Permit CITY OF TIGARD
MECHANICAL PERMIT
- COMMUNITY DEVELOPMENT PERMIT #: MEC2006 -00649
14 DATE ISSUED: 1/26/2007
T4IGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
g PARCEL: 2S112DD -00500
SITE ADDRESS: 15860 SW UPPER BOONES FERRY RD B15 ZONING: I -
SUBDIVISION: OREGON BUSINESS PARK I LOT: JURISDICTION: TIG
Project Description: Install heat pump with indoor units. Value: $21,050.00
CLASS OF WORK: ALT 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:
ELE 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: 8 OTHER UNITS:
> 10000 cfm:
GAS OUTLETS:
Owner: FEES
SUBOTNICK, RUTH + Description Date Amount
SIEGEL, LOTTIE
BY PACIFIC REALTY ASSOC [MECPLN] Plan Rev 12/20/20C $126.80
PORTLAND, OR 97224 [MECH] Permit Fee 1/25/2007 $31.46
[MECH] Permit Fee 1/26/2007 $349.89
Phone: [MECPLN] Plan Rev 1/25/2007 $95.34
[TAX] 8% State Surcha 1/26/2007 $30.51
Contractor: Reversal - [MECPLN] P 1/25/2007 - $126.80
ENVIRONMENTAL CONTROL CORP. Total $507.20
15860 SW UPPER BOONES FERRY
LAKE OSWEGO, OR 97035 REQUIRED ITEMS AND REPORTS
Contact #: PRI 503- 620 -4228
PRI 503 -517 -9188
Reg #: LIC 64673
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: )11 _ m Permittee Signature: r
Call 503.639.4175 by 7:00 a.m. for inspections hat 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.
Mechanical Perini A Pte' - , i - J.k „„:„.,,i, „. is�. � ,, „ar 1 „.- ,r,, ,;,
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City of Tigard 1� ° Gj " 'R' a Permit N6. ,;
. �y City g l b� Date/By: 1, . .� bp, f rCJVO;�♦7� ^ at ,/,' A ® ° 13125 SW Hall Blvd., Tigard, OR 9'1223 Plan Revi-
I g
� - '.; Phone: 503.639.4171 Fax: 503.598.1960 Date/B Other Permit:
4 C 411 ' - ;' Inspection Line: 503.639.4175 DEC 2 0 2006 y� d ..J C�
„{�Ttl U A Rll� Date R:: � ' juris el See Page l for
L .4ra,:rn V Internet: •
www.tigard or.gov Notifies C I J / Supplemental Information
TYPE T 11Kf COMMERCIAL FEE* SCHEDULE - USE CHECKLIST
Mechanical permit fees* are based on the value of the work
New construction
❑ [El Addtti 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: $ $21,050.00
RESIDENTIAL EQUIPMENT / SYSTEMS FEES *
❑ 1- and 2- family dwelling ® Commercial /industrial ❑ Accessory building
For special information use checklist.
Multi -famil
❑ Multi-family ❑ Master builder ❑ Other: Description 1 Qty. Ea. Total
. JOB SITE INFORMATION AND LOCATION Heating/cooling
Job site address: 15860 SW Upper Boones Ferry Rd Air conditioning or heat pump
(requires site plan showing placement) 14.00
City /State /ZIP: Lake Oswego, OR 97035 Furnace 100,000 BTU (ducts/vents) 14.00
Furnace 100,000+ BTU (ducts/vents) 17.90
Suite/bldg. /apt. no.: Project name: OAR Daikin AC Install Gas heat pump 14.00
Cross street/directions to job site: Carmen Dr exit @ 1 -5 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: 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
Install (1) Daikin VRV Heat Pump w/8 indoor units & controls. 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: Oregon Air Reps Environmental exhaust and ventilation
Address: 15860 SW Upper Boones Ferry Rd Range hood/other kitchen
equipment 10.00
City /State /ZIP: Lake Oswego, OR 97035 Clothes dryer exhaust 10.00
Single -duct exhaust (bathrooms,
Phone: (503)620 -4300 Fax: (503)620 -4238 toilet compartments, utility rooms) 6.80
0 APPLICANT ❑ CONTACT PERSON Attic /crawlspace fans 10.00
Business name: Environmental Control Corp Other: 10.00
Fuel piping
Contact name: Rich McGinnis $5.40 for first four; $I.00 for each additional
Address: 15860 SW Upper Boones Ferry Rd Furnace, etc.
Gas heat pump
City /State /ZIP: Lake Oswego, OR 97035 Wall /suspended/unit heater
Phone: (503) 517 -9142 Fax: : (503) 517 -9188 Water heater
Fireplace 31 S 5
E -mail: richm @eccportland.com Range ?)p • 5 / (
CONTRACTOR Barbecue 9 5 3 7
Business name: Environmental Control Corp Clothes dryer (ga
Other:
Address: 15860 SW Upper Boones Ferry Rd MECHANICAL PERMIT FEES *'
City /State /ZIP: Lake Oswego, OR 97035 Subtotal 507.20
/
Phone: (503) 620 -4228 Fax: (503) 517 -9188 Minimum permit fee ($72.50)
Plan review (25% of permit f e e ) / 2 _ 4 , e - - ) s.
CCB lie.: 64673 4 / I ( , O 2.010 State surcharge (8% of permit fee) 40.57
TOTAL PERMIT FEE 547:79
Authorized signat This permit application expires if a permit is not obtain with'n 180
: days after it has been accepted as complete. 7y , S 7
I Print name: Rich McGinnis Date: 12 - 15 - 06 * Fee
methodology set by Tri- County Building Industry Service Board
1:\ Building \Permils\MEC- PermiuApp.doc 04 /06/06 440- 4617T(I I /02/COM/WEB) 'RADII y� 107C)/10-12 i \i1 _ .� O
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CITY-,.OF TIGARD
BUILDING DIVISION
•
PERMIT #: MEC2006-00649
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/26/2007
Phone: (503) 639-4171
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: 2/14/2007 TIME: 7:01AM PAGE: 29 !
SITE ADDRESS: 15860 SA/ UPPER BOONES FERRY RD Bi5 CLASS OF WORK:
SUBDIVISION: OREGON BUSINESS PARK! LOT #: TYPE OF USE:
PROJECT NAME: OAR DAIKIN
DESCRIPTION: Install ht pump with indoor units, Value: $21,050.00
OWNER: SUBOTNICK, RUTH +, PHONE #:
CONTRACTOR: ENVIRONMENTAL CONTROL CORP: PHONE #: 503-517-9188
Inspection Request Scheduled For: Date: 2/14/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanipal final 043359-01 503-740-2705 N •
Corrections/Comments/Instructions:
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1 1 PARTIAL APPROVAL fl CANCEL 1 1 NO ACCESS
1 FAJL . CALL FOR INSPECTION fl ADDITI NAL F ES ASSESSED
I Inspector: Date: Phone #: (503) 718-