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Permit 14.• CITY OF TIGARD MECHANICAL PERMIT I DEVELOPMENT SERVICES PERMIT #: MEC2004 -00527 ' � II 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 8/16/2004 PARCEL: 1S126BC-01506 SITE ADDRESS: 09020 SW WASHINGTON SQUARE RD 570 SUBDIVISION: ZONING: C -G 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: ELE 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: 6 OTHER UNITS: > 10000 cfm: GAS OUTLETS: Remarks: (6) exhaust fans w /venting, duct work for grille relocation. Valuation: $5500.00 Owner: FEES WISCO INVESTMENT SERVICES CO Description Date Amount 111 SW FIFTH AVE # 1100 [MECH] Permit Fee 8/16/200 $150.50 PORTLAND, OR 97204 [MECPLN] Plan Rev 8/16/200 $37.63 [TAX] 8% State Surchart 8/16/200 $12.04 Phone: 503 222 - 4375 Total $200.17 Contractor: ACCURATE HEATING, INC. P.O. BOX 2276 CLACKAMAS, OR 97015 REQUIRED INSPECTIONS Phone: 650 - 1229 Mechanical Insp Shaft Inspection Reg #: LIC 88423 Duct Inspection • Final Inspection 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 uestion to UNC by calling (503)246 -6699. Issued By: " Permittee Signatur Call (503) 639 -4175 by 7:00 P.M. for inspections needed the ne t business day if 0 2 o ,ter W otf'tN/ull4TO N S Q RD 0X j-7tr c _ ; --- Aug 02 04 12 :49p ' p, HUIr U�-LUU4 MN Uy U3 RM FAX N0, p ' 02/03 Dic• 64RAY Mechanical Permit A► �on 1.0 i t r 1 I I( 1.1 , i t) N, 1 i. City of Tigard , ell 71 = :i 1 "1.5 I 1 1 : 7� _ s I.00 Sit 13125 SW Hall Blvd_ Tigard, OR 97223 � I ? al O Permit Phone: 503.639.4 171 Fax: 503.508.1960 •% Inspection lint 503.639.4175 AUG 06 20!"-Y--- 1 2 Resd e0014 7 '` Page 2 [or Interact: www.ei.ligard.or.us 04- N oti f e / 1 Supplemental fnformaUaa thud " 2. s ° I t _ M echanical permit fees* are based on the value of the work ❑ New construction _. ddition/al ! Gal l.'i J. nt performed. Indicate (Ise value (rounded to the nearest dollar) of all ❑ Demolition ❑ Ot her: mechanical materials. equipment labor. overhead. and fit __ Value S _ 16 ❑ 1- and 2- family dwelling jComntercia!/industzial ❑ Accessory building - - For quid information tcredtuklin. ❑ Multi-family ❑ Master builder ❑ Other: Deserif tion 1 Qty. 1 Pa• 1 Total --z----;74-t----7 �`., . - ,-' -r_ ' - a ..: _,-_- _:. - - Airoon�'atU iogofhr�tpomp lob she address: i 02,, C) 5,/ct L a, y► L , • . P (nequeer cite ptm dmwias plrrocrtrbt) 14 Furnace 100,000 BTU (ducts/yews) 14.00 City/State/ZIP: 'r arc( (XL Q 15 Furnace 100.000+ BTU (daculvenu) 17.90 Suite/bldg./apt- no.: Ae ik $`JD I Project name: De. e,a,Y i t . I _tins heat tip _ 14 -00 . , Cross street/directions to job site , Duct work 14.00 t a 1 Hydmni a hot water system 14.00 Residential boiler (radiator or hydrmic) 14.00 _ Unit heaters (fuel -type, not electric). ' in -wall, in- duct. suspended, etc. 10.00 Flue /vent for any of above 10 1_ Subdivision I Lot no.. Other: 1 10.00 - Tax map/parcel no.: Other feel apptiantm - _ :0 m� , r _ Warerheat= 10.00 (I � - _ = .:_ Gas fireplace 10.00 (a) EA t s4 rA+-1 S 4 k-)+4I/•G Flat vent for water heater or gas l fi� lacc _ 10.00 or-- 1.-O ar k[_ ' , 2_ Rc. 0 • . - Log lighter (gas) 10.00 W.., . Iietstove 10,00 Wood fireplace/insert 10.00 Chi , , /Gner/fladvent 10.00 .- ' - -a- -- 4 -. other: 10.00 Name-. Vw i Enstrue octant exhaust and venlllatlon t f S 6 k a 1 0. 00 Address: -• _ • �t p Clothes • a exhaust NM 10 City /StarelZll': Pet X, �e - L LO Single-duct exhaust (bathrooms. �3 44- 01.E 04 Fax: (5b'() 22 ' - 2 .5b toilet comemments, utility rooms) . 6.80 IIII .Phone ) Z _ 10.00 3, - fir- 7 .z .x r- -` ` -. '``' "� Attie/crawl- facer r ' - -. - .e _�- _ ..; -. Other: II. law Business name: = !L u.j't . Fuel's Contact name: 1 C G' D C-- ha...1k 45.40 for lust Lour, MOB for� additional or, Furnace, dc. Address: Oar heat . ura • City/State/ZIP: l G . ts I iii, t. Wall/ans. , ded/nnitheater MO -/ Z Fax: (50 ) �P� ,(/ Water Waheater � �� Phone: v Wat er h P mail: Ran, _ - Q7-- --7_ _ _ t4 name: !1 C --t.JJ - •' b....., L Business aa Other WWI Address ?O d) _ - Subtotal s / . SO Cit /Statr/ZIP: � � Ac k.�{v1 S l tQ ^ M inimum pansit lee ($72 -50) Phone: ( j 03) 6,Z0 r i Z'Z CI I Fax. (S13) (5 O . «) I /J Plan review (2596 of permit fee) 3;. 0 3 CCB lic.: ¢ 7 3 State surcharge (8% d perm /F it fee) S i+ TOTAL PERMIT FEE 2 . j Thi p ernaappncadmi(ptres If a permit knot obtained vltldn 1HD Authorized signature. /� days utter w m teas been apted as complete. : ' V1� / t er► t' G � Dal e: • Fee methodology set by Tsi•CountY Building Industry Service Beard Print Air aan.ae trr re t 4maarAvEa) CITY OF TIGARD 24 -Hour BUILDING Inspection Line: (503) 639 -4175 INSPECTION DIVISION Business Line: (503) 639 - 4171 MST BUP Received ((�� Date Requested C AM PM BUP _ Location - l ��' Suite '"j© MEC 2'' 5z Contact Person Ph ( ) PLM Contractor Ph ( ) SWR BUILDING Tenant/Owner ELC Footing Foundation ELC Access: Ftg Drain ELR Crawl Drain Slab Inspection Notes: SIT Post & Beam Shear Anchors Ext Sheath/Shear Int Sheath/Shear Framing Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Other: �r Final �^ PASS PART FAIL ✓- PLUMBING, MAC/ Post & Beam Under Slab Rough -In Water Service Sanitary Sewer Rain Drains • Catch Basin / Manhole Storm Drain Shower Pan Other: Final PASS PART FAIL 4(QECHA Posf& Beam Rough -In Gas Line S . . . - Dampers PAS -PART FAIL ELE ' RICAL -rvice Rough -In UG /Slab Low Voltage Fire Alarm Final El Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. • PASS PART FAIL SITE El Please call r rei section RE: Unable to inspect - no access Fire Supply Line % d ADA Ins ector Ext Approach/Sidewalk Date p drAT Other: Final DO NOT REMOVE this Inspection record from the job'site. PASS PART FAIL