Permit 4 4, -- CITY OF TIGARD MECHANICAL PERMIT
0 DEVELOPMENT SERVICES PERMIT #: MEC2004 -00616
x �' ll 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 10/7/2004
PARCEL: 2S113AB-01400
SITE ADDRESS: 07358 SW DURHAM RD BLDG G
SUBDIVISION: FANNO CREEK ACRE TRACTS 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:
LPG 3 - 15 HP: COMML. INCIN:
MAX INPUT: 45,000 BTU 15 - 30 HP: REPAIR UNITS:
FIRE DAMPERS ?: 30 - 50 HP: WOODSTOVES:
GAS PRESSURE: 50 + HP:
FURN < 100K BTU: 1 AIR HANDLING UNITS CLO DRYERS:
FURN > =100K BTU: <= 10000 cfm: OTHER UNITS:
> 10000 cfm: GAS OUTLETS: 1
Remarks: Rooftop HVAC Value: $8200.00
Owner: FEES
PACIFIC REALTY ASSOCIATES Description Date Amount
15350 SW SEQUOIA PKWY #300 -WMI [MECH] Permit Fee 10/7/200z $199.10
PORTLAND, OR 97224 [MECPLN] Plan Rev 10/7/200 $49.78
[TAX] 8% State Surchar€ 10/7/200 $15.93
Phone: Total $264.81
Contractor:
PROTEMP ASSOCIATES INC
9788 SE 17TH AVE
PORTLAND, OR 97222 REQUIRED INSPECTIONS
Phone: 233 Gas Line Insp
Heating Unt Insp
Reg #: LIC 38868 Duct Inspection
Final Inspection
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes
and all other . applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is
not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law
requires you to follow rules adopted in the Oregon Utility Notification Center. Those rules are set forth in OAR
952 -001 -0010 through OAR 952 - 001 -0100. You may obtain copies of these rules or direct questions to OUNC by calling
(503)246 -6699.
Issued By: Permittee Signature
Call (50 ) 6394175 by 7:00 P.M. for inspections needed the next business day
-) 58 l w p u L I/ ,n _ o p -- oco i7_
Mechanical Permit Application FOR OFFICE USE ONLY
Received Per mit No
City O Ti x'el Date/By: � s�0� 1S�d'l' Dd
Y:
13125 SW Haftelvd., Tigard, OR i
P
Other ermt:
9 r .
ED Plan Review �
Phone: 503.639.4171 Fax: 5121 60 C V /ua�vniy ' � ,� Date/By: ID - i - /,i$i. O t [�'a�, ! - 00,1%
Inspection Line: 503.639.4175 ��rr {� e' j II Date Read B / / y 1 0 See Page 2 for
Internet: www.ci.tigard.or.us
coRr�tA 1J SEP 1 S L 11i � Notified/Method8 fr , H g /v ( (� Supplemental information
� -a� ;�� ;. ,�a� ;:, �<,,1..m� =,., �. � ` "aT 1 S EfiCE IE CICLI S
❑ New construction AI 1 y���'i my at'94it1Tfa Mechanical permit fees* are based on the value of the work
OA performed. Indicate the value (rounded to the nearest dollar) of all
❑ Demolition M Other: echanical materials, equipment, labor, ' overhead, and profit.
,,, i r , 4 ,, ..": .I ' :a ,,,,, xe : -, s'?sc r . .. E *" . �, '�, -.•,� r' Value: $ do � W ov
r , , CAtTA O NN,.•; GONSTR U -s? " CTION _ a' �
.-. `�'`a� -� �. €S �`ta. :.ca, x.'r'a�x -... -_ •_ sa€ r as�, � -r. _ , cc:.�c.?'"°� -.,� -:a� °: ".1°:'szr.� .r^ N,_ -, , _
"Y 't'RED TFA , , iiiiT VIEIVT / SYSTEMS EEES*
❑ I and 2 family dwelling ''Commercial /industrial ❑ Accessory building :1i�i► '
•r special information use checklist.
❑ Multi - family [❑ Master builder ❑ Other:
Description Qty. Ea. Total
, „a ��,.?;� :: ,�-� i� �"��:� ».;sxi'�.�� ���z :,.s*.:anx:.:= 'z,.,.�.'�.�s" ce, �sz:" see. . m: �...:. A<., xcE��- rz: c... ,�,n'- ..: ; p',.�.:_,�:,,..T <;
>, A, ?� s ' a B:,SI E NFORl�1ATION AI�ID1I OCATION '. r V > �° s , Heating/cooling
7 �j j a Air conditioning or heat pump
Job site address:
7J �U 0 (J /Z.,4 7 / 0 , (requires site plan showing placement) i 14.00
City/State/ZIP: 7 2 V OReG,o/• '72 2.Y Furnace 100,000 BTU (ducts/vents) 14.00
Furnace 100,000+ BTU (ducts /vents) 17.90
Suite/bldg. /apt. no.: Project name: CO2 frA)
Gas heat pump 14.00
Cross street/directions to job site: : 2.4 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
a.R a`�` ''''',T, at °- ,s „. . tc� w . ' k , : Water heater 10.00
mow: i , . _ : ^�. � 4 . i:- .. DESGRIPT IOIV, i OF WO l<tK, imWx t , < , 4,. - w i
p T _ Gas fireplace 10.00
/�
Ale40 ooG / d p G. P/9 k_ U/V // / ,(>J ( Flue vent for water heater or gas
r nn , / firep 10.00
C.o.v1A G4' /`tG l-/,CP 4 - / d DA - Uv4 / Log lighter (gas) 10.00
• Wood /pellet stove 10.00
Wood fireplace /inser• 10.00
,;„ _ -- .. ;.> • r - , . < d , Chimney /liner /flue /vent 10.00
� � �. ;ar >.rx�..��:rs�a�. �,, . {gym ,..
' c l �sPROPER.4. k t , ,' _ ... .A°' NA1V =' . oth 10.00
Name: C Environmental exhaust and ventilation
Address: s/ -�jt1� 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
. a'. se:.,','t ' F.. i . °- 3 <.;..,..r.: •:.,, r c Attic /crawls ace fans 10.00
. ., �€ ,ArPPLIC't1NT l® CONTAG2,, ,RSON 3n' '
<, a.«.., F .:. w ,,a, Other: 10.00
Business name:
920 ) 1°,4i/e Fuel piping
Contact name: .8Ru. ce_ a V j am/ Cad----r44--a-i--c---7 $5.40 for first four; $1.00 for each additional
Address: 9 7 5 Ste, `7 /y Furnace, etc •
Gas heat pump
City/State /ZIP: Akio 1 A.1 0/l�lD"✓ 9 7 1ZZ Wall /suspended/unit heater
($'"03) 2 3 / (5� �,3 0 „ ` p x , Water heater
Phone: ' IEa Fax: : . O Fireplace _
E -mail: - 15 Range
",t' ,P' ifi S`err ; b ' { z,. , ` ce,: .; .3' was. � ,'.w.s - :as<:!r � o A x . , „ ,i �1 y{�; '1;4:77:11,....14.M.112:41
'gI;k - i;ft � 0 ; O T C - .�. 6 71M .:: < . Barbecue
Clothes dryer (gas) i
Business name: S;q").) Other:
Address: t '' ' 4e5 I V I E Wl AI RI FEE S'*' r ..
City/State /ZIP: Subtotal / l'q, /0
Minimum permit fee ($72.50)
Phone: ( ) Fax: ( )
Plan review (25% of permit fee) q q. f g
CCB lic.:,? ?g,C 5- State surcharge (8% of permit fee) i 5. 9?
TOTAL PERMIT FEE 2 49.
—
aCuthorized signature: This permit application expires if a permit is not obtained within 180
Gc1 days after it has been accepted as complete.
Print name: /SR (,J c e— 13 'j A/ e,A.— Date: 9 -- /s e95/ * Fee methodology set by Tri- County Building Industry Service Board
i:\ Building \Permits \MEC- PermitApp.doc 12/03 440 -4617T (11 /02 /COM/WEB)
•
Mechanical Permit Application - City of Tigard •
Page 2 - Supplemental Information
;i
Commercial Fee Schedule:
T9ta14 alua1on, ; Aid P ermrt Fce . k g, ';
$1.00 to $2,000.00 Minimum fee $72.50
$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
CITY OF TIGARD 24 -Hour
BUILDING ( Inspection Line: (503) 639 -4175 MST
INSPECTION DIVISION Busineds Line: (503) 639 -4171
BUP
Received Date Requested / / AM PM BUP
Location Suite MEC c n O q -60 & I O
Contact Person Ph ( ). 5/ 9 ""' (' 9 PLM
Contractor Ph ( ) SWR
BUILDING Tenant/Owner C "�� -1 ELC
Footing
ELC
Foundation
Ftg Drain Access: ELR
Crawl Drain
Slab Inspection Notes: SIT
Post & Beam
Shear Anchors
Ext Sheath/Shear
Int Sheath/Shear
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling i
Roof
Other:
Final =NM r.11 r.
PASS PART FAIL •
PLUMBING
Post & Beam
Under Slab
Rough -In
Water Service
Sanitary Sewer
Rain Drains
Catch Basin / Manhole
Storm Drain
Shower Pan
Other:
Final
PASS PART FAIL
MECHANICAL
Post& Beam
Rough -In
Gas Line
Smo. - Dampers
PASS PART FAIL
EL • RICAL
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 El Please c4 / ' inspector rein ection RE: El Una • - o insp = t — no access _
ADASupply Line 1 ► `. f
Approach/Sidewalk Date KILN/ L ' . S Ext
Other:
Final - DO NOT REMOVE this inspection record from the job site.
PASS PART FAIL
CITY OF TIGARD 24 -Hour
BUILDING Inspection Line: (503) 639 -4175
INSPECTION DIVISION Business Line: `(503) 639 -4171 MST
BUP
Received Date Requested c:) 40 AM PM BUP
Location 73Sr Suite /St EC ?eV 5
Contact Person �-�. � -
°h ( ) a30 b l/ PLM
Contractor Ph ( ) SWR
BUILDING Tenant/Owner ELC
Footing
Foundation ELC
Access:
Ftg Drain ELR
Crawl Drain
Slab Inspection Notes: SIT
Post & Beam
Shear Anchors
Ext Sheath/Shear
Int Sheath/Shear
Framing
Insulation
Drywall Nailing
Fi rewal I
Fire Sprinkler ��,
Fire Alarm � �
Susp'd Ceiling - /'
Roof !NW
` /
Other: 'r r
Final 1 `�
PASS PART FAIL
PLUMBING •
Post & Beam
Under Slab
Rough -In
Water Service
Sanitary Sewer
Rain Drains
Catch Basin / Manhole
Storm Drain
Shower Pan
Other:
Final
PA RT FAIL � CO ECHANICA /�1 ®C (�(�� �O
Rost eam
Rough-In
Gas Line Line
Smoke Dampers -
PART FAIL
CTRICAL _
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 Please call for reinspection RE: ❑ Unable to inspect - no access
Fire Supply Line
ADA
Approach/Sidewalk Date Inspector Ext
Other:
Final DO NOT REMOVE this inspection record from the job site.
PASS PART FAIL
CITY TIGARD 24 -Hour
BUILDING Inspection Line: (503) 639 -4175 MST
INSPECTION DIVISION Business Line: (503) 639 -4171
BUP
Received °� / Date Requested 10 AM PM BUP
Location 3 ��1lJL�ic l� Suite
64 MEC ,26O ' �/
"'46) 4 /
Contact Person Ph ( ) $7 — 6 / 9`? PLM
Contractor h ( ) SWR
BUILDING Tenant/Owner 39 ELC
Footing C,SL — C Y- ELC
Foundation Access:
Ftg Drain 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 j�
Roof
Other:
Final
PASS PART FAIL
PLUMBING
Post & Beam
Under Slab
Rough -In
Water Service
Sanitary Sewer
Rain Drains
Catch Basin / Manhole
Storm Drain
Shower Pan
Other: •
Final
PASS PART FAIL
MECHANICAL
Post.& Beam
Rough -In
Gas Line
S moke Dampers
PASS PART FAIL
ELECTRICAL
Service
Rough -In
UG/Slab
Low Voltage
Fire Alarm
Final ❑ Reinspection fee of $ required before next inspection. Pay at City Hail, 13125 SW Hall Blvd.
PASS PART FAIL
SITE Ei Please call for reinspection RE: Ei Unable to inspect - no access
Fire Supply Line J `�
ADA
Approach/Sidewalk Date V Inspector Ext
Other:
Final DO NOT REMOVE this inspection record from the job site.
PASS PART FAIL