Loading...
Permit x v I CITY OF TIGARD MECHANICAL PERMIT • COMMUNITY DEVELOPMENT PERMIT #: MEC2008 - 00461 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 9/11/2008 PARCEL: 1 S135AB -01004 SITE ADDRESS: 10220 SW GREENBURG RD 540 ZONING: C - SUBDIVISION: LINCOLN CENTER/TWO LINCOLN LOT: JURISDICTION: TIG PROJECT: PAXTON & MILLER Project Description: Relocating (1) diffuser and adding (1) exhaust fan. Valuation: $1,500.00 CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS: TYPE OF USE: COM UNIT HEATERS: VENT FANS: OCCUPANCY GRP: 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 SHORENSTEIN REALTY SERVICES Description Date Amount ONE SW COLUMBIA #300 PORTLAND, OR 97258 [MECH] Permit Fee 9/11/200E $72.50 [TAX] 12% State Surch 9/11/200E $8.70 Total $81,20 Phone: 503- 412 -4800 Contractor: AMERICAN HEATING INC , OR 97722 02 PORTLAND, OR REQUIRED ITEMS AND REPORTS POR Contact #: PRI 503- 239 -4600 FAX 503- 239 -7038 Reg #: LIC 33135 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted in the Oregon Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain copies of these rules or direct questions to OUNC by calling 503.246.6699 or 1.800.332.2344. • J Issued By: Permittee Signature: /��� A14.0")&4e.C-71 C i ._s� _�/ .. ,,,„r _i Call 503. by 7:00 a.m. for inspections that business day. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. . \ s; ,,,.., ' . • �. FOR O FFICE USE ONLY Mechanical cal P ermit Ap o$ < / City o f Tigard , " : 9 Q \-\ � � A` Rec eBya �� %1 / f t0/ 13125 SW Hall BIvd., Tigard, OR 97223 Oj� 4 ��i Plan Review Other Permit:' j Phone: 503.639.4171 Fax: 503.598.1960 ®�0( rit•�rri;,, t Date/By: ' age 2 for Inspection Line: 503.639.4175 �'k ,,, - i`'l� DateReady/By: Supplemental for Internet: www.ci.tigard.or.us � ® `0 - _ -- 'Notified/Method: /� 41 �� {{ fi�r� ., .�o -�, r, • � ° , �, , .,I EE�;� ... ......USE,GHE'C ,. ,_�... •-t•, �:!.. ..�:1 ,g,,. ::,(�� �,(}1 'SC'HE:D., � ",;;�r.;.,. ,'f -, lf:. !(S? Nii, 1. 0•t i : "k�. .• ..7 i e'f•!: .• .r. :1T1J =?. 1 i•: .: .. .. ..: . ... i� �2. c.,l ,i ``S'A'Y.•., �..: r (. ,(.1��.� �.., . .. . - .:`::�iv + =ti:. ,:`I:'.. ^.:. ^.4 y. r., • .:., , i rS, ..eC,� Y, r.�.iO�., i.11 '+ +�l ili�.il:.i'si :r.:A ^'1, ` ^.)t;`• ?.t� ,.,�,P:: ;. i.i � '\:..�:,.::.•.,, i�,.:_.. }, .,r• rr4...ap d�_;: ' ,(':1::. tads, x- ;:(;.I,: ra' t•;:.::; ;l�it+,: ^i•r t•<�kr., ,,. Are -:.« ..,..,, . 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. • J43f +�• VO�I:i. "�C� °=Qi:Ye i ?H "'•c`r � Value: $ / �i� �..s;;...: y.t<'u,.. ri,t5, r'rk,�a ",r :s„ >mnti np;47.kaT;?.Ke •o4Y, +,az,�'., 1. .. 2,.:,ira mi P`lr,. ':,: '. ., , r,�' . s. , ` :� y. .ipSM' T •;i>h - "` V• '..,�..L . , j ii;r ,.is._ , , , o L,. :71 .. - FEES* :.,r. , •: ?jl ,..b, Y r , t s' R O'': , I q.!'d + °z:;. MS FEES 5 �'t;s: yt ,,,, # te r +_. F .�,. 4,t s.' �Py'GO�{vL ,4?�. rN' (�}y�p ,. ���:: ti'';, ..1.. , �.tJI'P'I!'IENT ° /SYST�E F. Sritlnl.• l!. gi: Df, t�U{ i ����1! VrV: h: t'. w""'$% 1il: Ak.:, �n�'. ���., a. �il�f: Ni. �iu' AIDIJ: �C ..:6...ou � � �n n' \ �l'1'11�, =;!vQ. .. ❑ 1- and 2- family dwelling Commercial /industrial ❑ Accessory building For special information use checklist, ❑ Multi - family ❑ Master builder ❑ Other: Description Qty. Ea. Total ;�9• +12; , a� „• ,t vox;rvF + jai' rr°:.,, a � �« ;;' ��, a+ r� '•? �� r' �' s+ rt^ S rfiV:t = }�` "f } �F'�:'' { ., ., ,:Pk' H l eatn[;,/ 1, f,,� ,gt[ir 1-1 1: „rut ltd{ ?i$:ti:” R.1 T6� "r. 0 8 e�*;' r 3 ,u.'. ^;�':': ,i .c° "`r'4 Vii" :' er}. ,t %,4)1 a' ..,i 3 ut''r}r,S4,,Q':A „a w� F ” 1 , �,`I,,,'.. �..;, ' ,. r.,:nz.:: ,; ,,, .::�„ tdr.�:a r� +.,,,,�w r. l :..�x...;,�' �..:,,M.�:::* nom,,,. r,us. .� r.:, ^ s � ,« K!r:�+.r: _ Air conditioning or heat pump Job site address: . I 0' .) 563 Ct Q M_n (o w� v` 14.00 J Q. (requires site plan showing placement) ( U� Furnace 100,000 BTU (ducts/vents) 14.00 City/State/ZIP: �� �G cJ 17,90 • Suite/bldg. /apt. no.: 5 Li 0 l Project name: 060(1-0/01- (1l Q.�r Fumace 100,000+ BTU (ducts /vents) Gas heat pump' 14.00 Duct work 14.00 Cross street/directions to job site: 14.00 Hydronic hot water system Residential boiler (radiator or 14.00 hydronic) Unit heaters (fuel -type, not electric), 10,00 in -wall, in -duct, suspended, etc. Flue /vent for any of above 10.00 Subdivision: Lot no.: . Other: • ( 10.00 •l0 .,.e., Tax map /parcel no.: Other fuel appliances 1000 4 .,s w ,�41 ufi Nora. s' lgis �NgP e § E ef Water heater "r r � 1 # t ^'tN t `1 _a � (" k a rs (� �a �,"�� '�. 1i ! ifi lvW1' ` : 1� 011<. r,', 141 5 r'1 as a C} , M: ri n l r^,• ;r' m. ► � l,a' � v �7y , ry ` =�ra !t = 1 � : ,.1�� s *. Gas fireplace 10.00 �C '(11(),,'A 1 r C. cat-1,01u1 - �x"" + "-""� \ -•� � L.( ' ) . �� . Flue vent for water heater or gas 10,00 L C . C- i i ot Rd. � 1 J - /`� is sic• fireplace .� ( ,. ( 1� , Log lighter (gas) 10.00 • Wood /pellet stove 10.00 Wood fireplace /insert 10.00 Chi /liner /flue /vent 10.00 {I o „': ri f I I a �.,r.r,• } :.au u' f M.4rn�,� : .o-c. ! .n 'Fi 1 ^N Fl 4�.�Ir4 'dy'I r ,,•,i & o:' •�v� 1 1c "v. g , ?; h9 f 6x s +,' �i:£ t,a: �lFr rnB i' (s;t` 10.00 1 at4 , ¢ :E�'hk. aggfa rnhatia. Ytii�r.,5r, tttT'. t!E).,�Ity`i') ;: t�:Uat <'i�,v' h Othe N nr. _ - _ Environmental exhaust and ventilation __ Range hood /other kitchen I Address: equipment 10.00 • Clothes dryer exhaust 10,00 City/State /ZIP: Single -duct exhaust (bathrooms, • /' Phone: ( ) • Fax: ( ) • toilet compartments, utility rooms) ( 6.80 �0.. in) , ,J <' r.Gtt ,! Attic /crawlspacefans 10.00 r>.r' i A r y ° m' ' V ri ; 4 #` ,. rlrr°,' O.1`I� a ©,, n n ,¢''i 10,00 '6 nlfal ' {pt h '.., ,Ip,''*' � 4 � ~•r, ,:�� y ,. .,�1-"'' ,a ins il � ,. fWI' E ' n 1`1 4� ^�' R "'i,Y+.: • I.gS1:VAV "��ivT, rC?tst .�:' A lc,p a, .�.,a, , +.x° „nn•.; ,4r.,' aar.,A> ,,.,. Other: Business name: • t' fl (i C.U. &(- �, TA,1( Fuel piping Contact name: �JL l?e-e � t ' $5.40 for first four; $1.00 for each additional Fumace, etc. Address: o� —I ((,� �d Gas heat pump • City/State /ZIP: `Ro C4--( Cat 4 ( ( 1 c) D-(5)- Wall /suspended /unit heater • ( o �� Water heater Phone: ) � 1— ddb Fax: : ( (IV� �V� 0 Fireplace Ismail: Range Y, c� i ! 4 ° "g� " `4 t tf t " Barbecue tp P .. 3 t fl . F n .a f '(e J! l ' ,4i ^417WMI' : z A tr.ti • Sl . t 'r r d, 9 � �r,. �+ � '� "• - `I ` Clothes dryer (gas) Business name: pmj�Y� Caul Q'� (i1 C�i _1_ ( Other: . - • f F tl f " a i�u4 1 5 44 `,+n(� }�,;i l �.y 4c ' j1 �, "�'•',' � 1; �..r '' Address: �1 t�,� n[ �' i��ierab i'i�mr }?�!:�,�y �i t�, `" HP'! r F. I 3 t )� C_ �.1 /� l y Subtotal I City/State /ZIP:�.(�� �_ "1 ► G Minimum permit fee ($72.50) 7a, r Phone: �(� ��� � 6 U t Fax: ( ) a X)in (J Plan review (25% of permit fee) CCB tic.: � \ s-- State surcharg e of permit fee) g TOTAL PERMIT FEE . This permit application expires If a permit as complete. i ln In 1 Authorized signature: binfitk_ ' / ��� days after It has been accepted ! * Fee methodology set by Tri- County Building Industry Service Board I Print name: "� {'Yl rYl 4 --1-. C51. d `( � � J Date --t 6 U 0 J