Permit ~ . CITY OF TIGA D MECHANICAL PERMIT
° COMMUNITY DEVELOPMENT PERMIT #: MEC2007 -00698
� .1'j.GARD: 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
DATE ISSUED: 11/29/2007
PARCEL: 25101 DA -00101
SITE ADDRESS: 13190 SW 68TH PKWY%} a ZONING: C -
SUBDIVISION: TRIANGLE CORPORATE PARK LOT: 003 JURISDICTION: TIG
PROJECT: BUSINESS OBJECTS
Project Description: Exhaust fan.
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: 0
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: REPAIR UNITS:
GAS PRESSURE: 50 + HP: CLO DRYERS:
FURN < 100K BTU: AIR HANDLING UNITS OTHER UNITS: 1
FURN > =100K BTU: <= 10000 cfm:
> 10000 cfm: GAS OUTLETS:
Owner: FEES
SCHNITZER INVESTMENT CORP Description Date Amount
PO BOX 10047
PORTLAND, . OR 97296 [MECH] Permit Fee 11/29/20C $72.50
[TAX] 8% State Surcha 11/29/20C $5.80
Phone:
Total $78.30
Contractor:
AMERICAN HEATING INC
1339 SE GIDEON ST
PORTLAND, OR 97202 REQUIRED ITEMS AND REPORTS
Contact #: PRI 503- 239 -4600
FAX 503- 239 -7038
Reg #: LIC 33135
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.
Issued By : %+ Permittee Signature: ( /- / /
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 the project.
Approved plans are required on the job site at the time of each inspection.
. . .
Mechanical Permit Application T i c A/2 N , �y ' 7.. go „u `! 47! U`.r
� 1900 SW 4th, Suite 5000, PO Box 8120, Portland, OR 97201 -4. COMMERCIALFEE *SCHEDULE F USE CHECKLIST
Phone: 503- 823 -7363, Fax: 503- 823 -3018
TTY: 503 823 - 6868, Website: www.portlandonline.com/bds Mechanical permit fees* are based on the value of the work
performed. Indicate the value (rounded to the nearest dollar) of all
,,. , ,� t• ter.. t ,,, p�, mechanical materials, equipment, labor, overhead, and profit.
"5 %y�u• ! ” .7 � OF WORK °, -2'':I,a _ X15. 00
,� r. ,4.r,w n. w. y 3•±n ' Value
.scar
❑ New construction Addition/alteration/replacement rt f2ESIDENTIAL :EQUIPMEN fr'/ SYSTEMS FEES* ai:`
❑ Demolition ❑ Other: For special information use checklist.
rr s-. 6..,,. '- ..,...,a..-.. �..''`"'y Description Qty . Ea Total
". .yep �� CATEGORYtOF CONSTRUCTION I��, r �+� Y . , r f
. .c-. - .�.,a.. ::.e � �... �,.+s..,•,•��.i. s . ,.. , .x , { ... o -. � r shy 5 ,., 1 aA, k
❑ 1- and 2- family dwelling �.Commerciallindustrial ❑ Accessory building ,1A c nti /Coohn , . � .s - : + - `'
A ir conditioner (site plan
❑ Multi - family ❑ Master builder ❑ Other: required) $ 19
r ,q �� . _ Furnacc/bumer including
„ ;�r,.,1 ; JOB SITEINFORMATION AND1LOCATION.
. . 1,.:............: a.*� + k ..n. t/Til. R _ xt , * : l '4 .. ductwork/vent/liner $ 40
Job site address: 7S 1 10 s V,J �' L. . Heat pump (site plan required) $ 38
��`' q Air handling unit $ 19
City /State /ZIP: ti � 1p Cie-- 1 7.::.. Hydronic hot water system $ 24
Suite/bldg. /apt. no.: .O L) Project name: - us, Residential boiler (radiator or
hydronic) includes piping. $ 24
Cross street/directions to job site: Unit heaters (fuel -type, not
electric), in -wall, in -duct,
suspended, etc. $ 19
Vent for appliance other than
furnace $ 16
Subdivision: Lot no.: Alteration of existing HVAC
s stem $ 24
- e'ggfT"�.!k; i h. :'- ;Y�`7r <'"7�� , µ '.W.�A '�� t • fr ,"y - % F y r
Tax map /parcel no.: pthcr_0 1 Apiiii nccs at 4 _ , ..,... oi . ,. t .!t
N n '4 -- t W 4 1,� ° g ` �' D OF -W ORFC 1 .„ ,. - . _ * ., r Decorative gas fireplace $ 19
Flue vent for water heater or
• 1 gas fireplace $ 16
Wood/pellet stove $ 42
1,%'-/C C OY S k-- -rk ( C.�'Au,:fy p ‘,` �
Gas or wood fireplace /insert $ 42
v.-1/4...\ j'� rt) — - -1 4 4 -71'5TrAkk 1-- Chimney/liner /flue /vent $ 16
❑ Reference RS / Combination Permit no. " ) A Other $ 24
•�,.'�, '� ":.�'mA �.4�. x tr i,:�• Fes[; - ?+-0 = :`'r�'f�.. ^�.� .�ic s �;z -"V n - 7 t x�.F �^ r
TENANT+ y ,y }. t b nvironmentallExhaust AndiVcntilation ,a ;
n". ,.tP ROPERTTY OWNER - � r : r f �' ' h"" G. ,-'.z�k.�� t
,/� ! " ��_ -�•- �' = Range hood /other kitchen
Name: r \s ►•1 _ a i� equipment $10
` Clothes dryer exhaust $10
Address: \ 3 i l0 S 1 ' ' • �(A,y Single -duct exhaust (bathrooms,
City /State /ZIP: '► 0 /( - CL-f■, . . toilet compartments, utility
rooms) $ '
Phone: (Tv ) b c 7 e ; -3 0 0 Fax: (4,-v) ) 6 43 Attic /crawl space fans $ 10
} �zr V •+' 1 ; • Z T
ICdONACT4P,ERSONr s z, ,21 ��°" -Other: M $ 24
i4 .� APPLICANT k r _.'€`$�`
"' r: _ P C is l ,... Ptpt g,($ I Il fo firs,,,,, $2 for c .,r ,v - liiio nat) `` r
"i ,;: P lc. sc indieatc i of, ba s pipinb outtets bel ' ,+' t ,s` tt w ,
Business name: ,� � {c� �� , • �, -
D Q,S Gas ea etc.
heat pump
Contact name: :Etc, Gas heat um
P P
Address: 0 3 r1 S E CI 1 {, etv\ S r. Wall/suspended/unit heater
City /State /ZIP: 0 JU^1, (-} - 7 � .p ' Water heater/boiler
Fireplace
Phone: ( Sal ) 23., — cz • Fax: : (503 ) 325 —10.-38 Range
Barbecue
/ sl { a
s¢ y , si! BCONTF:ACT, R O ' l .1 Clothes dryer
�ir, t CONTRACTOR uiwt : ttA Ig SU daifi A � `ts ' M-i. Other:
Business name: .Ni v OtherMliaticcs ' `,iae:MKNi!7 . I4, • N:
Including oil tanks, gas and
Address:
\33 ``I 5 Czt ■ i S ■ diesel generators, gas and
City /State /ZIP: ?e,.(1."S"lA -• y,) Q 4. ac? _ electric kilns, gas appliances
Phone: 9 Fax (5o j ) a L3°l - ? 03 8 / •meatn MECHAMCALiPERMIT FEESZe" O I ° s
CCB tic.: - y 1 Subtotal
i 3 S Minimum permit fee ($50) f
Authorized signature: 44,-4_, Commercial plan review (60% of permit fee)
State surcharge (8% of permit fee) Lj
Print name: Fk -_{ , Sf a Date: TOTAL PERMIT FEE -7Z, , D
❑ " Fee methodology set by Tri-County Building Industry Service Board
Credit Card El Trust El RS Permit/No Fees Due permitapp_mechanical 08/09/05
This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete.