Permit { CITY OF TIGARD
MECHANICAL PERMIT
I� DEVELOPMENT SERVICES PERMIT #: MEC2004 -00744
'`y' E� 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 D ATE ISSUED: 11/15/2004
PARCEL: 2S1 12 DA -01400
SITE ADDRESS: 06650 SW REDWOOD LN 330
SUBDIVISION: PP1996 -048 ZONING: I -P
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:
• 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
FURN > =100K BTU: <= 10000 cfm: OTHER UNITS:
> 10000 cfm: GAS OUTLETS:
Remarks: Relocate duct work. Value $520
Owner: FEES
PACIFIC REALTY ASSOCIATES Description Date Amount
15350 SW SEQUOIA PKWY #300 -WMI [MECH] Permit Fee 11/15/20( $72.50
PORTLAND, OR 97224 [TAX] 8% State Surchart 11/15/20( $5.80
Phone: Total $78.30
Contractor:
PROTEMP ASSOCIATES INC
9788 SE 17TH AVE
PORTLAND, OR 97222 REQUIRED INSPECTIONS
Mechanical lnsp
Phone: 233
Final Inspection
Reg #: LIC 38868 .
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.
Issued By: Permittee Signature' / !
Call (503) 639 -4175 by 7:00 P.M. for inspections needed the next business day
Mechanical P ) 1d App ication FOR OFFICE USE ONLY
City of Tigard C. 1 Dat l 5 ' O _h Permt � 7"7 13125 // � 7
13125 SW Hall Blvd., Tigard, OR 97223
Phone: 503.639.4171 Fax: .501498.1960 � .� , I eta DateBy: Other Permit:
Inspection Line: 503.639.41/5 , • . 2 0U4 _8.161,. E! i Date Ready/By: Ein 0 See Page 2 for
Internet: www.ci.tigard.o0:ul' � i A � Notified/Method: Supplemental Information
11 1 u r 1 `� a tq
.,� : : :, Milk t I'WORI{', ,`," _ .... 7ii`�_. ". ; 't:•.r: C.OMMERCIAL' "FEE. SCHEDULE - USE'CHECKLIST
Mechanical permit fees* are based on the value of the work
New construction
❑ Addition /alteration/replacement . performed. Indicate the value (rounded to the nearest dollar) of all
❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit.
a} ;CATEG R�.. , Value: $ (s`2,0 (!'a
'''''',': .-- ' `� ,., O OF:�CONSTRUCTIOIY l e , . ' ; a��'
E1 1 - and 2 - famil dwelling CommerciaUindustrial ' : ;i SIDENTLia EQUIPMENT iS∎iSTEMS,FEES*
y g ❑ Accessory building
For special information use checklist.
❑ Multi - family ❑ Master builder ❑ Other:
Description I Qty. I Ea. I Total
g;
r1Y...P r,i.�7 ;,�,�1 J . mac.- �� �• �P � rr._'. ^. -�. -ssur v��. >H,s, . * � F . -.r ..� ...
Heatin
1 ° _ OB' fSTTE `<NFO &TIUN 'i i c AT,ION: r, ` rt ' ; ; ; ;,.:
l
-._ ...;; ...a. ter.. ., . . . .. ._ - , - .�,m - ... . � �'' ° �':i ...,.s, �.. - ¢/cooling
Job site address: 6' d Sea RSV Q .. �, Air conditioning or heat pump
!?� r�+FiM -C.._ (requires site plan showing placement) 14.00
City/State/ZIP:7 ,,41... 0 6 � 222 Furnace 100,000 BTU (duets/vents) 14.00
_ f Furnace 100,000+ BTU (ducts/vents) 17.90
�ulfti
Suite/bldg. /apt. no.: Project name: n
.� /T 0 Gas heat pump 14.00
Cross street/directions to job site: 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
Subdivision: Lot no.: Flue/vent for any of above 10.00
-
Other: 10.00
Tax map /parcel no.: Other fuel appliances
4 i<frlf , _t;',t
,�,,;w ? , �.� r 1'. - " . .. N , -.: �� °„ ,
-i,•b �:- ., i �' :'�'DESCRIP�IO'�r O 'W RK` "" ` - a• a;.•. ! : ; ,ak"fiF7: -' , ti ": Water heater 10.00
: �: +•';.i. , ti' - ,.•.. .... 7'. ":` ��` Q .,. o',:'r.�'.':!a:r;: ,. �x;'r;..
e Gas fireplace 10.00
R . - -e_.. 1) u �1 W e /f' r c ..-le.-A) r ' Flue vent for water heater or gas
J> fireplace 10.00
Log lighter (gas) 10.00
Wood/pellet stove 10.00
Wood fireplace/insert 10.00
=k -a, _., 1j; .,•, q . ,, - .., - •- Chimney/liner /flue/vent 10.00 .
t -' ° EROEE'RTY 'O PIYER3t; •; ., 'I P "'•. F, ' b ? ,i:3 i','Q'�x i -•ti
xtf ,• ,k, :,,..w...:a... °.r:
'' ', " ".. i.; Ft, Other: 10.00
Name: /4 L1 / )04 _j -,: e Environmental exhaust and ventilation
Address: Range hood /other kitchen
equipment 10.00
City/State/ZIP:�,p, C /1.e.4-0. a Clothes dryer exhaust 10.00
Single -duct exhaust (bathrooms,
Phone: Fax: ( So3) 7
> ) �2 y -, (� tie, �O2 Y - 7 �.� toilet compartments, utility rooms) 6.80
A , .
} 41r : ., ,; roc . r t Attic /crawls ace fans 10.00
�:�s,�x�t��`vi."' . ��•!, s��A�EL�CA� 'I";f ���r- � .�I:. .. �. CON 'I`.A�'14'YERS�OIY °:- : P
Q r Other: 10.00
Business name: dy R o /(/ j ,„o ,JOG. /„.72 f L,,, 4_i Fuel piping
Contact name: 6R u 4 & 3 U � e ,- $5.40 for first four; $1.00 for each additional
Address: 97� g' -Sc-- ,'' /2 !' 4J, Furnace, etc
Gas heat pump
City/State/ZIP: p i,q,,, 0��,17---) 9/2Z Z, Wall/suspended/unit heater -
Phone: (5 3) 5' 5 _ G /7 Fax: : (6 a ., 9 7 6? Water heater
Fireplace
E -mail:
Range
}'�d!,,t'� ° ' i+i1, 'k Y.:`.Y � r +; -. i. ,-p�, r_r ,• . .. _L �7 e .• - .�,� � "�...: - :
H. 't i. ' At , P4 . it' . I G OIN Y TIiiTat ORF N ` a. ` iei i.k-A " * ' P d - $:"'":':= Barbecue
Business name: ..54.41 L .47 3 /1 .5 ,v�
Clothes dryer (gas)
Other:
Address: b. "e;" = ME'CHA(!iICAL PE FtEES*':'
City/State/ZIP: Subtotal
Phone: ( ) F es: ( ) Minimum permit fee ($72.50) ... 7g .
Plan review (25% of permit fee)
CCB lic.: 3 U t -b r State surcharge (8% of permit fee) 5 ` ,
TOTAL PERMIT FEE ' p .,0
Authorized signature: ?ee.,4_,e444._ This permit application expires if a permit is not obtained within 180
days after it has been accepted as complete.
Print name: 8R iJ j �e_ fR._ Date:��L/r.: Q y • Fee methodology set by Tri County Building Industry Service Board
i:\ Bui lding\Permits\MEC- PemtitApp.doc 12/03 440 -4617T (1I /02/COM/WEB)
CITY OF TIGARD 24 -Hour
BUILDING Inspection Line: (503) 639 -4175
INSPECTION DIVISION Business Line: (503) 639 -4171 MST
BUP
Received Date Requested / / I' AM PM BUP
Location 1, ( SZ) v l ca w O Z, z[ Suite : 3 MEC a0 6 6 7
Contact Person Ph ( ) s( 9 - Zo ( PLM
Contractor Ph ( ) SWR
BUILDING Tenant/Owner ELC
Footing
•
Foundation ELC
Access:
Ftg Drain ELR
Crawl Drain
Slab ImPection otes: - 1 SIT
Post & Beam 1.t .4
Shear Anchors . A 0
Ext Sheath/Shear (
Int Sheath/Shear a/1 / /'��e r, '2 7 3�
Framing ��L ` X
Insulation
Drywall Nailing -'r ' A
Firewall
Fire Sprinkler c ,•�
Fire Alarm �r
Susp'd Ceiling !FAL_ = - —
Roof
Other:
Final
t � PASS PART FAIL
PLUMBING
Post & Beam
Under Slab ■,� /
Rough -In aj f 111 I in Water Service
Sanitary Sewer
Rain Drains
Catch Basin / Manhole
Storm Drain
Shower Pan
Other:
Final
PASS PART FAIL
MECHANICAL
Post & Beam
oought>
Gas Line
oke Dampers
RT FAIL
' ICAL
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 0 Please call or rein -ction RE: . 0 Unable to inspect — no access
Fire Supply Line pwlim
ADA el
-,,
Approach/Sidewalk Date Inspector ;i Ext
Other:
Final DO NOT REMOVE this inspection record from the Job site.
PASS PART FAIL