Permit j k CITY OF TIGARD MECHANICAL PERMIT
DEVELOPMENT SERVICES PERMIT #: MEC2006 -10047
� DATE ISSUED: 3/28/2006
13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 2S101 DD -00703
SITE ADDRESS: 13970 SW 72ND AVE ZONING: I -L
SUBDIVISION: SALEM FREEWAY SUBDIVISION LOT: JURISDICTION: TIG
Project Description: New a/c unit is server room. Project Value: $1,560
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: 1 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:
Owner: FEES
NEW TECH ELECTRIC Description Date Amount
13970 SW 72ND AVE [MECH] Permit Fee 4/6/2006 $72.50
TIGARD, OR 97223 [TAX] 8% State Surchar€ 4/6/2006 $5.80
Total $78.30
Phone: 503 648 - 1900
Contractor:
AMERICAN HEATING INC
1339 SE GIDEON ST, STE. 1 REQUIRED ITEMS AND REPORTS
PORTLAND, OR 97202
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 B . • Permittee Signatu
Call 503 - 639 -4175 by 7:00 a.m. for inspections that busi s 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.
Mechanical Permit Application , i c)lc (Friel: rsl.: (1:.x.1
City of Tigard ' �� '� E® 2.6 6 , em PennitNo.: fife a Acc, - /0 13125 SW Hall Blvd., Tigard, OR 94 Plan Review
Phone: 503.639.4171 Fax: 503.59 . i pen,r ,� y ; ,,� Date/By: Other Permit
Inspection Line: 503.639.4175 "' � 39.4175 �� , Ic 20 Date Ready/By: ® Se e Pa r
- , e 2 for
Internet: www.ci.ti gard onus Notified/Method: Supplemental Information
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❑ �i ON COMMERCIAL FEE' SCHEDULE - USE CHECKLIST
L�1N
New construction 1,D1Nalteration/replacement 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: $ 1,560.00
❑ 1 - and 2 family dwelling ® Commercial/industrial ❑ Accessory building RESIDENTIAL EQUIPMENT !SYSTEMS FEES"
For special information use checklist.
❑ Multi - family ❑ Master builder ❑ Other: Description I Qty. I Ea. I Total
JOB SITE INFORMATION AND LOCATION Heat/cooling
illi Job site address: 13970 SW 72 AVENUE
Air conditioning or heat pump
(requires site plan showing placement) 14.00
City /State/ZIP: TIGARS, OR 97224 Furnace 100,000 BTU (ducts/vents) 14.00
Furnace 100,000+ BTU (ducts/vents) 17.90
1
Suite/bldg. /apt. no.: Project name: NEW TECH ELEC 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
DESCRIPTION OF WORK Water heater 10.00
INSTALL CUSTOMER SUPPLIED AIR CONDITIONING UNIT FOR THE SERVER Gas fireplace 10.00
ROOM. Flue vent for water heater or gas
fireplace 10.00
I Log lighter (gas) 10.00
Wood/pellet stove 10.00
■ Wood fireplace /insert 10.00
• Chimney/liner /flue/vent 10.00
❑ PROPERTY OWNER I ® TENANT Other: 10.00
S NEW TECH ELECTRIC Environmental exhaust and ventilation
Range hood/other kitchen
• Address: 13970 SW 72 AVENUE equipment 10.00
City/State/ZIP: TIGARD, OR 97224 Clothes dryer exhaust 10.00
Single -duct exhaust (bathrooms,
Phone: (503)648 -1900 Fax: (503)648 -3131 toilet compartments, utility rooms) 6.80
0 APPLICANT ® CONTACT PERSON
Attic/crawlspace fans 10.00
Other: 10.00
Business name: Fuel piping
Contact name: ROBERT J. SMITH $5.40 for first four; 51.00 for each additional
Furnace, etc.
Address: Gas heat pump
City/State/ZIP: Wall/suspendedhmit heater
Water heater
Phone: ( ) Fax: : ( ) Fireplace
sl E -mail: Range
Flo CONTRACTOR Barbecue
„ Clothes dryer (gas)
Business name: AMERICAN HEATING, INC. Other:
Address: 1339 SE GIDEON STREET MECHANICAL PERMIT FEES*
City/State/ZIP: PORTLAND, OR 97202 Subtotal 0 j --
Minimum permit fee ($72.50)
Phone: (503) 239 - 4600 Fax: (503) 239 -7038 Plan review (25% of permit fee)
CCB lic.: 33135 State surcharge (8% of permit fee) 5.5V
TOTAL PERMIT FEE 7u. 't
ciA T his permit application expires if a permit is not obtained within 180
Authorized signature: . days after it has been accepted as complete.
i
CITY OF TIGARD - BUILDING DIVISION PERMIT #:��C-,� -0o f - f OO47 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 49 Phone: (503) 639- 4171 �f1l1
Inspection Requests (24 Hrs.): (503) 639 -4175 `
INSPECTION WORKSHEET FOR DATE: . " '6 TIME: L P y PAGE:
SITE ADDRESS: / 3Ci70 7 ?' At CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE: .
PROJECT NAME:
DESCRIPTION: Q
OWNER: PHONE # � � J O I — . 2 - 5 - 9 7 7
CONTRACTOR: (PIT PHONE #:
Inspection Request Scheduled For: Date: q 3 — CC , Pour Time:
Code # Inspection Description Confirm # Contact # Message
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Coecons /Comments /Instructions:
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PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
[I] FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: VCN Cr Date: 4 / Phone #: (503) 718- V4 .14
CITY OF TIGARD `1 ' At*
BUILDING DIVISION PERMIT #:M.e_G,9 -006 1O04F
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED:
Phone: (503) 639-4171 110A11,11, 4. 9 Inspection Requests (24 Hrs.): (503) 639 -4175 :4 "':L
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INSPECTION WORKSHEET FOR DATE: -' "TIME: L P _ PAGE:
SITE ADDRESS: 3Ci70 7.7' Ave- CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME:
DESCRIPTION:
OWNER: / PHONE #(?) 9o2 -BT 5 17
CONTRACTOR: C4 PHONE C
Inspection Request Scheduled For: Date: `4 - 3 — 0 c7 Pour Time:
Code # Inspection Description Confirm # Contact # Message
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CYrec /Comments/ Instructions:
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PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: 1 v CA Da ` Phone #: (503) 718- 21/4 .14