Permit q CITY OF TIGARD MECHANICAL PERMIT
II E COMMUNITY DEVELOPMENT Permit#: MEC2015-00273
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 05/12/2015
Parcel: 1S 134AA01900
Jurisdiction: Tigard
Site address: 10115 SW NIMBUS AVE 100
Project: The Filling Station Subdivision: IKOLL BUSINESS CENTER,TIGARD Lot: B
Project Description: Duct work modifications.
Contractor: OREGON HEATING&AIR CONDITIONING Owner: ROBINSON, CONSTANCE A
19300 SW 118TH AVE BY KILLIAN PACIFIC LLC
TUALATIN,OR 97062 500 EAST BROADWAY, STE 110
VANCOUVER,WA 98660
PHONE: 503-691-9699 PHONE:
FAX: 503-691-8556
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 05/12/2015 $204.14
Class of Work: ALT Type of Const: Plan Review 05/12/2015 $51.04
Occupancy Grp: Occupancy Load: 12%State Surcharge-Mechanical 05/12/2015 $24.50
Stories:
Project Valuation: $4,900.00
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 $279.68
Hoods: Comm Incinerators:
Woodstoves: Gas Fireplaces:
Required Items and Reports(Conditions)
Clothes Dryers: Other Mech Units:
Gas Outlets: Other Desc:
Duct Work: 1
Fire/Smoke Dampers:
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specia y Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not 'ailed within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to folio he rul:/ adopted by the Oregon
Utility Notification Center. Those rules are set fort. • ' 952-001-0010 through OAR 952-001-0090. ou may .bta• a copy of the rules
or direct questions to OUNC by calling 503.232.1987 or .I r
Issued By: _ Permittee Signature: 11,
Call 503.639.4175 by 7:00 a.m.for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Mechanical Permit Application FOR OFFICE USE ONLY
City of Tigard ReC0iv.,.
`J g �xr�' Date/By J/ t " r ti — Permit No.: 1 7 �. , .J/nor. - " 13125 SW Hall Blvd.,Tigard,OR 97223 ^E1 1b+.� Plan Review r
Phone: 503.718.2439 Fax: 503.598Q, IV. 1 Other Permit: tt�Q� 'S__�GI
1 Date/By: t/"`? 6
T l G A R D Inspection Line: 503.639.4175 ^v . 2 { Date Ready/By: JuT ® See Pages for
Internet: www.tigard-or.gov H1 1 Q 1� Notified/Method: '�[s Supplemental Information
M
TYPE OF W ( OF TIC AR9 N COMMERCIAL FEE* SCHEDULE - USE CHECKLIST
11 � (�D'vIsI0 Mechanical permit fees*are based on the value of the work
❑New construction Addition/alttl, q/tE�acement performed.Indicate the value(rounded to the nearest dollar)of all
❑Demolition ❑Other: mechanical materials,equipment,I overhead,and profit.
Value:$ 1
CATEGORY OF CONSTRUCTION RESIDENTIAL EQUH'ME /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. Total
JOB SITE INFORMATION AND LOCATION Heating/cooling:
Air conditioning 46.75
Job site address: /O/i cu, 44„,,,,,,,, Furnace 100,000 BTU(ducts/vents) 46.75
City/State/ZIP: !�/� �jl i ���°°°'��C Furnace 100,000+BTU(ducts/vents) 54.91
r `�'�^ / V Heat pump 61.06
Suite/bldg./apt.no.: Project name: Alfia,10-1,-- Duct work 23.32
Cross street/directions to job site: Hydronic hot water system 23.32
Residential boiler(radiator or
5Zitiki hydronic) 23.32
Unit heaters(fuel-type,not electric),
in-wall,in-duct,suspended,etc. 46.75
Flue/vent for any of above 23.32
Subdivision: Lot no.: Other: 23.32
Other fuel appliances:
Tax map/parcel no.: Water heater 23.32
DESCRIPTION OF WORK Gas fireplace/insert 33.39
Flue vent for water heater or gas
Ail) 0/40 0_ fireplace 23.32
Log lighter(gas) 23.32
Wood/pellet stove 33.39
Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
❑ PROPERTY OWNER I ❑ TENANT Other: 23.32
Environmental exhaust and ventilation:
Name: Range hood/other kitchen
equipment 33.39
Address: Clothes dryer exhaust 33.39
City/State/ZIP: Single-duct exhaust(bathrooms,
toilet compartments,utility rooms) . 23.32 ,
Phone:( ) Fax:( ) Attic/crawlspace fans 23.32 ,
iAPPLICANT y CONTACT PERSON Other: 23.32
Business name: ((44 t�� Fuel piping:
$14.15 for first four;$4.03 for each additional
Contact name: �/t4 L�fl Furnace,etc.
Address: Gas heat pump
- - Wall/suspended/unit heater ,
City/State/ZIP: Water heater
Phone:(5 )545' ff./4-2......._ Fax::( ) Fireplace .
o (� Range
E-mail: C f'/1 -1 0 c ' / . i Barbecue
CONTRA OR " `t Clothes dryer(gas)
Business name: oN� Other:
MECHANICAL PERMIT FEES*
Address: ri 2 y7" Subtotal
City/State/ZIP: �lr "/j �f 17/i Minimum permit fee($90.00)
Phone:(5-13 qi�' Fax:( ) Plan review(25%of permit fee)
p , _ rt State surcharge(12%of permit fee)
CCB lic.: '7��'Z.—/,-*" TOTAL PERMIT FEE ,k)4,&V
This permit application expires if a permit is not obtained within ISO
days after it has been accepted as complete.
Authorized signature: • Fee methodology set by Tri-County Building Industry Service Board
Print name: CAI Z.Q.711 iY Date: 6.571 f>c
I\Building\Permits\MEC_PermitApp_040I13.doe 44046171(I I/02/COM/WEB)
Mechanical Permit Application - City of Tigard
Page 2 - Supplemental Information
Commercial & Multi-Family Fee Schedule:
Total Valuation: Permit Fee:
$0.00 to$500.00 Minimum fee$69.06
$500.01 to$5,000.00 $69.06 for the first$500.00 and
$3.07 for each additional$100.00 or
fraction thereof,to and including
$5,000.00.
$5,000.01 to$10,000.00 $207.21 for the first$5,000.00 and
$2.81 for each additional$100.00 or
fraction thereof,to and including
$10,000.00.
$10,000.01 to$50,000.00 $347.71 for the first$10,000.00 and
$2.54 for each additional$100.00 or
fraction thereof,to and including
$50,000.00.
$50,000.01 to$100,000.00 $1,363.71 for the first$50,000.00 and
$2.49 for each additional$100.00 or
fraction thereof,to and including
$100,000.00.
$100,000.01 and up $2,608.71 for the first$100,000.00 and
$2.92 for each additional$100.00 or
fraction thereof.
Note: All new commercial buildings require 2 sets of plans.
I:\Building\Permits\MEC_PermitApp_040I 13.doc 2
Location:
Record Type:
Inspection Type:
Result:
Comments:
Inspection Date:
Record ID:
Inspector:
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
10115 SW NIMBUS AVE 100, TIGARD, OR,
97223
Commercial - Mechanical
699 Mechanical final
PASS - No C of O
MEC2015-00273
George Heimos
Violation Summary:
Inspector Contractor