Permit CITY TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT PERMIT #: MEC2007 - 00489
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 11/14/2007
PARCEL: 2S 112AD - 01100
SITE ADDRESS: 06650 SW BONITA RD ZONING: I -P
SUBDIVISION: PAUL SCHATZ FURNITURE LOT: 001 JURISDICTION: TIG
PROJECT: THOMASVILLE FURNITURE
Project Description: TI Value: $65,000
CLASS OF WORK: NEW FLOOR FURN: EVAP COOLERS:
TYPE OF USE: COM UNIT HEATERS: 3 VENT FANS: 2
OCCUPANCY GRP: M VENTS W/O APPL: VENT SYSTEMS:
STORIES: 2 BOILERS /COMPRESSORS HOODS:
FUEL TYPES 0 - 3 HP: DOMES. INCIN:
NAT 3 - 15 HP: 5 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
PACIFIC REALTY ASSOCIATES Description Date Amount
15350 SW SEQUOIA PKWY #300 -WMI
PORTLAND, OR 97224 [MECH] Permit Fee 11/14/20C $959.00
[MECPLN] Plan Rev 11/14/20C $239.75
[TAX] 8% State Surcha 11/14/20C $76.72
Phone:
Total $1,275.47
Contractor:
ARROW MECHANICAL
10330 IN TUALATIN RD
TUAL ATIN, OR 97062
REQUIRED ITEMS AND REPORTS
UAL
Contact #: PRI 503- 692 -1565
FAX 503 -691 -1879
Reg #: LIC 5193
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes and all other
applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted in the Oregon
Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain copies of these
rules or direct questions to OUNC by calling 503.246.6699 or 1.800.332.2344.
1� /.� Issued By: 410 . � yam Permittee Signaturer:' l
Call 503.639.4175 by 7:00 a.m. for inspections that business day.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
,‘ Mechanical Permit Al I lica • i n , Dolt OFFICE DISC ONIA
City of Tigard y
A , a telly: i t0 / ? hA e ■ Permit Nom Gj t 7 „,, g
• 13125 SW Hall Blvd., Tigard, OR ' •L ! • !t, .1.41,....0 J eview Other Permit: "�
' C Phone: 503.639.4171 Fax: 503.598.1960 3 i
3 b - ate/By:
- r I GA RD Inspection Line: 503.639 AUG D ate R ea d y B y: Je ns: ® See Page 2 for
H UG Internet: www.tigard - or.gov g� � 0 6 2007 Notified/Method: Supplemental Information
t� It X
TYPE Q O , - I • I ` ; _ I COMMERCIAL FEE* SCHEDULE — USE CHECKLIST
C T, f 2 t T L Mechanical permit fees* are based on the value of the work
El New construction ®Addition/ �dtr laoetnr$nf1 •% .� performed. Indicate the value (rounded to the nearest dollar) of all
❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit.
•
'CATEGORY OF CONSTRUCTION Value: $ (DSQGn "
.RESIDENTIAL EQUIPMENT /'SYSTEMS:FEES*
❑ 1- and 2- family dwelling ® Commercial/industrial ❑ Accessory building
Master builder For special information use checklist.
Multi -famil
❑ Multi-family ❑ ❑ Other: Description Qty. I Ea. Total
. • JOB SITE INFORMATION AND LOCATION ' Heating/cooling
Job site address: 6650 SW Bonita Dr. Air conditioning or heat pump
(requires site plan showing placement) 14.00
City /State /ZIP: Tigard, OR 97224 Furnace 100,000 BTU (ducts /vents) 14.00
Fumace 100,000+ BTU (ducts/vents) 17.90
Suite/bldg. /apt. no.: Project name: Thomasville Furniture Gas heat pump 14.00
Cross street/directions to job site: Duct work 14.00
Between SW Sequoia Prkwy and SW Bangy Rd. eside
R t 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.: 2S112AD -01100 Other fuel appliances
. DESCRIPTION OF WORK Water heater 10.00
Gas fireplace 10.00
Installation of controls, ductwork, grills and exhaust fan 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: 10.00
Name: Thomasville Furniture Environmental exhaust and ventilation
Address: 401 E. Main St. Range hood/other kitchen
equipment 10.00
City/State /ZIP: Thomasville, NC 27360 Clothes dryer exhaust 10.00
Single -duct exhaust (bathrooms,
Phone: (336)313 -4409 Fax: (336)472 -4099 toilet compartments, utility rooms) 6.80
II APPLICANT El CONTACT PERSON • Attic /crawlspace fans 10.00
Business name: Permits Today Other: 10.00
Fuel piping
Contact name: Scott Daves $5.40 for first four; $1.00 for each additional
Address: 140 So. Lake Ave., Suite 323 Furnace, etc.
Gas heat pump
City /State /ZIP: Pasadena, CA 91101 Wall/suspended/unit heater
Phone: (626) 585 -2931 Fax: : (626) 792 -5777 Water heater
Fireplace
E -mail:
Range
CONTRACTOR Barbecue
1 Business name: 4. i rep I ge /L "��ye'� Clothes dryer (gas)
�T'� Other:
Address: / O 3 3 U C f, ' -7-1,41,47-,,,v / 0 /J MECHANICAL PERMIT FEES*
'/' Subtotal
1 Minimum permit fee ($72.50)
�`'
Phone: ( ) l 1 j--- Fax: ( ) L Z f / 10-71 Plan review (25% of permit fee)
CCB lie.: Y J e/ ` State surcharge (8% of permit fee)
TOTAL PERMIT FEE 49,76_9
Authorized signature: This permit application expires if a permit is not obtained within 180
�� days aft er it has been accepted as complete.
%•:.,r ..a,,,A• Scott DBvt I Warn• QM /117 I * Fee methodoloev set by Td- County Buildine Industry Service Board
CITY OF TIGARD •
BUILDING DIVISION
PERMIT #: MEC2007-00469
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/14/2007
Phone: (503) 639-4171
Inspection Requests (24 Hrs.): (503) 639-4175 A,111
INSPECTION WORKSHEET FOR DATE: 1/1812s ; TIME: 7:02AM PAGE: 71
SITE ADDRESS: 06650 SW BONITA RD CLASS OF WORK:
SUBDIVISION: PAUL SCHATZ FURNITURE LOT #: 001 TYPE OF USE:
PROJECT NAME: THOMAf3VILLE FURNITURE
DESCRIPTION: TI Value: $66,000
OWNER: PACIFIC REALTY ASSOCIATES, PHONE #:
CONTRACTOR: ARROW MECHANICAL PHONE #: 50;3-692-1565
•
Inspection Request Scheduled For: Date: 1/18/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Metclianical final 063461-01 603-692-1565
Corrections/Comments/Instructions:
PA E PARTIAL APPROVAL 0 CANCEL El NO ACCESS
fl FAIL r CALL FOR INSPECTION LII ADDITI NAL FEES ASSESSED
,
Inspector: Date: / Og Phone #: (503) 718-
'1%6
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MEC2007- 00489
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11114/2007
Phone: (503) 639-4171 °Ifi '
Inspection Requests (24 Hrs.): (503) 639 -4175 t'v' —
INSPECTION WORKSHEET FOR DATE: 1/4/2000 TIME: 7 :01AM PAGE: 60
SITE ADDRESS: 06650 SW BONITA RD CLASS OF WORK:
SUBDIVISION: PAUL SCHATZ FURNITURE LOT #: 001 TYPE OF USE:
PROJECT NAME: THOMASVILLE FURNITURE
DESCRIPTION: TI Value: $65,000
OWNER: PACIFIC REALTY ASSOCIATES, PHONE #:
CONTRACTOR: ARRO W MECHANICAL PHONE #: 503 - 692.1565
Inspection Request Scheduled For: Date: 1/4/2000 Pour Time:
Code # Inspection Description Confirm # Contact # Message
616 Mechanical rough -in 062661 -01 503.691.1565 N
Corrections /Comments /Instructions:
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n PASS "!4=._ CTIAL APPRO : ❑ CANCEL I NO ACCESS
n FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: -.„„. Date: 4 Phone #: (503) 718- Z.6�
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CITY OF ��mm m ��m TIGARD . .
BUILDING DIVISION ,
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PERMIT #: hi[C3007-0M9
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/14/2007
Phone: (503) 639-4171
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Inspection Requests � �
Hrs.): 639-4175
INSPECTION WORKSHEET FOR DATE: 13717/2007 TIME: 7:01AM PAGE: 42
SITE ADDRESS: 866508VVB(}M|TAR[/ CLASS OF WORK:
SUBDIVISION: PAUL SCHAFIZ FURNITURE LOT #: ON TYPE OF USE:
PROJECT NAME: THOMASVILLE FURNITURE
DESCRIPTION: T| Value: $66
OWNER: PACIFIC REALTY ASSOCIATES, PHONE #:
CONTRACTOR: ARROW MECHANICAL PHONE #: 503
'
Inspection Request Scheduled For: Date: 12/17/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message 1
1
615 K8exhmnimalrough'iV 061521'01 603-092-1556 N 1
Corrections/Comments/Instructions:
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11 PARTIAL APPROVAL 0 CANCEL I I NO ACCESS
I I FAIL M CALL FOR INSPECTION El ADO|T|ON: ASSESSED
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inspector: Dote' / �- ^ /v /° � Phone#� 0�U3\718- L-/�' �- ��~ � ( / #: `- — \
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