Permit C ITY OF TIGARD MECHANICAL PERMIT
r r� DEVELOPMENT SERVICES PERMIT #: MEC2005 -00264
ma y" '�� �! 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 5/23/2005
PARCEL: 1 S136AD -06502
SITE ADDRESS: 10935 SW 68TH PKWY ZONING: C -G
SUBDIVISION: WAY LEE LOT: 001 JURISDICTION: TIG
Project Description: Replace rooftop cooler. Value: $2509.00
CLASS OF WORK: OTR FLOOR FURN: EVAP COOLERS:
TYPE OF USE: COM UNIT HEATERS: VENT FANS:
OCCUPANCY GRP: M 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: REPAIR UNITS:
FIRE DAMPERS ?: 30 - 50 HP: WOODSTOVES:
GAS PRESSURE: 50 + HP: CLO DRYERS:
FURN < 100K BTU: AIR HANDLING UNITS OTHER UNITS:
FURN > =100K BTU: < =10000 cfm: GAS OUTLETS:
> 10000 cfm:
Owner: FEES
WAY W LEE Description Date Amount
GENERAL CONTRACTOR [MECH] Permit Fee 5/23/200f $86.30
5210 SE 26TH [TAX] 8% State Surchar€ 5/23/200: $6.90
PORTLAND, OR 97202
Total $93.20
Phone:
Contractor:
ARROW MECHANICAL
10330 SW TUALATIN RD REQUIRED ITEMS AND REPORTS
TUALATIN, OR 97062
Phone: 692 -1565
Reg #: LIC 5193
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: _ �.. . A J . Permittee Signature:
Call 503 - 639 -4175 by 7:00 a.m. for inspections that b ' r�
This permit card shall be kept in a conspicuous place on the job site ►• • le • of the project.
Approved plans are required on the job site at the time o each inspection.
Mechanical Permit Application roR OFFICE USE ()N1,1
- ." --- t
City of Tigard
13125 SW Hall Blvd., Tigardi Alith , ,
pai , or 5 044
Permit .
Other Penni ,
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h
tW, j
Phone: 503.639.4171 Fax: '13. - : :1 0 A*144/10/1.'1.' Date/By:
Inspection Line: 503.639.4175 a4t4 - ' 1 i Date Ready/By: Mill 0 See Page 2 fbr
Internet: www.citigard.or.us ' 2 20
3 05 Notified/Method: ..., Supplemental Information
4 ,/ A , - , . i IR ',., gr■-44 a. •` .- v.--)_, , ow,:
kr.:, ..' - kE.;; . - , ..rva 4 - - Al. my.. .. .1/4‘,... ..4 11,,z41.44.0 '':,. .?-4 ',.- „ -...i -. - ...a; ,- -iiit. , ..-7. •.•.,.., , ,,,1 J . • ..: • ' . E ., ,......, ._ . . , - .,,..
0 New construction
• ru _ • tto 1p, , . 1.0. n/alteratton/replacernent m e . .. •
Mechanical permit fees* are based on the value of the work
et . .
performed. Indicate the value (rounded to the nearest dollar) of all
0 Demolition 0 oth er. mechanical materials, equipment, labor, overhead, and profit.
if fl Of6i0: 61 . . Value: S 2 a cll
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„W.:17.'El.„ ,,,i.,:' '-‘•• ,'-:'
o 1- and 2-family dwellingl Comznercial/industrial 0 Accessory building - . -ictroterhote ilimitt
For special information use checklist.
0 Multi-family i 0 Master builder 0 Other: Description 1 Qty. 1 Ea. 1 Total
yi44 ,,A, - i * iiii , A „ ic . A . , : f:Y.;•:. , - ::;'`,S,r,,: :";,,..;;
"k",!•'''' ,•;-44,7Y,''''17,! „ 7tf - -, , :VI. '7. • .; - -)M ' ;4 Heatinecaalhig
- (1* k
1 35 % .5‘ .1. -- 4.1,vE Air conditioning or heat pump
Job site address: //)
(requires site plan showing placement) 14.00
City/State/ZIP: 11 / cy 9 9 1. 4 z6 Furnace 100,000 BTU (ducts/vents) 14.00
Furnace 100,000+ BTU (ducts/vents) 17.90
Suite/bldg./apt. no.: 1 Project name: NIEkd r g, - iT , ,. 4 ) G h 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
Flue/vent for any of above 10.00
Subdivision: Lot no.:
. Other - 1 10.00
Tax map/parcel no.: Other fuel appliances
--::_v ;,',",!:.:..,, ;..,' -• :-' ' ' .1 . ,' .., ' .. o rsc u rr i r os ivo y* g i RK ; ,.-: ... ,..:,i, : ., ,-- , - - ,...-. Water heater 10.00
Gas fireplace 10.00
R e PLAC D N' al, ' ',I ).0/7 Flue vent for water heater or gas
fireplace 10.00
&SD?, - r ■/`,'.; cv1,--69•, ,3ii oi\M-' Ws ■J Log lighter (gas) 10.00
.\14P.f)1 --001....Q Wood/pellet stove 10.00
Wood fireplace/insert 10.00
-
1 p .' ' ' ' f
' ititliiirkik ' *-- -.--.1
::-- ,' -.: , - '. - - -: - - -,.- Chimney/liner/flue/vent 10.00
:: ;:',;:y , :',.i•• ,4T91 .., ' ' '`.-; -. •-::; 3 ;..,1 '',:',,': . • : , oth
10.00
Name: Ne W pb( ISAV I it,-ArsD Enviromnental eshaust and ventilation
Range hoocVother kitchen
Address: / 0 9 3 . 5 \A/ ( - ri-.L. ma .
equipment 10.00 -
City/StateJZIP: -- 1 h ED D a_ 93,/.x. Clothes dryer exhaust 10.00
/ Single-duct exhaust (bathrooms,
Phone: ( 503 ) t4'5 - 3 ill. Fax: ( ) toilet compartments, utility rooms) 6.80
'",‘ :i • , , , .S ■• + ■-• : ■. " . .: . ,...: , l_ ' ::'■:, , ., \ 4:- .'-, ,,, ta Attic/crawlspace fans 10.00
7 ''' ti... '-' " i- -' : , ,,.. - ',' ' i
Other: 10.00
Business n e: A (2 pkE tc
Fuel piping
Contact name: :7 5, _ ,. „ p P ILLA T. SS.40 for first four; S1.00 for each additional
Furnace, etc.
Address: I 00 S J Tu.& LAT 1 l'i g Gas heat pump
City/State/ZIP: 'Ti) A L4 r) iv / ;...„re„ -- 3 ! ,i , Wall/suspended/unit heater
Phone: (./. , i ) C 2. , . ) 5 & (5 Fax: : ( (5 ) Li t _ g e Water heater
Fireplace
E Range
- 4. , tliE014 :::-- ' ::`-:;•, 'i&V'..,, k :A 3 '.1, -'': .- Barbecue
-11: '- . ...- '',..„: ' P';' '4'24'7", J,;-,..;
Clothes dryer (gas)
Business name: AR.Q, pte&i..---ThiLiv 7 (AL
Other:
Address: (At.ite Ns Ar;Ovc :,.....,,,. 1 -,- - -
;,...voL. ........, „.....,,....„_.„.:-„,,i4-7,
City/State/ZIP: '...J Subtotal
Minimum permit fee ($72.50)
Phone: ( ) Fax: ( ) Plan review (25% of permit fee)
CCB lic.: 5 i l 7 3 2.
State surcharge (8% of permit fee) 6 0
TOTAL PERMIT FEE 4
/ I
permft application esplem If a permit Is not obtained within 180
AllthOrized Thh sipature: 004 days after It has been accepted as complete.
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CITY OF TIGARD •
BUILDING DIVISION PERMIT #: MEC2005-00264
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/23/2005
Phone: (503) 639 -4171 �'�' "'� g1 I �
Inspection Requests (24 Hrs.): (503) 639 -4175 -' -� `'' I
INSPECTION WORKSHEET FOR DATE: 6/10/2005 TIME: 7:14AM PAGE: 97
SITE ADDRESS: 10935 SW 68TH PKWY CLASS OF WORK:
SUBDIVISION: WAY LEE LOT #: 001 TYPE OF USE:
PROJECT NAME: NEWPORT BAY
DESCRIPTION: Replace rooftop cooler. Value: $2509.00
OWNER: WAY W LEE, PHONE #:
CONTRACTOR: ARROW MECHANICAL PHONE #: 692 - 1565
Inspection Request Scheduled For: Date: 6/10/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 008891 -01 503.692 -1565 N
Corrections /Comments /Instructions:
. \)0 - i ' ( '
1- 4
ASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL OR INSPECTION ❑ ADDITIO AL ES ASSESSED
MI
Inspector: I' vir Date: O 6 #: (503) 718 -