Permit 1
511 n -4 T ITY OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT PERMIT #: MEC2007 -00119
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 2/23/2007
PARCEL: 2S 101 AA 09100C
SITE ADDRESS: 12447 SW 69TH AVE ZONING: MUE
SUBDIVISION: TIGARD CORPORATE CENTER LOT: OOC JURISDICTION: TIG
PROJECT: HOUSEHOLD FINANCE
Project Description: Connect (1) existing sa grd to int. zone, relocate (1) sa grd, install (1) ra grd w /boot. Valuation: $550.
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
HOUSEHOLD CREDIT SERVICES Description Date Amount
12447 SW 69TH AVE
TIGARD, OR 97223 [MECH] Permit Fee 2/23/2007 $72.50
[TAX] 8% State Surcha 2/23/2007 $5.80
Total $78.30
Phone: 503- 686 -2038
Contractor:
ALLIANT SYSTEMS LLC
1600 NW 167TH PL, STE 330
BEAVERTON, OR 97006 REQUIRED ITEMS AND REPORTS
Contact #: PRI 503- 230 -8991
FAX 503 - 230 -9238
Reg #: LIC 153420
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: � j j f Permittee Signature: _Le -P, Qt O
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.
02/23/2007 00:42 5032309238 ALLIANT SYST PAGE 01/04
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Mechanical firnait Application
Received ^ -- 0 7 � `/ ' _ Permit No.. /4 06l
City of Tigard -, p l'.'" - ; Received (f I . '-
q 13125 SW Hall Blvd, Tigard, OR 97227 Plan Rcvi Other Permit
Phone: 503.639,4171 Fax: 503.598.1960 • ' ,- i roate/By.
Dore Re ady/By: huffs: B See Page 2 for •
r 1 (.. n I: n lm line: 503.639 - 4175 Sappkatmtal lnfnrmatioe
I nternet www,tigard- or.gov No tified/Method:
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::;:;; ,•, • ,. "��, �, u. r.• , :r „ ' r • `° Mechanical petntit fee, are based on the value of the work
0 New constructiOn Addition /alteration /replacement performed. Indicate the value (rounded to the nearest dollar) of all
El Demolition ❑
Other: a ntral materials, Value: $ I overhead, im profit.
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ID 1- and 2- family dwelling Commercial /industrial El Accessory building . For special trrformation use checklist.
❑ Multi - family ❑ . 0 Other: De scription Qty J ,a. 5 Total
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;,,: a „ 'd'i ii:Y "1 ^I! ` builder �1�IaU1Vl , �;gly,46iii ,;i�t 1leathP/v.vr hn �
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otlifal(� {I ,;U ,.. �' !! � ,,.,,.. : ,)I��.��Ii)�' ?I!!1�!,Vi(YVA+�,' {71`I , >1.f., �:� ,o AIr conditioning pump
c •.
• ..: moving or heat P
requires Job site address: .qL7 *14, K r F� S ir con i t Plan or h eB Placement) _ 14.00
n f* Furnace 100,000 BTU�ducts/vente) 14.00
City /StateJZ1P 1 I a0'�' �•/ Furnace 100,000+BTU (ducte•veflt 17.90
Suite/bldg./apt. no.: I Project name: 14W ''' C . G - I `_0 Gas heat pump 14.00
Duct work 14.00
— Cross street/directions to job Site: H dronic hat water 14'00
•
Residential boiler (radiator or I4 00
hydronic)
Unit heaters (fuel -type, not electric),
— in -wall in -duct, suspcnde etc, 10.00
- Flue/vent fur any of abovc , 10.00 •.r."--••" Subdivision: (Lot no -: Other: 10.00
Tax map/parcel no.: reel appliances l am— 10.00
f heater
- % � : , k ^c . , . 7,....,,, ) ;: c,j : „ i %i ?_( •dt-,.,;, .1 , 10.00
Other
prl , hfl ta l'' : �r {:; ' � �J1E�'�11f� „ • s Ga fireplace
`L IY 11 ( 0t/ y.` �k 6 i tr. . Flue vent for water heater or gas t 0.00
rV St' fireplace
1_,... g l,ghtcr1Pds) 10.00
l �� J' / t \ ' 0 104 V,/ 13 0 7 Wood llet stove 10.00
• r[Ya' l J Wood fireplae-e/mscrt 10.00
Chimney/liner /flue/vent 10,00
,y,���y.�s - .; � .I
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,�r:' .,;. ;,;F 10.00
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.!,. '; i5!IL9114t,G�d{!'.•ii _ 1 %i:., :'�!:: :: "' other' • Name: Environmental exhaust and ventilation
Range hood /other lutchan
Address: equipment _ 10.00
Clothes dryer exhaust 10.00
City /Statr./Z1P: Single -duct exhaust (bathrooms, .
ty rooms) 6.80
Phone: ( _ o ; l , raW pace fans _ 10.00
,,,,,. ; 1'Plli' .` ". dl _,_��,{��...:..;, :;,'ji! •!!j,
}j? f�, :,"�{7 /. �i;:, _ 10.00
: (ii!iii : sj <tlil'i!. .Lp ; ! °1W � .. , � :1 t� i a,- , (� �o...ar ., Other: � r
Business name: T r" t , Fuel elpint;
- $5.40 for first four; S1.00 for each additional
Contact name: j � y µ � ! � ' a 1'�W �� �T r �j� Furnace etc.
Addre�: l iLV V ` � G•as heat .0 r
pendcd/unit heater
City /State/ZIP: o Q Wall /su _ Water heater
Phone: l ax :: `!Y 7) i n V Q� Fi lace
E-mail: ):;
-marl: _
� � iia !i; ry v:; , ::1'i ;, %e " °: ;! t;! 2pi:1 '!rli'i,j };�,:,1., Barbecue
' ! , y ::., 4i , ; I!;1 "i:f t`' .?tii'si '.; , . , a ` . ` ii i;4 5 , r . +a' . ' i , '. j 1Y �:asi: ' , :,..i' j i;rr. , ii •:. ,.,.,• ... , ,i iw. fathead Cr (gas)
Business name: Otttcr dryer
r::, , b • ;S!1)IIflBI9i� Rt!lih;i!Itl'•(;�� '. I �ii`,�i � �i1t1 ;ti i;l:'1lil:!t4( ^!r; ?(�
Address: ta1 Subto
City /Stnte/'LIP: - Minimum permit fcc ($72.50)
Phone: ( ) I Fax. ( ) Plan review (25% of permit fcc)
CCB ]ic.:
10141/0 - . State surcharge (8% of permit .fee) _
TOTAL PERMIT FEE '7�•3 0
l , This permi epplleatioe mph= it a permit is not obmi ed within 180
Authorized signature: ,�1YA- daps niter It bac been accepted es complete.
V /J " Dale: PP f • Fee methodology set by Tri- County Building industry Service Board
Print name:
f :lBuldinptl'amitsWl6C- PamitADp.
dnc 04/O8R1s 44 IT1 (11/07JC(1M/WER)
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MEC2007 -00119
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 2723/2007
Phone: (503) 639 -4171 4 4,11,
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 2/27/2007 TIME: 7:01AM PAGE: 56
SITE ADDRESS: 12447 SW 69TH AVE CLASS OF WORK:
SUBDIVISION: TIGARD CORPORATE CENTER LOT #: 00C TYPE OF USE:
PROJECT NAME: HOUSEHOLD FINANCE
DESCRIPTION: Connect (1) existing sa grd to int. zone, relocate (1) sa grd, install (1) ra grd w /boot. Valuation: $550.
OWNER: HOUSEHOLD CREDIT SERVICES, PHONE #: 503 -586- 2038
CONTRACTOR: ALLIANT SYSTEMS LLC PHONE #: 503 - 230-8991
Inspection Request Scheduled For: Date: 2/27/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 043962 -01 971 - 563 -3371 N
Corrections /Comments / Instructions:
N -ASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: 2 — A7/ 0 Phone #: (503) 718