Permit CITY OF TIGARD MECHANICAL PERMIT
or • COMMUNITY DEVELOPMENT Permit #: MEC2010 -00340
13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 08/04/2010
< <'!� g Parcel: 1 S134AA01800
Jurisdiction: Tigard
Site address: 10180 SW NIMBUS AVE J2
Subdivision: SCHOLLS BUSINESS CENTER Lot: 0
Project: Spec Space
Project Description: Replace (1) rooftop unit.
Owner: FEES
ROBINSON, CONSTANCE A & Description Date Amount
ROBINSON, LYNN ET AL, BY KG INVESTMENT permit Fee 08/04/2010 $226.88
MGMT, 10240 SW NIMBUS AVE #L3 Plan Review 08/04/2010 $56.72
PHONE: 503 - 598 -9980 12% State Surcharge - Mechanical 08/04/2010 $27.23
Contractor:
FIRST CALL HEATING & COOLING CO
1650 NE LOMBARD ST
PORTLAND, OR 97211
PHONE: 503 - 231 -3311
FAX: 503 - 286 -5194
Type of Use: COM
Class of Work: ALT Type of Const: VB
Occupancy Grp: B Occupancy Load:
Stories: 1
Fuel Air Handlers
Fuel Types: Units < 10000 cfm:
Gas Pressue: Units > 10000 cfm:
Furnaces Boilers & Compressors
Furnaces < 100K BTU: 0 -3 HP:
Furnaces >= 100K BTU: 3 -15 HP:
Floor Furnaces: 15 -30 HP:
Unit Heaters: 30 -50 HP:
Vents w/o Appliances: 50 or Greater HP:
Air Conditioning:
Heat Pump:
Appliances
Vent Fans: Vent Systems: Total $310.83
Hoods: Comm Incinerators:
Woodstoves: Gas Fireplaces: Required Items and Reports (Conditions)
Clothes Dryers: Other Mech Units:
Gas Outlets: Other Desc:
Duct Work:
Fire /Smoke Dampers:
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain a copy of the rules
or direct questions to OUNC by calling 503.246.6699 or 1.800.332.2344.
Issued By/ � Permittee Signature: /f
Call 503.639.4175 by 7:00 a.m. for an inspection that business day.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
i ""
Mechanical Permit Application ` .$ ° r::,,; :� , % - r.
ra i;., _z - . ' s , 11 1 �)A'il �... ..ra .,, " , : .b :
City of 'Tigard C 1((�� / a �nt /
' a JUL 1 5 O 11 Date B ? /{7 �� Permit No t l C.I=�IO'"OV
13125 SW Hall Blvd., Tigard, OR 97223
Fax: 503.598.1960
litikill. Plan Revi (ti
Phone: 503.639.4171 Other pmt
Inspection Line: 503.639.4175 O - It 6B /
T'I G;1 + "KL) p CITY Y rr 9 1\ � t � f� c �'R y io 2 r "" g ' El See Page 2 for
Internet: www.tigard-or.gov
BUILDING �iViS9� " 4 t ethod: 7/� y� �J Supplemental Information
TYPE OF WORK COM ERCtA SCHEDULE , USE CHECKLIST
❑ New construction ® Addition/alteration/replacement Mechanical permit fees* are based on the value of the work
❑ Demolition performed. Indicate the value (rounded to the nearest dollar) of all
❑ Other: mechanical materials, equipment, labor, overhead, and profit.
CATEGORY. OF .CONSTRUCTION Value: $ 55,686.00
❑ i- and 2- family dwelling ® Commercial/industrial ❑ Accessory building RESIDENTIAL EQUIPMENT > SYSTEMS FEES*
❑ Multi-family For special information use checklist.
y ❑Master builder 0 Description 1 Qty. 1 Ea. I Total
/d /' ; i JOB SITE INFORMATION AND • LOCATION . Heating/cooling
Job site address: .14)w nimbus ave Air conditioning
(requires site plan showing placement) 46.75
City/State /ZIP: portland or. 97223 Furnace 100,000 BTU (ducts/vents) 46.75
Suite/bldg. /apt. no.: J2 I Project name: ri 4?-e t Furnace 100,000+ BTU (ducts/vents) 54.91
Cv�� � p%"�' `-C.„ Heat pump 61.06
Cross street/directions to job site: Duct work 23.32
Hydronic hot water system 23.32
Residential boiler (radiator or
hydronic) 23.32
Unit heaters (fuel -type, not electric),
in -wall, in -duct, suspended, etc. 46.75
Subdivision: I Lot no.: Flue/vent for any of above 23.32
Other: rooftop gas/ele 1 23.32
Tax map /parcel no.: Other fuel appliances
. DESCRIPTION. OF WORK. Water heater 23.32
replace 1 rooftop gas/ electric unit Gas fireplace 33.39
Flue vent for water heater or gas
fireplace 23.32
Log lighter (gas) 23.32
Wood/pellet stove 33.39 _
Wood fireplace /insert 23.32
- ® PROPERTY OWNER'. ' • I 0 TENANT Chimney /liner /flue/vent 23.32
Other: 23.32
Name: KG investments Environmental exhaust and ventilation
Address: 10240 sw nimbus ave suite LI Range hood/other kitchen
equipment 33.39
City /State /ZIP: portland or. 97223 Clothes dryer exhaust 33.39
Single -duct exhaust (bathrooms,
Phone: (503 - )598 9980 Fax: ( ) toilet compartments, utility rooms) 23.32
. ® APPLICANT ' . • ❑ CONTACT PERSON Attic /crawlspace fans 23.32
Business name: first call heating & cooling Other: 23.32
Fuel piping
Contact name: Wolfgang Borchard $14.15 for first four; 54.03 for each additional
Address: 1650 ne lombard Furnace, etc.
Gas heat pump
City/State /ZIP: portland or. 97211 Wall /suspended/unit heater
Phone: (503) 247 -2053 Fax: : (503) 247 -2006 1 Water heater
Fireplace
E -mail: wborchard @firstcallheat.com Range
CONTRACTOR' Barbecue
Business name: first call heating & cooling Clothes dryer (gas)
Other:
Address: 1650 ne lombard MECHANICALPERMJT FEES* '
City/State/ZIP: portland or. 97211 Subtotal
Phone: (503) 247 -2053 I Fax: (503) 247 -2006 Minimum permit fee ($90.00)
Plan review (25% of permit fee)
CCB lic.: 102030 State surcharge (12% of permit fee)
TOTAL PERMIT FEE 0 3 • 975
Authorized signature: )(2 '/ / This permit application expires if a permit is not obtained within 180
l/ (1)
days after it has been accepted as complete.
Print name: Wolfgang Borchard: 7 - - 2010 * Fee methodology set by Tri -County Building Industry Service Board
I1 Building \Permits\MEC- PermitApp 10/01/09 440 -4617T (11/02/COM/WEB)