10085 SW CENTURY OAK DRIVE G
C)
00
ul
n
m
z
c
O
D
C
100E 5 SW CENTURY OAK LAR
�o�wlpi ■n w c
C1 ry OF I I GA,R D __ MECHANICAL PERMIT_—
DEVELOPMENT SERVICES PERMIT#: MEC2001-00256
13125 SW Fall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 7/16/01
PARCEL: 2S 111 CC-00600
SITE ADDRESS: '10085 SW CENTURY OAK DR
SUBDIVISION: SUMMERFIELD PH 2 ZONING: R-7
BLOCK: LOT. 003 JURISDICTION: TIG
Cl ASS OF WORK: OTR FLOOR FURN: EVAP COOLERS:
TYPE OF USE: SF UNIT HEATERS: VENT FANS:
OCCUPANCY GRP: R3 VENTS W/O APPL: VENT SYSTEMS:
STORIES: _ BOILERS/COMPRESSORS HOOD:,:
FUEL TYPES 0 3 HP: 1 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.
OTHER UNITS:
FURN >=100K BTU: <= 10000 cfm:—
> GAS OUTLETS:
10000 cfm:
Remarks: Installation of a/c unit. Placement of a/c unit must comply with standard setbacks.
Owner: — _ —� FEES _ --
KATHY DELUCCA Type By Date Amount Receipt
10085 SW CENTURY OAK DR PRMT CTR 7116/01 $72.50 27200100';c
TIGARD, OR 97224 5PCT CTR 7/16/01 $5.80 272001000C
Phone: 503-639-7777 — Total $78.30—
Contractor:
AAA HEATING + COOLING
2915 NE MARTIN LUTHER KING BLV
PORTLAND, OR 97212 REQUIRED INSPECTIONS
Cooling Unt Insp
Phone:284-2173 Final Inspection
Reg #:LIC 222
EXkIR F D
This permit is iseu + subject to the regulations contained in the Tigard Municipal Code, State of O,e.
Specialty Codes and all other applicable laws. All work will be done in accordance with approved
plans This permit will expire if work is not started within 180 days of issuance, or if work is suspended
for rr,ore than 180 days. ATTENTION: Oregon law requires you to follow rules adopted in the Orego,i
Utility Notification Center. Those rules are set forth in OAR 952--001-0010 through OAR 952-001-0080.
You rthay obtain co les of h rules or,direct questions to OUNC by caping (503)246-9189.
Issue By: �' �Q� Permittee Signature:
Call (503)' 9-4175 by 7:00 P.M. for inspections needed the next business day
Mechanical Permit Appjkoon
Date received: '� Pe/ Permit no.: /(,I �J-z2 j
City of Tigard , 'lQQ� Project/appl.no.: Expire date:
City of Tigard Address: 13125 SW Hall Blvd,Tigard, l i 9 221 rcNl pate issued: By: Receiptno.:
Phone: (503) 639-4171
Fax: (50.)) 598-1960 �K�11 eEV� Case file no.: Payment type:
Ce�M 1�l
Land use approval: Building permit no.:
TVIIE OF
I &2 family dwelling or accessory U Commercial/industrial U Multi-family U Tenant improvement
U New construction U Addition/aLcratiolt/re.placement U Other:
JOB SITE INFORMATION
Job address: rI CPT, Mate equipment quantities in boxes below. Indicate the dollar
Bldg.no.: Suite no.: value of all mechanical materials,equipment,labor,overhead.
Tax map/tax lot/account no.: profit.Value$
Lot: Block: Subdivision: *See checklist for important application information and
Project name: jurisdiction", foe schedule for residential permit Ice.
City/county: ZIP:
Description and location of work on premise • ' 1 1
C`) �,\ LCLS . Fcc(ea.) 'Total
list.date of completion/inspection: - Ik uriplion Q0. Ise..only Raw.onh
Tenant improvement or change of use: I I
Air handliugunit CFM
Is existing space heated or conditioned: 'J Yes U No r con,Itioning(site plan require )___
Is existing space insulated?U Yes U No ierat on of existing HVAC system T
LIM en ompressors
Business name Statc boiler permit no.:
HP Tons BTU/H
Addressj`_' Fir smo a ampere/ uctsmo a electors
City St ZIP: eat pump(s to plan required)
Phone - - Fax: Email: Hetet rep ace urnac umer
Including ductwork/vent liner U Yes O No
CCB no` nsta replace relocate enters-suspen e
City/metro lic.no.: wall,or floor mounted
Name(please print): Vent fttt appliance other t an furnace
UONTrU PERSON of geral on:
Absorption units BTU/H
Natne:��, r, t Chillers HP
Com ressors HP
Address: 1111v ronmenta ez ust an —ve-Rill-fion-
StIt.: ZIP: Appliance vent _
Phone: Fax: E-mail: �ryerezhaust
Hoods, Type 17 res. itc en/tazmal
hood fire suppression system —
Name. Exhaust fan with single duct(bath fans)
Mailing address: t
Exhaust systema art from ieaun or C
Fuel piping ant st ton(up to 4 outlets)
Citi
Stat(. IP:j-7 1 �3)` Ty LIK; NU Oil
Phon - I a� E-mail:
piping additional over nut csvn
rocesspiping(sc ematicrequirc )
NUmhl'r of outlets
Name: Other listed appliance or equipment:
Address: Decorative fireplace
City; State: ZIP: Insert-type
Phone: I ax: E-mail: Woodstovefpcilet stove
Ot er.
Applicant's signatu Dale:'111 1 Other:
Name (printf`_ _Z r
Not all jurisdictions accept credit cards,please can Jurisdiction for Amore information. It fee ............. ..$
. _
❑VISA U MasterCard Notice:'This permit application MMiniinimum feeee..... . . ......$
expires if a permit is not obtained plan review(at _ %) $
Credit card number — Es( pit/ within 180 days after it has been
accepted as complete. State surcharge(896)....$ _ it
Name of cardholder ass own on credit c r r
$ TOTAL ......................$ _
-- Ca►dholder signature Anroum i,� � �`j 4101617(ISMCOM)
, ?1. D
MECHANICAL PERMIT FEES
COMMERCIAL FEE SCHEDULE: 1 & 2 FAMILY DWELLING FEE SCHEDULE:
Description: Price Total
TOTAL VALUATION: FEE: Table 1A Mechanical Code Qty (Ea) Amt
$1.00 to$5,000.00 Minimum fee$72.50 1` Furnace to 100,000 BTU
$5,001.00 to$10,000.00 $72.50 for the first$5,000.00 and including ducts&vents _ 14.00 --
$1.52 for each additional$100.00 or Furnace 100,000 BTU+
fraction thereof,to and including 'ncluding ducts&vents 1 7_40 _-
$10 OOO.UO.
$10,001to.00 $25 0 $13) Floor Furnaceace00.00 $148.50 for the first
0,000.00 and including vent _ 14.00 _
$1.54 for each additional$100.00 or 4) Suspended heater,wall heater
traction thereof,to and Including or floor mounted heater 14.00
$25,0 0.00. 5) Vent not included in appliance permit
$25,001.00 to$50,000,00 $379.50 for the first$25,000.00 and 6M
$1.45 for each additional$100.00 or Repair it
fraction thereof,to and including 6) units 12.15
$50000-00.
$50,001.00 and up $742.00 for the first$50,000.00 and Check all that apply: Bailer Heat Air
$1.20 for each additional$100.00 or For items 7-11,see or Pump Cond
fraction thereof. footnotes below. Come
7)<3HP;absorb unit
__ -- to 100K BTU 14.00
ASSUMED VAI DATIONS PER APPLIANCE: _ 8)3-15 HP;absorb z5 so
Value Total unit 100k to 500k BTU - --
Description: Q I Ea Amount g)15 30 HP;absorb
Furnace to 100,000 GTt. Including 955 unit.5-1 mil BTU _ 35_00
ducts&vents 10)30-50 HP;absorb 52.20
Furnace>100,000 BTU including 1,170 unit 1-1.75 mil BTU -
ducts&vents - 11)>50HP:absorb
Floor Nil ace inciudin vent 955 unit>1.75 mil BTU 87.20 --
Suspended heater,wall heater or 955 12)Air handling unit to 10,000 CFM 10.00
floor mounted heater _ -
Ventt In
nocluded In appiicance 445 13)Air handling unit 10,000 CFM+
17 20
ermit -
Re air 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 18)Ventilation system notIncluded in
15-30 hp;absorb.unit,501k to 1 2,310 a Ilance ermlt 0.00
mil.BTU 17)Hood served by mechanical exh.ust -
30-50 hp;absorb.unit, 3,400
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 handlln unit to 10 000 cfm 856 _ _ 69.9`
Air handling unit>10,000 cfm 1,170 20)Other units,including wood stoves
Non-portable eve rate cooler 656 10.('0
Vent fan connected to a single duct 446 __ 21)Gas piping one to four outlets
Vent system not Included In 656 - 540 -
appliance ermlt22)More than 4-per outlet(each)
Nood served by mechanical exhaust 856 _ 11.00
Domestic Incinerator 1 170 Minimum Perm,"Fee$72.50 SUBTOTAL:
Commercial or industrial Incinerator 4,590
Other unit,Including wood stoves, 656 8°/.State Surcharge $
Inserts,etc. _
Gas pi ip ng 1-4 outlets_ 360 251/.Plan Review Fee(of subtotal) $
Each additional outlet 83 Required for ALL commercial permits cnly
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 5200 bTU.
"Residential AIC requires site plan showing placement of unit.
i\dsts\forms\mech-fees dor- 1011/00
AAA Heating and L„oling N Air Conditioning Site Plan
Addressmoas -- _ c3� " ziP97/z y'
I
i
'If �
1
� r
n�
'rt
1
1 +I I
Of
� v I