Permit ii
CITY TIGARDMECHANICAL PERMIT
DEVELOPMENT SERVICES PERMIT #: MEC2003 -00024
c���
DATE ISSUED: 7/14/03
�� ''---' ' 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171
PARCEL: 1S136DD-00200
SITE ADDRESS: 11560 SW 67TH AVE
SUBDIVISION: WEST PORTLAND HEIGHTS ZONING: MUE
• BLOCK: LOT: 004 JURISDICTION: TIG
CLASS OF WORK: NEW FLOOR FURN: EVAP COOLERS:
TYPE OF USE: COM UNIT HEATERS: VENT FANS: 6
OCCUPANCY GRP: B VENTS W/O APPL: VENT SYSTEMS:
STORIES: 3 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 ?: Y 30 - 50 HP: WOODSTOVES:
GAS PRESSURE: M 50 + HP:
FURN < 100K BTU: 5 AIR HANDLING UNITS CLO DRYERS:
FURN > =100K BTU: 2 <= 10000 cfm: OTHER UNITS:
> 10000 cfm: GAS OUTLETS: 7
Remarks: HVAC (7) rooftop units Value: $8744.00
Owner: FEES
GREEN, JOSEPH W Description ° Date Amount
PO BOX 759
PORTLAND, OR 97207 [MECH] Permit Fee 7/14/03 $163.90
[MECPLN] Plan Rev 7/14/03 $40.98
[TAX] 8% StateTax 7/14/03 $13.11
Phone: Total $217.99
Contractor:
SKY HEATING +AIR CONDITIONING
1637 SE NEHALEM
PORTLAND, OR 97202 REQUIRED INSPECTIONS
Phone: 235 Gas Line Insp
Mechanical Insp
Reg #: LIC 50244 Duct Inspection
Fire Damper Insp
S.D. Shut -down 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 -00
Issued By: , A !" '- ��l CAti Permittee Signature: • - I_ A _„, A AAA
Call (503) 639 -4175 by 7:00 P.M. for inspections needed the next business • ay
/ ict ,.. 4; 7 tf /
RECEIVED 1
,
JAII 4 1 03 iiimmiiiiiiiiimi
Mechanical Permit Apiiication li i ii iiiii
Received Mechanical
, , 1
t.il 1 Y 01- IlLi HL) Date/By: e' Permit No.TYler.•2003 -- ,(90:),Z.r ,,
City of Tigard BUILDING DIVISION Planning Approval
, DatrAy: Building
Permit No.:
13125 SW Hall Blvd. Plan Review Other
Tigard, Oregon 97223 Date/By: Permit No.: U3
Phone: 503-639-4171 Fax: 503-598-1960 , Post-Review Land usc
.
Internet: www.ci.tigard.or.us ...., i{, , Date/Br Case No.;
.
Contact Juris.: 14 See Page 2 for
24-hour Inspection Request 503-639-4175 .7-- l ' I '" Name/Method: Supplemental Information.
........
.‘:•;:.,":..:,:[: ogrootwoxics.,: .r.'i'',;.,:i 771:;CONSIEROALFEVf fl 5 al ' ' laIFIESCBACI:1:5 •.:
New construction E Demolition Mechanical permit fees* arc based on the total value of the work
D Addition/altcration/replacement _ E Other performed. Indicate the value (rounded to the neicest dollar) of all 7 `•-•-
: i. : .:, mechanical material!, cwipment, labor, overhead and profit.
''.': ''' J''''.•!;'.'.] '..; ::. , :
EI 1 & 2-Family dwelling ] Commercial/Industrial Value: $ P?). /06U t 00 See Page 2 for Fee Schedule r
p Accessory Building 0 Multi-Family - ':.!,;::,. grsinciinittii*MeMorratlinisamitef4SErittlati:-.•:: 16
DesetiptIon ----- 1 - rFee(ea.) 1 Torsi
ti Master Builder D Other:
i.; : , • Furnace - add-on air conditMning" 14.00
Job site address: 1 IS (DO OW lattl AVer106 , Gas heat pump 14.00
Suite #: 1 Bldg./Apt.#: Duct work -7 14.00
Project Name: docet irty) Hydronic hot water system 14.00
Residential boiler
*-)
Cross street/Directions to job site: (for mdiator or bydronie system) 14.00
8W Urtth q f-th no Pdt . Unit heaters (fiiel, not electric)
in wa ll, Lin-du suspended, etc. 14.00 t,
Flue/vent (for any of above) 10.00
Subdivision: 1 Lot #: .. Repair units 12.15
: . , : , -. ! :; ... .....: ,• Other FnatAppiness • ' . - ..
Tax mayiparcel #: Water heater 10.00
, .: , , , ,;D. ' tli .. ', ,, 10F:WORIC - ,:, ! !i: Gas fireplace 10.00
t PIIIINEZIIMf 1 g 06 • ' • ' • , Flue vent (water heater/gas fireplace) 10.00
011V' 1 f Log lighter (gas) 10.00
Wood/Pellet stove 10.00
_ Wood fireplace/insert 10.00
Chirrmcy/linet/fltieJvent 10.00
-M IA fttiVTY °VIER ; I !:: , •1 fp rtztarkr ,: :,.::.,. ::!.:. h:: Other: 10.00
Name: dOC_ rer,yi Autt,• ,,..eir,„..droanstal Exhault diNentilition. " .,
Range hood/other kitchen equipment 10.00
Address: po D O v so
Clothes dryer exhaust 10.00
City/State/V et
Single duct cxhaust
Phone: C)" ' t9 Fax: (bathrooms, toilet compartments,
!.:i! ' ;:: : :! : :. : : ..':•_,:. DOE611144114311LSOlf.: ' . utility rooms) 6.80
Name: 3 titochog 4 Pit IOC . Attic/crawl space fans 10.00
. Address: R sE N'ehatem - Other: 10.00
: ! .. :.::•:.:' .- :;i. ::. - ..' 'Fad Pipiag i';_ . :; ' ....., '... ' :::: ! • • .
City/State/Zip: eorvand _
1 pg., 6172 •. For first 4, s1.00 each additional)
Phone: 9_35-q cs 1 Fax: 2.30-04F-A_ Furnace -..J etc
.se
**
GaS heat pump
E-mail: WalVsuspended/unit heater •1.
.,.: , ;,-, ,.. :. • ;;:-']:,.,!,: i '' 0 1;e: :‘ •-• . 0 ::: ;,!. .:, 1 . : 1 ':: ..1 Ill ::':!:' : Water beater 4.*
Business Name: (11,171C CO appik(Jnt Fireplace ••
-
••
Address: Range
BBQ .•
City/State/Zip: . Clothes dryer (gas) .•
Phone: I Fax: Other: •*
,
CCB Lic. #: 5X44 Total:
' • ' . . . . , ..:Mtielianical Pernit Fees* , . , .i ".; :
Authotized
Signature: d&A.,ILP ,66?94irk) Date: i
Minimum Permit Fe :
hay) Most5y) _ Plan Review Fee (25% of Permit Fee) $
(Please print name) State Surcharge (8% of Permit Fee) S /3 / / . •
TOTAL PERMIT FEE S .g / 7 ,
Notice: This permit application expires if a permit is not obtained within *Fee methodology set by Trl-County Building industry Service Board.
180 days after It has been accepted as complete. **Site plan required fur exterior AIC units.
i:OstsTerrnit FormskMecPennitApp.doc 01/03
............_ __ ____
- - - -
CITYOF TIGARD
BULL INC'a DIVISION PERMIT #: MEC2003 -00024
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/1412003
Phone: (503) 639 -4171 1 I
Inspection Requests (24 Hrs.): (503) 639 -4175 ..' ':_...
INSPECTION WORKSHEET FOR DATE: 69/2006 TIME: 7 02AM PAGE:
SITE ADDRESS: 11560 SW 67TH AVE CLASS OF WORK:
SUBDIVISION: WEST PORTLAND LAND HEIGHTS LOT #: 001 TYPE OF USE:
PROJECT NAME: GREEN OFFICE COMPLEX
DESCRIPTION: f 4C- ( rooffiap urntf - 7 Value: $3744.00
OWNER: PHONE #:
CONTRACTOR: SKY HEATING .+, AIR CONDITIONING PHONE #: 235 -9083
Inspection Request Scheduled For: Date: 6/9/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
690 Mechanical final 03/413904 503 -606 -3004 Y
Corrections /Comments /Instructions:
------- /I.,. Aga 'IIIIIW;:
: 4 - I SW
1111EMIIIMPR
f I Iry w-
----
el ____
PASS ❑ P ARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL El CALL FOR INSPECTION ❑ ADDIT NAL EES ASSESSED
O I r \ Inspector: Date: q Phone #: (503) 718-
CITY OF TIGARD
BUILDING DIVISION PERMIT #: N1E:2003- 01:0:4
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11 41'2003
Phone: (503) 639 -4171 Aiet, .
Inspection Requests (24 Hrs.): (503) 639 -4175 . '. `'' .1
INSPECTION WORKSHEET FOR DATE: 5/&200 TIME: 7: 10AM PAGE: 66
SITE ADDRESS: 11560 SW 67TH AVE. CLASS OF WORK:
SUBDIVISION: WEST PORTLAND HEIGHTS LOT #: 001 TYPE OF USE:
PROJECT NAME: GREEN OFFICE COMPLEX
DESCRIPTION: 1 (7) rooftop unite: Value: $874
OWNER: PHONE #:
CONTRACTOR: SKY HEATING & AIR CONDITIONING PHONE #: 235.9083
Inspection Request Scheduled For: Date: 5/92.006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
630 Fire damper 02.9113€ U4 W3 006 y r
) ()I D Q / e" o t - -} r C +c ✓ .5 r t.,, ' / /
Corrections /Comments / Instructions:
..,I I�
P rJ �" Wit/ NKr
f
7
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
n FAIL n CALL OR INSPECTION ❑ ADDITIONAL FEES ASSESSED
/A
Inspector: tp Date: Phone #: (503) 718- /
CITY OF.TIGARD • 24 -Hour
pw LDING Inspection Line: (503) 639 -4175 MST
INSPECTIWDIVISION Business. Line: (503) 639 -4171
/ BUP obOl -000 (o
Received / Date Requested ` / AM PM BUP
Location G / 66 6 7 (1, / - (A___) Suite 333 MEC c - 0 d O
Contact Person Ph ( ) Yd 6 ac PLM
Contractor Ph ( ) SWR
BUILDING Tenant/Owner ELC
Footing ELC
Foundation Access: _
Ftg Drain l 0 ELR
Crawl Drain
Slab Inspection Notes: SIT
Post & Beam
Shear Anchors
Ext Sheath/Shear , / / EC �r _ (3)
Ina Framing /Shear
Fra Lr
ming
Insulation
..
Firewall
ire prinkler
Fire Alarm , <—
.�j ■ =1�f' f ��
Susp'd Ceiling psi
Other: , a1, 1111
_ � �
Final
PASS • FAIL .; .
PLUMB a ® . -
Post & Beam fix` r� 1.111W
Under Slab - •
Rough -In
Water Service
Sanitary Sewer
Rain Drains
Catch Basin / Manhole
Storm Drain -
Shower Pan
Other:
Final
PASS PART FAIL
MECHANICAL
Post & Beam
Rough -In
Gas Line
Smoke Dampers
Final
PASS PART FAIL
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 reins!) = tion RE: Unable to inspect — no access
Fire Supply Line
ADA n "'
Approach/Sidewalk Date " jai Inspector iv:
Eut
Other:
Final . DO NOT REMOVE this inspection record from the Job site.
PASS . PART FAIL
CITY OF TIGARD 24 -Hour -
BIijLDjNG Inspection Li : 639-4175
INSPECTION Business Line 639 -4171 MST
/CRY BUP
Received Date Requested - AM PM BUP - = = -_
Location /1 s 4J 7 � 5 Suite MEC ��a — t9 - 00
Contact Person Ph ( iV3) ro ' 3dV PLM
Contracto Ph ( ) SWR
• BUILDING Tenant/Owner /. ` _'. .'� ∎ 1 1 ` 1 " t ELC
Footing / / ELC
Foundation Access:
Ftg Drain _46 3 ?o 44& ELR
- `Crawl Drain
,: Slab Insp tion otes: / SIT
Post & Beam < � /t i —Iii ..P / ,
_ Shear Anchors G�/L�°a�l�J
' Ext Sheath/Shear
tb[Shear
-- .1sUlation
Drywall Nailing
Firewall
= �dl�
Fire Sprinkler -
-
Fire Alarm /
Fire Ceiling Al , k r C rel=lniff09
R oof
Other:
Final 41111 -- ✓ j / t ( INS l LPL 0/
. PAS ' PART AIL — Now"- `
_ : PLU N "
Post & Beam h P rw i
Under Slab r O
-- Rough -In _
Water Service
Sanitary Sewer
Rain Drains -
• Catch Basin / Manh ole _ li tAI L 1F
Storm Drain ... �� i
Shower Pan • .l•.tl
Other: i �• my
Final
PASP.A@T FAIL
MECHANICAL
-.
Rouges
— as ine
Smoke Dam • -:
Final
PASS ' AIL
ELEC :l•A
L
Service
Rough -In
UG/Slab
Low Voltage
Fire Alarm
Final E Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
PASS PART FAIL
SITE D Please call for reinspection RE: - 0 Unable to inspect -.no access
Fire Supply Line
ADA
Approach/Sidewalk Date Inspector - Ext
Other:
Final DO NOT REMOVE this inspection record from the Job site.
PASS PART FAIL
CITY OF TI,GARD 24 -Hour v
p�UILQING Inspectign.Line' (503) 639- 5
IpWWPBt;TION DIVISION Business Line: (5 6 1 MST
' / BUP
Receiver3( l��57 Date Requested 3 h / AM PM BUP
Location 1/ 5 4 0 62 7 l Adu Suite 411220 ' C) D as
Contact Person / 01—, Ph ( 2 35 — g_ PLM
Contractor Ph ( ) ` SWR
BUILDING Tenant/Owner It 6 --.1 - ` ` 6 ELC
Footing ELC
Foundation Access:
Ftg Drain ELR
Crawl Drain
Slab Inspection Notes: _/�_ _ , eye .� 57r t_ SIT
Post & Beam �X��
Shear Anchors •"
Ext Sheath/Shear
Int Sheath/Shear /
Framing ` r 1 v`
Insulation * } 2_
Drywall Nailing _- 2469_. -- ! � " s `�/ �� Y� ` � 2 - ! / ���
Firewall 2468 I L Ct 51- ��k) P/ Gx, '� e "; � K / '7 S" 3
Fire Sprinkler .
Fire Alarm 2465 !v05/ / ° l Mis2 <�' �7 k ir - *( 0
Susp'd Ceiling - _ ,r,( �^ '7
Roof 2464 • Lis'— '3 k--- v ( O i#- - " ' � L� q`/7; v� 3 -
Final 2463 `7 3
Final - . �Q.�'`'�� � ( (� 7r � � n � � .
.
PLUMBING ' .- -_.t= ' IN Jo c" 1-` 2"— l- a ' 45 xi- 4 • `( `7 Li r3
Post &Beam J . , r` -4 �- 6 P # (14/ y �-- (�/O
Under Slab - 2461 — t/V es L 3 r Uv
Rough -In
Water Service • _�
Sanitary Sewer / 2 � � ,," ,
Rain Drains /
Catch Basin / Manhole /A.2--:-A°-
A. 2 S 4/L I 10
Storm Drain
Shower Pan ` ") 0.14,r /�1 e--c--A s Lill( cS ' (--- `2 J J .
Other: r 1'
Final •) 0..e.- fL_.A c
PASS , . - T . FAIL
,3•` ANIC . -c '
- 'rte 1 ' ) r - - s W, -2A _._ . .
as Lie ��i� 1/V C �+' ., f If 7-
Smoke Dampers - — "
PASS ' FAIL 3 fC �f ,� ��
ELECTRICAL /i .���
Rou i �� ! Li Rough -In �� v'1�jY\ ��,
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: ❑ Unable to inspect - no access
Fire Supply Line `'� �./ � �/'
Approach/Sidewalk
Date mil' f 6 Inspector \i" t Ext
PP
Other:
Final DO NOT REMOVE this inspection record from the job site.
PASS PART FAIL