Permit CITY TIGARD MECHANICAL PERMIT
DEVELOPMENT SERVICES PERMIT #: MEC2004 -00761
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 11/19/2004
PARCEL: 1S135BC-00600
SITE ADDRESS: 10775 SW CASCADE AVE
SUBDIVISION: ZONING: I -P
BLOCK: LOT: JURISDICTION: TIG
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:
ELE 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: 1 OTHER UNITS:
> 10000 cfm: GAS OUTLETS:
Remarks: Add new 3 ton roof top unit.
Project Value: $9,900.
Owner: FEES
AMB PROPERTY L P Description Date Amount
BY TRAMELL CROW NW INC [MECH] Permit Fee 11/19/20( $229.70
3131 S VAUGHN WAY # 301 [MECPLN] Plan Rev 11/19/20( $57.43
[TAX] 8% State Surchart 11/19/20( $18.38
Phone:
Total $305.51
Contractor:
AMERICAN HEATING INC
1339 SE GIDEON ST, STE. 1
PORTLAND, OR 97202 REQUIRED INSPECTIONS
Phone: 503 Mechanical Insp
Final Inspection
Reg #: LIC 33135
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)24- .••.
Issu: By: ,._ =� %' Permittee Signature: .
Call (503) 639 -4175 by 7:00 P.M. for inspections need/. the next business day
Mechanical Permit Application FOR OFFICE USE ONLY ''`
Cltyfof Tigard Date/Sy: (( �6 / PernutNo.: /0 � �M W 7 V/
13125 SW Hall Blvd., Tigard, OR 97223 Plan Review
Phone: 503.639.4171 Fax: 503.598.1960 AgpvBiiy,. �4 � ,+ Date/By: Other Permit:
Inspection Line: 503.639.4175 , e 'i I Date Ready /By: Ed See Page 2 for
Internet: www.ci.tigard.or.us �`� W Notified/Method: Mill Supplemental Information
, _..... . ,. � 4" y,. TT'P OF WOR . , - ,,a ,, COMMERCIAL F *, SC ,,,., , :IJSE CF IST
❑ New 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, overhead, and profit.
;: r :: •x . ` . CO NSTRU- _.*.. C '' • Value:
° F , CATEGORY- 1 10K OCTION $ 4 d • c0
'RESIDENTIAL.E Q UIPMENT`'SYSTEMS FEES*
❑ I- and 2- family dwelling Commercial /industrial El Accessory building
For special information use checklist.
❑ Multi- family ❑ Master builder ❑ Other:
Description Qty. Ea. Total
.,?. sa:: « :o-,'e ,,. �t'k'�i{'S� ar� -. ��:3��:.:;� ,. .. �. .. . . ,��n.��..x x_,;;<� x ez.r�: �,<;:;: .. ��r :,xsv�- znm �;:;,; �. d..
F `'" > ` i �� JOB �S s TaOCA TI®N . ' Heating/cooling
Job site address: / 0 7 7 ) $ (,,) Ces C Z _ (34,1/10, Air conditioning or heat pump
(requires site plan showin g placement) 14.00
City/State /ZIP: 17C MO Q °L Furnace 100,000 BTU (ducts /vents) 14.00
Furnace 100,000+ BTU (ducts /vents) 17.90
Suite/bldg. /apt. no.: Project name: 5 ap. alai 40 Gas heat pump 14.00
Cross street/directions to job site: G'�� • Duct work 14.00
e 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.: ,/e5'/33?. . O Other fuel appliances
'if a r;,,n e s r e,, c,w� V i a r 1 a Water heater 10.00
V r ba t- �ESGRIPTION- OP' WORK r ` . - , g
CS a, :-. _. - ,�; • "a:d a"%,,., �.. as°s�z;�h...�c�anrsaszc... �m<�a� >. .:... _ess �.�.; u., <'+,x� _ _.n ..r .. � ._ -, rs.
Gas fireplace 10.00
A d o 3 'Taw ,41 , - C lOtTlu J 2'L Flue vent for water heater or gas
fireplace 10.00
Log lighter (gas) 10.00
Wood /pellet stove 10.00
Wood fireplace /insert 10.00
;';,:_, ..„.. .: h���:�.:,.���.s:� bA� *.. Chimney/liner/flue/vent
:k'� = - :�j ... � ��i�: tSi�B� ";'�e .gy:.�s e�'�:�: i�:a�:= :a<'.:^ . ? ",. :�y" y ° ,`."rr.�,.:;�
��i.:�'u� }.r;�`,. .
t: z ,.S OPERTY OWNER .. , r TENANTk
p .. ,.:`, . <1 ., ,,_ ."'
0 �z �� � � _. -��� t:,. -s �,;,� . � Other: 10.00
ctI Name: 7 >j,„" e 4 .0 C X/4/? Environmental exhaust and ventilation
Range hood /other kitchen
L
-� Address: 4/F. l9 05a) gfer7A.oi.!/.S `Pd -d /.50 equipment 10.00
City/State/ZIP: 4a.162-- C)S (,L)G lO 0,8_ 97 r Clothes dryer exhaust 10.00
Single -duct exhaust (bathrooms, •
Phone: (3 ) 105/ 94 Fax: ( ) toilet compartments, utility rooms) 6.80
{ i 3 _ K NT t i `
'1
., CONN,A: T PE fV r Attic /crawl fans 10.00
Business name: y Other: 10.00
A IA1 L+tiLt t4�./ �°] L�"�' ` Fuel piping
Contact name: 0 4 6 4 00(.4-144W $5.40 for first four; $1.00 for each additional
Furnace, etc.
Address: /1 5 ct S(� a' C'-r: Gas heat pump
City/State/ZIP: A A ,..i.0 6 4. T 7 2.02- Wall /suspended /unit heater
Phone: ('2 3) 23 ci _ y6,04 Fax: : (c0) ) 23 4' , . 70 f ge' Water heater
Fireplace
E -mail:
Range
tp g Ml x i ' '3`fr� r- r ,.rt ai a s ztt °r- RAt .:
..; . , ..E Al � C Ffiei . ; # .-�`: Barbecue
. _< . mss. -.: � ��� .,r.�.�:�;� �., � ..... ±, .. .. _. <�
Business name: A 0�,� 4w , A+4
Clothes dryer (gas)
/� Jr her:
Address: r 3 IC Se C.� / e tl ✓ + ; a",.'. ;, < ; MEG H AIVICALrpERM1T <FEES *,
City/State/ZIP: p0 2Tt- A ®< 97242- Subtotal 70
Phone: ( ))) 27 ( ®N Fax: (U? ) 21 Q " 70.1 Minimum permit fee ($72.50)
Pl an review (25% of permit fee) 5 7, f 3
CCB lie.: •? (3 S" State surcharge (8% of permit fee)
TOTAL PERMIT FEE
Authorized signatur �/ This p ermit application expires if a permit is not obtained within 180
. T ` days after it has been accepted as complete.
Print name: L Date: L 0 * Fee methodology set by Tri- County Building Industry Service Board
i:\Building \Permits \MEC- PermitApp.doc 12/03 440 - 4617T (I I /02 /COM/WE13)
CITY OF TIGARD 24 -Hour
BUILDING Inspection Line: (503) 639 -4175
INSPECTION Business Line: (503) 639 - 4171 MST
BUP
Received 1 (? Date Requested 16)- ( AM PM BUP
Location J te - rZ, S t G �� MEC c� ( k" 6) > 1 4
Contact Person c'JV !.t Ph ( 563 ) 5 7 � — '50 PLM
Contractor (� Ph ( ) SWR
BUILDING Tenant/Owner ELC
Footing
Foundation ELC
Ftg Drain Access: ELR
Crawl Drain
Slab Inspection Notes: SIT
Post & Beam
Shear Anchors
Ext Sheath/Shear
Int Sheath /Shear
Framing
Insulation
Drywall Nailing
Fire wall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling r
Roof J -
Other: _
�! 7
Final f 1� W
PASS PART FAIL / V v
PLUMBING';° I '
Post & Beam
Under Slab
Rough -In
Water Service
Sanitary Sewer
Rain Drains
Catch Basin / Manhole
Storm Drain
Shower Pan
Other:
Final
PASS PART FAIL
__ _HANK
P t
Rough-In
Gas Line
Smoke Dampers
� PART FAIL
ICAL;
Service
Rough -In
UG /Slab
Low Voltage
Fire Alarm
Final Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
PASS PART FAIL
SITE ' 0 Please c. for reins, ection RE: El Unable to inspect - no access
Fire Supply Line s?
ADA
Approach/Sidewalk Date Inspecto P ` Ext
Other:
Final DO NOT REMOVE this inspect on record from the Job site.
PASS PART FAIL