Permit � Y
~�\ CITY OF TIGARD MECHANICAL PERMIT
PERMIT #: MEC2006 -00063
,�1i� DEVELOPMENT H BMENg Tigard, -639 -4171 DATE ISSUED: 1/30/2006
PARCEL: 1S134AA-01900
SITE ADDRESS: 10115 SW NIMBUS AVE 150 ZONING: C -G
SUBDIVISION: 1 KOLL BUSINESS CENTER TIGARD LOT: 001 JURISDICTION: TIG
Project Description: Replace2 ton roof top unit. Like for like.
CLASS OF WORK: OTR FLOOR FURN: EVAP COOLERS:
TYPE OF USE: COM UNIT HEATERS: VENT FANS:
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:
FIRE DAMPERS ?: 30 - 50 HP: REPAIR UNITS:
WOODSTOVES:
GAS PRESSURE: 50 + HP:
FURN < 100K BTU: AIR HANDLING UNITS CLO DRYERS:
FURN > =100K BTU: < =10000 cfm: OTHER UNITS:
>
GAS OUTLETS:
10000 cfm:
Owner: FEES
ROBINSON, WILLIAM R /CONSTANCE A Description Date Amount
ROBINSON, LYNN + BELL, KAY ET [MECH] Permit Fee 1/30/200E $72.50
BY ELLIOTT ASSOC [TAX] 8% State Surchar€ 1/30/200E $5.80
PORTLAND, OR 97204
Phone: Total $78.30
Contractor:
OREGON HEATING + A/C INC
PO BOX 397 REQUIRED ITEMS AND REPORTS
DUNDEE, OR 97115
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Contact #: PR! 503 538 - 2953
FAX 503 - 537 - 2172
Reg #: LIC 125815
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 OU I by Iling 503 - 246 -6699
or 1- 800 - 332 -2344.
Issued By: _� l� Permittee Signature:
Call 503 - 639 -4175 by 7:00 a.m. for inspections that b iness day.
This permit cans 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.
Mechanical Permit Annlicat'Q �D FOR OFFICE USE ()N1.1 1
.'lty of Tigard Q� Y Received p v Pemut Nom, e ' /
13125 SW Hall Blvd., Tigard, OR 9 �/ � � — -- O `/ /O' r
n Plan Review Other Permit:
Phone: 503.639.4171 Fax: 503.598.1960 u.,e�,.- Date/By.
Inspection Line: 503.639.4175 19\ti 50 2 U�6 I,. i' Date ReadyReady/By: Ready/By: 11, El See Page 2 for
Internet: www.ci.tigard.or.us - Notified/Method Supplemental Information
or/ OP!
COMMERCIAL FEE* SCHEDULE — USE CHECKLIST
Mechanical permit fees' are based on the value of the work
11 New construction Addition/alteration/replacement
performed Indicate the value (rounded to the nearest dollar) of all
❑ Demolition ❑ Other: mechanical materials, equipment, labor ov pnd profit.
CA EGORY OF CONSTRUCTION Value: $
RESIDENTIAL EQUIPMENT / SYSTEMS FEES*
❑ l - and 2- family dwelling Commercial/industrial ❑ Accessory building
❑ Multi - family Master builder ❑ Other: For specs! information use checklist.
Description I Qty. I Ea. I Total
JOB SITE INFORMATION AND LOCATION Heating/cooling
Job site address: //- j 5//// v� > , _ / �e Air conditioning or heat pump
/ f�l ! a (requires site plan showing placement) 14.00
City /State/ZIP: fi / i-pig f Furnace 100,000 BTU (ducts/vents) 14.00
Suite/bldg./apt. no.: / Project name: A.-LI Furnace 100,000+ BTU (ducts/vents) 17.90 Gas heat pump 14.00 CD
Cross street/directions to job site: /� Duct work 14.00
5�� v ` R eside r hot water system 14.00
Residenti al 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: Lot no.:�: 10.00
Tax map/parcel no.: Other fuel appliances
DESCRIPTION OF WORK Water heater 10.00
Gas fireplace 10.00
�t -/li £77, V ll c / - 1 J -, Flue vent for water heater or gas
fireplace 10.00
Log lighter (gas) 10.00
Wood/pellet stove 10.00
Wood fireplace/insert 10.00
Chimney/liner/flue/vent 10.00
PROPERTY OWNER I ❑TENANT Other: 10.00 _
Name: Environmental exhaust and ventilation Address: Range hood/other kitchen
equipment 10.00
City /State/ZIP: Clothes dryer exhaust 10.00
Single -duct exhaust (bathrooms,
Phone: ( ) Fax: ( ) toilet compartments, utility rooms) 6.80
❑ APPLICANT ❑ CONTACT PERSON Attic/txawlspace fans 10.00
Ly/ Other: 10.00
Business name: �S �
Fuel piping
Contact name: C--1))/;7 1......., $5.40 for first four; $1.00 for each additional
Address:
Furnace, etc.
Gas heat pump
City /State/ZIP: Wall/suspended/unit heater
Phone: (OS) gig. 4, Fax: : ( ) Water heater
.r Fireplace
E -mail: k.a.dee' ■ e-107 Range
CONTRACTOR Barbecue
O i1) ) r / Clothes dryer (gas)
Business name: / �-�`y �T�tl��
Other:
Address: v� z� "7 MECHANICAL PERMIT FEES*
City/State/ZIP: ,/! 7�� �✓ of 7f/, Subtotal
Minimum permit fee ($72.50)
Phone: (,5 )3) 5 7 Gj 3 Fax: ) 7 ? -1/2, Plan review (25% of permit fee)
CCB lic.: / �7 5—'5? e State surcharge (8% of permit fee)
TOTAL PERMIT FEE 7 -2
k
Authorized signature: This permit application expires if a permit is not obtained within 180
days after it has been accepted as complete.
Print name: `/✓ / _ n /1 , "'T /, I Date: /z ,...*.../ e . ' Fee methodology set by Tri-County Building Industry Service Board
i:\ Building \PcnnitsV�C- PermitApp.doc 12/03 1 M/WlD3)
r
Mechanical Permit Application - City of Tigard
Page 2 = Supplemental Information
Commercial Fee Schedule:
Total Valuation: Permit Fee: •
$1.00 to $2,000.00 Minimum fee $72.50
$2,001.00 to $5,000.00 $72.50 for the first $2,000.00 and $2.30
for each additional $100.00 or fraction
thereof, to and including $5,000.00.
$5,001.00 to $10,000.00 $141.50 for the first $5,000.00 and
$1.80 for each additional $100.00 or
fraction thereof, to and including
$10,000.00.
$10,001.00 to $50,000.00 $231.50 for the first $10,000.00 and
$1.35 for each additional $100.00 or
fraction thereof, to and including •
$50,000.00.
$50,001.00 to $100,000.00 $771.50 for the first $50,000.00 and
$1.25 for each additional $100.00 or
fraction thereof, to and including
$100,000.00. •
$100,000.01 and up $1,396.50 for the first $100,000.00 and
$1.10 for each additional $100.00 or
fraction thereof.
Note: All new commercial buildings require 2 sets of plans.
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i:\ Building \Permits\MEC- PennitApp.doc 12/03
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CITY- OF TIGARD
BUILDING DIVISION PERMIT #: MEC2006 00061
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/30/2006
Phone: (503) 639 -4171 / A i A ik lIi
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 2/1/2006 TIME: 7:02AM PAGE: 64
SITE ADDRESS: 10115 SW NIMBUS AVE 150 CLASS OF WORK:
SUBDIVISION: 1 KOLL BUSINESS CENTER TIGARD LOT #: 001 TYPE OF USE:
PROJECT NAME: CAFE PERSIA
DESCRIPTION: Replace2 ton roof top unit. Like for like.
OWNER: ROBINSON, 1MLLIAM R /CONSTANCE A, PHONE #:
CONTRACTOR: OREGON HEATING + NC INC PHONE #: 503 538 79F3
Inspection Request Scheduled For: Date: 7J 1/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 026051 -01 03- 849 -8167) V
Corrections /Comments /Instructions: 0....t -(1JT FAA
1 1
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❑ ASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL • CALL FOR INSPECTION ❑ ADDITIO AL EES ASSESSED
Inspector:
/11;1,11 Date: 2d j Phone #: (503) 718 -W-7J