Permit J
CITY OF TIGARD MECHANICAL PERMIT
i DEVELOPMENT SERVICES PERMIT #: MEC2003 -00713
'� 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 4/21/04
PARCEL: 2S 102CC -00600
SITE ADDRESS: 13545 SW PACIFIC HWY
SUBDIVISION: ZONING: C -G
BLOCK: LOT: JURISDICTION: TIG
CLASS OF WORK: NEW FLOOR FURN: EVAP COOLERS:
TYPE OF USE: COM UNIT HEATERS: VENT FANS: 0
OCCUPANCY GRP: B VENTS W/O APPL: VENT SYSTEMS:
STORIES: 2 BOILERS /COMPRESSORS HOODS:
FUEL TYPES 0 - 3 HP: DOMES. INCIN:
OIL 3 - 15 HP: 1 COMML. INCIN:
MAX INPUT: 535,000 BTU 15 - 30 HP:
FIRE DAMPERS ?: Y 30 - 50 HP: REPAIR UNITS:
GAS PRESSURE: 50 + HP: WOODSTOVES:
FURN < 100K BTU: AIR HANDLING UNITS CLO DRYERS:
FURN > =100K BTU: 1 <= 10000 cfm: 2 OTHER UNITS:
> 10000 cfm: GAS OUTLETS: 1
Remarks: HVAC FOR NEW BUILDING VALUATION $12,725
Owner: FEES
DDHK VENTURES, LLC Description Date Amount
12604 SW 60TH CT [MECH] Permit Fee 4/21/04 $269.30
PORTLAND, OR 97219 [MECPLN] Plan Rev 4/21/04 $67.33
[TAX] 8% State Surchari 4/21/04 $21.54
Phone: 503 977 - 0578 Total $358.17
Contractor:
SOMMERS ENTERPRISES
PO BOX 21086
KEIZER, OR 97307 REQUIRED INSPECTIONS
Phone: 503 - 393 - 5315 Gas Line Insp
Mechanical Insp
Reg #: LIC 88828 Cooling Unt Insp
Duct Inspection
Fire Damper Insp
S.D. Shut -down inspection
Misc. Inspection
Misc. Inspection
Final Inspection
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes
and all other applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is
not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law
requires : • , ow rules adopted in the Oregon Utility Notification Center. Those rules are set forth in OAR 952 - 001 -00
Is . ued By: , & O ix/ , � , .�' Permittee Signature:
Ca 15 1 .39 -4175 by 7:00 P.M. for inspections needed the next business day
12/15/2003 09:19 FAX 5035981980 CITY OF TIGARD 0002/008
135-q$ ; j p,4clflc N� •
,• �- � '� � FOR cIE�E,cE USE ONLY v, Mechanical Per 1 pgl �tton Received la . 15-03 0 Mechanic' . 1?�Ec:�r"3 - ca713
Q X d6 ,�
City of Tigard _ I:41C Planning AppToval Building
c (' , Date/Br• Permit No.:
13125 SW Hall Blvd. - Plan Rey .(),} SS 2 other
Tigard, Oregon 97223 t;; (y OF 7; :Y„ ` DateBy: �t No.:
�
Phone: 503 - 639 -4171 Fax: 1.59$tlA , .,,„ •• , ; , • Date/By: ' Post -Review . In land Use
/ � !-•�►� case No.:
Internet: www.ai.tigatd.or.us .,7t I . Contact w Juria.: 1131 See Page 2 for •
24 -hour Inspection Request: 503- 639 - 4175 2- - N - 1 Supplemental Information.
V
'g'- i:' ..It,' .,:ViePE ti.: •.e:; ci3 i . . lliiilif %II:'':: .. ;'Gjiiljk ••0:!i, :l:i• 11 •iii . a 1Yj_' : :iaCL'I'iSIO,..0': ∎■YI, .
New c onstruction ❑ Demolition Mechanical permit fees* are based on the total value of the work
.l Addition/alteration/replact meet ❑ Other: performed. Indicate the value (rounded to the nearest dollar) of all
t ,. : Cp')t'p�p� C1tP:Qlllrl�5'�191)�'rION : .. : ,,. j.,. ;r:f'Nl.. mechanical materials. eauiptttent, labor, overhead and profit.
:I: • . l Value; 1 / Z 7Z-Z c - -- See Page 2 for Fee Schedule
❑ 1 & 2-Family dwelling Commercial/Industrial
Access Building Mul - Family ''' ' RE S I D fl QO l rEsiou'' ':'
�y p 1 F I Total
D Master Builder Other: . :. „f ffeatlailge boa :: ": _ ` .
Descre hon Qty Fee(ea.)
. ' e' O ilR P''stidOWATlO1Vi:tirr:OM• :' Furnace - add-on air conditioning" 14.00
Job site address/.6W 5,1.12, PAL; 1 4-;e_ H k,wx..y Ti . Gas heat pump 14.00
Suite #: I Bldg. /Apt. #: Duct work L 14.00
Project Name: e 4 /,� oia C- L.-t)ke Hydroaic hot water system 14.00
Residential boiler
Cross street/Direc ns to job site: (for radiator or hydronic system) 14.00
Unit heaters (fuel, not electric)
(in wall, in -duet, suspended, etc.) 14.00 .
Flue/vent (for any of above) 10.00
Subdivision: I Lot #: Repair units
.. 4. f . - ' .Oth'er'Fuel Apol . 1 . .. .
10.00 Tax map/parcel #: Water heater 10.00 .. ...,1"...:.:,, < , �''•�I:a;l' :
- .:..1:: >�G'RIP?1!llANki�±: W6 ?;:;•:.: :.:. , . .;::: . :, ... • Gas
. . I riS . I_ 1'I .L /t/tv ��S �O�J) _ Flue vend water hcasedges fireplace) 10.00
CI 6i1"s - Pflz-K " 0 " Orr Log lighter (pm) 10.00
Wood/Pellet stove 10.00
CI M OLT1 -O! L f Wood fireplace/insert 10.00
Chimney/liner /flue/vent / 10.00
0:BR:11PIE i:TYO ER 'I::? ': 4i `.f:TE1trrATIT:'.,.::e,MPIltl Other 10.00 _
• Name .� f}rirST : Environmental 'Exhaust. &:Ventllatloo. :
_ ..'•r:
• / Ran hood/other kitchen equipment 10.00
Address: Clothes dryer exhaust 10.00
_City /State /Z�►: _ Single duct exhaust
Phone: Fax: (bathrooms, toilet compartments,
f.i l)VPIILI !Mimi i ',:: ': ' :'' :[E' ONTv Oxen lR14ON' : • j:!i': utility rooms) .2. 6.80
Name: So�t..w, .►-5 �.t.r - p4r p.r;Se s- Attic/crawl space fans 10.00
Other: 10.00
Address: p. 0, RoX x112“, /}
City /State /Zip: k ei �. r- sir % 7,77 •f ss.4o for first 4, $1.00 each additional)
Phone: , 3- 53/51 Fax: ,503. - 393 - _2,353 Gas heat pump I •• ,S, �U
E-mail: '
a .. .jj., _
Wall/suspended/unit heater • •
V;;!!! ; I•:1 1 : t44l.I' ,Teter • a.. ,:i;.11:1:.'r: :'J :'j :kp t. ; ' Water heater ••
Business Name: I Fir � lace • •
Range
Address: BBQ - ••
••
- City /State/Zip: Cloths r (Ras) ••
Phone: Fax: Other: (i) 615 -Mac %1r 4 7Nin- 0ptima. - 1W
CCB Lie. #: ' /' 9 OS Total:
.14eehanieiil.Perinit Fees *' : `. L'.11 • i : : .. ....
Authorized ! / Subtotal: $ 1.6 9 3 0 Signature: // . . '! i b ate: l '�'��3 Minimum Permit Fee 572.50 S
Mo v l` vt.. /c0 SD/Y1,l,Z .,,�5 Plan Review Fee (25% of Permit Fee) . S 67. 8 T
(Please print name) State Surcharge (8% of Pemtit Fee $ Z / . S
TOTAL PERMIT FEE $ !, g. /
Notice: This permit application expires if a permit to not obtained within *Fee methodology set by TO-County Building Industry service Board.
180 days after it has been accepted as complete. **site on required for exterior A/C units.
i:'Dsts\Permit Forms NMecPermitApp•doe 01/03
D pccvP /NC r
Vi
3 9
79
/ 5 0cc.0 P,J% f
CITY OF TIGARD 24 -Hour
BU%LbING Inspection Line: (503) 639 -4175
INSPECTION DIVISION Business Line: (503) 639 -4171 MST
BUP
Received f _ `Date Requ d AM PM BUP
Location ( 1 3 5 l I W y Suite MEC 2 ' 00 71
Contact Person Ph ( ) PLM
Contractor Ph ( ) SWR
BUILDING Tenant/Owner ELC
Footing
Foundation ELC
Access:
Ftg Drain ELR
Crawl Drain
Slab Inspection Notes: SIT
Post & Beam
Shear Anchors
Ext Sheath /Shear
Int Sheath/Shear
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
41i)
Roof
Other:
Final
PASS PART FAIL —
PLUMBING _111 ` ► -' A-
�
Post & Beam I - Witib■
Under Slab
Rough -In
Water Service ' �i I
Sanitary Sewer
Rain Drains
Catch Basin / Manhole
Storm Drain
Shower Pan
Other:
Final
FAIL
CHAN CA
Post & Beam
Rough -In
Gas Line
Smoke Dampers
m -__
PART FAIL
RICAL
Service
Rough -In
UG /Slab
Low Voltage
Fire Alarm
Final Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
PASS PART FAIL
SITE ❑ Please call for reinspection RE: ❑ Unable to inspect — no access
Fire Supply Line
ADA
Approach/Sidewalk Date Inspector Ext
Other:
Final DO NOT REMOVE this inspection record from the Job site.
PASS PART FAIL