Permit �.. . '► T OF T
1
II CITY Y O1 TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT PERMIT #: MEC2007 -00023
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 1/10/2007
PARCEL: 25101 DB -00104
SITE ADDRESS: 07300 SW HUNZIKER RD ' ZONING: C -P
SUBDIVISION: LOT: JURISDICTION: TIG
Project Description: Replace existing rooftop HVAC /AC units. Value: $13,900.00
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: 1 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: 1 AIR HANDLING UNITS CLO DRYERS:
FURN > =100K BTU: <= 10000 cfm: OTHER UNITS:
> 10000 cfm:
GAS OUTLETS:
Owner: FEES
ROBINSON DEVELOPMENT Description Date Amount
PO BOX 91305
PORTLAND, OR 97291 [MECH] Permit Fee 1/10/2007 $293.60
[TAX] 8% State Surcha 1/10/2007 $23.49
Total $317.09
Phone: .
Contractor:
RELIABLE HVAC
6600 NW WHITNEY RD SUITE C
VANCOUVER, WA 98665 REQUIRED ITEMS AND REPORTS
Contact #: PRI 360 - 693 -7379
FAX 360 - 693 -7784
Reg #: LIC 145234
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.
Issued By: g a d if f Permittee Signature: 7L – I -� J!« �
Call 503.639.4175 by 7:00 a.m. for inspections that bu iness day. 411W
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.
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Mec ianiZa Pl Application F012 Orr ice us1 ONLY
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114 City of Tigard Received ! w • 7 �J PermitNo.�� dal .€1:2941
4 1 3125 S W Hall Blvd., Tigard, OR 97223 D ate/By Plan Revie
C Phone: 503.639.4171 Fax: 503.598.1960 0 Other Permit:
TI GA R D Inspection Line: 503.639 t� � ^ OQ Date Ready/By: ® See Page 2 for IM
www.tigard- or.gov ‘ %
Internet: 1 • O Notified/Method: Supplemental Information
. �P� .��C,PS`(Z
• TYPE OF WORK �� Q ®V COMMERCIAL FEE* SCHEDULE - USE CHECKLIST
El New construction gAddition/alteration/r ibnt Mechanical permit fees* are based on the value of the work
�v performed. Indicate the value (rounded to the nearest dollar) of all
❑ Demolition El Other: mechanical materials, equipment, labor, overhead, and profit.
CATEGORY OF CONSTRUCTION Value: 13,
RESIDENTIAL EQUIPMENT / SYSTEMS'FEES*
❑ 1- and 2- family dwelling RI Commercial /industrial ❑ Accessory building
• For special information use checklist.
❑ Multi- family ❑ Master builder ❑ Other:
Description I Qty. Ea. I Total
JOB SITE INFORMATION AND LOCATION Heating /cooling
�� // ,r ,/� /� /� Air conditioning or heat pump
Job site address:
7 C� � t' 1 `' 1 Wt� / �i), (requires site plan showing placement) 14.00
City /State /ZIP: IT c'YZ oi 7 Z2 3 Furnace 100,000 BTU ( ducts/vents) 14.00
Fumace 100,000+ BTU (ducts/vents) 17.90
• Suite/bldg. /apt. no.: Project name:
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),
. 0 ` in -wall, in -duct, suspended, etc. 10.00
Subdivision: Al / I vP ? ✓ J � 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
fl �j ,V Gas fireplace 10.00
_(�� ��c�J P� Flue vent for water heater or gas
�L [ ,` / t fireplace 10.00
V 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
,(� / , r / /�, A ' _ Other: 10.00
/ t`-C� �� /?�
Business name: f T V 4- ._ �[ /lJ� Fuel piping
Contact name: _ 4 vc )" $5.40 for first four; $1.00 for each additional
Address: („6, A/ 4/1.../.7,---141--E/ )0, s- i Furnace, etc.
Gas heat pump
City /State /ZIP: V ottAl Ct) t V cl A 4- 6 Wall /suspended/unit heater
Phone: ("5,6.0) eO GI 3 _ -7.3 7 q Fax: : (S bo) 6,23 7 g l Water heater
�, ! �, / Qom Fireplace
E -mail: -eft. c.re -S tLs f C (.�
(,( -�d .r v C . IS i.- Range
` C CONTRACTOR Barbecue
Business name: Lj to / A.. U Clothes dryer (gas)
Other:
Address: MECHANICAL PERMIT FEES*
City /State /ZIP: Subtotal A r4 1°0
Phone: ( ) Fax: ( ) Minimum permit fee ($72.50)
Plan review (25% of permit fee) /
CCB lic.: L 4-5 3 State surcharge (8% of permit fee) ,-yam
TOTAL PERMIT FEE
Authorized signature ... This permit application expires if a permit is not obtained within 180
- days after it has been accepted as complete.
Print name: E.V L J /4 ' Da e: % — j d _C? 7 • Fee methodology set by Tri- County Building Industry Service Board
\ B
1:uilding \Permits \MEC- PennitApp.doc 04/06/06 440 -4617T (11 /02/COM/WEB) /
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Mechanical Permit Application - City of Tigard
Page 2 - Supplemental Information
Commercial Fee Schedule:
Total Valuation: `` Permit Fee: r..;
$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.
$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.
1•\Buildin PermitApp.doc 12/30/05 2
CITY OF TIGARD .. .
BUILDING DIVISION PERMIT #: MEC2007- 00023
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/10/2007
Phone: (503) 639 -4171 An ��ii il
Inspection Requests (24 Hrs.): (503) 639 -4175 �' - '__�,
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INSPECTION WORKSHEET FOR DATE: 8/22/200. -' TIME: 7:01AM PAGE: 20
SITE ADDRESS: 07300 SW HUNZIKER RD CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: HILLTOP BUS CENTER
DESCRIPTION: Replace existing rooftop HVACIAC units. Value: $13,900.00
OWNER: ROBINSON DEVELOPMENT, PHONE #:
CONTRACTOR: RELIABLE HVAC PHONE #: 360 893
Inspection Request Scheduled For: Date: 8/22/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 074506 -01 503.209-1223 N
Corrections /Comments/ Instructions:
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SS ) ❑ PARTIAL APPROVAL ❑ CANCEL n NO ACCESS
IN ' IL j CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: . ` — __ Date: v0 Phone #: (503) 718- ..6 Y
Nth,