Permit ■
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'` CITY OF TIGARD
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MECHANICAL PERMIT
COMMUNITY DEVELOPMENT PERMIT #: MEC2007 -00624
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 10/26/2007
PARCEL: 25101 DB -00101
SITE ADDRESS: 07420 SW HUNZIKER RD ZONING: C -P
SUBDIVISION: HUNZIKER PROFESSIONAL CENTER LOT: JURISDICTION: TIG
PROJECT: HUNZIKER PROFESSIONAL BUILDING
Project Description: ROOF TOP: Remove and replace (3), 2 ton RTD units. Value: $13,500
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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:
NAT 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: 3 <= 10000 cfm: OTHER UNITS:
> 10000 cfm: GAS OUTLETS:
Owner: FEES
HALLBERG, RAY C Description Date Amount
c/o HALLBERG, RAY C TRUST
3270 LAKEVIEW BLVD [MECH] Permit Fee 10/26/20C $278.75
LAKE OSWEGO, OR 97035 [MECPLN] Plan Rev 10/26/20C $69.69
[TAX] 8% State Surcha 10/26/20C $22.30
Phone: • Total $370.74
Contractor:
MACDONALD MILLER OF OREGON
12801 NE AIRPORT WAY
PORTLAND, OR 97230 REQUIRED ITEMS AND REPORTS
Contact #: PRI 971 - 244 -0906 .
FAX 971- 244 -0902
Reg #: LIC 154368
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.
z (i : j 52 7 —
Issued B . 4111111r / '‘d Signature: s. y '
Call 503.639.4175 by 7:00 a.m. for inspections that busine day.
This permit card shall be kept in a conspicuous place on the job site until ompletion of the project.
Approved plans are required on the job site at the time of each inspection.
rii
Mee hanical Permit Applicatil it Ec B } ELl .. City of Tigard I 6 ! U FOR OFFICE USE ONLY
fl U l Received r
Date/By: y V I l y 101 �7 �p Permit No.a4 /��{ 7' �
1� (f/ t
q 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review `
C :. Phone: 503.639.4171 Fax: 503.598.1901TV OF UIGARD Date/By: Other Permit: �i` s7�
TIGARD Inspection Line: 503.639.4175 BULL \GDIVISION DateReady /By: 7uris. 0 See Page 2 for
Internet: www tigard- or.gov Notified/Method: • Supplemental Information
TYPE, OF WORK COMMERCIAL FEE* SCHEDULE: USE CHECKLIST
❑ 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.
CATEGORY OF CONSTRUCTION Value: $ 3 3--do
` ' :RESIDENTIAL°EQUIPMENT /SYSTEMS FEES* - . ,
❑ 1- and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building
For special information use checklist.
El Multi-family ❑ Master builder ❑ Other:
Description Qty. Ea. Total
' . JOB. SITE INFORMATION AND .LOCATION ' . Heating/cooling
Air conditioning or heat pump
Job site address: 7020 S4/ f/.t/ Z./ 4",ce__ (requires site plan showing placement) 14.00
City /State /ZIP: 77j,P,72, Cr, 4.. 972 2 ? Furnace 100,000 BTU (ducts /vents) 14.00
Furnace 100,000+ BTU (ducts /vents) 17.90
Suite/bldg. /apt. no.: Project name: Gas heat pump 14.00
Cross street/directions to job site: Duct work 10.00
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. 14.00
Subdivision: Lot no.:
Flue /vent for any of above 6.80
Other: 10.00
Tax map /parcel no.: Other fuel appliances
DESCRIPTION OF. WORK Water heater 10.00
Gas fireplace 10.00
Q �YL 3 . ) l e_ ay l 1 --
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
❑ PROPERTY OWNER Chimney /liner /flue /vent 10.00
❑ TENANT-
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
, ❑ :APPLICANT ❑ CONTACT PERSON . .' Attic /crawlspace fans 10.00
Other: 10.00
Business name:
Fuel piping
Contact name: $5.40 for first four; $1.00 for each additional
Address: Furnace, etc.
Gas heat pump
City /State /ZIP: Wall /suspended/unit heater
Phone: ( )
Fax :: ( ) Water heater
Fireplace
E -mail:
Range
CONTRACTOR Barbecue
Business name: ��0ti.� — M /4,444:0 Clothes dryer (gas)
b Other:
Address: /Z,6 /V,C, Al/ -Pole r eA✓ y MECHANICAL PERMIT FEES* ` , `,
City /State /ZIP: PU ,17-4../4,v6 / 0,� 0 1' W.1 S Subtotal
Phone: ( 97 h Z vv- d 56 / Fax: (C 7)) 2 e/1•/ — 1' d Q Minimum (25% fee permit fee) I' °go.
�� � 1 Plan review (25% of permit fee) ° J(p,
CCB lie.: 1s 3 6 e ,, 33State surcharge (8% of permit fee) / (o
TOTAL PERMIT FEE Z i orb
AUthorlZed signature: This permit application expires if a permit is not obtain within 0
days after it has been accepted as complete.
Print name: T -/M &6477, Date: AO 2 /d " Fee methodo gy set by Tri- County Building Industry Service Board
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I'\Bwlding \Permits \MEC- PermitApp.doc 01/19/07 440 -4617T (1 I /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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C\ Building \Permits \MEC- PermitApp.doc 01/19/07 2
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' CITY OF TIGARD
BUILDING DIVISION . PERMIT #: I%,1EC2007-00624
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/2612007 .
Phone: (503) 639-4171
: ,1
Inspection Requests (24 Hrs.): (503) 639-4175 ..-r:Arr. t_ -.
INSPECTION WORKSHEET FOR DATE: 1 :/2008 TIME: 7:00AM PAGE: 36
SITE ADDRESS: C)7420 SW HUNZIKER RD CLASS OF WORK:
SUBDIVISION: HUNZIKER PROFESSIONAL CENTER LOT #: TYPE OF USE:
PROJECT NAME: HUNZIKER PROFESSIONAL CENTER
DESCRIPTION: ROOF TOP: Remove and replace (3), 2 ton RTD units. Value: $13,500
OWNER: HALLBERG, RAY C, PHONE #:
CONTRACTOR: MACDONALD MILLER OF OREGON PHONE #: 971-2440906
Inspection Request Scheduled For: Date: 1/3/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 062479-02 503-519-3709 N
Corrections/Comments/Instructions:
, C AS • PARTIAL APPROVAL 0 CANCEL 0 NO ACCESS
I FAIL CALL FOR INSPECTION El ADDITI NAL EES ASSESSED
■111111■ Lfif
Inspector: ...a......._ Date: 0( Phone #: (503) 718- Z-- ----
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