Permit M.,, { .
CITY OF TIGARD
MECHANICAL PERMIT
°'
III COMMUNITY DEVELOPMENT PERMIT #: MEC2007 -00563
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 9/27/2007
PARCEL: 25101 BC -02200
SITE ADDRESS: 08330 SW HUNZIKER RD ZONING: I -P
SUBDIVISION: LOT: JURISDICTION: TIG
PROJECT: WESTERN PARTITIONS
Project Description: Extend ducts & grilles for TI, no plan review required. Project Value: $1,000
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: 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
MICHAEL & PAMELA ROACH Description Date Amount
8300 SW HUNZIKER RD
TIGARD, OR 97223 [MECH] Permit Fee 9/27/2001 $72.50
[TAX] 8% State Surcha 9/27/2001 $5.80
Total $78.30
Phone: 503- 620 -1600
Contractor:
WESTERN PARTITIONS INC
8300 SW HUNZIKER RD
TIGARD, OR 97223 REQUIRED ITEMS AND REPORTS
Contact #: PRI 503- 620 -1600
Reg #: LIC 60330
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.
Iss d By: I , Id Permittee Signature: _, M/1 L .V .4 / _ di l
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.
Mechanical Permit Application FOR OFFICE USE. ONLY
Received �/ 7�
< City of Tigard Date/By: e 7 / Permit No.: g��J7 ✓ 6
V 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review
Phone: 503.639.4171 Fax: 503.598.1960 Date/By: Other Permit:
T I G A RD Inspection Line: 503.639 Date Ready /By: J la See Page 2 for
• Internet' www.tigard- or.gov Notified/Method: 6 Supplemental Information
- T YPE OF WORK COMMERCIAL FEE* SCHEDULE — USE CHECKLIST
❑ New construction El Addition /alteration /replacement 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, labor, overhead, and profit.
-
CATEGORY. OF CONSTRUCTION V a l ue: $ / 000, i
1- a nd 2-family dwelling RESIDENTIAL EQUIPMENT /,SYSTEMS FEES*
❑ y g ❑ Commercial /industrial El A ccessory building
❑ Multi- family ❑ Master builder For special information use checklist.
❑ Other: Description Qty. Ea. Total
JO& SITE ,INFORMATION AND LOCATION ' ' Heating/cooling
/, / Air conditioning or heat pump
Job site address:
330 f� u 1 z ; k p.- J \c (requires site plan showing placement) 14.00
City/State /ZIP: J 1C �� c �c /y., Furnace 100,000 BTU (ducts /vents) 14.00
J Furnace 100,000+ BTU (ducts /vents) 17.90
Suite/bldg./apt. no.: Project name: Pr 1 ?,1,1, 1 . .4 A�� p p
o" Gas heat um 14.00
Cross street/directions to job site: Duct work 10.00
7 a kct q ( / Hydronic hot water system 14.00
P 0,>.-e eve ^ Residential boiler (radiator or
hydronic) ' 14.00
Unit heaters (fuel -type, not electric),
in -wall, in -duct, suspended, etc. 14.00
Flue /vent for any of above 6.80
Subdivision: Lot no.: -
Other: 10.00 .
Tax map /parcel no.: Other fuel appliances
DESCRIPTION OF WORK . Water heater 10.00
1 �p /1- f Gas fireplace 10.00
f i'l l .P f S i'no Cat C( c t , )C) s I £,C) a ci f/ Flue vent for water heater or gas
fireplace 10.00
3 `JG{ i) pi t� S • 4 ( re 7/7 n C Log lighter (gas) 10.00
Wood /pellet stove 10.00
Wood fireplace /insert 10.00
' ' ID PROPERTY OWNER CI TENANT Chimney /liner /flue /vent 10.00
Other: 10.00
Name: V u e i- 'Pam '.---cack Environmental exhaust and ventilation
_ , /7 Range hood/other kitchen
Address:
. 3 O D 5� If h Z i ke r �"- equipment 10.00
City /State /ZIP: �� � � r q % � „ �,y� �- , ?) Clothes dryer exhaust 10.00
Single -duct exhaust (bathrooms,
Phone: (503) _.,.A0 -/60 0 Fax: ( ) toilet compartments, utility rooms) 6.80
❑ APPLICANT. ❑ CONTACT PERSON Attic /crawlspace fans 10.00
Business name: Other: 10.00
Fuel piping
Contact name: $5.40 for first four; $1.00 for each additiona
Address: Furnace, etc.
Gas heat pump
City /State /ZIP: Wall /suspended /unit heater
Phone: ( ) Fax: : ( ) Water heater
Fireplace
E -mail:
Range
:. CONTRACTOR , Barbecue
j Clothes dryer (gas)
Business name: 6t 3 . ,, s G, .,>7 )0, r 6, 1 6.; Ct rt...: h.
Other: •
Address: & 3 oo 5 bo 17 u RZ 1 j C/ .• MECHANICAL PERMIT FEES*
City /State /ZIP: G� G r Qt 6,- 9 702 02 3 Subtotal
Phone: (
• //c, 00 Fax: (s f 3) 6,9 _ Minimum permit fee ($72.5 �� - S
G/ S �� Plan review (25% of permit feee )
CCB lie.: Cta l933 D • . State surcharge (8% of permit fee) ,6 ,C.)
TOTAL PERMIT FEE n , 3?)
Authorized signature: (/; (66( f �/�' 1 /� GL/1... CY (-/` This permit application expires if a permit is not obtain within 180
-----. days after it has been accepted as complete.
Print name: A na f'ec 4 yri Li f • f et t Date: Vd )/e) y * Fee methodology set by Tri- County Building Industry Service Board
1: \Building \Permits \Iv1EC- PermitApp doe 01/19/07 \ 440 -4617T (11 /02 /COM /WEB)
Mechanical Permit Application - City of Tigard
Page 2 - Supplemental Information r�
Commercial Fee Schedule:
Total' 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.
I:\ Building \Permits \MEC- PermitApp.doc 01/19/07 2
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MEC2007-00563
13125 SW Hall Blvd., Tigard, OR 97223 = DATE ISSUED: 9/7/2I)07
Phone: (503) 639 -4171 ONO I4
Inspection Requests (24 Hrs.): (503) 639 -4175 ___..
INSPECTION WORKSHEET FOR DATE: 10/18/20•7 TIME: 7 : 01AM PAGE: 72
SITE ADDRESS: 08330 SW HUNZIKER R() CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: WESTERN PARTITIONS
DESCRIPTION: Extend ducts & grilles for TI, no plan review required. Project Value: $1,000
OWNER: ROACH, MICHAEL & PAMELA PHONE #: 503 -G20 -1600
CONTRACTOR: WESTERN PARTITIONS INC PHONE #: 503 - 52(1.1600
Inspection Request Scheduled For: Date: 10/18/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 057810 - 04 503 - 624 - 5326 N
Corrections /Comments/ Instructions:
4L‘ " s P TIAL APPROVAL I I CANCEL I NO ACCESS
n FAIL I L FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: `U tegA7 Phone #: (503) 718 - Z6 / /5 . /
%kb
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MEC2007-00563
13125 SW Hall Blvd., Tigard, OR 97223 A DATE ISSUED: 9o712007
Phone: (503) 639-4171
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: 10/1812007 TIME: 7 PAGE: 73
SITE ADDRESS: 08330 SW HUNZIKER RD CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: WESTERN PARTITI ONS
DESCRIPTION: Extend ducts & grilles for TI, no plan review required. Project Value: $1,000
503-620-1600
OWNER: ROACH, MICHAEL & PAMELA PHONE #:
CONTRACTOR: WESTERN PARTITIONS INC PHONE #: 503-620-1600
Inspection Request Scheduled For: Date: •0/18/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
615 Mechanical rough-in 057816-03 503-624-5325
•
Corrections/Comments/Instructions:
" A RTIAL APPROVAL 111 CANCEL I I NO ACCESS
I I FAIL Si CALL FOR INSPECTION I I ADDITIONAL FEES ASSESSED
Inspector: __. Date: Phone #: (503) 718- 2.4YY