Permit 4CITY OF TIGARD MECHANICAL PERMIT
In DEVELOPMENT SERVICES PERMIT #: MEC2005 -00052
.'+L rl 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 2/14/2005
PARCEL: 1S135BB-00501
SITE ADDRESS: 10575 SW CASCADE AVE 130
SUBDIVISION: ZONING: I -P
BLOCK: LOT: JURISDICTION: TIG
CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS:
TYPE OF USE: COM UNIT HEATERS: VENT FANS:
OCCUPANCY GRP: 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: CLO DRYERS:
FURN < 100K BTU: AIR HANDLING UNITS
FURN > =100K BTU: <= 10000 cfm: OTHER UNITS:
> 10000 cfm: GAS OUTLETS:
Remarks: Modify existing ductwork, install new ducting and grilles. Value: $21,375.00
Owner: FEES
AMB PROPERTY L P Description Date Amount
BY TRAMELL CROW NW INC [MECH] Permit Fee 2/14/200E $385.06
8930 SW GEMINI DR [MECPLN] Plan Rev 2/14/200E $96.27
BEAVERTON, OR 97008 [TAX] 8% State Surchaq 2/14/200E $30.80
Phone: Total $512.13
Contractor:
ARROW MECHANICAL
10330 SW TUALATIN RD REQUIRED ITEMS AND REPORTS
TUALATIN, OR 97062
Phone: 692 - 1565
Reg #: LIC 5193
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)246-6
i
Issued By: Permittee Signature: 44111/. e „ / , ,_
Call (503) 639 -4175 by 7:00 P.M. for inspections needed the next business day
/VS 75 S W CaS 856.-e /frf
Mechanical Permit Application JC in v , ". ,_:, > FUROFEICE USE ONLY`' . ' ,'
City of Tigard Received -.3 • . (- Permit No.. M ,,
13125 SW Hall Blvd , Tigard, OR 97223 r -�
® i Plan Review i Permit
Other Pert
Phone 503 639 4171 Fax 503 598 196 C E 1 1i 1 : I ,' Date/By
I
4
nspection Line 503 639 4175 e,!1 I- Date Read /B Juns
Internet www ci ti and onus °' Ready/By
g JAN 31 2005 Notified/Method �'7 I (3 H See Page 2 tor
Supplemental Information
(� d
TYPES by �� 0 6RTFiGARD COMMERCIAL FEE* SCHEDULE - USE CHECKLIST ,,
❑ New construction `' /i, Ad�di�ori Mta nt Mechanical permit fees* are based on the value of the work ‘114
performed. Indicate the value (rounded to the nearest dollar) of all
❑ Demolition ❑ Other mechanical matenals, equipment, labor, overhead, and profit
CATEGORY OF CONSTRUCTION Value. Sa.i 3 7' -
RESIDENTIAL EQUIPMENT / SYSTEMS FEES*
❑ 1 and 2 family dwelling ❑ Commercial/industrial ❑ Accessory building
For special information use checklist
❑ Multi family ❑ Master builder ❑ Other:
Descnption Qty. Ea Total
JOB SITE INFORMATION AND LOCATION Heating /cooling
Air conditioning or heat pump
Job site address / 0,5----is- S v.1 CpS CA De( 111./ (requires plan showing )
re uses site Ian showm placement) 14 00
City /State /ZIP Furnace 100,000 BTU (ducts/vents) 14.00
f ruLo / �' 1 � Furnace 100,000+ BTU (ducts/vents) 17.90
Suite/bldg- /apt no / 3 0 Project name CO I1g:A4 ,A,/ /ii �x Gas heat pump 14.00 42)
I Cross street/directions to job site ' � 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
/i Tax map /parcel no /k(1 ) Other fuel appliances
DESCRIPTION OF WORK Water heater 10 00
Gas fireplace 10 00
o D I FY X 1 S rj N fT �UGT trot IL fi % ads 'D� t L Flue vent for water heater or gas
i � fireplace 10 00
/y lr CJ Docriooi / e_ 1- ona LL L f e f .1 01 S Log lighter (gas) 10 00
Wood/pellet stove 10 00
Wood fireplace /insert 10 00
1:1 PROPERTY OWNER Chimney/liner/flue/vent 1000
[� TENANT
Other 10 00
Name II 4(iM n co Environmental exhaust and ventilation
/ Range hood /other kitchen
Address
I � J� S ( � Ci equipment 10 00
City/Slate /ZIP 1 / �� RO n f J - -- j Clothes dryer exhaust 10 00
) U � —1 Single -duct exhaust (bathrooms,
Phone ( ) Fax ( ) toilet compartments, utility rooms) 6 80
❑ APPLICANT !'et CONTACT PERSON Attic /crawlspace fans 1000
A n ,,A Other 10 00
Business name / 1 IL IZ c w 1'' Cr 2
D l fl I (l1 L. � e /i C. T pi pin
I
AI >� T� C1� S Fuel P P
Contact name D f � - /. S5.40 for first four; 51.00 for each additional
1 Address: Y � `'�� I n Furnace, etc
U ? -3 0 5X1. i 4n-Ln %\i .01) Gas heat pump
City /State /ZIP -1-(A. ,i I1.7-- /A OR_ q -2 0 / 1 WalUsuspended /tmuheater
Phone (563) (4,q y _ t S iv S Fax (5b3) 6,e / _i ?7 Water heater
Fireplace
E -mail
Range
CONTRACTOR Barbecue
Clothes dryer (gas)
Business name. Q ?/ o l.IJ tinsel Am 1 rft c Co,0, -t-r mCroa.s Other
Address / 0 ? Z n _- w 4-714.4 LA 1 /N iZ - - i MECHANICAL PERMIT FEES*
City /State /ZIP •F ( /3 L,13 T / / 0 2 q 7 0 6 2 Subtotal I2/ 375
1'r / u Minimum permit fee (S72 50) 355,
Phone (502) VIZ - 15 6 5 Fax (303) (!/ / / -/ 7 e ' / 5 1 ,2"2 Plan review (25% of permit fee)
CCB Iic i Cl Z State surcharge (8% of permit fee) 30
` ✓ . TOTAL PERMIT FEE S/, 151
Authorized signahir ' - This permit application expires if a permit is not obtained isithin 180
�« -/ j/.. i days after it has been accepted as complete
■
Pt mi name Date ' Fee methodology set by Tn- County Building Industry Service Bodrd
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.
µ^,0.
\Building \Permits \MEC- PermitApp doc I2/03 2
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MEC2005 -00062
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 2/14/2005
Phone: (5b3) 639 -4171
Inspection Requests (24 Hrs.): (503) 639 -4175 . °'fa..
INSPECTION WORKSHEET FOR DATE: 10/20/2005 TIME: 7:09AM PAGE: 92
SITE ADDRESS: 10575 SW CASCADE AVE 130 CLASS OF WORK:
SUBDIVISION: CASCADE BUSINESS CENTER LOT #: TYPE OF USE:
PROJECT NAME: HEMCON EXPANSION MFG.
DESCRIPTION: Modify existing ductwork, install new ducting and grilles. Value: $21,375.00
OWNER: AMB PROPERTY L P, PHONE #:
CONTRACTOR: ARROW MECHANICAL PHONE #: 692 -1565
Inspection Request Scheduled For: Date: 10/20/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message .
699 Mechanical final 018789 -03 503- 407 -4755 Y
Corrections /Comments /Instructions: 4>(AA
S i
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PASS I I PARTIAL APPROVAL ❑ CANCEL n NO ACCESS
❑ FAIL n CALL-FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector:
gr-1 r O l-
,� p Date: l #: (503) 718