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Permit L_D 6 6\1 +_ 3--6,440 r CITY TIGARD MECHANICAL PERMIT i ;� DEVELOPMENT SERVICES PERMIT #: MEC2003 -00236 -F`" ., I ° 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 5/8/03 PARCEL: 2S101 DC -00300 SITE ADDRESS: 13535 SW 72ND AVE SUBDIVISION: 72ND AVE OFFICE BUILDING ZONING: C -P BLOCK: LOT: JURISDICTION: TIG CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS: TYPE OF USE: COM UNIT HEATERS: VENT FANS: OCCUPANCY GRP: B 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: GAS OUTLETS: > 10000 cfm: Remarks: Relocate ducts and grilles, add (2) additional ducts for tenant improvement. Project value: $1,000. Owner: FEES PACIFIC NW PROPERTIES LP Description Date Amount 9950 SW ARCTIC DR [MECH] Permit Fee 5/8/03 $72.50 BEAVERTON, OR 97005 [TAX] 8% StateTax 5/8/03 $5.80 Total $78.30 Phone: Contractor: OREGON HEATING + A/C INC PO BOX 397 DUNDEE, OR 97115 REQUIRED INSPECTIONS Mechanical Insp Phone: 538 Duct Inspection Reg #: LIC 125815 Final Inspection 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 require to rules adopted in the Oregon Utility Notification Center. Those rules are set forth in OAR 952 - 001-00 • I Pu Pte l,' i . Is ed By: \_- um 1 Permittee Signature: Cali (503) 63' 175 by 7:00 P.M. for inspections needed the next business day MecWanical Permit, • et:L FOR OFFICE USE ONLY , . , ] Received Mechanical ` ✓ Date/By: 5 4 0-5 Permit No.: H MJ ' 5 _ City of Tigard Planning Approval Building MAY 0 i Date/By: Permit No.: 13125 SW Hall Blvd. Plan Review Other Tigard, Oregon 97223 CITY OF T AR 8 Date/By: Permit No.: Phone: 503 -639 -4171 Fax: 503 -5 letANG '4yo� >; Post - Review Land Use w; Contact Case No.: Internet: www.ci.ti ard.or.us �' �_� , I Date/By: r_ Contact J El See Page 2 for 24 - hour Inspection Request: 503 639 - 4175 Name/Method: / / • Supplemental Information. - —. ,00/7 � TYPE OF WORK COMMERCIAL FEE* SCHEDULE - USE CHECKLIST ❑ New construction ❑ Demolition Mechanical permit fees* are based on the total value of the work J o Addition/alteration /replacement ❑ Other: performed. Indicate the value (rounded to the nearest dollar) of all CATEGORY OF C ONSTRUCTION mechanical materials, equipment, labor, overhead and profit. ❑ 1 & 2- Family dwelling 2-Commercial/Industrial Value: $ (/ 000 See Page 2 for Fee Schedule ❑ Accessory Building ❑ Multi - Family RESIDENTIAL EQUIPMENT /SYSTEMS FEE* SCHEDULE Description 1 Qty 1 Fee(ea.) 1 Total ❑ Master Builder ❑ Other: Heating/Cooling JOB SITE INFORMATION and LOCATION Furnace - add -on air conditioning ** 14.00 Job site address: / 15 - 3 3 5 - S to 7214d A ve" Gas heat pump 14.00 Suite #: Bldg. /Apt. #: Duct work 14.00 Project Name: /-jjq Hydronic hot water system 14.00 Residential boiler Cross street/Directions to job site: (for radiator or hydronic system) 14.00 /J 5 f b oa N 1 - Unit heaters (fuel, not electric) (in wall, in -duct, suspended, etc.) 14.00 Flue /vent (for any of above) 10.00 Subdivision: I Lot #: Repair units 12.15 Other Fuel Appliances Tax map /parcel #: Water heater 10.00 DESCRIPTION OF WORK Gas fireplace 10.00 Flue vent (water heater /gas fireplace) 10.00 �� / / ��� Log lighter (gas) 10.00 Wood/Pellet stove 10.00 Wood fireplace/insert 10.00 Chimney/liner /flue/vent 10.00 o PROPERTY OWNER 1 ❑ TENANT Other: 10.00 Name: Environmental Exhaust & Ventilation p C* r /!� �� �� Range hood/ot kitchen equipment 10.00 Address: 9(,(e5 56t, 4/i_ 54e /�< Clothes dryer exhaust 10.00 City /State /Zip: 13 ,/ ',/ /7'&4 7 Single duct exhaust Phone: Fax: (bathrooms, toilet compartments, :7 APPLICANT ] CONTACT PERSON utility rooms) 6.80 Name: G(i2, T / /_ [� ln Attic /crawl space fans 10.00 Address: gy Z. k y e Other: Fuel Piping 10.00 City /State /Zip: A i �, � , � 4✓ 4 , // c * *($5.40 for first 4, $1.00 each additional) Fumace, etc. ** Phone: Fax: Gas heat pump ** E -mail: Wall /suspended/unit heater ** CONTRACTOR Water heater ** ki Business Name: o , /J' ,_ r. Fireplace ** Address: 99 7, 16,44i 0994/ Range ** BBQ ** City /State /Zip: j /o / 1/ 97//3 Clothes dryer (gas) ** Phonetb3)S ! 1 Fax: Other: ** CCB Lic. #: / 7.., $5f j'c Total: Mechanical Permit Fees* Authorized $ Signature: Date: `' S �/ Minimum Permit Fee $72.50 $ 7, • CA' . hill Z... Plan Review Fee (25% of Permit Fee) $ (Please print name) State Surcharge (8% of Permit Fee) $ 5 $U TOTAL PERMIT FEE $ 78- - 3e Notice: This permit application expires if a permit is not obtained within *Fee methodology set by Tri-County Building Industry Service Board. 180 days after it has been accepted as complete. * *Site plan required for exterior A/C units. i:\Dsts\Permit Forms\MecPermitApp.doc 01/03 Mechanical Permit Application - City of Tigard Page 2 - Supplemental Information " • -- Commercial Fee Schedule: Total Valuation: Permit Fee: $1.00 to $5,000.00 Minimum fee $72.50 $5,001.00 to $10,000.00 $72.50 for the first $5,000.00 and $1.52 for each additional $100.00 or fraction thereof, to and including $10,000.00. $10,001.00 to $25,000.00 $148.50 for the first $10,000.00 and $1.54 for each additional $100.00 or fraction thereof, to and including $25,000.00. $25,001.00 to $50,000.00 $379.50 for the first $25,000.00 and $1.45 for each additional $100.00 or • fraction thereof, to and including $50,000.00. $50,001.00 and up $742.00 for the first $50,000.00 and $1.20 for each additional $100.00 or fraction thereof. Assumed Valuations Per Appliance: Value Total Description: Qty (Ea) Amount Fumace to 100,000 BTU, including 955 ducts & vents Furnace > 100,000 BTU including ducts 1,170 & vents Floor furnace including vent 955 Suspended heater, wall heater or floor 955 mounted heater Vent not included in appliance permit 445 Repair units 805 < 3 hp; absorb. unit, 955 to 100k BTU 3 -15 hp; absorb. unit, 1,700 101k to 500k BTU 15 -30 hp; absorb. unit, 501k to 1 mil. 2,310 BTU 30 -50 hp; absorb. unit, 3,400 1 -1.75 mil. BTU >50 hp; absorb. unit, 5,725 >1.75 mil. BTU Air handling unit to 10,000 cfm 656 Air handling unit >10,000 cfm 1,170 Non - portable evaporate cooler 656 Vent fan connected to a single duct 446 Vent system not included in appliance 656 permit Hood served by mechanical exhaust 656 Domestic incinerator 1,170 Commercial or industrial incinerator 4,590 Other unit, including wood stoves, 656 inserts, etc. Gas piping 1-4 outlets 360 Each additional outlet 63 TOTAL COMMERCIAL $ VALUATION: is \Dsts\Permit Forms\MecPermitAppPg2.doc 01/03 CITY OF TIGARD 24-Hour ti BUILDING, Inspection Line: (503) 639 -4175 INSPECTION DIVISION Business Line: (503) 639 - 417 MST -1 BUP Received Date Requested — 3 0 AM PM BUP Location / 3 X 3 ,5 'o? 4141-- Suite MEC j - 0 v ., 3 Contact Person . Ph ( ) PLM Contractor / Ph ( ) g qq'l SWR BUILDING Tenant/Owner ELC Footing Foundation ELC Access: Ftg Drain ELR Crawl Drain Slab Inspection Notes: SIT Post & Beam Shear Anchors Ext Sheath/Shear Int Sheath/Shear Framing Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Other: Final PASS PART FAIL PLUMBING Post & Beam Under Slab Rough -In Water Service Sanitary Sewer Rain Drains Catch Basin / Manhole Storm Drain Shower Pan Other: Final PASS PART FAIL MECHANICAL Post & Beam Rough -In Gas Line Smoke Dampers - 4RT FAIL EL ..-4 ■ 1 L Service Rough -In UG/Slab Low Voltage Fire Alarm Final 0 Reinspection fee of $ • required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL SITE ❑ Please call for reinspection RE: ❑ Unable to inspect — no access Fire Supply Line ADA SI 3 0/o3 Approach/Sidewalk Date Inspector Ext Other: Final DO NOT REMOVE this inspection record from the job site. PASS PART FAIL CITY OF TIGARD 24 -Hour BUILDING , Inspection Line: (503) 639 -4175 INSPECTION DIVISION Business Line: (503) 639 -4171 MST BUP Received Date Requested S J °� A M PM BUP Location /35 MEC 3 '0 Contact Person Ph ( ) ' ( PLM Contractor Ph ( ) SWR BUILDING Tenant/Owner ELC Footing ELC Foundation Access: Ftg Drain ELR Crawl Drain Slab Inspection Notes: 66 SIT Post & Beam Shear Anchors Ext Sheath/Shear Int Sheath/Shear Framing Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Other: Final • PASS PART FAIL PLUMBING Post & Beam Under Slab )2_/ Rough -In Water Service Sanitary Sewer Rain Drains Catch Basin / Manhole Storm Drain Shower Pan Other: Final PASS PART FAIL MECHANICAL . Post & :eam Gas Line Smoke Dampers • Th PART FAIL x RICAL Service Rough -In UG/Slab Low Voltage Fire Alarm Final fl Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL SITE Please call for reinspection RE: Unable to inspect — no access Fire Supply Line ADA Approach/Sidewalk Date 5 (3 t) 3 Inspector Ext Other: Final DO NOT REMOVE this inspection record from the job site. PASS PART FAIL CITY OF TIGARD BUILDING INSPECTION DIVISION 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 MST BUP t 1 . Date Requested (17 AM ( PM BLD Location l3 S l 2 .. 7 ) Suite MEC Contact Person Ph o� � (t loc7act PLM Contractor jqro a el uia y - Co ch r� h / OWI) Ph 1 � � -7.3 6 O SWR 'BUILDING Tenant/Owner o C_ - AV L[.1 ELC 40/ — Retaining Wall ELR Footing Access: • Foundation FPS Ftg Drain SGN Crawl Drain Inspection Notes: � Slab ( SIT Post & Beam Ext Sheath /Shear Int Sheath /Shear 1 /� Framing / )0 l`O �o �17)//i/E ) Y >"�d — Insulation Drywall Nailing Firewall Fire Sprinkler • Fire Alarm Susp'd Ceiling /3 0 0 Roof Misc: Final PASS PART FAIL PLUMBING Post & Beam �7 Under Slab / �/f /— 4 �� Top Out . Water Service Sanitary Sewer Rain Drains Final PASS PART FAIL • MECHANICAL Post & Beam • Rough In Gas Line eD Smoke Dampers Final PAS • - FAIL Ei]!N •" service Rough In UG /Slab Low Voltage ��Fi��r ' larm ...106 PART FAIL SITE Backfill /Grading Sanitary Sewer Storm Drain [ ] Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin [ ] Please call for reinspection RE: [ j Unable to inspect - no access Fire Supply Line ADA Approach /Sidewalk Date ` � ` Inspector / Ext Other Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site.