Permit u CITY OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT PERMIT #: MEC2006 -00572
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 11/15/2006
PARCEL: 1 S134AD -06201
SITE ADDRESS: 10450 SW NIMBUS AVE RC ZONING: I -P
SUBDIVISION: SCHOLLS BUSINESS CENTER LOT: JURISDICTION: TIG
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Project Description: Relocate supply and return grills, add new grilles and ductwork.
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
KG INVESTMENTS Description Date Amount
KYLE LATTA
10240 SW NIMBUS SUITE L3 [MECH] Permit Fee 11/15/20( $204.50
PORTLAND, OR 97223 [TAX] 8% State Surcha 11/15/20( $16.36
Total $220.86
Phone: 503 - 598 -9980 , -
Contractor:
GOHMAN MECHANICAL INC
412 S BEAVERCREEK RD., STE 602
OREGON CITY, OR 97045 REQUIRED ITEMS AND REPORTS
Contact #: PRI 503- 650 -1588
FAX 503- 655 -0514
Reg #: LIC 119952
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 rule adopte• in the Oregon
Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 -00 -0100. Yo ma, obtai copies of these
rules or direct questions to OUNC by calling 503.246.6699 or 1.800.332.2344.
Acir B ,o, �Perm ittee Signature: �� i
Call 503.639.4175 by 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.
"1VIechanical Permit Applic i,�. Rec eived 1 OFFICI. l Sl: ONI.l
City of Tigard YY ii �.... Date/By: 5 o & Permit N. a 4 p . e,CO5 ,
. a 13125 SW Hall Blvd., Tigard, OR 97 j 1 5 2006 Plan Review Other Permi
Phone: 503.639.4171 Fax: 503.59g.1960 Date/By: Datey:
TI G A R p Inspection Line: 503.639 CITY OF 'mGMD Date Ready/By: IM ® See Page 2 for
Internet: www.tigard- or.gov BUILDING DIVISION Notified/Method: 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 ❑ Other: mechanical materials, equipment, labor, overhead, and fit.
CATEGORY OF CONSTRUCTION value: 0SOO
1 -and 2 dwelling RESIDENTIAL EQUIPMENT / S FEES*
El y g ❑ Commercial/industrial ❑ Accessory building
For special information use checklist.
❑ Multi family ❑ Master builder ❑ Other: Description ' Qty. I Ea 1 Total
JOB SITE INFORMATION AND LOCATION Heating/cooling
Job site address: 10450 SW Nimbus bldg R #3 Air conditioning or heat pump
(requires site plan showing placement) 14.00
City/State/ZIP: Portland Furnace 100,000 BTU (ducts/vents) 14.00
Suite/bldg. /apt. no.: I Project name: SOFTWARE SOLUTIONS Furnace 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
Flue/vent for any of above 10.00
Subdivision: Lot no.: Other. 10.00
Tax map /parcel no.: Other fuel appliances
DESCRIPTION OF WORK ,-1 Water heater 10.00
RELOCATE EXISTING SUPPLY AND RETURN GRILLS. ADD NEW GRILLS AND Gas fireplace 10.00
DUCTWORK AS NNEDED 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
❑ PROPERTY OWNER I -'' ❑ TENANT Other: 10.00 -
Name: Environmental exhaust and ventilation
Range hood/other kitchen
Address: equipment 10.00
Clothes dryer exhaust 10.00
City/State/ZIP: Single -duct exhaust (bathrooms,
Phone: ( ) Fax: ( ) toilet compartments, utility rooms) 6.80
❑ APPLICANT ❑ CONTACT PERSON Attic/crawlspace fans 10.00
Other: 10.00
Business name: Gohman Mechanical Fuel piping
Contact name: HEATH BURMEISTER $5.40 for first four; $1.00 for each additional
Furnace, etc.
Address: 412 S BEAVERCREEK RD #602 Gas heat pump
City/State/ZIP: OREGON CITY 97045 Wall/suspended/unit heater
Water heater
Phone: (503 -) 650 -1588 Fax: : (503) 655-0514 Fireplace
E -mail: HEATH @GOHMANMECHAMCAL.COM Range
CONTRACTOR Barbecue t/4
4 �f - 50
Clothes dryer (gas)
Business name: Other:
Address: _ - - MECHANICAL PERMIT'FEES•
__-- —
Subtotal
City/State/ZIP: Minimum permit fee ($72.50)
Phone: ( ) . : ( Plan review (25% of permit fee)
CCB lic.: 119952 State surcharge (8% of permit fee) No+>
iva A TOTAL PERMIT FEE ` (9.g&
_ This permit application expires if a permit is not obtained within 180
Authorized signature: ....... days after it has been accepted as complete.
• Fee methodology set by Tri -County Building Industry Service Board
Print name: HEATH BURMEISTER I Date: 11/15/06
?' I:\ Building\Pamits\MEC- PemitApp.doc 04 /06/06 440- 4617T(11 /02/COM/WEB)
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MEC200S -00572
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/15/2006
Phone: (503) 639 -4171 ���
Inspection Requests (24 Hrs.): (503) 639 -4175 .�' r..--
INSPECTION WORKSHEET FOR DATE: 12/13/2006 TIME: 7 PAGE: 4
SITE ADDRESS: 10450 SW NIMBUS AVE RC CLASS OF WORK:
SUBDIVISION: SCHOLLS BUSINESS CENTER LOT #: TYPE OF USE:
PROJECT NAME: SOFTWARE PROFESSIONALS
DESCRIPTION: Relocate supply and return grills, add new grilles and ductwork.
OWNER: KG INVESTMENTS, PHONE #: 503699.9980
CONTRACTOR: GOHMAN MECHANICAL INC PHONE #: 503.650 -1588
Inspection Request Scheduled For: Date: 12/13/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 041051 -01 503. 650 -1588 N
Corrections /Comments /Instructions:
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1111170
1 PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
77 Inspector: d �� 1 / Date: 1 Phone #: (503) 718 - �'
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MEC2006-00572
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/15/2006
Phone: (503) 639 -4171 lac-'
Inspection Requests (24 Hrs.): (503) 639 -4175 �'�. ''I�..
INSPECTION WORKSHEET FOR DATE: 12/13J2006 TIME: 7:04AM PAGE: 8
SITE ADDRESS: 10450 SW NIMBUS AVE RC CLASS OF WORK:
SUBDIVISION: SCHOLLS BUSINESS CENTER LOT #: TYPE OF USE:
PROJECT NAME: SOFTWARE PROFESSIONALS
DESCRIPTION: Relocate supply and return grills, add new grilles and ductwork.
OWNER: KG INVESTMENTS, PHONE #: 503.598-9980
CONTRACTOR: GOHMAN MECHANICAL INC PHONE #: 503.650.1580
Inspection Request Scheduled For: Date: 12/13/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
625 Duct work 041049-01 503 -650 -1588 N
Corrections /Comments /Instructions:
a
■MiiiiiiMii.rit ,
1Ti1rA
tI •
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIO AL F ES ASSESSED
Inspector: drEV Date: L 0 Phone #: (503) 718` '�
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MEC2006-00572
13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 11/15/2006
Phone: (503) 639 -4171 :+�. A �
Inspection Requests (24 Hrs.): (503) 639 -4175 . - F 'f �..
INSPECTION WORKSHEET FOR DATE: 12/13/2006 TIME: 7 PAGE: 9
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SITE ADDRESS: 10450 SW NIMBUS AVE RC CLASS OF WORK:
SUBDIVISION: SCHOLLS BUSINESS CENTER LOT #: TYPE OF USE:
PROJECT NAME: SOFTWARE PROFESSIONALS
DESCRIPTION: Relocate supply and return grills, add new grilles and ductwork.
OWNER: KG INVESTMENTS, PHONE #: 503 -598 -9980
CONTRACTOR: GOHMAN MECHANICAL INC PHONE #: 503-650 -1588
Inspection Request Scheduled For: Date: 12/13/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
615 Mechanical rough -in 041047 -01 503-650.1588 N
Corrections /Comments /Instructions:
AO
Nt.'s.' r c is , le Iry ow
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•
p PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL CALL FOR INSPECTION ❑ ADDITI NAL EES ASSESSED
Inspector: Date: 1 6 Phone #: (503) 718 - 2423