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Permit CITY OF TIGARD MECHANICAL PERMIT ' COMMUNITY DEVELOPMENT PERMIT #: MEC2007 - 00553 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 9/19/2007 PARCEL: 1 S135BD -00100 SITE ADDRESS: 09600 SW OAK ST 350 ZONING: C -P SUBDIVISION: PLAZA WEST LOT: 005 JURISDICTION: TIG PROJECT: SLEEP WELL PARTNERS Project Description: Restroom exhaust fan and duct. 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 ASA PROPERTIES, INC Description Date Amount BY PAUL DEVILLE PO BOX 3110 [MECH] Permit Fcc 9/19/2007 $72.50 HONOLULU,, HI 96802 [TAX] 8% State Surcha 9/19/2007 $5.80 Phone: Total $78.30 Contractor: HUNTER DAVISSON INC 1800 SW PERSHING PORTLAND, OR 97202 REQUIRED ITEMS AND REPORTS Contact #: PRI 503- 234 -0477 Reg #: LIC 01612 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:)( � 4 ,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. l�r.• ' :f Mechanical Permit Appl'k. . ;1 - � C E� FOR OFFICE USE ONLY Cl of Tigard Receivc� I R D ' 2 L� Permit Novi 3 a 131 Hall Blvd., Tigard, OR 97223 ( Ep 19 2007 Date/By: Dr a�� cr s�j Phone: 503.639.4171 Fax: 503.598.196 Other Permit: Plan Revie Date/By: T I G n IZ �1 �( D Inspection Line: 503.639.4175 ( ) 1 w• Date Ready/By: loos: el See page 2 for mg Internet: www.tigard or.gov a v l� fied/Method: Supplemental Information * I�I u o6� BOLDING DI TYPE OF WORK COMMERCIAL FEE* SCHEDULE — USE CHECKLIST Mechanical permit fees* are based on the value of the work ❑ New construction Addition/alteration/replacement performed. Indicate the value (rounded to the nearest dollar) of all ❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit. CATEGORY OF CONSTRUCTION Value: $ �� RESIDENTIAL EQUIPMENT / SYSTEMS FEES* ❑ I- and 2 - family dwelling _Commercial/industrial ❑ Accessory building For special information use checklist. ❑ Multi - family ❑ Master builder ❑ Other: Description 1 Qty. I Ea. I Total JOB SITE INFORMATION AND LOCATION Heating/cooling Job site address: q id� ,c(Q1 ea, Air conditioning or heat pump (requires site plan showing placement) 14.00 City/State/ZIP: ' 7 5 a, © 1 Furnace 100,000 BTU (ducts/vents) 14.00 ��^^ / Furnace 100,000+ BTU (ducts/vents) 17.90 Suite/bldg. /apt.no.:35o Project name: S Iet/ ime,l/ G.� ,. Gas heat pump 14.00 Cross street/directions to job site: 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 DESCRIPTION OF WORK Water heater 10.00 n Gas fireplace 10.00 Zns -1-14. // /Yew akin, pj1 i ly tat/ , Pam w ai Flue vent for water heater or gas AA r (/-� a -fro � t o eat i si b ta t &7 U a ei - 14 L 10.00 Log lighter (gas) 10.00 519-94 +_d tie pofl - Wood/pellet stove 10.00 Wood fireplace /insert 10.00 ❑ PROPERTY OWNER I ❑ TENANT Chimney /liner /flue /vent 10.00 Other: 10.00 _ Name: t' J/4 -7Q weft Environmental exhaust and ventilation Address: 1 ` ( Range hood /other kitchen 948 sit., Q/id „,..� equipment 10.00 City/State /ZIPT f x_1.#1 02 Clothes dryer exhaust 10.00 y Single -duct exhaust (bathrooms, Phone: ( ) Fax: ( ) toilet compartments, utility rooms) 1 6.80 ❑ APPLICANT ❑ CONTACT PERSON Attic /crawlspace fans 10.00 Business name: n 10.00 _ f -T/ /au i / Fuel Other: piping Contact name: / ,,.j' (! k // $5.40 for first four; $1.00 for each additional Furnace, etc. Address: / H Fr pe ,_sA, f-� Gas heat pump City /State/ZIP: ' 7 ,-, fla,,,t,/ q72002- Wall/suspended/unit heater Phone: ( 99 ) 2,3 y, 4 0 Fax:: ( ) Water heater Fireplace E -mail: Range CONTRACTOR Barbecue Business name: Clothes dryer (gas) �� /Pe-- Other: Address: MECHANICAL PERMIT FEES* City /State /ZIP: Subtotal • Phone: ( ) Fax: ( ) Minimum permit fee ($72.50) Plan review (25% of permit fee) CCB lic.: Ma State surcharge (8% of permit fee) TOTAL PERMIT FEE . 3) Authorized signature: This permit application expires if a permit is not obtaine within 180 l'� / days after it has been accepted as complete. Print name: (' Li- 6 Date: ci—m_67 * Fee methodology set by Tri- County Building Industry Service Board I:\ Building \Pennits'MEC- PermitApp.doc 04 /06/06 440-4617T (11 /02/COM/WEB) CITY OF TIGARD . BUILDING DIVISION PERMIT #: MEC2007 -00553 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/19/2007 Phone: (503) 639 -4171 Inspection Requests (24 Hrs.): (503) 639 -4175 'I L INSPECTION WORKSHEET FOR DATE: 9/27/2007 TIME: 7:00AM PAGE: 67 SITE ADDRESS: 09600 SW OAK ST 350 CLASS OF WORK: SUBDIVISION: PLAZA WEST LOT #: 005 TYPE OF USE: PROJECT NAME: SLEEP WELL PARTNERS DESCRIPTION: Restroom exhaust fan and duct. OWNER: ASA PROPERTIES, INC, PHONE #: CONTRACTOR: HUNTER DAVISSON INC PHONE #: 503234-0477 Inspection Request Scheduled For: Date: 9127/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 699 Mechanical final 056434 -01 503.793-9802 N Corrections /Comments /Instructions: I 1 ( i / . \ i PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Vi; Inspector: Date: Phone Phone #: (503) 718 Z 1 LL("( ' f r