Permit C ITY OF TIGARD MECHANICAL PERMIT
PERMIT #: MEC2006 -00503
411 1 ' DEVELOPMENT SERVICES DATE ISSUED: 10/18 /2006
13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171
PARCEL: 1 S134AA -01800
SITE ADDRESS: 10110 SW NIMBUS AVE' BZ• ZONING: I -P
SUBDIVISION: SCHOLLS BUSINESS CENTER LOT: 002 JURISDICTION: TIG
Project Description: Add 4 vents to main duct work. $500.00
CLASS OF WORK: ADD 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: 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:
Owner: FEES
ROBINSON, CONSTANCE A + Description Date Amount
ROBINSON, LYNN + BELL, KAY ET
BY INSIGNIA COMMERCIAL GROUP [MECH] Permit Fee 10/18120C $72.50
BEAVERTON, OR 97008 [TAX] 8% State Surcha 10/18/20( $5.80
Phone: Total $78.30
Contractor:
BRANDAN EDWARD BLAKE
7210 SE 113TH
PORTLAND, OR 97266 REQUIRED ITEMS AND REPORTS
Contact #: PRI 971 -506 -5077
Reg #: LIC 165809
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: Buip Pia ijk Permittee Signature: r
Call 503- 639 -4175 by 7:00 a.m. for inspections 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.
; - Mechanical Permit Applicatioi ',1.� i A 7 ,. . FOR OFFICE USE ONLY
City of Tigard
i . ( 1 Received e
Date Dy: D Q/_ .
Er
13125 SW Hall Blvd., Tigard, OR 97223 Plan Review 1v
Phone: 503.639.4171 Fax: 503.598.196(OCT 1 8 2006 Other Permit:
O°e2 ° vvyV v U Date;Dy: Permit No
Inspection Line: 50 ?.639.4175 Date Ready'B in B See Page 2 for
TIGA y: ag
Internet: www.tigard- or.gov Notified 'Method: Supplemental Information
TYPE i kT'Tf R =,T1TMTf COMMERCIAL FEE* SCHEDULE - USE CHECKLIST
Mechanical permit fees* are based on the value of the work
❑ New construction ® Addition/alteration/replacement
performed. Indicate the value (rounded to the nearest dollar) of all
❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit.
CATEGORY OF CONSTRUCTION
Value: $ $500.00
1 -and 2-family dwelling RESIDENTIAL EQUIPMENT/ SYSTEMS FEES * - S'.-.
El y g ® Commercial /industrial ❑ Accessory building
For special information use checklist.
❑ Multi - family ❑ Master builder ❑ Other: Description 1 Qty. I Ea. I Total
JOB SITE INFORMATION AND LOCATION Heating/cooling
or Job site address: 10110 SW SCHOLLS FERRY UNI Air conditioning pump
(requires site plan showing placement) 14.00
City /State /ZIP: PORTLAND OR 97223 Fumace 100,000 BTU (ducts /vents) 14.00
Furnace 100,000+ BTU (ducts /vents) 17.90
Suite /bldg. /apt. no.: B2 Project name: CHAPMAN INSURANCE Gas heat pump 14.00
Cross street/directions to job site: SCHOLLS FERRY & NIMBUS Duct work 2 14.00 28.00
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 4 10.00 40.00
Subdivision: Lot no.: Other: 10.00 _
Tax map /parcel no.: Other fuel appliances
DESCRIPTION OF WORK Water heater 10.00
Gas fireplace 10.00
ADDING 4 VENTS FROM MAIN DUCT WORK 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
❑ PROPERTY OWNER ❑ TENANT Chimney/liner/flue/vent 10.00
Other: 10.00
Name: Environmental exhaust and ventilation
Range hood:other kitchen
Address: equipment 10.00
City/State/ZIP: Clothes dryer exhaust 10.00
Single -duct exhaust (bathrooms,
Phone: ( ) Fax: ( ) toilet compartments, utility moms) 6.80
❑ APPLICANT 0 CONTACT PERSON Attic/crawlspace fans 10.00
Business name: CHAPMAN INSURANCE GROUP Other: 10.00
Fuel piping d
Contact name: WENDY LEE VAUGHN $5.40 for first four; $1.00 for each additional
Address: 7160 SW HAZELFERN #800 Furnace, etc.
Gas heat pump
City /State /ZIP: TIGARD OR 97224 Wall /suspended/unit heater
Phone: (503) 352 -0600 Fax: : (503) 352 -0733 Water heater
Fireplace
E -mail: STAFF .HCHAPMANl@FARMERSAGENCY.COM Range
CONTRACTOR Barbecue
Business name: BRANDON E BLAKE Clothes dryer (gas)
Other:
Address: 7210 SE 113TH MECHANICAL PERMIT FEES*
City /State!ZIP: PORTLAND OR 97266 Subtotal 68.00
Minimum permit fee ($72.50) 72.50
Phone: (971) 506 -5077 Fax: ( ) Plan review (25% of permit fee)
CCB lic.: 165809 State surcharge (8% of permit fee) _ 5.80
TOTAL PERMIT FEE 7
Authorized signature: This permit application expires if a permit is not obtained within 180
�� days after It has been accepted as complete.
Print name: BRANDON E BLAKE Date: 10/16/2006 • Fee methodology set by Tri- County Building Industry Service Board
it
1:' Building .Permiis - MEC- PermitApp.dae 04.Os'06 440461T1'(I I.02'COM AVE B)
OCT -13 -2006 FRI 10:01 AM FAX N0. N. 12
SCHOLLS B USINESS CENTER
• 10110 SW Nimbus Avenue, Suite B -2
Portland, Oregon 97223
Office
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Site Plan Approximately 1,065 SF N Nrs
Scale: 1/8"=r-0"
Verified: 06/01/05
Principal'
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fax 503.598.9982
tel 503.598.9980 www.kginvestment.com
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CITY•OF TIGARD
BUILDING DIVISION PERMIT #: MEC200E.00603 ,
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10f10f2006
Phone: (503) 639 -4171 ibo� '
Inspection Requests (24 Hrs.): (503) 639 -4175 A- IL
INSPECTION WORKSHEET FOR DATE: 11/30/2006 TIME: 7 :00AM PAGE: 60
SITE ADDRESS: 10110 SW NIMBUS AVE B2 CLASS OF WORK:
SUBDIVISION: SCHOLLS BUSINESS CENTER LOT #: 002 TYPE OF USE:
PROJECT NAME: CHAPMAN INSURANCE GROUP
DESCRIPTION: Add 4 vents to main duct work. $500.00
OWNER: ROBINSON, CONSTANCE A +, PHONE #:
CONTRACTOR: BRANDAN EDWARD BLAKE PHONE #: 971 - 506.5077
4 4 4 4 f loy m Inspection Request Scheduled For: g 16V30/2006` y P our T
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 040452 -01 971 - 506-2873 N
Corrections /Co ments /Instructions:
1 - a A L% LS ,./ 0 4 :;/"J UJ/
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11] PASS V t ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
W A N Inspector: Date: t 1 / 4 Phone #: (503) 718 -Z 4 Z- (-1
CAF TIGARD --) L
BUILDING DIVISION PERMIT #: r
MEC200f}00603
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/18/2
Phone: (503) 639- 4171+�"�
,� I
Inspection Requests (24 Hrs.): (503) 639 -4175 _ -_' �-j-
INSPECTION WORKSHEET FOR DATE: 1216/2006 TIME: 7:01AM PAGE: 22
SITE ADDRESS: 10110 SW NIMBUS AVE82 CLASS OF WORK:
SUBDIVISION: SCHOLLS BUSINESS CENTER LOT #: 042 TYPE OF USE:
PROJECT NAME: CHAPMAN INSURANCE GROUP
DESCRIPTION: Add 4 vents to main duct work. $500.00
OWNER: ROBINSON, CONSTANCE A +, PHONE #:
CONTRACTOR: BRANDAN EDWARD BLAKE PHONE #: 971.506 -5077
Inspection Request Scheduled For: Date: 12(6/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
- 699 Mechanical fi��nal r - 0740 -1 ' 71- 506-2873 N
Corrections /Comment
1 4a
V r ;W�-�
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A`l PAS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
7 FAIL II CALL FOR I SPECTION ❑ ADDITI AL EES ASSESSED
► -/ _ ' 2
Inspector: ,.AIL _ Date: 5 0� Phone #: (503) 71 8- A23
MVP' `.
CITY ®F TIGARD '
BUILDING' DIVISION a PERMIT #: MEC2006.00503
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/18/2006
Phone: (503) 639 - 4171
Inspection Requests (24 Hrs.): (503) 639 -4175 `'i I..
INSPECTION WORKSHEET FOR DATE: 11/28/2006 TIME: 7:03AM PAGE: 34
SITE ADDRESS: 10110 SW NIMBUS AVE B2 CLASS OF WORK:
SUBDIVISION: SCHOLLS BUSINESS CENTER LOT #: 002 TYPE OF USE:
PROJECT NAME: CHAPMAN INSURANCE GROUP
DESCRIPTION: Add 4 vents to main duct work. $500.00
OWNER: ROBINSON, CONSTANCE A +, PHONE #:
CONTRACTOR: BRANDAN EDWARD BLAKE PHONE #: 971 - 506 - 5077
Inspection Request Scheduled For: Date: 11/28/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
615 Mechanical rough -in 040312 -01 971- 506.2873 N
Corrections /Comments /Instructions:
— I U3S OM-(f- C TO bAT e r'
❑ P S ❑ PARTIAL APPROVAL El CANCEL ❑ NO ACCESS
F AIL ❑ CALL FOR INSPECTION ❑ ADDITI NAL FEES ASSESSED
Inspector: 0 ( Date: ` l J Phone #: (503) 718-04Z-3