Permit C ITY OF TIGARD MECHANICAL PERMIT
DEVELOPMENT SERVICES PERMIT #: MEC2006 -00513
13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 10/20/2006
PARCEL: 1 S136DD -03400
SITE ADDRESS: 11740 SW 68TH PKWY 250 ZONING: MUE
SUBDIVISION: TIGARD TRIANGE COMMONS LOT: 008 JURISDICTION: TIG
Project Description: Installation of ductwork and gas piping. Project Value: $20,156
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
PNWP LLC Description Date Amount
6600 SW 105TH AVE. STE.175 [MECH] Permit Fee 10/20/20C $369.20
BEAVERTON, OR 97005 [TAX] 8% State SurcharE 10/20/20( $29.54
Total $398.74
Phone:
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 -80 32 -234.
Issu d By: / I � . Permittee Signature: I/ r �( /46% kc.5 !e>-
Call 503 - 639 -4175 by 7:00 a.m. for inspections that business day.
is 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.
a
-. ,
Mechanical Permit Application FOR OFFICE USE ONLY
City of Tigard Received /6 . Mill l Pemut No.: 1/4 `di(; — «40 5/
13125 SW Hall Blvd., Tigard, OR 97223 Plan Review Other Pemrit:
Phone: 503.639.4171 Fax: 503.598.1960 /,.' - ,r,7,; "\ DateBy: )uric . 0 See Page 2 for
tr r.
Inspection Line: 503.639.4175 s� j: Alf Date Ready/By: 3 Supplemental Information
p Notified/Method: 7
Internet: www.ci.tigard.or.us
2 y '..,.;1 “' .h!'i'^ii:�' :!Yi: er iH+ ::.:.7.:t,.,.�. d :I , F .:- p . .. 1 • r :,::,USG,L'
a•r + I+ r •'.+:I`�,� - 1`N' 1• m� , P y��I"'•!, Pi
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A Mechanical permit fees* are based on the value of the work
❑ New construction / Addition/alteration/replacement performed. Indicate the value (rounded to the nearest dollar) of all
❑ Demolition
ggqq{{{ ❑ Other: mechanical materials, equipment, labor, overhead, end . rofit.
Pi �t t ,. r , v . a A F x�. n O �UM 1014 y. t^,.rf R�∎ x. ES
-}�,,_ y �}'.j� , Value• $ � � �r.2�,,�j S, FE t'a
a Z i h• ,
, F ��13 J U • t7 s4 5 • . il) r,7, 1 ,... ° t .4u• .CJIJit . 'a', •{k S T"/+.P/I,J•�1
. t FFP . , , I�11rI�73I're�% �l!
❑ 1- and 2- family dwelling fi] Commercial /industrial ❑ Accessory building For special inforn,nsion use chec klist
• Total
Other: 1 Qty. Fe 1
❑ Multi family 0 builder ❑ D escription
rn t ^' L r �` r�11 ipYrt ttl '' Hearin coolie
{{Try ,;l :A ie '''iiia l:a°Iyt , Itlsu �, o> 4 ' 1 �a ' _.1 x• e" w g
{ttN ",) 1 : ,s+ • • ' . Air conditioning or heat pump
Job site address: SAL- f fa • I (Jill '/ F V (requires site plan showing placement) 14.00
``nn q Furnace 100,000 BTU (ducu/venu) 14.00
City/State/ZIP: — r -- k / (,> •Y` vL a Furnace 100,000+ BTU (duets/vents) 17.90
Suite/bldg. /apt. no.:QA L a O Project name: Q} -J U p ' Gas heat pumt 14.00
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: Lot no.: ,
Other: 10.00
Tax map /parcel no.: Other fuel appliances
= cart y M r s' 1 � �^' Gy ' i' FJ Water.heater 10.00
Vr .P"I'���tf v i 1 , � ' g a e 9 ` '� ."' 4711 GrY e1 W WrW W �� T ' +°Wd S� �,i '+{' r�`
... ',,l1 S +ry" : r ` 'iifs i.W. • ..t` .. . 2 w , err1l r . Z I . .1 SG r2�%.�s[ ilm+ fl i tt, Gas fireplace 10.00
tttl .,.k.N.
t , 4 Flue vent for water heater or gas 10.00
fireplace
I111-4 o ° A I N j 1 e 0 A ' ,
Log lighter (gas) .
I Wood /pellet stove 10.00
Wood fireplace/insert 10.00
, w o- � y , ii'' r r' §I "iyt fU r (" '�' d�4 '1'�zvt k yf? Chirnney /liner /flue/vent 10.00
{k + 1_ , 1 1L� fir' o F '�� t + ar � 5 l�" LrA j , r +l,J� ii ilea "t�rl., q.tt. r,{..:. Other: 10.00
F �n. ,.M i �l'(IN:. ti a Y L i�i�,�v l'.,�i �iti9�. �u•�1'.��,iP;.49 �'.
Environmental exhaust and ventilation
Name: Range hood /other kitchen
Address: equipment 10.00
Clothes dryer exhaust 10.00
City/State/ZIP: Single -duct exhaust (bathrooms,
Fax ( ) toilet compartments, utility rooms) 6.80
Phone: ( ) 0.00
r Tb �" .zy �
.�, r „ a ,,,� � , r � : � � 1 n 'ke{x;l Attic /crawlspace fans f 1 .}M i'.i!'. i�:•':W'lit�•�r � Er f 514 � 1 LE q : t W S 10.00
Cary? u.s:St �Jh ,�).a' J c q af'. It• seal ,.cf . rr... , et9 nau0ra.1, Other:
Business name: 0 "Ima(i S ! A Fuel piping
�
$5.40 for first four; $1.00 for each additional
Contact name: a - Furnace, etc.
Address: 33 S ( Gas heat pump
City /State/ZIP: • i a Q 1 2-v2- Wall /suspended /unit heater
( ∎ i — o ■ • Water heater
Phone: ) r _ , • b Fax:: f �L Fireplace
E-mail �9� Range
M1Y�iI' ��
r r t� u r 1; r eVy+ G¢ < P it C,,( , 47 ��C t 0 ,it i� t (; l' } n , v z� r,
1 'f1 Y ' j �f �a P i.. ' 1 r k f ' ... , ',t . t s"' , " `,k, � ' L .},.6 . Barbecue
l• �,. � l k�i gi `".t,� ,�,..c� ctf.�� 7. 3•-? t4� :..a�.R,.�t:._m_�vR_a•.,1�i 11Fwlai- �. Ir. �arlSm,n " Clothes dryer (gas)
Business name: Alt! k A • '1 4 , Other:
AN ;1,.: to-` n t� ari
Address: 3 /. 611
Subtotal
City/State/ZIP:
r IL Minimum permit fee ($72.50) I.
, , Phone: ■ `d t b t� Fax /if ) a ,, -703 a Plan review (25% of permit fee)
State surcharge (8% of permit fee) _
• t+:
r TOTAL PERMIT FEE _
I jXYLIYL.&_ Thls permit appli n 180
Authorizd signature: days after It has been accepted as complete.
_ t I% 'NA i". / • Fee methodology set by Tri•County Building Industry Service Board
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MEC200&.00513
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/20/2006
Phone: (503) 639 -4171 -ICI
Inspection Requests (24 Hrs.): (503) 639 -4175 '`__..
INSPECTION WORKSHEET FOR DATE: 2/23/2007 TIME: 7 :01AM PAGE: 73
SITE ADDRESS: 11740 SW 68TH PKWY 250 - CLASS OF WORK:
SUBDIVISION: TIGARD TRIANGE COMMONS LOT #: 008 TYPE OF USE:
PROJECT NAME: OHCA
DESCRIPTION: Installation of ductwork and gas piping. Project Value: $20,156
OWNER: PNWP LLC, PHONE #:
CONTRACTOR: AMERICAN HEATING INC PHONE #: 503-239-4600
Inspection Request Scheduled For: Date: 2/23/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 043771 -04 503-572-4939 N
Corrections /Comments /Instructions:
i df
y 47 I. N ' �
K J
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL , ❑ CALL FO" INSPECTION ❑ ADDITI• AL FEE. ASSESSED
IF i
Inspector: / Date: Ar (37hone #: (503) 718 -
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MEC2006 -00513
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/20/2006
Phone: (503) 639 -4171 j t
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 2/23/2007 TIME: 7 :01AM PAGE: 74
SITE ADDRESS: 11740 SW 68TH PKWY 250 CLASS OF WORK:
SUBDIVISION: TIGARD TRIANGE COMMONS LOT #: 008 TYPE OF USE:
PROJECT NAME: OHCA
DESCRIPTION: Installation of ductwork and gas piping. Project Value: $20,156
OWNER: PNWP LLC, PHONE #:
CONTRACTOR: AMERICAN HEATING INC PHONE #: 503 - 239-4600
Inspection Request Scheduled For: Date: 2/23/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
615 Mechanical rough -in 043771 -03 503.572 -4939 N
Corrections /Comments/ Instructions:
4 4
_ �\ _`e _.��
4
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAI - ❑ CALL FOR INSPECTION ❑ ADDIT ONAL EES ASSESSED
O lt Inspector: Date lJ Phone #: (503) 718-
CITY--OFTIGARD
BUILDING DIVISION PERMIT #: MEC200Ei -00513
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/20/2006
Phone: (503) 639 -4171 . ;rlll
Inspection Requests (24 Hrs.): (503) 639 -4175 o' `:_..
INSPECTION WORKSHEET FOR DATE: 122/11/2006 TIME: 7 PAGE: 33
SITE ADDRESS: 11740 SW 68TH PKWY 450_- CLASS OF WORK:
SUBDIVISION: TIGARD TRIANGE COMMONS LOT #: 008 TYPE OF USE:
PROJECT NAME: OHCA
DESCRIPTION: nstaiiatio,:a of corAvorix and gas piping, Project Value: $20,156
OWNER: PNWP LLC, PHONE #:
CONTRACTOR: AMERICAN HEATING INC PHONE #: 503 -238 -4600
Inspection Request Scheduled For: Date: •iJ11/2Q06 Pour Time:
Code # Inspection Description Confirm # Contact # Message
615 Mechanical rough -in 040882 -01 503-572 -4939 N
Corrections /Comments /Instructions:
(---
! /16
I ► ,ro tor /. W`
J
❑ PASS PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL \ CALL FO' INSPECTION ❑ ADDITI AL FEES ASSESSED
ov■
Inspector: Date: l l D6 Phone #: (503) 718- 2423