Permit et
CITY TIGARD MECHANICAL PERMIT
! ° COMMUNITY DEVELOPMENT PERMIT #: MEC2007 -00541
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 9/11/2007
PARCEL: 25101 AB -02703
SITE ADDRESS: 07450 SW BEVELAND RD ZONING: MUE
SUBDIVISION: MCA OFFICE BUILDING LOT: 027 JURISDICTION: TIG
PROJECT: WESTSIDE SLEEP CENTER
Project Description: HVAC (2) rooftop units. Value $6,200
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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: 2 DOMES. INCIN:
NAT 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:
> 10000 cfm:
GAS OUTLETS:
Owner: FEES
BLONDIE'S INVESTMENT LLC Description Date Amount
1500 OSTMAN RD
WEST LINN, OR 97068 [MECH] Permit Fee 9/11/2007 $163.10
[TAX] 8% State Surcha 9/11/2007 $13.05
[MECPLN] Plan Rev 9/11/2007 $40.78
Phone: Total $216.93
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
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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.
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Issued By: .' • ` Permittee Signature: � �-� � � dit-LOJA-/
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 completi. the project.
Approved plans are required on the job site at the time of each inspection.
3 a -
Mechanical Per o
m it Applicatin , FOR OFFICE USE ONLY
City of Tigard .m. ECE1VED Receivedq
Permit No.:
° 131 Hall Blvd., Tigard, OR ')r27 Da /B d I �Nl� ' " / bU 6
' Phone: 503.639.4171 Fax: 503.598.1960 Plan Review
1 Date /By: Other Permit:
TI G A R D Inspection Line: 503.639 S E P 1 1 f t '
Date Ready /By: Juris: ® See Page 2 for
. Internet: www.tigard - or.gov Notified /Method: r Supplemental Information
CITY OF I1G RD
TYPE ORMIR COMMERCIAL FEE* SCHEDULE - USE CHECKLIST
Mechanical permit fees* are based on the value of the work
❑ New construction ,Addition /alteration /replacement
performed. Indicate the value (rounded to the nearest dollar) of all
❑ Demolition ' ❑ Other: mechanical materials, equipment, labor, overhead,'and profit.
' CATEGORY OF CONSTRUCTION Value: $ (ja I
2_00
• RESIDENTIAL EQUIPMENT / SYSTEMS'FEES*
❑ 1 - and 2- family dwelling :Commercial /industrial ❑ Accessory building
For special information use checklist.
El Multi- family ❑ Master builder ❑ Other:
Description • Qty. Ea. Total
JOB SITE INFORMATION AND. LOCATION Heating/cooling
[[� qq ''�� n Air conditioning or heat pump
Job site address:
7� �/ � t e.j e s z i� . (requires site plan showing placement) 14.00
City /State /ZIP: ' �} p Furnace 100,000 BTU (ducts /vents) 14.00
Furnace 100,000± BTU (ducts /vents) 17.90
Suite/bldg. /apt. no.:/0 Project name: V.(- ' t✓ I x.171 + 6"'I 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
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
1 - tt 1 Gas fireplace 10.00
.✓1 S•�,tt t! ?.4- `2) Ti o.. - ePr �t'a.
0'? 1;/v�-i Flue vent for water heater or gas
fireplace 10.00
e. ixs r2 E Y. _s. w 1.7) Log lighter (gas) 10.00
Wood/pellet stove 10.00
Wood fireplace /insert 10.00
K. PROPERTY OWNER ❑ TENANT Chimney /liner /flue/vent 10.00 • Other: 10.00
Name: HJ L•,14 iileGta- Environmental exhaust and ventilation
Range hood/other kitchen
Address: co (.4 _, Il al ,t,‘,,,„ 12a_ * i Do equipment 10.00
City/State /ZIP: '" ` L , , . t2 CI c Clothes dryer exhaust 10.00
Single -duct exhaust (bathrooms,
Phone: (cse 3) 6 -2_4 - 9 2_ Fax: ( ) toilet compartments, utility rooms) 6.80
. ■ APPLICANT ❑ CONTACT PERSON . ' Attic /crawlspace fans 10.00
Business name: Other: 10.00
Fuel piping
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• •-' *Contact name: $5.40 for first four; $1.00 for each additional
Address: Furnace, etc.
-Gas heat pump
City/State /ZIP: Wall/suspended/unit heater
Phone: ( ) Fax: : ( ) Water heater
Fireplace
E -mail:
Range
• CONTRACTOR Barbecue
- Business name: `I�e>. tAEaf -Tt tib. . - C L i� Clothes dryer (gas)
Other:
Address: -po .Q 04. i x & s MECHANICAL PERMIT FEES*
City /State /ZIP: Ca ey (2- ci'40 (3 Subtotal
Minimum permit fee ($72.50) ad Al
Phone: 61'7) ) 29 9 Fax: 67)1 ) '7 W 6 -- 3 4 - Plan review (25% of permit fee) 442
CCB lie.: j / u.�/3 State surcharge (8% of permit fee) /3 42
I TOTAL PERMIT FEE / t
Authorized signature This permit application expires if a permit is not obtained within 180
�• •ti_ (.-r days after it has been accepted as complete.
Print name: 5 ( tom ill 2./ 4 _ Date: V, /�. ( * Fee methodology set by Tri- County Building Industry Service Board
1: \Building\ Permits \MEC- PermitApp.doc 04 /06/06 440- 4617T(11 /02 /COM/WEB) Z <'
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Inspection Requen��4Hmj:�K%�G384�175 �/��' |
INSPECTION WORKSHEET FOR DATE: 11/2612007 TIME: 7:00AkA PAGE: 36
SITE ADDRESS: 07450 SW BEVELAND RD CLASS OF WORK:
SUBDIVISION: MCA OFFICE BUILDING LOT #: 027 TYPE OF USE:
PROJECT NAME: VVEs SLEEP CENTER
DESCRIPTION: HVAC (2) rooftop units. Value $6,200
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OWNER: BLONDE'S INVESTMENT LLC. PHONE #:
CONTRACTOR: ROTH HEATING & COOLING PHONE #: 603-266-1249 ,
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Inspection Request Scheduled For: Date: 11/26/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 060191'01 503793-5573 N
Corrections/Comments/Instructions:
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n PARTIAL APPROVAL 0 CANCEL | NO ACCESS
I I FAIL n CALL FOR INSPECTION El ADDITIONAL FEES ASSESSED
^� (Vt � �� � Inspector: \ /Y ' / � Date: �� Phone (6O3)718' � � �~��