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Permit ili .}. CITY OF TIGARD MECHANICAL PERMIT COMMUNITY DEVELOPMENT PERMIT #: MEC2007 -00259 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 5/4/2007 PARCEL: 25101 DA -00102 SITE ADDRESS: 13221 SW 68TH PKWY 401 ZONING: MUE SUBDIVISION: TRIANGLE CORPORATE PARK LOT: 002 JURISDICTION: TIG PROJECT: HEALTH NET Project Description: VAV box and associated air distribution. Value: $5000.00 CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS: TYPE OF USE: COM UNIT HEATERS: VENT FANS: OCCUPANCY GRP: 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: WOODSTO IT S: GAS PRESSURE: 50 + HP: FURN < 100K BTU: AIR HANDLING UNITS CLO DRYERS: OTHER UNITS: FURN > =100K BTU: <= 10000 cfm: GAS OUTLETS: > 10000 cfm: Owner: FEES TIGARD TRIANGLE I LLC Description Date Amount 4650 SW MACADAM AVE STE 220 PORTLAND, OR 97201 [MECH] Permit Fee 5/4/2007 $141.50 [TAX] 8% State Surcha 5/4/2007 $11.32 Total $152.82 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. Issued By: P ermittee Signature: x g„-0,.. ,v,,,, 4er 7 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. r__s)1 . i n 7 c 1 #/ Mechanical Permit Applic ton - " FOR OFFICE USE ONLY el L ! M City of Tigard � 2®®4 Received D MEM ate/By: Permit No.: AI ----00a5 13125 SW Hall Blvd., Tigard, OR7�13 U 1 Um, . 4 t Plan Review OtherPemut: Phone: 503.639.4171 Fax: 5033'x.3$10 j7. /,, ,, . ro dlr „ ,,ei � it1 Date/By: Inspection Line: 503.639.4175 ' r79rt , ..v. t ,. +`_� i Date Ready/By: luris I la See Page 2 for Internet: www.ci.tigard.or.us Notifted/Method: Supplemental Information i� ,�• ,��•:.y,y,� �f ?`1ix 1 ' �:. . RC I 'FEE'i :.SCHEDTIZ U$ECaiPICLIST 7 r r j tM,a" - tr�4 JtQ, © i3O7, 'J B� �� -.� -,. 1 t: ` �.'Q . •.,: .. Mechanical permit fees* are based on the value of the work ❑ New construction XAddition /alteration/replacement performed. Indicate the value (rou . . • • : dollar) of all ❑ Demolition ❑ Other: mechanical materials, equi, -- - nt, labor, overhead, an. •rofit. _ p � J (y a e'nr� G 7� n ?na +'.G " v�+t:✓ J,h Tjhtd.4. w u 1 i u y- e$ . 00 �� ,i 7c .1 u "1 FI" j ` }�,c , b t f , ; S pi :': y L; a 7 r , i r r � ,ff �' i t F f tiil!714 -r7. �s ,'g"`..�il.,li t itkAil .l4 7ar, ?StraWl v.:4 f . * � .1,4�' , i >._., ^ I ; i.• .11.∎k `t: r - , 0 �,i_�,- T / S S'I , . . EES ' �' ��RESIbE1V El 1- and 2- family dwelling Commercial /industrial ❑ Accessory building For spec i nfornrnt i on use checklist. ❑ Multi - family 0 Master builder ❑ Other: , I Qty. I E I Total 1 � '. �� x�pr w ,r� ,rrv;w f ..�..: ; . 1 , ' Heating/coolin � �j,t)� r �'" �rtlp 4, p�;(}fll 1 �r � n t Y� ,JCi+xr�,� -!x. '+G •Iii 1 f' � I 1 5 �5 .' r. f1 I 1 Ira'�r,'�,�t tT4:h'.1 ? 9 p�1 inet arie � r:, ga tb; / .: ,^. Air conditioning or heat pump Job site address: / 32, 2/ 5 0/ 6/C/ 4- Q r A v'r Gt y Ai r con site plan showing placement) 14.00 Fumace 100,000 BTU (ducts /vents) 14.00 City/State/ZIP: G j Gj / �� g " Furnace 100,000+ BTU (ducts/vents) 11.90 Suite/bldg. /apt no.: tf y 50 I Project name: He(t Ih n e Gas heat pump 14.00 Duct work 14.00 Cross street/directions to job site: 14.00 Hydronic hot water system , Residential boiler (radiator or hydronic) 14.00 Unit heaters (fuel -type, not electric), in -wall, in -duct, suspended, etc. 10.00 Flue/vent for any of above 10.00 Subdivision: , Lot no.: , Other: 10.00 Tax map /parcel no.: Other fuel appliances ��. x a,r 5 TA s � ,t , Water heater 10.00 r� BJ '1 , '1 1 '10:, "D Il i ' Q14t vi t) 1 1e� a ; ` , -7 „•' •, Y '" ;d .. -A2amia re f 10.00 I °.,� xhGs:. . ± e� Gas fireplace ,/- /1 C V1/ 1/:'‘ ✓ b O X G/ S5o G s 9 c . Flue vent for water heater or gas b fireplace 10.00 / •� �,S-� Imo/ t7V ]� J D r Log lighter (gas) 10.00 Wood/pellet stove 10.00 Wood fireplace/insert 10.00 T-L tF rack ri:•r ,try Pkpb,�1�� /I Chimney/liner/flue/vent 10.00 � t `'�c �", v 0 91 3 i `fi °. X11 Empag f�. oitr `, r; t, !' i io„,, Other: 10.00 Name: Environmental exhaust and ventilation Range hood /other kitchen Address: equipment 10.00 Clothes dryer exhaust 10.00 City /State/ZIP: Single -duct exhaust (bathrooms, Phone: ( ) Fax: ( ) toilet compartments, utility rooms) 6.80 _ 10.00 }, . r , q {{�'qq . a` ; ai:-; r� ,. /. o 0 7 xf(: Attic /crawlspace fans N 1 N� I . F' 'u 6 it':I K 12 k b . „ A.,; ' ,, i i e ,,:a.:l ,...... Other: 10.00 Business name: 6 ma (( co-4 • 4-_, a 1 T.nC , Fuel piping Contact name: ,Er M �j Co0' c J c. Contact $5.40 for first four; $1.00 for each additional Fumace, etc. Address: l `3�� 8-E j A Qb Gas heat pump City/State/ZIP: ` c•-4--( Wad 12'( - Wall /suspended /unit heater O • ( ( Water heater ' 4 I.4 Phone:) -1-i 600 Fax:: �� Fireplace / �// E-mail Range i # '4 jY '1 � '' a ,rW l� C d o } 3(r 1 �vn z �'" Barbecue 1L? ! r a. , r d s - + i lk L, H + �i i::_aak!I�eetiF:ai �. 1 i ti. 27 rg. - Clothes dryer (gas) Business name: it 1 if !' 7 Other: Address: 1 ...,361 /) C�, l d P isYi 1 r r fir, eof K� i w ,w; .,s Subtotal City/State/ZIP: � 1 ( 1L l 1 v Minimum perm fee ($72.50) ( " () 1 X [J P lan review (25% of permit fee) Phone: f�(f � a3�- 4x. b 0 Fax: a� C '1 '� CCB lic.: 1J3 \ h' _ State surcharge (8% of permit fee) (�, TOTAL PERMIT FEE eArt ilrYLA - y Thls permi application expires If a permit to not ed within 180 Authorized signature: J , 'JJ- --7i' 1 Print name: � . rn r&, TTT , CIL p r - 4 oyt 1 Date: 5 14 " 0 7 I ' Fee methodology set by Tri -County Building Industry Service Board CITY OF TIGARD BUILDING DIVISION . ; PERMIT #: MEC2007 -00259 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/4/2.007 • Phone: (503) 639 -4171 1 " �@if�l'� Inspection Requests (24 Hrs.): (503) 639 -4175 `-_.. INSPECTION WORKSHEET FOR DATE: 6/6/2007 TIME: 7:01AM PAGE: 62 SITE ADDRESS: 13221 SW 60TH PKWY 401 CLASS OF WORK: SUBDIVISION: TRIANGLE CORPORATE PARK LOT #: 002 TYPE OF USE: PROJECT NAME: HEALTH NET DESCRIPTION: VAV box and associated air distribution. Value: $5000.00 OWNER: TIGARD TRIANGLE I LLC, PHONE #: CONTRACTOR: AMERICAN HEATING INC PHONE #: 503-239-4600 Inspection Request Scheduled For: Date: 6/6/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 615 Mechanical rough -in i 049648 -01 503 - 5333626 N Corrections /Comments/ Instructions: 1 i ll I►: (a cI , , 1 , ( 0 PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS I FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: I Date: 0/ P hone #: (503) 718 - yvb p r � )