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Permit
C ITY OF TIGARD MECHANICAL PERMIT ill4 DEVELOPMENT SERVICES PERMIT #: MEC2004 -00840 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 1/5/2005 PARCEL: 1S134AA-01800 SITE ADDRESS: 10110 SW NIMBUS AVE B -11 SUBDIVISION: SCHOLLS BUSINESS PARK ZONING: I -P BLOCK: LOT: 002 JURISDICTION: TIG 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: DOMES. INCIN: GAS 3 - 15 HP: COMML. INCIN: MAX INPUT: BTU 15 - 30 HP: REPAIR UNITS: FIRE DAMPERS ?: 30 - 50 HP: WOODSTOVES: GAS PRESSURE: 50 + HP: FURN < 100K BTU: 1 AIR HANDLING UNITS CLO DRYERS: FURN > =100K BTU: <= 10000 cfm: OTHER UNITS: > 10000 cfm: GAS OUTLETS: 1 Remarks: HVAC Value: $6200.00 Owner: FEES ROBINSON, CONSTANCE A + Description Date Amount ROBINSON, LYNN + BELL, KAY ET [MECPLN] Plan Rev 12/29/20( $40.78 BY INSIGNIA COMMERCIAL GROUP [MECH] Permit Fee 1/5/2005 $163.10 BEAVERTON, OR 97008 [TAX] 8% State Surchart 1/5/2005 $13.05 Phone: Total $216.93 Contractor: HUNTER DAVISSON INC 1800 SW PERSHING - PORTLAND, OR 97202 REQUIRED INSPECTIONS Phone: 503 Gas Line Insp Mechanical Insp Reg #: LIC 01612 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted in the Oregon Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain copies of these rules or direct questions to OUNC by calling (503)246 -6699. i Issued By: L�i �i� � � Permittee Signature: • Call (503) 639 -4175 by 7:00 P.M. for inspections neede . - ext business day tvdl o Sc) 1ao w e- s 'R— 'l Mechanical Permit Application r11r C!o't FOR OFFICE USE ONLY E:f Pemtit No.: P 7 , � p�l '� 13125 SW Hall Blvd, Tigard, OR 97223 P j / Other Permit: Phone: 503.639.4171 Fax: 503.598.1960 //z..., b .._.; � Date/Sy: /5 Inspection Line: 503.639.4175 ■ rl Fi�1 Date ReadyB I luris: El See Page 1 for Internet: www.ci.tigard.or.us R E y Notified/Method: . Supplemental Information .,r. Pbv v2 =. it ,�; :,(�, �, e,Y,41,.(: ill ., . x_''..*,• ,� . O. : :';'•C - ±' -� ' , !', .. :a.i. I R -, ' � , ''4.,' ..P f')_' ? ;• ,. t t;-/. YP 'r'' ' ' , Q,Q .s - %,x,4,i rt-' i•;' rir +. f�;i .t , + i.,. ✓r. . COM FEE ,., ': SCHEDUL- '.. USE C$ECKLIStr Mechanical permit fees* are based on the value of the work t.,, 2�U4 n)tl ° j El New construction XAddition/alteratio l�acetnent performed. Indicate the value (rounded to the nearest dollar) of all ❑ Demolition ❑ Other: CITY OF TIGARD mechanical materials, equipment, labor, overhead, and profit. r ; ::t �, , k.:v vi .:.,. • . �{ -T , ; Value: $ � o __ F, r # rr; i ; x ";i.k l!•. "U e '. k'CAT�'GQRYs + l? Fl Q�`IS�I; .:,: is � A � t :. :Q: <« , .:.n �.,' • i •�.?+..• RESIDENTIAL EQUIPMENT / SYSTEMS FEES* ❑ 1- and 2- family dwelling MCommercial /industrial ❑ Accessory building For special injormntion use checklist. ❑ Multi - family ❑ Master builder ❑ Other: Description I Qty. I Ea. I Total ��::(� °)� {�[, � • y i 5 , �} � <. x'S p : , ;yi�rxc ,.. � :. ..... .. ....�,. . y nc r • ,, ._,,,, [ ,. `( ` a'' :i #? �'' .�`�' ,. Q R11- AN' ; :I�iO(rtATIOI�;, - �,I,,,.�. �' -,:,, ,, . Heating/cooling :�i,� ,� 2, .L', '�".�tr.' � :rx r �. �T�)� ; ��, _. � r ,- s > � <. t i�"3D:�•. . .:: . - ..: u(�..: �' .: - , 1 Air conditioning or heat pump Job site address: I () ( 10 �(� L Y� l � roe I -l-e l3" i (requires site plan showing placement) 14.00 City/State/ZIP: . 1" I A O ? 5 7ZZ 3 Furnace 100,000 BTU (ducts/vents) 14.00 �CI Furnace 100,000+ BTU (duets/vents) 17.90 'Suite/Mg/apt. no.: — i I Project name:.t - Gas heat pump 14.00 Cross street/directions to job site: rM e 0 Duct work 14.00 I r ' Hydronic hot water system 14.00 Residential boiler (radiator or hydronic) 14.00 Unit heaters (fuel -type, not electric), in -wall, in -duct, suspended, etc. 10.00 Flue/vent for any of above 10.00 Subdivision: Lot no.: Other: i 0.00 Tax map/parcel no.: Other fuel appliances r. �„ u •• �. w. �r�,- -, »:r , t „�,,. 30 ; �s, Water heater 10.00 ;: r r' � - h # Fi 3 ,:: =Fr �i V ' 1 � ;'" ='' _• '`i4ia . , `1 :. 4 -• _ ��, :,s,' ; .- ,. = f „ _ U .. 1} ' i, 4 DES r I�UN QTN; �: Q ' ._•.t' ., ,;.j ::e .. 's i.-1, ; :. 0 u.;.c t- r r ..: 10.0 Gas fireplace K , VlS (( , n . ( n P 0 Flue vent for water heater or gas fireplace 10.00 -- r e tA CP '�r0 O Yl/v V Log lighter (gas) 10.00 Wood/pellet stove 10.00 ' Wood fireplace/insert 10.00 Chimney/liner /flue/vent 10.00 !' , - ; •,ROY „O7 •,• • ;: f ` ,c ' � ,. .: ' I ENAf i' 1.i `'; , s j,, Other• 10.00 iff Name: M Y t C a Environmental exhaust and ventilation Range hood/other kitchen Address: 6 e rf 0 S y O i m\o o -C e- equipment 10.00 City/ State/ZIP: 5 e.,v-A cs-72. 97 Z�3 Clothes dryer exhaust 10 .00 Single -duct exhaust (bathrooms, Phone: ( ) Fax: ( ) toilet compartments, utility rooms) 6.80 ' "`' T � '' F Attic/c ace fans 10.00 '' �r `I" � p 't`'t3 �1'IiIG s;.. 4r ` " ''t` � ; 7rt�f - • �--r ?C;01�l.A(?I''.pERSOIV��:' : �� • : " P p ..i�'' -F: t r , ..Yo: °:?•�? - � \ u''. ry , ` � • Other: 10.00 Business name: 141 v j .s' NV I SSaI(t Fuel piping Contact name: Zrd (4 T8_ $5.40 for first four; $1.00 for each additional Furnace, etc. Address: / ( Pe r S In (ViCj Gas heat pump City/State/ZIP: ©jy.�-- L/ .��d ��JJ 27�Z Wall/suspended/unitheater Phone: (533) a' X77 Fax:: (5) C[,Z = pgy Fi er heater E -mail: Range . , :�; . . � -. •s = •� -, t °, °.•� �,.=. �, ..•, •; Barbecue r-'r.; .,:; �: ; : ;,a.�:,, ,.. ;ti.., ,,: r+ - �:r ' {' i ,- � CONT�CTOIt�S� �:. � - •,.'s - �. ..t• . r., c a..t•�' . Clothes dryer (gas) Business name: S' c ,‘.yv1.. e � fil,,,yr`^� Other: Address: - • - MECHANICAL PERMIT. FEES* • City/ State/ZIP: Subtotal Minimum permit fee ($72.50) f ,3, fO Phone: ( ) Fax: ( ) Plan review (25 %ofpermit fee) 140 . -- 7 CCB lic.: o/ee (Z State surcharge (8% of permit fee) / 3 . TOTAL PERMIT FEE 2 • / 3 This permit application expires if a permit is not obtained within 180 Authorized signatu - ' - 7! !/ days after it has been accepted as complete. Print name: ( YYP .IfL `� �111/t nY\ I Date: - '9-d f Fee methodology set by Tti- County Building Industry Service Board i:\Building \Permits \MEC- PerrnitApp.dot 12/03 440.4617T (11 /02/COM/WEB) • Mechanical Permit Application - City of Tigard • 4 Page 2 - Supplemental Information . C44-00 Commercial Fee Schedule: $1.00 to $2,000.00 Minimum fee $72.50 $2,001.00 to $5,000.00 $72.50 for the first $2,000.00 and $2.30 / /. jD for each additional $100.00 or fraction thereof, to and including $5,000.00. CI' $5,001.00 to $10,000.00 $141.50 for the first $5,000.00 and $1.80 for each additional $100.00 or i , 1 0 fraction thereof, to and including 13 o 5 $10,000.00. *7 . $10,001.00 to $50,000.00 $231.50 for the first $10,000.00 and $1.35 for each additional $100.00 or fraction thereof, to and including $50,000.00. 4' DJ ¶3 $50,001.00 to $100,000.00 $771.50 for the first $50,000.00 and $1.25 for each additional $100.00 or fraction thereof, to and including $100,000.00. $100,000.01 and up $1,396.50 for the first $100,000.00 and $1.10 for each additional $100.00 or fraction thereof. Note: All new commercial buildings require 2 sets of plans. • • iAl3uilding\l'ennits\MEC-PerrnitApp.doc 12/03 2 CITY Y OF TIGARD BUILDING DIVISION PERMIT #: MEC2004 -00840 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/5/2005 Phone: (503) 639 -4171 x $0 ,1 1 lt, Inspection Requests (24 Hrs.): (503) 639 -4175 - _.. INSPECTION WORKSHEET FOR DATE: 12/6/2005 TIME: 7:02AM PAGE: 74 SITE ADDRESS: 10110 SW NIMBUS AVE B-11 CLASS OF WORK: SUBDIVISION: SCHOLLS BUSINESS CENTER LOT #: 002 TYPE OF USE: PROJECT NAME: MR. COPY DESCRIPTION: HVAC Value: $6200.00 OWNER: ROBINSON, CONSTANCE A +, PHONE #: CONTRACTOR: HUNTER DAVISSON INC PHONE #: 503.234 -0477 Inspection Request Scheduled For: Date: 1216/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 699 Mechanical final 022969 -01 503-969-4152 Y Corrections /Comments /Instructions: ----1 t- -- Tc GETS F • 111111.11.1 ati UW!U Ilan V Y • , ❑ ASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ii CALL FO' INSPECTION ❑ ADDITI NAL EE ASSESSED Inspector: 4, / Date: t2 (0 V,/ Phone #: (503) 718- CITY OF TIGARD , . .. BUILDING DIVISION PERMIT #: MEC2004 -00840 13125 SW Hall Blvd., Tigard, OR 97223 0 ISSUED: 1/5/2005 Phone: (503) 639- 4171 pl l i , l � Inspection Requests (24 Hrs.): (503) 639 -4175 _....W / j 6 0 ® -� INSPECTION WORKSHEET FOR DATE: 5/12/2005 TIME: 7 PAGE: 113 SITE ADDRESS: 10110 SW NIMBUS AVE B-11 CLASS OF WORK: SUBDIVISION: SCHOLLS BUSINESS CENTER LOT #: 002 TYPE OF USE: PROJECT NAME: MR. COPY DESCRIPTION: HVAC Value: $6200.00 OWNER: ROBINSON, CONSTANCE A +, PHONE #: CONTRACTOR: HUNTER DAVISSON INC PHONE #: 503 -234 -0477 Inspection Request Scheduled For: Date: 5/12/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 699 Mechanical final 006630-01 503 - 793.1735 Y Corrections /Comments /Instructions: ��V y2_ / 2/2 C VAe 40 (11 4frA ?2- 4 : 1,e_7i0-6. 0 0 0O"1 C r'c ) cj \f‘h MS.. Gv■ 4 or _A k kk)( tj knnii , , ti-A - PiCi. , , VD! a PA ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS AIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: `� Date: 5/11/ 'I (01/4/, Phone #: (503) 718- CITY OF TIGARD BUILDING DIVISION PERMIT #: MEC2004 -00840 13125 SW Hall Blvd., Tigard, OR 97223 - ATE ISSUED: 1/5/2005 Phone: (503) 639 -4171 Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 11/3/2005 TIME: 7:06AM PAGE: 65 SITE ADDRESS: 10110 SW NIMBUS AVE B-11 CLASS OF WORK: SUBDIVISION: SCHOLLS BUSINESS CENTER LOT #: 002 TYPE OF USE: PROJECT NAME: MR. COPY DESCRIPTION: HVAC Value: $6200.00 OWNER: ROBINSON, CONSTANCE A +, PHONE #: CONTRACTOR: HUNTER DAVISSON INC PHONE #: 503 -234 -0477 Inspection Request Scheduled For: Date: 11/3/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 699 Mechanical final 020190.01 503 -969 -4152' N Corrections /Comments /Instructions: )k25� � � N P - ' C L R 2106S 00 D 61 - T -plc ii / _ ✓ A,e ❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS k1:' FAIL ALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED / Inspector: Da te: I S Phone #: (503) 718-