Permit CITY OF TIGARD MECHANICAL PERMIT
III 3 COMMUNITY DEVELOPMENT Permit#: MEC2009 -00400
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 08/07/2009
Parcel: 2S102BD03000
Jurisdiction: Tigard
Site address: 13035 SW PACIFIC HWY
Subdivision: Lot: 0
Project: Alexin Analytical Labs
Project Description: Roof mounted condensor for through the wall heat pump.
Owner: FEES
TRUCK TERMINALS INC Description Date Amount
15965 NW TULLAMORRIE WAY Permit Fee 08/07/2009 $317.90
PORTLAND, OR 97229 Plan Review 08/07/2009 $79.48
PHONE: 12% State Surcharge - Mechanical 08/07/2009 $38.15
Contractor:
SPECIALTY HEATING & COOLING INC
7500 SW TECH CENTER DR STE 120
TIGARD, OR 97223
PHONE: 503 - 620 -5643
FAX: 503- 681 -0793
Type of Use: COM
Class of Work: ALT Type of Const: VB
Occupancy Grp: B Occupancy Load:
Stories:
Fuel Air Handlers
Fuel Types: Units < 10000 cfm: 3
Gas Pressue: Units > 10000 cfm:
Furnaces Boilers & Compressors
Furnaces < 100K BTU: 0 -3 HP:
Furnaces >= 100K BTU: 3 -15 HP:
Floor Furnaces: 15 -30 HP:
Unit Heaters: 30 -50 HP:
Vents w/o Appliances: 50 or Greater HP:
Air Conditioning: 1
Heat Pump:
Appliances
Vent Fans: Vent Systems: Total $435.53
Hoods: Comm Incinerators:
Woodstoves: Gas Fireplaces: Required Items and Reports (Conditions)
Clothes Dryers: Other Mech Units:
Gas Outlets: Other Desc:
Duct Work:
Fire /Smoke Dampers:
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 • : s of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by a Oregon
Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You obtain a :`• • •f the rules
or direct questions to OUNC by calling 503.246.6699 or 1.800.332.2344. /
//
Issued By: isio 41 It I ‘,1‘11 . Permittee Signature: 1/
Call 503.639.4175 by 7:00 a.m. for an inspection 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.
k - XUG /03/2009/MON 05:05 PM FAX No. P. 002
r n iv�ie chanical Permit Application RECEIVE I FOR OI ICE USE ONLV'
City of Tigard / Permit No, yc , . - I /
Ii __., ° 13125 SW Hall Hlvd., Tigard OR 97223 n' 0 3 20 09 Plan Review %� ,�T ��
Phone: 503.639.4171 Pax: 503.598.1960 ,, To ar//�t.�,' Other Permit:
it C: A P.D Inspection Line: 503.639 CITY OF TIGARD Dam xea s- y �(p / See Paee 2 for
Internet: www.tigard -or.gov Notified/method � Supplemental Information
BUILDING DIVISIO' • �z
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❑ New construction ❑ Addition/elteration/replacement Mechanical permit fees" are based on the value of the work
performed, Indicate the value (rounded to the neatest dollar) of all
❑ Demolition ❑ Other: mechanical materials, •uipment Isar, overhead and •rofit.
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CI 1- and 2- family dwelling (R ommerciai/industrial ❑ Accessory building
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For special infarrnatton use checklist.
❑ Multi- family ❑ Master builder ❑ Other: Description I Qty. Ba, I Total
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Air conditioning or heat pump
Job site address:
1 3 03 3 'CI' �' t, 1,-1. L (requires site plan ahowinnj placement) 14.00
City/State/ZIP; Furnace 100,000 BTU (ducts/vents) 14.00
2 L Furnace 100,0001' BTU (ducts/vents) ) 17.90
Suite/bldg. /apt. no.: I Project namc:9LF�� t9i7 /ems/ Gas heat pump 14.00
Cross street/directions to job site: /4 Ductwork 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
Flue/vent for any of above 6.80
Subdivision: Lot no.: Other: 10.00
Tax map /parcel no.: Other fuel appliances
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I 1 y Y l - i Gas fireplace 10.00
Flue vent for water heater or gas
mo r . or, fireplace 10.00
Lo. li: htar 10.00
• * ...iiii1.4 Wood /pellet stove 10.00
Wood fireplace/insert 10,00
�t ; r ,[s4' 'e rr: 41 uwl 1 7 , r ul7 n i l r Chiron /liner/flue/vent 10.00
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tit a.:!: G. 1. 1 �.,,,. 1, I l�etusiiu.•uht,i•a.,,:.�.l:l}I i,� + i,.r„it�v ,? ...,�..1�1� +!_. c 1 , t., klu tl.l.: , u..�:. - . , . t u.u..,aa 81 v., , .:c,,,,.,. t.i other; 10.00
Name: Environmental exhaust and ventilation
Alex in Analytical C09214 Range hood/other kitchen
Address: 13035 SW Pacific Highway escuipment 10.00
City/State/ZIP: Tigard, Or. 97223 Clothes dryer exhaust 10.00
g > Single -duct exhaust (bathrooms,
Phone: ( ) (503)639 -9311 toilet corn •artments, utility rooms) _ 6.80
u „ m a , 7, ,,,, 116 ,. t I i t craw p fans 10.00
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Other; 10.00 _
Business name: Fuel piping
Contact name: $5.40 for first four; $1.00 for e.seb additional
Furnace etc.
Address:
Gas heat pump
City/State/ZIP: Wall/suspended/unit heater
Phone: ( ) I Fax: : ( ) Water heater Fireplace
E -mail: Rance I
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Business name: Specialty Heating & Cooling, Inc. Clothes dryer (gas)
Other:
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Address; 7500 SW Tech Center Drive #130 j 4,,, ,f l i;ty _ir :��I 2 :
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City/State /ZIP: Tigard, Or. 97223 Subtotal
Minimum permit fee ($72.50)
Phone: (503) 620 -5643 Fax: (503) 681 -0793
CCB lie.: 66578 ' State surcharge (12% of permit fee)
TOTAL PERMIT FEE I
Authorized signature: jr This permit application er It has been accept as compe obtained within 180
Print name: Andrea Dripps Date: r 0 • Fee methodology set by 'hi-County Building lndusay Service Board
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