10220 SW NIMBUS AVENUE BLDG K STE 1-1 IN 3AV SnBWIN MS OZZOI
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CITY
I TY O F T I GA R MECHANICAL PERMIT
DEVELOPMENT SERVICES
PERMIT#: MEC2.000-00095 13125 SW Hall Blvd.,TigardDATE ISSUED: o3rz2/2ooci
, OR 97223 (503)639-4171 PARCEL: 3/22/2 A-01900
SITE ADDRESS: 10220 SW NIMBL)S AVE K-1
SUBDIVISION: 1 KOI_i- BUSINESS CENTER TIGARD 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: VENTS W/O APPL: VENT SYSTEMS:
STORIES: BOILERS/COMPRESSORS HOODS:
FUEL TYPES 0 - 3 HP: DOMES. :NCIN:
�- --� 3 - 15 HP: COMMIL. INCIN:
MAX INPUT: BTU 15-30 HP: REPAIR UNITS:
FIRE DAMPERS?: 30 -50 HP: WOODSTOVES:
GAS PRESSUR_: 50+ HP: CLO DRYERS:
FURN < 100K BTU: AIR HANDLING UNITS OTHER UNITS:
FURN > 100K BTU: <- 10000 cfm: GAS OUTLETS: 12
> 10000 cfm:
Remarks: Repi,:. piping.
Owner. _ _ FEES
ROBINSON, CONSTANCE A + Type By Date Amount Receipt
ROBINSON, LYNN + BELL, KAY ET PRMT GEO 03/22./20( $50.00 0000872
BY INSIGNIA COMMERCIAL GROUP 5PCT GEO 03/22/20( $4.00 0000872
BEAVERTON, OR 97008 _
Total $54.00
Phone: --�-- _
Contractor:
WOLFE RS, INC
290 YOUNG ST
WOODBURN, OR 97071 REQUIRED INSPECTIONS
Gas Line Insp
;phone:503-981-4511 Final Inspection
Reg#:LIC 1911
ORIGINAL
m
wThis 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
riot 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 952-001-0080. You may obtain copies of these rules or direct questions to OYj C by
calling (503)246-9 9. ,t
Issue By: Permittee Signature:
Call(503)639-4175!ay 7:00 P.M. for Inspections needed tho next buslness day
CITY OF TIGARD Mechanical Permit Application Plan Chea.
PP Recd By
93125 SIM HALL BLVD. Commercial and Residential Date Recd_
TIGARD, OR 97223 Date to P.E.
(503) 639-4171, x304 Date to DST
Print or Type
Permit 0� �A00
_- Incomplete or illegible a plications will not be accepted ---
Description
Name a,�e;epK )e S3 �G(L � Table 1 A Mechanical Code -_ Price Aml
Job Sir"Address
l;usaa A Permit Fee _ 16-00
(� 1) Fumaoe to 100,000 BTU
Address S/ S r \ including duds&vents too footnote 1,2 9.65
RkW ' ciywstata zip 2) Furnace 100,000 BT'J+
A. 7d- _including duds&_vents ass footnote 1,2_ 12.00
Name(or name of huslnoso ' 3) Floor Furnace
Owner Mailing
vent ass footnote_ 1,2 I 9.65
Malting Address - 4) Suspended heater,wall heater
or floor mounted heater see footnote 1,2 9.65
5 Vent not Included in a ppliance rmll 4.75
CRY/Slate Zip Phone Check all tha'r apply: 'BOlbr Heat Air
For Items 6-10,see or Pump Corr) Qty Price Amt
None(or nom3 of business) footnotes 1,2 Comp
-6F);'3-HP;absorb unit to
100K BTU _ _9.65
Occupant Mail"Address 7)3-15 HP;absorb unit
100k to 500k BTU_ _ _ 17.05
City/state zip Phone 8)15.30 HP:absorb
unit.5-1 mil BTU 24.15
Contractor Nam - 9)30-50 HP;absorb
����s �-��` unit 1-1.75 fr,il BTU 36.00
o ),/
'3� 10)>50HP;absorb unit
Prior tc,>wmR MawinO _) >1.75 mil BTU _ 60.15
Issuance.a copy Z 7(7, 11 Air handling unit to 10,000 CFM
of all Iia-sea Ctly/state ZIP rMt. t _ _ _ 7.00 _
are required H _ ;� � y �A_ �� 12)Air handling unit 10,000 CFM+ _
expired in COT Groom Const Cont f oord Lie a - e _ 11.85
database / 7 13)Nan portable evaporate cooler
Architect "r.a° 7.00
To Vent is,,conneLied to it single dud
or Mailing Address 4.75
15)Ventilation system not Included In
appliance permit 7.00
Engineer c • zipPhOf° 16)Hood served by mechanical exhaust
7.00
Describe work to be done17)Domestic Incinerators _
G+•5 12.00
New 0 Repair O Replace with like kind Yes 'No O 18)Commercial or industrial type incinerator
.25
Residential CormTtercial.A 4840
19)Repair unitsAdditional Information or description of work 8.40
20)Wood stovelgea Mother unWclothe dryer<<.r,.
CL _ 7.00
NOTE: For Commer ail projects only,Units over 400 lbs.require 21)Gas piping one to four outlets ^�
Nstructural ss c c!r•s. See footnote 4 3.75
r Type of fuel: oil O natural gas LPG O electric O 22 More then 42!r outlet(each) _ .75
Minimum Permit Fes$50.00 SUBTOTAL
1 hereby acknowledge that I have read this application,that the information 8%SURCHARGE L
m given is correct,that I am the owner or authorized agent of PLAN RFVIEW 25%OF SUBTOTAL
(� the owner,that plans submitted are In compliance with Oregon State laws. Required for ALL commercial on
ly
TOTAL
J Signature of OwneNAgent Date --
}, �. _�.�✓ ,,, Other Inspections and Fees:
1. Inspections outside of normal business hours(mininum charge-two
Contact Pers N Phone Mitre) :50.00 per hour
/ 2. Inspections for which no fee Is specifically Indicated (minimum
rr C p y // chargs-half hour) $50.00 per hour
Foonrkes far ommerclal protects only: 3• Additional plan review required by changes,additlons or revisions to
1. Provide full schematic of existing and proposed gas line and pressure. plans(minimum charge-one-half hot r):50.00 per hour
2. Provide drawings to scale showing existing and proposed mechanical
units. _ 'State Contractor Boller Cartiflcstlon required
"Residential APC requhw eke plan showing plaeerrent of unk
11mechperm.doc rev 7/19/99
CITY OF TI AFD BUILDING INSPECTION DIVISION MST
24-Hour Ins ction Line: 639-41 Business Line: 639-4171
SUP
_Date Requested —AM——.PM BLD _
Location— ISO l i'Yl bili suite - MEC ? -taD O�_ S
Contact Person Ph PLM _
Contractor Ph SWR
BUILDING Tenant/Owner ELC _
Retaining Wall ELR
Footing Access:
Foundation FPS
Fig Drain
Crawl Drain Inspection Notes: 8GN
Slab
Post&Beam I SIT ---
Ext Sheath/Shear 0� t1 'AtQ
Int Sheath/Shear --
Framing '
Insulation
Drywall Nailing —__—
Firewall ---- ---------._.—_—.--�._._
Fire Sprinkler
Fire Alarm - ---- -__—._
Susp'd Ceiling _--
Roof - --
Misc: __ — ---------- _ ----
Final
PASS PART FAIL -------.-- _---- --- _—_
PLUMBING
Post&Beam -- — ---` ------ ---- ----
Linder Slab
Top Out ------ — — — __
Water Service
Sanitary Sewer --- -- ------ --
Rain Drains
Final -_-------- — -- -- --- --
PASS PART FAIL _—
•CHANT ' --- ------- ---_ —.—_ — — ..�—.—
Post& Beam ------- — --- --
Rough In
Smoke Dampers
F' --- ------ --- —-
PASS )PART FAI'_
TEECTRICAL _ ------------—
a Service
� Rough In --------- ----------------- ---
N LIG/Slab
Low Voltage -- ---------- --— — —__ _ — ------- —
Fire Alarm
Final
m PASS PART FAIL
W SITE
J Backfill/Grading - -- - — — ----- ----- -
Sanitary Sewer
Storm Drain [ J Reinspection fee of$ _ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin
Fire Supply Line ( J Please call for reinspection RE:--- [ )Unable to Inspect-no access
ADA
Approach/Sidewalk
Other _ Date - Inspector _ Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.