Permit i ,..., •
C ITY OF TIGARD MECHANICAL PERMIT
411 DEVELOPMENT SERVICES PERMIT #: MEC2006 -00512
— 13125 SW Hall Blvd., Tigard, OR 97223 503-639-4171 DATE ISSUED: 10/20/2006
PARCEL: 1 S136DD -03400
SITE ADDRESS: 11740 SW 68TH PKWY 200 ZONING: MUE
SUBDIVISION: TIGARD TRIANGE COMMONS LOT: 008 JURISDICTION: TIG
Project Description: Install ductwork and gas piping. Project Value: $44,576
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:
NAT 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
FURN > =100K BTU: <= 10000 cfm: OTHER UNITS:
> 10000 cfm: GAS OUTLETS:
Owner: FEES
PNWP LLC Description Date Amount
6600 SW 105TH STE.175 [MECH] Permit Fee 10/20/20C $698.60
BEAVERTON, OR 97005 [TAX] 8% State Surchar€ 10/20/20C $55.89
Phone: 503- 636 -2500 Total $754.49
Contractor:
AMERICAN HEATING INC
1339 SE GIDEON ST, STE. 1 REQUIRED ITEMS AND REPORTS
PORTLAND, OR 97202
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 -80CI4
Issued � (/ Permittee Signature
Ca ll 503 - 639 -4175 by 7:00 a.m. for inspections that business day. /444( 1(S- IV—
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.
r *-
Mechanical Permit Application FOR OFFICEUSGONLY ��qqy�
Received /O d /„ • 19 Pemmit �� X5
City of Tigard
Date/By: cv
13125 SW Hall Blvd., Tigard, OR 97223 Plan Review Other Permit:
Phone: 503.639.4171 Fax: 503.598.1960 /,..:a' ,a,) � " Date/By: Inspection Line: 503.639.4175 •l = -•. Date Ready/By: fa See Page 2 for
" J i4' } Supplemental Information
Internet: www.ci.tigard.or.us Notified/Method: � /' rt
- w as' '^ r.7 . ,,'.� !" •y •y! (._ .. e.g. �r� � . .,y 1 7 '7 r v L ,1 "V . e r It '' S' .. F+ v j. qF/O OIC `1.IIS
J1 i l4- .ai �4 0 rf d,1.Fn N jjl'r(+ . ,� a�m�'. i :.','' ! ` ',I 42 i., , a'".g "i ' 1 .. E r .
,r �; . i'h tir'.iri( , : i er � jT� n ��u.J�'.�t• 1gi1�1 ,6�'I� �.,a . ._.. ..
Mechanical permit fees* are based on the value o the work
❑ New construction4ddition /alteration/replacement performed. Indicate the value (rounded to the nearest dollar) of all
❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit.
_ ,i Value: S �"7
vim. .1 ii i 9 t I y a '"1,,3 ' -.:. "71644 Uit k -, '7 t } t i 9 l �tik .iC. �� ���;;,, --� '' : „ +
t 0 .1 4, a e , ` ° ' . r`r IIYTC . , '1 �'�FA:1 v e : ;,, .y i. EI P Qti T s S DDS FEES*
❑ 1 - and 2- family dwelling ] Commercial /industrial ❑ Accessory building For special information use checklist.
❑ Multi- family 0 'Master builder ❑ Other: Description Qty. j E.a. I Total
m 3 Fx y a . L r�r ri r sq r 39. t, , 'C �Zt < yp. krt Li ,
t�1�`�ir ,•'. � o y. u 1 Lse vlr ciAl• A V ZC r l o y '1:h ' : i .14 0 Heating/cooling
I 1 l 4 6 S CO ( PCIAI G , '1 Air conditioning or heat pump
Job site address: f W WJC( l � (requires site 'elan showing Placement) IIII 1.
/� Furnace 100,000 BTU (ducts/vents)
( ]4.00
City/State/ZIP: j (� P "1 a a Furnace 100,000+ BTU (ducts/vents) _ 1
Suite/bldg. /apt. nom a / g.J_ Project name: s Gad) Gas heat pump 14.00
Cross street/directions to job site: �" T Duct work
Hydronic hot water system 14.00
Residential boiler (radiator or 14.00
hydronic)
Unit heaters (fuel -type, not electric), 10.00
in -wall, in -duct, suspended, etc.
Flue/vent for any of above _ 10.00
Subdivision: , Lot no.: ,
Other: _ 10.00
Tax rasp /parcel no.: Other fuel appliances
, Jiyl V7 1 v IT r-7 qA +'d I� l�ii"h =k 1 r�^' 'r ;r 7,''{!'� i Water. heater 10.00
�i yy ��+ir'ry11fL,�,t,w a �%/ Vi wr �� r 1 1 E° �r yl . ° 1 21 C � 1,i nr�,'{. ,r r5 k
RI ,A x0111' 3 , ii3r 11'1J�. + � �4_1,g� Its, . , f n L�. Il .,l u �. ' , a11N I 1,-21 .:1 14:.' -",.1,( .r A? Trek ' • 10.00
u a .� ll„ i Gas fireplace
� D p (u ,� 4 14, Flue vent for water heater or gas 10.00
f, , �r 1 fireplace 10.00
L a � i P x/11 3 Log lighter (gas) i
J Wood /pellet stove 10.00
Wood fireplace/insert 10.00
10.00
Chimneylliner /Fue/vent _
(DI Y r g.2 . o I. ary � e I a ISM , 1, i of A •ek 33 I a.jt.,1 _ ., l M 1. , i -,,, Y(r.,cs . ii 4' , , 4 ;. Other: 10.00
Environmental exhaust and ventllatlon s
Name: Range hood /other kitchen
Address: equipment 10.00
Clothes dryer exhaust 10.00
City/State/ZIP: Single -duct exhaust (bathrooms,
Phone: ( ) Fax ( ) toilet compartments, utility rooms) 6.80
t
, ,. � a, ry -� fr , �, K td Athc%rawl ace fans 10.00
er� �, , , y r' /%1t I ci �\ 5 t ' j11�)I l ` ;: �I ::s d4i n f3 .. �(Mar.,�t) r/ // �' , 10.00
r..�4 e /relr,�� xy r� `' �i Other:
Business name: I Ma( (Call ' / T7 t1Q _1.t Fuel piping
J l $5.40 for first four; $1.00 for each additional
Contact name: � (� a(� S�(I,Q� Fumace, etc.
Address: `3?�� S� ( ( Q617 Gas heat rump
City/State/ZIP: 1-Po ('4( a ( Q �V � a� Wall/suspended /unit heater _
� • Water heater
Phone: ) , 4 Q Fax: : ( O?j� Fireplace
E-mail Range
n c C��yl l 1. y { ' "I� F S 1' t f,Yl-,i',{'j,�` "pin- �? p BaibPClle ,-
ynl rr r n�'�i ,r � t� � ,w' 1�'t 4 ,.ya � i ,+ tz i 9 it 1 I �'�`d5M1^,, i�. t 91 '..fir f' �� y }�i ���
rs 1 � .� �, lki ` f 5 �y id �51x ' i l r `�F ,i��t;llet � t i' �.-vl itt�ttla'
: ji'j,-_1 rR fPf Ffdtt nuc1 :�a5�eksan l l� i. �, .v.l i. �,_� ur4_...,�nl zt l
` Clothes dryer (gas)
Business name: A iI 1 \ /,‘ -( ' /_ % A �+� I Other:
Address: 1 `) (1 d 0 nn (� o 7 - L "'' ,,�' r l d
1� "1 1 Subtotal
City/State/Z11 � '' I f ` �j� (�( Minimum permit fee ($72.50)
Phone: ! 1 (& a3� `i to 6 D Fax: (Se)) - 7O Plan review (25% of permit fee)
CCB tic,: 33 -�r State surcharge (8% of permit fee)
Bovyik j^�(� 5 - Y7 Thls permit eppticatton aspires If a permit is not obtained within 1s0
Authorized signature: �,�'J b 7 ` titi((l1JJ days after It has been accepted as complete.
t 5 - I 1 / 1 _ '1 _ /'% / 1 • Fee methodology set by Tri- County Building Industry Service Board
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MEC2006-00512
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/20/2006
Phone: (503) 639 -4171 .,u gt �a
Inspection Requests (24 Hrs.): (503) 639 -4175 1L.
INSPECTION WORKSHEET FOR DATE: 22l26/2007 TIME: 7 :00AMM PAGE: 35
SITE ADDRESS: 11740 SW 68TH PKWY 200 CLASS OF WORK:
SUBDIVISION: TIGARD TRIANGE COMMONS LOT #: 008 TYPE OF USE:
PROJECT NAME: PARTNERS GROUP
DESCRIPTION: Install ductwork and gas piping. Project Value: $44,576
OWNER: PNWP LLC, PHONE #: 503 - 63&2500)
CONTRACTOR: AMERICAN HEATING INC PHONE #: 503 -239 -4600
Inspection Request Scheduled For: Date: 2726/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mec:hanical final 043886 -02 603 -672 -4939 N
Corrections /Comments /Instructions:
A . it
rid of
CY
/ PAS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL F.1 CALL FOR INSPECTION ❑ ADDITIONA FEES ASSESSED
1i
Inspector: , i .I Date: 0 7 Phone #: (503) 718Z4Z_.
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MEC2006 00512
13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 10/20/2006
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639 -4175 . ' $ `'I I"
INSPECTION WORKSHEET FOR DATE: 2/2612007 TIME: 7:00AM PAGE: 36
SITE ADDRESS: 11740 SW 68TH PKWY 200 CLASS OF WORK:
SUBDIVISION: TIGARD TRIANGE COMMONS LOT #: 008 TYPE OF USE:
PROJECT NAME: PARTNERS GROUP
DESCRIPTION: Install ductwork and gas piping. Project Value: $44,576
OWNER: PNWP LLC, PHONE #: 503 - 636 -2500
CONTRACTOR: AMERICAN HEATING INC PHONE #: 503. 239 -4600
Inspection Request Scheduled For: Date: 2/26/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
615 Mechanical rough -in 043886-01 503-572-4939 Y e_1)
Corrections /Comments /Instructions: (AA/ 3tiT &b T
BE ceu SITE_
i . 11,
ii.W" 4 0 _44.?„1, I V 1 -4111411. IIIVIV
PASS 0 PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL F(hone S ASSESSED
k
Inspector: Ail Date: #: (503) 718 -
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MEC2006 -00512
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/20/2006
Phone: (503) 639 -4171 *411 56
Inspection Requests (24 Hrs.): (503) 639 -4175 ` 'I —
INSPECTION WORKSHEET FOR DATE: 12/11/200 TIME: 7:00AM PAGE: 32
SITE ADDRESS: 11740 SW 68TH PKWY00 .` CLASS OF WORK:
SUBDIVISION: TIGARD TRIANGE COMMONS LOT #: 000 TYPE OF USE:
PROJECT NAME: PARTNERS GROUP
DESCRIPTION: • lima - ducts ric and gas pii3ing : Project Value: $44,576
OWNER: PNWP LLC, PHONE #: 503.636 - 2500
CONTRACTOR: AMERICAN HEATING INC PHONE #: 503-239-4600
Inspection Request Scheduled For: Date: 12/11/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
615 Mechanical rough -in 040883 -01 503- 572 -4939 N
Corrections /Comments/ Instructions:
AI
IMITAM ■V SWIC -
•
❑ PASS PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL • CALL Ft - INSPECTION ❑ ADDITIO AL FEES ASSESSED
Inspector: l -14 Date: 1 1 ( 06 Phone #: (503) 718- 2f2