Permit (120) a
7 CITY OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT PERMIT #: MEC2008-00284
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 6/6/2008
PARCEL: 1 S135BD -00100
SITE ADDRESS: 09600 SW OAK ST 280 ZONING: C -P
SUBDIVISION: PLAZA WEST LOT: 005 JURISDICTION: TIG
PROJECT: TIGARD FAMILY COUNSELING
Project Description: Relocate (2) supply grilles, install (6) return grilles w /sound boots.
Project Value: $1000 NO PLAN REVIEW REQUIRED.
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:
3 - 15 HP: COMML. INCIN: .
MAX INPUT: BTU 15 - 30 HP: REPAIR UNITS:
FIRE DAMPERS ?: 30 - 50 HP: .
WOODSTOVES:
GAS PRESSURE: 50 + HP: CLO DRYERS:
FURN < 100K BTU: AIR HANDLING UNITS
FURN > =100K BTU: <= 10000 cfm: OTHER UNITS:
> 10000 cfm: GAS OUTLETS:
Owner: FEES
PLAZA WEST LLC Description Date Amount
C/O NORRIS BEGGS & SIMPSON
121 SW MORRISON STE 200 [MECH] Permit Fee 6/6/2008 $72.50
PORTLAND, OR 97209 [TAX] 12% State Surch 6/6/2008 $8.70
Total $81.20
Phone: 503- 223 -7181
Contractor:
HUNTER DAVISSON INC
1800 SW PERSHING
PORTLAND, OR 97202 REQUIRED ITEMS AND REPORTS
Contact #: PRI 503- 234 -0477
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 or 1.800.332.2344.
i `
Issued : y: 1 i /�� , Permittee Signature: I Ai',
Call 503.639.4175 by 7:00 a.m. for inspections that business day.
This permit card shall be kept in a conspicuous place on the job site until completion of e project.
Approved plans are required on the job site at the time of each inspection.
Mechanical Permit Application Fo12 OFFICE USE ONLY
City of Tigard DatReceived Iry / Permit No.: ■ ECo'g 00.2s A
I II q 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review
C Phone: 503.639.4171 Fax: 503.598.1960 Date/By: Other Permit:
T I G A It D Inspection Line: 503.639 Date Ready/By: Juris: ® See Page 2 for
Internet: www.tigard or.gov Notified/Method: Supplemental Information
TYPE OF WORK COMMERCIAL FEE* SCHEDULE — USE CHECKLIST
❑ New construction ddition/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, labor, overhead, and profit.
CATEGORY OF CONSTRUCTION Value: $ j GIj
RESIDENTIAL EQUIPME1* / SYSTEMS FEES*
❑ 1- and 2- family dwelling jitommercialtindustrial ❑ Accessory building For special information use checklist.
❑ Multi - family ❑ Master builder ❑ Other: Description I Qty. I Ea. I_ Total
JOB SITE INFORMATION AND LOCATION Heating/cooling
Job site address: Air conditioning or heat pump
96� � � (requires site plan showing placement) 14.00
City/State/ZIP: <17 OD s7 22-j Furnace 100,000 BTU (ducts/vents) 14.00
Furnace 100,000+ BTU (ducts/vents) 17.90
Suite/bld /a t. no.: Project name
g' p at .� 1 / Gd,r��/ F !t m . y �B cue. �i r < Gas heat pump 14.00
Cross street/directions to job site: J 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
Subdivision: Lot no.: Flue /vent for any of above 10.00
Other: 10.00
Tax map /parcel no.: Other fuel appliances
DESCRIPTION OF WORK Water heater 10.00
Gas fireplace 10.00
A(aca S' , y 4r... 6) // , 1 Flue vent for water heater or gas
/ "" f / fireplace 10.00
b
A--ft-LM lY 6/t7 4/sDbC. 4,,,riv Log lighter (gas) 10.00
Wood/pellet stove 10.00
Wood fireplace/insert 10.00
Chimney /liner /flue/vent 10.00
❑ PROPERTY OWNER I ❑TENANT Other: 10.00
Name: b-t�1, Ae J Q 2' �� ja Environmental exhaust and ventilation
Z./ J� Range hood/other kitchen
Address:
equipment 10.00
City / State/ZIP: ( 11)/46/ e / Clothes dryer exhaust 10.00
Single -duct exhaust (bathrooms,
Phone: ( ) Fax: ( ) toilet compartments, utility rooms) 6.80
❑ APPLICANT ❑ CONTACT PERSON Attic /crawlspace fans 10.00
Other: 10.00
Business name: L4 /bee/. 5?tQL/tJJsh? 7h Fu el piping
Contact name: ,' , $5.40 for first four; $1.00 for each additional
Furnace, etc.
Address: 1
S� e y ." Gas heat pump
City/State/ZIP: "o f. e 6� ?,-4M. Wall/suspended/unit heater
Phone: 7
( 5 c '?. ( Fax: ( ) Water heater
� Fireplace
E -mail: Range
CONTRACTOR Barbecue
Business name: Clothes dryer (gas)
�e/--- Other:
Address: MECHANICAL PERMIT FEES*
City/State/ZIP: Subtotal
Minimum permit fee ($72.50)
Phone: ( ) Fax: ( ) Plan review (25% of permit fee)
CCB lie.: I 4 State surchargeilift permit fee)
TOTAL PERMIT FEE
Authorized signature: T his permit application expires if a permit is not obtained within ISO
_ days after it has been accepted as complete.
Print name: CA, if atr>" // Date: i(v� • Fee methodology set by Tri- County Building Industry Service Board
I:\ Building \PermitsV�C- PermitApp.doe 04/06 440- 4617T(II /02/COM/WEB)
•
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MEC2008-00214
IV 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 616/2008
Phone: (503) 639 -4171 7, i*
Inspection Requests (24 Hrs.): (503) 639 -4175 '' L
INSPECTION WORKSHEET FOR DATE: 6/9/2008 TIME: :01AM PAGE: 11
SITE ADDRESS: 09600 SW OAK ST 280 CLASS OF WORK:
SUBDIVISION: PLAZA WEST LOT #: 005 TYPE OF USE:
PROJECT NAME: TIGARD FAMILY COUNSELING
DESCRIPTION: Relocate (2) supply grilles, install (6) return grilles w /sound boots.
Project Value: $1000 NO PLAN REVIEW REQUIRED.
OWNER: PLAZA WEST LLC, PHONE #: 503 - 7181
CONTRACTOR: HUNTER DAVISSON INC PHONE #: 503 -234 -0477
Inspection Request Scheduled For: Date: 6/9/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message p
699 Mechanical final 071100-01 503 - 793.9802 N
Corrections /Comments /Instructions:
1 / \/7 1 11 6)
•
:\ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
` c �
Inspector: Date: `. 3
pe Dat 1 Phone #: (50 ) 718 -