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Permit Y a CITY OF TIGARD MECHANICAL PERMIT ° COMMUNITY DEVELOPMENT PERMIT #: MEC2007 - 00097 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 2/14/2007 PARCEL: 1 S 136DD -03400 SITE ADDRESS: 11740 SW 68TH PKWY 100 ZONING: MUE SUBDIVISION: TIGARD TRIANGE COMMONS LOT: 008 JURISDICTION: TIG PROJECT: OMA Project Description: (2) refrigerant lines & cooler /freezer components. Valuation: $1,500. 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: 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: WOODSTOVES: GAS PRESSURE: 50 + HP: 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 2/14/200? $72.50 [TAX] 8% State Surcha 2/14/200? $5.80 Total $78.30 Phone: 503- 626 -3500 Contractor: AMERICAN HEATING INC 1339 SE GIDEON ST PORTLAND, OR 97202 REQUIRED ITEMS AND REPORTS Contact #: PRI 503- 239 -4600 FAX 503- 239 -7038 Reg #: LIC 33135 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted in the Oregon Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain copies of these rules or direct questions to OUNC by calling 503.246.6699 or 1.800.332.2344. Issued By: Permittee Signature: i" " Cali 503.639.4175 by 7:00 a.m. for inspections that business day. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. U Mechanical Permit Application FOR OFFICE USE ONLY Received ;-4k � City of Tigard �� —, . ;� j c =" U D ceived 7�� ' 1. i% _- i J 13125 SW Hall Blvd., Tigard, OR 97223' � _ Plan Review Other Pemf t: Phone: 503.639.4171 Fax: 503.598.1960 .. /G� r) A Date/By: Inspection Line: 503.639.4175 .• / � ' %''. L j. ,'' �1 Date Ready/By: Jude: 0 See Page 2 for Internet: www.ci.tigard.or.us - Notified/Method: Supplemental Information (ji1' i,..eirt ���} (' f)� `, •.,a' tr' , . y ' FEE'' SCHEPT. LE IJ$E'CHE t. ti s° *? +' ,, M�x)IT r Fr" , `I 'w(�k 0, ,,; , l i4i :, r1,; •' r rti , t �C , ,, . . . , ,, F . 1 r f _ ,, +., , ., +. r , f � , , ,,,, , taf 1, c.• _.. Mechanical permit fees' are based on the value of the work 14New construction ❑ Addition/alteration/replacement performed. Indicate the value (rounded to the nearest dollar) of all ❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit. .i W !.i •V,tf.. = +?iw..p, 7 aai .V a, ri:if., it: ,:HO r °' +i s ,+� 5 t t ,� iS �iit; . Value. $ i, 5D l7 " i W� 'SC 1 r �7 ):t r' 2q � 1 a v l l i 11 4 y f 7 �, � r ti ai I '`• ;r "t a �/,,l viw il�c?K r iftt ,` O, PrNir C.fi is k �; 1.. + ,. ,..� .<:: � . .. t ! IRESfbL .6ort'MENT SYS,r /E-mS FE ' Es ❑ 1- and 2- family dwelling n Commercial /industrial ❑ Accessory building For special information use checklist. ❑ Multi- family ❑'Masterbuilder ❑ Other: Description I Qty 1 Ea• 1 Total ::fr,:u pa }'+�v�� } { �t�o�rl• y,. ��ry(��+.�pn: .�:;ua,w ,,;. u 4t�.le ' ° °'"�''{ � z r.:�,'•t':•...i l ;: j , �• Heating/cooling :. 1 )y,yt,fF,� '.iifL.6171«�i'7 lt.O.7i:r". iF �� L r 4" L ! � i � it, e i � t e',c,, � , � 5,� �. ,- „•:�!t_ �,. .�. �.•: �;r c,1„ "M ';'�! r` ' Air conditioning or heat pump Job site address: `11 LA 0 (09 fl'2 5,( V (requires site plan showing placement) 14.00 1 Fumace 100,000 BTU (ducts/vents) 14.00 City/ State/ZIP: ( d ©� � � � � y � . ..--- Fumace 100,000+ BTU (ducts/vents) 17.90 Suite/bldg. /apt. no.: oc I Project name: 0 � i t -T---1.. Gas heat pump 14.00 ` Cross street/directions to job site: Duct work 14.00 Hydronic hot water system 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 V ,0� �r�tt�jj. s Water heater 10.00 4 ,1 ,1 ! 4 ! {k V .1' :' '' i rr , , a ?. fif t !, llL .' .�h tri r .''�1; �e�;W Gas fireplace 10.00 ��_I, 11 Y I �� ( " i 041± .1-- Flue vent for water heater or gas d t ) , ,� ,,-�j� fireplace 10.00 t� J / , - ► • r,C5il ���;j Y171J �"-' Log lighter (gas) 10.00 ` • Wood/pellet stove 10.00 Wood fireplace/insert 10.00 , ,,; br Chimney/liner /flue/vent 10.00 tie 01#54'-o •,. �Y. �+ i . tc ` � � +' � �' kt�'"r� S�o ,� l r �'4 "ri^ lt , rft• 10.00 .. 4 fn , ! • • i� � , ., mE a 9kr IA .. ,, ;c. a i .- s1 ,1 . u r i i E ,„. . ,- t. , NA,t ' a ; ( •, , : . , �, . % Other: Name: Environmental exhaust and ventilation ` Range hood /other kitchen 10.00 Address: equipment Clothes dryer exhaust 10.00 City/State/ZIP: Single -duct exhaust (bathrooms, toilet compartments, utility rooms) 6.80 Phone: ( ) Fax ( ) 10.00 .r # X15 ' m dta'!i li f c3�r pp„-Ma-A a �� . a o h ,1 , q : , r .: Other: tic /crawlspace fans , l t ' 10.00 , Business name: 0 Ma(( COA • `�-1 (14 f M I nc Fuel piping Contact name: tI l ,s o C J $5.40 for first four; $1.00 for each additional Furnace, etc. Address: 3 SE l (,� �a 11 Gas heat pump • City/State/ZIP: �D (■+-( ma ( O- g12i f> Wall /suspended/unit heater /_ � /,� Water heater Phone: ) � I_ (c00 Fax: ( ) OU� �. i Fireplace E-mail Range w, T ¢c�r , s "x" , , :r `•t Barbecue y$ : '� . ,, " , A1 / Y e 0 , /. !0 i 4 ,lr + lt...' :,,.. f ' Olt: ,:, h� .. P a .. �atdt Clothes dryer (gas) Business name: AMU\ Caul a' - c)c f In( a O ther: � J �+ rya" te'rfl; F . �,! t � a.:.r.�_ � �o. � . �"r J �, Address: 1 39 l) CI1 f� 0 15-Y1 J(1 ;, r y i" ,�`�`�" !� s'1; .., v_ Jl l City/ State/ZIP: d �(` { -�, (}(( p Minimum permit fee ($72.50) Phone: ) (�) a3� 4,436 D Fax: (;c5) a"' .. 3 Z3 Plan review (25% of permit fee) CCB tic.: 33 1-- c State surcharge (8% of permit fee) z) , ' TOTAL PERMIT FEE ?ALMA. � „�/ This permi eppllcatlon expires If a permit to sot e w In 180 Aufihotized signature: � 1, ��IIIIJJ !', days after it has been accepted as complete. 1 , • Fee methodology set by Tri -County Building Industry Service Board Print name: "P ('1'1 fYL /a -7v u /�l 0 4 ._ 4 a1�1 Date: �... ( lam — 7 CITY OF TIGARD BUILDING DIVISION PERMIT #: MEC2007- 00097 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 2114/7007 Phone: (503) 639 -4171 �I�II Inspection Requests (24 Hrs.): (503) 639 -4175 - _.. INSPECTION WORKSHEET FOR DATE: 2/23/2007 TIME: 7 :01AM PAGE: 75 SITE ADDRESS: 11740 SW 68TH PKWY 100 CLASS OF WORK: SUBDIVISION: TIGARD TRIANGE COMMONS LOT #: 008 TYPE OF USE: PROJECT NAME: (AMA DESCRIPTION: (2) refrigerant lines & cooler /freezer components. Valuation: $1,500. OWNER: PACIFIC NW PROPERTIES, PHONE #: 503 - 626 -3500 CONTRACTOR: AMERICAN HEATING INC PHONE #: 503-239 -4600 Inspection Request Scheduled For: Date: 213/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 699 Mechanical final 043771 -02 503-572 -4939 N Corrections /Comments /Instructions: ! ;CI PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDIT ONAL EES ASSESSED 4 Inspector: f f-_f/ Date: 2-'_,I Phone #: (503) 718 - 1 CITY OF TIGARD BUILDING DIVISION PERMIT #: MEC2007 -00097 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 21 /4/2007 Phone: (503) 639- 4171p� Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 2115/2007 TIME: 7 :0OAM PAGE: 33 SITE ADDRESS: 11740 SW 68TH PKWY 100 CLASS OF WORK: SUBDIVISION: TIGARD TRIANGE COMMONS LOT #: 008 TYPE OF USE: PROJECT NAME: OMA DESCRIPTION: (2) refrigerant lines & coolerlfreezer components. Valuation: $1,500. OWNER: PACIFIC NW PROPERTIES, PHONE #: 503 626 - 3500 CONTRACTOR: AMERICAN HEATING INC PHONE #: 503- 239-4600 Inspection Request Scheduled For: Date: 2/15/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 695 Misc. inspection 043448 -01 503-209-3906 Y Corrections/Comments/Instructions: tr ► • - PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL CALL FOR INSPECTION ❑ ADDITI NAL FEES ASSESSED Inspector: 07 Date: 1 ® ` Phone #: (503) 718- 2z