Permit 1 ' fjCITY OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT PERMIT #: MEC2007 -00540
TIGARD DATE ISSUED: 9/13/2007
13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 25101 BC -02201
SITE ADDRESS: 08300 SW HUNZIKER RD ZONING: I -P
SUBDIVISION: LOT: JURISDICTION: TIG
PROJECT: WESTERN PARTITIONS
Project Description: Install (1) three ton split system a/c unit in the server room. Valuation $8000
CLASS OF WORK: OTR FLOOR FURN: EVAP COOLERS:
TYPE OF USE: COM UNIT HEATERS: VENT FANS:
OCCUPANCY GRP: UNK VENTS W/O APPL: VENT SYSTEMS:
STORIES: BOILERS /COMPRESSORS HOODS:
FUEL TYPES 0 - 3 HP: 1 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: 1 OTHER UNITS:
> 10000 cfm:
GAS OUTLETS:
Owner: FEES
ROACH, MICHAELAAND PAMELA S Description Date Amount
956 WEST POINT RD
LAKE OSWEGO, OR 97034 [MECH] Permit Fee 9/13/2007 $195.50
[TAX] 8% State Surchar€ 9/13/2007 $15.64
[MECPLN] Plan Rev 9/13/2007 $48.88
Phone: Total $260.02
Contractor:
NORTHWEST CONTROL COMPANY
10320 HWY 212
CLACKAMAS, OR 97216 REQUIRED ITEMS AND REPORTS
Contact #: PRI 503 - 656 -9205
( FAX 503- 656 -7609
Reg #: LIC 54300
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 OU NC by
calling 503.246.6699 or 1.800.332.2344.
Issue By �� 4 �i. PermitteeSignatir , ` er1/ (
Call 503.639.4175 by 7:00 a.m. for inspections tI . 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.
N o (4.i o 4, r evie4
r .
K C r e( Pia
, Mechanical ° Permit Annhicatiol y FOR USE ONLY'
y Cit of Ti and SEP P 1 1 2007 D.1./BY, 9 D Si- ad . • —a4
Y g Pemdt NO.!
13125 SW Hall Btvd., Tigard, OR 97223 Plan Review
. Phone: 503.639.4171 Fax: 503.395.1964
CIT Other Permit:
Y ®F TIGARD , D a' r" 7 �� /0
1'1GA Inspection Line: 503.639.4175 ° Date Ready/By; 1 / 1 6.7.
/ / � et See Page 2 for
Internet: www.tigard- or.goV BUILDING DIVISI Notified/Method: I Supplemental Information
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11 10 , + - t ,:r it 1 S i n it,:,. a: ; ,.. , v r ra y }t t n n ,rrr .,s z ££w £ „ n ,. r a ff ,£ ,.:
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❑ New construction ❑ Addition /alteration/replacement Mechanical permit fosse are bused on the
i value of th a ..
performed. Indicate the value (rounded to the nearest dollar) o
e ��
[] Demolition Other ,f �� p ,ct94 -- sr., S�,t.•t
p � /�'a'*i fit,
t ` R tv tx a e 3 n' t o 3M. uF,r s R t {r ' z 1 f + r; e mechanical T nt a • erhead and �In
-. + :.:: '3 i,'.?i':� .' �:fY IZEME �n£"ixi3rR, �' € 3 S ' ; �, ]y � i a �,� RA iSy£ £izrzr n , �; Value: £ i $ r t£ O ° W ° ;S£ - vim i? g.,..,,.,.,n1 i l , t l + Ilk t L t u u p,, o v t i ,,, s t 6 rl � "r
❑ 1- and 2- family dwelling C• -ecrf ercial /industrial ❑ Accessory building j �� a � � i ° -•' F'' ° �� ° -rat
0 Multi- family ❑ Master builder 0 Other: Fop special tn}brrn4tlon use checklist.
''' ++.+ x +rn r�z ,w ++ iii Description I Qty, $a, I Total
110,1 ti1., .....y I4 �. a,At 4w. 0,0 .�� , �.e.ls4.4%)� m "". Y dr i, I E 1� to
f� i lr v . £a " Tn ,£, , . y . .. Heatio coolie
Job site address: , Air conditioning or heat pump
6 "f r'd'"°' fie" '_, - i - (requires site plan showing placement) 14,00
City/State/ZIP: 8�� 0 ,��, Furnace 100,000 BTU (ducts /vents) 14.00
Furnace 100,000+ BTU (duets/vents) 17.90
Suite/bldg./apt. no.: Project name:
!fir 5 rhic as Gas heat pump 14.00
Cross street/directions to job site: y Duct work 14.00
Hydronie 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 r
Other fuel appliances
/parcel no.:
a'R +'{ yr r+ 4v. r'
Tax map
;�
1. i�.' C a u1 l 1 71111 t o +li l C '11 Water heater
.; 10.00
3 j o "fir" � ^ V Gas fireplace 10,00 _
G F( Qs'►4' Flue vent for water heater or as
fireplace
P • 6 -1; se/ kitiNif �- - 01 TV rd .� - ,s° " fihx (gas) 10,40
S ys'r° r '°��" r ? Wood /pellet stove 10,00 _
Wood flreplace/insert 10.00
§� f+ Y , `kag�5r d F�id x, ge, t Z '4 " rh�y5Pi7'>M"" aS y ue/vtnt 10.00
- 4..` 1 leis, tell ,, •tiE i ii i . ,,' w .6:: "Cu . { t i Chittute /liner /f1
Other; 10.00
Name: G") S 7`ldzev fea 77 ,e+e„S C Environmental exhaust and ventilat
Address: $a3 07) •S vN r 7e- g Rd! 4-4t) hood/other kitchen
equipment 10.00
City /State/ZIP; '
e Did cp7z„a.a Clothes dryer exhaust 10,40
Phone: (52 (�� .. Fax: ( Single -duct exhaust (bathrooms,
') 4 4'1 r $ 76 f toilet compartments. utility looms) 6.80
r p 1� t l a�i` S l��t F s ,; ,�t , e l a t� r lz l 10.00
4 ar a , ; art£ ,, ,,„�„ .,_�'$lll{ m si.,., as . ., , t .. : At ace fans
1usiness name: l�r�nr Porn yP' ie�rr _ Other: ' 10.00
P'ueI piping _
Contact name: ,•, ae)� .44,�,,e,� $5.40 for first four; $1.00 for each additional
Address: i'3 s (5 ovv °fie "iGed:oC_ go Furnace, etc,
k.i� Gas heat pump
City /State /ZIP: ,, .0,4 r , g., Wall /suspended /unit heater
Phone: ( 1) G2 0 f 6,00 I Fax; : ( G. 2.140 .. 3-7 ei Water heater
E -mail: g Fireplace
I ,,.s.� t ; ';;; I , Wilnu t u `I3 i a t ` z Y� ; i `` i ` � Alai' i tT! j . , Range � F „r £h t Barbecue
Business name: 0 o t'a.' � LA) r d, - F u , r�., . Clothes dryer (gas)
Other
Address:
! 0 32,o i2, 4.t t o Li 24 .. °m id f' �� t 17MANI l VOR t ,
r c Iltl> a0 hagud�r n `l u tat lb
City /State/ZIP: / g • , A , A rs ble. r4-7,2t ks. Subt
Phone; ( 5725 ) 4 _ q y es-- Fax; ( sue) (d3'Z, - 7la4 _ Minimum permit fen ($72,50) '
CCB lie,; . 0 t!� Plan review (25% of permit fee) _J
State surcharge (8% of permit fee)
TO TAL PERMIT FEE i
Authorized signature: Tab permit application expires it a permit is not obtained - within 150
i i i i g t e .,,,„.,
Print name: days after it has been accepted as complete.
” t l i 1✓7 ✓V Y ' Date: ge yt il a 7 • Pee methodology set by Tri- County Building Industry Service Board
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