Permit ;.. CITY OF TIGARD
MECHANICAL PERMIT
° COMMUNITY DEVELOPMENT PERMIT #: MEC2007 - 00333
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 6/14/2007
PARCEL: 25101 DD - 00600
SITE ADDRESS: 06700 SW SANDBURG ST ZONING: C -P
SUBDIVISION: SALEM FREEWAY SUBDIVISION LOT: 003 JURISDICTION: TIG
PROJECT: WESTERN FAMILY
Project Description: Replace server room unit. Project Value: $27,920
CLASS OF WORK: OTR 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:
FIRE DAMPERS ?: 30 - 50 HP: REPAIR UNITS:
GAS PRESSURE: 50 + HP: WOODSTOVES:
FURN < 100K BTU: AIR HANDLING UNITS CLO DRYERS:
FURN > =100K BTU: <= 10000 cfm: OTHER UNITS:
> 10000 cfm:
GAS OUTLETS:
Owner: FEES
WESTERN FAMILY HOLDING INC Description Date Amount
PO BOX 4057
PORTLAND, OR 97208 [MECH] Permit Fee 6/14/200i $474.50
[TAX] 8% State Surcha 6/14/20W $37.96
[MECPLN] Plan Rev 6/14/200 $118.63
Phone: Total $631.09
Contractor:
REITMEIER MECHANICAL INC
19570 SW 90TH CT
TUALATIN, OR 97062 REQUIRED ITEMS AND REPORTS
Contact #: PRI 503- 603 -0205
FAX 503- 603 -0150
Reg #: LIC 153770
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.
/1
Issued By: ,� ; J' i/ Permittee Signature: / j
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.
. * Mec�a>Iaical Per
L �,,._.5 :_ . • S,.L, F E I OIl OFF ICI. USE ONLY
City of igard Received Date/By. // 0 1 j Permit No. :/LJ ra eo —
13125 SW Hall Blvd., Tigard, 0' plan Revie — "T
Phone: 503.639.4171 Fax: 503.598.1960 7 .,;.., �, Date/By, � Iem ' Other
Inspection Line: 503.639.4175 JUN 1 1 200 ` I 1 _ Date Re..7: y. am ® See Page 2 for
g ard.or.us F Notified/Metho Internet: www.ci.ti ' - � Q Supplemental Information
a rAI ill if, I *II tit!. ii . 4_ / r gr ' " FEE* SCHEDULE - USE CHECKLIST •
❑ New construction '/ • s s tlo • • teration/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, *or, overhead, and profit.
CATEGORY OF CONSTRUCTION Value: $"r a y Z O . cc"-=.
RESIDENTIAL EQUIPMENT / SYSTEMS FEES*
❑ I - and 2 family dwelling OCommercial/industrial ❑ Accessory building
• For special information use checklist.
❑ Multi - family ❑ Master builder ❑ Other: Description I Qty. I Ea. I Total
j7 I B SITE INFORMATION AND LOCATION Heating/cooling
Job site ad :7_ / " �. Air conditioning or heat pump
�Jr1l Sw (3 tuck ST (requires site plan showing placement) 1 14.00
City /State/ZIP: 7) F Av. 0 v g / 1 z 3 Furnace 100,000 BTU (ducts/vents) 14.00
/ Fumace 100,000+ BTU (ducts/vents) 17.90
• Suite/bldg. /apt. no.: Project name: ) H r L...
Gas heat pump 14.00
Cross street/directions to job site: Duct work 14.00
ry i4 I Hydronic hot water system 14.00
/ V 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
. geP /hC 5 e / /tie—AZ r oD" (f—),r Flue vent for water heater or gas
fireplace 10.00
Log lighter (gas) 10.00
Wood/pellet stove 10.00
Wood fireplace/insert 10.00
,PROPERTY OWNER I ❑ TENANT Chimney/liner /flue/vent 10.00
• f Other: 10.00
Name: LtJF 7 1? � / r m • r/ Environmental exhaust and ventilation
Ad40Range hood/other kitchen
SvJ 5A-�1 Qf�l� t� equipment 10.00
City /State/ZIP: T 4 v 0 4 c=7 /72. z9 Clothes dryer exhaust 10.00
/ Single -duct exhaust (bathrooms,
Phone: ( ) I Fax: ( ) toilet compartments, utility rooms) 6.80
. ❑ APPLICANT P CONTACT PERSON Attic/crawlspace fans 10.00
Other: 10.00
Business name: Fuel piping
Contact name: ), , K T- t $5.40 for first four; $1.00 for each additional
Address:
Fumace, etc.
Gas heat pump
City /State/ZIP: Le--// Wall/suspended/unit heater
Phone: ( ) ,' 77 ' 3 � j l Fax: : ( ) Water heater
P /07 Fireplace
E -mail: Range
CONTRACTOR Barbecue
Clothes dryer (gas)
Business name: ke rmae - R AA E cdi A..Auc4.
Other:
Address: /9570 c, 1 6 7e C tx-,,.y' ' MECHANICAL PERMIT FEES*
City / State/ZIP: -radA t , OR / q ? D 6 Z Subtotal
Minimum permit fee ($72.50)
Phone:
(1U3)&0; p zt ,5 Fax: (5 ( esO3 D I S C) Plan review (25% of permit fee)
CCB lic.: f f 3770 State surcharge (8% of permit fee)
` ‘1„,..),V TOTAL PERMIT FEE
Authorized signature: This p ermit application expires if a permit is not obtained within 180
days after it has been accepted as complete.
Print name: A . k 7 I Date:6 - I/ — 7 • Fee methodology set by Tri- County Building Industry Service Board
i:BuildingTemtits \NEC- PamitApp.doc 12/03 440 -4617T (11 /02/COM/WEB)
Mechanical Permit Application - City of Tigard s .
P age 2 - Supplemental Information
Commercial Fee Schedule:
Total Valuation: Permit Fee:
$1.00 to $2,000.00 Minimum fee $72.50
• $2,001.00 to $5,000.00 $72.50 for the first $2,000.00 and $2.30
for each additional $100.00 or fraction
thereof, to and including $5,000.00.
$5,001.00 to $10,000.00 $141.50 for the first $5,000.00 and
$1.80 for each additional $100.00 or
fraction thereof, to and including
• $10,000.00.
$10,001.00 to $50,000.00 $231.50 for the first $10,000.00 and
$1.35 for each additional $100.00 or
fraction thereof, to and including
$50,000.00.
$50,001.00 to $100,000.00 $771.50 for the first $50,000.00 and
$1.25 for each additional $100.00 or
fraction thereof, to and including
$100,000.00.
$100,000.01 and up $1,396.50 for the first $100,000.00 and
$1.10 for each additional $100.00 or
fraction thereof.
Note: All new commercial buildings require 2 sets of plans.
i:\Building'5Permits\MEC- PermitApp.doc 12/03 2
l c RN P#. i
0 -`
2 o a 5uJ 5R etale.0
t e., ..,.... Prvpo e hkk 4 ' 0 (1 ,
• 7, ch�..�, .JOEL 3 SRRoI 2.__
IP��1�
c e, CA-rvv d Wif Lto Per\ o 1 ?_____
-----H- i
a rk G
l a I • • t c t 1
t
71' `
tri ,
1
- 3•A) SA JOOuRCi ST NI 11 0
r\I I I 'i
_ ,,A
. r
I
V )
7 � - If/Ike M .r_g.,.. i.AK
Q 5 9 O' co ∎ � .rt
Jam.
r cea.3 s <g.. 0/50
c LeZ 1*-- /53 770
..
CITY OF TIGARD
BUILDING DIVISION �� PERMIT #: MEC2007-00333
13125 SW Hall Blvd., Tigard, OR 97223 / ` DATE ISSUED: 6/14/2007
Phone: (503) 639 -4171 �� /
Inspection Requests (24 Hrs.): (503) 639 -4175 I L
INSPECTION WORKSHEET FOR DATE: 8/20 /2007 TIME: 7:02AM PAGE: 49
SITE ADDRESS: 06700 SW SANDBURG ST CLASS OF WORK:
SUBDIVISION: SALEM FREEWAY SUBDIVISION LOT #: 003 TYPE OF USE:
PROJECT NAME: WESTERN FAMILY
DESCRIPTION: Replace server room unit. Project Value: $27,920
OWNER: WESTERN FAMILY HOLDING INC, PHONE #:
CONTRACTOR: REITMEIER MECHANICAL INC PHONE #: 503- 603.0205 1
•
Inspection Request Scheduled For: Date: 8/20/2007 r Pour Time:
Code # Inspection Description Confirm # Contact # M: sage i
699 Mechanical final 054290-01 503- 367 -8975 Y
Corrections /Comments /Instructions:
t PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
V(/ Inspector: Date: 0 7/9 Phone #: (503) 718- � `
7
CITY OF TIGARD , ,
0.6-6
BUILDING DIVISION PERMIT #: MEC2007 -00333
13125 SW Hall Blvd., Tigard, OR 97223 D 0 DATE ISSUED: 6/ "14/2007
Phone: (503) 639 -4171 b ea ds )
Inspection Requests (24 Hrs.): (503) 639 -4175 " 'I �.. /
INSPECTION WORKSHEET FOR DATE: 8/13/2007 TIME: 7:01AM PAGE: 2E,
SITE ADDRESS: 06700 SW SANDBURG ST CLASS OF WORK:
SUBDIVISION: SALEM FREEWAY SUBDIVISION LOT #: 003 TYPE OF USE:
PROJECT NAME: WESTERN FAMILY
DESCRIPTION: Replace server room unit. Project Value: $27,920
OWNER: WESTERN FAMILY HOLDING INC, PHONE #:
CONTRACTOR: REITMEIER MECHANICAL INC PHONE #: 503-603 -0205
Inspection Request Scheduled For: Date: 8/13/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Me a e yy���� �� ������
699 Mechanical final 053855 -01 503-577 -8317 Y C%dtrti,1.�e .-
6,...._R,f- ) Corrections /Comments /Instructions:
6 A) b 7C /•2--I>3.(-Li
- , ELG 7.407, loo c7
• A.,,. • 6. ' - 0-tc::_i - 0\2_ c ket.,_4
-1.- , ?)\f"
., y..--1"._e_si....r
b -A-A---, - , t , N c_,( - 2,-.E.--v— ,
Ai Q ( S - k_e__J' &kJ/ YYLe cJ___62_,. c__.__-9
t■yk c (_ - .
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: ■t J Date: )/( /67 Phone #: (503) 718- 7_1( 2 7