Permit CITY TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT PERMIT #: MEC2007 -00310
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 5/29/2007
PARCEL: 25101 DA -00102
SITE ADDRESS: 13221 SW 68TH PKWY 460 ZONING: MUE
SUBDIVISION: TRIANGLE CORPORATE PARK LOT: 002 JURISDICTION: TIG
PROJECT: AUCTIONPAY
Project Description: Install mini -plit 2 -ton a/c unit for computer room. Valuation $8,900
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: 1 DOMES. INCIN:
3 - 15 HP: COMML. INCIN:
MAX INPUT: BTU 15 - 30 HP: REPAIR UNITS:
FIRE DAMPERS ?: 30 - 50 HP:
GAS PRESSURE: 50 + HP: WOODSTOVES:
FURN < 100K BTU: AIR HANDLING UNITS CLO DRYERS:
FURN > =100K BTU: <= 10000 cfm: OTHER UNITS:
GAS OUTLETS:
> 10000 cfm:
Owner: FEES
TIGARD TRIANGLE I LLC Description Date Amount
4650 SW MACADAM AVE STE 220
PORTLAND, OR 97201 [MECH] Permit Fee 5/29/20W $211.70
[TAX] 8% State Surcha 5/29/200i $16.94
Total $228.64
Phone:
Contractor:
TRI COUNTY TEMP CONTROL
13150 S. CLACKAMAS RIVER DR
OREGON CITY, OR 97045 REQUIRED ITEMS AND REPORTS
Contact #: PRI 503 -557 -2220
FAX 503 -557 -0919
Reg #: LIC 72623
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: f, 1/i , J Li Permittee Signature: , /
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.
Mechanical Permit A 1 • licatio _ 01:1:1(1.: tar: ONLY
1� .�r���
I N
City of Tigard r te , L--' ' r Date/By: S ?1� • r Permit No.: y � a _. n 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review
C Phone: 503.639.4171 Fax: 503598
3..71 ax: .h gM/ 2 �' O r� •
. 14'�Nlcl 2 � r! �� U � Date/By: Other Permit: 4' c,. _ Aar _ it 1z .
1.1 C A R D Inspection Line: 503.639 t Date Ready /By: See Page 2 for
Internet: www.tigard - or.gov CITY OF- ; IGARD Notified/Method: EN Supplemental Information
BUILDING DIVISION
TYPE OF WORK COMMERCIAL FEE* SCHEDULE — USE CHECKLIST
ID 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.
CATEGORY OF CONSTRUCTION Value: $ $8,900.00
RESIDENTIAL EQUIPMENT / SYSTEMS FEES*
❑ 1- and 2- family dwelling ® Commercial/industrial ❑ Accessory building
For special information use checklist.
❑ Multi - family ❑ Master builder ❑ Other: Description 1 Qty. I Ea. 1 Total
JOB SITE INFORMATION AND LOCATION Heating/cooling
lob site address: 13221 SW 68ht Suite 460 Air conditioning or heat pump
(requires site plan showing placement) I 14.00
City / State/ZIP: Tigard Fumace 100,000 BTU (ducts/vents) 14.00
Fumace 100,000+ BTU (ducts/vents) 17.90
Suite/bldg. /apt. no.: Project name: Aution Pay Gas heat 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
Subdivision: Lot no.: Flue /vent for any of above 10.00
Other: 10.00
Tax map /parcel no.: Other fuel appliances
DESCRIPTION OF WORK Water heater 10.00
Gas fireplace 10.00
Install mini -split 2 -ton AC unitycomputor room Flue vent for water heater or gas
U fireplace 10.00
Log lighter (gas) 10.00
Wood/pellet stove 10.00
Wood fireplace/insert 10.00
❑ PROPERTY OWNER ® TENANT Chimney/liner /flue/vent 10.00
Other: 10.00
Name: Aution Pay Environmental exhaust and ventilation
Address: 13221 SW 68 Parkway suite 460 Range hood/other kitchen
y equipment 10.00
City/State/ZIP: Tigard, OR 97223 Clothes dryer exhaust 10.00
Single -duct exhaust (bathrooms,
Phone: (503 - )597 -0378 Fax: ( ) toilet compartments, utility rooms) 6.80
❑ APPLICANT ❑ CONTACT PERSON Attic/crawlspace fans 10.00
Other: 10.00
Business name:
Fuel piping
Contact name: $5.40 for first four; $1.00 for each additional
Address: Furnace, etc.
Gas heat pump
City/ State/ZIP: Wall/suspended/unit heater
Phone: ( ) Fax:: ( ) Water heater
Fireplace
E -mail: Range
CONTRACTOR Barbecue
Business name: Tri County Temp Control Clothes dryer (gas)
Other:
Address: 13150 S Clackamas River Dr. MECHANICAL PERMIT FEES*
City/State/ZIP: Oregon City, Oregon 97045 Subtotal 211, 10
Phone: (503) 557 -2220 Fax: (503) 557-0919 — Minimum permit fee ($72.50)
Plan review (25% of permit fee)
CCB lic.: 72623 / State surcharge (8% of permit fee) 6 q St
/ TOTAL PERMIT FEE 22g, (
Authorized si afore: This p ermit application expires if a permit is not obtained within 180
1;n days after it has been accepted as complete.
Print name: David Salholm I Date: 05 - - • Fee methodology set by Tri- County Building Industry Service Board
1:\ Building \Permits\MEC- PermitApp.doe 04/06/06 44046171' (11/02/COM/WEB)
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MEC2007 -00310
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/2912007
Phone: (503) 639 -4171 ' i \
Inspection Requests (24 Hrs.): (503) 639 -4175 �I I
INSPECTION WORKSHEET FOR DATE: 6/18/2007 TIME: 7:04AM PAGE: 33
SITE ADDRESS: 13221 SW 68TH PKWY 460 CLASS OF WORK:
SUBDIVISION: TRIANGLE CORPORATE PARK LOT #: 002 TYPE OF USE:
PROJECT NAME: AUCTIONPAY
DESCRIPTION: Install mini -plit 2 -ton alc unit for computer room. Valuation $8,900
OWNER: TIGARD TRIANGLE I LLC, PHONE #:
CONTRACTOR: TRI COUNTY TEMP CONTROL PHONE #: 503-557 -2220
Inspection Request Scheduled For: Date: 6/18/2007 Pour Time:
Code # Inspection Description Confirm # Co ;gt # Me - -=
- & - >4K6
699 Mechanical final 050385-01 503-557-2220 11
Corrections /Comments /Instructions: 4 91 4 1 7 1 ° S '1 '7
C4 £ 1 '-i 8"..0 4/(
C4 r_,n1`i' l TcezD A4-1
P ASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL V C' LL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: _ Date: r r
L
Phone #: (503) 718 - 4
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