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Permit r il ' a CITY OF TIGARD MECHANICAL PERMIT COMMUNITY DEVELOPMENT PERMIT #: MEC2007 -00428 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 7/17/2007 PARCEL: 2S 113AB -01201 SITE ADDRESS: 16290 SW UPPER BOONES FERRY RD BLDG E ZONING: I - SUBDIVISION: PACTRUST BUSINESS CENTER LOT: JURISDICTION: TIG PROJECT: CALYPTE Project Description: Modify existing ductwork for new ceiling. Value: $6000 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: COMML. INCIN: MAX INPUT: BTU 15 - 30 HP: REPAIR UNITS: FIRE DAMPERS ?: 30 - 50 HP: WOODSTOVES: GAS PRESSURE: 50 + HP: FURN < 100K BTU: AIR HANDLING UNITS CLO DRYERS: FURN > =100K BTU: <= 10000 cfm: OTHER UNITS: > 10000 cfm: GAS OUTLETS: Owner: FEES PACIFIC REALTY ASSOCIATES Description Date Amount 15350 SW SEQUOIA PKWY #300 -WMI PORTLAND, OR 97224 [MECH] Permit Fee 7/17/2007 $159.50 [TAX] 8% State Surcha 7/17/2007 $12.76 Total $172.26 Phone: Contractor: GOHMAN MECHANICAL INC 412 S BEAVERCREEK RD., STE 602 OREGON CITY, OR 97045 REQUIRED ITEMS AND REPORTS Contact #: PRI 503- 650 -1588 FAX 503- 655 -0514 Reg #: LIC 119952 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. Af Issued By: Permittee Signature: A AIM Call 503.639.4175 by 7:00 a.m. for inspections that bu iness d 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. lecnical Permit Application F OR OFFICE USE O City of Tigard ` 0- 97 r� 0 1••xr� i \ t — 41 Received /f Permit Noon A 13125 SW Hall B 203 t _ '•' Date/By 11 01 0 yV1� � 17� � � • II- C n DateB y : Phone 503 639.4171 Fax. 503 598 1960 an B Other Permit T I G A R D Inspection Line 503 639 4175 JUL 1 7 2007 Date Ready /By runs 0 See Page 2 for . Internet www tigard-orgov 1 Notified/Method Supplemental Information ❑ f t TT � j p gar 41 A T COMIIER FEE *' SCHEDULE - USE CHECKLIST i } ' 9 DIVISION N ". Mechanical permit fees* are based on the value of the work New construction Addlt 7 lteratibn to lacement performed Indicate the value (rounded to the nearest dollar) of all ❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit. • - CATEGORY -OF CONSTRUCTION Value $(-- .7(;--, RESIDENTIAL EQUIPMENT / SYSTEMS FEES* ❑ 1- and 2- family dwelling %Commercial /industrial ❑ Accessory building For special information use checklist ❑ Multi- family ❑ Master builder ❑ Other: Description I Qty. I Ea Total ' , JOB SITE INFORMATION AND LOCATION .. Heating/cooling Job site address: f D S tti/ UP �� i D Air conditioning plan showing pump p� 9 /� '�� / T� • (requires site plan showing placement) 14 00 City /State /ZIP: Furnace 100,000 BTU (ducts /vents) 14 00 l i��v� Furnace 100,000+ BTU (ducts /vents) 17 90 Suite/bldg. /apt. no.: Project name: f(yA ,,., W-0/ CAL Gas heat pump 14 00 Cross street/directions to job site: Duct work I 10 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 14.00 Subdivision: Lot no.: Flue /vent for any of above 6 80 Other 10 00 Tax map /parcel no.: Other fuel appliances DESCRIPTION OF WORK Water heater 10 00 Gas fireplace 10 00 '2 CO I I9/ c SC / i(/ a, c.7-6.,-/._ �— 4 I-"7- I . Flue vent for water heater or gas fireplace 10 00 X6-1-4/ C---IL. / Log lighter (gas) 10 00 Wood/pellet stove 10 00 Wood fireplace /insert 10 00 Chimney/liner/flue/vent 10 00 PROPERTY OWNER I ❑TENANT Other 10 00 Name: /�aG" /7 Environmental exhaust and ventilation Address: Range hood/other kitchen equipment 10 00 City /State /ZIP: Clothes dryer exhaust 10 00 Single -duct exhaust (bathrooms, Phone: ( ) 4 TC_.3�i� Fax: ( ) toilet compartments, utility rooms) 6 80 ❑ -- APPLICANT - I CONTACT PERSON- .. , Attic /crawlspace fans 10 00 Other 10 00 Business name: Fuel piping Contact name: /z�7 /----( UN/ �� $5.40 for first four; $1.00 for each additional Address: 1 Gas 0� hea etc -� Gas heat pump City /State /ZIP: � j)//f4 Wall /suspended/unit heater Phone: ( ) Fax:: ( ) Water heater Fireplace E-mail: Range . ' - = , CONTRACTOR "' Barbecue �j Business name: OO `n Clothes dryer (gas) / 2 PD�C(.Q �c�f��ZLv Address: `i/� 5. > c....f. l�lF� i �C . . MECHANICAL PERMIT FEES* City /State /ZIP: Subtotal Oo=tf �� Phone: ( ) Fax: ( ) r Minimum permit fee ($72 50) �-/ U Plan review (25% of permit fee) CCB lic.: 7 ,2,9q --- ;_ . 7 State surcharge (8% of permit fee) TOTAL PERMIT FEE t1 .7 Authorized signature: Th is Pe rmit application ezpires if a permit is not obtained within 180 days after it has been accepted as complete. Print name: i*-:�� -,,z_, – Date: -.3X y * Fee methodology set by Tn- County Building Industry Service Board I \Bmiding\Perm its \MEC- PermnApp doc�9 /07 440 -461 /02 /COMM'EB) . 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 first $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. 1 \Budding\Permits\MEC- PermitApp doc 01/19/07 2 _ CITY OFTIGARD _ ,,-� BUILDING DIVISION 7' //,' PERMIT #: MEC2007 004 8 13125 SW Hall Blvd., Tigard, OR 97223 r 7 DATE ISSUED: 7/17/2007 Phone: (503) 639 -4171 1 Inspection Requests (24 Hrs.): (503) 639 -4175 ...4.4. ,' /II — ^_- INSPECTION WORKSHEET FOR DATE: 9/6/2007 TIME: 7:00AM PAGE: 59 • . SITE ADDRESS: 16290 SW UPPER BOONES FERRY RD BLDG E CLASS OF WORK: ' SUBDIVISION: PACTRUST BUSINESS CENTER LOT #: TYPE OF USE: PROJECT NAME: CALYPTE DESCRIPTION: Modify existing ductwork for new ceiling. Value: $6000 OWNER: PACIFIC REALTY ASSOCIATES, PHONE #: CONTRACTOR: GOHMAN MECHANICAL INC PHONE #: 503 - 650 - 1583 Inspection Request Scheduled For: Date: 9/6/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 699 Mechanical final 055217 -01 503-658-1892 N Corrections /Comments/ Instructions: e ( I l i ( _ ., , . Y / PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ' ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: 1� , `�� Date: Vie/0 Phone #: (503) 718- L`.Z- CITY OF TIGARD BUILDING DIVISION PERMIT #: MEC2007- 00428 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/17/2007 Phone: (503) 639 -4171 44 Inspection Requests (24 Hrs.): (503) 639 -4175 6 1J1. INSPECTION WORKSHEET FOR DATE: 8/10/2007 TIME: 7:00AM PAGE: 69 SITE ADDRESS: 16290 SW UPPER BOONES FERRY RD BLDG E CLASS OF WORK: SUBDIVISION: PACTRUST BUSINESS CENTER LOT #: TYPE OF USE: PROJECT NAME: CALYPTE DESCRIPTION: Modify existing ductwork for new ceiling. Value: $6000 OWNER: PACIFIC REALTY ASSOCIATES, PHONE #: CONTRACTOR: GOHMAN MECHANICAL INC PHONE #: 503. 650 -1588 Inspection Request Scheduled For: Date: 8/10/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message l'rFV,t✓ 615 Mechanical rough -in 0537290/ 503- 658.1892 N 0S Corrections /Comments /Instructions: C (k) t PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL I ❑ CAL FOR INSPECTION ❑ ADDIT;•NA FEES ASSESSED • Inspector: / _ Date. Phone #: (503)