Permit f
�"' •` CITY OF TIGARD MECHANICAL PERMIT
„r DEVELOPMENT SERVICES PERMIT #: MEC2005 -00815
r 'I II 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 12/13/2005
PARCEL: 1 S134AA -01900
SITE ADDRESS: 10115 SW NIMBUS AVE 150 ZONING: C -G
SUBDIVISION: 1 KOLL BUSINESS CENTER TIGARD LOT: 001 JURISDICTION: TIG
Project Description: Hood - Project Value: $4,968
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: 1 BOILERS /COMPRESSORS HOODS:
FUEL TYPES 0 - 3 HP: DOMES. INCIN:
ELE 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: AIR HANDLING UNITS CLO DRYERS:
FURN > =100K BTU: <= 10000 cfm: OTHER UNITS:
> 10000 cfm: GAS OUTLETS:
Owner: FEES
ROBINSON, WILLIAM R /CONSTANCE A Description Date Amount
ROBINSON, LYNN + BELL, KAY ET [MECH] Permit Fee 12/13/200 $141.50
BY ELLIOTT ASSOC [MECPLN] Plan Rev 12/13/20C $35.38
PORTLAND, OR 97204 [TAX] 8% State Surchar€ 12/13/200 $11.32
Phone: Total $188.20
Contractor:
ADVANCED HEATING & AIR COND
5825 SE FOSTER REQUIRED ITEMS AND REPORTS
PORTLAND, OR 97206
Contact #: PRI 503 - 774 - 0161
Reg #: LIC 98573
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 OU ►. by calling 503- 246 -6699
or 1 -800 -3 - .
/ -
Issued B : ... =: ? Permittee Signatur -A•
Call 503-639-4175 b y 7:00 a.m. for inspe ' • • • - - • • • ' .
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.
•
Mechanical Permit Apptiv Folz OFFICE USE ONLY
City of Tig 'c ,�` �� o ve / ���` ia'� k�'• �:
13125 SW'Hall Blvd., Tigard, OR 97223 C Plan Review
Phone: 503.639.4171 Fax: 503.598.1960 �� C F ; ® Date/By /M„ Other Permit: .
Inspection Line: 503.639.4175 (* J.a11_ '1 it Date Reedy/B. MEI See Page 2 for
Internet: www.ci.tigard.or.us ,r t Notified/Method Supplemental Information
TYPE 4111XWORK COMMERCIAL FEE* SCHEDULE - USE CHECKLIST
❑ New construction ❑ Addition/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 ❑ Other: mechanical materials, equipment, Tabor verhead, and ofit
CATEGORY OF CONSTRUCTION Value: $
RFSIDENTIAL EQUIPMEN / SYSTEMS FEES*
❑ 1- and 2- family dwelling ❑ Commercial/industrial ❑ Accessory building
For special information use checklist.
❑ Multi - family
❑ Master builder ❑ Other: Description I Qty. I Ea. I Total
JOB SITE INFORMATION AM) LOCATION Heating/cooling
Qom' • Air conditioning or heat pump
Job site address:
0 5 .L A H I i s (requires site plan showing placement) 14.00
City / State/ZIP: • A P__I DR- '5 P 3 Furnace 100,000 BTU (ducts/vents) 14.00
no.: D Furnace 100,000+ BTU (ducts/vents) 17.90
Suite/bldg./apt.
_ / 50 I Project name: CA.FL r i 5/4_ Gas heat pump 14.00
Cross street/directions to job site: Duct work 14.00
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.:
er: 10.00 _
Tax map /parcel no.: Other fuel appliances
DESCRIPTION OF WORK Water heater 10.00
/4 b Gas fireplace 10.00
00 Flue vent for water heater or gas
fireplace 10.00
Log lighter (gas) 10.00
Wood/pellet stove 10.00
Wood fireplace/insert 10.00
❑ PROPERTY OWNER I [51 TENANT Chimney/liner /flue/vent 10.00
Other: 10.00
Name: AO C1 \I1 (9 14 't.t P5,kk1-4 Environmental exhaust and ventilation
Address: (y p.� 6, Range hood/other kitchen
ddress:
'- � (A ., � \ equipment 10.00
City /State/ZIP: 7 4l 0 ) \'7:2--4.., Clothes dryer exhaust 10.00 • Single -duct exhaust (bathrooms,
Phone: (S \ ( loop Fax: ( ) toilet compartments, utility rooms) 6.80
❑ APPLICANT ❑ CONTACT PERSON Attic/crawlspace fans 10.00
Other: 10.00
Business name: Fuel piping
Contact name: $5.40 for first four; $1.00 for each additional
Address:
Furnace, etc.
Gas heat pump
City /State/ZIP: Wall/suspended/unit heater
Phone: ( ) I Fax:: ( ) Water heater
Fireplace
E -mail: • Range
p CONTRACTOR � -- Barbecue
Business name:
A V,4 N c cs , A0 sA \ `A/6 Clothes dryer (gas)
Other:
Address: 5 n
V(( g MECHANICAL PERMIT FEES*
City /State/ZIP: m N Q P °t •7 .,o , Subtotal
Phone: ( ) • ' 7l t 0 ( ( I I Fax: ( ) Minimum permit fee ($72.50)
l /`'/ `rte Plan review (25% of permit fee)
CCB tic.: State surcharge (8% of permit fee)'
TOTAL PERMIT FEE
Authorized s ature: V / — This permit application expires if a permit is not obtained within 180
// • days after it has been accepted as complete.
I Print name: KgpkpO� {,�,t S1(.44 ) 9 I Date: 11 ` � - rS B) • Fee methodology set by Tit- County Building Industry Service Board
i:\ Buitding\PermibV�C- PamitApp.doc 12103 440-4617T (11 /02/COM/WEB) •
Mechani l Permit Application - City of Tigard ,
Page'2 - Sup en dotal Information • • • °
Commercial Fee hedule:
Total Valuation: Permit Fee:
$1.00 to $2,000.00 Minimum fee $72.50
$2,001.00 to. $5,000.00 . '.72.50 for the first $2,0 ) 0.00 and $2.30
each additional $100.00 or fraction
the , -•f, to and includ' g $5,000.00.
$5,001.00 to $10,000.00 $141. t for the first $ • ,000.00 and
$1.80 fo ch additi'.. al $100.00 or
fraction th a f, to : d including
$10,000.00.
$10,001.00 to $50,000.00 $231.50 for the , .. $10,000.00 and
$1.35 for each ad. '.nal $100.00 or -
fraction thereof, . an . ' ncluding .
$50,000.00.
$50,001.00 to $100,000.00 $771.50 for first $50,001.10 and •. `•s ;.' •
$1.25 for ea' additional $10 or
fraction the eof, to and including
$100,001.10.
$100,000.01 and up $1,396 0 for the first $100,000.00 and
$1.11 'or each additional $100.00 or
fra' on thereof.
Note: All new commer al buildings require 2 sets of plans.
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i:\ Building \PermitsWlEC- PermitApp.doc 12/03 2 •
CITY-1)F TIGARD
BUILDING DIVISION PERMIT #: MEC2005 00315
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 12J13/20015
Phone: (503) 639- 4171vlit
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 2/7/2006 TIME: 7i02AM PAGE: 60
SITE ADDRESS: 10115 SW NIMBUS AVE 150 CLASS OF WORK:
SUBDIVISION: 1 KOLL BUSINESS CENTER TIGARD LOT #: 001 TYPE OF USE:
PROJECT NAME: CAFE PERSIA
DESCRIPTION: Hood - Project Value: $4,968
OWNER: ROBINSON, WILLIAM R /CONSTANCE A, PHONE #:
CONTRACTOR: ADVANCED HEATING & AIR CONE) PHONE #: 503.174.0161
Inspection Request Scheduled For: Date: 217/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 026362 -04 503 -516 7001) N
Corrections /Comments /Instructions:
I 11)4
/1/1/M11111MINSVAIIIJ
la t aw I ' ......- 9
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL + LL FO' INSPECTION ❑ ADDITI AL EES ASSESSED
rrI
Q�
Inspector: i Date: _� v6 Phone #: (503) 718- ��
d
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MEC2006.00315
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 12/13/20;6
Phone: (503) 639 -4171 /�nm xrµ� F�����
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 7m2006 TIME: 7 : 02AM PAGE: 61
SITE ADDRESS: 10115 SW NIMBUS AVE 1b0 CLASS OF WORK:
SUBDIVISION: 1 KOLL BUSINESS CENTER 'F IGARD LOT #: 001 TYPE OF USE:
PROJECT NAME: CAFE PERSIA
DESCRIPTION: Hood - Project Value: $4,1358
OWNER: ROBINSON, WILLIAM R /CONSTANCE A, PHONE #:
CONTRACTOR: ADVANCED HEATING & AIR COND PHONE #: 603.771.016 -j
Inspection Request Scheduled For: Date: 217/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
626 Duct work 026362 -03 503. 616 -7000 N
Corrections /Comments /Instructions:
o .41/4- /M
r
D cr
P ASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL • CALL FOR INSPECTION ❑ ADDITIO A FEES ASSESSED
Inspector: � �' ,1 L Date: ? a Phone #: (503) 718- v 4
maw' v -