Permit A
CITY OF TIGARD MECHANICAL PERMIT
101• DEVELOPMENT SERVICES PERMIT #: MEC2005 -00318
,,JAI 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 6/8/2005
PARCEL: 2S115AA -OTOOA
SITE ADDRESS: 16005 SW 108TH AVE BLDG A ZONING: R -25
SUBDIVISION: OAK TREE APARTMENTS LOT: OOA JURISDICTION: TIG
Project Description: Exhaust venting: baths /laundry and kit. micro. Value: $4166.00
CLASS OF WORK: NEW FLOOR FURN: EVAP COOLERS:
TYPE OF USE: MF UNIT HEATERS: VENT FANS: 0
OCCUPANCY GRP: VENTS W/O APPL: VENT SYSTEMS:
STORIES: BOILERS /COMPRESSORS HOODS:
F UEL TYPES 0 - 3 HP: DOMES. INCIN:
ELE 3 - 15 HP: COMML. INCIN:
MAX INPUT: BTU 15 - 30 HP: REPAIR UNITS:
FIRE DAMPERS ?: 30 - 50 HP: WOODSTOVES:
GAS PRESSURE: 50 + HP:
FURN < 100K BTU: AIR HANDLING UNITS CLO DRYERS:
FURN > =100K BTU: <= 10000 cfm: OTHER UNITS:
> 10000 cfm:
GAS OUTLETS:
Owner: FEES
OT2 LLC Description Date Amount
5437 ROSALIA WAY SUITE 100 [MECH] Permit Fee 6/8/2005 $123.10
LAKE OSWEGO, OR 97035 [TAX] 8% State Surchar€ 6/8/2005 $9.84
[MECPLN] Plan Rev 6/8/2005 $30.77
Phone: 503- 620 -4373
Total $163.71
Contractor:
KEYWAY CORP
7475 SW HERMOSO REQUIRED ITEMS AND REPORTS
TIGARD, OR 97223
Phone: 503 684 - 5100
Reg #: LIC 127522
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. TEJ�I�I'CSN:Jregon law requires
you to follow rules adopted in the Oregon Utility Notification Center. Those rules are set -orth in R 952 - 001 -00 8_
through OAR 952 - 001 -0100. You may obtain copies of these rules or direct questio s to OUNC by calling 58.- 4 699
or 1- 800 - 332 -2344.
,,/ - *1
Issued By: a jce„.....,_—_ 4.6 Permittee Signature: ll ' _ _,,c,,,,,,,,,,
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 Application , . , ,.' •, : FOR O FFICE =U SEONLY r 1.:. '`k;'
City of Tigard FIE
V p� �, Received Permit No. � -� 3 I
13125 SW Hall Blvd., Tigard, OR 97223 Date/By: J l
Plan Review
r % ieiN�ihMi ,i'� Date/By: Other P:i��
Phone: 503.639.4171 Fax: 503.598.1960 r. 7 �jyl ... �� •
Inspection Line: 503.639.4175 I'N U Q .' I � Date er Page
Internet: www.ci.tigard.or.us JU � .R . p ', Date ed /Met y: Juris: a See Page 2 for
g Notified/Method: Supplemental Information
_ ,.1Tv CIF TIGARD
;..:�.:"�".`. •._7z.n� - ' �� , r+'ti - s"�' .:�a'>�v" ,. :�*i. 't,,: - .; rx.�,±_ x;.:.x� ^� a:.'�: - _ ::r:",x =� t ?i.x,� : •!a;- _ _
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D ew 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
El Demolition ❑ Other:
mechanical materials, equipment, labor overhe d, and rofit.
';�:,��pM'�p� *�i`'�',., ,r�,y; :.�`,�;'�SM �''?�,.;,s;.Y;- ���:."± =�:;: . ,� .:::�.�>1'.�., 2„�:s. �. �,���c - ;c , -a�'c� ^ -i,�, w�.a,•'�`�. „t w;4 ,:.&v ral $
,r ti _;�,s,;x�' . ' y n; „'. , r: ;n =H ' f;ATEGOO O S.TI2rG" as Wit:„ ^;',�*. ; ,`l, �„.A,,, , x t Value: ,�0 .0
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❑ 1- and 2- family dwellin ❑ Commercial /industrial ❑ Accessory building t1? l' ' , TT ,AI ,FQ [1 1PNI v - v ' : / , SYSTElYI EES
ulti- family ❑ Master builder C1 Other:
For special information use checklist.
`t ;i s az .s .; J® "aS)T „ 'NRO x a , k:. „. , ;,:.,.;
Description Qty. Ea. Total
L�:.R� >..�?� -s„'�� A�� Q�. =i1ND�LOGA2' � %=;:z - :;�....
,a• :.,�.;���:�;Y:- ,r• � �;,,. >EV�.�r�:�x.;, �:.�:=, >,x�:�„.s� Heating/cooling
Job site address: � , , ! I Q d- -- • 6 L'r l/r n Air conditioning or heat pump
1/V ( 0 I d3 rt (requires site plan showing placement) 14.00
City/State /ZIP: I ‘.,1 00 5 Furnace 100,000 BTU (ducts /vents) 14.00
Suite/bldg. /apt. no.: Project name: i / Fumace 100,000+ BTU (ducts /vents) 17.90
d.' `' , 2.2 T Gas heat pump 14.00
Cross street/directions to job site: Duct work 14.00
b r , J '\ i a� Hydronic hot water system 14.00
` l � 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
1�; =;,.,,,...�: :R:t. v.,�n ; "h"'%�.�n"%r7#� 4<ra +',e°::= ?r:fiv3�a ;xa'�w.. _ _..., _
. 'r "a ''' :'.a'+t;'� ;, _ ..?i* '`i s -; ;� i q�.. >.
"�;� --'� v� : „ � ^,' 3 ���'�< " # :4 >i�`a Water heater
.M� r> W � 5- ;=;• S.'CRIPTIOI I ®Fk ,O I{' -44 R .14 ;;,. 11s 10.00
` ' ��:�� <,�a <�':.M:::�..�<� = � �i Ti_ri.. �' �. � �� ' ,: = °:t,'ta� �:' -.:� ����,
.._ Gas fireplace 10.00
. 1 aL �. A U -,,,..4 L- - 2'2 v t ('V t,�.. N 4 2 L(S Flue vent for water heater or gas
I : ,� ( J M - t „ = ..e k. fireplace 10.00
1 I /�- U t� Log lighter (gas) 10.00
Wood /pellet stove 10.00
Wood fireplace /insert 10.00
: Via j.� "' ,.:�. =Y..',' �[�aa ..Y��,. � ea'fs• 2
Chimney /liner /flue /vent 10.00
l- , ..„- ,OI?RQEtnR z fJ1 1VER ;e in di .,- .4 l,` , 4II- NANt Z ;
Z_ � 1,..., Other: 10.00
Name:
{ Environmental exhaust and ventilation
Address: cZ j.4 3 7 t f k I o (� Range hood /other kitchen
S ,,t, o t/ I VVVIILJJI � , ../ equipment 10.00
City/State /ZIP: LA, t _ c", r 5 o '(-. - 2?) '- Clothes dryer exhaust 10.00
Single -duct exhaust (bathrooms,
Phone: (S(j3i C, 2 e) r: It 2 -7 '`' Fax: ( ) toilet compartments, utility rooms) 6.80
algt 4-ch:, ""; .,,'rg- i .vx�, ^A +I;&I':� s�;z'.' N::< <� >, -u y ',.±a:� .:'� ,: s' ea..
ill, 3e ,r:• rs Ag CA = '`I ; ,e.. . tg ; ; 4W I; '10( AG�T�^:PER ON;I "4-'" . Attic /crawlspace fans 10.00
Business name:
Other: 10.00
Fuel piping
Contact name: $5.40 for first four; $1.00 for each additional
Address: Fumace, etc.
Gas heat pump
City/State/ZIP: Wall /suspended /unit heater
Phone: ( ) Fax: : ( ) Water heater
E -mail: Fireplace
} "'" 2, -° :ixre w �d _ Range
to „_ ,ib r;r z. 3' °,• , ,
i.� }�•'��' r c , y `° t . �:;, ,�Q�,''�A r<, ,.,,��� „ _� �a;,. �.,,:,.' 3?��. �� Barbecue
r3�`:.t;_w ; -�z.: �� t .�'.^*. «� +ma; a. R. \a�a�.�.- .x..��.- R�a ^- ..as:.tr.�:::4 - "u �«�s�w.
Business name: Clothes dryer (gas)
An,1 f9 fZ� Other:
Lj
°i-
Address: 1 Li S l 1,.. r MI k A fi
� � �: i?��„ �� � �v v . �� R. 4'f' 1L�1 .v�i�fi.Ew.1,`�� }E�UF"�^'� -_ ^ :
City/State/HP: A r 2 .:..: ..... .. ::... <- ,_.:..: ....... ..
,a 1 '� 2 Subtotal
Phone: ( Q ( 1 1 Fax: p � G Minimum permit fee ($72.50)
Plan review (25% of permit fee)
CCB lic.: 2_ / _ / State surcharge (8% of permit fee)
�f f 1 ,7 TOTAL PERMIT FEE
Authorized signa re: 4 , G . /`� % '' This permit application expires if a permit is not obtained within 180
`� n f A j days after it has been accepted as complete.
Print name: / h a- i/ /// 7 G //ec,.. Date: 6, M- e ..... - --- " * Fee methodology set by Tri- County Building Industry Service Board
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CIT TIGARD
K
BUILDING DIVISION PERMIT #: F0260 fi6316
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/8/2005
Phone: (503) 639 -4171 / l I\
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 9/77/2005 TIME: 7 :05AM PAGE: 90
SITE ADDRESS: 16005 SW 108TH AVE BLDG A CLASS OF WORK:
SUBDIVISION: OAK TREE NO. 2 APARTMENTS LOT #: 00A TYPE OF USE:
PROJECT NAME: OAK TREE II APARTMENTS
DESCRIPTION: Exhaust venting: baths/laundry and kit. micro. Value: $4166.00
OWNER: O r2 LLC, PHONE #
CONTRACTOR: PHONE #: 503
KEYWAY CORP 503- 6845100
Inspection Request Scheduled For: Date: 9/27/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 016640-01 503 -888 -2062 N
Corrections /Comments /Instructions:
1 4 WA a C------------
...7111, _w,
•
PASS n PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
n FAIL ❑ CALL FORINSPECTION ❑ A AL FE ASSESSED
/ , l Inspector: 1' ' Date: • (503) 718 -
j