Permit •
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I mg CITY OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT PERMIT #: MEC2008 -00288
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 6/20/2008
PARCEL: 25101 DB -00100
SITE ADDRESS: 07340 SW HUNZIKER RD 210 ZONING: C -P
SUBDIVISION: LOT: JURISDICTION: TIG
PROJECT: CORNERSTONE
Project Description: Mechanical TI - Project Value: $15,000
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: 2 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: WOODSTOVES:
GAS PRESSURE: 50 + HP:
CLO DRYERS:
FURN < 100K BTU: AIR HANDLING UNITS OTHER UNITS: 1
FURN > =100K BTU: <= 10000 cfm:
GAS OUTLETS:
> 10000 cfm:
Owner: FEES
ROBINSON DEVELOPMENT Description Date Amount
PO BOX 91305
PORTLAND, OR 97291 [MECH] Permit Fee 6/20/200E $299.00
[MECPLN] Plan Rev 6/20/200E $74.75
[TAX] 12% State Surch 6/20/200E $35.88
Phone: Total
$409.63
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 B : 1 ` tke):444 j Permittee Signature: 4
Call 503.639.4175 by 7:00 a.m. for inspections t t 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.
•
x5 61 a z c ti t UeS _
aIl� 1Ca�_Pe1'.�Illt Application OR OFFICE USE ONLY i
City of Tigard Received � � AO
'
Date/By: �g „.11 Permit No.: e D .� Yj
13125 SW Hall Blvd., Tig OR 972► `- D /B � �► O ther Permit:
b Plan Review
Phone: 503.639.4171 Fax: 503.5 Cati IC* . a - Date/By: r , din
TIGii RD Inspection Line: 503.639.4175 Date Ready/By: Inds: El See Page 2 for
Internet: www.tigard - or.gov JU N 0 `2008 Notified/Method: 63 , i G , Supplemental Information
JUN vw /l
:, ,I, ll.' m , 4 r 4 ; ti h ', i° i "OF tW R § ; fit . 10 , IE
COf RCIAL,4EE* SCHEDULE USE CHECKOST;`
w w 4 hl f e I I\J t 1 Mechanical permit fees* are based on the value of the work
❑New construction ®Addition /alte n/replacement performed. Indicate the value (rounded to the nearest dollar) of all
❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit.
t r A . _ra . _ Value $ 15 000
„� ° i f �M O ,, CATEGORY OFi CONSTRUCTION t �O� , ys
'' r , '' _ a ' ...- RESIDENTIAL EQUIPMENT %SYSTEMS FEES * �,
1:11 1- and 2- family dwelling ® Commercial / ❑ Accessory bu
For special information use checklist.
❑ Multi- family ❑ Master builder ❑ Other:
Description Qty. Ea. Total
' , FJOB"„SITE" INFO A 6 , F :` He /c oo li ng
Job site address: 7340 SW Hunziker Rd Air conditioning or heat pump
(requires site plan showing placement) 14.00
City /State /ZIP: Tigard, OR 97223 Fumace 100,000 BTU (ducts /vents) 14.00
Fumace 100,000+ BTU (ducts /vents) 17.90
Suite/bldg. /apt. no.: 210 I Project name: Cornerstone
Gas heat pump 14.00
Cross street/directions to job site: SW 72 " Ave & Hwy 217 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
Subdivision: Lot no.:
Flue /vent for any of above 10.00
Other: 10.00
Tax map /parcel no.: Other fuel appliances
'.,11,0, �e , , " 7v " D OF "WORK _ "`• , . , µ i " Z G , , Water heater 10.00
:, °, e ,,,a, _ .,, , _ , ,, -4
Gas fireplace 10.00
Mechanical TI work for building permit # 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
..r. 41 .4PROPERTYYOWNER to iI fix of „ ❑ � ` Chimney /liner /flue /vent 10.00
= TENANT a 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
'„r� it . & APPLICANT'S [r.',o,.',VIO, -: Q O lirn CONTACT PERSON j Attic /crawlspace fans _ 10.00
Other: 10.00
Business name: Reliable HVAC, Inc
Fuel piping
Contact name: Rob Russell $5.40 for first four; $1.00 for each additional
Address: 6600 NW Whitney Rd Fumace, etc.
Gas heat pump
City /State /ZIP: Vancouver, WA 98665 Wall /suspended/unit heater
Phone: (360) 693 -7379 xt.109 Fax: : (360) 693 -7784 Water heater
Fireplace _
E -mail: rrussell @reliablehvac.biz Range
p , a t : % u : ' ” .. • j F } C ONTRACTOR, m.. . a ,. "`f ( _, Barbecue
q ,
Business name: Reliable HVAC, Inc Clothes dryer (gas)
Other:
Address: 6600 NW Whitney Rd, Suite C '
'�t�''i = .;;MtCHANICALi'ERMIT I±EES *. 1. 4;r,
City /State /ZIP: Vancouver, WA 98665 Subtotal
Minimum permit fee ($72.50)
Phone: (360) 693 -7379 Fax: (360) 693 -7784 Plan review (25% of permit fee)
CCB lie.: 145234 State surcharge (12% of permit fee)
/ � ?'' IOTA PERMIT FEE
Authorized signature: p `._.. This p ermit a expires if a permit is not obtained within 180
1 y days after it has been accepted as complete.
Print name: Rob Russ I Date: 6/9/08 * Fee methodology set by Tri- County Building Industry Service Board
I.' Building \PermitswlEC- PermitApp.doc 04/06/06 440 -4617T (1 I /02 /COM /WEB)
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MEC2008-00288
13125 SW Hall Blvd., Tigard, OR 97223 ,, ,
DATE ISSUED: 6/20/2008
Phone: (503) 639-4171 iiziumt
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: 9/2/2008 TIME: 7:01Aivi PAGE: 27
SITE ADDRESS: 07340 SW HUNZIKER RD 210 CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: CORNERSTONE
DESCRIPTION: Mechanical TI - Project Value: $15,000
OWNER: ROBINSON DEVELOPMENT. PHONE #:
CONTRACTOR: RELIABLE HVAC PHONE #: 360
Inspection Request Scheduled For: Date: 9/2/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
GM Mechanical rough-in 074884-02 503-209-1223 N
Corrections/Comments/Instructions:
6 4
r-;- A.
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t_ I r/ PARTIAL APPROVAL 111 CANCEL Li NO ACCESS
1 I FAIL CALL FOR INSPECTION
C ----::- ----- -7 0 ADDITIONAL FEES ASSESSED
Date: D Phone #: (503) 718- Z 644/ r
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