Permit a
CITY OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT PERMIT #: MEC2008 -00447
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 9/5/2008
PARCEL: 2S104AD -04500
SITE ADDRESS: 12617 SW WALNUT ST ZONING: R-4.5
SUBDIVISION: TVF &R FIRE STATION LOT: JURISDICTION: TIG
PROJECT: TUALATIN VALLEY FIRE AND RESCU
Project Description: Mechanical work for new fire station. Project Value: $130,000.
CLASS OF WORK: NEW FLOOR FURN: EVAP COOLERS:
TYPE OF USE: COM UNIT HEATERS: 5 VENT FANS: 3
OCCUPANCY GRP: B VENTS W/O APPL: VENT SYSTEMS:
STORIES: 1 BOILERS /COMPRESSORS HOODS: 1
FUEL TYPES 0 - 3 HP: DOMES. INCIN:
NAT 3 - 15 HP: 1 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: 8 OTHER UNITS:
> 10000 cfm: GAS OUTLETS:
Owner: FEES
TUALATIN VALLEY FIRE & RESCUE Description Date Amount
20665 SW BLANTON ST
ALOHA, OR 97007 [MECH] Permit Fee 9/5/2008 $1,726.50
[MECPLN] Plan Rev 9/5/2008 $431.63
[TAX] 12% State Surch 9/5/2008 $207.18
Phone: 503 - 649 -8577 Total $2,365.31
Contractor:
RABE HVAC INC
PO BOX 691
DONALD, OR 97020 REQUIRED ITEMS AND REPORTS
Contact #: PRI 503- 678 -1267
FAX 503- 678 -2099
Reg #: LIC 147885
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.
Of 4,
Issued 'y: / 1 4 4 / Pe rmittee Signatur= ,
Call 503.639.4175 by 7:00 a.m. for inspectio"" . • usiness 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.
t% 7 Oa%# / /d
Mechanical Permit Application FOR OFFICE USE ON
City of Tigard
SC* R eceived 9 Permit No . LY G/1 9,t
II
a 13125 %� DateBy / 0 b ( L - /!r'�O "QQ
25 SW Hall Blvd , Tigard, OR 9'� "' q ` Plan Revie ■
"III Phone. 503 639 4171 Fax 503.59:19;0 Q - 67 2 ` , + C I (� - Other Permit
T I G A D Ins Line 503 639 4175 SE ��� Date/By I ate Ready :y fur B See Page 2 for
Internet: www tigard - gov r_1 ` ,, otified/Method ; ,,g f Supplemental Information
' TYPE OF WO [f�\� ®�` COMMERCIAL- FEE* SCHEDULE - USE CHECKLIST
New construction ❑ Addition/alteration/replacement Mechanical permit fees* are based on the value of the work
performed Indicate the value (rounded to the nearest dollar) of all
❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit.
' CATEGORY OF CONSTRUCTION
Value $ / ;30 00009
RESIDENTIAL EQUIPMENT / SYSTEMS FEES*
❑ 1- and 2- family dwelling Commercial /industrial ❑ Accessory building
For special information use check list
❑ Multi- family ❑ Master builder ❑ Other: Description I Qty I Ea I Total
`).„(0 / 7 JOB SITE INFORMATION AND LOCATION Heating/cooling
I /� - Air conditioning or heat pump
Job site address:
� Q //U U V G� (requires site plan showing placement) 14 00
City /State /ZIP: - n Furnace 100,000 BTU (ducts/vents) 14 00 Or Furnace 100,000+ BTU (ducts /vents) 17 90
Suite/bldg. /apt. no.: Project name: �u c / A ./- „. .,. c ... _ ,i() Gas heat pump 14 00
Cross street/directions to job site: . , 1, ,, Y.' Duct work 10.00
�t Hydronic hot water system 14.00
�i2 sp OQ 4_, r--""/L), 1 h ()_ )1-) / S t o c h c- , e- Residential boiler (radiator or
-, hydronic) 14 00
OA. r1 i 7 A t 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
/ r V - Gas fireplace 10 00
/7 f C. — )/1 € C A A ti/ C .0 1 j Flue vent for water heater or gas
fireplace 10 00
Log lighter (gas) 10 00
Wood/pellet stove 10.00
Wood fireplace /insert 10.00
,� PROPERTY OWNER ❑ TENANT
Other O y/liner /flue /vent 10 00
1 4 l , 10 00
Name: Tu A I / A 7�) N V ki f [ e- t
Other F% Q /3-Q. / 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: ( ) Fax: ( ) toilet compartments, utility rooms) 6 80
fa APPLICANT ❑ CONTACT PERSON Attic /crawlspace fans 10.00
� . _ Other 10 00 • Business name: ,Q .4e p 1 L1 OA-6' ,l n e - Fuel piping
Contact name: " 1-1- `,\ k i G , $5.40 for first four; $1.00 for each additional
Address: . .,,, r tf) , 60,x_ :6 g / Furnace, etc
Gas heat pump
City/State /ZIP: Do A / ot O R q 7 O 2, O Wall /suspended/unit heater
(S ,) Water heater
Phone: ( c,..) 64 2 7 Fax: : 6 z d �� Fireplace
E-mail:
Range
CONTRACTOR Barbecue
Business name: g A 11 j 6z / cm c ,Ads Clothes dryer (gas)
Other:
I
Address: Po OX 6- q 1 MECHANICAL PERMIT FEES*
City /State /ZIP: f� /� 0 R 0/762 0 Subtotal
Phone: (5'�, ) �✓ Fax: ' Minimum permit fee ($72.50)
3 6 7 - G 2 F (�d3) � ' J' • �, cf.) 9 Plan review (25% of permit fee)
CCB lic.: / ti -7 g x' S State surcharge (12% of permit fee)
j/�_ TOTAL PERMIT FEE
tc /�
This permit application expires if a permit is not obtained within 180
Authorized signatur
days after it has been accepted as complete.
Print name: - > / c t e // l• ° kr0 be Date: s 2 �_ p & * Fee methodology set by Tn- County Building Industry Service Board
\
i \BuildingPermits\MEC- PermitApp doc 01/19/07 440.4617T (I1 /02/COM/WEB)
r
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 \Buildmg\Permits\MEC- PermitApp doc 01/19/07 2
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CITY OF TIGARD
BUILDING DIVISION PERMIT #: I EC2000 -00447
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/a/2008
Phone: (503) 639 -4171 Aim / h , p �l '�
Inspection Requests (24 Hrs.): (503) 639 -4175 AL
INSPECTION WORKSHEET FOR DATE: 12/31/2008 TIME: 7 :00AM PAGE: 18
SITE ADDRESS: 1/617 SW WALNUT ST CLASS OF WORK:
SUBDIVISION: TVI &R FIRE STATION LOT #: TYPE OF USE:
PROJECT NAME: TUALATIN IN VAL.LEY FIRE. AND RESCU
DESCRIPTION: Mechanical work for new fire station. Pooject Value: $130,000.
OWNER: TUALATIN VALLEY FIRE g RESCUE, PHONE #: 603 -649 -8577 ,
CONTRACTOR: RABE HVAC INC PHONE #: 603 678 - 1267
Inspection Request Scheduled For: Date: 12/31/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 079300 -01 503 -341 -7634 N
Corrections /Comments /Instructions:
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) Ii '' RTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
VZ . ; 1 Inspector: Date: (/ Phone #: (503) 718- 1
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CITY OF TIGARD -
, •
BUILDING DIVISION --- PERMIT #: MEC200I3-00447
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/612008
Phone: (503) 639 -4171 VIP
Inspection Requests (24 Hrs.): (503) 639 -4175 .......
INSPECTION WORKSHEET FOR DATE: 919/2008 TIME: 7:00AM PAGE: 21
SITE ADDRESS: 12617 SW WALNUT ST CLASS OF WORK:
SUBDIVISION: TVF &R FIRE STATION LOT #: TYPE OF USE:
PROJECT NAME: TUALATIN VALLEY FIRE AND RESCU
DESCRIPTION: Mechanic:al work for new fire station. Project Value: $130,000.
OWNER: TUALATIN VALLEY FIRE & RESCUE, PHONE #: 503 -64943577
CONTRACTOR: RAE3E HVAC INC PHONE #: 503.678
Inspection Request Scheduled For: Date: 9/9/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Messes
610 Gas line 075246 -01 503 307 -2859 (�
Corrections /Comments /Instructions:
❑ PASS i " ' AL AP - • ❑ CANCEL ❑ NO ACCESS
❑ FAIL ift, ! • ' ' - ON ❑ ADDITI NAL FEES ASSESSED
Inspector: Date: Phone #: (503) 718- -
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CITY OF TIGARD .
BUILDING DIVISION ;?-~ PERMIT #:
13125 SW Hall Blvd., Ti 9 ard, OR 97223 DATE ISSUED: MC00f3 Ut)4d7
Phone: (503) 639 -4171 5! 2 t,2 0f)6
Inspection. Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 9/3 2008 TIME 7:00AM, PAGE 20
SITE ADDRESS: 12617 SW WALNUT ST CLASS OF WORK:
SUBDIVISION: TVFaR FIRE STATION LOT #: TYPE OF USE:
PROJECT NAME: TUALATIN VALLEY FIRE AND RESCU
DESCRIPTION: Mechanical work for new fire station. Project Value: $130,000.
•
'OWNER: TUALATIN VALLEY FIRE & RESCUE, PHONE #: 503 - 643.43577
CONTRACTOR: RABE HVAC INC PHONE #: 603 -678 -1267 • Inspection Request Scheduled For: Date 9/22/2008 Pour Time:
•
Code # Inspection Description Confirm # Contact # Message A ,�1
615 Mechanical rough -in • 075726-01 603•3�f 1 -7634 0 /tom `
Corrections /Comments /Instructions:
• .,ILy
•
❑ PASS ',_ - = e +AL
El CANCEL ❑ NO ACCESS
❑ FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: / 1 Phone #: (503) 718 - W
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MEC2008-00447
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/5/20138
Phone: (503) 639 -4171 ow' , �. �
Inspection Requests (24 Hrs.): (503) 639 -4175 6 `� i
INSPECTION WORKSHEET FOR DATE: 9J23/J0t7f3 TIME: 7:00AM PAGE: 13
SITE ADDRESS: CLASS OF WORK: .
SUBDIVISION: 1 SIN WALNUT ST LOT #: TYPE OF USE:
TVF &R FIRE STATION
PROJECT NAME: TUALATIN VALLEY FIRE AND RESCU
DESCRIPTION: Mechanical work for new fire station. Project. Value: $130,000. ,
OWNER: TUALATIN VALLEY FIRE & RESCUE, PHONE #: 603
CONTRACTOR: RABE HVAC INC PHONE #: 503- 678 -1267
Inspection Request Scheduled For: Date 9123/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
610 Gas line ' 075803 -01 503 - 307 -2859 0
Corrections/Comments/Instructions:
l 5t 4 �c �
AP Air- F .c:1 9wi'1J
j — Maw e — r U—
A— !, / .,
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❑ PASS /,f,�AL APPRO ❑ CANCEL El NO ACCESS
❑ FAIL 11 CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
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Inspector: ' Date: ! Z3 Of Phone #: (503) 718- ____iY'
L 1 ,
CITY OF TIGARD
BUILDING DIVISION • PERMIT #: MEC2008 0 147
13125 SW Hall Blvd., Tigard, OR 97223 > DATE ISSUED: 9/5f200e
Phone: (503) 639 -4171 ill
Inspection Requests (24 Hrs.): (503) 639 -4175
• INSPECTION WORKSHEET FOR DATE: 9/25/2008 TIME: 7:00AM PAGE: 27
SITE ADDRESS: 10Er17'll4MAl_IyUT ST CLASS OF WORK:
SUBDIVISION: TVF &R FIRE S I I It3N LOT #: TYPE OF USE:
• PROJECT NAME: TUALATIN VALLEY FIRE AND RESCU
DESCRIPTION: Mechanical work for new fire station. Project Value: $130,000.
OWNER: TUALATIN VALLEY FIRE & RESCUE, PHONE #: 503648 8577
CONTRACTOR: BABE HVAC IN PHONE #
503678 -1267
Inspection Request Scheduled For: Date: w22008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
610 Gas line 075924 -01 503-307 -2859 N
Corrections /Comments / Instructions:
- 044- 2
•
•
•
PAS 1 PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ' CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: TAs- Phone #: (503) 718-
-
I �
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MEC2008- 0f447
13125 SW Hall Blvd., Tigard, OR 97223 - DATE ISSUED: 915/200E3
Phone: (503) 639 -4171 '�
Inspection Requests (24 Hrs.): (503) 639 -4175 _ '!!�il�
INSPECTION WORKSHEET FOR DATE: 12/1512008 TIME: 7 PAGE: 13
SITE ADDRESS: 12617 SW WALNUT ST CLASS OF WORK:
SUBDIVISION: TVF&R FIRE STATION LOT #: TYPE OF USE:
PROJECT NAME: TUALATIN VALLEY FIRE AND RESCU
DESCRIPTION: Mechanical work for new fire station. Project Value: $130,000.
OWNER: TUALATIN VALLEY FIRE & RESCUE, PHONE #: .503.649 - 8577
CONTRACTOR: RABE HVAC INC PHONE #: 503. 678 - 1267
Inspection Request Scheduled For: Date: 12/15/71)08 Pour Time:
Code # Inspection Description Confirm # Contact # Message CAC QJY
i 4 (.. / A)
11) 610 Gas line 079042 -01 503-341-7634 Y �I
Corrections /Comments /Instru tions:
i
•
•
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES SSESSED
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Inspector: Date: \e4 Phone #: (503) 718- _t?____4(