Permit CITY OF TIGARD
MECHANICAL PERMIT
1, 1 4 ' DEVELOPMENT SERVICES PERMIT #: MEC2005 -00041
°VIII 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 1/27/2005
PARCEL: 25111 DD -01400
SITE ADDRESS: 08820 SW AVON CT
SUBDIVISION: STRATFORD ZONING: R -4.5
BLOCK: LOT: 044 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: DOMES. INCIN:
LPG 3 - 15 HP: COMML. INCIN:
MAX INPUT: BTU 15 - 30 HP: REPAIR UNITS:
FIRE DAMPERS ?: 30 - 50 HP:
WOODSTOVES:
GAS PRESSURE: 50 + HP:
FURN < 100K BTU: 1 AIR HANDLING UNITS CLO DRYERS:
FURN > =100K BTU: <= 10000 cfm: OTHER UNITS:
> 10000 cfm: GAS OUTLETS: 1
Remarks: Installation of new gas furnace and gas piping.
Owner: FEES
BEKOOY, CHRIS & KARA W Description Date Amount
8820 SW AVON CT [TAX] 8% State Surchart 1/27/200` $5.80
TIGARD, OR 97224 [MECH] Permit Fee 1/27/200; $66.70
Phone: 503 968 - 5433 Total $72.50
Contractor:
OWNER
REQUIRED INSPECTIONS
Phone: Gas Line lnsp
Heating Unt lnsp
Reg #: Final Inspection
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 orth in OAR
952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain copies of these rules or direc i, - 'i ons to OUNC by calling
(503)246 -6 99- /
14/ ,d il
Issued B • X f Permittee Signature: J
Call (503) 639 -4175 by 7:00 P.M. for inspections needed the next b siness day
Mechanical Permit Application FOR OFFICE: USE ONLY .
Received
City of 'igard Date/By.. i a7 Qs 01..." Permit No.: gd Iis
t y t x
13125 SW Hall Blvd., Tigard, OR 97223 Plan Review
Phone: 503.639.4171 Fax: 503.598.1960 i/ ,,ry . x 1 :,� Date/By. Other Permit: ®
Inspection Line: 503.639.4175 P`w y
___ � _'_� Date Ready/By: See Page 2 for
Internet: www.ci.tigard.or.us Notified/Method: M, Supplemental Information
TYPE OF WORK COMMERCIAL FEE* SCHEDULE — USE CHECKLIST
Mechanical permit fees* are based on the value of the work
❑ New construction t® Addition/alteration/replacement
performed. Indicate the value (rounded to the nearest dollar) of all
❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit.
CATEGORY OF CONSTRUCTION Value: $
1 - and 2 dwelling RESIDENTIAL EQUIPMENT / SYSTEMS FEES* .
]
y g ❑ Commercial /industrial ❑ Accessory building
❑ Multi- family 11 Master builder El Other:
For special information use checklist.
Description I Qty. Ea. Total
JOB SITE INFORMATION AND LOCATION • Heating /cooling
Air conditioning or heat pump
Job site address: s -' , g ,),v 5 r-r 3 � J C.1 G" (requires site plan showing placement) 14.00
City /State /ZIP: �t - ,~ ri o ca.- o -7 - � • ` Furnace 100,000 BTU ( ducts/vents) 1 14.00
Furnace 100,000+ BTU (ducts/vents) 17.90
Suite/bldg. /apt. no.: Project name: Gas heat pump 14.00
Cross street /directions to job site: c ' 2' . ' > ti .- 4 ct r✓l Duct work 14.00
Hydronic hot water system 14.00
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
DESCRIPTION OF WORK Water heater 10.00
Gas fireplace 10.00
—�/J I r °y'� g 5 rur v. . cG /12 'r �a t � L I.z� 1 :' Flue vent for water heater or gas
+ fireplace 10.00
S`` ri ' ` C Log lighter (gas) 10.00
Wood /pellet stove 10.00
rr� Wood fireplace/insert 10.00
el PROPERTY OWNER I ❑ TENANT Chimney /liner /flue/vent 10.00
Other: 10.00
Name: 6_1 1 ~7 e x- 00 \ 1 Environmental exhaust and ventilation
Range hood/other kitchen
Address: gg � 0 SL-,i ,AJ vvt- C t equipment 10.00
City /State /ZIP: — T r � �et O CZ of —l.- ,_c Clothes dryer exhaust 10.00
V Single -duct exhaust (bathrooms,
Phone: (�3 96 _ s - t . 33 Fax: ( ) toilet compartments, utility rooms) 6.80
P!. APPLICANT ❑ CONTACT PERSON Attic/crawlspace fans 10.00
Business name: < Other: 10.00
L' 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
CONTRACTOR Barbecue
Business name: ()A r) t 9
Clothes dryer (gas)
� / Other:
Address: MECHANICAL PERMIT FEES*
City /State /ZIP: Subtotal
Phone: ( ) Fax: ( ) Minimum permit fee ($72.50) 7a .S O
Plan review (25% of permit fee)
CCB lic.: State surcharge (8% of permit fee) °J • SO
TOTAL PERMIT FEE -I g, 30
Authorized signature: This permit application expires if a permit is not obtained within 180
r days after it has been accepted as complete.
Print name: I J D ate: 1 — ' Fee methodology set by Tri- County Building Industry Service Board
iABuilding\PermitsVMEC -Perm itApp.doc 17/01 . - 4404617T (11 /07JCOM/WEB)
Mechanical Permit Application - City of Tigard
Page 2' - Supplemental Information
Commercial Fee Schedule:
Total Valuation: ° ° Permit Fee:
$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.
ilBuilding\Permits\MEC- PermitApp.doc 12/03 2
CITY OF TIGARD 24 -Hour
BUILDING r -? n Inspection Line: (503) 639 -4175 MST
INSPECTION DIVISION Business Liner (503) -39 -4171
BUP
Received Date Requested — -- PM BUP
005
Location i r ..- 1a.. =�= Suite MEC j
Contact Person eil- e Ph ( ) c t (o R - S(4,33 PLM
Contractor Ph ( ) SWR
BUILDING Tenant/Owner ELC 06,5" 006, Ifit
Footing
Foundation ' ELC
Ftg Drain
Access: ��l_./ I r ELR
Crawl Drain ft 1 Af3 �,/
Slab Inspection Notes: SIT
Post & Beam
Shear Anchors
Ext Sheath/Shear
Int Sheath/Shear r J f�
Framing —
Insulation .2~ � -- z - , i z-/ .
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
PASS PART FAIL
MECHANICAL
Post& Beam
ie .,
Smoke Dampers
I,;:. PART FAIL
ELECTRICAL
Service Pi
Rough -In
UG/Slab
Low Voltage
Fire Alarm
AV PART FAIL Ei Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
PART FAIL
SITE El Please call for reinspection RE: Ai ❑ Unable to inspect – no access
Fire Supply Line �/`
ADA
Approach /Sidewalk Date 2 r �� I nspector = Ext
Other:
Final DO NOT REMOVE this inspection record '1 om t e Job site.
PASS PART FAIL