Permit CITY TIGARD MECHANICAL PERMIT
DEVELOPMENT SERVICES PERMIT #: MEC2006 -00317
H 44, l
I,';. DATE ISSUED: 7/12/2006
13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171
PARCEL: 2S 113AD -01900
SITE ADDRESS: 16600 SW 72ND AVE B10 ZONING: I -L
SUBDIVISION: OREGON BUSINESS PARK I LOT: 009 JURISDICTION: TIG
Project Description: Install air handler, condensing unit and air distribution. Value: $10,000
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:
Owner: FEES
PACIFIC REALTY ASSOCIATES Description Date Amount
15350 SW SEQUOIA PKWY #300 -WMI
PORTLAND, OR 97224 [MECH] Permit Fee 71121200E $231.50
[TAX] 8% State Surcha 7/12/200E $18.52
Total $250.02
Phone: .
Contractor:
ACCURATE HEATING, INC.
P.O. BOX 2276
CLACKAMAS, OR 97015 REQUIRED ITEMS AND REPORTS
Contact #: PRI 650 -1229
FAX 650 -4845
Reg #: LIC 88423
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.
1 1.
Issued B : P ermittee Signature•
y
Call 503 - 639 -4175 by 7:00 a.m. for inspections that busine .s day.
This permit card shall be kept in a conspicuous place on the job site until c • mpletion of the project.
Approved plans are required on the job site at the time of each i spection.
Mecharfical -Per FOR R oI:1Icl USE o�
City of Tigard Date /By �/ , (,/,-7 / Permit No(;/ -y 4 , i0y �
—' /
13125 SW Hall Blvd., Tigard, OR11917,223� Plan Rev'ew
Phone: 503.639.4171 Fax: 50�3 2 6Oc
2 U +� Date/By: ' Other Permit:
Inspection Line: 503.639.4175 CIT e7I Date Read /B
Internet: www.ci.tigard.o S See Page I for
r.us
OF TIGARD ��� Notified/Method: Supp Information
B UILDINGDIVISION
TYPE OF WORK 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: $ W
RESIDENTIAL EQUIPMENT / SYSTEMS FEES*
❑ 1- and 2- family dwelling II 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: `/r 0/� O 5(4)720)- n RIVE Air conditioning or heat pump
I CDO(requires site plan showing placement) 14.00
City /State /ZIP: l I rA� OR q 1-2-24 Fumace 100,000 BTU (duets/vents) 14.00
1
Furnace 100,000+ BTU (ducts/vents) 17.90
Suite/bldg. /apt. no.: 2 .) D Project name: NW 1)p 6 VfCAuG� , C Gas heat pump 14.00
Cross street/directions to job site: Duct work 14.00
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. 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 10.00
{ usrA t, Alai AIk NANIOt rg f Goy }Q /i f e- ( jij j . Flue vent for water heater or gas
g .
fireplace 10.00
` N Tam W AIR hISTRi UT ou Q ( Log lighter (gas) 10.00
Wood/pellet stove 10.00
Wood fireplace /insert 10.00
❑ PROPERTY OWNER I ® TENANT Chimney /liner /flue /vent 10.00
Other: 10.00
Name: �{ X f1 OP C( OAlxt Environmental exhaust and ventilation _
Address: `' 16400 S W 72 pj . QR�UF equipment Range hood/ other kitchen
d 10.00
City /State /ZIP: 17t_ARO / O 1 Clothes dryer exhaust 10.00
ll7T VV / Single -duct exhaust (bathrooms,
Phone: ( ) Fax: ( ) toilet compartments, utility rooms) 6.80
❑ APPLICANT ® CONTACT PERSON Attic /crawlspace fans 10.00
Other: 10.00
Business name:
ACIJJIAT ��T1 1 /VG • Fuel piping
Contact name: &or �� CR $5.40 for first four; $1.00 for each additional
Address: PD.* % Furnace, etc.
Gas heat pump
City /State /ZIP: fi A 1 Na q� fs Wall /suspended/unit heater
f�M Lam,
Phone: (SO3) 3/ ?' ��f 44_ 4- Fax: : (7113) 6 C0 Water heater
Fireplace
E -mail: Range
CONTRACTOR Barbecue
Business name: y� /'! I , Clothes dryer (gas)
r�.(� L ��NU / /N�� Other:
Address: P IQ)jy .2-2-6 MECHANICAL PERMIT FEES*
City /State /ZIP: G h , / �( (Jr',` s Subtotal . A.3 /, 5
"""� ` / pol.S Minimum permit fee ($72.50)
Phone: ( ) [O 4 —.12 Fax: (02) 6�.,,,�� Plan review (25 %ofpermit fee)
CCB lie.: 2 State surcharge (8% of permit fee) / ff..<j V
TOTAL PERMIT FEE ,2c O i
Authorized si nature: This permit application expires if a permit is not obtained within 180
g days after it has been accepted as complete. 7//
Print name: Sebr �rjstep, l Date: 9._((-06 • Fee methodology set by Tri- County Building Industry Service Hoar
i i Id in n' Permit< \MFC- Permit Ann.doc 12/01 440 -4617T (11,02 /r-OM /WFRI