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Permit { CITY OF TIGARD MECHANICAL PERMIT — "l el DEVELOPMENT SERVICES PERMIT #: MEC2002 - 00003 �� 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 1/15/02 PARCEL: 1S136DD-01400 SITE ADDRESS: 06855 SW BAYLOR ST SUBDIVISION: WEST PORTLAND HEIGHTS ZONING: MUE BLOCK: LOT: 002 JURISDICTION: TIG CLASS OF WORK: NEW FLOOR FURN: EVAP COOLERS: TYPE OF USE: COM UNIT HEATERS: VENT FANS: OCCUPANCY GRP: B VENTS W/O APPL: VENT SYSTEMS: STORIES: 2 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: WOODSTOVES: GAS PRESSURE: 50 + HP: FURN <100K BTU: AIR HANDLING UNITS CLO DRYERS: FURN > =100K BTU: <= 10000 cfm: OTHER UNITS: > 10000 cfm: GAS OUTLETS: Remarks: Mechanical work associated with construction of new office building. Owner: FEES ESLINGER BUILDERS Type By Date Amount Receipt 11575 SW PACIFIC HWY PRMT CTR 1/15/02 $116.18 2720020000 TIGARD, OR 97223 PLCK CTR 1/15/02 $29.04 2720020000 5PCT CTR 1/15/02 $9.29 2720020000 Phone: 503 Total $154.51 Contractor: ROTH HEATING ROTH ZACHERY HEATING INC PO BOX 1265 REQUIRED INSPECTIONS CANBY, OR 97013 Gas Line lnsp Phone: 503 - 266 -1249 Mechanical Insp Reg #: LIC 14008 Heating Unt lnsp Cooling Unt lnsp 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 forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0080. You may obtain copies of these rules or direct qu: .tions toe UNC by calling rcnw L_g1RQ / °I I 1 Issue By: �1 l� G �, Permittee Signature: i • Call (503) 6375 by 7:00 P.M. for inspections needed the next -iness day 2. Mechanical Permit Application / o R /ate .. ® �' ' Date received: Permit no.: tteao0AQ�� O 'I "li City of Tigard pIs) :_.. y b ProjecUappl. no.: Expire date: I City ofTigard Address: 13125 SW Hall Blvd, Tigard, OR 97223 Phone: (503) 639-4171 Date issued: By: Receipt no.: Fax: (503) 598 -1960 Case file no.: Payment type: Building Land use approval: g p ermit no.: c TYPE OF PERMIT ❑ 1 & 2 family dwelling or accessory Commercial /industrial ❑ Multi - family ❑ Tenant improvement ❑ New construction ❑ Addition/alteration/replacement ❑ Other: � JOB SITE INFORMATION COMMERCIAL VALUATION SCHEDULE CI Job address: 6 t{/ y Indicate equipment quantities in boxes below. Indicate the dollar Bldg. no.: - Sui e no.: value of all mechanical materials, equipment, labor, overhead, Tax map /tax lot/account no.: /S - � pD i 30 .i b (}, profit. Value $ . Lot: /S— f Block: 2. Subdivision:W. 4 d *See checklist for important application information and �. Project name: ' . � p 4_ , ,;, - : �e t. - jurisdiction's fee schedule for residential permit fee. City /county: '� '` l/ ", `,0j�; , ZIP: 1 & 2 FAMILY DWELLING PERMIT FEE SCHEDULE Descriptio d ocation cf work on premises: A y 11 't-e- AND COMMERICALIINDUSTRI EQUIPMENTSCHEDULE � ` Fee(ea.) Total Est. date of compl ion/inspection: / /,C�. Description Qty. Res. only Res. only Tenant improvement or change of use: HVAC: Is existing space heated or conditioned? ❑ Yes ❑ No Air handling unit CFM Air conditioning (site plan required) Is existing space insulated? ❑ Yes ❑ No Alteration of existing HVAC system MECHANICAL CONTRACTOR Boiler /compressors Business name: '`-L ,, F t State boiler permit no.: HP Tons BTU /H Address: D '` ,� ' Ed, Fire /smoke dampers /duct smoke detectors City: ( C � j, ; ' State: MI ZIP: ?7,94 . Heat pump (site plan required) • Phoney 0W I Fax p 347SE -mail: Install/replacefurnace /burner BTU /H j Including ductwork/vent liner ❑ Yes O No CCB no.: Install /replace /relocate heaters- suspended, City /metro lic. no.: ./ . F Q... wall, or floor mounted Name (please print): ' • .(∎ t� Ls ' r — _ _ — Vent for appliance other than furnace CONTACT PERSON Refrigeration: Absorption units BTU /H Nam , Vt e: a a i 4° Chillers HP Address: l/_�� Compressors HP ` �� G� Envi exhaust and ventilation: City: ` ( I etra State 4.4 tIP: 72 Appliance vent Phone: i Lo 06'16' Fax A -9 7 E -mail: Dryer exhaust OWNER Hoods, Type U IUres. kitchen/hazmat hood fire suppression system Name: � 1 4 1 4 W 73 L Exhaust fan with single duct (bath fans) Mailing address: Exhaust system apart from heating or AC City: I State: I ZIP: Fuel piping and distribution (up to 4 outlets) Type: LPG NG Oil Phone: Fax: E -mail: Fuel piping each additional over 4 outlets ENGINEER Process piping (schematic required) Number of outlets Name a,1/ P i f50 (1 ,,,j4,0_____ N Other listed appliance or equipment: Address: = iP - . �, ,- q—�, Decorative fireplace City: G .dilif _ ZIP: il iiPM Insert - type Phone: • — ., i J E -mail: Woodstove /pelletstove / Other: � �;►'� � Applicant's signature: P '� Date: � G'1/ r / Other: Name (print): / , / a l t 1 ' Not Permit fee $ Not all jurisdictions accept credit cards, please call jurisdiction ,r more information. ❑ Visa ❑ MasterCard Notice: This permit ap Minimum fee $ expires if a permit is not obtained Credi'i card number: Expires within 180 days after it has been Plan review (at To) $ p State surcharge (8 %) .... $ Name of cardholder as shown on credit card accepted as complete. $ TOTAL $ ` Cardholder signature Amount 440-4617 (6 /00 /COM) MECHANICAL PERMIT =ES - . • • COMMERCIAL FEE SCHEDULE: 1 & 2 FAMILY DWELLING FEE SCHEDULE: TOTAL VALUATION: FEE: Description: Price - Total Q Ea $1.00 to $5,000.00 Minimum fee $72.50 Table 1A Mechanical Code tY ( ) 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 100K 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 g 955 Z� (pS unit .5 -1 mil BTU • 35.00 ducts & vents J 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 t 3 hp; absorb. unit, 955 X& s 10.00 to 100k BTU 3 -15 hp; absorb. unit, 1,700 15) Vent fan connected to a single duct 6.80 101k to 500k BTU 15 -30 hp; absorb. unit, 501k to 1 2,310 16) Ventilation system not included in mil. BTU appliance permit 10.00 • 30 50 hp; absorb. unit, 3,400 17) Hood served by mechanical exhaust 10.00 1 -1.75 mil. BTU >50 hp; absorb. unit, 5,725 18) Domestic incinerators 17.40 mil. BTU 19) Commercial or industrial type incinerator Air ha Air handling unit to 10,000 cfm 656 69.95 Air handling unit >10,000 cfm 1,170 • Non - portable evaporate cooler 656 20) Other units, including wood stoves 10.00 Vent fan connected to a single duct 4/ 446 / 8`t 21) Gas piping one to four outlets Vent system not included in ' 656 5.40 appliance permit Hood served by mechanical exhaust 656 22 ) More than 4 -per outlet (each) 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 3 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 NC requires site plan showing placement of unit. i:\dsts\forms\mech-fees.doc 10/11/00 CITY OF TIGARD 24 -Hour BUILDING Inspection Lirie:,..(503) 639 -4175 INSPECTION DIVISION Business Line: (503) 639 -4171 MST BUP Received Date Requested AM PM BUP Location i : dir,21; -. „_ .,.,it ( « ., Suite DO,. -0006) Contact Person Ph ( ) (e) j ,c p " �ocj O PLM Contractor Ph ( ) SWR BUILDING Tenant/Owner ELC * .. . c Footing ELC AWAEI Ft Foundation n Access: J No L -” 0— }'l (< g L.LX , C 8 „.) ELR ' _ Crawl Drain Slab Inspection Notes: SIT Post & Beam 0---e--A-4--C Shear Anchors . Ext Sheath/Shear Int Sheath /Shear / v`- 1;/ f ° J Framing - '� - f Insulation /.--1 Drywall Nailing "' " 6 �� ca '�� I Firewall 4 C-'Z- e- ---+ -) • ■ �R._ 0 Fire Sprinkler Fire Alarm . �` Susp'd Ceiling �,._, f Other: Ct 5f ZJ Z-._ CSC. ci'v y Final / r PC-Zr- {� 5) �� / e PLUMBING FAIL j , �� O �� r � / 1- n Post & Beam l r Under Slab Rough -In � c � S _L Water Service T Sanitary Sewer Rain Drains " Catch Basin / Manhole /F ! 0/ f 4` I 0 05e /�,r $,— Storm Drain T `' Shower Pan /7--/� -� 3 — Ai (2_.g d a., c ° - , Other: Final PASS PART FAIL t / � r ' y � . MECHANICAL � T Q , vi L - i 9 5 P ost & Beam Rough -In `� ' Smoke Line : mpers b.-X/0...DZ.,--4-VI ...r ''V\. T c .." r ( ‘) dP yk PART FAIL 11P7 RICAL Service Rough -In UG /Slab Low Voltage Fire Alarm Final 0 Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. __PASS PART FAIL SITE 0 Please call for reinspection RE: El Unable to inspect - no access Fire Supply Line ADA i Approach/Sidewalk Date U' © Inspector /r.A E7c Other: Final DO NOT REMOVE this inspection record from the Job site. PASS PART FAIL