type Dow to DST Incomplete or Illegible applications will not be accepted Porn`y*� 11;nrJated SWR•_ Cased� — --- Name of Developmerit/Pnnfect _ y_ MOOT Jobirl C%-657 Shirk Address Street Address SUNG Lavatory 11.40 I C z 2.0 SW / +'� �_ Tub or TubfSfosrer Comb. 11.50 eildg --- cayfstato s ZIP Slower Only _ 11.50 Water Closel 11.50 Name 11.50 M w usher Owner MallxW Address -� Who _ Garbage Disposal 11.bo Washbq Machine 11.80 City/State Zip Phone Floor rma,MF�Slink r 11.50 Name _�--� ___ Y 11.40 4• r1500 Occupant a0n0 Address -v sung water Neater O comerskm o Qke 04 jiris Qat es a separate rmlchsnkd pemdl. 11 CNylstate Zip Phone Laundry Room Troy Urinal me Other Fixtures(Specify) Contractor ailing Ad4Wsws Sift _ Prior to perms CM I tate Zip P Sewer-lot 100' 00 hssuance,a copy Q•� 2�7 1 gni-each eddfllonal 100 32.00 M all licenses aru OfegoilConst.Conl.Hbord Lic i1 Exp ate -- required If �� Z Q Water Sella-151100' _ 30.00 expired In COT Pbmbkhg Lic / Exp Oat' Water Service-each additional 2110' 32 W y database y. _ t �C�6 O Storm l Rain Drain-lot 100' X00 Name Storm a Rain Drain-each additional 100' 3200 Architect _ Mobile Home Spam 32.00 or Mailing Address SuNe Cunwnereial eark Flow Prevention bevla or AMI- 32.00 PoUW Device Engineer Cityrstats Zip Phos. Residential!Badtbow Provendon Device' 19.00 ("af on Ilmirhg devices require a separate Describe work to be done: restricted energy p!rwA.) NewRepair O Replace with like kind Yes 0 No 0 Annn Arty Trap or Waste Not Connected to a Fixture 11.50 Reside, nal O Commercial Catch Basin ~ 11.60 Additional description of kap.of F�Mlp xlunbYp-- 60.00 I - STApetliv Specially Requested Inspections — W.00 Are you capping,moving or to Ing any fixturesT rmr fes.. Yes O No Rein Drain•single family dweNinp - 4560 If yea,see back of form to Indicate work performed by Gresse Traps 1— - —�—'"-- 11. 00 fixtirre. FAILURE TO ACCURATELY REPORT FIXTURE _ J WORK COULD RESULT IN INCREASED SEWER FEES. QUANTITY TOTAL "T Q I hereby acknowledge that I have read this application,that the information Isometric or riser diagram Is required if OuWft Tar is .e00 given Is cortbct,that I am fire owfrer or authorized agent of the owner,and *SUBTOTAL c ; lir ens submitted ane in Cora liance with Oregon Slate Laws. ; n „/► W pn lure of Owac J int Oats ) U" C uct Panon,�+ama h ""Pt AN REVIEW 23%OF SUSTOTAL ,°i:'�� `q TOTAL 'Minimum permil fit Is$30+5%surdiarge,except Residen6N Baddlow#)!y,(J lip ^ r, Prevention Device,which is$25►5%surcharge •'All Naw Cominerclal Bulldings require plans with Isometric OF riser diagram and plan review I.ndsrsVmmsWurnayV doc 611/99 FAi r1WV`%T T .In 11 1'1 nna T ope one va,l no•urn nits, ee�r T inn PLEASE COMPLETE; pjY::�»trF�e.i�iSasb3L+�'! f •r1'" Sink ' Lavatory , •. . Tub or Tub/Shower Co_mbi tion Shower Only Water Closet Dishwasher Garbe a Disposel WashingMachine _ Floor Drainfloor Sink 2" - 4" Water Heater LaundgLEoom Tray ' Urinal Other Fixtures (Specify)_ _ COMMENTS RE DING ABOVE: 3 -- n Ll i1AMNM,o.lpinnpp«�e�w CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Line: 639-4176 Business Line: 639-4171 OUP Date Requested BLD Location—L0 2 2 U S Lv Suite _ MEC Contact Person _ ni,,� Ph A O f f 2-ft 7 PLM Contractor ph SWR BUILDING Tenr int/Owner ELC Retaining Wall ELR .24,00 --d U Footing Access: --�- Foundation FPB Ftg Drain Crawl Drain Inspection Notes: SON Slab BIT Post&Beam Ext Sheath/Shear Int SheathiChpar Framing Insulation Drywall Nailing _ Firewall Fire Sprinkler �--� Fire Alarm Susp'd Ceiling Roof Misc: _ -- — Final PASS PART FAIL PLUMBING Post&Beam — —�- Under Slab Top Out --- ---- — - 'Water Service Sanitary Sewer - - - — ---- Rain Drains _ Final - -- PASS PART -AIL _ MECHANICAL Post& Beam —-- - - _ Rough In �,as Line - -- — - - �;fnoke Dampers 6 incl FAIL a service Rough In ow Voltage i J Final - m AS PART FAIL w __— Lu SITE --, Backfill/Grading --- Sanitary Sewer Storm Drain [ J Reinspection fee of$_ requires b-fure next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin [ J Please call for reinspection RE: [ J Unable to Inspect-no access Fire Supply Line ADA Q Approach/Sidewalk Date Inspector � Ext Final PASS PART FAIL DO NOT REMOVE this Inspection record from the job site. CITY OF TIGARD BUILDING INSPECTION DIVISION 2"o _ du 1-1 Y 24-Hour Inspection Line- 639-4175 Business Line: 639.4171 Bup Date Requested_-_ AAA PAA lo*77 Locationu r Suite M �'!/ -o v.?,�� Contact Person Ph S-Z PLM i Contractor SWR BUILDING Tenant/Owner ELC Retaining Wall IfELR Footing Access: Foundation FPS F tq Drain SON Crawl Drain Inspection Notes: - Slab SIT Post&Beam ' Ext Sheath/Shear Int Sheath/Shear 6 Framing Insulation Drywall Nailing Firewall Fire Sprinkler _ Fire Alerm Roof Misc: Fi A 3 PART FAIL — --- I�ING Post& Beam 6b Under Slab Top r)ut Water Seivice C� Sanitary Sewer \ —� Rain gains Final P FAIL Post& Beam Rough In Gas Line -- Smoke Dampers in S� PART FAIL fiXieTRICAL IL Service �17 F high In N Uu/Slab _ Low Voltage"��1 J Fire Alarm _— m Final PASS PART FAIL — W SITE Backfill/Grading — — Sanitary Sewer Storm Drain [ ]Reinspection fee of$ required before next Inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line [ ]Please call for reinspection RE.: __. [ ]Unable to inspect-no access ADA Approach/Sidewalk Y (S i Other Date Inspector Ext Final PASS PART FAIL DO NOT REMOVE this Inspection record from the job site. CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 BUP Date Requested_ �' AM PM BLD Location- / Ool.2 ,/ Sw Suite �' MEC Contact Personi Ph ^ f Z y� PLM _ Contractor _ Ph SYVR BUILDING Tenant/Owner Retaining Wall ELp(/!i Footing Access: Foundation LFPSFtg Drain Crawl Drain Inspection Notes:Slab Post&Beam Ext Sheath/Shear Int Sheath/Shear Framing _ Insulation Drywall Nailing Firewall Fire Sprinkler �. Fire Alarm Susp'd Ceiling _ Roof Misc: — — Final PASS PART FAIL — - PLUMBING Post& Beam Under Slab _ Top Out Water Service Sanitary Sewer _ �— Rain Drains Final PASS PART FAIL MECHANICAL Post&Beam --- - Rough In Gas Line Smoke Dampers Final - -- P ART FAIL L ICA a N UG/ J A 1 owl g� �� re Alarm m P S ART FAIL _ — t7 W Backfill/Grading `— Sanitary Sewer Storm Drain [ ]Reinspection fee of$ required before next insppction. Pay at City Hall, 13125 SW Hall Blvd Catch Basin [ j Please call for reinspection RE: ___ _ _ [ j Unable to inspect-no ncces Fire Supply Line ADA Approach/Sidewalk Date Q10 Inspector_ 2Ext Other _ - - Final PASS PART FAIL DO NOT REMOVE this Inspection record from the job sit*. CITY OF TIGARD ELECTRICALPERMIT- RESTRICTED ENERGY LA DEVELOPMENT SERVICES PERMIT N: ELR2000-00231 13125 SW Hall Blvd.,Tigard,OR 97223 (503)639.4171 DATE ISSUED: 10/12/2000 SITE ADDRESS: 10220 SW NIMBUS AVE K-5 PARCEL: 1S134AA-01800 SUBDIVISION: 1 KNOLL BUSINESS CENTER TIGARD ZONING: I-P BLOCK: LOT: 002 JURISDICTION: TIG Prolect Description: Protective signaling. A.RESIDENTIAL B.COMMERCIAL AUDIO&STEREO: AUDIO S STEREO: INTERCOM A PAGING: BURGLAR ALARM: BOILER: LANDSCAPE/IRRICAT: GARAGE OPENER: CLOCK: MEDICAL: HVAC: DATA/TELE COMM: NURSE CALLS: VACUUM SYSTEM: FIRE ALARM: OUTDOOR LANDSC LITE: OTHER: HVAC: PROTECTIVE SIGNAL: X INSTRUMENTATION: OTHER: TOTAL Owner: Contractor: ADT SECURITY SERVICES, INC 2815 SW 153RD DR BEAVERTON, OR 97006 Phone: Phone: 503469-7100 Reg#: LIC 0059944 ELF 26.209CLE FEES Required Inspection* Type By Date Amount Receipt Low Voltage Inspection PRMT CTR 10112/200( $75.00 2720000000 Elect'l Final 5PCT CTR 10/12/200( $6.00 2720000000 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 IL not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR N952-001 -0010 through OAR 952-001-0080. You may obtain copies of these rules or direct questions to OUNC at(503) 246-1987. - Issued by t 7 Permittee Signature GfA/ ,2f'�L i r!f770A/ /2�Lic45,6 J m OWNER INSTALLATION ONLY W The Installation Is being made on property I own which Is not Intended for sale. lease,or rent. OWNER'S SIGNATURE: DATE: CONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR. ELEC'N: _ DATE: LICENSE NO: Call 6394175 by 7:00 P.M.for an Inspection needed the next business day -CITY OF TIGARp �,loz 13125 SW HALL BI.VU Restricted Energy Electrical Application Recd by:��iL TIGARD OR 972:3 Dabs Rec'd:�5- V-503-6394171 X30 Incomplete or Illegible applications Pertnit>r: F-503-598-1960 _ �� will not be accepted CusLCal(' - '� Name of Developmerrt prof TYPE OF WORK INVOLVED••RESIDENTIAL UNLY Yk(u 1 �Y 1 � Y",U, ReslActod energy Fee._..... JOB Strcel ddress S�N (FOR ALL SYSTEMS) »»»»~»»»» ADDRESS 2 IWL0 < z cl C State 1.1 — � Check Type of work tnvotv.d: �ECG1VEQ Narma ` ❑ Audio and Stereo tlystema P 9 2040 1 e-, ❑ Burglar Alarm Sti OWNER Mailing rcas � pEVE1APMtNt City/Slate ❑ Garage Door Opaster• WSW O" Phone N ❑ Heating,VerttNation and Air Condooni g System- ADT Security Services ❑ Vacuum systsma- CONTRACTOR Malting 1tD ❑ Oew (otter to all lice a city/state Ztp TYPE OF WORK INVOLVED- copy of all licenss es W—_ COMMERCIAL ONLY are required If Oregon -- _ expired In C.O.T. hrtasem.'.......•-2f3 . »»-»..--....... �76 — datsbase) Elect Co (SEE OAR g1e0�2A0) .00 L/�� �.Oats C-1 ) ` Check Type of Vyork Involvad: C.O.T.or etro lJc.aR Exp Date ❑ Audio and Stereo Systems Owner's Name - OWNER- maNing Addrbss t� BoNer Controls APPLICANT _ ❑ clock Systems City/State z%tp; Phone# Th El TekrcrarnrnunlgyonallOfl P h Issued under OAE OIlI 320.170. agrees to make only restricted energy Installations(100 vat amps or less)under this ❑ Fire Alarm Instsontion permit and to do the following 1. C'nty use electrical licensedpersona to do Installations where requ ❑ HVAC Certain residential and other transactions aro exempt horn Neons ired g. " These have asterisks('). All others need tioensbW ❑ Instrumentation 2. Cap for inspections when Installation under this ❑ Intercom and paging systems Inspection at t603-6394175; �^�are ready/or m ❑ Landscape Irrigation Control' 3. Purchase separate permits for ON InstaNalbrts that ars not ready for an Inspersion when the Inspector Is out to kreped order this p@nv* ❑ Modic-al ,. Assume responsibility for assuring that all oonsco"required by the ❑ Nurse Calls 4. Inspector are done,and: r-7 I- S. Assume responsibility for calling for a final ❑ Outdoor I andscape Lighting* corrections re art completed. Inspec&M wlren 04 of the r�-� �J� Protective Signaling Permits are non-transferable and non-refundebla orb aMW K work is no, ❑ started within 180 days of Issuance or If work b Other m suspended ter 180 days. —- ------�_, WThe person signing for this permit must be the opplew or a person Number of Systems tu authorised to bind the applicant. • No licensee are required. Liosnses w nqk� M athsr InMaNaasrts S' nature ENTER FEES = r 8%SURCHARGE(.08 X TOTAL A" = Q� r AuthorityTOTAL v icanif other than Applt U I:tdsb insireseie doc SW CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Line: 639-4176 Business Line: 639-4171 -- BUP _-__Datil Requested Z/- 3 r AM BLD Location rJ Z ZG 54v /��r.�( s Suitsa ` MEC. Contact Person/n� Ph 01 (4-f - 7Z V Y PLM Contractor Sr`C Ph _ _ SVVR _ BUILDING Tenant/Owner ELC Retaining Wall ELR vd- 23 Footing —�- Foundation Access: FPS Fig Drain Crawl Drain Inspection Notes: SGN Slab SIT Post&Beam Ext Sheath/Shear Int Sheath/Shear Framing _ Insulation Drywall Flailing F irewall L Fire Sprinkler I Fire Alarm Susp'd Ceiling _ Roof Misc: — Final PASS PART FAIL _ PLUMBING Post S Beam --- Under Slab Top Out '—"— Water Service Sanitary Sewer Rain Drains Final PASS PART FAIL MECHANICAL Post&Beam Rough In Gas Line Smoke Dampers Final PASS PART FAIL IL S - pt: Rough In F' UG/Slab W Low Voltage Fire Alarm J PART FAIL (7 W -a Backfill/Grading -'— --- Sanitary Sewer Storm Drain [ j Reinspection fee of$ required before next Inspection. Pay at City Hall. 13125 SW HaN Blvd Catch Basin Ciro Supply Line [ ]Pleas#,rail for reinspection RE: able to Inspect-no scows ADA Approach/Sidewalk Other Date :PInspector Final PASS PART FAIL DO NOT REMOVE this Inspection t ecm fd%m"M Nb 9ft.