Permit . ;
~ ' r
il CITY OFTIG D
MECHANICAL PERMIT
- ° COMMUNITY DEVELOPMENT PERMIT #: MEC2008 - 00275
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 6/3/2008
PARCEL: 2S 101 AC - 00600
SITE ADDRESS: 12600 SW 72ND AVE 100 ZONING: MUE
SUBDIVISION: BEVELAND NO. 2 LOT: 012 JURISDICTION: TIG
PROJECT: NUTECH
Project Description: Installation of gas line to generator. Project Value: $850.
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:
NAT 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 CL0 DRYERS:
FURN > =100K BTU: <= 10000 cfm: OTHER UNITS:
> 10000 cfm: GAS OUTLETS: 1
Owner: FEES
JACOB & THERESA ROTH Description Date Amount
12600 SW 72ND AVE
TIGARD, OR 97223 [MECH] Permit Fee 6/3/2008 $72.50
[TAX] 12% State Surch 6/3/2008 $8.70
Total $81.20
Phone:
Contractor:
HEATCO INC
4201 SE BOARDMAN AVE
MILWAUKIE, OR 97267 REQUIRED ITEMS AND REPORTS
Contact #: PRI 503 -539 -9772
FAX 503- 653 -6991
Reg #: LIC 135557
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 /19/ / Permittee Signature: (-..t.__ v /
Call 503.639.4175 by 7:00 a.m. for inspections that 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.
--Mechanical Permit Application -- O if FO OFF10E ONLY+` t) �F„s�� 4' � *`'
Received �
City of Tigard Date/By: 4 Q. /I1:a Permit No.: Mge.A6g -0027
I N ° 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review
: Phone: 503.639.4171 Fax: 503.598.1960 Other Permit:
, DateBy:
• I C A It'D' Inspection Line: 503.639 Date Ready/By: MI ® See Page 2 for
i. ,.-t2 Internet: www.tigard - or.gov Notified/Method: Supplemental Information
TYPE OF WORK 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, andgrofit.
CATEGORY OF CONSTRUCTION Value: $ V5 -d)
• RESIDENTIAL EQUIPMENT / SYSTEMS FEES*
❑ 1- and 2- family dwelling %Commercial /industrial ❑ Accessory building
For special information use checklist.
❑ Multi- family ' ❑ Master builder ❑ Other: Description I Qty. Ea. Total
JOB. SITE INFORMATION AND LOCATION Heating/cooling
Zr 7 S�.c>. '`� I., Air conditioning or heat pump
Job site address:
te, C 0 ! 2- " �- v••‹_ • (requires site plan showing placement) 14.00
City /State /ZIP: 'r ` (. 3 - 7(e__ Fumace 100,000 BTU (ducts /vents) 14.00
/ I-1- Fumace 100,000+ BTU (ducts /vents) 17.90
Suite/bldg. /apt. no.: Project name: l.r` (f Gas heat pump 14.00
Cross street/directions to job site: Duct work 10.00
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. 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
Gas fireplace 10.00
2 V IA- d 1tiQ-- 3 4.5 l Q to Ce a ✓6- 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 Chimney /liner /flue /vent 10.00
Other: _ 10.00
Name: 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
❑ APPLICANT ❑ CONTACT PERSON Attic /crawlspace fans 10.00
Business name: ( r" Other: 10.00
1 L e co IA L • Fuel piping
Contact name: 0 C �� e S $5.40 for first four; $1.00 for each additional
Fumace, etc.
Address: V Lo ( 61E: $ DQ ,, °y u s f -ve. Gas heat pump
City /State /ZIP: //1/Lm/ ) at) k t v_. vr__ 972.- 7 Wall /suspended/unit heater
Phone: (3 "b353t ? 772_ Fax: : (,5s 6,s - 6777 Water heater
Fireplace
E -mail: Range
CONTRACTOR - Barbecue
Clothes dryer (gas)
Business name: et-eat o c. Other:
Address: '/zf 0 ( S _c 6 c,,,/d jdC ‘4,....e._ MECHANICAL PERMIT FEES*
City /State /ZIP: f l t , c 1 Qs.9 j 01 ? 7 2- b Subtotal - .
2 Minimum permit fee ($72.50)
Phone: (5-6 F _5 J ? F7 7 Fax: 5 65 • 77/
Oh Plan review (25% of permit fee)
CCB lic.: i 3 5 7 7 State surcharge (12% of permit fee) ... TOTAL PERMIT FEE D b .
Authorized signature: � This permit application expires if a permit is not obtained within 180
4
hJJ a,_ days after it has been accepted as complete.
6,737 Print name: ct 0 L L IA d f e_ s Date: n Service Board
g F ee methodology set b by Tri -Count y Buildig Indust Industry
I:\ Building \Permits\MEC- PermitApp.doc 01/19/07 44T(1I /02/COM/WEB)
i
Mechanical Permit Application - City of Tigard
Page 2 - Supplemental Information
Commercial Fee Schedule:
Total Valuation: Permiffee:
$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.
•
l:\ Building \Permits\MEC- PermitApp.doc 01/19/07
:2
•
CITY OF TIGARD �� '
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BUILDING DIVISION � , PERMIT #: MEC2008.00276
13125 SW Hall Blvd., Tigard, OR 97223 ' DATE ISSUED: 6/3/2008
Phone: (503) 639-4171
Inspection Requests (24 Hrs.): (503) 639-4175 AAA A L
INSPECTION WORKSHEET FOR DATE: 5/19/200B TIME: 7:O0AkA PAGE: 6
SITE ADDRESS: 12600 SW 72ND AVE 100 CLASS OF WORK:
SUBDIVISION: BEVEL/\NQ NO. 2 LOT #: 012 TYPE OF USE:
PROJECT NAME: NLlTECH
DESCRIPTION: !r,s1alktiori of qt line to 9enerator. Project Value: $860.
OWNER: ROTH, JACOB & THERESA PHONE #:
CONTRACTOR: ME/Q'C0|NC PHONE #: 503'1-39-9772
Inspection Request Scheduled For: Date: 6/19/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Mess..
699 Mechanical final 071606-01 503.539-9772
i
Corrections/Comments/Instructions:
--
PARTIAL �� CANCEL �� NOACCESS
_ _
n FAIL pi CALL FOR INSPECTION ADDITIONAL FEES ASSESSED
/
Inspector: � f
c ' Date: /~~/ � k : /7 Phone #: (503) 718- �J~� '
'~r~~~~ �N�� � / ' `' ^---
. ���� .
���
CITY OF TIGARD
BUILDING DIVISION f' A PERMIT #: MEC2008-00275
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: &3/2008
Phone: (503) 639-4171 ,Iil';.■ht
Inspection Requests (24 Hrs.): (503) 639-4175 ,,_•
INSPECTION WORKSHEET FOR DATE: 6/6/2000 TIME: 7:OOAM PAGE: 14
SITE ADDRESS: 12600 SW 72ND AVE 100 CLASS OF WORK:
SUBDIVISION: f3EVELAND NO. 2 LOT #: 012 TYPE OF USE:
PROJECT NAME: NUTECH
DESCRIPTION: Inda Ilation of gas line to generator. Project Value: $850.
OWNER: ROTH, JACOB & THERESA PHONE #:
CONTRACTOR: HEATCO INC PHONE #: 603-539-9772
Inspection Request Scheduled For: Date: 616/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Messa.e
q 1 5C7
699 Mechanical final 070940-01 503•539-9772
.—/----
Corrections/Comments/Instructions:
I) "Pg-o v ( o (--.:: A -1- r - i4./ i r oia -C- e:iPe?-74 i n-1 (
L--U .., 1 S iuuur ' t ni__,Sc.-2_
i •
_
'il -4 C—C OM . at, 0 C 1 -- a
1 PASS Pr - ARTIAL APPROVAL fl CANCEL 111 NO ACCESS
Kill W .., r CALL FOR INSPECTION 1 1 ADDITIONAL FEES ASSESSED
Inspector: _ . 4^-. Date: 6 tag Phone #: (503) 718- Z-6 <7
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MEC2008- 00275
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 613 /2008
•
Phone: (503) 639 -4171 ;���!• i
Inspection Requests (24 Hrs.): (503) 639 -4175 s "�I
INSPECTION WORKSHEET FOR DATE: 614 /20013 TIME: 7:01 AM PAGE: 21
SITE ADDRESS: 12600 SW 72ND AVE 100 CLASS OF WORK:
SUBDIVISION: C3EVELAND NO. 2 LOT #: 012 TYPE OF USE:
PROJECT NAME: NtJTECH
DESCRIPTION: Installation of gas line to generator. Project Value: $850.
OWNER: ROTH, JACOB & THERESA PHONE #:
CONTRACTOR: HEATCO INC PHONE #: 503 -63B -3772
Inspection Request Scheduled For: Date: 61412008 Pour Time: _
Code # Inspection Description Confirm # Contact # Message
610 Gas line 070837 -01 5 503-539 -9772
Corrections /Comments /Instructions:
� ,
. • PARTIAL APPROVAL ❑ CANCEL 7 NO ACCESS
FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: C y .06 Phone #: (503) 718 -