Permit CITY T I GAR D MECHANICAL PERMIT
DEVELOPMENT SERVICES PERMIT #: MEC2006 -10006
13125 SW Hall Blvd., Tigard, OR 97223 503- 639 -4171 DATE ISSUED: 2/28/2006
PARCEL: 1 S135BB -00501
SITE ADDRESS: 10575 SW CASCADE AVE 130 ZONING: I -P
SUBDIVISION: CASCADE BUSINESS CENTER LOT: JURISDICTION: TIG
Project Description: Replace roof top unit, alter ductwork & add grills. Valuation: $14,800.
CLASS OF WORK: OTR 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:
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:
GAS OUTLETS:
> 10000 cfm:
Owner: FEES
AMB PROPERTY L P Description Date Amount
BY TRAMELL CROW NW INC
8930 SW GEMINI DR [MECH] Permit Fee 3/31/200E $296.30
BEAVERTON, OR 97008 [TAX] 8% State Surcha 3/31/200E $23.70
Phone: Total $320.00
Contractor:
ARROW MECHANICAL
10330 SW TUALATIN RD
TUALATIN, OR 97062 REQUIRED ITEMS AND REPORTS
Contact #: FAX 503 - 691 -1879
PRI 503- 692 -1565
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: - Ar, Lapr Permittee Signature: rQ...e, Q%\y
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.
fite ik: ,
lanical Per m>< _ <<�:� ��� I a . FOR OFFICE tish: ()NIA
City of Tigard `
u t' • , �' 1? A Received
13125 SW Hall Blvd , Tigard, OR 97223 Plate/BYa ��`, w i a� Permit \ No. r+ aCA/�
q �6 �
Phone 503 639.4171 Fax: 503.598.1 I. • r 8 2 8 Plan Review 1L �
8 � o o U t,;, s Date/B Permit Other
Inspection Line. 503.639.4175, II Du Ready/By
e ® See Page 2for
Internet www.ci tigard or us R : -= J "
CITY OF TIGARD Noufied/Method Supplemental Information
B UIL T 4ski4SIO COMMERCIAL FEE* SCHEDULE — USE CHECKLIST
❑ New construction gg Addition/alteration/replacement 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: $ /1
El I- and 2 family dwelling IN Commercial/industrial El Accessory building
RESIDENTIAL EQUIPMENT / SYSTEMS FEES*
El Multi-family 12 Master builder El Other:
For special information use checklist.
Description I Qty. I Ea. I Total
JOB SITE INFORMATION AND LOCATION Heating/cooling
Job site address: / 057 S 5 t..) /1 n DE 4✓r 5y - / s c) Air plan conditioning ho pump
L•� (requires pl showing placement) 14.00
City /State /ZIP. 7/C 4 , OR, 17,2,2 ,3 Furnace 100,000 BTU (ducts/vents) 14.00
no , /���� Furnace 100,000+ BTU (ducts/vents) 17.90
Suite/bldg./apt
Project name N
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
ALT-0_z__ IE?C/ STIt,]6 DOC.Tt„) p 7212 r} ADD 6 t.L 5 Flue vent for water heater or gas
fireplace 10.00
!"-?L E g_qei STi nit ?GOB tra Q LW, 7
Log lighter R R (gas) 10.00
Wood /pellet stove 10 00
Wood fireplace /insert 10.00
❑ PROPERTY OWNER I ❑ TENANT Chimney/liner/flue/vent 10.00
Other: 10.00
Name Environmental exhaust and ventilation
Address. Range hood/other kitchen
equipment 10.00
City/State/ZIP: Clothes dryer exhaust 10 00
Single -duct exhaust (bathrooms,
Phone. ( ) Fax: ( ) toilet compartments, utility rooms) 6 80
R APPLICANT ❑ CONTACT PERSON Attic/crawlspace fans 10.00
Business name i- �.-J 1146 A� e 6N7174-C7162, Fuel 10.00
'�" ` "- Fuel piping
Contact name: ///) ,iei: g' • $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
E -mail
Fireplace
Range
CONTRACTOR Barbecue
Business name. � �, �� - 23 Clothes dryer (gas)
�
Other
Address. /?330 64.-) TJ #4e_4-77o
pD4p MECHANICAL` PERMIT FEES*
City /State /ZIP: JJ'L ,11 off, 01a 97c a Subtotal
Phone. (5 (IA- i 5 45� (� ` Minimum permit fee ($72.50)
F ax. fA. �7g
O Plan review (25% of permit fee)
CCB lie.: 57 C, 3 , State surcharge (8% of permit fee)
q TOTAL PERMIT FEE
Authorized signature This permit application expires if a permit is not obtained within 180
days after it has been accepted as complete.
Print name' 0 / 0 Date • Fee inethodolog set by Tn- County Building Industry Service Board
CITY OF TIGARD m E c,
BUILDING DIVISION PERMIT #: zoo6- /OOO
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED:
Phone: (503) 639 -4171 , IiI
Inspection Requests (24 Hrs.): (503) 639 -4175 =�W
INSPECTION WORKSHEET FOR DATE: '3 1Z /c (, TIME: PAGE:
SITE ADDRESS: / 0 C 7,S 6 0'a -cis- (3 6— \ CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME:
DESCRIPTION:
OWNER: PHONE #:
CONTRACTOR: PHONE #:
Inspection Request Scheduled For: Date: 3 - -- 6 (0 Pour Time: / P f
Code # Inspection Description Confirm # Contact # Message
6 Ls" C? ( a 9 q .
n CC o c�o ns /C ment /Instructions:
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PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
FAIL CALL FOR SPECTION ❑ ADDITIDNA FEES ASSESSED
Inspector: 4 1_ I../�l Date: v IP 0 Phone #: (503) 718 - %�
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