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Permit CITY TIGARD MECHANICAL PERMIT 14 I DEVELOPMENT SERVICES PERMIT #: MEC2002 - 00601 ;. DATE ISSUED: 1/6/03 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 PARCEL: 2S110DA - 04200 SITE ADDRESS: 10832 SW KABLE ST SUBDIVISION: ERICKSON HEIGHTS ZONING: R - 3.5 BLOCK: LOT: 003 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: CLO DRYERS: FURN < 100K BTU: AIR HANDLING UNITS OTHER UNITS: 1 FURN > =100K BTU: <= 10000 cfm: GAS OUTLETS: 1 > 10000 cfm: Remarks: Pool heater and gas piping. Owner: FEES RENAISSANCE DEVELPMENT CO Description Date Amount 1672 SW WILLAMETTE FALLS DR WEST LINN, OR 97068 Permit [MECH] PeitFee 1/6/03 $72.50 [MECH] Investigation 1/6/03 $72.50 [TAX] 8 % StateTax 1/6/03 $5.80 Phone: 503- 557 -8000 Total $150.80 Contractor: NEPTUNE SWIMMING POOL 13785 SE AMBER RD CLACKAMAS, OR 97015 REQUIRED INSPECTIONS Gas Line lnsp Phone: 503 659 - 1335 Mechanical Insp Reg #: LIC 00011810 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 -0100. You may obtain copies of these rules or direct questions to OUNC by calling (503)246-661 Issued By: �� /`� r / Permittee Signature: � A.1 :0 fVl Call (503) 639 -4175 by 7:00 P.M. for inspections needed the next business day r ;, • d' Mechanical'Permit Application ,w_ Date received: i D ,? q Permit no.: fir L. . < 96)59- — 'On 0 I ' `� „ City � ar . Ci of Ti ? � nov Projecdappl. no.: Expire date: City n Tigard Address: 13125 SW H.1 rt `'i OR 97223 h f 8 1 Phone: (503) 639-4171 Date issued: By: Receipt no.: Fax: (503) 598 -1960 DEC 2 3 2002 Case file no.: / nt type: Land use approval: G ay OF TIGARD Building permit no.: _ . ISION . • TYPE OF PERMIT ' , - ❑ 1 & 2 family dwelling or accessory ❑Commercial /industrial ❑ Multi- family ❑ Tenant improvement 0 New construction ❑ Addition/alteration/replacement ❑ Other: ' J011 SITE INFORMATION ' - • . . COMMERCIAL VALUATION SCHEDULE Job address: /6 i52— Sir { -9J' - 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 $ - 3000 1O0 . Lot: 3 (Block: I Subdivision: • *See checklist for important application information and Project name: jurisdiction's fee schedule for residential permit fee. City /county: ZIP: / .. • 1 &2 : FAMILY DWELLING PERMIT FEE SCHEDULE, Description and location of work on premises: root /'7 rf AND COMMERICALIINDUSTRIAL EQUIPMENTSCHEDULE 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 g p Air conditioning (site plan required) Is existing space insulated? ❑ Yes ❑ No Alteration of existing HVAC system r: > „ MECHANICAL CONTRACTOR - Boiler /compressors Business name: � U NE State boiler permit no.: Tons BTU /H _ Address: A3/ $ 5 se A w l ? , Fire /smoke dampers /duct smoke detectors City: 0.- (Q„( --fKOr- State ZIP: 0 1'- Heat (si furnace/burner plan rer ) BTU /H Phonesa3 . (5j ., /, Fax: E -mail: Including ductwork /vent liner ❑ Yes ❑ No CCB no.: i 1 S /a InstalUreplace/relocate heaters - suspended, City /metro lic. no.: wall, or floor mounted Name (please print): Vent for appliance other than furnace ' ` ' CONTACT PERSON Refrigeration: Absorption units BTU /H Name: J(,/6� �fy Chillers HP Address: A72_ 7Z 5(....( oil ,�- /n.Lik- rj S Ode— Compressors HP Environmental exhaust and ventilation: City: ( 7. f A/ I State:OR_.I ZIP: 5 70 6 8' Appliance vent Phone:, ' 53 7 Fax:65- /6D/ E -mail: Dryer exhaust o N • Hoods, Type U IUres. 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 distrl ution (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 S . te: I ZIP: Insert - type Phone: Fa :, / / E -mail: Woodst• ,- pelle sto e Other: (%flt %>Sj/� . Applicant's signature: - f _ i na 1 Will Date: /Z are 2-- Other: . Name (print): 6 �/, ; :Mr Not all jurisdictions accept credit cards, please call jurisdiction for more information. Pet fe $ 6 5. ° 1 Notice: This permit application t !i €STr� ee J>✓ expires if a permit is not obtained $ 7 a • ICJ ❑Visa ❑MasterCard Credit card number: $ Expires within 180 days after it has been State surcharge (8 %) .... $ 5. 30 1 . Name of cardholder as shown on credit card accepted as complete. TOTAL $ Cardholder signature $ Amount t60 n it \ 440-4617 (6/00/COM) 114 Lc- 6 4-et,p is MECHANICAL PERMIT FEES _ , COMMERCIAL FEE SCHEDULE: 1 & 2 FAMILY DWELLING FEE SCHEDULE: T O Description: ` - Price Total TALVALUATION: ' = �RERMIT ;,.'S '. Table :1A Mecharii Code` Qty ... ( Amt $1.00 to $5,000.00 Minimum fee $72.50 100,000 10 BTU na Furce to U including to $10,000.00 $72.50 for the first $5,000.00 and 1) 14.00 2 $1.52 for each additional $100.00 or lna o 10 Furnace 100,000 ducts & & ve nts BT BTU+ fraction thereof, to and including 2) F $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 ' that apply .J ner Bo " Heats . A ir` : -1 -, '°' ; ; 5, o r, 'oed $1.20 for each additional $100.00 or Fm or.ites =11, see= � Pump , e fraction thereof. footnotes below. , Comp:. o :. ;A . ' :` ' 'i 4- - ; ` KL _- =.n' -F`w 7) <3HP; absorb unit Minimum Permit Fee $72.50 SUBTOTAL: $ to 100K BTU 14.00 8% State Surcharge $ 8) 3-15 HP; absorb 25.60 unit 100k to 500k BTU 25% Plan Review Fee (of subtotal) $ 9) 15-30 HP; absorb 35.00 Required for ALL commercial permits only unit .5 1 mil BTU TOTAL COMMERCIAL PERMIT FEE: $ 10) 30 -50 HP; absorb • 52.20 unit 1 -1.75 mil BTU 11) >50HP; absorb unit >1.75 mil BTU 87.20 .. ASS. U MED APPLIANCE ::, ]!:4:::M,': 12) Air handling unit to 10,000 CFM 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 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 appliance 445 10.00 permit 18) Domestic incinerators ' Repair units 805 17.40 < 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: ` } °'" ' :' ;'' >1.75 mil. BTU '`` , : $ Air handling unit to 10,000 cfm 656 8% State Surcharge - ° Y "}y; r L,;, $ Air handling unit >10,000 cfm 1,170 ' e� 11;V,'.:':' :4 :' Non - portable evaporate cooler 656 TOTAL RESIDENTIAL PERMIT FEE: = ';.;r < ' $ Vent fan connected to a single duct 446 Vent system not included in 656 appliance permit Hood served by mechanical exhaust 656 Other Inspections and Fees: 1. Inspections outside of normal business hours (minimum charge - two hours) Domestic incinerator 1,170 $62.50 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 $62.50 per hour inserts, etc. 3. Additional plan review required by changes, additions or revisions to plans (minimum Gas piping 1 - 4 outlets 360 charge -one -half hour) $62.50 per hour Each additional outlet 63 * State Contractor Boiler Certification required for units >200k BTU. ,- .�_ - s $ * * Residential A/C requires site plan showing placement of unit. TOTAL COMMERCIAL 7;s,07,!,:-,a ... . I.,K:x: ,; VALUATION: '`„ `'z . =: , ''4',i' '. All New Commercial Buildings require 2 sets of plans. is \dsts \forms\mech- fees.doc 02/11/02 CITY OF TIGARD 24 -Hour BUILDING Inspection Line: (503) 639 -4175 INSPECTION DIVISION Bu -'ness Line: (503) 639 -4171 MST BUP Received ate Requested O 3 AM PM BUP Location 02 3 " " 64e S Suiie MEC AE% 2 61r) Contact Person Ph ( ) PLM Contractor Ph ( ) SWR BUILDING Tenant/Owner ELC Footing Foundation Access: ELC Ftg Drain ELR Crawl Drain Slab Notes: SIT Post & Beam i�siy� (O L 17fe__At(/Vil/c)CL Shear Anchors Ext Sheath /Shear Ina Sheath /Shear • / ,Th\ Framing Insulation Drywall Nailing S� �'�—� 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 FAIL MECHANI PosTh Beam Rough -In Gas Line S i. • • ampers in 'AS, - PART FAIL C ICAL Service Rough -In UG /Slab Low Voltage Fire Alarm Final Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL SITE ❑ Please call for reinspection RE: El Unable to inspect — no access Fire Supply Line ADA c� \ Approach /Sidewalk Date 3/-7- 63 Inspector ` C /U Ext Other: Final DO NOT REMOVE this inspection record from the job site. PASS PART FAIL CITY OF TIGARD 24 -Hour BUILDING Inspection Line: (503) 639 -4175 INSPECTION DIVISION Business Line: (503) 639 -4171 MST (.0 .(2, 6 -.(-b-6 BUP Received Date R ue ted 3 � \ ° `' " BUP Location /6 -3 ..).- 1.Q • Suite EC Contact Person Ph (_ ) PLM Contractor Ph ( ) SWR BUILDING Tenant/Owner ELC Footing Foundation Access: ELC Ftg Drain ELR Crawl Drain Slab Inspection Notes: 4 l SI T Post & Beam Shear Anchors Ext Sheath /Shear Int Sheath/Shear �f�� Framing =� wa- .;T�',, V _ ©Z) / 4 -------C g - Insulation s 4.S #( -- ; 1 0 C.-^. C ) ' Drywall Nailing Firewall Fire Sprinkler Fire Alarm a! S n /J • / /'6-`t s- Susp'd Ceiling Roof nic - - ?--00 6 ®G' 4-1 ' J 2 /4 /c 0 ( . Other: Final � / PASS PART FAIL PLUMBING / � f2 � y � /IC ^ �• F 1 / `7 (� /� U1 Post & Beam Under Slab / Rough-In 4 W ater Service .. j -. Slv� C- (' / �'t� —� e / Sanitary Sewer / 40 i , Rain Drains / - - - Catch Basin / Manhole j �-� I Storm Drain - c . Shower Pan 4 - 5 ` `, - s ce G„+c ^I - Pe cA.A..4---‹ 2 Other: Final fil■ 1 C- cs P. : i-4T - FAIL r I ECHANI .+ L _ 1_ Poam / v j — ' • . - ' ou h-\ - 1 T _ Smo Damp rs t,.___1 z` cfurOla PASS PART (F i /./ V v V�� '� ' \ j2,)ce ELECTRICAL C...-(9- : Lam vx s Service Rough -In UG /Slab Low Voltage Fire Alarm Final 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: ❑ Unable to inspect - no access Fire Supply Line ` ADA Approach/Sidewalk Date Vo 3 Inspector �� Ext Other: Final DO NOT REMOVE this inspection record from the Job site. PASS PART FAIL • ( . 2 ' C1 ..)----- CITY OF TIGARD 24 -Hour BUILDING Inspection Line: (503) 639 -4175 • IN ACTION DIVISION Business Line: (503) 639 -4171 MST , CAs) ■ , g o 1,.. Received Date Requested V I k/0 3 lE � BU Location / O O c - �4 �h Le / .Suite E � �o�' v� ca 0 Contact Person Ph ( ) PLM Contractor Ph ( ) SWR BUILDING Tenant/Owner ELC Footing ELC Foundation Ftg Drain Access: ELR CrawI Drain Slab Inspection Notes: / cl i„ _ CY SIT Post & Beam -'`� -�� �'"'' Shear Anchors ad- Q • t '` Ext Sheath /Shear {� ' (TT — -, '' x Framing ® hit Sheath/Shear � t✓"� `'s . �.�.,''l00e'oc4TIi- Insulation YC ( ��,L I I/6 /© C� Cd/A) Drywall Nailing Firewall /� n ® O f / 9 V' C o y J te,r ^ Fire Sprinkler �-}' Fire Alarm � L'i°11 Susp'd Ceiling J ` • Roof g -e , Other: l A Final 2,23/6) (7(- � . ) PASS PART FAIL _ ® � , G % / PLUMBING ' � y .o C � F J % o 0 - Post & Beam Under Slab C n1/ G . :: / 5C-2 A: l / ' a Rough -In Water Service `� '�`�' ��'� - -t/ �/6 ch4-4 Sanitary Sewer gy e / „ �J KL/i L(31.-1.„ Rain Drains (P x-CA Catch Basin / Manhole � 76 2- C y) `S Storm Drain Shower Pan Other: _ - - Final 19 f , _ z ,� ib-1- _ (i d l- w/ (_€/t/-e--e) PASS PART FAIL - QatCHAN - L - �.Q�n ,. � v i-Q <1 a �- Post & Beam �J G v c,(2. g A,o,,, Dampers PASS PART FAI . pe)-- 0 ELECTRICAL /22--i-riLt"--''- s , P 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 ❑ Please call for reinspection RE: ❑ Unable to inspect - no access Fire Supply Line \ Approach/Sidewalk Date t ' 6 . 1 Inspector �-' `� — Ext P / / Other: Final DO NOT REMOVE this inspection pection record from the job site. • et- PASS PART FAIL