Loading...
Permit ,L ' CITY OF TIGARD MECHANICAL PERMIT I& DEVELOPMENT SERVICES PERMIT #: MEC2003-00245 fl 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 5/13/03 PARCEL: 2S 112BA -04600 SITE ADDRESS: 14295 SW 80TH PL SUBDIVISION: WAVERLY MEADOWS ZONING: R -7 BLOCK: LOT: 009 JURISDICTION: TIG CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS: TYPE OF USE: SF UNIT HEATERS: VENT FANS: OCCUPANCY GRP: R3 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: FIRE DAMPERS ?: 30 - 50 HP: REPAIR UNITS: GAS PRESSURE: 50 + HP: WOODSTOVES: FURN < 100K BTU: 1 AIR HANDLING UNITS CLO DRYERS: • FURN > =100K BTU: <= 10000 cfm: OTHER UNITS: > 10000 cfm: GAS OUTLETS: Remarks: Replace gas furnace. Owner: FEES BEVERLY KROPP Description Date Amount 14295 SW 80TH PLACE TIGARD, OR 97223 [MECH] Permit Fee 5/13/03 $72.50 [TAX] 8% StateTax 5/13/03 $5.80 Total $78.30 Phone: 503 968 - 9889 Contractor: BELL HEATING 15550 SE PIAZZA AVE CLACKAMAS, OR 97015 REQUIRED INSPECTIONS Phone: 503 Heating Unt Insp Final Inspection Reg #: LIC 447 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes and all other applicable laws. All work will be done in accordance with approved' plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted in the Oregon Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain copies of these rules or direct questions to OUNC by calling (503)246 -669,. Issued By:y�Gl1fiLe(11-64 -li Permittee Signature: 67* CVAIL - t! (Tr' Call (503) 639 -4175 by 7:00 P.M. for inspections needed the next business day Permit `3' "�� FOR OFFICE USE ONLY' _ Mechncal 1 ermlt Application Received y , Mechanical DateBy:0 15- z Permit No.: 02) - 0`61/1' Planning Approval Building Clt of Tigard i,i Date/By: Permit No.: 13125 SW Hall Blvd. � ' v Plan Rview Other Tigard, Oregon 97223 Date/By: Permit No.: r$ Post - Review Land Use Phone: 503- 639 -4171 Fax: 5Q 98119.602003 w ,\„ i^ (.,,•� Date/By: Case No.: Internet: www.ci.tigard.or,us T� Ii Contact .14 1E See Page 2 for 24 hour Inspection Request: 6Y3 � 47 75 GAF � ._ Name /Method: / 6-2 Supplemental Information. BUILDING DIVISION M-5 ':, ; 2e. , . ,.A,YPEiOF W ORK ' K a °, W :? `";COMMERCIALL F.EE S.CHEDULE.t ,USE CHECKLIST, , ", ❑ New construction ❑ Demolition Mechanical permit fees* are based on the total value of the work tgiAddition/alteratior(e = placemen El Other performed. Indicate the value (rounded to the nearest dollar) of all , M '", 47:VITGORV. ,r L- RUCTION', , * f iA • mechanical materials, equipment, labor, overhead and profit. Value: $ See Page 2 *or Fee Schedule ��- Fam11 dwe lmg ❑ Commercial /Industrial " 'RESIDENTI'A'L EQUIPMENT /SYSTEMS TEE�:;SCFIED.ULE ,�, e El Accessory Buil�c'1ng ❑ Multi- Family Description Qty Fee(ea.) Total ❑ Master Builder ❑ Other: .. • Heating/Cooling :.;0=,;J®B SITE== INF.ORMATION'and LOCATION_ .- -° �Furna� add -on air conditionings 1 14.00 10.4 42,x Job site address: 1'5 PL Gas heat pump 14.00 Suite #: Bldg. /Apt. #: Duct work 14.00 Project Name: VIR OP? I g Hydronic hot water system 14.00 T r `\ Residential boiler Cross stree irections to job site; "r.6 (a SS f C 14.00 / O ( radiator or hydronic system) `' s ` l 1 n -P s . ¶() ( rkr'- 1J0 �'e, Unit heaters (fuel, not electric) (in wall, in -duct, suspended, etc.) 14.00 Tort N tiGf h To SQsc PL- IWP9j 1_ ) Flue /vent (for any of above) 10.00 Subdivon: Lot #: Repair units 12.15 Other Fuel Appliances ' °:" Tax' ap /v.arcel #: TC 6s ' (p Water heater 10.00 "b DESCIURTION'OF WO1 ` , :: ,_ . ` ,f Gas fireplace 10.00 R J gk■\. 0..A' t G kS .)/ Pa Flue vent (water heater /gas fireplace) 10.00 Re-P �-- Log lighter (gas) 10.00 C Wood/Pellet stove 10.00 Wood fireplace /insert 10.00 2 X C QUNrri ,T Pk/ ,M,,,t- A' 4 551 Chimney /liner /flue /vent 10.00 + =ROPERTY,.O.WNERWV _; ES MENANTW... 0211. , Other: 10.00 Name: ?w 4 EnviroiimentahEzhauit & Ventilation , . ._ Range hood/other kitchen equipment 10.00 Address: 1 S_t?_a S S) pc-- Clothes dryer exhaust 10.00 City /State /Zip: -- c - , (' , c. Q7'2 ( ry Single duct exhaust Phone: Ct(aQEq FaX (bathrooms, toilet compartments, c il PPL;ICANT t, " x_ ;.,. ,,. ❑ •CONT <ACT�'PERSON fi 4 utility rooms) - 6.80 Name: \ t4-..v- . ' �', , Attic /crawl space fans 10.00 �`� � V iQ' `'fv Other: 10 00 Address: � 7 `* City/State/Zip: , p 1` * = y * *($5.40 for first 4, $1.00 each additional) Phone: S(9 -11 Fax: _ 'S(a -1 ( Furnace, etc. ** ** ir Gas heat pump t ��` A , L ' Wall /suspended/unit heater ** f ;rte;,.:_'' . , f Po` CONTRACTOR : F O sT Water heater ** Fireplace ** Business Name: F ire p ** Address: ■ ► Range _ ** City /State /Zip: ��� L I. j„, - • Ji Clothes dryer (gas) ** Phone: , S' ( 1 l vj . 611.11 Other: ** CCB Lic. #: Total: M ec h a ni cal,PermitFees * Authorized Subtotal: $ • Signature: Date: v Minimum Permit Fee $72.50 $ a Plan Review Fee (25% of Permit Fee) $ (Please print name) State Surcharge (8% of Permit Fee) $ ' • TOTAL PERMIT FEE $ 8 30 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. C *-= *Site plan required for exterior-i i:\Dsts\Permit Forms\MecPermitApp.doc 01/03 °- Mechanical Permit Application - City of Tigard Page 2 - Supplemental Information Commercial Fee Schedule: Total Valuation Pe $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. .F:i i+,ed_V ations PPr.'_App(ian . • Value Total Description: Qty (Ea) Amount • Furnace 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 Fortns\MecPermitAppPg2.doc 01/03 CITY OF TIGARD 24 -Hour BUILDING Inspection Line: (503) 639 -4175 INSPECTION DIVISION Business Line: (503) 639 -4171 MST BUP Received Date Requested ii'/O AM PM BUP Location / ��-�S- g'D t P1 • Suite Cr 3° 0 © taws Contact Person s Ph ( ) 6 517 1V/- PLM Contractor Ph ( ) SWR BUILDING Tenant/Owner ELC Footing ELC Foundation 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 FAIL MECHANICAL Posf& Beam Rough -In Gas Line oke Dampers • A O PART FAIL CTRICAL Service Rough -In UG /Slab Low Voltage Fire Alarm Final ❑ 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 /22"i0 Fire Supply Line j ADA Date /1 I U 6 Inspector Ext Approach /Sidewalk Other: Final - - DO NOT REMOVE this inspection record from the Job site. PASS PART FAIL