Permit C ITY OF TIGARD MECHANICAL PERMIT
PERMIT #: MEC2006 -00111
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DEVELOPMENT r S O R9 2 CES -639 -4171 DATE ISSUED: 2/21/2006
- 13125 PARCEL: 2S 110DC -00300
SITE ADDRESS: 15700 SW PACIFIC HWY ZONING: C -G
SUBDIVISION: WILLOW BROOK FARM LOT: 016 JURISDICTION: TIG
Project Description: (3) ton split system heat pump, duct system & bath fans. Valuation: $9000.
CLASS OF WORK: NEW FLOOR FURN: EVAP COOLERS:
TYPE OF USE: COM UNIT HEATERS: VENT FANS:
OCCUPANCY GRP: VENTS W/O APPL: VENT SYSTEMS:
STORIES: BOILERS /COMPRESSORS HOODS:
FUEL TYPES 0 - 3 HP: DOMES. INCIN:
3 - 15 HP: COMML. INCIN:
MAX INPUT: BTU 15 - 30 HP: REPAIR UNITS:
FIRE DAMPERS ?: 30 - 50 HP: WOODSTOVES:
GAS PRESSURE: 50 + HP: CLO DRYERS:
FURN < 100K BTU: AIR HANDLING UNITS OTHER UNITS:
FURN > =100K BTU: <= 10000 cfm: 1 GAS OUTLETS:
> 10000 cfm:
Owner: FEES
SSC PROPERTY HOLDINGS INC Description Date ' Amount
BY SHURGARD OF KING CITY /TIGAR CITY OF TIGARD MET 2/21/200€ $213.50
SEATTLE, WA 98109 [TAX] 8% State Surchar€ 2/21/200E $17.08
Phone: Total $230.58
Contractor:
HEAT RELIEF CO
1311 NE 116TH AVE. REQUIRED ITEMS AND REPORTS
PORTLAND, OR 97211
Contact #: PRI 503- 260 -0077
FAX 503- 261 -9814
Reg #: LIC 122424
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: - /f1",_
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 A Vi � 0 FOR OFFICE USE ONLY
City of Tigard RRee te/Be ......... —i t . .L Permit (, __ pd) )
13125 SW Hall Blvd., Tigard, OR 97223 FEB 2 1 2006 — t. /l
P l an Review
Phone: 503.639.4171 Fax: 503.598.1960 iy .1010 DDate/By: Other Permit:
Inspection Line: 503.639.4175 CITY OF flu , i f, 1 ,:• Date Ready/By: ® See Page 2 for
Internet: www.ci.tigard.or.us ' ' " ' - " "" Notified/ Method: g
g BTU TT _A ) flJT 1Lll1N(.; [.STON LIE Supplemental Information
TYPE OF WORK COMMERCIAL FEE* S '=`USE CHECKLIST
NiNew construction ❑ Addition/alteration/replacement Mechanical permit fees' are based on the value of the work
performed. Indicate the value (rounded to the nearest dollar) of all
❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit.
CATEGORY OF CONSTRUCTION - Value: $
dwelling RESIDENTIAL EQUIPMENT / SYSTEMS'FEES*
❑ I- and 2-family g tommercialJindustrial ❑ Ac cessory building
For special information use checklist.
❑ Multi- family 0 Master builder
❑ Other: Description 1 Qty. I Ea. I Total
JOB SITE INFORMATION AND LOCATION Heating/cooling
1 ^� p 4 Air conditioning or heat pump
Job site address:
{ S � r it c1[__ 4 (requires site plan showing placement) 14.00
City /State/ZIP: 7 ftlrfl ore_ q 7 Furnace 100,000 BTU (ducts/vents) 14.00
1 Furnace 100,000+ BTU (ducts/vents) 17.90
Suite/bldg. /apt. no.: Project name: -S\i cAttosrvi Gas heat pump 14.00
Cross street/directions to job site: Duct work A 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
Subdivision: Lot no.:
Flue /vent for any of above 10.00
Other: \r{� �i `L 10.00
Tax map /parcel no.: Other fuel appliances
DESCRIPTION OF WORK Water heater 10.00
Gas fireplace 10.00
3 TUB\ a•t E rtendA 1-4iCa r Flue vent for water heater or gas
1 � i fireplace 10.00
GLX.it SP- (S tom- 'C'W\ }' ` of r — Gt'V s► Log lighter (gas) 10.00
Wood/pellet stove 10.00
Wood fireplace/insert 10.00
❑ PROPERTY OWNER ❑ TENANT Chimney /liner /flue /vent 10.00
Other: 10.00
Name: Environmental exhaust and ventilation
Range hood/other kitchen
Address: equipment 10.00
City /State /ZIP: Clothes dryer exhaust 10.00
Phone: ( ) Fax: Single -duct exhaust (bathrooms, •
( ) toilet compartments, utility rooms) 6.80
APPLICANT ❑ CONTACT PERSON Attic /crawlspace fans 10.00
Other: 10.00
Business name: ke_ f- c/ ci 4 `-4 ecC'NQ 4 (CA i1 Fuel piping
Contact name: —"T /NA • S n A $5.40 for first four; $1.00 for each additional
Address: . A 2'Z Il/l_ DNA- e , ik Furnace, e tc.
Gas heat pump
City /State /ZIP: Poi—e1 -t1
( c�) 313 _ ql --�30 Wall/suspended/unit heater
Phone: D _ t i u Water heater
Fax: ( �) � � a l
Fireplace
E- mail: — {'S Nat �.I
c ` S- Ea"„A t y'V Range
CONTRACTOR Barbecue
S,.� ^ , c Clothes dryer (gas)
Business name: �V 1l y�
Other:
Address: MECHANICAL PERMIT FEES*
City /State/ZIP: Subtotal
`
�,( Minimum permit fee ($72.50) .IS.�
Phone: (5 ) t — 6101/4 Fax: ( �) 01 _ 4I 1
Plan review (25% of permit fee) S3,'1,11
CCB I ic.: I. 1, .L f State surcharge (8% of permit fee) 11_ V({
s TOTAL PERMIT FEE >4.(, 44,
Authorized signature: ' This permit application expires if a permit is not obtained within 180
days after it has been accepted as complete.
Print name: ''q'./\ Sareivl tre Date: a — — O6 • Fee methodology set by Tri -County Building Industry Service Board
i :'Building\Permits\MEC- PermitApp.doc 12/03 440-4617T(11 /02/COM/WEB)
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CITY OF TIGARD c
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BUILDING DIVISION PERMIT :.?_ •::: (( (
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: l
Phone: (503) 639 -4171 I
Inspection Requests (24 Hrs.): (503) 639 -4175 :_-
INSPECTION WORKSHEET FOR DATE: { / TIME: PAGE:
SITE ADDRESS: (lj (On RTc F'I 0 - CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: _
DESCRIPTION: - SUPS' /*1?�
OWNER: PHONE #:
CONTRACTOR: PHONE #:
Inspection Request Scheduled For: Date: Pour Time:
Code # Inspection Description Confirm # Contact # Message
mom- no Z 1- (`l( S
Corrections /Comments /Instructions: - {'l (
it .
oi ( e V 1- 101i
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑
FAIL CALL FOR INSPECTION [11 ADDITI NAL ES ASSESSED
Inspector: Date: c J iV Phone #: (503) 718- 2k2----3
CITY Cif TIGARD P'L12--C___
BUILDING DIVISION PERMIT #: 2_ _00 j I
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED:
Phone: (503) 639 -4171 AA
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Inspection Requests (24 Hrs.): (503) 639 -4175 `:_..
INSPECTION WORKSHEET FOR DATE: TIME: PAGE:
SITE ADDRESS: / S 70 O CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME:
DESCRIPTION:
OWNER: PHONE #:
CONTRACTOR: PHONE #:
Inspection Request Scheduled For: Date: 3 -- 7 - Op Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 ptffC4 Fi .a(0 I - /(0 A-z-ri-c_)
Corrections /Comments/ Instructions: Or s \t6eA— I D L ‘ 3
)/'. j-\ -
.
❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL IR CALL FOR INSPECTION ❑ ADDITIONAL FEE ASSESSED
Inspector:
I ‘ Date: . ne #: (503) 718 - 4..,
•
a
CITY' Gra TIGARD
BUILDING DIVISION PERMIT #: Mir t .t[10, t1[f 111
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 2/21/2Q0:;
Phone: (503) 639 -4171 / u-dq�'41'1I��
Inspection Requests (24 Hrs.): (503) 639 -4175 _� °`__..
INSPECTION WORKSHEET FOR DATE 2/24/2006 TIME: 7:03AM PAGE: i 11
SITE ADDRESS: 15100 SW PACIFIC HWY CLASS OF WORK:
SUBDIVISION SL VV111.0W BROOK FARM LOT #: 0 TYPE OF USE:
PROJECT NAME: :;1 STORAGE
DESCRIPTION: (3) ton split system heat pump, duct system & bath fans. Valuation: $9000.
OWNER: S SC PROPERTY HOLDINGS INC, PHONE #:
CONTRACTOR: HEAT RELIEF CO PHONE #: 503 -260- 0077
Inspection Request Scheduled For: Date 2/24/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
615 Mechanical rough -in 0273403 -01 603- 314 -6125 N
Corrections/Comments/Instructions:
10 sr _LAST Su ti [ - ff3tp i oi
cS � xe-,c, c7 2 7
p P ASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ii INS' . CTION ❑ ADDITI' NAL FE- ASSESSED
Io A
IF u4
Inspector: / Date: • g I' hone #: (503) 7187