Permit C ITY OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT PERMIT #: MEC2007 -00132
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 3/8/2007
PARCEL: 1S136DD-01300
SITE ADDRESS: 06855 SW BAYLOR ST ZONING: MUE
SUBDIVISION: WEST PORTLAND HEIGHTS LOT: 002 JURISDICTION: TIG
PROJECT: TILLAMOOK FOOD SALES
Project Description: Ductless split system in server room. Valuation: $3000.
* *OTHER INSPECTION REQUIRED: LINE SET PRESSURE TEST**
CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS:
TYPE OF USE: COM UNIT HEATERS: VENT FANS:
OCCUPANCY GRP: 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
CHAD ESLINGER Description Date Amount
11575 SW PACIFIC HWY
TIGARD, OR 97223 [MECH] Permit Fee 3/8/2007 $95.50
[TAX] 8% State Surcha 3/8/2007 $7.64
Total $103.14
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.
Issued By: - o f 1 ' Permittee Signature: c e (�
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 the project.
Approved plans are required on the job site at the time of each inspection.
.MAR-07-2007 WED 12 : 50 PM ROTH HEATING FAX NO. 5032663478 P. 02
' Er E Li .. . _ . ...
Mechanical Permit Ali FOR (H.VICE 1 IN IK ON 1. y
ri Ti Pe
gard i11. R.00ivod,, ,
Date/Byj - 7 t) -p6-g. ril i ' lei \k,SC .. .420fi - 02412
13125 SW Hall Blvd., Tigard, OR 97223 MAR 0 7 l / - 7 -
Phone: 503.639.4171 Fax: 503 OF l'IGAF-10 it.vi.w
Other Permit:
Date/13y;
Inspection Line: 503.639.4175
BUILDING DIVISI __,,' 44_14..0.kiliT Date Reedy/By:
Noillicd/Methoch Jung; lil Sec Page 2 for
Internet: www.ci,tigartlorus
Supplemental Information
d: I • 0 ___ c S M
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0 New construction gi 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
0 Demolition 0 Other; mechanical materials, e.ui merit labor, overhead and broth..
. . . _
1 1.• '. pi?. icprimi_upTION:::.:.. :.;::: .-! !. H.; Value; S :' Oa
. , •
— :::.! *COP* Ti*
0 I- and 2-family dwelling I% Cornmercial/induStrittl El Accessory building , .
For special information use checlaig
0 Multi-family 0 Master builder 0 Other:
Description 1 Qty. Ea. 1 Total
':'.■' ..
JOB IPOP .:':;' . 'T' :::i'i: : : HaatInglcoolInf
.lob site address: (0 S ) ( gat .I. Al 6,- &-Er c -. Air conditioning or heat pump
re aim site lar flat:motto 14.00
City/State/ZIP: 1 1 ' L , Mr a V 9 7 D- 'D-3 Furnace 100.000 Bra (ducts/vents) 14.00
Furnace 100,000+ BTU (duels/cents)
17.90
Suite/bldg./apt. no.: Project namer77 //a,k4.7v) (2I'_es Gas heat pump 14.00
Cross street/directions to job site; Duct work 14.00
S...e..... 4-4
. . E.Lt-- . .— Hydronic hot water system 14.00
# — C5-■,_ Residential boiler (mdiator or
.-' ' k .a -1
..S l.A..) P) ( Ad tk.-- 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
1, JA' I ''' : •''''1' 1.: ;:' i k l;: ''' 1 • : !'i . :i•I'•••:' . '•'•;; ': ';::. I . 1 - .7faiclitprjol.i..pp NyoRg..: :. . .;;; :; 1: I ..'.; ; . :2 .,'; : Water heater 10,00
Gas fireplace 10.00
TAS+o—SUL- rtu C A- le .s' ,..) Lc, Flue vent for water heater or gas
AIL k.'.. 11 Se, \ 1../4- r . 4 fireplace 10.00
AriMIA Lo lighter (gas) 10.00
-t - ilt'
f ' C (-'0 I
iV . i ; ', )- -
'e.. g
Wood/pellet stove 10.00
I D-L'-il wood fireplace/insert 10.00
i,, . OP, .T.,41 01,00*:cqm*R.:;;:;;;_;j.; :.::::: :: ,..:: .,;; : : : : 1 . ; ..;,:/,, TE7 :, .,., Chimney/liner/flue/vent 10.00 Oilier 10.00
Name: •
/ , 1 4-0 1 ' '2071 Environmental exhaust and ventilation
■--- .-.. Range hood/other kitchen
Address: ■-)Ct.trie 0.141 ment 10.00
City/Stare/ZIP: CL S: 0 6 ) e i/<<_ Clothes diver exhaust 10.00
- - _.„ Single-duct exhaust
Phone: - (hatiu'ooms,
(i 4, g c ....--/ „.),_
Fax: ( ) toilet com amnents, unlit rooms) 6.110
!!i;1 ;'' !:::.;•.:,•.,;::::.:::. , • .•...•!•••••;!!;;:'. w !;ci . ....!...:: - ; ;„! 'i! Attic/cravvispacc fans 10.00
Other. 10.00
Business name
Fuel piping
Contact name: l S5 g 0
.40 for first four. $1,111) for each a ilditiu
Furnace, etc.
Address;
Gas heat pump
City/State/ZIP;
Wall/suspended/unit heater
Phone: ( ) Fax: : ( ) Water heater
— Fireplace
E-mail:
Range
:;ft:'!!.1.1•1..ili::,;: l',;'.''•! '.'..... , ,., :. :R.M4 1:::;;;,:.;; . !...;:N;;;..FR. , ,...!;;: ; :::;!1 ; r i'; ;: '; ; ;;‘ , ..;; ; ;;!;:;;;!;', Barbecue
Business name: 6y-- /-40_, ,,• Clothes ch (gas)
Other
Address: • b i .. 21 ,...4
i:14:..,..i•i....ii..;...i:Ni;t400.4
,
City/State/ZIP: eak hy <,.. 9 70/3 Subtotal a
Phone: (55) 2_Loto .-1 Fa: Fax: ( 2 6z, _ 3 4z 7 , minimum permit le ($72.50) -
Plan review (25% of permit fee)
CCB lie.: q A . State surcharge (8% of permit fee) 4 eif
-- • .,
1 TOTAL PERMIT FEE / 4,.`2, / A
Authorized signatu • • : A . , 1 - Li ..4_..- This permit application expires If a permit ix nut obtained wil kin inn
days after It hoe been accepted int complete.
Print name: -- , Air / . 1 „.„. .--- Gate; t 1 - 15..... C.,7 * Fee methodology act by Tri-County Building Industry Service Board
imaoibiina11•crmiwNttie-ocrialinvo.410c !- .1-16-4 It tioucomtwunt
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MEC2007-00132
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/8/2007
Phone: (503) 639-4171 :NM
Inspection Requests (24 Hrs.): (503) 639-4175 „.„Al■
INSPECTION WORKSHEET FOR DATE: 4/25/2007 TIME: 7:00AM PAGE: 55 •
SITE ADDRESS: 06855 SW BAYLOR ST CLASS OF WORK:
SUBDIVISION: WEST PORTLAND HEIGHTS LOT #: 002 TYPE OF USE:
PROJECT NAME: TILLAMOOK FOOD SALES
DESCRIPTION: Ductless split system in server room, Valuation: $3000.
'OTHER INSPECTION REQUIRED: LINE SET PRESSURE TEST"
OWNER: ESLINGER BUILDERS INC, PHONE #: 503-6209515
CONTRACTOR: ROTH HEATING & COOLING PHONE #: 503-266-1249
Inspection Request Scheduled For: Date: 4/25/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 047111-01 503-519-8523
Corrections/Comments/Instructions:
•
• (°°°°°
PASS
ARTIAL APPROVAL
CANCEL I NO ACCESS
FAIL r A FOR INSPECTION fl ADDITIPNAL F ES ASSESSED
E6# Inspector: • 441■•■■•111lib.._ Date: • Phone #: (503) 718