Permit "''' '.7 a CITY OF TIGARD MECHANICAL PERMIT
7 COMMUNITY DEVELOPMENT PERMIT #: MEC2007 -00130
T G g DATE ISSUED: 3/6/2007
t . RD' 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 25101 BB -01400
SITE ADDRESS: 12010 SW GARDEN PL BLDG ZONING: C -G
SUBDIVISION: PARK 217 LOT: 002 JURISDICTION: TIG
PROJECT: INITIAL TROPICAL
Project Description: New gas line to (2) existing unit heater. Valuation: $2850.
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:
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 CLO DRYERS:
FURN > =100K BTU: <= 10000 cfm: OTHER UNITS:
> 10000 cfm:
GAS OUTLETS:
Owner: FEES
SPIEKER PROPERTIES LP Description Date Amount
4380 SW MACADAM AVE STE 100
PORTLAND, OR 97201 [MECH] Permit Fee 3/6/2007 $93.20
[TAX] 8% State Surcha 3/6/2007 $7.46
Total $100.66
Phone:
Contractor:
OREGON HEATING & AC
PO BOX 397
DUNDEE, OR 97115 REQUIRED ITEMS AND REPORTS
Contact #: PRI 503 -538 -2953
FAX 503 -537 -2172
Reg #: LIC 172126
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: C� Permittee Signature: 4
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.
.
I . -1M e Permit Application b % ro 01 i cc sl c iv ` Y 1' �` 'i CI of Ti and Fg el n %i ' ? 1y 1 Received . // / Permit No. / /J� n ` g F i� . Date /By. , 6�G' 7 �/ L ` vv ,f��
13125 SW Hall Blvd., Tigard, R LII7223 Plan Review
Phone: 503.639.4171 Fax: 503.598.1960 D /B Other Permit:
T I G A IZ'D! Inspection Line: 503.639.4175 p r 'J 2oo� Date Ready/By: 1uris: ® See Page 2 for
I!Alt►7Ckt 00 Internet: www.tigard- or.gov �'l! • 7 Notified/Method: Supplemental Information
. 1 TYPE 1)F�WOttk"g A ice , COMMERCIAL FEE* SCHEDULE - USE CHECKLIST ,
q r r eplpace ment � ` `
❑ New constructionAddi ti� Mechanical permit fees* are based on the value of the work
9lteration/t . performed. Indicate the value (rounded to the nearest d lar) of all
❑ Demolition ❑ Other: mechanical materials, equipment, la ea), _ i ofit.
C EGORY OF CONSTRUCTION Value: $
RESIDENTIAL EQUIPMENT / SYSTEMS FEES*
❑ 1- and 2- family dwelling ommercial /industrial ❑ Accessory building
For special information use checklist.
❑ Multi- family ❑ Master builder ❑ Other:
Description 1 Qty. I Ea. I Total
. JOB SITE INFORMATION AND LOCATION • Heating /cooling
Job site address: DD t� �j� �� Air conditioning heat pump
(requires uires site plan showing wing pl 14.00
City /State /ZIP: /1 L� (/ , Furnace IOO,000 BTU (duas/vents) 14.00
Suite/bldg. /apt. no.: Project name: urnace 100,000+ BTU (ducts vents) 17.90
' Gas heat pump 14.00
Cross street /directions to job site: 5>j 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
Flue /vent for any of above 10.00
Subdivision: Lot no.:
Other: 10.00
Tax map /parcel no.: Other fuel appliances
DESCRIPTION OF WORK Water heater 10.00
` /l � � I Gas fireplace 10.00
� , Flue vent for water heater or gas
fireplace 10.00
r 0 /�,, (i4 Log lighter (gas) 10.00
�W7 //4 6 j�f", Wood/pellet stove 10.00
J ) Wood fireplace/insert 10.00
PROPERTY OWNER I ❑ TENANT J/ Chimney /liner /Rue/vent 10.00
Other: 10.00
Name: /1 it° En vironmental 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
Other: 10.00
Business name:
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
Fireplace
E -mail: Range
CONTRA //(J (2 Barb ecue
Business name: ri 1. 7 6 Clothes dryer (gas) (u 4i-
Other: Address: � /, 'MECHANICAL PERMIT FEES* .
City /State /ZIP: �1mvee , `77// c Subtotal
Minimum permit fee ($72.50)
� � �
Phone: ( Fax: (S- 7 �� Plan review (25% of permit fee)
CCBlic.: / / Z State surcharge (8% of permit fee)
( / TOTAL PERMIT FEE
Authorized si azure: � This permit application expires if a permit is not obtained within 180
C / ! ��/ / _ - days after it has been accepted as complete.
Print name:
(.- // h Date: 5
6l7T /02/CO.
j � - * Fee methodology set by Tri- County Building Industry Service Board
I:\ Building \Permits\MEC- PermitApp.doc 04 /06/06 440 ( EB)
Mechanical Permit Application - City of Tigard
Page 2 - Supplemental Information
Commercial Fee Schedule:
Total Valuation: Permit Fee: . " •
$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.
1: \Building\Permits\MEC- PermitApp.doc 12/30/05 2
..._ . - • . . - .
CITY OF TIGARD . .
BUILDING DIVISION .(,, A PERMIT #: MEC2007-00130
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/6/2007
Phone: (503) 639-4171 . 7 §hailhlil ,
Inspection Requests (24 Hrs.): (503) 639-4175 .4..M■ 41 AIE 2 -' 00/3
INSPECTION WORKSHEET FOR DATE: 3/8/2007 TIME: 7:01AM PAGE: 68
SITE ADDRESS: 12010 SW GARDEN PL BLD6 CLASS OF WORK:
SUBDIVISION: PARK 217 LOT #: 002 TYPE OF USE:
PROJECT NAME: INITIAL TROPICAL
DESCRIPTION: New gas line to (2) existing unit heater. Valuation: $2850.
OWNER: SPIEKER PROPERTIES LP, PHONE #:
CONTRACTOR: OREGON HEATING & AC PHONE #: 503-538-2953
Inspection Request Scheduled For: Date: 3/8/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
610 Gas line 044499-01 503449-8162 N
Corrections/Comments/Instructions: • ,
■ a 'I" Z 4/
IZASS r d PARTIAL APPROVAL I I CANCEL I] NO ACCESS
fl FAIL /4 C . L FOR INSPECTION I I ADDITIONAL FEES ASSESSED
Inspector: Alualliillion■,_ ' 11.1 " Date: AP / Phone #: (503) 718-Ze±r_
11116
•-,,-.. ._ _ „ . . . .
_ .
CITY OF TIGARD
BUILDING DIVISION .„,. .. PERMIT #: MEC2007-00130
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/6/2007
Phone: (503) 639-4171 V ffEe Aoo 9 - 001 3 0
Inspection Requests (24 Hrs.): (503) 639-4175 ,,,,,e,es A—.
INSPECTION WORKSHEET FOR DATE: 3/20/2007 TIME: 7:00AM PAGE: 22
SITE ADDRESS: 12010 SW GARDEN PL BLD6 CLASS OF WORK:
SUBDIVISION: PARK 217 LOT #: 002 TYPE OF USE:
PROJECT NAME: INITIAL TROPICAL — — -- - -----
DESCRIPTION: New gas line to (2) existing unit heatel $2850.
OWNER: SPIEKER PROPERTIES LP,_._ _ ... ____.-------
PHONE #:
CONTRACTOR: OREGON HEATING & AC PHONE #: 503-538.2953
Inspection Request Scheduled For: Date: 3/20/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 045102-01 503-849-8162 N
Corrections/Comments/Instructions:
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i p. PASS W'''' "r IAL APPROVAL
CANCEL I I NO ACCESS
• III AIL i LL FOR INSPECTION fl ADDITI • AL F E ' S ASSESSED
■Now
Inspector: _NAINIIM111..... Date:3 C 0 Phone #: (503) 718- •