10300 SW NIMBUS AVENUE BLDG N STE D Gd 3AV S.newIN MS 0001
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10300 SW NIMBUS AVE PD i
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CITY OF TIGARD
COMMUNITY L:EYELOPMENT DEPARTMEW
13126 SW Hall Blvd.Tigard,Oregon 97223W99 (603)639.4171
PLUMBING PERMIT
PERMIT #. . . . . . . . PLM95--0001
639-4171 r�n DATE ISSUED: 01/05/95
` Y PARCEL e 1 S 134E-1A-01800
<-iI TE ADDRESS. . . : 10 300 SW NIMBUS AVF rf9
SUBDIVISION. . . . : ZONING:
BLOCK. . . . . . . . . . : LOT. . . . . . . . . . . . . .
CLASS OF WORK. . :AI-T GARBAGE-DISPOSALS. . : MOBILE HOME. SPACES. :
TYPE OF USE:. . . . tCOM WASHING MACH. . . . . . . : BACKFLOW PREVNTRS. . s
OCCUPANCY GRP. . :B2 FLOOR DRAINS. . . . . . . :2 TRAPS. . . . . . . . . . . . . . :
S-IURIES. . . . . . . . e1 WATER HEATERS. . . . . . : 1 CATCH BASINS. . . . . . . s
FIXTURES- ~-- - LAUNDRY TRAYS. . . . . . : SF RAIN DRAINS. . . . . :
SINKS. . . . . . . . . . : 1 URINALS—. . . . . . . . . . . . GREASE T-RAPS. . . . . . . .
LAVATORIES. . . . . tl OTHER FIXTURES. . . . . ::
IUP/SHOWERS. . . . : SEWER LINE (ft ) . . . . :
WATER C:LOSETS. . t 1 WATER LINE (ft ) . . . . :
DISHWASHERS. . . . ! " AIN DRAIN (ft ) . . . . :
Elemar-ks : Athena- Tenant Improvement : Delete, add int prtns, add hep toilet rmg,
other fixtures= rough-in fixtures
Owner: -------------------------------.--•---- _-------------- FEES -----•----------
FORUM PROPERTIES, INC. type amount by date reept
10c'r0 SW NIMBUS AVENUE, SUITE L-3 PRMT $ 72. 00 JF 01/05/95 -
PLCK $ 18. 00 JF 01/05/95 -
TIGARD OR 97223 5PCT $ 3. (_0 JF 01/05:95 -
Phnne #: 684-0510
(Antractor: __�____-----___-------------.---
ASSOCIATED PLUMBING COMPANY
I-'U BOX 301362
PORTLAND OR 97230-9362 ----____..__----__.___-- -- - •-----.___-._._._
Phone #: 256--1685 $ 93. 60 TOTAL
57890
------- REQUIRED INSPECTIONS -------
This perait is issued subject to the regulations contained in the 'Top-out Insp
IL Tigard Municipal Code, State of Ore. Specialty Codes and all other Final Inspciction
applicable laws. All wore. wall be done in accordance with
Napproved plans. This permit will expire if work is not started
within 186 days of issuance, or if work is suspended for more
J than 188 days. --
w
{ ermittee Sign2t�_ir e : __ __ '-_-.- -- -- - -- --- -
Issued By: - - --- - - - -
Call for inspection - 639-417`.:,
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City Of Tigard PALMBING PERMIT APPLICATION Planck/Rec. # %
13125 SW :Iall Blvd. Permit # m q F:-000
Tigard, OR 97223
(503) 639-4171
MINIMUM $25.00 PERMIT FEE+ST. SURCHARGE
_._. Now Ohm*FanMM IjeeWermoee Only
( of s iosta01 1!1-
^*+� J 1 BATH HOUSE$110.00 ❑2 BATH HOUSE$195.00
5W W.1.•6S SMqjPj,0.jtD ❑ 3 BATH HOUSE$225.00
Address crn+... a. Fee Inchides all fodurea In the
pkm#rp dwrirg and the first 100 lest
of water service, sanitary sewer and atom sewer. See fees below.
�^•�. M 1 FIXTURES OTT PRICE AMT
Q 1- I�d �� }i is Sink f00"If9.00 ,
M-" 9.00
laC%
Owner I 0 re Sul Ajr^L s 3 010510 Tub or Tub/Showw Comb. 9.00
Cw~o A Shower Only 9.00
Tov L Wow Clow 9.00 �
W.A. Dishwasher 9.00
t Garbage Disposal � 9.00
Occupant MOMW� `` Washing Machine 9.00
oq 00 SW �;I►r B Id P ,.,r t ,) Floor Drain 9.00 43,C'^
clr~ :► Wath Heater 9.00 rx
Od0 � Laundry Room Tray _ 9.00
�^» II +_-'= Urinal 9.00
550(1( i f F)U(Aloa Other Fixtun,s (Specify) 9.00
ma" usw 9.00 no
Contractor ti r+ � C(0 t
U 6DX 30136X 1561685 LAV ,v,M 9O0 �c
a�wsw. a 9.00
Sewer 1 at 100' 30.00
.•r•w�..•.^rb,T-�L- a,M r."•. Sewer-on. Addle. 100' 25.00
ra 1pq o _ 8 Water Service 1st 100' 30.00
I hereby acknowledge that I have read this application, that the Water Service ea. Addk. 200' 25,00
information given is correct, that I am the owner or authorized agent of
the owner, that plans submitted are In compliance with State laws, that Storrs&Rain Drain 1st 100' 30.00
1 am registered with the Construction Contractor's Board, that the Storm b Rain Drain Addle. 1$10' 25.00
number given Is correct. (If exempt from State registra!ion, please ----
give reason below.) Mobile Home Space 25.00
Back Flow Prevention
Device or Anti-Pollution Device 9.00
• -^�M• Dom Any Trap or Waste Not
Connected to a Fixture 9.tln
Describe work new Q addition 0 alteration 0 repair Catch Basin 9.00
to be done residential O non-residential Inap. of Exist. Plumbing 40.001hr
CSpecially Requested Inspections 40.00Jhr
Existing use of
? _`'OlY1/Y���(iGl� _ Rain Drain, single remky dwre" 30.00
building or property
Residential bactdlow prevention
devices 15.00
Proposed u3e of coy"
t�
3 building or property IOMMQrC;A
'(Except nrAs/riiarrtlal drclirllow
prevention dovfces)
O4
NOTICE 'Minimum Fee $25.00 SUBTOTAL h
PERMITS BECOME VOID IF WORK OR CONSTRUCTION
AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR IF 9%SURCHARGE
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED 06
FOR A PERIOD OF 180 DA"S AT ANY TIME AFTER WORK IS /
COMMENCED. PLAN REVIEW 25%OF StMMWAL L
TOTAL
Special Conditions
Date Issued by
CITY OF TIGARD
COMMUNITY DEVELOPMENT DEPARTMENT BUILDING PERMIT
13125 SW Hall Blvd.Tigard,Oregon 97223.61 M (503)639.4171
PERMIT #. . . . . . . : BI.IP95--0001
DATE ISSUED: 01 /04/95
639--4171
PARCEL: 1S134AA-01800
SITE ADDRf fi`.:J. . . : 10,',00 SW NIMBUS AVE #S. P---D
SUBDIVISION. . . . : ZONING:
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . :
REISSUE: FLOOR AREAS---------- EXTERIOR WALL CONSTRUCTION
CLASS OF WORK. :ALT FtRST. . . . :3713 sf Nr S: E: W:
TYPE OF USE. . . :COM SECOND. . . : sf PROTECT OPENINGS?----------•--
TYPE OF' CGNST. :5N THIRD. . . . : sf N: 51 E: W1
OCCUPANCY GRP. :B2 TOTAL-------: 3712 sf ROOF CONST:B F=IRE RET? :Y
OCCUPANCY LOAD: 13 BASEMENT. : sf AREA SEP. RATED:
STOR. : l HT. : 18 ft GARAGE— : sf OCCU SEP. RATED:
BSMT?:N MEZZ?:N REED SETBACKS--------
FLOOR LOAD. . . . : psf LEFT: ft RGHT: ft FIR SPKL:Y SMOK DET. . :N
DWEI-LING UNITS: FRNI ft REAR: ft FIR ALRM:N HNDICP RCC:Y
BEDRMS: BATHS: IMP SURFACE: PRO CORRIN PARKING:
VALUE. t: 35000
Remarks: Athena- Tenant Improvement : Delete, add int prtrs, add hep toilet rms,
Owner: __---.--_-----._--.-._..__._._.----------------------------- FEES
FURUM PROPERTIES, INC. type amoLmt by date recpt
10240 SW NIMBUS AVENUE, SUITE L-3 PRMT $ 215. 50 JF 01/04/95 -
PLCK $ 140. 08 - 94-259997
TIGARD OR 97223 FIRE f 86. 20 - 94-259997
Phore #: 684-0510 5PCT 10. 78 JF 01/04/95 --
Contractor,: --_----._.-----------------------
YORKE & CURTIS
10125 SW BEAVERTON HWY
i3Ef4Vl RTUN OR 97005 ----------___.------------.----------------
1-h o n e #- 6-+6-2123 f 452. 56 TOTAL
55644
------- REQUIRED INSPE:C'TIONS ------
This perait is issued subject tar the regulations contained in the Framing Insp ___....
Tigard Municipal Code, State of Ore. Specialty Codps and all other Insulation Insp
applicable laws. All work will be done in accordance with Gyp Board Insp _
approved plans. This oerait will expire if work is not started Susp Cei ing Insp
4. within 180 days of issuance, or if work is suspended for sore Final Inspection `
than 180 days.
�1 ' 'ermittee (Signature: ? -
Wf - -
ssi_ted By •
Call for inspection - 639-4175
Commercial Building Nmilt ARIlication
City of Tigard13125 SW HaH &W.
Tigard, OR 97223
(503) 6394171
Jobslte Addrm. 03�D s�,� N mays
Tenant: TOLW 1 sun** V7
Valuation: �3y.orz--
Owner: {"a ►i !j µ.v%... ���
—"T
Address:
Phone:
Contractor: �u�.h.� ` l!�•�;., � .
Address:
I ) I
1)�^ a Type of const:
Occupancy class:
Phone: �p' 1.1'z-�..
Sprinklered7 /Yes No
Contractor's License 0_ �i5 o� ar;�, ` L3 t>0'�
(attach copy of mment Oren licensq) Sq. It. of project:
Contact name & phone: . o�� NIS-o,tStory 2nd, etc.)
Proposed use:��+! -� ti".4
AV
Architect/Engirmer: c.�w�w q�� otaA � � -�
- s
Previous use:_ �r
Address: 04o90 W IVAd
lobr4 ANJ D 6-J g�Zo Note: Plumbing & mechanical plans
�. A must be submitted at time of
building permit appl';catlon.
Phone: 114—1170
JOB DESCRIPTION:
Applkant Ign iture & Phone 4imber
Received by: , _____ Date Received: �� �
q Permit d Account Description Amount Amt. Pd. Bal. Due
UP I s'r'C.?o Bldg. Permit (BUILD)
Plumb, Pannit (PLUMB) _
Mach. Permit (MECH)
State Tax (TAX)
Bldg:
Plumb:
Mach:
Plan eck (PLANCK)
Bldg:
Plumb:
Mech:
Sewer Connection (SWUSA%
Sewer Inspection (SWINSF�
Pays Dev Charge (PKSDC
Residential TIF (TIF-R)
Maas Transit TIF f TIF- )
Commercial TIF (TIF-C
Industrial TIF (TIF-1)
Institutional TIF (TIF-IS
Office, TIF (TIF-0
Water Quality (WQU ) -
a
a Water Quantity (!^'QUA T)
Fire Life Safety (FLS)
J
m Erosion Cntrl Permit (ERPRMT)
ul Erosion Planck/USA (ERPLAN)
Erosion Planck/COT (EROSN)
TOTALS.
CITY, OF TIGARD
CO f rY DEVELOPMENT DEPARTMENT CERTIFICATE OF
� MApEIN E OCCUPANCY
13125 BW Nall Blvd.Tlgord,Oregon 97223.8100 (8001/71 f'ERhi I T #. . . . . . . 1 BUP95 0001.
6 -9 41. 71 DATE ISSUEDI 0c,/09/95
\ `
PARCEL: I S 134AA-01800,
SITE. ADDRESS. . . t 1.0300 SW NIMBUS AVE Mii)
SUBDIVISION— . - ZONING:
FLOCK. . . . . . . . . . : LOT. . . . . . . . . . . . . .
CLASS OF WORK. IALT
TYPE OF USE. . . mCOM
OCCUPANCY GRP. iB2
F,CC:UPANCY LOAD11.3
TLNANI NAME. . . s ATHENA
RPm^r,kt, : Athena-- Teviant Tmpruvement : :'•lerte, add int prtne, .add hep toilft rm'p,
Owners
FORUM PROPERTIES, INC.
10240 SW NIMBUS AVEN!)E, SUITE L-3
r
iI GARD OR 97223
alone #1 6e4 -0510
i
� ontrar..tor'a - -______•____-____._____________ • ,
YORKL & CURT I a
10185 5W BEAVERTON HWY
4FAVERTON OR 97005
P-ione #1 646-21123 ti
`` eg
#. . a 55644
�6�
j0ccupAiicy �,f the above referenced building is hereby given, and certifies
Ime compliance with the State Of Oregon Sp(-ciislty Cad es for the group,
6ccupancy, and use under which the refereZperwaa sued.
y�PUILl I INSt TOR NO 0 I IAl_ -�
'r
9 1 POST IN CONEP I CUOU.Ss PLACE
CITY 6F TIGARD
COMMUNITY DEVELOPMENT DEPARTMENT MECHANICAL
13126 SW Hem 31vd.Tigard,Oregon 97223.6199 (603)639-4171 PE RM I 1
PERMIT #. . . . . . . : MEC 9S -0001
639--4171 DATE ISSUED: 01/04/95
Fv
PARCEL: 1 S 134AA-01800
L,J. i t: ADDRESS. . . : 10300 SW N I MBUS AVE
SUBDIVISION. . . . : ZONING:
13LOCK. . . . . . . . . . : LOT. . . . . . . . . . . . . .
-----------------------------------------------------------------------------------------
CLASS OF WORR. . :ALT FLOOR FURN. . . . : EVAP COOLERS:
(YPE OF USE. . . . :COM UNIT HEATERS. . -. VENT" FANS. . . :2
OCCUPANCY GRP. . :B2 VENTS W/O APPL: VENT SYSTEMS:
STORIES. . . . . . . . : 1 BOILERS/COMPRESSORS HOODS. . . . . . . s
FUEL TYPES -_._______..__ 0-3 HP. . . . :2 DOME=S. INCIN:
: /GAS/ / / 3-1,5 HP. . . . : COMML. INCINz
MAX INPUT: N'I U 15-30 HP. . . . REPAIR UNITS:
FIRE DAMPERS?. . : 30-50 HP. . . . s WOODSTOVES. . :
GAS PRESSURE-04 50+ HP. . . . : CLO DRYERS. . .,
IVU. Ul': UNITS----------- AIR HANDLING UNITS OTHER UNITS. :
FURN ( 100K BTU. (- 10000 cfm: GAS 0UTLC=TS. : 1
FURN ) =100K RTU: ) 10000 cfm:
Remarks : Athena- Tenant Impr^ovement : Delete, acid int prtns, add hcp toilet t-ms,
Uwner^. ------------------------------------- -•--------------- FEES -----------•----
FORUM PROPERTIES, INC. type amor.rnt by date recpt
10240 SW NIMBUS AVENUE, SUITE L-3 PRMT $ 30. 00 JG 01/04/95 —
PLCK S 7. 50 JG 01/04/95 --.
TIGARD OR 97223 5PCT t 1. 50 JG 01/04/95 —
F'hone #: 684-0510
Cont Tact or-: ---------.—________--------__—_—
(IMERICAN HEATING, INC.
SE GIDEON
PURI LAND OR 97202 --------_--.--------------------------_— ....
Phone #: 2:.39-4600 f 39. 00 TOTAL
Req R. 33135
-------- REWIRED INSPECTIONS
This permit is issued subject to the regulations contained in the Gas Line Insp
Tigard Municipal Cod!, State of Ore. Specialty Codes and all other mechan i ca 1 Insp _
applicable laws. All work will be done in accordance with 1)Ltc, Inspection
approved plans. This permit will expire if work is not started Final Inspection
within 188 days of issuance, or if work is suspended for mor?
than 180 days. T
c
I S s 1_t e d R Y ��_____..____� _..________.___
Call for- inspection — 639-4175
City of Tigard ' MECHANICAL PERMIT Planck/Rec. # _
13125 SW Wil Blvd. APPLICATION Permit # p�►
Tigard, OR "7223
(503) 639-4171 \!,
Tr Is 3A Mechanical Corse QTY PRICE AMT
JobJAk al k( 1) Permit Fee —0 -0 10.00
Address
2) Supplemental Permit 3.00
acelo 100.000 Ulu
1) incl.duds 6 vents 'f 6.00 1
Owner 2) Ind.ducts d vents 7.50
—
Ar --�C»?Fumai.ue
3) incl. vent 6.00
— �iisperided healitr,w eater
a.�_ 4) or floor mounted heater _ 6.00
-- ventno mr,.in
Occupant 5) appliance permit 3.00
i irr 5F beating,re ng.
6) doling,absorption unit 6.00
—TWT.r or tromp, a pump,air con0.
L3q y 7) to 3 HP;absorp unit to 100K BTU 6.00 2 ,
... Boiler or comp,heal pump,air cond
SG 8) 3 15 HP;absorp mit to 500K BTU 11.00 —
Contractor ✓—�I Boiler or comp.heat pump au corn
�7ZL�Z 9) 15-30 HP,absorp unit .5.1 mil BTU 15.N
... --Refire+or compTiea pump,air COM
k 7 7 10) 30-50 HP;absorp unit 1-1.75 mil BTU 22_50
hereby acknoweagp mat I nave reac mis application,,thate�'L- 130dar or comp,beat pump,airy
information given is correct,that I am the owner or authorized agent 11) > 50 HP;absorp unit 1.75 mil BTU 3 7.50
of the owner,that plans submitted are in complianoe with State r andling unit to
laws,that I am registered with the Construction Contractors Board, 12) 10,000 CFM
that the number given is correct (If exempt from State regisbabon, it an i�urn
please give reason bebw.) 13) 10,000 CTM+ 7.50 _
--- on portable —
14) evaporate cooler 4.50
Vent an connected11
15) to a single duct 100
Ventilation system not --
16) included in appliance permit 4.50
Tq.a w 'd— a�a_ Hood serv;f
17) mechanical exhaust 4.50
escn work new U adclitjoi a era on repsirCommercial or inaistnal
to be done residential() non-residential Q 18) type incinerator 30.00 —
Existing use o -- er i.e.,•w s eve,water
building or property— _ 19) heater,solar,clothes dryers,etc._ _ 4.50 —
a
Proposed use of 20) Gas piping one to four outlets 2.00 2" '
building or property
21) More than 4-per outlet _--_
Type of lust•oil Q natural gal LPG Q electric Q
Iy/ J
t Minimum Fee$25.00 SUBTOTAL 0.
W PERMITS BECOME VOID IF WOrK OR CONSTRUCTION
—j AUTHORIZED IS NOT COMMENCCD WITHIN 180 DAYS,OR 5%SURCHARGE
IF CONSTRUCTION OR WnRK IS SUSPENDEL OR
ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIMF PLAN REVIEW 25%OF SUBTOTAL.
AFTER WORK IS COMMENCED --
TOTAL a1='
Special Conditions
Date issued by
A�►:EWVNi
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