Permit ip n CITY TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT PERMIT #: MEC2007 -00525
rIGARD;; DATE ISSUED: 8/31/2007
13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 2S113AB - 00300
SITE ADDRESS: 16037 SW UPPER BOONES FERRY RD 375 ZONING: I - L
SUBDIVISION: FANNO CREEK PLACE LOT: JURISDICTION: TIG
PROJECT: OREGON STATE BAR
Project Description: TI HVAC Value: $12,524.00
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: 3 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:
GAS PRESSURE: 50 + HP: WOODSTOVES:
FURN < 100K BTU: AIR HANDLING UNITS CLO DRYERS:
FURN > =100K BTU: <= 10000 cfm: OTHER UNITS: 3
> 10000 cfm:
GAS OUTLETS:
Owner: FEES
OPUS NORTHWEST LLC Description Date Amount
1500 SW FIRST AVE STE 1100
PORTLAND, OR 97201
Total
Phone:
Contractor:
HVAC INC
5188 SE INTERNATIONAL WAY
MILWAUKIE, OR 97222 REQUIRED ITEMS AND REPORTS
Contact #: PRI 503- 462 -4822
FAX 503- 462 -6555
Reg #: LIC 50897
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 OU NC by
calling 503.246.6699 or 1.800.332.2344.
Issued By: Permittee Signature: (9A.7 7 6 : 0 6 / 6 /p,
Call 503.639.4175 by 7:00 a.m for inspections that 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 Permit Application . • . . • . FOR O usE ONLY `. ' ..'
City of Tigai: � f ,, w'° Received •�'� � � } ) ��,/) n
b ! Date/By: / q D l r % Permit No.: M y c i sve / '� D `' s
13125 SW Hall Blvd., r igard, OR 72k
3J plan Review
Phone: 503.639.4171 Fax: 503.598.1960 t ither Permit:
Inspection Line: 503.639.4175 A a j . Note Ready . Date/By: �J � Z ( ��, O for 96:, t , ; (� ; 2007 t, - ho lun S Se Page 2 for
Interne[: vvww.ci.tigard.or.tu ;_, 11 Notified/Method: Supplemental Information 4//4....
,
• R ' i� 6 • .. OiVMER64'.iEE *SCHEDUL FUSCHCGI.IST -:
replacement Mechanical permit fees* are based on the value of the work
❑ New construction �Additi alteratio
performed. Indicate the value (rounded to the nearest dollar) of all
❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit. • . CATEGORY "OF COYSTRUCTION �r 7 • �D v •
alu $
Commercial/industrial
❑ 1 - and 2- family dwelling N RESIDENTLAL EQUIPMENT ISYSTENIS FEES* '
❑ A ccessory building
❑ Multi family ❑ Master builder For special information use checklist.
❑ Other:
Description P Qty. Ea. Total
JOB SITE INF(:?RMA Heating /cooling
/r/� '� ) 0 / / XJ�'leS t Air conditioning o ine placement) 14.00
heat pump
Job site address:
` �t /. �� SZL d (requires site plan showing
City /State/ZIP: �t • ( J,,)), Fumace 100,000 BTU (ducts/vents) 14.00
Q Furnace 100,000+ BTU (ducts/vents) 17.90
j
Suite/bldg. /apt.no.: t , 4 Project name (Veg 0)1S tj-' 1 Gas heat pump 14.00
Cross street/directions to` ste: ' -tr • Duct work 14.00
�� Hydronic hot water system 14.00
$ - 75 �T — 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
a'. DESCRIPTiON;OF. WORIC .
• Water heater 10.00
,,(( _r+ C ' ' / r `1 / Gas fireplace 10.00
7'17 ,OQ rkt-L- C_Tl.CYLY - 14 ` V'A gey e S sej-$ ,yam Flue vent for water heater or gas
(� 1 / fireplace 10.00
T' I: b Lino ` � Log lighter (gas) 10.00
Wood/pellet stove 10.00
Wood fireplace/insert 10.00
. ❑ PROPERTY :OWNER ... ;,-
. Chimney /liner /flue /vent 10.00
❑ .TENA•T Other: � 10.00
Name: Environmental exhaust and ventilation
Address: • Range hood/other kitchen
equipment 10.00
City /State /ZIP: Clothes dryer exhaust 10.00
Phone: ( ) Fax: Single -duct exhaust (bathrooms,
( ) toilet compartments, utility rooms) 6.80
. : ❑ APPLICANT "; 4k f • 0 CONTACT PERSON Attic /crawlspace fans 10.00
Business name:
Other: 10.00
Fuel piping
Contact name: . $5.40 for first four; $1.00 for each additional
Address: Furnace, etc.
Gas heat pump
City /State /ZIP: Wall /suspended/unit heater
Phone: ( ) I Fax:: ( ) Water heater
E -mail: Fireplace
Range
Barbecue
/� Clothes dryer (gas)
Business name:
li iQ - Other
�
` . \11
Address: 1 �� s e � C / 5(4\ 9 i t MECH. PERI%IIT FEES' -. t •
Cit /State /ZLP: (l l°cuL Le oreoVY) --- Subtotal
/
Phone: ) 46 (/J Far. (3) C/69 —676S Minimum permit fee ($72.5
Plan review (25% of permit fee)
)
CCB lie.: 5 fC 7 State surcharge (8% of permit fee)
TOTAL PERT FEE 9�,'J PERMIT
Authorized signature: _� Lt, t st__J , k c. , / ,, L ,3 0,-1 This permit application expires if a permit is not obtained within 180
days after it t has been accepted as complete.
Print name: kEYl1 POLj L4.1S(. - Date: 1 / C' � � • Fee methodology set by Tri-County Building Industry Service Board
i:\B uitding \Permirs\MEC•PermitApp.doc 12/03 440-4617T (11 /02/COM/WEB)
CITY OF TIGARD
BUILDING DIVISION f PERMIT #: MEC2007.00525
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/31/2007
Phone: (503) 639-4171 la"''' R'I�L
Inspection Requests (24 Hrs.): (503) 639 - 4175'+` :_,..
INSPECTION WORKSHEET FOR DATE: 10112/20Q7 TIME: 7 :011AM PAGE: 61
SITE ADDRESS: 16037 SW UPPER BOONES FERRY R 375 CLASS OF WORK:
SUBDIVISION: FANNO CREEK PLACE #: TYPE OF USE:
PROJECT NAME: ORl::GON STATE BAR
DESCRIPTION: 1"I i-IVAC Value: $12,524.00
OWNER: OPUS NORTHWEST l.LC, PHONE #:
CONTRACTOR: HVAC INC PHONE #: 503
Inspection Request Scheduled For: Date: 10/1212007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
6)5 'Mechanical rough -in 057491 -01 971 -998 -4440 N
Corrections /Comments/ Instructions:
b Ail � 1. c � �
C mi 7 arJ i
n PASS ,„' ' ' _ ' ' ' e.,LLt n CANCEL NO ACCESS
FAIL , C ' LL FOR INSPECTION n ADDITIONAL FEES ASSESSED
Inspector: _ Date: /O 7� !3 Phone #: (503) 718 - 7
CITY OF TIGARD i .. .•.
BUILDING DIVISION • ,---:••
PERMIT #: MEC2007•00575
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 81310007
Phone: (503) 639-4171 Vit
Inspection Requests (24 Hrs.): (503) 639-4175 . ...-_, . 't...."
INSPECTION WORKSHEET FOR DATE: 10/23/2007 TIME: 7:00Am PAGE: 28
SITE ADDRESS: 16037 SW UPPER BOONES FERRY RD 375 CLASS OF WORK:
SUBDIVISION: FANNO CREEK PLACE LOT #: TYPE OF USE:
PROJECT NAME: ()RFGQN ',:: BAR
DESCRIPTION: TI HVAC Vi4lue: $12,524.00
OWNER: OPUS NORTHWEST LLC, PHONE #:
CONTRACTOR: VIVAC INC PHONE #: r.03
Inspection Request Scheduled For: Date: 10/23/2007 Pour Time:
Code # - Inspection Description Confirm # Contact # Message
615 Mechanical rough-in 058140.01 503781-6247 0
Corrections/Comments/Instructions:
- ---- N
ir
r. PASS • PARTIAL APPROVAL 0 CANCEL 0 NO ACCESS
FAIL • CALL FOR INSPECTION 1 ADDITIONAL FEES ASSESSED
Inspector ■ilbil■ 4 Date: A 0 Phone #: (503) 718-
•
CITY OF TIGARD
BUILDING DIVISION PERMIT #: iviEC2007 -00E25
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/31/2(107
Phone: (503) 639 - 4171 �91(11
Inspection Requests (24 Hrs.): (503) 639 -4175 = I
INSPECTION WORKSHEET FOR DATE: 10/24/2007 TIME: 7 :00AM` PAGE: FA
SITE ADDRESS: 16037 SW UPPER BOONES FERRY RD 375 CLASS OF WORK:
SUBDIVISION: FANNO CREEK PLACE LOT #: TYPE OF USE:
PROJECT NAME: OREGON STATE BAR
DESCRIPTION: TI HVAC Value: $12,524.00
OWNER: OPUS NORTHWEST LLC, PHONE #:
CONTRACTOR: HVAC INC PHONE #: 5O3 -462 -4672
Inspection Request Scheduled For: Date: •10/24/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
616 Mochanic :al rough -in 058240.01 971 -998 -4440 N
Corrections /Comments /Instructions:
l'isit- to/z:s/e2- 6*-ft_O
PAS I PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
FAIL / � CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: ' Date: ' (503) 718- �" 7
w
Z 0 Ph one #:
CITY OF TIGARD
• BUILDING DIVISION PERMIT #: Mt_C2007.011525
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: a'31/7007
Phone: (503) 639- 4171 "r
Inspection Requests (24 Hrs.): (503) 639 -4175 �_
INSPECTION WORKSHEET FOR DATE: 1/4/2008 TIME: 7:01/4t1 PAGE: 65
SITE ADDRESS: 16037 SW UPPER BOONES FF_R €?.Y RD 375 CLASS OF WORK:
SUBDIVISION: FANNO CREEK PLACE LOT #: TYPE OF USE:
PROJECT NAME: OREGON STATE BAR
DESCRIPTION: TI HVAC Value: $12,524.00
OWNER: OPUS NORTHWEST LLC, PHONE #:
CONTRACTOR: HVAC INC PHONE #: 03-462 -4822
Inspection Request Scheduled For: Date: 1/412008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
6Th Mo..chanical rough -in 062496-03 503-469-9226
Corrections /Comments/ Instructions:
g7 /— L3s
As
•A S " ARTIAL APPROVAL ❑ CANCEL l NO ACCESS
FAIL /4 CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED
Inspector: Date: 0 Phone #: (503) 718- 74 7 -V
-
CITY OF ��mm w *.�m� uu�����m��
BUILDING DIVISION PERMIT #: MEC2007-0052
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/31/2007
Phone: (503) 639-4171
Inspection Requests (24 Hrs.): (503) 639-4175 ,wili"t A .;,
INSPECTION WORKSHEET FOR DATE: 1/10/2088 TIME: 7:0OAM PAGE: 44
SITE ADDRESS: 16037 SW UPPER BOONES FERRY RD 375 CLASS OF WORK:
SUBDIVISION: FANN() CREEK PLACE LOT #: TYPE OF USE:
PROJECT NAME: OREGON STATE I3AR
DESCRIPTION: TI FIVAC Value: $12.524.00
OWNER: OPUS NORTHWEST LLC. PHONE #:
CONTRACTOR: HVAC INC PHONE #: 503452-4022
Inspection Request Scheduled For: Date: 1/10y2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
899 kAechanixc8fino| 062951.03 503'469-9226 N
Corrections/Comments/Instructions:
( g - 3
SS % P^RTALAPPROVAL 0 CANCEL Ft NO ACCESS
FAIL CALL FOR INSPECTION ADDITIONAL FEES ASSESSED
u� ���
. ----- C > Inspector: Oa�a� / // D�� Phone (5O3>718' /~~��y