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Permit
CITY TIGARD MECHANICAL PERMIT COMMUNITY DEVELOPMENT PERMIT #: MEC2007 - 00672 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 11/16/2007 . PARCEL: 25101 DA - 00100 SITE ADDRESS: 13010 SW 68TH PKWY 140 ZONING: C - SUBDIVISION: TRIANGLE CORPORATE PARK LOT: 007 JURISDICTION: TIG PROJECT: PACIFIC SOURCE HEALTH Project Description: TI - relocate ducts and grilles. Project Value: $23,000. 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: REPAIR UNITS: 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 SCHNITZER INVESTMENT CORP Description Date Amount PO BOX 10047 PORTLAND, OR 97296 [MECH] Permit Fee 11/16/20C $407.00 [TAX] 8% State Surcha 11/16120C $32.56 Phone: Total $439.56 Contractor: ACCURATE HEATING, INC. P.O. BOX 2276 CLACKAMAS, OR 97015 REQUIRED ITEMS AND REPORTS Contact #: PRI 650 -1229 FAX 650 -4845 Reg #: LIC 88423 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. Iss d By: 1 _ A i i /� /� _/ , Permittee Signat re: _ j; /J% Call 503.639.4175 by 7:00 a.m. for inspec ', h. business • y. 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 Pewit Application FOR OFFICE I SE 0\1.1 City of Tigard Received l( ll1 G Permit No.: te, 040 7 , OD 6 2. 13125 SW Hall Blvd., Tigard, OR 97223 Review ,, Phone: 503.639.4171 Fax: 503.598.1960 ii. i a Date/By. Review Permit: Inspection Line: 503.639.4175 _14.' - i _ Date Ready/By: � SS See Page 2 for Internet www.ci.tigard.or.us Notified/Method 1 G Supplemental Information TYPE OF WORK COMMERCIAL FEE* SCHEDULE — USE CHECKLLS F ❑ New construction 0 Addition/alteration/replacement Mechanical pmt 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: $ 000, RESIDENTIAL EQUIPMENT / SYSTEMS FEES* ❑ 1- and 2- family dwelling g: Commercial/industrial ❑ Accessory building For special information use checklist ❑ Multi- family ❑ Master builder ❑ Other: Description 1 Qty- Ea- I Total JOB SITE INFORMATION AND LOCATION Heating/cooling Job site address: �c�f'� O O Vb Air conditioning or heat pump ' 3 FEW I - y.1 t (requires site plan showing placement) 14.00 City /State/ZIP: a-t•1 pyL �a a3 Furnace 100,000 BTU (d� cts/vents) 14.00 � � Furnace 100,000+ BTU (ducts/vents) 17.90 Suite/bidgJapt no.: Project name: e■41c_ (.rr e... Gas heat pump 14.00 Cross street/directions to job site: Duce work 14.00 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. , 10.00 Subdivision: 1 Lot no.: Flue/vent for any of above 10.00 Other: 10.00 Tax map/parcel no.: Other fuel appliances DESCRIPTION OF WORK Water heater 10.00 J _\ \ e ` Gas fireplace 10.00 e e. VAN( c5 enacN(�� me c - at, c-L ()r & J Qc� Flue vent for water heater or gas 10.00 fireplace Gan 8k C1r x o 1 (9, l . »g (1 � rr � n b o nA log lighter (gas) 10.00 �. a) c1, \\ IZtr, t �et t . t C c- aP q t • ENrY . Wood/pellet stove 10.00 T tJ P e.e 9 Wood fireplace/insert 10.00 ❑ PROPERTY OWNER I Chimney/Iinedaue/vent 10.00 TENANT Other. 10.00 _ Name: a c Covc %.e. Environmental exhaust and ventilation Range hood/other kitchen Address: 1 c 10 e� (O' �ctrYal4 equipment 10.00 City /State ZIP: - 1 ©� q a a 3 clothes dryer exhaust 10.00 1 or d , Single -duct exhaust (bathrooms, Phone: ( ) f Fax: ( ) toilet compartments, utility rooms) 6.80 ❑ APPLICANT QS[,CONTACT PERSON Attic crawlspace fans 10.00 ` Other: 10.00 Business name: Ct_ta n71C . t - T i nt . Fuel piping 11 Contact name: ; rrN 0 `11 edAS S5.40 for first four; 51.00 for each additional Furnace, etc. Address: ( 57 S,\ IC 4&-(301-0 Gas heat pump . City /State/ZIP: ��\ m ;`` e (47 07 Wall/suspended/unitheater '' rnrn D Q J Water heater 650 Phone: ( 'O ) • 1 o 1 Fax: : (b,3) • "1 a ti ► , Fireplace E - mail: 1 \L I 1 \Z Cxy CO , C�.0 \ e LLr C ONl Range CONTRACTOR Barbecue • Clothes dryer (gas) C Business name: r� n r Address: 73 6u f 54 CJ / « .. O p MECHANICAL PERMIT FEES* Subtotal `/ City/State/ZIP: u ps, s on v.; ll C‘ � - 7 0 7,0 1'07. 60 Minimum penny fee ($72.50) Phone: trt 3 ) t , a9 I Fax: ( ( ( • LI S <IS_ Plan review (25% of permit fee) '- -' CCB lic.: ee - State surcharge (8% of permit fee) 3 TOTAL PERMIT FEE, � This permit application expires if a permit is not abtai t 180 Authorized SI � j� �i�� d ays after ft bas been accepted as complete. Pr name: / / ' Date: / , ®m • Fee methodology set by Tri-County Building Industry Service Board is\ Building \Permita\MEC- PermitApp.doc 12/03 440-46 (11 ■ • 01 MNVF.B) • CITY OF TIGARD BUILDING DIVISION PERMIT #: MEC2007 -00672 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/16/2007 Phone: (503) 639 -4171 pock Inspection Requests (24 Hrs.): (503) 639 -4175 !o► 111. INSPECTION WORKSHEET FOR DATE: 1/17/2008 TIME: 7:OOAM PAGE: 18 SITE ADDRESS: 13010 SW GOTH PKWY 140 CLASS OF WORK: SUBDIVISION: TRIANGLE CORPORATE PARK LOT #: 007 TYPE OF USE: PROJECT NAME: PACIFIC SOURCE HEALTH DESCRIPTION: TI - relocate ducts and grilles. Project. Value: $23,000. OWNER: SCHNITZER INVESTMENT CORP, PHONE #: CONTRACTOR: ACCURATE HEATING, INC. PHONE #: 650 -1229 Inspection Request Scheduled For: Date: 1/17/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 699 Mechanical final 063429 -01 503-291-6986 Y Corrections/Comments/Instructions: r7,1 PASS ARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS A `- ' IL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: / Phone #: (503) 718- L�� CITY OF TIGARD • BUILDING DIVISION PERMIT #: MEC2007•00572 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: •1111612007 Phone: (503) 639 -4171 4, 410 1 t II?' Inspection Requests (24 Hrs.): (503) 639 -4175 11. INSPECTION WORKSHEET FOR DATE: 1/4/200 TIME: 7 :01AM PAGE: 32 SITE ADDRESS: 13010 SW 66TH PKWY 140 CLASS OF WORK: SUBDIVISION: TRIANGLE CORPORATE PARK LOT #: 047 TYPE OF USE: PROJECT NAME: PACIFIC SOURCE HEALTH DESCRIPTION: TI - relocate ducts and grilles. Project Value: $23,000. OWNER: SCHNITZER INVESTMENT CORP, PHONE #: CONTRACTOR: ACCURATE HEATING, INC. PHONE #: 650-1229 Inspection Request Scheduled For: Date: 1/4/2408 Pour Time: Code # Inspection Description Confirm # Contact # Message 699 Mechanical final 062579 -01 503-473-2726 N Corrections/Comments/Instructions: sn25 ____-- . ( _ / • r ( .,Lo Lo ■rDEbc_ , 1. Lj:21-:›14 im g-larnm,_ Arm■IirraaPows - L q-D_____ C---1-- a e- /'. • / ?JCS 1s i Cb � ❑ PASS % PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS C 7 ALL FOR INSPECTION ❑ ADDITI NA FEES ASSESSED Inspector: - ` — Date: 1 � 17 Phone #: (503) 718- �� NII CITY OF TIGARD BUILDING DIVISION -• PERMIT #: MFC2007.00672 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/16.12007 Phone: (503) 639 -4171 e " "il ��' IA In Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 12/11/2007 TIME: 7:00AM PAGE: 94 SITE ADDRESS: 13010 SW 611TH PKWY 140 CLASS OF WORK: SUBDIVISION: TRIANGLE CORPORATE PARK LOT #: 007 TYPE OF USE: PROJECT NAME: PACIFIC SOURCE HEALTH DESCRIPTION: TI - relocate ducts and grilles. Project Value: 823,000. OWNER: SCHNITZER INVESTMENT CORP, PHONE #: CONTRACTOR: ACCURATE HEATING, INC. PHONE #: 650.1229 Inspection Request Scheduled For: Date: 12/11/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message Gm mechanical rough -in 06120 "i -01 503.473.272.6 N Corrections/Comments/Instructions: 1 ar , : s 1 . & O ( L P i fJ 1 c - _ -1 a AMU « r� Su° A i ❑ PASS W. _ PARTIAL App - • • ❑ CANCEL III NO ACCESS tc, ❑ FAIL Pi CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED i ■•• Inspector: i Date: 1?-1 Phone #: (503) 718 - rLy