Permit IN N
CITY Y OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT PERMIT #: MEC2008 -00607
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 12/12/2008
PARCEL: 25101 BB -01400
SITE ADDRESS: 12100 SW GARDEN PL BLDG 4 ZONING: C -
SUBDIVISION: PARK 217 LOT: 002 JURISDICTION: TIG
PROJECT: IKON
Project Description: Install (4) new registers and relocate (1) register. Project Value: $550
tJo P 2ftit QtQuu 121- (
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:
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
SPIEKER PROPERTIES LP Description Date Amount
4380 SW MACADAM AVE STE 100
PORTLAND, OR 97201 [MECH] Permit Fee 12/12/20C $72.50
[TAX] 12% State Surch 12/12/20C $8.70
Phone:
Total $81.20
Contractor:
WILLAMETTE HVAC SERVICE
3075 SW 234TH AVE. #206
HILLSBORO, OR 97123 REQUIRED ITEMS AND REPORTS
Contact #: PRI 503- 628 -6841
FAX 503- 848 -2597
Reg #: LIC 56951
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 1 800 332 2344.
Iss 6 ed By: • ' 1 / Permittee Signature: y / / ,
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.
y
Mechanical Permit Application F OFFICE USE ONLY '
City of Tigard Received m
• Permit No / A oO 2 7
`J Date/By / .A... ot�
114
'1 13125 SW Hall Blvd , Tigard, OR 97223 Plan Review
_, Phone 503 639 4171 Fax 503 598 1960 Date /By Other Permit
TIGARD Ready/By g
Ins Line. 503 639 4175 Date ® See Page 2 for
Internet. www tigard - gov Notified/Method Supplemental Information
TYP OF' WORK - . COMMERCIAL FEE* SCHEDULE - USE_CHECKLIST
E] 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
°'`` ;. CATEGORY - OF' CONSTRUCTION ''. Value. $ $550.00
��� "-RESIDENTIAL EQUIPMENT / SYSTEMS FEES*
❑ I- and 2- family dwelling ® Commercial /industrial ❑ Accessory building
For special information use checklist
❑ Multi- family ❑ Master builder ❑ Other Description Qty Ea I Total
JOB SITE INFORMATION AND LOCATION Heating /cooling
Air conditioning
Job site address: 12100 SW Garden Place
(requires site plan or heat pump
showing placement) 14 00
City /State /ZIP: Tigard OR 97223 Furnace 100,000 BTU (ducts /vents) 14 00
Furnace 100,000+ BTU (ducts /vents) 17 90
Suite/bldg. /apt no.. Project name IKON Gas heat pump 14 00
Cross street/directions to job site: Duct work 10 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 14 00
Subdivision: Lot no.. Flue /vent for any of above 6 80
Other 10 00
Tax map /parcel no.: Other fuel appliances
DESCRIPTION OF WORK ' Water heater 10 00
Gas fireplace 10 00
Install four new registers and relocate one register 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
Chimney /liner /flue /vent 10 00
❑ PROPERTY OWNER ❑ TENANT" ; - Other 10 00
Name: Environmental exhaust and ventilation
Address 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
❑ APPLICANT - ❑ 'CONTACT:'P - Attic /crawlspace fans 10 00
Other 10 00
Business name•
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
" CONTRACTOR - Barbecue
Business name. Willamette HVAC Clothes dryer (gas)
Other
Address: 3075 SW 234 Ave STE 206 . • MECHANICAL PERMIT FEES*, -
City /State /ZIP: Hillsboro OR 97123 Subtotal
Phone: (503) 628.6841 Fax: (503) 848.2597 Minimum permit fee ($72 50)
Plan review (25% of permit fee)
CCB lie.: 56951 State surcharge (12% of permit fee)
I TOTAL PERMIT FEE '/.
Authorized signature ' T his permit application expires if a permit is not obtained within 180
g days after it has been accepted as complete.
Print name: Michael Malstrom Date: 12/11/08 * Fee methodology set by Tn -County Building Industry Service Board
I \Bmldm4Perm is\MEC- PermttApp doe 01/19/07 440 -4617T (11/02 /COM/WEB)
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BUILDING DIVISION PERMIT ~°~°"~~~°""~~� ~�"°"~°"~~"~ #: K4EC3O0(�O06D7
131258VVHaUB|vd..Tigand.ORQ7223 DATE ISSUED: 12112/2000 .
Phone: (503) 639-4171
Inspection Requests (24Hmj:(5O3)830'4175 m1:94~ e,_
INSPECTION WORKSHEET FOR DATE: 1/612000 TIME: 7:01Am PAGE: 11
SITE ADDRESS: 1210DSWGARDEN PL BLDG 4 CLASS OF WORK:
SUBDIVISION: PARK 217 LOT #: 002 TYPE OF USE:
PROJECT NAME: � }K0W
DESCRIPTION: |osio]| rim registers and relocate (1) register. Project Value: $S60
NO PLAN REVIEW REQUIRED.
OWNER: �P|EKER PROPERTIES |.P. PHONE #:
CONTRACTOR: VNLLAMFTTE HVA( SERVICE PHONE #: 50.678'6Nl1
Inspection Request Scheduled For: Date: 1/60009 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 079371'02 971'998'29U8 N
Corrections/Comments/Instructions:
PARTIAL APPROVAL 0 CANCEL 0 NO ACCESS
ri FAIL a y CALL FOR INSPECTION 0 ADDITIONAL FEES ASSESSED
Inspector: �� ■ _ [}ate: Phone #: (503) 718- 2-6
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CITY OF TIGARD ���� ^
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BUILDING DIVISION PERMIT ~°~~"~~~~""°~= ~~^ ~ "~°"~~"~ ��E(�2OO8'D()GO7
13125 SW Hall 8|vd,Tigard, OR 97223 D ATE ISSUED: 12112000a
Phone: (503) 639~4171 tispro
Inspection Requests (24 Hrs.): (503) 639-4175 a�aW■ ^���
•
INSPECTION WORKSHEET FOR DATE: 1/6/2009 TIME: 7:01AM PAGE: 12
SITE ADDRESS: P1UO SW GARDEN pL I3|I)G 4 CLASS OF WORK:
SUBDIVISION: PARK 217 LOT #: UO2 TYPE OF USE:
PROJECT NAME: IKON
DESCRIPTION: Install new e ist and relocate (1)register. Project Value: $650
NO PLAN REVIEW REQUIRED.
OWNER: SPIEKER PROPERTIES LP, PHONE #:
CONTRACTOR: YNLLAh4L| [E� HVAC SERVICE
#� t:,03-628-6841
Inspection Request Scheduled For: Date: 1/5/2009 Pour Time:
Code # Inspection Description Confirm # Contact # Message
615 Mechanical rough-in 079371'01 971'998'290O N
Corrections/Comments/Instructions:
.
/ PARTIAL APPROVAL n CANCEL 0 NO ACCESS
MI AIL CALL FOR INSPECTION
/ - 7 AOD|T|ONAL FEES ASSESSED
~�^�
Inspector: Date: � Phone #: /503\ 718- �-�� -f