Permit [old (08 few ��1 --c_
CITY TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT PERMIT #: MEC2008 -00499
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 10/15/2008
PARCEL: 1S136DB-02601
SITE ADDRESS: 11606 SW PACIFIC HWY 200 ZONING: C -G
SUBDIVISION: f 4 � LOT: JURISDICTION: TIG
PROJECT: L
Project Description: Gas piping for water heater and (2) bathroom fans for T.I.
CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS:
TYPE OF USE: COM UNIT HEATERS: VENT FANS: 2
OCCUPANCY GRP: R3 VENTS W/O APPL: VENT SYSTEMS:
STORIES: 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:
FURN > =100K BTU: <= 10000 cfm: OTHER UNITS:
> 10000 cfm: GAS OUTLETS: 1
Owner: FEES
ALPROP CO Description Date Amount
6149 SW SHATTUCK RD
PORTLAND, OR 97221 [MECH] Permit Fee 10181200E $72.50
[TAX] 12% State Surch 10/8/200E $8.70
Total $81.20
Phone:
Contractor:
AIR COMFORT INC
5785 NE COLUMBIA BLVD
PORTLAND, OR 97218 REQUIRED ITEMS AND REPORTS
Contact #: PRI 503- 260 -7806
Reg #: LIC 58835
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 By: Permittee Signature:
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.
CITY OF TIGARD MECHANICAL PERMIT
• ° ' COMMUNITY DEVELOPMENT PERMIT #: MEC2008 -00499
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 10/15/2008
PARCEL: 1S136DB-02601
SITE ADDRESS: 11606 SW PACIFIC HWYd 200 ZONING: C -G
SUBDIVISION: k><iL. gfLc. LOT: JURISDICTION: TIG
PROJECT:
Project Description: Gas piping for water heater and (2) bathroom fans for T.I.
CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS:
TYPE OF USE: COM UNIT HEATERS: VENT FANS: 2
OCCUPANCY GRP: R3 VENTS W/O APPL: VENT SYSTEMS:
STORIES: 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: <= 10000 cfm: GAS OUTLETS: 1
> 10000 cfm:
Owner: FEES
ALPROP CO Description Date Amount
6149 SW SHATTUCK RD
PORTLAND, OR 97221 [MECH] Permit Fee 10/8/200€ $72.50
[TAX] 12% State Surch 10/8/200€ $8.70
Phone:
Total $81.20
Contractor:
AIR COMFORT INC
5785 NE COLUMBIA BLVD
PORTLAND, OR 97218 REQUIRED ITEMS AND REPORTS
Contact #: PRI 503- 260 -7806
Reg #: LIC 58835
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 By: j ��. - • ee Signature:
C. .639.4175 by 7:00 a.m. for inspection th b iness 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.
/(00(40 riqtaArC Jig ail 'ADO : "" 4 a •
Mechanical Per It Applica On/ O FOR OFFICE USE ONLY
City of Tigard Received Date/By: (� 70 Permit No.• ` 2r .• y
1 ". 13125 SW Hall Blvd., Tigard, OR 97 Plan Review
1 ' C Phone: 503.639.4171 Fax: 503.59 p� Date/By: Other Permit:
T I G A R D Inspection Line: 503 p , Date Ready/By: t°ris: 0 See Page 2 for
Internet: www.tigard- or.gov ®C x , 461 . \, Ifted/Method: 1/ Supplemental Information
TYPE OF WORI O ,V' COMMERCIAL FEE* SCHEDULE - USE CHECKLIST
❑ New construction Addition/alteratio�>nll�ee ieent Mechanical permit fees* are based on the value of the work
VV� performed. Indicate the value (rounded to the nearest dollar) of all
❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit.
CATEGORY OF CONSTRUCTION Value: $
RESIDENTIAL EQUIPMENT / SYSTEMS FEES*
❑ 1- and 2- family dwelling 14 Commercial/industrial ❑ Accessory building For specsl information use checklist.
❑ Multi - family ❑ Master builder ❑ Other: Description I Qty. I Ea. I Total
JOB SITE INFORMATION AND LOCATION Heating/cooling
/ Air conditioning or heat pump
Job site address:
/ /t0 O C ia -- ! / C_. i/Ctf (requires site plan showing placement) 14.00
City/State /ZIP: Furnace 100,000 BTU (ducts/vents) 14.00
Furnace 100,000+ BTU (ducts/vents) 17.90
Suite/bldg. /apt. no.: Project name: q tic. /n p Gas heat pump 14.00
Cross street/directions to job site: Duct work 10.00
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. 14.00
Subdivision: Lot no.: Flue /vent for any of above 6.80
Other: _ 10.00
Tax map /parcel no.: Other fuel appliances
DESCRIPTION OF WORK Water heater 10.00
r7:77 Gas fireplace 10.00
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
❑ PROPERTY OWNER I Lr TENANT Chimney/liner /flue /vent 10.00
Other: 10.00
Name: A4 Environmental exhaust and ventilation
Address: Range hood/other kitchen
equipment 10.00
City/State /ZIP: Clothes dryer exhaust 10.00
Single -duct exhaust (bathrooms, tj� ��J�
Phone: ( ) Fax: ( ) toilet compartments, utility rooms) CT 6.80 1
❑ APPLICANT ❑ CONTACT PERSON Attic /crawlspace fans 10.00
/ ' , Other: 10.00
Business name: Di' l P c6JPI 4m' K ;4 ?,q /;'et-P !'CA,7 Fu piping
e ,,,........,/ Contact name: ��j $5.40 for first four; $1.00 for each additional
!! Furnace, etc.
Address: ,' 0 /Q,,, Gas heat pump
City / State/ZIP: Ad 7A�0/1. /' 4 Wall /suspended/unit heater
Phone: (5 ?) ‘t� s_2 S ` Fax: ( ) Water heater /
)) 4 Fireplace
E -mail: /�0,..--6 e G-v4tG/ e p A r 0. G, f Ca*----I Range
_ CONTRACTOR Barbecue
Business name: -�^
Clothes dryer (gas)
• C e .l— r ./. f /
r// TEL , Other:
Address: ..-- S"- /!l /— C ' Ai, 4, MECHANICAL PERMIT FEES*
City /State/ZIP: f l � y r/ 4 / £ f 4x ?? /,c,-- Subtotal
Phone: ( 03) 2 g 0— 7 s- Fax: ( ) Minimum permit fee ($72.50) 7�
Plan review (25% of permit fee)
•
CCB lie.: ' j r D 3 s— State surcharge (12% of permit fee) g 8-79
TOTAL PERMIT FEE v�v)
This permit application expires if a permit is not obtained within 180
Authorized signature days after it has been accepted as complete
Print name: I Date: `�� 1 '� i � yC r • Fee methodology set by Tri County Building Industry Service Board
I:\ Building \Permits \MEC- PermitApp.doc 01/19/07 440- 4617T(I1 /02/COM/WEB)
Mechanical Permit Application - City of Tigard
Page 2 - Supplemental Information .
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 \Pennits\MEC- PennitApp.doc 01/19/07 2
CITY OF TIGARD
BUILDING DIVISION x ,5 PERMIT #:2 3. -OCA97
13125 SW Hall Blvd., Tigard, OR 97223 A DATE ISSUED:
Phone: (503) 639 -4171 ' 0,1 A
Inspection Requests (24 Hrs.): (503) 639 -4175 A ,
INSPECTION WORKSHEET FOR DATE: I 1 TIME: PAGE:
SITE ADDRESS: l I 60 14 CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME:
DESCRIPTION:
OWNER: pti„Raop CO PHONE #:
CONTRACTOR: / j c[ 1 FC7er PHONE #:
Inspection Request Scheduled For: Date: Pour Time:
Code # Inspection Description Confirm # Contact # Message
I6l/ Kkect+ F1 At-
Corrections /Comments /Instructions:
i � ` h L,
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
te
Inspector: /I/ Date: 21 (D as Phone #: (503) 718 )
CITY OF TIGARD OIL
1 BUILDING DIVISION PERMIT #: Mb:C200t -00499
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED:
Phone: (503) 639- 4171 111 A/
� 10/16/2008 Inspection Requests (24 Hrs.): (503) 639 -4175 `
INSPECTION WORKSHEET FOR DATE: 10/21/2008 TIME: 7:00AM PAGE: 5
' SITE ADDRESS: 11606 WSW PACIFIC HWY CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: ALPROP CO
DESCRIPTION: Gas piping for water heater and (2) bathroom fans for T.I.
OWNER: ALPROP CO, PHONE #:
CONTRACTOR: AIR COMFORT INC PHONE #: 503260.7806
Inspection Request Scheduled For: Date: 10!21/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Mes :: ge
610 Gas line 076991 -01 503-260.9536 Y r
Corrections/Comments/ uctions _
_ ,
7 I M ; , i .
I u - +•"-- / ■•
•
'►A PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES SSESSED
Inspector: \t1/4 "" Date: V V nits Phone #: (503) 718- ` t 2)j
r.