Permit CITY OF T
MECHANICAL PERMIT
}IA DEVELOPMENT SERVICES PERMIT #: MEC2001 -00343
4.! '13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 ' . DATE ( 11 1 360
• • PAARCRC EL: 1S136CD -00600
SITE ADDRESS: 08060 SW PFAFFLE ST
SUBDIVISION: SPRINT PCS WIRELESS MONOPOLE ZONING: C -P
BLOCK: LOT: JURISDICTION: TIG
CLASS OF WORK: NEW FLOOR FURN: EVAP COOLERS:
TYPE OF USE: COM UNIT HEATERS:. VENT FANS: 7
OCCUPANCY GRP: B VENTS W/O APPL: VENT SYSTEMS: .
STORIES: 2 BOILERS /COMPRESSORS HOODS:
FUEL TYPES 0 - 3 HP: 2 DOMES. INCIN:
GAS 3 - 15 HP: .. COMM'. INCIN:
MAX INPUT: BTU 15 - 30 HP:
REPAIR UNITS:
FIRE DAMPERS ?: 30 - 50 HP: REPAIR UNITS:
GAS PRESSURE: 50 + HP:
FURN < 100K BTU: AIR HANDLING UNITS CLO DRYERS:
OTHER UNITS: 16
FURN > =100K BTU: • 1 . < = 10000 cfm:
> 10000 cfm: GAS OUTLETS: 1
Remarks: Mechanical work associated with new office building.
Owner: FEES
EEI SOLUTIONS Type By Date Amount Receipt
5665 SW MEADOWS RD, SUITE 300 PRMT CTR 11/20/01 ' $257.84 2720010000
LAKE OSWEGO, OR 97035 PLCK CTR .11/20/01 $64.46 2720010000
5PCT CTR 11/20/01 $20.63.2720010000 •
- Phone: 503-294-2150 • Total $342.93
Contractor:
MACDONALD MILLER DBA: ENCOMPAS
5711 SW HOOD
PORTLAND, OR 97201 REQUIRED INSPECTIONS
•
Gas Line Insp
•
Phone: 503 - 230 -8991 Mechanical Insp
Reg #: LIC 137340 Fire Damper Insp
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 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. •u may obtain copies of these rules or.direct qu tions o OUNC by calling
rnm194.s_ca1 • -
Issue B /PA, �
_ ! 1 /_ : ` P ermittee Signature
Call (503) 639 -4175 by 7:00 P.M. for inspections needed the next business day
09/1.8;2001 11:50 FAX 5035981960 CITY OF TIGARD e1001
1 °ti ‘o19'i0\ 1 l - 7 r -0)
Mechanical Permit Ap o
Dam received: 9 89 O/ Permit no.: tileAt 4.3 �3 ' -
{r• t Expire date: r n
li •
City of Tigard • Projecdappl. no.: P v t
City ofTigard Address: 13125 SW Hall Blvd Tigard. OR 97223 Date issued: By: I Receiptno.:
Phone: 639-4/71
Fax: ( (503) ) 5 598 -1960 Case file no payment'type:
Land use approval: Building permit no.:
TYPE OF PERMIT
0 1 & 2 family dwelling or accessory Cl Commercial/industrial 0 Multi- family 0 Tenant improvement
0 New construction 0 Addition/alteration/replacement 0 Other
.lOB SITE INFORMATION COMMERCIAL VALUATION SCHEDULE
Job address: 90 (2 W A 1 Indicate equipment quantities in boxes below. Indicate the dollar
Bldg. no.: Suite no.: value of all mechanical materials, equipment, labor, overhead,
profit. Value $ - 7S�c,ag
Tax map /tax lot/account no.: _
Lot:: TB lock: I Subdivision: *See checklist for important application information and
Project name: , ' p 74 jurisdiction's fee schedule for residential permit fee. _ _t
Cit /count : i , ! I , MI . , „ ��E - a��r 1 & 2 FAMILY DWELLING PERMIT EEC, SCHEDULE
Description and location of of premises: 'IPZT AND CO5 151ERICAIJINDUSTRIALEQUIPMENTSC HEDULE
Iree(ea.) Total
Description Qty. Res. only Res. only
Est date of completion/inspection: .— - IiVAC
Tenant improvement or change of use: per' handling unit CFM
Is existing space heated or conditioned? 0 Yes 0 Nk 1 ' A co •tinning (Site plan required)
Is existing space insulated? 0 Yes 0 No - Alteration of existing H AC system r
..
IECIIANICAL'CONTRAGTOR Boiler compressors
Stine permit no•:
Business name: l J ' V d I . if • BM . .. • Tons BTU/1 -
r -
Address: � '5 r " %' • : /. • EKCO r►'t Fire /smoke dampers /duct smoke detectors _
S�1 'ate`/ / Fax: E-ma • r��� ZIP `gji eat pump (site .Ian required
Phone: il :/�; 4bt.; • i r , udin p ductwor k/� t liner ner O Yes D No � �
s
: no.: 7 t' 0 nstall/rcpla relocate • eaters - suspended, 111
City /metro lie. no.: ' 6 wall, or floor mounted
eat for appliance o er than urnace
Name (p lease print): Refrigeration: •
CONTACT PERSON Absotption units BTU/H
Chi — Hp
1, _ HP = �
Name: N ' Com.rs55ors
Address: , v i ronmeutal - ustan. ventilation: ■
utoirim it ZIP: t 7U' Applieace
Phone: ' ‘3- N7 3' =MEM E-mail: , : - s ' , �; r ; r' ryete aust res. lutchett/hazttrat � �
(lN�'1\I:It 'o' , Type
hood fire suppression system
* Exhaust fan with single duct (bath fans) -
Mailing address: 4 / D Sx aust system a • art from heatin • or AC i� —
e an • RI" ` button (up to • outlets) �
:
e: r p �
� _ T yp
ZIP: 0 3 Fu LPG NG Oil
4k / 21 Se - Fuel • t. ing each addition • over 4 out eta �
` ' ENGINEER ' roeess piping (schematicrequiced) ■ •
f
Number of outlets � -
c Cher app nee or equ pwent: 111 Address: 7// Decorative fireplace U—
' h „ State: Dv ZIP: ' ' 7 G Insert-type
oodstovelpelletstove M
Phone: `Z j>! _ax: E -mail: el er: —
Applicant's signature: C,. n "; Date: Ot.er: MN
Name (print): ° M*. /, .
Permit fee $
d
" j ,uird"''''' "`"'" credit c ods ' picze ella iutisdictinn for mote inrmmado Notice: This permit application Minimum fee $ . Drag.
r Visa ur MasterCard / / expires if a permit is not obtained Plan review (at _ %) $ (y Y Y 4
Credit card number, E within 180 days after it has been State surcharge (8%) $
Name ar censmda w shown on coedit card accepted as complete.
$ TOTAL $31(2- • `( 3
Cardhetder elpiwtw0 Amount 440.4617 ( 6I00/( . •OM)
,, 09/18/2001 11 : 51 FAX 5035981960 CITY OF TIGARD II 002
_... -
MECHANICAL PERMIT FEES
COMMERCIAL FEE SCHEDULE: 'I & 2 FAMILY DWELLING FEE SCHEDULE:
--.7-7
TO MALtIATION: .... . .
: Total
'TAL- .:•-: : ••••RE RM IT 'F.EE:':::•:../ . .. .• . : • .0 ,.,.. 0#0..ii::'-'•:7., ... .-: • - . ..
$1.00 to $5,000.00 Minimum fee $72.50 Tible1gMeChanical dikie .. . '.. .. . OtY .' 4E • , Arnt
$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
fraction thereof, to and including 2) Furnace 100,000 BTU+
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 ini permit T
$1.45 for each additional $100.00 or 8.80
---
fraction thereof, to and Including 6) Repair units
$50,000_...-.-- 12.15
$50,001• and up - $742.00 for dtrst $50,000.00 and Cheek All • ' Boiler Heat Air' ' . •
$120 for each additional $100.00 or For iterri47 see , ' or Pump Cond •
fraction thereof. - foOtnoteibeiciili• ,. b
• • • ' .: :•• • • • • - ... • " • • • • . • • • • ••:- •• " - - ... - 7) c3HP;absorb unit
Minimum Permit Fee $72.50 SUBTOTAL: $ to 100K BTU 14.00
----
8) 3-15 HP; absorb
--- 13% State Surcharge $ unit 100k to 500k BTU 25.60
•
9) 15-30 HP; absorb
25% Plan Review Fee (of subtotal) $ unit .51i1M 35.00
Required for ALL comnlerdis:LP rnits onl 10) 30-50 HP: absorb
TOTAL COMMERCIAL PERMIT FEE: $ unit 1-1.75 mil EiTh .-- 52.20
,
11) >50HP: absorb
unit >1.75 mil BTU , 87.20
i
12) Air handling unit to 10,000 CFM
'AStLINIE6iN/AIATAT10.N.S1PEWAPPLIANC5•:•Ki'.',::i:::;•.:•::: • • .10.00
Value Total - 13) Air handling unit 10,000 CFM+ •
Description: E('InAmo t 17.20
_
Furnace to 100,000 BTU, Including 955 14) Non-portable evaporate cooler
ducts & vents
Furnace > 100,000 BTU including 1.'------17T----1 15) Vent fan connected to a single duct .
ducts & vents . I 1 1 1U 8.80
__ _--
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 appilcance • 445 10.00
permit --------. 18) Domestic incinerators
Repair units 805 17A0
< 3 hp; absorb. unit, 955 19) Commercial or industrial type incinerator
_ ow- r
to 100k BTU 1--- 69.05
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
30-50 hp; absorb. unit, 3,400 22) More than 4-per outlet (each)
1-1.75 mll. BTU 1.00
>50 hp; absorb. unit, 5,725 Minimum Permit Fee $72.50 SUBTOTAL: ';2;Vi'. 1.00
>50 $
>:125
. _
Air handlin unit tO 10 000 cfM 656 8% State Surcharge -7".:;.•::i:;if...:■:iy:ii'•':.""•': $
Air handling unit >10,000 cfm 1.170 1::•• • •". •:•i••;••!n:1•:::
-------------
Non-, ortable ova. •rate cooler 656 TOTAL RESIDENTIAL PERMIT FEE: :f: ,..... '.::;r...!:;'..':: $
Vent fan connected to a sin le duct 446 iA
:
Vent system not included in 656 _---.
permit - appliance pe
- ___---------____.--. Other Insaections and Fees:
Hood served by mechanical exhaust 656 1. Inspections outside of normal business hours (minimum charge•two hours)
Domestic Incinerator --____ 1,170 rasa per hour.
., .
Commercial or Industrial Incinerator 4,590 2. Inspections for which no tee is Specifically Indicated (minimum charge-helf hour)
Other unit, including wood stoves, 656 3. $72.50 per hour
inserts, etc. t & Additional plan review required by chan re
ties, additions or visions to plans (mlnimt.
charge-one-half hour) $72.60 per hour
• ..claspIpjaqLi-L4. outlet I t__---2
L_..----- 360
Each additional outlet 63 *stge Contractor Boller Codification required for units >200Ic tru.
"Residential NC requires sito plan showing placement of unit.
TOTAL COMMERCIAL 4,o?.. 11;;:06 $
.
VALUATION: :,,:tf;s1,1; .:,,..,,..z6;. ( / l i g cCU
tAdsts1forrnskmec1-fees.doc 08/06/01 i 0 ' 3 `i
....--------,-,--
57 r ' h (f
CITY OF TIGARD 24 -Hour
BUILDING Inspection Line: (503) 639 -4175
INSPECTION DIVISION Business Line: (503) 639- 4171
6
Received Date Requested 5-- AM PM BUP • Location Suite MEC - 45') / 00 343 Contact Person �' • � Ph ( ) PLM
Contractor Ph ( ) SWR
BUILDING Tenant/Owner ELC
Footing
Foundation ELC
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 / r; U 7�
Fire Alarm 5/790 L C c� Pc - LO y L� hl. S 1 c / ' y ' S
Susp'd Ceiling
Roof .3 73& /75'7
Other:
Final
PASS PART FAIL
PLUMBING
Post & Beam
Under Slab
Water Service 014---fre) Water Se
Sanitary Sewer
Rain Drains t
Catch Basin / Manhole
Storm Drain
Shower Pan
Other:
Final
P FAIL
Rough -In
Gas Line
Smoke Dampers
PART FAIL -
E RICAL
Service •
Rough -In
UG/Slab
Low Voltage
Fire Alarm
Final Reinspection fee of $ required before next inspection. Pay at City Hail, 13125 SW Hall Blvd.
PASS PART FAIL
SITE Please call for reinspection RE: Unable to inspect — no access
Fire Supply Line
ADA
Approach/Sidewalk Date e Spector ✓ EXt
Other:
Final DO NOT REMOVE this inspection record from the Job site.
PASS PART FAIL