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Permit C ITY OF TIGAR0 MECHANICAL PERMIT 1' �I DEVELOPMENT SERVICES PERMIT #: MEC2005 -00236 I DATE ISSUED: 5/18/2005 "=--' ' 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 2S 101 AD -03500 SITE ADDRESS: 06600 SW HAMPTON ST ZONING: MUE SUBDIVISION: WEST PORTLAND HEIGHTS LOT: 037 JURISDICTION: TIG Project Description: Chilled water flow, replacement of hydronic piping. Valuation: $88,000. CLASS OF WORK: OTR 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 PACIFIC REALTY ASSOCIATES Description Date Amount 15350 SW SEQUOIA PKWY #300 -WMI [MECH] Permit Fee 5/18/200 $1,246.50 PORTLAND, OR 97224 [MECPLN] Plan Rev 5/18/200: $311.63 [TAX] 8% State Surchar€ 5/18/200E $99.72 Phone: Total $1,657.85 Contractor: , TEMP - CONTROL MECHANICAL 4800 N CHANNEL AVE REQUIRED ITEMS AND REPORTS PO BOX 11065 PORTLAND, OR 97211 Phone: 285 - 9851 Reg #: LIC 4944 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: 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. I/ Mechanical Permit App ,f t . "Ceti >F OFFICE USE O N L Y City of Tigard . Recei �, PermitNo`.� g Date/By: 1 -- / !/J {i � _ i i . 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review Phone: 503.639.4171 Fax: 503.598.1960 MAY /' "N I Date/By: Other Permit: Inspection Line: 503.639.4175 1 ` � . x! I 1 Date Ready/By: El See Page 2 for Internet: www.ci.tigard.or.us CI TY pF T IG ��' p' 0 � Notified/Method: Supplemental Information �1.��:�> � � �� ;. yx -, .;;,,� ,� BUILD ING �/`''�� R/►� x ;�:;., � �� >���,;�:Y� . -� .� ��,k $ ";",'.i° ea ±+n.'a F `«i;;.eh`+, �e..s ?fi,:. x:cr. ��?'Ci�!V <,x'<.4 . y, j a�'�", g` - u 1 �"� y C , ° >'t .ic 'acs".;. =v'..'"+>3i. .,.w il>�" ':; €t„t•, a,, ' TYPE Q g -t* R1{ p, 3 �g t ., ;,rsl', G0111M "ET2C1AL=:E1 E- SC:H D.TTLE =TJSE �.�:�.�_�,,,.�.�,>,<,,.. �`',. k.�.� ._..,A y,,, .g..a�. =��a���`E� t' _m .....a,. _ .._,... _... _., .... > ?CHECIZili I ST `' ❑ 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. :� ���• ' °`1i „6•, ;' � ,�� >E,R.;<: -,^ -� ` ` ',��, °mach; Value �,� ;, � CATEG� OFrCOL�STRi3GTI0 ' ,fir x _ ,. � � �... � :, � R S EQU PlVIENT /rSYSTEMS�F`EES ° ❑ 1- and 2- family dwelling R Commercial /industrial ❑ Accessory building ❑ Multi - family ❑ Master builder CI Other: For special information use checklist. Description I Qty. Ea. Total 117:7; 9 q � 30B STTE IPi>t�O0,0,N ,A'N�.1 OCai , :tl k * ' Heating/cooling t, r. r�.., x���� ,�„s�,�,... "�,.�.�,�_.z. >.,�.� ,.�,.��� ... �,.�: �e.M ,� - ��,�..- � g \ ` Air conditioning or heat pump Job site address: C -0 5 t� N- , 0\.A TON (requires site plan showing placement) 14.00 • City/State /ZIP: 7-16 c 4,3 © G - 7 02.3 Fumace 100,000 BTU (ducts /vents) 14.00 k Fumace 100,000+ BTU (ducts /vents) 17.90 Suite/bldg. /apt. no.: Project name: C^ µ 1 L1 - - K - P P t= 26N'ACi> Gas heat pump 14.00 Cross street/directions to job site: Duct work 14.00 . H ydronic hot water system 14.00 �� a �� ✓h/1T211J 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 l : " "^ -pro^ ,.'s:' `e:°. : " °.a: "..::,. =�:.r� ; °,'±:�;.a.,: s=,;�:�,r. », .; *.g„w e „ l,t'°�` tett S RIPToON �OF OR i , > i '� ' Water heater 10.00 n / < Gas fireplace 10.00 t6/' C -'e - Cd C ! / L C. 6.1 (.f4(7)(. ) 0/P/.4'& 47 Flue vent for water heater or gas fireplace 10.00 Nbc.,) i_bC ifiU J S , 7D ` 1 Sri /V(r- /4 v�- Log lighter (gas) 10.00 b-76)0 i ?AI ,c/VT • Wood /pellet stove 10.00 Wood fireplace /insert 10.00 y re:, ^r. -a< "e3:rk :- °,,s ,., ,,- Chimney /liner /flue /vent 10.00 . �. �PItOP R`G,Y�WN!F:R " . '' ,: ' �A . ) .. ENi .. Y ' Y " . �; �x. - _,�_ s-<_ „s,ufis4� �. „� � :,� i _o. �., £�,>I Other: 10.00 Name: '..X u e5fi `') (a CT ?J- I Cam' Environmental exhaust and ventilation // � Range hood /other kitchen Address: co tCJo Std A ,,,,,,pro 1 equipment 10.00 City/State/ZIP: t 0 1?--- 223 Clothes dryer exhaust 10.00 l G Single -duct exhaust (bathrooms, Phone: (S4.3) 300 _ 12A Z Fax: (5o3 ) '3c0 - y p 4 toilet compartments, utility rooms) 6.80 ;; '` � >� "'°���� �'� 1 K = `.� ` ='��„k %�� • � � . � „�� Attic /crawlspace fans 10.00 trail � . � � 17 � , APPIi C T,.. ; 4, , m ;.s . M itaf. 'CONTACT" - PE RSON `. Other: 10.00 Business name: 'T' ffeVtp Cvn/C'✓Ldi 41 . Fuel piping Contact name: g.ice A >2 b ✓ x $5.40 for first four; $1.00 for each additional Address: Furnace, etc. N ' ,ti EL- &u6 Gas heat pump City/State /ZIP: PO I? T L.a. 4 i o p ,_e- Wall /suspended/unit heater Phone: ( 5c ) S i 7 _ 333 `{ Fax: : (503) 2i5-5 901 -0 Water heater Fireplace E - mail: g icj ,m G- C e..._ - rc.44A GD2Ps co PA Range . x '* '>, O AIWOR `S T °� °>' Barbecue . R, a, P.;x aa� - : a, m.a -,. a., ?�. , w„. , . - . a ^mac a ; -..:,: - . Business name: " -r-��/1 Clothes dryer (gas) Other: Address: 4 N ` C �/ 3#, * ",' * ,> '' = „ .. • .e ti11� 1 �-- £., �: = i,.,,=A IICAL' P R ,,,,, FEES, :- :, .ti•.tx' '°u���a: v uai.°s-- P:15z"�svk'xY.� ... -� k City/State /ZIP: Subtotal Phone: (S03) S I -, _ 33 q Fax: ( 5,5 2_,E._ 5 �'`` -76- Pl Minimum permit fee ($72.50) Plan review (25% of permit fee) ) CCB lie.: t 9 4 State surcharge (8% of permit fee) t � TOTAL PERMIT FEE This p ermit application expires if a permit is not obtained within 180 Authorized Signature: days after it has been accepted as complete. Print name: ' Gl� /zlJ S Date: /5j173/ j * Fee methodology set by Tri- County Building Industry Service Board i:\ Building \Permits \1vtEC- PermitApp.doc 12/03 440 -46I7T (11 /02 /COM/WEB) Mechanical Permit Application - City of Tigard Page 2 - Supplemental Information Commercial Fee Schedule: 7oal; valuation $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. q $5,001.00 to $10,000.00 $141.50 for the first $5,000.00 and () Q $1.80 for each additional $100.00 or ` � fraction thereof, to and including $10,000.00. \04: $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 �� r t $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. 5 Note: All new commercial buildings require 2 sets of plans. • g q P i:\Building\Permits\MEC- PermitApp.doc 12/03 2 CITY OF TIGARD BUILDING DIVISION " PERMIT #: MEC2005.00236 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/10/2005 Phone: (503) 639 - 41714 @��iigl���� Inspection Requests (24 Hrs.): (503) 639 -4175 — _,NI INSPECTION WORKSHEET FOR DATE: 7/25/2005 TIME: 7 : 12AM PAGE: 71 SITE ADDRESS: 06600 SW HAMPTON ST CLASS OF WORK: SUBDIVISION: WEST PORTLAND HEIGHTS LOT #: 037 TYPE OF USE: PROJECT NAME: QUEST DIAGNOSTICS DESCRIPTION: Chilled water flow, replacement of hydronic piping. Valuation: $08,000. • OWNER: PACIFIC REALTY ASSOCIATES, PHONE #: CONTRACTOR: TEMP - CONTROL MECHANICAL PHONE #: 285 - 9851 Inspection Request Scheduled For: Date: 7/25/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 699 Mechanical final 012034 -01 503 - 463.4500 N Corrections /Comments /Instructions: • bUEar' i �l.J S L �Cy-d -1--- ? C- is f-D 5 6 Oi e 6 (, et ski I -- OUP i - , r ., a _ •Lc IF -"III NOV m • A i ' 1111.111.rild 1� -- I!E • I r •'' ASS n PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL II CALL FOR NSPECTION ❑ ADDITION' L FEE ASSESSED Inspector: ,i 11 Date: r I . one #: (503) 718- •