Permit ill CITY OF TIGARD MECHANICAL PERMIT
m COMMUNITY DEVELOPMENT PERMIT #: MEC2008 - 00230
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 5/28/2008
PARCEL: 1 S135BB -00501
SITE ADDRESS: 10575 SW CASCADE AVE 130 ZONING: I -
SUBDIVISION: CASCADE BUSINESS CENTER LOT: JURISDICTION: TIG
PROJECT: HEMCON
Project Description: TI. Replacing 10 ton gas pack. Valuation: $17,845.00
CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS:
TYPE OF USE: COM UNIT HEATERS: VENT FANS:
OCCUPANCY GRP: F1 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:
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
AMB PROPERTY L P Description Date Amount
BY TRAMELL LROW NW -
8930 SW GEMINI DR [MECH] Permit Fee 5128/200€ $338.15
BEAVERTON, OR 97008 [MECPL■] Plan Rev 5/28/200€ $84.54
[TAX] 12% State Surch 5/28/200€ $40.58
Phone: Total $463.27
Contractor:
AMERICAN HEATING INC
1339 SE GIDEON ST
PORTLAND, OR 97202 REQUIRED ITEMS AND REPORTS
Contact #: PRI 503- 239 -4600
FAX 503- 239 -7038
•
Reg #: LIC 33135
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. By: �j j � Permittee Signature:x 8rJ /1L n G leS / .0 ■'
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.
(-11-310 COO (-D7 ' CACtA.P-
. ,
Mechanical Permit Applitions ' FOR OFFICE USE ONLY
k
City of Tigard
_.
V" 'Via nn
Pei t No.:
13125 SW Hall Blvd., Tigard, OR 97223 . , ,
Plan Rev7414.1.0,1111.0, ---
Phone: 503.639.4171 Fax: 503.598.1 960 (•-• ' i'"'IJE,C.,/111\ Date/By: ,,.., .._1112.4, OtherPemit,
Inspection Line: 503.639.4175 C; - ' '.a 'lie _
Date Ready y. NMI Ed See Page 2 for
Notified/Method:
Internet: wlvw.ci.tigard.or.us Supplemental Information
, 11
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Mechanical permit fees* are based on the value of the work
0 New construction 12 Addition/alteration/rePlacement Performed. Indicate the value (rounded to the nearest dollar) of all
0 Demolition D Other: mechanical materials, equipment, labor, overhead, and profit.
iltctiraelalff4Paffitilegetanki; '.1irgartf071t$9401S420-AVOVi Value: S kl 04.5
t',;, 111.,41 Eb.... , .ii4 .kti, _,... " ..,,,s ,,,t. . . ' ...i. , .,,, nsAto Pc...t,i16-111.,.:'...,-,c4c6,t,,i,rk_14';.-,:,,; ., : : , . _,L'..7 ,',,.. ',,. ■”.., , :...".4;&r:_. :::..., -.,e,:d4;;;‘ Fe *
:'''''RE,,sibtiwrAzdf)turmo i / NYN.le'rAnb ES
0 1- and 2-family dwelling 'Commercial/industrial 0 Accessory building For special information use checklisi.
0 Multi-family 0 Master builder 0 Other: Description Qty 1Ea._ Total
51 f41r ligHt ); t ': Tic,t,' , 1, , ki " , -6 ,,''''
f UV R d) ”k!.1 .. s • li , -, 11: '.•, f .apj g . , iviro,i ■ ,.•,.'..3, ■■•■• %,..,., Heating/cooling
Air conditioning or heat pump
Job site address: i CYS 5 -.S k Cfrr5e..4.0 .:1;A::0011N4iir_ (requires site plan showing placement) 14.00
City/State/ZIP: ft 4......AAIN &a-- 9 70....,%3 Furnace 100,000 BTU (ducts/vents) 14.00
Furnace 100,000+ BTU (ducts/vents) 17.90
Suite/bldg./apt. no.: /3 (.... 1 Project name: ‘-kosA c 4K-sru 14.00
Gas heat pump
Cross street/directions to job site: OE reK.r..)/*/ 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
Flue/vent for any of above 10.00
Subdivision: 1 Lot no.:
Other: 10.00
Tax map/parcel no Other fuel appliances
M A / Ab T" ' - P. /f)''' EffitirEOMAktieFnEgjargifESIMINWrItti Water heater 1000
glkl, z. : • .,, , ',: ,' z ' I' 7 c '... l'' Altf..44 +. 9?,./: r''`'1 AO , 0 ._, alif L . 'Am ' ' .-
Gas fireplace 10 00
P-
J \O \ C e ACIL. 1.-i \ LAI c---(11," Flue vent for water heater or gas
fireplace 10.00
L.)1- . Log lighter (gas) 10.00
1/4 ,,,_,s-c`Ark.k. /, (N ',1.0.) \i A-0 aux Wood/pellet stove 10.00
Q.) ( Wood fire.lacelinsert 10.00
M ri ''.6 0.00
, ,..,..,,,, 1... !..;_l 1,,,,z,a,A171, . LI a i. _. C ey/liner/flue/vent 1
' trariVPSFPWITIRRIMPIN-I)YI1414'RiFitit
Name: 1..‘ Kkz-bi cx.E., Environmental exhaust and ventilation
Range hood/other kitchen
Address: k 0. C _S‘A Cfrs'clxise g ■..,4 b equipment 10.00
City/State/ZIP: N 0_,b 0- e-- cl'1A-3 Clothes d er exhaust 10.00
Single-duct exhaust (bathrooms,
Phone: ( ) Fax: (.SOS ) a 4..S-- toilet compartments, utility rooms) 6.80
ii,PriFirltrga. iirgnii,TRAFFROTRIVI-70 c; ,,.rp-0,51%;7151514-7,, s igaiz 't Attic/crawlspace fans 10 00
' gAtit'' ti,. .rlal -",i'a. racu.ntkall6h.,,W,c,,i,tik..SALstil.c,Loals...,,:e4:20.- :eltaw..1-t•:ezaiihur. , witvy 1
l Other: 10.00
Business name: p ‘.-eA-1-11-44., Fuel piping
Contact name: N. „?... c Ply+).- $5.40 for first four $1.00 for each additional
Furnace, etc.
Address: 1 Sa S- CI i p 14 SI Gas heat .um.
City/State/ZIP: pc,v1A-Lis...k.j._ 0 h - a_. Wall/sus . ended/unit heater
Phone: (S ) :3-11 - 4(.0 V Fax: : ( 513 ) a...3/ -7(23 B Water heater
E-mail: •, , a 044tipt ii .,,, , i1/4) ea
Fire. lace
inty,l't, ':. '
EgigniglitaTailegtOINMEWAPIERM in ,., Barbecue
Clothes d er :as
Business name: A Ato Other:
Address: (3 )1 s e c.....,..1.19.,‘ '»1.
City/State/ZEP: Elt,,L1‘.A. &X- 11;10:2- Subtotal
Minimum permit fee ($72.50)
Phone: (SO) ) a _ . 1 9 - Lew° Fax: (5 )"2„31 - 70x il Plan review (25% of permit e)
CCB lie.: 1 i s-- State surcharge (8% of permit fee)
TOTAL PERMIT FEE
T application expires If a permit Is not obtained within 180
Authorized signature: 4-4 A9 his permit days after It has been accepted as complete.
I _ . . ____. .4 . A.,. _ I Date. -i ‘ e I • Fee methodology set by Tri Building Industry Service Board