Permit CITY TIGARD MECHANICAL PERMIT
DEVELOPMENT SERVICES PERMIT #: MEC2005 - 00408
�� 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 7/7/2005 •
• PARCEL: 2S 101 DC -04603
SITE ADDRESS: 07405 SW TECH CENTER DR 140 ZONING: I -P
SUBDIVISION: SW COMMERCE CENTER LOT: JURISDICTION: TIG
Project Description: Install duct, repair duct and new stats. Value: $900.00
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:
3 - 15 HP: COMML. INCIN:
MAX INPUT: BTU 15 - 30 HP: REPAIR UNITS:
FIRE DAMPERS ?: 30 - 50 HP:
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
WATUMULL PROPERTIES CORP Description Date Amount
307 LEWERS ST #6FLR [MECH] Permit Fee 7/7/2005 $72.50
HONOLULU, HI 96815 [TAX] 8% State Surchar€ 7/7/2005 $5.80
Phone: • Total $78.30
Contractor:
CLIMATE CONTROL INC
16500 SW 72ND AVE REQUIRED ITEMS AND REPORTS
PORTLAND, OR 97224
Phone: 503 453 - 4822
Reg #: LIC 62196
•
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: / r �L.f u� i�l'L� Permittee Signature: �/I -v v (I
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.
Meek nica1 Perinit,,A.ppiication F r ` FOR OFFICE USE ONLY
City of TigartH ItL9 Date/By: ,0 ' /j/ v5�O0056
I9 Permit No.
13125 SW Hall Blvd., Tigard, OR 97223 Plan Review
Phone: 503.639.4171 Fax: ,503.598.1960 Date/By: Other Permit:
Inspection Line: 503.639.4li7- U I 1005 ,0-11,0-11-1÷ ' I L l Date Ready/By: H See Page 2 for
Internet: www.ci.tigard.o�.r..us. OF T�GAF�D Notified/Method Supplemental Information
rsI Itt ntAtr 111111QiflKi
TYPE OF WORK COMMERCIAL FEE* SCHEDULE — USE CHECKLIST
Mechanical permit fees* are based on the value of the work
III New construction p 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: $ CI 0('1„ 130
RESIDENTIAL EQUIPMENT / SYSTEMS FEES*
❑ 1- and 2 family dwelling Commercial /industrial ❑ Accessory building
For special information use checklist.
❑ Multi family ❑ Master builder ❑ Other: Description Qty. Ea. Total
JOB SITE INFORMATION AND LOCATION Heating /cooling
\i + e C h C Q roe I D ie. �- f 1 v
Air i t s s i t e plan or heat pump
Job site address:
7 �� � � (requires site plan showing placement) 14.00
City/State /ZIP: I ,- 2 , ) OR q ,211 Furnace 100,000 BTU (ducts /vents) 14.00
J 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 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
Gas fireplace 10.00
11) s+ A II d V a , p i-1 f d I I , 11.12 h! S k, '-ti 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
l Other: 10.00
Name: e I e Gt gOrn T Q 1 r1 t D 10 i eS Environmental exhaust and ventilation •
Range hood /other kitchen
Address:7 0 s SW Te f k Ct e1- (Z Oi .# NO equipment 10.00
City/State /ZIP: i i o 0( OR,. ti 72 2%./ Clothes dryer exhaust 10.00
Single -duct exhaust (bathrooms,
Phone: ( ) Fax: ( ) toilet compartments, utility rooms) 6.80
zi APPLICANT ❑ CONTACT PERSON Attic /crawlspace fans 10.00
Other: 10.00
Business name: C I I'm M e (on t Ro I Fuel piping
Contact name: D A R n U c` -- $5.40 for first four; $1.00 for each additional
Address: I t5 00 SW •')nd 1' Ue Gas p
heat pump
City/State/ZIP: I U Wall/suspended/unit pi,,, O1rZ °17vZ ended /unit heater r / P
Phone: (503 ) `1 S 3. 9 $ ). a Fax:: (5 U3) Cj 6 g - 7)) l Water heater
Fireplace
E -mail: Range
CONTRACTOR Barbecue
Business name: C I I m it t Q C O o tit p Clothes dryer (gas)
Other:
Address: 16 5 00 S W ,) n.d /Iv p , MECHANICAL PERMIT FEES*
City/State /ZIP: P a r, t - i A.Ad og 9 - 2 ri Subtotal
Minimum permit fee ($72.50) 72 , ----e.; Phone: (5U3) Y13- y 3 ,JP. Fax: (5 9'6 $ _ 2 y Plan review (25% of permit fee)
CCB lic.: G vC 1 91 State surcharge (8% of permit fee) 5, "D
TOTAL PERMIT FEE 7S{. )
Authorized signature: ' lfiil�/VV C/� T his permit application expires if a permit is not obtained within 180
days after it has been accepted as complete.
Print name: 1 1 A- z Lk` fti Oe, t- 0A Date? /2/0 f * Fee methodology set by Tri- County Building Industry Service Board
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.
is \Building \Permits \MEC- PermitApp.doc 12/03 2
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MEC2005 -00408
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/7/2005
Phone: (503) 639 -4171 / � m , � d � i lpuN Pi41 ii
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 7/18/2005 TIME: 7:07AM PAGE: 83
SITE ADDRESS: 47405 SW TECH CENTER DR 140 CLASS OF WORK:
SUBDIVISION: SW COMMERCE CENTER LOT #: • TYPE OF USE:
PROJECT NAME: SELECTRON TECHNOLOGIES
DESCRIPTION: Install duct, repair duct and new skate. Value: $900.00
OWNER: WATUMULL PROPERTIES CORP, PHONE #:
CONTRACTOR: CLIMATE CONTROL INC PHONE #: 503-453 -4822
Inspection Request Scheduled For: Date: 7/18/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 011560 -01 503 -453 -4822 N
Corrections /Comments/ Instructions:
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... __ O
V i r .
i
ASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL CALL FOR INSPECTION ❑ ADDITI NAL FEES ASSESSED
r
Inspector: ' : Date: l ifj (OS Phone #: (503) 718 -