Permit CITY TIGARD MECHANICAL PERMIT
�� DEVELOPMENT SERVICES PERMIT #: MEC2006 -00018
�� II 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 1/12/2006
PARCEL: 2S101 DA -00101
SITE ADDRESS: 13190 SW 68TH PKWY ZONING: C -P
SUBDIVISION: TRIANGLE CORPORATE PARK LOT: 003 JURISDICTION: TIG
Project Description: HVAC modification. Value: $8312.00
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: CLO DRYERS:
FURN < 100K BTU: AIR HANDLING UNITS OTHER UNITS:
FURN > =100K BTU: <= 10000 cfm: GAS OUTLETS:
> 10000 cfm:
Owner: FEES
PACIFIC NW PROPERTIES Description Date Amount
6600 SW 105TH [MECH] Permit Fee 1/12/200E $202.70
BEAVERTON, OR 97007 [TAX] 8% State Surchar€ 1/12/200E $16.22
Phone: 503- 626 -3500 Total $218.92
Contractor:
AMERICAN HEATING INC
1339 SE GIDEON ST, STE. 1 REQUIRED ITEMS AND REPORTS
PORTLAND, OR 97202
Contact #: PRI 503- 239 -4600
FAX 503- 239 -7038
Reg #: LIC 33135
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes and
all other applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not
started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires
you to follow rules adopted in the Oregon Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010
through OAR 952 -001 -0100. You may obtain copies of these rules or direct questions to OUNC by calling 503 - 246 -6699
or 1- 800 - 332 -2344. � 0
Issued By: Permittee Signatur
Call 503 - 639 -4175 by 7:00 a.m. for inspections that business day.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
.. .;chanical Per>t$it tick ® FOR OFFICE USE ONLY
of Tigard 1 2��b Date/ e y: / i.A PemutNo.: i PO L -1000/.•
.3125 12S SW Hall Blvd., Tigard, OR 9 J Plan Review Other Pernik' • � ���[� 3
Y Phone: 503.639.4171 Fax: 503.5�(l,]Q¢Q, F TIG�RD "` ° "''1P`Pl DateBy:
Inspection Line: 503.639.4175 (; I' v a�. 1 Date Ready/13y: Juris: PI Se Page 2 for
Internet: www.ci.tigard.or.us BUILDING DIVISION "" Notified/Method: Supplemental information
j ( ° CQMMERCIAL : :S - ;USE CHECKLIST
tT OF WORK ,
❑ New construction Addition/alteration / replacement
Mechanical permit fees* are based on the value of the work
performed. Indicate the value (rounded to the nearest dollar) of all
❑ Demolition Other: mechanical materials, equipment, labor, overhead, and profit. -
'.+ h il.7, tto w a E (J_ 4 , 1.7, , , t t -x p ,, i 1 + r - v , .+ • t 1 _ � ;y 3 Value: 5 'ex' 8 3/
;li:i }.: S i 5t gil- -Y r.;'t r .�`�, Ysl' !
t ' �A CA�TEG+'ORI' QI? C"ON , . r' . ... a 1 :.: ... 3 , : , .. i .. , . _ . .. , •. ti• ; , ,
: 'RESIDENTIAL EQUIPMENT` /SY FEES*
❑ 1- and 2- family dwelling Commercial /industrial ❑ Accessory building For special information use checklist.
❑ Multi- family Master builder ❑ Other: Description Qty. Ea. I Total
r„-; ;;26!
+�,q, t, t f a y+N /pri r `'t J - Y : rf f v rJ 4 r 1 H 1* t 1 rPr r • ir
te
: '� Ylialili "Z4i; �h ls� s/ T3LUN OCAIt,10 , ';.,.,• , ,., 1:.. - Heating/cooling .
�? Air conditioning or heat pump
Job site address: '3 / Q� !� 6 ?a e .� f.JQ (requires site plan showing placement) 14.00
City/State/ZIP: / State/ZIP: // �) J Fumace 100,000 BTU (ducts/vents) 14.00
ty _n9a' '-J O � , �' 2 Fumace 100,000+ BTU (ducts /vend 17.90
• Suite/bldg. /apt. no.: ls,i- A/2 Project name: ,;.,e4,5 Gas heat pump 14.00
Cross street/directions to job site: 006 eoh• t* .3 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: 10.00
Tax map /parcel no.: w Other fuel appliances
'k1+1 f r5 r B;'trL) s i r. tp.rr. w i,(0x t 1ai 3" ., � `, Water. heater 10.00
l t , 511 .y6Y { ` J i x 5litir : �fht. Y .a w i :, A, JA : . n X t i.` fiav ,t lh „++Tt, vt.-: ; Tor :P! 10.00
Gas fireplace
Flue vent for water heater or gas
/ / _ fireplace 10.00
NVAC r" p p/i C4.1 /aaS JPn Log lighter (gas) 10.00
_2.,, JdCrra 1 Wood/pellet stove 10.00
Wood fireplace/insert 10.00
r f .. .F� F.,t a , ,ne , u+ Chimney /liner /flue/vent 10.00
if� l!:(''. I�itagit: ,ts � yr1 ti t It /t9ir' f76 F; ,1 .i.`; p � � 4 t rYrai :l r.
✓ S l' rre ., !!r.,,,n nsrn .+?d . U rn h 6 , t ,bUBnD A i, :v } a d.r,, 4i7 e t.,u r :', /,e +s... 6 ... ,, Ac Other: ( 10.00
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
I , i c 1 " g I`fG° 11R t(:;s K1 ilwq y �n r 'e ON ACT P, RSON l S . t ' 'r A ttic/crawlspace fans 10.00
�1 gtaa
t.;,Rt'�.,�.�rr,. 1.,,,_3,1.... 1 ., .,.. 1
' Other: 10.00
Business name: �rr0._ri.Crr» 5/e_/ /ma zo C. Fuel piping
Contact name . C• $5.40 for first four; $1.00 for each additional
//�?� �! �+ Furnace, etc.
Address: /235? ..5 _ L7'/ t>ltG(t7f2 s9L Gas heat pump
City/State/ZIP: ,,�•1 /Qf-a. C/ � O€ 9,7 OZ Wall /suspended/unit heater _
Fax: Q Water heater
Phone: ( ) � y�D ) / - 2e3 Fireplace (�� 70
E -mail: R ange c . !tJ
�.,J'tx '+'04 kf - ^n. 7u s a t• ,A ro tk y�S '.t`• ar * +! a '�'w r r n _ b , _
�+.ti i #R�',l { r/' ,�. 9 Vry'r��p J 4 rk+NIM �+ �+�,;r, Barbecue p�
Mitt' rP, ct}$bJt!}li..1r.1J rr ti#.....crdr, r�.�"�3.sd. .f :::, k, *�. r ,s, :.
Clothes dryer (gas)
Business name: el e ► II �m ,T [„ Other �33 7 c ri y ihII7O xC tS` /Q Address: ,sC G�I�I ti+t""t�i�` i/ J ,,,, � �;�•! • `� d-
City/State/ZIP: i���amel aez fizaz Subtotal
Minimum permit fee ($72.50)
Phone )4.39.-4/606 Fax 3 ) 2 § Plan review (25% of permit fee)
CCB lic.: W /3J State surcharge (8% of permit fee)
TOTAL PERMIT FEE
/ /f This permit application expires If a permit
not obtained within 180
AuthorIz 1 atllre: ilf d ays after it has been accepted as complete.
Print name: Date: • Fee methodology set by Tri -County Building Industry Service Board
-_ .. .. ._ _ -•. __.__ ,e,ne 440- 4617T I /02/COM/WEB)
CITY OF TIGARD -
BUILDING DIVISION PERMIT #: MEC
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/12/2006
Phone: (503) 639- 4171' "
Inspection Requests (24 Hrs.): (503) 639 -4175 ' --- I ..
INSPECTION WORKSHEET FOR DATE: 5/10/200€ TIME: 7:02AM PAGE: 70
SITE ADDRESS: 13190 SW GOTH PKWY CLASS OF WORK:
SUBDIVISION: TRIANGLE CORPORATE PARK LOT #: 003 TYPE OF USE:
PROJECT NAME: BUSINESS OBJECTS
DESCRIPTION: HVAC modification. Value: $8312.00
OWNER: PACIFIC NW PROPERTIES, PHONE #: 503-626-3500
CONTRACTOR: AMERICAN HEATING INC PHONE #: 503- 239.4600
Inspection Request Scheduled For: Date: 5/10/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
G99 Mechanical final 029569 -01 503- 475 -2037 N
Corrections/Comments/Instructions:
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PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION . ❑ ADDITI • NAL F FS ASSESSED
Inspector:
A I Date: ® J PPhone #: (503) 718-