Permit CITY OF TIGARD
MECHANICAL PERMIT
1111 COMMUNITY DEVELOPMENT PERMIT #: MEC2007 -00573
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 10/17/2007
PARCEL: 1 S126DB -02800
SITE ADDRESS: 09370 SW GREENBURG RD M ZONING: C -P
SUBDIVISION: PP1991 -018 LOT: 001 JURISDICTION: TIG
PROJECT: ADVANCED ARM DYNAMICS
Project Description: HVAC work Value: $44,537
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: 1 BOILERS /COMPRESSORS HOODS:
FUEL TYPES 0 - 3 HP: DOMES. INCIN:
NAT 3 - 15 HP: 2 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: 1
> 10000 cfm:
GAS OUTLETS: 2
Owner: FEES
FRANKLIN COMMONS ASSOCIATES Description Date Amount
BY NORRIS + STEVENS
621 SW MORRISON [MECH] Permit Fee 10/17/20C $698.60
PORTLAND, OR 97205 [MECPL■] Plan Rev 10/17/20C $174.65
[TAX] 8% State Surcha 10/17/20C $55.89
Phone: 503 -223 -3171 Total $929.14
Contractor:
MICHAEL ALLAN COWHER
PO BOX 154928
PORTLAND, OR 97238 REQUIRED ITEMS AND REPORTS
Contact #: PRI 503- 262 -6736
FAX 503 - 251 -9046
Reg #: LIC 154928
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.
/ / / !,4/A
Issu=d By: ., !�� .,,� Permittee Signature: ` _� J J ` 1 4
Call 503.639.4175 by 7 :00 a.m. for inspections tha • usiness da
This permit card shall be kept in a conspicuous place on the job site until comple. • of the project.
Approved plans are required on the job site at the time of each inspection.
Mechanical Permit A opt cldtll I 49 rtivr , .. ,, FOR.OFFICE USE ONLY
.... _ -- ,
`J R eceived � r
Tigard
III City of Ti and � Permit °i . - ,,/ —o 2513
^
® 13125 SW Hall Blvd., Tigard, OR 9 T ) 1 L
Plan Re4ic .- 1a
Phone: 503.639.4171 Fax: 503.598.1960 Date/By: AA � Other Permit:
_ 007 Date/By
7 Date Rea l El See Page 2 for
TI.GAKD Inspection Line: 503.639.4 � L y Of A ��yy Y Q i g
Internet: www.tigard -or. ov Notified/Method / 1 7 d 7 p Supplemental Information
I JIITG DI VI3I®N -Yr u, ,, . :z....
, TYPE- CIF: W ORK _ ;. r. , „ COMMERCIAL : FEE* 'CHEDULE = US ' CKLIST°`
Mechanical permit fees* are based on the value of the work
❑ New construction Addition/alteration/replacement performed. Indicate the value (rounded to the nearest dollar) of all
❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit.
. . )
• - . ` . r' =.; .: ;ATEGORY OF CONSTRUCTION -- t . -" ..
4 �
Value: $ j ei 0 ` °RESIDENTIALEQUIPMENT'I SYSTEMS FEES*
❑ 1 - and 2- family dwelling `4 Commercial /industrial ❑ Accessory building
For special information use checklist.
❑ Multi - family ❑ Master builder ❑ Other: Description I Qty. I Ea. Total
`JOB - _ INFORMATION ° ,AND' LOCATION' ' ' Heating/cooling
Job site address: 3 - Air conditioning or heat pump
t' ( lj - (requires site plan showing placement) 14.00
City/State /ZIP: '- - l 1n , f i 0 9 -- 1 .)' Furnace 100,000 BTU (ducts/vents) 14.00
Furnace 100,000+ BTU ( ducts/vents) 17.90
Suite/bldg. /apt. no.: Project name: A, v c_e_6( Ai-4 al / C-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
- . .. - DESCRIPTIONT OED WORK_ _ - - - ° ` ' ,.. - Water heater 10.00
.. Gas fireplace 10.00
1 k 1( v^ C A - D e S I t � 5. ((' , Qi i it Flue vent for water heater or gas
CCk � + • fireplace 10.00
t rV C �J -L ` `f'.1 t,� "�-°`�' ` a ( Log lighter (gas) 10.00
` { , L) e'IN , (C eccOe CG-fi+ b1{ -6 5,;.- t((0.8; as Sr - t:. Wood/pellet stove 10.00
Wood fireplace /insert 10.00
or - Y� a 1_1 2-/ - Chimney /liner /flue /vent 10.00
'.❑ PROPERTY OWNER - - - .: T\TENANT -
. ., - . .. � _ Other: 10.00
Name: J(/ V t-t,n � ' � c,c; ����, °°°���' `��� t °� `/\ � / r c _s Environmental exhaust and ventilation
� Range hood /other kitchen
Address: equipment 10.00
City/ State/ZIP: Clothes dryer exhaust 10.00
Single -duct exhaust (bathrooms,
Phone: ( ) Fax: ( ) toilet compartments, utility rooms) 6.80
'
:j - APPLICANT . _ ;- ` j ❑ _ CONTACT-•PER S ON Attic /crawispace fans 10.00
Other: 10.00
Business name: or\ to V Ick--C._- C._ Fuel piping
Contact name: ��A.5 , , $5.40 for first four; $1.00 for each additional
Address: 1 �/V Furnace, etc.
I ` � L( Gas heat pump
..e02 City/State /ZIP: e..,k_ � C Q 1 `1 3 3 Wall/suspended/unit heater
e c - 33 Water heater
Phone: (SO 3) Z f21 62-2__ 3( Fax:: () ) ZJ i — e.) cm L,
_ Fireplace
E -mail: Range
CONTRACTOR. Barbecue
Business name: iv\ VI N �
Clothes dryer (gas)
Other:
Address: L l_ ( S4 _ MECHANICAL PERMIT FEES*
City/State/ZIP: (U ,t- I r ts. r)V___ t l r 3 3 Subtotal
[
/ Minimum permit fee ($72.50)
a L
Phone: (�j 3) 2 _ ---1 3 ( Fax: (53 3) 'Z 1 _G, { (�
Plan review (25% of permit fee)
CCB lic.: k (--k 4:: Z' ?) n i� State surcharge (8% of permit fee)
I D// TOTAL PERMIT FEE m jij
Authorized signature: This permit application expires if a permit is not obtained within 180
days after it has been accepted as complete.
Print name: CA\ ,. ,S � -ervice an A.,..,1 A ' Da te: * Fee methodo set by Tri -County Building Industry Service /,
I:\ Building lPermitslMEC- PermitApp.doc 04/06 /06 440-4617T (11/02/03M/WEB)
CITY OF TIGARD
r
.BUILDING DIVISION PERMIT #: M {_ 00I -00573
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: •10/17/2007
Phone: (503) 639 -4171 � Ins pection Requests (24 Hrs.): (503) 639 -4175 i _..
INSPECTION WORKSHEET FOR DATE: 12/'112007 TIME: 7 :01AM PAGE: 36
SITE ADDRESS: 09370 SW GREENBURG RD M CLASS OF WORK:
SUBDIVISION: PP1991 - Q18 LOT #: 001 TYPE OF USE:
PROJECT NAME: ADVANCED ARM DYNAMICS
DESCRIPTION: HVAC work. Value: $44,537
OWNER: FRANKLIN COMMONS ASSOCIATES, PHONE #: 603 -223 -3171
CONTRACTOR: MICHAEL ALLAN COWHER PHONE #: 503 -262 -6736
Inspection Request Scheduled For: Date: 12/4/2007 Pour Time:
Code # 1 , Inspection Description Confirm # Contact # Message
699 Y Mechanical final 060727 -01 503 N
Cor ctions /Comments /Ins uctions:
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PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
n FAIL CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED
Inspector: ��" C!` \-41? Date: (3 Phone #: (503) 718- 2_ Y
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CITY OF TIGARD 4
BUILDING DIVISION
A...11W, PERMIT #: MEC2007-00573
13125 SW Hall Blvd., Tigard, OR 97223 D
,t1t ISSUED: 10/17/2007
Phone: (503) 639-4171 —44wilii-.
Inspection Requests (24 Hrs.): (503) 639-4175 .,--7.4 't1.-• i
INSPECTION WORKSHEET FOR DATE: 12/3/2007 TIME: 7:00AM PAGE: 4
SITE ADDRESS: 09370 SW GREENBURG RD M CLASS OF WORK:
SUBDIVISION: pp1991418 LOT #: 001 TYPE OF USE:
PROJECT NAME: ADVANCED ARM DYNAMICS
DESCRIPTION: HVAC work Value: $44,537
OWNER: FRANKLIN COMMONS ASSOCIATES, PHONE #: 503-223-3171
CONTRACTOR: MICHAEL ALLAN COMER PHONE #: 503-262-6736
Inspection Request Scheduled For: Date: 1213/2007 Pour Time:
Code # j4pection Description Confirm # Contact # Message
699 Mechanical final 060662-01 503-679-6179 N
Correcti ns/Comment /Instructions:
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• PA 0 PARTIAL APPROVAL CANCEL E NO ACCESS
FAIL fl CALL FOR INSPECTION E ADDITIONAL FEES ASSESSED
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Inspector: Date: 1 2 7 3 7 6 7 Phone #: (503) 718- 2—(142—
• , . •
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CITY OF TIGARD
BUILDING DIVISION PERMIT #: IvIEC2007-00573
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/i7/2007
Phone: (503) 639-4171 /4001940'
Inspection Requests (24 Hrs.): (503) 639-4175 JM .•■•.•
INSPECTION WORKSHEET FOR • DATE: 11/28/2007 TIME: 7:00AM PAGE: 19
SITE ADDRESS: 09370 SW GREENBURG RD M CLASS OF WORK:
SUBDIVISION: pp1991-018 LOT #: 001 TYPE OF USE:
PROJECT NAME: ADVANCED: ARM DYNAMICS
DESCRIPTION: MAC work Value: $44,537
OWNER: FRANKLIN COMMONS ASSOCIATES, PHONE #: 503-223-3171
CONTRACTOR: MICHAEL ALLAN COWFIER PHONE #: 503-262-6736
•
Inspection Request Scheduled For: Date: 11/20/2007 Pour Time:
Code # Inspection, Description Confirm ,# Contact # Message
699 Mechanical final 060402 503 rtl
Corrections/Comments/Instructions: ,4-? I
• -- 400
1. c - /
V S Th4
flHI4-0 .
1 PASS P RTIAL APPROVAL 0 CANCEL 0 NO ACCESS
f i r i F i A) . /CALL FOR INSPECTION Ti ADDITIONAL FEES ASSESSED
Inspector: Date: II Z5/1> 7 Phone #: (503) 718- 242-(y
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BUILDING ��U���� DIVISION ' ._ �xi� '^ PERK�|T#: k4EC2O0��00S73
13125SVV Hall 8lvd.. Tigard, 0AQ7223 ~ DATE ISSUED: 10V1712007
Phone: (503) 639-4171
\napoobonRequests (24Hraj:(5U3)G3O-4175 ^�N�� "
INSPECTION WORKSHEET FOR DATE: 11/2/2007 TIME: 7:01Ah8 PAGE: 74
SITE ADDRESS: 09370 SVVGREEN80R{} CLASS OF WORK:
SUBDIVISION: Pp1991-018 LOT #: 001 TYPE OF USE:
__'-_'Ii8OJEC[NAME:--ADWAWGEE-ARk1-INNAM|C..-S — -- —
DESCRIPTION: HVAC work Value: $14.587
OWNER: FRANKLIN COMMONS ASSOCIATES, PHONE #: 603-223-3171
CONTRACTOR: MICHAEL ALLAN COWHER PHONE #: 503-262'6736
Inspection Request Scheduled For: Date: • 11/212007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
616 kHmchenimd/ovmh'h) 05886$'01 503-202-6736 N
Corrections/Comments/Instructions:
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.
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PARTIAL n �T\AL APPRCX�� �AN�EL --
E __ NO ACCESS
El FAIL M *ALL FOR INSPECTION | | ADDITIONAL FEES ASSESSED
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Inspector: . Phone #: (503) 718- �-��p�� �^
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CITY OF TIGARD ���� ) ��u w n ��u� n m����n��� . ' '
BUILDING DIVISION ' \ ' - PERMIT #: iViE0007-0057
13125SVV Hall B|vd, Tigard, OAQ7223 DATE ISSUED: 10f17/2007
Phone: (503) 639-4171
Inspection Requests C24Hmj: (503) 639-4175 utanr���
INSPECTION WORKSHEET FOR DATE: 10/29/2007 TIME: 7:01AM PAGE: 40
SITE ADDRESS: 09370 SVVGRBEM8K]RG RD M CLASS OF WORK:
SUBDIVISION: pp1931'018 LOT #: 001 TYPE OF USE:
PROJECT NAME: ADVANCED ARM DYNAMICS -------- -- --- ----
DESCRIPTION: HVACvvnrk Value: $44.63T
OWNER: FRANKLIN COMMONS ASSOCIATES, PHONE #: 503-2233171
CONTRACTOR: MICHAEL ALLAN COWHER PHONE #: 503-267
Inspection Request Scheduled For: Date: 10/29/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
616 &dechanica|roumh'in 068484-01 503-262-6736 N
Corrections/Comments/Instructions: .
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.
| I PASS n PARTIAL APPROVAL ri CANCEL n NO ACCESS
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FAIL INSPECTION I I ADDITIONAL FEES ASSESSED
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Inspector: ��N� Oa�g� / ~ Phone #: (503) 718-
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CITY OF TIGARD
. BUILDING DIVISION' ` PERMIT #: MEC2007 -00573
13125 SW Hall Blvd., Tigard, OR 97223 A. • DATE ISSUED: 10/17/2007
•
Phone: (503) 639 -4171 #0� (II "�
Inspection Requests (24 Hrs.): (503) 639 -4175 ,. 'I
INSPECTION WORKSHEET FOR DATE: 10/10/2007 TIME: 7 :01AM PAGE: 46
SITE ADDRESS: 09370 SW GREENBURO RD M CLASS OF WORK:
SUBDIVISION: PP1991 - 018 LOT #: 001 TYPE OF USE:
PROJECT NAME: ADVANCED ARM DYNAMICS
DESCRIPTION: HVAC work Value: $44,537
OWNER: FRANKLIN COMMONS ASSOCIATES, PHONE #: 503 - 223.3171
CONTRACTOR: MICHAEL ALLAN COWHER PHONE #: 503 -262 -6736
Inspection Request Scheduled For: Date: 10/10/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
69?; Misc. inspection 057044-01 503- 209-5618 N
Corrections /Comments /Instructions:
F Z A-0A 4- 1 t.t % Idgi -I (2LTU Z - x¢--, d:re- `'L 49V
g% L) / / e o , 1T (-S r ,R, o v' rm,
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❑ PASS ' , RTI . ` VAL ❑ CANCEL n NO ACCESS
FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: _ -. Date: //18 (DI Phone #: (503) 718- lh y/