Permit .� �� I MECHANICAL PERMIT
COMMUNITY DEVELOPMENT PERMIT #: MEC2007 -00524
TIG ARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 8/31/2007
PARCEL: 2S 113AB -00300
SITE ADDRESS: 16037 SW UPPER BOONES FERRY RD 200 ZONING: I -L
SUBDIVISION: FANNO CREEK PLACE LOT: JURISDICTION: TIG
PROJECT: OREGON STATE BAR
Project Description: TI HVAC Value: $114,984.00
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:
CLO DRYERS:
FURN < 100K BTU: AIR HANDLING UNITS OTHER UNITS: 21
FURN > =100K BTU: <= 10000 cfm: GAS OUTLETS:
> 10000 cfm:
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 OUNC by calling 503.246.6699 or 1.800.332.2344.
Issued By: Permittee Signature: Qom/ .17 / e7i"'i /dN
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 OFFICE USE ONLY
Cl OIF Iaa tt - fy • r ---: Received
13125 SW Hall Blvd., tlgazd, OR 7 23 J Date/By: I 1 /1 !/ 6 Permit No.: �- peg, � /b/1
t Plan Revi'cv �' / !! l{
Phone: 503.639.4171 Fax: 503.598.1960 �� Other Permit
. Inspection Line: 503.639.4175 � � Date/By: �� � ,/, 061-00‘3 2007 1Li 1 Date Read Juris 0 Se Page 2 for
�' Internet: wwtv.ci.tigard.or.t>s „ t�1 -, `b °N'� �� Notified/Method: Supplemental Information
Qt fY n Tli r4R
- -: ., q}w 4 "II ttt314" ., ,. COMivIERCLaI, FEE - „ USECHE,Ch7,IST :.
Mechanical permit fees* are based on the value of the work
❑ New construction U_Additi alteratio.. replacement
performed. Indicate the value (rounded to the nearest dollar) of all
❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit.
CATEGORY .OF COYSTRUCTION
410 2/,87• eV Value: $
ID 1- and 2- family dwelling N Commerciallindustrial D Accessory building RESIDENTL &L EQUIPtMFNT /SYSTEM *.
ID Multi-family ❑ Master builder For special information use checklist.
❑ Ot her:
Description P Qty. Ea. Total
JOB SITE INFORMATION "AND LOCATION Heating /cooling
j /_ 0 �� L �� f � _ :grams k6/
Air conditioning o heat um
l lU V �Y iy (� pump
Job site address:
I t ✓ (re q uires site plan showing placement) 14.00
City /State/ZIP: \ l • a rC4 Fumace 100,000 BTU (ducts/vents) 14.00
Suite/bldg. /apt.no.: Project name() / Furnace 100,000+ BTU (ducts/vents) 17.90
dL �t`�2 �)C Gas heat pump 14.00
Cross street directions to` ob sic: 5-�.S I aoo - 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 heate r 10.00
�/ J n``11 _p�� � .Cc � ' / ! r , Gas fireplace 10.00
� sIgX C't.t.t-C1(.UZ7 -1 t `i'1 VA(' doe `L'S I -erg Flue vent for water heater or gas
/ / / fireplace 10.00
� 1; b t ou --
Log lighter (gas) 10.00
Wood/pellet stove 10.00
Wood fireplace/insert 10.00
Chimney /liner /flue/vent 10.00
. ❑ PROPERTY - ..OWNER ti ❑ .TE -
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
. <❑ APPLICANTS : ? ` ; tj';;? : ,., '.t: .Y; • ..: . : ; " • D 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: WalUsuspended/unit heater
Phone: ( ) Fax: : ( ) Water heater
Fireplace _
E -mail: Range
• .... r „ �' CO Barbecue
Business name: ,A/40 , t Clothes dryer (gas)
Other:
Address: p ,---, I t
1 �t� '" —..\--0 000‘..\ hIECHANICAL'PERNIITFEES•
City /State /ZIP: n ( ((�LZ L:�IG / Wool � a— Subtotal
Phone: (50'53) 4 _ c. /gam Far ) C/6 — (0 S � � Minimum permit fee ($7250)
Plan review (25% of permit fee)
CCB lic.: $ -y 7 State surcharge (8% of permit fee)
s
TOTAL PERMIT FEE �,��,7
Authorized signature: j , { to ( -� V3 �y) This permit application expires if a permit is not obtained within 180
�v days s after it t has been accepted as complete.
Print name: Vl Irv ,. P ( (_.4.tjt Y Date: 'l 1 / �� Fee methodology set by Tri-County Building Industry Service Board
i:\Building\Permits\Nf C•PermitApp.doc 12/03 440 -4617T (11 /02/COM/WEB)
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MEC2007 -00524
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: B/3112007
Phone: (503) 639 -4171 ir ;4
Inspection Requests (24 Hrs.): (503) 639 -4175 /.'—'_r:` ....
.-
.INSPECTION WORKSHEET FOR DATE: 1/10/2008 TIME: 7 :00Ah/i PAGE: 45
SITE ADDRESS: 16037 SW UPPER BOONES FERRY RD 200 CLASS OF WORK:
SUBDIVISION: FAN■O CREEK PLACE LOT #: TYPE OF USE:
PROJECT NAME: OREGON STATE BAR
DESCRIPTION: - C1 HVAC Value: $114,904.00
OWNER: ()PUS NORTHWEST t_LC, PHONE #:
CONTRACTOR: HVAC INC PHONE #: 603462 -4822
Inspection Request Scheduled For: Date: 1/10/2000 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 062951 -02 503.459-9226 N
Corrections /Comments/ Instructions:
......... I
ad
AS /I PARTIAL APPROVAL ❑ CANCEL 1 I NO ACCESS
a FAIL • CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED
Inspector: Date: 1 I ) D8 Phone #: (503) 718- L
CITY OF TIGARD
__ BUILDING DIVISION 4. : PERMIT #: MFC2007.00524
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/ I/2007
Phone: (503)'639 -4171 i , , iii:`
Inspection Requests (24 Hrs.): (503) 639 -4175 L4 '711
INSPECTION WORKSHEET FOR DATE: 1/4/2008 TIME: 7 :01AM PAGE: 66
SITE ADDRESS: 16037 SW UPPER BOONES FERRY RD 200 CLASS OF WORK:
SUBDIVISION: F=ANNO CREEK PLACE LOT #: TYPE OF USE:
PROJECT NAME: OREGON STATE BAR
DESCRIPTION: TI i iVAC Value: $114,984.00
OWNER: OPUS NORTHWEST I.-LC, PHONE #:
CONTRACTOR: HVAC INC PHONE #: 603 -462 -4822
Inspection Request Scheduled For: Date: 1/4/2000 Pour Time:
Code # Inspection Description Confirm # Contact # Message
615 Moc:haiucai rough -in 062496 -02 503 -459 -9226 0 TP)
Corrections /Comments /Instructions:
i px S // PARTIAL APPROVAL ❑ CANCEL n NO ACCESS
11 FAIL �• CALL FOR INSPECTION n ADDIT •N a FEES ASSESSED
/ _ U0.
Inspector: _ I LINII■ Date: Phone #: (503) 718- J
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MFC2007- 0052.4
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 13/312(107
Phone: (503) 639 -4171 ■IL?�
Inspection Requests (24 Hrs.): (503) 639 -4175 �'�..
INSPECTION WORKSHEET FOR DATE: 11/8/2007 TIME: 7:00AM PAGE: 71
SITE ADDRESS: 16037 SW UPPER BOONES FERRY RD 200 CLASS OF WORK:
SUBDIVISION: FANNO CREEK PLACE LOT #: TYPE OF USE:
PROJECT NAME: OREGON STATE BAR
DESCRIPTION: t1 HVAC Value: $114,984.00
OWNER: OPUS NORTHWEST LLC, PHONE #:
CONTRACTOR: EiVAC INC: PHONE #: W3. 462 -4822
Inspection Request Scheduled For: Date: 11/8/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
6Th Mechanical rough-in 05920C 503.572 -6422 N
Corrections /Comments/ . .. •
o. to 2f7 . / . ` SO
o N L` -( I 1•(S?C- �` E e - A41 S yi /1/4-4
PASS Of PARTIAL APPROVAL ❑ CANCEL NO ACCESS
_ FAIL lid , a 'SPECTION Ell ADDITIONAL FEES ASSESSED
1 �� Date: 1 1 r7 Phone #: (503) —`
Inspector: Dat � 7 ( ) 718-
CITY OF TIGARD _
BUILDING DIVISION - PERMIT #: I,,;f :,x;2007 -005,4
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/31/2007
Phone: (503) 639 -4171 ``' ' r,�,i�
Inspection Requests (24 Hrs.): (503) 639 -4175 �_': P--
INSPECTION WORKSHEET FOR DATE: 10/29/2007 TIME: 7:01AM PAGE: 25
SITE ADDRESS: 16037 SW UPPER BOONES FERRY RD 200 CLASS OF WORK:
SUBDIVISION: FANNO CREEK PLACE LOT #: TYPE OF USE:
PROJECT NAME: t:SRf GON S FATE BAR
DESCRIPTION: TI HVAC Value: $114,984.00
OWNER: OPUS NORTHWEST LLC, PHONE #:
CONTRACTOR: HVAC INC. PHONE #: 503.462 - 4822
Inspection Request Scheduled For: Date: 10/29/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
616 Mechanical rough. in 058527 -01 971-998-4440 Y
Corrections /Comments / Instrr
-
r _ \_
toy (:, b
[l PASS ARTIAL APPROVAL n CANCEL NO ACCESS
FAIL n CALL FOR INSPECTION 1 ADDITIONAL FEES ASSESSED
/ ..
Inspector: - ■► Date: t4 . 1 O 7 Phone #: (503) 718- Z-4Y-7(