Permit CITY OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT Permit#: MEC2016-00038
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 02/03/2016
Parcel: 1 S134AA01900
Jurisdiction: Tigard
Site address: 10115 SW NIMBUS AVE 200
Project: Spec Space Subdivision: IKOLL BUSINESS CENTER,TIGARD Lot: B
Project Description: Replacing space heater with(1)new RTU with new curb and gas piping.
Contractor: JNB MECHANICAL INC Owner: ROBINSON, CONSTANCE A
3315 NE 112TH AVE A40-41 BY KILLIAN PACIFIC LLC
VANCOUVER,WA 98684 500 EAST BROADWAY, STE 110
VANCOUVER,WA 98660
PHONE: 360-433-9439 PHONE:
FAX: 360-433-9439
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 02/03/2016 $69.06
Class of Work: ALT Type of Const: VB Plan Review 02/03/2016 $17.27
Occupancy Grp: Occupancy Load: 12%State Surcharge-Mechanical 02/03/2016 $8.29
Stories: 1 Info Process/Archiving-Sm$0.50(up to 02/03/2016 $5.00
11x17)
Project Valuation: $7,295.00 Permit Fee 02/03/2016 $202.78
Plan Review 02/03/2016 $50.69
Fuel Air Handlers 12%State Surcharge-Mechanical 02/03/2016 $24.33
Fuel Types: Natural Gas 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 $377.42
Hoods Comm Incinerators:
Woodstoves: Gas Fireplaces: Required Items and Reports(Conditions)
Clothes Dryers: Other Mech Units:
Gas Outlets: Other Desc:
Duct Work:
Fire/Smoke Dampers:
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. 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 iLwork is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utilit otification Ce Those ules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules
or irect questions to OUN ing 0 32.1987 or 1.800.332.2344.
1 sued By: Permittee Signature: ---
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 pro
Approved plans are required on the job site at the time of each inspection. 77!
Mechanical Permit Application
IReceived
City of Tigard at3y: J�jhb
Permit No.:. . . �C r
13125 SW Hall Blvd.,Tigard,OR 97223
Phone: 5037182439 Fax: 50359 Plan Revie
■ Date/By: Other Permit:
Inspection Line: 503.639.4175 � aDate Ready/By: Juds: H See Page 2 for
Internet: www.tigard-or.gov O+� Notified/Method: J/_ Supplemental Information
r� \ tE'
OF {' iCO12CIAL F� * SCIIEOLTLE - SEC, Si
Mechanical permit fees*are based on the value of the work
❑New construction ®Addition/alter ipl01c �i � performed.Indicate the value(rounded to the nearest dollar)of all
❑Demolition ❑Other. ® CS� mechanical materials,equipment,labor,overhead,and profit.
Value:$$7,295.00
CATEGORY OF ciffiWilerioN RESIDENTIAL EQUIPMENT/SYSTEMS FEES•
❑ 1-and 2-family dwelling ®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 46.75
Job site address: 10115 SW Nimbus Ave,Suite 200 Furnace 100,000 BTU(ducts/vents) 46.75
City/State/ZIP:Tigard,OR. Furnace 100,000+BTU(ducts/vents) 54.91
Heat um 61.06
Suite/bldg./apt.no.:200 Project nam enter E S Duct work 23.32
Cross street/directions to job site:SW Scholls Ferry Rd Hydronic hot waters stem 23.32
Residential boiler(radiator or
h dronic) 23.32
Unit heaters(fuel-type,not electric),
in-wall,in-duct,suspended,etc. 46.75
Flue/vent for any of above 23.32
Subdivision: Lot no.: Other: 23.32
Other fuel appliances:
Tax map/parcel no.: Water heater 23.32
DESCRIM?ION OF-WORK _ Gas fire lace/insert 33.39
�!.
Flue vent for water heater or gas
Demo space heater,swamp cooler:Replace with 4 ton gas pack,curb,drops(land- fireplace 23.32
lord work),gas pipe from existing gas pipe on roof Log lighter(gas) 23.32Wood/pellet stove 33.39
Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
® PROPERTY O ' IER TBNANT Other: 23.32
Environmental exhaust and ventilation:
Name:FC Services LLC/Susan Gray Range hood/other kitchen
equipment 33.39
Address: 2501 SE Columbia Way,Ste.240 Clothes dryer exhaust 33.39
City/State/ZIP:Vancouver,Wa.98661 Single-duct exhaust(bathrooms,
toilet compartments,utility rooms) 23.32
Phone:(360)597-7040 Fax:( ) Attic/crawlspace fans 23.32
® 'AI'I'LICANT C3.CONTACT PEItSUN Other: 23.32
Business name:JNB Mechanical Fuel piping:
$14.15 for first four;$4.03 for each additional
Contact name:Lyle Kargel Furnace,etc.
Address:3315 NE 112"Ave,Ste A4041 Gas heat pump
Wall/suspended/unit heater
City/State/ZIP:Vancouver,WA.98682 Water heater
Phone:(360)433-9067 Fax: :(360)433-9439 Fireplace
Range
E-mail:lyle@jnbmech.com Barbecue
r.< . COI�IIIACTOR Clothes dryer(gas)
Other
Business name:SameEATjICALEf)1T° S"
Address: Subtotal
City/State/ZIP: Minimum permit fee($90.00)
Plan review(25%of permit fee)
Phone:( ) Fax:( ) State surcharge(12%of permit fee)
CCB lic.:176150 TOTAL PERMIT FEE
This permit application expires if a permit is not obtained within 180
days after it has been accepted as complete.
Authorized signature: * Fee methodology set by Tri-County Building Industry Service Board
Print name: Date:1/12/16
I:\Building\Permits\ME _PermitApp_04 131c 4404617T(11/02/COM/WEB)
Mechanical Permit Application - City of Tigard
Page 2 - Supplemental Information
Commercial & Multi-Family Fee Schedule:
Tatar:Valuation Permit Fee;
$0.00 to$500.00 Minimum fee$69.06
$500.01 to$5,000.00 $69.06 for the first$500.00 and
$3.07 for each additional$100.00 or
fraction thereof,to and including
$5,000.00.
$5,000.01 to$10,000.00 $207.21 for the first$5,000.00 and
$2.81 for each additional$100.00 or
fraction thereof,to and including
$10,000.00.
$10,000.01 to$50,000.00 $347.71 for the first$10,000.00 and
$2.54 for each additional$100.00 or
fraction thereof,to and including
$50,000.00.
$50,000.01 to$100,000.00 $1,363.71 for the first$50,000.00 and
$2.49 for each additional$100.00 or
fraction thereof,to and including
$100,000.00.
$100,000.01 and up $2,608.71 for the first$100,000.00 and
$2.92 for each additional$100.00 or
fraction thereof.
Note: All new commercial buildings require 2 sets of plans.
IABui1ding\Permits\MEC_PcrmitApp_040113.doc 2
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
MEC2016-00038
Chip Barnett
Violation Summary:
Inspector Contractor