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Permit
° C ITY OF TIGARD MECHANICAL PERMIT PERMIT #: MEC2002 -00051 4 � DEVELOPMENT SERVICES � i 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 2/13/02 PARCEL: 2S112DD -00200 SITE ADDRESS: 15862 SW 72ND AVE 200 SUBDIVISION: OREGON BUSINESS PARK III ZONING: I -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: 2 BOILERS /COMPRESSORS HOODS: FUEL TYPES 0 - 3 HP: DOMES. INCIN: ELE 3 - 15 HP: COMML. INCIN: MAX INPUT: BTU 15 - 30 HP: FIRE DAMPERS ?: Y 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: Remarks: Revise duct system and add new split system. Owner: FEES PACIFIC REALTY ASSOCIATES Type By Date Amount Receipt 15350 SW SEQUOIA PKWY #300 -WMI PRMT CTR 2/13/02 $72.50 2720020000 PORTLAND, OR 97224 5PCT CTR 2/13/02 $5.80 2720020000 PLCK CTR 2/13/02 $18.13 2720020000 Phone: Total $96.43 Contractor: CLIMATE CONTROL INC 16500 SW 72ND AVE PORTLAND, OR 97224 REQUIRED INSPECTIONS Mechanical Insp Phone: 453 -4822 Fire Damper Insp Reg #: LIC 62196 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 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 -0080. You may obtain cosies of these rules or direct questions to OUNC by calling (503)246 -9189. Issue By: Permittee Signature: ef7 � � • eep Call (503) 639 -4175 by 7:00 P.M. for inspections needed the next business day '- z oz Mechca Pert Application � e 0 Date received L1Jo `r Permit no.: H _ 5 - �, .,,u; ;� C ity ®f Tigard ��1 1 ,,, Projecdappl,no.: Expire date: City Tigard Address: 13125 SW Hall > v , ard, OR 9722 1., Date issued: By: Receipt no.: 0 2 Phone: (503) 639 -4171 `t Fax: (503) 598 -1960 VE8 0 11) Case file no.: Payment type: Land use approval: i ( O Building permit no.: 'I,1 ®1 9 ?3 1'_Is,OI .JE'i.It1111T D 1 & 2 family dwelling or accessory ,'Commercial/industrial 0 Multi - family MTenant improvement 0 New construction 0 Addition/alteration/replacement 0 Other: 1©ll. SFI F INI Oltl\IATION (OMNILIZCIAI WAI UATl01 tSCI1EDULL Job address: i 5g62_ 5w 7,Z iki r.. s wt Tar- Zoo Indicate equipment quantities in boxes below. Indicate the dollar Bldg. no.: I Suite no.: value of all mechanical materials, equipment, labor, overhead, Tax map /tax lot/account no.: profit. Value $ 57 GIGO • Lot: I Boock: I Subdivision: *See checklist for important application information and Project name: /'Yit:)(c C_ SPeuAL7-r8-S sQL La,7ZOA[S jurisdiction's fee schedule for residential permit fee. City/county: 716,kial t,Lip.skt I ZIP: a722AI l d:' FAMILY I) LLLTNG PLltMI TI E SCI1LIlUL1 Description and location of work on premises: RzvtSE 0tAC -1 1N1) COMMTRI II NDUSTRI'AIIQVIPMENTSCIIFDIJi1JE 6ys- on f111bo P0D mew SPLtT sysTtarsi Fee(ea.) Total Est. date of completion /inspection: Description Qty. Res. only Res. only IIVAC: Tenant improvement or change of use: Air handling unit CFM Is existing space heated or c • nditjoned ?XYes 0 No Air conditioning (site plan required) Is existing space insulated? 11 Yes 0 No Alteration of existing HVAC system . '1V • .• a' ' 'a' t ONTT , r O Boiler /compressors Business name: G(. t0A Com Moi_-_ Stateboilerpermitno.: HP Tons BTU /H Address: ((or 5 w 7.2.4- #1r. Fire /smokedampers/duct smoke detectors City: P o g,TL AND I State: OK.' ZIP: q 722( Heat pump (site plan required) Phone:505- 4{5 _ I Fax:503- 16e - 72211E - mail: Install/replacefurnace/burner BTU /H Including ductwork /vent liner D Yes O No CCB no.: 62../gy Install/replace/relocate heaters - suspended, City/metro lic. no.: / q l9 wall, or floor mounted Name (please print): Ag o (,vEZL Vent fora . pliance other than furnace Absorptionunits BTU/H Name: / v F Meg_ PO W EL. L • Chillers - HP Address: , Comyressors HP Env>tronmental exhaust and ventilation: City: I State: I ZIP: Appliance vent Phone:5'0,- e l, Lf82Z Fax: E -mail: Dryer exhaust g , Hoods, Type H/res. kitchen/hazmat hood fire suppression system Name: pf r Exhaust fan with single duct (bath fans) Mailing address: 15550 S tit,) do //:L q - 30 Exhaust system a art from heating or AC City: ae.TL ,/Q State: OR. ?("1/ ZI q 7ZZ� ue pm g an stn 'Mon to 4 outlets} Type: LPG NG Oil Phone: • - 630D Fax: E -mail: • Fuel pi .ing each additional over 4 outlets vU D r,. R rocesspipmg (schematic required) Number of outlets Name: Other listed appliance or equipment: Address: Decorative fireplace City: 1 State: I ZIP: Insert - type Phone: Fax: E-mail: Woodstove/pelletstove Other: Applicant's signatu - ...KA��' �� /,�� Date: Lnoz- other: Name (print): InMef;C' . #• !Y Permit fee $ . ' Not all jurisdictions accept credit cards, please call jurisdiction for more information. D visa ❑ MasterCard Notice: This permit application Minimum' $ - 7= 2 . Credit card number: / / expires if a permit is not obtained Plan review (at %) $ /f► / .. Expires within 180 days after it has been State surcharge (8 %) .... $ TO Name of cardholder as shown on credit card accepted as complete. 9 TOTAL $ • Cardh ider : :ienaiure Amount 0 ,4i-4 61'1 (f UO /CUtii) • MECHANICAL PERMIT FEES COMMERCIAL FEE SCHEDULE: 1 & 2 FAMILY DWELLING FEE SCHEDULE; TOTAL VALUATION: FEE: Description: Price T c $1.00 to $5,000.00 Minimum fee $72.50 Table 1A Mechanical Code Qty (Ea) A $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) Fumace 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.i5 $50,001.00 and up $742.00 for the first $50,000.00 and Check all that apply : Boiler Heat Aid $1.20 for each additional $100.00 or 0 o Items 7 -11, see • • or • . Pump Coed fraction thereof. footnotes below. • Con'ip* *4, . 7) <3HP;absorb unit • ASSUMED VALUATIONS PER APPLIANCE: to 3 -15 BTU 14.00 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 including vent 955 unit >1.75 mil BTU 87.20 Suspended heater, wall heater or 955 12) Air handling unit to 10,000 CFM floor mounted heater 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 10.00 1 -1.75 mil. BTU . 18) Domestic incinerators • >50 hp; absorb. unit, 5,725 17.40 >1.75 mil. BTU 19) Commercial or industrial type incinerator 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 r : - ...:: , • 7p,:. Other unit, including wood stoves, 656' 8% State Surcharge $ inserts, etc. ' 6E0 Gas piping 1-4 outlets 360 25% Plan Review Fee (of subtotal) I $ Each additional outlet 63 Required for ALL commercial permits only , . 4I3 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 hot $72.50 per hour 3. Additional plan review required by changes, additions or revisions to plans (mir 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. ; :',:t._ `torn„ \mach- i,;ez.ctac 10/ 1 /00