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Permit !Y CITY OF TIGARD MECHANICAL PERMIT k ftliI't DEVELOPMENT SERVICES PERMIT #: MEC2001 -00105 ��f 11 13125 SW Hall Blvd., T igard, OR 97223 (503) 639 -4171 DATE ISSUED: 4/3/01 PARCEL: 2S114AB -02900 SITE ADDRESS: 16405 SW 93RD AVE SUBDIVISION: KNEELAND ESTATES ZONING: R -4.5 BLOCK: LOT: 016 JURISDICTION: TIG CLASS OF WORK: OTR 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: 1 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 FURN > =100K BTU: <= 10000 cfm: OTHER UNITS: > 10000 cfm: GAS OUTLETS: Remarks: Installation of new a/c unit. Placement of a/c unit must comply with setbacks. Owner: FEES CAPPELLI, CHERYL J Type By Date Amount Receipt 16405 SW 93RD PRMT CTR 4/3/01 $72.50 2720010000 TIGARD, OR 97224 5PCT CTR 4/3/01 $5.80 2720010000 Total $78.30 Phone: Contractor: CLIMATE CONTROL INC 16500 SW 72ND AVE PORTLAND, OR 97224 REQUIRED INSPECTIONS Cooling Unt Insp Phone: 453 -4822 Final Inspection Reg #: LIC 62196 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',ofthes rules or direct questions to OUNC by calling 503)246 -9189. I ssue By: o tomil ezz6_144 Permittee Signature: V L/ r .Z/ Call (503) 639 -4175 by 7:00 P.M. for inspections need:. the next business day r � an Mechanical Permit Application ; . 4 _� ,s . ... x : Date received: 6/ Permit no.: /f4 VJ / .9� /O �,,� „ �+t��i� i ", C� of Tigard ,�Lj -� � � � Projecdappl. no.: Expire date: CiryofTigard Address: 13125 SW Hall Blvd, Tigard OR 97223 Date issued: By: Receiptno.: Phone: (503) 639 -4171 \ Fax: (503) 598-1960 rk\Case file no.: Payment type: CC>) Land use approval: Building permit no.: \ / s 7 '.. T Y PE O F °PERMIT ,.€ -:`t �. s:1: it,' iii , , t =g .4._ r, �,., ,e- , . (.: t ' - ''' -, .. i., _ " . ' . z • . .. , my u ., s } ,, .,; , � x .. • & 2 family dwelling or accessory 0 Commercial/industrial 0 Multi- family 0 Tenant improvement . 0 New construction 0 Addition/alteration /replacement 0 Other: = i ` i - JOB " SITE INFORMATION , s #- . r = ;.;COMMER CIA.- NAI.UATION`4SCIIEDULE ,, y ,, Job address: 6 05 SCc/ , 3if,P2. 0", Indicate equipment quantities in boxes below. Indicate the dollar Bldg. no.: ' Suite no.: value of all mechanical materials, equipment, labor, overhead, Tax map /tax lot/account no.: profit. Value $ . Lot: - Block: Subdivision: *See checklist for important application information and Project name: jurisdiction's fee schedule for residential permit fee. City /county: i C , Ma ZIP: . s1 eR ` 2 FAMILY DWELLING :PERMIT FEEtSCHEDULE 3 Description and location pf work on premises: hAO G /1/ 'A NDiCOMMERICALQNDUSTRIALlEQ .UIPMENT IEDULE A- /R CO/l!/)f7f 7 //N Fee(ea.) Total Est. date of completion/inspection: — —0/ Description Qty. Res. only Res. only Tenant improvement or change of use: A VACd ■ -- ir handling unit CFM Is existing space heated or conditioned? 0 Yes 0 No Air conditioning (site plan required) t,IV ev• PY Is existing space insulated? 0 Yes 0 No Alteration of existing HVAC system _�� , --;,-,..44.• <y;; i ., MECHANICAL ^CO ° OR ,, ��. , Boiler /compressors Business name: C /014 -. COn/Ma-. State boiler permit no.: G II HP Tons BTU /H Address: /6 SOD 50./ 72 . f Fire/smoke dampers/duct smoke detectors _ City: PO State:a‘ , ZIP: "" 722 Heat pump (site plan required) : Phone:503-V5 -'/g22. Fax:5 3 -% 7 Inreplacefurnace/burner BTU /H Including ductwork/vent liner 0 Yes 0 No CCB no.: l Install /replace /relocate heaters- suspended, City /metro lic. no.: / (F • wall, or floor mounted ■-- Name (please print): • ' jOU/--_ Vent for appliance other than furnace — i r ,# 3 * ' efrt eratkm: A _ 4CONT'ACT PERSON �-r tia{ , g i ;•- �F z ..,,,A. �• • k Absorption uni BTU /H OS S . I f Chillers HP _— • �" Compressors HP 1.1 Environmental exhaust and ventilation: City: State: ZIP: Appliance vent • Phone: • -of 3 ' A Fax:S03 - 968 21 Dryer exhaust — .• 3 '� ' ' ` �.a s ,x Hoods, Type 1/11/res. kitchen/tiazmat � a 5 •' G , y ,:•: WN) R p " " ` hood fire suppression system Name: C . L C A 'LrZLt Exhaust fan with single duct (bath fans) - Mailing address: /6 OS" sj t / # 3 - i 61/&*. Exhaust system apart from heating or AC im City: 605 State: OR ZIP: 97 Fuel piping and distribution (up to 4 outlets) Ill - 0 Type: LPG NG Oil Phone 5 3 X 3 573 Fax E-mail: Fuel piping each additional over 4 outlets .''' , ' y` 7 ` % T `'� aEN�GINEER 3 -� F .,-,''� Process piping (schematic required) �� Name: Number of outlets Other lisle I appliance or equipment: III Address: Decorativefireplace City: State: ZIP: Insert-type _ Phone Fax _Email: Woodstove/pelletstove _ Applicant's signature: ,, rsri/,jJ�lo� © Other: MI I uNival 'i ALL M Not all jurisdictions accept credit cards, please call jurisdiction for more information. Permit fee $ ❑ Visa ❑MasterCard Notice: This permit application Minimum fee $ 72.50 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. g ( ) "" $ it re, TOTAL $ 78 30 Cardholder signature . Amount 440-4617 (6 /00 /COM) MECHANICAL PERMIT FEES a. ' 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 including ducts & vents 14.00 $1.52 for each additional $100.00 or 2) Furnace 100,000 BTU+ $10,000.00. fraction thereof, to and including 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, Cdnd fraction thereof. footnotes below. • . 'Comp ** 7) <3HP;absorb unit to 100K BTU 14.00 ASSUMED VALUATIONS PER APPLIANCE: ' g) 3 -15 HP; absorb Value Total unit 100k to 500k BTU ' ',, 25.6(1 Description: Qty (Ea) Amount g) 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 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. B • 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 (minimui • 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 . • V • In 16500 SW 72nd Avenue Portland, OR 97224 ii;''''' C Li Ni A N T * L C 4" :• t 503-453-4822 FAX: 968-7224 HEATING & MR CONDITIONING 503-453-HvAc / • 670/ o2q I . I; 1 1 I / 7 I I i I 1 , i Si- I 1.(. I I 1 i ii -. 1 i I I I +5 ,-g 1 ,.._ ---Thi ) 1 i 1 l i i I I I I I \ i I 1 I I 1 I 1 I i i 1 , . ,,-- 1 I I i .-,- 1 ..., 1 I ; i i , 1 1 1 I I I SYSTEM DESIGN INSTALLATION SERVICE I MAINTENANCE PORTLAND - 453-4822 VANCOUVER - 360-254-3063 2,>) P CITY OF TIGARD BUILDING INSPECTION DIVISION 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 MST � BUP Date Requested -/ 1 AM PM BLD Location / 3 Sc, ' 73 r ?,-e- Suite MEC 20U/ -- S Contact Person Ph ■3f OS 7 3 PLM Contractor Ph SWR BUILDING Tenant/Owner ELC Retaining Wall ELR Footing Access: Foundation FPS Ftg Drain SGN Crawl Drain Inspection Notes: Slab SIT Post & Beam Ext Sheath /Shear Int Sheath /Shear Framing . t c,ri 7 c.4rc7 (J Att /7, =Ad.r - T5 - Insulation Drywall Nailing •Td 62�T- Firewall - Fire Sprinkler / 4 - in s 01J NJ fL. Fire Alarm / " /7/ Susp'd Ceiling Roof Misc: - Final PASS PART AIL PLUMBING, e Post & Beam Under Slab Top Out Water Service Sanitary Sewer Rain Drains Final PASS P RT FAIL /MECHAN,I Post & Be- Rough In a u - Co•- dtI►�' Gas Line Smo ri ampers Fi. PART FAIL l : CTRICAL 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 Fire Supply Line [ ] Please call for reinspection RE: [ ] Unable to inspect - no access ADA Approach /Sidewalk Other Dat S 11 / Inspecto < c E Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. - (- BU P - Building Permit ELC - Electrical Permit 4 Inspection Description Date Passed By 4 Inspection Description Date Passed By Footing /Setback Underground cover Foundation walls Wall cover Footing drain Ceiling cover Waterproof bsmt walls Electrical rough -in Slab Electrical service Crawl drain Electrical final Underfloor insulation Post/beam structural Shear walls /anchors ELR - Restricted Energy Permit Roof nailing ,f Inspection Description Date Passed By Firewall Low voltage Tilt -up panel Electrical final Masonry/Reinforcement Framing MFG- Structure set -up MEC - Mechanical Permit Insulation Drywall nailing 4 Inspection Description Date Passed By Post/beam mechanical Suspended ceiling Gas line Engineered soils _ Mechanical rough -in Welding Lab Final Fire damper Concrete Lab Final Bolting Lab Final Duct work _ Smoke detector Fireproofing Lab Final Mechanical fmal 5 - 11 - 0, Structural observation Final inspection PLM - Plumbing Permit BUP -- Fire Protection System Permit � Inspection Description Date Passed By �' Plumbing underslab 4 Inspection Description Date Passed 'By _ Crawl drain Sprinkler underfloor /slab Post/beam plumbing Sprinkler rough -in Plumbing top -out Sprinkler final RP/backflow preventer Fire alarm fmal Rain drain Storm drain _ Water service _ SIT - Site Permit Sanitary sewer Inspection Description Date Passed By Culvert/catch basin Footings Pump /fill septic tank Foundation walls Plumbing final Sprinkler supply lines Sprinkler underfloor /slab Catch basin/Manhole SWR - Sewer Permit Engineered soils 41 Inspection Description Date Passed By Engineering acceptance Sanitary sewer Final inspection Final inspection INSPECTION RECORD - 9 PLY SWR ELC, ELR MEC SIT PERMITS C ITY OF TIGARD MECHANICAL PERMIT 'Ir � DEVELOPMENT SERVICES PERMIT #: MEC2001 -00105 �'� DATE ISSUED: 4/3/01 ► 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 PARCEL: 2S 114AB -02900 SITE ADDRESS: 16405 SW 93RD AVE SUBDIVISION: KNEELAND ESTATES ZONING: R -4.5 BLOCK: LOT: 016 JURISDICTION: TIG CLASS OF WORK: OTR 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: 1 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: Installation of new a/c unit. Placement of a/c unit must comply with setbacks. Owner: FEES CAPPELLI, CHERYL J Type By Date Amount Receipt 16405 SW 93RD PRMT CTR 4/3/01 $72.50 2720010000 TIGARD, OR 97224 5PCT CTR 4/3/01 $5.80 2720010000 Total $78.30 Phone: Contractor: • CLIMATE CONTROL INC 16500 SW 72ND AVE PORTLAND, OR 97224 REQUIRED INSPECTIONS Cooling Unt Insp Phone:453 -4822 Final Inspection Reg #: LIC 62196 ir■ 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. 0 Issue By: (j � f f (�� / t y Permittee Signature: r Call (503) 639 -4175 by 7:00 P.M. for inspections need: • the next business day