Permit .'r 4 CITY OF TIGARD MECHANICAL PERMIT
\ PERMIT #: MEC2000-00465 ®EVE H P r SERVICES SERVICES (503) 639 -4171 DATE ISSUED: 12/01/2000
PARCEL: 1S135CD-07000
SITE ADDRESS: 09730 SW LONDON CT
SUBDIVISION: LONDON SQUARE NO.2 ZONING: R -25
BLOCK: LOT: 022 JURISDICTION: TIG
CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS:
TYPE OF USE: SF UNIT HEATERS: VENT FANS:
OCCUPANCY GRP: 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: 1
GAS PRESSURE: 50 + HP:
FURN < 100K BTU: AIR HANDLING UNITS CLO DRYERS:
FURN > =100K BTU: <= 10000 cfm: OTHER UNITS:
> 10000 cfm: GAS OUTLETS:
Remarks: Woodstove /pellet stove
Owner: FEES
MORRIS, GREG + EVDOXIA Type By Date Amount Receipt
9730 SW LONDON CT 5PCT CTR 12101/20C $5.80 2720000000
TIGARD, OR 97223 PRMT CTR 12/01/20( $72.50 2720000000
Total $78.30
Phone:
Contractor:
HOT SPOT FIREPLACE + PATIO
11525 SW CANYON RD
BEAVERTON, OR 97005 REQUIRED INSPECTIONS
Final Inspection
Phone: 503 - 626 -9138
Reg #: LIC 00071782
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 questions to OUNC by calling (503)246-9189.
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Issue By: a..144 � Permittee Signature:
aag
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Call (503) 639-4175 by 7:00 P.M. for inspections needed the next business day
( ,
Mechanical PeroutApplication - ' -
Date received: Permit no.: A fi ,�,� b o , 4
� I � City of Tigard, , ::: RECEIVED J PP P
II i. �� � Pr o ect/a 1. no.: Expire date:
City of Tigard Address: 13125 SW Hall Blvd, Tigard OR 97223 Date issued: By: Receipt no.:
Phone: (503) 639 -4171 NOV Fax: (503) 598 -1960 ;y 2000 Case file no.: , Payment type:.
Land use approval: COMMIINIT>r nFVFlnannrmir Building permit no.:
at: TYPE OF PERMIT .
X 1 & 2 family dwelling or accessory ❑ Commercial/industrial ❑ Multi- family ❑ Tenant improvement
❑ New construction ❑ Addition/alteration /replacement ❑ Other:
:40B-SIT I1�cTFORMATi(IN t t: 4" " `` " ' ' . - - `COM MERCIAL VALUATION SC HEDULE
Job address: 9'730 5w /.,(31,1. ovN 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 $ .
Lot: 'Block: I Subdivision: *See checklist for important application information and
Project name: jurisdiction's fee schedule for residential permit fee.
City /county: 'Ft i / r ZIP: ,y a � ,r''-'' & ''A ' la if■VtillAr6 FEE SCHEDULE - _
Description and location of work on prem es: AND COMMERICALIINDUSTRIAL EQUIPMENTSCHEDULE
nPLO LJoeris1 -ode_ - 173 r p ?(e exi - iri 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 Air handling unit CFM
space insulated? ❑ Yes ❑ N o Air conditioning rati of existing HVAC system
Is existing P Alteration of existing HVAC system
•C ; < MECHANICAL CONTRACTOR . = Boiler /compressors
-
�� �, m State boile permit no.:
Business name: ; • . , .
� HP Tons BTU /H
Address: J /5,25- SC.) 9L 6 v‘.... Fire /smoke dampers/duct smoke detectors
City. a . , , . M ate: A :L( QQ
ZIP 5 Heat pump (site.plan required)
Phone: , _ , _, , Install/replace furnace/burner BTU /H
Including ductwork/vent liner ❑ Yes ❑ No
CCB no.: 5 b9 , lnstalllreplace/relocate heaters suspended,
City /metro lic. no.: wall, or floor mounted
Name (please print): O m p . , , Vent for appliance other than furnace .
. ' CONTACT PERSON R efrigeration: .
''' 1 1 - ' Absorption units BTU /H
Name: ir ` �/Y.. 7""f ivvz Chillers • • HP
•
Address: i < j s� Compressors HP
A Environmental exhaust and ventilation:
City: isave yL ate I ZIP: g7Qu5` Appliance vent
Phone: „. , ( _ Fax:(,(,— N ; E -mail: Dryer exhaust -
H � Hoods, Type I/ Ilires. kitchen/hazmat
- - hood suppression system
Name: Ho f r t rec _ ti Exhaust fan with single duct (bath fans)
Mailing address: q 7 30 5 Lo Exhaust system apart from heating or AC
City:' Qrd State:O1' ZIP: 1 7 3 Fuel piping and distribution (up to 4 outlets)
Type: LPG NG Oil
Phone: a 4' : . :1:,.. Fax:. E -mail: Fuel piping each additional over 4 outlets
- - _ --E R ----_ n .. - --, -- Process piping (schematic required)
Number of outlets
Name: Other listed appliance or equipment:
Address: Decorative fireplace
City: I State: I ZIP: Insert - type
Phone: Fes, : J -mai Woodstove/pelletstove /0,
Other:
Applicant's signore: A ,�,' IR�irll ate :// ag- Other:
Name (print): G p Iy no /lei , z--
Not all jurisdictions accept credit cards, please call jurisdiction for more infonnatioa Permit fee $ /0. 0
❑ Visa O MasterCard Notice: This permit application Minimum fee $ IQ • 50
Credit card number: / / expires if a permit is not obtained Plan review (at _ %) '$
Expires within 180 days after it has been State surcharge 8
g ( ) ....$ s a
Name of cardholder as -shown on credit card accepted as complete. TOTAL $ 72 a
Cardholder signature Amount 440 -4617 (6/00 /COM) • •
MECHANICAL PERMIT FEES >.
COMMERCIAL FEE SCHEDULE: 1 & 2 FAMILY DWELLING FEE SCHEDUL
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 •-- -. -- - , 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
$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;; :a `'Boile(, , ':Heat Air
$1.20 for each additional $100.00 or For items 7 11 see 'or, " Pump Cond - . . ,
fraction thereof. •,footnote0 eiow. ,`•.' `Comp* . " "` of„,‘ `
7) <3HP;absorb unit
t ,;: - - .to.100K.BTU . 14.00
ASSUMED VALUATIONS PER APPLIANCE - - 8) •
3- 15
Value Total unit 100k to 500k' BTU t c ;. ; 25.60
Description: Qty (Ea) Amount 9) .15- 30'HPR °absorb" . n°,. . '
Furnace to 100,000 BTU,- including 955
. - , unit `5 -1 "roil BTU - " ' ' •: ' ' ' t • - '' • ' - '• ` 33:00• •
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 > , t .' _ 13)'Air handling unit 10,000 CFM ±,
permit .. - .'<; t . .!v`- • 't•• • .. ... •• •• .. '. i 1'' 17.20
Repair units 805 1.4) Non - portable evaporate +coole - r. ( - ��,;._; (1, ; ;
< 3 hp absorb. unit, 955 �? , - '0 00
to 100k BTU - - 15) Vent fan connected•to;?;single duct •',�
3 -15 hp; absorb. unit, 1,700 :t;1 ; •• ••te; • I'. -- »ir..a 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 Imo. s .. ; :'- . 10.00
.1-1.75 mil. B • 18) Domestic incinera
>50 hp; absorb. unit, 5,725 - • , 17.40
>1.75 mil. BTU - •
19) Commercial or indostrial type incinerator ' • • - . i
Air handling unit-to 10,000 cfm 656 : ; £ d 69.95
Air handling unit >10,000 cfm 1,170 20 Other units, includin wood stoves
Non - portable evaporate cooler 656 )' 9 `� ' . .. `
' 10.00
Vent fan connected to a single duct 446 21) Gas piping one td`foe) bullets" • : ;.r3 " ' - -•<c
Vent system not included in 656 5.40
appliance permit 22) More than 4 -per outlet (each) ,• . , .
Hood served by mechanical exhaust 656 , ; .j 1.00
Domestic incinerator 1,170 Miniinum•.permit °Fee.$72.50, ; SUBTOTAL: : 1 $
Commercial or industrial incinerator 4,590 ti ,. ",..,b .' u ;
Other unit, including wood stoves, 656 - - • - • 8% State Surcharge `'''' °'^ ` -,: -) $
inserts, etc. , '.. r •',,A, . z : , V
Gas pi 1-4 outlets ' • 360 • 25% Plan Review Fee (of subtotal) , • .=- -,` $
Each additional outlet 63 Required for ALL commercial permits only ,% -
TOTAL COMMERCIAL $ TOTAL RESIDENTIAL PERMIT FEE: ' 3.
L = ` $
VALUATION: ,
Other Inspections and Fees:
- _ '1,.. ' outside of normal business,hours (minimum charge -two hours)
$72.50 per hour. '' ' ,
2. Inspections for which rio. :fee'is pecifically, indicated ,(minimum charge -half hour)
r • . •+; .. $72.50 per hour • . .
• • •3. Additional plan review required by changes, additions or revisions to plans (minimum
4 " ' charge -one -half hour) $72.50 per hour
*State Contractor Boiler Certification required for units >200k BTU.
* * Residential A/C requires site plan showing placement of unit.
is \dsts \forms\mech - fees.doc 10/11/00
CITY OF TIGARD BUILDING INSPECTION DIVISION (S)
T N
24 -Hour Inspection Line: 639 -4175 a = Business Line: 639 -4171
BUP
Date Requested / - AM /M PM BLD
Location ?71 - 56=. GGr• ✓A c - Suite E • ei0 y J
Contact Person Ph '5V PLM
Contractor Ph SWR
BUILDING k.° _' Tenant/Owner ELC
Retaining Wall ELR
Footing Access:
Foundation FPS
Ftg Drain SGN
Crawl Drain Inspection Notes:
Slab SIT
Post & Beam
Ext Sheath /Shear
hit Sheath/Shear �� r / ' r ;i�f� �� ,I s ��
Framing � /� .� p , - 4 /I � �' ifi. '- �.�1��i%1►� /GP 'h
Insulation
Drywall Nailing -r
Firewall
Fire Sprinkler -
Fire Alarm
Susp'd Ceiling
Roof
Misc:
Final (:1 7
PASS PART FAIL
PLUiVIBING9
Post & Beam
Under Slab
Top Out
Water Service
Sanitary Sewer
Rain Drains
Final
PASS PART FAIL
Posr& Beam //
Rough In t _ i _ 1ij 5Fv/C
Gas Line
Smo e Dampers
PART FAIL
CTRICAL �
�;:.� <��,a�� ���
Service
Rough In
UG /Slab
Low Voltage
Fire Alarm
Final
PASS PART FAIL
0ITE v r
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 i (� G� 3
Other Date l Inspector Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.