Permit CITY OF TIGARD
MECHANICAL PERMIT
° COMMUNITY DEVELOPMENT PERMIT #: MEC2007 -00665
TIGAARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 10/14/2008
PARCEL: 1 S 134AA -01800
SITE ADDRESS: 10130 SW NIMBUS AVE D1 ZONING: I -P
SUBDIVISION: SCHOLLS BUSINESS CENTER LOT: 002 JURISDICTION: TIG
PROJECT: SCHOLLS BUSINESS CENTER
Project Description: Building D - Replace rooftop unit with like kind. Project Value: $7,000
CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS:
TYPE OF USE: COM UNIT HEATERS: VENT FANS:
OCCUPANCY GRP: B VENTS W/O APPL: VENT SYSTEMS:
STORIES: 1 BOILERS /COMPRESSORS HOODS:
FUEL TYPES 0 - 3 HP: 1 DOMES. INCIN:
NAT 3 - 15 HP: COMML. INCIN:
MAX INPUT: BTU 15 - 30 HP: REPAIR UNITS:
FIRE DAMPERS ?: 30 - 50 HP:
GAS PRESSURE: 50 + HP: WOODSTOVES:
FURN < 100K BTU: AIR HANDLING UNITS CLO DRYERS:
FURN > =100K BTU: <= 10000 cfm: OTHER UNITS:
> 10000 cfm: GAS OUTLETS: 1
Owner: FEES
KG INVESTMENTS MANAGEMENT Description Date Amount
10240 SW NIMBUS AVE
TIGARD, OR 97223 [MECH] Permit Fee 10/14/20C $177.50
[MECPLN] Plan Rev 10/14/20C $44.38
[TAX] 8% State Surcha 10/14/20C $14.20
Phone: Total $236.08
Contractor:
ALLIANT SYSTEMS LLC
1600 NW 167TH PL, STE 330
BEAVERTON, OR 97006 REQUIRED ITEMS AND REPORTS
Contact #: PRI 503- 230 -8991
FAX 503- 230 -9238
Reg #: LIC 153420
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes and all other
applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted in the Oregon
Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain copies of these
rules or direct questions to OUNC by calling 503.246.6699 or 1.800.332.2344.
Issued By � - Permittee Signature. ////
Ov
Call • 9.4175 by 7:00 a.m. for inspections at business day,
This permit card shall be kept in a conspicuous place on the job site until complji • n of the project.
Approved plans are required on the job site at the time of each in -ection.
ec an1Ca erml pp ICatlOn V (-2) k-3 " ' ' . .
•o • . FOR OFFICE: USE ONLY ..--- � ,: City of Tigard • Date t B e d t� ( D7 PermitNo.: 7�
�
q 1 SW Hall Blvd,, Tigard, OR 97:3 EIV y ED
0 Dat Rev , ®� Other Permit:
Phone: 503.639.4171 Fax 503.598.19605'
T I G A k D Inspection Line: 503.639.4175 N 0 V 1 3 Z UU I Date ' eady /: y: Juf�/ ® See Page 2 for
Notified /Method:
Internet: www.tigard- or.gov ` ,I Qr 4 Supplemental Information
CITYCF flUA' 0� r i� J>
• . ,. .l__ a ;l .. r. •
r , , _„ TYPE; OF ; s • 4 0 MM CAL FEE* HEDULE -. USEC'[ ECKL1ST�-
a r r s ;
0 New construction ®Addition /alteration /replacement Mechanical permit fees* are based on the value of the work
performed. Indicate the value (rounded to the nearest dollar) of all
❑ Demolition ❑ Other: mechanical materials equipment, labor, overhead and profit.
-~ C ATEGORY OF NSTR UCTION a ' Value , 0
CO RESIDENTIAL. EQUIPMENT / Sl' M$ FEES *
❑ 1- and 2- family dwelling ® Commercial /industrial ❑ Accessory building
For special information use checklist.
❑ Multi-family ❑ Master builder ❑ Other: Description 1 Qty. I Ea. I Total
f ' JOB`SITE INFORMATIO ?1N1Y LOCA r Heating/cooling
- - Air conditioning or heat pump
Job site address: / Nimbus Ave, Building
(requires site plan showing placement) 14.00
City/State /ZIP: Tigard, OR 97223 Furnace 100,000 BTU (ducts /vents) 14.00
Fumace 100,000+ BTU (ducts /vents) 17.90
Suite/bldg. /apt. no.4, D I Project name: Scholls Bus Gas pack reps Gas heat pump 14.00
Cross street/directions to job site: Close to Hiway 210 Duct work 14.00
Hydronic hot water system 14.00
Residential boiler (radiator or
hydronic) 14.00
Unit heaters (fuel -type, not electric),
in -wall, in -duct, suspended, etc. 10.00
Flue /vent for any of above 10.00
Subdivision: I Lot no.:
Other: 10.00
Tax map /parcel no.: Other fuel appliances
`.. DESCRIP WORK: 1 ; Water heater 10.00
Gas fireplace 10.00
Replace (4) 2 ton gas packs. One located on Building L, and the other on Flue vent for water heater or gas
Building D. Units to be of equal weight and size as originals fireplace 10.00
Log lighter (gas) 10.00
Wood/pellet stove 10.00
Wood fireplace /insert 10.00
Chimney /liner /flue /vent 10.00
D 'PROPERTY„ OER x - ®TENANT;
... _ .. WN �..; . _. �. , . ..� . r. - ',' oth 10.00
Name: KG Investment management Environmental exhaust and ventilation _
Address: 10240 SW nimbus Ave. Range hood/other kitchen
equipment 10.00
City/State /ZIP: Tigard, OR 97223 Clothes dryer exhaust 10.00
Single -duct exhaust (bathrooms,
Phone: ( ) Fax ( ) toilet compartments, utility rooms) 6.80
® ,APPLICANT e ". ;® °CONTACT PERSON Attic /crawlspace fans 10.00
Other: 10.00
Business name: Alliant SSv Leafs
Fuel piping
Contact name: Cochran tl P.O $5.40 for first four; $1.00 for each additional
Address: 1600 NW 167 Place, Suite 330 ,W Furnace, etc.
Gas heat pump
City /State /ZIP: Beaverton, OR 97006 Wall/suspended / unit heater
Phone: (503) 230 -8991 Fax: : (503) 230 -9238 Water heater
Fireplace
E -mail: j.cochran @alliant- systems.com Range
i ._
x ' a Barbecue
Business name: Alliant Systems _ Clothes dryer (gas)
Other:
Address: 1600 NW 167th Place Suite 330
Place, .,_� MECHAI±IIC �- ,` ..
City /State /ZIP: Beaverton, OR 97006 Subtotal
Phone: (503) 239 -8991 Fax: (503) 230 -9238 Minimum permit fee ($72.50)
Plan review (25% of permit fee)
CCB lic.: 153420 State surcharge (8% of permit fee) _
/ TOTAL PERMIT FEE
Authorized Signature: � '�/`�s This permit application expires if a permit is not obtained within 180
days after it has been accepted as complete.
Print name: Jeff Cochran Date: 11 -9 -2007 * Fee methodology set by Tri- County Building Industry Service Board
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