Permit CITY TIGARD MECHANICAL PERMIT
01 PERMIT #: MEC2002 -00100
• DEVELOPMENT SERVICES DATE ISSUED: 3/12/02
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 ,PARCEL: 2S112DC -00100
SITE ADDRESS: 15705 SW 72ND AVE
SUBDIVISION: OREGON BUS. PARK III ZONING: I -L
BLOCK: LOT: 002 JURISDICTION: TIG
CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS:
TYPE OF USE: COM UNIT HEATERS: VENT FANS:
OCCUPANCY GRP: F2 VENTS W/O APPL: VENT SYSTEMS:
STORIES: BOILERS /COMPRESSORS HOODS:
FUEL TYPES 0 - 3 HP: DOMES. INCIN:
LPG 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: 0
> 10000 cfm:
Remarks: Installation of approximately 160' of gas piping.
Owner: FEES
PACIFIC REALTY ASSOCIATES Type By Date Amount Receipt
15350 SW SEQUOIA PKWY #300 -WMI PRMT CTR 3/12/02 $72.50 2720020000
PORTLAND, OR 97224 5PCT CTR 3/12/02 $5.80 2720020000
PLCK CTR 3/12/02 $18.13 2720020000
Phone: Total $96.43
Contractor:
POWER PLUMBING CO
PO BOX 23144
TIGARD, OR 97281 REQUIRED INSPECTIONS
Gas Line Insp
Phone: 244 -1900 Final Inspection
Reg #: LIC 52378
PLM 34 -150PB
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- :11 -00:.. You m- o stain copies of these rules or direct questions to OUNC by calling
tc _ WAR- • 1 RA :nom- -
Is ue By: I ,y,, �� ff�� // � ��,! Permittee Signature: jr
- Call ' • 639 -4175 by 7:00 P.M. for inspections needed the next business day
MAR 07 2002 10:02f1M HP LRSERJET 3200 p.2
03/07/2002 09:04 FAX 5035981960 CITY OF TIGARD RI 001 0
• • • . •.• • . . . •
( Mechanical Permit Application.
^� Darcrpoeived / ' D I�;tao.:O e t v
,,1 I'l� City of Tigard Q
UK pro)�appl. no.: Sxpito date: Addrs:13 CiiyofTgard 1lal1 7 Date issued: By: I Receipt no..
Phone: (503) 639 -4171
Fu: (503) 598 -196o MAR 0 7 2002 Cascmeno,: Paymenttype:
Land use approval: r 144 r t G 1 ,umw , 9 uildiegPermit no.:
1i kJ: UF1'ER1l1I1
D 1 & 2 family dwelling or accessory • commercialfinddustnal 0 Multl- family • ❑ Tenant improvement •
0 New construction tB' Addition/alteratiun(replacement 0 Other.
3011 SITE INFORMATION COMMERCIAL VALUATION SCHEDULE,
Indicate equipment quantities in boxes below. Indicate the dollar
Bldg. no.: Suite no.: value of all mechanical materials, equipment, labor. overhead,
Tax ma . tax lot/account no.: profit. Value S 111 u a C : vo .
Lot: .. Block: Subdivision: 'See checklist for important application information and
Pro•ect name: jurisdiction's fee schedule for residential permit fee.
Ciry /county: 21P: 1 S 2 FAMILY DWELLING PERMIT 1 JE SCHEDULE
Description and location of work on premises 'BV \ll erste, %JP .-1ND COii(ULItICAI.1INDI:STRIAL FQLIrntE\ I S(IIPuuI1
Fee( ea.) FIR
Est. date of corn • etion/rns • - ion: 1 — ' Qty. tlles.enty
Tenant improvement or change of use: T ACT ■ __
Is existing space heated or oondi ' nedl ales 0 No A ir haodlin; unit CF )
8 p � Arm • •t ontag uteplan repair •) _ �—
Is existing space insulated? es 0 No n r —
1EC11:1t\IC,a1, (.'n7'f12aCTOR slec /COatpeeesots
•
State boiler permit no.: II
' • � - � HP Tone BTU/H
Address: , g 111E;;_ n • • „ ..er uctsmo• detectors =I
Srate:0 ZIP: - `eatpurnp tat requ redilliMMIIIIIII
:T mail: m rc
• f ep rnattlb fuumcr in . _-
Iael T ductwork/vent liner O Xes O No •
•
CCB no.: S'23 Instal rep oeuebeater - suspended. 111
Ci /metro lic. oo.: Z wall or floor asouated
'entre( .• MCC other artfumace illii
CUn l :fit:: 1' PERSON ILSON Absorption units BTU/H
C7rillas HP i♦
Address: s; II
City: States ZIP:
•
none: • Fax: Umffil: : ==
UN�lat a, • UI tes.ldtch- • .•• t
hood fire suppression system . 1 . Exhaust fan with single duct (bath fans) 1
t3xbauat c • em : aitfrOm : or • �
ZIP: • tr-- ,n up to 4 ou ets •
(y(y State: &. NO Oil
Moue: Fax: E-mail: . , e • r • in : each • • .. ova o . eta MSS
LNGINITIt ' • prpwg rehema eteq r NM1111■111111•111
Numb 1 - of orders II
_
Name: I . r m�P .. oe or 041 .. ■ , mtn . .
Address: • Decorative fireplace _ _
City: . State: ZTP: ! .• .
T.. ANN
Phone: Paz: Email: ex
Applicant's signature: . Date: t • err Mill
Name (print): • —
Permit fee $ 7Z ' S . •
. .o isms newt credit cuts, Oast ou lutAd►at I la mg" tnkrmm°c • Nofree: This permit application Minimum fee $ —is,
• visa t] Mesa •,. . ,.. - expires ifs permit is not obtained plan review (at %) E _ t
Widths 180 ddrs a fter it has been . S; Ii
• -. i •
eh � 1....r.- s! ii, i ILTIM.- aooeppmd oraotaptate. ' State =dune (g `A, s Cly�, '.i. 3
' TOTAL ._.. _ • ! •
►�: ��_ - . 4.0 parr (aaoaoc .O
•
•
•
:-444
.
• r
MRR 07 2002 10:02RM HP LASERJET 3200
03/07/2002 09:04 FAX 5035 CEIVED P.3
• 981960 C)TY OF TIGAR1RE IQ.002
r ,
• MECHANICAL PER FEES . . I i�R 0 7 ?OW
COMMERCIAL FEE SCHEDULE: 1 & 26 1 a � 011 - 1 '' •i• ' EE SCHEDULE:
_. ... ` • B UILD • .
.7rOTAI -1 0.AIV,4V:::Y 1 EE M I �R.'.n�:`=! .: � ',' .•'i74.c''r , � ' 'k S `r1 ° h�' ri.lr.. -. :. ;,).t -?'., •ti... t 6: . '' ;'r `
:ti�:i ,J •.'h 11.'15 �:+T,•!.'. • � �t
' a • �'
E1.00 to 55,000.00 Minimum lee $72.50 a 114a • •. "...�• . . �..� -�- t:f)
55.001,00 to 310,000.00 572.50 for the first 35,000.00 end 1) Furnace to 100,000 BTU
51.52 for each additional 5100.00 or Including duds & vents • 14.00
fraction theroof, to.and including 2) Furnace 100.000 BTUs.
310,000.00. indudhng duds & vents 17.40
510.001.00 10 525,000.00 5148,50 for the first 510,000,00 and 3) Floor Furnace
51.54 for each additional 5100.00 or induding vent 14.00
fraction thereof, to.and Including 4) Suspended heater, wall heater '
525,000.00. or floor mounted heater 14.00
525,001.00 to 550,000.00 5379.50 for the first 525,000.00 and 5) Vent not Included in appliance permit
51.45 for each additional 5100.00 or • 6.60
fraction thereof, 10 and including 6) Repair units
550,000.00. 12.15
550,001.00 and up 5742.00 for the first 550,000.00 and ';G?tiadEr a4� iilyi - '::Rolfe .Heal < .••At:« - '',."':..:••') ! :' '
5120 for each additional 100,00 or F t 7 . 0 "': ar' ? :..Pdl; #' '.:7 : • : i ' '• .
i OI'� y >r' r 'i ..: f: i'
: f 1 i I ' 1 •i • : 'eon ::t tr : - : x.•: • . t
fraction thereof. �. . � Pv �^ � PT' - :•:•• • . r•ri :' ^� " •�, .
•
.. , y :jr:. •`;:. : �i:F 'ii. w :.+:.{' .: rr..: ••y... . ..17y. } :: :1'.:: •,.y 5 . : .. ':;.t'Iti �f.;• , ,1i- . .�a•'; ,..:., ..
Minimum Permit Foe 372.60 SUBTOTAL: 7) e3HP; absorb unit
$
72. 5 O 101001('BTIJ 14.00
8% State Surcharge $ B) 3 - 15 HP; absorb .
SI $ O unit 100k to 500k 8TV 25.60
25% Plan Review Fee (of subtotal) $ 9) 155.30 HP: absorb
Required for ALL commercial permits only IX 1 ,S - unit .5-1 mil BTU _ • 95.00
TOTAL COMMERCIAL PERMIT FEE: $ �,y h3 '2
10) 30 -50 HP, absorb
T f b unit 1 -1.75 mil BTU .20
ar i13 >50HP: absorb
- • unit >1.75 mil BTU 87.20
PP �) rN ,. ••
A'55 ,L.J !~° a-'r:'.1 ; . i 12) Air handling untt to 10,000 CFM
, 10,011
Value Total 13) Air handling unit 10,000 CFM+
Description: Oty , (Es) 4 Amount 1720
Furnace to 100.000 BTU, Inducting 955 14) Non - portable evaporate cooler
dugs & vents 10.00
Furnace > 100.000 BTU including 1,170^ 15) Vent fan connected to a single duct
ducts & vents , 6.60
FbOf furnace including vent 955 18) Ventilation system not included In
Suspended heater, wall heater or 955 appliance permit • 10.00
Poor mounted heater .
17) M se by mechanical exhaust
Vent not lndudsd in app6canoe 4 45. 10.00
pemttt •805 183 oenestie tndnerators
17.40
Repah units _
< 3 hp; absorb. unit. 955 10) Commerdal or Industrial type indnerator
to 100k 9TU • 69.95
•
3-15 hp; absorb. unit. 1;700 . • • r ":
Env to 500k U 20) Other units, including wood stoves
10.00
1530 hp; absorb. unit, 501k to 1 2,310 21) Gas piping one to four outlets •
cop. BTU . 5.40
30.50 hp: absorb. unit 3,400 22) More than 4 -per outlet (each)
1 -1,75 mil. BTU 1.00
>50 hp; absorb. unit, 5 Minimum Permit Fee 572.50 SUBTOTAL: $
>1,75 mi. BTU
A)r handling unit to 10,000 darn 656 8% State Surcharge t; :' $
Air handling unit >10,000dlm 1,170 t'•.; ; :,
Non portable evaDOrdle scoter 656 TOTAL RESIDENTIAL. PERMIT FEE: 4 c :. $
Vent fan connected to a Sint dud 4 '48 , ,
Vent system not included In . ' 656 _
app/ient)) pelsnit Other In c is
Hood served by mechanical' exhaust 656 I. Inspections outside of normal bustneno hours (minimum charge -two hour)
OomestiC indnerator 1,170 , 342.50 per hour. •
COmflhenial Of indusuiat Incinerator 4,590 2. Inspections for which no fee m specifically Indicated (minimum chargo all tour) •
Other uniL'induding wood stoves, 858 • 362.50 per hour
In9oellt9, OW. dh3, Additional plan review required by changes, additions or revisions to plans (minirnun
rlplr+� 1� outlets 360 arae.ne -haft how) 362.50 par hour
dra
Each addr5onal outlet • 63 - 'male convector setter Certification 'squint(' for units s2ook9TU.
' "Residential ANC requires site plan abowt l0 placement of unit
TOTAL COMMERCIAL' . INK $ •
N •
VALUATION'. _ All Commercial Buildings require z•seLS• plans. •
(:10616Monns\medtdees.doe 12/28101 I MA4.) r141`f'uita� GoS , S ) d�STt+u or a. 2. "' � rut eT�Z
No
+ w-1- c4Tt ( ?∎ ?i Ct N e.hA+ 2 'r G ea t- b; go; D� 711 age sew r� w. ►���-
1
14}1%; c_L ct1.so eCC,a.(py s 144. au4.1)f 1 . .,1s11 tee- aokst it 1 1w 72
. 'Z64 cir.u.•1
JUL -08 -2002 NON 04 :34 PM HOWARD S WRIGHT - PORTLAND FAX NO. 503 220 0892 P, 02
..• • I%CPIf'l l i t z -uour
BUILDING 0 Inspection Unit. (503) 6364175 n ' -
INSPtCTION DIVISION ' , , ' Business,Una: (503) 6394171 MST
- — BUP
Received '' 3
Date Requested _ 1 AM PM 8UP
non / 7 U S 7c /7/4f, ii-u--e: suite _ MEC e t' d, 60/
Contact Person ( -I'r--- ��Ph cf j ) - -�UC6 PLM
Contractor
Ph ( ) • SWR
BUILDING - . • Tenant/Owner ---1 1/1 , • _b, g- Et.0 _
Footg
Foundation fy ELc
Ftg D, n 'Y' K S 2. 5 . ' - - 7 , .f ; d ' .%; '.-,,, .....' a ' ,1 lA ♦1 ' '
Crawl Drain r.� _H . 'i. E t 'i ^ /^s� ELR
Slab inspectio Notes: SIT
Post & Beam
Shear Anchors _ _
Ex! Sheath/Shear
Int Sheath/Shear
Framing
Insulation
Drywall Nailing --
Firewall
Fire Sprinkrer
Fire Alarm I'
Susp'd Ceiling w .
Roof
Other. —
I v
Fnal
PASS PART FAIL r i v
PLUMBING I ,
1 ,., r Slab Rough -in ' , /
If O
Water Service ! Sewer ii ii" /J/
Rain Drains / i .
Catch Basin / Manholelj 1 j
Storm Drain l ,
Shower Pan Pff
Other: ' WPM 1
Final w \ Ur- r . , -,.,,
P'`�'i;% FAIL. :: ___, A
jam► " - PERMIT NO. .: 7 . Jy i� s •-••1- . 1.
Rough -lA... C F • : - - V I GAS pen � TIO I ;rr• N ' y . ; ' .t ,= . 4.14.1-6- : ;
Ass tine , ;:' APPROOIED FOR FR iC - (` . e • �r _;,,,f .F •.�
.S oke Dampers . ,, 446 ; ." .- . • - a x_ � . n ' - :_ew. hl fi 7' 4. . ' ti
i 1 � �]J�1� �� •}� FAIL . s • i + - � a 'ciw St' R : .. _ i i , t . r , .t_f , ^.4 7 . k!:
• ��7a.V�; 'AR, F -L.-- - 4 • - •• .• . =♦ • � ", : , - r '. . �` L`t - : ,.
S — ",:::.--"4 '
Service
Rough -In
UG/Slab
Low Voltage
Fire Alarm
Final Reins on fee of $
PASS PART FAIL required before rid Inspection. Pay at City Halt 13t25 SW Hall t31vc
r 'S D Please call for relnspoction RE:
Unable to Inspect - no aoces
�
,,
ADA 'Supply' Line ,, �. �0 Appnaach/5idevralk Date ._ 0 •hlspector & ^' E
Other: • c
Final DO NOT REMOVE this Inspection record from the job site.
PASS PART FAIL _ ii it
CITY OF TIGARD 24-Hour
BUILDING Inspection Line: (503) 639 -4175
INSPECTION DIVISION. Business Line: (503) 639 -4171 MSS
Received F Date Requested 3 AM PM BUMP
Location / 7 v s 7c ✓r► iq - Suite MEC , e d 60/00
Contact Person Ph ( ) Ii 1 'FOO PLM
Contractor Ph ( ) 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
•41/130
Smo e Dampers
1
T FAIL
mr
- ICAL
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
Approach/Sidewalk Date nspector Ext
Other:
Final DO NOT REMOVE this Inspection record from the job site.
PASS PART FAIL