Permit f
- , t
el • CITY OF TIGARD MECHANICAL PERMIT
A24 1 14 . 1 1 A DEVELOPMENT SERVICES PERMIT #: MEC2001 -00135
„�! 131 SW Hall Blvd., Tigard, OR 97223 (50 639 -4171 DATE I 4/26/01
PAARCRC : 1 1 513 S1346C -00300
SITE ADDRESS: 12280 SW SCHOLLS FERRY RD
SUBDIVISION: ZONING: C -G
BLOCK: LOT: JURISDICTION: TIG
CLASS OF WORK: OTR FLOOR FURN: EVAP COOLERS:
TYPE OF USE: COM UNIT HEATERS: VENT FANS:
OCCUPANCY GRP: U1 VENTS W/O APPL: VENT SYSTEMS: 1
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:
GAS PRESSURE: 50 + HP:
FURN < 100K BTU: AIR HANDLING UNITS CLO DRYERS:
FURN > =100K BTU: <= 10000 cfm: OTHER UNITS:
> 10000 cfm: GAS OUTLETS:
Remarks: Permit for venting for boiler.
Owner: FEES
BPP RETAIL LLC Type By Date Amount Receipt
BY BURNHAM PACIFIC PROPERTIES PRMT CTR 4/26/01 $72.50 2720010000
ATTN: JOHN WATERS 5PCT CTR 4/26/01 $5.80 2720010000
SAN DIEGO, CA 92101
Total $78.30
Phone:
Contractor:
WANG PARK CONSTRUCTION
8540 N MOHAWK
PORTLAND, OR 97203 REQUIRED INSPECTIONS
Mechanical Insp
Phone: 503- 289 -0193 Final Inspection
Reg #: LIC 128290
• 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 -001.0_ .rough OAR 952 - 001 -0080. You may obtain copies of these rules or direct que tions to OUNC by
calling (53)246 -9189. /
Issue k • , ' - G[ SG�0 j Permittee Signature: ,t I Cd
Call (50 ) 639 -4175 by 7:00 P.M. for inspections needed the next business day
4
• Mechanical Permit Application
Date received: ! D Permit no.: ► {fie 9m /-OO/ 35'
'.q i_ City of Tigard Project/appl. no.: Expire date:
CiryajTigard Address: 13125 SW Hall Blvd, Tigard OR 97223 Date issued: By: Receiptno.:
Phone: (503) 639 -4171
Fax: (503) 598 -1960 Case file no.: Payment type:
Land use approval: Building permit no.:
❑ I & 2 family dwelling or accessory Commercial/industrial ❑ Multi - family 0 Tenant improvement
0 New construction Addition/alteration /replacement ❑ Other.
JOB SITE INFORMATION COMMERCIAL VALUATION SCHEDULE
Job address: 1 2_Z : 4 s w .. „(l S F e _v -y r) 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: IBlock: I Subdivision: 'See checklist for important application information and
Project name: jurisdiction's fee schedule for residential permit fee.
City /county: `T - 4 5tirei I ZIP: 41 a-3-; 1 & 2 FAMILY DWELLING PERMIT' FEE SCHEDULE
Description and location of work on premises: AND COMMERICAL /INDUSTRIAL EQUIPMENTSCI EDULE
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
space insulated? 0 Yes ❑ No Al conditioning rati fxi existing plan HVAC Is existing system
g P Alterati of existing HVAC system
MECIIANI CONTRACTOR Boiler /compressors
kA.) State boiler permit no.:
Business name:
cox po HC, C...6 m S'F u IrC'F 1 cev► HP Tons BTU /H
Address: g N ,Mnu\ tc Fire /smoke dampers/duct smoke detectors
`
City: e> r -- ' State: j (2.. I ZIP: 4 C). y2, Heat pump (site plan required)
Phone: ...\ ' I Fax: ° � - 0 fJi E - mail: Install/replace furnace/burner BTU /H
CCB no.: g 2-1 39-5 - C� a Including ductwork/vent liner O Yes O No
Instal Ureplace /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: Chillers HP
Address: Comyressors HP
Environmental exhaust and ventilation:
City: I State: I ZIP: Appliance vent
Phone: Fax: E -mail: Dryer exhaust
OWNER Hoods, Type I/ 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: 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
Process piping (schematic required)
Number of outlets
Name: Other listed appliance or equipment:
Address: Decorative fireplace
City: I State: I ZIP: Insert-type
Phone: I Fax: I E -mail: Woodstove/pelletstove
Other:
Applicant's signature: I Date: Other:
Name (print): _
Not all jurisdictions accept credit cards. please call jurisdiction for more information. Permit fee $ - 7g 5 V
O Visa O MasterCard Notice: This permit application Minimum fee $
Credit card number: / / expires if a permit is not obtained Plan review (at %) $ p
Expires within 180 days after it has been State surcharge (8 %) .... $ • _ r O v
Name of cardholder as shown on credit card accepted as complete.
. $ TOTAL $ 78,60
Cardholder signature Amount 440 -4617 (6/00/COM)
MECHANICAL PERMIT FEES
E
COMMERCIAL FEE SCHEDULE:
1 & 2 FAMILY DWELLING FEE SCHEDULE:
TOTAL VALUATION: FEE: Description: Price Total
$1.00 to $5,000.00 Minimum fee $72.50 Table 1A Mechanical Code Qty (Ea) Amt
$5,001.00 to $10,000.00 $72.50 for the first $5,000.00 and 1) Furnace to 100,000 BTU
including ducts & vents 14.00
$1.52 for each additional $100.00 or 2) Furnace 100,000 BTU+
$10,000.00.
fraction thereof, to and including 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 Check all that apply: Boiler Heat Air
$1.20 for each additional $100.00 or For items 7 -11, see or Pump Cond
fraction thereof. footnotes below. Comp* "
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 Permit Fee $72.50 SUBTOTAL: $
Commercial or industrial incinerator 4,590
Other unit, including wood stoves, 656 8% State Surcharge $
inserts, etc.
Gas piping 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: $
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 Boller Certification required for units >200k BTU.
"Residential NC requires site plan showing placement of unit.
is \dsts \forms\mech- fees.doc 10/11/00 r( ' L
r
BUP - Building Permit ELC - Electrical Permit
4 Inspection Description Date Passed By Inspection Description Date Passed By
Footing /Setback Underground cover
Foundation walls Wall cover
Footing drain Ceiling cover
Waterproof bsmt walls Electrical rough -in
Slab Electrical service
Crawl drain Electrical final
Underfloor insulation
Post/beam structural
Shear walls /anchors ELR - Restricted Energy Permit
Roof nailing 4 Inspection Description Date Passed By
Firewall Low voltage
Tilt -up panel Electrical final
Masonry/Reinforcement
Framing
MFG - Structure set -up MEC - Mechanical Permit
Insulation
Drywall nailing 4 Inspection Description Date Passed By
_ Post/beam mechanical
Suspended ceiling Gas line
Engineered soils Mechanical rough -in
Welding Lab Final
Concrete Lab Final Fire damper
Bolting Lab Final _ Duct work
Structural observation Smoke detector
Fireproofing Lab Final Mechanical final 4i zed 6s 1e
t) 2 r4
Final inspection 0 t Q2
PLM - Plumbing Permit
BUP — Fire Protection System Permit Inspection Description Date Passed _ By
Plumbing underslab
J Inspection Description Date Passed By Crawl drain
Sprinkler underfloor /slab Post/beam plumbing
Sprinkler rough -in Plumbing top -out
Sprinkler final RP /backflow preventer
Fire alarm final Rain drain
Storm drain
Water service
SIT - Site Permit Sanitary sewer
Inspection Description Date Passed By Culvert/catch basin
Footings Pump /fill septic tank
Foundation walls Plumbing final
Sprinkler supply lines
Sprinkler underfloor /slab
Catch basin/Manhole SWR - Sewer Permit
Engineered soils 4 Inspection Description Date Passed By
.Engineering acceptance Sanitary sewer
Final inspection Final inspection
Inspection Record - BUP, PLM, SWR, ELC, ELR, MEC, SIT Permits
is \dsts\ forms \InspRecordBUP.doc 04 /17/01
CITY OF TIGARD MECHANICAL PERMIT
y 147:1J1 , ,, DEVELOPMENT SERVICES PERMIT #: MEC2001 -00135
" 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: PARCEL: 1SI3 4/26/01
ARL 1 S134BC -00300
SITE ADDRESS: X60 SW SCHOLLS FERRY RD
SUBDIVISION: C -G
BLOCK: — / — LOT: JURISDICTION: TIG
CLASS OF WORK: OTR FLOOR FURN: EVAP COOLERS:
TYPE OF USE: COM UNIT HEATERS: VENT FANS:
OCCUPANCY GRP: U1 VENTS W/O APPL: VENT SYSTEMS: 1
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:
GAS PRESSURE: 50 + HP: CLO DRYERS:
FURN < 100K BTU: AIR HANDLING UNITS OTHER UNITS:
FURN > =100K BTU: < =10000 cfm: GAS OUTLETS:
> 10000 cfm:
Remarks: Permit for venting for boiler.
Owner: FEES
BPP RETAIL LLC Type By Date Amount Receipt
BY BURNHAM PACIFIC PROPERTIES PRMT CTR 4/26/01 $72.50 2720010000
ATTN: JOHN WATERS 5PCT CTR 4/26/01 $5.80 2720010000
SAN DIEGO, CA 92101 -
Total $78.30
Phone:
Contractor:
WANG PARK CONSTRUCTION
8540 N MOHAWK
PORTLAND, OR 97203 REQUIRED INSPECTIONS
Mechanical Insp
Phone: 503 - 289 -0193 Final Inspection
Reg #: LIC 128290
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 -001 through OAR 952 - 001 -0080. You may obtain copies of these rules or direct que tions to OUNC by
calling -9189. '-
J .
Issue y: i'` ,_ a �'- ', Pe rmittee Signature: ,}�{ <- '/ — ' Call (50 175 by 7:00 P.M. for inspections needed the next business day