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Permit ' / /V7 C69e2ce,r' Sir /TE %, - 4 CITY OF TIGARD MECHANICAL PERMIT ° COMMUNITY DEVELOPMENT PERMIT #: MEC2007 - 00404 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 7/30/2007 PARCEL: 2S 113AB -00300 SITE ADDRESS: 16037 SW UPPER BOONES FERRY RD 100 ZONING: I - SUBDIVISION: FANNO CREEK PLACE LOT: JURISDICTION: TIG PROJECT: OREGON STATE BAR Project Description: TI HVAC Value: $52,492.00 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: 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 OTHER UNITS: 11 FURN > =100K BTU: <= 10000 cfm: GAS OUTLETS: > 10000 cfm: Owner: FEES OPUS NORTHWEST LLC Description Date Amount 1500 SW FIRST AVE SUITE 1100 PORTLAND, OR 97201 CITY OF TIGARD MEN 7/30/200/ $2,276.50 [MECPLN] Plan Rev 7/30/200 i $569.13 [TAX] 8% State Surcha 7/30/2001 $182.12 Phone: 503 -916 -8963 [MECH] Permit Fee 7/31/2007 $2,276.50 Refund - CITY OF TIGA 7/31/2007 - $2,276.50 Contractor: Total $3,027.75 HVAC INC 5188 SE INTERNATIONAL WAY MILWAUKIE, OR 97222 . REQUIRED ITEMS AND REPORTS Contact #: PRI 503- 462 -4822 FAX 503- 462 -6555 Reg #: LIC 50897 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 By: Permittee Signature: Y � 9 ©V H7 e4 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. 1 6 -- 7 S . . c.)P 0 • Mechanical Permit Application FOR OFFICE USE ONLY . . .. - ,cits of Tigaik Received pi Date/By: / i / ; 6 Pennit No.: i _ .Adi .. ..... r 4 13125 SW Hall Blvd., tigard, OR RECEIVE Plan Revt " • I" 1 / Phone: 503.639.4171 Fax: 503.598.1960 Date/By: • " Other Perrnit: • - ... 00 _ Inspection Line. 503.639.4175 .41117.1i■• a _411Ark. - Internet: www.ci.tigard.or US JUL 0 9 2007 ------ `-- Date Ready : y: Juris Notified/Method. .< El Se Page 2 for Supplemental Information CITY OF TIGI ititjuff: a ,,„,' , 4.610 Kt, ,i2::_,,, ;;:_: ‘-' f:- : ;COMMERCIAIi_f" EEt'iSCI3EDULE;74USKCITECKLIST:.:: Mechanical permit fees* are based on the value of the work 0 New construction kl.Additi• alteratiog. replacement performed. Indicate the value (rounded to the nearest dollar) of all 0 Demolition 0 Other: mechanical materials, equipment, labor, overhead, and profit. Value: S...ge-c. -g3-- •-:',.':,.- J':-_''' . ' '"r- .-,,:.' l'':.'" 'S'-=,CATEd4Y?:::(11C,ONSTRIICTION . 7 !--•:".';' '''' _7 °I , / 4 / 94 ". _ _ :_ ,' . .. _ ... . %.• , -;•"4'RESIDENTIAL EQUIPMENT, / SYSTEMS'IFEES*:':7.7-/ ' o 1- and 2-family dwelling rEj Commercial/industrial 0 Accessory building For special information use checklist. 0 Multi-family 0 Master builder 0 Other: Description I Qty. I Ea. I Total 46 S ITE INFORMATION LOCATION'-.:V: , .... '',..--,"': ,: ":- S. ' Heating/cooling A LI Air conditioning or heat pump Job site address: /& k) 0 ppeir &Imes cr KOY (requires site plan showing placement) 14.00 City/State/ZIP: L air , Furnace 100,000 BTU (ducts/vents) 14.00 Furnace 100,000+ BTU (ducts/vents) 17.90 Suite/bldg /apt. no.: p Project name() I , eel 01 ,,S4 4 ,.. € A Gas heat pump 14.00 Cross street/directions to ste: 'Ir.. ,Dri6D--14‘50,.-- 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 Flue/vent for any of above 10.00 Subdivision: Lot no.: Other: 10.00 Tax map/parcel no.: Other fuel appliances • - .,-. -. - , - . '...:?... DES OF : WORK :, ' - ''.,- :-- .: Water heater 10.00 Gas fireplace 10.00 tAlSib,i9- ALLe.17,071Y ) 1 4 q Oki/ &X e. S 1,et.P.L.1 Se/Siervl Flue vent for water heater or gas - CT I. b cuSA 0-,(4+- fireplace 10.00 Log lighter (gas) 10.00 Wood/pellet stove 10.00 Wood fireplace/insert 10 00 • • - .. _ _. Chimney/liner/flue/vent 10.00 - . PAOPERTY-SONY1Cliii:,'7,:;',.::: -; I ..'2:v ',... ‘ .1- , '. : 0 -TENANT '‘ __.,_ - , ,-.: ', Other: 10.00 _ Name • Environmental exhaust and ventilation Range hood/other kitchen Address. equipment 10 00 City/State/ZIP: Clothes dryer exhaust 10.00 Single-duct exhaust (bathrooms, Phone: ( ) Fax: ( ) , . toilet compartments, utility rooms) 6.80 ,- 0 APPLI \ i: ;: - '10 CONTACT , PERSON ..,-"` - -,_ Attic/crawlspace fans 10.00 Other: 10.00 Business name: Fuel piping Contact name: $5.40 for first four; $1.00 for each additional Furnace, etc. Address: Gas heat pump City/State/ZIP: Wall/suspended/unit heater Phone: ( ) Fax: : ( ) Water heater Fireplace E-mail: Range - -;'" : " - "- •' .'"'-'-' - .. • -7/• /T CONTRACTOR - -- --- -,- ! - '- - • 4 - ,:., ' "-.• ' ''` ' 's • - • ,- Barbecue Clothes dryer (gas) Business name: 41,t AO '4,1Q,__- Other: Address: 5 n s (t)(1( City/State/ZIP: ni, et „k a r 9 - 7,1-1._ .- Subtotal / Minimum perrnit fee ($72.50) Phone: 663) 40) (../gAg Fax. (‹fy:S ) Cie a 5s3 Plan review (25% of permit fee) CCB lie.: S(r)C) State surcharge (8% of permit fee) TOTAL PERMIT FEEleg1.7, Authorized signature: L /LAA j [3, ,- t..0 siN'I This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name: S k eArrt Q_, IO ( c_4.1.S(.›el Date: is / lei 1 • Fee methodology set by Tri-County Building Industry Service Board i:\8ungPemis\MEC.pctmitp doc 12/03 440-4617T (11/02/CMS/WEB) CITY OF TIGARD � BUILDING DIVISION PERMIT #: MEC2007 -00404 . A 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/30/2007 Phone: (503) 639 -4171 i bi'4d , Inspection Requests (24 Hrs.): (503) 639 -4175 6 1 1 INSPECTION WORKSHEET FOR DATE: 1/10/2008 TIME: 7 :00AM PAGE: Q6 - I SITE ADDRESS: 16037 SW UPPER BOONES FERRY RD 100 CLASS OF WORK: SUBDIVISION: FANNO CREEK PLACE LOT #: TYPE OF USE: PROJECT NAME: OREGON STATE BAR DESCRIPTION: TI HVAC Value: $52,492.00 OWNER: OPUS NORTHWEST LLC, PHONE #: 503 - 916 -8963 CONTRACTOR: HVAC INC PHONE #: 503462 - 4822 Inspection Request Scheduled For: Date: 1/10/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 699 Mechanical final 062951 -01 503. 459 -9226 Y Corrections /Comments /Instructions: 404 PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS MI FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: I I I 1 0 8 Phone #: (503) 718- 24 CITY OF TIGARD A • 1 BUILDING DIVISION PERMIT #: MEC2007- 00404 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/3017.007 Phone: (503) 639 -4171 Inspection Requests (24 Hrs.): (503) 639 -4175 .' � e7 L INSPECTION WORKSHEET FOR DATE: 1/4/2008 TIME: 7:01AM PAGE: 67 SITE ADDRESS: 16037 SW UPPER BOONES FERRY RD 100 CLASS OF WORK: SUBDIVISION: FANNO CREEK PLACE LOT #: TYPE OF USE: PROJECT NAME: OREGON STATE BAR DESCRIPTION: - fl HVAC Value: $52,492.00 OWNER: OPUS NORTHWEST LLC, PHONE #: 503 - 916-8963 CONTRACTOR: IIVAC INC PHONE #: 503- 462 -4822 Inspection Request Scheduled For: Date: 1/4/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 615 Mechanical rough -in 062496.01 503.459-9226 E. ro Corrections /Comments /Instructions: 'AI P. S % PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS AIL VP CALL FOR INSPECTION ❑ ADDITI NAL FEES ASSESSED / Inspector: '� Date: / ° v Phone #: (503) 718- 2 C // r • CITY OF TIGARD - A • BUILDING DIVISION PERMIT #: MEC2007- 00404 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/30r007' Phone: (503) 639 -4171 �' Inspection Requests (24 Hrs.): (503) 639 -4175 ^'I L INSPECTION WORKSHEET FOR DATE: 11/16/2007 TIME: 7:01AM PAGE: 35 SITE ADDRESS: 16037 SW UPPER BOONES FERRY RD 100 CLASS OF WORK: SUBDIVISION: FANNO CREEK PLACE LOT #: TYPE OF USE: PROJECT NAME: OREGON STATE BAR DESCRIPTION: TI I-IVAC Value: $52,492.00 OWNER: OPUS NORTHWEST LLC, PHONE #: 503-916 -8963 CONTRACTOR: HVAC INC PHONE #: 503462 - 4822 Inspection Request Scheduled For: Date: 11/16/2007 Pour Time: Code # Inspection Description Confirm # Contact # Mess. ge 615 Mechanical rough -in 059819 -01 971 - 998 -4440 0 Corrections/Comments/Instructions: /I �� �O —, 1 Z ©('7 >l-'N 10 6 l\ 1 t 1 b\1' — ■ sr a4 Gc1L!kil� i -7j • ❑ PASS PARTIAL APP ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: .� Date: it i 649 Phone #: (503) 718- , 1 CITY OF TIGARD BUILDING DIVISION PERMIT #: MEC2007- 00404 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7130/2007 Phone: (503) 639-4171 h' I Inspection Requests (24 Hrs.): (503) 639 -4175 s' ^'I �.. INSPECTION WORKSHEET FOR DATE: 11/1312007 TIME: 7 :01AM PAGE: 43 SITE ADDRESS: 16037 SW UPPER BOONES FERRY RD 100 CLASS OF WORK: SUBDIVISION: FANNO CREEK PLACE LOT #: TYPE OF USE: PROJECT NAME: o RFGON STATE BAR DESCRIPTION: TI HVAC Value: $52,492.00 OWNER: OPUS NORTHWEST LLC, PHONE #: 503.916 -8963 CONTRACTOR: HVAC INC PHONE #: 503. 462.4822 Inspection Request Scheduled For: Date: 11/13/2007 Pour Time: Code # Inspection Description Confirm # Contact # Me .• - f s 615 Mechanical rough -in 059528.01 971- 998 -4440 wo e Corrections /Comments /Instructions: M tie..cr.c' t ST Fc-OQ ro u ,,1-E- -( 4 ,...._--- ... e _4 _ • o at -' L L 1 A _ • <_ a ❑ PASS -' RTIA APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL A CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: I Date: /1 / Phone #: (503) 718 -