Permit •
CIT OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT PERMIT #: MEC2008 -00581
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 11/25/2008
PARCEL: 25101 DB -00103
SITE ADDRESS: 07360 SW HUNZIKER RD 206 ZONING: C -P
SUBDIVISION: HILLTOP BUSINESS CENTER LOT: JURISDICTION: TIG
PROJECT: GOODMAN NETWORKS
Project Description: Mechanical TI - ducts and grilles. Project value: $20,000
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
ROBINSON DEVELOPMENT Description Date Amount
PO BOX 91305
PORTLAND, OR 97291 [MECH] Permit Fee 11/25/200 $366.50
[TAX] 12% State Surch 11/25/20C $43.98
Phone: Total $410.48
Contractor:
RELIABLE HVAC
4221 NE ST JOHNS RD SUITE F
VANCOUVER, WA 98661 REQUIRED ITEMS AND REPORTS
Contact #: PRI 360 - 693 -7379
FAX 360- 693 -7784
Reg #: LIC 145234
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.
1
Iss ed By: ' / �� Permittee Signature: 1 A a o, 1 /� •
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.
r.
ecli&anic
_ al Permit Application + FOR O FFICE , USE ONLY.
CI of Ti and RECEIVED Received �/� Permit No.:
`1 g Date/By: if �� tltS Vivli / I� � �� /'�J(�
q 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review
Phone: 503.639.4171 Fax: 503.598.1 lv 2 2008 5 Date/By: Other P- mit:
Inspection Line: 503.639.4175
TIGARD Date Ready/By: d L U 0 See Page e 2 for
Internet: www.tigard Notified/Method: d: Supplementallnformation
]] C����IppT�' JJjt O jj F TIGARD Filll
f & °�� ;` ; S .`.a OTYPE o '` yoRK D , I .;.-. f . 0�ry CdMMVMERCIAL FEE* ' SCHEDULE tE ,USE CHECKLIS
� � 5r .� ' ,�ff.,i.'s
New construction Mechanical permit fees* are based on the value of the work
El ®A ddition /alteration replacement performed. Indicate the value (rounded to the nearest dollar) of all
❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit.
t ,�q, . ts . : - - ;-o . : Value: $ 20,000
%' ' C lax "CATEGORY QF r CON ta f v(yoRESH)ENT QIT
IAL EIPM,/ SYSTEM FEES *. i
El 1- and 2- family dwelling ® Commercial /industrial ❑ Accessory building" " "`� ENTw �' "�'� t
For special information use checklist.
❑ Multi- family ❑ Master builder ❑ Other:
Description Qty. Ea. Total
_ _ - , O „ N.f, IOB SITE INFORMATIO ND LOCATION,, - = " , :_ Heating /cooling
Job site address: 7360 SW Hunziker Rd Air conditioning or heat pump
(requires site plan showing placement) 14.00
City /State /Z1P: Tigard, OR 97223 Furnace 100,000 BTU (ducts /vents) 14.00
Furnace 100,000+ BTU (ducts /vents) 17.90
Suite/bldg. /apt. no.: 206 Project name: Goodman Gas heat pump 14.00
Cross street/directions to job site: SW 72 ' Ave & Hwy 217 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
,. . x $'t"r 9�i . T' a DESC iOF'V : -' ''' , v _ Water heater 10.00
" Gas fireplace 10.00
Mechanical TI work for building permit # 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
;� - , i 4 , 1 , Chimney /liner /flue /vent 10.00
"' ' ,'E .: —;--Ii PROPERTY i 7C--,k4; r ® TE » , . ,
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
. 1. ` ® APPLIC '- W r 1 ' _ , ❑ ' CONCACT P ERSON ti " m, . "- Attic /crawlspace fans 10.00
Other: 10.00
Business, name: Reliable HVAC, Inc Fuel t m
P g
Contact name: Rob Russell $5.40 for first four; $1.00 for each additional
Address: 4221 NE St Johns Rd Suite F Furnace, etc.
Gas heat pump _
City /State /ZIP: Vancouver, WA 98661 Wall /suspended/unit heater
Phone: (360) 693 -7379 xt.109 Fax: : (360) 693 -7784 Water heater
Fireplace
E - mail: rrussell @reliablehvac.biz p Range
",- 3 1 "E »,- xO r ? s l '�� t`iL - + : r ,�- ^�.
t CONTRACTOR" , �q Barbecue
r �a
_� �, tea " „� � � � � - i �,,.�= �� _. � -� -�� �, ,
Business name: Reliable HVAC, Inc
Clothes dryer (gas)
Other:
Address: 4221 NE St Johns Rd Suite F 0'd ',- '
NICCHANICAr.PERMIT,FEES *- = d� � �
City /State /ZIP: Vancouver, WA 98661 Subtotal
Minimum permit fee ($72.50).
Phone: (360) 693 -7379 Fax: (360) 693 -7784 Plan review (25% of permit fee) t9-.
CCB lie.: 145234 State surcharge (12% of permit fee) V. Fie
/ TOTAL PERMIT FEE 4 ./i . 45
Authorized signature: / , � rl e This p ermit application expires if a permit is not obtaine{I (vlthin 180
A � ,, days after it has been accepted as complete.
Print name: Rob Russell Date: 11/24/08 * Fee methodology set by Tri- County Building Industry Service Board
C\Building \ Permits \MEC- PermitApp.doe 04/06/06 440 -46I7T (I1 /02 /COM /WEB)
Mechanical Permit Application - City of Tigard
Page 2 - Supplemental Information
Commercial Fee Schedule:
:Total` Valuation iqi4 . r 4Permit Fee; § r
$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.
I:\ Building \Permits \MEC- PermitApp.doc 12/30/05 2
. .
cnry OF TIGARD
BUILDING DIVISION
A PERMIT #: MEC1009005131
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: i i /TIMM
Phone: (503) 639-4171 i Nit
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: •214/2008 TIME: 7 PAGE: 13
SITE ADDRESS: 07360 SW HUNZIKFR RD 206 CLASS OF WORK:
SUBDIVISION: HILLTOP BUSINESS CENTER LOT #: TYPE OF USE:
PROJECT NAME: GOODMAN NETWORKS
DESCRIPTION: TI - ducts and grilles. Project value: $20,000 NO PLAN REVIEW REQUIRED .
OWNER: ROBINSON DEVELOPMENT, PHONE #:
CONTRACTOR: RELIABLE HVAC PHONE #: 360,693.7379
Inspection Request Scheduled For: Date: 12/412000 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 078784 503-209 Y
Corrections /Comments/ Instructions:
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PASS n PARTIAL APPROVAL 0 CANCEL ri NO ACCESS
I I FAIL I I CALL FOR INSPECTION 0 ADDITIONAL FEES ASSESSED
' Allrii 1 ''
Inspector: . k II I Date: li 4.0 dig Phone #: (503) 718- _ _ ' 2
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CITY TIGARD
BUILDING DIVISION
A,„ PERMIT #: MEC2008-00581
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/25/200B
Phone: (503) 639-4171 itspiN
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Inspection Requests (24 Hrs.): (503) 639-4175 „J.11- i'-_-_.
INSPECTION WORKSHEET FOR DATE: 1yir2008 TIME: 7 PAGE: 2
SITE ADDRESS: 07360 SW HUNZIKER RD 206 CLASS OF WORK:
SUBDIVISION: HILLTOP BUSINESS CENTER LOT #: TYPE OF USE:
PROJECT NAME: GOODMAN NETWORKS
DESCRIPTION: TI - ducts and grilles. Reject value: $20,000 NO PLAN REVIEW REQUIRED
OWNER: ROBINSON DEVELOPMENT, . PHONE #:
CONTRACTOR: RELIABLE HVAC PHONE #: 361)-693-7379
Inspection Request Scheduled For: Date: 1211/2008 Pour Time:
Code # Inspection Description Confirm # Contact # . Message
699 Mechanical final 07863402 503-209-1223 N
Corrections/Comments/Instructions:
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Inspector: IMP ' Date: (- I i Phone #: (503) 7182430
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BUILDING DIVISION PERMIT ~~~~"~~�~""°~° ~~"°"~°"~~"~ � k4Ec2D88,006Q1
13125 SW Hall Blvd., Tigard, OR 97228 DATE ISSUED: 11/25/2008
Phone: (503) 639-4171 A/441901I#
Inspection Requests (24 Hrs.): (503) 639-4175 A' 111.
INSPECTION WORKSHEET FOR DATE: 11/26V2008 TIME: 7 PAGE: 25
SITE ADDRESS: 07360 SW HUNZIKER RD 206 CLASS OF WORK:
SUBDIVISION: HILLTOP BUSINESS CENTER LOT #: TYPE OF USE:
PROJECT NAME: (9D0[}K4ANNElWORK8
DESCRIPTION: TI - duc.4 and grilles. Project ject value: $20.000 NO PLAN REVIEW REQUIRED
OWNER: ROBINSON DEVELOPMENT, PHONE #:
CONTRACTOR: RELIABLE HVAC PHONE #: 360-683,n-19
Inspection Request Scheduled For: Date: 11/26/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
615 Mechanical rough-in 078553-01 503'209'1223 ^^v~) ��4
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Corrections/Comments/Instructions:
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.
.
AMER I
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PARTIAL APPROVAL I] CANCEL [7 NC)ACCESS
n FAIL CALL FOR INSPECTION El ADDITIONAL FEES ASSESSED
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f � _` q Inspector: ` Date: � / �k�Phona #� (5O3\ 718' '
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