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Page No. 1 CASE HISTORY FOR CASE P . MEC'S-0292
COMPLETE HEATING I. COOLING
10130 SW NIMBUS AVE Unit, D-5
09/24/98
Actior Description Req/ Schd/ End/ Action Notes Disp Ey Update Upd
Code Sent Done Done Date Ey
MECC007 Application received / / / / 07/22/98 RECO DLH 01/22/98 DLit
MECC008 Permit created / / / / 07/22/98 DOM DLI 07/22/98 DLH
MECCOlI Routed to Plans Examiner / / / / 07/22/98 BENT DIA 07/22/98 DLH
MECCO14 Plan checked/Approved by P.E. / / / / 07/22/98 APPR JP 07/22/98 DLH
MECCOI5 Reviewed Plane Routed to DOTS / / / / 07/22/90 SENT JF 07/22/98 DLH
MECC090 (F) Issue permit / / / / 07/22/98 PASS DLH 07/22/98 DLH
MECC70S Gas Line Insp 07/22/98 / / 07/30/90 no press FAIL OS 07/30/98 ORS
MECC705 Gas Line Insp / / / / 09/07/98 PASS TLP 08/07/98 TLP
MFCC706 Mechanical Insp 07/22/99 / / 07/30/98 PASS O8 07/30/95 GES
MECC735 Duct Inspection 07/22/98 / / 09/30/99 see final this da.e FAIL as 07/30/98 OEs
MECC799 Final Inspection / / / / 07/30/98 attach defusers to grid FAIL OS 08/07/98 TLP
no record of elec permit for space D-S
MECC799 Final Inspection / / / / 08/07/98 PASS TLP 08/07/98 TLP
MECC600 Case Finaled / / / / 08/C7/90 Tag 342929 - fax to office 209 9969 PASS TLP 08/26/98 J•H
Page No 1 CASE HISTORY POP CASE NO. : P1M96-0163
FORUM
10110 SW NIMBUS AVE Unit, D-5
09/24/98
Action Description Req/ Schd/ End/ Action Notes Disp By Update Upd
Code Sent Dons Done Date By
rJ1C003 Application received / / / / 06/23/96 PASS DRA 06/26/90 JSD
P1MC005 Permit Created / / / / 06/23/96 PARS JSD 06/24/96 JSD
P1MC040 (F) Ready to issue / / / / 06/24/96 Must pay S1098 01S3 first] All fees paid PARR JSD 06/24/90 JSD
on this permit. Follow instructions ..,
application once OMR paid. jed
PLMC050 (F) Issue permit / / / / 06/24/96 PASS JSD 06/24/90 JSD
PIMC715 Rough-in Insp 06/74/90 / / 07/06/96 PARS MS 07/19/96 J•H
P1MC799 Final Inspection / / / / 07/27/96 no one home FAIL. MS 07/27/96 MRS
PIMC799 Final Inspection / / / / 06/04/96 PASS MS 06/04/96 MRS
PKMC600 Case Finaled / / / / 06/06/96 PASS MS 06/04/96 MRS
A ' CITY OF TIGARD
TginniDEVELOPMENT SERVICES PLUMBING PERMIT
4i.. 13125 SW Hall Blvd., Tigard,OR 97223503639 171 AATt ' ISSUED:It a F'i_M'3f1 ."
9a ( ) I)ATC OS/R4/98
PARCEL; 1513/41A -0000
' I ,,71117t: 1 ." '0 !-•. : 13 Tr`1T3lJri AV'' #D Ri
:I4flIVTrTi)N ' RQ!_L RUSTNI SE3 CENTER TIrARD 7fNTNGa I -A
[.OT •002 JURISDICTION; i
. 1t747., Dr- iyOr"?. . :A'.Y f 1 t'Alr DISPOSALS. ; 0 MOBILE HOME SPACES. ;; Q'
YF'r r)r USE. •r'^i►I WASHINf MAUI 1 A PE1['.KFL3W PREVNTRS. . : A
'"mr'p":'Y CRO. . sn F' r)QR DRATt'3. : A TRAPS • 0
"TRIES t 0 WnTFR HEATERS. . . . . : 0 CATCH BAEIN S a 0
TXT;.JRC -- -- -- LAUNDRY TRAYS : 0 ,r RAIN DRAIN'S • 0
'INKS. . . . . . . . . s I URINALS s P GREASE TRAPS : P
AVATCRTCS - 0 OMER rIXTURES. . . . : 0
UB/SHSWfERS. . . s C' SEWER t INN' c ft. ) . . . s 0
'ITC"' CI C lr'TC. t 2 WPTFR L rtlF' ( ft) . . . : 0
ISHW15'4ERS. . . . t 0 RAIN DRAIN (ft) . . . : 0
'fire Cp?r ^r.ar:!e add ki.ti.h4'r; sink
lwner z7 FEES _ J_.4. _
' ;RUM , type 4mor.int by date rerrpt
0120 SW NIMBUS 1.--7, PFMT I 25. 00 DRA 06/P3/98 1 A-30S7E1'j
"11D 01 97223 Str.T t 1. 05 DRA 21C/23/16 98--3067'
,un.., tr a,
'.J!.'FRNAY, URIC A
- not,. rTr' 17 r-r
$ "'S. ^r TOTE!
- ------- REQUIRED INRPEC:TIFINS
.s pereit is issued sibjatt to the repulatians eantalMd in the Rough- in Insp
itre "ritipa! Code, State :,r Ore. Smialty Codes re all other Underfloor /Under —r
,)plica`.''. laws. fill Nnrl( nil; be dont it accvdance ti;th • • Top . Ht t Tn.p, . __.__ T._
,p,•t�ed peals. Ns posit will twpirt ;e work is not started , Final Inspection.t! - 'r, lays c' issuaites or if Marl( if srnpe ded for sere ,►
a- :'it ,'ayt r rTdi; Oregon I. ragLirrs you to fails* cults _ ._-___ ______-_
ver •, the ^t,•eir tlti`iti WstifitatIer rte4er. ?hese rules are _ _
r tl in OAF -801 MI Om* OOP NII f3AO1 rev 1'o11 Illy _. ____ _______.__
!: .,p',, or these r; es /r ei,'oct queltio^s 'c D1,11' by MIL-1i _____.. *.
OF
dIW�% ,tom (rleef
- --- rowr�ititee nign.::ty e /
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I'1 - ,IM4'.:' inn ne!nded thr. next 1 l' ; i ""33 deny
, r , 14.+ 4--4.4.444+4444++4#4++++ i 4 4 4 4-r r.4 1 + ++f
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adL 4,..42,„1-
t-u,�,, . i,i 111-1 . r„ p ., PHONE NO. . 293+3276 pown ,,. 1998 03:53Ph1 P2
•
t` GF TIGAkD 44. Plumbing Application •tt00�� pia W Ocifx .
l�"'"
126 SW HALL VD. Commercial and Residential 11" p °i•"'tea r`..- "4 9A)
;ARD, OR 97 223 ow.le P e-
3) 635.4171X i'lt•00°P
/ .�� nw• GL.,9�- tii,,'
Print or Type G 5 r{•utad swat it—tor-0'S1
Incomplete Or Illegible application.' •r ,ot be accepted canad04-7 c /oi
S Cr-t D
1 N�m.o16ia1./rn.nYProNe1 • • •1 • `14:.t::.4.7. Li..a "'►� ( '�" ti+r1
Jut- .S4No4is DltiJrvefs CV )" ��.I ,.
9.00 La2
Address I $trn.t A4dnu sua. Lama, '~ 0.00
/0/30 £4' 0�s�y3 DS oi ruw'be - .
6.0.--F—
;tee Ir - *tyrosine 'Ip - ••- .1 *wow� foo
1, _7I o at 22 3 1 vW'ar�o•.i ,
_.. k/VitY ` t.n,ratTtw _.,.�..... $�`_ '"
' 14,. n Ad'M• —. _ -'1 -- - '--�^'� tl ' ta � .
/0/00 Sal' N/M6(OS Jl�►�1. 3 I ' w.uWg Mww,. '1.00 '
.I but. vzil 3 .i4 om ion:rv.r, - r too -
^' Int -"--"_Aai ".w.� -..-.. �'N _ — r00 -4. ..
i.:iriery liwwm�lry -_..._ •.00
• . ,,.,:_._`--•__- i►nons -.._--. 'urwtin --'---4
c w-nit*•..t�i.oMy1 i�----..
:ont• . . ..,o,.., *RI
63_.25 C , W ,4 ei? - -.._._ 9.00'
_Q_71..3. •— . • - --- v.00
t.Can.. N Nnq ..16.•r}, y, / / aM +wfar•1M 1 .'
•'oimatlon %'/ / '-_.~ �- l<.w.r-e 6901455110/1 :b
Mor COT r tail 6us� s, rax«Matra• .Wt. ,K Ia t do a, '
t«`
d.r, 1A ' - at 1 _ .. ...
1'wr„a Water%MOO••NOH add r -arta-
P ' 414 PiintRoVI y -Viotti a Ain Orin:+a jai ; 3n oo
'-bbtllnp rkelOr,ta S.•.— �� --1 `Fora a .1a• and a"—_..r".---- ._B o
63.25 Cotvfigto 7 h ;�.►..n,. --- '- --,----
L, ,aa1. -do _11Wni - "aaaaarelai bat hew Tsrw.neror+oiwaa• Aii5 ""
_ # *S r L✓M !07,6/ 722 Oto A- ''iAR»n Dow.*
Writ; ••..* •- • U A04000/10 Athr•twnARaP1N V Rtntdanha! v.ntfon bwtoV _.._.
ea ek,, Wawa,O no• ,-,.nal A f Atter fr•v or,Naate 1004 CernMlldd e.tli'Mt rs ^_
eosin ,
m ,,till. S//f T b''- t/N<i Awl0,,N'•. F i,�o:'ci .•ii:o%q�urneTnd ,
.-1 sow -atrr"ieo le;spotlloiti ___.._ 1
//�/�,, r
' •W'rr, WeArin1 _ •._____ . _ 'Wirt;,••.n.siiii,e'.,rdtlw
y5$lre...._._- • Cl[, I
�/j���'�' pp Ory. .�Fj Pfau
OUff1r - Iz 1)41
W� rru,• • , reolaa np any tetanal? Yes c Na A Ma a/rw a n ntNt..a a gnatla�1tttM M • -- f % J Ia►'
• aatr o1 form. '9ul1OTAL. . . .
• , .newt.rtq••nx naw feed taw aorwearen.nut me otmsoon --
• . .4. . . -mar et•Ilrlortt.d.pant of tee owner and 5%5$ •C .OE
,nu.no.t4 M on state t.awt r----
-_PIJ1N RttVlkYlr*1% • SUET•T 4
/rw/� _ 6-23 9g .�K.. .,.�., ,. �.............f43 - S.
•i//. TOTAL _.J..�.G• S
ig/Mile
•Por!mum pormilhe A 32S• 5$iwtni &iceol 'TT' •bilaRAvrr_
PrMhtxon(Avow oho,.%%i I-i%slum j.
-._.... _ _ ._ _.. ._ _ . -._. . . -. I\plrttepp dw- V96 (till)
,c- y-') ‹._P Accumulative Seer Tally
Tenant Name This SVRi 5v1—'11-
9C:- 0 'C
Address:_/Ol 70 4>./ A( s 5/ - S" This PLASS: Pc--%
9 V-c 8 S-
Fixture Value Previous Previous Credits Capped Fixtures Fixtures New total New
0 Value Capped off value added I added Is total
Count off Os count value values
Baptistry/Font 4 _
Bath-Tub/Shower 4
-JacuzziMlhirlpool 4 _
Car Wash-Each Stall 8 _
-Drive Through 18
Cuspidor/Water Abpirator 1 _ ,
Dishwasher-Commercial 4 _ ,
•Domestic 2
Drinking Fountain 1 _
Eye Wash 1
Floor Drain/sink-2 inch 2
- 3 inch 5
-flinch 8 ,
-Car Wash Dm 8
,
Garbage Disposal 18
-Domestic(to 3/4 HP) , ,
-Commercial(to 5 HP) 32 `1 _
-Industrial(over 5 HP) 48 _ _
Ice Machine/Refrigerator Drains 1 _ • ,
OII Sep(Gas Station) 6 _ _
Rec.Vehicle Dump Station 18
Shower-Gang(Per Head) 1
-Stall 2 - —
Sink-Bar/Lavatory _ 2
-Bradley 5 - _
-Commercial 3 _ _
Service 3 - - f _ 5
Swimming Pool Filter 1 • -
Washer-Clothes _ 8 ,
Water Extractor 8 _ _ _
Water Closet-Toilet 8 _
Urinal _ 8 _ _ ,
�
v FSI
TOTALS _
Total fixture values: IC; dividt 1 by 16= 11.4 ' '3 EDU - i. e c- i• eri...ii✓se•
HISTORY
PLM# 9 7-0677 EDU# f-s SWR# 7-o r 3 S PLM# EDU# SWR#
PLM# EDU#-.-- -SWR# PLM# EDU# SWR#
PLM# EDU# SWR# PLM# EDU# SWR#
PLM# EDU# SWR# PLM# EDU# SWR#
1:ldste swrtaty doc
CITY OF TIGARD MECHANICAL
PERMIT
DEVELOPMENT SERVICES PERMIT N
i MEC98-029?.
Ai li.. 13125 SW Half Blvd., Tigard,OR 97223 (503)639-4171 DATE ISSUED: 07/22/98
PARCEL: 1S134AA-01800
SITE ADDRESS. . . : 10130 SW NIMBUS AVE ND--S
SUBDIVISION • 1 KOLL BUSINESS CENTER TIGARD ZONING: I-P
BLOCK : LOT :002 JURISDICTION: TIG
CLASS OF WO RK. . :ALT FLOOR FURN. . . . : 0 EVAP COOLERS: 0
TYPE OF USE. . . . :COM UNIT HEATERS. . : 0 VENT FANS. . . : 0
OCCUPANCY GRP. . :M VENTS W/O APPL: 0 VENT SYSTEMS: 0
STORIES : 0 BOILERS/COMPRESSORS HOODS • 0
FUEL TYPES'-- 0-3 HP. . . . : 1 DOMES. INC IN: 0
:GAS 3-15 HP. . . . : 0 COMML. INC IN: 0
MAX INPUT: 0 BTU 15-30 HP. . . . : 0 REPAIR UNITS: 0
FIRE DAMPERS?. . : N 30-50 HP. . . . : 0 WOODSTOVES. . : 0
GAS PRESSURE. . . : L 50+ HP. . . . : 0 CLO DRYERS. . : 0
NO. OF UNITS - AIR HANDLING UNITS OTHER UNITS. : 0
FURN < 1O0K BTU: 1 (- 10000 cfine 0 GAS OUTLETS. : 1
FURN ) -1O0K BTU: 0 ) 10000 cf•s 0
Remarks: Add new AC/furnance on roof. Electrical pereit required.
Owner: FEES
COMPLETE HEATING & COOLING type amount by date recpt
4500 SW WEST RD PRMT f 25. 00 DLH 07/22/98 98-307552
LAKE OSWEGO OR 97035 PLCK $ 6. 25 DLH 07/22/98 98-307552
5PCT $ 1. 25 DLH 07/22/98 98-307552
Phone 11:
Contractor:
COMPLETE HEATING & COOLING
JAMES YOUNG
4500 WEST ROAD 6 32. 50 TOTAL
LAKE OSWEGO OR 97035
Phone N: 684-6513
Rfpg 6. . t 000694
REQUIRED INSPECTIONS - -
This posit is issued subject to the regulations contained in the Gas Line Insp
Tigard Municipal Code, State of Ore. Specialty Codes and all other Mechanical Insp
applicable laws. All work will be done in accordance with Duct Inspect ion
approved plans. This pereit will expire if work is net started Final Inspection -_
within IM days of issuance, or if work is suspended for pre
than IM days. ATTENTION: Oregon law requires you to follow riles
adopted by the Oregon Utility Notification Center. These rules are
set forth in OAR 952-11-111 through OAR 932-11OIlS. You say
obtain copies of these rales or direct questions to OUNC by calling _
15131246-9167.
Issue By: ,.{004f�Itg,._,t Permittee Signatures) 1 .1,1 ill1
++++++++++++++++++++++++++++++++++++++++++a++++++++++++ ++++ , ++ ++++++++
Ill
Call 539-4175 by 7:00 p. •. for inspections needed the wt bu. ness day
+ +++++++++++++++++++++++++++++++++++++++++++++++++++++4►+++++++++++++++++++++++
r70_, l'i po r 7/? ,,_ ems- ?: s 7#5t,
C
CITi OF TIGARD Mechanical Permit Application , 4 iR'ecd an B
13125 SW HALL BLVD. Commercial and Residential hrSi
Date Recd 7 —_
'TIGARD, OR 97223 1 y~ Date to P.E —
(503) 639-4171, x304 n Date to DST
Print or Type Permit#LII ft11 f.L
^— _ Incomplete or illegible applications will not be accepted (,ailed!
Name of OevebpmsrM/Prn sd Description
Table 1A Mechanical Code Qt Price Amt
Job Sireer Address ' ] 4- Suite./ 19 Permit Fee 1000
Address J 0/3 0 3w1) Furnace to 100,000 BTU
'J ..11 including duds b vents / 8.00
MOC"y/State Zip YY" 2) Furnace 100,000 BTU• --
- )6/wlv6/0R-,' !/ including ducts 6 vents - 7.50
ams la name or buskins) /W f ,4 1.4#4.-3) Floor Furnace
Owner kv Uf,3450 W H a W l inckiding vent _ 8.00
Mailing Address
4) Suspended heater,wall heater
Q.J or floor mounted heater 8.00
r` N(M b 1(1 1 v L i) 5) Vent not•included m appliance permit
ii)
ti
s) Zip Phone __ 300
02 .7(122' CHECK ALL Boiler Heat Air
Name is name THAT APPLY. or Pump Cond Qty Price Amt
�' Cor
�f3/p/A 7E-el/AP Lo(/CS 6)<3HP,ebsorb unit to
Occupant Milling Address 100K BTU 8.00
.59/r'/' 7)3-15 HP,absorb unit
C"yeStale Zip Phone /100k to 500k BTU , 11.00
9c f -3/2 8) 15-30 HP.absorb
unit 5-1 mil BTU 15.00
Contractor Narita4 u)30-50 absorb
COPLirvt
�.TF, ZAY(v` e(:la 64 unit 1-1 755 mil BTU 22.50
Prior to permit UMalang Address 10)>50HP,absorb unit
15
issuance,a copy Xd 0 SWU) (541 >1.75 mil BTU 37.50
of all licenses C"yISl e I� A n o�Z p P �/� 11)Air handling unit to 10.000 CFM
are required if Wt Ok 1 bey. 4.50
expired in COT Oregon Cann Cont Board uc s Exp D .a ✓ 12)Air handling unit 10,000 CFM•
database g 1)9 141 9-a,41_`1 V7.50
Architect Name 13)Non-portable evaporate cooler
4,50
Malang Address 14 Vent fen connected to a single dud
or
3.00
15)Ventilation system not included in
Engineer City/Sae Zip Mono appliance permit _ _4.50
18)Hood served by mechanical exhaust
Describe work to be done — -- ---- 4.50
17)Domestic incinerators
New 0 Repair 0 Replace with like kind Yes 0 No/1 7.50
Residential 0 Commercial, 18)Commercial or industrial type incinerator
30.00
I
Additional information or descnotion of work 19)Repair units
4.50
20)Wood stove
4.50
21)Clothes dryer.etc
4.50
y
Type of fuel oil 0 natural gas X LPG 0 electric O 22)Other units
—— 4.50
I hereby acknowledge that I have read this application that the information 23)Gas piping one to four outlets
given is correct,that I am the owner or authorized agent of _ / 2.00 ,
the owner.that plans submitted are in compliance with Oregon State laws 24)More than 4-per outlet(each)
Sig t•of Own»HA. D --
. 0
I ate
y 'SUBTOTAL
Ir, / ' _ ( is 7_V 5%SURCHARGE i.
/
C t Person i PLAN REVIEW 25%OF SUBTOTAL
_ Regulred for ALL commercial permits on 6'
�.0 9 DOTAL a,
'Minimum permit fee is$28•8%sureherge
"Residential A/C requires site plan stowing placement of unit
I 1mechprm3 doc rev 08/23/98
/ , y5 - D033