Permit a CITY OF TIGARD
MECHANICAL PERMIT
COMMUNITY DEVELOPMENT PERMIT #: MEC2006 -00511
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 12/7/2006
PARCEL: 1 S136DD -03400
SITE ADDRESS: 11740 SW 68TH PKWY , ZONING: MUE
SUBDIVISION: TIGARD TRIANGE COMMONS LOT: 008 JURISDICTION: TIG
Project Description: Building 4, shell mechanical. Project Value: $208,880.00
CLASS OF WORK: NEW FLOOR FURN: EVAP COOLERS: 2
TYPE OF USE: COM UNIT HEATERS: VENT FANS:
OCCUPANCY GRP: B VENTS W/O APPL: VENT SYSTEMS: 6
STORIES: 2 BOILERS /COMPRESSORS HOODS:
FUEL TYPES 0 - 3 HP: DOMES. INCIN:
NAT 3 - 15 HP: COMML. INCIN:
MAX INPUT: 1,700 BTU 15 - 30 HP: REPAIR UNITS:
FIRE DAMPERS ?: 30 - 50 HP: WOODSTOVES:
GAS PRESSURE: M 50 + HP: CLO DRYERS:
FURN < 100K BTU: 2 AIR HANDLING UNITS OTHER UNITS: 13
FURN > =100K BTU: <= 10000 cfm: GAS OUTLETS: 4
> 10000 cfm: 5
Owner: FEES
PACIFIC NW PROPERTIES Description Date Amount
ATTN: PAUL GRAM
P.O. BOX 2206 - [MECPLN] Plan Rev 10/20/200 $648.75
BEAVERTON, OR 97075 [MECH] Permit Fee 12171200E $2,595.00
[TAX] 8% State Surcha 12171200E $207.60
Phone: 503- 626 -3500 Total $3,451.35
Contractor:
AMERICAN HEATING INC
1339 SE GIDEON ST
PORTLAND, OR 97202 REQUIRED ITEMS AND REPORTS
Contact #: PRI 503- 239 -4600
FAX 503- 239 -7038
Reg #: LIC 33135
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 irect- questions to OUNC by calling 503.246.6699 or 1.800.332.2344.
/
Is ued By: ` � �� ;� Permittee Signature: x � G / / �
• 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.
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Mechanical Permit App lic a tio n _ ; ' FOR OFFICE USE ONLY
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City of Tigard Received
-\ Date/BT. [O10o 00 ?],/5 Pemut No.: 2Dt 0 i /
13125 SW Hall Blvd., Tigard, OR 97223 Plan Review 111 tl ,,/ i / r Other Pemtit:
Phone: 503.639.4171 Fax: 503.598.1960 L ,',rr <,;;,,, 1 Date/By: ft71 to Wi
Inspection Line: 503.639.4175 c,. • ; , „Ali. t' ', II Date ReadyBy: luny ® See Page z for
Supplemental Information
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Internet: www.ci.tigard.or.us _ -� -te % • -" Notified/Method: /��'�( �� /�
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Mechanical permit
fees' are based on the value of the work
Iew construction I] Addition/alteration/replacement performed.'Indicate the value (rounded to the nearest dollar) of all
❑ Demolition ❑ Other: • mechanical materials, equipment, labor, overhead, and profit.
.r - U c y ., „� ,. MI' � y i � :v. r p RFYti, Value: E a.n [ }�� 1 "
G�*
M1 t 1 �. I _ l* :., ° � 6 I i W ': '. i� ,, FP:� ,• g . 24 ip •± ::1 : i.i,4 .I .. ' '1J FE
Es .
r :.lu.'f.: fv' '. I(� . Fri, ,1. .,..e.g WW--7:-....,m ,r, °:1'' lbi✓i .�1l 'NT' /'SYST
❑ 1- and 2- family dwelling Commercial /industrial ❑ Accessory building For special information use checklist.
❑ Multi - family 0 Master builder ❑ Other: Description I Qty. I Es. 1 Total
a if:, R d V.• •�'' x • ,: ; ,.y, : T F ,u [[ y .-�,.,.,�• ,zY•,2 lv'; . °rq.25 €�" •'
Heating/cooling
' �: /
1 u.° 0.!c t 1 0 - 1 : 0 I ,N t f I I D I r s i, "y� i•,; .. `
' ,Irp'ir� ,.�����.c.w'F'rrn n` r.` u ,��, '�yy.. �. .�.'�.' ..x �".._..r>G, a:t'i
Job site address: k I
11 . ,Si C Tax Mr conditioning or heat pump
W (requires site plan showing placement) 14.00
` n ` o n ( L c1-7 �J 2 Fumace 100,000 BTU (ducts/vents) 14.00 ,
City/State/ZIP: x
Furnace e 100,000+ BTU/(ducts/vents) 17.90
Suite/bldg. /apt no.: Project nameT • T() • G`,, Gas heat pump 14.00
Cross street/directions to job site: 644 g -U I 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
Flue/vent for any of above 10.00
Subdivision: I Lot no.: Other: 10.00
Tax map/parcel no.: y Fury Other fuel appliances
fi rR �. � „ yS,Nr � i'k, �'� i s!�?xl� Et'"' il�, r ef .i7T! s Water heater lt).00
S l f t o 9e n t u1gs r u 8
I i� i 11 ` ' - ' ?- ' ' .b _, ..� s11��P. 221 :1 l m..0.1 r tf,.l S �`� Gas fireplace 10.00
T -05+0,- f a I OP 5 / \N 5 . Flue vent for water heater or gas
` ,�,., 1 fireplace 10.00
Oa\ 0 P . ' I ei\ CA � e-' ' ��� 61 e - Log lighter (gas) 10.00
Wood/pellet stove 10.00
Wood fireplace/insert 10.00
�� n ; q Chimney/hner /flue/vent 10.00
'!fs r fi� ET�a�B�.11'7.' � + J r f -0 t� , � 1 J 4,, • ,, t 4','' f�',� r 7o;`, , II-9 � lt w . ' I45 ,. :. 1 ?ss: , Other'
10.00
Name: Environmental exhaust and ventilation a
Range hood /other kitchen
Address: equipment 10.00
Clothes dryer exhaust 10.00
City/State/ZIP: Single -duct exhaust (bathrooms, •
Phone: ( ) Fax: ( ) toilet compartments, utility rooms) 6.80
W,' ;. : t , ' " ,:� r • a L.1 o e a Zti o)f ± 'f.. Attic/crawlspace fans 10.00
rtiltAk ,-. rw, ` c r: r t ,...i..1_ " A 1. r .�a ^ r .s '
Other: 10.00
Business name: I Ma (1 cam ' 4- (1- � l T
4
Contact name: 1- Tar, Fuel piping
(2 � 1 At_
1
cL \ f311(2-CA- $5.40 for first four; $1.00 for each additiona
Furnace, etc. .
Address: 13 / � - bq se l . i ( Q,a fl 9 Gas heat pump
City/State/ZIP: - ( .4-( c ( ( ) . g ---U2- Wall/suspended /unit heater
Phone: /- Fax: : ( , b I �0:�SY Water heater
2 .�IpQ� Fireplace
E-mail: Range
t'1kill �' y 1' G '` 4 th, �r . r *'f+a! r�ti ;' q '�i�ki r , a 7,, FislVZf q WA Barbecue ���
dip ,�f,lt �_ � ,y, ..4z.l�rtA n r , fr O JS'4 4+ i1 iu� i ,awit i i ii r! ii t
Clothes dryer (gas)
Business name: a i' 1 g, ( 7 I Other: ,
- 6 c f` + r a oat ^ a +is„o • ? , y
Address: J a to V(1 l I �.f�+ :: ;; .
.Z9 (q.1 //�� Gfl 0 2 . 5
City/State/ZIP: IL "1 I � �/� • p Minimum permit f ee ( •
Phone: Ll, U Fax: ( ) a' ?ft 7o3 D Plan review (25% of permit fee) 411 ', •
� a 3�
CCB lie.: 33 1'. l' State surcharge (8% of permit fee) ' / ,_$
' 0 / - ^ TOTAL PERMIT FEE NA /
C� /�r u ► n � \ DD ` WWYJJ i r6 nC�/ Tbls permit application s If a permit is not obtained I t
Authorized signature: r LJOL �,{ -t9 11 ' days after It t has has been'aceepted as complete.
J ' 0 - ' 0, ( • • Fee methodology set by Tri-County Building Industry Service Board „ rfi Print name: 'C ('h (Y1-a -3- V
CITY OF TIGARD rBUrzoo7 CD(' ' '2;16 k ,
BUILDING DIVISION L DATE PERMIT #: MEC2006- 0051'I
13125 SW Hall Blvd., Tigard, OR 97223 E ISSUED: 12/7/2006
Phone: (503) 639 -4171 avi.
Inspection Requests (24 Hrs.): (503) 639 -4175 ° _
INSPECTION WORKSHEET FOR DATE: 2/23/2007 TIME: 7 :01AM PAGE: 76
SITE ADDRESS: 11740 SW 68TH PKWY CLASS OF WORK:
SUBDIVISION: TIGARD TRIANGE COMMONS LOT #: 008 TYPE OF USE:
PROJECT NAME: TIGARD TRIANGLE COMMONS
DESCRIPTION: Building 4, :hell mechanical. Projec :t Value: $208,880.00
OWNER: PACIFIC NW PROPERTIES, PHONE #: 503-626.3500
CONTRACTOR: AMERICAN HEATING INC PHONE #: 503 - 239.4600
Inspection Request Scheduled For: Date: 2/23/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Mess e
699 Mechanical final 043771 -01 503-572-4939 Y
Corrections /Comments/ Instructions:
R -- ..-- Fo r" Z
/i/ (D t Gv az e/ v1...0 S
1i V 13=1111111M
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. 4 w -- -
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PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL , CALL ¢7R INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: Z/5/6 7 Phone #: (503) 718- AA'
J
f CITY Of-' TIGARD
BUILDING DIVISION PERMIT #: MEC2005- 00511
13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 12/7/2006
Phone: (503) 639 -4171 t,�
Inspection Requests (24 Hrs.): (503) 639 -4175 s ° � ..
INSPECTION WORKSHEET FOR DATE: 7/21/20Q TIME: 7:00AM PAGE: 19
SITE ADDRESS: 11740 SW 68TH PKWY CLASS OF WORK:
SUBDIVISION: TIGARD TRIANGE COMMONS LOT #: 008 TYPE OF USE:
PROJECT NAME: TIGARD TRIANGLE COMMONS
DESCRIPTION: Building 4, shell mechanical. Project Value: $208,880.00
OWNER: PACIFIC NW PROPERTIES, PHONE #: 503 625 - 3500
CONTRACTOR: AMERICAN HEATING INC PHONE #: 503
Inspection Request Scheduled For: Date: 7/21/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mec:hanic:al final 043670 -02 503 -572 -4939 N
Corrections /Comments /Instructions:
ft
(3 x 2-40
- O .b TO ( 7 ._ s/ si
❑ PA ❑ PARTIAL APPROVAL ❑CANCEL ❑ NO ACCESS
r SV
FAIL ❑CALL FOR INSPECTION ❑ ADDITI +NAL EES ASSESSED rgC Inspector: Date: 0 Phone #: (503) 718 -
CITYi'TIGARD
1 BUILDING DIVISION PERMIT #: MEC2006 -00511
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 12/7/2006
Phone: (503) 639 -4171 A 'III
Inspection Requests (24 Hrs.): (503) 639 -4175 __..
INSPECTION WORKSHEET FOR DATE: 2/20/2007 TIME: 7 :09AM PAGE: JQ
SITE ADDRESS: 11740 SW 68TH PKWY CLASS OF WORK:
SUBDIVISION: TIGARD TRIANGE COMMONS LOT #: 008 TYPE OF USE:
PROJECT NAME: TIGARD TRIANGLE COMMONS
DESCRIPTION: Building 4, shell mechanical. Project Value: $208,880.00
OWNER: PACIFIC NW PROPERTIES, PHONE #: 503 - 626 - 3500
CONTRACTOR: AMERICAN HEATING INC PHONE #: 503-239-4600
Inspection Request Scheduled For: Date: 220/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
615 Mechanical rough -in 043573-01 l 503.572 -4935 Y
Corrections /Comments/ Instructions:
-------
- , 1
-
A AM
11111SWEIMIM n 1747 MIM"
_ _
❑ PASS PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FIR INSPECTION ❑ ADDITI' AL ' ES ASSESSED
dlit e Ins e ctor: Date. Phone #: 503 718- �i P _ ( �
.
CITT TIGARD
BUILDING DIVISION PERMIT #: MEC200&0051 I
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1211/2006
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639-4175
WORKSHEET FOR DATE: 2!912007 TIME: 7 :04AM PAGE: 69
SITE ADDRESS: 11740 SW 68TH PKWY CLASS OF WORK:
SUBDIVISION: TIGARD TRIANGE COMMONS LOT #: 008 TYPE OF USE:
PROJECT NAME: TIGARD TRIANGLE COMMONS
DESCRIPTION: Building 4, shell mechanical. Project Value: $208,880.00
OWNER: PACIFIC NW PROPERTIES, PHONE #: 503 - 626-3500
CONTRACTOR: AMERICAN HEATING INC PHONE #: 503 - 2334600
Inspection Request Scheduled For: Date: 2/9/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
695 Misc. inspection 043160-01 503 - 572 -4939 N
Corrections /Comments /Instructions:
1 L /
•
❑ PASS PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITION L FEES ASSESSED
Inspector: Date: 0 7 Phone #: (503) 718- 7 -4 7 - 7-
1
CITY-Of- TIGARD ' `
BUILDING DIVISION PERMIT #: MEC2006 -00511
13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 12/7/2006
Phone: (503) 639 -4171 e u�p'llil rt\
Inspection Requests (24 Hrs.): (503) 639 -4175 ` __ I
INSPECTION WORKSHEET FOR DATE: 12/11/2006 TIME: 7.00AM PAGE: 31
SITE ADDRESS: 11740 SW 68TH PKWY CLASS OF WORK:
SUBDIVISION: TIGARD TRIANGE COMMONS LOT #: 008 TYPE OF USE:
PROJECT NAME: TIGARD TRIANGLE COMMONS
DESCRIPTION: laglialahell mechanical. Project Value: 8208,880.00
OWNER: PACIFIC NW PROPERTIES, PHONE #: 503 - 626.3500
CONTRACTOR: AMERICAN HEATING INC PHONE #: 503 - 239-4600
Inspection Request Scheduled For: Date: 12/11/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
615 Mechanical rough -in 040884 -01 503. 572 -4939 N
Corrections /Comments /Instructions:
I ti triiT • 07%,'
IrPASS PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑
FAIL El CALL FOR INSPECTION 111 ADDITIO L F ES ASSESSED
lt
Inspector: I Date: ` ` Q,6 Phone #: (503) 718 - 403
CITY :Of-TIGARD
BUILDING DIVISION PERMIT #: MEC200kJ- 00511
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 12/7/2006
Phone: (503) 639 -4171 V l'
Inspection Requests (24 Hrs.): (503) 639 -4175 `- —
INSPECTION WORKSHEET FOR DATE: 12/11/2006 TIME: 7 :00AM PAGE: 30
SITE ADDRESS: 11740 SW 68TH PKWY CLASS OF WORK:
SUBDIVISION: TIGARD TRIANGE COMMONS LOT #: 008 TYPE OF USE:
PROJECT NAME: TIGARD TRIANGLE COMMONS
DESCRIPTION: 100f#414 shell mechanical. Project Value: $208,880.00
I�. .
OWNER: PACIFIC NW PROPERTIES, PHONE #: 503. 626 -3500
CONTRACTOR: AMERICAN HEATING INC PHONE #: 503 -233 -4600
Inspection Request Scheduled For: Date: 122/11/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
610 Gas line 040884-02 503-572-4939 N
Corrections /Comments /Instructions:
,
WO ill b I P -7 1 ,
❑ PASS ErT APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL CALL FOR INSPECTION ❑ ADDITIONAL EES ASSESSED
Of
Inspector: Date: ( 4( ( � � Phone #: (503) 718- 24-Z,_