Permit C ITY OF T MECHANICAL PERMIT
PERMIT #: MEC2004 -00361
44 DEVELOPMENT SERVICES DATE ISSUED: 6/10/2004
13125 SW Hall Blvd., Tigar OR 97223 (503) 639 -4171 PARCEL: 2S112DA -01400
SITE ADDRESS: 06650 SW REDWOOD LN 290
SUBDIVISION: PP1996 -048 ZONING: I -P
BLOCK: LOT: 002 JURISDICTION: TIG
CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS:
TYPE OF USE: COM UNIT HEATERS: VENT FANS:
OCCUPANCY GRP: B VENTS W/O APPL: VENT SYSTEMS:
STORIES: BOILERS /COMPRESSORS HOODS:
FUEL TYPES 0 - 3 HP: 1 DOMES. INCIN:
ELE 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:
FURN > =100K BTU: < =10000 cfm: GAS OUTLETS:
> 10000 cfm:
Remarks: New heat pump & ductwork. Electrical permit required. Value: $5,000.
Owner: FEES
PACIFIC REALTY ASSOCIATES Description Date Amount
15350 SW SEQUOIA PKWY #300 -WMI [MECH] Permit Fee 6/10/200 $141.50
PORTLAND, OR 97224 [TAX] 8% State Surchari 6/10/200 $11.32
[MECPLN] Plan Rev 6/10/200/ $35.38
Phone: Total $188.20
Contractor:
PROTEMP ASSOCIATES INC
9788 SE 17TH AVE
PORTLAND, OR 97222 REQUIRED INSPECTIONS
Phone: Heating Unt Insp
hone: 233 - 6911
Duct Inspection
Reg #: LIC 38868 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 -6699.
Issued By: Permittee Signature: - ¶2Z' "v
Call (503) 639 -4175 by 7:00 P.M. for inspections neede the nexusiness day
Mechanical Permit '��I,, ' 6VED • FOR OFFICE USE ONLY
City of Tigard Daewsey V
Permit No.: ...�.� . v 1,/
13125 SW Hall Blvd., Tigard, OR 97224UN 10 2004 Da n By:
Phone: 503.639.4171 Fax: 503.598.1960 /hz- M1 . , �liI
' '\ Date/By: g'-/0 -, � Asa Other Permit:
Inspection Line: 503.639.4175 - ■ "" F • Date Ready/By: kris: ®See Page 2 for
Internet: www.ci.tigard.or.us CITY OF TIGAR® Notified/Method: Supplemental Information
BUILDING DIVISION
. , , TYPE OF WORK- . _ COMMERCIAL .FEE *. SCHEDULE' . - USE CHECKLIST
•
❑ New construction . Addition /alteration /replacement Mechanical permit fees* are based on the value of the work
performed. Indicate the value (rounded to the nearest dollar) of all
❑ Demolition 0 Other:
mechanical materials, equipment, labor, overhead, and profit.
Value: $
- - - CATEGORY. OF CONSTRUCTION - O,OO," ,
1- and 2-family dwellin o mmerciaUindustrial RESIDENTIAL'EQUIPMENT, /,SYSTEMS FEES*
I: y g . C ❑ Accessory building
❑ Multi- family ❑ Master builder ❑ Other: For special information use checklist.
Description I Qty. I Ea. I Total
• JOB SITE INFORMATION AND LOCATI Heating/cooling
Job site address: Air conditioning or heat pump
��� �Q t
l... 'j) 14/oo0 Z_�trG (requires site plan showing placement) 14.00
City/State/ZIP: T% yO�D Furnace 100,000 BTU (ducts/vents) 14.00 Furnace 100,000+ BTU (ducts/vents) 17.90
Suite/bldg. /apt. no.: T _ Project name:
ago F,aiA,w.uy in°n Gas heat pump 14.00
Cross street/directions to job site: Duct work 14.00
Hydronic hot water system 14.00
Residential boiler (radiator or
hydronic) 14.00
Unit heaters (fuel -type, not electric),
in -wall, in -duct, suspended, etc. 10.00
Subdivision: Lot no.: Flue/vent for any of above 10.00
Other: 10.00
Tax map /parcel no.: Other fuel appliances
DESCRIPTION OF WORK _ . - Water heater 10.00
Alp E _ Gas fireplace 10.00
A al,0 ie.e.%�✓ 3 Tdv 1.1•07ek .SQ' /iQC ?l tti De i Flue vent for water heater or gas
/fin F c=.✓/ sr.-, ,� J T Log
fireplace 10.00
t
Log lighter (gas) 10.00
Wood/pellet stove 10.00
Wood fireplace/insert 10.00
. ❑ PROPERTY OWNER . 00 TENANT Chimney/liner/flue/vent 10.00
Other: 10.00 _
Name: Environmental exhaust and ventilation
Address: Range hood/other kitchen
equipment 10.00
City/State/ZIP: Clothes dryer exhaust 10.00
Single -duct exhaust (bathrooms,
Phone: ( ) Fax: ( ) toilet compartments, utility rooms) 6.80
' ❑ APPLICANT ❑ CONTACT PERSON Attic /crawlspace fans 10.00
Business name: Other: 10.00
Fuel piping
Contact name: $5.40 for first four; $1.00 for each additional
Address: Furnace, etc.
Gas heat pump -
City/State/ZIP: Wall/suspended/unit heater
Phone: ( ) Fax: : ( ) Water heater
Fireplace
E -mail:
Range
' CONTRACTOR . Barbecue
Business name: p - CSC Clothes dryer (gas)
Other:
Address: cps 8 5 r 7 74-4,. Au= MECHANICAL PERMIT FEES * - is '
City/State/ZIP: l' p Ox 9• Subtotal J1/ / .(D
�+�` Minimum permit fee ($72.50)
Phone: (j ) X33 . 1/ Fax: (5 ) Z 3 V _976,7 Plan review (25% of permit fee) 3S r
- CCB lic.: State surcharge (8% of permit fee) 1 / 3 Z -
TOTAL PERMIT FEE /g 8 20
•
Authorized signature: This permit application expires if a permit is not obtained within 180
days after it has been accepted as complete.
Print name: Je . 01/ >r Date: G/� 0 / 0 4/ I • Fee methodology set by Tri- County Building Industry Service Board
i:\Building\Permits C- PennitApp.doc 12/03 440.4617T(I11/02/COM/WEB)
b a d
Mechanical Permit Application - City of Tigard
Page 2 - Supplemental Information
Commercial Fee Schedule: �Q
Total Valuation: . Permit Fee:, /1 a Y $1.00 to $2,000.00 Minimum fee $72.50
$2,001.00 to $5,000.00 $72.50 for the first $2,000.00 and $2.30
for each additional $100.00 or fraction 1>.
thereof, to and including $5,000.00. 1
$5,001.00 to $10,000.00 $141.50 for the first $5,000.00 and �
$1.80 for each additional $100.00 or 1 6 ' a ,P
fraction thereof, to and including J ��
$10,000.00. ,
$10,001.00 to $50,000.00 $231.50 for the first $10,000.00 and
$1.35 for each additional $100.00 or
fraction thereof, to and including
$50,000.00.
$50,001.00 to $100,000.00 $771.50 for the first $50,000.00 and
$1.25 for each additional $100.00 or
fraction thereof, to and including
$100,000.00.
$100,000.01 and up $1,396.50 for the first $100,000.00 and
$1.10 for each additional $100.00 or
fraction thereof.
Note: All new commercial buildings require 2 sets of plans.
•
i:\Building\Permits\MEC- PermitApp.doc 12/03 2
CITY OF TIGARD 24 -Hour
BUILDING Inspection Line: (503) 639 -4175
INSPECTION: DIVISION Business Line: (503) 639 -4171 MST
BUP
Received Date Requested `4° AM PM BUP
Location i ! d _ •.'lo: Suite f MEC � — - fi r'
Contact Person Ph ( ) 9 - CP ( 9 q PLM
Contractor Ph ( ) SWR
BUILDING Tenant/Owner ELC
Footing
Foundation Access: ELC
Ftg Drain ELR
Crawl Drain
Slab Inspection Notes: SIT
Post & Beam
Shear Anchors
Ext Sheath/Shear
Int Sheath/Shear
Framing
Insulation Mei
Drywall Nailing W V ,. �- . � � ��� WIMP : �
Firewall WI
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Other:
Final
PASS PART FAIL
PLUMBING �� \
Post & Beam
Under Slab - ' ._ 4
Rough - In �. •If �' _��
Water Service
Sanitary Sewer
Rain Drains
Catch Basin / Manhole
Storm Drain
Shower Pan
Other:
Final
PASS PART FAIL
MECHANICAL
Post & Beam
Rough -In
Gas Line
Smo. - campers
PASS) PART FAIL
RICAL j
Service
Rou9 In Ak gw�■I WNW
UG /Slab
Low Voltage MIUMNMINSE.Ma ��•
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: ❑ Unable to inspect - no access
Fire Supply Line
ADA
Approach/Sidewalk Date Inspector Ext
Other:
Final DO NOT REMOVE this inspection record from the job site.
PASS PART FAIL