Permit M 7
A CITY OF TIGARD MECHANICAL PERMIT
0 LI DEVELOPMENT SERVICES PERMIT #: MEC2006 -00374
, I- ' 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 9/13/2006
PARCEL: 1S134AD-06202
SITE ADDRESS: 10500 SW NIMBUS AVE T ZONING: I -P
SUBDIVISION: SCHOLLS BUSINESS CENTER LOT: JURISDICTION: TIG
Project Description: TI Mechanical Valuation: $110,000
CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS:
TYPE OF USE: COM UNIT HEATERS: VENT FANS:
OCCUPANCY GRP: A3 VENTS W/O APPL: VENT SYSTEMS:
STORIES: 1 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: C ODSTOVES:
FURN < 100K BTU: AIR HANDLING UNITS LO 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 91131200E $1,517.50
BEAVERTON, OR 97008 [TAX] 8% State Surcha 9/13/200E $121.40
[MECPLN] Plan Rev 9/13/200E $379.37
Phone:
Total $2,018.27
Contractor:
ALLIANT SYSTEMS LLC
1600 NW 167TH PL, STE 330
BEAVERTON, OR 97006 REQUIRED ITEMS AND REPORTS
Contact #: PRI 503- 230 -8991
FAX 503- 230 -9238
Reg #: LIC 153420
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.
1
Issued By: ` O Permittee Signature:
Call 503 - 639 -4175 by 7:00 a.m. for inspections that bu • a
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 rolz orricE tisE o ma
C ity of Tigard RECEIVED Received
Date/By. , Perm No. oL_ 374 /
13125 SW Hall Blvd ,Tigard, OR 97223 I
ft ,' Phone: 503.639.4171 Fax: 50 960 4 2006 Date/B Other Permit:
TIGARD Inspection Line: 503.639 Date R / By� G t�s ® S ee P age 2 f or
Internet: www.tigard - or.gov CITY OF TIGARD Notified/Method Supplemental Information --\
BUILDING DIVISION /1/ �'
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,_apdorofit.
CATEGORY OF CONSTRUCTION
Value: $ //' C9 C,
RESIDENTIAL EQUIPMENT / S '(STEMS FEES*
❑ 1 and 2 family dwelling 'Commercial/industrial ❑ Accessory building
For special information use checklist.
❑ Multi - family ❑ Master builder ❑ Other: Description I Qty. I Ea Total 1 `
JOB SITE INFORMATION AND LOCATION Heating/cooling
Job site address: (0 SW /111.1 �� 74\16 _' '' T" Ai conditioning heat pump
(reqq uires site plan showing placement) 14.00
City /State/ZIP: 7 1 12D , CR- ' 22 3 Furnace 100,000 BTU (ducts/vents) 14.00 •
g p Project t) 2OCk. R LL . 1 i Gas
Furnace 100,000+ BTU ( ducts/vents) 17.90
Suite/bld /a t. no.: Pro ect name: LI lA�urT
Gas heat pump 14.00
Cross street/directions to job site: Duct work 14.00
se t1n Q2 Hydronic hot water system 14.00
rtOL(S a Residential boiler (radiator or
hydronic) 14.00
Unit heaters (fuel -type, not electric),
\\
in -wall, in -duct, su ended, etc. 10.00
Subdivision: Lot no.: Flue /vent for any a above 10.00
K
Other: 10.00
Tax map /parcel no.: 4S'134.1 10 06202 - itTz203 122019Q5 Other fuel appliances
DESCRIPTION OF WORK Water heater 10.00
^ Gas fireplace 10.00
.� ) 1,11 (t Moo QU �
i ) 1 b! Flue vent for water heater or gas
.\.D tZ C�C:,IG . re-LOl-1 14 L og lace 10.00
Log lighter (gas) 10.00
Wood/pellet stove 10.00
Wood fireplace/insert 10.00
XPROPERTY OWNER I ❑ TENANT Chimney/liner/flue/vent 10.00
Other: 10.00
Name: ') ETV L,4 Assoc )ATE S LTD • , , Environmental exhaust and ventilation
Address: Range hood/other kitchen
11 1 41641 �'T equipment 10.00
City /State/ZIP: ` i= 1 O 114 ES / . - A - 5 Z Clothes dryer exhaust 10.00
Single -duct exhaust (bathrooms,
Phone: (515) 243- -0-q- 1 Fax: ( ) toilet compartments, utility rooms) 6.80
X APPLICANT ❑ CONTACT PERSON Attic/crawlspace fans 10.00
Other: 10.00
Business name: IZ-G - 1■IyESTIM'f E WV WAwAG -a- •IE % itc Fuel piping
Contact name: k v Lt= 6 $5.40 for first four; $1.00 for each additional
Furnace, etc.
Address: 1O2 4 O GVJ '1111 BUS / S U 1"1- Z 3 Gas heat pump
City /State/ZIP: T 16, QD / 012_ 9 - 4 223 Wall/suspended/unit heater
Phone: (503598 - 9980 Fax: : (9)3)5 18 998 a Water heater
11 Fireplace
E-mail: 1c:& � LQ 16veSr17lQr1-I-. CO re Range
ONTRACTOR Barbecue
Clothes dryer (gas)
Business name: -co D 21,.t 1 N El . d Other:
Address: Pt (-.( 1 A-,6/ j" S I S w 6/l S - I te,nuV lCi4,.7 K
IA . MECHANICAL PERMIT FEES*
p(
City /State/ZIP: `✓"NVarrt//J 0 5 *?pEjb ,730 Subtotal
Phone: (5 o3) ) 3 - (mei I I Fax: ( ) Minimum permit fee ($72.50)
Plan review (25% of permit fee)
CCB lic.: ‘,S (4).0 State surcharge (8% of permit fee)
TOTAL PERMIT FEE 02)) ,2,�
Authorized signature: ) (, ')r�,Q �/ This permit application expires if a permit is not obtained within 180
". 7 days after it has been accepted as complete.
Print name: G Q w • 5 T I Date: 4 9 / 00 6, • Fee methodology set by Tri- County Building Industry Service Board
1:\ Building \Pamita\MEC- PennitApp.doc 04/06/06 440 - 46171(11 /02/COM/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 buildi require 2 sets of plans.
( 37t O 3
121,
517,.c .&-)g,
PI `tOs
"3'77: 37
. .
I:\Building\Permits 'NEC- PermitApp.doc 12/30/05 2
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MEC2U06-00374
I 13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 9/13/2006
Phone: (503) 639 -4171 t ���n
'
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 11/16/2006 TIME: 7 :07AM PAGE: 35
SITE ADDRESS: 10500 SW NIMBUS AVE T CLASS OF WORK:
' SUBDIVISION: SCHOLLS BUSINESS CENTER LOT #: TYPE OF USE:
PROJECT NAME: SOLID ROCK FELLOWSHIP
DESCRIPTION: TI Mechanical Valuation: $110,000
OWNER: ROBINSON, CONSTANCE A +, PHONE #:
CONTRACTOR: ALLiANT SYSTEMS LLC PHONE #: 503 -230- 8991
Inspection Request Scheduled For: Date: i111512006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 039788 -01 503888 -2023 N
Corrections /Comments /Instructions:
A AI I ,
in ,,,,„1"W
•
•
r- PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL CALL FOR INSPECTION ❑ ADDITI NAL EES ASSESSED
Inspector: Date: t ` l a Phone #: (503) 718 -24?-!
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MEC2006-00374
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/13/2006
Phone: (503) 639 -4171 A
Inspection Requests (24 Hrs.): (503) 639 -4175 IL
INSPECTION WORKSHEET FOR DATE: 11/15/2006 TIME: 7 :07AM PAGE: 33
SITE ADDRESS: 10500 SW NIMBUS AVE T CLASS OF WORK:
SUBDIVISION: SCHOLLS BUSINESS CENTER LOT #: TYPE OF USE:
PROJECT NAME: SOLID ROCK FELLOWSHIP
DESCRIPTION: TI Mechanical Valuation: $110,000
OWNER: ROBINSON, CONSTANCE A +, PHONE #:
CONTRACTOR: ALLIANT SYSTEMS LLC PHONE #: 503-230-8991
Inspection Request Scheduled For: Date: 11/15/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
625 Duct work 039788 -02 503888 -2023 N
Corrections /Comments/ Instructions:
■
i
. 1
w F. 4. r - -
i PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
1-7
❑ FAIL ❑ CALL FOR SPECTION ❑ ADDITIONAL FEES ASSESSED
f ► 0� Z�
Inspector: , Date: 1 Phone #: (503) 718 -
A—
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MEC200( -00374
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/13/2006
Phone: (503) 639- 4171
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 11/16/2006 TIME: 7:07AM PAGE: 6
SITE ADDRESS: 10500 SW NIMBUS AVE T CLASS OF WORK:
SUBDIVISION: SCHOLLS BUSINESS CENTER LOT #: TYPE OF USE:
PROJECT NAME: SOLID ROCK FELLOWSHIP
DESCRIPTION: TI Mechanical Valuation: $110,000
OWNER: ROBINSON, CONSTANCE A +, PHONE #:
CONTRACTOR: AWANT SYSTEMS LLC PHONE #: 503 -230 -8991
• Inspection Request Scheduled For: Date: 11/15/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
620 Hydronic piping 039819-01 971 - 235-3746 N
Corrections /Comments /Instructions:
Alb
r
•
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL CALL FOR INSPECTION ❑ ADDITIONAL EES ASSESSED
Inspector: Date: ( tS Phone #: (503) 718 -7 \�
• CITY OF TIGARD
BUILDING DIVISION PERMIT #: MEC2006 -00374
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/13 /2006
Phone: (503) 639 - 4171
Inspection Requests (24 Hrs.): (503) 639 -4175 s !�±�i ^'I �..
INSPECTION WORKSHEET FOR DATE: 11/13/2006 TIME: 7:04AM PAGE: 78
SITE ADDRESS: 10500 SW NIMBUS AVECT__ CLASS OF WORK:
SUBDIVISION: SCHOLLS BUSINESS CENTER LOT #: TYPE OF USE:
PROJECT NAME: SOLID ROCK FELLOWSHIP
DESCRIPTION: [11 Methanic 1. - Valuation: $110,000
OWNER: ROBINSON, CONSTANCE A +, PHONE #:
CONTRACTOR: ALLIANT SYSTEMS LLC PHONE #: 503-230-8991
: Inspection Request Scheduled For: Date: 11/13/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 039612 -01 503 - 888-0235 N
Corrections /Commeent / fL
1 10 I/ 'foo 6 - 0z I (T-SIS)
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vim- 4 CP
t t (Q 0 S sS - ukC
lAA. (AA4,-,C wi-t. 4 _
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❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
`FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: ���� �� �` `/, A e # 503 2`12 p Date: � Phone ( ) 718
...
_ _
CITY OF TIGARD
• A
BUILDING DIVISION PERMIT #: MEC2006-00374
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/13/2006
0 Phone: (503) 639 -4171 A
Inspection Requests (24 Hrs.): (503) 639 -4175 . �' " ' � ..
INSPECTION WORKSHEET FOR DATE: 11/3/2006 TIME: 5:07PM PAGE: 20
SITE ADDRESS: 10500 SW NIMBUS AVE T CLASS OF WORK:
SUBDIVISION: SCHOLLS BUSINESS CENTER LOT #: TYPE OF USE:
PROJECT NAME: SOLID ROCK FELLOWSHIP
DESCRIPTION: TI Mechanical Valuation: $110,000
OWNER: ROBINSON, CONSTANCE A +, PHONE #:
CONTRACTOR: ALLIANT SYSTEMS LLC PHONE #: 503- 230 -8991
Inspection Request Scheduled For: Date: 11/6/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
615 Mechanical rough -in 039318 -01 503 - 888-0235 Y
Corrections /Comments/ Instructions:
t �5 t FRA‹Auc,--- 0. eb
...( ...,.),
❑ PASS RTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL CALL FOR INSPECTION ❑ ADDITI NAL FEES ASSESSED
Inspector: i Date: ' ( Lo t Phone #: (503) 718- 7
.
r.
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MEC2006-00374
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9 /13/2006
► Phone: (503) 639 -4171
A ➢ ��,
Inspection Requests (24 Hrs.): (503) 639 -4175 1 �..
INSPECTION WORKSHEET FOR DATE: 11/3/2006 TIME: 5:07PM PAGE: 18
SITE ADDRESS: 10500 SW NIMBUS AVE T CLASS OF WORK:
SUBDIVISION: SCHOLLS BUSINESS CENTER LOT #: TYPE OF USE:
PROJECT NAME: SOLID ROCK FELLOWSHIP
DESCRIPTION: TI Mechanical Valuation: $110,000
OWNER: ROBINSON, CONSTANCE A +, PHONE #:
CONTRACTOR: ALLIANT SYSTEMS LLC PHONE #: 503 - 230 -8991
Inspection Request Scheduled For: Date: 11/6/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
625 Duct work 039318 -03 503 - 888-0235 N
Corrections/Comments/Instructions:
(l'U c t ) P I E
❑ PASS PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL .0 ALL FOR INSPECTION ❑ ADDITI ("NAL F ES ASSESSED
Inspector: t„1„ Date: ( i gr i Phone #: (503) 718 - 42
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MEC2006-00374
13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 9/13 /2006
Phone: (503) 639 -4171
A
Inspection Requests (24 Hrs.): (503) 639 -4175 ...' `'I —
INSPECTION WORKSHEET FOR DATE: 11/3/2006 TIME: 5:07PM PAGE: 19
SITE ADDRESS: 10500 SW NIMBUS AVE T CLASS OF WORK:
SUBDIVISION: SCHOLLS BUSINESS CENTER LOT #: TYPE OF USE:
PROJECT NAME: SOLID ROCK FELLOWSHIP
DESCRIPTION: TI Mechanical Valuation: $110,000
OWNER: ROBINSON, CONSTANCE A +, PHONE #:
CONTRACTOR: ALLIANT SYSTEMS LLC PHONE #: 503-230-8991
Inspection Request Scheduled For: Date: 11/6/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
620 Hydronic piping 039318 -02 503- 888 -0235 N
Corrections /Comments /Instructions:
EALL_Frl i (e-r k l�
UAL* - 1�L)
❑ PASS ARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL l CALL FO' INSPECTION ❑ ADDITIO AL EES ASSESSED
Inspector: dtlfaill 6 Date: `' ( Phone #: (503) 718 -
2 z:?2._
'