Permit " CITY OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT PERMIT #: MEC2007 -00113
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 2/20/2007
PARCEL: 1 S136DD -00900
SITE ADDRESS: 06830 SW ATLANTA ST 200 ZONING: MUE
SUBDIVISION: HAINES CROSSING II LOT: JURISDICTION: TIG
PROJECT: COLUMBIA MORTGAGE
Project Description: Relocate ducts and grilles. Project Value: $4,000
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:
FIRE DAMPERS ?: 30 - 50 HP: REPAIR UNITS:
GAS PRESSURE: 50 + HP: WOODSTOVES:
FURN < 100K BTU: AIR HANDLING UNITS CLO DRYERS:
FURN > =100K BTU: <= 10000 cfm: OTHER UNITS:
GAS OUTLETS:
> 10000 cfm:
Owner: FEES
MALCOLM ESLINGER Description Date Amount
11575 SW PACIFIC HWY.
PMB0160 [TAX] 8% State Surcha 2/20/2007 $9.48
TIGARD, OR 97223 [MECH] Permit Fee 2/20/2007 $118.50
Total $127.98
Phone: 503- 620 -9515
Contractor:
ROTH HEATING & COOLING
P.O. BOX 1265
CANBY, OR 97013 REQUIRED ITEMS AND REPORTS
Contact #: PRI 503- 266 -1249
FAX 503- 266 -3478
Reg #: LIC 14008
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.
1 �
IP Issu :d By: 1 Permittee Signature: „if
Call 503.639.4175 by 7:00 a.m. for inspections th. •usiness day.
This permit card shall be kept in a conspicuous place on th • • site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Mechanical Permit A 1 a lication FOR OFFICE USE ONLY �/j�
City of Tlgal CI Date /By: - ale Q , ir/ Permit No.: H 7 //3
- " 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review
• Phone: 503.639.4171 Fax 503.598.1960 Date /B• Other Permit
TIGARD Inspection Line: 503.639.4175 Date Ready /By. El See Page 2 for
• Internet: www.tigard- or.gov Notified Method: A Supplemental Information
_;� IAL' =FEE *:SCHEDULE =`, USE;CHECKLIST
�TYPE� OF•'WORK;. ''� COMMERC _-
Mechanical permit fees* are based on the value of the work
❑ New construction ❑ Addition /alteration /replacement
performed. Indicate the value (rounded to the neare ar) of all
❑ Demolition ® Other: Tennant Improvements mechanical materials, e • t labor, ver and pro it.
;-= ;�CATEGOR•Y Value: OF, CONSTRUCTION`":: ... - -..__ $ j �� v
R E S IDE NT IAL''EQU SYSTEMS FEE *'
❑ I- and 2- family dwelling ® Commercial /industrial I=1 Accessory building r. .
For special Information use checklist.
❑ Multi- family ❑ Master builder ❑ Other:
Description Qty. Ea. Total
-_ JOB SITE .INFORMATION ANDLOCATION": = „_,' � Heating /cooling
Job site address: 6830 SW Atlanta St. Air conditioning or heat pump
�. / (requires site plan showing placement) 14.00
City /State /ZIP: Tigard, OR 97223 e0Gt.t i/ / eski - l'p / - 4 f Furnace 100,000 BTU (ducts /vents) 14.00
Furnace 100,000+ BTU (ducts /vents) 17.90
Suite /bldg. /apt. no.: Suite 200 Project name:
Gas heat pump 14.00
Cross street/directions to job site: Intersection of SW Atlanta St. and 68 Pkwy. 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
Flue /vent for any of above 10.00
Subdivision: Lot no.:
Other: 10.00
Tax map /parcel no.: / b 136 j imc t 9, Other fuel appliances
DESCRIPTION WORK, Water heater 10.00
Gas fireplace 10.00
Tennant Improvements
Flue vent for water heater or gas
P , n �n —D
I /p u e / Q , L � c
fireplace 10.00
JV b LCJ'� -( .7 Log lighter (gas) 10.00
Wood /pellet stove 10.00
Wood fireplace /insert 10.00
qr�_a�� „ -,;,„ a..�"••,,,;�,, Chimney /liner /flue /vent 10.00
❑- ,;P,ROPERTY ;OWNER = <, ❑ -' TENANT '
Other: 10.00
Name: Malcolm & Sharon Eslinger LLC & GSP LLC Environmental exhaust and ventilation
Address: 11575 SW Pacific Hwy., PMB 160 Range hood /other kitchen
equipment 10.00
City /State /ZIP: Tigard, OR 97223 Clothes dryer exhaust 10.00
Single -duct exhaust (bathrooms,
Phone: (503) 620 -9515 Fax: (503) 620 -9475 toilet compartments, utility rooms) 6.80
® APPLICANT ® CONTACT PERSON ; �= =;` Attic/crawlspace fans 10.00
Attic/
Other: 10.00
Business name:
Fuel piping
Contact name: Malcolm Eslinger $5.40 for first four; $1.00 for each additional
Address: 11575 SW Pacific Hwy., PMB 160 Furnace, etc.
Gas heat pump
City /State /ZIP: Tigard, OR 97223 Wall /suspended/unit heater
Phone: (503) 997 -8478 Fax: : (503) 620 -9475 Water heater
Fireplace
E -mail: malcolin eslingerbuilders.com Range
CONTRAC_ TOR Barbecue
Business name: Roth Heating and Cooling Clothes dryer (gas)
Other:
Address: P.O. Box 1265 - °° ',MECHANICAL L P `
�: �s 1VIECL PER1VIIT= FEES
City /State /ZIP: Canby, OR 97013 Subtotal
Phone: (503) 266 -1248 Fax: (503) 266 -3478 Minimum permit fee ($72.50) //R, .
CCB lie.: 14008 Plan review (25% of permit fee)
State surcharge (8% of permit fee) �,
TOTAL PERMIT FEE / Z, }
Authorized si nature: err rV'fi:q Le' _ This permit application expires if a permit is not obtained within 180
g /` �� i.'t days after it has been accepted as complete.
Print name: Jason Hansen Date: 11/14/2006 * Fee methodology set by Tri- County Building Industry Service Board
1.\ Build ing \Permits \MEC- Penu6u,yµ0w 440- 4617T(It /02 /COM/WEB)
QTY OF TIGARD
BUILDING DIVISION PERMIT #: MEC2007 -00113
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 2/20/2007
Phone: (503) 639 -4171 A i l�iil
• Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 4/13/2007 TIME: 7:00AM PAGE: 34
SITE ADDRESS: 06830 SW ATLANTA ST 200 CLASS OF WORK:
SUBDIVISION: HAINES CROSSING II LOT #: TYPE OF USE:
PROJECT NAME: COLUMBIA MORTGAGE
DESCRIPTION: Relocate ducts and grilles. Project Value: $4,000
OWNER: ESLINGER, MALCOLM PHONE #: 503 -620 -9515
CONTRACTOR: ROTH HEATING & COOLING PHONE #: 503-266-1249
Inspection Request Scheduled For: Date: 4/13/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 046460-01 503 - 997 -8478 N
Corrections /Comments /Instructions:
-- —
IP
ik:! PASS M P ' TIAL APPROVAL n CANCEL ❑ NO ACCESS
FAIL FOR INSPECTION ❑ ADDITIO ' L FEES ASSESSED
Inspector: Date: ,74--5 6 Phone #: (503) 718 - 2 ,
CITY 'OF TIGARD .
BUILDING DIVISION PERMIT #: MEC2007 -00113
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 2/20/2007
Phone: (503) 639 -4171 � ,a4 plpi� &Ij�l'
Inspection Requests (24 Hrs.): (503) 639 -4175 :... ■ A :_..
INSPECTION WORKSHEET FOR DATE: 3/27/2007 TIME: 7:02AM PAGE: 1f3 ;
SITE ADDRESS: 06830 SW ATLANTA ST 200 CLASS OF WORK:
SUBDIVISION: HAINES CROSSING II LOT #: TYPE OF USE:
PROJECT NAME: COLUMBIA MORTGAGE
DESCRIPTION: Relocate ducts and grilles. Project Value: $4,000
OWNER: ESLINGER, MALCOLM PHONE #: 503620 -9515
CONTRACTOR: ROTH HEATING & COOLING PHONE #: 503266 -1249
Inspection Request Scheduled For: Date: 3/27/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
615 Mechanical rough -in 045494-01 503 - 997 -6478 N
Corrections /Comments/ Instructions:
IAASS • "� RTIAL APPROVAL n CANCEL ❑ NO ACCESS
❑ FAIL •/C V OR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Dater ,c Phone #: (503) 718
INSPECTOR'S SIGNATURES ARE NOT --
Inspections Required for: ki;CD7-00l/3 REQUIRED ON GREEN INSPECTION CARD.
✓ Code Inspection Description PASS Date By ✓ Code Inspection Description PASS Date By
BUP - Building Permit ELC - Electrical Permit
405 Excavation 105 Underground /slab cover
410 Fill 110 Temporary electrical service
_ 415 Grading 115 Electrical service
205 Footing 120 Electrical rough -in
805 MFG - Structure grading /footing 125 Wall cover
210 Foundation walls 130 Ceiling cover
215 Footing drain 135 Low voltage
220 Slab 140 Sign installation
310 Crawl drain 145 A/C or heating unit circuit
225 Post /beam structural 150 Hot tub /spa /pool
230 Underfloor insulation 195 Misc. inspection:
235 Shear walls /anchors 199 Electrical final
240 Exterior sheathing
245 Firewall
250 Roof nailing ELR - Restricted Energy Permit
255 Wtr proofing basement walls 135 Low voltage
260 Tilt -up panel 195 Misc. inspection:
265 Masonry 199 Electrical final
270 Reinforcing steel (rebar)
275 Framing
810 MFG- Structure set -up MEC - Mechanical Permit
280 Insulation 605 Post /beam mechanical
285 Drywall nailing 610 Gas line
287 Suspended ceiling 615 Mechanical rough -in
295 Misc. inspection: 620 Hydronic piping
899 MFG- Structure final 625 Duct work
498 Grading final 630 Fire damper
299 Final inspection 635 Smoke detector shutdown
640 Exhaust hood
695 Misc. inspection:
699 Mechanical final
BUP - Fire Protection System Permit
905 Sprinkler underfloor /slab PLM - Plumbing Permit
910 Sprinkler rough -in
915 Fire alarm rough -in 305 Plumbing underslab
310 Crawl drain
920 Suppression trip test 315 Post /beam plumbing • '
995 Misc. inspection:
998 Alarm final 320 Plumbing rough -in
999 Sprinkler final 322 Shower pan
330 Water service
335 Rain drain
340 Storm drain
SIT - Site Work Permit 505 Sanitary sewer
405 Excavation 345 Culvert /catch basin
410 Fill 350 Septic tank
415 Grading 395 Misc. inspection:
205 Footing 399 Plumbing final
210 Foundation walls
215 Footing drain
420 Sprinkler supply lines SWR - Sewer Permit
495 Misc. inspection: 505 Sanitary sewer
498 Grading final 595 Misc. inspection:
499 Final inspection 599 Final inspection
I:\ Building \Forms \InspCard- AOP- Blank.doc 02/02/07
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A . ` ti.
�Sr . T ' CITY OF TIGARD . MECHANICAL PERMIT
•
' `` COMMUNITY DEVELOPMENT PERMIT #: MEC2007 -00113
`'` DATE ISSUED: 2/20/2007
TIG 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 1S136DD -00900
SITE ADDRESS: 06830 SW ATLANTA ST 200 ZONING: MUE
SUBDIVISION: HAINES CROSSING II LOT: JURISDICTION: TIG
PROJECT: COLUMBIA MORTGAGE
Project Description: Relocate ducts and grilles. Project Value: $4,000
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: 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
MALCOLM ESLINGER Description Date Amount
11575 SW PACIFIC HWY.
PMB0160 [TAX] 8% State Surcha 2/20/2007 $9.48
TIGARD, OR 97223 [MECH] Permit Fee 2/20/2007 $118.50
Total $127.98
Phone: 503- 620 -9515
3
Contractor: rn
ROTH HEATING & COOLING n
P.O. BOX 1265
CANBY, OR 97013 REQUIRED ITEMS AND REPORTS
0
I
Contact #: PRI 503- 266 -1249 0
FAX 503- 266 -3478 0
Reg #: LIC 14008
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.
Permittee Si nature: �' l % i
Issu d By: LA/140120 g ,•'"
Call 503.639.4175 by 7:00 a.m. for inspections that - .usiness day.
This permit card shall be kept in a conspicuous place on the je1fe until completion of the project.
Approved plans are required on the job site at the time of each inspection.