Permit a r CITY OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT PERMIT #: MEC2007 -00125
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 2/28/2007
PARCEL: 1 S134AA -01800
SITE ADDRESS: 10160 SW NIMBUS AVE F4 ZONING: I - P
SUBDIVISION: SCHOLLS BUSINESS CENTER LOT: 002 JURISDICTION: TIG
PROJECT: DND HEALTH CARE
Project Description: Adding (2) ducts. Project Value: $2,000
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:
> 10000 cfm:
GAS OUTLETS:
Owner: FEES
ROBINSON, CONSTANCE A + Description Date Amount
ROBINSON, LYNN + BELL, KAY ET
BY INSIGNIA COMMERCIAL GROUP. [MECH] Permit Fee 2/28/2007 $72.50
BEAVERTON, OR 97008 [TAX] 8% State Surchar€ 2/28/2007 $5.80
Phone: Total $78.30
Contractor:
COMPLETE HEATING & COOLING
18310 BENFIELD AVE
LAKE OSWEGO, OR 97035 REQUIRED ITEMS AND REPORTS
Contact #: PRI 503- 332 -4514
FAX 775- 628 -1630
Reg #: LIC 69427
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 51 ••.•••` _ .800.332.2344.
Issued By: i, . // � / /j` s / Permittee Signature:' `t/a / / l , i
� Call 503.639.4175 by 7:00 a.m. for inspection 'hat ''business day
This permit card shall be kept in a conspicuous place on the j , •b sit: until compl io of the p 'b • t.
Approved plans are required on the job site at the • lb • of each ins ion.
02/27/2007 22:05 7756281630 COMPLETE HEATING PAGE 01
Mechanical Permit Application I oii (0-F1( I: ( . • } 1 ,
City of i (.•}1 Received a; o rermit No.:. / fe' , 7 do 4A
13125 SW Hall Blvd., 'figatd, OR 97223 Plan Review
Phone: 503.639.4171 Fax: 503.598.1960 Date/,By: Oder Permit
i t i A i ; t-, Inspection Line: 503.639 Data Ready/By: td See 1Psae 2 for
Internet www.tigatdor.gov Naified/Method
Mil 3applew ttal Information
:, te r, ,. . ..: .,:::::.:::;:,:,,!,.....,..,:;-:.:...,::,...:::..;,..% ._ ,}� yy�hp� t� - 'i
l .- , %•�S •' ,. \`. Sf `?. •iw� ='.ij• 1r:Z - ^. h, N1i'p•.
1:1 New construction ': � ,.5 Addition /alteration/replacement Me' real permit >l s* are b cm the value of the work
performed. Indicate the value (rounded to the nearest dollar) of all
❑ Demolition ❑ Other: mechanical nuderials, eregpment, taboo', overhead, and profit.
' 1:`' alue: S
; .. :�. .� e.. .� ti ' It • I I a •: �1 , rC'.. tots...
�' *..
❑ 1- and 2- family dwelling NC.otuunetcial/industrial 0 Accessary building '
Far special i mall n use checklist
❑ Multi- family ❑ Master builder ❑ Other Description ! Qty. J Ea I Total
+'y' ''S J - -D M1 R r% a.. ! ? �`! P -`•-. ` x % {L 4,i • HcaUn /couhu.
N': 1 r...:: :'... �f�i / - v. M.. ' .. , rte. o- ^ .. ., • e l' j3"�;. / AS // a.Ir,IF�;': .. ",5
lob sire address: J �'l n $, u Ai/M(3115 Ave . # r 7 � 14.00
Air condiaiouing or treat pimp
l„I
City/State/ZIP: '- 7 a 4p Cop R.. 9 r 7 223 Furnace 100,000 BTU fducffilvaes) 14.00
L no.: Project name: "..0)1/46-7j...14--011 Furnace 100,000+ BTU (ducbhtues) 17.90
SuiteJbldgJep
Gas heat f 14.00
Cross street/directions to job site: Duct 14.00 A:
�' """' Hyd[onic bot water lokstan 14.00
SG 0 L 5 ll n (1S [residential boiler (ra halal or
bydionic) 14.00
Unit heaters (fuel -typo, not elcch'ie),
in -wall, in -duct, suspended, eta 10.00
Subdivision I Flan for t of above 10.00
J Other 10.00
Tax map/parcel no.: Other fuel appliances _
t .. r� , .; .s :. y .' � • 1000
u , .'.%r %r. woo !•,. 3,i_A .�,, .:,,,1t WatW24411. he2ger `
. . .. !. � i. . 'l l7R>i5, leT1i.. . r.` L +�1O .... ... ... � ...; ; ;. . d`... =�' .. 1.;^ .
; ' G1as fireplace 10.00
./-0 13 2• t) (J C`3 Flue vent for wader heater of gas
fir glace 10.00
Log lighter (gas) 10.00
Wood/pellet stave 10.00
Wood fioreplacefmaert 10.00
v . r • , -, f....,..f ab•::e Cllarillfy/lrRCieu Vent 10.00
.
? ���; +f ry •L
. .,: +.... 1000
.. .. . , :..... r . � ' ... ..:� ,..: •.^ ::.� .. ; • .: C ' ' 5. ism &F4.ti.
Natne: Re fi//jg(9j C.-OA/ ARiet 9rr.STf/iLrI1 S _E nviuvnanwat exhaust and ventilation
Range hood/otber kitchen
Address: /ago .5w /y1Jv1 CU.. AV 764_1--3 elektmem 10.00
City/State/ZIP: t r ' ,' 4 q r 7 Clothe* di athaust 10.00
` . J / 8 - (S te a '] Q toilet eo t o xeth e (u tility o
Phone: (V - Fax 3) , \ y r 9/5.'
/� ? i t011at OOtopat4mefvds, utility moms) 6.80
r ~+ f : )� 't fans 10.00
/# " ! AttidGtawLc�ece
. : . , __ ,;... _ , h :` 10.00
Business name: Fad plying -
Contact name: S5.40 for f rat four, $1.00 for each additional
Address: Furnace, ctn.
Gas beat pump _
City/State/Zip: WalVsuspmded/tmit heater
- Phone: ( ) I Fax:: ( ) Water heater
Fueplace
E -mail: Range _
.' :: •l: • .( }- . - �" l �: '�� `: • r 3.; N : : • i; Berboc
;: ;: :: ' '• ;.. %.::;• • ��'FIAi. rt,/l1 " .,�1
� ` - - - :r: f. 'et' %:: e•i. �ISIWVLLV
_ ' s " r • .. r: ;�':. Clothes dryet _
Business name: CO MPLF. T4 1 AA _ Other Sys) •
Address: 183'10 I g f 1 El b Ave "" ; ;. `� �;:: ': - • 'n
City/Stntc/ZIP: L4KF 05W 0 '/ I f 03l Subtotal
g r � / ^ Nlmimunm permit Fee ($71.50) ? 2,5
nom (5O.7 )1, 3 z- -467 i pax' (1 ,51 6z)? /4, 0 Pbmi, review (25% ofpermit fee) 8O
CCB lie -: 6 State surcharge (8% of permit foe)
11 TOTAL .PERMIT FEE 7s
Authorized signaUine his permit apptlonion expires its permit h Dot obtained 180
dope Attar it bee bum Accepted m complete.
Print name: _ o U N ._ _ _ . Date: a - a 6 -•. 0 2 I • Pee methadDiogy set by Tri- County Budding Industry Service Board
Maa.;raineiPvairarei:C-PermQ 04/06/06 444461 l.OMME5)
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MEC2007 -00125
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 2/28/2007
Phone: (503) 639 -4171 Ake , l j _ I k
Inspection Requests (24 Hrs.): (503) 639 -4175 .'!!+� `_ _..
INSPECTION WORKSHEET FOR DATE: 3/7/2007 TIME: 7:00AM PAGE: 67
SITE ADDRESS: 10160 SW NIMBUS AVE F4 CLASS OF WORK:
SUBDIVISION: SCHOLLS BUSINESS CENTER LOT #: 002 TYPE OF USE:
PROJECT NAME: DND HEALTH CARE
DESCRIPTION: Adding (2) ducts. Project Value: $2,000
OWNER: ROBINSON, CONSTANCE A +, PHONE #:
CONTRACTOR: COMPLETE HEATING & COOLING PHONE #: 503 -332 -4514
Inspection Request Scheduled For: Date: 3/2/2007 Pour Time:
Code # Inspection Description Confirm # Contact # e
M �j
699 Mechanical final 044221 -02 503-957-1180 Y C J
Corrections /Comments /Instructions:
0
4 1 ..._ = IN ' RRTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
FAIL a ALL FOR INSPECTION ❑ ADDITION' L FE r S ASSESSED
Inspector: S Date: _ 0 Phone #: (503) 718 -
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MEC2007 -00125
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7128/2007
Phone: (503) 639- 4171 i p � l � h l
Inspection Requests (24 Hrs.): (503) 639 -4175 = -
INSPECTION WORKSHEET FOR DATE: 3/1/2007 TIME: 7 :00AM PAGE: 5
SITE ADDRESS: 10160 SW NIMBUS AVE F4 CLASS OF WORK:
SUBDIVISION: SCHOLLS BUSINESS CENTER LOT #: 002 TYPE OF USE:
PROJECT NAME: DND HEALTH CARE
DESCRIPTION: Adding (2) ducts. Project Value: $2,000
OWNER: ROBINSON, CONSTANCE A +, PHONE #:
CONTRACTOR: COMPLETE HEATING & COOLING PHONE #: 503 - 33? - 4514
Inspection Request Scheduled For: Date: 3/1/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Mes �-: C am_
615 Mechanical rough -in 044153 -01 503-380-8229 Fkrb(
Corrections /Comments /Instructions:
F4 PASS % PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ , IL a ' ALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector — ._ —...111.11 ' Date: Y e9 Phone #: (503) 718- (o L
ow