Permit ..: CITY OF TIGARD MECHANICAL PERMIT
i� DEVELOPMENT SERVICES PERMIT #: MEC2005 -00238
A - "' 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 5/13/2005
PARCEL: 1S135BA-03302
SITE ADDRESS: 10520 SW CASCADE AVE ZONING: I - P
SUBDIVISION: OFFICE DEPOT LOT: JURISDICTION: TIG
Project Description: Adding (2) new rooftop units, exhaust fans, ductwork, and grills.
Project Value: $25,000
CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS:
TYPE OF USE: COM UNIT HEATERS: VENT FANS:
OCCUPANCY GRP: M 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
KP VENTURE LLC Description Date Amount
2519 NW MARSDEN PL [MECH] Permit Fee 5/13/200` $251.75
PORTLAND, OR 97229 [MECPLN] Plan Rev 5/13/200` $62.94
[TAX] 8% State Surchaq 5/13/200` $20.14
Phone:
Total $334.83
Contractor:
HVAC INC
5188 SE INTERNATIONAL WAY REQUIRED ITEMS AND REPORTS
MILWAUKIE, OR 97222
Phone: 503 462 - 4822
Reg #: LIC 50897
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 -801 . --
Is ! ed By: , `_iiJiA, ; 61 Permittee Signature: V <% 6 4.4t.,011
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 A 1 1�.'�� ,. ED FOR OFFICE USE ONLY _ , .
City of Tigard Date/By: / i � Permit No.. /`t -CO a�
13125 SW Hall Blvd., Tigard, OR 97223
Plan Review
Phone: 503.639.4171 Fax: 503.598.1960 �p A 1 2pp a.�i g oiv �s + I iii DateBy: y Other Permit:
Inspection Line: 503.639.4175 1, "1 0 . •' I, Date Read /B MI g El See Page 2 for
Y �
Internet: www.ci.tigard.or.us r" "" N _ °"' Notified/Method: Ready/By: Supplemental g FTIG
�..�� �, . .:��� � � - > A.. � p z0 � ; -fi � 4 , � % .'� G SG
� . .b » ^ �' > � - •�
❑ New construction � on/alteratio eplacement 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.
toxin. i m x 3,, s .. �, ., =k .. , Value: $ • trC
, _.,. t� � � ��co�sTZZ �cTIO� � � � . .
:, >:}',� . �_w.,. , .. > . sic. , , <:. ; .»a. ,r36iF =: � •iK.+r..,";*��a. „ .� . �, �,�. , ,� � .
tiMD1;ArTTAL EQiIIME
PNT /SYSTE EES MS ,4F
❑ 1 and 2 family dwelling Commerci industrial E] Accessory building `''' " '"
For special information use checklist.
❑ Multi - family aster builder ❑ Other:
Description Qty. Ea. Total
�;� -.._ •�• �,;� ,, ,. " ��; � °.v���',r'" ca+sx?<: �, •. +"tt...:s;:,�., c';�� =:F. °,.: b ra= a�'�, „a•, #s.x � €ss ��_<� ., y �,;,: ^r ° €'.�;:.
' �. >. 1 JOB SI7aE r I IFORMA�TId?4 D LOGATIO ; 3' ”` { Heatin coolin
a' , ;_ .,ms's .� �a � ...,�r.� ,?,,,, �*,� �"r, : ,�,. nrc a., {#�?g; ':�'.: �,i ha: »a � P-,� g
/ �Q�/f Q Air conditioning or heat pump
Job site address:
/o5.1 o SW CQs i'ae(G &el (requires site plan showing placement) 14.00
City/State/ZIP: '"-- Ore 9 72.z.3 Furnace 100,000 BTU (ducts /vents) 14.00 _
J
Furnace 100,000+ BTU (ducts /vents) 17.90
Suite/bldg. /apt. no.: Project name: _O [girl. Gas heat pump 14.00
Cross street/directions to job site: 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
E r 'S. k ,. a l ESaRIPTIUV " ,: x ii Water heater 10.00
f Gas fireplace 10.00
. /iii'► ; r! /i:r .- 1� @ het() L Att itio ( IO wita Flue vent for water heater or gas
Giali f--Ca-4,5 J (- S � q 0 s4„...1+- fireplace 10.00
t Log lighter (gas) 10.00
Wood /pellet stove 10.00
Wood fireplace /insert 10.00
y am., ,m. .w Chimney /liner /flue /vent 10.00
v " R OPERT � m. , - „ ,, ii. s. ' i As,. = TEN , , - .®'r :E.
r ° , i " . '(��i N i t. .. -R Other: 10.00
i
Name: � i' TT 3 - -t Environmental exhaust and ventilation
Address: VVV 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
�` t �� °� �'"' °� � � �� `"��'` `�" "�'�� 71 >t ; f;. ,,.yA� P�ICA11YxT , - ,. wGONTACTEFRSO
Business name: p t' Other: 10.00
f 1e TA Q.---) Fuel piping
Contact name: Ly $5.40 for first four; $1.00 for each additional
Address: �� Furnace, etc.
Gas heat pump
City/State /ZIP: Wall /suspended/unit heater
Phone: ( ) Fax: : ( ) Water heater
Fireplace
E -mail:
Range
�I. vill a_, _: nr- r - - -- ' �Ia _ P
GONT Q - v, Barbecue
. � ?�¥.$..GZ4.. .� ``�� �� „r..,v e „a.,,,,,,.4;— `;� cb'..�G..`n x A _..��� - .� - ` M�, .�r ' �"'�",. ePI
Business name: f.,,U�fl `�,�Lt J Other:
Clothes dryer (gas)
S '�—(
Address p / §; .: - xv >; •rte::¢..::
: � V3?s E �My � t/u , :s,. ,,,, �11IECfiarg. AI `P,.EI
City/State /ZIP: R, C ,-- 01 . tea') Subtotal
Minimum permit fee ($72.50)
Phone: 3) t+CD�_(10,� x: ( 5� ) �(�oa�(,555 Plan review (25% of permit fee)
CCB lie.: i 0S '7 State surcharge (8% of permit fee)
TOTAL PERMIT FEE
Authorized signature: l /�
This permit application expires if a permit is not obtained within 180
t/I t✓J days after it has been accepted as complete.
Print name: . 4 C, 0,. owY\SaV1 Date: 5/ 1 d. 5 Fee methodology set by Tri- County Building Industry Service Board
i:\Building\Permits \MEC- PemtitApp doc 12/03 440 -46I7T (I I /02/COM/WEB)
Mechanical Permit Application - City of Tigard
Page 2 - Supplemental Information
Commercial Fee Schedule:
dotal .' Permx# Pee
$1.00 t o $2 M inimum f ee $7 2.50
$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\MEC- PermitApp.doc 12/03 2
CIT:F TIGARD
BUILDING DIVISION PERMIT #: MEC2005 -00238
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/13/2005
Phone: (503) 639 -4171 :fiu�u�flti�1 °
Inspection Requests (24 Hrs.): (503) 639 -4175 ...': �_ -.!
INSPECTION WORKSHEET FOR DATE: 7/11/2005 TIME: 7:07AM PAGE: 60
SITE ADDRESS: 10520 SW CASCADE AVE CLASS OF WORK:
SUBDIVISION: OFFICE DEPOT LOT #: TYPE OF USE:
PROJECT NAME: OFFICE DEPOT
DESCRIPTION: Adding (2) new rooftop units, exhaust fans, ductwork, and grills.
Project Value: $25,000
OWNER: KP VENTURE LLC, PHONE #:
CONTRACTOR: HVAC INC PHONE #: 503 -462 -4822
•
Inspection Request Scheduled For: Date: 7/11/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 011142 -01 503 -253 -5168 N
Corrections /Comments /Instructions: •
1 or Wit
7
,.
P ASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
(i FAIL. n CALL FOR INSPECTION ❑ ADDITIONA FEES ASSESSED
MI f 1,
Inspector: Date: 1 Phone #: (503) 718-