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Permit A Si. * /. ray CITY OF TIGARD MECHANICAL PERMIT COMMUNITY DEVELOPMENT PERMIT #: MEC2008 - 00072 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 2/12/2008 PARCEL: 1S135BD SITE ADDRESS: 09735 SW SHADY LN ZONING: C -G SUBDIVISION: LOT: JURISDICTION: TIG PROJECT: TIGARD MEDICAL Project Description: Replace 3 ton rooftop HVAC with same. Value: $7200.00 CLASS OF WORK: OTR 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: 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 HAZEL INTERNATIONAL, INC AND Description Date Amount HIGASHIYAMA HIGHLANDS CO, LTD BY NORRIS + STEVENS REALTORS [MECH] Permit Fee 2/12/200E $181.10 PORTLAND, OR 97204 [MECPLN] Plan Rev 2/12/200E $45.28 [TAX] 12% State Surch 2/12/200€ $21.73 Phone: Total $248.11 Contractor: WILLAMETTE HVAC SERVICE 3075 SW 234TH AVE. #206 HILLSBORO, OR 97123 REQUIRED ITEMS AND REPORTS Contact #: PRI 503- 628 -6841 FAX 503- 848 -2597 Reg #: LIC 56951 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: -�% i 6c,.-- 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. • a CITY OF TIGARD J MECHANICAL PERMIT COMMUNITY DEVELOPMENT PERMIT #: MEC2008 -00072 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 2/12/2008 PARCEL: 1S135BD-00300 SITE ADDRESS: 09735 SW SHADY LN ZONING: C -G SUBDIVISION: _ _ _ LOT: JURISDICTION: TIG PROJECT: % TIGARD MEDICAL \ Project Description: Replace 3 ton rooftop HVAC with same. Value: $7200.00 CLASS OF WORK: OTR 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: 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 HAZEL INTERNATIONAL, INC AND Description Date Amount HIGASHIYAMA HIGHLANDS CO, LTD BY NORRIS + STEVENS REALTORS [MECH] Permit Fee 2/12/200E $181.10 PORTLAND, OR 97204 [MECPLN] Plan Rev 2/12/200E $45.28 [TAX] 12% State Surch 2/12/200f $21.73 Phone: Total $248.11 Contractor: � o -_. q U Q o ? ,` , / " 5/' (/o 0 (I L�l 3 WILLAMETTE HVAC SERVICE HILLS ORO OR -&—t-&—tie � VE. #206 � O Y-7 ', / V tS �� REQUIRED ITEMS AND REP RTS U 0 Contact #: . 4, •,.0 . t:� , :. �.:c ' -�,� CO PRI 503- 628 - 6841 y:K " `�i� ; 1 FAX 503- 848 - 2597 ti' 0 Reg #: LIC 56951• I� "` + f i t ..y. � €. r. /w /D, 4..:• __,•• • 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:' , rj _ �,,_ Permittee Signature: e9Vtji i ' !)'? ! 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. CO 67L- • SPRING ISOLATOR ( >5 TONS) OR VIBRATION PAD (4) PLATED #10 TEK (4) PLATED #10 TEK X 3/4" SCREWS X 3/4" SCREWS • 16 GA X 6" SEISMIC CLIP 1112165 EACH SIDE (TOTAL 4) NAILER STRIP . . 1 SEE ARCH. DWGS. UNIT CURB 1 FOR FLASHING. " 1 1/2" RIGID IFS CANT STRIP 14 INSULATION #10 SCREW ® 24" O.C. �; ?;;,,.., EACH SIDE OF RTU MIN 1.5" IMBED �L�� "• ATLERNATE: 4 4 #10 SCREW ® >w�', 6�.w�.�y. }s.�., 12" O.C. PT LEVELER , \ X\_ . .ROOF OPENING 2X4 W/ Z -CL1P (2) 2X6 W/ SIMPSON HANGERS (E) JOIST . 0 NO RI ALE UCUIR5 AND SEISMIC DETAIL C O(-1-/R)e_e___ City of Tigard 1- 3-00 ( ,yip., ov -. Plans f B /qtr ' D �-1 Date e m .C_ ;:)-c2 c(� -- 0 coo 7 2- OFFICE COPY Mechanical Permit Application roll oFrlc F. 1 SE O.NL1 City of Tigard R E C E I V •ers ' . • 13125 SW Hall Blvd., Tigard, OR 97223 y Permit N. — - ��l• 0 0 0 m Plan Revi Phone: 503.639.4171 Fax: 503.598.1960 �ate/gy Omer Perm; • . � G A R O Inspection Line: 503.639.4175 FEB 12 2008 Date Ready/By: ® See Page 2 for Internet: www.tigard - or.gov Notified/Method: Will Supplemental Information CITY OF TIGA' TYPE OF woRBUILDING DIVISION COMMERCIAL FEE* SCHEDULE — USECIWCKLIST Mechanical permit fees* are based on the value of the work El 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: $ 57,200.00 RESIDENTIAL EQUIPMENT / SYSTEMS FEES* ❑ 1- and 2- family dwelling ® Commercial/industrial ❑ Accessory building For special information use checklist. ❑ Multi- family 0 Master builder ❑Other; Description I Qty. 1 Ea. I Total JOB SITE INFORMATION AND LOCATION Heating/cooling Job site address: 9735 SW Shady Lane Air conditioning or heat pump (requires site plan showing placement) 14.00 City /State/ZIP: Tigard OR 97223 Fumace 100,000 BTU ( ducts/vents) 14.00 Furnace 100,000+ BTU (ducts/vents) 17.90 Suite/bldg./apt. no.: >1 Project name: Tigard Medical 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: 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 Replace old 3 ton unit with new unit of the same capacity 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 0 PROPERTY OWNER I ❑ TENANT Chimney/liner /flue/vent 10.00 Other. 10.00 Name: Environmental 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 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: ( ) Fax:: ( ) Water heater 1 Fireplace E -mail: Range CONTRACTOR` Barbecue Business name: Willamette HVAC Clothes dryer (gas) Other: Address: 3075 SW 234 ave 112.9(1 MECHANICAL PERMIT FEES* City / State/ZIP: Hillsboro OR 97123 Subtotal , 1. jO Phone: (503) 628.6841 Fax: (503) 848.2597 / Minimum permit fee ($72.50) ( ) ✓ Plan review (25% of permit fee) � y $ ry � CCB tic.: 56951 State surcharge (12% of permit fee) • 73 TOTAL PERMIT FEE a Leh Authorized signature: ' ' i 1 , This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. 1 •111 ,% MO 1 * RP.. mnhhn,Inlnm, enf by Tri- rn,mt., R..ihiino In,i,.,rn, Grui Rnarrl INSPECTOR'S SIGNATURES ARE NOT Inspections Required for: & 1- REQUIRED ON GREEN INSPECTION CARD. ✓ Code I Inspection Description PASS Date By I ✓ Code Inspection Description PASS Date By BUP - Building Permit ELC - Electrical Permit 405 Excavation I 105 Underground /slab cover 410 Fill 110 Temporary electrical service 415 Grading 115 Electrical service 205 Footing 120 Electrical rough -in 805 MFG - Structure grading /footing 125 Wall cover 210 Foundation walls 130 Ceiling cover 215 Footing drain _ 135 Low voltage 220 Slab 140 Sign installation 310 Crawl drain 145 A/C or heating unit circuit 225 Post /beam structural 150 Hot tub /spa /pool 230 Underfloor insulation 195 Misc. inspection: 235 Shear walls /anchors _ 199 Electrical final 240 Exterior sheathing 245 Firewall 250 Roof nailing ELR - Restricted Energy Permit 255 Wtr proofing basement walls 135 Low voltage 260 Tilt -up panel • 195 Misc. inspection: _ 265 Masonry 199 Electrical final 270 Reinforcing steel (rebar) 275 Framing 810 MFG - Structure set -up MEC - Mechanical Permit 280 Insulation _ 605 Post /beam mechanical 285 Drywall nailing 610 Gas line 287 Suspended ceiling 615 Mechanical rough -in 7 2/7116-4". 295 Misc. inspection: 620 Hydronic piping 899 MFG - Structure final 625 Duct work 498 Grading final 630 Fire. damper _ 299 Final inspection 635 Smoke detector shutdown 640 Exhaust hood 695 Misc. inspection: X 699 Mechanical final BUP - Fire Protection System Permit 905 Sprinkler underfloor /slab PLM - Plumbing Permit 910 Sprinkler rough -in L 915 Fire alarm rough -in 305 Plumbing underslab 920 Suppression tip test 310 Crawl drain 995 Misc. inspection: 315 Post /beam plumbing 998 Alarm final 320 Plumbing rough -in 999 Spunkier final 322 Shower pan 330 Water service 335 Rain drain 340 Storm drain SIT - Site Work Permit 505 Sanitary sewer 405 Excavation 345 Culvert /catch basin 410 Fill 350 Septic tank 415 Grading 395 Misc. inspection: 205 Footing 399 Plumbing final 210 Foundation walls 215 Footin drain 420 Sprinkler supply lines SWR - Sewer Permit 495 Misc. inspection: 505 Sanitary sewer 198 Grading final _ _ 595 Misc. inspection: 490 Final inspection 599 Final inspection I \ Building \ Forms \InspCard- AOP- Blank.doc 02/02/07 CITY OF TIGARD w BUILDING DIVISION PERMIT #: I�1f C2t�Of3 0(;072 13125 SW Hall Blvd., Tigard, OR 97223 / DATE ISSUED: 2/12/2008 Phone: (503) 639 -41711 Inspection Requests (24 Hrs.): (503) 639 -4175 �' `' I.. INSPECTION WORKSHEET FOR DATE: 2121/7008 TIME: 7:00AM PAGE: 48 SITE ADDRESS: 09735 SW SHADY LN CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: TIGARD MEDICAL DESCRIPTION: R 3 ton rooftop HVAC with same. Value: $7200.00 OWNER: HAZEL INTERNATIONAL, INC AND, PHONE #: CONTRACTOR: WILLAMETTE HVAC SERVICE PHONE #: 503-628-6841 Inspection Request Scheduled For: Date: 2/21/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 699 Mechanical final 065342 -0 . 503975.9277 N Corrections /Comments /Instructions: , I '/ Wog g ('o> _N /6/22/x( � NO V ion l.Lo ii5 lc �� ei/►2 6O2 3 Fi, ",;. a-,( / (6 NJ Se.12 v> uZ. VIL. C Q £. •rZe 0 ./.1 i Zc - -a /� / ( A 1 . 0) 1/6 PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS V q-EAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: v Date: Z /Z � / o P hone #: (503) 718 - 2--4 27? CITY OF TIGARD ,.. - A BUILDING DIVISION PERMIT #: MFC200R -00072 13125 SW Hall Blvd., Tigard, OR 97223 ,Il DATE ISSUED: 2/1212000 Phone: (503) 639 -4171 �Uu'I — Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 2/21/2008 TIME: 7:00AM PAGE: 49 SITE ADDRESS: 09735 SW SHADY LW CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: TIGARD MEDICAL DESCRIPTION: Replace 3 ton rooftop HVAC with same. Value: $7200.00 OWNER: HAZEL INTERNATIONAL, INC AND, PHONE #: CONTRACTOR: WiLLAIMIETTE HVAC SERVICE PHONE #: 503 - 61341 Inspection Request Scheduled For: Date: ::12.1noo8 Pour Time: Code # Inspection Description Confirm # Contact # Message 6Th IVIochanical rough-in %5342 -01 5039759277 N Corrections /Co ent /Instructions: V Uc -� — Uk T -1•- 1 s , - - PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS n FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED V 2-- LIZ— : Inspector: Date: / Phone #: (503) 718 -Z4 21'