Permit 'P
CITY OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT PERMIT #: MEC2007 -00453
TIGARD • 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 9/24/2007
PARCEL: 2 S 112 DA -01300
SITE ADDRESS: 06640 SW REDWOOD LN 302 ZONING: I -P
SUBDIVISION: PACIFIC CORPORATE CENTER LOT: 001 JURISDICTION: TIG
PROJECT: PORTLAND CLINIC
Project Description: TI - Project Value: $47,000
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: 3 BOILERS /COMPRESSORS HOODS:
FUEL TYPES 0 - 3 HP: 1 DOMES. INCIN:
NAT. 3 - 15 HP: 1 COMML. INCIN:
MAX INPUT: BTU 15 - 30 HP:
FIRE DAMPERS ?: 30 - 50 HP: REPAIR UNITS:
GAS PRESSURE: 50 + HP: WOODSTOVES:
FURN < 100K BTU: AIR HANDLING UNITS CLO DRYERS:
OTHER UNITS:
FURN > =100K BTU: <= 10000 cfm: GAS OUTLETS: 2
> 10000 cfm:
Owner: FEES •
PACIFIC REALTY ASSOCIATES Description Date Amount
15350 SW SEQUOIA PKWY #300 -WMI
PORTLAND, OR 97224 [MECH] Permit Fee 9/24/2007 $731.00
[MECPLN] Plan Rev 9/24/2007 $182.75
[TAX] 8% State Surcha 9/24/2007 $58.48
Phone: Total $972.23
Contractor:
HUNTER DAVISSON INC
1800 SW PERSHING
PORTLAND, OR 97202 REQUIRED ITEMS AND REPORTS
Contact #: PRI 503- 234 -0477
Reg #: LIC 01612 '
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 = • / Permittee Signature:
Call 503.639.4175 by 7:00 a.m. for inspections tha • • ess • ay.
- permit card shall be kept in a conspicuous place on the job site until completion of ' e project.
Approved plans are required on the job site at the time of each inspection.
eCotitcp - SW Ra:NOce- 11
Mechanical Permit Application FOR OFFICE USE ONLY
Y . C i of Ti and P ermit No.:
. g Iv Dat 7 a3 0� � fG'�,?��- ao`�53
C a 13125 SW Hall Blvd., Tigar p 22 I, t'' Plan Review // li
. Phone: 503.639.4171 Fax: 50 Date/By: I ` d� i� Other Permit:
TI G n R U Inspection Line: 503.639 , Date Ready/By: �, f 2., la El See Page 2 for
Internet: www.tigard - or.gov J UL 2 3 2001 Notified/Method ,07 fj�� / Supplemental Information
TYP ovimi- Y� j T , a {� � COMMEWCIAL FEE* SCHEDULE — USE CHECKLIST
❑ New construction
r'�/ •l ��ent t `" 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, la or, overhead, and r It.
CATEGORY OF CONSTRUCTION Value: $ 7 ma
RESIDENTIAL EQUIPMENT / SYSTEMS FEES*
❑ 1- and 2- family dwelling Commercial /industrial ❑ Accessory building
For special information use checklist.
❑ Multi- family ❑ Master builder ❑ Other: Description I Qty. I Ea. I Total
JOB SITE INFORMATION AND LOCATION Heating/cooling
Job site address: Ate)
Air conditioning or heat pump
ww J 1„, (requires site plan showing placement) 14.00
City/ State/ZIP:"Tit re ( ® Fumace 100,000 BTU (ducts/vents) 14.00
Suite/bldg. /apt. no.: Project name: ��// Fumace 100,000+ BTU (ducts/vents) 17.90
I P ri f C, 14 ,z g/er /d f j 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: I Lot no.: Flue/vent for any of above 10.00
Other: 10.00
Tax map /parcel no.: Other fuel appliances
DESCRIPTION OF WORK Water heater 10.00
Gas fireplace 10.00
T / I f 61 / e d Al.. gi/Ae' Un i 4/ 9,,..0_ Flue vent for water heater or gas , f� f 1 I fireplace 10.00
'wV
V 10 riI • Yr I DC11 il t,t CA ( !:/4k La, ;41 Log lighter (gas) 10.00
w orit 4o ,4cce Q4 J j _ Wood/pellet stove 10.00
Wood fireplace /insert 10.00
❑ PROPERTY OWNER I ❑ TENANT Chimney /liner /flue/vent 10.00
�,/ j Other: 10.00
Name: FeEjilQ1?r/ / , th tt` Environmental exhaust and ventilation
Address: !! 1 Range hood/other kitchen
�� gf. • equipment 10.00
City/State /ZIP d, D f Clothes dryer exhaust 10.00
' S Single -duct exhaust (bathrooms,
Phone: ( ) Fax: ( ) toilet compartments, utility rooms) 6.80
❑ APPLICANT ❑ CONTACT PERSON Attic /crawlspace fans 10.00
Business name: 9 „ - O 10.00
/� y v! r � � TIf/_ Fuel ther: p iping
Contact name: � S / // L,9MErTE $5.40 for first four; $1.00 for each additional
Fumace, etc.
Address: S1� er�lj�L., .0 Gas heat pump
City/State /ZIP: o p. 7 q7 2 0'7 Wall /suspended/unit heater
Phone: (. p) 23 Y ^ t /� > Fax:: ( ) Water heater
r , / Fireplace
E -mail: Range
CONTRACTOR Barbecue
Business name:` Clothes dryer (gas)
Other:
Address: MECHANICAL PERMIT FEES*
City/State/ZIP: Subtotal
Phone: ( ) Fax: ( ) Minimum permit fee ($72.50)
Plan review (25% of permit fee)
CCB lic.: / &2 State surcharge (8% of permit fee)
TOTAL PERMIT FEE 9logwri3
Authorized signature: This permit application expires if a permit is not obtained within 180
1'� days after it has been accepted as complete.
Print name: aij I Date: 7••••22 • Fee methodology set by Tri- County Building Industry Service Board
1:\Building\Pmnits\MEECC- PermitApp.doc 04 /06/06 440-4617T (I 1/02/COM/WEB)
CITY OF TIGARD .
BUILDING DIVISION . .
PERMIT #: MEC2U07 00 ►53
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/24/2007
Phone: (503) 639 -4171 46 n Ill
Inspection Requests (24 Hrs.): (503) 639 -4175 �': . ` L.
INSPECTION WORKSHEET FOR DATE: 11/16/2007 TIME: 7 :01AM PAGE: 44
I
SITE ADDRESS: 06640 SW REDWOOD LN 302 CLASS OF WORK:
I
SUBDIVISION: PACIFIC CORPORATE CENTER LOT #: 001 TYPE OF USE:
PROJECT NAME: PORTLAND CLINIC
DESCRIPTION: TI - Project Value: $47,000
OWNER: PACIFIC REALTY ASSOCIATES, PHONE #:
CONTRACTOR: HUNTER DAVISSON INC PHONE #: 503.234 -0477
Inspection Request Scheduled For: Date: 11/16 /2007 Pour Time:
Code # Inspection Description Confirm # Contact # Messa•e j J-/i(
639 Mechanical final 059805 -01 503 - 793-9802
Corrections /Comments /Instructions:
SM c,I o� 2 V ! 2 f� t� _1
�► / PAS If PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
IN FAIL t/ :ALL FOR INSPECTION ❑ADDITIONAL FEES ASSESSED
9 Inspector: � — - _ '` Date: f i 6, 2- C9 D i Phone #: (503) 718- �
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MFC2007 -00453
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/24/2007
Phone: (503) 639 -4171 /mow , +�
Inspection Requests (24 Hrs.): (503) 639 -4175 . I .
INSPECTION WORKSHEET FOR DATE: 11/1512007 TIME: 7:01AM PAGE: 42
SITE ADDRESS: 06640 SW REDWOOD LN `!02 CLASS OF WORK:
SUBDIVISION: PACIFIC CORPORATE CENTER LOT #: 001 TYPE OF USE:
PROJECT NAME: PORTLAND CLINIC
DESCRIPTION: TI - Project Value: $47,000
OWNER: PACIFIC REALTY ASSOCIATES, PHONE #:
CONTRACTOR: HUNTER DAVISSON INC; PHONE #: 503 -234 -0477
Inspection Request Scheduled For: Date: 11//52007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 059701 -01 503-209.1048 N
Corrections /Comments /Instructions:
&A di — – c Imp ,_ ■ — col -. //./ R. Cc I t -
g-__ ------- r ( r.l o i e. p c='1Z ov Cif S E1
KIM A- C--e-7 / °LC - c:-_- -- / N.! S PLZ73c "•-e -- 1∎)0 t IZr ' /'
(\j oT7 ►V 0 IZc v 17— — FOP / "1 C Pl- - LT W I./ - T719 S
- 1 - 1 m L,
❑ PASS • PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
AI 2 CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
# _
Inspector: Date: 1 / l /S`o 1 2 Phone #: (503) 718- 2--CVy
CITY OF TIGARD
y a '�
BUILDING DIVISION PERMIT #: MEC2007 -00453
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/74/2007
Phone: (503) 639 -4171 Ti?I�I
Inspection Requests (24 Hrs.): (503) 639 -4175 :Tilt
INSPECTION WORKSHEET FOR DATE: 11/2/2007 TIME: 7 :01AM PAGE: 84
SITE ADDRESS: 06640 SW REDWOOD LN 302 CLASS OF WORK:
SUBDIVISION: PACIFIC CORPORATE CENTER LOT #: 001 TYPE OF USE:
PROJECT NAME: PORTLAND CLINIC
DESCRIPTION: TI - Project Value: $47,000
OWNER: PACIFIC REALTY ASSOCIATES, PHONE #:
CONTRACTOR: HUNTER DAVISSON INC PHONE #: 503.234 -Q477
Inspection Request Scheduled For: Date: 'I 1/2/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Mes sti -
615 Mechanical rough -in 058789 -01 503 - 209-1048
Corrections /Comments /Instructions:
1/- /1 ‘1/ f �c.) ■--- ,sr pi
Artsle , cJ _S (51 a, ' 'G - 5
111 PASS '�� ± - . RTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL CALL FOR INSPECTION El ADDITIONAL FEES ASSESSED
Inspector: Date: /r Z 0 7 Phone #: (503) 718- Z(
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MFC2007 -00453
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9124/2007
Phone: (503) 639 -4171 A* , l l
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 10/3/2007 TIME: 7 :02AM PAGE: 55
SITE ADDRESS: 06640 SW REDWOOD LN 302 CLASS OF WORK:
SUBDIVISION: PACIFIC CORPORATE CENTER LOT #: 0Q1 TYPE OF USE:
PROJECT NAME: PORTLAND CLINIC
DESCRIPTION: TI - Project Value: 417,000
OWNER: PACIFIC REALTY ASSOCIATES, PHONE #:
CONTRACTOR: HUNTER DAVISSON INC PHONE #: 503 -234 -0477
Inspection Request Scheduled For: Date: 10/3!2007 Vkt1/°'k4- Pour Time:
Code # Inspection Description Confirm # Contact # Me- . • -
615 Mechanical rough -in 056836.01 503 -341 -5534
Correc ions /Comments /Instructions:
L L< Zo 0/ — 00 /Ace C ►-+- q /Z-t E (Q.1)
c-- yvv\--6- ( ?-4° "\ _--._, t/\A-k__-4- .------- '
v_4 -G, ; sue -\ -sue -
. � k L•,,� S o —• �--p v AA/
VeN)e-e c
❑ PASS E - PAR APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
AP I/ Inspector: D ate: 1 3 /0 Phone #: (503) 718 - Z(/2- (/
r - .
CITY OF TIGARD _ -
BUILDING DIVISION PERMIT #: MEC2007-00453
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9124/7007
Phone: (503) 639 -4171 $
Inspection Requests (24 Hrs.): (503) 639 -4175 .. '!`+� `' I..
INSPECTION WORKSHEET FOR DATE: 9/28/2007 TIME: 7:00AM PAGE: 78
SITE ADDRESS: 06540 SW REDWOOD LN 302 CLASS OF WORK:
SUBDIVISION: PACIFIC CORPORATE CENTER LOT #: U01 TYPE OF USE:
PROJECT NAME: PORTLAND CLINIC
DESCRIPTION: TI .. Project Value: $47,000
OWNER: PACIFIC REALTY ASSOCIATES, PHONE #:
CONTRACTOR: HUNTER DAVISSON INC PHONE #: 503-2340477
Inspection Request Scheduled For: Date: 9/28/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
615 Mechanical rough -in — � 056504-01 503-23.4-0477 Y
Corrections /Comments/ structions:
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// 4Q s
1- y-LeJ21
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J.,,,je,c OF ,
•
PASS
b`b
/
❑ /1 IAL APPROVAL ❑CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: \ (�- D V/ Phone #: (503) 718- zy Z-