Permit `
4, _
f� �= - w
a CITY OF TIGARD. MECHANICAL PERMIT
COMMUNITY DEVELOPMENT PERMIT #: MEC2007 -00332
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 6/14/2007
PARCEL: 25101 DD - 00400
SITE ADDRESS: 06825 SW SANDBURG ST ZONING: C -
SUBDIVISION: SALEM FREEWAY SUBDIVISION LOT: 001 JURISDICTION: TIG
PROJECT: TOC
Project Description: Replace split HVAC unit. Project Value: $59,940
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
TOC MANAGEMENT SERVICES INC Description Date Amount
6825 SW SANDBERG ST
TIGARD, OR 97223 [MECH] Permit Fee 6/14/2007 $896.50
[MECPLN] Plan Rev 6/14/200 i $224.13
[TAX] 8% State Surcha 6/14/200i $71.72
Phone:
Total $1,192.35
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. S alty Codes and all other
applicable laws. All work will be done in accordance with approved plans. This permit will expire if works not started within 180 days of
issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to fo ow 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.
` l C
Issued Be,..-- /i /�/ ; / _ 1 �� Permiftee Signature:/ o ,� j 7/
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.
(0g2-5 6b3 Sik6
M�echa;l�ical Permit !` t� ill I V K FOR OFFICE USE ONLY
City of Tigard Date/By: # I : jA Permit No.: o07 -00 13125 SW Hall Blvd., Tigard, OR 97223 JUN n • evie 1 i
Phone: 503.639.4171 Fax: 503.598.1960 UN 200 A way •� •
Date/By: : A 0 a Other Permit
Inspection Line: 503.639.4175 r „ s_ �,1. r•� Date Ready/By: El See Page 2 for
Internet www.ci.tigard.or.us CITY OF . j j ;' -; '.- Notified/Method: / �17 Supplemental Information
;? '' . a t. - 1.1 I I t..
. . • TYPE OF WORK . i(� / ' OMMERCIAL._FEE * . SCHEDULE' - USE CHECKLIST
❑ New 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, overhe d, and profit.
CATEGORY OF CONSTRUCTION - .' - Value: $ 5y�4 Ja
❑ 1 - and 2 family dwelling ,® Commercial/industrial ❑ Accessory building 4: RESIDENTIAI'EQUIPMENT7 SYST FEES*
For special information use checklist.
❑ Multi - family ❑ Master builder ❑ Other:
Description I Qty. I Ea. I Total
JOB SITE INFORMATION. AND LOCATION ' ` Heating/cooling
/ Q B ` Air conditioning or heat pump
Job site address: 10 Z 1 V LJ1, t�/�A1 ,Q 4[ 1,x( 6r (requires site plan showing placement) I 14.00
City/State/ZIP: T CZd4.2 to ok 97, . 3 Furnace 100,000 BTU (ducts/vents) 14.00
Furnace 100,000+ BTU (ducts/vents) 17.90
Suite/bldg. /apt. no.: Project name: •0 Gas heat pump 14.00
Cross street/directions to job site: Duct work 14.00
fit) Hydronic hot water system 14.00
Ol 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
e
Gas fireplace 10.00
plA h 4-0 l � 1 g
t`
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 Ot y/liner/flue/vent 10.00
Other: 10.00
Name: -r0 L m�7GM A3 t `5 Environmental exhaust and ventilation
Range hood/other kitchen
Address: 62 5.4n � 5 .1.5„),..) s sy equipment 10.00
City/ State/ZIP: T 614., 0 of //'°2-% 5 Clothes dryer exhaust 10.00
/ Single -duct exhaust (bathrooms,
Phone: (5 / ) b 7. 1 Ito Fax: ( ) toilet compartments, utility rooms) 6.80
❑ APPLICANT CONTACT PERSON . - - Attic /crawlspace fans 10.00
Other: 10.00
Business name:
Fuel piping
Contact name: DI G if 'T'i4-RR $5.40 for first four; $1.00 for each additional
Address: Furnace, etc.
Gas heat pump
City/State/ZIP: L OE// Wall/suspended/unit heater
Phone: (5„Z) 5 77 i 8 3 04_ Fax: : ( ) Water heater
'�/ 1 Fireplace
E -mail:
Range
•
CONTRACTOR - . Barbecue
Business name: ffE r ` e /? LT UM 11 C
Clothes dryer (gas)
� l� , _ l Other:
Address: /6/ 5'1 () Sw 9 o g co i fi MECHANICAL PERMIT FEES*
City/ State/ZIP: - 4 i_i eD fZ 4''7 0 b Z-- Subtotal
Minimum permit fee ($72.50)
Phone: (c ) bee dZ 0 �! Fax: 5 7) 9 Q Plan review (25% of permit fee)
CCB lic.: I5 3 77 0 ` // State surcharge (8% of permit fee)
TOTAL PERMIT FEE
Authorized signature: c
This permit application expires if a permit is not obtained within 180 ,A_Al d ays after it has been accepted as complete.
Print name: ��` L 74'Q R Dater _ ti � p • Fee methodology set by Tri County Building Industry Service Board
i:\ Building \Permits1MEC- PermitApp.doc 12/03 440 -4617T (I 1/02/COM/WEB)
Mechanical Permit Application - City of Tigard
Page 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 fast $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\Permits\MEC- PermitApp.doc 12/03 2
CITY OF TIGARD
1 BUILDING DIVISION PERMIT #: MEC2007 -00332
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED 6/14/2007
Phone: (503) 639 -4171 � .m� �i . n
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 8/31/2007 TIME: 7 :00AM PAGE: 37
SITE ADDRESS: 06825 SW SANDBURG ST CLASS OF WORK:
SUBDIVISION: SALEM FREEWAY SUBDIVISION LOT #: 001 TYPE OF USE:
PROJECT NAME: TOC
DESCRIPTION: Replace split HVAC unit. Project Value: $59,940
OWNER: TOC MANAGEMENT SERVICES INC, PHONE #:
CONTRACTOR: REITMEIER MECHANICAL INC PHONE #: 503-603-0205
Inspection Request Scheduled For: Date: 8131/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message '
699 Mechanical final 054971 -02 503-367 -8975 N
Corrections /C ments /Instructions:
el- o -Db3a ( c`- V2-4/0 (6N)
1
ik (
g . /
11/
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: � / 11 Date: �, (67 Phone #: (503) 718 - Z4
1- l / `
CITY OF TIGARD - q-
BUILDING DIVISION PERMIT #: MEC2007 -00332
13125 SW Hall Blvd., Tigard, OR 97223 . / DATE ISSUED: 6/14/2007
Phone: (503) 639 -4171 4741 V I I� (n
Inspection Requests (24 Hrs.): (503) 639 -4175 � I FFF���
INSPECTION WORKSHEET FOR DATE: 8//612007 TIME: 7:00AM PAGE: 58
SITE ADDRESS: 06825 SW SANDBURG ST CLASS OF WORK:
SUBDIVISION: SALEM FREEWAY SUBDIVISION LOT #: 001 TYPE OF USE:
PROJECT NAME: TOC
DESCRIPTION: Replace split HVAC unit. Project Value: $59,940
OWNER: TOC MANAGEMENT SERVICES INC, PHONE #:
CONTRACTOR: REITMEIER MECHANICAL INC PHONE #: 503- 603 -0206
5
577 -e7/
Inspection Request Scheduled For: Date: 8116/2007 Pour Time:
/ - iy--)q,
Code # Inspection Description Confirm # Contact # Me ,a/gc - 41 - 71.
699 Mechanical final 0540E6 -01 503. 367 -8975 +6 en
Corrections /Comments /Instructions: , /•
('cgT ) t ,
W---- LAjC et 65 5 .c----0J e s --CA,_._,k --1/4,,,:,
k,Li-a. 5 0--,,,i- ‹_ 1--- e_ (.20 ; .._ (--..k--S1- . _
1 k,. Ivt 3- - cL.S4_,4-__A e.C
/� I ,---4_,,../1/4_ C. c C
3 S) , ' N ; cle ,J4--orc r- dl'L
CQ9 at )
4 4- ) C9--e\--g, :-% a_c_, C)D__,2„,, ‘,,,
) —J-6,,,,L) (kcic e..t,,,,_,i-,^ ,,,,..g .
- 4, (-(1
[ 1, PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
FAI El CALL FOR INSPECTION El ADDITIONAL FEES ASSESSED J-L
Inspector: �� Da te: �/ 1 — / Phone #: (503) 718 - �y zyl