Permit op CITY OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT PERMIT #: MEC2007 -00369
TIGARD 13125 SW Hall Ivd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 7/18/2007
PARCEL: 25101 DA - 01900
SITE ADDRESS: W VARNS ST ZONING: C -
SUBDIVISION: NELSON VIAL OFFICE LOT: 003 JURISDICTION: TIG
PROJECT: NELSON VIAL OFFICE ADDITION
Project Description: Install two complete HVAC systems for two floors. Project Value: $19,680
CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS:
TYPE OF USE: COM UNIT HEATERS: VENT FANS: 0
OCCUPANCY GRP: B VENTS W/O APPL: VENT SYSTEMS: 0
STORIES: 3 BOILERS /COMPRESSORS HOODS:
FUEL TYPES 0 - 3 HP: 0 DOMES. INCIN:
NAT 3 - 15 HP: 2 COMML. INCIN:
MAX INPUT: BTU 15 - 30 HP:
FIRE DAMPERS ?: 30 - 50 HP: REPAIR UNITS:
GAS PRESSURE: 50 + HP: WOODSTOVES:
FURN < 100K BTU: 0 AIR HANDLING UNITS CLO DRYERS:
FURN > =100K BTU: 0 <= 10000 cfm: OTHER UNITS: 0
> 10000 cfm:
GAS OUTLETS:
Owner: FEES
NELSON VIAL, LLC Description Date Amount
7000 SW VARNS ST
TIGARD, OR 97223 [MECH] Permit Fee 6/20/2007 $97.10
[TAX] 8% State Surcha 6/20/2007 $7.77
[MECPLN] Plan Rev 6/20/2007 $24.28
Phone: [MECH] Permit Fee 7/18/2007 $265.35
[MECPLN] Plan Rev 7/18/2007 $66.33
Contractor: [TAX] 8% State Surcha 7/18/2007 $21.23
BARNESS CONTROLS Total $482.06
2020 SW 8TH PMB #130
WEST LINN, OR 97068 REQUIRED ITEMS AND REPORTS
Contact #: PRI 503- 723 -7257
FAX 866 -593 -1764
Reg #: LIC 147154
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.
Issue y: ' ,.i /� ,i Permittee Signature:
Call 503.639.4175 by 7:00 a.m. for inspectiori 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.
-- 7ca3Sw \`
Mechanical Permit Applicatigr . FOR O _ FFICE US ONLY
1 114 USE
of Tigard _ .. ' 6 ! ,. ;� Permit No 1�� -CO et 13125 SW Hall Blvd , Tigard, OR 97223 " �
i C .; Phone. 503 639 4171 Fax 503 598 1960 Plan • R tew 0
JU 2 0 D ateB Review, � n Other Permit •- f 0 Ito 14 i
T I C A IZ ll Inspection Line 503 639 4175 200 Date Ready :' ES 0 See Page 2 for
Internet www tigard -or gov Notified/Method Supplemental Information
CI 4 Of' Ilu tit
TYPE OF 't DING DIVIS COMMERCIAL FEE* SCHEDULE — USE CHECKLIST
® New construction ❑ Addition /alteration /replacement d d t ` Mechanical permit fees* are based on the value of the work
performed Indicate the value (rounded to the nearest dollar) of all
❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit
CATEGORY OF CONSTRUCTION
Value $ (R ben
1- and 2-family dwelling RESIDENTIAL EQUIPMENT / SYSTEMS FEES*
El y g [ Commercial /industrial ❑ Ac building
For special information use checklist
❑ Multi- family ❑ Master builder ❑ Other: Description I Qty. Ea. I Total
6 9q& JOB SITE INFORMATION AND LOCATION Heating/cooling
r��� ' / Air conditioning or heat pump
Job site address:
U�/ sfA/ YARNS Sr (requires site .Ian showing placement) 2 14 00 .21.c.)
City /State /ZIP: Furnace 111,■ 10 BTU (ducts /vents) / 14.00 p./. L/
�OARn,, v/Z Furnace 100,00+ BTU (ducts /vents) / 17 90 / 7 90
Suite/bldg. /apt. no.: Project name: / / -AL I /NAM / /3 c. r /AlN4 Gas heat pump 14 00
Cross street/directions to job site: s' 7 „ 6/6 T V4 12,4,s. 6.0 TV Duct work / 10 00 /0.00
Hydronic hot waters tem 14 00
kW> OA I' r/1...L r Residential boiler (radi . tor or
hydronic) 14 01
Unit heaters (fuel -type, no. electric),
in -wall, in -duct, suspended, -tc 1 00
Subdivision: Lot no.: Flue /vent for any of above PZ . 80 g. g0
Other 10 00
Tax map /parcel no.: Other fuel appliances
DESCRIPTION OF WORK Water heater 10 00
Gas fireplace 10 00
/0/u0 4.x4 t 7 .. ee f/' q4 Two cc! /y1 e4 re. t /f/.q C Flue vent for water heater or gas
fireplace 10 00
CYs rives fO/Z Tw G J Lrio/Z f Log lighter (gas) 10 00
Wood/pellet stove 10.00
Wood fireplace /insert 1 00
❑ PROPERTY OWNER ❑ TENANT
Chimney/liner/flue/vent 10 10
Other 10 0 i
Name: Environmental exhaust a ' i ventilation
Address: Range hood/other kitche
equipment 10 00
City /State /ZIP: Clothes dryer exhaus 10 00
Single -duct exhaust .athrooms,
Phone: ( ) Fax: ( ) toilet compartme , utility rooms) 2 6 80 /1.60
❑ APPLICANT ❑ CONTACT PERSON • Attic /crawlspa fans s 10 00
Other 10 00
Business name:
Fuel piping
Contact name: $5.40 for first four; $1.00 for each additional
Address: Furnace, etc
Gas heat pump
City /State /ZIP: Wall /suspended/unit heater
Phone: ( ) Fax:: ( ) Water heater
Fireplace
E -mail:
Range
CONTRACTOR Barbecue
Clothes dryer (gas)
Business name:
ai4/Z.AJ,ESS' 6-wi roeoc r Other
Address: .102 U fu/ Frh/ / or 3 /0 MECHANICAL PERMIT
City/State /ZIP: m jesr. L.R 12/2 1 7068 Subtotal Olq,
Phone: ( 3) / Q 7 Minimum permit fee ($72 50)
7.z ? - 72 7 e, Fax: ( V��) 7.? / eY P lan review (25% of permit fee) 24.21
CCB lie.: /4/7/5y '316 /1) °1 State surcharge (8% of permit fee) " t. i
TOTAL PERMIT FEE / 29. /S
Authorized signature: This permit application expires if a permit is not obtained within 180
days after it has been accepted as complete.
Print name: /� /ties s , Date: ‘ - 07 ` Fee methodology set by Tn- County Building Industry Service Board
t \Building\Permns \NEC- PermitAppdoe 01 /1 /19/07 440- 4617T(1I /02 /COM/WEB)
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.
1. \Bmlding\Permits\MEC- PermitApp doc 01/19/07 2
CITY OF TIGARD
BUILDING DIVISION PERMIT #: off'( '1007.00369
131 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/18/2007
Phone: (503) 639- 41714�p
Inspection Requests (24 Hrs.): (503) 639 -4175 `'II
INSPECTION WORKSHEET FOR DATE: 10/5/2007 TIME: 7:01AM PAGE: 30
SITE ADDRESS: 06996 SW VARNS ST CLASS OF WORK:
SUBDIVISION: NELSON VIAL OFFICE LOT #: 003 TYPE OF USE:
PROJECT NAME: NELSON' VIAL OFFICE ADDITION •
DESCRIPTION: Install two complete I•iVAC systems for two floors." Project Value: $19,680
OWNER: NELSON VIAL, LLC, PHONE #:
CONTRACTOR: l3Al•2NESS CONTROLS PHONE #: 50 - 7267
Inspection Request Scheduled For: , Date: 1015/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message •
699 Mechanical final 057053 -01 503.804 -3744 de0
Corrections /Comments/Instructions:
7 4/<,_
du PASS I - ARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL % CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: ■ Date: /O S Phone #: (503) 718 - -,Z_X
„,,e
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MEC2007- 00369
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/18/2007
Phone: (503) 639 -4171 Vi
Inspection Requests (24 Hrs.): (503) 639 -4175 ...' I I..
INSPECTION WORKSHEET FOR DATE: 1QJ3J2007 TIME: 7:02AM PAGE: 28
SITE ADDRESS: 06996 SW VARNS ST CLASS OF WORK:
SUBDIVISION: NELSON VIAL OFFICE LOT #: 003 TYPE OF USE:
PROJECT NAME: NELSON VIAL OFFICE ADDITION
DESCRIPTION: Install two complete IIVAC systems for two floors. Project Value: $19,680
OWNER: NELSON VIAL, LLC, PHONE #:
CONTRACTOR: FARNESS CONTROLS PHONE #: 503 - 723 -7257
Inspection Request Scheduled For: Date: 10/3/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
610 Gas line 056876 -01 603 -804 -3744 N
Corrections /Comments/ Instructions:
70 41” p.K I,c se
P. S • PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL "/ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
1
Inspector: Date: 0 7 Phone #: (503) 718-
.
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MEC2007 -00369
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/18/2007
Phone: (503) 639-4171 �iil
Inspection Requests (24 Hrs.): (503) 639 -4175 ".
INSPECTION WORKSHEET FOR DATE: 10/2/2007 TIME: 7:04AM PAGE: 43
SITE ADDRESS: 06996 SW VARNS ST CLASS OF WORK:
SUBDIVISION: NELSON VIAL OFFICE LOT #: 003 TYPE OF USE:
PROJECT NAME. NELSON VIAL OFFICE ADDITION
DESCRIPTION: Install two complete HVAC systems for two floors. Project Value: $19,660
OWNER: NELSON VIAL, LLC, PHONE #:
CONTRACTOR: FARNESS iS CONTROLS PHONE #: 503723 -7257
Inspection Request Scheduled For: Date: 10/2/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message_
610 Gas line 056769.01 503 -804 -3744 '4 1 Z,:_&e> ril
Correc 'ons /Comments /Instructions:
•
❑ PASS %/ PARTIAL APPROVAL 474 CANCEL ❑ NO ACCESS
❑ FAIL % ALL FOR INSPECTION ❑ ADDITIO AL FEES ASSESSED
i .
Inspector: Date: ( v 0 Phone #: (503) 718 - Z--‘'/
CITY OF TIGARD
IN P ERMIT #:
BUILDING DIVIS MEG2007- 00363
13125 SW Hall Blvd., Tigard, OR 97223 _ DATE ISSUED: 7/19/2007
Phone: (503) 639- 4171
Inspection Requests (24 Hrs.): (503) 639 -4175 W I I..
INSPECTION WORKSHEET FOR DATE: 7/24/2007 TIME: 7:00AM PAGE: 8
SITE ADDRESS: 06996 SW VARNS ST CLASS OF WORK:
SUBDIVISION: NELSON VIAL OFFICE LOT #: 003 TYPE OF USE:
PROJECT NAME: NELSON VIAL OFFICE ADDITION
DESCRIPTION: Install two complete HVAC systems for two floors. Project Value: $19,680
OWNER: NELSON VIAL, LLC, PHONE #:
CONTRACTOR: BARNESS CONTROLS PHONE #: 503-723 -7257
Inspection Request Scheduled For: Date: 7/24/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
615 Mechanical rough -in 052615 -01 503- 804 -3744 N
Corrections /Comments/ Instructions: --‘..) •
❑ PASS 2 P RTIAL APPROVAL 7 CANCEL ❑ NO ACCESS
❑ FAIL C . FOR INSPECTION ❑ ADDITIONAL FEE ASSESSED
40 ,
Inspector: - J_ � Date: Z # Phone #: (503) 718- Z—C�y
CITY OF TIGARD
BUILDING DIVISION V' PERMIT #: MEC2007 -Q0369
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/113/2007
Phone: (503) 639 -4171 14 7/1
Inspection Requests (24 Hrs.): (503) 639 -4175 it .'
- "'III
INSPECTION WORKSHEET FOR DATE: 7/19/2007 TIME: 7 :03AM PAGE: 20
SITE ADDRESS: 06996 SW VARNS ST CLASS OF WORK:
SUBDIVISION: NELSON VIAL OFFICE LOT #: 003 TYPE OF USE:
PROJECT NAME: NELSON VIAL OFFICE ADDITION
DESCRIPTION: Install two complete HVAC systems for two floors. Project Value: $19,680
OWNER: NELSON VIAL, LLC, PHONE #:
CONTRACTOR: BARNESS CONTROLS PHONE #: 503 723
Inspection Request Scheduled For: Date: 7/19/2007 Pour Time: •
Code # Inspection Description Confirm # Contact # Messa e
615 Mechanical rough -in • 052366.02 503 -804 -3744 . Y
Corrections /Comm - nts /Instructions: •
■i`l_ . h i a l 7 - - - - C7 - 40 i ■ u C — . 7 -
L iij6 4 �n
l iq r Loo 2 [ �,4 --/-'t / n/�- -, • (_ im cF;u - f 1 C) , „/ .
IA "NQ c 7 k/_ sc g-- .
C .lot F—( i t k ) , .
- a i r E R ' r -�
' vs
Imo/ / 1 / F —,,,& pi /AJ
el, - Sd FE-1 L.. c c -1 =1- (D /4 c
it ice.
❑ PASS : 1. 1 ' • : • . ❑ CANCEL ❑ NO ACCESS
❑ FAIL g ALL FOR INSPECTION ❑ ADDITIO AL FE S ASSESSED q 1 1) Inspector: Date: P hone #: (503) 718-