Permit • CITY OF TIGARD MECHANICAL PERMIT
I� DEVELOPMENT SERVICES PERMIT #: MEC2002 -00455
c � J II 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 10/23/02
PARCEL: 2S101 DC -04601
SITE ADDRESS: 07477 SW TECH. CENTER DR
SUBDIVISION: TECH CENTER BUSINESS PARK 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: 1 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: Replace roof top HVAC package unit.
Owner: FEES
WATUMULL PROPERTIES CORP Description Date Amount
307 LEWERS ST #6FLR
HONOLULU, HI 96815 [MECH] Permit Fee 10/23/02 $72.50
[MECH] Permit Fee 10/23/02 $0.00
[ MECPLN] Plan Rev 10/23/02 $18.13
Phone: [MECPLN] Plan Rev 10/23/02 $0.00
[TAX] 8% StateTax 10/23/02 $5.80
Contractor: [TAX] 8% StateTax 10/23/02 $0.00
REITMEIER MECHANICAL INC Total $96.43
7051 SW SANDBURG ST STE 400
TIGARD, OR 97223 -8011 REQUIRED INSPECTIONS
Phone: 603 - 0205 Gas Line Insp
Mechanical Insp
Reg #: 63242 Final Inspection
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 -00
.
/o �
Issued By: � ��D�. cC�Ll Permittee Signature:
�_� Call (503) .394175 by 7:00 P.M. for inspections needed the next business day
. . �o�.�
A, . Mechanical P y r 3 �ni pl cation
I � a.. 1 rJ Date received: /v /,s 0-Z Perm n $
Ail : 71 1.1. City of Tigard r nn Project/appl. no.: Expire date:
City of Tigard Address: 13125 SW Hall Blvd, TOG!, 0.1207M4
Date issued: By "Receipt no.:
Phone: (503) 639 -4171 t � 0
Fax: (503) 598 -1960 Case file no.: Payment type:
C � .
Land use approval: / Building permit no.:
TYPE OF PERMIT I
Q
❑ I & 2 family dwelling or accessory N Commercial/industrial 0 Multi- family 0 Tenant improvement 11
0 New construction ❑ Addition/alteration/replacement ❑ Other:
• JOB SITE INFORMATION • `, COMMERCIAL VALUATION SCHEDULE
Job address: 714 '7 'ti; Lk} (6 Nite: jR, I RI u Indicate equipment quantities in boxes below. Indicate the dollar
Bldg. no.: I Suite no.: value of all mechanical materials, equipment, labor, overhead,
Tax map /tax lot/account no.: profit. Value $ 79-o 0 .
Lot: (Block: Subdivision: *See checklist for important application information and ,
Project name: Ge U P jurisdiction's fee schedule for residential permit fee.
City /county: " t G p .,11 I ZIP: 91 z 13 1 & 2 FAMILY. DWELLING PERMIT FEE SCHEDULE (1 "
Description and location of work on premises: Ika_ p trtc E" AND COMMERICAIJINDUSTRIAL EQUIPMENT SCHEDULE
RGGY +op W -JokG 1) / i Fee(ea.) Total ,�..
Est. date of completion/inspection: Description Qty. Res. only Res. only 0
Tenant improvement or change of use: - HVAC:
Air handling unit CFM
Is existing space heated or conditioned? (!ii Yes 0 No Air conditioning (site plan required)
Is existing space insulated? Iiii Yes ❑ No Alteration of existing HVAC system
' MECHANICAL CONTRACTOR ... Boiler /compressors
Business name: E I '1'•Me I.E.R. 1uC�AkX C.A,k t tJv. State boiler permit no.:
R M HP Tons BTU /H
Address: 7 QSl 5w SASb 64 E St ;..t1E it oo Fire/smoke dampers/duct smoke detectors
City: 'j G.4,4.7 I State:4A IP: 91 22 -..i Heat pump (site plan required) �ti
Phone6b3 boil 07.4, 5 I Fax: be,3 015i1 1E-mail: Install/replace furnace/burner BTU /H
Including ductwork/vent liner U Yes ❑ No
CCB no.: g a4. Install/replace/relocateheaters- suspended,
City /metro lic. no.: wall, or floor mounted
Name (please print): D, c.l, T A R.._ Vent for appliance other than furnace
CONTACT PERSON Refrigeration:
Absorption units BTU /H
Name: 73 6, TARR Chillers HP
Compressors HP
Address:
cfrr Environmental exhaust and ventilation:
City: I State: I ZIP: Appliance vent
Phone: Fax: E -mail: Dryer exhaust
OWNER Hoods, Type U lUres. kitchen/hazmat
hood fire suppression system
Name: K ORRIS 9l 5 t.3r - a JS Exhaust fan with single duct (bath fans)
Mailing address: 9, _-f-, 5 _ i--: O Exhaust system apart from heating or AC
Fuel p ping and distribution up to 4 outlets)
City: Aok{•+Aap State:plit ZIP:c7a,49-14/8 Type: LPG NG Oil
Phone:,rc3 13t5 iµ I FaxSC34 • i:. I E -mail: Fuel piping each additional over 4 outlets
rocess p p ng (schematic required)
Name: Number of outlets
Other listed appliance or equipment:
Address: Decorative fireplace 1
City: I State: I ZIP: Insert - type
Phone: Fa • I E -mail: Woodstove/pelletstove
Other:
Applicant's signature v ( 4 _7 I Datei/0- I'l, d y Other: •
Name (print):
Not all jurisdictions accept credit cards, please call jurisdiction for more information. Permit fee $
0 Visa 0 MasterCard Notice: This permit application Minimum fee $
Credit card number: / / expires if a permit is not obtained Plan review (at %) $
Expires within 180 days after it has been State surcharge (8 %) .... $
Name of cardholder as shown on credit card accepted as complete. TOTAL $
Cardholder signature Amount
440 -4617 (6/00/COM)