Permit •�'. ,. CITY( OF TIGARD MECHANICAL PERMIT
1 , ' jlIA DEVELOPMENT SERVICES PERMIT #: MEC2000 -00473
. "r --- - 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 12/6/00
PARCEL: 2S112BD -00700
SITE ADDRESS: 14655 SW 76TH AVE 001
SUBDIVISION: MARCIENE II ZONING: R -12
BLOCK: LOT: JURISDICTION: TIG
CLASS OF WORK: OTR FLOOR FURN: EVAP COOLERS:
TYPE OF USE: MF UNIT HEATERS: VENT FANS: 1
OCCUPANCY GRP: R3 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: WOODSTOVES:
GAS PRESSURE: 50 + HP: CLO DRYERS:
FURN < 100K BTU: AIR HANDLING UNITS OTHER UNITS:
FURN > =100K BTU: < =10000 cfm:
> 10000 cfm: GAS OUTLETS:
Remarks: Installation of bath fan.
Owner: FEES
BRENDA REILLY Type By Date Amount Receipt
7524 SW ELMWOOD PRMT CTR 12/6/00 $72.50 2720000000
TIGARD, OR 97223 PRM3 CTR 12/6/00 $31.25 2720000000
5PCT CTR 12/6/00 $5.80 2720000000
Phone: 503-246-7908 Total $109.55
Contractor:
STEVE REGALADO
13935 SE CALLAHAN RD
PORTLAND, OR 97236 REQUIRED INSPECTIONS
Misc. Inspection
Phone: 503 - 702 -8459 Final Inspection
Reg #: LIC 100271
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 i Uotific ti • • Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0080.
Y may obtain co o hose rules or direct questions to OUNC by calling (503)246 -9189.
: _ 1, p �,� Permittee Signature: ; jam, _ _ _ _
- - Call (50../ 39 -4175 by 7:00 P.M. for inspections needed the next business day
f --= Mechanical Permit Application ` ;.
An,.2y,' Date received: /a , Permit no.:Kr 0_ %
'Y ��.A
•- City Of 'Tigard Project/appl. no.: Expire date:
Ciry ofTigard Address: 13125 SW Hall Blvd, Tigard OR 97223 Date issued: By: Receiptno.:
Phone: (503) 639 -4171
Fax: (503) 598 -1960 Case file no.: Payment type:
Land use approval: Building permit no.:
r ' -T'i PL OF PLRMII
l� Y 1 14
Y. y .r
❑ 1 & 2 family dwelling or accessory ❑ Commercial/industrial :, Multi- family ❑ Tenant improvement
❑ New construction ❑ Addition/alteration/replacement • Other:
' ?,! ,, ,.:JOB SITE INFORMATION ' •.., ` 1. M
COMERCIAL. VALUATION 'SCHEDULE ; 4.
`.•
Job address: lilMill ' ,Mill Indicate equipment quantities in boxes below. Indicate the dollar
Bldg. no.: Suite no.: value of all mechanical materials, equipment, labor, overhead,
Tax map /tax lot/account no.:7 % a. i eif L .2 1 /28 .. • 7p A profit. Value $ .
Lot: Block: Subdivision: *See checklist for important application information and
Project name: jurisdiction's fee schedule for residential permit fee.
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City /county. - �,•- iy„, . , ZIP: Jr 70, , , - 1 & 2 FAMILY DWELLING EE. SCHEDULE; =,d.'
Description /...) escription and location of work on premises: /...) ' A; AND COMMERICAL /INDUSTRIAL EQUIPMENT SCHEDULE
_
re ' M O S, Fee(ea.) Total
Est. date of completion /inspection: Description Qty. Res.only Res.only
Tenant improvement or change of use: HVAC: II
Is existing space heated or conditioned? ❑Yes ❑ No Air handling unit CFM
Air conditioning (site plan required) ___
Is existing space insulated? ❑ Yes ❑ No Alteration of existing HVAC system _
:1VIECHANI :CONTRACTOR ' r St ption permit no.:
� 6 � � L 4 State
Business name: HP Tons BTU/I -
Address: ' = �%Q'L 1-0P •� Fire/smoke dampers/duct smoke detectors _
Heat pump (site plan required) _
/
Phone' / lAp /0 2 �y.5• Fax: E -mail:
' , ii �� Install/replace furnace/burner BTU /H -
Including ductwork/vent liner CI Yes ❑ No ■ -
CCB no.: 10 a Install/replace/relocate heaters-suspended, _ --
Ciy/metro Iic.ino.: wall, or floor mounted
Name (please print): EVE" e 9 DO Vent for appliance other than furnace _
CONTACT.:PERSON Refrigeration:
BTU/ --
-• " - �� - "'� " ~•- '' Abao tionunits I-I
II
Name: 6 is 1Z' ukaft- Chillers HP ME
Address: / 56.) 7 Compressors HP _
Environmental exhaust and ventilation: _
.' IMBria ZIP: 71,0 Appliance vent
Phone:_ ; 5 Fax: E-mail: -- Dryer xhaust _ ==
.;' O�VI\TL - 1 Hoods, Type U II/res. kitchen /hazmat ■
MI .;/:11rPOILNI11111111.11111 hood fire suppression system
Exhaust fan with single duct (bath fans) M
Mailing address: ; , A, -5 w : L . , /ri Exhaust system apart from heating or AC _
Fuel piping and distnbut on (up to 4 outlets) _ -
City: 6 /c_.ti State: C) ` 1 ZIP: 0 7o�Z Type: LPG NG Oil
'
one i - (o' L i,, F a -' tor, ii., E-mail: Fuel piping each additional over 4 outlets 111M
ENGINEER Process piping (schematic required) IIM
Name: Number of outlets IN
Other hsted apphance or equipment: ■ -
Address: Decorative fireplace
City: State: ZIP: Insert - type _
Phone: Fax: E -mail: Woodstove/pelletstove _
Other: =
Applicant's signature: Date: Other:
Name (
print): n _
Not all jurisdictions accept credit cards, please call jurisdiction for more information. Permit fee $ / r�C • _ 7
❑ Visa 0 MasterCard Notice: This permit application Minimum fee $
/ j expires if a permit is not obtained Fu..., �;� (�� %) $ i • a 5�
Credit card number:
Expires within 180 days after it has been State surcharge (8 %) $ t`S • '8'0
Name of cardholder as shown on credit card accepted as complete. TOTAL $ /09.
Cardholder signature Amount 440-4617 (6/00 /COM)
MECHANICAL PERMIT FEES , -> t
• COMMERCIAL FEE SCHEDULE: 1 & 2 FAMILY DWELLING FEE SCHEDULE:
TOTAL VALUATION: FEE: Description: Price Total
$1.00 to $5,000.00 Minimum fee $72.50 Table 1A Mechanical Code Qty (Ea) Amt
$5,001.00 to. $10,000.00 $72.50 for the first $5,000.00 and 1) Fumace to 100,000 BTU
$1.52 for each additional $100.00 or including ducts & vents 14.00
fraction thereof, to and including 2) Furnace 100,000 BTU+
$10,000.00. including ducts & vents • 17.40
$10,001.00 to $25,000.00 $148.50 for the first $10,000:00 and 3) Floor Fumace
$1.54 for each additional $100.00 or including vent 14.00
fraction thereof, to and including 4) Suspended heater, wall heater
$25,000.00. or floor mounted heater 14.00
$25;001.00 to $50,000.00 $379.50 for the first $25,000'.00 and 5) Vent not included in appliance permit
$1.45 for each additional $100.00 or 6.80
fraction thereof, to and including 6) Repair units
$50,000.00. 12.15
$50,001.00 and up $742.00 for the first $50,000.00 and Check all that apply: Boiler , - '`Heat , Air . ,
$1.20 for each additional $100.00 or For items 7 -11, see: ° . o , " Pump Cond ,
fraction thereof. 1 footnotes below Comp` �**
7) <3HP;absorb unit
to 100K BTU 14.00
ASSUMED VALUATIONS PER APPLIANCE: 8) 3 -15 HP; absorb
Value ; Total unit 100k to 500k BTU 25.60
Description: Qty (Ea) Amount 9) 15-30 HP; absorb
Fumace to 100,000 BTU, including 955 unit .5 -1 mil BTU 35.00
ducts & vents 10) 30 -50 HP; absorb
Fumace > 100,000 BTU including 1,170 unit 1 -1.75 mil BTU 52.20
ducts & vents 11) >50HP: absorb
Floor fumace induding vent 955 unit >1.75 mil BTU 87.20
Suspended heater, wall heater or 955
floor mounted heater 12) Air handling unit to 10,000 CFM 10.00
Vent not included in applicance 445 13) Air handling unit 10,000 CFM+ ,
permit 17.20
Repair units 805 14) Non - portable evaporate cooler
< 3 hp; absorb. unit, 955 10.00
to 100k BTU 15) Vent fan connected to a single duct
3 -15 hp; absorb. unit, 1,700 6.80
101k to 500k BTU 16) Ventilation system not included in
15-30 hp; absorb. unit, 501k to 1 2,310 appliance permit 10.00
mil. BTU 17) Hood served by mechanical exhaust
30 -50 hp; absorb. unit, 3,400 1 10.00
1 -1.75 mil. BTU 18) Domestic incinerators
>50 hp; absorb. unit, 5,725 • 17.40
mil. BTU 19) Commercial or industrial type incinerator
Air ha
_ Air handling unit to 10,000 cfm 656 69.95
Air handling unit >10,000 cfm 1,170 20) Other units, including wood stoves
Non - portable evaporate cooler 656 10.00
Vent fan connected to a single duct 446 21) Gas piping one to four outlets
Vent system not included in 656 5.40
appliance permit 22) More than 4 -per outlet (each)
Hood served by mechanical exhaust 656 1.00
Domestic incinerator 1,170 Minimum Permit Fee $72.50 SUBTOTAL: $
Commercial or industrial incinerator 4,590 •
Other unit, including wood stoves, 656 8% State Surcharge ., $
inserts, etc.
Gas piping 14 outlets 360 • 25% Plan Review Fee (of subtotal) $
Each additional outlet 63 Required for ALL commercial permits only ,
TOTAL COMMERCIAL $ TOTAL RESIDENTIAL PERMIT FEE: , $
VALUATION: :
Other Inspections and Fees:
1. Inspections outside of normal business hours (minimum charge -two hours)
$72.50 per hour.
2. Inspections for which no fee is specifically indicated (minimum charge -half hour)
$72.50 per hour
3. Additional plan review required by changes, additions or revisions to plans (minimum
charge-one-half hour) $72.50 per hour
* State Contractor Boiler Certification required for units >200k BTU.
** Residential A/C requires site plan showing placement of unit.
i:\dsts \forms\mech - fees.doc 10/11/00 .
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MEMORANDUM
T I GARD
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TO: Distribution List
FROM: Bethany Stewart
RE: Addressing unit change for Marciene II Apts/ Timbercrest Condos
DATE: 2/5/07
The Marciene II Apartments located at the Northeast corner of SW Bonita Rd and
SW 76 Avenue was converted to Timbercrest Condominiums. As part of the
conversion the units were re- numbered. Included is a map showing the old
numbers and the current numbering system. The main address of 14655 SW
76 Avenue was not changed. Below is a list of the corresponding old and new
unit numbers.
Old # New # Old # New # Old # New #
1 1 13 27 25 15
2 2 rl, 14 26 26 14
3 3 t 15 25 27 13
4 4 16 24 28 12
5 35 17 23 6. 1 29 11
6 34 I 18 22 30 10
N.
7 33 19 21 31 9
00 ioso
8 32 20 20 32 6
9 31 21 19 33 5
10 30 22 18 34 7
11 29 23 17 35 8
12 28 r 24 16
If you have any questions, please contact me at 503 - 718 -2459 or
bethany @tigard- or.gov.
Thank you.
i
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TIMBERCREST CONDOMINIUMS
1 14655 SW 76TH AVENUE
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