Permit a , CITY OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT PERMIT #: MEC2007 -00724
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 1/9/2008
PARCEL: 2.-011O1
SITE ADDRESS: 12562 SW MAIN ST 210 ZONING: CBD
SUBDIVISION: LOT: JURISDICTION: TIG
PROJECT: SPEC SPACES
Project Description: HVAC rooftop $10,824
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:
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: AIR HANDLING UNITS CLO DRYERS:
OTHER UNITS:
FURN > =100K BTU: 1 <= 10000 cfm: GAS OUTLETS: 1
> 10000 cfm:
Owner: FEES
WILKING INVESTMENTS V LLC Description Date Amount
16325 BOONES FERRY RD STE 200
LAKE OSWEGO, OR 97035 [MECH] Permit Fee 1/9/2008 $243.65
[MECPLN] Plan Rev 1/9/2008 $60.91
[TAX] 8% State Surcha 1/9/2008 $19.49
Phone: Total
$324.05
Contractor:
FIRST CALL HEATING & COOLING
1650 PORTLAND, D, D
OR 97211 -4798 REQUIRED ITEMS AND REPORTS
PORAD, OR
Contact #: PRI 503- 247 -2054
FAX 503- 286 -5194
Reg #: LIC 102030
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.
i
Issued By: P ermittee Signature: I , �
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.
1215 --co iiki kl
Mechanical Permit Application FOR OFFICE USE ONLY
jLJ; 1 � —: Received
City of Tigard ; I �� , Sit . � , Date/By: St ! ., 3 G P ermit No Abe , .
13125 SW Hall Blvd., Tigard, OR 97223 �` r ' � 1 i -' I( Plan Review M/i a n ��
'4-ft _ r r 71 e ' " U.'- ., I' ... :,Dat (4 - ' 128 Other Permit:
•, , .{.• ,- v.tiltg : `. r.�+'r . 11i .-1,16775.).—.±7 1 _ __ ; - • - - _ `. • p tp
_ � � SeeYgeZfor
Internet www.ci.tigard.or.us _ 3� . ' ',', Notified/M . : og !Mr. 1nformalioo
',9'. f an U^ o v-i Z.t L tr' !�L� z � i
r 7 E ;�r � ^ 4 ?.Y. ! ■ ∎ DS' •i .. � ' !t: f �l l ss � ...-w._ e 2 .; . w . ' r k- r- :
Mechanical permit fees* are based on the value of the work
❑ New construction ,® Addition /alteration/replacement performed. Indicate t value (rounded to the nearest dollar) of all
❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit
��{{ Value: $ „ Y e o
,., ,:rS :m .-- s � .. _. K y.- (�■■a�rpp
. _ ,�� ����35 : yIF 0 � } ti- ' '
❑ 1- and 2- family dwelling ( Commercial/industrial ❑ Accessory building For special information use checklist.
❑ Multi- family ❑ Master builder ❑ Other: Description I Qty. I Ea. I Total
--'.:;4� - '; ,, * JOB BIM INFORMATION AND 'LOCATION ':; . : _.__.. Heatint;/coolimg
Air conditioning or heat pump
Job site address: / a ` 6 /, Q lei S fi t , (requires site plan showing placement) 14.00
/ '
City/State/ZIP: 7 0t Cg 9 ' ? Furnace 100,000 BTU (ducts/vents) 14.00
`� Furnace 100,000+ BTU (ducts/vents) 17.90
Suite/bldg./apt. no.: I 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. 40.00
Flue /vent for any of above 10.00
Subdivision: I Lot no.: Other: , . 10.00
Tax map /parcel no.: Other fuel appliances ,
' - DESCRIPTION OF WORK t Water heater _ i0.00 --
' Gas fireplace 10.00
I td� / w - • , , Flue vent for water heater or gas
i , fireplace 10.00
- —t- CJ 4 - - p /pa- *I /3A r1A F x Aifi toI S Leg lighter (gas) 10.00
Wood/pellet stove 10.00
Wcod fireplace/inseit 10.00
_
: BROPERfI'T:UWNBR _ - - `.0 TENANT .. ther 10.00
Chimney/liner/flue/vent lU
U
Name: Environmental exhaust and ventilation
Range hood/other kitchen
Address: equipment 10.00
City/State/ZIP: Clothes dryer exhaust 10.00
Single -duct exhaust (bathrooms,
Phone: ( ) Fax: ( ) toilet compartments, utility rooms) 6.80
CI 1PPIrICAIST, ❑ CO P ERSON - , _ Attic
�� :. wispace fans 10.00 Other: _ 10.00
Business nine:, ice- ` .. - - -- - - uel piping
Contact name: $5.40 for first four; $1.00 for each additiona
•
Furnace, etc.
Address: Gas heat pump
City/State/ZIP: Wall /suspended/unit heater
•
Phone: ( ) I Fax: : Water heater
( ) Fireplace
E -mail: Range
. CONT R A OR Barbecue • „� Clothes dryer (gas)
I
i ^ Business name: g/ Q S `� Ca ( oo.� j gs _�� /4 - -- v_
/ O ther: _ _-, _ _r
G S / e'u�ot c Q . . ::;.:
Address: � N � MECH .;PEI�[l�'r :FE�S;,�,� ��:o
City/State/ZIP: Q t� 2 / / Subtotal
��l'L, ^ f Minimum permit fee ($72.50)
Phone: (,C C7j Atk.7 ,.. A O 53 r ax: (g co a 7 - aQOro Plan review (25% of permit fee)
CCB lic.: O _ an r ' 50 i i State surcharge (8% of permit fee)
TOTAL PERMIT FEE Al.4 (O'er
This permit application expires if a permit is not obtained within 180
Authorized signature: GL9 ' / days after it has been accepted as complete.
Print name: [ r. ) a Each As (s to _ cwa s1 I Date: , a ^ if .. • Fee methodology set by Tri -County Building Industry Service Board
i.' Bui ldingTerruts\MEGPermitApp.doe 12/01 440.4617T(I1/02/COM/WE )
CITY OF TIGARD
BUILDING DIVISION PERMIT #: 1�1t =G200 00724
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/a/20013 Phone: (503) 639 -4171 I to` l'
Inspection Requests (24 Hrs.): (503) 639 -4175 ''I ..
INSPECTION WORKSHEET FOR DATE: 1J2812008 TIME: 7 :00AM PAGE: 31
SITE ADDRESS: 12562 SW MAIN ST 210 CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: SPEC SPACES
DESCRIPTION: HVAC rooftop $10,824
OWNER: WILKING INVESTMENTS V LLC, PHONE #:
CONTRACTOR: FIRST CALL HEATING & COOLING PHONE #: 503. 247 -2054
Inspection Request Scheduled For: Date: 1/28/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 064042 -01 503.793 -4995 N
Corrections/Comments/Instructions:
((
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ AIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: i/ \ ( Phone #: (503) 718-
CITY OF TIGARD & BUILDING DIVISION PERMIT #: c774
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED:
Phone: (503) 639- 4171 a gp'� r �
Inspection Requests (24 Hrs.): (503) 639 -4175 `:
INSPECTION WORKSHEET FOR DATE: I / TIME: PAGE:
SITE ADDRESS: (Z��Z i14410j CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME:
DESCRIPTION:
OWNER: PHONE #:
CONTRACTOR: PHONE #:
Inspection Request Scheduled For: Date: Pour Time:
Code # Inspection Description Confirm # Contact # Message
I to Gks LI ��
Corrections /Comments /Instructions:
– (S is< C001 (6l CT ri�� foP
10,
c:K:p\s Dto-E
❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Adtr t Date: I Z Z6 Phone #: (503) 718- 2-4%