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Permit CITY TIGARD MECHANICAL PERMIT r�^ DEVELOPMENT SERVICES PERMIT #: MEC2006 -00025 s1-!,L -' 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 1/17/2006 PARCEL: 2S101 DA -00102 SITE ADDRESS: 13221 SW 68TH PKWY ZONING: MUE SUBDIVISION: TRIANGLE CORPORATE PARK LOT: 002 JURISDICTION: TIG Project Description: Install new ducts and grilles, (6) VAV boxes and (1) vent fan. Project Value: $15,000 3 f� D 1 LDo 10 — CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS: TYPE OF USE: COM UNIT HEATERS: VENT FANS: 1 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: 6 GAS OUTLETS: > 10000 cfm: Owner: FEES TIGARD TRIANGLE I LLC Description Date Amount 4650 SW MACADAM AVE STE 220 [MECH] Permit Fee 1/12/200E $299.00 PORTLAND, OR 97201 [TAX] 8% State Surchar€ 1/12/200E $23.92 [MECPLN] Plan Rev 1/12/200E $74.75 Phone: Total $397.67 Contractor: BEWLEY MECHANICAL 7911 NE 33RD DR SUITE 250 REQUIRED ITEMS AND REPORTS PORTLAND, OR 97211 Contact #: PRI 503- 626 -8986 FAX 503- 641 -6348 Reg #: LIC 63582 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 thro. • OAR • 101 -0100. You may obtain copies of these rules or direct questions to OUNC by calling 503 - 246 -6699 0 1- 800 -332 -2344. / ' �./ Permittee Signature: sued By: 9 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 the project. Approved plans are required on the job site at the time of each inspection. Mechanics Permit Application k. loll OIL ICE list.: OBI.). / /7 o City Tigard , D Date/By.. , / Permit No.:h' ( � _ p 13125 SW W Received Hall Blvd., Tigard, OR 97223 Plan Review Phone: 503.639.4171 Fax: 503.598.1960 RECE �c;.t i ; ',, Date/By. Other Permit: Inspection Line: 503.639.4175 Jt 14-. r•i i l Date Ready/By: ® See Page 2 for Internet: www.ci.tigard.or.us IAN t t - Notified/Method MI Supplemental Information TYPE OF IMF TIGARD COMMERCIAL FEE* SCHEDULE - USE CHECKLIST ❑ New constructionddition/N'®t1tBfRN Mechanical permit 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: $/4 t�dn) RESIDENTIAL EQULPMENT %SYSTEMS FEES* ❑ 1 - and 2 family dwellingmercial/industrial ❑ Accessory building ❑ Multi - family For special information use checklist. ❑ Master builder ❑ Other: Description 1 Qty. 1 Ea. 1 Total JOB SITE INFORMATION AND LOCATION Heating/cooling Job site address: + 1 Z I C_o4S I Air conditioning or heat pump �� (requires site plan showing placement) 14.00 City /State /ZIP: /� �I e , J di / 7 --6.:z., Fumace 100,000 BTU (ducts/vents) 14.00 Suite/bldg. /apt. no.: ,A.1-,�. - Project name: 14 [it A i , Furnace 100,000+ BTU (ducts/vents) 17.90 `� -�.r�— { I► Gas heat pump • 14.00 Cross street/directions to job site: 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 Subdivision: Lot no.: Flue/vent for any of above 10.00 Other: 10.00 _ Tax map /parcel no.: Other fuel appliances /1 � � DESCRIPTION OF WORK Water heater 10.00 [ Ii � Gas fireplace 10.00 ...710---c- ...710---c- 1`�_ ,_Y o� � ¢ �, / {_ , Flue vent for water heater or gas ��' V 1 J 6 fireplace 10.00 Log lighter (gas) 10.00 Wood/pellet stove 10.00 Wood fireplace/insert 10.00 PROP TY OW I 1 ENANT Other: Chimney/liner/flue/vent 10.00 � \ '� Ot 10.00 Name: 4 )L . Environmental exhaust and ventilation Address: Range hood/other kitchen equipment 10.00 City /State /ZIP: Clothes dryer exhaust 10.00 Single -duct exhaust (bathrooms, Phone: ( ) Fax: ( ) toilet compartments, utility rooms) 6.80 ❑ APPLICANT if CONTACT PERSON • Attic/crawlspace fans 10.00 R �► ` - � � Other: 10.00 • Business name: e. � / e - Fuel piping Contact name: (j ( 55.40 for first four; $1.00 for each additional Address: Furnace, etc. Gas heat pump City /State/ZIP: Wall/suspended/unit heater Phone: (C'�?,) 0-12-(-? r� Sg c, I Fax: :1S:76-3 4 ,1 / -4, 4 r 45 Water heater Fireplace E -mail: Range CONTRACTOR Barbecue Business name: Q i M r _ yes dryer (gas) J �il�> v - . 1/1!5 -1 I 't' ••- Address: / / - i . Ls j 41 ., MECHANICAL PERMIT FEES* City /State/ZIP: - APIN , I / 972._// Subtotal Phone: ,� Fax: -' e Minimum permit fee ($72.50) y C. C7,2,6, 8 �� ` ?. c . 6 !� Plan review (25 %ofpermit fee) CCB tic.: ee g (8 State surcharge (8% of permit fee) TOTAL PERMIT FEE • Authorized signature: Th i s permit application expires if a permit is not obtained within 180 day after it has been accepted as complete. Print name: \( e him ,Iic gai j /� I Date: ! p„. ,.0@ • Fee methodology set by Tri County Building Industry Service Board is\ Building \Pemnits\MEC- PermitApp.doc 12/03 [ 440-4617T(11 /02/COM/WEB) Mechanical Permit Application - City of Tigard Page 2 - Supplemental Information Commercial Fee Schedule:, Total Valuation: Permit Fee: $1.00 to $2,000.00 Minimum fee $72.50 $2,001.00 to $5,000.00 $72.50 for the first $2,000.00 and $2.30 for each additional $100.00 or fraction thereof, to and including $5,000.00. $5,001.00 to $10,000.00 $141.50 for the first $5,000.00 and $1.80 for each additional $100.00 or fraction thereof, to and including $10,000.00. $10,001.00 to $50,000.00 $231.50 for the first $10,000.00 and $1.35 for each additional $100.00 or fraction thereof, to and including $50,000.00. $50,001.00 to $100,000.00 $771.50 for the first $50,000.00 and $1.25 for each additional $100.00 or fraction thereof, to and including $100,000.00. $100,000.01 and up $1,396.50 for the first $100,000.00 and $1.10 for each additional $100.00 or fraction thereof. Note: All new commercial buildings require 2 sets of plans. • i:\ Building \Permits\MEC- PermitApp.doc 12/03 2 CITY OF TIGARD e , BUILDING DIVISION PERMIT #: MC.C�0W 2ft6-Q0't ?'', 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: . 1/ . 170 Phone: (503) 639 -4171 44}11V1 Inspection Requests (24 Hrs.): (503) 639 -4175 -_.. INSPECTION WORKSHEET FOR DATE: 2/27/2006 TIME: 7:01AM PAGE: iI)1 SITE ADDRESS: 1 3221 SW 68TH PKWY CLASS OF WORK: SUBDIVISION: TRIANGLE CORPORATE PARK LOT #: 002 TYPE OF USE: PROJECT NAME: HEALTH NET OF OREGON DESCRIPTION: 3RD FLOOR Install new ducts and grilles, (6) VAV boxes and (1) went fait. Project Value: $16,000 OWNER: -I IGARD TRIANGLE I I..LC, PHONE #: CONTRACTOR: E3EW9 E.Y MECHANICAL PHONE #: 503- 62er 8986 Inspection Request Scheduled For: Date: 2/27/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 699 Mechanical final 027581 ��03 626•x986 N Corrections /Comments/ Instructions: r f r I w i d I I PAW t' ` J FW /`,w - - PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDIT NAL EES ASSESSED - 27 0 Inspector: A 4. Date: Phone #: (503) 718-7/ 18 Z C;/J CITY'•OETIGARD , BUILDING DIVISION PERMIT #: MEC200f;0()076', 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/17/200:? Phone: (503) 639 -4171 /u raoi 41 11 Inspection Requests (24 Hrs.): (503) 639 -4175 I INSPECTION WORKSHEET FOR DATE: 2/1/2006 TIME: 7:02AM PAGE: 37 Bti SITE ADDRESS: 13221 SW 60TH PKWY u�3f-}F-L-44(4R CLASS OF WORK: SUBDIVISION: TRIANGLE CORPORATE PARK LOT #: 002 TYPE OF USE: • PROJECT NAME: HEAI..TH NET DESCRIPTION: Install new ducts and grilles, (6) VAV boxes and (1) vent fan. Project Value: $15,000 OWNER: TIGARD TRIANGLE! LLC, PHONE #: CONTRACTOR: BEWLEY MECHANICAL PHONE #: 603 626.89:36 Inspection Request Scheduled For: Date: 2/1/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 616 Mechanical rough -in 02608'3 -01 503-626.8936 Y Corrections /Comments /Instructions: ' - tt 0 I _ CR -4A--iz. E Lb ❑ PASS PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDIT ON FEES ASSESSED oily Inspector: Date: C Phone #: (503) 718- CITY )PTIGARD • BUILDI DIVISION PERMIT #: iNff:; ` ?(1(';f;.00025 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/11/200., Phone: (503) 639 -4171 i Nr 4 Iy$11� Inspection Requests (24 Hrs.): (503) 639 -4175 `'l L . INSPECTION WORKSHEET FOR DATE: 1/31/2006 TIME: 7:01AM PAGE: 68 SITE ADDRESS: 13221 SW GOTH PKWY 3RD FLOOR CLASS OF WORK: SUBDIVISION: TRIANGLE CORPORATE PARK LOT #: 002 TYPE OF USE: PROJECT NAME: HEALTH NET DESCRIPTION: Install new ducts and grilses, (6) VAV boxes and (1) vent fan. Project Value: $15,000 OWNER: TIGARD TRIANGLE 1 L.LC, PHONE #: CONTRACTOR: E3EWLEY MECHANICAL PHONE #: 503 - 626 -0986 Inspection Request Scheduled For: Date: 1/31/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 615 Mechanical rough -in 025990 -01 • 503-626.8986 Y Corrections /Comments /Instructions: T( P1-1-- M (E.,i-k l' .., hh, _....., , Ai NIIIA A -......„.- . Or 1 1 • Y ❑ PASS ARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL CALL FOR INSPECTION ❑ ADDITI NAL EES ASSESSED p�l Inspector. oilify 1 Date: � ) bc, ,,,,,A4 Ph #: (503) 718 -