Permit -• CITY OF TIGARD MECHANICAL PERMIT
��;� DEVELOPMENT SERVICES PERMIT #: MEC2004 -00611
'�� - 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 9/14/2004
PARCEL: 25101 DA -00102
SITE ADDRESS: 13221 SW 68TH PKWY 400
SUBDIVISION: TRIANGLE CORPORATE PARK ZONING: MUE
BLOCK: LOT: 002 JURISDICTION: TIG
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: CLO DRYERS:
FURN < 100K BTU: AIR HANDLING UNITS OTHER UNITS:
FURN > =100K BTU: <= 10000 cfm: GAS OUTLETS:
> 10000 cfm:
Remarks: Relocation of ducts and grilles for new tenant.
Project Value: $3,560.
Owner: FEES
TIGARD TRIANGLE I LLC Description Date Amount
4650 SW MACADAM AVE STE 220 [MECH] Permit Fee 9/14/200 $109.30
PORTLAND, OR 97201 [TAX] 8% State Surchar€ 9/14/200 $8.75
Total $118.05
Phone:
Contractor:
AMERICAN HEATING INC
1339 SE GIDEON
STE 1 REQUIRED INSPECTIONS
PORTLAND, OR 97202 Mechanical lnsp
Phone: 239 -4600 Final Inspection
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 -0 • : : - !h OAR 952 -001 -0100. You may obtain copies of these rules or direct questions to OUNC by calling
(503)24:6699.
Issued =y: ` _ 1 ► _ , , . _/ • Permittee Signature: /�„�
Call (50 ; 9-4175 by 7:00 P.M. for inspections needed the next business day
k Pichanical Permit Application FOR OFFICE USE ONLY
City of TigmItt Received 4.
Date/By: 7 // 067 Permit No.: , ' . 1 /
13125 SW Hall Blvd., Tigard, OR 97223
Plan Revew
& Date/By: i
Phone: 503.639A171 Fax 503.598.1960 - Other Permit:
42 1,40.11A -
Inspection Line: 503.639.4175 D . al Date Ready/By: .111"%/, FA See Page 2 for
Internet: www.ci.tigard.or.us Notified/Method: -1 / 0. Supplemental Information
i i*,*. 1 *(iii*::1.,._ , ,:: ; ;:!..: , :::;'::*.;;;::'.;'%,:: , ...:' " :::.;:,. (COMMERCIAL FEE* S CHEDULE 4. lig CHEC KLIST
,-E-KLIST
0 New construction rAddition/alteration/replacement
Mechanical permit fees* are based on the value of the work
E
performed. Indicate the value (rounded to the nearest dollar) of all
0 Demolition 0 Other: mechanical materials, equipment, lakr, overhead, and profit.
A4'4*04itt:P0**4:11071-co...„'' E:
••S:::.-. ....,...
Value: VP3 , r60.. 00
''RESIOENTIAL:EQUirMENT / SYSTEMS FEES*
ID 1 and 2 dwelling IgCommercial/industrial E] Accessory building
For special information use checklist.
0 Multi 0 Master builder 0 Other:
Description I Qty. I Ea. I Total
; AI■05:ii 0$7.',i:, .,..:„,(:,•;: Heating/cooling
Air conditioning or heat pump
Job site address:8) ,SeA,./ 68' d f .a04(.4..ety (requires site plan showing placement) 14.00
City/State/ZIP: T ar a i c Furnace 100,000 BTU (ducts/vents) 14.00
Furnace 100,000+ BTU (duets/vents) 17.90
• Suite/bldg./apt. no.: ...v.aTt- L Project name: A cll )
Gas heat pump 14.00
Cross street/directions to job site: " TaC.Jv no )04:3iC-S Duct 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
Flue/vent for any of above 10.00
Subdivision: Lot no.: ,
Other: 10.00
Tax map/parcel no.: Other fuel appliances
~701;15 ii*Okie. 1 '4 Water heater 10.00
' 'API. '"1"...i. x:•;.• ' --,...9.° :,... ... I '. 1 ,‘,::!.. ,
Gas fireplace 10.00
7 7 -2,71/, /1214ene177 e y/..shiy 71 Flue vent for water heater or gas
fireplace 10.00
,i-ive r), 0 el, 4teet if a A.S Log lighter (gas) 10.00
Wood/pellet stove 10.00
Wood fireplace/insert 10.00
-4 ,4IV•',.k.:41 Ifieftitte ;4-. 4:1-:,:t.
44.1. .0,
itie
, Chimney/liner/flue/vent 10.00
:Kfliii4A
e..4`. -,./' ' - ,4 ' .. Other 10.00 ,
Name: Environmental exhaust and ventilation
Range hood/other kitchen
Address:
equipment 10.00
City/State/ZIP: Clothes dryer exhaust 10.00
Single-duct exhaust (bathrooms,
Phone: ( ) Fax: ( ) toilet compartments, utility rooms) 6.80
.f., lc - .5 ,- ii_ic15,4, lii t ,'- -4 gb .! Attic/crawlspace fans 10.00
Other: 10.00
Business name: x me ,,/ r ,„„ lje ...rix, Fuel piping
Contact name: ,/-4 e,/--) $5.40 for first four; SLOO for each additional
Furnace, etc.
Address: /339 _r d sy-
Gas heat pump
City/State/ZIP: (,de 92,02 Wall/suspended/unit heater
)
Phone: (03 ) 23,9 _ v Fax: : (03) 37a39 Water heater
Fireplace
E-mail: _ Range
- - , v• - • • -, '.. ■I ,.'..- ...: t...r;, ,. 0-
*O'"tV 0 ; :-.': Barbecue
Clothes dryer (gas)
Business name: W e i a 17 )&//„..q _z7, C. th
Other
Address: / 339 $ E 6 il ±i....
,i, . PERMIT-FEES*
City/State/ZIP: c ?, 0 922... Subtotal
Minimum pemiit fee ($72.50) an
Phone: (3 ) 231_ 9/60 • Fax: (9)3) 2- 739 • /69,
Plan review (25% of permit fee)
CCB lic.: 33/ 3 r State surcharge (8% of permit fee) g . 7 b"
TOTAL PERMIT FEE iig • 06
Authorized signature: ' ad. ,2.17:2,: This permit application expires If a permit is not obtained within 180
days after it has been accepted as complete.
Print name: Zet je A 4. Date: 7/1. 2 I 0 V • Fee methodology set by Tri-County Building Industry Service Board
BBuildingTermits \ MECTermitApp.doc 12/03 440-4617T (11/02/COM/WEB)
CITY OF TIGARD 24 -Hour
BUILDING Inspection Line: (503) 639-41
INSPECTION DIVISION Business Line: 3)-63 MST
BUP
Received Date Re uested / AM PM BUP
Location / ??d c Suite D - S _ a E %
5/-d 1 /
�� -76 S -- Contact Person �
- Ph ( ) y r' PLM
Contractor Ph ( ) SWR
BUILDING Tenant/Owner ELC
Footing
Foundation ELC
Ftg Drain A ccess: ELR
Crawl Drain
Slab Inspection Notes: //� (, _ I j/ SIT
Post & Beam v �.lrc�
Shear Anchors �^ _ : /lei'
Ext Sheath/Shear r _
Int Sheath/Shear �� �. • '�CQ, &j S'1 N - 6 k -
Framing `n
Insulation Et 1— 2_,<) 0 L _ Qp Z�
Drywall Nailing - V _ ��
Firewall
Fire Sprinkler ,, /�
Fire Alarm �1 S T k • ( yc.r� R Ceiling oof c v f V ` S
Roof " 1
Final _
PASS PART FAIL \t - S "D.& PLUMBING •
Post & Beam
Under Slab -
Rough -In
Water Service
Sanitary Sewer
Rain Drains
Catch Basin / Manhole
Storm Drain
•
Shower Pan
•
Other:
Final
P`�'. FAIL
f ►1T.
Post & Beam ?
Rough -In
Gas Line rS , , Dampers iti79 PART FAIL
: CTRICAL
Service
Rough -In
UG/Siab
Low Voltage
Fire Alarm
Final ❑ Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
PASS PART FAIL
SITE ❑ Please call for reinspection RE: 0 Unable to inspect — no access
Fire Supply Line /
ADA Date 1 0 /2-9. ` a ( I nspector \ V l�
Approach/Sidewalk
Other:
Final DO NOT REMOVE this Inspection record from the job site.
PASS PART FAIL