Permit C ITY OF TIGARD MECHANICAL PERMIT
°' COMMUNITY DEVELOPMENT PERMIT #: MEC2007 -00067
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 2/5/2007
PARCEL: 1 S134AA -01800
SITE ADDRESS: 10150 SW NIMBUS AVE E2 ZONING: I -P
SUBDIVISION: SCHOLLS BUSINESS CENTER LOT: 002 JURISDICTION: TIG
Project Description: Extending gas line to new meter. Bldg:E. Valuation: $500.
CLASS OF WORK: OTR FLOOR FURN: EVAP COOLERS:
TYPE OF USE: COM UNIT HEATERS: VENT FANS:
OCCUPANCY GRP: VENTS W/O APPL: VENT SYSTEMS:
STORIES: BOILERS /COMPRESSORS HOODS:
FUEL TYPES 0 - 3 HP: 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:
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 2/5/2007 $72.50
BEAVERTON, OR 97008 [TAX] 8% State Surcha 2/5/2007 $5.80
Total $78.30
Phone:
Contractor:
HUNTER DAVISSON INC
1800 SW PERSHING
PORTLAND, OR 97202 REQUIRED ITEMS AND REPORTS
Contact #: PRI 503- 234 -0477
Reg #: LIC 01612
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: Permittee Signature
Call 503.639.4175 by 7:00 a.m. for inspections at busin ay.
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 Application FOR. OFFICE USE ONLY
City of Tigard RECF I�� r B8886..•�III .f ReceiDved Y — /
`-
'� 13125 SW H Blvd., Tigard, OR 9 2 R A ' ..� Y _� X1.1 r
: Plan Review Other Permit:
Phone: 503.639.4171 Fax: 503.598.1960 ry ZOO? DBY
T I G A It D Inspection Line: 503.639.4175 FEB - 5 L Date Ready/By: Julia: ® See Page 2 for
Internet: www.tigard- or.gov Notified/Method: Supplemental information
CITY Or i'iv c r1�'
I IWD DE1, i.
TYPE OF COMMERCIAL FEE* SCHEDULE - USE CHECKLIST
❑ New construction Z 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 ❑ Other: mechanical materials, equipment, labor, overhead, and profit
•
CATEGORY OF CONSTRUCTION - Value: $
❑ 1- and 2- family dwelling ❑ Commercial/industrial RESIDENTIAL EQUIPMENT / SYSTEMS FEES*
❑ Accessory building
For special information use checklist.
❑ Multi ❑ Master builder ❑ Other: Description I Qty. I Ea. I Total
• • JOB SITE INFORMATION AND LOCATION Heating/cooling
Job site address: 10 I .) SW J.1. ek.A S Air conditioning or heat pump
(requires site plan showing placement) 14.00
City /State/ZIP: T Z /„J G' g / 2 23 Furnace 100,000 BTU (ducts/vents) 14.00
Suite/bldg. /a Project name: � � �, f l t,a�� Furnace 100,000+ BTU (ducts/vents) 17.90
CI � ' . Gas heat pump 14.00
Cross street/directions to job site: Duct work 14.00
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 10.00
Subdivision: Lot no.:
er: 10.00
Tax map /parcel no.: Other fuel appliances
. DESCRIPTION OF WORK Water heater 10.00
(91c< fireplace 10.00
I ) dUi 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
; ,I� PROPERTY OWNER I ❑ TENANT- Other: 10.00
Name: j 4 _ L j ( f / A/4 C/v 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
. ErAPPLICANT. ; . ... : . • • ❑,CONTACT PERSON. Attic/crawlspace fans 10.00
n , n & 10.00
,�J (�) v
Business name: -1 C A) Fuel Fael piping
Contact name: 1 % ` -t $5.40 for first four; $1.00 for each additional
Address: l) U S't p v H /Jl!6- Furnace, etc. Z_
Gas heat pump
City /State/ZIP: /00,--t L AA0 D f2 g 7 Z ? Wall/suspended/unit heater
Phone: (1) 731'-( (//' Fax: :r \ -03 )'23/ -/4 Z - Water heater
Fireplace
E -mail:
Range
CONTRACTOR Barbecue
Business name:
� �/ Clothes dryer (gas)
�/�` �� / 4600/
Other:
Address: MECHANICAL PERMIT FEES*
City /State/ZIP: Subtotal
Phone: ( ) Fax: ( ) Minimum permit fee ($72.50)
Plan review (25% of permit fee)
CCB tic.: /‘ /a ' ---\ State surcharge (8% of permit fee)
TOTAL PERMIT FEE
Authorized Signa Thi perm application expires if a permit is not obtained within 180
days after it has been accepted as complete.
Print name: f/Aw 0 Date: 2-s--07 • Fee methodology set by Tri -County Building Industry Service Board
I:\ Building \Permits\MEC- PermitApp.doc 04 /06/06 440 -4617T(11 /02/COM/WEB)
CITY OF TIGARD _
' 4
BUILDING DIVISION PERMIT #: MEC2007 -00067
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 2/5/2007
Phone: (503) 639 -4171 . ,ir,m�, l � l
Inspection Requests (24 Hrs.): (503) 639 -4175 .���-
INSPECTION WORKSHEET FOR DATE: 2/6/2007 TIME: 7 :02AM PAGE: 14
I
SITE ADDRESS: 10150 SW NIMBUS AVE E2 CLASS OF WORK:
SUBDIVISION: SCHOLLS BUSINESS CENTER LOT #: 002 TYPE OF USE:
PROJECT NAME: SCROLLS BUSINESS CENTER
DESCRIPTION: Extending gas line to new meterfiegrialuation: $500.
OWNER: ROBINSON, CONSTANCE A +, PHONE #:
CONTRACTOR: HUNTER DAVISSON INC PHONE #: 503-234 -0477
Inspection Request Scheduled For: Date: 2/6/2Q07 Pour Time:
Code # Inspection Description Confirm # Contact # Message
610 Gas line 043023 -01 503 -793 -1737 N
Correctio s /Comments /Instructions:
RI r s a C t ek.e.,. •
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14 LO7 ("( I I
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` j 'ASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
is FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
V & N . ((2_ A
Inspector: Date: 2 r o 7 P hone #: (503) 718- Z'