Permit r
CITY OF TIGARD
MECHANICAL PERMIT
° COMMUNITY DEVELOPMENT PERMIT #: MEC2007 -00532
TIGARD DATE ISSUED: 3/11/2008
13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 1S136DC-04400
SITE ADDRESS: 11945 SW 70TH AVE ZONING: C -
SUBDIVISION: DARTMOUTH SQUARE LOT: 030 JURISDICTION: TIG
PROJECT: DARTMOUTH SQUARE
Project Description: New HVAC system (1) rooftop unit, VAV boxes and ductwork. $185,000
CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS:
TYPE OF USE: COM UNIT HEATERS: VENT FANS: 9
OCCUPANCY GRP: B VENTS W/O APPL: VENT SYSTEMS:
STORIES: 3 BOILERS /COMPRESSORS HOODS:
FUEL TYPES 0 - 3 HP: DOMES. INCIN:
NAT 3 - 15 HP: COMML. INCIN:
MAX INPUT: BTU 15 - 30 HP:
FIRE DAMPERS ?: 30 - 50 HP: REPAIR UNITS:
GAS PRESSURE: 50 + HP: 1 WOODSTOVES:
FURN < 100K BTU: AIR HANDLING UNITS CLO DRYERS:
FURN > =100K BTU: <= 10000 cfm: OTHER UNITS: 7
> 10000 cfm:
GAS OUTLETS:
Owner: FEES
POLLOCK, DONALD E Description Date Amount
1834 SW 58TH #202
PORTLAND, OR 97221 [MECH] Permit Fee 2/4/2008 $2,331.50
[MECPLN] Plan Rev 2/4/2008 $582.88
[TAX] 8% State Surcharg 2/4/2008 $186.52
Phone: Total $3,100.90
Contractor:
AMERICAN HEATING INC
1339 SE GIDEON ST
PORTLAND, OR 97202 REQUIRED ITEMS AND REPORTS
Contact #: PRI 503- 239 -4600
FAX 503 -239 -7038
Reg #: LIC 33135
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes and all other applicable laws.
All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is
suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted in the Oregon Utility Notification Center.
Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain copies of these rules or direct questions to OU NC by
calling 503.246.6699 or 1.800.332.2344.
Issue, By: Permittee Signa ` � /i � � // Lem -
Call 503.639.4175 by 7:00 a.m for inspections that bu : mess • ay.
This permit card shall be kept in a conspicuous place on the job sit • ntil completion of the project.
Approved plans are required on the job site at the time of each inspection.
.ARP - `eR1bvZTf i) t - 6 CO -Te:5 -' ec., - z- .
r: ; . - FOR OFFICE use ONLY
Mechanical iitrnt Ai". .•' - ���
C ity of Tigard Received 0 ��� Permit No.: ■ - / "1 - t�_
13125 SW Hall Blvd., Tigard, OR 97223 SE P ®6 2001 Plan Review l 2 I r a s Other Permit:
0; �
Phone: 503.639.4171 Fax: 503.598.1960 La ry ;11. .. , 1 Date/By: l
'+ fe�.,a ' �
Inspection Line: 503.639.4175 CITYOF n - ",- , • Date ReadyBy:
Internet: www.ci.tigard.or.us BUILDiNG D c . '; " ..v H See Page 2 for
NotifReadythod: Juris: 6 Supplemental Information
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, 4 -IFr ,.j, r'. r a' :, f�,.,. k$i .3r,- .,. ?5i�a5' d.Y_A)•t M
""�•_� Mechanical permit fees• are based on the value of the work
Iew construction ❑ Addition/alteration/replacement performed. Indicate the value (rounded to the nearest dollar) of all
❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, end profit.
Value: $ / 85r po O
��� I; f2 .n - .,ig_, 'n� *ar f } t 1ikt, Ai �. s
ks `� a 4 . ` T i , ; . . ) � • u ,� d 1 j +1 odd / s >...,., , ES Elg ` gi NT / S S E 1rf 5 FEES*
❑ 1 - and 2 - family dwelling Commercial /industrial ❑ Accessory building For special information use checklia.
❑ Multi - family ❑' Masterbuilder ❑ Other: Description Qtr• Total
,� ❑,� m r�r.. r •�-, � acv } t vYi .,t • • �i' `1 7 krr.1 �".�-
1Nj� r" r1 ' . � s� ,�� , { a, ;;�^�, iv ry 1, _ Heating/cooling
f + r �C. ' g U )', 11 ` V•'t'lt f 51 1'` U � 16! � fJ� ', to :' n l
r �. , +., � � � Air conditioning or heat pump
/ / ` .S I n/ �70 A v e n V e ( requ i r es site plan showing placement) 14.00
Job site address:
p 7 2 2 3 Fumace 100,000 BTU (ducts/vents) 14.00
City/StateJZIP: rj G e� �Z l Fumace 100,000+ BTU (ducts/vents) 17.90
Suite/bldg. /apt. no.: v 1 Project name: pA r MOv f i► .St Gas heat pump 14.00 .
Duct work 14.00
Cross street/directions to job site: Hydronic hot water system 14.00
Residential boiler (radiator or 14,00
hydronic)
Unit heaters (fuel -type, not electric), 10,00
in -wall, in -duct, suspended, etc.
Flue/vent for any of above 10.00
Subdivision: I Lot no.: Other: 10.00
Tax map /parcel no Other fuel appllances
�". 1 0.00
L� e ,' �u ,l� rla ' Llin wsry etii 1 ",L`, vY ;tfiv_ + ,k � ,y.`y. d ri� ri a 1J +'"`i �r'S'"�r Water. heater 1
Fy, Rrlir i ,' ra )ra } � IE 'vt. . ,fta f' n ,1,i�b t `21 ,,* - 1 1 , ".0 , �j„a il," .. � L', 1 Il 216i :t! a ilL - . r1E � , 10.00
Fr41r�.i . +:� 1f d�, 3 •E_• � v / r�.L..�,.:..�.,�:..�.1ir Ges fireplace
N ew / / V /- C 5 S i Kh / - / T v . - Flue vent for water heater or gas 10.00
q` I fireplace
V!7 V b0 xC S Gf r+C (Jt ;� LI/ d - Log lighter (gas) 10.00
Wood/pellet stove 10.00
Wood fireplace/insert 10.00
�`' �� ��' , '
Chimney /liner Qthe /flue vent 10.00
cn.,� � .` 4 .,. h.w , 'A` I : D d " r'� 1f. l v , �� �� ' e ` t d a mash 4 + tt( MOO
' Snel l f�V Y� tS�tnl' 0 6t I i t T I I ��i .t, 4. ,�, f P Ails fi +.{a;. r:
WA
�.d'� +y,t.4,,_,:.�.. + .>7e,Ars�ar?.r � �.e >� • sa...� r. ,a5� . � r,� tm :i -m1 X'>ni.>sa`a}.�
Name: Environmental exhaustand ventilation
Range hood /other 1::tchc' t 7 10.00
Address: - equipment
Clothes dryer exhaust 10.00
City/StatelZIP: - Single -duct exhaust (bathrooms,
Phone ( ) Pax
( ) toilet compartments, utility rooms) 6.80
10.00
��f y! Ep (� � r"" ^ &,� ' Attic %rawlspace fans
�ri F'�yf'a�� i tt"' 1 .Tf 4 f,13,, t:A, t 1� gt ll', . jl,I1V'j } tlti �Ft� b b� U is ii.tur " F,,
( ° / "1 a /���L1 \ .tt t �� pp� a� a r,... xa�c,TlaYa 5 t Other: 10.00
P, .I�.fi4:,5:1;lci,d�a' xl�.rciZ_�' i_.Y�.Z.4i��h,.'.�,W'.auYri. _.+� a:_:✓.Ln. � a-'.k,
Business name: I mQ(, c. i..n / � , T_ nr. - Fuel piping
/, drat four; $1.00 for each additional
Contact name: �e h M G /� Furnace, etc. J
Address: `3�q SE 6 ( A earl Y $5.40 for Gas ace, et mp
City/State/ZIP: 'Q (.4.-( a Q .( P cr) - f . - Wall/suspended /unit heater
- ��y Water heater
Phone: ) � 1_ 4(e0a Fax:: ( ) 1-70�) b Fire P lace -
E-mail pp Range
r si i r i r a �,,+ �'" Syy 1cxE7E S s"g� :f i l:jt +t 'h 1 .1 > F .. ��. 713k f 1 .' �y 1 1 hh'th Barbecue
t l XI vATII tT ai h Ft�p f�0�S�11hl��tlz, /' � ri e i.,ti � , c,a..i � I a
1,1Iik:._i lkklliltitiai' 1h 1?`eJ :0 � , Y .2t n i�U..fe: -, :sxd f2IL ii . i ,A:ali -ti.z r g d....�1iiitiEe Clothes dryer (gas)
Business name: • it 1 y / + ( ' I % I �t 1 Other: ,: .
1 l) It [� 1 t I f. + i - �, fH,z t ae! -te c�?niid lmalc'..'::,:. ..
Address: (� �, ( (�r-� Sutoa
btl
City/State/ZIP: �o E:UDI U( " 1 Minimum permit fee ($72 X/ 331•
b () ( Fax: ( a 1, 0 3 D P re view (25 °/a of permit fce) 5 R . $ i
Phone: �(p) a .�
�2 1 --,� State surcharge (8% of permit fee) 1 1 B • 5 P'
CCB lic.: J TOTAL PERMIT FEE I tCL' -
�� This permit application expires tf a permit la ant lete wltbin 180
Authorized signature: days after It has been accepted as com lets.
v / Fee methodology set by Tri- County Building Ind Servr
I Print name: { i rA. /a -I" , a 0 r 4 TO I Date: 9 ^ to - U 7 ] 4(
•
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MEC2007- 00532
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/11/2000
Phone: (503) 639-4171 , i ° I
Inspection Requests (24 Hrs.): (503) 639 -4175 "' ..
INSPECTION WORKSHEET FOR DATE: 11/6/2008 TIME: 7:OOAm PAGE: 55
SITE ADDRESS: 11945 SW 70TH AVE CLASS OF WORK:
SUBDIVISION: DARTMOUTH SQUARE LOT #: 030 TYPE OF USE:
PROJECT NAME: DARTMOUTH SQUARE
DESCRIPTION: New I system (1) rooftop unit, VAV boxes and ductwork. $185,000
OWNER: POLLOCK, DONALD E, PHONE #:
CONTRACTOR: AMERICAN HEATING INC PHONE #: 503- 239.4600
Inspection Request Scheduled For: Date: 11/6/2008 Pour Time:
I. Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 077654 -01 503 -572-4989 N
Corrections /Comments /Instructions: }
,i 6 51e . I % i, /.. 2 =lIC
AY 1/ i
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
< r P hone Ins ector: Date. #: (503) P /
, ,
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MEC2007 -00532
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/11/20013
Phone: (503) 639 -4171 : 1 1 ,1i / tit■ Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 6/16/2008 TIME: 7:00AM PAGE: 40
SITE ADDRESS: 11945 SW 70TH AVE CLASS OF WORK:
SUBDIVISION: DARTMOUTH SQUARE LOT #: 030 TYPE OF USE:
PROJECT NAME: DARTMOUTH SQUARE
DESCRIPTION: New HVAC system roofto, unit AV�boxes a=nti duciwor,. $185,000
OWNER: POLLOCK, DONALD E, PHONE #:
CONTRACTOR: AMERICAN HEATING INC PHONE #: 503. 239.4600
Inspection Request Scheduled For: Date: 6/16/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
615 Mechanical rough -in 071392 -01 503.619 -9347 N
Corr t=ons /Comm is /Instru lions: a_,A,c-Iscisf,„
lu -e / _
AV/62 —,---,,:1--pa-7-<5 c;-ria-e-ef - A) J2. ckl-1-€--
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g i 1 . — 6
ill,„,„,„ ,„,„ t, .rdi .i. -- t_ /
ilil
ma .. ,�■ 4I.il∎ J 0 /
,, , /
A / -e 3 L-e -P.l ` . •7
❑ PASS `Q 'O aZTIAL APPROVAL El CANCEL ❑ NO ACCESS
❑ FAIL v ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: 1 Phone #: (503) 718 --2L/24
CITY OF TIGARD ,
BUILDING DIVISION '' PERMIT #: MEC2007 -00632
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/11/2008
Phone: (503) 639 -4171 a,i
Inspection Requests (24 Hrs.): (503) 639 -4175 -NI- 1L.
INSPECTION WORKSHEET FOR DATE: 6/16/2008 TIME: 7 :00AM PAGE: 3
SITE ADDRESS: 11945 SW 70TH AVE CLASS OF WORK:
SUBDIVISION: DARTMOUTH SQUARE LOT #: 030 TYPE OF USE:
PROJECT NAME: DARTMOUTH SQUARE
DESCRIPTION: New HVAC system 1 (4) r n op unit VW kes and duKw`a . $185,000
OWNER: POLLOCK, DONALD E, PHONE #:
CONTRACTOR: AMERICAN HEATING INC PHONE #: 503-239-4600
Inspection Request Scheduled For: Date: 6/ a Pour Time:
Code # Inspection Description Confirm # Contact # Message
610 Gas line 071426-01 603- 519 -6340 N
Corrections /Comments/ structio .:
I • 4#
y`
R. -ASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
2 .X1 Inspector: 1 �� -----'" Date: 0 A Phone #: (503) 718 -
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MEC2007- 00532
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/11/2008
Phone: (503) 639- 4171u�'�I 1�
Inspection Requests (24 Hrs.): (503) 639 -4175 . -. ��
INSPECTION WORKSHEET FOR DATE: 4/18/2008 TIME: 7:01AM PAGE: 24
SITE ADDRESS: 11915 SW 70TH AVE CLASS OF WORK:
SUBDIVISION: DARTMOUTH SQUARE LOT #: 030 TYPE OF USE:
PROJECT NAME: DARTMOUTH SQUARE
DESCRIPTION: New HVAC system (1) rooftop unit, VAV boxes and ductwork. $185,000
OWNER: POLLOCK, DONALD E, PHONE #:
CONTRACTOR: AMERICAN HEATING INC PHONE #: 503 -239 -4600
Inspection Request Scheduled For: Date: 4/18/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
610 (3as line 068563 -01 503.519 -6340 N
Corrections /Comments /Instructions: 3-e)--/v"
Zy >
( Eas - .a",,f )
PASS 111 PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
or: 1 `A Date:_t (tf r� � ^/ Phone #: (503) 718? -1/4 Zjr
Inspector: / ( )
CITY OF TIGARD (
BUILDING DIVISION .--
PERMIT #: MEC2007 -00532
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 31/1 /2000
Phone: (503) 639 -4171 - v�� i
i � l
Inspection Requests (24 Hrs.): (503) 639-4175 1.L
INSPECTION WORKSHEET FOR DATE: 3/17J2008 TIME: 7:00AM PAGE: 44
SITE ADDRESS: 11945 SW 70TH AVE CLASS OF WORK:
SUBDIVISION: [)ART - MOUTH SQUARE LOT #: 030 TYPE OF USE:
PROJECT NAME: DARTMOUTH SQUARE
DESCRIPTION: New HVAC system (1) rooftop unit, VAV boxes and ductwork. $185,000
OWNER: POLLOCK, DONALD E, PHONE #:
CONTRACTOR: AMERICAN HEATING INC PHONE #: 503-238.4600
Inspection Request Scheduled For: Date: 3/17/20013 Pour Time:
Code # Inspection Description Confirm # Contact # Message
615 Mechanical rough -in 066553 -01 503 - 519 -6340 N
•
Corrections/Comments/Instructions: eliov
J 1 - 6-
un c"-A 0-ez d (12_,..0S•f- "L3,1 -41,.. 4 .
4 /- 2: C c — - et
-A-:
D 4,....._ ,,,„/,______
i ,)-/-, 5k-74...LA CL4_,,, .ef---
V•
❑ PASS PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
•
❑ FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
7 /)` ( 4--■ — •
Inspector: Date: Phone #: (503) 718-