Permit -
CITY TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT PERMIT #: MEC2008 - 00539
,TtGA Ri ?) 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 11/4/2008
PARCEL: 25101 DD - 00300
SITE ADDRESS: 07100 SW SANDBURG ST ZONING: I -P
SUBDIVISION: LOT: JURISDICTION: TIG
PROJECT: AMERICAN LASER
Project Description: TI - Placement of exterior cooling unit and ducting to interior. Project Value: 6,500
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: 1 BOILERS /COMPRESSORS HOODS:
FUEL TYPES 0 - 3 HP: 1 DOMES. INCIN:
NAT 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: 1
Owner: FEES
HAYTER FAMILY LIMITED PARTNERSHI Description Date Amount
23643 SW STAFFORD HILLS DR
WEST LINN, OR 97068 [MECH] Permit Fee 11141200E $168.50
[MECPLN] Plan Rev 11/4/200E $42.13
[TAX] 12% State Surch 11/4/200E $20.22
Phone: Total $230.85
Contractor:
RABE HVAC INC
PO BOX 691
DONALD, OR 97020 REQUIRED ITEMS AND REPORTS
Contact #: PRI 503- 678 -1267
FAX 503- 678 -2099
Reg #: LIC 147885
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 pli ati �' 'a„ "�I T ` ' -P -` " ' It
i f � +*�' "fl. � 1' ';.FOR�OF�FICE USE OIVLY � a' g_+;�„ fix'*;?,' '
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C I of Tigard E � ,' '' e te/B f Perm N o.: �, 31
`J g ?,,.=aa[eB D �� III
13125 SW Hall Blvd., Tigard, OR 97223 Plan Revie it,
V Other Permit:
a Phone: 503.639.4171 Fax: 503.598.1960 !0� D r , Date /By: ( r `
T I G A R D. ; Inspection Line: 503.639.4175 ` Date Ready -I. ® See Page 2 for
. Internet: www.tigard or.gov CITY ®� TOGAR� Notified/Method: f� t "„ �I /!� Supplemental Information
WOI
'�� - ��
' TYPE OF r" onosiON : . �`GI 1 COMME CIAL FEE *. SCHEDULE:- USE CHECKLIST
❑ New construction Addition /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: $ SOO N
_ RESIDENTIAL EQUIPMENT / SYSTEMS FEES*
❑ 1- and 2- family dwelling Er Commercial /industrial ❑ Accessory building
For special information use checklist.
/ ❑ Multi- family ❑ Master builder ❑ Other: Description Q y.
t Ea. Total
JOB: SIfTE INFORMATION AND LOCATION Heating/cooling
Job site address: //11 �j Air conditioning or heat pump
f ) � O V 5 . (,,• ,tt , , ,., / b 4 , --- .� / ei, (requires site plan showing placement) 14.00
City /State /ZIP: T t 3,t) t^dz O Furnace 100,000 BTU (ducts /vents) 14.00
Suite/bldg. /apt. no.: Project name: // /� a
Furnace 100,000+ BTU (ducts /vents) 17.90
�
Y11 e f c b ;•.. L 0 O r /tc� ir1 cnt a Gas heat pump 14.00
Cross street/directions to job site: "72 A,c, 4 S 6 ,. , /b r9 k,,,( Duct work 10.00
l // �( Hydronic hot water system 14.00
3 , S . 7` . U h < R f 1 7 O /'N- C.J. 72r"c Residential boiler (radiator or
C� hydronic) 14.00
v Unit heaters (fuel -type, not electric),
in -wall, in -duct, suspended, etc. 14.00
Flue /vent for any of above 6.80
s Subdivision: Lot no.:
Other: 10.00
Tax map /parcel no.: Other fuel appliances
'DESCRIPTION OF WORK - - Water heater 10.00
n Gas fireplace 10.00
/Ce i>7 d j / ,t, el t / i S `f �. 1 61 Ai , i ` t /`/PA 7' !' p !L(°� Flue vent for water heater or gas
I J ) c e(,o) / fireplace 10.00
pt r� ; y F S t�� �e �e �1 C. Cc l / , Log lighter (gas) 10.00
O a,`t i CA 'c O v \- , 6Cc') 0,0 Zr /\_, Gt CJt u r ,TI L' C,t Wood/pellet stove 10.00
I ti 7112 r I o , ( 2 , ) ; / .. 5 . p A C J Wood fireplace /insert 10.00
® PR OWNER. `� 0 TE ANT Chimney /liner /flue /vent 10.00
Other: 10.00
Name: j e r . t e A „N, �n S 0 r •_ )� i k. 0 /SOS✓ Environmental exhaust and ventilation
Address: n / ` , � AP 9 R an g e h ood / other kitchen
( I00 S.(L). SA �C'e Prj, e 10.00
10.00
City /State /ZIP: - "' �y C.' 3 Clothes dryer exhaust
� Single -duct exhaust (bathrooms,
Phone: ( 5a) 603 - 9 �S' 7 Fax: (503) 620' e toilet compartments, utility rooms) 6.80
Other: APPLICANT ❑ .CONTACT PERSON Attic /crawlspace fans 10.00
Business name: R W 8 �� /.-i (JA 6 / A- FFuel piping 10.00
•� Contact name: �/l �/ t b e $5.40 for first four; $1.00 for each additional
Furnace, etc.
Address: P / / o 0 O x 6 � 1
`l Gas heat pump
City /State /ZIP: o n &,o 1'' g 7 V
O Z Wall /suspended/unit heater
7 Phone: ( Sa 3) 67 e- - / 2 6 - 7 Fax:: ( so - 6 7,: -- 0 4 Ce Water heater
Fireplace
E - mail: / b e h v rx. e - c e A_`f'u_ (J to l . hJ C' f Range
CONTRACTOR Barbecue
tO n Clothes dryer (gas)
Q Business name: RA i E � U/! C ) I(, c ,
Other:
Address: PU 6 OX 6 ) MECHANICAL PERMIT FEES* '
Cit /State /ZIP: 6 bite O p c f - 7 o 2 U Subtotal
0 Minimum permit fee ($72.50)
Phone: (5J3 ) 6 7� - / 2 6 7 Fax: (SO ?) 6i e ,- 2 0 QC Plan review (25% of permit fee)
CCB lic.: J !I +7 9 ' 5 State surcharge (12% of permit fee)
TOTAL PERMIT FEE
nature: // _/���r� This permit apps a ti expires if a permit is not obtained within 180
Authorized si
g � days after r it has been accepted as complete.
Print name: Date: . Fee methodology set by Tri- County Building Industry Service Board
1:\ Building \ Permits\MEC- PermitApp.doc 01/19/07 440 -4617T (I 1 /02 /COM /WEB)
Mechanical Permit Application - City of Tigard
Page 2 - Supplemental Information
Commercial Fee Schedule:
Total Valuation: Permit Fee:,
$1.00 to $2,000.00 Minimum fee $72.50
$2,001.00 to $5,000.00 $72.50 for the first $2,000.00 and $2.30
for each additional $100.00 or fraction
thereof, to and including $5,000.00.
$5,001.00 to $10,000.00 $141.50 for the first $5,000.00 and
$1.80 for each additional $100.00 or
fraction thereof, to and including
$10,000.00.
$10,001.00 to $50,000.00 $231.50 for the first $10,000.00 and
$1.35 for each additional $100.00 or
fraction thereof, to and including
$50,000.00.
$50,001.00 to $100,000.00 $771.50 for the first $50,000.00 and
$1.25 for each additional $100.00 or
fraction thereof, to and including
$100,000.00.
$100,000.01 and up $1,396.50 for the first $100,000.00 and
$1.10 for each additional $100.00 or
fraction thereof.
Note: All new commercial buildings require 2 sets of plans.
I: \Building\Permits\MEC-PermitApp.doc 01/19/07 2
� f
City of Tigard, Oregon o 13125 SW Hall Blvd. ® Tigard, OR 97223 ?4,14, Ms %fix y�; '
yr 7 + '�� �� , i
November 3, 2008 . � . " r'
ra
RE: MECHANICAL # ;, 0 . 141
t� Al
Project Information
Building Permit: MEC2008 -00539 Construction Type: 5B
Tenant Name: American Lasor Occupancy Type: F -1
Address: 7100 SW Sandburg Rd. Occupant Load: NA
Area: NA Stories: 1
The plan review was performed under the State of Oregon Mechanical Specialty Code
(OMSC) 2007 edition; and the State of Oregon Fire Code (OFC) 2007 edition. The
submitted plans are approved subject to the following.
1. Ductwork shall be supported in accordance with Sheet Metal & Air Conditioning
Contractors National Association, Inc. (SMACNA)
2. Each appliance shall be provided with a shutoff valve separate from the
appliance. The shutoff valve shall be located in the same room and within six feet
of the appliance served. Access shall be provided to the shutoff valve. C409.5
OMSC
3. Equipment and appliances regulated by this code requiring electrical connections
shall have a positive means of disconnect in accordance with the Electrical Code.
301.7 OMSC
4. Appliances shall be accessible for inspection, service, repair or replacement
without removal of permanent construction. 306.1 OMSC
5. Manufacturer's installation instructions shall be available on the jobsite at the
time of inspection. 304.1 OMSC
6. Condensate from cooling coils or evaporators shall be collected and discharged
to an approved plumbing fixture or disposal area. 307.1 OMSC
7. Inspector may require additional sway bracing at the final installation inspection.
Approved Plans: 1 set of approved plans, bearing the City of Tigard approval stamp,
shall be maintained on the jobsite. The plans shall be available to the Building Division
inspectors throughout all phases of construction. 106.4.2 OSSC
Premises Identification: Approved numbers or addresses shall be provided for all new
buildings in such a position as to be plainly visible and legible from the street or road
fronting the property.
Phone: 503.639.4171 0 Fax: 503.684.7297 o www.tigard- or.gov ® TTY Relay: 503.684.2772
When submitting revised drawings or additional information, please attach a copy of the
enclosed City of Tigard, Letter of Transmittal. The letter of transmittal assists the City
of Tigard in tracking and processing the documents.
Respectfully,
( ' / , , trow
an Nelson,
Senior Plans Examiner
(503)718 -2436
dann @tigard- or.com
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CITY OF TIGARD
BUILDING DIVISION PERMIT #: MEC2008-00539
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/4/2000
Phone: (503) 639 -4171 11.,� �t
Inspection Requests (24 Hrs.): (503) 639 -4175 ...., _—
INSPECTION WORKSHEET FOR DATE: 11/12/2008 TIME: 7:00AM PAGE: 38
SITE ADDRESS: 07100 SW SANDBURG ST CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: AMERICAN LASER
DESCRIPTION: TI - Placement of exterior cooling unit and ducting to interior. Project Value: 6,500
OWNER: HAYTER FAMILY LIMITED PARTNERSHI, PHONE #:
CONTRACTOR: RABE HVAC INC PHONE #: 503 - 678-1267
Inspection Request Scheduled For: Date: 11/12/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
610 Gas line 077930-01 503-678 -2887 aPAk&
Corrections/Comments/Instructions:
P i casv ( ' -30 P 5 rco r 16 ii, ', 4
ASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: 5 - Date: 014 Phone #: (503) 718 -04 72
CITY OF TIGARD
BUILDING DIVISION As PERMIT #: MEC2008.00539
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/4/2008
Phone: (503) 639 -4171 i
Inspection Requests (24 Hrs.): (503) 639 -4175 :_..
INSPECTION WORKSHEET FOR DATE: 11/25/2008 TIME: 7 :01AM PAGE: 32
Z" '
7
SITE ADDRESS: 07100 SW SANDBURG ST CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: AMERICAN LASER
DESCRIPTION: - f I - Placement of exterior cooling unit and ducting to interior. Project Value: 6,500
OWNER: HAYTER FAMILY LIMITED PARTNERSHI, PHONE #:
CONTRACTOR: RABE HVAC INC PHONE #: 503- 678 -1267
Inspection Request Scheduled For: Date: 11/25/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
610 Gas line 078471 -01 503 - 810.1601 dpo
Corrections /Comments /Instructions: 1 —,
1 1�1 �,� ) C T feel ce_ -_2 l/V �� – 1�._)
T',4 7_
i S L- i k ` 5 e . � _i,
P 12(k)Ncc(c -- . S, iI i zf o6
t! PASS • PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
• FAIL %I CALL FOR INSPECTION ❑ ADDITI NAL FEES ASSESSED
Inspector: Date: 11 1 (]1j Phone #: (503) 718- y
1 1
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MEC200800&39
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/4/2009
Phone: (503) 639-4171 sg n
Inspection Requests (24 Hrs.): (503) 639 -4175 . - W' ' - I
INSPECTION WORKSHEET FOR DATE: 1/23/200 TIME: 7 :00AM PAGE: ?2
SITE ADDRESS: t17100 SW SANDBURG ST CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: AMERICAN LASER
DESCRIPTION: TI - Placement of exterior cooling unit and ducting to interior. Project Value.: 6,500
OWNER: HAYTER FAMILY LIMITED PARTNERSHI, PHONE #:
CONTRACTOR: RABE HVAC INC PHONE #: 503-678-1267
Inspection Request Scheduled For: Date: 1123/2009 Pour Time:
Code # Inspection Description Confirm # Contact # Message
dip 699 Mechanical final 079944 -01 503.810 -1601
Corrections /Comments /Instructions:
,`ft PASS // PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL V4 CALL FOR INSPECTION ❑ ADDITIONAL FEE ASSESSED
� Inspector: Date: f\3 /Phone #: (503) 718- L?�i l