Permit C ITY OF TIGARD MECHANICAL PERMIT
r°� DEVELOPMENT SERVICES PERMIT #: MEC2006 -00023
J 1 1 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 1/17/2006
PARCEL: 2S101 DC -00200
SITE ADDRESS: 13535 SW 72ND AVE 200 ZONING: C -P
SUBDIVISION: 72ND AVE OFFICE BUILDING LOT: JURISDICTION: TIG
Project Description: 2 1/2 ton split system, cooling -only. Valuation: $4766.
CLASS OF WORK: OTR 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
THE ADVISORY BOARD COMPANY Description Date Amount
13535 SW 72ND AVE #200 [MECH] Permit Fee 1/12/200E $136.90
TIGARD, OR 97223 [MECPLN] Plan Rev 1/12/200E $34.23
[TAX] 8% State Surchar€ 1/12/200€ $10.95
Phone: Total $182.08
Contractor:
AMERICAN HEATING INC
1339 SE GIDEON ST, STE. 1 REQUIRED ITEMS AND REPORTS
PORTLAND, OR 97202
Contact #: PRI 503 239 - 4600
FAX 503 239 - 7038
Reg #: LIC 33135
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes and
all other applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not
started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires
you to follow rules adopted in the Oregon Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010
through OAR 952 -001 -0100. You may obtain copies of these rules or direct questions to OUNC by calling 503 - 246 -6699
or 1- 800 - 332 -2344.
Issued By: .7 �%Q 4J Permittee Signature: J
CaII 503 - 639 -4175 by 7:00 a.m. for inspections that business day.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Mechanical PermfiegaMED FOR OFFICE USE ONLY
City of Tigard Received , 4 , i ,
Date/By:/ - 7 / („/ 0 " Lg .- Permit No.V\e„ --6,6 6 723
13125 SW Hall Blvd., Tigard, OR 9722 Plan Review
Phone: 503.639.4171 Fax: 503.598.1 7 2006 Ar " i Other Permit:
•■;$\ Date/By:
Inspection Line: 503.639.4175 CITY OF TIGARD All- IL' Date Ready/By: - 63 See Page 2 for
Internet: www.ci.tigard.or.us Notified/Method: 6...- Supplemental Information
TYPE OF WORK BUILDING DIVISION I
. COMMERCIAL TEE* SCHEDULE - USE CHECKLIST
Mechanical permit fees* are based on the value of the work
O New construction gj Addition/alteration/replacement performed. Indicate the value (rounded to the nearest dollar) of all
0 Demolition 0 Other: mechanical materials, equipment, labor, overhead, and profit.
,
c Value: S q 7
..*Tapp.ity .o :coNmtreTio,r4:. _;!:',:, , -, ,.. ,,,.. , , . , , , ,
' .
RESIDENTIAL EQUIP ENT / SYSTEMS FEES*
O 1- and 2-family dwelling ig Commercial/industrial 0 Accessory building
For special information use checklist.
0 Multi-family 0 Master builder 0 Other: Description I Qty. Ea. I Total
'';.i :JCWSITE:IIV9R1%fATIO1s,1 :AND'.LOCATION:'; : , ; ,.,. , :'; ; : ::',.:' ; Heating/cooling
Air conditioning or heat pump
Job site address: 1 ‘S \t•J 1 2 14 A v e (requires site plan showing placement) 14.00
City/State/ZIP: . %: .. Tvf (,e,. GA -7-2.2, Fumace 100,000 BTU (ducts/vents) 14.00
Furnace 100,000+ BTU (ducts/vents) 17.90
Suite/bldg./apt. no.: Project name: op TT u
Gas heat pump 14.00
Cross street/directions to job site: J u sf se ,NC Z. ri ccN " Duct work 14.00
KA
S*1 72 - Isom Hydronic hot water system
Residential boiler (radiator or 14.00
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.: Other fuel appliances
Water heater 10.00
Gas fireplace 10.00
eufr% s\tN 0,4, A ■ n stria 0, 2..`12_ 49) , " cA`■ 4 . Flue vent for water heater or gas
fireplace 10.00
•••• eiv-‘1.,) Log lighter (gas) 10.00
Wood/pellet stove 10.00
Wood fireplace/insert 10.00
•
• Chimney/liner/flue/vent 10.00
Y ijil '.'iiitik*Tioiiii4iliV , l'wq , =,,,.: , ! -., :; ::,1::::' '.:' fiNA:iir :.::,'.,! 10.00
Name: OPTS LANIi: Environmental exhaust and ventilation
Range hood/other kitchen
Address: \ SW 7 Aa,
z`LI v equipment 10.00
City/State/ZIP: 1 ;‘..s 0 ., rc 0 (-4, -, 1 ? 7 Clothes dryer exhaust 10.00
Single-duct exhaust (bathrooms,
Phone: ( ) Fax: ( ) toilet compartments, utility rooms) 6.80
' ' NI i-ifriaCiii■iT" 1 1; ; ;I':: -;;-' . ;- 20e ON g ' ; .■ Attic/crawlspace fans 10.00
Other: I 0.00
Business name: 4. c 44 ,, A , „,,,,,+,, " t*?,,, Fuel piping
Contact name: s?ee„„,fs $5.40 for first four; $1.00 for each additional
Furnace, etc.
Address: Gas heat pump
City/State/ZIP: Wall/suspended/unit heater
Phone: (53) 2,51 - 4() 0. Fax: : (6,5) -Ise' - 7O F. t.;.) Water heater
Fireplace
E-mail: 'Ft bq a e arAvric 0, 4 , re e + Range
WI ', '`;'''''.ifIr;,::',:!?:;:.:i; Barbecue
. Clothes dryer (gas)
Business name: A tvvver % c 5 ('• CP)r v,,,
Other:
Address: 1 3 S. G - i a G.‘,. s4. , ..: - '1vit . 6ii■iicAL.Itakeir,ttEsi
City/State/ZIP: p 0,.. O. 9 1 2. 6 **Z. inimum Subtotal
M perrnit fee ($72.50)
,p,
Phone: (603) 2 VI 41 cNO Fax: (r t`Sti .-,-, '''7 ),, ;
i Plan review (25% of permit fee)
CCB lic.: s 3 % 3 s. State surcharge (8% of permit fee)
----,. TOTAL PERMIT FEE i; Or
Authorized signature: * qt.) u ..).
This permit application expires If a permit is not obtained ,k1.80
days after It has been accepted as complete.
Print name: Flo ‘ i a S p eaa-S I Date: 1 / at 1 0 G * Fee methodology set by Tri-County Building Industry Service Board
i:\Buildineermits \ MEC-PermitApp.doc 12/03 440-4617T (11/02/COM)WEB)
CITY bF TIGARD
BUILDING DIVISION PERMIT #: MEC200
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/17/2006
Phone: (503) 639 -4171 /aagi
Inspection Requests (24 Hrs.): (503) 639 -4175 "_ ..
INSPECTION WORKSHEET FOR DATE: 1/18/2006 TIME: 7 ;01AM PAGE: E�'f
SITE ADDRESS: 13 ? ;36 SW 72ND AVE 200 CLASS OF WORK:
SUBDIVISION: 72ND AVE OFFICE BUILDING LOT #: TYPE OF USE:
PROJECT NAME: THE ADVISORY BOARD
DESCRIPTION: 2 1/2 ton split system, cooling-only. Valuation: $4766.
OWNER: THE ADVISORY BOARD COMPANY, PHONE #:
CONTRACTOR: AMERICAN HEATING INC PHONE #: 503 - 233 -4600
Inspection Request Scheduled For: Date: 1/18/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 02516402 503 - 209.4003 Y
Corrections /Comments /Instructions:
•
■111
- Iger
E-� t
Ce (••*"..:
/PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL OR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: g Date: H, Phone #: (503) 718-
CITY IN TIGARD
BUILDING DIVISION PERMIT #: MEC2006-00023
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/17/2006
Phone: (503) 639 -4171 U ^ o�N �' I\
Inspection Requests (24 Hrs.): (503) 639 -4175 'i L.
INSPECTION WORKSHEET FOR DATE: 1/18/2006 TIME: 7:01AM PAGE: 63
SITE ADDRESS: 13535 SW 72ND AVE 200 CLASS OF WORK:
SUBDIVISION: 72ND AVE OFFICE BUILDING LOT #: TYPE OF USE:
PROJECT NAME: THE ADVISORY BOARD
DESCRIPTION: 2 1/2 ton split system, cooling -only. Valuation: $4766.
OWNER: THE ADVISORY BOARD COMPANY, PHONE #:
CONTRACTOR: AMERICAN HEATING INC PHONE #: 503 - 233.1600
Inspection Request Scheduled For: Date: 1/18/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
615 Mechanical rough -in 025164 -01 503-209-4003 N
Corrections/Comments/Instructions:
R oo 64 k-- L A
❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR I SPECTION ❑ ADDIT ONAL FEES ASSESSED
t. (is- �1 /
Inspector: Date: / Phone #: (503) 718-