Permit n t S
I - �FTY OF TIGARD MECHANICAL PERMIT
PERMIT #: MEC2007 -00720
4 J'y/
COMMUNITY DEVELOPMENT
, TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 12/12/2007
PARCEL: 25101 DC - 03700
SITE ADDRESS: 07095 SW SANDBURG ST ZONING: C -P
SUBDIVISION: LOT: JURISDICTION: TIG
PROJECT: UNITED FOOD LOCAL 555
Project Description: Connect to existing low pressure ductwork and install (4) new supply air grilles. •
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:
NAT 3 - 15 HP: COMML. INCIN:
MAX INPUT: BTU 15 - 30 HP: REPAIR UNITS:
FIRE DAMPERS ?: 30 - 50 HP: WOODSTOVS:
GAS PRESSURE: 50 + HP: CLO DRYERS:
FURN < 100K BTU: AIR HANDLING UNITS OTHER UNITS: 4
FURN > =100K BTU: <= 10000 cfm:
> 10000 cfm: GAS OUTLETS:
Owner: FEES
UNITED FOOD + COMMERICAL WORKERS Description Date Amount
UNION LOCAL #555
PO BOX 23555 [MECH] Permit Fee 12/12/20C $107.00
TIGARD, OR 97281 [TAX] 8% State Surcha 12/12/20( $8.56
[MECPLN] Plan Rev 12/12/20C $26.75
Phone: Total $142.31
Contractor:
ALLIANT SYSTEMS LLC
11600 NW
ER T ON, O PL, OR 97 00 6 330 REQUIRED ITEMS AND REPORTS
BEAERON, 97006
Contact #: PR! 503- 230 -8991
FAX 503- 230 -9238
Reg #: LIC 153420
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 o i/ j t.J Permittee Signature:
Call 503.639.4175 by 7:00 a.m. for inspections t at 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.
1
. t,
Mechanical Permit A lication FOR OFFICE USE ONLY'
City of Tigard`' EUE1VE BA Date/By: PermitNo.: M EG20i7 7 -tJD7w
13125 SW Hall Blvd., Tigard, OR 9722 Plan vi ��
Phone: 503.639.4171 Fax: 503.598.1960 2 Gwu Date 1.2 Other Permit: I /3 Ui ,.may acr/
Inspection Line: 503.639.4175 DEC 1 2 201_ . I 1 Date Rea /By: 3 u : I El See Page 2 for
Internet: www.ci.tigard.or.us CITY OF TIGARD Notified/Method: Supplemental Information
1 i VIStON f CCB lic.: 153420
•
❑ New construction . ® Addition/alteration/replacement 1'1 aalteration/replacement Authorized signature:
❑ Demolition ❑ Other: I Print name: ERIC SJOBERG
CATEGORY OF CONSTRUCTION
❑ 1- and 2- family dwelling ® Commercial /industrial ❑ Accessory building COMMERCIAL FEE* SCHEDULE - USE CHECKLIST
Mechanical permit fees* are based on the value of the work
❑ Multi- family 0 Master builder 0 Other: performed. Indicate the value (rounded to the nearest dollar) of all
JOB SITE INFORMATION AND LOCATION mechanical materials, equipment, labor, overhead, and profit.
Value: $ $3500
Job site address: 7095 SW Sandburg Rd.
RESIDENTIAL EQUIPMENT / SYSTEMS FEES *
City/State /ZIP: Tigard, OR For special information use checklist.
Suite/bldg. /apt. no.: SUITE F4 I Project name: JFCW 555 Mezzanine Description I Qty. I Ea. I Total •
Heating/cooling
Cross street/directions to job ste: Off of 72 Ave. Air conditioning or heat pump
(requires site plan showing placement) 14.00
Furnace 100,000 BTU (ducts/vents) 14.00
Fumace 100,000+ BTU (ducts/vents) 17.90
Gas heat pump 14.00
Duct work 14.00
Subdivision: I Lot no.: Hydronic hot water system 14.00
Tax map /parcel no.: Residential boiler (radiator or
hydronic) 14.00
DESCRIPTION OF WORK Unit heaters (fuel -type, not electric),
in -wall, in -duct, suspended, etc. 10.00
Connect to existing low pressure ductwork and install 4 new supply air grilles
Flue/vent for any of above 10.00
Other. 10.00
Other fuel appliances
Water heater 10.00
Gas fireplace 10.00
❑ PROPERTY OWNER I Z TENANT Flue vent for water heater or gas
fireplace 10.00
Name: United food and Commercial Workers Log lighter (gas) 10.00
Address: Wood/pellet stove 10.00
_ Wood fireplace/insert 10.00
City/State /ZIP: Chimney/liner/flue/vent 10.00
Phone: ( ) Fax: ( ) Other. 10.00
• ® APPLICANT IN CONTACT PERSON Environmental exhaust and ventilation
Range hood/other kitchen
Business name: ALLIANT SYSTEMS equipment 10.00
Clothes dryer exhaust 10.00
Contact name: Jeff Cochran Single -duct exhaust (bathrooms,
Address: 1600 NW 167 AVE SUITE #330 toilet compartments, utility rooms) 6.80
Attic /crawlspace fans 10.00
City/State /ZIP: BEAVERTON, OR 97006 Other: 10.00
Fuel piping
$5.40 for first four; $1.00 for each additional
Phone: (503) 230.8991 Fax: : (503) 230.9238
Fumace, etc.
Gas heat pump
E -mail: j.cochran @alliant- systems.com Wait heater
Watter er h heaended /uneater
CONTRACTOR Fireplace •
Business name: ALLIANT SYSTEMS Range
Barbecue
Address: 1600 NW 167 AVE SUITE #330 Clothes dryer (gas)
City/State /ZIP: BEAVERTON, OR 97006 Li != eic. ( 3 co. I1 / Other.
MECHANICAL PERMIT FEES*
Subtotal
Phone: (503) 230.8991 Fax: (503) 230.9238 Minimum permit fee ($72.50)
Plan review (25% of permit fee) _
i:\ Building \Permits \MEC- PermitApp.doc 12/03 440 -4617T (I I /02 /COM/WEB) 142.3 1
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MEC2007.00720
13125 SW Hall Blvd., Tigard, OR 97223 ' DATE ISSUED: 12/12/2007
Phone: (503) 639- 4171 r
Inspection Requests (24 Hrs.): (503) 639 -4175 ' l I
INSPECTION WORKSHEET FOR DATE: 1/16/2008 TIME: 7 :00AM PAGE: 50
SITE ADDRESS: (17(95 SW SANDBURG ST CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: UNITED FOOD LOCAL 555
DESCRIPTION: Connect to existing low pressure ductwork and install (4) new supply air grilles.
OWNER: UNITED FOOD + COMMERICAL WORKERS, PHONE #:
CONTRACTOR: ALLIANT SYSTEMS LW PHONE #: 503.230 -6991
Inspection Request Scheduled For: Date: 1/16/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 063268-01 971 - 2353751 N
Corrections/Comments/Instructions:
AS - o ■ re — 5 e---- -----
et` 1=
IC V RTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL II CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: / _ _ Date: ! `lam /f Phone #: (503) 718 - L
• •