Permit fir,.
CITY TIGARD MECHANICAL PERMIT
DEVELOPMENT SERVICES PERMIT #: MEC2005-00319
1 1 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 6/8/2005
PARCEL: 2S115AA -OTOOA
SITE ADDRESS: 16105 SW 108TH AVE BLDG B ZONING: R -25
SUBDIVISION: OAK TREE APARTMENTS LOT: OOA JURISDICTION: TIG
Project Description: Exhaust venting for baths, laundry's & kitchen microwaves. Valuation: $5555.
CLASS OF WORK: NEW FLOOR FURN: EVAP COOLERS:
TYPE OF USE: MF UNIT HEATERS: VENT FANS: 0
OCCUPANCY GRP: R1 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:
FIRE DAMPERS ?: 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:
Owner: FEES
OT2 LLC Description Date Amount
5437 ROSALIA WAY SUITE 100
LAKE OSWEGO, OR 97035 [MECH] Permit Fee 6/8/2005 $152.30
[MECPLN] Plan Rev 6/8/2005 $38.07
[TAX] 8% State Surcha 6/8/2005 $12.18
Phone: 503- 620 -4373 Total $202.55
Contractor:
KEYWAY CORP
7475 SW HERMOSO
TIGARD, OR 97223 REQUIRED ITEMS AND REPORTS
Phone: 503- 684 -5100
Reg #: LIC 127522
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 -6699 or 1- 800 - 332 -2344.
Issued By: ? /Cl�..fJ Permittee Signature: i
Call 503 - 639 -4175 by 7:00 a.m. for inspection a business day.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
• Mechanical Per atLoin t • ., " " ',FOR=OFFICE
City of Tigard Date/By: G ` (7 ✓ PermitNo.M G `2�5 0 3/a
13125 SW Hall Blvd., Tigard, OR 97223 II � 08 2005 y
Phone: 503.639.4171 Fax: 503.598.1��6 Plan Review
Other Pern n) Date/By:
Inspection Line: 503.639.4175 ' E Date Ready/By: Juris: 21 See Page 2 for
�T T 1 -- W
Internet: www.ct.tigard.or.us I`I'I y (� 1 1 Notified/Method: IA , Supplemental Information
t DIVISION
..ai, .' t.; x �: ;l �"�.a+� i�?r " .. � . <�:; , y e "..�`�za" .c "s'1,.': °.,r^yz.�,,'�'�#.r'. �'> ".;,k `.3"'.. "" <.:s' :<aY.ca�.� de:'a�e�t; d °'Y <•? ;r:.razkr.�,i '�.'a�a� sn�,'k -
t.ti r. rt: : #a. a ".. :,'ss.<',...> mot' ; *# wed au
t "` ..ar .< '„ -3 "':a :105''- :.,4 F '1 ORK. : e 4 001111GI"ERCIA'I44,1:1 ..S ,TJL <, . 1JSE'.:CHECkms
ew construction ❑ Addition/alteration/replacement Mechanical permit fees* are based on the value of the work
performed. Indicate the value (rounded to the nearest dollar) of all
❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit.
E 1°�' z tis: vwf a i.^ >;'' .°. a.�? '„r :- i :ax <' x ; °rt 'v . ;, > Value: $ V-
. ••
" �P � ? .CAT OF C ONSTRUCTIO,, r�= i ���
s w -.,.+. „z�xs a � � .�� -::�... .., - .., ;a>�- � - �...� k_ ;�xa, w...,w�i -� "S:_:.Wk w^�+�...- � ° ° � .�.,. : :-� mmh* � � =.� �ra:��:,�:+ ; �,�" � .- _ - -
R ESIDE Ni i F FALTQUIP *
❑ 1- and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building
ulti- family ❑ Master builder 111 Other: For special information use checklist.
(l(( ���� Description Qty. Ea. Total
f`° .aS: S ;`<.,'.'rF; %°; <°' t,»: e. 4sam .»,' °�s;' .x,''° " ?!;¢ "I °a'?,'aw s ^s <'�i
&'64 t :,:'W-....m., I , 'A, i % ` 1Sl'D; I:®GAT'IOIV.. :i ; „ , . ;"
- JO$ 5 TE INFORM T IO ;r°A . ,N t , II at' coolin
..--- a` p Air conditioning or heat pump
Job site address: +.: / 6 / ( S t,J \ 1,1 x _ \ �� (q P g placement) (requires site Ian showin lacement 14.00
City/State /ZIP: Furnace 100,000 BTU (ducts /vents) 14.00
/a t. no.: Project name: ,,.^ Furnace 100,000+ BTU (ducts /vents) 17.90
Sui /bld
g' 1 V a.' 1,Z' t ` Gas heat pump 14.00
Cross street/directions to job site: Duct work 14.00
1 b 51-4 k ' A -...-- Hydronic hot water system 14.00
l + Residential boiler (radiator or
hydronic) 14.00
Unit heaters (fuel -type, not electric),
in -wall, in -duct, suspended, etc. 10.00
Subdivision: Lot no.: Flue /vent for any of above 10.00
Other: 10.00
Tax map /parcel no.: Other fuel appliances
l
% (1 % a : . °< ,.. ..., w ., °" ," .. t t a 1 ,, ' ° l Water heater 10.00
DES RIP O ,, WOR f v, = n .
Gas fireplace 10.00
...� t f � - ice .} tM t� S i ,R a- /� al ea �(S Flue vent for water heater or gas
K, 4 AL°Y✓.. �M�t u -k-v 'f L l igh 10.00
Log lighter (gas) 10.00
Wood /pellet stove 10.00
Wood fireplace /insert 10.00
t
r tr °, - '„ -_„ /; irm m Chimney /liner /flue /vent 10.00
nom ,,: ®mPRO)PER'F: O!N!N'ER> 14: T 0fit - TENAN Ik ° £ ,
' �rx _ , «z;z .�e'a,.�3 :����� »ate �.t..�ar�� 3nt." ..:�,,�ar -���;�� �._.,5,��. Other: 10.00
Name: 0�z L Environmental exhaust and ventilation
Address: r
r ,, II ? Range hood /other kitchen
W J � - E7 S A L. :, A ;'} _ r ' 0 equipment 10.00
City/State /ZIP: 1���_ /`i (_) 0 ve 9 -70 - S Clothes dryer exhaust 10.00
^� Single -duct exhaust (bathrooms,
Phone: (503 (, a (J ,i4 % Fax: ( ) toilet compartments, utility rooms) 6.80
n :_ ;,; ":, �..;. . . b 10.00
a '` : ' PILICANT "GONT'ACTliiitSON Attic /crawls ace fans
Other: 10.00
Business name:
Fuel piping
Contact name: $5.40 for first four; $1.00 for each additional
Address: Furnace, etc.
Gas heat pump
City/State /ZIP: Wall /suspended /unit heater
Phone: ( ) Fax: : ( ) Water heater
Fireplace
E -mail:
Range
;,°'., As r sue' °[.^ �• -s, m a st
Lor: ,_" r. ", , _ =O NTI2AC ORS, (. 7 � MI Barbecue
Business name: Clothes dryer (gas)
1r.J IY� CO 2-1) Other:
'-
Address: -� LI S 1 it' C Z «. . MI a t ERMTI FEES ._.�r .-, Rte; ., ,i
-1 , ,_ `MEZHAN ICAT P
City/State /ZIP: 2 r) a -1 '7 2 2 Subtotal
Phone: ( .50t (0 5 10 d Fax: ' , 0 ' (4 - _s1J fj Minimum permit fee ($72.50)
Plan review (25% of permit fee)
CCB lie.: 1 Z `7 5 Z Z— / / State surcharge (8% of permit fee)
% �� - TOTAL PERMIT FEE ,,,.2.4
Authorized signa re: � " , ,04 ../ This permit application expires if a permit is not obtained within 180
days after it has been accepted as complete.
Print name: / ' c A' e j .,, Date: C, ,...5 - * Fee methodology set by Tri- County Building Industry Service Board
i:\Building \Permits \MEC- PermitApp.doc 12/03 440- 4617T(1I/02/COM /WEB)
•
Mechanical Permit Application - City of Tigard
Page 2 - Supplemental Information
Commercial Fee Schedule:
Total a r 4 EermttFee , Sf;, , `
$1.00 to $2,000.00 Minimum fee $72.50
$2,001.00 to $5,000.00 $72.50 for the first $2,000.00 and $2.30
for each additional $100.00 or fraction
thereof, to and including $5,000.00.
$5,001.00 to $10,000.00 $141.50 for the first $5,000.00 and
$1.80 for each additional $100.00 or
fraction thereof, to and including
$10,000.00.
$10,001.00 to $50,000.00 $231.50 for the first $10,000.00 and
$1.35 for each additional $100.00 or
fraction thereof, to and including
$50,000.00.
$50,001.00 to $100,000.00 $771.50 for the first $50,000.00 and
$1.25 for each additional $100.00 or
fraction thereof, to and including
$100,000.00.
$100,000.01 and up $1,396.50 for the first $100,000.00 and
$1.10 for each additional $100.00 or
fraction thereof.
Note: All new commercial buildings require 2 sets of plans.
i:\Building\Permits\MEC- PermitApp.doc 12/03 2 •
CITY OF TIGARD
BUILDING DIVISION PERMIT #: IVIEC200S 00313
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/8/2005
Phone: (503) 639 -4171
A �r
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 10/12/2005 TIME: 7:04AM PAGE: 28
SITE ADDRESS: 16106 SW 108TH AVE BLDG B CLASS OF WORK:
SUBDIVISION: OAK TREE NO. 2 APARTMENTS LOT #: 00A TYPE OF USE:
PROJECT NAME: OAK TREE II APARTMENTS
DESCRIPTION: Exhaust venting for baths, laundry's & kitchen microwaves. Valuation: $5555.
OWNER: OT2 LLC, PHONE #: 503 -620 -4373
CONTRACTOR: KEYWAY CORP PHONE #: 503 -684 -5100
Inspection Request Scheduled For: Date: 10/12/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Messase e tAA.
699 Mechanical final 018096 -03 503 - 453 -2991 a
Corrections/Comments/Instructions:
14
.'a
PASS PARTIAL APPROVAL 0 CANCEL 0 NO ACCESS
❑ FAIL e n CALL FOR INSPECTION ADDITIONAL FEES ASSESSED
(D--t )
Inspector: Date: '" Phone #: (503) 718-