Permit i
CITY TI CARD MECHANICAL PERMIT
�� DEVELOPMENT SERVICES PERMIT #: MEC2006 -00388
�"'�� 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 8/9/2006
PARCEL: 2S113BA -00400
SITE ADDRESS: 07632 SW DURHAM RD 300 ZONING: I -P
SUBDIVISION: SW CENTER SDR1999 -00020 LOT: JURISDICTION: TIG
Project Description: Add roof mounted a/c with ducting. Project Value: $11,617.00
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: DOMES. INCIN:
ELE 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: 1 OTHER UNITS:
> 10000 cfm:
GAS OUTLETS:
Owner: FEES
UNITED HEALTH GROUP Description Date Amount
9900 BREN ROAD EAST
MINNETONKA, MN 55343 [MECH] Permit Fee 8/9/2006 $254.45
[MECPLN] Plan Rev 8/9/2006 $20.36
[TAX] 8% State Surcha 8/9/2006 $63.61
Phone: Total $338.42
Contractor:
AMERICAN HEATING INC
1339 SE GIDEON ST, STE. 1
PORTLAND, OR 97202 REQUIRED ITEMS AND REPORTS
Contact #: PRI 503- 239 -4600
FAX 503- 239 -7038
Reg #: LIC 33135
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.
(
c
I // / / Y I By: rk 4 4( Permittee Signature: x ,g7?"?-6,/ °��G �s e--"-- \ / '\ s that business day.
�_ J = Call 503 - 639 -4175 by 7:00 a.m. for inspection
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 Application ., _.. • -.,.: ,--. 7 ...- FOR: biTiCE:USE*INty
City of Tigard Received 1111M011111
Date/By: 0 ' Ili e
•
13125 SW Hall Blvd Pemut No.: A ., Tigard, OR 97223 Plan Review
Phone: 503 639.4171 Fax: 503.598 1960 eplA 1,10 Date/By: Other Permit
Inspection Line 503.639.4175 A Ali I.! Date Ready/By: 0 See 2 for
Lnternet www ci tigard or.us al.-IMO suall.
Notified/Method: MI Supplement al Information
iyon0:**V:S' -,,:::::,,,:',,:::!:::,:,;:,::,--.:,; f' ,',..H,i, .:0101thiCiAtrphit sd01511LE',L,
Mechanical permit fees* are based on the value of the work
D New construction g Addition/alteration/replacement performed. Indicate the value (rounded to the nearest dollar) of all
D Demolition 0 Other: mechanical matenals, equipment, labor, overhead, and profit
Value: $ i / e)/7 0 0
, •
- ,
RESIDENTIAL EQUIPMENT / SYSTEMS FEES*
E 1- and 2-family dwelling Commercial/industrial 0 Accessory building
For special infornia11017 use checklist.
F Multi-family Master builder 0 Other: Description Qty. Ea. Total
)911:".inTikiNsA0 , ,, ,,, ,,R,,r,L.,p- ri „,,.,+;,,„ „.;;,:„., .r.,, , ;-.,,, , Heating/cooling
Job site address: — 1 ( S %-• ti°VAANev■ Pa— Air conditioning or heat pump
(requires site plan showing placement) _ 14 00
City/State/ZIP: 71 (DD_ Ti a---Li' Furnace 100,000 BTU (ducts/vents) 14.00
Furnace 100,000+ BTU (ducts/vents) 17.90
Suite/bldg./apt. no.: 300 Project name: kin V ea kkil}4;l0 f/A 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
Unit heaters (fuel-type, not electric),
in-wall, in-duct, suspended, etc. _ 10.00
Flue/vent for any of above 10 00
Subdivision: Lot no.: , -
Other: 10 00
Tax map/parcel no.: Other fuel appliances
,lz,l:f.fA'e-r,VP:'-'4Z'8'AWN'*qi:l-VF,riAA-4'''a'Ogi'P,..!'O,'414''%''g.t,'V,;:-f,rl-ll-,'-'4'r'Tfk'- Water heater 10.00
4 irl J 'i.-'"Xl--.-4:;f:?=7.1 , 4- 1 ,'M-k,,...A. - ,W - WiMtl - Vlb... ,,,, ....:4W ,5 Q:;i: ,2 : - ; -4 '.;A .4 := ,---T. .f ,-.. i l l ; ' -- i , :' ,.
Gas fireplace 10 00
IN 1 — .D- s c r1911 P- Aft0■411 \ Flue vent for water heater or gas
1 ) - C,. iN IA t v.,„%-;,,,,A, fireplace 10.00
- Log lighter (gas) 10.00
Wood/pellet stove 10.00
Wood fireplace/insert 10.00
:,,,!..,-;- ,,,,,,;,,,;,. Chimney/liner/flue/vent
n-. 5-4 IN; 'ow... hPROPERTYlitakER7:69-,,wf ,t ,;::,,,:N,0,,-,:,-- , -,2,,,
1 4:0 , 11-- '',:' ,,i,,,,,;. v. ::::,,S1t r--,... v., l,:/rr • ,-:',.':' 10.00
Other:
10.00
Name: (A \- k .N... ey4 ...1- 1 4. 6 449.u+, Environmental exhaust and ventilation
Range hood/other kitchen
I Address: CM 0 0 k3 2, ... 014 . equipment 10.00
City/State/ZIP: VII A4olimi.4. v c.k .- Clothes dryer exhaust 10.00
Single-duct exhaust (bathrooms,
Phone: ( ) Fax: ( ) toilet compai tments, utility rooms) , 6.80
VA,:igggi :4414.4=`$,p17 'i:2 Attickrawlspace fans 10.00
, 't ' P ): - , , , t1 1-.
Other 10.00
Business name: itirAtOVCP-A ItTL,Mt/0■161 Fuel piping
Contact name: `IFIA,..‹b Pe:14-4.)S $5.40 for first four; $1.00 for each additional
Furnace, etc.
Address: mci 5 6 C...nr qu).■ -1...
_ Gas heat pump
City/State/ZIP: r crt.p 02._ . Wall/suspended/unit heater .
Phone: (Sta ) ..2,3s- 4600 Fax: : (5Q1 gt 31 — 7 0 ca Water heater
Fireplace
E-mail: c-to... p comv 1,. . i‘ l el- Range
vg-.-eppitRootso Barbecue
- 14fiaM`i-'41,t*ZW,gi';',0(teil'ar0.11gt47..,,,,,,,ka,,,qtR1124,1e.,N;:iV,=i*A1,,:J Sp ;,- i,;10:',
\ Clothes dryer (gas)
Business name: fts."014 0-11;i4Alf\ . .
Other
Address: In i 52. (- A e s - c - 4_,c:::.}
City/State/ZIP: ? wt._ ¶11.03, Subtotal ,.)
V
_ Minimum permit fee ($72.50) e.fr<
,
Phone: (Sg3 Ayi _4 t Fax: ( SQ3 )a..3.1 1
.....0 ta
) Plan review (25°A of permit fee) c,: (P/
CCB lie.: 3 11:3s- State surcharge (8% of permit fee)
TOTAL PERMIT FEE 3 2.
Authorized signature:
This permit application expires if a permit is not obtained within 180
Atoi J.0-e4-A-" days after it has been accepted as complete.
Print name: ikS,0%.(t PI;;I:sit..4, Date. * Fee methodology set by Tri-County Building Industry Service Board
• -- -- _4,7T ii 1/1”/COM/WFR1
CITY OF TIGARD
BUILDING DIVISION '006-00388
'
DATE E l S T E D liVi el E WT - 006
13125 SW Hall Blvd., Tigard, OR 97223
Phone: (503) 639-4171 Ai
. ,tadol t
Inspection Requests (24 Hrs.): (503) 639-4175 ,.„_.. - -.
INSPECTION WORKSHEET FOR DATE: 8/25/2006 TIME: 7:16AM PAGE: 40
SITE ADDRESS: 07632 SW DURHAM RD 300 CLASS OF WORK:
SUBDIVISION: SW CENTER SDR1999 LOT #: TYPE OF USE:
PROJECT NAME: UNITED BEHAVORIAL
DESCRIPTION: Add roof mounted a/c with ducting. Project Value: $11,617.00
OWNER: UNITED HEALTH GROUP, PHONE #:
CONTRACTOR: AMERICAN HEATING INC PHONE #: 5 03-239- 4 600
Inspection Request Scheduled For: Date: 8/25/2006 Pour Time:
Code # Inspection Description Confirm # Contact # M- • age D611A-r
699 Mechanical final 03547401 503-209-0555 Y
•
Correcti ns/Comme ts/ , structions:
...
air 41 '
q146 (91( 1. -24J-0 c - 06 lq 5 CYLAiLvvt./ CAf\c■A•
c it y \i 1 70 . , 74 , i
,,,--
eziofrct) ((
- '
Ire 'ASS PARTIAL APPROVAL EI CANCEL NO ACCESS
I I FAIL n CALL FOR INSPECTION ADDITIONAL FEES ASSESSED
Inspector: ttio(4 wA c,
Date: Phone #: (503) 718- l 2 "
I _