Permit C ITY OF TIGARD 4 ,,- MECHANICAL PERMIT
COMMUNITY DEVELOPMENT PERMIT #: MEC2008 -00446
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 9/3/2008
PARCEL: 1S136DD-05300
SITE ADDRESS: 11850 SW 67TH AVE 100 ZONING: MUE
SUBDIVISION: TIGARD TRIANGLE COMMONS LOT: 013 JURISDICTION: TIG
PROJECT: TIGARD TRIANGLE COMMONS
Project Description: Relocate ducts and grilles for TI. NO PLAN REVIEW REQUIRED.
Project Value: $2,800
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: 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: WOODSTOVES:
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
PACIFIC NW PROPERTIES LLC Description Date Amount
6600 SW 105TH AVE #175
BEAVERTON, OR 97008 [MECH] Permit Fee 9/3/2008 $90.90
[TAX] 12% State Surch 9/3/2008 $10.91
Total $101.81
Phone:
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.
l l / C1 7144A C CS rr
Issu e d B Permittee Signature:( /�
Y A
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.
i.
Mechar al Permit Application • ..� - F QR OFI Icl i sE. ONi x
ity of Tigard DateiBe: 7. o 8 1I Permit No de al:a.004/9
li V 13125 SW Hall Blvd., Tigard, OR 9 * - pan Review
' ' II Phone: 503.639.4171 Fax: 503.598 19 6 .- Date/By: Other Permit:
1 tGv1 l: b Inspection Line: 503.639.4175 P - 2Q� Date Ready/By: pal El See Page 2 for
Internet: www.tigard or.gov SE Notified/Method: Supplemental Information
, ,Y OF TIGARD
❑ TYPE OF w 11 � TIGARD
COMMERCIAL FEE* SCHEDULE - USE CHECKLIST
New construction ('J Addition/alt a ment 1 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: $�
RESIDENTIAL EQUIPMENT / SYSTEMS FEES*
❑ 1- and 2- family dwelling i! ommercial/industrial ❑ Accessory building
For special information use checklist.
❑ Multi - family r Master builder ❑ Other: Description Qty. Ea. Total
. JOB SITE INFORMATION AND LOCATION Heating/cooing
Job site address: � � i 11 /__ Air conditioning or heat pump
' 1 CQ v (requires site plan showing placement) 14.00
City /State/ZIP: l ' &a b ` Oz_ �a
c ..3 Furnace 100,000 BTU ( ducts/vents) 14.00
Furnace 100,000+ BTU (ducts/vents) 17.90
S /bldg. /apt. no.: /0( Project name:
i rI_ _ i., • 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
w � Gas fireplace 10.00
fY e)e t f ■ 1il� � 4- i Flue vent for water heater or gas
- •P e.+ y � , c2i / , e l _ Log
fireplace 10.00
t
`[-- (�(� Log, lighter (gas) 10.00
Wood/pellet stove 10.00
Wood fireplace /insert 10.00
Chirnney/liner /flue /vent 10.00
PROPERTY OWNER - I - 0 TENANT -
Other: 10.00
Name: C( % vt.. _ 13th \ P1/0 pt2�£ C 5 �-�- Environmental exhaust and ventilation
Address: t (p00 ' L) 1 0.-4.1.--- a o r-c_ 4,75 Range hood/other kitchen
equipment 10.00
City /State /ZIP: 7 y)yIJ 02 q 79) g Clothes dryer exhaust 10.00
Single -duct exhaust (bathrooms,
Phone: ( ) Fax: ( ) toilet compartments, utility rooms) 6.80
WAPPLICANT ❑ CONTACT PERSON Attic /crawlspace fans 10.00
Other: 10.00
Business name: K 1.46A,ri -t Fuel pi pi
� Y ""vva /
nn -"'¢` PP
Contact name: e (6 ` .5 ,40� $5 .40 for first four; 51.00 for each additional
'e� U Furnace, etc.
Address: 331 t�� b. Gas heat pump
City /State /ZIP: p L h
� /
p+3 7 Qtt 9 X Wall /suspended/unit heater
Phone: 93 ) �. t Fax::: 3) 37 ., )s3 $ W ater heater / ` _ Fireplace
E -mail: 5 ll <eAN -. /w 1, J7 Range
CONTRACTOR ' �"'� Barbecue
Clothes dryer (gas)
/�
Business name: o ' -� N /
Other:
l
Address: . 3 3q a 6 /bon MECHANICAL PERMIT FEES'
City /State/ZIP: • Q,� y� J) 1t� l Subtotal
r fJ�t C�'{�'�+!> �� Mi nimum permit fee ($72.50)
Phone: (.54?,) , z7 Fax: (0 g37....--6138 Plan review (25% of permit fee)
CCB lic.: 53135 State surcharge (12% of permit fee)
TOTAL PERMIT FEE
Authorized Si attire: This permit application expires if a permit is not obtained within 180
! days after it has been accepted as complete.
Print name: 40 1 15 i Date: V - gg..06 * Fee methodology set by Tri- County Building Industry Service Board
I:\ Building 'Pennits\MEC- PennitApp.doc 01/19/07 440-4617T(I1 /01JCOM/WEB)
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MEC2008- 01k146
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/3/2008
Phone: (503) 639 -4171 �1
Inspection Requests (24 Hrs.): (503) 639 -4175 °
INSPECTION WORKSHEET FOR DATE: 9/8/2000'' TIME: 7:00AM PAGE: 6
SITE ADDRESS: 11850 SW 67TH AVE 100 - CLASS OF WORK:
SUBDIVISION: TIGARD TRIANGLE COMMONS LOT #: 013 TYPE OF USE:
PROJECT NAME: TIGARD TRIANGLE COMMONS
DESCRIPTION: Relocate ducts and grilles for TI. NO PLAN REVIEW REQUIRED.
Project Value: $2,800
OWNER: PACIFIC NW PROPERTIES LLC, PHONE #:
CONTRACTOR: AMERICAN HEATING INC PHONE #: 503.239-4600
Inspection Request Scheduled For: Date: 9/8/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 075216 -02 503- 312 -3876 N
Corrections /Comments /Instructions:
dat PASS- 14 PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
-........ 7 �6 Phone #: (503) 718- Z._ �7
Inspector: ..._...6............_ Date:
•
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MEC20083.00.446
13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 9/312008
Phone: (503) 639 -4171 ° „ 1, i (
Inspection Requests (24 Hrs.): (503) 639 -4175 I., .
INSPECTION WORKSHEET FOR DATE: 9/8/2008 TIME: 7 :00AM PAGE: 7
SITE ADDRESS: 11860 SW 67TI - I AVE 100 CLASS OF WORK:
SUBDIVISION: TIGARD TRIANGLE COMMONS LOT #: 013 TYPE OF USE:
PROJECT NAME: TIGARD TRIANGLE COMMONS
DESCRIPTION: Relocate ducts and grilles for TI. NO PLAN REVIEW REQUIRED.
Project Value: $2,800
OWNER: PACIFIC NW PROPERTIES LLC. PHONE #:
CONTRACTOR: AMERICAN HEATING INC PHONE #: 503239.1600
Inspection Request Scheduled For: Date: 9/8/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
615 Mechanical rough -in 075216.01 503- 312 -3876 N
Corrections /Comments / Instructions:
04„..,..-__ _ %a PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL II CALL FOR INSPECTION .❑ ADDITIONAL FEES ASSESSED
Inspector: Date: 7 h ee Phone #: (503) 718 - Z--‘yY
i