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15220 3W Aiderwoud Drive
CITYOF TIGARD MECHANICAL PERMIT
DEVELOPMENT SERVICES -cP.",iff#: MEC2002-00216
13125 SW Hall Blvd., Tigard, Ok 97223 (503) 639-4171 DATE ISSUED: 5/23/0?
PARCEL: 2S1'1 DB•05900
SITE ADDRESS: 15220 SW ALDERBRO0K.4;F
SUBDIVISION: SUMMERFIELO NO.7 ZONING: R-7
BLOCK: ! OT: 491 JL;2!1-n1c'rION: TIG
CLASS OF WORK: ALT FLOOR TURN: _ EVAP COOLS?S:
TYPE CF USE: SF UNIT HEATERS: VENT FANS:
OCCUPANCY GRP: R3 VENTS W/O APPL.: VENT SYSTEMS:
STORIES: _ BOILERS/COMPRESSORS _ HOODS:
_ FEEL TYPES 0 3 HP: 1 DOMES. INCIN:
3 - 15 HP: COMML. INCIN:
MAX IIJPUT: BTU 15 -30 HP: REPAIR UNITS:
FIRE DAPAPERS?: 30 -50 HP: WOODSTOVES:
GA'; PRESSURE: 50 + HP: CLO DRYERS:
FURN < 100K BTU: A!R HANDLING UNITS
TURN >=100K BTU: <= 10000 cfm: OTHER UNITS:
OUTLETS:
> 10000 cfm:
Remarks: Installation of exterior A/C unit. Cannot be placed in the required set backs.
Owner_ _ _ FEES
VIRGINIA DRUM Type By Date Amount Receipt
15220 SW ALDERBROOK DR. PRh1 CTR 5/23/02 $72.50 2720020000
TIGARD, OR 97223 5PCT CTR 5/23/02 $5.80 272002000C
Phone:503-624-0960 �__ _^ Tc'taS _ $78.30 —
71
Contractor:
COLUMBIA HEATING + COOLING INC
8900 SW BURNHAM
TIGARD, OR 97223 REQUIRED INSPECTIONS
Mechanical Insp
Phone:624-2704 Cooling Unt Insp
Reg #:LIC 7635u Final Inspection
PL%, 34-175
This permit is issued subject to the regulations contained in the Tigard Municipal Coc'e, State of Ore.
Specialty Godes and ail other applicable laws. All work will be done in accordance with approved
plans. This permit wil! expire if word: is not started within 180 days of issuance, or if work is suspended
for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted in the Oregon
Utility Notification Canter Those rules are set forth in OAR 952-001-0010 through OAR
952-001-0080. You may obtain copies of these rules or direct questions to OUNC by calling
Issue By: Permittee Signature:
Call (503; 639-4175 by 7:00 P.M. foi inspections needed the next business day � ��
Mechan ical'Fermyt Application
Date received: 3 Z Permit no.:(Y', W
��}`y !Dflc TigardProject/appl.no.: Expiredatc:
City of Tigard AddreAts: 13125 SW Hall Blvd,Tigard,OR 97223 - r------
Phone: (503) 639-4171 Date issued: _ LiIO Receipt no.:
Fax: (503) 598-1960 Case file no.: Payment t,PC:
Land use approval: -- Building permit no..
IS I & 2 family dwelling,or_;cessory U Commercial/industrial U Multi-family U Tenant improvement
U New construction Addition/altcration7r$placement U Other:
11
Job address: � �
�J Lia /) �Se d,1 ����� Indicate equipment quantities in hexes below. Indicate the duliar
_Bldg.no.: Suite no.: N alue of all mechanical materials,equipment,labor,overhead,
Tax map/tax lot/account no.: profit. Value$
Lot: Block: (Subdivision: *See checklist for important application information and
Project name: luri%dictiton's fee schedule for residentia; permit fee.
City/county: -r•-'- 7.IP_ ,- �
Description ane -at on of work on premises:-�4� : 1 1
�-y� Uee(ca.) fnlul
Est.dere of completion/inspection: Dege iptlou Qty. Res.e.dy Res.only,
Tenant improvement or change of use: Air handling unit CFM
Is existing space heated or conditioned?U Yes O No Air conditioning(sae plan require )
Is existing space insrlated7 U Yes U No A terauon o existing system --
Boiie�compressors
Business name: ,V State boiler permit no.:
.1LS,�- HP Tons BTU/H
Address: .,,,7- 4� -7 -Ptr smo c ampers/duct smoke detectors
City: �iA la4Slate: ZIP:1.7_L 3 I eat pump(site plan require ) ---
Phone: i 1 Fax:S mail: nsta I rep acefurnac urner__ -
Including ductwork/vent liner U Yes U No
CCB no.: 3.5 c2 nsta I rep ace re ocate eaters-sospen e .
City/m"lic.no.: � wall,or floor mounted
Name / /1f 'entfora lianceot erl an urnace
c .�_S t.. r
r Renal of n: ---
Absorption units
Name: ��N Dom¢/�.,/ Chillers__
Address: '{ Compressors IIP
City: State:- ZIP: Environmentaleexx iaust an ventilation:
Q7LZ,2_ Appliancevent
Phone: 70 Fax' 7d E-mail: rye—exhaust
Hoods,Type / res. ilc a azmat —
hood fire suppression sy .em
Name: L /f(,fin-� �j�� y� 2 Exhaust fan with single duct(hath fans)
_Mail-ing add ss t (r/ x gust s stem apart from beating or AC
City: / state;::5 ZIP: Fuelpiping andistribution(up to outlets)
_ Type: LPG _ NO Oil
Phone: �'' Fax: E-mai l• vt ca5 0JIt1ona over t e
ouls
Process piping(sc ematicrequire )
Number of outlets
Name: _ --- - - ------- -- - --�- ter sled■ppi anreore�Tqu pment:
Address:----_-_- - _ _— Decorative fireplace
City: _ State: ZIP: -_ -Insert-tyle�- -'---
Phone: Fax: E-mail: o-oTstovelpe etsii hove _
e(ri�F
Applicant's signatu Date:, _
Name l--
(print): 'a
Not VI jurirdfctirxu accept rtalit carols,pleauc call Jurisdiction A*momInhxraadan. Permit fee.....................$ _
Notice:This permit application
O Visa U MasterCard Minimum fec................
expires if a permit is not obtained
Crcdlt card rarmGer^_ _M L within ISO days atter it has been Plan review(at __ %) $
_-- State surcharge(8%)....$
Nai�/caWholdt- si ikon credit cud accepted as complete,
me
TOTAL .......................$
Cardboldet alpoure _��� Aeplrot 410-461'(MICOM)
MECHANICAL PERMIT FEES
COMMERCIAL FEE SCHEDULE: 1 &2 FAPtIILY DWELLING FEE SCHEDULE:
r TOTAL VALUATION: PERMIT I'EE: Description: -- T Prue Tatal
--
$1.00 to$5,000.00 Minimum fee 572,5f. Table 1A Mechanic::Code_ Qtv (Ea) Amt
i _ _ _ _ �-
$5,001.00 to$10,000,00 $72.50 for the first 55,000.00 and 1) Fumace to 100,0,0 BTU
$1.52 for each additional$100.00 or Including dont_4 ven!3 - 1400 _-
fraction thereof,to and including 2) Fumace 100,000 BTU+
_ - $10,000.00. includingducts&vents _ 17.40
$10,00.00 to$25,000_.0(1 $148.50 for the first$10,000 1`10 and 3) Floor Furnace
$1.54 for each additional$100.00 of including vent _ _ 14 00 --
fraction thereof,to and including 4) Suspended heater,wall heater
$25,0_00.00. _ _ or floor mounted heater 1400
$25,001.00 tc$50,000.00 $379.50 for the first e:5,000.00 and I 5) Vent not included in appliance permit
$1.45 for each additional$100.00 or
fraction thereoi,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: Boller 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$72.5t1 SUBTOTAL: 7)<31-113;absorb unit
a to 100K BTU 14.00
8°/.State Surcharge 8)3-15 HP;absorb 25.60
unit 100k to 500k BTU _
T - 25%Plan Review Fee(of subtotal) E 9)15-30 HP;absorb
_-_ Required for ALL.commercial permits only unit.5-1 mil BTU 35.00
TOTAL COMMERCIAL PERMIT FEE: $ unit
301.7 mi absorb
unit 1-1.75 ml BTU 52.20
-_ _.__ -----..--.__-- ' ------.-
11)>50HP;absorb
unit>1.75 mil BTU 87.10
,ASSUMED VALUATIONS PER APPLIANCE: 12)Air handling unit to 10,000 CFM
10.00
Value Total 13)Air handling unit 10,000 CFM+
Descri�lfon_ 4 _ Ea Amount t7.pp
Fumace to 100,000 BTU,Including 955 14)Non-portable evaporate cooler
ducts&vents 1000
Fumace>100,000 BTU including 1,170 15)Vent fan connected to a single duct
ducts&vents 13.80
Firxtr fumace indudinljvent 955 16)Ventilation system not Inc!uded in
Suspended heater,wall heater or 955 appliance permit 10.00
floor mounted heater 17)Hood served by mechanical exhaust
Vent not included In appiicance 445 10.00 _
_peLml! - 18)Domestic incinerators
Rualr unity 805 17,40
<3 hp;absorb.unit, 955 -
to 10%BTU 19)Commercial or Industrial type incinerator
_- 69.95
3.15 hp;absorb.unlit, 1,700
101 k to 500k BTU 20)Other units,Including wood stoves
-- 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: $
>1.75 mil.BTU_
Air handling unit to 10,000 dm 656 a _ 8%State Surcharge $
Air handling unit>10,000 cfm 1,170
Non-portable evaporate cooler 656
Vent fan connected+to a single duct _ 446 TOTAL RESIDENTIAL PERMIT FEE: $
Vent system not included In 656 _
a� Iiarp Via+permit _ _
Hood served b mechanical exhaust 656 Other Inde Ions and Fees:
-- 1 Inspections outside of normal business hours(minimum charge-two hours)
Domestic Incinerator _i_ _ 1,170 $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 $02.50 per hour
inverts,etc. 3 Additional plan review required by changes,additions or revisions to plans(minimum
Gag (ping 1-4 Outlets 360 rhargeons-half hour)E82 50 per hour
Each additional outlet 63
------ - - -- - State Contractor Boiler Certification required for units>200k BTU.
TOTAL COMMERCIAL a "Residential A1C requires site plan showing placement of unit.
VALUATION:r _ All New Commercial Buildings require 2 sets of plans.
I:klsts\frxms\mech-fees.r,oc 12/26.101
HEATING COOLING, INC
_.
p 0 BOX 230397 Tigard, OR 97281-0397
(503) 624.2704
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CITY OF TIGARD 24-Hour
BUILDING Inspection Line: (503) 639-4175
MST
INSPECTION DIVISION Business Line: (503) 639-4171 —
BLIP - --- --
Received �-Date Requested._�>__��/,' Z.G� AM PM _��- BUP
Location — -- 5-2 Z<> � �. -�- ui '_ �.� MEC ___
Contact Person -.--- Ph(--) Z PLM
Contractor—__^ —_ Ph(— ) — _____— SWR
BUILDING Tenant/Owner __ _—_�—
------ -- ------- - ELC -- -
Footing -V-------
Foundation Access: c ELC
Ftg Drain ELR
Crawl Drain l /l
Slab Inspect i otes: SIT
Post&Beam
Shear Anchors
Ext Shealhighear
Int Sheath/Shear
Framing ---- - - -- - --
Insulatior
Drywall Mailing --- ---
Firewall
Fire Sprinkler --
Fire Alarm
Susp'd Ceiling
Roof
Other: -- -----
Final
PASS_ PAA f FAIL
_PL_UMBING
Post&Beam
Under Slab ------------ -- --- - _
Rough-In
Wate; Service
Sanitary Sewer
Rain Drains ---
Catch Basin/Manhole
Storm Drain -- ---- - -- _-- -------------- ---
Shower Pan
Other: ---------- --- ------- -- -
Final
PASS PART FAIL -- ------ ---- ---------------_-�. --- -- -
��-
MECHANICAL
Post A Beam
Rough-In ------- - ---- ----
Gas Line
ISE —
Dampois - - - - -
PART FAIL
---- - _ - -- -- ----— ---- --
IC_A_L
LService -
Rough-In
UG/Slab
Low Voltage
Fire Alarm
Final Ll Reinspection fee of s_
PASS PART FAIL ,_ required before next inspection. Pay a:City Hall, 13115 SW Hall Olvd.
_
3ITE _ T _ [� Hlease call for reinspection RE:_. __— ------__ - �� Unable to inspect-no access
Fire Supply Line
ADA h �}
Approach/Sidewalk Data- ! Inspector-- -_-_ -. Ext
Oinar:--- ----- 1 _-
incl Da QT REMOVE this inspection record from tho joh site.
PASS PART FAIL.