Permit • !�'. 'T'ra CITY OF TIGARD MECHANICAL PERMIT
" ° COMMUNITY DEVELOPMENT PERMIT #: MEC2007 -00110
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 2/23/2007
PARCEL: 1S136DD-03400
SITE ADDRESS: 11740 SW 68TH PKWY 100 ZONING: MUE
SUBDIVISION: TIGARD TRIANGE COMMONS LOT: 008 JURISDICTION: TIG
PROJECT: OMA
Project Description: TI - Hoods, fans and grease duct. Project Value: $3,500
CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS:
TYPE OF USE: COM UNIT HEATERS: VENT FANS: 1
OCCUPANCY GRP: B VENTS W/O APPL: VENT SYSTEMS:
STORIES: 2 BOILERS /COMPRESSORS HOODS: 1
FUEL TYPES 0 - 3 HP: DOMES. INCIN:
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
PACIFIC NW PROPERTIES Description Date Amount
PO BOX 2206
BEAVERTON, OR 97075 [MECH] Permit Fee 2/16/2007 $107.00
[MECPLN] Plan Rev 2/16/2007 $26.75
[TAX] 8% State Surcha 2/16/2007 $8.56
Phone: 503- 626 -3500 Total $142.31
Contractor:
AMERICAN HEATING INC
1339 SE GIDEON ST
PORTLAND, OR 97202 REQUIRED ITEMS AND REPORTS
Contact #: PRI 503- 239 -4600
FAX 503- 239 -7038
Reg #: LIC 33135
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:
iZ51,(11 Permittee Signature: Q mo t/ — %c.4/Y u aivt
Call 503.639.4175 by 7:00 a.m. for inspections that business d'y.
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.
4
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Mechanical Permit Applicatio c\'‘,--; ,, 1 FOR OFFICE USE ONLY
City of Tigard __, (-,------„\,, _ \\,,,, ,,,...- Received "'bOtte)
Date/By:
13125 SW Hall Blvd., Tigard, OR V.2211_, , \.-_---' '' N R. wpm Permit No.: Pt
Phone: 503.639.4171 Fax: 5O3.$810 - ' 4,114 tl A an e ' l
ila
Inspecdon Line: 503.639.4175 ^ TV • .t 1 '6411 Date/By: 4 Mg _ ,,,I•ru other permit:
1 ,„„..... ,.:,_... Date Rea: FY: Juris. 0 See Page 2 for
Internet: www.ci.tigard.or.us .
C:6 , Notified/Method: CY Supplemental information
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, • - - - -
6,44,5;.:13:iM'TfAMP VAMpitOtro .',;. M:i .:• I 1 PI94ST
Mechanical permit fees are based on the value of the work
El New construction )/6 Addifieriiqgcinfreplacement performed. Indicate the value (rounded to the nearest dollar) of all
0 Demolition 0 OtliRiA\ mechanical materials, equipment, labor, overhead, and profit.
.....,,, 1 ,.
X-,ViierER, 3111E.1119.reat N MOWPWANAMORV 'I'V)Pk:fr':
„ <,. : :,,4, , to: ,,.A 4, 4.i, ,I: :.4 n I IN,n,ti,.'14.*1::::1Z,:+, : •!, 1iiiti iiIthfrOtql,crstis1ims FEE,,,
El 1- and 2-family dwelling Commercial/industrial 0 Accessory building i •
For special nforms:on use checklist.
0 Multi 0 Master builder 0 Other: _
Description I QtY. I E I Total
f, ' i ;-] 4 , i,
aitiligentrAMNSOMM1,MgraeRM.;:.00:ii,q10 Heating/cooling
Job site address: ),tq4(3 5a) (,(z..- kurvAxdb.,14 Air conditioning or heat pump
(requires site plan showing placement) 14.00 ..
City/State/ZIP: 1 * c u rot 0 12_ Furnace 100,000 BTU (ducts/vents) 14.00
( -- ' • Furnace 100,000+ BTU (ducts/vents) 17.90
Suite/bldg./apt. no.: U f () 0 I Project name . - ---- - • -,-.
.‘ ,-;- , Gas heat pump 14.00
Cross street/directions to job site: rr) A - r:----1" 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: I Lot no.:
Other: 10.00
Tax map/parcel no Other fuel appliances
tikwir ..7, ili.--. Twevem-fromiTt it,l; ,..,i v wiyi •,, ,,,, , , i -,, Water heater 10.00
gaka'a ,..'i,.. - '?ik , .',1..4.1.S&..11...li-mZ=Tttt:h..k ■••• -,, ._,. /,'..q.U0... %:' . ..Allirataf22iiiri:..,, . },..'
Gas fireplace 10.00
a airab a 41 4 cl t - r k --41: .0.,&:._ e r . 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
i S" C. 14EB4. 1 F: 'V' ASSREPHING ... 14 : ,=') : 2"Eirk:' "" oci..A c;.,4 vAl
- . ,• Chimney/liner/flue/vent 10.00
- ' gl.'.. • ..,.0 , ,., „,- , t ;.,. : : , .tilo,.. : ' : i . ' , A ..' . M ' r.. ,, 7$ 7 '1“..1 t 1 10.00 1
Name: Environmental exhaust and ventilation ,
Range hood/other kitchen
Address: equipment 10.00
City/State/ZIP: Clothes dryer exhaust 10.00
Single-duct exhaust (bathrooms,
Phone: ( ) Fax: ( ) toilet compartments, utility rooms) 6.80
40 :'.i)`.:1,..fillild-WifFIF'd,V. '.pwtimmatprez-70:vi. -4Liaick.',,,00,,,IFRAG;T Attic/crawlspace fans 10.00
• 3, /..,...,,..,emz.t& . 0.
Business name: II mk(i cai , 4_? (13 1 inr, Other:
Fuel piping 10.00
Contact name: " oli ,5.tevie,_ 55.40 for first four; 51.00 for each additional
Address: t'nei SE t P,bn 9 ‘ Fumace, etc.
Gas heat pump _
City/State/ZIP: 0 (•4 N ci-).-- WalVsuspended/unit heater
,
I
Phone: 69)) )"N 4Goo Fax: : ( V 261:70-')S" Water heater
Fireplace
E-mail: Range
ES,WelEVIa Min1"41',4ErWatelPitifP ..:1
, • .,"' ' ,-,i'' i ' - ,M1,4 • , .4 . • , 11. : ,,g -' 'II' .: ,., ..c. • ,:: Barbecue
% - :& , Al. . r 4s, :, 1
Business name: (An! t \ k- -
1
'ln Clothes dryer (gas)
Other:
Address: 1 . 5 (; 1 S (q1a08 SCA
City/State/ZIP: yei.C4-4 di ( p._ on •Doa Subtotal
Minimum permit fee ($72.50)
Phone: ((p),) '?3C11... 4.6 c , 0 Fax: ed))) a Plan review (25% of permit fee)
CCB lic.: 1s5 \--s-- State surcharge (8% of permit fee)
Authorized signature: ejn0-14_ d, .id,d,,yi This permit
-- TOTAL PERMIT FEE
application expires If a permit Is not obtained within 180
days after It has been accepted as complete.
Print name: ' tyl ( .v.v, /2 y , ( 0 x - / - i 0-y1 I Date: -), _ 1 ( n 1 • Fee methodology set by Tri-County Building Industry Service Board
CITY OF TIGARD GC
BUILDING DIVISION PERMIT #: =: 0307-00 /
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED:
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639 - 4175
INSPECTION WORKSHEET FOR DATE: gt. er j TIME: PAGE:
SITE ADDRESS: ((7 4.0 c� / I b0 CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME:
DESCRIPTION: J / t
OWNER: �'�[�� PHONE #:
CONTRACTOR: PHONE #:
Inspection Request Scheduled For: Date: Pour Time:
Code # Inspection Description Confirm # Contact # Message
H
r e tions /Comments /Instructions:
■.-■■
41IMMIN7
PASS 0 PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL n C LL FOR INSPECTION ❑ ADDITI n NAL ' ES ASSESSED
'
Inspector: 0 % Date: 3 CJ Phone #: (503) 718- 2-4(--Z-3