Permit CITY TIGARD MECHANICAL PERMIT
��� ' DEVELOPMENT SERVICES
13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PERMIT #: MEC2006 -00202
a ll DATE ISSUED: 5/16/2006
�`�'r
PARCEL: 1 S135CA -00700
SITE ADDRESS: 11225 SW GREENBURG RD ZONING: I -P
SUBDIVISION: LOT: JURISDICTION: TIG
Project Description: TI Value $1000.00
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
W. SCOTT ZWINGLIE Description Date Amount
11225 SW GREENBURG RD
TIGARD, OR 97223 [MECH] Permit Fee 5/16/200E $72.50
[MECPLN] Plan Rev 5/16/200E $18.13
[TAX] 8% State Surcha 5/16/200E $5.80
Phone: Total $96.43
Contractor:
AAM, INC
11225A SW GREENBURG RD.
TIGARD, OR 97223 REQUIRED ITEMS AND REPORTS
Contact #: FAX 503- 624 -9222
Reg #: LIC 163711
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.
Issued By: Permittee Signature A(/‘
Call I
Call 503 - 639 -4175 by 7:00 a.m. for inspections that busine s 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.
r
Mechanical Permit Appli apt• . FOR OFFICE USE ONLY
II t _ E WE D Received �� , �
_
City of Tigard DateBy l / Permit N , J ► . I ��
, " 13125 SW Hall Blvd., Tigard, OR 972,23u 1 / / r �
G ' ' Phone 503.639.4171 Fax: 503.598.,L40 20 06 P lan R eview Other Pennir.{w a o,' h -1919o57
DateBy, r
T I G AR D Inspection Line: 503.639 Date Ready/By: Juris: ® See Page 2 for
Internet: www.tigard - or.gov CITY OF TIGARD Notified/Method: Supplemental Information
BUILDING DIVISIONI
.TYPE OF WORK COMMERCIAL FEE* SCHEDULE -. USE•CHECKLIST _
❑ New construction G: 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: $ /06040 Q
' ' RESIDENTIAL EQUIPMENT /;SYS FEES*
❑ 1- and 2- family dwelling al Commercial /industrial ❑ Accessory building
El Multi-family ❑ Master builder ❑ Other: For special information use checklist.
Description Qty. Ea. I Total
,JOB SITE, 'INFORMATION AND' LOCATION- , ' Heating /cooling
Job site address: 1/ aaS A 310 K Air conditioning ho or heat a placement) viz() fV YJ (requires site plan showing l acement) 14.00
City /State /ZIP: T)6,1114(9 n 9 -7aa3 Furnace 100,000 BTU (ducts /vents) 14.00
/ Furnace 100,000+ BTU (ducts/vents) 17.90
Suite/bldg. /apt. no.: A Project name:• JI #r L'? es , Gas heat pump 14.00
Cross street /directions to job site: Duct work I 14.00
Hydronic hot water system 14.00
50 etTirier Oi Cry 67 1- ! /�toder 4Ql1 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: (PALLS 0 7 10.00
Tax map /parcel no.: Other fuel appliances
DESCRIPTION OF WORK Water heater 10.00
Gas fireplace 10.00
, c - ad t Olf 1,_ c ' l/�4 _ ) j e540,,f',/r�(>Ci� Flue vent for water heater or gas
fireplace 10.00
3 QA__ Log lighter (gas) 10.00
Wood /pellet stove 10.00
Wood fireplace /insert 10.00
PROPERTY OWNER 1 , „TENANT Chimney/liner/flue/vent 10.00
Other: 10.00
Name: l4' Se.69r j )itlaq / 114f4 Environmental exhaust and ventilation
f-r ( 4 J �
Range hood/other kitchen
Address:
/1;12 r/4 .5 1 ,, t ' reepi 4 � equipment 10.00
City /State /ZIP: 7' / 4,19_0 OYL g7dz S Clothes dryer exhaust 10.00
Single -duct exhaust (bathrooms,
Phone: (5 Zg a e l/_ 9 a)- ( Fax: (_03 ) bay- 9 Z Z Z toilet compartments, utility rooms) 6.80
14 APPLICANT, ❑ CONTACT PERSON Attic/crawlspace fans 10.00
/r �/ ,/) ,per) /74fl Other: 10.00
Business name: �/7�L1trGf T f (J A C c Fuel piping
Contact name: S mg-- Zw i�(tI $5.40 for first four; $1.00 for each additional
Furnace, etc.
Address: f73. ,9,0 Ore.,„1 oy a
Gas heat pump
City /State /ZIP: 77 {r77`,j / ,,,z_ 0 7 ,2 Z Wall /suspended/unitheater
Phone: (5e3) d,, y_ ggAi Fax: : (s7)3) Uj2 y�92Z Z- Water heater . {ilrt 'A. 5•
Fireplace 0141',- It 13
E Range -^A. 5.30
CONTRACTOR
Clothes dryer (gas) ,� Barbecue
Business name: AAA /�
at �P3
/ Other:
Address: / /ZOT ' y /� / re i a 'MECHANICAL PERMIT FEES*
City /State /ZIP: 'a'/ Ott g 7a2.. Subtotal ill LIP
�y^� Fax: (� Minimum permit fee ($72.50)
Phone: ��•
(, 3 `12 ( .03 ) 6,! -99- Plan review (25% of permit fee)
CCB lic.: — 3 - / .-07 (4, 37 /1 r set b y Tri - Count • F ee methodolo State surcharge (8% of permit fee) p,/ ,/
TOTAL PERMIT FEE -16.7 -i
Authorized signature: �� / This permit application expires if a permit is not obtained within 180
days after it has been accepted as complete.
Print name: .; , 1 �i /(dL( Date: S �� /� (�
Building Industry Service Board
Z y B uildis IndtTy
1:\ Building \Pennits\MEC - PermitApp.doc 04 /06/06 440- 4617T(I1/02 /COM/WEB)
Mechanical Permit Application - City of Tigard
Page 2 - Supplemental Information •
•
Commercial Fee Schedule:
Total Valuation: Permit Fee:
$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.
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I:\ Building \Permits\MEC- PermitApp.doc 12/30/05 2
, .,..„
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MEC2006-00202
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/16f2006
Phone: (503) 639-4171 A
, nopl
Inspection Requests (24 Hrs.): (503) 639-4175 ,..„...ad■ - ' LL..
INSPECTION WORKSHEET FOR DATE: 7118/2006 TIME: 7:03AM PAGE: 29
SITE ADDRESS: 11225 SW GREENBURG RD CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: THE LIGHT-UP CO
DESCRIPTION: TI Value $1000.00
OWNER: ZWINGLIE, W. SCOTT PHONE #:
CONTRACTOR: PHONE #:
Inspection Request Scheduled For: Date: 7118/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 033248-01 503-624-9221 Y
Corr
Corrections/Comments/Instructions:
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A .
•-•''r 0 PARTIAL APPROVAL [1] CANCEL NO ACCESS
_
FAIL ill CAL FOR I PECTION 0 ADDITI4NAL • ES ASSESSED
tat ,
7 # d o
i nspector: Mkt Date: 40' Phone #: (503) 718-
III f kIr —
,CITY OF TIGARD
BUILDING DIVISION
Ai PERMIT #: MEC2006-00202
D ATE 13125 SW Hall Blvd., Tigard, OR 97223 E ISSUED: 5/16/2006
Phone: (503) 639-4171 h
Inspection Requests (24 Hrs.): (503) 639-4175 A I.L,
INSPECTION WORKSHEET FOR DATE: 7/1412006 TIME: 7:16AM PAGE: 20
SITE ADDRESS: 11225 SW GREENBURG RD CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: THE LIGHT-UP CO
DESCRIPTION: TI Value $1000.00
OWNER: ZWINGLIE, W. SCOTT PHONE #:
CONTRACTOR: PHONE #:
Inspection Request Scheduled For: Date: 7/1412006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 033120.01 503-6249221 N
Corrections /Comments/ Instructions:
.
A10 I .._ AP ,
• ■
dip IVO Prr a
! .40 - ',PIP . A j■ -
M ...A. W WO NOV PIP r
1
H p s ri PARTIAL APPROVAL 0 CANCEL n NO ACCESS
FAIL k 0 CALL FOR INSPECTION 0 ADDITIONAL FEES ASSESSED
,i .
Inspector: A 1 - Al Date:7 ( lO:9 Phone #: (503) 718- Zji-2--