Permit TIGARD OF 1 IGARD MECHANICAL PERMIT
i I DEVELOPMENT SERVICES PERMIT #: MEC2006 -00088
°II 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 6/28/2006
PARCEL: 2S 113AD -01700
SITE ADDRESS: 16940 SW 72ND AVE ZONING: C -G
SUBDIVISION: ROSEWOOD ACRE TRACTS LOT: 030 JURISDICTION: TIG
Project Description: 3 ton HVAC & reduct. Valuation: $18,000.
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:
GAS PRESSURE: 50 + HP: WOODSTOVES:
FURN < 100K BTU: AIR HANDLING UNITS CLO DRYERS:
OTHER UNITS:
FURN > =100K BTU: 1 <= 10000 cfm: GAS OUTLETS:
> 10000 cfm:
Owner: FEES
BRIDGEPORT LAND LLC Description Date Amount
3939 NW ST HELENS RD
PORTLAND, OR 97210 [MECH] Permit Fee 6/28/200E $339.50
[MECPLN] Plan Rev 6/28/200E $84.88
[TAX] 8% State Surcha 6/28/200E $27.16
Phone: 503 - 241 -2875 Total $451.54
Contractor:
ACCURATE HEATING, INC.
P.O. BOX 2276
CLACKAMAS, OR 97015 REQUIRED ITEMS AND REPORTS
Contact #: PRI 650 -1229
FAX 650 -4845
Reg #: LIC 88423
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.
} .4
Issued By: j2Z Permittee Signature: 14116
Call 503 - 639 -4175 by 7:00 a.m. for inspections that busi : -ss day.
This permit card shall be kept in a conspicuous place on the job site until ompletion of the project.
Approved plans are required on the job site at the time of each inspection.
1 1110 S
Mechanical Permit A p i lica on lufmr- ' `' FOi l i OF Ic Sly ONL ' ' , ` - - + -
DateReceiv/By UYr7
ed � ert
n
City of Tigard, Date/By .. 1 :
' Pennit No`� /d , �
13125 SW Hall Blvd. Tigard, OR 97223 Plan Review AE Other Permit:
Phone: 503.639.4171 Fax: 503.598.1960 FEB 13 200 � 1, � �
Inspection Line: 503.639.4175 . ?• Date Ready/By. Ffiel lE See Page 2 for
Internet: www.ci.tigard.or.us
CITY Or '
� Notifed/Method: Supplemental Information
EtIg JI 1� >r
'' F VISION COMMERCIAL FEE* SCHEDULE - USE CHECKLIST
❑ New construction Iii Addition/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 ❑ Other: mechanical materials, equipment, labor, overhead, and profit.
CATEGORY OF CONSTRUCTION Value: $ Ic5 a
L
RESIDENTIA EQUIPMENT /SYSTEMS FEES* O
❑ 1 - and 2 family dwelling [Commercial /industrial ❑ Accessory building
For special information use checklist.
❑ Multi - family ❑ Master builder ❑ Other:
Description 1 Qty. Ea. I Total
JOB SITE INFORMATION AND LOCATION Heating /cooling
Job site address: I G a /kb Co s *•-) L� Air conditioning pl or heat p ump ) $ 14.00
(requires site plan showing placement
City /State/ZIP: -r' Furnace ■ 100,000 BTU (ducts/vents) 14.00
Suite/bldg. /apt. no.: Project name: ti�,5 it JOA � Furnace 100,000+ BTU ( ducts/vents) 17.90
Gas heat pump 14.00
Cross street /directions to job site: Duct work 2„ 14.00
e r« Sin) •(. CI Z 6o � I, ,�t, ( 2 Q Hydronic i hot water system 14.00
�_7t� Residential boiler (radiator or r
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
- Gas fireplace 10.00
2c -a-AG r - �QQ �Th•.! ` - - 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 TENANT Chimney /liner /flue/vent 10.00
Other: 10200
Name: 140.6. (A 1t 4(4C ( Environmental exhaust and ventilation
Address: L - e LO,��� Range hood/other kitchen 1 (/� � equipment 1 10.00
City /State /ZIP: Rz (C A. 91, 5 3 8 Clothes dryer exhaust 10.00
Single -duct exhaust (bathrooms,
Phone: )) Tr) - i5fD Fax: ( ) toilet compartments, utility rooms) 6.80
XAPPLICANT CONTACT PERSON Attic/crawlspace fans 10.00
Business name: Cc 0, , Co uST• S V L t..,C Other: 10.00
Fuel piping
Contact name: rG, imp,..) I t OCL ( C Y $5.40 for first four; $1.00 for each additional
Address:
crz 5 (Auk / Y ALA.{
het etc.
Gas heat pump
City /State /ZIP: ( (J L j o (' (4 ._ q J ?J2 0 Wall /suspended/unit heater
Phone: C (J � (/� Fax: ( ) �,{) ...�,/ 4 D ct if)c s e- Water heater
LJ
Fireplace
E -mail:
Range
CONTRACTOR Barbecue
Business name: —\--'5 A c C - u 1 f' 14 p.-� , ; Clothes dryer (gas)
c� ` �� t ;,.\ i ��{ Other:
Address: Z t � Ca MECHANICAL PERMIT FEES*
City /State /ZIP: (mot• j ..,,, ` ((L 01 / S l Subtotal p
7 Minimum permit fee ($72.50) 33 / 5o
Phone: (c )(,c(� t ' / 2 ? 9 Fax: (5o') 6o S 0 - e U� Plan review (25% of permit fee) � l,
CCB lic.: ( (..) 'Z'S State surcharge (8% of permit fee) a?, 1&
� ----> TOTAL PERMIT FEE �j/S�. �
Authorized signature: This permit application expires if a permit is not obtained within 180
days after it has been accepted as complete.
Print name: am i )� � Date: �� * Fee methodology set by Tri- County Building Industry Service Board
i:\ Building \Perrnits\MEC- PermitApp.doc 12/03 44 I7T(II ,
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.
. 1
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L i:\Building\Permits\MEC- PermitApp.doc 12/03 2
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MEC2006- 0008 3
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/78/2006
Phone: (503) 639-4171
Requests (24 Hrs.): (503) 639 -4175 ..�� '`•_
INSPECTION WORKSHEET FOR DATE: 7/26/2006 TIME: 7 : 07AM PAGE: 88
SITE ADDRESS: 16340 SW 72ND AVE CLASS OF WORK:
SUBDIVISION: ROSEWOOD ACRE TRACTS LOT #: 030 TYPE OF USE:
PROJECT NAME: MENS WEARHOUSE
DESCRIPTION: 3 ton HVAC & reduct. Valuation: $18,000.
OWNER: BRIDGEPORT LAND LLC, PHONE #: 503.241 -2875
CONTRACTOR: ACCURATE HEATING, INC. PHONE #: 650 -1229
Inspection Request Scheduled For: Date: 7/26/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
615 Mechanical rough -in 033690 -01 503 - 650 -1229 N
Corrections /Comments /Instructions:
igigEOJENJW'
PASS ❑ PARTIAL APPROVAL ❑ CANCEL NO ACCESS
H FAIL I♦ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
a � '
fa 2
C 6 0 :' hone #:
Inspector: ,,� ��'� i Date: � (503) 718 - Z-
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MEC2006_0008t3
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/28/2006
Phone: (503) 639 -4171 iiuill A ik■
Inspection Requests (24 Hrs.): (503) 639 -4175 � :_..
INSPECTION WORKSHEET FOR DATE: 81412006 TIME: 7:04AM PAGE: 03
SITE ADDRESS: 169411 SW 72ND AVE CLASS OF WORK:
SUBDIVISION: ROSEWOOD ACRE TRACTS LOT #: 030 TYPE OF USE:
PROJECT NAME: MEWS WEARHOUSE
DESCRIPTION: 3 ton HVAC & reduct. Valuation: $18,000.
OWNER: BRIDGEPORT LAND LLC, PHONE #: 503241-2875
CONTRACTOR: ACCURATE HEATING, INC. PHONE #: 650.1228
Inspection Request Scheduled For: Date: 8/4/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 IMMiechanical final 034366 -01 503- 650 -1220 N
F (4/14
Corrections/Comments/Instructions:
� .P _
l :allin
PASS ❑ PARTIAL APPROVAL n CANCEL ( I NO ACCESS
n FAIL 1 1 CALL FOR INSPECTION El ADDITIONAL FEES ASSESSED
Inspector: l/ Date: 8 Phone #: (503) 718 =s TZ'