10150 SW NIMBUS AVENUE BLDG E STE 5 93 3AV sn8WIN AAs OGWI,
Ln
Lu
a
a �
m
3
m cn
w o
10150 SW NIMBUS AVE E5
CITY MJF TIGARD MECHANICAL
DEVELOPMENT SERVICES PERMIT
• PERMIT #. . . . . . . r MEC97-0095
13125 SW Hall Blvd.,Tigard,OR 97223 (503)8394171 DATE ISSUED: 04/17/97
Pr4RCEL: 1S134AR-01800
SITE ADDRESS. . . : 10150 SW NIMBUS AVE #E-5
SUBDIVISION. . . . : 1 KNOLL. BUSINESS CENTER TIGARD ZONING: I—P
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . :2 JUPISDICTION: TIG
--------------------•--------------------------------------------------------------
CLASS OF WORK. . :ALT FLOOR FURN. . . . : 0 EVAP COOLERS: 0
TYPE OF USE. . . . :COM UNIT HEATERS. . : 0 VENT FANS. . . : 0
OCCUPANCY GRP. . :B VENTS W/O APPL: 0 VENT SYSTEMS: 0
STORIES. . . . . . . . . 0 BOILERS/COMPRESSORS HOODS. . . . . . . : 0
FUEL TYPES------------ 0-3 HFA. . . . : t DOMES. INCIN: 0
:GAS 3-15 HP. . . .. a 0 COMML. INCIN: 0
MAX INPUT: 250000 BTU 15-30 HP. . . . : 0 REPAIR UNITS: 0
FIRE DAMPERS?. . : N 30-50 HP. . . . : 0 WOODSTOVES. . : 0
GAS PRESSURE. . . : M 50+ HP. . . . : 0 CLO DRYERS. . : 0
NO. OF UNITS---------- AIR HANDLING UNITS OTHER UNITS. : 0
FURN < 100K BTU: 1 <= 10000 cfm: 0 GAS OUTLETS. : 0
FURN > =100K BTU: 0 ! 1Q.000 cfm: 0
Remarks - Install one new two ton roof mounted gas-pack with factory curb.
Owner: -------•--------------------------------- FEES
FORUM PROPERTIES type amount by date recpt
10240 SW NIMBUS AVE, SUITE L-3 PRMT $ 25. 00 JMH 04/17/97 97-293457
TIGARD OR 97223 PLCK $ 6. 25 JMH 04/17/97 97-293457
5PCT $ 1. 25 JMH 04/17/97 97-293457
Phone #:
Contractor: --------------------------------
HUNTER—DAVISSON
3410 SE 20TH AVE
PORTLAND OR 97202 ---------------------------------------
Phone
-------------------------------_—.___—
Phone #! f 32. 50 TOTAL_
Reg #. . : 0 16 12
------- REQUIRED INSPECTIONS -------
This permit is issuer; subject to the regulations contained in the Mechanical Insp
Tigard Municipal 'uo,je, State of Ore. Specialty Codes and all other Final Inspection
O applicable laws. all work will be done in accordance with
approved plans. This permit will .xpire if work is net started
t~!1 within 194 days if issuance, or if work is suspended for more
than 184 days.
_m
�
Permittee Si gnaturee
Tssupd By:
Call for inspection — 639-4175
�L-
CITY OF TIGARD Mechanical Permit Application Plan Checj;,at R,c'd ey�CL��
13125 SW HAIL BLVD. Commercial and Residential Date ReCd
TIGARD;OR 97223 Date to P E n4 /09 -3
(503) 539-4171, X304 Dater to DST_
Print or Type Permits IACC 7-ot-A5"
Called '
_ Incomplete or wale ible a plications will not be accepted -
Nome 0"elopmenwrolect Description /
OofLL-5 V"r/"E. Taole 1A Mer.han cal Code 4TH' PRICE AMT
Job :+tract Address Suns+ A) Pen)it Fee -- 0 4 10.00
Address -/ 013'a Sj.U,,,t. NItAt0 E -s to
- Bid a Cnvistste tip '� ,�
B) Supplemental Permit 3 Op
Nome for name or bus,nessl 1 ) Furnace to 100.000 BTtJ 600 --
Owner j&A L. inct ducts 6 vents Av
Manrng Address 2.) r-umace 100,000 STU+
7.50
incl.duds a vents
Cny ststo
Zip Prion.'- 3)'Floor Furnace Boo
incl.vent
Nome(a name of busnesal .__.. 4.) Suspended heater,wall heater 6 00
_ floor mounted treater
Occug ant Mailing Address 5) vent not incl.in
3.00
appliance permit
Cny,Slato Zip Phone 6) Boiler or comp,heat pump air Gond. 6.00
to 3 HP:absotp unit to t00K BTU �JD
N tv
__ ,p,, 7.) Botler or comp,heat pump,alt pond. 11.00
CC P 1N T� Uz rV is okj if N C• 3-15 HP:Ibsorp unit to 300K BTU
Contractor 4 Afte" 8.) Boiler or r�rnp.heat pump,air Gond. 15.00
r
3 c � ,��- 1530"P;aba.orp,unit.5-1 and BTU
(Prior M /stare zip Phone 9.) t3^.,trer or comp,heat pump,air Gond. 22...50
issuance a ropy rQ(LT3 J°1 J 41 cid. 9 7T„� z T .d 77 30.50 HP:absorp unit 1-1.75 mi18TU
of all licenses are Orepdn Corm.Cont.9'6sm Licc.10 - t� 10.) Boiler or comp,hest pump,air cord. 37.50
required H t7 (y / ? �H~ -�' >50 HP;absorp unit 1.75 mil BTU
expired in C.O T COT Busi ess T841 Mebo a cane--- 11., ,lir handling unit to 4.50
data base) 2- /S-6P .i7 10,000 CFM
Architect Name _ 12.) .",ir handling unit �- 7.50
IVT aQ0 C ` 10,000 CTM+
or MM" 13.) Non portable 4,50
16- SIL eva rate cooler _
Engineer CNy/state Phone 14.) Vnnt fan connected 3.00
_ P001. �'j7o Z11t-Ay7 toasi le dud
Describe work New 0' Naoitbn O Alteration Y Repair O 15.) Ventilation system not 4.50
to be done Residential O Non-residential• inCluded in appliance permit
Additional Dacnption of work 16.) Hood served by mechanical exhaust 4.50
/N ST,)t C ?71, ,P PJ F Z 7a N C_t.oej;�
17) Domestic incinerators _ 7.50
Existing use of _ 18.) Commercial or industnaltype 30.00
budding or prope,ry incinaretor
19.) Repair units 4.50
Proposed use of 20) Woodstove 450--
huik/ing or property
0- --
_ - 21)Clothes dryer,etc.- ^_ -- 4.50
U) Type of fuel-oil O natural gas O LPG Oelectric O 22) Other units 4.50
_ I herehy acknowledge that I have read this aar"-ition,that the 23) Gas piping one to four outlets 2.00
_J information given is correct,that 1 am the ..vner or authorized agent of
m the owner,that plans submitted are in com Hance with Oregon State 24) More than 4-per outlet (each) 50
LUlaws _L�L_
W
-'t Signature of Owner/Agent Date - QTY,SUBTOTAI_
-� � 'SUHTOTAL �59
Contact Person Name Phone 5%SURCHARGE J
PLAN REVIEW 25%OF SUBTOTAL /
p -
TOTAL.
01
I tdsttmechpmt doc (rev 7/96) 'Minimum permit fes is$2S+5%surchar"
• '� HUNTER-DAVI S N, INC. roe
S 0
Heating • Air Conditioning • Refrigeration :;HEET HD L p
3S.E. 20th Ave.
PORTLAND,
D, OREGON 97202 CALCULATED BV _____ DATE
(503) 234-0477
FAX (503) 236-1625 CHECKED BY _____ —_ DATF
SCALE
12g►�# -t�q.-
L M
i
17S' 0 I tl.�t ? M o,sNTti�
9000Pr1-ct�—
/2 1110 /0 —
C,ARRIM MDo#48SSoz4aM_
Cttitr w r. 3CrV
F to
o
IL SUITE E-5
ac
m CITY OF TIGARD
roved.... ......[ 1 101r;0_ S .W. NIMBUS AVE
AppConditionally Apprcved..................
):
m
� For only the Work as describe
w PERMIT
See Lette; t°' Follow......................... �.
Attachbu
AJ,In
doh AddrP-ss;4` Date:.
CITY OF TIGARD BUILDING INSPECTION DIVISION
24-Hour Inspection Line: 6394175 Business Phone. 6394171
Date Requested:/ _ A.M. P.M. MST:
Location:i Iy ..��!}��®S' BUR —
Tenant:— _ Suite: _
Bldg: MEC:� �
Ccmtrartor: y 4i{,4y� �
1 J y � . :;LO PLM: _
chvner:�
—. — /'eit tL� _14.0— ELI:
BUILDIBLDG(con't) PLUMBING MECHAN AL ___ELECTRICAL SITB
Site Post/Beam Post/lleam Cover/Service Sewer/Storm
Footing Roof UndFUSlab Rough-In Ceiling Water Line
Slab Framing lbp Out Gaq Line Rough-In UCS Sprinkler
Foundation Insulation Sewer Ilood./Duc Reconnect Vault
B.�nt Kemp Drywall Storm Furnace Temp Service MISC.
Ma"Hy Ceiling Rain Drain A1C UG Slab
Shear'Sheath Fire Spklr/Alm C,rowl/Found IN Heat Pump Low Volt
Approved Approved pprov Approved Approved
Appr/Sdwlk Not Appmved Not Approval c. ppmved Not Approved Not Approved
FINAL FINAL, FINAL FINAL
IL
a
J
J
17.1 Call for reinspect'
n O Reinspection fee of S required before next inspection Q Unable to inspect
ed
Inspector: "/ /� Date:
y Peof �___—