Permit r f
• CITY OF TIGARD
COMMUNITY DEVELOPMENT MECHANICAL PERMIT PERMIT #: MEC2007 -00708
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 12/6/2007
PARCEL: 2 S 113 BA -00400
SITE ADDRESS: 07632 SW DURHAM RD 130 ZONING: I -P
SUBDIVISION: SW CENTER SDR1999 -00020 LOT: JURISDICTION: TIG
PROJECT: UNITED HEALTHCARE
Project Description: Add (1) each supply and return grille. $1000.00
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: DOMES. INCIN:
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: AIR HANDLING UNITS CLO DRYERS:
FURN > =100K BTU: <= 10000 cfm: OTHER UNITS:
> 10000 cfm:
GAS OUTLETS:
Owner: FEES
OPUS REAL ESTATE OREGON IV LLC Description Date Amount
1000 SW BROADWAY
1130 [MECH] Permit Fee 12/6/2007 $72.50
PORTLAND, OR 97205 [TAX] 8% State Surcha 12/6/2007 $5.80
Phone: Total $78.30
Contractor:
HOWARD MECHANICAL
PO BOX 80670
PORTLAND, , O R 97280 REQUIRED ITEMS AND REPORTS
OR
Contact #: PRI 503- 892 -8722
FAX 503 - 892 -8724
Reg #: LIC 164205
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.
4/1 Issued By: 4 / � . — � ' Permittee Signature: -i` � _
Call 503.639.4175 by 7:00 a.m. for inspections that business day.
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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 c .aW FOR OFFICE USE ONLY •
� � -
City of Tigard d
` Recei Permit No.: /
° 13125 SW Hall Blvd., Tigar S' 97(� 3, 2001 Date/By: (O p I / I 40 7V
1 Phone: 503.639.4171 Fax It .98il9A0 1 Plan Review
Date /By: Other Permit:
11 GA RD Inspection Line: 503.639.AZ4y Date Ready/By: )nri ® See Page 2 for
Internet: www.tigard - g . ff T1�t Notified /Method Supplemental Information
BUILDING DLVi8ION
TYPE OF WORK 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: $ 4 11 , c._.
RESIDENTIAL EQUIPMENT / SYSTEMS FEES*
❑ 1- and 2- family dwelling :Commercial /industrial ❑ Accessory building
U , For special information use checklist.
❑ Multi- family Master builder ❑ Other: Description Qty. Ea Total
JOB SITE INFORMATION AND LOCATION Heating/cooling
Job site address: 746 3 L— s,....., .,,... ,,,, �o. Air conditioning or heat pump
(requires site plan showing placement) 14.00
City /State /ZIP: to 4,,s 0 4 T7 "41 L Q Furnace 100,000 BTU (ducts /vents)
Furnace 100,000+ BTU (ducts /vents) 14.00
Suite/bldg. /apt. no.: 50 Project name: l �� t!t- - _-L \ ►� 17.90
Gas heat pump 14.00
Cross street/directions to job site: Duct work 10.00
Hydronic hot water system 14.00
Residential boiler (radiator or
hydronic) 14.00
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Unit heaters (fuel -type, not electric),
in -wall, in -duct; suspended, etc. 14.00
Subdivision: Lot no.: Flue /vent for any of above 6.80
Other: 10.00
Tax map /parcel no.: Other fuel appliances
DESCRIPTION OF WORK Water heater 10.00
Gas fireplace 10.00
A✓Jya l • Sa IAA - y 7 ( , /'t- 4.4. 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: Environmental exhaust and ventilation
Address: Range hood/other kitchen
equipment 10.00
City /State /ZIP: Clothes dryer exhaust 10.00
Single -duct exhaust (bathrooms,
Phone: ( ) Fax: ( ) toilet compartments, utility rooms) 6.80
❑ APPLICANT ❑ CONTACT PERSON Attic /crawlspace fans 10.00
Other: 10.00
Business name: 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/unit heater
Phone: ( ) Fax:: ( ) Water heater
Fireplace
E -mail:
Range
CONTRACTOR Barbecue
Business name: /w�tivlL_ Clothes dryer (gas)
G Other:
Address: / ,)?a d ci 610 MECHANICAL PERMIT FEES* .
City /State /ZIP: .'f- '�- `'f``� t�.Z t
/'"� 72.. JO Subtotal
Phone: ( ) F ?2. -'72 � Fax: (j' SL
b3) ' - ?72 Minimum permit fee ($72.50)
e507.) Plan review (25% of permit fee)
CCB lie.: ! (� Lf 2-0 'S= State surcharge (8% of permit fee)
/ TOTAL PERMIT FEE i o • 30
Authorized signs This permit application expires if a permit is not obtained within 180
—mom days after it has been accepted as complete.
Print name: A / , Date: 126/''7 * Fee methodology set by Tri- County Building Industry Service Board
1' 13uilding \Permits\MEC- PermitApp.doc 01/19/07 440 -4617T (1I /02 /COM /WEB)
Mechanical Permit Application - City of Tigard
Page 2 Supplemental Information
Commercial Fee Schedule:
Total Valuation: Permit Fee:, .
$1.00 to $2,000.00 Minimum fee $72.50
$2,001.00 to $5,000.00 $72.50 for the first $2,000.00 and $2.30
for each additional $100.00 or fraction
thereof, to and including $5,000.00.
$5,001.00 to $10;000.00 $141.50 for the first $5,000.00 and
$1.80 for each additional $100.00 or
fraction thereof, to and including
$10,000.00.
$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. `` . 1 1 ;.r d , \°
$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:\ Building \Permits \MEC- PermitApp.doc 01/19/07 2
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MEC2007- 0070
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 12/6/2007
Phone: (503) 639- 4171All'1100
Inspection Requests (24 Hrs.): (503) 639 -4175 F
INSPECTION WORKSHEET FOR DATE: /212012007 TIME: 7:01AM PAGE:
SITE ADDRESS: 07632 SW DURHAM RD 130 CLASS OF WORK:
SUBDIVISION: SW CENTER SDR1999 LOT #: TYPE OF USE:
PROJECT NAME: UNITED HEALTHCARE
DESCRIPTION: Add (1) each supply and return grille. $1000.00
OWNER: OPUS REAL ESTATE OREGON IV LLC, PHONE #:
CONTRACTOR: HOWARD MECHANICAL PHONE #: 503 -892 -8722
Inspection Request Scheduled For: Date: 12/210007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 001856 -01 503- 334 -56G6 dIP
Corrections /Comments/ Instructions:
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P' ' PARTIAL APPROVAL fI CANCEL n NO ACCESS
FAIL / CALL FOR INSPECTION ADDITIONAL FEES ASSESSED
Inspector: Date: g- . Ze 07 Phone #: (503) 718 -Z-o