Permit Pli - . ,.
1 „, .1
CITY OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT PERMIT #: MEC2007 -00025
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 1/10/2007
PARCEL: 25101 DB -00103
SITE ADDRESS: 07360 SW HUNZIKER RD ZONING: C -P
SUBDIVISION: HILLTOP BUSINESS CENTER LOT: JURISDICTION: TIG
Project Description: Replace rooftop HVAC Value: $14,600.00
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: REPAIR UNITS:
FIRE DAMPERS ?: 30 - 50 HP:
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.
"Zitel..Aerecildrier_., ` C
Issued By: P ermittee Signature: A / /�
Call 503.639.4175 by 7:00 a.m. for inspections that business day. a
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.
.
.ti
Vlechanical Permit Aoplic tion l FOR OFFICE US ON
: >'
City of Tigard Received • �C
13125 SW Hall Blvd., Tigard, OR 972 Date/By. Q Permit No. _ D� I�L.7
■
% �� • Plan Revie
0 • Phone: 503.639.4171 Fax: 503� O p�q t� Aa.�7 Date/By Other Permit.
Ti G A R D Inspection Line. 503.639 (31091.... Date Ready/By: 3 a.. IO See Page 2 for
Internet: www.tigard or.gov
o T n'`� f Notified/Method: ✓ Supplemental Information
' ... - TYPE. • 0 rr COMMERCIAL FEE* SCHEDULE =USE CHECKLIST'
❑ New construction . :`I r e pla cement Mechanical permit fees* are based on the value of the work
performed. Indicate the value (rounded to the nearest dollar) of all
❑ Demolition ❑ Other: mechanical materials, equipment, I bor, overhead, andgrofit.
. - _ CATEGORY OF CONSTRUCTION.
Value: .1' OD `. _
RESIDENTIAL EQUIPMENT /SYSTEMS ,
❑ 1 and 2 family dwelling RCommercia1Iindustrial ❑ Accessory building
For special information use checklist.
❑ Multi family ❑ Master builder ❑ Other: Description
Qty. 1 Ea. I Total
JOB; -SITE, INFORMATION AND:;LOCATION . - • Heating /cooling
Job site address: 736 c, c � i z 0 �� te� Air conditioning or heat pump
l r - /V 3 1 k � (requires site plan showing placement) 14.00
City /State /ZIP: 7 4 o -_ el 7 0_Z3 Furnace 100,000 BTU (ducts/vents) 14.00
Furnace 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),
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
Water heater 10.00
D ESCRIPTION ` OF WORK -
f e i AA / Gas fireplace
/ . fit- Flue vent for water heater or gas 10.00
}�, f`T / � 4 fireplace 10.00
�i/( �T Log lighter (Ras) 10.00
Wood /pellet stove 10.00
Wood fireplace /insert 10.00
o. Chimney /liner /flue/vent
. ❑ PROPERTY, , , TENANT, ,:
- 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
" Attic/crawls ace fans 10.00
APFLICANT - „,_ ❑ p
„, Other: 10.00
Business name: j /-h./ Afe,_ Fuel piping
Contact name: efraeeti L. (/ E 4/ $5.40 for first four; $1.00 for each additional
Address: (,k, I v �li-t e
- ,- P-6 G� O I f C Furnace, etc.
y �"•' Gas heat pump ,
City /State /ZIP:VM■e O Uvr..."..__ - I S' AO c Wall/suspended/unit heater
Phone: (3 ) 4,e 3.r 9 7 ? Fax: : (54 3 7:701- Water heater
/( Range
E -mail: _e Vt� S4 G / � ' �{/,�, � / �- Range
CONTRACTOR Barbecue
Business name: (:� EVE Clothes dryer (gas)
Other:
Address: MECHANICAL PERMIT FEES*
City /State /ZIP: Subtotal a 93, ko
Phone: ( ) Fax: ( ) Minimum permit fee ($72.50) /
Plan review (25% of permit fee) /
CCB lic.: / ��.0 State surcharge (8% of permit fee) dR. 1
TOTAL PERMIT FEE -,/ 7 Q
Authorized si ature: �.A. L This permit application expires if a permit is not obtained within 180
_ _ - i41ii `, �, f' ■ ∎ days after it has been accepted as complete.
Print name: ,� i� , Date: 1 '-- io - o 7 • Fee methodology set by Tri- County Building Industry Service Board
C\ Building \ Permits WEC- PennitApp.doc 04 /06/06 440 -4617T(Ii /02/COM/WEB)
•
Mechanical Permit Application - City of Tigard
Page 2 - Supplemental Information
Commercial Fee Schedule:
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.
$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:\Building\Permits\MEC- PermitApp.doc 12/30/05 2
CITY OF TIGARD ,
BUILDING DIVISION 1 • PERMIT #: MEC2007 -00025
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/10/2007
Phone: (503) 639 -4171 a i11
Inspection Requests (24 Hrs.): (503) 639 -4175 � F:_..
INSPECTION WORKSHEET FOR DATE: 4/25/2007 TIME: 7 :00AM PAGE: 3
SITE ADDRESS: 07360 SW HUNZIKER RD CLASS OF WORK:
SUBDIVISION: HILLTOP BUSINESS CENTER LOT #: TYPE OF USE:
PROJECT NAME: HILLTOP BUS CTR
DESCRIPTION: Replace rooftop HVAC Value: $14,600.00
OWNER: ROBINSON DEVELOPMENT, PHONE #:
CONTRACTOR: RELIABLE HVAC PHONE #: 360 -693 -7379
Inspection Request Scheduled For: Date: 4/25/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
615 Mechanical rough -in 047129 -01 503. 793 -3874 N
Cor ecti n omments /Instructions:
LEI PARTIAL APPROVAL El CANCEL I I NO ACCESS
I I FAIL ALL FOR INSPECTION ❑ ADDITIeNAL FE. ASSESSED
Inspecto Date: Phone #: (503) 718 - ' ®
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MEC2007-00026
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/10/2007
Phone: (503) 639-4171
Inspection Requests (24 Hrs.): (503) 639-4175 .444. -
INSPECTION WORKSHEET FOR DATE: 8.122/200i TIME: 7:01AM PAGE: 25
SITE ADDRESS: 07360 SW HUNZIKER RD CLASS OF WORK:
SUBDIVISION: HILLTOP BUSINESS CENTER LOT #: TYPE OF USE:
PROJECT NAME: HILLTOP BUS CTR
DESCRIPTION: Replace rooftop FIVAC Value: $14,600.00
OWNER: ROBINSON DEVELOPMENT, PHONE #:
CONTRACTOR: RELIABLE HVAC PHONE #: 360-693-7379
Inspection Request Scheduled For: Date: 6122/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 074506-04 503-209-1223
Corrections/Comments/Instructions:
A -
- ASS 11/ •ARTIAL APPROVAL 0 CANCEL 0 NO ACCESS
0 FAIL //, C L FOR INSPECTION liii ADDITIONAL FEES ASSESSED
Inspector: Date: ZI Phone #: (503) 718- Zdyfr