Permit CITY TIGARD MECHANICAL PERMIT
, DEVELOPMENT SERVICES PERMIT #: MEC2006 - 00372
�J II 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 8/25/2006
PARCEL: 2S 114AA - 00200
SITE ADDRESS: 16285 SW 85TH AVE 302 ZONING: I -P
SUBDIVISION: DURHAM HALL BUSINESS PARK LOT: JURISDICTION: TIG
Project Description: Roof top HVAC unit w /duct work & controls. Valuation: $13,800.
CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS: 1
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: 150 BTU 15 - 30 HP: REPAIR UNITS:
FIRE DAMPERS ?: U 30 - 50 HP: WOODSTOVES:
GAS PRESSURE: M 50 + HP: CLO DRYERS:
FURN < 100K BTU: AIR HANDLING UNITS OTHER UNITS: 2
FURN > =100K BTU: <= 10000 cfm: 1 GAS OUTLETS: 1
> 10000 cfm:
Owner: FEES
BIRKEMEIER, BRENT T /JANET D TRS Description Date Amount
BY THE BIRKEMEIER FAMILY TRUST
10573 SW NAEVE ST [MECH] Permit Fee 8/25/200E $284.15
TIGARD, OR 97224 [TAX] 8% State Surcha 8/25/200E $22.73
[MECPLN] Plan Rev 8/25/200E $71.04
Phone: Total $377.92
Contractor:
SUN GLOW INC
2428 SE 105TH AVE
PORTLAND, OR 97216 REQUIRED ITEMS AND REPORTS
Contact #: PRI 503- 253 -7789
FAX 503- 253 -7693
Reg #: LIC 48131
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.
Iss d By: ✓ 1 ` 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.
. I II i t, : .c t� , �c' it FIB�I :r� � n �I� } i .
City of Ti and r C Receive( _/) /
i -
g r) D ate/BY O r / G � , Permit No i\,\ 6c"7 �r
13125 SW Hall Blvd., Tigard, OR 97223 � l t J
Phone: 503.639.4171 Fax: 503.598.1960 Plan Revie
p � F' 1 "'ri1 Date/B %� Other Permit:
Inspection Line: 503.639.4175 1 ; I: y � " �
�' Da Read y: Ions ® See Page 2 for
Internet. www.ci.ugard.or.us =o r Method: /9 k) Supplemental Information
I !' 4 106 1 WOE'
pl.T €)F ► ' . O>w IFEE"t Sd E t LE .., 1IIF £ HECM JS,T
I w ! Mechanical permit fees* are based on the value of the work
U New construction U Addi (.1+4 1113rm®rf $tit performed. Indicate the value (rounded to the nearest dollar) of all
® Demolition El Other: mechanical materials, equipment, labor, overhead, and profit.
t ,?hTF. �f 3' OF C i]?! I RI.tCT10'�l Value: $ e:(00 m
,
I+. 1 f r E.(31illi 4rr$ 1 $ F44# ,
® 1- and 2- family dwelling El Commercial /industrial ® Accessory building
Multi- family Master builder For special information use checklist.
0 Other: Description 1 Qty. 1 Ea. 1 Total
E : i nCM =INFf:I I# #.tlb't'1i'FN , N I 1 .i_oci'lfros Heating/cooling
Job site address: / 6 L 8 S 5 w e 5 *-b 4t)E._ Air conditioning or heat pump
(requires site plan showing placement) 14.00
City /State /ZIP: I, �q t'. 0 rt.... Furnace 100,000 BTU (ducts/vents) 14.00
Furnace 100,000+ BTU (ducts/vents) 17.90
Suite/bldg. /apt. no.: 3 0 I Project name: 62 µ 0,1,-( C e, u u 5 � Gas heat pump 14.00
Cross street/directions to job site: Duct work 14.00
4 447 /kr. 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 a r r liances
;.. ,._ : ..:. il)e:SCRlFTIO 3F=A4 't303lti, heater 10.00
Water eate
� �o ! y / M et `/ Cet- Vet Gas fireplace 10.00
(
/' ✓ / eJ f � J - 9�-�' Flue vent for water heater or gas
li/ef/ (JLt r-ff tt/o / -fc , r/ f ' 47 1 P,y1 , / it (.7o Aerie c t± s r fireplace 10.00
Log lighter (gas) 10.00
P u c" f (F-" SS- SW/ 7 Sy Y � .4-i .t Wood/ pellet stove 10.00
�'e 4 e 640'1"1" t y,N'4 C- OA /.W bid /2GG4i�1 Wood fireplace /insert 10.00
".t C6f'l =f T r #IWM :' !ranee liner /Flue /vent _.,�:a, �..,.-:_., ��:_.. ---.. ,,) : - � -
Other: _ 10 .00_ _ _ _ _
Name: Environmental exhaust and ventilation +
Address:
Range hood /other kitchen
equipment 10.00
City /State /ZIP: Clothes dryer exhaust 10.00
Single -duct exhaust (bathrooms,
Phone: ( ) Fax: ( ) toilet compartments, utility rooms) 6.80
Attic/crawlspace fans 10.00
Business name: 140tif C'1 o t.,..* �/ o Fuel piping
i m 10.00
PP g
Contact name: 0 $5.40 for first four; $1.00 for each additional
Address: J ' g• 5 $ - . 0,,,,,,,„ 74-A Furnace, etc.
Gas heat pump
City /State/ZIP: /11j4 ,..' 0 G A , 97 . lee Wall/suspended/unit heater
Phone: (5}3 ) ,2 3- '7? 8 7 Fax:: (s03 ) L 5 3- - )C ?..3 Water heater
Fireplace
. att' 4 ' 3 - ` e 5 • S Range
CONTRACTOR Barbecue
Business name: ck L.-) (60i_eto 1 Clothes d er gas
Address: � �„ 4 JL Other:
'7�" MECHANICAL PERMIT FEES*
City /State /ZIP: Subtotal
Phone: Minimum permit fee ($72.50)
( ) Fax: ( ) Plan review (25% of permit fee)
CCB lie.: C/ /31 ,eu \ 5 - - G 7 State surcharge (8% of permit fee)
v TOTAL PERMIT FEE
Authorized signatu `: �� _ This permit application expires if a permit is not obtained within 180
r
days after it has been accepted as complete.
Print name:p -�, S4 r e.... Date: 8 -Zte"^' Q .r-- * Fee methodology set by Tri- County Building Industry Service Board
i\Building\Permitss\MEC- PermitApp.doc 12/03 440-461 7T (I I /02 /COM/WEB)
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MEC200 (-00372
13125 SW Hall Blvd., Tigard, OR 97223 4 DATE ISSUED: 8/25/2006
Phone: (503) 639- 4171
4c)
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 8/31/2006 TIME: 7:00AM PAGE: 48
SITE ADDRESS: 16285 SW 85TH AVE 302 CLASS OF WORK:
SUBDIVISION: DURHAM HALL BUSINESS PARK LOT #: TYPE OF USE:
PROJECT NAME: QUALITY COUNTS
DESCRIPTION: Roof top HVAC unit w /duct work & controls. Valuation: $13,800.
OWNER: BIRKEMEIER, BRENT T /JANET D TRS, PHONE #:
CONTRACTOR: SUN GLOW INC PHONE #: 503 -253 -7789
Inspection Request Scheduled For: Date: 8/31/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
• 699 Mechanical final 035867 -02 503 -849 5962 N
Corrections /Comments /Instructions:
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PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: �" �` Date: ... Sk o-_ Phone #: (503) 718 - -2-Y2-4