Permit C ITY OF TIGARD MECHANICAL PERMIT
. : A e� I j � DEVELOPMENT SERVICES PERMIT #: MEC2000 -00405
"I 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 10/13/00
PARCEL: 2S10100 -00700
SITE ADDRESS: 08200 SW HUNZIKER ST
SUBDIVISION: FOUNDRY INDUSTRIAL PARK ZONING: I -L
BLOCK: LOT: JURISDICTION: TIG
CLASS OF WORK: FLOOR FURN: EVAP COOLERS:
TYPE OF USE: COM UNIT HEATERS: VENT FANS: 2
OCCUPANCY GRP: VENTS W/O APPL: VENT SYSTEMS:
STORIES: BOILERS /COMPRESSORS HOODS:
FUEL TYPES 0 - 3 HP: 2 DOMES. INCIN:
GAS 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: 1
Remarks: Mechanical work for commercial TI. -
Owner: FEES
NORTHWEST DEMOLITION Type By Date Amount Receipt
PO BOX 930 PRMT CTR 10/13/00 $163.70 2720000000
WILSONVILLE, OR 97070 PLCK CTR 10/13/00 $40.93 2720000000
5PCT CTR 10/13/00 $13.10 2720000000
Phone: 503-638-6900 Total $217.73
Contractor:
PROTEMP ASSOCIATES INC
807 NE COUCH
PORTLAND, OR 97232 REQUIRED INSPECTIONS
Gas Line Insp
Phone: 233 -6911 Mechanical lnsp
Reg #: LIC 00038868 Duct Inspection
ELE 201JHA S.D. Shut -down 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 mor 1,80 days. ATTENTION: Oregon law requires you to follow rules adopted in the Oregon
Utility otification Cnter. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0080.
You ay obtain copies o these rules or direct questions to OUNC b falling (503)21 6 -9189.
Issu B y: Permittee Signature: _. . -�.
Call (503) 639 -4175 by 7:00 P.M. for inspections needed�the ne Jbusiness day
•
Mechanical Permit Application `
D"aterece /Q �y P e rmitn o.:/�- 7Eeg.XC — 4
.� �L ,,, � � C ity of Tigard • Project/appl. no.: Expire date:
City of Tigard Address: 13125 SW Hall Blvd, Tigard OR '97223 Date issued: By: Receipt no.:
Phone: (503) 639 -4171
Fax: (503) 598 -1960 • Case file no.: Payment type:
Land use approval: Building permit no.:
TYPE OF PERMIT
❑ 1 & 2 family dwelling or accessory ❑ Commercial/industrial 0 Multi- family s Tenant improvement
❑ New construction ❑ Addition/alteration/replacement ❑ Other:
JOB SITE INFORMATION COMMERCIAL VALUATION SCHEDULE
Job address: Apo ® Ale v z ( , }4 e,— , Indicate equipment quantities in boxes below. Indicate the dollar
Bldg. no.: I Suite no.: value of all mechanical materials, equipment, labor, overhead,
Tax map /tax lot/account no.: profit. Value $ /, 000 .
Lot: (Block: I Subdivision: *See checklist for important application information and
Project name: Aix) 0 0/5 m,g Dui i,ti jurisdiction's fee schedule for residential permit fee.
City /county: j &.„,,,,e, ' I ZIP: 1 & 2 FAMILY DWELLING PERMIT FEE SCHEDULE
Description and locftion of work on premises: /dyad c. AND COMMERICAL/INDUSTRIAL EQUIPMENT SCHEDULE
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? 0 Yes No Air handling unit CFM
Air conditioning (site plan required) .
Is existing space insulated ?‹I'es ❑ No Alteration of existing HVAC system
MECHANICAL CONTRACTOR Boiler /compressors
� - ho c' . �/� . State boiler permit no.:
Business name:
/� HP Tons BTU /H
Address: 7 ICJ f✓ ..- pg /7° Fire /smoke dampers /duct smoke detectors
City: .p, p I Stater I ZIP: e 7.,3 p„ Heat pump (site plan required)
Phone: �gI / I Fax:0 ems. "7671E-mail: Install/replace furnace/burner BTU /H
Including ductwork/vent liner ❑ Yes O No
CCB no.: - '3' 8' Install/replace/relocate heaters — suspended,
City /metro lic. no.: 4/5 . wall, or floor mounted
Name (please print): ,.. \ ' /•k/A-TT Vent for appliance other than =furnace
CONTACT PERSON Refrigeration:
Absorption units BTU /H
Name: Chillers HP
Address: Compressors HP
Environmental exhaust and ventilation:
City: I State: I ZIP: Appliance vent ,.
Phone: Fax: E -mail: Dryer exhaust
OWNER Hoods, Type 1/ II/res. kitchen/hazmat
hood fire suppression system
Name: 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)
Name: • Number of outlets
Other listed appliance or equipment:
Address: Decorative fireplace
City: I State: I ZIP: Insert — type
Phone: I Fa.x: I E -mail: Woodstove/pelletstove
pp signature: ' T �� Other:
Applicant's si nature: //�,..✓' Date: .,.t • /a7 J GAO Other:
Name (print): t,,4 4:; 7 4v. i
Not all jurisdictions accept credit cards, please call jurisdiction for more information. Permit fee $ (to
CI Visa ❑ MasterCard Notice: This permit application Minimum fee $
Credit card number: ex expires if a permit is not obtained
/ / p P Plan review (at %) $ 40.1,'
Expires within 180 days after it has been State surcharge (8 %) .... $ l • to
Name of cardholder as shown on credit card accepted as complete.
$ TOTAL $
Cardholder signature Amount 440 -4617 (6/00 /COM)
MECHANICAL PERMIT FEES
COMMERCIAL FEE SCHEDULE: 1 & 2 FAMILY DWELLING FEE SCHEDULE:
TOTAL VALUATION: FEE: Description: Price Total
Table 1A Mechanical Code Qty (Ea) Amt
$1.00 to $5,000.00 Minimum fee $72.50 1) Furnace to 100,000 BTU
$5,001.00 to $10,000.00 $72.50 for the first $5,000.00 and including ducts & vents 14.00
$1.52 for each additional $100.00 or 2) Furnace 100,000 BTU+
fraction thereof, to and including
$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 Cl eck all tl ata pply:,; , „B'oiler.% :,Heat ,Air ` =E >_ 7,::1,' y ,'-' :' „ ;,
$1.20 0 for each additional $100.00 or For. items f7 11 see %-,,, or ' , Purrip '•Cond 3
fraction thereof. footnotes below ,r;,,,- ;,Comp *'-` , '' .' >`,- :, --,,,,,,..!:,7
7) <3HP;absorb unit
to 100K BTU 14.00
ASSUMED VALUATIONS PER APPLIANCE: 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 955 unit .5 -1 mil BTU 35.00
ducts & vents 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
< 3 hp; absorb. unit, 955 10.00
to 100k BTU 15) Vent fan connected to a single duct
3 -15 hp; absorb. unit, 1,700 6.80
101k to.500k BTU 16) Ventilation system not included in
15 -30 hp; absorb. unit, 501k to 1 2,310 appliance permit 10.00
mil. BTU 17) Hood served by mechanical exhaust
30 -50 hp; absorb. unit, 3,400 10.00
1 -1.75 mil. BTU - -
18) Domestic incinerators
>50 hp; absorb. unit, 5,725 17.40
>1.75 mil. BTU -
19) Commercial or industrial type incinerator
Air handling unit to 10,000 cfm 656 69.95
Air handling unit >10,000 cfm 1,170 20) Other units, including wood stoves
Non - portable evaporate cooler 656 10.00
Vent fan connected to a single duct 446 21) Gas piping one to four outlets
Vent system not included in 656 5.40
appliance permit -
22) More than 4 -per outlet (each)
Hood served by mechanical exhaust 656 1.00
Domestic incinerator 1,170 Minimum P ermit Fee $72.50 SUBTOTAL: t_ 4< VW :_, $
Commercial or industrial incinerator 4,590 '>;`° o w°°
Other unit, including wood stoves, 656 8% State Surcharge z . ;`�° ° , ;�,; yi $
inserts, etc. i s. ` :1.;',:;',,.:Z.-:
Gas piping 1 -4 outlets 360 • 25% Plan Review Fee (of subtotal) ; "`�` ` : Y $
Each additional outlet 63 Required for ALL commercial permits only ;:"'`;y, „4,,;E .. =a
TOTAL COMMERCIAL ` "° ',� . ` ,, TOTAL RESIDENTIAL PERMIT FEE: i ` -z '' ,5'',.- $
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) $72.50 per hour
* State Contractor Boiler Certification required for units >200k BTU.
** Residential NC requires site plan showing placement of unit.
is \dsts \forms \meth- fees.doc 10/11/00
CITY OF TIGARD BUILDING INSPECTION DIVISION
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 MST -
� �
�f - BUP
Date Requested l " 'O AM PM BLD
Location S 1; Suite MEC &OP - 001MS -
Contact Person Ph 7/q /9933 PLM
Contractor Ph SWR
B.UILDINGr`. " Tenant/Owner ELC
Retaining Wall ELR
Footing
Foundation Access: C./
petkuA 1 FPS
Ftg Drain priill SGN
Crawl Drain Inspection Notes:
Slab SIT
Post & Beam
Ext Sheath /Shear
Int Sheath /Shear
Framing •
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof C9$ y I
Misc: - C C.
Final
PASS PART FAIL
PLUMBING rVS=
Post & Beam
Under Slab
•
• Top Out
Water Service
- Sanitary Sewer
Rain Drains
Final
PASS PART FAIL
Post & Beam •
Rough In
Gas Line -
Smoke Dampers
L PART FAIL
Service -
Rough In
UG /Slab
Low Voltage
Fire Alarm •
Final
• PASS • PART FAIL
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 .- -�
Approach /Sidewalk
other Date 0/5/e0 Inspector / 012/7 Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
L