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Permit ) A- / a 6 d o CITY OF TIGR® MECHANICAL PERMIT �I�� DEVELOPMENT SERVICES PERMIT #: MEC2002-00494 I,„ DATE ISSUED: 11/7/2002 "'° 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 1 S136DA -00700 SITE ADDRESS: 11530 SW PACIFIC HWY ZONING: C -G SUBDIVISION: LOT: JURISDICTION: TIG Project Description: 2/24/06: THIS PERMIT IS REINSTATED FOR PURPOSE OF FINAL INSPECTIONS FOR A PERIOD OF THIRTY DAYS. Remove all rooftop units. Replace back, replace 3 unit with new, remove and replace 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. INCIN: LPG 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: FURN > =100K BTU: <= 10000 cfm: GAS OUTLETS: > 10000 cfm: Owner: FEES HI HAT INC Description Date Amount 11530 SW BARBUR BLVD PORTLAND, OR 97219 [UHRMEC] Hourly Mec 2/24/200E $57.87 [UHRTAX] Hourly 8% S 2/24/200E $4.63 [MECH] Permit Fee 11/7/200'; $99.86 Phone: [TAX] 8% StateTax 11/7/2002 $7.98 [MECPLN] Plan Rev 11/7/2002 $24.96 Contractor: Total $195.30 ARROW MECHANICAL 10330 SW TUALATIN RD TUALATIN, OR 97062 REQUIRED ITEMS AND REPORTS Contact #: FAX 503 - 691 -1879 PRI 503- 692 -1565 Reg #: LIC 5193 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: /; jtd L �,,� ' i G Permittee Signature: '� �f c� 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. _ 9 c .., 4 .., ,, c.\ , . cic. 0 • CITY OF T I MECHANICAL PERMIT i DEVELOPMENT SERVICES ^`=--' � 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PERMIT #: MEC2002 `` 011II, DATE ISSUED: 11/7/2002 PARCEL: 1 S136DA - 00700 SITE ADDRESS: 11530 SW PACIFIC HWY ZONING: C -G SUBDIVISION: LOT: JURISDICTION: TIG Project Description: 2/24/06: THIS PERMIT IS REINSTATED FOR PURPOSE OF FINAL INSPECTIONS FOR A PERIOD OF THIRTY DAYS. Remove all rooftop units. Replace back, replace 3 unit with new, remove and replace 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. INCIN: LPG 3 - 15 HP: COMML. INCIN: MAX INPUT: BTU 15 - 30 HP: REPAIR UNITS: FIRE DAMPERS ?: 30 - 50 HP: REPAIR UNITS: GAS PRESSURE: 50 + HP: FURN < 100K BTU: AIR HANDLING UNITS CLO DRYERS: FURN > =100K BTU: <= 10000 cfm: OTHER UNITS: > 10000 cfm: GAS OUTLETS: Owner: FEES HI HAT INC Description Date Amount 11530 SW BARBUR BLVD PORTLAND, OR 97219 [UHRMEC] Hourly Mec 2/24/200€ $57.87 [UHRTAX] Hourly 8% S 2/24/200€ $4.63 [MECH] Permit Fee 11/7/2002 $99.86 Phone: [TAX] 8% StateTax 11/7/2002 $7.98 [MECPLN] Plan Rev 11/7/2002 $24.96 Contractor: Total $195.30 ARROW MECHANICAL 10330 SW TUALATIN RD TUALATIN, OR 97062 REQUIRED ITEMS AND REPORTS Contact #: FAX 503- 691 -1879 PRI 503- 692 -1565 Reg #: LIC 5193 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: ? ��7 Permittee Signature: c ;.—- 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. CITY• -Q TIGARD n BUILDING .DIVISION PERMIT #: mc.:71 —0J0 .ti 9,, q 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED Phone: (503) 639 -4171 �� h . Inspection Requests (24 Hrs.): (503) 639 -4175 ' ,'I_I.. _ INSPECTION WORKSHEET FOR DATE: TIME: j _ 4 a/" PAGE: r SITE ADDRESS: / J S 3 G CLASS OF WORK: SUBDIVISION: LO #: TYPE OF USE: PROJECT NAME: DESCRIPTION: OWNER: PHONE #: CONTRACTOR: PHONE #: Inspection Request Scheduled For: Date: '- — / - 0 6 Pour T : /0 : 3 O Code # Inspection Description Confirm # Contact # Me sage ,- , Corrections /Comments/ Instructions: '7 3 -- 50 -/ /► ' 1 , - ', _ - A t v rag %Ii Kt r,,,,, „_____-- .„4....... �/ " PASS I 1 PARTIAL APPROVAL 1 1 CANCEL _ NO ACCESS n FAIL 1 1 CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector ali& Date:3 v( `-' Phone #: (503) 718- 2- vp, CITY OF TIGARD 24 -Hour BUILDING Inspection Line: (503) 639 -4175 INSPECTION DIVISION Business Line: (503) 639 - 4171 MST BUP Received Date Re uested 3 - ° AM PM BUP Location / 153 Suite MEC 02 — Fp z Contact Person Ph ( ) 6 /5 , 5 / PLM Contractor Ph ( e_e -e ) •J 93-.5 SWR BUILDING Tenant/Owner ELC Footing Foundation ELC Access: Ftg Drain ELR Crawl Drain Slab Inspection Notes: SIT Post & Beam � - %f =lP Shear Anchors _ _ Ext Sheath/Shear _ /0 Int Sheath/Shear Framing Insulation \ Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Other: Final PASS PART FAIL PLUMBING Post & Beam Under Slab Rough -In Water Service Sanitary Sewer Rain Drains Catch Basin / Manhole Storm Drain Shower Pan Other: Final _ c_ PASS PART FAIL l- MECHANICAL Post & Beam Rough -In Gas Line Smoke Dampers PASS PART ELECTRICAL Service Rough -In UG /Slab Low Voltage Fire Alarm Final Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL SITE Please call for reinspection RE: t6insPect - no access Fire Supply Line ADA 7d 3 Approach/Sidewalk Date I / a , Inspector Ext Other: Final DO NOT REMOVE this inspection record from the job site. PASS PART FAIL CITY OF TIGARD R4 - Hour „BUILDING Inspection Line: (503) 639 -4175 INSPECTION DIVISION Business Line: (503) 639 -4171 MST BUP Received . , Date Requested ' AM PM BUP Location /(5-30 te /� r ' ) Suite MEC ° 0 l� Contact Person a — a t _ Ph ( ) ? c ? 3 " - 7 PLM Contractor. Ph ( ) SWR BUILDING Tenant/Owner /14, ELC Footing Foundation ELC Ftg Drain Access: l � /4 ; D d ELR Crawl Drain (� 0 Slab Inspection Notes: / SIT Post & Beam .� Shear Anchors Ext Sheath/Shear ' � A �-- Int Sheath/Shear / / Framing Insulation Drywall Nailing Firewall �� '' % �:� i Fire Sprinkler � " �i _.:��,.� ��i, au0 _ . __ ,.,_, Fire Alarm i �� r «�v Susp'd Ceiling ..0 ....._ Roof re- a 1 Lc1-' j 0 1 i �� Other: Final PASS PART FAIL PLUMBING Post & Beam '/ � / ''°4-// r5 y - Under Slab l ` L/ / Rough -In 7< Cam— 'cam ` / -- -Si'i0 /L '. ,5 l// ,0Q � q Water Service Sanitary Sewer /.7 �y � 6 ,� $ ; 0e Cl/L( r] Rain Drains / J Catch Basin / Manhole Storm Drain Shower Pan Other: Final PASS PART FAIL MECHANICAL Post & Beam e S . e Dampers J PA - 'l 12110 Zil!�!�' ``_`RICAL Service Rough -In UG /Slab Low Voltage Fire Alarm Final • 0 Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL SITE 0 Please call for reinspection RE: 0 Unable to inspect - no access Fire Supply Line / r Approach /Sidewalk Date / I Inspector . Ext Other: Final DO NOT REMOVE this inspection record from the Job site. PASS PART FAIL CITY OF TIGARD 24- Hour SUILDINc Inspection Line: (503) 639 -4175 INSPECTION DIVISION _, Business Line: (503) 639 -4171 MST t- _ _= _ BUP Received Date Requested /— / ' AM PM _JC� BUP ' Location / I c. -7)0 f _ n Suite MEC (2 — Oe 9 / Contact Person h T _ Ph ( ( Lt ) X9. �a - 7 PLM Contractor Ph ( ) SWR BUILDING Tenant/Owner ELC Footing Foundation ELC Ftg Drain Access: 6c-i-rh.) Crawl Drain ELR Slab Inspection Notes: SIT Post & Beam Shear Anchors Ext Sheath/Shear _ Int Sheath/Shear Framing Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof 11111111011FA, Other: Final - ' - . PASS PART F • PLUMBING " - ` --,, . Post &Beam Under Slab f \ - Rough -In i 1 Water Service ' Sanitary Sewer Rain Drains ,: Catch Basin / Manhole ; Storm Drain _ - --., Shower Pan i if \ ' Other: Final P R ---) 0 A S PART FAIL J i MECHANICAL 1 V Post & Beam 1 Rough -In J , Smoke Dampers \\ \\ PART . FAIL E RICAL \-- -_ Service Rough -In Low Voltage #41// L / /[/l° e; ,7 6 -' i0 Fire Alarm Final fl Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL SITE ❑ Please call for reinspection RE: 0 Unable to inspect — no access Fire Supply Line ADA / Date 0 3 Ins ector Oct Approach /Sidewalk p Other: Final . DO NOT REMOVE this inspection record from the job site. PASS PART FAIL CITY TIGARD MECHANICAL PERMIT yl � DEVELOPMENT SERVICES PERMIT #: MEC2002 -00494 -4111"- ��i 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 11/7/02 PARCEL: 1 S136DA -00700 SITE ADDRESS: 11530 SW PACIFIC HWY SUBDIVISION: ZONING: C -G BLOCK: LOT: 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. INCIN: LPG 3 - 15 HP: COMML. INCIN: MAX INPUT: BTU 15 - 30 HP: FIRE DAMPERS ?: 30 - 50 HP: REPAIR UNITS: GAS PRESSURE: 50 + HP: WOODSTOVES: FURN < 100K BTU: AIR HANDLING UNITS CLO DRYERS: FURN > =100K BTU: <= 10000 cfm: OTHER UNITS: > 10000 cfm: GAS OUTLETS: Remarks: Remove all rooftop units. Replace back, replace 3 unit with new, remove and replace 3 fans, ICP, SW cooler. Building permit required for new roof and sheathing. Owner: FEES HI HAT INC Description Date Amount 11530 SW BARBUR BLVD [MECH] Permit Fee 11/7/02 $99.86 PORTLAND, OR 97219 [MECH] Permit Fee 11/7/02 $0.00 [TAX] 8% StateTax 11/7/02 $7.98 Phone: [TAX] 8% StateTax 11/7/02 $0.00 Contractor: [MECPLN] Plan Rev 11/7/02 $24.96 [MECPLN] Plan Rev 11/7/02 $0.00 ARROW MECHANICAL Total $132.80 10330 SW TUALATIN RD TUALATIN, OR 97062 REQUIRED INSPECTIONS Phone: 692 - 1565 Gas Line Insp Mechanical Insp Reg #: 5193 Duct Inspection Final Inspection 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 -669• Issued By: Of, „ // , �9 "� Permittee Signature Call (503) 639 -4175 by 7:00 P.M. for inspections needed the next business day • Mechanical Permit Application Date received: I I —7 —0 .- Permit no.: medaojL 66 1 .4.A.1: City of Tigard Project/appl. no.: Expire date: City of Tigard Address: 13125 SW Hall Blvd, Tigard, OR 97223 Date issued: By 5 1 Receipt no.: Phone: (503) 639 -4171 Fax: (503) 598 -1960 Case file no.: Payment type: Land use approval: Building permit no.: TYPE OF PERMIT 0 1 & 2 family dwelling or accessory O Commercial/industrial 0 Multi - family 0 Tenant improvement 0 New construction ►ddition /alteration/replacement 0 Other: JOB SITE INFORMATION COMMERCIAL VALUATION SCHEDULE Job address: t / 5 3 0 r l j (, t f , .....—,, . - -- BIM) Indicate equipment quantities -in boxes below. Indicate the dollar Bldg. no.: Suite no.: \ F (v value of all mechanical materials tiipme nt, labor, overhead, Tax map /tax lot/account no.: profit. Value $ 79. ODD is Lot: Block: I Subdivision: *See checklist fiir 'important application information and Project name: 1 1 .(-']" jurisdiction's fee schedule for residential permit fee. City /county: 1)(- I ZIP: `7 2 2 _.3 I & 2 FAMILY DWELLING PERMIT ELT SCHEDULE Description and location of work on premises: 81• AND COMMERICAL /INDUSTRIAL EQUIPMENTSCIIEDULF 7791 E&Yt 1 t Fee(ea.) Total _ Est. date of completion /inspection: Description Qty. Res. only Res.only Tenant improvement or change of use: HVAC: Is existing space heated or conditioned? 0 Yes 0 No Air handling unit CFM Air conditioning (site plan required) Is existing space insulated? 0 Yes 0 No Alteration of existing HVAC system 4 MECHANICAL CONTRACTOR Boiler /compressors 1 Business name: A-9 t� 1 .4y a� 1 ' [_ (). State boile permit no.: HP Tons BTU /H Address: X19'330 . i ,,) — 1-4/ _ , Fire/smoke dampers/duct smoke detectors City: i - I Stat . ZIP: Cr) r)(p2 Heat pump (site plan required) Phone f G Fax/pCji..1, E -mail: Install/replace furnace/burner 300 BTU /H Including ductwork/vent liner U Yes›<No CCB no.: 5l '' 3 Install/replace/relocate heaters - suspended, City /metro lic. no.: 2,/....t7 h wall, or floor mounted Name (please print): A 7y 0,/..-- Vent for a liance other than furnace e era on: Absorption units BTU/H Name: ` T -- PAIVAL-V-- Chillers HP Address: I MAID 5,-L ,j , GL r Compressors HP Environmental exhaust and ventilation: . City: • A S • d ZIP: SI al , 4- Appliance vent Phone: y '�ill M ' 671 E -mail: Dryer exhaust OWNER Hoods, Type U IUres. kitchen/hazmat hood fire suppression system Name: �N ?� r �,� ' Exhaust fan with single duct (bath fans) Mailing address: ( I, �'l.>J jJD S. Exhausts stem apart from heating or AC Fuel piping and distribution (up to 4 outlets) 40 City: C- -,fY(2.0 Str.111 ZIP. --) L2.3 Type: LPG NG Oil Phone Fax: E -mail: Fuel i ing each additional over 4 outlets p p g (schematic required) Number of outlets Name: Other listed appliance or equipment: Address: Decorative fireplace City: I State: I ZIP: Insert-type Phone: I Fax: I E -mail: Woodstove/pelletstove Other: PP signature: Date:' 1 —(h —02— Oft er: _ Applicant's si nature: r Name (print): " pi Not all jurisdictions accept credit cards, please call jurisdiction for more information. Permit fee $ ' .f& D Visa 0 MasterCard Notice: This permit application Minimum fee $ Credit card number: / / expires if a permit is not obtained Plan review (at %) $ Ku - Expires within 180 days after it has been State surcharge (8%) $ Name of cardholder as shown on credit card accepted as complete. . $ TOTAL $ i3 Z Cardholder signature Amount 440 -4617 (6100/COM) MECHANICAL PERMIT FEES COMMERCIAL FEE SCHEDULE: 1 & 2 FAMILY DWELLING FEE SCHEDULE: TOTAL VALUATION: PERMIT FEE: Description: • Price Total $1.00 to $5,000.00 Minimum fee $72.50 Table 1A Mechanical Code Qty (Ea) Amt $5,001.00 to $10,000.00 $72.50 for the first $5,000.00 and 1) Furnace to 100,000 BTU $1.52 for each additional $100.00 or including ducts & vents 14.00 fraction thereof, to and including 2) Fumace 100,000 BTU+ $10,000.00. including ducts & vents 17.40 $10,001.00 to $25,000.00 $148.50 for the first $10,000.00 and 3) Floor Furnace $1.54 for each additional $100.00 or including vent 14.00 fraction thereof, to and including 4) Suspended heater, wall heater $25,000.00. or floor mounted heater 14.00 $25,001.00 to $50,000.00 $379.50 for the first $25,000.00 and 5) Vent not included in appliance permit $1.45 for each additional $100.00 or 6.80 fraction thereof, to and including 6) Repair units $50,000.00. 12.15 $50,001.00 and up $742.00 for the first $50,000.00 and Check all that apply: Boiler Heat Air $1.20 for each additional $100.00 or For items 7 -11, see or Pump Cond fraction thereof. footnotes below. Comp Minimum Permit Fee $72.50 SUBTOTAL: $ 7) <3HP; absorb unit to 100K BTU 14.00 8% State Surcharge $ 8) 3-15 HP; absorb 25.60 unit 100k to 500k BTU 25% Plan Review Fee (of subtotal 9) 15-30 HP; absorb $ Required for ALL commercial permits only unit .5 1 mil BTU 35.00 TOTAL COMMERCIAL PERMIT FEE: $ 10) 30 -50 HP; absorb 52.20 unit 1 -1.75 mil BTU 11) >50HP; absorb unit >1.75 mil BTU 87.20 ASSUMED VALUATIONS PER APPLIANCE: 12) Air handling unit to 10,000 CFM 10.00 Value Total 13) Air handling unit 10,000 CFM+ Description: Qty (Ea) Amount 17.20 Furnace to 100,000 BTU, including 955 14) Non - portable evaporate cooler ducts & vents !9 /� 10.00 Fumace > 100,000 BTU including x 1,170 D 15) Vent fan connected to a single duct ducts & vents �i► , Z 6.80 Floor furnace including vent 955 16) Ventilation system not included in Suspended heater, wall heater or 955 appliance permit 10.00 floor mounted heater 17) Hood served by mechanical exhaust Vent not included in applicance 445 10.00 permit 18) Domestic incinerators Repair units 805 17.40 < 3 hp; absorb. unit, 955 19) Commercial or industrial type incinerator to 100k BTU 69.95 3-15 hp; absorb. unit, ' 1,700 20) Other units, including wood stoves 101k to 500k BTU 10.00 15-30 hp; absorb. unit, 501k to 1 2,310 21) Gas piping one to four outlets mil. BTU 5.40 30-50 hp; absorb. unit, 3,400 22) More than 4 -per outlet (each) 1 -1.75 mil. BTU 1.00 >50 hp; absorb. unit, 5,725 Minimum Permit Fee $72.50 SUBTOTAL: $ >1.75 mil. BTU Air handling unit to 10,000 cfm 656 8% State Surcharge $ Air handling unit >10,000 cfm n 1,170 /17D Non - portable evaporate cooler 656 T OTAL RESIDENTIAL PERMIT FEE: $ Vent fan connected to a single duct 3 446 /33f _ Vent system not included in 656 appliance permit Hood served by mechanical exhaust 656 Other Inspections and Fees: Domestic incinerator 1 170 1. Inspections outside of normal business hours (minimum charge -two hours) $62.50 per hour. Commercial or industrial incinerator 4,590 2. Inspections for which no fee is specifically indicated (minimum charge -half hour) Other unit, including wood stoves, 656 $62.50 per hour inserts, etc. 3. Additional plan review required by changes, additions or revisions to plans (minimum Gas piping 1 - 4 outlets 360 charge-one-half hour) $62.50 per hour Each additional outlet 63 `State Contractor Boiler Certification required for units >200k BTU. TOTAL COMMERCIAL $ ' A/C requires site plan showing placement of unit. VALUATION:. "' ' "'. All New Commercial Buildings require 2 sets of plans. IAdsts\formstrnech- fees.doc 12/26/01