Permit III V CITY'OF TIGARD MECHANICAL PERMIT
° ' COMMUNITY DEVELOPMENT PERMIT #: MEC2008 - 00533
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 10/29/2008
PARCEL: 1 S136AD -04000
SITE ADDRESS: 11525 SW PACIFIC HWY ZONING: C - G
SUBDIVISION: PACIFIC TERRACE LOT: 007 JURISDICTION: TIG
PROJECT: FAST SIGNS
Project Description: Replace roof top unit with like kind. Project Value: $7,400
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: 2 BOILERS /COMPRESSORS HOODS:
FUEL TYPES 0 - 3 HP: DOMES. INCIN:
NAT 3 - 15 HP: 1 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:
OTHER UNITS:
FURN > =100K BTU: <= 10000 cfm: GAS OUTLETS: 1
> 10000 cfm:
Owner: FEES
SMITH, EDITA M Description Date Amount
833 NW 170TH DR
BEAVERTON, OR 97006 [MECH] Permit Fee 10/29/20C $184.70
[TAX] 12% State Surch 10/29/20C $22.16
[MECPLN] Plan Rev 10/29/20C $46.18
Phone: Total $253.04
Contractor:
WILLAMETTE HVAC SERVICE
3075 SW 234TH AVE. #206
HILLSBORO, OR 97123 REQUIRED. ITEMS AND REPORTS
Contact #: PRI 503- 628 -6841 •
FAX 503- 848 -2597
Reg #: LIC 56951
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 y: k I o: / , r Permittee Signature: . ( 17/ 6 ---eiedS c. . 1A l et,LZA
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 PerniitApplication FOR OFFICE USE ONLY Received City of Tigard • i IVED
Date/By: ( . `' aC6 Permit No.: � . . 6 3
- ° 13125 SW Hall Blvd., Tig.l :,'r= Phone: 503.639.4171 F. • : 1" . - " "'2 ' t W Plan Review l
Date/By: // j J i r� � Other Permit:
T 1 GA R D Inspection Line: 503.639 r, r Date Ready/By: �� HI See Page 2 for
Internet: www.tigard or.gov OCT 2 9 e�.` Notified/Method: Supplemental Information
(� IGAR� COMMERCIAL FEE* SCHEDULE — USE CHECKLIST
TYP kt , E a IVISION Mechanical permit fees* are based on the value of the work
❑ New construction ® d8l Ali�ioart to replacement performed. Indicate the value (rounded to the nearest dollar of all
❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit.
CATEGORY OF CONSTRUCTION Value: $ $7,400.00
RESIDENTIAL EQUIPMENT / SYSTEMS FEES*
❑ 1- and 2- family dwelling ® Commercial/industrial ❑ 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: 11525 SW Pacific Hwy Air conditioning or heat pump
(requires site plan showing placement) 14.00
City /State /ZIP: Tigard, OR 97223 Furnace 100,000 BTU (ducts/vents) 14.00
Suite/bldg. /apt. no.: Project name: Fast Signs Furnace 100,000+ BTU (ducts/vents) 17.90
Gas heat pump 14.00
Cross street/directions to job site: Duct work 10.00
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. 14.00
Subdivision: Lot no.: Flue /vent for any of above _ 6.80
Other: 10.00
Tax map /parcel no.: Other fuel appliances
DESCRIPTION OF WORK Water heater 10.00
Push/Pull Ton RTU Gas fireplace 10.00
Flue vent for water heater or gas
fireplace 10.00
Log lighter (gas) 10.00
Wood/pellet stove 10.00
Wood fireplace /insert 10.00
❑ PROPERTY OWNER ❑ TENANT Chimney/liner/flue/vent 10.00
Other: 10.00
Name: Environmental exhaust and ventilation
Address: Range hood/other kitchen
equipment 10.00
City /State /ZIP: 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:
Fuel piping
Contact name: $5.40 for first four; $1.00 for each additional
•
Address: Furnace, etc. -
Gas heat pump
City /State /ZIP: y Wall /suspended/unit heater
Phone: ( ) Fax: : ( ) Water heater
Fireplace
Range
E -mail: •
' CONTRACTOR Barbecue
Business name: Willamette HVAC Clothes dryer (gas) _
Other:
Address: 3075 SW 234 Ave Suite 206 MECHANICAL PERMIT FEES*
City /State /ZIP: Hillsboro, OR 97123 Subtotal
Phone: (503) 628.6841 Fax: (503) 848.2597 Minimum permit fee ($72.50) ! b •
Plan review (25% of permit fee) , / g
CCB lic.: 56951 State surcharge (12% of permit fee) - I00
TOTAL PERMIT FEE ?c3.0 1
Authorized signature: This permit application expires if a permit is not obtained within 180
days after it has been accepted as complete.
Print name: Michael Malstrom Date: 10/21/08 • Fee methodology set by Tri -County Building Industry Service Board
I:\ BuildingTermi ts4MEC- PernitApp.doc 01/19 /07 440- 4617T(I1 /07/COM/WEB)
CITY OF TIGARD s
BUILDING DIVISION PERMIT #: MEC2000.00S33
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/29P;
Phone: (503) 639 -4171 �' I�I�
Inspection Requests (24 Hrs.): (503) 639 -4175 . '_ "__�
INSPECTION WORKSHEET FOR DATE: 1/20/2009 TIME: 7:00AM PAGE: 46
SITE ADDRESS: til 2t; E. A PACIFIC HWY CLASS OF WORK:
• SUBDIVISION: PACIFIC TERRACE LOT #: 007 TYPE OF USE:
PROJECT NAME: FAST SIGNS
DESCRIPTION: Replace roof top unit with like [anti. Project Value: $7,400
OWNER: SMITH, EDITA M, PHONE #:
CONTRACTOR: WII.I-AMI_TrE HVAC SERVICE PHONE #: 603.628 -6841
Inspection Request Scheduled For: Date: 1170/2009 Pour Time:
2
Code # Inspection Description Confirm # Contact # Message
t ��
699 Mechanical final 079811 -02_ 971 - 998.2008 C.4t -L
Corrections /Comments /I structions:
4 .
•
OD r717- -1-t 1 SS v `c _
• - 7 i RTIAL APPROVAL ❑ CANCEL n NO ACCESS
W / CALL FOR INSPECTION ❑ ADDITI'NAL F ES ASSESSED
Inspector: .... Date: 0 6 Phone #: (503) 718- 61/