Permit CITY TIGARD MECHANICAL PERMIT
• I� DEVELOPMENT SERVICES PERMIT #: MEC2002 -00489
r �13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 11/6/02
PARCEL: 2S112DD -00701
SITE ADDRESS: 15832 SW UPPER BOONES FERRYRD BLD.0
SUBDIVISION: OREGON BUS. PARK II ZONING: I -P
• BLOCK: LOT: JURISDICTION: TIG
CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS:
TYPE OF USE: COM UNIT HEATERS: VENT FANS:
OCCUPANCY GRP: 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: 420.000 BTU 15 - 30 HP:
FIRE DAMPERS ?: N 30 - 50 HP: REPAIR UNITS:
GAS PRESSURE: M 50 + HP: WOODSTOVES:
FURN < 100K BTU: 1 AIR HANDLING UNITS CLO DRYERS:
FURN > =100K BTU: <= 10000 cfm: OTHER UNITS: 1
> 10000 cfm: GAS OUTLETS: 2
Remarks: installation of gas line serving two appliances. a unit heater and a oven
Owner: FEES
PACIFIC REALTY ASSOCIATES Description Date . Amount
15350 SW SEQUOIA PKWY #300 -WMI
PORTLAND, OR 97224 [MECH] Permit Fee 11/4/02 $72.50
[MECH] Permit Fee 11/4/02 $0.00
[MECPLN] Plan Rev 11/4/02 $18.12
Phone: [MECPLN] Plan Rev 11/4/02 $0.00
Contractor: [TAX] 8% StateTax 11/4/02 $5.80
[TAX] 8% StateTax 11/4/02 $0.00
CHARLIE HALL PLUMBING Total $96.42
4826 SE 61
PORTLAND, OR 97206 REQUIRED INSPECTIONS
Phone: 503 - 774 - 2686 Gas Line Insp
Mechanical Insp
Reg #: 130043 Heating Unt Insp
Final Inspection EXPIRED
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore.
Specialty Codes and all other applicable laws. All work will be done in accordance with approved
plans. This permit will expire if work is not started within 180 days issuance, or if work is suspended
for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted in the Oregon
Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR
952 - 001 -0100. You may obtain copies of these rules or direct questions to OUNC by calling
(503)246 -6699 _
Issued By: %yi t_ .� . . / i Permittee Signature: /2 �� �� /yt�
Call (503) 639 -4175 by 7:00 P.M. for inspections needed the next business day
ED l ir; 5" oz_
'Mechanical Permit Application
Date received: ii I g 1 02,.. PencOt 1- err itD 9
. .,� ., Ci of Tigard
+ � City g Project/appl. no.: Expire date:
City ofTigard Address: 13125 SW Hall Blvd, Tigard OR 97223 Date issued: By: I Receipt no.:
Phone: (503) 639 -4171
Fax: (503) 598 -1960 Case file no.: Payment type:
Land use approval: Building permit no.: • . TYPE OF PERMIT -
❑ I & 2 family dwelling or accessory - ErCommercial/industrial ❑ Multi- family ❑ Tenant improvement
❑ New construction 0 Addition/alteration /replacement ❑ Other:
_- -- -- - 1.OB.SITE- ;INFORMAT1ON__ —. -.__ _ __._ _ ,-COMMERCIAL VALUATLON _SCIIEI).ULE,_
Job address: 5 ' J S (J U ' ° () O J$ ' ndicate 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! $ Ste' . -,
Lot: (Block: ISubdivision: *See checklist for important application information and
Project name: jurisdiction's fee schedule for residential permit fee.
City /county: -i P. (l- -R- G I ZIP: q`7d y. /1 1 & 2FAMILY PERMIT FEE SCHEDULE
Description and location of work on remises: d �� S V. re • AND COMMERICAL/INDUSTRIAL EQUIPMENTSCHEDULE
p pro 6-R A - t - rW ro 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 0 No Air handling unit CFM
g p Air conditioning (site plan required)
Is existing space insulated? ❑ Yes ❑ No Alteration of existing HVAC system
• •': ,?...' . MECIIANICAL CONTRACTOR - Boiler /compressors
' n State boiler permit no.:
Business name: t ) t e_ l)' �t� ( ( 1 - HP Tons BTU /H
Address: y 57.1 ( C E G / , Fire/smoke dampers/duct smoke detectors i
City: (Pa jl. I Staten "4 I ZIP: (.1 ;Lo (, Heat pump (site plan required)
Phone: -74 Z 6 3- b I Fax: E -mail: - Install/replace BTU /H
Including ductwork/vent liner 0 Yes O No
)1_ CCB no.: ( 3 ( H 7 Install/replace/relocate suspended,
City /metro lic. no.: wall, or floor mounted
kr-. Name (please print): C—l'4 - 1N-;t 1 . e t 0 L (.. Vent for appliance other than furnace
CONTACT PERSON Refrigeration:
•
I i Absorption units BTU /H
Name: '2 Chillers HP
(7 (— 41W
® ,,,Compressors HP
Address: / f;( 3 of , - G(,! , l] , y " ��
Environmental exhaust and ventilator
City: • Mao State L ZIP: C'' 7 V Appliance vent
14\ Phone: - 3 - c) Fax: E -mail: Dryer exhaust
O�VINER Hoods, Type I/ 11/res. kitchen/hazmat
hood fire suppression system
Name: "RO )') L y7 / 3 Exhaust fan with single duct (bath fans)
Mailing address: /1 j)Z Exhaust system apart from heating or AC
g /�t�3� Sct... UFG� U e��U
City: ((,�-`1� I State:/j7 /
% ate Fuel p pt d distribut (up t outlets)
�` Type: iiP LPG NG » Oil ,�
Phone: Fax: E -mail: Fuel piping each additional over 4 outlets '
ENGINEER 1 ' rocessptpmg (schematic required)
Number of outlets
Name: Other listed appliance or equipment:
Address: Decorative fireplace
City: I State: I ZIP: Insert — type FXP0 g
x: i I E- ail: Woodstove/pellet stove
12) Phone: Fa
` I � I � ►J C
Applicant's signature: �. Date: � V 4 0 Other: . �
Name (print):
Not all jurisdreuons accept credit cards, please call jurisdiction for more information. Permit fee $ 7 /� ,50
❑ Visa 0 MasterCard Notice: This permit application Minimum fee $ U
Credit card number. / / expires if a permit is not obtained Plan review (at %) $ / 0 , (;`
E within 180 days after it has been
State surcharge (8 %) $ 5 , s
Name of cardholder as shown on credit card accepted as complete. TOTAL $ 9l0 • '7'2
Cardholder signature Amount 440 -4617 (6/00 /COM)
a6 .r c ,c t 9 e s ,
_
�•, yep a w
MECHANICAL PERMIT FEES `,
COMMERCIAL FEE SCHEDULE: 1 & 2 FAMILY DWELLING FEE SCHEDULE:
TOTAL' VALUATION: PERMIT 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
$1.52 for each additional $100.00 or including ducts & vents 14 00
fraction thereof, to and including 2) Furnace 100,000 BTU+
$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 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
Minimum Permit Fee $72.50 SUBTOTAL: $ 7) <3HP; absorb unit
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
ASSUMED VALUATIONS PER APPLIANCE: 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 00
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
101 k 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: $
• >1.1. 75 mil. BTU '
Air handling unit to 10,000 cfm 656 8% State Surcharge $
Air handling unit >10,000 cfm 1,170
Non - portable evaporate cooler 656 TOTAL RESIDENTIAL PERMIT FEE: $
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:
1 170 • 1 Inspections outside of normal business hours (minimum charge - two hours)
Domestic incinerator $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.
TOTAL COMMERCIAL $ ** Residential A/C requires site plan showing placement of unit.
VALUATION: All New Commercial Buildings require 2 sets of plans.
is \dsts \forms\mech- fees.doc 02/11/02
, . .
;',:lii• ' • . . : ? . ;' ' , ii; Iiii.
. • :,. ., - . _ _ , , -- .
. I
.1
I
V .....I
; • , ,
. ‘'.., s5 3/4
I:1 • .
:it) 1 0 1 k Le_ Kil- 1-1
I -... ch 16o - - - , •
.--...,
.:1 . .
N
. SKC :
...
-- ;11
1 4 . iz 61 .• • • 4,4 ''-' ''.% 'cl
1 t ,.. i 6 L ;lc 1 f 4 e e , 11 Le- •
1 . DR‘P .•••••(.... , 2.: . • , -.,....„...
7.6:. • 11. " - ' - ' . . '
.51' 1■ ' •:'; -1 . . ,..
...1 Le2r- . -"- , < <, • ' <.<- - ".-.:.,
.....1
( 5C../4 le te ._. . •
-f f: ft-t-tys', ? R. Ss tiuc bq Ci . k? i'". . ' '• ...- ' .,-`,..-;;;-:::
1; :':-',.:,- •,'''''' ',. :',.,•':, ' :::;- '''' .-,'
: ''..; . . :' ' -1 ',-, "' " -',.`•‘,• •,.
I i i „,,,. ,,,,..:.,:i i,,,..'.:'...,:,:,....:-.1,':„,:.'.::.,:y.,..i..i.-',..,:.:,:,,,,':',...",'.::.:','..,,,,I.'",,ii,:;,,,,..'":',.,.:;.1..:::-:::::.,i-",.'-`7:1::::,',...'::;-,i.",1.':::.:7,-;:,54.:::.
A el:
--i
.-C4 •
1
i m •
:,-1 X ' . . - :4 •• . , ' , . . .' ',
•
- ;A •
• •
Ali
•
--- -4:1,, - ,-.•:-,."-,-;:.- - -'-'-':./'.;
. .
.
A ..
..,. -
. L ,
....4.....".... .
' • ';'.•. ......*;;:! 31 :. T i .7.: ,...',,,,,,...,,:::...
.r■ . '=)GIN ''.' , : ' ,',? . . 'Ti'
•
• ' : ' 6.1. y,'. 1 ; ._.; - -._': ,,, .,L;',,':f, 4
• 1 o psi .- ■ . • • ,. •,,„
CITY OF TIGARD - .. ;-;,.:-:,v
:14 PAt ' .
" ,-',,.
Approved
' 4 A
• z S NI\r-.Nr•—• ■ - Conditionally Approved ( ): • ; :,..:'.;:i-,___- , , ..• - i ... - "..;.
a - ' ; '1
PERMIT NO gi:i
For only•the work as described in:
.. , . - 111AF7 - 24:07. - CO L I 9 •
• ,••-„ ,.
.1 See Le pr 0: Follow ( ): _ ..
I n• -, •, -, 4:..,,A,427,',.,
: ;.3 I i 1 6 tta0 rs . ry ,--- r i ( ): r-,,,/ i l • 1 ',};
Job A. ress 3 ,9, SW OPreK 1 6 S f I ' ' .I;..'',.!
..i cAP
' • • • • Bye 4 . Date: I I 6 i ' ,. .-,. - .1r. - • ,.; -.--,. ..,t2. ,::
• r • ft :"., ,1; , ." , 1 •"" .,-
• • 049 *00 iioiie •
• •
.1 •
•• •• • • • • ••• • . ' I •,''''. 1 ••= 'ti -;. ' • , -.V.i -'41.
3 /4 /H1
ii •• ' ' - 'r. -- ' • ' , . •''' ' '', , .A-:"..'" `'-:
a ' • . 1 - a% l.± -tc4 f
• • • • • • ••• ••• .
. - -,:-....... ' ..i ;
• • • • • • • • • -.;),
• • • • • • • • '-' I ' .',;;' - r ;
• • • • • • • • • • • • • ; ' %, ';•-:' Ate if,..k
• • • • • • • • • • • ki Q 0 -
• • • • • • . • • , •,.:.; —T • ,..- --,-..."..• .-,7
• -
1 . 1 . 1 .,- .4.6 s:•:',..'..,•..-.,'"-,--;',1.'••,•it'.;:-,i'.
. . • ;1-:-, ---,',', -::, -4 , ..c.,:,...-
• 1J 0 1 -1-. I , ' •
• ' . '; ; ., • r- -• ? :;:) , ::4
• • • • • • • • • • •
: • • • • • • • • • i • . :,;:- ..i .
. -. .
• •
• •
•• • • ••• OW • 1 • ••;',:,,1: .
1 :-: . • • • • • • • • • • • • • ,e
f
• • • • • • • • • • • • • •
•• • • • • •• •• •• • l'rra V _ ,t....44. ,• • .,,i.., .,-:.„.--.-•,,,,:-,,.%_:•.c.,
4F, ,,,,::•:., ,:.,-,.. .
, ,,. ,„••••: f --,,': , - •--".-..:, _,
Tr • ) i 1: :.--'-'• = t . - =. - t - ',..',
' f'. -,•-,•, _,..;''c'c '. .';': ■-1. , t.
4- - ---... — —
', '' • . t- .i ' ' - -','. '
• " ''' " i •• '', - -
, '
CITY OF TIGARD 24 -Hour
BUILDING Inspection Line: (503) 639 -4175
INSPECTION DIVISION 1 Business Line: (503) 639 -4171 MST
BUP
Received Date Requested t AM PM ti BUP
Location / S '3 Z ter U 0+ L4 Suite Fellit MEC — De Vef
Contact Person Ph ( 306 3 7 q4-1 U PLM
Contractor Ph ( ) ? 7 " 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
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 EXPIRED
P ASS PART FAIL
MECHANICAL
st & Beam
R ou. .- n J
Smoke Dampers
ASS AR F AIL
EECRICAL
—
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 reins ection RE: ❑ Unable to inspect — no access
Fire Supply Line
ADA
Approach/Sidewalk Date Inspecto Ext
Other:
Final DO NOT REMOVE this Inspection record from the job site.
PASS PART FAIL