Permit a CITY OF TIGARD MECHANICAL PERMIT
° " COMMUNITY DEVELOPMENT PERMIT #: MEC2007 - 00261
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 6/13/2007
PARCEL: 2 S 112 D C -00100
SITE ADDRESS: 15705 SW 72ND AVE ZONING: I -L
SUBDIVISION: OREGON BUSINESS PARK III LOT: 002 JURISDICTION: TIG
PROJECT: NIKE
Project Description: Cooling tower Valuation: $82,000.00
CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS: 1
TYPE OF USE: COM UNIT HEATERS: VENT FANS:
OCCUPANCY GRP: F1 VENTS W/O APPL: VENT SYSTEMS:
STORIES: 1 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
PACIFIC REALTY ASSOCIAT Description Date Amount
15350 SW SEQUOIA PKWY #300
TIGARD, OR 97224 [MECH] Permit Fee 6/13/2007 $1,171.50
[MECPLN] Plan Rev 6/13/2007 $292.88
[TAX] 8% State Surcha 6/13/2007 $93.72
Phone:
Total $1,558.10
Contractor:
APOLLO SHEET METAL INC
2300 SW 1ST AVE #104
PORTLAND, OR 97201 REQUIRED ITEMS AND REPORTS
Contact #: PRI 503- 222 -6343
FAX 503- 222 -2935
Reg #: LIC 56241
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 . ' ca ion : liter. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain copies of these
rule or direct question o OUNC by calling 503.246.6699 or 1.800.332.2344.
sued By: A A / Permittee Signature:
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 t • roject.
Approved plans are required on the job site at the time of each inspectio . .
(5 7Q �St 7Z
Mechanical Permit Application FOR OFFICE USE ONLY
City of Tigard RECthV' t Permit No.:AA/-
• 131 SW Hal Blvd., Tigard, OR 97223 ��`� So7 / /'[F� � a 02101 C Phone: 503.639.4171 Fax: 503.598.1960 �/ Plan Re vi e f' — ���
MQ I — 200 D �� Ot Permit:
T I G A R D Inspection Line: 503.639.4175 Date Read /By: Jur :
Internet: www.tigard or.gov C%TY OF TIGAR I G AR 1 } o ,/ 0 See Page 2 for
N tified/Methd: 7 Q 7 / / Supplemental Information
BUILDING DIVIS1 + P� —. f.
TYPE OF WORK CO RCIAL FEE* SCHEDULE — USE CHECKLIST
❑ New construction tther: ddition/alteration/replacement Mechanical permit fees• are based on the value of the work
performed. Indicate the value (rounded to the nearest dollar) of all
❑ Demolition mechanical materials, equipment, labor . , , , :.roftt.
CATEGORY OF CONSTRUCTION Value: .V • " ° v
RESIDENTIAL EQUIP 1 a • SYSTEMS FEES*
❑ 1- and 2- family dwelling 'ommercial /industrial ❑ Accessory building
For special information use checklist.
❑ Multi- family Master builder ❑ Other: Description I Qty. I Ea. I Total
JOB SITE INFORMATION AND LOCATION Heating/cooling
70 C S � 71 �1✓ t rr-
Air conditioning o heat pump
Job site address:
S 7 �✓ (requires site plan showing placement) 14.00
City/ State/ZIP: 17 Aitit,yJ j y q 7 2.2- I Fumace 100,000 BTU (ducWvents) 14.00
i V f Furnace 1 00,000+ BTU ( ducts/vents) 17.90
Suite/bldg. /apt. no.: I Project name: / U o t.f '
G as heat pump 14.00
Cross street/directions to job site: Attll tieaL Duct work 1 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: 0,00 1 1 10.00
Tax map /parcel no.: Other fuel appliances
DESCRIPTION OF WORK Water heater 10.00
— Gas fireplace 10.00
Cols L / A16 r 3 ulf 02 Flue vent for water heater or gas
fireplace 10.00
Log lighter (gas) 10.00
Wood/pellet stove 10.00
Wood fireplace/insert 10.00
❑ PROPERTY OWNER , ❑ CANT Chimney/liner /flue/vent 10.00
Other: 10.00
Name: 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
cg APPLICANT Er..CONTACT PERSON Attic /crawlspace fans 10.00
Other _ 10.00
, IOJl
Business name: Oc 0 cr.„ eff..a/ ( Fuel piping
Contact name: A_yam E� $5.40 for first four; $1.00 for each additional
Address: 3 0-0 6 ' ( k. (3 i i- S 1 44 .i. /C4 Furnace, etc.
Gas heat pump
, 4
City /State/ZIP: POR:7 VD Of„ ! Q 1 Z) / WalUsuspended/unit heater
Phone: (, L`Z- &, ;(f 4 Fax: : (,Z li� 7) zo Water heater
(� / Fireplace
E -mail: , g � /41 . �V1 #1 • e-O Range
c
CONTRACTOR Barbecue
Clothes dryer (gas)
Business name: A pp L(�D N�'�'� Mti "ti
- Other:
Address: MECHANICAL PERMIT FEES*
City/State /Z1PA • Subtotal _
hone: *pl/J:vt Fa ( ) Minimum permit fee ($72.50)
Plan review (25% of permit fee)
CCB lic.: State su rcharge (8% of permit fee)
��`� j TOTAL PERMIT FEE 55 ' 0 Authorized signs � Th per mit application expires if a permit is not obtain within 180
i days after it has been accepted as complete.
EMENM r Date: Awn • Fee methodology set by Tri- County Building Industry Service Board
I:\ Building \Permits\MEC- PennitApp.doc 04 /06/06 440.46171(II /OIJCOM/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\Permit \MEC- PermitApp.doc 12/30/05 2
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MEC2007 -00261
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/13/2007
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639 -4175 1L.
INSPECTION WORKSHEET FOR DATE: 7/26/2007 TIME: 7:03AM PAGE: 1
SITE ADDRESS: 15705 SW 72ND AVE CLASS OF WORK:
SUBDIVISION: OREGON BUSINESS PARK III LOT #: 002 TYPE OF USE:
PROJECT NAME: NIKE
DESCRIPTION: Cooling tower Valuation: $82,000.00
OWNER: PACIFIC REALTY ASSOCIAT, PHONE #:
CONTRACTOR: APOLLO SHEET METAL INC PHONE #: 503-222 -6343
Inspection Request Scheduled For: Date: 7/26/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 052828 -01 503-545 -0337 N
Corrections /Comments /Instructions:
41"
PASS 4 "ARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL IN f ALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
i Y Inspector: �+ Date: Z6 7/
Phone #: (503) 718- �- �y