Permit d ' F !p CITY TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT PERMIT #: MEC2007 -00416
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 7/11/2007
PARCEL: 1 S134AA -01900
SITE ADDRESS: 10115 SW NIMBUS AVE 400 ZONING: MUE -2
SUBDIVISION: IKOLL BUSINESS CENTER TIGARD LOT: 001 JURISDICTION: TIG
PROJECT: MY GYM
Project Description: Replace rooftop unit,with like kind, with economizer and smoke detector.
Project Value: $10,200
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: DOMES. INCIN:
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:
FURN > =100K BTU: <= 10000 cfm: OTHER UNITS:
GAS OUTLETS:
> 10000 cfm:
Owner: FEES
NIMBUS CENTER ASSOCIATION Description Date Amount
PO BOX
PORTLAND, OR 97208 [MECH] Permit Fee 7/11/200i $234.20
[MECPLN] Plan Rev 7/11/2007 $58.55
[TAX] 8% State Surcha 7/11/200i $18.74
Phone: 503- 222 -5066 Total $311.49
Contractor:
ARROW MECHANICAL
10330 SW TUALATIN RD
TUALATIN, OR 97062 REQUIRED ITEMS AND REPORTS
Contact #: PRI 503- 692 -1565
FAX 503- 691 -1879
Reg #: LIC 5193
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 e - qu - e • s to OUNC by calling 503.246.6699 or 1.800.332.2344.
O Is ued By: i` Permittee Signature: ���
Call 503.639.4175 by 7:00 a.m. for inspections th t busine I'�
This permit card shall be kept in a conspicuous place on the job s ' e unt' completion of the project.
Approved plans are required on the job site at the time • each inspection.
Mechanical Permit Application - - FOR OFFICE USE ONLY
• t Received / t 7 !'O
City of Tigar ma y: y p 7 Permit No.: NeC. 7 C/
oi 13125 SW Hall Blvd, Tigard, OR 97223 Plan Review
C ' Phone: 503.639.4171 Fax: 503.598.1960 Date/Sy:' Other Permit:
T I G n It D Inspection Line: 503.639 Date R B lulls:
d - or. v �y y' t a See Page 2 for
Internet: www.ti
$� go Notified/Method: / /(a Supplemental Information
TYPE OF WORK COMMERCIAL FEE' SCHEDULE - USE CHECKLIST
❑ New construction Addition/alteration/replacement Mechanical permit fees* are based on the value of the work
performed. Indicate the value (rounded to the nearest dollar) of all
❑ Demolition gOther: mechanical materials, equipment, labor, overhead, and profit.
CATEGORY OF CONSTRUCTION Value: $ JC.)2,,, 0 0
RESIDENTIAL EQUIPMENT / SYSTEMS FEES*
❑ 1- and 2- family dwelling Commercial/industrial ❑ Accessory building
❑ Multi - family ❑ Master builder ❑ Other: For special information use checklist.
Description I Qty. I Ea I Total
JOB SITE INFORMATION AND LOCATION HAP /cooling
Job site address: /C7//5— Air conditioning or heat pump
S(/ J / I �1F�S v� (requires site plan showing placement) 14.00
City / State/ZIP: 772,-74 2 a 9 7 2-23 Furnace 100,000 BTU (ducts/vents) 14.00
Suite/bldg. /apt. no.: 52:Xi Project name. Furnace 100,000+ BTU (ducts/vents) 17.90
Gas heat pump 14.00
Cross street/directions to job site: Kt/ a yy Duct work 14.00
II 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 10.00
Subdivision: I Lot no.: Other 10.00
Tax map /parcel no.: Other feel appliances
DESCRIPTION OF WORK Water heater 10.00
e* Gas fireplace 10.00
C ( /S/ -i / /J -- ' /LG / LACA 77 l ) Flue vent for water heater or gas
/ �
u i � _5/ 'EE ri v k) fireplace 10.00 •
Log lighter (gas) 10.00
10.00
C �/`. n / i tSe: 4 5,44 /th- p�/ Wood/pellet stove
Wood fireplace/insert 10.00
❑ PROPERTY OWNER I ❑ TENANT Chimney/liner /flue/vent 10.00
Other: 10.00
Name: /1 J�1.1 cvQ t T 7 .. $ S �� Environmental eihanst and ventilation •
Address: !tom X' 29 Range hood/other kitchen
(J Z, (� equipment 10.00
Fv
City/State/ZIP: )ZT'La4) ALD % 7 8 Clothes dryer exhaust 10. ()0
Single -duct exhaust (bathrooms,
Phone: ( ZZ7,— SDe, C-, Fax: ( ) toilet compartments, utility rooms) 6.80
❑ APPLICANT h.� / M& 1
PPLIICANT I ❑ CONTACT PERSON Attic/crawlspace fans 10.00
Other: 10.00
Business name: 1 V Le.4 Fuel piping -
A
Contact name: g J b $5.40 for first four; $1.00 for each additional
Address: /6 3 3r) ,S ( _ / -72 L,A�� p ) — Furnace, etc.
f mot/ / Gas heat pump
City/State/ZIP: -773,4 T) M ) g 7 O ( WaWsuspended/unit heater
Phone: (1 DO 609 Z / 5.62 6O S I Fax: : ( ) t , 9 / `/t' 7 ci Water heater •
E -mail: • Fireplace
Range
CONTRACTOR Barbecue
ZQ� / Clothes dryer (gas)
Business name: ,will
Other:
Address: • MECHANICAL PERMIT FEES*
City/ State/ZIP: Subtotal
Phone: ( ) Fax ( ) Minimum permit fee ($72.50) 23 i n (O
Plan review (25% of permit fee) 51. S
CCB tic.: 5 ry ' - _ State surcharge (8% of permit fee) ( 7;' .
4111160 been accepted as complete.
PERMIT FEE �j�, Y
This permit application eation expires if a permit not obtained within n 180
Authorized signature:
_ / J days after it has ceptes comte.
-
.. . . .....
CITY OF TIGARD ;61 BUILDING DIVISION PERMIT #: hIlEC2007 -00416
13125 SW Hall Blvd., Tigard, OR 97223 ` DATE ISSUED: 7/1 1/2007
Phone: (503) 639 -4171 _ (..1 Inspection Requests (24 Hrs.): (503) 639 -4175 � "~
INSPECTION WORKSHEET FOR DATE: 10/26/2007 TIME: 7 :00AM PAGE: 76
SITE ADDRESS: 10115 SW NIMBUS AVE 400 CLASS OF WORK:
SUBDIVISION: IKOLL BUSINESS CENTER TIGARD LOT #: 001 TYPE OF USE:
PROJECT NAME: MY GYM 13 4 6
DESCRIPTION: Replace rooftop unit with like kind, with economizer and smoke d..tector.
Project Value: 10,200
OWNER: NIMBUS CENTER ASSOCIATION, PHONE #: 503?22 -E,056
CONTRACTOR: ARROW MECHANICAL PHONE #: 503.692 -1565
Inspection Request Scheduled For: Date: 10/26/2007 Pour Time: v
Ci
Code # Inspection Description Confirm # Contact # Mes e S
699 Mechanical final 058394-01 334 -01 503 7935027 Y V/ja' 14- -
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yr ASS 14. PARTIAL APPROVAL El CANCEL [1] NO ACCESS
FAIL J El CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
\D ���
Inspector: Date: e Phone #: (503) 718-