Permit C ITY OF TIGARD MECHANICAL PERMIT
1 COMMUNITY DEVELOPMENT PERMIT #: MEC2008 -00154
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 3/28/2008
PARCEL: 2S 112AB - 02300
SITE ADDRESS: 14150 SW MILTON CT ZONING: I -L
SUBDIVISION: BONITA INDUSTRIAL PARK LOT: 005 JURISDICTION: TIG
PROJECT: NORTHWEST MEDICAL TEAMS
Project Description: Install (1) 2 - ton ductless split system to server room. Project Value: $4,890
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
SHEININ - MENDENHALL LLC I Description Date Amount
BY PARROTT PARTNERHIP
12725 SW 66TH AVE #202 [MECH] Permit Fee 3128/200€ $139.20
PORTLAND, OR 97223 [MECPLN] Plan Rev 3/28/200€ $34.80
[TAX] 12% State Surch 3/28/200€ $16.70
Phone: Total $190.70
Contractor:
AMERICAN HEATING INC
1339 SE GIDEON ST
PORTLAND, OR 97202 REQUIRED ITEMS AND REPORTS
Contact #: PRI 503- 239 -4600
FAX 503- 239 -7038
Reg #: LIC 33135 .
•
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: Permiftee Signaturex 5r /VI ~c ��
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.
Mechanical Permit Application FOR OFFICE USE ONLY
city of Tigard
Received
Date/By:
Pl Rev No.
i • 0% API Permit : HiCAZ "
131 SW Hall Blvd., Tigard, OR 97223 4 an
Phone: 503.639.417 1 Fax: 503.598.1960 //,.,. Date/By: ew Other 'emit:
Inspection Line: 503.639.4175 _AN.- ; V Date Ready/By: EI See Page 2 for
Internet: www.ci.tigard.or.us Notified/Method: Nal Supplements! Information
ei: ilr 'OcAtAllg4. - ,. ., , , ,, _ , - --,, . .. §, - -
1, .4441gAdd'itiso'.4;;It?rati' ' '' ''' d" --''' - ' ' .. ' . Me pennit fees* are based on the value of the work
performed. Indicate the value (rounded to the nearest dollar) of all
0 Demolition 0 Other: • mechanical materials, equipment, labor, overhead, and profit.
,,,,„,,,„,,d,,ArmAt;:itt4iltriVre Value: s 4- e.crij . 00
g S ,,
0 1- and 2-family dwelling liCommercial/industrial 0 Accessory building For special information use checklist.
0 Multi-family 0 Master builder 0 Other:
Description I Qty. I Ea. I Total _
7 I itank;11.,11 .;',
PIVOINC070:111 ; ', * lielatog t;,i,*, Heating/cooling
.7 Iii .4. ',. -... : . , , ■ . , t.-1 ,o ,-• ,,c W ;
, Air conditioning or heat pump
Job site address: . 4 ts S vO M iLO-1 ) c.-1--.. (requires site plan showing placement) 14.00 -
City/State/ZIP: 1 ( Oa, 9 7l,23 Fumace 100,000 BTU (ducts/vents) 14,00
Furnace 100,000+ BTU (ducts/vents) 17.90 ,
• Suite/bldg./apt no.: I Project name: 14
Gas heat pump .
Cross street/directions to job site: Vs> ikk i Ce StOvAii1/4. 0 r- - Duct work . 14.00
Hydronic hot water system 14.00
Z ec- P4._ 0 tP c---r. Residential boiler (radiator or .
hydronic) 14.00
Unit heaters (fuel-type, not electric),
in-wall, in-duct, suspended, etc. 10,00
Flue/vent for any of above 10.00
Subdivision: I Lot no.:
Other: 10.00
Tax map/parcel no Other fuel appliances
Er.#17 ' .,, ,,:,ttopyftw.,FEAT,,,,p-owasialmisysitizi6aTiarjfirof.: Water heater 10.00
Gas fireplace 10.00 •
PAo 4 ;60. A--- "-,,,,s t - 2- rifi\ t 1J-t Flue vent for water heater or gas
fireplace 10.00
54' U r SI,S1 e;,n4a rArr-Ipt4" tan Log lighter (gas) 10.00
-t1) S vtA vt.- )e49-0-01. Wood/pellet stove 10.00
Wood fireplace/insert 10.00
Chimney/liner/flue/vent 10,00
P frreV3r61EIM.F1744- 7 s . ;. .'t ' 'i'e}:, if, ,
EIMVareVilign , =•, LA, 14 2,01fIgszlit.A7....,teA4 . .,,, , Other: 10.00
Name: Ret 1-1 ....„ Environmental exhaust and ventilation ,
Range hood/other kitchen
Address: I Ltisv s r..1 Wu lic c-A--, equipment 10.00 ,
City/State/ZEP: 1 1- &&.. a lit:WA Sin
Clothes dryer exhaust 10.00
gle-duct exhaust (bathrooms,
Phone: (5 Ci3 ) (23.-1...i: - 1).-IC/0 Fax: ( ) toilet compartments, utility rooms) 6.80
I ,.. Attic/crawlspace fans
- 41R - 75'NFOggrt i reatir.,pi r SIR T Erakti qI),, ./.:;i&laLQ.21 Agftfr., elfi y,... 10.00
l Other: 10.00
Business name: PrtAke;12-g-QA ke:A-In hi(,, Fuel piping
Contact name: ,.. S P-6-,)...f-- $5.40 for first four; $1.00 for each additional
Furnace, etc.
Address: " S l?- I th kCISA "i Gas heat pump
City/State/ZIP: .. 913-o pbia--Lp,-,44_ .. . • Wall/suspended/unit heater
of) .
Phone: (SQ3 ) 3-3i - I Fax: : ( s-03 ) 2.31 --7 (.73 5 Water heater
Fireplace
E-mail: c--( ,/ , a 0_'t , ,
. /%1 -es Range
Ifi k ,TV„ , Eff1,11.4ffgati,,MINkfit513;51A,FIROWNIRL..CMPFJ PINT,I.;; Barbecue
. w.041'&i, E. v "..■,.. . .A apAgLama:t 'azams, 6..,.V.321±ia....'121.1.1. ti.a.L-14,..v....141.61 .4...-A....,,-., - - Clothes dryer (gas)
Business name: A yAot.., Le4 tlit...,_y,,,tir....c,, • Other:
Address: (3 se c ....,, t ,... 0 , sl .....
Subtotal
City/State/ZIP: Ebkr 0: 11 a('
Minimum permit fee ($72.50)
Phone: (St.)) ) a31 - L €600 I Fax: (5 )2.19 -70_1 Plan review (25% of permit fee)
CCB lic.: a , , s _ ( State surcharge (8% of permit fee)
_
TOTAL PERMIT FEE ,06. 70
Authorized signature: >: r - ' e 7k/1 .--....1 C ' hci. - C---- This permit application expires If a permit Is not obtained within 180
days after It bee been accepted as complete.
I Print name: ,.3-4-19--1irk- _4 I Date: 1 • Fee methodology set by Tri-County Building Industry Service Board
CITY OF TIGARD ,
BUILDING DIVISION PERMIT #: MEC2008 -00154
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/28/2008
Phone: (503) 639- 4171
Inspection Requests (24 Hrs.): (503) 639 -4175 °:
INSPECTION WORKSHEET FOR DATE: 3/311200. TIME: 7:01AM PAGE: 22
SITE ADDRESS: 14150 SW MILTON CT CLASS OF WORK:
SUBDIVISION: BONITA INDUSTRIAL PARK LOT #: 005 ~ TYPE OF USE:
PROJECT NAME: NORTHWEST MEDICAL TEAMS
DESCRIPTION: Install (1) 2 - ton ductless split system to sewer room. Pii ject Value: $4,890
OWNER: SHEININ- MENDENHALL LLC I, PHONE #:
CONTRACTOR: AMERICAN HEATING INC PHONE #: 503
Inspection Request Scheduled For: Date: 3/31/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 067576-02 503.2090555 N / — 1 1
Corrections /Comments/ Instructions:
OSS (PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL /� ALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: 3 5 i 0 g Phone #: (503) 718- ��'
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MEC200S -00154
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/28/2008
Phone: (503) 639 -4171 t� �I�I
Inspection Requests (24 Hrs.): (503) 639 -4175 F-
INSPECTION WORKSHEET FOR DATE: 3/3112008 TIME: 7:01AM PAGE: 23
SITE ADDRESS: 14150 SW MILTON CT CLASS OF WORK:
SUBDIVISION: E3ONITA INDUSTRIAL PARK LOT #: 005 TYPE OF USE:
PROJECT NAME: NORTHWEST MEDICAL TEAMS
DESCRIPTION: Install (1) 2 -ton ductless split system to server room. Project Value: $4,830
OWNER: SHEININ- MENDENHALL LLC I, PHONE #:
CONTRACTOR: AMERICAN HEATING INC PHONE #: 503 - 2334600
Inspection Request Scheduled For: Date: 3/31/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Mes = •
69 Misc. inspection 067576-01 503 - 209.0555 t —I(
Corrections /Comments /Instructions:
- c. tom_ *-.
�
�I P ' %j PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL A CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
■ 2 1/08
G
Inspector: _ Date: 2 Phone #: (503) 718 - LfZ /�