Permit k
114 . CITY OF TIGARD _ MECHANICAL PERMIT
° COMMUNITY DEVELOPMENT PERMIT #: MEC2007 -00405
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 7/30/2007
PARCEL: 2S113AB-00300
SITE ADDRESS: 16037 SW UPPER BOONES FERRY RD 300 ZONING: I -L
SUBDIVISION: FANNO CREEK PLACE LOT: JURISDICTION: TIG
PROJECT: PROFESSIONAL LIABILITY FUND
Project Description: TI HVAC Value: 90,000
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:
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
OPUS NORTHWEST LLC Description Date Amount
1500 SW FIRST AVE SUITE 1100
PORTLAND, OR 97201 [MECH] Permit Fee 7/30/2007 $1,271.50
[MECPLN] Plan Rev 7/30/2007 $317.88
[TAX] 8% State Surcha 7/30/2007 $101.72
Phone: 503- 916 -8963 Total $1,691.10
Contractor:
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 S iz.. h 01
_z(04,--Affe_....,__ 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.
I -
.- F (iL) C)F . 7. ' , .'ll■ ,
1Vsshznical Permit Applicak;in_, i O/ . FOR OFFICE USE ONLY
City of Tigard Kc;Eiti Received
Date/By: / /T i3 Aot Permit No. u
13125 SW Hall Blvd., Tigard, OR 97223
Plan Revie
Phone: 503 639.4171 Fax: 503.598.1960 Other Permtt: ...e,a
.
Inspection Line: 503.639.4175 1#44,„„ A
Date/By
JUL 0 4. Date Ready/By: Jura < 0 See Page 2 for
rus
Internet: www.ci.tigard.o Notified/Method: Supplemental Information
CITY OF iie,
c. " . ',1: - ' - '' .. ;i:f '" ,e:oiviNtE
Mechanical permit fees* are based on the value of the work
1.3 New construction la.Additio(alteration/placement
performed. Indicate the value (rounded to the nearest dollar) of all
ID Demolition 0 Other: mechanical materials, equipment, labor, overhead, and profit
-- -T. : :::'. ,- -- .-- ::,--.-_,• - -- - - CATEGORYTF;CONSTRI);CtioN - ri i '. -- t'7' ; : - .:=::-',": 7 - - t . ' Value: $ 9 000. OlD
, I .
RESIDENTIALEQUIPMENT /SYSTEMSTEES*.'::'-.. -'
0 I - and 2 dwelling ( 0 Accessory building
For special information use checklist.
0 Multi 0 Master builder 0 Other:
Description I Qty. I EL I Total
• ' :•- j.:.!.. --. • ..--` : ..-:'‘. - '.- JOB SiTtitik, 0,1* LOCATION' : -.I.- - :: -::". :-...... : .; 'S Heating/cooling
Air conditioning or heat pump
Job site address: R - s o g ente4 , 0
(requires site plan showing placement) 14.00
M
City/State/ZIP: oir
to 0 n 6Y1 Furnace 100,000 BTU (ducts/vents)
14 00
Furnace 100,000+ BTU (ducts/vents)
17.90
Suite/bldg./apt. no.: 6.0 Project name: R ( 48 it4 .
/ nth Gas heat pump 14.00
Cross street/directions to job ste: 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
Water heater 10.00
Gas fireplace 10.00
( s s(rk,O2 ott.G6i),,tr,-(e__ v A-0 6-Acs 1 - 5f40 SC/ S 4e4/7 Flue vent for water heater or gas
ft - r: .1 I l 0 ukY a eh-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
.0 PROPERTY 01 -,',:):* ; 0 .TENANT = _-.:."...' :- .-',.71.''..
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 . APPLICkg;!..:2,:)iY'. = :-::.", .':..., Y. 0 t oSrrAtT PERSON ...":, : :,• . Attic/crawlspace fans 10.00
Other: 10.00
Business name:
Fuel piping
Contact name: $5.40 for first four; S1.00 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•,.. '-',::::: 2,%":'!: „,.,, t01!iT::lqqrpft'; , 5 ; .",,::' - :.` - ', ,,' .:,: : :1„, ,:,:Z 1,:i Barbecue
Clothes dryer (gas)
Business name: if,kf 40_ ..1.4/1C.....--
Other: .
Address: Si 1 ' . g' S ..,, y:p 1 . A
L,QJay
'-' -- -,-,' '-' - FEES; i
.;-..'' : , ,' ss="4 'If!
City/State/ZIP: (Vt L ocu j e , Q 0 rel ay 97 a D a_ Subtotal
( Minimum permit fee ($72.50) A V .
Phone: () ) 4.6 Z.-f-),. FV: (l15 C 12 - 6 5___S Plan review (25% of permit fee)
CCB lie.: SO S'9 7 • '..!
State surcharge (8% of permit fee)
f)
TOTAL PERMIT FEE .4- 1 06 i - - •-•
7 ii . ii
This permit application expires if a permit is not obtain..., ,...... .
Authorized signature: _c,..,,J1_, /o tx 6
days after it has been accepted as complete.
Print name: ,S'i E4 ._ ri, e , R 0 t vyk s. o - y -■ Date: 7 [5 1 6 • Fee methodology set by Tri-County Building Industry Service Board
BBuildingTermits 1 MEC-PermitApp doe 12103 440 ( I 1/01/C0 MAVEB )
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MFC2007.00405
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/30/2007
Phone: (503) 639 -4171 '� illl
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: '10123/2007 TIME: 7 PAGE: 27
SITE ADDRESS: 16037 SW UPPER BOONES FERRY RD 300 CLASS OF WORK:
SUBDIVISION: FANNO CREEK PLACE LOT #: TYPE OF USE:
PROJECT NAME: PROFESSIONAL LIABILITY FUND
DESCRIPTION: TI HVAC Value: 90,000
OWNER: OPUS NORTHWEST LLC, PHONE #: 503 - 916.8963
CONTRACTOR: I•IVAC INC PHONE #: J03,462 -Q$22
Inspection Request Scheduled For: Date: 10/23/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
GM Mechanical rough -in 058141 -01 503- 781 -6247
0
Corrections/Comments/Instructions:
(_!�� `.vU S /4-42-e_ Ai el (tnl 4 ,4171 JV4 - . S
P2ov r L 6. G- ,Tct b r- twoe1L Fe. /(
7- 4-e- — P E-_-_-7..r _ s . s'_ Lac_ 5 7
❑ PASS U ' ' ' IAL APPROVAL ❑ CANCEL ❑ NO ACCESS
j•," FAIL MI C . L FOR INSPECTION El ADDITIONAL FEES ASSESSED
Inspector: _ ■ , _ _ Date: /D z3 O,7 Phone #: (503) 718-
,
CITY OF TIGARD
NO
BUILDING DIVISION PERMIT #: ME:C2007 -00405
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/30/2007
Phone: (503) 639 -4171 4mo i l l ln
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 10/12/2007 TIME: 7:01AM PAGE: 62
SITE ADDRESS: 16037 SW UPPER BOONES FERRY RD 300 CLASS OF WORK:
SUBDIVISION: FANNO CREEK PLACE LOT #: TYPE OF USE:
PROJECT NAME: PROFESSIONAL LIABILITY FUND
DESCRIPTION: TI HVAC Value: 90,000
OWNER: OPUS NORTHWEST LLC, PHONE #: 503.816 -Q963
CONTRACTOR: HVAC INC PHONE #: 503-462 -4622
Inspection Request Scheduled For: Date: 10/12/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Mess. 615 Mechanical rough -in 057487 -01 971 - 998 -4440
Corrections /Comments /Inst /
�— iC ` '' - 4,... L . rte
t'f 4 _ -7,2 /e'&& (s/Z.E 5
•
❑ PASS tij� •AR IAT L APPR• • 111 CANCEL ❑ NO ACCESS
❑ FAIL II • LL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: _ �� Date: i c '' " / Phone #: (503) 718 - Z-‘9-
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MEC2007 -00405
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/30/2007
Phone: (503) 639-4171 �
Inspection Requests (24 Hrs.): (503) 639 -4175 s' ''I � ..
INSPECTION WORKSHEET FOR DATE: 10/24/2007 TIME: 7:00AM PAGE: 52
SITE ADDRESS: 16037 SW UPPER BOONES FERRY RD 300 CLASS OF WORK:
SUBDIVISION: FANNO CREEK PLACE LOT #: TYPE OF USE:
PROJECT NAME: PROFESSIONAL LIABILITY FUND
DESCRIPTION: TI HVAC Value: 90,000
OWNER: OPUS NORTHWEST LLC, PHONE #: 503 -910 -(1963
CONTRACTOR: HVAC INC PHONE #: J03 -46:2 -4877
Inspection Request Scheduled For: Date: 10/24/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Mess- • e
615 Mechanical rough -in 058240 -02 971 - 998 -4440
Corrections/Comments/Instructions: 6 GO C-� -��� ° / 0 /z - V fi
curt -PLC
•
4!!.' " ! - , RTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL M CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
7 IMP'
Inspector: - Date: l0 7X 417 Phone #: (503) 718- _L
I
4110
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MFC2007 -00405
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/30/2007
Phone: (503) 639 -4171 / " 4 1110 1 '‘
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: 1/10/2008 TIME: 7: ()MIA PAGE: 43
SITE ADDRESS: 16037 S/ UPPER BOONES FERRY RD 300 CLASS OF WORK:
SUBDIVISION: FANNO CREEK PLACE t T #: TYPE OF USE:
PROJECT NAME: PROFESSIONAL LIABILITY FUND
DESCRIPTION: TI HVAC Value: 90,000
OWNER: OPUS NORTHWEST LLC, PHONE #: 503 - 9168963
CONTRACTOR: HVAC INC PHONE #: 503 -462 -4622
Inspection Request Scheduled For: Date: //1012008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
599 Mechanical final 062951 -04 503.459-9226 N
Corrections /Comments /Instructions:
•
L. mid - ARTIAL APPROVAL El CANCEL ❑ NO ACCESS
U FAIL /1 CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: 1 III Oe Phone #: (503) 718- 76y
CITY OF TIGARD
BUILDING DIVISION , ' A PERMIT #: MEC2007 -00405
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/30/2007
Phone: (503) 639 -4171 hii
Inspection Requests (24 Hrs.): (503) 639 -4175 ...' :—
INSPECTION WORKSHEET FOR DATE: 1/4/2008 TIME: 7 :01AM PAGE: 64
SITE ADDRESS: 16037 SW UPPER BOONES FERRY RD 300 CLASS OF WORK:
SUBDIVISION: FANNO CREEK PLACE LOT #: TYPE OF USE:
PROJECT NAME: PROFESSIONAL UAf3ILITY FUND
DESCRIPTION: TI I-IVAC Value: 90,000
OWNER: OPUS NORTHWEST LLC, PHONE #: 503 - 916 -8963
CONTRACTOR: VIVAC INC PHONE #: 503 - 462:4822
Inspection Request Scheduled For: . Date: 1/4/2009 Pour Time:
Code # Inspection Description Confirm # Contact # Message
C15 Mechanical rough-in 062496 -04 503-459 -9226 Y
Corrections /Comments /Instructions:
PAS
72 � PARTIAL APPROVAL 0 CANCEL ❑ NO ACCESS
U FAIL CALL FOR INSPECTION ❑ ADDITIONAL EES ASSESSED
Inspector: Date: I QO Phone #: (503) 718- 2"-V1-/