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Permit C ITY OF TIGARD MECHANICAL PERMIT '� COMMUNITY DEVELOPMENT PERMIT #: MEC2007 - 00181 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 6/7/2007 PARCEL: 1S135BB-00501 SITS ADDRESS: 10575 SW CASCADE AVE 130 ZONING: I - SUBDIVISION: CASCADE BUSINESS CENTER LOT: JURISDICTION: TIG PROJECT: HEMCON Project Description: Mechanical for addition. Project Value: $837,000 CLASS OF WORK: ADD 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: 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 HEMCON MEDICAL TECHOLOGIES Description Date Amount 10525 SW CASECADE TIGARD, OR 97223 [MECH] Permit Fee 6/7/2007 $9,503.50 [MECPLN] Plan Rev 6/7/2007 $2,375.88 [TAX] 8% State Surcha 6/7/2007 $760.28 Phone: 503- 245 -0459 Total $12,639.66 Contractor: EVERGREEN ENGINEERING 7431 NW EVERGREEN #210 HILLSBORO, OR 97124 REQUIRED ITEMS AND REPORTS Contact #: PRI 503- 407 -4755 Reg #: LIC 151480 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: - y: Permittee Signature: )( ilj.d.a.A.dad 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. A0 7 5 S w rA S C-4 'a � Mk • .. M CrCM / Mechanical Permit App ' ;tiEO B .:, ` - - � _ ©R ICE USE . ' `I n . CI of Tigard t i Receive `J Tigard c Date /B % Permit No - li 7 . tiQlg / ° 13125 SW Hall Blvd . Tigard, OR 97223 . Phone 503 639 4171 Fax 503 598 19(19,R O. 200 Date/By y ate /By 1eW � � Other Permit T I GA R D Inspection Line 503 639 4175 Al V Date Ready /By lurts - ® See Page 2 for • . Internet www tigard-or gov A � � „ y t N ottfied/Method bpi Q I ! S � /y ( Supplemental Information �Ur 9 �� �) _ _Act ' �7 v - TYPF jr ' ' COMMERCIAL FEE* SCHEDULE - USE CHECKLIST Mechanical permit fees* are based on the value of the work ❑ New construction addition /alteration /replacement performed Indicate the value (rounded to the nearest dollar) of all ❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit CATEGORY OF CONSTRUCTION - Value. $ j` `` 00 t;) RESIDENTIAL EQUIPMENT / SYSTEINS FEES* ❑ 1- and 2- family dwelling IRI Commercial /industrial ❑ Accessory building For special information use checklist ❑ Multi- family ❑ Master builder ❑ Other: Description I Qty- I Ea I Total JOB SITE INFORMATION - AND LOCATION Heating/cooling Job site address: , ,^ Air conditioning or heat pump c . t S 1.�..� C 1S CSv�X ■L)' . (requires site plan showing placement) 14 00 City/State/ZIP: 5 V_ i 1 ^ ^ \ Furnace 100,000 BTU (ducts /vents) 14 00 " - -*22 3 t- tJ t l/i Furnace 100,000+ BTU (ducts /vents) 17 90 �� Suite/bldg. /apt. no.: v Project name: r1C� n \ 1 Z � r Gas heat pump 14 00 Cross street/directions to job site: Duct work 14 00 /1 n Hydronic hot water system 14 00 C1 t \ L.1 <2> ` < S Cc-.. Residential boiler (radiator or hydronic) 14 00 l lnit heaters (fuel -type, not electric), in -wall, in -duct, suspended, etc 10 00 Subdivision: I Lot no.: Flue /vent for any of above 10.00 Other 10 00 Tax map /parcel no.: Other fuel appliances DESCRIPTION OF WORK Water heater 10 00 ` ` Gas fireplace I 10.00 _ ■/ \-'6N Q , V. t`QJ ` � \ lc � -`, (1 , \ N �r „ S . � r0FIt� vent for water heater or gas ' t2x S\ \ &1 1 . QZ ( - -' , '• - -' , '• eN AZA e Log v0 fireplace 10 ,,_ C g fighter (gas) 10 00 tel °t ( C q n V.Pc, r5 '",zs \ S qS CAM rtS Wood/pellet stove 10 00 I Wood fireplace /insert 10 00 0-.,2 . 1 \ ' `� �� \\ ' Chimney/liner/flue/vent 10 00 ❑ PROPERTY OWNER (, TENANT Other 10 00 Name: `""C''. T, C Environmental exhaust and ventilation Range hood /other kitchen Address: s C-0.At,- CC, C� equipment 10 00 City /State /ZIP: Clothes dryer exhaust 10 00 Single -duct exhaust (bathrooms, Phone: ( ) Fax: ( ) toilet compartments, utility rooms) 6 80 ❑ APPLICANT gl CONTACT PERSON Attic /crawlspace fans 10 00 Other 10 00 Business name: 0 J-Q ( rizkr. k:-.A, cc Fuel piping Contact name: �� C ` V $5.40 for first four; $1.00 for each additional Address: Furnace, etc Gas heat pump City /State /ZIP: Z 41 443 cgs z_ 5aFT Wall /suspended/unit heater Phone: ( /� J „qo Fax: : ( ) Fl Water heater �� Fireplace E -mail: Range CONTRACTOR Barbecue Clothes dryer (gas) Business name: Other Address: L-143 , n ' , b___15-7. w (� � I -�¢2!. D MECHANICAL PERMIT FEES* City /State /"ZIP: l �-�C�! a 612 p - 7, 9 Subtotal Phone: ( ) I Fax: ( ) Minimum permit fee ($72 50) Plan review (25% of permit fee) CCB tic.: ��/ Clo // y �g State surcharge (8% of permit fee) TOTAL PERMIT FE Zi Authorized signature: \ ) G � This permit apptip if a permit is not obtained ithin 180 4).4.4)..1K, ` days lica after on it as has ires been accepted as co mplete. Print name: C r ,.,.._V--• - Date: ' . 1'2..\\ p `1- * Fee methodology set by Tn- County Building Industry Service Board \Buitdmg\Permns \MEC- PermuAppdoe 04/06/06 440- 4617T(II/02 /COM/WEB) 1 i • 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. I \Building \Permits \MEC- PermltApp doc 12/30/05 2 CITY OF TIGARD BUILDING DIVISION PERMIT #: MEC2007 0018 l 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/7/2007 Phone: (503) 639 -4171 441 0! Inspection Requests (24 Hrs.): (503) 639 -4175 -',`! �!. INSPECTION WORKSHEET FOR DATE: 12/f Q07 TIME: 7 :A1AM PAGE: 31 SITE ADDRESS: 10575 SW CASCADE AVE 130 CLASS OF WORK: SUBDIVISION: CASCADE BUSINESS CENTER LOT #: TYPE OF USE: PROJECT NAME: HEMCON DESCRIPTION: Mechanical for addition. Project Value: $837,000 OWNER: HEMCON MEDICAL.. TECHOLOGIES, PHONE #: 503-245-0459 CONTRACTOR: EVERGREEN ENGINEERING PHONE #: 503 - 407 - 4755 Inspection Request Scheduled For: Date: 12/5/2007 . Pour Time: Code # Inspection Description Confirm # Contact # Message 699 Mechanical final 06084301 503. 523-8802 Corrections/Comments/Instructions: ,A PASS • RTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS, 1 1 FAIL % ALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Ins ecto _� Dat /9L p �Z � d Phone #: (503) 718 -Z F� CITY OF TIGARD BUILDING DIVISION PERMIT #: MEC2007.00l81 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 64712007 Phone: (503) 639 -4171 Inspection Requests (24 Hrs.): (503) 639 -4175 • INSPECTION WORKSHEET FOR DATE: 1214/2007 TIME: 7.01AM PAGE: 3 SITE ADDRESS: 10575 SW CASCADE AVE 130 CLASS OF WORK: SUBDIVISION: CASCADE BUSINESS CENTER LOT #: TYPE OF USE: PROJECT NAME: HEMCON DESCRIPTION: Mechanical for addition. Project Value: $837,000 OWNER: HEMCON MEDICAL TECHOLOGIES, PHONE #: 503 - 245.0469 CONTRACTOR: EVERGREEN ENGINEERING PHONE #: 503407 -4755 Inspection Request Scheduled For: Date: 1214/2007 Pour Time: Code # Inspection Description Confirm # Contact # Mess- • - 6!)9 Mechanical final 060766 -01 503-523 -8802 401111 , • Corrections /Comments /Instructions: 1) c / • - e o _ - o • • ❑ PASS - ARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS '' �,'P �� CALL FOR INSPECTION ' El ADDITIONAL FEES ASSESSED Inspector: Date: /Z/Vii7 Phone #: (503) 718 - Z'-‘ ' I CITY OF TIGARD BUILDING DIVISION PERMIT #: MEC2007 -00181 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/7/2pt17 Phone: (503) 639 - 4171 , 1,1II Inspection Requests (24 Hrs.): (503) 639 -4175 ,_: F'! 1 L. INSPECTION WORKSHEET FOR DATE: 10/15/2007 TIME: 7:01AM PAGE: 10 SITE ADDRESS: 10575 SW CASCADE AVE 130 CLASS OF WORK: SUBDIVISION: CASCADE BUSINESS CENTER LOT #: TYPE OF USE: PROJECT NAME: HEMCON DESCRIPTION: Mechanical for addition. Project Value: $837,000 • OWNER: HEMCON MEDICAL TECHOLOGIES, PHONE #: 503-246 -0459 CONTRACTOR: EVERGREEN ENGINEERING PHONE #: 503 -407 -4755 Inspection Request Scheduled For: Date: 10/15/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 616 Mechanical rough -in 057619.02 503- 523 -0802 i �) Corrections /Comments /Instructions: • M.r © i RcccD a ' gamill.". -. V - . • n PASS e7TIAL APPRO _ . ❑ CANCEL ❑ NO ACCESS n FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED o Inspector: Date: /J Phone #: (503) 718 - Z‘y • CITY OF TIGARD - BUILDING DIVISION PERMIT #: MEC 2007 -00181 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: g/w0U1 Phone: (503) 639 -4171 � ( Inspection Requests (24 Hrs.): (503) 639 -4175 �' �° F'I �.. INSPECTION WORKSHEET FOR DATE: 9/28/3007 TIME: 7:00AM PAGE: SITE ADDRESS: 10575 SW CASCADE AVE 130 CLASS OF WORK: SUBDIVISION: CASCADE BUSINESS CENTER LOT #: TYPE OF USE: PROJECT NAME: HEMCON DESCRIPTION: Mechanical for addition. Project Value: $637,000 OWNER: HEMCON MEDICAL TECHOLOGIES, PHONE #: 503-245.0459 CONTRACTOR: I::VFRGREEN ENGINEERING PHONE #: 503.407.4755 Inspection Request Scheduled For: Date: 9/28/2007 Pour Time: Code # Inspection Description Confirm # Contact # Mess. - 610 Gas line 056602 -01 503. 523-8802 Corrections/Comments/Instructions: � �) 41C • SS ' rARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL // •ALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: -' Date: Phone #: (503) 718- ZCo y p Da � � � ) /! CITY OF TIGARD BUILDING DIVISION b, PERMIT #: MEC2007 -00181 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/7/2007 Phone: (503) 639 - 4171 , 1,1 Inspection Requests (24 Hrs.): (503) 639 -4175 : ':!�i F'I �., INSPECTION WORKSHEET FOR DATE: 9/24/2007 TIME: 7:00AM PAGE: 7 SITE ADDRESS: 10575 SW CASCADE AVE 130 CLASS OF WORK: SUBDIVISION: CASCADE BUSINESS CENTER LOT #: TYPE OF USE: PROJECT NAME: HEMCON DESCRIPTION: Mechanical for addition. Project Value: $837,000 OWNER: HEMCON MEDICAL TECHOLOGIES, PHONE #: 503-245-0459 CONTRACTOR: EVERGREEN ENGINEERING PHONE #: 503 - 407 -4755 Inspection Request Scheduled For: Date: 9/24/2007 Pour Time: Code # Inspection Description Confirm # Contact # Me : -- :: 615 Mechanical rough -in 056186 -03 503 -523 -8802 Corrections/Comments/Instructions: W e:7 I 1 F • ❑ PASS ,•ARTIAL APPROVAL El CANCEL El NO ACCESS ❑ FAIL e ALL FOR INSPECTIO ❑ ADDITIONAL FEES ASSESSED Inspector: Date: 7f9 /o Phone #: (503) 718- ZC CITY OF TIGARD 1 BUILDING DIVISION PERMIT #: MEC2007 -00181 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/7/2007 Phone: (503) 639 -4171 I Inspection Requests (24 Hrs.): (503) 639 -4175 ' R'I_I , INSPECTION WORKSHEET FOR DATE: 8/28/2007 TIME: 7:00AM PAGE: 2 • SITE ADDRESS: 10575 SW CASCADE AVE 130 CLASS OF WORK: SUBDIVISION: CASCADE BUSINESS CENTER LOT #: TYPE OF USE: PROJECT NAME: HEMCON DESCRIPTION: Mechanical for addition. Project Value: $837,000 . OWNER: HEMCON MEDICAL TECHOLOGIES, PHONE #: 503 - 2450453 CONTRACTOR: EVERGREEN ENGINEERING PHONE #: 503.407 - 4755 Inspection Request Scheduled For: Date: 8/28 /2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 615 Mechanical rough -in 054758-04 503 - 523 -8802 Y Corrections/Comments/Instructions: ❑ PASS k4fr ARTIAL AIFR ❑ CANCEL ❑ NO ACCESS ❑ FAIL y LL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: ■Dp. Date: 15 8 ,.07 Phone #: (503) 718- 7�7 CITY OF TIGARD BUILDING DIVISION PERMIT #: MEC2007-00181 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/7/2007 Phone: (503) 639- 4171 Inspection Requests (24 Hrs.): (503) 639 -4175 ,..4131- INSPECTION WORKSHEET FOR DATE: 8/10/2007 TIME: 7:00AM PAGE: 41 SITE ADDRESS: 10575 SW CASCADE AVE 130 CLASS OF WORK: SUBDIVISION: CASCADE BUSINESS CENTER LOT #: TYPE OF USE: PROJECT NAME: HEMCON DESCRIPTION: ' Mechanical for addition. Project Value: $837,000 OWNER: HEMCON MEDICAL TECHOLOGIES, PHONE #: 503.245-0459 CONTRACTOR: EVERGREEN ENGINEERING PHONE #: 503- 407 -4755 Inspection Request Scheduled For: Date: 8/10/2007 Pour Time: Code # Inspection Description Confirm # Contact # Me . - - 610 Gat. line 053789 -01 503 - 523 -880?, 1 Corrections/Comments/Instructions: Instructions: s� : Ligis ar 4:E 1 /S7 ‘8 N{ 5R : p PR o un - LL, 4L_ /n. L P io ce 420 i - LI Ai e ovNi (, `rH-(?V — Pe74 6 L...oittL2— 6 R-SL,/•‘/U' PGtZ 1\j . l,) • n PASS /, PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL i1 CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED r Inspector: Date: l b 6 Phone #: (503) 718- `7 CITY OF TIGARD . - ` BUILDING DIVISION � ` } PERMIT #: MEC2007 -00181 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/7/2007 Phone: (503) 639 -4171 Inspection Requests (24 Hrs.): (503) 639 -4175 .�' �'I —. INSPECTION WORKSHEET FOR DATE: 7/31/2007 TIME: 7:07AM PAGE: 1 SITE ADDRESS: 10575 SW CASCADE AVE 130 CLASS OF WORK: SUBDIVISION: CASCADE BUSINESS CENTER LOT #: TYPE OF USE: PROJECT NAME: HEMCON DESCRIPTION: Mechanical for addition. Project Value: $837,000 OWNER: HEMCON MEDICAL TECHOLOGIES, PHONE #: 503 - 2450459 CONTRACTOR: EVERGREEN ENGINEERING PHONE #: 503 - 4755 Inspection Request Scheduled For: Date: 7/31/2007 Pour Time: Code # Inspection Description Confirm # Contact # M- .:e 615 Mechanical rough -in 053100 -02 503- 523 -8802 0 Corrections/Comments/Instructions: i - dtt( ❑ PASS y' ARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL n CALL FOR INSPECTION ❑ ADDITIO AL F ES ASSESSED / ■••■• 7 st e? Inspector: Date: Phone #: (503) 718 - fL,E CITY OF TIGARD i'j BUILDING DIVISION r. • ; PERMIT #: MEC2007 -00181 1 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/7/2007 Phone: (503) 639 -4171 *ffi i ,' Inspection Requests (24 Hrs.): (503) 639 -4175 i �.. INSPECTION WORKSHEET FOR DATE: 7/30/2007 TIME: 7:02AM PAGE: 2 SITE ADDRESS: 10575 SW CASCADE AVE 130 CLASS OF WORK: SUBDIVISION: CASCADE BUSINESS CENTER LOT #: TYPE OF USE: PROJECT NAME: HEMCON DESCRIPTION: Mechanical for addition. Project Value: $837,000 OWNER: HEMCON MEDICAL TECHOLOGIES, PHONE #: 503-245-0459 CONTRACTOR: EVERGREEN ENGINEERING PHONE #: 603407 - 4755 Inspection Request Scheduled For: Date: 7/30/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 625 Duct work 053000 -02 523-523-8802 Y Corrections/Comments/Instructions: C io -- � 'c ( 1 67-Y - C . 1 i �L�J ' _ _�Atoliorram. i 0 10 ( C_,C) 1- ( PC l i . �-- ❑ PASS ,/4�0 'ARTIAL A PPROV' ❑ CANCEL ❑ NO ACCESS FAI 111 1• .= ‘-',D - 7 r•V - ; .- ❑ ADDITI AL FEES ASSESSED Inspector: _ Date: 1/ Phone #: (503) 718 -