Permit Ili I " ` � ' CITY OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT PERMIT #: MEC2008 -00029
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 1/16/2008
PARCEL: 1 S126DB -02800
SITE ADDRESS: 09370 SW GREENBURG RD 311 ZONING: C -P
SUBDIVISION: PP1991 - 018 LOT: 001 JURISDICTION: TIG
PROJECT: DAVID BILSTROM MD
Project Description: Relocate grilles for TI. Project Value: $2,500
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:
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
FRANKLIN COMMONS ASSOCIATES Description Date Amount
BY NORRIS + STEVENS
520 SW 6TH STE 400 [MECH] Permit Fee 1/16/200E $84.00
PORTLAND, OR 97204 [TAX] 8% State Surcha 1/16/200E $10.08
Phone: Total $94
•
Contractor:
WILLAMETTE HVAC SERVICE
PO BOX 23334
TIGARD, OR 97281 REQUIRED ITEMS AND REPORTS
Contact #: PRI 503- 628 -6841
FAX 503- 848 -2597
Reg #: LIC 56951
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 :y: � 1 Permittee Signature: I.'
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.
I
.
MechaniCal Permit Application . FR o .
, . orFicE (SE ONLY .
City of Tigard / MU e .y."
' Date/By: iMif (./ -0 0.1
Pennit No.:
. • 13125 SW Hall Blvd., Tigard, OR 97223
Plan Review
: a Phone: 503.639.4171 Fax: 503.598.1960 Other Pennit:
Date/By:
ri GA R D Inspection Line: 503.639.4175 Date Ready/By: hats: Ed See Page 2 for
Internet: www.tigard Notified/Method: ilree Supplemental Information
,a :. t %
Mechanical permit fees* are based on the value of the work
El New construction g Addition/alteration/replacement
performed. Indicate the value (rounded to the nearest dollar) of all
0 Demolition 0 Other: mechanical materials, equipment, labor, overhead, and profit.
Value: $ $2,500 .00
• , ,,,,..-4•44-$;•.•. , -, ..:,`-,..'...',.:'.. 7 : .:, ' '.b.,,,,,,, , ,, , ,v=-=',....4-tV,,, , -...ks- -S .2' “SPAA1 4 ' 4a:',.& '-',-,-''f'-'''''''' .',:j;:Z::RFS:tD:WtW§V:FLM*P*X.*CFtqtinfi
0 1- and 2-family dwelling 0 Commercial/industrial 0 Accessory building
For special information use checklist.
0 Multi-family 0 Master builder 0 Other: Description I Qty. I Ea. I Total
, v::':';,,r46rtrgTfErKirdZZT,iftklrredaffi6i , ;7 1 ,. ":
•--,..-,-,-, '7 Heating/cooling
Air conditioning or heat pump
Job site address: 9370 Sw Greenburg Rd
(requires site plan showing placement) 14.00
City/State/ZIP: Tigard, OR Furnace 100,000 BTU (ducts/vents) 14.00
Furnace 100,000+ BTU (ducts/vents) 17.90
Suite/bldgJapt. no.: 311 Project name: David E Bilstrom
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: Lot no.:
Other: 10.00
Tax map/parcel no.: Other fuel appliances
'Wj,W4fti:;t'e4ctt-Ta5r,Er:VZBWWtjr;rkr6irrk*b'aMZV;.: 1 04. :.73,igniA, i Water heater 10.00
' -- .,.; , 144.' - ''f - -,. :' , .. - :,.
Gas fireplace 10.00
Relocate registers to accommodate new office layout 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
Chimney/liner/flue/vent 10.00
M,t #1 tilifiALX :-'77..M! Other: 10.00
Name: c1,1 jfr 0 0 .,1,---„, Environmental exhaust and ventilation
Range hood/other kitchen
Address: equipment 10.00
City/State/ZIP: Clothes dryer exhaust 10.00
Single-duct exhaust (bathrooms,
Phone: ( ) Fax: ( ) toilet compartments, utility rooms) 6.80
AninkrawisPane 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
wi., - 4.7t - g - W. - 4 ,eMiliAc Barbecue
-'4.-.=',::-. ', ...w.... •:,...., -..,- .-.-..- . -W:5, -- -.,-. -..: ,,.."'"2-r .", ',':%.#4*:::.. 1
Business name: Willamette HVAC Clothes dryer (gas)
Other:
Address: PO Box 23334 fleikl4-f-1:*70,,W#10XIIIFRCA3'
City/State/ZIP: Tigard Or 97281 Subtotal
Minimum permit fee ($72.50) g ° d
Phone: (503) 628.6841 Fax: (503) 848.2597
Plan review (25% of permit fee) --&-"---,..,
CCB lie.: 56951 State surcharge (12% of permit fee)
---- TOTAL PERMIT FEE 94/ og
Authorized signature: lik,cje j kA This permit application expires if a permit Is not obtained within 180
days after it has been accepted as complete.
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CITY OF TIGARD
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BUILDING DIVISION PERMIT #: MEC200t3-00029
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/16.t200B
Phone: (503) 639-4171
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: 1/2812008 TIME: 7:00AM PAGE: 56
SITE ADDRESS: 09370 SW GREENBURG RD 311 CLASS OF WORK:
SUBDIVISION: ppiggtois LOT #: 001 TYPE OF USE:
PROJECT NAME: DAVID EnsTRa;vi MD
DESCRIPTION: Relocate grilles for TI. Project Value: $2,500
OWNER: FRANKLIN COMMONS ASSOCIATES, PHONE #:
CONTRACTOR: W1LLANIFITE HVAC SERVICE PHONE #: 503„628-6Et11
Inspection Request Scheduled For: Date: 1/213/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
615 Mechanical rough-in 064004-01 97i-996-2908 N
Corrections/Comments/Instructions:
—
FA SS I I PARTIAL APPROVAL D CANCEL El NO ACCESS
[ FAIL CALL FOR INSPECTION Li ADDITIONAL FEES AS - ESSED
(ttC(PI-- - v7,e(c)
Inspector: Date: Phone #: (503) 718-
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CITY OF TIGARD . .
A
BUILDING DIVISION PERMIT #: MEC2000- 00029
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: . 1/16r2008
Phone: (503) 639-4171
Inspection Requests (24 Hrs.): (503) 639-4175 1 .411-V.
INSPECTION WORKSHEET FOR DATE: 1/20/2008 TIME: .:=00A1VI PAGE: r c
SITE ADDRESS: 09370 SW GREENBLIRG RD 311 CLASS OF WORK:
SUBDIVISION: PP1991-018 LOT #: 001 TYPE OF USE:
PROJECT NAME: DAVID BILSTROM MD
DESCRIPTION: Relocate grilles for TI, Project Value: $2,600
OWNER: FRANKLIN COMMONS ASSOCIATES, PHONE #:
CONTRACTOR: WILLAMETTE I-1VAC SERVICE PHONE #: 503-620-604 I
N d t t•• ./....
Inspection Request Scheduled For: Date: 1/28/2008 i\j1 Pour Time: ik
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Code # Inspection Description Confirm # Contact # Mes-. • - ,,, ...
639 Mothanical final 06400402 971-998-2908 1
Corrections/Comments/I structions:„
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96 c A72A/o c:( (Lei,
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IPA . 4 SS El PARTIAL APPROVAL 0 CANCEL 0 NO ACCESS
I FAIL 0 CALL FOR INSPECTION 0 ADDITIONAL FEES SESSED
Inspector: t4<(11------------- Date: Phone #: (503) 718-
. .
CITY OF TIGARD
4
BUILDING DIVISION p,omn iviEm00m0029
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: iti wow
Phone: (503) 639-4171 Mil'IT\ 1' / 1,-1(
Inspection Requests (24 Hrs.): (503) 639-4175 A. - '
41
INSPECTION WORKSHEET FOR DATE: 1/24/2008 TIME: 7:02AM PAGE: 39
SITE ADDRESS: ()9370 SW GREENBURG 311 CLASS OF WORK:
SUBDIVISION: PP1991 LOT #: 001 TYPE OF USE:
PROJECT NAME: DAVID BILSTROM MD
DESCRIPTION: Relocate grilles for TI. Project Value: $2,500
OWNER: FRANKLIN COMMONS ASSOCIATES, PHONE #:
CONTRACTOR: WILLAMETTE HVAC SERVICE PHONE #: 503-628-684 I
Inspection Request Scheduled For: Date: 1/24/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Mes : , 1 2:
699 Mechanical final 063846-01 971-998-2908
Corrections/Comments/ Instr tions:
itia7 - ' /00 ( di , k_,-,. _-
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k et a/ ciA- .
: 77
t o g ' PASS PARTIAL APPROVAL El CANCEL n NO ACCESS
0 FAIL CALL FOR INSPECTION fl ADDITIONAL FEES ASSESSED
Inspector: ‘4 (it/t. Date: t/M/br •- P hone #: (503) 718-
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