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Permit
CITY TIGARD MECHANICAL PERMIT s. 1 DEVELOPMENT SERVICES ,PERMIT #: MEC2001 -00035 �II� DATE ISSUED: 1/30/01 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 PARCEL: 2511360 -00600 SITE ADDRESS: 16060 SW 85TH AVE SUBDIVISION: ' ZONING: ' -P BLOCK: LOT: ' JURISDICTION: TIG CLASS OF WORK: FLOORFURN: 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: 3 15 HP: COMML. INCIN: MAX INPUT: BTU 15 - 30 HP: REPAIR UNITS: • FIRE DAMPERS ?: 30 - 50 HP: REPAIR NIT S: GAS PRESSURE: - 50 + HP FURN < 100K BTU: AIR HANDLING UNITS CLO DRYERS: FURN > =100K BTU: < =10000 cfm: OTHER UNITS: 1 > 10000 cfm: GAS OUTLETS: . Remarks: Commercial TI for addition of return air trunk line. • Owner: FEES . UNIFIED SEWERAGE AGENCY Type By Date ' Amount Receipt 150 N 1ST AVE PRMT CTR 1/30/01 $72.50 2720010000 HILLSBORO, OR 97123 - . . PLCK, CTR 1/30/01 . $18.13 2720010000 . 5PCT CTR 1/30/01 $5.80 2720010000 - Phone: Total $96.43 , Contractor: REITMEIER MECHANICAL INC - , 7051 SW SANDBURG ST STE 400 TIGARD, OR 97223 -8011 • REQUIRED INSPECTIONS . Duct Inspection Phone: 603 -0205 Fire Damper Insp - Reg #: LIC 63242 ' S.D. Shut -down inspection Final Inspection • f , 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 copies of these rules or direct questions to OUNC by calling (503)246 -9189 .. . ' - Issue By: Z Permittee ,',47-- Signature: 4 S% Call (503) 639 -4175 by 7:00 P.M. for inspections needed the next business day o wAot Mechanical Permit Application ; ,,. Datereceived: / Zoo 0 / Permit no. ;/fECZ00/ 60035 - I City' of Tigard ,�. • :_„ � g Project/appl. no.: Expire date: CiryofTigard Address 13125 SW Hall Blvd, Tigard OR 97223 Date issued: By 'eceiptno.: Phone: (503) 639 -4171 \ Fax: (503) 598 -1960 Case file no.: Payment type: La use approval: Building permit no.: TYPE OF PERMIT A, 0 1 & 2 family dwelling or accessory ❑ Commercial/industrial ❑ Multi- family ❑ Tenant improvement 0 New construction 0 Addition/alteration /replacement ❑ Other: JOB SITE INFORMATION COMMERCIAL VALUATION SCIEDULE Job address: 14,065 Goo 4 6S-C 1 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 $ . Lot: IBlock: 1 Subdivision: *See checklist for important application information and Project name: LAN WI �` j` jurisdiction's fee schedule for residential permit fee. City /county: ? r ZIP: gZLI I & 2 FAMILY DWELLING PERMIT FEE SCHEDULE UIPMENTSCIIEDULE Description and location of work on premises: AND COMMERICAL /INDUSTRIAL E Q P100 ilEtvisc.1 pro(- TANK. L;, vt. . Fee (ea.) Total Est. date of completion /inspection: Description Qty. Res.only Res.only Tenant improvement or change of use: HVAC: • Air handling unit CFM • Is existing space heated or conditioned? eCYes ❑ No Air conditioning (site plan required) Is existing space insulated? l f Yes ❑ No Alteration of existing HVAC system MECHANICAL CONTRACTOR Boiler /compressors Business name: • _!' zY1/\ V v et AciA U' .L State boiler permit no.: HP Tons BTU/H Address: 2 SW savt `" 7}G 409 4C Fire /smoke dampers/duct smoke detectors City: --�(� 5 Gl I State: O ] ZIP GO.ZZ3 Heat pump (site plan required) • Phone: C„ m C I Fax: ( _0601E-mail: Install/replace furnace/burner BTU /H Including ductwork/vent liner ❑ Yes O No CCB no.: ( a ' S .' t '2_ Install/replace/relocate heaters suspended, City /metro lic. no.: wall, or floor mounted Name (please print): —'t- sAriA _Lv Vent for a r pliance other than furnace CONTACT PERSON • Refrigeration: Absorption units BTU/H Name: — ��j,n '\ _Arr.Art ►) Chillers HP Address: -d an Tbove--- Enmrressors HP Environmental exhaust and ventilation: City: I State: ZIP: Appliance vent . Phone: Fax: E -mail: Dryer exhaust OWNER Hoods, Type U II/res. kitchen/hazmat _ hood fire suppression system Name: (Nit c 1 ed A � / �1 - / Exhaust fan with single duct (bath fans) • Mailing address: J 6,06,0 �� J ` - Exhaust system apart from heating or AC City: \ I State: ( _I ZIP: Gi42Zt� Fuel piping and distribution (up to 4 outlets) Type: LPG NG Oil Phone: - L f Fax: E -mail: Fuel piping each additional over 4 outlets Process piping (schematic required) Number of outlets Name: M (X'? Other listed appliance or equipment: Address: Decorative fireplace City: I State: I ZIP: Insert- Phone: Fax: I E -mail: Woodstove/pelletstove Other: Applicant's signature: I Date: Other: Name (print): Not all jurisdictions accept credit cards, please can jurisdiction for more information. Permit fee $ 1)5 / ❑ Visa ❑MasterCard Notice: This permit application Minimum fee $ l expires if a permit is not obtained Plan review (at _ %) $ Credit card number: w ithin 180 days after it has been Expires y State surcharge (8%) $ • Name of cardholder as shown on credit card accepted as complete. TOTAL $ $ I 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 $10,001.00 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, see 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 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 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. i:\dsts\forms\rnech-fees.doc 10/11/00 14;36 ow- yL /\ Q � CI OF TIGARD BUILDING INSPECTION DIVISI s :,,, I W I 24 -Hour Inspection Line: 639 -4175 Business Line: 6 -1 / , . `` MST BUP CAMAtOt Date Requested )/2 © / AM ' M ?° • ' �6 BLD Location /6 D h D S FS - 4 Suite 4 421000/ 000.E Contact Person // ‘17/4A- Ph 6• ` 02 PLM Contractor lee,/ - 1r2 -e. .Q.r' a - Ph SWR BUILDING Tenant/Owner ELC Retaining Wall ELR Footing Access: Foundation FPS Ftg Drain SGN estorio ._.. i Slab I Drain Inspection Notes: V X1 9 , ti �f Y _ l�1,LA.12. SIT Post & Beam Ext Sheath /Shear Int Sheath/Shear Framing / . t � i — / • Insulation . Drywall Nailing Fire Sp 1 --- e : V Fire Sprinkler 1 �/ • Fire Alarm .L C Susp'd Ceiling �C --- ` � c.� Roof - — \ Jt1=Z6 /� - 0 `� Misc: h C� Final PASS PART FAIL (7 £% PLUMBING Post & Beam Under Slab Top Out Water Service Sanitary Sewer Rain Drains Final T FAIL L Post & Beam CLI Rough In Gas Line ' Smo a Dampers .. ink 111 ART FAIL 4111-1 Rough In UG /Slab Low Voltage • . Fire Alarm Final PASS PART FAIL SITE Backfill /Grading - Sanitary Sewer i 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 � n Approach /Sidewalk VZ z. U� ? `5 Other Date Inspector Ext Final PASS PART FAIL _ DO NOT REMOVE this inspection record from the job site. • •