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10160 SW NIMBUS AVENUE BLDG F STE 6 9A 30=301114 MS 0901, u- cc m a � � m r� z J cn _m O W Co 10160 SW NIMBUS AVE FF CITY OF TIGARD CERTIFICATE OF OCCUPANCY DEVELOPMENT SERVICES PERMIT#: BUP2005-00357 13125 SW Hall Blvd.,Tigard, OR 97223 (503)6394171 DATE ISSUED: 7/28/2005 PARCEL: 1 S134AA-01800 ZONING: I-P JURISDICTION: TIG SITE ADDRESS: 10160 SW NIMBUS AVE F6 SUBDIVISION: SCHOLLS BUSINESS CENTER BLOCK: LOT:002 CLASS OF WORK: ALT TYPE OF USE: 'PJM TYPE OF CONSTR: 5N OCCUPANCY GRP: B OCCUPANCY LOAD: 96 TENANT NAME: BILLINGS DANCE REMARKS: T.I rated walls for OCC separation. Owner: ROBINSON, CONSTANCE A+ ROBINSON, LYNN + BELL, KAY ET BYINSIGNIA COMMERCIAL GROUP B Phone TON.0 87008 Contractor: GUILD CONSTRUCTION PO BOX 674 BEAVERTON, OR 97008 Phone: 788-7778 Reg#: LIC 109116 a ca m J !! This Certificate issued 9/1/2.005 grants occupancy of the above referenced building or portion thereof and confirms that the building has been inspected for comp lance wi hF' rh -`e of Oregon Specialty f,%C- des for th group, occupancy, and- s un er f�� nced permit wa ed. BU NG INSPECTOR BUILD FFICIAL POST IN CONSPICUOUS PLACE CITY OF TIGARD BUILDING DIVISION PERMIT#: Exim 5,00x67 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/28/2006 Phone: (503) 639-4171 Inspection Requests (24 Hrs.): (503) 639-4175 INSPECTIO14WORKSHEET FOR DATE: 9/1/2006 TIME: 7:14AM RAGE: 6g SITE ADDRESS: 10160 SW NIMF31JS AVE F6 CLASS OF WORK: SUBDIVISION: SCHOLLS BUSINESS. CENTER LOT #: 002 TYPE OF USE: PROJECT NAME: ENLLINGS DANCE DESCRIPTION: T.I. rated walls for OCC serration OWNER: kOBINSON, CONSTANCF A +, PHONE #: CONTRACTOR: GUILD CONSTRUCTION PHONE #: 7M.7770 Inspection Request Scheduled For: Date: 91!112005 Pour Time: Code # Inspection Description Confirm # Contact # Message 287 Suspended ceiling 014772-01 603-%. '1-1180 y Corrections/Comments/Instructions: IL oe: _J W /ASS [] PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR II SPECTION ❑ ADDITI NAL FFES ASSESSED Inspector: Date' Phone #: (503) 718- CITY 01: TIGARDI • BUILDING DWISION PERMIT#: BUP2005.00357 13125 SW Hail Blvd., Tigard, OR 97223 DATE ISSUED: 7/28/2005 Phone: (503) 639-4171 Inspection Requests (24 Hrs.): (503) 639-4175 INSPECTION WORKSHEET FOR DATE: 9171M. TIME: 7:08AM PAGE: 39 SITE ADDRESS: 10160 SW NIMf3t 1S AVE F6 CLASS OF WORK: SUBDIVISION: SCHOL.LS BU`:-,INEv a CENTER LOT#: W2 TYPE OF USE: PROJECT NAME: BILLINGS DAN(-I--- DESCRIPTION: T.I. rated wails for OCC t eperation. OWNER: ROBINSON, C:ONS'TANCE A +, PHONE #: CONTRACTOR: GUILD CONS1RtlCTION PHONE#: 788..7778 Inspection Request Scheduled For: Date: 9V7/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 299 Final inspection 0150W01 503-957-1180 Y Corrections/Comments/Instructions: / a m _ Uj ASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL NG�LLOR SPECTION ❑ ADDITI AL FEES ASSESSED (503) 718- Inspector: _ Date: L GITY Or' TIGARD BUILDING DIVISION PERMIT #: BUP2005.00357 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/2Fi/2006 Phone: (503) 639-4171 Inspection Requests (24 Hrs.): (503) 639-4175 INSPECTION WORKSHEET FOR DATE: 9/6/2006 TIME: 7:06AM PAGE: 44 SITE ADDRESS: 10160 SIN NIMBUS AVE F6 CLASS OF WORK: SUBDIVISION: SCHOLLS IBUF41NESS CENTER LOT#: 002 TYPE OF USE: PROJECT NAME: PAL-L_ING S DANCE DESCRIPTION: T I. talod walls for OCC seperalion. OWNER: ROBINSON. CONSTANCE A +, PHONE #: CONTRACTOR: GUILD CON Sf'RUCTION PHONE #: 7W7778 Inspection Request Scheduled For: Date: 9/642005 Pour Time: Code # Inspection Description Confirm # Contact # Message 299 FrnA inspft-to.n 014%1-01 603-957.1180 Y Corrections/Comments/Instructions: A�1==p,f;y� r ffT( k4!5z -,h LCIS-z"- --- -JR W .J ❑ PAS ❑ PARTIAL APPROVAL E] CANCEL F] NO ACCE-9S AIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: — Date: `ql` _ Phone #: (503) 718- p CITY OF TIGA►RD BUILDING DIVISION PERMIT a: MEC2005.005W '3125 SW Hail Blvd., Tigard, OR 97223 DATE ISSUED: H11B/2p0r� Phone: (503) 639-4171 Inspection Requests (24 Hrs.): (503) 639-4175 INSPECTION WORKSHEET FOR DATE: W612005 TIME: -!:06AM PACE: r ) SITE ADDRESS: •10160 SW NIMBUS AVE F6 CLASS Or'WORK: SUBDIVISION: SCHOLLS BUEANESS CENTER LOT#: 002 TYPE OF USE: PROJECT !SAME: BILLINGS DANCE DESCRIPTION: n Project Value $7,950 OWNER: ROBINSON, CONSTANCE A+, PHONE #: CONTRACTOR: GOHMAN MECHANICAL INC PHONE #: 503.6W.1y88 Inspection Request Scheduled For: Date: 91W—)00r, Pour Time: Cede # Inspection Description Confirm # Contact # Message 694, Mechanical final 014950 01 503.6%1W Y Corrections/Comments/Instructions: a oc M rn — -- _m W FASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONA—Al FEES ASSESSED Inspector: _� Date: Phone #: (503) 718- _ F TIGARDI 0 BUILDING DIVISION PERMIT#: ELC200&00%3 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: &3120M Phone: (503) 639-4171 Inspection Requests (24 Hrs.): (503) 639-4175 INSPECTION WORKSHEET FOR DATE: 9/612005 TIME: 7.06AM PACE: 45 Ali SITE ADDRESS: -10160 SW NIMBUS V -F6 CLASS OF WORK: SUBDIVISION: SCHULLS 1BU51NFSCENTER LOT 002 TYPE OF USE: PROJECT NAME: BILLINGS DANCE DESCRIPTION: 5 branch circuits. OWNER: ROBINSON, CONSTANrE .+, PHONE #: CONTRACTOR: GUILD ELECTRIC INC PHONE #: 503.957-1173 Inspection Request Scheduled For: D e: 916120M Pour Time: Code # Inspection Description Con fn # Contact # Message 149 Electrical final 014960. 1 503957-1180 Y Off.- C Corrections ons\ - - ------ ------- - - --- m W .J PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS AIL F 'fN�jFC'l`161N ❑ ADDITIONAL FEES ASSESSED Inspector: _� _N- - Date: i �— Phone #: (503) 718- 2 . _ C IT �y F 11 q ARD ELECTRICAL PERMIT {'J► T (� V PERMIT N: ELC2005-00.553 r DEVELOPMENT SERVICES DATE ISSUED- 8/3/2005 13125 SW Hall Blvd.,Tigard, OR 97223 503-639-4171 PARCEL: 1S134AA-01800 SITE ADDRESS: 10160 SW NIMBUS AVE F6 ZONING: I-F, SUBDIVISION: SCHOLLS BUSINESS CENTER LOT: 002 JURISDICTION: TIG Project Description: 5 branch circuits. RESIDENTIAL I)NIT TEMP SRVC/FEEDERS MISCELLANEOUS '1000 SF OR LESS: 0 - 200 amp: _ PUMP/IRRIGATION: EACH ADD'L 500SF: 201 - 400 amp: SIGN/OUT LINE LTG: LIMITED ENERGY: 401 - 600 amp: SIGNAUPANEL: MANE HM/SVC/FDR: 601+amps - 1000 volts: MINOR LABEL (10): SERVICEIFEEDER BRANCH CIRCUITS ADD'L INSPECTIONS 0 200 amp: WISERVICE OR FEEDER: PER INSPECTION: 201 400 amp: 1st W/O SRVC OR FDR: 1 PER HOUR: 401 - 600 amp: EA ADD'L BRNCH CIRC: 4 IN PLANT: 601 - 1000 amp: _ PLAN REVIEW SECTION _ 1000+amptvolt: >=4 RES UNITS: >600 VOLT NOMINAL: Reconnect onSVC/FDR>--225 AMPS: CLASS AREA/SPEC OCC: Owner: Contractor: ROBINSON,CONSTANCE A GUILD ELECTRIC INC ROBINSON, LYNN+ BELL, KAY ET PO BOX 674 BY INSIGNIA COMMERCIAL GROUP BEAVERTON,OR 97075 BEAVERTON,OR 97008 Phone: Phone: 503-957-1173 -- FEES - Reg N: 11C 109116 Stip 38685 Description Date Amount FILE C21 (ELPRM7j F.L.0 Permit 8/3/2005 $73.45 [TAX]8%State Surcharge 8/3/2005 $5.87 REQUIRED ITEMS AND REPORTS Total $79.32 This Permit is issued subject to the regulations contained in the Tigard Municipal Code,State of OR. Specialty Codes ar d all other applicable laws. All work will be done in accordance with approved plan:. Tnts permit will expire if work is not started withir 180 days of issuance, or if work is susperried for more than 180 days. ATTENTION Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Thoss rules are set forth in OAR 952-001-0010 through OAR 9','-001-0100. You may obtain copies of these rules or direct questions to OUNC at 503-246-6699 or 1- 33 2-29 44. IL Issued By: ����/� Permittee Signatures-���y...... t: OWNER INSTALLATION ONLY N The installation is being r9ade on property I own which is not intended for sale, lease, or rent.ED — J OWNER'S SIGNATURE: _ DATE:- 0 CONTRACTOR INSTALLATION ONLY ,J - — SIGNATURE OF SUPR. ELEC`N: _ __ __ DATE: !_IL_NSE NO: ---------------- -- — — Call 503-6394175 by 7:00 a.m.for an Inspection that business day. This permit cant 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 Inspectinn. Electrical Peyrn it.Application "Dalcrece"ive .5r,46r'� Permit no. City of Tigard Project/appl.no.: L Expire date: City of Tigtard Address: 13125 SW Hall Blvd,Tig"OR 97223 Date issued: ey: Receipt no.: — Phone: (503)639-4171 20H Fax: (503) 599-1960 Case file no.: Payment type- Land use approval: ';I I Y OI- 11' 1W U 1 &2 family dwelling or accessory U Commercial/industrial O Multi-family enant improvement U New construction U Addition/alteration/re.placement U Other. __Tartial Job address: J )G ) MI WIA 1,42 Bldg.no.: Suite no.:41#6 ITax map/tax lot/account no.: Lot: I Bac k: Subdivision: Project name: fi IDO.ice Description and location of work on premises: Estimated date of comp) tion/inspection: JOb 1107 Fee Max Business Hance: Description (ea.) Total no.Ins New reddeMtai-dnilkoraaaltl-familly per Address: dwelling milt.Inclatim allachesl garage. City: tJ t;tr e, IState: ZIP: -7Servlccincluded: Phone: Fax: - E-mail: 1000 N.ft.or lean 4 CCB n0,: Elec.bus.liC.no: Each additional 500 sq.ft.or pion thereof Limited energy,residential 2 Cit tro Ij'.no.: t—nited energy,non-residential 2 ' Each manufactured home or modular dwelling Sign ure of supervising electricion(rc uired) alp a Service and/or feeder 2 Sup,elect.name(ptint): c License no: Senlcaorfeeden-Installation, altentton or relocation: 200 amps or less 1 2 Name(punt): 20�agns to 400 ems 2 40to 600"a 2 60to 1000 amps 2 I City: Slate: ZIP:_ Over 1000 amps or volts 2 S'r'hone: Fax: �IE-mail: Reconnect only I iOwTemporary services or feeders- ner installation:The installation is being made on property I own which is not intended for sale,lease,rent,or exchange according to Installation,alteration,or relocation: ORS 447,455,479,670,701. 210 amps or less 2 201 amps to 400 amps 2 Owner's signature: Date: 401 to 600 ams 2 Ilnnch clrcults-now,alteration, or exrenslon per panel: Name: A. Fee for branch circuits with purchase of Address: service or f^oder tee,each branch circuit (/1 City: hate: ZIP: _ B. Fee for branch circuits without purchase of service or feeder fee,first branch circuit: PhonC: Fax: E-mail: Each additional branch circuit: f N IN I alai Mlsc.(Service or feeder not included): O Service over 225 amps-commercial U Health-carefacility Each pump or irrigation circle _- 2 U Servior mer 320 amps-rating of 1&2 U Hazardous location Fach sign or outline lighting — 2 _ familydwellings U Building over 10(x10 square feet four or Signal circuit(%)or a limited energy panel, U System over 600 volts nominal more residential units in one structure alteration,or extension' 2 U Building over three stories U Feeders.400 amps or more *Emscri tion: U Occupant load over 99 persons U Manufactured structures or RV park Each additional Inspection over the allowable In any of the above: O Egress/dightingplan U Other _.^�. Per inspection —_`-_E Submit_`setc of plain with any of thr.above. Investigation fee The above am not applicable to temporary conttructlom service. other Nd all jurisdictions accept credit cards,please call jurisdiction for r tom information. Notice:This permit application Permit fee.....................$ _ U Visa O MasterCard expires if a permit is not obtained Plan review(at _ %) $ Credit card number: _ _ L__� within 190 days after it has berm State surcharge(996)....$ Expires accepted as complete. TOTAL .......................S • None of elder u shtrwn on credit card Cardholder mignature Amount 4104615(I5MOCOM) ELECTRICAL PERMIT FEES: LIMITED ENERGY PERMIT FEES: Complete Fee Schedule Below: TYPE OF WORK INVOLVED-RESIDENTIAL ONLY /� Restricted Energy Fee...................................................... $75.00 Numoer of Inspections per permit allowed) (FOR ALL SYSTEMS) Service Included: Itemr Cost Total y Check Type of Work Involved: Residential-per unit 1000 sq.ft.or less $145.15 4 ❑ Audio and Stereo Systems` Each addhional 500 sq.ft.or portion thereof _ _ $3340 1 ❑ Burglar Alarm Limited Energy $75.00 Eauh Manufd Home or Modular Dwelling Se vice or Feeder — $90 9u 2 ❑ Garage Door Opener' Services or Feeders ❑ Healing,Ventilation and Air Conditioning System' Installation,alteration,or relocation 200 amps or less $80.30 2 El amps to 400 amps $106.85 2 Vacuum Systems' 401 amps to 600 amps _ $160.60 2 601 amps to 1000 amps $240.60 2 ❑ Other Over 1000 amps or volts $454.65 2 Reconnect only $66.85 _ _ 2 Temporary Services or Feeders TYPE OF WORK INVOLVED -COMMERCIAL ONLY Installation,alteration,or relocation Fee for each system.................. ................—.................... $75.00 200 amps or loss $66.85 2 (SEE OAR 918-260-260) 201 amps to 400 amps _ $100.30 2. 401 amps to 600 amps _ $133.75 — — 2 Check Type of Work Involved: Over 600 amps to 1000 volts, see"b"above. ❑ Audio and Stereo Systems Branch Circuits ❑ New,alteration or extension per panel ©oiler Controls a)The fee for branch circuits with purchase of service or ❑ Clock Systems Moder fee. Eac.,i branch circuit $6.65 2 ❑ Data Telecommunication Installation b)The fee fur branch circuits without purchase of service ❑ Fire Alarm Installation or feeder leo. First branch circuit $46.85 __ r Each additional branch circuit $6.65 L � HVAC Miscellaneous l___i Instrumentation (Service or feeder not Included) Each pump or Irrigation circle $53.40 ❑ Each sign or outline lighting $53.40 Intercom and Paging Systems Signal circult(s)or a limited energy panel.alteration or extension $75.00 ❑ Landscape Irrigation Control' Minor Labels(10) _ $125.00 Med!,-al additional Inspection over ❑ the allowable In any of the above F]Per inspection — $62.50 Nurse Calls Per hour $62.50 _ In Plant — _ $73.75 ❑ -jtdonr Landscape Lighting" a Fees: ❑ Protective Signaling a NEnter total of above fees $ _�__ ❑ Other 8%State Surcharge $ .^ Number of Systems 25%Plan Review Fee m See"Plan Review"section on $ No licenses aro required. Licensessire requiredfor ell other Installations front of application. ,-----_-- -- --- Uj Fees: Total Balance Due $ --"---"— Enter total of above fees LJ Trust Account 0_ 8%State Surcharge Total Balance Due All New Commercial Buildings require 2 sets of pians. i7ldsts\forms\elc-fees.doc n8/30/01 CITY OF T I GA R D BUILDING PERMIT _ PERMIT#: BUP2005-00357 DEVELOPMENT SERVICES DATE ISSUED: 7/28/2005 13125 SW Hall Blvd.,Tigard, OR 97223 503-639-4171 PARCEL: 1S134AA-01800 SITE ADDRESS: 10160 SW NIMBUS AVE F6 ZONING: I-P SUBDIVISION: SCROLLS BUSINESS CENTER LOT: 002 IURISDICTION: TIG Project Description: T.I. rated walls for OCC seperation. REISSUE: FLOOR AREAS _ EXTERIOR WALL CONSTRUCTION CLASS OF WORK: ALT FIRST: sf N: S: E: W: TYPE OF USE: COM SECOND: sf PROJECT OPENINGS? TYPE OF CONST: 5N sf N: S: E: W: OCCUPANCY GRP: B TOTAL AREA: 0 sf ROOF CONST: FIRE RET? OCCUPANCY LOAD: 96 BASEMENT: sf AREA SEP. RATED: STOR: 1 HT: ft GARAGE: sf OCCU SEP. RATED: BSMT?: MEZZ?: REQD SETBACKS _ REQUIRED FLOOR LOAD: psf LEFT: ft RGHT: ft FIR SPKL: SMOK DET: DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP ACC: BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING: VALUE: $ 12,000.00 Owner: Contractor: ROBINSON, CONSTANCE A + GUILD CONSTRUCTION ROBINSON, LYNN + BELL, KAY ET PO BOX 674 BY INSIGNIA COMMERCIAL GROUP BEAVERTON, OR 97008 % AVERTON, OR 97008 ..one: Phone: 788-7778 FEES Reg#: LIC 109116 Description Date Amount REQUIRED ITEMS AND REPORTS (BUILD) Permit Fee 7/28/2005 $158.50 TAX)9%State Surcharl 7/28/2005 $12.68 [BUPF'LN] Pin Rv 7/28/2005 $103.03 [FLS) FLS Pin Rv 7i28/2005 $63.40 L Total $337.61 IL oc This permit is issued subject to the regulations contained in the Tigard Municipal Cade, 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 J not started within 180 days of issuance. or if work is suspended for more than 180 days. ATTENTION: Oregon law m requires yogi to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 0 952-001-0010 through OAR 952-0C 1-0100. You may obtain a copy of these rules or direct questions to OUNC by W calling 503-246-66N or 1-800-332-2344. 7 r Issued By: f`�/, �AT/L�'`�� Permittee Signature: Call 503-639-4175 by 7:00 a.m.for an Inspection 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. Building Permit E NES Received . City Or Tigard uau/ll : Permit No.: O' 7flar 11125 SW Hall Blvd,Tigard,OR 9721}';; 8 2005 Plan Review-0-0 Phone: 503.639.4171 Fax: 503.598.1 JOftr Pern"c Inspection line: 50639.4175 GI 1 Y OF TIGARD Date Ready/dy: /uri�� k Anwhed Cha Internet: www.ci.tiprd.or.us BUILDING DIVISION N`"itie lMetlrad` Ts meniallnforinatlon_ ❑New construction ❑Demolition Permit fees*are based on the value of the work performed. — Indicate the value(rounded to the nearest dollar)of all ®Addition/allerationtreplaccment ❑Olher: equipment,materials,labor,overhead,and the profit for the work indicated on this application. ❑ I-and 2-family dwelling ®Commercial/industrial Valuation: $ - ❑Accessory building ❑Multi-family Number of b-droonts: ❑Mailer builder ❑Other: Number of bathrooms: i ' , i>I "1110-4 AND :% Total number of floors: Job site address:10160 SW Nimbus New dwelling area: square feet City/StateOP:71prd,OR Garage/carport area: square feet Suite/bldg./apt.no.:F-6Project name:BWinga Daum Covered porch arca: square i'eet Cross street/directions to job site: - - Deck area: square feet - -- Other structure arm: square feet Subdivision: Lot no.: Permit fees*are based on the value of the work performed. Indicate the value(rounded to the nearest dollar)of all Tax map/parcel no.: equipment,materials,labor,overhead,and the profit fox the ,1BCRIl MON OF M" work indicated on this application. commercial TI .0 X pa n S,L)$1 Valuation: _ S$12,000.00 Existing building area: 3atl V square feet New building area: square feet Number of stories:�e Name:Billings Dance Type of construction: VIS - - Address: �u -t ---- - Occupancy groups: _" +-B City/State/ZIP: _T'-ilc r�* �- _ Existing: 3 CL ( 1 U Phone:( ) _ `i -_ Fax:( ) New: �� - g U I IO 0 AFPIIA:ANT b CONTA& IRRWN, Business name:Group Mackenzie _ All contractors and subcontractors are required to be Contact name:Kathy licensed with the Oregon Construction Contractors Board - - - under ORS 701 and may be required to he licensed in the n' Address:PO Box 69039 jurisdiction in which work is being performed.If the I% - applicant is exempt from licensing,the following reasons I- City/Stale/ZIP:Portland,OR 97239 Rn --- apply: Phone:(503)224.9560 _ Fax::(503.)228.1285 T — J E-mail: WBusiness name: ' J Address: �O Ptease refer to fee scheduk. City/State/Zip: �ij �, p p 5 Fees due upon application Phone:(�/S3i r' Fax:( ) CCB lic.: r Amount received Date received: Authorized signature 4 Mom This permit application expires If a permit Is net obtained within 1811 days after It has been accepted as complete. Print name: Date: -� • Fee methodology set by Tri-County Building Indusdy Service Board. i k8.iWn#\Prmk%\RUP PemmApp,$,c 12101 44a4e11n i u Amr•rxa/wFa) CITY O F T I V A R® MECHANICAL PERMIT DEVELOPMENT SERVICES PERMIT#: MEC2005.00508 13125 SW Hall Blvd.,Tigard, OR 97223 503-639-4171 DATE ISSUED: 8/18/2005 PARCEL: 1 S134AA-01800 SITE ADDRESS: 10160 SW NIMBUS AVE F6 ZONING: I-P SUBDIVISION. SC:HOLLS BUSINESS CENTER LOT: 002 JURISDICTION: TIC Project Description: 11, holco Valuc: V1,950 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:p DOMES. INCIN: 3 - 15 HP: COMML.. INCIW MAX INPUT: BTU 15-30 HP: REPAIR UNITS: FIRE DAMPERS?: 30 -50 HP: GAS PRESgURE: 50+ HP; WOODST'OVS: FURN < 100K BTU: _ AIR HANDLING_ UNITS CLO 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 [MECH]Permit Fee 8/18/200,9 $195.50 BY INSIGNIA COMMERCIAL GROUP [MECPLN]Plan Rev 8il8/200f $48.88 BEAVERTON, OR 97008 TAX]8%State Surchari 8/18/200E $15.64 Phone: Total Y$260.02 Contractor: GOHMAN MECHANICAL INC 412 S BEAVERCREEK RD., STE 602 REQUIRED ITEMS AND REPORTS OREGON CITY, OR 97045 — — --- Phone: 503-650-1588 Reg#: LIC 119952 A. a ~ I This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of One. Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans This permit will expire if work is not m started within 180 days of issuance or if work is suspended for more than 180 days. ATTENTION: egon law requirea Wyou to follow rules adopted in the Oregon Utility Notification Center. Those rules are set forth in OAFf 952-001- 1Q -J thr AN 952-001-0100. You may obtain copies of these rules or direct que.tions t OUNC by Ili -246-f:,699 1-800-332-2344. sued By: it Per,aittee Signature: t- Call 503-6394175 by 7:00 a.m.for Inspection tha Iness day. This per card shall be kept in a conspicuous place on the job site until completion of the projert. Approved plans are required on the job site at the time of each inspection. Mechanical,PermitFA n- FOR OFFICE t S11 ON I N Re d City of Tigard �� 2Daa' + � Permit No:Rece13125 SW Hall Blvd.,Tigard,OR 972,1 1 t t r 20Phone: 503.639.4171 Fax: 503.598.1960 ief( � Other Permit Inspection Line: 503.639.4175 '/� 0•�Internet: www.ci.tigard.or.us CITY OF i'!CAF;U dy/By: tv, ® See Page 2 for Method 1 4• Supp'emenlal information ,: ,,�xr: ?Q�t .. fi}hitMlt} tjuyt."A�t lir 'Y`•^k.; JkC AE`FEN-4;CHEDULE -USE CHECKLIST ❑New construction ❑Additiorl/alteration/replacement Mechanical permit fees*are based on the value of the work performed.Indicate the value(rounded to the nearest dollar)of all ❑Demolition [I Other: mechanical materials,equipment,labor,overhead,and profit Q a _ Value:$ 7 .�,.v.... .. nr°' .., 30K"N 1 W:[ ElltOMIEN ❑ 1-and 2-family dwelling ❑Commercial/industrial ❑Accessory building B>�gF /SYSTEMS FEES• ❑ E]Multi-family EJ Master builder For special information ort checklist.Other: Qty. ty.Descri ••. p Ea. Total Heatingieooling Job f� Air conditioning or heat pump ,oh site address: J (requires site Ian shnwinplacement) 14.00 City/State/ZIP: .� _ Furnace!00,000 BTU(ducts/venn) 14.00 Furnace 100,000+BTU ducts/vems 17.90 Suite/bldg./apt no.: Project name. (( Z Gas heat pump_ 14.00 Cross street/directions to job site: Duct work 14.00 H dronlc hot water system _ 1400 _ Residential boiler(radiator or hydronic) 14.00 Unit heaters(fuel-type,not electric), in-wall,in-duct,suspended,etc. 1000 Flue/ventfor any of above 10.00 Subdivision: Lot no.: — Ot}�,ar: _ 10.00 Trx map/parcel no.: Other fuel appliances __ --- AMA ,;. ..> SQRI>'Ti0N�0l U ; �', i water heater 10.00 _ e- Gas f�cZce _ 10.00 _* A r!_ a4( k Flue vent for water heater or gas fireplace 10.00 - Log lighter as 10.00 * Wood/ ellet stove lO.OP Wood fireplace/insert 10.00 )' "i PROPER :, Wl�>•t.' rife rs�E(VANT w ;, Chimney/liner/flue/vent 10.00 ' Other 10.00 Name: Envlronmental exhaust and ventilation Address: Range hood/oche:kitchen _ equipment 10.00 _ City/State/ZIP: Clothes dryer exhaust _ 10.00 Single-duct exhaust(bathrooms, Phone:( ) Fax:( ) toilet compartments,utility rooms) 6.80 �' Attic/crawl ace fans 10.00 _ �:��{� CAI�'T'ALr`T PI1�30Pi , Business name: ti. Other: 10.00 Gohman Mechanical, Inc. Fuel plpin Contact name: Mark Gohman $5.40 for nrst four;31.000 for each additional (L Address: 412 S. Beavercreek Rd. #602 Furnace etc. I� Gas heat pump N City/StetdZiP: Ore oII City, OR 97045 Wall/sus nded/ulitheater r Phone:( Fax: :( ) Water heater = 503) 650-1588 503 65 -0514 Fire l -J E-mail: mgobmm@gohmaTmechanical.com ace Ran l Barbecue W Business name: Gohsgn Mechanical, IIIC sem+' 3 Clothes drier Other: _ Address: 412 S. Beave_rcreek Rd. #602 ; City/State/ZIP: Oregon City, OR 97045 _ Subtotal • Phone:( 503) 650-1588 Fax:(503) 655-0514 Minimum permit fee(572.50) _ Plan review(25%of permit fee) r CCB lic.: Oregon 119952 State surcharge(8%of permit fee) _tF_ TOTAL PERMIT FEE A S This permit application expires If a permit Is not obtained with n IAO Authorized signature: _ days after It has been accepted n complete. Print name: i fyt-d7,Z_ Dat g C� Fee methodology set by Tri-County Building Industry Service Board \11 1dma%Pe .tWlEGPernvtAppd- t2/01 440.4617T1',/02,,T0.%VWE• Mechanical Permit Application - City of Tigard ' Page 2 - Supplemental information t Commercial Fee Schedule: ToiLWVA $1.00 to$2,000.00 Minimum fee 572.50 $2,001.00 to$5,000.00 572.50 for the first 32,000.00 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 S 1.80 for each additional S 100.00 or fraction thereof,to and including _ $10,000.00. 5+10,001.00 to$50,000.00 5231.50 for the first S10,000.00 and $1.35 for each additional$100.00 or fraction thereof,to and including -it-00646.-0-07 _ $50,000.00. $50,001.00 to$]00.600.00 S771.50 for the first$50,000.00 and $1.25 for each additional 5100.00 or fraction thereof,to and including $100,000.00. $100,000.01 and up $1,396.50 for the fust$100,000.00 and $1.10 for each additional$100.00 or fraction thereof. Note: All new commercial buildings require 2 sets of plans. a Zi c� J i:Tuilding\Permits\MEGPermitApp doe 12(03 2