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Permit 1. ,. �iT C ITY OF TIGARD MECHANICAL PERMIT fi DEVELOPMENT SERVICES PERMIT #: MEC2003 -00411 -II 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 8/21/03 PARCEL: 1S135DD-03301 SITE ADDRESS: 11945 SW PACIFIC HWY 123 SUBDIVISION: HOFFARBER TRACTS NO.1 ZONING: C -G BLOCK: LOT: 002 JURISDICTION: TIG 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: LPG 3 - 15 HP: COMML.INCIN: MAX INPUT: 78,000 BTU 15 - 30 HP: FIRE DAMPERS ?: N 30 - 50 HP: REPAIR UNITS: GAS PRESSURE: L 50 + HP: WOODSTOVES: FURN < 100K BTU: 1 AIR HANDLING UNITS CLO DRYERS: FURN > =100K BTU: <= 10000 cfm: OTHER UNITS: > 10000 cfm: GAS OUTLETS: Remarks: Installation of new rooftop unit. Project value: $8,600 No gas piping Owner: FEES TIGARD PROPERTIES INC Description Date Amount 2106 SE OCHOCO ST MILWAUKIE, OR 97222 [MECH] Permit Fee 8/21/03 $72.50 [MECPLN] Plan Rev 8/21/03 $18.13 [TAX] 8% StateTax 8/21/03 $5.80 Phone: Total $96.43 Contractor: TOWN & COUNTRY HEATING INC 6101 NE 127TH AVE SUITE 200 VANCOUVER, WA 98682 REQUIRED INSPECTIONS Phone: 360 Mechanical Insp Heating Unt lnsp Reg #: LIC 73902 Final Inspection 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 -00 Issued By: Permittee Signature: Call (503) / _ 5by 7:00 P.M. for inspections nee ed a next business da !Ivo SW PACIFIC HW7 .V ' PAD ULfj 8 -/ 9 o3 /J • Mechanical Permit Application OFFICE (1S ONLY City of Ti ar Akk � ECt�VED Date received: 7�� �3 Pe rmit no.: iO3.t7�� 1ttL y g Projecdappl. no.:e date: City of Tigard Address: 13 503 13125 SW Hall 639 -4171 all Blv 0 23 c�, '� JJ Date issued: �'::FFj�� Receipt no.: Phone: Fax: (503) 598 -1960 CITY OF TIGARD Case file no.: Payment type: Land use approval: BURPING DIVISION Building permit no.: TYPE OF PERMIT ❑ 1 & 2 family dwelling or accessory A Commercial/industrial ❑ Multi- family ❑ Tenant improvement ❑ New construction ❑ Addition/alteration/replacement ❑ Other: .108 SITE INFORiNIATION (:OliVIERCIAL VALUATION SCHEDULE Job address: i 1.4 Sw , LAIC- C. Indicate equipment quantities in boxes below. Indicate the dollar Bldg. no.: Suite no.: 3 value of all mecha caLm ab equipment, labor, overhead, Tax map /tax lot/account no.: profit. Value $ 110,600 Lot: Block: Subdivision: *See checklist for important application information and Project name: t,pt rt 140_,Al2.1 jurisdiction's fee schedule for residential permit fee. City /county:'T• • o./il ZIP: I & 2 FAMILY DWELLING I'EIMIT Fla, SCHEDULE Description and 1. ation of work on premises: AND CONINWItICALIINDUSTRIAI. EQUIPNlI NT SCHEDULE : A 1 -kV AL (A( 4 -4- a.AL W-rrk. Fee (ea.) Total Est. date of completion/inspection: Desert , tion El Res. o . Res. onl Tenant improvement or change of use: HVAC: (a.'- Jp I Air handling unit `� - -}o✓` CFM Is existing space heated or conditioned? ❑Yes )No Air conditioning (site plan required) I Is existing space insulated? j (Yes ❑ No Alteration of existing HVAC system I N11,CIiANIC:V. CONTRACTOR St a a boiler t I Business name: — t o ' /1 + „4 , • State boiler permit no.: W HP Tons BTU/H Address: && O' NE - IL'M' ' />V(S S1 ._ too Fire /smoke dampers/duct smoke detectors _ u& >i,�/ City: VAN (0,/, StateA ZIP: GI , , • Z Heat pump (site plan required) � 362 b stal replace fumace/bumer BT ■-- Phone: Fa t Sb SY��iG E-mail: Email: Including ductwork/vent liner ❑ Yes ❑ No CCB no.: - rpl,,,)N(„i-� 11 3 , Co - Install/replace relocate heaters - suspended, ■-� City /metro lic. no.: r) 0 wall, or floor mounted Name (please print): •„d'/V S, j LL, I -I_LAS Vent for a•,liance other than furnace Mill CONTACT PERSON Absorption units BTU/H Chillers HP Ell . Address: Compressors HP _ rei C '' ' 3� Environmental exhaust and ventilation: ■ -- �� ,C �( ZIP: � � Appliance vent Phone: Fax: E -mail: Dryer exhaust OwNI• :R Hoods, Type U IUres. kitchen/hazmat ■ hood fire suppression system Name: A , Q., k.".) Exhaust fan with single duct (bath fans) I. Mailing address: Exhaust s stem a.art from heating or AC I r MAMMI E��Q��T47417 ue p p ,g an , 7 ,u on (up to 4 outlets) IN ! Type: LPG NG Oil 9 Phone: Fax: E -mail: - ue .1.in• each a..itional over • outlets I= [N(:INEER ' ocess p p , g (schematic required) IMMENEM Number of outlets - �- — ---� • t er t e app I ance or equ pment: ■-- Address: Decorative fireplace ` E M.. Insert - type _ Phone: 1: _� — - oo.stov- pellet stove _ Other: Applicant's signature: AllaririMIIM Date: Lrl`'i� Other : ME Name (print): • .,? 1P0J 1 &1...- E tS 1. Not all jurisdictions accept credit cards, please call jurisdiction for more information. Permit fee $L_5 Cl Visa 0 MasterCard Not Th permit application Minimum fee $ Credit card number: / / expires if a permit is not obtained Plan review (at — %) $ /13- 1 3 Expires within 180 days after it has been State surcharge (8 %) .... $ r .s 80 Name of cardholder as shown on credit card accepted as complete. TOTAL $ Cardholder signature Amount 440 -4617 (6/00/COM) CITY OF TIGARD 24 -Hour BUILDING Inspection Line: (503) 639 -4175 • INSPECTION�IVISION Business Line: (503) 6394171 MST 9-1 BUP Received Date equested AM PM BUP Location / ` p Suite I Z 3 MEC iY4 L I Contact Person fr..1 0'Yt. Ph (3 _Ul S 2- 2 fa PLM ` rd- /141.R. Contractor � Ph ( SWR ) BUILDING Tenant/Ow r C©6.■/i n • _P-et I AdIA.4 ELC Footing Foundation ELC Amass: Ftg Drain v �� , .— j �/J��2Gy j�� ELR Crawl Drain Slab Inspection Notes: SIT Post & Beam Shear Anchors Ca G( Ext Sheath/Shear Int Sheath/Shear Framing Insulation — Corr-eel-7v S Q wtp /A , Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Other: Final PASS PART FAIL PLUMBING Post & Beam ' Under Slab Rough -In Water Service Sanitary Sewer Rain Drains Catch Basin / Manhole Storm Drain Shower Pan Other: Final PASS FAIL CHANICAL Rough -In Gas Line S • - Dampers ElV ! PART _,FAIL RICAL Service Rough -In UG/Slab Low Voltage Fire Alarm Final E Reinspection fee of $ required before next inspection. Pay at City Hail, 13125 SW Hall Blvd. PASS PART FAIL SITE ❑ Please call for reinspection RE: Unable to inspect — no access Fire Supply Line ADA Date q /' ,/6.' Inspector 7C Ext Approach/Sidewalk Other: Final DO NOT REMOVE this inspection record from the job site. PASS PART FAIL