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Permit C ITY OF TIGARD MECHANICAL PERMIT COMMUNITY DEVELOPMENT PERMIT #: MEC2008 - 00321 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 7/1/2008 PARCEL: 1 S134AA -01900 SITE ADDRESS: 10115 SW NIMBUS AVE 600 ZONING: MUE -2 SUBDIVISION: IKOLL BUSINESS CENTER TIGARD LOT: 001 JURISDICTION: TIG PROJECT: CARTRIDGE WORLD Project Description: Replacing rooftop air conditioner. Valuation: $5200. 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: BOILERS /COMPRESSORS HOODS: FUEL TYPES 0 - 3 HP: 1 DOMES. INCIN: NAT 3 - 15 HP: COMML. INCIN: MAX INPUT: BTU 15 - 30 HP: FIRE DAMPERS ?: 30 - 50 HP: REPAIR UNITS: GAS PRESSURE: 50 + HP: WOODSTOVES: FURN < 100K BTU: AIR HANDLING UNITS CLO DRYERS: OTHER UNITS: FURN > =100K BTU: <= 10000 cfm: GAS OUTLETS: 1 > 10000 cfm: Owner: FEES ROBINSON, WILLIAM R /CONSTANCE A Description Date Amount ROBINSON, LYNN + BELL, KAY ET BY ELLIOTT ASSOC [MECH] Permit Fee 7/1/2008 $145.10 PORTLAND, OR 97204 [MECPLN] Plan Rev 7/1/2008 $36.28 [TAX] 12% State Surch 7/1/2008 $17.41 Phone: Total $198.79 Contractor: OREGON HEATING & NC PO BOX 397 DUNDEE, OR 97115 REQUIRED ITEMS AND REPORTS Contact #: PRI 503 -538 -2953 FAX 503 -537 -2172 Reg #: LIC 172126 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 _ i /f/ �� - ermittee Signature: '/44 Call 5 1 y 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. � c 1.0 ec-b t U (1 S S cej &3( LL( Bus Mechanical Permit Application FOR OFFICE USE ONLY ' Received /By: _ _ City of Tigard ; �� Date It , �j� "ermit No.: /' /LAC., . _' . • i,• 13125 SW Hall Blvd., Tigard, OR 3 Plan Review ►'!V4 Phone: 503.639.4171 Fax: 10 Date I��l�.�Q Other Permit: l' I G n It D Inspection Line: 503.639 Q, Q 1. Date Ready/By: • ®See Page 2 for Internet: www.tigard- or.gov ` . \N ✓ . O � Notified/Method: / A,- y r Supplemental Information JV • ,,11 ` -� P.1, TYPE OF t` " mi. 0:fr. � COMMERCIAL FEE* SCHEDULE - USE CHECKLIST ❑ New construction ty�acement Mechanical permit fees* are based on the value of the work )41.Addition/a1 �O performed. Indicate the value (rounded to the nearest dollar) of all ❑ Demolition ❑ Other: mechanical materials, equipment, labor,9verhe , and profit. CATEGORY OF CONSTRUCTION Value: $ G RESIDENTIAL EQUIPMENT / SYSTEMS FEES* ❑ 1- and 2- family dwelling Commercial/industrial ❑ Accessory building Master builder For special information use checklist. Multi -famil ❑ Multi-family ❑ ❑ Other: Description I Qty. I Ea. I Total JOB SITE INFORMATION AND LOCATION Heating/cooling Job site address: ',/ Air conditioning or heat pump 1 Q 1/51 S L 4 r K" 7 (requires site plan showing placement) 14.00 City/State /ZIP: ,}�L '_ ' „f I IV Furnace 100,000 BTU (ducts/vents) 14.00 Suite/bldg. /apt. no.: //J) l s Prooject dame: 1/V �1ydd Furnace 100,000+ BTU (ducts/vents) 17.90 vv . 6,y.krilitic, Gas heat pump 14.00 Cross street/directions to job site: Duct work 10.00 5 `4.1(�( / , y — 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. 14.00 Subdivision: Lot no.: Flue /vent for any of above 6.80 Other: _ 10.00 Tax map /parcel no.: Other fuel appliances DESCRIPTION OF WORK Water heater 10.00 ' � -V Gas fireplace 10.00 �/�L l � � F 11 � 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 El TENANT Chimney/liner /flue /vent 10.00 lir Other: 10.00 Name: /)I5 5 . - e/1i p .(- 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: ( ) 27 3 p'? /.,, Fax: ( ) toilet compartments, utility rooms) 6.80 p APPLICANT W CONTACT PERSON Attic /crawlspace fans 10.00 - A Other: 10.00 Business name: ©liAl Fuel piping Contact name: C-L-1 fl•-( $5.40 for first four; $1.00 for each additional Address: Furnace, etc. Gas heat pump City /State /ZIP: Wall/suspended/unit heater Phone: (ft) ivy j Z Fax: : ( ) Water heater � LL Fireplace E -mail: e lid /� �►/ l ✓)j . Liar), Range / CO CTOR ✓ Barbecue Business name: Clothes dryer (gas) 044 Other: .. Address: Pa A-.fr 3'1 7- MECHANICAL PERMIT FEES* City/State /ZIP: O �j 7` / ' Subtotal �� '- °r Minimum permit fee ($72.50) Phone: ( g,a ) Vbz- Fax: (gb3 ) 5'74-7 74 7 2 Plan review (25% of permit fee) CCB lic.: ( ?y1 2[,e State surcharge (12% of permit fee) TOTAL PERMIT FEE Authorized signature: This p ermit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name: c_ dv r L I Date: ( � v 43 • Fee methodology set by Tri - County Building Industry Service Board 1:\ Building \Permits\MEC- PennitApp.doc 01/19/07 44 617T (1 /02/COM/WEB) • 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. 1:\Building\Permits MEC- PermitApp.doc 01/19/07 2 CITY OF TIGARD BUILDING DIVISION PERMIT #: MEC2008-00321 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/1/2008 Phone: (503) 639 -4171 Vit Inspe ction Requests (24 Hrs.): (503) 639 -4175 .�.. INSPECTION WORKSHEET FOR DATE: 7/10/2008 TIME: 7:00AM PAGE: 20 SITE ADDRESS: 10115 SW NIMBUS AVE 600 CLASS OF WORK: SUBDIVISION: IKOLL BUSINESS CENTER TIGARD LOT #: 001 TYPE OF USE: PROJECT NAME: CARTRIDGE WORLD DESCRIPTION: Replacing rooftop air conditioner. Valuation: $5200. OWNER: ROBINSON, WILLIAM R /CONSTANCE A, PHONE #: CONTRACTOR: OREGON HEATING & AC PHONE #: 503- 538 -2953 Inspection Request Scheduled For: Date: 7/10/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 699 Mechanical final 072439 -01 503.849 -8162 Y Corrections /Comments/ Instructions: * L1S I63 al'l 5e cry.\ ] PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector 5. Date: /61'y i. 05 Phone #: (503) 718 - ,/2 > CITY OF TIGARD - - BUILDING DIVISION PERMIT #: MEC2008 -00321 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/1/2008 Phone: (503) 639 - 4171 Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 7/2/2008 TIME: 7:01AM PAGE: 33 S '3 LS r a Y SITE ADDRESS: 10115 SW NIMBUS AVE 600 CLASS OF WORK: SUBDIVISION: IKOLL BUSINESS CENTER TIGARD LOT #: 001 TYPE OF USE: PROJECT NAME: CARTRIDGE WORLD DESCRIPTION: Replacing rooftop ail conditioner. Valuation: $5200. OWNER: ROBINSON, WILLIAM R /CONSTANCE A, PHONE #: CONTRACTOR: OREGON HEATING & AC PHONE #: 503 538 - 2953 Inspection Request Scheduled For: Date: 7/2/2008 Pour Time: Code # Inspection Description Confirm # Contact # Messa•e • 6J9 Mechanical final 072126 -01 503•849.8162 (` % Corrections /Comments /Instructions: z-)14 AT/ - c,\ S k 1 .) � Po Rcc= C f<l JOG- iktReiv b ❑ PASS Ei PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ► 4 FAIL //CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: 6 6 Phone #: (503) 718- Z --