Permit CI' OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT PERMIT #: MEC2006 -00623
TIGA,RD " 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 3/7/2007
PARCEL: 2 S 103 D D -01201
SITE ADDRESS: 13920 SW PACIFIC HWY ZONING: C -G
SUBDIVISION: GOODWILL INDUSTRIES CENTER LOT: JURISDICTION: TIG
PROJECT: GOODWILL INDUSTRIES
Project Description: New HVAC system. Valuation: $75,000.
CLASS OF WORK: NEW FLOOR FURN: EVAP COOLERS:
TYPE OF USE: COM UNIT HEATERS: VENT FANS: 2
OCCUPANCY GRP: M VENTS W/O APPL: VENT SYSTEMS:
STORIES: 1 BOILERS /COMPRESSORS HOODS:
FUEL TYPES 0 - 3 HP: DOMES. INCIN:
NAT 3 - 15 HP: 1 COMML. INCIN:
MAX INPUT: BTU 15 - 30 HP: 2 REPAIR UNITS:
FIRE DAMPERS ?: N 30 - 50 HP:
GAS PRESSURE: 50 + HP: W L DSTOVES:
FURN < 100K BTU: AIR HANDLING UNITS CLO DRYERS:
FURN > =100K BTU: <= 10000 cfm: OTHER UNITS:
> 10000 cfm:
GAS OUTLETS: 4
Owner: FEES
GOODWILL INDUSTRIES Description Date Amount
1943 SE 6TH AVE
PORTLAND, OR 97221 [MECH] Permit Fee 3/7/2007 $607.55
[MECPLN] Plan Rev 3/7/2007 $394.91
[TAX] 8% State Surcha 3/7/2007 $48.60
Phone: 503- 238 -6190 Total $1,051.06
Contractor:
HVAC INC
5188 SE INTERNATIONAL WAY
MILWAUKIE, OR 97222 REQUIRED ITEMS AND REPORTS
Contact #: PRI 503- 462 -4822
FAX 503- 462 -6555
Reg #: LIC 50897
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: 4, 14 1144... Permittee Signaturea'VaAza_4664v901.l
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.
13 I 3 462 Co I C VA fj002 •
• �� M echanical err.ilt- 1-� ' _own . FOR OFFICI?. ONLY
City of Tigard 0 Receives! _ 7_ � Pamitrto: ,,
DDat e/ B Y: / . _�� 1 - /.
13125 SW Hall Blvd., Tigard, OR 97723nn •""' ,
' /'
Phone: 503.639.4171 Fax: 503.598.1960E C v _ i i r. ;'•� R
Datc/B Other Permit:
Inspection Line: 503.639.4175 �` I II I x L`
Data Ready : y. _ El See Page 2 for
Internet: www.ci.tigard.or.us CITY OF TiCi /S r _') Notified/Method: .- . ' 7' .� Supplemental Information
BUILDING DIVISit.)N
41k r.' tT ` T #9'!
'` •- - �. W�1., .s Mi ''!s . f a '''1 .. - ?4�, t:*.eack. iiii d 1A„tr, t co 1 t,t eu;a r , )is+ . i+ i.. ,A t. $*,e .HE,# i j y t,
•1 replacement Mechanical permit fees* are based on the value of the work
❑ New construction @ Addition/0
performed. Indicate the value (rounded to the nearest dollar) of all -
o Demolition ❑ Other: mechanical materials, equipment,
„ ,, profit
's. ',t- ur ••.. ,� ,'L..>.� lZ ST1RlJ�, ,[Q �. . . r r , • li �' �r4t •' U. aluC $ profit
its r r.•h� L� �.:..i.r._ .,$ . . U ; .� n.w... ,. �.7'.siJi ?? .. ,n . - e
V
❑ 1 - and 2-family dwelling Comma ct dustrial ❑ Accessory building For special information use checklist. \
❑ Multi - family Master builder ❑ Other:
Description 1 Qty. Ea. Total
6,,, . '' r i` t4OB S)< ;,I� Q YIA 1Vi. AlI'LOCATION �� i}� �1 � i-. r �' A Heating/cooling ' �, .�: �. »....,. ., ., x�.'8I -I�k:. �,„�.U`vp''�<tfr'�gary , s F ng
19a /ti Ci Mr con hut h
Job site address. - 3���`tt 1a �(y ng or pump
r
fa l'.1 C., (requires site plan showing placement) 14.00
City /State/Z>P: C /'� ✓ F urnace 100,000 BTU (ducts/vents) 14.00
l V lJ � J 2O J I Furnace 100,000+ BTU (duets/vents) 17.90 (
Suite/bldgJapt. no.: I Project name:6 ( a- ��.
Gas heat pump 14.00 J
Cross street/directions to job sie: ...3„„) ifte go , Duct work 14.00 7
Hydronic hot water system 14.00
Residential boiler (radiator or
hydronic) 14.00
Unit heaters (fuel -type, not electric),
c i
in -wall, in -duct, suspended, etc. 10.00
Subdivision: I Lot no.: i?o I Flue/vent for any of above 10.00
Other: 10.00 (/1
Tax map /parcel no.: ZSlc p j Other fuel appliances
j l,`, -p� , ` ° ' : : ' Rti ti,* :OF WORK' t tt• f1 , p. •: I W heater 10.00 6
Gas fi rep l ace 10.00 1
le . • _,,, ,„,, ., Flue vent for water heater or gas 1
f fireplace 10.00
•
Log lighter (gas) 10.00 C
Wood/pellet stove 10.00
Wood fireplace/insert 10.00 • •
-.r;. , ..` flOP>rh ' :'.:.. �. ®: TENANT.'' t VATI roar /flue/vent 1000 •
Chimney/) 10 00
' Other: . • Name: 6-/nst tot,t,L mi,a�1rP4PS Environmental exhaust and venitlatlon
Address: Range hood/other kitchen
��(� �I bJ� equipment 10.00
City /State/ZIP: ? r * p.> c 17Z /4 Clothes dryer exhaust 10.00
Single -duct exhaust (bathrooms, •
Phone: ( Z . i Fax ( 231 (?.c toilet compartments, utility rooms) 6.80
P A
. ... . - ttic/crawls ace fans
y 10.00
w kppL[GA +1Ti . �s: mA . _. C ' �P ,011:1 p
., Other: 10.00
Business name: 7L,�.E ietw774C7 2-
Fuel piping
Contact name: ��� . A...,, $5.40 for first four; $1.00 for each a dditional
Address:
Furnace, etc.
Gas heat pump
City/State/ZIP: Wall/suspended/unit heater
Phone: ( ) Fax :: ( ) Water heater
Fireplace
E-mail:
Range
ill -, : 1> tt;4�'�h''�'1 ! 5,... C01yTR4.CTOR � $ ;, f P F: Or =r Barbecue
Business name: "V l�� e Clothes dryer (gas)
' - Other:
pc
Address: Sl
O Cj � -- �M`1 --1' � GUJ' �y, : :.:r� R fib)✓ �,'��yy��fra:
City/State/ZIP: rt L . ap- .- Q ' - - - Subtotal
Phone: (5 2 I Fax: ( z C f61 6SSS Minimum permit fee ($72.5
l ( L �- � Plan review (25% of permit fee) _
'. CCB lic.: � ,.:) 7 State surcharge (8% of permit fee)
_ n TOTAL PERMIT FEE
This permit application expires if a permit is not obtained within 150
Authorized signature: l""\\\ Q i\ days after it has been accepted as complete.
I Print name: Sl e , rne ____p c , b uns u, . eon I Date: It l '30 Jn ( • Fee methodology set by Tri- County Building Industry Service Board
\
i:Buftdl °a'PenaicAMEC- PermitApp.doe 12/03 410 .4617r (t t /02/C
CITY OF TIGARD r ■
BUILDING DIVISION PERMIT #: MEC2006- 00623
1 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/7/2007
Phone: (503) 639 -4171 glt
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 6/7 /2007 TIME: 7:00AM PAGE: 51
SITE ADDRESS: 13920 SW PACIFIC HWY CLASS OF WORK:
SUBDIVISION: GOODWILL INDUSTRIES CENTER LOT #: TYPE OF USE:
PROJECT NAME: GOODWILL INDUSTRIES
DESCRIPTION: New HVAC system. Valuation: $75,000.
OWNER: GOODWILL INDUSTRIES, PHONE #: 503.238-6190
CONTRACTOR: HVAC INC PHONE #: 503462 -4822
Inspection Request Scheduled For: Date: 6/7 /2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 049764 -04 503.2033586 N
Corrections /Comments /Instructions:
•
4 S9
0 PASS a r • RTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL r • L FOR INSPECTION ❑ ADDITIO • L FE S ASSESSED
6
Inspector: Date: v Phone #: (503) 718 - L�
I
CITY OF TIGARD , ,
BUILDING DIVISION f PERMIT #: MEC200G -00623
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/7/2007
Phone: (503) 639 -4171 t
Inspection Requests (24 Hrs.): (503) 639 -4175 .J I �..
INSPECTION WORKSHEET FOR DATE: 5/17/2007 TIME: 7:00AM PAGE: 58
SITE ADDRESS: 13920 SW PACIFIC HWY CLASS OF WORK:
SUBDIVISION: GOODWILL INDUSTRIES CENTER LOT #: TYPE OF USE:
PROJECT NAME: GOODWILL INDUSTRIES
DESCRIPTION: New HVAC system. Valuation: $75,000.
OWNER: GOODWILL INDUSTRIES, PHONE #: 503 -238 -6190
CONTRACTOR: HVAC INC PHONE #: 503- 462 -4872
Inspection Request Scheduled For: Date: 5/17/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
625 Duct work 048494 -02 503 - 209-3586 N
C. rections /Comments /Instructions:
•
r -ASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
II FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: (� 2 ZA ---1 Date: 51 -) Phone #: (503) 718- 2YZ'/
� S
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MEC2006-00623
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/7 /2007
.,` Phone: (503) 639 -4171 Ja t it Inspection Requests (24 Hrs.): (503) 639 - 4175
INSPECTION WORKSHEET FOR DATE: 4/26/2007 TIME: 7:00AM PAGE: 60
SITE ADDRESS: 13920 SW PACIFIC HWY CLASS OF WORK:
SUBDIVISION: GOODWILL INDUSTRIES CENTER LOT #: TYPE OF USE:
PROJECT NAME: GOODWILL INDUSTRIES
DESCRIPTION: New HVAC system. Valuation: $75,000.
OWNER: GOODWILL INDUSTRIES, PHONE #: 503- 238 -6190
CONTRACTOR: HVAC INC PHONE #: 503 - 462 -4822
Inspection Request Scheduled For: Date: 4/26/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
615 Mechanical rough -in 047165-01 503-830-8027 N
Corrections /Comments /Instructions:
1 . • J _
0
,► rim fir' da
❑ PASS PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL • CAL FO INSPECTION ❑ ADDITI NAL EES ASSESSED
Inspector: 447 Date: Phone #: (503) 718 -
CITY OF TIGARD A BUILDING DIVISION PERMIT #: MEC2006 -00623 '
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/7/2007
14 Phone: (503) 639 -4171 i
Inspection Requests (24 Hrs.): (503) 639 -4175 `'I I..
INSPECTION WORKSHEET FOR . DATE: 4/25/2007 TIME: 7:00AM PAGE: 54
SITE ADDRESS: 13920 SW PACIFIC HWY CLASS OF WORK:
SUBDIVISION: GOODWILL INDUSTRIES CENTER LOT #: TYPE OF USE:
PROJECT NAME: GOODWILL INDUSTRIES
DESCRIPTION: New HVAC system. Valuation: $75,000.
OWNER: GOODWILL INDUSTRIES, PHONE #: 503 -238 -6190
CONTRACTOR: HVAC INC PHONE #: 503-462 -4B22
Inspection Request Scheduled For: Date: 4/25/2007 Pour Time:
Code # Inspection Description Confirm # Contact # M :: ...r-
610 Gas line 047112 -01 503 - 830 -8027
Corrections /Comments /Instructions:
dav as I
I
g PASS 1 PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL P4 CALL FOR INSPECTION ❑ ADDITIONAL F S ASSESSED
Inspector: Date: Zs- 07 Phone #: (503) 718 - /
CITY OF TIGARD
• BUILDING DIVISION PERMIT #: MEC200G00623
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/7/2007
A Phone: (503) 639 -4171 'N'°�"41
Inspection Requests (24 Hrs.): (503) 639 -4175 — I �..
INSPECTION WORKSHEET FOR DATE: 4/20/2007 TIME: 7:00AM PAGE: 45
SITE ADDRESS: 13920 SW PACIFIC HWY CLASS OF WORK:
SUBDIVISION: GOODWILL INDUSTRIES CENTER LOT #: TYPE OF USE:
PROJECT NAME: GOODWILL INDUSTRIES
DESCRIPTION: New HVAC system. Valuation: $75,000.
OWNER: GOODWILL INDUSTRIES, PHONE #: 503238 -6190
CONTRACTOR: HVAC INC PHONE #: 503-462-4822
Inspection Request Scheduled For: Date: 4/20/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Me - -
615 Mechanical rough -in 046879 -01 503 -462 -4822 ( Y
r 7U
Corrections /Co ments /Instructions:
- Q
10C /b FAT -- -K'—■ ,iff.._--c_— •
1
A
❑ PASS , PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL pg . - FOR INSPECTION ❑ ADDITIONAL FE S ASSESSED
Inspector: �� �� Date: 6 Phone #: (503) 718 - w