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Permit
C ITY OF TIGARD MECHANICAL PERMIT i1 l A DEVELOPMENT SERVICES PERMIT #: MEC2005 -00025 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 1/18/2005 PARCEL: 2S 101 AB -01501 SITE ADDRESS: 07555 SW HERMOSO WY 100 SUBDIVISION: HERMOSO PARK ZONING: MUE BLOCK: LOT: 021 JURISDICTION: TIG CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS: TYPE OF USE: COM UNIT HEATERS: VENT FANS: OCCUPANCY GRP: B 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: 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: Relocate ducts & grilles for TI. Project Value: $800.00 Owner: FEES MINUTEMAN PRESS Description Date Amount BOB DAVIDSON [MECH] Permit Fee 1/18/200f. $72.50 7555 SW HERMOSO WAY [TAX] 8% State Surchar€ 1/18/200: $5.80 TIGARD, OR 97223 Phone: 503 - 620 - 5203 Total $78.30 Contractor: FAITH HEATING & AIR COND. INC 15167 NW VANCE DRIVE PORTLAND, OR 97229 REQUIRED INSPECTIONS Phone: 503 Mechanical Insp Final Inspection Reg #: LIC 133911 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted in the Oregon Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain copies of these rules or direct questions to OUNC by calling (503)246 -66••. Issued By. :� %�. _� _�' Permittee Signature: C il2c/2.L./ Call (503) 639 -4175 by 7:00 P.M. for inspections needed the next business day Mechanical Permit Application F012 OFFICE us! ONLY ,N. S City - , 'igard Date/By Rece ived �] I ' /$ p ,/i Permit No.: Nee,, "��/ 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review Phone: 503.639.4171 Fax: 503.598.1960 Alh ,A ; .,. , p��g Other Permit: Inspection Line: 503.639.4175 i � "f I � , 1� ` __� Date Ready/By: / �� El See Page 2 for Internet: www.ci.tigard.or.us Notified/Method d Supplemental information TYPE OF WORK COMMERCIAL FEE* SCHEDULE - USE CHECKLIST- Mechanical permit fees* are based on the value of the work ❑ New construction z Addition /alteration/replacement performed. Indicate the value (rounded to the nearest dollar) of all ❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit. Value: $ gt�0 --- CATEGORY OF CONSTRUCTION • RESIDENTIAL EQUIPMENT,/ SYSTEMS 'FEES* ❑ I- and 2- family dwelling CA Commercial/industrial ❑ Accessory building 1:1 Multi-family For special information use checklist. ❑ Master builder ❑ Other: Description I Qty. I Ea. I Total ` ' iJOB SITE INFORMATION AND LOCATION Heating/cooling Job site address: -7 5— 5 .- (,u, �' f SD Lc Y Air conditioning or heat pump (requires site plan showing placement) 14.00 City /State /ZIP: 77 4e 4p OR C wi q 7 02 3 Fumace 100,000 BTU (ducts/vents) 14.00 Furnace 100,000+ BTU (ducts/vents) 17.90 Suite/bldg. /apt. no.: � �/ Project name: i "( t9 4,90,64-4(... Gas heat pump 14.00 Cross street /directions to job site: 7 a dUd 7 ,Iffi (2 t4 (,Q6( , Duct work 14.00 - �� !8� 1/LCAt d L.-ec I d Hydronic boiler (radiator hot water system 14.00 Residential or / "5-*'- ,2 ( U c- 14E) -- &v- & & so hydronic) 14.00 Unit heaters (fuel -type, not electric), X 6o ?-0 M R AI C,e F-At4v ,(- df77 F-c ,4r-fl 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 p _ > - � 4 _ Q ` Gas fireplace ent 10.00 /��_- �/ �[= r(J 0 �s�-[ L �� Flue vent for water heater or gas //Ce,Q, /1/0-00E/i540' fireplace 10.00 � / (-27A--/ Log lighter (gas) 10.00 Wood /pellet stove 10.00 Wood fireplace /insert 10.00 Chimney /liner /flue/vent 10.00 %PROPERTY OWN ER ❑ TENANT Other: 10.00 Name: / (0\k/[ G L C / &.CS Environmental exhaust and ventilation Address: /7.5 6- S7 C4), h s -- C4 `r Range hood/other kitchen equipment 10.00 City /State /ZIP: nz Q 0,4_ Clothes dryer exhaust 10.00 \ Single -duct exhaust (bathrooms, Phone: (W) el"‘",/c2) el"‘",/c2) —s- / g ei 3 Fax: (y )3) !9 Zo j C 3 toilet compartments, utility rooms) 6.80 ❑ APPLICANT ❑ CONTACT PERSON Attic/crawlspace fans 10.00 Business name: Other: 10.00 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 ( 711 ' c � 'O� 4 . Clothes dryer (gas) Business name: 1 � / Other: Address: MECHANICAL PERMIT FEES* City /State /ZIP: Subtotal Phone: ( ) Fax: ( ) Minimum permit fee ($72.50) 7.77.5 Plan review (25% of permit fee) CCB lic.: State surcharge (8% of permit fee) 6 . so TOTAL PERMIT FEE 7C ..5t3 Authorized signature: r Thi per m it ap plication expires if a permit is not obtained within 180 VL- days after it has been accepted as complete. Print name: R cfA r C' / v(asO,/L/ Date: /cr l Q5 • Fee methodology set by Tri- County Building Industry Service Board i:\ Building \ Pernits\MEC- PermitApp.doc 12/03 440.4617T(I1 /07/COM/WEB) Mechanical Permit Application - City of Tigard "' Page 2 - Supplemental Information Commercial Fee Schedule: ` TotaTValuation: 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 $1.10 for each additional $100.00 or fraction thereof. Note: All new commercial buildings require 2 sets of plans. is\ Building \Permits\MEC- PermitApp.doc 12/03 2 VIIIIIP TIGARD 24 -Hour BUILDING Inspection Line: (503) 639 -4175 INSPECTIOid Business Line: (503) 639 -4171 MST Received Date Requested AM PM BUP _ SS- C:n© Location �. �'Vi.,� --�-{� �� Suite MEC � Contact Person (✓1-) Ph ( )�O - S ' 0 PLM Contractor R lti'2it) Ph ( ) SWR BUILDING Tenant/Owner ELC Footing ELC ErE: �CCCeSS: j� �}.� , � j �, ELR Slab Inspection Note - SIT Post & Beam a .i Anchrs Ext Sr Sh ea th / ear 1 a Ext ea/h � Int Sheath /Shear Framing Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm . 1 R Ceiling Roof et r i • S PART FAIL ! r► "-VI" PLUMBING r Post & Beam f 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 Rough -In Gas Line Spore mpers S PART F AIL ELE .RICAL - - rvice Rough -In UG /Slab Low Voltage Fire Alarm Anal ❑ Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL } SITE - 0 Please ca for rei pection RE: . - .Rua Unable to inspect - no access Fire Supply Line P I ADA Approach/Sidewalk Date _ Inspector Ext Other: Final D • NOT REMOVE this inspectio record from the Job site. PASS PART FAIL WOF TIGARD 24 -Hour �UIIL,. NG Inspection Line: (503) 639 -4175 INSPECTION DIVISION Business Line: (503) 639 -4171 MST BUP Received . Date Requested AM PM BUP Location - 7 5C /' d SG= Suite / o a Contact Person C1 b'Ph ( ) - s PLM Contractor Ph ( ) SWR BUILDING Tenant/Owner ELC Footing ELC Foundation Access: Ftg Drain " ELR Crawl Drain Slab Inspection Notes: SIT Post & Beam Shear Anchors Ext Sheath /Shear Int Sheath/Shear Framing Insulation Drywall Nailing Firewall Fire Sprinkler • Fire Alarm Susp'd Ceiling 1� Roof Other: At Final 4111 PASS PART FAIL �J PLUMBING - • ' Post & Beam Under Slab Rough -In Water Service Sanitary Sewer Rain Drains Catch Basin / Manhole Storm Drain Shower Pan Other: - Final PASS RT FAIL MHAN '� AL,.`s Post& : =am •ug • a Z� :. mpers in al p - ASS. PART FAIL EL RICAL- Service Rough -In UG/Slab Low Voltage Fire Alarm Final El Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL SITE , - Please cal for rein .pection RE: — Unable to inspect — no access Fire Supply Line ❑ �/, ❑ p Approach/Sidewalk Date Inspector Ext Other: Final DO NOT REMOVE this inspe on record from the job site. PASS PART FAIL L _