Permit C ITY OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT PERMIT #: MEC2006 -00607
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 11I29I2006
PARCEL: 2S 102AA -01100
SITE ADDRESS: 12035 SW PACIFIC HWY C ZONING: C -G -
SUBDIVISION: KINGSTON LOT: 1 -7 JURISDICTION: TIG
Project Description: Replace unit heater.
CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS:
TYPE OF USE: COM UNIT HEATERS: VENT FANS:
OCCUPANCY GRP: 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: REPAIR UNITS:
FIRE DAMPERS ?: 30 - 50 HP: WOODSTOVES:
GAS PRESSURE: 50 + HP: CLO DRYERS:
FURN < 100K BTU: AIR HANDLING UNITS OTHER UNITS: 1
FURN > =100K BTU: <= 10000 cfm:
GAS OUTLETS:
> 10000 cfm:
Owner: FEES
TIGARD AUTO STOP PARTNERS Description Date Amount
300 ADMIRAL WAY #200
EDMONDS, WA 98020 [MECH] Permit Fee 11/29120( $72.50
[TAX] 8% State Surcha 11/29/20( $5.80
Total $78.30
Phone:
Contractor:
ARROW MECHANICAL
10330 SW TUALATIN RD
TUALATIN, OR 97062 REQUIRED ITEMS AND REPORTS
Contact #: PRI 503- 692 -1565
FAX 503- 691 -1879
Reg #: LIC 5193
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: 71 j / /�✓ Permittee Signature: Ad
Call 503.639.4175 by 7:00 a.m. for inspections that .0
This permit card shall be kept in a conspicuous place on the job site unt comp etion of the project.
Approved plans are required on the job site at the time of each inspection.
Mechanical Permi p> p E FOIL OFFICE USE ()NUN. Cityof Tigard �{ t Received Permit No.:
DatilBy • • ■ Po r ii - • •4roaGo
13125 SW Hall Blvd, Tigard, OR 97223 Plan Review
Phone: 503.639.4171 Fax 503.598. �/ 4. Other Permit:
LTspection Line: 503.639.4175 • 2 3 1U�6 ��� I . Date/By: y
y. Date Ready/By: MI El See Page 2 fbr
Internet: www.ci- tigard.orms CITY OF TIGARD Not;Sed/Mcehcd: Supplemental Information
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❑ New construction Addition/alteration/replacement Mechanical permit fees* are based on the value of the work
• ❑Demolition Other performed Indicate the value (rounded to the neatest dollar) of all
mechanical materials, equipment, labor, overhead, and profit
`, .4.r: 47 .,, , 4 .aT F �., S n `- 0 .
.:(h � .a.- S t F1 �}�i. s > , V i Value: S /537 -,
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❑ 1 - and 2-family dwelling r : ° Y� f " -_ Af i :. A , Q r:
y lli Q� Co mmercial/indus trial ❑ Accessory building �� �
❑ Multi - family /uilder ❑ Other; For special information use checklist.
❑ Master builder
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Description I Qty. I a. j Total
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Z , � -r ft y J -.- - #b � ; r C r. ` a . ' t" Heating/cooling
4 #1,./7 Air conditioning or heat pump
Job site address:
/2 0 3 5 ' C ✓ 5� Pie, / xi c_, (requires site plan showing placement) 14.00
City / State/ZIP: T .0 (^')/1., A / ? ZZ 3 Furnace 100,000 BTU (ducts/vents) 14.00
/ ` Furnace 100,000+ BTU (ducts/vents) 17.90
Suite/bldg /apt. no.: Project name Re, heat. Pip 14.00
Cross street/directions to job site: fi �. w 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: I Lot no.:
Flue/vent for any of above 10.00
Other: 10.00 _
Tax map /parcel no.: Other fuel appliances
(�.'4`.. '• as •� M -R ic.
",.r :=r.e t, �t.,, �•,.,�
TA c? rf y. mow' :' ' ` . Y ' ` °�.`�"-`; Water heater 10.00
'' �;,y, �•.. � "��'� kDv ; u., : �XO� 'yOF�YORK`��_.��- ` ^••.���,�¢+ ��x:� .
' , ...`r k -a ... .o . :; ..n- i�ya..._.: ' av �: " '``' :.
Q o Gas fireplace 10.00
fv i L / tJ��' �d ° 0r d.4 T�sr( 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
Wig} er y r5 t.� •. �. Chimney /liner /flueJvent 10.00
- l i. 74rr e ". t Other: 10.00
Name: (-04757 ,e z- 6s�-4 Environmental exhaust and ventilation _
Range hood/other kitchen
Addrrss: ZeZ ZA R( < c 4. big -* //a..7 equipment 10.00
/ State
Ci Clothes dryer exhaust 10.00
City/State/ZIP: Cll r i�' D / Za .
Single -duct exhaust (bathrooms,
Phone: ( ) Fax: ( ) toilet compartments, utility rooms) 6.80
ai Y ' :` b 7Ertrikr Wd- 3'A`44 �' 'e . ' . 4 �iF Anidcrawlspace 10.00
..•A -_ t. e. ,:_. n. � . ..._� Other: 10.00
Business n: e: A2R/x,./ /1 g t'. / 9 t, Fuel piping
Contact name: jeraj y P /. $5.40 for first four, $1.00 for each additional
Address: / 0 3 3 v 5(-ti - 17.4 �a r Gas h e de.
/� � � Gas heat pump
City /State/ZIP: 7 t.i ry ,,./ ' C)/ 9 7.0e, z., ' . WaWsuspended/unitheater
Phone: (.62,3 ) 6 , , Z . , / 5 - 6 , o s I Fax:: (74'3) to? is- /g? / p • Water heater
E-mail: Fireplace
Range
;r 1� ti ti Js a r '``l 4 ` z ; Barbecue
Business name: 4 RROLJ neCy e At-- - coulee dryer (gas)
_ Other:
Address: !/ _ \ 4 (t k ( ( I t 1 E -. _
1 4
City / State/ZIP: _ ____ _- Su 4 - 0 ___
Phone: ( ) I Fa x ( ) '. 3 Minimum permit fee ($72
4 Plan rcview (25% of permit fee) 5.-C(6 i
CCB lic.: 5-7 9 3 „ State surcharge (8% of permit fee) I
trif 0 • TOTAL PERMIT FEE /1
Authorized signature: / / Z 8 Mb permit application expires U a permit b not obtained within 180
days after it bas been accepted as complete.
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i
CITY-OF-TIGARD
BUILDING DIVISION PERMIT #: MEC2006.00607
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/29/2006
Phone: (503) 639 -4171 /u��jililn
Inspection Requests (24 Hrs.): (503) 639 -4175 .�' W F: -..
INSPECTION WORKSHEET FOR DATE: 12/1/2006 TIME: 6 PAGE: 68
SITE ADDRESS: 12035 SW PACIFIC HWY C CLASS OF WORK:
SUBDIVISION: KINGSTON LOT #: 1.7 TYPE OF USE:
PROJECT NAME: SPEEDY AUTO GLASS
DESCRIPTION: Replace unit heater. Value: $1550.00
OWNER: TIGARD AUTO STOP PARTNERS, PHONE #:
CONTRACTOR: ARROW MECHANICAL PHONE #: 5p3- 692 -1565
Inspection Request Scheduled For: Date: 121'1/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 040432 -01 503 -793 -5027 N
Corrections/Comments/Instructions:
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MIW"IMISibi .41111i
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PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL I/ CALL FOR IrECTION ❑ ADDITI N FEES ASSESSED
Inspector: Il , Date: t . Phone #: (503) 718 Z