Permit CITY TIGARD MECHANICAL PERMIT
I DEVELOPMENT SERVICES PERMIT #: MEC2001 -00331
- — � 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 12/6/01
PARCEL: 25101 AC -01800
SITE ADDRESS: 07585 SW HUNZIKER ST
SUBDIVISION: ZONING: I -L
BLOCK: LOT: JURISDICTION: TIG
CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS:
TYPE OF USE: COM UNIT HEATERS: VENT FANS:
OCCUPANCY GRP: Fl VENTS W/O APPL: VENT SYSTEMS:
STORIES: BOILERS /COMPRESSORS HOODS:
FUEL TYPES 0 - 3 HP: DOMES. INCIN:
ELE 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: 1
> 10000 cfm:
GAS OUTLETS:
Remarks: Replace spray booth with new one..
Owner: FEES
MOSTUL, TERRY A + DEBBI C Type By Date Amount Receipt
7585 SW HUNZIKER ST PRMT CTR 12/6/01 $72.50 2720010000
TIGARD, OR 97223 PLCK CTR 12/6/01 $18.13 2720010000
5PCT CTR 12/6/01 $5.80 2720010000
Phone: Total $96.43
Contractor:
NORTHWEST COLLISION EQUIPMENT
6109 61ST AVE. SE
LACEY, WA 98513 REQUIRED INSPECTIONS
Mechanical Insp
Phone: 360- 413 -1737 Fire Suppr lnsp
Reg #: LIC 115063 - Duct Inspection
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 thr. gh OAR
952 - 001 - 0080. You may obtain co ies of these rules or direct question to • rNC by calling
( fl \94S -Q1 • •00
Issue By: i , y� � _ . .1. Permittee Signaturevi
Call (503)39 -4175 by 7:00 P.M. for inspections neede. Orx /usiness day
1G .. qt(St
/ -
Mechanical A :: ication • ''''' p , h ,,-; V
Date received:/ / g , Permit no.:/1/1 - , d, 65,
6„,. ;�ii , City of Tigard " -_.. , Y g an Project /appl. no.: Expire date:
City of Tigard Address: 13125 SW Hall Blvd, Tigard, OR 9722 Date issued: By: Al Receipt no.:
Phone: (503) 639 -4171
Fax: (503) 598 -1960 Case file no.: Payment type:
Land use approval: Building permit no.:
,.:,
'" � r �� .e A . i , : ,:!::.4.TYP,,E OF,PERMIT ., , '*'',.,:k::"' � .s• ' ,�, , � ;;;> . z
❑ 1 & 2 family dwelling or accessory ❑ Commercial/industrial ❑ Multi- family ❑ Tenant improvement
Cl New construction XI Addition/alteration /replacement ❑ Other:
Pr } �' JOB:SITE "I a „ :54 COM VALUATION- SCHE " M
7 Job a 5 8 5 SW Hunz iker Street Indicate equipment quantities in boxes below. Indicate the dollar
L Bldg. no.: I Suite no.: value of all mechanical materials, equipment, labor, overhead,
Tax map /tax lot/account no.: profit. Value $ 75,000.00
Lot: ( Block: I Subdivision: *See checklist for important application information and.
Project name: Artistic Auto Body jurisdiction s fee schedule for residential permit fee. V' City /county: T igard ZIP: I & `2 FAMIL DWELLING PERMIT.FEE SCHEDULE L
Description and location of work on premises: AMY COMMERICAL /INDUSTRIAL EQUIPMENTSCHEDULE
/ Replace Spray Booth with new one. Fee(ea.) Total
Est. date of completion /inspection: Description Qty. Res. only Res. only
Tenant improvement or change of use: HVAC:
Is existing space heated or conditioned❑ Yes ❑ No
Is existing space insulated ?� Yes ❑ No Air handling unit CFM
Air conditioning (site plan required)
Alteration of existing HVAC system
'' ''' ' ' : ' ,: ‘'''' ' ''''fl':'- ! :: - 'ME CONTRACTOR? r Boiler /compressors
f wes o ision E u1 ment State boiler permitno..
Business name: q p HP Tons BTU /H
Address: 6109 61st Ave. SE Fire/smoke dampers/duct smoke detectors
City: Lacey I Statk1A I ZIP: 98513 Heat pump (site plan required)
Fax: ail: Install/replacefurnace/burner BTU /H
Phone
3 6 t7 41 31 7 7 3 6 0 41 31 �' NWCE@home _ 91i luding ductwork/vent liner ❑ Yes ❑ No
CCB no.: 01 1 5 0 6 3 Install/replace /relocate heaters- suspended,
City /metro lic. no.: wall, or floor mounted
Name (please print): Pe e A • Vent for appliance other than furnace —
1 f ... -CONTACT PERSON _ Refrigeration:
. ' Absorption units BTU /H I
SO( Name: Terry Mostul Chillers HP
Compressors HP -
Address:
'58 • SW •• H. 1 er Street Environmental exhaust and ventilation:
City: Ltate:� ZIP: Appliance vent ill
Phone: • • _ • I I Fax , : _ g • tratil Dryer exhaust -
OWNER Hoods, Type U IUres. kitchen/hazmat
hood fire suppression system
Name: S AM.E AS CONTACT PERSON 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: Other listed appliance or equipment:
Address: Decorative fireplace
City: • I State: 1 ZIP: Insert - type
Phone: . mail:
Woodstove/pellet stove
Applicant's signature:
7.11W Other: Date: rj/8® Other:
Name (print): P- Arbeia f
Not all jurisdictions accept credit cards, please call jurisdiction for more information. Permit fee $ `9
CI Visa CI MasterCard Notice: This permit application Minimum fee $ Ct I.
Credit card number: / / expires if a permit is not obtained Plan review (at %) $ AJ
Expires within 180 days after it has been 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 FEES
COMM FEE SCHEDULE: 1 & 2 FAMILY DWELLING FEE SCHEDULE:
- °De scrption:. - v ''..-let ` Pric`e'y# , Total'
'TOTAL VALUATION :.<`m PE.RMIT'FEE ., ;.:, :- c' z `Y ` C2t (Eaj Amt
$1.00 to $5,000.00 Minimum fee $72.50 Table 1A Mechanical;Cod
$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
100,000 BTU+
fraction thereof, to and including 2) 17.40
$10,000.00. including ducts & vents
$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 6.80
$1.45 for each additional $100.00 or
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,thaf apply:',', _ Boiler 'Heat = Air
$1.20 for each additional $100.00 or For 'items 7 X11; see!:" or Pump Cond .
fraction thereof. footnotes' „ ;. 'Corr"ip * ', , ` , u `"'" _� • '
'-- a " -_ 7) <3HP;absorb unit
Minimum Permit Fee $72.50 SUBTOTAL: $ to 100K BTU 14.00
8) 3 -15 HP; absorb
8% State Surcharge $ unit 100k to 500k BTU 25.60
9) 15 -30 HP; absorb
25% Plan Review Fee (of subtotal) $ unit .5 -1 mil BTU 35.00
Required for ALL commercial permits only 10) 30 -50 HP; absorb
TOTAL COMMERCIAL PERMIT FEE: $ unit 1 -1.75 mil BTU 52.20
11) >50HP: absorb
unit >1.75 mil BTU 87.20
12) Air handling unit to 10,000 CFM
ASSUMED VAL''UATIIONS PER'AP,PLIANC , "f = ,`, y .' ti 10.00
Value Total 13) Air handling unit 10,000 CFM+
Description: Qty (Ea) Amount 17.20
Furnace to 100,000 BTU, including 955 14) Non - portable evaporate cooler
ducts & vents 10.00
Furnace > 100,000 BTU including 1,170 15) Vent fan connected to a single duct
ducts & vents 6.80
Floor furnace including vent 955 16) Ventilation system not included in
Suspended heater, wall heater or 955 appliance permit 10.00
floor mounted heater 17) Hood served by mechanical exhaust
Vent not included in applicance 445 10.00
permit 18) Domestic incinerators
Repair units 805 1.7.40
< 3 hp; absorb. unit, 955 19) Commercial or industrial type incinerator
to 100k BTU 69.95
3 -15 hp; absorb. unit, 1,700 20) Other units, including wood stoves
101k to 500k BTU 10.00
15 -30 hp; absorb. unit, 501k to 1 2,310 21) Gas piping one to four outlets
mil. BTU 5.40
30 -50 hp; absorb. unit, 3,400 22) More than 4 -per outlet (each)
1 -1.75 mil. BTU 1.00
>50 hp; absorb. unit, 5,725 Minimum Permit Fee $72.50 SUBTOTAL: : ,1° - ;4` ° -; $
>1.75 mil. BTU Vt4it*
Air handling unit to 10,000 cfm 656 8% State Surcharge , ,' ' t,, =; `; $
Air handling unit >10,000 cfm 1,170 °
Non-portable evaporate cooler 656
p TOTAL RESIDENTIAL PERMIT FEE: , ' '
', < > $
°
Vent fan connected to a single duct 446 'n 'N
Vent system not included in 656
appliance permit Other Inspections and Fees:
Hood served by mechanical exhaust 656 1. Inspections outside of normal business hours (minimum charge -two hours)
Domestic incinerator 1,170 $72.50 per hour.
Commercial or industrial incinerator 4,590 2. Inspections for which no fee is specifically indicated (minimum charge - half hour)
Other unit, including wood stoves, 656 $72.50 per hour
3. Additional plan 'review required by changes, additions or revisions to plans (minimun
inserts, etc. charge -one -half hour) $72.50 per hour
Gas piping 1 outlets 360
Each additional outlet 63 `State Contractor Boiler Certification required for units >200k BTU.
"''Residential A/C requires site plan showing placement of unit.
TOTAL COMMERCIAL ' : . `
; ` , ''. $
VALUATION: ' °
is \dsts \forms \mech- fees.doc 08/06/01
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
p BUP
Date Requested AM PM BLD
Location ',z S , Suite V C -z, g3 j
Contact Person `7a@ litzt Ph 5/ 1 7,S 7 PLM
Contractor Ph SWR
BUILDING - . Tenant/Owner ELC
Retaining Wall ELR
Footing Access:
Foundation FPS
Ftg Drain SGN
Crawl Drain Inspection Notes:
Slab L 1 /&k- C fr 6 C.,:e_ SIT
Post & Beam
Ext Sheath /Shear
Int Sheath /Shear V
Framing
Insulation
. Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Misc:
Final
PASS PART FAIL
PLUMBING; ,$et °. m
Post & Beam
Under Slab
Top Out
Water Service — -- -
Sanitary Sewer
Rain Drains
Final
7
-- ` FAIL
Po` . ; _sec m
Rough In \�
Gas Line
S e Dampers
in '
PASS ART FAIL
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 /
Other oach /Sidewalk Date / 1 / "C r U / Inspector 7 Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.