The URL can be used to link to this page

Permit :. CITY OF T I GA R D MECHANICAL PERMIT l DEVELOPMENT SERVICES PERMIT.* MEC2001-00151 6 1 '' 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 5/9/01 PARCEL: 2S1 12AC -01200 SITE ADDRESS: 14865 SW 74TH AVE 270 SUBDIVISION: FANNO CREEK ACRE TRACTS ZONING: I -P BLOCK: LOT: 020 JURISDICTION: TIG CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS: 1 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: Compressor Owner: FEES KNHS DEVELOPMENT CO Type By Date Amount Receipt 26262 S MERIDIAN RD PRMT CTR 5/9/01 $72.50 2720010000 AURORA, OR 97002 PLCK CTR 5/9/01 $18.13 2720010000 5PCT CTR 5/9/01 $5.80 2720010000 Phone: Total $96.43 Contractor: ROYAL COMMERCIAL EQUIPMENT LTD 2736 SE 15TH AVENUE PORTLAND, OR 97202 REQUIRED INSPECTIONS Mechanical Insp Phone: 503 - 236 -1370 Final Inspection Reg #: LIC 68375 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 -00 a ' ugh OAR 952 - 001 -0080. You may obtain copies of these rules or direct questions to OUNC by / 503)246 -9 :!. — / �Si c Issue By: Permittee Signature: l Call (5 3) 639 -4175 by 7:00 P.M. for inspections needed t , / t business day 0 z r - h 6 s 0 l C G1 - 110/ Mecha A. Date received: 5- o ( Permit no. Tfl ,0 ' '' 1 ! l F . . City of Project/appl. no.: Expire date: • City of Tigard Address: 1312 S W Hall Blvd, Tigard OR 97223 Date issued: By: Receipt no.: Phone: (503) 639 -4171 Fax: (503) 598 -1960 Case file no.: Payment type: Land use approval: Building permit no.: TYPE OF PERMIT ❑ 1 & 2 family dwelling or accessory ❑ Commercial/industrial ❑ Multi- family • ❑ Tenant improvement ❑ New construction ►:,� Addition/alteration/replacement ❑ Other: JOB SITE INFORMATION COMMERCIAL VALUATION SCHEDULE Job address: j , g6 C 5. (J . 7h; AA • Indicate equipment quantities in boxes below. Indicate the dollar Bldg. no.: I Suite no.: 9_10 value of all mechanical materials, equipment, labor, overhead, Tax map /tax lot/account no.: profit. Value $ . Lot: !Block: I Subdivision: *See checklist for important application information and Project name: �;if j lot 1.,i 5 Ca. t -62.1(1& jurisdiction's fee schedule for residential permit fee. City /county 1( O I ZIP: ' 0 ) "1 2.2.3 1 & 2 FAMILY DWELLING PERMIT FEE SCHEDULE . . Description and location of work on premises: AND COMMERICAL /INDUSTRIAL EQUIPMENTSCHEDULE Fee(ea.) Total Est. date of completion/inspection: °1,/ o / Description Qty. Res. only Res. only Tenant improvement or change of use: HVAC: Air handling unit CFM Is existing space heated or con ltioned? es ❑ No Air conditioning (site plan required) Is existing space insulated? L - es ❑ No Alteration of existing HVAC system MECHANICAL CONTRACTOR Boiler /compressors Business name: ' � C.cr -o .R.cmi� E 0 I i-1 D State boiler permit no.: HP Tons BTUlH Address: - 9_7 '36 S , E . )s JvJ- Fire /smoke dampers/duct smoke detectors City: (JGtz"1 I State: C)(Z! ZIP: 1 '72..G2,. Heat pump (site plan required) Phone: 2.36 /.3 - ) 0 I Fax: 231, 077 E -mail: �1.I. talUreplace / burner BTU /H Including ductwork/vent liner ❑ Yes ❑ No CCB no.: L.sR 3 7.S Install/replace/relocate heaters - suspended, City /metro lic. no.: 3 i _515 wall, or floor mounted Name (please print): 1- A /U F"i�/ S Vent for appliance other than furnace . C Refrigeration: CONTACT PERSON J Absorption units BTU /H . Name: Th 4 j F s Chillers HP Address: AS ile, L C Compressors jr,./V0-1 I HP Environmental exhaust and ventilation: City: 1 State: I ZIP: Appliance vent Phone: - Fax: E - mail: Dryer exhaust OVVNER Hoods, Type U IUres. kitchen/hazmat hood fire suppression system Name: Exhaust fan with single duct (bath fans) Mailing address: Exhaust system apart from heating or AC City: I State: !ZIP: Fuel piping and distribution (up to 4 outlets) Type: LPG NG Oil Phone: Fax: E -mail: Fuel piping each additional over 4 outlets ENGINEER Process piping (schematic required) Name: Number of outlets Other listed appliance or equipment: Address: Decorative fireplace City: j J i State: ZIP: Insert - type Phone: ,i� //— Woodstove/pelletstove • Other: Applicant's signature: / 4 9 .- Date: (� ( Other: Name (print): 111 1 J Z5 5 Not all jurisdictions accept credit car. , • ! . call jurisdiction for more information.' Permit fee $ ❑ visa ❑MasterCard Notice: This permit application Minimum fee $ Credit card number: expires if a permit is not obtained Plan review (at _ %) $ Expires within 180 days after it has been State surcharge (8%) .... $ Name of cardholder as shown on credit card accepted as complete. TOTAL $ Cardholder signature Amount 440 -4617 (6/00 /COM) • MECHANICAL PERMIT FEES 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) Furnace 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 $1.0,001.00 to $25,000.00 $148.50 for the first $10,000.00 and 3) Floor Furnace $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', s`ee " - - • or " - Pump . Cond fraction thereof. footnotes below. Comp. - ''" • 7) <3HP;absorb unit ASSUMED VALUATIONS PER APPLIANCE: to 3- 1K 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 Furnace to 100,000 BTU, including 955 unit .5 -1 mil BTU 35.00 ducts & vents 10) 30 -50 HP; absorb Furnace > 100,000 BTU including 1,170 unit 1 -1.75 mil BTU 52.20 ducts & vents 11) >50HP: absorb Floor furnace 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 - ,. ` ' , Other unit, including wood stoves, 656 8% State Surcharge $ inserts, etc. Gas piping 1 -4 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. is \dsts \forms\mech - fees.doc 10/11/00 . CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24vHou' ' Inspection Line: 639 -4175 Business Line: 639 -4171 BUP Date Requested S, Z ` � AM PM BLD - Location i y fG ( 7 y 4-e Suite Z7o MEC 96'O/ - 'c IS( Contact Person Ph 5 5 Z,3k / 377 PLM Contractor Ph SWR BUILDING Tenant/Owner 7/".54 Ca-e/ h - ELC Retaining Wall ELR Footing Access: Foundation / / FPS Ftg Drain �'�'�� 4.L� a ` Crawl Drain Inspection Notes: SGN Slab SIT Post & Beam Ext Sheath /Shear - Int Sheath /Shear Framing Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Misc: Final PASS PART FAIL PLUMBING Post & Beam Under Slab Top Out Water Service Sanitary Sewer Rain Drains Final P T FAIL (MECHANICAL Post & Beam Rough In T '� , , L�'�Y / / �� // >' - /Lb Gas Line ,(,V Sm• - Dampe PART FA CTR _._ ..- Service Rough In UG /Slab Low Voltage Fire Alarm Final PASS - 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: [ ] Unable to inspect - no access Fire Supply Line ADA Approach /Sidewalk Date 3/ Ins /-- Ext Other Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site,