Permit 41 A k CITY OF TIGARD MECHANICAL PERMIT
PERMIT #: MEC2005 -00051
iii" DEVELOPMENT SERVICES DATE ISSUED: 2/14/2005
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 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: 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:
Remarks: Replacing 2 existing units with new, ductwork modifications. Value: 29,872 There may be a third unit later that is
not visible at this time.
Owner: FEES
AMB PROPERTY L P Description Date Amount
BY TRAMELL CROW NW INC [MECPLN] Plan Rev 2/14/200: $124.94
8930 SW GEMINI DR [MECH] Permit Fee 2/14/200: $499.77
BEAVERTON, OR 97008 [TAX] 8% State SurcharE 2/14/200f $39.98
Phone: Total $664.69
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)24. ..99.
Issued By: -- c� - 4_ Permittee Signature: _'L
Call (503) 639 -4175 by 7:00 P.M. for inspections ne•ded the next business day
/ S G 0 //-1/
Mechanical P. rmit Application ;R �, '� t ,, K, N. 4 � •: * t ON ty , t t
PP J r . •,, �i� FOR OFFICE USE LYrsL
City of Tigard Received
Permit No
13125 SW Hall Blvd ,Tigard, OR 97223
\ Q 5 Date/By -p 17 y.
� ( rn c. OU� -(7CJ�J5
Plan Phone 503 639 4171 Fax 503 598 (� �A � I t F s\ Date R eview 4 A11 Other Permit Inspection Line 503 639 4175 ` . e! I !F, Date Ready/By ions 0 See Page 2 for
Internet www.ci tigard or us tltl '�� . vjr Notified/Method \ ( Supplemental Information
J \
TYPE OF, 6 nr 910tGN � COMMERCIAL FEE* SCHEDULE — USE CHECKLIST a
_i lgli(4/, V ,.. Mechanical permit fees* are based on the value of the work 0),
N ew construction If
❑ 7 AdditIGlacement performed Indicate the value (rounded to the nearest dollar) of all
❑ Demolition ❑ Othg: mechanical matenals, equipment, labor, overhead, and profit
CATEGORY OF CONSTRUCTION Valu $ Z 1 �' 7 Z
RESIDENTIAL EQUIPMENT / SYSTEMS FEES*
f
❑ 1- and 2- family dwelling ra Commercial/industrtal ❑ Accessory building For special information use checklist
❑ Multi - family ❑ Master builder ❑ Other.
Description Qty Ea Total
JOB SITE INFORMATION AND LOCATION Heating /cooling
S
Job site address C `A' /+ Cl J /� b6. /9 Air conditioning or heat pump
105 7.5 V�( Cil. . VAC (requires site plan showing placement) 14 00
r O t,
City/State /ZIP 'r/ 6 D. Furnace 100,000 BTU (ducts/vents) 14.00
i Furnace 100,000+ BTU (ducts/vents) 17 90
Suite/ bldg /apt no. /3 D Project name H�m co h( Gas heat pump 14 00
Cross street/directions to job site Orr/Cc; Duct work 14 00
v Hydromc hot water system 14 00
Residential boiler (radiator or
hydronic) 14.00
ry
Unit heaters (fuel -type, not electric),
in -wall, in -duct, suspended, etc 10 00
Subdivision Lot no Flue /vent for any of above 10 00
Other 10 00
fax map /parcel no Other fuel appliances
DESCRIPTION OF WORK Water heater 10 00
�� _ Gas fireplace 10 00
((
I�<=Pc -Ac6 (a) 67-/51 /WC,- uN ,Ti s co I -rkt ti160 t Flue vent for water heater or gas
T JCT 'C MOO` nICAl, e�5 Log 1000
� Log lighter (gas) 10 00
Wood/pellet stove 10 00
Wood fireplace/insert 10 00
❑ PROPERTY OWNER ® Chimney /liner /flue /vent 10 00
TENANT
L Other 10 00 1
Name ,6.7,4 Co ,Al Environmental exhaust and ventilation
Address /6575 S w CAS C / D/ II V C ' Range hood /other kitchen
f S 3® equipment — 10 00
i
City/State /ZIP Clothes dryer exhaust 10 00
�� 6.,A � V ^ , O Single -duct exhaust (bathrooms,
Phone: ( ) Fax ( ) toilet compartments, utility rooms) 6 80 _
❑ APPLICANT N CONTACT PERSON Attic /crawlspace fans 10 00
n ,, Other 10 00
/1
Business name 21c, L w 146(.1 J 1 (.i L (�
f 7 f 4 TR C T +1 c- 5 Fuel piping
Contact name Typf ✓s �/lc $5.40 for first four; $1.00 for each additional
Address 7 7 �`� �� Furnace, etc
0 1 ] o S y4 1-w-1-LA 'r7 l\( 01) lh Gas heat pump
City/State /ZIP -TiAnc_1?.[ 1 /4 / c� q 7 / 0 • -2_ Wall/suspended/unit heater
Phone 5 (‘ , � _ 1,S 6O 5- Fax . (55(3 / ) 6, i / / 7 el. Water heater
E -mail Fireplace
Range
CONTRACTOR Barbecue
Clothes dryer (gas)
Business name l7 ?i i,lJ 1 1/4/ 1 CC II A>`.11 C C (.o TRAcrr s Other
Address
1' 0 3 .. 8 S w .-1---(4 4 LA 7-7,„ i2. o h li- MECHANICAL PERMIT FEES*
e
City /State /ZIP 4....4) •ii, �) r / / D 2 7 9 (1 L 2 Subtotal 0 �,
Phone (sop 6 11 '' C / 7 1 5 - 6 , Fax (5 j) & Li 1 _ / ? 7 e� Minimum permit fee ($ 72 e !/ ;
lL 7 Plan review (25% of permit fee
CCB he I CV3 State surcharge (8% of permit fee) " - •
I TOTAL PERMIT FEE G 7, 6
Authorized signature •/ • • This permit application expires if a permit is not obtained 1s it in I80
- -- ,-/-71-4 ' ` _ days after it has been accepted as complete
_ Pt mt name 1 Date • Fee methodology set by Tri- County Building Industn• Service Boerd
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.
r Y 2 P
." r
I \Bu lding\Permits \MEC- PermitApp doc 12/03 2
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MEC2005 -00051
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 2/14 /2005
Phone: (503) 639 -4171 � �
Inspection Requests (24 Hrs.): (503) 639 -4175 . I
INSPECTION WORKSHEET FOR DATE: 6/23/2005 TIME: 7:10AM PAGE: 72
SITE ADDRESS: 10575 SW CASCADE AVE 130 CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: HEMCON EXPANSION
DESCRIPTION: Replacing 2 existing units with new, ductwork modifications. Value: 29,672 There may be a third
unit later that is not visible at this time.
OWNER: AMB PROPERTY L P, PHONE #:
CONTRACTOR: ARROW MECHANICAL PHONE #: 692-1565
Inspection Request Scheduled For: Date: 6/23/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 009964 -01 503 -407 -4755 N
Corrections /Comments /Instructions:
1
✓f
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITI•NAL F ES ASSESSED
Inspector: i ! Date: ' // r Phone #:' (503) 718-
f
CITY OF TIGARD
BUll_DIIVC DIVISION PERMIT #: MEC2005 -00051
13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 2/14/2005
Phone: (503) 639 -4171 71Vit
Inspection Requests (24 Hrs.): (503) 639 -4175 ..- -
INSPECTION WORKSHEET FOR DATE: 5/17/2005 TIME: 7:11AM PAGE: 68
SITE ADDRESS: 10575 SW CASCI iNE AVE 130 CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: HEMCON EXPANSION
DESCRIPTION: Replacing 2 existing units with new, ductwork modifications. Value: 29,872 There may be a third
unit later that is not visible at this time.
OWNER: AMB PROPERTY L P, PHONE #:
CONTRACTOR: ARROW MECHANICAL PHONE #: 692 -1565
Inspection Request Scheduled For: Date: 5/17 /2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
615 Mechanical rough -in 006993-01 360 - 903 -7364 N
Corrections/Comments/Instructions:
_ i 1 _ 4rag ,.
— --
St puct........,
-I
❑ PASS PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED ' a)A 3Q- Inspector: Date: 7 #: (503) 718-
v
CITY'OF ,,,, ._
BUILDING DIVISION PERMIT #: MEC2005 -00051
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 2/14/2005
Phone: (503) 639 -4171 °.� 1
Inspection Requests (24 Hrs.): (503) 639 -4175 ,,.,,„ __�
INSPECTION WORKSHEET FOR DATE: 3/22/2005 TIME: 7:13AM PAGE: 27
SITE ADDRESS: 10575 SW CASCADE AVE 130 CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: HEMCOI'! EXPANSION
DESCRIPTION: Replacing 2 existing units with new, ductwork modifications. Value: 29,872 There may be a third
unit later that is not visible at this time.
OWNER: AMB PROPERTY L P, PHONE #:
CONTRACTOR: ARROW MECHANICAL PHONE #: 692 -1565
Inspection Request Scheduled For: Date: 3/22/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message A�^
615 Mechanical rough -in 002438 -01 . 503 -692 -1565 Y
Corrections/Comments/Instructions:
L f - \ I3 -- 3 ) (1 0 ' Z- 1") iA . 1,4_,,,L4-- - 3 S
4 0
5 -1/14„0-U./ R-1>e -,_--,E (c) -v60k
Lk 5 . f ,
Ikte-4 , CA,/, ( ;),(__ c?,/ vv- ( i-- cA— - CV )
,L.
� , i ons/Com
— 1C,,,� � mss Q t_.- - c -- ' -"\-/k , -- - 1". CS_A_A__ A__9
yci" S — .. -- -A--; - ■...--e A - e _S "\
- 15 •I (2--y--- 17
e \ N.()
❑ PASS PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: V�• " Date: V Phone #: (503) 718-