Permit N
CITY TIGARD MECHANICAL PERMIT
I D EVELOPMENT SERVICES PERMIT #: MEC2005
ma 6 �' I 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 8/16/2005
PARCEL: 2S101 AB -01608
SITE ADDRESS: 07455 SW BEVELAND RD ZONING: MUE
SUBDIVISION: HERMOSO PARK LOT: 019 JURISDICTION: TIG
Project Description: New furnace and AC. Value: $6600.00
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: 1 DOMES. INCIN:
GAS 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: 1 AIR HANDLING UNITS CLO DRYERS:
FURN > =100K BTU: <= 10000 cfm: OTHER UNITS:
GAS OUTLETS: 1
> 10000 cfm: .
Owner: _ FEES
WESTERN TIGARD HOLDINGS, LLC Description Date Amount
20019 SW ATEM RD. [MECH] Permit Fee 8/15/200e $109.30
BEAVERTON, OR 97007 [TAX] 8% State Surchaq 8/15/200.` $8.74
Phone: 503 -628 -8508 Total $118.04
Contractor:
B + S HEATING
BOX 1623 REQUIRED ITEMS AND REPORTS
OREGON CITY, OR 97045
Phone: 503 720 - 5608 •
Reg #: LIC 45838
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 9 001 -0010
through OAR 952 - 001 -0100. You may obtain copies of these rules or direct questions to OU NC b .I . g 503 - 246 -6699
or 1- 800 - 332 -2344.
Issued By:
)t reit..c.A.4 2.:_ er , e a ... „
Permittee Signature: l 'y
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.
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Mechanical Pe I .'t FA ii` hh1 FOR off N I USE. oN ONLY
�,
City of Tigard ! � Date/By Q? / /b /� 1?� Permit No.:/�/I� 1 .�_ _, (,/9
. 13 't; SW Hall Blvd., Tigard, OR 97223 5j °` f 1 1 + o�a�c T]
503. 60 2��5 Plan Revie
Phone: 503.639.4171 Fax:
� „ � ii� ,
Date/By. ther Permit
Inspection Line: 503.639.4175 ARD -t+i I. y
_ Date ReadyBy: l : • See Page 2 for
ternet: www.ci.tiiAard.Qr.0 G, QF T�G 1 J Notified/Method: Supplemental Information
• TYPE OF WORK COMMERCIAL FEE* SCHEDULE .— USE CHECKLIST
❑ New construction rgi 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: $ la 60:, 4212- .
RESIDENTIAL EQUIPMENT / SYSTEMS FEES
❑ 1- and 2- family dwelling (Commercial /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
Job site address: 7 S J' T etJ I L. kY1 6 Air conditioning or heat pump 1 (requires site plan showing placement) 14.00
City /State /ZIP: TI'(, 6 Orc (0 Furnace 100,000 BTU (ducts/vents) ( 14.00
Furnace 100,000+ BTU (ducts /vents) 17.90
Suite/bldg. /apt. no.: I Project name: Gas heat pump 14.00
Cross street /directions to job site: 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: I Lot no.:
Other: 10.00
Tax map /parcel no.: Other fuel appliances
DESCRIPTION OF WORK Water heater 10.00
� R -- t — Als4 OU t r4eltC - Al (W Gas fireplace
fo e 10.00
kJ
�� L 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 I ❑ TENANT Chimney /liner /flue/vent 10.00
Other: 10.00
Name:' (/tJej} er'"t Yo /p 5 LL G
Environmental exhaust and ventilation
Q Range hood/other kitchen
Address:
19 $ w ills l �/ v` y,:ii, equipment 10.00
City /State /Z1PB -�a 0-N,..\ CD (Z - G11 1 Clothes dryer exhaust 10.00
� Single -duct exhaust (bathrooms,
Phone :0 R) /
b ow 2.6-41v Fax: ( ) toilet compartments, utility rooms) 6.80
❑• APPLICANT ❑ CONTACT PERSON Attic/crawlspace fans 10.00
• Business name: Other: 10.00
Fuel piping
Contact name: $5.40 for first four; $1.00 for each additional
Address:
Furnace, etc.
Gas heat pump
City /State /ZIP: Wall /suspended/unitheater
Phone: ( ) Fax: : ( ) Water heater
Fireplace
E -mail: •
Range
CONTRACT OR Barbecue
Business name: he4TJ✓�j
Other:
dryer (gas)
�QX /6 r.
Address: A MECEIANIGAL PERMIT FEES*
City /State /ZIP: ore c ,-r 0t( 9�01(J
5 c c yi i Subtotal / &,
Phone: (- ) 7,�a — ��,og
Fax: ( 3 ) S'� g= ��SZ Minimum permit fee ($72.50)
J ��� Plan review (25% of permit fee)
CCB lie.: 'w Q State surcharge (8% of permit fee) F, 'f
TOTAL PERMIT FEE // p .0
Authorized signature: �® .1 This permit application expires if a permit is not obtained within 180
days after it has been accepted as complete.
Print name: C/,/lv s -a Date: C - 65 * Fee methodology set by Tri- County Building Industry Service Board
i:\ Building \Pennits\MEC- PennitApp.doc 12/03 440- 4617T(I1 /02/COM/WEB)
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Mechanical Permit Application - City of Tigard
Page 2 = Supplemental Information
Commercial Fee Scheduler
Total Valuations
• Permit Fee:r
$1.00 to $2,000.00 Minimum fee $72.50 U
$2,001.00 to $5,000.00 $72.50 for the first $2,000.00 and $2.30 3 ( -
for each additional $100.00 or fraction
thereof, to and including $5,000.00. 0"
$5,001.00 to $10,000.00 $141.50 for the first $5,000.00 and `rf
$1.80 for each additional $100.00 or l�
fraction thereof, to and including
$10,000.00. q O
$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.
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i:\l3uilding'Permits\MEC- PermitApp.doc 12/03 2 e .
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CITY`0F TIGARD
BUILDING DIVISION PERMIT #: MEC2005 00482
1 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8116/2005
Phone: (503) 639 -4171 �' �tiiputllq�
1
Inspection Requests (24 Hrs.): (503) 639 -4175
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INSPECTION WORKSHEET FOR DATE: 9/ X2005 TIME: 7:07AM PAGE: 65
SITE ADDRESS: 0755 BEVELAND RD
CLASS OF WORK:
SUBDIVISION: HERMOSO PARK LOT # : 019
TYPE OF USE:
PROJECT NAME: WFSTERN TIGARD HOLDINGS
DESCRIPTION: New furnace and AC. Value: $6600.00
OWNER: WESTERN TIGARD HOLDINGS, LLC, PHONE # 503-626_8508
CONTRACTOR: B + S HEATING PHONE # 503- 720 -5608
Inspection Request Scheduled For: Date: 9/23/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 016409-01 503- 720 -5608 N
Corrections /Comments /Instructions:
( 1 I –/— itilf-
1:W' w e
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1 i PASS I PARTIAL APPROVAL ❑ CANCEL n NO ACCESS
❑ FAIL CALL FOR INSPECTION I ADDITI NAL FE S ASSESSED
Altf Ins ector: Date: �" `/ �� `Phone #: 503 718 - p . )