Permit CITY TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT PERMIT #: MEC2007 -00208
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 4/17/2007
PARCEL: 1 S135BB -00501
SITE ADDRESS: 10575 SW CASCADE AVE 130 ZONING: I -P
SUBDIVISION: CASCADE BUSINESS CENTER LOT: JURISDICTION: TIG
PROJECT: HEMCON
Project Description: Replace (2) existing rooftop units with like kind. Project Value: $30,000
NO PLAN REVIEW REQUIRED PER DAN.
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:
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:
> 10000 cfm:
GAS OUTLETS:
Owner: FEES
HEMCON Description Date Amount
10575 SW CASCADE AVE STE 210
TIGARD, OR 97223 [MECH] Permit Fee 4/17/2007 $501.50
[TAX] 8% State Surchar€ 4/17/2007 $40.12
Total $541.62
Phone: 503- 439 -8777
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 Munidpal 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 OU NC by
calling 503. . 1.800.332.2344.
ssued By: I I �// Permittee Signatur• ! �'� G -
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.
I
Mechanical Permit Application FOR OFFICE USE ON ONLY
City of Tigard Received I Pe rmit No .:�/
t3' g Date/By: /7 o ? /7 eL r, 7- ea./0 •
13125 SW Hall Blvd., Tigard, OR 97223 Plan Review
Phone: 503.639.4171 Fax: 503.598.1960 /�. ., Da Other Permit:
Inspection Line: 503.639.4175 "; 1 1
I I Date Ready/By Juan See Page 2 for
Internet: www.ci.tigard.or.us Notified/Method: � Supplemental Information
TYPE OF WORK COMMERCIAL FEE* SCHEDULE - USE CHECKLIST
Mechanical permit fees* are based on the value of the work
El New construction eAddition/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: $3o ex: °
I- and 2- family dwelling Kommercial/industrial ❑ Accessory building RESIDENTIAL EQUIPMENT / SYSTEMS FEES*
El ,
❑ Multi family ❑ Master builder For specs! information use checklist.
❑ Other: Description I Qty. I Ea. I Total
JOB SITE INFORMATION AND LOCATION Heating/cooling
g Air conditioning or heat pum
Job site address: / 05 7S .s , _ C13 4Z) - A z
(/ �/� /, 7� ( re q u ires site plan showing placement) 14.00
City /State /ZIP:` , 04. G3 .7 2, 2-3 - 4,34.3 Furnace 100,000 BTU (ducts/vents) 14.00
°�� Project name: 1 Furnace 100,000+ BTU (ducts/vents) 17.90
Suite/bldg. /apt. no.:
/7�� t�0 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: I 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
n/� n
/G�P6SILE/ LJ1' D, 2. - /'7. 5-7z)&./ /LOO/ -%O f Flue vent for water heater or gas
P Als947C- au P TS fireplace 10.00
/� Log lighter (gas) 10.00
/r/ f(--# - / Wood/pellet stove 10.00
e , /� 7
- /1 Wood fireplace/insert 10.00
/ �` 7 (�PROPERTY OWNER I ❑ TENANT Chimney/liner/flue/vent 10.00
, ) Other: 10.00
Name: / - 1 e 0 A.J Environmental exhaust and ventilation
Address: JDG 7G ..e.-c) . 4 - �. . 2�0 Range hood /other kitchen
equipment 10.00
City /State /ZIP: --- 4 ,,,, e _ Clothes dryer exhaust 10.00
Phone: (,S)3_ 4S3 677°7 Fax;. Leg 1371"7
Single-duct compartments, exhaust t es utility .� toilet compartments, utility rooms) 6.80
APPLICANT ❑ CONTACT PERSON Attic/crawlspace fans 10.00
I A > Other: 10.00
Business name: 4,.....„ L� R . . a A , 7 _,, 2 _ . . 1_2 LJ Fuel piping
Contact name: ��✓ / N e - s 7,6 1...e1 S /G . $5.40 for first four; $1.00 for each additional
Address: / 0 33c) ,.erne/ 7Z4-4-1-#777 Furnace, etc.
� Gas heat pump
City /State/ZIP: Z A 4...,4 , r7AJ DQ g 70Gp2 WalUsuspended/unitheater
Phone: Go? 6 2 _ /Se Fax: I j g) /, /6 7 Water heater
Fireplace
E -mail: Range
CONTRACTOR Barbecue
//�� Clothes dryer (gas)
Business name: f722tn ZcJ ii--1 .4-#-/. e-Oil,772 . LNG. Other:
Address: / p 3',60 S4,c,f /L[- AG�T /N /�,). MECHANICAL PERMIT FEES*
City /State /ZIP: .�s9?7A.1 0 Q. 9' 70e. Z Subtotal
Phone: (g).3 _ l , 5 - / '� ( ps Fax: (G $ - 67 / _ /&..-2.:=7 Minimum permit fee ($72.50) 56/4 C
Plan review (25% of permit fee)
CCB lic.: G7 G f 3 State surcharge (8% of permit fee) IQ, /
TOTAL PERMIT FEE SW al--
Authorized sigma ��� 1.--Z.-4,./ f This permit application expires if a permit is not obtained within 180
days after it has been accepted as complete.
Print name:116t, /,) /2.,..2.4,e 5 2ews-�" Dater. /I a ,e;>"'7 ' Fee methodology set by Tri -County Building Industry Service Board
i\Buildmg\Pennits \NEC- PetmitAppdoe 12/03 410-4617T(II /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.
i:\ Building \Permits\MEC- PermitApp.doc 12/03 2
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CITY OF TIGARD
BUILDING DIVISION PERMIT #: MEC2007 -00208
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 41'1.7 /201(17
Phone: (503) 639 -4171 , A
Inspection Requests (24 Hrs.): (503) 639 -4175 . �"
INSPECTION WORKSHEET FOR DATE: 4/11/".:J08 TIME: 7:01AM PAGE: 42
SITE ADDRESS: 10575 SW CASCADE AVE 130 CLASS OF WORK:
SUBDIVISION: CASCADE BUSINESS CENTER LOT #: TYPE OF USE:
PROJECT NAME: HEMCON
DESCRIPTION: Replace (2) existing rooftop units with like kind. Project. Value: $30,000
NO PLAN REVIEW REQUIRED PER DAN.
OWNER: HEMCON, PHONE #: 503 - 439 -8777
CONTRACTOR: ARROW MECHANICAL PHONE #: 503-692-1665
Inspection Request Scheduled For: Date: 4/11/2008 Pour Time: Q
Code # Inspection Description Confirm # Contact # Message
699 Mechanical find 068089-01 603.793-2864 N
CI rrections /Comments /Instructions:
_ -,
;_&_.___------
PAS • PARTIAL APPROVAL ❑ CANCEL n NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: A_ k ■ Date: / // 0�3 Phone #: (503) 718- 7 7