Loading...
Permit • A CITY OF TIGARD MECHANICAL PERMIT � DEVELOPMENT SERVICES PERMIT #: MEC2001 -00083 r� II 13125 SW Hall Blvd., Tigar OR 97223 (503) 639 -4171 DATE ISSUED: 3/7/01 PARCEL: 1 S 126C0 -01107 SITE ADDRESS: 09400 SW WASHINGTON SQUARE RD SUBDIVISION: tORAISVINGTON SQUARE ZONING: C -G 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: BTU 15 - 30 HP: REPAIR UNITS: FIRE DAMPERS ?: 30 - 50 HP: WOODSTOVES: GAS PRESSURE: 50 + HP: CLO DRYERS: FURN < 100K BTU: AIR HANDLING UNITS FURN > =100K BTU: <= 10000 cfm: OTHER UNITS: > 10000 cfm: GAS OUTLETS: 1 Remarks: Gas piping only for new generator (replacement of diesel generator with gas). Owner: FEES PPR WASHINGTON SQUARE LLC Type By Date Amount Receipt BY MACERICH COMPANY PRMT CTR 3/7/01 $72.50 2720010000 ATTN: JANET FISHER, ASSET MGN 5PCT CTR 3/7/01 $5.80 2720010000 SANTA MONICA, CA 90407 Total $78.30 Phone: Contractor: REITMEIER MECHANICAL INC 7051 SW SANDBURG ST STE 400 TIGARD, OR 97223 -8011 REQUIRED INSPECTIONS Gas Line Insp Phone: 603 -0205 Reg #: LIC 63242 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 -0010L#hroue OAR 952 -101 -0080. You may obtain copies of these rules o direct questi +ns to OUNC by calling X63)24 -91 • . Issue y: ` .4 . ! / Permittee Signature: Call (503) 639 -4175 by 7:00 P.M. for inspections needed the ne f usiness day Mechanical Permit Application ul Date received: x/7/0 / Permit no.:/ /F'2)D1� 3 f A f 1 • �''Y: � City of Ti Project/appl. no.: Expire date: City of Tigard Address: 13125 SW Hall Blvd, Tigard OR 97223 Date issued: By: ..��� = erptno.: Phone: (503) 639 -4171 k Fax: (503) 598 -1960 Case file no.: Payment type: Land use approval: Building permit no.: TYPE OF 1' 'R1 IT ❑ 1 & 2 family dwelling or accessory X Commercial/industrial ❑ Multi- family ❑ Tenant improvement ❑ New construction ❑ Addition/alteration/replacement ❑ Other: JOB SITE INFORMATION COMMERCIAL VALUATION SCHEDULE 1 Job address: 94 $W 1.4.)ASt4 /AJ4 SQtlA Indicate equipment quantities in boxes below. Indicate the dollar Bldg. no.: lu(eQV iii /Asa 63?, I Suite no.: value of all mechanical materials, equipment, labor, overhead, Tax map /tax lot/account no.: profit. Value $ 233 2 • at' • Lot: IBlock: ISubdivision: 'See checklist for important application information and Project name: jurisdiction's fee schedule for residential permit fee. City /county: I ZIP: 1 & 2 FAMILY DWELLING PERMIT FEE SCHEDULE Description and location of work on premises: pt PLUG re/L AND COMMERICAL/INDUSTRIAL EQUIPMENTSCIIEDULE ILEP1.14C601 .WT 4.E /JE A.TDR. (II/ otM P) 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 ❑ No Air conditioning rati of existing plan C Is existing system 8 P Alterati of existing H VAC system ' MECHANICAL CONTRACTOR Boiler /compressors Business name: 2E1 TM.Ete/L. AkEG�( -4cJt C4(,,. State boiler permit no.: HP Tons BTU/H Address: '105 ( cu.) 5AnJr gQ4 2• • Sucre 400 Fire /smoke dampers /duct smoke detectors City: TGA� I State: MI ZIP: 43722;5 Heat pump (site plan required) Ph — G03- 0205 IFa03-403 -O/0 -mail: Install/replace furnace/burner BTU /H Including ductwork/vent liner ❑ Yes ❑ No CCB no.: 4)32,4. Z. Install/replace/relocate suspended, City /metro lic. no.: wall, or floor mounted Name (please print): , AJ So rJ Vent for a . • liance other than furnace CONTACT PERSON ' efngerason: Absorption units BTU/H c -�- Name: VO blA, So#41 Chillers HP Compressors HP Address: Environmental exhaust and ventilation: City: I State: I ZIP: Appliance vent P •,�. • _ , • — 02C Far — , i , a15 mail: Dryer exhaust OWNER Hoods, Type lUres. kitchen/hazmat hood fire suppression system Name: Exhaust fan with single duct (bath fans) Mailing address: Exhaust system apart from heating or AC City: I State: I ZIP: Fuel piping and distribution (up to 4 outlets) Type: LPG NG Oil I Phone: Fax: E -mail: Fuel i ing each additi nal over 4 outlets recess p p g (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 can jurisdiction for more information. Permit fee $ Notice: This permit application ❑ Visa ❑ MasterCard �7 Minimum fee $ 2 , SCE expires if a permit is not obtained Plan review (at % ) $ Credit card number Expir s ( with 180 days after it has been S • �v Name of cardholder as shown on credit card accepted as complete. State surcharge (8%) $ $ TOTAL $ 7f. 30 - Cardholder signature Amount 440 -4617 (6A0/COM) / L / O /'14 ) Q — & 1 1 / 6 - 1 0 , "ex... r L MECHANICAL PERMIT FEES , 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 $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* " 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 4 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 6 3 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 Boiler Certification required for units >200k BTU. "Residential A/C requires site plan showing placement of unit. i:\dsts \forms\mech- fees.doc 10/11/00 CITY OR TIGARD BUILDING INSPECTION DIVISION . MST 24 -Houfi Inspection Line: 639 -4175 Business Line: 639 -4171 BUP Date Requested ..3 -) " AM PM BLD Location 9 y" 6 54 " w 4- 5'( 5 CiV yvn) Suite MEC 7ti1)/ — t ) u 0 8.3 Contact Person Mo' Cit./A^ - ph 643 6 Z u PLM Contractor Ph SWR BUILDING Tenant/Owner ELC Retaining Wall ELR Footing Access: Foundation FPS Ftg Drain SGN Crawl Drain Inspection Notes: Slab SIT Post & Beam Ext Sheath /Shear Int Sheath /Shear Framing Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Misc: Final PASS PART FAIL PLUMBING Post & Beam Under Slab Top Out Water Service • Sanitary Sewer Rain Drains Final PASS PART FAIL. ANIICC ost ts< e� am - Rou In 41 -1 -e as • moke ampers F' ASS ART FAIL EC ICAL . Service Rough In UG /Slab Low Voltage Fire Alarm Final PASS PART FAIL SITE 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 D ate 9)) I ‘ 1) 1 Inspector Other - Ext Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site.