Permit CITY OF TIGARD , MECHANICAL PERMIT
ti I . COMMUNITY DEVELOPMENT Permit #: MEC2009 00151
T.I G.A 13125 SW Hall Blvd., Tigard OR 97223 503 639 4171 Date Issued: 04/09/2009
Parcel. 2S 113 BA00400
Jurisdiction: Tigard
Site address: 7632 SW DURHAM RD 200
Subdivision: Lot: 0
Project: Allstate Insurance
Project Description: TI. Relocate grilles, add new duct work and grilles.
Owner: FEES
BEHRINGER HARVARD WESTERN Description Date Amount
PORTFOLIO LP, BY EASLEY MCCALEB & Permit Fee 04/09/2009 $218 90
ASSOCIATES I, PO BOX 190700 12% State Surcharge 04/09/2009 $26 27
PHONE:
Contractor:
AMERICAN HEATING INC
1339 SE GIDEON ST
PORTLAND, OR 97202
PHONE 503 - 239 -4600
FAX. 503- 239 -7038
Type of Use: COM
Class of Work: ALT Type of Const:
Occupancy Grp: Occupancy Load:
Stories:
Fuel Air Handlers
Fuel Types Units < 10000 cfm
Gas Pressue Units > 10000 cfm
Furnaces Boilers & Compressors
Furnaces < 100K BTU 0 -3 HP
Furnaces >= 100K BTU. 3 -15 HP
Floor Furnaces 15 -30 HP
Unit Heaters 30 -50 HP.
Vents w/o Appliances 50 or Greater HP
Air Conditioning
Heat Pump:
Appliances
Vent Fans: Vent Systems Total $245 17
Hoods Comm Incinerators
Required Items and Reports (Conditions)
Woodstoves Gas Fireplaces:
Clothes Dryers: Other Mech Units.
Gas Outlets Other Desc
Duct Work
Fire /Smoke Dampers
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. 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 the 180 days ATTENTION Oregon law requires you to follow the rules adopted by the Oregon
Utility No1i i "fcatioo enter Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain a copy of the rules
Iss ed k ..,_ Bk �� y( ,/ ,. Permittee Signature: (( � < < - f 4' c. C 5
Call 503.639.4175 by 7:00 a.m. for an inspection 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.
Mechanical Permit A 1 silica rE r
v.,
EIVIED FOR OFFICE USE ONLY
City of Tigard Received g
Permit No.. H ee... 0 .... a
1 11, 1 13125 SW Hall Blvd , Tigard, OR 97223 Np -
9 nn Date/By
' Plan Review
' - . Phone 503 639.4171 Fax 503.598 1960' . Date/By Other Permit
Inspection Line 503 639 4175 .11_15.1s-- Vi See Page 2 for
a
TIGARD
Internet www tigard-or gov ri OF G D . D ate Date Ready/By
Notified/Method ( 0 - Supplemental Information
BUILDIN
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•
0 New construction Addition/alteration/replacement
Mechanical permit fees* are based on the value of the work
Z
performed Indicate the value (rounded to the nearest dollar) of all
E Demolition E Other: mechanical materials, equipment, labor, overhead, and profit.
Value $ Z2
1_,..,.„_..._,.....,
...,-,,,- itisibiNTIAirjuinp:**,-jsiTSTEmSFEES%-*
0 1- and 2-family dwelling ZCommercial/industrial 0 Accessory building v. .
For special information use checklist
. 0 Multi-family 0 Master builder 0 Other: Description Qty Ea. Total
T
iti•ii 1,6eiiiio Heating/cooling
,t..„ ...- , - . ,- .--- ,, , ,-„,... ../.,-.16m, -
Air conditioning or heat pump
Job site address: 76,3 2._ 5 14/ E i vr h 0 ,), g cl (requires site plan showing placement) 14 00
City/State/ZIP: Tigofp cl 0 g . Furnace 100,000 BTU (ducts/vents) 14 00
Furnace 100,000+ BTU (ducts/vents) 17 90
Suite/bldg./apt. no.: a l(yi Project name: 4 115-/- Tr Gas heat pump 14 00
Cross street/directions to job site: Duct work 10 00
Hydromc hot water system 14 00
Residential boiler (radiator or
hydronic) 14 00
Unit heaters (fuel-type, not electric),
in-wall, in-duct, suspended, etc. 14 00
Flue/vent for any of above 6 80
Subdivision: Lot no.:
Other: 10 00
Tax map/parcel no.: Other fuel appliances
- -" - '-',. - -oq&P „ 'p - r,4k, , Wo'AvK-Vt,t : -tt.k • Water heater
40.011104,40411,1e, i•EgemyricOLbt:;...*:(WtAgowmok4wrop,N,m, 10 00
Gas fireplace 10 00
ft V A C mac./ i-fic q +I 0 4 5 — re. /occf Flue vent for water heater or gas
fireplace 10 00
5 r 1 11 5 — k1C1..) %7L i k ---- '., - - cl
Log lighter (gas) 10 00
ar .7/ Wood/pellet stove 10 00
Wood fireplace/insert 10 00
- , _..-- -- _,- - -- , , %.,, ,--,:. -,..-, ;„.,„ ,,,,,,,...,;., .,.., •,.... ,__, „ __,_:-:,,,, 4 ,,,, , t .;: . 4 0 ,74, z ,w„ . ,,,;, Chimney/liner/flue/vent 10 00
Pt' la
PROFERTY' OVVNERt'- :''',- L.I.
, . ,, e ,. , ',1 , '4 : ,ei. = , r , -1 , - 4 Other 10 00
Name: Environmental exhaust and ventilation
Range hood/other kitchen
Address: equipment 10 00
City/State/ZIP: Clothes dryer exhaust 10 00
Single-duct exhaust (bathrooms,
Phone: ( ) Fax: ( ) toilet compartments, utility rooms) 6 80
v 4 4.i7Itri Attic/crawls ace fans 10 00
oilv, .[ErAiiiiii - EA'N - i vrfovotp .4.SW; El cifk■il.kfrifigoN.4.,,,,,, „., P
W4 7 , ,a* -, 04-, , ,•. - . ,',,,,, , . -: •.,. :
Other 10 00
Business name: A m e r I c4.-7 H e G 7 / nj -re) C., Fuel piping
Contact name: E / 5 .11s b v' y $5.40 for first four; $1.00 for each additional
Furnace, etc
Address: / 3 3 , SE 6.1 c I c .S -1
Gas heat pump
City/State/ZIP: N r- --/- A,.., G I 7J , 7 Z 02- Wall/suspended/unit heater
Phone: (5 231- 11&00 Fax: : (503 ) 231- 703 Water heater
Fireplace
E-mail: Range
apjageptitiwiyoxot,':'65Nii Barbecue _.
Clothes dryer (gas)
Business name: Amerira,, Ai ect -6 -7y
- 27-, c- Other
Address: / 3'3 5 P &id co,-) S -1- ZPt'tf:itl=*cHANIc#1T._RI■1.Fu,s,,,v
City/State/ZIP: 12 r -/- /,,- c! 0 R V72 c72. Subtotal
Minimum permit fee ($72.50) m/g • zo
Phone: (503 ) 2 3 - I/(700 / Fax: (503) 23e7- 7038
Plan review (25% of permit fee)
CCB Iic.: 33 /35 ee (// 1 /0 State surcharge (12% of permit fee) ,46 A7
TOTAL PERMIT FEE A45, /7
Authorized signature: 7-2-4..e.....--Is"-C71-‘-- This permit application expires if a permit is not obtained within 180
days after it has been accepted as complete.
Print name: B 1\1,;,nolie5 -f-c-,,- Date: I/ -?- 07 * Fee methodology set by Tri-County Building Industry Service Board
I \BuIldIng \Permits \MEC-PermttApp do c 01/19/07 4404617T (1 I/02/COM/WEB)
CITY OF TIGARD � — l/ Z ?oa? -- ad /S"/
BUILDING DIVISION / PERMIT #:
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED:
Phone: (503) 639 -4171 A 9p �l
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: I /( e) /0 9 . : t
TIM PAGE:
SITE ADDRESS: - 76 3 l) -4 CLASS OF WORK:
SUBDIVISION: / LOT : 2d 0 TYPE OF USE: ����
PROJECT NAME: dAt il
DESCRIPTION:
• OWNER: PHONE #:
S 2-- 6, 7) 0
CONTRACTOR: PHONE #:
Inspection Request Scheduled For: Date: Pour Time: t 't
Code # Inspection Description Confirm # Contact # tylYes
6/ c --- YYIec 6C� li4' - 7 —ra el l h/Ct,
Corrections /Comments /Instructions:
, jam PASS PARTIAL APPROVAL n CANCEL 1 I NO ACCESS
❑ FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED 4 /�'�/ ( 0 I Phone #: (503) `
Inspector: Date: � ( ) 718 -2 -0-