Permit CITY OF TIGARD MECHANICAL PERMIT
1111
8.• COMMUNITY DEVELOPMENT Permit#: MEC2013 00687
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 11/20/2013
Parcel: 1 S134AA01900
Jurisdiction: Tigard
Site address: 10115 SW NIMBUS AVE
Project: Scholls Business Center Subdivision: IKOLL BUSINESS CENTER,TIGARD Lot: B
Project Description: RTU replacement.
Contractor: MCDONALD MILLER FACILITY SOLUTIONS Owner: ROBINSON,CONSTANCE A
12801 NE AIRPORT WAY BY KILLIAN PACIFIC LLC
PORTLAND, OR 97230 500 EAST BROADWAY, STE 110
VANCOUVER,WA 98660
PHONE: 971-244-0901 PHONE:
FAX: 971-244-0902
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 11/20/2013 $191.86
Class of Work: ALT Type of Const: IIIB Plan Review 11/20/2013 $47.97
Occupancy Grp: B Occupancy Load: 12%State Surcharge-Mechanical 11/20/2013 $23.02
Stories: 1 Info Process/Archiving-Sm$0.50(up to 11/20/2013 $4.00
11x17)
Project Valuation: $4,500.00
Fuel Air Handlers
Fuel Types: Units<10000 cfm:
Gas Pressure: Units>10000 cfm:
Furnaces Boilers&Compressors
Furnaces<100K BTU: 0-3 HP:
Furnaces>= 100K BTU: 3-15 HP:
Floor Furnaces: 15-30 HP:
Unit Heaters: 30-50 HP:
Vents w/o Appliances: 50 or Greater HP:
Air Conditioning:
Heat Pump:
Appliances
Vent Fans: Vent Systems: Total $266.85
Hoods: Comm Incinerators:
Woodstoves: Gas Fireplaces:
Required Items and Reports(Conditions)
Clothes Dryers: Other Mech Units:
Gas Outlets: Other Desc:
Duct Work:
Fire/Smoke Dampers:
This permit is issued subject to the regulations contained in the Tigard Municipal Code, 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 not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules
or direct questions to OUNC by calling 503.232.198 e 1.800. 344. f\
Issued By: -__ Per -= ignature:
C9
Call 50 .• •.• 5 by 7:00 a.m.for the next available inspection date.
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 Application FOR OFFICE USE ONLY .
•
Received
City of Tigard ` Date/By: it f'd. / Permit No.: � C,r�ci(3_ 06 g.-7
q 13125 SW Hall Blvd.,Tigard,OR`,:" Plan Review-
' / O, W
C` Phone: 503.718.2439 Fax: 503.5;:. `t,i '10\r Date/By: ( i t e ( Other Permit op 0 13_6010 G
T I G n R D Inspection Line: 503.639.4175 w`OV y Date Read Z orris
Internet: Line 3 63 ov \`t y o Supplemental See Page 2 for
g g �O Notifted/Method: Supplemental Information
TYPE OF W 1 ' 1c0 '71.
FEE* SCHEDULE,- USE CHECKLIST
Mechanical permit fees*are based on the value of the work
❑New construction ®Addition/alteraYon/replacement performed.Indicate the value(rounded to the nearest dollar)of all
❑ Demolition ❑Other: mechanical materials,equipment,labor,overhead,and profit.
Value:$4,500
CATEGORY OF CONSTRUCTION. RESIDENTIAL EQUIPMENT/SYSTEMS FEES*
❑ I-and 2-family dwelling ®Commercial/industrial ❑Accessory building For special information use checklist.
❑Multi-family ❑Master builder ❑Other: Description Qty. Ea. Total
,JOB SITE INFORMATION AND LOCATION
Heating/cooling:
Air conditioning
Job site address: 10115 SW Nimbus Ave (requires site plan showing placement) 46.75
City/State/ZIP:Tigard,OR 97223 Furnace 100,000 BTU(ducts/vents) 46.75
Furnace 100,000+BTU(ducts/vents) 54.91
Suite/bldg./apt.no.: Project name:Gentle Dental Heat pump
(requires site plan showing placement) 61.06
Cross street/directions to job site: 5;4( Mc,ktd Duct work 23.32
Hydronic hot water system 23.32
•
Residential boiler(radiator or
hydronic) 23.32
Unit heaters(fuel-type,not electric),
in-wall,in-duct,suspended,etc. 46.75
Subdivision: Lot no.: Flue/vent for any of above 23.32
Other: 23.32
Tax map/parcel no.: Other fuel appliances:
DESCRIPTION OF WORK Water heater 23.32 __
RTU Replacement /
pus h (j`J)( I Gas fireplace/insert 33.39
1 " �`� Flue vent for water heater or gas
fireplace 23.32
Log lighter(gas) 23.32
Wood/pellet stove 33.39 ___
Wood fireplace/insert 23.32
r .•• ❑;•PROPERTY OWNER ' • ' . 0 Chimney/liner/flue/vent 23.32
,•+•
Other: 23.32
Name: Environmental exhaust and ventilation:
Address: Range hood/other kitchen
equipment 33.39
City/State/ZIP: Clothes dryer exhaust 33.39
Single-duct exhaust(bathrooms,
Phone:( ) Fax:( ) toilet compartments,utility rooms) 23.32
"' ','•❑,.APPLICANT, •.., " • ' ® CONTACT PERSON . . Attic/crawlspace fans 23.32
Business name: MacDonald Miller Facility Solutions Other: 23.32
Fuel piping:
Contact name: Megan Gillory $14.15 for first four;$4.03 for each additional
Address: 12801 NE Airport Way Furnace,etc.
Gas heat pump
City/State/ZIP:Portland,OR 97223 Wall/suspended/unit heater
Phone:(503)262-5410 Fax: :(971)244-0902 Water heater
Fireplace
E-mail:megan.gillory @macmiller.com Range
CONTRACTOR Barbecue
Business name:MacDonald Miller Facility Solutions Clothes dryer(gas)
Other:
•
Address: 12801 NE Airport Way MECHANICAL PERMIT FEES"
City/State/ZIP:Portland,OR 97223 Subtotal
Minimum permit fee($90.00)
Phone:(971)244-0901 Fax:(971)244-0902 Plan review(25%of permit fee)
CCB lic.: 154368 State surcharge(12%of permit fee)
TOTAL PERMIT FEE
Authorized Slgnatur This permit application expires if a permit is not obtained within 180
days after it has been accepted as complete.
Print name:Megan Gillory Date: 11/12/13 . Fee methodology set by Tri-County Building Industry Service Board
I:\Building\Permits\MEC-PermitApp doc 03/07/12 440-4617T(I 1/02/COM/WEB)
Location:
Record Type:
Inspection Type:
Comments:
Inspection Date:
Record ID:
Result:
City of Tigard
13125 SW Hal Blvd.
Tigard, OR 97223 Tel: 503.718.2439
10115 SW NIMBUS AVE, TIGARD, OR, 97223
Commercial - Mechanical
699 Mechanical final
2013-11-25 00:00:00
MEC2013-00687
PASS - No C of O
4 ton RTU replacement. Ok
Violation Summary:
Inspector Contractor