Permit C ITY OF TIGARD MECHANICAL PERMIT
�r DEVELOPMENT SERVICES PERMIT #: MEC2006 -00510
r�l I � 13125 SW Hall Blv T i gard, OR 97223 503 - 639 -4171 DATE ISSUED: 10/20/2006
PARCEL: 1 S136DD -03400
SITE ADDRESS: 11740 SW 68TH PKWY 100 ZONING: MUE
SUBDIVISION: TIGARD TRIANGE COMMONS LOT: 008 JURISDICTION: TIG
Project Description: Installation of ductwork and gas piping. Project Value: $66,475
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:
NAT 3 - 15 HP: COMML. INCIN:
MAX INPUT: BTU 15 - 30 HP: REPAIR UNITS:
FIRE DAMPERS ?: 30 - 50 HP: WOODSTOVES:
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
PACIFIC NW PROPERTIES Description Date Amount
PO BOX 2206 [MECH] Permit Fee 10/20/20( $977.75
BEAVERTON, OR 97075 [TAX] 8% State Surchar€ 10/20/20( $78.22
Phone: 503- 626 -3500 Total $1,055.97
Contractor:
AMERICAN HEATING INC
1339 SE GIDEON ST, STE. 1 REQUIRED ITEMS AND REPORTS
PORTLAND, OR 97202
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 -3 -
Issued B . E _0.44. c Permittee Signature: �(a G e._(--b.---
.,_
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 Application FOR OFFICE USE ONLY
A, Received
Date/By: 10 D Di' ,� Pemdt No.:
City of Tigard
13125 SW Hall Blvd., Tigard, OR 97223 Plan Review O ther Pernik:
Phone: 503.639.4 ]71 Fax: 503.598.1960 Lira %,ar k t � '' Date/By See Page z (or
Inspection Line: 503.639.4175 t .•l Date Ready/By: I Supplemental laformation
Internet: www.ci.tigard.or.us Notified/Method:
.n _..g. •,. .; -.:. foot n. < .;.•t �>r 71' ,,,,pPiy '�'t - Alik dril z oicuik
,;r, r.�P�Y vt r. �}.,;.y;;:;4: ^..,�. �l .r. i ( ..: f��� t tl-E �y"��i ✓� -j iT ° .7.. � 'y s @ • r v , , '� 'N� x�- '-•
••- F- .' 'USE u
1 r,,G i„ - * ,r 111,, ,:,141.;h4 ` R. :. b '« .�.�L '••- R�u�}k Tr?1.9i 1x 7x1,1, r, "7 . 1 ra I.:a sr : l .• •
Mechanical permit fees* are based on the value tithe work
❑ New construction `t Addition/alteration/replacement performed. Indicate the value (rounded to the nearest dollar) of all
❑ Demolition ❑ Other: • mechanical materials, equipment, labor, overhead, and profit.
��+ ;• .1 R .� a r ua�r 7, r , r s' 't,r./` t' Value: S Cp i p i t °]
I i , : ;i • q, • -'t- r a ` � ; �• - , • ° '. i ! • c r ', ' • A be:. ` r:1. 4 't.�' , i .. t , ,,. • l �• 6 :-... r ,i fiygmI'I pOzT S iiii FEES.
❑ 1- and 2- family dwelling i] Commercial /industrial ❑ Accessory building For special information use checklist.
❑ Multi family ❑' Master builder 0 Other
Description I Qty 1 Es. 1 Total
0 4 0 L «-
�1 ..,• - m,nEr r r �� r r,--�� t' • ac 3�g� ut8i''r,1He�f ;« i '`1 Heating/COOIing
iW � tuu� r 1 1u 1 0 - ' . yt1 tl. 1• t "q�N• f [) (' C1`aG If fY t t „ rA�e t ,:. {; r5+xry° t.;I mt , . .
• �� Air conditioning or heat pump
Job site address: 1 (0 0, CI. (requires site plan showing placement) 14
�� , •J Fumace 100,000 BTU (ducts/vents) 14
City /State/ZIP: (( a� 3 17.90
l �1` ar(�l f d Fumace 100,000 +BTU (ducts /vents)
Suite/bldg. /apt. no.: J 1 O Q B Project name: 01 / r i CI. Gas heat pump 14.00
A
O c — Duct work 14.00
Cross street/directions to job site: Hydronic hot water system 14.00
Residential boiler (radiator or 14.00
hydronic)
Unit heaters (fuel -type, not electric), 10.00
in -wall, in -duct, suspended, etc.
Flue/vent for any of above 10.00
Subdivision: I Lot no.: .
Other: 10.00
Tax map /parcel no.: Other fuel appliances
1 P../;,./•• m�P, a Water.heater 10.00
a-'•t .i y i � . 'yt yw a ya m v .k' /'�� t F' if9 1 fi.t•it g a
8" rftr' fi 1i „ I �, 's, f � '/� O ��j nf i( tit , 6 v F, i , 10.00
!goo l: 42. ss :r 1: .:.� a.•.. :; ro , .,'. �I�T sl t;r d. alt, . v [I Gas fireplace
(( 1 (� i sy-(l '4 (' V 4k Q t ( l ; ( • Flue vent for water heater or gas 10.00
11 w ` fireplace
C4 .�( Log lighter (gas) 10.00
• Wood/pellet stove 10.00
Wood fireplace/insert 10.00
10.00
fd Chimney/liner/flue/vent /vent
r , y � o if k 'sip � r filiw i t f ( aiii D i rAl a, 10.00
totr , i i "�ze/.,,,:a t ..�, -,..t1 I G1: eL r.iN �4y rr] 7 i mar'e . , �wA Other:
Environmental exhaust and ventilation
•
Name Range hood /other kitchen
e quipment 10.00
Address:
Clothes dryer exhaust 10.00 -
City/State/ZIP: Single -duct exhaust (bathrooms,
Fax ( ) toilet compartments, utility rooms) 6.80
Phone: ( ) 10.00
rca r, �k �`dT+ c i �' "" 1 � i�ti� - �;' ; t (" fit Attic /crawlspace fans
i � �a i �f 1 ' " Rli W' L �I i ilg h T t t t f 4 �.� 1 ' o ff' Ci • :.. E
1 5) + U ir i Rix' %uf�.;1�r " "�I.'.h st(j�•n�.a.�e5�� Other: 10.00
Business name: 1 mart C,(iJ1 - 1 net I nr Fuel piping
J $5.40 for first four; S1.00 for each additional
Contact name: { �l � Furnace, etc.
Address: rn -1 3-E 6'«A e.a n 9 ' Gas heat pump
City/State/ZIP: " (4 1 Q g1 ?-o - . Wall /suspended /unit heater
( V" J ,2 03 Water heater
Phone:) fi (e00 Fax: : ( Fireplace
E Range
Y t �� t+ s y/ f p m 3 r " i 13; :11 { 4 J ^ 4f ' e -, Barbecue
I i f�;jt' Dn 1TIge�^r 4 jti 1, � �'' 1�' ri jPt;'R7r r G 0�) t� at n 6 9 t f Y '1:4; .itt v,� 'tip a ,
I # t 11ir_ w11ig...f. tine t:it66iii ett�t r:,&:;_li mutt : u.,: Y,ny z � 7,1t a ni . . colt•At,im , ttelt ft... - r P
Clothes dryer (gas)
Business name: • si i I I % . . I Other:
Address: 3- l) �' SC _
As.. ... rsa try A •�a , °'L: ( '' ' ,ILIA, ... ' .
"1 1 D 0 a S u bt otal
City/State/ZIP: �(�-� (�( M p ermit fee ($72.50)
Phone: ((r))) a3c . `i to b U Fax: (S6;)) di t ,7O ' 6 Plan review (25% of permit fee)
CCB lic.:
-&3 1 e,- State surcharge (8% of permit fee) 7 f{ G
TOTAL PERMIT FEE i(4 /Z
/� This permit application expires If a permit Is not obtal d with n 180
Authorized signature: / days after It hee been accepted as complete.
. � , .-. n i 1 . c...n.ilwininav set by Tri- County Building Industry Service Board
CITY OLTIGARD
BUILDING DIVISION PERMIT #: MEC20Q6- 00510
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/20/2006
Phone: (503) 639 -4171 / ,u� ' A �n
Inspection Requests (24 Hrs.): (503) 639 -4175 '.
INSPECTION WORKSHEET FOR DATE: 2/2112007 TIME: 7:00AM PAGE: 21
SITE ADDRESS: 11740 SW 68TH PKWY 100 CLASS OF WORK:
SUBDIVISION: TIGARD TRIANGE COMMONS LOT #: 008 TYPE OF USE:
PROJECT NAME: OMA
DESCRIPTION: Installation of ductwork and gas piping. Project Value: $66,475
OWNER: PACIFIC NW PROPERTIES, PHONE #: 503- 626.35Q0
CONTRACTOR: AMERICAN HEATING INC PHONE #: 503- 239 -4600
Inspection Request Scheduled For: Date: ?J21/7007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 043670 -01 503. 5724939 Y
Corrections /Comments /Instructions:
Cik ix...
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❑ PASS III PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL F•R INSPECTION ❑ ADDITI NAL EES ASSESSED
,
Inspector: 1 '! / Date: Phone #: (503) 718-
9?
CITY OF- TIGARD
BUILDING DIVISION PERMIT #: MEC2006.00510
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/2.0/2006
Phone: (503) 639 -4171 i ll
Inspection Requests (24 Hrs.): (503) 639 -4175 " -_
INSPECTION WORKSHEET FOR DATE: 2/13/2007 TIME: 7 :02AM PAGE: 35
SITE ADDRESS: 11740 SW 6RTH PKWY 100 CLASS OF WORK:
SUBDIVISION: TIGARD TRIANGE COMMONS LOT #: 008 TYPE OF USE:
PROJECT NAME: DMA
DESCRIPTION: Installation of ductwork and gas piping. Project Value: $66,475
OWNER: PACIFIC NW PROPERTIES, PHONE #: 503 -626-3500
CONTRACTOR: AMERICAN HEATING INC PHONE #: 503 - 239 -4600
Inspection Request Scheduled For: Date: 2/13/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
615 Mechanical rough -in 043329.01 503- 572 -4939 N I
Corrections /Comments/ Instructions: C1 c - Q 7c6.4...i
T"
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❑ PASS PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL CALL FOR INSPECTION ❑ ADDITIO AL FE S ASSESSED
(1 T
2. / 3 CI
Inspector: r Date: Zone #: (503) 718-
CITY7zOF TIGARD
BUILDING DIVISION PERMIT #: MEC2006.00510
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/20/2006
Phone: (503) 639- 4171 le.
Inspection Requests (24 Hrs.): (503) 639 -4175 1.
INSPECTION WORKSHEET FOR DATE: 2/9/2007 TIME: 7:U4AM PAGE: 68
SITE ADDRESS: 11740 SW 68TH PKWY 100 CLASS OF WORK:
SUBDIVISION: TIGARD TRIANGE COMMONS LOT #: 008 TYPE OF USE:
PROJECT NAME: COMA
DESCRIPTION: Installation of ductwork and gas piping. Project Value: $66,475
OWNER: PACIFIC NW PROPERTIES, PHONE #: 503- 626 -3500
CONTRACTOR: AMERICAN HEATING INC PHONE #: 503 -239 -4600
Inspection Request Scheduled For: Date: 2/9/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
695 Misc. inspection 043145~02 503-572 -4939 N
Corrections /Comments / Instructions:
1 74 -- t-t
Lal •
Sim loom/
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❑ PASS PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR SPECTION ❑ ADDITIO L FEES ASSESSED
Inspector: dna./ Date: v 7 Phone #: (503) 718 -
MEV
CITY OF- TIGARD
BUILDING DIVISION PERMIT #: MEC2006- 00510
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/20/2006
Phone: (503) 639 - 4171
Inspection Requests (24 Hrs.): (503) 639 -4175 s' "'IL
INSPECTION WORKSHEET FOR DATE: 2/9/2007 TIME: 7:04AM PAGE: 69
SITE ADDRESS: 11740 SVV 68TH PKWY 100 CLASS OF WORK:
SUBDIVISION: TIGARD TRIANGE COMMONS LOT #: 008 TYPE OF USE:
PROJECT NAME: OMA
DESCRIPTION: Installation of ductwork and gas piping. Project Value: $66,475
OWNER: PACIFIC NW PROPERTIES, PHONE #: 503 626
CONTRACTOR: AMERICAN HEATING INC PHONE #: 503 -239 -4600
Inspection Request Scheduled For: Date: 279/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
640 Exhaust hood 043145 -01 503. 572 -4939 N
Corrections /Comments /Instructions:
*...,
( 111 / OP irl I W 7 / t
411,
, . IP IMF r • r
❑ PASS [�RTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDIT ONA FEES ASSESSED
dig '
Inspector: ANI Date: t- n 7 Phone #: (503) 718 -
/PP'
CITX -QF TIGARD
BUILDING DIVISION PERMIT #: MEC200& -00510
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/20/2006
Phone: (503) 639 -4171 A
1n
Inspection Requests (24 Hrs.): (503) 639 -4175 'I I..
INSPECTION WORKSHEET FOR DATE: 1/23/2007 TIME: 7 :02AM PAGE: 62
SITE ADDRESS: 11740 SW 68TH PKWY 100 CLASS OF WORK:
SUBDIVISION: TIGARD TRIANGE COMMONS LOT #: 006 TYPE OF USE:
PROJECT NAME: OMA
DESCRIPTION: Installation of ductwork and gas piping. Project Value: $66,475
OWNER: PACIFIC NW PROPERTIES, PHONE #: 503 - 626.3500
CONTRACTOR: AMERICAN HEATING INC PHONE #: 503- 239 -4600
Inspection Request Scheduled For: Date: 1/23/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
695 Misc :. inspection 042377 -01 503 - 572 -6515 Y
Corrections /Comments /Instructions:
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❑ PASS �✓ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FO' INSPECTION ❑ ADDITIO AL F ES ASSESSED
Inspector: 0 Date: v Phone #: (503) 718- �'�4
CITY CLIPTIGARD
BUILDING DIVISION PERMIT #: MEC200&.00510
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/2012006
Phone: (503) 63'9 -4171 Ak
Inspection Requests (24 Hrs.): (503) 639 -4175 I I..
INSPECTION WORKSHEET FOR DATE: 12/11/2006 TIME: 7 PAGE: 34
SITE ADDRESS: 11740 SW 68TH PKWYLl0t CLASS OF WORK:
SUBDIVISION: TIGARD TRIANGE COMMONS LOT #: 408 TYPE OF USE:
PROJECT NAME: OMA
DESCRIPTION: IU:itailation GI ductwork and qa• piping` Project Value: $66,475
OWNER: PACIFIC NW PROPERTIES, PHONE #: 503 - 626 -3500
CONTRACTOR: AMERICAN HEATING INC PHONE #: 503 - 239-4600
Inspection Request Scheduled For: Date: 12/11/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
615 Mechanical rough -in 040881 -01 503-793-2240 N
Corrections /Comments/ Instructions: it 1
•��. 1 air -.a .
I ' . Ps Iv � --
❑ PASS PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL IIII CALL FOR I • PECTION ❑ ADDITIONAL EES ASSESSED
I Inspector: Date: ( 0 4 Phone #: (503) 718 - 2 4Z3
IlV
CITY - OF TIGARD
BUILDING DIVISION PERMIT #: MEC200600610
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/20/2006
Phone: (503) 639 -4171 Akb I�I
Inspection Requests (24 Hrs.): (503) 639 -4175 . ' ��
INSPECTION WORKSHEET FOR DATE: 11/15/2006 TIME: 7:07AM PAGE: 52
SITE ADDRESS: 11740 SW 68TH PKWY 100 CLASS OF WORK:
SUBDIVISION: TIGARD TRIANGE COMMONS LOT #: 008 TYPE OF USE:
PROJECT NAME: OMA
DESCRIPTION: Installation of ductwork and gas piping. Project Value: $66,475
OWNER: PACIFIC NW PROPERTIES, PHONE #: 503 - 626.3500
CONTRACTOR: AMERICAN HEATING INC PHONE #: 503 - 239-4600
Inspection Request Scheduled For: Date: 11/15/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
625 Duct work 039768 -01 503 - 572 -4939 N
Corrections /Comments/ Instructions:
1 C 1 -7V( I &P--1A64 0 i
t e tc 1 i Cre_, FV t aaU
❑ PASS ARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL c CA FOR INSPECTION ❑ ADDITIONAL EES ASSESSED
Inspector: •'�� Date: 1 l �� 6 Phone #: (503) 718- ��