Permit C ITY OF TI GARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT PERMIT #: MEC2007 -00068
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 2/5/2007
PARCEL: 1S134AA-01800
SITE ADDRESS: 10240 SW NIMBUS AVE L2 ZONING: I -P
SUBDIVISION: SCHOLLS BUSINESS CENTER LOT: 002 JURISDICTION: TIG
Project Description: Extend gas line to new meter. Bldg: C. Valuation: $500.
CLASS OF WORK: ALT 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: 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:
GAS OUTLETS:
> 10000 cfm:
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 Signatu
Call 503.639.4175 by 7:00 a.m. for inspections that busi 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 ADDlicat' FC)IZ OFFICE USE ()NIA
City of Tigard ftCER1FD "� 5.1 �/ Pennit ;� /4' • _ 'pp
13125 SW Hall Blvd., Tigard, OR 97223 C •
II I • Phone: 503.639.4171 Fax: 503.598.1980 E B — 5 2007 Ilan Review
Date/By. Other Permit:
TI G n li D Inspection Line: 503.639 CITY ® a ,���® Date ReadyBy. taris: la See Page 2 for
Internet: www.tigard- or.gov Notified/Method Supplemental Information
BUILDINC. DIVISION
TYPE OF WORK COMMERCIAL FEE* SCHEDULE — USE CHECKLIST
Mechanical permit fees' are based on the value of the work
❑ New construction ,el Addition/alteration/replacement
performed. Indicate the value (rounded to the nearest dollar) of all
❑ Demolition ❑ Other: mechanical materials, equipment, lab r, overhead, and profit.
CATEGORY OF CONSTRUCTION Value: $ ,0
RESIDENTIAL EQUIPMENT / SYSTEMS FEES*
❑ 1 - and 2 family dwelling ❑ Commercial/industrial ❑ Accessory building
❑ Multi - family For special information use checklist.
❑ Master builder 0 Description I Qty. I Ea. 1 Total
JOB SITE INFORMATION AND LOCATION Heating/cooling
Job site address: � 42. t. 0 () AA6\A - Air conditioning or heat pump
(requires site plan showing placement) , 14.00
City / State/ZIP: G2 L 7 2 Z3 Furnace 100,000 BTU (ducts/vents) 14.00
Suite/bldg. /apt. no.: e - , . J Project name: $ , 1)Jk 13 ft J Gas hea 100,000+ BTU (ducts/vents) 17.90
_ 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
Subdivision: Lot no.: Flue/vent for any of above 10.00
Other: 10.00
Tax map/parcel no.: Other fuel appliances
• DESCRIPTION OF WORK Water heater 10.00
• Gas fireplace 10.00
e 91: /1 Aii Flue vent for water heater or gas
fireplace 10.00
.Lot; lighter (gas) 10.00
Wood/pellet stove 10.00
Wood fireplace/insert 10.00
%PROPERTY OWNER I ❑ TENANT Chimney/liner/flue/vent 10.00
Other: 10.00
Name: k(1— k) u 1 f�. Environmental exhaust and ventilation
Address: C 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
APPLICANT ❑ CONTACT PERSON Attidcrawlspace fans 10.00
Business name: (� kA nn /� / / �) Other: 10.00
Busin
1 ' VA I C. [ pAt4 JS d A. Fuel piping -
Contact name: y/ q 4j' &Ka �/.. $5.40 for first four; $1.00 for each additional
• Address: r! (, ( S6,r /% N (A/( Furnace, etc. Z
n Gas heat pump
City /State/ZIP: /�� 1 � Q i2 g 2 Z d? Wall/suspended/unit heater
Phone: ( -z3 3 -O 7 I Fax: :\ '3 ) 23/ - / 6 Z — Water heater
Fireplace
E -mail: Range
_ CONTRACTOR Barbecue
{'d „A f , 6 Clothes dryer (gas)
Business name: ,/ Jti "' �" A6
Other:
Address: MECHANICAL PERMIT FEES*
City / State/ZIP: Subtotal
Phone: ( ) Fax: ( ) Minimum permit fee ($72.50)
Plan review (25% of permit fee)
CCB lic.: L a /� State surcharge (8% of permit fee)
- TOTAL PERMIT FEE
_ ] This permit application expires if a permit is not obtained within 180
Authorized signs
days after it has been accepted as complete.
Print name: pA I Date: 0-s" • Fee methodology set by Tri- County Building Industry Service Board
I :\ Building \PermitsMEC- PennitApp.doe 04/06/06 440- 4617T(II /02JCOM/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.
•
•
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1:\Building\Permits\MEC- PermitApp.doc 12/30/05 2 -
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HUNTER - DAVISSON, INC. •
Heating - Air Conditioning - Refrigeration - Controls SHEET NO. OF
1800 S.E. Pershing St. CALCULATED BY ,._ • • DATE
PORTLAND, OREGON 97202
•
(503) 234-0477 . CHECKED BY DATE
FAX (503) 236 -1625
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CITY OF TIGARD
BUILDING DIVISION - A � PERMIT #: MEC2007 -00066
13125 SW Hall Blvd., Tigard, OR 97223 i � DATE ISSUED: yr, -/2007
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639 -4175 �
INSPECTION WORKSHEET FOR DATE: 2/6/2007 TIME: 7 :02AM PAGE: 20
SITE ADDRESS: 10240 SW NIMBUS AVE L2 CLASS OF WORK:
SUBDIVISION: SCHOLLS BUSINESS CENTER LOT #: 002 TYPE OF USE:
PROJECT NAME: SCHOLLS BUSINESS CENTER
DESCRIPTION: Extend gas line to new meter'aluation: $500.
OWNER: ROBINSON, CONSTANCE A +, PHONE #:
CONTRACTOR: HUNTER DAVISSON INC PHONE #: 503 - 234 - 0477
1 Inspection Request Scheduled For: Date: 2/6/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
610 Gas line 043015-01 503-793-1737 N
Corrections /Comm is /Instructions:
4 5 ?-- a-/ a- ? -
- fr 4 -7 24-`(2..- , I CL.—;/■_p
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(L VIAedA . ----.:\------Q 40-------
6k' 1
6 45 -- A - s -- s ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: `7U., Date: (6 Phone #: (503) 718-
(e2-