Permit CITY TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT . PERMIT #: MEC2007 -00623
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 10/26/2007
1460 PARCEL: 25101 DB -00101
SITE ADDRESS: Irarice SW HUNZIKER RD ZONING: C -P
SUBDIVISION: HUNZIKER PROFESSIONAL CENTER LOT: JURISDICTION: TIG
PROJECT: HUNZIKER PROFESSIONAL BUILDING
Project Description: ROOT TOP: Remove and Replace (1) unit, 2 ton RTD. Value: $4,500
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: 0 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: 1 <= 10000 cfm: OTHER UNITS:
> 10000 cfm:
GAS OUTLETS:
Owner: FEES
HALLBERG, RAY C Description Date Amount
do HALLBERG, RAY C TRUST
3270 LAKEVIEW BLVD [MECH] Permit Fee 10/26/20C $130.00
LAKE OSWEGO, OR 97035 [MECPLN] Plan Rev 10/26/20C $32.50
[TAX] 8% State Surcha 10/26/20C $10.40
Phone: Total $172.90
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.
Issued By: - Permittee Signature:
Call 503.639.4175 by 7:00 a.m. for inspections that business da
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.
Mechanical Permit Application FOR OFFICE LSE ONLY
' City of Tigard ( Received
II `J g k' s Date/By: i V alp d • `- Permit a 0 do 7 15: ! R
q 13125 SW Hall Blvd., Tigard, OR 97e22 VE)D- Plan Review �
C ` Phone: 503.639.4171 Fax: 503.598.1960 Date /By: Other Permit:
T I G ARD Inspection Line: 503.639.4175 0 r T i i D ate R ead /B ® See Page 2 for
Pa
2 6 /' hi / Ready /By: ]uric. g
Internet: www.tigard- or.gov Notified/Method: Supplemental Information
C TYOF 11OARD
/ TYPE ' OR t9 o�� 1 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: $ L/O G
RESIDENTIAL :EQUIPMENT / SYSTEMSFEES*
❑ 1- and 2- family dwelling Commercial /industrial ❑ Accessory building
For special information use checklist.
❑ Multi- family ❑ Master builder ❑ Other:
Description I Qty. I Ea. I Total
JOB- SITE INFORMATION AND LOCATION, Heating/cooling •
7 0 S v v ` Q `� Air conditioning or heat pump
Job site address:
tt l rx [ ` 3 (requires site plan showing placement) 14.00
City /State /ZIP: 77 4 4 6 /C. 97 2 a 3 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
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Subdivision: Lot no.: Flue /vent for any of above 6.80
Other: 10.00
Tax map /parcel no.: Other fuel appliances
. DES CRIPTION OF WORK Water heater 10.00
Gas fireplace 10.00
>' —
9 p y_ ---- 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 ❑ TENANT , ' Chimney /liner /flue /vent 10.00
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 1 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: /4�G ,004/4C4 — �/L LF..� Clothes dryer (gas)
/ Other:
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Address: / 2 g'(D / /lJ 7 4 gp / (�,�'y MECHANICAL PERMTT_ FEES*
°'
City /State /ZIP: /364761-416 6 A / • _ Subtotal 3.9 j
Phone: (/7/) Zi/t� — 0 cm / Fax: ( f) 23i V C`70 Z I 0 _ an r 25% it fee rmit fee)
5
Ian review (25% of permit fee)
CCB lie.: /5-q_3 6 V / 9-` - State surcharge (8% of permit fee) .
TOTAL PERMIT FEE C , .t.4
Authorized signature: T permit application expires if a permit is not Atli' ■ ed within 180 I
days after it has been accepted as complete.
Print name: �-7 B Date: /672 -7 ' Fee methodology set by Tri- County Building Industry Service Board
M
1:\Building\Permits\EC- PermitApp doc 01/19/07 440 -4617T (1 l /02 /COM /WEB) i�'i9 r /lo
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 01/19/07 2
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CITY OF �*wn n n^�o TIGARD ,. —^
BUILDING DIVISION PERMIT #: M�10O�O�2
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1[/2{/2007
Phone: (503)039'4171 - '
Inspection Reque�e(24Hs.):(SU3)S30'417G ��� yrC��
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INSPECTION WORKSHEET FOR DATE: 1/3/2008 TIME: 7:00AM PAGE: .39
SITE ADDRESS: 07460EWHUW2|KER17D CLASS OF WORK:
SUBDIVISION: HUNZIKER PROFESSIONAL CENTER LOT #: TYPE OF USE:
PROJECT NAME: HUNZIKER PROFESSIONAL CENTER
DESCRIPTION: ROOT TOR Remove and Replace (1) unit, 2 ton RTD. Value: $4.600
' OWNER: HALLBERG, RAY C, PHONE #:
CONTRACTOR: MACDONALD MILLER OF OREGON PHONE #: 971
Inspection Request Scheduled For: Date: 1/3/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message '` -2
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699 ����oio� 082477'01 . `
Corrections/Comments/Instructions:
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1-2 III PARTIAL APPROVAL Ill CANCEL • ri NO ACCESS
n FAIL - CALL FOR INSPECTION 0 AOO|T| EES ASSESSED
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Inspector: Date: \ ' -� /��� Phone#� (SO3)718' ,�