Permit I
5 J'' CITY F TIGARD MECHANICAL PERMIT .
s V
COMMUNITY DEVELOPMENT PERMIT #: MEC2007 -00460
, DATE ISSUED: 7/31 /2007
tTtGA,41 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
�^�""" PARCEL: 1 S134AA -01900
SITE ADDRESS: 10105 SW NIMBUS AVE ZONING: MUE -2
SUBDIVISION: IKOLL BUSINESS CENTER TIGARD LOT: 001 JURISDICTION: TIG
PROJECT: BURGER KING
Project Description: Replace rooftop unit. Project Value: $16,550
CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS:
TYPE OF USE: COM UNIT HEATERS: VENT FANS:
OCCUPANCY GRP: A3 VENTS W/O APPL: VENT SYSTEMS:
STORIES: 1 BOILERS /COMPRESSORS HOODS:
FUEL TYPES 0 - 3 HP: DOMES. INCIN:
NAT 3 - 15 HP: 2 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:
OTHER UNITS:
FURN > =100K BTU: <= 10000 cfm: GAS OUTLETS:
> 10000 cfm:
Owner: FEES
ROBINSON, WILLIAM R/CONSTANCE A Description Date Amount
ROBINSON, LYNN + BELL, KAY ET
BY ELLIOTT ASSOC [MECH] Permit Fee 7/31/200 $320.60
PORTLAND, OR 97204 [MECPLN] Plan Rev 7/31/200 $80.15
[TAX] 8% State Surcha 7/31/20M $25.65
Phone: Total $426.40
Contractor:
JARVIS CONSTRUCTION SERVICES
1850 SE THREE MILE LN.
MCMINNIVILLE, OR OR REQUIRED ITEMS AND REPORTS
Contact #: PRI 503- 472 -1836
FAX NA
Reg #: LIC 175419
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 B� � / // �: / � L1
Permittee Signature: c l� , ,..G A
Call 503.639.4175 by 7:00 a.m. for inspections that business day. L/
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
.#''
.o.thoJic ' Pkiio r —
FOR OFFICE USE ONLY
City p Received y Q J �jy�� ��J�
J b .. ' P P F `i1 ` Date / ( ht / / Permit No.:WeeR0!'�Y:4/
of Tiga t� �O � • 13125 SW Hall Blvd._ Tigard, OR 1 ''' � Plan Revie ► .
1 11. Phone: 503.639.4171 Fax: 503.5 8. 0 n 7 Date /By: � i ( 7
`
07 Other Permit:
T I GA R U Inspection Line: 503.639.4175 JUL 2 4 2001 Date Ready/By: �Jens: 13 See Attached Checklist for
Internet: www.tigard or.gov Notified/Method: / [ 0 Supplemental Information
TYPE 01 ` ' REQUIRED DATA: 1- AND 2- FAMILY DWELLING
0 New construction ❑ Demolition Permit fees* are based on the value of the work performed.
Indicate the value (rounded to the nearest dollar) of all
iSt Addition /alteration /replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the
CATEGORY OF CONSTRUCTION
work indicated on this application.
Valuation: $
❑ 1- and 2- family dwelling ,Commercial /industrial
❑ Accessory building ❑ Multi - family Number of bedrooms:
❑ Master builder ❑ Other: Number of bathrooms:
.1013 SITE INFORMATION AND LOCATION Total number of floors:
Job site address: , /0/05 �L) A 0-, }nu 5 New dwelling area: square feet
City /State /ZIP: `- f �J ' `i 4 r ale 9 2 Z - Garage /carport area: square feet
Suite/bldg. /apt. no.: Project name: /n/d 4 Covered porch area: square feet
Cross street /directions to job site: SG f . 0 // v . _ , _.m._, Deck area: square feet
Yt Other structure area: square feet
REQUIRED DATA: COMMERCIAL -USE CHECKLIST
Subdivision: Lot no.: Permit fees* are based on the value of the work performed.
i - Tax map /parcel no.: htdicate the value (rounded to the nearest dollar) of all
equipment, materials, labor, overhead, and the profit for the
DESCRIPTION OF WORK work indicated on this application.
/ � J Valuation: $ / 3-75-0 ®o
f� - )e e v et J,r 6 a Y �. s J" / / N ,,)
Existing building area: s feet
New building area: square feet
® PROPERTY OWNER ❑ ENANT Number of stories:
• Name: / 4 ; 2.e.". ge 5 Te, q ,,.. � 6‘.,,,t- .1 t,� K i 4e Type of construction: / W VAC.
Address: /
/5 00 Aitj 7 l G r- C y /5 Occupancy p groups:
p.
City /State/ZIP: /.� / j- yp,_ / cw 9 6 , Existing:
Phone: (,5 3) 5'06, /.e /0 Fax: ( ) New:
❑ APPLICANT I CONTACT PERSON
NOTICE
Business name: All contractors and subcontractors are required to be
,, licensed with the Oregon Construction Contractors Board
Contact name:
L Q PI/1 e,,,,, 4 k J q f IL 'S under ORS 701 and may be required to be licensed in the
Address: C < y , d ,, e- jurisdiction in which work is being performed. If the
City /State /ZIP: applicant is exempt from licensing, the following reasons
I apply
Phone: ( ) Fax:: ( )
E -mail:
CONTRACTOR
Business name: 1 J 0.'f U -S BUILDING PERMIT FEES*
j (e,... s �l�t''..2r - : -. 5ejj. j
Address: / 6-0 s F. tt. r IM ,' / e / k (Please referta/eeschedufe)
04 p 2 � Structural plan review fee (or deposit):
City /State /ZIP:
c0 resin✓ /4, 7
Phone: ( 3 y72 . ;93 Ce7 Fax: ( ) FLS plan review fee (if applicable):
CCB lic.: /7 9 a f o (� Total lees due upon application:
/ I Amount received:
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