Permit CITY TIGARD MECHANICAL PERMIT
DEVELOPMENT SERVICES PERMIT #: MEC2005 -00321
��l 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 6/8/2005
PARCEL: 2S 115AA -OTOOA
SITE ADDRESS: 16215 SW 108TH AVE BLDG D ZONING: R -25
SUBDIVISION: OAK TREE APARTMENTS LOT: OOA JURISDICTION: TIG
Project Description: Exhaust venting for baths /laundry and kit. micowave. Value: $4166.00
CLASS OF WORK: NEW FLOOR FURN: EVAP COOLERS:
TYPE OF USE: MF UNIT HEATERS: VENT FANS:
OCCUPANCY GRP: R1 VENTS W/O APPL: VENT SYSTEMS:
STORIES: BOILERS /COMPRESSORS HOODS:
FUEL 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 [MECPLN] Plan Rev 6/8/2005 $30.77
[TAX] 8% State Surchar€ 6/8/2005 $9:84
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. ATTENTION: Oregon law requires
you to follow rules adopted in the Oregon Utility Notification Center. Those rules are set i OAR 952 - 001 -0010
through OAR 952 - 001 -0100. You may obtain copies of these rules or direct questio r o OAC by calling )" 6 -6699
or 1- 800 - 332 -2344.
.s
Issued By: ��6� �,���GL Permittee Signature: , /.c%.�� �.�
Call 503 - 639 -4175 by 7:00 a.m. for inspectio •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 Ap. ; :l ica ti.�n �� ® i. ; , ; ,Y ., . FOR OFFICE USEONL Y ;, : , . t � - .;., ,.
City of Tigard Ifs � Received permit No.
13125 SW Hall Blvd., Tigard, OR 97223 (
Plan Re : Al l .�a� ... 3.24 �' 0 8 200 Date/By: Review
Phone: 503.639.4171 Fax: 503.598.1960JU1v Gei mil t r '1\ B
Inspection Line: 503.639.4175 M � .'�I I e Other Pe 1�� e 2 for
Internet: www.ci.tigard.or.us 00/.6:v1/67r
`^ �.� Date Ready/By: Juris: S S.F. Page for
l< Y oF TiGARD Notified/Meth Supplemental Information
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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
❑ Demolition ❑ Other:
mechanical materials, equipment, labor, ver ea and profit.
I ti a ':: .�� it - a ,;.. :.�-�'�» .�,rsf:x ra ::u.:< rte >� , ^P5 , gi:
+. ^' Value
txX �- �; &.' S " ��` `f :CA: EUORY OF GOI , ,e.: CTi01 = "„ r' ' ' ,. s; i, $ I
....:: �a<,:.,..:,>., �.. �.," ._�.�....�wa�tz= .:_.,...•�:o--. .mss- :�.�;rm- eraaxa,.r �z. V- :�sa- ..�F.� z:" a;zs �.- �e�'c".�L,°u iw. '.;.��c �
_w' ` #z- ��,,.z:��:" :ate � :���s��•s.� .. �, •, -, zv,.. ..; . . •
E ❑ 1 - and 2- family dwelling ❑Commercial /industrial ❑Accessory building '' »^ 410. W T µ TAL PQUlI; l ;N f.= MITTMS - F ES*
1 v: _"i s. ... . > •, ;' . -_ •.; MITT tom_ ...
�[r Multi- family ❑ Master builder ❑ Other: For special information use checklist.
( ,:`: ;,'t�= .,,;,.rri- z -':�� sr. �.i - :�:1w;�.', ' ,f Description Qty. Ea. Total
^ v t t7 T33'i fa∎eiOR A` `InN:r A - L"OCATIQl�" , : ,',f; �; , : ;i , r*
X � via .,s r*f x-21 � " .�.,,4,.. ,:,,, -:., s e ,- , 14., , m,i;; : t Heating/cooling
Job site address: _ �/) n „ Air conditioning or heat pump
1(0 av C u ��11a - J�' � u (requires site plan showing placement) 14.00
City/State /ZIP: Furnace 100,000 BTU (ducts/vents) 14.00
Suite/bldg./apt. no.: Project name: i ' Furnace 100,000+ BTU (ducts /vents) 17.90
d`" 4L- 12'`z? Gas heat pump 14.00
Cross street/directions to job site: Duct work 14.00
T� w °z i Hydronic hot water system 14.00
b 4- 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
d.R ,.+_, 1: °ii !? 'f- :t'"'s.. - ,ass - te a.` ; -:x ,t.sx -'*, -xs+ ,::rsetei: givp?` �- i, , , ., :ia4.: , '=
o � ee � - f.��ry��, (�� r;� �. ', F r' .t y � �•�: p2 Water heater 10.00
*635a?i5i lir:':' r.�, a,eVV ,. �•� ; W'v. EMYA VM ] ' a�.y #. iea i « � deb ::i t'&
�'' U l .. , .... � .:.�..��.., : Gas fireplace 10.00
AN. 'C "� \ U 4 R- -) t CI - , .cstk� / t-„ k-,- �•.id4 '2 L S Flue vent for -water heater or gas
i �� '" �t Wk- fireplace 10.00
r
K. U „ Y + Log lighter (gas) 10.00
Wood /pellet stove 10.00
Wood fireplace /insert 10.00
.; ..;. .rte .r „'{ -.a ate. ; . Chimney /liner /flue /vent 10.00
* PI20) oWNEM s `' i Tl A " >'., "
� -�-` '�`�� w -w �' Other: • 10.00
Name: a' ` _ L L,,,
Z Environmental exhaust and ventilation
Address: r t t Range hood /other kitchen
r7 /c:� S -� y t �J S equipment 10.00
City/State/ZIP: L tL_ C .P 5 o b --7b. Clothes dryer exhaust 10.00
Single -duct exhaust (bathrooms,
Phone: (50.21 ( a c) u S r? Fax: ( ) toilet compartments, utility rooms) 6.80
,.r. .> a : - ; -APp1 I C ' = ?,'`. ` , ' ` ' T fi Attic /crawlspace fans 10.00
xi��' ��: �::: �3�.. ��,, �,. �; �.. �. �., > q�.,t >2z�� '��'�:;���:i " �:, �.C�ON�ACT`�:�PE�2S0� �
.. +E, ��aM " t '.' 's4.'"v,11Tv'�+w *:s k.,a`n`N;A $ � »'i.
Business name:
Other: 10.00
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
ItPA� % i s 4} : ":- O
- CLYT Tle WA'' .-i ,.' "s . f ` ,P- Barbecue
�. �` �: +r�"a".a�a .v" �,e�. z.x 'e°+,w..y >3 e .; r�i?, gat• -�st c`';�.
Business name: C2--.) Clothes dryer (gas)
Other:
Address: � 1 i;i . t y - 1: <,
L} S �� J 1 � A..-C ;CHAI IC ,P ?? I= NAE'ES* ,:- '.
City/State /ZIP: "--\-- n a 01 - 7 22 S Subtotal
Phone: (..50 ( \ Fax: ( G Minimum permit fee ($72.50)
`Y Plan review (25% of permit fee)
CCB lic.: 1-Z ` 5 Z State surcharge (8% of permit fee)
/ TOTAL PERMIT FEE
Authorized sigma e: E 1 This permit application expires if a permit is not obtained within 180
days after it has been accepted as complete.
Print name: / , ,,.�.7 A 0 C 'c . Date: 6 ,.„ - ---' * Fee methodology set by Tri- County Building Industry Service Board
; \A..:1.1,,.d D....Jro NA n.. -...:. n., -.,,. 11in1 nnn ■<nr Ill im,naenaroon
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MEC2005-00321 i
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/8 /2005
Phone: (503) 639 -4171 AAa41ml���l " l
Inspection Requests (24 Hrs.): (503) 639 -4175 ...! F'..
INSPECTION WORKSHEET FOR DATE: 10/26/2006 TIME: 7:10AM PAGE: 23
SITE ADDRESS: 16215 SW 108TH AVE BLDG D CLASS OF WORK:
SUBDIVISION: OAK TREE NO. 2 APARTMENTS LOT #: OOA TYPE OF USE:
PROJECT NAME: OAK TREE II APARTMENTS
DESCRIPTION: Exhaust venting for baths/laundry and kit. micowave. Value: $4166.00
OWNER: 0T2 LLC. PHONE #: 503- 620 -4373
CONTRACTOR: KEYWAY CORP PHONE #: ' 503 - 6845100
Inspection Request Scheduled For: Date: 10/25/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 019267 -01 502 -888 -2082 Y
Corrections /Comments /Instructions:
Ail 7
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IVA f. . . _ _
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PASS ❑ PARTIAL APPROVAL n CANCEL ❑ NO ACCESS
❑ FAIL n CALL FOR INSPECTION ADDITIO AL FEES ASSESSED
X11
WIT Inspector: Dat e: CI � A " , Phone #: (503) 718-
1