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Permit
C ITY OF TIGARD MECHANICAL PERMIT � °•' COMMUNITY DEVELOPMENT PERMIT #: MEC2006 - 00638 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 12/13/2006 PARCEL: 2S112DC - 00100 SITE ADDRESS: 15705 SW 72ND AVE ZONING: I -L SUBDIVISION: OREGON BUSINESS PARK III LOT: 002 JURISDICTION: TIG Project Description: NIKE GOLF BALL LAB. (2) roof top units, gas line & duct work. Valuation: $48,000. 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: FIRE DAMPERS ?: 30 - 50 HP: REPAIR UNITS: GAS PRESSURE: 50 + HP: WOODSTOVES: FURN < 100K BTU: AIR HANDLING UNITS CLO DRYERS: FURN > =100K BTU: <= 10000 cfm: OTHER UNITS: > 10000 cfm: GAS OUTLETS: Owner: FEES PACIFIC REALTY ASSOCIAT Description Date Amount 15350 SW SEQUOIA PKWY #300 TIGARD, OR 97224 [MECH] Permit Fee 12/13/20( $744.50 [MECPLN] Plan Rev 12/13/20( $186.13 [TAX] 8% State Surcha 12/13/20( $59.56 Phone: Total $990.19 Contractor: APOLLO SHEET METAL INC 2300 SW 1ST AVE # 104 PORTLAND, OR 97201 REQUIRED ITEMS AND REPORTS Contact #: PRI 503- 222 -6343 FAX 503- 222 -2935 Reg #: LIC 56241 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 Signatur= �i Call 503.639.4175 by 7:00 a.m. for inspec • a ay. 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 Application font t,rrl(.:i psi.:.iv , ^ , l City of Tigard RECEIVED Date/B Received Y • - /.''©, vL Permit N. C _ / -l�CJt .4 n 13125 SW Hall Blvd, Tigard, OR 9722 111 Phone: 503.639.4171 Fax: 503.598.1960 Plan Review Other Permit: Inspection Line: 503.639.4175 DEC 1 3 2006 Date Re T 1 G A It 1� Date Ready/By: Ini ® See Page 2 for Internet: www.tigard- or.gov CITY OF TIGARD Notified/Method Supplemental Information BUILDING DIVISION • TYPE OF WORK COMMERCIAL FEE* SCHEDULE - USE CHECKLIST ❑ New construction (ddition/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: $ 40 OapQ RESIDENTIAL EQUIPMENT / SYSTEMS FEES* . ❑ 1 - and 2 family dwelling X Commercial/industrial ❑ Accessory building For special information use checklist. ❑ Multi family ❑ Master builder ❑ Other: Description I Qty. I Ea. I Total JOB SITE INFORMATION AND LOCATION Heating/cooling Air conditioning or heat pump Job site address: 1*- 7 D 5- 4 6,) ' 2 N e C (requires site plan showing placement) 14.00 City / State/ZIP: -1 1 6(2__ c/-72_A-/- Furnace 100,000 BTU (ducts/vents) 14.00 Furnace 100,000+ BTU ( ducts/vents) 17.90 Suite/bldg. /apt. no.: Project name: Gas heat pump 14.00 Cross street/directions to job site: 'J Z W to /C.iqtJ..tAi Pit_ • 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 • frp 7 (2� Li eVJ M 24t- r P U t.1 / T Flue vent for water heater or gas * } i , �. UJO R 1 10 ,may Log fireplace 10.00 'I f�`` ' � "�` f r "� - Log lighter (gas) 10.00 Wood/pellet stove 10.00 Wood fireplace/in 10.00 ❑ PROPERTY OWNER I TENANT' Chimney /liner /8 ue/vent 10.00 Pit • Other: 10.00 Name: 1.1 1 I i (xi G • Environmental exhaust and ventilation Range hood/other kitchen Address: / 12,Gui L�- -x.,/tk,t/vi■J pa_ equipment 10.00 City /State/ZIP: F - 7 4- v V(b^J / 0)4i el-7 005 L. S Clothes dryer exhaust 10.00 Single -duct exhaust (bathrooms, Phone: (0;l) b 1 1 • 6415-3 Fax: 61 67 • L-f' 145 toilet compartments, utility rooms) 6.80 • 5g APPLICANT ❑ CONTACT PERSON Attic/crawlspace fans 10.00 Other: 10.00 Business name: t/ 1(l�l 1 As G . Fuel piping Contact name: f 2 C� 5 J $5.40 for first four; $1.00 for each additional Address: Q, Furnace, etc. 1 r`x�` Gas heat pump City /State/ZIP: p Uk�T2) ( Q q 702 ' - 6 L 5 Wall/suspended/unit heater Phone: (�'f�) 6 _7I ' f� z Fa x:: 4537) h� / . (-i iq S Water heater /° 67 ` Fireplace E -mail: Piy I G • oresf Sect? d A / xE - t!Qiltt Range CONTRACTOR Barbecue Business name: *P1®L�L 607,0 C>r•d�itai Clothes dryer (gas) ! ��' Other: Address: Z *04 4:cJ i#r A-V9 / �•, )/ 1 1 o ef MECHANICAL PERMIT FEES* City / State/ZIP: ID L /�/ pyj� q 7 z t - I Subtotal Minimum permit fee ($72.50) Phone: ( ?Ix.. 1 3 t f• % Fax: (pp 2 2 z . Z g F S Plan review (25% of permit fee) CCB lic.: b2 4.I t State surcharge (8% of permit fee) • TOTAL PERMIT FEE C This permit application expires if a permit is not obtained within 180 Authorized signature: ....„.. days after it has been accepted as complete. Print name: i - j ■ Date: W . /..„ • Fee methodology set by Tri- County Building Industry Service Board I:\ Building \Permi*a\MEC- PennitApp.doc 04/06/06 440-4617T(11/02/COM/WEB) Mechanical Permit Application - City of Tigard Page 2 - Supplemental Information Commercial Fee Schedule: Total. Valuation: Permit Fee: $1.00 to $2,000.00 Minimum fee $72.50 $2,001.00 to $5,000.00 $72.50 for the first $2,000.00 and $2.30 for each additional $100.00 or fraction thereof, to and including $5,000.00. $5,001.00 to $10,000.00 $141.50 for the first $5,000.00 and $1.80 for each additional $100.00 or fraction thereof, to and including $10,000.00. $10,001.00 to $50,000.00 $231.50 for the first $10,000.00 and $1.35 for each additional $100.00 or fraction thereof, to and including $50,000.00. • $50,001.00 to $100,000.00 $771.50 for the first $50,000.00 and $1.25 for each additional $100.00 or • fraction thereof, to and including $100,000.00. $100,000.01 and up $1,396.50 for the first $100,000.00 and $1.10 for each additional $100.00 or fraction thereof. Note: All new commercial buildings require 2 sets of plans. • I:\Building\Permits\NEC- PermitApp.doc 12/30/05 2 • Cliti50 TIGARD BUILDING DIVISION PERMIT #: 11E02006-00636 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 12/13/2006 Phone: (503) 639-4171 Requests (24 Hrs.): (503) 639 -4175 — INSPECTION WORKSHEET FOR DATE: 1/30/2007 TIME: 7:03AM PAGE: 33 SITE ADDRESS: 15705 SW 72ND AVE CLASS OF WORK: SUBDIVISION: OREGON BUSINESS PARK III LOT #: 002 TYPE OF USE: PROJECT NAME: NIKE DESCRIPTION: NIKE GOLF BALL LAB. (2) roof top units, gas line & duct work. Valuation: $48,000. OWNER: PACIFIC REALTY ASSOCIAT, PHONE #: CONTRACTOR: APOLLO SHEET METAL INC PHONE #: 503 -222-6343 Inspection Request Scheduled For: Date: 1/30/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 699 Mechanical final 042673 -01 503-545-0415 N Corrections /Comments/ Instructions: -Ali - � L %1i IIIMBS I / � EIMMEIV PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL II CALL FO INSPECTION ❑ ADDITIO AL F ES ASSESSED Inspector: .k Date: 6 Phone #: (503) 718 _V/ CIT POF TIGARD BUILDING DIVISION PERMIT #: MEC200&.00638 13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 12/13/2006 Phone: (503) 639 -4171 i ll Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 1126/2007 TIME: 7 :00AM PAGE: 4e. SITE ADDRESS: 15705 SW 72ND AVE CLASS OF WORK: SUBDIVISION: OREGON BUSINESS PARK III LOT #: 002 TYPE OF USE: PROJECT NAME: NIKE DESCRIPTION: NIKE GOLF BALL LAB. (2) root top units, gas line & duct work. Valuation: $46,000. OWNER: PACIFIC REALLY ASSOCIAT, PHONE #: CONTRACTOR: APOLLO SHEET METAL INC PHONE #: 503222.6343 Inspection Request Scheduled For: Date: 1/26/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 615 Mechanical rough -in 042558.01 503-545 -0415 N Corrections /Comments /Instructions: A KWAILMOVISEriii m g m p- 1 , , , _ ./ PASS 0 PARTIAL APPROVAL 0 CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL /OR INSPECTION ❑ ADD ITIONA FEES ASSESSED p a ry Phone #: 503 718 - C� Inspector: , Date: lJ� ( ) CITY OF TIGARD BUILDING DIVISION PERMIT #: MEG2U00063I3 13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 12113/2006 Phone: (503) 639=4171A II 'll Inspection Requests (24 Hrs.): (503) 639-4175 WORKSHEET FOR DATE: 1/26/2007 TIME: 7:00AM PAGE: 46 SITE ADDRESS: 15705 SW 72ND AVE CLASS OF WORK: SUBDIVISION: OREGON BUSINESS PARK III LOT #: 002 TYPE OF USE: PROJECT NAME: NIKE DESCRIPTION: NIKE GOLF BALL LAB. (2) roof top units, gas line & duct work. Valuation: $48,000. OWNER: PACIFIC REALTY ASSOCIAT, PHONE #: CONTRACTOR: APOLLO SHEET METAL INC PHONE #: 503 - 222 -6313 Inspection Request Scheduled For: Date: 1126/20U7 Pour Time: Code # Inspection Description Confirm # Contact # Message 610 Gas line 042553 -01 503 -545 -0337 N Corrections/Comments/Instructions: , al —a.: FALU114- _ _ , R ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ` ❑ CALL FOR INSPECTION ❑ ADDITI I NAL FE S ASSESSED h i-v.:A Inspector: AL _ Date: Phone #: (503) 71