Permit (184) CITY OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT Permit#: MEC2016-00067
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 01/28/2016
Parcel: 1 S 134AA01900
Jurisdiction: Tigard
Site address: 10115 NIMBUS AVE 200
Project: Spec Space Subdivision: IKOLL BUSINESS CENTER,TIGARD Lot: B
Project Description: Installing duct work,registers off of(2)existing RTU's,and an exhaust system for restrooms and dressing rooms.
Contractor: WILLAMETTE HVAC LLC Owner: ROBINSON, CONSTANCE A
3075 SW 234TH AVE.#206 BY KILLIAN PACIFIC LLC
HILLSBORO, OR 97123 500 EAST BROADWAY, STE 110
VANCOUVER,WA 98660
PHONE: 503-259-3200 PHONE:
FAX: 503-848-2597
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 01/28/2016 $330.85
Class of Work: ALT Type of Const: Plan Review 01/28/2016 $82.71
Occupancy Grp: Occupancy Load: 12%State Surcharge-Mechanical 01/28/2016 $39.70
Stories: Info Process/Archiving-Lg$2.00(over 01/28/2016 $4.00
11x17)
Project Valuation: $9,334.00 Info Process/Archiving-Sm$0.50(up to 01/28/2016 $6.00
11x17)
Fuel Air Handlers
Fuel Types: Units<10000 cfm:
Gas Pressure: Units> 10000 cfm:
Furnaces Boilers&Compressors
Furnaces<100K BTU: 0-3 HP:
Furnaces—100K BTU: 3-15 HP:
Floor Furnaces: 15-30 HP:
Unit Heaters: 30-50 HP.
Vents w/o Appliances: 50 or Greater HP:
Air Conditioning:
Heat Pump: -
Appliances
Vent Fans: Vent Systems: Total $463.26
Hoods: Comm Incinerators:
Required Items and Reports(Conditions)
Woodstoves: Gas Fireplaces:
Clothes Dryers: Other Mech Units:
Gas Outlets: Other Desc:
Duct Work: 1
Fire/Smoke Dampers:
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR.)rules
Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work ied within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow tdopted by the Oregon
Utility Notif enter. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. Youn a copy of the rules
or dire questions to O C alling 503.232.1987 or 1.800.332.2344.
Iss ed By: Permittee Signature:
r'
Call 503.639.4175 by 7:00 a.m.for the next available inspection date.
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 sFOR OFFICE [SE ONLN
City of TigardDai iBed
° t Permit No.:
13125 SW Hall Blvd.,Tigard,OR AwPlan Review
Phone: 503.718.2439 Fax: 503. J i Date/By: Other Permit:�Z t�, X
ectionLine: 503.639.4175
Ins ,.:,
� P � t� +\ Date Ready/By: Juris: ® See Page 2 for
Internet: www.tigard-or.gov A, S� Notified/Method: iA7 Supplemental Information
}\v .
TYPE OF W 3 COMMERCIAL FEE* SCHEDULE — USE CHECKLIST
Mechanical permit fees*are based on the value of the work
❑New construction ®Addition/altera _j1,_Q ✓n t performed.Indicate the value(rounded to the nearest dollar)of all
❑Demolition ❑Other: mechanical materials,equipment,labor,overhead,and profit.
•- ���(f„
Value:$$9,334.00
CATEGORY OF CONSTRUCTION "'RESIDENTIAL EQ t iIP141E /SYS`EMS,FEES*
❑ I-and 2-family dwelling M Commercial/industrial ❑Accessory building For special information use checklist.
❑Multi-family ❑ Master builder ❑Other: Description Qty. Ea. Total
JOB SITE INFORMATION AND LOCATION Heating/cooling:
Air conditioning
Job site address:10115 SW Nimbus Ave (requires site plan showing placement) 46.75
Furnace 100,000 BTU(ducts/vents) 46.75
City/State/ZIP:Tigard OR Furnace 100,000+BTU(ducts/vents) 54.91
Suite/bldg./apt.no.:200/2 S V Project name:I Love Kickboxing Heat pump
(requires site plan showing placement) 61.06
Cross street/directions to job site: Duct work 23.32
Hydronic hot water system 23.32
Residential boiler(radiator or
h dronic) 23.32
Unit heaters(fuel-type,not electric),
in-wall,in-duct,suspended,etc. 46.75
Subdivision: Lot no.: Flue/vent for any of above 23.32
Other: 23.32
Tax map/parcel no.: Other fuel appliances:
DESCRIPTION OF WORK Water heater 23.32
Gas fireplace/insert 33.39
Add duct work and registers off two existing RTU's.Install exhaust system for
Flue vent for water heater or gas
restrooms and dressing rooms fireplace 23.32
Log lighter(gas) 23.32
Wood/pellet stove 33.39
Wood fireplace/insert 23.32
PROPERTY OWNER; ❑ TENANT Chimney/liner/flue/vent 23.32
Other: 23.32
Name: Environmental exhaust and ventilation:
Address: Range hood/other kitchen
equipment 33.39
City/State/ZIP: Clothes dryer exhaust 33.39
Single-duct exhaust(bathrooms,
Phone:( ) Fax:( ) toilet compartments,utility rooms) 23.32
0 APPLICANT D CONTACT PERSON Attic/crawls ace fans 23.32
Business name:same as below Other: 23.32
Fuel piping:
Contact name: $14.15 for first four;$4.03 for each additional
Address: Furnace,etc.
Gas heat pump
City/State/ZIP: Wall/suspended/unit heater
Phone:( ) Fax::( ) Water heater
Fireplace
E-mail:
Range
CONTRACTOR Barbecue
Business name:Willamette HVAC,LLC Clothes dryer(gas)
Other:
Address:3075 SE Century Blvd Suite 206 MECHANICAL PERMIT FEES*
City/State/ZIP:Hillsboro,OR 97123 Subtotal
Phone:(503)259.3200 Fax:(503)848.2597 Minimum permit fee($90.00)
Plan review(25%of permit fee)
CCB lie.:56951 State surcharge(12%of permit fee)
TOTAL PERMIT FEE
This permit application expires if a permit is not obtained within 180
Authorized signature: days after it has been accepted as complete.
Print name:michael malstrom Date:1/25/16
* Fee methodology set by Tri-County Building Industry Service Board
1:\Building\Permits\MEC-PermitApp.doc 03/07/12 4404617T(I 1/02/COM/WEB)
Location:
Record Type:
Inspection Type:
Result:
Comments:
Inspection Date:
Record ID:
Inspector:
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
10115 SW NIMBUS AVE 200, TIGARD, OR,
97223
Commercial - Mechanical
699 Mechanical final
PASS - No C of O
MEC2016-00067
Chip Barnett
Violation Summary:
Inspector Contractor